HomeMy WebLinkAbout23342-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25032 Date MAY 8, 1997
THIS CERTIFIES that the building ACCESSORY
Location of Property 760 CEDARFIELDS DR. GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 40 Block 5 Lot 1.23
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 18, 1996 pursuant to which
Building Permit No. 23342-Z dated APRIL 3, 1996
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 WOOD ACCESSORY STORAGE BUILDING IN REAR YARD AS APPLIED FOR.
The certificate is issued to NEIL J. MACDONALD, JR.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
f
B ilding I pector
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)
Date.... . . . ......... ........ .................... 19... ?...
N2, 23342 Z
Permission Is hereby granted to:
.... . .........�. ... ¢,
..... ... . .. ................................
to ..... .. . .. ...... .... ............. ....... . /`'GEC-.., .................
'oe
.... ..... ............. ... � .
........ .... ..
P
.............. ............�.... . ... ... ...................
............................................I................................ ............. ..............................
at premises located at............(.�F'. ,E, ..... ......; ...........................
........................ ....v!......... ..............I................ ............
�P
County Tax Map No. 1000 Section ...........�-/b...... Block.......................... 'Lot No. ... ........................
pursuant to application dated ............... ../...d., 19....l. ..., and approved by the
Building Inspector.
Fee$..� .
7;;
........ .. ................................. . . ...... ....... ......................
Building Inspec r
Rev. 6/30/80
Form No. 6 -
TOWN OF SOUTHOLD
BUILDING D EP ARTIH;NT 'r i ! 'i AM 3 o �
TOWN HALL
765-1802 BLDG.DEPT.
TOWN OF SOU THOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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 Buildins - $100.00
3. Copy of Certificate of Occupancy - .25r,.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate. of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . �y/30.��� . . . . . . . . . . . . . . . . . . . . . .
New Construction. .. . . . Old Or Pre-existing/ Building. . . . . . . . . . . . . . . . .
Location of Property.. . 6 C�. . . . . . . . . . ..��da,:t.:c��5,�ri J2. . . . . . . . . . .l�.r�•;
House No. Street Hamlet
Onwer or Owners of Property.. . . . . 4�.I . :J.'. .0 : !�:4 . L.14.''�s: 1. . . :�. A . . . . . . . . . . . . . . . . . . . . . . . .
County Tax ylap No 1000, Section. .V o.`.C)P. Block. . . .
I_� 00. . . .Lot. . 0 a / 0 Z•3. . . . .
. . qo.YJ
. .Subdivision 3
...
Permit No. . 3 � ? . .Date Of Permit. . l3 J�� . . . . .Applicant. ./. .y/ `�' �.G ��• -
f
Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . .. . . . . . . . . . . . . .
Reauest for: Temtorary Certificate. . . . . . . . . . . Final Certicate. . . . . . . .
Fee Submitted. S . . . ��. . . . . . . . . . . . . . . . . .
` . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . .P-I ,C, rr
C 3 2
1'1;(;'L LOU 10-1-PORT D AT 1; I�j
----------- ---------
11 A I-I Oil
FUMIDATI Oil
ROMA[ FRAI'll, &
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1WHILATIO11 I)EIlt 11. y .
STATE-
CODI-11
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F I IIA I.
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-------- ---------------------- ADD ITIMIAL 1IJ
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N
SURVEY OF
LOT 23
SUBDIVISION OF CEDARFIELDS
FILED JUNE 27, 1990 FILE NO. 8986
A T GREENPOR T
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 - 40 - 05 - P/O 01
Scale 1" = 30'
July 11, 1990
Sept 28, 19901found.loc.)
March 1, 1991(final)
CED,4RF/ELDS vT
N se•Jd'oo"E
DRIV
P
803 14.J7'
i�o , R a 33117' L a Bl.BB'
1 �
(� N at• 1
tie + •1
V t Jra•,NOLW
. Q
rawc � l C),I
H. S. REF NO. 90- SO-96
LOT O
2? SCENIC
LOT •?3
AREA = 20,124sq.ft.
'or
3 BUFFER ?*
C
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Z
N
CERTIFIED TO' 7550, ,
NEIL J. MAC DONALD S 58 15, 001, W 1
DALE MORTGAGE BANKER CORP. N/OAF AND SV
SONYMA
FIRST NEW YORKRICAN TITLE INSURANCE COMPANY OF J�L,I pE OF GREEArpOR1 �2gor3�S r�OFy``�-
ik 605-5-9/79 M
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�r
TNo.498-��,�0aa•��
X Y.S. LIC. NO. 49618
Prepared in.oca dance with the minimum.
a racdard�for 11t10.trvq.a e.rabliehed PECON/C RVEYOR$ P.C.
6y the L1A.LS.and oved and adopted (516)765—3020
lw.treh u.e h�The New Ywk Sfaf.Land p Q, BOX 808
rrrl.A.eoolarloa MAIN ROAD
CERT/FACTIONS ADDED 7/24191 SOUTNOLD, N.Y. 11871
RR _ fi•91/rJ,�1
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1105 N61199
(10) No campers, trailers or boats will be permitted to be kept in
the front yard or side yard of the property.
(11) Satellite disks and solar units shall not be permitted to be
installed so as to be visible from the front of the premises so as not to
be viewed from the front. ,
(12) No fencing shall be permitted forward of the rear line of the
house. All fencing must be wood except around swimming area.
(13) No vehicles shall be kept .by the owners or occupants of the
premises, or their guests, overnight, on the streets, with driveway to be
used for parking. No commercial trucks or vans over 3/4 ton shall be
kept on the driveways of the property overnight, whether owned by the
property owner, guests or relatives .
(14) Disrepaired vehicles shall not be stored on the premises or
streets. This includes unregistered vehicles.
(15) It shall be the responsibility of the occupants of the premises
to see that no trash containers are placed on the street for collection
except on the evening immediately prior to collection, and such containers
are to be removed on the same day that the garbage is collected.
(16) No structure, either primary or accessory, shall be erected on
the premises with asbestos siding or aluminum siding. Siding is
restricted to brick, wood or other natural material, or vinyl siding, or
as otherwise approved by Declarant.
(17) The premises to be constructed on subject
property
in all respects with Local Law No. 6 of 1986 of the Town of Southold,
comply
County of Suffolk, State of New York, more commonly known as the
Affordable Housing Law, with the exception of Plot #38, which will be
exempt from the above law.
(18 ) If the Declarant, or their successors or assigns , shall
violate, or attempt to violate any of the covenants anO restrictions
enumerated herein, or shall fail to enforce said covenants and
restrictions, it shall be lawful for any person or persons, owning any
portion of the hereinabove described premises, in addition to the
Declarant, to prosecute at law or in equity, the person violating or
attempting to violate any such covenant, and either to prevent them from
so doing, or to recover damages for such violation.
(19) These covenants and restrictions shall run with the land,
subject to the right of the town Board or Planning Board of the Town of
Southold , by a majority vote plus one, after a public hearing, to modify
or repeal any or all .of the foregoing covenants and restrictions at any
time at the request of the then owner or owners of the premises affected
-4-
h e -
ors-ieo2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ V FINAL
[ ] FIREPLACE & CRIMNEY O
REMARKS: D�
DATE � � �/� INSPECTOR
E30AFD ' OF HEALTH
FORM NO. 1 3 • • • • .
SETS OF PLANS . . . . . . . .
TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . .
HU!"' DIN^ DEPARTMENT CIIECK . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM _ ,
SOUTHOLD, N.Y. 11971
TEL.. 765-1802 P f ; /�,--����r < <y
Examined 19 CALL . .` . ( ,
MAIL TO :
Approved . . ,
• .. . 19 Permit No. �) . . . . .
/ • �`. . . . . . . . . . . . .
Disapproved,a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . _ . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .
(Building '
A P ICATION FOR BUILDING PERMIT
L V 1
Date . lam. . . . . . . ., 19 .�
INSTRUCTIONS .r•(,;�,; .: . _ _s> _
a. This 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 or areas, and giving a detailed description of layout of property must be drawn on the'diagram which is part of thissappL
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 issued a Building Permit to the applicant. Such permi
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 Occupanc:
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 th.
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•with all applicable laws, ordinances, building code, hou 'ng code, and regulations, and tc
admit authorized %nspectors;pn premises and in building for necessary inspect'ons.
• .y= ' t`" •, , ... . r � . . . . . . . . . . . . .
(Signatufe of applicant, 'PP or name,
e, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder.
. .�w!�e�'.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . ... . . . . . . .
Name of owner of premises . . .!`f,��r d J A4,_ l .
(as on the 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. . . . . . . .
Plumber's License No. . . . . . .
Electrician's License No. , , Hk. . . . . . . . . . . . .
Other Trade's License No. J°y/J
l. Location of land on which proposed work will be done. . . .. . . . , ,
. . . 7��. . . . . . . . . . . . . . . . `-:}eG'�irC'I . .IJ/.rr� �. . . . . . . .'. . . . e '!► o . . . . . . : . . . . D,� , Z�, . .
House Number
Street Hamlet
County Tax Map No. 1000 Section . . ®. ��.`�'�.� , , , Block 0
i Lot .
Subdivision ^� 4+�JtS�ca � Ted
��. . . :
iled Map No. ? z
(Name) Lot . . . . . . . . . . . .
2: State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . ..!J. �. . A1?,Q , , ;
b. Intended ''. ; • . . :r'.;C` . .
use and occupancy . . .6'"(/¢
-3. Nature of work (check Nvhich applicable): New Building . : . . . . . . . : Addition . . . . . . . . . . Alteration
Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . , Demolition . , . , , , . , . . . . Other Work . . ... . . . . . . . . . . .
(Description)
4. Estimated Cost . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application)
S. If dwelling,number of dwelling units'. .. . . . . . . . . . . . ...• Number o dwelling units on each floor ... . . . . . . . . . . . . . .
If garage, number of cars . . . . . . . .
6. If business, commercial or'mixed occupancy, specify nature and cxt%nt of each type of use . . .
7. Dimensions of existing structures, if any: Front . . . . . . . . . . . . . . . Rear. Depth .
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 . , . . . . . . . . , Dear . Depth.
.Height . . . .. . . . . . . . . . . . Number of Stories . . . . . . . . . .. . . . . . . . . . . .
9. Size of lot: Front . . . . . . . . . . . . . ... . . .. . . Rear, . . . . . . . . . . . . . . . •. . . . . . . .Depth . . . . . . . . . . . . . . . . . . . . . .
10. Date of Purchase . . Name of Former Owner . . . . . . . . . . . .
11. Zone or use district in which.premises.are situated . . . . .
12. Does proposed construction violate any zoning law, ordinance. .
or regulation:
13. Will lot be regraded . . . . . . . . . . . . :. . . . . . . . . . . . Will excess fill be removed from premises: Yes . No
14. Name of Owner of premises . . . . . . . . . . . . . . . . . , Address . . . . . . . . . . . . . . . . , Phone No.
Name of Architect . . . . . . . . . . . . . . . . ... . . . : . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . .
Name of Contractor . Address . . . , . . . , .Phone No. . - • • . . . . .
15.' Is this property within 300 feet of a tidalwetlanh' *Yes. No.
. . . . . . . . . . . . . . . .
*If yes,- Southold Town Trustees Permit may—be required.
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.
'Q NOTED
AP 0
BATE:
SEE. `�$3Y: �� .
P 43 ,E
N . r R�UIII�II�O OEP
! y, ,4 : RHO 3 , FORS THF-
t' 7�aB`1802 9 r^eM TO 4
3 F01.L0WINGs 1I,ISPECTIONs:
�:: : - T
Ii C1$�EQISIFZEI1
l � � f. ?�5 FORS pOR.1RED C06�CRETE
Ac L@iI�lI
a i 2. R�S`�R.IOH - FRAMING; & PR3ING
3. INSULATION
�r. FINAL CONSTRUCTRG�R`9I�119ST
*BE COVAPLETE FOR C.4.
ALL CO6I�TRUCTION SHALL, MEET
'TB�E REQUIREMENTS OF THE N.Y
STATE CONSTRUCTION & ENERGY
CODES. NOT RESRONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
STATE OF NEW YOR
COUNT OF . . . . S� .. . , .S.S
. . . . .d. .. . . . . . . . . rat c,.DO . . . . . . . . . being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
ie is the . ... . . . . . . . . . . . . .`� o.P- l
(Contractor, agent, corporate officer, etc.)
)f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
ipplication; that all statements contained in this'application are true to the best of his knowledge and belief; and that the
•vork will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
. . . . . . . . . . . . ..'. . . . . yof , ,c. . . . .. 19 4 .
ary Public, . . . County
_ NOTARY PUBL_Id�St t of N.Y.
1No.4725089,S ofk Coun y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Term Expires sy 31. 14. (Signature of applicant)