HomeMy WebLinkAbout11456-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. gl. 4~72 Date October 9
............................................... 19...86
THIS CERTIFIES that the building .... O.n..e..f.a.m..~.17....d.w.e.l. 1..~.n.g.: ...................
Location of Property ....... 1. Q7.5' Cedar Po'int Dr.. West, Southold .
House No. Street Hamlet
County Tax Map No. 1000 Section .9.q ......... Block 01 .... Lot 004
Subdivision Cedar Beach Park ,~,, 90
............................... rnea Map No ......... Lot No. 136
conforms substantially to the Application for Building Permit heretofore filed in this office dated
Sept. 15 8.1. 11456Z
..................... 19. pursuant to which Building Permit No ......................
dated ....Iqp. v.:..1.7 ................. 19 .8.1., was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for whicl~ this certificate is issued is .........
..... Q~.e. familX dwelling.
The certificate is issued to Dorainick & Rosemarie De Maio.
(owner~~[,~
of the aforesaid building.
Suffolk County Department of Health Approval t0-SO-97 Oct. .~, 1986
UNDERWRITERS CERTIFICATE NO N567526 June 29, 1982
Rev. 1/81
BUILDING PERMIT!:
(THIS PERMIT MUST BE KEPT ON THE PP, EMIs~S UNTIL i~ULL
COMPLETION OF THE WORK AUTHORIZED)
Z
No. i'1456
Permissior
's hereby granted to:
...... ~.~.../..//.~....~...~..~.: ...... :.i
~¢"z.
....... .~.~.~~:..~:.~.,i-.-........l
......... ................ , :~/ i.': ,' ~ ........ '! .....................
...... ~ ......... : ......................................... ~....-.-.....~.,.~:~,.....Z.~...~..~.,.~....
at 'premise~ Iocc~ed at ./..~..~..~. ........ .~.~;~..xq,K~., ~....; .~... ~.,....,; .........................
~ ............................ ,,. ................... .:, ................ ;~ ...... .. : ~.~...~..,
..~.~.~.~. ........... :...~.~.,;....~;...., ........... ~:, ....... .~.~ ..............
Count, T~x~ Map No. 1000 Section ,.~,~,..~...... Block J..~;Z,:...,.....~,. ~Lot No. ~.~., ........
~urs~ant to application dated ~~'''~'~';''''';''~r'''';:''''~ 19.~ ~nd ~pprov~ by the
Building I~spector.
Fee $..~CL,.,: ..........
FOflM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
Ao
This application must be filled in typewriter OR ink, and submitted ~ 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-iS-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 buiiding.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~coperty 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.
~ lt~,~Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
5. Updated C.O. $15.00
$15.00
Date .....................
New C on s t; r uc t i on Old or Pre-existing Building Vacant Land
House No. Street Hamlet
Owner or Owners of Propert¥ , ./~..0...'~.~.~.<~.~..~ ~ /~'~'~'~'~'~ ~'~r4'~~°
- 004
County Tax Map No. 1000 Section .. .0.........o..90 Block ....01 .......... . Lot ...............
Subdivision ................................. Filed Map No ........... Lot No .............
Permit No ........... Date of Permit .......... Applicant .................................
Health Dept. Approval ........................ Labor Dept. Approval .......................
Underwriters Approval N5675.26 Planning Board Approval .....
Request for Temporary Certificate ..................... Final Certificate ......................
Fee Submitted $ ,~,OO ;4~ ~d~
Construction on above described building and permit meets all applicable codes and regulations.
AppJicant .............................
1000343 THE NEW YORK BOARD OF FIRE UNDERWRITERS
YI~ BUREAU OF ELECTRICITY
~- 85 JOHN STREET, NEW YORK. NEW YORK 10038
Bate Jtma 29, 1982 Ap. llcatlonNo, o,,yile 152663 - 81
N 567528
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant na~ed on the above application number in the premises of
Jsmes DeMaio, West Cedar l~each Dr., Norrla Bayview, Southold, N.Y.
in thefollowin8 Iocatiou; [] Basement ~ 1st FI, ~ 2nd FI. Section Block Lot
,~.s exa,.ine,t on Jtw~e 24, 1982 at~d found to be in compliance wltb the requirements of this Board.
