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HomeMy WebLinkAbout15563-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z. 165.6.5 .......... Date January 6, 1988 THIS CERTIFIES that the building . .O.q 9..f.a.m. ~ .1 y..d.w..e.lol, i..n .g.. ....................... Location of Property ....2.0.6. 0...C.l.e..a.ry.~.e..w..A.v.e.: ......... Southold House No. Street ....................... County Tax Map No. 1000 Section ... 9].0. ..... Block ... ! 9 .......... Lot 28.2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ~ q ¥ .... 1. 7. ,..I.9. 8..6.. pursuant to which Building Permit No...1,5.5. ~ 3 ~ ............. dated...December. ..... 10,.....1986 .......... wasissued, 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 with attached 2 car garage. The certificate is issued to JOSEPH PERRICONE ..................... [oi~,n'e),~&it~f~k'X ................... of the aforesaid building. Suffolk County Department of Health Approval .... .8..6...8.07.1. ! .5..1.2./..3.1 ./.8. 7. ................ UNDERWRITERS CERTIFICATE NO ............ .N.8. 2. .6 .5.8.7....8./. 1. 2. ./.8.7 ................... PLUMBERS CERTIFICATION DATED: S~ephen O'Connor 9/5/87 1/81 FOF,~[ NO. ~ TOWN OF SOUTHOLD BLliLDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15563, Z Permission is hereby granted to: .... ....... ...~.,,w_, at premises located at ..~...c~...~...~.......~..O..~...,~ ....... ....~.~.(~..... County Tax Map No. 1000 Sectio~/~......~,...'~.....©. ..... Block ....... J....~.. ....... Lot No.....~..~...:.~.. pursuant to application dated .... .~...~.~...J...~. ........... , 19.~..(~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX ($16) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 29, 1989 Mr. Joseph Perrlcone 2060 Clearvlew Ave. Southold, N.Y. 11971 Re: Suffolk County Tax Hap #1000-70-10-2g.2 2060 Clearvlew Avenue, Sout~old, N.Y. Dear Hr. Perricone: In checking our records, work is outdated. If you wish to re-apply, we find that the enclosed paper please submit new application. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. VL:gar encl. Victor Lessard, Principal Building Inspector FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ Date.. kd~. .... , ~o~..o..~..~..~.'.....0~......~...~..~..z..d~,~ ~. . .~~..~.,~...~ J... PLEASE TAKE NOTICE that ~ou~ application aatea ... ~. ~ T. .~ ....... ~9 ~. ~. . for pe~it to const~ct..~. ~.~...~ ................................. ~ at Location of ProporW ~O&O .~.~..~., ...... ~~ ....... ~Ss~ ~0~ ' ' ' St~et Hamlet County Tax ~ap No. 1000 Section . . . ~J ~ ..... Block ..... ~ .0 ...... Lot .............. Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds. ~. ~.. · .~. ~..~.? 'f'...~..::...i~L...~4.~ ~'JJ~' ~ ~~.~.3~ ......................................... ....... Building Inspector RV 1/80 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 =~ ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of properW 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 "pre-existing" land uses: 1. Accurate survey of pzfoperty showing all properW 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: Additions $25.00 1. Certificate ofoccupancv New Dwelling $25.00, Accessory,Si0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ................ NewC°nstruction ...... Old or Pre-p~xisting Building ............ Vacant Land ............. House No. /) ~ Street /Yam/et Subdivision ................................. Filed Map No ........... Lot No .............. Permit,o. (.~. ~¢..~.. Date of Permit .~.~x.~)-./'~(Applicant ..~..~.~./I..~.Az.. ..... ~'/' ~/=~ . f./ .......... Health Dept Apptova, ~/~. Labor Approval .............. Dept ....................... .. Unde~riters Approval ~ .~.~Q 2~ ~. ........ Planning Board Approval .......... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit mee~:all a~.pj;zUca~, odes and regulations. App cant ~ . .. ~ ............... OUNDATION Ilst) OUNDATION ( 2nd ) OUGH FRAME & ?LUMBING :NSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~INAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ~ INSULATION FRAMIN~ [~/~INAL INSPECTOR ~/~'; ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~J~NSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~]~UGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE ,~/'~c2//~ / / 76S-1802 BUILDING DEPT. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR TOWN OF SOUTLIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEl.. 765-1802 To Whom This May Concern, We are unable to co~lplete your Certificate of Occupancy because ,of tile following reasons. /5/ An application for Certificate of Occupancy is not on file. /_--/ No Underwriters Certificate on file~ /~/ The check is(outdated/not on file.) /_~'/ No llealth Dopt. Approval on file. /~/ No final inspection has been made. Please contact our office ThaIlk you for your cooperation. Building Permit # / ~- J- ~ ~ Building Dept. ***/~Y No Plumber So]der Certificate on on this matter. file. ( all permits J. nvolving plumbing issued after April 1,1984 ) Occupancy or use is un]awfu! w~thout of Occupancy. Clear up [his matter as soo~ as so that legal action does not havo to bc Thank you for your prompt attention. FORM NO. ll TOWN O~ SO~HOLD BUILDING DEPARTMENT TOWN HAI~ S0UTHOLD, NY DEVELOPMENT PERMIT County Tax }{ap No. 1000 Section --07__0_0 Block by the Building Inspector. Building Permit No. Building In speoto~ tjso ~ NTaMBER 10--86--0951 ~ACILITY}PROGRAM PERMIT Under the Environmental Conaervation /aw [~Article 15, Title 5: Protection of Water l'~Article 15, Title 15: Water Suppiy [~Article 15, Title 15: Water Transport ~]Article 1,5, Title 15: Long Island Wells J--lArticle 15, Title Wild, Scenic and Recreational Rivers I-q6NYCRR 608: Water Quality Certification E]Article 17, Titles 7, S: SPDES ,, [-]Article 19: Air Pollution Control , I-']Article 23, Title 27: Mined Land Reclamation I-"lArticle 24: Freshwater Wetlands _ ]~]Article 25: Tidal Wetlands N N--New, R--Renewal, M--Modification '"~EEcTIvED^te lO/2O/86 lO/31/88 ~-]Article 271 Title 7: Solid Waste Management , E]Attic!e 27, Title 9: Hazardous Waste Management r-]Article 34: Coastal Erosion Management ]'-]Article 36: Floodplain Management /'-]Articles 1, 3, 37; 6NYCRR 380: Radiation Control C--Codstruction, O--Operation, (If Applicable) PERMIT ISSUED TO Stephen J. Perricone ADDRESS OF "ERMITTEE P.O.Box 41, Mattituck, N.Y. 11952 AGENT FOR PERMITTEE/CONTACT PERSON N/A TELEPHONE NUMBER ~"~,a~uXA"a~us~i~,u~e~6~Z/r.~g-ae~ LOCATION OF PROJECT: Goose Creek, Southold, end of Oaklawn Extehsion & Clearview Ave. Mattituck Suffolk Southold DESCRIPTION OF PROJECT/FACILITY Construct single family dwelling, sanitary SYstem, and well. Utilize 70 cubic yards of upland derived fill for sanitary system. Ail work to be done in accordance with attached drawing marked "DEC Approved 10/20/86 T.R.Cooke." By acceptance of this permit, the permiUee agrees that the permit is contingent upon ~trlct compliance with the ECL, all applicable regulations and the conditions gpecifled herein or attached hereto. 1. The petmitteesha~f~eInthe~fficeoftheappr~priateregi~na~permRadmin~strat~r~ther~fficedesl~natedinthespecIaIc~nd~ti~ns~an~tice~fidtenti~nt~c~mmence work at least 48 horns In advance of the time of commencement and shall also notify him/her promptly in writin8 of the completion of the wo~. suffered, arising out of the pro)eot descri~ herein and has agr~ to Indemnify and save ha~less t~ S~e ~mm su~U actions, damages and cos~ of eve~ name and descri~ 4. The Depa~ment re~e~es the right to modify, sus~nd or revoke this permit at any time after due notice, and. if requested, hold a hearing when: a) the scope of the proiect is exceeded or a violation of any condition of the ~ft or provisions of t~ ECL and ~inent regulations are found; or b} the permit was ~tain~ ~ misrepresentation or failure to disclose mlevent fac~; or c) newly discovered information or significant physical changes are discovered since the permit was Issued. 5. T~e ~rmluee is responsible for keeping the ~rmR active by submiffin~ a renewal application, including any forms, (~s or supplementa~ information which may be required by the Department. no later tha~ ~ days [1~O days for SPD~S or Solid or Hazarduous Waste Management permit) prior to the expiration date. 6. This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or inte~ere with the riparian tigh~ of others in order to' peEorm the permitted work or as authorizing the impairment of any rights, title or interest in real or pe~onal pro~V held or vested tn a ~son not a pa~ to the permit. 7. The permittee is tes~lble ~or obtaining any other permit, ~pprovals, lands, easemen~ and rights,/way which may be required for this ~roject J ........ JTimothy R. Cooke J Stony Brook, NY 11794 cc: C Jr . Hamil ton ,qS-~0~a {~/a$) F~ ADDITIONAL GENERAL CONDITIONS FO ICLES ~5 (Title 5), 24, 2S, 34 and 36 ( ) 10. That if future operations by the State of New York require an al- 14. Any material dredged in the prosecution of the work herein permitted teration in the position of the structure or work herein autl~ortzed, or shal( be removed evenly, wrchout leaving large refuse piles, ridges across it, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of sa!d waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be com- pleted, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 11. That the State of New York shall in no case be liable for any damage or injury to the structure or ~work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 12. That if tbe display of lights and signals on any work hereby authorized is not otherwise provided for by law, such lights and signals as may be prescribed by the United States Coast Guard shall be installed and maintained. 13. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any , other environmentally deleterious materials associated with the project. the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to tbe banks of a waterway. 15. If any material is to be deposited or dumped under this permit, eitber in the waterway or on shore above high-water mark, it shall be deposited or dumped at the locality shown on the drawing hereto attached, and, if so prescribed thereon, within or behind a good and substantial bulkhead or bulkheads, such as will prevent escape of the material into the waterway. 16, There shall be no unreasonable interference with navigation by the work herein authorized, 17. If granted under Articles 24 or 25, and if upon the expiration or vocation of this permit, modification of the wetland hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structore or fill and restore the site to its former co~ition. No claim shall be made against the State of New York on account of any such removal or alteration. , 18. If granted under Article 36, this permit does not signify in any way that the project will be free from flooding. 19. All activities authorized by this permit must he in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. drawings Such approved I1~ were prepared by __ Roderick VanTuyl,P.C. Dated 4/22/86 on SPECIAL CONDITIONS 1. Single family dwelling to be located so that no dimension is more than I07 feet south of northern property line.' 2. Sanitary system to be constructed no more than 55 feet south of northern property line on west side of lot and no more than 65 feet south of northern property line on east side of lot. 3. There is to be no disturbance to vegetation or topography beyond 175 feet south of northern property line. ~ 4. 70 cubic yards of upland derived fill may be used.for sanitary system construction in DEC approved area indicated on referenced drawing. Supplementary Special Conditions (A) through ($) attached. Additional Supplementary Special Condition (M) attached. 10-86-0951 PROG RA~M~6~CI LITY NUMBER Page,,.2 .of 4 _-be foil~w!ng conditions aFp!y to all permits: ' A. If azy of the permlc conditions are unclear, the per--ittee shall contact [he Division of Aegu!a:ory Affairs at the address and telephone noted below. B. A copy of this permit or approval and supplemental' conditions shall be ansi!able at the Droject site ~nnenever authorized work is in C. ~ne ocr=At siqn enclosed with the pe~it or a copy of ~ "' - of approval sh~i be oro~ec:ed fr~ ~he weather and posted in a a= =he work site un:il ccmpie:zon of au.nor.~ed work. ~- least A8 hours =riot ~o co~enc~an: cf the project, the oe~tree shall ~hls ~=.-~ -.i' '~'~ week of c~ple~lan of the pa ...... work, the bort~ portion cf ~ha: f~ shall also be comp!e~ed and retu~ed. E. For projects involving activities to be accomplished over a period sr more ~han one Fear, ~he oe~t=ee, shall no=ify :n~ Regi=n~ Pe~ Administrator in ~i=ing at leas: 48 hours to the 5o~encement of resumption of work each year. ' F. If project dmsiEn modifica=ions =eke pla~e after pe~it issuance, the ~-"~= shall sub~t the appropriate plan ~hanges for appr~at by the pe Regiou~ Pe~t Ad~nistrator prior to undertakin~ any such uod~icarions. ~e pe~tte{ is~advismd that substantial modlfica:ion may require sub- ~ssion of a n~ application for pe~it. G. ~1 necessa~ precautions shall be taken to preclude conta~na~ion of any wetl~ds or wate~ay by suspended solids, sed~mnt, fuels, solvents, lubrica=ts, epo~ coa~ings, paints, concrete, leachate or any other enviro~entally deleterious materials associated wirh the project work. H. ~y failure to c~ply precisely ~ith all of the te~s and conditions of this pe~t, u~ess authorized i~ ~iting, shall be treate~ as a violation of the En~ro~ental Conse~a:ion Law. The permittee is advised to obtain any permits or approvals that may be required from the U.S. Department of Army Corps of Engineers, NY District, 26 Federal Plaza, New York, NY 10278, (Attention: Regulator)' Functions Branch), prior to commencement of work authorized herein. The