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HomeMy WebLinkAbout22627-z t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23649 Date MAY 16, 1995 THIS CERTIFIES that the building ADDITION Location of Property 1085 BAYSHORE ROAD GREENPORT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 3 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 27, 1995 pursuant to which Building Permit No. 22627-Z dated MARCH 15, 1995 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ROBERT & BARBARA HOLLEY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT.- #7867 - APRIL 24, 1995 PLUMBERS CERTIFICATION DATED APRIL 27, 1995 - MATTITUCK PLUMBING & HEAT. Building Ins ector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) QQ Date ~ : . 19../... ~ N° 22627 Z Permission Is hereby granted to:A ~.s.......o.......... . to z . f~ .......I" / -etc . at premises located at..... Irf! 6 74 ...........................gyn........y,yr:............................... County Tax Map No. 1000 Section Block Lot No. pursuant to application dated ..•••.Z7,...., 19..../pp. 5.... and approved by the Building Inspectoor. Fee . Building Inspect Rev. 6/30/80 Form No. 6. TOWN OF,SOUTHOLD BUILDING DEPARTMENT V' TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application buS6 be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical instdllation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in ryste(h,pontiins less than 2/10 of 1% lead. 5: Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ' "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features, 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25,00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years'- $10.00 4, Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 X . Date aw Construction.., Old or Pre-existing Build >cation of Property.... !~yf7V/.~/tNAR,T House No. Street ~ Hamlet ewer or Owners of Property. X,41 ,,/?tgG . unty Tax Map No 1000, Section ..,?rl...... Block ;3. „ ,,,,,,,Lot . bdivision............................ ,.........F led Map.... I....... :Lot..........,... •GI~ / C ~ E rmit No ~°?L~..z:.DateuO[ Permitllk.::/. , ppl i can t.. alth Dept, Approval, , ..........,Underwriters Approval. ~/l`,d ~ inning Board Approval guest for: Temporary Certificate....,,,.... Final Certicate..,/, Submitted: $ „ .L......... APPLICANT eo~a36~ , 04/26/1995 16:03 516-734-7206 LADEMANN ELEC INC PAGE 01 (516) 286-6642 ELECTRICAL INSPECTION SERVICE INC. 375 DUNTON AVENUE EAST PATCHOGUE, NEW YORK 11772 7967 APPLICATION NO. ON FILE DATE: 4-24-95 ADDRESS: -IORS May Chore Rbad VILLAOE: Greengart TOWN: goxtho7t a ISSUED TO: $nb _r _ Hol l ay INTRODUCED BY: Lade,ann Rleetriq,, Inc LIC. NO. 41418 AREAS LISTED WERE INSPECTED ON: 4-24-95 AND WERE FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRICAL CODE. LOCATION: -BASE _XX IST 2ND _3PD ---ATTIC POOL -SMOKE DETECTOR DETACHED GARAGE SERVICE DISCONNECT MPS E 150 OR THIS CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. •O ~ HUGO S. . SURDT"- INSPECTORS MAY BE IDENTIFIED BY THEIR CREDENTIALS. PRESIDENT NT . 1 EDWARD E. WILLIAMS, BUILDER bffoumo 150 Seawood Drive SOUTHOLD, NEW YORK 11971 LETTER (516) 765.3000 or 3821 Date March 13, 195, To Mr. John Boufis Subject Holley permit.'' a' Southold Building Dept. E~~t o C-0 4 In reference to my building permit application dated Feb. 27, 195 my estimated cost was $30,000.00- that was in error because it included contracts not related to the addition. RE: painting the whole house- new hot air furnace necessary to heat the existing L.R. & kitchen- landscaping- replacing roof shingles on rear of house. JOYCE Ni. WILKIN3 Notary Public, State of New York Please accept this revised application. No. 4952246, Suffolk County, Term Expires June 12,18T D~-~~'y~osu•~ l 3 c.¢_ ~-THANK YOU SIGNED E] Please reply E-1 No re ?y necessary0 c R Board Of Southold Town Trustees . )r' v SOUTHOLD, NEW YORK E-. PERMIT NO. 4388 DATE:..11-18-94 > . 