Loading...
HomeMy WebLinkAbout12610-z Town of Southold Annex 7/16/2014 P.O.Box 1179 + 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 12398 Date: 7/16/2014 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 50 Cleaves Point Road, East Marion, SCTM#: 473889 Sec/Block/Lot: 38.-2-31 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/16/1983 pursuant to which Building Permit No. 12610 dated 9/16/1983 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 with non-habitable accessory structure. Corrected 7/16/14 to add non-habitable accessory structure. The certificate is issued to M.G.Wahrenburg (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 13-SO-121 3/27/84 ELECTRICAL CERTIFICATE NO. N 635591 3/2/84 PLUMBERS CERTIFICATION DATED AuthorL Signature Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 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. �V//C. Fees 1. Certificate of Occupancy-New welling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00, 'ccessory buy mg dditions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing ui ng- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 Date. j y 1(.o 7.0 f 4. New Construction: Old or Pre-existing Building: (check one) T" Location of Property: L) CA,CAV I?-c> 'PT Sr �LJA () House No. Street Hamlet n,�—� f Owner or Owners of Property: C_t'� / 17i ) &PE RN O 6� JC7!9&6N L &MD ) Suffolk County Tax Map No 1000, Section J Block 2 Lot 3 Subdivision Filed Map. Lot: Permit No. (p Q Date of Permit. j Applicant: �� - IV Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) I, (-ATOEyi aE Fy aD residing at e � (Print property owner's name) (Mailing Address) do hereby authorize C—I L.-0 Ir t4 't i (Agent) to apply for variance(s)on my behalf from the Southold Zoning Board of Appeals. C-4� � o� (Owner's Signature) CA` 4EP-4 tui (Print Owner's Name) CONSENT TO INSPECTION �the undersigned,do(es)hereby state: Owner(s)Name(s) That the undersigned(is) e e owner(s)of the premises in the Town of Southold, located at0 a1 ,rr Q3 which is shown and designated on the Suffolk County Tax Map as District 1000, Section Block 2 , Lot , That the undersigned(has)(have) filed,or cause to be filed, an application in the Southold Town Building Inspector's O ce for.-the following: � �o r That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises .-comply with all of the laws,ordinances,rules and regulations-of the Town of Southold. . The undersigned, in consenting to such inspections, do(es)so with the knowledge and understanding that any information obtained in the conduct of such'inspections.may be used in.subsequeni prosecutions for violationss of the laws,ordinances,rul.es or regulations of the Town of Southold: Dated: �( (Signa (Print Name) (Signature) (Print Name) FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .Z1239$. . . . . .. . . Date . . . . . . . March 30. . . . . . . . . . . . . . .. 1944. . THIS CERTIFIES that the building-'new ,dwel ling . . . . . . . . . . . . . . . . . . . . . Location of Property . . .54. . . . . . . . . . . . . . . .Cleaves Point Road East Marion House No. Street Hamlet County Tax Map No. 1000 Section . . . .Q3?. . . . .Block . . . 02 . . . . . . . . .Lot . . , .0 31 Subdivision . . . Marion Manor Filed Map No. , 2038 5 Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated September ,6. . _ _ , , 19 . $.-pursuant to which Building Permit No. , ,12610 Z dated . . . .September , 16, , , , , , , , , , 19 . P.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 . . . . . . . . .M.. . .G. . WAHRENBURG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner,/epee-ortemne of the aforesaid building. Suffolk County Department of Health Approval 13,-S0-121/ 3/2 7/84 , Robt. A. Villa, P.E. UNDERWRITERS CERTIFICATE NO. . . . . . . . . N 635591 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 i. FORM NO. A 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) N9 12 610 Z Date ..