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HomeMy WebLinkAbout32421-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32176 Date: 02/05/07 THIS CERTIFIES that the building ADDITION Location of Property: 870 INLET (HOUSE NO.) County Tax Map No. 473889 Section 43 LA (STREET) Block 2 GREENPORT (HAMLET) Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 2006 pursuant to which Building Permit No. 32421-Z dated OCTOBER 24, 2006 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 STORAGE SHED ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANCIS PAINE CONANT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the followi1g: A. For new building or new use: I. 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: I. 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 $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 - Residential $15.00, Commercial $15.00 - r t()7. Date.r~ J r New Construction: V Location of Property: In- {J House No. Old or Pre-existing Building: fA./LJ!. T UAJIF Street ( check one) G ~€t:^,P?J /':1. I . I Hamlet Owner or Owners of Property: - J- t{ Ar 1fJ L.(~ Suffolk County Tax Map No 1000, Section l[ 3 Subdivision .p Cn,./1l If) Block :z Filed Map. Lot 8 Lot: Permit No. 31.. y: J- (-i:: Date ofpermit. /0 (~-; [ O!. Applicant: fl.~Gi (/.4.';", W "'" r Underwriters Approval: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate y Fee Submitted: $ .J 'j"':'vo Final Certificate: /" (check one) ~su:- 7( 7 10 CD ~3;)1 n ~JJCn~ Applicant Signature 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. 32421 Z Date OCTOBER 24, 2006 permission is hereby granted to: FRANCIS PAINE CONANT PO BOX 572 GREENPORT,NY 11944 for : CONSTRUCTION OF A STORAGE SHED ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. (THIS REPLACES BP #24969-Z at premises located at 870 INLET LA GREENPORT County Tax Map No. 473889 Section 043 Block 0002 Lot No. 008 pursuant to application dated OCTOBER 19, 2006 and approved by the Building Inspector to expire on APRIL 24, 2007. Fee $ 75.00 -~- - 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. 24969 Z Date JUNE 18, 1998 Permission is hereby granted to: FRANCIS PAINE CONANT PO BOX 572 GREENPORT,NY 11944 for : CONSTRUCTION OF A STORAGE SHED ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 870 INLET LA GREENPORT County Tax Map No. 473889 Section 043 Block 0002 Lot No. 008 pursuant to application dated MAY 11 1998 and approved by the Building Inspector. Fee $ 75.00 ORIGINAL Rev. 2/ 19/98 .5' 2- '? .L I c!::: TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSU ON [ ] FRAMING I STRAPPING [ . INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: /D ~ ' fJo / , ~~ DATi! IO(~/o? l INSPECTOR ~ , c- - :-'lELD I:~Sl:2C71()~~ 1. FOUNDA TI.Q.N _ -1..' s...u FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING 3. INSULATION PER N. Y. STATE ENERGY CODE 4. FINAL liD;',;":; II COKM[NTS ,~ ~ ,0 .." ~t l'l :::l :!: H o. '0. .., "" c: tI: [/) l'l ~ 20 0 ~ . ..J 0 ~ en f; .., = S; l'l l'l. . . .., ~ ! ~ :I: " :;:: (191. / / #/.. . -~ "5:..... 