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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28919 Date: 10/07/02 THIS CERTIFIES that the building ALTERATION Location of Property: 1455 WASHINGTON AVE EXT GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 40 Block 5 Lot 1.29 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 20, 2002 pursuant to which Building Permit No. 28762-Z dated SEPTEMBER 20, 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 FINISH SECOND FLOOR ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to DONNA MARIE RINI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-042591 09/13/94 PLUMBERS CERTIFICATION DATED 10/10/94 RUSSELL SCHUR Authorized Sig ture 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. 28762 Z Date SEPTEMBER 20, 2002 Permission is hereby granted to : DONNA MARIE RINI SCHUR 1455 WASHINGTON AVE EXT GREENPORT,NY 11944 for . FINISH SECOND FLOOR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES PMT 421124Z at premises located at 1455 WASHINGTON AVE EXT GREENPORT County Tax Map No. 473889 Section 040 Block 0005 Lot No. 001 . 029 pursuant to application dated SEPTEMBER 20 , 2002 and approved by the Building Inspector to expire on MARCH 20, 2004 . Fee $ 150 . 00 Authoriz ignatu COPY Rev. 5/8/02 FORK NO. a 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) WN! 2112 4 Z Date .. ®� � ................................... 19`�.r? Permission is hereby granted to: ..................... .....�� . Of 40 W. ....Z. j ... ..GkG r -... ..... .. ...................................................................... at premises located at ... ... .. �ti 7 ... . ...... ........................ ...............................................5..7 . . . .. ........................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section ....... Q.......... Block .. .......... Lot No. ....1.!. .(..... i pursuant to application dated ........ �C:5 19�.,�,� and approved by the Building Inspector. Fee C� ns.. . .. .... uildi for Rev. 6/30/80 Form No. 6 f TOWN OF SOUTHOLD BUILDING DEPARTMENT , TOWN FALL - 1 765-1802 - 3 2002 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or irk and submitted to the Building l4epartment with ilie`lo11o`wing: 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 certifrc 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 use 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 Occupanc 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$25.0( Swimming pool$25.00,Accessory building$25.00, Additions to accessory building$25.00,Businesses$50.01 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 D te. Now Construction: Old or Pre-existing Building- 17 (check one) Location of Property: _ House/ No.y� L I _�O Hamlet Owner or Owners of Property- Suffolk Suffolk County Tax Map No 1000, Section -7 d Block Lot�Q Subdivision �(,,I1��.���[�• 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: $ CA Applica t Signature INSPECTORS f:;: G SCOTT L. HARRIS, Supervisor Thomas Fisher ca ' "' • = Southold Town Hall Building Inspector dr P.O.Box 1179,53095 Main Road Gary Fish r�'• "` �p� Southold New York 11971 Building Inspector � Fax (516) 765-1823 Telephone (516) 765-1800 Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE:_ /a /e Building Permit No. 1I/2 Z Owner: (please print) Plumber: j�z is&-l1 S�L.- T (please print) 4 21994 I certify that the solder used in the water supply system contains less than 2/10 of 1Z lead. lPmbers Sure) Sworn to before me this day of4!2 19 ¢tJ _ Notary Public, County�— Notary Public DONALD M NkGAYHEy Notary Public,State of Now York No.4872093,County of Suffolk, Term Expires SeptembOr 22, 19 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8044988 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date SEPTEMBER 13,1994 If licotion NO. tl1No.on e 242 83041193/93 H 042591 T THIS CERTIFIES THAT only the electrical equipment as described below and Introduced by the applicant named on the above application number in the premises of DONNA RINI &RUSSELL SCHUR, 1455 WASHINGTON AVENUE, GREENPORT, N.Y. in the following location* ® Basement ❑ It Fl. ID 2nd Fl. -Sectio." Lot 1.29 was examined on �� 08,1994 a d found to be in compliance with the National Electrical Code. NXTUNlE FIXTURES RANGES COOKING DICKS " OVENS DISH W EXHAUST FANS OUTLETS ACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P. 6 15 8 6 DRYERS FURNACE MOTORS FUTURE AFMANCE F11MRS SFEGAL REC'►T TIME CLOCKS EELL UNIT HEATERS MMT14UTW DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. I AMPS. TRANS. AMT. N.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E It V 1 C E NO. CC COND. A.W.G. NO.OF HFLEG A W'G. NO. NEUTRALS OF.W.G. µ1T. AAP. TYPE � !,#TN 1,/31N 3.�31N 3,I IV� PER X OF CC.COND. OF NI•LEG TRAL OTHER APPARATUS: M0TORSt1—F H.P. G.F.C.II-1 SMOKE DETECTOR:-1 DONNA RINI SCHUR 1455 WASHINGTON AVENUE GREENPORT, NY, 11944 11 Per ,. 4 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. rncV MR NtIILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ��_- o�oS�FFot,��oG y� Town Hall,53095 Main Road y Fax (516)765-1823 P. O. Box 1179 • Telephone(516)765-1802 Southold, New Yogic 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 19, 1994 Ms . Donna Rini-Schur 1455 Washington Avenue Greenport, NY 11944 Re: Premise @ 1455 Washington Avenue, Greenport, N.Y. Suff. Co. Tax Map #1000-40-5-1 . 29 Dear Ms . Rini-Schur: We have located plans for the model that to the best of my knowledge, your house located at 1455 Washington Avenue, Greenport was constructed from. They are available to you at the Building Department in Southold Town Hall under your application for public access to records . These plans measure 24" X 36" . X 1411 Our copy machines at Town Hall can make copies up to 8-1/2" Sincerely Yours, SOUTHOLD TOWN BLDG. DEPT. Thomas J. Fisher Sr. Building Inspector TJF:cmt cc to: Laury Dowd, Town Attorney i� 5 Town Hall,53095 Main Road Fax (516)765-1823 P. O. Box 1179 :' ; Telephone (516) 765-1802 Southold, New York 11971 j ^ i OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 29, 1994 Jeffrey S. & Donna M. Biggs 1525 Washington Ave. Ext. Greenport, NY 11944 To Whom It May Concern: A Certificate of Occupancy was issued for a one family dwelling ( 1st floor only) located at 1525 Washington Avenue Extension, Greenport, NY; Suffolk County Tax Map #1000 Section 40 Block 5 Lot 1 .28 . This certificate was issued to Donald Bracken and Diane Carroll. A Building Permit #21447-Z was issued 6/2/93 to the present owners Jeffrey S. & Donna M. Biggs for a deck addition to the above mentioned dwelling. This permit was amended 8/9/94 to include alterations to finish off the second floor. At the present time the deck has been completed and the second floor alterations have not been completed as of this date. Building Permit #21447-Z will remain in effect until 12/2/94 . ,, 7 Thomas J. /sher Sr. Building Inspector exc u�oa STATE OF NEW YORK DEPARTMENT OF STATE ALBANY,N.Y. 1 223 1-000 1 GAIL S.SHAFFER SECRETARY OF STATE Dear Petitioner: Enclosed are materials for use in petitioning for a variance or a review of a local determination regarding the New York State Uniform Fire Prevention and Building Code. Included are: 1. A blank petition form 2. Instructions for completing the form 3. A copy of the pertinent regulations (19 NYCRR 450) By completing and submitting the petition form, you start a legal proceeding. Before you begin, it is suggested that you review the form, instructions and regulations thoroughly. A proceeding before a regional board is begun by a complete petition. To be determined complete a petition must be in the prescribed form, be signed by the petitioner, state the nature of the grievance and the relief sought, and be accompanied by adequate documentation and the appropriate fee. Nine copies of the petition form and supporting documentation must be submitted. Mail the material to the Codes Division, New York State Department of State, 162 Washington Avenue, Albany, NY 12231. Receipt of the petition will be acknowledged by return mail. After the petition is reviewed, you will be notified, if appropriate, of any additional material which must be submitted. . Petitions will be decided on a regional basis. If a hearing will be held on your petition, you will be notified of the time and place. If you have any questions, you may call the Codes Division at (518) 474-4073. Ask to speak to a member of the Variance staff. Sincerely,` Carl R. Sager Director, Codes Division CRS:rr Enclosures 5/90 NEW YORK STATE DEPARTMENT OF STATE UNIFORM FIRE PREVENTION AND BUILDING CODE BOARD OF REVIEW ALBANY, NEW YORK 12231 PETITION INSTRUCTIONS The numbers below correspond to the item numbers on the petition form. 1. The petitioner is the same one who signs the -form. Please provide one original signature. 2. Indicate whether the petitioner is the owner, builder, architect, leasee, etc. Attorneys, engineers, agents and representatives appearing on behalf of any person, firm, corporation, or association for which they receive a fee must file a notice to that effect as required by Executive Law Section 166. A simple letter so stating is sufficient. 3. State the actual location of the property, not a mailing address. For a property located in a village or city, give the city or village name. For a property not located in a village or city, give the town name. If a property has a name such as "Municipal Tower" , include that name. 4. The name given here will be used to identify the petition in public notices and other correspondence. Commonly this will be an agency or representatives client or principle. 5. Your property tax map number can be obtained from the local assessor. 6. It is important to provide complete information in this section to insure that affected parties are notified. B - If architects or engineers are involved in this matter, include their names and addresses. C - Give the name and address of the primary code enforcement agency involved in the subject of your petition. D - If there is a separate fire inspector or fire marshal not listed in C, provide this information. E - The name and address of your fire department should be available from your code enforcement official or municipal-clerk. F - Include here civic organizations such as historical societies or societies for the disabled; government agencies not otherwise listed; neighbors, tenants; co-owners, or their association; or others whose interest may be affected by the property or subject matter in issue. There is no need to repeat any names and addresses which are otherwise provided in this question. 7. Your code enforcement official may be of assistance to you in providing the requested information. The Department of State can furnish on request, a free copy of the relevant code sections and information on purchasing a copy of the complete code. 8. Be sure to include copies of all applications, permits, certificates, orders, etc, where they are relevant to the petition. 9. An appeal is a request for a Board of Review to review any order or determination, or the failure within a reasonable time to make any such order or determination, by an administrative official charged with the enforcement of or purporting to enforce the Uniform Code. A variance is a request to deviate from one or more provisions of the Uniform Code. 10. You should be as complete as possible in listing the code sections involved. Your code enforcement official may be able to assist you. 11. To obtain a variance you must make a showing which will permit a board to make a finding upon one or more of the six grounds stated in 19 NYCRR 450.4 and restated on the petition form. On a separate page or pages, state the reasons which support your petition keeping the following points in mind. If you argue ground one, show by dollars and cents proof not that it is more expensive to comply but that the expense is burdensome to the point of being undue. If you argue ground two, show how strict compliance would not obtain that provision's, not your, intended objective. If you argue ground three, show the origin of the competing policy and why the code should yield to that policy. If you argue . ground four, fully describe the impediments and constraints to strict compliance and show why they cannot be overcome. If you check ground five, clearly state your proposed alternatives to the code requirement and show that they are equally safe and proper and do not substantially adversely affect provisions for health, safety, and security. If you check ground six, show that the incremental change required to comply results in an insubstantial advantage to the code's objectives. 12. Be sure to include copies of all relevant documents. 13. Ordinarily a site plan and building plans should be submitted with your petition. If you feel that your case can be adequately presented without plans, it is suggested that you call the Codes Division. Please note that the State Education Law requires that most such plans be signed by and stamped with the seal of a New York State licensed engineer or architect. Exceptions include agricultural buildings, renovations or additions costing under $10,000 and residential structures under 1500 square feet. If you are seeking relief based in part on the historical nature of your building, you should provide full documentation of any relevant designations. 14. THe comparison should be made with the latest copy of the site plan or building plans which have been submitted to the code enforcement agency. Any difference should be explained. Attach additional sheets as necessary. 15. Include court actions, other actions as local zoning related requests whether approved or denied and especially other appearances before these boards. 16. All petitions to a regional board of review shall be accompanied by the following fees: (a) Petitions involving construction, alteration or renovation of residential or agricultural occupancies involving no more than one structure with no more than two dwelling units. . . . . . . . . . . . . . . . . . $ 50 (b) Petitions involving construction, alteration or renovation of other buildings and structures: (1) Not more than 8,000 sq.ft. . . . . . . . . . . . . . . $100 (2) More than 8,000 sq. ft. but less than 25,000 sq. ft. . $300 (3) More than 25,000 sq. ft. but less than 50,000 sq.ft. . $500 (4) More than 50,000 sq. ft. . . . . . . . . . . . . . . . $1000 (c) Petitions related to maintenance or use of buildings or materials and any petition not otherwise provided for above . . . . . . . . . .$100 Enclose a check, money order or voucher (government agencies only) for the appropriate fee payable to the New York State Department of State. PETITION FEES ARE NON-REFUNDABLE 5/90 STATE OF NEW YORK 162 WASHINGTON AVENUE DEPARTMENT OF STATE ALBANY, NEW YORK 12231 CODES DIVISION (518)474-4073 TITLE 19 NYCRR Administration and Enforcement of the Uniform Fire Prevention and Building Code - February 24, 1993 PART 450 Uniform Code: Boards of Review Section 450.1 Introduction. Section 381 of the alternatives may be prescribed. Each regional board of Executive Law directs the Secretary of State to promulgate review shall also have the power to hear and decide ap- rules and regulations for the administration of the.Uniform peals of any order or determination, or the Fre Prevention and Building Code (Uniform Code) failure within a reasonable time to make an order or including the establishment of a procedure whereby any determination, of an administrative official charged to provision or requirement of the code may be varied or enforce or purporting to enforce the Uniform Code. modified. Such procedure is the subject of this part. (b)The board may vary or modify a provision or 450.2 Regional Boards of Review. The regional requirement of the Uniform Code where the party seeking boards of review previously created by the Secretary of the variance or modification has shown by the weight of the State for the Uniform Code are continued. The regions evidence that in the particular case before the board strict previously designated for each of the boards by the Secre- compliance with the particular provision or requirement: tary of State are also continued. The Secretary may, from (1) would create an excessive and unreasonable time to time, after the number of regional boards of review economic burden; or redesignate the regions within which boards may (2)would not achieve the code's intended exercise their powers, or both. objective; 450.3 Membership. (a) Each regional board of (3)would inhibit achievement of some other im- review shall be composed of five members, one of whom portant public policy; shall be a registered architect licensed to practice in this (4) would be physically or legally impracticable; State, one of whom shall be a professional engineer (5) would be unnecessary in light of alternatives licensed to practice in this State, one of whom shall have a which ensure the achievement of the code's intended background in building code enforcement, one of whom objective or in light of alternatives which,without a loss in shall have a background in fire prevention, and one of the level of safety, achieve the code's intended objective whom shall be a businessman or lawyer. At least one of more efficiently, effectively, or economically; or the five shall, in addition,m n, be a local government official. (6) would entail a change so slight as to produce Each member shall be a resident of the region of the board a negligible additional benefit consonant with the purposes to which he is appointed. of the code. (b) The members of a regional board of review shall (c) In cases before a regional board of review on be appointed by the Secretary to serve staggered three- appeal,the board may fashion suitable remedies so as to year terms. An appointment to fill a vacancy shall be made do justice among the parties, including but not limited to: in the manner of the original appointment for the unexpired (1) Where an order or determination has been term. A member may be reappointed at the expiration of made, sustaining, reversing or modifying, in whole or in his term. The members of a regional board of review shall part, such order or determination; and annually choose from among their number a chairman. (2)Where an order or determination has not Any member of a regional board of review may be removed been made within a reasonable time, making any such by the Secretary for inefficiency, neglect of duty, miscon- order or determination or directing that any orders, determi- duct, or malfeasance in office. nations, permits, or authorizations be issued. 450.4 Powers and Duties. (a) Each regional board 450.5 Practice. (a) Any person aggrieved may of review shall have the power to vary or modify, in whole petition the boards of review for relief under this Part. The or in part, any provision or requirement of the Uniform petition shall consist of the application prescribed by the Code in cases where strict compliance with such provision Department of State and all infomat,on provided by the or requirement would entail practical difkufties or petitioner in support of it. The petition shall be delivered to unneccessary hardship or would otherwise be unwarranted; the Department of State together with copies in such num- provided, however,that any such variance or modification ber as the Department may require, and shall be accompa- shall not substantially adversely affect provisions for health, nied by payment of the fee specified in this Part. safety and security and that equally safe and proper (b)The Department shall serve or cause the peti- tiioner to serve copies of the petition as filed upon such tan,the burden of proof shall be on the petitioner to show other parties and persons as the Department may deter- that he is entitled to any relief. The petitioner shall provide mine. The Department shall also cause notice of the the board with facts which demonstrate the burden im- receipt of any petition to be published in the State Register posed by strict compliance and with facts as to the safety together with a summary of the petition. A petition shall be and propriety of any aftemative to strict compliance. deemed received only after the Department has deter- (g)The board may state its decision in the record at mined that the information contained within it is minimally any meeting of the board. The decision of the board shall sufficient to state matters within the jurisdiction of the be reduced to writing, subscribed to by the chairman, and regional boards of review. In addition to any information shall set out the board's findings and conclusions and the required by other law, such notice shall also state where relief granted, H any. Petitions shall be decided within 60 the petition may be reviewed and that interested persons days of completeness unless a longer period is required for may request actual notice of any hearing proposed to be good cause shown. Copies of the written decision shall be held on the petition. provided to the parties within a reasonable time after the (c)The Department shall review the filed petition to determination. A copy shall be provided to the Commis- determine that it is complete. To be complete the petition stoner of the Division of Housing and Community Renewal shall state the nature of the grievance and the relief sought and a copy shall be filed in and be available for public in sufficient detail as would permit the board to make a inspection and copying at the Department of State, which determination on the basis of the information contained shall keep a record of ail decisions property indexed. within the petition. Such detail shall include as appropriate 450.6 Approvals in routine cases. (a) In routine architectural drawings, site plans, descriptions of buildings cases the department, in lieu of transmitting a petition to a and their histories, and an explanation of the facts support- board of review, may grant any variance the substance of ing the criteria upon which petitioner relies as a basis for which the board might have approved. For purposes of this relief. If complete,the Department shall transmit the section a routine case is one involving buildings in occu- petition, and any materials responsive to the petition, to the panty classes Al and A2 or involving small buildings in appropriate board for a decision on the written record or for occupancy classes Bi, E32, 63, B4, Cl and C2. A small a decision after a hearing. If incomplete, the Department . building in occupancy classes 81, B2, 83 and B4 contains shall notify the applicant of the information required for eight or fewer dwelling units or sleeping rooms. A small completeness. If, after notice that the petition is incom- building in occupancy class Cl and C2 has three or fewer plete, no additional information is forthcoming and the file stories and 3,000 or fewer square feet of gross floor space has remained inactive for a period exceeding 90 days, the in the aggregate. Department may dismiss the matter for neglect to proceed, (b) If the department determines to treat a case as a but without prejudice to any subsequent petition. routine case under this section, it shall consider the (d) In determining to which board of review a particu- evidence offered, make findings of fact and conclusions of lar petition shall be transmitted, the Department shall law, and propose its decision in writing on notice to the consider the region wherein the petition arises, the conven- parties. Unless sooner rejected by any party in a writing ience of parties or witnesses, and whether the buildings timely received by the department, the proposed decision and/or activities which are the subject of the petition are shall become final after thirty days from the notice. A final also subject to the provisions of subdivision (d) of Section decision shall be filed, indexed, and distributed in the same 441.2 of this Title. The Department may upon the request manner as a decision of the boards of review. A proposx' of a party, upon the request of a member of a board, or decision timely rejected shall be without force and effect, upon its own initiative transfer the petition to another board. and the matter to which it pertains shall be transmitted to a The Department may effect such transfer to correct a board of review for proceedings de novo in accordance mistake in the choice of the forum, to avoid conflicts of with the preceding section. interest or the appearance of impropriety, for the conven- 450.7 Fees. All Petitions to a regional board of ience of parties or witnesses, or for other good cause review shall be accompanied by the following fees: shown. (a) Petitions related to construction, afteration, or (e) A hearing under this Part shall be at the discre- renovation of residential or agriicu"ural occupancies involy- tion of the Department and the board. If a hearing is to be ing no more than one structure with no more than two held,the Department shall provide notice thereof to the dwelling units.........................................................550 parties, such interested persons as the Department shall (b) Petitions related to construction, alteration, or have been able to determine, and any other persons who renovation of other buildings and structures: have requested the same. The board may regulate the (1) not more than 8,000 square feet..............S IC-0 course of the hearing and require the presentation of (2) more than 8,000 square feet but not mare evidence in such manner and order as may be most than 25,000 square feet...............................................S&--J benefiti.ial to the board. To the extent rct inconsistent with (3) more tf:an 25,CCC scuare feet bart r.�t more this regulation and to the extent it aciances the purposes than 50,CCd square feet ..............................................w=G of this Part, practice before the boards of review shall be (4) more than 50,CCo square feet ..............S1,CC0 guided by the Civil Practice Law and Rules. (c) Petitions related to maintenance or use of (f) Whether or not a hearing is held and regardless buildings or materials and any pestition not otherwise of the form of the evidence and the manner of its presenta- provided for above .....................................................51 C•C 2/14/93 5/90 NEW YORK STATE DEPARTMENT OF STATE UNIFORM FIRE PREVENTION AND BUILDING CODE BOARDS OF REVIEW ALBANY, NEW YORK 12231 No. (office use only) PETITION 1. Petitioner or Representatives name, address and telephone number: 2. Relationship to the property in question: 3. Provide the following for the property in question: A. Street Address: IB. County in which located: IC. City, Village, Town(if outside vil.) ID. Property name, if any: 4. State the name of the real party in interest, the person or firm aggrieved: 5. Tax map number of the property in question: 6. Provide names, addresses and telephone as indicated below. Attach additional sheets if necessary. See instructions for further clarification: A. Property Owner IB. Architect or Engineer (if any) I _ C. Code Enforcement Agency ID. Fire Inspector or Fire Marshal and Contact Person 1 E. Fire Department and IF. Other Persons or Organizations Contact Person I with an Interest in the Petition Check here if additional sheets are attached for this item. 2 - 7. Project Description (Check and complete all statements which apply) A. Building Status: _ In planning _ Work in progress started on _ Work completed on _ Does not involve construction, alteration or repair B. Building Description (Refer to the listed parts of the Uniform Code: Occupancy Classification (Part 701) : Building Use (Part 703) : Construction Type (Part 704) : No. of Stories: Max. Height: Area of floor with largest area: square feet Gross floor area of the entire building: square feet C. Fire Limits (Refer to Part 706 of the Uniform Code: _ Within Fire Limits or _ Outside Fire Limits 8. Permit/Compliance Status (Check and/or complete all statements which apply) . A. Building Permit: _ A permit was applied for on _ / / and a copy of the completed application form is attached as exhibit no. _ A permit application was denied on / / —and a copy of the denial is attached as exhibit no. _ _ A permit was issued on / / and a copy is attached as exhibit no. _ _ No formal determination has been received on the application for a permit _ No permit has been applied for B. Certificate of Occupancy or Compliance (C.O.) : _ A C.O. was applied for on / / and a copy is attached as exhibit no. _ _ A C.O. was denied on / / and a copy is attached as exhibit no. _ _ A C.O. was issued on / / and a copy is attached as exhibit no. _ No formal determination has been received to the application for a C._O. _ No C.O. was applied for C. Orders or Citations or Denials (Check and complete) 1. A notice, appearance ticket, order or other citation has been issued alleging a violation of the Uniform Code at the property in question. A copy is attached as exhibit no. _ 2. There is no official allegation of a violation of the Uniform Code involving the property in question, but it appears to the petitioner that there is or may be a violation which is further described below: 3 - 9. Indicate if the petition is an appeal and/or a request for variance. (Check one or both as appropriate. See instructions for definitions.) Appeal Variance 10. Indicate the specific code sections which are the subject of the appeal or variance request. 11. Variance. (If applying for a variance, check and complete all statements which apply. If not seeking a variance, go to Item 12.) A variance from the sections described in Item 10 would entail practical difficulties, unnecessary hardship, or would otherwise be unwarranted because strict compliance (check the statements which apply) : _ 1. would create an excessive and unreasonable economic burden for the reasons stated in exhibit no. _ 2. would not achieve its intended objective for the reasons stated in exhibit no. _ _ 3. would inhibit achievement of some other important public policy for the reasons stated in exhibit no. _ _ 4. would be physically or legally impracticable for the reasons stated in exhibit no. _ S. would be unnecessary in light of alternatives which achieve the intended objective or which, without a loss in the level of safety, achieve the intended objective more efficiently, effectively, or economically, alternatives which are described in exhibit no. _ 6 . would entail a change so slight as to produce a negligible additional benefit consonant with the purpose of the code for the reasons stated in exhibit no. 12. Appeal. (Complete this item if making an appeal. If not making an appeal, go to Item 13.) A. The following described order or determination, or the failure to timely make the following described order or determination, or the failure to timely issue the following described permit, authorization or other document is appealed: A copy of the order or determination is attached as exhibit no. B. The order or determination should be reversed or modified or other relief fashioned so as to do justice between the parties for the reasons stated in exhibit no. 4 _ 13. Documents: (Please note Item 13 of Petition Instructions) Exhibit No. Site Plan Exhibit No. Building Plans _ Exhibit No. Photographs Exhibit No. Documentation of Historic Preservation Exhibit No. Additional information described as follows 14. If a site plan or building plans are included, are they the same as ones which have been submitted to the code enforcement agency? _ Yes No - If no, explain below. 15. Previous Action Has any previous application for relief related to the subject property been made to this or another board, administrative agency or officer, or court. _ Yes - If yes, describe the proceeding and include a copy of any determination issued. No 16. Enclose appropriate fee as per instructions and indicate amount below. Checks should be made payable to the New York State Department of State. S PETITION. FEES ARE NON-REFUNDABLE. I, the petitioner-in this proceeding make this application pursuant to 19 NYCRR 450 and affirm under penalty of perjury that the information furnished by me in support of this application is true and correct to the best of my knowledge. Signature Date (Please type or print name) Nine copies of the petition form and supporting documentation must be submitted. Mail the material to the Codes Division, New York State Department of State, 162 Washington Avenue, Albany, NY 12231. 1� �I izMWO' STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, N.Y. 12231-0001 GAIL S.SHAFFER SECRETARY OF STATE STATE OF NEW YORK DEPARTMENT OF STATE UNIFORM CODE BOARD OF REVIEW ----------------------------------- In the Matter of the Application of NOTICE OF APPEARANCE Petition No. - Under 19 NYCRR 440 or 450 ----------------------------------- Pursuant to Section 166 of the Executive Law, the undersigned states that he or she is the attorney, agent, or representative of, and appears in this matter on behalf of, the person named below. The undersigned is (is not) receiving a fee in connection with this appearance. Signature: Name (print) : Title: Address: Person. represented: Date: og�FFOC,�c =oma o�y� Town Hall,53095 Main Road co y x Fax (516)765-1823 P. O. Boz 1179 • Telephone(516)765-1802 Southold, New York 11971 � y�ol � dao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 19, 1994 Donna Rini-Schur 1455 Washington Ave. Greenport, NY 11944 Dear Mrs . Rini-Schur: In reply to your letter received October 12, 1994 , we cannot issue a Certificate of Occupancy for the use of the second floor bedrooms . As stated before, the windows of the bedrooms do not meet the requirements of openings for emergency use as required under Part 714 . 1 of the New York State Uniform Fire Prevention and Building Code. Yours truly, �awj'- v Thomas J. Fisher Senior Bldg. Inspector cc: Supervisor Thomas Wickham ` �o�Og�FFO(I(4oGy o � Town Hall,53095 Main Road y at Fax (516)765-1823 P. O. Box 1179 � Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 27, 1994 Mrs . Donna Rini-Schur 1455 Washington Avenue Greenport, N.Y. 11944 Re: Building Permit #21124-Z Premises : 1455 Washington Avenue, Greenport, N.Y. Suff. Co. Tax Map #1000-40-5-1 .29 Dear Mrs . Rini-Schur: In reply to your letter of October 12, 1994 , the purpose of the New York State Uniform Fire Prevention and Building Code is to provide a minimum level of protection from the hazards of fire and establish uniform standards to reduce threat to public health and safety for occupants and users of buildings . Under Section 714 . 1 of this code in addition to the primary exit from a habitable space (bedrooms) , there shall be provided in each such space at least one opening for emergency use. These openings can be the openable part of a window. Such openings shall not inpede egress in an emergency, shall have a minimum area of four square feet, with a minimum dimension of 18 inches with bottom of openings no higher than 3 feet 6 inches above finished floor in all above-grade stories . We have reviewed the windows in your bedroom, and they do not currently pass these requirements . During our conversation at the office window on October 19, 1994 , I had hoped to measure your windows the next day, but was not able to get an appointment from you after I spoke to your answering machine. Let me know if you want me to measure the windows again. Very truly yours, SOUTHOLP_, TaOyN BUILDING 7zPT. Thomas J. Fisher, - Sr. Building Inspector TJF:gar cc to: Supervisor Thomas Wickham Laury Dowd, Town Attorney JAMES C. MCMAHON Administrator ? SCOTT L. HARRIS ' Supervisor Telephone (516) 765-1892 �. Town Hall, 53095 Main Road P.O. Box 1179 - Southold, New York 11971 TOWN OF SOUTHOLD Fax (516) 765-1823 COMMUNITY DEVELOPMENT AGENCY TO: VICTOR LESSARD, PRINCIPAL BUILDING INSPECTOR FROM: JIM MCMAHON, DIRECTOR, COMMUNITY DEVELOPMENT SUBJECT: CERTIFICATE OF OCCUPANCY - AFFORDABLE HOUSING PROGRAM DATE: May 23 , 1991 I hereby certify that Donna Marie Rini has been issued a valid Certificate of Eligibility for the Town of Southold's Affordable Housing Program and the issuance of a Certificate of Occupancy to Donna Marie Rini will not permit a use, occupancy, sale or lease of a dwelling unit or unimproved lot in violation of the provisions of the Southold Town Affordable Housing Code. James C. McMahon Director, Community Development ' ( !� ~~. . 2 994 �L�£ �� �i ' ���-- October 11 , 1994 Southold Town Hall 53095 Main Road P. O. Qox 1179 Southold , New York 11971 ATTENTION: THOMAS FISHER, Building Inspector. Dear Mr. Fisher: This letter is to formally request that the Town of Southold issue me a Certificate of Occupancy for the second floor work that was performed pursuant to Permit #21124Z. As you may know, there has now arisen a controversy regarding the size of two windows that had been installed pursuant to a prior building permit and which had been inspected and approved by your department and for which a Certificate of Occupancy had already been issued which certificate number is Z-19933. - Consequently, we are now asking for the C of O for the work that has been performed under Building Permit #21124Z which in no way involved the windows in question and which at every stage had been inspected and approved by the employees in your department. Failure to issue such C of O can only be deemed to be arbitrary, capricious, discriminatory and malicious and will lead to irreparable and financial harm to us. Therefore , once again I ask you to immediately issue my C of O. Very truly Donna Rini---Schur 1.435 Washington Ave. Greenport , NY 11944 cc: Thomas Wickham, Supervisor 7 r�/, eel, —r--74-lVk*77 alo-7 O not M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOU DATION 2ND [ ) INSULATION [ FRAMING [ ] FINAL REMARKS: iz-e- DATE / D INSPECTOR /410al' 769-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ) FINAL REMARKS: DATE -Z- INSPECTOR L M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: -����,�� i DATE INSPECTOR M-1302 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ J INSULATION ] FRAMING J FINAL REMARKS: ZA4e.4- ae /je�� DATE INSPECTO 2 � M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE D�7 G D z. INSPECTOR l/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FIREPLACE & CHIMNEY � REMARKS: DATE INSPECTOR 1 ' J i:.,S _c 7 OUNDATIOV ( 1st ) OUNDATION (2nd ) "_ e � :OUCH FRAME & �\ -PLUMBING ^ � n, 3 y m ` ;11SULATION PER N. Y, n STATE ENERGY CODE v ADDITION OMMENTS - cn '� O Dom- OZ � s x H � b y �/-i O V cT7 r ^v y 80,1FD OF HEALTH • • • . . _ _ FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY " " BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FOR:I SOUTHOLD, N.Y. 11971 _ " " • " " " TEL.: 765-1802 r� t: . �771�j�D :xamincd T.I� 19 L I_I��` to I L TO : • • . 