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HomeMy WebLinkAbout14327-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15738 Date ....M.a.y. 6~ 1987 THIS CERTIFIES that the building .. p.n.e.. ? .aMi. 1..y..d.w.e..1.1.i.n..g: ...................... ty .379.00 ~a.i..n .l~qa..d Orient Location of Proper ,. .... . ............................................ t~ousa ivo. Street Hamlet County Tax Map No. 1000 Section . .q 2. 0. ....... Block 03 .Lot 9. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated S.q p .r... 3 ~ l 985 pursuant to which Building Permit No. I 4327 Z dated Oc t. 3, 1985 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... One family dwelling, 3 car garage attached, decks. Permit amended to include 2nd story. The certificate is issued to Peter & Sandra Nathanson ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval 85-80-76 May 5, 1987 UNDERWRITERS CERTIFICATE NO. N805225 April 23, 1987 PLUMBERS CERTIFICATION DATED: April 30, 1987 Building Inspector Rev. 1/81 MO~ NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NM 14327'Z Permission is hereby granted to: ~..~.......,...~.~....~.~..~.~.~ ..... ._~..~...~.~.L..~.~.........~... ........................... at premises located at ......~...-~,..~,~.,.~.,..,...~,,,a~... ,..~,._ .......... .~.~ ................................. County Tax Map No. I000 Section ..... ..(~...-.'~..~ ...... Block ..... ..~o..~. ....... Lot No.....C~..,...~.. .......... pursuant to application dated ...................... ..~.~~ .~, .............. , 19..~..~., and approved by the Building Inspector. Rev. 6/30/80 I'IELD~ I.N S,!~ECT I ON FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBIN6 INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA~ COMMENTS: NEW YORK STATE DEPARTMENT OF ENVIRONMEN1AL CONSERVATION PERMIT ' PERMIT NO, 10-84-1372 UNDER TIlE ENVIRONMENTAL CONSERVATION LAW  ARTICLE 15, (Prolectionof Water) [] ARTICLE 25, (Tidal Wetlands) ARTICLE 24, (Freshwater Wetlands) [] ARTICLE 36, (Construction ill EIood Hazard nt rmii /~,~JED TO ........................................ Pot'er Nil LhallS()ll AL)~R~E SS O~[~fTE~ ........... 580 ~lum Island Lane, Box 8]5, Oriont, NY 11957 i (;~ ATION ()P PRO}ECT (Soclion of slream~ Udal wellanfl, flam~ bmldia~) Or J ent b('RIPFION OF PROJECt Construct a one family dwelling and sanitary system as shown on the pJans submitted (Young and Young survey dated May 2, 1983). -6M:4 g ~Tf~-N~(~,~k ( C i~y:-f~FITa~T' ..................... JTOWN Orient J Southo]d I)LNIY FIA COMMUNITY NO. DAM NO. - ......... PERMIT EXPIRATION DATE ,Suffolk ~ December 31, 1986 G[~[R^I. CONDIIIO~S 8. ]hal the Stale of New York %hall in no case be liable for any damage or injury 1o lhe slr,cture or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or ,nprovement of navigation, or for other purposes, and no claim or right to 9. That ff the display of Ii§his and signals on any work hereby authorized is not otherwise provided for by law, such lights and si§hals as may be pre- scribed by lhe U,iled Slales Coast Guard shall be installed and maintained 11. Jf granled under Articles 24 or 25, the Department reserves the right be lust and equitable. If upon the expiration or revocation of this permit, the modificalion of the wetland hereby aulhorized has not been completed, the applicant shall, withoul expense to the State, and to such extent and in such remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made aRainst the State of New 12. This permJt shall not be construed as conveying to the apphcant any right to trespass upon the lands or inlertere with the riparian rights of others In perform the permitted work or as aulhorizing the Impairment of any rights, 13. the permittee is responsible for obtail~ing any other permits, ap- provals, lands, easements and rights-of-way which may be required for this project. 14. If granted under Article 36, this permit is granted solely on the basis of lhe requirements of Article 36 of the Environmental Conservation Law and Part 500 of 6 NYCRR (Construction in Flood Plain Areas having Special Floo~ Hazards - Building Permits) and in no way signifies thai the project will be free from flooding. 