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)