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Home My WebLink About15273-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No z-Jp30J .... Date October 19, 1987 THIS CERTIFIES that the bmldmg ONE FAMILY DWELLING Location of Property 26.5, .R.a.b.bzt Lane .... .E.a.s.C .M.a.r.z.on.,..N.e.w..Y.or.k ............. House rye Street Hamlet County Tax Map No 1000 Section 031 .... Block 17 .Lot 10 Subdivision ........................ Fried Map No ..... Lot No .............. conforms substantially to the Apphcahon for Bmldlng Permit heretofore filed in tins office dated August 29, 2986 pursuant to which Bmldmg Permit No. 15273 z dated . S.e.ptember 18,..I.986 .. was issued, and conforms to all of the requirements of the applicable provisions of the law. Tile occupancy for winch this certificate m issued m ... ONE FAMILY DWELLING WITH ATTACHED WOOD DECKS AS APPLIED FOR The certificate is ISsued to THE DEVIN GROUP, LTD. (owner, lessee or tenant) of the aforesaid bmldmg. Suffolk County Department of Health Approval , . 85-SO-24 UNDERWRITERS CERTIFICATE NO . . N831053 PLUMBERS CERTIFICATION DATED: October 15, 1987 Building Inspector Rev 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF' THE WORK AUTHORIZED) Perrmsszon ~s hereby granted to: .....:~ ..o....x. )....o...~ ................................. ..... County Tax Mop No 1000 Sect,,u~ (~'~.) ..... Block ....... l....-.J ....... Lot No ...... .J.....C~.. ......... Budding Inspector Fee $... : . Building Inspector 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 fdled 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 buildmgs, property lines, streets, and unusual natural or topographm features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electmcal installat~on from Board of F~re Underwriters. 4. Commercial buddmgs, Industrial buildings, Multiple Residences and similar buildings and mstalla- t~ons, a certificate of Code compliance from the Architect or Engineer responsible for the buildmg. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (pmor to Aprd 1957), Non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate survey of property showmg 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 mspectlon of buildings or premises, or other pertinent informa- t~on required to prepare a certificate. C. Fees' Additions $25 00 1. Certificate of occupaney New Dwelling $25.00, Accessory ,$t0.00 Business $50.00 2. Certificate of occupancy on pre-ex,stag dwelhng $ 50.00 3. Copy of cert~fmate of occupancy $ 5.00, over 5 years $10.00 4.Vacan~ Land C.O. $ 20.00 5.updated C.O. $ 50.00 Date ....... .I.%/~ j~.7. ..... NewConstz~uct'~on ...... Old or Pre-exmting Budding .......... Vacant Land .......... Locat,on of Property . ,q~.S. ....................... .~..~J~,~..~7-r~ ........... ~-.'.. House No. Street Owner or Owners of Property .. ?~J ?...~,,. ~'¢, .~l~. ~. ~.#.~. ................................ County Tax Map No 1000 Section ...-~I~[~'C~ ,.~ j Block ..... ~ '~ ...... Lot ..... t~ ~. ........ Subdwmmn ......................... Fded Map No .......... Lot No ............. Permit No. J S.$.7. ~..~. Date of Permit .. ff,/.S 4. . .Apphcant ...~. ~. ~v,~...~..,-~ .~:.7 .~'.~. .... Health Dept. Approval . .¢o~F../£. ~... ~....¢,, .O .,~.~. Labor Dept. Approval ........................ Underwriters Approval . . 8/. .... ~..~R J.o..~ ~..Planmng Board Approval ...................... Request for Temporary Cert~fmate ............... Final Certificate ....................... Fee Submitted $ ........................ Construction on above described bulld,ng an~an.d rlgulatlons. Apphcan~.'. '..." ..... : :..: ?.. 'u ................ Rev 10-10-78 ?!ELD INSPECTION 1. FOUNDATION COMMENTS FOUNDATION, 2. ROUGH FRAME & PLUMBING INSULATION FERN. Y. STATE ENERGY CODE FINAL ~DD TIONAL C~~ ~ TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. \~c~ Owner ~)-C~ C_~c~3f (please print) Plum]Der ~ ~ \~ Q~.3CC',%0\C~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn~o before me th~s of , Notary Publzc, ~L~ County TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Suilding Permit No. Owner ~%f% ~ (please print) Plumber ~ ~ ~ (please print) ~c~ I certify that the solder used contains less than 2/10 of 1% lead. in the water supply system (plumber s signature) Sworn.to before me this 2 --day of Notary Public, /~ Notary Public Disapproval Issued Porm£t # '~ - -------- 197 Se e FORM NO. 10 APPLICATION FOR DEVELOPMENT PERMIT In the Town of Southold Type of Development Proposed: Addition and/or Alteration[~ Other (specify) ....... April~l, 1986 '19 New Structure (including storage tanks Flood Proof Below Base Flood Elevation Elevation Data in relation to above mcan sca level of: (a) Lowest floor elevation, including basement ir feet (b) In a V Zone, bottom of lowest structural mem-~o-~ 9" inches f%-~---- ' in FIRM--Flood Insurance Rate Map, Zone designatzons ~-7 (?). Ownor of Promisoa Th~.Dovin Group, Lhd ' Location of Property: /. Rabbit_ ~a~e_ .. ~, · County Tax Map No., Dia~o¢~ 1000, Soc¢ion Subdivision 'Filed Map ~ P~ission to be ~nted: . ne~ as abo've Now O~er I ~Unde~ Contract] ~ Lessee[ ~ Cont~acto~ --T~e Devin Group, Ltd Box ~2~2 NY 7. Approval from other(a) before Permit~is issued: DEC NR 10-8~-1355 .~ WETLANDS (Town Board) N/A BEaVICE. 8.~-S0-24 ZBA N/A IIEALTH o ~ ~ ........... _.. .. BUILDING PERMIT~ PLANNING BOARD N~ I, . ,_: ~ ...... j~ e~'-~Zg~o~, the applicant, ~ the 0wn$~.r-~, Co- Owner[--], New Owne~[--. ::~' Under Contractl---], Lesseet---]. Aoent!x ]. Con- tractor[--], and agree t? comply with all applicable sections of the C~ of the To~n of Southold, County, and State ~d to a~it authorized in specters to premise's authorized to porfo~ or have performed the said work ~d to make and file this application, that all statements contai ed in this application arc true to tho best of my knowlcdge and belie~ the and that the work will be pelleted in manner~et~T~rth in the application filed ~herewlth. ~ ' ~ East Ma.ri on 031 Dlock 17 Lot ( s)__1 _ Lot(s) FORM NO. 11 TOWN OP SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, I~Y D~F~OPM~2~T PERMIT No , ! o7 1~ Date Permission is hereby granted to: , ~h~-,, qT'~ sq?~,.,,,.g',,~oo P, .... . "~o~ ~ o~ ....... County Tax Map No. 1000 Section ob,/ Block . ,( 7, Lot /O pursuant to application dated_~o~u~T- .... ~9: , 19;_~, and .pp-~,~ved by the Building Inspector. Building Permit No, I ~--~7 ~%- Z 4/80 Building Inspoctor --SUFFOLK CO HEALTH DEPT APPROVAL t4 S NO 8,5' RODE~RICK VAiN TUYL, P C LICENSED LAND SURVEYORS GREENPORT NEW YORK S_"r+_A_.TEM _EN 1' 9E I---NTgNT- THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM ~T~O~ THE STAI'~ARO..S OF THE SUFF~~ HE)L'f ~;~tR VICES SUFFOLK COUNTY DEPT OF ttEALTH SERVICES FOR APPROVAL OF CONSTRUCTION O,,'L Y,... t-- -SIJFFOL~ ~O-]AX :'dAP DEStGN.r,,ItON I)1S¥ SEc- 1 f3L Or r' PCL ~(.*WIqER~ AIJDF~ESS DEED lEST HOLE ] SLAM,¢ - ! SEAL HENRY P. SMITH, President JOHN M BREDEMEYER, V~ce-Pres PHILLIP J GOUBEAUD ALBERT KRUPSKI, JR. ELLEN M. LARSEN BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Town Hall, 53095 Man Road P.O Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 August 8, 1986 Mr. Ted Dowd Box 282 Rabbit Lane East Marion, N. Y. 11939 Dear Mr. Dowd: In regards to your letter of August 1, 1986 requesting the Trustees to determine the necessity for Wetlands Applications prior to buildzng of houses on Lots 036-17-10 and 036-17-20. It has been determined by the Bay Constable after a field inspection that the proposed two houses are outside of the 75' jurisdiction of the Trustees, therefore not permit is necessary at this time. If any activzty was to take place within the 75' however, a permit would then be required. Please be aware that we are making this determination only for the Trustees Office and not for any other agency which may require permits. If you have any questions please don't hesxtate to contact us at the above listed phone number. Very truly yours, Smith, President Board of Town Trustees HPS:ao cc: Trustees File 765-11102 BUILDING DEPT. FOUNDATION 1ST FOUNDATION FRAMING INSPECTION [~ROUGH PLBG. 2ND [ ] INSULATION [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ '} FOU~iDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [] FINAL DATE INSPECTO~ BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [/~OUNDATION ;ZND [ ] INSULATION FRAMING [ ] FINAL 76S-18~2 BUILDING DEPT. INSPECTION [,~]~UNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL DATE OTHER &FPARATU$ 11971 Lic. 578E This certificate must not be altered m any manner, return to the off~ce of the Board ,f incorrect Inspectors may be ~dentlf~ed by their credenhals COPY FOR BUILDING DEPARTMENT THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Disapproved a/c 'FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date ...... Ap.rJ.$. 1., , 19 ' INSTRUCTIONS a Ttus application must be completely fi/led in by typewriter or in mk and submitted to the Building Inspector, w~t sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing location of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc sire or areas, and giving a detailed description of layout of property must be drawn on the diagram which ~s part of this ap cation c. The work covered by thts apphcatlon may not be commenced before issuance of Buddm§ Permit. d. Upon approval of this application,/he Building Inspector will issued a Building Permit to the apphcant Such per. shall be kept on the premises available for mspectmn throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupai 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 Building Zone Ordinance of tile Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the constmctlon of buddings, additions or alterations, or for removal or demolition, as herren descnl: The applicant agrees to comply with all apphcable laws, ordinances, bmldmg code, housing code, and reguhnons, and admit authorized ~nspectors on premises and in braiding for necessary inspections .Thp D. eyi.n..G, rg.up, L,td (S~gnature of apphcant, or name, if a corporation) ., Bo.x %0..6, '.S. ou.t.h, ol. ci~, NY, !lg.?.l ... (Malhng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricmn, plumber or built Owner Name of owner of prmmses T~e D~viu G. rQUp.. Ltd ....... (as on the tax roil or latest deed) If apphcant is a corporatmn, mgnature of duly authorized officer (Name anti title of corporate officer) Budder's Dcense No . ~¢lf Plumber's L,cens¢ No..To.. be. .S.e..1.~qt. 9.d . Electrician's License No T9 .he...s.e.lec..ted.. . . Other Trade's Lmense No 1. Location of land on which proposed work will be done ~ .. . R.~bl?%t Lane [louse Number Street Eas~ Marion Hamlet County Tax Map No 1000 Section .03% .... Block 17, ..... Lot Subdivision ......... Filed Map No ..... Lot ....... (Name) State eMstmg use and occupancy of premises and ~ntended nsc and occupancy of proposed construchon a Existing use and occupancy . $.i.n~lo Pam.i.lZ.B.ui.l. di.n~..Lq.t ............. iiy ~e .sic~erjc' "" .... · b. Intended use and occupancy Pam e. .. ~ 4, - -, ...--~,~, 3. Nature of work (check which applicable) New Building ..... '.X.. Addition ......... Alterahon . ~ Repair Removal .... Demohhon .. Other Work ..... ~ , ~ (Descnphon ~ EsttmatedCost $47,.~00 ..................... Fee . o~ (oO . ~ "' (to be paid on ~hng this application) 5. If dwelhng, number of dwelling units. .1 .. . Number of dwelling units on each floor ........... If garage, number of cars ...1 ................................................ 6 If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use '7. Dm~enslons of existing structures, if any. Front.. . ,. ~. Rear .... Depth Height ....... Number of Stones ...................... Dmrenslons of same structure with alterations or additions Front ............. Rear ...... Depth ............ Height ................. Number of Stones .................. 8 Dimensionsofent~reneWcon~truchon Front ..25'. 5" . Rear... .25'...5". ..Depth ....79' 5" 9 Size oflot' Front P~.'. p~n~ 02 n~,,*h 220 aha 206 10. Date of Purchase August .8,5 ...... Name of Former Owner S~l~. .....L.~.~.~, **~ 1 I Zone or use district in which premises are situated .... R?.s. idential ....... 12. Does proposed construction violate any zoning law, ordinance or regulation. No ......... 13 Wdl lot be regraded ......... Will excess fill be removed from premises Yes X 14. Name of Owner of premlses Dexi. n. Gr. qup...Address .Bpx..~.2s. 2. ..... Phone No. .477. !~1~.1~, Name of Arclutect ............. Address H' · ~,-,~, t~q~ Phone No Name of Contractor .............. Address .................. Phone No .......... PLOT DIAGRAM Locate clearly and distinctly all bmldmgs, whether existing or proposed, and, indlcate all set-back dimensions fl property hnes. Give street and block number or descnphon according to deed, and show street names :tnd indicate whet interior or corner lot 220' 206' STATE OF NEW YORK, S S COUNTY OF ... .... ... .272. (Name of individual slgmng contract) being duly sworn, deposes and says that he is the apphc He is the .... Agent ............................. (Contractor, agent, corporate officer, etc ) of smd owner or owners, and ~s duly authorized to perform or have performed the said work and to make and file apphcatmn, that all statements contained m this apphcahon ar~ true to the best of his knowledge and belief, and that work wdl be performed in the manner set forth in the application filed therewith Sworn to before me thru ........ ~..~. .... day of ...'.~..~. ....... ,1~F~ Term Exmr~ March 30, I~ .-- .', '\/, SUFFO~ COUN~ DEPARTM~T ~ H~LTH ~ S~IE FAMIL~ DWELLIHG ONLY NO ~ ?he ~wage d~s~sal and water supply facfl~ f~-~'~ IocahoA have been respected by th~ ~pa.me.t~fld/~ o~er agee~n~ found~ be ~t~fact~. ~ ~ ~ Chef of B~eau of ~a~water ~naeement , RODERICK VAN TUYL. PC. lICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO HEALTH DEPT APPROVAL H S NO ~5--50-24 STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL I SYSTEMS FOR TH S RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT OF HEALTH SERVICES APPLICANT SUFFOLK COUNTY DEPT OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTIQN ONLY DATE h S REF NO APPROVED ,~5'- $O- 2'4 SUFFOLKCO TAX MAP DESIGNATION gIST SECT BLOCF, PCL ;~90C/ '-.'? i l-I [0 OWNERS ADDRESS TEST HOLE STAMP SEAL SUFFOLK CO. HEALTH DEPT. APPROVAL H,$. NO, THE WATER ~Y A~ ~AGE DIS~AL SY~ F~ THIS RESIDE~E WILL SUFF~~ <)LJH ~EVICES. SERVICES -- FOR APPROVAL OF CONSTR~T,~ ~L~/ DATE:~~ ~FF~K co. TAX MAPD~GNATION: DIST. ~CT. ~K KL. OWNE~ A~: /-/ ~ / / _T O E>OWD $cole: ~'= t" q: T ! 0 N SUFFOLK CO. HEALTH DEPT, APPROVAL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM~ FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. ,(s! APPLICANT. SUFFOLK COUNTY SERVICES FOR CONSTRUCT IQN ONLY DATE: DEPT. OF HEALTH APPROVAL OF H. 5. RET. NO.: AIq~ROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT BLOCK PCL. IOC~D O~l I"7 lO OWNERS ADDRESS: T/~,r'~c~ V'~r'~'~e , ~1. DEED: L. ~ TEST HOLE P. 'zz Oz~f ) OCCUPANCY FOR POURE[~ CONCRETE. 47 F NAL CONSTRUCTION MUST, BE COMPLETE FOR ~.O~ ' ', ALL CONSTRUCT ON SHALL MEET ~ THE REQ01REMENTS OF THE N~ ' ~A~,CONSTRUCTION & ENERGY, CODES, NOT ~S~NSI~E FOR ' ~tE~l~l,~ ORrC~,~ISTRUCTION ERRORS. Phone 477-04 ' Main ,, GR~ENPORTfN,Y. I 1944 , ' ,1 l~Ja~e 477-0400 ' M~in Re, aa - L F