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Home My WebLink About16827-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPB-RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17650 Date DECEMBER 29~ 1988 THIS CERTIFIES that the building Location of Property 405 FLINT STREET House No. County Tax Map No. 1000 Section 48 Subdivision ONE FAMILY DWELLING GREENPORT~ NEW YORK Street Hamlet Block 2 Lot 9 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11~ 1988 pursuant to which Building Permit No. 16827-Z dated MARCH 17~ 1988 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 ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to KRISTA T. SKREZEC & TIMOTHY G. CLARK (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-S0-29-12/14/88 UNDERWRITERS CERTIFICATE NO. N049423-DECEMBER 12~ 1988 PLUMBERS CERTIFICATION DATED12/1/88-DAVID LEE FULTON PLUMBING & HEATING Building Inspector 7 Rev. 1/81 ~w ~TO. ~ TO~'N 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°_16827 Z Permission is hereby granted to: . .~. ...~..~.-1:.~......! ......... ~.~.~..~..~ ............. ....~.~..I......D..~......~..'r.~.........., ............ ........... ~t premise~ Iocoted ~t .... .~. County Tax Map No. 1000 Section ...... (~.~..~.. ....... Block ...... .~.~ ...... Lot No.....~...~ .............. ~ur~ont to o~p,cot,on ,ate~ .... ~.~..J/. ........................ . l~.~.*..., and appro¥~ ~y t~e Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION -.~...OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ ,.o~,~o~ o~ ~o~., .... ¥~... g ....... ~. .................. . j--. ....... ~,..,~L ~ County Tax Hap No. 1000 Section ..~..~.. Block --~-.-. Lot ..... ~'.... Subdivision ....................... Filed Map ........ Lot .......... ~, ~o./x~..zx~,~ o~ ~_,, ~./~..~./.~.~.~,,~_, .................. Health Dept. Approval ... ~..~.Q.'- .. Underwriters Approval ........ Planning Board Approval ............ Request for Temporary Certificate ....... Fee Submitted: $... ~.~..~ ........... Final Certificate ~a:.. 3~q J~ C o ~ rev. 10/14/88 FORH NO. TO~/N OF SOUTHOLD BI~ILDIN~ DHPARTHgNT · TONN NAL:. 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typevrrlter OR iuk and submitted to the Building Iuspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and uuusual natural or topographic features. 2. Final approval of Health Dept. of water supply and se~erage-dlsposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underv~clters. 4. Sworu statement from plumber certifying that solder used in system contains less than 2/]0 of ]Z lead. 5. Co~ercial buildings, iodustrlal huildings, multiple residences and similar. buildings and installations, a certificate of ~ode compliance from the Arcblteet or Engineer responsible for the buildingo 6. Submit Plannlng Board Approval of co-~pleted site plan requirements. B. For existing buildings (Prior to Aprll 9, ]957~ non-conforming uses, or buildings and ~pre-exlstlng" land useat · I. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed applleatlou, a consent to inspect signed by the appllcant and a certified abstract of title issued by a title company ~hlch shall show single and separate ownership off the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in vrclting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or othe~ pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: ]. An applieatlon for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9~ ]957 shall also accompany the applleation. If a Certificate of Oceupaacy is denied, the Building Inspector shall state the reasons therefor in ~cltlng to the applleant. D. FEES: I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swiping Fool, $25.00. Accessory building $10.00 Addition to Accessory buildings, $10.00. - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00o 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certlflea~e of Occupancy - rev. David Lee Fulton Plumbing & Heating P. O. BOX 706 RIVERHEAD, NEW YORK 11901 PHONE 727-7854 £1umbing 5lc. ~135~P - Home Improvement Lico Well Drilling Reg. ~i~ll- 2)~2HI TO WH0t~ IT ,IAY CONCERN: Ail domestic water lines, at the above- referenced premises, have been sweat with a lead free solder. / FOUNDATION ( 1 ~) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE Fi'NAL~// ADDIT!ON~L 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~NAL DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ~OUGH PLBG. / FOUNDATION 2ND [~ INSULATION FRAMING [ ] FINAL REMARKS: .... //// // ......... DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [//]/'ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ I,~FRAMI NG [ ] FINAL DATE INSPECTION [*]/FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 1ND [ ] INSULATION [ ] FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION iF OUNDATION 1ST [ ] ROUGH PLBG. OUNDATION ZND [ ] INSULATION [ ) FRAMING [ ] FINAL REMARKS: 765-180Z BUILDING DEPT. INSPECTION ]~FOUNDATION 1ST [ ] ROUGH PLBG. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 0()~. ~ 1 BURS~AU OF eLECTRICITY J-- (~aJ STREW. NEW YO~, NEW YORKIOO3e ~tf ~ppl~.ti~ No. on /il~ THIS CE~IFIE~ THaT m exami~ on a~/~nd to be in ~mpli~nce with the r~ui~ment, of th~ ~rd. mT FAN~ ~IIVICl DISCONI~ S ! II V I C I m~t ~of be olterm:l in manner; return t~ the of the Board if incorrect. Inq~-tors be BOARD OF HEALTH ~'~ 3 SETS OF PLANS J~ .... '~O~M ~O. ~ SURVEY . .O*.~(: ~.. ~ TOWN O~ SOUTHOLD CHECK · .~t:r.. ~.. BUILDING DEPARTMENT SEPTIC FORM ....~. ....... : TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 76 5~- ~(~ TEL: 765-1802 CALL ................ HAIL TO: Examined..~(~. ~ .'h,.., Disapproved a/c .................. ; .................. ............... ' ................. ,., (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. , 19... INSTRUCTIONS a. This 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 or areas, and giving a detailed description of layout of properW must be drawn on the diagram which is part of this appli- 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 permit shall be kept on the premises available for inspection throughout the work. e. N~ buiIding shal~ be ~ccupied ~r used in wh~~¢ ~rin part f~r any purp~se whatev~r unti~ a Certi~cate ~f ~ccupancy 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 thc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildLng for necessary inspgctio_r~. ..... (Si~/lature of applicant, or name, if a corVoration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No.../~/.7./. ................. Plumber's License No. * ........................ Electrician's License No.' ...................