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Home My WebLink About29879-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29876 Date: 11/26/03 THIS CERTIFIES that the building ALTERATION Location of Property: 75650 MAIN RD GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 48 Block 1 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 20, 2003 pursuant to which Building Permit No. 29879-Z dated NOVEMBER 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 ALTERATION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GERALDINE M HAINES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-072302 07/27/01 PLUMBERS CERTIFICATION DATED N/A ' u horized Signature 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. 29879 Z Date NOVEMBER 20, 2003 Permission is hereby granted to: GERALDINE M HAINES PO BOX 527 GREENPORT,NY 11944 for ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#26708 . at premises located at 75650 MAIN RD GREENPORT County Tax Map No. 473889 Section 048 Block 0001 Lot No. 009 pursuant to application dated NOVEMBER 20 , 2003 and approved by the Building Inspector to expire on MAY 20, 2005 . Fee $ 150 . 00 Autho ed Sign ture ORIGINAL Rev. 5/8/02 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) 64,c-� d 9 B 7 � PERMIT NO. 26708 Z Date AUGUST 8, 2000 Permission is hereby granted to: GERALDINE M HAINES 67 WEST 11TH ST HUNTINGTON,NY 11746 for ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 75650 (AKA) 715 MAIN RD. GREENPORT County Tax Map No. 473889 Section 048 Block 0001 Lot No. 009 pursuant to application dated JULY 2 , 2000 and approved by the Building Inspector. Fee $ 75. 00 Authori Signatiiffe ORIGINAL Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD r BUILDING DEPARTMENT TOWN HALL 765-1802 2 5 2003 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Departmen`twith'the following: _J A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural 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, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$ 5.00, Additions to dwelling$25.00,Alterations 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. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. 3 New Construction: Old or Pre-existing Building: (check one) Location of Property: -7 T S% 6R e—e,4j- o/L r House No. Street Hamlet Owner or Owners of Property: G-EK A--Lt7 I CJ 4A-,1 Al CS Suffolk County Tax Map No 1000, Section V W Block Lot Subdivision r� Filed Map. Lot: Permit No, D92 I Date of Permit. 2<7)' u3 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: u (check one) Fee Submitted: $ Applicant Signature e,c G5o83 C �a?& 26 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8080929THE OF ELECTRICITY I 40 FULTON STREET, NEW YORK, NY 10038 Date JULY 27,2001 Application No. on file 10656100/00 H 072302 THIS CERTIFIES THAT oFtty d w electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of GERALDINE H. HAINES, 715 FRONT STREET, GREENPORT, NY in the following location; ❑ Basement IN Ist Fl. ❑ 2nd Fl. Section Block Lot war examined on JULY 19,2001 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RANGES COOKING DECKS I OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCAMESCOA FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. 1 1 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT.j TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET YT DIMMERS STEMS AMr. K.W. OIL M.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. ASEr. AMP. TYPE EQUIP. 1 e 2WII e�W 7 e JW J I!W PER• OF CC.GOND. NO.OF HIAEG OF NI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: ALTERATION-1 70 g G.F.C.I:-2 a 6 GERALDINE M. HAINES L 715 FRONT STREET GREENPORT, NY, 11944 GENERAL MANA R 11 per �l V t certificate must not be altered In any manner;return to the office of the Board If Incorrect.Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. V � A l� N a �G /J7aaY WZ�` /9.9' `hvV 0 I a K 6��6fl LAp v LEkq' L b 1u E .�,e•GG'.Pi9L0/.(/E� /�.�� A,v�havy W-LEX/.9�v0ok/d.�/ PaB�xyya Loi -�Miloof'J, 8d�[ �aPayi.�.ifF,��,yy�''�53 _ curscta.✓Y.//9>/ 70- GEP.gLr�/y�iYl yv/u�-7 FioJziryd//9roci9� Tir<E/u5des�ric.-- G//!/OQ/�/E✓�T/y�QATG / I 271 2ca�o P.O. Box 527 Greenport, New York 11944 March 28, 2002 Ott BuildingDepartment Town of Southold 53095 Main Rd. Southold, New York 11971 Re: Building Permit #26708 Dear Connie: Per our telephone conversation of today, I am requesting a 6-month extension on my building permit #26708 (Geraldine Haines-Greenport) to August 8, 2002. Thank you for your time. Le zg-trul��rs, Ge Haines (63 477-3604 (home) (631)727-4100 (office) /dim 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 401 Zt a DATE INSPECT 765_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE OV101 INSPECTO ` M-lW2 BU NG DEPT. SPECTION [ ] OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: J DATE l� ��/ INSPECTOR M-1802 BUILDING DEPT. SPECTION /OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMARKS: .r DATES ) Uv INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ION [ ] FRAMING [ ] AL [ ] FIREPLACE & CHIMNEY REMARKS: a/Z & ,�:) DATE 4 INSPECTO 'TEED INSPF,CTION REPORT DATE COMMENTS n --- ------ --- "n --- . .. ----------------------- ----------- IIt I ----- cam. 'OUNDATiON ( IST) All ii i-�_---_- l/=� 4f------------ L "r' C 'OUNDATION----(2ND)------ -----_--�- u u — it —�I ------- �----r-, LOUGH FRAME. 6 ii — - -�1�-� A,;1e, PLU1473ING O ---------I - - --1----hof _ o.E � ,5� -__ - If INSULATION PER N. Y. II ' STATE ENERGY ii ii Sb CODE II ii lV a if ii _I II II H Imo— II u FINAL II — II ADDITIONAL COMMENTS: s==F=== __ _ BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC .. .. .. .. . . . . . . .. . . . . . . . . . . . TEL: 765-1802 TRUSTEES . . . . . .. . . . . . . . .. . . . . . . NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined......¢J.8........ 20.0 n MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.....$).$:....... or). Permit No. 26.76 ............................. ... Disapproved a/c .................................. ..5.ft:'�a. (.....%i>".5.:. ...... ...................................................... . ........ ... ..... ............ (Buildi Ins tor) APPLICATION FOR BUILDING PERMIT (/ Date. . p1UL ay. . . . . , 200.0. . INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sharing 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 property must be drawn on the diagram which is part of this application. 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 issue a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MAIE to the Building Department for the issuance of a Building Permit pursuant to the Building Tore 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 buildir for necessary inspections. ( gnature oL applicant, or name, if a corporation) Pl) c a 7 (Mailing address of appli t) 0/9� State whether applicants owner, 1 see, agent, architect, engineer, general contractor, electrician, plmnber or builder ......................................./..............e..................�........................................... Name of owner of premises .......!� ! .1/( .......m�....: ...�...................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ...................................N G�............... (Name and title of corporate officer) Builders License No. ............... / Plumbers License No. .�.� . Electricians License Nu. .... ...... Other Trade's License No .................... 1. location of land on which proposed work will be done........V5 ................................................. 7.I ........ N:�........ House Number Street /p .�..................................Hamlet County Tax Map No. 1000 Section .......1 v.Y.Y.. Block ...... .... lot ....... ........ Subdivision ...................................... Filed Map.No. ............... Lot ............... - (Name) 2. State existing use and occupancy of premises nd intended use and occupancy of pro sed con ruction•. a. Existing use and occupancy ............ .. .... ... ...... ...... .... ................. b. Intended use and occupancy .............. .............................'....'__U""'.... ............. 3. N)Lure of work (check which applicable): New Building ..........t4diIion ...,01� ... Alta stion .......... Repair ............ Removal ............. Demolition ........... Other Work .. . ........ ..... q (Description) 1� 4. Estimated Cost ... a��. .......... fee ......... ....... ...... .................. / (to be paid on filing this application) 5. If dwelling, number of dwelling units .....J..... timber of dwelling shits on each floor ...... Ifgarage, ember of cars ....,....Pr........................... 6, If business, oonmrcial or mixed occupancy, specify nature and extent of each type of use,... ..... 