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HomeMy WebLinkAbout13000-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy 1987 No Z, ! .5.3.7 4. ....... Date ...March..I. 8: ................... THIS CERTIFIES that the building One family ~dwel 1 .ip.g..... 305 TOPSAIL LANE SOUTHOLD Location of Property ............................................................... House No. Street Hamlet County Tax Map No. ]000 Section ...0.7.9 ....... Block 7 .... Lot 5 I Subdivision .~.E.~.~.A.R.D...A.C.R,~ .S, ,A,T, BAYVIEW .Filed Map No. 5.5..9.9 .... Lot No. 4,.. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... Apr.i.].. 9~..t98.4 .... pursuant to which Building Permit No ..... [~99.o.~ .......... datedA, p..........................ril 10,1984 .~wasissued, 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, two car garage and decks. The certificate is issued to ...Rp.B.E.R..T..G.A.N.D, MARY W. JONES (owner, Y~b'YcaC~ X~,~ of the aforesaid building. Suffolk County Department of Health Approval .... 3-~ $ Q- 2 1. ! ............................ N789474 UNDERWRITERS CERTIFICATE NO .................................................. PLDMBBRS CERTIFICATION DATED: Feb. 27, 1987 / ~3uilding Inspector Rev. 1/81 FO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13O00 Z Dote .......... Z/..~ ................... , 19. Permission is hereby granted to: j .... ....................... ...~....~.~.~...~'~..~...L..~.~ ................. ,o..~~.....L-~Z'~: ...... ~.' ...... ~..;i"ZL~ ....... ~...~.~... at premises located at ................................... ....~....~.~..~.~..~..... ........................................................................ :~ ................. County Tax Map No. 1000 Section ....... ..~..~...~. ........ Block ........ ~.-] ........... Lot No ...... .~..I..,. ........... pursuant to application doted .... .~.~..b.....C~. .......................... , 19.~..~.., and approved by the Building Inspector. Fee $..~-...'~. ~..L~..%-~.. ..... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ia ~ 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 featu res. 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 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 p~operty 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 $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date..~. ¢.~ .~..O.~../~.~....~.O..,.I.~..~ :7.. New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~..O. ~...'.T'.o. ~.'.~:~..J.~..../c.~..~/.~. ....... ~....5'.q .u.?.~. ~. ~.o..)../t .¥..I.l.ff.'7./. ..... House No. Street Ham/et Owner or Owners of Property I~.O~¢~'.¢~.T'. '.~.... ,'9~/J);)JJ,~y '~/, O"O;'j~S County Tax M ap N o. 1000 Section .... .0.7 .~. ...... B lock ... O. :.7 ........ Lot ..... .~../ ........ Subdivision ,L,..~.~, .~.~...D..Prc,,~.~..~?..~.,9.~.V. !~.v~...Filed Map No ........... Lot No...~. ......... ......... l . . :.. :..7. PermitNo. I.'~OoO~- DateofPermit~..~..~..~. .Applicant..l.~O~6 (..?~.;.~.~.!~.(..:.d. ....... 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. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. ~ ~ O (please print) (pleas~ print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~ 0(plumbe~ s signature) Sworn to before me this ~ day of ~ , Notary Public, ~ County Notary Public ).ooo49~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK '10038 ,,,e ~n,.~ar~, 2.t,l~? ""p"~"'i°"~°.°"s"*332~.9o/ss N 789474 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application nu tuber in the premises of Robert Jones~ 305 To¢~.,axl Dr.t Southold, N.Y. in thefollowlng location; [] Basement [] Ist Ft. [] 2nd ~7. Section Block Lot ~ arid found to be in co.~pliance n'ith the ~eqtdretnents of this Board. ~sexa~ninedon 17&Dll/~' 1,~ ~ FIXTURE FIXTURES RANGES OUTLETS ~ECEPTACLEE SWITCHES OVENS EXHAUST 25 49 34 4 DRYERS FURNACE h SYSTEMS E R V NO OF CC COND I A w. G I PER ,e' j OF CC COND 1 200 AW, G OF Hi-LEG Smoke Detectors-3 4 lites Fred ~. Korte P. O. Box 1366 Se].den~ N.Y., 11784 lic.#3169 GENERAL MANAGER Per_ ~Th[s cerhf,cate must not be altered in any manner; return to the office of the Board if incc;rrect Inspectot's ma be idenhfie ~ ¢OPYFfi)R BUI~LDING DEPAR'rMEHT. THIS C~~I. FIELD I~SPECTION 1. FOUNDATION I 1st) FOUNDATION (2nd) ROUGH FRAME & INSULATION PLUMBING PER N. Y. STATE ENERGY C, ODE FINAL TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-t802 This is to advise you thac the job under building permit no. 13000Z issued to Robert Jones on __4_d~0/8~. for New Dwelling is completed and a final inspcctio, has ( ) has not ( x )'been dona. In order to complete this file, it is necessary that~ n Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $25.00 payable to the Town of S0uthold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or nsc in nnlawfnl without a Certi£icste oE Occupancy. Please help ns to clear np th{~ matter ~o that legs! action does not have to be taken. Thank yo. for your prompt attention. Vet! truly ~, Victor Lessard Executive Administrator VL:gar encl . Ill I TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TO\VN PIALL SOIiTtIOLD, NE%V YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the No. Z11917 September 13, /~/ Land / / Building(s) I-/ Use(s) located at 305 Topsail Lane Southold g~-e e t - ~e t shown on County tax map as District 1000, Section 079 , Block 07 Lot 051 , does not conform to the present Building Zone Code of the To~vn of Sou/hold for the fo]lowing reasons: The property has insufficient land area. 1983 On the basis of information presented to the Building Inspector's Office, it has been determined that the above noncorLforming /_~/Land /Z/Building(s)' /--/Use(s) existed on the effective date the present Buildi. ng Zone Code of the Tow'n of Southold, and may be continued pursuant to and subject to the appli- cable provisions of sa~d Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cato is issued is as follows: Vacant land, and may be used for such uses as are presently authorized by the Zoning Code in this 'A' Agricultural-Residential District subject to all of the requirements of' the Zoning Code. The Certificate is issued to of the aforesaid building. ANTOINETTE HEILSHORN (owner, }e~se~-cr ten,hi9 Suffolk County Department of Health Approval not ap~!-lidable UNDERWRITERS CERTIFICATE NO. not applicable Building Inspector 3. Nature of work (check which applicable): New Building . .X ....... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ,' (Description) ~8Q,O00 0.0 Fee 4. Estimated Cost ........ : ............................................................... (to bo paid on filing this application) 5. If dwelling, number of dwelling ~units ..... qn..e ....... Number of dwelling units on each floor ................ two If garage, number of cars .... i ................................................................... <5, 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 ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .... ' .............. Depth ................... :.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new I , 70 ' 6" 70! 6" construction: Front .......... , ..... Rear ................ Depth . .4~,' ........... Height .... 25: ........ Number of Stories ..... 2 ............................... .. .................. 9, Sizeoflot: Front ......... 20D.'. Rear .... 2.0.0'.... Depth .201.'. 10. Date of Purchase .... S.e. gt, i 1.~,. 1.9.8.9 ........ Name of Former Owner .Art.~.o.i~0.~.t.q.R.e.~],$bp~.r[ .... I 1. Zone or use district in whmh premises are situated ........ .Ag.~.% q g.l.~.q~..8 ?-?. e..~.~.d.e.Q .~.i.~.~. ................ 12, Does prop0se.d c~nstruction violate any zoning law, ordinance or regulation: .... N. 9 ......................... 13. Will lot be regraded ... N.Q.. i ................... Will excess fill be removed from premises: Yes , ~.N'o~ 14. NameofOwnerofpremisesl~,¢.,.~..~l:.W.:0'9.n.e.~...Address .~.a. 1..dwin.~ .N.,Y. PhoneNo.(~.l.6.).2..2~._.l. 0..~. Name of Architect i'[obe.r, man& qa. llagher ~aa~.o~ areehWieh, 'd~''ph,~,,,,w,~(203)661 4056 Name of Contractor I~..~}..n.'e.' i~b'si~...&i ){e.a'.' (al iI~n.'~. iX~;~ ~.4 .~.~iff.~. ~i[ i~. ~;i'i ~ ~i(~.b.'~./.~.~.~}'.'~. ~i PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether integer or corner lot. STATE OF NEW YORK, COUNTY OF ........... ...... S.S ..................... being duly sworn, deposes and says that he is the applicant (Name of individual sigmng contract) above named. He is the ..................... (Contractor, agent, corporate officer , etc . ) of said owner or o~ners, and is dully authorized to perform or have performed the said work and to make and file this application; that ali 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 ............. ,...day ............ , H[![FN ~ DE TI TL.E NO. 130 - S-OOB4 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY EXCAVATION INSPECTfON EQU D HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT M NEARESTWATE~W mAIN__MI. ~ N SOURCE O~ WATER: P~IVATE ~PIIC __ g ~V CO. T~W ~TIO~ SECTION OT~ ~CK O? LOT ~l ~[~ A~ ~ ~ELLI~S WITHIN IOO PEET OF T~S PROPERTY OTHER THAN THOSE IHO~N HEREON. NOTE: · -- MONUM~'NT ~ -' STAKE SURVEY FOR ROBERT G. ,/ONES ~ MARY V~ ,/ONES LOT NO. ,~l, "LEEWARD ACRES AT BAYVIEW " AT BAYVIEW TOWN ~ SOUTHO~ 5U~OLK CO~NT~ NEW DATE= /JUG..9, 1983 SCALE: /" -- 50 ' NO. 8,~- 597 N UNAUTHORIZED ALTER'ATION OR ADDITION ~O THIS THE NEW YORK STATE EDUCATION LAW HOT SE CONSIDEREDTO~BEAVALID TRUE COPY AND (~ HIS BEHALF TO THE TITLE COMP~iNY~ GOVERN- MENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING TO ADUITIONAL INSTITUTIONS OR SUBSEQUENT TOEKISTING S?RUDTUR~S AR~ FOR A SPECIRIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION DP FENCES GUARANTEED TO. FIRST AMERICAN TITLE INSURANCE CO. OF/~ Y. YOUNG 8, YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR NY.S. UCENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.$. LICENSE N0.4589:~ ER AVENUE RIVERHEAD, NEW YORK SURly FOR SUFFOLK COUNTY OEPARTMENT OF HEALTH SERVICEb ,, LOT NO. SUFFOLK COUNTY, NEW ~RK ~0. ~-~97 DATE ~ HS REF. HO .... N ~UTH~IZED ALTERATION OR ADDITION ~ ~15 GUARANTEED TO ,o~ eE co, smg~Eo TO e~ A V~C~O ~UE coe~ NGUARANTEE= INDI~TE~ HEREON ~ALL RUN ~LY HEALTH DEPARTMENT-DATA F~ APPRO~L TO C~STRUCT ~[ ~*~ FO~ WHOM THE SU~EY IS PREPARED ~[, ~~ ~ ~ OS~NDER AVE~E YOUNG YOUNG NOTE: ~ = ~ONUM~NT ~ = STAK~ SUBDIVISION MAP PlAiD IN TH~ OFFICE OF ~ C~KOF ALOEN W. YOUNG, PROFESSIONAL ENGINEER SUFFOLff C~NTY ON JUNE ~, 1971 AS FILE N~ 5599 AND~LAND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR N ~ L~T~ ~L(W),~PTIC TA~K{ST a CE~OL$(~) ~N ~RE~ N.~ S. LICENSE NO.