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HomeMy WebLinkAbout16051-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18558 Date NOVEMBER t3~ 1989 THIS CERTIFIES that the building. Location of Property 685 DAWN DRIVE House No. County Tax Map No. 1000 Section 35 Subdivision CLEAVES PT.SEC.3 ONE FAMILY DWELLING EAST MARION, N.Y. Street Hamlet Block 5 Lot 17 Filed Map No. 4650 Lot No. 70 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 14, 1987 pursuant to which Building Permit No. 16051-Z dated JUNE 10g 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 & GARAGE WITH ATTACHED WOOD DECK AS PER ZBA APPROVAL ~3609. The certificate is issued to of the aforesaid building. JOSEPH & DOROTHEA GERACI (owners) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-25-8EPT. 29, 1989 UNDERWRITERS CERTIFICATE NO. PENDING - NOVEMBER 13~ 1989 PLh~4BERS CERTIFICATION DATED SEPT. 12, 1989-INNOVATIONS PLL%PBING. ~m~%lding Inspector Rev. 1/81 I~OR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y, BUILDING PERMIT ('THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- I ~051 Z Dote ...... ~.-.(. ....................... Permission is hereby granted to: ~~'~"~ ....................................... LI'"' ............... ..~..I.....~..~.. ............................................... ' ~ .. !1'~ ~/-8 . ..~~ ......... ~....~ .............................. . ~..-....~'~..-~....:..-~~, ................ ~ ......... ; ......... .~......? ................ ;. ...... at premises located at ...... .~.....~. ........ .~_.~,~....~,~...~.l,S~ ............ ~ ......... ~~. County Tox Mop No. 1000 Section ...0..=,~.~. ........ Block ..... .~..~. ....... Lot No....!...'~ ................ pursuant to application dated ......... ~...~..!..~. .................. ,9.~..~.., and approved by the Building Inspector. Rev. 6/30/80 TO.N OF SOUTHOLD ~' BUILDIHG DEPARTHENT ~ TO.N HALL SOUTHOLD. NE. YORK ]1971 ~[~ , 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ ,.ocatlo. of Proper,~ .... ~'''~'~': '~-~-~ a ~O~: =. ~, ~,'~ HOUSE NO. STREET HAMLET zou~ ~ ~p ~o. ,ooo ~o~ 3.~. ~o~ ..~.. ~o~-..!Z .... Subdivision ....................... Filed Hap ........ Lo~ .......... ....... Da6e of Permi~ .. ~ can - .. pp ~ ............ Health Dept. Approval ........... U d ....... n erwri~ers Approval .............. PlanninE Board Approval ................ Request for Temporary Certificate Final Certificate Fee Submitted: $ .................... 'ev-:lO/14/~8 FOR/4NO. 6 TO. OF SOUTHOLD BUILDING DEPART}aNT TONNIIALL 765 - 1802 APPLICATION FOR C~RTI~ICA~I~ OF OCCUP/~NCy INSTBUCTIONS 'This application must bei filed in typewriter OR ink and submitted to the Building Inspector with the follo~in~; for mew buildings or mew use: ~. Final survey of property with accurate location of all buildings, property lines, streets~ and unusual ~atural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-dlsposal(S-9 form).~-''~ 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from ~lumber certifying that solder used in system contains less than 2/10 of 1% lead.] U// 5. Commercial buildings,!industrlal buildings, multiple residences and similar.' buildings and nstallatlons, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning BoardlApprova1 of completed site plan requirements. For existing buildings (~rlor to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land ~ses: I. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed ~pplication, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, I957. · If a Certificate of O~cupancy is denied, the Building Inspector shall state the reasons therefor in w~iting to the applicant. 3. Date of any housing c~de or safety inspection of buildings or premises, or other pertinent informationirequired to prepare a certificate. For Vacant Land Certlfmc~te of Occupancy: ]. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing Single and separate ownership of ithe entire lot prior to April 9, 1957 shall also accompany the application. If aI Certificate of Occupancy is denied, the Building Inspector shall state the reasonls therefor in writing to the applicant. FEES: ]. CERTIFICATE OF occUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelillng $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Aecessbry buildings, $25.00 - Businesses $50.00. 