The URL can be used to link to this page

Home My WebLink About12848-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13893 Date October 3 85 THIS CERTIFIES that the building ..... ,n.qw...d.w.e. 1..1 .i.n.~: ........................... Location of Property .. 1.13.0.. G.len Rd.. Southold I:lou~'e ~io: ................... 'S'tre~i ....................... il~r~l'e:t County Tax Map No. 1000 Section ..... 7.8. ..... Block ........ .2 ...... Lot .... .2.9. .......... Subdivision ....... ~] .e .s .q.C. ? .e.e.k.. ,E .s,C,a, ~ .e ,s,. ,Filed Map No....3 .8.4. 8..Lot No ..... ! .3 ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... l~.e.c.e, r0 .b.er.. ] 7..., 198..4. pursuant to which Building Permit No .... ~.2. ~..~.g.Z. ........... dated ....... .J.a.q u..a.p.y.. 2. J ......... 198. ~.., 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 ......... ...... ~.p. ~v~.t.e.. 9p.e.~ C .a.m./.~.y...dy.e. ~..~.~.n.~, ........................................ The certificate is issued to .................. L..~.R.S.. T..O.R.K.E. Iv..S .E.N. ........................ (owner, of the aforesaid building. Suffolk County Department of Health Approval .............. J .3.-.S..07.1.?. ~. ................. UNDERWRITERS CERTIFICATE NO ....................... jq.6.9, 9 ~.0.q .................. Building Inspector Rev. 1/81 ~I'OB~[ NO. II TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ...... .Z'.~...z~'-C.,r...x. ~.~. ...................... ........ ~.a......Z:.~.x......~.: ...................... ......... ~/~:~.,. ~.z~.~.. ~. ~ ....... ,o ...... E~.,~..~.¥~ .~..~ ~.......~. ~......E.~ ~...e.....~.../../.. ~.. ~ .............................. at premise: located at ...... .//..~..0 ......... ~..Z~l,~.../:~,~.....f ......... ¢~.,.~.Z.~.C~....~'...~...:.~ .. ~..~.~....dZ..<~,~..~?z~ ............. , ....... ,:~....~ ................. &z....~ .................... County Tax Map No. 1000 Section ...~'.7.'~..' ....... Block ...~.~ .......... Lot No..~Z ......... pursuant ,o application dated '~~'"'"~'7 ........... 19.Z~ and approv~ by the Building Inspector. Building I~tor 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 ~ ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildi,ngs, property lines, streets, and unusual 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 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 ~uildings and ,'pre.exi~tid~- 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. Data 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 6~ - '~'~' ~'~F.~.. New Building ~(~ Old or Pre~existing Building Vacant Land Location of Property .................................. ~ .............................. House No. Street Ham/et Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section ~ ~<F Block ?, ~' Lot. /3 Subdivision .1~'. f.~. ~ .~. ,~?, .~?., ,~-.{~...7'~.~ ....... Filed Map No ........... Lot No..I--~ ......... PermitNo .......... DateofPermit~..7...~..y. Applicant .Z,..,~?~J ~7~'.~.~.5~'~' ... ............................. Health Dept. Approval ................................................ Underwriters Approval ...................... Planning Board Approval ...................... Bequast for lemporary Cartificate ..................... Final Certificate .~. ..................... Fee Submitted $ . . .~...~.~,... ~. ,~..~.~. ..... Constructionc.3~,Sq~ ~ ~ ~ ~(~3°n above described, j ApplicantbUilding and..~?., ~--"~lpermit meets all applicable codes and regulations. ................................................. Rev, 10-10-78 THE NEW YORK BOARD OF FiRE UNDERWRITERS 1000484 BUREAU OF ELECTRICITy ~'lcJ 85 JOHN STREET, NEW YORK, NEW '~'ORK 1003~ D.te July ll, 1985 ~pplieation ~o. on.file g~9725/84 Iq 6 9 9 5 0 0 THIS CERTIFIES THAT P#12848 only the electrical equipment as described below and introduced by the applicant named on the ab~?e application number in the premises of Latz Torkelsen, 1130 Glen Road, ~o~/th Hold, BY 078 02 029 in the following location; [] Basement [] 1st FI. [] 2nd Fl. Section Block Lot was examined on and found to be in contpliance with the requirements of this Board. July 01, 1985 FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 36 40 DRYERS SYSTEMS NO, OF FEET E OTHER APPARATUS: *Future appliance feeders: 1-2~12,2-3~8 2-G.F.I. 1-Smoke detectors 2-150wa~t bps RiohardKleinfeldt 114 Carleton Avenue Islip Terrace, ~Y E R V I C PER ff OF CC, COND 2/0 OF HI-LEG NO OFNEUTRAL$ A W,G OF NEUTRAL 2/0 COPY FIELD ~I N S.~EC T I ON FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY lODE FINAL COMMENTS ~d ADDITIONAL COMMENTS: FORM NO. 3 TOWN OF gOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ . .~.52.. ~/./:~z~-.~ .... ~:/. · · ... /~' .~,2~.,..~:........~ / / PLEASE TAKE NOTICE that your application dated ...-~' .... /.. ( ........... 19 ~ ~; for pemit to construct ..... ~ ~'~-... ~-~.t~ ( % D/... ~i)1, ~.~ ~ &dC71 .............. at ~catmn of Property .... ~.-~¢... ~)[.C~Z~;..~ .C~r). Stroot Hamlet HOO$O tvo. County Tax Map No. 1000 Section ...~.7.~ .... Block .. ~:27f ....... ~t .(~.~ ...... Subdivision ~5 .(~:~/. Filed Map No .... ~... &t7 ..... Lot No .... Z. ~ ........... is t~turne~ herewith and disapproved on the follow~g grounds... ~(~'.. ~(,~c: ~& ~. .... ~6<~-~-:$~'. . ~".~. ............................................... Building Inspector RV 1180 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1802 Examined . ~../4.. ~. ..... , 19 .~. 19q'~.. eO..~eer~nit No.. Approved. ~7~ .d(4.. O.6'.7...., Disapproved a/c ....... '.... ..................................... ...... //,// (Building Inspector) Received.. ~ ,19 APPLICATION FOR BUILDING PERMIT Date .... '..~.-. :..[.? ...... 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 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 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 regu!atioq_s, and to admit authorized inspectors on premises and in building for necessary inspe~tions~/~_.~ (Signature of applicant, or name, if a corporation) t . r. .". .r;. ! t. .r.Y. k ........... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................................................... Name of owner of premises g, ~tt ~ '~ tt ~tfy$~'av (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 .......................... Plumber's License No. / .~/~...~....~,~...~'-.o.~..~.. 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 Section ...O.'].~. ........... Block .O..~. .............. Lot..~.~ .............. Subdivision .~..ff.~..T'...~.~..~.~'.~...~..J.~'.~..~.~..~ .......... Filed Map No.O?.~. ~.~. ......... Lot./.~. ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exis~use and occupancy ................. .................................................... b. I .~ed use and occupancy ......... '~2 ......................................................... 10. 11. 12. 13. 14. Nature of work (check which applicable): New Building . I~ Addition Alteration Repair .............. Rembval ............ Demolition .............. Other Work ............... [~5~J J F ~#,~cv- ) 7 0 /5-' (Description) Estimated Cost ............... Fee . . . .'-~'~'.. ....................... i (to be paid on filing this application) If dwelling ' ' ' Number of dwelling units on each floor , number of dwelhnglumts .............................. If garage, number of cars ....ti .e.~fi.. ............................................................... If business, commercial or mixe'd occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions Front ................. Rear .................. Depth ................... I · · Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front . .[&...~.7' Rear ..6.8..~.. . Depth .~'. $.~../"... Height l.~.'. ........... Number of Stories ... ~..A~..~'-. ..................................... Size of lot: Front .../~ ................ Rear . lP'. .................. Depth s/r.4?~$~: ............... ])ate of Purchase ./.--. J.~.../.4 .'/..~ ............... Name of Former Owner t~0..~8.~..T..J..1~..~.~ ~.1.0'. t.~. ........ Zone or use district in which pr,emises are situated..~ .1~../.~$.~..~.~..~. ..................................... Does proposed constru_cti_o_ny, iplate any zoning law, ordinance or regulation: . ~.~. .................... Will lot be re raded /~.~.~?&~': · g ....... ; ................... will excess fill be removed from premises: Yes Name of Owner of pre~is.es/q~. $. ~..~.~.~./~.tr.~/ .... Address~.~..t-IO~I.~.~..t.~.. ...... Phone No.~.~. ~., .~.~..~.~... Name of Architect ~..~.~. If'..~...~.~..~..~.g.q..~. ...... Addres .s~.. ?..~?. ~.~.~..~.,.t.tt..~ q~Phone No.7...~. r..~.~.$.~. ..... Name of Contractor l~lf. #.tO ~r6 ............ ,.. Address .h'm. near:.*.*..r'q.q..~... Phone No. tit&.'/.':...~'.3'.$.(/ .... PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate 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 corner lot. I STATE OF NEV~YORK, · .~.~ .~. ~. · · .~.'~/4 ~.t ~.~'..~? .......................... being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duty authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work wilt be performed in the mann6r set forth in the application filed therewith. Sworn to before me this Notary Public, ~AMe~ ~ualifi~ff in Suffelk Counb' ~ommisslon ~pires March gO, (Signature of applican0 NEW YOPd{ STATE DEPAP~T?~fENT OF ENVIP, ONI.~NTAL Regulatory Affairs Unit Bldg. 40, SU~Y-~-Reom 21-9 Stony ~r~,- ............. (516) 751-7900 20 October 1983 Mr. Torkelson Glenn Road Southold, New York Dear Mr. Torkelson: .A review has been made of your proposal to: construct a single family dwelling, a maximum of 135' south of Glenn Road as per supplied plans (Survey of lot ~ 13 of West Creek Estates by young & young-revised Sept. 20, 1983). Sanitary system to be installed between house and road. Location: West Creek; Glenn Road, approximately 1200' east of Main Bayview Road, Town of Southold. Lot # 13 of Map known as "West Creek Estates~ New York State Department of Environmental Conservation has found the ~pareel ~proJect to be: ..... Greater than 300' from inventoried tidal wetlands, Landward of a substantial man-made structure greater than 100' in length constructed prior to September 20, 19~7. XXXX Landward of 10' contour elevation above mean sea level on a gradual, nat- ural slope. .... Landward of topographical crest of bluff, cliff or done in excess of 10 feet in elevetlo~ above mean sea level. Therefore~ no permit under Article 25 (Tidal Wetlands of the Environmental Conservation Law) is required at this time since the current proposal is beyond State mandated ~risdlctton pursuant to this act. H~ever, any additional work or modifications to the project may require a permit. It is your responsibility to notify this office, in writing, if such additional work of modifications are contemplated. Very truly yours ,. Daniel J. Larkin Regional Supervisor of Regulatory Affairs DJL:RNT:cz ,f STATE OF NE~ YORK. COUNTY OF SUFFOLK PLYING CODE AME~NT SECTION 153~23 POTAfBLE COPPER WATER LINES; ~JOINTS Installation of all new copper plumbing and potable water supply lines, or replacement or modification of existing copper plumbing on all potable water supply lines, shall require a limitation of lead content in solder not exceed two-tenths of one per cent (0.20%). -2) The plumber performing any work involving copper plumbing for potable water supply lines shall be' responsible for use of proper solder as defined in Section 153-23 (1). ~ere permits are required, the plumber shall attest to use of proper solder in the form of a written affidavit, to be signed by the plumber prior to the issuance of a permit. Permit#: State of New York County of Suffolk AIZFIDAVIT Rene G. Chevalley I,' _ _. a plumber licensed by the . 142-P County of Suffolk, operating under %icens~ ~ ............. ~ereby declare, under oatk, that I understand and will perform in .accordance with the above requirements of the county code. Sworn to before me this Nota~ pdblic / day of TA FOR ,~PPROVAL TO CONSTRUCT _~ # SOURCE O~r WATER, ~I~TE ~pu~tC WJTHIH lO0 FEET OF T~ ~ROPE~TY SURVEY FOR LARS TORKELSON 8~ ASTRI TORKELSON LOT I~t, "WEST CREEK ESTATES" AT SOUTHOLO TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE' SCALE NO. DEC, i9,1983 SEPT Z0,1983 AUG, 22!, 1983 I" =40' 83-653 su Y LARS TORKELSON & ASTRI TORKELSON SUeFOLK COUHTY DEPART~EHT OF HEALTH SERViCeS LOT I~:~ "WEST CREEK ESTATES" ?'~ AT SOOTHOLD OATE: AUG. 22, 198~ FOR APPROVAL OF CONSTn~CT~ON ONLY ~WN ~ SOUTHOLD SCALE: ~"=40' A~OV~ MCOPIES ~ m,s ~VEY NOT ~AR~G TNE LAND ~GUARANTEES INOI~TEO~ HEREON ~ HEALTH DEPA~TMENT-DATA'F~ APPRO~ TO C~STRUCT ANO m HIS K~LF ~ YHE TITLE CMPMY, / ~ ~ ~ ~ ~q~,~ ~ ~ P~PERTY LINES OR FOR THE ERECTION ~ FENCES ELEVATION8 ~HOWNTHUS, ~L=ZY ARE REFERENCEOTOMEANSEA LEVEL ALDEN W.~UNG, PROFESSIONAL ENGINEER SUBOIVlS~ON ~AP FILE0 IN THE OFFICE OF THE CL~K OF SUFFOLK COUNTY ANO ~ND SURVEYOR N.Y.S. UCENSE NO. 1~845 HOWARD W. YOUNG~ LAND SURVEYOR M ~ L~Tm ~ ~k(w),~lC TAHK(ST)a CE~OLS(~) ~N ~eE~ N.~ ~. LICENSE N0.45893 ~ ~,'-' ~,o2' \ .~ . SURLY FOR CARS TORKELSON & ASTRI TORKELSON LOT I~, "WEST CREEK ESTATES" SEPT. ~0,198~ AT SOUTHOLD D~TE' AUG. 2~, 19~ ~WN ~ SOUTHOLD SCALE: SUFFOLK COUNTY, NEW ~RK ~o. HEALTH OEPARTMENT-DATA F~ APPRO~ TO C~STRUCT ~g ~R~ FOR WHOM ~HE SU~Y IS PREPAREO ~c. ~ ~ ~ OS~NDER A~E~E YOUNG aYOUNG ELEVATIONS SHOWN THUS: ~=~ ARE REFERENCED TO MEAN SEA LEVEL ALDEN W. YOUNG, PROFESSIONAL ENGINE ER .... iD .... ~l~T CO~TO~ HOWARD W. YOUNG, LAND SURVEYOR ~ L~T~ ~L(W),~PTIC TA,K(ST)a CE~OLS(~) ~N ~E~ N.~ S. LICENSE N0.45893 fae~lities for this lo~a~.io~ have bee~ inspected by this department ~d found AUG. 5,1985 LARS TORKELSON ~ ASTRI TORKELSON FEB, 22, 1984 SUFFOLK 60UNTY DEPARTMENT OF HEALIH SERVICES LOT-I~,"WEST CREEK ESTATES" DEC. 19,1983 SEPT 20,198~ AT SOUTHOLD OAf[. Au6 2~, 1983 FOR APPROVAL OF CONSYRUCTION ONLY ~N ~ SOUTHOLD SCALE: 1"=40' SUFFOLK COUNTY, NEW ~RK ~o. 83-653 DATE~ --HS RE~. NO- HEALTH DEPARfMEHT-DATA F~ APPRO~L TO 6~STRUCT YOUNG YOUNG RIVER~AD, NEW YORK ELEVATIONS SHOWN THUS: ~=Z3 ARE REFERENCED TO MEAN SEA LEVEL ALDEN W. YOUNG, PROFESSIONAL ENGINEER suamwsioN MAP F~LED IN THC OFF~Cg OF THE CLER~ OF SUFFOL~ COUNTY AND LAND SURVEYOR N Y.S UCENSE NO. 12845 ON AUG. 19, 1965 AS MAP NO. 5848 .... ~o .... ~l~T COUTO~m HOWARD W. YOUNG, LAND SURVEYOR H~ L~T~ ~ ~L(W),MPTIC TANK(ST)~ CES~OLS(~) ~N ~RE~ N.~ ~. LICENSE NO 45893