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HomeMy WebLinkAbout15376-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18222 Date July 28, 1989 THIS CERTIFIES that the building Location of Property 415 WILLOW DRIVE House No. County Tax Map No. 1000 Section 033 Subdivision HOMESTEAD ACRES ONE F~MILY DWELLING GREENPORT ~ N.Y. Street Hamlet Block 6 Filed Map No. 8150 Lot 10 Lot No. 3 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 1986 pursuant to which Building Permit No. I5376-Z dated OCTOBER 7, 1986 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 FAMIY DWELLING WITH ATTACHED GARAGE, DECK & 2nd STORY BALCONY AS APPLIED FOR. The certificate is issued to of the aforesaid building. RIVERSIDE HOMES~ INC. (owners) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-177-9/22/1987 UNDERWRITERS CERTIFICATE NO. N814708-6/15/1987 PLUMBERS CERTIFICATION DATED 6/25/1987 - T.R.T. PLUMBING & HEATING Building Inspector Rev. 1/81 · OF, M NO. ~ TOWN OF SOUTHOLD BUILDING DEPART~4ENT TOWN HALL SOUTHOLD, N. Y. BUILDiHG PEI~IT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 15376 Z Permission is hereby gronte.~Pto.'--) . ~, ................................................ County Tax Map No. JO00 Section ..... ..~.....~....~.... Block ...... ..~..~ ........ Lot No ...... J....~. ............. pursuont to cippJicotion doted .... ......~..'~...~.....~...~......, 19~.~., and opprov~ by the ' Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department II Y/I --. III II ' TownHall . ltbl atl'ZSl ol III II Southold, N,Y, 11971 765 - 1802 APPLICATION FOR CERTIFICATE Instructions A. This application must be filled in typewriter OR ink, and submitted i ~ 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. Final approval of Health 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 "pm-existing" land uses: 1. Accurate survey of p~operty 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 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 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 .......................... NewC°nstructi°n. .~.... Old or Pre-existing Building ............ Vacant Land ............. Location of Property E/S Willow Dr appro~ 270' S/O Inlet Pond Rd, Greenport Hous~ No, Street Ham/et Owner or Owners of Property Riverside Homes, Inc. County Tax Map No. 1000 Section ...33 Block 6 Lot .10. Subdivision...Hg.m.e.s .t .e .~ .d . .A .e F .e .s . .a .t . .~ ~ .e .e .~ p g ,r .t' , .Filed Map No ........... Lot No. 3 Permit No. 15375Z Date of Permit ?/7/86 Applicant Riverside Homes, Inc. Health Dept. Approval . 86 SO 177 Labor Dept. Approval ... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ............. Final Certificate ..... Fee Submitted $....2.5:.09 ............... Construction on above described buildin Rev. 10-10-78 Applic~. / ty~ble code~and regulations. VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD July 31, 1989 Riverside Homes, Inc.. 1159 West Main Street Riverhead, New York 11901 Attn: Elizabeth A. Cannazaro: Re: Building Permit ~15376-Z Tax Map 91000-33-6-10 Map of Homestead Acres, Lot 93 Dear Liz: Pursuant to our telephone conversation with your office today, I return herewith your checks #7706 and 92234 which you submitted to this office for the above Certificate of Occupancy. Mr. Bill Masterson picked up the Certificate of Occupancy this morning and paid for same. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Georgia Rudder, Secretary encls. Riverside Homes, Inc. P. O. BOX 274 1159 West M~in Street Riverhe~d, N. Y. 11901 Phone: 516 - 7'27-3395 July 28~ 1989 Building Department Main Street Southold, New York 11971 Re: Permit no. 15376Z Gentlemen: As requested by you, enolosed herewlt~ please find ®ur check for $25 for the C/O you are issuing on t~e captioned permit. / Cannazaro enclosure Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 TELEPHONE (516} 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 12, 1989 Victor Lessard Building Department Southold, NY 11971 RE: Homestead Acres SCTM 01000-40-2-6.2 Dear Mr. Lessard: The following action was taken by the Southold Town Planning Board on Monday, July 10, 1989. RESOLVED that the Southold Town Planning Board recommend to the Building Department that they issue a Certificate of Occupancy for the existing building subject to a field inspection by the Planning Board to see that all work other then the planting and street signs is completed. No further building permits are to be issued until all work is completed. If you have any questions, please do not hesitate to contact this office. ~ry truly Yours, BENNETT ORLOWSKI, JR. J~ CHAIRMAN cc: William Masterson 3t Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 TELEPHONE {516) ~65-193B PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 26~ 19E9 Victor Lessard Building Department Southold, New York 11971 Homestead Acres SCTM~ 1000-40-2-6.2 Dear Mr. Lessard: As per the July 10, 1989 resolution, the Planning Board has conducted a field inspection of the above mentioned site. With the exception of the required plantings and street signs, all work has been completed. The Board recommends that a Certificate of Occupancy be issued for the existing building. To reiterate the terms of the resolution, no further building permits are to be issued until all additional improvements are completed. If you have any questions, please do not hesitate to contact this office. Very truly yours, BENNETT ORLOWSKI, JR. CHAIRMA/q eric, cc: Willi~u Masterson Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York 11971 TELEPHONE (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Ouly 26~ 1989 Victor Lessard Building Department Southold, New York 11971 Homestead Acres SCTM% 1000-40-2-6.2 Dear Mr. Lessard: As per the July 10, 1989 resolution, the Planning Board has conducted a field inspection of the above mentioned site. With the exception of tile required plantings and street signst all work has been completed. The Board recommends that a Certificate of Occupancy be issued for the existing buildiz~. To reiterate the terms of the resolution, no further building permits are to be issued until all additional improvements are completed. If you have any questions, please do not hesitate to contact this office. ry tr ly ~ s BENNE~'I ORLOWSKI: JR. CHAIRMAN eric ~ cc: William Masterson Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 TELEPHONE (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 12, 1989 Victor Lessard Building Department Southold, NY 11971 RE: Homestead Acres SCTM ~1000-40-2-6.2 Dear Mr. Lessard: The following action was taken by the Southold Town Planning Board on Monday, July 10, 1989. RESOLVED that the Southold Town Planning Board recon~nend to the Building Department that they issue a Certificate of Occupancy for the existing building subject to a field inspection by the Planning Board to see that all work other then the planting and street signs is completed. No further building permits are to be issued until all work is completed. If you have any questions, please do not hesitate to contact this office. /~ygery truly yours, BENNETT ORLOWSKI, JR. f- CHAIRMAN CC: William Masterson jt Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 TELEPHONE (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 12, 1989 BLDG. DEPT. Town OF sOUTHOLD Victor Lessard Building Department Southold, NY 11971 RE: Homestead Acres SCTM ~1000-40-2-6.2 Dear Mr. Lessard: The following action was taken by the Southold Town Planning Board on Monday, July 10, 1989. RESOLVED that the Southold Town Planning Board recommend to the Building Department that they issue a Certificate of Occupancy for the existing b~ilding subject to a field inspection by the Planning Board to see that all work other then the planting and street signs is completed. No iurther building permits are to be issued until all work is completed. If you have any questions, please do not hesitate to contact this office. ruly , _ yours BENNETT OP~LOWSKI ,JR. CHAIRMAN cc: William Masterson jt T.R.T. PLUMBING HEATING LTD. 26 CARLTON AV. MASTIC N.Y. 11950 (516) 399-0921 JUne 25, 1987 Building Department town of Southold Town Hall Southold, New York 11971 Re: Building Permit No. 1587~Z Riverside Homes, Inc. Gentlemen: I hereby certify that the solder used in the water supply system for the captioned job contains less than 2/10 of 1% lead. Very truly yours, TRT PLUMBING AND HEATING Sworn before me this June £LIZABETH J~OTARY PUBLIC, State ~ualified in No. 5~-4~01884 Commission Expires ,~..~, ~ ~,~ , THE NEW YORK BOARD OF FIRE UNDERWRITERS 103~01~ BUREAU OF ELECTRICITY ~ ES JOHN STREET, NEW YORK, NEW YORK 10038 ,,.,, App,,c..,o. No....`f,,e N 814708 THIS C;ERTIFIE~ THAT only the electrical equipment as described below and introduced by the applicant named on the above application num bet in the premises of l~iv~rai~e Borneo, EjS willow Dr.,?.70~/O %~et Pond B,~o, G~aaaporC, ~ in the,following location; ~ Basement ~ /st FI. ~s examined on J~ine 01 ~ J.9~ ~ ~ 2~d FI. ,Section Block Lot 107~ and found to be in compliance tcith the requirements qf t/ds Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SERVICE DISCONNECT S E NO~ OF CC. COND : OTHER APPARATUS: 2-'G. F .C · I. ~-Lige~ i C A,W G NO, OF HI-LEG OF CC. CONO 4 NO. OF NEUTRALS A, W. G, OF NEUTRAL 4 Pater Charbo~eau 35 Sheppard Lane GENERAL MANAGER 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 NOT BE ALTERED IN ANY MANNER. FOUNDATION < (1st) FOUNDATION 2~nd) ROUGH FRAME & PLUMBING INSULATION PER N. Ye STATE ENERGY CODE FINAL ~DDITION~L COMMENTS: Riverside Homes, Inc. Phone: 516 - 727-3395 June 8, 1989 Plann'~n~ Board Town of $outhold Town Hall Main atveet Sou~old, New York 11971 Re: Homestead Acres at Greenport Gentlemen: Aa of thXs date road work has been essentXally completed. You be ~ettlng a copy of a letter from Ray Jacobs, Re Superintendent of Highways that will state this fact and we would app~ecla~ yo~ X~s~n~ approval No. 3, Map of Homes~ad ~C~s at G~nport (Permit NO. ~5376Z). Sincerely, SG:eac CC: Building Department Gordon President Riverside Homes, Inc. P. O. BOX 274 1159 West Main Street Riverhead, N, Y. 11901 Phone: 516 - 727-3395 February 16, 1988 Chairman Planning Board Town of Southold Town Hall Main Street Southold, New York 11971 Re: Map of Homestead Acres at Greenport Dear Sir: We hereby petition your Board that we be able to get from your Building Department vacant land Certificates of Occupancy on the property in the subdivision known as Homestead Acres at Greenport on Willow Drive, Greenport, in order that we might go to contract with potential purchasers of the land. Recently, 2 contracts had to be cancelled because the purchasers could not obtain from the Building Department the vacant land Certificates of Occupancy that they needed in order to close their mortgages. Please note that all work concerning this subdivision has been complete( with the exception of the top wearing course on the road and some landscaping. This incomplete work will be done in the early spring, weather permitting. Your help and consideration in this matter would be greatly appreciated. May we hear from you at your earliest convenience. / ,. Sin~re~, ~ SG:esc Riverside Homes, inc. P. O. BOX 274 1159 West Main Street Riverhead, N. Y. 11901 Phone: 516 - 727-3395 Chairman Planning Board Town of Southold Town Hall Main Street Southold, New York llg?l February 16, 1988 Re: Map of Homestead Acres at Greenport Dear Sir: We hereby petition your Board that we be able to get from your Building Department vacant land Certificates of Occupancy on the property in the subdivision known as Homestead Acres at Greenport on Willow Drive, Greenport, in order that we might go to contract with potential purchasers of the land. Recently, 2 contracts had to be cancelled because the purchasers could not obtain from the Building Department the vacant land Certificates of Occupancy that they needed in order to close their mortgages. Please note that all work concerning this subdivision has been completed with the exception of the top wearing course on the road and some landscaping. This incomplete work will be done in the early spring, weather permitting. Your help and consideration in this matter would be greatly appreciated. May we hear from you at your earliestconvenience. . ,, PLANNING BOARD SG:eao P D Southold, N.Y. 11971 (516) 765-1938 October 22, 1987 Riverside Homes 1159 West Main Street Riverhead, NY 11901 Re: Homestead Acres Dear Liz: As per our conversation, enclosed is the latest report from our consulting engineers on the above mentioned subdivision. When all of the required improvements have been completed please advise our office so we may make a final inspection. Very truly yours, E M. SCHULTZ C ADMINISTRATIVE ASSISTANT enc. · ~dney B. Bowne, P.E., ES. (1922-1959) Chester C Kelsey, P.E., ES. Alexandre W Merc~l, P.E, Robert A. Stanton, P.E. Robert W. Brown, kS. Zabdiei A. EHackman, P.E., L.S. George A Style, P.E. Jerry D. Almont, P E George L Fagan, Jr, Ph,D. P E, . Frank Capobianco, C.E. Thomas R. Pynchon, L.S. SIDNEY B. BOWNE & SON 45 Manor Road Smithtown, N.Y. 11.787 (516) 724-0611 RECEIVED ~Y 19 DATE October 15, 1987 Roland Anders Roger L Co¢ch; Franc~s J Lynch Ph*llp Schlotzhauer Joseph F Stegman PaulF Stevens WiIliam T Styne R~chard B Weber Mr. Bennett Orlowski, Jr., Chairman TOWN OF SOUTHOLD Planning Board 53095 Hain Road Southold, New York 11971 Re: Site Inspection, Homestead Acres, Greenport, Town of Southold, New York (SBB NO. 87113) Gentlemen: A site inspection was conducted on 10/13/87. Present were Mr. Raymond Dean and Mr. C.S. Heffernan, both from this office. As per your request for a final inspection, we find that construction has not been completed (i.e. asphalt wearing course, grading and landscaping) and we are unable to conduct the final inspection at this time. Very truly yours, CSH':clg XC: SIDNEY B. BOWNE & SON iNGINEERS Ray Jacobs, Supt./Hwys. Ray Dean (SBB) V. Lessard (Building Dept.) MINEOLA · SMITHTOWN · NEW YORK CITY · CLEARWATER Riverside Homes, Inc. P, O. BOX 274 1159 West Main Street Riverhead, N, Y. 11901 Phon~: 516 - 727-3395 February 16, 1988 Chairman Planning Board Town of Southold Town Hall Main Street Southold, Mew York 11971 Rs: Map of Homestead Acres at Greenport Dear Sir: We hereby petition your Board that we be able to get from your Building Department vacant land Certificates of Occupancy on the property in the subdivision known as Homestead Acres at Greenport on Willow Drive, Grsenport, in order that we might go to contract with potential purchasers of the land. Recently,,2 contracts had to be cancelled because the purchasers could not obtain from the Building Department the vacant land Certificates of Occupancy that they needed in order to close their mortgages. Please note that all work concerning this subdivision has b~en completed with the exception of the top wearing course on the road and some landscaping. This incomplete work will be done in the early spring, weather permitting. Your help and consideration in this matter would be greatly appreciated· May we hear from you at your earliest convenience. , ,,. ' Sin~_~f~e~, · ordon SG:eac GEORGE W, HUBBARD TRUSTEF~ STEPHEN L CLARKE JEANNE M. COOPER DAVID S. CORWIN GAlL F, HORTON SUPT. OF OTiLITIES JAMES I. MONSELL / [c/aye o/' , t,eenlood 236 TEIIRD STREET P,O, BOX AH GREENPORT, SUFFOLK COUNTY NEW YORK 11944 (516) 477-1 POWER t~ LAN'I' TEl.. (516) 477-0172 July 28, 1987 Mr. Norman Wagner Suffolk County Health Department Suffolk County Center Riverhead, N. ¥. 