HomeMy WebLinkAbout18208-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218974 Date APRIL 18, 1990
THIS CERTIFIES that the building ADDITION
Location of Property 57185 C.R. #48 GREENPORT
House No. Street Hamlet
County Tax Map No. 1000 Section 44 Block 02 I~ot 02
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 6, 1989 pursuant to which
Building Permit No. 182082 dated JUNE 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 SHED ADDITION, ATTACHED TO EXISTING ONE FAMILY WITH A II
6' WIDE DECK.
The certificate is issued to AGNES DANSEREAU
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
sossi 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)
N O ~ ~ ~ ~ C7 Z Date .......6~~ 19.x/..
Permission is hereby granted to:
to 6.~..~.~~J.l~..I~""'ry""".~i... ~.~~......G~aGZ4~'r+f•• .!~....~~~~./.'~^..~'i
~ ~
at premises located at .~~.7/..d~.~ ' .......~~1.~......~~T~y6...........
G~GR4f
.........r r. •..fP~!a~~~.........•...............................
• .............s.........................................................../../..................................................................................
County Tax Map No. 1000 Section .......r-.,~...,7....... Block Lot No.......2.r..-.........
pursuant to application doted 19........, and approved by the
Building Inspector
Fee S•••~.~,t~.~.
Bu g Inspector
Rev. 6/30/80
a'
~ ~ ~
TOpN OF SOUTIIOLD
~1 IIUILDING DCPARTtICNT 1 f
TONN IIALL Il p~MM~~~~~
SOUTIIOLD, NCH YORK 11971 fll'tti ~
„Q"° 765 - III02 131> 5~_ ~st4~Y;, ~
IO"}-~ TOWR4 OF ~,)JiE~G !7 i
APPLICATION FOR CERTIFICATE OF OCCIIPAtlCY
DATE . l~c-~A
KEN CONSTRUCTION .......OLD OR PRE-E%ISTItlG IIUILDING.
0/ ~..VACAt7T LAND........
Location of Property..S~~B~,'_~[rav~Y_h.i~~~~'3?~~~~.~..~~,~~~a~~
UOUSE NO_ ~ STP.CET IIAMLC
Owner or Ovncrs of Property.,~~12c,~$'_„~P„yl~,(`~y1~pi~_,_.._rr_~~_______________~
County Taz Hap No_ 1000 Section Block ..,.5.,,. Lot' .~y,_..,_,
Subdivision Filed Map _.......Lot__......_.
Permit No. '~65~.~_I)ate of Permit _.7,(, ~y,_Applicant ~i2c~.~~{~„~T:w~,1n~j5~~
Health DcpC. Approval Underwriters Approval.___..._.._...
Planning Board Approval
Request for Temporary Certificate Final Certificate
Pee Submitted: $._;,~,c~g0<J_____.
APPLICANT.. ,~~2
~
c~-e-P~# 3~S3 t~, ~P~ ~ ~3S 9~
~ ~~3~~
~~v- 10/14/88
iu. ~~n
. ~I FORM N0. 6
I TOWN OF SOUTIIOLD
BOILDING DEPARTMENT
~~i, TOWN iIALL
~ 765 - 1B02
~
'i APPLICATION FORCERTIFICATE OF OCCUPANCY INSTRUCTIONS
i '
A. This application must lie 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 unusual'~~ natural or topographic features.
2. Final approval of Dealth Dept, of water supply and sewerage-disposal(S-9 form).
' 3. Approval of electrical installation from Board of Firc Underwriters.
4. Sworn statement frorq plumber certifying that solder used in system contains less'
• than 2/10 of 1Z lead. ,
5. Commercial buildings~i, industrial buildings, multiple residences and similar,
buildings and installlations, a certificate of code compliance from the Architcet
or Engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings 'I(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, buildings and
_ unusual natural or t'~opographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abst';ract 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 ;code or safety inspection of buildings or premises, or oChor
pertinent information required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
1. M application for viacant land Certificate of Occupancy shall be submitted,
and a certified abstiract of title issued by a title company showing single and
separate ownership o'f~the entire lot prior to April 9, 1957 shall also accompany
Che application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
i
D, FEES: I
1. CERTIFICATE OF OCCUPANCY - New Duelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00. ,
2. Certificate of Ollccupancy on pre-existing dwelling - $100.00,
3. Copy of Certificate of Occupaocy - $5.00 - over 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Dpdated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy -$15.0,0 Residential
' ~I~ Commercial
I
I '
1 ' (D..~.~. ern. ~~c..