�. . .... ......�... .......... 1 A3, Permission is hereby grante J� . ....... ........ . ..................... .. .Aa ........... - : Q �. (. ... � p........... .�..p.............................................. ...n................ . ..... ........ at premises located at .... � .....1 � ?� !�...........1.B tst ..�4y .�... A !.�..1 f�1t. .... County Tax Map No. 1000 Section .... v.......... Block ... Lot No. ..-1... pursuant to application dated ... .....4............. 19.pn , and approved by the Building Inspector. Fee $...1.5!gi .a..... u ng Inspector Rev. 6/30/80 . s4 � � uJik�OWg _._-f�_5 �±� 'y_ c.eS aQ,2 !" /Q�Q ✓��l �93 .c I.i1 i'uo�o w S ?,Pea tviNo%ws d deer" s 7G S S 0'i /CR 55 O Kai boob' S FT = e woes R / p NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION YV 10-83-0507 PERMIT UNDER THE ENVIRONMENTAL CONSERVATION LAW 8 ARTICLE 15, (Protection of Water) % ARTICLE 25,(Tidal Wetlands) ARTICLE 24, (Freshwater Wetlands) ARTICLE 36,(Construction in Flood Hazard Areas) PERMIT ISSUED TO Margitta A. Wahrenburg ADDRESS OF PERMITTEE 132 Mystic Road, No. Stonington, CT 06359 LOCATION OF PROJECT(Section of stream, tidal wetland,dam, building) Southwest corner of intersection of Cleaves Ft. Road and Gillette Drive, East Marion DESCRIPTION OF PROJECT Construct a single family dwelling 250't from mean high water, a sanitary system a minimumo I�0 from mean ig water an a boat ouse studio a minimum of 75' from mean high water COMMUNITY NAME(City,Town, Village) TOWN East Marion Southold _7 COUNTY FIA COMMUNITY NO. DAM NO. PERMIT EXPIRATION DATE Suffolk 9/30/84 GENERAL CONDITIONS 1. The permittee shall file in the office of the appropriate Regional 8. That the State of New York shall in no case be liable for any damage Permit Administrator, a notice of intention to commence work at least 48 or injury to.the structure or work herein authorized which may be caused b,or hours in advance of the time of commencement and shall also notify him result from future operations undertaken by the State for the conservation of promptly in writing of the completion of the work, improvement of navigation, or for other purposes, and no claim or right to 2. The permitted work shall be subject to inspection by an authorized compensation shall accrue from any such damage. representative of the Department of Environmental Conservation who may 9. That if the display of lights and signals on any work hereby authorized order the work suspended if the public interest so requires. is not otherwise provided for by law, such lights and signals as may be pre- scribed by the United States Coast Guard shall be installed and maintained 3. As a condition of the issuance of this permit, the applicant has ac. by and at the expense of the owner. cepted expressly, by the execution of the application, the full legal respon- sibility for all damages, direct or indirect, of whatever nature, and by whom. 10. All work carried out under this permit shall be performed in accor- ever ,suffered, arising out of the project described herein and has agreed to dance with established engineering practice and in a workmanlike manner. indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from the said project. to reconsider If granted under Articles 24 or 25, the Department reserves the right tf)is approval at any time and after due notice and hearing to 4. Any material dredged in the prosecution of the work herein permitted continue, rescind or modify this permit in such a manner as may be. found to shall be removed evenly, without leaving large refuse piles, ridges across the be just and,equitable. If upon the expiration or revocation of this permit, the bed of the waterway or flood plain or deep holes that may have a tendency to modification of the wetland hereby authorized has not been completed, the cause injury to navigable channels or to the banks of the waterway. applicant shalli without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, S. Any material to be deposited or dumped under this permit, either in remove all or any portion of the uncompleted structure or fill and restore the the waterway or on shore above high-water mark, shall be deposited or dumped site to its former condition. No claim shall be made against the State of New at the locality shown on the drawing hereto attached, arid, if so prescribed York on account of any such removal or alteration. thereon, within or behind a good and substantial bulkhead or bulkheads, such as will prevent escape of the material into the waterway. 12. This.permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others 6. There shah be no unreasonable interference with navigation by the to perform the permitted work or as authorizing the impairment of any rights, work herein authorized. title or interest in real or personal property held or vested in a person not a 7. That if future operations by the State of New York require an alteration party to the permit. in the position of the structure or work herein authorized, or if, in the opinion 13. The permittee is responsible for obtaining any other permits, an. of the Department of Environmental Conservation it shall cause unreasonable provals, lands,.easements and rights-of-way which may be required for this obstruction to the free navigation of said waters or flood flows or endanger project. the health, safety or welfare of the people of the State, or loss or destruction of the natural resources of the State, the owner may be ordered by the Depart. 14. If granted under Article 36, this permit is granted solely on the basis ment to remove or alter the structural work, obstructions, or hazards caused of the requirements of Article 36 of the Envirormental Conservation Law and thereby without expense to the State; and if, upon the expiration or revocation Part 500 of 6 NYCRR(Construction in Flood Plain Areas having Special Flood of this permit, the structure, fill, excavation, or other modification of the Hazards — Building Permits) and in no way signifies that the project will be watercourse hereby authorized shall not be completed, the owners shall, free from flooding. without expense to the State, and to such extent and in such time and manner 15. By acceptance of this permit the as the Department of Environmental Conservation may require, remove all or p P permittee agrees that the permit Is contingent upon strict compliance with the special conditions on the any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood rapacity of the watercourse. No claim shall reverse side. be made against the State of New York on account of any such removal or alteration. 95-0.4(9/75) (SEE REVERSE SIDE) I� FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This 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: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 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 topographic features. 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling land use --Pre-ExistingC . O . $ 15 . 00 3. Copy of certificate of occupancy $1.00 / Vacant land C . O . $ 5 . 00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . New Building . . . e `� . . . . . Old or Pre-existing Building Vacant Land . . . . . . . . . . . . . e a vP / /ter ,V 1 a i, Location of Property . . . s `� a . . . . . . . . . . . . . . . House No. Street Hamlett Owner or Owners of Property . . !. ! .C. . . . . . . . .�n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . �.3 . Block . . . �. . . . . . . . . . Lot . . . �? 1. . . . . . . . . Subdivision . . (':"� . . . . . . . . . .Filed Map No. �p . .Lot No. . . . . . . . . . . . . . . . . . . Permit No. LX4 ('P.?� Date of Permit .�:I�.: Fr?Applicant . . . . . . . . c! Health Dept. Approval //.