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Home My WebLink About15336-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ......... .Z.1.5.8.8..~.. Date ..... June 26~ 1987 THIS CERTIFIES that the building ...... one-family dwelling . 245 Rabbit Lane East Marion Location of Property Ho~se County Tax Map No. 1000 Section 31 .Block 17 . .Lot 2 0 Subdivision ........... X .Filed Map No. X . .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... .S.o.p..t.o.ra.b.o..r. ,2.5. ,. 19 8 6pursuant to which Building Permit No. 1533 6 Z dated ...... ~.o~.go..m.b.~.r...2.6.,...1.9.8.6. . 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 ......... .... On.e.~ f ~rni~y..d.w. ej .~ i.n.g .v.i.%h..ag.%a. c..h.e.d..d..e.c.k.~... ............................ The certificate is issued to .................. ~9.%~.~...E~X~..R.P.R.t.S.E..8.,..I.~.C.. .............. of the aforesaid building. Suffolk County Department of Health Approval .................... .8.5.-.S..O7.2.3. ............ UNDERWRITERS CERTIFICATE NO ............................ .N.8.1.4. .1.3.7 .............. PLUMBERS CERTIFICATION DATED: 6/11/87 Located in A-7 Flood Zone. Building Inspector Rev. 1/81 FOB,M NO, 11 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDi~IG PERMIT (THIS PERMIT MUST Bi: KEPT ON THE PREMISES UNTIL FULL COMPLE'TION OF THE WORK AUTHORIZED) 15336 Z Date ....... (~ ...................... Perrnissfon is hereby granted to: ....... ~..~......~.~.~.-...../...~.~.,. ........... La ~.~- .......................... ...~..-..~m...~.'..?..~ · ...m~ ............... ~-~--~.~...~.....~......~..-..m...~.~~.~.....-__. .................................................. .;..:~ ................ alt premises located at ,.~...~...~.,.....~.~.~......~...~ ....... ~..0~.....~...~~ ................ County Tax Map No. 1000 Section ..... .~...~..1 ........ Block ......... l..~. ........ Lot No ...... ~....0. ........... pursuant to application doted ..~L~..~...~....'~.~.~. ........ , i9~.b.., and opprov~ by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 11 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN }{ALL SOb"~HOLD, NY DEVELOPMENT P~P~M I T ~o /o ~2 ~ Permission is hereby gr~ted to: ~ ~ox ~.~ ~.. . I to at premises located at County Tax Map No. 1000 8eotion ~ Block ~ Lot -~ O by the Building Inspector. Building Permit No. / ~"-.~ ~&, z 4/80 Building Inspecto~ 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 m~ 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. Finat approva~ of Hea)th 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~operty showing all propertv lines, streets, buildings and unusuat 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: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $]0.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... New C ohs truct ion, ..'~,. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ......... ~ .-~-..~. ...... '~ ...................... House No. Street Ham/et Owner or Owners of Property L~ b ~-- ~ .~.½.~. ?.~.~i ~,. ~-~- c~ .~ . County Tax Map No. 1000 Section ....~..~.../ ....... Block .... ./.-? ........ Lot...~...b ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... ~,t~ of Permit . . pplicant ...... o..~. ................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporarv Certificate ..................... Final Certificate ...... ~ ............. Fee Submitted $ , , .~.'~-~ Construction on above described building and permit meets all appl~,cable coO, es and regulations. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-t 802 CERTIFICATION Building Permit No. I~ ,~ ~ Owner k3~)o~ %~N ~cx~ ~(x~--b (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Swor.n~o befor~me this ///A~a~ of/~/~ , Notary Public, //~ County -// (plumber's signature) Notary Public oolo? THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK I - J~me ].1, ~.987 448078/86 o~y the electrical ~ulpment ~ ~scrlbed be~ a~d i~troduced by t~ applicant ~d o~ the a~ve application n~mber i~ the premises of Ted Do~ ~abbt~ I.~e, Bay Aveu~e, East ~rien, in thefollowlng Iocation~ ~ _pes~,~ ~ Ist FL ~ 2nd FL Section Bilk Lot 21 DRYERS SY$?EMS R V I C o~r~.P~!~ Z-$nnl~ Deaectors Electric Water Heaters: l-4. Skw ~FuCure Appliance Feederz: 1-e #14, 1~2~12, 1-3#10, 1-3~6 NO OF HI.LEG NO. OF NEUTRALS A. WG O~ NEUTRAL Box Bouthold,, N.Y. 11971 Lic. 57~E This certificate must not be altered in ~ny manner; return to the office of the 8oard Jf incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE ~OST HOT BE ALTERED IH ANY ~HNER. FIELD INS~ECTION FOUNDATION (1st) COMi~EN rS FOUNDATION { 2nd) INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: 7G5-~,802 BUILDING DEPT, INSPECTION FOUNDATION 'iST [ ] ROUGH PLBG. FOUNDATION 2ND ~.]JNSULATION FRAMING [ ] FINAL 765-t802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ] FINAL RE:MARKS: '~/~r-~ ~'~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ~.ST [ ] ROUGH PI. BG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~/I~/~ ~/.~ BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION HENRY P. SMITH, President JOHN M. BREDEMEYER, Vice-Pres. PHILLIP J. GOUBEAUD ALBERT KRUPSKI, JR. ELLEN b/. LARSEN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765.1892 August 8, 1986 Mr. Ted Dowd Box 282 Rabbit Lane East Marion, N. Y. 11939 Dear Mr. Dowd: In regards to your letter of August 1, 1986. requesting the Trustees to determine the necessity for Wetlands ApplicatiOns prior to building of houses on Lots 036-17-10 and 036-~?-20. It has been determined by the Bay Constable after a field inspection that the proposed two houses are outside of the 75' jurisdiction of the Trustees, therefore not permit is necessary at this time. If any activity was to take place within the 75' however, a permit would then be required. Please be aware that we are making this determination only for the Trustees Office and not for any other agency which may require permits. If you have any questions please don't hesitate to contact us at the above listed phone number. HPS:ao cc: Trustees File Very truly yours, Smith, President Board of Town Trustees IFIELO REPORT - POLICE OEPT, TOWN OF SOUTHOLD. N Y, T~me Out Time In red BY Arrest I'~'~- ~ Yes ~__ -- I Fo~m PDTS 1 FORM NO. 11 TOWN OF SOUTHOLD BUILDING DEPARTMAT~T TOWN HA~L SO~JTHOLD, ~ DEV~LOPM~ PERMIT Permission is he~eby granted to: at p~omt~es looagod ag .... ~~_~~ by the Building Inspector. Building Permit 4/80 Building Inspector me FORM NO. 10 APPLICATION FOR DEVELOPMENT PERMIT In tho Town of Southold Type of' Development Proposed: Addition and/or Alteration[J Other (specify) Apr_z~l.~ 1. 1986_ 19__ NoW S~ructure (including storage tanks,~ Flood. Proof Below Base Flood Elevatlon~ Elevation Data in l. elation to above mean sea level of: (a) Lowest floor elevation, including basement i2' feet 5 'inches (b) In a V. Zone, bottom of lowest structural mem-B~r f%-~.~.--" inc? FIRM--Flood Insurance Rate Map, Zone designations A~_(9~) ._o_.~. ,_T~~ Owner of Premises Wort,..h ~t, Inc '' ~ - Location of Property: Rabbi~ Lane , County Tax Map No., District, 1000,' Section East Marion 031 Block 17 Subdivision . ~Filed Map #--'Lot(s) ..... 6. Pe__rmission to be g.rauted: net ~s ~b6ve ow Owner I IUnder Contract].-~Lessee ~contractor, -' Worth Eat, Inc ,,, , Bo~ ~282 Rabbit Lan~ E ~ari~.~ ~Y i1939 Approval from other(s) before Pe~tt]is issued: , "' DEC . Nr 10-84-1355..____. ~_ W~LA~DS. . (Tow~ D? aPd)__., HEALTH SERVICE. ~ 8~-~0-23 ' ZBA 'N/~ BUILDING PERMIT . PLANMING BOARD, N/A. I, ' ,,~2d=.Dowd ' . , the applican$, ~'-the OwngP~, Co- owner~. '~w O~n~'~nt~act~, ne~see%~, ~sen~x~. Con- tractoP~, and agree to comply with ai~ applicable. s?cti6ns~f the Cod of the T6~ of Southold; Co,by, and State ~d ~o a~t authorized tn- specters to promises authorized $o p~rfo~ oP have performed the said work ~d to make and file this application, that all statements contain ed in this application afo true to the best of my knowledge and belief and that the work will be poPfo~ed in tho manner~et f6~th in the application filed therewith. /~- ....... ~ ...... F . ...... . '"U..~.~, ' ~o3~y Pub~io "' Applic~t' s mailin.g add~ess ~d phone ~% ., if not given above: 4/8o 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL EOUTHOLD, N.Y, 11971 TEL.: 765-1802 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BU!LDING PERMIT Date .. April .1. ~ 1986 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink, and submitt~gd 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, relatmnshtp'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 approva! of this application, the Building Inspector will issued a Building Permit to t~he 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 1S 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 building for necessary inspections. Worth Ents .1~r3¢ ........ ~,....' .............. (Signature of applicant, or name, if a corporation) Box 282 ,Rabbi~ J4~he,~. 2g .~r&on~. L19.39. (Mailin~ address of applicant) State whe'ther applicant is owner, lessee, agent, mch~tect, engneer, general contractor, electrician, plumber or builder. · · . O~.,q;ne!: ................................................................................. Name of owner of premises Worth_ Ent~ Inc ..... - ................. (as on the ta~ roll or latest deed) If applicant is a cort~oration, signature of duly authorized officer. (Name and title of corporate officer) Builder's l.icense No. Self Plumber's Liceuse No.. To be selected ..... Electrician's License No. To Be selected Other Trade's Liceuse No ...................... 1. Location of land on which proposed work will be done..., ................... . .................... . ........ "tP~'"'~ ~ ~'-'~ Lane East Marion ........... '=4 ~ ~xar)rolr- ............... t{ouse Number Street Hamlet County Tax Map No. I000 Section 031 17 20 ............. Block Lot. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: S~nqle Fammly Bumlomng Lot ........... a. Existing use and occupancy ........................................................ b. Intended use and occupancy Eamz 1y .R,e, .s ,z d. e. n. .c .e ........... ................ 'Ftm~.¥3 ~!~-,!b~r.~ ,~:~d-, ,g~,, ~,?! 3. Nature of work(check which applicable): New Building X ' Addition Alteration " Repair .............. Removal ............. De?aolition .............. Other Work ........ ' ..... ,~ i (Description) 4 Estimated Cost $47~ 500 Fee ~' (to be paid on filing this application) 5. If dwelling, number of dwelling[units . i Number of dwelling units on each floor... ,l If garage number of cars 6, If business, commercial or mixed, occupancy, specify nature~ and ¢,xtent of each type of use ............ ' ........ 