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Home My WebLink About16008-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT off~ce of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC~umANCY No Z-24349 Date MAY 13~ 1996 THIS CERTIFIES that the building Location of Property 3245 W~3.S AVE. House NO. Street County Tax Map NO. 1000 Section 70 8lock 4 Subdivision Filed Map No. ADDITION N.Y. Hamlet Lot 5 Lot No. conforms substantially to the Application for Building Permlt heretofore filed in this off~ce dated APRIL 30~ 1987 pursuant to which Building Permit No. 16008-Z dated MAY 22~ 1987 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is ADDITION TO EXIBTING ~ FAMILY DWELLING AS APPLIED FOR. The certlficate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 ROBERT L. & MARGUERITE GERBEN N/A N-134014 - JUNE 8~ 1990 SEPT. 15~ 1990-JOHN ENGEL, JR. Building Inspect~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO. 16008 Z Permission is hereby granted to: .................................................. ...~..~.~.-......~...~q~...~...~ ................... .~...~.....~....~.:...!.!..~...~ ............. premises located tit .....~...~...,~.~....,, .~.....e~.st..........~....g~...: ...... ~ ................... County Tax Map No I000 Section ......q~..."/..O. ........ Block ...... ..~..~. ........ Lot No ........~....~'. .... pursuant to application dated ... ~ ..... ~ ............ , 19.~.7., and approved by the Building Inspector. Building Inspector Rev 6/30/80 TO~'¢ O? SOUTF. OLD BUZLDZNG 76.5-!802 FOR =~'"trr" - 2. Fmnai k~oroval from 5ea!:n less znan 2/!0 of !~ lead. For exaszan~ ouai~:-nSs (~r:or :o ADrmi 9, !95Y) non-confo_--auza~ uses, or :uaic~n~s aaa if a Cer:~f~cane of 0ccuDancy ~s den!ce, ~he Bu~ldLng inspector small sca~e :ne Cerul---~-ca:e of 0cauDancy - New awel!ln~ $25 00, A~elzlous so d~e!L/n~ 225.00, i. Uucazad Car%Lflcasa of 5. Tem~orar:' CarclfLca~a of 0ccuoancy - RasL~en=l~ SIS.00, C~erc~al Si5 00 ,a~ Ca~.s:_uc:kor~ ........ ~. 0!d 0~ .re-~%s~g Bu~c~. ~ .............. .o~::o: o~ ~:o~:?.. ~ ~.7~.. ~..~ ............... ~ ...... House No. S ~raet *,nwer or O~ers of Property .... ioun~y T~x Map No !000, Secz~on ........... Bloc~ ............ Lon .......... ~eaL:n Deo~. ADorov&! .................... ~er'~r'-cers ~~DDroval ........ OUNDATIO.U OUNDATIO~I OUGH FRAME & ?LUMBING L~SULATION PER N. Y. STATE EN ERG~Y CODE FI:!AL ADDITIONAL C0~MENTS: 'm THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~'~ ~ BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS C;;IFIES THAT ~y t~ ~t~M ~uipment ~ ~e~ ~ ~ int~u~ by t~ ~ant ~ ~ the e~ ~t~ numar in t~ p~m~s of in the followin~ location; ~ B~e~nt ~ I~t FI. ~ 2~ FI. hA~/A[IH~/0Hr ,~tion Bilk ~t HAY 21, 199~ ~s examined on and found to be in complian~ ~ith the requirements of thi~ Board. RXTUR~ RXTUR~$ OUTLETS SWITCHES RANGES OVENS EXHAUST FANS DRYERS MOTORS FUTURE AP~IANC~ FEEDERS TIME CLOCKS UNIT HEATERS MULTI'OUTIIT OIMMERS SYSTrbMs SERVICE DISCONNECT S E R V I C E ~/Ill i:;EBHARI)I' ~-~ ii(, LONI'R NY, llTg/ Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE Must HOT BE ALTERED IN AHY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 Building Permxt No. Owner/¢ (please print) Plumber ~/c/ (please print) I certify that the solder used in the water supply system contaxns less than 2/10 of 1% lead. Sworn to before me thxs / V day of ~ , Notary Publxc,~ County KaTu~"~' C'>RTfLYOU PuN c, S,A,,, c'r New York 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST £ j FOUNDATION [ ] FRAMING REMARKS: f.z~2~~ [~R~UGH PLBG. 2ND ~ ] INSULATION [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] RO~ PLBG. FOUNDATION 2ND [~'"~ INSULATION 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: DATE: INSPECTOR .~/2.,~ / 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION FRAMING ZND [ ] INSULATION [ ] FINAL REMARKS: INSPECTOR ~"/ /~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. f J FOUNDATION 2ND [ ] INSULATION ~FRAMING [ ] FINAL REMARKS: ~~l~J~~i~~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ]/~UNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE INSPEGTOR~.~/~ 765-1802 BUILDING DEPT. INSPECTION [ ] FO~.DATION 1ST [ ] ROUGH PLBG. [,*~FOUNDATION 2ND L ] INSULATION FRAMING [ ] FINAL DATE INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ~/FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ,] ~TION [ ] FRAMING I '*'J'I=INAL [ ] FIREPLACE & CHIMNEY/ REMARKS: ~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~,.~ILATION [[ ]];iRRAI=MpILN;cE & CHIMNEY [ "'- ] FINAL 10-86-0640 EA( ;LITYJPROGRAM NUMBER(~) N/~ NEW YORK STATE DEPARTMENT OF ENVIRONMI I~fAL CONSERVATION PERMIT Under the Environmental Conservahon law EFFECTIVE DATE 7/29/86 12/31/87 I"-JArt~cle 15, T~tle 5 Protecbon of Water J-']Article 15, Title 15 Water Supply ~lArbcle 15, T~tJe 15 Water Transport r--JArt~cle 15, T~tie 15 Long Island Wells ~]Art~cle 15, T~tle 27 Wdd, Scemc and Recreational Rwers r-]6NYCRR 608 Water Quaht,/ Certification I~Art~cle 17, T~tles 7, 8 SPDES __ [--]Amcle 19 Air Pollution Control [-iArtmle 23, T~tle 27 Mmed Land Reclamatton J--JArt~cle 24 Freshwater Wetlands 3~] Artmle 25 N T~dal Wetlands N--New, R--Renewal, M--Modification I'--iArt[cle 27, Title 7 Sohd Waste Management [-IArbcle 27, T~tle 9 Hazardous Waste Management [--J^rt~cle 34 Coastal E ros~on Management I--IArtmle 36 Floodplain Management I~Arbcies 1, 3, 37, 6NYCRR 380 Radmt~on Control C--Construction, O-Operation, (If Apphcable) PERMIT ISSUED TO Robert & Marguerite Oarben ADDRESS OF PERMITIEE 5I Woodlawn Ave., E. Moriches, NY 11940 ac,Ent sor ?LRMITTF£/CONTACT PERSON Bobette Suter TELEPHONE NUMBER 878-4602 :~xM[x~x~[~~ PROJECT SITE ADDRESS: Jockey Creek on the south side of Wells Rd.r SCTM No. 1000-70-4-5 LOCATION OEPRO]ECT J COUNTY TOWNJC~:~'~ UTMCOORDINAT£S Southold J Suffolk Southold DESCRIPTION OFPROJECTIFACILITY Make ~ddztzons to an existing dwellin8 in excess of 75' to tidal wetlands, GENERAL CONDITIONS By acceptance of this permit, the permlttee a~fee~ that the permit is conhngent upon strict compliance wrth the ECL. ali apphcable eegulahons and the cond*hons specd~ed hereto or attached hereto work at least 48 hours m advance of the brae of commencement and shall also notify h~rnlher promptly m wnt~nR of the compiet,on of the work The perm~tled work ~haP 5£ SuhjeLt to msp~ct~on by an authorized rep~esentabve of the Deparlrnent of E nwronmental Conservation which may order the work suspended d The perm~t~ee has accepted expressly, by the execution of the application, the fuel legal cespons~bd~ty for ale damages, d~rect or redirect of whatever nature, and by whomever suffered ansmR out of the project described hereto and has a8reed to mdemmfy and save harmless the State from stats, acnons, damages and costs of every name and descnp- uon resultm$ from the sa~d prolect The Department reserves ~he r,~ht to modify suspend or revoke this permit at any t~rne after due not,ce, and d ~quested hold a hearm8 when bi the pe~mR was obtamed by m~srepresentat~on or failure to d~sc~ose relevent facts, or The permatee ~s respone~hle for keep~nR the permit aceve by suhmRtmg a renewal apphcaUon. ~nclud~ng any forms, fees or supplemental mtormat~on which may be reqmred by ~he Department. no later than 30 days [180 days for SPDES o~ Sohd or Hazarduous Waste Management permits) prior to the expiration date The perm~ttee m responsible for obtamm~ any other perrmt$, approvals, lands, easements and nghts-of way which may be required for th~s prolect issuance of th~s peCma by the Department does not. unless expressly provided for. modify, supersede or rescind an order on consent or dete~mmahon by the Comrmss~oner Any modd~cation ot th~s permit 8ranted by the Department must be m wntma and attached hereto PERMIT ISSUANCF DATE J PERMIT ADMINISTRAI~)R J ADDRESS Bldg.40,SUNY,Rm.219 7/29/86 , Char~es T. Hamilton , Stony Brook, NY 117~4 ! 4 X ~ /.~ ,l~v~_~..~.. ! Page I of cc: D. Fallon Examined .~.~. ~_ Approved .... Disapproved a/c BOARD OF HEALTH ..~.I.~.. 3 SETS OF ~NS .O..~. FomNo i SURVEY TOWN OF SOUTHOLD CHECK · BUILDINGDEPART~ENT SEPTIC FORM .. TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 , 19~?'/ Permit No / ~OO NOTIFY CALL 9~..?~5r5711. MAIL TO. Robert Garben 3245 Wells Ave., Bo~ 891 Southold, Ny 11971 APPLICATION FOR BUILDING PERMIT Date ·. Apr. il. 30 19[ IN STRUCTIO NS a. Tins apphcatlon must be completely filled in by typewriter or in mk and submitted to the Building Inspector, wit sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing locatmn of lot and of buildings on premises, relationship to adjomlng premises or pubhc stn or areas, and glvmg a detailed description of layout of property must be drawn on the diagram which is part of thru ap cation c. The work covered by ttus apphcatlon may not be commenced before issuance of Budding Permit. d Upon approval of this application, the Building Inspector will issued a Bufldmg Permit to the apphcant Such per shall be kept on the premises available for mspecnon throughout the work. e. No buildmg shall be occupied or used in whole or in part for any purpose whatever unhl a Certificate of Occupa shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Bulldmg Department for the msuance of a Bmldmg Permit pursuant to Bmld~ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordmance Regulations, for the construction of bulldmgs, additions or alterations, or for removal or demohtlon, as herem descnt The applicant agrees to comply with all apphcable laws, ordinances, buildmg code, housing code, and regulatmns, ant admit authorized mspectors on premises and m bulldmg for necessary inspections (S~=natU.