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Home My WebLink About32143-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32057 Date: 12/07/06 THIS CERTIFIES that the building ACCESSORY Location of Property: 955 KAYLEIGH'S CT (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 31 Block 4 Lot EAST MARION (HAMLET) 16.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 20, 2006 pursuant to which Building Permit No. 32143-Z dated JUNE 20, 2006 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 STORAGE SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to RICHARD W & NANCY A. JENSEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ed Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BU"oDlNG DEPARTMENT TOWN HALL 765-1802 \-, ,', 'e'''"' C . 6' APPLICATION I,'OR CERTIFICATE OF OCCUPANCY (.j) This application must be filled in by typewriter or ink and submitted to the Building Department with the following: , A. For new building or new use: \... I, Final survey ofpropeJiy with accurate location of all buildings, property lines, streets, and unusual natural or topograpbie features, 2, Final Approval from Health Dep!. of water supply and sewerage-disposal (S-9 fonn). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder nsed in system contains less than 2/1 0 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a eeliificate of Code Compliance from architect or engineer responsible 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 propcr1y sho\ving all propc11y lines, streets, building and ullusual natural or topographic features. 2. A properly eompletcd application and conscnt to inspect signed by the applicant. If a Certificatc of Occupancy IS denied, the Building Inspector sliall state the reasons thcrefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00. Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessOlY building $25.00, Businesses $511.00, 2. Certificate ofOccupaney on Pre-existing Building - $IOO.O() 3. Copy ofCertificatc of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary CCl1i!icatc of Occupancy - ResJ(lential $15.00. Commercial $15.00 / New Construction: __~____ Old or Pre-existing Building: __. Location of Property: _L? 5__ K A '1_~]'~_ (' u tJ d House No. ----0- Slreet J Owner or Owners of Propeliy: _ "RLchJciW__',J-. NflN e.-ir- _ €_ () Suffolk County Tax Map No 1000. Section _ _3 l Block Date. / d - -5 - 0 L. __ (check one) ~LJrjtlLJ cD'--- Hamlet 5-e- n '-t Lot IJ..o , I~ SubdivisiOJl '3 ---5-- pcrmitN().~__ j u (l..L :to- \Jail' of Permit 0 (-?. Filed Map. Lot: _ ;\ppliean~dct1dJe.() ~ Health Dept. Approval: __ Undcrwnters Approval: Planning Board Approval: _--=_Final-celiificate: _ V:::one) Request for: Temporary Certificate __ 00 Fee Submitted: $ ~:5. t; I' jIMti tV J (1 )L--J"- Applicant Signature ~.I\t.-\fO Co '1::3;).057 FORM NO. 3 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) PERMIT NO. 32143 Z Date JUNE 20, 2006 Permission is hereby granted to: RICHARD W JENSEN 955 KAYLEIGH'S CT EAST MARION,NY 11939 for : CONSTRUCTION OA AN ACCESSORY SHED IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. THIS PERMIT REPLACES BP 26022. 955 KAYLEIGH'S CT EAST MARION at premises located at County Tax Map No. 473889 Section 031 Block 0004 Lot No. 016.012 pursuant to application dated JUNE 20, 2006 and approved by the Building Inspector to expire on DECEMBER 20, 2007. Fee $ 75.00 " -, ) -, .!L,-Z~v--CI-~; .L/r---k~~ i Authorized Signature ORIGINAL Rev. 5/8/02 - 3J-IY3 .