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