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Home My WebLink About33107-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 08/10/07 No: Z-32531 THIS CERTIFIES that the building ELECTRIC REPAIR Location of Property: 270 OAK ST (HOUSE NO.) County Tax Map No. 473889 Section 42 (STREET) Block 1 GREENPORT (HAMLET) Lot 24 Subdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 28, 2007 pursuant to which Building Permit No. 33107-Z dated JUNE 5, 2007 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 ELECTRICAL REPAIR TO AN EXISTING 2 FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NORTH FORK HOUSING ALLIANCE (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 07-3905 07/26/07 N/A PLUMBERS CERTIFICATION DATED ~rf.;';d~ Rev. 1/81 ~ r--- I 765-1802 I'. 1 I 4 ! APPLICATION FOR CERTIFICATE OF OCCUP~ ... / ThIs applIcation must be filled m by typewnter or mk and submitted to the BUildmg Department ;;th th~~~ Form No.6 TOWN OF 80UTHOLD BUILDING DEPARTMENT TOWN HALL -~ 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 (8-9 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 I % 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. 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 I. 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 Date. ,-J U N ~ 1:( 2. ~ C I S.; (check one) r=:; a E,E N 1"0 ~T Hamlet ALl -r--AlI/C'p) ~N(' , I Lot 2~ . Filed Map. 413:121 Lot: 24 Applicant: !VO/?rA h./<K I-/~V.,rNr:; _ ALLTA-NCC;..TI"C Underwriters Approval: !t? I<lP R€/'FTVFD J2.j CtJN-r~ ACT o;e. x New Construction: Old or Pre-existing Building: '2/0 (2.2...0) House No. Owner or Owners of Property: !VMT H ('}A-K. Street FtJ Ie. \.:.... H 0 /.J <:T NG 'f-:<. Block Location of Property: Suffolk County T~~)'yl~.OOO' Section Subdivision (" :.. I 01 /)'s -t'lfir It ..... ! Permit No.CU",-rrl y V,cEItI Date ofPennit ..,. dltll!5 tl. Health Dept. Approval: . A Planning Board Approval: ilIA . . Request for: Temporary Certificate Final Certificate: &.~~ Fee Submitted: $ 2.f). tJ & ~.,.Rq75 co:c 3.2.5 31 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. 33107 Z Date JUNE 5, 2007 Permission is hereby granted to: NO FORK HOUSING ALLIANCE 116 SOUTH ST GREENPORT,NY 11944 for : ELECTRIC WORK AS APPLIED FOR at premises located at 270 OAK ST GREENPORT County Tax Map No. 473889 Section 042 Block 0001 Lot No. 024 pursuant to application dated MAY 28, 2007 and approved by the Building Inspector to expire on DECEMBER 5, 2008. Fee $ 200,00 lk"'Af-- rJ~... I Authorize Signature ORIGINAL Rev. 5/8/02 . /, OWNER STREET - ) . --, ! <- / '-.-./ t r 1 /^,,'., If. JOdI-, Fo,ktEofAS" F RMER OWNER VY\, Lt~>zan(k{ t;~~-%,V ( ! ( ~!! iJ:/ ~ES. ~J.O SEAS. LAND IMP. ?, " .~ C < C. ,. -' -' C/ 30() 00 3cc>o 4', -) " /) /, 4 + () (;) i ~t)() AGE NEW FARM NORMAL Acre Tillable J Tillable 2 nllable 3 ~aadland ;wamplond lrushland -louse Plot .otal 8Wf- S VL FARM TOTAL DATE ~ =r "J\ 11. ~,"",' -.I '+' 4d V7 00 /' '60 BUILDING CONDITION BELQW ABOVE Volue Per Acre Volue - VILLAGE " __}I, ;;/>.,.,'v ~. V E W COMM. CB. MISe. Mkt. Value REMARKS 2 fAM Dw. · ).1-lq J..- ~! f )() ACR. /73/ TYPE OF BUILDING :.L.-')~. . . " u".f .,' _4 ....r.',j,.....-c . ~ 72'01f4/3 al?>-I ../0 L./".F'H",-k i,.. ~ !:c, 000 ___ _I. ..J-{\(\,~' C (..-t ~\(i, \:{~it:) f! 't: r-r t{; I.) ~~ \ I'(\. 04"1v FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD , . ~ ,I.::; ... DOCK c.rtGl t I ~ t ' /.f p "" ! - :' ---- . ." --,"1- J o' COLOR :I ) 1-- " ~~I -" -" , 'll .' , ~.,.- ,a ~ - - Ii I .. TRIM ?- of , I ~t. !i It/) / ^ '"" V t /1 ("f.c .--- ." - I / ~~ - JlF- i I '- .. h L:- - I , " -,', ~-;-:-;c- ! '!' " ...... I .~ . _.--- _..------ .. - ----- - -- -. - - ~ _.,__m"_ -...---'-- ---~_. " I. Bldg. .2 if X- 4/) -'~-' .,..'"'(";' <7(; , S,.?; SD<YD ~oundation C e Bath L Dinette i' (,. ".7' " ) , ,. {r ~'" (/' ) jq 1- Ful! ()/J t:' _/ _7'- <tension , 3- ",0 t;: '1 l,; Basement Floors '" ~<C-(~ ' ,,"':'" Jl.Ca"'L , \.~., ,f'~ i'/> /J?:/.? rfC. [//#">:,, 't... (tension /~': 0;) . j c:>'" /J.~2 Ext. Walls Interior Finish /j..f ;:.:! . lR. dension Fire Place /1/O,1/e Heat /)// /1(.J~ rbR. Type Roof jl':i, / ,- Roams 1 st Floor 7 BR. I !(", /e [r lrch (' \(' Y 'J--.Y(" So Room Rooms 2nd Floor '7 C L.:,j.)" ,"i- I ~ S Recreation FIN. B. '...!. i I " . w17r. L1fl7\ Dormer :reezeway " ~Driveway {,(Iu, (/^V .\ , . I If:y 7.. La 0 "I~ 270 ' i\ arage :;"0 - I ..J , 'otio I, B, . otal 1/(6 . i7 '),0/0 / t-1.3 3 i 6 '733 {' t..LC', ,f!! ' , ,; '.i . . Erosion, Sedimentation and Storm.water Run-off Control Plan ASSESSMENT FORM Yes No EXEMPTIONS: A. Does this project meet the minimum standards for classification as an Agricultural Project. _ .Note: If you answered Ves to any of the above, a Storm-water, Grading, Drainage & Erosion Control Plan Is not required. -------------------------------------------------------------------- ACTIONS. REQUIRING THE SUBMISSION OF A STORM-WATER, GRADING. DRAINAGE & EROSION CONTROL PLAN. CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. 5. 6. 7. 8. Item Number: (A Check Mark (J) for each question is required for complete application) I. Will this. project retain all Storm-Water Run-off generated on Site? (This will include. all run-off created by site. clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Will this. project require any land filling, grading or excavation where there is a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? Yes No vg [dv gc/ [dV [du gv [dv (dv/ Note: If any answer to questions 'One through eight is answered with a check mark in the Box, a Storm.water, Grading, Drainage & Erosion Control Plan is required and must be submitted for review prior to issuance of any building permit. 2. 3. Will this application require land disturbing activities encompassing an area of five. thousand (5,000) square feet of ground surface or more? ------------------------------------------------------------------- 4. Is there a Natural Water course running through the site or is this project within One hundred (100) feet of wetlands or a beach? STATE OF NEW YORK, COUNTYOFHHSld~~\~ ..... ......58 That I. ..V...C."H HJ)~,J\~\o'.~'(cyn.~:. HH, HH being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) Will there be. site preparation on slopes which exceed fifteen (IS) feet of vertical rise to One hundr~d (100) feet of horizontal distance? Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction ofa Town Right-of-Way? Will this application require the placement of material, removal of vegetation and/or the .construction of any item within the Town Right-of-Way or road shoulder area? (This item does not Include the installation of driveway aprons.) Will there be site preparation within the one hundred {I 00) year floodplain of any watercourse? And that He/SlleTs the ........~.. (Owner, Contractor, Agent, Corporate Officer, etc.) Owner andlor representative ofthe Owner or O'WDer's, 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 best of his knowledge and belier; and that the work sill be perfonned in the manner set forth in the application filed herewith. ............... ..20(5") Notary Public: . . . . . . . . . . . . . . . . . . . . . .. ............. .............,........ BARBARA ANN RUDDER Notlry Public, State of New York No, 4855805 Qualified In Sufiolk County ;J.O 10 Commllllon Explr.l April 14, - ~~\~I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL So.(JTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. 03/f) 7 f/ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.SD.E.C. Trustees Contact: Mail to: PO' !!Joy rJ-04 Examined Approved Disapproved a! c lei)' ,20---.fl7 I fi> I C::, 20 07 I Phone~ b'ir 7}..;}.. ){OJ t Expiration r1r;:20ll! ----> ,.,"---:, c.'-' /u/ ( Building Inspector F" , r: (-, r,,-~>,\ " ' ,. il"> _.', _ \A "'1' 'J ... ,', I'.' , -',', ['\\ ,,, \" , 1 APPLICATION FOR BUILDING PERMIT \ ..- \--'"'- -- ~J Date ) /.:L ') ,20~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 or areas, and waterways. 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 a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or 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. OCOUPANCY OR ALL CONSTRUCTION SHALL USE IS UNLAWFUL MEET THE REQUIREMENTS OF THE '. ,'. CODES OF NEW YORK STATE. Po (\0>< J..0'-1 1V~'iU( Nf Wdl WITHOUT CERTIFICATE ~ERWRITERSCERTIFICAn. (Mailing ad?"ess otapplicant ~fe QCMug~Ys owner, lessee,a'gen~Qct, engineer, general contractor, electrician, plumber or builder APPROVED AS NOTED f1 DATE: 6/y7 B.P.# 3:.s In?-1-, (Signature of applicant or name, if a corporation) u-e",erc....\ COA+,OCix>, Name of owner of premises Nor AT FOR THE Builders License No. Plumbers License No. Electricians License No. 5.c- , Other Trade's License No. 00;"(1 (As on t e tax roll or ~t es LOING ,'= If applicant is a corporation, signature of duly authorized officer 765-1802 81\1,: Tr , FOllOWiNG Ii';o. ,0: 1. FOUNDATION., v '-1;:OU"lED FOR POURED C~:iCfdE 2. ROUGH. FRAr.' ';:; " pi UMB1NG ~~: ~INSULAT~~,~~,' ':~T'~IIST "P ~,.." " IVI I C. riw.~:.... l., ',,) ALL CONSTRUCTION SHAll MEET THE REOUIREMENTS OF THE CODE3 OF NEW YORK STATE. NOT RESPONSIBLE FOR DE~'pJ;l ~TRUCTION ERRORS. Hamlet (Name and title of corporate officer) )1 ~?C;--I-f ~t(, 'j-I1G:"' 1. Location of land on which proposed work will be done: dJ-o (~ ~ ')~ 0r~ It <:.+ House Number Street County Tax Map No. 1000 Section Subdivision 'f~ Block 1 Filed Map No. ~~J Lot . Lot ~~ (Name) L\~/ ~-(r-~ ? ~lQ ocJe S+- .~.. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ .. b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair f\('(..i ~\( , Removal Demolition "'~ 4. Estimated Cost Fee Addition Other Work Alteration (Description) 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflo!: Front Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_ 13. Will lot be re-graded? YES_NO_ Will excess fill be removed from premises? YES_ NO_ Phone No. Phone No Phone No. 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO _ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO_ * IF YES, D.E.e. PERMITS MAY BE REQUIRED. , 1'" ......$'\ ......",: ,-,' 16. Provide survey, to scale, with accurate foundation plan and distances'to property1ines. \..' ;;i .~~$ cJI _,C.. 17. If elevation at any point on property is at 10 feet or b~low,must pr9-v!4,e:~~v.sgraphical data on s~elUCHTIIv .' I ,.~'. .",,\ '. ""'" 1( l .- 18. Are there any covenants and restrictions with respect to this property7 * YES __ NO_ * IF YES, PROVIDE A COPY. ST ATE OF NEW YORK) SS: COUNTY OFS~\<---) \J C. De...' \c..s.t>~ '6.-n~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~~ (Contractor, 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 best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ day of ~ 20~ >.0 ~ Notary Public BARBARA ANN RUDDER Notary Public, Slate of New York No. 4855805 Quallliad In Suffolk County Commission expires April 14, ~D ~~ I ure 0 pp Icant