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HomeMy WebLinkAbout13729-zFIELD INSPECTION FOUNDATION (1st) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY FINAL ADDITIONAL COMMENTS: FORM NO. ft TOWN OF Sou'rHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 13729 Z Permission is hereby gronted to: ..~.?.......~.....i~L ............. ~~.~....~..:~:..o......u.~..~ ..... ...... County Tox Map No. 1000 Section ..... .(~,~;~...~. ..... Block .....~.~.. ......... Lot No ....... ...~. ............. pursuont to opplicotion doted .... ..~..~...A.~. ........ , 19.~.~.., ond opproved b', ,h.,e~,__,~,.1''~ Building Inspector. Fee $., . Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765q802 This is to advise you that the job under building permit no. 13729Z issued to Frank Santamaria on _ 3/6/85__ for New Dwellinq is completed and a final inspection has ( ) has not ( X ) been done. An Underwriters Certificate is needed In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a ch,ack for $25.00payable to the Town of Southold. Please indicate to Whom the Certificate of OccupanCy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Victor Lessard Executive Administrator VL:gar NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION PER iT I PER.MET NO. 10-84-0484 UNDER lttE ENVIRONMENTAL CONSERVATION LAW ~ ARTlCLE15, (Protection of Water) ~ ARTlCLE2S,(TidalWetlands) ARTICLE 24, (Freshwater Wetlands) ARTICLE 36, (Construction in Flood Hazard Areas) PERMIT ISSUED TO Frank A. Santamaria AOORESS OF PERMIT] EE 220 Colonial Road, North Babylon, NY 11703 LOCATION OF PROJECT (Section of stream, tidal wetland, dam, buddmg) Northeast side of Tarpon Drive, approximately 630' south of NYS Route 25, dredged_basin, Arshamomaq~u~e DESCRIPTION OF PgO]ECT Construct single family dwelling within building emvelope shown on survey dated April 7, 1984, therefore, dwelling will be located greater than 200' from the intertidal marsh. Install san- itary system between dwelling and Tarpon Drive. COMMUNITY NAME (City, Town, Village) TmWN !Arshamomaque ~ 8outhold COUNTY ]FIA COAfMUNtTY NO. ] DAM NO. Suffolk GENERAL CONDITIONS 8. That the State of New York shall in nocase be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operattons undertaken by the State for the conservation or 9. That if the display of lights and signals on any work hereby authorized is not otherwise provided for by law, such lights and signals as may be pre- scribed by the United States Coast Guard sItall be installed and maintamed 10. All work carried out under this permit shall be performed in accor- dance with established engmeerin§ practice and in a workmanlike manner. 11. If granted under Articles 24 or 25, the Department ~eserves the right be iust and equitable. If upon the expiration or revocation of this permit, the modff~caUon of the wetland hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such site to ils former condition. No claim shall be made against the State of New 12. This permit shall not be construed as conveying to the apphcant any .gilt to trespass upon the lands or interfere with the riparian rights of others to perform the permitted work or as authorizing the impairment of any rights, titre or interest in real or personal property held o~ vested in a person not a 13. The permdtee is responsible for obtaining any other permits, ap- proYais, lands, easen'ents 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 the requirements of Arhcle 36 of the Environmental Conservation Law and Part 500 of 6 NYCRR (ConstrucUon in Flood Plain Areas having Special Flood Hazards -- Building Permits) and in no way s~gnifies that the project will be free from flooding. fS. By acceptance of this permit the permittee agrees that the permit ~s conhngent upon strict compliance with the special conditions on fhe 95-~0.4 (9/75) (SEE REVERSE SIDE) ~I~ECIA L CONDITIONS 16. House construction must meet local and federal flood plain ordinances. 17. No fill is allowed on the property within 300t of the intertidal marsh without a NYSDEC permit. 18. There shall be no disturbance to topography or vegetation within 75± 1.f. landward of the tidal wetland boundary. ~EE ATTACHED CONDITIONS A - J ~ERMIT ISSUE DATE May 22, 1984 JPERMITADMINISTRATOR Daniel J. Larkin ADDRESS Bldg. 40, SUNY--Room 219 Stony Br-ok, NY 11794 New York State Department of Environmental Conservation NOTICE Permit No. The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted on this site. For further informa- tion regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. 10-84-0484 September 30, 1985 Expiration Date 95-20-1 (11/82) Regional Permit Administrator Daniel J. Larkin NOTE: This notice is not a permit FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ........ 19~ .~. Permit No.'/.~ .