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. · ................... ....................... ........ ............. House Number Street Hamlet County Tax Map No. 1000 Section .............. Block . ...~. ............ Lot ..... .?. .~:~... Subdivision (ff~F~'/>~.~T. Z~/~.2'?.~..,~.~:...~.~x~/.< ...... Filed Map No...?..~.?. ...... Lot ...J;~, .~.. ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ,.~.~.~d ~A/7- b. Intended use and occupancy ............. ~ .... dt .~ .......................................... property lines. Give street and block interior or corner lot. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. RemoVal .............. Demolition .............. Othen Wpr.k, ....... ........ ' ~ : i ~ ~,, :, (Descfiplion) 4. EstimatedCost..~...z/..5~,.~.D.¢~.9.b. .................... Fee ...................................... ! " (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 ..... I .................................................................. 6, If business, commercial or mixedioccupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structuresI, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ......................................................... Dimensions of same structure wi!h alterations or additions: Front ................. Rear .................. Depth .................... ~. Height ...................... Number of Stories ...................... 8. Dimensions of entire new constrdction: Front . . .a~.~.:..' ..... Rear ...o~. ~: ....... Depth ...,~.O.( ........ Height . .o~. ......... Nmnber of Stones . .. ~ ................................................. 9. Size of lot: Front . .~.---~..'... >. !./ ......... Rear..; '~ .b-,/t ~': ./ .......... Deptt~..-/?~. ~ f/.~.. 10. Dgte of Purchase ..... .z(.F..9.,z~. ?,,'/~{~o~. ............. Name of Former Owner .~.Z,.~-~. eff. O.,~/> .... ~.ofl/'.,~..,~2~.z-... 11. Zone or use district in whie'~ pre/raises are situated..,~.~g~.-,~'/tZ .'~.-.?'~.~'..~-. ............ ~i ..................... 12. Does proposed construction violite any zoning law, ordinance or regulation: ..... .'~.~. ...................... 13. Will lot be regraded .... /(,~', {2~j ....... , ......... -,, Will excess fill be removed from premises: Yes 1 4. Nmne of Owner of premises ~/~m f.~..,52*g~.~'~r~.4.5.~, f~.~Cdress DT/,~..~.~.~..'~...~., ~f '.~7, Phone No. ~?.7.~.~...~.~./., ~.'~. , · ~-.x ! ~'-¢t*/,'7'~, ~ ' ' N,une of Architect . ZJ",,~ ..... , .'~-, .,... '.g', ...... Address~o~..,'TZ. ~...~',...<f2~Z'.z... Phone No. ~ Z.7.-..~?.q..,~.,.. N,une of Contractor ....,? .ff~. ?. !.. ~(L".~. '.,f~.,../<~ ..... Address ~5,%',t,~Y.i' .~.. ~TT~.. ~,~',~.. Phone No. f~?...7: ~.. ~'.O".O(-f.. 15. Is this property located Within 300 feet of a tidal wetland? *Yes ..... No ./~.... · 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 from ~mber or description according to deed, and show street names and indicate whether .S STATE OF NEW YORK, COUNTY OF. $~f£o~k ......... (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the ...................... ~ .................................................................. I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannerl set forth in the application filed therewith. Sworn to before me this ................ 17 ~h .... day of i · Fab nua~y ............ 