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HomeMy WebLinkAbout16036-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Offmce of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17185 Date AUGUST l0w 1988 THIS CERTIFIES that the bulldzng Location of Property 1200 PVT. RD. # 2 House No. County Tax Map No. 1000 Section 017 Subdivision J.D. STERN ONE FAMILY DWELLING (BIRDS EYE RD) ORIENT Street Hamlet Block 02 Lot Filed Map No. Lot No. 1.5 conforms substantmally to the Application for Building Permit heretofore filed in this office dated MAY 13, 1987 pursuant to which Bulldmng Permit No. 16036Z dated JUNE 9, 1987 was lssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for whmch thms certmfmcate ms zssued is ONE FAMILY DWELLINGf ATTACHED GARAGE AND DECK. The certificate ms mssued to STEVEN J.N. CHIERCHIE (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-250 JULY 7~ UNDERWRITERS CERTIFICATE NO. H002053 APRIL 21~ 1988 PLUMBERS CERTIFICATION DATED ROBERT BERTORELLO JI/L¥ 9~ 1988 1988 Rev. 1/81 Building Inspector TOV~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) NO- ] 6036 z Perrn,ss~on is hereby granted to: ........ ot premises located (at ....~,.I:::?.:...MO. ....... ~ ........... ~ ........................ County Tox Mop No. 1000 Section ..... ~../.."]. ........ Block ...... ..~...,~:.. ...... Lot No ..... J..;..~.~. ... pursuant to applicotion dated ...... ~...o~..{ "~ ................. , 19~..7.., and approved by the Budding Inspector. Fee $..L..~...~.. ,'~,. :..~...~... Rev 6/30/80 TOWN OF SOUTHgLC"'~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Th~s application must be filled in typewriter OR ~nk, and submitted m~ to the Building Inspec- tor with the following; for new buddings or new use: 1. Final survey of property w~th accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2.F~nal approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3Approval of electrmal installation from Board of Fire Underwriters. 4. Commercml buddings, Industrial buddings, Multiple Residences and similar buildings and installa- tions, a certlhcate of Code compliance from the Architect or Engineer responsible for the building. 5Submit Planmng Board approval of completed s~te plan requirements where applicable. B. For ex~stmg buildings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-existing" land uses' 1. Accurate survey of pzoperty 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 buddings. ;3 Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certtflcate. C. Fees' Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certlf[cate of occupancy New Dwellzng $25.00, Accessory ,$10.00 Buszness $50.00 2. Cert~fmate of occupancy on pre~exmt~ng dwelhng $ 50.00 3 Copy of certiflcate of occupancy $ 5.00, over 5 years $30.0~0 5.Updated C.O. $ 50.00 Date .............. New C on s t r u c t · on ..... Old or Pre-exlstmgJ~u tiding ......... Vacant Land ............ Locat,on of Property ...... ~.r~.%¢~.....~Lg) .~:3'.5 ~.~..gp.) .................... House No ~reet ' 'H~n/et Owner or Owners of Property ~d&~,~ (~J. [ ~"'" ~,~ S bd ws,on ? .... ,led Uap No ..... Lot No ........... Health Dept Approval ................ Labor Dept. Approval ...................... Underwriters Approval ....................... Plann{ng Board Approval ...................... Request for Temporary Certificate ................ Final Certificate ... ~. ................ Fee Subm,tted $ . ~..~: .O.d. ............... THE NEW YORK BOARD OF FIRE UNDERWRITERS 8003~49 BUREAU OF ELECTRICITY I~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 APRIb 21,1988 50796587/87 H 002053 Dat~ ~lpplicatlon No. on fil~ THIS CERTIFIES THAT ~ exami~ on and found to be in co.lpllance u'ith the requirements of fiXTURE RXTUEES RANGES COOKING DE.CS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES , .~ 54 89 OTHER A~AR~US: 60 AMP TRANSFER SWiTCH-I 10 AMP BLENDER-I 10 AMP DISPOSAL-1 MOTORS:I-] PANELFOARD$:i-6 CIR. 100 G.F.C.I:-12 f~OKE DETECTOR:-3 TRACK LIGHTING:-16 STEVEN CNIERCHIE 817 WIGGING ST. GRMMNPORT, NY, 11944 S E R V I C E A, W+ G. A+ w, G, .o.