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HomeMy WebLinkAbout24368-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34702 I~ate: 11/22/10 THIS u~TIFIES that the building ADDITION I~)cation of Pz~)pel~cy: 75700 MAIN RD ~ 711 FRONT SR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 48 Block 1 Sut~division Filed Map No. Lot No. GREENPORT Lot 10 (~LS24LET) conforms substantially to the Application for Building Permit heretofore filed in this office dated purs,,mnt to which Building Permit No. 24368-Z dated 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANNETTE E PAY of the aforesaid building. ( OWNER ) SUFFOLK CO~I'Y DEPARTMENT OF }~2%LTH APPROVAL ~.~CT~ICA5 C~KTIFICATE NO. PL~ ~KTIFICATION DA'r~ N/A N/A N/A Rev. 1/81 lvo~.~ NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORE AUTHORIZED) ~ z ~o~ .... ~.../../... ................ , ,~ Permission is hereby granted_to:~./~.~....~,,~_,,,~..~..~..~./,~., ~ / . ~ ~ . .~.~......~....~, .................................. .~ ~ ."d~~"~".~...~ ......... ,o .~......%~.~~.~~~ ........ at prom ~s I~at~ at. Coun~ Tax Map No. 1000 Section ........ ~ ....... Bilk ........~ .........Lot No..~ ............... Building Inspector. approved by the Rev. 6/30/80 Form No. 6 BUILDING DEPARTMENT TOWN HALL This application.must be filled in by typewriter or ink and submitted to the Building Department wil h ~llow~g: /~ A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and um al nat~ 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 amhitect 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 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, 3. 4. 5. New Construction: Location of Propert'~ OwnerorOwnersofProperty'~X/ ~/'~,q ,~,~ ~--~' Suffolk County Tax Map No 1000, Section ~ <~ Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date.N'X- Old or Pre-existing Building: (check one) House No. Street Block [ Lot Subdivision Filed Map. Lot: Permit No. g 4~ ~->~ Health Dept. Approval: Planning Board Approval: Date of Permit. Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING /~/~FINAL [ ] FIREPLACE & CHIMNEY [ ] fiRE SAFETY INSFF. CTION [ ] fiRE RESISTANT CONSmUCT~N [ ] FIRE RESLfTANT FENETRATION REMARKS: DATE FORI~I NO. TO~N OF SOUTHOLD BUILDING DEPARTI~IENT TOWN IIALL SOUTHOLD, N.Y. 1197{ TEL: 765- 1802 Disapproved ~c ..................................  OR BUILDING PERIqlT INSTRUCTIONS ~ S~TS O~,NS . ~ SURVEY ~ ...................... C,,ECR .............. SEPTIC FORH ................... NOTIFY: CALL .................. .................... ......... a. This applicatio~ ~ust be c~pletely filled in b~ type~iter or in i~ ~ ~tt~ to t~ ~ildi~ Ins~tor with 3 ~Cs of pl~, ~aCe plot pl~ to ~ale. F~ ~i~ to ~le. b. ~o~ pl~ ~i~ 1~i~ of loc ~ of ~ildi~s ~ ~s, ~lati~ip to ~joini~ ~i~s or ~lic sC~s or areas, ~ givi~ a ~tail~ &~rl~ of l~t of ~r~ ~t ~ dr~ ~ [[~ di~ ~id~ is ~rC of fl~is a~licati~. I c. ~ w~ ~ ~ ~i~?~liati~ ~ m~ ~ c~ ~fore isle of ~ildi~ Pemit. d. ~ ~al of ~is~.