'r1)L) .-1l:; I ",,'/. 0 i"h:".l / (~___ hJ~. 4/ ~" ..R. ~ ~ .., 711:.. /--if . J..; 0 L dJ-,.{Ch / ~ / ~ I.Zh /. // ".t .A,. ./ . UJ l/ 111'/7A6;P/~ ..A.~Y ADDlfIoNAL COMMENTS: ~ &> o ) .:0:; ~ .20 Ot>J '" --+ /J-/51 ? P 1\ . , '" . ~~ H "":. ::a~ .. '- .., Q.. H~( o 20 O' f - 0:1: l'l ~ ?::. ;ri ::t '" l'l .." .., . ~.;;::;~.., ,.- ~.- . ------'.,c".... j TOWN OF SOUTHOLD PI'tOPERTY RECORD CARD STREET ?r 70 VILLAGE DISTRICT SUB. LOT r-(lh~e- I b DEse. --:-.." \, 1tftJ -1/3-2.. - 'f OWNER' ' .J )4-2s- N . -,JOOZLE: S IYJ, I:i. C-OA d '41- FARM W' \ . \ I COMM. CB. I MISC. D"f'c A a C/ j / 'I RES. tllb SEAS. VL. 76GfJ ~ if 00 .R, arm Tillable 1 u () TOTAL ';t- ';-H <c <<() (} (., "3<) 0 DATE REMARKS LAND IMP. Ol. .300 -z,~~o- /, V To C.olVl!..",7, r"p "';" 5/l.-7h1- ~.\2"'" 'kmL IUS;).&' r (If'?, ('Dryt -n-\b to,(\() ~\ N Ie _' < ~ 1:1 I #' 'O~3fgO--1>P(!c/ ~:n~1t.f)if)S f (-10 <'I'd: )1)<. -10 Aft. c;;a.l'aJ~ -,:)0, tJ()~. 6 D () , _~) c.. ! ,'> C'V'j 1300 o r::fcre " Tillable 2 Tillable 3 Woodland Swampland House Plot .. ---t----' ' Brushland _ c 'i.:! I' ; II . . \00 "- Q 2J(~ -;.:6100 (tension ,tension ,~'/'il l( '1\, 'eezewoy .~ ~. :;~~ t.~:::~~, " .~ ;+..~ . ~.r.;~..r:~~""-~ ;.-- .. -~... '\.i~~. . . '~&""''''.'."' .'. "~,;. '. '-1'-.- . :.. ',.--~'" ~f ;..;1 ~",,__,:"V_., ~ f$.... t~t:~.;. i: ~~N. '+ --', . -It . . ... ~'if'.. -.~ "'-':':~ifu:..E:(~' " c.....~;. " -'..>'.. :" ' .. .Jlff~~ ,,,iv: ".",' '_ '~;' . , ~. ." .~.~"\~.. . . "<~:a~.~~:..:.,{,. .{.'~ ':-:a~~~' ~ v." ., - >~ ~~ilI':",:c.- -'~'.: i\:'\~:'::"':; '~'-> - ~ '-'If" _. 'I .,~'" ..... ~ '- ---- 4,r'l- ).<~ _ 'J-~::' .2'2.~2Lf-~ 52 oundation 18tJg Ba5errn!nt Ext. Walls Fire Place ~ vJ,'f.'7 \()~'2o '" 7.0 ,2.,,- 50 Patio .)!friveway - . ---c ~ .-- ~t 1 I. I ;- .1,' , v '--'u 'f 'l- -,... Both f / Ifd (t, cf Floors Interior Finish i-vJ --( . (11 Fr.1 Ii HeOlt Porch 5) (. " >..,. Attic Porch Rooms 1st Floor Rooms 2nd Floor ..,. (1'~',"."',"",,~,,, '~.' ~;~ I "<0. I 01 Ci. x I I 8 : ---.-.......:::'!':':. I' I I .... I ! I I I I I I J .---- - I j . '0 '.."-' I~ 'g t- . u , <- I z . .. U1 I ;> .. Z , Ci I 0- .,- h UNAunIOIIZID ALnlAfICN 01 AIIDIIICIIiI 10 'RIll IWftY .. A YIOIA11ON Of -... 01' l1li_ __ IrAII 8IJCAnclN lAW. _01'....____.... .. LAND SUl'ftYDa"S .... IIAL 01. . -.... SIAL......""'._ ~:'l A V.wD ,IIUI'CcIlr. -....- "*A"" ___ ONLY ro 1HE ~ .01 WHOM 'nll1UIVIE ----CIN"'_101111 mu_. OIl_M__ -lNInMlClIl _ N........ _ 10__01'l1li__ 1WIDN. eMlfJ_ All _1ft~I-.WI 10 "II llllNAl ~ 01 'HIIUlIM - ~ "',' t ,.:J.:'i_...: '.' :to.S" I SCALE- 50" I" ra'MON0MENT 0x IkON. PlPE .' " ~ ~ 1",.,;;:,,;. ,',W ,/ ~ ... Ow I'- Jl ' 0<= ,4: Ill:!: oJ)~ -~ I I t . 'SO'50"E;. DQIVEWAY - )\ ">, \ \ ! '0 ',I <I} --i------J . , .,' ..i!...1;-c....j tf- " 1- "'. .' IV!A F-i . N l MA5"'t:/.05lM';"-iE. 4 f: .,'f " t" 2.05. <:;,.:. 