�J:v? f:. . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters ApprovalG? . . 53, 1. . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . Fee Submitted $ . . . . . . . . . . . . . . . . . . . . . Construction on above described building and per t m is all applicabl codes and regulations. Applicant . . . . . . . . . . . . a. . ... . . . . . . . . . . . . . . . . n �3 Rev.10-10.78 O � I I INSPECTION DATE COMMENTS C y 1!i FOUNDATION ( 1st) FOUNDATION ( 2nd ) - 2 . 2nd )2 ro/SQ �I l0 'f3 (2q ✓ $- O!'�eQ f /Uunn[�7 w .C�o�¢(0/( QCe .z ROUGH FRAME & ° 63 3' ✓,�i� rLuw..t er...�.o.., 6- illrn.✓ ,e-�iG- Off n PLUMBING .� ✓9i'�C� K/� C m 3 . m _ m INSULATION PER N . Y. a171oqa ltzz STATE ENERGY hl CODE x a p 3 N m o . 4 . 3 �, L / FINAL 44E � x o ADDITIONAL COMMENTS : c S ' x ro t H � ar H � H ^O O W z • x _ m � A ' r 1 y .CA x a ry k at 09 k FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date . G7O.. ...... .............. 19.4 TOy.......................... (owneror�`'thorizyi/r��elt of owl) (address of owner or aut6rized gent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ...... Other Applicable Laws, Ordinances-or Regulations ............................................ at premises hereinafter described in that . ......... (state charact violation) i �..i/t1... . .CcVXR_''o ... .....C��.. .. f„�s �/.WP / �j./ �G!�C ../.N..SfW .. .fce+� .... inviolation of ..... /.0.0.7nl.Y..5........................................................................................ (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the low and to remedy the conditions above mentioned forthwith on or before the ...-=�R0?..1?1djZ1.i.....47 ....O&C,w. -lay of ....................................................... 19........ The premise 0 which this OR�DEER TO REMEDY VIOLATION refers are situated at .C,�t!/"s/,(1( lt .....County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of low may constitute an offense punishable by fine or imprisonment or both. S�.E- 09/o p -KJ S .ly�ACf (/!✓ &".//CTS/ wor/a /•!wC/ ..................... c ...... � Building Inspector ,C�JCJrLI�` iA i; 3 Concrete Grade Slabs - _ 12 Slab-on-Ground Construction: Floating Slab Foundation flashing A wood frame construction Constructions illustrated are for asbestos perimeter heating duct, if used wood frame buildings with heights cement of 12-foot maximum from floor to board concrete slab cave and 20-foot maximum from steel reinforcement floor to gable peak. 8" '°-' `:. "�P 4" min. For concrete and concrete rein- min. \t •. ` ' ° ' forcement requirements, see text grad 4" min. entitled, "Concrete," part 3, page \ J J y{4 bars 16, and "Reinforced Concrete," {' part 3,page 39. 18" 1 I" to 14" moisture 6' : °$' barrier min. For anchorage of wood sill to s , s compacted, uniformly foundation,see illustration entitled, rigid n graded gravel fill or "Anchors and Nailing for Exterior insula- I crushed stone Stud Walls," part 3, page 71. tion, R2 4" min., 6" max. Protection Against Frost Ac. 1/2" round R 2 insulation spaced 2 inches apart tion—The adjoining ground is to bars, 26" at 24" centers to form concrete keys slope away from the foundation in o.c., through for bearing all directions, and the underlying concrete slab reinforcement soil should preferably be sand or keys gravel to reduce to a minimum –� v — i __.� _ g P' . „ heaving due to frost action. Silty 1l/2" nl; g ,,o o ° sand or clay soil should be avoided. 1 A A I °o° ° °° ° cR min. °°o e -- For perimeter wall foundation, bottom of footing is to be below P #4 ' . ° moisture frost line. If necessary, footing bars-- ' �Y' ': 'S�,bc barrier drains or other means that would 6" min. reduce height of water table below :go ! the slab may be installed. For foot- 1 a° other notes and dimensions ing drains see illustration entitled, / not shown, some as in "Foundation Dampproofing and drawing above Waterproofing," part 3, page 11. Note A. two #4 bars for wood any woodbearing reinforced bearing partition if one story; two partition or masonry concrete slab #5 bars for wood bearing partition i nonbearing partitionmoisture if two stories and for masonry it —4 barrier nombearing partitions; masonry 4" min. bearing partitions are to be sup- S"rmin min., „ ported on separate foundations. 