2z ISSUED TO Robert Holley , Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- b / titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and they Y REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM F LANDS UNDER TOWN WATERS;" and in accordance with the Nov. 17 kk Resolution of The Board adopted at a meeting held on 19 94 and in consideration of the sum of 150 paid by Peconic Associates for Robert Holley III~~'~ of Greenport N. Y. and subject to the 4 Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Construction of a 20,51 X 16' single story addition, 54' from the-4 iF. upland edge of tidal wetlands, landward of an existing shed (approximately 10' X 101), and a row of haybales be placed 7i IR durin-g construction. a, all in accordance with the detailed specifications as presented in s ( the originating application. CIA IN WITNESS WHEREOF, The said Board of Trustees here- Ij by causes its Corporate Seal fo be affixed, and these presents to be subscribed by a majority of the said Board as of this date. o r.. 01 -J- Oj Trustee ' a+v'e.6:,,ro.'d,~~.•, s:'.G.'.,.:...1.~L.`./i.::..R-v`~^~~ti~ti=v: _ _ _ - _ .i~J rTERMS and CONDITIONS The Permittee Robert Holley residing at 1085 Bayshore Road, Greenport N. Y as pan of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper. ation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Permit is valid for a period of 24 mos. which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may he made to the Board at a later dace. 3. That this Permit should be retained indefinitely, or as long as the said Permitt" wishes to maintain the structure or project involved, to provide evidence to anyone concerned that auth. orization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obsttucnon to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. S. That the said Board will be notified by the Permittce of the completion of the work auth. orized. 9. That the Permittee will obtain all other permits and consents that may be required sup. elemental to this permit which may be subject to revoke upon failure to obtain same. -M -v X N 3 o Z (n D 0 c 3 CZ CD CD CDCD CD CC C7" CD "a (Ir `R O to 3 o -e - CD (n C V = C r+ rte3 O O $1) O 0Q.Q~a O , CT O CD n O~ < z m O C=i~ CD O M CD W 3 p CD 3 C CD 0 x ~m~ O. O r+ C CD O 0- ~ < ro' U) r.+ cn Z CD O O O CD C/) o r-1. CCDD 3 =3 CD 0 0 CD CD CD CD CD ` o 0 CD o ~mD _0 0 CC)0 O M -0 CD M -0 CD CD (n M 0 CO i CD n< C CD 0 CD a 3 0 CD C n fRf I~ ~ p Z _ " O CA C: -00-3 °1 3 CD w C O 3:3 CD o CD l< :n *n. WETLANDS \ y ' FLACIS NN. 01- C~ sT~ 35~ 3.z~ ccT~ / , EXJ J7EP J 'E { + ~ ~ S y • 6 ELLEN fir , Fi PROP AOO IT t Gant 3p.. PROP (v a I ~ LOCA?ION I/ ,j oOR EX i gT. 41 Q bttED p n~ i Q I O v IT' - - - 60.00 ROR © , 805HORE . ~ f, ~ ~ r•f ~ ~ 4q• fi t E'+' +~f p y 4 ~ ff~7,w.. y,~~ { F~n ~.~VII I' f. F + b . 4r tit - 'V ,L. a LPL. TA)( MAP NO. %000 ows © LO SIZE " >r ~C iiESt[~F1~1CE N•+o. SE,p At3 tT1 EXIST PAVED MtVE~{AS TOTAL, L.OT COVERAq E 3011 fr r. ,wJz -..<!~v - 1 i:3 ITV'='f;'. *Ky N Y 9 U 8 C o~ , Il APPROVED AS PER TERMS AND CONDITIONS OF oco ew t4ft8 Ar#sh N7 38 -.P JI.Q PERMIT NO, • „Y,p _ DATE r in PLAN 17 ORAWIV t '~wy d ke.5~`a ~ k~ar y~t ".f r 'sR Building 40-SUNY, Stony Brook, New York 11790-2356 Telephone (516) 444-0365 Facsimile (516) 444-0373 "Raw Langdon Marsh Commissioner February 1, 1995 Robert and Barbara Holley 300 East 40th Street New York NY 10016 RE: 1-4738-01006/00001-0 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (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, Diana L. Sanford Environmental Analyst I DLS:cg enclosure printed on recycled paper NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01006/00001-0 Jana 26, 1995 FACILITY/PROGRAM NUMBER(S) pE IT EXPIRATION DATE(S) tinder the Environmental January 31, 1998 Carservation Lam TYPE OF PERMIT ¦ New 0 Rerswal 0 Modification 0 Permit to Construct 0 Permit to Operate 0 Article 15, Title 5: Protection 0 6NYCRR 608: Water Quality 0 Article 27, Title 7; 6NYCRR 360: of Waters Certification solid waste management 0 Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPDES 0 Article 27, Title 9; 6NYCRR 373- Supply Hazardous Waste Management 0 Article 19: Air Pollution 0 Article 15, Title 15: Water Control 0 Article 34: Coastal Erosion Transport Management 0 Article 23, Title 27: Mined Lard 0 Article 15, Title 15: Long Reclamation 0 Article 36. Floodplain Island Wells Management 0 Article 24: Freshwater Wetlands o Article 