1PProved . . . lJ/ . . . . . ., 19,`�Permit . . . . . . . . . . . . . . . . . . . . No���? Asapproved a/c . . . . . . . . . . . . . . . . . . . . NOV Z 5 1992 . . . . . . _ . . . . . . . . . . . . . 4 UF SOU (Buil ng Insp tor) APPLICATION FOR BUILDING PERMIT Date . . . . . . . .. 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 is of plans,accurate plot plan to scale. Fee according to schedule. ab�sPaot Plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets a detailed description of layout of property mus± be drawn on the diagram which is part of this appli- tion. 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 issued a Building Permit to the applicant. Such permit all 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 Occupancy all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the iilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. le applicant agrees to comply with all applicable laws, ordinances, building code, ho t Mit authorized inspectors on premises and in building for necess inspections. g code, and regulations, and to (Signature of applicant, or narhe, if a co ration . . . . rporation) (Mailing address of applicant) f L ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . v . . . . . . . . . . . . . . . . . . . . n�, . :mc of owner ofpremises .�QNr� �.e. . : . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . (as on the tax roll or latest deed). . . IPPlicant is a corporation, signature of duly authorized officer. . . . (Name and title of corporate officer) . Builder's License No. . . . . .QW,(f Plumber's License No. . . . . . . . Electrician's License No. . . . . . ,h, , , , , Other Trade's License No. . . . . . .y Location of land on which proposed work will be done. J.`I.ss . . . w�f�lv,c� lor1 0.Ue I louse Number f : . . . . . . . . �' !YAK r o,.. /V, / y. . Street / Hamlet -ounty Tax Map No. 1000 Section ©.`�C�. . , , , . . . . . Block . . . . . .O.S Lot . �• ?Z y. . subdivision . . . . . . . . . . . . . . . . . . . Filed Alap No. . . . . . . . . (Name) . . . . . . Lot . . . . . . . . . . . . . . . tate existing use and Occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy . . . .QW.F- 2)(JEL L . . . . l.cV.G Intended use and ' ' ' . • . . . occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building Gam. Repair • • • - Addition . . . . . . . . . . Alteration . . . . . . . . . • . • • • • • • • . . . Removal . . . . . . . . . . . . . . Demolition • • • • • • • • • . . . . . Other tiVorkF++�?i5(^i+?� 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . o,& (Description) ti..��. . . _ S. If dwelling (to be aid on filing this application) a,number of dwelling units . . . . . 1, . . . , , , , , Number of dw cling units on each floor . . . . .I. . . . . . . . . . . If garage, 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 . ' ' Height . . . . . . . . . . Number . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . ' ' ' ' ' of Stories . Dimensions of same structure with alterations or additions: Front ' • • ' • ' ' ' • ' • . ' . ' • ' ' . ' Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction*,Front . . ' ' ' ' ' • • • • Number of Stories . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . Number of Stories . . . . . . . • • • 9. Size of lot: Front Rear . . . . ' 10. Date of Purchase . . . . ** ' ' ' �k. . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . \ • • . . . . . . . Name of former Owner JrU� I I. Zone or use district in which prerhises are situated . . . . . . . . . . . . `J 12. Does proposed construction violate any zoning law, ordinance or regulation: .AJD. 13. 1Vi11 lot be regraded , (�/O _ • • • • • • • • • . . ... . . . . . . . . . . . 14. Name of Owner of remises P?HN , cru Will excess fill be removed from premises: Yes p �.. . . . �hU(Address/'lss ✓ 5tii� hfr� u�e Phone No. H77- t;( 4 o Name of Architect • • • �• Name of Contractor " ' Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . 15. Is this property within 300 feet of a tidalddresswetland? *yes Phone No. . . . . . . . . . . . . . . . *If yes, Southold Town Trustees Permit may be required. • " No.,X. . . . . . 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 DATE: B.P# FEE: BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TG 4 PM FOR THE FOLLOWING INSPECTIONS: 1. r OONDATION - 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 TATE OF NL R ouNT or• . ��C-1d .� �/s.s . • '.0AY.1C ' ' •I. . I 11 ' r • • . . . . being duly sworn, deposes(Name of individual signing contract) p and says that lie is the applicant -ove named. is the . . . . . . . . . (,Jrn e V� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) . . • . • ' ' ' ' ' ' ' ' ' • ' said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this Plication: that all statements contained in 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 this ay of.. . . . . . tary Public, .� /• CLAIRE L GIENK : . . . . . Notary Public,State of New Yak . .:� . . . . . . No.4879505 . . Qualified in Suffolk County q m (Signature of applicant) Commission Expires December 8,18 lnQl IQt�on R- /� a r i ester al 100i� a oe�///,)Q. w ►� 6 � PLUMBING 3�DR�O�f 2 ALL PLUMBING WASTE CLOSET 15'- 14, X 16�-0" &WATER LINES NEED TESTING BEFORE COVERING �TFOOM 2 1s'0- x r11-o" d'ovble If copper tubing is used S:Z. L for water distributing system; piping shall be L of types K or L only _Lz.N. s CLOSET WAI k-zN CLO S ET a, --CLOSET 0 io„x Z'-6„ 0 WHOM -RTT C- - - 4-�"X b_8„ crtA�✓L 5YACt € ij i If s . .: PL L -- 0 CERA-*7cA 'E . FUT' _ W � � uUT SOLSy ` , k Yo N NP EXCEED 1` 55 WASsuPPSYSTEA NOV 2 519922110 oAr hI G- AVE.a ESPORTN. T 3z a ' F�� �cs � �,. _ �11� 81'10 �CRLE `1 -0 10- I1- `lT I