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HomeMy WebLinkAbout18268-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildinq Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218187 Date JULY 13, 1989 THIS CERTIFIES that the building ADDITION Location of Property 1225 NORTH SEA DRIVE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 054 Block 04 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 6, 1989 pursuant to which Building Permit No. 182682 dated JULY 6, 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 ADBITION TO EXISTING DWELLING. The certificate is issued to KERT & BRETTA LUNBELL (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. NSA PLUMBERS CERTIFICATION DATED NSA Building Inspector Rev. 1/81 n~oaaa xa s 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) N .18 2 6 8 Z Dare ...........'~...1., 19 Permission is hereby granted to• ~ l ~aas ..~,~:A~.?~~/~~~.~.•~.~.f.~~~-mac :y......l.a.q.~.~............ ro ..~,a.~!.9~.ta..cSt:.....~?r.....(~-?.r:4F-:.~.Ofrawt~....~....JCk,a....!!~~......1.~.~-!?:C~q . ~ ~ ~ ...f.~,4~'.~ at premises located at ...1..•.1:~:,?....~. ...~??:4.-:..!.,d~.V.`4.......... Qr!~4;,i~.~~k.... County Tox Map No. 1000 Section .....f,75..~....../. Block .......5?~........ Lot No... pursuant to applicotion doted ...........tip 19.~q.., and approved by the Building Inspector. Fee $..'o~.~?. 9 c Buildin I for Rev. 6/30/80 TOWN OF SOUTDOLU BUILDING DEPART:ICNT TOWN HALL • SOUTUOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY ' DATE.. June 16,_,1989 . NEW CONSTRUCTION ._..._.OLD OR PRB-E%ISTING BUILDING...X..VACANT LAND..._ Location of Property..~,125.PJ4xtk1:$Qa Dpi,V~,.~Fa~yX~S.D~caC11.,_3outholcl........,, llOUSE N0." ----'STR-EET ~ ~ - HAML'ET owner or owners of Property. _Kert and Bretta Lundell County Taa Map No. 1000 Section ..$,4._. Block ._4...,, Lot'..].},,, Subdivision., Filed Map ........Lot...._..... Permit ;Jo. ......._..Date of Permit APPLicant Q1C1Yle x'.......... Flcalth DepC. Approval Underwriters Approval.............. Planninn Board Approval ' Request for Temporary Certificate Final Certificate Fce Submitted: $,,,,,25;00...._..._. ~ APPLICANT.... KE12T L DELL.• /~-e~ L3 7 ~ Co z/~/~7 to/14/as ` Y FORM N0. 6 2- J' _ ' TOWN OF SOUTBOLD BIIILDING DEPARTMENT II TOWN DAL: 765 - 1802 APPLICATION FOR FERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must bg filed in typewriter OR ink and submitted to he Building . Inspector with the follbwing; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, roperty lines, streets, and unusual~~natural or topographic features. 2. Final approval of Heelth Dept. of vater supply and sewerage-dispos 1(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriter . 4. Sworn statement from ',plumber certifying that solder used in system contains less than 2/10 of ]z lead~i 5. Commercial buildings,' industrial buildings, multiple residences as similar buildings and instal];ations, a certificate of code compliance from the Architect ' or Engineer responsilile 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, 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 separ'~ate ownership 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 whiting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information'Irequired 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 abstr~ct of title issued by a title company showing single and separate ovnership of the entire lot prior to April 9, 1957 shall also accompany the application. I£ a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: D. CERTIFICATE DF OC~UPANCY - New Dwelling $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 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -"$25.00 Residential $50.00 Commercial ~I ~i rev.~l 10/ 14 /S8 ' p $1. ~pp 765-182 ~ BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: r DATE ~ INSPECTOR ~j '1cLD I.:SPEC:iu; IIUniG I~ ~ "UtKMENT° . 'b ~ 1. ~ ~ ro f _a H _ _ _ _ y CG r0U1JDATION (1st) ?OUNDATIOIJ (pad) m~"' 2 . J If z ~ o ROUGH FRAME & PLUMBING ~ y H aj~ 3. ~ ~('tV/ n IIJSULATIOPI PER N. Y. y STATE ENERGY h CODE 4 . y y'O FI;JAL o ADDITIONAL COMMENTS: ~ ~ x . _ P cn x N ~ 9 ' H H ~ O - r - ~ H O. -o ,..3 BO.~RD OF HEALTH N/A . FORM N0.1 3 SETS OF PL.1NS SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FoRCi ...ICI/,P, , , , , , , , , , . TOWN HALL • SOUTHOLD, N.Y. 11071 NOT ~ flans A. van Nes, Esq. ' TEL.: 7051802 CAL ,(914 , 949-1070 ECamincd ......~QQ .s/p lg AfAIL T0: HOLD • • . Approved ~..iP, 1919, Permit No. 1 ~ ~ `DO NOT MAIL ' Disapproved a/c , l f/ D (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .,June•16,...•,,,~ 1589. INSTRUCTIONS a. Tltis 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 5uilding 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 emolition, a herein described. Tite applicant aerees to comply with all applicable laws, ordinances, building cod ~ousin code, nd egulations, and to admit authorized inspectors on premises and in building for necessary inspections. U (Signature of applican or name, i a corporation) 9,6,Barrow Street, New York, NY 10014 (Mailing address of applicant) • State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........................Kert Lundell Name of owner of premises KBX.t . 13xetta..Ltazld~.1~ , , , , , , , , , , , , , , (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Owner Plumber's License No . . Elcctricial~'s License No . . OtlterTradc's License No . Location of land on which proposed work will be done. ' 1225 North ,Sea, Driye , , , , , ..SOlttl~old~, ,Neva York House Number Street • • • • • • • • • Hamlet County Tax Map No. 1000 Section 5.4 , : Block , 4 Lot...14.... Subdivision Filed l,fap No. • • • . • . ~(N~me) Lot............... • State existing use and occupancy ofpremises and intended use and occupancy of proposed construction: a. Existing use and occupancy S?.t}rdle. Family •Resiclestce, , , , b. Intended use and Same • • ~ • ~ • • ~ ~ ~ ~ \ occupancy ~ 3. lvaturc oCworl. chec}, which _ ~ p • • - • • : • • . • applicable): New Uuilding Addition , ,Deck • . , ,Utcration Re air Removal • • • • • • • • Demolition Other 15'ork . 4. Estimated Cost 1 ~ b00. 00 50 (Description) Fee..... : (to be paid on Cling this application) 5• jf dwelling, number of dwcllin'p units Number oC dwelling units on each floor , . varagc, num bcr oC cars , , , 6. If business, commercial or mixl'ed occupancy, specify nature and extent of each type of uses • • • 7. Dimensions of existing structui•cs, if any: rtQ.nL__,_T • • • • • . - Height =af'Sferres'..~.~:I~'L. Dimensions of same structure t~ith alterations ~ ~'T' • • ~ " • " - Depth or additions: Front • , Rcar . . IIcight . Number oC Stories . • • • • • • ' ' 8. Dimensions of entire new construction: Front . • • • • ' ' ' " • Hcigltt Nwttbcr of Stories • Rear Depth • . - 9: Sizcoflot:Front 10. Date of Purchase October! 25 : '~J84 ' Rcar Depth • • • ~ , , , • • ~ ~ ~ ~ • • • ~ '••••••••••...NamcofFormcrOwner ,Diana •A.'•Winecoff•'•""' 1. Zone or use district in ~vhiclt r ' cmiscsaresituated. Sing~e,F mil p I Does proposed construction vto~late any zoning law, ordinance or regulation: ...IQp• , , , , , , , • , • • • . . _ 13. Nill lot be regraded • ~iQ, I , , , , 14. Name of Owner of premises f, ,I,t}r}dell ~ . ' ~ ' ' ' ' ' ~Vdl excess fill be removed from premises: Ycs • No c , Name of Architect _ - • • • • • Address 96. R.asx'ow..St. ,NXQ>hone No.(21.2),2¢2=,Er491. .satn~,,,,,,,•,. .Address „ Name of Contractor .Sagt~, • • ' ' ' ' ' ' ' ' • • • • • • • • • • • Phonr. No.... , y ...............Address • ......Phone No... , . S.Is this property located within X00 feet of a tidal wetland? *YES....NO.X';••• *Zf es Southold Towq TrusCees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly allll buildings, whether existing or proposed, and.oindi cote all set back dim nsions from property lines. Give street and block inumber or description according to deed, and show street names and indicate whether interior or corner lot. ISee survey attached i i ' I II i • i it . III I II I I TATS OF XE1V YORE. OUNTY OF .NEW YO~2K S.~ ERT LUN ELL • . • • • • ~ • ~ ~ ~ ~ ~ • • ~ ' ' ~ ~ ' ' ' ' ' ' ~ ' ' ' ' ' ' ' ' ' • • • • • • • • . • being duly sworn, deposes and says that he is the applicant (~amc of individual si nin•i contract) rove named. =isdtc ..................Ownerli Ii (Contractor, agent, corporate officer, etc.)• • ~ • " • ~}(~Q~{Re,{ or owners, and is duly autltarized to perform or have performed the said work and to make and Glc this phcation; that all statements contain~ld in this application arc true to the best of his knowledge and belief; and that the uk tvill be perfot7tted in the manner sett forth in the application filed Ihcrcwi[It. om to bciorc me this I kh .day of.. i~ l~rJ;C^, ~ tar)• Public, ~F~~t-l'~............ Count 19~ _ y J ,NQTAfiV 1 UdLtC, State uf~ New Vo,g ' ' ' ' ' • • • • • • • . . Quallfled io Sutfaik4 ounty • QOmml&SPWt I r (Signature of applicant) Facptras Marcq,30~ 19,~ I i ~ ~ ~ ra-rc {.:"User ~ct~l''rr`'1 ] ~44.I1:.t~,ICC D 1 Y/ j rr P a. ~ ~ l / ~ ~ D ~ ~ ~ ~ N• ~ ~'i~y . A t ~ _j~ ~ ~1 v , ^D ~ 1 X \i \ X\ \ C ~ x 'y l J?' ~1 ~ 7 ~ „ ~ ~ i~, ~ ~ ~ 1. 1 ~ ~S7 ~ { i L ~ ~ T ~ I~ 3 v~l i ~ I ~ l 1 ~ I Y I _ ii S ~ , r at I - - ~i ..I i C ~~r~,~, tnp„D~mrwTlz~,,,,r=~~:.,~,. ~Y" m m - y r rr+ \ ZNnmOOrC~~~_q~~~ ~20Ctq~ 5=0~2^'~ `Jy~ jI ~$~r-i?~~~mzvzi~z 1 ~ 4, 3m p Om ~ 3 n~~ C r~Z~c p~ tj.t,,m9< y en q Re ~zva ~ ~ O~tM ~ y~~U7d?i, `m ~'.'rn~~ Z C m T3' e!i D m"'; 3 ~ c zz~ H ~ O m -Dj i ~ ~ ~ A I 1 ~ ~~h n ~y y h ~ a _ ~ i P Y~ I ~","1•-J '.~,_t-Wf'ICI"J 's4I~Y1C* 'c? iG'f-il_I.1C~, -~nh~~a ~a~-, t-l.~~acr~.~ S~~^a ~ ~ - ,a-- - T^Z - { ~~t__--•-+~ ' '~4'ggg~y ~ ~ ~ ~ ~ ~ f ^at.~3d /.2N, a°7 V9 ~ ~5 ~ V d Ft CS W ~ 4.. gt;Y~1G .1.#-t~la~7 ~7t dl.lG-A>`~ ?11-.1's~ld dG~ 1s,he~ Z. ~~`t'c~`i4~~~ ~'{;•-~t~g '~t1Mi.Q~ivG DEPARTMENT A7 ~+`~2 ~ Any TO n QM r<OR THE ~-,'s1NYIQ Q1•-1`7r-i _ ? Ft,1~~:,..~i~t,n; tIPo`C7~i~"C2UlRED ' `~~KASVilNG & PLUMBING 21b1 J.'dl, I - - _ 4 ~~i~~~I- - CONSTRUCTION MUST _ ECONSTRUCTtON SHAt,~ MEET - - - - - _ - - - - _ _ Ts-IE REQUIREMENT•6 OF THE N.Y, - - =>??'(E_CONSTRUCTION 8 Et~ROY !'ODES. NOT~~RESPONSIMi IrOR 1.~___•.•_- i~f6RC UCrypM~N1~11g if. u~_- >.t-ia _ fci~ ~ ~ i I ~ f t1, > ~ i ' tLl s Q 11 T ~ , i i _ ~ I ~ - , ~ - - ~ r ~ ~ ~l ~ t~ ~ ~ ~I~~ I ' - 1 ~ ~ /r v c v' ~f ~ ~ V N a ,fi ~ ~ ~ ~ d t~ ( V }}}~~~r~ ~ ` ~ e y ~ L1 ~J , f 9 . . . N~ ~ ~ ~,Jta'rF^i?L-CJ, aif~~F^~~L{L GiEaI'^C{'~{, i''t~~i' S ~I'7"T1~^.t<-= ~ ~~,.Jcv~ ~~k~;Tl~ra`l `~J~t, ~ . ~ ~ d` 1 O oJ~ ~0 i ~ X00' S sae S'e P ~ as• pye V lv' a 00.. 't' , ba o~ ~ 6 /ova p t j 4E ~°ry Oy/Q 2 ua Lq , c Jtl 4° +e I°O`YF P S O / q ,O ~ S 2s N S,O a ~ aa~ o~ry,s =Ja d~J , 3 1. ~ y p4' ° O 'tb ~ aJ \'t~l. i Kf" o ~ ~ t'", o" R"oF /Y 3oa fi ~e O V Ni o,k< o es ~ ~ OO AREA 26,678 so.Fr. ~ o<, F°" r• ~~J SURVEY OF PROPERTY fo tie line zf< + 4° ~ sourHO~o ~q~ F / Q' c'NO ,a~: ~ \~•;3 0 TOWN OF SOUTHOLD ~ a SUFFOLK COUNTY, N. Y. 7( \ 3. !L ~ ° 1000 - 054 - 04 14 2~9ei• y Q- SCALE 1e= 30~ "ti j JUNE 20,1989 AND ~F o ~ tN G9~ yet CERTIFIED TO ~ Prepared Iri amordan[6 with the mini~nam , 1~ ry ,t ~ standards for title survey's as estahlished hf, i J.~, a s ~ NERT LUN DE LL i6° L.hA. L. S. and approved and adopted n N.Y. 9. LIC. NO. 49668 R BRETTA LUN DE LL for such use by The Naw York Smta land O Tdle Asmciati°n. P s R s , a, c. q0 Is eve. 020 n.o.eox sos MAIN ROAD 90UTN04D,N.Y. 11971 89 - 300