19.88 Notary Public, County of Suf, folk , '" " f/ (Signature of a~icant) ~o. 4744~14 ~uatified in Sulfolk County STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. Of HEALTH SERVICES. APPLICANt SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF DIST. SECT. BLOC~ PCL. SEAL location have be~:n i~edte9 eer a~.~-and lewd to,~ SL~'FOLK CO. HEALTH DEPT. AI~=ROVAL H S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND 5~:WAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE: STANOARD~ OF THE: SUFFOLK CO. DEPT. OF HEALTH SERVICES. AI"~L~ANT SUFFOLK C~TY ~. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCT ION ONLY DATE: ~ROVED: $~F~K ~. TAX MAP ~SI~T~: SUFFOLK CO. HEALTH DEPT. APPROVAL H. $. NO. STATE~k~NT OF INT,~NT THE WATE~ ~uFPLY ANO ~WAGE DISPOSAL SYST~ FOR THIS RE~E WILL ~NF~M ~ T~ ~TA~A~ ~ THE ~FF~K CO. ~. ~ ~TH (s) " i w t st t t SUFFOLK CO~TY ~. OF ~ALTH SERVICES -- FOR APPROVAL OF C~TR~ I~ ~LY H. $. ~. ~,: , ~. TAX ~ ~ . ~ ,. ~ 9 Z Z ,'S. F~yT~BEARING F PAH 1~ E~ ~"~® -<. CH ~,,~TN i~4&1 - TYPIC,AL, · is used coPPer tubing {of water ?stdbut%ng system; piping shalt be o! WPas ~ 7 IN~u i.~Tlot4, - -x N~,~I 4'eR K M~M~' ~ PLUMBER CERT'IFICA TIOIV ON LEAD COIFfENT BEFORE "- CERTIFICATE OF OCCUPANCY £ - 'VACb~. - ¢/o"~,~:>" a IZ.' CON~I~F~T5 0ok. /pLI i'1 pAfto~ ARCHITECTURE [516] - 477 - 0998 515 SEVENTH STREET GREENPORT NEW YORK 11944 'fcF ¢'f c- O; APr I I I (516) -- 477 -- 0998 515 SEVENTH STREET GREENPORT NEW YORK i 11944 %! ~e oP -? .LBvATIoN ' ~ ~-YO~ STATI ~ILDING AND ~RGY cO ~IT~ FIB~ ST~S ~ TO OR O~ T~ ST~OTU~ W~ ~D CEIL~G OP ~T~OOM. ~0~. ~T~ ~TION G~E ~G~ PIH~ F~ = 1~50 P.S.I. Fv = 95 P.S.I. 2. ~R~ ~D ~ ~0~ S~T,T, BE GOVE~ED BY ~L 9. ~Q~B ~Tm F~OR JO~T8 IN ~ ~ROOM ~8 B~W ~BS. A~ O~LING OF N~ ~O~NIgAL ~TXON~, ~TE ~D ~0~ ~OB~ ~T~T EDITION ~0. ~ ~ ~E~ ~ OH TR~ ~ ~ JOX$~ 18. ~ ~QR ~ S~ BE TOP OF ~ LI~E S0~GUE ~C~O~E ~I~ ~ ~T ST~ P~O~IC~. 11. ~V~DE ~LXD ~ ~N A~ JOIST ~P~S IN EXgE~S QF 8 ~ 6 . 19, ~ Kt~H~ ~B~RY, S~VI~ ~D O~O~ S~ BE 2e. A~ ~E~ ~ GI~ A~ ~ B~R ON A MIN.~M OF 5. ~ IT~- ~ ~ ~N ~ D~WtN~S A~ ~W U~S 0~RWISE X]. ~ ~ON ~ ~ K~ FAOED WI~M Y~OR ~RIER T~E STUDS ~H ~U~ JOISTS I~IOA~. ~I~ ~ SIDE OF F~US~. ' . ~Y ~ ~O~ ST~ OF OONST I ~-PROT~CTIV~ ~S) ~ P~ ~RY CAUSED ~ 22. ~ CONCUR S~ ~VID~ ~' T~ G~ FULL 7, ~ ~ ~ ~UOTiON 8~ OONPO~ ~ ~ C$~CT ~H OP~ C~T WIN~, ~GHT MIa~oa ~ ~LIS~D ~ ABO~ ~ VANI~ ~C~ I~STI~TE OF T~~" CONSTRUCTIONS T~BER 15. ~N~ S~, 0L~N ~ ~R ~ WIN~W GL~8 ~ ~N TH~ ~ON ~ DI~TED BY ~ O~R. ~ION ~" ~T~ EDITION JAMES_ARCHiTECTUREA. 81.1CHTER 1516l - 477- 0998 515 SEVENTH STREET · GREENPORT , NEW YORK . 11944 F~oof ~l~OOb~- PRowP~- ~' bA~4 ~ N,~t AG i,%- o" 1//4 ": 1~ ~ 0 ,I 1. T~ COOl,ACTOR SNALL INSTAT,T. TI~ REQU~D ~TRIC~ ~. ~ KI~..~0~ ~ ~TE~XOR O~S S~LL BE S~VZCE ~ P~V~ A C0~TE ~G ~TRZC~ ~ ~-~,I. CtRCUX~. 2YS~ ~ sz~ co~c~oe ~ sflo~ oN ~ BY A ,~~Z~ ~ A~CO~CE ~I~ T~ ~ ~N~R ~ ~PR9~ ~ T~ O~ U~S 2, T~ ~I~ ~Xo~ ~D PIXTU~ ~OATIQNS S~ B~ 4~ P~,~ N~ YO~ STAT~ CODE ~D ~ DI~T~ BY ~I~ ~ ~'~ ~. T~ SYST~'~L BE ~. ~ ~TRZC~ S~VIOE S~L INCLUDE FIN~ CON~CTXO~ ~ ~,~O~ ~R A ~E& '~ING. ~LLY 4. T~ ~ S~t.~. C~Ot~TE INST~LATISN OF EL~O~RIC~ I~. ~T~ ~9 ~ ~ ~CTION ~ S~ ~ '~. 5.. T~ ~ S~P~yIDE ~NE & CABLE TV WiRiNG, ~ CO~, ~ B~ ~C PL~ O0~ ~D ~ LOC~ $~T$ AND S~ ~UI~ ~ DI~T~ ~ T~ ~R. BN~ OFFICX~ AT'~ ~ ~p~UE. ~L T~ E~'3 ~ ~GE OF PRODUO~. 15161 - 477- 0998 515 SEVENTH STREET GREENPORT