15, Title 27: Wild, 0 Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ¦ Article 25: Tidat Wetlands 6NYCRR 380: Radiation Control 0 Other; PERMIT ISSUED TO TELEPHONE MLNIBER Robert and Barbara Holley (212) 986-9653 ADDRESS OF PERMITTEE 300 East 40th Street New York NY 10016 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Merlon Wiggin, President Peconic Associates Inc. (516) 477-0030 NAME AND ADDRESS OF PROJECT/FACILITY Holley Property 1085 Ba Shore Road LOCATION OF PROJECT/FACILITY Gre rt NY COUNTY TOWN 7Tributary TERCOURSE NYTM COORDINATES Suffolk Southold to Pi Cove oEiPnw CF AA-CRIZED JBCrIVITX Construct a 20.5' x 16, single story addition to an existing dwelling and relocate an existing shed. All work to be done in accordance with the attached plans steeped NYSDEC approved on 1/25/95. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict conplience with the ECL, ell applicable regulations, the General Conditions specified (ace page 2) and any Special Conditions included as part of this permit. DEPUTY REGIONAL PERMIT ADMINISTRA- ADDRESS TOR: Roger Evans Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE January 31, 1995 Page 1 of 5 GENERAL CONDITIONS Inspections 1. The permitted site or facility, including relevant records, is subject to in-spection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. Permit Changes and Renewals 2. The Department reserves the right to modify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations is found; b) the permit was obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) environmental conditions, relevant technology, or applicable law or regulation have materially changed since the permit was issued. 3. The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms, fees or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. 4. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. 5. Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination perviously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. Other Legal Obligations of Permittee 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all damages, direct or indirect, of whatever nature and by whomever suffered, arising out of the project described in this permit and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from this project. 7. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, Title, or interest in real or personal property held or vested in a person not a party to the permit. 8. The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required for this project. Page 2 of 5 95-20,6a (7/92)-25c Tidal Wetland ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34 and 6 NYCRR Part 608 ( ) 9 That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the teration in the position of the structure or work herein authorized, or project if, in the opinion of the Department of Environmental Conservation 13 Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly, without leaving large refuse piles, ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State, the owner may be ordered by the Department to a waterway remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or 14 There shall be no unreasonable interference with navigation by the work revocation of this permit, the structure, fill, excavation, or other herein authorized modification of the watercourse hereby authorized shall not be com- 15 If upon the expiration or revocation of this permit, the project hereby pleted, the owners, shall, without expense to the State, and to such authorized has not been completed, the applicant shall, without expense extent and in such time and manner as the Department of Environmental to the State, and to such extent and in such time and manner as the Conservation may require, remove all or any portion of the uncompleted Department of Environmental Conservation may require, remove all or structure or fill and restore to its former condition the navigable any portion of the uncompleted structure or fill and restore the site and flood capacity of the watercourse No claim shall be made against to its former condition No claim shall be made against the State of the State of New York on account of any such removal or alteration New York on account of any such removal or alteration 10 That the State of New York shall in no case be liable for any damage 16 If granted under 6 NYCRR Part 608, the NYS Department of Environ. or injury to the structure or work herein authorized which may be caused mental Conservation hereby certifies that the subject project will not by or result from future operations undertaken by the State for the contravene effluent limitations or other limitations or standards under conservation or improvement of navigation, or for other purposes, and Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 no claim or right to compensation shall accrue from any such damage (PL 95-217) provided that all of the conditions listed herein are met 11 Granting of this permit does not relieve the applicant of the responsi- 17 All activities authorized by this permit must be in strict conformance bllity of obtaining any other permission, consent or approval from with the approved plans submitted by the applicant or his agent as part the U.S Army Corps of Engineers, U S Coast Guard, New York State of the permit application Office of General Services or local government which may be required 12 All necessary precautions shall be taken to preclude contamination Inc SucSuch approved plans were prepared by Parpni 1r0-0011-94 Aqqoci aces -94 of any wetland or waterway by suspended solids, sediments, fuels, ' on solvents, lubricants, epoxy coatings, paints, concrete. leachate or any (last revised on 12-08-94) SPECIAL CONDITIONS 1. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas. 2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 4. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than SO linear feet from the tidal wetland boundary. 5. All disturbed areas where soil will be temporarily exposed or stockpiled for longer than one (1) week shall be contained by a continuous line of staked hay bales/silt curtain or other written NYSDEC approved method and placed on the seaward side between the fill and wetland or protected buffer area. Tarps are authorized to supplement these approved methods. DtC PERMIT NUMBER 1-4738-01006/00001-0 PROGRAM; FACILITY NUMBER 95-20bf (7187)-25< NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS For Article 25 Tidal Wetland T 6. A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 30 linear feet from the property line, or as per NYSDEC approved plan at commencement of regulated activities and remain in place until project is completed and all disturbed areas stabilized with vegetation. 7. Roof runoff shall be directed to drywells a minimum of So feet landward of the tidal wetland boundary for immediate on-site recharge. Supplementary Special Conditions (A) through (F) attached DEC PERMIT NUMBER 1-4738-01006/00001-0 SUPPLEMENTARY SPECIAL CONDITIONS The following conditions apply to all Tidal Wetlands; Freshwater Wetlands; Coastal Erosion Management; and Wild, Scenic, and Recreational Rivers Permits: A. A copy of this permit, including all conditions and approved plans, shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit shall be protected from the weather and posted in a conspicuous location at the work site until all authorized work has been completed. B. The permittee shall require that any,contractor, project engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this permit and all its general, special, and supplementary special conditions. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory Affairs at the address on page one or telephone (516) 444-0365. C. If project design modifications become necessary after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The permittee is advised that substantial modification may require submission of a new application for permit. D. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of the permitted work, the bottom portion of that form shall also be signed and returned, along with photographs of the completed work and, if required, a survey. E. For projects involving activities to be undertaken in phases over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to recommencing work in subsequent years. F. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242 (516) 474-2195, which may be required for any encroachment upon state-owned lands underwater. nFC Permit No. 1-4738-01006/00001-0 Pages of 5 FIELD IECTION REPORT DATE COMMENTS rr-- µ-Yff'- V H FOUNDATION (IST) II ~I-~ ~ II ,!h l"---ii voi ~ FOUNDATION (2ND) n :a Z---- --------11=== JI ai ROUGH FRAME tk II- N 1) PLUMBING II 1r II _II II II II INSULATION PER N. Y. ii - STATE ENERGY rlge CODE u II ii /I to P I; s cc cam` - H u it ~ - Dte~ FINAL --ri OCC~' dh~?' < 9 ADDITIONAL CO S: ~ 7 - H O `mod I~ ro H M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ~tOUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL REMARKS: G DATE ~1 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO TION 2ND [ ]INSULATION FRAMING [ ] FINAL REMAR tee/ S br'G ~ 16 J,aL DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING [ AL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO i IV it IIL ~ A /1D I I I l M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [t4/FINAL REMARKS: &&e DATE c INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOU ATION 1ST [ } ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: C r DATE c/ ~ INSPECTO c From MRTTITIUCK PLUMBING #29811c30 F01 1 .W Mall, 53005 Mal" Rood d, 8nX WQ Fax (518) 785.1823 ' N 1d, Nww York i 1971 Telephono (816) 799.1802 ~n ' . ~ „ f • .,'ll n°' . OFFICS OF TH8 BUILDING INSPECTOR aa; TOWN OF SOUTHOLD L a A\ CRTIF CAS' q z • i PATE s 1-( ,aye 4 "lallig Permit No. x i ?ther 1' FMrs er a „i' +'I" plerise .print) Iy~y~tA~'i4r t r p ease print 4„ ~~11y• ;II ICartity that the solder used in the water supply system tt4irls less than 2/10 of 1% lead, .!s"', umbers si blakt tt5 b0£oare me this day of :r' I?ub1iC i County MffiF,JA WN Pift Nex Yblk NO 4M68 COMW in Coun" Tom "t" Feb. 10, 100'6 maNP'y I4n;," s BOARD OF HEALTH .Zla..... P, y FORM NO. 1 3 SETS OF PLANS . . TOWN OF SOUTHOLD SURVEY ISli4LB1NC DEPARTMENT CHECK . . MAR 1 01995 TOWN HALL SEPTIC FOR:I na...... SOUTHOLD, N.Y. 11971 TEL.: 765.1802 tl0TIFY Ed Williams ei_ e,[ S i' 765-3000 Examined . ~ : r.. CALL . .f .,!19 ~ MAIL TO. Z~ 7 150 Seawood Dr. Approved Permit No." ' ' ' ' ' Southold, NY Disapproved a/c , . . (Building Inspe or ?PLICATION r FOR BUILDING PERMIT Date • , March 13 1995 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 description of layout of property must be drawn on the diagram which is part of this appL 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 Occupanc: shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o 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 inspections. (Signature of applicant, or name, if a corporation) 150 Seawood Dr., Southold, NY 11971. (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. BUILDER Name of owner of premises ,Robert..&. .Barba. .ley .ra.Hol. . (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. . , 13105 HI Plumber's License No. ,?366. P Electrician's License No. 4141-E Other Trade's License No . 1. Location of land on which proposed work will be done. • 1085 Bay Shore Dr . , Greenport House Number Street Hamlet County Tax Map No. 1000 Section ...53 Block 3 Lot 13 Subdivision Filed Map No. Lot (Name) 1 State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 1 family. residence b. Intended use and occupancy bedroom 3. Nature of work (check which applicable): New Building Addition ..X....... Alteration . Repair Removal , Demolition , . , Other Work , . • 4. Estimated Cost . $,1,9 c 59A.•.QD (Description) Fee , . $75; 00 (to be paid on filing this application) 5. If dwelling, number of dwelling units" Number o` dwelling units on each floor , . If garage, number of cars . 6. If business, commercial or mixe=d occupancy, specify nature and extent of•each type of use 7. Dimensions of existing structures, if any: Front 57.1 Rear. 57.'.. , Depth . 30 . ? , • • . , Height 1.6 : , , Number of Stories ...l; . , , , " " " Dimensions of same structure with alterations or addition's: Front 57. Rear . 5. Depth ,4,4' Height ? 6' Number of Stories , 1.. , . 8. Dimensions of entire new construction: Front . 16 . Rear . 16' Depth ?0 6 .Height ?.6 . . Number of Stories ...1 9. Size of lot: Front $9.', . 166%5.'51 Rear. 79' 165. Depth 10. Date of Purchase . . . Name of Former Owner . 11. Zone or use district in which premises are situated , residential ......no 12. Does proposed construction violate any zoning law, ordinance or regulation: . . , , . 13. Will lot be regraded no , , , , , , , , , , , , , , , Will excess fill be removed from premises: yy (No ) 14. Name of Owner of premises Robt . & B. Ho11eX. Address . ,same , , , , Phone No. 477-261 Name of Architect Address Phone No Name of Contractor .E. E ; tVilliams , Address Southold Phone No X65=..... 15. Is this property within1300 feet of a tidal 'wetland? *Yes..Z..... No.. *If yes,' Southold ,Town Trustees Permit may.be required. APPROVED PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all setback 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. SEE•SURVEY ON BLUEPRINTS i i STATE OF NEW YORK, $.S COUNTY OF of , . ,id EAWARD. E. ' ' ' ' ' ' ' , . • being duly sworn, deposes and says that he is the applicant Name of individual signing contract) above named. .'ie is the . ~UILDER........ (Contractor, agent, corporate officer, etc,) if said owner or owners, and is duly, authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the Nork will be performed in the manner',set forth in the application filed therewith. ;worn to before me this . dayof...................... 19.?~ 4otary Public, County OYCE M. JNotary Public, StWLKINo ate of Now York . • . . No. 4952246, Suffolk Coun (Signature of applicant) Term Expires June 12,1 1-1 1A Pir?C; g~bGC2$$ TQIp G[ ti T, r IS l \ ~roRM1C,S ~'1r YU1 ~ f - 34~r~r r a ~„d~5F1u! , j I" My 1x9 rEis rd - ` CZ,~13'(6"a. c- fh3q ~.iR orr-r _ F ~up5 wuTrt t0, . Rf H~ It F N7 NJOSe /RI`s MM `~@r, _ (Dd4 4 _ r Y'l4'.b _ 2 8 !ro O< 2x8 eoR 1ti~ sir A 'r - taw g i ~urr_ 5. r ('({Jr'A)I,. ttt???III Ah CHC 4tLE _ _ M1 Cy oc APES 111111 ~~T tiir _ 2 rr rLLhvir hl Z01, rR ~ Nun 30 eEUil Ga AUe~ . Z! } - ( (u r c ."vn-` r) _ 8' t r l C. L V~\ CJ t7 E T - iw'xa j < Gass _ SY C-0 0 N AP R E0 AS NOTF0 T,OTIFYBLiILOlnJG'CE - /tn5 1$Qp B AM TO A d FORTHEP 7-7 TOU!.OL'VING INSPECTI NS: - I. FOUNDATION ' I - 7W'0 REQUIREq t - EXT f F`OVDi?Mtrbet - FOR NOUREO CONCRETE - . _ 2. ROUGH • FRAMING ~M1 PEUMB'nBC 1 INSULAHON 'r. a FINAL . coNSTrturrloNMrJSr l UT-LEIZ i_ tI ! - ALL CONSTRUCTION SHALL MEET . t THE REQUIREMENTS OF THE N.Y. - ` SMIE. CONSTRUCTION & ENERGY CODES, NOT. RESPONSIBLE FOR f - DESIGN OR CONSTRUCTION ERRORS it I ~ ~E t I ' 1 'j -(91N'I /v~CIeA P~ltN6L - .t _ _ 7 -7 T 2, wtj -NarRn9GU Flrri51( T foAf Ci P s X N ~ r r7r yt4r~Q4 Clrci'iR t .G. - ~ C - ,ri gp 29 xUO C 6°srr €a Ir w. 9i ' i t~ 9N t r /hlao tr cP'. 1 I r te' l sure, It @r GI ~ C rgaS rt BA 1 ~ ~ uv ~ Pp. CoN 51 / ~ - F( t. -..1~ 72, . ~IOq~ rnNT Gh i.pwf, IT: r . / \ Ts? 1 i T S .r F_a 41 77" G ( I MY OR 0 11 VA __ADD 1~4 'S ] If µ PLUMBER CERr1FICATSON USE 1 3 iJ~ lit ON LEAD CONTENT B FOREmoa-sc ~~CERTIFICATE CERT/F/CATEOFOCCUPANCY'"'' 1 / r VA' ,a OCCUPANCY soLDErtusEDlNwArER SUPPLY SYSTEM CANNOT u' 1 'f 166 EXCEED 2110 of 1 % LEA[. `fl~'L•~ ~ (Cr0 53 3z 13 L EIr1 Phone 411-0400 b1a11l Road 1B A A PLUM V ~P 40 i n" ALL PLUMSEpdI ASTE 7 ~ ~1~.'~` CfZrfiyYf)Rt ~~Y IIgII FEB 271985 P1d~~~f~7 f,Ot~t'f E flntl~Y 8 it j`1 TI If cpper ter distribuIs used ting t~iowN ~oVMTER j3Ef LINES E I . , S TESTING NG nEftld'? COVERING sYstom: Piping shall be of typos K or L onl - I - Q Epp ~~-~20[D US ;fSllUl tell E4 Mr;lt tOm3(•4F .cPt4 (por 4Ani VY j 4 - ij y /F NCNf~ NfP ` rt ~ ~ Snrrc¢ DE IL C LPi2 ------.-r`-._._.. ---.._.------------n.._._ S7 1 f F~ ~IS°m,Y (IlLL I i Q L I ~y11EAtEt`( 'llli N t l7 _~tSY--i=E(3 KrtE"('' (1 ~:--S~ DrzesstNG t;coil _ i J Ex ow _ v ex-6 f~ 3 J Ntw OoZUWG !W & ~ Itc APiN NpG-~~ F 1 T-1 f r<c ss V ''Ll F' _ ,•I J ?YU }I AL N V ~ 1 ~ y.CNI l'L ` ~~ol Ci\L ~CLn 4v'f surFL1r'rfG~ Z . A LF RGUL !'RML 4 --~.f U (X~ ~ C . h I I o r ficn t fL, H@7Ek - LIVING rloorl i PROVIDE OPENINGS FOR Rz ocrrep p(µwG AREA Z' 'y wifibo4A EMERGENCY ESCAPE AS REQUIRED SY PART. 714 of Y~ - r- N.Y. STATE BUILDING CODE. a z 3 >s ~ 3 0 0" I ; r, 11E'(: EV~ST'yr _ T ftEPt o`!t N9tE: vErrrry Corrbr-rroN e8 brn~ni 5rorrs cwi f3~~ R [I ao rz PL A ~l YER.F FEB Phone 47 1.0 WO Main Road (IRI'VIN volt 1. 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