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Home My WebLink About12748-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ..... g.l.q602 ...... Date ............ d~.L~.3 .............. 1986. THIS CERTIFIES that the building ....... a, cl ql$.t.5, qr~ ................................ 3300 North Sea Dr. Orient Location of Proper House No. Street Hamlet County Tax Map No. 1000 Section 15 .Block .t ..... Lot 4 Green Acres q40 Subdivision ............................... Filed Map No..7 :..-...Lot No ...... 7.- ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated April 29 ,198.3.. pursuant to which Building Permit No. q 2748Z dated November 15 19 83, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tlfis certificate is issued is ......... Addition to existing one-family dwelling. The certificate is issued to JOAN FINNAN ROBINSON ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval .................N/A UNDERWRITERS CERTIFICATE NO ................... N / A Rev. 1/81 FO~ NO. 2 TO~N O~ SOfT'OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12748 Z Permission is hereby granted Ito: .......~...~. ~.~.~ ............ ,o ...~~....~.~.....x........~.~.~....~....~.~.~/ .~-~.~,t:~...~......~~..(~ .................... : ........................... ~ ........................... at premises located at ..~,~.~..~ ....... ~[,,~.~...~..~.....L~.~?. ....... ~ ................... County Tax Map No. 1000 S~tion ....... .(~)../...,-~.. ..... Block ......... O..I ........ Lot No ........ ~ ............. pursuant to application dated .................... .~. .............. , 19.~..~L, and approved by the Building Inspector. Fee $...~-;'...~..,. ............ Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 .... TOWN OF ~OUT~OLO APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in wpewriter OR ink, and submitted I ~ 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 srmilar 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. B. For existing buildings {prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date ...... ' ............. New Building ............. Old or Pre-existing Building ............ Vacant Land ... ~ ......... Location of Property ..................... H~--.-,.. ......................... House No. Street Ham/et Owner or Owners of Pro erty County Tax Map No, 1000 Section ............... Block ............... Lot .............. Subdivision..~..~.~..~..)~.~..~.. ~, .............. Filed Map No. 2.~. ~ ..... Lot No .............. Permit No. /'~?..¢.~.~. Date of Permit . ./{ .... .~..Applicant . .~"~.~..'~?,..~.< .'~?~..'~..'~.'...~'.~.2~'../.,~'.~]~....~.. 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. ' ' Applicant ..... ', ,~..'.. ,..-¢,,,-"-.~, ........................ Rev. 10-10-78 CHICAGO TITLE INSURANCE COMPANY 877 EAST MAIN STREET, RIVERHEAD, NEW YORK 11901-9990 (516) 727.-445.5 (800) 248-CTIC TELECOPIER (516) 727-4407 Title NO: ~tC~-(2>~9-~'T~ Gentlemen: Please forward copy of Certificate of occul~ncy-survey attached. .-. Incorporated Village of: chain of Title,- Please advise by letter if Cerificate of Occupancy cannot be issued. or was built prior to issuing same. mpZcz YORK STATE DEPARTMENT OF ENVIRONt,~NTAL CONSERVATION Regulatory Affairs Unit Bldg. 40, SU~Y--Room 219~- Stony ~o~ ~- .......... '~(516) 751-7900 14 October 1.983 Joan Firman 139 Wagstaff Lane West Islip, New York Dear Ms. Finnan: .A review has been nmde of your proposal to: construct a 7' X 12' extension on the east side of an existing single family dwelling, approximately 80' from crest of bluff, as per supplied plans. Locatio~: Long Island Sound; North Sea Drive, Orient, Town of Southold, Lot f~ 20 of '~ap of Greea Acres at Orient", Map ~ 3540 New York State Department of Environmental Conservation has found the __parcel XXXXX project to be: Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure -- greater than 100' in length constructed prior to September 20, 19'B7. Landward of 10~ contour elevation above mean sea level on a gradual, nat- ural slope, MyJD{Landward'of topographical crest of bluff, cliff or dune in excess of 10 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 since the current proposal is beyond State mandated J~risdictlon pursuant to this 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 ,/ Daniel J. Larkin Regional Supervisor of R~gulatory Affairs ~L:~T:cz 7iT". E NO. $-60£A2 - . : . .. ~ . .... - 0 ':,~ '"' ~ . . .. . .. . ~ ~ ::~. LOT HUMDERS REFERTO ~POF GREFN AC~q ATO~tEt!T FILED IN TH[ OFFICE OF THE CL ~K OF SUFFOLK COUIiT? ON APR ~ L 13, 1962 AS MAP HO. 3540.: W : FIELD INS?ECT,!ON COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined..~..~ .~...3.., 19~.5.. /~ Approved . .~. ~..~...'.~.., 19~.~.. Permit No.). -.~..D...~... Application No .................. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 scheduie. 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, m~d to admit authorized inspectors on premises and in building for necessary inspections. ~nature~of applicant, or name, if a corporation) . . .. . . . . . . . ...... /, (Mailing address of applicant) State whether applicant is owner,.lessee, agent, arghitect, engineer, general contractor, electrician, plumber or builder. .... ....... ........ , ..................................... Name Of owner of p:emises.. (]..~....c~....~...~. ~. i~.k~.~~ii~';i~t~t, fi~e'd') ......................... 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 ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be doner~' ................. ~ .... ~ ........................ House Number Street Hamlet County Tax IVlap No. 1000 Section .:. 3.fi'. [. 0.: ..... Block .................. Lot .~ ............ Subdivision.~..~ .............. Filed Map No. . ~.q.~ ..... Lot ..~ ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~~..~ ........................................... b. ~ntended nsc and occupancy . {~~..~ ............................................. ..... Alteration .......... ·. Other Work ............... (Description) 3.Nature of work (check which applicable): New Building .......... Addition. Repair .............. Removal .............. Demolition .......... 4. Estimated Cost o OO Fee ' (to be paid on filing this application) , ./. 5. If dwelling, number of dwelling iunits ............. Number of dwelling units on each floor ................ If garage, number of cars .... i ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Nun3ber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories 8. Dimensions of entire new construction: Front .... 7. ......... Rear ...7. .......... .' .......... Depth . ./s~;' .......... Height d'...~..~.o.o.~. .... Number of Stories . ../ ............ 9. S~zeoflot Front . .,1['~.,0.. ~ ........... Rear.//i~ ................. Depth . ./~'..fi',..S/P:.-: ............ 10 Date of Purchase Name of Former Owner 11. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed construetion violate any zoning law, ordinance or regulation: .... ............................. 13. Will lot be regraded . .A/...O....:,~., ................. Will excess fill be removed from premises: Yes No 14. Name 0f Owner of premises . .gyq~. ~..~V.5..q .,~. ....... Address ................... Phone No .............. ." Name of Architect ........... i ................ Address . Phone No. Name of Contractor ~.,q/d/2~'~..:..~...~7~/. ~'/~'t'Lg~. .... Address i ~'i,~J~i~ i ~t.i i '. i. Phone No. ~/~."~)~.' .~. i i i 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 Inumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF 'NEW.~R.~.F' ~ L~e of individual sign lng contract) above 'name& , -' being duly sworn, deposes and says that he is the applicant He is the ...................... ~ .............................................. f- ~corporate officer, etc.) of said owner or owners, and is( du~.z .ed to .p. erf.orm 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 his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this No t a.a.a.a.a.a.a.a.a~.u blic ..... NEVILLI~ NOTARY of New York (Signature o~ appfieant) LIOTE.: L FOI,.J M ~-F I c:) M PLAN WALL - J A FIRST FLOOR pL~4 E 5 I~" 15ATT SILL M · W OE_TAI L NO, I 80dT I I EA ST £LF-VAT I OIq EL£VATI OI-J ]~£TAIL klO..: BE_~T IO~4 A-A ~r~': I~s~": PI~OPOSED ADDt'T'iOk. I 'TO RF_.$1 DE.I',JCF_ k4A',¢' I ~ I ~/~