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HomeMy WebLinkAbout30316-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-31101 Date: 08/10/05 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 970 GREENWAY EAST ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 2 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 14, 2004 pursuant to which Building Permit No. 30316-Z dated MAY 14, 2004 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 DECK ADDITION & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DIANE JOHNSON & CAROLYN PEABODY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N448904 03/25/98 PLUMBERS CERTIFICATION DATED N/A tho/ ed Signature Rev. 1/81 Fors No. 6 TOWN OF SOUTHOLD v� BUILDING DEPARTMENT TOWN HALL 765-1802 1 oC (� APPLICATION FOR CERTIFICATE OF OCCUPANCY I A. This application must be filled in by typewriter OR ink and submitted to the buildine inspector with the following: 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. _. 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. ?. A properly completed application and a consent to inspect signed by the applicant. .f 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 525.00, Additions to dwelling 525.00 , Alterations to dwelling 525.00, Swimming pool 525.00, Accessory building 525.00, Additions to accessory building $25.00. Businesses $50.00. _. Certificate of Occupancy on Pre-existing Buildine - $100.00 3 . Copy of Certificate of Occupancy - .25C <. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.000,, /Commercial 515.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. ./ . . . . Old Or Pre-existing Building. . . . . /// C Locationof Property. . . . . . .. .. . . . . . . . . . . . . . . . . . V. . . . . . . . . . .�. . . . . . . . . . . . . . . . . . House No. StreeeJt / __ Hamlet Onwer or Owners of Property.. . . . vO�/ . . . . . . . . . . . . . . . . . ./. . . . . . . . . . . . County Tax Map No 1000, Section . . .Block. k . . .Lot. . . . ►.�!• - . . . . . . • • • • Subdivision. . . . . . . . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . 2ermit No. 2z 3. G I.5.? Dare Of Permit-`.! —w. . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board approval. . . . . . . . . . . . . . . . . . . . . . . . 2eouest for: Temporary Cert'_ficate. . . . . . . . . . . Final Certicate. . . . . . . . . . . lee Submitted: 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _7'p',r . N g APPLICANT 6-1 7 7 C-d ?: a3 � ►S � THE NEW YORK BOARD OF F�Rd UNDERWRITERS PAGE ' 1125062 BUREAU OF ELECTRICITY F_ 40 FULTON STREET, NEW YORK, NY 10038 Date ;iFRC}I 25,19'?8 Application No. on file 12212296/96 N 448904 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 CAROLYN PEBRODY, 3"0 GPEENWAI-'4qYTEAST, ORIENT POINT, NY in the following location; 1:1 Basement L1 Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on MARCH 20,19-18 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT. OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. X.P. 7 5 4 6 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL RECTT.I TIME CLOCKS I BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL X.P. GAS H.P. AMi. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. N6­0';-. OOF FEET AMT. WATTS 1 SERVICE DISCONNECT NO.OFJ S E R V I C E METER AMi. AMP. TYPE EQUIP. 1 0 2W I 1 0 SW J 0 SW J 0 dW NO.OF CC GOND. A.W.G. NO.OF HI-LFG H.A.W'G' NO.OF NEUTRALS A.W.G. PER 0 OF CQ COND. OF -LEG OF NEUTRAL OTHER APPARATUS: PADDLE FANS-3 G.F.C.I:-1 P.J.LAURA & SONS ELEC.INC LIC.#3639- 'Q�R.. ...� L L 28 LAUREL RD. KINGS PARK, NY, 11754 GENERAL MANAGER 11 Per This certificate mud 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. 