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HomeMy WebLinkAbout28021-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28491 Date: 06/06/02 THIS CERTIFIES t~at the building SINGLE FAMILY RESIDENCE Location of Property: 760 CEDARFIELDS DR GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 40 Block 5 Lot 1.23 Subdivision Filed Map No. __ Lot No. conforms substantially to t~e Application for Building Permit heretofore filed in this office dated JAAUJARY 22, 2002 pursuant to which Building Perntit No. 28021-Z dated JAAUJARY 22, 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 SECOND FLOOR ALTERATIONS TO A SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NEIL J MACDONALD (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPARTMENTOF~RALTHAPPROVAL ELEctrICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~3 05/16/02 Rev. 1/81 N/A 1054054 05/20/02 ROBERT VAN ETTEN Authoriz~ Si~at~e 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. 28021 Z Date J~NUARY 22, 2002 Permission is hereby granted to: NEIL J MACDONALD 760 CEDARFIELDS DRIVE GREENPORT,NY 11944 for : RENEWAL OF BUILDING PERMIT 24922-Z, TO MAKE SECOND FLOOR ADDITIONS TO A SINGLE FAMILY DWELLING at premises located at 760 CEDARFIELDS DR GREENPORT County Tax Map No. 473889 Section 040 Block 0005 Lot No. 001.023 pursuant to application dated JANUARY 22, 2002 and approved by the Building Inspector. Fee $ 175.00 Authorized Signature Rev. 2/19/98 COPY Form No. 6 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 the Building Department with the following: For new building or new use: I. Final survey of property with accurate location of ail 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. aJ 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 topograpliie 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 New Construction: / Location of Property: -7/o O House No. Owner or Owners of Property: ]N~ 411 Suffolk County Tax Map No 1000, Section Subdivision PermitNo. 7<~OZ I ~'"'~ Health Dept. Approval: Planuing Board Approval: Request for: Temporary Certificate Fee Submitted: $ c~ S. o_.~a Date of Permit. Date. Old or Pre-existing Building: Street OqO 0 Filed Map. 0{- Zd ~ Applicant: Underwriters Approval: Final Certificate: (check one) Hamlet Lot 00[. 0 Z. -~ Lot: (check one) Apl~Tmant Signature Town Halls 53095 Main Road P.O. Box 1179 Southold, New Y6rk 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF 8OUTHOI,D CERTIFICATION Building Permit No. Owner: .H e;~ Plumber: 'LS oZ I (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ,.~a day of .,~'g.~te~..,~ , 20 (Plumbers Signatu?e) Notary Publi~ County BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORk BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY ' 40 FULTON STREET ~ NEW YORK, NY 10038 CERTifIES THAT Upon the application of upon premises owned by NElL J. MACDONALD 760 CEDAR FIELD DRIVE GREENPORT N.Y.11944 NElL J. MACDONALD JR. 760 CEDARDFIELDS DRIVE GREENPORT, VILL, NY 11944 Located at 760 CEDARDFIELDS DRIVE GREENPORT, VILL, NY 11944 Application Number: 1054054 Certificate Number: 1054054 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Second Floor, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 20th Day of May, :2002. Name QTY Rate Rating Circuit Type Alarm and Emergency Equipment Sensor 2 0 Smoke Appliances and Accessories Exhaust Fan 1 0 F.H.P. Wiring and Devices Receptacle 12 0 General Purpose Switch 7 0 General Purpose Fixture 7 0 Incandescent Paddle Fan 2 0 Receptacle 1 0 GFCI seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. [ ] FOUNDATION 2ND [~']'~FRAMING [ ] FIREPLACE & CHIMNEY [ ] INSULATION [ ] FINAL 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU~iPLBG. [ ] FOUNDATION 2ND [~--~]~INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP~A~ CHIMNEY REMARKS. ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ [ ] FRAMING [~I~iNAL [ ] FIREPLA~HIMNEy REM DATE ~~INSPE III,~;III.ATI()II I'F. It ti. ¥. ~'I'A T F. F. III~IIC¥ [J~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved .... , 19 Permit No. ?. ?.~..2: .C?..'~-.. Disapproved a/c ................................ j .... APPLICATION FOR BUILDING PERMIT ~..-~'] SETS OF' PLA~'I$ SURVEY /.-CIIECK ......... 't ........ SEPTIC F 0 R,'I CALL HAIL TO: INSTRUCTIONS Date ....... : ........... 19~.(0 a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with: 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 stkeet or areas, and giving a deta/led description of layout of property must be drawn on the diagram which is part of this appli cation. 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 iisued a Building Permit to the applicant. Such penni 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 0ccupancx shall have been granted by the Building Inspector. . APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tht Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o~ Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The applicant agrees to comply ~,*ith all applicable laws, ordinances, building code, housing code, and regulations, and tc admit authorized inspectors on pr~mises and in building for necessary inspections. /~ . ,~ . -- ' ... ~ .9- ~.c~C4'... '... '. .... (Signatur~ of applicant, or name, if a corporat[o'n') .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generaJ'contractor, electrician, plumber or builder. C~ t.O ,"h o__. f-'-- ..... , ........ ' ............. . ....... . .............. . ................ . .... ....... Nameofownerofpremises ..~..~.'..!..3..,...~...0,.(.7..'~..o'"'o.._(,~ -JC, - (as on tile tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' (Name and title of corporate officer) Builder's License No.. N/./[. Plumber's License No..~..~7~: ._..?....' ......... Electrician's License No.. l,t./[l .................. Other Trade's License No. Location of land on which proposed work will be done. ~7(~o' .......... C ~ ,J~ ~--(-:,'~_ I J.~ .~.,.,, ': ........................ ....... : ................ ............... ~.e. ' .. Coc~.¢.o.~.~:r.-p: ..... '. ;.~t. [-louse Number Street Hamlet ........ . Cotmty Tax Map No. 1000Section .,.' O. oo Block ~.(__.~..:00 ' Lot..O.~.( , .~.jt,,/'~:e.( 4,.;.O4L.(,q,f?.e Map No..(~.~...¢. Lot.. Subdivision ~ U, ~0 4;d..'.t?..;t) ,~. }..~. ~(~I ....... State existing use and occupancy of premises and intended use and occupancy of proposed constructioni a. Existing use and occu ancy ~1-4-~; oC- L)~ ~',qlsl,, P ...... ~ ................. .~... b. Intended use and occupancy .~,J.C.o..o..OO.' b~.(.Jc..% ~2-~cxJr~ (-.qo..tr,:.' -3. Nature of work (check which applicable): New Building Addition Alteration Repair .............. Removal .............. Demolition ..... : ......... Other Work 0OO, ~ . ' (Description) 4. Estimated Cost . :~ C~ ...... : ........................ Fee 5. · (to be paid on filing th~s apphcahon) · I~gd~;aelgI~%'unmU~e;f°TaTelhng units ............... . Number of dwelling units on each floor ........ 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 Height ............... Number of Stories . · -. ........... Depth ............... Dimensions of shine structure with ........................................................ Depth ' alterations or additions: 'Front ................. Rear ................. Height ....... i ...' ......... ..; Number of Stories ........... 2 ·. i ....... 8. Dimensions ofentire new construction: Front ..... ' Rear ........ Height Number ~ ~- ' .................. Depth .. . 9. · .............. ot ~tones ........................................ Sizeoflot: Front ............... .... ~.. Rear ............. ; .... i... Depth .............. 10. Date of Purchase ......... i .......... · ....... · · Name of Former Owner . . 11. ZOne or use district in which premises are situated .............. ............................. i ~. - 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will 10t be regraded ................................ 14. ' ...... ; .................... Will excess fill be removed from premises: Yes No Name of Owner of premises .................... Address ..: .............. Phone No ........ : . Name of Architect ....................... ·... Address ... Phone No - ' ' ' ' Name of Contractor .......................... Address ............ ..... Phone No ..... ' t5.~ Is this property within 300 feet of a tidal wetland? *Ye~' ~ .............. · *If yes, Southold Town Trustees Permit may be requi~ed. '" .... ~ ......... .... 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 number or description according to deed, and show street names and indicate whether interior or corner lot. APPROVED AS NOTED FEE: ~ ~J''~' ~ BY: /~' '/'~'~O/ . - ~2NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST · BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ..... ~'~('/''-~' ~{~"~~ff~.-.~ ~' being duly s,vorn, deposes and says that he is the applicant (Name of individual signing contract) ....... (Contractor, agent, corporate officer, etc.) . 'said owner or owners, and is duly autl{orized to perform or have performed the said work and to make and file this plication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the ~rk will be performed in the manner set forth in the application filed therewith. /om to before me thi~ Nota~ Public, State of New York. _ 9t{alifi~d~nSuffolkCoanW ~j~ // ~ -'~b/ '(Signatureofapplicant) commission Expires Decombor 8, 19 ~ · ~ / SUR VE Y OF LOT 23 SUBDIVISION OF CEDARFIELDS FILED JUNE 27, 1990 FILE NO. 8988 A T GREENPOR T TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 40 - 05 - PlO 01 Scale 1" = 30' July 11, 1990 Sept. 28, 1990(found. loc) March I, 1991(final) N sa, ~4.17' H. S. REF. NO. 90 - SO - 96 AREA = 20,124sq. ft. Zor ~ SCENIC l O l' .(.(.(.(~ CERTIFIED TO' NEff- J. MAC DONALD DALE MORTGAGE BANKER CORP. N/O/P $ONYMA N~W YORK ~0)' (~ P.O. BOX 909 MAIN ROAD SOUTHOLD, N.Y. I1971