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HomeMy WebLinkAbout26203-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-27647 Date: 04/27/01 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 2050 NORTH OAKWOOD DR LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 127 Block 6 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 3, 1999 pursuant to which Building Permit No. 26203-Z dated DECEMBER 3, 1999 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 GARAGE & DECK ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT J. & DOROTHY BAUMANN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 4348GH 04/10/01 PLUMBERS CERTIFICATION DATED 03/01/01 WM.SCHWAB PLUMB.&HEATING 4-- / utho ized Signature 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. 26203 Z Date DECEMBER 3, 1999 Permission is hereby granted to: ROBERT J BAUMANN SOUND BEACH,NY 11789 for CONSTRUCTION OF GARAGE & DECK ADDITIONS & ALTERATIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 2050 NORTH OAKWOOD DR LAUREL County Tax Map No. 473889 Section 127 Block 0006 Lot No. 005 pursuant to application dated NOVEMBER 3 1999 and approved by the Building Inspector. Fee $ 145 .00 Authorized Signa ure ORIGINAL Rev. 2/19/98 Form No. 6 L„ TOWN OF SOUTHOLD BUILDING DEPARTMENT J TOWN HALL t,,, 765-1802 APR 2 5 7��1 APPLICATION FOR CERTIFICATE OFfSCGiII=ANG ;,` A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and `--'pre-existing" land uses: 1. 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 applicant. 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 Building - $100.00 3. Copy of Certificate of Occupancy - .25vo 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1 .00 Commercial $15.00 Date . . . . . 1. . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . ../. Q . . . . . . .. . Location of Property. . .?` . .1`Y� .O��Y� ^ . . . ^^ : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. �n (�) Street f- Hamlet Onwer or Owners of Property.. .�d W� . �Y/Q °1. . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. � J z . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . ._0UVtA ... . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . .Underwriters ,Approval. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate.lfe� . . . . . . Fee Submitted: $. . . . . . .a�..° . . . . . . . . . . . . . . CO�o( /(pl,�� APPLICANT• FF014, co C043 Town Hall,53095 Main Road Fax(516)765-1823 P.O.Box 1179 Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 18, 1999 Mr. & Mrs . Robert Baumann P.O. Box 415 Sound Beach, N.Y. 11789 Re: Building Permit Application for premises @ 2050 North Oakwood Dr. , Laurel, NY Suff. Co. Tax Map #1000-127-6-5 Dear Mr. & Mrs . Bauman: The Building Department cannot accept your application until the Trustees and DEC paper work is complete. Also your application must be signed and notarized on the original application. We are returning your paperwork until all these items are presented. Please retain these plans and re-submit when everything is complete. Ve truly yours, AITYTHOLD TOWN BUILDING DEPT. rJn &0 U/S, ilding Inspe:70r�v JMB:gar Encls . %SOFF04 4 opo Gyp Town Hall,53095 Main Road y Z Fax(631)765-1823 P.O.Box 1179 O Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 9, 2001 MR. & MRS . ROBERT BAUMANN P.O. BOX 415 SOUND BEACH, N.Y. 11789 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file . (Enclosed) XX No Underwriters Certificate on file . X_ The check is (not on file . ) $25 . 00 No Health Department Approval on file . No final inspection has been made . No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26203-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. : .11, i/• ir �t •r/7+ �tf': .