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HomeMy WebLinkAbout23893-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25330 Date OCTOBER 21, 1997 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 9475 NASSAU POINT ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 119 Block 1 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 2, 1997 pursuant to which Building Permit No. 23893-Z dated JANUARY 17, 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 ADDITION & ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES J. POSCH & S. DOUGLAS BORISKY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N431433 & N431435 DATED SEPT. 12, 1997 PLUMBERS CERTIFICATION DATED OCT. 20, 1997-MATTITUCK PLUMBING & HEATING n Buildin nspec 14 Rev. 1/81 FORM NO. a 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° 23893 Z Date ........ . ......1 ..................... Permission is hereby ranted to, � .................. . ...� ... .....:.......... ................ /atpremises located at ................ n..�./ ." ............... ...................... .................. ..............................................................�......",7G212c � ............................................................................/........................ /............•............................................ County Tax Map No. 1000 Section ........./<...�j.... Block ....... ........... Lry� .� ot No. .. ................. pursuant to application dated ................ ............. 19.1,4., and approved by the Building Inspector, Fee $.6/?5Q..../�/' ..... ...... .. . .... .... .................. Building Inspecto Rev. 6/30/80 _CT /0.O. 7 S 3 S.PDT_ICdT=ON CROCC ? SC'7 A. This application must be .i11ed in :'/ tyvewr=tar .I.? 'n:{ and submictad .. iII SDeCtJr 'with the Loilowing: for new on114_:� Jr :ieSJ 152: 1 . feel sur-7ev or orooer=.- with =___ ate _Acer--c r: of all u_'_diRgs , -1Dert? _-nes, szreets, and unusual natural cr topograph'c .:_ecu res. 2. Final ADoroval from dealch Denc. of water 9uDpi'7 and sewerage-disDcsai( -, 3. ADDroval of electrical installation from Soar" .,_ _re iUnCerwr' td'S �. Sworn statement :ram plumber cerlif7ing :lac the solder '_Sad ill s;'stam Contains less t.1an 2/10 of 1e lead. 3. Commercial building, industrial Duilding, cllll__cia resicences and similar build=n$s and-installations, a certificate of Code Zomp ianc'e from 3r CnitaCt or ensi=leer resDonsible -or the building. 5. Submit Planning Board Approval of completed site pian r=_auirements. 3. For existing bLLlldings (prior to April 4, 1057 ) non-conformicig uses , or build-nl s and "pre-existing" Land uses: 1 . ACCUr3td sllrve7 of prDDert7 SROWiRg 111 DrDper=y _--nes , struts , D ilding anC unusual natural or topographic a t_' tures. 2. A DroDerly Completed aualication and a consent to inspect Signed jy _he app L enc. L_ a Certificate of Cccupanc7 is denied z,..e 3uilding Inspector shall state the reasons therefor in writing to the appiicant. C . Fees I . Certificate of Occupancy - New awed -ng 5^_5.CO, Addit_or-s ..wed"_ng 3^: .00 , Alterations to dwelling 525.00, Swimming Jcol -J.UC , iC_essory Duila:ng 525 .00 , Additions to accessor-7 building 375.00. 3usinesses 2. Certificate of Occupancy on ?re-ex43t4nz 3uJ -'-'— - SL00.00 3. Copy of Certificate of Occupant? - .25c L. Updated Cartificace of OccuDanc.- - 5517.00 5. T>_mporar-7 Certificate of Occupancy - 2esiden cal 515.00 , Cammerdia'_ _ 15 .00 Date . . . .d.4r: . . .l �. . .�4`� . . . . . . . . . . . . . . . . . New Construction/+PAvPIpAl, • Old Or Pre-existing 3uilding. . . . . . . . . . . . . . . . . Location of Property. . . ..415. . . . . . . . . . . . . . .!