2.4' I'C.~E.A;;<''''' ... rr': ~:...;t.'. ~. }. erg e, <1)<>' -"- (j Q ~, c. V.; " c '!.J.J ~ Q - \_~ ) (:; ci < Cl I /10' . ,- .-'-" '; : ,.~, ....--t. r'~~; -~.- , J ~j sue: ,/~.., v:;.... --.. ~---_._-~-- ~11 PJp\lvl r- .- ,-;---., ., b, ',--..,),' \~ f-'~; A,T . . . \- \ J . GR.FT ~POl<."f" ~ Tr\W" ~'F ",,). ~'.- . t..y .,-,;; f~,-, ;;J'.J'~'-"':'-l..-}~ L < ... _...... .I :J I, i [/ "j" ..':.-'....... . . I I . I : i I I , I I I , I " I , I i ! I i I I I I , ! i I I I I ! . I I I , I '-r ~ GUP,RANTEEl) TO fHE.tHtCAC..o rlT'lE tNSiJRft.:',C_C'::O, I 1'$ SURVEYED . . . MI'.k.e.19"72 i --~V.'f\'t''', TiU. :YitC::""J~.1 /' .... _ . r'll' 'i,' . 1 E- ."-,, ,.~ ~ ",'~. . ;".:../.,-:-- . I .,k::. V c-.( ~ " ,"l\t~N~.ED ~ND 5UR.VEYO~ , . 'l"'i'~.;i"" '~Ee""PCKT.I>,j.y' FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. 11971 BlOGF SO~;;'~ to TEL.: 765-1802 . TowN - Qr 1U200 :#-/9 ( Exammed ......6 -/::..1: ...,19/( JJ/ r Approved...... .wr.., 19,9hermit No. .~.~109. C. \oJ~ lUll l-A.tlY \ j' 1998 ~ U \IJ ~ rn 80,\/;0 OF HEALTH ~.... J SETS OF PLA~S .......... SURVEy.................... . CIICCK.jt. it.7/.. " . . . .. . . . .. . SEPTIC rOR~1 .............. ::071 F-Y: ':2 ,1~ CHI. 7::/1.-::$1............. HAIl. TO: . . . . . . . . . . . . . . . . . . . . Disapproved alc ..................................... . . . . . . .. . . . . . . . . . . . . . .~ Date .f.) ':':1-) J.. .. .. .. ., 19~ff. ./ 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 showing location of lot and of buildings on premises, relationship to adjoining premises or public streets ;)r arell::, and giving a detailed description of layout of property must be drawn on the diagram which is part df this appJj- :ation. c. The work covered by this application may not be commenced before issuance of Building Permit. i d: Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. ~uch permit ;hall 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 ,hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.' ["he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulati~ns, and to .dmit authorized inspectors on premises and in building for neces~~~. i.ns~. ~t.i~~S. .. .lf~. . . . . . . . ~ . . . . . . . . (Signature f applicant, or name, if a corpo~tion) . B. ~'f. .~.-' .c;.~rq.hC?j.~~ .N! K. .l.I.?1..f:".j" ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber r builper. ........:.0. H-:I.J...~.t, Y:..... ....... ...... ............. .......................................... 'iame of owner of premises .. P.Y.~ V).Q! !;. . . . . C.l? \'1. !"\.l.\ T. . . . . . . . . . . . . . . . . . . . : . . . . .. . . . . . . . . (as on the tax roll or latest deed) f applicant is a corporation, signature of duly aut~orjzed officer. ....... ...................... .................... .... . (Name and title of Corporate officer) Builder's License No. .. J.