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Home My WebLink About15823-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of %he Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17750 Date FEBRUARY 9, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1310 LIGHTHOUSE ROAD 8OUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Sectio~ 050 Block 05 Lot 08 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 1987 pursuant to which Building Permit No. 15823-Z dated MARCH 30, 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 ~ITH ATTACHED GARAGE AS APPLIED FOR The certificate is issued to SCOTT BOGER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 85-SO-68-FEB. 3~ 1989 UNDERWRITERS CERTIFICATE NO. HO06131-OCTOBER 31, 1988 PLUMBERS CERTIFICATION DATED FEB. 7, 1989-PECONIC PLITMBING HEATING '~~ i~ld~ing Inspector Rev. 1/81 TO~N 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~ 15823 Z Permission is hereby granted to: ..~..~..~?~ ...... ~.; ..................... ,o at premises located at ..J...~,~..~.. ......... : ................ County Tax Map No. I000 Section ...... .~..,-'~."~..,. ...... Block ........ .q~...~. ..... Lot No ....... .~..~,. ........... application dated ...... ...~..~......~.~ ............. , 19.~.?..., and approved by the pursuant to Building inspector. Fee $ ...-..... Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ..~. .... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ RODSE NO. STREET RAML~T oso o~ County T~ M~p No. ]000 Section ...... Block ...... Lo~ Subdivision ....................... ~iled M~p ........ Lo~ .......... Permi~ No ......... Da~e of Permi~ Ap~l~ea~ Plann~ng Board Approval ................ Request Fee Submitted: for Temporary Certificate , ?~..: oo ....... Final Certificate .... .~ .......... APPLICANT.. £0 F_ rev. 10/14/88 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~- ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: ~F~NAL DATE ,~//~/~ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date (please print) p 1 u mb e r~/~L' ~-~//~'~ ~/v~; (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. -- ' ~l~ber' s s~gn~ture) Sworn to before me this ~/ aay o~=~/~?..~/ , .otary county Notar,! Public, Stale of New ~ork No. 4~4752 Que~fk~ in Suffolk Cou~ ~i Not ary~ub ~ic a~oo~*~'~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY T~ O; "O~,iR ~'41, ! 9~ JOHN STREET~ NEW YORK. ~~38 D 00g! 3t ~t~ Application No. on file THIS CE~IFIES THAT FIXTURE RXTURES RANGES OVENS S~RVICI 134SCOflRB~' S E R V I C E liCOT{' IlO ,,~,tt This cet~ifica~ must not be oitered in manner; return to the offk~ o~ ff~ Board if incorrect, identified , their 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. [ ] FOUNDATION 1ST INSPECTION FOUNDATION 2ND [ ] INSULATION [~FRAMING [ ] FINAL 7G5-1802 .~ BUILDING DEPT. iHSPEC TioH [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ L ] I/NS/ULATION / [ ] FRAMING ~] FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. []/FOUNDATION 2ND [ ] INSULATION / [//] FRAMING [ ] FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [/~NDATION 2ND [ ] INSULATION [ ] FRAMING FINAL INSPECT~ 765-1802 BUILDING DEPT. INSPECTION ['~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL REMARKS.-/p, ~ ;'_~~ ~ ~ OU~DAT!ON OUNDATION (2nd) OUGH FRAME & PLUMBING ~NSULATION PER N. Y. STATE ENERGY CODE FINAL . ADDITIONAL COMMENTS: / ~RK DIST. "',9 19el 3.0A KEY ~IAP ~ATCH ~7 LiNE MATCH ''~' LINE SEE S~C. NO. O~ (~ COUNTY OF SUFFOLK Real Property Tax Service Agency County Cehter G 84 Riverhead, L. I., New York m,.o~ SOUTHOLD VILLAGE OF ~s~lcr.0. 1000 Date o~ CQmc~eti~ J,,SECTION NO, 050 PROPERTY NAP DEPARTMENT OF HEALTH SERVICES COUNTY OF SUFFOLK PETER F, COHALAN SUFFOLK COUNTY EXECUTIVE FACT SHEET LEAD IN DRINKING WATER SUPPLIES DAVID HARRIS, M,D., M.P.H. Sources of Lead Concentrations In Drinking Water Systems Use of lead solder in new plumbing or in plumbing modifications to existing water supply piping. Lead is not a naturally occurring element in Long Island groundwater. Occurrences Lead is present in drinking water as a product of corrosion. The natural corrosiveness of Long Island groundwaters contributes to this process. Most public water supplies in Suffolk provide chemical treatment to increase the water's natural pH, and minimize corrosion products, but no amount of treatment can produce a totally non-corrosive water. Studies indicate that after prolonged periods of water non-use, lead concentrations can be found in excess of Drinking Water Standards. This problem appears to be limited to newly installed internal water piping systems, or recently modified systems, in which lead-based solder is used. Lead is rarely detected in routine water supply surveillance. This fact is seen as indicating that, at a particular location plumbed with lead solder, this problem will diminish with time. The New York State Health Department concurs with this evaluation. Health Considerations Lead is a compound which is accumulated in the body. Human intake can be expected to occur through many environmental sources, including water. Recommended Action In order to minimize lead occurences, the following steps are recommended: Particularly in new or recently modified plumbing systems, users should be encouraged to flush the water line for a period of at least two minutes prior to consumptive water use. This is particularly necessary after prolonged water non-use, such as the overnight period. COUNTy CENTER RIVERHEAO, N,Y, I 1901 18-1115:6/83 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 April 6, 1987 TO: FROM: SUBJECT: Town Board Victor G. Lessard Exec. Admin. Refund--B.P.