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
, !
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