11901 Dear Mr. Wagner: The following water service line was connected to the Public Water Supply by the Village of Greenport during July 1987. The installation was done according to our rules and regulations and, to the best of our knowledge, meets with the Suffolk County Health Department standards. Riverside Homes - Lot #3, Willow Drive, Homestead ---Acres, S6uth~ld - Job #1987-43 - Installed on July 23, 1987 - Ref. # 86-S0-177 Riverside Homes, Riverhead - builder. If I can be of further service, please contact me. Very truly yours, James I. Monsell Superintendent of Public Utilities JIM:lkm TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. ! 1971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons° /~/ An application for Certificate of Occupancy is not on file. ~ /--/ No Underwriters Certificate on file. /~/The check is(outdated/not on file.) /5~'~No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit t~ / ~ 3 _2 ~___ Z Building Dept. *~*/~/No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~]'I~SULATION [ ] FRAMING [ ]FINAL REMARKS: 765-~.802 PECTION [ ] FOUNDATION 1ST [ 3 ROUGH PLBG. [~ ] ~TION 2ND [ ] INSULATION ~]'~F'I~MING [ ] FINAL 7GS.'1802 BUILDING DEPT. INSPECTION FOUNDATION ~ST ~/-a/~OUGH PLBG. FOUNDATION ZND ~ ] INSULATION ~/-~'~RAMING [ ~ FINAL DATE_~~iNSPECTOR 7G5-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: FOUNDATION 2ND [ ] ~NSULATION / FRAMING [~ FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~-"]~1 NAL /£~ 7:-, 765-1802 BUILDING DEPT. INSPECTION [ .]/FOUNDATION ~ST [ ] ROUGH PLBG. [ ~FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL INSPECTO~ 2'65..:1.802 BUILDINGDEPT, INSPECTION FOUNDATION IST [ ] ROUGH PLBG [ ],~ FOUNDATION 2ND [ ] INSULATION [ ] F~MING [ ] FINAL DATE / ........ INSPECTOR VA Form 26-1852 FmHA Form 424-2 R~': 2/75 [:3 P~opo~ed Comtrucfion n Un,pr Comlrudion may b~ *epirsled donJ above fold. ~pl~ DESCRIPTION OF MATERIALS REGENCY & WOODBURY MODEL lNam~ (Na~eJ INSTRUCTIONS I. LV, CAVATIOIe Fom~ Approved OMB No. 63-B00~5 Cra be ma~rted bY FHa,, VA or 1'.. ac~g~,~y~c As per Board of Health Survey Test Hnln 3- l(34J~, ATION~: Paured F~w~l:~er~ 8"x96" poured conc. 2000~ ~ Nnn~ Imer~ ~ion wall: material poured onnmmn~ e Paoy ~u~ w~ R~O~ , ~ WolmnniTmd Hcmer flu, e mire Metalbestos 7" I.D. ~e - F~ HRdel No. 10~3 Superio~';r ; hcaflh ~ido~ i~ma~wn: ~. ~ W~: ~2 and Better Hemfir W~fr~;w~sradc, a~s~ics2"X4' -16" O.C. ~ Cedar ;8;~~;ty~;,i~l~6' ;~_ , ,-;~ Np~].P.d ~ ; th~k~ "; ~r ~lb Wi~w dlb U~b ~ ~ ~ . Jfl~rior lur~a~s: ~mppr~ng, ~ ~ .... ; [urri~ ~r~ ~: ~cr~i Cabots StS~D ; nu~r GabW wall ~uc6on; ~ ~ame a~ main w~b; 0 ~h~ ~. ~ ~: ~2 and Be~er Hemfir J~u: W~, $~, and s~c,~ -- -- -- grou'nd P .5. 1. 7. ,$U~l. O0~lO: (De,crlbe underflo~ring for spedal flo~ ~ item AIaIcral; grade and s~lCS ~ P1 Vwood 8. RNL~H FLQQ~JNG: (Wood only. Describe other finish floaing under item , ;.i~e~'*'xg,J,.,;type Fir Addidmal in~orn~ion: ..... Film JJoot All rooms #2 Second ~oo~ except t4i tn~n Attic IJoor._._.LLJ~,I. f,.l . I Additional Oak 3/~"1 2%" pnl i/i,~n thPn~ VA Form 26-1852 FmI'L~ Form 424-2 ~v. 2/75 Position 6 OESOUPTION OF MJ~T~.~AL~: 9. P~llllON~,/~a~a~#2~ds: ~ood, & Better Hemfi~xe~nd~p~cinl2,,x4', - 16" Bett~ ~:~,~,~d,~i~2 & Setter Hemfir R~ Asphalt 24~ - .