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HomeMy WebLinkAbout16618-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z17453 Date October 26~ 1988 THIS CERTIFIES that tbe building ...O. qe...f.a.m..~ .17..d.w..e.l.l.~.n. 8.. ...................... Location of Property 830 CLEARVIEW RD. SOUTHOLD House No, Street Hamlet County Tax Map No. lO00 Section . .0.8..9 ....... Block ...0.3. .......... Lot I I . 5 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · . . .N. QV.,..1.Q, .9.8. 7... pursuant to which Building Permit No.. ! .6.6.1.8. Z. ............. dated ~ 0.¥.... 1. 0. ~..119. 8..7 ............. was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wtfich this certificate is issued is ......... ONE FAMIL~ DWELLING WITH ATTACHED GARAGE. The certificate is issued to ROSCOE & HAR,IORIE COREY ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval 86-S0-54 Oct. 17, 1988 UNDERWRITERS CERTIFICATE NO. N021048 JULY 8, 1988 PLUMBERS CERTIFICATION DATED: HENRY J. SMITH & SON--5/10/88 Building Inspector Rev. 1/81 FO~M* NOo B 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) N*-16618 z &.~J ~ ~ ......... ~ ..... ...................................... · ~'.~o"'~; ..... '~ .......... ~ .............. ; .................................. ~'t premise, located ot~....~.-.-..~-I~]~'~ ................... .................................................................. County Tox Mop No. 1000 Sectio~ ...... ..(~...~....°k ....... Block ...................... at No ...................... pursuant to application dated .... ~..~..~ ................ , 19.~'..~.., and approved by the Building Inspector. Fee $..~..~...~.,..~ ~~......'2..a .... Building Inspector Rev. 6/30/80 HENRY J. SMITH & SON, PLUMBING, HEATING & FUEL OIL MAIN ROAD SOUTHOLD, N.Y, 11971 (516) 765--3690 Inc. CERTIFICATION Building Permit Ne._~18Z Owner Roscoe Core~ Plumber Henrz. J. Smith & Sonz_~± I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. - ~7-§~¥~' Sworn to before me this 10th day of _M_a_y ........ , 19 88 #4844893 NotaryxPub 'c Notary Public, Suf~fp.~k County ~E~AOE1~E L T~-~ FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ 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 "pm-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. C. Fees: Additions $25.00 POOLS $25,00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory,SI0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50-. 00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.C'. $ 20.00 ~'~,~ ,~ 5.Updated C.O. $ 50.00 Date -~ V.~.. New C ° n s t r u c t i °n ' ' ?_'~ ~OId °~ui'~¢~~:~¢, ~' ......... Vacan/~Lald-- ............. Location of Property ...,/.o~.~. ..... .~/~.._~..~.~..,¢.. :/~,'~:~ ......... ~.~) (~.~. ~. ......... OwnerorOwnersofpHr:;~rtNy°'...?..(~..~...~.....~..~.~.t~e;~.~.. ~)~. CountyTax Map No, 1000 Section ... ,0. ,4¢,~ ....... Block ... J~.~, ........ Lot., //° Subdivision...~.~0~ .F'., .~C~(~.....i~./C7 .... Filed Map No....~..~?...Lot No. PermitNo, ,/,~{-¢.../~. Date of Permit .//~//.~/~.¢.Applicant .~. ~...~¢z~.)~../. .... (/.~..6~-..~...d._, Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $ Construction on above described building and p~mit meets all applicable codes and regulations. Aon cant Rev, 10-10-78 IIENRY P, ShllTIt, President JOItN M. BREDEMEYER, Vice-Pres. PItlLLIP J. GOUBEAUD ^LBERT KRUPSKI, JR, ELLEN M. LARSEN BOARD Of' TOWN TRUSTEES TOWN OF SOUTHOLD Town llall, 53095 Main Road P.O. Box 728 $outhokl, New York 11971 October 30, 1987 TELEPHONE (516) 765-1892 Mr. Roscoe Gorey t% O. Box 1698 Southold, New York 11971 Re: Dryades Basin at the end of Orchard Lane, Southold 1000--089-'03-11.l Dear Mr. Corey: Pursuant to your request for a determination of jurisdiction irt the above matter, please be advised that the Trustees inspected the property on October 21, 1987. We have determined that we l~ave no jurisdiction in this matter as long as all work is done in accordance with the survey submitted and dated February 18, 1983 and approved by the N.Y.S.D.E.C. on December 4, 1986. Should there be any change to this plan, please contact this office. This determination is not a determination for any other department or agency which may have jurisdiction. Please return to the Building Dept. for a determination on the need of any other town permits that may be required. Very truly yours, ltenry Po Smith, President Board of Town Trustees HPS :ip cc: Commissioner Thomas C. Jorling, D.E.G., Albany Robert A. Greene, D.E.C., Stony Brook Stephen Mars, Army Corps of Engineers Thomas Hart, Coastal Management John Holzapfel, Chairman, Southold Town C.A.C. Victor Lessard, Admin., Building Dept. Planning Board Board of Appeals file / 10-85-1560 PERMIT Under Ihe [nvh'onrll;plll Con~rvaflo~l l~w Adicle 15, TIRe 3; 6NYCRR 327, 328, 329: Aquatic Pesticides ~ 6NYCRR 608: Water Quality Co~IB~tion", ~ Adlcle 15, Tille 5: Proloction of Water ~ ArticlesPOES 17(~ .Titles 7,~....,. ~' '8:" 12/5/86 [XPIRAIlON DATE(Ii 12/31/91 Article 25: Tidal Wellands Iq A~icle 27, Title 7; 6NYCRR 360: Solid Waste Management" Water Supply Air Pollution Control;; .... L I Water Transport L__J Mined Land Reclamation ,.~, F~ Article 15, TilJe 15: J~---J Article 24: '~ ""'" ' Long island Wells . ,,,,.. ·. L-,--...J Froshwat?~.Wot ~ rids ~" L___.J w.o, acemc ann ,ocreauonm C-Construct (*ooly)/O--Opora~o (*on y)" L._~j Pat Carrig & Mark S. McDonald '" ....... P.O.Box 1258, Southold, NY 11971 ' ,"." Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management Article 34: Coaslal Erosion Management Article 36: Floodplain Management Articles 1, 3. 17. 39. 27, 37; 6NYCRR 380: Radiation Control Glenn Just, Land Use Co.,N.Country Rd.,Box 361,Wading River,NY.j. 929-3575 x~l~mlmmalx~x~~mR~0x~o~x~ LOCATION .OYq PROJECT: Dryad 'a Basin at ~he east end of Orchard La. SC~ No.1000-089-03 Lots 8,1, Southold Suffo]k ,,~,. ,t ..Southol d DI ~CRIPIlON O~ AUTItORIZED ~CTWITY Construct four s~[!~ family residences an~_gss~ctated sanftar~ systems all a mJnlmum of 75~ and 100~ respectively from t~dal vetlands. All constructlon ~s to be in accordance with the surv_~ prepared by R. VanT~ marked ~SDE~approve~D.Co~ ~n~ 12/4/86 (attac~ed t) Any f~di(~ this ~(mi~ ~fe.~ ~he O~efl~ent munn ~ a~ 'ell~C~ ~e~o. ' .... ~ ~ ,,. ..... ~,.~ ..... Ston Brook NY i ~umu.,zm s,c.~u.~ ~ , 1794 cc :C.T.Hamilton (~~~~ --__ ,10 11 il, i. the opinion of lhe De~lm~nt l. There Is to be no disturbance to vegetation o~ topography withiz~ 60 fee~ of tidal wetlands, Supplementary Special. Condi~io~ (A) through (J) attached. 10-85-1560 FOUNDATION (1st) FOUNDATION (2~) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINA/ ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION /ND [ ]INSULATION ]FRAMING [/.-**~NAL /:~ 76,~-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ffi'INSULATION FRAMING [ ] FINAL INS P£CTOR'/~,'/,~2 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [*] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION DATE, 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL INSPECTOR'~/~,/~ 765-1802 BUILDING DEPT. INSPECTION ]/~pUNDATION XST ~ ] ROUGH PLBG. FOUNDATION 2ND ~ ~ INSULATION [ ~ FRAMING ,r. ] FINAL REMARKS: ~~ ~//~ 765-1802 BUILDING DEPT. INSPECTION / [ ]/FOUNDATION 1ST i- ] ROUGH PLBG. /[~/j FOUNDATION 2ND [ ] INSULATION 765-1802 BUILDING DEPT. INSPECTION [ F~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ('] FOUNDATION 2ND [],/INSULATION [ ]FRAMING [4FINAL ~ REMARKS: ~oolow, THE NEW yORK BOARD OF FIRE UNDERWRITERS BUREAU OF El III~"TRIClTY ~ ,, ~U{,Y 08,~88 .5 .JOHN S~EET, NEW YOR~ ~~Je ()~ ~l~ation No. ~ ~ile THIS CE~IFIES THaT ROSCO C. COREY, CI,EARVI~ RD OFF ~RCHAR L~, SOUT~OL~, N.Y. ~ 080 3 ~ exami~ on and~ound to ~ in ~m~iance with the ~uimme~ts MOTORS:I-] SNOKF, S E R v I C E C~ CC. COND, G & S CON?RAC"I'OR BOX 2~5 :~OU'I'BO~,O, NY, ~1931 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .~-)~..~'d~. J.O., 19~..~. Approved .~.~ · .~. · . .1 ?., t 9~. 7. Pemit No. [.~ ~ ( ~ ~ 0. q ,C, Received ........... ,19... Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 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 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 building for necessary inspections. ...G.o..b'.,/..~. 4~r4'.r .~.,~.,.. ~. ~ o .. ~.~wc ........... (Signature of applicant, or name, if a corporation) · r'.~.*:.q .... G.m. !.c.w..o9~,,, .z>?. :~..~., ~..5>..o (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...~.o. ~i.z>6..~ .................................................................................. Name of owner of premises ...... .,~).,5.. OQ ~...d..t~..~. · -~M. ~.~' ....... L..o..~.~, .'if .......................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~d ina title' or corporate Builder's License No .... t.2..~.q.~ .q .... 0.Z. ...... Plumber's License No.. 1403P~. ~t:~..4...~p.. Electrician's License No..~?.B... ~./rR-.L'Vmtc,qC, Other Trade's License No..~,~.'T7 .~',qO · .~.t)(~,"T ~/',1677~ ~ 1. Location of land on which propose don~,~ ......................................... ............ ....... ................. o.o. ............ House Number B~ C_2 L i~ ~Dooo~(j~ ~ 0/z~D Hamlet County Tax Map No. 1000 Section ...... .O..~.3 ...... Block ....... .~ ......... Lot. ..... Subdivision ...... .~. ~,-.O O, ~....~;¢ot.c. a .... P. gl~ F,~.... Filed Map No .... ~.O ....... Lot ............... (Name) 2. State existing ~se and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and occupancy ......... ~P~C,~, ~7[".:. ............................................... b. Intended use and occupancy ..... .t~.M.~ .... .(%. l.. ........ ~ ,:,hq1 .................... 3. Nature of work (check which ~pplicable): New Building .... v~..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition Other Work ...... 4. Estimated Cost ............................. 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 structu[es, ifany: Front ............... Rear .............. Depth ............... Height ............... Nupiber of Stories ........................................................ Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ' Height Number of Stories 8. imensmns of entire new cons.truction: Front ..... ~.o[ ....... Rear .... .~ .~. ....... Depth . .~.l ...... Height .... ~..~.. Num, ber of Stories ........ ~ ~t.%. ...................... ' .... 10. Date of Purchase .../.~ ~ ~? ! ................... Name of Former Owner .O.~. ~aV.¢b .'9.. 124~.E>~>.t~m t~ ..... 1 1. Zone or use district in which premases are situated ..... ,4...Fd. ¢,'¢,~rd.~d..~.{ ............................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~wl.O ....................... 13. Will lot be regraded ....... Name of Architect ' Address Phone No Name of Contractor ~ t%a .~.!r. a72q~d~.. ~t/d,o~.r?.. Address (~. ~9.. O.~.¢gt, u.~xo. D¢~ Phone No. ~b.4.'-~,,.. ;57. ?.~... .. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blo~ ~ number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK. ....... .~.b~.~... [;~.-~ (d~l.~7~/O.~ ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d! application; that all statements con work: will be performed in the mare Sworn to before me th~ ~ ......................../ day Notary Public ~t~¢~...~. ~. lly authorized to perform or have performed the said work and to make and file this rained in this application are true to the best of his knowledge and belief; and that the er set forth in the application filed therewith. ~...~..c~ ~'"t-.fT. P.q,~ County HE:LEaK. DE I?~m NOTARY ~UIIUC, Stab Yod~ ...................... ~o. 4~o~sT~ s~ o.~,~:'q (Signature of applicant) Term Expire I~mh: sUFFC~LK CO HEALTH DEPT APPROVAL H S NO "'~'~CONFORM TO THE STANDARDS OF THE SERVICES FOR APPROVAL OF OWNERS ADDRESS lVlA[ dOi'2t TM' L. ~v~.Y V 1 EVv' RODERICK VAN TUYL, P l_ LICENSED LAND SURVEYORS GREENPOR¥ NEW YORK DEED: L. P. 'r~ST HOLE STAMP SEAL. ,'"":': 511 i," v J SUFFOLK CO HEALTH DEPT APPROVAL h S NO STATEME;NT OF INTENT THE wATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. APPLICANT SUFFOLK SERVICES -- FOR CONSTRUCTION ONLY DATE: , H.S, REF. NO: APPROVED: COUNTY DEPT. OF HEALTH APPROVAL OF SUFFOLK CO TAX MAP DESIGNATION: DIST. SECT BLOCK PCL DEED: L. P. TEST HOLE J STAMP [ SEAL · , : ~ ~$ ,,' ,r'- - ~ ' ~ "CERTIFI~TE OF OCCUPANCY ,, ~ , ~ .......... , ~*'~" ~:wit~rdlstributing ~t."c ,,!,!., .',a, b.. ,7¸, Phone 477-0400 '~Y Main Road GREENPORT, N.Y. t 1944 -'k Pho~ie 477,0400 Main Road