Loading...
HomeMy WebLinkAbout15663-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No Z15790 Date September ]4, [987 THIS CERTIFIES that the budding · addition to existing one-family dwelling. 895 Highland Road Cutchogue Location of Property H~ No ................. 'S'tre~ ................ I~tamle~t County Tax Map No 1000 Section .... 1.0..2.. ,Block ....... .8 . Lot 2 Subdivision. . ,H.i. gh.l.a.n.d.. E.st..a,t.e.s, .... Filed Map No . 6.3.5.7.. Lot No, 5 conforms substantially to the Apphcat~on for Building Permit heretofore flied In this office dated ·..J..a.n.u.a. ry..1.5, t. 1.9.8.7 pursuant to wluch Building Permit No .... 15663Z dated ........ Fe..b.r.u.a.r. y 5 ,...1.987 . was issued, and conforms to all of the requirements of the apphcable provisions of the law The occupancy for Much ttus certificate is issued is ....... · . .Add. it ,iQn .t.o An, 9.x.i.s.%.tng..o.n.e-.f. am.z.ly...dw.e,l. 1..i.n.g.: ............... MARC & BEVERLY LEVEY The certificate ~s ~ssued to ........... ~d~r[e.r,.l~,~,r~xt~tr~r~t)rx ............. of the aforesaid building Suffolk County Department of Health Approval ,, N / A UNDERWRITERS CERTIFICATE NO N 830734 May 27, 1987 PLUMBERS CERTIFICATION DATED: ~/Building Inspector l¢OUWr NO, I~ TOVCN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, hL Y. BUILDING I~ER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15663 Z Permms~on Is hereby gronted to: ....!./..~.~.~......~....~. ~..~.:....~... ' ..~...~~ .... ~.:.... ~~..~.~.,...~....,~ .rm~.-~.~ ........................................................ ot p,.,,,,.e. ,~o,,~ o, ....Zm~....,~ ~..~..-.~'" -' ' ' --'~ '-" ~ ........ ~~~" ................ iiii iiiiii'ii'iii'iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii ........................ County Tox Mop No 1000 Section ....... L.C~..,3~... Block. ....... .~.~. ....... Lot No...?....3~/ ...... pu,uo.t to o~,,,°ti~ d°,~ ...~...o~~...J..~--.. .......... . ,,.~..~.. °nd o,pro~ by the Building Inspector, Rev. 6/30/80 APPEALS BOARD MEMBERS GERARD P GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR SERGE DOYEN, JR JOSEPH H SAWICKI JAMES DINIZIO, JR TO: F ROM: DATE: SUBJECT: Southold Town Board of Appeals MAIN ROAD- STATE ROAD 25 SOUTHOLD, L.I., N Y. 11971 TELEPHONE (516) 765 1809 INTERDEOARTMENTAL MEMO Building Department Board of Appeals~- November 3, 1988 Dr. Marc Levey Files #12214Z, 13673Z & 15663Z We are returning herewith the above referenced files which were part of the record as submitted by Dr. Levey in the Appeal #3776 of Howard & Margaret Brodls. Enclosures OUNDATION ( ls t) OUNDATION ( 2nd ) 0UGH FRAME & ?LUMBING NSULATiON ?ER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO, 6 TOWN OF SOUTHOLD Bu tiding Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m~ to the Buiidmg Inspec- tor with the following; for new buildings or new use' 1. Final survey of 'property w~th accurate location of all buildings, property lines, streets, and unusuai natural or topographic features. 2. Fmal approval o,f Health Dept. of water supplv and sewerage d[sposal-(S-9 form or equal). 3. Approval of electmcal mstallat~on from Board of Fire Underwriters. 4. Commercml bu~;Idmgs, Industrml buddmgs, Multiple Residences and similar buildings and installa- tions, a certificate of Code comphance from the Architect or Engmeer responsible for the building. 