�i/„•:,�,\t/; �r, r.:,:., +,• •'� .:;'✓,.^; �'. V� :�� `i ,;. `+. ,o^:•Y'•. rr442 .r1�• n<l Ril7lf:j:. ;ti•1.,dY'pS; ai: .eih•A, .nilr7�R';S;:.i r:%'.�• i, IS�F,j: 1:i„R�.t. ?•E„r};:. :•iir''�.1• 4.1iP ra ..t e•rRi`J.� ay,•;t• ,F1 h, :}:' 1,1•i• ,>{. .,,f rSar, :.,tl .,i j v,,. .,,PY,. •,A11t{t%' •t.• ) .r L. .1;, 'r;:. .1;•117...•.. Air yy i•;,..::. f 'J r, �c1 �,�} ••y.-_.••,,y ((•,,Y� �y�� ��������,22 ,�� w.,•:.;. �!r —.�1•� �1/� - ”S`C> ..�'"`•,C�"YL`"e.�_, r..,`,y rt,• •iNiiu: ' ._-z 1 /-:!R Electrical Inspection Certificate x tQii�l ..P.M. Electrical Inspection Service, Inc. y r' 375 Dunton Avenue ` w '•.•;. East Patchogue, New York 11772 =::;{`' (631)296.6642 Date: 4/10/01 Application No. 43486H Issued to: Baumann - , Street: 2050 North Oakwood Road wY� RI Village: Laurel Zip: 11948 Town:Southold ry Section: Block: `'Lot: -• Introduced by: Above Lic.# < 'err;':•• :a� ` Was examined and found to be in compliance with the National Electrical Code ft ; ❑Attic []1st Floor ❑Indoor © Residential EJ Pool L] Det. Garage ' ©Basement ®2nd Floor El Outdoor ❑ Commercial ❑ Hot Tub ❑ NV Defects A• <"'<EI#=` Switches Receptacles Fixtures GFI Heaters A/C Fans 33 27 24 4 5 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal r ,; Furnace Oil Gas Circulator Smoke Detector Bell Transformer *' 1 X 4 1 �1 Meter Amps Phase UG/OH Telephone Television Carbon Monoxide r «<i; 1 200 ❑/ O Other Equipment. refridgerator/hood Pl% az\ H060 o S. Surdi ``'=' President Building Permit NO. 262037 This certificate must not be altered in any manner qtr^` Inspectors may be identifed by their credentials r<K� ^f F` � 71 >•' �1j1�1 ! �S t:,. ;iv trt SS 1SJ }Ht� jv/ >, 11t'%J S� Sf f\ ivfl :�$ F'�vj,.fr Jn3l ="vi 1S{� \t ll i�? 1 1'1i"•t1 S�' 1 '�,lJ•,.`%4. ••<.� .1 f,n IS+i N/,.i;it�. •,�3.l.� 1��� .v� ,�1$ ,:I. ,.t.�f•(;,rn1''in;...,SgPyVr1, ,f."f,j'V,Hv .n4 S{Vq,3 jf..Yr4^r�117`.^N' ail ff j., f• f ° ;j�S.•;.s...v .s':N;1;i :Yf,YVI{i, .,f, n;1j},;::qi::fll P"yF:•:�9,, ,,+t712,�5•yk,.172., ..�§,. ,a Nff+rdrr.r }I4•ii Yl�r,•N.L.;•• v,y it iS'e: `%'i :4: i.: ...b n`t.1`;;i ;144"Itii�dt,: 1:'i... ,.y,j�. ';1,51,11ji' lir 11n 25 . f 117,,,=. .,y,5M1�1• YI�1H 'ifI;S1WV Si SSrli�l ' :•£S 11 Yr r y•ItJ CSSSq At,. ':;(SS..1 t "f3Sty19.. :vt, 'r. it ?�' ''i t{ry � r;: :�� ) ' eJ 5 e !i' ":ji 3• sii,.�?••: Ys.. _' i'$r .:A.•' rr' � r 04/17/2001 11:18 FAX 16317440032 Qan Fax(516)7651623 'town Hell,53095 M s n Road y Telophona(516)765.1901 P.O.Sox 11"I Q Soulhold.NowYorl, 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERT I r I C A T I O N DATE s — l s Buildin.: Permit No. 7- owner, . 2v � (p ease pr t) Plumber. � cp ea�ese pri t) �� cl i :ertlfy that the solder used in the water supply system oontaihl less than 2/10 of It lead. P 91 nature) Sworn i.o before me this/ � da of ��'�.� Y V . Notar!,' Public, Suro1 County cz, ASL TERESAA.BRACK N0.01SR5064236 Notary Public,State of New York Qualifiod In WON County MY Commisslon ExWee Aug.12,206,2 s it DATION ( IST) it ° -- --- ----- ------ -- � .� u u _ it-------u u °----------- -------- - ------- ------------- - --- — c �1 � !DATION ('LCID) Iif I� ---_ 'n ----------- �„+,� wlt :N FRAME h ]i — PLUMBING II II II JLATION PER N. Y. STATE ENERGY it - -__—1 CODE it u ° - I H II II f FINAL It n T ADDITIONAL C NTS: s s i) H Q x ---—---------------—----—--------------------- ----- ------- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY 'i RE RMA RKS: r � 3 ' 1 _ l DATE � � INSPECTOR /4 2-0 785-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ FINAL ( ] FIREPLACE & C�HIIMNEY REMARKS: ,DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: � - DATE /6V 0-0 INSPECTOR At,-4 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ OUCH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ �RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 1 DATE i� INSPECTOR )462 M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE � l INSPECTOR NEW YORK STATE D.EP.{ F( �{T QF ENVIRONMENTAL CONSERVATION I l i f �X DEC PERMIT NUMBER i' EFFECTIVE DATE 1.4738.02295/00001 '® October 27 1999 FACILITY/PROGRAM NUMBER(S) PERM 7 Z EXPIRATION DATE(S) 1 a '.,Under the Environmental Conservation Law October 31, 2003 I TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate ❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Duality ❑ Article 27, Title 7; 6NYCRR of Waters < Certification 360: Solid Waste Management ❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPOES ❑ Article 27, Title 9; 6NYCRR Supply 373: Hazardous Waste Management ❑ Article 19: Air Pollution ❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Transport Management ❑ Article 23, Title 27: Mined ❑ Article 15, Title 15: Long Land,Reclamation ❑ Article 36: floodplain Island Wells Management ❑ Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ,d ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ■ Article 25e Tidal Wetlands 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER Robert and Dorothy Baumann ` (516) 744.2925 ADDRESS OF PERMITTEE P.O. Box 415 Sound Beach NY 11789 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY, Baumann Eroperty, 2050 North Oakwood Drive LOCATION OF PROJECT/FACILITY ` Laurel NY . 11948 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold ' DESCRIPTION.OF AUTHORIZED ACTIVITY'' Construct a garage, decks, stairway and a retaining wait.' Ail work is to be done in accordance with the attached plans stamped NYSDEC approved. By acceptance of this Permit, the permittee-agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: - ADDRESS t" Roger Evans (MEP) Building''40, SUNY, Room 121, Stony Brook, NY 11790.2356 AUTHORIZED SIGNATURE "kDATE Page 1 of 4 October 28, 1999 W20-1 W-9d New York State Department of Environmental Conservation . oboe , �,N,:,.OTICE The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information 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. Regional Permit Administrator F Permit Number 3g'�2a. SD JOHN W. PAVACIC Expiration Date NOTE: This notice is NOT a permit } j9 ' �c'�''�' hd�"�•'yg9q�. �a`b a`�`��'Ii.� 'd '�«^',;�' is fai.' r>n . .r..� ���,� � '�`�.� � «S� �� �b7 .rK�T�s �� � 's'y�'^?� "> 'i p ".^Yw,�'�. i 8 ,. ^ hy ts4' ® ✓�tls'r ,. "i�'�" i' `rr`"wY`v e s ,« es ;' e«gy^`i �y. '«SINN <�,�£A �r vt i ���}, v1 OG ell gkF ,. ..........,. P.O. Box 415 Sound Beach, NY 11789 November 3, 1999 Mr. John Boufis Town of Southold Building Dept P.O. Box 1179 Southold, NY 11971 Dear Mr. Boufis, As per your directions to me in your letter dated March 18th(copy enclosed),I ave included our permits from the DEC and the Town Trustees. am short on one set of PI but I have a call into the architect - Diane HerroId. She has been away on vacation cl /26X and should be back next week. The permit process(particularly the DEC)has taken quite a long time and we find ourselves in the bad weather again. We are anxious to get the house sided � 9 before the winter weather sets in to protect it. We would be most grateful for any consideration you can give us in this matter. Thank you in advance. Sincerely, orothy B�anann �, „�' ,per,°a,, i.c,�, �i...,, ... �� vH* .r, a,.py; `L •�... Bard Of Southold Town Trustees SOUTHOLD, NEW YORK " _ c{ PERMIT NO. DATE: .June 16, .19..99 ISSUED TO ..........ROSE RT & .DOROTHY ,BAUMANN Pursuant to the provisions of Chapter 415 of the Laws of �¢ the State of ew York, 1893; and Chapter 494 of the Laws of the State of Ne York 1952; and the Southold Town Ordinance an- �' titled ."REGU TING AND THE PLACING OF OBSTRUCTIONS , IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF AND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER OWN WATERS;".. and in accordance with the Resolution of The Bard adopted at a meeting held on ..May._4.2.., 1999 $. . paid by 19.. 99,., and in consideration of the sum of 150,.(10 . I ` ROB. .RT, & DOROTHY. BAUMANN. ........................................... of .............? tlxel.............,..... .,... .. ... .......... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: sc ✓'" Wetland Permit to raise roof, put in new windows, add siding, �a an addition to garage, rear decks off first floor and move dirt fr !' frbnt of property with condition that haybales be placed 10' up ' from edge of marsh sh �v�fa e sp l tq control phxagrw es i£ the all in accordance with tie etar •ci fcatfons as re n a in appli ?riginating application. decides to control them. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Bogard as of thisrrr%rydate. .yt� 1' ((yy [�enaic_th._.Poii.Wada............................. ,. d Sl1fF®LIQ $ �Q C® Town Hall Albert J.Krupski, President �$� G 53095 Main Road James King,Vice-President P.O.Box 1179 Henry Smith y Xt Southold,New York 11971 Artie Foster p Ken Poliwoda Telephone(516) 92 'gyp,! ® Fax(516)765-1823-1823 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD June 16 , 1999 Robert & Dorothy Baumann P .O. Box 415 Sound Beach NY 11789 Re: SCTM #127-6-5 Dear Mr . & Mrs . Baumann, The following action was taken by the Board of Town Trustees during a Regular Meeting, held on May 26, 1999, regarding the above matter: WHEREAS, ROBERT & DOROTHY BAUMANN, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated April 30, 1999 and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 26, 1999, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS , the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold Town Code, WHEREAS, the Board has determined that the project: as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of ROBERT & DOROTHY BAUMANN to raise roof, put in new windows, add siding, an addition to garage, rear decks off first floor and move dirt from front of property with condition that haybales be placed 10 ' up from edge of marsh, and show planting plan to control phragmites if the applicant decides to control them. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete proiect will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES : None Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh CC . DEC Dept . of State Building Dept. wY " 3•"�y' #'¢ 3sr q4p • ♦ 4 g � c R. �-4 aN � � � f ♦ �F v �} n ') µ�l,kAf�l'�'(�0 ei �^'wW'Y S.^ ��+ �A n • .. arw'� I N N WM �/ �`�~���rn, �P"fYwv�N�/mN s uMa9 '" $ ° ♦ ;;// h ��� e4d �• l .�,� l a w uW'lVYlh'� nM1 �N x�i7+a'.p� ♦� t ��s `'x'�wN W.� r'w NMnv fo- aN^N�'rexxl" mr,C ` . .NM�i+, Y flwvAd>Y � 'F G�", Bey""✓1'"✓ 4niv �'"? xr of wird. r '"�� . �° '''� ,x'"N�✓� a /.�.: "�' J BOARD OF HEALTHi1eMlM11[30gc1 3 SETS OF PLANS 2-,t� �1 ^"ci< FORM N0. 1 SURVEY . . TOWN OFSOUTHOLD CHECK - • • •� - - • • BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 TEL.: 765.1802 CALL • • • - • • • • • • • • • • - • MAIL TO : i „inured . . . . . . . . . . . . . . . .. 19 . . . IZ- q t��proced . . . . . . . . .Z. . . . . . .. 19�.i. Permit No. . . . . . . . . . . . i,,;�pproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Buili-glpector) jv;/lias 51999 PLICATION FOR BUILDING PERMIT qq Date .!�p�`1?71. . . . . . . . ., 1HLDG. DE9 !/. TOWN OF SOU7T HOtp "'' INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 (s of plans, accurate plot plan to scale. Fee according to schedule. b. Not plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets �r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- - anon. 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 :.ffl be kept on the premises available for inspection throughout the work. Q. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy all 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 1suilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ?c,ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described I he applicant agrees to comply with all applicable laws, ordinances, building code, ho sing code, and regulations, and to nit authorized inspectors on premises and in building for n ssary inspection pSignature of applicant, or name, if a corporation) . . Pct •- �iS .l. .��. .t�nCl�ccc�t, ���. I (Mailing address of applicant) e whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. QlA�f12X . . . . . . . . . . . . . . . . I . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :me of owner of premises O, rT J �. . .A, ,�CAt t v✓tC;nV1 . . . . . . . . . . . . . . (as on the tax roll or latest deed) l; appy icant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL CONTRACTOR ' S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. . . dJPV V. c34 . QW.t?0R-^• Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Llectrician's License No. . . . . . . . . . . . . . . . . . . . . . . Othar Trade's License No. . . . . . . . . . . . . . . . . . . . . . p f Loc;ition of land on which proposed work will be done. . . . . Vr ( `'O?�G. •t! . • , . . • . • . � _ 1�V'Citi U-� . . . . . . . . . . . . . • • . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . (louse Number Street Hamlet County Tax Map No. 1000 Section . . . .k;ll . . . . . . . . . Block . . . .P(19. . . . . . . . . . Lot . . Q . . . . . . . . . . . . . . . . . . Filed Map No. t2� . . . .. . . . . . . Lot �t•- ?fi?ernl�tfz(o Subdivision . . . . . . . . (Name) St.0 existutg use and occupancy of premises and intended use and occupancy of proposed construction: a Evsung use and occupancy . .0 F `alGt12.�1 �` . . . ... . . . .:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . b. 1!�iended use and occupancy .lt " :� . , . . ?U 7/qN�•�p i`i.ING .�E . .FZCJQf . . . . . . . . . . . . Nature of work (check which applicable): New Building . , , . , . , , Addition Alteration +Rc'pai" . . . . . .✓. . . . . . Removal . . . . . . . . . . . . . . Demolition Other Work;''.- . . , . . . . EstrnatedCost . . . . . . . �01-co.p. . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . , . . . . . D. (to be paid on filing this application) ?. If dwelling, number of dwelling units . . . , . ,�. , , , . , , , , Number of dwelling units on each floor . . . . . . . . . . . . . . . Ifgarage, number ofcars . . . . . . . . k. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . Dimensions of existing structures, if any: Front , . Z?: .± , , , . . Rear , , .7y . . . . . . Depth . -,5/Vt . . . . . height . . . . -. . , . . . , Number of Stories . . . .C?N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front , , .5 . . . . . , . . . Rear , SAfK Depth . . . . .#41 �7 . . . , . . . . . . , . Height. , . . . . .�.5. .P, . . . , , . . . . Num ber of Stories . PW .$No, )a ,H. 5 Dimensions of entire new construction: Front1,ra.i gRf Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . .'4 . . . . . . . . . , , , . . . . . . . . . . . , . , , . . . . . . . . . . . . . . . . . . " Size of lot: Front . . . . . . . .91D,*. , . . . . . Rear . . . ,41. `. . . . . . . . . . . . . . . De th " . . . . . . . . . . I u Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner - AW , 1(,AR2tsor1 , , , , . . . . Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . , . . . . . . . . . . . . . Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . 4 . . , . . . . . . . . . . . . 3. Will lot be regraded Will excess fill be reoved from premises: Yes N Name of Owner of premises �^?�??' lyu v�ryldresspn �y-4ho e g.�° . . . . Name of Architect �1A�4 }( f9� . . . . . . . .. . .. . . . Address QO.t rd$ §��� t otn�e. Nb—z-E3'q' SQw9. . . Nance of Contractor . . . .OWPO L-4 . . . . . . . . . . . . . . Address . . . . : . . . . . . . . . . . . , , Prone No. . . . . . . . . . . . . . . 5 . Is this property located within 300 feetofa tidal wetland? *Yes .✓. . . No *If yes, Southold Town Trustees PermitPma, 'be remuired. Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions froi r;operty Unes. Give street and block number or description according to deed, and show street names and indicate whethe i,_nor or corner lot. SEG sveue-� IA FE OF NE1y_jyqjK, S.S O 'N'TYO Mof . . . . . . . . . . . . . . . . . . . . . being duty sworn, deposes and says that he is the appltcan vidual signing contract) o« namedi_ is the . ® ,Y� . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) 0 said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi )plication; that all statements contained in this application are true to the best of his knowledge and belief; and that th, ()rk will be performed in the manner set forth in the application filed therewith. vorn to before me this J. .' ..` . . . . .day of . . Y.0 (f. . . . . . . . . . . .. 19 •I•� xary Public, . . . , iI. County ti f THEA 8. f AL1FnK Notary Public,State of New York (Signature oapplian t EJo,4852730 Qualified in Suffolk County Commission Expires Feb, 104W M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING ( FINAL [ ] FIREPLACE & CHIMNEY REMARKS; ,DATE INSPECTOR 4� X X 61 • � O f X m � v •6` oog a e ix I cr ;•,:: ia IS `a o'D• � �"�S � '� � �J Q q ol x;45' � ♦ BUILDING PERMIT REVIEW CHECK LIST Applicant) {� `' r Date Owners Name: f;�V\A AA Reviewed: Architect/ \, p Date Engineer: .J� U(� �t4,) Submitted: 0-6r-1 5 SCTM #: District: 1.000 Section: 0? Block: Lot: Project ^^ _ Subdivision � ( Location: .�1Q.5 a\ Name: Single&separate Requ' certification: Yes o j�,,//�� Req. Zoning District: I V [Lot size: Actual: I �� ] [Lot coverage Proposed: ] Req Req I O Req [Front Yard ✓� Proposed: ] [Side Yard ZS Proposed: 1 [Rear Yard J 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 Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: � �L �� 1►i Zof-e X Notes: ����►�,s �(, etz�-�1 wee 4 _ 1 200 �.Z, f +/_ — ss� . so 5 's o x 2 7C` f 7 D o -01 \ \ SURVEY OF LOTS 5 & P/0 6 o \ MAP OF lcp� AL \ SUBDIVISION OF LOTS 52 & 53 "LAUREL PARK" AND 6 \ MP S TO Ey " R QN NmA , \\���F� OTHER PROPERTY OF RAVATONE REALTY CORPORATION 5 FILE No. 212 FILED DECEMBER 2, 1930 F cM SITUATED AT AL o >o.eF ' � LAUREL j-, y T F s TOWN OF SOUTHOLD Y08 \ \ �� \ SUFFOLK COUNTY, NEW YORK \,�� 34 \ \ 9O S.C. TAX No. 1000-127-06-05 AAS 1 3 \ CN 0 � \ � \ SCALE I "=20' e .• 6g 0$ ��� - `% I'1 �px vl°" ods \ r ,WA APRIL 30, 1999 N 2 °� vR /\ \ z14 \ \ Y \ MAY 27, 1999 REVISED PLOT PLAN OCTOBER 21 , 1999 REVISED PLOT PLAN �.• �. 6 .. R s 'f nx \ LOTO 1Y„!" Yp" Y" �y \ K O\9 > AL s AILL \ AST' A "> . ,,,, > y F I \ � \ � .O i AREA = 14,479.89 sq. ft. 16 --,! s N` �� Oe'F• F r I ,`Ftt� \ O' (TO TIE LINE) 0.332 Co. Ol,gCJs eU' L � Lyx \ YFs LE pp 1� 0 JAIL / O N. .O O O o! yt W'h4p k \ - • 1^y px•a5 /I 0& 1p� 4 ( f -I x�• JILL x - CERTIFIED T0. _ -- _ i - -- 3 p ROBERT BAUMANN 9 / � 1 • MP 16 Ep DOROTHY BAUMANN to, - LOR© sG' Z/ I2-°-- 'G 1 v Z OJ F' 'iA p IDG / 6yN WH',Rp1 I.r'y •� �� O Totw ,Tw+ pW AO � ,4 •0 .�� NOTES: 5 69 s � 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS. EXISTING CONTOUR LINES ARE SHOWN THUS: - ---s- -- -- -- CCC"""-y, PROPOSED CONTOUR LINES ARE SHOWN THUS: r, FFL - FIRsr aCQR Np, 9 FL - BASEMENT FLOOR 0 2. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 3610300483 G ZONE AE: BASE FLOOD ELEVATIONS DETERMINED `� O O• 1 ZONE X*. AREAS OF 500-YEAR FLOOD; AREAS OF 100-YEAR FLOOD WITH AVERAGE L y OTO DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN O A 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 100—YEAR FLOOD. OTN� ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN. n 2 O pOU OF ARV;050%$ 3. 17 cu. yds. OF FILL WILL BE NEEDED BETWEEN THE HOUSE AND PROPOSED RETAINING WALL. Na. 1 L 0. O LP,�gE NEG'S Ps O pG F1GE 05 \g25 SNE OFSp0.EL F11bG 1N ON UNAUTHORIZED ALTERATION TO MOmoN SE THIS SURVEY IS A NOTATION OF EDUCCN N I-A OF THE NEW YORN STATE EDuanaN uw. COPIES OF THIS SURVEY MM NOT HEARING THE LWO SURVEYOR'S INKED SEAL OR TEST HOLE DATA To BE AMVVwo TRUES COPY (TEST RE cONSIOERED (TEST HOLE DUG BY McDONALD GEOSCIENCE ON APRIL 13, 1999) LERTIFICnONS INDICTED HEREON 5HALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY SUVA• IS PREPMED, PND ON HAS DOW TO THE o' TRUE COMPANY. GOVERNMENTAL AGENCY AND IT S. IAAUY vnD SM UENDING INSUFM LISTED HEREON, AND TO THE ASSIONEM OF THE 1EN01NG INSH- ld TUTION. CERTIFICATIONS ME NOT TRANSFERABLE THE EXISTENCE OF RIGHTS OF WAY ANO/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. P.LLE!I a N ONE TO LMF9E sWD sM PREPMED IN ACCO DANCE WOH THE MINIMUM STMDMOS FOR m 9UR2Y5 M ESTMLISHEO Joseph A. Ingegno R' THE LV.LS. 0 MPROVEO AND ADOPTED % FOR 9tlON-LIGE;, THE NEW YORK STATE LAND FLAB' 14YJ4LE,ASSPCWT� Land Surveyor S rve r 6 io nsIR"sE wlo sPOWHx TINE v Tfle Surveys — Subdivisions — Site Plans — Consftuction Layout PHONE (516)727-2090 Fax (516)722-5097 _ OFFICES LOCATED AT MAILING ADDRESS N.Y.S. Uc. No. 49658 One Union Square P.O. Bax 1931 Aqueho9—, New York 11931 Riverhead, New YOrk 11901 99-281 -2 PROVIDE OPENINGS FOR UCt, CY OR EMERGENCY ESCAPE AS uQI LAWFUL REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE: Gvl d ` CERTIFICATE ' PROVIDE SMOKE-DETECTING OFOCCUPANCY ALARM DEVICES APPROVED AS NOTED AS TO PART.721.1 DATE: Z•2.9 5 B.P.# 2111 11i BUILDING CODE. FEE: f-� BYc J. R,u4 NOTIFY BUILDING DEPARTMENT AT iq 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: , /\L.11y(4• i. FOUNDATION - TWO REQUIRED F"CiO F05C-.h S7(i IRFOR POURED CONCRETE ! S' 2. ROUGH - FRAMING & PLUMBING 'J ASTo L.rvh1��IJ<S f I _-- ___ - _ - 3. INSULATION _ ---` TI T 4. FINAL - CONSTRUCTION MUST EKI ST(N iL{FH r G 4:1 o j BE COMPLETE FOR C.O. "TO C3C ' �a E --r�C,HIL'' GI F R - -- ALL CONSTRUCTION SHALL MEET f -IYL THE REQUIREMENTS OF THE N.Y. I O 14 — �I I j— Grp STATE CONSTRUCTION & ENERGY L--- III j f DESIGN OR CON UCTION ERRORS _ _ —_C09��NDI�BE PONSIBLE FOR uJ � FRUF'Uc. •+'�- CAL v U - UNI I i CERTIFICATE .IIS i S10, WALL. 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