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,~( ~