~. '~' 'q. '-~'' Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT. TOWN OF SOUTHOLD 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 housing code, and regulation_s, and to admit authorized inspectors on premises and in building for necessary inspec~ons. (Signa[ure of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. v Name of owner of premises . .:.g'.A''5 ~..~..~.D..4.*.-[.~.~.~.. ~..4 ~J-/~.~,'~q-~X, ............. (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...2c~.~..q..~.7[. ............ Plumber's License No..~....h~q~..'~,~, ...... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be .~.,..x~.~. q,.~. ~..,.-.--; ....... ~.~-.. ,--t ~: .......... House ........... Numbert41 .~.. ~4a q.6 ..WO..er.. gli.[c~y.ff..D.Street ............................................ Hamlet ......... County Tax Map No. 1000 Section . .(~.?~. ~..c..>? ....... Block . .077: P.~. ......... Lot..O~'/. .' .o..o.o.,. ...... Subdivision .... . .':~C~...~~...~. ~.C~..~..... Filed Map No. 5..~3..~. .... Lot. :~ .~.. ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... D/M ............................................................. b. Intended use and occupancy . .~o. ~.g .' .~ ~. ?.O...,4.4. J4/.~..Oki4. 0.. .~..~t. p.e4.0g. .......................... 3. Natu;e of work (check which appiicable): New Building .~.. ....... Addition .......... , Alteration ........ Repair ... ~.~..;.'~. :....~. · Rem6vol .............. Demolition ...... ,,,,~. ..... ~ll~ '¢jork ............... ..... 3~,.~ '~: ' ' ~~~1 (Description) 4. Estimated Cost...fO, P.~ ?..;{.: ....................... Fee .~. ~ .~/./~.~ ............ ~ (to be paid on filing this application) 5. If dwelling, number of dwelling~units ............... Number of dwelling units on each floor ................ If garage, number of cars .... ~ ................................................................. 6. lf business, commercial or mixea occupancy, specffy nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ l)~ensions of same structure ~ith alterations or additions: Front ................. Rear .................. Depth ................... i.. He~t ..... :. ~.~.~; ........ Number o[~todes ............... , ....... 8. Dimensions of entire new construction: Front..Q.~. ..... Rear ..~.) .......... Depth . .~q ........... Height . .%% .......... Number of Stories .~ .......... olze of lot: Front . Date of Purchase .../.~'..7. ~ ~ ¢~.~. ~ ........ Name of Fomer Owner ~o.~ ~ ~.. ~d ~./~.J ............ Zone or use district ~n whmh premmes are situated ..... ~t~..~ ........................ Does proposed construction violate any zoning law, ordinance or regulation: . .~ ......................... Will lot be regraded ..... Name of Owner of premises F~ ~.~.~ ~4 ~.~.. Address ~ ~g~ ~. .... Phone No. ~7: 0.~ ~. .... ~me pt a~ .......................... A~dress ................... Phone No. Nme of Contractor ........ ~ ................. Address ................... Phone No ................ PLOT DIAG~M Locate clearly ~d distinctly ~ bufld~gs, whether existing or proposed, and~ indicate ~1 set-back d~ensions from number or descdption according to deed, and show street names and indicate whether 10. 11. 12. 13. 14. property lines. Give street and block interior or corner lot. 0F, oo LoT'ooo, h is It, Lo-T STATE OF NEW YORK, S S COUNTY, .... i ' .... ',,,~. (:~'..~~ .............. being duly sworn, deposes and says that he is the applicant (NeTM "' me ofi~iw'dual sig~ing contract) above named. He is the ..................... ~ ................................................................... ' (Contractor, agent, corporate officer, etc.) of said owner or ou)ners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements confained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .~...<' C~ da of ..7~..--~... ........ ,19.~.~.''- Notary Public ........ ~.1 ~..,~.~ .~"..~:... County HELEN K, DE VO,E .... NOTARY PUBLIC, State eli New Yolk [40 47(17878 S ok'C0111¥ , q (Signature of applicant) Term Expires Marc I 30, 19-.~'~' ~ ~701e -L.' / ~o~ , /. ,,, ~, ~7 ~ ~~~'"'t &IN~LE F~ILY eWELUNa 0~ suRlY FOR FRANK SANTA ~UFFOLK COLL",;.' {' f,';:H',',ir 0:: ).'~Ud.)H 5ERVK;e5 LOT NO. 50, "SOUTHOLD SHORES" AT ARSHAMOMAQUE DATE= APRIL 7, 1984 .... "~m'~' C'q O~4L( FOR AI;E'RO',t, L O~: ¢, ........... t" ~ ~SOUTHOLD sC~E: I" = 50' DATE A~ROVEg / ..................... ~ COPIE! ~ ~11 ~VEWNOT ~AR~G THE LAHD HEAL~ DEPARTMENt-DATA F~ APPRO~ TO C~STRUCT ~E ~ FOR WHOM THE SU~EY IS PREPAREO ..,.....,...,.,,,..,o.,...,..,.o.,,, ,..,,..,........,., .T,..,...,, i~:~.: ../ / NOTE, 0 = PIPE ~ = STAK~ ALDEN W. YOUNG, PROFESSIONAL ENGINEER 8~OlVISION MAP FILED IN THE OFFIOE OF THE OLERK OF SUFFOLK OOUNTY ON AU~, ~9~196~ A8 FILE NO. ~85~ ANO LAND SURVEYOR N.Y.S. UCENSE NO. 1~845 HOWARO W, YOUNG~ LAND SURVEYOR ~ta~(w),~.~ct~l~tllc~o~s(~l ~ ~la N.~S LICENSE N0.4589~ BRANDIS & SONS INC, 1046