~. : . J. r.;J,.. -. .1.1. : -T: . . . Plumber's License No. ... .1')J, , . A ,t. . . . . . . . . . . . Electrician's License No. ... .f:{. '. A. : . . . . . . . . . . . Other Trade's License No. .. ."1.../1... . . . . . .. . .. . . Location. of land on which proposed work will be' done. ................................................. . ...?!. 7.~. . . . .;F. l.!.h'7T.. .1:--.;<;11 ~. . . .. .... c.. y. e.<:-.It. f.~'S'.T. . . . . . . . . .. . . . . .. . . . ... . . .. . .. . .. House Number Street Hamlet . County Tax Map No. 1000 Section ...4-.?......... Block ....~............ Lot....21.............. Subdivision.... ..... . " .. . ...... ... . .... . ..... .. Filed Map No. .............. Lot................ (Name) Slate existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and OCcupancy ........S. r~ Y. (;<-J e., . . ~ h. ~-d . . .. . .. .. .. .. . . . .. .. . .. .. . .. .. .l.. .. . . b. Intended use and OCCupancy ..........~. T. '::. ~ {."':-. . 1'. h.~.~. . . . . . ; . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . '<.0_. 3. Nature of work (check which applicable): New Building... " . . . . . Addition . .~'. . . '" Alteration .......... Repair .............. Removal " . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . . (Description) , 4. Estimated Cost .. .~.~".C?t!'.t?:..-:. .... .... ..... '" ..... Fee. ........................ .... .... ..... (to be paid on filing this application) S. If dwelling, number of dwelling units. . . . . . . . . . . . . .. Number of dwelling units on each noor . . . . . . . . . . . . . . . . . If garage, number of cars ........................................................................ 6. If business. Commercial or mixed Occupancy, specify nature apd extent of each type of use. '" ... " . . ... .... . .. 7. Di~ensions oY'9sting structures. if any: Front. . '--r- .c. ~ . . . . . Rear ..Iii.f:? .'. . . . . .. Depth.;;J..G .'. . . . . . . . . HeIght ... ( . . . . . . . . . . . Number of Stories. . .~. . . . . . . . . . . . . ./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions, of sarpe structure with alt~rations Or .E'9jtions: Fron~ . : 7. a . . . . . . . . . . '.' Rear. 7.($.: . . . . :. . . . . . . . D~Pth... ..?.G..:............ !Ielght '" .,.....;,............ Numberl'fStones.. ::;t:........o./......... 8. DI/11enSlOns of entire new constructIOn: Front. . .J 8 :S:' ... . " Rear.. J S. . . . . . . .. . Depth. . t., . . .. . ..... Height .... ./9. . . . ',-\' . ~l}ber of Stories. . . . . . . . . . . . . 7' . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front.. .:'>"I~. .h............ Rear.. pl,~..?:.............. Depth .;! ~~.~.............. 10. Date of Purchase ....../. <f., J.. . . :. . . .'... . . . . . . Nawe of Former Owner 17.~r:cT.h..:5' M,. .sCh'G1.~ .19... I I. Zone or use district in which premises are situated. . " . .1\~1. 14 ~",':\...L. . . . . . . . . . . . . . . .... '" .. ......... 