HomeMy WebLinkAbout12970-zFORM NO. 4
TOWN OF 5OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
5outhold, N.Y.
Certificate Of Occupancy
No...Z. ] .2.9.5.8. ........ Date ..... hlgy.e.m~Vr..5 ................ 198.~.
THIS CERTIFIES that the building ........ O.n. ?. f.a.m. ~_.3. y, .c3 .~.e.~.~ % .rig ..................
Location of Property 12 q 5 Cases Lane .E.x.~. .................. Gu.t.c. hog~.e. ....
h36s'o 'N'ol ................... Street Hamlet
County Tax Map No. 1000 Section . . ! .0,9 ....... Block , .0.~ ........... Lot ....1 .~...6. 1. ........
Subdivision.. .~.a..y..F.a.v..m.s ..............Filed Map No. 6066 . .Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·..H.a.v..c .h..q.4. ......... ,198.6. . pursuant to which Building Permit No. q..29.7.0. ~ ..............
dated ..... ~. p..v .i.~..3. ............... 19.8.6., 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 family dwellin~
The certificate is issue d to .P.h..~ .1.1.~. p...&..L.a..u .r .a.. q .b .e .nfl. u..e .r ..............................
(owner, I~y~
of the aforesaid building.
Suffolk County Department of Health Approval ..... ~ J.6.-: ~ 9.-.4. l ..........................
UNDERWRITERS CERTIFICATE NO. ~ N 66359
Building Inspector
Rev. 1/81
FOB,~ NO. 2
TOWN O~ $OUTHOLD
BLilLDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
12970 Z
Permission is hereby granted
.J~.!.~.~....~ ~ ........................
.~...~B...~.!..:~ ................................. : ........
,o .......................................... ..... ............ ......
at premises located at ...... ~....D,.../...~..~.. ....... ..~,.....~.~...~..~.,. ........ ~~..4~LJ~..
County Tax Map No. 1000 Section ..... [..~....~. .......... Block ..... ..(~....~..~. ........ Lot No...~......[.~..:.5../..
1
pursuant to application dated ...... .~.(~..~....k.......,~. ...................... 19..~..~..., and approved by the
Building Inspector.
Fee $.1...~.7;.S- ·~. .....
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
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. Commercia~ 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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and 'pre-e_xist!n9'
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 ~r land use $ I~/$5.00
3. Copy of certificate of occupancy $
Date .......
New Building XX Old or Pre-existing Building(X) -- ~/Vacant Land i
Location of Property 12~15~,-C~~ses Lane Ext. Cutchogue, N. ¥.
House No. Street Hamlet
Owner or Owners of Propert¥ Phillip & Laura Obenauer
County Tax Map No. 1000 Section 109 Block 05 . t4.41
Subdivision..F..~.~.~.w. 9.Y..~?..~.m.s ................ Filed Map No...6.O.6.0. .... Lot No ..............
Permit No 12970Z Date of Permit 4/3/84 .Applicant ~nland Homes, Inc.
Health Dept. Approval 10/18/84 ...... Labor Dept. Approval .,..
Underwriters Approval ............... Planning Board Approval .................. ~,.,
Request for Temporary Certificate ..................... Final Certificate ................. *
Fee Submitted $ 5.00
Applicant .... ,' '/~-''~f''1~f~':' ' _~¢?-" ~/_Y-~z~' · ................ ' ....
Robert E. Hittz,VINLKND HOMES, INC.
Rev. 10'10-78
FIELD I~PECTION
FOUNDATION
(1st)
COMMENTS
FOUNDATION
2.
(2nd)
ROUGN FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
QODE
FINAL
ADDITIONAL COMMENTS:
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date October 26, 1984
Building Permit No.
Owner
Plumber
12970Z
Philip H. Obenauer & Laura Obenauer
(please print)
Frank Pazienza d/b/a Bay Plumbing & Heating
(please print)
I certify that the solder 'used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
~day of
Notary Public,~Count
JOYC5 M SKWARA
NOTARY I~L)DLIC, SI<Ire of I'qew York
No. 52-46634(71
Notary Public
NEW YORK STATE DFPARTMENT OF ENVIRONMENTAL CONSERVATION
PERmiT
AgTICkE 24, (Freshwater Wetlands)
ARTICLE 36, (Constraction in Flood Hazard Areas)
PERMIT ISSUED,TO
PERMITTEE
Laura and Philip Obenauer
P.O. Box 491, Cutchogue, NY
11935
LOCATION OF PROJECT (Sect on of st earn, t da wetland, dam, building)
Branch of West Creek, Cases Lane,Extension
DESCglPTIONOFPROJECT
Construct a one family dwelling and associated sanitary system a minimum Of 200' landward of :i
the tidal wetland boundary.
