The URL can be used to link to this page

Home My WebLink About31022-ZFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30842 Date: 04/05/05 T~IS CERTIFIES that the building WOOD STOVE Location of Property: 1695 AUGUST LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 4 Lot 44.23 s%~bdivision Filed Map No. -- LOt NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated STARCH 25, 2005 pursuant to which Building Permit No. 31022-Z dated MARCH 25, 2005 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 INSTALLATION OF A WOOD STOVE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. ~e certificate is issued to KARL & GABRIELA SPIELMANN (OWNER) of the aforesaid building. SUFFOLK COU1FI~DEPARTMENT OF ~F~ILT~APPROVAL ELEC/~ICJ%L CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~ N/A N/A N/A Rev. 1/81 Form No. 6 TOVeN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPP~NC~4--- )'9'~N 0F g - TWO' .) This application must be filled in by typewriter or ink and submitted to the Building Department with the l'ollowhig: 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 Undenvriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Conunercial building, industrial building, multiple residences and sinfilar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Subnfit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: l. 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. New Construction: """4 Location of Property: I(oq--% House No. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, 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 - Rcsidcmial $15.00, Commercial $15.00 Old or Pre-existing Building: (check one) ~ Street ' ' -Hatrdet Suffolk Coutlty Tax Map No 1000, Section Subdivision ~.xD.., ~ ~;3~ c.c~_m PenilitNo. ~lOO ~ DateofPemdt. Health Dept. Approval: Block <I- Filed Map. Lot: '~-' Applicant: Underwriters Approval: Planning Board Approx al: Request tbr: Temporary Certificate Fee Submitted: $ ~ t,~ ~ ~)C., Final Certificate: (check one) .~t S~guature 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) PERbIIT NO. 31022 Z Date MARCH 25, 2005 Permission is hereby granted to: KARL & GABRIELA SPIELMANN 1695 AUGUST LA GREENPORT,NY 11944 for : INSTALLATION OF WOOD BURNING STOVE AS APPLIED FOR. THIS PERMIT REPLACES BP 26171. at premises located at 1695 AUGUST LA GREENPORT County Tax Map No. 473889 Section 053 Block 0004 Lot No. 044.023 pursuant to application dated MARCH 25, 2005 and approved by the Building Inspector to expire on SEPTEMBER 25, Fee $ 150.00 2006. Au~:horized S J. gn~re 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) PERMIT NO. 26171 Z Date NOVEMBER 22~ 1999 Permission is hereby granted to: KARL SPIELMANN P.O. BOX 316 PECONICt~NY 11958 for : INSTA?J.ATION OF WOOD BURNING STOVE AS APPLIED FOR. at premises located at 1695 County Tax Map No. 473889 Section 053 pursuant to application dated NOVEMBER Building Inspector. AUGUST LA GREENPORT Block 0004 Lot No. 044.023 19 1999 and approved by the Fee $ 35.00 ~o~r~-ze~lgnature ORIGINAL Rev. 2/19/98 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]I~ULATION [ ] FRAMING [//] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE ~---~~~-- INSPECTOR ~~-~ 765-1502 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLRG. [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [~.~iNJl~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ ~ FIR~EPLACE & CHIMNEy [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION DATE INSPECTOR INSPECTION REPORT DATE mATION re'r) Il ~DATION 2ND) n OLATION PER N. Y. STATE ENERG~ CODE Disapproved a/c .................................. FORM NO. I TOWN OF SOUq~OLD BUILDING DEPARTMENT TOI~I HALL SOUTNOLD, N.Y. 11971 TEL: 765-1802 BOARD OF REALTE ............... 3 SETS OF BLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FOR~ ................... NOTIFY: CALL .................. PL~IL TO: .................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. 'this application mast be completely filled in by typewriter or in ink and sul~itted to the Building Inspector wit 3 sets of plans, accurate plot plan to acale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relatiormhip to adjoining pr~dses or pablic streets or areas, ~ giving a detailed description of layout of property rmst be draun on the dingr~n which is part of this application. c. 2he work covered by this application vmy not be ccrmmoced before ismmsce of Building Permit. d. Upon dpp,~ml of this application, the Building Inspector will issue a Building Permit to the applicant. S~c_h permit shall be kept on the prmulses available for inspection thumghc~t the work. e. No lmilding aball be occupied or used in ~aole or in part for any purpose whatever tmtil a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATIClt IS tm~_~¥ MMIg to the Building Department for the isatumce of a Building Permit imrsuant to the Building Zone Ordinance of the To~n of Sauthold, Suffolk County, New York, and other applicable Laws, Ordirumees or Rngulatioo~, for the construction of buildings, additions or alterations, or for remval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and (Signature of at.~icant, or narae, if a eorl~oration) (l~iling address of applicant) State ~mther applicant is ota~r, less~.~e, agent, architect, engineer, general contractor, electrician, plunber or builder Name of owner of premises .... ~ . .q~ ~Y.~f}~. ......................................................... (as on tim t~x roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Nmm and title of corporate officer) Builders Licans~ NO .......................... Plumbers License NO .......................... Electricians License NO ...................... House Number Street Hm~let Comty Tax Hap NO. I000 Section ..~....~.7..'~. .... mock ...~.~.' ......... lot ..~/~.~ .......... Subdivision .zZt/tA~Off././~¢£,:~ .................... Piled Hap NO ................ lot .~:~.['. ......... t/ ( Ixt~e ) 2. State existing use and eecupaocy.. /2 /~. _/,_ ~ ,~°f premises and int/ended ~, and occupancy of proposed construction: a. sting ...................... b. Intended use arat occupancy . .~-~.~.~. ............................................................... ~.~,. ~ ..... ,'. '~.'. ~ )o N~ure of ~ork (ct~=c_k ~tlid~ applicable): ~ l~ilding .......... /~klition ....... ~/~, /' ~ .~,'" Al~erati~ ....... .... ~i~ ............ ~t ............. ~i~i~ ............ O~h~ ~ ~.,~.~r..~e~cOw~: ~,oe~, (~rip~i~) a~i,~ ~,~ ~.~.~ ......... ~ .............................................. (to ~ ~id ~ filing this a~li~ti~) If &~lli~, ~r of ~lli~ ~mits .~. ........ t~r of ~lling traits ~ e~ fl~r ..~ ........... If garage, ~r of ~rs ...~ ............................ If ~i~sa, ~rci~l or ~ ~, s~i~ ~ture ~ ~tent of ead~ ~ of ~..,~ ............. ~imnsi~s of ~isti~ st~m~s, if ~: ~t..~ ........ ~ar ...~ ........ ~pth ..~ .......... lbl~t . .~ ...................... . .-~.~ ............... 9im~i~ at ~ st~e ~th alterati~s or ~it~ons: ~nt ............... ~ar ............... ~pth .................... ~i~t .................... ~r o~ Stories ............... Di~mnsi~ of entire ~ ~st~ti~: ~t ................ ~ar ............... ~p~ .............. ~bi~t ......................... ~r of Stories ..................... Si~ of lot: ~t .................... ~ar .................... ~pth .................... ~te of Nrdm~ ..................... ~ of Fomr ~r ........................................ ,. .................................................... ~s ~o~ ~t~ti~ violate a~ ~i~ 1~, o~i~ or r~lati~: . ~ ............. ~ill lot ~ ~ ..~ ............ ~ill ~ss ~ill ~ ~ ~m ~s: ~ ~ ~ o~ ~dfit~t .................................... ~ress .............................. ~ ~ .............. ~ of ~tr~tor ................................... ~ress ........................... ~ ~ .............. _ V PLOT DIAGRAH locate clearly and distinctly all buildings, ~her~er existing or prol~osed, and indicate all set-hack dimensions prol~rty lines. Oi~ street ~ block t~o~r or description according to de~l, and sho~ street ms and indicate ......................................................... I~i~ duly ~m, ~s a~ my* t~tXe' ~s ~a~li~ t o[ i~ivi~l si~iug c~tract) is the ................................................................................................... (Contractor, ngent, cortnorate officer, etc.) said ot~er or o~mers, m~l is duly m~thorized to ~rfom or h~ ~rffo~ ~ ~id ~ m~ to m~ a~l file this ~lication; O~at all star--nfs c~ta[~ in ~is a~licatig~ are t~ to ~e ~st o[ his ~1~ m~ lmlief; mfl