`�!S?soca. .$«!T . . . . . . . . . TCN4r;[ . House No. t� Screet Sam et Onwer or Owners of Property, . � F-5 . . ...at. ,•, .T-?c 'Ct,.�g. . ,� j�2,A,�,g4�(.. . . . . Counts Tax Kap No 1000, Section. . . I .I�. . . . . . .310c:c. . . . . . I . . . . . . . . .loc. . . . .I. . . . . . . . . . . . . . . . . Subdivia_oa. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ad ?ao . . . . . . . . . . . .iJC. . . . . . . . . . . . . . . Permit No.Z5SR5.?. .Date Of Per.nit. . - .I.7' ,. . . .?bpi cant �`!� .�JAa`A(� Health Debt. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .7nda a,_t_r> =Dor::•;al . . . . . . . . . . . . . . . . . . . . . . . . P1arniag 3card Approval. . . . . . . . . . . . . . . . . . . . . . . . 3eduest : Dr: TemDorar-, Curti=lout.. . . . . . . . . . . . . . __ Submitted: 5 . . . . .lr.': %•... . . . . . . . . . . . . . . . . C' c 935q - - - ` SAMUEL$ & ST ELMAainRNaA�RCHITECTS [LEUTEQ ©F VMRS vMMU e CUTCHOGUE, NEW YORK 11935 (516) 734.6405 FAX (516) 734.6407 DATE 97 JOe NO, ATTENTION RE: TO _ > WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION - THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submitcopies for distribution > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS A/ COPY TO SIGNED: eIroWCI tl02 r� iz,.CMm,Man olml If enclosures are not as noted,kindly notityus at once.' O��g�FFO�,�Co Albert J. Krupski,President ti� Gy Town Hall John Holzapfel, Vice President c 53095 Main Road P.O. Box 1179 Jim King 0 Martin H. Garrell y� • �`� Southold,New York 11971 Peter Wenczel Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 7, 1997 Samuels & Steelman 25235 Main Road Cutchogue, NY 11935 RE: Posch - Borisky Residence SCTM #119-1-1 Dear Mr. Samuels: The above referenced property was reviewed. As per the site plan dated 12/6/96, the proposed renovations to the house are out of the Trustees Jurisdiction. Please note any active within 75' will need a permit from this office., The Grandfather permit for the beach house will be reviewed at the January 29, regular meeting of the Trustees. This dose not constitute any approvals from any other agency. If you have further questions, please do not hesitate to contact this office. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:jmd / cc: Bldg.- Dept.V I` I IiLU I IL'i I'IiC I'I VII IU!I'UII I i)n7 t•: Pi 41A I nnnrnma.Rnnm.nm nna nm-.mmna (M�®mne.re.n--.e. _ �m — •/ mea v.mn I II:i III.n'I'II)rl I'1?Il tl. Y , �, 1 !t'I'n I'I? ICIIRIt IIY (.Ulll% R r -mn� m� n d" n �'l 1 V I IIn1. �"� G/t/K✓ s 9 9 a V ------------ -------- nnmmnm- msm m m _ A rnim` .7�i�> r 1 fi AIMITIMIA1. CUrIHI;rI'IYi: mmnmmz rn ---- .nnm...�1,..,,, --- -------- -- ---------------------- 3 mmm-m-- t� � I II 0 'J Nev�York State Department df Environmental Conservation Ef 40 - SUNY, Stony Brook, New York 11790-2356 Teiapboaphone (516) 4440365 Facsimile (516) 444-0373 micheei p.7.agata Commissioner October 21, 199.6 Mr. Douglas Borisky 225 West 106th Street, Apt . 11B New York, NY 10025 RE: 1-4738-01439/00001 Dear Permittee : In conformance with.,the requirements crf, thC" —Stabe' Uniform Procedures A&t (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit . Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address . Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, Marga et M. Rorke Encon Program Aide MMR/ls enclosure JAN - z new Tann a�nic UCYNHIMtMI Ot IMV18ONMENTAL CONSEF ION NUMB R Ol 3 0000 EEXPIRATION DATE r .TY/PROGRAM NUMBERS) �� E.P3) EILJ\TIIA1 DATES) Under the Environmental Conservation Law Coo- 31 /99y TYPE OF PERMIT s New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate s Article 15, Title 5: Protection Of Waters a 6NYCRR 608: Water Quality Certification ❑ Article 27, Title 7; 6NYCRR 360: ❑ Article 15, Title 15: Water Solid Waste Management Supply ❑ Article 17, Titles 7, 8: SPDES (3Article 27, Title 9; 6NYCRR 373: ❑ Article 15, Title 15: Water ❑ Article 19: Air Pollution Hazardous Waste Management Transport Control ❑ Article 34: Coastal Erosion ❑ Article 15, Title 15: Long ❑ Article 23, Title 27: Mined Land Management Island Wells Reclamation ❑ Article 36: Floodplain ❑ Article 15, Title27: Wild, El Article 24: Freshwater Wetlands Management Scenic and Recreational Rivers13 Articles 1, 3, ® Article 25: Tidal Wetlands 17, 19, 27, 37; ❑ Other: 6NYCRR 380: Radiation Control PERMIT ISSUED TO Do U G L A S dOR/SK TELEPHONE NUMBER ADDRESS OF PERMITTEE alb a as-.2 33.2 ,12-5 ales-r /o`1L4 s-r A)9T. /18 nlE,�) Vo RK N /ooas CONTACT PERSON FOR PERMITTED WORK /3a 9 Nokry SEA R9. 614-Ca,ISUL-r�Q/J�S /�1�, sOUT�/AmPTonl )VI/ /�C��B TELEPHONENUMBER / NAME AND ADDRESS OF PROJECT/FACILITY `S//' a 0^3 - �-�(oo 60R1skV Nb &RT 981.5 AIASSA14 Pa/vT ,�o. euTeyo / LOCATION OF PROJECT/FACILITY C-)UE N r /l/O .3S COUNTY TOWN -SU FFo LK WATERCOURSE NYTM COORDINATES SoUTNnLAD "' L/rr1r PECodie /3Ay DESCRIPTION OF AUTHORIZED ACTIVITY Construct within 18" of existing functional bulkhead 99 linear feet of bulkhead and place /.2 cu.yds. of backfill. '6ROPERTy rGAA/D/.JgRD pF EXIST/A1q Fu,JCr/Q/✓rf1- Bal E -rig AL InIETLArJDs MAP -# 114-,5q6 N 141 SFS SHOMIAl oA) /S BEyonlb rNETI(RISDIeT/o ARneLE mss, NOTE: Additional activities described an page three (3) of this permit are also approved under this permit if th adjoining box is checked and the proposed work is shown on the approved plan- :t;, ALL WOPp is To B1: DOLE )J ACCoRDATJCC IJITN APPRo✓ED NYSpEC PLAA1, BY acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the nv{ror Condi Conservation Law (ECL), all applicable regulations, the General Conditions specified (See page 2) and any pecial Conditions included as part of this permit. - DEPUTY PERMIT ADMINISTRATOR: ADDRESS 14 AM M ARTS) Bldg. 40, SUNY, Stony Brook, New York 11790-7356 AUTHORIZED SIGNATURE DATE /� =1 1 of PILAF- LiC. ' +5 16:c1 I,.CI AF sOJII+AAJ F'.c., c Town Halt,53095 Main Road Fax(5 16)765-1823'; } P.O. Box 1179 ;a ';,; u N Telephone(516)765.1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: 101-j 0 R� building Permit No. Owner: - �� (please print) klumberurt4A ewri cr (please print) I cextify that the solder used in the water supply system contains less than 2/10 of It lead. d✓p,.. t,1,r.�say (Plumbers Signature) Sworn to before me this day of ..�..__ LCL 19 _ Notary Public, County Term EnWt xpkss.funs i LETTER OF AUTHORIZATION James J. Posch '225 'West 106th Street New York, NY 10025 Tel #212 666 1975 Novernber 14, 1996 We hereby authorize Thomas C. Samuels of SAMUELS & STEELMAN ARCHITECTS to act as our agent in obtaining all permits required by SOUTHOLD TOWN, SUFFOLK COUNTY and NEW YORK STATE for the renovation of our residence at 9475 Nassau Point Road in Cutchogue, N.Y. Owner Date A N A410 S A M U E L S & S T E E L M A N September 5, 1997 Gary Fish, Building Inspector Southold Town Building Department Town Hall Main Road Southold, NY 11971 Re: Application for Certificate of Occupancy POSCH / BORISKY RESIDENCE 9475 Nassau Point Road, Cutchogue Tax Map # 1000-119-1-1 Dear Gary, This letter will certify that we have authorized the substitution of glue laminated beams of the size and strength installed for the originally specified steel flitch plates. The installed members meet all structural requirements. Thank you, om els, A �F®f NEW'1(o ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (516)734-6405 FAX(516)734-6407 