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HomeMy WebLinkAbout23550-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24506 Date JULY 17, 1996 THIS CERTIFIES that the building ADDITION Location of Property 3295 PINE NECK ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 6 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 11, 1996 pursuant to which Building Permit No. 23550—Z dated JULY 1, 1996 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 WALTER GREEN (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 YORK NO. 2 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) NO Z � .../........................ 19�.f7 . 23550 Date ................��. Permission is hereby groat J2-- ....,� .. . �!"... J .� ' 1 -....i L.0 ... .. . ...r............ .......... �� L................................... to ,... . ..... ....... ........................... .. : .......................................... of Premises located at ...............L .. /(..�...1. GlF,..._/.� t�...<`T. ..:............................. .` 6J. .................................................. ......................................................................................................./.._....................................................... County Tax Map No. 1000 Section .......... f..... Block .....So.........../Lot No. .�.!e.......... pursuant to application dated ...................� 1.- ! Q..`!........., 19.I..51�, and approved b the Building inspector. FeeS............ ............ 11-57 ......... . ............................................. ................... Building Inspector Rev. 6/30/80 _r..a J3hn B �zcn TowT =-- 65-i 8C= SJ . O^ OCA?_VCC' Dp '_Di: aDdnuD'.Ili- co .'le =C__Cw�g- ' new 7=0D a==� -=_- new use: sc=a_e=s and nuss` nada= ecce=e=e _xa=ion o= a'_. ou__e•�gs , ope==c _fines, -_ _ODOg__pn_c -Ea-u=aS _ __oa deal=" Denc. of wzz:a= suap_v =:,c sewe=aee-d4 I, - - ADa=OYc_ _� - _ SDCsd - -ns -- _On _=DTII 30a=a oL -• - Unde w'=-_2=5. 1 ,. Scor: s_a=eaen_ __Cm oe= - o - - -_e --SS �'1.-'—� _'i tU ' --=C• - --%moo ..udL =Ae solae= used cr-z_zs : . 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Accc=_ous sso- ^ _ acCessc,7 Ou—_=, _?5.00. 3L's_n_5525 50.00. of Occuan pc. on ?-e-ez sc_zg 3u_-, d:L=s - 5100.00 Copv Of Ca==__zca-_ Oc^upanCv _ .25C Upda=ad -- _- o= Oc-' p-ac - S50.00 Occupamc- - R - : sedan=_al S__ .00, CCmme==== 5_. .00 I Daze . . .� 1..-� 1 � �'i 1 ;ew CO.^.S=r1c=i0n. . . . ./ �' .1= �_LO ?' . . . . . . . . . . o. . . . . . . . . . . . -oca=ioD of ?=Dae== . . . SJLc House No. S==ae= . . . . . . . . . . .. . . . . . . ! !? �.�. . . . . . . t • 1 a.amle= nwe= o= owners of ?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .JUII' _ax wap No 1000, Sec=iCa. . . . .0 .3 . . . . . . :.0C1. . . . . .�. . . . . . . . .:..0=. . . . U . . . . . . . . . . . . . . . . �COCi.'_520n. . . . _ . . . . . . . . . . . . . . . . . . . . . . a. . . . . . 0=. . e Nc. . . . . . . . . . . . . . . . . . . . . . . d3.$5U Da='- - '_ 91� ,� . . . . . . . . er nr; . U rlde���c� •_-___. Depz- A. T. D '=7ti`. . _ . . . . . . . . . . . . . . . . .UDCE:'_`-'° -. . =OL-. . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . / ._cues= _. Ce=-- . =„ -ce=_. . . . . . . . . . . aeSL'0------- . ' . G�. L�. . . . . . . . . . . . . . . . . . . . . Qom. 5�� 33 "J`-tid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ? 7C: co � .2yso� -. O��g0EF0(,�co o� Gy�c CO2 _ Town Hall, 53095 Main Road p • Fax (516) 765-1823 Southold, Now York 911971 At �.a�� Telephone (516) 765-1802 � OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 15 , 1996 John Bertani, Builder 1380 Oakwood Drive Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is not on file. ) ;25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23550-Z (WALTER GREEN) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELD i=PECr ION REPORT DATE COMMENTS -------------------------- ii II I! H FOUNDATION ( IST) II II II FOUNDATION _ (2ND) --__-_ -_0 K ------ ----- ----- ---- ----------- Ii II � I II ROUGH FRAME 6 Ij II _JI-------'--------��_------ ------ - „_.