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HomeMy WebLinkAbout13195-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Build/n§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z~ 380~ Date Augus~ 27 .8.5 THIS CERTIFIES that the building ........ mew..d~el~img ........................... Location of Property .. 750 , Budd' s ~Pond Rd. Sou~xhold House No. Street Ham/et County Tax Map No. 1000 Section ..... 5..6 ..... Block .... 5 .Lot ............................... Filed Map No. /4652 .Lot No. 4/4 Subdivision Willow ?oint .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................... pursuant to which Buildin ermit No ..................... dated ..... .Ct.m2..e...6 ................ 19~..~., was issued, and conforms to an of the requirements of the applicable, provisions of the law. The occupancy for which this certificate is issued is ......... ..... .~.e.~, ¢.w.e.!!.~.~: ........................................................... The certificate is issued to B~R~ARD O. & ~LF_&~OI~ I. MONSO~ff ..................... ?o¥,'o~ ..................... of the aforesaid building. Suffolk County Department of Health Approval ~/4-S0-~ 0S l~end~n~ UNDBRWR1TBRS CBRTIFtCATB NO ............................................... Building Inspector Rev. 1/81 FORM NO. 0 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) N? 13195 Z Permission is hereby granted to: ~.~....~, ....... ~.~.~ ........... ~.~....~ .2~... ....... ~ ~:"'~;~ ...... ~ ~.: ................ ~.: ............... ~ ............... /~ at premises located at ....~..~..~.....~ .~..~.....~..C~Z..t~.....-~.*....-~.~ .............. County Tax Map No. '000 Section ......~....~....~. · ..... Block ....... ..~.'~.. ......... Lot No ........ J....~.. .......... Building Inspector. and approved by the Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF ~OUTHOLO Building Department Town Hell Southold, N.Y. 11B71 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 features. 2. Final approval of Health Dept. of water supply and sewerage disposel-(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. 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 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 inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date ........... ........... New Building ~( Old or Pre-existing Building Vacant Land Location of Property .q..~..(~).....~...~..C~. ~...(~.Y~. ~..~.C,.~: .... ~ ...... ...............C~.~C:)L-~¥N.C)\ ........ House No. Street Ham/et Owner or Owners Of Property (~13(~ .~..o ..~..~..',~.-~ County Tax Map No. 1000 Section ........ Block C~ Lot. Subdivision..~Ji\\~g.~ ~)©~ . .Filed Map No. .~. .[0.?. .~. .Lot No. .~. ' Permit No. ~..~.J.C).~O~..~.. Date of Perm t . . .~....~l?qApp cant ~:~o~-~'(~ ~). %¥~ .~.~..,.~..~. e'l' J I' o=' ................................... Health Dept Approval t~-~ '- ~©~ Labor Dept Approval Underwriters Approval,.~.~,-4v~.C'.~.'%~. % ......... Planning Board Approval Request for Temporary Certificate ..................... Final Certificate . .~( .................. Fee Submitted $. ~. ~....~.~.~ ........ Construction on above described building and permitmeets all applicable codes and regulations. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL sOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner ~¢ ~63¢~ ~(b~-bOY~ (please print) Plumber ~ ~ ~bf~o,C~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Notary ~ Publi.c ~00094 THE NEW YORK BOARD OF FIRE UNDERWRITERS SUREAU OF ELECTRICITY 85 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 ~n t~efo[~o~[~g ~ocation~ ~ B~em~vc ~ 1st FL ~ 2nd FL Section BI ~ Lot was examined o. ' and found to be in complla~ce ~ith the requlreme~s of this Board. 42 25 DRYERS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET R v I C A.W.G. ~_ NO. OF HI-LEG A OF HI-LEG NO. OF NEUTRALS AWG. OF NEUTRAL 2/0 BoxW'~°rra328 Electric GENJRAL MANAG~ Memorandum from... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, BOX 728, SOUTHOLD, N.Y. 1 I971 765-1802 'rovvf~ OF SOU'mOL~ 120 A]bertson Parkway A]bertson, New York ]]507 September 9,1985 Town of Southhold Building Department Office of Building Inspector Town Hall Southold, New York Gentlemen: In connection with Building Permit number 13195Z, I have attached a copy of the final Underwriters Certificate number N707008. In addition, I have noted that the Certificate of Occupancy shows only myself as the owner. Since the dwelling is jointly owned by my wife and myself and all our permits and applications were in both names, is it possible to have a new £.0. issued with my name and my wife's name (Eleanore I. Monson) as joint owners? Thanking you in advance for whatever can be done. Yours truly, Attachment FIELD INSPECTION FOUNDATION Ilst) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY ~ODE FINAL Memorandum from... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, BOX 728, SOUTHOLD, N.Y. 11971 765-1802 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION PERMIT ~ PERMIT NO. 10-84-0894 UNDER THE ENVIRONMENTAL CONSERVATION LAW  ARTICLE 15, (Protection of Water) [] ARTICLE 25, (Tidal Wetlands) A~TICLE 24, (E~esbwate~ Wetla~,a~s) L_J ARTICLE 36 (Construction i~ Efoo~ Hazard A~eas) PERMIT ISSUED TO Bernard O. & Eleanore I. --KDgR[SSO~E~Tg~i20 Ai~r~C~on PkWay. Albertson, NY 11507 Monson LOCATION OF PROJECT (Section of stream, ttdal wetland, dam, building) Budd's Pond, Southold, NY DESCRIPTION OF PROJECT Construct 70~ linear feet of timber bulkhead along the line of mean high w~q~er; co~truct a 4~a~form, 4' x 14' ramp and 6'~ float and construct a 12' x 36~ sundeck at the rear of a single family dwelling now ~ng constructed. Proj~{ also includes dredging an area along the proposed bulkhead 15' wide to a depth no greater than 4e below mean low water***(cont.. on backJ Southold OUNTY TOWN Southold FIA COMMUNITY NO. J DAM NO. Suffolk GENERAL CONDITIONS 1. The permittee shall file in the office of the appropriate Regional Permit Administrator, a notice of intention to commence work at least 48 hours in advance of the hme of commencement and shall also notify him promptly in w~ding of the completion of the work. 2. The permitted work shall be subject to inspection by an authorized order the work suspended if the pubhc interest so requires. 3. As ~ condition of the issuance of this permit, the applicant has ac- cepled expressly, by the execution of the appHcation, the full leRal respon- 8. That the State of New York shall in no case be .Liable for any damage or injury lo the structure or work herein authorized whichmay be caused by or result from future operations undertaken by the State for the conservahon or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 9. That if the display of lights and signals on any work hereby authorized is not otherwise provided for by law, such lights and signals as may be pre- scribed by the United 5tares Coast Guard shall be installed and mamtamed by and at the expense of the owner. (SEE REVERSE SIDE) DESCRIPTION OF PROJECT (Cont.). with resultant 170 cu. yds. of material placed as backfill behind bulkhead. 70! feet of timber bulkhead is to be tied in to the existing bulkhead at the northerly end and at the southerly end a 10' return is to be provided or tied in to a proposed bulkhead on the adjacent lot. SPECIAL CONDITIONS SPECIAL CONDITIONS A THROUGH J ATTACHED. SPECIAL CONDITIONS K, '~, N AND P ATTACHED. PERMIT ISSUE DATE 10/18/84 BLDG. DEPT, TOWN OF SOUTHOLO Bernard O. Monson 120 Albertson Parkway Albertson, New York 11507 Town of Southold Building Department Town Hall Southold, New York 11971 Attention: Mr. Edward Hiedermann The attached drawings are submitted as an amendment to my original house plans as approved with PERMIT# 13195~. We are nearing completion of our house and now wish to add the sundeck to the rear. I have attached the original supplement for the deck and three copies of the revised plan. Unfortunately, I have no record of ever submitting the original and in fact I don't believe I did, and this in an oversight on my part. Needless to say, I am most anxious to start the deck as soon as possible and I would appreciate your calling me at work so that I may be able to receive a verbal okay, if that is permissableo My work number is 212-502-6726.' I would appreciate whatever action can be taken. When I hear from you I will be happy to send a check immediately if an additional fee is necessary. Incidently, there is ample side yard to accomodate extending 6 feet beyond the side of the house. Sincerely, Bernard O. Monson 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ~' L' TEL.: 765-1803 ^pprov d .¢, l ?..'/me=itNo 4 isapproved a/c ..................................... ................................ ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT ' ' INSTRUCTION~ S.', a. "This application must be completely'filled in by typewriter~or iff l~tk and submitted t6 the Building Inspector, with 3 sets of plans, accurate plot plan to scale· Fee ac¢¢rding 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 detall~d 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 'bt the Town of Southold, Suffolk County, New York, m~d other applicable Laws, Ordinances or Regulations, for the construcQon 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 inspections. (Signature of appl!cant, or name, if a corporation) · ~,~-~,~--¢~,~,, ~',..,t~,..,,-,,,~r~.~. ............ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ~..~.~.,~r,~ ............................................................................... Name of owner of premises . ,~[~'t~t~..~..,.. ~5...~...~. ~.~..~... · .'~.*. · ·..~'~..~..~'¢'. ~¢'.~. ~X. ........... (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.. ~.~. ~..,~...~.~-,-~;~'.../~.~. ~,.6'~,0 ~'~-,'¢~- ~,,~,t~/,,¢,,~,~ ~,,,~, Plumber's License No...~-/~.,5./ff .~. ........... Electrician's License No.. ~.4~r'/~.~/'~"~-v. ......... Other Trade's License No. .F/~...'~.~./.~'..~. ......... 1. Location of land on which proposed work will be done ................................................ -.. ........rl _5 0... ..... d'a~.~r. ~.d~ . . .~' : ~. ~. . .,..~..;/./~ ~. .,~?,,. ~ ~-,r. , ~... . . . .~ ~,~. ,~,~.. ~. ~. . . .... House Number Street Hamlet County Tax Map No. 1000 Section .... ~.~..~ ......... Block ...~.. ............. Lot....~..~..~:.../.~....~.. Subdivision ...... ~).~.~. O~...~.~. ~4..~. ........... Filed Map No..~. ~. '~..2-. ...... Lot.. ~.~. ...... (Nmne) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... .~.1~. ~-~ ............................................. ~-~.~.'~?,4,..~,,.,,,,.'~,¢ ' ' .............. b. Intendee use and o0eupancy . .7~.e. ~'~'~2' ..... 3. Nature of work (check which applicable): New Building ....~. ..... Addition .......... Alteration .......... Repair .............. Rembval .............. Demolition .............. Other Work ............... I ~ ,: (Description) 4. F. stimated Cost .......... ~'~'~ ~, .O.O Fee ~ (to be paid on filing this application) 5. If dwelling, number of dwellingjunits ............... Number of dwelling units on each floor ................ If garage, number of cars .................................................................. 6. If business, commercial or mix(d occupancy, specify nature and extent of each type of use ..................... 7. I)imedsions of existing structures, if any: Front ............... Rear .............. Depth ............... Neight ............... Number of Stories ........................................................ Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ; Height Number of Stories 8. Dimensions of entire new constimction: Front ~'"/. · Rear ,~'"/ ~ D~,~*h tteight./.~..r~: ...... Number of Stories ..... .~7'.r,4. O. ............................. j..,..: .... ; ..... 9. Sizeoflot Front ~/./.q r.~ Rear. ,R'.,P r n~,,th /,~ ° 10..D. ate of Purchase ...f/4t,Cy.. ,,,'.~.~.~....: ......... Name of Former Owner ,4~J.~. ~q:t~, .t~rT'.~.~r~'.,~. e'.J?.~r/ ..... 1 1. gone Or use district in whi/h promises are s~tuated · .~,t~. ?...~.*~4. ~ ............. 1,2. l)o~s proposed construction violate any zoning law, ordinance or regulation: .. ,,,~¢) .............. ~:~ ........ 13. Will lot be regraded ' ' ~ ' '~'-~" z't' I ";" ' :-'~ ........... Will excess fill be removed from premises: ~ No 14. Name of Owner of premises 45r,17'. ~.,./.~ra,~,t:'.attd.. Address ~z$~,~,/.~,.e~.~ .,¢.%~../~,t~',. Phone No. ~./II;. Name of Architect ~,~.~¢qA(,~ A~.O'£,~,/~Z'.~'/t~'.... Address ~ .................. Phone No.~¢'~'.~; .--.~ ~./.. Name of Contractor ,O/.t~,~O$~ g~,,.t[~,$~,~¢45,~,,~ Address/'~W. t~"~.,~.~('~, ..... Phone No~'7~.'.~.dr.~. ~.~[ ..i , Locate clearly and distinctly alt buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, iS COUNTY OF ........... .... . .S ~ bei g d ly depo nd says that he is the appli ant ............................. ; .................... n u sworn, sesa c I (Name of individual signiing contract) ~. - above named. He is the (Contractor, ageat, 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 cont~ined in this application are true to tl.~e best of his knowledge and belief; and that the work will be performed in the manne¥ set forth in the application filed therewith. Sworn to before me this ......... ...]..~...~..../..day o~... 19 .~. NOT/~RY PUBLIC, State of I ew 'Yortt ~ ' .......................... No. 4707878. guft011t C ,tlrlt, y,..~ " (Signature of applicant) Term Exl)nes Marc[t