HomeMy WebLinkAbout18570-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18635 Bate DECEMBER 11, 1989
THIS CERTIFIES that the building ADDITION
Locatioe~ of ?rcpert;~ :.J33 SH3RE U~2VE GREENPORT, NEW YORK
~=meet :iamlet
County Tax Map No. 1000 Section Y7 Biock 2 Lot 25
Subdivision Fiied ?{gyp ,yo. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated September I9, 1989 pursuant to which
Building Permit No. 18570-Z dated OCTOBER 17, 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 DINING ROOM ADDITION TO EXISTING ONE FAMILY DWELLING.
The certificate is issued to DOUGLAS & MONIQUE MORRIS
downers)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING - DECEMBER 11, 1989
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
f'OfEM NO. f
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)
18570 qq
N8 z Date ...Q....... 19....1
Permission is hereby granted to:
~:.......J~ t.~-:~.............
.......i~~.~..... ?.1..
~
..C.rt~nn~l.L~.c.R:'......a......t~+~-~,a~~~~.....~..*n...~1'~ ...~~*-vs~
tom: ~....::a~C~~~:-:~ . ~....~...l~ah~-,....,sr..!~.:
~
at premises located at ..~.579.1~......5~?".`'d::t:S.. ~ ~
.•.•6•C..~......°..`.uftie
I.u'..T.C ~:....t•1..~......... 1... 1 (d.~::~4r4:!:~
County Tox Map No 1000 Section ....pp~~~.~.... .Block .......0.'e~.s.... Lot No. a~....... .
pursuant to application dated ...~T.N:ue~R~... 1.... 19.~..~., and opproved by the
Building Inspector.
Fee ;..t?~...:....
Bu ding Inspector
Rev 6/30/80
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THE NEW YORK BOARD OF FIRE UNDERWRITERS ppGE I
r~15815 BUREAU OF ELECTRICITY
65 JOHN STREET. NEW YORK, NEW YORK 10038
Uaty DECEMBER 14,1989 Applu•ohunNu onjde 66260489/89 H 013203
THIS GERTiFIES THAT
only the electried equipment as olesenbed ba[oao and introduced by the applicant named on [he oboar applrcahon number in the premGeF o
JAMES A RICHTER, 105, SHORE D$~VE, GRF,EJ~IPORT, N.Y.
in thefo(louing (oeahon> L~ Baaemertt l~ lnt Ff. LJ 2nd b'( Sertinn 8(ork Lot
uws examined on NOVEMBER 21,1989 artd found to 6e u+ cm+tplianoe uENa the requuementR of (fux Board.
FI%TURE flXTURES RANGES COOKING DECR$ OVENS DISHWASHERS EXHAUST fAP
OU7LETS LCEPTACLES SWITCHES INCANDE]CENL fIUORESCENi OTHEfl AMi K W AMi K W AMi K W AMI K W AML _ H P
DRYERS FURNACE MOTORS FU7URE AP%IANCE /EEDFR$ SPECIAL REC'PT TIME CLOCKS FEIy UNI7 HEATERS MU171.0UTUET DIMMERS
AMT K W ql H P GA] H P AMT NO A W G AMT AMP AMT AMPS TRANS AMT H P SYSTEMS uAi WATT
NO OF FEET
1
SERVICE DISCONNECT NO OF S E R V 1 C E
AMS ANJ tYPE EOUIP ] X 7W T ,F 3W 7 X 3W ] f AW NO OF CC COND A W G NO OF HI LfG A W G NO d NEUTRALS A W G
IER B' FCC COND Of HI LEG Of N UTMI
O7NER APPARA7U5•
~O~
JAMES A. RICHTER G/~~
515 SEVENTH STREET 6ENER A6ER
' GREENPORT, NY, 12944
`~IS- ~I' ~ Poll
Thu certificate must not be altered in any manner, return to fhe office of fhe Board If Incorrect Inspectors may be identifle their credentials
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® .LAMES A. R{CHTER
ARCHITECTURE 515 SEVENTH STREET ARCHITECTURE
GREENPORT, NEA YORK 11944
PHONE: 477-0998
~2- 22-89
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• TOWN OP SDUTDOLU i ~1 ~ S~P ~ [t
BUILDING DEPART2ICNT ~ ~i
TOWN HALL gl„pG.DEFL
- AWN OF SOUTEIOLD
SOUTHOLD, NEW YOttK 11971 '
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY Q~ q 9
DATE... J:: ~ J:':. ~ J.. .
HEN CONSTRUCTION ._.....OLDgOR PRE-E%ISTING BUILDING_~...VACANT LAND.~.y.,_.__.
Location of Property... ~O.l~.........._~~.~~Y~_.._.~~~r!~T
HOUSE NO. ~~yy~~~~~~ STRCET HAMLCT
Ovner or Ovners of PraperCy_.,_d!`:~!~~l._.~__I;?Q1-?lQ~?'E_.MQ(r'{~L~
tt,I,~
County Taz Map No. 1000 Section Block Lot ..~.~i...
