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HomeMy WebLinkAbout17269-z ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17819 Date MARCH 8, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 790 CLIPPER DRIVE SOUTHOLD NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 4 Lot 17.7 Subdivision HARBOR LIGHT ESTS. Filed Map No. 7703 Lot No. 83 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 1 1988 Aursuant to which Building Permit No. 17269-Z dated JULY 27, 1988 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & COVERED PORCH The certificate is issued to TOR & JOAN TORKELSEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-99-Mar. 6, 1989 UNDERWRITERS CERTIFICATE N0. N059563-FEB. 21 1989 PLUMBERS CERTIFICATION DATED JAN. 18, 1989 - MIKE JACOBI _ ~ ` Building Inspector Rev. 1/81 FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N ~ Z Date .,1~......~`....~ 19~5~ 017269 ~ Permission is hereby granted to: G~~2. ....~..~~~.y/~,~.......~..... of premises tocoted of ...77...Q..... ......~~i.Lf/..`P .............................................................................p...............................//..~~............................................... County Tax Map No. 1000 Section ...........,l.../....... Block .............T..p.~.Lot No.........1.7...7.... pursuant to opplication doted ~.l~ 19p.(~., and approved by the Building Inspector. ~ 7~~ Fee 02 B~~~~ding Inspector Rev. 6/30/80 `4 1I t . ~..p: (Qox I y75 ' ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT ""''""°"j ' (i 1 G.Y, L~', t~ ~J L~ TORN HALL t- ~ i t,/,c SOUTHOLD, NEW YORR 1 1 97 1 ! t~ ~ ~ Q 765 - 1802 lug v TOWN O APPLICATION FOR CERTIFICATE OF OCCIIPANCY - DATE .4~~ / ~ . NEW CONSTRUCTION ..:....OLD OR PRE-E%ISTING BUILDING...... VACANT LAND........ '"7 ~J Location of _Property..l.!•~....S.~l!~~L~..D04°..,..,~OU~l7QCr{~O1[::`..~,..e HOUSE NO.{ STREET (HAMLET Owner or Owners of Property...) nl~, t..':S U~fti , ...f ~ ~,/~CrC J'~7S'.j"l~ _ _ C~' L / 1 County Tax Mapj~No. 1000 Section Block Lot .~~i~ Subdivision//.++~~`'`~~U~~.~~~rN~ .~scSJ'~}J"~iled M7ap//~y`^5,~y~"~~.~Lot..C~.~./... ,i Permit No. X1.1. ~ :"Date of Permit ..1. I~ r. 1.Q f~Applicant ~ d~../`.. ~~~~C4 C~C~~ So 9 9 .vS~'36 3 Health Dept. Approval .,~~~~p~j......... Underwriters Approval.~~ Planning Board Approval Request for Temporary Certific//ate Final Certificate v c~ Fee Submitted: $..a`tJ.! O V APPLICANT. . Co ~.l7fsl Q rev. {0/14/88 THE NEW YORK BOARD OF FIRE UNDERWRITERS NAr.?: 1 1 Q004R4 BUREAU OF ELECTRICITY 86 JOHN STREET. NEW YORK. NEW YORK 10038 paw £RNRIfAHY 71 ,.IN84 APPlieationNo.onfile 5854038818$ )<a G6456_i THIS CERTIFIES THAT only the electrieel equipment v dsscri6ed below end intraducad by the opplicent nomad on the a6oro epplieatton numher in the promises of OR TORRBhSF:N, 790 CLYPk~1+:R ORIY[:, SOU'PH03~ll. N.Y. in thefdbwinR bcotbn; ®Basement ® ist Fl. ®Snd Fl. OIiT Sertion~g BloelQ Lot 37. f waa examined on FF.BRt1ARY 09 , 19$9 end found to Hein rnmplianre with the reyuiremenrs of this Board. RXTURE RXTIRIlS RANGES COOKING GRCKS OVENS qSN WASIRtRS D(NAUST FANS OUTSETS AUEf SYVITCIIRf INCMIDlSCEM.PlUO11ESCEM DTXEn MAT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. N. 1. 