-~-- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] I~LATION [ ] FRAMING I STRAPPING [~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ~(L/ REMARKS: ;Jo ~~ < , DATE INSPECTOR . . . '3 J--IV3t;- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [J INS ON [ ] FRAMING I STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ;::;;SJLJ J;rH-e-) I tV 7lff- ~1.- t " No I ffu_c DATE o /J-3 /o~ ! ( INSPECTOR :12~!~~~~Si!i~:~~~2~!~~~_E~!~~~~-~~~~~_~~~~~~~~~~~~~~~~~~~~~~~~2~~~~~~~~~~~,,~~:~~~~~~ ~ II II II II ;:----11---- - --~--- ---- - --- ------ - -- ------ ----- II II ~--------*---------- II It ~_----~1- ~__ II II II II r-----Il n 11 rr---------ll JNDATION (2ND) " " =~~~=~~~=~~=~~~~==~~~~~~~~~~~~~~~=~~~~=~==~~~~~~=~~~~~~~~~~~=~~~~=~~~~~~~~~=~=~~~~~~~~~= II 11 ~ J!___~_____ .---------- 11 II II II If--------JI- ---------- ----"-------------.--- II II TI ---------~!--------------- - .------------.---------- II 11 n II II II rr------~~t II II u II :======================~========~======================================================= II U II II " " -::----------11 " " II II t II II II #---------11 " " " " tt II II II 11 II II ------jl II II ==~~~====~~==~~~=======.==~~~===~==========~=~===--~~====~=~~====~~====~~=~====~~~~===== ~3jO~ h&s: 70 77M- G.(~ tI It II T L- " II -----tt II 11 k1.H/;a II 1\ 11-------11 " ~ ===============~~=====~~========~==- INDATION ( 1ST) JGH FRAME 6, PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ------------------------------------------------- ------------------------------------------------- ADDITIONAL COMMENTS: .---------------------------------------------------------------------------------------- .---------------------------------------------------------------------------------------- '" '" ?i '"' rl "" ~...\).: -V '<V.+- 'W\Y c; '" '" ., J; I,~ I (\ T~ ~ L'\ ^ ) ~ v '( :<l (, ^ r ;- (' ~ ~J.~ ~ 0 '"' o 0 _~____~~_~_____ Z-l g; > r' t> ;J '" y '" '" rl Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD "'--- . .--It' . - 1- / :2? ~ June 14th 2006 Richard W. Jensen 955 Kayleighs Ct. East Marion. N.Y. 11939 fJa j/7q CAA .1 / ) Ul!)l/tI RE: 955 Kayleighs Ct. S.C.T.M. 0310004016012 7j--~ ()C! Dear Mr. Jensen, Please be advised that your Building Permit #26022 issued October, 8th 1999, has expired. According to the Code of the Town of South old, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of$75.00. At that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. JUN 2 0 .--' FORM NO. 3 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) 3)- \ ,r~ PERMIT NO. 26022 Z Date OCTOBER 8, 1999 Permission is hereby granted to: RICHARD W JENSEN 300 FOURTH ST GREENPORT,NY 11944 for : CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. at premises located at 955 KAYLEIGH'S CT EAST MARION County Tax Map No. 473889 Section 031 Block 0004 Lot No. 016.012 pursuant to application dated SEPTEMBER 3 1999 and approved by the Building Inspector. Fee $ 35.00 . .~ ~n~ ORIGINAL Rev. 2/ 19/98 ~ FOlUl NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTIlOLD, N.Y. 11971 mL: 765-1802 Exanired..~t:f....~...., 19.2/ AfTpr<Ned. .cr-c-t':..~...., 191.1 L. 30-1'1") ~ Pennit lb. ................ DisappWlled alc .................................. ....................................................... APPLICATION FOR BUILDING PEIUlIT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTI C FOIUl ................... NOTIFY: ( 1-177-2:5 3 ( CALL .................. MAIL TO:... Ss:;............ r hre ,~"Ft C. T ~ r1 ""',' ,.':"\1....;,<r~:.'............... \1 In '. ,- ~'N II \"--. ~m?/.lJIJ../~.....((.'T./.'1. J.\' " 'o"Cl '~', '_.~ L-- - \ ') ,.~~-~....- . . '7 DateJrP.1.?...... ,19.'!.~ a. 'This application IIlJSt be ~letely filled in by typewriter or in ink and subnitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shewing location of lot and of buildings on premises, relationship to adjoining premises or JUblic streets or areas, and giving a detailed description of layoot of property 11l1St be drawn on the diagran ..tJich is part of this application. c. n",..erk covered by this application my not be camenced before issuance of Building Pennit. d. ll\XXl appWllal of this application, the Building Inspector ,rill issue a Building Pennit to the applicant. Such permit shall be kept on tlle premises available for inspection thrDlJ!!Jloot the work. e. lb building shall be occupied or used in ..bole or in part for any p.rrpose ..tJatever rntil a Certificate of Ckcupancy shan have been granted by tlle Building Inspector. APPLICATICN IS IEREllY MAlE to the Building DepartDent for the issuance of a Building Pennit p..trsuant to the Building Zone Ordinance of tlle Town of Soothold, Suffolk Gamty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of bJildings, additions or alterations, or for renDVal or dennl irion, as herein described. n>e applicant agrees to ~ly with all applicable laws, ordinances, building code, haJsing code, and regulations~ ani to adnit anthnr17.eQ inspect:.0r~ no pr""""; ~~s W ;':1 hoildil":'g for PeCeSf:3l.)1 inspe-ct;ons. . .1?~(J.; .cf!e./7.1De/YJ............ (Signature of applicant, or Dale, if a corporation) . .1."?~~ tdy.lr::,f:,~. :-l. .e7..E 1!>.7.d7!-<":.Q0/ (Mailing address of applicant) /1 q 3'7 State wi.1ether applicant is owner~ lessee, agent, architect, engineer, general contractor, electrician, plwber or bJilder .........9.. ~.'!. !'!~.t............................. .-................................. .APPROYED.AS.NOJED........... Nane of owner of premises.... .10.c.~ .h/k: /..~ .,y/J.('/.c.l.... .:;:;;'~::(S.C';J1ATf.:.I. ~.:~:I.I.. ,~"P, ~~.' / (as on tlle tax roll or 1 atest deed) FEE: .') ~ BY: _ , If applicant is a corporation signature of duly authorized officer. 'NOTIFY BUILDING DEPA EN AT , 786-1102 9 AM TO 4 PM FOR mE FOLI..O'NING INSPECTIONS: 1 FOUNDAnON . TWO REQUIRED FOR !lOURED CONCRETE 2. ROUGH . FMMING . PLUMBING 3. INSUlATION ' 4. FINAL. CONSTRUCTION MU~T BE COMPLETE FOR C.O. Plutbers License No. ......................... ALL CONSTRUCTION SHAL\. MliET Electricians License lb. ..................... THE REQUIREMENTS OF THE N.y. STATE CONSTRUCTION .. ENE ~ Otller Trade's License lb. .................... '. . ~OES. )I0! RES~NSIBLE OR I. Wcation of land on ..tJich proposed ""rk will be done.....S:...0!:...~.:....~~~~~.... .....!l.q~~... .,... .1.0.~s~............... K..0'..Y.1.: .c:"'d:1. :.f.. .c.r......... E. -:? f. !..~~!!':: 9.::::............ Hoose IUIber Street Hanlet Gamty Tax Map lb. 1001 Section .....3./......... Block ....f!!!........ Lot ...~........... Subdivision ../!!yj!fQJ./}-(t.0IaQc!..f...... Filed Map lb. <.9.0.JS.. IDt ../6...1.:'..,.. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTifiCATE OF OCCUPMCY ........................................................'0' (Nane and title of corporate officer) Builders License lb. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: . . 5', N"t ie "~/J/17. /11 t'!-'1'^T"H""~'":I.1" a. Existing use and occupancy ...... .....,;.......................t. . lIltft""bl.'!l{.o"c-,;)I":,....t"?"T!"l4 ..... .s' Jle / .s I r/- If' ~'hl,'YlV\'T;.,(:o,' b. Intended use and occupancy ....... ... ...../:i... .~. ........ ...;)...... .~."'l'llot"J1\lll;;l.r.tIOJ.......... I":ltllre of IoKJrk (d>eck wllid, appl icable): Hefl'lir ............ ReocNal ............. Estimated Cost ~21.J~ ~~!~{JJ.1...... New Iluilding ..~... llennl ition ............ !d)ition ........:. ~ration ....'" .... Other Work ... . .V .. . . . . .. . .. . . . . . . . . . . : . . . (Descriptioo) fee (to be paid on filing this application) If (kvelling, nJlber of dwelling wlits ............ U.uher of dvelling tDlits on each floor ................ If garage, r..IlLer of cars ...................................... If business, ccmrercial or mixed occupancy, specify nature and extent of each type of use...................... Dill'ensions of existing structures, if any: Pront................ Rear ............... Depth ................. lleight ......................... lUIDer of Stories ...................... Dimensions of same strucbure with alterations or additions: Front ............... Rear ............... Depth .................... Ileigtlt .................... lblber of Stories ............... 1/ ( ...../../...1./.... Diuensions of entire new coostructioo: Front..... ~.......... Rear ............... Depth v Jleight .... ..i;?..'............. lUIDer ofl Stories ..................... Size of lot: Front .................... Rear .................... Depth l. Date of Purdlase ..................... Nm-e of Former o.ner ........................................ I. Zone or use district in u4lidl prenises are situated .............................................................. ~. fbes proiX'sed construction violate any zoning law-, ordinance or regulation: ........................ 1. wi 11 lot be regraded .................... will excess fi 11 be rEIT<Ned fran premi ses: YES NJ I. Nanos of o.ner of preuilses ........................... Address Nm-e of Ardlitect .................................... Address Phone No. Phone No. J. Nm-e of Contractor................................... Address ............................. ..f1lOne No. X Is this property within 300 feet of a tidal ""tland? * YES ........... NJ.......... *IF YES, mmlID TIRl TRUSIEES illlMfr MAY IlE REeVIRED. PLOT DIAGRAM locate clearly and distinctly all buildings, wI>ether existing or proposed, and indicate al1 set-back diID2nsions can property lines. Give street and block rl.IIher or descriptioo according to deed, and sha.l street DaneS and indicate >ether interior or corner lot. i::i~ \~"'''.~'''''''i' ft' I~.' ~ ',' <t~_ ~ 'J . .: t.. '~:";": " ;t.~~- l' . ~ ". t; , , "~J--J ~ii:'t)-_:'" " ~ "r.f "'!~I'n:;:lI'" c': ~- 1 f7:.'",,, ,,"1 if. ~.;J" ~ :,.,~' r.'J.A'U~:;'O " j';5'o' .17f,~~ '___'. ,3'~ " :H:1!t Y1fT-;-'-f i';,~-"; t;l \A!',' . t>,'i~';i'-1.; '.~' ",\,'1"_1 ,U~ ': .'.-r . "".,'r.< ~\Il'JO'4 r A"IE (X' IHI YlXU<; I,,:wr,) :Jl~W"'!40't " 3U~(<"4<lI)l)A t UNIY~....... ...... . '," ''''!!'?JU'',,'' 1; 1'5t(!r+!i7i.i5l"'.' / ,.,.f:.;s~A/ . ................".......,...V;Hf~...................bemg duly ~nl, deposes and says that he lS the applicant L-me of individual .igilillg coiitMJdt.) ~ n<:ne<J, .~,~ ~ is the ....... (~~~~~~~;:. ~~~~t~:.~6fib;~~~ '~f~i~~~: .~~~:)................................................ ......