HomeMy WebLinkAbout18176-z ~ FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19135 Date SUNE 12, 1990
THIS CERTIFIES that the building ADDITION
Location of Property 515 (aka #S26) BAILEY AVE. GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 34 Block 4 Lot 8
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 30, 1990' pursuant to which
Building Permit No. 18176-Z dated JUNE 6, 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 MARTIN & SUSAN FLATLEY
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
gosa>< 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)
Permission is(hyerye~b~y~gr ted/to: A
::~•~~.....!r_~~... .mac
to G~..EP.7.LOfi?.;I~Q, ...42~....G2~i~2 e~
.
at premises located at ..5.1..~~......eS1.~~ .r
...............................................~.~rXf/
J/~~'~~~.........................................................................
Caunty Tax Map No. 1000 Section ..........3/x..1..... Block Lot No...........
pursuant to application dated .....4~~~..P 19,7..., and approved by the
Building Inspector.
O~
Fee
.............c~~~•
ildin nspector
Rev. 6/30/BO
Form No. 6
TOWN OF SOUTHOLD D ~ 4
BUILDING DEPARTMENT
TOWN HALL ~ ~
765-1802
' APPLICATION FOR CERTIFICATE OF OCCUPANC pFSOt~JI}i~DLO'
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.
S. 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, Commercial $15.00
Date _
New Construction.... Old Or Pre-existing Building..
Location of Property..5.°.? ~ ~/97~`7 . ~ • • . • • .
• ;PEEN10v
House Nu. Street .••..••.••Hamlet
Onwer or Owners of Property~~~ ~ sUcSY~/? ~L..A7ZZ'~
County Tax Map No 1000, Section. , ~
.Block. ....Lot...
Subdivision ....................................Filed Ma ....Lot..................
p........
Permit No.~~~ rY? „ ,,,Date Of Permit.. ..Applicant........
.
?iealth Dept. Approval...... .......Underwriters Approval......
Planning Board Approval •
Request for: Temporary Certificate........... Final Certicate X
Fee Submitted:
Cn ~~9135
a~~7~ ~LZ~'
9
t
i
~~~FOn~K~ TEL. 7G5-1802
0~0 OG TOWN OF SOUTIIOLID
i? ~a, ~c OPrICE OF BUILDING INSPECTOR
~ 4; ~ 'rA rn P.O. BOX 728 ,
,,0 ~ ~ TONN HALL
,~Ol ~ ~a~ SOUTHOL)), N.Y. 1 1971
TUNE 8, 1990
MARTIN 6 SUSAN FLATLEY
515 BAILEY AVENUE
GREENPORT, N.Y. 11944
2ND fi FINAL NOTICE
To 47hom This May Concern,
we are unable to complete your Certificate
oL-~Occupancy because of the following reasons.
An application for Certificate of Occupancy
is not on file. (ENCLOSED)
No Underwriters Certificate on file.
/ / Ttse check is (o&I[:~i7[-~Xi/not on file. ) $25.00
No health Dept. P.pproval on file.
No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit ik 1 8 1 7 6 2
Bu:ildi.n<J Dept. '
No Plumber Solder Certificate on file.
( all permits involving plumbing being
.issued after April 1,1984 )
OCCUPANCY OR USE IS UNLAWFUL WITHOUT A CERTIFICATE
OF OCCUPANCY. YOU ARE IN VIOLATION OF THE CODE OF
THE TOWN OF SOUTROLD. THIS MATTER HAS TO BE CLEARED
UP IMMEDIATELY.
TEL. 7C,5-180
; ~ c,~ L ~ro~Irr or sou~ao~.a~
+a.- 1~3~~u.'t$~ ~ OI~I'ICIi OP BUILDING INSPECTOR
u ~~`,I~q z I'.O.IlOX ] 179
~ ~ TOWN BALL
' ~.4;yo ~~t' SOll7'Ii01.D, N.Y. t 1971
~~'r as,~~gq
srs c~,e.
~I y~ ~~9y'f
To tVhr,m This May Concern,
We are unable r.o complete your Certificatr_
of/Occupancy because ,of the folloc•~iny reasons.
