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HomeMy WebLinkAbout18582-z N FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18487 Date OCTOBER 20, 1989 THIS CERTIFIES that the building ADDITION Location of Property 750 GRETON COURT MAT'fITUCK N.Y. _ House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 02 Lot 3.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 13, 1989 pursuant to which Building Permit No. 18582-Z dated OCTOBER 20, 1989 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ARVO & RUTH KANERVA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N A ~W., Building Inspector Rev. 1/81 rosai xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~.8:~8~ ~y-~ q N ~ Z Date ..Q.S:I!.. ~ 19 $..1. Permission is hereby granted to: . ~ C~~ ~ . o ).y.Arh.1~.V.~:1.R?1......5~,-...~4.~.Y4.....S~4.E~:k2~:t.~(<f~ta.~e......~!.:1...~L~ of premises located at .................~§.!:.~:1......4!J..:...................t~~................................ .l.,Sr.... ~.A.t!r1l.l~A~~':. ~~1Y~....11. ~'.1.'!~'i1:4:Q^ County Tox Map No. 1000 Section Block ....Q fir.......... Lot No.......~~i.:.~......... pursuant to application doted .....0..1:.11.SF.... 19~i~.., and approved by the Building Inspector. Fee a: Building Inspector Rev. 6/30/80 _ TOWN OF SOUTIIOLD ~ ~ n ~ ~ BUILDING DEPART2IENT (4j U D f ~ TOWN HALL OC.I- + SOUTDOLD, NEW YORK 11971 7 765 - 1802 ~NLD~.60Up7. LD APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE.. /G..~~. U / NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BUILDING......VACANT LAND....._.. Location of Property.. ,~j.7~. , _ _C~ ~/>l,(~7%T,,fC~ _ HOUSE NO. STREET t HAMLET //,Q Owner or Owners of Property.,/,Y!l~!,~__`~_.~~~~_/~il/~,~~/,y~.•--.-•.•. ~ r County Taz Map No. 1000 Section . _/~~Block . Lot... Subdivision......,! ~7_ Filed Map Lot. tt Permit No. ate of PermiC D ..........Applicant Health DepC. Approval Underwriters Approval..........__.. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: ~ ~ w..._...._ APPLICANT. ,i~ Lit-s'~ reV• 10/14/88 6Z.ec. 3 S y ~ a, Co ~ I $Y8`7 ~ . FORM N0. 6 1' i TOWN OF SOUTHOID ~ BUILDING DEPARTMENT ~ ~ ~ I TOWN HALT. 765 - 1802 APPLICATION FOR'CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusuall,natural or topographic features. 2. Final approval of 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 solder used in system contains less than 2/10 of IZ leadt S. Commercial buildings; industrial buildings, multiple residences and similar buildings and instal)rations, a certificate of code compliance from the 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'iuses: 1. Accurate survey of prioperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed`~pplication, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. IF a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing c¢de or saFety inspection of buildings or premises, or other pertinent informationirequired to prepare a certificate. C. For Vacant Land Certificate of Occupancy: i. An application for vaunt land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of'the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwellling $25.00, Swimming Pool, $25.00. Accessory building $10.00 Addition to Accessory buildings, $10.00. -'Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificat'ie of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary CertiFicate of Occupancy - $15.00 I ~I i reo. 10/14/38 f1ELD L:. S.G~..~1i:i ~IJni~ I~ ~vtYMENT.^. 1. ~ ~ I m 00 H OQ - - y N OUt7DAT20N (1st) ?OUNDATI017 (2nd) _ _ cn~~ z o V ROUGH FRAME & ~ d PLUMBING ~ N 3, y a cn m IIdSULATIOt! PER N. Y. y STATE EP7ERGY CODE 4 . D 4o v m y FINAL I . I o ADDITIOPIAL COMMENTS: x p . . -f '1 . m • x -off H y H H ~ O m L • > ~ " 73 m H ~ ..11 ;.crvicaa G 25~?' ,E, R' 39•~ : k0 y' ' ~'S a~o1255,3 ib~~ 65 R; 9p. L' oWELL'NO f; : 6 n19 ~ g0 Lot 5.13 kg2 E~ s 3P 6 21 p, 72 I E~, 13.0 7 ~ N 76°al 1 v, 11l 1 - -i O O E~s12.3 ~ IAN b ~ 11 O O 2 ~ ~ is a , C Q 1 n. m h,~ n / 30 , ,10;y ~ ~ / I c k 3y w Gl O O n m_ m b''i ~ O I Stl ~ ~ so fD 8 / ~G rp ~ ~ -k~ I to ~Cp ~ _ ~ 11 1-0 ~ ~ l;.n V 1 E~ r 31.8 o u, ~ 1 a pl5.51 ~ E~,a~.o 6041 4V io ~ ~0t OCl' f 3198.4 1 SLOG. DEPT. TOWN F SDUTHDLD BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL °,OUTHOLD, N.Y. 11971 NOTIFY . TEL.: 765-1802 CALL ~-p-~ ~n ~ MAIL T 0 Examined . (~'e~j~C(R.L. ,Z 19 b'q9 Approved ~i~:''Q~'t', , 19 ~ ! Perntit No.