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Home My WebLink About16858-zFORM NO. 4 TO~/q OF SOUTHOLD SUILDING DEPARTMENT Office of the Bulldmng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17218 Date AUGUST 23¢ 1988 THIS CERTIFIES that the bumldmn% ADDITION L~cation of Property 1130 GLEN ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 2 Lot 29 subdlvismon ~fEST CREEK ESTATES Fmled Map No. 3848 Lot No. 13 conforms substantmall~ to the Application for Building Permit heretofore filed in this office dated FEBRUARY 17, 1988 pursuant to which Bumlding Permmt No, i6858Z dated MARCH 25~ 1988 was mssued, and conforms to all of the requirements of the applmcable provisions of the law. The occupancy for which thms certmfmcate is issued is DECK ADDITION TO AN EXISTING ONE-FAMILY D~I.LING. The certmflcate ms issued to LARS & ASTRI TORKELSEN (owner, of the aforesamd building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 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) County Tox Map No. 1000 Section . ..0.~...~..... Block ........ ~...~'.. ..... Lot No .... .C~..~,~C~. . pu~uant to opplicat,on dat~ ...~~.~.. tl ...... , 19~..~., and oppr~ by the Building Insp~tor. Fee $..~,~'"~......... ......... Building Inspector Rev 6/30/80 TO'~~'~ _.__,[ APPLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 Instructions A. This application must be filled in Wpewriter OR ink, and submitted m~ to the Building Inspec- tor with the fol[owing; for new buddmgs or new use: 1. FinaJ 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 or equal}, 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial bullrings, Industrial buildings, Multiple Residences and simdar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements whale applicable. B. For existing buildings (prior to April 1957), Nonconforming uses, or buildings and "pre-existing" land uses' 1. Accurate survey of p=operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of bullrings, 3. Date of any housing code or safety inspection of bullrings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certlficate of occupancy New Dwellimg.$25.GO, Accessory ~$~O.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.00 3. Copy of certfficate of occupanc¥ $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewCons tructiot~ ....... Old or Pre-existmg Building ............ Vacant Land ............. o auon of ...(I..3..0.. ...................................... . .... . House No. Street Hamlet Owner or Owners of ProperW ./! h ~.A,. . · ·, i /~.~ ~. . . . . ~ ~. ~./~i. . . .~. ff. ~. .~.. .~. ./~. .~. .~. . ...........· · · · County Tax Map No. 1000 Section ... . .. . Block ..... ~.~. ....... Lot . ,, .0, ..~j,~, ....... Subdivision .1~..~-~ .77...<~ .~r.~.~.....E..~..777..'r'~..4 .... Filed Map No. ,~.~..~..OC~....Lot No../.~. ......... PermitNo. 1-~.,~..~.~.o .......... Date of Permit 3. .-'. . .~-Z .Applicant ~./~R-~ "~.~¢~. .... ........ Health Dept. Approval ..................... · . · Labor Dept Approval ....................... . UnderwrltersApproval ................. · .. · ... Planning Board Approval Request for Temporary Cerhflcate ...................·.Final Certificate ....... Fee Subm,tted $.. ~...¥, .~..J?...'c..~.¥. .... Constructmn on above desembed buddmg and pej~mlt me,ets all a~_E~c, able codes and regulations. cant .... ...'. ................... FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FiN~/ ADD] COMMENTS: vICTOR LESSARD EXECUTIVE ADMINISTRATOR (5~6) 765-1502 OFFICE OF BUILDING INSPECTOR ToWN OF SOUTHOLD Town Hall, 53095 Mare Road pO. Box 1179 Southold, New York 1197[ .UILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION t ] FRAMING [ ~FINAL /d~ DATE VICTOR LESSARD EXECUTIVE ADMINISTRATOR (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town tlall, 53095 Man Road P.O. Box 1179 Southold, New York 11971 March 3, 1988 Lars Torkelsen 20 L~berty Street Huntington Station, N.Y. I1746 Dear Mr. Torkelsen: Your proposed deck addition appears to be closer than seventy-five feet from wetlands. You will need to contact Southold Town Trustees for a determination as to location of wetlands. You will also need to contact the Department of Environmental Conservation, 751-7900. If you have any questzons please feel free to contact me. Yours truly, ~_ Buildzng Inspector HENRY P SMITH, JOHN M BREDEMEYER, III, President John Bednoskl, Jr. ALBERT KRUPSKI, 3R , Vice-President BO%~D OF TOW~ T~STEES TO~ OF SO.HOLD Town Hall, 53095 Ma~n Road P O Box 728 Southold, New York 11971 March 25, 1988 Mr. Lars Torkelsen 1130 Glenn Road Southold, New York 11971 TELEPHONE (516) 765-1892 Dear Mr. Torkelsen: Pursuant to your request for a determination of jurlsdlctlon by the Board of Trustees, please be advised that the Board has conducted an on-site inspection on March 17, 1988. It has been determined that th~s project ls within the Trustees ]urlsdictzon. The Board has granted you a waiver of wetland ordinance for the construction of a 12' x 40' deck addition. the Please be advised that there zsa $25.00 fee for this application which ls due and payable at this time. Should you have any questions or need additional information, please do not hesitate to contact this office. Very truly yours, ~J/John M. Bredemeyer, President Board of Town Trustees JMB:~p cc: Bldg. Dept. file Memorandum from . . , . BUILDING INSPECTOR'S OFFICE TOWN 01~ SOUTHOLD TOWN HALL. ,~OUTHOLD, N. Y 11971 765-1802 February 8, 1988 Dear Mr. Torkelsen: I am returning your application. Please fill in Question #4--estimated cost. Also indicate the distance from the deck to the rear of the property. Thank you. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ]~FINAL ,~ REMARKS: DATE . o 'C/ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY AF~OVED AS fig. TED NOTIFY 8Ui~ [ ~NG ',~m',~,~E~ AT FOR c'OU~i ,~°~(l~,' ~ AL~ ",'"'~ ",t"".'", ,~'~g MEET -HE 4<~'~,- .'""" ~ r14~ Examined Approved Dlsapproxed a/c BOARD OF HEALTH --~'..- 3 SETS OF PLANS'~-' · omNo suRvEY :,3 : :,f 0;r° CHECK - - YO~M O~ SOUYHOLD BUILDiNG DEPARTMEnT SEPTIC FORM .............. TOWN HALL $OUTHOLD, N.Y. 11971 TEL 765-1802 NOTIFY CALL ................ XAIL TO. (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT. 'rOWN OF $OUTHOI.~, Date , 19 . INSTRUCTIONS a. Tins application must be completely filled m by typewriter or in mk and submitted to the Buddmg Inspector, with sets of plans, accurate plot plan to scale Fee accordmg to schedule b. Plot plan showmg Iocatmn of lot and of bufldmgs on premises, reIatmnshtp to adjommg premmes or pubhc strec or areas, and givmg a detmled description of layout of property must be drawn on the diagram which is part of thzs app cation. c. The work covered by tlus application may not be commenced before issuance of Buildmg Permit d Upon approval of thru apphcatzon, the Bmldmg Inspector will issued a Bufldmg Permzt to the apphcant Such pern shall be kept on the premises avadable for mspectlon throughout the work e No bufldmg shall be occupied or used zn whole or In part for any purpose whatever untd a Certificate of Occupan, shall have been granted by the Building Inspector APPLICATION IS HEREBY IvlADE to the Buddmg Department for the mquance of a Building Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordnances. Regulations, for the construction of buddings, additions or alterations, or for removal or demohtton, as hereto describe The applicant agrees to comply with all applicable laws, ordinances, buildmg code, housmg code, and regulations, and admit authorized mspectors on premises and m bufldmg for necessary inspec_ tl°nc~ (Signature of applicant, or name, if a corporation) //so (Marling address of apphcant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electnman, plumber or bullde · ........................... Name of owner of prelmses / /1 t~ ~ ~-~-7.,R/(AvL -~ ~" . . (as on the tax roll or latest deed) lfapphcantisacorporatlon, s]gnatureofdulyauthorizedofficer ~t't~l~&~ ~'"ou'~,r~' ~-Z~'~r,4'(t~f' ~ OI)& (Name and title of corporate officer) /..