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ V?IM SOLATION [ ] FRAMING [ FINAL [ ] FIREPLACE S CHIMNEY REMARKS: I DATE L9 /11YINSPECTOR � 3gj3 � 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 224 DATE 7 INSPECTOR /7, 3 3 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMAR S: ' /3DATE � 7 ' INSPECTOR M-1802 BUILDING DEPT. SPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION [ FRRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY R 72K : ( . P DATE �� INSPECTOR I 765-1802 BUILDING DEPT. ECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE C INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR '2 85 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE G �Y� _INSPECTOR I THE NEW YORK BOARD OF I FIRE UNDERWRITERS PAGE 1 I 1.195099 . SUREAU',OF: ELECTRICITY 11' F 85 JOHN STREET, NEW YORK, NY 10038 Date 'l; SEPTEMBER 12,1997, Application No.on file 14626197/97 N 431435 I THIS CERTIFIES THAT ` I only the electrical equipment"described below and introduced by the applicant named on the above application number in the premises of PORN/BORIM, NASSAU PT. RD. , CUTCHOGUE, NY, in thefollowing location. ® Basement © Int FL ❑ 2nd Fl. OUT Section Block Lot was examined on SEPTEMBER 05,1997 and found to be in compliance with the National Electrical Code. FIXTURE FCFPTACLFS SWITCNE$ FIXTURES RANGES COOKING DECKS FAN OV NS DISH WASH RS EXHAUST S OUTLETS INCANDESCENT FIUORESCENi I OTHER I AMT. I K W I WT I K W. 11AMi I KW. AMI. I K.W AMT. H P. 14 5 1 Fi 1 14 I DRYERS FURNACE MOTORS PUIURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS I FELL UNIT HEATERS MULTI-OUTLET DIMMERS AMI. K.W. OIL M.P. GAS H.P. AMT. NO. ,A.W G AML AMP. AMT. AMPS, TRANS. AMT H.PNO.OF SYSTEM$T AMT. WATTS FEE SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP TYPE METER 1 p TW 1,F JW J d 7W 3 X AW NO.Oi CC COND A.W G NO.Of HPIfG A "''G NO Of NEVYRAlS A.W G EQUIP. PER Of CC.GOND Of Wbl G OF NEVTRAI 0704ER APPARATUS: BEACH HOUSE-'1 G.F.C.I;-1 .. 1%1t Latf�.._._-.Jird SAGE EIEC. INC. LIC.#3635E L tier.PO BOX 38 GREENPORT, NY, 11944-0938 GENERALMANAGER 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 BVILDING' DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE, ALTERED IN ANY MANNER. THE NEW ,YORK BOARD OF FIRE UNDERWRITERS PAGE z r1195999 - BUREAU OF ELECTRICITY 1 85 JOHN STREET, NEW YORK, NY 10038' Date :JE11E1MNER2,199'7 Application No.onfile 1333:3397/97 N 431433 THIS CERTIFIES THAT only the electrical equipment os described below and introduced by the applicant namedon the above application number in the premises of POSCH/BORISKY, L NASSAU PT., ROAD, CUTCHOGUE, NY - in thefollouing location;. ® Basement ® let Fl. © 2nd Ft. CAR/ATTId/OUT .Section Block Lot was examined on SEPTEMBER 95,1997 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES 'RANGES COOKING OECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS FCFPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER HAT. K W. AMT K W AML K.W AMi K.W. AMT.,. N P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PTj TIME CLOCKS I UNIT HEATERS I MULTI-OUTLET DIMMERS AMT. K.W OIL H.P. GAS H.P AMT NO. A.W.G AMT AMP. AMT AMPS TRANS. AMT H.P SYSTEMS AMT. WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S - E R V I C E AMT. AMP. TYPE METER 1,.2W 1 F SW 3 A'SW 3,e 4W NO OF CC COND A W G. NO Of H6lEG A W G. NO. NEUTRALS A.W G. FOUIP. PER d Of CC.COND Of HHEG OF NEUTRAL OTHER APPARATUS: JIM SAGE ELEC, INC. LTC.#3635-E L PO BOX 38 GREENPORT, NY, 11944-0038 GENERAL MANAGER a6 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. l COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. § '73 it alo%muw THE; NEW YORK BOARD OF FIRE UNDERWRITERS mm 1 I 95099 BUREAU OF ELECTRICITY, 88 JOHN STREET, NEW`•YORK, NY 10038 I / Date 81i1PTEMFSER 12,19!x7 Application No.on file :1.3333397/97 H 431933 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of POSCH/FSORISKY, . NASSAU PT, ROAD, CUTC.H�--011CUE, NY in thefollowinq location; ® Basement ® Ist Fl. IS..I 2nd Fl. GAR/ATTIC/PUT .Section Block Lot was examined on SEPTEMBER 05,1997 and found to be in compliance with the National Electrical Code. FIXTUR! FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS BCEPTACLES SWITCHES INCANDESCENT FLUORESCENT I OTHER I AMT. I K W. I AMT. I K.W. I PMT I N.W. I AMT. I K.W. AMT H P. 50 54 39 a0 1 8.5 1 1.2 4 F DRYERS I FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS I BELL UNIT HEATERS I MULTI-OUTLET DIMMERS AMT. K.W. I Olt N.P. GAS H.P AMT NO A W.0 AMT. AMB I WT. AMPS TRANS.I PMT N.PSYSTEMS WT WATTS NO.OF FEET 1 F 1 20 7 600 SERVICE DISCONNECT NO.OF S E R V I C E METER NO of tt coND ACC G.- A w.0 A.w G. AMT. AMP TYPE' EDULP 1�]w 1 F 3W 3 9 3W 3,e KW p R 8 OF CC.COND. NO OF HI{EG OF Hl LEG NO.Of NEUTRALS OF NEUTRAL 2 200 CB 1 R i j J 1 4/0 1 1 2/0 OTHER APPARATUS: SPECIAL RECEPT. AMP.30-1 PADDLE FANS- F-4-5 TON A/C"-1 MOTORSt4-F H.P. ,1. 5 H.P„1-F H,P, PANELBOARDSt1-4 CIR. 60 ELEC. WATER HEATERS:a1--4,5 K.W. G.F.C.It-8 TRACK LIGHTING:-�8 � L L <<< Continued on Page 2 »> GENERAL MANAGER l 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 MANNER. ! BOARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK AN2 TOWN HALL SEPTIC FORM . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NUTIPY CALL Examined . . . . �7. ., 19 ! � MAIL TO : Approved e r� , 19 !Permit No. � Disappr /c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspect ) PLICATION FOR BUILDING PERMIT Date . . . . . . . : . . . . . . . . . .. 19 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stieet; or areas, and giving a detailed desetiption of layout of property must be drawn on the diagram which is part of this appli cation, 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 permi shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant} shall have been granted by the Bullging Inspector. APPLICATION IS HEREBY MADE 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 of 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 tc admit authorized inspectors on premises and in building for necessary inspe ions . . . . . . . . . . I . . . . . . . . . (Signaturec applicant, or name, if a corporation) (Mailing address of applicant) State whether whether applicant is owner,; lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises0l -oor—S , .�t . /?e s�Lh! /.mler,ry. . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . 'l . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . Electrician's License No. . . . : . . . . . . . . . . . . . . . . . . Other Trade's License No. , . l . . . . . . . . . . . . . . . . . . I. Location of land on whichro P Posed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . 94* House Number / Street Hamlet County Tax Map No. 1000 Section . . . :! . . . . . . . . Block . . . . , . , . . . . . . : . . . Lot . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . . , .'. Filed Map No. . , . . . . , . . . . . . . Lot . . . . . . . . . . . . . . . (Name) , ?, State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ` ! ,J - 6e 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . .lam . . . . . . Alteration Repair . . . . . . Removal . . . . . , , . . .. ' ' ' ' • • • • • . . . . . . . Demolition Other Work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling, number of dwelling units . . . . . .1�. . . . . . . . Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front . . ,° . ./ • h . . i z—62 re Rear . .rP .'"fie. . . . Depth . . . Height . . . .1 a . . . . . . . Number of Stories . . . . . .21 . . . . . . . . . . . . . . . . . . . . . . . . . . .� . . . . . . . Dimensions of same structure with alterations or additions: Front ., s> ® 9r ®� . . . . . Rear rte- 4211111 . . . .fir . �. . . . . . Depth . . .�. � . . . . . . . Height . . . . .�. . . . .^. . .dr. . . . . : . . Number of Stories 8. Dimensions of entire new construction: Front . . , . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . ... . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . Rear . . . . , . , , , , . , , , , , , • , , , , Depth 10. Date of Purchase 2 p . ... . . . .� . . .�� . . . . . . . . . . . , Name of Former Owner 11. Zone or use district in which premises are situated . . . . .e12. 7;111 12. Does proposed construction vio ate any zoning law, ordinance or regulation: . . .!� 13. Will lot be regraded ® , , , , . . Will excess fill be removed from premises: Yes 14. Name of Owner of premises eOgC,/,,. C'�?2(s�e`1 Address .?//4DPhone No.? Name of Architect , • , Address . . . . ... .. . . ... Phone No: V3 ,6IV,0,5, , Name of Contractor eW.AW. , e'CyvS7/?C/Gy/CFtJAddress .!rY!64M—. e?l-?, Phone No. L5. Is this property within 300 feet of a tidal wetland? t " Yes. . , . . . No. . . . . . . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. TATE OF NEW YORK, S.S � O U NTYO FFl,. . . . . . . . . . . . . . . . . 'f•"19A•� • •0 • "ft • . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) )ove named. , is the . . . . ... . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the irk will be performed in the manner set forth in the application filed therewith. vom2to before me this f '' ✓© J . . . .day of. ?Z ?l! 19 >taryPu . . . .Aercounty LpJI1fORORtd1 WwyP&k8WdNewVbrk No.490M.Suff AeCounly (Signature of applicant) Term Expires Sep.3,1917 n g P 1 I Sr-AP'KoxIMATE oGwTIoW 2 U 0 of Ex r�rlNc, SAN TARS JpN' y Z } s���-rl Tn r1�MAIN + In _ 6EE �PEGIFIGATIO IJS z LIN W (1 Fnrt AVP'ITILJNAL h1012 - K.�'r+ i N O fA B1 NEW TIvlwEtz RET,A1�11NG l i NoT - Ir�1 - s� VW/ 0) DDO I- WALLS 3vrN SvEs r � M oN Gc�tJ t'RAGT Q N 0 r'aAN To 51k<Aric_- I \r 1f. s EX 157; S7 P, EX, 06U APVIeAtIMAT[E LGGA^"1c:7W I - - -1— a�(�Cr EK- AyJA'1" GKOM HGLIZE _ 6K15�f W C� WATE•R LINE . Pi\I2kING •n p ve l r toGA7:n PR10 L ASA r REMCh/E EX77 a/ _O o V+ (Y EcA (nl To x .iATor.l - - - - ! --'1 c.�RE€t�1 c'b2cH A/ P LL O z ~" , FAMILY / — Q OM ��� RESIDENCE y C3P-Ou +_ — - �� 0 W ' - - -- - - _ - --- - j IiEMJVG 1 '' Z NEW 3K'•' ,JivG TSE N W _ vt NE1, DINING 2M ILI _ �,� �a-' • _- I- 1 ADDITION o�O .I Z NEW LANDCa& oil U a / STEL I n N -v 9 NEW G�✓E KEV ST. d n' 0^ In i � �Ili Ali - New uN17F�1zc�uNv �LecTria'.. a L �. J PHONE O GAT+/ Ll1rJ E _ I- s �-- - ExPsTINc, u•t'Ii.I"iY L`INI � N 1 I �j utile Is Au z 121?E��IJI�R Cura�ii= � � i r,ti Drym} t!, Q �0 w i I _ = uNEc) EX16T O /EkHEfaV TIUT`(-- ---- `- - -- - ONDEIiWRITKQUIRW IFICATE - ��C, � II, ED WS G. DATA ARpy/T A� G. F�. SITE PLAN SITE I r. r�dw"c SCALE : 1" = 20._ 0" ST OCCUPANCY S,vgy' e W �q g� �tj - ° S - �]kp ltf.I G:14�9�r�APl'��� CY OR SCTM # 1000-119-1-1 � Y' II h"( � rFOF 'E IS UNLAVIFUL u 1 + ¢es Y3`% u 1' PROPERTY: 9475 Nassau Point Road ,.,u r"( Ery9�"x• t CERTIFICATE a C* �'hL ADDRESS Cutchogue, NY 11935 �� U �y� '' Pr jectNo: q(ol"� V�4' I HOUT CERTI ICA E 'e ,,I1s>Tni9tCl bi`4 RI f P.ra,. NO�'L,� ��>�•-�-� , ``�] � '4' �` HOG NECK Drawn B lFi ILS ! il . 7 `rnw y: IBJ @ SD pr. ar.Coh I ¢C lLPI_1� 9..• N c ,,+:�Tr,r;,',x:D6�� Gifwri'4'IS,41.9!IiP:s+� nitic � rr,, �°�, �" � pp p� Lfky`�' a. .n.4 Checked By: NS :'�dtl �b�ll.