` to/t4/sa
,NC;l~~n7r~' TEL. 7G5-t E02
,~U'~~FFUCk
~+=~r +~~~~~1, ~t.~ Ofi ICii Ol' ilUlLlliNC; IIJSPE:CTOR
~ ~ l ,
r # P.O. 110X 728
41 ~~ca, M1,'~Y 'I'OPJiJ1iALL
-.c'laszn' , •c•~' SO[T I'I IO1.1), N. ; . 11971
~?~~~ri
January 17, 1990
AGNES McGUNNIGLE
52A NORTH ROAD RTE 2
SOUTHOLD, N.Y. 11971
To Pihom This Play Concern,
4•ie .1 re unable r_o complete your Certificate
of /Occupancy becau.~c of the following reasons.
/ An :+nplicat.ion for Certificate of Occupancy
.iS not nn file. (ENCLOSED)
/ / ao Under~::riters Certificate on file.
The checl: .in 61XtI[tlc$aC1xIXd[1~tpt o;t file. I $25.00
P:o Health P,cpt. Approval on file.
P:cr final inspect:ion has been made.
P]ea:;c contact our office on this matter.
Thank yon for your cooperation. j
Buildinr; Permit (E i 8 2 0 s Z
Builcli^q Dept.
~tkh/_/ PIq ple:mber Solder Certificate on file.
( all pcrrnit:; involving plumbing being
in:nrecl after April 1,19I3~ )
=1ELD ICS:'EC:iUt+ ~~llniE ~ i;OtKMENT° \
-o ~Q
~ o
_ - H ~-'1~
r0UI7DATI0N (1st) ~
rOUNDATI0i1 (2nd) m
- - C
z
o "S
ROUGH FRAME & C~t~
PLUMBING \
N
3. ~
ra
IIJSULATIOti PER N. Y. y
STATE ENERGY
COpE
x
a
4 . ~ y
FINAL ~
L U
_E
ADDITI AL COMMENTS: x
co
x p\
H
•n ' til
A
H
M
O
A
I
r
H
C7
m
H
4-_
The Colonise
Series
HANDY HUT
P-88F
~ ~
a~~~~~ ~ ~ 8' x 8' x 8'h
~ t.f m 453 cu. ft.
~Ik t ~ ~ With gambrel roof design, tl
"fie ~ ~ its b. ~ ~ ~ attractive but features qualit
~ ~ ~ , ; , materials like rough sawn fu
, x° yaw' plywood siding. The reinfon
f ~
crossbuck doors, trim and t
~ # traditional soffit overhang ai
~ ~ , r ~ ~ added touches to the
E ~f' ~ ~ ~~e ~ : r "Colonial' .
w>
~rr x~~ ~ t4'f~~' Floor size 8' x 7B6/a
a
~,~s 7 , ~t~ ~~F-~~g~~~ Door size 4'8"w x 6'h
~"~-04 y' 's V?,~yfys f,~ ";a+,~ ~ , u Est. assembly time: 3 to 5 hog
`$+4 • ~ Roof shingles: Not included
°"~.4. Treated Wood Floor Kit: avail
'~'"-0 ry'3 at additional cost -
Hutmust be erected on a woc
floor or a concrete slab
The Premiere ~ '
Series
HANDY HUT
P-88 ° = Ye -
8' x 8' x 8'h ~ ,
453 cu. ft.
This is our most popular Handy
Hut with many thousands pro- -
viding extra storage space in
yards across the country. The ~w
"Premiere" is economically ~ ,
priced with its waferboard
siding and roof panels. y~.
Floor srze: 8' x 7'85/8 ;~'w ~
Door size: 4'0"w x 5'10"h '
Est. assembly time: 3 to 5 hours a
Floor Kit: Available at add. cost
Roof shingles: Not included ~ ,
Treated Wood Floor Kit: available
at additional cost
Hut must be erected on a wood
floor or a concrete slab
:~k
r A
~ /
V
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r ENI
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t ~ yn
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Tx• r~;~•A ~q4 ,i (t
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-eF,i Ord ~e~ v1•~9n~~~;~51 - ~ MAP C)F~ PtG4+E` G{~. i Y
` su~.v&vC~o Farz
. ~ AG~NES McGur~r~~~~~
~a
i c' iJ'.5 ~h'i.~S.j..t_ d }f A2SHAM~}MAQt1~
~ ~fa~',' , ~ rg _ _ _ ~ ~ Tpvrnt of SOU'1'N06.~
j; _ . {'r. hoyae~ - - - NSW YoRac
Vi d - !
