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HomeMy WebLinkAbout23484-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24505 Date JULY 17, 1996 THIS CERTIFIES that the building ADDITION 25 STERLING PL. Location of Property 405 (a/k/a 306) BRIDGE ST. GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 34 Block 3 Lot 51 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated - MAY 6, 1996 pursuant to which Building Permit No. 23484—Z dated JUNE 6, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to JOAN M. CAREY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO. f 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) NO 23484 Z Date ...............!I"!....6............................., 19.0/P Permission is hereby granted'�tom: ....11..��.°4" ....�'.. .......................... 30 .� ........... ......I.�. . n......�T....................... .... `!.:..!°d.... ........... ........ ...ZeK ... to ..... .. i2 :e-J`. ..f. ............... .......... ... . ... .. ...... ....... .................. ` . . ..,��1��.f.:`��r..'...... ..�.✓ff.........�:� .. ....� ........ .;!.�/fir ,�� i��,�d �. .. . .... . .... . ....... . at premises located at ... ..... . .. .... .........����.�.......................................................... .................................................. .... .a/1 ................................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section ...:3�.. ....... Block ....... ;�......, Lot No. ..sg/............ pursuant to application doted .............. �P �� ............................., .... ,19. and approved by the Building Inspector. Fee $........................ ... .1.. .. .................................. B .dIng Inspector Rev. 6/30/80 * - Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC ' 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 Dent. of water supply and sewerage-disposal(S-9 form) . �. 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 li 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. 5. 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. Fees 1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling 525.00, Alterations to dwelling $25.00, Swimming pool S25.00, 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 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial S15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . dew Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . -ocation of Property. . .�Q(A. . . . . . . . 15R.)V ?E. . ST . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet �nwer or Owners of Property. . . . . . . . .J o�a . YV�-. . . _kPZ-`t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'ounty Tax Map No 1000, Section. . . . . :�.V. . . . .Block. . . . . .3. . . . . . . . .Lot. . . . . . . . . . . . . . . -)ubdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . ... . . . . . . . . . . :'ermit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . =iealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . 'lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . ;eouest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . ee Submitted. . . . . . . . . . . . . . . . . . . . . . �© ?��/� 11;1.1) 1115 11 1;k:IC Lull It F 11 it I DA I I." Cul H I F I I I!i 11U11111ATI01-I .......... FO U I I D ATI Ol 1 (1111)) 0 IN L .......... I I M(I LATI 011 i'li It it Y !;'I'Al*l-*, 11.111ilk(',Y CI)I)IF 67AI Ao 6A k5l VI IIAL ------ ----------- ADDITICIIIAL C0111110ITS . IN . / • � �����d��JAA.:, _ c,.n.-,.vemc,ea r..0 c.c,n.,.... �.,..,,�....�.,.,.,,,m..,,�..,.,.a I ON ,cQ3 BUILDING DEFT. . INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING FINAL [ ] FIREPLACE & CRIMNEY REMARKS:(,.*,a 114� 4 DATE l /,�/;pINSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND INSU ION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: � CM �. 01, ZfJ ohA4"�9'GPv/ -�oG� DATE % INSPECTOR APPROVED AS NOTED DATE: BY: / J� .vl` 4 NOTI Y BUILDING DEPART ENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE CUSTOM VIEW 2. ROUGH - FRAMING & PLUMBING CUSTOMER -- JOAN . DATE 05/06/96 REF JOANI 4. FINAL FINAL INSULATION - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE RErUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 5 i `1 RIVERHEAD BUILDING SUPPLY -_ ROUTE 25 GREENPORT, NEW YORK G_ �F� pecKlr.Sv 51y x In SoisTS ; 2X$ 5 16" ot4 &C-WEK V"Vd �4W►E Z x q'S U�o�TFD 5`r11 P STRI f�E � '. 