46 5 54 43 7 ] 8.8 1 1 . ~ 5 DRYRRS FURNACE MOTORS IUi1M! ANt1ANCE IgOMf fFWAI RRC'M iYAE C10CK4 R&L UNIi HEATERS AWlT40UT1ET gMMERS AMT. K. W. dl K P. GAS M. P. AMT. NO. A. W. G. M1T. Mfr. AMT. AMPt. TRANS. AMT. n 1. ~ ~ ~1 AMT. WATTB F 1. :i0 1 SlRVKE DIfCOFBElCT NO.Oi S E R V 1 C E AMT. AMI. Tn2 ~ 1 / ]Y/ I / T4 ] / NM ] / M ~ER 1GONU. d CC COND. d Xb1EG NO.OF NEUTKAlS OF iiWEUTGIIAI 1 goo r.H 1 1 ztn i fo o1NER AMARATUE: 3ACt3t'1,) -1. NOTORS:1.-1 H.P. SH(tRF: Ah't'%CT(7R:-1 9'RAt'it (ILCHTT.NC,:-.3 RJCHARO KIIF:INFt~i10'P hT.C.#665 R 114 CARIITON AVF 1St,TY Tk:RR., NY; 1375; 11 Per rv Thit nAificaM tmRt not bE alNred in any monner; return ro tM office of the Boord. if imomct._ Inspectors may He it1aMH'wd tMir credentials. COPY FOR RIRt,DRIG DEPARTMENT. TNIS COPY OF CERTIFICATE MIxiT NOT RE ALTERED IN ANY MANNER. - TEL. 765-1802 `pc~V~FOCrY~D~ TOWN OF SOYTTIIOE.~1 l ~c OFFICE OF BUILDING INSPECTOR o P.O. BOX 728 u' ~ TOWN HALL y0 ~ ~ ~ `r SOUTHOLD, N.Y. 11971 ~~Ol ~ ~~p C E R T I F I C A T I O N - Date Building Permit No. Ito ~ p Owner /p-y~oi~i?~~.Q~~~ (please print) Plumber M i KE 7lir~a(3 t (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. r ' (plumb is signature) Sworn to before me this j~ day of ~~~pity .f/2 19 y9 Notary Public Notary Public, County HELEN OL DE VOE NONOR4767a7iA, SuPFOIk CouniyQrk Term Expires March 30,18~~ ~;LD I;:SPEC>i0N ~~UAiE ~ COMMENTS ~ ~v ' 9 H H ` 3 FOUNDATION (1st) _ ~ ~.1.~-, _ ~ FOUNDATIOtJ (2nd) _ z. ~ ~ z o 4 P,OUGH FRAME & PLUMHING? 'GN`P.. • ~ 3. ~ r~ I2JSULATIOPt PER N. Y. y STATE ENERGY ~ CODE x a. I /l s X.-.J y F T id A~[. ~ 0 z ADDITIONAL COMMENTS: ~ 3 0 ~,S D y 9 ~ _ b~ H a~ H H O O 2 ' T C7' CO t y ~~F~~~(C TEL. 7G5-1802 ~,~p OGy TOWN OF SOUTIIOLD w l~+ ~ ~ OFF'ICI? OF BUILllING INSPECTOR z P.O. BOX 723 ~0 ® ' ~ TOWN 41ALL ~~Ol ~ r~Ot" SOUTIIOLD, N.Y. 1 1971 January 20, 1989 ' TOR TORKELSEN 15 BRUSH PLACE HUNTINGTON, N.Y. 1148 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. ~k~/ An application for Certificate of Occupancy is not on file. Enclosed I~/Cx/ No Underwriters Certificate on file. ~X/ The check is(outdated/not on file.) $25.00 !~x/ No health Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Tl~arik you for your cooperation. I3ui1<iing Permit !k 1 7 2 6 9 Z TOR TORKELSEN Building Dept. DIo Plumber Solder Certificate on file. ( all permits involving plumbing being issucci after April 1,1984 ) ' ~~~-~9 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 157 [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ 7 FRAMING [ FINAL REMARKS: DATE ~ INSPECTOR ~~z~~ 765-1802 BUILDING DEPT. INSPECI'I [ ]FOUNDATION 1ST ( ] ROtiGli PLBG. [ ]FOUNDATION 2ND [ ] 1 CATION [ ]FRAMING [ )FINAL J _ RENAARKS: _ , "-"z~~---~- -.;L.cE-~ ~ , DATE ~ I INSPECTOR ~4 765-1802 BUILDING DEPT. INSPECTION FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ ~G-- s-e~ \ Q DATE ~ IN§PECTOR l 222~a1 ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( ] ROUGH PLBG. [FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS:, ~6:-u~~ ®t } DATE ~2 3 ~g~INSPECTOR ~ 7~~q r~.~$®2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ~RAMING [)FINAL ~~.Q,~ DATE ~ a ~ ~0 INSPECTOR/ 1~a~9 765.1802 BUILDING DEPT. INSPECTfON [ ]FOUNDATION i5T ( } R UGH PLBG. ' UNDATION 2ND INSULATION FO [ [ ]FRAMING [ ]FINAL ,q~ REMARKS: L'~~~/~-fG'~~iyi~~ ~K--~ -CrA.~_ 4 DATE INSPECTOR i _ ~.C~r ~~~r. ~ VICTOR LESSARD 1,3'~ ~ EXECUTIVE ADMINISTRATOR 8S'1 t *Sfd ~ Town Hall, 53095 Main Road rs°. Is15) yes-ISOZ "~`z ~ P.O. Box 1179 d%,,~` Southold, New York 11971 1' OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD July 21, 1988 Mr. Tor K. Torkelsen IS Brush Place Huntington, New York 11743 - Dear Mr. Torkelsen: In regards to your application for a building permit for a single family residence at 790 Clipper Drive, Southold, New York, County Tax Map 1179-4-i7.7, please be advised we do need approval from the Southold Town Planning Board in order to issue a permit in Harbor Light Estates, Section 111V. Very truly yours, SOUTHOLD T04)N BUILDING DEPT. Thomas Fisher Building Inspector TF:gar B0.1RD OF HEdLTH 3 SETS ~ PLANS FORM NO. 1 SURVEY TOWN OF SOUTHOLD CHECK ?-I.a6{ • • , . _ • • • • • . • . BUILDING DEPARTMENT SEPTIC FORDi • TOWN HALL • uDUTHOLD, N.Y. 11~J71 NOTIFY • TEL.: 765-1802 CALL ff~~ MAIL T0: ~021C~Lg(-_h( Examined.~!~•~•.......,194!. IS` 13L'UgF1• PLW~c~ Approved I9~~PennitNo. /7.%~6/..~ 4-~Unl~rhvG~ntt I\ly il-7y3 Disapproved a/c 1166!!!!{1`x(4' ~B ~~_..yy~~tt ~rr~[~1.,~woo.~ 1.~. ..llL.. i . V411. fi~Y+JDD ( tildin^ nspector) BLD Ed'T. `~TOWNU 80!liHOLD'~`" APPLICATION FOR BUILDING PERMfT ~{r/ Date `~.UL.(.. ~......,1rY.a. INSTRUCTIONS a. Tlus 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 ]ocation of lot and of buildings on premises, relationship to adjoining premises ar 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 hall 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 Re;ulations, 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 necessarv~us>Sbc ~o~ns~'r~ (Signature of" applican``tJJor name, if a corporati`o/nom) ' (Mailing address of applicant) Slate whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~bf2 j~ J 1~ 12~~C-~C,f C (as on the tax roll or latest deed) 1f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ..C~, WWC'YC Plumber's License No. .d.(!`!~C~ Electrician's License No. .Q W . Other Trade's License No. ~.w~~J.~~~:....... . 1. Location of land on which proposed work will be done . . ..7~6 ~LIO~~~C . ~~1 V.~ -~av'TH~ ua ~u.~ . ouse Number : St~jreet~ J Hamlet County Tax Map No. 1000 SCCUO? 