FIXTURE
OUTLETS
14
RECEPTACLES SWITCHES
29 20
DRYERS FURNACE
FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS
FLUORESCENT
MULTI-OUTLET
SYSTEMS
NO. OF FEET
E
R V I C E
OF CC COND
2
A,W,G /NO OS;EUTRALS A,W,G
OF HI-LEG
2
Goodale glee. Cont.
I~ 1 ~ox 1Sa M-in Rd.
Matt£tuck, N.Y. 11952
DEPARTMENT. THIS COPY ANY MANNER.
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
PLEASE TAKE NOTICE that your application dated .... ~:~..Z7..... ('..~77.. ....... 19
for permit to construct... ~.~/./.,g4~-~9 ............ z, ........................... at
Location of Property ........... ~. ,~%;~e.' .,~./.~.. ~../~'~d.. ~:.
House No. Street Hamlet
County Tax Map No. 1000 Section . .~ ...... Block .. O..~ ....... Lot . .~ O. ~ ....
Subdivision ~.~ ~. Filed Ma/p No...~.~> .......... Lot No...~.~ .........
is returned herewith and disapproved on the following grounds .
~2~.. ~'cz.~:... :...?. r~~e ~.. ~.~/~ .~. ~Z..
. ~e ¢. ~...~cee~.. ~.. ~ ........... /. ................
Building Inspector
RV 1/80
PERMIT SIGN
NO.,
TW15276-0264
has been issued to:,
Peter Rosicki
address:
70 Miller Road, Hicksville, New York 11801
for:
Construction of a one-family dwelling on parcel south side Cedar Point Drive West, north of West Lake, known
as lot 136t Map of Cedar Beach Parkt 8outhold~ Suffolk County. Home is to be 20' behind line of m~mn high w~ter
under the Environmental Conservation Law,
Article 15, )Protection of Water)
Article 24, JFreshwater WetlandsJ
Article 25, JTidal Wetlands)
Article 36, )Construction in Flood Hazard Areas)
Permit Administrator
Conservation 9/7/78
Date Issued
New York State
Department of Environmental
9~-20-1 (9/75)
Formerly EA-93 12 ['~1/.'/9
Expiration Date
I~'7 YORK S~TE DEPAR~I~ C~ ~gII~0~'~J~L CONS~qVATIO~
Regulatmry Affa~ r~
Bldg. 40, SU~Z - Room 219
Stony Brook, ~w York 11794
(516) 751-7900
January 29, 1981
John W. Wolf
Kagan T. Wolf
P. O. Box 113
325 Nesconset Highway
Hauppauge, N. Y. 11787
TW15276-026%
_Rosicki-Perm/t to construct house~
Sir:
no fill, grading,
or excavating
included.
Your recent request to extend th~ aMove permit bras been reviewed
pursuant to 6 I,~fC~R Part 661. It has been determined that the pertinent nature
of man imade conditions v~%ich exist at and adjacent to site at ~e time that
such permit was issued have not substantially dlanged and the site is still
suitable for permitted activities°
Therefore, ~he expiration date is extendsd to 3./~31/82
This letter ls an amsndment to the original permit, and as ~uch, should be
attached t~hereto.
All of the c~litio~ still z~n as orio/nally written in the permit. ***
Begional Permit Administrator,
1-Fil e ~ ·
Amendment may be made if apPlication is submitted for minor changes.
If substantial changes are requested a new application would be
required.
FIELD INSPECT~ON ~
· FOUNDATION (1st)
FOUNDATION (2nd)
2.
COMMENTS
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
QODE
FINAL
DATE: ~l~.P. ~
"~ ~ ~ FEE: ~/ ~ gY: ~ ~
/~ 76.~.1~-~ ~,~ ,~ ~ P~A FOR T~
1. ~PU~'~'~ "::' ' '~".'Zn
~. ~Ru~ r:,<'
h, · BE CO''''~ '" '~: ~0% C. O.
