HomeMy WebLinkAbout19457-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 02/06/07
No: Z-32179
THIS CERTIFIES that the building
ADDITION
Location of Property: 660 TOPSAIL
(HOUSE NO.)
County Tax Map No. 473889 Section 79
LANE
(STREET)
Block 7
SOUTHOLD
(HAMLET)
Lot 16
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 21, 1990 pursuant to which
Building Permit No. 19457-Z
dated
OCTOBER 15, 1990
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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to EILEEN COLLINS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVllL
N/A
ELECTRICAL CERTIFICATE NO.
107638C
05/19/06
PLUMBERS CERTIFICATION DATED
N/A
~/~
Auyhori ed Signature
Rev. 1/81
fE8 it}" 2007
'I
I
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
__-.J
AfPLICATION FOR CERTIFICATE OF OCCUPANCY
L_!':,-,. '~~.~__.
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 of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
Q;) Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifYing that the solder used in system contains less than 2/1 0 of I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
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:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certiticate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees ~. _______
I. Certificate of Occupancy - New dwelling $25.0o:.Additions to dwelling $25.00:::J\lterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy ofCertiticate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $1~.0~
11gS ?;?; -_~ Date :1'~ I, ~7
New Constru~n: 1IJi?( f, Old or Pre-existing Building: (check one)
Locationofproperty: t,,'IJ --;;-P-;;ff-iL [nt/e. C;;D/LThtP//, )J,tJi..l7/
House No. V Street ' . Ham t
Owner or Owners of Property: E; ieeAJ CO U/'A.} <;;.{J;$er4 eo!L/V~ Lecek.~e~)
7 cr. Block 7 Lot / t;
Suffolk County Tax Map No 1000, Section
Subdivision
Filed Map.
Applicant:
Lot:
/91f';7
Date of Permit.
Permit No.
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certiticate:
/ (check one)
Fee Submitted: $ 2-S-: 6D
y
~.7r7<6"9--
CO.tt3,:}.) 7 ~
"BII NO. .
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! 1945;' Z
Date ....L<2./t...r:..................................., 19.?~
Permission is hereby gran~~ .
tr.?..;.....~..f..~h?......~.~
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.~ . . :~..~..1J/.%;....oJ...L.ltf.'o I >L.. '/
to.~~~.....~7~........L#~?....~..r''l~
.~m?....~.......~ ............~..................................................
at premises locoted at ...;:;.~I:?.......n .... ........,{'t1::tt...c.........................................................
..............................................~ ..~.........................................................................
.................................................................................................................................................................
County Tox Map No. 1000 Section ............79.... Block ...........2...... Lot No. ........./.k......
pursuant to application dated .........~/................................., 19.9p, and approved by the
Building Inspector.
Fee ~.~..
Biding J or
,
I
Rev. 6/30/80
/rC/~7
765.1802
BUILDING DEPI'.
INSPECTION
[ ] FOUNDAnON 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [~
REMARKS:
DATE
S/;3/tr INSPU:TOII
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FOUNDATION (1st)
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FOUNDATIOn
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ROUGH FRAHE &
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INSULATION PER N. Y.
STATE ENERGY
CODE
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TOWN OF SOUTHOLD PROPERTY HeaRD CARD"BP 1~~S7~LJ/ ~.
STREET VILLAGE DIST.' SUB. LOT ~
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OWNER
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TYPE OF BUILDING
RES. ;) I () SEAS. f VL.- FARM COMM. CB. MICS. Mkt. Value
G'
LAND IMP. TOTAL DATE REMARKS ..
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Tillable , FRONTAGE ON WATER
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Woodland FRONTAGEON ROAD
Meodowl<lnd DEPTH
House Plot BULKHEAD
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Extension
Foundation ?c; Both 2- 1/.....- Dinette
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Porch Basement ?at f Floors ur' ). K. I
Ibt:h . . Ext. Walls /, WI / {' id,; Interior Finish S';:.. LR. I
Breezeway Fire Place I , Heat tJ // 1cJ' DR. /
~ Type Roof
Garage .L V:r;! (/.- 57t 1 ~..2 7)..-tJ I Rooms 1st Floor BR. '3
Patio /-< t';t = /92- .2- ~- t/rl Recreation Room Rooms 2nd Floor FIN. B
O. B. Dormer Driveway
Total /'
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" BOARD OF HEAL T~ . 'j' . . . . . . .
FORM NO. 1 3 SETS O~LAN ....'........
SURVEY.. "*"12 c("....."
TOWN OF SOUTHOLD CHECK. /. . . . . . . . .1. . . .
BUILDING DEPARTMENT SEPTIC FORHJ,lI~"" ......::::
TOWN HALL
TOw~Lgrs~lr,rHOLD SOUTHOLD. N.Y. 11971 NOTIFY:..-, ,.
. '--- TEL.: 765.1802 CALL .. .-:~.S-;-~<.~.....
. . q 6. 6~ c?~ 1 ~
EX31111neu. ~~~~....,19 .. .-6 /r;~~~ .?1~A .Gtl.;/.~
Approved }q;~~~.. .,19f~Permit No./9~?.r . .~~. .~?~N/c .~M?
Dis3pproved* ...V~.~.~h.t...~.( SiUrH()/~/ ,(,/y. Ifni
............................~~~....'/J.~#~fJV6 .1a'-l-PkltDI/6LY €i
~~~..... ..~....... H1cksuetle.. AfV H8al
/ (B' illg Inspector) I
APPLiCATI III FOR BUILDING PERMIT ~/
D3t ..' ~... l:-.t.. ... 1~/1.Q
. .
SEP 2 I 9X)
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INSTRUCTIONS
a. TIlls 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 wiII issued a Building Permit to the applicant. Such permit
sh311 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
sh311 h3ve 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, a~ditions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applic3bie laws, ordinances, build in code, housin~ code, and regulations, and to
admit authorized inspectors on premises and in building for necessary i eclio .
.... . .!L-...
( ignatur 0' plicant, 0 c r lion)
:.........~ .'tl.fhehl.LI{.!4~...........
. . 1 fMaiJing addre,s; of(a~p}icant) I
. <H {c;::-S (/{ lie M.LI. f f'i!O
State whether applicant is~, lessee, agent, architect, engineer, general contractor, electP(clan, plumber or builder.
................... .O.uJh.e.r...................................................................
Name of owner of premises ;;;$~p.h..;r: .CLL.I:i'1,S.... .~~./.. 6r.e.e.kJ... @..Gt.t.! n:s.....
(as on the tax roll or latest deed) .
If 3pplicant is a corporation, signature of duly authorized officer.
. . . . . . . . (N~~~ ;~d iiti~ ~f 1!~;~ ~ffi~~r')' . . . . . . . .
Builder's License No. ...!~ t,r;>.$.. ((..r. .. ... ..
Plumber's License No. ... .I.~/II. . . . . . . . . . . . . . . .
Electrician's License No. . dI/It. . (J.Il!I1t'r. . ~()rA.
Other Trade's License No. #/11.......... ~.....
Location of land on which proposed work will be dor.e; .
....... ??~..... .~.5.IJ-.;?... .lIiA/~.. ~...... >q.0,t1J.C?/{.&ew.Vc?t:I:......
S House Number g- Street Hamlet ;-.
c
,ounty Tax Map No. 1000 Section ..9. .'7.9. . .. .. ...: Block .... /? 7. . . . .. ... Lot... .l~ .. .. .. .. ~ .
.bdivision /.e.eJJJard.lJ.c~~ .({r. i3~.t/Y.i~et.ct. Rib! Map No. . .~~~.?... Lot..... /11........
(Name) I
te eXiSling use and occupancy of premises and intended use und OCCUpancy of proposed construction:
Existing use and occupancy.. .Q.C!lrlf!X:.. .<<.~~.. .~./.. .Q.C:k~~.<;~.........
_"t) CJ u J LAO r 0 ~.." A -od '- cc.cu-l?/kIA ~ u. . . . . . .
..... Intended use and occupancy.....'-:'<.r.t.'T.....v:-8............'"Y.'}....:.........,... ;"
----.-
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,'-,-,..
, ' , >",'. " . f-~(Lr ftnf:'",:;!"""d~}t';l(fl ,:
3. Nature of work (check whlc" apphcable). New BUlldlOg .......... Addition. J/.. 50'!. .. Alteration ........,.
Repai~ ........:..... R~moval ....... .. : .. :. Demolition ..-........... . Swimming tWla. 1"1'D!)o . ." ..'. ,
Tenn1S Court ......... Accessory BU11d1ng Fence Other ~ k'.1"U(,
." ';'f1~oo <> .......... ....... or ............
4. Estimated Cost. . . . . . . . . . . ., O. . . . . . . . . . . . . . . . . . . . . . .. Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application) 1
S. If dwelling, number of dwelling units .-:7: . . . . . . . . . .. Number of dwelling units on each Ooor .~. . . . '. . . . . . . :.
" -
If garage. number of cars .....................,.................................................. '.
6. If business. commercial or mixed occupancy, specify nature and extent of each type of use MI-tr. . . . . . . . . . . . . . . .
7. Dimensions of existing structures, if any: Front .~tKe't. . . . . Rear . .'. . . . . . . . . . .. Depth...........,... . .
Height ............... Number of Stories!:. .4-4a~ e.L .. .......;.JJ... :"...: ."'.................. . .
Dimensions of same structure with alterations or additions: Front jJ.a,;".5. . .{4-((~r . . . . . . . . . . . . . . . .. . .
Depth. . . . . . . . . . . . . . . . . . . . . . Height. . . . r/ ; . . . . . . . . . . . . . . . Number of Storiest. . . . . . . . . . . . . . . . . . . . . .
8. Dimensions of entire new construction: Front/~.~. .~'" Rear.............., Depth .............. . .
Height ............... Number of Stories/..............;............................ ."........... . .
9. Size of lot: Front ..~. ~ tt.e/Joe.L Rca~ . ~r' . . . . . . . . . . . . . . . .. Depth ...................... .
10. Date of Purchase .W4-:>.. .A/.~.e:rn. ~-r;.19!.JNiJIf'e of Former Owner .# ~. . . . . . . . . . . . . . . . . . . '" . .
II. Zone or use district in which premises are situated. . . . . ~ ~ ~'" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " . .
12. D~es propos:d construction violate any zoning law, ordina~ce or regubtion:.tlO. . . . . . . . . . . '. . . . . . . . . . . . . . . . .. >>.
13. Will lot be reDraded )lP. . . . . . . . . . . . . . . . . . '/1 . . . . Will ex..r<;'ss fill be reJIloved froID.pr.sP~s}'~ ~Yes '" . Net':'.
14. Name of Own~r of premisesOQ$~A .f.-Et1.@1!IHA4t.<<Mtessbf;>!? 1i1'.5M+ .L:.&.~ . ;-lIlf6m~o. .7~},-.7c-,F7.?.. ..
Name of Architect ... it.: . . . . . . . . . . . . . . . . . . .". . . Address . . . . . . . . '/J' . . . . . . . . Phone No. . . . . . . . . . . . . .. ..
Name of Contractor . ",.+'~. ~on~:Z:...;........ AddresstJ.tf.5.c.-titIJaiJe.7)r..... Phone No.O?-Rf.-::J:"?'f.7r-:. ..
15.1s this property located within 300 feet of a tidal wetland? *YES....NO;(..
*If yes, Southold Town Trustees Permit may be required.
PLOT DlAG RAM
Locate clearly and distinctly all buildings. whether existing or proposed. and. indicate all 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 comer lot. "
, Lol'
Interior
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...... -:;.J<?~~!1. q:.,(:o,UI.fr-,f:-.. " .............. being duly sworn, deposes and says that he is the applicant
. " (N;.!te of individual signing contract) "
above named.
He is the .t?o/iJ~f(,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ; .
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to pe,rform or have performed the said work and to make and file th:
application; that all statements contained in this appliqtion arc true to the best of his knowledge and belief; and that ti
work will be performed in the manner set forth in the application filed therewith.
Sworn to bciore me this" ,
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ary u IC, ....... I#- .. .. ..?f. : .. . .. .{/.t.{~.. ounty
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FOUNDATION
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SPECIFICATIONS
3' Deep Footing
8" Foundation Wall
FRAMING
2X6 16" OC Exterior Walls
2X10 l6"OC Floor Beams
2X10 Ridge
2X8 16" OC Rafters
4X10 Headers
3/4" AC Plywood Sub-floor
1/2" CDX Plywood Sheathing
*3846 Anderson Windows
8' Anderson Sliding Door
INSULATION
6" - Floors
6" - Ext. Walls
6" - Ceiling
1" Ridge styrofoam - Ceiling
FINISH
235 lB Fiberglass Sealdown Roofing
Certainteed vinyl Siding
1/2" Sheet-rock - Inst. Walls and Ceiling
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HEALTH DEPARTMENT-DATA FOR APP~ TO CONSTRUCT
It _IITW_ "IN=-'!!.~ ItIOUllCI" _Ill- ",I"TI_~""IC_
It ....f co. TAllllA~ DIIT .........SlCTIOII..QIL 1LOCIC..IlL. LOT ...II....
It ,"1M .... IlO DWILLlIIII WITIllIt 100 fUT Of Till ~1I0~IIIT1
OTHIII THAll THOll SHOWN HIIlION. .
It THI '""Till 11I",,"1 _ 1_ OI_AL ITITIII AlII ,"ISIIDIDI_
WII,!. _OlIN TO THI ITAN_ Of THI IUfFOLK CDUNTT DI~AIITMINT
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APPLICNI"
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NOTE' .'MONUMENT
SUBDIVISION MAP FILED IN THE OFI'lCE OF THE CLERK OF
SUFFOLK COUNTY ON .JUNE 4,1871 AS FILENO llll..
It _ LOCATDI" W&L(W~IIl'T1C TAlIIClma CI~lCP' _N _1011
... _ fllUl __TIOIII _ 011 DATA O.T6I_ _ OTHIIlI
BRANDIS " SONS INC. 1046
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SURVEY FOR
JOSEPH COLLINS a EILEEN COLLINS
LOT NO. 41, II LEEWARD ACRES AT BAYVIEW ..
AT BAYVIEW
lOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW VORK
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. ....UTttOltlZID AU'IMTION 011 ADDITION TO THIS
tUfty!, . A VIOLAnOtl OP IICTION 7201 tW THIe
NIW 'fORK ITATE EDUCATION LA. ..
* eOl'u:1 f11 THII ""'VI' NOT ..."... T"I LAND
SUIltVI'fOA'S 1_10 .AL OR E.,OUID RAL SHILL
NOT H CO"'IOI"'O TO." VALID TRUE COPY
_GUARANTEES INDICATED ME"DN IHALL ftUN (lrlLY 1'0
THE PI.... POll WNOM TMI IUlWlv II PMPA"IO
.ND ON MIS KHAL' TO TtC nTLI COM""Y, 10YPN.
MEt(TAL A"HCY AND LINDlNe INSTITUTION LISTED
HERlON, AND TO THI ASS'.NU, OF THI! LINDINe -
INSTITUTION. 8UAftANTlU Aft! NOT 'MNSfEftAILE
TO _nOllAL INSTITUTIONI 011 IUINQUINT
OWNE'"
. DIITAltCII I_H HIIIIDN fIlOM _lOfT UNII
TO IXISTIN' STIIUCTUIIII AlII fOil A 1~IClfIC
~UIl~OII AltD 601 NOT TO IIIE UIID TO IITA.LISH
"IitO,[",V LINES 0" FO" THI IRECTION t:I 'IMeEI
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SCALE'
NO.
JAN. 22, 1985
JUNE llt 1..4
1".40'
84 - lI20
YOUNG a YOUNG
os R AVENUE
R1YERHEAD, NEW YORK
ALDEN W. YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S. UCENSE NO.12M5
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE NO.45893