7. Dimensions of existing structures, if any: Front ...... ,...!-... 2. Rear .............. Depth .............. Height ............... Number of Stories ....................................................... ~ith It dditi F ' Dimensions of same structure aerations or a ons: rent ., ..... ' ... Rear ' ,,. .... ' ' t raz,t~[' ~ Depth., ................. ~.. Helgh ..... '~7',"~.' ..... Nu o tories, 29' "8. Dimensions of entire new construction: Front . .%% .... : .... Rear ....... ; ....... Depth . ............. 9. ,~lze of lot. Front .... ~3. '6' '6 .......... Rear ...... '~ ............... Depth......2.2.8.~/~¢.O.' ........ 10. Date' of Purchase . .A..ug.u.a...8. ........ ; ......... Name of Fgrmer Owner . Sdhrai.d.t. ............ ...... 1 I. Zone or use district in which prlemises are situated . .R?.s.l.d.'9.n.fi.~.a..~ ......... ' .... i ...... ' NO 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ · 13. Will lot be r~graded ...... i X .. ! .................... Will excess fill be removed from premises: Yes. No 14. Name of Owi~er of premises J4Or~h,. , E.nL:.,..~[p..c.. Address I~9.x:. .2.8..2.. ~1.1..9.3.9... Phone No.4.7~7 . ¢59.2. ~' ..... Name of Architect ..: ...... :: ................. Address ................... Phone No.' ............... Name of Contractor ........ !'. ................. Address ................... Phone No ................ PLOT DIAGRAM ~ Locate clearly and distinctly MI 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, J S.S COUNTY OF Ted Dowd · L .... being duly sworn, deposes and says that he is the applicant ' (Name of individual slgmng contract) aboqc ,mnicd. He is the Agen. t .. . i (Contractor, agent, corporate officer, etc~) of said owner or owners, and is d'ulv authorized to perform or have performed the said work and to make and file thi~ 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 man~er set forth in the application filed therewith. Sworn to before me this ........ .~q .............. day ?f ,z,~.r . .~-,/~.. ....... l >".': .. .............. ~P~, 8~J~/Newy~.~km ~/ X. ~ (~ignature et applicant__ No. ,~82~[i05. Suffolk COu _my,r z '~ i Term Expirea December 31.19 (I /; C~ SUFFOLK COiJN_~XiY HEAl[TH DEPARTMENT SINGLE FAMILY _,''. DATE, THE S~A~SA~ ~O',WA~EF' S~ FAClLm~S FOR TH~S ~h ief~e~t~~i~C~ c t i ° n ~"~e.~'''~ , ~" ~t~' I d td e3~.o~ SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. ~S-~-~ STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT, OF HEALTH SERVICES. APPLICANT ' SUFFOLK COUNTY DEPT~ OF HEALTH SERVICES -- FOE APPROVAL OF CONSTRUC[ION ONLY DATE: H. S. REF. NO.: .APPROVED: ~. S~FF~K CO. TAX MAP~EStGNAT~ON; DIST. ~CT. BLOCK ,, PCL. OWNERS ADDRESS: T~d ~d RODERICK VAN TUYL, P.E. LICENSED LAND SURVEYORS GREENPORT NEW YORK ? ,D ~l~voN-/on~ z-~y~r- ¥o mec~. ,~ec~ level. RODERICK.VAN TUYL, P.C. LICENSED LAND SURVEYORS GREENPORt NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL .H S. NO, STATEMENT OF INTENT The WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS for THIS RESIDENCE WILL CONFORM .T..Q~---~'DA~I~OF THE SUFFOLK.~ +IEALTF SERVICES. SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- fOr APPROVAL Of CO NST RJ4CT, I~ ON~ DATE ',,~" I ~ H. s. REF. NO_ ~ SUFFOLK CO. TAX MAP DIST. SECT. BLOCK PCL, ~0~ O~t t~ 20 ~NERS T*d DEED: L.~O~ P, 57 TEST HOLE STAMP SEAL I! COl~er tubing is u. sed for w~ter distribuung i~stem-' piping mhall be t~pk3ROVED R~ NOTED ~,,~T~Y ~UILD[NG DEPARTMENT AT ~ o~LOW NG INSPEC~ONS: OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ~o 3 [ GREENPORT, N y. ! 1 o44 t' I o' 1 P D -72 ,-' ,