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Home My WebLink About12816-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13137 Date Jan. 15 1985 THIS CERTIFIES that the building ....... .O.f.f..~.c.e..B..u.i.i.d.~.n~ ....................... Location of Property .4.4.2.1.0. .............. .C. qu..n.~7..R..d:..~4..8 ..... Soutl~old /'lous~ No. Street .............. County Tax Map No. I000 Section ...Q.6.3 ...... Block 0Z .Lot 019 Subdivision .......... X. .................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Dec. 13 , 19 .83. pursuant to which Building Permit No. 12816Z dated ........ J..a.n.. ....... 3. ........ 19 .8.4., 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 ......... Rear Building Unit #2 The certificate is issued to .......... .~.I?..D..S. ~.~...OX..Sg.U~. 9.~p..~..s.s.o.c.z. .......... (owner,-le~ee.er-~ena~t) of the aforesaid building. Suffolk County Department of Health Approval .... 8755 .... UNDERWRITERS CERTIFICATE NO N 6 6.0 3 ~.4- N 6 7 zl 7 0 4 Building Inspector FOP~M NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL ~:OMPLE'I'ION OF THE WORK AUTHORIZED) 12816 Z Permission is hereby granted to: ..... ................ ~o ........... C'.O~..~./..~..... ~/. ......... ~/_~.z.~.~ ...... ~ ./..C...~:22- ./:../..C.~..,.Z./.~ ..... at premises located at ..... .~...~,,/,~.. ,/,.~.~, ........ .~/..Y.~Z...~...m~.~.:..~..: ......... ~.X.;~....~..Z .................. ........................................................ :..: ............ ~ ~..~.z~z~.~..=.~.~ .............................. County Tax Map No. 1000 Section ....(-~..~ ......... Block ...... .~..Z .........Lot No....~?.,/...~.. ........... pursuont to opplicotion dated .... .~..~.4~.~ /,~.~. .................................... 19....~, and approved by the Building Inspector. Fee $..~,..~....~.........-~-. ' Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in dupltothe 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 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 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. C. F~es: 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 . Ja~. ~5~2 New Building ....... X. ..... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .. 4. z~.~.Q .................. ~..~4. ~ ................... .~.o..~.h.q~. ~ ..... House No. Street Ham/et Owner or Owners of Property .......... ?,¢~c..~.g~.~.~.%~g..~.n. $¢..#.2. ........................ County Tax Map No. 1000 Section ....... q~ ..... Block .. ,0.[. .......... Lot..Q~.~ ........... Subdivision × . p N Lot No. ................................ Filed Ma o ........................ Permit Nee ,~2816Z Date of Permit ~./3/,84 .Applicant ~ Health Dept Approval S-55 Labor Dept Approval Underwriters Approval N660394-Partial Planning Board Approva~ Request for Temp~..~Certificate ..................... Final Certificate ......... X. ............. Pee Submitted $ .~./5'~ ...................... Construction on above described building ~ CO'~--:'' [ '~ ~ "~ fl Applica~,,- ................................................... Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy 8.5 JOHN STREET, NEW YORK, NEW YORK 10036 Date ~p~zl~X' ~ ~.~ Application No. o~fit~ · .,s c~.~,.,~s ~.~ N 660394 only the e~ectrical equipment as described below and introduced by the applicant ~amed on the able application number i~ the premises of in thefollowlng location; ~ Baseme.t ~ 1st FI. ~ 2ad Fl. Section Block Lot was examined on FIXTURE OUTLETS RECEPTACLES DRYERS and found to be in compliance with the requirements of this Board. SWITCHES FIXTURES RANGES OVENS EXHAUST FANS FLUORESCENT SYSTEMS E 1-4oBkw, ~ ho'C water heater l~&o.okw., he~t ptm[o l~jtonA/C ~nit 1-?OmD. X-l~y Unit E NO OFp~C~C~COND. R V I C AWG, OF CC. COND NO OF HI-LEG A W, G, NO OF NEUTRALS A, W G OF HI-LEG OF NEUTRAl Per t~" // the offic~ the Board if incorrect ,ns~ectors ma be idenfif/ ..... J ~'-:Z , -~J I · ~ ~ Y ea ~y tne,r creae~tials. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-l~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date&'.~,~ :L~, ~ ~"~..on~o..,,~.~ ~o~o/~ N674704 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the able application nu tuber ir~ the premises of in the following ~ocation ~ Basement ~ 1st FI. ~ 2~d FI. Section Biota Lo~ was examined on J~x*y 7 ~ l~ and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS RECEPTACLES 2G SWITCHES FIXTURES RANGES ~OOKING DECKS OVENS EXHAUST FANS INCANDESCENT FLUORESCENT VAPOR DRYERS FURNACE FUTURE APPLIANCE TIME CLOCKS UNIT HEATER DIMMERS SYSTEMS NO. OF SERVICE DISCONNECT OTHER APPARATUS: 1.-,4, 5k~. Hot Water Heater 1-10~Okw. Heat .~p, 1-2~ Toa A/C 4-Shrike ~t~tors S E R V I C E NO, OF CC, COND. A W G. NO. OF HI-LEG A.W.G, NO OF NEUTRALS A.W G, Ruland E~ectric ~o. P. O. Bo~ 143 ~L~ttituck~ N.Y, 1195S Lic. 242 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors {qT. THIS COPY OF CERTIFll Per ] may be identified FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No ...... Date 2 0 8 4 Office Build ~.n~ THiS CERTIFIES that the building ............................................ Location of Prop arty ....6.4. ~ ] g..~ i, ql .d.l,e,. ~{ g.a,d, ........................ S. 9 .u.%.h o 1 d House No, Street Ham/et County Tax Map No. 1000 Section 063 . .Block 01 .Lot 019 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... D. qg..' ,1.~ .......... 198.3.. pursuant to which Building Permit No. ! .2 .8.1. 6. .Z .............. dated . dan. 3 19 86, was issued, and conforms to all of the requirements of the applicable provisions of tile law. The occupancy for which this certificate is issued is ......... Unit #1 The certificate is issued to Winds Way. of Southold Associates (o wner,~e/~f( ~0~ X of the aforesaid building. Suffolk County Department of Health Approval S- 55 UNDERWRITERS CERTIFICATE NO N 6 4 7 ~ 4 9--P ar t ia 1. Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~]outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~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 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 peoperty 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificateofoccupancyonpre-existingdwelling/landuse--?re-E×±st±ng C.O. $15.00 3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00 Date .......................... New Building ............. Old or Pre-existing Building ............ Vacant Land ......... Location of Property House No. ' ................... Owner or Owners of Property ....... .~..~.. .~ ~ Ham/et .Z~../.~...-~..~ ...... County Tax Map No. ,000 Section Subdivision ....... .......................... Filed Map No ........... Lot No. ........... Permit No.. ('~' Date of Permit . · · pplicant .......... ~,/~,,,: .... Health Dept, Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building an~,,,~l, appl~lble~co~,and regulations. ^pp,,can .. ..... Rev, I0-10-78 FIELD INS['ECTiON FOUNDATION FOUNDATION ROUGH FRAME & (1st) (2nd) PLUMBING INSULATION PER N. Y. STATE ENERGY Cp E FINAL COMMENTS ADDITIONAL COMMENTS: FIELD %N~PKgI~ON COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY q?DE FINAL ADDITIONAL COMMENTS: 765-18~2 ~ BUILDINq DEPT. INSPECTION' [ ] FOUNDATION ~.ST [/~ROUGH pLBG. FOUNDATION 2ND [ ] INSUi~4TION [~j/FRAMING ,[ ] FiNAL REMARKS: INSPECTOR ii 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST /~/'~"/~i ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION / "F,./.1 FRAMING [ ] FINAL -~- REMARKS: 765-180Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [/~ ROUGH PLBG. FOUNDATION :)ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: INSPECTOR P D HENRY E. RAYNOR, Jr., Chairman .lAMES WALL BENNETT ORLOWSK[, Jr. GEORGE RITCHIE LATIIAM, Jr. WILLIAM F, MULLEN, Jr. Southold, N.Y, 11971 TELEPHONE 765-]9~8 September 14, 1983 Mr. Victor Lessard Building Admin±strator Southold Town Hall. Southold, New York 11971 Re: Site Plan for Windsway of Southold Associates Dear Mr. Less~rd: The following action was taken by the Southold Town Planning Board, Friday, September 9, 1.983. RESOLVED that the Southold Town Planning Board approve the site plan to be known as "Windsway of Southold Assoc-.. iates", located at Southold~ subject to certification from the Building Inspector's Office, an on site field inspection by the Planning Board prio~ to the issuance of a Certificate of Occupancy and a one year review. Three (3) copies of the above mentioned site plan have been attached. Very truly yours, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Susan E. Long, Secretary (please forward fee in the amount o£ to our office.) cc: Robert Wendell $25 A. BARTON CASS, P.E. COMMI5510NER DEPARTMENT OF pUBLIG WORKE~ COUNTY OF SUFFOLK PETER F. COHALAN SUFFOLK COUNTY EXECUTIVE March 26, 1984 ROBERT E. WEBBER, P.E, Town of Southold Office of the Building Inspector Town Clerk's Office Southold, New York 11971 RE: C.R. 48, Middle Road, Winds Way of Southold Associates Gentlemen: Please be advised that we have received revised plans showing a common access point to both parcels, as requested in our 239K that was issued to you on February 28, 1984. Since the applicant has provided for the common access point to be at the existing access point on C.R. 48 and there is no additional work on the County right-of-way in this area, no permit will be required from this Department. Should you have any other questions, please do not hesitate to contact this office. MPC/jfc M. Paul Campagnola Junior Civil Engineer CC: Winds Way of Southold Associates DEPARTMENT OF PUBLIC WORKS YAPHANKAVENUE YAPHANKiN.Y. II980 (~16) 924-4300 TOWN DF, SOUTHnLD OFFICE DF BUILDING INSPECTOR TOWN CLERK'S OFFICE Commissioner of Public Works ¢~ , ~ Suffolk County ~'~ ( Yaphank Ave., Yophank, N.Y. "~%,~,~.~ Dear Sir: In accordance with Section 239K of the General Municipal Law of ~e consolidated Laws of the State of New York, this Is to noti~ the Commis- sioner of Public Wor~ of the Coun~ of Suffolk that .~/~.~.~.~ ...... ~; ............ ~Q~~ ................................. has applied to the Town of Southold~ o permit to construct o building ..................... ............. . as shown on the attached plot plan, submiffed in triplicate, ~ted ................ ........ ............ o.,,,,,., we shall withhold fudher action on this application ~r ten days or os othe~Jse provided in the aforementioned Section 23~K. 2/28/84 DISAPPROVED- to the Town of Southol~ pursuant to Section 239K of the General Municipal Law subject to the stated conditions: Revise & resubmit showing common access point to both parcels. ~ _/~/,/~/~.,/_~/~.r u ly . . yours, Town of Southol~ N.Y. SUFFOLK COUNTY DEPT. OF PUBLIC WORKS A. BARTON CASS, COMMISSIONER C. Ro~er~e~k~r Chief Engineer TOWN OF' SOLITHIZiLD OFFICE OF BUILDING INSPECTOR TOWN CLERK'S OF'FlOE: Commissioner of Public Works Suffolk County Yophank Ave., Yophonk, N. Y. / Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Laws of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that .~.Z('.~.~.~..~..~...~-~.. -~Tm.~....~..~.,.~.r~ ................. ~.~.....~-.~..~,..~ .~__~..~.(.~...-.. .................................................................................. has applied to the Town of Southold ,f~o~ a permit to construct a building os shown on the attached plot plan, submitted in triplicate, doted ................ ........ Z./.~.~/.~ ............ o.d,,,,ed ~,/~27..~.::...~- ~/~ ~ We shall withhold ~urther action on this application for ten days or os otherwise provided in the aforementioned Section 239K. ~,e~/, r uly yours, Town of Sour'hold, N. Y. A. BARTON CASS, P,E, CO~IMISSIONE R COUNTY OF SUFFOLK PETER F. COHALAN SUFFOLK COUNTY EXECUTIVE March 26, 1984 Town of Southold Office of the Building Inspector Town Clerk's Office Southold, New York 11971 RE: CoR. 48, Middle Road, Winds Way of Southold Associates Gentlemen: Please be advised that we have received revised plans showing a co,non access point to both parcels, as requested in our 239K that was issued to you on February 28, 1984. Since the applicant has provided for the common access point to be at the existing access point on C.R. 48 and there is no additional work on the County right-of-way in this area, no permit will be required from this Department. Should you have any other questions, please do not hesitate to contact this office. MPC/jfc M. Paul Campagnola Junior Civil Engineer CC: Winds Way of Southold Associates ./ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .............. _~.~. ................ 19 Approved ..~,~..~..'.....,..~. ................. , Ig.~..~.~.~Permit No. Disapproved a/c ............... ........................................... ......... ~',-~ r /' (Building Ins'~ctor) Application No. APPLICATION FOR BUILDING FERMIT / Date ........................... /~../~.. ....... , INSTRUCTIONS o. This application must be completely filled in by typewriter o¢ in ink and submitted in triplicate 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 of areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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 issue 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 o Bud ng Perm t 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, end regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or nop~e, if a corporation) "' (Address of gpplical~'.,t) .--,~ /~; ,~ State whether appficant is owner, lessee, ogent, architect, engineer, general ¢ontroctor, e~ectrician, p~umber or builder. Mome of owner of premises ...... ~. ........................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Bu Ider s L~cense No ...................................................... Plumber's License No ...~.....~..:~ ......._..___ .......... 7':'"'z".' ...... Electrician's License No...~.~/,,.~.,,~....,,~,.,~,~.,.,.~,... Other Trode's License No ............................................... 1. Location of land on which proposed work will be done. Mop No.: ...~.._~. ................................ lot No..../.~.. ............... Street and Number ........ ~.;.~.~/./C...~.., ...................................... ~.~..z~.~Z~,~r,~/.~. ................................ State existing use and ~cupa~y of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ............................................................................................................................... b. Intended use and occupancy .......................................... C.~ ................... /'"'~) ............................................ 3. Nature of work (check which applicable): New Budding'.....~.i.r... Addition .................. Alteration ................. P, epaiF .................. Removal .~ ................ Demolitior,.,...,.:,6,.~: .... Other Work .................................................... ~' ' 0~' (Description) 5. 'If dwelling, number of dwelling units ............................ Number ~f dwelling units on each floor ............................ if garage, number of cars ....... ~ ............................................................ ~ ........................................................................ 6. If business, commercial or n~ixed occupancy, specify nature bad extent of each type of use ..~..1~... ........... 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of some structure 'with alterations or addiHons: Front ....................................Rear ............................ Dept3 ................................ Height ............................ Number of Stories ................................ Height ...../'.,~.[ ......... Number ;of Stories ....... .~./~..~ ................................................................................................. 11. Zon; or use district in which premises are situated ....... /~.;7.!. ..................................................................................... 12. Does:proposed construction viblate any zoning law, ordinance or regulation: ...~..42... .............................................. 13. Will Iht be regraded .......(/...~..,~i ............. Will excess fill be removed from premises: ( ) Yes' ( lC'No PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and indicate oil set-back dimensions from property lipes. Give street and block number or description according to deed, and show street nQmes and indicate whether in~erior or corner tot, STATE OF ......................~/"~.~.r~'.~F~'/~..~..<.../~ ~.~.%.~..~.¢..~//.. ....................... being duly sworn, deposes and says that he is the ~pplfcam (N~e of i~Jvidual si ning contract) above named. ' ........................ ~.~ .................................................................................................................................. He is th~~ 7 (Contractor, agent, corporate officer, etc.) "of said ~wner or owners, ~nd is duly authorized to perform or have performed the said work and to make and file th s application; that all statements contained in this application ore true.t~e best of his knowledge and belief; and thor the work will be performed in the manner set fo~h in the applicatio~t~rewith. Sworn to before me this ~] / /// -~ J .......... ,,.. .....................· .............................................................. \0° o SUFFOLK cOUNTY DEPARTMENT OF HEAl. TX SERVICES Approval of Constr. cted Works The sew~.',e (I$1~osal 8rid water supply fac~tltres at this ~ti~ DATE CHIEt OF GENERAL ENGtN~NG J