to I~' 4t`--
I' 1
a
I ~ 5e~la 64'e t"
I
t I~'~~~u~~G~ I Ta.~~ of ~ Monument
bta k-t pn
~ , ~~y
T cl riVCWT1U ~t t ~i ~ v5
J I E
! T
~ I ~ ~
sue. ~ I ~ 1 ~ C7
~ I
~m ~ ~ ~ ~
~ ~ i ip ~ugftaNi~e~d to Intrr- Gaur+k+~ "fitly
~ ~ ~t +ti 6ucet~+wty ~ tvtx~rtc~age cam(~c~r~y
a k i +°.I as sux~vs~eal aecemb~r S, t96&
' ~ ~ ~ aand i ~ VAN"fi't,~Y#~ SClN
v (
I 1 t ~~f
- _ 1 ~ ~ - _ 'I ~I'~s3Yl~lbrt. A1. -
_ i ° l 1
~ I QFEAUTHORIZEO ALYERATION OR ADDITIOp
I \ / / ~ ~ g0 THIS SURVEY IS A VIOLATION OF
I I ~ SECTION 7269 OE THE NEW YORK STATE
/ '~DLICATION LAN
f - ( _ ~x0?IES OF TNIS SURVEY MAP NOT BEARING
• I ~ I - f.~ 7Nk LAkD SUR\E O-5 IYtY.E~SEAL OR
I' R'A~ f~rj ,f.. #A1&JSSED SEAL Sf,IA!l NU'! BE CONSIDERkD
\ ~ 1y~6,~"T'~; -,-~v~~ ~~O 9E A VALID P4U COPY.,
j- ~ 4`w •"~gARANTE.S INDICATED tiERTON SHALL RUN
r„y„ ~a!~. ~ e - -'9~}, i ~y - PNLV TO TMIE VERyON JOR WY{OM PHE 51LRVE%
{ ; IS 9REPARCD, AFJD ON HIS BEHALF TO THE
, ~ / \ ~ JITIE COtAPIN!( ~VFRNMENTAL AGENCY ANL-
p~ {kNDING INSTITUTION LISTED HERRON, AND.
~ ~ 4?~- F'~ _ - - '~O TH~XSSIGi~EEi OF THE LENDING INSTI
VI:. Pr" '~LTiON GUARANTEES ARE NOT TRANSPt3JARl°e
- ';,{O`ADDIj10NAl INSTITUTIONS ~R~ SU854n '
_ ~ ~ ..1, ,z... ~ -OWNEAS '
: 4.. > lye s ~ ~ k. F" ~ ~ E a+'+ x1 k~s'
- s ~Sn s~ a~' :$'t k.- .k n.rs't+. .Z .#~.3.3T. _ns°z..l. _ .~f ?
60.1AD OF HE,\LTH
FORM NO. 1 3 SETS OF PLANS ,
SURVEY
TOWN OF SOUTNOLD CHECK ,
BUILDING DEPARTMENT SEPTIC FORAf
TOWN HALL ~
• EOUTHOLD,N.Y.11071 NOTIFY t~
~ TEL.: 765~1B02 CALL . t,"~./.7 , l l
Examined (4,/• 19 ~ MAIL TO : • . , , . .
Approved ....rjp,~.~~. - ,._`:...7>.~,,.,.
Disapproved a/c
JUN ~ :.619U9 ~
. • . , ,T,CIWNLOF SOUTNOLO .
(B in„ Inspector)
APPLICATION FOR BUILDING PERMIT
• Date 15~~
INSTRUCTIONS
a. Tltis 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
~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
_ation.
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 h2ve been granted by the Building Inspector.
APPLICATION IS HEREBY IvfADE to the Building Department for the issuance of a Building Permit pursuant to the
3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for [he construction of buildings, additions ar alterations, or for removal or demolition, as herein described.
Tile applicant acrees to comely with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections. ~/J ~
r
,
..,,.»_...,,„4,,.,, ~ ~.3~ ,t ~ 1 (Sim azure o[ applicant, or name, a cp. porauon)~
:ii'Y S#:t". t~.f•t 3: i er a ; h ~ (Mailing address of applic'artt)
State whether app~~tEi
~~fi ;~td~Fef,l~e~sde~`, da~e~nt,.•a{chitect, engineer, general contractor, electrician, plumber or builder.
3S`ii'~:1iKi t•~.,'>'!4.?{:4`~4 rig: ~
,
Vame of owner of.P ~ern4ses j~-1°a' • ~A~ E,......... , , , , • .
.
;y:I _.:,;q . , . (as on tc tax roll or latest deed)
CapplicanI is a cot;~utsatCtirf,~~gri~S~ttS~te•'o~C$~u-I'yaauthorized officer.