~ of apphcant, or name, if a corporat~bi n) 3245 Wells Ave., .Bo.x 89.1, Southql. d. %.ll. (Mailing address of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or bulk owner Name of owner of premises Roloe~ L. ~ Ma~'g~ue~i~e ~%. Gaz'ben tas on the tax roll or latest deed) If apphcant m a corporation, mgnature of duly authorized officer (Name and t~tle of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Budder's License No ~"~tw~. ~o~'/7. .F Plumber's L~cense NO Electrlc,an's License No Other Trade's hcense No Locahon of land on winch proposed work will be done 3245 Wells AVe. House Number Street S o utho ld Hamlet County Tax Map No 1000Sect~onO?O.00 Block .. 04,90 ..... Lot 005.000. Subdtvtsmn Filed Map No Lot (Name) State ex~stmg use and occupancy of premises and intended use aud occupancy of proposed constructmn a Exmtmg use and occupancy owners home ~ .,Tee.. '~ ..... b Intended use and occupancy°Wne.TM ho.m.e 3. Nature of work (check which applicable): New Building ' Addition . XXX ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Descriplion) 4. Estimated Cost .... I~100~,.000 ........................ Fee ...................................... · (to be paid on filing this application) 5. Ifdwelling, number of dwelling units..OB.e .......... 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 structures, if any: FronttJ..9.t. ........... Rear .11:9! .......... Depth .30! ........... Height .. 2.1. ~. ......... Number of Stories . 1~. .................................................... Dimensions of same structure with alterations or additions: Front 6.4 .~ ...... ..... '... ~ear .6.~. ~. .............. Depth... '7'9 nb~.~ ............. Height .I!1 .~ .................. Number of Stories .1~ ................... 8. Dimensions of entire new construction: Front .......... ..... Rear ............... Depth ............... Height ............... Number of Stories 9. Size of lot: Frontl.O.~.' .0~..f..~., ........... '1~;~ i .J-~.'01,10~ ~i ~ i ii i ii i ii '~)~ '~6~;.~i iiil (~ii'~'~5! i~. 10. Date of Purchase . 3118y..~[/.. 191~6 .............. Name of Former Owner .I~81:'1~1,{1.00J. cllll~..~ll ......... 11. Zone or use district in which premises are situated..lles;I.cl~ra.'l;~8. J, ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..no ............................. 13. Will lot be regraded ............................ Will excess fill be removed from premises: ~ Yes No 14. Name of Owner of premisesl~O~t~..'~. ~u..C~l?.b.e.n... Address .B.o.x...8~.J:..8..o.ll.~.h. 9.1.clPhone No?~5.-~.~-~ ....... Name of ArchitectS~l~®i~. ~ll. $11~el'.~ .......... Address l~tl~'l;. ~O.1~t.¢~.~... Phone No.. ~.8.-.1~. 6.0.~ .... Name of Contractor ~.¢~ ~.c.-~'.g-. . .(4~z.~..~.~.~.~ ........ Address .~..; .~.~./. ~...g/Q.o.~t.. Phone No.."2.dCY: .~7[././ .... 