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HomeMy WebLinkAbout32817-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO. Z-33245 Filed Map No. Lot No. THIS CERTIFIES that the building AIR CONDITIONING Location of Property: 110 SLEEPY HOLLOW LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 1 Lot 10.6 Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 2007 pursuant to which Building Permit No. 32817-Z dated MARCH 20, 2007 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 CENTRAL AIR CONDITIONING IN AN EXISTING ONE FAMILY DWELLING AS APPLIED The certificate is issued to ROBERT F & ELIZABETH A NEVILLE (OWNER) of the aforesaid building. SIIFFOLR COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL NO. Date• 08/27/08 N 97143 02/13/01 PLDPffiSRS CHRTIFICATION DATED )~utho ized ignature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUH.DING DEPARTMENT /~' `'-~, TOWN HALL ~ D '~ 765-1802 /t,, /~ APPLICATION FOR CERTIFICATE OF OCCUPANC~ ~~~ v (~ This application must be filled in by typewriter or ink and submitted to the Building Departm ~ llow F DFa A. For new building or new use: ~~„ ~ ~Ty 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual nat0 or / topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 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 Apri19, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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 Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. 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 accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Installation of Central Air Conditioning Unit Date. g/21 /Og New Construction: X Old or Pre-existing Building: (check one) Location of Property: 710 Sleepy Hollow Lane Southold House No. Street Hamlet Owner or Owners of Property: Robert F. E Elizabeth A. Neville Suffolk County Tax Map No 1000, Section 078 Block 0001 Lot 010.006 Subdivision Sleepy Hollow Filed Map. Lot: Permit No. 32817 Date of Permit. 3/20/2007 Applicant: Robert F. Neville (replaces Permit o. 25976) Health Dept. Approval: Underwriters Approval: Planning Board Approval Request for: Temporary Certificate Final Certificate: Fee Submitted: $ 25.00 c'l~iS3~ (check one) Applicant Signature ~~ ; ,, 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. 32817 Z Date MARCH 20, 2007 Permission is hereby granted to: ROBERT F & ELIZABETH E NEVILLE 110 SLEEPY HOLLOW LANE SOUTHOLD,NY 11971 for INSTALLATION OF CENTRAL AIR CONDITIONING UNIT AS APPLIED FOR. THIS PERMIT REPLACES 25976. at premises located at 110 SLEEPY HOLLOW LA SOUTHOLD County Tax Map No. 473889 Section 078 Block 0001 Lot No. 010.006 pursuant to application dated Building Inspector to expire c Fee $ 75.00 ORIGINAL Rev. 5/8/02 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) ~~.X 1'1 ~GnI~~ PERMIT NO. 76 Z Date AUGUST 25, 1999 Permission is hereby granted to: BOHN, R. (B. NEVELLE) 110 SLEEPY HOLLOW LA SOUTHOLD,NY 11971 for INSTALLATION OF CENTRAL AIR CONDITIONING UNIT AS APPLIED FOR. at premises located at 110 SLEEPY HOLLOW LA SOUTHOLD County Tax Map No. 473889 Section 078 Block 0001 Lot No. 010.006 pursuant to application dated JULY 6 1999 and approved by the Building Inspector. Fee $ 75.00 ~~~`~~~~~ .~~~J Authori d Signa re ORIGINAL Rev. 2/19/98 21/08 'OS THU 14:04 FAZ 891 785 8148 AUG-21-2008 14:03 FROM: SOUTHOLD TD/YN CLERK +~+ Buildin8 Dept ~EJ002 T0:1t53iT656145 P.2~2 -ri • ~ -LONG ISI.ANJ) ELECTRICAL T~ ~PEC'PIO17 SERVICE. INC~ - •670 Midtlle Country ROad tV. 1nt James, CdY 1178q Tel: (631) 2~ ' 3075 oax 02/13/01 Apl:rirlW.wF1k 97143; i . 'flIR CaT01CFTHAT ar 1~ 6wk. Lvlenwr....dw iu~:w NIA. J.W. rr..:w.d.krJwl:.rdl~' . arrsrA.d Apr~nda w rY pn.e.r ~ I ELI8A8ETH NEVILL 110 SLEEB7~; ~ ~ N aLLOG ~ d.Y/JkrW rwl~.c a e..e.rw D Ix FI. d 7.e fY, O Oruat s.wian .ruAm.tufw 0~/12/Ot ;I. pdt[p..tpat^~aAa.+r W s......wi../W xM+..dlPrmrlulC#. ~ O uaan+U~e4MwxMd~i7r~a/Mr^~"rAr~9drarueeLpwY ~ rani. S S MYIpwIMrs~:IIJIMMI{1NMr11:P- ~ t . ~ Mf11a1 M 1 In. ~ NM. ~ /faQ .~ tlplr iMC{ aW. ., o ~ ^ ~ :,. ~T w. re w. .r a nrt. me ~ t-±ROA 24oV A/C Coaasnaez 1-40A 2a0V A/C Coadoaser 2-20A 240V Air Rartdlera . ~~' ATECO ELECTRIC 90A RAY170R AVENCiB RONKON&OMAr NY 11774 wi~rte•m5o®ulo~r • rEnnw•MUNwRriGq OdY/ /.Mid Na yrM.~wr~wrMNew LANY, 50UTHOLD iw~ to 11i1N/.I~vd Yd OMR~ 1YA 'r aol iwANd d drf.l naMe:or. `lam -,1~1-~~j ,~. ,,. i.: 'Jc2~i~ ~P~ ~ ~~ caMpw•~{ ;} $_a~"°~ 08-21-2008 14:32 SOUTHDLD BUILDING DEPT 16317659502 PAGE2 ~~5~ o ~G; r o ~~-~-, FORM N0. i f ~L'~ w, 6 ~ ~ TOWN OF SOUTdOLD BUILDING DEPARTMENT TOWN HALL BLDG.DFPT. SOUTdOLD, N.Y. 11971 T WN F S UTHOLD TEL: 765-1802 Exami .: ~~ 19.~~ 3~~1~ -~p~c77 Approved :. ~. , 19. ~ Permit No. .~`:? .1 J. ~ ~ . Disappmved arc .................................. ...................................................... (Building I tor) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF BEALTEI ............... 3 SETS OF PLANS ............... SURVEY ........................ CNECR ......................... SEPTIC FORN ................... NOTIFY: CALL .................. MAIL TO :.................... Date . VLS!YG.. r~r .... , 19 .q9• a. this application must be rnq~letely filled in by typewriter or in ink aid submitted to the &~ilding Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan stewing location of lot and of buildings on premises, relationship toadjoining premises or public streets or azeas, and giving a detailed description of layout of property mist be drawn an the diagram which is part of this application. c. the work covered by this application may not be connenced before issuance of Buildi~ Permit. d. Upon approval of this application, [he Building Inspector will issue a Building Permit to tlce applicant. Such permit shall be kept w the premises available for inspection thrwgieut the work. e. No building shall be occupied or used in c+iwle or in pazt for arty purpose whatever until a Certificate of Occupanpy shall have been granted by the Building Inspector. APPLICATION IS IF.[tEBY MAIE to the Building lkapazmoent for the issuance of a Building Penmit pursuant to the Buildirg Zo¢~e Ordi~ee of the Town of Southold, Suffolk County, New York, and other applicable Lass, Ordir~ces or Regulations, for the construction of buildings, additions or alterations, or for removal or demolitiw, as herein described. Tne applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, acd to admit authorized inspectors on prises and in buildi~ for necessary inspections. UNDERWRITERS CERfIflCATE REQUIRED ..................................................... (Signature of applicant, or nao', if a corporation) ..!`.'0...~x. ~T9,5,,,~pu'if~old,./.V.~...1.1.~1.7 (Mailing address of applicant) State whether applicant is owner, lessee, agent, azd~itect, engineer, general contractor, electrician, pluuber or builder ..................................I~............................./....../...../.~............................................. Name of owner of premises ..l=~elzPrcit...~..!~..~,!~Z.L(.~J~C1..1."1...~lt.lf/.~(~fr .......................... (as on the tax mll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~ AP ED AS NOTED _ pAT~~~~s.P aY _~17 (Name and title of corporate officer) ~~~UPANCY OR ~:-~-~ USE IS UNLAWFUL 766-1102 TOD4 PM FOR THE Builders License No .................