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Home My WebLink About26532-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27212 Date: 07/26/00 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property: 1425 LEEWARD DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 7 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 26, 2000 pursuant to which Building Permit No. 26532-Z dated MAY 26, 2000 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 ALTERATION, DECK ADDITION "AS BUILT"& SWIMMING POOL WITH DECK AROUND & FENCE TO CODE AS APPLIED FOR. The certificate is issued to PACIFICO INTERNATIONAL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 07/21/00 PLUMBERS CERTIFICATION DATED o N/A � f � - Z'� — /11;160ri r d Sighature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26532 Z Date MAY 26, 2000 Permission is hereby granted to: PACIFICO INT'L INC. (NEALON) for ALTERATION DECK ADDITION "AS BUILT" DECK AND SWIMMING POOL. THIS PERMIT REPLACES BP#16170 . at premises located at 1425 LEEWARD DR SOUTHOLD County Tax Map No. 473889 Section 079 Block 0007 Lot No. 020 pursuant to application dated MAY 8, 2000 and approved by the Building Inspector. Fee $ 341 . 00 Authorizf.er Signa re ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD 1 BUILDING DEPARTMENT i d 1OWN HALL j 2 620(G' 76s—lsoz APPLICATION FOR CERTIFICATE OF OCCUPANCY TQVVSIVI'•SGU,C'{lL✓ � A. This application must be filled in by typewriter OR ink and submitted to the buil inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property lir streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 foz 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buil and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. ♦ti B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings '.'pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applica If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Bui.ldine - $100.00 3. Copy of Certificate of Occupancy - _ .25c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . /Old Or Pre-existing $/wilding. . . . . . . . . . . Location of Property J. 41 .'.. . . .Ii,�` S 'AU . . .sp/e(V . .� . . �fJ� J1L� House No. Street Hamlet Ouwer or Owners of Property.. et f, ��. ..'!U:;l;N1Q.�l0n/4L County Tax Map No 1000, Section. ..7q . . . . . ..Block. . . . . . . . . . . . .Lot. . . . . . . . . . . . Subdivision... .. .. . .. . . . . ......... ... . .. . .. . . . iled Map... . .. . . . . . .Lot. . . . . . . . . . . . . . . . . ,f b . Permit No. l.0.2 . .Date Of Permit. . a ? . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. .. .. ..... .. . . . .. .. . . ... . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . ... . . . . ... . . . .. .. . . . . . Request for: Temporary Certificate.... . .. . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $A6. 0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P ICANT . . . . . . . . . . . . . . e � �� v ' ^�Albr. th Lt POOL 04 ,t. ': :_ ''' 1 : DATE- CT 2 M�� A. D. REF. #3 . V.T. , i WY W ' J4 Qma F, The sewage dispos81 and r.atcr supple facilities for ti Tis 1,3. ��- aPE;eted 'uy C''- s depat ;at a: '.i Pound to be satisfactory. IV --2e— ""Chief of General Engineering 7JI "'{ Services 13 -�,�x� '�;w, 'k - . , 'sL8 '•3�S'�C}LI �p/ .. #CS�t.�l 4 .x (V( Vi 01 Cj�'T't1 i - .Rr UNAViHORIZFD AItfAAT10N p 1 -}1' x..xr r "' •o t. - `�l Y+ 1'^ 70 THIS SVRV R AD DITIQN �' -� RRA SECTION is IS A VIOLATION Of T- S S C9 OF THE NEW yokk STATE T+'x!Y { /4 FFFa ii ',y OF LAW. T��( �1 .�r Ti THt(AND IUCOPLE5 OF THIS SM,EY MAP NOT SEARING ��J jy�y&_VEyC A'S-INKED SEAL 0 ,Y�F� 1 WIGS 70 SEAL Snit 1.