granting of this permit does no~ relieve the permittee of the responsibility of obtaining a grant, easement~' or ogher necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242, which may be required for any encroachment upon State-owned lands under water. Regional Permit Administrator NYS Dept. of Enviro~mental..Conserva~ion Bldg. 40, SU~--Room 219 Stony Brook, MY 11794 (516) 751-7900 DEC # 10-86-0951 Page 3 of 4 The following conditio~ shall apply if checked as applicable by the Regional Permit Administrator: All dredging shall be conducted so as to leave a uniform bottom elevation free of mounds or holes. All spoil material shall be disposed of either in the Atlantic Ocean or at an approved U.S. Government Dumping Ground, as directed by the District Engineer, U.S. Department of the Army, Corps of Engineers. Any spoil material not intended for such water disposal shall be removed from the site and disposed of at an approved upland site. ~ All fill and spoil material shall be suitably contained at the work site so as to prevent its eroding, leaching or otherwise entering into adjacent wetlands and waterways. All peripheral rip-rap berms, cofferdams, rock revetments, gabions, bulkheads, etc. shall be completed prior to placement of any fill material behind such structures. All repairs to existing structures shall be confined to replacement of existing structural elements with no change in design, dimension, or materials, unless specifically authorized herein. The following Water Quality Certification shall apply if required by one or more agencies of the United States Government and if checked as applicable by the Regional Permit Administrators: In accordance with Section 401(a)(1) of the Clean Waters Act of 1977 (PL 95-217) the New York State Department of Environmental Conservation hereby certifies that the subject project proposal wall not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 or 307 of the Act. DATE D~¢# , Page 4 of 4 10/20/86 10-86-0951 Tlmothy'R. Cooke Deputy Regionai. Permit Administrator Division of Regulatory Affairs NYS Department of Environmental Conservation Building 40, SUNY--Room 219 ' ' Stony Brook, l~f 11794 (516) 751-7900 NOTICE OF CO .. . .... "~=.~ .OF WORK 5"fSDEC, Regional Pc?mit Administrator Bldg. &0, SUbS'--Room 219 Stony Brook, A~f 11794 ' KEn Permit No. Contractor Issued to Address Pursuau~ to General Condition Number i of ~he above reffereuced pe~ you a~e hereby notified tha~ the authorized activity shall co~eu~e on ~is no,ice is to be sen~at leas: two d~ys_-in advance of co~encement of the project. ~e pe~t sign ~I1 be posted a~ the ~ite and copy-of--pe~it will be' available site for inspection. ~ Pa~u=e to notify or pose sign ~t leave ~er'aud/e= contractor subjec~ ~o applicable Tenalties for non-compliance ~ch pe~t cqndicions. If chore is more ~an one com~rac~or-- use'at,acCents to list additional address(~s), phone u~e=(s) and tden:Ifyin~ work each one is to do. ~OTICE OF COM3LETION RE: Permit No. : Issued to ....... e r_Si= ...... · ..... . ....... Pursuant to Gener~ Conditfo~ N~ber.?l '0f the'above referenced pe~t you are hereby ....... notified that the author~e4 ~.:..-.:... Photos f-completed .work sh~l be fo~arded.~th .this notice,': '-.-'- '-' (~is notice is'~o be sen~ ..... : --' -'-: ~ ' .... '~ '- ;>'~, ~ ' ~ < - , ' ....... =u aoove' aaar~s~ pr~ptly2upon-comple~i0n- of project)," Y-%-2..-Failure fo..noilly ~1I leave' o~er'~d/or contractorJsubject' ~0 applicable pen~ies "" '<* for'non-compliance NYSDEC, Regional Permit Administrator Bldg. 40, SUL~f--Room 2~9 ...... Stony Brook, h~f 11794 HENRY P. SMITH, President JOHN M. BREDEMEYER, Vice-P~es. PHILLIP J. GOUBEAUD ALBERT KRUPSKI, JR. ELLEN M. LARSEN BOARD OF TOWN TRUSTEES TOVCN OF SOUTHOLD Town Hall, 53095 Math Road P.O. Box 728 Southotd, New York 11971 TELEPHONE (516) 765-1892 December 1, 1986 Mr. Stephen Perricone P. O. Box 41 Mattituck, New York 11952 Re: Oaklawn Extension & Clearview Ave, Dear Mr. Perricone: Southold Pursuant to the request made by the Building Dept. for a re- inspection of the above premises based on the Map of Property surveyed for Joseph Perricone at Southold, dated and amended November 4, 1986 as surveyed by Roderick Van Tuyl, P.C., please be advised as follows: RESOLVED that the Southold Town Trustees have reinspected the property located at 2060 Clearview Ave., Southold as requested by the Building Dept. and have determined "No Jurisdiction" as proposed on the map of property for Joseph Perricone, surveyed by Roderick Van Tuyl, P.C. amended November 4, 1986, all in accordance with the provisions set forth in the D.E.C. permit issued. Please be advised that this determination is not a determination for any other agency that may have an application pending for the sane or similar project. Very truly yours, Henry P. Smith, President Board of Town Trustees HPS:ip cc: Bldg. Dept/ D.