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Home My WebLink About23142-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24986 Date APRIL 18, 1997 THIS CERTIFIES that the building ADDITION Location of Property 1200 EAST CEDAR POINT DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 90 Block 2 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 10, 1995 pursuant to which Building Permit No. 23142-Z dated NOVEMBER 29, 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 HANS & CELESTE FLICK (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-402516 - NOVEMBER 7, 1996 PLUMBERS CERTIFICATION DATED APRIL 4, 1997-HARDY PLUMBING Building Insp for 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../.f.. N6 23142 Z Permisslon Is hereby granted to: 4e(zCF.z11 °Q,.. to. `,......~...,..,n.....C at premises located at.., J......... County Tax Map No. 1000 Section Block ......Qq.... Lot No. pursuant to application dated (.:r. fL......... 19... and approved by the Building Inspector. ...G,...at....lg~ Fee $ Building Inspector Rev. 6/30/80 i TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~L~~! ry O 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. Z,. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling 525.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25p. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date January, 23_„1997 New Construction........... Old Or Pre-existing Building.-.XXXXX Location of Property ...120D..East.cedar.P.oinx..&d....Sautho.ld House No. Street Hamlet Onwer or Owners of Property.... Hans..and.celeste.F.liclr County Tax Map No 1000, Sectioa.UD.......... Block ...02........... Lot..21 Subdivision... Map, of ,QeNPL;.Ae.49h. PEIM....Filed kap.RQ........ Lot Permit Vo...?31422.,,,,, Date Of Permit. 1~./ZMR5..... Applicant. .$lue.Spruce.Huild.i.ng••. ~/.~0. . ~ . .....Underwriters Approval Planning Board Approval Request for: Temporary Certificate........... Final ACerzticat Fee Sub mitted: $ CANT Luc S 2-7 6_5 CO •~,o7~gTS~ . JUDrrH T. TERRY t Town Hall, 53095 Main Road TOWN CLERK ti P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 p MARRIAGE OFFICER Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLEF TOWN OF SOUTHOLD May /2; 1997 CEIV~~ . CERTIFIED MAIL RETURNED RECEIPT REQUESTED - MAY' a e 1 2 1997 Edward Worth TOWN Clerk Southold Blue Spruce Building 275 Baldwin Place Cutchogue, New York 11935 Dear Mr. Worth: \ - A second check of yours has been returned by the bank unpaid. It is check no. 6853, dated January 23, 1997 in the amount of $25.00 given to the to the Southold Town Building Department for a certificate of occupancy. Enclosed is a copy of your check and notice from the bank. This office is required to collect the money for the checks and an additional $15.00 charge for each returned check. Payment must be cash, money order, or certified check. The total amount due for both returned checks is $136.00 and must be received no later than 4:00 P.M. Monday, May 5, 1997. Until this matter is resolved, you may not uslt may be canceller o• SENDER 9 •Complete items 1 and/or 2 for additional services. I also wish to receive the w •Complete items 3, 4a, and 4b. following services (for an •Pdm allure to. d ion the reverse of this form so that we can return this extra tee): f the mailpiew, or on the beck it space does not v 1. ? Addressee's Addre s ted'on the maupiece below the article number. y y N G o ri to whom the awde was delivered and the date 2. ? Restricted Delivery« m ^ `r' Consult postmaster for fee. m rt 4a. Article Number 0 to d 97 P 226 182 641 a m ° ~Ja ilding 4b. Service Type 9 m a c O Q. "Z m a l e 13 Registered M Certified x a N or ° C $ s I 11935 ? Press Mall ? Insured A U d V • a d ? Retum Receipt for merchandise p COD % m N V LL d '3 $ _ 7. Date of Delivery S2 0 0 c cc M rL m_ m `0 , tpNO m 1~l o D. t 2-W ° s m A e 8. Addressee's ddress (Only if requested (D o s 7 = a a; o g and feels paid) m zoo s' aU a° ci ¢ 5661 II dV 'OU8£ uuo~ Sd A t Ft- >12i3-10 NM01 1994 Domestic Retum Receipt TEL. 76:-1802 TOWN Or SO UTHOLD •%ti i9 OFFICE OFB(JILDtt•IG INSPECTOR. r, -y P.O. 130:' ; 28 . rye. tls, rT :s f k TOWN Ii..LL SOUTHOLD, N.Y. 11971 41 C E R T I F I C A T I O N Date- / Building Permit No. Owner_%6pls F"Z,C)Y-- (please print) Plumberd)9P,(a/ or (please print) I certify that the solder used in the water supply system contains less than 2!10 of 1% lead. ie. (plumber's signat re) Sworn to before me this y day of _r' 1997 ~ ~ Ilotary Public Nota : Pvk:ic~ County EMILY HAMILL Notary Public, State of New York No. 01HA5059984 Qualified i Suffolk Coin Commission ual Expires may k ,~pp TEL. 763-1802 ,~C~; rJ' CU; TOWN OF SOJTHOLD OFFICE Or BUILDII.1 INSPECTOR P.O. DO, ; 28 TOWN I '.%LL y0/ cs SOUTHOLD, N.Y. 11971 V. 2: ~b ,J41 2.4 C E R T I F I C A T I O N Date /A/ Building Permit No. Z3/N2--7 Owner 4161S ~4N0 ~/L~t A-ce-te (please print) Plum})er w4le& 114,,.M ArhC? r T7Ne / rIq (please print J I certify that the solder used in the water supply system contains less than 2!10 of 1% lead. (plumber(IsL signature) Sw rn to before me this day of M7)C)& 4 19-Q Notary Public Nota:° Pul lic, X11 VL~ -Coun:.y MELANIE V. BROWN Notary Public, Sate of New Yak No. 4908712 Oualled in Suffolk County Commission Expires od.19,19 THE NEW YORK BOARD OF FIRE UNDERWRITERS LACE 1 1195099 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date NOVEMBER 07,1996 Application No. onfile 11351996/96 N 402516 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 HANS FLICK, 1200 E. CEDAR BEACH ROAD, SOUTHOLD, N.Y, in thefollowinq location; Basement •a Ist Fl. ? 2nd Ft. GAR Section Block Lot was examined on NOVEMBER 04 , 1996 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT RUORESCENi OTHER AMT. K W, AMT. K. W, NAT K.W AMT. K.W AMT. H. P. 17 21 21 17 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AML AMP. AMT. AMPS. TRANS, AMT. H F SYSTEMS NO. OF FEET AMT. WATTS 2 F SERVICE DISCONNECT NO, OF _ S E R V 1 C E AMT. AMP. TYPE MITER 1,e 3W 1 ,e 3W 3 e' 3W 3,e AW NO. OF CC. COND A. W. G. NO. Of Hip LEG A. W. G. NO. OF NEUTRAl3 .W G. EQUIP. PER .e' OF CC. COND. OF HIAEG OFA NEUTRAL 1 200 CB 1 X 1 4/0 1 2/0 OTHER APPARATUS: 3 1/2 TON A/C UNIT-1 MOTORSt1-F H.P.,1--3.5 H.L. PANELBOARDSt1--1 C.IR. 60 G.F.C.It-3 SMOKE DETECTOR-6 JIM SAGE ELEC. INC. LTC43635 350 MARINE PLACE GENERAL MANAGER GREENPORT, NY, 11944 - 1a Per %i 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. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: `off---- DATE W1~1f'7 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION L l FRAMING [ FINAL [ ] FIREPLACES CHIMNEY REMARKS: DATE Zllf h INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE /n INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ c}AOUGH PLBG. [ ] FO NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACES & CHIMNEY 0 REMARKS: 47 _ y DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ /FOUNDATION I ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: - ~3o .l any DATE026/15~,/,p INSPECT I r 7'65-1802 f/~ BUILDING DEPT r ] FOUNDATION 1ST [ 11"/ROUGH BG. [ 1~J [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE /423 6,6 INSP CTOR M-1802 BUILDING DEPT. INSPECTION [ ] OUNDATION 1ST [ ] ROUGH PLBG. I FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ UGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~MING )Ce [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: )rg~ v DATE INSPECTOR L11A M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] UGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO 6"TEED IrISPECTTON ItI pwr DA"T~ (10 IN, Q~ it - Mat.- FOUNDATION ( 1/) - - FOUNDA'T'ION--_ I ROIICII FRAME S MAIMING - - - - -r INSULATION PEIR N. Y. '-7f'-` STATE ENERGY CODE ' - fl - - A-W1 J.1 ELEVATE HEATING ~1~ - - - APPLIANCES I8"AS---------I- REQUIRED BY PART. N.Y.~t'T BUILDING CODE. - ° -----1 = ADDI'T'IONAL COMMENTS: Ski 1/0P;7 - - - - - - - - d ENERGY COVE CAbCi11d1'1'-IONS (rot: Non-VIecL-rie neaL) Design CriLer.ia G,000 Ueyree'Days O.A. 10°I•' 1.-N. '7u°r' FOR: ah s e k' 1'LR: W J 6, _so•jfOil - 17 • Y llta'l.'Lb_ $ ~cn f; 9S b13S.IGN THERMLf, REMARKS - SUBSYSTEM AREA "U„ RATiNG Exterior Wa.l.lo (Opaque) Doors Ce.i.li.ny/Roof" (opaque) ~S0 Slcyl..lyltts - Floor U 3' C) roundation Walls Slab fnsu.l.atl.on TOTAL Notes! Building Envelope Systems to meet requirements of 7015.2 uvAc uquipement to meet requirements of 7015.11 "VAC systems to meet requirements of 7015.12 Duct Systems to meet requirements of 700.13 Vent.l.lati.ono Systems to meet requirements of 1015.14 l.nnulaLlou of Piping Systems to meet l:equirementn of 7015.15 ;;er.vice Water Heating Systems & Equipment to meet requirements of 7015.21 Wectrica.l & biyhLiny Systems & Equipment to meet requirements of 015.31 To the best of my knowledge, u£i" Gyjff~ bell.ef, & professional judgement, these plans are in .r the code. compliance With tr CJ Fl~°.+• ~ aM rM ~..4 G .Csfi:`:i it ~ v~ 5 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195099 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 F Date NOVEMBER 07,1996 Application No.onfile 11351996/96 N 402516 i' 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 HANS FLICK, 1200 E. CEDAR BEACH ROAD SOUTHOLD, N.Y. in thefollowing location; ER Basement G lst Fl. b 2nd £1. GAR Section Blork Lac uns examined on NOVEMBER 04 , 1996 and found to be in compliance with the National Electrical Code. FIXTURE ECE?tACtES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS CUTLETS INCANDESCENT FLUORESCENT OTHER AMI. K W. AML K. W... AMt KW. AMI. K.W "I' H P 17 21 21 17 1 F DRYERS FURNACE MOTORS FUTURE A?NIANCE REDERS SPECIALR!C'PT TIMECLOCKS DELL UNITHEATERS MULTI.OUTLlT DIMMERS AML R. W. On H. P. GAS H, P. AMT, N0. A W. G. AMT AMP AMT. AMPS. TRANS. AML H. P. SYSTEMS AMi WAns NO. ST FEET 2 F SERVICE DISCONNECT No. OF S E R V I C E AMT. AMP. IT" MITER 1 X 2w 1 X 3W T A SW S X AW NO OF CC. COND. A. w. G. A W G A. W G. ' EQUIP. PER a OF CC. COND HbIEG Of HI.IEG NO. OF NEUTRALS OF NEWRAL 1 200 CB 1 X 1 4/0 1 2/0 OTHER APPARATUS: 3 1/2 TON A/C UNIT-1 MOTORS:1-F H.P.,1-3.5 H.P. PANELBOARDS:1-1 CIR. 60 G.F.C.I:-3 SMOKE DETECTOR:-6 } 'dI.c~.... l_ L JIM SAGE ELEC. INC. LIC.#3635 350 MARINE PLACE GENERAL MANAGER GREENPORT, NY, 11944 • - ~ Prr This certificate most not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. I ECEIVED JAN 2 41991 WARREN A.SAMBACH CONSUL:7ING ENGINEER EHE1tGy COUb`' CALCULATIONS (Por Non-Electric heat) Design Criteria G,000 Deya:eeOciys O.A. lU~°P ]..A. 7U°I,' FOR: d ah 7 ~11L PLR: 0 W-'J i} "r~-, - lede~ POih f Rd e)o'~ nl DATED DESIGN PBERMEL REMARKS SUBSYS'T'EM AREA l'u" RATING Exter.i.or Walls (Uhayuc) G t~ ®j~` 6 6 Glazing I 2 r 3-7 pv e y,v41 Doors Ce.li.i.uy/Roof (opaque) GS'u p~ C Skylights r"loos 6 ~v o C> - 1'OulldaLiotl Walls Slab InsulaLlon TOTAI, Notes: Build.l.ny Envelope Systems to meet requirements of 7815.2 11VAC EquipemenL- to meeL requirements of 7815.11 IIVAC SysL•ents to meeL- requirements of 7815.12 Duct SysLeuts to meet requirements of '18.1.5.13 VeuL.I.l.atiouB SysL•ems to nteeL a:e<lui1:cwenLs of '1815.19 Insulation of Piping Systems to meet requirements of '1815.15 Service Water Heating Systems & Equipment to meet requirements of '1815.21 E.lect.c.i.ca.L & Lighting Systems & EquipmenL to meet requirements of 781.5.31 e l~ nEp} To the best of my knowledge, belief, & professional judyement, these plans are in rr compliance wltlt the code. GQ4 71 LEI - 88 AO 12611 'A'N '070141nOS 06 'ON dVW SV AU310 AlNnoo N"IOddf s 3H1 JO 301dd0 VPV 3H1 NI 2261 ' 00'030 03114 „ AHVd HOV38 60 Ny a V030 io dVW„ Ol a3d38 S838Wl1N 10-1 Q ~'o 1 •c4 ',ScyQA ~u ,U I 8196t, 'ON '0/7 'S *A N o I w 5661 0 1 1JO d9~~~w'1 S pNd'10~5 LDGiQJ9l ~i •uoyD/oossV a11l1 PUD7 9/D19 V40A mat4 a41 (q asn 4ons 401 1661 'SZ ),7nr paldopD puo panouddD puo •S•7•y1•7 941 (q pa4slpisa sD sfanans ally ao/ spaDpuDis 00 = „1 31 V OS UMURUILU a41 111114 aouDpaoooD ui paaDdaad I Z - 30 - 060 - 0 001 06230-8016 ANVdW00 30NV8(1SNI 3"1111 09VOIH0 'A •N ` Al Nn00 N-i033 nS 339V91NOW 1SSU SV 'SN9ISSV 80 ONV S80S'S300(1S S11 'V'N NNV81110 OlOH1f10S d0 NMOl Nal'Id 3MN 3153130 >101 IJ WJ SNVH M31AA V 8 : 01 031311830 1d A183d08d d0 A3Aans Oull8404 13'OS 09£`9, = V36V 3 '1111"1 ~IN003d d 98'66 'L 0£e£L 'N WMHW _ c aonX~ rCn/5 'Pooh O tl3NN ~~9 pooM "7 tMb/ d0 d01 M .To dd ~~e 21 A z `001 101 p N m 1 A o 0 z'>£ O r Z 'PU~,P/66) n /DOOM m N1i AZ N • N Z bE £IE, ~ ~ Q I o a^A8F Z I~ 66 101 Q I ° 101 lO1 I- o w c ~ 2 oI ~ 2 0 S 0) 2 U Ln 1r n I N 9//'s ~l oUa I 2M NOW 06'OOZ 6L.S •oNOa Node 97 001 3 Ob 6bo 8V(330 1Sd3 8d 1N10d BOARD OF HEALTH . FORMNO.1 ~0 SETS OF PLANS TOWN OFSOUTHOI_D /SURVEY "t' BUILDING DEPARTMENT CHECK j nf`I 1 0 1995 TOWN HALL serTZC Foad ,w............ SOUTHOLD, N.Y. 11971 C C TEL.: 765-1802 t:OT z FY 2 T CALL ....I.3~.7.. Examined ,..•~,Q/~, 19.!,/ ~f HAIL TO: . Approved ~ ~ 1 . Permit No..4°l ..C>/. a/c i (Building Inspector) PLICATION FOR BUILDING PERMIT Date .O.ct. ID..95........ 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 street! 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 permil 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 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 to admit authorized inspectors on premises and in building for necessary inspections. 33.lue. s.prume..BuiJ.ding . (Signature of applicant, or name, if a corporation) 275 Baldwin Place Cutchogue 11935 (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. Gene.ra•1••Contr.actar Name of owner of premises Flans/.Celest.e .Fli.c-k (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. 14085HI Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done. 1.200. Cedar. RQint. Drive .Eas.t .....•Southgld•NY•,11971,•.,,.................................. I-louse Number Street Hamlet County Tax Map No. 1000 Section . Q9.0 Block 2............... Lot 2.1 Subdivision map. gf..cedar. .beach park Filed Map No. 90............ Lot . (Name) , 2. State existing use and occupancy of fremises and intended use and occupancy of proposed construction: a. Existing use and uccupancy ••singie•fami'1•y-res•i•denc•e•••••••.•..••••.•••••••.•••••••••••••••• b. Intended use and occupancy single family residence 3. Nature of work (check which applicable): New Building • • • • • • Addition X.XXX... Alteration , , . , Repair yal . Demolition Other Work . (Description) 4. Estimated Cost $5.0.A000...4Q . . . Fee , , (to be paid on filing this application) 5. If dwelling, number of dwelling units .Qne........... 