COMMUNITY NAME (City, Town,.Village) ]TOWN
Cutchogue Southold
COUNTY
Suffolk
GENERAL CONDITIONS
(gEE REVERSE SIDE)
,:, 1. The permltte~, shall file in the office of the appropriate Regional
Permit Adm a stratp ', a notice of intention to commence work at least 48
hours in advance of the time of commencement and shall also notify him
,promptly in writing of the completion of the work.
,; 2. ]he permiited* work shall be subject to inspection by an authorized
represenlative of the Deparlment of Environmental Conservation who may
order th~, work suspended if the public Interest so requires.
t:epted expressly, by the execution of the application, the full legal respon-
gf idp j
bed of the waterway or flood plain or deep holes that may have a te,dency 1o
cause ~njury to navigable channels or to the banks.gl the waterway.
5. Any material to be deposited or dumped under this permit, either i.
at the locality shown on the drawing hereto attached, and, d so prescribed
l~rem, within or:behind a 8oDd and subst~mlal bulkhead or bulkheads, such
· , as wt[[ ~eve~t escape of the m~teria[ i~to the waterway.
"6. There shall be no ~nreasonable interference with navigation by the
; wor~ herein~ a~thorized.
: . That If future operations by the State of New York require an altemHon
in the ~sition of the structure or work herein authorized, or if~ in the opinion
ebs~ction to the flee n~v~gation of said wale s or f~o~ f(ow~ or endanger
' of Ihe natural resources of the Stale, the owner may be ordered by the Depaff-
'-- PERMIT EXPIRATION DATE
ID~ecember 31, 1985
8. That the State of New York shall in no case be II~ble for any damage
o e y o the struc u e or work here n authorized which may be caused by or'l
result from future operations undertaken by the State for the congo?ration 0t
improvement of nay gat on, or for other purposes, al d no c a m or right 'to
com~nsaUon shall a~ true from any such damage. . '?
9. That if the display of lights and signals on any work hereby authorized,
is not otherwise provided for by law~ such lights and signals as may be prd- ?'
scribed by the United States Coast Guard shah be installed and maintained:
by and at the expense of the owner, ~ , ~ ' "
10. All work c~rried Out under this permit shall be performed in accdr.
dance with established engineering practice and in a workman,like maqner,
11. If granted under Articles 24 ~r 25, the Department reserves the right ?
tO reconsider this approval at any ,me and after due notice an~ hdaHng t~ '
continue rescind or m~ify th s per~ t in such a manner as may be found to
be ~ost and eQuRah%e. {f u~n the e~i;ation Or ~evocat{on O{ this De~mi~, the
m~ificalion of the wetland hereby authorized has not been completed~ the
applicant shall, without expense to the State, and to such extent sad ia such
time and manne~ as the Dcpartment qf Environmental Conse~aHoa may require,
remove all or any portion of the uncompleted gtructure or f II and restore the
site to its former conddio~. No claim shall be made against the State df
York on account of any such removal or alteration '
32. This ~mit shah not be construed a~ conveying tothe apD{ cant
rmght to trespass upon the lands or interfere with the r~parlan r{ghb; of others
to perform the permitted work or as aulhoriziflg the impairment of any rights,
title or interest in real or personal property held or vested in a person no~
party to the permit. ~
13. The permittee ~ responsible for obtaining any other p traits,
provals, lands ea~e~nts and rights-or-way which maybe ~equirpd for this
pm~ect ' , ~
14. If granted under Article 36, this p~rmit ~s gmnled solel~ o~ the basis
of the requ reme~ts of A t c e 36 of he Env re,meets Conservatio~W
Part 500 of 6 NYCRR (Construction In Flood Plain Areas having S~cial Flood
Hazards - Building Perm~ts)~and in no way signifies that the project wiU be~
free from flooding ~ ~
15~ By acceptance of this permit the permittee asrees~that the
Is contingen~ upon strict compliance with lhe special conditions
7G5.',8o2
BUILDING DEPT.