�Is9���� E OWNER: James J S Douglas Boesky �.�rD` �31-€� dee` B A Y Date: bEG. 2, 19GG� �S,v r F SURVEYOR: Roderick Van Tuyl _ _ Lrrr�e PLUMBING PCU?,,Ilia RC'ERTIFICA4T•Ie' N %l� S ,• g c' scale: r Greenport, N Y. 11944 l ALL PLUMBING WASTE CONTENT `� 5 a,];r 4„ Y Nacl� &WATER BINES NEED OIV LEAD COATEI�T 3-c. '-01TP License # LS 25626 i TESTING BEFORE COVERING CERT1r1CA+E OF OCCU'PLi:���� Dated August 27, 1996 Sheet Title: CUT CHOGUF "\��I � NASSAU ,SOLDER USED IN WATER 'Old HARBOR L/j POINT .SUPPLySYSTEM CAI+� NOT ('I p N SITE If oar tubing is used EXCEED 2/10 of 1% LEAD. � PLAN forr water distributing system; piping shall be of types K or L only ° SITE LCOAl-ION Sheet No: 1 .. - - ---------. . € neFNINGS FOR t ESCAPE AS PART. OF �'^• • •• .- LilllDlNG CODE. 1 17'- ExIST•j 3-3"S Ili -8z°'xTzar s�,A.3 r�gl'�.Isi, � � ±Oj-3 `V - z l(� VENTQ — �' •J' t o � G Q c 2 9 Oct ' To OAT6H �y s7 5I2ENIG/F FXIS�� f2El`^J✓E- EXIST' x 1 / INFILL *,INFILLopiI kl/ 1 5 oPa East ;l t5"x16"" CoNr• rtLc T/7< SLG CO EXISTiN 5T02�� 5�-gn EX�6ET DMRmSMT g-po,1 i `CD UP 4i 511 3i 7u Zi_8o g�.4' EXIST, wD FL �.�A']6�� C/AS n I n 4 � �J7`.." - V Gj=6 PAD FoY2 EK ® �, r.P5E0 oPEIJ'G 0 pRop NE r vl� � MlWzoz r �� F- W 0) T.�N KS �EK QjS VJ� 3S -2ec, MLD.fAT4 A/ 2j Y. hF� 10✓E EX16T. - — - ) _ _ E ' -- - _ -- - 06 Mf,50 4PY57F Li cn Y Y -� ®I ---NLE° rJ I-l-e" �-L•�L-27--=---CP---_ /i _i_ ® W1 I NNID EUxIS ;i1I ��r°�C o _5 t _ S w N-FVEO2W�WRD ` EN_cT. ��_-.f.-. f ..- tMMWo aQc0N o H _PfWTR( n/ Y nx LI O� f > < EILWS U 0 , OIL PU E( wTINR1 11 L . u� �� _ 4 / ✓ I'o"f EXIST - �F'-711 + D iv - - - - I �N � r LOSE E1V�5 IALL �c�S�o"rP. 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F1 gT Tod EX TING -Ww 546a"_NT axr f�lEl� 7� RATEDSEPARATI0 Tiffk OFENC� �� XISTI�� ST st �IEz - N"w vU b — NE LIP EL TO - �t.�T' C3A EMEN'T � UP NvNrcr+ Exlst I ., = REMOVE ��T a RP.ILi G PART.717.31T)l1)OF PANELS , ®, NEw2xIoFT� I _ Tr -1 G � — s -I� x Cc' o.G. I �. O N.Y. STATE BUILDING CFj. A IGN WALL _ — O - 4 q L L -s �\ 1 W la m, �w4N�e �N EE Cl -- - - �� - CJ/E. EXIST', � G2AWL. - -f L� ❑ J - _I � _L — �I -- -- �{ �_+ - h- �aie - T 5F' i , _ _ FIrr P.L. rCkll bm, FI:� .._� i ° �g� gx�0 HDR. _ LG GEIUNG �, `-, _ -0 Z . --� 2X8 L8 R NEW OIIrF1�EpEXgI5T M 1 ,i ; n 8i_a.�l i_ i �, �N. . Pd vE -7 �� 0,1 LZx5 LE FNE�,rr GECON- 2x 7�20:> lS W 2 �� i - -- rLUC 51NICGLE HDK C I(a D:L , n Vii , u u 2 ii; G i I- O 7 I Co 7 �`- - E G"t'LED OFF-N'1 , ,4 -' L • � x i; i'-;' N 6J 7. CYP - ��� -- - _ - I3 -8 3�8 ccr. /'/ tZ�Mov E EX I'�STt _ — — — � y�; ' I � Ex ter. NIA�� To r, . xrc� a°T ]015 i �CIST H� 2 PL. J5t PRw4DF�=ae - _ 0 31_8u t�f w . L - NEW 2x6. !'. lw f — — -' - - Q , F 3- Zx N, rb5 J - NEW�" I " - � i' i i , E LINL of WALL �, `� 6F NEW 32 H p I,.1/ 3 2x G� F?Yf' w • z 3 � I At'z-NF 1„J ANG. F.�LK LdD Al UNCa �. r - - New a•Zxe eacw ouNDP-ION k/\L_ exa w° cols__y Y I -- I�-.]I�/R�UI�.D C G. 6X6 R�5r' `�' R�f-:�TNG - - - ¢ ~ END CC�.ONL DN c/ ' APPLIANCES 18"AS `)"� " -4 FNCPPED _ y x4 CECW2 m. q {o± Y � 'I y X24" SQ GONG REQUIRED BY PART. 3,_ Du VEGKGi c AtiDO - N al_ Ion 6 _ou - - PG�E�R LJ/r x 717. BUIL I)OF -- N �x �TING STATE BUILDING CODE. I 13'--I O" � L.IUING - EKlsr wD FL 4�EjtED,qRc may) y? N I J �� �GST/ GR^kl_ /s F / Project No: 96, 4 Drawn By: 7�,I -- - .- - -- I /, ---- Checked By; I\15 Date: bP� 2 I'1°9w rCSTNi -> K, Scale: Sheet Trite: FIRST & BASEMENT — �— - -- _ FLOOR - PLANS Sheet No: BASEMENT PLAN FIRST FLOOR PLAN SCALE : 1/4" = 1'- 0" SCALE : 1/4" = 1'- 0" i b GurrE2 - THIP, W /- 5i O I W � ` - EXIS D02ME25 � I � KTa riEM<L �� � � I - LU � 06 -- L w - --- --- - --- -___----_ _ � --- -- - -Q O2�FK > DISTOEISTING� � Z �ED�M w N — 2 K t�IZi — rJH I N UU L� f2LXJ F to oiyASE ; O -_ j--- - - - e �- F INr ��j.AFalnv7 A � '.r.lC ' , - -- � - -� L.G.G. -f\5���,1�� .X � - - - - � � T- - - �4 /A��t5 � av Nuuc� — ! FiAt� � '� . > — Q- - r I � -- ��- A-- - - - w �u ae)l! z MEM 5PANIE - - - c s - _ 4- i _-r - R QiU PART.714 0R - - _ - = qa _N FLYWD Y. G.