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HomeMy WebLinkAbout13383-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18238 Date AUGUST 4~ 1989 THIS CERTIFIES that the building Location of Property 660 TOPSAIL LANE House No. County Tax Map No. 1000 Section 079 LEEWARD ACRES Subdivision AT BAYVIEW ONE FAMILY DWELLING SOUTHOLD Street Hamlet Block 07 Lot 16 Filed Map No. 5599 Lot No. 41 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 21, 1984 pursuant to which Building Permit No. 13383Z dated AUG. 27~ 1984 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 DNELLING~ ATTACHED GARAGEd AMENDED TO INCLUDE PATIO. The certificate is issued to JOSEPH J. COLLINS (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 I4-SO-125 AUG. 2, 1989 N822099 JULY 24~ i987 RALPH E. SAMPLES DEC. 20~ 1984 7Building Inspector FOB]if 1~0. It ?OW~ OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N°. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13383 Z Date ..~.,&~...?.........c~.....~. ........... , 19..~...~ .a.~....~ ......... ~.~~ ...... ~ ~.~.~,,.;;;~,~,..~ ....... ~..~.~.~...~ .... ~..~. ,o..~~.....~.....~....~.~....~ ........... ~..~ ...... pu~uont to a~lication Building Inspector, Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD EUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK ?6§ - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ~ .... OLD OR PRE-EXISTING EUILDING ...... VACANT LAND ........ Location of Property ................... HOUSE NO. STREET HAMLET 0.aer or Ow.ers of Froperty .... -~-0-~-~-~..~--.-~'. ....................... Coanty ~ .~ .o. ,00o ~e~o..~.~ ~o~ .... ~. ~o~ .... /.&. ~Permit No. ~ .Date of Permit ....... Health Dept. Approval ...... - -~ ..... -... . Underwriters Approval. ~ .......... Planning Board Approval ' Request Fee for Temporary Certificate ....... Final Certificate .............. APPLICANT. . .......... rev. 10/14188 THE [- kh o. te July THIS C~RTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 8S JOHN STREET, NEW YORK, NEW YORK 10038 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of JOseph 0% Cokl. i~s, 660 ~?opso.~.l. L~e~ Southolde N.Y~ in the following location; [] Basement [] Ist FI. [] 2nd FL ~; Section Block Lot ~s examined on and found to be in compliance with the reqtdrements qf this Board. 3u~y 9~ ~9~7 FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE 1.9 22 DRYERS SYSTEMS OTHER APPARATUS: E R V I C NO, OF CC COND PER ~' MOTORS: 1 ~ lhp 0 SMOKE DETECTORS~"6 QUenzer Electric Inc~ 36 Vernon ~mlley Rd. E. Northporte N.Yo 11.731 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectqrs GENEI~A~. MANAGER be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THiS COPY OF CERT : BE ~LTERED~·IN ANY MANNER TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit NO. /33~-~ Z Owner (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. F (plum~-er' s ~ignature) Sworn to before me this Notary Public ~/~__ . County Notary Public F1ELD~ iN S~.ECT iON COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ODE FINAL ADDITIONAL COMMENTS: . /o TOWN OF $OUTtIOLD OI?FICE OF BUILDING INSPECTOR ILO. BOX 1 17 9 TOWN IIALL SOUTIIOLD, N.Y. 11971 Harch 2, 1989 TEL. '~ '~ ,65-180_ Hr. Joseph Collins 660 Topsail Lane Southold, New York 11971 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /'~/ An application for Certificate of Occupancy is not on file. (ENCLOSED) /_~/ No Underwriters Certificate on file.- /.~_/ 'Pile check i:;(~not on file.) $25.00 /i-_X/ No Health Dept. Approval on file. /~/ No final inspection }las been made. Please contact our office on this matter. Thank you for your cooperation. iluildil;g Permi. t {! I 3 3 8 3 Z Dui ld inq Dept. ***/_-/ tlc) Plumber uoldcr Certificate on file. all permits involving plumbing being issued after AprJ.! 1,1984 ) NOTE: ALSO SUBMIT CHECK IN TIlE AMOONT OF $26.10 FOR ,~ AMENDED FEE FOR ADDITION TO PATIO. TOWN OF SOUTI/OLD OFFICF. OF BUILDING INSPECTOR ILO, BOX 728 TOWN ItALL $OUTHOLD, N.Y. 11971 TEL. 765.1802 This is Co advlne you that the job under buildlng permit no. 13383Z issued to Joseph collins on __8./_2_/7/_~_4 .... for New Dwe~.ling is completed and a fine! inapt;etlon ila,q (' ) lla.s not( x' )--he'~n done. An Underwriters Certificat:e is neede'd [n order ~o complet,e this file, it i8 necessary that a Certificate of 0ttcupancy be $,,qsue~d. Please fill out the enclosed form, ret~lr,n same't'0 th,e above office with a check for $25.00 pnynble to the Town of'Southold. Please {ndicete to Whom ~he Certificate of Occupancy is to be mailed, arid arrange with this office for fin inspectlo~ (late Occupancy or use i,~:'unlawful without n Certificate,of Oec,pnncy. t!.len~e, help ns to clear up ~h~s legal act[on does not have to be taken. Thank you for yo,r prompt attention. Very truly f~, Victor Lessard Executive ~dministrstor VL,&ar encl . 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] ~,ULATION FRAMING ,r~ FINAL 'Z DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INFLATION FRAMING [,~]' FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST I- ] ROUGH PLBG. FOUNDATION ;ZND [ FRAMING REMA~R~S: ~ ] INSULATION INSPECTOR , 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180~ Examine~..t~.?..'?'.~., 19 .~.t~ Approved~.t:~..~. &~ , 19~. Pe=it No.J. ~.~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PER~IT INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 tbr the issuahce bf 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, l?~41ding code, housing eddie, and regulations, and to admit authorized inspectors on premises and in building for necessary iflsde~tiolls, lq ..... .U 507.. .......... (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. Name of owner of premises....~70.~.'~...~.~..'...~..0.././{.~..~. ....................................... (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....7.~5~..o~.~. ~. '.~'.. ....... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................... ............. ................. ...................... House Number Street Hamlet County Tax Map No. 1000 S~o~ ~ . .~..7..~}ii ~i~5 Block ..... 7 ........... Lot /~ Subdivision~(~O,~./4~.O ...... .~...~i .......... Filed Map No, . .~.ff..~.~. ...... 1'~i ii i/~Pliiiiiiii' (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy .~1 .~..q !F~.. ~..~..P0.~...0~{51!..0.~..q...{~....'f. :fl.~ ..................... 3. Nature of work (check which aPplicable): New Building ....... Addition .......... Alteration ........ Repair .............. Removal .............. Demolition .............. Other Work ............... · ~( ~' (D ripti ) 4. Estimated Cost ............................. Fee ............................ i % (to be paid on filing this application) 5. Ifdwelling, number of dwelling!:units ..... ~ ......... Number of dwelling units on each floor . . / ............ If garage, number of cars .... ~ ................................................................... 6. If business, commercial or mixid occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ................ Number of Stories ..................... ~ ................ ~ ........... Dimensions o~a~ae structure With alterations or ad~lj~ipns: Front .... ."'f'~;~' .........Rear..~.. £J~l~. ........... Depth ..... ~ .......... !... Height ...... /~_.. ! ......... Number of. Stories ...-~. ...... .,..! ......... 8. Dimensions of e~tire new constrUction Front 7g Rear 7 · Height .../.~. ......... Number of Stories .../. ................. .~,. ................ .t ................. 9. Size of lot: Front .. o~,(O.t...: ............ Rear ..... ~.t. /20 .. Dep~h t~..~d'.~. ............ 10. ,D, ate of Purchase .....~...~. '. i/:'~, g'[ .............. Name of Former Owner . 5.: ?.0.~..g..~ ................. 11. Zone Or use district in which pr~mises are situated.../~./~$ (. 0¢1~10(,....-'T.~..~./~( C. f4(,,~l-~.~.L ........... 12. Does propo~ed construction vio!ate any zoning law, ordinance or regulation: ..A.~0 ........................... 13. Will lot be regraded ... i~ O.. ? .................... Will excess fill b.e removed from premises: Yes No 14. Name of Owner of oremises e~ .-,1 '. ?.].l 1.~..~... Address $.q.~._.e~.~.~t ~.-,~ ~ ~_c.~SPll.~ Phone No. fTfl.~.7 .~.~.oL ....... i.. ..... .... ~ ................. ~g~.gPhone No. PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, andAndicate all set-back dimensions from property lines. Give street and blockl number or description according to deed, and show street names and indicate whether interior or doruer lotr STATE OF NEW YORq/x . .... co.T ........ beingduly sworn, deposesand saysthat he is the applicant ~ (Name of individual sig~ :ing contract) above name'd. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du y authorized to perform or have performed the said work and to make and file this application; that all statements cont fined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~J dayof ,19 Public, . . . ..... County · NOTARY'Pt~I. IC, State'of'NePr~tolNir ....... · t N0, 4804110 , , (Signature of applicant) SINGLE F~ILY ~S&t~ ~l SURLY FOR LOT NO, 41, "LEEWARD ACRES AT BAYVIEW FO~ APPROVAL OF CO~S;~UC;;ON O~[Y AT ~YVIEW D4T[: dUNE 5~ 1984 ~U~VE~RS INKED S~AL OR E~BO~S~0 S~A~ SHALL  ~NO~T ~E CONSIO~EO TO ~ A VAklO TRUE COPY , AND ~ HIS BE~LF ~ THE TITLE C~P~Y, GOV~N- H~E~, ANO TO ~E ASSIGHEE~ OF THE LENDING N~ A~ ~ ~EL~I~S WITHIN I00 FEET OF T~S PROPERTY IN~ITUTI~, GU~RANTEES ARE ~T ~SFE~ABLE ~ H~L~ ~ICE~, PURPOSE ANO A'RE NOT TO BE USEO TO ESTABLISH N~E, ..~NUMENT -- a~-,~/ ~ m ALDEN W'YOUNG,PROFESSIONAL ENGINEER ~UBOlVi8(ON MaP FILED IN THE OFFICE OF THE ~ OF ~. ~NO ~FF~K ~UNTY ON dUNE 4, m~m A~ Fm~ NG5~99 SURVEYOR UCENSE 1~845 M~ L~ KL(W),~KIC TANK(mTIaCE~OL$(~) ~M ~RE~ '~ ~ m, N.~S. ~ICENSE N0.45893 Lot SUFFOLK CO,'JNTY DFPARIMENT OF HEALTH SINGLE FAI~]LY DWELLING ONLY The selvage dispo~l and 'i/a~er mlpp~y f~c~!;bes for this locaNon h~ve been ' , ns ]ectcd by zc s D~r mont and/or HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT OF H~TH S~lCEI, NOTE' I=MONUMENT 9UBDIVISION MAP FILED IN THE OFFICEOF THE CLERK OF SUFFOLK COUNTY ON dUNE 4, 1971 AS FILE NO. 5~99 SURVEY FOR ' JOSEPH COLLINS ~ EILEEN COLLINS LOT NO. 41, "LEEWARD ACRES AT BAYVIEW" AT BAYVlEW TOWN OF sOUTHOLD suFFoLK COUNTY, NEW YORK AGENCY AN~ LENDING ~N$1'II'U?ION LISTED JAN. Z~ 1985 OATE: JUNE 5, 1984 SCALE: I" = 4'0' NO. 84 - 520 GUARANTEED TO: CHICA~O ~NCE CO. YOUNG AVENUE ALDEN W. YOUNG,, PROFESStONAL ENGINEER AND LAND SURVEYOR N.Y.S. LJCENSE NO. 12945 HOWARD W, YOUNG~ LAND SURVEYOR N.Y.S. LiCENsE N0,4§89:~