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Home My WebLink About16539-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18559 Date NOVEMBER 13~ 1989 THIS CERTIFIES that the building Location of Property 605 TOPSAIL LANE House No. County Tax Map No. 1000 Section 79 Subdivision LEEWARD ACRES ONE FAMILY DWELLING SOUTHOLD~ N.Y. Street Hamlet Block 07 Lot 49 Filed Map No. Lot No. 44 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 15~ 1987 pursuant to which Building Permit No. 16539-Z dated OCTOBER 19~ 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 TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to JAMES R. & LORRAINE KELLER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-143-11/1/1989 UNDERWBITERS CERTIFICATE No. N-09B232-SEPTE/~BER 22, 1989 PLUMBERS CERTIFICATION DATEDAUG. 18~ 1989~- PECONIC PLUMBING & HEATING * ~ ~l~rJ~nspector Rev. 1/81 FORM NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTNOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 16539 z Permission is hereby granted to: ..~..~.....~..~.~...~, · ~.-..~..~. ....................................................... ..~.~..~.:~.:....~.~.~.~.~ ............ at premises located at .............................. : "~;: ........ ::¢~"'"'~.~......................... ............................................................. i'iii ............. i'iii'i'i .................. i ............ County/Tox Map No. 1000 Section ...... ,~,.'D.~ ........ Block .....,,~,,,~. ........... Lot No, ...~.~ ................ pursuant to application dated ...... ~.~ ...... .J....~..~. .............. 19.~..~.., and approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DgPARTHENT TOWN HALL MOUTEOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE. . .... NEW CONSTRUCTION -...~...OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. STREET HAMLET 0~n~= or Owners of Property..qYt.Z~.4~. /C....~. Zo~_~/.w~-- .?.<_~-/-L ~ co,,,,cv T~= .~p so. ~ooo Section ?.7.2. BZo~ .~Z.. Loc' ..fP. .... Subdivision...~%..~.aK~/g--.~ .... Filed Hap ~f.~P..Lot...~ .... ~=~ .o./~7~.5..~ o~ ~r~ /Cf<~C · .- Health Dept. Approval ./~ ............... Underwriters Approval.~. .......... Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ~. .............. Fee Submitted: $...~..~. .............. rev. 10/14/a8 FORM NO. 6 TOWN OF SOUTIIOLD BUILDING DEP~T24ENT TOWN 765- 1802 APPLICATION FOR C~RTIFICATE OF OCCUPANCY INSTRUCTIONS This application must be 'filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Uea~th Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less' than 2/10 of 1% lead.' 5. Commercial buildings,~industrlal buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the hull'ding. 6. Submit Planning BoardlApproval of completed site plan requirements. For existing buildings (~rior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land ~ses: I. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed hpplication, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. · If a Certificate of Ogeupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 13. Date of any housing code or safety inspection of buildings or premises, or other pertinent informationi required to prepare a certificate. For Vacant Land Certzfzc!ate of Occupancy: ~. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. Ifia Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. FEES: ~, CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of O~cupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $I0.00 4. Vacant Land ~ert~ficate of Occupancy - $20.00 5. Updated C~rt~ficate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential i $50.00 Commercial er. I0/1,4/88 ' HE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK. NEW YORK 1OO3~1 THI~ CE~IFIES THAT o~y t~ el~ ~ulpmen~ ~ ~c~ be~w a~ int~uc~ by t~ ~plic~t ~d on ~he a~ ~ca~n ~um~er ~ ghe prem~s o~ JIM KELLER, TOP SAIL LANE S/S~ SOUTHOLD~ N.Y. ,~ts examined on SEPTEgBER 05,1989 andJ;ound to he in contpllanee u'ith the requlretttent s of this Board. Lot DRYERS FURNACE MOTORS RXTURES RANGES 13,8 COOKING DE~ OVENS IDISH WASHERS A~AT. K. W I A~AT,- g.W , ,J~'f' -'~...~K' 'W I ¢ E OF CC COND EXHAUST FANS D~MMfiR$ G & S CO~TRACTOR BOX 215 SOUTHO[iD~ N¥~ 11971 LIC.~575~E Per -- This certificate must not be altered in any manner; return to the office of the Board i~ incorrect. Inspectors may be identified COPY FOR BUILDING DEPARTMEHT. THIS COPY OF~RTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF souTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No, /6 5~ ~ Owner x.~"~'~" ~"~/~./~ , (please p f i~t ) ~ , (p se p ' ) / I certify that'the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before, me this BARBARA STEPNOWSKI Notary, Public, S~ate of New York No, 48~752 Quatifi~ in Su~olk Coun~ ~mi~on F~iroe ~, ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001071 BUREAU OF ELECTRICITY j--- 85 JOHN STREET. NEW YORK, NEW YORK 10038 Dat~ SE?TEMBER 22,1989 ~ppl[cetlon~%o. on.f~Je 57638888/88 N 093232 THIS CE~IFIES THAT JIM KELLER, TOP SAIL LA2~E S/S, $OUTEOLD, N.Y. ~, d, efol~o,~.~ ~,,,io.; [] m,~,,~nt [] t,~t n. [] ~,~a n. GAR .~,io,, Slo~k RXTUI~ | FIXTURES RANGES COOKING DECKS { . OVENS DtSH WASHERS SERVICE DISCONNECT - R V t C 1 200 CB ~ teo. OF I S E ! X EXHAUST FANS ~*- F".~- DIMMERS G.F.C.i:-2 SMOKE DETECTOR :-! G & S CONTRACTOR LIC.~578-E SOUTHOLD, NY, 11971Peril GE This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by 'fh~h--creden ' s. BUILDING DEPT. INSPECTION ROUGH PLBG. INSULATION FINAL DATE IDATION ( (2nd) 2. ROUGH FRAME / .PLUMBING INSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS 765-~,802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ,r. ~FINAL REMARK~S: .~_~~ .~ ~.~ ~ DATE_ ~//~//Y~ iNSPECTOR ,,.~ ~/~ 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~ ] ROUGH PLBG. [~ FOUNDATION 2ND [ ] INSULATION [~/] FRAMING ~r ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST I ] ROUGH PLBG. ,,o,,,,D,,T,O,, ,,,,, ~ ~ ,,,s,,,.,,o,, REMARKS: DATE IN~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ~ROUGH PLBG., FOUNDATION :)ND [/] INSULATION [ ] FRAMING [ ] FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ]INSULATION []FRAMING []FINAL REMARKS:_ ~~ DATE JAMES KELLER 127 VANDERBILT BOULEVARD OAKDALE, NEW YORK 11769 November 8, 1988 Southold Building Department Main Road Southold, NY 11971 Re: Permit # 16539 To Whom It May Concern: This letter is to inform you that Sunrise Custom Builders will no longer be the general contractor for the subject lot. I am the owner of the property and will be my own general contractor. For your information, the plumbing will be done by Peconic Plumbing and the electric by G & S Electric. At this t~me I do not have the job of installing the sheetrock contracted out to anyone. If you have any furthur questions, please do not hesitate to call or write. Very truly yours, ~ Jim Keller TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 October 24, 1989 TEL. 765-18O2 SUNRISE CONST. BOX 28 SOUTHOLD~ N.Y. CUSTOH HOHE BUILDER 11971 RE': JAHES KELLER To Whom This May Concern, We are unable to complete your Certificate of Occupancy because.of the following reasons. // An application for Certificate of Occupancy is llot on file. (ENCLOSED) /--~_~/No Underwriters Certificate on file. / $25.00 'Phc check i:; (~l~X~:l~g/not on file. ) No llealth Dept. Approval on file. No final inspection has been made. P]ea:;e contact ()ur office on this matter. Thank you for your cooperation. Ih~ilding PermJ, t t~ I 6 5 3 9Z Bui 1~ Dept. **~/~/ Ho Plumber Solder Certificate on file. ( all l>erm~ts involving plumbing being issued after April 1,1984 ) BOARD OF HEALTH ..Vt,,-.. 