2. Certificate of Occhpancy on pre-existing dwelling - $]00.00. 3. Copy of Certificat~ of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificat of Occupancy - $50.00 6. Temporary Certlfic~ce of Occupancy - $25.00 Residential $50.~0 Commercial TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL: 765-1802 Building Permit No. Owner ~ ~gS-~ ~ (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 1 day of (plumber's signature) ~om~nisslon E.~x~ir e s Sax~. 27, Notary Public Notary Public, ~$~~c~ County OUNDATION ( 1 s t) OUNDATION (2nd) OUGH FRAME iNSULATION PER N. STATE ENERGY CODE FI~;AL ADDITIONAL COMMENTS: MAYOR GEORGE W. HUBBARD TRUffrEEs WILLIAM D. ALLEN STEPHEN I~ CLARKE DAVID S, CORWIN GAlL I:. HORTON 236 THIRD STREET · P.O. BOXAH GREENPORT, NEW YORK 11944 UTILITY OFFICE TEL. ($16) 477-1748 POWER PLANT TEL. (516) 477-0172 FAX ($16) 47%1877 SUPT. OF UTILITIES .lAMES I, MONSELL SUPT. OF WATER & SEWER H. B. SHERMAN Mr. Norman Wagner Suffolk County Health Department Suffolkk County Center Riverhead, N. Y. 11901 September 14,.1989 Dear Mr. Wagner: The following water service line was connected to the Public Water Supply by the Village of Greenport during December 1987. The installation was done according to our ~ules and regulations and~ to the best df our knowledge, meets with the Suffolk County Health Department standards. T. Ford Prime - Lot #70, Dawn Drive, G%:eenport - Installed 12/14/87 - Job #1987-30 - H.D. Ref# 87-SO-25. (Pit-installed 3/10/88) If I can be of further service, please contact me. HSS:lkm Vet%, truly yours, H. B. Sherman Ass't Supt. of Public Utilities ~00 Years of Commun/ty Service 735 Ocean Parkway Brooklyn, New York-il230 December 2, 1988 Mr. Victor Lessard Building Department Town of Southold Main Road Southold, New York - 11971 BLDG. DEP'L TOWN OF SOUTHOLD RE: Town Building Permit Dawn Drive, Greenport Section 35, Block 5, LOt 17 Dear Mr. Lessard: The building permit for my house on Dawn Drive, Greenport will expire on January 10, 1989. It becomes increasingly apparent that I will not be able to complete the construc- tion by that date. I am, therefore, writing to ask the Southold Town Building Department for an extension of this permit, to allow me enough time to finish building the house. Many thanks for your attention in this matter. I look forward to a favorable reply. With best wishes for a happy holiday season, I remain - Yours v~pry truly, / 765-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION XST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [//~ INSULATION FRAMING [ ] FINAL REMARKS: DATE 765-1802 BUILDING DF, PT. INSPECTION [ F~OUNDATION 1ST [ ] ROUGH PLBG. [ ] FRAMING FOUNDATION 2ND [ ] INSULATION [ ] FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]/~OUNDATION 2ND [ ] INSULATION [ ~ FRAMING [ ] FINAL REMARKS: ,/~,**~ ,~,~~ '~ ~ , ,,INSPECTOR }~o~1 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~ ~ROUGH PLBG. [J/FOUNDATION ZND [ ] INSULATION £~ FRAMING [ J FINAL REMARKS: DATE 735 Ocean Parkway Brooklyn, New York-il230 December 2, 1988 Mr. Victor Lessard Building Department Town of Southold Main Road Southold, New York - 11971 BLDG. DEPt. TO\f'Jl~J O__~ SOUTHOL~D RE: Town Building Permit Dawn Drive, Greenport Section 35, Block 5, LOt 17 Dear Mr. Lessard: The building permit for my house on Dawn Drive, Greenport will expire on January 10, 1989. It becomes increasingly apparent that I will not be able to complete the construc- tion by that date. I am, therefore, writing to ask the Southold Town Building Department for an extension of this permit, to allow me enough time to finish building the house. Many thanks for your attention in this matter. I look forward to a favorable reply. With best wishes for a happy holiday season, I remain - Yours v. ery truly, .' · $.SAt:¢! ' OSG ~C ...n 5., FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N,Y, NOTICE OF DISAPPROVAL File No ................................ Date .~.~.~. . ,.~/... 19 .~.. '~ To Z.~.~.?~..~.~..e.~.~,~*,"'~. ~ ...... " ~~.,.~... ~ .... ~.~. ~. ~,~su ~(~ ~o~c~ that yo~ ~pp~ation d~t~d . ~ ~~.. ~ ~ ........ ~9 .~ for pemfit to constmct...~...~ .g~...~ .~~ ............... : ..... at ~o~,o. o~P~o~ty .~.~.(..~.~.~~ .... ~.- ~.... ~. ~ ...... House No. Street Hamlet County Tax Map No. 1000 Section . .'. ~.~ .... Block ..... ~.~ .... Lot ...I.~ ......... Subdivision~.~.... ~ .... Filed Map No...q0.~ ....... Lot No...~ ~ ........... is returned l~erewith and disapproved on the following gronnds .~:~ ~..~. ~7.1/9'~ ...... ..~ ................................. ~ ......... ~ .... ~ ~.. ~,.,~..: ........ ~.~.. x~... Buikling Inspector RV 1/80 APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. ROBERT J. DOUGLASS JOSEPH H. SAWICKI Southold Town Board of Appeals MAIN RDAD- STATE RRAD 25 SrlUTHI3LD, L,I., N,Y. 11971 TELEPHONE (516) 765-1809 April 24, 987 Mr. T. Ford Prime, President Gull Pond Dawn Corp. 8 Lovers Lane, Box 156 Huntington, NY 11743 Re: Appeal No. 3609 Gull Pond Dawn Corp. (Variance) Dear Mr. Prime: Transmitted herewith for your file and perusal is a copy of the official findings and determination recently rendered by the Board ~f Appeals, the original of which has this date been filed with the Office of the Town Clerk. Please be sure to return to the Building Department for issuance of any permits or other approvals in writing as may be applicable. Please do or that of the questions. not hesitate to call either our office (765-1809) Building Inspecton (765-1802) if you have any Yours very truly, GERARD P.~ GOEHRINGER CHAIRMAN Enclosure ~-~L ~ Copy of Decision to: L~/ ~ ~.oj'/c;(_ Building Department By Linda Kowalski Suffolk County Planning Commission 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 ptumbing 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 surveil(ance. 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 accumuJated 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 ~east two minutes prior to consumptive water use. This is particularly necessary after prolonged water non-use, such as the overnight period. WWM-050 June 1985 COUNTYCENTER There are moorings, .LABELING PERMIT NUMBER INFORMATION two basic reasons for numbering docks, bulkheads, stakes, etc. in the inland waters of Southold Town. 1. Should some emergency or need to locate a certain structure or mooring, the permit nunfoer clearly visible will enable the Bay Constable or others to locate the area. " o Each visible permit number displayed shows that you have followed the procedure necessary for that particular structure or mooring. Those who do not have a number will warrant investigation PERMTT NUF~ER INSTRUCTIONS (How to do) Numbers should be at least 3" high and printed in contrasting black and white. DOCKS A~D BUL~¢EADS The simplest way is to use a piece of board painted black with the required 3" white letters painted on it. This then could be nailed to the seaward side of the structure so it can be seen from the land or the water. MOORINGS .Suitable size letters should be painted on the area above water for easy identification. STAKES PULLEY LINES Numbers can be painted right on the stake or on a board which then can be attached to the stake. Your cooperation is greatly appreciated. Board of Southold Town Trustees New York State Department of Environmental Conservation Regulatory Aftairs Unit StoPy Broak, ~C~ ~]794 (516) 751-7900 Re: Henry G. Williams Commissioner A review has beeq made of your proposal to: ~)~I~\xkJC'V Based on the information you have submitted, t,h~e New York State Department of Environ- mental Conservation has determined that the__~ parcel__ project is: __ Greater than 300' from inventoried tidal wetlands. Cw Landward of a substantial man-made structure greater than 100' in length which was constructed prior to September 20, 1977. Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. __Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' in 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 Environmental Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the I0' contour or topographic crest without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface~r vegetation in this area as a result of your pro- ject. Such precautions may~i~/Tude providing adequate work area between the 10' con- tour or topographic crest and the project (i.e. a 15' to 20' ~ide eonstruction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Deputy Regional Permit Administrator Region 1 ) 'GOt.- TOWN OFSOUTHOLD BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK WETLANDS PERMI ,'r This Wetlands Permit No..,.38...2 ............. has been granted by the Town Trustees according to information furnished in Application No....4..9..5. ............ filed by,~pp,~can A r ....................... + T. Ford Fr±m.e. .... for Cull PoB.4' .D..a..~.~ .C.o~)~. .5.a.q. 1.2.~. 19.~.7, ..... A map of the proposed work will be'kept on file in the Trustee Office under the application number given. Permit granted to do the following work Construct a single fami.~j dwellfD~, .~t.~gk ........ sanitary system and well with minimal landscgjpi,n.j~.: .... ~ .................. Location of property on which work to be done East side of Creek, Bay or Harbor frontihg property Gull Fond Size of work: Length ...... 7.7.7.27.r.r.r,y.r.r.r. ............................................................................................... Height Above High Water ......................................................................................... "" Depth Below Low Water ................................................................................................. yards to be Excavated ..................................................................................................... Yards to be Filled ....................................................................................................... Manner in which material is to be removed or deposited ' · . Residential .................. Intended use of properw ............................................................ Conditions if any ................... · ............ Expiration Date .....Yin...r.9~h....2..6,'...l..9...8..8...i"f'..'w.'°"r"k-..'h"a"~ DP't; gP"m'~'llg~'~' flY..~ai~l..d, ar.a ........................ Number of Inspections Required 2-Trustees are to be notifie.d....u.R.q.n, gQ~lp.~;~.O.O..o,f- .t;~;.~ . work. Inspection Fees $10 O0 paid ............................................ · Liability Policies in the Amount of ....... /.7.7.7.7..Ui.i.r..rr.r.r.r.r.r.r.r..~r.~ ........................................................ The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing. The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Trustees upon rece./pt by the Trustees. of written notice from such other governmental or municipal authorities of its refusal or disapproval. The applicant does by the acceptance of this permit, assume all responsibility for operations under- taken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations. By such acceptance, the applicant also agrees to indemni- fy and save harmles~ the Town, and its officers, agents and employees from any and all claims arising from operations under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon which the operations authorized by this permit are being conducted, do, by the acceptance of this permit, give consent to the Town, and its officers and emplloyees to enter upon the premises where such operations are being conducted to make such inspections as the Town may deem necessary to insure that such operations are being con- ducted in conformity with this permit. This operation will not substantially: , A. Adversely affect the wetlands of the town. B. Cause damage from erosion, turbidity or siltation. C. Cause saltwater intrusion into the fresh water resources of the town. D. Adversely affect fish, shellfish or other beneficial marine organisms, aquBtic wildlife and vege- tation or the inatural habitat thereof. E. Increase the danger of flood and storm-tide damage. F. Adversely affect navigation on tidal waters or the tidal flow of the tidaJ waters of the town. G. Change the cburse of any channel or the natural movement or flow of any~ waters. · H. Weaken or undermine the lateral support of other lands in the vicinity. I. Otherwise adversely affect the health, safety and general welfare of thel people of the town. .. Pre~i(:ient . -~ Board of Southold :Town Trustees Date .............................. Southold Town Board of Appeals MAIN ROAD-STATE ROAD 25 SI:3UTHI3LD, L.I., N.Y. 119'/1 TELEPHONE (516) 765-1809 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 3609 Application Dated January 2], ]987 TO: Mr. T. Ford Prime, President GULL POND DAWN CORP. 8 Lovers Lane, Box 156 Huntington, NY 11743 [Appellant (s) ] At a Meeting of the Zoning Board of Appeals held on April 23, ]987, the above appeal was considered, and the action indicated below was on your taken Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a Request for Special Exception under the Zoning Ordinance Article , Section Request for Variance to the Zoning Ordinance Article XI , Section ]00-]]9.2 [ ] Request for Application of GULL POND DAWN CORP. for a Variance to the Zoning Ordinance, Article XI,~ 100-119.2 for permission to construct single-family dwelling with an insufficient setback from existing wood bulkhead along mean highwater mark of Dawn Lagoon. Location of Property: East Side of Dawn Drive, Cleaves Point, Section 3, Lot 70, Greenport, NY; County Tax Map District 1000, Section 35, Block 5, ~Lot 17. WHEREAS, a public hearing was held and concluded on April 1987 in the Matter of the Application of GULL POND DAWN CORP_~., File No. 3609; and WHEREAS,-at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, the board members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, ~he board made the following findings of fact: 1. By this application, appellant requests a Variance from the Provisions of Article XI, Section 100-119.2(B) to construct a new dwelling structure with an insufficient setback at its closest point at not less than 42 feet from the nearest waters edge, or bulkhead, as more particularly depicted by survey prepared December 25, 1987 (sic) by Peconic Surveyors & Engineers, P.C. 2. The premises in question is located along the east side of Dawn Drive, Greenport, and is located in the "A" Residential and Agricultural Zoning District. 3. The subject premises is known as Subdivision Lot 70, "Map of Cleaves Point, Section 3" filed June 14, 1986 as Map (CONTINUED ON PAGE TWO~) DATED: April 23, ]987. 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OF FI~ALTH SERVIcEs ~ ~ U~"T~CN ONLy O' INGLE FAMI.I~Y DWELLING EXPIRES TWO YEARS~:F.~OM DATE OF / o. Oo%, Prepared in accordance with the min|mt/l~ standards for i ~ veys as established by the LLA. L.:. ~ ~poroved an~ odopte~ for such use b, . . ~,ew York State Lon~ Title Associ~fior,. SURVEY OF LOT 70 T,~~, e~, "MaP OF CLEAVES POINT, SEC. 5 ~'~' ~ ~ ~i?q~ FILED JUNE 14,1966AS MAP NO. 4650 NEAR GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. tooo - 035- o5~- i7 SCA LE : 1"=40' DEC. 25, 1987 N. Y.S. LIC. N0.49618 c~ECONiC~c-SOi~VEYORSU~/; ~ ENGINEER$,P. C. (516)765-5020 P. O, 80X 9 09 MAIN ROAD SOUTHOLD, N.Y. 11971 ,4RE~ = 14,847 SO.FT. CERTIFIED TO: T. FORD PRIM E ELEVATIONS ARE REFERENCED TO M.S.L . 86-846 d ~n accoda .. Prenr~r, · nee with the mm~mum ~;~;ds for title *u~y, a* e-ablJ,hed by ~he L. ~; A. L.S. and approved and adopted for such use by The New York State Land Title Association. C) ~° SURVEY LOT 7¢ OF CLEAVES POINT, FILED JUNE I~, 1~66 AS MA P NO. NEAR GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. I000- 035- 05- ~7 SCALE , 1"=40' CERTIFIED TO: FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK 6.55 S 0497 T,.FORD PRIME MAP N. Y.S. LIC. N0.49518 ~ ENGINEERS, P. C. (516 ) 7 65 -5 0,~ 'J P.O. 80X 909 MAIN ROAD SOUTHOLD, N.Y. 119 71 DEC. 28, 1986 AREA =14,847S0.FT. CERTIFIED TO: T. FORD PRIME ELEVATIONS ARE REFERENCED TO M.S.L. __86-846 Prepared in acc standmds for thle the L.I.A.L.S. a~ approv~ and adoptea ,/ "o. oo,. CERTIFIED TO: COMPA N Y TITLE NO. 8808- 09'~631 THE MORTGAGE CENTER INC. ITS SUCCESSORS AND OR ASSIGNS JOSEPH GERACI DORO TH£A GERACI SURVEY OF LOT 70 MAP OF CLEAVES P,OINT, SEC.$ F/LED JUNE 14,1966AS M,4~ NO. 4650 NEAR GREENPOR T TOWN QF SQUTHQLD SUFFOLK COUNTY, N. Y. I000 - 035- 05 - 17 SCA LE : 1"=40' DEC. 28, 198 APRL 29, 1988 N. Y.S. L/C, N0.49618 ~ ENGINEERS, IR. C. MAIN ROAD SOUTHOLD, N.Y. 11971 ilREA =14,847 SO.FT. , _, /- -/.:- ~OUNTY D£PARTMENT OF HEALTH SINGLE FAMILY D~ELL~G O~'~L~ DAT~ 1~.S. REF. ~. ~~ The sew~e dmpesat and v~ater'~uFp~y faci]~i~ Ioc~tio~ have ~en inspoctd hy th,:~ Department/or ELEVATIONS ARE REFE~N~D TO ~_86-846 ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ..'d ,~,~,~r~g.t...o.., 19 $. ? Examined ·..i, ,,-',-'~ ,- r, · Approved .~ ./..O. '., 19~.~. Permit No..l ~..o. ,~-. (..~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. 1'OWN OF SOUTHOLB Received ........... ,19... Date ................. , INSTRUCTIONS a. Tiffs application must be completely filled Lq by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and gi~Lqg a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until ~ Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the ~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ,The applicant agrees to comply with all applicable, laws, ordinances, building code, housing code, and regulations, and to - admi,t authorized inspectors on premises and in buit(iing for necessary-lnspect~ons. ~ ......... ~u.vk .P 0..¢.~....~?..~. ?...~. P... ....... (Signature of applicant, or name, if a corporation) ...$. coo rtl /~0to e' .. H.u. ~ .r.l ~ .c-..~..~. ,.. ~q .~..~.~ .~:r.,, lJ.2 .~.3... .... (mailing addres~ ~f applicant) State whether applicant is osvner, lessee, agent, architect, engineer, general contractor, electrician, plumber or .buimer. ...0..~. a .6 I'L. ................................................................................ Name of owner of premises .~.Vk~..~.O. ~4.~...~..~..t,¢...¢¢....~,~ ~.,. ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .... ........... r (Name and title of corporate officer) Builder's License No .......................... Plumber's License No .............. - ........... Electrician's License No ....... , ................ Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ........................................ ~. . .~"rT. ... ~?.~--- .'p.g...~...~. ~.~ve ~-~ ......... House Number Street Hamlet County Tax Map No. 1000 Section . .~. ~.~'.,..~.0 ...... Block ...~..~..,. 0.~..".' .... Lot..~. J.~.,..o. ~. ~ ...... Subdivision ~..~iP..~.[ .~.l~.&. ,..,~...C,[.~.~?.g.5. .P.o. (~'..T. ...... Filed Map No..~.~..~..O. ...... Lot..~...O ........... (Name) 2. · State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .~.~..U..~..~..7...~.t)J b.~J/q..&:....LO.T ........ ( ............................. b. Intended use and occupancy ........... ( hi ppli ) . .~. [ ' . 3, Nature of work check whic a cable: New Building ,. .. ..,. Addition .,. ..... Alteration .......... Repair Re~noval Demolition Other Work (Description) 4. Estimated Cost ./~[~.,./I,~. ......................... Fee ........... (to be paid on. filing this application) /, Number of dwelling units on each floor $. If dwelling, number of dwelling units ............. , .............. If garage, number of cars ... ! ..................................................................... 6. If business, eomme cial o mi ed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structuires, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ....................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth i Height Number of Stories 8. Dimensions of entire new consltruction: Front ............... Rear ............... Depth .............. Height ............... Number of Stories ....................................................... 9. Sizeoflot: Front ...................... Rear ...................... Depth ..................... 10. Date of Purchase . .~.~ ~. ,. ~.~ Afl ~ ......... Name of Former Owner .~O.~ ~.?.ff.. ~?..~, ........... 11. Zone or use district in wh. ich premises are situated ~" ~.(~ ~. 6~ ~ ......................... 12. Does proposed construct,on vi61ate any zoning law, ordinance or regulation: . ~ t~.] . i. i. [. i.. i... i.. ]. i ..... 13.. Will lot be regraded ........ i' · · 2- .... ~'" ....': .....Will excess fill be removed from premises: Yes w/ No 14. Name of Owner ofp!emiies~, l~f..t,. Y~¥.~ '.~.~.~ .q~.$PAddress '~.o.~: .~.g.b. ~4. qq~. (,~i~.~'Phone No .Z};'.g Name of Architect .~.o..~.~.~.m. ~ ~v CN ......... Address¥o~,.~t~.d[: .~.~..~.~,'w~... Phone No, ~ .-a?., I $ ~-, .... Name of Contractor . Address Phone No 15. Is this property locatedl withinl;O0 feet of a tidal wetland? * Yes .X.. No ..... · If yes, $outhold Town Tr'ustees Permit may be required. i ' 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 cou rr¥)9 · ..... :.- ..... ............ (Name of individual signing contract) being duly sworn, deposes and says that he is the applicant above named. ..... .................................................. · . ' ~ ..:~(Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dul~ authorized to perfom or have performed the said work and to m~e and file this application; that M1 statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~ner~set forth ~ the application filed therewith. Sworn to before me this /~m* o~ewvo~ .. , · ' (Signature of applicant)