-7 CE CONSIDEk�D IIY� ��W N7 WTWIr CT T �P,L E•a�, F T EE A VALID TROE CCPV �/ tt y,j�, ♦ - GWRANTEES.I9DICA1fD 11.PEON SLEA •�/U��,EA. •` sA-7..r }K. •. a / - C43T i u SON FCL OM 7 + { www. . `\ A. . T11'IE CCMW,T.G �' ALF.iD f{JF' J�/1�.. Y� Rk _ ETM 'i Lal lull) _ £MftECKAt .Y MIi •tir�.� '�+ir. yV�L - .. '34, 1 dtt�1C CC3 t w 1 > C +4R aria r tnE1L5 �A"TiACRD w '7 1 +STP 1+� ' $595 ..• m�`a 1214:140 TOM E.IC(rfJ9?rlh 1./ f�FttVYCs kYui 2 f i s6ilW.,;;,s.p sURSEpLEyE - � - � CERip9C11TE OCCUPANCY OR USE ISJUNL AWFUL PROVED AS NOMD IMMEDIATELY" WITHO ' T CERTIFICATE oA�eRWEN ENCLOSE POOL TOCO OF OG UPANGY lFy UPON COMPLETION BEFORE-WATER• + a 9 AM PM FOR THE FOLLOWING INSP NS: `` t FOUNDATIO 0 REQUIRED f \ FORPOUREDC N ETE _ E ROUGH - FR MI & PLUMBING 1 INSULATION A FINAL • CO ST UCTION MUST BE COMPLETE FO C.0gg 4 CONSTRUCTIONBOLL MEET %s iE REQUIREM N 6F THE N.Y. 8 ATE CONSTRJC7 ON & ENERGY C DES. NOT RESPONSIBLE FOR x. . . D SIGN OR CON All, TR CTION ERRORS Y O , SIL . O g f � r Al NMIM temexd Dr., SmUrAd upmpoaed W aq4jiit" 1425 4ee"rd Dr.,WAWW,NY teOQ-7a7-20 � !'x7mrsh uiah Hnk fxr.x u"-a-,,Code 3W eel(Mcheg F�^ RWoeed deck ater ial bo rg2am ycayel bed t Y GrWM bed E—Ekvlom-wound Wm an ,r Pad 2 Hoose "P Oeak sro Owk _fence DKk 1141m fence /�J1 EkvAkn-17 `� - 4%at5fo6oc ftnce � Ekvv'afim-te' 3Weelt Ylcifi690 29-1Goc W hoW hwgen `2m ett crowd waird entlrc pffh.dtletk VMS decMg L DT 1 C�kD s 0 N if -{• �5 �� 6`w iN-L:uK tNG� �pICl PSu rG f""� xi less T/w,v Z K rgh or m w6oaEN ABGk f �gk �/fid toX•ft rINC � rcJ E+KlsTinsG. n _ n 41 Ml �G 7EA ND 1 47�A MR LbT 3`7 � ''¢�� al MAP of Leewa�rrla,�cres avD * . wj*fbow WAt5eED IVEILON, ( uwtjaZ .roow (P1210R DWKE1e 1 CNASE M,PSANid + cou Trs l ��ssl'p0 ql` ± PrOPOSta ANb �s Sui l7 PLAN �}_ao.00 3P, ►b 170 7)z(87 6.p, g4-12 lob r L-& WRkD D2fUE �lr. �� ropsa;L LA �! 1 µ,Z$ tCuWl � ' t9� LoT S'lze : 41 as 11�} 13 - �' i _ 1425 Leeward Dr.,Southold,NY i 7000.737-20 ;trgr 022 ti o r r' r 3W self Iwtddng gate 4'x 7 mesh drain lint fenoe U aa16'oc 2teskrtboom Deck`fRaPoSEv) EW#abon- nd kwel s » r4 ra CCA CGR 5/4x6 tleckkg ccA _Ekvalnn Wound Wei NS 1Y S Pool Howe Deck mro Deck ferloe E1Cl sT Deck f Ekwabon-12' 4x4 at 5'to 6oc fence EWmhon-16' 3Wselflatchfnggate' 2x6-16"m w/haat hargera ata skirt bawd aroand erake perm.of deck 514x6&dung Fatt�I ti0. r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION 8 Date ...............OCTOBER 5 .......................................... 19....9 .... TO ...WALX=..4..RATUUA,,coLTfTs........................ (owner or authorized agent of owner) 1425 LEEWARD DRIVE, SOUTHOLD, NY 11971 ............................................................»................... (cddress of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ............UAP. 100 ............CHAP.P...................... Other Applicable Laws, Ordinances'or Regulations ............................................ :t premises hereinafter described in thatA swir�ing pis being witho ................................ool.....................used.......................ut a................. Ilk (state character of violation) Certificate of Occupancy and an expired building permit. ..........................................................._.................................................................................................... ............................................................».