4 min. :ee note A For additional requirements, see compacted, 4” min., text entitled, "Concrete Slabs on uniformly graded 6 max. Soil; part 3, page 10. crushed stone . 8" min. or gravel fill j CODE MANUAL q . 7e5-is02 BUILOING`DEPT i N SPE TI, N a ( ] FOUNDATION 1ST [ ) RoUo i PLBG. ( ] FOUNDATION 2ND [ ] INS . LATION [ ] FRAMING [ ) FINAL." REMARKS:Ao ., c�eIoAal DATE i ( � NSPELTO 765-1802 FOUNDATIONINSPECTION i FRAMING FINAL DATE INSPECTO i r r 1001071 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF EL.ECTRIGITYj mw.IfS ,ah ©rs i9 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date Application No.on file $�`�'`��'�' 635,591°gg° w. THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MX. llahreubli g, Clcuue I Point W1. A.W. End Of LOMt d bt Gillette Dr.)Ea.3t hbTion, X-Y. in the following location; LJ Basement 14 1st Fl. LJ 2nd FC. Section 03v)Block 2 Lot 5 was examined on �rr� and found to be in compliance with the requirements of this Board. SF'ebmmy s. 27, CI 4 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT Vn�vOkY AMT. 10.4 K W,.{ AMT K.W AMT. K'N AyMT %W.-y A�LMT. N.P. 40 42 43 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT J TIME @LOCHS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K W OIL H P. GAS H P AMi NO. A W.G. I AMT I AMP. AMT AMPS. TRANS. AMT H.P. SYSTEMS AMT WATTS NO.OF FEET F W SERVICE DISCONNECT" NO-OFMETER S E R �V 1 C E r AMT AMP TYPE METER I.D.2W I q SW 3$)W 3A4W NO.OF CC COND, A W.G. NO.OF HI-LEG, A W.G NO OF NEUTRALS A W. EQUIP. PER E W CC.GOND. OP H6lEG OF NEUTRAL r - OT R PPfIRATUS( 'I,. 1�LS1-exllce c6tectur t w w G & 8 Electrical cont, P.O. BOX 21 Sont1r,)IIl, N.Y. 11971 057 GENERAL MANAGER r�T Per This certificate must not be altered in any manner; return to the office of the Bo AAA tnco'rect. Inspectors may be identified by their Credentials. '? COPY FOE;B ILDIryG DEPARTMENT.THIS C0M0FqpTy!qy, E MUST O ALTER DIN ANY MANNER. /�ci�G ds/c✓G� 5 L/Z®�(.! �12u7��/:..r y� GK��JA,C/G'.5_ tz/ �/Zv Y' O� /(VC/ u/�.�il®rC/S d/L. rrey - z�c2L,o ltd/ z�da�/ctK' Gy�Jc.�✓ "�L/c,C" U��� r�lUr� �CJ•�G� Gofb 5sa- � 6 t'd/6 a ��i�s ��✓ -6 CyCJcS56'xa7 ti s l7 l.OG6 Com�L � it! �77 » 1 Y FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . . . 4 Received . . . . . . . . . . . 19 . . . Approved " /•�• .> 1 . Permit No.�at0.1 Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 5*0 . . . 'l . . . . ., 19" INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 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.fo m0va1 or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildi g de, housing c de, and regulations, and to admit authorized inspectors on premises and in building for necessary inspzcs-� . . . . . . . . . . . . . . . . . . . . (Signature oapplica , or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. �obeYt l bw� e,v�• — Cr Name of owner of premises . . . e v1 I✓Yt�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . _ (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. . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . z'<� . . . . . . . . . . . . .C !-.eaves . . ft. .O �. . . . . . . . . .FeQ15 . .1Vle,e3 �1 . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . !�? ?-3 � . . . . . Block . ; . . .P. . . . . . . . . . . . Lot . . .3. 1 . . . . . . . . . . . . Subdivision . . M4+R i o'.!