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HomeMy WebLinkAbout34370-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33480 Rte: 01/10/09 THIS CERTIFIES that the building "AS BUILT" DECK ADDITION Location of Property: 1135 GREEN HILL LA GREENPORT (HOUSE NO.) (STREET) (HANLET) Co~nty Tax Map No. 473889 Section 33 Block 2 I~Dt 28 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 2, 2009 pursuant to which Building Permit No. 34370-Z dated JANUARY 2, 2009 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 AS BUILT DECK ADDITION TO AN EXISTING SINGLE F~4ILY DWELLING AS APPLIED FOR. /~ne certificate is issued to SUSAN DELEO - FP~ANCIS YAKABOSKI (OWNER) of the aforesaid building. SUFFOLK COU~F~YDEPARTM~NTOF }~%LTHAPPRO¥]%L ELRurKICAL CERTIFICATE NO. PLU~ERS CERTIFICATION DA'£~U N/A N/A N/A Rev. 1/81 -- Form No. 6 ' Il ~ BUILDING DEPARTMENT I TOWN HALL [ ~ R ERTIFICATEOFOCCUPANCY ~DG DEPT. ~PPLICATION FO C This application must be filled in by typewriter or ink and submi~ed to the Building Depa~ment wi~h ~he following: Ao 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. 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. 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. Co 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 Date. December 30, 2008 New Construction: Old or Pre-existing Building: X (check one) Location of Property: 1135 GreenhJ 11 Lane Greonpnrl- }louse No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 33 Subdivision Map of eastern Shores, Section 5 Block 02 Filed Map. 5234 Lot 28 Lot: 129 Permit No. Date of Permit. Health Dept. Approval: N/A Planning Board Approval: N/A Request for: Temporary Certificate Applicant: Underwriters Approval: Final Certificate: (check one) Fee Submitted: $ [/- ~:6~t4~ignature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34370 Z Date JANUARY 2, 2009 Permission is hereby granted to: F YAKABOSKI FOR S DELEO 1135 GREEN HILL LA GREENPORT,NY 11944 for : "AS BUILT" 7'X 35' DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 033 pursuant to application dated JANUARY Building Inspector to expire on JULY 1135 GREEN HILL LA GREENPORT Block 0002 Lot NO. 028 2, 2009 and approved by the 2, 2010. Fee $ 400.00 / ~v Auth~orized Signature ORIGINAL Rev. 5/8/02 'TOWNOF ~OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined Approved //~ ,2C~ Disapproved a/c PERMIT NO. 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 Septic Form N.Y S D E.C Trustees .... -~ Flood Pemqit "% i-~ (~ F~ Il ~ lb ' ~ Stonn-WaterAssessmentFom ~ b~O~; DEPT ' ] Building Inspectm APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date De_c_ember 30 ,20 08 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 beibre 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 Ibr any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. £ 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 line zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, m writing, thc 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 Southold, Suftblk 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 bnilding Ibr necessary inspection ~'~turc.,~pplicant or name, ifa corporation) 456 Griffina Avenue, Riverhead, New York 11901 (Mailing addre$5 of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nan]e of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Olher Tradds License No. 1. Location of land on which proposed work will be done: 1135 Greenhxll Lane Greenport House Number Street Hamlet County Tax Map No. 1000 Section 33 Block 02 Subdivision Map of Eastern shores Filed Map No. bZ~4 Lot 28 Lot 129 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existlng use and occupancy single famSly dwelllng single family dwelling b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. 