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HomeMy WebLinkAbout26305-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27070 Date: 05/09/00 THIS CERTIFIES that the building ADDITION Location of Property: 1140 LONGVIEW LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 4 Lot 46 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 18, 2000 pursuant to which Building Permit No. 26305-Z dated JANUARY 27, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD & MILDRED REILLY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Si ature 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. 26305 Z Date JANUARY 27 , 2000 Permission is hereby granted to: EDWARD F REILLY ROSLYN HEIGHTS NY 11577 for CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR (MAINTAIN 35 FOOT REAR YARD SETBACK) at premises located at 1140 LONGVIEW LA SOUTHOLD County Tax Map No. 473889 Section 088 Block 0004 Lot No. 046 pursuant to application dated JANUARY 18, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Autho ed Signoture ORIGINAL Rev. 2/19/98 Form No. 6 Pj TOWN OF SOUTHOLD i , BUILDING DEPARTMENT i MAY TOWN HALL ._,.•,°y 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. a 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. 12. 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 Building - $100.00 3. Copy of Certificate of Occupancy - 25 , 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15��.0yy0 Commercial $15.00 Date . . .y. !. 7. .. x.4 . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . 4� / Location of Property. .?! -.` . . . . . . . . .£.�?7 �!J.0-W. . �.�. . . . . . .U,gm. Y h � . . . . .- House No. -- StreeL - Hamlet— Onwer or Owners of Property. ? . GX.�.2 f .d . �. ( �e•� • • • • �J• •l �• • • • • • • • • • • • • • . . . County Tax Map No 10000, Section. 015 . . . . . . .Block. .9.0 . . . . . . . . .Lot. . . /. . . . . . . . . . . . . . . . . . Subdivision. . .�y. X a_V.fe.rl . . . . . . . . . . . . . . .Filed Map,�,.5 J. Q. .+ .Lot. . 6S. . . . . . . . . . . . . . . Permit No .�il. O .ZDate Of Permit4-v .�."".V . .Applicant.tt:2t?!-.5e,. ��:!:? T• Health Dept. Approval. . . . . . . . . . .. . . . . . . . . . . . .Underwriters Approval. . . . . .... . . . . . . . . . . . . . . . Planning Board Approval. . . . . � . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . Fee Submitted: .. . . . . . . . . . . . . . . . 04&.25*n^B 30 .•. .��'�. '`'�... . . . . . . . . . . . . . . . . CO 20( 70 ?O APPLICANT FIILD-INSPECTION-REPORT--_=DATE___==____ __________________COMMENTS --- ii ro p II H tr— FOUNDATION ( 1ST) I FOUNDATION (2ND) 11 it —_---- ---- ----- -- --___ TW-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: � Con DATE ct7 INSPECTOR 3o 765.1802 BUILDING DEPT. /UNDATION PEC7`ION 1ST [ ] ROUGH PLBG. 2ND [ ] INSULATION [ ] FINAL [ ] FIREPLACE A CHIMNEY R A KS: DATE INSPECTOR gpFF01,tco Town Hall,53095 Main Road O Fax(516)765-1823 P.O.Box 1179 W Telephone(516)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 24, 2000 George Terry P.O. Box 41 Southold, NY 11971 RE: 1140 Longview Lane, Southold, Edward & Mildred Reilly To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26305-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REM KS: � DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ �INAL [ ] FIREPLAC 8 CHIMNEY REMARKS: Ily DATE INSPECTOR 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 TEL: 765-1802 NOTIFY: CALL . . . I . . . . . . . . . . . . . . Examined :. ., 20.E r� MAIL TO: . . . . . . . . . . . . . . . !'?.... a°cw> Permit No. oC��JO Dia/c:. ........................... ............ .................................... tor) � JAR ` �G� APPLICATION FOR BUILDING PEIU4IT Date. .lJ' C. . . . . .. . .. 20.V INSTRUCTIONS a. This I be completely filled in by typewriter or in ink and submitted to the Building Inspector wii 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 most be drawn on the diagram which is part of this application. c. The work covered by this application may not be cmmnced 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. 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. �.►.+.. .r .. ............. (Signature of applicant, or name, i corporation) (Mailing address of applicant) State whether applicant is owner, lessee /' agent, architect, engineer, general contractor, electrician, plumber or builder !.1....e ............................................................................. y I /� Name of owner of premises O&V i.! d 4 -M- h 1 A4 a '�..:1�:.k/ I............................................. n the tax roll or latest deed) (as o If applicant is a corporation, signature of duly,authorized officer. ................1........................................ (Name and title of corporate officer) T Builders License No. .�..�.g. ( .+ ...... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location,of,;land on which proposed work will be done................:............................................. .:y.Q.............S ....................... V ...................... House Number Street Hamlet c� County Tax Map No. 1000 Section ...�.`4�....... Block ...Q., ........ Lot ....z... -r ......' Subdivision ............... Filed Map No. I ....... Lot .. !4: :W. (Name) C 2. State existing use and occupancy of premise's and intended use and occupancy of proposed c stnuc.tion : a. Existing use and occupancy .A t 15 1.f!r.n: .1:A1...... �..T,.Ct(n,1: b. 1. Intended use and occupancy ..!).? J. 17. 1.2.4................ ..�r,( l l!.Fon....... n j, rause u, WUEK hUWCK W101 qphtllcable): New Building .......... Acklition ,�.... Alteration........... Repair ............ Removal ...I,......... Demolition ............ Other Work .................................. (Description) 4. Estimated Cost .... ...... fee .......... ..... ..... .... (to be paid on filing this application) 5. If dwelling, number of dwelling banns ... ........ Ikulher of dwelling units on each floor ................ If garage, numher of cars .... 6. If business, ccu ercial or mixed occupancy, specify nature and extent of each type of use..................... ' i n 7. Dimensionsexistingstructures, if any: Pront. ,-, .,:3...... Rear '-h�..�s.�..�...... Depth�.� i ./. .. ......... ..... ....,.,... Nhnber of Stories .....�........... .�., „ �•'•� Dimer / �h alterations or additions: Front,T8 3 �• Rear�.:1,41..,,3 . to �� ....... L .�.;1............... Nuhiher of Stories ...(........... re .. Ilei , „ / ' a. Diuensions of entire tnew�construction: Front ��,.4. ........ Ream u,.6...... Depth �1.�...�?.... 7 i 11eig1ht ..L.................. Nudger of Stories ..................... � 9. Size of lot: Front ,8..� I',�.... r �.S�Q..4�...... Depth .................. /v oa o 10. Date of Purchase ...............,...... Name of Former Owner .........It. Zone or use 1 + district • which hp 'emises are situated � �'.. /. en.!.1,a.�x..................................... 12. Does proposed cconstructiAonviolate any zoning law, ordinance or regulation: :.............. 13.14. Will lot regraded Owner of •... Will excess fill be removed from premises: YES O .. . Name y^)1) yt,� , prem m./. !:�X .)\A Address .............................. Flone No. .............. Nana of Architect ..... ..:... .......I Address ....I....11.1. Phone No. . Nam of Contractor .`- .QJ-6;r .';n1,.J,¢.C.0 .. Address P)..d'ix.vy.119 15. Is this property within 300 feetl of a tidal wetland? * YES .......... NO X........ *IF YES, s00in" TOWN TRDSiFl.S PERMrr MAY BE RIjILRLJ). I PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate set-back imen ions from property linea. Give street and lblock ember or description according to deed, and Creet nems i icate whether interior or corner lot. i 00 :37) a ahs<ocAJ P w--7t N_41 , opoae.L New s��clC 4 h ,y Y. Noy.56 CGne9Gc' BiA a <1 0 dt Ilya t (Sunwte) cove. s .y �jL2 � ISO. . , he 'yAh�2]r U v SfA'lE OF NEW Y(AiIC, I ni T�R 1 p O O(MlY OC I �'�, o .� T SS I I. onlGVILPrNe ........g .. . .............being duly sworn, deposes and says that he is the applicant (Name of individual sr ni w contracC) above named, Ile is the . G.- w?,a n C!, 2 L. ....................................................... .............. (Contractor, agent, corporate 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 contained in this application are true to the best of his knowledge and belief.; and that the work will be performed in tlhe manner set forth in the application filed therewith. Sworn to befQreje this Li� .. 0 Notary Public ..�� ........, . HELENS D.HORNS (Signature of Applicant) Notary Public,State of New York No.4951364 Qualified in Suffolk Count ,z Commission Expires May�26c -- I r , SURVEY OF LOT 65 MAP OF TERRY WATERS _ FILE No. 2901 FILED DECEMBER 29, 1958 SITUATED AT BAYVIEW 10 TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK L4 S.C. TAX No. 1000-88-04-46 SCALE 1" =20' SEPTEMBER 8,1998 �N NN AREA = 15,000.00 sq. ft. 0.344 oc. — — — _ i_ CERTIFIED TO: FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK NORTH FORK BANK EDWARD F. REILLY MILDRED A. REILLY I i I UNATHORRED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. j COPIES OF THIS SURVEY MMP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT 71RANSFERABLE. � I THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. i PREPARED IN ACCORDANCE WITH THE MINIMUM FOR TITLE SURVEYS AS ESTABLISHED BYTHEL.SI.ALS. AND APPROVED AND ADOPTED Joseph A. Ingegno FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASsocuTl°". Land Surveyor y�pH G G9L Title Surveys — Subdivisions — Site Plans — Construction Loyout �� 01 o 0 PHONE (516)727-2090 Fox (518)722-5093 j R`2 0 �o GOJ�� S L S �Jt,E 61 S3, dol V A k6 (35 ry lv \ ft AV s�y,, o0 �p \ `gam'. Ap AREA ,ey J-0. ,ry X00, y� - CF,R?7FIED Tt FIDELITY N, Sj. o����� a s - ::' \ /+ a • NORTH FOF S ti o° EDWARD F. 3�p•, ti s o J�� \ \ / MILDRED A. o / '�¢ T\ • fj .Y O / % \ ¢ ASO :�� A Al —v� T R`1J ?Ooo P SUFFO S.C. 1 J O � J• ' 4L',yh O t AREA = 1 lip lk- `o. 'fa M1 t �Y ISMO CF•RTIFIED TO; ,ry F�VPP�^O ♦ O' cJ~' ♦ FIDELITY NAT' NORTH FORK EDWARD F. 1 S3♦ yJ�`v� " ;' . ::\ MILDRED A. r 1 ♦ oh O O ♦ A4 a •' . ^888PANOY OR USE IS UNLAWFUL WITHOUT CERTIFICA E APPROVED AS NOTED OF OCCUPANCY 1a7-ofi 13.p.x . t7EfK LE DG✓iN • IEAMS DATE: NAIL. eZ4I50L7-e„ !:) -rO - FEE: By. Fl.Craf2.TJ/5l' P:} :'sJe LF ."i n; NOTIFY BUILDING DEW 765-1802 9 AM TO 4 ERT E FOR FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED c K 5 PS 's L7 �' FOR POURED CONCRETE -r'6 - 2 ROUGH - FRAMING • NUMBING c' -T f"N F K J tvr LA-N'ZJAl G 3. INSULATION ( SJd e+ WA., IN &J-a rar) RE.LO CA•re" -1;) 4. FINAL - CONSTRUCTION MUST --"`- -A ` 712 +�-[ 'T p Fr, Y [r-T 9E COMPLETE FOR C.O. j��G J S 4 R, ! +j S ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STQQQATE CONSTRUCTION Q ENERGY t k4 I WI _ _ DES RESPOSIBLE FOR IGN OROCONS RUCTION ERRORS GGKS63. 7x Of 77C-ur4 �E'TMt '� i / n4NA9 S11 b+.kp • r."°"' .,� LM+sm..�..C,.0 3: . e fie-:�::C '��� 1Y.y w \ -h �y.�5•b� - - - i fff to ' - .GQN.�5 t.§v TC+T4R 4 t1 D^ � •,..;,- • �-_..---..,._, � ( �.�� GROUND i �'TO OL F?'E.aa,SG-V TNJS STAIR SEC T104J j R- 7 TOK, Js''1.-t}'!'1•'" a7i S'') TO OF - q Y ST i:. ISS c,J:.$ TiL+.r C't C'. 2r .•�' _ S.?-1'k ,k,4. ZW7r �. r _ _ d - LL5 E o AS Syo-r ,.f cnr.0-nN Jvwu. j �Y . r , r ?i •'�,,, . - _ If ' !t p 14 S c. a r�Y',y i,G -'a c: I 1om � .�.xk- I `"", l � : - - 'TRe7t �EcfalN is i 16, r 1 f r_ i l „gyp' CcaFY �•LM T� CKIT .�. k 'vn` JC_4"` �i t_INC Y (EW �• - .�°u - L_r S^ti? LSrc-1'x,) I �i ? �:;? ,� ,.f • ;� —1 ryry _ k _ e< ti}�a R S 71 nl G 5 'TA I R LR NS D t I l G' •� . _. .. § v r 5 r� ,- s Q T s 't 5wR S^se _._ � -r v P r 6« v . RE nSo vin FRorh -0i7JiurnA k :_ MC7. 4 1�i, yC ai r� rur L Y � fC g141-1 TNY LORCil Pnfi 'i' � uiV _4n Yti ;JlG Poi ' 1uR 43.5 utt 'te ' ALL. Wo ;a P= 1'4 A-;w„ rtiG C `a 9:not GTµ1`312 L � .5'1h12S A�'i]fs?.i�.l a:y] Tv� w.,[3 e:4i,w. - - - .. A-Y Ec l+lti jib ii C'k I+& I C.li T- -to I-S W " - _ Rohl v..�L &�*Mka R@tLL.Y� lae2 ti.'s' t ti~sa 1.h.dy G„y sou-r r,rUia°i., +qty rrl`rt ,vrnano by o�arm�r G TF R"I' . gnanugAOMMIr ERM BUILD T� N__ � 7 l Applicant/ 1 �, Date Owners Name: k11 - �rJtt, rC� Ids C1 Reviewed: - - 4v Architect/ Date Engineer: Submitted: b� SCTM #: District: 1.000 Section: - 131ock Lot: Project l p C Subdivision �,�D L,4) J Name Location _ V 1�1 b ti. - -- - -- vvv Single& separate Required certification: (Yes/No -- ------ — -- – /� Rcq Rcq. Qp Zoning District v [Lot siu 000 Actual b w.-opul It of coverage 0'roposcd R f / Reg f Req , / e9 7 (Front Yard /Proposed: Y [Side Yard -0 Proposed O) tRcar Yard Proposed J �/ n Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A./ NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: