The URL can be used to link to this page

Home My WebLink About25582-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY' No: Z-27218 Date: 07/26/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: 4065 ORCHARD ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 27 Block 2 Lot 2.7 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 28, 1998 pursuant to which Building Permit No. 25582-Z dated MARCH 4, 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 ONE FAMILY DWELLING, COVERED WRAP AROUND PORCH, ENTRY PAVILION, SCREENED PORCH AREAS & DECK ADDITION AS APPLIED FOR. The certificate is issued to GEORGE & EILEEN MCGOUGH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0143 ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/S1 03/28/00 N520725 04/10/00 03/20/00 WM. SCHWAB PLUMB&HEATING 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. 25582 Z Date MARCH 4~ 1999 Permission is hereby granted to: GEORGE & EILEEN MCGOUGH 6538 GLENDORA AVE DALLAS~TX 75230 for : CONSTRUCT A ONE FAMILY DWELLING~ COVERED WRAP AROUND PORCH~ ENTRY PAVILIONt And to the conditions of Chapter 46 of the Town Code. SCREENED PORCH AREAS & DECK ADDITION AS APPLIED FOR (FLOOD ZONE). at premises located at 4065 ORCHARD ST County Tax Map No. 473889 Section 027 pursuant to application dated DECEMBER Building Inspector. ORIENT Block 0002 Lot No. 002.007 28 1998 and approved by the Fee $ 1,094.40 Above fee includes $100.00 Flood Permit. Authorized ~ignatu~ ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY .tion must be filled in by typewriter OR ink and submitted to the buildir .th the following: for new building or new use: I. Final survey of.property with accurate location of ail buildings, property linea 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 Underwritens. 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 buildi 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a Upre-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 applican If a Certificate of Occupancy is denied, the Building Inspector shaii 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 Buildinz - $i00.00 3. Copy of Certificate of Occupancy - 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 Building ................. Location of Property ....................... ~~ .... ~.~./.~. ..... ~.z.~,/.~ .~,. ~ ..... House No. Street Hamlet On, er or of Property .............. ........ Health Dept. Approval ....... nde~iters Approval ...................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $..~.~. '. ~..~. .................. APPLICANT APgEALS BOARD MEMBERS Gerard P. Goehringer, Chairman James D[nizio, Jr.' Lydia A. Tortora Lora S. Collins George Homing BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF JULY 1, 1999 Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 ZBA Fax (516) 765-9064 Telephone (516) 765-1809 Appl. No. 4696 - GEORGE AND EILEEN MCGOUGH STREET 8, LOCALITY: 4065 Orchard Street, Orient. DATE OF PUBLIC HEARING: June 24, 1999 1000-27-2-2,7 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION:. The applicants' property is vacant land consisting of 5 acres with 386 ft. frontage along Orchard Street and an average lot depth of 565+- sq. ft. BASIS OF APPLICATION: Building Inspector's February 26, 1999 Notice of Disapproval citing ~rticle III, Section 100- 33 of the Zoning Code for the reason that the proposed accessory garage would be placed in an area other than the required rear yard. AREA VARIANCE RELIEF REQUESTED: Applicants request a Variance to locate a proposed 14 ft. by 42 ft. accessory garage building in a yard area (approximately 300 feet from the front property line). By letter from their agent dated April 14, 1999, applicants stated that the originally proposed second floor of the garage has been entirely deleted; applicants' agent testified that the building is to be 15 feet high and without a bath. Thus, applicants are not appealing the Building Inspector's additional Notice of Disapproval dated February 26, 1999, which stated that the garage would be considered a second dwelling because its second floor proposed a bath and finished space. REASONS FOR BOARD ACTION, DESCRIBED BELOW: On the basis of testimony presented, material submitted and personal inspection, the Board makes the following findings: (1) Applicants are in the process of building a single-family home on a 5-acre lot. The house is set back the required minimum 75 feet from the northeast and northwest property lines. According to testimony, this location was selected so as to maximize the distance from neighbors and the road. This results in a front yard setback of approximately 400 feet from Orchard Street. (2) According to testimony, the proposed garage location in front of the house was selected to enable applicants (a) to have a sheltered south-facing area where a lawn can be developed, and (b) to install south-facing photovoltaic cells on the garage roof. Although the rear yard could accommodate a garage, applicants have developed an overall site concept that puts the garage in the front yard, and this requires a variance. (3) The parcel is sufficiently large, and the house and proposed garage are located suffidently far from Orchard Street and neighboring houses, that, applicants' intended configuration Page 2 - July 1, 1999 ZBA~pl. No. 4696- G. and 5. McGough Pamel 1000-27-2-2.7 at Orient of the buildings -- w th t'he garage in front of the house -- will not produce an undesirable change in the character of the n~ighborhood or detriment to nearby properties. (4) There are 0o factors present to suggest that grant of the relief set forth below will have an adverse effect dr impact on physical or environmental conditions. (5) The grant o1~ the relief set forth below is the minimum action necessary and adequate to enable applicant to c(~nstruct a house and garage in the desired configuration while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community, i B~=L~O~JZ~I~N: On motion by Member Collins, seconded by Member Tortora, it was RESOLVED, to GRANT the variance, as applied for, to locate garage in the proposed front yard area which, in accordance with testimony presented regarding applicants' revised plans, shall be one-story in height with storage above and sha~l have no bathroom. VOTE OF THE BOARD: This Resolution was duly ~RD P. GOEHRINGER, CHAIRM;~N New York State Department of Environmental Conservation Building 40 - SUNY, Stony Brook, New York 11790-2356 Telephone (516) 444-0365 Facsimile (516) 444-0360 John P. Cahlll Commissioner George & Eileen McGough 17 State Street 38th Floor New York, NY 10004 TID~LWETL~ND LETTER OF NON-JORISDICTION November 12, 1998 Re: UPA# 1-4738-02061/00001 SCTM# 1000-27-02-2.7 Orchard Street Orient Dear Mr. and Mrs. McGough: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The referenced parcel, landward of paved roads (Narrows River Road and orchard Street) greater than 100 feet in length and constructed prior to 9/20/77, as shown on the survey'prepared by John Metzger dated 5/17/98 last revised 7/8/98 and evidenced on Tidal Wetland Map# 726-556, is beyond Article 25 (Tidal Wetlands) Jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use RegUlations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project, such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. LIS cc: BMHP E. Thompson, Architect File Admi.nistrator 5100 Cox Lane Cutchogue, NY 11935 PLANTINGS by the SEA Phone: (631) 734-6755 Fax: {631) 734-5696 July 14, 2000 Re: McGough Residence Orient, New York To Whom It May Concern: Please be advised that the preparation of the exterior site at 4065 Orchard Street, Orient, responsibility of Plantings by the Sea, Inc. by the homeowner, Mr. George V. McGough. Si. erelyz_ _~I~- Peter C. Ste ' g President PCS:gvj SWOIhN BEFORE ME THIS 14TH DAY OF JULY 2000 PETER C STERLING STATE OF NEW YORK COUNTY OF SUFFOLK driveway and is the as contracted Elizabeth Thompson, Architect 270 Lafayette St., Suite 1303 New York, N.Y. 10012 T/F 212-274-8336 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Fester Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 ~'~uihold, New York 11971 Telephone (516) 765-18q2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DETERMINATION OF NON.JURISDICTION DATE: November 20, 1998 AGENT: ADDRESS: PHONE: RE: SCTM# 27-2- 2.7 APPLICANT: __Eileen& George Me Gough ADDRESS: 21 West Street Apr. 15A New York NY 10006 PHONE: 212-785-4405 The Southold Town Board of Trustees reviewed the survey dated and received in our officeon Nov. 20, 1998 , ,and determined that your proposal to construct a single...familv dwelling with ~eptic. Ea~'aga - to be out of the Trustee Wetland Jurisdiction under Chapter 97. However, any activity within 75' of the Wetland line requires a permit from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Albert J. Kmpski, Jr. President, Board of Trustees AJK/lms Town Hall, 53095 Main Road P. O. Box 1179 Southold, New Yo~. 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Owner: _ (please print) ~(~lease prin I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Pi~ Signature) Sworn to before me this publiC, I ~ ~R~ HOGAN NOTARY PUBLIC, State o~ ,. Commismon Expires ~a ch JI.rDI[TH T. TERRY TOWN CLERK OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town ttall. 53095 Mare Road P.O. Bo'< I tTq Southokl. New 'fork 11{}71 Fax ($16) 765-1923 Tclcphonc (5161 765- 1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Sout~old hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" [FDP(93)], and "Certificate of Compliance for Development in Special Flood Hazard Area [C/C(93)]. 0';.~G. ,,. SOUT, OLO Southold Town Clerk August 25, 1993 TOWN OF SOUTHOLD APPLICATI ON ~ PAGE 1 of 4 FLOODPLAIN DEX, rELOPMENT PERMIT APPLICATION This form is to 'be filled out in duplicate. SECTION 1: GENERAL PROVISIONS (APPLICANT to read and si~n): 1. No work may start until a permit is issued. 2. The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire ff no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to f'tflt'lil local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make /easonablc inspections required to verify compliance. 8. I, THE APPLICANT, CERTIFY' THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO . THIS APPLICATION ARE, TO THE~,~,,EST OJ: MY ~dqOWLEDGE, TRUE AND ACCUR;kTE. SE(TrlON 2: PROPOSED DEVELOPMENT (To be comoleted bv APPLICANT) NAME ADDRESS TELEPHONE APPLICANT ~tA~4q ~l. fi ENGI~ER TO avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street addre~, lot number or legal description (attach) and, outside urban areas, the distunca to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. FDP(93) APPLICATION # __ PAGE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTUR-ad- DEVELOPMENT ~qT~VITY 'I~N ew Structure F1 Addition [] AJteration [] Relocation E3 Demolition [3 Replacement TR CT RE TYPE ~Residential (1-4 Family) [3 Residential (More than 4 Family) [] Non-residential (FIoodproofmg? [] Yes) [] Combined Use (Residential & Commercial) [] Manufactured (Mobile) Home (In Manu- factured Home Park'?. [] Yes) ESTIMATED COST OF PROJECT B. OTHER DEVELOPMENT ACTIVITIES: ~Fill [] Mining [] Drilling [] Grading [] Excavation (Except for Structural Development Checked Above) · [3 Watercourse Alteration (Including Dredging and Charmel Modifications) [] Drainage Improvements (Including Culvert Work) [] Road, Street or Bridge Construction [] Subdivision (New or Expansion) [] Individual Water or Sewer System [] Other (Please Specify). A~ter completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3: FLOODPLAIN DETERMINATION (To be comoleted bv LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. , Dated. The Proposed Development: El la NOT located in a Special Flood Hazard Area (Notify the applb'~n~ that the application review is complete and NO FLOODPLAIN DEVELOPMENT PER/virr IS REQUIRED). [] Ia located in a Spedal Flood Hazard Area. FIRM zone designation ia 100-Year flood elevation at the site is: Ft. NGVD (MSL) [] Unavailable [] The proposed development is located in a floodway. FBFM Panel No. Dated [] See Section 4 for additional instructions. SIGNED. DATE APPLICATION PAGE 3 OF 4 SE(~TrlON 4: ADDITIONAL INFORMATION REOUIRED (To be completed bv LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: [] A site plan showing the location of all existing structures, water bodies, adj.acent roads, lot dimensions and proposed development. [] Development plans, drawn to scale, and specifications, including where applicable: details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the £trst floor, details of floodproofmg of utilities located below the ftrst floor and details of enclosures below the first floor. ALso, [] Subdivision or other development plans (If the subdivision or other development exceeds ~0 lots or 5 acres, whichever is the lesser, the applicant must provide loo-year flood elevations if they are not otherwise available). [] Plazas showing the extent of watercourse relocation and/or landform alterations. [] Top of new fill elevation Ft. NGVD (MSL). [] F'loodproofing protection level (non-resideutial only) Ft. NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. [] Certification from a registered engineer that the proposed activity in a regtflatory floodway will not result in any increase in the height of the :tOO-year flood. A copy of all data and calculations supporting this Finding must aJso be submitted. [] Other:. SECTION 5: PERMIT DETERMINATION (To be comnleted bv LOCAL ADMINISTRATOR) I have determined that the proposed activity:. A. [] Is B. [] Is not in conformance with provisions of Local Law #__, 1.9__ attached to and made part of this permit. · The permit is issued subject to the conditions SIGNED , D~kTE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated If BOX B is checked, thc Local Administrator will provide a written summary of dcficicncies. Applicant may revise and resubmit ~ application to the Local Administrator or may request a bearing from the Board of Appeals. APPEALS: Appealed to Board of Appeals? [] Yes [] No Hearing date: Appeals Board Decision --- Approved? [] Yes Conditions [3 No APPLICATION PAGE 4 OF 4 SECTION 6: AS-BUILT ELEVATIONS (To be submitted bv APPLICANT i>efore Certificate of Comnliance i.5 issued'} The following information must be provided for project structures. This section must be completed by a registered professional engineer or a Re. eased land surveyor (or attach a certification to th. is application). Complete 1 or 2 below. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal Hieh Hazard Areas, bottom of lowest structural member of the lowest floor, excluding-piling and columns) is: · 't' I~ ~_~u Fr. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproo£mg protection is Fr. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7: COMPLIANCE ACTION (To be comoleted bv LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSP~I'iON$: DATE BY DEFICIENCIES? [] YES [] NO DATE BY DEFICIENCIES'/. [] YES [] NO DATE BY DEFICIENCIES7 [] YES Fl NO SECTION 8: CERTIFICATE OF COMPLIANCE(To be comoleted bv LOCAL ADMINISTRATOR~ Certificate of Compliance issued: DATE: BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED ' AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: [] NEW BUILDING Fl EXISTING BUILDING [] VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A( COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # ) 19 SIGNED: DATED: COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS LOCAL LAW # , 19__, AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: OF C/C(93) Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 ~ut~hold, New York 11971 Telephone (516) 765-t8q2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DETERMINATION OF NON-JURISDICTION DATE: November 20. 1998 AGENT: ADDRESS: APPLICANT: ADDRESS: PHONE: PHONE: RE: SCTM# 27-2- 2.7 Eileen& George Mc Gough 21 West Street Apr. ,1.~A New York NY 10006 212-785-4405 The Southold Town Board of Trustees reviewed the survey dated and received in our officeon Nov. 20, 1998 .and determined that your proposal to construct a single family dwelling with ~aptic. ga.rag~ · to be out of the Trustee Wetland Jurisdiction under Chapter 97. However, any activky within 75' of the Wetland line requires a permit fi-om this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Albert J. Krupski, Jr. President, Board of Trustees AJKJlms New York State Department of Environmental Conservation Building 40 -SUNY, Stony Brook, New York 11790-2356 Telephone (516) 444-0365 Facsimile (516) 444-0360 John P. Cahlll Commissioner TID~LW~TL/%ND LETTER OF NON-JURISDICTION George & Eileen McGough 17 State Street 38th Floor New York, NY 10004 November 12, 1998 Re: UPA# 1-4738-02061/00001 SCTM# 1000-27-02-2.7 Orchard Street Orient LJS cc: BMHP E. Thompson, File Architect Dear Mr. and Mrs. McGough: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The referenced parcel, landward of paved roads (Narrows River Road and Orchard Street) greater than 100 feet in length and constructed prior to 9/20/77, as shown on the survey' prepared by John Metzger dated 5/17/98 last revised 7/8/98 and evidenced on Tidal Wetland Map# 726-556, is beyond Article 25 (Tidal Wetlands) jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. rmit Administrator dali ~1999 ~L~ L-~~h¢ npson, Architect TOWN OF c~, ~u~, ~ Z/U La~ay~uu o~ u Suite 1303 New York, New York 10012 T/F 212- 274-833~ Jan. 4,1999 Southold Town Bldg. Dept. Town Hall P.O.Box 1179 Southold, N.Y. 11971 Att: Georgia, Enclosed please find supplemental information for a bldg. permit application recently submitted for the McGough Residence in Orient. Simultaneous with this submission, a septic tank permit is being sent directly to the Town Clerk's office, to be forwarded to the building department. - Health permit info. & stamped survey - Town Trustees letter of non-jurisdiction - DEC letter of non-jurisdiction Please do not hesitate to call if you need additional information. Sincerely, Elizabeth Thompson SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES WASTEWATER F~ANAGEMENT COUNTY CENTER RIVERHEAD, N.Y. 11901-3397 852-2100 ELIZABETH THOMPSON, ARCHITECT 270 LAFAYETTE STREET SUITE 1303 NEW YORK NY 10012 CASH RECEIPT Date Processed: 09/24/98 Hdref No: R10-98-0143 Received From: ELIZABETH THOMPSON, BOX 289, Project Name: Location: Receipt ~: 48342-P-30303~11225 Check Number: RESIDENCE @ SETTLERS AT OYSTERSPONDS LOT 7 SETTLERS AT OYSTERSPONDS Lot 7 Fee: $330.00 ORIENT Amount Paid: $330.0~3 1680 ~E0155 EUZABE'rH A. NEVILLE, ToWN CLERK RECEIPT '7 Town of Southold Southold, New York 11971 Phone: 516-765-1800 DATE /.~,~/~'? -~ / '~ 19.~_~ [] CASH 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R~OUGH PLBG. / [ ] FOUNDATION 2ND [~INSULATION [ ] FRAMING [ ]FINAL [ ] F~.ACE & CHIMNEY [/ / /'/ INSPECT~ 765-1802 BUILDING DEPT. INSPECTION [ ~FOUNDATION 15T [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 7ss-:Lso2 INSPECTION [ ] FRAMING [~ FINAL [ ] FIREPLACE & CHIMNEY //"/:~'/~'~. ~ ~'~ ~) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [~R~GHPLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY [ ] INSULATION ] FINAL INSPECTOR./ 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO~GHPLBG. [ I FOUNDATION 2ND [ ~]~SULATION [ ] FRAMING [r ] FINAL [ ] FI REPL~HIM~////.~ ~__/~ REMARKS: ~ DATE ~ ~,//~'~ INSPECTOR ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ,]_~IJLATION [ ] FRAMING /~ [ ~j'"FINAL [ ] FIREPLACE & CHIMNEY ~UNDATION (2nd) )UGH FRAME & .PLUMBING' NSULATION PER N. Y. STATE ENERGY CODE Z 'FINAL ADDITI( COMMEN~ BLDG. DEPT. Towt~ OF SOUTHOLO · FOI~M ltO. I TOWN 0P SOUTHOLD BUILDING DEIPARTHENT. T01~ HALL SOUTHOLD, N.Y. 11971 'fl~C: 765-1802 Disapproved a/c ' ' · ""~a~ ~ , APPLICATION FOR BUiLDiNG BOARD O~ ~ALTH ............... 