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HomeMy WebLinkAbout19025-z 4 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20600 Date MARCH 18, 1992 THI5 CERTIFIES that the building ACCESSORY hocation of Property 435 (aka 517) STERLING PLACE GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 34 Block 3 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in thts office dated MAY 10, 1990 pursuant to which Building Permit No. 19025-Z dated MAY 15, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY STRUCTURE IN REAR YARD AS APPLIED FOR. The certificate is issued to JOSEPH E. & MARY LEE RHODES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N{A UNDERWRITERS CERTIFICATE N0. N-227544 - MARCH 9, 1992 PLUMBERS CERTIFICATION DATED N{A uilnspector Rev. 1/81 I TOWN OF SOUTHOLD ESUILDING DEPARTMENT TOWN NALL SOUTIiOLD, N. Y. Bl11LDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°_ ~ ~ ~ ~ ~ Z gate .................~.~..1.~............., )9.9. o ' Permission Is hereby granted to: n _ fo ...1~v1~~.:..~......~: ~ .......................i;1~V'~+:{~!-ft~luS~:y...F:r~....(5..~::...I.Ut 0.'4:........ cz,~ Qi4?........ ~s , at premises located at ..~.i........Q::~°.`.u....... ~.e~?~ ...........................................................................1..................................................................................... County Tax Map No. 1000 Section ...~.3~........ Bloek .......Q..,~...... Lot No....~~..~ pursuant t0 application dated ~ 0 19.4 and approved by the Building Inspector. Fee S..aS:...'..~.... i}!~!'~c...~~~ Building Inspector Rev. 6/30/80 i Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1, Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential~~$15.00, Comrmer~cgial $15.00 Date !..~-.~~.C'.~r`~... ~`f..!~~'~-' New Construction.. ....~O7ld Or Pre-existi/ng Buil>ding..... ~j•~ Location of Property....'.J. ~./..........~.13~.+~-!/.'-?.~..~`:-~........ C~r~.~:~:°.°~?°.'~~..%':1....~rs~~~ House ~No~. Street Hamlet Onwer or Owners of Property..'~./.`°5.~.:.. County Tax Map No 1000, Section ........:.....Block.....{~~........Lot......~t~............ Subdivision Filed Map............Lot...................... Permit No...l.~G~.~.^..~.-.Date OI Permit..:~lS~fn,~P....Applicant health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate.,......... Fee Submitted: e~~a ~ ~ ~ ~ ~ f/ AP CANT . 'r'1::LD iI:S:'ECTiU:J ~~U6.c ~ JOMMENTS . . - vr. ~v 1 . .P ~ D ~ FOUtJDATION ~ (1st) = ~ °F n FOUNDATIOtJ ( 2nd ) - ~ 2. z o (h ROUGH FRAME & a PLUMBING N 3. ~ " m H P IIJSULATION PER N. Y. STATE ENERGY CODE x Q a / .4 4 . ~ FI;JAL o z ADDITIOAIAL COMMENTS: x - ~1 x 'a ' H ` 9 . y H ~ O z ' ~x m A • r _ H ` ' ~ .D d m ^e H ' i. w~ s ~ ~w ~.~r~~.r ~ ~ i • p Try ~ 4 ~ uAtV .S^'] ~ ~ Tom, ,.c ~..C ~ _ n .Aa~~?anaao ~o ~ ~~naM.~'~a~a .~noa~lt~ ~n~e~~~,/n~//si n i "c 4'. )7 > y.- j 11 .t b s ~.d tlJ4^ S $ ~ _...<.e......,,.,z~.,.,,.......a,.....~,..~~a..~~..a ~a~~ w._ ~....,.xr ~ i ~ {,Y v f a ° _ x ? „ t t t p 5. ,yes ~ 1 r' 3 ~ x X su'ki~~~~ ND11~S1ti1SNQ~ aD N~J153® s ~ l~~3 3'1815W dS3N lON 'S3Cl0:9 t,a~~N~ ~ r~DU~nalsNO~ a~.dis ,a m t, N ~Ftl ~O?; SJ.N31N3kil(1D3a 3h11 4.,Gud'a u~E tfiilf~Y~ ~ 1~3t/U l"1'd'r§Sa ~~3 ~.L a WC7) aE1~t/ _l~Fe"ti R4Jl~,31~1,~NC)J "I~NI~ !t ~~yy9 ` RIOiLtllf?SiVi 4 V.~ pa iw Wu•,7~ry~C ~ s "~r1 )FiiF~'~3klflf~d NQd ~ ~ ~ t~C~71 <~JC3Fdt1(J~ ~ 4 k ~ r.f{ ~t3 1~13~ ~ E 33~ ~J ~noaaad a~ 1~N SV ' ~ e...,~,~..,~,,.,..,~r..~..~,:_.~,,,.,..,.,.._.,,,~.~ _.,...,..~_,,........,.z....,a,,..,...~......~ a .p-. Nature of work (check which applicable): New Building Addition rUtcration . ,Swimnin~ pool. Repair Removal Demolition ~ • . Tennis Court Accessory Building.~......,Fence .......Other Wo~ki:. Estimated Cost U11. ~ . Fee _ _ (to be paid on tiling this application) i. IC dwelling, nurnbcr oC dwelling units Number of dwelling units on each floor Ifgarace.numbcrofcars i. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . Dimensions of existing structures, iC any: Front Rear , Depth , . Hci_Itt Number of Stories . . Dimensions of same structure with alterations or additions: Front Rear _ _ _ . . Depth . IIcigltt Number of Stories 3. Dimensions of entire new constntction: Front . . . . . . . . Rear ...............Depth . Hci~_lti . Number of Stories . ~ ~ ~a.3'. `aizc of lot: Front ....J~'a . Rcar....~~•. ~7......::....: DcPth r2 , . L~atc of Furcaase ..(jCf'r~~./.~J`~.5 Name of 1=onncr Oovner . ,Z-'.3A.~yel,~'. ;~.:.~c~P/i~P.u....... . 1. ~o^e: or use district in vvhich premises arc situated . . i~ors proposed construc,,t9ion violate any zoning; lane, ardinancc or regulation: , ,/ll4 . . 3. ~V'tli lot be regraded . J(+V6......... , .n' , ` , iVill excess fill be removed from premises: Yes Noy(! 3. Name of Owner of premises .T ~G~ :~:.~yyp~5 Address .SIZ ~:~Y'It`~~``JJ Phone No. ~7,7-C~~3 , . i;arrtie of r.cchiteci ~1>uda~~irf . c~_Y„laool.......... Address .1"Xt,~~~~ ..o1,P~:.....Phone I.1o. ~7.? .,l $'.s'5~. Name of Contractor . . -:........Address - .Phone No..... _ . . :S.Is this property located within 100 feet of a tidal wetland? *YES.._:NO.... • *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block number ar description according to deed, and show street names and indicate whether aterior or corner lot. h ! R~'~/~~ . iTATE OF `E1V YORK, S.S ~OUNTY OF . being duly sworn, deposes and says that he is the applicant • (Name oCindividual signing contract) above named. •Fcistltc (Contractor, agent, corporate officer, etc.)• if said owner or owners, and is duly authorized to perform or have performed the said wort; and to make and file this application: that alt statements contained in this application are true to the best of his knowledge and belief; and that the work wilt be performed in the manner set forth in dtc application filed therewith. ' iwom to bciorc me dtis ..day of~,/.~.~/./.........., 19 r ./..:1:.~. fem.. .glary Public, , , ~ County p ~ ~ HELEN K DE YOE , G; ~ ::.a'~;'Ze.'! . N N 470787$, S k Coup Term Fxpues Much 30,19~~ (Si;naturc of applicant) BOARD OF HEALTH _ 3 SETS OF PL.1NS h a ~ 1I~:' ~ FORM NO. 1 SURVEY - • • It~~'`~`~~~V/°°°jaC~ TOWN OFSOUTHOLD CNECt: ~i. BUILDING DEPARTMENT SEPTIC FORM i TOWN HALL MAY t 01990 $OUTHOLD,N.Y.11071 NOSEY: ~ ~{•Cy "J" P%6Cr. C?ti~"`Yb~¢=,.• TEL.: 7G5.1B02 CALL e% TOVySU~~CE~}t~~t'}~3'a~e~ ~ MAIL T0: Exaatiacd :':'.`:rte'?:~1".~5~"'. °1 . Approved 19~ 0 Permit No.~ t1 ;a;7~' . . Disapproved a/c (iluilciing lnsl~ecta-) /1PPLICATIUN FUR BUI! DING F'LRl+AiT Date ?X........, 15~'Q. i il.~i ii.V%T1lJ1VJ y~ . a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. ' b. Plot plan showing location of aot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. o. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant, Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pemtit pursuant to the Building Zone Ordinance of the Town, of Southold, Suffolk County, New Xork, and other applicable Laws, Ordinances or Reculations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized'inspectors on premise's and in building for necessary inspections. • ~ (Signature of applicant, or name, if a corporatron) • . >?`J.7..Ster.'~~ I~g.. I~Il~,ee~ ...~~e~.~aart. N . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. •w.~~C Name of owner ofprcmises ©.54'•p.~.. ~•..,~S,.hA.P4~5 . (as on the tax roll or latest deed) If applicant is a cc;por~iion, signature of duly authorized officer. ' • • • • • . (Name and title of corporate lofficer) • Builder's Liccnsc No. ,~tuQ>, ?!Q-~ • • • • • Piurnbcr's Liccnsc No . Electrician's Liccnsc No. • ' Other Trade's License No. • . Location of land on which proposed ,work wi(1 be done; " ' ~1.7 .........:...cS.~f~.r.ll,~~...~~Q.c~..: , ..........~r~en(~r~:.............:...... Elouse Number Street, Hamlet County Tax lfap No. 1000 Section • • ~ ~ • • • • : BI'ock • • • • • • Lot . • Dl.~ j, , Subdivision Riled Afap No. Lot . State e~istin~ use and occupancy of picmiscs and intended use and occupancy of proposed construction: , 0 a. Existinguscandoccupancy 6. Intended use and occupancy THE NEW YORK BOARD OF FIRE UNDERWRITERS eArN~ 1.29(319.7. BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 D¢te MA~:C.Mi ~9s29a2 AppHmtionNo.onfile 7h929a9~f9~ - N 2275~~ THIS CERTIFIES THAT only the electrical equipment as descrihed 6eloty and introduced 6y the applic¢rtt named on the ghove application numher in the premises of J'tl:}6t.'FI R190t3R3t '-i1.7 u'l'1"I~IIINCa 'L~I~ACYSt GRGrINPQR`kr N>K, ' in thefollorving location; ? B¢sement ~ /st Ff. ? 2nd FL Qlf~ Section Block Lot - w¢s examined on ~tA ~`~~t a 9.9 ~ ~ arzd found to 6e in cmnpliance with the requireneenLC q(this Board• - FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT RUORESCENi OTHER AMi K.W. AMi K.W AMT. KW. pMi K.W. AMi N P. ~ 12 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gELL UNIT HEATERS MULTI.OUTLET DIMMERS AMi K. W. Oll H P. GAS H P AMi. NO A. W. G. AMT M1P. AMi. AMPS TRANS. AMT H P SYSTEMS pMi WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V I C E - METER No or cc cOND A w G. f A. w G A. w G AMT. AMP. TYPE ~Ulp I,e' 2W 1 q 3W ],9' 3W J.e' 4W pER d Of CC. CONU NO OF NbIFG OF MbLEG NO OF NEUTRALS OF NEVTRAI OTNER APPARATUS; G SAi;k~ & I~AnFP1AN1.d 7NC. LCt',,~36;~5-k; G!~ ~ P,0.80% 178 8t1UT?3f33ii)F N'Y, ~J.~i71 GENERAL MANAGER 2 ~ Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. I COPY FOR BUILDING DEPARTMENT. THIS CAPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~ . INSPECTORS • Victor Lessard ~~~~;)FFD(~)~ Principal Building Inspector ~ c3~. 0~~~ r~ ~ r ' SCOTT L. HARRIS Su ervisor Curtis Horton ~ ~ p Senior Building Inspector ~ ~s~ Z Southold Town Hall Thomas Fisher ~ ~"j r ~ P,O. Box 1179, 53095 Main Road Building Inspector ~ c, ' ' • r, c;,~ ~'0e j Southold, New York 11971 Bu'Iding Irupector Fax (516) 765-1823 r>~,1 Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD FEBRUARY 20, 1992 JOSEPH E. RHODES 435 STERLING PLACE GREENPORT, NY 11944 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: x>~ An application for Certificate of Occupancy is not on file. (Enclosed) %xx No Underwriters Certificate on file. xB% The check is not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 19025-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT.