HomeMy WebLinkAbout11466-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Sou(hold, N.Y.
Certificate Occupancy
No.Z. ~ ¢5.8.7. .......... Date ............ .~.u. 3:¥..5 .............. 19 .8.4.
THIS CERTIFIES that the building .. 0r~.e..f.. ~ta,t.~y.. Cl.w.e.~, 3~ ;[~ag: .......................
Location of Property59..C.~ qt ~t?.. F. <p j_ ~a.~.. I~ r ,~.v. ~. ~.a.s.~ .................. .S 9.u.C.h. 9 .Z.d .......
House No. Street Hamlet
County Tax Map No. ]000 Section .0 9.0 ......... Block . 2. ............. Lot. ? P ..............
Subdivision...C.e.d.a. ,p..~.e.a. 9b ................ Filed Map No.7.3.8.8 ..... Lot No..1.5. J .........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
· .S.e. p .g.... 2. .8 .......... , 198. J. pursuant to which Building Permit No.. ?.1. 4..6 .6.Z .............
dated 0 c t. 8 198. !., 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 .........
· .One. a~.ara ~-J-~..c~u~.~].$ng ........................................................
The certificate is issued to .... I~ q r~ g J..d.. U ,..~ c~ b 9 ?.g.~ ...................................
(owner, ~o~X~{
of the aforesaid building.
Suffolk County Department of Health Approval ...~ .1 .-.~ q) .-.1.0.5 .............................
#5520~7
UNDERWRITERS CERTIFICATE NO .................................................
Z.B.A. #2529 approved May 3, 1979
Rev. 1/81
Building Inspector
TOW. O~ '~OU~9~
TOWN H~Lk
BUILDING PEmiT
(THIS PERMIT MUST BE KEPT ON THE Pf~EMISES uNTIL I ULL
COMPLETION OF THE WORK AUTHORIZED) ' ¢
H~ ............/~ ,,~/..
~1~66 - ...... , .................................. ~ ' ·
Permission is hereby granted to ~ ~
................... ~ .......... ~ ...... ~ ...... "'t'~'""r". ....... ;r"~""~ '
at p~emi~ l~at~ at ............................................................ ~ ....................................................
~' ;~ ......................................................... ~ - ; ....... ':' ............. '7 ~ ....... '~," ............... ' ...................
c0~a~ ,¢ ~o~ ~o. ~00o s~,o~: ............ 5.% ~o~ .:...~.....~ ..... ~[o~ ,o....L~ ................
~ ~ 'D~ ~ ~ b the
pu~ont ~o ~pp cotton d~t*d ...................... ~ ....... ~ .................. ~...., 19.,~.p., ~nd 9pprov~ y
B~il~ing I~spectOr. ~:
Buildi"g ilnspectof
ev. ~6130/80
FORM NO. 6
TOWN OF SOUTHOLD
0 Building Department
Town Clerks Office
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
inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, end
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
installations, 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 property 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 insp~e~tion of buildings or premises, or other pertinent in-
formation required to prepare a certifica,e.
C. Fees: 1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
New Bqilding ..... ~. Addition ................ Old or Pre-existing Building ................ Vacant Land ..............
Health Dept. Approval ............................................ Labor ~t. Approval ................................................
Request For Tempom~ Ce~ificate ........................................ Fin~ Ce~ificate ..........................................
Fee Submitted $ ~ ~
Construction on above described building and ,Rermit meets al~applicable codes and regulations.
Sworn to before me this
................ day of ............................................
Notary Public .................................... County
(stamp or seal)
I~D:~ YOiIK STATE DEPART~ENT OF [~AriROt'~'~Z~L COI~S~-"X~'ATIOi'~
P~gulatory Affairs
Bldgo m0, SL~f - Room 219
Stony Brook~ l~ew York 11794
(516) 751-7990
ROBERT
Co~£ssioner
Your recent request to extand ~a8 above permit has ~ reviewed
purs~kant to 6 I~ICP~R Part 661o It has been dete_~mlned tl~at t/~e pertinent nature
of man made conditions %~c~ exist at a~d adjacent to ~3ite at tlle time that
such permit was issued tk~ve not s~bstantially changed and the site is still
suitable for permitted activities°
~lerefore~ tile e~piration date is ex~-~need to ~-~-~m~ ~ ! ~/
This letter is an amendment to the original permit,~ as ~ch~ should be
attached t~hereto.
All of the co~titlo~ s%i] 1 re~in ~ originally ~citte~n in t~he permit°
B/L/or
127 Sv.,an L~, ,<ive, Patch~uue, L7 11772
Co.~o~.n~U ..... of a one-fe:~].~_ dw~lm.% on lot 151, },~p of C~ar ~ach Pa~k,
~3st ' · ' '
COUNfY ~flA COM~%UNITY hO. ] DAM NO. lPf;'t~lr EXP,2A'NGN'~i~-[f~
Su.f foDc J . ] "- 12/3!/t0
G[NERAL CONDITIOH$
~20-< (9/7s) CC: ~lW ~lforc~q~t (s[L R~v[~s~ sm~
16. Applic2u~t shall be liable for any damage to adjacent watel~wgy res'LLltir~g
fz~n any p~ase of the pern~tted construction.
17. Hc%~a is to be lck~ted 47' landward of line of
18. Edge of parcel fronting water~ay is not to be
1/5/79
~an high water.
~st~m. bed.
J Bldg; 40, SUNY, Stony Brook
?,
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAL
...... ~' ...................................... ~ .............. '~'~'~':;"~?' ~ ~ ? ................... ,
PLEASE TAKE NOTICE thor your opp!~cc,~n'doted ................................
for permit to con~i,~uct ...... ~..¢~..,.,~../,[d~..~.: ....... at the premises located ot ,~-?./..~., ~'~..~z~,,~,..,~.
..~..~..,.~.?.z....~<...~.~ ........................... ~ _%~ ,,~ _,o ~,
Mop ...,/(.~,.~, .................... Block ...... .O...f.~,....,'~, ,........~:.. .......... Lot ................. ./. .............. , ............... is
returned herewith and disapproved on the follow;ng grounds., .~...~....~....~f..?~.,...~,~..r~...~.~,..... ,~.4~....7~.. ......
..~.~....~..~.T........~..~,....../~...o.....-..~× ..... ./.~.o...~.~. ~...~.~ ..................
1.001.071 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
V~J~ 85 JOHN STREET, NEW YORK, NEW YORK 1OO3~
B.te February 25, 1982 ~..li~.tion ~o. o./~,. 153~6/~ N 5 5 2 0 9 7
THIS CERTIFIES THAT
only the electrical equipment as described below and introduc~ by the applicant ~med on the abo~e a~plication number ia t~ ,remises of
[] Basement [] 1st FI.
22, 1.982
[] 2nd FI. Section Block
and found to be in compliance with the requirements of this Board.
Lot
FIXTURE
OUTLETS
1.9
DRYERS
34
FIXTURES RANGES COOKING DECKS
SYSTEMS
EXHAUST FANS
S E R I C
NO. O~ CC COND, A W.G. NO OF HI-LEG A W.G. NO. OF EUTRAL$
1. 3/0
OTHPP AT S:
~r~ room hea~er~, 3-2.0kw. ,2-1.Skw. ,1-1.2~w. ,1-1.0kw. ,2~.75kw. ,3-.5kw.
~bCors: 1-F
1-G.F.I.
2-~c~e de~e~ors
1-4.Skw. hot water heater.
AWG,
Of NEUTRAL
3/0
,~g~2~alterod ~n ~anner;. return ,o the off,ce of the Board, if ~ncoErect. InspectoCs may be identifie~ Uy th fr &denfiols~/~
DEPARTMENT. THIS COPY O~ CERTIfiCaTE M~S~.NOT BE A[TID~ IN a~v u./k,~,=. '
RECEIVED.
SOUTHOLD, L. I., NEW YORK'
Box 1522
Southold, N.Y. 11971
November 2, 1981
Board of Appeals
Town Hall
Southold, New York 11971
Gentlemen:
I am President of the Cedar Beach Park Association com-
posed of approximately fifty property owners in the
area known as Cedar Beach along the roads and tributaries
of Cedar Point Drive East and Cedar Point Drive West.
Our comments concern the application of Ronald Roberts
for a building permit on the south side of Cedar Point
Drive East.
It has never been the policy of our Association to oppose
residential construction Just to maintain a selfish status
quo, and that is no~ our policy now. We do, however,
know by actual living experience that this area has an
extremely fragile environment. It is, therefore, impera-
tive that this building permit be examined not only from
the point of view of flood damage, but from all established
norms of health and environmental standa=ds.
We look to the various Town Administrators to carefully
evaluate the health implications of this application, and
be sure to make prudent decisions to protect the living
standards of the existing residents.
Respectfully yours,
RF:LC
C.C. Town Council
Board of Trustees
D.E.C.
CEDAR ~EACH PARK ASSOCIATION, INC.
Lee Conte, President
J?
T
I
Approved I' / ~/' 19 .~.. Pernqit No.
Disapproved a/c . .~/9..'....,~.?:.~.6)..7-..