Subdivision Filed Map ........Lot..~..///......
Perait No. .._...._.,Date of Permit .._..._...Applicant ..tRA~:L,~/..~~~~
Qealth DepC. Approval Underwriters Approval._........._..
Planning Board Approval
Reques[ for Temporar`y~~/Ceertificate Final CertificatC
Pee Submitted: $...fr.J~D
APPLICANT..
rev, 10/14/88
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FORM NO. 6
TOWN OF SOUTUOLD
BIIILDING DEPARTMENT
TOWN DAL:
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 nev buildings or nev use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features_
2. Final app~'oval of health Dept_ of eater supply and sewerage-disposal(S-9 form).
3_ Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from p9.pmber certifying that solder used is system contains less
than 2/IO of IZ lead.= '
S. Commercial buildings, industrial buildings, multiple residences avd similar
T~uildings and installations, a certificate o£ code compliance from the Architect
or Engineer responsible for the building.
6_ Submit Planning Board Approval of ~omgletad ,Site•,glan requirements.
B. For ezisting buildings^(Prior to April 9, 1957] von-conforming uses, or buildings
avd "pre-ezisting" land uses:
1. Accurate survey of property shoving all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
shoe single and separate ownership of [he entire lot prior to April 9, 1957.
Zf a Certificate`of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing Co the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
1. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company st~owiag 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 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 $SO.UO.
2. Certificate of Occupancy ov pre-ezisting dwelling - $100_UU_
3. Gopy of Certificate of Occupancy - $5.00 - over 5 years - $10_00
4. VacanC Land Certificate of Occupancy - $20.00
5. Bpdated Certificate of Occupancy - $50.00
b. Temporary Certificate of Occupancy - $25.00 Residential
$50.00 Commercial
-ev. 10/14JSS
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VICTOR LESSARD ~ ~ 'Town Hall, 53095 Mam Road
PRINCIPAL BUILDING INSPECTOR ~ ~ P O Box 1179
(slb> 765-lsoz ~ • ~ Southold, New York 11971
FAX(516)765-1823 ,(iol ~~.1Q
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
AUGUST 11, 1989
TO WHOM IT MAY CONCERN:-
This correspondence 3.s to clarify any misconceptions or
confusion in reference to Pre-Existing Certificate of Occupancy
#Z-17880 dated March 24th, 1989.
An inspection report made by Gary Eish, Building Inspector
indicates a one story dwelling of five (5) rooms total. This is
a pre-existing structure that was built prior to April 9, 1957,
and had a pre-existing dining room added to the original
structure. The building inspectors five (5) room total has this
dining room included_
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Victor Lessard,
Principal Building Inspector.
VL:gar
~~~u~nni ~ ar ~ ~~ti
i un. r ai <.1~, i~ a tug, Ms
oei i ~rcun~ uvia
Ii1L117i lU lb
August 15, 1989
Mr. and Mrs. Douglas Norris
7 Heschler Road
Huntington, NY 11743
Re: Morris from Eertini
Dear Mr. and Mrs. Morris:
I have enclosed a copy of Mr. Lessard's letter dated
August 11, 1989, which clarifies that the pre-existing certificate
of occupancy (Z-17880) includes the dinrng room addition.
S have spoken with fdr. Lessard, who indicates that the
building permit application for the deck can now processed.
Very ru ,
- J. e in i cLa g i n
JKM/lmt
enclosurF_
cc: Richter home Improvements Co., Inc.
BOARD OF HEALTH
3 SETS OF PLANS
FORM NO t SURVEY L.,. .
' 'TCSN7NC7l= S^1jtJTHbL~'t CHF~Ch • • • • - • ,
~ BUILDINGDEPARTMENT SEPTIC FORM
TOWN HALL NOTIFY
.°.OUTHOLD, N Y. 17977
TEL.:7G5.1802 CALL
nn MAI Tn,
Examined .QC~!n~ ~.Z.., 19 n ~ ~ ~ Q
Approved Ae-~!':'4~-~..,f :Z 1.9 Perm~Q f~o".~: ~ a .S~ ~ . U S~ ~ g
Disapproved a/c . .
BLDG. DEPT.
~ qy~ TOWN OF SOUTHOLD
.4!...... ~..,...r..
' ` 1 (,Bunld~ng Inspector)
.4
APPLICATION FOR BUILDING PERMIT
qq
"~.1....... 19~
, k,:... ;Date
k 1 • . ,
INSTRUCTIONS
a. This application must beycompletely filled in by typewriter or in ink and submitted to the Building Inspector, witi
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. PIoT plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre
or areas, and giving a detazled description of layout of property must be drawn on the diagiam which is part of this app
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 pen
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 Occupa:
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY bfADE to the Budding Department For the issuance of a Building Permit pursuant to
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnb
The applicant agrees to comply with all applicable laws, ordinances, building code, housing co nd regulations, and
admit authonzed inspectors on premises and m building for necessary inspections. ' ~ ,
( igng4ure of applicant, or name, if a corporarion)
(hfailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electncian, plumber or build
Name of owner of premises ~P V.9Jr-,AS.. >r... ~CJ N ~.Q1,7,E- . ~~'~.'~I2r.}~
(as on the tax roil or ~ItYt deed)
If applicant is a corporation, signature of duly authonzed officer ` T„~~~
~~~~~~t•'„
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No.
