Loading...
HomeMy WebLinkAbout18045-z ' ~ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18122 Date JUNE 16, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 790 CLIPPER DR. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 079 Block 04 Lot I7.7 Subdivision HARBOR LIGHTS ESTS.Fi1ed Map No. 7703 Lot No. 83 SEC. IV. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 14, 1989 pursuant to which Building Permit No. 18045-Z dated APRIL 17, 1984 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 ACCESSORY SHED AS APPLIED FOR The certificate is issued to TORRIELL & JOAN TORRELSEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bui ding Inspector Rev. 1/81 FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18123 Date JUNE 16, 1989 THIS CERTIFIES that the building ADDITION Location of Property 790 CLIPPER DR. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 079 Block 04 Lot 17.7 Subdivision HARBOR LIGHTS ESTS.Filed Map No. 7703 Lot No. 83 SEC. IV. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 14, 1989 pursuant to which Building Permit No. 18045-Z dated APRIL 17, 1989 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 TORKIELL & JOAN TORKELSEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~C uil ing Inspector Rev. 1/81 ~oHas xa s TOWN OF SOUTHOLD 6UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 18045 Z Date 19..9 Permission is hereby grant` t_o: ....^'1.~.~. ~.....1.~:.7.~' .~~~~,......N.:.y.~........r.~.x.~.~...... of premises located at ....~.4.~?...G~w?I~~....,J.~.t2:o....... . County Tax Map No 1000 Section .....~.7.p~...... Blxk Lot No. ...~.~..s pursuant to application dated ...}*~.1+-c,d.... t'..~ 19~..~.., and approved by the Building Inspector. i ~ Fee S.~ ~ iL C~a z' . . Building inspector Rev 6/30/80 TOFlN OF SOUTUOLD ~aM BUILDING DEPART:iCt7T I!J' TORN BALL ~ ~ 61.9 SOUTUOLD, NEW YORK ! 197 f gLCG DEPT. 765 - 1802 TOVI+NUFSOUTHOLO APPLICATION FOR CERTIFICATE OF OCCUPANCY ~~/j 1 S DATE _ .Y ~,G .~/~1~ . _ NEST C09STRUCTION .:.._.,OLD OR PRE-E%ISTING BUILDZNG._....VACANT LAND......_. Locatioa of Property..,f0..C'LIl.~~.. ~v".....•, sQUTf'tvLtJ_____________ DOUSE NO. STREET 'c D.IMLET Ovncr or Ovncrs of Property.~~~.~ 7o2~~~G~ 1 r County Taa Ha~~J~p~, No .yy// 100/0, Section-y~a~~.~. Block _ ~ Gl.. Lot . C.~y~".!.~.. Subdivision_CJP.~~4!4 Lr~?'~r5..~~f%!r~~iled Map .Lot._.Y.~... Pcrnit tio. 1.4~L`.". ~_Date of,,^^Permit `/~~~~~~_Applicaot ~~~(~',G(•~G~ IlealCh Dept. Approval ~ v......__... Undc rvr hers App roval_(_ Planning Board Approval ~ Reques[ for Temporary Certificate Final Certificate Fec Submitted: $...~Y..~^ • ~R-~~----- APPLICANT... _ . Q~ 3~saa c o ~ ?sia3 r~~• 10/14/88 L , FORM NO. 6 TOWN OF SOUTHOLD BIIILDING DEPARTMENT TOWN IiAL 765 - 7802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of alI buildings, property lines, streets, and unusual natural or Copographic features. 2_ Finai approval of Health Dept. of eater supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Svorn statement from plumber certifying that solder used in system contains less than 2/10 of IX lead. 5. Commercial buildings, industrial buildings, multipie residences and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6_ Submit Planning Boazd 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_ AccuraCe survey of property showing all property lines, streets, buildings and unusual natural or topographic features. Z. A.properly completed application, a consent Co inspecC signed by the applicant and a certified abstract of title issued by a title company which shall shvv single and separate ovnership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to Che applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required Co prepare a certificate. C_ For Vacant Land Certificate of Occupancy: 1_ An application for vacanC land Certificate of Occupancy shall 6e submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire Iot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: I. CEKTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions [o Dvelliag $25.00, Alteration to Dwelling $25_00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing duelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial rev. IOji4/S8 . ' TOWN OF SOUTUOLD ~ ~ BUILDING DEPART:fEtiT ¢¢y~ . TOWN BALL D ~ ~ V w^^' SOUTIIOLD, NI:W YORK 11971 DEFT 765 - 1802 BLDG. TOWS GF SOUTHOL APPLICATION FOR CERTIFICATE OF OCGIIPA[1CY 1~ /J~j NEW CONSTRUCTION ._:.__.OLD OR PRE-E%ISTINC EUILDING......VACANT LAND..._.__. Locat ian of Property.. ZG.Q _ D,4`....... SIJU'TNOL~_ _ . _ _ _ . llOUSE NO~ STRCET UAriLCT Owner or Owners of Property... _ _~~~I~2~ C~ '7 GJ +jy! . . . County Taa Map No. 1000 Sect/i-porn Q L 1.. Block ..._'~/©~~11`.. Lot Subdivi.ion.~~~ L(~f7<TS vJf~~~ Filed Map ..r l.U,?-~.LOt.~J..._, GCr~` 1Xrr~yt y1 ~7 Permit Sto. .Y..... Date of Permi[ .._l (f~~ppLicant ~~~~~~C yy~~~~ ..G_.. IIcalth Dept. Approval _,Ly:./~/.1........... Underwriters Approval ~ ~ PLanninD Board Approval l!! V........... Request for Temporary Certificate Final Certificate r~ Fcc Submitted= $ ~G4/ - APPLICANT... ~`y¢~=.=.... Rte,. 3~saa~ ~ co~i~~aa.. rev, IO/!4/88 L • . Y FORM NO_ 6 < TOWN OF SOUTHOLD BIIILDING DEPARTMENT TOWN HALL 765 - 7802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: I. 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). 3. Approval of electrical installation from Board of Pire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of !Z lead. 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the Architect or En vineer resp^nsib le fox tLe bui.diug. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (Prior [o April 9, 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. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership o£ the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state [he reasons therefor in writing to the applicant. 3_ Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1457 shall also accompany [he application_ If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: I. CEP.TIFiCA:;. OF OCCUPANCY - New Dwelu ug $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25_00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00_ 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -"$25.00 Residential $50.00 Commercial cev. 10/I4/SS ~~hr, reL.7cs-lsn~ ~c,~~FFOI.~~~1~ T0~`ri Ur SOt3T1_IOI.D ,?'(:;-~j~;~~ y• 01'f'ICI? C1I' I'iUILDING INSPECTOR Gam-, a'~;rY° z I'O.fJO`C 7179 v~ K,~-=4~"`°i~~'C ~ TOIYN IIALL ~',y SOU'I HOLD, N.Y. t 197 i •-.yol ~ r~ ~s .9y9 To vthom Tlus May Concern, Y ?7e arc unable to complete your Certificate of Occupancy because of the folloo-ting reasons. nn application for""C~e_r"t"if~icate of Occupancy i s not n n file . ~+~~-et C2~ / / rto Underur:.ters Certificate on file. ccus~ t~s, 'i'he checF: t;; (ouLQaLed/r.ut on file.) dS Dto lc~al.t,h Dept. 1lpproval on file. I_/ I:o fina'_ ~nst~ec:tion ham been made. Plc:a;s~ cocl~~_tr 4u>~oi£ic~o~i:kti.~-~sr~t~_er"_'°"`:'~...<_._ _ .rv.C. - .