HomeMy WebLinkAbout16673-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17851
Date MARCH 15~ 1989
THIS CERTIFIES that the building.
Location of Property 600 SOUTHERN BLVD.
House No.
County Tax Map No. 1000 Section 21
Subdivision M/o AQUAVIEW PAP/(
ONE FAMILY D~ELLING
EAST MARION~ NEW YORK
Street
Block 3
Filed Map No. 5621
Lot
Hamlet
30
Lot No. 15
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 17~ 1987 pursuant to which
Building Permit No. 16675-Z dated DECEMBER 14~ 1987
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 DWELLING WITH ATTACHED GARAGE & ATTACHED WOOD DECK
The certificate is issued to CLEAVES POINT CONSTRHCTION CORP.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-80-230-DEC. 13t 1988
UNDERWRITERS CERTIFICATE NO. PENDING - JANUARY 27r 1989
PLUMBERS CERTIFICATION DATED NOVEMBER 21, 1988-BAY PLUMBING & HEATING
Rev. 1/81
Building
Inspector
FOR~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTNOLD, N. Y.
BUILDING PERMIT
('rills PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N*_16673 Z
Permission is hereby granted to:
.....'tk.e.~....I.~ ......................................................
........ ~ ...... ~ ......... :.~ ....... u..~ ...... } ......-7
County To× Map No. 1000 Section ..... .l~...~...J ........ Block ...... .~.....~ ....... Lot No....~.... .............
pursuant to application dated ~..~.....J...~. .................. , 19.~..~., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
HEW COHSTRUCTION . ..~....OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
HOUSE NO. STREET HAMLET
Owner or Owners of Property...Cl.~..~.,.~.~...~..~ ....O~ ...............
Health Dept. Approval ...~.~.~.Q..~.~..~. ....
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate
APPLICANT ........
rev.
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
B%%ilding Permit No. I ~0
Owner ~t~ '~Dt'~-- (please print)
(please ~int)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
~// (plumbS- ~ature)
Sworn to before me this
Notary Public,~%3~
County
Notary Public
HAROLD COHEN
NOTARY PUBLIC, State of New York
No. 573~350, Nassau County
Term Expires December 3L
FLELD ~ ........
FOUNDATION
FOUNDATION
2.
ROUGH FRAMe&~&
PLUMBIN~
3.
INSULATION PER N.
STATE ENERGY
CODE
Ye
FINAL
ADDITIONAL COMMENTS:
~ PEI~
GREE~I )fit, tl.Y. 'J '1944
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION ZND [~I~SULATION
[ ] FRAMING
[ ] FINAL
REMARKS:
DATE ~,?/[/)/~-" INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [/~'~SULATION
[ ] FRAMING
FINAL
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION
[ ] FRAMING
FINAL
REMARKS: _ _.-do_ ,,
DATE ~ INSPECTO
~ ,~.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ]~R~~LBG.
FOUNDATION ZND [ ] INSULATION
[ ] FRAMING
FINAL
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[~RAMING [ ] FINAL
DATE ~//~"'* INSPECTOR ~~
7654[802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ } ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
FRAMING [ ] FINAL
REMARKS:
DATE
765-1802
BUILDING DEPT.
INSPECTION
[~FOUNDATION 1ST [ ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
INSPECTOR
BUILDING DEPT.
INSPECTION
1ST r -, ROUG '~"~' ~*~ ~
FOUNDATION ~ j H PLBG. ~
FOUNDATION 2NOEl INSULATION ~
FRAMING [~FINAL ~/-
REMARKS:
INSPECTOR
E.N EP, GrY CODE_ ..... .C'_ .CObATION
/9'
0./7"
0.05'
0.$$
O.z/O
*470 -' -
760
'Z I 7.0
i--//., o°
/9
O. O.N
3 5'30
1) ~EATING EQUIPMENT TO MEET 7813.23 - 75% EFF.
2) ~AT/I~G CONTROLS TO ~ 7813.13
RANGE 45 TO 75 DEGREES FAHRENHEIT.
3) WATER HEATING PER 7813..31 THRU .38.
4) PIPE INSULATICN 7813.19
5 ) ~ - DOOsCS GLASS.
6) O:lq~-£3~JCTION TO hn~-~, N.Y.S. ENERGY CODE.
TO T~E BEST OF M~ KNOWLEDGE,
BELIEF, AND PROFESSIONAL
~ THESE PLANS .ARE
IN COMPLIANCE WITH THE CODE.
TOWN OF 'SOUTfiOLO
BOARD OF HEALTH
· 3 SETS OyPLANS
FORM NO. 1 SURVEY .... m .....
TOWN OF SOUTHOLD CHECK ,~. I)~.°~. ....
I~UILDINGDEPARTMENT SEPTIC FORM
TOWN HALL
NOTIFY
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined .JO...~?A'~....~...~q.., 19 .~2
Xpproved~.. [ ~.., 19~.~ Permit No. ~.(0.~ .7.~.~
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
CALL ................
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 sckedule.
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·
(Signature of applicant, or name, if a corporation)
· ~I ~-r~e-s~o f'a'p~pl~c ant/)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder·
Name of owner of premises...~..~..~.~.~...~.~~,. >-~. .............................
(as on the tax roll or latest deed)
If appl~ant is a corporation, signature oSduly authorized officer.
. ....
(Name and title 9~'¢orporate officer) .
ALL CONTRACTOR'S 'MUST BE SUFFOLK COUNTY LICENSED
Builder's License No ..........................
Plumber's License No .........................
Electrician s L~cense No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done] .................................................
.... ..... ........................
House Number Street Hamlet
County Tax Map No. 1000 Section ..... .~.~.f. ........ Block ... ,~ ............. Lot .,;~...5/.P~../.-~.~) ....
¢
Subdivision...ff~-//_~c~v-~-...... ~.¢4//<' ............ Filed Map No. ....... Lot./.*'7 ..........
jy (Nmne)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .....................................................................
/ /
b. Intended use and occupancy. ~,j.~.. ~. ~Y~-.~L ............. ' ..........................
3. Nature of work (check which applicable): New Building .' .....Addition .......... Alteration ..........
Repair Removal , Demolition .... ~... Other Work ................
(Descriplion)
4. Estimated Cost .... ~.~.o~ ~ ........................ Fee .........
· (to b~ paid on filing this application)
5. If dwelling, number of dwelling units .... ifPS. 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 .....................
~ .... Depth ...............
7. Dimensions of existing structures, if any: Front ............... Rear ...... , ....
Height ............... Number of Stories ........................... i ............................
Dimensions'of same structure with alterations or additions: Front ........... : ...... Rear .............. ....
Depth ...................... Height .......... ~: ........... Number oi~ Stp~es ............. t' l~'t/ ....
Height . . f~. ~n,-~. ...... Number of Stones ....... ~¢. '.fig ................ ! ........................
9. Size of lot: Front ...................... Rear ............... ! Depth ..... n ....... .~.,. · · ·, · ·
11. Zone or use district in w~ch premises are situated. ~d-~. ~. ~z~x~to~.../~¢,-,~u>.~ ...........
12. Does proposed construction violate any zoning law, ordinance or regulatidn: .. '.'.~4~. ..........................
13. Will lot be regraded ...... 7~. ................... Will excess fill be remov'ed from premises: ~ No
14. Nmne of Owner of premm~ ~ .,. Address . Phone No ................
Name of Architect ...... ~ ~.. ~ Address ~. Phone No ..............
Name of Contractor ........ i ....... .......... Address .... ; ......... i .....Phone No ................
15. Is this property located within 300 feet of a tidal wetland? *5~es ..... Nott~.....
· If yes, Southold Town Trustees Permit maybe required.
PLOT DIAGRA~
Locate clearly and distinctly all buildings, whether existing or proposed, and. ~ndicate ~l set-back dimenMons from
property Hnes. Give street and block number or des¢~ption according to deed, and shdw street names and indicate whether
~ntcdor or corner lot.
STATE OF NEW YORK, SS
COUNTY OF ................. '
......................................... being duly sworn, deposes an~{ says that he is the applicant
(Name of individual signing contract)
above named.
He is the ........................................................... i ..............................,
(Contractor, agent, corporate officer, et¢)
of said owner or owners, and is duly authorized to perform or have performed thC said work and to make and file this
application; that all statements confained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith. ~
Sworn to before me this
.... i' ......... '? ..... ~,.,..day {~f...~ .~.' .............. 19. ~..
Nota~hb,ic ....... ~ ~ .~.~... County ~
Lot I
BOU. L_EVARD
SOUTHERN
~ N.86~49'20''E. , , ,w . 26 0.00' ~
,':;: , i,,
Lot 15 ........... ~= ..........
Ar~ = 5570 8 s.f. ~j~.~.¢ ~ ~;~
now or formerly Hebert Handel N
Subdivison High Point At East Marion"
Suffolk Coun~ File No. 7680.
Lot 5
S .86°4'9'20" w.
Lot 14
Lot 4
_ ~i(I~ FAMB, Y I~UN~ I~.,
The ~wa~e dis~os~ and ~ater s~ply f~iJit~ ~ ~
location ha~e been i~ected by this D~a~t~nt a~/or
~er ~ and nd afl y
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT
NOTE: · =MONUMENT O:PiPE ~=STAKE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK
OF SUFFOLK COUNTY ON dULY .~0~ 1971 AS FILE NO. 5621.
SURVEY FOR
CLEAVES POINTCONSTRUCTION CORP.
LOT NO. 15 , "AQUAVlEW PARK"
AT EAST MARION
TOWN 0¢ SOUTHOLD
SUFFOLK COUNTY, NEW YORK
ROBERT KENNEY
MAY I0 ~ 1988
DATE NOV. 2 , 1987
SCALE: r':40'
NO. 87- 1619
#UNaUTHOrIZED ALTERATION OR ADDITION TO THIS
SURVEY · A VIOLATION OF SECTION 7209 OF THE
GUARANTEED TO:
CLEAVES
ROBERT
AQUEBO(
lION CORP.
YOUNG a YOUNG
ALDEN ~YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.~S. UCENSE N0.12845
HOWARD ~ YOUNG, LANO SURVEYOR
N.~S. LICENSE N0.45893
,NEW
DEPT. OF
,,,, SOUTHERN BOULE ~;7.___..-
t~'''. ° ,,. ~
- ,,~ '~.
~ ,
~:- --- -~--- ---".~;'-~W- Lot 14
Lot I ¢ ~- -- ~.~,- (vacant)
~reo = 33708 s.f. ,
B '
,
now or formerly Hebert Mondel. ~
( va c ant )
', Subdivision "High Point At East Marion"
Suffolk Coun~ File No.
Lot 5 Lot 4
(vaca nt ) (vacant)
9U~Y
SUFFOL~ COUN~ U~A~a~ ¢ ~[~ S~C~S CLEAVES POINT 60N~TRUOTION CORP. ~ ROBERT KENNEY
LOT NO. 15 , "AGUAVIEW PARK"
FOR APPROVAE OF CONSTRUCTION ONLY ~T EAST MARION DA~E: NOV.~,19ffi
~N ~ SOUTHOLD SCALE: 1"=40'
3ATE ~H5 REF. NO.__~_ SUFFOLK COUNTY, NEW ~RK NO. 87-16{9
~U~UtH~lZE~ ~CTEn~T~O~ O~ ~uumo~ ~ ~s GUARANTE~ '
HEI~ OEPIRTMENT-DATA F~ APPR~L TO CffiSTRU'CT m~ ~m m~ w~o~ T~t SU~[~ ~S
M ~F CO. P mST JO~ SECTION 2! ~CK ~ LOT SO HERE~, AND TO mE ASSIGNEES OF THE LENOING ] ~ ~ ~ ~
YOUng YOUNG
NOTE: ffi =MONUMENT O~PIPE &=STAKE ALDEN W. YOUNG, PROFESSIONA[ ENGINEER
SUBDIVISION MAP FILED {NTHE OFFICE OF THE CLERK
OF SUFFOLK COUNTY ON JULY ~0~ {97{ AS FILE NO. 5621. AND LAND SURVEYOR N.~S. UC/NSE N0.12845
HOWARO W. YOUNG, LAND SURVEYOR
W ~ L~ ~ ~L(W), ~lC TANKIS~ a CEI~OLI(~) ~N ~E~ N.Y.S. LI CE N S E NO. 45893
/
' * ~ It is the appIicant's~ ~por~sibltity to
: b~tween all ~ater su~,ply and se
disposal
BOULEVARD
8 ~49 20 ' '
' "E ~ ,~ %~~ ~.~.~ ~.4~'
.... .. .~ Lot 14
Ar~ = 33708 s.f.
_ __._ ~ ~ ~o.~'
now or formeHy Hebod Mandel
{vacant)
', Subdivision"High Point At Eas~ Marion"
Suffolk Coun~ File No. 7680.
Lo~ 5 Lo~
{vacant) ~ (v~nt)
c,,,~ ~'WO 'YEA~S F~tO vt DATE OF APPF~OVAL
SU~Y FOR.
CLEAVES POINT cONSTRUCTION CORP, & ROBERT KENNEY
AT EAST MARION OATE: NOV. ~ , 1987
FO~ APP~OVA[~OF CONSTRUCTION ONlY ~WN ~ SOUTHOLD SCALE: 1'=40'
OAT~~~ '
~ ~UTH~ZED ALTERA~IO~ OR AOOITIOH ~ ~IS GUARANT~O~
HEAL~ OEPARTMENT-OATA F~ ~PPRO~L TO C~STRUCT AND ~ H S BEHALF ~ THE TITLE C~P~Y, GOV~N-
.. YOUNG YOUNG RIVER~AD, NEW ~RK
NOTE~ ~ =MONUMENT O=PIPE ~=STAKE~~
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK ALDEN W. YOUNG~ PROFESSIONAL ENGINEER
OF ~UFFOLK COUNTY ON JULY 50 ~ 1971 AS FILE NO. 5621. AND LANO SURVEYOR N.Y.S. UCENSE NO.
HOWARD W. YOUNG~ LAND SURVEYOR
~X~ 4
:../.Y , .
OCCUPANCY OR
USE IS UNLqWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
ff copP~ tubing, ls used
for water distnbuti~]
sllstem; piping shall be
sOLDER uSED IN WATER
SUPPLY sYSTEM CANNOT
EXCEED 2/!0 of 1% LEAD.
7.-
Phone 47%0400
Main Road
GR. EENpORT, N.Y. 11944
fl
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