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. 30316 Z Date MAY 14 , 2004 Permission is hereby granted to : DIANE JOHNSON PO BOX 103 ORIENT,NY 11957 for CONSTRUCT DECK ADDITION AND RENOVATE AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#23615 . at premises located at 970 GREENWAY EAST ORIENT County Tax Map No. 473889 Section 015 Block 0002 Lot No. 011 pursuant to application dated MAY 14 , 2004 and approved by the Building Inspector to expire on NOVEMBER 14 , 2005 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 Moo _ _ TOWN OF SOUTHOLD PROPERTY RECORD CARD _ OWNER STREET -fir VILLAGE DIST. SUB. LOT >>� D i cz nc OhnSGn irol 1PEr Nw)AY -,q s i �� " '2 �., � (' C. .. TMER OW q �p N E ACR. v)I e � 1 510 1 S W TYPE OF BUILDING RES �0 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. 'TOTAL DATE REMARKS jp (l el /q/ 6 o O-A / � , .SSC) O C-/e c• /51 611 xt� n aTIDO 3 `l0 � S �3 6� cl . V/ a d / 3/X/7 / /.. .� � S AGE BUILDING CONDITION � � � . r —(,_ //7' 816fo I hri-y) IDRGnc NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushlond FRONTAGE ON ROAD House Plot DEPTH BULKHEAD DOCK Total COLOR a ------------------- �.1 M. Bldg. rx ti a b 0 U 3, x 7, ( r) undation 1 Bath Dinette i — Extension Basement P�� rT Floors n �� / K. Extension Ext. Walls Interior Finish xLR7 / Extension Fire Place 1 rf .. Heat O� L DR. / Type Roof C Rooms lst Floor BR. J i Porch Recreation Roont Rooms 2nd Floo FIN. B. 1 Porch Dormer Breezeway Driveway Garage 1 1 �; r ! ) i 0 0 7. Patio 0. B. Sa✓iA hrry r' coL Total G G — Flr%� VkN PECI'ION RRPORT DATE COMMENTS II jj FOUNDAT I:ON ( I s•r) II II II rc-------{i -------- ---- ------------------ - -- ------- -- Nycr FOUNDATION (2ND) II ifM. If— ROUGH FRAME S PLUMBINGn II �Pt�Gt02o V& �.lL„yl/lrse C2� --------- -----------"�— ------ ------ - ------- a cq INSULATION PER N. Y. �r- n- STATE ENERGY H l CODE -- 'r- �I n II II �� I -- ` II--- —Cie—�-- — --- ------— - FiNAI. �((�d// 1 f'" �oS•.,lUriL ' ADDITIONAL COMMENTS- •- -----------------------------------------�--_-_--_---- cla- 1� -,c --------------------- -------------- O P7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE �� INSPECTOR ""'� ,tL23 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU A N [ ] FRAMING [ INAI [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ZA(-' C22PO16, G' 0221 ir-M /__,2 DATE �� © � INSPECTOR r � ` 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION FR AMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 6�- DATE INSPECTOR ]� sok tiV--eA p 3 l 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ J ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ 1;/FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: w/,(J (7,�T/l�i►w.r �� 0`-- DATEINSPE M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ' • -r DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ ] INSULATION [ j FRAMING [ L4 INAL [ ] FIREPLACE & CHIMNEY REMARKS: y 7 DATE INSPECTOR �G� 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ /] FINAL NSULATION FRAMING [ pv° ( [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: OW �tlr os w) lti�e4 64 G�s ori DATE 4 Za 0INSPECTOR BOARD OF HEALTH . .. . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . .. . . . . . + . . . . TOWN OF SOUTDOLD SURVEY . . . . . . . . . . .. . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . .. . . . . . . . . . 21996 TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 ��ELDG.DEPT. TEL: 765-1802 NOTIFY: _ TOWN OFSOUTHOLD I CC CALL . . . . . . . . . . . . . . . .. . {5......., 19.1/ Iro Approved...e/1.......... 