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HomeMy WebLinkAbout22329-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26452 Date: 05/14/99 THIS CERTIFIES that the building RENOVATION Location of Property; 74605 MAIN ROAD GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 45 Block 4 Lot 5.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 25, 1994 pursuant to which Building Permit No. 22329-Z dated SEPTEMBER 15, 1994 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 RENOVATE EXISTING BUILDING AS APPLIED FOR. The certificate is issued to WILHELM FRANKEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-326790 09/13/94 PLUMBERS CERTIFICATION DATED N/A C'�- 01 / V Building Inspector Rev. 1/81 1 i 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 .................. ...(�5.............................., 19...:•/.•. N_ 22329 Z Permission Is hereby granted to; Itz ........AvIn-1w4c. ✓.............. ��...... ......��......................................... ��� .........:. .r.....................................I......... ............................... .................................................................................................................................................................. .................................................................................................................................................................. rAl-�,Ik4411 .................................................................................................................................................................. 73�:/0 os- AVIr l atpremises located at..................................T ................................................................................ ...............................................................................C , , ✓i'�r�%. .,.,.......................................... County Tax Map No. 1000 Section ..... .........;.. Block......1)�e............. Lot No. ......e5z , ..... pursuant to application dated ........A1.6............Z5..................... 19...�7`..., and approved by the Building Inspector. Fee$. � .;. ..... ......... ........... / ............................. . ! , Building Inspector Rev. 6/30/80 G t U V i TOWN OF SOUTHOLD ` BUILDING DEPARTMENT 4 MAY 101999 r TOWN HALL 765-1802 BLDG.DEPT. TOWN OF SOUTh99LD _� APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildir 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 buildi 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 a '-'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 applican 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 WAD- 2. - $100.2. Certificate -of Occupancy on Pre-existing Buildinc 00­ 3. Copy of Certificate of Occupancy - ' .25,,,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . Old Or Pre-existing Buildi g. . . . . . Location of Property. . . . . .. .. . .. . . . . � �!.'!.'�:l. . . . . . . . . House No/. �Street .Hamlet Onwer or Owners of Property.. ;V/ /. LC�I.. W. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . �.. . . . . ..Block. ..U�. . . . . . . . .Lot. © .J -./. . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .Filed Map.. . .. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No. �.3, , . . . .Date Of Permit.T/Ls?/`L/ . . . .Applicant . /" /&/ .&( :V.4�V Health Dept. Approval. . dY/� .. .. . . . . . . . . . . .Underwriters Approval. .Ja.G�. . 1. , o . . . . . . Planning Board Approval. . . . . .:U14 . . . . . . . . . . . Request for: Temporary Certificate. . . . . . Final Certicate. ... . . . . . . . . � Fee Submitted: $. . . . . .. �© : b t . . . . . . . . . . . '_ _ /, APPLICANT 17 a��s rn UNDATIOV JUDATION (2nd ) ]GH FRAME & - i ., •PLUrIBI11C • I Crrl �r7 �, ,ULATIO:I PER N. Y. STATE ENERGY II CODE •FINAL -- o ADDITIONAL COMMENTS.: 0\ C*7 %.r'�,%.`a.:..r`+'•!`•.