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