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Home My WebLink About12633-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No., .Z..1.3.4.9.5. ........ Date June 4 198..5. THIS CERTIFIES that the building ...... .N.o.w., DwollJ_n~ Location of Property . .4.1.7.q ................ I.n.d..J_.a.n..N. ,e,c,k, .I) ,a.n,e. .......... ?.c.c. 9.n.Y.c.,,, House No. Street Hamlet County Tax Map No. 1000 Section ...0).8. ...... Block ....0 .~ .......... Lot ....0.(3.5. .......... Subdivision ..... .X. ........................ Fried Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... .Sgp.~: . .1.5 ....... , 19.8..3pursuant to which Building Permit No. 126.33Z dated ...... .S .ep.t.:..2.2 ............. 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 ......... ..... ,~.e.w..~..r.~.v.a.~..e.p.n.e., .~.a.m.~..~y..D.w..e.~.~.~.n. g ...................................... The certificate is issued to .................. I.N.Q.I.A.N...N~.C.K...~.A..P,~.S.. ,I.N.C... ............... of the aforesaid building. Suffolk County Department of Health Approval 12- SO- 40 UNDERWRITERS CERTIFICATE NO .................. .lxl.~.7. 3. 9.8.3. ....................... Building Inspector Rev. 1/81 ~0~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Yo BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? .12633 Z Permission is hereby granted to: ........ ........ .......... : ............................ /...~...~. ...................... ....... ~.~..~z~.~,=.~,:.~: .................... ,o ........ c.o. . ............... .................. ~.~.. :~x_ ........... .~.u.~z~.~..... z~'.~.~...~..,~.~.,~.:......~... 0, premises located o, ......~.../..Z~......Z.~;~/'.Z'~.4~....~...~....~.,~.~...,....~.C~.%~.~-~. County Tax Map No. 1000 Section ..... .(~....~...?... Block .......~..../.. ......... Lot No....~...~....~. ......... REGRADING LOT DRIVEWAY CONSTRUCTION CESSPOOL CONSI'RUCTION CELLAR C. OJ~$Ti~UCTION OTHEE Building Inspector. Fee $ · · .~.. ·. Z.. · .~.~..~..... PERMIT INCLUDES APPROVAL TO REMOVE EXCE~S FiLL FROM ABOVE PJ,~MJSES BY Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions UBL_ ......... BLDG, DEPT. TOWN OF SOUTHOLD iThis application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: rl. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3, Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topograph i¢ featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C, Fees: ~br~ -- ~Z~O - %~ ~,Or-.) 1. Certificate of occupancy $5.00 ~&P_~L,~:~ ~O~ou~ C-O, - ~,00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 Relocated & Altered New Building ..... ~. ....... Old or Pre-existing Building ..... >,~. .... Vacant Land ............. Location of Property .4.1.7.0. ....I.~ .d.~.a.q .N...e?.k...~,o.a.c] ............ ~..e.c.o,~.i.? ................... House No, Street Hamlet Owner or Owners of Property Indian Neck Farms Inc. County Tax Map No, 1000 Section 098 Block 01 Lot 05 Subdivision ................................. Map No ............... Lot No ............... Permit No. 1. .2.6.3.3,~.... Date of Permit 9./..2.2/.8.3...Applicant .G..a.~.~.e.t. ,t..A.....S.t.r.a:~..9.,..A.~. ,c.~.~,t;.e.?.t Health Dept. Approval ~ ~ ~)C::) -~JO - .Labor Dept. Approval Underwriters Approval ,.~.. ?.7 . .'~. ,~...~. .......... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....... ~. ............... Fee Submitted $ .5. ,..0.0 ........................ Construction on above described building and p/~it meets all 'cable e~des and regulations. ~ tk)cl~ Applicant, .~...~ ~ ..................... THE NEW YOR~ BOARD OF FIRE 1000773. . ~ ' i~,~ ' ' ' ,' THIS CERTIFIES THAT , :?. q ~ly the electrical equipment as descrf~ Imlow and i~t~,c~ ~ ~e oppl~nt ~ ff. t~e ~e ~piica~o~ number i~ t~ premises of ~nd~ ~k ~, S/S ln~ ~k L~e, ~0* WO ~ ~e, P~n~c, ~.~. i'~ ~sexamifledon D~ ~0~ '~9~ m~dfoundtobeinco~ ~, ~.,li~nc~withthere, L .qulrementso~ thsBoard. panelboards: 1~169ir. 150amps l~-Smoke Det.ectors. Matt ituck,'N.¥. ,1952 L,c. 242 ~N~t .A.AO,, ,:!}: ~ L~Thl~ ceHdicute must not be altered in any manner;~,,~return to the ~fficel of the Board if incorrect. Inspectors may be dentfed by their credentials., /' F~EL~~ INSPECTION COMMENTS FOUNDATION FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINAL ADDITIONAL COMMENTS FORM NO. 3 ~o TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ · ~.- .... ~ .... .x~.~..~ ...... Building Inspector PLEASE TAKE NOTICE that your application dated .. ~.~../'.,' ./.../. for pemit to construct.. ~.. ~.~. ~2~-2~ .......... ~ ........ at Location of Property ,. ~4~ ...... ~ ~/. ~.. ~4...~ ...... ~.~.~ ~ouse No. Street Hamlet County Tax Map No. 1000 Section ... ~.~ ~.... Block ... ~/ ....... Lot . .~.~ .... Subdivision ................. Filed Map No ................. Lot Nm ................. is returned herewith and disapproved on the following grounds RV 1/80 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~FRAMING [ ] FINAL DATE INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-18d2 Examined ~7- ..... .......... ........ APPLICATION FOR BUILDING PERMIT Application No .................. Date .S.e.p.~,..q. 5.,. Jp.8.3..., 19... 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 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 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 eode,~and regulations, and to admit authorized inspectors on premises and in building for necessary i~pe~gions, fi (Signature of applicant, or name, if a corporation) P.: 9.-.~. 9 .~..~ ?. ! .2 .,..~. 97.~q ~..~.,. ~: ? :.. ! ! ? ?.~ ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder. .................................. A~cb%.tect.. Nameofownerofpremises Indian Neck Farms Inc. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of cotporate officer) Builddr's License No..N. qt...Sg.l.e..c.t.e.d' .......... Plumber's License No ......................... Electrician's License No Other Trade's License No" " 1. Location of land on which proposed work will be done .................................................. ...Indian Neck RoadPeconic ........................ House Number ........ , ' ' '. Street ' ' ' Hamlet County Tax Map No. 1000 Section..' .... 9.9.8. ........ 'Block .... 0. ! ............ Lot... 9.5 .............. Subdivision ..................................... Filed Map No ............... Lot ..... - .......... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Vacant Lot - b Intended use and oceupancy Sinqle Family. Nattire of work (check which~ applicable): New Building Addition :~ Alteration X i Repair .............. .............. .............. ..... ......... Removai Demolition Other Work i Move existing !Residence to this site, Make Alterations (Description) 4. Est ated cost ...... 5.2 ,,00 ....................... Fee. ....................... (to be paid on filing this application) ' number of dwelling units One Number of dwelling units on each floor 5. If dwelling, ............................... If garage, number of cars .., ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................... 7 ..... Front Rear Depth · Danenstons of exmtmg structures, if any: .......................................... Height Number of Stories ' of same structure with alterations or additions: Front Rear Dimensions ............................... Depth ................. ~ ....Height ................. Number of Stories ................... · .99 ......... 8. Dimensions of entire new construction: Front ...4.8 ........... Rear .... 4 ~ ! ~ .......Depth ' Height ....q.8. . ........ Number of Stories ........ .~ ............................................. 213' 78' Rear 2,1.3 .78' Depth .2.~.~ ~..~ ~ Size of lot; Front .... · · 10. Date of Purchase ........ ! ..................... Name of Former Owner ............................. 11. Zone or use district in which premises are situated. A-~r e~.ide~.ti~ ~/. Ag~ £~,u 1 CB~,~ ~ ................... 1Z Does proposed ¢onstrnchon v~olate any zoning law, ordinance or regulation: .., ~.q .......................... 13. Will lot be regraded ..... ~q .................... Will excess fill be removed from premises: X Yes No 14. Name of Owner of premises~.~c~ ~,~ .N ~k ,t~0~'~t~ Addres~9;x..3 ~ ~. ,P.~ 9D.i.q.. Phone No, 7 ~ ~ r.6,~ 1~ ~ ...... Name of Architect .~rre,~.~ .~,.. S, tranq .. Addres~p.x..~.4..~ 2. Southoldp o ... ........................... h ne No. 7 § .5.-.5.4. 5, .5... S e 1 e c t e d Address Phone No Name of Contractor...Ngt..., .................................................... PLOT DIAGRAM Locate dearly and distinctlyI all buildings, whether existing or proposed, and, indicate all set-back dimensions from propert~ lines. Give street and bb ~ek number or description according to deed, and show street names and indicate whethes interior 2r corner lot. See Attached STATE OF NEW YORK, COUNTY OF .s.u.f..fg.i.k. ........ S.S ...... . .........qa..r.r.e.~t...A.,..S..~.r.a.n.~ ............ being duly sworn, deposes and says that he is the applican (Name ofindividuai ~igning contract) above named. Architect He is the .................................... (Contractor, agent, corporate officer, etc,) of said owner or owners, and is:duly authorized to perform or have performed the said work and to make and file thi application; that all statements contained in this application are true to the best of his knowl0dge and belief; and that th= work will be performed in the manner set forth in the application filed therewith. Sworn to before me this N tory ublic, . ,,,. ~ ..... i ' '-~' ' · ' .~If~. County , ~.T, ................... ;..,~ ....... of applicanI ; ! ...... ~LI~Bb'TH ANN NEVILLE ~J~l~ PUBLI(~, ~otu of ~ew York ~ , Suffolk Cour~ I FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-1803 Examined ................ , 19... Approved ................. 19... Permit No ............ Disapproved a/c Application No ................ (Building Inspector) [ APPLICATION FOR BUILDING PERMIT INS:I'RUCTIONS Date a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi 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 stret or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl: cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon appro','al of this application, the Building Inspector will issue a Building Permit to the applicant. Such peru 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 Occupan shall have been granted by the BuLlding Inspector· APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Towmof 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 describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessar~ inspections. /~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~ ............. /ff~. ~ .~,.>.~...27.: .... . .~4..~,~. ~...~.~.,?....~..~.,?.~..~. ............................... Name of owner of premises ....................~.~.77.~t c/~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Other Trade's License No. ~ F....~'.4~,~.~..~.~.?... Location of land on which proposed work will be done ................................................ ........... ....... ............. House Number Street Hamlet County Tax Map No. 1000 Section ....,~..~'..~. ........ Block .... ~./. .......... Lot....~. ?..-~. ........ Subdivision ..................................... Filed Map No ............... Lot .... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .~./d..~ U.~4t.:', .-g~.....~..o. ~ ...................................... b. Intended use and occupancy ........ ff..~- ...... ./.~'.~. qr..~.~-~.. ~.,, ,~,~..4 .,$.. :~__~... Nature of work (check which applicable): New Building ...... Addition .......... Alteration .......... Repair Removal Demolition Other Work (Description) Estimaied Cost ........... ~./ ....................... Fee ...................... -~ ........... " (to be paid on filing this application) If dwelling, nmnber of dwelling Units...,~'. ,&h~,~..... Nmnber o f dwelling nnits on each floor. ................ If garage numberofcars ~.%'~r,-,f~ q~. ................. If business, commercial or mixed occupancy, specify ~ture and extent of each type of use ·.. Di si $ if ;~: ~ Depth men ons of existing structure any: Front ......... Rear ................... ' N [b t St , t/ , . Height . ........ um er o ones ...... ~ ......................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. ' Height Number of Stories Depth; ................... i .............................................. Dimensions of entire new construction: Front.....';7..C~.,....... Rear ..... ~'..~..'". ....Depth .... 2c:1 ....... Height ~,-~......Number. of Stories""--[~.g~.' ................................... .- ... .. Size of lot: Front ........ ~./..~'..~. ........ Rear ......... /...~...' ..... :.. Depth ................... Date df Purchase ........... i .................. Name of Former Owner ............................. Zone or use district in which premises are situated ..... ~. r .~ .~r'~.-~.-w ~/.~.9/m~.~',~,'~. ~ ~ e'~.~..~ ......... Does proposed construction vioI~te any zoning law, ordinance or regulation: ..... ,d~ ....................... Will lot be regraded ....F'~./.~. ,~i.~x .~..,.,-...~ .......... 'Will excess fill be removed from premises: ~ No Name of Owner of premises .~r',,~,'~.~...~.~*~r'e/~r~Address ~x..3&q...~..~.~?*.: .~n... Phone No. ~7./.~; .~.~..~.: .~..'?.~.'{' Name of Architect .4~-t'.~.~7': .!~.: ~..r-~.~. ¢/ ..... Address ,~gt./4,..~.-. _~er~,g.~.,,~. Phone No. Name of Contractor ~ Address .'r Phone No -- : PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block rmmber or description according to deed, and show street names and indicate whether terior or corner lot. 1'ATE OF NEW YORK, OUNTY OF..~...~-,,P. ~.~,.Z<--... :S.S ..... .~.~.~..-.'~..,C(7..~: .~. 7-..,:~..~.,,q. ~. ............. being duly sworn, deposes and says that he is tile applicant (Name of indi~/dual sign,ing con tract) rove named. e is the .......... .~. ..... .'5 ............................. ' (Co ~ ntractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed tile said work and to make and file this >plication; tliat all statements contained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner set forth hi the application filed therewith. ~vorn to before me this' ........ :.../.e. ....... .... ,19... potrJcio MarcO ' formerly of DEPARTMENT DATA F~ APPRO~L TO C~STRUCT A a ~LF T ~ T T C A~ :~ ~¢LLI~ WITHI~ lO0 FEET OF T~S PROPERTY I HScTI.~t ~ OUARANTEE~ ARE ~T eLl~mT' ~ , ~ , , I' P~PERTY ~INES OR'FOR' THE ERECTIO~N LAND SURVEYOR OCCUPA NCY ~, ~ ~ ~ If copper tubing is ~ ~ for wa~er ~istribu/ing ~ ~ system; piping shall be ~ I- of types K or L only ~ i ~ MPEO~ NOTED ~ BUILDIN~P~TMENT AT FOI POURED CO~CRfiT~ j ~J 2. ROqlGH - FRAMING & PLUMBING J 4. FINAL - CONSTRUCTION MUST BE COMPI~ FOR C. O, ALL CONSTRUCTION SHALL MEET co s. Main Road P.O. Box 1412 Southold N.Y. 11971 ' ,~ , ~ ~ , , ,., _ _ _ ,,~ 516 ' 765 ' 5455 GARRETT A. STRANG architect Main Road'P.O. Box 1412 Southold NiY. 11971 516 - 765 - 5455 GARRETT A. STRANG architect Main Road P.O. Box 1412 Southold N.Y, 11971 516- 755 - 5455 GARRETT A. STRANG architect Main Road P.O, Box 1412 Southold N.Y. 11971 516- 765 - 5455 : ..... ., ~. I ~. , ...... ? ~ ,. t,:~ -I ,, ,., . ,,, ,,,, ...... , . ~ . ., ,, .... ' ~,,', -' , -a ~ , :>, ......... .. , ~ , ~ , ~ · ... , ,. , . ,~ , , ~ ~ ,, . , , : .... N , ,, ....... , , , ~ , , ~ ~ ~ , ,, ~ ~, , ~ , I Ih_ > GARRETT A. 6TRANG architect . Main Road P.O. Box 1412 Southold N.Y. 11971 516- 765 - 5455 PROJECT i "It should be note hat since this propert? is located in an agricultural area, the possibility exists that the water supply may .contain trace amounts of pesticides and/or nitrates. Special analysis'T'eA'l il~. required. GARRETT A. STRA'N,G architect Main Road P,O. Box 1412 Southold N.Y. 11971 516- 765 - 5455