15. By acceptance of this permil the permittee agrees that the permit is contingent upon strict compliance with the special conditions on the reverse side. (SEE REVERSE SIDE) 16. In order to protect the values of the affected wetland, a permanent vegetated buffer zone shall be preserve~. There shall be no disturbance to the natural vegetation or topography within an a~ea extending 50' landward of the wetland boundary indicated by the "Edge of Wetland" ~n the Young & young survey dated May 2, 1983. SEE ATTACHED CONDITIONS A -I J A] terna~e PER~IY ISSUE DATE April 23, 1985 ADMINISTRATOR /. ADDRESS Bldg. 40, SUNY--Room 219 Stony Brook, NY 11794 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ B5 JOHN STREET, NEW YORK, NEW YORK 1OO3E ~at~ April 23, 1987 470376/87 No.o. Si,e N 805225 THIS CERTIFIES THAT PIll4327 Z only the electrical equipment az deserlbed belo~v and introduced by the applicant named on the above application nurnber in the premises of Peter Nathaneon, 37900 Main Road~ Orient, NY in thefollowing locatlon; [] Bazement [] Ist FI. [] 2nd FL 3rd. floor Section Block Lot tt~s exa,nlaedor~ April 13~ 1987 and found to be in compliance u'ith the requirements qfthis Board FIXTURE OUTLETS 37 RECEPTACLES 63 SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 38 37 FLUORESCENT DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CROCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C E NO OF CC COND, PER ~' OTHER APPARATUS: ~$pecial recap tacles; 2-30amps., 1-50amps., 6-G.F.C.I. 3-Smoke detectors A W G. NO OF HI-LEG OF CC COND. Main Road(Box 815) Orient, NY 11957 GENERAL MANAGER Per ~ This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors moy be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERT F CATE MUST NOT BE ALTERED N ANY MANNER TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. ~ Owner /~T~ /~u$.~ Plumber (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 19 ~7 · Notary Public Notary Public, ~ County HELEN & DE ~OE NOTARY PUBUC, State ef New No. 4707878, Suffolk Cotmty~ BUILDING DEPT. INSPECTION ~ ] FOUNDA'nON I,~'T [.,~J~ ROUGH Pile. FOUNDATION 2:ND [ ) INSULATION mING [ ]FINAL (/ INJ~JJ~"'TMJ 765-A~02 BUILDING DEPT. INSPECTION FOUNDATION ZST [ .]/ROU/GH PLBG. FOUNDATION ZND [ c~flNSULATiON I' ] FRAMING [ ] FINAL REMARKS: ~--/~.~o ,~,~/,/o/,-/ ~FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT Examined <Z~ .4 .... , 195.~.~ TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved .c~. ~. ~ .... , 19~. Permit No. j.t~ .~.~...~. Received ........... ,19... Disapproved a/c ..................................... .. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...................... 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, insp~,,a~.__ ---~~ (Signature of applicant, or name, if a corporation) ....... /.~.~: ?. (.5.~.,, .~2.~.;.~?. ?~'//:/'..//.q?7 ?.'. .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... O.W.~z~.~. .................................................................................. Name Of owner of premises . J.~..t'.'.~¢.~...~.,...r..~.a.~.~..v-.ck...~.,.. ~. 6..~'.~?..~fi/.m. .............................. (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 .......................... Plumber's License No. Electrician's License No. Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ...... F .r, ..................... ........................... House Number ~'7'¢~<".J C:~ 'Street Hamlet Connty Tax Map No. 1000 Section . .~..~.. .......... Block .... .1~.~. .......... Lot....~.t..~.. ......... 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 ..... ~,./.a..~?. ~. {..a ~t d ........ ~ . ........... Lf ...................... b. Intended use and occupancy 9. 10. 11. 12. 13. 14. Nature of work (check which applicable): New Building ....... 'Addition .......... Alteration .......... Repair Removal Demolition Other Work Estimated Cost ........... ~ ........................ Fee ~...O~', t~/D (Description) . ................................ .. .. (to be paid on filing this application) If dwelling, number of dwelling units ...... ! ......... Number of dwelling units on each floor... ! ............ If garage, number of cars . ~,'~. ! ................................................................... If business, commercial or mix{d occupancy, specify nature and extent of each type of use .................... iDimensions of existing structures if any: Front '~. '~ Rear" -- Depth ' ' Height ..... Number of Stories . -"--'~i-.. ,. . Dimensions of same strn e With alterations or additions: Front ................. Rear ................. Depth " Height Number of Stories Dimensions of entire new construction Front .'~z/ Rear . 77r . Denth .t~ .'.. . S~zeoflot Front /.~Y.q Rear /.~.~,~/ ......... J)~;;t~ "~_~'j.2~ Dat~ of Purchase .. ¢.~ g..2.~. !./~.q'..~ Name of Former Owner .~. ~',~ ,./. t~, ./Z~ ql Zone or use district in which p3emises are situated ~.e $ ,,I *o Yen ................. Does proposed constructipn vi61ate any zoning law, ordinance or regulation. ~.~ . . ed from premises: ' Will lot be regraded ...~.~.~.:,~...:;.:~ ........... Will excess*~ll be r;n~.v ................. ~ " Name of Owner of premises ~.q~. ~. I.V~ ~lm~t~!l~... . Address ff~ ~ .~./~- .0.~., o,~ff~,. Phone No ~.. Name of Architect ......... .................. Address ................... Phone No ................ Name of Contractor Address Phone 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 blocl: number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ! S.S COUNTY OF ................. (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the ..................... .................................................................... ; (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly 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 his knowledge and belief; and that the work will be performed in the manoer set forth in the application filed therewith. Sworn to before me this ~ Notary Public ...... rT.--~-,rt-r ................. County , (Signature of applicant) ., , v,,- ' ...,,,, ,. ,.,,.. / . .. _. PET[R NATHANSON ~ ~ANORA NATHANSON AT ORIENT DATE: MAY ~WN ~ SOUTHOLD SCALE; I" = 50' "E*~F~ CO. TV, NEW ~K ,NO. N~U~IZEO ALTERATIQN OR ADDITION W~FCO. T~MAP ~T~eo~, SECTl~~a= ~CK o3 LOT ~'= -*- H~,'~i~.'Y~ ~A~Ji~[~$ oFrfHE LEH:DIH~ ' ' Rm[~ a~ ~ ~kCl~l WITHIN I00 FE~'0F TWl pROPErTY ~u~,,~ = v~,'~i~ ~.oE. avE~E !~!,, / I VU'!:I'~ ~ I VU;I~ RiVER:~AD, NEW YORK iii I= MONUMENT ~= STAKE ~L~L(WI,~CTA~K(~IecE~SI~)~N~E~ ~, ~ ,I~ N.~S. LICENSE N0.45~93 ME ~M FI[~ ~fl~l ~ OR DATA OITM~O ¢q ...~,~' ~'~d',.~ ;.,. ' '"' ""~" ' " ' :~'~- ' "' , , PETER NATHANSON & SANDRA NATHANSON ~UFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES AT ORIENT FOR APPROVAL OF CONSTE~TION OF ~ ~ SOUTHOLD SCALE= I"= 50' Single Family Residence O~ly SUFFO~ CO~TY, NEW ~ ,~o. 83-2o4 flOT~[ Cg~.SIDE~K~ T0 BE AVALID TNUE COPY HE~ DEPARTMENT-DATA F~ ~ ~ C~STRUCT AND ~ HiS B[~LF ~ THE TIYLE ~Y, GOV~N- ~N ]FNEAI[ITco. T~MAPW] 1AIN--iL~TJeoe ~SECTiONN SOURCEoi~ ~ WATEI ,~CK o]~I~TELoT--P~ICg. Z -- ~E~, A~O ~0 ~E ASSt6NEES OF THE LENDING ',~ MmEM A~ ~ WELLI~I WITHIN I00 FEET OF TW~ PROPERTY I ~TI~UTI~. ~UARANTEES ARE~ ~T TwSFER~BL~ OTHER THAN THOSE .~HOWN HEREON. owners ' ' N THE WATEN SU~Y A~ SE~GE M~Ak SYST~ ~ ~IS WILL.FORM ~ T~ ~T~N~F~H~S~K CO~TY DEPARTMENT MDIS~ANCK$ S~N HEREON FROM PR~ERTY LINES '~ TOEX~IST~G SYRUC~RES ARE FOR A SPECIFIC YOUNG' S YOU ~'" . ~ RIVER~AD, NEW YORK MONUMENT ~TAKE ;,~'~ AND LAND SURVEYOR N,Y.S. UCENSE ~ ALDEN W. YOUNG, PROFESSIONAL. ENGINEER ~ ~ L~T~ ~ ~C(W), ~lC TANK(ST)a C~S(~) ~ ~NE~ F ~) N.Y.S. LICENSE NO. 4589 ~ ~E ~ FIE~ ~T ~S ~ OR DATA OITm~D F~ OTHERS ~ SUFFOLK COUNTY FtEALTH DEPARTMENT /' SINGLE FAMILY DWELLING ONLY / THE SEWAGE DISPOSAL AND WAT~R SUPPi Y FACILITIES FOR TH S .// LOCATION ~AVE B:EN iNSPECTeD BY T~IS DEPARTMENT AND I/ FOUND TO BE SATJSFAOTORY. O' F W~P~99' rE~r ~OLE .... ' SURLY FOE PETER NATHANSON ~ SANDRA NATHANSON ~AY :, 1987 JAN, 9~ 1986 ~WN ~ 5OUTHOLD FOR APPROVAL OF CONSTRUCT~ ONLY SUFFOCK COUNTY, NEW ~ ..... .No. ', u3-~04  YOUN~ ~ OS~NDER A~E ~ S.E ~ J AND ~D SURVEYOR N.Y.S. ~, ~ ~ J HOWAaO W. YOUNG, LAND SURVEYOR L EF~ ;"'"~ , '",j .... ,' --' , . APPROVEDA$ NOTED ~ ' ' : , ,~ ' . ' , ' - ~ ' ' -~'" ~ % , '.~'m'~ ~'~"-, :~ :' ~' ~ ~' ;' FOLLOWING INSPECT ON~ i i Ir ~ ROUGU,. FRAMING ~ pLUMBINO ' ~our~l~I ~ - Main ,, :";'. ]' , ~ ~ ~" ' '~ ',, -BE~OMP~ETEFO~C.O; ' ':' ~ ~' ' ~HEREQU~ENT~0FTHENY~ .... ~IIHUUI ~IIFI~Ii , ! FO r