~~y~ t 4`.A . . air s ~ i ~ - ` `P,i~1nk yoti for your_cpapcration~ _ ' Il~rtlt]tr,cJ Pcrrntt- 11 / ~ 0 _~5 Z ,/moo-v v'- ~d~~Q'O'~- IIut 1c7 tnq Dupt. tln Plumbr~r :;older Certificate on file. ' ( all Ix-1_;sit~ involving pluml~inc3 being i~sucd after ,'1pr~1 1,1984 ) I:.LD 11•.~i: ~~.•:l:.i IfUni ~.lJ.~t(~[.uT~ 'O ~ i ~ C4 _ _ I y t =OUIIDATIOId (1st) _ ~ c c =OUNDATI017 (2nd) - - F b Z O - .ROUGH FRAME ~ PLUMBING c l' N i H ~ 3• r n I1dSULATION PER N. Y. STATE ENERGY CODE _ p ~ m / H F I.!!S'L 2 ADDITIONAL COMMENTS• °1 c x . Z G, a w.c,~D kl a ~ m x v H • a H H o c > Z r H L S 0 m -n H 765-1802 ~ BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST j ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS : L DATE INSPECTOR ~ -,c 1 ~ r ~ ~ i r n n ' ~ ~+c ~ i y ~ ~ C~ ~ ~ 1~t6 ~ «w / r° JJ1,pp" ~A1 '`~r ~r~y, ~ T-~.m -.,7y. ~ .n Trn m I 9~ ~ ~ C it _ rh C r 7 N i ~ 2 ~p ~ d, n~ r - r;0= D~~~ ~O ~ I,v n U ~ „a Z ~ ~ n a m~ v y ! to u~ z d jE~ ~~~~rr- ~ C p Om~ ~ ~ I? ~ m"'g m ~~r~ ` t'' ~ a c z m Gn ~ ~ i y v'~ ~ i`~ 1yi ' ii i ~~1 i ; 3~ i!!~ t,~ i tDr ~ s 1~ ddd f`' f Ii I} - - f i ~ << ~ ~ ~ ~ I ~ ~ ~ { i ~ ~ ! 9 tf a` ~ yr~ ~ f 4 ~ - ~ i \ ~Y f ~ ~ ~ ; 3 'SSG. r ~ ~ 9 ~ ~ ~ ~ ~ ~ 1 ~ r ~ ~'u .a. i ' ` ~ ~l ~ ~i) ~ y` \ .,.w....... t ~........~~e~ y ~ ( 1 via'" =~N f •Z ``.'t ~ ``4t 4ti. ~ ~ ~~1 ~~~1 ~ ~ 4~'~~ { ~ ~ ~ 4` r \ 1 5y~. ~ ~ ~ y' l i ~~+y~,\ ~ . \ ` ~ 441 V Iii 1, i ± f\~ ,r '~7s,/ a~ ~ - ' 'r, l y~' ~ S ~frs. t~ 1 ~ ~ ~c~ ~ ~ I~ ~ ~ + " ! a ai ~ ~ n~ ! ~ c.,~ it ~n ro h L .y f n r., BOARD OF HEALTH 3 SETS OF PLANS .5~.,....... FORM NO. 1 SURVCY TOWN OF SOUTHOLD CFFECK . BUILDING DEPARTMENT SEPTIC I'ORPI ' TOWN HALL SDUTHDLD, N.Y 11D71 NOTII'Y -7 ~ ~ pppp TEL.. 765 1802 CALL 7.G~ : ~ G . ~..I.~...., 19~.~. MAIL T0: Examined APprovc... 194 Pcrrrtit No I ~ Ohs' ~S ~ V D Disapproved a1c . g eu... . " TOWN OF SOUTFiOLb (Building Inspector) APPLICATION FOR BUILDING PERMIT y Date :7~~~~.~`:~ 15~/. INSTRUCTIONS a. Tlus application must be completely filled m by typewriter or m ink and submitted to the Butldmg Inspector, with 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 adlomin~ premtses or public scree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl cation. + c. The work covered by this appltcation may not be commenced before issuance of Buildtng Permit. d. Upon approval of this application, the Budding Inspector will issued a Building Permit to the applicant. Such perm shall be kept on the premises available for inspection throughout the work. ' e. No building shall be occupied or used in whole or in pars for any purpose whatever until a Certificate of Occupant shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Butldmg Department for the issuance of a Butldmg Permtt pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the constructton of buildings, additions or alterations, or for removal or demolition, as herein descnbe+ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admtt authorized inspectors on premtses and in building far necessa/ryJins~~ ions. ..6(Il ~ (Sig attire of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder j o2 fi~~~}n~ T ~ ~1~~ <<S'G ~v Name ofo~vnerofpremises (as on the [ae roll or latest dezd) IC applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No G L?N(~ ~ . Plumber's License No . . Eicctnctan's License No . . . Other Trade's License No . I. Location of land on wtitch proposed work will be done . . House Number pStreet Hamlet / County Tai ,MLip No 1000 Section Q 7C(,~..~........ Block y , , , , , , ,2, , , Lot 74.(,~......... . Subdivision .u Filed Atap No. ~Q 3, , , , . Lot ...A (Name) State c~is4ng use and occupancy of premises and m[endcd use and occupancy of proposed cons[7uchon a Eeisung use and occupancy . J ~~~Li7`!'. 1 ! !9: ~:*.°("'1 ~ . b. Intended use and occupancy ......J f7~`.~= 3. Nature of work (check w htch applicable) New Bwldmg Add,non ,Uterauon . Reparr Removal Demohbon Other 1Vork ..x?1~"-G.k.:~s, (Dcscnpuo, 4. Eshmatcd Cost Fee oo t`+",,50, 6Q ,S ; oc7 • (to be patd on fihng flits appltcaLOn) 5. If dwelling, number of dwelling untt~ . . ~v....... Number of dtivcllmg untts on each floor _ . , , , . If tiarage, number of cars ~ . 6. If buscness, commercial or m,xed occupancy, specify n tore and extent of each fype of use N.`.~........... . 7. Dimensio~ of~~istmg structures, tf any' Front . Rear 7d:.::::::: Depth , , , , , lietght ~ Number of Stones . Dimensions of same structure with alterations or additions• Front Rear . Depth Height Number of Stones . Dtmensto enttze new cgnstrucrion. Front Rear . Depth . Heiglit Number of Stones . . yy,, 9. Size of lot. Front ..ar`3d Rear ,a~31................ De th 10. Date of Purchase , st r6.~ . .Name of Former OwneJ~ ..~1`h~C.~PJ . d?CZSG........ . 11. Zone or use disinct m whiclt premises are situated . ~G',SJ1~L+'Y~.~ ! ~'~.....r` . . 12. Does proposed construction via]ate any zoning taw, ordinance or regulation. . YU v . 13. Hill lot be regraded Wffl excess fill be removed from premises: Yes 14. Name of Owner of premises .:~.a~ . /C..~!?~~~;~Idress .Jg'? ,CCIYPCry?. !J1i?, _ Phone No. ~~'.S.: yi?O~ Name of Architect ...........................Address , ......Phony, No. , . Name of Contractor ..........................Address ...................Phone No............. . 15.Is this property located within 300 feet of a tidal wetland? *YES..._NO.:'' *If yes, Southold Town Trustees Permit may be required. PLOT DIAGItAhf Locate clearly and distinctly all buddmgs, whether existing or proposed, and. indicate all set-back dunenstons fn_ pzoperty lines. Give street and block number or descnption according to decd, and show street names and mdtcate wheth intenor or comer lot. ST.1TE OF NE~V Y"ORK, S S COUNTY OF • being duly sworn, deposes and says that he is the applica (Name of mdtvidual si,nmg contract) about named ieisthe (Contractor, agent, corporate officer, ere.) ~f said owner or owners, and is duly authonacd to perform or h.ivc performed the said work and to make and file t] pphcaUOn, that all statements contmncd m this apphca4on are true to the best of fus knowledge and belief, and that t vork wdt be performed in the manner set forth m the application Oiled thercwRh worn to before nit this ~ qq ~otary Public, ~ ./?.4,-. 1:~~~........ County ` REIEN K 1tE VOE • • ~ • Uf~G~~~JI NOTARY PUBItC, Sta+e of New Park (Si~naturt of applicar No. 4767819, Su9foiA Coo Tsrm Expires tdx,cn 30,1 p*}~~~ /W~ . ~V p r~(r~ r w; i ,.~.f Y,. N' V !~._i/ FJ + ~A { t: r ~ ' 4 i~ i ~ ~ '~,tl f J a { ~ I n Cam' is `a:A - j - ~1 //y$}~~:~ a -yam ^4 111 ~~-'N " •J ~ C Ai_i...._ G. - .f @. ~ Ui ' ~E.A~C : s~ti q w , t~ i ~ r - r ~ -ti t 4. P ~ r . r• a~ h ey f`.~a i 'j f T y T r Q S i d n ~ rn z c e r 'A v ~.a41 ~ i ~l f ~ ; ~ o ~ ' ~ h.~. -,r ` ~ .,P.. t#~ '"."y r `t< c7 ~~a yxvnuM1~n vrnur-i m l 'o DOmC C O"~T .„i ~ Q ~ ~ m [~i SCR R ~ m uZr ~ ~ in m ~ ~ a CY m Q m ~ r~~~ ~ ° ono ~ °ao~^a ~ ~ a i c y 4 ~ W 9 `j j \I r i4 ~ ~ a ~J ~ `Z '1 " ~ ' ~ ~ r a A ~ m z ~ in ~ vvv~~' w: r Ori m S r D m s y m r r