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HomeMy WebLinkAbout28826-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29152 Date: 12/26/02 THIS CERTIFIES that the building FIRE REPAIRS Location of Property: 900 A/K/A 503 BAILEY AVE. GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 34 Block 3 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 15, 2002 pursuant to which Building Permit No. 28826-Z dated OCTOBER 15, 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 FIRE REPAIR DAMAGE & ELECTRICAL REPAIRS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANTHONY J.& MARJORIE A. WISOWATY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1088544 11/18/02 PLUMBERS CERTIFICATION DATED N/A Q"�' �-;- 6". Authorized Signatur 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. 28826 Z Date OCTOBER 15, 2002 Permission is hereby granted to: ANTHONY J WISOWATY 503 BAILEY AVENUE GREENPORT,NY 11944 for . EMERGENCY FIRE DAMAGE PERMIT FOR ELECTRICAL REPAIRS AS APPLIED FOR at premises located at 900 BAILEY AVE GREENPORT County Tax Map No. 473889 Section 034 Block 0003 Lot No. 033 pursuant to application dated OCTOBER 15, 2002 and approved by the Building Inspector to expire on APRIL 15, 2004 . Fee $ 150 . 00 Authorized Sig ature COPY Rev. 5/8/02 Form No,6 TOWN OF \�/Wt BUILDING DEPARTMENT NT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE Ot, OCCUPANCY b8 This application must be filled in by typewriter or ink and submitted to the Building Department with the followings 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 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. Copy of Certificate of Occupancy-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Dat/e. New Construction: Old or Pre-existing Building: Y (check once) Location of Property:Mrd 3 /6?/vi �4—il (e P��/�07_ Hous No. � Street Hamlet Owner or Owners of Property: G"14. Wi O T Suffolk County Tax Map No 1000, Section S Block �Dd.3 Lot a.33 Subdivision Filed Map. Lot: Permit No.�. 'g 2 C�Date of Permit./ 0 Z Applicant: JA) 50 Health Dept. Approval: Underwriters Approval: Planning Board Approvals / Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ J.,O 0 2�. 0 licant Signature J Co �. 2915� rJc.(r�lrJ� ■ 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 ALL WAYS ELEC. CORP. 'WISOWATY S 262 ORINOCO DR. 503 BARLEY AVENUE BRIGHTWATERS, NY 11718, GREENPORT, VILL, NY 11944 Located at 503 BARLEY AVENUE GREENPORT, VILL, NY 11944 Applfc5t116n Number: 1088544 Certificate Number: 1088544 Section: Block: Lot: Building Permit: BDC: NS37 Described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, Outside, 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 18th Day of November,2002. Name OTY Rate Rating CircuitTvDe Additional Charges fire reconnect only Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: l 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. ■ 115.1111 1151 roil 111 1 %gpffOtX�oGy Cl : Fax(631)765-9502 Telephone(631)765-1802 Town Hall,53095 Main Road 1i�o1 �aO� P.O. Box 1179 Southold,New York 11971-0959 13UILDING DEPARTMENT �y TOWN OF SOUTHOLD `a-ks r/C Y N � APPROVED AS NOTED DATE: o B.P. !J ✓'°`K rCfJkirs re Q Ulrf �+ FEE: �/SS• l a BY: �'L� ' � c a NOTIFY BUILDING DEPARTMENT AT Ips , tai ^J r�i 765-1802 9 AM TO 4 PM FOR THE sc 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 I� I �L��tlr"• F U L . : CERTIFICATE UNDERWRITERS R DRTIFICATE ��gUFFO(,�c • - 0�0 OGy� Town Hall,53095 Main Road Fax(631)765-1823 P.O.Box 1179 ,fi Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD FIRE INCIDENT REPORT DATE lo L/31C?2 DAY gu. o a TIME O 6 3$ 01-///sZ NAME OF OWNER /'r LOCATION S03 1So /try 14J C- , (stcea,p,r-{ SCTM# 1000- 3 ,f - 3 - 3 3 DESCRIPTION OF INCIDENT /� / rc oe- ,4, 14c B S rz �' os r-c J' (-o-F 4,s �N/> /4o�S / fTG.kGSc laa / �".-+P�W/ �'7 i.J a..,c f-V-r4 OI �aVsr �CQJ /f 0.J Was o"oma. IA§a-+ i,va.4 C& 1-4*"1-4"c aL��u 4711;/ P c�i Ca/ {1,re o F-// / /J es• rC rCG W�S Ca OH 6JSG_ 4MQCjC /N �c-�� S/ G � fOpy - BUILDING DEPARTMENT ACTION Sn61Cr -' f W,SGw �% �c ,Ork�// s f� cf3 C �"�i/ c/W Q/ (Cc j�, �-f2 ( 1RI 111-nlN "OR /6//S/62 /j /e - _� A4 3 �--3 - 3.3 - ST M-1802 ? 4-3 3 - BUILDING DEPT. INSPECTION [ ] FOUNDATION IST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 02-///S� 66 �� DATE i©//3 �dZ ✓// INSPECTOR / ,0 �F�� (�4 765-1802 BUILDING DEPT. INSPECTION [ ] F DATION 1 ST [ ] UGH PLBG. ] FOUNDATION 2ND [ ] I", ON [ ] FRAMING [ INAL [ j FIREPLACE- CHIMNEY REMARKS: DATE INSPECTO FIELD INSPECTION REPORT DATE COMMENTS - Op FOUNDATION(1ST) y ------------------------------------- FOUNDATION -----------------------------------FOUNDATION(2ND) O O ROUGH FRAMING& - - - A PLUMBING t�1 INSULATION PER N.Y. STATE ENERGY CODE - - - - - Z �? FINAL ADDITIONAL COMMENTS c� O - - - - z x d b TOWN. OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. Z S 8266 Check Septic Form N.Y.S.D.E.C. Trustees Examined /a�/S 20 ,02 _ Contact: Approved 20 ,12 Mail to: 12 Disapproved arc Phone: P7- fS l 6- Expiration o -f 20 O2 �J e f Building Inspector APPLICATION FOR BUILDING PERMTI Date 16 20 6 7 INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 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 waterways. 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 building 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 from such date. If no zoning amendments 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. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE 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 building for necessary inspections (Signa applicant or name, ' corporation) 3rQ R+i wwA�, G(2-L -)u PT-AJ Y illy (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder C3LU to Name of owner of premises N»T'�Nw (As on the tax roll 6r latest deed) If applicant V; signature of duly authorized officer (Name and title of corporate officer) Builders License No. -J 1,4 Plumbers License No. N Electricians License No. �'.4 Other Trade's License No. e/44 1. Location of land on which proposed work will be done: -63 &&— House c s House Number Street Hamlet County Tax Map No. 1000 Section Block 3 Lot 3 ! Subdivision Filed Map No. �,4r Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy -4g r,6 / b. Intended use and occupancy Sfc Z r4,e i,— �'/1�M ale wale - e lec-k•ca 3. Nature of work(check which applicable): New Building Addition Alteration ✓ Repair ✓ Removal Demolition Other Work ea"r'dc�e "" �� ���� � 4. Estimated Cost /N� r.se,,,e � 4,a-4.w-Fee 1Sd (Descriptn� o a (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 11A 7. Dimensions of existing structures, if any: Front Rear -f(Z Depth -AIX Height ,.►/,�. Number of Stories .1 Dimensions of s me structure with alterations or additions: Front ,4/4— Rear :• d Depth r� Height 44 Number of Stories ,�� 8. Dimensions of entire new construction: Front #`A Rear ��,¢ Depth Height_4,k Number of Stories / 9- 9. i9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated A ,14 d 1?e 5'/,o e�j 4 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO_X__ 13. Will lot be re-graded?YES NO -K Will excess fill be removed from premises? YES NO r4 14. Names of Owner of premises _� W1541"'ddress S63 9ILP( ��Phone No. `�7 7' f 5 7 5- Name of Architect Address Phone No Name of Contractor L:-F- i Fr Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X * 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 X * 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) SS: COUNTY OF ) / bT {j JV J, W 541 U !n j being duly sworn, deposes and says that (s)he is the applicant (Name of' dividual signing con act)above named, (S)He is the 0 (-U N cze (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 therewith. Sworn to before me this S ay of d 20 O� Ngary Public Aig6aturdrorApplicant NotaJOYCE ublic,State of Newyork No.4952246,Suffolk County Term Expires June 12, 5.•6p3 W,'S Q &J 0 41 it 1 OCT 2 4 2002 :SUFFOLK COUNTY POLICE DEPARTMENTv _ ..._ .john C . Gallagher Police Commissioner October 18 , 2002 Chief iaR ENPORT Fire Department RE: Fire;: at 503 BAILEY AVENUE , GR ENPOR on 10-13-02 at 0640 The Arson Squad has completed its .initial fire investigation . Our determination is as follows : ACCIDENTAL !GNITION FACTOR 54 FIXED PROPERTY USE 41 MULTI--USE PROPERTY COMPLEX 98 AREA OF FIRE ORIGIN 74 EQUIPMENT INVOLVED IN IGNITION 47 FORM OF NEAT OF IGNITION 23 TYPE OF MATERIAL IGNITED 43 FORM OF MATERIAL IGNITED 97 The investigation of this incident is being conducted by Detective PAUL_ if you or your men have any informa.t.ibn which you believe might be helpful regarding this incident. , please contact the investigating detective at 852--6150 and refer to : Central Complaint Number 02--591290 Authority OF Kevin M i_irellra'ri i_)e tectivt: /i . .e'u e'(na'in-t Commanding Office)- Arson '. ice)- ArWon Sgl..i.ad '"" Command 3330 cc : Town Fire Marshall r