___-_- it PLUMBINGit n------ ------------- ----------------------- It u � 11 II III 7------1------- --------------- INSULATION PER N. Y. n ii STATE ENERGY n n CODE nii--- -------- ------- --------- l!— --- i _n �j�i---=___�___�j_______________________===�=s==== to u u n II u FINAL I it it ADDITIONAL COMMENTS: i ------------ -------------- -- z a r t4 ro 765-1802 BUILDING DEPT. INSPECTION [ .f FOUNDATION IST ( ] ROUGH PLBG. [ 11 FOUNDATION 2ND [ ] IN ION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Ot .� 7A r� DATE INSPECTO {iID Il U 15 R FORM N0. 1 ] SETS OF PL.1.7S Mc f TOWN OFSOUTHOLD SURVEY . JUN � f ICAB � BUILDING DEPARTMENT CHECK . . . . . . _ _ _ _ 4 TOWN HALL SEPTIC FORA . . . . . . . . . . BLDG.DEPT, SOUTHOLD, N.Y. 11971 qpW OFSOUTHOLD TEL.: 765.1802L t:OT I FY ; �1 CALL Examined , . . /. �. . . ., 19//� { NA I L TO Approved . . S/. . . . . . . , 16' . . Permit No. ✓ � _ _ . . . . . . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Insp tor) PLICATION FOR BUILDING PERMIT (/( Date :J C LJ� k . .I I,. . . . ., 19� INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,wit 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 stir_ o...r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap 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 peii 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 MADE to the Building 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 describ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessaryinspection,�j,, T I d (Signature of applicant, or name,if a corporation) : . . . . . . . . . (Mailing address of app scant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builde Name of owner of premises . . . . . . . . . .l. . .1 ?. . . . l^r. .Q 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation,signature of duty authorized officer. . �. (Name and title of corporate officer) Builder's License No.,.'. . /c1 t 1 f • . . ' . Plumber's License No. Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. 1, Location of land on which proposed work will be done. . . . . . . . . . , . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .LI�-R._. Yom+?.( � . '." l.� . . . . . . . . . . . . . . . ?l$ ! . . . . . . . . . . . . . [louse Number Street Hamlet County Tax Map No. 1000 Section . . . . . . ' �!! . . . . . .: . . . Block . . . . . . . . . . : . . . Lot . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . Filed Alap No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . (Name) , State existing use and occupancy of premises and intended use and occupancyofproposed construction`. a. Existing use and occupancy . . . :. . . . . . . . Q't . . ! IY�`1�. !4T, l,tlt . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . b m l': . .��we i l l . . .. . . . :. . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteratio�t . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . Other Work . . dX,6_1(, ' (Descript. 4. Estimated Cost . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application; 5. If dwelling,number of dwelling units . . . . . . . .1, • • , • , , Number of dwelling units on each floor . . . . . . . . . . . Ifgarage, 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 . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . .,: . . . . ... I. . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . : .. . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . ... . . . . . . . . . . . . . . . Height . . . . . . . . . . :. . . . . . . . . . . Number of Stories . . . . . . . . . S. Dimensions of entire new construction: Front . . . . . 0. . . . . . : Rear . . . .o?ld. . . . . . . . Depth . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . u�•. 1 :. . . . . . . . . Rear . . . . 1.3 . `{ . . . . . . . . . . . Depth . . .�� �. . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . ." . . . . . . . . . . . , . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . �c St.�4 Cv.