7. Dimensions of existing structures, if any: Front.....�i?........ Rear .. ...... Depth .....//,:Z..1...... Height ......................... Nudher of Stories .......�,.........., Dimensions of same structure with alterations or additions: Depth .................... Height ................. Nudher of Stories ..... (] 8. i) Dimensions of entire new construction: Front .....,.. .... ........ Depth .......... ... jj'7'� £toles ..................... 9. Size of lot: Front....................... Rear .................... Depth .................... 10. Date of Purchase ...� 2ln..,..,.. Nae of Fanner Owner_.......G,. 11. Zone or use district in which premises are situated ....................•„,a.........,../............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... Y�............�. 13. Will lot be regraded .....l.:.�.......... Will excess fill be repmoved from premises: YES � 36()� 14. Names of Owner of premises .. ............. !,/._...,, Address r ��7 / a�4E�-�"� r�'Le... Pthahe No. ............ C 7l� /Rareof Architect ...................!✓. .,.,........., Address .......-............. No. ............ Rareof C> er ....,... .--.. ss ...............................Awne No. ............ 15. Is this property within 300 feet of a tidal wetland? * YES .......... c.d .....,... *IF YES, SOUTH" 1O1d1 TEQISIFES PERMIT MY SE REQUIW. PLOT DIAGRAM Iocate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block saber or description according to deed, and show street names and indicate whether interior or corner lot. 1 111 100 0 (U—veR)uR Loi' HL SUVIE (FNS] YORK, ��X- — �- SS �" COl1NlY DF .�.�,..., �� _• ....� .`.'e/..!YS:..`JkYL ......lheu;; duly :wvrc:, deposes aril says thatshe is Cbe applicant (N7m2 of imdi:i:h:o1 signing r�t,ractl' above named, �qkistheL ............. ..................................................................................... CP W A7 E/?-- of said owner or owners, and is duly 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 manner set Forth in the application filed therewith. gaorn]to bef re rhe this .?. .......day of� l.U/ .,tE . .:200a,.. Notary ..♦�� JUNEANN 0. CKI (Si , hhre of Applicant) r arY Public.State of NOw York No.49E1037 Qualified in County MY Commission [xniru*s 1.n : , yo j-i fir , FBY NOTIFY BUILDING DEPART AT AT - 785-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS- _ - 1 FOUNDATION - TWO REQUIRED- " FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL -. CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET - 2 1210 ' 2.0 THE REQUIREMENTS OF THE N.V. STATE CONSTRUCTION 9, ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS `17 L� H capper tubing Is used 'p'YTaI u'"'?'-7 3 Jr.: t for water distributing system;Pshall be types K o - , of IE r L only UNDERWRITERS CERTIFICATE A ,`y . REQUIRED OCCUPANCY OR USE IS UNLAWFUL 'U CATE - `` _ WITHOUT CERTIFI T_ OF OCCUPANCY PLUMBING PROVIDE SMOKED[ Z�brOaZ CZz*IA_ &VM MUNESHMtE •yy4TERLIN�NffD ALARM DEVICI YESTWO BEFORE COVERING AS TO PART. 72' N-YS BUILDING CL r PROVIDE ANTI-SCALD AND/OR THERMAL SHOCK PREVENTING DEVICES AS TO PART.902.6(K) N.Y.STATE BUILDING CODE. PROVIDE OPENINGS FOR a;J L w ` �," EMERGENCY ESCAPE AS --dJ F/GATE OF OC,_. REQUIRED BY PART.714 OF SOLDER USED LN T1' _.r N.Y. STATE BUILDING CODE. SUPPLY8YS7EIUCANNGi "CEFO2/tOOFISLEA D. wgDD\ v -DGorz ys- 4r' i I ! - -- -- -ARIL. Pu- �_ 1 -TI ---III -I 114 i �"� ------- � Zn All I C,F I 7`7 y L.I/ f a5 t - 70'.i� � � -I � �� • '�1� 1 � 1 l _ �{ 17 "'1 'LI r 1 a- _ , 5Jp 9 _ _ _ _ t; Sq +rit: .1. 15 .=! • I T�.�'l�t �"� �ii Cz>Z�hrcAz. (�3blk�. / ) I4 r 1 11 1! I �.\ �� -�+ "�-r� 1�•'L`:�?.L.,�. III I'AIRWEATHER-BROWN DE51GN A550CIATE5,INC. 41 3 MAIN STREET P.0.50X 521 GREENPORT, N.Y. 1 1944 G3 1 -477-9752 (Fax) G3 1 -477-0973 APR 2 2 2002 \ HAI_NES 04/19/02 — PROVIDE LEDGER BOARD Lp DECKING /. U 7 - 0 `L T (/ O' SONO TUBES @3'H BELOW GRADE Ex15TING STOOP ON UNDI5TUR5ED SOIL. r TO 5E REMOVED, / 2 (2)2"X8" 11ADED) ` / 15 PLAN VIEW SCALE I/4"=1'0' VENT1-- GRADE BUILT-UP TO DECK ^ DA ELEVATION ELEVATION ISCALE 1/4"=110' 2 c SCALE: I/4"=1'0" o � P 16 4A ypQ� OFNEN IT IS A VIOLATION OFTHE • LAW FOR ANY ALIO N UNLESS ACTINO UNDER THE DIRECTION OF A L ER ANY ARCHITECT,TO ALTER ANY ITEM ON THIS DRAWING IN ANYWAY.ANYAUTHORIZED ALTERATION MUST BE NOTED,SEALED,AND DESCRIBED IN ACCORDANCE WITH THE LAVL