The URL can be used to link to this page

Home My WebLink About12919-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13248 Date March 7 ., 198..5 THIS CERTIFIES that the building ....... .N.e..wo .D.w.e..1.1.i.n.q .......................... Location of Property .4. 7 .5 ............... S..n.u.g., H. 97.b.o.~' .R.d.: ............ .E.a.s.~, .lyI.a.r.k. 9 .n' House No. Street Hamlet County Tax Map No. 1000 Section . .Q.3.5 ....... Block ....0.5 .......... Lot ....0.3.2. .......... Subdivision ..... × ..... Filed Map No. .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ,.. ?.e.b.:.. 22 ,19 .84 pursuant to which Building Permit No. 12919g dated .... .M.a.~..c .h ...... .7 ........... 19 .8.4., 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 ......... New Private One Family Dwelling The certificate is issued to WINDSWAY BUILDING CORP. (owner, leveler--ternary of the aforesaid building. Suffolk County Department of Health Approval .......... .1.37.S. Q7.9.1 ....................... UNDERWRITERS CERTIFICATE NO .................. N. ~.6.6.9. .i .4 ........................ Rev. 1/81 Building Inspector FO~M NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEI~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12919 Permission is hereby granted to: ..~d.~¥~:~.~;...:~. ....... ~..: ............ ~. ............. ..I.~.;~......~.~.~.~?...L~J .............. ~. ............. ..~..~~,...~..,.~.:.....J..L~...~..I .......... ,o..~~.~ ................... at premises I~ated at ..... County Tax Map No. 1000 Section ........ ~...~..~ ......Block ....... ~ .......... Lot No...~.~-...~ ........... pursuant to application dated ...~:~...~Z,~'(]'*"'""' .................. , 19.~.4..,~)q Building Inspector. and approved by the Building Inspector Rev. 6/30/80 FORM NO~ 6 TOWN OF: SoU'rHOLD Building Department Town Ha~l 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 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 $15.00 4.Vacan% Land C.O. $5.00 Date ................ New Building ..... ~ .... Old or P~~existing Bull lng ............ Vacant Land ............. Location of Property ... ,~, ?..~. .... !.~..~.~.. :.~t..~., ....... ~ ~'~ Owner or Owners of Property .................. 7 .........' .... .... /' ................. County Tax Map No. 1000 Section ~ Block Subdivision ................................. Filed Map No. ~ ....... z .Lot Ho .............. Permit No .......... Date of Permit .. pplicant .... Health Dept. Approval ~ J ,~. ?.%~..-.~. ) ............ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and pe~mm~ts a~ appli~~ regulations. Rev, 10-I0-7S ~IEL~ INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: SIIPpLI?~,,~TAP,~ .q,PECIAL The follo~in~ conditions apply to all pe'mits: A. If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory Affairs at the address and telephone noted below. A copy of this permit or approval and supplementary conditions shall be available at the project site whenever authorized work is in progress, Tie permit sign enclosed with the permit or a copy of approval' letter shall be protected from the weatber and posted in a conspicious location at the work site until completion of authorized work. D. At leaat 48 hours prior to commencement of the project, the permittee shall complete and return the top portion of the enclosed receipt form certifying that he is fully aware of and understands all provisions and conditions of this permit. E'ithin one week of completion of the permitted work the bottom portion of that form shall also be completed and returned. E. For projects involving activities to be accomplished over a period or more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours to the commencement of resumption of work each year. F. If project design modifications take place after permit issuance, the permlt~ tee shall submit the appropriate plan changes for approval by the Regional Per,it Adm~istrator prior to undertaking any such modifications. ~ne permittee is advised that substantial modification may require submission of a new application for permit. Ail necessary precautions shall be taken to preclude contamination of any wetlands or waterway by suspended solids, sediment~ fuels, solvents~ lubYic~ ants, epoxy coatings~ paints~ concrete~ leachate or any other environmental- ly deleterious materials associated with the project work. Any failure to co~ly precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. The permittee is advised to obtain any permits or approvals that may be re- quired from the U.S. Department of Army Corps of Engineers, New York Di~trict, 26 Federal Plaza, New York, NY 10007, (Attention Regulatory Functions Branch), prior to commencing work authorized herein. The granting of this permit does not relieve the permittee of the responsib- ility of obtaining a grant~ easement, or other necessary approval from she Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, ,NY 122~2, which may be required for any encroach- ment upon State-owned lands under water. Regional Pemit Administrator ,NfS Department of Environmental Conservation Bldg. 40~ gUNY--Room 219 Stony Brook, NY 11794 ($16) 751-7900 DEC //_ ¢O-83zO_3fio THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ 85 JOHN STREET, NEW YORK, NEW YORK t0038 .~t~ ~'o'~ "4 l,~,~ ~,,,,,.c.t,o.,No.o,,s.e '~c~sw/a4 N 666914 winds W~y L~l. ldiz~ CO~g,, N/S Sn~g I'larbor Po~cl~ E~st ~h~rion~ N.Y. t~t thefollowlng location; ~Base,nent [] 1st FI. [~ 2nd FI. SecTion Block Lot and Jound to be in cotrtpliance with the require.~ents of this Board. FIXTURE [ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS 45 45 DRYERS TIMECLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SI~RVICE DISCONNECT S E R V I C i 2/o NO OF HI-LEG AW, G OF HI-LEG NO. OFNEUTRALS i 1-4~Skw. [k~t W~ter 2~G.F.C. I, S-Snake Detectors, *~]iture A1)pll~uce Feoders; 1-2~14, OF NEUTRAL llulaad Electric Cb, P. O. llbx Mattttu~J% N. Yo 11952 This certificate must not be altered in uny manner; return to the office of the Board Jf incorrect. Inspectors may be identifie~ COPY FOR BUILD NO DEPARTMENT TH S COPY.OF CERT~ FICATE N)uST NOT BE A~LTERED N ANY MANNER, TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION ~o~ ~-~ ~.~?,~u Building Permit No. /~q ! Owner ~//~ff~ ~.~//~ t~ -- (please ~rlnt) Plumber ~ f~ /~6~/~ (please' print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ! / plumber's signature) Sworn to before me this 7 ~ day of ~/~t~h~J- , 19~~ Notary Public, ~~ County Expires Mm'ch ~0, 19~.~L~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~ ROUGH PLBG. [ ] FOUNDATION 2ND []INSULATION / [~ FRAMING []FINAL REMARKS: ~ ,, DATE ~////~/~///~i~ '/./' ,INSPECTOR , ,.. _ ,~.TH-,'/ : / / "" / PERMIT PERMIT NO. Winds Way Building Corp. by The Land Use Co. Rt. 25A Wading River, NY 11792 Glenn Road, Southold~ NY Opposite t~345 Snug Harbor Road, on Gull Pond in Greenport DESCRIPflON OF PROJECT Construct a sin__gle fa_m~_i__l~__~h_o..m_~._~0_'._:l_a_.n, dw_~_a~rd of___m_e_a__n_high water~ a 8a~L~r~_~zstem 102' landward of mean high water and 120' CCA timber bulkhead at and above mean high water. __.?.~e_dg.e~l~0~c_u~b~i_c~ards in frcT~t of bulkhead exceBLfor _I_M area. COMMUNITY NAME (City, ]own, Village) ]~ow~ Southold Greenport COUNTY l ~TK CO~mUNIT¥ NO. [ nAM NO. Suffolk GEN£RAL CONDITIONS L Tile permittee shall file i. tile office of the appropriate Regional promptly in wrlt*ng of tile completio~l of the work. 2. The permitted work sliall be subject to mupection by all authorized cepted expressly, by the execution of the applicalio., the tull legal respon- bed of lhe waterway or flood plain or deep holes thai may have a tendency to canse injury to oavigable channels or to the hanks of the waterway. 5. A~y material to be deposited or d~mgod under this permit, either m at Ihe Jocalily shown oil the drawing hereto attached, and, if so prescribed fllereon, within or behind a good and substantial bulkhead or bulkheads~ such 6. lhere ~hall be no unreasonable interference wilb n,~vlgalion by tile 7. That ~f luture operations by the State et New Ymk require an alteration obstruction to the free navigation of said waters or flood flows ,or endanger of Ihe natural resources of the SIg'l~, lhe owner may be ordered by tile Deparl- cuodibon the navigable and flood capacity of the watercourse. No claim shall 8. That the State of New York shall irl no case be hable for any damage or injury lo the slructure or work herein authorized which may be caused by or 9. 'lgat if the display of lights and signals on any work hereby authorized (SEE REVERgE SIDE) SPECIAL CONDITIONS J 16. South end of bulkhead, shall be setback 16t from the exiet~ng-bulkhead on the adjoining property. 17. There shall be no dr~dging within 20t of the existing IM at north end of property. 18. Bu%khead behind IM s~all be Jetted in place. See additional conditionsiA-J ~RMITISSUEDATE July 11, 1983 qc: USACE Bldg 40 SUNY Stony Brook, NY FORM NO. 11 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, NY DEVELOPMENT PERMIT to Permission is hereby granted to: Io~o ..... roL~'~ ~,.d at premises located County Tax Map No. 1000 Section 0~_. Block pursuant to application dated ~-~-H F by the Building Inspector. ~ Lot Sg __, 19~,,~, , and approved Building Permit No. 4/8o Building Inspector TOWN OF ~OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ....... ~~.,.-~ ....... , 19.~,. Permit No...}...-~.,~.~.,o.!.~ .......... Disapproved a/c ............................................................................................ Application No ................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ........................... .~L/,~.../~.. ....... , 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 ofproperty must be drawn on the diagram which is part of this application. 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 issue 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 NL~DE 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 neces~ar~ inspections, {Signature of appllcont, or name, if a ~orporation) (Address of applicant) State whether applican~is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. :... ................................... : ........... .................................................................................... 'l~ame' oJowner' or 'prem,ses'---...g. ~...../X.~.....~.~,,.~....~..../..L.~.~,......~.~...~ ............................................................... : ............... If applicant, is-~o_rpgrate, s~gnature of..dUly authorized of~cer. ~.~ ('~ Builder's License No ................................................... Plumber's License .................................. Electrician's Licen~ No. ~'~ ~her Trode's Lic~se No ............................................... ~.~ kecation o{ Iond on which p~o~d ~ork ~ill b~ ~ono. Mop ~o.: .... ~ ......... Lot ~o...~ ............... Street ~nd ~um~r~2~..~~ ....... ~Z .......................... : ............ ~.;.~.~J~ ......................... State existing use ~nd ~eu~ne~ o{ pmm~es on~ intended use and ~cu~nc~ o{ proposed construction: Exisiting use and occupancy 3. Nature of work (check which applicable): New Building, ......~.... ....... Addition .................. Alteration ................. Repair Removal .~ ................ Demolitior ..................... Other Work ................................................ . .... .................. (Description) 4. Estimated Cast ./...~. ~)/ ~ .~. .... Fee .......................................................................................... (to be paid on filing this application) 5. if dwelling, number of dwelling units ....... ~ ......... Number of dwelling units on each floor ............................ 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 structurbs, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure,iwJth olle~otJons or additions: Front .................................... Rear ............................ Depth ................................ Height ....................... .2,..N_umber of Stories ....... .~..~ .................. ,~ , , 8. Dimensions of entire new construction: Front ....... .,~,..,.~. ..................... Rear ............................ Depth,....,~...4. ........... Height . ~.,~ ..... Number'of Stat'es ...... ~ ................................................................. ; ....... 1 ......... 10. Date of Purchase ... ,/.~.,~.. .................... Name of Former Owner .../~'/--~ ....................................... l 1. Zone or use district in which premises are situated ...................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... ..~...~. ......................................... 13. Will lot be rearaded ..~,/.~k~ ....... ~ ..... Wi| excess ,fill be~removed from pre_raises: (,,) Y_e,s _ ( ~'~o 14. Name of Owner of premises .., ..~..~..4/~./.~...6~... Address/4.,'~. ........................ Phone A k~tect ~--- ~ Address ................................ Phone No ....................... Name of ,,rc.,. ............... , .............................................. Nome of Contractor ..... .,) ................. Address ............................ '.'... Phone No. ~- . ...... 'r T/~PLO IAGRAM . Locate clearly and distinctly al'l buildings, whether existin~ or proposed, and indicate all set-back dimensions from property lines. Give street and bl6ck number or description-according to deed, and show street names and indicate ~vhether interior or corner lot. STATE OF NE~6L~YOR~<~ ~ ~¢S COUNTY OF~~.,';. f/~ ................. ~.~.~,~...41/,.~....~...~_./ ...................... being duly sworn, deposes and says that he is the applicam · ~ame of individual signing contract) above named...~.~ He is the . . "~"'~' ............................................................................................................. .... ,~ (Contractor, agent, corporate off car, 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 stoternehts contained in this application ore true to the best of his knowledge/arid belief; and thor the work will be performed ir1 the manner set forth in the applicotio/,,a~d therewith. Sworn to before me this ,,/ / / Nota .......... Coun / .... = ................................................................. (Signature of applicant) .,) Z "r