HomeMy WebLinkAbout19734-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23765 Date JULY 13, 1995
THIS CERTIFIES that the building. ADDITION
Location of Property 45 (aka 903} MAIN RD.&50 WASHINGTON AVE. GREENPORT~ NY
House No. Street Hamlet
County Tax Map No. 1000 Section 41 Block i Lot 42
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MA~CH 22, 1991 pursuant to which
Building Permit No. 19734-Z dated MARCH 25~ 1991
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
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
~D]ICK J. & ~'r~L E. PP~STON
N/A
N/A
N/A
Rev. 1/81
TOWN OF $OUTHOLD
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~_ 1973~ Z
Building Insp~tor.
Rev. 6/30/80
'I(IT~{I OF SOH'I'IIOI.D
BU 1. I,I) I H(; I)EI'/',IT I1 IRT'ri'
'I'OUII liAl,i,
765-. t
JUL 219g5
A'I' GVt'I(H fOR CICIUJ'II-IC^TC O1' OCCTJI'^HCY
Copy of Ce~t{f).cnLe or 0ccupnHcy - $20.g0
,~ ~'~,,,,,,'~r ..... ~l,..y.~.& ............. ~.&~6..~ ......... ~¢.~.p~ .........
J nil .................................... ~.j I ed H;H~ ............ Lot ......................
l).pL. Appt'ov;tJ .......................... UHd~H'~]'lter~ Appt'[)vH[ .........................
765-].802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND
FRAMING
REMARKS:
[ ] INflATION
[//~NAL
FOUNDATION ( ls t )
FOUNDATIOn; ( 2nd )
ROUGH FRAME &
.?LUMBING
INSULATION FERN.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS
Exand ncd~'~/~.'. .......... lP
Approved -~-/~- ~-'~... ......... 19/7./-
" ~ /~'~VN OF soUTHOLD
; c,.I ~DINC DEPARTMENT
'; ~01 ~n~N HALL
BOAKD OF HEALTX
SURVEY ...................
CI/CCK ....................
SEPTIC FORH
NOT I FY;
CALL ...................
HAIL TO:
Oisapprovcd a/c ......
APPLICATION FOR BUILDING PERMIT
INa I i{UCTIONS
~; "['l~is application must bc completely fillcd in by typcwri[er or in ink had submitted to thc Buildln.~ [na~,~.t. ar,
ets o[ pi-,.% ,-tecurat= plot plan to scale. I:~ according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public
~r areas, and giving a detailed description of layout of property must be drawn on thc diagram which i~ pa,":, of this app
:orion.
¢. The work covered by tkis application may not be commenced bc£orc issuance of Building Permit.
'd. Upon approval of this application, the Building Inspector will issued a Building permit to the appfic:nt. Such
hall be kept on the premises available for inspection throu~-_.hout the work.
c. No building shall be occupied or used in whole or in part for a.ny purpose whatever until a Certificate of Occupa.'~:
hall have been granted by thc Building Inspector.
APPLICATION IS HEREBY MADE to thc Building Department for the issuance Of a Building Pc..-::.it g'_'."~.:ant to t:
luilding 7on= Ordinance of th.~ Town of Southold, Suffolk County. New York', and other applicable L2ws, 0rdLnances .'
lc;elations, for the construction of buildings, additions or alterations, or for removal ordem~htion,:shereLn describe:
'Itc applicant a_"-rees to comply with ail applicable laws. ordinances, building code. housinz coda. and regulations, anti :
dmIt auL~onzed inspector~ on prcmaes and in building for nece:sary inspect:oas.
~.a . .~ .m ,.'.?...~c ~.cn/~o~. i,~..
(M:ilin= address of appE~)
kate whether applicant is owner, lessee, agent, ~chitect, engineer, g~ncral contractor, electrician, plumber or builder
.. P.~a~ ................................................................................
~ ~ ...... ..
(as om th~ tax roll or latest deed)
appllcant i~ a corporation, signature of duly authorized officer.
13uildcr's License No
Plumber's License No ...................... .. .
Electrician's Lkcn:e No ..........
Other Tradc's Liccn:c No
Location oflnnd on which proposed work will bc donel
ilousc Number SlrccL
//. · < · .4..4.
."ounty Tax [lap Ho I000 S~ction ............... Bluck .... Lot
' F, ilcd M~p No Lot
(Nan,c)
' . ~n ~ ~ .F~ ~ ............