19� Permit No. vJ(0� � MAIL TO: . . . . . . . . . . . . . . . . . . . . .................................... Disapproveda/c .................................. .................................... ...................................................... (L►riln .tor APPLICATION FOR BUILDING PERMIT 'Date. . . . . , 19.5?6 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan &having location of lot and of buildings on premises, relationship to adjoining premises or public ,streets or areas, ani giving a detailed description of layout of property must be draw 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 WM to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable laws, Ordinancesor 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 building for necessary inspections. ....... ... ..... .... ... ............... (Signature of applicant, or if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................rr........�.........1...............................—.r........................................ Nene of owner of prises .....G./lt.l�^t:`:�::'..RS *1....� . L .. .. ...�..p..�..................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nene and title of corporate officer) Builders License No. ......................... PlumbersLicense No. ......................... Electricians License-No. ..................... Other Trade's License ND. .................... 1. Location of land on which proposed work will be done........ .C..�... :�^^:`.(n .�`... �. ...........................................................................................CT? `.............. House Limber Street Hamlet Canty Tax Map No. 1000 Section .....If...... Block ...A.......... Lot ..((....... Smix'ivision ..Pte.YF}��(..T�!!1�:C'Y.1.... Filed Map No. ............... Lot ............... (Nene) 2. State existing use and occupancy of premises pand intended use and occupancy of proposed construction: a. Fasting use and occupancy ......:Y:-I:f!".-:"�7......................................... nn -- __ ,, n ................. b. Intended use and occupancy ........./ ��....5.�!. ..... ^p�i1... .`fJ.......... ` 3. Nature of work (check w hiclh applicable): New Building .......... Addition ... Alteration ...[� Repair ............ Removal ............. Demolition ............ Other Fork .................................. (Description) 4. Estimated Cost ........ " f ..... fee ......�..�................. ............... (to be paid on filing this application) 5. If duelling, number of dwelling units .....1...... timber of duelling units on each floor ................ Ifgarage, number of cars ........I...........:.................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures. if any: Front.... ....p...... Rear ... .6...... Depth .... b....... Height ... t?.!.. Number of Stories .....J:� 5... Dimensions of same structure with alterations or additions: From ....5 :"s1.. Rear ...:5 .. Depth ...S:£:'.. . ...... Height ...... .. Number of Stories ....Std. S. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ..................... 9. Size of lot. Front .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Name of Former owner ........................................ H. Zane or use district in uticu premises are situated h............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation. ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES e�-�,p�/0a6aQ �i m�.a�dress ?A ........ ... S No. 14. Names of Owner of premises 'Y�•7 '�......... Address N'� ....�:.. tnre .... Name of Architect ......4.;T./�'s t?............... Address .�.��.�-:!.':'":`:c'.'.^.. Phone No.'12 2�W Name of Contractor ....... .C.l. 'r-lylp........... Address ...............................Phone No. .............. 