3 SLITS OP PLANS ......... ' ...... SE~IC ~0~ ................... NOTIFY: fM, IL TO: .................... INSTRUCTIONS a. 'Ibis applicacicu m~t be ~etely filled in by t-y~e~tcer or in ink 3 sets of plato% accurate ploC plan Co se_ale. Fee according ~o schedule. b. Ploc pla sh~i~ lccacio~ of lo~ a~d of buildi~s cu p~emlses, relationship .w adjoinir~ praises or public streets or areas, aud 8ivl~ a ~e~ailed deacril~:ioo of layout of property musc be dra~ un ~he di~-.. ~ich is part of chis application. " ' c. T~e ~o~ covered by this applica¢i~ my ,oc.be cc~e~ced before issu~ce of Buildivg Pemi~. d. Utx~ apparel of ~is aPPlication, U%e Buildi~ Inspe¢:o= will iasue a l~utldh~ Pemi~ ~o ~he spplicant. Such pe~it shall be.kept c~ the pmiisea available for inspecti~ tht~a~ut ~e e. No buildi~ shall be _o~_ re. ted or used' in d~ole or in part for ~ny purpose ~tmtever tin, il a Certificate of A1TLICaTI~ IS uum~Y ~ ~o ~he Buildi~ Delmrm~- -~ for Uhe l~ildi~ Z~e 0~i---ce of the To~ of SouChold, ~uffolk Cottony, ~ York~ ard o~her applicable La~, Ordi~s' or Regulations, for the ccnst-mc:ic~ of butldfll~, ~!~icxts or al:era~io~a, or for m=~val or a-~li~io~, as ~erei~ in buildi r i (Sil~amre of apphca~, or -~',, if a cor~om~ion~ (Maili~ ,,~resa of applic~£) S~aCe ~l~euher apglic~ is c~er, lessee, ~euc, architect, e~-ir~er,' general c~rac~or, electrician, plu~er or builde~ ........ .l...~.?:.~.~. ................................................................................................... ~ o~ ~ o~ ~,~, ....~. ~*~.i..~.~.~.~..~e~?~a.~. ................................................. (aa c~ U~e r~x mll or latest deed) If ai~licanc is a corporation, sis~ature of duly aufl~orized officer. (Ram aad title of corporate officer) Plumbers License No .......................... glectricia~s Lic~-se lio ...................... Or~er Trade's License No ..................... I. l~caCio~ of la~d o~ ~hich proposed ~ork ~rill be done .............................................................. Boise hlumber St-~eet ~t~l et co~=~ ~,mp so. ~ s~ti~ ...C/ .......... ~ ..~. ......... tot .g.:Z ........... Subdivisio~ .~,f~..~..o.~.~.'~.~'~.~...~. ..... ~iled ~ No..7.~..~ ....... ~t ............... (~) 2. S~te ~sti~ ~ ~ ~o~ of ~s ~ ~te~ ~ ~ ~ of pm~ a. ~sti~ ~ ~ ~ ..~6.~...~ ........... ~ ............................................ ...... ., s~ a~ ~ .~M.~.~..~¢ ................................. b. h~ ~ ~ ~-= ................... r .... lbL ~[?J'~a ~ vt~w'~, {. ~ature of ~ork (check ~hid~ appl{ cable)~ ~ ~tldi~ ..~. .... ~i~i~ .......... ~te?,~!~ · ~. t,~.;?J,,t,t ~ j ~ir ............ ~1 ..... i ..... ~.. ~ltti~ ............ O~ ~ ..., ............. i,.,,~...,~ ....... (to ~ ~td ~ ~tl1~ ~ts ~li~ti~) If ~. ~rof~ ...... [ ................................ If ~t~ss. ~i~ial ~ ~ ~, ~i~ ~ ~ ~t~t of ea~ ~ of ~ ...................... I ~r of Stories ...................... lhi~t ......................... : D~i~ oi ~ s~ ~ alte~ti~ or ~tti~s~ ~t ............... ~ar ............... . , ..~.'. ........ ~ ...~ ......... ~, Ol~si~ of ~ti~ ~ ~t~ttm: ~C ..~ .......... ~ar ~t~ ...~t~ ................. ~ ~ o~ s~t, ..~.~ .............. ~.si, o~ ~o, ~ ..~.'..~ ........ ~ ...tie: .......... ~ ..~.!?.' ]0. ~te of ~a~....,.........,......~ ~ of Four ~r ........................................ 12. ~s v~o~ ~t~tim ~o1~ ~ ~l~ 1~, ~i~ ~ ~latiml .~ ................... ~tll lot ~ ~ ..~- .... ] ..........~ill ~ss ~ill ~ ~ ~ ~sl ~ ~ . _ I I ~oT DIA~ ~ate cl~ly ~ dlsCi~ly 11 ~ildi~, ~r ~s~i~ ~ ~, ~' i~i~e ~1 ~ d~nsi~ ..~..~/~ ..................... beiu~ duly ~m, ~ is tl~ ................ ~ .................... l ........; ...... Z ................................ ....... ..... .... ........ ~a~ Publ State ol ~ew ~ · · * ~. ~ ............. //O~alifi~ , S~olk Court Term ~i.~ M~3~~