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Home My WebLink About22312-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24372 Date MAY 21, 1996 THIS CERTIFIES that the building ALTERATIONS & ADDITIONS Location of Property 505 SKIPPERS LANE ORIENT NY House No. Street Hamlet County Tax Map No. 1000 Section 24 Block 2 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 22, 1994 pursuant to which Building Permit No. 22312-Z dated SEPTEMBER 12, 1994 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 CONSTRUCT ALTERATIONS & ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SHEILA S. BACHMAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N336989 DECEMBER 19, 1994 PLUMBERS CERTIFICATION DATED MARCH 27, 1995 PERFECTION PLUMBING & HEAT � 'h' t'2a Building Inspect r 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 J COMPLETION OF THE WORK AUTHORIZED) Date .... ...................... 19...94.... N® 22312 Z Permission Is hereby granted to: CHARLES THOMPSON CARPENTRY a/c SHEILA S. BAC'HMAN .......................................................................................... P.O. BOB 71 .......................................................................................... .PECONIC, NEW YORE. 11958 ..................................................................I....................... to ,.......,,CONSTRUCT ALTERATIONS & ADDITIONS TO EXISTING ONE FAMILY DWELLING ....................................................................................................................................... AS APPLIED FOR. .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. SHEILA S. BACHMAN .................................................................................................................................................................. at premises located at....,, 505 SKIPPERS LANE ORIENT, NEW YORK ..................................................... ...............................................................................I..............................,........................,........................ County Tax Map No. 1000 Section .........24............ Block...........?............. Lot No. ........?.................. pursuant to application dated .........AUGUST 22, 19...94......... and approved by the Building Inspector. Fee$.T1 .'....... �.. ,. ....................................... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 7,65-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building l 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 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 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 Buildinc - $100.00 3. Copy of Certificate of Occupancy - $20.'00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . ..�^.�/U/. .l. .�c�t` Q.. . . . . . . . . . . . . . . . . . New. Construction. . . . . . . . . Old Or Pre-existing Building.. . . . . . . . . . . Location of Property. . . . k?j�f,'01 C1�'.5. . .�ca H.r. . . . . .0L.^f.�:v.� . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . .Qkp E./. . . . 0.. . . ,fa COMZn s0,V-`�j . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . .Y. . . . . .Block. . . . . . ..7 . . . . . . .Lot. . . .-2. . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. aA s349, , , , , ,Date Of Permit. ,,//Z/0.5. . . . .Applicant. .��jcv.,�c�r. . ��Q�v,�fPY.� . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .Jr!. . . . . . Fee Submitted: $. , , , ,�,1�, , , , , , , , , , , , , , , , , , re—Pelf . . . . . . . . . . . . . . . . . . . . t3 �- APPLICART ,f THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 751O�` BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date DECEMBEIZ 19,1994 Application No.on file 86326194/94 N 336989 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MR.& MRI'. BA.CH—MM, 505 SKIPPERS LANE, ORIENT, N.Y. in the following location• 1y Basement LJ Ist Ft. ❑ 2nd Fl. OUT Section Block Lot DECEMBER 12,199 was examined on and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 16 18 14 16 1 1, DRYERS- FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gEll UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. .K,Wf* OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 F 1 20 6 600 SERVICE',DISCONNECT NO.OF S E R V I C E METER NO.OF CC.COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP 10 2W 1,®'3W 3,B'3W 3,0'4W PER Arr OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL :d J. 4 1 4 OTHER APPARATUS: MOTORSe3—F H.P. Lcertificate Q.C. ELECTRIC", TNC. I,IC.;t3823-2, OX 5:1.8 LAUREL, NY, 11948 GENERAL MANAGER z1 _ Per be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED-IN ANY MANNER. Town Hall, 53095 Main Road i ,';,> ? Fax (516)765-1823 ; '. ''= r� Telephone (516)765-1802 P. O. Box 1179 y Southold, New York 11971 �;;✓ ' OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: 3�8-7 A Building Permit No. ) Owner: r � ►tea.n (please print) Plumber: 4-e'-ej:g7 z ion -?/vm Vni tierd'irq (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead.. (Plumbers Signature) Sworn to before me this 2 7"4u day of 19 Q �� Notary Publ ' 4t County y ROBERT I. SCOTT,JR. NOTARY PUBLIC,State of N.Y. f No.4725089, Suffolk Cou Term Expires May 31. 19n suaniNa uepr. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING N A L' REMARKS• DATE � INSPECTO � . BUILDING DEPT. INSPECTION [ ] FOUNDATION SST [ ] RO PLBG. [ ) FOUNDATION 2ND [ NSULATION [ ] .FRAMING [ ] FINAL REMARKS: �f"`�d4A DATE INSPECTO 765-1802 suiLuiNc oar. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ J FOU DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REMARKS: �1 G�CN1� /--zv DATE ( 7 IN8PECTOR 01 ,65-180Z BUILDING DEFT. PECTION [ ] FO DATION 1ST [ ] ROUGH PLBG. OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS- D/PTE 2 INSPECTO � 672-v2 BUILDING DEFT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH. PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE IN8PECT0 LD i;:St EC:1ua1 _t.:`_: C;OtKMLNTS FA FOUNDATION ( 1st ) c _ FOUNDATION ( 2nd ) _ _ m 2 . ®° 0 ROUGH FRAME & c' -PLUMBING Cl 3 . r CTJ C=] INSULATION PER N. Y. ►� STATE ENERGY CODE . 4 . ►-3 FINAL ADDITIONAL COMMENTS : x H 0 -T x a - - - Zf / b H ..sr: o��SpFfOL��oG y� Town Hall, 53095 Main Road y Z Fax(516)765-1823 P. O. Box 1179 0 Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 6, 1995 Mr. Charles Thompson P.O. Box 71 Peconic, NY 11958 Re: Sheila Bachman Prem: 505 Skippers Lane, Orient To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 22312-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. BOARD OF HEALTH . lh 3 �' SETS OF PLANS i FORM NO. 1 SURVEY . . . . . . . . . . . . . . . . . . . . . TOWN OFSOUTHOLD CHECK . . . . . . . . . . . . . . . . . . . . . . 221994 BUILDING DEPARTMENT SEPTIC FORM . . . . . . . II TOWN HALL BLD .DEPT. TEL.: 765.1802 I SOUTHOLD, N.Y. 11971 NOTIFY : ' • . TOWN p SOUTHOLD CALLS . 1 .17 . • - Examined . . 0. . . . . . 19�T MAIL T 0 . Approved . . . . .� �.�. . . . .. 19/ . . . . . . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l. . . . ... (Buildi a Inspe t ) APPLICATION FOR BUILDING PERMIT Date . rzvc. .o?:�� . . ., 15�.9. 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 buildings on premises, relationship to adjoining premises or public streets cTr 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 shall have 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, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins ections. (Signature of applicf name, if a corporation). . . (Mailing address of applicant) State whether//applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.. f][ /o1C?�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . I °•/ j, (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. . . . f;3,;�,G , • • • . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . .. . . . . . I. Location of land on which proposed work will be done; . . . .�J�.' o . . . . . . . . . . i4;�O . ;VV . . .A�i . . . . . . . . . .Q!/:i.G�17: . . . . . . . . . . . . . . House Number v Street. • • • • • • • • • • •. Hamlet County Tax \Iap No. 1000 Section . . . . .li� . . . . . . . Block . . . . • , - . . . . . . . . Lot . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . ` (Na»le) . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . State existing use and occupancy of premises and intended Ilse and occupancy of proposed construction: A. Existing use and occupancy. . . . . ,.)c).,4�a . . . j,�,? , , r•,✓G�/Jy� • . . . . . . B. Intended use and occupancy. . . . .-1. "lJ./�. . . ✓►;,Fl.�. . . ;G?!li:"Gl�,,%+" `.'.. . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . ,• • ~k\1telaCion . . Repair . . . . . . . . .. . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . Se73_muiin 0g pool. . . . .. . . .., . . . Tennis Court . . . . . . . . . Accessory Building. . . . . . . . . . Fence . . . . . . .Other,• Work. . . . . . . . . . . . 4. Estimated Cost . . . . .. 0Q0:.C?0 . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . • . .(to be paid on"f=lling.;thi's.applicationi S. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on cachr'floor : '-. Ifgarage,number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . .. . �. . . . . . Rear . ... . . . . . . . . . . . Depth . . .VFA, . . , , , , , , Height . . .,�Z•67�. . . . . . Number of Stories . . . . . . . . . ._'2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . , , , , , , , 8. Dimensions of entire new constriction: Front . . . . . . . . . . Rear . . . . . . . . . . . Depth . . . , , , , , , Height .. . . . . . . . . .Number of Stories . . . . . .•2, . . .. . . . . . . . . . . 9. Size of lot: Front . . . ✓. �. .): . . . . . . . . . . Lear . . .,! .2. . . . . . . . . . . . . Depth . . . . .;lL7G. . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . .,/ c . . . . . . . . . . . . . . . . . . .. . . . .'. 13. Will lot be regraded . . . .,lV& .. . . . . . . . . . . . . .Will excess fill be removed from premises: Yes ... . NoI�. 14. Name of Owner of premises .,6Qck)»-,cjv--hAddress Phone No. .3�2,3:'•�. .��3 . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .. Phone No. . . . . . . . . . . . . . . . . Name of Contractor . �i�io►,.:�c.J:. /7io y. j-.jwn . . . . .Address . .10cconi c 1 IV T,• • Phone No. . . . .. . • . 15.Is this property located within 300 feet of a tidal wetland? —YES . . . .NO�.. *If yes , Southold Town Trustees Permit may be required. PLOT DIAGRAM 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 corner lot. STATE OF NEW YORE, S.S COUNTY OF . . . . . . . . . . . . . . . . . . . . . . . . . . . . �',��+—�G.S. • . 6zi; . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual gicontract) above named. Heistile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or leave performed the said work and to make and file this application: that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . . . . . . . . . . . . . . .day of. . . . . . . . p . . . . . . . . . . ., 19 .�7. .y Notary Public, . . . . . . . : v •. `.!!. ... . . County YCE M.WILKINS . . . ` . . . . . . . . . . . . Notary Public,State of Now York (Signature of applicant) No.4952246,Suffolk Co Term 6pirea Jutw 12,ll O � J o tom . `•�osd S. 63 0S9'90"E. /29. zoo A To Ca✓r�sr /3S.zS N0 Cams v` 01 C v 0 chI N 1 L� 0 N, 0it m zsry:. GOMM rV � .c�j tJ 44 `rrI � � N /,; �nauthpr'zsd z!terz:ier,or aodi:3� \ U to tills survey is a vic!Z'On cf Sc,,;V•n 7c L3 of the New York StUO EducaVon �. 6 4�•45�40 N�• /♦,Z.4r Cc�!�n of iha sun^,=y r;tz�apt bez;-;n� the!an d sa3rucyor s iri;s f i om emt o:,..sJ sMJ..hzi:r•o;b-s do„s be d to be a J:aild?dt!@ Mp� Guarar,,cs:z inept&d Nrfspr7 silzl,run oy17-1r f an4's /-!/Sfoo'/cOl Soci�r)/. On!Ytoiheprurr,JLV whom tres�-,,ay a,ar,d rr+his b.=hav to the R!tiG s'dC.crie C^.U'cr,?ii,�',fif'£�8 -Ficy and Eerd!r,to ha � r:;rr,,;i:;�;f:_t thr prnrd MAP OF PROPERTY to a` iScr.; Lxs itcc s ut SubawworQ S U2 VEYEO FaR Ndrrre Chatned Auc7. 4, /994 e Sf 46FI L A S. 0.4 14A44 `4 T Gunrar>f�'eG fo fha f-�am�Title C7 R/ENVY Guarar7` Corrr/ocjv,/ and Sac,tfio/d ,i Fp4 P- T"ofrvni of S®u7-.&wOL�O a a�t4r��",T�� R Sa vih s Bonkvssc�.-vcyes✓ci/yS /962 o W. V, 7uLS af7d Sue'✓c ors y Grccr�P®rt, lY. r __-------_,- -- — — _� - r �. + , i . , , i ! ,., . t� rn' 0 2 UNDERWRITERS CERTIFICATE ; + I i- �, REQUIRED • , t "o ` tol G ' I. . I r . ` • F F 7///6 STi1Pmwoor Ell i r ;,: �P r E: �a R,I? Z?_.. �� 14' ,EXiCtTAlt�s. . . ' . -.-1 1 , 9 "�" . :� c . 1`1.1i S/A/NG YO MATCH JO.fT ' I �EE: ` If�Y' ; NOTIFY R ;' .(�!6�30 DEP ENT AT ' i ° 1: f =-i fi�3l , �'IRt1 TO ir'!� FC Fs THE ' # j s ,.< FOL.LOf.�'�ING INSPECTIONS: . .� # # �i V, ! t,, .. 1. �. FOUNDATION - TWO REQUIRED " i # 1, , a . FOR POURED CONCRETE I '- A . I�O'�GH - FRAh11i��C �S PLUIVIRIPIGJ .•. j ' , I +!� 4 .. , � . ,.,...I ;-- t" _ �'. FII�? L - C®IiISTRUCT101V I!/M1'JST � . r..._ - __.. ' I:t-' 7 ..1:�__„_4 . • ; , . BE COMPLETE FO€I C.O. i ----�- --►--f— I f ` .. �_- "" '_"_' l_I� CONSTRUCTION SHALL MEET .� __-_.� _._._..(__�: _____ -�__ ' I hE REQSIIREIlIIEIVTS OF THE N.Y I 1 I s . , - - . . STATE ON & ENERGY • -- . t • . _ , ' 7 . ATE CONSTRUCTION -, , , ... 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