Plumber's License No.
Electncian's License No. r......... . .
Other Trade's License No ~ .
1. Location of land on which proposed work will be done . .
....d o bfo~.. p~ lv~ ..............rte. ~~1C~I P.~> fzT...:... .
House Number Street Hamlet
Coun[y Tax hlap No 1000 Section ~ Block 2 Lot Z..,~•
, . • • • • • ,
Subdivision Filed 11ap No Lot .
(Name)
State existing use and occupancy of premmises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 1`~+
.f~.'-H.Tla L ` ~ ~ ~
r.•::s+ws4: tu.~us+~..:r'..`ti1.r*t+d4~ .
;+t ap+~yp
b. Intended use and occupancy . .
3. Nature of work (check which applicable): New Building Addition Alteration ,
Removal . ' ' '
epair Demolition Other 1Votk .
£Xl~t 1 Ny Aflflrt-IOU ~A'PPRoX; l5 `(6AR5 060 (Description)
4. Estimated Cost Fee .......:¢S'F~~'-................ .
' (to be paid on filing this application)
5. If dwelling, number of dwelling units ~ , , , , , , Number of dwelling units on each floor .
If garage, number of cars .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front . r Depth .
Height • I~ Number of Stories ~6 , ~~•,`,'~v+ ~~ACHEC3
Dimensions ~~11p~trb~ure with alterations or additions: Front } • • Rear .
Depth ......................Height Number of Stories . .
8. Dimensions of entire new construction: Front Rear .Depth .
Height .-..........NunrberofStories.
9. Size of lot: Front Rear Depth••••••••••••••..-••••..•
] 0. Date of Purchase ~PR~4 ...1.9 6.`.l. , , , , , , , ,Name Former Owner P•16~'E7 N.~.. , ,
1 1. Zone or use district in which remises are situated ~ • • • ~ •
p ~
12. Does proposed construction violate any zoning law, ordinance or regulation : .
l3. 1Villlotbere r
g~'•••••••••••••••••••.........Willexcssfillberemove rompremises: Yes No
14. Name of Ownet'of,piemises ..1~?V.~I~p?`~, JMQ~IsAddress il~ar<NL.4lz Phone No .
Name of Architect ............Address Phone No........ .
•
Name of Contractor 4KF7... ~IIt:N'(ER, •
..Address . BCYS , (1~. , Phone No.. ~f7.Z , Q$,
15. Is this property located within 300 feet of a tidal wetland? *Yes
. ~ No .
*If yes, Southold Town Trustees Permit ma be reqyu~ired.
PLO DIAGKAM
Locate cleazly and distinctly all buildings, 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.
p p„~,~.~r~. ~a.,~" t... Q+?~, ~ 9 fob L .
APPROVED AS NOTED
• ~ DATE: ~ B.P. # 4
FEE: ' BY: V,G.L.
NOTIFY BUILDING DEPARTMENT AT
• , _ , -i : 765 1802 9 AM TO 4 PM FOR THE
' ' ' ' ~ FOLLOWING INSPECTIONS: i.
' 1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
22. ROUGM --/~F~RAMING t~ PLUMRtNG
0. INSULATION 'y
~R 4. FINAL - CONSTRUrnr~', ° T
t ~ fOR ~ `
,t IVY. ? • ' ~ ' . At>t ~ tin., ~ . ~T
~~4'S~~ F`Cnt` ~ E En~?J^RFnns;:_ y
COOTS , t
~ti{i" ~ O UESi~iN OA CONS7RUCT!ON EWktiri$
0
~rATe of ' Yo~I~/ s.s
~Oii1TY OF~F~.Zts,.lr.~.4(~
~•S' • • • • • • • • . • • being duly sworn, deposes and says that he is the applicant
(tiame of individual signing contract)
hove named.
icisthe
y (Contractor, age orp*orat~ Rffjcar, ate.) r-
~
f said owner or`ot~nprst, tarld )S.au1~! authorized to perfo 'or fiave performed the said work and to make and file this
aplication: that all statements contained in this application are true to the best of his knowledge and belief; and that the
ork will be pcd~rrged in the manner set forth<in the application filed thei~'With.
worn to bcCore m .this . i .
/ %//y~~ .~~~.day o . 19~
otary Public,(/%%~-yC'c~'•P.. County
.;~•r-
MIIN?~~MwlrhlMlt ' ' ' .
SAM L,,,,,Ky Q~~ , ~ (Signatureotapplicanq
OMSMwbn ENpkM DsamMr 8.1•