~ ~.,SB 22 ~9~? R Disapproved a/c Q l5 ~ t'I LS p • .........n ~ ~ ~ U (Building Inspector) 8 .DE F30 APPLICATION FOR BUILDING PERMIT Date /G ~3 19~ INSTRUCTIONS a. This 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 lot 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. c. 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 Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspec~y~ns.~~ / /p~ 'q (Signature of applica~nt,/`or name, if a corporation) 8'AiP teat R179W4j F°F+"a'~ Y ;•a.+t'. y.a,....:, ~,jb C~E'7l/,r/ ~1...~1~7.ril~C~('~!%t/. !~@"t~"~p~'~"t'q~'~'~}~"~~~~'~~'~~1~ (Mailing address ofapplic~ri,t) //%S~ State whether applicant 1 ,went, architect, engineer, general contractor, electrician,,plumber or builder. ~.-f J// ..~~j~... .~f,.~J. , Name of owner of premises ° U ~ ~;i, , , ~s!'+~~~~~ . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. kGL ~ . (Name and title of corporate officer) ' ALL CONTRACTOR'S MUST IIE SUrFOLK COUNTY LICENS`E'D " Builder's License No . ,.,tr`:;': ~ , Plumber's License No . . Electrician's License No . . Othcr Trade's License No . 'i 1. Location of land on which proposed work will be done. , , - , , ,!;(,'p ~ 7~'0 G~Ce, ~ti~ ..........:!~~2'.~1..~T~~~ . . House Number / Street Hamlet County Tax Map No. 1000 Section , , , , , , , , Block ~ Lot , ~ l ' Subdivision .G~,e7,lr~r/ ~;ST1~,l~„J', , , , , , , , , , , , , Filcd hlap No. Lot , (Name) 2. State existing use and occupancy ot-pr/emises and intendte/d use and occupancy.o/fproposed construction: a. Existing use and occupancy ~.~~.~~1~,/. ~ ~ . ~yF{.. ...~Sp • . '7~ ` yl`:~ ii'9 QS-iiiF ~1't'• W~tSi q-.• • . b. Intended use and occupancy .~1; ; ;.rri t ~'~k~ 3 Retu~ of work (check whiRem~plicable): New Building Addition . . Alteration , P pval Demolition Other 1Votk . ~ ~ (Description) 4. Estimated Cost......Y~.` Fee........................... , (to be paid on filing this application) 5. If dwelling, dumber of dwelling units . Number of dwelling units on each floor . If garage, number of cars . f1 occupancy, specify nature and extent of each type of use . . . 6. If business, commercial or mixe s, if any: Front Rear , Depth . 7. Dimensions of existin structure' . Height Number of Stories . Dirr~ens~e~of^same stry~tu~G,Ev{th alterations or additions: Front . Rear . I7G ; Z . , . ~ ~;1~. ; ' . Hei t . is Y;~..,...., ' g.~i .i.i. gh Number of Stories . 8. Da nsions of entire new ~~nn ruction: Front Rear Depth t ~~pp.r.~*..~..#~I~~t~berofStories........... 9. loroht #`.~r Rear Depth . 10. Date ~hase~ ,y..W,~».i . ..................Name of Former Owner . • p 1 1. Zone o ~ ° t`° ich emises are situated . . . . radedp , , , • ate any zoning law, ordinance or regulation : . . . . . . 13. Will lot beore ) . g9` Cbn r c io Gfol ~yill excess fill be removed from premises: Yes No 14. Name of Owner of, remises . ....Address ...................Phone No............... . Name of Architect . • . , .Address ...................Phone No............... . Name of Contractor . ...............Address .Phone No. . 15. Is this property located within 300 feet of a tidal wetland? *Yes No *If yes, Southold Town Trustees Permit may be required. f PLO"1' DIAG1tAM Locate clearly and distinctly all bulldings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether ` interior or corner lot. C ~ I~ APPROVEQ AS NOTED 1 PATE: ~O ~.c B.P',t~ ~ s s"B a OCCUPANCY OR FEE: BY:I • G' . USE IS UNLAWFUL NOTIFY BUILDING OE('ARTMENT A7 766•t802 g AM TO 4', PM FOR THE WITHOUT CERTIFICAT FOLLOWING INSPECTI{SNS. Of OCCUPANCY 1. FOUNDATION - TWO REOUIREI) r, FOR POURE!) CONCRETE 2. ROUGH • FRAMING~~ R PLUMBING 3. INSULATION 4, FINA4 - CONSTRUCTION MUST BE COMPLETE FOR 1;,0. ALL CONSTRUCTION ',SHALL MEET THE REQUIREMENTS i,OF THE N.V. STATE CONSTRUCTION , & ENERGY CODES. NOT RESPI~NSIBLE FOR DESIGN OR CONSTRUCt10N ERRORS STATE OF KE~V Y~9RK, . S'S . ~Olii\*TY F...• . • e • • • . • being duly sworn, deposes and says that }te is the applicant ( `~n~e of indi ~d~l si ni~ ontract) above named. ieisthe ..(,1.w.~:~~......................... (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly 'authorized to perform or have performed the said work and to make and file this pplication; that all statements contairSed in this application are true to the best of his knowledge and belief; and that the s~ork will be performed in the manner set forth in the application filed therewith. worn to before me this ,.day o ~ 19CJ.1 ;plat}' Public, County CU41RE L. OLEW ..~CP.~i~G. 2 y~!~ . . ....Pp..... NataryPublks,StMeofNewVork (Signatureofa licant) QueliN d In 8u~f folk pdurHy GI'h Commisebn Expires DecemA~r 8,1