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HomeMy WebLinkAbout29669-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29797 Date: 10/27/03 T~IS CERTIFIES that the building AS BUILT PORCH Location of Property: 1605 CEDARFIELDS DR GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 40 Block 5 Lot 1.10 Subdivision Filed Map No. Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 20, 2003 pursuant to which Building Permit No. 29669-Z dated AUGUST 25, 2003 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 "AS BUILT" FRONT PORCH ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CERTIFICATION OF PROFESSIONAL ENGINEER DATED OCT. 18, 2003. The certificate is issued to JOHN F COSTELLO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELEC;rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'i'~U) Rev. 1/81 N/A N/A Aut orized Sig~ur-e FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29669 Z Date AUGUST UNTIL FULL 25, 2003 Permission is hereby granted to: JOHN F COSTELLO GREENPORT,NY 11944 for AS BUILT PORCH ADDITION AS APPLIED FOR at premises located at 1605 CEDARFIELDS DR GREENPORT County Tax Map No. 473889 Section 040 Block 0005 Lot No. 001.010 pursuant to application dated AUGUST Building Inspector to expire on FEBRUARY Fee $ 300.00 / 20, 2003 and approved by the COPY Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: For new building or new use: 1. Final suiweSLl:~tlropmly witha~-lo~on of ail buildings, property lines, streets, and unusual natural or topographic featurbs. ' ' i '. . i ,~ ~ I 2. Final Approval from Health D~i~ 0f~hter Supply and sewerage-disposal (S-9 form). 3. Approval o f electrical, instsll~i~f~om Board o f Fire Underwriters. 4. Sworn statement fi'om piuffb~r ~EFflfying that the solder used in system coutains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installatious, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plamfing Board Approval of completed site plan requirements. For existiug buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate eurvey of property showing all property lines, streets, building and anusual naturaI or topographic features. 2. A properly completed application and consent to iuspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Bnilding Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alteratious to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. tJpdated Cerlificate of Occupancy- $50.00 5. TemporaryCertificaleofOccupancy Residential$15.00, Commcrcial$15.00/ ./o3__ Old or Pre-existiug Buildiug: (check one) Hamlet New Construction: Location of Property: House No. Street Owner or Owners ofProperty: __~_ .-~.. Suffolk County Tax Map NO 1000, Section Subdivision Pemrit NO. ~9~ ~ Health Dept. Approval: Block ~ Lot __ Filed Map. Lot: Date of Permit. c53'/~.0,~ Applicant:_ ,_~_]'719 ~ r,~L% Unde~wvriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Subnaitted: $ ~7~'~', 00 oo-g Rq? 7 Final Certificate: / (check one) / App~ant SigI~ature LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 October 18, 2003 Southold Town Building Department 53095 Main Road Southold, N.Y. 11971 To Whom It May Concern: RE: Costello Residence 1605 Cedarfields Drive, Grcenport SCTM #: 473889 1000-40-05-P/O 01 On October 18, 2003 I inspected the footings for the from porch at the above mentioned residence and found them to be 3' below grade which is in compliance with New York State Code as is the mst of the structure. Thank you for your time concerning this matter. Sincerely, / ~Lawrence M. Tuthill BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH pLBG. FOUNDATION 2ND [ ] INS~TION ~iRRAEMpILNAGcE & CHIMNEY [~']/FINAL 76S.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INstilLATION [ ] FRAMING ~ ~INAL [ ] FIREPLA~_HIMNEY ~ /-~ ./ DATE INSPECT~~ FOUNDATION (1ST) FOUNDATION (2ND) ~G . .... TO~N OF SOUTHOLD BUILDIN~ DEPARTMENT TOWN HXLL SOUTIrIOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) www. northfork.ne~/Southold/ Exammed~~, 20~z-~ Approved ~/q~5--__, 20_ '~ Disapproved w'c Expkadon ~-----" ,20~"-'_ PERMIT BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the f,ollown~, before applying? Board of Health 3 sets of Building Plans planmng Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Building Inspector Mail to: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS AUG20200 ! .20 a. This application MUST be completely filled in by typewriter or in/ak and submitted to the Building Inspector with 3 sees of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan show/ag location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Perm/t. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every build/ag permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed ?ithin 18 months from such date. If no zoning amendments or other regulations affecting the properly have been enacted h~ the intm-im, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildh~gs, 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 adm/t authorized inspectors on premises and in building for necessary inspections. / . _ (Si~namre~of ap~p~cant;~ name,~ a corporation), l~,a~ (_.,d,r 4',.rid.,.. ),'fir' Or'.te,,l~,.-. _ -- 2c (Marling address of apphcant) ! I q t'lt' L( State whether applicant is ~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner ofpremises __Jo k n F' C or"r'£gz o (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers LicenseNo. ElecthciansLicenseNo. Other Trade's License No. 1. Location of land on whi.ch proposed work will be done: 1 05'' (ed.; g '* Id. House Number Street County Tax Map No. 1000 Section Subdivision (Name) Plamlet Block Filed Map No. Lot Lot ._,-7A I~0 ,0o ,44 ,,0~ ,~0 o9l N ! ! o...~ / / / /