£.C., Stony Brook. file TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECI'OR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 November 18, 1986 TEL. 765-1802 TO: Town Trustees FROM: Victor Lessard SUBJECT: Set back requirements I am requesting that the Trustees do an inspection on the property known as Tax Map #070-10-28.2 owned by Joseph Perricone,located at 2060 Clearview Ave, Southold. The reason for the inspection is to check the wetland set back requirements for this property. VGL:hdv HENRY P. SMITH, President JOHN M. BREDEMEYER, Vice-Pres. PHILLIP J. GOUBEAUD ALBERT KRUPSKI, JR. ELLEN M. LARSEN BOARD OF TOWN TRUSTEES TOIYN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPH OhrE (516) 765-1892 December 1, 1986 Mr. Stephen Perricone P. O. Box 41 Mattituck, New York 11952 Re: Oaklawn Extension & Clearview Ave, Southold Dear Mr. Perricone: Pursuant to the request made by the Building Dept. for a re- inspection of the above premises based on the Map of Property surveyed for Joseph Perricone at Southold, dated and amended November 4, 1986 as surveyed by Roderick Van Tuyl, P.C., please be advised as follows: RESOLVED that the Southold Town Trustees have reinspected the property located at 2060 Clearview Ave., 8outhold as reqnested by the Building Dept. and have determined "No Jurisdiction" as proposed on the map of property for Joseph P~rricone, surveyed by Roderick Van Tuyl, P.C. amended November 4, 1986, ail in accordance with the provisions set forth in the D.E.C. permit issued. Please be advised that this determination is not a determination for any other agency that may have an application pending for the same or similar project. Very truly yours, Henry P. Smith, President Board of Town Trustees HPS:ip / cc: Bldg. Dept. D.EoC., Stony Brook file TWIN FORK SIDING CO'~' "~'!" TOWN O~ ~O~i~HOLD BUILDIN~ DEPARTMENT TOWN HAI~L SOUR'HOLD, NY Pe~isslon is hereby g~anted to: DEVELOPMENT PERMIT Date County Tax Map No. 1000 Beotton ~9~ Block ~ Lob m~ ~, ~ d~~ ~ "-- ~lppro~od by the Building Inspeotom. Building Permt$ No. 4/8o Building THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000663 BUREAU OF ELECTRICITY ~ 815 JOHN STREET, NEW YORK, NEW YORK 10038 CERTIFIE~ THAT Mr. & lira. Steve Perrtcon~, Oakla~ Avenue Extension, Eh6 of Road on Water~ Southold. N.Y. in theJollowing h,catlm,; ~ Basement [~ Ist FI. ~ 2nd ~. Section Bl~k Lot , . , July 27, ]987 fiXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 65 4.7 65 65 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R Motors: l-3/4hp 7-GoF.C.I. 1-s~ke Detector C A W G. NO OF HI-LEG A W, G NO OF NEUTRAtS A, W G. CC COND OF H~-LEG OF NEUTRAL 4/0 1 4/0 0term Bradley Box 602 Laurel~ N.Y. 11948 Lie, 1227 GENERAL MANAGER 11 / ~, This certificate must not be altered in any manner; return to the office of the 8oard if iacc~rrect. InspeOors may be identified by their credentials. COPY FOR .BU LDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT E,~~ MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this ~ day of ~ , · Notary Publict~ County Notary Public · . ~, $(do~k Te,~ ~res M~h 30, Application Received 19 Disapproval Issued'119_ FORM NO. 10 Permit ~ 19 APPLICATION FOR DEVELOPMENT PERMIT IN THE TOWN OF SOUTHOLD ±. Type of uev~£opment Proposed: Addition and/or Alteration Other (specify) ~/ .//~z~_ . 2. Elevation Data in relation to above mean sea level Of: (a) Lowest floor elevation, including basement ~ feet (b) In a V Zone, bottom of lowest structural member 3. FIRM--Flood Insurance Rate Map, Zone designations 4. Owner Of Premises %~5~H P~[c ~. 5. Location of Property: House ~ Street County Tax Map No., Dist. 1000, Section Subdivision New structure (zncluaing storage tanks Flood Proof Below Base Flood Elevation inches feet inches L,/2 · Hamlet 6. Permission to be granted: WTO Block fO Lot(s) Filed Map% Lot (s) ~Owner as above New Owner Under Contract Lessee Contractor Phone # Name if not given above Mailing address 7. Approval from other(s) before Permit is issued: Health Services ~'~ ~ Building Permit /~$--~3 . Planning Board 8. I, ~~/ ~. ~,'C¢;A/~ , the applicant,' am the Owner __, Co-Owner ~ New Owner Under Contract Lessee Agent Contractor and agree to comply with all applicable sections of the Code of the Town of Southold; County, and State and to admit authorized inspectors to