3 SETS OF PLANS ....... FORM NO. I SURVEY ..... ../..., TOWN OFSOUTHOLD CHECK .~./0g~...>/ BUILDING DEPARTMENT SEPTIC FORM ............. TO~N HALL NOTIFY gOUTHOLD, N.Y. 11971 lek.: 7~8-180~ CALL · Approved ~~.. 1~.., 19~. Pc=it No. I ~.~%. Disapproved a/c ..................................... BLOG. D~PT. ......... TOWN OF SOUTHO/D (Building Inspector) APPLICATION FOR BUIkDI~G PEBMIT Dat ,...~. .... , 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 pumuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o~ Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .$e~c'~..c. k~te.~., tfe.~./Z..~:./J.<:..~.~ ..... (Signatur~e of applicant, or name, if a corporation) ·..~.¢. &..~....2. ~...r.~.~..r.H(.~...~?. ~. l/.e?.l ..... (Mailing address of applicant) State whether applicant is_ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... ~'.,?. ¢. .~. /. . . .C.~. .~.'r. .,~c~e, ..................................................... Name of owner of premises (as on the tax roll or latest deed) If ~!~ c~o f duly authorized officer. (Nam,e and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED 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· . .4 .~.~..~'..Or. .......... ~..~?.5. ........................ .Fo;. ttouse Number Street Hamlet County Tax Map No. 1000 Section . ..~)..7..~. .......... Block ...... Z .......... Lot .... Cq ............ Subdivision L ~.f d~,6~/7 .~.....~.~, ./'.~ ............... FUed Map No ............... Lot ./7l/-/ ..... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. ~./~-..C..~.m.. b. ~ntended use-an~ occupancy .... ' . .... ..... ~ ................... ~ ......~.,.. · '.,. ........................ x 3. Nature of work (check which a plicable): New Building ... ~/..... Addition .......... Alteration Repair .............. Rem, ival .............. Demolition .............. Other Work ............... , : ~/r ' (DescriP~tion) /4. Estimated Cost~...~.t? ~O~ Fee ' (to be paid 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 or'use . :~ ......... '.. ×7. Dimensio,ns of existing structures, if any: Front...~?.~,... ..... Rear . .fl/t~.,~.~. ...... Depth t'/,/~'~5 ..... Height' .~/.~'.~* ...... :.. Nun~ber of Stories../~.~.~.'~.~:'i .~ · . .... '. '. ... i i · i Di~nensign. s'of ~ame'stnicture!with alterations or additions: Front . [~.a..'t~-r .......... Rear . ,~f.a~, ........... Depth. t.V...~ ~.. ~,;*.' ..... i.. Height ..../(./..K .?~'. > ... Number of Stories l~.~d/.~j , .. · -/8. D~mens~ons' ~f ei~re i~ constructmn: Front .. ~.~, ..7...... Rear ~ b2 ,. 2 . Depth 9-~]. g[ .... . , ~ ,,,~ . ~ .......................... Height . l.~....O. ....... Number of Stones ....... /~l~?.qq.4' .......................................... ,~9. Size of lot: Front .. 'g.~. ~ .~..~. i ........ '... Rear../.~]{. r~ ........... Death ~.(d/'/'. ~'.7../g,.... ~ .~.~.4~'~.~' 10. Date of Purchase ..~.O,.~,~.. ).l.gT. g .......... of Fo=er Owner . .......... ' ...... ,- 11. Zone or use district in which premises are situated .-~.E5/.~(.¢0~t4{ [. ....... ,q 2. Does proposed construction violate any zoning law, ordinance or regulation: ~.o. ........................ 43. Will lot be regraded .... /~/~ i ................... Will excess fill be .removed from premises: Yes (~ ~'14. Name of Owner of premises ~?, .~t.¢9. ~ ~././.6 C.... Address/.~ 7. ~.~.~.~.qC~ ¢[P. ~./~Phone No. ~'~.~ 7..O.~.~..~' .... Nme of Architect .~.~.#.5..~e.llcr. ........... Address /;l.7. .1,(. ~.~.~.t'.~.t//./~,Phone No. ~'. $:.~...477...~'.~/... Name °f Contractor .5..°/).F! ~gi .C.d~,~.~.~.n. ~. o.c. Address . .~.O. ~,(::..~.,/~. ,~o'~'~. Phone No. !~q. 7.7'..~fi..O... 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ~.. · If yes, Southold Town Trdstees Permit maybe required. i PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or descl~ption according to deed, and show street names and indicate whether interior or corner lot. SeC iA ~o,e;~'~ .~t;~'//~_, . 7 being duly sworn, deposes and say.s that he is the applicant work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........ /?.z~.~'. ............. day~f .....~.~ ......... 19 .$'.7. Notary Publi · .~,,:. , , , ,~, .~l,~. Couniy RUTH (J~. MYERS NOTARY PUI~LIC ,State of New York ~r' .......... ~. - · No. 52 - 2841400 Qualified ,In ~ustfolk Countr i Commission a~p?et hllrll SO, 19 STATE OF NEW YORK, (Name of individual signing contract) above named. He is the ....................................... . ................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dtily authorized to perform or have performed the said work and to make and file this application; that all statements don!dined in this application are true to the best of his knowledge and belief; and that the R-4~4.78' L-74 L (D Z A ,30"~. UNAUTHORIZED ALTERATION OR AUDIT)ON TO THIS SURVEY iS A VIOLATION OF S24- 35· ,,15"w LOT ~UFFOLE COUNTY DEPARTMENT OF HEALTH SER'/ICES FOR APPROVA~ OF CONSTRUCTION ONLY E ?6.50' f "T~e wa~er supply and sewage disposal system for this residence will con- form i;o the standard of the Suffolk County D~ NO PHYSICAL EASEMENIS ON PROPERTY HNLFSS NCTF RECORDED EASEMENTS OR RIGHT OF WAY5 IF ANY NO SHOWN ARE NOT CERTIFIED t JUN 16 198'1 S.C. DEPT. OF HEALTH SERVICES . DATE ' DWN BY DATE ~/~ / ~ 7 CHK'D BY DATE ~.../~/,~/ JOB NO. FILE NO. SHEET OF REVISION NELSON & POPE CONSULTING ENGINEERS 572 WALT WHITMAN RD.* MELVILLE, L.I.N.Y. HA 715665 516 11747 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEy IS A VIOLATION OF SECTION 7209 OF THE NEW yORK STATE EDUCATION LAW CORTES OF THIS SURVEy MAp NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR SCALE SHEET OF/ NO PHYSICAL EASEMENTS ON PROPERTY UNLESS NOTED RECORDED EASEMENTS OR RIGHT OF WAYS IF ANY NOT SHOWN ARE NOT CERTIFIED NELSON & POPE CONSULTING ENGINEERS 572 WALT WHITMAN RD., MELVILLE, L.I. N.Y. HA 7-~665 i 1747 516 ~'~~~ I' I,-,--',1 I'~'~=:~-F~- I / DATE .~..T~.~.~' ~"~ W~T~ ~.v,~ ~T~, ,~ o~.~ NELSON & POPE CONSULTING ENGINEERS SCALE 572 WALT WHITMAN RD.* NO pHYSICAL EASEMENT5 ON PROPERTY UNLESS NOTED R~CORDED EASEMENTS OR mGH~ OF WAWS ~ AN~ mOT SHEET M~LVI~. L.I.N.Y. ~16 HA 7-~665 SHOW~ ~E NO~ CE~T~O / OF / 11747 ~ :~ RIGHT SlOE ,/ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY NOllFY BUILDING DEPARTMENT AT 7l~.1802 9 AM TO ~- ~ F(X~ THE FO~L~NG INS~ONS: ~NDA~ON ~0 REQ~O ~ ~RED CON.ErE ~H ~AMING & ~UMBI~ '4. FINAL CUN~i~C~ BE COMPETE ~ C,O. ~L C~UC~N SH~ M~ T~ RE~I~M~TS ~ ~ N.Y ~ NOT ~E ~ ~ CONS~ION FRONT ELEVATZON SOLDER USED IN wATER SUPPLY SYSTEM CANNOT ExcEED 2/10 of I% LEAD. PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY DWN. BY .--.4 .~ ~./ /~ ~I ~ '--,'~' NELSON & POPE CONSULTING ENGINEERS SCALE 572 WALT WHITMAN RD.' LEFT SlOE _..i..XiiJ' REaR EL~V /0 -/ F L~30R I ~. ? t.,-/,n/ G PLAIN