5. Submit Planning Board approval of completed rote plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buddings and "pre-existing" land uses' ] 1, Accurate survey/ of p~operty showmg all property hnes, streets, buildings and unusual natural or topographm features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any houmng code or safety ~nspectlon of bufldmgs or premises, or other perhnent ~nforma- t~on required to prepare a certificate. C. Fees: , 1. Certiflcate of occupancy New Dwelling $25.Q0, Accessory ,$10.00 Business $50.00 2. Certificate of-occupancy on pre-exlstmg dwelling $ 50 00 3. Copy of certlfm~te of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.Oo $ 20.00 5.Updated C.O. $ 50.00 Date ..¢..~/~¥.?~.~../.~.¥~ m,~ ~ ~'; ..... NewConstruct ~-on ...... Old or Pre-ex~stm~ Buddm~ ............ Vacant kand ............. Location of ProperW ............................................ Hou~ No. Street o, .... ........... County Tax Map No 1000 Section .............. Block ........... Lot ............... Subdw,s,on .......&1~.. ~~. .Filed Map No ........... Lot No ..... .~ ..... Perm,t No t~. Date of Permit ...... Apphcant ~, . ¢~ Health Dept. Approval .................... Labor Dept. Approvat ........................ Underwriters Approval ..................... Plannmg Board Approval ..................... Fee Submitted $ "1o~.. ~ . .0'~........ .~..~,. .... Constructio~ on above desembed building and per,~--mt meets all apphcable codes and regulations ^pp,,oan, ......... 8317i¢ 6..0 ~, 15'fqo THE NEW YORK BOARD OF FIRE UNDERWRITERS ]_00[07[ BUREAU OF ELECTRICITY ~-J-eptember 4, 1987 I 85 JOHN STREET, NEW YORK, ,.,, ~.,,~,..,,0. ~o ~./,,. N 830734 THIS CERTIFIES THAT DRYERS~RNACE ~OTo~ [ ~TURE A~MANCE ~DERS ~ECIA[EEC'P~, TIMECLOCKS ~ BELt IUNITHEATERS M 0 ~ DIMMERS ~s~w~ mSCOUN~C~ ~' s ~1 30~ v 1 I-G.F C.I. 1-Smoke Detector Panelboards: 1-16cir. 125amps GBox & S 215Electric Southold, N.Y. ]1971 Lic, 578E Th~s cert,hcate must not be altered m any manner~ return to the ofhce of the Board *f ~ncorrect Irqspectors mc~y be ~denhf,ed by their credents, BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION 765-1802 BUILDING DEPT. ,~ INSPECTION ~P'~0~/}'i FOuNDATIoN~ "'~ IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSU~TION [ ] FRAMING REMARKS: FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [~NSULATION [ ] FRAMING FINAL REMARKS: DATE ,NSPECTOR~. ~:~/ *~~ HENRY J. SMITH & SON, PLUMBING, HEATING & FUEL OIL MAIN ROAD SOUTHOLD, N Y 11971 (515) 765'-38g0 [r~c. CERTIFICATION Builllng Permmt No.__l_5_6_6_3_Z- ne! Ow _~i~-~ ~ ..... Plum~er Henry J. Smmth & Song Inc. D a t e __M a_~_2_7_~__19_8_7___ I I certify that the solder used mn the system contains less than 2/10 of lg lead. water supply P. Smmth Sworn to before me t,~E 2 ? t h_~ a y o f S~iq~0~yn ~ UlW~-- ' __~~~~Z~ 19 87 NO~AS': :'UBLIG, Stule et Ne~ York Notar~ Publ m c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL COUTHOLD, N Y. 11971 TEL.' 765-1B03 Exammed~r~.~xa~a.~ ~', 19~,rfl Approved ~ ~''' , ~4~ ] Pe~t No I ~ b ~ ~ Dmapproved a/c .... (Budding Inspector) Rece~.ved ........... ,19.. APPLICATION FOR BUILDING PERMIT Date ..... 