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:
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DATi! IO(~/o?
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INSPECTOR
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FOUNDA TI.Q.N _ -1..' s...u
FOUNDATION (2nd)
2.
ROUGH FRAME &
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3.
INSULATION PER N. Y.
STATE ENERGY
CODE
4.
FINAL
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TOWN OF SOUTHOLD PI'tOPERTY RECORD CARD
STREET ?r 70 VILLAGE DISTRICT SUB. LOT
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REMARKS
LAND
IMP.
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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.
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: . . . ':;'~~~-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"
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NDL,-y h'"h':";',,,:;;; r~~:"'yorlc .. ~. .,........ .... ..............
No, 4951 ;;54 ' (Signature of applicant)
Qualified in Suffolk County 711'
Commission Expires May 22, 19_
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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~'-
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