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HomeMy WebLinkAbout22817-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24415 Date JUNE 11, 1996 / THIS CERTIFIES that the building NEW DWELLING Location of Property 379 WOOD LANE PECONIC NY House No. Street Hamlet County Tax Map No. 1000 Section 86 Block 6 Lot 3.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 1, 1995 pursuant to which Building Permit No. 22817-Z dated JUNE 12, 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 A ONE FAMILY DWELLING WITH ATTACHED DECK AND GARAGE UNDER. THIS CO IS FOR FIRST FLOOR ONLY. The certificate is issued to ELIZABETH & ROBERT SIMON (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-93 MARCH 12, 1996 UNDERWRITERS CERTIFICATE NO. N363120 SEPTEMBER 8, 1995 PLUMBERS CERTIFICATION DATED MAY 3, 1996 ROBERT SIMON f Buil in Inspector Rev. 1/81 w Y 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) N? 22817 Z Date ..................Ow 19.../ Permission Is hereby granted to: ~s //rrlv11 C9......i ......~~iN .......,~/~~....a-d.........r e ~J ..........zo..-.~ -s /go at premises located at ...................3 ....a ....9.............G+/.....d County Tax Map No. 1000 Sectlon.... ~.V............ Block 0....... LotNo.. pursuant to application dated 1~.. 19...7. , and approved by the Building Inspector, Fee .6.. r... . ..../s~pector ,06 In9 Rev. 6/30/80 FORM N0.2 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) NO 18786 2 Date P-./' 7 Permission is hereby r nted to: ...ez..' to ~r.... t........ .................7 o............0...-/.-.._~//r.-.............o-g-os5~/ at premises located of 3.z.......! r...l..B!K.G .........St/..491V l~l ` (/-!I..T i.........P.-.. b":..ssl - 3./..1...`<".2 County Tax Map No. 1000 Section Block Lot No....... 3t..1........ pursuant to application dated 19/...0., and approved by the Building Inspector. Fee $...7 1Er .......:.....lti:............. l . !nuo u r¢ Inspector Rev. 6/30/80 J. li. 7 1~%.r ~~JniG j~ vv1~1t`{LNT~ 1 ~ HSV i FOUNDATION (1st) v ,l~ FOUNDATION E73 2. z C~1 ROUGH FRAME & o PLUMBING r /l H ca INSULATION PER N. Y. STATE ENERGY CODE _ T 4. e r L H ~ s cz. FINAL ADDITIONAL OMMENTS: /Col a o \ m ~1 m ~l "0 t H :cr U, Form No. 6 _P2 ala p TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL f ` MAY _ 3 765-1802 y I BLDG. DEPT, APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. • 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses; or buildings and ' "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 - .251~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / Date h l ...?~.'...~'7J~ -Qew Construction..K......... Old Or Pre-existing Building / -ocation of Property..13.17.q.... L!?~°t/ r' ~ ,~5 0 . House No. Street n Hamlet Jnwer or Owners of Property. ff.__r.....~~~~//. !!A~~!J...... ;ounty Tax Map No 1000, Section. .,,**Y ~(P.....Block.....5€I.........Lot.... P ~ Subdivision. .....Filed Map............ Lot ?ermit No.7..a..SJ.7..... Date Of Peermit.0.11.ft Applicant ...0V?) 44e............... Health Dept. Approval. . 3.......... Underwriters Approval Aff 0? .A.$PO QO 0 lanning Board Approval.. l.' -./9 ,equest for: Temporary Certificate...!....... Final Certicate........... Fee Submitted: t. PE? aaV51 u03 . "I ANT C oStaFFO4~oGy< Town Hall, 53095 Main Road co Z Fax (516) 765-1823 P. O. Box 1179 ~ • Telephone (516) 765-1802 Southold, New York 11971 9~~1 ~ Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD 11 C E R T I F I C A T I O N MAY - 31996 DATE. BLD F TOWN OF SOUTHO n 9 Building Permit No. Owner: ?O6Se'T"' r(-+ Z 41% TIA r`~lei.'1 ~(,ppllease print) C Plumber: '10a motr- ~Ji mwo (©wojea) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. X~L4:2~~- Plumber Signature) Sworn to before me this day of 19 9 Notary Public, County O\~Cr C ~ N*JyPu NvwYork Oaron ~Y tl Albert J. Krupski, President h~O~OS~FFO1,-ea Town Hall John Holzapfel, Vice President o° 53095 Main Road William G. Albertson x P.O. Box 1179 Martin H. Garrell O Southold, New York 11971 Peter Wenczel y'flpl ~a~~ Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD September 21, 1995 Yl rN Ln2l 1995 Robert Simon 379 Wood Lane BLDG. DEPT. Peconic, NY 11958 TOWN OF SouTH0Lr? Re: SCTM # 86-6-3.1 Dear Mr. Simon: The following action was taken by the Board of Town Trustees during its regular meeting held on July 27, 1995 regarding the above matter: WHEREAS, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated March 7, 1995, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 27, 1995, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 37-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of ROBERT SIMON to construct a 23' X 32' garage on westerly portion of property with an access bridge across wetland area approx. 10' wide and 50' long raised 8' above wetland supported by concrete piers on each end. Spoil site is not to be within the Trustees jurisdiction and no regrading on either side as per revised survey dated September 19, 1995. Permit to construct project will expire two years from the date it is signed if not started. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: None. Very truly yours, Albert J. Krupski, Jr.Q V l President, Board of Trustees AJx! j and-" [SEP 2 1 1995 et.o~ cc: CAC rOWn ~F„r'. Bldg. Dept. 7 4 765_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNE REMARKS: > 6, Ile e~ DATE A INSPECTO pp~ 6;2j-e1,7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY tio REMARKS: 01 DATE INSPECTOR -7 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROI~GH FLOG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: D~ Z- ep DATE / INSPECTOR G M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FO NDATION 2ND [ ] INSULATION [ FRAMING [)FINAL t REMARKS: DATE ` INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [FOUNDATION 2ND [ J INSULATION [ J FRAMING [ J FINAL REMARKS: u ' DATE q bo INSPECTOR .vy M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG- [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL, REMARKS: DATE INSPECTOR v ~z7~9r t _ tr- I-o G "7c1Q'' OZC~4Z7_ i{na,-~..t.~ , a~L.~n ~s•.~ to P ~ ~ 1) P v''l~ al 44jvl-~JC- a 6~.~~~ d~ ~a btu (F- Bs$ -1/0 j 2T v -Tn-z~ft le 7 p~ ~Y ^ L5 p f2 t RR #3, 325 Wood Lane `~'7/!/", Glf ~ ~ t5 Peconic, NY 11958 8 September 16,1995 BLDG. SDEpT d=- / ~""J 70WN OF SOU Opp OU Supervisor Thomas Wickham Town Hall Southold, NY 11971 Reference: Letter 9/6/95 - Wickham to Baumann Dear Supervisor Wickham: As per the above referenced letter, there are two issues which I strongly recommend you direct to our Southold Town Attorney: 1. As per my 8/26/95 letter to Mr. Thomas Fisher, Southold Town Head Building Inspector, a well driven on a deeded Right-of-Way is illegal, and must be removed. A ROW shared among a community of property owners cannot be used for the purpose of construction, whether it be buildings, cesspools, or well points. - I am insisting that this issue be enforced by our Southold Town Government; any wells or piping installed by Mr. Simon on this ROW have to be removed. 2. There is an additional 40 feet deeded set-back requirement, stated in documentation validated through my attorney as well as in my 8/ 6/95 written correspondence to you. This 40 feet deeded set-back require- ment, which is included in both Mr. Simon's and my property deeds, clearly prohibits the construction of any building or structure on this set-back area. - I am directing that this property deed set-back restriction be aggressively enforced by our Southold Town Government; any attempt by Mr. Simon to construct on this set-back area has to be prohibited. As I have mentioned to you several times in previous correspondence, I dq not intend to finance legal tasks which are the delegated responsibilities of my town government. Your statement in your 9/6/95 letter that I may have persue legal action in courts outside the town of Southold in order to enforce construction/deed violations occurring within the town of Southold is both ludicrous and incorrect. Mr. Wickham, my property taxes being paid to the Town of Southold are to be used to protect my property rights. If you or the Southold Town Attorney are suggesting other- wise, why then do we need a Town Government?' O j , kt~ Edmund J. Baumann VMr. Thomas Fisher, Head Building Inspector - Southold Suffolk County Health Services Dept. - Hauppage, NY Ms. Marilyn _Peters n, YS -DEC - Stony Brook, NY -2 0 Ave i RR #3, 325 Wood Lane Peconic, NY 11958 August 26, 1995 f10 Thomas Fisher, Head Building Inspector Southold Town Building Department Southold Town Hall AUG 2 9 1995 Main Road Southold, NY 11971 RE: Robert Simon - 379 Wood Lane, Peconic, NY Suffolk County Tax Map - District 1000 Section 86, Block 6, Lot 3.1 Dear. NU:. Fisher: As you are aware, there is a deeded 30' x 100' right of way separating the properties of Mr. Robert Simon and myself. This ROW extends the entire length of Wood Lane to Indian Neck Lane. This past week, Mr. Simon began driving a well in the middle of this right of way. Construction on this right of way is-illegal. I am requesting that the Town Building Department immediately direct Mr. Simon to remove this well off the right of way. I assume that when you recently renewed Mr. Simon's Building Permit, Mr. Simon was required to submit a detailed property plan survey showing the exact location of and minimum allowed linear separation of his cesspools from his proposed well point. Why, then, is Mr. Simon drilling a well in the middle of a deeded right of way? Did the Town Building Department grant approval for this? Was Suffolk County Health Services Department directed to draw water from this well for the purpose of Mr. Simon obtaining a CO? Edmund J. Baumann 4;%tuoll- CC: Supervisor Thomas Wickham Suffolk County Health Services Dept.- Hauppauge, NY Edmund Baumann "G 325 Wood Lane Peconic, New York 11958 (516) 734-6708 July 10 , 1995• Thomas Fisher, Head Building Inspector Southold Town Building Department Southold Town Hall Main Road Southold, New York 11971 RE: Robert Simon - 379 Wood Lane, Peconic, New York Suffolk County Tax Map - District 1000, Section 86, Block 6, Lot 3.1 Dear Mr. Fisher: I am writing this letter to inquire, in the event Mr. Simon obtains approval from the Board of Trustees and the NYS DEC to build a bridge through the wetlands on his property for purposes of vehicular traffic, whether or not Mr. Simon will need to obtain a Building Permit from your Department. The reason I am writing this letter as an ordinary citizen is that I am absolutely astonished at the lack of commonsense in both the NYS DEC and Southold Town Board of Trustees in even considering approval of this bridge because the "plans" as submitted by Mr. Simon do not bear the seal of a licensed engineer, do not state the load bearing capacity, nor are there any specifications or plans for the footings for the bridge abutments. Therefore, rather than have what I predict will happen (that the bridge will end up collapsing into the wetlands either due to the weight of vehicles or northeast storms), I was just wondering for the protection of Mr. Simon, his family, and others, whether or not a Building Permit with proper plans and specifications will be required to be obtained from the Southold Town Building Department. I await your response. Very truly yours, E d m uI aumann Edmund Baumann 325 Wood Lane Peconic, New York 11958 (516) 734-6708 July 1, 1995 Thomas Fisher, Head Building Inspector Southold Town Building Department Southold Town Hall Main Road Southold, New York 11971 RE: House and property owned by Robert Simon Wood Lane, Peconic, New York Suffolk County Tax Map - District 1000, Section 86, Block 6, Lot 3.1 Dear Mr. Fisher: As you know from my prior correspondence, my wife and I own property at Wood Lane, Peconic, New York (Suffolk County Tax Map District 1000, Section 86, Block 6, Lot 3.2), which is adjacent to the property of Robert Simon. I want to thank you for your prompt response to my prior letters of complaint dated May 27 and June 25, 1995, concerning Mr. Simon's house. However, there are several points which I raised in my May 27th letter which I believe have not yet been addressed: 1. The house and cupola may exceed the 35' maximum height as allowed by Town Code, Section 100-30A.3. 2. The deck which is attached to the house may extend over wetlands on his property. 3. A chimney ends below the highest point of the house as presently constructed. I would appreciate you checking into this matter and advising me of your findings on each of these points. If these violations do in fact exist, then I do not understand how your Building Department has allowed work to continue and why Mr. Simon has not been cited for these violations and ordered to stop work. Please give me a call if have any questions or need to discuss this matter further with me. Very truly yours, Edmund Baumann FEB 2 3 1995 RR #3, 325 Wood Lane Peconic, NY 11958 February 18, 1995 Southold Town Building Dept. Town Hall Main Road Southold, NY 11971 Gentlemen: It is my understanding that Mr. Robert Simon, homeowner of property