0 ~ 1....`..... Block • ~J . , • , , , • • • , • • , Lot . , 1.7~• ~ , ~J Subdivision /iz/(Y3~lZ L`/G/a%S..G'fJt`~{C~......... F.i1ed Alap No. ( 0~....... Lot . . (Name) '`i State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy NO["'L- b. Intended use and occupancy '"t ~~L • ~ • • ,~C, C,S/D~fv C~`° I' 3. XN2eta~r of work (check which applicable): New Building . / , , Addition Alteration P Rcrrjoval Demolition Other 1Vork . 4. lstimatcd Cost ..~,J~, O/ pool, (Description) Fee..................................... g (to be paid on liling this application) 5 If a`ragennumber of carswcll~ I'', units .....1 , , , , , , , , . Number of dwelling units on each floor . Ca 1...... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. ~LmitYsions of existing stru NU~s, if any: Front , , , Q , ,Rcar . Depth . berofStorics p fth alterations.or additions: Front , • • ~ ~ ~ ~ • • ~ • • ' ' ' Dc, tlr e. , r.. ew constn . Ilcight , Rcar . ' 8. Dimensio Nump of Stories . He,inht rons`o same structure w • . • • • • . • • • Rear Depth N`~, , , , • • ~ • ~ ~ • rction: Front g Number of Stories 9. Size of lot: Front . a~3 ~ Rcar .2~J . < Depth .!.`C3,.rp.. Name of Former Owner lyRr2aL~..>?~;Li=s~, , , , , , • • . • . 110. Dune or use~district'in`w}iich- rc ~ p ~fnises are situated ;Q~:Si,?~}~,Ti,Q-~,, • , • • , • • , 12. Does proposed construe ron vio 8t ny zoning law, ordinance or regulation:.+~1 C1 . .,l 13. iVi11 lot be regraded . ~ L, ~~~e'~' , , IVill excess fill be removed from premises: Yes 14. Name of Owner of premises ..Tof?, X ,~¢~CI~C-?J¢~r.? Address !S, ;t???L~sif, nc• ,N~~°'C phone No. -r 1. `1:5,3,0, , , , , Name of Architect t: ~!~r4r'hf , , , , , , , , , Address UIE'W Name of Contractor .%Al!,/4G~S.F~', ,~~P°~3,~p~~~ ~ • • • • • • • • Phone No.. . r-~ .+~"tJ~ddICSS a~ Jsoirtf!ff , Pl., . r4/V Phone No.:5 Y.~ :`'.3.~~ ; ; , , , 15.Is this property loco ed within~00 feet of a tidal wetland2 *YES....NO::-: S *If yes, Southold TownlTrustees PermiC may be required. I PLOT DIAGRAM Locate clearly and distinctly all ljuildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block n(tmber or description according to deed, and show street names and indicate whether interior or corner lot. ~ a ' li l ~,I _ ~ STATE OF' NEtV YORK, COUNTY OF . a g • • • • • • • • • • • • • being duly sworn, deposes and says that lie is the applicant • • . • ~ •(Namc of individual si~nin ebntract) above named. IIe is the . (Contractor, agent, corporate officer, etc.) ~ • ~ • ' • ~ ' • of said gwncr or, owners, and is duly aut~rorized to perform or have performed the said work and to make and file this application; that al] statements contained ''iin this application arc true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ......day of 19 ~8. Notary P. ublic, t Count ' NEIEN w oe vat l ,~~1 0~~~ . NOThRY PUBLIC, Sbie of~~Noeeuuw Yerlt . 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