An application for Cr-rtificate of Occupancy
is not nn fi].c. ~(ri~r2xrQ-~
/ / Alo Undcrcoriters Certificate on file.
/t// 't'he chccF; .i:: (~~/nut on file.) ,~~5~~
D!o Ilea].th Dept. Approval on file.
Nn final insi~r_ction has hero made.
P]case contact-. our office on this matter. -
Thank you for your cooperation.
Ih(.ildir,y Pcrm.it: It ~ ( Z ~ Z
Building nupt•.
- tlo Plumber Solder Certificate on file.
( al.l p~rmitc .involving plumbing briny
i~sucd afL-n_r rlpri.l 1,1984 )
RcLD i;.S: ~...''.J:. ~~Un'i:, i;0a`IMENT.9 ~
~ ~ ~ ~
rn ~
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H
OUIJDATIOM ( 1st)
C
~OUNDATZOiJ ( 2nd ) _ _ m )p
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o
OUGH FRAME ix
~PLUMHING
N
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C=]
IJSULATIOPI PER N. Y. y
• ~
STATE ENERGY
CODE
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FI;JAL
ADDITIONAL COMMEIJTS: ~A
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BUILDING DEPT.
INSI~ECTION
[ ]FOUNDATION i5T [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING ]FINAL
REMARKS:
DATE ~ ~ ~ ( INSPECTOR
I
i
i~
l~ D t,! S i
~
~
0
2 - axb G,'i2Dt-X'.
/lPPx.
y<N Posf ~3r`t.c:c~ 4`~Aa~
d~
dv""` %fd C~
v~-^~ _
i ~ ~ n
t"'~~A~~D AS NOTEO
s~ ~
~ rEfS. ,~0..6.~_BY:
~ (.DING DEPAR AT
~ AM TO 4 PM FOR THE
`°aG INSPECTIONS:
Ili., f p~I1pp ~~,~€7ATtON - TWQREQUiRED
• '~C~ QR ~ s~~yUGNURFRAMING & PLUMBING
USE IS U LA FUL I ~ F', A~ATIO CONSTRUCTION MUST
/y BE~COMPLETE FOR C.O.
ITOUT®C~ ETIFICATE THE REQUIREMENTS OFATHEMN.Y.
CCUB /"11~C~ CODES.C NOT RES QNSiBI~~FOOR
DiSIGN OR CONSTRUCTIONERRORS
f'i-~~ [-t~ 7
' 80.1RD OF HEdLTH , , , ,
FORMNO.t 1°SETS 0~/PL,1NS '
, ~ :r. , SuRY$X, w` .
TOWN OFSOUTHOLD CHECK .~/.~v~.~l,,,,,,,,,,,,,
BUILDING DEPARTMENT SEPTIC•FORPI
TOWN HALL
EOUTHOLD,N.Y.11D71 NOTICY ~s/+7
; ,p--,,,, TEL.:7G5.1802 ~~/~/.-~1-~.
Examinud~..~~.~Y......~.. .,I~b''/~' MAIL TO~:
Appravud .,.lP~.. 19~Pcrmit,No.~~~,;~~~' ~ ~ ~ ~
Disapproved p/c ~ ~ e` ~
~ ~ ~ " ~ ' ~ MAY 3 Q1~,
/(Buil ; lnspecto7) ~ , • ~ 'IUtn~N OF ScauiNp
+APPLICATION FOR BUILDING PERMIT'
. ~ r~;r,. ; s
~ Date ..Ma,Y.3A.. .,f,.,..,J5g9.~,~
. , , . ' - INSTRUCTIONS ' , . - . ~ , ,
' a. This application~must be completely filled in by rypewritcr,orin ink'and submitted to the Building Inspector, wikh 3
sets of plans, accurate plot plan to scale.' Fee according to schedule. , " ~p ; ^
b: 'Plot plan showing location of lot and'of buildings on, premises, rclationshlp?to adjoining premises or public streets
~r areas, and gluing a detailed description of layout of property must be drawn on the .diagram, which is pprt,oC this appli-._
:anon. ~ „ . .
c. , The work covered by this application may tio.t be commenced before issuance of Building Permit: „ „ i
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
iuilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
tc;ulations, for the construction of buildings, additions or alterations, or Cor iemoval or demoli[ion, as herein described.
fire applicant agrees to comply with all applicable laws, ordinances, building code, housi code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspect' s. '
. • •
' (Signature of app ~ ~t, or me, if a oorporntionj~
526. Bailey, Avenue. Greenportr, N: Y: 11944, , , ,'t
(Mailing address of applicant)
irate whether applicant is owner, lessee, agent, architect, engineer, general contractor,~electrician, plumber or builder.