~". {;:>. . ...... ," . cuN .' , said o.;ner or owners, and is duly authorized to perfonn or have perfot1IEd Ule said work and to nnke and file this 'Plication; that all statarents contained in this application are true to the best of his krxMledge and belief; am lat the IoKJrk wi II be perfomed in the IllamJer set forth in tile application filed therewith. ;JQm to before rn= Ulis . . . . . . .. -3. . . . . .day of Notary Pub SfCj)C'~~ 'J .~n12.. .... ..7.(~..:t!d~.~... NOt BUC,SlateofNewYolll (Signal"re of ^U~; No. 1 5T6008173. Suffolk CouRIr ' Term ElcpireIJune 8. a::LJ. ~ z_. SCDHS #' .RIO - 98 -- 0/28 j I I I I I N. 78'09'40' E. ~. --/....,\ \I~)--- .~ EC Z1 ~ 2 "Ti ~ 5 ~~, . ~ t.,)~ ~ ~ .... ~ () fH'" ~ CI) ~ Q . Cs ~ Q ~ CI) ~ r) ""t "'::::: I\;) . .() 1\;)\0 "'i1\3 () . ~ eMF EL eTJ vr-! \0 ~ ~ ~. 1=' 20, S. 78'09'40" W. The localions 01 wells and cesspools shawn hereon are from field observalions and or from dolo lained from olhers. AREA ANY Ai TERA OR A ION TO THIS SURVEY IS A VIOLA TlON , OF $ECTlON 7209 HE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTlFICA TlONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SiGNA TURE APPEARS HEREON. ADDlTIONALL Y TO COMpL Y WITH SAID LAW THE TERM "AL TERED BY' MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY OF ANOTHER SURVEYOR'S AlAI'. TERMS SUCH AS 'INSPECTED" AND 'BROUGHT-TO-OA TE' ARE NOT IN COMPLIANCE WITH THE LAW. - LOT (7'> \!.../ yaco-.-, t' 285.42' -._'''---0- El. 26.6 I", ..... , . " I . I 3('JJ3 -'--t'.3" -h--f~> "C> il\o 18" ,51 j II~ I~ J I ~ ,'.'. ~.I i.. ~,,~ 2.c~71 I" ::~~ ~Vf I' jo '~"Lii ~ - 'Mi'i--::;-~~~ I 43.3' ,~' ~-G;c. "'"------- .-- - B ____ -r- - _. -- ~- - - - ,,--/_ t:"1'f~__ i --- ~ ....------------ . ----- .----.- . --' _______ _____- I ~ _~ __---------- I LOT @ 1 I" '," J'-i I J J El..25.5 281!.O9' VC2-ca...", f LOT @ MAIN ROAD ( N rs. RTE 25) j - ~~.:,~~~'^-~;~;~:~:- ._. . -:.-~~-.-:. ~..:-~~'--;-:~~::;:~~:~~~-~t.;;-l ;.",. '" :'~_ ~ l k . -_' ~.. , .1., .-'.., ...- . ....- . ...." t .5Pljc~ s",r { it> EL as ::::: ~ '" () ~j () ;:s . ft1 r!1 ~. :t: en '" () ? " 0 ~ ~ ~ "'- - '" ~ -t () () I ;\.~?::{)l' ...._~-: "-,' n:~:-;.:..,..., ',';<J.," ~.~~::a I h !;aA' ~J" !.-,.... - :.;~..,,~.,~ Di~ _4P_Ii.9 ,'5.i9.99:", 'I. t:~ ~2...:~~.::.QL~-- I : 'i"1,.; "'....' c;,,:' is,;'~'ll.~ ill \'''',~': S.~_~}~,!,"" l~'~'~'''~ ;:~ ~~t:':.: :,~'~~~:(~~ ht~~.,:. b~"n \ t ;.,~. (....~ "t': ,I; "~',:Y1 iF'J '.<~ th~ I,t.-.....-?: lC:'i} , I ''".\'' ""u..h~I"Hr..aaOOr.d.o ! j" . T' ',' .,."" Y" ,. ""v " lf ., >:',00,.:;. \ i OW.,:;," "~'.c<\t~~;Lf~~:~r<;~~~:r' I I .. ~', _ ", ~., '..1 u'_ ".' 'C"'"'- :"\'''\{>'''''~'"''''l I I 1..;,; ~- '.' \~.1...,", " '.-.- ',' "'--_...- \.... ." '.I" - ....' 1 , :r~,,,-ij--'.- ""-------- f." ,.,. with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES and n IiIbide by the condtions set forth theremand en the ptmnit to construct f; .spl):~ I I $"f I -0' ., j ~~ , ( EL 24.5 SURVEY OF PROPERTY A T EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y 1000 - 31 - 04 - 16.12 SCALE: 1" = 40' AUG. 20, 1998 NO V. 2, /998 (cerfificalion added) DEC. /, /998 ( cone. foundation ) April I, 1999 (fina/) ,-; 11b~ CERTIFIED TO' NANCY ANN JENSEN RICHARD WAYNE JENSEN CHICAGO TITLE INSURANCE CO. TITLE NO. 99 08 00605 BNY MORTGAGE COMPANY, INC. . . LlC. NO. 49618 LOT NUMBERS ARE REFERENCED TO .. HIGHPOINT WOODS' FILED IN THE OFFICE OF THE SUFFOLK COUNTY CLERK AS MAP NO. 10035. ELEVA TlONS ARE REFERENCED Te, AN ASSUMED DA TUM qR - ?7R