HomeMy WebLinkAbout29825-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29782 Date: 10/21/03
THIS CERTIFIES that the building ALTERATION
Location of Property: 560 FLINT ST GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No- 473889 Section 48 Block 2 Lot 18
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 20, 2003 pursuant to which
Building Permit No_ 29825-Z dated OCTOBER 20, 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 FIRE DAMAGE REPAIR TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOSE & MARILYN SIERRA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H 069670 10/24/00
PLUMBERS CERTIFICATION DATED 04/08/91 WILLIAM VELTRI
ti
//h/ized ignature
Rev. 1/81
FORM NO. 3
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)
PERMIT NO. 29825 Z Date OCTOBER 20, 2003
Permission is hereby granted to :
JOSE & MARILYN SIERRA
PO BOX 240
GREENPORT,NY 11944
for
REPAIR ONE FAMILY DWELLING DAMAGED BY FIRE. REPLACES BP 19706-Z
at premises located at 560 FLINT ST GREENPORT
County Tax Map No. 473889 Section 048 Block 0002 Lot No. 018
pursuant to application dated OCTOBER 20 , 2003 and approved by the
Building Inspector to expire on APRIL 20, 2005 .
Fee $ 150 . 00
AuthbrizVd SignatLtFe
ORIGINAL
Rev. 5/8/02
WORK Ma a
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)
NQ 19706 Z Date ..°YL1.. .....J....................
A
Permission is hereby granted
to: /
Ci
... .O ..............................
(/
to ................ .. ......F{.... 4f.. IY�G%C .................
....
......................... .... . . ... ... .: ....rs.{.......
.. .......................................
at premises located at ...........1.3.�.... ...��/ ............................................
.............................................. ... , .... .. --.........................................
.................................................................................................................................................................
County Tax Map No. 1000 Section
/..�. .V.9........ Block .... fes.......... L/ .. .I.
Lot No. 1. ...11.........
. /.
pursuant to application dated ..........f./.. (.. �......6...�........... 19. , and approved by the
Building Inspector.
Fee
.
Building
C. Inspector
Rev. 6/30/80
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:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual nattuat or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, It certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
It. For existing buildings (prior to April 9, 1957) non-conformiug uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all properly lines, streets, building and unusual natural or topographic
features.
2- A properly _,,mplcied application and consent to iuspCct signed by the epplicaut. If a Ccrtiflalle of Occupancy is
denied. the Buildintt luspcclor shall state the roascns th(w1 l in ruing to the applicant.
C. Fees
I Certificate of Occupancy- Ncw dwelling $25.00, Additions to do%elling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accesson building$'25.00, Additions to accessory buildin; $21 -00, Butiinctiscs $50.00-
2- Certificate of occupancyouPre-existing Building- $100.00
3 Copy of Ccdificale of Occupancy - $-25
=1- ululated Certiflcate of occupalw - $50.00
5. TeIlljpo u". ('rrtiflcatc of Oecup.nnr5' - Residenti;il $15 00, (' )nunerr1,11 i j y 00
bate _ /°/tt /03
New Constntction Old or pre-existing Building: ___ (check one)
Location of Propcn t}': � �� �t' ty
House No vvvfff""" ��� Street Hamlet
OVVner or owners of P ��//r operty: Y"� e-_. �. ✓Y, �
Suffolk County Tax Map No 1000, Section_ fi Block Lot d
Subdivision — 03
J�-v^ "" " Filed Map. Lot:
Permit No. 2 Date of PermitApplicant: d
Health Dept. Approval: _ _ Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
6V
Fee Submitted: $
APfri1cant Signature
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
8w,,1'-;LF - BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
Date OCTOBER 24,2000 Application No. on file 11150100/0C) H 059670.
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
JOSE SIERRA,. 313 7TH STREET, GREENPORT, NY
in the following location; ® Basement ® 1st FL ❑ 2nd Fl. OUT Section Block Lot
was examined on OCTOBER 18,2000 and found to be in compliance with the National Electrical Code..
FIXTURE FIXTURES I RANGES I COOKING DECKS I OVENS I DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT.1 TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WA73
SERVICE DISCONNECT NO.o0. S E R V 1 C E
METER NO.OF CC GOND. A.W.G. A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OFA.
GOND. NO.OF HI-UG OF HI-UG NO.OF NFUTMa OF NEUTRAL
OTHER APPARATUS:
1ST-FL. EXTENSION-1.
*NO VISUAL DEFECTS: "An electrical
survey has been made of the exposed
elecrrical equipment in the
premises indicated. " "No obvious
unsatisfactory condition was found.
LL
JOSE SIERRA
P. O. BOX 240 GENERAL MANAGER
GREENPORT, NY, 11944
Per.—qqq �J
This certificate must not be altered In any manner:return to the office of the Board If Incorrect. Inspectors may be Identified by their credentials.
TEL. 765-1802
oS�FF�U Cpl% TOWN OF SOUTHOLD
�c OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971 AM I O 1991
C E R T I F I C A T I O N
Date �
Building Permit No. 19? OIo
Owner PSCS5�! Swr'r�
(p//lease print)
Plumber j rte__ /ff f(�e
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
41 7
(plumber ' s signature)
Sworn to before me this
(� day of f) Pka
19Notary Public
Notary. Public , S u GFLquc County `
INSPECTORS
pldIppSUFFOt/
Principal
Victor
Inspector COG
Curtis Horton =� y� SCOTT L. HARRIS, Supervisor
Senior Building Inspector co z Southold Town Hall
Thomas Fisher ,a ^+ P.O.Box 1179,53095 Main Road
Building Inspector O • `F
Gary Fish y�Jj01 * �a0� Southold,
(5 6) 765-1823971
Fax
Building Inspector Telephone(516) 765-1800
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR
Telephone (516) 765-1802 TOWN OF SOUTHOLD
April 27, 2993
Frank & Bessie Swann
636 Second Street
Greenport, N.Y. 11944
Re: Building Permit #19706-Z-(Alteration-Fire Repair)
Premises: 930 (a/k/a 313 Seventy St. Greenport, NY
Suff. Co. Tax Map #1000- 48-2-18
Dear Mr. & Mrs. Swann:
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued. A final inspection has been made. All that
is required is that you fill out the enclosed application for
the Certificate of Occupancy, submit it along with your check in
the amount of $25. 00, and the underwriters certificate for the
electrical work that was done so that the CO may be issued.
According to the Code of the Town of Southold, Article
XXVIII 100-281 and 100-284 a building permit is needed for any
construction of additions, accessory structures or new
dwellings, and it is unlawful to occupy or use said structure
until a Certificate of Occupancy has been issued.
If you have any questions, please do not hesitate to
contact this office.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Victor Lessard
Principal Building Inspector
VL:gar
o�o��gUFFO�,I-co��
COD x
Town Hall, 53095 Main Road ip • Fax (516) 765-1823
Nerk 9y�lpl � Telephone (516) 765-1602
Southold, w Yo11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 1, 1995
Frank & Bessie Swann
636 Second Street
Greenport, NY 11944
***** SECOND NOTICE *****
Re: Building Permit #19076-Z
Premises : 560 Flint Street, Greenport NY
Suff . Co. Tax Map #1000-48-2-18
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use said structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Thomas J. Fisher
Senior Building Inspector
APPROVED AS NOTED
DATE:- ?/�✓ _B.P.N If 7062
FFE:.J d.iD BY:
NOTIFY BUILDING DEPARTMENT AT
765-1602 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
ROUGH - FRAMING & PLUMBING
INSULATION
4. '-iNAL - CONSTRUCTION MUST
uF COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE ;kY.;., -
STATE CONSTRUCTION. &. ENEP4V,l±4`-
CODES. NOT RESPONSIBLE- FOR
DESIGN OR CONSTRUCTIOMF'LWRIS
&6!SM t N h
Poi
Ri�q� M — � _ X001).
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OCCUPANCY O
r—Lom � ,,.r USE 4S UNLAWFUL
WITMOU' G"' TIRCATE UL o�
OF OCCUPANCY 'r's
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e
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�°.f�� '`'
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ 'INSULATION
[4'FRAMING [ ] FINAL
REMARKS: it—rip cY�
DATE 3 INSPECTOR ]
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND T NSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ NAL
REMARKS: rC/��/1 Lo
DATE INSPECTOR A-1
1
� - m
FOUNDATION � ( 1st )
Ic
FOUIIDATION ( 2nd ) _
I o
ROUGH FRAME &
PLUMHIIJG
y
3 . I - m
m
lISULATIOPI PER N. Y. I ��
STATE ENERGY
CODE
}
HH VV
FILIAL
ADDTTIONAL COMMENTS : m�
x
a
m
r
• v
m
^o
a
80,190 OF HEALTH . . .
tI S J L5 11 `J ... . . . . .
U 3 SETS OF PLANSFORM NO. t SURVEY . . _ , . .
I TOWN OF SOUTHOLD C11CCK . .4 . IG5It. . . . . . . . . . . .
13UILCING DC;pARTMENT SEPTIC FOR:I . . . . . . . . . . . . . .
TpWNOFSURI� TOWN HALL
OLD
$OUTHCIID_PlY_ 1177[ t:DT: CY ;
TEL.. 7G51002 CALL .
MA IL T�iO: .D v
Examined . . .. . . . . . . . . . . . Qf/auy�sk/G•. . . . . .
Approved .,/ /.3 � 19 . . . Permit No.
Jisapprovcd a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . ..
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date . ... .. ...... . .. ISci
INSTRUCTIONS
a. This application must be completely rIIed in by typewriter or in ink and submitted to the Building In:pcntor,wit`
ets of plans.acnurate.plot pian to scale. Fee sccarding to schedule.
b. Plot plan showing location of lot and of buildings on promises, relationship to adjoining premises or public strc:
it areas, and givin; a detailed description of layout of property must be drawn on the diagram which is par of this apr
:ation.
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 per.
r
hall be kept on the premises available for inspection throw out the work.
, e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupar.:
hall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pe--:it pt— s=artt to t'
Wilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c
tc^Mations, for the construction of build;-igs, additions or alterations, or for removal or demolition, cs here:-[ describe:
the applicant narces to comply with all applicable laws, ordinances, building code. housin, code, ana rcge!a-.ons, and
droit authorized inspectors on premises and in building for necesszr'ynni��nspeet ns��.(t • i7Es�bv , ip i Bviu�.2Y CONS
(Signature of applicant, or name-if a corporation)
P- 0:
(mailing address of applicant) ( 7gCI
;tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build--.-
. . . .... . .... ..
uild--.
. . . ., . . .... .4�EIVz2tn-t;!LFiGTNI,•.. . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . .. ...... ...... . ... . .
dame of owner of premisesq„1� SSti C. . . . . . .
(as on the tax roll or latest deed)
f applicant is a corporation, signature of duly authorized officer.
• (Na title of CT Ile officer)
Builder's License No_ ,�. . . .
Number's License No. . . . . . . .;--: . .
Electrician's License No. . . . . .' . . .
Other Trade's Liccnsc No. . . . . . . . . . . . . . . . . . . . . .
Location of land on which proposed work will be done:
. . . . J.4�. . . . . .7'rN `jk . . . . . . . . . . �a l eenpoa. . . . . . . . . . . . . . . . ....... . . . . . . . ..
House Number [�f Street Hanllct //
County Tax ,,\fop No. 1000 Section . . . . (. • • . . . . . . . Block. . . . • . . . . • . . . . . Lot • , •` •• • • , •
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed hlap No. . . Lot
(Name) . . .. . . . . . . . . ..._.... . . .. .. .