~y~:~l'bUT CERTIFICATE FOUNDATION TWO.REOUIRED P'`mbe`sLi`e"SeNn.....-.--•••_•---Uf•~CCUPANCY 2. pWMBING Electricians License No . ..................... 8, INSUL/QION Other Trade's License No . .................... 4. FINAL - CONSTRUCTION MUST 6E COMPLETE FOR C.O. I . X011 cation of land m which proposed wrk trill Ue dore ......................... A4L• CON$Tf~UC7tON • SNALI. -MEET. . ...~--I.Q... ~!l ~C.~'X.f .. r~O.~ ~UCtJ.. ~lll°,... ~1 a.~.`~l.o. I. ~......... STATEE~QNS7AUGTJ4AI. & TENERGY.. house Number Stre-/etp~ CO~etNOTr RES~OfJSIBLE FOR County Tax Map No. 1000 Section k.! DESIGN OR CONSTRUCTION ERRORS .... ......... Block ....~........... Ivt .... ..~r. ...... Subdivision ...................................... Filed Map No. ............... Ivt ............... (N~e) 2. State existing use aid m~+Trry of prmi+ses acd intended use and occupTancy of proposed corvstrvction: a. Existing use acd occupancy . ~rlY~.lG...DN.'~r..FP.4YCl~.L~....../K1C.~~.l~. R'.MAC:~!V1............ r " ~~ tlw+~,w~Ilc~•~,°:: _:,;9YRATOM NP~Y ,.• , b. Intended use acd oc ............................................... :Elri- a Q 9N .. ...... ~PS,ts na~.,~.f a5i~µ._..:.;T 3. ti~hrre of Work (dredc wlridr applicable): tiewrikrilding .......... ..... Alteration .......... .... Repair ............ Raooval ............. Ilarnli[ion ............ ter Wo CCfCtCq.(..Liy1.CO.Ylf~1`.kID.ICLI~ .. (Descriptiog) 4. Estirreted Cost ...~~,Q~..O~.......... fee .............................. ................ (to be paid on filing this application) 5, tf rkaellirrg, nunber of dwelling tmi[s ....1....... tl<mber of dwellin units on earli floor g ...............: If garage, tanber of cars ...~ ................................ 6. If husiress, camercial or mixed occupancy, specify nature and extent of each type of use.........~-.7r............ 7. Dimensions of existing structures, if arty: Front...~]..Z ......... Rear ...7v~........ Depth ..•.~./, .......... Ilei t r gh ......................... [Amber of Stories .... ............... Dimensions of same structure with alterations or additions: Ftont ,,,,,,,,,,,,,,, Depth Hei rt Rear ............... .................... g} .................... timber of Stories ............... 8. Dimensions of entire new construction: Front ... ......... Rear ... ,,,, Depth _, ~,,,,,,,,, }leight ......................... Nunher of Stories ..................... 9. Size of lot: PronC .....1.,5'0......... Rear .....~--6.a........ Depth ...../.5..t7........I._ 10. Date of Rrrctrase ....f.q.Q9-......... Nare of Ponrer Owner .RA~~.•.S-.~Xl?~..~CZY~... r .. II. Tone or use district in which premises are si;tvated ..... ...................................................... 12. Does proposed cars[ruc[ion violate arty zoning law, ordirrmtce or regulation: ..~IL? ................ 13. Will lot be regraded .................... Will~~e//xces/s_ fill be reswed Eton premises: YFS a> 14. Names of Owner of premises'~X~~'~ll~tt~y(VG.ri~R. Address l{?~IF.r,Wjlri~e%~q,~rr! p... Phan No . .............. Kane of Ardtitect .................................... Address .............................. Pixxre No. .............. Nare of Contractor ti.?~A YYlll1.S ..................... Address ...............................Phan No.IrpQQ~+a~. 76/~~ I5. Is [iris property within 300 feet of a tidal wetland? * YGS .......... WD .y2~,,,,, , *IF YES, 90UIIIHD TOldi TttilSiFES PE[2rII'P MAY 1'C RE¢fllsED. (/ PLOT DIAGRAM Locate clearly and distinctly all buildings, wbether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block nnber or description according to deed, and show street names and indicate wbe[ber interior or comer lot. 