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Home My WebLink About15819-zFORM NO~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17104 Date JULY 20, 1988 THIS CERTIFIES that the building Location of Property 3600 MAIN ROAD House No. Street County Tax Map No. 1000 Section 125 Block 03 subdivision Filed Map No. ADDITION LAUREL~ NEW YORK Hamlet Lot 09 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 25, 1987 pursuant to which Building Permit No. 15819-Z dated MARCH 28t 1987 was issued, and conforms to all of the requirements of the appiicable provisions of the law. The occupancy for which this certificate is issued is ADDITION TO EXISTIN~ ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to EDWARD W. & LORRAINE C. LUNDSTEDT (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING- JULY 11, 1988 PLUMBERS CERTIFICATION DATED N/A Building I~pector Rev. 1/81 ~Olt~ NO. ~ TOWN O~ $OUTHOU) BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NB 15819 Z Permission is hereby granted to: ..~..~.....A~.~. ............................................... ............... .................................................... at premises located at ....~...~ ........... ....~.........~... ............. .......~......~ .................................... County Tax Map No. 1000 Section ..... ./.....~.....~,. ...... Block ..... ..0......~. ....... Lot No......~...¢J ............. pursuant to application dated ...~...(~.....~¢....~.~. ............. , 19.~..2., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD I3U JJding Department Town Hall Southold, N.Y. 11971 765- I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building ~nspec~ tot 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 Oept. 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 buildiogs (prior to April ]957), Non<onforming uses, or buildings and "pre-existing'' land uses: 1. Accurate survey of property 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 otber pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 -'~ BUSINESS $50.00 ACCI,]SSORY Si0.00 2. Certificate of occupancy on pre-existing dwelling $ 50. O0 3~ Copy of certificate of occupancy $ 5.00, over 5 years $I0.00 4U.'Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ..,E.U,~.¥..1.5.~,..1.9.8.8. ......... New- Addition ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ' 3600 , Main Road Laurel House IVo. Street /tam~et Owner or Owners of Property Edward W. and Lorraine C. Lundstedt County Tax Map No. 1000Sectioo ...1.~ ......... Block 03 Lot 09 ' Subdivision ................................. Filed Map No ........... Lot No .............. Permit No..1.5..8.1.9.~... Date of Permit 3/28/87 .Applicant ~dward W. Lundstedt Health Dept. Approval ........................ Labor Dept. Approval ........................ U nderwriters Approval ........................ Planning Board Approv,fl ...................... Request for Temf}orary Certificate ..................... Final Certificate Fee Submitted S. 25. O0 Construction on above described building a~eets all appli,,~3ble codes and regulations, ~Edw~ard'w. Lundstedt ....................... Rev. 10,10-78 OUtlDATION (1st) OUNDATION (2nd) OUGH FRAME~'~ ?LUMBING 'NSULATION ?ER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION XST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [~.~t~INAL DATE 765-1802 BUILDING DEPT. INSPECTION [/~IfOUNDATION 1ST ~- ] ROUGH PLBG. ~/~OUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [I/~NSULATION FRAMING FINAL REMARKS: DATE INSPECTOR ~ _/~///~ PLAN FOR EXTENSION ON LUNDSTEDT PROPERTY AT MAIN ROAD, LAUREL The extension will be 17.5 x 16.3 feet. It will be one story high and adjacent to kitchen. It will be used as a "den". Entry will be from the kitchen, and will be effectuated by making the present window facing westward into a doorway. Addi- tional ingress and egress will be from an 8 foot sliding glass door on the southern wall. The roof will be a reverse gable joined to the existing kitchen roof with a peak approximately 4.5 feet high; peak will face cast and west and slant to the north and south. There will be one skyligh't built into the roof on the southerly slant. The dimensions of the skylight will be 45" x 45". The roof will be shingled with black shingles closely approximating tb~ roof shingles on the existing structure. EXTERIOR The exterior will be boarded with outdoor plywood of 1/2 thickness, and then covered with white vinyl aluminum siding same as the existing structure. Joists will be 2 x 8 , 16 inches apart, and the walls will be insulated with insulation four inches thick, with an R factor of inch the CEILING The ceiling beams will be 2 x 6's, ~6 inches apart, and there will be insulation in the "attic" 6 inch ~hlckness, with an R factor of R~9 ELECTRICAL 6 outlets every 8 feet, double outlets. light outside and 1 overhead. 2 light switches, HEATING Electric heat. WINDOWS The southerly side w~ll will have no windows per se, but as previously mentioned, there will be an 8 foot sliding glass door centered on this wall. The west wall will have no windows. The northerly wall will have a double wlndoy and screens centered thereupon.~v~ ~.~ f~ ~~ FLOOR BEAMS The floor beams will be 2 x 8's, 16 inches apart. Plywood of 1/2 inch thickness will be used as subflooring, and will be insulated with fibreglass insulation 6 inches thick with an R factor of R- ~9. A triple (3) 2 x"8'girder will run through the center of the floor, east and west. PLUMBING None. EXCAVATION Excavation for the conrete will be the foundation will be 2-]/2 feet deep, and at least two inches in thickness. ~x~. ARE ;ROM SURVEY FOR LEONARD C. EMMA BEARINGS SHOWN THUS~ N.60'22'OO"E. ARE FROM DEED TO MARGARET HALSEY NOTE~ ,, MONUMENT SURVEY FOR NORTH FORK BUILDERS, INC. LAUREL TOWN OF SOUTHOLD SUFF. CO.,N.Y. GUARANTEED TO~ SCALE = I "= 40' ' SECURITY TITLE CO. AUG. 12," 1969 AUG. 18, 1969 P- GUARANT*~ LAND SURVEYOR, N.Y,S.LIC.NO.1284! RIVERHEAD, N,Y, Lundstedt and Foy ATTORNEYS AT LAW THOMAS F. FOY/EDWARO W. LUNDSTr:DT* · MEMBER NEW YORK AND FLORIDA BAR MAIN ROAD LAUREL, NEW YORK 11948 516/298-9155 Building Department Town of Southold Town Hall Main Road Southold, New York March 3, 1988 11971 Re: Extension - Lundstedt Property 3600 Main Road, Laurel, New York Building Permit No. 15819 Gentlemen: Enclosed herewith please find a second survey in coDnection with the above. The same was requested by the Building Inspector upon his inspection of the foundation on February 29, 1988. Very truly yours, LUNDSTEDT & FOY Enclosure EWL~ Edward W. Lundstedt WESTERN SUFFOLK: 2340 Middle Country Road, Centereach, New York 11720 Telephone 516/467-4600 FLORIDA OFFICE: Home Federal Tower, 17th Floor, 1720 Harrison Street, Hollywood, F~orida 33020 Telephone 305/920-9227 Re: Extension on Lundstedt Property at Main Road, Laurel Crawl space - Foundation for crawl space access, 40~ inches wide by 32 inches long, built one block below regular foundation (underground). Cellar door will be at ground level, slightly inclined away from extension. '0\ ~' , ' , SURVi ~' FOR NOR-I Ii FORK BU LDERS, NC. I'OWH OF SOUTHOLD GUARANTEED TO~ SECURITY TITLE & GUARANTY' CO., SUFF. CO,,N.Y. SCAI.-.I': 1"= 40'.' I~.UG. I::, 1969 AUG. I,~, 1969 PROFESS I (~NA'~/ LAND SURVEYOR~ N,Y.S,LIC.NO, I~*O4~ RIVERHEAD ~ N.Y. * ,' Examined .~t~4 .C~...~.~.., 19 3.? Approved .~ P-~..~..~.., 19 .~.TPermit No.l.~..$/.~.~.. Disapproved a/c ..................................... BOARD OF HEALTH 3 SETS OF PLANS 'FORM NO, I SURVEY . . . .O.,.~, . TOWN OF SOUTHOLD CHECK .......... BU[LD[NGDEPARTMENT SEPTIC FORM ............. TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL ...... MAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .N..ar.c.h.. ] .~., ........19 Df. INSTRUCTIONS a. Tkis 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 desqription of]~yout of property must be drawn on the diagram which is part of this appli- cation. . .{~,'~ _~ .~.~ ~. ~ .... d. Upon approval of this applic-~a~n~"~e ~'~g~ll~: will issued a Building Permit to the applicant. Such permit shall be kept on the premises avail_~iv~pe~m~n J~t~t~llSut the work. e. No building shall be o~c~ ~l'o,r~]l~in part for any purpose whatever until a Certificate of Occupancy shall have been granted by t_t~'~, jRlit~ APPLICATION IS I-~i~ ~ . ~u'~d'~epartment for the issuance of a Building Permit pursuant to the Building Zone Ordinance~fff t~ ~w: ~tk~l~'folk County, New York, and other applicable Laws, Ordinances or Regulations, for the constrtl~ [ q~ ~a~lln~IU~,~ifions or alterations, or for removal or demolition, as herein described. The applicant agrees to compS.. ~ l',~al~tS~e laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on ~It~t~ ~ build'rog for necessary inst. ~"g~ '~o/f applicant, or name, i a corporation) (Mailing address of applicant) q q 9 48 State whether applicant is_ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Nameofownerofpremises Edward W. & Lorraine C. Lundstedt .............................................. $'NOTF,.D ...... (as on the tax roll or latest deed) If hpplicant is a corporation, signature of duly authorized officer. .............................................. ~OT~ BV~LD~NG (Name and title of co.orate officer) , *e6-~2 ~ h~ TO g PM ~<)~ THE ALL CONTRACTOR'S ~ST BE SUrFaK CO~ICENSED F-OLLOWtNG Builder's License No..,~. .... -~ ~OuNOAv'ION FO~ ~U~O Plumber's License No ......................... ROUGH Electrician's License No .... ¢9~.1.~ ............. ~, fitNAL CO~iSTfilJCTI{}~I Other Trade's License No. (.~ ~ ~ 9.~ ).. ~ ? ~.~: ~ ~ .... AL~ COe~ ~{~ 1. Location of land on which proposed work will be done.. ,~.e ~ g..s.~ d e..o.~ ~}~'TR~'~ ..... ....... Fp.aO ..................., ....... aure ..................... House Number Street Hamlet County Tax Map No. 1000 Section .... .1.2.5. .......... Block ....... 3. .......... Lot ...... ~ ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... d..w.e.l. 1. i..rig ...................................................... b. Intended use and occupancy dwelling - den 3. Nature of work (check which applicable): New Building ' ... Addition ...... Alteration ... '. ...... Repair Removal Demolition ' Other Work (Description) 4. Estimated Cost ....~.'7.,.~..°...°.Q ........................ Fee ........... ~ .......................... ~' (to be p~id on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ............................................. ~ .......................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type!of use ..................... 7. Dimensions of existing structures, if any: Front .... 3.7., 5 ....... Rear ..... J )..~3. ....Depth .... .6.0. ........ Height .2 ~ Number of Stories .2 Dimensions'of stone structure with at~a~icmx~zaddition~: Front ...3..7...5 ...... ,... Rear ...3.1. :.8 ........... Depth ......... .6.0 ........... Height ..... .2 3 .... Number of St;ories ..... z ........... -8. Dimensions of entire new construction: Front ..... q.7.: 5 .' ..... Rear .... 1. 7 .. 5. ~ ..... Depth ... ! .6...3. ....... Height 1 3 Number of Stories 9. Size oflot: Front 14.0 ... Rear....~).0.:4..5 ............ D~pth .... ].7.2 ............. 10. Date of Purchase ....... '5/'~6 ....... . ......... Name of Former Owner N°~pthfork Bull tiers [ ' I.nc. 11. Zone or use district in which premises are situated Agriqul tural-R e.siden tigl 12. Does proposed construction violate any zoning law, ordinance or regulation: ~N. o.. 13. Will lot be regraded . .P..ar.t.i..a..1.1y ........ Willexce[~ fill be~emoved from premises: xhSex No NameofOwn~r~..__m,_~Eowapd-W[' ~' 'I]6rraJ],h~ c_ aJ.n l~d. . ,,~ .. .2.9.8r.9.1..6~ ..... [4. ¢ mpre ~scs ....'. ,.... .... ~.. ,. ...... ,address .. L'aure.1. 'N. Y ..... rnone mo. Name of Architect .N.q. 9.t.~?.~..n.o.s.~.e..a.~ ......... Address .......... '.. ~..'. J.. Phone No ................ NameofCo tr cto N9 qther. Address i PhoneNo n a r .... : ........................ 15. Is this property located within 300 feet of a tidal wetland? *Yes'. .... No ..~.. *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM ~ Locate clearly and distinctly all buildings, .whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show Street names and indicate whether nterior or corner lot. SEE COPY OF SURVEY ATTACHED HERETO. ',TATE OF NEW YORK, :OUNTY OF..S.U..F F.0. L. K. ....... S.S ·..: .Ep.W.a. 8p..w.....L .U.Np.S.T..~ p.T ...................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~' bore named. : le is the owner (42mq;ra~t~,~agsntroorporat¢-~fiee-~ -et~.) ' 4~-said-oa~rs~-or-o~mer4r and is duly authorized to perform or have performed the said work and to make and file tiffs. pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the tork will be performed in the manner set forth in the application filed therewith. worn to before me this ........ ././.~. ......... day of..~. ~?.qh. ............., 19.8.7. ~otary Public, . ....~~'SP'f'~v'k'k .................... County~ ~~. · .'~?]'~~~ ..... r~ ~ "' t~n~i~tedt ................. ~ ~. sm, 0~ #~ *~a W. ~ (Signature of applicant) No, 483~984 041allfled m Suffolk OounT~? Tem'l Explr# MarCh 30, 19'6