~ Standard u~ Asohalt Saturated F'elt~ B~l-up ~$ ~.waH ~ w~, ~ ~iliflp: materhl Shee~°ck .; thlck~ss~; ~ish Paint j~, C~ne~ Baads, Taped ~ Spack~.ed - Kitchen La~ez Paint Throughout Washable & Durable Paint Off White DE mPTION OF Cl~J~ FIN~ IVfA?~ ~O A~qJC~TIOII Latex Paint Throuqhout hl~nhahle R Durable Paint gff White ;material Birch ,;~h~knm 1 3/8" ;material Pine I~c:typ~ ;natal Pine 'ak~ llxp'~ll ; ~m Stain ..... II. ~~I~I I~l~ll~ Steel Polvstrene Cor~ Insulate'd ~ mim~ fl~: mlcrhl ..... ; wM~ ~ t _0" ; thick~ 1 -. Frame: at.hi Il .; thick~ H~ ~nj A]~lminum W~mHp~ng: W~Haqnectio . .; u~b Aluminum ~ ~,; t~k~ . . ,"; numar ...; ~r~n c~th ~J Storm ~: Ihickn~ "; ~um~ ~ ~ll~: [r~e and i~Ci~ ~ Pine ~~,wGu~.:mKrbl H~rwo°d & Masonite ~k~ds~ MinR " rm~h~nm...~CtO~V F~nish ;num~ ~~: Nke Scovill/ComP ; ~ct~d~-i~fumil~ Vanities in Bathrooms ... Pine I 5/8" Additional information: .,,.---. ,?,, Dbappea~nf: make ami model numlx-r ,, Addidmu! infm'mation: · ' ~]. ~t~ I~ ~ WAM~Ol':(De~ribecarpet aslistedin Certified PreductsDirectory.) ~h~n Vinv1 Sheet Go.ods Metal Vinyl J ~ Ce,~am£c or Vinyl " ,,- ,, ,,  e~. g~ram~c 4~ "x4~" Full Full ..... F~11 Nit. Am~. ~and. 32"x21" Bath . . ,,, an,, ~ .... a " " " ~ ' .... Washi~Q HachURe Dra~ 8~d Hot A Oold Oon~mnt~onm in NL ~mmm ~ All~ Ara~ n~wcrl~:~ ,' ' ~w~rb~:w~ 0il F~red ;~a~ Rnn~ ;'~~ W~:~Or~vk~. ~F~. ~ Nn~ ~ N~t e~: ~ W~ Honeywell ~__~ ~c~mt~,~~ 30" Ol~ntlo~ Nnn~ ..... ~ W~ O~. ~ ~h-~.om F~on~ Door ~r~: DESClUPTtON Of MATr~$ 27. MISCEL~EOU$: ~Hona/ informofion wkem the spoce prowded w~s modequato. Alwoy~ reference by ,,tern humid' to correlpond to numbenn~.~ uHd on ffl~S fmm. J _. SI~CL41. EQUIPMENT: ($toto Wa/or make, mode/an~ quon~y. Include a~ by ~1 bw, custom a~ op~c~ FHA ~. ~ ~f i~b~ i~mm 2 - Smoke/Fi~e Detectors Front ~ J~,e~? CRA ~nJ 7pd Treated tm behlml miin ImildinI. 2 ,, ~,.i.,~,mnn.. 2 ,,~ 3 'Ylm~ ~.ymr Imowa at ~m ~ ~ appl~cadaa. HUD-FHA 2005 VA Yorm 36-1852 FmHA l~orm 424-2 Rev. 2/75 FOR THI~* RE~IDENCI~ (si COUNTY DEPT. OF HEA SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: APPROVED SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT BLOCK PCL. ~ ~ 3'3 c'~3 ,~ r3 OWNERS ADDRESS: LL~ ~J'~. zZ4- DEEO: L ~/A P, TEST HO~' STA~4P 8150 #FILE No. 1020 9 # ABS. No. FILED JUL.~?]986 FIL£.~ JUL 17 1986 :~,-~HO_L) T©'v,/N! F'LANNIING BOAI;tD NO, I TEST HOLE5 8150 #FILE No. 1020 9 # ABS. No. i:IiLED J U Li?1986 FILE~ t~5. o ,F~HoU 5 E 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N,Y. 11971 TEL.: 765-1802 Approved ° q'~'0"9"°'x' '-') 19~[° Permit No. ./. ~. .~-.'). ~.~. Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ............... :..,19... INSTRUCTIONS a. This application must be completely filled in 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 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. RIVERSIDE HOMES, INC. (Signature of applicant, or name, if a corporation) ??..Y?p, .!Z.9.O.Z. ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................... ............................................................ Name of owner of premises . . J~,I.VEKS.IJ3E. ~H.0ME. S.,..I~l.C ..................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......... £....G. or~,..P~i~Ie.v.t ................ (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......... 2(l~.(1P. ........... Electrician's License No ...... 2~7.E ............ Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..... ~/.S..W.i.l.l.o?..D.r.i.v.o..a~pp.%:o.x. ?.7.0.'..S./.O..I.n.l.~.~. ....... ....... P.O;~4 A~[ ............................... .............. .GP.e.e~P.oP.~c .......................... House Number Street Hamlet County Tax Map No. 1000 Section ..... 0.3.3. .......... Block ..... 6. ............ Lot .... 1,0. ............. Subdivision .H. qm.~.s.~e.a.d..A.c.r.a.s. ..................... Filed Map No. .8.1.5.0. ......... Lot ....3. .......... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... vacant. SaCql ...................................................... b. Intendeduseandoccupancy.... ...... 1 family.. .... dwslling.. .... .... .... . ........... :~.....4. .................. 10. Il. 12. 13. 14. Nature of work (check which ~pplicable): New Building .x×..' ..... Addition .......... Alteration .......... Repair .............. Renlbval .............. Demolition ............. Other Work ............... (Description) Estimated Cost . Fee ~ *' (to be paid on filing this application) If dwelling, number of dwelling units.. 3 ............ Number of dwelling units on each floor. ~. Ota. ~.ogOla{t .... If garage, number of cars ... 2 .................................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structu[es,~fany: Front ............... Rear._. ....... i ..... Depth ............... Height ............... Number of Stories .................................................. Dimensions of same structure With alterations or additions: Front ............. Rear Depth : Height Number of Stories Dimensions of entire new construction: Front ... ~{~.' ......... Rear ....38.' Depth 6.0.' 6y Height .. 22 ~ .... ;. Nu~nber of Stories . .2 Size of lot: Front . .1.2.5 ..... ~ ............ Rear .125.7.3.' ,. ~- 214.10' .................. ueprn ...................... Date of Purchase . .P..~I~ .2.2[ ,! .~9.8.5. ............ Name of l~,rm~ r~,~,~ George Popkin & Ba~l~a~a A. .... ~ . . .................................. 'Coyn~ ..... Zone or use district in which p[emlses are situated ..................................................... Does proposed construction viglate any zoning law ordinance or regulation: .. ta; Will lot be regraded .... yes.i- ...... . ....... Will excess fill be remove.d ............. from premises: Yes '~'-~ Name of Owner of premises i.v~e;Ltfl~ [Igra~,... Address . PO Box 27~[~ R:Lve~h ne 727-3395 . . .R ..................... ~ No ............ Name of Architect 13iiLiL. 7~le~lag.t~p. Address Masti.~. Phone lq~ 727-3395 .R.iy.o .s.id PO Box 274,..Riv.e.~.h~o 727-$395 Name of Contractor ~. · · .. · .. · · · · ........z Homes, Inu. Address .............. ne No. 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. SEE SURVEY STATE OF NEW YORK, COUNTY dF... Sw.Pgr~ .... ... S.S ......... ELIgABET~ .A..CANNAg%RQ .................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is du~y authorized to perform or have performed the said work and to m~e and file ~s application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work w~l be perfomed in the m~n6r set for~ in the application filed therewith. Sworn to before me this ~ // ~ SUFFOLK COUNTY DEPARTMENT~~O~-- SINGLE FAMILY/DWELLING ONLY DAT[ SEP 2 2 198'ZH.S. R[F. NO. The sewage disposal and water supply facilities for this location have been inspected by this Department and/or other ag~:~T~.~ou~ to ~.~i!la~_y. "' Ch:f o~8J;a u ~"W'es~;t;-~;n;;erne nt ...... AS ~Af.~ NO. 8150, LICENSED GR,EENpORT NEW YORK SUFFOLK CO. HEALTH DEPT, APPROVAL H, S, NO. 84~,;50- ¢'?T 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. (si APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL Of CONSTRUCT ION ONLY DATE: H- S. REF. NO.. ~?~;{=~ APPROVED: ~ SUFFOLK C6. TAX MAP D£SIGNATiON: DIST. S~,, CT. 8LC)C:K PC:L iD.C/O: o~ ,~ it" JO ' b~NERS T t 59 '~;xZ,.i',4At N 5TI~E f~-T - DEED: L N~A' 'P: , SEAL J ,~~VAN ]'UYL, P.C. LICENSED LAND SuRNrEYORS GEEEN~RT NEW YORK SUFFOLK CO. HEALTH DEPT· APPROVAL H.S. NO. SUFFOL: ~ (S) STATEMENT OF INTENT SUPPLY AND SEWAGE DISPOSAL FOR T~ ::)ENCE WILL OF THE ~NT SUFFOLK DEPT. OF SER V lC APPROVAL CONSTRUCTIQN ONLX . H. S. REF. NO.. ~.~/:~ APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. 0WNE R.S AD~E~: OF DEED: L. ~/~ P. TEST ~0LE ..... STAMP ¼ SEAL OCGJ?~I~C'~ OR .] , ¢ t '1