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HomeMy WebLinkAbout24338-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27050 Date: 04/20/00 THIS CERTIFIES that the building ADDITIONS Location of Property: 965 FISHERMANS BEACH RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 1 Lot 29 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 13, 1997 pursuant to which Building Permit No. 24338-Z dated SEPTEMBER 9, 1997 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, PORCH, LIVING ROOM & 2ND FLOOR ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANCIS S PERRONE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-501989 09/27/99 PLUMBERS CERTIFICATION DATED 03/07/00 PECONIC PLUMBING&HEATING AutXbrized Signature Rev. 1/81 - --- -- -- _—`=--_ --- -:-:�-:-.Gr'�'�-x-..:✓..-r�-. ---ate. 7(LRC • 7r� 7GY - APPLICANT. . :. . . . . . . . . . . . "RK NO. I 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) N° 24338 Z Date .................. P........................... 19 Permission is hereby grant to: _ Dr.P..... .% }�✓ .r...........r ro ..�_�?:�!.�f`tom"'-...AA.t%S.."....�1........ .... .. .�f......./� ./..,!?Y.�...l.�I.!'.�.....�.Z11.1.7.� � .. �. .......��r�Cf,, �,% .. ... ................. .........`............ l Q .� ..... .. . . ... . .... . .......... at premises located at..........(..&`� 1`!cC! 5....�99� '.r.le ..................... Hyl f..... County Tax Mop No. 1000 Section ....///........... Block .....0/. Lot No. 0.' . . ... .... ........... pursuant to application dated ...............P✓...� ... 19. ... ., and approved by the Building Inspector. / Fee $....-' 1. .............. ... . ...... .......................... uil ' g Inspector Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 11$5677 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date SEPTEMBER 27,1999 Application No, on file 15917298/58 N 501989 THIS CERTIFIES THAT I only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of FRANCIS S. PERRONE, 965 FISHERMAN'S BEACH ROAD, PATCHHOGUE, NY i c in the following location; ❑ Basement 91 11t Fl. ® 2nd Fl. GAR/OUT Section Block Lot D SEPTEMBER 23,1999 r was examined on - and found to be in compliance with the National Electrical Code- p n FIX u UTURF RECEPTACLES SWITCHES FIXTURES RANGES COOKING K. OVENS DISH WASHERS EXHAUST FANS n OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K,W. AMT, K.W, AMT, H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS I` SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC GOND. A.W G. A.W.G. A.W G. AMT. P. tVPE EQUIP. I 0 2W 1 0 JW 3 0 3W 3 tl dW pER 0 FCC GOND. NO.OF HI of NI-LEG NO.OF NEUTRALS Of N[ULRAL OTHER APPARATUS: ROSLAK ELECTRIC LIC43677- Id, P,O.BO% 164 CUTCHOGUE, NY, 11935-2453 GENERAL MANAGER 11 Per This certificate must not be allered in any manner; return to the office of the Board it incorrect.Inspectors may be identified by their credentials. DOPY FOR BUILDING DEPA TMEN THlMUST NOT BE ALTERED IN 4mv e,1e.,1-11 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 r1185077 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date SEPTEMBER 27,1999 Application No. on file 15917298/98 N 501989 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named ori the above application number is in the premises of i FRANCIS S. PERRONE, 965 FISHERMAN'S BEACH ROAD, PATCHHOGUE, NY in the following location; ❑ Basement ® Ist Fl. ® 2nd Fl. GAR/OUT Section Block Lot Was examined on BFPTEISBER 23,1999 and found to be in compliance with the National Electrical Code.. t FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANGESCENT FWORESCENi OTHER AMT. K.W, AMi. K.W. AMi. K.W. AMT. K.W. AMI. H.P. � V 37 46 42 37 1 6.5 1 4.5 2 1.2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pi. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMC K,W. OIL N.P. GAS N.P. AMT. NO. A.W.G, AMi. AMP. AMT. AMPS. TRANS. qMi. H.P. NO.OF FEET --AMT, WATTS 2 - I I 4 1 600 SERVICE DISCONNECT NO.OF S E R V 1 C E BR-- METER NO.OF cC COND. A w.G A.w.c. A.w.G AMT. AMP. TYPE Comm 1! 2W 1 0]W ]!3W 3 @ 4W PER 0 Oi CG COND. NO.Oi HbLEG OF NbIEG NO,OF NEUTRALS OF NEUTRAL 1 200 CB i X i 2/0' OTHER APPARATUS: WELL PUMP F-i PADDLE FANS F-4 ELEC. R0014 HEATERS:3-.5 K.W. ,3-.75 K.W. ,3-1. X.W. ELEC. 80014 HEATERS:5-1.2 K.W. ,2-1.5 K.W. ,2-2.5 K.W. ELEC. WATER HEATERS: : 1-4.5 K.W. G.F.C.I:-10 S11OKE DETECTOR:-5 «< Continued on Page 2 >>> GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if Incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY eeA nini�� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS. DATE INSPECTOR 765-1802 BUILDING DEPT IINSPECTIO [ ] FOUNDATION IST [ ROUGH PLBG.V-,,t�d [ ] tFNDATION 2ND [ ] INSULATION MING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: i . pa-7,-� �i/ G so✓40�40-�4 �/� DATE INSPECTOR M-1802 BUILDING DEPT. SPECTION [ "FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: G/1j1ra �� DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE (11[319r INSPECTOR gig: C5�-V3 � 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION i ST [ �OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ef-'FRAMING /6 [ ] FINAL FIREPLACE A CHIMNEY AR 5 6 �^ V r DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ L., FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: ©� DATE 7 INSPECTOR �o Town Hall,53095 Main Road ae Fax(516)765-1823 P.O.Box 1179 v� Telephone(516)765-1802 Southold,NewYork 11971JIG `'y�� �ap� OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: znszo Building Permit No, Owner: (please print) Plumber: / 0i2/C. '22mhb/ 7`11P,97-jn� (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (PIX*M* s Si ure) Sworn to before me this day of , 70 Notary Public. k County No"PdA060Yok glM�pp, p b i o�OsuFFot,�c z o�A Town Hall,53095 Main Road co Fax(516)765-1523 P.O. Box 1179 y = Telephone(516) 765-1502 Southold,New York 11971-0959 CP �� 41p1 �.aO,p' BUILDING DEPARTMENT TOWN OF SOUTHOLD March 8, 2000 Francis Perrone 407 East 70th St. New York, NY 10021 RE: 965 Fishermans Beach Rd. , Cutchogue. 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) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 24338-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. o�0$gFFOI,r�oG 0 y:2 C4 x Town Hall,53095 Main Road Oy • O�� Fax(516)765-1823 P.O.Box 1179 ��l 7xt �a Telephone(516)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 16, 1999 Omnibuzz 38 Little Plains Rd. Southampton, NY 11968 Attn: Diane RE: Perrone, 965 Fishermans Beach Rd. , Cutchogue. 1000-111-1-29 . 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) C� XX No Underwriters Certificate on file. S XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. o� (All permits involving plumbing being -'7e issued after April 1, 1984 ) . BUILDING PERMIT # 24338-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1 llt l.11 Ill;il'I;G 1'1(111 IIIC I'111C I' . • ,_UA 1` CUI(111; '" W TI I IIIIIIIIA I'1 till ( 1!1'1'1 ' •�.. n� a 1 v` rUlllllln'f lU11T__^( 1!111) _ � � � y � � nulll:fl Ir ItAfW x - 1.1.111111 1110 l 11!IIII.A'Il 1111 I'F.II 11 . Y �•I !I'I A'I'It I'.t11'.It IIY (ll 1111', .._____..____-_ --- _ ____________________A_m__________ �T, Ell, IIA1. •• A11111'I'1OIIAI. c;ulltfl,ll'I'll I --------------------------------------- _-_-______-____- _�..___.,_ --- — -- ---...._. . 13 �( o Nt 4 IJ G L Town Hall, 53095 Main Road y x Fax (516)765-1823 P. O. Box 1179 v. n, Telephone(516) 765-1802 Southold, New York 11971 • OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD STOP WORK ORDER TO: Francis Perrone 310 East 75th Street New York, N.Y. 10021 YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 965 FISHERMANS BEACH RD. , CUTCHOGUE, N.Y. TAX MAP NUMBER - 1000-111-1-29 Pursuant to Section 45-8 of the Code of the Town of Southold, New York, you are notified to immediately suspend all work and building activities until this order has been rescinded BASIS OF STOP WORK ORDER: CONSTRUCTION IS NOT IN COMPLIANCE WITH SUBMITTED PLANS WHICH MUST COMFORM TO CHAPTER 46 OF TOWN OF SOUTHOLD CONDITIONS UNDER WHICH WORK MAY BE RESUMED: WHEN CONSTRUCTION IS BROUGHT INTO COMPLIANCE OF CHAPTER 46 TOWN OF SOUTHOLD FOR FLOOD PREVENTION Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. DATED: JAN. 28, 1998 JA,PN M. BOUFIS ILDING INSPECTOR (CERT. MAIL) 4 Y c�UrtrQl�y - 1 JUDITH T. TERRY tip :'^Cu,=.- _' "� Town Hall. 53045 Alain Road TOWN CLERK P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �✓� tL'���' OY Fax (516) 765-1923 �' MARRIAGE OFFICER 'n �� Telephone (516) 765-1801 RECORI)S"AGEMENT OFFICER , 'ul �' 1 1 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED 13Y THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold 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) ] . TOWN OF SOUIt2.OLD Judith T. Terry Southold Town Clerk August 25, 1993 APPLICATION #_ PAGE I of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1• GENERAL PROVISIONS (APPLICANT to read and sien)• 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 if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT, CERTIFY THAT ALL STATEME�Vj HERAND IN ATTACHMENTS TO THIS APPLICATION ARE, TO THF 3EST OF MY O EDGE, TRUE AND ACCU T . (APPLICANT'S SIGNATURE) DATE 1 SECTION b PROPOSED DEVELOPMENT (To be completed by APPLICANT) NAME ADDRESS TELEPIiONE APPLICANT BUILDER ENGINEER PROJECT LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance 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. STRUCTURAL DEVELOPMENT ACTIVITYSTRUCTURE TYPE 0 New Structure 0 Residential (1-4 Family) 0 Addition 0 Residential (More than 4 Family) 0 Alteration 0 Non-residential (Floodproormg? 0 Yes) 0 Relocation 0 Combined Use (Residential & Commercial) 0 Demolition 0 Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? 0 Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVITIES: O Fill 0 Mining 0 Drilling 0 Grading 0 Excavation (Except for Structural Development Checked Above) 0 Watercourse Alteration (Including Dredging and Channel Modifications) 0 Drainage Improvements (Including Culvert Work) 0 Road, Street or Bridge Construction 0 Subdivision (New or Expansion) 0 Individual Water or Sewer System 0 Other (Please Specify) After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3: FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. , Dated The Proposed Development: 0 Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). 0 Is located in a Special Flood Hazard Area. FIRM :cone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) 0 Unavailable 0 The proposed development is located in a floodway. FBFM Panel No. Dated 0 See Section 4 for additional instructions. SIGNED DATE APPLICATION # PAGE 3 OF 4 SECTION 4• ADDITIONAL INFORMATION REQUIRED (To be completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: ❑ A site pian showing the location of all existing structures, water bodies, adjacent 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 first floor,details of floodproofing of utilities located below the first floor and details of enclosures below the fust floor. Also, ❑ Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). D Plans showing the extent of watercourse relocation and/or landform alterations. I] Top of new rill elevation Ft. NGVD (MSL). ❑ Floodproofing protection level (non-residential only) Ft. NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. D Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other: SECTION 5: PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity: A. ❑ Is B. D Is not in conformance with provisions of Local Law #_, 19 . The permit is issued subject to the conditions attached to and made part of this permit. SIGNED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appeals. APPLICATION # — PAGE 4 OF 4 APPEALS: Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Conditions SECTION 6: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued) The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete I or 2 below. L. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofing protection is FT. 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 completed by 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. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ONO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION 8• CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area d 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: O NEW BUILDING O EXISTING BUILDING O 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: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19-, AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C/C(93) G YCIPS: PI-- t11,19? '0:"GS3131G 02 F CERTIFICATION TRIS CilliftifiCatiOn IS 10 be 4;u(veY01- c)jitjct who is authorized Dy state or local ljjw 10 certify elevation information when the elevation intoirnition for Zones.Al-A3U AE Ah,A(with BFE),V I-v3OVE, and V (with SFE) is required. co tu, provto 11,00dPlain management Injormatian,may also sign the �ziad ray local law or ordinA Community officials who are auirmt. cenification. In the case of ZoneS AJ ana A;wIthoji a FEMA cv,, �Uenr`Runit-y SSUOd 8>=E), a building o"iCial,a property owner, or an owner's rWilit3elltatIVO may also 519r, the cermication certifier is unable to certify to breakawayl non-broakaway wall. Reference level diagrams 6. srw-ig FeatufVS-11 the -)ponings,or unfinished arch ist the Feature(s) not enciosjre size,location of sorvlc,O�J q L,I ry,1$ 1 --j,,ea',se, wall t no diagram number. Section C, Item inOwded in the certification under r;0mmonis Is my best& M ble. ton, Prot -Pre$ certify that the information in ocucf 0,11s 6 X)d C r�"s C&"T'!iL;at0(L under 8 047.41111101" -)aj rje pt,n,�;rjb-le by,Xv or imprisonmorl 1 undetstand that any 1AISO statOlPer" 49, Item LiCIRSENUIVItst IQr IA$a AME 4— TITLE IMPANYNAME 4A STT% ZIP AD 6 TN E4 qj PHON1 S!r;WRA UPF ompony,and 3)building owner. Coples should o made of this jcgtv tot: 1)community official,2) insuranre agenVe COMMENTS,. WTN plIko4g.opt�;QLVMN3 SLAN f4AUMENT A V A ZONES z DNr6 T�, j T tLL, —J- F1 eLgvAli" GIV, ra _ItS A Zones and V 70nes Tne diagms abo- Elevations foi all A Zrllti--- 0 Elevations for all V ttrijctural member. 11 j, Nage 2 SL o nrt a NQ 306 -eoQ i t-s.. r�,_z.-.e.•`?9°S disFasn•s.r.' r- c.s:4e,n.nARA s 1, w lti i �; t '1t' 3_. d pnr A71tfr 1 rVra: d�c a. .r { F , T y rn`Pc), �' +. ��e { }1...)Nta. ,v u�. i it �� w i 7 3 # r � +�+vr�rdr+,•_v provide elevation intCjilm iijor t' 9 6r6 r C A U! L{)IV1t.' „ a •; l r' Ira d . r F:' l„ S sH determine the proper in (n r .rursC: +gin !he 4 3d1<sys`a � Rn9e Inatr(,►>;,ad't3 ' c, <F-'e-rt! i811�4 " '-� INFORMATION COMPANY J t P POLICY`4JMBE9 Nei 4.7WNC8 S NAk,jE Wits 4-s a.UGRE�54rrrg♦ '� s..F, ,, t�•' ' *( nr� .a.',x , 4+hf� " „THLr1°;C. ine4;CRIPTION 1'. t dr=.r. `t"Ck \ „ ;Ta'f rP cont 35— S E",Tjv0 8 f LOX)C)aIV', L)AAN,--E R ATC m,4 p {f tt3MJ i N r 4P?MA ION - i he f0}rowIrg trim.t SFr 17�Pr v� E F Vnr,D0, t - t '�.�'� ':t;'r ., f�^r_. 'x.:75 €1er��.. � f•'7 d EFE of ¢''m ti,�,; r.' `_,..w le.r•'�35 SAN „E :TION C BL/ILDtNG ELE�,�ACIOSN INrORMA*t - t., r i•� "r ry+�, j •�,e' .... ,�„ .-,.,rir tvjnd on Pages zr art,j 6'.}1AS bEI SC nr' _ i } fr r� -,(r� ; F. h m y. fi ":t 1Hrri by t t - r v "'ie _!,3t;Q r - < 'zT SJtto\�gUF F6 Gyp y 2 Town Hall,53095 Main Road `+p ® � Fax(516)765-1823 P. O. Box 1179 y �! JS Telephone(516) 765-1802 Soulhold, New York 11971 wow � "A»hrrr1l' ffll�r OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD STOP WORK ORDER TO: it lbr dtik--- �w4lw + YOU ARE IIEREBY OTIFIED TO SUSPEND ALL WORK AT: TAX MAP NUMBER - Pursuant to Section 45-8 of the Code of the Town of Southold, New York, you are notified to immediately suspend all work and building activities until this order has been rescinded BASIS OF STOP WORK ORDER: CON ITIONS UNDER WFIICII WORK MAY BE RESUMED ; �k ���`.��1�.� •• �6�es`ald / 6- 1!_i�� : !',.kFailure to remedy the condition fand `to>-&s.complth the applicable provisions of law ma'y constitute an offense punishable by fine or imprisonment or both . DATED: BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOI.D SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 i TEL: 765-1802 NOTIFY:--�gr��'��� its 7r �'rn-n CALL Fx ined...... .. .., 19.1 .! �9 MAIL TO: Approved......f/..�-.., 19.�., Permit No. Ct':5�3Cpt. Disapproved a/c ................................... LJ.. q .r�..�.. � .. ...................................................... ... . .... • ..... . ... (Bild or). APPLICATION FOR BUILDING PERMIT r t Date. l 9�?. INSTRUCTIONS =1 a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector 3 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 streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram which is part of this application. 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the cork. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted try the Building Inspector. APPLICATICN IS HEREBY NNE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) _ 3 •�(eD G Y?s � t�r�efLtCPVYY(�fi�v+ (Mailing .�.!. .�....�. . address of applicant) r State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or ]mild ..........................._ ....�.................................................................. Nam of owner of premises ... L.�k -�.-`J... .0 .�' �TG.J� ................. .................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. r ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... Isyn 1. location of land on which proFosed work will be done.. 1.. y.. ...j. 5.. .0 UQ...`..... ......................................................................................... House Number Street hamlet Canty Tax Map No. 1000 Section ...J.!..[....... Block .....i.......... Lot ...2-. ........ Subdivision �' 1y?!t G!�..�rU.� � IS=icFiledMapNo. ....T. .. Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. !L 5,1, L+"1.� ..................................................... b. Intended use and occupancy ...1.'\.E'. .t. !��.=.................................................. 3. Mhtnre of work (check which applicable): New Ikuilding ..... ..... Addition .�.... Alteration ,.p ... Itepair ............ Rehoval ............. DemoliLion ............ Other Work ...S .Cdr�2 „Ql,,c.[ :....... (Descripfion) It. Estimated Cos, .t�.%.1 3G ......... fee .............................................. (to be paid Ott filing this application) 5. If (kell ing, number of cdW-II inp units ....1....... limber of cwaelI ing units on each floor ................ Ifgarage, ember of cars .....4................................ G.. If business, ccnrercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front...�. ...�.+.. Rear ��:S..T{..... Depth ..�: .�.... Height ........... lkrrlher of Stories ........... Dimensions of sCnhcture with aIteraLiqM,or acklitions: Front _ .. >L... Rear Depth . '�...... IleighL .. .. ....... lkniher of Stories _:' :WD. B. Dinhensions of entire new construction: Front �.°r�...� ......... Reard �... Depth Fkiglh[ .. p.'.t .. ......... tiuniher of Stories 21 -44 9. Size of lot: Front .tyt— F.�.c!..� .... Rear ......... Depth .......... 10. Date of purchase ..................... Ncme of runner (kwoer ........................................ It. Zone or use district in wbich prenises are situated ............................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded ...... .............. Will excess fill he removed from premises: yES NO 14. Lines of Owner of premises ..'...0 Rwne WoZ'1 .. Name of ArrlhitecC .�.,h4-4 t:�� � ,{,�,�.�1 .......... Address .1..(.:t'111.71C�G.l�...... lihom No.tfi. Mae of Contractor ......................... A(kdreSS ...............................phone No. ........ 15. Is Lhis property within 300 feet of a tidal wetland? * YES .......... ND .......... *jr ws, soma) mm TIa]SIi•TS Pmrr my w w- Ali". PLOT DIAGRAM I.ocal-e clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fmn property lines. Give street and block number or description according to deed, and show street nares and inlicat: ubeCher interior or corner lot. h1 Prgposed gore e- 4- - Ft l 1 �� 5CL4- �X15�1rY� +1Gus� SUVIE. (V Am SS ()(AINIY (F ....V.. ,�. . h .... �.aV Cl..... .'".I, .t�.L:�'.................lw-inl; duly swum, deposes and says that he is Lhe applicant (tfcme of individual signing contract) above untried, ikis Uhe ...............�... ... ~ ............................ ...... (Ccmtracl , agent .orpor,Le officer, etc.) of said cwrxer or owners, and is duly authorized to perform or have performed the said work and to strike and file this application; that: all statements contained in this appdicati(m are true to the best of his knowledge ncKl b6fieH and that the work will be perforned in the mmnner set forth in the application filed therewith, Sworn Co Ihefe>(te�hhle this �'c \ GG rr etav- .............. of .... 9.el �. l' Notary p tic ~ c CLAIREL.GLEVhI (Signature of Applicant) Notary Public.State,of New York No. ?87".1.5 Qualified in Sut9rdk County Commission Expires December 81 191e N �-9 7 !Q 3g O O 0� ©Q a v - 6 6gp" !Q� a0� 4 4)" C3. SURVEY OF P/OLOT 15 & P/OLOT 14 "MAP OF PECONC BAY PROPER M& INC•' FL'ED APM 1.4 1931 FACE NO. 786 A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 111 - 01 - 2$ SCALE 1"= 40' AUG 8, 1997 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION �yyf EXCEPT AS PER SECTION 7209 OF 7209-HE NEW S�IVSION STA P,ALLACERTIFICATIONS �F� — 4 0 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY 1F SAID MAP OR COPIES BEAR THE MfPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. BLDG.DEPT. ADDITIONALLY TO COMPLY WITH SAID LAW THETERM 'ALTERED BY' TOWN OP SOUTHOLO MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS TVSPECTED'AND 'BROUGHT-TO-DA TE' ARE NOT 1N COMPLIANCE WITH THE LAW. S o�M s. Mfrr� G4' N. S. LIC. NO. 49618 AREA = 30,873 Sq. ft. f0 f%@ Gn9 pE C �#;, Yl RS,'P.C. (51 5 5026 J: P. B 90 e SOUTH Y5971ST e 97 — .*?.'37 A N �-v / $0 00 rn ,r p JJ 'Y 6 %b l{► 30 Jp i 11 £ O 5 IN SURVEY OF P/O LOT 15 & P/O LOT 14 "MAP of PECOW BAY PROPERTES AV" RUM AM 1A 1&41 F2E ND. 78� A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 111- 01 - 2Q SCALE 1"= 40' ALG 8, 1997 M a.r /$� 799'SProp o�.¢t.1c) ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICALTIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE AA'RESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. ADDITIONALLY TO COMPLY WITH SAID LAW THE' TERM 'ALTERED BY' MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS INSPECTED'AND 'BROUGHT-TO-DATE' ARE NOT IN COMPLIANCE WITH THE LAW. �.�F,Of NE{yY NO. 49616 AREA = 30,873 sq ft to tie line PECONfC Y0R5 (516) 765 P. O. BOX 9 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 97 - 237,E a� a i err s g9 i �h 3 3Cp \ 40 SURVEY OF PIO LOT 15 & PIO LOT 14 -WAP OF PECOMC 84r m" f� A w fxEneo A T CUMHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. woo - 111- 01 - 2Q SCALE I"= 40' AUG. 8, 1997 ANY TERATR�N OR A00 P TW T*S SURVEY IS A VIOLATION GEE'iXX�C�SEEppL7XXJ 7P09 OF ThE'AE•W YORK STATE EA(AG4TION LAW f�a4 pV ARE VGACdL°�p�F TM1AS PEW SECrM S MA MDI SESATM�OF ONLY F 4 1l�F+% S1�YJATLA� At�Rs SSED SEAL OF TME SURVEYOR 11FK7� BLDG.OEPf. AL0770HALLY TO COMPLY WITH SAC LAW TME TERM ALTERW BY' UMF MUST BE USED BY ANY AA7 ALLStXtVEYpp��S UTJL ZM A COPY OF ANDTMER SURVEYOR'S MAP. TERMS SUCH AS MSPECTED'AND VROUpVT-TO-DATE'ARE NOT BV COWLMNCE WITH THE LAW. vi� NEW © O�N. ..S LIC. NO. 496/8 AREA = 30,873 sq. ft to tie k7e1151 - p C S,`P.C. 5 lJ JO e SOUT Y�Vo 97�T 97 - 237A , i J t _T •_.J b1 w,Cs OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY i PROVIDE 1A HR. FIRE — j PBBB�tiNORE11111t ING RATED SEPARATION TO ._._-__-- ---- -_.- ._ -- ---- ------- RLRR� RILlIz T PART 717.3 f 1 OF i A F' 'I i ;' I BBIOPAlL7R11 O O � �I I —� II N L!BYNDINB N.Y.STATE BUILDING CODE I I - - — - - - - - -- -----_----- - -------___---- ' it : GOBL t. , d *UftAaumvjw= fwvjoWdWMbWft •MIND UNESWAD NOTIFY BUILDING D R —9� L STM BEFORE SING 785-1802 0 AM TO 4 OU 10'1!1 ' FO G BIS�EC1NNNk IMINRRRBMfMNRNB/OR 1 FOUNDFOUNDATNIN . 1MI0 111BB1NLBNOC[I--m NG- FOBr000i00 J BNNIQRBIBPRRNR.NR) PLUMBERCMFXA]70N2. NM- -GININNNINNI U MRB1rBIMML ON LEAD CONTENT BEFORE CERTffr.XEOFOCCUPANCY IRNBIIBBIERErERT E 1Bo>�fA v SOLDER USED/N WATER BFAUIRED ALL OMNN�BIIBII SIL MINIM SUPPLY SYSTEM CANNOT STAT! CONINLMM i NBNNNN — EXCEED 2/10 OF 1%LEAD. coon. Nor mmpcNwBu M DESIGN Olt C0109INIICINwBNII1IB PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS REQUIRED BY PART.714 OF N.Y. 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DI I1 -17 I u _ yy 101 �` 12 3/z" O Puarossp AoomoN 1 RENOVATION �dtt,�,�; �s.7 T To yes SECQM��_, FL_O_ �_�_ R_ _ Pi�_ J\L� a��«pEN�,s,� � � ONE RESIDENCE c __ ._ -____" _ v END ' BCr�Il: I� APPROVED BY: z ... . . .. .. .IIrr O ( '- I rOr GRNWN BV s s LEK DRAFTING & DESIGN DATE: 1 L= 97 REVI9EU �0 <3110 FLWF i'LAN � �JesTAI LD"« 5130,MAIN BAYYI6W RO�YA�D0 SOVMOLD NY 11971 I`t(rEyrKlrlr ALL JIMFNS Il. , AN6 CombiToN,i'_ �S1f� ,W1 DRAWING NUMBER S87