. ~6:~lvi:J ~,ili3 :tl'tt: ~ •
(Name€~~~( ti~1~393xt~d~p`~~nte officer) .
Buildci s License No. ~
Plumber's License No . .
Electrician's License No . .
Outer Trade's License No . .
Location oCland on which proposed work will be done.
~.~1 ...G.ouN?.,4~. ~D. ~s~ G,,p~L..^.J..~ .
house Number Street. • ~ 11 •r~ /VP •~T....,
//,,/I Hamlet
County Tax ,dlap No. 1000 $CC[IOn °?`7...... , . Block , , , , , . • • • .
Lot. 4~
Subdivision F.ilcd ~[ap No. .
~(Tl~:tittc) ~ Lot .
State csisUng use and occupancy of premises and intended use and occupant
p Y f proposed construction:
a. Exisung use and occupancy . /~.~.'1 ;/-:c-...G.~.l:. ,,pD/~
b, Intended use and occupancy O . • ~ ~ ~ ~ ~
r^r
f I
3. Nature of work (check which applicable): New [luilding '
Repair Removal Addition ,Utcration
. , . Demolition .Other 15'ork .
b. EstimatcdCost ~~~oo ,a~~iUZ~ oe (Description)
Fee....
g~ (to be paid on Cling this application)
5, If atra'tcnnumbcr of carsvcllin i,units Number of dwelling units on each floor.........
=a =
6. If bustncss, commercial or mixed occupancy, specify nature and extent of caclr type of use ; • • •
7. Dimensions of existing structures, if any: Front .
Height Nunjber of Stories . • Rear Depth • • .
- Dimensions of same structure w~th alterations or additions: Front • ~ ~ ~ • • ~ ' ' • •
Depth . ; ...L . Ilcight . Rear .
8. Dimensions of a t'rc new construction: Front • ~ ' ' ' ' • • • • • Number of Stories ,
Height . Numlbcr of Stories Rear Depth a . .
.1:0.:.....
- 9. Sizcoflot:Front Rcar
10. Date of Purchase ..........~L.........• Depth
' • • ......Name of Former Owner • • • • .
1 1. Zone or use district in which prejniscs arc situated , , • ' ' ' ' ' ' ' ' "
_
12. Does proposed construction viohtc any zoning law, ordinance or regulation: • • ~ ~ ~ ~ ~ '
l3. Will lot be regraded .Wilt excess fill be removed from premises: Ycs • No
l4. Name of Owner of premises , ~ , . , , , • ~ ~ • ~ ' ' '
Name of Architect ' ' ' ' ' • • Address ...................Phone No....... .
Name of Contractor • ..Address ...................Phony, No.............. ,
IS.Is this property locaEed~within~ •"Address.. Phone No........',,,;„
*If yes, Southold Town~'~~Trustees PeOrmitemay bearequiredetland? *YES....NOS.,-rte
- I PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and' indicate all set-back dimensions from
property lines. Give str~ ck rilumberoption according to deed, and show street names and indicate whether
interior or comer lot.
~-e ~
AP OYE
pATE: ~ R 8'
i I
NOTIFY G 0 PA TAT
786-1802 9 AM TO 41 PM FOR-THE
FOLLOWING INSPEC71ONS:
T. FOUNDATN)N TWORE4UIREO
FOR POURED CONCRETE
2. ROUGH -FRAMING dt PLUMSINO
' 3. INSULATION
Q. FINAL CONSTRUCTION MUST
i 8E COMPLETE FOR C.f).
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N,Y.
STATE CONSTRUCTION & ~NERGV
i CODES. NOT RESPONSIS • FOR
D(:SIGN,OR CONSTRUCTION ERRORS
T,1TE OF XEtV YORK,
OUNTY OF .
o ' ' ' ' ' ' ' ' • • • • • • • • • being duly sworn, deposes and says that he is the a
(lame of individual si^nim•,contract) pplicant
rove named.
I
(Contractor, agent, corporate officer, etc.) • • • ~ ~
said owner or owners, and~is duly at~thorizcd to perform or have performed the said work and to make and file this
plication; that all statements contained in this application arc true to the best oChis knowledge and belief'; and that the
'rk will be performed in the manner set forth in the application Glcd therewith.
orn to bcfarc me this q
.............~f~.n....day of ..n.'/'•~, 191.
County
HELEN R DE VOE ..C~ f~ C_ C
NOTARY PUBLIC. St1te of Mew Malt [ ;
r. .
Na 4707878, Sgq9lolk CouatY V
TermEKplresMucp30,18_..~/ (SignatureoCap cant)
~ - -