HomeMy WebLinkAbout18382-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19546 Date NOVEMBER 29 1990
THIS CERTIFIES that the building ADDITION
(a/k/a 725 LINNET ST.)
Location of Property 390 LINNET ST. GREENPORT, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 48 Block 3 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 17, 1989 pursuant to which
Building Permit No. 18382-Z dated AUGUST 14, 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 ADDITION & SECOND STORY DORMER ADDITION TO EXISTING ONE
FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to DAYSMAN MORRIS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-159249 - NOVEMBER 5, 1990
PLUMBERS CERTIFICATION DATED N/A
B ilding Inspector
Rev. 1/81
` mosast xa 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) J
N 18 3 F3 2 Z Date ~,l!Y 19.fir..
Permission is hereby granted to: ,
~h .~ili,...........
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at premises Iceated of ..~~~ll......~liiT!!~
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...................................................................~~..//..pp......................................................................................
County Tox Map No. 1000 Section .......T..l.......... Bicek Lot Na............~m/~.
pursuant to application doted 19........, and approved by the
Building Inspector.
0.5'-
Fee $..~J.".~'/
J,,l,~y~.
P p~®
~ ..~fY.
L./
~ ~ u11 nspector
Rev. 6/30/80
~ei;.t~~~'a')~ fJ, "971 Form No. 6
JJ D s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL ~ p ~ ~ S
765-1802 !uI
B~ DEPT.
TOWN OF 80
APPLICATION FOR CERTIFICATE OF 0 _ '
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 1~ lead. r
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 S years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residentllia~~l~~,,$15.00, Comm~je'rQcial $15.00
Date ..~1!~f.~. ld
New Construction.......ry.... Old !Qr~ ~P~r~ey-~exi~s/t)?in~g_JB~uilding..//..
Location of Property..l~~ ..~~~'~':'"."7...~Y!~IfFY: ~~^4~~~1~:"'~~ //.7: ~~l
House No. Street Ha//m//let
DAYSMAAi MORRIS
Onwer or Owners of Property
County Tax Map No 1000, Section..48..........Block....3...........Lot
Subdivision ....................................Filed Map............Lot......................
Permit No.IB3 $.R~.~.....Date Of Permit ................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval.,N159249
Planning Board Approval /
Request for: Temporary Certificate........... Final Certicate.,..../....
Fee Submitted: $...°.:~:5:°.
° iii
~ 0 ~ 1~ APPLICANT
TH EW Y RK B ARD OF FIRE UNDERWRITERS `'A('F '
E N O O
10D 101' BUREAU OF ELECTRICITY ~ t
85 JOHN STREET. NEW YORK, NEW YORK f003B
WUVEMRF.`R 06,1490 6692634090 N 15'x764
Dote Application No. on file
THIS CERTIFIES THAT
Doty the ebetrlca! equipment a described 6ebrs and introduced 6y the appBcant named on the obooe appBe.eios number in the premises of
pOl16l.AS M0R1't7S, 7'25 I.INNF:I" ST., f,REFNI'ORT, N. Y.
in thefollouinq locajep~llME~?9,e1 '~+~(J ~Ist Fl. ~Ynd Fl. .Section Blork Lot
wax exomined on (11 HHHRR ?9 , 1 end found to be in cornplianre with the reyuirernents of this Board.
pXTUE! R%TURK RANOES COOKtNO DECKS OVENS DISH WASNERS lXNAUST FANS
OUTLETS ECBTACIES SWITCNg INCANDESCENT nUg1ESCEN7 OTHER AMT. K. W. AMT. K. W. NAT. K.W. AMT. K. W. NAT. M. P.
v e 9 r
DRYERS RJRNACE MOTORS NTUtl AMIIANCE REDERS SP[gAl lEC'~f i1ME CLOCKS ElLI VItIT XEATElS MULTI-0Vi1ET gMMlRS
.VAT. K. W. al N, P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMTS. TRANS. AMT. N. P. ~ pET AMT. WA1T5.
SlRVICE DISCONNECT NO.OP S E R V 1 C E
AMT. AMI. TYPF P 1 / ]V/ 1 R TV S 6 xW S / AW 4C~' OF CC
COND. ~ NIAEG NO. Q HEUTKALS ap NEUTGMAI
S
OTHER AMARATUS:
'ELEC. R00M HkiATFRit k- 1.!i 1:. W.
~o~
T3 A S CONTRACTOR ITC.Ilti7a-f~
NOx 215
- SiIUTHULO, NY, 1t9?t ORrlAt MANAOY
11
Psr T11.1 `1
This carHficate must not bs aharod in any manner; roturn to the office of the Board if incorrsd.. Inspecton may ba ideMifiad by tMir crodantiab.
COPY FOR lUILDNNi DEPARTMENT. TINS COPY OF PERTIPN~TE MIST NOT gf ALTERED IN ANY MANNER.
S~FFOCk~~~ TEL. 7G5-1802
~O OG ~ TO~'~N OI' SOUTIIOLD
o• ..,ti~
:u r,~:~a~: .c UPFICE Or BUILDING INSPECTOR
~
~ ;rq> ~
uE P.O. BO\ 728
y0 ~ TOtiVN IIALL
~yfol ~ ~~0~' SOUTIIOLD, N.Y. 1 1971
yy/~ i~, l ~9a
To 47hom This May Concern,
we are unable to complete your Certificate
of Occupancy because of the following reasons.
An application for Certificate of Occupancy
i.^. not on file. ~%+~o•~-cQ
/ ? No Underwriters Certificate on file.
The check is {owl/not on file.) ~ o1S,o0
No IIca1L'h Dept. Approval on L-ilc.
No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Builda.n~I Permit / 4 3 8 ~ Z cc~~~~~ ~B''^"'-~'~
Building Dept.
/ No Plumber Solder Certificate on file.
{ all permits involving plumbing being
issued after April 1,1984
r
,
r'1r:LD II:S:'cC:iUi7 ~IUAic i;OMMGNT~
F y ~ i r - ~
97
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FOUIJDATION (1st) ~
FOUNDATIOtJ ( 2nd ) _
2. 2
e2 z
0
P.OUGH FRAME & ~ ~ p
PLUMBING ~ ~ ~
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ra
ItJSULATIOPI PER N. Y. • •
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STATE ENERGY I
CODE ~ 4~~( ~1 J
_ _ x
4. ._~y
FIiJAL
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ADDITIONAL COMMENTS: x ~
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t o ? BUILDING DEPT.
INSPECTIO1~11
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATI
[ ]FRAMING [ AL
REMARKS:
DATE INSPECTOR
T6S-1802
BUILDING DEPT.
1 NS~PECTION
[ ] FOUNDATION 1ST [ } ROUGH PLBG.
[ ] FOUNDATION 2ND [ NSULATION
[ ]FRAMING ]'FINAL
REMARKS: D ~ //J_
DATE ~ OG ~v INSPECTOR! ~
1~'3~~
765-1802
BU{LD{NG DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[~OUNDAT{ON 2Nb [ ]INSULATION
[ ]FRAMING [ l FINAL
REMARKS: A~~ ~ C~ '
~ y
DATE II o~ ~ ~ INSPECTO
~1 765-1802
BUILDING DEPT.
1NSPECTI®N
[ ]FOUNDATION iST [ ] ROUGH PLBG.
FOUNDATION 2ND [ INSULATION
[ ]FRAMING ~ [ FINAL
REMARKS: ~JC-~-c,~Y-~2~~~ ~-'/r
DATE ~ a~ ~ ~ INSPECTOR
765-1802
BUILDING DEPT.
f NSPECTtON
[ ]FOUNDATION 1ST f ] ROUGH PLBG.
[ ] FO DATION 2ND ( ]INSULATION
[ RAMiNG [ ]FINAL
REMARKS: p~-
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~iliL~-°
DATE 2 INSPECTO~
~~3~~
765-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION i5T [ } ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:
DATE / INSPECTOR
~ 765-18®2
BUILDING DEPT.
INSPE~TI~N
[ ]FOUNDATION 1ST ( ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ~RAMING [ ]FINAL
REMARK
DATE INSPECTOR
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oS~FFau~~o
VICTOR LESSARD ~ < Town Hall, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR ~ ~ P.O. Box 1 179
(S 16) 765-1802 y • ~ Southold, New York 1 1971
FAX (516) 765-1823 O~0 ~
1
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
Jul-y 27, 1989
Mr. Daysman Morris
2760 Yennecott Drive
Southold, New York 11971
Re: 390 Linnet Street
Greenport, N.Y.
Suff. Co. Tax Map #1000-48-3-7
Dear Mr. Morris:
In order to issue a building permit for your proposed
construction, more information is required on distance (setback)
from property lines. I
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Thomas J. Fisher,
Building Inspector
TJF:gar
i
~~r~.c~
~ BOARD OF HEAL TH ~
~J,, C a„-~,,,,,~, 3 SETS O F PLANS •1\J.... .
FORM N0. 1 SURVEY ~:K:
p ' ~ ~ 4 TOWN OF SOUTHOLD CHECK • • • • ~ s `f`~
w~ BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL NOTIFY
BLDG. DEPT. °OUTHOLD, N.Y. 11971
TOWN OF SOUTtiOLD ~ TEL.: 765-1802 CALL • • .
/ ~ MAIL T0: a~~Q ~N
Examined . 19 p 7
C J~ d,
Approved 1 Permit No. Io .3,~ 2
Disapproved a/c .
.
( ildi Inspector ~
APPLICA ION FOR BUILDING PERMIT
~ Date ..~.i?f-`.(..........., 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 inspections.
(Signature of applicant, or name, if a corporation)
~?6~ ..YENrJ.F~C4~•T•T...I•?'P.•z Sc?c.?TI.J~?-.O, .Nl`•. .
S (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
C9 ~u'f`I k
Name of owner of premises ..~Jl~~'St~~tJ 1`~t°RR~S
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No . .
Plumber's License Na . .
Electrician's License No . .
Other Trade's License No . .
1. Location of land on whichgproposed work will be done. - .
1.Q.......i~.IIy.NAT......~1 ..............G~~~.L'*I.P.~?+~.T.................
House Number Street
Hamlet
County Tax Map No. 1000 Section ......~.Cd.......... Block .....v~............ Lot 7p~ . , .
Subdivision ................(Name) Filed Map No. ...3.r~. ~ Lot . 11,(0 ~~.P~.~
2. State existing use and occupancy of premises and intended use and occupancy of proposed constrt~etion:
a. Existin use andoccu anc ~.?IY•lCc.,_tt„ F,4T'+t~ d6~~'~w~r+f
g p y
b. Intended use and occu anc $!!-!4~1~ ...r"!1Y~(r-y d3wF~ttiy~j?~~, '.YJ'p',`'„~£`.t
3. Nature f work (check which appjicable): New Building Addition , Y.... Alteration ,
Repair Removal Demolition Other Work .
f afiDescripSion)
4. Estimated Cost Z.. G~~ Fee . .
Yr
I ~ (to be paid on filing this application)
5. If dwellin ,number of dwellin u
If ara a number of cars ~ ~~ts Number of dwelling units on each floor .
g g .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7 n .
7. Dimensions of existing structures; if any: Front , )q."~...... Rear 15."P? Depth ...'2.7. .
0
g
Dimensions oP same'structure w'ber of Stories ~ , 1 .
' }r alterations o23ditoions: Front .....L`! , , Rear ~.5'~....... .
Depth ......y~... .Height . .................Number of 5t ries .
8 Hem h~sions of ~ tire new c Numbction: Front ,I ~ .a..... Rear ; ::1:~.~~ ::::Depth .
g ~ "O er of Stories .
9. Size of lot: Front ! !.3. I Rear (I ~ Depth ~ 1 2..55........ .
10. Date of Purchase • , .Name of Former Owner !
1 1. Zone or use district in which premises are situated .
12. Does proposed construction violate any zoning law, ordinance or regulation:
. , , . . O Will excess fill be re N ~ .
13. Will lot be regraded . 'moved from premises: Yes ~ NS
14. Name of Owner of premises . lt?dtY.l'`tf~e,-', ('2w?h!~... Address i , ...Phone No. 715:22 yo
Name of Architect ..lr ~E S.$h~~!
............Address 3 S6 . (.;~w Xywt ,k1.a^ ,phone No.. ~ S'. ?.5~„ .
Name of ContractorT.d . A?=... AET~RM~a!P1~ .....Address ....:..............Phone No............... .
15. Is this property located within 300 feet of a tigidal wetland:' *Yes No
*If yes, Southold Town Trustees PermitpLO~ DIAGKAMed.
Locate clearly and distinctly all buildings, whether existing or proposed, a'nd. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, amp show street names and indicate whether
interior or corner lot.
I N N ~ T ST
_ 113.0 _ 20o F7' "1"0 7~ 5T
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STATE OF NEW RK, $ S
COtiNTY OF .
. rJA`f S M.Ilt}J , , , , ~IUYC ~ iS being duly sworn, deposes and says that he is the applicant
(Name of individual sigmpg contract)
above nom d.
He is the .......G~a~lGGtni" \~G~~Z~.~~Cl~ .
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner, set forth in the application filed therewith.
Sworn to before me~t/h~is/~ ~I
. !'.G /
r. ~ , ..day of .....~hc...~ 19 .
Not Public, - . County f
E ~ ~NpN~~~ (Signature of applicant)
N
~bY$r1Z S~Su1(~ ~ ~
81.