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Home My WebLink About12336-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ~.1.2;45~., Date... Apr.,il. 2.5 ................................. THIS CERTIFIES that the building . o.d.d.i.t..ig.n. ..................................... Location of Property 785 Alb. acore Drive ~/$d$~ ~]oi .................................... Street Hem/et County 'Fax Map No. 1000 Section ...q $ 7 ...... Block ...0.1; .......... Lot .... 0..1.6...1. ....... Subdivision ..... SO~thold..Shor.e~ ........ Filed Map No...3.8..5.3..Lot No...37.-,3.2: ...... conforms substantially to the Application for Building Permit heretofore fded in this office dated .... .Alq. r' .i ~..2.5. ........ 198.3. . pursuant to which Building Permit No .... 12336 Z .dated .......... ~I.a~.. ,1 ~ ........... 19 .8.3., was issued, and conforms to alt of the requirernents of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .s...n..a.d.d..i.t.i. qn...t.o..d.wpl, l.~.n~t tO include:, living room, deck, & screened The certificate is issued to DONALD & VIRG.I. NIA BAY.LES porch. (owner, loewe of the aforesaid building. Suffolk County Department of Health Approval ..... .N/.R. ................................. UNDERWRITERS CERTIFICATE NO ............. .I>1..6.2.1. ~.1.5. ........................... Building Inspector Rev. 1/81 ,ow. o~' ~ou~'%~, ' BUILDING DEPARTMENI~ TOWN HALL SOUTHOLD, N.Y. ; BUILDING' PERMIT ~ (THIS PERMIT MUST BE KEPT ON THE PRE/~IS~S UNTIL I COMPLfiTION OF THE WORK AUTHORIZED) i 2 3 3 6 Z Oote ~ULL Rev. 6/30/80 Building nspector Building Inspector. ~,, ~...~. Pen!nission is hereby granted to: ...... ~.. ~.7...z~. z~.....~. ~.~..,: :, ~ ~..~.~~.~-~ ...................... .~ ............. ~...., ................. ; ..................................... at prem,ses I~ated at ............ ........... ~~~.....~.~....~..~'7 ...... ~ ......................................................................................... ~....~ ................ ~ ............ ~ ~'~ ~" ~U~ Tax Map No. 1000 Section ...... ~ .... Bilk ~' .~...~ ~.Z ........ ~Lot No. ;~.~.~ ..... ~ur~0~nt to ~pplic~tlon dot~ ......... ~ .......... , 19 ~nd ~pprov~ b~ th~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hail ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink. and submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect.or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre*existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: I. Certificate of occupancy $5.00 ! 2, Certificate of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use--Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date ..... ........... / / New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .................... .~.~ ~...~..~...~.~. · .~. ...... House No, Street / Harmer Owner or Owners of Property ~)2 .,~..L-~../'~...(.. J/../.'/.2.,~, '~..~. '/~-....J-~.......~..~.'. ............. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision .~.0.5r~..,/~...c~'./~.q 4¢~.~. ......... Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant..~.~, ,~22,~ ........ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. ~0..¢_.. 2.~ (.o O/'~ Applicant. ..~. ~ .... 7 I b { THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK f0038~ ~ld ~1. ~yles, ~f~ Klb~re D~.,I~'W/O Bi~ ~1~ ~. ~ ~ut~ld, in the yollowing location; ~ Basement ~ 1st Fl. ~ 2nd Fl. Sectio,t Block Lot was ex~mlned on (~%' ~0 ~ ~-~3 and found to be in compllance wi~h the requirements of this Board. FIXTURES RANGES OVENS EXHAUST FANS 7 DRYERS MULTI-OUTLET SYSTEMS NO. OF FEET E R V I C E NO OF CC COND. A W O. A W, G. PER ,~ QF CC. COND. O~ HI-LEG INO OF NEUTRALS -- OF NEUTRAL Rul~nd ~lectrlc Co. P.O. 9ox 142, Mat'~l~;uc~k, N.Y. 11~52 Lic#2~ This certificate must not be altered in any manner; return to the office of the Board if ihcorrect. Inspectors may be by COPY FOR E~UILDI~JG DEPARTMENT. 'l MA FI~ELD ~NSPECTION COMMENTS FOUNDATION (1st) F'OUNDATION 2. (2nd) ~OUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:~ Examined./?~r / ~'''''19..6~. Approved:~/~,~f'r../. ~....,1 .~.~. Permit No..Zc~.~Y .ff~.~ Disapproved a/c ..................... ~. ....... ling Inspector) APPLICATION FOR BUILDING PERMIT Application No. /a'~'~"~-/ 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 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 whatever until a Certificate of Occupancy 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 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 j~o~pections. ~ .... ............ (Signature of appli~cant, or flame, if a corporation) l°.O. Box 596, Southold, I~.Y. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises .... D. 9.n.a.1' .cl..&..?.i?.gJ:..rA.i.a...B.a[ff..]:. e..8 ......................................... (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. 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section .... .O..~..[r~. ....... Block ..... .t~.[ .......... Lot....~. ].~o. ?../ ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... ~...-..ff..~tlll~l.fff.. ~.e.~5,de~ce .................................... b. Intended use and occupancy .......... .s.a.m.e. ...... 3. Nature: of work (check which applicable): New Building ........ Addition .212~ ...... Alteration .......... Repmr .............. Removal .............. Demoht~on .............. Other Work ......... " (Description) 4. Estimated Cost .~ 25,,00.0 ........... ; ........................ Pee . ,',',',',',',',','ff~,"~, ................................. (to be paid on filing this application) 5. If dwelling, number of dwelling Units ............... Number of dwelling units ~n each floor ................ If garage number of cars ' 6; If business, commercial or mixed occupancy, specify nat?e and extent of each ,type of use ..................... 7. Dimensions of existing structures, if any: Front .... ~.~. '. ....... Rear ...~.~.' ......... Depth.. ,~..~.47 ......... Height /d~t~ Number of Stories .O. go... Dimensions of same structure with alterations or additions: Front ...~.a.m.o. .......... Rear ....87..m.o .......... Depth ......... ~.~..' ....... :.. Height .../~. 8. Dimensions of entire new construction: Front ....~. *. ........ Rear .... .2.2. ~. ....... Denth.~..... ~-.~.'... I-[eight ...~? .... .: ....Number of Stories ..... O..~.o. ~.l..g.~..]:. 9.f.~. ....................... 9. Size of lot: Front ~ i 0 ... :1.3.5 .... , ............ Rear ..... ],3, .............. Depth ...7.5~ ................ 10. Date of Purchase 1-1/.20/7. a ...... ' ..... .... Name of Former Owner ?.~.e.d: ..&. ga...vg3.a' . ...... 11. Zone or use district in which prqmises are situated .... ~...~.5,ql¢~.~ .................................. 12. Does proposed construction viollate any zoning law, ordinance or regulation: ...12o ........................... 13. Will lot be regraded .... 12.O...~ ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises nonal.cl .BaT.].e .... Address g~lbaeo, re l~r, .. Phone No.~..65.-~.~.9.~ . Name of Architect ....... - - . Address ii ~ .~ .~i~¢i~ i~P~i J i. Phone No..~.~., ~.