premises authorized to perform or have performed the said work and to make and file this application, that all statements contained in this application are true to the best of my knowledge and belief and that the work will be performed in the manner set therewith. STATE OF NEW YDRK COUNTY OF ~u~J~_ ~SWORN TO THIS ~,/ %~d~DAY OF forth ~Sig~4~ture Applicant's mailing address and phone # if not given above in the application filed 11/85 FORM NO. 10 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 P.O. BOX 728 i Town Hall Southold, N.Y. 11971 Main Road ~ Southold,N.Y. ,APPT.TCAmION FOR DEVFL~PMENT PEPMIT Instructions: The application to the Buildinq Inspector includes (each ~n dupli6ate) 1. Form NO. 10 filled out in ink or typewritten, 2. Sur- vey of premises withielevations above mean sea level, 3. Drawings of pro- ]posed work. The application must give complete information to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Code of the Town of Southold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any other agency requires. General Standards aslrequired in Section 46-17 of the law to minimize flood damage: A. Anchoring oflstructures, including tanks and mobile homes B. Use of construction material and methods C. Design and location of utilities D. Subdivision proposal with drainage, public utilities design and base flood elevations Specific Standards a~ required in Section 46-18: A. Residential construction B. Non-residential construction C. Mobile homesi The applicant must sDbmit plans and specifications as well as any other information requested by the Building Inspector to substantiate the facts that the structure h~s or will have the lowest floor, including basement/ cellar, elevated above the base flood elevation or; if permitted by the Federal Regulation, ithat: 1. such structure is flood proofed in such manner that below t~e base flood level the structure is water tight with walls substantially land impermeable to the passage of water, 2. that structural components are capable to resisting hydrostatic and hydrodynamic loads and effects of buoyancy, 3. applicant must submit certification by a registered professional engineer or architect that the standards set forth in Section 46-18B (1) (2) (3) of the Southold Code are satisfied. Coasta~ H'igh ~a.zard,~ area (V,Zone! 46-19. Applicant,~all,..s~bmit plans, spedi~flba~t~oh~ ~ncluding the requzred certifications'~ ~c~'o~her ~n- formation as the Building Inspector may requi~e,,~.t~at the provisions of 46-19 are complied With. Mobile homes are p~bi~e~d. The lowest portion of the structural m~mbers of the lowest floortoa~n~t be lower than the base flood elevatioh with all space below ope~e~t breakaway walls. Sand Dunes. If sand dunes exist on the premises and the applicant pro- poses to alter same; plans and specification must be shown in detailed nature of any alteration submitted. Building Permit. A!Building Permit is also required for any structure. Both a Development and a Building Permit must be issued before any work can start in a special flood hazard zone. A written disapproval or a permit must be issued within ten (10) working days. During construction; the inspector shall be notified in time so he may make the required ihspections. Upon completion, the required certification of the final elevations and work must be.submitted before the approval to use or occupy can be approved. (Filli OUt the form on the back of this sheet) FORM NO. 1 TOWN OF SOUTHOLD NOV J ~' 1~6 [ BUILDING DEPARTMENT TOWN HALL , SOUTHOLD, N.Y. 11971 TEL,: 765-180:3 Approved-~... ~...I.q., 19 ~.b. Permit No. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERNIIT Received ........... ,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, ho~ng code, and regulations, and to admit authorized inspectors on premises and in building for necessary// ?-//~in/sj~e?ti~ns' ~ //f~ ~ (Signature of/[pplicant, or name, if a corporation) .... F..~. 0.~. . . .~./. . . ./.4b.~'W.~-/~ ............. X{_ ~'i~ ... .......... ................. ~4~., ..... ~ .... (mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... ~..~..~.If?~..~. <~.& .. ................................................................. Name of owner of premises ...... ~.t2 .'~...~..~.//../~..~../t°?. ~.~7.O. .bi £? ......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ....... '7.'7...%0. 7 ~../7 ....... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ....... [.~. ............ 1. Location of land on which proposed work will be done .................................................. ................... .~p.b..0....~ .~.4/~./i O~.../.