�g�-sue-- - -mow,;:*,...r r��:3'. �. .. _ ,. .. .._ .. T _- THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 10251.35 BUREAU OF ELECTRICITY F 85,JOHN STREET, NEW YORK, NEW YORK 10038 Date SEPTEMBER 13,1994 Application No.on file OG390494/94 N 326790 THIS CERTIFIES THAT only the elec rical equipment as described below and introduced by the applicant named on the above application number in the premises of BOWNE ELECTRIC CORP. , 74605 MAIN ROAD, GREENPORT, N.Y. in thefollowing location• E Basement E 1st Ff. ❑ 2nd Ft. .Section45° Block`-5°1 Lot 5'1 tvas examined on SEbTEMBER 08,1994 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 6 7 1 b DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. I H.P. NO.OF FEET AMi. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER L-,4W 1.5 3W 3 03W 3 0 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A•W.G. EQUIP. PER A' OF CC.COND. OF HI-LEG OF NEUTRAL 1 200 CB 1 3/0 1 3/0 OTHER APPARATUS: BOWNE ELECTRIC CORP. LIC.#188-E P.O. BOX 489 GREENPORT, NY, 11944 GENERAL MANAGER 11 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. � z23 � T65-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INAU ON [ ] FRAMING [ INAL [ ] FIREPLAC CHIMNEY REMARKS: DATE � � -INSPECTOR ~ BOARD OF IIEALTH _ . . . . . . . O �n FORM NO. 1 3 SETS OF PLANS , . TOWN OF SOUTHOLD SURVEY . . _ . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK _ _ _ _ , , , TOWN HALL SEPTIC roan _ . . . , , . _ . . . SOUTHOLD, N.Y. 11971 TEL.: 7G5-1802 t:OT F'f BLDG.DEPT. CALL Q` �� Examined `70WNOF$OUTH 7 / . . _ _ . ' _ _ ' _ _ . . . . . . MAIL TO : Approved . . . . . f�`S 19 ermit No. ©1�� /'� . . . . . . _ . . . . . . . . . . . Disapproved a/c . . . . . . _ _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �_ . . . . . . ing Inspector) APPLICATION FOR BUILDING PERMIT / . Date INSTRUCTIONS 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 premises or public stree, o,c areas, and giving a detailed description of layout of property must be drawn on the diagram cation. which is part of this appi 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 perm. 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 the 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, housing code, and regulations, and tc admit authorized inspectors on premises and in building for necessary inspections. . . . (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general _contractor, electrician, plumber or builder. . . . . . p ,fie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . /Gf/�G�l F/ZA�/, E�✓ w 3/L/LE �!l� . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . a. . ... .. . .. . . . . . . . . . . . (as on the tax roll or latest deed NO ® If applicant is a corporation, signature of duly authorized];��M,lIF6jTERS'CERTIFICATE DAB / - D'a 3Lf'& REQUIRED � FEE: /ra, BY: (Name and title of corporate officer) NOTIFY BUILDING DEPARTMENT AT. OCCUPANCY OR 765-1802 9 AM TO 4 PM FOR THE . . . . . . . . . . . . . . . Builder's License No. FOLLOWING INSPECTIONS: USE J5 UNLAWFUL 1. FOUNDATION • TWO REQUIRED Plumber's License No. FOR POURED CONCRETE . . . . . .WI TH•O U i' C E T i F B CAT.E2. ROUGH - FRAMING & PLUMBING Electrician's License No. ��� -& S. INSULATION OF- OCCUPA"C I 4. FINAL - .CONSTRUCTION MUST Other Trade's License No. BE COMPLETE FOR C.O. ' ' ' • • • • • ALL OONSTRUCTION SHALL MEET T E RE�QUIREMENTS OF ;THE N.Y. 1. Location of land on which proposed work will be done. . . . .y��.'�. . MIPIA ;CQNSTRUCTlON & ENERGY G2�CN'�DlL� �/ c CODES. NOT ' hI PV N$1BL'E -FOR• . . • • • • • • • • • •/Iy�. . . . . . . . . . . . . . . . . . . . . . . DESIGN OR CONSTRUCTION ERRORS fIOuse Number Street ... . . . . . . . . . ... . . . .H County Tax Ma N �5 0 p o. 1000 Section . . . . . . . . . . . . . . . . . . Block . .D. ,y D.O . . . . . . . . . Lot . . . . . . . . / Subdivision . - . • • . k . . . . . . . riled Map No. Lot . . _ (Nalnc) : . . . . . . . . �= State Cx1St111 � 6 use and occupancy of premises and intended use and occupancy Of proposed construction: a. Existing use and occupancy . . . . . . . b. Intended use and occupancy . �. . . . . . . . . . . . . . . . . _ . . . 3. Nature of work (check which applicable): New Building � ~ Repair . . . . . . . . . . . Removal • . . . .addition' (Uer`a`tion . . . . . . . . . . . . . .. _ .. . . Demolition : . ` :'.,,;'...°:1_.'Qtkie•r=tiVo`r')t 4. Estimated Cost . . . . (Description) . . . . . . . . . . . . . . . . . . . Fee . . �:. . . . . . ; i , (to be paid on fill n •ithis' 5, If dwelling, number of dwelling units . , • " w: a...� _ � application) If garage, number of cars !' ' • • • • . Num bcr of dwelling'{5=.u;R . . •,� c , . . . . . . . . . . . . 6. If business, commercial or mixed • - "" " " • • • • • • • • • • • • . . . . occupancy, specify nature and extent of-each type of use QS�� ss • • . 7. Dimensions of existing structures, if any: Front . Height . . . . . e . . . . . r . . . . . . . . . Rear . . . . . . . . . . . . Depth . • . . . Number of Stories . . . ,�, �' � ' ' Dimensions of same structure with alterations or add' • • . •" • • • • • • • • • • ' ' ' ' • ' . . ' . ' • • • • • Depth rtions: front . . ?fl�lE. . . . . . . . Rear . . . . . . . 8. Dimensions • • • Height . . . , , , , ; , Number of Stories . • • • • • •ns of entire new construction: Front ��/�; ' ' ' • • - Height . . . . . . . • . Number . . . . . Rear . . . . . . . . . . . . . . . Depth . - . . . • . . . . . . 9. Size of Stories . . . . . . . . . . . . . . . . . . . . . . • • • • • ' ' of lot: Front . . . . , Rear . ! • • " " " . . " " " ' 10. Date of Purchase . /a/�8 : . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . • . . . . . 11. Zone or use district in which r • • • • • • ' ' • ' • • Name of Former Owner ./. �;• Q2r�Gm!� ;v •�: • • ' ' premises are situated . .12. Does proposed construction violate any zoning law, ordinance or regulation:• • • .4.I.q • • � •13. Will lot be regraded �!® • • • • • - • • • • . . . . . . . . . . . • • • • • - . Will excess fill be removed from premises: Yes • Nc . 14. Name of Owner of premises .,q,v���N - Name of Architect • • •Address f�. Q ,7Q?�, • , • • • Phone No. .y7.7/oY3 Name of Contractor .�0. :';E •EG��2/e • • ' 'Address : ®' OX y8� • • • Phone No. . . . • • • 15.• Is this propertywithin ' ' ' ' ' • Address . . , , • , , • . . Phone Nam, .�?7, •-ly4!7• - 300 feet of a tidal wetlands t/ • • • *Yes. . . . . . . . No. . *If yes,- Southold Town Trustees Permit may be required. PLOT DIAGRAM ; Locate clearly and distinctly all buildings, whether existing or mensions from property lines. Give street and block number or description according pto deed, and show st eet roposed, and.indicatelnamesand indicate whethc interior or corner lot. J_-NS7,q Z-9T/O/✓ Or= - /1/Sl/Lf9T/Olv /I D�..2�9 IfU C!/ffLGS !�i JVa SZ00r ly/= $Tolzq i9267-A Al 7/9G if-47 e/L Or -31p d*A/ z rtIST/✓UG .sT2uc iu2 �RL Ac� Z-�-/STi.v G T/ Al G v eell-IVG as i AV.74) G" 7),r/,Op EcCr c� +•try mf Nwae:..v'J+E. �'S.N�gqj fi,+sc�.n.�^c9.t,.-.x.!...n ....'".i 5i,.' ^.� s'1<�2��tli"ir`✓"r=vt.� k,r'i.•'^1�±1x,?%�Y'�'�+r:,tr;l p•+t;-�. is""hi s•: ' tt7ft i �i� Q:�,h:'•f:,;{ :c .. .' � c,.+. e.� s•�,^- . .• .ij'J�1.�rm's`«�'.i''..d'S9�r`.,,`.6'"S:Y�S:��.�V... .'t q . _, law .. {r::i f"{�FiL`:?�" '1r�,i• . 'a;r6�''i�Tt���titi.;tl�y •(V it -_ . r�� :TATE OF NEVI �+m_t "y ,Ol' y`7 �.cf? ?'1'il'�•.Jh sir ,ti e� p (Name ofn'divi`eliaal`si' iiin contract t �• • b'eii�r*'tiul5sworn, deposes and says that he is the applicant )ove'n5nicd:.. ;..,..3. Y.,� p_.•fi ) e is the '. .. '.; 1,,,; '.,• `� (f�%/� ' ... �V 1�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. :orn to before me this . . . . . . S. . . . . . .day of. . . . . . . . . . .. 19 � tart Public, . . . . . . . . . . . . . . County Gcc &DAJ_r,0 Pia Notary Public,State of NewYort;, ' ' A,,— . . . . . . . . . . . . . . . . . . No.4822563,Suffolk County(�l� (Signature of applicant)• • Term Expires December 31,19_..,, ( jp Yo. _ :V,ILLAGE QFG , tl 1 Q PORT" � ;�i ��RDNIPfPE 1 j5��V�N.. �� ucre Esiat._� a i5J" —.� 1 Po:00 � ��' � ; ;�• � MAP. , ;., • m 'OF PP,OPERTY ' uwEYED F0 { �A C ADELINE ' L- , ' �-7LLOQGE H. e H ' Dr . Ar TC -� r .��iJ� 14.Y 4 7-1 .Y is .,n 4 , G. _Y PRICY L'Z a , Ul GUARANTHED PO T7E.5ECJRi1" ,' T'TL� !. AND CGUAP-AiN;-iCpMPANY � .. AS SURVEYED MAY )91)970 �- -\ VAN - �C�N o ° rk` LICENSED LAND .C41 5 GCEN FOQ N.Y. 100 , 3 po p F % A2EA.: 0.5371 AC:uE �� 1 SCALE_�C TITLE NO. Pr,2:,Sc.2 f � ,,t tLy1. I....- l¶_ �' F} y-- '� '1Cf„ 1 1 W.y 1 7Z•. k.0 JY.. - I .; , I �fi jPrM i � ... ��' �I!�.a. � .I-��:.!'��c •1..� ,t L:. ,._�?.,. .�.,�...i�� .I .i`Y,..,� � _�1.�,1 i .:kh.it.n..p._.JI., III.,,i .. .Wii.• .,. �7 ..�fii � __•. I