bordering my residence, Wood Lane, Peconic, is initiating the filing of building permits and/or variances for the construction/erection of a garage/barn building on his front yard property. Please be informed: * There is a deeded 30 foot ROW + 40 foot setback separating our front yard properties. This setback extends the full length of Mr. Simon's property (100 feet), into the middle of Richmond Creek wetlands. * Mr. Simon's house currently borders on the edge of both the setback and the wetlands. Therefore, for Mr. Simon to build will require a variance to either the wetlands or to the 70 foot setback. * I totally oppose the granting of this variance, for reasons of causing devaluation to my property as well as damage to the bordering wetlands. * I have discussed all of these issues with Mr. Simon no less than three times, during the past 12 months, but apparently Mr. Simon is still intent on pursuing construction. Since I travel frequently, I am unable to consistently review Suffolk Times Legal _ notices regarding granting of building variances. Therefore, I am requesting that my attorney, Richard Lark, please be notified of any pending requests or Town action relating to the above mentioned subject. I will reimburse the Town for any mailing/photocopy expenses incurred. Thanks again. 'ncer , Edmund elBaume<.~ cc: Mr. Richard Lark, Attorney Main Road Cutchogue, NY 11935 AP7 mom` 4)4dmund B~a/umann~ Z Z-~~--`'~`-•~ 325 Wood Lane Peconic, New York 11958 (516) 734-6708 l } May 27, 1995 Thomas Fisher, Head Building Inspector Southold Town Building Department Southold Town Hall Main Road Southold, New York 11971 RE: House and property owned by Robert Simon Wood Lane, Peconic, New York Suffolk County Tax Map - District 1000, Section 86, Block 6, Lot 3.1 Dear Mr. Fisher: My wife and I own property at Wood Lane, Peconic, New York (Suffolk County Tax Map District 1000, Section 86, Block 6, Lot 3.2), which is adjacent to the property or Robert Simon. I am writing this letter to formally complain about Mr. Simon's activities on his property. I understand Mr. Simon got a permit from the Town of Southold on February 14, 1990, to construct a house on his property. It is also my understanding Mr. Simon has never obtained a certificate of occupancy from your department and that in fact his building permit expired on August 14, 1991 and has not been renewed. Be advised that Mr. Simon is presently living in this unfinished house contrary to the rules of the Town of Southold. Also, I am concerned that Mr. Simon has constructed a deck attached to his house over the wetlands on his property. Mr. Simon has also constructed a chimney which ends below the highest point of the house as presently constructed, which could be a fire hazard. 1 believe the height of the house which includes a cupola may exceed the 35' maximum height as allowed by your Town Code. In addition, I believe Mr. Simon was required to put in a desalination system for his water supply and I question whether this has ever been accomplished. _-Th-6 a t inspection of Mr. Simon's house by your Department was on September 2, 1993, at which time the Building Inspector (G. Fish) noted in your records "Permit expired. Renewal of permit required. Frame ok. Plumb & Piers ok. DO NOT Continue." I object to Mr. Simon continuing construction and living in his house without a valid building permit and certificate of occupancy, both in violation of the Code of the Town of Southold, and I request that you immediately take action against him for these violations. Please give me a call if have any questions or need to discuss this matter further with me. Very truly yours, Edmund Baumann t o~oc,~FFO(,~~o FRANK A. KUJAWSKI, JR., President ALBERT J. KRUPSKI, JR., Vice-President Ln TELEPHONE JOHN M. BREDEMEYER, III (516) 765-1892 JOHN L. BEDNOSKI, JR. Qt HENRY P. SMITH BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 April 28, 198911/7 (f~ Mr. and Mrs. Robert Simon 11 ~ 1.J III 0 25- 20th St. U 1~ Ii Jericho, N.Y. 11753 „I FEB - 51990 ; Re: Application No. 8-88-86-6-3.1 BLDG. DN'f 4 Dear Mr. and Mrs. Simon TOWJ1~ O The following action was taken by the Board of Town Trustees during their regular meeting held on April 27, 1989 regarding the above matter: WHEREAS, Robert and Elizabeth Simon applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated August 13, 1988 , and WHEREAS said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a public hearing was held by the Town Trustees with respect to said application on April 27, 1989 at which time all interested persons were given an opportunity to be heard, and WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW, THEREFORE BE IT RESOLVED that Robert and Elizabeth Simon BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: Construct single family dwelling on R.O.W. off Indian Neck Lane, Peconic, N.Y. This permit will expire two years from the date it is signed if work has not commenced by said date. Fees must be paid and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Please take notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. Permit will be issued upon payment of the following fees: $35.00 wetland Inspection fee Very truly yours, '~644 ' Frank A. Kuja s President Board of Town Trustees FAK:jas cc: Bldg. Dept. Conservation Advisory Council file New York State Department of Environmental Conservation FEB 13 Building 40-SONY, Stony Brook, New York 11794 DATE: `t 13 " be~~ S*ZYA Re: \n 1 l ScT~m~ Q -O Thomas C. Jorling ~~v1 \V~ ~1 y l LJ 3 / Commissioner Dear S\mon: {C A review has been,made of your proposal to: Based on the information you have submitted, the New York State Department M nvironmental Conservation has determined that the parcel project is: Greater than 300" from inventoried tidal wetlands. _ Landward of a substantial man-made structure greater than 100' in length which was constructed prior to 9/20/77. Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff; cliff or dune which is greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. ~trulyyours, #De Regional Permit Administrator TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 766.1902 Examined I........ 1197~ Received 19.. Approved IVL~. Permit No. .2,1 Disapproved a/c (Bding/Inspector) Jl1id ' I;)!i APPLICATION FOR BUILDING PERMIT Date M.!~ y.. IA INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 must be drawn on the diagram which is part of this appli- caticn. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit 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 Occupancy 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 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 i e s. hr_.~~f ~rrrup r. . (Signature of applicant, or name, if a corporation) y (Mailing address of applicant) t I ~1~9 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, e1~'4011 0, 1ber or builder. ©w.N 2 AP 11 'As NOTED ' ' • ' ' Name of owner of premises R9 8E2T, , ®.P.N..7 . (as on the tax roll or lat~dee ; s=~ If applicant is a corporation, signature of duly authorized officer. NOTIFY BUILDI G DEPARTMENT AT 765-1602 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: (Name and title of corporate officer) J. FOUNDATION - TWO REQUIR FOR POURED CONCRETE 2 Builder's License No. . ROUGH - FRAMING & PLUMBING 3. INSULATION L 4. FINAL - O STRUCTION MUST License No. BE COMPLETE FOR C.O. / ALL CONSTRUCTION SHALL MEET 4 THE REOUIREMENTS OF THE N.Y. Electrician's License No. A14 ~~f/ STATE CONSTRUCTION tip ENERGY Other Trade's License No. */4 CODES. NOT RESPONSIBLE FOR ,Q OES,GN- OR CONSTRU TION ERRORS 'v I~ c,e 1. Location of land on which proposed work will be done. 7 ND `2 House Number Street Hamlet { County Tax Map No. 1000 Section ..J43K~ Block ...6 Lot. >?-J Subdivision Filed Map No. Lot............... (Name) 2. 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 3. Nature of work (check which applicable): New Building Addition Alteration Repair . . Removal Demolition Other Work . ?f........... . e®vwlPLG-77cn-? " Cx1S 4'C( P, .x, id;;!a (Description) 4. Estimated Cost . `8 Q P 0. Fee ` (to be paid on filing this application) 5. If dwelling, number of dwellingjunits I Number of dwelling units on each floor I............ If garage, number of cars 23/+.-T 6. A-3 W."r-... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front e r Rear !47........ Depth . 3 q......... . Height a Number of Stories Z Dimensions of same structure with alterations or additions: Front ...5'ftt7AE Rear " . . Depth . Height Number of Stories . 8. Dimensions of entire new construction: Front .45z9. t'Yl Z , , . Rear ...............Depth , . rtA;gh~ Nurnher of Stores . . 