^. . . .IYSA " o•Je , , , , , , , , , , . Filed Map No. . .d?.n.3. . . . . Lot . . . .3/. . . . . . . . . (Name) 2. State existing use and occupancy of pre and i�n^teended yu�eyaynd occupancy of proposed construction: a. Existing use and occupancy C' l?U �. • . • • •V {y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r.:. b. Intended use and occupancy L W . . �.n•e• • • ce © :' 3. Nature of work (check which applicable): New Building . . . !!. . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . p 9 . . . . . . . . . e val . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work .V AJ KSJ►4p. . t 4. Estimated Cost . . . . . . . . . . /� .� (Description) Repair . . . . . . Removal S'TaRa e She U . . . 4 a�©oo . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . ... . . . (to be paid on filing this application) S. If dwelling, number of dwelling units . . . d y�. . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . If garage, number of cars . . . .4? R dh eta . . . �?ti R?o;eT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7, Dimensions of existing structure's,if any: Front . .`-'. . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Num ber of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front :--. . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . "/ F. . . . . . . . . Rear . . . .�(6: . . . . . . . . Depth . . `/,9. . . . . . . . . . Height . . . .29. . . . . . Number of Stories . . .Z . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . , . . . . . . . . Rear . . . .e,. . . . . . . . . . . . . . . Depth . .3aG. . . . . . . . , . . . . . . . 0. Daate of Purchase . in which pry ' ' ' ' ' • • •game of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11one ordistrict mises are situated . . . gs.l'dee7.-,.'&.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . No. . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . MO. . J . . . . . . . . . . . . . . . . . . .Will excess fill be removed from premises: Yes ©o 14, Name of Owner of premises MGA. pi).7 n. 6��q . . Address � � MYs?% l��. . . . Phone No 2O3 .�r�J Name of Architect .,}�}� /Y.S�'Jo%Ni C'on rl,hone NoQ�.3� . . . . . . o6FeKrT . . . . . .�T,oh.NSe!�I . . . . Addressy3od,5cu�✓fc:,w/}r.!PhoneNo. :7�,�-x/65. . . Sor�ThoXel A// Name of Contractor . . . . . . . . . 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 i,number or descnp ion according to deed, and show street names and indicate whether interior or corner lot. 10-171e7Te Al PofhT R� gs : ,b S• Homy e' sell �o , STATEOF N Y K, S.S COUNT O CN. . . R h V1 t- e! 1, , , , , , , , , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . . . . . QQ.1�1 .(. !�ce c a"D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 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 jmme�this . . . . . . . . :&�;. —.---:day o No ry Public o . . . . . unty tte . . . . . . . . . . . . . . . . . . . . . . . . . . L{C, S[Ne of Neo York N0, 1t•d135850, Suffolk to (Signature of applicant) hrm Wires March 30, 19_ I + if Clssei � Ck:», Aey co 5LA r- R � e a ; ttt fa " PLY ' /5lb rely + a4o Lb Seal Ta $ti.ti le it AL � Tei ►- ii E ai4° OC f 41 K ; o go n5 iuiM�oco Si .dJn� �oop 044 C`d � BRi�k Ve,+eea gig FL,. e ®, x(e8,. pc 0 O KI 0l,%je10, Wa{ L _ PsuRez4 CoSf.a6 1 - `� e- To SuppoQ 1 R+c[ E (�r�G W � io W W Vv�esh � G.`ox�`Fl 04-FD ` �. For.T. rg �, Slab (✓IoKD��Z ,� PouR p r T 3 %i A bo6p Mg Go68 � MG �4�tn_ i � (,t� hRe� fx..e.y Matin 804 ��S 2 (.r.tdp-rr e_- TSO dZ,B 7" �ldl�loL7 �sz 1Y. l<c,s cTo,v rY,6r�E oa �J_c�o<�yc- i vZ �y�3 a t 15,0,C-45 orm d/L '50 7f//JT /Jct Cd/.t/ 6-19 L,oe,��� i a Gaal/,�L S✓ Gc.rt'h' ��r�' oL- P/,er�✓ -d icrs,,P�ez ;;�a i/4,F 7) c <3X10 C b j _ `Z.4T �O�T SCr4 LUQ S 7a ' �2icaC Z,2�-x/e/L t5Cdc4 a 1`-dl'r' /,vSlip/U �K CIVI tO�i�s �� �4 CyC�cS�o� STiCUclU/� . - IT Cc,vsT�ZcAc'1c%> .Olr ti lz ow,&l Ea; A? rr' .5141-2—: Cj4lC�5!/�ricLlO� Cd�� �� /`�.�o,�U•vG.. r , VZil /�I J.w71•/ M 147.E % ' B ol7 Im G' Jo ya ' K JILT i 0 I I - G Gff i I '�wkLL k,V r Nc� 'I 'Koos+ ------ - GpLY i 5� NOO{I 14 b,. Ic CLd �ggg uo LAWF�� p pT C TM6��'F_ a"BRICK ,fir � �'` �>a '� 1j�i�1�i [7— --- -- --- � - � -$.