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Home My WebLink About23460-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24418 Date JUNE 11, 1996 THIS CERTIFIES that the building ADDITION Location of Property 1580 NORTH BAYVIEW ROAD SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 12 Lot 34 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 6, 1996 pursuant to which Building Permit No. 23460-Z dated MAY 21, 1996 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 AN "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONALD ALBINSON & ORS. (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A "15�tw Bui- ding Inspector Rev. 1/81 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) Date..................... /'........................., 19. ...�I.. N2 234601 Permission Is hereby granted to; ............x..... 4 ................................................ ..........�..............1, �i�r.� ......... ............ .4- ... /. (.. f .......op ..... .e. ..... ....... .... .... ................................................................ ..... .......... %�J t��✓ ........ .......................................... at premises located at................ .......� ...... ... ...... . �........................ ....................... ..................................................�r ......................................................... County Tax Map No. 1000 Section ..... 7............ Block........`�.......... Lot No. ... ................ pursuant to application dated .... ... .........0............................ 19..../.P.... and approved by the Building Inspector. Fee s ��s�°' ................... ........ .............. „�.............................. B ding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT �i MAY — 6 1996 i TOWN HALL 765-1802 PT TOWN OF SOEI OLD APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. 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) . 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 1% 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 Appiuv'al 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 property showing all property lines, streets, building and . unusual natural or topographic features. 2. A properly completed application and a 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . May, 6,, 1�96 . . . . . . . . . . . . . . . . . . . . . . . . . . Deck (1974) New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . 1580, North, Bayview.:�Road,. _ Southold. . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property Dona'1. . . . d Albinson and Elizabeth Albinson, WilliamAlbinsonand Christine Albinson . . County Tax Map No 1000, Section. . . . . . . . . . . .Block. . . 12. . . . . . . . . . .Lot. . . . . 34. . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . ... . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certica e� . . . . . . . . Fee Submitted: $. . .25.00. . . GARX FIANNERASEN, ESQ. S)40 R.O. BOX 706 CUTCHOGUE, U., N.Y.- 11935" . %... . . . . . . . . . . . . . . . . . . . . . . . . . . . l� APPLICANT U^) k ^A` Oil io --------------- ----------------- Colm ------------ ----'----------------_'-_-____ __ o -----___---_--__-----__-__---'_'- � _ ' --'-----------------'--------- | - - ' ---'--'---__'---.-- -� -. -- _� '-_� -'-'--_'--_'-'__-_---_'__--_-__-_-- \ .�a 44 —T I I I .y' 1 I xb 3 Sc i S fi SrCt7 ST ,2c POE , EXHIBIT A MAY 619g6 F BLDG.DEPT. TOWN OF SOUTHOLD .Od TES'A),41iv��1E/1E�✓T Q Unauvioned wtvrawn or adddb•... 1 to Ns survey N a Nolation of �\ Section 72f)e of tfu Now York Stato Ed Won Law. r coot N W PAW rap not Wring �� q tft•land tNrroyori MtMd ow or s Cf omboaood MM ttttoA e0t bo Consktlorod toboto"mowam. otarsntoN IMoaYI It�Mn 00 w only b tMpotaoI fortM+att"ON" 11 pr op W,No an hM bIMM to 1*W and litl pOfTlp�fT)t,p0�t�1�M d londkq lnldls+iofl MII/hMNtl �/ to ow asalpnaoa of 1rftantMraeMbmk4m% iu3rantNa era tqt fltaOM �� ,adidonal Inadtud"A of Nlbnquant y O r'•"'` ggD LAN e p VN ;J `1�l .000 c.�v LANO�U.e'yEYd� �a�gli�•�o�lrs�o�o4�ti��utt-L.'arrryl�%N-Y. P,4.�dx'`�'s�''' A' o, /C /9EL G�LGec" G9.2�?�✓E"�L.9 �� ,�.F'i9L 19�vG� �CQ9rY/� r9 / LJIY /DH.'�L / � �✓ ,P�it/CGr />1.�i9 arc" � < ._ r5�Ye'• P,uc z�/�c SG A'r1+1� /ado-7a/Z-3S/ O �/.4aNPP� a '^ �( o B0,XPD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . I TOWN OF SOUTHOLD SURVEY 61996 BUILDING DEPARTMENT CIIECI; . . . . . . _ . . . . . . . . . . . . TOWN HALL SEPTIC FORK _ . . . . . . . . . . . . BLDG.DEPT. SOUTHOLD, N.Y. 11971 TOWN OF SOUTHOLD _ _,,.; TEL.: 765-1802 is OT I Fe ; ,,/ 19�� CALL . . . . . . . . . . . . . . . . . . Examined . . NAIL TO Approved . . . . . . . . v. . .. . 19R�1'cri�iit No. �`.3C.!0 . . . . . . . . . . . . . . . . . . / , • . . . . . _ . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ll Ild' o I! pector) APPLICATION FOR BUILDING PERMIT Date May. .6.. . . . . . . . . . .. 1996. . INSTRUCTIONS a. This 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 bLiilduigs 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 will issued a Building Permit to the applicant. Such permit shall 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 sliall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuai a of Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New",.York ier applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or�for emov or d-molition, as herein described. The applicant agrees to comply with all applicable laws, ordinances; buildin ode,:: �Ou i d code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspec 'o ( ff pplicai t, or name, if a corporation) Gary F�" Muer ' lsen as Attorney for Donald Albinson and William Albinson (Alailing address of applicant) P. 0. Box 706, .Cutchoyue,:NY 11935 State whether applicant is owner, lessee, agent, architect, engineer, general contractor-, .electrician, plumber or builder. . . . . . Attorney. fQr. owners. . . . . . . . . . . . . . . . . . . . . . Name of owner of premises Donald Albinson and Elizabeth Albinson, William Albinson and Christine Albinson (as on the tax roll or latest deed)- - If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1580 North Bayview Road, Southold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . Ilouse Number Street Hamlet County Tax Map No. 1000 Section . . ��. . . . . . . . . . . . . . Block . .12 . . . . . . . . . . : . . . Lot .34 . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . : . . . . ... Tiled Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) �. State existint; use :uul occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . : . Deck as b.ui l t (1974) . . . b. Intended use and occupancy Deck as built (1974) J. NaLU1C u1 ,vuan (cnech whictu applicable): New Building Deck ' Addition . . . . . . . . . . Alteration". . . . . . . . . . . . . . Rcnloval . . . . .�:. . . . . • • • . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . 4. Estimated Cost . . . 500.00 (Description) . . . . . . . . . . . ... . . . . . . . . . . . . . Fee . . . . . . . . (to be paid on Kling this application) 5. If dwcllint;, number of dwelling units . . . . . . .. Number of dwelling units on each floor . . . . . . . . . . . . . . . . If garage, number of cars . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structrures, if any: Front . . . Rear i�lut . . . . . . . . . . . . . . . Number . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . 1[e of Stories Dimensions of shine structure with alterations or additions: Front Delltlr . . . . •. . . . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Ileibht Number of Stories ' 8. Dimensions of entire new construction: Front . . . . Rear I leidllt . . . . . . . . . . . . . . . Number of Stories Depth . . . . . . . . . . . . . . . �. Size of lot: 1-ront .Rc,11 . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. (O. Date of lot: Purchase . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . Name of Former Owner IL "Lone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded . Will excess fill be removed from premises: Ycs 14. Nalne of Owner of premises . . . . . . . . . . . . . . No • . . . Address . . . Phone No. Narne of Architect . . . . . . . . . . . . . . . . . . Address . . . Phone No. . . . . . . . . . . . Name of Contractor 15. Is this property within 300 feet o . Address . Phone No.f a tidal wetland? *Yes. ' ' ' ' ' ' ' ' ' *If yes, Southold Town Trustees Permit may be required. � � � No. . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lilies. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. See attached survey of'Anthony Lewandowski 'dated April 23, 1996 showing wood deck'- as built. Said survey being designated as Exhibit A. Upon information and believe deck was constructed in 1974. I OVER AS (NOTED DATE: B.P.# VXj KCO FEE: I BY: NOTIFY BUILDING DEPART ENT AT 765-1.802 9 AM TO 4 PM FOR THE . FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE R.EQUIREMLNTS OF THE' N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS TATE OF NEW YORK, OUNFY OF . SUFFOI.K. . . . . . S.S . . . . .Gary Flannel Olsen being duly sworn . . , , deposes and says that he is the applicant (N:Illie of IndlvidUal signin„ contract) love named. is the . . . . . . . . .Attorney . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ (Colllructor, agent, cor'porate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said w and to make and file this plication; that all strltelllents contained in this application are true to the best of his kr wled6 and belief; and that the )rk will be performed in the manner set forth in the application filed therewith, porn to before the this . . . . . . . . . . . .day of. Ny . . . . . . . . . . . +tart' Public, Suffolk County LORRAINE KLOPI R - Notary Public,State of New York No.4828373 Qualified in Suffolk County (Signature of applicant) Commission Expires Nov.30,190Y 7