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HomeMy WebLinkAbout23515-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24674 Date OCTOBER 7, 1996 THIS CERTIFIES that the building ADDITIONS Location of Property 715 SHORE DRIVE GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 47 Block 2 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 28, 1996 pursuant to which Building Permit No. 23515-Z dated JUNE 17, 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 PORCH & DECK ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL & STELLA ANESON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-398532 - SEPT. 30, 1996 PLUMBERS CERTIFICATION DATED N/A r�c Building Inspector Rev. 1/81 FORK 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) N° 23515 Z Date ............. .....................�................. 19. �r Permission is hereby granted to: ......:71. ... ��.................... ..... . .:. . ........ ........ 01 to �.. ;o,�ar�� l.(1J? ., . .... ....... �J .. ... .............%'ram . ... ......................1 ........... ....... / ..........s.............................. atpremises located at ........ ...: ...... ........ ............................................... .....................................................� . ....... ................................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section ......... ..... Block ...1-21 ............ Lot No. ...4.9........... pursuant to application dated ................................... ...... 19.9..C?and approved by the Building Inspector. Fee $...L. .............. ....... . .. ................RS ..... .... ........ .............. Buildin I for Rev. 6/30/80 Form No. 6 gLpL � �q TOWN OF SOUTHOLD l 0_ BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR-CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to ttte`bu ldii g=--=•- 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. .Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . .iQ/3./.96. . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . 'I Shore 'Rd. Greenport Location of Property. . . .? 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . I . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Michael Stella Aneson Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . • . . . . . . County Tax Map No 1000, Section. . . . . . . ..... . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. .Greenport .Shores. . . _ �.7��. , , , .Lot. . 4 .Filed Map. . . . . . . . . . . . . . . . . . . . Permit No�3..�.r�. . . . . . . . , ,Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . .�Iichael. Aneson . . . . . . . . Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval#!#! 5�896�96. . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . i Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . �5 $. . -00 Fee Submitted: . . . . . . . . .. . . . . . . . . . . . . . . . . . �� . ...Inland .1Jo].es .111s... . . . . . . .. . . . . . . . . . . . . . . . . . APPLICANT THE NEW Yrr�� ,O/(R, K BOARD OF FIRE UNDERWRITERS PAGE 1 TY � 195099 ���l5�, —co Z � 'JOIHN STREET,, NEW YORK,BUREAU OF INY 10038 Date SEPTEMBER 30,1996 Application No.on file 12251896/96 N 398532 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 MICHAEL ANESON, 715 SHORE DRIVE, GREENPORT, N.Y. in thefollowing location; El Basement u 1st Ft. ❑ 2nd Ft. OUT Section Block Lot was examined on SEPTE14BER 26,1996 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES IR INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 6 5 5 6 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS [OTHER MT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 600 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER �,7W .i!3W 7,B'3W 3,e'AW NO.OF CC COND. A.W.G. NO.OF HI-LEG A-W G. NO.OF NEUTRALS A.W.G. EQUIP. PER Ar OF CC.COND. OF HI-LEG OF NEUTRAL 1 200 SW 1 X 1 4/0 1 2/0 APPARATUS: PADDLE FAN-1 MOTORS:1—I' H.P. G.F.C.1:-1 m JIM SAGE ELEC. INC. LTC.#3635 E : � � L L 350 MARINE PLACE GREENPORT, ICY, 11944 GENERAL MANAGER 11 _ SS Per 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. /ELJ) TpJSPECTION REPORT DATE COMMENTS II "� II H FOUNDATION ( IS II FO[JNDATION (2if - — - I _ ROUGH FRAME & ii e G ( y-1 it PLUMBING I�-- —II!-G� _�� 2�✓1 /�- n 57 -� I' INSULATION PER N. Y. - u STATE ENERGY II conE ii it ll---------II II _ II If II H .r II II .--• I11 I 2/9 FINAL. ADDITIONAL COMMENTS vi - H a 9 r ro H 02B 57/6-� ass-isos BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ON [ ] FRAMING A'-FINAL [ ] FIREPLACE & CHIMNEY REMARKS• ZcK DATE INSPECTOR 765_1802 BUILDING DEFT. INSPECTION [ j FOUNDATION iST [ ] UGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARK.n.. xl DATE �/ INSPECTOR 765.1802 BUILDING DEFT. INSPECTION [ ] F DATION 1ST [ ] ROUGH PLBG. DATION 2ND [ ] INSULATION ING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �Qic6C 7 c DATE —INSPEC pr EC ,65_1802 BUILDING DEFT. SPECTION [ F UNDATION iST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: � Z J DATE INSPECTO BOARD OF HEALTH . `. FORM NO. 1 3 SETS :OF PLANS• Y VE TOWN OFSOUTHOLD SURVEY . . . . . . ' ' ' ' ' ' OUI-LDING DEPARTMENT CIIESEPTIC .1FORr. • __ _- . . . . . . . TOWN HALL " . . . . . . - - . . . SOUTHOL-a,L\Ly_t1-q7t NOr Z Fy : Q/ TEL.: 765.1802 Examined . . . .1� .�,� '. CALL ;MAIL TO : . . . . . . . Approved . .. . . /� • 1.9 •- . . . . . . . . .rmit NoI . . . . . . . . Disapproved a/c . . . . . . . . . • • - - . . . . 42 7r� W, l! I (Building•inspccto. ' PLICATiON FOR BUILDING PERMIT i MAY 2 819% ate BLDG.DEPT. j • . ...... . .. I5 r TOWN OF SOUTHOLD INSTRUCTIONS ; a. This application must be completely sets of ptam,a=urate plot plan to scale. filled in by typewriter or in ink and submitted to the BuiIding.j� b. Plot plan showing location of lot arcec h Qb�uildino schedule. P=t.nr,wig or areas, and giving a detailed description of layout of property must relationship to adjoininZ premises or public strt• cation. P P y must be drawn on the diagram which is part of this ap C. The work covered by this application may -d. Upon a y not be commenced before issuance of Building shall be kept on the premises available tfor, the insp Building throu;}tou Permit. Inspector will issued a Building Perrnit'to the applicant_ Such per e. No building shall be occupied or used in whole or in parttfo any purpose whatever u shall have been granted b ntiI a Certificate of Occupar, y the Building Inspector. APPLICATION IS FIEREBYMADE to.the Building Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and Department for the issuance of a Bt•rldin� Regulations, for the construction of buildings, additions or alterations, or for removal g Permit , Ord pursuant Ordinances t TI1e applicant agrees to comply with all applicable laws, ordinances, building other applicable Laws, Ordinances admit authorized inspectors on premises and in building 1 or demolition, as herein describe code, housing code lations for necessary inspections. ' and rc� and - Siena - - .ture or appIi nt, or ' 7 f � Si-tole a corporattonj• - State whether applicant is owner, lessee, agent (Mailing address of applicant). architect, ens , general contractor, electrician, plumber or builder �Lt pincer Name of owner of premises MI.CH/� . .. . . . . . . . .. . . .... . ... . . . .. . . . If applicant is a corporation, signature of duty authorized (as on the tax roll or latest deed) - • •• •' ' ' ' ' ' ' '• . - officer. • (Name and title of corporate officer)• Builder's License No_ .. . . .'. . _�wN�� . . . . . . . Plumber's License No. . . , , , • ,N�• .wc _ Electrician's License No. . . , , , , NI✓ • . • _ . Other Trade's License No. Location of land on which proposed work will be done; House Nuni bcr �7�1� D .i, . .Street. • . . . . County Tax Map No. 1000 Section ¢'7 Hamlet " • • • • • - Subdivis • . . . . . . . . Block . . . . . . .Z , t� ion . , , • . . • . . . . . . Lot . • , , , , ; State existing use and occupancy of premises and intended use • . • • ' ' ' ' Lot . . . . .• , • . .,nd occupant I' . . A. Existing Y of proposed construction:ing use and occupancy. . . . . . . .�- . . .F`�5, , . . . . . . . . . . . . .:... . . ..B. Intended use and occupancy.: . . . . i. , , ��S / 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addi`eicn . . x. • . • • • �Mtcration . . . . . . . . . Re air. . . .. . . Demolition , X Swi nn _ P . . . . . . . . Removal Tennis Court " " " • • • • • • • • . . . . . . . . . . . ing pool. • • . Accessory Building Fence . . . . . . .Oth . 4. Estimated Cost . . . , -74De';O_ e'er' er Work . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . Fec . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to, be paid on filing this avplication) S. If dwellin„ number of dwelling units . . . . . .I. ' ' ' • • • • ' Num If garage bcr Of dwclli►�g units on each floor . . • , , • • . • • • • . • , number of cars . . . . . . FI� . . . . . . . . . 6. If business, commercial or mixed occupancy, specify natty e.and extent.of caclt•type of use . .NIA, 7. Dimensions of existipt' structures, if any: Front . S y0 '� Rear `? �: . . . . . Depth . .7, , L .rr Height . . . . . . . Number of Stories ,( , - ' ' ' ' _ ' ' Dimensions of lain F • • • " ' • •r .. . . . • • • • • • .�:, .c st�uctur %v't t1t alterations or additions: Front � ',3�, 4 . • . , , Rear Depth . . . . .. - '--4- i• ,34..?�`L. . Height 10 . . . 8. Dimensions of entire new constriction: Front • . , 3�.C4-�Y- ' ' • - Nuittbcf oC Stories . . . .�. . . . . . Hei;ltt kz? u • - Rear 3�„�;�•', , , , , Depth StZt�. . . I�umber of Stories . �, 9. Size of let:•Ffont . . . . `l � '� . . . . . . y. . .t� . . . . . . . . . . . . . . . . . . . .� . . i1 . . . . . . . . . 0. Date of Purchase . . . . . . . .�,�,� . . . . . . . Rea- . . .. .� :. . . . . . . . . . . . Depth • . . y. `sue. . . . . . . . . . i . . . . . . . . . . . . . . Name of Former Owner . . L-�I�:G�N��. . . . . . . . . . . . 1. Zone or use district in wliicll premises are situated . _ , , A, ? S! bJ�IC Z Does proposed construction violate any zoning law, ordinance or regulation:- . . . • . • • • • • • . - . • . • - 3. �Villlotbereoraded • . . - - . - • - - - - • . . . . . . . . . . . . . . •N4- - . Will excess fill be removed from premises: Yc; . , ,; 4. Name of Owner of premises Ko - -!x� �� Name of Architect E��13f�7 •j3,� SS��� � `Addr{�_1z5 0;7jYF_-Phone No?�e .477—�ZS�r Name of Contract ' ' . • • • • Aeress -p,,�E�,� -I I � Phone No? Contractor :.G?�'�!J,► -:— . Address , Phone No. 5_Zs LIU.% property . . . . . , . . p pertp Located �rithin -3pp feet of• . . . . . .. . -- . .. . .a tidal wetland? '*YES. . . .110 . X. , . *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 dimens-on—, :: -operty lines. Give street and block number or description according to deed, and show street names and indicate «•:::;::. .tenor or corner lot. _� rJ L_V F j2 M ra i2 p va N ATE OF 1E1V YO b10VC— U,JTY OF . .�. �? .�JG. . . . . S.S • • • _ • • _ • . . . . being duly sworn deposes and says that.tte is the applic�: Namc of individual sig ^ ' �niiio contract) we named. (Contractor, agent, corporate officer,•ctc.). • . . . • . . • • • • . . • • • • • ' ' ' . ' ' ;aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl: lication; that all statements contained in this application arc true to the best of his knowledge and belief; and that t:: k will be Performed in the manner set forth in the application filed therewith. IM to before me this l . . . . . . . . �� . . .day of . A . . . . . . . . . . 19 .�. rrnn\\, � 3D' Public. . . . . . . • • • • • . . . . County A.JACOBS Suft of Now YC'ek No.47M900 . . . . Qtt�alifl�t bt&ulit�ltCounty (Si;naeurc of appliean- oil Boca Mweasi,16. - � | � - ` � ' ` � ` RtQUIRED � � ` � � � � Z70FPJT ��t, / FOR THP CONSTI'l(ICTION MUST COMPLETE FOR ALL CotISTRU CTION c NOT RESPONSIBLE DESi FOR � � � ' { ' ' � � ' | ` eo.F�/li�171 0 P> r- LEI ' Li IN rl ykv xs | ' | ' / � ! | \ � ` . � � ] 1 � | � � � / � 1 ` ! ~ ` � i ' ' , ` . Lb ' � - � � ' � � ! ! � / ! . / � / | IL IN IF -N - Y- / ) ' / ! � � ! ' | Ap . | Tllt ! . � 4-7 | � / ` / � tl ej _;4, v,\ | ' -� Ace ' . ' ' � 4�r . � '