7 X ID " P/0 LOT 010 ") LoT n� P/0 '00 14-07 -Z \AjA P/0 C T A 6 r,/o Lo 5' > r m 9.R Id J� 10.5 /70 r r4' 0 60, F30- Z.9 74-0('00 w SURVEY OF P10 LOT 9A P10 LOT 10 MAP OF PROPER T Y OF JOHN A. MONSEL L FILE® JUNE 18, 1873 FILE NO 53 A T GREENPOR T TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y 1000 - 34 - 03 - 51 Scale: 1" = 20 Dec. 28, 1994 ('F.R7Y-1FD TO, JOAN M. CAREY FIDELITY NA TIONAL TITLE INSURANCE COUP-ANY CFN7ER0AW MORTGAGE COMPANY 5711 IF Of NFW YORK MORTGAGE AGENCY ANY AL TERA T70N OR ADDITION TO T7#S SXRVEY IS A WOLA TtON Of'SECTION 7209 OF THE AEV YORK S rA TE EDUCA LION LA W, EXCEPT A S'PERsEcnoN 7209-SMIOSION 2. ALL CERTFICA T70NS Y.5. LIC. NO. 49618 IF'R[-CFN ARE VAL17 FOR rM MAP AID COPIES ThEREOF OAE Y F SAN MAP OR CORES BEAR ThE WRESSED SEAL OF 77E SLOWEYM MOSE SKNA"E*APPEARS HEREON. PF(-ONI(- - s6p-V9 ORS, P.C. A 001 77ONA L L Y TO COWL Y Iff M SA 1)LAN TIE TERM 'A L TEREV BY" (516) 765 - 5020 Oa BE USFV BY ANY AM ALL SUMEYORS UIXPNG A COPY P. 0. BOX 909 OF ANO niER SMEYOR'S W. TEW SM AS WFC TO'AID MAIN ROAD TWOUMVI"ATE'ARE N07'RV COAMANCE 01H 771C LAW. SOU 7 110t.D, N. Y. ll9 71 r'% A r)-7 0 BOARD t)P HEAi.TH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . 'TOWN Ol' fiOl1'1'11O1.1) -- SURVEY R111LDING DEPARTMENT CHKCR . . . . . . . . . . . . . . . . . . . . . . . . . 1� TOWN IIAI.i. HEP'I'IC: FORM . . . . . . . . . . . . . . . . . . . SO(ITITOLD, N.Y. 1 1 9 1 1 TEL: 765-- IRD2 HOT3PY: �J EX;Nuioed....... ...., 19. HAIL TO: . . . _ . . . _ Alryrroved........ �l((((r n Peni C No. .. .G Disapproved a/c .....l............................... .................................... ...... ................................................ (Ikl7H14-01 L)slx!(-tor) APPLICATION FOR BUILDING PERMiT !� INSTRUCTIONS a. 'This alWtication nrcrst be ccarrpleLety filled in by tyl"-yriter or in ink 11-0 Bull"it:Led to the ikrilding inspector will) 3 sets of plans, accurate plot play to scale. Pee according to schedule. h. Plot plan WK)wing location of lot: an(] of buildings c„i premises, relationship to adjoining prenises or lx)blic streets or areas, and giving a detailed description of: layont: of property mist: be drmrn on the dingrrm which is part: of this application. c. 'tire work covered by this applic:atiou rwry not: he crnl1jenced before issuance of Wilding Pennit. d_ ilpon approval of this application, lire Ikrilding Inspector will issue a Wilding Permit to the applicant. Such lx.,ra)i(- ;:hall be kept: on lire prernisee available for inslmction llrrcxrglunrt Lhe WOfk. e. No building shall be occupied or owed in Wrole or in p:.ut for any lmgxme whatever until a Certificate of Occup(Irx-y shall have been granted by the Iluilding inspec(or. APPI.ICNI'lON i.S 1➢'.I11itIY t"Tjii to Lhe- Tkrilding T)eparlurnC for. the issuance of a Ikrilding Permit purscrant: to the Building Zxx)e Ordirkrince of tie 'foc.n) of Sexrlholcl, Scrffolk (:cxrnty, New York, and other applicable laws, Ordinances or Regulations, for Live MMtRNai(AI of buildings, additions or alterations, or for rowrval or dountition, as herein described. the applicant agrees to curgrly With all applicable laws, orclirl.-Inces, building code, housing axle, and regulatiOnS, and to adult authorized inspectors on pre+uises aril in building for necessllry inspections. 1 (Signatu Ippli cant, or Warne, if a irlxlratirnl) .Q (tI i t int; cxldress of aPpl.icant:) ( ( -j q Slate (-Irelher applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plud)er or builder. ...................................................J........................ ..................... ......... ........ Moue of cxnler of prcani;,es .._.. J�A10 PA - CAS ................................................ ................................... . (as On the lax roll or IaLesl: deed) If: applicant is a corporation, sigim"re of duly aul.lxrrized officer. ................................... ......... .... . ........ (Il:rrr and title of corporate officer) Ilui Iders license No. Plud)ers License No. Electricians License I•k). ...... ............... Oilier Tr;xle's License No. .................... I. Incaticx) of land on.which proposed work wilt be done..................... ............................. ............ ......:30 .......brZID6&.....S- 62EErJPo�r .................................. Ikxlse Nrnirer Street: ILnrlet Cotudy Tax Map Nu. I(XX) SeeLi(xl ....31....... Blcx--k ..... .3... ..... io1: YI........... fxrlxlivisiOu ................................ ...... Piled iop a). ..... .......... I,ot ............... Ante) 2. State existing use and occupant' of pronise., arxl intended use and occupancy of: proposed construction: 'I. Existing use and occupancy .....�'P►�I A'f'Cc,..J40-M'l;..... ........ ....................................... .......... b. lnt.erxied use aril ocxagntx:y ....... ..... .... ...... .. ........... ........ ............................ 1. It.)fole of IA)11( (chr-cac IAIIcaI ali)litalhle): Ik►Il►liar, Arkliliun . . . It<tlw►Ir .... . Allevatiort .. . . .. . . ., Millrval Ikrlx)I itloo �/px�y� (tko(!r11)1..ioil) E;cl.Ilrv)1 elI Om1: ... . .l.l..Q.Q.O. �.. . ... . ft!(! ... . . ... . . ... ...... . . .... ... .. ... ....... ..... . (Io Ix: paid on filing Ibis application) i. If (h4cI I it itIm )er of thaell inl; units . . . ... . ... .. IArlber of (ho(!I I ing unit'a ()II each Floor . .. . . ... . . . . . . . . If garage, otnlx!r' of cars ..... .. . . . . . ... .. .. ... . . . .. .. . . .. . . .. . h. If lKraiIW.;in, collrlrr(:iIII or Jill xed cx.culttltx:y, rlx!(.'ify nature and extent of each Cylx of use..... .. . . ... . . . . . . . .. . ). 1)inx!nsirxls of exist iog atllu:Unren, if nay: Viool .. .. . .. . . . . .. ... Rear I)!pIII . .. .. . .. . . . . . _ . . . Ik:ight• ............. ....... ..... tkxllu:r of Slorlen . . . . .. . . . ... . .. .. . . . . . Ilinx!nnicxls of stale sfrlwAllre Nilh alt'eral.ioos or o(I(lit:ion!;: Front Rear . .. . . ... . . .. .. . Vol)lll Ileil;)IL 11mber of Slorlen . . . . . .. ... ..... R. 1)IIIxnaloila of entire rw'.(4 coxlsl.Itx:l loll: I'loxlt 1((!IIr Ik!l)111 .. . . . ..... .. . . Ileiglll: ..... ............. . . . . ... tilntx!r (11'. Storien . . .. . . . . . . . . . . .. . . . . 9. Si•re of I()t: [;'IotII . .... .. ..... .. ..... . hear' . . . . ... ... . . . . . .. . . . 1)el)(11 . ... . . . .... .... .... 10. Mile Of lluchase . ........... ........ . Halle of Fotawr 0`4lx:r .. . . . .. . . . . .._ . . . .. . . ... .... .. ....... .. . II. Zcxle or use disl.rict in %k ich plailises ale situated . .. .. .. . . .... . . . ... ... .. ... . .. ... ... ........ . ... ... .. . .. . . . . . . 12. 11tx!n prolx)sed ccxlsllcw:Oon violate ally z(xling IIn.I, ordinance or regtll al.loll: . . . .... ....... ..... ..... I ). 14i I I lot be regr)xled .... ..... ... ... . .... Will excens fill Ito I-Elltrlved fr(xIl pI rani net: YES tx) I/I. Nantes of: (holler of premises ... . ...... ........ ......... Acklresn ... ... ...... . . .... .... .. .. .... . lilotl(. I&). ... ... . .. . . Il:nx: of Archltec:t: ...... ....... .. .. . .......... ... .. . .. NIIII-en:) lilolx: 11) . . : . . . . . . . Kim! of (:(x)trac:lor ...... . .... . . ... . . ... ....... ... .... NI(II-!ss .. . . . . .. .. .. . ... . ... ... . ... ....Mow! tk). . .. .. .. . . . . 15. is Alin prr)lx!rl.y Nithill W) feet of.` it l:idcll lac!tllllwlT *IF YES, RXI111(ND 'IMN 'lltllfi ITS 11 1441.1- HAY Ill: IU?.AIII(I:I). PLOT I)1 AGRAH Icx:ale clearly aril disl:ilw;l.ly all btlildilign, l.Aw!Ihev exisl.ing or plolx)se(I, nlwl indiclite Jill sec--hack diux!ae►ions I'IIm propel-ty lilx!s. Give atme:t: JIM hl«.k 1r111x!r or Ileac:riI)(icwl accolding co deed, aM rJi(xr street: ncm)en mwl i)wlicnle tdlelher interior or corner ]ot, ) r . j lN' te1'A�)UK . . . . . . . . .. . . ' .' �. . .c4 r4 S • . . .. . . . . . . .. . .. .. . .N!inll duly Iwl)nI, clelxnw s Iuwl says that: he is the appl lcsnrl (N:nv of ilxllvidtinl signiog c:ootlncl ) alxlve rl: wd. Ik: is Ill! ... . .. . (('c)utrnc.lor, agent., curlx)rnle officer, etc.) of said (xorxlr ov owtx:rs, ,Ilxl II duly nrllhorAZO(I to l)(!rl'unn or halve lx!rfurulc!d the mild uc)tl( cull co nxd(e o)xl file Olin 111)1)1 icntloll; Ihal. all (it alenaltn COW;Iilx:tl in Ihill appl ication ate Ilex! to the henl of: his luxxwledlle trod Ix?I.ief; alxl Ihat. the uurlc NiII Ix! lx!rfonalcl )n the uvunx!r set forth in Ilse applic;ll:loll I"iled therewil.11. ,kA)III to h.for ! thin . .. . . . . . . . . .. . .. .(la of .... . .$Nevww . 19. .4.?` . tk)l ary 11rh ... .. . . . .. ... CLA(IRE L.G . . . . . . . .. ...... . .. . . . . .. .. . .. ...... . .. . . . . .. . . .. .. ........ Notary Public,Stateor No.4879505 (:iignaLule of Appl ic:nnl.) Qualified in Suffolk County Commission Expires December 8,19 T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS• /p .l za, DATE INSPECTO