INSPECTION~
FOUNDATION ,ST ~,~ROUGH
FOUNDATION ZND Iv ~] INSULATION
~X~FRAM~. ~ []FINAL
DATE
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION XST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION:
DATE//~///~ INSPE~O.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Approved ., 19~.9.. Permit No. J..D-..~ .~ .D .'-~
Disapproved a/c ....... ': ............................ .
Application No ................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date Margh 14 1984"
INSTRUCTIONS
a. This application must be completely filled in by typewriter or ih ink and submitted in triplica:te 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 stre*
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 uot be commenced before issuance of Building Permit.
d. Upon apprc','al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern
shall be kept on the premises available for inspection thronghout the work.
e. No buikling 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 Building Inspector.
APPLICATION 1S HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t
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 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 necessary inspections·
INLAND HOMES~ INC.
(Signature of applicant, or name, ii' a corporation)
": Box 1.17, Fl.att/.t.uck, .N
(Mailing address of al~plicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build,
General Contractor
Nmneofownerofpremises PHILIP H. OBENAUER & LAURA J. OBENAUER
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
......... .~.o.b.e..r.t. 3....H.i.~.t..z,..~.r.e..s.i.d.e.n..t ......
(Name and title of corporate officer)
Builder's License No ........ .' .................
Plumber's License No ...... .5.1.7..~P. .............
Electrician's License No. #2816
Other Trade's License No ......................
1. Location of land on which propose.~k will be done...C.a.s..e.'.s...La.p.e.,...C.u.'c, qh. 99,u.e' , . .N...Y.: ............
...... ....... ......................
House Number Street ~ Hamlet
County Tax Map No. 1000 Section 109 Block .05 ~t .1.4
Subdivision "Fairway Farras'~ Filed Map No 6066 Lot
(Name)
2. State existing use and ~ccupanc7 ~f premis¢s and intended use and ~ccupancy ~f pr~p~sed~ ~n~tructi~n:
a. Existing use and occupancy
b Intended use and occupancy 1 Family dwelling .
XX Alt ration
t. Nature of work (check which app:licable): New Building .......... Addition .......... e ..........
Repair .............. RemoVal .............. Demolition .............. Other Work ...............
(Description).
Estin,ated Cost '. ........... ~ ...........
i (to be paid on filing this application)
' 1. Number of dwelling units on each floor
; If dwelling number of dwelling Vnit%
of cars
If garage, number ..... q ..................................................................
i. If business, commercial or mixed occupancy specify nature and extent of each type of use .....................
/. Dimensions of existing stmcturesl, if any: Front ............... Rear .............. Depth ..............
Height ............... Number et Stories .......................................................
Dimensions of same structure wllh alterations or additions: Front ................. Rear .................
Depth ...................... tleight ...................... Number of Stories .....................
Dimensions of entire new constrtiction: Front ..... .4.2. ....... Rear ...... .7.9 ....... Depth ..... .29. .......
Height ............... Number of Stories .......................................................
Size of lot: Front ' Rear Depth
Date (if Purchase ' Name of Former Owner
Zone or use district in which preinises are situated i...'.. "~
Does proposed construction vioI~te any zoning law, ordinance or regulation: ...............................
Wil.~ lot be regraded ......... ! ................... Will excess fill be removed from premises: Yes No
ncr of premises J Address Phone No
Name of Ow ..., ....................................................
Name of Architect .......... ' ................. Address .............. .. ....Phone No.
., , ~ .~S~.~ INLAND H~ES, INC. .a~ .... Box ll7.Mattxtucl~..R.4~ '2'~g-9%'~6 ....
roperty lines. Give street and block
terior or corner lot.
PLOT DIAGRAM
Locate clearly and distinctly all ibm drags, whether existing or proposed, and. indicate all set-back dimensions from
mnber or description according to deed, and show street names and indicate whether
rATE OF NEW YORK. !S.S
OUNty OF...S..W. ......
........... Robext, .E, · Hg.l,~ ................... being duly sworn, deposes and say~ that he is the applicant
(Name of indMdual sigIling contract)
)eve named.
Contractor
e is the ....................
(Contractor, agent, corporate officer, etc.)
f said owner or owners, mid is du,ily authorized to perform or have performed the said work and to mak~ and file fids
)plication; that 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.
worn to before me this ~
ota,¥ Public, ~.. ...... ~.~.:.. County ~ /~
NOTARY PUBLIC, Stale of N~w York .... ; .......... :... ,'-c ....... ~ .................
%, No. 4707878, S,ltol~Co~n~,,,~- Rober~ ~. H~ltz d.S~g~atureofapplicant)
. / ( ~/~ "It should ~ noted that since this
/ ~ ~' property is located in, an agricultural '
/ ~' /~. area t~e possibility 6xists that the
/~ /~ water supply may contain trace
/ ~ /~ amounts ~f~~F~trg~e~.
/ .~' / - Special analysis ~H/~ requJr~'d.~r~ ~ c~se
/
/
Creag/on Area Subdivision - '~airway Farm.
./
, VATi I 8 [CTIO,N, S~NGLE FAMILY DWELLING ONLY
SURLY FOR
SERVICES
SUFFOL~ CutJNrY DEpAR'RCENT OF 14EALTH PHILIP H. OBENAUER & LAURA d. OBENAUER
FOR A??Ou4.0" {;Of,~STRUCT~ON OF AT cuTcHOGUE ~ OAT(: JULY 27, 1982
S~ns - {-afl'~dy ~¢s~u~C8 0rdy ~WN ~.SouTHOLD SCALE: I" 50'
...~ %~[2~9~ HS~i:.NO~~' , SUFFOLK COUNT~, NEW YO~ NO. 82-421 '
HEAL~ D ' A APO ~ Hll K~LF ~ ~K ~TL~ C~Y GOV~H- ' ~ /
NN~RE~TW~ ~iN~Mi,~ MSOURCE'~WATER,~i~TE~PUBLiC~ MENTAL I~NCYA~LEJDINGtNSTjTUTI~N LIS~D . L
M~F~.T~MAPMSTleeeSECTION/O~.~CKO~ LOTp/o/~,l ' H~, A ~O TO ~E AS~IGN~S OF THE LENDING [ [ ~' ~,~
~H~R fH~ T~E~SHO~ HEREON. ';
N THEWA~[~ SU~ ~S~GE DI~AL SYSTEM ~ THIS R~IDE~ OWNE~ ' ~- '
Wl~ C~FQ~ -~ T~E ~TAN~S OF THE SUFF~K ~OUNTY OEPARTMEHT. ~ ~X~I~G STRUC~R~ ~E FOR 'A SPECIFIC '
OF'H~TH ~ICEI, // -- ' PURPOSE &NO' ARE NO~'TO BE USED TO ESTABLISH ~
,.. · - . . .. ~ ' ] I~U ~ ~ l~Ul~ RIVER~AD, NEW YORK
ELEyATIO~HOWN THU8~ (e.Z) ~E REF~ENCED TO ~S.G~. ME~ SEA r~ AN~ ~NO suRvEY~ N.Y.S. UCENSE NO. 12845
LEVEL DATUM ;~ ~ ;~ HO~ARO w. YOUNG, LAN~ SURVEYOR * ,.,,
~L~W~(W)'~IcTA~(~ecE~U(~)w~E~ . ' ~:~: ~ N~:~:.LicENSENO. 45893 ,- ' '
S~Y FOR
- ~u~O~ cOU~ ~ D~F~ PHILIP H. OBEN~UER &' LAURA d. OBEN~UER 9EP~ 5,
AT CUTCHOGUE ~ DATE: JULY 27, 1982
~e se~a~e a[~posA1 an~ ~[e~ s=pp~ ~WNOF SOUTBOLD
bee~ SUFFOLK COUNTY, NEW YORK NO. 82-421
tacilities
loc~tien
have
~nspected by this dep~tment ~d fo~d ~ :
' * NCO~ES~ THiS SURVEY NOT ~A~G TH~
HEALTH DEPARTMENT-DATA ~ ~AL TO C~STRUCT ~N~ ~ H~S ~[H~LF ~TH[
ouNG. YOUNG
~t ~. ~ OS~ANDER AVENUE
~~ RIVER~AD~ NEW YORK
AREA TO TiE LINE · 49, 3IS S.F. ALpEN W. YOUNG, PROFESSIONAL ENGINEER
ELEVATIONS SHOWN THUS: (~.2) ARE REFERENCED TO U.S,G.S. MEAN SEA AND LAND SORvEYoR NY.S. UCENSE NO. 12845
HOWARD
W. YOUNG, LANO SURVEYOR