HomeMy WebLinkAbout11465-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18655
Date DEC. 19r 1989
THIS CERTIFIES that the building.
Location of Property 835 TARPON DRIVE
House No.
County Tax Map No. 1000 Section 53
Subdivision SOUTHOLD SHORES
ONE FAMILY DWELLING
GREENPORT
Street Hamlet
Block 05 Lot 08
Filed Map No. 3853 Lot No. 51
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOV. 6~ 1981 pursuant to which
Building Permit No. ii465Z dated NOV. 19, 1981
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 ONE FAMILY DWELLING~ ATTACHED GARAGE, AMENDED TO INCLUDE DECK.
The certificate is issued to INGEBORG AND FRANK M. FLYNN (owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL il-SO-108 DEC. 16~ 1985
UNDERWRITERS CERTIFICATE NO. 062712-3/14/89 & N062715-3/14/89
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
rows ~OsS
BUILDING DI
TOWN HALl.;
$OUTH'OLD, N~ Y~
BUILDING: P,EPJ~IT~
(THIS PERMIT MUST BE KEPT ON, 'I~HE PREb~IS~S UNTIL ~ULL
COMPLETION OF THE WORK AUTHORIZED) ·
NO, 21 ~65 Z De~e ,.~~~ ....... ~.~ .........
Per~issio~ is hereby granted to: ,~
...... ~z~.:.~...~/ ...............
...~....:~.~.,..~: ........ ~....~:, ...............
~o ..~ ...... ~~¢. .......... ~ ....... ~.~.~?..~. .........................
.......... ~.F~...~. ........ , ....... ~ ................
C0U0w Tax Map No. 1000 Section .~ ~~i~ :r
~,'"F' .......... ,..; ~ t N .~.,,~ .~ ..........
~'~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
DOUSE NO. STREET HAMLET
o~n~ or O~.ers o~ P~op~rt~..~.C¢~..~ .........../~ ~.~F..J.~?~_~...~.~..~£ ~ ~.~/.~.
County Tax Map No. I000 Seetlon --~.~. B~ock -~ ..... ~ Lot .....
Subd£v£slon ....................... Filed Map ........ Lot ..........
Permit
Health
Planning
No ........... Date of Permit .......... Applicant ...................
Dept. Approval .................. Underwriters Approval ..............
Board Approval ................
Request fo Te C tifi ~//
r mporary er cate ....... Final Certificate ................
Fee Submitted:
rev. 10/14/88
DEPARTMENt OF HEALTH SERVICES
cOUnTY OF SUFFOI.K
PETER F. COHALAI%I
SUFFOLK COUNTY EXECUTIVE
DAVID HARRIS, M.D,, M.P.H.
COMMISSIONER
February 17, 1983
Mr. Frank Flynn
835 Tarpon Drive
Southold, NY 11971
Water Sample:
1/10/83
Dear Mr. Flynn:
The analysis of a water sample recently collected at
your home has been completed. The results indicate at
the time Of sampling that all chemical constituents
tested'were within recommended standards set by federal
and state health agencies. A specia~ analysis performed
for lead showed no detectable concentrations.
Should you have any questions, please feel free to contact
our office.
MT:vch
Very truly~yours v
Martzn Tr~
Senior Sanitarian
Drinking Water Section
FIXTURE ~EPTACIES SWITCH FIXTUI~S RANGES
,,,.,-~:t,. ,.,,..,., ,w,. ,., L o,
R
$11[~1:: f
TIM~ CLOCKS B~LL]UNITHEATERSUNIT HEATERS MULTI, OUTLET
,u~'r, '~'~s. TRANS. ~ SYSTIMS
A. W.O. NO. OF HI-LEG A. W, G.
OF CC, COND. O~ HI-LE~
EXHAUST FANS
N~YNOR fHOH/RRYNOI~ ELECI'.
Per
This certificate must not be altered m any manner; return to the office of lbe Board if incorrect. Inspectors may be identified by their c~'dentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
PA~ i
1000544 BUREAU OF ELECTRICITY
I--- 85 JOHN STREET, NEW YORK, NEW YORK 10038
~ate ~lA~kl 14~19!:~ Application No. onfile lB~90B2/~2 N 062715
THIS CE~IFIES THAT
o~y t~ e~t~ ~uipment ~ ~cH~ ~ ~ int~uc~ by t~ ~i~nt ~ on the a~ ~pl~t~ numar in t~ pmm~s of
in t~ol~wlng hwation; ~ ~ement ~ I~t FI, ~ 2~ FL ~ / ~J [ ,~tlon Bilk ~t
~ examin~ on ~ ~ ~'~ A~ ~ ~ ~ , ~ ~ ~ ~ and ~ound to be ~n compllance u'it~ the requ~rements of this Board.