�c4,t, , , , • • • • • • . . • • . • . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . .n D. . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . , . ' 00 . . . . . . . . . Will excess fill be removed from premises: Yes t 14. Name of Owner of pjxmises J�.I° S 6 CG-n-?: . , . . . . Address 3Q5 wdj.�-,&AA _,? .`( -Phone No. 212 4Q O10 Name of Architect .tVA+_ "4- .���P.4 Address . Q � e. .3 . . . . . . Phone No.�S�.C:�B?:. . �ol�r. . 1� t� . . . v0 . . . . .; Name of Contractor : e-S ! . . . . . . Address 13d1�0A, "lk �_ Phone No. 7NC-. �, , , 15. Is this property within 300 feet of a tidal wetland? *Yes. . . . 9.1 No. . 'S . . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions frc property lines. Give street and block number or description according to deed, and show street names and indicate wheth interior or corner lot. ��. (J-•� 1 t�•t i�� ;TATE OF NEWORK, S.S :OUNTY/ OF . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. e is the . . . . .•. . . . . . . . . . . . .G S1C e0f-0 V:_. 0.4'i7C ez�. . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . ... . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc,) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this 'Plication:.that all statements contained in this application are true to the best of his knowledge and belief;and that the ork will be performed in the manner set :forth in the application filed therewith, vom to before me this . . . . . . . . . . �.� �' . . .'. . .day of./. . �: UN�.. . . .•. . . . ., 19 �1� )tary Public, . . . . . . f t�l , . . .\. . . . . . County, � G. -�. . . . . . . . . . . . . . . . . . . . . . . . . .. HELENE D.HORNE (Signature of applicant) Notary Public, State of Now York No.4951354 Qualified in Suff c-County 4!-`7 A. CREEK SURVEY OF 4979°30'40"E PROPER T Y 13.94 A £R MARK A T SOUTHOLD o TOWN OF SOUTHOLD N WOODEN 6 WALL SUFFOLK COUNTY, N. Y. "" WAI L 1000 - 70 - 106 - 20 Dw FE Scale 1" 40' O.Z,W FND FND IV Feb. 22, 1990 MON PSE m � O U 2 � l O h L/r/LriY POLE 0.4'£ J6 WO/F WO/F JR. & PHILP M. REINHARD.TW NORMAS. WELLS N p UTILfiy POLE O 0.3 W O FE FE2 O 0.2'N S83°59,4'3WE O.fN C4 40.o' , FE FF��//ppCN y FNO 0.7' FIFE 0.3's Mt°N MON 0�_L E&W — o 20' R.0. W' O i j-FGNCE _ N Mf iA cE O.f'W N I ONO,, S ASPHALT COR l.l'f AREA = 34,574sq.ft. to tie line I 'PATTO -_ : I ' � E FRAME v 0.2'W FE ' FRAM 6E 41 N 6ARA6E I PAVEMENT O 24.3 ICOR. I 1.0'E U FE 0.8'W ccJO 1.5 J1 J� 36.4' G•� FOU DA ON 24.2' 36. _/3.3' 16.34 _ N 2I O1 I1/2 SHOUSEFRAC 13.3 I ' 4' 29. bfB.I'nI ' O L786' OVEFRPOkpi FN hZf FEN �O'. 0.d1 PAPE p.3W 0 L E6W♦ �P.2 N WOODEN FEN_ EA —_ w MON 50' FMON. S 85° 55' 20' MON 148.91' 581040'00"W Z:i LANA F NECK ROAD N. .,6 L/C. NO. 49888 Prepared in accordance with the minimum PEC 6�d P.C. aiandardi for title surveys as eslabNahed (5 18) by the L.LA.L.S. and spproved and adopted ` P O B W for such we b The New York State Land MA/N ROA Title Assochillon SOUTHOLD, N.Y. 11971 90 - 114A ,i Ex15TIvJG HOUsg it Eki5T1/.1C,. HOUSE ZxN //0✓4 3M, wjZt2- Lscycrt EAB'.Y 6N FAt� TU Jtl lilt E -rJj�N (iFISA'e,Ccn..-h "p�� Q 9 III CN ' 3, i w s�my,Ny M OII Tn yr L� �v , 7�/0✓Y' / :33_2 � ! �_ L_AAL_ b� C K PSA N APFASNOT�D r DATE: a 35-3"�j FEE: NOTIFY BUILDING OF/ I 765-1802 9 AM TO 4 FOR THE W FOLLOWING INSPECTIONS: O 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2x10 NDvSE BM W� — Neo fl er - 2. ROUGH - FRAMING & PLUMBING 2F2 LC�cy�R 3. INSULATION 5 F6 uR CkdrtE CECK --111`_ — 4. FINAL - CONSTRUCTION MUST LL _ BE COMPLETE FOR C.OALL . �r ----- - --- ---- THE gEOUiREME VOTS OFALL THEMEET Lde PbLT _ STATE CONSTRUCTION & ENERGY V AST _ CODES. NOT RESPONSIBLE FOR yr DESIGN OR CONSTRUCTION ERRORS I I coQ I'O'k ''-0" . oNC. ' F7'ti, f f OCCUPANCY OR USE UN "f�HOUT C� PUL CRQSS___ Cl0N L. VATIDI�_ Or OCC F, UP�NCY�P�CATE SOHN BFRTANI `BUIL LER T-NC„ ZA T::>�Df dbSet, [>FCK ]✓OR >al�yY�I d �aaw 'rink 6WC7, A$ nU074FD NO V /FY ALL 61NIVA)l 10!) AN 1..C71.1d I'('IONS T}7.^„�'� '•T-p5'�T" 0..1. AIIMdv[o�v oM�wl. 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