~.~_/: ........... ..s: ¢. e-77.¢. 0..<o... .................. House Number Street Hamlet County Tax Map No. 1000 Section ..... O. ~.O. ......... Block .... /.0. ........... Lot....~..~[5..g:. ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy .................. ~.~.~ff~.../5-~'~ .~.//.4 .~2.' ~.. Z)./~../~5'~&./'. ,.~(~.- .............. 3. Nature of work (check which applicable): New Building ........ ddition . i Alteration Repair Removal Demolition ' ....................................... ,.. Other Work ............... ~.[fl. O.j .D. i (Description) 4. Estimated Cost . Q (to be paid on filing this application) 5. Ifdwelling, number of dwelling units. .... f ...... Number of dwelling un on each floor ....... ~ ........ If garage, number of cars ........ .~.. . . ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear . ............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ............ ~ .... Rear .......... : ....... Depth ...................... eight ................. Number ries ................. 8. Dimensions of entire new construction: Front .... i~r~ ~ $ ..... ..... Rear ........ ' ..... Depth .... ~/ ...... Height .... ¢:~ ........ Number of Stories . .. o ~/.~ , . 11. ~one or use ms,net ~n which premises are situated ........ /.~gSV~ ~.~?.~.~ ..... '... ' ................... Does proposed construction violate any zoning law, ordinance or regulation: ..... :.. ~ p. .......... ;~ ........ 13. Will lot be regraded ........... f.~ · ·; .......... Will excess fill be remove~from premises: Yes 14. NameofOwnerofpremises~J-e$.tA~/..P.d~g~.c.o.~\,~ .... Address 0J'q ,(.~.~v.~.~qO Name of Architect ........................... Address ................ ... Phone No ......... ....... 15. Is this property located withinlo0 feet of a tidal wetland~ * Yes ~'~ ~ '' · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. iud{cate all set-back dimensions from descri i~ according to deed, and showistreet names and indicate whether property lines. Give street and block number or pt o/~t~[ interior or corner lot. ~xr~'~ ~_.~ :TATE OF NEW.YORK, ~ ~ Z,"~'¥~/~'w''m" 'f' '~'~' '~' · .... e ........... being duly sworn, deposes and says that he is the applicant / (Namef~f individual signing contract) bore named. (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this application are 'true to the best of his knowledge and belief; and ,that the ork will be performed in the manner set forfh in the application filed therewith. · om to before me this ~-~q~,,~__.~7 -- (Signature of applicant) FORM NO. 10 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 P.O. BOX 728 Southold, N.Y. 11971 Town }[all Main Road Southold,N.Y. .APpT,TCAq~TO5~ .WOP DEVFI,mP~ENT PEPMIT Instructions: The application to the Building Inspector includes (each ~n duplicate) 1. Form No. 10 filled out in ink or typewritten, 2. Sur- vey of premises with elevations above mean sea level, 3. Drawings of pro- posed work. The application must give complete information to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Code of the Town of Southold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any other agency requires. General Standards as required in Section 46-17 of the law to minimize flood damage: A. B. C. D. Anchoring of structures, including tanks and mobile homes Use of construction material and methods Design and location of utilities Subdivision proposal with drainage, public utilities design and base flood elevations Specific Standards as requised in Section 46-18: A. Residential construction ~ B. Non-residential construction C. Mobile homes The applicant must submit plans and specifications as well as any other information requested by the Building Inspector to substantiate the facts that the structure has or will have the lowest floor, including basement/ cellar, elevated above the base flood elevation or; if permitted by the Federal Regulation, that: 1. such structure is flood proofed in such manner that below the base flood level the structure is water tight with walls substantially and impermeable to the passage of water, 2. that structural components are capable to resisting hydrostatic and hydrodynamic loads and effects of buoyancy, 3. applicant must submit certification by a registered professional engineer or architect that the standards set forth in Section 46-18B (1) (2) (3) of the Southold Code are satisfied. Coasta~ H%~h ~azard~ area (V Zone) 46-19. Applicant~all submit plans, spe~---~iflba~on~ ~nclu-~dln~-~the required certifications'~nd ~s~ch~other in- formation as the Building Inspector may requ~e~ ~ that the provisions of 46-19 are complied with. Mobile homes.are p~6~%~bi~d. The lowest portion of the structural members of the lowest floor~o~%n~t be lower than thee base flood elevation with all space below ope~e~t breakaway walls. Sand Dunes. If sand dunes exist on the premises and the applicant pro- poses to alter same, plans and specification must be shown in detailed nature of any alteration submitted. Building Permit. A Building Permit is also required for any structure. Both a Development and a Building Permit must be issued before any work can start in a special flood hazard zone. A written disapproval or a permit must be issued within ten (10) working days. During construction, the inspector shall be notified in time so he may make the required inspections. Upon completion, the required certification of the final elevations and work must be submitted before the approval to use or occupy can be approved. (Fill out the form on the back of this sheet) 11/85 Application Received 19 Disapproval Issued 19 Permit 19 FORM NO. 10 AP~PLICATION FOR DEVELOPMENT PERMIT IN THE TOWN OF SOUTHOLD 1. Type of Development Proposed: Addition and/or Alteration__ Other (specify) 2. Elevation Data in.!relatlon to above mean sea tevel'0f: (a) Lowest floor ~levation, including basement J feet (b) In a V Zone, bottom of lowest-structural member 3. FIRM--Flood Insurance Rate Map, Zone designations 4. Owner of Premises i 5. Location of Property: House # Street County Tax Map Nol, Dist. Subdivision Permission to be granted: New StruCture (~nclu~ing storage tanks Flood Proof Below Base Flood Elevation inches fee't inches Hamlet 1000, Section ~ Block ~O Lot(s) Filed Map# Lot(s) ~Owner as above New Owner Under Contracti Name if not givenl 'therewith. Lessee above Contractor Phone # Mailing address Approval from other(s) before Permit is issued: Health Services Building Permit i/~$--~3 Planning Board I, ~~/ ~ ~,'6.W/V~ , the applicant,' am the Owner . , Co-Owner , New Owner __,i Under Contract , Lessee and agree to compily with all applicable sections of the Code of the Town of Southold; Counlty, and State and to admit authorized inspectors to premises authorizled to perform or have performed the said work and to make and file thils application, that all statements contained in this application are tlrue to the best of my knowledge and belief and that the work will be perflormed in the manner set forth in the application filed STATE OF NEW YpRK COUNTY OF ~~ SS SWORN TO THIS i [ ~-- . DAY OF ~otary Public Applicant's mailing address and phon~ # if not given above i11/85 '~Sig~ature °.~11 .fro ~" ',EXPIRES ' F, 0 C~M TO, T~ .ST~A~  ~ C~TRUCT~N O~Y ~ /~ ~ ' '~ 5UI~VEYED ~E //_/7_ ~ ..... . ~, , - - /:--. ~F~ CO. TAX MAP ~ - DI~. ~CT. BL~K ; b t ~UTNOLD _,:. ! I I-- ~RS ADDR~: 'S- ~" '~'~~ ~, ~ / '°-"-'.~ ~8 ¢~ ~~ ( ~ g T~ e ~.~.,~I ...... ' J+z' · .~M, O~D~ ~A~.~ ~.~_~__ t ~:~--. 05--~. t '~ ~ to t~ ~;q~ ~ the I~ne ~ t . -- ...... o~ ........... CLAY ~,~;.(~::,~ ~V~ L ~V. ~, I9~ ~ S~EVED GRE~T ~ Y~K ', F!..WA ~ ,.jr:U] C. AtL. L A)/,/H 5,810630 E. ELEMpEi4 5UF'ES'0 FT, AI:3OVE MEAN 5E-'A LEk/[ L z - 1,5'b"'~ 3 0 'd L:i HONO i'-I EN'f' RODERICK VAN TUYL P.C. GREENPORT NEW YO~K SUFFOLK CO. HEALTH DEPT. APPROVAL H. $, NO. STATI~MENT .OF INTI~NT THE WATER SUPPLY AND ~[WAGE DISPOSAL SYSTEIv~ FOR THIS RESIDENCE WILL CONFORM TO THE STANDARD5 OF THE SUFFOLK CO. DEPT. OF H~ALTH SERVICES. (SI APPLICANT' SUFFOLK COUNTY SERVICES - FOR CONSTRUCTION ONLY DATE: H. S. REF. NO. API~tOVED: DEPT. OF HEALTH APPROVAL OF · UFFOLK CO. TAX MAP DESIGNATION: m~r. S~CT ~LOCK ~.. ~ooo 0'70 ~o Zli.~,,, DEED: o488 P. TOPSOI L IJ~)AP1Y LOAM, TFZAC Er OF ';.LAY 5A M P, ,.% kAV~ t_ ~AL L~. J ~ SLIFI~'OLK CO. "' H~ALTN ~I~;'AIIII~I. OYAL ~1 I H.S. 1~3. _O~LA~ ,1 ~ ~ ~.1~'~ ~ CW~M TO T~ I~M '~ T~" ---~ . ' ~O~~N ~Y jO E:?~ lEI 21 ONL ......... " .i .~' '~'. z,,~-r -~~ Ar : ~ ' ~UT HO L D O~. ~CT. ~K ~L. F~ Z ?-~ _. F-/ . ...... R~ VAN TUYL, ~.C. ~ L~D LAND ~V~ GREE~RT N~ Y~K (VACA~4F) . ELEV 8,.0 PE~ 5UFF' 40. P, P W. )~'T<tlAL SU~V EY AF~4~VE MEAN 5E.A LEVEL ..,¢ A ',-' T~ WATER ~', COrM TO (S) ~ A~ 'MOL ~ )U'FHOLD, tqm ~Ns~ .=/~ f.: 4:)',j' ' ....... CLAy ...... i GOosE t '%P DF 5U ~2VE'~, -Z SlNGL£ EAMILY [~VELLING ONLY DATI~EC :3 ? Ig87 H.S. REF. NO. The sew~ disposal and water supply facilities for location have beeo i~s~cted by this ~partment a~/or other ag 's dfau tO lima R uSED IN wATER sOLDE. -,,~'TEM CANNOT ERTIFICATION SUPPLY ~.~,~ ,,~ 1% LEAD. pLUMBER C NT BEFO. ~E ON LEAD-C-O-NoTFE~ccuPANCY ExcEED 2/'" "' cERTIFICAt= APPROVED AS NOTED Z{4~ 2~ e I I ,[ I I I i , { I I I / / ? ? / ? / / ? / / / / / / / / / / k