~ .,-~o 1/0 P,r ll This certificate must not be altered in any manner; return to the office of the Board if incorrect. {nspe~tors may be identified by their credentials. COPY FOR BUILDI~ DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED iN ANY MANNER. TO~VN OF SOUTItOLD OFFICE OF BUILDING INSPECTOR P.O BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. Owner ~oe~J J.~J. (please print) Plumber ~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. / (plUmber's signature) Sworn to before me this ~q ~ day of Fr~t/ , 19,~~ Notary Public, G~,~ County Notary Public OUNDATIO.U (~) OUNDATION OUGH FRAM &~~ FLUMBING NSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL CO~MENTS: HENRY P SMITH JOHN M BREDEMEYER, III, President John Bednosk~, Jr. ALBERT KRUPSKI, JR , Vice-President BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hail, 53095 Main Road P O Box 728 Southold, New York 11971 To: From: Re: Steven Chmrchle, Dr. Southold Town Truste~ Possible Wetlands V~olat~en - Lot No. 1, Minor Subdivlslon J. D. Stern Date: February 19, 1988 After our chance meetmg w~th you on 2-17-88 the Town Trustees d~scussed your apparent vlolatmn of the Town Wetlands Ordmance. We offer the followmg m addition to anything the Bay Constable may reqmre, as we are requestmg h~scon- current review of this matter. We offer the following to be done w~th~n two weeks or sonner ~f possible: Place a double row of staked-~nterlocklng haybales at the bottom of the hill ahead of the rocks, lin the alternative and probably better would be a row haybales w~th a geo-textde under-hner. ] 2. Remove sxlt and fines from the edge of the wetland manually at the d~rect~on of a Trustee/Bay Constable. 3. Cease devegetat~on on r~ght of way until further review of th~s Board. 4. Submit an apphcat~on for a permit ~nclud~ng: A. Planting scheme for all areas w~thm 75' of edge of wetland. B. Proposal for run-off &scharge from front of house to wetland. C. Detailed descmptmn of water flow pattern from wetland through d~tch headmg east. D. The ultlmate fate of surface water m th~s d~tch (sound, marsh, pond, ground d~spersmn, etc.) including a detaded location. E. Detailed h~story of the d~tch and any other operations on rote w~thm 75' of any standing water or damp areRs. F. Details of your devegetat~on plan for over your mght of way to the beacl The Trustees were shocked to see such severe Iand use practices m effect on your property. As we do not w~sh Mr. Stern to conmder our wmt to h~s ad]ommg land an endorsement of your practices, we are copying him with thzs letter of "Not I-tow To Do It". Also, please be advised that a referral to the N.Y.S.D.E.C. upon Steven Chierchle, Dr. Page 2. further review may also be reqmred by this Board or the Bay Constable. ip Attachment cc: Bay Constable/(another m~ssmg wetland permit~) Bldg. Dept.~/ Mr. Jonathan D. Stern UgDi V/SION TERN IN THE TOwN FFICE. i.t- New York State Department of Environmental Conservation Regulatory A~famrs Unit Henry G Williams Commlsstol}er A review has been made of your proposal to: Q%K/c~b~<PC---'a~- ~%/~-q0-~k, IV ~kL~l\l h Based on the info~mation you have submitted, the New ~erX State Departmeut of ~nv~ron- mental Conservation has determined that the __ parcel .~ project is: Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure greater than i00' zn length which was constructed przor to September 20, 1977. Landward of the lOt above mean sea level elevation contour on a gradual, natural slops. Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' mn elevation above mean sea level. Listed in Part 661.5 of 6NYCRR (Tidal Wetlands Land Use Regulations) as a use not requiring a permit or notification letter approval. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Envzronmental Conservatzon Law). Please be advzsed, however, that no constructmon, sedimentation or dzsturbance of any kznd may take place seaward of the I0~ contour or topographic crest without a permit. It zs your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteratmcn er dmsturbance to the ground surface or vegetation in thms area as a result of your pro- ~ect. Such precautions may include providzng adequate work area between the 10' con- tour or topographic crest and the project (i.e. a 15' to 20' mzde construction area) or erectmon of a temporary fence, barrier, or hay bale berm. Please note that any additmonal work, or modification to the project as described, may require authorization hy this Department. Please contact th~s office if such are contemplated. Please be further advmsed that thzs letter does not relieve you of the responsibzlity of obtazning any necessary permits or approvals from other agencies. Very truly yours, Deputy Regzonal Permzt Admlnmstrator Regzon 1 ~ 765-1802 INSPECTION FOUNDATION 1ST [ ~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE /~////~,~ ? INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION Ii'FRAMING [ ] FINAL REMARKS: I N S PECTOR ~. _~_*;,~/ ..~ 765-1802 BUILDING DEPT. INSPECTION ~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: /~/C/' ~ ~'~//A"~/ DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [,~FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION ? FOUNDATION 1ST [/J ~OUGH PLBG. FOUNDATION 2ND [~/J INSULATION [ ] FRAMING FINAL DATE 7GS-'I80Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION ZND [ ]~.ATION [ ] FRAMING [,~ FINAL REMARKS. ~ - DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION DATE TOWN OF SOUTHOLD BUILDING DEPARTMENT SEFTIC FORM ............. : TOWN HALL $OUTHOLD, NY 11971 TEL · 765-1802 Examined ..~.~ . , 19g Approved'~?.//,4-'~-~ c} , 19 ~ ') Perm,t No ] ~0 3 ~ ~ Disapproved a/c ........................ (Building Inspector) APPLICATION FOR BUILDING PERMIT NOTIFY CAL . .... MAIL TO: BLCG DFP~, Date ............ , 19.. INSTRUCTIONS a. Tlns apphcat]on must be completely filled m by typewriter or in mk and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing location of lot and of buddings on premises, relanonship to adjoining premises or pubhc strec or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of this app cation c. The work covered by ttus apphcahon may not be commenced before issuance of Budding Permit d. Upon approval of this application, the Building Inspector will issued a Budding Permit to the applicant Such pe,n shall be kept on the prennses available for inspection throughout the work. e No bmldmg shall be occupied or used in whole or m part for any purpose whatever uhtfl a Certificate of Occupan. sh~ll have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmldmg Permit pursuant to t Bu,fldlng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of bmldmgs, additzons or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all apphcable laws, ordinances, budding code, horsing code, and regulations, and admit authorized inspectors on premises and m bmldmg for necessary lnspe~t~ons / ~ , ................ (51gnature of applicant, or name, if a corporation) 4-x (Malhng address of apphcan' t) State whether applicant is owner, lessee, agent, architect, engtneer, general contractor, electrician, plumber or builde .... ............. Nameofownerofpremlses ,~T't~E''Ix-) ~- \x,,} d. ~"? ~ ~ (as on the tax roll or latest deed) If apphcant is a corporation, signature of duly authorized officer (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ............ /b~*¥ ~c ~ Plumber's License No ............ Electrlclan's License 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 I000 Sectmn /c4~'~ ~ ' Block .... Lot . Subd~wmon -- ~-% ~c vd ....... Filed Map No .. Lot (Name) State ex~st~ng use and occupancy of premises and intended use and oc.c~pancy of proposed construction a Existing use and occupancy %1 l'-a.~j ~ ~.P~'~....y.~.~ .,~f~.. ....... b. Intended use and occupancy I ~*'~[7 ~c~f-.l[,.~ ~ Nature of work (check which apphcable) New Building .~. Repmr ........ Removal ....... Demolition Estimated Cost ..... ~ ./j.~%.~.o.? %. ¢.c.~ao~' . Fee Addition Alteratmn ...... Other Work ... (Description) (to be prod on fihng this apphcatmn) If dwelhng, number of dwelhng un:ts } Number of dwelbng umts on each floor . ~. .... lfgarage, numberofcars .. o~ .............................. If business, commercmI or m~xed occupancy, spec~y nature and extent of each ty_pe of use . ----~.'~ ,v~.v ~..~. .... Dmlens~ons of exmtmg structures, If any Front ~-~. Rear &5 Depth ~c~ Height .... Number of Stories .