~~~-~ "1 ~: X~ THE REQUI~'~:.hAEN'1"S OF ~F1E ~,~I.~
~ ~ ~ '}-~ ~TATE CONSTRUCTION '& '-EN~ ~
;~ ~ ~-.,.~'~' .: ~jZ ~:L-/~-_ w~
---~ ' ? '~ i~" '-' _'-'1~ ............ ~'~ ~
.....' ..... ~c~ I~ ~ ~
· ~.,~ .,, ,.~ ~ ,
q" I~5,
z~
d
[!enry E. Raynor~ Jr.~ Chairman
oo ~thold To,~n Planning Board
Report No. 225
.R ..... uonn '3. Davis
Date: June 1~, 1982
ACCE~S ~ LOT ~ 136
Cedar Be~ch ?ark~ oou.ho!d~ ~.~ap ~.~o. 90
Cedar Point Drive West has been imoroved '~ith bankr,,~ materis! from Lot No. 139 to
~ot No. 136. ~e ~dth is aopro~mately lO ft. ~nd aooears to ~ve t~ 6" depth
as rcccm, mended. Contractors'truc~ hove used ~e road ~o bring in material and
it ao~areutly is stable. At oresent emergency vehicles c~ tu~ sro:md by using
~,o. 136 in Front of the new house ~aer final ~nstruc~on on that lot.
~ere b~s bee~ no i~orovement on CeSar Point ~ive '3est f~m Lot No. 1~ to Little
~econ~c Bray ~ane. ~is section of the rcad is not sat~fact~y. It ~ on orig~l
~round~ h~s ~ low point that collects water in front of Lot No. 13~ and is only
s~abi!ized ,,' ~
,here it mee~s Little feconic Bay Lane. ~ccor~ng to ~he le~er dated
June ~, 19~2 f~m ~he builder (W.J. Jacobs), the bum~.~ '~
' '~ oe~,, ~,r~s based on i~rov-
ing ~he road f~m Lot No. 136 to Li-~tle Yeconic Bay Lone. ~ section sho~ld b~
izo~ved to o~de a betCer ~-~
~t for en~rgency vehicles, as follows:
!. ?.enove topsoil ~?nd lor~ for a width of 10 ft.
2. heolace +his na+erial ~.~-Th bsnkm:.n.
3. Y!ace 6" of bank~m ~,~+h 20~ grav~ and so~e !osm on ~he re~lace~nt material.
Grade t~e road to eli~nate the water hole at Lot No. 13~.
BUILDING DEPT,
INSPECTION
FOUNDATION ~IST [ ]ROUGH PLBG.
FOUNDATION 2ND [ ]INSULATION
FRAMING [ ]FINAL
FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-180~
/
Examined ~/.~E,~P...P.. ....... 19...
Approved . .4 ~ ...... 19 Pe~it No./
/
Disapproved ale ..........
....
APPLICATION FOR BUILDING PERMIT
Application No..//~..~..( ........
INSTRUCTIONS
a. This application must be completely filled in by typewriter or 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 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 Bnilding Permit.
d. Upon approval of this application, the Building Inspector wilt issue a Building Permit to the applicant. Such permit
shall be kept on file 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 buildings for necessary [n~g~ji0ns.
...?~d..~.~'~ ,,~- ,~. ~.~~~...~, ~ ............
(Signature of apl~j]za?t~ ~r mtmg, if a corporation)
~ (Mailing address of applicant) /! ~ ¢&__
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .~-~.. ~...~..'~. ~..o~. t..,y(t, cK..~ ~g~- .~.
(as on the tax roll]6r latest deed) ~>~-~ tg~/]/¢
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..... ~.' · . · .~.. ............
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done .................... ././~. f.-~.... ~ ( .c/.~.....~/.~.5.?..
House Number Street Hamlet
County Tax Map No. 1000 Section r~ :.~. ..... ~ ...... Block .../ ............... L~..~ ....... : ......
.........
~ (O~ (Name) d cons ruchoa
2. State existing use and occupancy of premises and intended u~ and occupancy of propose t ' :
a. ....... .......................................
b. Intended useand occupancy .....t--/ /.~.~,~.~,...~~ ...........................
3. Nature of'work (check which applicables): New Build{ny '. ......... ,Addition .......... Alteration ..........
Repair .............. Removal ...: ........... Demolition .............. Other Work ...............
.~.,~O~ (Description)
4. Estimated Cost ................... Fee ...............................
(to be paid on filing this application)
':. { ........... Number of dwelling units on each floor
5. If dwelling, nqmber of dwelling units. ~ ................
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 ............. t ......... Number oftStories .....................
8. Dimensions of entire new construction[ Front ,..~ ..-/n. g/)~/~Rear Z,¢ ,4: .(~. ~,~. Depth .~.6
.e ght .. 7~ .......... Number of,Stones ....... /..~% ............................................
10. Date of Purchase, /.ad.../?.~.o c~-5' ......... ' . ............ Name of Former Owner ./.~.~:. ,7~.../rd .o. $. < ~. trq, ~.'..
11. Zone or use district in which, premises, are situated. .......................... . . r '~ ......................
12. Does proposed constructmn wolate any zomng law, ordmance or regulatton ,.~. ~ ...... '.~. . '.~. ,
13. Will lot be regraded .............. i ....', ......... Will excess fill be removed from premises: Yes
14. Name of Owner of premises .~.: ~*. g. ..............
Name of Architect ............... , ............ Address ................... Phone No.
PLOT DIAGRAM
Locate clearly and distinctly all buildfl~gs, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block humbler or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
...~A*~ff~ .~. ~~,' .............. being duly sworn, deposes ~d says that he is the app~cant
(Name of ~ivid~ signing,contract)
above named. ~
He is the .............
(Contractor, agent, corporate officer, etc.)
0f said owner or owners, ~d is duly autho~zed to perform or have perfo~ed the said work and to m~e ~d file this
application; that ail statements contained ~ this application are true to the best of his knowledge and belief; and that the
work will be perfo~ed in the m~ner set forth ~ the application filed ~erewith.
Sworn to before me this
Comnussion Expirps March 30/ 198~
· SUFFOLK CO. HEALTH DEPT. APPROVAL
',. ,'~.I'CATE F<,CA,~ ~
. _. .... . , .~ -~%% ' ~ THE WATER ~Y A~ ~WA~ ~AL
...... - ..... · ~ ~ ¢ % ~ SYSTEMS FOR THIS RESIDENCE WILL
~-~ , ~ ~ ff~ , . / - % CONFORM TO THE STANDAR~ OF THE
h ~-~ ; '~-~ ' ~, 'm~ "- , .--- ~--. --.~-% .... APPLICANT
~.. ,,.: ,,~ ~ '~ ~ '~ ~ ~%,~,/~ . ~, ~,~'~%~<~ ~ ;~..' ~' ~' [[' r-,-~.~ - SERVICES -- FOR APPROVAL OF
" ~ ....... 6ONSTR UCTION O~Y
~ ~ ~ ~ ~ -' ~.~'~ DATE:
SINGLE FAMILY.DWELLING O~Y %~t'i '~:~' II,I¢~_ ~.~. ' ' %, .... ~,~, ,:,,,. .... ~ ~: ,,
mu~.,._ SEWAGE D,~'",'-O~¢,L"* AND WATER SUPPLY FACILITIES FOR THIS , --" ..... ~'~
· ,~% :. 8EoN L.,SPECTED BY THIS DEPARTMENT AND ;
.... of ~.,,sstewster Maria ement Se on
-~ . . ~, .....
..................................... · - ~APP~. ' '
.... ~ GREEN~RT N~ YORK w
SUFFOLK CO. HEALTH DEPt. APPROVAL
H.S. NO.
STATEMENT OF INTE'~
THE WATER SU~LY AND S~AGE DI~AL
SYSTEMS FOR THIS RESIDE~E' WILL
CONFORM TO T~E STANDAR~ ~ ~'~
SUFFOLK ~, DEPT, OF HEALTH
- " SERVICES SUFFOLK COUNTY~ FOR DEPT. APPROVALOF HEALTHoF
,_._. i ~
............................... CONSTRUCTION ONL
~FFOLK CO. TAX MAP ~SIGNAT~N:
DI~. ~CT. BLOCK ~L.
..,, . ,
SECTION ~209 OF THE N~W YO~ ~TA~
~o ~ AVA:: TkUi co~v.
- ..... TITLE COMPANY, GOV~NM[NT~
R~ERICK VAN TU~, P.C,
LAND ~R ~S ~)'