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HomeMy WebLinkAbout33814-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33033 Date: 05/16/08 THIS CERTIFIES that the building FIRE DAMAGE REPAIR Location of Property: 830 GREENWAY EAST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 2 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated Building Permit No. 33814-Z APRIL 11, 2008 pursuant to which dated APRIL 11, 2008 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 FIRE DAMAGE REPAIR TO AN EXISTING SECOND FLOOR (LEFT UNFINISHED WITH NO ELECTRIC OR HEAT). The certificate is issued to DOROTHY K AUSTIN (OWNER) of the aforesaid building. SIIFFOLR COUNTY DEPARTMENT OF HBALTH APPROVAI, N/A SLSCTRICAL CERTIFICATE NO. N/A PLDIYIDSRS DATED _~!~ Authorized Signature Rev. 1/81 ma; I Fonn No. 6 TOWN OF SOUTHOLD __ ._ . ___- BUILDINGDEPARTMENT t 5 -'-- -- -- TOWN HALL ~ ~S c f~ . _ 765-1802 5 J APPLICATION FOR CERTIFICATE OF OCCUPANCY (. A. For uew building or new use: l . 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. Cotrunercial 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 Apri19, 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, Swinuning 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 oC Certificate of Occupancy - $,25 4 Updated Certificate of Occupancy - $50.00 5_ Tcinporary Cerificate oCOecupancy - Residential $IS.00, Coimnercial $15.00 Daate. New Conslmction: _ Old or Pre-existing Building: (check one) ~ Locatio^ of Property:~C~/~~C-w ~„y ~ _ _ ~ 2 1 ~/1/ House No. Sheet Hamlet Owner or Owners of Property: ~~ p (~ -~' ({ ~ ~~~ ~ Suffolk Count}' Tax ~Qap No 1000, Section O I ,5 Block_ U b D ~ Lot Q ~„~ Subdivision ~ Permit No ~3~ Health Dept . ppr~ oval: --._ ___-- Piled Map. Date of PenniL~~' --~ ~'©~ Applicant Platming Board Approval: 2equesi Cor. Temporary Certificate ~I Fee Subu~itted: $' ~ ~ Off,) __ Underwriters Approval: LoL Final Certificate:_ (eheckone) G~ ~ 3 3 0 33 ~J _ Applica Signature Tl>is application must be filled in by typewriter or ink and submitted to the Building Department ~itirt&e-go{}mg1ng=-r -_~ 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. 33814 Z Permission is hereby granted to: for ORIENT.NY 11957 Date APRIL 11, 2008 DOROTHY K AUSTIN 830 GREENWAY EAST FIRE DAMAGE REPAIR AND AS BUILT SECOND STORY ALTERATIONS AS APPLIED FOR.ADDITIONAL CERTIFICATION MAY BE REQUIRED.REPLACES BP # 30279 at premises located at 830 GREENWAY EAST ORIENT County Tax Map No. 473889 Section 015 Block 0002 Lot No. 012 pursuant to application dated APRIL 11, 2008 and approved by the Building Inspector to expire on Fee $ 150.00 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. 30279 Z Date MAY 3, 2004 Permission is hereby granted to: DOROTHY K AUSTIN PO BOX 423 ORIENT,NY 11957 for FIRE DAMAGE REPAIR AND AS BUILT SECOND STORY ALTERATIONS AS APPLIED FOR. ADDITIONAL CERTIFICATION MAY BE REQUIRED. at premises located at 830 GREENWAY EAST ORIENT County Tax Map No. 473889 Section 015 Block 0002 Lot No. 012 pursuant to application dated APRIL 21, 2004 and approved by the Building Inspector to expire on T'~T'neennn Fee $ 300.00 O ^f !1 !~ C ORIGINAL Rev. 5/8/02 33~~~Z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATWN .~ ~ n ~ n REMAR,KS: /~ " "~- ' / ~Yr-.. ~ ~D~~'~ DYE. ~-d'~Q, ~-' Gt~~c.