......... .~... ~ ....................
' · · --. ~O.~c s..e~.~x.~...~... ~ a. ~.~ ............. . :':"~'~
'&ntenee~ ' - Use a~d
3° Nature of work (check which applicable): New Budding .......... Additic, n .......... ,%]teration . ,' .......
Reomr' . ............. R~moval .............. Demolition .............. S~t~ng poet ..........
Tennis Court ....... ~/.~c~.~sory 5uilding .......... Fence ....... 0~her. Work.,..,.......,..,,
4.).E~:imatcd Cost . T [ C~:-~ ~O~m~..~j~,l.. , Fc~ ...................
~ %' ' '~ ........ ~' ......... ~ ...... ~ta b~ paid on filing ~h~
S. It dwcllln:, number of dwelling units .... ~ .......... Number of dwuliing units on each Floor ...............
If g:ragc, number of cars .......................................................................
6. If business, commercial ar mixed occupancy, specify naRlrc and cxtcnt of each typc of usc ....................
7. Dimensions of cxiating s~ctur~s, it any: Prom~ ............... R~mr ............... Depth ..............
Dimensions or,amc sr~cturc with alterations or additions: Front ................. Rear .................
Depth ...................... t[ci~t ........ , .............. Humber of Stones · · · 7 .... ~- .p,- ........
8. Dhnc~do~ o~Snttre new con~tmction: Front .... j.~. ~?~.. Rc~r ............... Dc,th -l~..~.,..
Hc~gbt , .~.~F..~ .{.~ . . . Humber of Stories .............. ~ ......................................
9. Siz~oflct: ~tont ............ Rear ...................... Dc~d~ .--
2. Does proposed construction viotatc any zoning law, ordinance or regulation: . dY. - ........
3. W~t lot h= regradcd ..... ~ ...... ' ............ Will cxcc~s fill hc removed from pr~:--,
N~e of Architect . .~.,~f .................. Address ........... Phone No
' '~e~iaod~ '~YES .... NO.I.-
IS-~ rk~a property ~oca~ed ~ithin'300 fear of a tidal
· If yes, Southold Town Trustees Permit may be required,
PLOT
Locate cle~ly ~d dist~ctly ~I hu~d~gs, whether'existing or proposed, ~d. lndiCatz ~ set-back
atedot or comer
'~(~S r~O~ 9 A~ TO 4 PM ~THE
1. F<~NDATION ~0 REQUIREO
FOR POURED CONCRET~
2. ~OUGH - FRAMING & PLUMBING
3. ~NSU~TION
4. ~{NAL CONSTRUCTION MUST
8E COMPL~E FOR C.O. '
ALL CONSTRU~ION SHA~
THE REGUIREMEN~ OF ~E N.Y.
STATE CONSTRU~ON & ~ERGY
CODES. N~ RES~NSIB~
DESIGN OR CONSTRU~ON ERRpRS
'ATE OF NEW YORK, S.S
]UNTY OF .................
........................ {y pp{~
............... bcing du sworn, deposes and says that hc is thc a cz:'
(Name o('indiv/dual signing contract)
ovc named,
is the ....... . ..... '
said owner or owners. ~d is duly author/zed to perform or have pcrfomcd thc said ~vork and to m~c and file
,licalJon: that all statcmcnt~ contained in {his application arc true lo thc best of[tis know/edge and belief; and that
rk will bc pcrfomxcd in thc m~ncr set forth in thc applicatioa filed therewith.
am to before mc this
........... ...... ........ ,0
. · ....... ~ County'
~ PUBUC, gms d ~. Y~ ·
~ 47~7~78, Surfak ~ 2
(Signature of applic:m~
CCCUPANCY OR
!JSE IS UNLAWFUL
?~'ITHOUT CERTIFICATE
OCCUPANCY
~(r. & Nfs, Fred Preston
903 Nain St,
Greenport, NY. 11944
\__
2" x 6" cedar decking
3' x 8' sheets lattice
4" x 4" cca posts (under deckX4' apart)
2" x 4" cedar hand rails (10" apart)
2" x 8" x 10' cca girde~ (18" apart)
Washington St, Greenport
Mr. & Mrs. Fred Preston
903 F~ain
Greenport, NY. 11944
Washington St. Greenport
~I3t.)E;E
3 STEPS
E:RICK PATIO
H
0
S
E
CEMENT WAI..K
OIL FILL
I'"'~"C.E MEN T YALK