'rr :3,i SfAIE QP NW Ydlla(>,.y,A ?y?rry ±?Ga vl Q11.1NfY DP .~yh?~~d;~~'~.$.SA9rt~dPT I '; I li"i_.Ltl el IMIp11n . ...~.l.l.z~'e-Y1.l.~NAI ~ ,C~~e ................being duly sworn, deposes aril says that he i.s Ctre applicant (bane of rrdiv' L-~ £,04r '~'~'~~sn4ibt.~°A s above turned, 110RAJ15-.'tll ='. ~e is the ......:..:,.... Q .f.F~1.-9!(b~J-3R ........................................................................ (frxttracTtlH;:" AKedD, tbtporate officer, etc. ) of said oWrnr or owners, aril ~s c;uly.~lroriz~d Co perform or have performed Ute said work mil Co make and file this appl.icatia , that -all state~rerrEs eonEa}tied in this app].icatiar are true Co the best of his knowledge and belief; and that the work will In perfonnecl in tln~rearnrer set forth in the application filed therewith. Sworn C be Fore rm this G c~ ... ~ ~ nc.Y......yd~ay, of -.. n~_!-r:,~ni/c~..~..1y9.4D/.... . Notary Rrblic ..V.!.~!x.~-.V.1.J..'.G~: LYNDA M. 80HN IIOTMY PUBLIC. Stals of PNw Ybf+; PIo. 01808020932 Cuelifiad M Suffolk Cou ?arm F_xpirai March 8, 20~ (Si, .,re of Applicant TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH P G. [ ]FOUNDATION 2ND [ ]INS TION [ ]FRAMING /STRAPPING [ INAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION DATE /' © INSPECTOR [ ]FIRE RESISTANT CONSTRUC110N [ ]FIRE RESISTANT PENETRATION FIELD INSPECTIO REPORT - DATE COMMENTS ,~ I n ° n-~ ~. `~ y FOUNDATION (IST) - jj j a--~ u Rll II ~ ~ ~ rr~I y . FOUNDATION (2ND) II II ----- ---- ---------------------------------------- II ---- ~ n n 1 - ~ i _ n ° ROUGN FRAME A ri p JI • o PLUlDiING N 0 ~ 1 1 II II :_-__________~_-~-===~-1~==-=__~--=-o-----______________________-__-~-~_________ I~ N INSULATION PER N. Y. ~~ STATE ENERGY u {~ CODE n q u-te ~II II - ====exn=-.~=___=====e- _II~_ uk~=sa -----ee--=--=-~z~s=sue:mss====____====-z= {~~y y C~ yip ~ ra n n ~t n .a I~-~n II jj FINAL - ~________.~n ~ 7 1 1 ry 1 S ADDITIONAL COMMRNTS: ~ /~ mesas=~===______~_______________-- ---- ------~~_~~______-_- ----------- x r ~ H ry y N Oo C~ r9" ~ ~~ ~ d ro H s S ,o©~_ ~~, ~ /~ ~ TOWN OF SOUTHOLD PROPERTY .RECORD CARD __. M.~ o .~ ~' OWNER STREET ~ VILLAGE DIST. SUB. LOT ,r ~-„~,~',~ ` n_~ ~- ~~ Cep ~~ ~~.L r_~.~i =ORMER OWNER N E ACR. %''D v ~ ~e ~~~ ~ /,< F.J.. S W TYPE OF BUILDING .S. a~' SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 7U ~ 700 ~ ~3 ~~7 z S - _ 9/ ss z k' '~- .~-C '~ ~~7di ~`~/i~~'~ 2, v / N ~//d~'~/ ~J'/~ /~ r~.~b L ~. Y~i 71 Ol ~0 ~~ FCC ~` ~n: c o O /: ..~ f~ /Go ° li o- ~ 3/-0 5 i ~ ~~/k~/,B~ /y/o~ c'ons~, lS01 ou/ ``'mac `~~f.3GS ~ /Goo 7/ •a ~ ~`~o i ,5 1e ~~ Ilabfe FRONTAGE ON WATER oodlond FRONTAGE ON ROAD eadowland DEPTH use Plot BULKHEAD - ~ ~:. ,r r_ x; ~. ,. COLOR mil, ~~ TRIM ~t~~i.~f_ i --. _. _ -- - -- --- -- - -- __ . I _ _ L _ _ °j y ' ~ . a. 1 X - I M. Bld~st ~ ~ ' s MC ~ aB ,i~X ~ ~_ io S .SS Extend ~ 1 r 2 /y 5~ z'f ~GY . i , j i S - - - - -- Extension Extension Foundation ~ ~' Bath ~ Dinette Porch Basement ~^ Floors (,U _ ~ , K, Porch Breezeway Ext. Walls Fire Place Q~j . C~a ~ =~ Interior Finish Heat 2 ~ /' ~, LR. DR. Garage ~ d ~ ~ ~,! ~ ~, 1 j j a s CGQ ~ Type Roof Rooms 1st Floor BR. ~ Patio ~, ~ ~ ~~ Recreation Room Rooms 2nd Floor - FIN. B O. B. Dormer driveway Total ~/ / Nevill 110 Sleepy Hollow Lane Southold 7548779 8/19199 unwa. 2441 •A' toms loft owr the poops. RlacA roof, 5 {Mak to 7 an xalla. 79,OD0HN's Hang unit ovw Hnplace AIR torso r 75B CFM'6 755 ~~~ 10x70 CFM's , bWAr n ~ ~,<M70 U bWAY MfBUD19N1 t5 15000 DTU COND. CFA !zB 2m CFMs 257 CFMs f~ 5~ ~ awAv ~~ Y 725 116 5t CFM'6 CFMS Ms u7 m CFM• 7ano 7ono CFM'a swA~ - # ~wa - ~ CFM'f .~-fY_._O ~__-. __.