DIMMERS
S~RVICI DrY. COnNECT S E
~.5 AMPS C~MPACTOR-I
FEEDE~S:I-4 I 3 BASEMENT ~0 BASEMENT
PANELBO~ROS:I-3~ CIR, 200
R V I C I
NO.(DF CC. COND. A.W.G.
PER ~' OF CC. COND.
NO. OF HI-LEG A.W.G.
Of HI-LEG
FIELD INS?~
· FOUNDATION
(1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
C,ODE
4.
FINAL
COMMENTS
ADDITIONAL COMMENTS:
TOWN OF SOUTIIOI,D
OFtTICE OF BUILDING INSPECTOR
P.O..BOX 1179
TOWN IIALL
SOUTIIOLD, N.Y. 11971
Decenber 15, 1989
TEL. 765.18O2
MR. & MRS. F.M. FLYNN
835 TARPON DRIVE
SOUTHOLD, N.Y. 11971
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because .of the following~re.asons.
I-_1
I.-_1
-I
An application for Certificate of Occupancy
is not on file.
bio Underwriters Certificate on file.
The check it; (outdated/not on file.)
No }lealth Dept. Approval on file.
No final inspection has been made.
PLEASE
Please contact our office on this ma~ter.
Thank you for your cooperation.
lluilding PermJ. t I~ I I 4 6 5 Z
Building Dept.
***/]/ No Plumber solder Certificate on file.
( all uerm~ts involving plumbing being
issued after AprJ. 1 1,1984 )
SUBMIT C~ECK IN THE AMOUNT OF $30.00 TO COVER
ADDITIONAL FEE TO A}IEND PERMIT TO INCLUDE DECK.
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1 179
Southold, New York 1 1971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 11, 1989
Mr. F.M. Flynn
835 Tarpon Drive
Southold, New York
11971
Re:
Building Permit ~11465-Z
Suffolk Co. T.M. 953-5-8
835 Tarpon Drive, Greenport,
NoY.
Dear Mr. Flynn:
During a review of our files, it was noted that the above
building permit has expired, and a Certificate of Occupancy has
not been issued.
According to the Code of tke Town of Southold Article
XXVIII, 100-281 and 100-284 a building permit is needed for
construction of a new dwelling and it is unlawful to occupy a
dwelling until a Certificate of Occupancy has been issued.
In order to avoid any legal action you must correct the
above violations immediately.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Vincent a. Wieczorek
Ordinance Inspector
VRW:gar
NEW YORK STATE DEPARTMENT OF ENVIROI~NTAL CONSERVATION
Regulatory Affatrs
Building 40, SUNY
Stony Brook, NY 11794
(516) 751-7900
Robert F. Flaeke
Comissioner
A COPY OF ~NIS AUTHORIZA~.ION MUST .BE AVAILABLE ON PROJECT SITE
TW~ # ~._77- Offs
TIDAL I'~TL~lqDS NOTIFICATION LETTER APPROVAL
Dear ~e. *~*~ ~v%~.
This is to inform you that we have reviewed the notification letter (or
permit application) filed on ~cAST-;~ 19~ and have determined that
it will not be necessary to file a permit application (or secure a tidal
wetlands permit) to
Assuming you have obtained all other necessa~ per. ts, you ~y proceed
with your pro~ect adhering to the special conditions (if any) found on this
cc: U.S. Army Corps of Engineers
NYSDEC Law Enforcement - Region
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
FINAL
FORM NO. 1
L, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined...~ ./'. ~. ...... 19~.
^pprove ..... , l .mermitNo.
APPLICATION FOR BUILDING PERMIT
Date ............... , 1
INSTRUCTIONS
a. This application must be completely filled in'by typewriter or in ink and submitted in triplicate to the Buildi
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 strer
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl:
cation.
c. The work couered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern
shall be kept on the premises available for inspecfion throughout the work.
e. No buiklblg shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan
shall have been granted by the Building Inspector.
APPLICATION 1S HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t
Building Zone Ordinance of the Town 'of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in buildings for necessary inspe/Cions. ~ ~.
(Signature of applicUZ[~,..¢ name, if a corporation)
(Mailing address of applicant)
State whedter applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bnild,
Name of ow=r of pr cn, ises. e.. ........
-' (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 Licpnse No ..........................
Plmnber's License NO... ~La'~... 7 ./.<~.._~.
Electrician's License No.' . .~ .4'
Other Trade's License No ......................
1. Location of land on which proposed work will be done. /P'/~ .~.~/./7'. /°. a/, //~r-/~e
../,' ......... '
..'.Z/c, ......... .~.~.e/z..~.,':~ ............... .,~.~¢./..w. ~ ~..,ce. ~¢. ¢.~.
House Number Street Hamlet
County Tax Map No. 1000 Section .... ¢7.~ .......... Block ..... ~... .......... Lot.
Subdivision..'~.4,0,2(.4. ¢/~'/.d~..~. ¢./:'¢.,s- ............. Filed Map No, .4~?~..~.'~-.z ...... Lot ...o'. 2/. .......
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .... .~'.c?(~cF-,e ~... ,/~.~-2,,~.
h. ~ntended us~ an¢ oco,pa=y ...... /.../2. C,,~ ,.¥/...".~. ¢:-:.~-,C..~¢., C ~ ..............................
3. Nature of work (check whicl! applicable): /q<ew Buildhlg .......... ~.cldi,toa .......... ~oto~.~t~o,,
Rep~r .............. Removal .............. Demolition .............. Other Work ..........
' Estimated Cost ....... ~.o Fe ~ ...~.. ..........
(to be paid on filing this application)
;. If dwelling, nmnber of dwelling units ..... ~ ..... '... Nmnber of dwelling units on each floor ................
If garage, number of cars ...... ~ .....Z. ..........................................................
L If business, commercial or mixed occupancy, specify ~ture and extent of each type of use ....................
1. Dimensions of existing stmctures,:if any: Front ............... Rear .............. Depth ..............
Height ............... Numbbr of Stories .......................................................
Dimensions of same structure witl~ alterations or additions: Front ................. Rear ................
Depth ..................... ) Height ...................... Number of Stories ........... ;...)~...
~. Dimensions of entire new constrtction' Front .. ~/- /Q ear ' ~ /-~ ~' Denth .~
-. , · .... ,..~ .... R ..... ~ .......... . ..........
Height ..... ~).. 7.~ . Numb~er of Stories . . .~ ........................ ' ......................
).. Size oflo1: Front . . .~(.~.(...'.. .... ~d~ ..... Depth . .A
). Date 6f~5~?~Q ' . 7~r/~'. ....... Rear .... /~g, ~.( .......
................. Name of~r Owner ~3~ ~;~/: ff. ~Y..
~. Zone or.use district in which pre~fises are s]tuated.. ~{~,. ~ ........................ : ................
2. Does PrOPosed construction vicine any zoning law, ordinance or regulation: ... ~ ......................
1. Wit1 lot be regraded ...... ~.[~ ................ Will excess fill be removed from premises: Yes ~oJ
L Name of O~ner ~f ~re nises~.~ ~4~cff~. Address(~ ~.4~.~/e~.. Phone No. ~:~.
~ ~- ~ '
Name oc,~4~xect ... ~4~ ~ox,.~W ..... ~ad~ess:o~5%~z . Phone No
N~e of Contractor ~a~o~ .~ e~ ~p~q~.~./~ddress ~ ~o/~o~ . Phone No ~$.x
PLOT DIAGRAM
Locate clearly ~d distinctly ~1 buildings, whether existing or proposed, and. indicate all set-back dimensions from
umber or description according to deed, and show street nines and indicate whether
roperty lines. Give street and block
,terior or corner lot.
rATE OF NEW ~'ORK~
ouur¥ .//.(...... is-s
............ . · . ~ ·. //-;.?'.z .................... being duly sworn, deposes and says that he is the applicant
(Name of Jndivldual signing contract)
3ove nanled.
e is the ........................................................................
(Contractor, agent, corporate officer, etc.)
t' said owner or owners and is d~ly authorized to perform or have performed the said work and to make and file this
)plication; tdmt all statements conSained in this application are true to the best of his knowledge and belief; and that the
'ork will be performed in the mmmbr set forth in the application filed therewith.
worn to before me this
i ANNA M. BORDASH
' ,/' ~/~..9 Notary Public, State of New YorR
l[ t.'~' ..... i ~' : ~" ~ J~gnature of applicant)
\ SUFFOLK CO. HEALTH D~'T.
', ~ H.S. NO.
\o
C~FORM TO THE 5TA~
~ ~ ~ ~FF~K CO. ~. ~ HEA~TH ~C~.
~ '~....~ (Si ~I~NT
'
· / ~.~ '"~, C~R~SERVICES - ~LyFOR APPROVAL OF i
/ ~ .~ ~ DATE: .....
~ s/. ~- .~ ,, ~ .....
. .......... ,,
~.,
~ ~~T NEW Y~K
SUFFOLK CO. HEALTH DEPT. APPROVAL
sTATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE W[L~.
CONFORM' TO THE STANDARDS OF THE
SUFFOLK CO. DEPT. OF HEALTH
APPLICANT
SUFFOLK COUNTY DEPT. OF HEALTH
SERVICES -- FOR APPROVAL
CONSTRUCTION ONLY
DATE: ......
H,S, REF. NO,: II-.SO-lOB
SUFFOLK C0] HEALTH DEPT. APPROVAL
H.S. NO.
STATEMENT OF INTENT
-THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THiS RESIDENCE WiLL
CONFORM TO THE STAN~DARDS OF THE
SUFFOLK CO. DEPT. OF HEALTH SERVICES.
APPLICAN'r
SUFFOLK COUNTY DEPT. OF HEALTH
SERVICES - FOR APPROVAL OF
CONSTRUCT ION ONLY
DATE: .......
H. S. REF, NO.:
APPROVED:
SUFFOLK CO. TAX MAP DESIGNATION: I I
DIST. SECT. BLOCK
OWNERS AD, DRESS:
~z. -~: rv rq
DEED: L, -'~,?,~ P.
'TEST HOLE
STAMP
SEAL
GREEN~RT NEW YORK
~UFF'OLK CO; ft~E/d...TH DEPT.
[ STATEMENT OF INTEN~
~ THE WATER SU~LY AND SEWA~
! SYSTEMS FOR THIS RESIDENCE
CONFORM TO THE STANDARDS
SUFFOLK CO. DEPT. OF HEALTH
~PLICANT
~ SUFFOLK COUNTY DEPT. OF HE'AL~H.
sE.v~cEs-- FO. APP.OV'~L
CONSTRUCTION.. ONLY
H. S. REF. NO ' I~OZIO~ : -"
. ~ i ...............
~FFOLK CO TAX M~
NEW Y~ ,
./
I~)OiR~ VAN TUYL P.C.
LICENSED LAND SI.J~VE.~ORS
GREENPORT NEW YORK
SUFFOLK CC).
_S/TAT£1~IENT OF INTENT
THE WATER SUPPLY A:ND $~WAGE
SYSTEM~ FO~ THIS RESIDENCE WILL
CONFORM T9 TSE STANDARm OF TIlE
SUFFOLK COUNTY DEPT. OF I'~ALTH
SERVICES - FOR APPROVAL OF
CONSTRUCT ION ONLY
DATE:
I'L S. REF. NO,:
APPROVED:
SUFFOLK CO. TAX
J
OCCU?A[I ¥ 6R
A,,,'~OV~[, AS .o'r., _
NOTIFY BUILDING DEP,M~MENT AT
765-1B02 9 AM TO 4 PM FOP, THE
FOLLOWING INSPECTIONS:
1, FOUNDATION - TWO P,EQU]DED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE CO~PLFTE FOP, C. O.
ALL CONSTRUCTION SHALIZ MEET
THE REQUIREMENTS OF THE N. ¥.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE , FOP.
DESIGN OR CONSTRUCTION ERRORS,
o JOHN W.
D~
CK*D
~OllAw,ING
/,4." bo~d,, ~1.^~
~ U HVATI Ol,,J
· ~'o U I,.IiT,kTI 0
JOHN W. OLSON P.E.oEN~ S °
DRAWING NO.
{ LI
00,~
/'
° .JOI W.
~. L-e-- V~T~ I0 14
SCALE:
' ~ ¢'T M ~ I....6 y o ~1 JOHN W OLSON P E ENGINEERS
~ F~ ~¢_ NEW YORK 11~¢ DRAWING NO.
't
frLA'~H-Ji¢ &
uJAI4..
TY ~I.