•cOuc. .fit '. + ' .. Id K yt' g3p "4ta klrlLrrr: r Rcic�r i � 0 la,j FIRE P,Poo 514EEreocl[ r,NDEPSI' /xG CE/G//(C� Z -Zl /061RDER�I ubmgis o DININGI 'RQOM i '' CPEg C� i e� °tio9 T , coPp pioi aistw sM6iib° i_o . :. � ,4 PART 4o iPi°9 `pp1Y . syS,aMlp of HP°s }4.IT'CH�1,,I �="o 2AFTERS-1z'bc_ 32.1P "5 I IS 4(o ' � 44 zn3 Ib� T � } TL -Age 9 I Z. a - b$ O (� X1.6 %APP�R� O���VED AS NOTED 6 J b DAT@!-- / Y3_B. Sy 1, FEE: SLlO BY: NOTI BUILDING DEP gRTME -�—�I 765-102 9 AM TO 4 PM FOR THE 41 FOL�.OWINT NG INSPECTIONS: �. 1 0 1• FOUNDATION - TWO REQUIRED - fir( 2 5' `a Z 2. ROUGH -POURED CONCRETE ,.14 i .a URG FRAMING 'o y 1 6' J 0 -_ 3 INSULATION NG & PLUMBING 11 9 , I O 4. FINALCONSTRUCTION BE COM. —III RUC 0 MUST ALL CONSTRUCTION S O. 4� br F THE RE HALL MEET � tQ.A OUIREMENTS Q - TCT LI; i, i�'• r )..CVC� I' L>�.�I.' STATE CONSTRUCTION THE N. Y, r z ` CODES, $ ENERGY - - "' � NOT RESPONSIBLE FOR _ '� r �, Q ' :Q1� u'�1,f,'.�4.1.. �.11 ��?+T. �.1'I,�_T �IQ DESIGN OR CONSTRUCTION-ERRORS. sT 322.5'4 4y., ryyy�jr _ qy jy_� Q�(� ( '. - '• ATF OF NEW{� `. 5 A+ sT'' *Ip;. (—lr_�F L�05 1� {" (-H W,It,�,L,S tCIO 0.t. . j ij R CIlICl 11:(11 1: JUIT1'1W .]2. PK-RaM£NT s A10.2y6l- 2 II /Nc -DUO ,2972 149 CIF) Fni 1� 00 ®R 4.1 f . cr AN, 616 9F 7-- FIZI 0 C-) 0 10 )3,0" Q, Ic SKYLIGHT J9 Bt-,) Rn-)o A("-ESc-, DOOR 4" B?,ICK VEWET& • 16, )t 6'- 8' Col0c BLOCK ------------ jlDOE Ij TL Qo'P�, PLS,J M. G . W kHRT N-bU ?,G OWkjTD It M, tKJ'D I BY : JULIN- MNNKJ Zo 7j-rL,i SECOMD -TL.00 P, ?L1,,N1 ? 0-F 0 K7 L5� 'D- 4 li/4" ItO" 114, J Ul-1 NW13/14/6 Job ID ' F�51jllf _TNQ HNRV?,�D H. YLLIS TECHNISCHOOL I i I I I I � ON 16 ' 700TIIJG z"K IC"570 64 F, - I I I I I i I I \, VT' ITJ-\L IV I I I .o 9x6 I I I I it 1 t-� 1 r� 1r6�'ao" G 'Op.iG MOCK COL. -II _ I 8',10" GIR� R _ -- _ Lr !�,• � Ll 6urc-cc =- - - r - --I .i, „K^ -^t- - I 2'O '�xb'• ''D'EN`T I I ` I I L � I CW 18'"}`OOT-IMG I 2- 2'.., IiJ' JOIST I- 0" - I I i 1 I II oN Is"TUUTIQG a'Rs'Comc. _ 3.z"wlo, 10111 } _ 3r+eD" COtNC, WALL ow fc, _F007t1IG I 2-ZxfoGiR�ER- ;I CpecR.{e .�iaTix9s ax7-t3 ' ` _ - ' faRW •d Deal( 8'T011- I - • ----- — -- � 3 ----- L s I , i iI I � I I II I 1 g `w�c I I I I i i 2 r� " VrN T`,5 20'xc'O" 3 OOTIIJ65 I I � • I k I PROJECT: PIT s I D1 NCZ -{� FESSIO - � TOUNDP..TIOI 1 YQ I_ yaps M '� yF� OWNED M. G. W NMD ENBURG z $Y ' .JULIta MP.NN' TTL : �OLINDPTION PL s y j 3225Wta"� D - 4 /V=00' K.JULIPN 3�14�63 3 ©� 8 ii JOB W. SCKLT P . �Y D4aTE SHS Na, HARvpRD H. ELLIS TZCHWCIaL SCHOOL RCHITrCT R L � _.._.,.._...._,._ ISN T A IIJG PPR 1 I 5 � COPP£F. . -�LP.�Sr+IbJCa I crJ cc \ ------- -- - -- sr L h IG I- TiCH'7 - - ]�Twfr- _.0 `i"'IhJ I 07 - rl � �l _I _IT -. -1 � -I LI -{ � -. 1 _ _• ._ - -I. 1 � _ - rI -I-J 1Y MART H TQy}-V��.I—fOt. is d91'- 0 1 P r PHP.I.T• 5+J 11:ld6l.I� i WC HZ"!G H7- IL V�ys -- ` - 51/,YLGJ4-r6 - Ir Milo- TIN . "D TL 17f�_ - - - 11 Ill 11 _ ? - -- -- A.P7Cvx. G J � �Llr - - - - - - - �I_I � — � I r - - - T '-I - - - -I — — , - - - - - - -I- - - - - - - - - - - — - - a� m 'PROJECT C£ 1-,_ - - - -- _ _ --..L- - ._ ....- ,�•-.- _, .--r - - - _ L _. _ - �- - - - _ _,y. - �. _. - 1 - ,.1. _ P °GEE MO Z 'OWN a,v MIG. WKH'R-'NauRO u�c A5 2 z ZY ' JI.ILI !> MaNN 5OUTH SC'AL �! I-' L4� Vi� t lrJh1S � # �, '3225Q 1? - 4 $"cILQ" K,JULI 3/14/83 407-8Nsw+° JQ$_NQ, :S�b m D?,.IBY -1a1-r£ 5HEETW H. E `.l fa .Trl•NG WD CP,PLRSTCHOOL r(,rLjKi. � METARCHVT �. I __ .-- - �/LSPHIaLT SHIVGLES� _ �'i ------------ - -- — HTIG H7 �FI N . 