~li~ti~, the ~ildi~ l~tor ~11 is~ a ~ildi~ ~mit to the ~lic~c. ~ ~mit ~all ~ ~'~ ~ ~s ~il~le for i~tim that tl~ ~. e. ~ ~ildi~ ~11 ~ ~i~ ~ ~ in ~le or in ~rt for ~ ~ ~at~r ~til a ~rtificate of ~ ~all ~ ~n ~t~ ~ ~ ~ildi~ In~tor. ~I~'~ IS ~l~ ~ to t~ ~ildi~ ~r~nt for ~ isle of a ~ildi~ ~mit ~t to t~ ~lildi~ ~ ~i~e of ~ ~ of ~fl~ld, ~ffolk ~, ~ Yo~, ~ other ~li~le I~s, ~i~es or ~lati~, f~ the mt~ti~ of ~ildi~, ~giti~ or alterati~s, or for r~al or ~liti~,. ~ ~rein (~ri~. ~m a~li~t ~s to ~ly vlth all a~li~le 1~, o~i~s, ~ildi~ ~, ~i~ ~, ~ ~lati~, a~ to ~it ~ri~ i~tors ~ ~i~s ~ in ~ildi~.for t~es~ in~ti~s. ............. (Si~e of a~llc~t, or ~, if a m~ratlm) State ~hether applicant is o~er, lessee, agent, architect, engineer, general contractor, electrician, plt~her or Imilder. ......... . /. . . . . .......................................................................... l~ o~ c~mer 0f.pr~ises ......... {'.. ~ .................................................. (an on the tax roll or latest ~d) If applicant is a corporation, sil~aL~n-e of duly an~borized officer. (Na~e and title of corporate officer) I~ilders License ]No .......................... Pl~bers License No .......................... Electricians License No ...................... Other Trade's License Na ..................... I. Docatie~ of land o~ ~d~ich proposed york ~dll be done ......... .... Ii.. ....... ..*.... ............................. ..................... }louse No~berStreet U~let Cetm~ Tax 14ap No. 1000 Section . .~..~.~... Block ...... ..~. ....... Lot ..... .~..~. ....... Subdivision ...................................... Filed Nap No ................ Lot ............... 2. State existing use and eecWamcy of praises and intended use and occupancy o£ proposed construction: a. '~sting use and occupancy ..... .~..~..~..~..C.'X.C ..... .O/..~..c..A~. ............................................ b. Inter,led use and occupancy .............................................. 15. 10~(me of ~otk (check ~lsidt applicable): b~_~ l~dhling .......... ~llti~ ..~ .... hlterati~ ...~.. l~q~fir ............ ~a[ ............. 1~1 i~i~ ............ OUmr l~)~ .................................. Esti,~t~l C~st. ...... .... ..... -0.......,.0 f~ . ............................................. (to I~ ~id ~ filing this al~licati~) If (k~lli~g, ~t~r of ~lllng ~uti~s ............ tt~d~r of (k~lllng ~its ~ east flor ................ Jf garage, ~l~r of ~rs ...................................... If I~mi~ss, ~ercla[ or mi~l ~oq~, s~ci~ ~ture m~l exteeC of each t~ of u~ ...................... I)i,~nsi~m of ~istlng s~nw[~res, if any: ~ ................ ~ar ............... ~pth ................. I~ip)~ ......................... ~d~r of Scories ...................... l)i,ensi~s of ~ str~re with ~lterati~m or mklitlons: Fr~t ............... ~ar ............... I~plh .................... I~J~ .................... ~d~r of S~ories ............... Di,ensi~ 6~ entire ~ c~stn~ti~: l~t ................ l~ar ............... ~pUt .............. I~i[~c ......................... ~l~r of S~ories ..................... Si~ of lot: lh~k .................... l~ar .................... ~pth .................... I~fle o~ ~rcha~ ..................... ~ of Four ~r ............. ........................... 7z~ or u~ dls~ricC in ~id~ pr~i~s a~ s~r~ .............................................................. ff~s prolo~l c~mtn~ti~ violate m~y m~i~ i~, o.li~e or red,latin: ..................... ,-- ~il[ 1o~ I~ reg~ .................... ~ill ~exs fill ~ ~.~ ~ Ar~hi~.c~ .................................... ~ress .............................. ~ ~ ............... ls Ibis pnqx~tty within ~ f~t of a ti(~l ~tlm~l~ * ~Lq .......... PI.OT I) IAGRAH l~x:ate clearly and distinctly all L~ildlngs, ~lietlier existing or proposed, and indicate all set-lk~k dimensions frc~* property lines. Give street mid block r~ni~er or description ~cco~l|ng to deed, and d~o~ street nr~es ami irglicale ~,4~etlmr interior or corner lot. ...... ....... (~m~ of h*livld~.~/ slg~ing c(mtr~et) k~ i, the ... ' ............. ~ .................... ngen~, cor~ro~e o[[icer, f m~id ~r or <~rs, m~l is duly ~flhoriT~l to I~rf~)n, or hnve I~r~o[,~ the ~(I ~ck ond Lo nnke ond file Ihi, · q~licaCi~*; that ;~tl sLaLemnts c~x~tahx~l in thin nl~d icatlcm are t~ Lo O~e ~a~)n~, delx)se~ m~l miys that lie i.q tile nlq~l i(~]nt (Sip,~mt:ure of ^l~lleont) Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York I 1971 d}959 BUILDING DEPARTMENT TOWN OF SOUTI-IOLD Fax (6311 765-9502 Telephone (631 ) 765-1802 November 29th, 2006 Annette Ray P.O. Box 634 Greenport, N.Y. 11944 RE: 75700 Route 25 (deck) SCTM# 48 0001 I0 Dear Mrs. Ray, Please be advised that your Building Permit #24368 issued September 19th, 1997 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 $75.00. 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. 5 [37.5 Main Road P.(.). Box 117!) Southokl, NY 11!)71-0959 Tckq)honc (631) 765-1802 Fax 0531) 765-9502 October 14th, 2010 1~[ III.DING DEPARTMENT TOWN OF SOUTHOLD F'rNAL NOTZCE Annette Roy P.O. Box 634 Greenport, N.Y. 11944 RE: 75700 Route 25 (bECK Abb~mzON) 5CTM: #1000-48.-1-10 Dear Mrs. Ray, Please be advised that your Building Permit # 24368 issued September 19th, 1997 has expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy must be issued before use of the structure. To renew your Building Permit, please submit a fee of $75.00. At that time, we can schedule an inspection by one of our Building Inspectors. If you hove any questions, please call us at 765-1802. Respectfully, 5OUTHOLD TOWN BUILDING DEPT. 'liV N.," ,..m TOWN OF SOUTHOLD PROPERTY RECORD CARD '' "' WNER STREET -~ ~- 70(~''') VILLAGE DIST. SUB. LOT ACR. S W ~PE OF BUILDING :s. 21,o js~s." w. ~AR~ co~. c.. ~:cs. ~ND IMP. TOTAL DATE REMARKS ~/~/;.~I / /~ A~ ~UIL~l~ CO~BITIO~ Acre Iloble ERONTAGE ON WATER 'o~lond FRONTAGE ON ROAD eodowlend DEPTH ouse Plot BULKHEAD ~1 ~ ~ ~ D~K $'7? COLOR ¸4, TRIM ~M. Bldg. Extension Extension Extension Porch Porch Breezeway Garage Patio O. Bo Total Foundation ~Ext. Walls Fire Place Type Roof Recreation Room er '~,,~,~F'-- Both ?'~/~/_. Floors 161'4,'¢~."~1 Interior Finish Rooms 2nd Floor Driveway )inette DR. BR. FIN. B Town Hall AllnCX ,51375 Main Ri)ad P.(). Box 1179 SouthoM, NY 11971-0959 'l'elephonc ({;31) 7(;,3-180~ l";tx (t~:'l I ) 1½1 IILI)ING I)I'~PARTMI'2NT TOWN OF SOUTHOLD November 5, 2010 Annette Ray PO Box 634 Greenport, NY 11944 RE: 75700 (aka 711 Front St), Greenport TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occuancy: "~ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00 __ Final Health Department approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal, __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 24368-Z deck addition Ap, FROV[O AS NO~ 765 I802 9 AM TO ~ FOLLOWING iNSFF~CTIONS: 1. FOUNDATION ° TWO REQUIRED FOR pOURED cONCRETE 2. ROUGH - FRAMING & pLUMBING 3, ;NSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C~O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE coNSTRUCTION & ENER_G_Y_ cODES. NOT RESPONSIBLE ~DK DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY