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Home My WebLink About12424-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building . .qr .n.e.w. .d..w.e.l.l.i..ng .............................. Location of Property ,....1..0..5.0. ............... Blue Marlin Drive Greenport .ouso ,ye. ' ...... 's;ie i ....................... h d, County Tax Map No. 1000 Section ....0.5.7. ..... Block 01 .Lot 032 Subdivision .... .Sg.u.t.h. 9.1.d..S..hg.r.e..s ......... Filed Map No. 38.53 .Lot No. 11 conforms substantially to the Application for Building Permit heretofore Fried in this office dated June 9 198.3. pursuant to which Building Permit No. 12424 g · dated ...... J..u.17..1..4 .............. 19.8.3., 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 ......... a private one-family dwelling. The certificate is issued to WINDS WAY BUILDING CORP. (owner, le~see-~c-~erran'b)' of the aforesaid building. Suffolk County Department of Health Approval .. 3_..37.S.Q~ .9.2.,.. 3_../.1.3.4 B..4/..R.o..b.t....A. :..V.5:1..1.a., UNDERWRITERS CERTIFICATE NO N6 .29.8. 78 , Building Inspecto[ Rev. 1/81 FOES[ 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? 12494 Z Permission is hereby gronted to: ...... (Y.~,~.~...L~.~;./..~.~..~I~.~...~ ..... ~.oz.o.....~t~..~o.., .............................. ..... ~..o...o...r.~..~./~..~.., ...... ,o ...... C~.,u.~':r ~.o.c.,~.......~.~.....~,~,~z ~...~...~.~L~.~;~ ................................. ot premises located at ..i.(~..~.~. ........ /~..I.~.~...J~.F~/.A~.....,~,,,,.? ................................. ......................................... .................................................................. l' .~..o.d'z.~.o.~,,~...b~.l.c).~z~--,~......~....~..~. .................... ~..-:-~...:....~.....~.l ............ County Tax Map No. 1000 Section .... .(~...~....~. ..... Block ...... ~.( ........Lot No...~.~..~..~.. ...... pursuant to application dated ....... ..?. f~J.~)..'i~ ......... ~ ............... , 19...~.....~ and approved by the Building Inspector. Fee $.. J..,.~....~.....~ Building Inspector Rev. 6/30/80 TOWN 0~: $OUTHOLO Building Department Town Hell Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY b*~strtrctions A. {'his ,pplication Cnust be fiiled ia typewriter OF{ ink, and submitted in duplicate to the Build~g Inw)nc- tar with the following; for n,~w buildings or new u~: 1, Final survey of fJrope~W with ~ccurate location of all buildings, property lines, streets, and natural or topographic features. 2. Final approval of Heakh Dept. of water supply and sewerage disposal-iS-9 form or equal). 3, Approval of elec[rical installation from Board of Fire Unde~vriters. 4. Commercial buildings, fndustrial bui d rigs, Multiple F{esMences and shnilar buildings 8nd dons, a cortific;,,~e e{ Code compliance from the Architect or Engineer r¢sponsible for thc b~Hldi~g. 5. Submit Planning Briand apprnval of completed site plan requirements where applicablc. B, For existing buildings (prior to AprU 1957), Non-conforming u~¢, or buildings and 1, AcCurate ~ey of peoperW showing aft properW lines, streets, buildi~gs a~M unu~al naturat or ~o[ ographic features. ~, (;worn statement of owHer or previous own0r as ~o us~, oc¢:upancy and condition of buildings. 3, [Ja~e of any housing code or safety inspection of buildir~gs or premiss, or other pertioe,~ inforrr, a tion required to prepare a certificate. 1. Certificate of occupancv $5.00 / 2. Curtifk:at:; of occupancy on pr~: exisdng dwelling/landuso -.-l'v~',-Fxi:~t. in/~, j.O. $i9.00 3. C(~y of certificate al occup~ncv $1,00 V acaytt, la~d C , 0. ~; % . C)(] Date .................... N,~, ~,,;~h,~m~ ............ OM or Pr~xisting Building ............ V~can[ t. and .............. Owner or Owners of Prop~rW ................... t ........... ¢ ................... '" .~,X'Z Block ~.~.., Lot ¢ ~ ~ CounW~axMal No ~000Sm;Hon .................................., Subdi~isiol~ .............. ~¢~ ........ Filed Map No ........... Lo~ No ............. P ~rmit No Date of Permit AppHcsnt Health Dept. Approval ........................ Labor Dept. Approval ........................ rill:rs Approval Planning 8card Approval Underw . ........................................... R ' ' ',, Final Certificate e,'luest for Temporary CerHhc,~to ........................................ Fee 5ubrnitted $ ............................ Col~struction o61 above described building and perj~Cr~eots all~appli¢abt~des a0d regulate'-- THE NEW YORK BOARD OF FIRE UNDERWRITERS [000'~71 BUREAU OF ELECTRICIT~ ~ 85 JOHN STREET, NEW YORK, NEW YORK 1003~ THIS CERTIFIES THAT only the electrical equiprnent os described below and introduced by the applicant named on the abo~e applicut~on number in the premises W~ ~ay ~ Corp., ~/~ ~l~ ~ ~., ~ld, N.Y o was examined on and/ound to be in compliance with the requirements of ~his Board. FIXTURE OUTLETS FIXTURES RANGES tECEPTACLES SWITCHER 42 25 35 FURNACE MOTORS FLUORESCENT DRYERS FUTURE APPLIANCE FEEDERS TIME'LOCKS DISH WASHERS EXHAUST FANS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R V I C OTHER APPARATUS: ~otor~; 1-F 1-4.5aw., NO OF CC COND A W G NO OF HI-LEG A W, G !J~O. OF NEUTRALSA W, G, PER ,~ OF CC, COND OF HI-LEG OF NEUTRAL 1 2/0 I 1/0 Electrio Co. N.Y. IL952 Li~2~2 GENERAL MANAGER Per_ 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. THIS COPY OF C NEW YORK STATE DEPARtmENT Of ENVI}~ONM~gN'rAL CONSERVATION Building 40, SUNY--Room 219 Stony Brook, NY 11794 (516) 751-7900 Wil.llam & Arlene Ball P.O, Box 477 Sag Harbor, NY lJ. 96q Dear Mr. & Mrs. B. all: You~ recemt request to extend the ,~bove permit has been reviewed pursuant to 6NYCR¥% Part o21, It bas b2en d~tetmined that there has not been a mate~i ~[ cha.ge in cnvl~onme~hql conditions, relevant technology or applicable law'o¥ reKul- attons since the lssnance of the existing permit, therefoIe. the expiration date is extended to September 30, 198% ~lia letter is an amendment to the original permit and as a~ah, s~ll be attached thereto, amd a copy posted at ~t~e lob site. ~1 other ter~s ~d conditions remaf~ as ~ftten fn the Very truly yours, Daniel J. Larkin Regional Pa.12mit Administrator DJL:cz cc: NYSDEC, Law Enfo-cement FIELD,INSPeCTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY FINAL COMMENTS: NEW YO~K STATE DEPAR'£~NT OF ETIVI£ONI~!ffAL CONSERVATION Regulatory Affairs Building 40, St~Y Stony Brook, NY 11794 (516) 751-7900 Robert F. lG. ncke A COPY OF THIS AUTEOqI~Z(',~'~J?[L{,iU~.~Sff_~?' AVA£LABLE ON PROJECT SITE William & Ai'l~ Ball P.O. Box 47'7 Sag Harbor, NY 11963 Abroad Mmsbah 520 FranklJx~ Ave. Garden City,. NY ].1536 TK~L ~? 15277-0148 Dear Mr. & Mrs. Ball: This is to inform you that we havr~ rev';.w~:cd ['~*e not~ rication letter (or permit appltcatien) filed on 11/20/ 1.980 and h~ve determined that it wiI1 Ilot b~' accessory to file :, p{,rm.t '~ppJ.[cation (or secure a tidal. wetlands paru'tt) to ~k~ct a bor~e eu~ as~ia~ sep~c sys~ echoing ~ pl~ s~tt~ ~ ~* on lot 11 of ~.p of ~old ~res, ~u~ side of Bi~ ~1~ Drip, ~s~, ~1 of ~u~ld, ~ ~, ~. Assuming you ha%e obtained al~ other necessary per~A-~, you r,~av proceed with your project adheriug to the special conditions [$f any) found on this letter. *Plans show all work at least 80' frcan r[~,an high water. The/~ is to be no excaxr~tin~, filling, grading, constructJ.on of tenlsora.,% or peItamaent s~yuctures within 75' of mean high w-ate/. cc: U.S. Army Corps of Engineers lq'fSDEC Law Enforcement - Region I Regzonal Permi~ f~d ~-~st a Issued FxpJration Date 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ;ZND [ ] INSULATION FRAMING FINAL REMARKS: INSPECTOR · FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×ami,ed ....... ........... , Approved ..~.f~/...~ ........ ~...~. ........... , 19~..~ Permit No...!...~....~....~...~.....___~... ........ Disapproved a/c APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS Application No..J..~.~..~....~.. ............. a. This application must be completely filled in by typewriter o~. in ink and submitted in triplicate 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 at,joining premises or public streets o~ areas, and giving a detailed description of layout ofproperty mu~t be drawn on the diagram which Js part of this application. 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 issue 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 whoever 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 o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances 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 buildings for necessary inspections. ..... ..: ........ (Signature of appH'cant, or name, if a corporation) ................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................ .uz' ................................................................................................ ..... .......... If applican~orate, .s.!g/~atur/~7of//duly authori~r~ officer. ........ : (Name and title of co~orate officer) ' ~uilder's Lic~se No ..................................................... Plumber's License No..~..~.~...~.~i~,. Electricians License No. ~L~....~~ Other Trade's License No ............................................... 1. Location of land on which, proposed work will be done. Map No~ ......~....~L.~.'.".~. .................... Lot No. Street and Number ~Z~&~ ~1~ ~.~ ..................................... ~....~.~t..~ ............................. Municipali~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ......... ~~....~..; ................ .... b. Intended use and occupancy .......... ~.....~m.~]. 3. Nature of work (check which applicable): New Building' ....,~.... Addition .................. Alteration ................ Repair .................. Removal. ................. Demolition .................... Other Work ..................................................... _,.~, ~ .~'~"' b~-~-~ (Description) 4. Estimated Cost I ~r,.C~). ,~. ~ ~.~ .~ ; ~- Fee f~'~"~ ~ (to be paid on filing this application) 5.. If dwelling, number of dwellMg 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 structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure: with alterations or additions: Front ...... ; ............................. Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ .................................... Rear ....~...~....,~ ............ Depth ....~..} ................ B. Dimensioas of entire new construction: Front ~, c? ~ q Height ....~...~..~. ........ Number] of Stories ...~ .............................................................................................................. ; 9. Size of Iot:~,Front .............~./.i~ .................................... Rear .. ....... .//.."~,..~/.~ .............. Depth ...~....17...~...I ............. 10. Date of Purchase ....... /~.~....~..~ ......................... Name of Former Owner ....~¢~././. ....................................... 11. Zone or use district in which premises ore situated .................................................. .~ .............................................. ]2. Doe~ proposed construction violate any zoning Iow, ordinance or regulation: ..... K~....~.. .......................................... 13. Will lot be regraded ...... .~......~ ............ W!II excess fdl .be remoyed from prem,sesz' ( ) Yes ( . , ~ ~ ~. "2 ~- /22~'- . 14. Narr, e of Owner of premises .../~.~.~..~...~..~.....~...~/,~...~....~)..... Ac~dres, .~./.~..~.....~Z,..~.~....~.~/!.. phone ~o~ ....................... Name of Architect .. ~:.... ~ ........ .~.../~..~-.~.~...~...~ddress ~ .P~one No Nome of Contractor ............ {~ ............. ~ .......... Address ............................................................... PLOT DIAGRAM Locate cleaHy and distinctly all buildings, whether existing or proposed, and indicate oil set-bock 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. ST^T OF NEW YO , COUNTY O~~--.--~ ,,~ ~/~/hZz'r~-f ' ¢ ..................... ~~ .~..-..b~..:....v'M....'~...~.....~...~...).[. ............. being duly sworn, deposes and says that he is the opplicam (Name of individual siCning contract) above named. He is the' ...................................... J .......................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work end to make and file th s app cat on; that oil statemedts ~contained in this appJication are true to the best of his knowledg~e and belief; and tha'~ the '~ork wi I be performed in :the manner set forth in the application filed therewith. Sworn to bede me this : ~ ............. .~...=do, y~of '"'zzz'",¢'"'~""', 19..Z.~. ~~ Notary Public, .~.~.,..,~.~<'."~-~...~ ~;~ ..... i~i~'~'~'~';;"~¥";~'l~'rr~g~') .............................. JUDITH T. TERRY Notary Public, State of New Yore No. 52-0344963 S~uf~olk Oommission Expires March 80, 190.--3 I0,0 :4 ? IO,O ' 0 coPPer tu~Olng is used {or wafer distributing system; piping s~nal[ be d types K of L on~Y i ,? If copper tubi~g ~s used for water distribul'ing ~ystem; p~p ng shall b ~- of ~'pes K or L only ,I R:O..S.g. o S rLCTI.:.ON, " F ROI\IT · E'LF_.!,VATION, ,i