15. ,Is this property within 300 feet of a tidal wetland? * YES .......... NO ... . *IF YES, SOIiIHYD MM TRIMEES PERMIT MAY BE 'RT PNEO. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block amber or description according to deed, and show street names and indicate whether interior or corner lot. N 11(4 sT•u� /Jrsc� e.-cQ STATE OF N Ss �u COUNTY/JOF� � 1, ( ... ...... .. .......... heir duly sworn, deposes anbd says that sue is ti a applicant (Nave of individual signing man raCO above named. y— ileis the ........L.��:.'�`.. ..................................................................................... (con 'SXaUcly, agent, corporate officer, etc.) 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 hest of his knowledge and belief; and 'at the work will be performed in the manner set forth in Cite application filed therewith. to before me Chia( -,-k < / c Notary Public.State N0.48795 yt ••.......... Qualified inSuff0l COunW Sircwhhrn of alnlira Commission Expires December 8,19 IJ. U' 3' 1I ' S0" E. { CQ co I _ - II-- } it i y { n9 5 3 r co t r � 5. 8311 ' S0^ �'- - -150. 0- I PA V firi �' �1V La ; lvr t � t t bib wbfi6e�b ft land w/rmisM4w t ro oeewlWM0bu�wgy t Owranbyy�bd�a�� 2 C,CC�• ��yromd PmbadkrMlobbys� I _L.. J� �_ i .. zoreparraSq urtlmhYSMYbM c 0 lSll.,9owmryMttlwAwaw ( JAS ;tf�J.l tf 1t //.�` {A f \j ���151Gutim 16Ud lrr�mt add 1 t'a ' V L N—1 1 V 1/ _9neos ci the bndbp kW& , t° ' _-:ccs aro nd to 5utz�• r=yrED FOU avaa . I � I 51TUATr= AT a 12 QT om (Ol\'IJ O{' S00T4t0 ,_ D . i v i r f r t H I S ar✓ 4 = o s ' R"N F'trpE iv �AKAivT�_U TO THt" SOuTi-fO[ D Sf�ViNf,S ' �A�'f' `f GLliC�GO +I " L6 IN��l3R:�i,li:c •�GMfAlsl,l�f As 79 : VA Ki TL & 5QkJ LOT uu ':,"D\vu ¢eF66z TO 1"M&p OF61mriL, Ace6,5 a7 OR..lGLIT-PLbr� ----�' �Ses� -- �•. +u Tut, I=uFfot_V eou►� y ::4+=¢ mss LIGt=Ue-.,r:r.) Leon 0f-F It L Ah M4P Ui 'SCi¢O� G�QE�u c7 C2 [ , usw y026G — _ r � i � 1�°L; ,a "_ •, . , �'' I. - til lF :"Tohn sGM Taj 3233��,W _. . ._ .._ F .• - ;- CDN "-ro-�., 7!'vr C /,Arlt l„� TAv1771.1.yg J pif OCCUPANCY OR. Gre-cAt t FA �- nna'.+t sA� clot Y . ! USE IS UNLAWFUL -. ..� y - >5_��-s �J, (f> <. ti� _� WITH CERTIFICATE OFOCCUPANCY, erg �x� Al I oil _ All Fatir„Fre»chwrv�- cflews Tp / alc L7oublczx$ W ' " _ /do _ � leadry t5o5�� rewzvf APPROVED AS NO r 2c5f,rn' rAI L'a^ �IS n� DATE .14446.p.p.M a?j�/.f ._ ' "__ _. �x Ph° Nki lcd Tq Eac/1 .V OIS� _ \ 6 �� _ - . (( r ,t - FEE: �BY' :'' , NOTIFY BUILDING 0 PAR MENT. AT zx1-( :-,l [ K FOLLO02 9 AM TO 4 PM FOR THE - - .r` OO � ` 1 pp I. FOLLOWING INSPECTIONS: est pe0 ARCH,: - t4s1,F,: II Y 1. FOUNDATION - TWO REQUIRED ��s EpT 9q rF ' -,-" ' _. - FOR POURED CONCRETE 0 t • X SINSULATION . ROUGH - FRAMING d PLUMBING \'2 X X !D - ' S. ESESES � 4. FINAL - CONSTRUCTION MUST' ` BE COMPLETE FOR C.O. II //1j „{C1 ` _2X6 Ge ,l�'oed ALL CONSTRUCTION CONSTRUCTION SHALL MEET 7 41 /f d THE REQUIREMENTS OF THE N.Y. FNew .log i • ){N F/ n.�n�, .,.�' STATE CONSTRUCTION' A ENERGY CODES. NOT RESPONSIBLE FOR - «iV��/fi�-1 DESIGN OR CONSTRUCTION ERRORS 19 L_, ��: ._ (In s7`-21!:&L 21996 n To s7 . L-&u q7-1 r - _ ..�-1Xb ;l k3aarel_ - �FLn. �x q 4t.Z An,! 7ri'mlz - J. 3 - ---- 1 - . ,..x.8 -Elk trs p � 1 • e .� r � � I �ti + i � �' • , � �_� "� G/`A�y�^I \ I � �7� 7 ! JA-t14;i1'Z�,_ A! �- � {{ ,@;GLp1i�Y),' .3 Gs Ca^/Y7-el:c. C KiC v".fkWAY,, r s� fi e• . . �jvj to i,. E la e-c Y POOL r 7f A- ` IF A14 Cxt'�Zetp— f A-9� ( .' t All j -M5w_/ I I I� IA' � I Ph r dl ��yy � z � • 1 .aen�Urc: SW r�/GS !tiro 1�2LA 61X 6B "French wv c� Al Eli _ _ /uon gl,.,Lin E+Ls a4 I�I t-C eM = N E W Gosef E�Iterisian - ---- - - -- - GL• For 6'x 6�•ff� ¢.UffE/L6 ' p,�e ter- NoeebE .DECk— Nn/0 AAT[O PZ-OULL « !