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Home My WebLink About14147-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z-16343 No .................. October 28, 1987 Date ................................ Tl-IIS CERTIFIES that the building ONE FAMILY DWELLING WITH ATTACHED DECK Location of Property 12715 Soundvlew Avenue Southold, New York House No. Street Hamlet County Tax Map No. 1000 Section ... 9.5.4 ...... Block ....0.5 .......... Lot .... 9.4.! ......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 21, 1985 pursuant to which Building Permit No. 14147 Z dated ....J.u.~.<..2.2.,.. ! .9.8.5. ......... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy ~r wMch this certificate is issued is ......... ONE FAMILY DWELLING WITH ATTACHED DECK The certificate is issued to C. WHITNEY & ANTONIA BOOTH (owner,/~igg~K~ X of the aforesaid buildiug. Suffolk County Department of Health Approval ......... 85- 8 O- 30 UNDERWRITERS CERTIFICATE NO. N 810837 PLUMBERS CERTIFICATION DATED: May 13, I987 Rev, 1/81 FO)BM NO. II TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) No 14147' Z co,,,,,,, To,, Mop No. ~ooo so,,o, ....0.5T'¢.. ...... B,o,:k ...~.5~ ....... ~, Lot No..c~...~ .......... ~,r,uon, ,o opp,,~o,,o, do,~ ......... ~.....oZ~ .................. . ,~'J.--.. ond opp,o~,~ ~ ,~e Building Inspector. ,, Rev. 6130/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in Wpewriter OR ink, and submitted ~ laammmmt 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: I. 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 other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $I0.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.'00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewCons truction ...... Old or Pre-existing Building ............ Vacant Land ............. House No. Street Hamlet Owner or Owners of Property'. County Tax Map No. lO00Section ..,~,,,~. ....... Block ,, .V~'., ......... Lot...J-~..7 ....... Subdivision ................................. Filed Map No ........... Lot No ............. Permit NoZ ,'~, ,¥.7.ZErate of Perm t 7/~,~, ,~Applicant .~,., .~.,:, .~~,, ,~., ~ Health Dept. Approval t~ ...... ~ ............... Labor Dept, Approval ...................... v3 .... / i Underwriters Approval. ,~ .~X~. .... Planning Board Approva .............. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ~-~'.~. ......................... Construction on above described building an/~ermit meet. s ail applicab~c..gdes and regulations, Applicant ~'~~ .~:;, ,~,~ (:~.,. ................ Rev. 10-10-78 GAlL $. SHAFFER SECRETARY OF STATE STATE Of NEW YORK DEPARTMENT OFSTATE ALBANY, N.Y. 12231-0001 TOWN OF ~OOT~OLD MEMORANDUM November 27, 1987 TO: Victor Lesserd FROM: Carl Sager SUBJECT: Petition No. Decision Date: 264-87-52 October 1, 1987 Enclosed is a copy of the decision reached by the Hauppauge Uniform Code Board of Review in regard to the above petition. Please note that the decision only applies to the specific building involved and should not be used with respect to other buildings or properties. Please contact Ray Andrews on (518) 474-4073 if you have any questions. CRS:sc Enclosure STATE Of NEW YORK DEPARTMENT OF STATE ALBANY, N.Y. 12231-0OO1 GALLS SHAFFER SECRETARY OF STATE STATE OF NEW YORK: DEPARTMENT OF STATE HAUPPAUGE UNIFORM CODE BOARD OF REVIEW In the Matter of the Petition of: Clement W. Booth, Jr. and Antonia S. Booth For a Variance to the New York State Uniform Fire Prevention and Building Code INTERMEDIATE DECISION PETITION NO. 264-87-52 On reading and filing the petition made pursuant to 19 NYCRR 440 by Petitioner, and upon receiving evidence and hearing argument thereon at the hearings held at the State Office Building, Veterans Memorial Highway, Hauppauge, New York, on October I, 1987 the Board finding and concluding that strict compliance with 9NYCRR Section 713.1e would create an undue economic burden, the Board grants relief as follows: With respect to a new two-story, wood frame building, of A1 occupancy, having a gross area of 2,200 square feet, and located outside fire limits at 7615 Horton's Lane, Southold, New York, a variance is granted in 9NYCRR 713.1e permitting a headroom over treads of fixed stairs varying from 44" to 68" in lieu of the required 6'-6" headroom height. This Intermediate Decision is to be deemed final by the Code Enforcement Agency and for purposes of the commencement of a proceeding under Article 78 of the Civil Practice Law and Rules by any aggrieved party. In the event of the commencement of such a proceeding, the final decision containing full findlngs of fact and conclusions of law shall ~ssue forthwith,and shall be Petition #264-87-52 page 2 deemed to have been issued on the date below. Chairman John C. Bace and members Hugh Jay Gershon and Robert J. Earley concur. Member Emil G. Stein dissents, and member Stanley M. Greenwald was absent. Hauppauge Uniform Code Board of Review By: John C. Bace, Chairman Dated ~ ~'/~ ,? ~ i~ ] ~LD. ~NSPECTiON COMMEN'f~ ~ ~_ FOUNDATION (2nd) ROUGH FRAME & PLUMBING iNSULATION PER N. STATE ENERGY C,ODE THE NEW YORK BOARD OF FIRE UNDERWRITERS '~0~'~ 37~J BUREAU OF ELECTRICITY ~ BB JOHN STREET, NEW YORK, NEW YORK 10038 T~IS CERTIFIES T~AT o~y ~he electrical equipment ~ ~scribed below and i~t~duced by t~ appllcan~ ~med on the a~ve appllc~t~ ~u~ber i~ t~e prem~es o] in the follo~'ing locatlon; ~ Basement ~ Ist Fl. ~ 2nd ~. Section Bilk Lot was examined on tla7 14, 1987 attdfoundtobelncompllancewitl~there~tidretnentsqftbisBoard. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 45 52 42 45 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C E A, WG OTHER APPARATUS: 3-G.F.g.I. 3-Snake Detectors 2/O Dennis D. Claire~ J~. P.O. Box 284 Lanrel, N,Y, 11948 LIc. 2362E GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY, FORiBUILDtNG DEPARTk4EHT. THIS COPY OF CERTIFICATE., M~ST:, NOT·, ,BE ALTERED IN ANY, MANNER. TOWN OF SOLIT~OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. /~//%z~ ~ (please print) Plumber (p%ease print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Sworn to before me /3'~C day of Notary Public, this Notary Public ~ ~' MARILYN P. NORKELYN Nota~f Public, State of NeW YI~II No. 52-4609655 -,~ Ouelified in Suffolk County ~ I~mission Expires March 30, FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To~'~>~,.~ .~..~...Q,.,./~..,..~.....o~.. ·..c~......~. z~,. ~d... ............... ...~.~.g... ~:~.,..I.l.~. 9. t ...... PLEASE TAKE NOTICE that your application dated ....<~.~ ..~..~. ......... 19 .~..~.. for permit to construct..tr-,~ .~..~..~...~ ........................... at Location of Property .. ......... ~'-~.. ~.~ ................ ~4~-~ ...... :..:: County Tax Map No. 1000 Section ....¢~..~,.c} ..... Block ... i~.~ ....... Lot . .~..7. ......... Subdivision: ................ Filed Map No ................. Lot No .................. is returned herewith and disa,pproved on the following grounds..{~..~..~...q..~_...~..~.'I. .~a' · , ~,--r~:,,.~,. ~d~;,~, ~, q.~. ~ f. - ,~ ~ ,..t. 7/..~..t..~..)..~.~ .~ .... ~...6,. ,~..e, pp,~ .............. Building Inspector RV 1/80 NE~ YOI?.~ ~I'ATE OEPARTI~ENT OF ENVlRON~E~AL CO~VATIO~ ~g. 40, SUNV--Room 219 (516} 751-7900 Mo~ than I00' from i%e~hwa, te~ (Oe~tlands ~ Th~ Fr~ W~ pr~e~ ~e ~v~y mapped ~ l~ ~n 12.4 a~ ~d ~v~ not b~ d~i9~ by Tha w~ ~ ~ T~ ~d ~ app~ ~ you n~d ~ app~ for ~ T~ ~ P~ Ve. vd .t.,u~y ~,ou.,~, ~},'t Regional' Pe~' Admini6t~r O]L:R~:cz BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 May 17, 1985 Mr. Clement Whitney Booth, P. O. Box 1144 Southold, New York 11971 Jr. Dear Mr. Booth: As per your Building Envelope on your survey dated and last revised on April 26, 1985, please be advised that as proposed your setback is 75 ft. from the marsh area. Therefore, a wetland permit will not be required at this time. Please be advised that all fill from excavation shall be suitably contained at the work site so as to prevent its leaching or otherwise entering into the adjacent wetland area. If you amend the distance for construction, or fill on the wetland area a permit will be necessary. Thank you for your cooperation in regard to this matter. Very truly yours, Henry P. Smith, President Board of Town Trustees HPS:ip cc: Building Dept. Zoning Board of Appeals Trustees File 7G5'1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IH/SULATION ~ ] FRAMING REMARKS: ~ DATE: INSPECTOR 7GS-'~802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [//y'I~NSULATiON [ ] FRAMING [ ] FINAL ,DATE . INSP£~TOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I/NSULATION / FRAMING [/J FINAL REMARKS: DATE 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 l,.'×amincd ~..~.~.2.~..~. 19 ~ Received. . .~.~.~. ,19 )isapproved a/c ................................. ,. · ·: (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .... el.ay,..27 ........ 19.8~. INSTRUCTIONS a. Tlfis 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' pre~nises, 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 ' §hall 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 for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to · ins ectors on prem' ' and in building4'or ngcessary inspe~Spns. ~- > admit authorized, p ~-~ ~] ~/Cr~/&]¢~.~.... ~2&-~.~J~C~.'< ' ~-S.:-~ [-Z~.'ZST. ~.'7.~" ...... (.flL~L~-f [],J~t,/ff~tx./ (Signature of applicant, or name, if a corporation) Clement W. Jr and ~ntonia ~. Booth .... · ~ ~ · ~..- .Box. '1'1'44~ · ~o, ath;o'l'd;,' N'.'~ ~' ...... (Mailing address o~ appncanr) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. \ ct Owner-to-be (p. resently under contra ~ Nameofownerofpremises ..~d..ward,..C:..~.n.d...p.~.t.r..zg.z~' ~: .B. qq.t.h .............................. (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 .......................... Plmnber's License No. ~.o...b.c..s.~ 1..o 9.~.e.d' ........ Electrician's License No.. %..o..b:e...s ?.l.o.q .~?.d ..... Other Trade's License No ...................... ]'2 ~ ~ Location of land on which proposed work will be done.~/.~. .c. 9*.n.e.r. · .~9.u. qd. · .Ay.e.: . .~p.d..t:I. 9 r.%.qr) ~ .s..14~?. o' .... ~outhold ..... lie. ......... House Number Street Hamlet County Tax Map No. 1000 Section ..... 5.4. ........... Block . .5. ............... Lot....4.7. ' Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use dud occupancy of proposed construction: Vacant a. Existing use and occupancy ..................................................................... ~ingle f.amily, dwe~g b Intended use and occupancy - Nature Of work (check which applicable): New Building . ~'. .... Ad, Repair .............. Remoyal ........... Demolition ... $1,19~°°° Fe Estimated Cost If dwelling, number of dwelling units ....o.n.e...(,1.)... Number ofdwe If garage hum bet of cars If, business, commercial or mixedl occupancy, specify nature and extent of D~nensions of existing structure% if any: Front..~/.~ .......... · Rear Height ............... Number of Stories .................... I/t/on .......... Alteration .......... ......... Other Work ............... (Description) (to be paid on filing this application) ling units on each floor ............. each type of use .~i~4 ................ ............. Depth ............... Dimensions of same structure wi~h alterations or additions: Front ........ Depth Height N~ 8. Dimensions of entire new construction: Front.. ,50! ......... Rear Height .32 ' Number of Stories 2 9. Size of lot: Front .... 3.2.~.'. . Rear . . 30.1 ' . . 10. Date of Purchase .u.n.~qr.. 9.o.n.%r.~9.~' ............ Name of Former 11. Zone or use district in which premises are situated ..... A. ........... 12. Does proposed construction wolate any zomng law, ordinance or regulat~ 13. Will lot be regraded .B.l.d.g: .si.~,? .&. d.r.~¥9 o..n.ly. Will excess fill! 14. Name of Owner of premises . .~.pli.c.a, nt ........ Address Name of Architect . .~. 9.~.e.r.. ,df:..B.r..eg.~.o' .......Address C,' .o.d,a.~.. ~ Name of Contractor %.o..b e. os.gl e e.~zd .......... Address ........ PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether existing or propose~ property lines. Give street and block number or description according to deed, interior or comer lot. ~iee m~p STAT[:, OF NEW YORK, COUNTY OF ......... ........ $.S ................................................. being duly sw, (Name of individual signing contract) above named. He is the ...................... ................................ (Contractor, agent, corporate off! of said owner or owners, and is duly authorized to perform or have perfom application; that all statements contqined in this application are true to the t work will be performed in the manne~ set forth in the application filed therewi Sworn to before me this Notary Public .................... CountyT/ff~.~_ H[tEN K. D[ V0£ NOIARY PUli lC, S~ale ol NeW York No 4707878, Suttolk Te~m Exp.es Ma*ch 30, 19/~7 .......... Rear .................. tuber of Stories ...................... .50! ......... Depth .. 30.' .......... ..... ~Depth ..4~.8 ......... :'", ..... . ~wner ~V.~.r.~..~....&..P, 0~r.i.e.% ,~. ~.. .... Booth removed from premises: ~ No ........... Phone No ............... c,h....t.~.d:... Phone No7.69.': ~..6.4.4. ...... .......... Phone No ................ and, indicate all set-back dimensions from md show street names and indicate whether rn, deposes and says that he is the applicant cer, etc.) ed the said work and to make and file this asr of his knowledge and belief; and that the Ih. (Signature of applicar 1 -..rr., v/'~.j NXCX?~R '7