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HomeMy WebLinkAbout28043-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28221 Date: 02/19/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 1155 MAIN ST GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 34 Block 1 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 28, 2002 pursuant to which Building Permit No. 28043-Z dated JANUARY 28, 2002 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 ACCESSORY SHED AS APPLIED FOR. The certificate is issued to ROBERT W BRUCE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A (Z . Authori2od Signatu e Rev. 1/81 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. 28043 Z Date JANUARY 28 , 2002 Permission is hereby granted to: ROBERT W BRUCE 2085A SHIPYARD LA EAST MARION,NY 11939 for REPLACE EXPIRED BP# 25734Z FOR AN ACCESSORY BUILDING AS APPLIED FOR WITH NYS DEC AND TRUSTEE ' S APPROVALS at premises located at 1155 MAIN ST GREENPORT County Tax Map No. 473889 Section 034 Block 0001 Lot No. 009 pursuant to application dated JANUARY 28, 2002 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 FORM NO. 3 TOWN OF SOUTHOLD VQ /Q BUILDING DEPARTMENT c Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25734 Z Date MAY 19, 1999 Permission is hereby granted to: ROBERT W BRUCE 2085A SHIPYARD LA EAST MARION,NY 11939 for REMOVE EXISTING 18 X 20 ACCY BLDG. & BUILD NEW 12 X 20 ACCY BLDG IN SAME LOCATION AS APPLIED FOR. DEC#1-4738-02193/00001 TRUSTEE WAIVER. at premises located at 1155 MAIN ST GREENPORT County Tax Map No. 473889 Section 034 Block 0001 Lot No. 009 pursuant to application dated APRIL 6 1999 and approved by the Building Inspector. Fee $ 56 .00 AuXhq&i0d Si nature ORIGINAL Rev. 2/19/98 y Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 4-- TOWN HALL 765-1802 Com' e zr4�'o APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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. 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 a 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$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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map, Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: check one) Fee Submitted: $ scan ignature BUILDING DEPT. INSPECTION [Vf"�FO UNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY ol REMARKS: /a4L 40. —T DATE INSPECTOR � goy3 � BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR_9�2d­c�Af 4 [KLD INSPECTION REPORT DATE COUNTS saasaa ass:assess sass s sa:ss/a:zs: zaaaaa�/ aaaa�a�=a:zaaszazs: �i��f��,rr� 7 .2. QIC. JC• � � M H OUNDAT I ON ( IST) q '� b M I QUNDATION (2ND) _________________ _____=_ _____—______--_=___--_____________________________= N n n 0 OUGH FRAME & a vl PLUMBING p NI A-jl " to INSULATION PER N. Y. Iii y STATE ENERGY a CODE II n N q I �— Oen u �� `�• Q' / pb �ry H M 8 q II u FINAL __. ADDITIONAL COMMENTS: H � s H f-+ p x y � -- - od O�QSUFFO(�`►O Town Hall Albert J.Krupski, President �.r Gy 53095 Main Road James King,Vice-President o= t P.O.Box 1179 Henry Smith ti Z Southold,New York 11971 Artie Foster O Ken Poliwoda Telephone(516) 765-1892 y ��! a0 Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 17 , 1998 Robert S. Hughes, Esq. P.O. Box 128 Greenport NY 11944 RE: ROBERT BRUCE SCTM #34-1-9 Dear Mr. Hughes, The following action was taken at the Southold Town Board of Trustees meeting on December 16, 1998 : RESOLVED, that the Southold Town Board of Trustees grant the request for a Waiver to remove an existing garage and replace it with a storage shed with a smaller footprint. However, this does not constitute approval from any other agencies . If you have any questions, please call our office at 765-1892. Sincerely, Q Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. Bldg. Dept. L-"-" NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-021.93/00001 ■ March 31 1999 FACILITY/PROGRAM NUMBER(S) P E RM I T EXPIRATION DATE(S) Under the Environmental Conservation Law March 31, 2004 TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate O Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; 6NYCRR of Waters Certification 360: Solid Waste Management ❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR Supply 373: Hazardous Waste Management ❑ Article 19: Air Pollution ❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Transport Management ❑ Article 23, Title 27: Mined ❑ Article 15, Title 15: Long Land Reclamation ❑ Article 36: Floodplain Island WeLLS Management ■ Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ❑ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER Robert Bruce (516) 477-1738 ADDRESS OF PERMITTEE 2085A Shipyard Lane East Marion NY 11939 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Robert S. Hughes Esq., P.O. Box 128 Greenport, NY 11944 (516) 477-2700 NAME AND ADDRESS OF PROJECT/FACILITY Bruce property, 1155 Main Street Greenport, NY 11944 LOCATION OF PROJECT/FACILITY SCTM #1000-34-1-9 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Greenport NYSDEC FWW GP-16 E:721.0 N:4554.5 DESCRIPTION OF AUTHORIZED ACTIVITY: Remove existing shed and replace with a new shed within the existing footprint. Construct a 6' high stockade fence on the north, west and south sides of property and a 4' high picket fence on the east side of the property. All work shall be done in accordance with the plan stamped NYSDEC approved on 3/30/99. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT A7ij�eLand NISTRATOR: AD SS Joh A. .. (MRP) Bldg. 940, SUNY Stony Brook, NY 11790-2356 AUTH I SI NATURE DATE March 31 1999 Page 1 Of 4 r•:. r .w�u::sa iii j .�a.au `'ri�L .�'�•• r1�"` '�'•- ���1.+4,( it � � u• 16 ,ix%�. Mimi f r�'1d •u,��e....u�i�tt��l'��`iCir�.�dk<��.`5r��1 4 1 r, �t APR 6 1999 - BOARD OF HEALTH . .. . . .. . . . . . . . . BLDG.DEPT. FORM NO. 1 3 SETS OF PLANS .. .. . . .. . . . . . . . TOWN OF SOUTHOLD TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . ... . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . .. . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-18021 NOTIFY: -7 CALL . . �/. . .��. .7d.� Ex mined....... . CC,�G...... 19.Q9 C J. % MAIL TO: . . . . . . . . . . .. . ... . . . . pp 010 J Approved..... �a........ 19.1,1. Permit No. ..:............. .................................... Disapproved a/c .................................. .................................... ...................................................... (Build• •or) APPLICATION FOR BUILDING PERMIT // Date. .z,.J.?. . . . . . . . . ., 19. `c 5 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector Witt 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 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 for any purpose whatever until a Certificate of Occovancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MATE 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 bui i for i/n tions. G (Signature of apple /, or name, if a corporation) (Mailing addre State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricf 'lder. c Name of owner of premises ..... P ....................... . (as on the tax roll or latest deed) VUNJWQ '-•• •• AT , If applicant is a corporation, signature of duly authorized officer. 7613-19OZ 8 AM 10 4 PM THE FOLLOWW Mr8PECTKM- ......................................................... 1, FOUNDATION • TWO REQUIRED (Name and title of corporate officer) POPOMCONIMETE Z. ROU&I • FRAMING • PLUMBING 8. INSULATION Builders License No. 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Plumbers License No. ......................... ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. Electricians License No. ..................... STATE CONVrRUCTION dh ENERGY Ocher Trade's License No. .................... CODES. NOT RESPONSIBLE FOR DESIGN OR .00NSTRUCTION ERRORS 1. Location of land on which proposed work will be done.............................................................. L-� (Lc� NPoQ ....... .: ....................� !J`1 ...1.�rte..)......................... .................1:.................. House Number Street Hamlet County Tax Map No. 1000 Section .....3."J....... Block ......1......... Lot ..... ......... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy ofpremises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................c1. ...................... �. . ................... b. Intended use and occupancy .......4 CS i D ems; !&x. ................................................. y 3. Nature of work (check which applicable): New Building ....k- ... Addition .......... Alteration .......... Repair ............ .Ronoval ............. Demolition .k►......... Other Work ................................. (Description) 4. Estimated Cost ...... a................. fee ...................... ...................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....N...... Number of dwelling units on each floor ................ Ifgarage, 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 .....1.<� ...... Depth 2,R 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 ......L?%....... Rear ...I.L........ Depth .Z.�'......... Height .......................... Number of Stories ....t................ 9. Size of lot: Front ...R. .......... Rear ........... Depth ... ......:..... 10. Date of Purchasef c, .... Name of Former Owner ....... ..................... . II. Zone or use district in which promises are situated ................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ....P.p.............. 13. Will lot be regraded .... ........... Will excess fill be removed from premises: NO 14. Names of Owner of premises .�1�K"�-�..�.�:�.�a...... Address �o�S�Stt�PYi}„c��,},�,d .... phone No A.R.-./735.. C-A-s T k-C Name of Architect .................................... Address .............................. Phone No. ............ Name of Contractor ................................... Address .... .........................Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES ... .. ND .......... *IF YES, SQTIiM MM TRtb'W FMffT MAY BE MgfflM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions, from property lines. Give street and block amber or description according to deed, and show street names and indicate whether interior orAA corner lot. O /I /� o S C 'I I A-C +IcT-' 4 (�1Arl mTivfl r b2O!() O ,= �kvPoSalp � �r��� • $ c P LA- C" W ,11l I N T f/it 0 klS N <. f=v�T P 2 n� ; 0 J:2' 1�-!r i� Sic b wccK LS T-0 Qa- APLhca-0 . I f/c Sc'; i3 �c �c 2� •�-m TKc � t-S o� Q��.Q-S � N o �� � P P R o v ►�-� F me o J"i ►✓ � C - A-i.+ p l �. C3—S 8011 2A 43 q% ._....,.... . ...:Y>et 1401TA0 OOONIY OF��. .,/� *a Ar c 3IMi1J.lq ��� r.' r.w ....s -•�:�-- i�ly,��.yr rlotlo �. .................being duly sworn, deposes and says that be is the applicant _ii R� ? (Name of indivj44 _ above naamed, � JA a r { Heis,the ......3. 'Jr 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 are 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 thgirewith. Sworn toTorg me this Gj ...................da�A 19.`. ... Notary Public ........... .. ........ .... .� :. . ... . ..... / { NICA F. CIDONE (Signature of Applicant) V kWARY PURE. Sate of New York No. 52-4m36I" GuMM*d in Suffolk Com ft COMMalon ho" OfINPW— I I I . 2' 48 i ` NDRt-N map 2D.) i TNC, Ci. f 41THERSPOON 40 30 E. to . + l 85 fn as o �o�_ u N QP°Say w . �o_. _._.1 �� � W o N U) �- StjzD N .� m sui < T m N U1 I z �✓ ,* z r_._...._.._..... _ ._._ 4 I S.63 12 10 14, 10.55 FaR.R i . t unaWwlmd eMentlon or addkloa to this mvey Is a vbtdbn of $SCO n 7208 of to New York Stall WxadOtt taxi Coplea oHh4 many map not bearing ow d+b riavayora Inked sed or «nbossed eeat dal not be aonsiderod bbeavMb wooptc ®ueranUwkwbmw tenon dun run S.0 F F. CO.TAX MAP DATA= I WC -34-I-9. onlyto"Pers nfWah m"Surmy is pnpu4 wW on tb behdf to du aw oaMeny.goveffew"agency sod WOV MUM Bated hereon and to the alawmes of the Wbing Indo turbo.GuaMmas an oat brandenbie to add Gond inatkuttons or aubWquent OW'Nn.