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HomeMy WebLinkAbout26188-zFORM 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. 26188 Z Date NOVEMBER 29r 1999 Permission is hereby granted to: THOMAS J MCCARTHY PO BOX 1266 SOUTHOLD~NY 11971 for : CONSTRUCT FOUNDATION FOR ONE FAMILY DW~T,T,ING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 089 pursuant to application dated NOVEMBER Building Inspector. 2785 CEDAR BEACH RD SOUTHOLD Block 0001 Lot No. 010.003 19 1999 and approved by the Fee $ 75.00 . Autho~ Rev. 2/19/98 ORIGINAL m^TrO~ (is'r) [1 ,," ~DATION ( 2ND ) STA~ E~R~ CODE J ~DITIONAL CO~S: SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES WASTEWATER MANAGEMENT COUNTY CENTER RIVERHEAD, N.Y. 11901-3397 852-2100 THOMAS J. MCCARTHY 46520 ROUTE 48 SOUTHOLDNY 11971 CASH RECEIPT Date Processed: 09/10/97 Hdref No: R10-97-0139 Recei%ed From: MCCARTHY MANAGEMENT, INC. Project Name: Location: Receipt ~: 35298-P-22519-10846 Fee: $330.00 Amount Paid: Check Number: RESIDENCE $ CRANBERRY ACRES ~ BAYVIEW LOT 2 CRANBERRY ACRES ~ BAYVIEW Lot 2 $330.00 1138 GE0155 ~ ~:.~.~ ' ~ ~ ~ [ SCALE: ~ JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Mai~ Road P.O, Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765~1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1743 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : THOMAS J. MCCARTHY Address 1:~,6520 ROUTE ~,8 City St Zip SOUTHOLD NY 11971 Oescripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. ~. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-97-0139 Name Of Owner Mailing Address I DEUTSCH, EDWARD AND EILEEN 89 BELLOWS LAND City St Zip Property Address 1 MANHASSET NY 0000 2797 CEDAR BEACH ROAD City St Zip Tax Map No. section Cross' .Street Building Permit Number SOUTHOLD NY 11971 79.00 block 8 lot 15.002 BAYVIEW ROAD Cross Reference: Issue Date: 10/03/97 --~;,--~ ....................... ,&.. -. Judith T. Terry Southold Town Clerk (TOWN SEAL) JUDITH T. TERI~¥ TO'AN CLEHK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Sou%hold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOVV-~T CLEHK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1743 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : THOMAS J. MCCARTHY Address 1: 46520 ROUTE 48 City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF .HEALTH SERVICES. REF #R10-97-0139 Name Of Owner Mailing Address I DEUTSCH, EDWARD AND EILEEN 89 BELLOWS LAND City St Zip Property .Address 1 MANHASSET NY 0000 2797 CEDAR BEACH ROAD City St Zip · Tax Map No. section Cro~s Street Building Permit Number Cross Reference: SOUTHOLD NY 11971 89.00 block 1 lot 10.003 BAYVIEW ROAD Issue Date: 10/03/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD October 3, 1997 Thomas J. McCarthy u,6520 Route 25 Southold, New York 11971 Re: Edward and Eileen Deutsch 2797 Cedar Beach Road Southold, New York 11971 Dear Mr. McCarthy: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank/Cesspool System for which you applied. AFTER the system is installed but prior to being used, an OPERATION PERMIT IS REQUIRED. The Operation Permit is issued by the Southold Town Clerk's Office. The fee is ten dollars ($10) for a residential system and twenty-five dollars ($25) for a non-residential system. An application form is enclosed.. Please complete the requested information and return the application, proper fee, and LOCATION MAP (map must indicate the location of the cesspool(s)/septlc tanks(s), giving approximate distances in feet from any buildings to the pools and distances between pools. Should you have any questions concerning this matter, please do. not hesitate to contact this office. Very truly yours, Linda J. Cooper Deputy Town Clerk Enclosures Disapproved a/c .................................. BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SBPTXC FORH ................... NOTIFY: CALL ........... MAlL TO: .................... / (Buildlng Ias~or) APPLICATION FOR BUILDING PERHIT INSTRUCTIONS a. 'Ibis application m~st be c~pletely filled in by t-ype~iter or in ink and anhnitted to the hfilding Inspector wit 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shewing location of lot and of buildings on premises, relationship to adjoining pramlses or Imblic streets or areas, and giving a detailed description of layout of property u~st be drmra on the diagram ~ich is part of this application. c. ~he ~ork covered by ~his application ~ay not be cameneed before issuance of l~uilding Pemit. d. ~Up~ ~proval of this application, the Building Inspector will issue a lhildlng 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 ~ole or in part for any purpose ~/~atever u~til a Certlflc~te of Occupancy shall have been granted by the Building Inspector. APPLICATI(I~ IS ~lf ~ ~o the ~uilding Beparment for the isan~ee of a Building Pemlt pursuant to the Buildir~ Zone Ordinance of the Tv~n of Sonthold, Suffolk County, Ne~ York, and other applicable L~s, Ordinances or Pegulatians, for the coastmction of buildings, additions or alteratians, or for re~oval or demolition, as herele describe~. The aF~licant agrees tO c~ply ~rlth all applicable la~s, ordicances, building code, _~ing c~e, ~d · anthorized ir~ectors on premises ~d in ~ i for sary in clons. '" - .... ;"i .... , . / ~(~a, ihng address of applicant) ........ ........ · ' (astoa rhe'~ta~(~Oll or latast deed) If applicant is a corporation;' S~gcatu~fe of d~ly authonsed officer. (Rare and title of corpoyate Officer) . , ~ Builders Licease No .......................... Plumbers License Ro .......................... Electricians License ~ ...................... ~r ~'s M~ ~ ..................... ~i~ of 1~ ~ ~i~ ~ ~rk ~11~ ~ ........ ~ ....................................... .~. ........... -' . . ............. ........ ................................. ......... ~ ~r . Str~t~ / ~/~e~ ,. ~v~s~ .................................... Fll~ ~p ~ ................ I~C .............. State ais~i~ ~ ~ ~ of ~s ~ inte~ ~ ~ ~ of pro~ c~stmction: l~ature o~ ~ork (ctw~:k which sppli~cable)~ ~ Buildi~; .......... addition .......... Alteration .......... l~epair ............ P~moval .... I ......... l~nl itiee ............ Other Work I' (Deserlption). Estimeted Cost ................. ! ........ fee .............................................. I (to be paid ee filing this application) If ~lllng, nt~nber of dwelllng fruits ............ th~ber of dwelling traits on each floor ................ If rari~er of cars garage, ................................... If Ixtaieess, ooamercial or mi~*dI occupancy, specify nature and extent of each type of use ...................... Dimensions of existing structure~, if any: Froot ................ Rear Depth llexght ......................... I Nt~rber of Stories O,mena~ons of sane structure mtb alterations or additions: Front ............... Rear Depth .................... De]gh~--L .................... l~er of Stories ............... Dimensions of entire new construction: Froot ................ Rear ............... Depth .............. Deig~t ......................... i N~nber of Stories ..................... Size of_ l.ot. lq~nt .................. Rear .. .................. Depth .................... Bate of Purd~ase ......... . . .. Nane of Iormer~ O~n~r ........................................ Zooe or use district in ~d~ich pr~mfees are sittmted Does proposed cor~truction violate any zoqlng la~, ordinance or regulation: ........................ Will lot be regraded ........... I ......... Will excess fill be re~ved from premases YES NO Na~es of Owner of see ..... ., ..................... /VAtrena .............................. M~one No .............. Name of Architect .............. ! ..................... . Address .............................. PboeeNo .............. Na~e of Contractor ' hddress Phoee Is this property within 300 feet[of a tidal wetland? * YES ...../...,. NO .......... I~cate clearly and distinctly al rcm property lines. Give street m~d ' berber interior or corner lot. OC U~ WI OF ...... ..... ..... ........ ~ of indivld~ signlug contract) i PLOT DIAGRAM buildings, whether existing or proposed, ~nd indicate all set-back dimensions flock number or description according to deed, and show street ~ames and ind~:~te ~,ROVED AS E IS UNLAWFUL ~°° . · FES: ,:,~ , [HOUT CERTIFICATE ~-~BD~ , ^~ *0.* P~ ,0~ OCCUPANCY ~o~ow, NG N~,EC, ONS: ~. ~OUNO^~ION. ~0 RE~UIREO ~ I~)ORED CONCRETI~ ~. INSULA~ION 4,FINAl. - ¢ONS?RUC~ION MOST BE COMPLETE FOR ALL CONS?RUb?lION SHALL Mr:Er THE REQUIRI:MENTS OF THE STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS .... Imlng duLy ~m, deimees snd says that he is O~e sppl. lc~t (Contrsc~or~aen~ ~)rlx)rate officer, etc.) . .~,~d ~ or o~r~..rs, and Is duly ~thort~ to ~rfom or h~ l~rfo~ Om ~id ~ m~ to m~ a~ file this ~hcatioq fi!at all statmnts cmta[~ in this a~l. lcatlon are t~ to Oxe ~at of his ~1~ md /mlief~ m~ hat the m~ will ~ ~rfo~ in the mm~r ~t forth in O~e a~licatim fil~ t~th. mm to ~fgr~ m ~ts ~/ i No. 01G~79505 Qualffi~ In Suffolk Co~x Commi~n E~ires Dec, 8,~( ~