` L D ~~ ~~i i DATE ~~ ~ ~ ~ INSPECTOR ~•~~ ~°l7 ~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH BG. [ ]FOUNDATION 2ND [ SULATION [ ]FRAMING [ ]FINAL DATE / INSPECTOR [ ]FIREPLACE 8 CHIMNEY [ ]FIRE SAFETY INSPECTION FIELD INSPECTION REPORT DATE COMMENTS ~~ ro FOUNDATION (iST) , ~,, H )~ FOUNDATION (2ND) P ~ y `\ \: z 0 H ROUGH FRAMING & _ ~ ~ PLUMBING ~ , ~ n A m INSULATION PER N Y r y . . STATE ENERGY CODE ~ - g ,,,~ ~. FINAL ~ ~ ~ ADDITIONAL COMMENTS Z ,O Z ~` ~ e y 'O z x - ~`\ ~ y x d TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ~ S ,20 Approved ,20~ Disapproved a/c Expiration `` , 20 R2~~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Boazd of Health 4 sets of Building Plans_ Planning Boazd approval PERMTT NO. - ~y Survey APPLICATION FOR BUILDING PERMIT Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: ~a 9, 3 3 3 ~_ Build g In ec r ~" Date INSTRUCTIONS -~ 20~ 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 or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. c'c. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a petmit 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 pernut 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 Southold, 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. I tt Ro FIQST dF ht9N6 ~S49NA`j" (Signature of applicant or name, if a corporation) 3 Et_-taS L~, -^l~owUfet~t;~.~n-~~ (Mailing address of applicant) ~ ~ ~ 9Ia State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder Name of owner of premises If applicant is a corporation, signature of du ~~C~ n V ice, (Name and title of corporate officer) Builders License No. Plumbers License No. (As on the tax roll or latest deed) authorized officer Electricians License No. Other Trade's License No._r ~ ~up,~~~µ~„T (~,,,~,~-~ ~ f ~3 '~,~- 1. Location of land on which proposed work will be dgne: ~'3rJ Ge~~NwAv ~~~- o/Ztt House Number Hamlet County Tax Map No. 1000 Section ~ ~ Block ~ Lot ~ ~-- Subdivision Filed Map No. Lot (Name) - 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructton: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of worly{check which applicable): New Building Addition Repair L Removal Demolition Other Work 4. Estimated Cost ~ 5 i ~.~ Fee (Description) Alteration (To be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of6tnries 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. 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 V Will excess fill be removed from premises? YES NO~ 14. Names of Owner of premises I~eAm~l Akrr~nJ Address 8~'0 Cx~sn~y ~ASf Phone No.(~/-3~3 ~a'1n~ Name of Architect Address Phone No Name of Contractor~~ivsfo,ll.o,~~~SuaaAddress 3EL~uS u~• PhoneNo.631'ga9-33x3 15 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.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF S ~r~l ~o~E2 CLtFTu^~ < < being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~7t~7B~ ~Gt'~/f (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 aze 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. Swo~m/to~byefore me this r / day of ~ 20 ~ 7 __ Notary Public .. ':Tr"sin , ..... ar t s ~~'`-~"~ Signature of pplicant ~,...+~..>.~,w.. . <': N~S~4LL~ASSEITO lbrk ".Py~ i ggg ~ ~ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York ]1971-0959 April 9~' 2008 Dorothy K. Austin P.O. Box 423 Orient, N.Y. 11957 ~o~apF SOUjyo~ ~ • ~~0,~ ~~y00UNTV ,~°,~' BUILDING DEPARTMENT TOWN OF SOUTHOLD RE: 830 Greenway East (Repair Fire Damage /Second Story) SCTM # 15.-2-12 Dear Ms. Austin, Fax (631)765-9502 Telephone (63l) 765-1802 Please be advised that your Building Permit # 30279 issued May 3rd, 2004 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $300.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Purof first of LONG ISLAND, INC. A Single Source Provider® of Fire & Water Damage Restoration & Reconstruction A Division of CMS T0; TOWN OF SOUTHOLD FROM; PUROFIRST OF LONG ISLAND, INC. DATE; 4/19/2004 PERMIT NUMBER: 30161 RE; AUSTIN RESIDENCE 830 GREENWAY EAST ORIENT, N.Y. SERVICES; REPLACE SECOND STORY SHEETROCK, FLOORING, INSULATION, AND WINDOWS. APPORX. TOTAL: $15,000.00 Three Elms Lane • Wading River, NY 11792 (631) 929-3333 • Fax (631) 929-1592 [ndependently Owned and Operated _~ P~R~(_v~-ENV LAND ~--- E. .. .; ~~ Z iY s ~~ 0 I•ItfsoNE. - tso.o _-fir" ~ _ Nkll s ; l ;. ~_ ~ ~; Z (OO~S~ .SEC .I . ~- 5.89'tl'SO~ - ~~ Y N 3 a ~~ JTNORIZEO ALIgI.iLOM Ol AppLL141 -I$ SUF VFY '$ A WUTAAON Ot . 'JN ~aD9 cE riYF M[W TOt FATE r10N IA W. - OF iXIS SURVEY MAR NOT IEM~'O N $URVEYOR'$ Ri!E9 SEAE OR ' ID $!AI SFAL:' -:;T of CON$IDBED VAiiD TRUE COpY, IES FNDi'AL'D Y.fkfgV NULL NN ilii: ?fi:$~N f0R WNOM iHF ${RVET d D. AA'D JN NIS [(IiAtf TO TIE -.3~ 'ANY, vOVEY1JiA[NTA/ AGAKV A/r -uvJMG INSriiJpCN L: SrFO MfREON, AND 70 iNF AS$IGNFE$ OF 7NE IENDf1G III$lF fUT10N. GUARANTEES A0.E NOT 7RAN$fNAYf To AmmoNAt R+$nrunoru a sw$EOUat owEws. 1~Ap ~~- t'QOF~R~Y SuRVCytn roq ~~ . S`'ITZt'~' a _TI .I Ct-C~ a~ - w S 4 ~.. so' .. I.oT • s o N pj~ coT Nun~bERs StJONN ~EFEq Ta "rnr~P aF yt(tEN ACRES 0T ORIENT" FILM tN Tug- 4Ut~otit; CffdNTy Ii.EKi{'S B~~IGE• AS,.lf~AP N° 3540 i lc° ~. ~~~~~~ Sttuarr AT OQI ENT jeWU or SouTuo~n ~ N.y. p ~ ~qoN PtPt c = ~1oNU~kNT HU1\iCY1ht?LLA TO TU4 C11iC1l.CA TiTi~;':; INSUICI~NGt. CoJr+~1'~NY o Sue~t:Yt~ - ~c,c.~eY ~sza QOD~QiCi( VQN jUyl,,P.G. ~/~ ... LICE-Nit~b LAMA SUR Ytf'KS iaa© _,~ _,_,2 TOWN OF SOUTHOLD PROPERTY RECORD CARD ~-l~ OWNER STREET ~~~' ~ VILLAGE DIST. SUB. LOT orc~~ F • S~i ~~tt,=t=Nwa y ~nsf ~ ~ FORMER OW ER N ' ~ E ACR. 1 G orytSCS (y/-,e+a~ a ~ ~ ZPA f ~C CGr if '~ S W TYPE OF BUILDING RES_ ~ ~ SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS ~ ,t ~ '•' J v %dr yd ^e e n :..u ` ea y ~~ T ~ ~ d ~,. _. Z~ e Y Yn ~~ 3~ 3 7 73 a 0 G> 0 0 a ~ /` ~~ ~ ~- l 8" - f f~ - ~ ~ o ~ 3 ~ d ~ ~ Y- - r C, , Sao 390 700 0 ~ 3a~ - 3 ~ S ~dcmo~iterm ~ D c) y' 0 6 s.~ 0 0 ~~8' AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 ~ Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH v .v ,~,~ ~,, BULKHEAD Total DOCK ~ ~ COLOR ~ j r /~ v 14 ~ ~ TRIM - --- nWm _ - - W 1-E ~ t y , ~ ~ .~ n.-_ , ~"` ~ ~ , v`~e / M. Bldg. ~~ K 3S_ ~O Foundation _ G B Bath ~ ~ Dinette Extension ~d >( ~ ~ - p~ Basement `' ~ L Floors o w ,,~ K. Extension U ~ 3 yip 50 3 Ext~Walls a c.D ~y~A,. Interior Finish ~ ~ ~ p ~ LR. Extension Fire Place~'~~ ~ ES Heat ~ fs °: DR. Type Roof Rooms lst Floor BR. Parch 7 K ~9 /~ .S4 6 ~; Recreation Roo Rooms 2nd Floo FiN. B. Porch Dormer Breezeway Driveway Garage Patio a/ ~ / ~ ~ .,[ / o o .? 9~' O. B. Total ~ Q 6 _~~~~ :'7FF lCE ~~~~,,,¢~ Cea/L-T~E~c~~ Uo~S Jwt~ 'fit 2tGzUl~0 UNDERWRITERS CERTIFICATE AP R VED AS NOTED REQUIRED DATE: 3 B~P• ~ ~ ~ (~ p.(~ ~ 0 U L ING DEPARTMENT AT ~V ~ ~ 6s~iG ~~,~ FOLLOWING INSPECTIONS: 1. FOUNDATION • TWO REQUIRED Ip yy ~I.ELt:Qi~4t> 9 ILI~iUI,~TlO}a FOR POURED CONCRETE '(o GnuFoP..~1 '(o "OLD" C,oDE 2. ROUGH • FRAMING & PLUMBING 3. INSULATION ~\~ ~~ G~Ylf1~~I.iPE1~o1..1 7u 4. FINAL -CONSTRUCTION MUST _ $E CIIMPIET;<rQR C.O. _ _ _ _ _ _ _ _ _ „ ~.o, q'-`~'~~y X `I~~O'~Z N ~ ~ ,g QLL~Oj`ISTRUCTION SHALL MEET E DES OF W ~Q ~L. E MEN7~ OF THE CO ~{ C1GIFt~ 14.'1 5F I.IUi~T, 135E Vtl~t. _ _ - - __ _ _ - -- - . __ YORK STAT~`idOT R~SPONSI$L ---- DESIGN OfS CONSTRUCTION ERR - - - - - - - - - - - - _ - -- - - - - -- - ~ - off IG S oR.4~,~ ~ ~.fn1~G 13J~ Gt-, ~ -Nrrf6 ~ 4 I S ~ ' ~ I R~ ~ ~ ( o ' P.~GE . 1 t- S 1 F F ~ ~t ~~ ~ K~~G~ubu. CnP~ USE IS UNLAWFUL ^11TH0UT CERTIFICATE ~ , ~~- ~~CUPAIdCY , ~,~ I G,(zt;~E-1 ,4GR~S ,4t o(UEUt MsIP 1~~. 3S'to IAt to ~, I ~~ EI,IZ.4BEi}• 'fI~MPSoF~•Af7~•trft~G ~z1-32~~3873 ~/~ ~~ , ~ I,o I~ ~.PW L, ~i, Zoo