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Home My WebLink About17751-zFORM NO. 4 x TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17671 Date JANUARY 12, 1989 THIS CERTIFIES that the building ADDITION Location of Property 275 VICTORIA DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 078 Block 09 Lot 62 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9 1989 pursuant to which Building Permit No. 17751-Z dated JANUARY 11 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 F. DAVID BRADSHAW, JR. (owner) of the aforesaid building, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE NO PLUMBERS CERTIFICATION DATED Building Inspector Rev. 1/81 r~osas xo. a 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~ ~ 17 7 51 Z Date ...~.c......1.1 ............... 19..~ 9 Permission is hereby granted to: ~t- ..~~.~--...~..:~.:...!.!.9.~..i............ ro ..~.A~:~n.~Sr~...G-.....d{.u.c,)G,....~r~.~i..nn.... ~:':c?.....~!n....~ ....A.'z!~.~....... .....,.a.~:....~....~.... ............................c.~>.... ~. . ct premises located at ... a .~......T:.:~.~~:5:~^:..~.y4 .:.............~........................... Counh~ Tax Map No. 1000 Section ....0,2.x......... Block ......~.g........ Lot No....~.a~..~............ pursuant to application dated .....~.flt!'~A~...~ ................. 19g.~..., and approved by the Building Inspector, v Fee $..~~r~..... /.... .........~.~d'::4: .... .. ........ ........ ...... ... Buil ng Inspector Rev. b/30/80 ~` TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN AALL SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE... //~U~~~ .... . NEW CONSTRUCTION .......OLD OR P'R/E-E/%ISTING BUILDING.+"'/ pACANT LAND'\........ Location of Property... ~.~~.. V ~G:1-~~(~~ ... ~~C( V~, - • -~~~~~~ J..l~~ ROUSE NO. -~ STR7EET G1 NAMLET ~/~/~/ Owner ar Owners of Property.....`/.1~1",~/.-!~..1.3~~~5'H!~?~?,,,,,,,,,,,,,,,, County Tas Map No.AA1JJ000 Section .~ll.. Block ~.... Lot .~.rZ.--.... Subdivision...... /V~............ Filed Map ........Lot........,. Permit No. ..........Date of Permit ..........Applicant ................... Health Dept. Approval .................. Underwriters Approval.............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: s-~~-5 GG- ---..-. APPLICANT...~~~`~::~~„~.,-„-",1,,,,,,,,.,_ Q~ve„ 3GyG5 eo ~ i~~6~1 rev. IO/14/88 r'1r:LD I'SPBCiiUtJ ~ ~UATE ~ i;OaKMENTS •v m 1 . H _ - - - - H FOUtJDATION (1st) = I c ~ FOUNDATI0IJ (2nd) m 2. z o ~ ROUGH FRAME & ~ -PLUMBING r ~ f H j 3 . x' m p m IfJSULATI0f7 PER N. Y. y ~ STATE ENERGY ~ CODE x a /~ -~ '~ 4 , ~ FIIJAL ~ i 'f ~ ~ z i ADDITIONAL COMMENTS: ~ ~ :~ 4 . ~ ~ ['} ' x ro• H , 9 ' H H O ~ 2 1 t=1 2 A ~ • r 2 H x o m - o H Memorandum from ... . BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, $OUTHOLD, N. 1'. 11971 765-1802 Jan. 6, 1989 Dear Mr. Bradshaw: I am sorry but I have to return your application. You did not sign it and I would have to notarize it after I see you sign it. You also did not leave us a check which is necessary. Please stop in and sign it in front of me and I will notarize it for you. Yours truly, /~.~nJ dJ2 UD-~°- Secretary " BOARD OF HE \LTH ......=.:. a.. . 3 SETS OF PLANS ............ FORM N0. 1 SURVEY .................... . TOWN OFSOUTHOLD CHECK ...................... FUILDING DEPARTMENT SEPTIC FoRDi ................ ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY c9 TEL.: 765-1802 CALL 7~~ ~ ~ ~ / q ........ ~.. ..... ...... .I.1. 19g 1 MAIL T0: Examined . . '~' ~pw+u~mm Approved ! l.., 198. Permit No. ~.~.~ ~1 ,Zi.. ~~ O ~ ~ ~ .:-? ~~ ~,.~~ l~ -° ~, r::, c: Disapproved a/c ..................................... ~t t~` I . .. .. II .............................. ......... ..~ ~ ~ s ~ I~~p `r ~l~•' ! _.~. A_~,a„„y M. aw 5t.r,~G. Giay'i. . ..... ` ............. TOWN tiF SCiLt c P~E"?l~7 . (Building Inspector) ~~>A-=~~----•~~~<-. APPLICATION FOR BUILDING PERMIT Date .....1~4.........., 1989. INSTRUCTIONS t 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 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. YO GUPQHG (Signature of applicant, or name, if a corporation) 4 OC USE -g UNLAWFUE ~E 'C " , .. , P. o. Box 879 Southold.,. N. Y., .. , . , . ' ~ ~ NAY w,TH O f~{C!ERp Un A Mailing address of applicant) 11971 • n C State whether applicaya i9+~Ju~, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner ............................................... ........................a~Ppbv~®ns Norm ....... . Name of owner of premises P e .David, Bradshaw_,, , Jr, . . . . . . . . ...... • OATE:• •< !1 •A • •B.P•Ji • .!•7.7. ~•~ ( as on the tax roll or late~E~eed~~„n .... ~ If applicant is a corporation, signature of duly authorized of ficer. NOTIFY BUILOiNG DEPARTMENT A7' 765.1802 9 AM TO rl PM FOR THE ........................NSA................... FOLL.OWINGIN5PEC11CN5. (Name and title of corporate officer) 1. FOUNDATION TWO RE(1UIRED Owner ' ,, fOR pOUREO CONCRETE Builder s License No . ......................... ., 2. ROUGH • FRAMING & PLUMBING Owner ' ~ 3.INSUU1TtON Plumber s License No . ................ 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Electrician's License No. Owner , .... , . , , AI.L CONSTRUCTION ~HALI MEET 1HE ItE018RE~NENT3 OF THE N.V, Other Trade's License NoOwner .... , . • , , , , . , , , , STATE CONBTRUf."rIQN ~ ENERGY C004~. NGiI" ~ FOR 1. Location of land on which proposed work will be done . ....... . ..........~N~~NlffRRORS ................... ........ ~'75, Victoria Driye....SoutY~P~d s .N. Y, , .1197? .... . I{ouse Number ~ Streets ............ ................. Hamlet County Tax Map No. 1000 SCCIIO^ .....~8......... .. Blgck ...... 9, .......... Lot ...... 62 .:....... . Subdivision ...................N~A............. .. F.iled t<1ap No. .......... Lot ......... . (Name) .. . ..... . '-. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ,One Family, Dwelling. . .............................. b. Intended use and occupancy ...~?ae. •~' aXa7-l3'• Dvelling. w.i,th, small deck ~! 8X,',14, ....... ........... 3. Nature of work check which P • • • • , • • • • • • • • • Re applicable): New Building .... ,'..... Addition ... fir.... Alteration ........ . Re air ( 'moval .............. Demolition ....... , ...... Other 1Vork ............. . (Description) 4. Estimated Cost......~.4.7.5t00.,,„•••••.••,•••,,,,,, Fee. (to be paid on filing this application) 5. Ifdwellin~, umber ofdwelli •• •••••.•••••••••,••.•••..1••••••••.•. 5 n rig units ... N~A ... Number of dwelling units on each floor ... ,A~/fa If garage, number of cars ~/A • • 6. If business, commercial or miffed occupancy, specify ftyaturc and extent of each type of use .... , ri/~„ , , • • • . • , . , 7. Dimensions of existing structures, if any: Front .. , ,~1,~, , , , , , , , Rcar ,t, Height ...~'!~......... Number of Stories ...... .... 78 ....... Depth ... X3,5........ . 1• ................ ..~~y.. .. ~` imensions of same structure iwith alterations or additions: Front ..`~c.~i... , ..... Rcar ... . ... 8. Dcmens~~nvyp en{t ew cony • • ' Ileight ...... I'~ . , ,,, • , _, ~ , , . Number of Stories ...... . . 1~i s'3f f~"lr...... traction: Front . . -~,~:-~*"`~« j;,, .ear ..14'. ka.. .Depth ~.i~. F.t...... . Height . ,1?ePk , , , , , ~yGu,mber of Stories . ,Deck, , ; • , .. . . . ..... 9. Size of lot: Front ......... : ............ Rcar . , ... e2~.~, ....... , ......... y..... :.... . 10. Date of Purchase ..... • • • • • • • • • • • • Depth ...~~.~, , • , , , , , l0/Fa/.88• ..... . .........Name of Former Owner .A1G.QSta, .S~Opt,$q~'~ ...... . 12. Does proposed constru thon vpremises are situated ...k2E,S~.c)~Y1,ti,~]., &, , Qgxic~x~tu~'pa, , , , , . • • , • ii late any zoning law, ordinance or regulation: ... Ne • 13. Will lot bere~raded ••••'••••••••••••••••••.... ° ' • • • N•n • • • • • • • . • • .. Will excess fill be removed from premises: Yes No 14. Name of Owner of remises k'.I 5 Name of Architect .. , , . • • '•D~vid,BradshawAddress 2•']5 Victoria Dr.Phone No, .7.65- 037 P ... S.e,7,#'.......... Address ...................Phony No. ............... ameyof ConPtractpor ..y ....... ,Self, • , , , , , , , ,Address .......Phone No. 15.Is this ro ert located within 300 feet of a tidal wetland? *YES....NO.... z *If es Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ajl buildings, whether existing or proposed, and indicate ali set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. /~ ~ _T~ `"'.mot ._ ._ -.. ,,~ ~ X '~ ~ irgi~ i~i~r, T i _ l~%~.fl/ J~Y~' /UiT/`/ /~i~i.•~i/1/~ G/t/~?) ,S'i'/~~'f, 1 tl~ i ~ ~Q~~ ~ '~ ,. . .. /! I r~t~ ttt t~ !~~ / D~ //~, STAT~I;OF~j>~K~4~~1*t,~.~ an„•~. S, ~~~ ~ ~ $ //, COUNTI' O')=' ..~.~y,igc29^i'`~J~iMc2~ d~• ,-'F r~ ... ,ty:ftv'..JJ!+};~ ,4{(1ti~UA1'~Y1{J~ !1JT` ... Vein y P Y PP Y.YI ~Ia~i d ~ontract) • • g dal sworn de ores and sa s that he is the a licant above ~ RA1 1Jif/Il1~fMN1 /MiT ' fie is i~IN~~~~0 (Contractor, agent,~corporatc officer, etc.) of said owner or owners, and is duly, authorized to p5rform 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 the mannerset forth in the application filed therewith. Swom to before megthis ................/. .... ~ yy Notary Public, ... ~. , .~.. R.~/d.~..... County ,y~/~~ NE1ENKdEVOE ~ .. i:~~'. -; , , ~~ p ew York _ ~..... . NOTNoRA10s8iA;S~utfolkCuun ...... • .. . Term Expiees Msrsh 30,19 (Signature of applicant) ~, ~ ~i \ FND ~. ' \ ~ NON J~ SURVEY OF ~~~,/ PROPERTY -~ s' `~~ o_ o A T -BA Y VlE W w e°~ ~ ° = ~/ TOWN OF SOUTHOLD j rr _ ~ ~ SUFFOLK COUNTY, N. Y. +s~ ~ `° Q} O 1000 - 78 - 09 - 62 p ~m~~'` ~, ~iL Scale f" = 30' o~~ ,ee oe` ~ ~ Dec. 5, 1988 ~ o" \ ,~, v ~> >s 3~ ~~ ~m_ A /~ •/ Cv cot, ~~ J. P "r ~ ~ / O~.e h SpD 9 \ FNO .~ Fy ~ vy NON V OOQO :. :} Pe 6 q<,4f, ~y ~O. FLI F~ oGSf r t POLE' ~~ s ~ b \ \ \ 9~'of \9 HOOD \*9 T~ \ AREA = 23, 4 02s q. f t. 0 9 p ~" ,, SDP \ ~ a° ry s„ ~'c,. y1 ry0 o~~~e ~~ y h~ by ~q~N ~?,~~ .l9, v~ N/~/ ~ s~ ~ ~O O R per, ~. gtiNF wo„ ,~~, B ~'fi FND PIPE C O~~Meo ~~ o° 0 °~ '~ Bq ~A ~V ~L ~ ~~- 'QO 'QO CERTIFIED TO: F/RST AMERICAN TITLE INSURANCE COMPANY T/TLE NO. 131-S-3151 SOUTHOLD SA VlNGS BANK D. BRADSHAW .~' Prapued in aoeordanoe with tht aNnfwwt atandtrdt for Nth a~rert tt utalNaMd by tAe L.I.A.L.3. and appreyed and adopttd /or auoA we b~~ The Niw Perk 8ttte Lind T/t/e Atatol~t/on. ^ 88 - 710