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HomeMy WebLinkAbout29589-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspecuor Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29988 Date: 02/02/04 TI{IS CERTIFIES that the building REP31IRS Location of Property: 590 BROOKS RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 53 Block 1 Subdivision Filed Map No. Lot No. GREENPORT Lot 15 (H3kMLET) conforms substantially mo the Application for Building Permit heretofore filed in this office dated JULY 21, 2003 pursl~nt to which Building Permit No. 29589-Z dated JULY 21. 2003 was issued, and conforms to all of the rec/~irements of the applicable provisions of the law. The occupancy for which this certificane is issued is FIRE REPAIRS TO EXISTING SINGLE FA/~ILY DWELLING AS APPLIED FOR & AS PER CERTIFICATION OF JOSEPH FISCHETTI, JR. P.E. The certificate is issued to HENRY & BETTY HINTZE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~EALT~ B-PPRO~-AL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N-542389 11/13/00 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) P~g~i T 29S89 Z Date JULY 21, 20q3 P~rmission is hereby granted uo: HENRY & WF HINTZE 50 BLOSSOM HEATH AVE LYNBROOK,NY 11563 for : FIRE REPAIRS TO AN EXISTING DWELLING AS APPLIED FOR. THIS PERMIT REPLACES AND MUST MEET ALL THE REUIREMENTS OF BUILDING PERMIT ~26835Z at premises located at 590 BROOKS RD GREENPORT County T~x Map No. 473889 Section 053 Block 0001 Lot No. 015 pursuant to application dated J_ULY 21,~ 2003_ and approved by the Bu±ld±n~ Inspector to expire on Jg~U'g~Y ORIGINAL Rev. 5/8/02 FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 26835 Z Date OCTOBER tl, 2000 Permission is hereby granted co: HENRY & BETTY HINTZE 50 BLOSSOM HEATH AVE LYNBROOK,NY 11563 for : FIRE REPAIR ON EXISTING ONE FAMILY DWELLING AS APPLIED FOR. * .~STRUCTURAL DETAILS REQUIRED PRIOR TO FRAMING INSPECTION. ~FIREPLACE MIIST COMPLY WIT]II NFPA 2! I. at premises located at 590 BROOKS RD County Tax Map No. 473889 Section 053 pursuant to application dated JULY Building Inspector. GREENPORT Block 0001 Lot No. 015 5, 2000 and approved by the Fee $ 75.00 Aut hor~i~fe d Sig~ture ORIGINAL Rev. 2/19/98 Form No, 6 BUILD~G DEP~T~NT A. For new buil~ng or new, use: l: FinaLs~ey Q~r~pe~yMth accurate ~cati~n ~f a~ bui~ngs~ pmpe~y ~ines~ s~eets~ ~d musua~ nat~ ~r ropo~aphic rear,es. 2. F~ Approval ~om Heal~ Dept. of wat~ suppty ~d se%erage-~spos~ (S.9 fo~). 3. ~Ap~ro~al: Cf.d~tdc~tall~i~ ~om Bo~d of Fire Undated... 4. q ..... .'k'.' ~'~'*'k,'~<'"-.P' ,d', P'solder " · · o ......... . ..... ~ed m sy~m coat~ less .th~ 2/10 of 1 ~ lead. h ,.. ,~ ,, ~,x,, ,: ,:m-re'ct n ~ponhble for ~e bu~d~g. 6. S~t Pl~g~ Approv~ of eompl~ed site p~ requkmems. B.. For ~mS~g bufl~s~rmr to A~nl 9, 1957)non-conform~ uses, or buildings and "pr~e~sti~' land uses t. Ac~h~' sm~'~f~r~e~y'~ho~ing alt propmy ~es street~ buil~ng and ~m~ na~at or t~o~a~c 2. ~'~perl~ completed hpplicafion ~d consent to respect si~ed by the applic~t If a Ce~ificate of occUP~cy is d~d~the B~g ~sp~tor sh~l state the reasons ~erefor in wfifihg to the applic~t. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.tj0, Alterations to dwelling $25.00, ~ S~immifi~po01 $25.00, Accessory building $25.00, Additions-to accessory building $25.00, Businesses $50.00. 2. C~ifi~tte of Occupancy on Pre,existing Building. $100.00 ' 3. C0p'~ of ~rti]Sca~e of OccUpanCy- $.2~ 4. Ul~da~ed ~ertificate ofO~cU1%tncy - $50.00: 5. Temporary Certificate of Ocdupancy - Residential $15.00, Commercial $15.00 Dale. ~ // /"tx New Construction: Old or Pre-existing Building:. ~ (check Location of Property <~-~ ~ ~-~ a_fi/~ ~4, House No. f ~reet ' Owner or Owners of Prope~y: ~~ Suffo~Co~ty T~ Map No I00~, Section ~ / Block Subdivision Permit No. Dat~ of Permit. Health Dept. Approval: Filed Map. Lot: Applicant: Underwriters Appr6val~. . Plannkig Board Approval: Request for: .Temporary Certificate Fee Sub,haitted $ ~ff-.~ ~ Final Certificate: (check one) App~'C~kut S~g~amre 10:17 F.~ 212 643 I053 HENEGAN CONSTRUCTION JOSEPH FISCHETTI, PE PROFESSIONAL ENGINEER 1725 HOBART RD / PO BOX 616 $OUTH~LD, NY 11971 63~, 765-29,54 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ~ ~os5077 .UR;^U OF E ~CT.~C,TY [~ 40. FULTON STREET, NEW YORK, NY 10038 t~=e NOVEH2,ER 1_3,2OO0 ~;;=~o.~o. o.~a= [[e~?~ec/ea ~ 542389 THIS CERTIFIES THAT Only the ele~al equ~ment as desc~bed below ~d in~oduced by the app~cant named on the ~ove app~on number ~ ~ ~e prem~es of HINTZE, 590 BROOKS ROAD, GREENPORT ~ NY in tire following location; [] Basement [] Ist Fl. [] 2nd FA OUT Section Block was examined on lqO~'~ER O7,2000 and found to be in compliance with the National Electrical Code. Lot FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST F, ~R~CEPTACLE$ SWITCHES FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO, OF FEET DIMMERS :SER,~ CE ~NNECT S . E R V I C E 2/0 2/O MICHAEL J. HURLEY 9905 NASSAU PT. ROAD CUTCHOGUE, NY, 11935 Per 11 M~.,___~ ~0a~O if incorrect. !~l~ectors may be identified by their credentials. Town Hall. 53095 Main Road P.O. Box 1179 ,Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 18, 2003 Henry & Betty Hintze 50 Blossom Heath Ave. Lynbrook, N.Y. 11563 Re: Building Permit #29589-Z (Fire Repair) Premimses ~ 590 Brooks Road, Greenport, N.Y. Surf. Co. Tax Map #53.-1-15 Dear Mr. & Mrs. Hintze: It has been brought to the attention of the Building Depamnent that the above building permit has expired and a Certificate of Occupancy has not been issued. The original building permit was issued for a fire repair on September 25, 2000. No inspections were ever requested. Occupancy or Use is unlawful witlaout a Certificate of Occupancy. You are in violation of the Southold Town Code. Please contact this office as soon as possible so that this matter can be resolved. Thank you for your anticipated cooperation. Respectfully SOUTHOLD TOWN BUILDING DEPT. (Cert. Mail) Town Hall. 53095 Main Road 1~'.O. Bt>x 1,179 Southold. New York; 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOVfN OF SOUTHOLD March 4, 2003 Henry Hintzer 50 Blossom Heath Avenue Lynbrook, NY 11563 To Whom It May Concern: It has come to our attention that building permit number 26835Z, for fire repairs at 590 Brooks Road, Greenporr, Suffolk County Tax Map Number 1000-53-1-15 has expired and yon are in violation of Southokt Town Code. order to rectify this matter, the following is required: 1.) 2.) 3.) Immediate renewal of permit number 26835Z: Please submit a check for $150.00. made payable to the Town of Southold, noting the original permit numbers on the check. Inspections required: Once you have renewed the above referenced permit, it is your obligation to schedule any required inspections and submit any required certifications. Certificate of Occupancy required for the expired permit: Once you have passed the above referenced inspections, you may apply for a certificate of occupancy. Without a certificate'of occupancy from this office, any use of your property is a violation of Southold Town Code (45-15) and New York State law. If you have any questions, please feel free to call tiffs office at (631) 765-1802 between the hours of 8:00 a.m. and 4:00 p.m. ~ed ~i~namr' e CC: File Owners Name: Reviewed: Architect/ Date EnghXeer: Submitted: SCTM #: Project ~'~.~) ~ ~ Subdivision Location: ff Name: Single & separate Required cerfffication: (¥esd No) Req. Keq. Zoldng Disrrmt: __ [Lot size: Actual: I [Lot coverage ~'~'~ Proposed: Req. Req. P,~q. [F~ont yard Proposed: Project Description: ~GENCY PERMITS REOUIRED FOR REVIEW N.A. NO Suffolk County Health Dept. J New York State D.E.C. ~ Town Trustees ~ Town Zoning Board approval: ~ Town Planning Board approval: °/' Flood Plane Elevation ??? Flood Zone: Permit YES Number 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ]INSULATION FRAMING [ ~INAL FIREPLACE & CHIMNEY ~ [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN~JLATION [ ] FRAMING ~]/I~INAL [ ] FIREPLACE & CH~IMNEY.~._., REMARKS~~' DATE INSPECTOR FOUNDATION (1ST) . II II PLUM]~ING ,, II CODE FINAL ADDITIONAL COI~IgNTS: TOWN OF SOUTUOLD BUILDING ~DEPAR. TMENT TOWN HALL' SOUTBOLD, NiY. 11971 TEL: 765-1802 Disappmoved ............. ,,~ .................... APPLICATION FOR BU!LD!i~G PE-RI~IT INSTRUCTIONS BOARD OF ~Lm~L~ ............... 3 SETS OF PLAN~ . ........ ' ...... SURVEY ........................ CHECK ......................... SEPTIC ~ ................... DEC .... ;; ..................... TRUSTEES ...................... NOTIFY: CALL .................. MAIL TO: .................... Date ................ ,20 .... m. be omapletely filled in by typewriter or in ink and selmaitted to the l~lilding Inspector '3~se~ ~f ~laas, aeeura~e plot plan to scale. Fee according to schedule. b. Pl~t plan .s~.n~. locatlom of lot and of buildings om premises, relationship to adjoining premses or public streets or areas, and gzvzng a degailed description of layout of property must be drawn en the diagram which is part of this application. c. ~be work covered by chis application may not be ecmmenced before issuance of Building Pemit. d, ~ Ut~n approval of this application, the Building Inspeeror ~,~ill issue a bailding Pemit to the applicant. S~cl~ peumit shall be k~pt an ~ pre~s availshle for in~pection Chrc~gnou[ [he e. No building shall be occupied or used in %~ole or in part for any pctrpose whatever antil a Certificate of Oceupaucy ~hall have been granted by the ]~ilding Inspector. · ..APPLICATION IS 'H~J~l~g MADE to the Building Deparn~nt for the issusn~e of a Building Penuit pursuant [o the .~lld!~ng ~ Ordina~c~ of Cha Town of Scut. hold, Suffolk County, New York, and other applicable La~s, Ord5nanaes or ~i~, for the construction of belldzngs, addltloms or alterations, or for r~roval or d~molltlon, as herein .desc~l~.~?h~. appll.c~..t agrees.to .o~ply with all applicable laws, ordinances, building code, housing co(~, and ...................... JH0UT CERTII lCATE OCCUPANCY r ,.ng addressof~ppl~cant) State applicant ~s ~w~er, lessee, agent, architact, engineer, g~eeral contra~electrician. ~lumber or bgd]d( · ! ' '. ,-~.OVED AS NOTED ......... ':~"" .......... ........ 7? ........... ~'";"; ....... j :;'~ ...... '~i~'~ b~ b'0' '~.~.;¢ '~ ....... (as en I~ t:a~ roll o~ latest deed) NOTIFY BUILDING D~ 766,'1802 9 'AM TO 4 FCM FOR~'TH-~ ........... · OO,DAT, O.. TW' Na~ ~'~ ~[ie of c°:~P°~i~r)an~ ici. cie oz fpo ) FORPOUREDCONCRETE 2. ROUGH - FRAMING & PLU~BtN~ & ~INAL - CONSTRUCTION MU~T Builders Lieease No ................... BE COMplETE FOR ~.0. Plumbers License No .......................... ACC CONSTRUCTION SHALL MPE? THE REQUIREMENTS OF THE Electmici~ License No ...................... STATE CONSTRUC?;ON & EN~I~ bcher~Trade's Llcease No ..................... CODES. NOT .... ~..~C. ~ .................. ~. ................... ~-_ /2 ~ ~ ~ ................. .... ....t% ee ............................... County TaxMap No. 1000 Section ..... ~,~. ...... mock ........ /. ....... Lot .../,~. ......... Subdi~islon ...................................... ~iled Map No ................ Lot ............... (~) 2. State existing use and occupancy of premSses and intended use ard occupancy of proposed construction: a. md~t~ use ~d ocoa~cy ... ~¢ZTm*~,~Z:. ~,../.~.,~,~..r~.~,~,~n~- .......................... 4L Es~i~ ~s~ . ' .~ .......... f~ .............................................. (to ~ ~id ~ fili~8 this a~li~) '5'. If ~IH~. ~ o~'.~t~i~i~s .... ~ ....... ~r o~ ~].li~g ~i~s ~ e~ fl~r ................ I~ ~rase, ~r o~ ~rs ...................................... 6. If ~i~ss, ~rcial or ~ ~, ~ci~ ~re ~ ~ent of eadl ~ of ~... 7. ................. :7: Di~nsi~s of ~sti~g st~m~s, if ~: ~t ................ ~ar ............... ~p~l ................. i~i~t .......................... ~r of Stories ...................... Di~n~ [~ 'of ~ s~e Mth. alarati~s or ~itions: aont .............. ~r ............... 8. Di~si~,~of ~tire ~ ~stxti~: ~t : ............... ~ar .......... ~i~ .......................... ~r o~ Stories ..... 9L Si~ 9fhloC~ F~t .. ~ ............. ~r ..~.~ ............. ~pth ' ' ...... 14. ~ of ~lC~C .................................... ~ress ................ ;~.?~,..~,.~, ~ · .,: ........... ~ of C~tr~tor ................................... ~ress .................. i t -' -~ ~ t." -'~, ~ ............. 15. ts ~is p~ ~in ~ f~C o~ a till ~tl~ * ~ .......... ~ .......... PLOT DIAGRAH ~ I~cate clearly and distiuctly ,a.~l b~ildin~, iahe~er ~isci~ or ~, ~ ~i~ fll ~t-~ d~si~ns ~ ~ p~r~ li~s..Gi~'st~tz'~>;bl~=~r:or ~scripti~ ~coMmg to :~r interior}or co~r lot. DFA'IE . .SS. (Nane ~ i~ivi~ s~xng cmtr~t' ' ~ ) ~ is the .... ~.,.~.~..~..; .......................................................................... a~li~c~; chat ~1 st~C~nts.c~Ca~ ~n ~s' s~hcatlm" o~e t~ to ~e ~C of his ~ ~ ~lieF~ ~ LIlaC the ~rk wltl ~ ~rCo~ m the ~r ~C forth in ~e o~l~c~i~ fil~ ~. ,94~m to b~fore r~ this ...................~~--,/~ ~/--, V ---?--:~ ........ Nota~/Publi~. State ot NeW York No. 4951364 Qualified in Suffolk County ~ Commission Expires May 2..2, c~ d)