12. D?es proposed construction violate any zoning law, ordinance Or regulation: .....N,~.........,............t'Y"\ 13. Will lot be regraded...... .No................... WiII excess fill be removed from premIses: 7. Yes ?,"\.Ne' 14. , Name of Owner of premises. .f,y''tVl.C,LS . C.".II.'\1'l-1Address .Gxerf-l<.f.o.", T.. . . . . Phone No. t;. .'1.-:. !iJ. . 'to . . Name of Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phone No. .. . . . . . . . . . . . . . Name of Contractor .ct:...q-<-~e-. f.'~I'lTt!lF......... Address C:'<<.T.c<lJ.I'.'J.~~..'", Phone No. .7AH.-;;!i.'.:l:~. 15. Is this property within 300 feet of a tidal wetland? *Ycs...~.. No......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing Or proposed, and, indicate all set.back dimensions (rom property lines. Give street and block number or description according to deed, and show street names and indicate Whether interior or corner lot. i ! GL\.\\ 7"... J 1- \.d:.e. t .J c t\ ,\It oJ .... .l. ~''1 ' Il') 0'" ~~t .;: ! 1P' ~-Jde~J' - I ~ /5/ ,f 6'" 17"\\ V\~ \:r\"'"'-"'e- ~ " ~ ~ .1 ~I """! ~ It-. lI\ tf ; I -~ , , I If. 0 I I _I- , ~ ( 11 '~ .L J:ItILe..T LCI.-'A-f?.. r' ~~./, - ~~~$~:~.~~~~:.. iQ~- : . . . ':;'~~~-Jr:;;'di'vt1'~~~~;;c't) . . . . . . . . .. being duly sworn, deposes and says that he is the applicant Jove named. ,is the...; ..jt.'<rf 4.J. ~ Y. .... .. ... . .. .'.. . .. . .. . . .. . . .. . . . .. . .. . .. .. ... .. . '" .. ..... . . ... . .. . (Contractor, agent, corporate officer, etc.) said owner or owners, and is dUly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the Jrk will be performed in the manner set forth in the application filed therewith. 'om to before me this ..... ./r:.~...... .dayof..... .0/:......... .,199..(f" "<YP'blk~.d.!.___________,_ .. Co,"", . F~ NDL,-y h'"h':";',,,:;;; r~~:"'yorlc .. ~. .,........ .... .............. No, 4951 ;;54 ' (Signature of applicant) Qualified in Suffolk County 711' Commission Expires May 22, 19_ -'" 'I I ,'i~ ===- . I; i ~ =- ..____ t. 'I I '~ ~-~;;it.-~--- --= -~:\_~'"'-~ ...... i ---- _~-!I ---'-- ~=-+I ..,AO~ ~\\\\t.i\.~~ '1' ""I~'t. Ii ',' ~1-<<"'~'\"~" "..,,, ~~ \.,;;5, "\1' li< .1-.~'.tc.c..e. ~l' I I' ~ C;" \\ v'~l I _ ~o I f;?;;iMS NOTED DATE' FEE~_14 ~ B,P' # ).'-\.'11,.01 ~ NO~ BY' ~-1~ ,.IFY BUILDING . . 765- 1802 9 AM DEPA ENT r FOLLOWING _..~~ FOR THE 1 FOUN~'- FOR -'NO 2 ROl JlDUIlB <<JNl_ MQUlRED . lJ..'" -.. 3. .._... n~ III · ""- 4 FINAL JG . IE a2~_UCt1C* MUlT AU. CCl__.1NC1IOII c.o. ::"'IIIQt1InI IIIRS:W- IBT C~ ~IL.-'C1IOII .1111 _.Y- DEli...:" IlIIfCIIII~-:: CGIII1IU:IKW &1CIIlI " ,"; -=lr-- 1.140\"1. He\, 5 ....... '1---;.(.. ~",rl'NS -:l '"{>11 / sll.\.A s OCCUPANCY OR USE IS UNLAWFUL ~tT~gC~Tp~~~~IFICATE ~ , -.-(0 . ... /.t I' r j....e< '< ..... ~:l.,I....H I~h c"I\e.'<:<!1e.-- lit G... '10 u..",d 0 v.. 16'" d c- lA.J\ T k Re. L "- ~ _, t7 ""-.-l' '"' "'-c;;:l IV l"'C:e. I I1'L 9' I' b \') r 1)0'<' e./..6"" G-'(Q\.d~ ~""l. ., -,-~ .~ . ~ftf' ~ ~~. (".' .\ -t. 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