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Home My WebLink About16378-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17762 Date FEBRUARY 14, 1989 THIS CERTIFIES that the building. ADDITIQN Location of Property 430 FISHERF~INS BEACH RD. House No. Street County Tax Map No. 1000 Section 111 Block O1 subdivision Filed Map No. CUTCHOGUE Hamlet Lot 14 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 1987 pursuant to which Building Permit No. 16378Z dated AUGUST 24, 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 ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to JAMES HOMAN (owner, X~) of th~ aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N057054 FEBRUARY 7r 1989 PLUMBERS CERTIFICATION DATED N/A Building ~nspector Rev. 1/81 FO~w NO. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, No_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 16 3 7 f~ z Dat....~.~..?........~...~ ....... , ,,..8..7 Permission is hereby granted to: ............................. · - ~. _' ............ "~"" .......... 't ...... ' ........ ,.;" , . re e ! t ....... ~ ............. 0 ot p mis s ocated o .;~t County Tax Map No. 1000 Section ......... .~.~.~. ........ Block .......... ~ .......... Lot No ........ 1...~. ........... pursuant to application doted ....... ~....-~....~ ................... , 19~...7..., and approved by the Building Inspector. Rev 6/30/80 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 I~ 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 "pre-existing" land uses: 1. Accurate survey of p~Coperty showing all property lines, streets, buildings and unusual natural or topographic features. 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 825.00 1. Certificate of occupancy New Dwelling $25.(10, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 o.o. 0.00 ,. 5.Upda~ced. C.O. $ 50.00 Date ......... NewC°nst-z~uction ...... Old or Pre-existing Building ... ~. ...... Vacant Land .......... Location of PropertyHouse ...... No.¢'?'~*,~ .... ~''~'' '~/ / Street ..... Owner or Owners of Property ...~;;~.~ ................. County Tax Map No 1000 Sect on~.../Lt.. Bock .... / ........ Lot .... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./b .~'7.~..~ate of Permit , ,~, .'~/f~pplicant .. ~/~/~.~~ .~-7 ~¢-~ ~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. FIELD INSPECTION 1. COMMEN~IS ~OUNDATION (~st) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY FINAL ADDITIONAL COMMENTS CONTRACTOR & BUILDER NEW SUFFOLK LANE CUTCHOGUE, L.I., N.Y. 11935 July 21, 1987 To the Board of Town Trustees, I request, on behalf of James Homan, a waiver of the wetland of addition to an existing dwelling on the property on Haywaters Road, Nassau Point, Town of Southold, N.Y. Wm. ~. Beebe, Builder TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TO CH~TER 32 OF THE CODES OF THE TOWN OF SOUTHOLD, APPLICATION NO. I DENT I TY OF APPL I CANT_ -~L~L- ~..._ TAX MAP NO. DATE OF APPLICATION ..... ~'~q/~. ~/? / ~ ~ PHONE NO AGENT PHONE NO HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION CREEK, BAY OR HARBOR FRONTING PROPERTy $,ZE OF PROPOSE~ WORK / ~ ' ~__./__~___~_~/_J~_i/.~_o_22' ~ '~" LENGTH / ~ / [{EIGHT ASOVE HIGH WATER DEPTH BELOW !LOW WIDTH OE CANAL, C~E~K OR BAy ERONTING PROPERTy ~ DISTANC~ PRO~ECT EXTENDS BEYOND SIMILAR PROJECTS [N THE A~A ~ANNE~ ~N WH~CM ~AT~RIAL WILL B~ R~OV~D O~ DEPOSITED ~TRUCTUR~S O~ TO DR~DG~ O~ D~POBIT ~]kk ON 8AID PR~]~ AND ANY p~ ~ LICeNSeS ~RE ~V~R ~U~P~ND~D OR ~VOK~D BY A GOVeRNmENT AGeNCy /~ ~ DESCRIBE fULLY THE REHASILITATI'ON .AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITIONAL SURVEY OF THE PROJECT S~[TE IF NECESSARy APPLICANT, ARE THERE ANY!COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THISiPROJECT? .,[/~ '" ;14!16-4 (2'/87)--Text 12 · ~ ~ PROJECT I.D. NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART F--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1, APPLICANT/SPONSOR I 2. PROJECT NAME 3, PRO,~ECT LOCATION; SEQ 4. PRECISE LOCATION (§treat address and roa~ intersections, prominent landmarks, otc., or provide map) 5, IS PROPOSED ACTION: [] New [] Expansion 6. DESCRIBE PROJECT BRIEFLY: ~o ~ sT-r ~ cT 7. AMOUNT OF LAND AFFECTED: Initially ~ Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? NO If NO, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? "~Residential [] !ndustr,al [] Commercial [] Agriculture [] Park/Forest/Open space [] Other Describe; 10, DOES ACTION INVOLVE A PERMIT APPROVAL, QR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL~ STATE OR LOCAL)? '~ Yes [] No If yes, list agency(s) and permit/approvals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes ./~No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACT,ON WILL EX[STING PERMIT/APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 COUNTY OF SUFFOLK ) STATE OF NEW YORK )SS: AND SAYS THAT HE IS THE APPLICANT FOR THE ABOgE DESCRIBED PERMITS, AND THAT AL~ STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOW~EDGE AND BELIEF, THAT THE WORK WILL BE DONE IN THE MANNER SET ~ORTM IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN SO6RD OF THE TOWN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRT~ OF SAID PERMIT, IF GRANTED. in completi!ng this application I hereby authorize the Trustees, agen~ or ~e,pres~ntatzve to enter onto my property to inspect the premises in' con3unction with evlew of th~s application. SIGNATURE O~ APPLICANT SWORN TO BEFORE ME THIS EXAMINED APPROVED ~IW~TLANDS' PERMIT (CHAPTER 97) APPROVED 'B~AT,DOCKS, WHARVES~ PERMIT (CHAPTER 32) DISAPPROVED[ "~ETLANDS PERMIT' (CHAPTER 97) EXAMINING B~DY SIGNATURE O~ CHAIRMAN COMPUTATION OF FEES ADvroved ?/77/R5 THE NEw YORK BOARD OF FIRE UNDERWRITERS 1000121 IUREAU OF ELECTRifY ~ 85 JOHN ~TREIT. NEW YO~, ~W YORK 10038 ~t~ F~R~Y 07,~89 ~.t~o. onfll, 5832t498/88 ~ 057054 THI~ ~1~1~ T~T r~u~n ~ ~ [,IFCg~SI~ NO. 282 ~ i Z)I- HENRI' P. S/~{ITH, President JOHN M. BREDEMEYER, Vice-Pres. PHILLIP J. GOUBEAIJD ALBERT KRUPSKI, JR. ELLEN M. L^RSEN B(}ARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town ltall, 53095 Main Road P.O. Box 728 Southold, New York 1197l July 28, 1987 ~ TELEPItONE ,. ,//~(/f?~D~,~~' ' ' ~6) 765-1892 Wm. M. Beebe Builder's, inc. Contractor & Builder New Suffolk Lane Cutchogue, New York 11935 Re: James Homart, Haywaters Road, Nassau Pt., Cutcho_gue Dear Mr. Beebe: The following action was taken by the Board of Town Trustees during their regular meeting held on July 27, 19B7 regarding the above matter. WltEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and WHEREAS, the Board considered all the docmnentation submitted concerning this request, and WHEREAS, the Board made the following findings of fact: 1. By this request appellant requests per~nission to construct a 10' x 12' extension to an existing residence. 2. The property is located on Haywaters Road, Nassau Pt., Cutchogue. 3. The project will not affect the health, safety or general welfare of the people of the Town, NOW, THEREFORE BE IT RESOLVED that Wm. M. Beebe Builder's, Inc. on behalf of James Homart BE AND HEREBY IS GRANTED A WAIVER OF THE WETLAND ORDINANCE as aforementioned and all in accordance with the plan submitted with the application dated July 21, 1987. Please be advised that there is a $25.00 fee for the waiver which is -now due and payable. Very truly yours, Board of Town Trustees HPS :ip cc: Robert A. Greene, D.E.C., Stony Brook Commissioner Henry G. Williams,' D.E,C., Albany Board of Town Trustees - Page 2. James Homan Stephen Mars, Army Corps of Engineers Thomas ttart, Coastal Management Conservation Advisory Council Bldg. Dept. Board of Appeals File t/ PLEASE RETURN TO THE BUILDING DEPT. FOR A DETERMINATION ON THE NEED OF ANY OTHER TOWN PERMITS THAT MAY BE REQUIRED FOR ']?HIS PROJECT. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL n~ SOUTHOLD, N.Y. 11971 TEL.: 765-180~- Exami . .z%,.~..~..~.., 19 .'~.? Approv~.M~..lr~...0~...&..~., 19~..]. Permit No./.~..~. ?..~..~. Disapproved a/c .............................. ......./~ (Building Inspector) APPLICATION FOR BUILDING PERIVIlT INSTRUCTIONS Application No .................. 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 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 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 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 buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing adVdress of applicant)~/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... 1. Lo£1aht;~x~delSn~ioC27eicN~;roposed work will rte done ................... .~......~....~..~. .............. , .......................... County Tax Map No. 1000 Section ..... ~.~.~ ......... Block ...... k.. ...... .... Lot .... ~..7...-- ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. Statee~ist~nguseand~ccupancy~f~j~;~)~tendeduseand~ccupancy~fpr~p~sedc~nstr~cti~n:~~ a. Existing use and occupancy .... ff~~7~ b. Intended use and occupancy .... ~ .................. .:-:~',4}{ {~'"* '':~ .... :""~"~':'~P ....... 3. Nature of work (check which app,licable): New Building .......... Addition../~ ...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost .... ~., ........................................................... (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 .... I' ' .................................................................. 6. If business, commercial or mixed l~occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures;, if any: Front .... ~'~ ....... Rear .. ,~O. ........ Depth ... L~O..~ ....... Height ../oC7.( ........ Number of Stories ........ ~'. .............................................. Dimensions of same structure wl*h alterations or additions: Front .. '4' ~ .......... Rear .. ~ .O ............ Depth ...... .L/a ........... .. Height ...... /~.."-T. ........... Number of Stories .... / ................ 8. Dimensions of entire new construction: Front ...... .].z/.., .... Rear .../.~. ........ Depth . ./.O .......... Height ..... /..-~.' .-~. .... Number of Stories .......... ~. ............................................. 10. Date of Purchase ........... ~ ................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ........................................... 12. Does proposed construction violite any zoning law, ordinance or regulation: iii 13. Will lot be regraded ......... i ....... , .......... Will ex~ess fil,!l be reatovecl from premises: Yes No 14. Name of Owner of premises .~I~/7~.. Address ~. ~-m~q~... Phone No. ~,~.--~ .~6~d..[~'m Name of Architect ......... , ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all !'buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF .......... ....... .!S'S ..... ~.~. ,.. ~".-~ .~ Iai. .... : .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named.!,i (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 this application; that all statements contained 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~ I /~ Notary Public, . ~.. County .. ~ umM of N~ ¥o~ (Signature of applicant) OOOUPANCY OR USE IS UNLAWFUL WiTi.DUT CERTIFIC;L OF O~C,~ ANCY ~ 'lC' 'Per_ _ J~ C~ ct, ,'% - i Z Z_ Z'Z Z Z _,*,--_% L.~_~