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:~