~'g. ' ' ' Name of Contractor ........................... Address ................... Phone No ................ Locate clearly and distinctly all property lines. Give street and block interior or corner lot. PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions from mmber or description according to deed, and show street names and indicate whether \ STATE OF NEW YORK, S.S ........... · .................. veing duly sworn, deposes and says tha_.Ihhe is the applicant (Name of individual sigu:"ng contract) above named. ~Heis the ................. ~ t.e~] 9.~.l,7. .............................................................. (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,.~.~wledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before mo this Notary Pu,blic, ................. NOTARY PUBLIC, State oil New ¥~R ' / / / (Signature of applicant) N0, §2.812585~ Suffolk _Ooulll~ / rarm Expir,~s MaE, h ~).~ I-~g YOPd( STA~C DEPAP. T~NT OF Ei~VIP. ON~MTAL CONSE~.VATIOH P~gulatory Affairs Unit Bldg. 40, SU~--Room 219 Stony Brock, ~f 11794 (516) 751-7900 February 3, 1985 Donald M. Bayles Middle Country Road Middle Island, New York Mr. Bayles: Dear A review has been made of your proposal to: construct an addition onto existing home. Location Canal off Southold Bay; Albacore Drive, Town of Southold Arshamomoque, New York State Department of Environmental Conservation has found the __parcel XXX~ project to be: Greater than 300' from inventoried tidal wetlands. (Functional Bulkhead) Landward of a substantial man-made structure greater than 100' in length constructed prior to September 20, 19~7. ...... Landward of 10' contour elevation above mean sea level on a gradual, nat- ural slope, · Lan~;ard of topographical crest of bluff, cliff or dune in excess of i0 feet in elevation above mean sea level. Therefore, no permit under Article 25 (Tidal Wetlands of the Environmental Conservation Law) is required at this time siuce the current proposal is beyond State mandated Jurisdiction pursuant to ~is act. However, any additional work or modifications to the project may require a permit. It is your responsibility to notify this office, in writing, if such additional work of modifications are contemplated. Very truly yours~ t Daniel J. Larkin Regional Supervisor of Regulatory Affairs DJL:RNT:cz k CA AI,~! 1._ LO T ~__ ~ P~?OPOSED PORCH i 715. oo' /2.5.00' --P~Lo. 0o' EL. A I ~A COR_F Lgt~ I V~ ti ..... Z_ _ 4;4-" T Z~A $£~d~N T b FO C/A/ O/~ 770>¢ /.v/_ 4¢V /~'-D ' ~D~OOIW .~ E C 7-/ o /V L2 - O ,I 9LO/~E 7 o,v IZ -,- OCCU?AHCY OR USE CERTIFICATE OF t KI AF?~O~ED AS NOTED ~ NOT~F¥ BUILDING DEPARTMENT AT ?8~-IE0'/ 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ~. FOUNDATION - TWO RBQUIRED FOR POURED CONCRETE 2:. ROUGH - FRAMING & PLUM~ING 3. [NSULAT!r~N 4. FIN,~L - C"%}'STRUCTION MUST BE C'~5*PI rTE FOR C. O. ALL CONSTRUCTION SHALL MEET THE REOtHREMENTS OF THE N.Y. STATE CONSTRUCTfON & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. A',OD/ ,~ DD~ 7-)o/V O~C7-/O,W S£CT/Oz[ C-c ($ '-.o" H/~,H) / ~ Z3DI W,k~jT- EL E~Z r/o~ NO,~. TH -+ ~'A'/3 'TIN k ,fix/S'?V//V Cv ~ORoo~ { ~ ~ JILL lei-o" FIRJ T- Z-LOO,X PL/z, IV 4L4." Z3A ~£t~/g7~ T l""~---4" Co,vC. 6;3" ~/~ ~FTIC I 7 o, v lZ NOT]~ B~ILDI~G ~E~ARTM~NT A~ ~5-1802 9 AM TO 4 PM FOR TH~ FOLLOWIKFG IN~ECTIONS: ]. FOUNDATION _ ~O REQUIRED FOR POURSD CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATlnN 4. FINAL - CONSTRUOTION 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. \,% II DT.L El/d 7-/ z'aoo,~ }! % " 9', !!' ~,I ~-/? '%, /P-II/N. SUL, J£CI/O,¢ C-C NOR. TH EL E ~/~ 7-/9N L%4YL£$ /~J/DENCE