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Home My WebLink About13790-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No. Z-15316 Date March 3, 1987 THIS CERTIFIES that the building One family dwelling .with attached second · t~1'o'6 ~ ' ~t'e'd I[ .................................. Location of Property 2945 Hobart Rd. & 850 Terry Lane Southold House No. Street Hamlet County Tax Map No. 1000 Section ...0. 6. .5 ...... Block 00 I .Lot 015 - .. M/o Jonathan T. Overton - 1055 2 Subd~wsmn ............................... Fried Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 19, 1985 pursuant to which Building Permit No. 13790 z dated Ma r c h 26, I 985 ., 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 SECOND FLOOR DECK The certificate is issued to C H A R L E S & C 0 N C E T T A J 0 S I N S K Y (owner, Igc~ >b K ~ ~ ~ X of the aforesaid building. Suffolk County Department of Health Approval 85 - E O- 32 UNDERWRITERS CERTIFICATE NO. N 757262 PLUMBERS CERTIFICATION DATED: January 31, 1986 Building Inspector Rev. 1/81 ~'o~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST 13E KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13790 Z at premises located at ..................... to application dat~ ..... ~..~......t.~ ................. , 19~, and approv~ by the pursuant Building Inspector. Building Inspector Rev. 6/30/80 TOWM OF ,¢;OU'~'F~6[ D ~i 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 m~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of properW 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 instatla- 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 px~perty showing all property lines, streets, buildings and unusua~ 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: Additions $25.00 1. CertJficate of occupancy New Dwelllng $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwetling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 . .~.~'Z?.Z .......... 5.Updated C.O. $ 50.00 Date..~..~-. NewCOns truc %ion ...... Old or Pre-exisTing Building ............ Vacant Land ............. Location of Property .......................................................... House No. Street Ham/et Owner or Owners of Property ~:.Ff..~..,~£.L--~,? Y~-~.Yb ~-,o~lcE~'T'.7-.~. County Tax Map No. 1000 Section O ~; ~ Block ..~. o / Lot O Subdivision..~..o!~./~.'C.4~.N..~ ..~..V.~. './~...K/ .....Filed Map No. /...~..~..-~...Lot No....~. ........ Permit No. /..'~?. ~.~.. ~ Date of Permit .~..7~.6'.~.~..~Applicant ~/e.~..~--..~,.-~...~. ~.~. ............ Health Dept. Approval ..... .~.e? ............. Labor Dept. Approval ................. Underwriters Approval N?.~..V'Z~, Planning Board Approva~ Request for Tempor,,ary Certificate ..................... Final Certificate ,. Fee Submitted $....~.,.~5..-~-..(~.. ................. Construction on above described building an~~ a~abab e codes~and re/~ions. Applicant . ....~.~~~J ............... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. /.37.9 ~ l owner .j -~se print) ' I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~ / day of?~ 3,~ Notary Public, //~t~ ~J~.County (plumber ' s ~ign~rffure) Notary Publ~, State of New No. 4844752 Qualified in Suffolk County ,,~ Commi~ion Expires March 30, 1 Nota~oV Public //,_ - - / · FIELD INSPECTION COMMENTS FOUNDATION (~st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. Y. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: I TOWN OF $0UTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TO Whom This May Concern, TEL. 765-1802 We are unable to complete your Certificate of Occupancy because.of the following reasons. /~/An application for Certificate of Occupancy is not on file. /~ No Underwriters Certificate on file. /~/The check is(~/not on file.)~.o o /-_~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # ~3 ~ ~ ~ Z Building Dept. ***/~No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) NEW YORK STATE DEPARTMENT OF ENVIROnmeNTAL CONSERVATION Regulatory Affairs Unit Building 40~ SUrf Stony Brook, ~Ff 1t7c~4 Commissioner Robert F. Flacke Charles Josinsky 170-15 Pidgon Meadow Road Flushing, New York 11365 For: Anthony Marin NO PERMIT NECESSARY - TIDAL WETLA~]DS ACT Re: TW 15277-0143 Dear Sir: This is to inform you that we have determined that your proposal to construct a one family dwelling on lot #2 on the north side of Hobart Road, Southold, Town of Southold, Suffolk County, New York bas been reviewed and that it has been found that no permit is necessary under Article 25 (Tidal Wetlands). Assuming you have obtained any other 'applicable permits, you may proceed with your projecto DJL/cr Veryz u? DANIEL J. LARKIN Regional Permit Administrator MAIN ROAD BOX 439 JAMESPORT, NEWYORK 11947 722-4851 WILLOW POINT ROAD SOUTHOLD, NEW YORK 11971 765-1084 76.5-180:) BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS-' [ ] FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001~'1 BUREAU OF ELECTRICITY 8S JOHN STREET, HEW YORK, NEW YORK 10038 THIS CERTIFIES THAT ortly the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of C~cles Josiz~ky, Terry L~ue C/O Hob~x~t Avenue, $outl~ld, N.Y in ,he followlng locatlon~ [] Basetneat [] 1st Fl. [~ 2nd FI. Section Bh>ck Lot tvas exarnlned on J~ ~)~ ~ ] 9~ and found to be lrt con~pliance u'it h the reqttiretnen~s of this lloard. FIXTURE OUTLETS rECEPTACLES SWITCHES 1G 37 ?,2 FIXTURES RANGES OYENS DIS1 NCANDESCENT P[UORESCENT w~o~ 16 DRYERS FURNACE MOTORS CE FEEDERS TIME CLOCKS NIT HEATHERS MULTI.OUTLET DIMMERS SYSTEMS NO. OE FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: i-C~.F.C.I. 1-dl',~oke Detector Track Li~htir~ 8' 0" 3 Llt~ 1 1 1 1 G ~ S Electric Box EL5 Sout~ld, 11971 Lic. 578E This certificate must not be altered in any manner; return to the office of the Board if incorrect Inspectqrs mey be identified by /, GENERAL MANAGER / ~ 11 their credentiols. COPY ~OR B~ILDING DEPARTMENT. THIS COPY OF CERTIFICATE ~UST~NOT BE ALTERED IN ANY MANNER ion Received Disapproval Issued _ 19__ PeEntt # · 19 FORM NO. 10 APPLICATION FOR DEVELOPMENT PERMIT In the Town of Southold Type of Development Proposed: Addition and/or AlterationS] Other New Structure (including storage tanks~] FloodProof Below Base Flood Elevation El (specify) e~ ~_~ ~-~ O~ ~'q £ ?-°~g.E~ ..... Elevation Data in relation to above mean sea level of: (a) Lowest floor elevation, including basement ~/O! feet ~ 'inches (b) In a V Zone, bottom of lowest structural member ~ feet ----- inches FIRM--Flood Insurance Rate Map, Zone designations ..... Owner of Premises (~_ ~ Location of Property: County Tax Map No., District, 1000, Section ~-- Subd~ vi sion ~ O ~ ',~r'4~M 'r ~ ~il od Pe~lssion tO bo granted: ~ a:cabOve~Now }--DUnder ~ontract~ Lessee~Contr' tot ........... HE~TH SERVICE F6~ ~ ~ -- ~ ZBA BUILDING PERMIT PLANNING BOARD I, _ ~ , the applicant, ~u the Owne~, Co- 0~'~--i ~bV ~'wH'~rU~aer Contract$~, Lessee~ Agent~, Con- tractor~, and agree to comply w~.th all applicable s~ct~ons of the. Code of the To~ of Southold; County, and State ~d to admit authorized specto~s to premises authorized to perfo~ or have performed the said work ~d to make and file this application, that all statements contain- ed in this application are true to the best of my knowledge a~d belief and that the work will be perfo~ed in the mannerset forth in the application filed therewith. STATE OF NAW YORK COUNTY OF ].~'/~/~_~_..SS SWORN TO THIS___~__D^Z O~ 7~ ............ Notary Public Applzcant s mailing address and phone # if not given above: Block~/ - Lot(s) Map ~ /0~-~- Lot(s) Owner~ - . ~/~ - 3~ ¢.:_.~ 19L~~-' HELEN K DE rOE NOTARY PUI~[',C, State of New York No ¢1707878, Suffolk P.O. BOX ?28 SOUTHOLD, NY 11971 FORM NO. n0 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 TOWN HALL MAIN ROAD SOUTHOLD, NY ....,, ~ ~; ~' APPLICATION FOR DEVELOPMENT PERI.liT Instructions: The application to '~he Buildin~ Inspector includes (each ~n dup--~cat~' .e) 1..ForVn No..10 filled out in ~nk o~ typewritten, 2, Sur- vey of premmses with ielevatlons above mean sea level, 3. Drawings of pro- posed work. The application must give complete information to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of' the Code of the Town of Siouthold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any,other agency requires. General S'tandards as !required in Section 46-17 of the law to minimize flood ~amage: ~ , A. Anchoring of !structures, including tanks and mobile homes Bo Use of constr~ction material and methods C. Design and lo.'cat~on of utilities D. Subdivision proposal with drainage, public utilities design and base flood elevations ~pecific Standards as! required in Section 46-18r A. Residential construction B. Non-residentihl construction C. Mobile homes i -, ~ The applicant must submit plans and specifications as well as any other infoz~nation requestedI by the Building Inspector to substantiate the facts that the structure hais or will have the lowest floor, including basement/ cellar, elevated above the base flood elevation or; if permitted by the Federal Regulation, that: 1. such structure is flood proofed in such manner that below thei base flood level the structure is water tight with walls substantially a~d impermeable to the passage of water, 2. that structural components~are capable to resisting hydrostatic and hydrodynamic buoyancy, 3. applicant must sub~it certification by loads and effects of., a registered p~ofessmOnal engineer or architect that the standards set forth in Section 46-1~B (1) (2) (3) of the Southold Code are satisfied. Coastal High Hazzard hrea (V Zone) 46-19. Applicant shall submit plans, ~peclfications in~lud~.n~-the required certifications and such other in- oEnation as the Buil~mng Inspector may require in that ~he provisions of 46-19 are complied wi~h. Mobile homes are prohibited. The lowest portion of the structural members of the lowest floor cannot be lower than the base 'flood elevation ~tth all space ~below open except breakaway walls. Sand dunes. If sand ~unes exist on the premises and the applicant pro- ~oses ~o alter same, .plans and specification must be shown in detailed nature of any alteration submitted. ~Bu~ldin~ Pe~rEit. ~A Bu. zldin.g Permit is also required for any structure. oo~n a oeve-opmenD an~ a Bumlding PeEnit must be issued before any work can start in a .specia~ .flood hazzard zone. A, written disapproval or a permit must be mssued~w~thin ten (10) working days. ~ During construction, ~he inspector ~hall be notified in time so he may make the required inspections. Upon completion, the ~equired certification fo the final elevations and work must be submitteld before the approval to use o~ occupy can be approved. : 4/80 (Fill o~t thc fo~n on the back of this sheet) Approved .. ~. 0~kc~ . .~..~. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~°OUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19~... Permit No ..... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 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 admit authorized inspectors on premises and in building for necessary inspections· · .. ~.e .~..c?...ct..0.,..~..~..~.. ~ke..,m. ~. ¢,.. I .t,~ .ct., ..... (Signature of applicant, or name, if a corporation) .~o...~.,,. ~..U,.~ .ff...4..~ .~. ~.~.Pe..~.-TC_%...t%.~(..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~..~.-k~'.. ¢..~.~.1~.~. .,9-..~..O.. t¢.~. -~; .'k'~....~ O. ,-~1 t4 $.(5::..~.. .......................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ....~.9.b..~..~.-[..e,.e ~.¢. &..:..e.t~.~, ........... (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ..... ?..q..~.'. ?. ........... Electrician's License No .... ~.~...rT...~. ~- ......... Other Trade's License No...'.-v. ................. ,~c~ c/'$'-' ~ d' ~-6) ' 1. Location of land on which proposed work wilI be done..~. ........... - .... ; ................................ .............................. .~.e ?.?.~.. o. c. o....~4.>/. ........... ttouse Nmnber Street Hamlet County Tax Map No. 1000 Section ...O..'.~. · ......... Block .... .I~..O. [ ......... Lot..O.g'..°~.~. ........... SubdivisionJO~/~T~.~r~..~.'. 0~.~'.r]':/)..b~ .......... 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 ..................................................................... · . ~-.- ~ ~,~ .............................. b. Intended use and occupancy .~...N..~...~...~..~. to-..'y.{.. ~> .... -¢6-~-. (..~,. 3~~ Nature of work (check which ~pplicable): New Building ..... Addition .......... Alteration .......... Repmr .............. ~ :R?aoval .............. Demolition .............. Other Work ............... ...~, {} ! t~ ~ ~: ". (Description) 4. Estimated Cost ...... ~7 .~.¢~..cJ. ..................... Fee ...................................... ........~ "~ ~ l~ ~ (to be paid on filing this application) 5. If dwelling, number of dwellihg units ....... ...... Number of dwelling units on each floor ~ ./.~.~.g.../-~..~ .~.~. If garage, number of cars ... *.. [ ............................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................. ' ~ ~ pth ~l~.~. 7. Dimensions of existing structures, if any: Front .......... Rear ......... De ......... Height ............... Nu,mber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................. i · ·. Height ............... . ....... Number of Stories ..................... ..~ .~ ,~, ........ 8. Dimensions of entire new con(tructinn: Front .... a° ......... Rear .~o., .......... Depth ag.. ..... Height ... ~ ....... Nulmber of Stories ... ~ .......................... Size of lot' Front /~.~>' ~ Rear . ~..~.~ Denth ./'~%~. ' ........ ~ ............... ~' ............... , ·. ;f £ ................ Date ,of Purchase ... ~:'~: ~.~.. J.q~.~ ..... Name of Former Owner J~p~t~?..Y.~/~.~.I~. ~..~.. ~'~...~..~- Zone, or use district in which p?mis~s are situated ................................. .t .......... ......... Does.proposed construction violate any zoning law, ordinance or regulation: ../9'6 ........................ Will lot be regraded .. i~.~. 4 .................... Will excess fill bexomoyed from ~>remi~: Yes Name of Owner of premises~ tl}&.~i~q..x[.o.~..,.~ $~1 Address Name of Architect ........ , .......... .~.~ ......Address . . .: ~. .............. Phone No. ?~ ...... .~.t ..... Name of Contractor ~O.Iqe,.C~.~ .~-J~ O~$. lg.c¢ Address P.o. .~.q lt...~.ct Phone No.~. ~,,,~.-..~. ,g'./, 10. 12. 13. 14. Locate clearly and distinctly property lines. Give street and bloc interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. PLOT DIAGRAlvl all buildings, whether existing or proposed, and. indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether S.S ............................ i ..................... being duly sworn, deposes and says that he is the applicant (Name of individual sigging contract) above named. He is the .. ...................................................... of said owner or owners, and is doly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application am true to the best of his 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 ~ Notary Public,. ·./~?.... ~. '...~..~..~...'~'777.. .... County HEI,?N K, [~E VOE .~ No, 470787g Sulf0Jk Cons y Z , z .- ........ . "-';-._ .:. ,--:-,., · .'.*. LICENSED LAND SURVEYORS GrEENPORT NeW YORK SUFFOLK CO. hEALTH DEPT. APPROVAL h. S NO. S__T__~T_EM_ E..N.T_ O__~. ~_~_._T_E_NZ THE WATER SUPPLY AND SEWAGE D~SPOSAL SYSTEMS FOR THIS rESIDENCE WILL SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE: APPROVED .............................. DIST. SECT. BLOCK PCI. )WNERS ADDRESS; SEAL 49.5 Oz ~, LICENSED LA~D S~VEYORS GREEN~RT NEW YORK SUFFOLK CO. HEALTH DEPT, APPROVAL H.S. NO. ~- GO __~ STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE ' WILL CONFOrm TO tHE STANDARDS OF the SUFFOLK CO. DEPT. OF HEALTH SERVICES. APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: H.S. REF. NO.: APPROVED: ...... SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCLi OWNERS ADDRESS: DEED: L.C~4? P. 447 (~f:.) TEST HOLE r STAMP SEAL SIGN 09 CONSTRUCT n~ FRRoR~, t 35'0' Phone 477-0400 GRFEN PORT Main Roa~l NY. 11~44