................................................................................................... :n violation of ARTICLE KRVIII—Chap. 100-281 S 284_ (state section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the ccnditicns above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at 1425 LEEWARD DRIVE, UHOL , County of ..............................SO..... . . . ...D. .T. . . . »........ Suffolk, New York. SUFFOLK COUNTY TAR MAP 6 1000— 79— 07— 20 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of low may constitute an offense punishable by fine or imprisonment or both. B.P. 0 16170 Z ORDINANCE INSPEC R VINCENT R. WIECZOREK (Cert. Mail) Foam NO. a 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) N2 16170 Z Date ...... fir(llt ... ..................... 19UPermission is hereby granted to: Cys...... .! C,..... �......... .. l .\\............................tvl................ tosST'...5?a,.. /1 ...c •.r ....�..�` .pj.{rS.R! ... .. ........................................................... .. ..... .. .... ............................................... at premises located at .j................................. ..... .. :......... County Tax Map No. 1000 Section .. ...Q'I.q....... Block ......(;:X.`1..... ... .. Lot No. .4n.A.......... pursuant to application dated .... r!!1 4 Z ?rte............... 1911., and approved by the Building Inspector. Fee $..E..+, ... .... ...... .. Building Inspector Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: / ? f%G� � 1 -C�'✓ r� 3 DATE , INSPECTOR 17 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ZFINAL SULATION FRAMING REMARKS: DATE INSPECTOWA�.A� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ( ) FOUNDATION 2ND ( ] I ULATION [ ] FRAMING [ FINAL REMARKS: N " DATE Y INSPECTOR v�'h � 3 c1t � � is THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 ?080740 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date =1 27,22f10 Application No. on file 1T'547700/M H 068724 THIS CERTIFIES THAT 4 r only the electrical equipment as described below and introduced by the applicant Named on the above application number is in the premises of A. NEAION, 1425 LEEWARD,, SOUTHOLD, NY in the following location; ❑ Basement ❑ let FL ❑ 2nd FL OUT Section Block Lot was examined on JULY 21,20(M and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES FIXTUR RANGE COOKING DECKS OVENS DISH WASHERS EXHAUST FANS_ OUTLETS INCANDESCE FLUORESCIN OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT, K.W. AMT,SWITCHESH.F. 1 � 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIALRECTY.1 TIME CLOCKS I SELL IUNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS Ii.P. AMT. NO. A.W,G. AMT. AMP. AMT. AMPS. TRANS. AMT. N.P. NO.OF FEET AMT. WAIri 1 20 SERVICE DISCONNECT NO.OF1 S E R V I C E METER H CCC A. O. A.W.a. W.a.-- AMT. AMP. TYPE EQUIP. 1/ 1W 1/SW S/SW S/4W pER a Of CC.COND. NO.OF HIAEG OF NJ-Ma NO.OF NEIHRAIs Of NENRAL OTHER APPARATUS: SVM21I4G FOOL-1 G.F.C.It-1 *(SW11241NG ^OOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test/and, or repairs made by a qualified person. Lo�'4f..,a..... L <<< Continued on Page 2 >» GENERAL MANAGER r PerThis cedHlcafe must not be altered In any manner;return to the office of the Board It Incorrect. Inspectors may be Identified by their credentials. COPY FOR 8ULDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERPD rN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 8(980"'0? BUREAU OF ELECTRICITY F_ 40 FULTON STREET, NEW YORK, NY 10038 Date JULY 27,2000 Application No. on file 1054774 ^/00 H 068724 THIS CERTIFIES THAT only the electrical equipment as descnbed below and introduced by the applicant named on the above application number is in the premises of A. NEALON, 14251 LEEWARD, SOUTHOLD, NY in the following locations• ❑ Basement ElIst Fl. [I 2.d Ft. OUT Section Block Lot was examined on �uk't 21,2000 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES _ RANGES COOKINGDECKKS— _OVENS DISH WASHERS EXHAUST FANS__ __ _ __ .