The URL can be used to link to this page

Home My WebLink About36060-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 12/17/2012 CERTIFICATE OF OCCUPANCY No: 36086 Date: 12/17/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: SHED 880 WASHINGTON AVE GREENPORT, Sec/Block/Lot: 41.-1-32 Filed Map No. conforms substamially to the Application for Building Permit heretofore 11/19/2010 pursuant to which Building Permit No. was issued, and conforms to all of the requh'ements of the applicable provisions of the law. The occupancy for which this certificate is issued is: Lot No. filed in this officed dated 36060 dated 12/2/2010 accessory shed as applied for. The certificate is issued to STEVEN A BERBIG (OWNER) of the aforesaid builcYmg. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 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. 36060 Z Date DECEMBER 2, 2010 Permission is hereby granted to: STEVEN A BERBIG 108 WASHINGTON AVE GREENPORT,NY 11944 for : CONSTRUCTION OF AN ACCESSORY SHED AS APPLIED FOR at premises located at County Tax ~ap No. 473889 Section 041 purs,,~nt to application dated NOVEMBER Building Inspector to expire on JUNE 880 WASHINGTON AVE GREENPORT Block 0001 Lot No. 032 19, 2010 and approved by the 2, 2012. Fee $ 167.20 Authorized Signature COPY Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to thc Building Department with the following: A. For new building or new use: 1. Fina~ survey ~f property with accurat~ ~~cati~n ~f a~~ bui~dings~ pr~p~rty ~ines~ streets~ and unusua~ natura~ ~r 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 PI.arming Board Approvat 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. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00. Accessory building $50.00, Additions to accessory building $50.00, 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.Temp°rary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: .~) House No. Owner or Owners of Property: Old or Pre-existing Building: ' ' Street Date. (check one) Hamlet Suffolk County Tax Map No 1000, Section Subdivision Permit No. 5~{) (o O Health Dept. Approval: 'Planning Board Approval: Date of Permit. Block Filed Map. Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ ~-~[_') ,/~/'5~__. ~ Final Certificate: _ (check one) Appiicant Signatu9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. no rth fo rk. net/Southold/ Examined ~.~07 ~ 20~_ Approved Disapproved ~c Expiration NOV { 9 2010 41~3 I~pI[.cation MUST be PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 set~ of Building Plans Planning Beard approval Survey Check Septic Form Trustees Contact: Phone: ~uildlng Inspector APPLICATION FOR BUILDING PERMIT Date [ ~ 140V~,.~ ,20 INSTRUCTIONS ompletely filled in by typewriter or in ink and submi~ed to the Building haspactor Fee according to schedule. uflot and of buildings on premises, relationship to adjoining premises or public streets or (Name and title of corporate officer) Builders License No. ~,~.r~'o ~tt. Plumbers License No. ca Electricians License No. Other Trades License No. I. Location of land on which proposecLwork will be done: House Number ~treet Coun~ Tax Map No. 1000 Section Subdivision (Name) Hamlet Filed Map No. : LOp~ !- ,;, ;, ' sets ol~'altalgYag~l_i~,~o., t plan to sc~ I>. Plot plan snowing ~ocauon 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 buildin4 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 bom such date. If no zoning m:nsndments 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. Tbereafler, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Cotmty, New York, and other applicable Laws, Ordinances or Regulations, for the eonsmction 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. (Signature of al/plicant ~name, ifa corporation) (IX~iling address of ~pplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~-~f-~?Y'~4 (As on the trax mli'or latest deed) If applicant is a corporation, signature of duly authorized officer 2. State existing use and occupancy of premises and intended use and occupancy of proposed constmetion: a. Existing use and occupancy ~w ~,&~q b. Intended nse and occupancy '~n' ~4,A?; 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost Fee 5. If dwelling, number ofdweiling units - O - If garage, number of cars -- o-- Addition Alteration Other Work ~[~qu~,Aq.q~ ~,~.~ (Description) (To be paid on filing this application) Number ofdwelling units on each floor ~ *O-- 6. If business, commercial or mixed occupancy, specify nature and extent of each type of nse. 8. 9. 10. Date of Purchase Dimensions of existing structures, if any: Front I ~./ Rear I ~ Height 1 -~"'" iq ~4×. Number of Stories Ol,t~ Dimensions of same stru~ure wAh alterabons or additions: Front Depth He,ght ~ __Number of Dimens ons of entire new ~ns~u~on: Front ~ Re~ I Z~ Height I~' ~A~ Number o~ ~ Si~ of lot: Front ~O~ Re~ ~0/ Dep~ ~ TO e l l. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO v~' 13. Will lot be re-grnded? YES___ NO -~ Will excess fill be removed from premises? YES NO vt' 14. NamesofOwnerofpremises %-*~er~,~ '~Wo(m. Address IO~ iAtl~/p~,h~PhoneNo. Name of Architect ~t/,,% Address Phone No NameofContrnctor F~o~a,~14~> C..~ Address (,~l:~-,~o~:s"r;N~ PhoneNo. 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) COUNTY OF ~'~b--'e~q ~r~ 1 ca. being duly sworn, deposes and says that (s)he is the applicant (Name of individual signhg contract) above named, (S)He is the ~'~ (Contr~tctor, 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 m~e 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 }~ dayof ~ 0'~o'1~:~{;,. 201~ CONNIE D. BUNCH Notary Pul~. 8tare of ~v Yor~ No, 01BU61~050 Qual#1~ In ~fol~ CounW C~ E~l~re~ .~orfl 14, 2 ~! ~_ ~>'~Signsmre~>o f pp~icant ~,¢ ~o~ /¢y, ~leVy _Eloo¢- She. b, £1 C_. v.4 -D LUFA[/CW ' ~ APPROVED AS N J~E' ._ 78~J802 8 ~ TO 4 PM FOR ]: FOLLOWING INSPECTIONS t, FOUNDATION. TWO REQUIRED FOR POURED CONCRE'iE 2 ROUGH. FRAMING, PLUMBING STRAPPING, ELECTRICAL ~ CAULKIN:: 3 iNSU~TION 4 FINAL. CONSTRuCTiON ~ ELECTRICAL MUST ~ COMPLETE FOR C O ALL C~R~TiON 8~LL MEET THE REQUIREMENTS OF THE CODEs Or NEW TORK STATE NOT RESPONSIBLE FOR DESFGN OR CONSTRUCTION ERRORS