- F,.� IS NEW We R. t� - �x 10 2AF7F - _ W/ Z- 50 -- - — i - � _ _ _ —__ _ = Yrs AT L♦;� — l—' I >PROVIVE CS IGKE.T - - ` - Fj(IS P,AILhK" -- - - \ �' NEtd JDA + - — -- -T - - ! - - - - ti z . - a MCMr✓�aNE � �/AL..EY --r-a��A-t'G;� FLASH N r ANv � - {�@ — IZ - I I - 25;JO„ I I I r I � ---GUTTER - - - _ - - - �oP eM E< � � � �erwN w . — - 18 ti�D LINE of Ne ¢ - -- -.. `- 7 LINE OF r2Ck-)F Tc N , . , 1 '1 ' Illj � il I ! IIS I I li I 11 I it III III �gtEjyEfS gR�yT S44 Foy. � I I SII III III I ' 183 ! PSE F O� >� I . I II FR I , Project No: 9Colq _ Drawn By: T5/NS ' IIII III _-_-- III ISI Checked By: NS Date: DEr,, 2, I gi9(n I I Scale: %fiu_ 1,011 Sheet Title: SECOND FLOOR — — --- -- -- - ROOF PLAN Sheet No: ROOF PLAN SECOND FLOOR PLAN SCALE : 1/4" = 1'- 0" SCALE : 1/4" = 1'- 0" 3 t- GUT IJEW WiN OVIrJ INTO s,x Ic�TI N 61 InIALL p'A"'CH -- - k SIDING AS kr-CZLhk,F_V. ' LA 1.-IINATE GULi r.�T&IZToP I , 1 3G" � h -T _ (-ANEL PAN ELE7 bJJOi = --- GAJLTK•f i D ALL SI Gk-5 6� OWl.IER. 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INT�� RENr_7 /E ex - - - - — —— W N INFILL bJAI . . ---- ---- - c,,�r✓, �aL� — -- - -- - - - - - � 2 m - 0 z - _ a c NEW DEGK AuV .STAN -EDE CAL?:IMcT=� AT EXIQTING F'n LINpA'TlOnl .---_� O AEc I Ihl c�WTl c:..r s5E PE'I'AIL � v - �6EE s.F;ECIF-IcATlo� z: Co CL EAST ELEVATION AGI TGHEN E�.wf�T I�I V � SCALE : 1/4" = 1'- 0" Mow � PAINTED ci•rl�, ay. i — f- 24" - WDOV „0LiV6rCE U' SEN G,a 'UIN aT = uPPEu cA,n IN E" n 4�° hIIDE d` ><4 al-J xlo RAKE -rn.I M� k-Vl <w . 27" FIDE +YJLIILT• IN � F1416ZE pELOW Tel IrI A'I'GN EXIrs+TINC� �' Z ' r t , � - LAF� 1IJA"_E Goll iJT &Y< 1b.- LA ^ 27" WOE A IW/L7000 sr 3AN /INF GT'EN 7 LOPEN TO ENTRY !TALL J ET ITI. VW OV=F'. ]aAW r- ' E 6JIJ IoW£., 6,Lr MTL VRIF 6AP ---� LU I�ANEL • VIII ,__ Q - _ I �ycl S'I" NCU1 �kLGI•:. GHIM^v(:�v Y ,5j,/JCW _ I JoI N�..y ANS,, AW1=.w,. .-1�,:.._.•-, IG_G'�" G'L<,_ •i - i L, GUT 1NTU hx NEW p�AY A'T' FLA SHIhICiI -I .FL N1A`rEK e,EPQCVH ._r �j2° WIrJE WD. SH ELVES, W✓P)ETAIL' TO L-L-f .._ t- : -Ell _ �,�r AS I/ce%2UIFLf- k, , GiUPPOt2T AS lz Edq'O• HA7GH "11571+.lGI i - It I r SSEREm qR0 _ -IIP IZOOF- AKOUI.Icd _L.G.G. STEL H TGHIN0 T H _ - - -- �_-rN - - - 4y, , >✓ �:: F=L•(w� . ypa',.. "j`n d I G -- ----_-- - J^-- -- - onJ 'L�lv r1A�'TEh CI T FLASHIT NEW wcav u1 lcl,e ��nr a u ae -- 6d TO 6xl-rrlNq , , I IS FACE:- W, ACE B gp -- PAILITE7 _ -- - -- N T I, _ Project No Gj �p " W. I-AMINA E 1 -- Wed GIKET'. 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P: IG"O.G PIP'�T FOkM ON 2xti�..tfaW G}x i2 ITT yhll� - fzlMe7erz — BUILDING -- - 5 x4 G� 4x12 1 /4 srF SECTIONS & i ISI 1 N DETAILS 32x8LIN0fl JO W4 WALL Sr I/o ' l•�1/ 'Y FLYWD b45FIHLl V G-r✓N";✓F- -k' - -_-_ —-_.___ Sheet No: C BUILDING SECTION SCALE : 3/8" = 1'- 0" PtN WPJ L 512_ /z /2 4i� oh" oLANDINCG /Sf-�,� Int'' P , - - Ws;-.. W \ ` Q \ \ z .I. 1 I Q7 v Luk v _ td} k 1 V Q 7 a 27D � GeFvr__t ,yrc i CO Cl) Cu �F Lq < Ottt NDm(or W4J � ZZO 0j �1 ! K � T �— - GFS T — - / - Cu M�N _ # LO / -- - --- \ �F - — PHONE n CO rn L7 kl T��eN v _ = _ _ a O s.Q !! i / I Tarte TtT. I \ / XSTO n `� - - ENT 71 L� �i y .! 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CEG, 2, 199G Scale: Sheet Title: ELECTRICAL f - - - - - PLANS Sheet No: ROOF PLAN SECOND FLOOR PLAN SCALE : 114" = 1'- 0" SCALE : 1l4" = 1'- 0" 4: