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Home My WebLink About26332-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26954 Date: 02/29/00 THIS CERTIFIES that the building ALTERATION Location of Property: 875 VICTORIA DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 9 Lot 58 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 20, 2000 pursuant to which Building Permit No. 26332-Z dated FEBRUARY 4, 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 PORCH AS APPLIED FOR "AS BUILT" The certificate is issued to HELEN HOENIG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-066958 01/27/00 PLUMBERS CERTIFICATION DATED N/A l /""Au orized 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. 26332 Z Date FEBRUARY 4, 2000 Permission is hereby granted to: HELEN HOENIG RR#1 BOX 178 BONDVILLE VT, 05340 for ALTERATION TO AN EXISTING PORCH AS APPLIED FOR "AS BUILT. " at premises located at 875 VICTORIA DR SOUTHOLD County Tax Map No. 473889 Section 078 Block 0009 Lot No. 058 pursuant to application dated JANUARY 20, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Author d Sign ure ORIGINAL Rev. 2/19/98 TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. Thi's application must be filled in by typewriter OR ink and submitted to the buildir inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property line=_ 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 _systea'j' � less than 2/10 of 1% lead. C 5. Commercial building, industrial building, multiple residences and simdlar 'buildi and installations, a certificate of Code Compliance from architect r en eeri, responsible for the building. 6. Submit Planning Board Approval of completed site plan require�ents. TYYga B. For existing buildings (prior to April 9, 1957) non-conforming uses, ,ar' buxld3hb t_ "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 applicar. 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 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date January 3, 2000 . . . New Construction-t. . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . *Al7,ican nclos d existing porch 875 Victoria Dr., Southold . . . . . . . . . . . . . . . LocR on o �roperety. .. . . . . . . . . . . . . . . .. . . . . . . .. . . . . . .. .Street. . . . . . . . . . . . . Hamlet House No. Helen HoeniB. . .. . . . . . . . . . . . . . . . . Onwer or Owners of Property.. . . -• • • • • • • • • • • � 78. . . . . . . . . .Block. . . . .9- - • • • • • • • .Lot. .5$ . . . . . . . . . . . . . County Tax Map No 1000, Section. . Subdivision. ... . . . . . . . . . . . . . . . .. . . . . . . . . . � . . . . Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . 63.3 pP Permit No. . Date Of Permit. 011 /� Ct '�• • • . • -A tic ll�'y No. Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .U4rwr, App oval. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Fte. . . . . . . . . . . Fee Submitted: $• . • • 25•.DO• . . . . . . . . . . . . . • • • • • . APPLICANT GARY FLANNER OLSEN,ESQ. P.O.BOX 706 $ 7s 3 CUTCHOGUE,NY 11935 Co ---- THE NEW YORK BOARD OF FIRE_ UNDERWRITERS PACE 1 8078595 BUREAU OF ELECTRI61iy' -- 40 FULTON STREET, NEW YORK,INY 100311. " Date JANUARY 27 E 2000 Application No. on file 11 11 066958 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of H. HOM&G, 875 VICTORIA DRIVE, SOUTHOLD, NY in the following location; ❑ Basement ® 1st Fl. ❑ 2nd Fl. Section Block Lot was examined on JANUARY 21,2000 and found to be in compliance FLitip the National Electrical Code., FIXTURERECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. K.W. I AMT I K.W. I AMT. I K.W. I AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL RECTT. TIME CLOCKS,I BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS H.P. AMT, NO. A.W.G. AMT AMP. :AMT.' AMPS:` TRANB.' AMT H.P. NO,OF FEET AMT. WATTS SERVICE DISCONNECTNO.OFJ S E R - a,V I C E TYPEMETER NO OF C COND A.W G.%F'" A.W G. A.W G. AMT. AMP, EQUIP.11 0 2W11 0 3W 3 0 3W 3 0 4W G pB OF CQ COND, a `NO,Oc NbLEG :OF HI-LFG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: �4 " ELECTRICAL SURVEY AS PER LETTER-1 FAMILY ROOM-1 *NO VISUAL DEFECTS. "An electrical survey has been made of the exposed electrical, equipment in the premises indicated. " "No obvious unsatisfactory condition was found. L L GARY OLSEN ATTY. GENERAL MANAGER P. 0. BOX 706 CUTCHOGUE, NY, 17.935 per This certificate must not be altered in any manner; return to the office of the Board it incorrect. Inspectors mdy be idplitltied by their credentials. COPY FOR BUILDING DEPARTMENT ' NO ,B ALTERED IN ANY MANNER, f GARY FLANNER OLSEN COUNSELLOR AT LAW PO. BOX 706 • MAIN ROAD CUTCHOGUE, LONG ISLAND, NEW YORK 11935 • PHONE 516-734-7666 FAX 516-734-7712 fig ) January NNX 2000 Re : Hoenig to Klipstein Our file # 6912 To whom it may concern: Enclosed please find the following: 1 . Building Permit . 2 . Application for Certificate of Occupancy. 3 . Checks in the sum of $75 . 00 and $25 . 00 . 4 . Survey. p `P1" Please contact Mary Kilkenny at Marion King Realty (734- 5657) or her home number is 765-3415 to arra g for the inspection. i Very trul yours, i GARY FLANNeR OLSEN GFO:lmk Enclosures Southold Town Building Dept . Main Rd. - Town Hall Southold, NY 11971 -.-----------_--- ..__-------___--____' )ATION ( IST) ii II I _ -_-_____ C )ATION ------------------------------ ------------ r------- it I}- II --- --- - - --�_ ii II R FRAME 6 jj PLUMING iI- - ------ - 1f -- II / II -II II 11 H LATION PER N. Y. TATE ENERGY JI-- 11 CODEC II II p t it 11 FINAL �I n ---_--- -- -- ------- ---ADDITIONAL COMMENTS: ' — H Q z . r.. r ----------------------------------------- -------------------- �r. ol ,.k" STATE OF NSW YORK ) ,� _ - . COUNTY OF SUFFOLK . Y }' being duly Sworn, deposes and says: That deponent ''s over the a e of 1 f, p p years, and resides at , 8T a000 That on the day of Ti�muw—`u , %W, deponent, being the k, s: erchitecUengineesr, licensed by the State of New York, heraby states that a[he ; accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Buildingtv R). y Arc tect/E pin er `""' Swom to before me this ani x gamyof 315nov;rw .._rm. b l��l OLD (�57L /. .3 K, NotatyPublio +; LYNDA M.BONN MARY PUBLIC,State of NMYQ* No.01806020932 I ' 0mlified in Suffolk CounV F term Expires Manch S,20Q co: applicant ; �k ti o��gUFFO(,�co Town Hall, 53095 Main Road h Z Fax (516) 765-1823 P. O. Box 1179 �y • Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD TO: 01S A-^, �S f 7� 2J Your Building Permit application is being returned as incomplete for the following reasons; DATED: BOARD OF HEALTH . . . . . 3, SETS OF PLANS 'FORM NO. 1 SURVEY . . . . . . . . . . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . : TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL TEL.: 765.1802 MAIL TO : Examined Approved . . . . . . .... . . . ,`��. Permit NoA/-.33,;I . Disapproved a/c . . . . . . . . . n+ ' -7. . . . . . . . . . . . . . . . . . . . . . (Bu4 i g Inspect r) . . . . . . . . APPLIGA7ION FOR BUILDING PERMIT'' Date .44'1trt4Xy. 'Ji a ,., ; ;.,;. INSTRUCTIONS � °., !�: , •;� . . a. This applicat o 1 4s'YGe 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. r, 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 is ante of Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Y rk, a o er applicable Laws,Ordinances or Regulations, for the construction of buildings, additions or alterations, or r r ov or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buil g d ing code, and regulations, and to admit authorized inspectors on premises and hi building for necessary insp c ' n g ati e o ap licant, or name, if a corporation) Helen Hoenig by ary, Flanner, Qlaan, as, attorney 7o6,, Craig.> a.,. lut01lQ (Mailing address of applicant) ' State whether applicant is,owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... . . . . Attpraey. for.Ower. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises .Helen.Hoenig . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's'License No. . . . . . . . . . . . . . . . . . . '• . . - - __ __._ ___ _ Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . ... ... . . . . . . . . . . . . . . . . 87,5 . Qcfi4r}a.Rrive . . .,. . . • . . Sgnthold. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 'House Number Street Hamlet" County Tax Map No. 1000 Section . .Z$. . . . . . . . . . . . . Block 9. . . . . Lot . '. . . .'S8. . .' ' ., Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . ,.. (Name) . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . .E4g14sed.porch/,family .room,as Jmd I I... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . ,Ste. . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . t p Addition . . . . . . . . . . Alteration • • • check which a plicable); New Building . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . D .(Description) . Removal . .'. . . , • • • • • (Description) you porch *Applicant enclosed existi¢g p . Fee 4, Estimated Cost . . • • • • • • • • 1 ' ' ' ' ' ' . to be paid on filing this application) number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . • • :: 5. If dwelling, . . . . . . . . . If garage,number of cars . • • • • ' • ' ' ' ' . . . . s ecif nature and extent of each type of use . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed! occupancy, p Y' Rear . • • • • • • . . Depth . . . . . . . . . • . . . . . 7. Dimensions of existing structures if any: Front . . . . . . • • • . ' ' ' . . .Rear . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . Tlei ht . . . . . . . • . . . . . . . . . . : . . . Number of Stories . . . . Height Dimensions same structure w`th altercations or additions: Front Depth . . . • . . . . . . . . . . . Depth . . ',Rear . . . . . . . . . . . . . 8. Dimensions of entire new constrluction: Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . .Number of Stories . . . . . • . . . . . . . . . . . . . . . . . . . . . Depth . . . ' . . . . . . . . . . . . . . . . . . Rear . 9. Size of lot: Front . . . . . . . • • 'I , , ,Name of Former Owner . . . . . . . . . . . . � . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . , . . . . . . . . 11. Zone or use district in which premises are situated . ordinance or regulation: . . . . . . . ]ate any 12. : Does proposed construction viol . . . . . . Will excess fill be removed from premises: Yes No 13. will lot be regraded . . . . . . . • • • • . ' ' ' ' ' ' ' Address . . . . . . . . . . . . . . . . . . .Phone No. . . . . . . . . . • . • . . . 14. Name of Owner of premises . Address . . . . . . . . . • • • • . . . . . • Phone No. Name of Architect . . . . . . . . Address . . . . : . . . . . . . . . . . . . . Phone No. . .. . . Name of Contractor . . . . . . . • • • • ' ' . ' • ' ' tidal wetland? *Yes . , • . . .No Nam • a 15. 'is this property located)) within 300 feetyof gq � *IS.yes, Southold Town Trustees Permit Pma DIAGRAM.uir s, ' existing or and.indicate all set-back dimensions from lines. Give street and block number s, description according to eed, and show street names and Indicate whether Locate clearly and distinctly all buildingwhetherd property interior or corner lot. SEE ATTACHED SURVEY " .� ; I I STATE OF NEW YORK S.S SUFFOLK (Name of individual ' ' ' ' ' ' ' • • • being duly sworn, deposes and says that he Is the applicai COUNTY OF . . . . . . . . . . . . . . Gary planner Olsen 1 ' ' ' . contract) isigning above mimed. . . . . . . . . . . . . . . . Ile is the . . . . . .At 4rnney (Contractor, agent,corporate officer,etc.) of said owner or owners, and f duly authorized to perform or have performed the said work and to make and file t application; that all statements contained in this application are true to the Vest of his knowledge and belief;and that I work will be performed in the mlianner set forth in the application filed therewith. Sworn to before me this 2000 3rd . . . . . . . .d'lay of. . . JANUARY. . . . . . . . . . , Suffolk County Notary Public, . . . . . .. . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �SIAI ataoPFEn (Signature of applic Notary Public,State of New York - No.4a28373 faua8fied in Suffolk County Cbmmieaion Expires Nov.30. bO/ SUR\/EY OF PROPERTY N 51TUATE: BAY\/IEW TOWN: 5OUTHOLD Vv E SUFFOLK COUNTY, NY SURVEYED 0I-03-00 s SUFFOLK GOUNTY TAX # 1000 - 78 - Cl - 58 GERTIFIED TO: ROBERT M. KLIPSTEIN GHRISTINE KLIPSTEIN THE STATE OF NEW YORK MORTGAGE A6ENGY GIO 13NY MORTGAGE GOMPNAY L.L.G. COMMONWEALTH LAND TITLE INSURANGE GOMPANY <qh� h0 W 0 3 onnQ � dorm -� � S6 ohne"y ° ° �® 4040At 10 9os �F: aV mCO no / o 7 i�Yl wQy an COO�0 ° 4 Y e �R �40 < 149 689 9na � F/eQ/? Cl� For r�or kV,.Cke er GVi'ZBy of. ey �, n w �o o� \ ry� z Ro 6, O, "u°aaen°r::.o auerau°n°r aemxetn ata ar.ar maa beerin0 a lf[ensee lane¢ ° vl lativn f[e[[f°n]209, ¢Stater l¢Ivv¢2 nal tnv O�/l ]�� Nex York State Education Lav NOTES: ✓�y. y� �� V. E(, 6 anelgae tner aur.er alk wf Nem ore91P°e ve the :ane. veyvr / (�A •n o� L.. eal mall be cunaeeeree to be rxem o-ue ■ MONUMENT e� `J^ Y V ll::e atla fne,¢aLee at t% •ev oke s'preparea ann °nand¢.tile e` PIPE O * fatYnp:°aPa a ".r Q lend sn`ruv— ksalea oauieeu0° enzvf onev t tv [n¢Seek" `.,¢'..too a'ey 1[ rvt n nfs eek" t¢ [Sete a mP p e°m AREA = 14,968 SF OR 0.34 ACRES e^5 °a t,°°ten,° e ° Ca°n S a t9 sse a itof tfi ee ee a mane Soo ncertll,me p un ar nn rave 1eratec °a °nal m �Fti �0. �'�' JOIN Co 1�ND SURVEYOR 6RP PRIG SCALE I"= 30' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 RIVERHEAD,N.Y. 11901 — 369-8288 Fax 369-8287 REF.—TIGER\PROS\99-310 OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE ! I OF OCCUPANCY . I I I UNDERWRITERS CERTIFICATE, ` REQUIRED - .- — -- - T I I PROVIDE OPENINGS FOR I i I 1 „ • EMERGENCY ESCAPE AS I REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. APPROVED AS NDTED DATE: D- { �O s,►N 330 yi. �. » ..__ 1 �r /( I NOTY BUILDING IFAT - I i 1 7654802 B AM TO R FM FOR INE - _. FOLLOWING BIBFECTIONS: I I FOUNDATION - TWO REGlMD I 1 I FORPOUREDOONCIIFIR r 2 ROUGH - FRAMMG • FUMING —.- _ I 3 INSULATION I 4. FINAL . CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET a THE REQUIREMENTS OF THE N-y- STATE rl'' i ,� CODES. RRESPONSIBLE UCTION & EFOR '-t CONSTRUCTION ERRORS - DESIGN OR L kl L fz r lob rGI4 _ - ' I , J�Wvn e l s� - 1Ap,�4 �xrot zN v -- _ .- - W o,ib,.' DC _ Y fir, tp w14w k0 '�� _ 24 i Iw7it .. M0$001;�.r _—' ' EAIC.LC✓AA� Fmc I-I _ Pit , E"..45'tL HA - — 6�cc " . 0-'.. air, As 11 I Il 0—F NEW 1:�Lge2y! r>64r tio. 05251 rot r - �OFESSIONPy Applicant/ y Date Owners Name. C= vJ\ ----�Oe t'�1- - - - Reviewed. v�- Da Architect/ Date Engineer: _ Submitted: I �ao' SCTM Il: District: 1.000 Section: _ 131ock: Lot: Project -- \ 1ubdivision Location: —1�_ SName _ Sin&le& separate Required certification: (Yes/No) Req ft -- — — 49f9 Zoning District [Lot size Actual /��S_J (l.ot coverage�� Proposed10 •Req Req Req (Front Yard Proposed: ) (Side Yard _�—f_ Proposed ____J [Rear Yard 3•S Proposed J 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: - — Board approval: Town Planning Flood Plane Elevation ??? G !(O fv Flood Zone: