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Home My WebLink About15826-zFORM NO. 4 TO~Rq OF SOUTHOLD BUILDING DEPARTI~ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20460 Date JANUARY 9~ 1992 THIS CERTIFIES that the building Location of Property 100 EAGLE DRIVE House No. County Tax Map No. 1000 Section 127 Subdivision NEW DWELLING LAUREL, N.Y. Street Hamlet Block 9 Lot 1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 1987 pursuant to which Building Permit No. 15826-Z dated MARCH 30, 1987 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & REAR WOOD DECK The cerkificate is issued to GOLDEN ¥IEW ESTATES (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-80-212-DEC. 30, 1991 UNDERWRITERS CERTIFICATE NO. N-023257 - JULY 26, 1988 PLUMBERS CERTIFICATION DATED NOV. 12, 1991 - BERTSAND PLUMB & HEAT. ' ~ /~ ~ing inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CfHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15826 Z Permission is hereby granted to: ........ .......... fo. ...~........~ .... ~-....'~... ...... .... ..................................................................................................... ...... ~.....~.,.~ .......... ~ ......... , ....... ~.~ ........................................................................................... Coun~ Tax Map No. 1000 Section ..... /.~.~ ........ Bilk ......~..~ ........ Lot No. ~ j pursuant to application dated .... ~.~ ........................... -~ ~ , 19~.].., and approv~ by the Building Inspector. Fee $..,,~,','"~,.7.,~-,.:,.~,.~,,~, Building Inspector Rev. 6/30/80 [, [ c(o) FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 ~ ~. ,,, ,,:~ ..... L;: 765 - 1802 ~ ~,,~!,,;,;, :,,,, APPLICATION FOR CERTIFICATE OF OCCUPAigC¥ Instructions A. This application must be filled in typewriter OR ink, and submitted ~tmammmam 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 natura~ 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, occrJpancy 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory',~$)O.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $I0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstruc%ion ...... Old or Pre-existing Building ............ Vacant Land ............. o on o Proper ............................................................... House No. Street Ham/et Owner or Owners of Property .~. ~. ~-~. ¢-..~. County Tax Map No. 1000 Section ../, .~, ~ ....... Block ... ,~I~, .? ........ Lot... ,~,/. ......... Subdivision PermitNoJ,~,~,~,~.~', Date of Permit ...... Applicant ~.~4.~'f~ .~.. ~'~ ~?.¢.0~.. · ............................. ~'~ - .~.O - ~,! ~., . .Labor Dept. Approval ........................ Health Dept. Approval . .. ~,.~; ~ ~,/ ....... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ :~ ,~,' ,~.~:~ Construction on above described building and permit meets all ~plicable codes and regulations. ~ Applicant../.~.'.~.L-_~.~.~., .~.)~....~.~.., ..................... Rev. 10-10-78 TOWN OF OUTHOLD OFFIC£ OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date~ Building Permit No. ;)--~-~ ~ (please p=int) (pleaSe prxnt) ' I certify that the solder used in the water supply contains less than 2/10 of 1% lead. system ~plum~er' s signature) Sworn to before me this Notary Public, ~ ~ ~. County EILEEN M. ROACHE Notary Publio, State of Now York No. 4826942 ' Qualified in Suffolk CounW Commission Expires January 31, 19~/~ Notary Public ~ooo~ THE NEW YORK BOARD OF FIRE UNDERWRITERS I~UREAU al= ELECTRICITY ~ 25,~ ~pplicationNo. on~le 49498787/87 °~y the el~t~c~ ~uipment ~ ~d~ be~ a~ int~c~ by t~ ~o~ant __ ~ ~ on the a~ appleton numar in the pre~z of O~DE~ VIEW STATES, 620 W~-~ gAG. DR. ~ WSDE. LANE, LAUREL, in the followln~ l~etion: ~ ~ment ~ 1st Fl. ~ 2~ FL ~examin~on JU~ 2~,~8 OTHER APPARATUS: ' ~ ~ - ~ = ' ..... ' ...... "~ GENEI~AL M~GER Fhis cedificate must not be aher~ in any manner; return to the office of t~ Board i~i~c~red. Insp~ors may be identifi~ byVtheir crede~tiaJs. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTIIOLD, N.Y. 11971 TEL. 765.1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because.of the following reasons. /_~/An application for Certificata of Occupancy //is not on file. /_~__// No Underwriters Certificate on file. /~/ The check is(outdated/not on /~ No Health Dept. Approval on file. /-~/ NO final inspection has been made. Please contact our office on Thank you for your cooperation. Building Permit Building DQpt. this matter. ***/_ Plumber Solder Certificate on file.~ all permits involving plumbing being issued after April 1,1984 FOUNDATION 1ST INSPECTION~/~' [ ] ROUGH PLBG. i_ ] FOUNDATION ;ZND [ ] INSULATION []FRAMING [//~'FI NAL ,~~ REMARKS: DATE INSPECTOR~~/~ 7GS-xs02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: [/~INAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ~~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL DATE 76S-1802 BUILDING D£P'F. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~INSULATION ~FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ O~~UNDATION :)ND [ ] INSULATION [ ] FRAMING [ ] FINAL INSPECTO DATE 765-1802 BUILDING DEPT. INSPECTION [.] FOU.~DATION~ 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION 765-1802 BUILDING DEPT. INSPECTION [~F~NDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL OUNDATION ~'/(2nd) OUGH FRAME & PLUMBING iNSULATION FER STATE ENERGY C6DE FINAL . ADDITIONAL .' ~ ~ < SEABOARD SUPPLY COMPANY 317 NYE AVENUE, IRVINGTON, N.J. 07111 N.J. Telephone 201-375-1384 N,Y'. Telephone 212-227.0425 272-227.08P2 June 3, 1987 Island Building Supply 620 Union Avenue Hotlsville, N.Y. 11942 Dear Sirs: Be advised that our CHECK-A-LEAK cement is compounded %o meet specification #712-1 for foundation as determined by Federal Hansing Authority. SEABOARD SUPPLY COMPANY William Krupkin Memorandum from... · BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD~ N. Y. 11971 765-1802 March 27, 1987 Dear Mr. DeLuca, Enclosed you will find a Septic tank application you must file with the Southold Town Clerk, along with a check in the amount of $10.00 for your application for building permit for Lot 91, Golden View Estates, Inc. Please submit as soon as poss- ible0 Thank you. Very truly yours, Robin Martin Secretary Examined...~..~M?.~...~..O.., 19 .~.7. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved .'~..a,.%.~....~}~..., 19~7.. Permit No. l .~.~..~..~..~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ............. ..... 19 .~ ."~ a. Tiffs 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 ireas, 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. ~t. 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~emoval or~_~molitio~3~7~ herein described. The applicant agrees to comply with all applicable laws, ordinances, bu/it'di, nfl/code,,ja~using'lapde,?n~regulations, and to admit authorized inspectors on premises and in building for necessary i~g~ons. · .. · ............. /fi(Signature .o a~ li~trfiame, if_a corporation) ........... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~..~..~..A~../.~./?.... ~ .~.ff.,~..~/O ........................... (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 ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done... ~./.~..~./.....~...~../~.../~.'~....V/. ,ff..~. ~...~..~.-~.. ........ ...... ...... ...................... House Nu~n ber Sfreet Hamlet County Tax Map No. 1000 Section ..... ~/..~.. Subdivision ~.~7~Z~2/;''~/ V/~'~t) ~7~.'7~ Filed Map No. Lot (Name) 2. State existing use and ~ccupancy ~f premises and intended use ~nd ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and occupancy ....... iN/...O..A?.-P7 ................................................ b. Intended use and occupancy 3, Nature of work (check which applicable): New Building ...... Addition ... ....... Alteration .......... Repair Removal Demolition ' Other Work .~.~..~.)d ~ (Description) 4 Estimated Cost .t.).~. Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... J ........ Number of dwelling unitsion each floor ................ If garage, number of cars ............................................. i ........................... 6. If business, commerciai 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 ............................. i ........................... Dimensions of same structure with alterations or additions: Front ........... ~' .. Rear .................. Depth ...................... Height ....... ;. ·.; .......... Number of Stories .............. , ....... 8. Dimensions o~ellltir~ new construction Front . ~ t . Rear ~ ~ l~n*h Height .... ~ -,/.t, .... Number of Stories ~ ' . ... ~ ........ ; ......... 9, Size oflot' Front ~ol'/O Rear lz~ .' "'~"[-' .... ';"~:~'" ..... ............................. uepm 4,.. . . .. 