-__ -- OUTLETS INCANDiSCi FLUOREJCENi O}NER AMT. K.W. AMT. N.W. AMT. K.W. AMi. K.W. AMT. N.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT. TIME CLOCKS BELL UNIT HEATERS M gYSTEMS C DIMMERS AMT. K.W. OIL H.P. GAS NSP. AMT. N . A.W.G. AMT. AMP. AMT. AM". TRANS. AMT. N.P. NO.OF FEET AMT. WATa SERVICE DISCONNECT No.OF S E R V 1 C E METER N COND. A. A.W. A.W. AMT. AMI. ttPF EQUIP. 1•1W 1 I JW J• JW J 1 eW PER• OF CC.(ONO. NO.OF HAEG OF HIdEO NO.OF NEUTRAU OE NEUTRAL OTHER APPARATUS: A. HEWN L L 63 PARI{ AVENUE MMASHINGTON, NY, 11050 GENERAL MANAGER 11E Per This certificate must not be offered in any manner;return to the office of the Board if incorrect. inspectors may be IdentIfled by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. The New York Board of Fire a Underwriters J N D A_T I C f! _ ( 1st ) is in the process of issuing a�errthcate of compliance for the electrical installation as covered in an application noted below. ao Nl J 1d D A T I Oil ( 2nd ) The certificate will provid det it of the __ m items inspected on Z' d__ and certified to I in co pIiance with the National Elec(trii al Code as of that date. o X ------- JGH FRAISE PLUMBING (Application Number) m J SULATION PER N . Y. (Inspector) STATE ENERGY — 113D(Rev. / 6) /1 � CODE o y l-- x I � H .i1 4 964 FIiJAL� o E y ADDI IONAL CO . ENTS : x z — y — 3 + H d H i BUILDING PERMIT REVIEW CHECK LIsT Applicant/ Date Owners Name: Reviewed: Architect/ Date Engineer: Submitted: SCTM #: �9 District: 1,000 Section: 7 L_ Block: _�_ Lot: '7_0 Project — Subdivision Location: Name: r Single& separate Required I ' ,� certification: (Yes/No) Req. �/� �O dt Req. W1. Zoning District /1 ILot size: l^�, Actual / �� (Lot coverage --- posed: Req. �..d/ / Req. �S/ �� Req. .Sd / 1 [Front Yard Proposed: ) [Side Yard n Proposed.�_] [Rear Yard Proposed Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning pp Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes• ••� BOARD OF HEALTH . . . . . . 3 SETS OF PLANS . . . . . . . FORM NO. 1 SURVEY ' TONIN OFSOUTHOLD CHECK . . . • • . . . . . BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . : TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL . . . . . . . . . . . . . . . . MAIL TO : Examined . 9$ Approved . . c .Z . 19J I Permit No. Disapproved .!tt..L. .0I.l. . . 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .\� q. . . /i . . . . Jill J02210Y c.X.a•� r'�-dC.. 1 i (Building Ins ector �0F pt' p TOWN OF SOUTHOt 0 APPLICATION FOR BUILDING PERMIT Date . . . (`'."�".?��. . . . . . ., 19 INSTRUCTIONS a. TWs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wi 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 sti or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this a 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 pe 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 Occup: shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant tc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descri The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, an admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) Stale whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil . . . . . . . . . . . . . . . . . . . . L,/tL�i �. . . CG7v.7 J2y?r,�z?r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . .kA,1. AeK t(l . . . 4�- U,e� F 7.S. . . . . . . . . . . . . . . . . . . (ns on the tax roll or latest deed) If appli t is a corporation, signature of duly authorized officer. (Name and title of corpicer) ALL CONTRACTOR' S MUST BE SUFF9_4K COUNTY LICENSED Builder's License No. . . . . . L. .2. . ./f L . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. Pt o 1� 72/Q , , . �;Z[ el.. , Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . / I. Location of land on which proposed work will be done. . . G k7. ? �Q.!? 1.k � . . . . . . . . . . . . . . .� ?.IMklV.0. . . . House Number Street Hamlet County Tax Map No. 1000 Stiction . . . . . . . .7� . . . . . . Block . . . . . . . 7 . . . . . . . . Lot . . . . t-2 . . . . . . . Subdivision . 0°!U-5. . . . . . . . . . . . . . . . Filed Map No. . . . S�l7. . . . Lot . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . ./. 4 ,S!,f I?! 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occup:ncy \ 3r r _ LOT• 3G + ' r 3 C:)' 3t7 f =L O �fUcL N : � 'S n 00 }�T i h ,t) 9000A x ^ Tf 94Y, -4S. � y r TA ® inn LGA r • 38 C C C �s< �s- C� Cc-> l O: 2 c7izi SU RVG--Y4-b r1c)m c -VA LTL IS 4 7A- TN IC 1 , �C�Ll �" `I'S Se�L� - �C31� 1 ,- r+ TO THIS SURV�S RATION OLTIONOF tN Y C7 w !({C7 N j'1 t'G St7UnT� /�T SECTION 7209 f THE NEW MONK STNS . SOUT ! -iC) Ll) ED <ATH>" uO CLJ^M^EJj[:L-h TC-J 'ir"tC 5t7CJT1 IC7L(? Tc)vtN Of- aC?uTtaat n,N Y•1 ENLANDES ETHIS SURVE O'S IWED SVEY MAP EEOAL OR SnvINC-E5 t5b NK AWO-r1-1& G14lC^AC) TITLdr• EMOOSSED SEAL SHALL HST It CONSIDERED SUI'Z/�h1GG �CJ1/�("/S�fJ•Y - TMe:1.1Q 7�'`S' 0SI;14• TOUAVALID r,,,LiCOar. l 1tJSUftVLYG hti JiJL.R1' `- "• GUAIIANTEES HEREON ONLY TO IRE PERSON FSHALL OR WHOM NE SURVEY 15 PRCAYCO !F. A-D=:f HIS KkAEO THE h L R o R l C k' V W T� ARRV�EE tai T U Y k_•, f=, 4i•TITLE COMPANY,GOVERNMENTAL AGENCY AND /�• ..�...--�M..AMyy{ - • I S^' LENDING INSTITUTION LISTED HEREON,AFD - LOT NL1/J'�hd-175 SI.1L7\�!k-1 Rbc-f-GR T0 ry{f ASS!GNEFS Of THE LENDING INSi!• I Irl H P' 0E- L&OVAR13 ACKG-S At AYVI4•wr TO,.,. ., ... ._.ELEN .NG _........ 71 r i I E4�Eti I_ tf Jf� 4;URV& ORIS BOARD OF HEALTH . . . . . . 3 SETS OF PLANS . . . . . . . 'FORM NO. 1 SURVEY . . . . . . . . . . TOWN OFSOUTHOLD CHECK . . . . . . . . . . BUILDING DEPARTMENT SEPTIC FOR14 . . . . . . . . . . . . . : TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL • • • • • - - • • • • • - - • • MAIL T0 : Examined . . . 2., . . . 19$ Approved . . MtXh( . .?-n , 19V.7 Permit No. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . M221987 . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) BLDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR BUILDING PERMIT L Date . . . (� .°?!z . . . . . . .. 19, INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wii 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 stre or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap 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 pei 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 Occupa, 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspections. (Signature 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 build: . . . . . . . . . . . �lU �zt�J . . C .TI??? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . .tr . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If app ' tis a corporation,signature of duly authorized officer. h . . . . . . . . . . . . . . (Name and title Of corp te`Sfficer) ALL CONTRACTOR' S MUST BE SUFFOyK COUNTY LICENSED J. Builder's License No. . . . . . .2.-. ..lf b . . . . . . . . Plumber's License No. . . .y. . . . . . . . . . . . . . . . . . . . ./k Electrician's License No. -pk Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. el e t.k9,0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax M !, .7. Map No. 1000 Section . . . . . . . ? . . . . . , Block . . . . . . . ./. ... . . . . Lot . . . . P20 . . . . . . . . Subdivision ./AW-4)4'—q . . !11`!x$. . . . . . . . . . . . . . . . Filed Map No. . . .J. 1. f.�. . . . Lot . . . . �T7 . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . .1.` 4'3/ 5n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . . . ./�LL3�0k'J.✓.!?4.G . , , )„,,/.ITN , _ . , 1666 . . . . . . . . . . . gWC E' 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . (Descripxion) 4. Estimated Cost . . . . . . . . . .(J ��.'. . . . . . . . . . . . . . . . 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. 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 . . . . . . . . . . . . . . . . . . . . . . Height . :. . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . H. Dimensions of entire new comst_ ction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . Height . . . . . . . . . . ... . . . Nua rof Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . :. . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner 11. Zone or use district in which premises are situated . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . A/P . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes Qr 14. Name of Owner of premises . . CS,_u T.Ts. . . . . . . . Address . . .S440L 4?. . . . . Phone No. . . .;?K5... . . . . Name of Architect . l� . . . . . . . . . . . . . . . . . Address . . . . . . Phone No. . . . . Name of Contractor . .I , �k-14,4-3. :! . . SboKrf. Address . . .,/'l,V- Phone No. 017. 15. Is this property located within 300 feet of a nidal wetland? *Yes . . . . . No ' \ *If yes, Southold Town Trustees PermitPLOmay be required. Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions fro property lines. Give street and block number or description according to deed, and show street names and indicate wheth interior or corner lot. In-719C,e su jV2 06-y STATE OF NE O S.S COUNTY OF A. . . . �t�yL!'h/a . . . .!/.•. . ,�l!�./Gd.y. . .J?( : . . . . . . . . being duly sworn, deposes and says that he is the applic (Name of individual signing contract) above named. Heis the . . . . . . . . . . . . . . . .0t A.G�K. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file application; that all statements contained in this application are true to the best of his knowledge and belief;and that work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . . . . . . . . . . . . . . .day of. . . . . . . 2-5. . ., 19 . . 7 Notary Public, . ...��. . . . . . . . . . . . . . . County CLAIRE L GLEW Notary Public,state of New York . . . . . . . . • . . . . . . . . . . . No.4879505 {S' e, applic CommisaQualified Expi es 0eaemC,U vtygyp/ i^ 0 a 3743 CaE 3oEE 4—. l Z � ' �A s1 /� 4 +JmG�.y n' PIC) C7 `$2 c�T�fi o c0 L } tit- k (, 0 111% a G n.A 9py0 � 5. 37 •sr�l �c�^ .�.! --' �c��x.2t ` .,c4. ? -17-1z�( _ p t rAo r �— SUMV4Y4-t:� rC K �VA. IL-, [S . 7A. TFS 1C I A. COLITT' SC L - �01� i1� 1 1 S 17LJ/�'TCr /�•T' NVRITfnDRIjEEi'ALWAHON OR ADDIT"15 A - _ - c'> N OF W .,A ? �•�.' P T { .;ef , - ' .++�+ (� FAQ` SECTION 20 OF WE NNEW YORK STATE VEY o- !RC1 N $� ✓ 0 U T � �I �.r L{ ! EDUCATION LAW. - - Tc)%/h!r Cir• "sou Id OL-r:I N.Y.CON"OF EMS SURVEY MAI NOT SEARM6 �4lh Rhh.Ij4L T7 7C7 "(l•lG- SC74Jji'IC7 L_t? `M=', - _ THE LAND SURVmj'SINKED SEAL OR SAVENGt9F )S'Nl{ AWOTi-14, C1a1G/,%C,C) TITL'6' k EEnRossfD suE SHAu EE;T eE CONSIDERED 1 NSUti.hNCG^ - , LTifle:pl2 'T4-S- 03id , TO RE A VAUDr„uEear. - - - - GUARANTEES INDICATED HEREON SHALL RUN S�'1 V�Y 1� s J U L.Y 3O.S CJ T•`�'�:_.. IP- MOT� �. . � ONLY TO 7HE PERSON FOR WHOM THE SURVEY R C7 h L t� I G k' V/r N T�.!Y L, r;.C'� 1E ,.•� �w t �y 1 Ep f IS PRE^AR[D,V:D -1 HfS VAALF fO SHE _ • ��C -L"T t-4 L J �l .4-R S 51•1 1� „4'f G R TO UNIE G INSUTUTIO vE LISTED HER AGENCY AND . ,/Q,- I w . ♦e LH'1 THE SS!CW THH! THE HEREON,AP'D !�+^� V �1•t4'�. /`s �,\Y Y 14Z'�VlN TO THE AS$!GNEES of THE LBIDMG MStf• - - - - - _ -1_ �. _,- __ . .._ _ BOARD OB ilEAL1'11 ............... 3wORlt NO. 1 '3 SETS OP PLANS ................ TOWN 01: SOUTUOLDSURVEY ........,................ BUILDING DEPAWMENT CIIECK ................ .. ..... .. TOWN HALL SEPTIC TORH ............. ...... SOUTl10LD, N.Y. 11971 TELT 765-1802 NOTIPYx CALL �fm�Q122.(Px .946-8151) Emmnrned...•..• .... HAIL. T0;.W .k .tP.3;.RJ Ck-U o1�O 53 Thank you. Permit' No. ......I............................. Aisapproved•a/c .......... ... •......... ................. Yvr 1►' (Building Inspector) 8 2V APPLICATION PON BUILDING PERMIT Date. ( April �1Cy 000 INSTRUCTIONS a. 'Deis application must be corpletely Filled in by typewriter or in ink and aulmltted to the building Inspector wi 3 aets of plans,,acwrute plot plan to scale. Pee according to adredwle. b. Plot plan stowing location of lot and of buildings an premises, relatioaship to adjoining prenisea or public streets or areas, and Giving a detailed description of layout of property moat be dram on the diagram dxldr to part of Cilia application. c. T a work covered by this application may %rot be commenced before isauaace of Building Permit. d. Upon approval of this application, Ute Wilding Inspector wilt fasue a Building Permit to the applicant. Suds permit shall be,kept on the pre Lses available for inspection througiout the work. e. No building alrall be occupied or used in vAole or in part for any purpose whatever until a Certificate of Occupancy small have been granted by Bre building Inspector. APPLifA'C1(N IS iI/[d'JlY rfADL' to the Butldi pa nt fore issuance of a Building Permit pursuant to the 1WIdiaa Zone Ordinance of the Town of Sout of , ffolkZ�t , New York, and other applicable laws, Ordinances or Regulations, for the mnstruetion of buildings, onterationa, or For removal br demolition, as herein described. 1be applicant agrees to oarply with all aa ordinances, bull code, hourcoderegulations,,and to admit authorised inspectors ox premird in ilding fo pecti $' .. ......................... •(S£anatu of licant, or nems, if a corporation) Alfre Nea on 6.$..Fslxk.l?XC«c..EArx.k�d•Shi,ngt�on,..NY. (Hailing address of applicant) 11050 State wbeUrer applicant is owner, lessee, agent, architect, erRgineer,'general contractor, electrician, pluaber or bulide New)..Owner.....................I................................................................... Nan of owner of premises ......AJfCed.NE;aJon..(P.riox..Ozsner..Chaes. Malahattan.•Bank•}•••••.•••. (es an tiw tea roll or latest dead) If applicant is a corporation, signsture'of duly wt prized officer. ..................... (Nam and bele o! corporate alHCar) Builders License lb. ............. . Pludrera License No. Electricians License No. ..................... �• Other Trade's License No. ............•....... 1. location of land on uiddr proposed work will be done.....1 12 d`. AV'3ldXGl.Ari Y.O r .SpUthOl d ............ County Parcel 1000-79-7-20 Map of Leeward Acres Lot #37 2. Land Use Existing: Single-Family dwelling. Proposed : Same with in-ground pool , deck addition and new window at rear of dwelling; steps to deck; fence enclosure (all as built - prior BP #16170) . tlwt Dulidtita .......... Addition ...�5.... Alteration ......•. ltklen•^........... Other tbrk ............. •......„•.. Al. ratitmesd dose bnilt)tee .............................................. amil(to be pai4 an rllhia this spptioatlanl S. if dwellhu, runner of d nlling units ain$ R—.XIMnber of duelling units on each floor ................ ifgarage, ttuttbar of care ...QXA&tJ r g....................... 6. If Ixtsinesa commercial ormlxedocct ta , cl naturo and extent of each t none n n Yt ! yPs of use...................... 7. Olimnsiats of existing structures, if atyt Front..(p;ease sgtgarattached, diagKi m„ survey) i tlulgltt ..... Witter of stories ...One. ..........xease s attached' maps. Dinenalats of same strodrure whit alterations or'additlonsi Front ...�'........... Sr ............... r 1?eptln .................I.. 112I101t .................... 14mber of Stories ............... as built as shown on t};ached map. S. Dlmenslona of entire new construction: Front ./............. bear ................ epLlh .............. Ballow ......................... Mniter of Stories ..................... 9. Sire of 'lott Vrmt ......1.05....... Rear ...1.x.2...1.4........ lkpth ...4A4.-t,h, ...... ill. here of Purchase ?1RrAL.20.Q(i.... Kane of Donner (Mner .CbaeLe..Mar hatta.n..BarLk,/W...coutte 11. Zara or use district In+Bien premises are situated ....�:�Q.}�V-Rij.0.11tJ41................................ 12. lbes proposed construction violate any rating lar, ordinance or regulationt ........................ 13. Will tot be regraded I..=.............. Will eatceea ffilllreaa l be removed from premisest )MOX NO 7650122 14. Hwata of cer of premises .&#R31Malm. .....�. fxkl , Rat F t..., .. 71050 Mane No. ... an ....... time of Ardtttect .......................r.............. Address .............................. Phone lb.. .......... Nt.a of Contractor ..(�1......:.................... Address ...............................Phone No. .......... 15. is titin property within 300 feet,of a tidal tctland2 * YES .......... NO X........ *LF YM, S MUM 1040 TRUSMS PLetM(T MAY BM ravitim. PIAT DIAGRAM I Locate clearly and distinctly all buildings, mother exleting or proposed, and indicate all set-beck dimensions from proparty linea. Give street and block txnhar or description accoiding to deed, and show street nares and indicate %AteLlter Interior or earner lot. Please see attached. d sfrcni r rl Ytxut, �� (zxrtJ1Y (xd Suffolk S$ Alfred Nea1on ......... ..........belnll duty sworn, delxtsea and says that he is the appliumtC (Ntmu at itxiividunt algs3 .................. tS contract) above timed, fle Is Life .... owner as, of, April. 2004................. ........................................... (Omitractor, agent;corporate officer, etc.) $Rt7t7k1<1fYe xd€aG3Ftl544y Lind is duty auLhorlaed to pecConm or limre performed Lhe Bald work mid to mnM anti file thin nInAlcntloty that Lill statetnmts contained in this ninittication are true to the hest of his ktxxdledge mid btilief-* atxi that Lhe wrk will be perfomed.ln the nnnner net forth in Me application filed therewiUt. 9w)m to before tm title . Q7r .......day of Notary Atbll .'Y.k4.�c'.H.✓.:.YYY. if g: leannt) `81 OE'AONssndx3uoiss*wwaO r$Cl Nealon Awoo MlolinS ui Pniilieno LINDA S KG[4fALsri Witrilli-M-oN NatatyPublic,State of New york WA%NioatetS'btpptdA WM No.52-4524771 DISI M N U VGN17 QuaRNod in Suffolk county Commission Expires Nov.30,*V�P