Owner
lame of owner of premises ,Martin, and. Susan Fletle~
(as on the tax roll or latest deed) '
Capplicant is a corporation, signature of duly authorized officer. ,
(Name and title of corporate officer) '
Builder's License No.
Plumber's License No. . . . . . . . . . ~ , , , ; ~ ,
(ts s:",...: ,
Electrician's License No.
t:..::, r,..',~
•
Other Trade's License No: ' ' ~ ` ` ` '
Location of IanJ on which proposed work will be done. ~?(h'E~ , 7D , : OG . , . ~oo5e , • .
..~~5,.... •B~ileY.~!y.'n~li~... .~,,i-~.;:~k'~~.R ~ ........:......'.,1:
IlouseNumbcr.. ' Strec 4 Q~~~...;,.....~,...,,..
't"• ~ i.. •i7, L'. I, ~ r .~,.,yi ~ ; Hamlet ~ ~ i- :'i. ,
Count! i;ax ,11ap-No: 1000 Suction ~3~.: , . , . „ Bluck , - . ~ t +c.. s •
Subdivisi
on . Filed Afap No. Lot
~(N~nte) ~ - -
Sgte uxisting use and occupancy of premises and intenJuJ use and occupancy of proposed construction'..
a. Existin^ use a DwelhP~, ~ N'JNYl.t.tt~
o ndoccupancy . ...,4 ah~t!wm~7tasa~tmt,a;ac3,+~-~s~:,~~
b. Intended use and ~3nai~~~ t&:°te°`~ '"`'~'~"r'
occupancy ..pJa~dApa.Deek....8ttached.t4 dwellin~r~t~,^,~;g~~~t,.e„~,:,
~I
3.,,1y'ature of worF~ (O~ecl. «}~ach,appltc ble) Naw D it ap ~ ~ ~ „ , ~s•
v - - y, ~ +'e;i*, r r , ./,dill lloA +,x+~+Xi ~{11~CfatlOn e , . s w +
Repatr ' , ~ . RF,mo4a1 k' .
~ `=f I ,rJ i ~ + , s ~4molltlA,t1 : i i . ~I.'.
' r QthcrlYork:
I ~ t ~ 6,141 d r !t H.~1, i V '~'e.a{rt r r
~ a' qq~yj ~t~~yy (D4.$CriptlOn)
4 .~~StlmatC,d COSt i'72VV I~e.1 ill l+,iw ' t"I >,1,C4,111.i'
.r Fee '
' ,
5
~ ' i ~ ~ ~ ~ , (to be paid on filing this application)
S+ If dwelling, numbc Of dWClhn pn1,tS , , • • • • • • • • • • , • + • • • • • • • ,
R g + . Number of dwcllirig unit; on'each (loot' ~ ~ ; , .
`Ifgaragc,numbcrofcars
6. If business, commercial or mixcd'occupancY, s ccil' ~ ~ ~ ~ ~ ~ ~ • ~ ~ ~ ~ • • • • • • • • " •
P YnaturcantJextentofcachtypcofusc...,;,,,_;;,,+;,;,+„:• '
7. ' Dimensions of existing structures, if any: Front . , QQ; , , , , Rear 44 , Depth , 54 ;
Height aAP::.20 N
D pth sions oC "same stru lure w bar of Stones'... , ? ; , , , , , , , , ,
C ' h alterations or additions: Front ,',40 • ~ ~ ~ ~ ~ ~ ~ • ~ ~ • ~ • • ~ ~ • • ' • •
+ 66 FIci t , Rear ....44:...........
sh .....................Nun bcr of Stotics
~ ~V)b"onstru,
' 8, Dimensions o c otion: Front , ,2Q; , , , , , , .24 : • ;
Hci^ltt ....:.......60 Number of Stories , Rcar , , Depth .16'
9. Size of lot: Front .601 ~ : . . . . . . . .
0. ;Date of Purchase „2% 1986 I ' • " • > • • Rea{ , , . . : . . . . . Depth , .144:......... .
+~l 1. Zone or use district in.,which prcmis~s pre situated,; ; t,~~
E~,of F r Owner Beatrice W~is~Rrl • • • • • , ' ; ;
12. • Docs proposed construction violate any zoning law, ordinance or
egulation:~ . r . ~ , , , , , , , , , , , , , , + ~ • • • ~ • '
13. Will lot be regraded ..,.n9,,.,'',,,,,,,,,,,,,,,,,,
" 1YiU excess till be removed Crom premises: • Yes ~*No*~
14. Name of Owner of premises MBfit$n>,.54~39 Fl.'$t7,@y~lddress,~24 ,4Ai1ey,„ .GRt•.... Phone No..47.7.-,94.4 , .
Name of Architect , ` Address . '
NameafContractor. ..................PhoneNo.;r,.,.,+.••.
•,,+•.,~{,.,.,r+Srj„+r~,AddrCSS,.r„i„~: r4'i. i,i~i r+ ~r ~
15.Is this, propest~:locatod within300,,;,fcet qE a t' PhoneNo.'::;,,,,,,,, ~r,
}d,~,~ wetlaad?s *YES:~ NO~XXJ~.Y'
"*If yes, Southold Toya Trustees Permit •
, ~ may be•.requxred', , i.rr~,ia r
~,1. ~ , . ~~.~~i.OTD1ACRAht_ ,
' ~ ~,•l i ; ~ ~
Locate clearly and distinctly all buildings, whether existing of proposed, and( indicate all sct•back tiunensions from,
properly lines. Cive street prtd block nt}mbcr„or,description according to decd, and show street names and,lndjcate whether
: Interior or cornerlot. ! ,
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v t ' 't F " h i'~' I~wi iT I fu' d.~^-" 411 °",J'~{rl,~ ) ~Aafy~ip,' ~ t ~ y
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' ~ ~ Y I I r ( . ~ m n • ~ ~ 1 t '
r ' t ti It i n! I I h ~ el9• J rl t f p 1~ 1 c i f t t e r~ E on a'
1 ~ f, ~i~t r Inl,~ ~1 ~ 1 ~ tl ~ ~ , 1 ~ t{ 111~~~' i t?~I'z uf!'~ ~ IN i..
70 tPt, f ,r 1nt,d 'a r r a { q f i,~ i t r t. ,F . r n, > v
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•,F , n ~A• +v ~L,.I .!w i, l.~ I•n k~Sn voI „ A.. I• y .v{' r
STATE OFXEIVYORK ~ ~ ,''I:,;r'~ ir,'~a',np~~;;~(
COUNTY OF , . ~ S:S ~I i
• ~ • • A~~'y being July sworn, deposes and says that ho, is the a '
(Name of individual signing c+ontracU • ~ • ~ • • • ~ • ~ PPUcant .
rbovc named. ~ ~ '
~ICi$the., ~Wf1ET i ,..,.I,d~~i111 ;,4 ~ ,u' 1'.':.,11• L~ it
(Contractor, agent, corporate officer, etc.) • ' ~
if said owner or owners, and is duly ~ufhorized to perform or have performed the said work and to make land ffile this
pplication: that al! statements contained'' in this application arc true to the best of his kngwledge and, belief,; and thpt'the'~~- .
uorl: willal~c performed in the manner set forth in the aPPlicatiori filed therewith. ' ' ' ' " ` `
kworn to bclorc me this f _ ,
, ........day of . MaY : + : + 1989 6'' " ~
otary in Suffolk - ~ ; + u t 1. i.r,' n ~.I, ;,I~ t~:r
Public, ' ,:a ~ III,, a,,
....7. County
J, , ,
. , . , . , , • . tYoUN PubNr. iMb ,
QualNiedln8u?folk~o~p~y ' ' ~ ~ (Signs te'of a (leant)
[ mmission ,e/,~~dre~sdunN 20,16u: ~ ~ ~ ~ ~ ~ ~ ` ~ ~ PD