9. Size of lot: Front . c2 /D... $7.91 Rear , Q &.4e, .,6.0......... Depth -1. It. . ? ..aZ ~s 6 10. Date of Purchase f. l:P.pr-.k...1,92P Name of Former Owner it oct+Aot o.. CR.............. . 11. Zone or use district in which premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . 4/9 . . 13. Will lot be regraded /,/~f , Will excess fill be removed-from premises: Yes 1 14. Name of Owner of premises 0.4'f'gr ,iF , !!~1~:?Address X7.4. We. ''~'.4 . r4!¢ Phone No. 7,?JI..4/A , , . . Name of Architect I . Address Phone No...............'. Name of Contractor Address Phone No............... . 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. I t~scK ERES~OENCt=- :1 1 S'Ma j 44 o"Sr W COUgY NEW YORK, COU . Y OF. =ih'.~ F.UI~ S'S . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) i above named. He is the ...N.. / y/7.;P-.~?L (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi= application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application riled therewith. Sworn to before me this ~t ...day of. . . jc D V !5 . . . . . . . . .I 19gr Notary Public, .ltl••~t X Hti.. Couhty h DeFAOnizio x, Notary Puato 4 State of Now York Lhiad'fied, in Su Holk Count' G~~ s~~~ZtJ ~ Nu, aN I (Signature of applicant Canmiss(on ~xpirea May 20, t9~,~ i PESO c AV, Y. / / 9J 8 vY1.4y 31~ l9`7s" 5ourtro~o ~u ~a,~c !)EPr JUN V -1: 1995 ' E1.~3S;. uE4'~. f®t^IiS bori 5JUT4df7t~ ;(~~-ti'~;•1~ .~~-r.+n~'f' f'2v/2wa.. ( / .QK"~~1 sfo^! '"'e ~'r`O/ C~c'Ja'~td<tr ;1~~'vv! r4-~.v.A' GCN Cyleq p2.~t l•") v+'!y DPiC~io~ ~ J°"u6irliS.f'~o-~ j.? /At A,-04 7~i^us~ees oe Sur+Fo~o ~.~d 6a ~apa~e.1,ei j-epo- repo-r-k-L 40 Mm 74-442..l `rmE.yl Q n2 2~t>SScr AS oIOC -7%„5 dqZT /7,Ooe ~~spe~led `die s ~ Z•yr'4-/ rr/alrv-/ eXcdJ-,--6os IL r d ren,, r~eG~s r d pLk b;~7. r~ 4z~d eZ s.~ l ( sse fps, o 6r, Cti „tee? ...1~ !2 .aq /7 e-t-J `}~Y'o tD O5 . ~lq ~L ~Y`' ~~2 ~ ~t CC.o7 L2 c~ a~o,dIt cL-6 u.. b-2 sae 6..", fed/ di CQ rn ~Q- 06-(72t: ~Le j , vt r s a. reoL TO Do: h 4 t.v Le,., s""CAo-. `Its /s ~,r~ Ct 1 nac)n~,- buy (4- Ao,-K-e Qs ~,4~ e 42 o,,pi d oche"- @.oriQ) at e C.f~S-rkc-(l WtY Se 1 wow ~ ~ rn o ~ ~ i t~e /7 1 t ~ I s le ;AA_yl p-a~o.Acf pmfo(Q„ws y-174-t- h.*~ 2 ¢-{~ec~e~ ~ i s ~ rat e e~ 6oc'~ ~.L~' wow jc~ ,~e ~ `rc a( 744 C~:scu rs re ~~eu . 7 Q F Q aA4Y ale i s a..n mow .u. die 1ptocerr r ~ r~ cl ~Jc~`fS t c~¢ Cen ~ c~s.- C0 m ~0(.2~".¢ /A)gcr lZt76aK (2.zd S~i2p e~ work so ~?2 ~~d I Ap; Q3wA/tli_•?s My aAl_0/ Y8`c 4CCelo7' Alny iOlic~{zvx tzs .L~ ~KeC~ co a4, -/0 C.o7MpCe~'e /~J~ ccre ~7 wl~ticG )a -~v~a a-_•~d. .~~se/r~ w%l/ 6e ~roYd. I j I~ - i i I - r - I ~r I I - I I I 1 _ ~ ,may 4t4b,-;17 iT ' J,-Fo -17744) c A t3l-e e ,a c D16.0 7- _ i r^ eo,y v~-s 7~ao~ o.~ ~`+~ze 4)7 /q~f L d'I~ue 4rrre.o ~.7`l sYj `rC.4Ze` e. C,b~,r 771e /s 4~/o 0 /3 le //2a r 7 4)s/fit i-e/: Ec c~ r 7 . / on yr p &A.)4 e-r r, e-,r, Y~ O i s tk a+ v~ es r "X B rJC r i - pan d ~~.2.Q/ yiS,Lr c"'7vv~ fQ4~ a i ROBERT I. SCOTT, NOTARY PUBLIC, Stat N.Y. No. 4725088. Su County Twin Eiq*w 31.19.46 I ABOARD OF HEALTH V........... ?3 SETS OF LANS k-~ FORM NO.I 'SURVEY TOWN OF SOUTHOLD 'CRECR .1~ l 7 BUILDING DEPARTMENT ~SEPT C FORM TOWN HALL. SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 1 SivtoHJ CALL . 4~~k.T Examined 19 p~ ~ MAIL TO: ~ ,p ~s - d o~ ~ t- Approved ...°1~~........, 19~s /Q Permit No. 7~6 X ~TEe icrf~~ /IN 11753 Disapproved a/c ii p L~G1~J x,11„ 1 FEB -5 fil l ( Inspector) BLDG. DEPT. APPLICATION FOR BUILDING PERMIT TOWN OFSoUT14OLD Date . Eg...`........... 19 9a INSTRUCTIONS a. This application mu]bec pletely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 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 permit 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 Occupancy shall have been granted by.the Building Inspector. APPLICATION IS HEREBY MADE to the Building Departrnent,f¢r 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 ins n . (Sig turPe opt ap " otr name, icorporarron) i~ P J~~ (Mailing ddress of applicant) J Ea2%ct~ /Y. 7S3 State whether applicant is owner, lessee, agent, architect, engineer,, general contractor, electrician, plumber or builder. QW rJ E r2 . Name of owner of premises o(3E?r • . . . . . . . . . . (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. .CJGE?i? Plumber's License No . Electrician's License No . Other Trade's License No . 