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Home My WebLink About26970-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27548 Date: 02/05/01 THIS CERTIFIES that the building ALTERATION Location of Property: 760 RAMBLER RD SOUTHOLD (HOUSE NQ. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 5 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 25, 2000 pursuant to which Building Permit No. 26970-Z dated DECEMBER 14, 2000 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PATRICK J.& LAURENE M. QUANE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 01/22/01 PLUMBERS CERTIFICATION DATED 01/24/01 SEAN MC GAYHEY ori ed Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26970 Z Date DECEMBER 14 , 2000 Permission is hereby granted to: PATRICK J QUANE 35 WELLINGTON ROAD GARDEN CITY,NY 11530 for ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 760 RAMBLER RD SOUTHOLD County Tax Map No. 473889 Section 088 Block 0005 Lot No. 020 pursuant to application dated SEPTEMBER 25, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 { Form No. 6 i TOWN OF SOUTHOLD ,Z-),C1 z I BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health 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 the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '-'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. .2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25v 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building Y. . Location of Property. . . . . , o. . . . . . . . . . . . ��.. . . r�.... . . . . . . . . . . . . . . SIo T�� L� . . . . . . . . . . . House No. §4QD��. ( � Street Hamlet Onwer or Owners of Property.. . . . . . 11k: St� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . .Block. - t'S,aZ . . . . . . .Lot. . .C? , , , , , , , , , , , Subdivision. , . . . . . . . . . . . . . . . o . o . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . ,Date Of Permit. . . . . .Applicant. , . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . .. . . . . . . .. . . . . .. . .. . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary l/. ary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . Fee Submitted: $. J/ r. . . . . . . . . . . . . . . . . . . . . . &'P• - 5 9 0 41 . .A1 . . S;its.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT co � a �sy M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ F/.NAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE - INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS ---------------- B FOUNDATION ( IST) JJ11 Irr — II � FOUNDATION====(2ND) IF - 11 S// 42= 4o v ROUGH FRAME 6 -- II PLUMBING jj ii O it II li 11 II n I Ii INSULATION PER N. Y. H STATE ENERGY CODE _�� II lf— II a y II FINAL II1 It ADDITIONAL COMMENTS: ------------- v \ op d o d $ Z as a v ala w FFoLkeoGy - Town Hall, 53095 Main Road y Z Fax(516)765-1823 P. O. Box 1179 - Telephone (516) 765-1802 Southold, New York 11971 AN �! 9 �0 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. Owner: CCS �G 0 n(a n2 (please print) Plumber: J!°Cih /-n `tl7a� (please print) —� I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signa Sworn to before me this day of J�z�c� N ry Public County Rebecca A.Wolfram Notary Public, State of New York No:01W06039106 Qualified in Suffolk County Commission Expires March 27C �/J BOARD OF HEALTH . .. . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . .. . . . . . . . . BUILDING DEPARTMENT CHECK . .. . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC ..... . . . . . . . .. .. . . . .... . . . . TEL: 765-1802 TRUSTEES . . . . . .. .. . . . ..... .. . . . NOTIFY: CALL . . (eJ Examired....,:/..30.:...., 200. MAIL TO: . C/Q _ Approved... /1�/2.......,2ouu. Permit No. .�I �PZI t2 >S...l?G2a0St .Cr.�...�4'.... Disapproveda/c .................................. .�0:' ...DLCO I... i� (Building Inspector) ni (s1 PPLICATION FOR BUILDING PERMIT q Date. . . _ . .1�. . . . . , 20 (2 k INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and'suhmitted to the Building Inspector wit 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 application. 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 issue 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. APPLICATICH IS HEREBY MAIL to the Building Department for the issuance of a Building Permit pursuant to the Building Zane Ordinance of the Town of Southold, Suffolk Canty, 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 build' g fox uxcc sary inspections. - .. . ............. (Signature of applicant, or (name, if a(�corpootrattio�n) p (Mailing address of applicant) m.q , t too m State wbether licant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ................` A...4p2;kl ....,.,..........................................................................., Nameof owner of premises ....... . b...... HQ 1 e................................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) ��// Builders License No. .,2-.Y2 ./T ...... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on which proposed work will be done.............................................................. �... ...... ....................................... House Number Street Hamlet Canty Tax Map No. 1000 Section . b ,(S .... Block ...... Lot Q0.t. Subdivision ............ ........................ Filed Map No. ............... Lot ............... (Nare).. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......�eS.. .4rrIiP. :................................................... b. Intended use and occupancy .......... .............................. � + w �. Niture of work (dirk vAdcli applicable): New lkiilding .......... Addition .......... Alteration ...V110.... Repair ............ Removal ...',.......... Demolition ............ Other Work (Description) 4. Estimated Cost lJ fee ............................. ............... 1 (to-be paid on filing this application) 5. If dwelling, number of dwellj4 emits ............ Nuhber of dwelling units on each floor ................ Ifgarage, number of cars .....}................................ 6. If business, caunercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front..... .......... Rear Depth ............... ................. height ........................il camber of Stories Dimer h alterations or additions: Front ............... Rear ............... Dimensions p. same .......structure Nhnber of Stories ............... g. Dimensions of entire new constriction: Front ................ Rear ............... Depth .............. lleiglht ........................J weber of Stories ..................... 9. Size of lot: Front .� ....... Rear ..1 .(a.r(a I......... Depth ........ 10. (late of Purchase ..�.. �;,k,II},„,„ Nam of Former Owner ...1?eci.P!tM' ............... II. Zone or use district in uhlhidm premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .... A............... 13. Will loat be r ed s ..... UM �{ .•..••.• Will excess fill be removed from premises: YES `:JSl.6Zka 7!9/ oFu(Jwner of L��nfC . .;..C�sts.A:'r-�.•........ Address .:�4C]..Y� :.... Rune No. 'l4 9W, 14. &!lone of Architect ..............i...................... Address .............................. Rhone No. Nae of ContractortVN.C-5:............ Address .��. ..�?:4<1�:S. C.`:'.:^c:.....Rwne No. 15. Is this property within 300 feeti of a tidal wetland? * 1TS .......... No *IF YES, SOUIIUD IM 1R11SNL6 P11KIT MAY RE IM1111ED. / /J / PLOT DIAGRAM 3,- Well, !toad, /i53a Locate clearly and distinctly all buildings, wbeUmer existing or proposed, and indicate all set-back dimensions from property lines. Give street and lock amber or description according to deed, and show street names and indicate whether interior or corner lot. S r S SI'n'IE or wSl GY(Aat�� a ........ �s uNtY r ...cJ `al....b ......... w..................bei (July swrn deposes and says that he is the applicant (Mare of individual signing contract) above named, Ile is the .................. (Contractor, agent, co porate officer., etc.) of: said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements cunt air'. in this application are true to the beat of bis knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swum Co before me this O ..... •' clay of �,L...��...� Notary Public ��ff„tt�� t HELENE D.HORN @ ...can t Notary Public,State of Neo (SignalUre of Applicant) N0.4961364 i Clunfilled in Suffolk County Commi,cion Emirs May 2.2, �p0/ ,;,w�u,r;,a;^. ... .. .. .,-_lir-•^ - � - .. . . .. . . BI JILDING PERMIT REVIEW CHECK LIST Applicant/ '' Date Owners Name: Reviewed: �/ v Architect/ Date p Engineer: Submitted: SCTM #: Q District: 1.000 Section: v Block: Lot: Project 11 (� C� Subdivision Location: �b� 2c :J�V. Name: Single&separate Requir certification: Yes -- ----_ Req. CReq trict: [Lot size: Actual: "--- }--(} Proposed: ] Req. Req Proposed:T� (Side Yard Proposed: 1 [Rear YardProposed: J ��S T/� Project Description: AL-, -fes /� ��,✓ AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees el I 1A- Town Zoning Board approval: A�OL Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: ,1� << 1,66 2tr X Notes: TW / v !fit /k. �S �SC�r� /f�•-�t�/ 2 KC 3 1211 47 A'-' � , //�G-��,�.�.�� ams-r,� ,,.ti's /4's . , . 34�;:<-st4= M 04 B ayv1Ew ROA° LOT 32 SURVEY ' OF LOT 33 C S: 5'5 ' 02. 40 '-E. " MAP OF TERRY WATERS " 9p i FILED DEC. 29 , 1958 FI LE NO. 2,901 ,� `2 +8s. 4o' AT BAYVIEW M (D � I 1 TOWN OF SOUTHOLD Lor 4s aI 1 SUFFOLK COUNTY N . Y. o ° 4 O; I 033 � 1000 - 88 - 05 - 20 co SCALE 1" = 30 ' MAY 21 ; 1986 DEC. 16, 1999 M LOT 45 for ori CERTIFIED TOf 00 � . PATRICK.U,--LANE. w LALMEAE_M. OUANb" 4 y, MER L LY <0� � � � NCH CREDIT CORP. 14EW k, ANY ALTE'RAT/ONI. ADDUM T9 INS SURVEY IS A VIOLATION. ! �� .tt.' OF W AEW YORK STAE MICA 7W LAW, ECETTANPRECFTAW"7209 - SUMVISM 2, ALL CERTFICAT70N/3 NlMW ARE VAFOR THS IAP AND COPIES THEREOF ONLY F SANE MAP OR S COPES BEAR THE"AFASSSED SEAL OF THE SURVEYOR / N. LIC. NO, 49618 WHOSE SIMA TME APPEARS HEREON6 AVU77ONALLY TO COIFLY WITH SAV LAW 7W MW ALTERED BY' MUST BE USED BY ANY AND.ALL SURVEYORS U77 rZM A COPY / f6 ^. s 6311 765 - 1797 OF ANOTN,ER SURVEYOR'S MAP. MMS SUCH AS %NSPECTED'AND 7 P GL . PROUtWT--To-DAW ARE NOT N COMPLMNCE WfrH TW LAW. � � I�3C� x � � T�F�ET ROUT , 11971 .; r sm ST INC. .......... O rT� M t7 'FIRE .... ... VIDE4/4-MR.- 7 Jff),- PARS 7i7 (I)V`F y IE j P 7_7 1- a Al r ... 777777t��_ W11 jJ1 4 Tl 7�toilj -4 A4 V 'u, Alp 4S , UIR ED T - T :,�,1"" zVITHOU Smbil?VSE0 IN WA ig ,'ISFD tAl W 0,F,�0 G U xA SOPPLYst ALARNI'DEMES' YED-2110" mm t j �,AS TO " Scu r� PPROYE W LDIA G,-CO,D E, �6ATE�'-'- ap E. B'Y 'N0T7IFYA3UILDING,:OE T OVIDUOPE PR NINGS"FIOR Te 'fiOl 9,, AM,*0:4 PM 765-1 FOR THE FqLLO1MNGINSPEC ONS Y fSC EMI M, I S I REQUIRED BY PARS. 714 OF, I FOUNDATION TWO REQUIRED N.Y: FOR POURED CONCRET E STATE BURDINGICODE 2. ROUGH -,FRAMI?.%3 sk,PLUM lalk 3. INSULATION, PROVID -SCALD AND/DR' 4. FINAL - CONSTRUCTION h�si THE AL SHOCK PREVENTING '6 PLUM .O PLUMBING BE COMPLETE FOR C . ALL PLUMBING WASTE ALL CONSTRUCTION'ES AS TO PART. 902.6(K-) SRUN SHALL-MEET &WATER LINES NEED THE REQUIREMENTS OF THE; N.Y. TESTING BEF STATE BUILDING CODE. -ORE COVERINGSTATE CONSTRUCTION & ENtR& ' is uses![- JES_-b=_RES2ONSMLE1 FOR -r.11A D-P4�9ESIGN-bR-CONSTRUCTIO!"MORS C— , ------ --- -r,, SYSt8M; PIN hall be , atfxokreAl W GvP (,.I P w c It a0C 7' 4" of types,Kor L ont or-cf-A %V0 I A c� (e, RE0111RED