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Home My WebLink About12979-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date April I, 1987 THIS CERTIFIES that the bulldog LAUNDRY ROOM ADDITION Location of Property 11500 Main Bayview Road Southold, New York h3&3 h/o: ........................................................ Street Hamlet County Tax Map No. 1000 Section 0 8 8 .Block 0 5 ..... Lot 2 Subdivision..M[.o..T.e.r.r.y..W.a.t.e.r.s ..............Filed Map No..2.9.0.1 .... Lot No. 26 conforms substantially to the Application for Building Permit heretofore fried in this office dated March 26, 1984 12979 Z ........................ pursuant to which Building Permit No ...................... April 5, 1984 dated ............................. was issued, and conforms to all of the requirements of the applicable provisions of the law. Tile occupancy for which this certificate is issued is ......... LAUNDRY ROOM ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to ARTHUR & CHARLOTTE ACKROYD ..................... ..................... of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N652382 UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: B3Mlding Inspector Rev, 1/81 FO~,M' NO. ~ TO~VN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COdV~PL~TION OF THE WORK AUTHORIZED) 12979 Z Dote ........... ~ .................................... , Permission is hereby granted to: .~.~.~~~;.....~..:.~.~...J.../...~.~./ ........ .................................................. ~ ~e~,,e, ,=,,~ ~, ...~.~....~~~...~.....~.~ County Tax Map No. 1000 Section ....... C).,'~...~ ...... Block ....... ,Q),,~, ...... Lot No ...... ~ .............. pursuant to application dated ..~...~ ~. .~... . , 19 .., and Building Inspector. approved by the Budding Inspector Rev. 6/30/80 Memorandum from.... BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUT~OLD, N. Y. 11971 765-1802 March 24, 1987 Re: BP #12979 Mr. Russell Ackroyd P.O. Box 156 Southold, New York 11971 Dear Mr. Ackroyd: Per instructions from your uncle David Ackroyd of North Hollywood, Ca. we were told to contact you to set up a time for our department to come and inspect his parents home at 11500 Main Bayview Road Southold. Since we have been unable to contact you by telephone, kindly call this office so that we may set up a convenient time for the inspection. Thank you, Georgia Rudder, Secretary Southold Town Building Dept. Victor Lessard Executive Administrator Town ~£ South'eld O£fice of Building Inspector S0uthold, N.Y. 11971 Dear ~r. Lessard: ~ am writing on behal~of my pare~ts~,-~r. ~d Mrs. A~thu~ Ackroyd of 1150OBayyie~Road~,i$o~thold, ~in~begard t0 bumlding permit #12979Z and the~Appli~atiS~'~0r Certifi- cate of Occupancy which you rece'ntly.for~arded ~b them. ~ parents came to Los Angeles to¥is$~1~S in l~ta~Deo!ember, 1986. My father subseqdentl~ b~eca~l'~i~[withco~nEestive hearti~ailure and has been hospita~iz~8 ~hree~t~es ~£nce arrlvihg here. His hear~ proble~s~c0m~i~ed wi~t~adva~ced · ~Parkinson's Disease make any Bo~tomf tra~el,~in,~h~,forSeeable fdturaimprobable. I realize the~&ega~ neOessi~ Of Having - ,the C&rtificate of Occupancy iss'dO~'~a~ ~o am re,~urni~E th8 Appl~ication along with t~e~appropr~ate~f~e. (Asi we~donot have ~il the necessary info~mation::,a~ ~ha~d, i h~ve left' some of th~ blanks unfilled). HoweYe~,ikDj~t!!~s:no% possible or my parents to return hom? a~ thls ~z~e'and a~ the ture in question is an extsrzO~:~o/~eO~, Woul'd i~ not be possible for an inspectlon'~o,be'carried,o~ti~i~ho:~t their~pres~nce? If not, you ma~contaetlmy nephew, Russei~ Ackroyd, of P.O. Bo~ 156; ,SSiu~hOl~] (765~3'~54) ~nd he will ~ake arrangements to b~ pres~it~[r~n 'insp~ctio~ Please let me know.it this ~' ,, course~'o~. ~ctio~'isii~a~gree- ? able So you and,, $~ so,~ Gary~ Qlsen, Main Road, ,~;~utbhogue, li9~.iJ Thank[you~£b~ · y~u~ time and.trouble "'~ ~ ',~'~ ~ ~ ~' ~' ,. FORM NO. 0 TOWN OF $OUTNOLD Building Department Town Hell Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~ ~ 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 Itnes, streets, and unu~al 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 Coda 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 p=opcrty showing all property lines, streets, buildings and unusua! natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspectior~ of buildings or premises, or other pertinent info, tion required to prepare a certificate. C, Fees: 1. CertificateqfoccupancV Nee l)well[n~,$25.00, Acce.~o~y ,.$40.00 }luazne,~.~ $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3, Copyofccrtificateofoccupancy $ 5,'00, over 5 years $10,00 4.Vacant Land C.O. $ 20.00 5oUodated C..O. $ 50.00 Date .~]~¢h.~,.[~? ......... 6. hlterat~on $~5.00 NewCOn= tpuc~ion ...... Old or Pre-existing Building ............ Vacant Land .............. Location of Property 1.1.~59P .B.~yy.i,~w. [?.~ ?~.:c.z;~r W.~'~2~ ' House No. Street Hamlet Owner or Owners of Property ~r. & ~n.s Arthur Ackroyd.. County Tax Map No. 1000 Section ............... Block ............... Lot ................ · ' ' Filed Map No Lot No Subd,v,smn .......................................................... Permit No ..... Date of Permit . . cant .................. Health Dept, Approval ........................ Labor Oept, Approval ........................ Unde~vriters Approval . Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. 2~.,.qO ...................... Construction on above described building end permit meets all.applicable co--nd regulatlons, Apphcant ......................... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW yORK 1OO36 1984 ~"PliC"ti°" ]~'°' °"f~le 2 ? 3444--S4 N 652382 only the elec tr~cal equipment as described below and introduced by ~he applicant named on the above application number in the premises of Arthur ~,ckroyd~ 11500 Main Bayview Rdo~ ~outhold, in tbe followl.g locatlon; [~ Basement ~ 1st Fl, ~ 2nd FL Section B[ock Lot was examined on ~ ].y 1 ~ ~ 1 9~ and fourtd to be in compllartce with the requirements of this Board. SYSTEMS NO. OF FEET OTHER APPARATUS: Flee. Room He~ters.~ ] - !. 5kw S E R C NO %,%~o,~0.! ~ W. ~. .O, O, .,-~O ^ '~. G. NO. O~.~"^~ ^ W O. O~ CC. COND OF HI-LEG OF NEUTRAL 1 [~ -11500 Bayview Rd., OENERA£ MANAGER~.,~ FIELD I~SPECTION 1. FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL COMMENTS ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR 1'.0. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no, 12979Z issued to Arthur Ackroyd on __~J5/84 for Addition is completed a final inspection has ( ) has not ( x ) been do~e. and In order to complete this file, it is necessary that a Certificate of Occupaacy be issued. Please fill out the enclosed form, retnrn same to the above office with a cheek for $25.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occnpancy or use is unlawful without a Certificate of Occupancy. l'lenne help us to clear up ti]ia matter so that legal action docs sot have to be taken, Thank you for your prompt attention. Very truly y~, Victor Lessard Executive Administra~or VL:gar encl. r~ 11,. ;UFFOLK COUNTY HEALTH DEPARTMENT ~;:..~:.~' FL~ 8 197'3 ,~ ~. ~,~. ~.~U~._-~/./~,~ OlllOf of General Engl~eering FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1803 Examined...~. ~..~ .... , 19g'l Approved....~...~.~-. .... 19iq i Permit No Disapproved a/c .................. : .................. Application No .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . ,5 ./'~.6./.~34 ........, 19... 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 Bttilding 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 icvqFeqtiom~, r-Fh t ... ............ (Signature of applicant, or name, if a corporation) ....... ?.o.a. .......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................................... ~. · .A.g.e.~.~. ................................................ Name of owner of premises .... N?.... 0ga..d..l~{u.S.o..~.kg.k~o.Y..~ .............................................. (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 ...... .z[32 ................ Plumber's License No ..... ~By., O~v~xer .......... Electrician's License No... ~By. o.va'le~ .......... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ....~.~.5o0 ...................... ?.4a&r~ .13ay.v.~,ew. Rc[, ........... 8. 9.u.~gg¢.ct ................. : ..... House Number Street Hamlet County Tax Map No. 1000 Section ..... .~.~..~ ....... Block ..... ~ ..... ' ...... Lot .... ~ ............ Subdivision ..... ~lTXy. ~.~tSez'g ................. Filed Map No .... 29.0.~ ...... Lot .... 2.6. ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a, Existing use and occupancy ..... 011o. ~oir~j. J_~ .qt~,e.~3,&.rlg ......................................... b, Intended use and occupancy ....Yaauncl. rry · ~o'om .................................................. 3, Nature of work (check which applicable): New Building .......... Addition .. ~. ...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... I '- (Description) 4, Estfinated Cost .... $. 40.0.0,, 00.',, ....................... Fee ...................................... ! (to be paid on filing this application) ' Number of dwelling units on each floor 5. If dwelling, number of dwelling units ............................... If garage, number of cars ........................................................................ 6. If business, commercial or mixed od,cupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if, any: Front .... 55: ........ Rear .... 55?. Depth ...~4:: Xlt~X Number'of Stories ~ 1 Height .................................................................. Dimensions of same structure with aiterations or additions: Front ...... 5.5. ~ ........ Rear .. 55 ' ................... Number of Stories ...................... Depth ...... 24: ............. Height ... 14 ' 8. Dimensions of entire new constructi6n: Front . 10 Rear .... .1,Q Depth ...... ~. Height ..... ~ 2.' ....... Number 6f Stories ...... .1 ................................................. 1 15 ' R J 1 5 Depth ~ 5.0.' .... 9. Size of lot: Front ............. I ....... ear: ................................. 10 Date of Purchase ' Name of Former Owner .... hp , i . Southold 11. Zone or use d~stnct ~n wh~c remmes are situated ..................................................... 12. Does proposed construction viola, t&any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............. l~u~i .............. Will excess fill be removed from premises: Yes No 14, Nmne of Owner of premises A:r~hl%l::'~ .AOlr,~07~... Address M~J1 .Bay. v.l ew ..... Phone No, (.5 ~ 6.)..765.-.1.--.~2 Name of Architect ............... ............. Address ................... Phone No ................ Nmne of Contractor...,,Edw,..E.. ,Wi,l,~iams. .,... Address S. P.a?.~qP.d .........,.Drive Phone No. [5.1. ,6J7,6~-5000.~ . :. --~"" PLOT DIAGRAM Locate clearly and dmt~nctl¥ all buildings, whether exmtmg or proposed, an& red,cate all set-back dtmensmns fro property lines· Give street m~d block number',or description according to deed, and show street names and indicate whether interior or corner lot ' SEE SURVEY STATE OF NEW YORK, S.S COUNTY OF ................. .... ~dW,. ;E,, WAllS am~ .............. (Name of individual signing contrac( above named, .... being duly sworn, deposes and says that he is the applicant (Signature of applicant) Sworn to before me this He is the ......... AGEN2. .................. i ..................................................... (Contra'ctor, 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 app~lication 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,