3 ~Cx~SJ L F_ 1. Location of land on which proposed work will be done. . yr House Number Street Hamlet County TaxdlapNo.l000Section Block ..tp•••„•••••,••, Lot.. Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and y,occupaneyrof proposed construction: a. Existing use and occupancy Y.'~T~? ` ~l /n • .tS~?ny /O ~(/2 Sf}~`Opc~ b. Intended use and occupancy • • • • c '•E s~r~ ~"?c~ I 3. Mature of work (check which Repair Re applicable): New Building X , , , , Addition Alteration rl ooval / Demolition .Other Work . 4. Estimated Cost t o OOaI, (Description) v • Fee ....iJ'' • : •T • . 5. If dwelling, number of dwellin units (to be paid on filing this application) Number of dwelling units on each floor , , , , , , If garage, number of cars If Al T 6. if business, commercial or mixFd occupancy, specify nature and extent of each type of use . . 7. Dimensions of existing structures, if any: Front Height . Rear ..,.!p........ Depth . .Z Number of Stories. / Dimensions of same structure with alterations or additions: Front Depth . . r- Height . _ Rear Dimensions of entire new conssrtction: Front , ' • • • Number of Stories Hci;ht t(DK!oA/a.> 3Au fiber of Stories . mAP, Rear e<* Depth 9. Size of • ~yont, 1.. 1. t` .$f!{~t+7frN.T, t. R~PF.. ~F9,4 10. Date o rir Rase' Rear.Q,g22.~a$t........... Depot . ~G+or9..... . • • • • • • • • • Name of Former Owner ~?/,Gy~p•C ,t/ Zone or 1 1. Does prop osed c nstr tetiont pvio miser are situated !p . late any zoning law, ordinance or regulation: 13. Will lot be regraded yF~t,-ti4flr a• • • • • t~?•SY7?uM4~ Will excess fill be removed from premises: Yes 14. Name of Owner of premises lP 44gf,QT. .C ,$r}t~ p,? , ~S; 't`eat Name of Architect Ai Address ` • •~~g ~ch• Phone No. X33 /-tag. , Name of Contractor . p.~? yle " " " • Address/?P. " $,r . Phone Nola! 7,gk , IS.Is this 8~r!weve property Loc. Address .................Phone No........... *If yes, Led within:300 feet of a tidal wetland? *YESX..No.... Southold,Towry Trustees Permit may be required. PLOT DIAGRAM ism>r aa~s>~~Q Locate clearly and distinctly alll buildings, whether existing or proposed, and.indicate all setback dimensions frorr property lines. Give street and block number or description according to deed, and show street names and indicate whethe, interior or corner lot, a V1 000) J Y ~ 1000, \ I Q ~O ~ 0- 0 I ~ Q 4 I i I i i I STATE OF NEW YORK, S S! COUNTY OF is I k . . ' ' ' ' • ' ' being drily sworn, deposes and says that he is the applicant (Name individual signi4l contract) above named. 'lc is rite (Contractor, agent, corporate officer, etc.) If said owner or owners, and is duly uthorized to perform or have performed the said work and to make and PNication; that all statements contain~d in this application are true to the best of his knowledge and belief; and that the pork; will be performed in the manner sot forth in the application riled therewith. file this worn to before me this S. .....dayyof..I e~- . 199yi otary Public . - e!1, ; IVI ~ U//m . .I~.. 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' O M- nE - Tj t"'I N Y ~lw © Z U>l 0 .0 -all 41 z - Joto1 0>I ar O ui co a~ ui Li a !a cn V L. t I : IPA, _ E' j O) Ot a' 44 u l~J . . aro U CO 4° F t d..c~ i ~ G".~~i.}}£~~,~.1•:373'S'YI~ i.~ ~~e!!,yyF, (~T~y r ~ ~Y} f ~ i h ISI 3 ~t 6 Pt 6 C~ C> m a or 0 Z5 L " M( f WTI? j w ,w' H d h £ 1 r N i~' b D H° . ~1i l!J V 4 -Iq t9 N C J v •C t3~ui l~. ~ i' ~~yyyy c a u m` a ~~r ","E n {{c ry '1 L / ~1 .Q ~ ~ ~ ~'3 }9K¢1 t~3 ! ' "44 Fail am a-'C~ III}~~. ~ T~ ~ r.. J - y > A' 3 7 a e a+H-..W o. ~J y~ 44 4 Q '~"r \+F?~T y a m° n° N 1..1 GNP Cl Q Z m F~ b( ` ' i F N rn rNll ~.•^w.r~,~'.d` .4 in, .i vi < m O fY > „.X a 1. pit. ` Y o J v ° ' 'At -T F 1411 z Z. Ha, u I ptnf~3 !ft Q,o 1~ LL 1- 0 0 in G5 rh > Q cc s . 1F 0. ~,tFl W; fl t # 3 Sti_ r 43 i tit, WON - ~ 1~•. ~ 1"'1 7' ~ i ~ ~~"'«1».:4~,.,n"i".y"w ".'p,.ft f yC"z,~~a. t 4 I # ~^4 l T i ~ 144 waer °`"t"'-~wzFa ..L•.»~t~.§, k a+9i4. " sc ;ryµyM.wp t ^n+fY'x~x"°a S 3 I, !~F t a r r k ~i r y ~ ~ t x Zil} t 3 3 Y 4,y' e #1 i ~ t 1 A' fi a < } 4 d dQ~ 1s NORT AW SOUTH „ 1. All Sonstrwatiah to 'iM'to 4triat N.T.B. Luilding having - ' Code and all other Asasaima~ over same. 2. All atraatural lumbar to be ben fir 110~ 1 r?- 1400 FBI. " i C} 3. All footiags to beer on virgLa soil cam asasw to verify 2000 F9f ' hearing capacity. ~fi scx tc~.ni 3 n x , ly 4. AX4 atm,orete to be 3M 14 sd.nLmw. F., 5. Contractor to verity all dimensions before stcrttug . r a 6. Arobiteat not responsible for plumbing or beating vark. 25 k~V n, v 7• xy,lndows doapla gad vinyl Clad wood "Ander~rs/on"1 or e9U¢1• 11971 971 SOUTI01 > a~ a. Thew pl5hs comply with N. •S. Saergy Code. ~C/el/dr`P `f///U 9.. pc not scale drawings. o~ l0.rT1M Oooprmator phall be responsible for @heckia& all field and - ratktpg Conditions. All lebas, material, and equipment required fax the proper s _ etc'-piss !wmawe of the work shall be the reye~pessibility d! E4O Coo~Sireatar, whether sp4gitically called its! OF not. e A'Ja IE?1[.if~i 801701 ~ 1 l V y 4 1. Wisdoms 44su ben an inflitrati.an rate of less than 0.5 am per • font of a Ob A c s 2, Slid~l~py.g~~,d~yoers sbaildoor hsvm 4 wriltratiaa rate of loss than 0.5 UK per tNiiW4 torn 4i 4rea. HOG N Cq , ~p N \ ~ .bi MgAdMG, x~ 3. dom shall bavm so Wlltration rate of less than 1.25 CTU n• footat d+wr na'efn k. All 'caprices Jointsovwd vAgdowp, doors, floors and roofs shall . be aavlkad•,- WskeW os. atbarsis4 4ealed. 1 7-1. h 'ZI -~'a'`1rlSsteri+lm'wa31: b6 be E" xVoeA';. 16O, a.1 wnYass at 16tor'or portLtIM6. r 3C 40 watt if0 e6 µ p ~ b' 0 , 1 9. Stroat'ural lumbar 'to be bemtoali/fiaedq„ 1t. !•1;7307-1-1, 4bo=. i.~ 0 T N 43,.liret floor and rtlof'dasiSusd for 40' "JIM li» 104, other floor Yar 30 pound live Load, Par Code.'i a, r~ ;dry . k'. pi'' vidta 5/4" a 3" *am or anpraniA metal bweing 6t mid span of 41 all floor joists. Ilwtilr.`i5.tpk 4'.oLto ua3Yr'psititiosa. - 'Aso sitF'nmtusO Manse's to be but for PItn", dule4'atY or otb& -"ncdba~µedL eCrli witbout the Pita* appsovel of the a+ohniat. ill a4ia;t0-be pasaer01treated, *amewisad or IaiMl,es'e Jumtaued aft „1/2" 4201fittoi sill seat. ' i _ _ . own inti i 'Ali tou4lLtieu 0 be 02 ' b i aoii w a'nea 'n t'Eesln: g. All rootillea to be/{ F~If eons m:& µ k we tb'rest on andis- tcrbed ae73 at 1'Y" rinimma tl~s}l~'ar fiis9~ rrais. Pcouw wd ci dasipfaaad par a sinises aft t,*a W aprrs fait beariSB. abaald soft asfpsoltyT»labo"Oa ado the Afabitsat is to be. with bearlaJa of a v notified befan prteaedlt>6. - -11 `y~y,.~~ oi 3. ConoMS Clow slabs to he" 6 x 6 -16AA IMN, ad LO Ia p/Xrost civet 4 mil. poly', Vapor barrier and 4" of Ngroas fill: F. 4. Cona"tom sbh,D be trltIrfer six stabi eady'dts idtt r stronsth of at least' S.OOD X% at the Still of 28 dWO. i ` " 5. The conerets and w"GOV ttntrettbr(a) a4ail install. or QoordinaLe lastallatioa'of, I¢i tutor bolts, plateEj Slots, Shawano EIOM06 ett. as rowd'rea b7 othor U40". 5. All walls arm to be brlan'tariot;' atastrastume ~ - - A If copper tubing Is Used for water distributing be avSte r lKlo Shall .Moak. PLUMBING of types y> - L L 1ti r,s, UNp6R1N S F'ICAIE ALL PLUMBING WASTE P L.' WATER LINES NEED TESTING BEFORE COVERING GAPP11D AS NOTED DATE: B.P.A T BY: L. 0 1 A 6 A FEE: 765-1802 9 AM ID 4 PM CERTACDq Co NT REMIBEF USE 15 UNLAWFUL I. FOR FOUNDATON POURED CONCRETE OCCUPANCY OR NOTIFY SOILING DEPA ME T O/V FD THE ~MBERCET/F/CAT/O FOLLOWING INSPECTIONS: TwOREOUIRED 5U OF pCCUP RE 2. ROUGH - FRAMING a PLUMBING SRP& USED/N '4NCY WITHOUT CERTIFICATE a i SUP(ysy WATER 3. INSULATION 4. FINAL CONSTRUCTION MUST EXCE STEM CANNOT OF OCCUPANCY BE COMPLETE FOR C.O. ED2//C o f SAD ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. AR STATE CONSTRUCTION i ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS V i{Ii p f /~E~.54~~ C ~ NE~y K gs;2 I i ~D I i d i J i •.'n trro.r,:k•h (21 Z'Nlz"w[.. NE~~c,Fr. l I i .c~ zl 6~jL 9 ~a ~zV v ; A\, v t ~ W , ~'0731~ ? 3G /35~ % ~ yavv' ~ PrJILFf-~ FIfC ~ \ p t N(IlM ' 7o k3s Ir ' II 1 i ` (11¢ X14° :~~dfAq$ I 268 % , ~~,•i~ ~v IL \ Af-,,~Y J k 1 r 64rzi-4 T MA~rF- a ceaGFt`r ~ f ~ ' ~ ~ f-- LL ' ~L, y 1 wr' I q IV ~ Ll~ EA-rO I ^ I n 4G 43 1 X lI. J 120" ~ i y ~'Ml 5r `a g Pe, f~EF SET al-S`i AS OF v - r i l a- ~I' i n I -e'VI ~i y X r I ( I W 1 n / l sI a w r \ i I " I I ~ ulN i ! I I I ~Leerng 7 RIP I p,. ~ q / .oi i ~ r'~' / ~ UL. ~~_c-- ~ c~ ,i _ - - _ _ ~ _i ~F- - -~1 ~ i ~ PC~w I-) A~LJW ~ ~ f' 1. .r ~ ~ ~ ~ r, i 11 ~AF p Y~~~ r ty~.. roc,, Ce 1~` ,k.-• -~..~1. C,~~ d~. ~ a~, 7~ ~ F i g ~ ~r f~ ~ II; e ip Ll LI Z ~ - - -7t - _ _ - j ~ a~ ~ - . 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Y - - _ ~ xlh'• ~La~f I ~ ,F, PIa I>«1 61y}0o ' -1111! ::.-1 m! ~IIii r Ili ° r r jr - c,-_.~ Iz'r~L~„ -SIG, F'fG, IrIAk ~A • . 1-1 ~y, I f~ h ' 1 brF- 4 CA P ti I OF N