19. INSTRUCTIONS a. Tins application must be dompletely filled m by typewntar or m ink and submitted to the Budding Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule b Plot plan showing locatioh of lot and of buddings on premises, relationsinp to adjoining premises or public stree or areas, and giving a detmled de§cnption of layout of property nmst be drawn on the diagram which is part of tins app, cation I I t commenced c. The work covered by tins 0pp ica ion may not be before issuance of Budding Permit d Upon approval of this application, the Bmldmg Inspector will issued a Budding Permit to the apphcant Such perm shall be kept on the premises available for inspection throughout the work. e. No bmldmg shall be occul>md or used m whole or in part for any purpose whatever untl~a Certificate of Occupant shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmldmg Permit pursuant to tl Bmldxng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constructiod of buddings, additions or alteratmns, or for removal or demohtion, as herein descnbe, The applicant agrees to comply ~vith all apphcable laws, or&nances, budding code, housing code, and regulations, and admit authorized inspectors on premises and in budding for necessary inspections. (Signature of apphcant, or name, ff a corporation) ............ · ........ ..... ,' ..... ~ma~lzng add~ess of applzcant) ;udde State whether applicant is owne,r, lessee, agent, architect, engineer, general contractor, electnman, plumber or Name of owner of premises /~6[F'(2.- ,]']- Ga'~c~..//~t~[y (as on the ta~( roll or latesffdeed) If applicant is a corporatmn, signature of duly au~homzed officer / (Name and t~tle of corporate officer) Budder's License No /oQ ) ~ ~ .~ Plumber's License No .~. Elecmman's L~cense No ~.~ . . Other Trade's L~cense No Location of land on which proposed work will be done ltouse Number ~ Street County Tax Map No 1000 Section ] O ~ . Lot Subdiv~smn /'~h{O°q¢~(Name)~'PO'"ff~'f Lot State existing use and occupancy of premises and intended use and occupancy of proposed constructmn a Existing use and occupancy / ' . b Intended use and occupancy / ~ ~ ...... Hamlet Block Fried Map No 3 4 5 Nature of work (check which applicable) New Building .. Repar ........ Removal .,. Demolition Estimated Cost ...... ,-~© ¥?~--~, -~. If dwelling, number of dwelling units .. Addition.. ~.... Alteration .... ·. . Other Work ......... (Description) (to be paid on fihng this application) .... Number of dwelling units on each floor ......... If garage, number of cars .~ .................................................. If business, commercial or mixed occupancy, specify nature and extent of each type of use ........ Dimensions of existing structures, if any Front .... Rear ......... Depth ....... Height ..... Number of Stones ......................... Dimensions of same structure with alterations or additions Front .... Rear ........... Depth ......... Height ...... Number of Stones ............... 8. Dimensions of entire new construction Front . .. Rear ........... Depth ........... ..... Number of Stones Height 9. Size oflot Front /~.'%t~ ' Rear /3~, tt ' ' Depth . ~-M~.r. ......... 10. Date of Purchase ............ Name of Former Owner ................ 11 Zone or use district in which p~emlses are situated ................................ 12. Does proposed construction violate any zoning law, ordinance or regulation . 13 Will lot be regraded . ./lo. .......... Will excess fill be removed f~rorn premises Yes N~ 14 Name of Owner of premises /Tla~c.. ke~e_~ Address t°ct~ole.~d.~ Name of Architect .. Address ,.' ,~m~?. ~.t.z-~,~.~.~..~Phone No.. ?~ ¢.-. ~(~... Name of Contractor~-'.Obc~ . {3ee.¢O.n~' . Address y3?'G ~oJc¢~z~.~'''~'~ Phone No '?'