B
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Application No. / / ~ ~ ~
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
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 accordiug to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre~
o~ areas, and giving a detailed dcscriptiou of layout of property must be drawn on the dlag~am which is part of this apF
cation.
c. The work covered by this application may not be commenced before issuance of Building Pe~it.
d. Upon apprc':al of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such porn
sbalI be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in pa~ for any purpose whatever until a Certificate of Occupan
sh~l have been granted by the Bu~ding Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pe~it pursuant to t
Building Zone Ordinance of the Town ~f Southold, SufIblk County, New York, and other applicable Laws, Ordinances
Regulations, for the constrnction 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, ~d
admit authorized inspectors on premises and in buildings for necessa~ inspections.
(Signature of applicant, or name, if a corporation)
State whether applicant is owner, lessee, agent, architect, engiueer, general contractor, electrician, plumber or build.
Nmne of owner of premises .... ~. .- .......................................................
(as on the tax roll or latest deed)
If applicant is a~orporation, signat~f 4uly authorized officer.
(Name and title of co,orate officer)
Builder's License No .... ~ ...............
Plumber's License No. ..
Electrician's License No.' .........
Other Trade's License No ......................
1. Locafion of land on which proposed work will ba done .........................................
House Number Street Hamlet
County Tax Map No. ~000 Section Oq ~ Block ~ Lot . .~
S~bdivision ~.~.~~ ......... ~N~ ............. Filed Map No ............... ~ ~ Lot .............
(Name)
2. State existing use and occupancy of premises and intended use and occopancy of proposed construction:
a. Existing use and occupancy ........... . ........................................................
b. Intended use and occupancy ....... .~ .k..~J~..~.~c~ .~...~"'...~, .~.' .~..~?(: .'...~.~..Q~.hr~.~;~w ...............
3. Nature of work (check which aEPlicable): New Building ......... Addition .......... Alteration ..........
Repair ........... Rempval .............. Demolition ............. Other Work ...............
Estimated Cost .... · .......... Fee .............. ~.. ..........
, (to be paid on filing this application)
L If dwelling, number of dwelling iunits ..... I .......... Number of dwelling units on each floor ................
I f g cars ..... .i ..... ~ ............
arage, numberof , , . , .........
i. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....................
I. 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
L Dimension~.of~ent~ir, e new construction: Front .... .55..-.{0.. Rear ...7...'f~.z~ .... De th .~'~..~. :.'~. .
Height . .~./: ~. ........ Nu, mbe, r of Stories ...... /.-~. i~ii ................
). Size of lot: Front .... ~./.~ ....... . ..........Rear . . J/..O. ............... Depth
). [)ate 6f Purchase .......... i .................. Name of Eonner Own~ .............................
I. Zone Or use district in which pr~mises are situated.., i .... .~.,..~d.9.~.t~--...~Z~../'d~.d.2..}(.... i'. .................
,>.Does pJroposed construction via!ate any zoning law, ordiaance or reg~'ulation: ......... ~.....g~.O. ..... ~ ......
1. Will lot be regraded ...... ,.,.: .' ..... ,-,, .............'Will excess fill be~removed from premises: ' ~ No
~. Name of Owner of llremisest~'x~_.~F--.~r~'. ;%Address ~:~qt~O¥ ~-'>>~,. Phone No
Name of Architect .~.{ .'~P~h.'3 .~,,~{2~*.-~:. Address 15~h~_~,~, .'~.~i_~7, ii Phone Nol,
Name of Contractor . .{,~,~.~ .'~W-,-X~::~'tC~h~ddress .C~.q~.~,"~.c2~k).'~:_.. Phone
PLOT DIAGRAM
Locate clearly and distinctly all. buildings, whether existing or proposed, and. indicate all set-back dimensions fi'om
roperty lines. Give street and block, number or description according to deed, and show street names and indicate whether
~terior or corner lot.
TATE OF NE~3RK
y . SS
oik75 /- <. ,.,
.... · ~...~~ ~ being duly sworn, deposes and says that he is the applicant
(Name of indi~ idual s~ (N~ intlh. MuM qignlng contract-"'~-' ........ )
~ove named.
els the ............... ~~~ ..................................................
~~;;r;~[dr~ Cent, corporate officer, etc.).
said owner or ownem, m~d is duly~6zed tn ~rm or have perforned the smd work and to m~e and file
)plication'; flint all statements con,dined in this application are true to tlie best of his knowledge and belief; and that the
'ark will be performed in the m~n~r set forth h~ the application filed therewith.
worn to before me this
.......
(
' ,0. ~-812~0, su~01t e}~ . (S gnature of applicant)
,:
[1)'Resample Well PriOr To Final Approval
2)File Oe¢laratton if Raw ~ater Exceeds Standards
3)'Ins~11 Necessary Filtration In Order to.et Pe~able
.~tnktng Water Standards
[ ) .... . ,' '.,, /' ' !. ? ~,.,...,~ /,~/.., , . .
ITT
..~;. C <'-,' 7