~Z~ e,, t~,J, ,.~ o'~'~ ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .... Plumber's L~cense No Electrlclan's License No Other Trade's License No ........ Location of land on which proposed work will be done House Number County Tax Map No 1000 Section Subd~iston ~&~ C~ Street Hamlet O 78 Block . ffgT'OTl"tl Filed Map No (Name) Lot 0 ~l q. Lot / ~ 2. State existing use and occupancy of premises and Intended use and occupancy of proposed construction a Existmg use and occupancy P~.T". 7"l~.~d .. ,~.(4~,.O~r~.-'-g ....... b. Intended use and occupancy Nature of work (check which applicable) New Budding Repmr Removal . ,. Demolition 4 Estimated Cost r~ ~ q~ . . 9 10. 1I 12 13. 14 Addltlon ~L. Fq .~.. Alteranon . . ...... Other Work .. (Descnpllon) Fee (to be paid on filing this application) Number of dwelhng units on each floor .... If dwelling, number of dwelling units . If garage, number of cars ... i5. Is this property located wzthin 300 feet of a tidal wetland? *Y~ ..... *If yes, Southold Town Trustees Permit mav be requzred. PLOW DIAGRAM If business, commercial or mixed occupancy, specify nature and extent of each type of use ........ Dirhe. n~l~ns of existing structures, if any Front Rear ....... Depth Height Number of Stones . t'/r~'I ~. /.j.l: 4./'C.~. ........ i .... '.. Dm~ensmns of same structure with alterations or additions Front ....... Rear .... Depth $ . . I el t ...... Number of Sto es D~menslons of entire new construction Front . Rear ............ Depth ...... Height ... Number of Stones Size of lot Front [IJt~ * Rear 7~,V.~. r ?.~.,~'~.' ~'. ii. 'D;pth '/;11~ rl .~.~.'~ ...... Date of Purckase ...... Name of Former Owner ............ Zone or use district in which premises are situated .......................... Does proposed construction violate any zoning law, ordinance or regulation ................. Will lot be regraded ............ Will excess hi1 be removed from premises Yes No Name of Owner of premises . .. Address ........ Phone No ..... Name of Architect ....... Address ....... Phone No ......... Name of Contractor ................. Address .......... Phone No .......... Locate clearly and distinctly all buddings, whether ex~stlng or proposed, and indicate all set-back d~rnenslons from property hnes Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 16' 7 STATE OF NEW YORK, S S COUNTY OF . . ·. /-~ a 7-~/~/~/'~t-~/r'~ .. being duly sworn, deposes and says that he is the applicant (Nmne of individual signing contract) above named He ~s the ~ ~ ~ ~ ............................. (Contractor, agent, corporate officer, etc ) of smd owner or owners, ~d :s duly authored to perfom or have perfo~ed ~e smd work and to m~e and file tMs apphcatmn, that ail statements contmned m th~s apphcatton are true to the best ofhm knowledge and behef, and that the work will be performed m the re=net set forth m the apphcatmn filed therewith. Sworn to before me th~s . . ~. /..~..~,'day of ~C-~ ........ 19 ~ No ta~ P ubhc, ~/:~. C~~unty '1 f ~' COUNTY DEPARTMENT OF HEALTH S,I:RVIC ~)R, APPROVAL OF CON.~T~UCTIOt'4 ONLY __ 1t5 R~.F, NO. SURVEY FOR LARS TORKELSON & ASTRI TORKELSON LOT I~,, "WEST CREEK ESTATES" AT $OUTHOLD TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK br., DATE: AU~ $C,a~.E ~ NO. 83