~ ~..?.JS-~c/ .... 15. Is this property locate~withxnt00 feet of a tidal wetland? * Yes ..... No .~f... · If yes, Soughold Town Trlustees Permmt may be required. PLOT DIAGRAM Locate clearly and dmtmctly ~1 buHdmgs, whether existing or proposed, and indicate ~dl set-back dnnenslons from property hnes. Give street and block number or descnptlon according to deed, and show street names and indicate whether interior or corner lot STATE OF NEW YORK, S S COUNTY OF ..... (Name of individual signing contract) above named , · being duly sworn, deposes and says that he is the applicant He is the ............................... (Contractor, agent, corporate officer, etc ) / of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tlns apphcatlon, that all statements contained m this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth m the application filed therewith Sworn to before me tins - ........ /.S. .. day of ......... , 19 ~ ~.i#l~. ffi ~ ..... HEALTH DEPARTMENT-DATA FOR APPR~)VAL TO cONSTRUE T #NEARESTW~TEN dlAIN MI .+ N SOURCE OF WATER PRIVATE/~_PUBLIC__ KSL~'FCD TAXMAP ~S~ SECTION ~ BLOCK ~ LOT ~,,. ~E~ ARE ~ ~ELLI~S WITHIN I00 FEET OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON ~ THE WATER SUP~Y A~ SEWAGE DIS~AL SYSTEM F~ THIS R~IDE~ TEL MONUMENT [~' = STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CI. ERK OF SUFFOLK K TH~ LOCAI'ION OF WEt. LOWS,SEPTIC TAHKJST)I~ CESSPOOLS(CPS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OH DATA OBTAINED FR'OM OTHERS TOY POST EO404 SURVEY FOR MARC H. LEVEY & BEVERLY LEVEY LOT 5,"HIGHLAND ESTATES" AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUHT¥, NEW YORK APR 20, 1987 DEC II , 191~G dULY 21 , 191~1 DATE dULY IT, 1981 SCALE I": 50' NO, 8l- 41~' GUARANTEED TO SOUT~~BANK YOUNG e, YOUNG 4ooos* ., .oE. AV .UE RIVERHEAO, NEW YORK ALDEN W YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N YS.[JCENSE NO 12:845 HOWARD WYOUNG, LAND SURVEYOR NYS LICENSE NO 45893, I SURVEY FOR MARC H. LEVEY E~ BEVERLY LEVEY APR 20,19~7 DEC II ~ 1986 LOT 5, "HIGHLAND ESTATES" JULY 21,19Si AT CUTCHOGUE DATE ,JULY 17, 19BI TOWN OF SOUTHOLD SCALE I"'- 50' SUFFOLK COUNTY~ NEW YORK NO 81-412 N UFJAUTHORIZED ALTERATI01~I OR ADOITION 113 THIS GUARANTEE.O TO-~ HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSOH FOR WHOM THE SUR~rEY I$ , YOUNG S YOUNG SUODIVI$10N NAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK ALDEN W YOUNG~ PROFESSIONAL ENGINE ER COUNTY ON AI~NIL tN, IDIT AS FILE RO. ESS? AND LAND SURVEYOR N Y.S UCENSE NO 12:845 HOWAROWYOUNG, LAND SURVEYOR ~TH~ LOCATtOH OF WE~.L(W)sSEPT~C TAHK(ST}a CE$$POOLS(CP) SHOWN HEREON N Y S LICENSE NO 45893 ,L F,,~u RI bAT I,,~l"J PLAIq LIVffqO FIRST FU~P- pLAN '/~"= I'-~" VIHY~ P L~HgN _ii 3LU' I, 1 16 5,~, Pr, ADDITI~Id PItcH ti APPROVED AS NOTED ELEOlKIOAL' ~Yi,,1B.4.$ O 0 .¢ OCCUPANCY OR OP USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY '\ SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of I% LEAD. C_~A P-,A G E. PLUMBER cERTIFICA T/ON ON LEAD cONTENT BEFORE cERTIFICATE OF OCCUPANCY L" ~ If copper tubing II · for water distributing x,~ systam; piping shall be ~ ~ types K_ or L only. ~ LLVEY KEOIDENC[  F~UHDATI~N/FI~T FL~R PLAN ~ON~L~ ~. ~NI~ ~.1.~.~ ~.~- ARCHITECT J ~ ~H~V,/N ~F $ ~:uTH V'¢'= 1'-.,~" I I J~ j -k Ii N~_~T BLEVATt,.cN it:: H,cKT"'I 'E. LEVATI¢I',,I "" ~ " P~y~_D '-- '1 PLUMI~IIJ~ bi A~,IC.A M HI(~H LAFID P~A P L~,T C~ 1LI EA~'I- ELEVAT I~M '1