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 exlsting 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 Rear .Depth Height Number of Stories 9. Size oflot: 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 Will excess fill be removed from premises? YES NO__ 14. NamesofOwnerofr~rem~es see p.1 Name of Architect""'ar~-es Thomas Name of Contractor Address Phone No. Address gu BOX 877 PhoneNo Address Oamesport, NYPhoneNo. 15 a. ls this property within 100 feet eta tidal wetland or a freshwater wetland? *YES * 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 X * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO X 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. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO X STATE OF NEW YORK) SS: COUNTY OF Suffo)lk Francis J. Yakaboski being duly sworn, deposes ~md says that (s)he is the applicant (Name of individual signing contract) above named, of said o,aner or owners, and is duly authorized to perform or have perfommd 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 will be performed in the manner set tbrth th the application filed therewith S,aorn to before me this 30 da, of DocembeD 20 _08 see annexed survey see annexed survey Cheil A. Bliss Notary Public, State of NewYork EO. OLBL6056053 C ..:::f ir, ~uffolk County ~. ,. Cc ' ~ Expires Mar. 12,~}~ TOWN OF SOUTHOLD BUILDING DEPT. 765- t 802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~111~'~ [ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT~CONSTRUCTION [ ] FIRE RESI~TANTPENETRATION REMARKS:~ DATE INSPECTOR FIELD INSPECTION REPORT: DATE COMMENTS FOUNDATION (1ST) ..................................... FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FIN~ ADDITION~ COMMENTS CONSENT TO INSPECTION Frm~cis J. Yakaboski, As Executor Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) &the premises in the Town of Southold, located at 1135 Greenhill Lane, Greenport which is shown and designated on the Suffolk County Tax Map as District 1000, Section 33 , Block 02 Lot 28 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: CO for deck around pool That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all &the laws, ordinances, rules and regulations &the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct &such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: December 30, 2008 Frandis J. Iakaboski (Print Name) (Signature) (Print Name) FRANCIS J. YAKABOSKI MEMO Hand Delivered DATE: January 8, 2009 TO: Gary Fish, Building inspector, Town of Southold, Building Department RE: Estate of Susan H. Delco, 1135 Greenhill Lane, Greenport, New York Dear Mr. Fish: Per our conversation of this morning, I am delivering herewith statement of Charles Thomas, R.A., regarding the construction of the deck you recently inspected together with my affidavit concerning the situation regarding the inground pool. Time is of the essence in this matter and I would appreciate it greatly if you would issue a certificate of occupancy for the deck at your early convenience. Thank you. Very truly y~ours, FJY:cb ~ FRANCIS J. YAKABOSKI ATTORNEYAND COUNSELOR AT LAW ~5G GRI~IFX2qG P. O. BOX 389 MEMO ttand Delivered DATE: December 3 l, 2008 TO: Building Department, Town of Southold To Be Attached to Building Permit and CO Applications RE: Estate of Susan H. Deleo, 1135 Greenhill Lane, Greenport, New York I am submitting herewith an application fbra building permit and CO for the deck /7 located at the rear of the premises situate at 1135 Greenhill Lane GreenporL~New Yotk. i! aI--~'~am also subm-itting a~n application orTb-ffT~e?m~t an~D-F$~Fthe~de~klng that currently ~[x "~o,z,~-.. r'~ exists ~ound the swimming pool:ffl'he home and~he ~W[mm~n~g~oth have -~ '~, certificates 0f 0ccup-~nc~ The~ertificate of occupancy lbr the home is #Z4844 dat?d~mT* October 10, 1972. The certificate of occupancy for the pool and deck and fence is/~-. #Z 14170 dated January 17, 1986. Copies of both certificates of occupancy are submitted herewith. I am submitting a drawing with respect to the wood deck. I am not submitting any drawing with respect to thc decking around the pool except for the new survey shmving the decking. The decking around the pool is at grade level. Should you have any further questions concerning these applications, please do not hesitate to contact the undersigned. Thank you. Ve?'t~rruly~rs, ~s~"'jf/Yakaboski FJY:cb ' Enclosures CONSENT TO INSPECTION Franris J. Yakaboski, As Executor Owner(s) Name(s) the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 1].35 Greenhill Lane, dreenport which is shmvn and designated on the Suffolk County Tax Map as District 1000, Section 33 , Block 02 , Lot 28 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: CO for deck around pool That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: December 30, 2008 ---~(.g~4at ure) ' Francis J. ~(akaboski (Print Name) (Signature) (Print Name) AFFIDAVIT STATE OF NEW YORK ss: COUNTY OF SUFFOLK Francis J. Yakaboski, being duly sworn, deposes and says: I am the attorney for as well as the Executor of the Estate of Susan H. Deleo. I make this affidavit regarding the premises situate at 1135 Greenhill Lane, Greenport, New York, owned by the Estate and knowing that the Building Department of the Town of Southold will rely on my statements. I am aware that the pool at the premises is in disrepair. The Estate has entered into a contract to sell the premises in "as is" condition. The purchaser has inspected personally as well as with an engineer the premises and all structures on the premises including the inground swimming pool. The purchaser is aware that repairs are necessary and in the interim however, I am representing to the Town Building Department that the Estate will secure the fence including locking the gate in order to continue to protect the grounds pending a sale. As indicated, this affidavit is made knowing that the Building Department will rely thereon and issue a certificate of occupancy for the deck at the rear of the home on the parcel. Dated: January 8, 2009 Sworn to before me this ~-?hday of January, 2009. Franci~l: Y~akabosjki I~,HAI~LES 5'1. THOMAS, R..A. 1135 Green Hill Road Greenport, NY January 6, 2009 Dear Southold Town Bldg. Dept., This letter shall serve to certify that the existing above grade deck attached to the West side (rear) of the above referenced residence had been constructed in accordance with the NYS Building Code Please/~ontact our/~ffi~ ~r comments. Charles M. Thomas,~k~..~P~k ~ /,~I7/~, 08-29-2008 14:12 SOUTHOLD BUILDING DEPT 16317659502 PAGE3 FO RM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Seuthold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the build/n8 .... P. 9 g.l.,..,,19.c,k., &.../'.e.q 9 p.. ...................... lx~cation of Property .~.135..licee~,hi1~ .~l~O/l ................... qC~p~tlc~',t; ........... /-Iom~ No. Sl*m~ N~m/et County Tax Map No. 1000 Section ... 03~ ...... Block ..... ~ ......... Lot..~8. ............. Subdivision ..... ~p.~.~.o. ~p..S.h. ,o?.e.~. ......... Filed Map No~. 5.2.3. ~ .... Lot No ..... '~.2, .9 ...... conforms substantially to the Application for Bu/lding Permit heretofore t'fled in this office dated .... .J.u.n. $. ?. .......... 19 ~.2. pursuant to which Building Permit No. I 1736 Z dated .... .J.u.q ~. ,~.1 ................ 19,8,~., was issued, and ¢onform~ lo all of the requirements of the applicable provisions of the law. The occupallcy for which this cerfiflcato is issued is ......... ..... Y. ngro~nd. ~t/imm,!.~g. pP. ql ,. ;i.q~k. ~../'.ap.ce. .. .......................... . ..... The certiflcate is iS~ued to . Ap/~uq.t, L.a,z'mann and ~lEe of the at'o~.~a/d build/hi. ~;uffolk County Dcpartmen; of Health Approval .... ~ ./.A. .................................. UNDERWRITERS CERTIFICAT~ NO N572606 Buildin$ Impcctor 0~-~-~008 l~: ~l ~OUTHOLO BUILDIN~ C~RT ~317~5950~ PRC~2 TOWN OF $OUTHOI~ BUILDIN/; DEPARTMENT~ Town Clerk'~ Office $outhold, N. Y. Certificate Of Occup, m:y THIS CERTIFIES that the building located at ...({~'~, I~L~.I], .Z~rm ...... Strcct conforms sub~antiaHy W the Application f~ Building P~rm~t hcretoi~re fil~ in this office dasd ............ ~ .... ~.~., 19~2., w~ i~ued, aqd ~ntn~s to all of the r~uire- men~ oi the applicahle provisions of the law. The ~eqpa~cy for which this certifh~at~ The cer/ificatc is issued to (eWer, ieee ~ ten.t) of the ~orc~fid b~lding. Suffolk County Dcpa~,tment of Hc~th ApproVal -., ~,,~.~.. { ~.. b~.. ~ZXa .... Ih[lrdmg Irl~l)CC/Or TOWN OF $OUTHOLD PROPERTY -~"/ STREet it35 N S FARM LAND IMP. TOTAL DATE V l LLAGE W CON'dv% CB. MICS. REMARKS RECORD CARD DIST. SUB. LOT/c~ ~/ Mkt. Value ~CR. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Tillable Woodland Meadowla~d House Plot Total Value Per Value Acre FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD COLOR M. Bldg. Extension Extension Porch Porch Garage Patio/7¢ Total ~oo Foundation Bosement Beth Floors Ext. Walls -"ire Place Interior Finish Heat Type Roof Rooms 1st Floor 'Recreation Room Rooms 2nd Floor Dormer Driveway iRR.iette I FIN. B LOT ~ bO~ hOT t~5 ?0' 9 \ SURVEY OF LOT 129 MAP OF EASTERN SHORES SECTION FIVE FILE No. 5234 FILED DECEMBER 31, 1968 SITUA TED A T GREENPORT TOWN OF' SOUTHOLD SUF-F-OLK COUNTY, NEW YORK S.C. TAX No. 1000-35-02-28 SCALE 1"=30' SEPTEMBER 11, 2008 AREA = 20,602 sq. ff. 0.473 ac. CERTIFIED TO: SUSAN DeLEO 99% INTEREST FRANCIS J. YAKABOSKI 1% INTEREST PREPARED IN ACCORDANCE STANDARDS FOR TffLE FOR SUCH USE N.Y.S. Lic. No. 50467 Nathan Taft Corwin III Land Surveyor UNAUTHORIZED ALTERA~ON OR ADDmON TO THIS SURVEY IS A ~OLA'~ON OF COPIES OF ~-IIS SUEV[Y t~ NOT BE.~RING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHN_L NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTWICA~ONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO ~HE ~TLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTiTU3iON US'TED HEREON. AND TO THE ASSK~NEES OF THE LENDING INSTI- I~TION. CER'RF~CATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Title Surveys -- Subdivisions -- Site Plons -- Construction Layout PHONE (651)727-2090 Fox (651)727-1727 OFFICES LOCATED AT MA~LING ADDRESS 322 Roonoke Avenue P.O. Box 1931 Riverheod, New York 11901 Riverheod, New York 11901-0965 EXISTING HOUSE EXTG, BAR & SINK AREA HAND SINK :0 ~2 I ~[JCOh ENTRY I OCA D I I I I 22(12 BOX GDR. IEXIIS~IN~ I WOOD STEP TO GRADE I 13°°1sF I 1(2) ~x s IACQ I 4 x 4 ACQ POST ON 8' SONO TUBE MIN 36' BELOW GRADE O PLAN ~,~' -- ,'-o' EXISTING OUqOOOR 'BAR' ~ITH SINK EXISTING HOUSE BEYOND DESIGN CRITERIA 765-1 FOL[ ' ' 1. F 3. I ~,,-,, , ';~T BE :~ ,~ ~J-~T THE ~T/,,'----~WEST ELEVATION ~FC~'~LC~wOFRuL~°~s WITHOUT CERTIFICATE OF OCCUPANCY SUBJECT TO DAMAGE PROM GROUND WIND SEISMIC WINTER ICE FLOOD LIVE DEAD ROOF UPLIFT LOAD WALL SHEATHING USE/ HEIGHT FIRE SNOW SPEED DESIGN FROST DESIGN SHIELD HAZARDS LOAD LOAO SUCTION LOAD OCCUPANCY AREA LOAD (MPH) CATEGORY LINE TEMP~ UNDERLAYMENT CLASSIFICATION WEATHERING DEP~ ]~RMINA]E DECAY REQUIRED I,I O SHEET NO. 1