15. Is th±s property located w±th±n 300 feet of a tidal wetland*. '~Yes . ~... lqo ..... *If yes, Southold Town Trustees Perm±t may be requ±red. I~ l~e~:1.'l; A~'l;a~het:l PLOW DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from ~roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. .I ;TATE OF NEW YORK, 3OUNTY OF ................. S.S ................................................. being duly sworn, (Name of individual signing contract) tbove named. says that he is the applicant ~e is the ......................................................................................... (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained 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 ............. /- ....... day of ~'T~..~ ............. 19 ~.? AV'£NL]E ~u NO~ fr2C, ~ HAP OF' PI'~OPErTI'Y 5U/2VEYED L.'~ m~.~u u.~ 7-L A, G~A;2B i:':: h4 % OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY' If eol~er tubing I~ uaed fog water distributing · t~tem; I~/plng shall be AP~qOVE~ AS NOTED ef ~ K ~ L on~ F,~ ~1 . ~. ~ ~. . PLuMBE~ cE~TIFIcaTION N~I~ ~ILDING bEPARTMENT AT ON~ADCONTENT,BEFORE 766-1~2 9 .~ TO ~ ~ ~OR THE FO[LOW~ ~.~.~CT~O.S: CERTIFI~TE OF OCCUPANCY ~U~DA'rgO~ ','WO ~eQUIRED ROUGH FRA'~f;NG & .PLUMBING SOLDER USED IN WATER SUPPLY SY'eTEM CANNOT EXCEED 2/10 of I% LEAD. r TATS TO BE 45'i75' ' 2) DOMESTIC NOT WATER= 140' MAX. 3) DESIGN TEMp. I.S. 70' O.S. 10' 4) ~RSU=,40 WIN~= .58 A ~ ~jT~ S) ~ASS ~ ~ SO,FT, WALLS ~4~ SO.FT. , 6) ~X. ~L~. CEILING U=.05; WALL~ U=.05; EL~RS U=.05 ' ' 7) ~SSAU 50~ DD -24~; ~FFOLK 6~ DD- 8) ~L CONSTEUCTI~ ~RK TO C~LY WITH REVISED ENERGY ~DE DATED 4-]-87, TO THE BEST Of MY KNOWLEDGE, BELIE~" AND PROFESSIONAL .JUDGEMENT THESE, PL/~4S AND SPECIFICATIONS CONFORM TO THE NEW YORK STATE ENERGY OON~RVATION OONSTRbCT- ION' COBE~ h¢~ , SIGNED: ' i,~¢''~/~//~ S U T E R A R H Post Office Box :389 * East Moriches,. U T E R S k, 1194'0 {516) 878 ~ 4609 2) 3) 4) Ur~LIW /~'~AOF FUN'N~NCL TO BE FINISttED WllH 5/8" FIRE PROOF GYPStJM WALL BOARD tO CODE FIREPLACE fO BE SUPPLIED WITH FRESH ~*IR VLNT AND GLASS D~R PER ENERGY GONi,ERVA1 iON GODES AND FIRE PR~F HEARTH ~O BE $NSFAL~LD PER CODEI (PRAf4E FL~ JOISTS P[R CODE AT HEAR1H WIfH'RE~IRED SET BACK ~'~ ' Y'-O" L~J DENOI[S 4x4 C,C,A, POST ON 8"XB"X 16" CONCRETE 9LOCK BEL~ GRADE~ ALL [-2 · ":'.~. WA bb BASEMENT SLAB lO BE 4" POURED CONCRETE ON, MIL VAPOR BARRIER t) CRAWl_ SPACE SLAB TO BE 2" POURED CONCRETE ON 5 MIL VAPOR BARRIER ']) GARAGE SLAB TO BE 4" P~JRED CONCRETE ON 5 MIL VAPOR BARRIER WITH 6"xG"xl/16" STEEL MESH R~INFORCING 9) FURNACE AREA TO HAVE FRESH AIR VENT AND FIRE PROOF FLOOR TO 1C) THIS SET OF CONTRACT I~OCUMENTS IS PROTECTED BY THESTATE EDUCATION LAW SECTION #7209' AND THE COPY RIGHT LAWS. SUTER AND ,~UTER ARE THE SOLE DINNERS OF THE CONTRACT DOCUMENTS t'2, AND DESIGN. THEY HAY NOT BE SOLD, ALTERED, OR REUSED FOR A~OTHER LOT AND PERMIT THAN THE LOCATION NOTED. DEgK FRAMING TO BE _4 C~,C.A. PR. ESSUR~ TREATED .LU,~P?~ER. FINISHED DECKING TO LIE lei DENOTES 3~t2' ff LALLY COLtj'~, ON 2~"X24"XIB"%HmX POURED CONCRETE i~TINL;, LALLY COLUMN fO~ BE FILLED WITH POURED CONCRETE ¢) 5) FIq DE~TES 8"X16" CONCRETE PIERS ON 16"X24"XlH" POUR~O CONGEt;]'}L E~.EIN~ ......... I TO q - 9' t I"L ,I'1 L Office 9, * East Moriche~ U T E rk'. ,1194-0