S[zte existing use and occupancy of premises and intended use and occupancy of proposed construction-
144
A. Existing use and occupancy..1. J!���i�e?d371 .. . ... .rJ;l;�siF S.• L�v�: :4C:a:i1 •v•-• •
S. -Intended use and Occupancy"Aa~. . •���� 4" `•• r',. w3�i-
J. Nature of work (check which applicable): Nc%v Building . . . . . . . . . . Additicn . . . . . . . - - • Alteration . . . . . . . . .
Repair . .> . . . . . . . . RFmoval . . . . . . . . . . . . . . Demolition • , , . . ,Swirm'ing Pamt. . . . . . . . . .
Tennis Court Accessory Building. . . . . . . . . F e . . . . .Other Work. . . . . . . . . .
4. Estimated Cost . '�49po. . . . . . . . . . . . . . . . . . .. . . . . . Fee . . . . ..•.1�.. . . I . . . . . . . . . . . . . . . . . .
(tn he paid an [dins this aoolication)
S. Irdu•cllin„ number of dwelling units . . . . . . . . . . . . . . . Number of dwelliug units on each floor. . . . . . . . . . . . . . .
Iflor=e. number of cars . . . . VAI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. If business, commercial or mice) occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . • , , • •
7. Dimensions of existing structures, if any: Front . . . . . . . . . . . . . . . Rcar . ... . . . . . . . . . . . Depth . . . , . . , . . , . . . .
Hci^_!tt . . Number of Stories . . .1 .5��.�f. . . . . . . • . . • • • • . . • • • • . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . • • . Rcar . . . . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . . . . . . . . . . height . . . . . . . . . . .. . . . . . . . . . . Number of Stones . . . . . . . . . . . . . . . . . . . . .
10 Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . .. Depth . . . . . . . . . . . . . .
Hci_Itt . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . ... . . . . . . . . . .
9, Size of let: Front . . . . . . . . . . . . . . . . . . . . . . Rea- . . . Deptfr
10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . .
11. Zone or use district in which premises arc situated . . (1a"N DI? YM . . . . . . • . . • • • . . • • • • • -
1'_'. Docs proposed construction violate any zoning law, ordinance or regulation: . .(t!�. . . . . . . . . . . .. . . . . . . . . . . . . .
13. Will lot be regraded . . . . , 1Vill excess till be remoecd from prcmi.=: Ycz . .� , :...
77:: 9
14. Name of Owner ofprcmises�'4�) -, �w'�+V/v---Address .4e3fC. .`�-��:a. .�?i.•. . . PlroncNo. �.
Name of Architect . 1W. .n ICO— , , . . . Address . . Phone No. . - • •
Name of Contractor �'.�:P?.0-0r.�Si� ;�IvC. . . Addressf4mt �40••��-".�'T�FR�a '�/ PhoneNo.7LM =Js--
IS-L& this property located within 300 feet . ah irTa`t tr CLYi'nd? YES- - - -ti0 .'o.
{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 di.•ncr-'o
iroperty tines. Give street and block number or description according to deed, and show street names and indicate
nterior or corner lot.
41
z 1Sts 'Y
3
nrE Or- iNEW YO LE S. S.S
U 1TY
14Q 6, ♦ i�5 J2.
t• icing duly sworn, deposes and says that he is the applicz:
(Namc"ofindivtd 1si=ninocontract)
ve named. /l
= the . F(i oe.,,� e 5*llrJ !n- ATJ Z� all t.a76ts Lav sT.. . . . . . : . . . . . .. . . . .
. . .
(Contractor, agent, corporate officer, e(c.)
aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file tit
'cation: that all statements contained in this application are true to the best o(his knowleJge and belief;and tltat t::
: will be per(ormcd in the manner set fort), in the application filed therewith.
n to before me Ellis
.. . . � � . . . .dayof- - - - - rLr .. 19G.1.
)• Public , .f!YIri� . .� County
gMg " (Si;natureorappiicart'
CommWdmEVhwAupu 13 tor ,