#15823Z Please issue a refund check in the amount of $210.68 to Scott Boger. This refund is due to an error in calculations for a Building Permit. SCOTT BOGER WILLOW POINT ROAD SOUTHOLD, N.Y. 11971 'FORM NO. 1 TOWN OF SOUTHOLO BUILDING DEPARTMENT SEPTIC TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-180:3 CALL MAIL Examined..'~'~..8~..., 19 .~."/. Approved · ]~Oq..~'1., ,E.~,, ,, 19 ~. ,'/. Permit No. ! Disapproved a/c ..................................... (Building Inspector) BOARD OF HEALTH SURVEY ., FORM APPLICATION FOR BUILDING PERMIT TO: TOWN OF Date /~C]'~ ~ , 19~7. INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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, builfil~ing cpd/% housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insSO~h) ~. Jg0~ ....... .............................. (Signature of ap~lga'n~ or name, if a corporation) .. . o. /. .ro. . fo. ...................... (Mailing address of applicant) State whether applicant is .owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of o;~2; ~; ;;2~ile:' ' ' ~)b_~' ~O1~~ ............................................. (as on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer. (Name and title of co, orate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of Iand on which proposed work will be done~ ................................................. /..q/o !o.% so 7/t-ol,b ...... , ............. House Number Street Hamlet County Tax Map No. 1000 Section ...... .~..0 ......... Block g Lot ~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 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 .............................................................. 3. Nature of work (check which applicable): New Building X Addition · · · ~ · Alteration Repak Removal Demolition ' Other Work ' (Description) 4. Estimated Cost .................................... Fee ...... ~ .......................... 5. If dwelling, number of dwelling ~nits ...... .(0 ....... Number of dwelling units bn each floor. ~.~.t...~..~?..~ .... If garage, number of cars ..... 6. If business, commercial or mixed occupancy, specify nature and extent of each typelof use ..................... 7 Di ions of xisting structures if any Front ~ Rear .'YT. ; Depth mens e , : ................... ~ ............ ight He ...... Number of Stories ..................... ; .......................... Dimensions'of same structure with alterations or additions: Front.............,...' Rear........... ....... Depth ...................... Height ...................... Numb~ Rf Stories ........... ..~, ....... 8. Dimensions of entire new construction: Front .... ~.O~,... ..... Rear .... ~. i ..... Depth ....lJ.[~ ......... Height .r~ k.~ Number of Stories I ~L, .. ~ , 9. Date of Purchase ........ i i. i .........Name ;[ For~r Owner '.-~-~.~;..k~.~.~..~ ................ 10. ! I. Zone or use district in which premises are situated ..... ! 2. Does proposed construction~i~ate any zoning law, ordinance or regulation: ... ~) .......................... 13. Will lot be regraded ........ ~_,._. .... n._.,.,-.a ........ Will excess fill bg removed from premises: ,~ Yes~ No)~ [4. Name of Owner of premises ...D. ic~F'V17...~..0~..¥)(-. ..... Address .110).1:~..~..~..[~ ...... Phone No. ~lb~.~. 1.0~.~. ...... Name of Architect ..... :.. .....~.~ .............. Address ................... Phone No ................ Name of Contractor .......................... Address .... : .............. Phone No ................ 25. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .~.. · If yes, Southold Town Trustees Permit maybe reouired. 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 ~treet names and indicate whether _nterior or corner lot. gTATE' OF NE~--']DRK., ,~, ~ ~ , 2OUNY?~~ ..... ~/5~'~ ' , ........ ~.. ~... being duly sworn, deposis and says that he 'is the applicant '~ (Namg of individual signing contraeti$ ~bove named. , te is the ................. d~-~.~<q~,-*4.~ ............................................................ (Contractor, agent, corporate officer, etc.) ~f said owner or OW.hers, and is duly authorized to perform or have performed the said work and to ma~elr~ file this tppilcation; that all statements eontained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner set forth in the application filed therewith. ~worn to before me this ~ ' ..- ........... c;~.~lt...day of,../~.~. ~ ...... 19~. qo . . County // EL~Z~_ SF.~'H ANN NEV~£LE ........' ~o. 52-812§850. Suffolk CouGp/4. lerm Ex~irsa Oclobsr $1,19 ~__~,r~' CO. H~AI.TH DEPT. AJ~ROVAL co. ~. ~ ~AL~ ~v~cEs. SERVICES -- FOR APPROVAL~ALTHoF CO~TRUCT~N ~Y , , ~, H~EL -,, j SURVEY OF PR O PER T Y A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 50 - 05- 08 Scale 1" = 30' Dec. I, 1987 765 P. O. BOX 909 MAIN ROAD SOUTHOLD~ N.Y. ~JC. NO. 49668 &ENGINEERS, P.C. 11971 7