2 --LOOR CrIL G, ---- - - - - --- - -- 1-i'LlCH7- - - - --- — I � ' ¢ z /-11 3_LOCYR- P., Roo. G`0.P.DT I _ L L _ _ __L — Cb I� R. 7t-kSHINGG - ' T ,§7 -11TV40-10N V CFa /9 77 �IfJ. 2ND CEILIL1 — - _ __ - - -- ---- r _ HE1GNT - --- --- �'"11J. HEIGHT 77 x - - - - - - - — - - 17 + � 4 � 51DTNCZ• L-ZVEL - FaIPORT -f-Loo-R. APRD7c. CiRt�7Y QWf �D M. CS. W.RaHR NBuRG p¢E551pN I"D I I 'I - ( eRNCEm r r 5 'y JULIP, I if*.NN Li 1-IrL � L�VI�TIONS D- 4- K.J ULiWa T14/83 b Of- 8 m 3 a JOS No SCP.Lr DR.BY DP.TF- SHEFT-MO. T. . L T�pN T'r`y w °e HP.RVP.RD H. l-LL15 TICHNICNI- SCHOOLALS` " I- s. . Y 1J A� NRCHITZCTURaLDFKT'TIf.16 Dl?KF(TM"jNT �- - 1 I I i i `�- 5 9 13 XP.UtiT- 'f'P.fJ 5rr TNG ua y r , - 4'� 4" Rp I L I"G Z � ' �'' -��� ' 'i � ' 1'.../�' ' •.+—•� 2wB°,. JOIS'T'S" . , ' . � �� 2• TSYCILlhJ6 TILI. FLOOR J/ R3� PLIYT� H77, 4' - 2` 6' H�PJ7�R . 2x6 16'b. GY• STEEL -POST Cp,-P 3'1tJ'n 5 - ID_' SKY LiGNT .'V n tI N L. (D" -PO S 1 Z C,GV. STET -POST 'BKSF RI 7'IN. 1STTLOO , 2 i, DECKING � .� _�_ -4„ C - TIn 2n v TLVOR "x 6" 1 " lo ' of b O. C. j x J PLp,•T� HT j 6" C rJ tb"ac. O C. Pl R GIRT 1-iT B �.L r.L. so �IT_ - CONY DT7P,IL 5 1 It 6 7e-o,,.4w.tts axiC ; ,jw oc 11 - A /9 /ys&L i 1 , o �r x 2-O" yrNT 2'S 10" GIRAR lS //vwtq.0oft . GP f 2" COA7C + lt\ >yY r ' t,7 _-N1 . _ �, P�91 P-NOJE7CT `R�5IDSNCE - p"s M,l ry� ow M. G. W F\ HRS N$URG GE M. TL C '3 Y : JLILI i'�o-_� ryM NN N _ Z 6 C.] ,s TI -rLr, CR055 STCTI (DN D- 42 >Yr0'1K.JULIt,N 3/1483 6OFB �r x3225 t�` JOB No SCP.L DP, BY PTF SHTFTNA I Hli'RVp,R3) H . ELLIS TICHNICh.LSCHOOL --- -- ARCHITfCTUf IKL D,RKTTING D-EPKKTMEIJT The locations of wells and !-e-,spools LOT COVERAGE 4 shown hereon are from field observations and or from data obtained from others, HOUSE, DECK, PORCH, GARAGE S ,�,�� vj� Therefore their locations and or existence 2778 s It, ° is not guaranteed. Q ADp/T/ON q• ' r6 �� ` FR. BLDG, 744 sq.fl. r � ool 3522/26321 = 13.4% 352 ^n P`�e\"�.•. \ �� �E�� SURVEY OF LOT 5 N .. 00," -MAP OF "MARION MA OR O�� k MAP NO. 2038 FILED MAR, 18, 1953 z s r '�' �•�'~ \00. 15.00, AT EAST MARION _ •. .:. •N• • G .•i - -E "�`•r' `' \�"� TOWN OF SOUTHOLD , \ �• �A _ eN \0 6`\ kp SUFFOLK COUNTY, N. Y. r", C) o 1000 - 38 - 2 - 31.0 Scale: l a P�'a \� g, sem- Oct 10, 1997 o zAL'' yr a� 4yP° June 7, 2010 c G F FEB. to, 2014 (PROP. IMPROVEMENTS! y �^ APRIL 4 2014 (ADDITIONS) 4L 0 o Cb d M `r > m S " e b• I I r oto Cil > p ° r � a r � •.,. _ .: � k,,� O � z 4 4 �\ eo r g ° -•" ti m Gam. � n > N N" � !• 3 / a / ,+� O RAIN RUNOFF CALCULATIONS PROPOSED GARAGE .504 sq.fl. , �_ c„ s v PROPOSED PORCH 175 sq-lt. o C" r 2 r sj �i T 0 PROPOSED ADDITION 55R sq.ft. Od ''d t\�' o_ P_ " TOTAL 1237 sq.ft. r s � •QY\1 �" N 1237 x I x 0.17 = 210.2 tuft. Zo 210.2142.2 = 4.9 VF PRO lbrtv 3 DWS. . x 2" nFep 1 1 *,�:: f` c� \\ or equal m G" ox g a .Z� ' O i Q s m .t.,' i A. 10, m - n Z �,�f `, PROPOStD SECOND STY. O R� ° `+ SAV" ►-3 ADD/TION e ' -`='�'; 3 BEDROOMS TOTAL IN HSE. AFTER CONSTRUCTION tr ..,., B.O.H. rel. •*' 13-SO-121 "u►� Ory' ., I am tamiliar with the STANDARDS FOR APPROVAL 21 ROAD AND CONSTRUCT/ON OF SUBSURFACE SEWAGE �, RRRY # DISPOSAL SYSTEMS FOR' SINGLE FAMILY RESIDENCES ., and will abide by the condilions set forth therein and on the \ O e 1 ' M � permit to construct. °.. .. A .. •^ t; y eF t l njV131 In `sated u A U CERTIFIED TD► w ' off ? JOSEPH LICC/ARDI x i;:.. CA THERINE E. P/NO • i I., hC EZ �' �.-.__...._........ f 0 ..e....— M G W ct+r-Y S. FROW LCAT 2 ii f� ELEVATIONS ARE REFERENCED TO NA VD Be ,I22 FLOOD ZONES FROM FIRM #E36103C0/77H 9/25%09' -� - F1LEC MAP ' =25321 s .ft. ( 0.6D4Acres ) �' r: Area to tie line q Y: ,: -:: ,v s ANY ALTERATION OR ADDITION TO TMS SURVEY ISA VIOLATION :°w" _ o OF SECTION 7209 OF 7 Edi W YORK STATE EDEICATION LAW - -_ _ _: Y.S. LIC. -NO. 496/8 $ e EXCEPT AS PER SECTION 7 D9-SGIBDIV/SlOIV f. ALL CERICAS _" ' =,•. HEREON ARE VALID FOR TM MP AIS COPIES THEREOF ONLY P SAID MAP OR COPIES BEAR 77KAI MESSED SEAL OF THE SURVEYOR S, P.C. wMOSE SIGNATURE APPEARS OK (31 r ADDITIONALLY 7o COMPLY W7W SAO LAM THE T><fllYi 'ALTERED BY' 1230 TRAVELER STREET _ MUST BE USED BY ANY AND ALL SW�''EYORS UrrLrri+re A COPY SOUTHOLD, N.Y. 1197/ 97 291 •CIF BRw6HT-TRO-0ATWE'YARE NOT-N TERM SUCH COWLIAMCEE �TK L�' AND