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