10. Date of Purchase .. ~?.O~...[.~.~..'~.. ............. Name of Former Owne;'.... . iiii.. 'i 1 1. Zone or use district in which premises are situated..$[~*(--.~'....~.~ .~'J../.~..Y'. J. ~.~. ( .~:~ .~.~.'~. i ...... 12. Does proposed construction¥iolate any zoning law, ordinance or reeulation' .. t~O . 13. Will lot be regraded y .~. ~ .(,,;,~.,~.~.~. ??..~tf~.~. ?~.Y,)Will excess~fill be removedJfrom premise's; " 14. Name of O,~.qe$ of~rem,.ises .~.'~t.~h~../.~.~. ~gt/~t~'.~..~. Address ' ~h~,,,~ ~, · Name of ~i~i~#'.~.~?. ....................... Address ~F/~/.~.. ~2]~ i ~/~r~.'~;[; ~; ...... Name of Contractor Address' Phone No 15. Is this property located withinl;00 feet of a tidal wetland? * Yes ..... No · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, ind'icate all set-back dimensions from property lines. Give street and b!ock nt~mbor or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK. COUNTY OF..~. ~,~,,'~.-,'-'-~. ,4.],~.,,. ........... .... ~-//~. · .'~. · ~,~(4t~oeing duly sworn, deposes and says that he is the applicant (Name of indiv, idIgal signing contract) c,,."' --' above named. is the .... :. ....... · ............ ........................................................ .... (Contractor, agent, corporate officer, etc.)I " of said owner or owners, and is duly authorized to perform or have performed the shid work and to make and file this application; that all statements contained in this application are true to the best of hi~ 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 i ..................... day of ........... . ......................... o No. 4161~g4 /r / ute 0 applicant) QualA'i,,d ,in Suffolk County / / : Commission ~xpires-4q.a~ / / J I SU~Y FOR GOLDEN VIEW E~TATES AT LAUREL DATE. NOV. 25,19~5 SUFFOLK COUNTY~ NEW ~RK ~0. 85-~509 ~UBDIVISION MAP FILED IN THE OFFICE OF THE CLERK ALDEN W. YOUNG, PROFESSIONAL ENGINEER OF SUFFOLK COUNTY ON AUG. ~0~ 1984 AS FILE NO. 7770 AND LAND SURVEYOR N.Y.S. UCENSE N0.12845 HOWARD W. YOUNG~ LAND SURVEYOR M~ L~ ~ ~L(W),~IC TANK{~ICE~S(~) ~N ~E~ N.Y:S. LICENSE N0,45893 8RANDIS & SONS INC. ~.046 LE FAMILY D~]ELLING ONLY / ~i,~EX~i,T~ "[~"[~¢,~O YEARS FROM DAZE OF APPROVAL SURLY FOR GOLDEN ViEW ESTATES SUFFOLK COUNTY DEPARTMENT OF H~L~H SERVlCE~ LOT I "GOLDEN VIEW ESTATES" AT LAUREL DATE: NOV. 25,1985 FOR APPROVAL OF CONSTRUCTION ONLY ~N ~ SOUTHOLD SCALE: 1"=50' ~ SUFFOLK COUNTY, NEW ~RK NO. 85-15o9 DATE ~0 ~Z~-~{-HS REF. NO. HEAL~ DEPARTMENT-DATA F~ APPRO~L TO C~STRUCT ~E ~R~ ~R WHOM THE SU~EY IS PREPAREO OF HULTH I~lCEI. PURPOSE AND ARE NOT TO 8E USED TO ESTABLIEH ~LICMT' ~ ~. ~ ~ ~ ~ P~PERTY LINES OR FOR THE ERECTION ~ FENCES ' ~~] ~ OS~NDER AVE~E YOUNG e YOUNG RIVER AO, NEW YORK NOTE:~ = MONUM~ENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK ALDEN W, YOUNG, PROFESSIONAL ENGINEER OF SUFFOLK COUNTY ON AUG. 30,1984 AS FILE NO. 77TO AND ~ND SURVEYOR N.Y.S. UCENSE N0.12845 HOWARO W. YOUNG~ LAND SURVEYOR .~ L~ ~ ~LM),~IC TANK(ST)aCE~S(~)~N ~[~ N.Y.S, LICENSE N0.45893 BRANDI$ & SONS II~O, 1046 SURVEY OF LOT 1 MAP OF GOLDEN VIEW ESTATES FILE No. 7770 FILED AUG. $0, 1984 SITUATED AT LAUREL TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-127-09-01 SCALE 1' =.50' SEPT. 24, 1991 SUFFOLK COUNTY DEPARTMENT OF HEALTH SEEVICF..S ~' 'SINGLE FAMILY DWELLING ONLY DATE_~-~ '~-~ I~3-q~,S. REF. NO, ~ The sewa£e disposal and wafer suppty facilities for this location have been inspected by th~s Department and/or other a~enci~s a~d ~und Chief of Bureau of Wastewater Mana[ement B.O.H. No. 86-S0-212 AREA = 40,603.58 sq. ff. 0.9321 ocres g N 65'27'58" E THE EXISTANCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN AR/ NOT GUARANTEED. Ioseph A. Ingegno Lo Surveyo r _ ~iverheod, New York 11901 (516)727-2090 Fox # (516)722-509..5 R=25.00' L=41.90' N.Y.S. Lic. No. 49668 S 57'26'18" 3?_.30' W WALK R=877.46' WOOD$IDE t83.18' FD. SIK .o L=300.O0' (RES) LANE L=164.25' NOTES: 1. LOT NUMBERS SHOWN THUS (~), REFER TO MAP OF GOLDEN VIEW ESTATES, FILE No. 7770 FILED AUG..50, 1984. 2. LOT NUMBERS SHOWN THUS ~], REFER TO MAP OF LAURELWOOD ESTATES, FILE No. 5595 FILED MAY 17, 1971. jr A~OVEO AS NOTED NOTES EXCEED 2/10 of 1% LEAD; PLUMBER CERTIFICATION ON 1-:-~ CL. ~ :~.; i'? ,:)RE CIZ/~ i;,/./CA / I:',o~ OCC'Or'44,~iCY If ~opper tubing is used:_ " , for water diSt! butiOg Iystqm; pipiqg shpt[b? of. tYpes K or L only." OCCUPANCY,OR:"! III PLAN / SEI~TION