~ .......................... Dm~ens~ons of same structure w~th atteratmns or ad&tmns Front ............ Rear ....... Depth ........... Height ...... ~_ ....... Number of Stones ............... D~mensmns of entire new construction Front ~f. .... Rear ....~. ~ ....... Depth .~ .~. ..... Hmght . . . ~ .* .... Number of Stones ............................ S~ze of lot Front .......... Rear ............. Depth .................. Date of Purchase ................. Name of Former Owner .................... Zone or use d~strlct in which premises are situated ................................ Does proposed construction v~olate any zoning law, ordinance or regulatmn .......................... Will lot be regraded ................ Wall excess fill be removed from premises: ,Yes No Name of Owner of premises 5:4. ~,~ . ?. kq-e~'c..fi',.%. Address /'v .~. . .~a.o.. J'~:,:.~.~. Phone No..'7..o~-.47.~'. / .... Name of Architect.. -- ............ Address ........... Phone No ............ Name of Contractor ." .qcq...~-e./Z_. ........ Address ............ Phone No .......... · Is this property located wzthin 300 feet of a t~dal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and d~stmctly all buildings, whether ex~st~ng or proposed, and ~ndicate all set-back &mensmns from ~perty hnes G~ve street and block number or descnptmn according to deed, and show street names and red,cate whether enor or corner lot. ATE OF NEW YORK, S S .......... being duly sworn, deposes and says that he ~s the apphcant (Name of md~ ~dual s~gmng contract) ore named ,s the ...... S~.~... ¢.¢.,'.e v % ~ .................................... (Contractor, ~, c~rat~.) smd owner or owne~, ~d ~s duly authomed to perform or have performed the smd work and to m~e and file t~s phcat~on, that all statements contmned m thru apphcat~on are true to the best of h~s knowledge and behef, and that the ~rk will be perfo~ed ~n the m~ner set forth ~n the appbcatmn filed therewith. om to before me tins ~ ~ (S~gnature of apphcant) LOT NUMBER , ,~ ~ MINOR SUBDIVISION ~ ,, ' k % ~ ~ WELL ~ -'~ ~ IS~andwaters ~ N / 0 / F STERN ~ ~ SURVEY FOR < DR. STEVEN CHIERCHIE AT ORIENT ~ C~RTtmED TO' TOWN OF SOUTHOLD FI~ST ~IC~N TITL~ SUFFOLK COUNTY, N.Y. ~ ~NSU~CE CO~Y 1000-017 --02 OI 5 ~ 5o.o~'~ OF NEW YORK ~ TITLE NO ~ S 553~ SCALE= I"= ~0' ~ H~MPTONS MOR~AGE CORP ' DR STEVEN CHIERCHtE JUN E 2~, 1986 DEC. ~9 , I 9,~6 i~nda~s ~r tiIl~ su~yi as ~ablmshed h ~ I~ JAN 2811988~FINAL ) the LI.A. LS. and a~roved and adopfe. //{~/~ ~r such u. by The N.W York ,ta. ~nd , ELEVATIONS ~ CONTOUR ~, S LIC NO 49668 TO . G V DATU. --~'~~'~ ~ ENGINEERS , P C. ~o~ndoflon el/r/az P 0 ~09 rHO~9 ~OU 7 I LoT 2 FOR d.D STERN OF SOUTHOLDS MAIN TERN DR. CERTIFIED TO' FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK HAMPTONS MORTGAGE CORP DR STEVEN CHIERCHIE ROAD ELEVATIONS ~ CONTOUR LINES ARE REFERENCED TO N G V DATUM Foundohon & /II / 87 SURVEY FOR STEVEN CHI ERCHIE AT ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY, NY. 1000-017 --02 01.5 SCALE: I"= 30' JUNE AUG. 4 D E C .~ P 0 BOX 2'4, 1986 1986 ¢0~ Z Prepared In accordance with the minimum ~tandards for title surveys as estabhshed by the L I.A.L.S. and approved and adopted ?~ for such use by The New York State Land Title Assoclahon. N Y S _~l'C NO 49668 ~ORS I~ ENGINEERS , P,C 0 11971 MAIN ROAD $OUTHOLD , N Y iii LoT ~ WAY TOWN LOT NUMBERS REFER TO MINOR SUBDIVISION FOR d.D STERN AND FILED IN THE OF SOUTHOLDS CLERKS OFFICE. STERN ~ SURVEY FOR (.~l~l 'q~5-~St ' ~ ~' ~~ DR. STEVEN CHI ERCHIE AT ORIENT (Al CERTIFIED TO' TOWN OF SOUTHOLD  FIRST AMERICAN TITLE SUFFOLK COUNTY, N.Y. INSURANCE COMPANY I~- ~17 --~ "50.~ OF NEW YORK TITLE NO. 121 S 5532 SCALE' I"= 30' DEC . 29 ~T'tle A"~'~ '''' ''' P.O. MAIN SOUTHO D 86- 326 I PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE I CERTIFIC,4T£ OF OCCUPANCY I SOLDER USED IN WATER SUPPLY SY/~TEM CANNOT _. E,~,EED..2/J O of I.,,% LE4D. If copper tubing is used for water distributing system; piping shall be ] 4) 10) 'MESH [ II ,4 , (~AST IRON WAST~ b~ ;,:r~ ,SEPTIC SYSTE~.'~' " , '; i */, '~pr P[R~tT .. L ~? .)' II :lr I( 10-o ,/ ' ~FF ~L 7 , EXTERIOR FINISH NOTEs; 1}.J~F-~.~m~.'r ~,~ .. 2) FASCIA- 5 " ,i VAT: .D i'J ~_~