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Home My WebLink About16604-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPkRT~NT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18309 Date AUGUST 25, 1989 THIS CERTIFIES that the buildin~ Location of Propert~ 1045 House No. Street County Tax Map No. 1080 Sec%ion 57 Block 2 Subdivision Filed Map No. ADDITION TO DWELLING GREENPORT ISLAND VIEW LANE Lot 21 Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 4, 1987 pursuant to which Building Permit No. 16604Z dated NOVF24BER 6, i987 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 ADDITION TO AN EXISTING ONE FAMIL DWELLING. The certificate is issued to MURIEL BALDWIN (owner, X~~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED NO7312B Building Inspector Rev. 1/81 FOuwr NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-16604 z Permission is hereby gronted to: ...D.~......~...~...~ .......... ~, .................. ..~~it ...~....~......o......%..t/..,..'/..~ 0t p~em~se~ Ioc0ted 0t .L~.~.~...~......O...~...rT..~--'" ........ ~~ ............ , County Tox Mop No. 1000 Section ......... ~;~,~..~. .... Block ...... .~.~m ...... Lot No .....~.,.J. ............. pursuant to application dated ..... J~,.l~....J~........~. .................. , 19.~.~..., and approved by the Building Inspector. Building Inspector Rev, 6/30/80 TOWN OF SOUTHOLD 5UILDING DEPARTMENT TOWN HALL SOHT~OLD, ~EW YORK 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~/J~ ..... NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..~....VACANT LAND Location of Property ........ ~.z HOUSE NO. STREET HAMLET ~:? .41 County Tax Map No. 1000 Section ...... Block .~..~... Lot' . ....... Subdivision ....................... Filed Map ........ Lot .......... ~ ~o.f~,.~.w..:...~,~ o~ ~ .~/:.V..A~ ................... Health Dept. Approval .................. Underwriters Approval .............. Plauuing Board Approval ................ Request for Temporary Certificate ....... .... ._ ........... Final Certificate ................ APPLICANT..~~ . . rev. 10/14/88 THE NEW YORK BOARD OF FIRE UNDERWRITERS :l, 1000] ~1 BUREAU OF ELECTRICITY ~- B5 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~Y ~!~' [9~9 ~pplleatlonNo. onfile ~')~/~ ~ 0~1;~'~ THIS CERTIFIES THA~. o~ly the electrical equipment ~ ~scrlb~ be~ a~ i~t~uced by the oppJJean t ~med on the a~ve application number in the premises of ~otiowing location; [] B~sement ~ Ist FI. tyt~y 0L~,~98 ~ ~sexamlnedon ~; FIX,ORE [S~ FIXTURES D~YERS ~RNKCE MOTORS [] 2nd ~7. °(~IT Section fllock and found to be in compliance with the require.tents of this Board. Lot OTHER RANGES OVENS i DISH WASHERS ! EXHAUST FANS OTHER APPARATUS: E R V I C E J__NO, OF HI-LEG A, W.G. '40, OF NEUTRALSA.W G, O~c HI-LEG OF NEUTP, AL GENER~k MANAGER This certificate must not-be altered in any manner; return to the office of the Board if incorrect. )nspectors may be identified by their credentials. COPY F~, BUILDING DEPARTMENT.. THI,~ BE ALTERED IN ANY MANNER. Memorandum from... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, BOX 728, SOUTHOLD, N.Y. 11971 765-1802 MAY 27, 1988 TO WHOM IT MAY CONCERN: To amend permit 16604Z for deck addition, construction not allowed within 75' of tidal wetlands. Additional fee of $32.70 is to be paid to the Town of Southold ~//~'~'2 ~Sincerely' ~ Thomas Fig~her Building Inspector TF/lmr TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUT.O D, N.Y. TEL. 765-I 802 To Whom This May Concern, We are unable .to complete your Certificate of Occupancy because .of the following reasons. /~ An application is not on file. / / /-/ /-/ for Certificate of Occupancy No Underwriters Certificate on file. The check is(outdated[_oo~.)~ No llealth Dept. Approval on file. No final ins,pection has been made. Please contact our office on Thank you for your cooperation. BuiJdJ. ng Permit It ! ~ ~ ~ ,q Z this matter. Building Dept. ***/~/ NO Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FOUNDATION FOUNDATION (2'~) ROUGH FRAME/ .PLUMBING INSULATION PER N. STATE ENERGY CODE F I'N A~/ ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~NDATION AND [ ] INSULATION FRAMING [ ] FINAL 1 DATE INSPECTOR, ]65-1802 BUILDING DEPT' INSPECTION FOUNDATION 1ST ~ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL REMARKs: ~/~ ~- INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. -/ [~/] FOUNDATION :~ND [ ] INSULATION FRAMING FINAL REMARKS: ~.. ~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING ~.~.,.~_ ~. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~NSULATION FRAMING FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]~JGH PLBG. FOUNDATION 2ND ['~] INSULATION [ ] FRAMING REMARKS: FINAL BOARD OF HEALT~ 3 SETS OF PLANS 'FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 516-981-3233 TEL.: 765-1802 CALL ................ MAIL TO: Daniel galasco, P.E. Examined .*&J. ~d~2-.t:~ .~., 19~..-/. 94 Steuben Blvd. .~~Lk. Ronkonkoma Approved ~.~.~.,19¢~Pe~itNo./.¢.~?.% ~~ ,Y. 33779 ..................................... l/IL APPLICATION FOR BUILDING PER~IT F9 ........ , ]9 ¢7. 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 promises 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 applicabte~aws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolitio!l,/as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildi~g/6~, housing code,,~'nd regulations, and to admit authorized inspectors on.premises and in building for necessary, inspecti¢l~, j ./.,/~/ /' ~ · ..... ,, , ....... (Signa~ur~'-~f applicant~ or name, if ~ corporation) 94 Steuben Blvd., Lk. Ronkonkoma, NY 11779 (Mailing address of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general ~ontractor, electrician, plumber or builder. Engineer ............................................................ Name of owner of premises Muriel Baldwin (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ..... to..f.q],~.o.t~ ............ Plumber's License No .... tq .f.q].],q~ ............ Electrician's License No..~q .t'.q].lq~ ............ Other Trade's License No. tic/.f:.ql,],q~ ............ 1. Location of land on which proposed work will be done .................................................. ·.. 1.045. Island V~e.~..L.a.n.e. ........................ .~.r.e.e.npg?.~ ......................... House Number Street Hamlet County Tax Map No. 1000 Section 57 Block 2 Lot.. 21 Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: Resident a. Existing use and occupancy ................................... , · ·.: ....... ~... ~ .................. Resident ,.. ', '. b. Intended use and occupancy ........................................ .... ... ,,:)... .~6f work (check which applicable): New Building .......... Addition ...XX× .... Alteration .......... 3. epair i .............. Removal .............. Demolition .............. Other Work ............... ~ : (Description) 4. Estimated Cost ..... $2Q~QQQ,: ........................ . Fee ......... ..$.50..000. .. .... .............. ... i ' (to be paid on filing this application) 5. If dwelling, number of dwelling Units...............1 Number of dwelling units on each floor. .. .N/A....... ..... If garage, number of cars ..... :..i~ .P~ ...................................... ......... N'/A' .......... 6. ~f business~ c~mmercia~ ~r mixed ~ccupancy~ specify na`tu~r.e and extent ~f eac?i~t~.pe ~f use . _ . ..... . azt' -~z' ' ' 'JO'~ ...... 7. D~menmons of existing stru.~.~r.e~s i~~l .............. Rear .... , .......... Depth ............... · 22 ' ~ ' ' ' 2 · · (', ,,, :-~ . . ~ 0~ D~ens~ons of semi ~t~~f 6~{~.~ddlt]ons: Front ...... 5.Q ......... Rear ...... Z ........... Dentb . 44' ~i !!t .: Hei~zh~ 1'~:I ~ ........ Number of Stones .......... 2. ........... Dlmensmns of entl}~¢~ · , , . i . liiN./,g. .... ' ..... Rear .... 2.0. ......... Depth .... 1.4. ......... Hmght .. 1/4 ..... r t341.. NS, ¢i ........ a ............................................ 9. Size of lot: Front.{.'Y~~.~R,,~r,.: :...,...~.5. ~.'. ......... Depth .~.fiO ,hv.~r. qge. .......... 10. Date of Purchase ........ 7:'. ....Name of Former Owner ............................. 11. Zone or use districf in which pr6mises are situated .......... A.. R. e. s. i. d. e. n. t. i. a. 1. .............................. NO 12. Does proposed construction violate a. ny zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ......... i~li0:FO~], ............ Will excess fill be removed from premises: J.~ ~ 14. NameofOwnerofpremises ..~t~r.i.e.l..B.a.l.d.~.i.n. .... Address ]0.4.5..I.s.l.a.n.d..V.i.e.~.-:G.r. el~rPd;}93~o..5, q.6.;4.7.7.-.00~ Name of Architect Daniel. Fal. asco~ P.E. . Address 94 Steuben Blvd. Phone No. it6~9.a1.~3.23.3. ......................... t:X: 'Ron[~on[ioma ....... Name of Contractor .. To. be.qe~er,iaeO ........ Address .... : .............. Phone No ................ 15. Is this property located iwfthtn 300 feet of a tidal wetland? *Yes ...~X No ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRA~ Locate clearly and distinctly all! buildings, whether existing or proposed, and. indicate all set-back dimensions from property hnes. Give street and block number or description according to deed and show street names and indicate whether interior or corner lot /' L ., ' , .......... ' STALE OF NEV~YOP~t~ ,., i ,, ,, COUNTY OF .'t'.... i ....... Daniel. Falaseo~ · .P, .E, ·: ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named· Engineer He is the ..................... , .................................................................... j (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du.ly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mann0r set forth in the application filed therewith· Sworn to before me this ........... · ~..ff...~...:..dayof.. Notary Public, ~ .~, ?~nty .. *oo,s .... ............... "T~ P~ob.l~i.~4~e~fr~ew York x._ ~-- /// (Signature of applicant) - Qualified in Suffolk County ~..ommission Expires August 31, $~.o , BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT gEPTIC FORM ............. TOWN HALL NOTIFY °,,OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL MAIL Examined ................ , I9 ... Approved ................. 19... Permit No ............ Disapl~roved a/c ..................................... 516-981-3233 TO: Daniel Falasco, P.E. 94 Steuben Blvd. Lk. Ronkonkoma N.Y. 11779 (Building Inspector) APPLICATION FOR BUILDING PERMIT Date August 20 ................... 19 87 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 area~, and giving a detailed description of layout of properW must be drawn on the diagram which is part of t~s appli- cation. o. 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 g 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 a~plicable .~aws, Ordinances or Regulati.o. ns, for the construction of buildings, additions or alterations, or for removal or. demolitior~, as herein described. The .applicant agrees to comply with all applicable laws, ordinances, buildingjzC'd~, housing co~er~nd regulations, and to adnut authorized inspectors on premises and in building for necessary inspecti?i)S. (Signature of applicant,,or name, if a corporation) ....9.4..S.fi.e.u?.e.n..B.l.v.d...,..L.k....R.o.n.?.n.k.o.m.a:..N.Y. 11779 . (Mailing address of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general ~ontractor, electrician, plumber or builder. ......... E.n.g t. qqe. r. ............................................................................... Name of owner of premises ..... Muriel Baldwin (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co, orate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ..... ~q .~q~q~ ............ Plumber's License No .... tq .F,q~q~ ............ Electrician s License No..tO .~.q~q~ ............ Other Trade's License No. tQ .[~[q~ ............ 1. Location of land on which proposed work will be done~ ................................................. 1045 Island Vtew.Lqqe ................................... ~Y99PPPfg ........... ; ............. House Number Street Hamlet County Tax Map No. 1000 Section 57 Block 2 Lot 21 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 .......... R.e.s.i.d.e. 0~. ................................................... Resident ~ ~' ' .4 b. Intended use and occupancy ............................................. ?... ,<. ................. ~' 3J Nature of work (check which applicable): New Building .......... Addition...××X .... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Descriplion) ~. Estimated Cost . $~Q ~QQQ, ................... Fee $50.00 · (to be paid on filing this application) 5. If dwelling, number of dwelling units.. 1 Number of dwelling units on each floor. N/A If garage, number of cars ....... NJ. fi. .............................................................. ~. N/A If business commercial or mixed occupancy specify nature and extent of each ~pe of use ....... .... ture ' ' 44 3Z' 513 7. Dnnenmons of ex~stmg struc s, If any. Front ............... Rear .............. Depth ............... Height ...2.2. [ ......... Number of Stories ............ 2. ........................................... Dimensions'of same structure with alterations or additions: Front ...... 5.Q' ......... Rear ...... 2:0.' .......... Depth ..... 44: .............. Height ....... ~: ............ Number of Stories .......... 2. ........... 9. Dimensions of entire new construction: Front N/g Rear 20 ' Depth 14 ' Height .. 1/4 t .......... Number of Stories ........... ~ ............................................ }. Size of lot: Front ... 1/40 [ ............... Rear ......... 3.5.: .......... Depth .1.6Q ./~v. er;gge. .......... ). Date of Purchase ..... 19.77. .................... Name of Former Owner ............................. I. Zone or use district in which premises are situated g Residential 2. Does proposed construction violate any zoning law, ordinance or regulation: .......... N.0. .................... t. Will lot be regraded ......... MJ, oJ, r08~, ............ Will excess fill be removed from premises: Yes U4~ ;. Name of Owner of premises ~gr.J~l..B.a.l.d.~.J:.n. .... Address IQ4~..I.s.l.a.n.d..VAe.~.xqr. q~3~gq~o..~.1.6.-.4.7.7.~q~ Name of Architect Daniel Falasco, P.E. Address 94 Steuben Blvd. Phone No. 5.16~9.~1=5.255 ............................ t:k; 'Ronkonkoma ....... Name of Contractor . .To. be.0eter¢,oe0 ........ Address .... ; .............. Phone No ................ 5. IS this property located within 300 feet of a tidal wetland? *Yes ...~)~X No ..... ~If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, an& indicate all set-back dimensions from :operW lines. Give street and block number or description according to deed, and show street names and indicate whether terior or corner lot. ...... Danie[. Fatas.ce~ · P,E ....................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ,ove named. Engineer is the ......................................................................................... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. yom to before me this .......... · ~..~...'q--~...,..day of.. ~ ....... 19fl ' ry ublic, State of Now York ''' X"i"'-~"" '/' SI nature ........... No. 524519050 . /"'~" ( 'g of applicant) Oualifim:l in Suffolk County ¢.,ammi~i~n Expires Augum 31, MAP OF" LAI4~,} r". L"~j/:~. · . AT F,: ;:o. ,~..,~ (...~L.~ ,N: H.~.~.e~.~-.~, : ........... . -- OF OCCUPANCY // !E X ~ t eL 4,,/o