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 . 32.'....... , . , . Rear .32.! Depth~4.'............. H Dimensions of shme eight , . 2.0 t Number of Stories , one . . . . . . structure with h alterations or additions; Front ,4t}!, , , , , , , , , , , , , Rear 44 DePth...444 .Height .,,,,;,,,,,,;,,Number of Stories Height ' • • • . • . ction: Front ...24 ! 1, Z ! on • • • • . Nu Rear . Depth h ..44t......... 9. Size of lot: Front 1001b'erofStories.Re ne• '160' 10. Damensionsofentirenewconstru•• Rear Depth .2g,9.~..,,,,,,,,,,,,,,• Date of Purchase .,,7/2.5/e]*,,,, ,,,,,,,,Name ofFormerOwner 11. Zone or use district in which remises are situated , . 12. Does proposed construction violate any zoning law, ordinance or regulation ;ii'o ' • ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' • ' • • • • • • • • . 13. Will lot be regraded . np....... . , Will excess fill be removed from premises: Yes No 14. Name of Owner of remises bans . FJ CI, , Address1,200. -east. .aedar.. Phone No:765. ;5906) Name of Architect ' . • • • • • ru Addresspoint..rd.......... Phone No................. ` ge, Buil''t , ssouthold.P.Y....... Phone Name of If Contryes, actor S bouJ..uQtho. $p. 15. Is this property 0 feet of a tidal l wetland? " " " " " in Yes........ No......... 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. ITATE OF NEW YORK, 'OUNTY OF . S.S ry • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) Dove named. eis tile .I. tractor ent, corporate officer, etc.) said owner or owners, and is duly authorized top 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 ork will be performed in the manner set !,forth in the application filed therewith. vorn to before me this :G ..day of ...!-19>°`~u..'..., 19 r mary Public, County G 9 ~ LINDA , I~. COOPER . Notary Public State of wewYork (Signature of applicant) No. 4622668, Suffolk County Term Expires December 31, IS _ CEDAR POINT DR EAST IRON „ 100.45 P1 PE' / CONC. S. 79049 40 E' 200 90 2~ MON I Well ~;r I enc%s re In C6 1 f O N \ I ~ a1 n ~ N a 5 {a+ I C ~ MI LOT 101 LOT 99 d1 2 jy' Qy _ 1 0.1~ i 31.3 34.2' v lrte 6 SIN O Q deck \ N O O (D I N 0 LOT 100 `n ~O F BUFF o.SW 70P O -I 4'wf WSlcps eULKHEAO wood oucr = MbWM N. 73°32'27"W. 99.86 L.ITTL E PECON % 8 A AREA = 26,362 SQ.FT totie line SURVEY OF PROPERTY AT CERTIFIED TO B A YVIEW CELESTE KIME FLICK TOWN OF SOUTHOLD CITIBANK SUCCESSORS AS FIRSTOR MORTGAGEE SUFFOLK COUNTY N. Y. CHICAGO TITLE INSURANCE COMPANY 9108-02390 1000 - 090 - 02 - 21 Prepared in accordance with the minimum SCALE I = 40 standards for title surveys as established JULY 25 by The L.4A.L.S. and approved and adopted , 1991 for such use by The New York State Land N1 Title Association. D U t5 !(I~ T.MOZG9w nr,T I 0 IA95 . 5 O N.Y.S. 1.1C. NO. 49618 YORS, P. C. o, Ply 0 LOT NUMBERS REFER TO "MAP OF CEDAR .~FN 09 BEACH PARK " FILED DEC.20, 1927 IN THE MA OFFICE OF THE SUFFOLK COUNTY CLERK SOUTHOLD, N. Y. 11971 AS MAP NO. 90 D. K. -II-'I~ I I -4 l - - - - - - - - _L!-L T - G~ I T_ Ar - BP ~ I D r r-- r ---,ee - li - - - - - Ir- ---jr-Twl F _ NOT FV BUILDING DE AT ryrye P 765-~80~ 9~AM TO 4 OR THE _ II- G FII IDIWG. NSP _ LT F UNOA IOP - WO REQUIRED 4 I 4 - Ir `--II - - - F I__- O flETE ~ Ii UGH -IF p _ RP ING I F P_!-CO MI G_, ---7-_--r- I. ' - . _ _ - - TL o u Gy t Il ~ ~j At 1 n f I_ r + It I- B A TIO A EC MPLEIE FOR C.O LM!UST - - - - - - LL~ CO T TR7N 9HAL MEET I f THE pE UI_RE_M NTS OF TFIEN.Y. STA E FONSTR CT ION & ENERGY COD S: KNOT -~tESPONSIBLE FOR - ~ - DESIGN -FIES Ofl UC71 ON ERRORS - - Q~~~.~LEAD CONTt"~NT REFG7l"t C - - FUME-ING WASTE 7C-ER'ii lC dE OF G~'~'UPAN~' vv 9~! ~&WATER-NINES-NE;ED---~-$6LDER-&SEa1NWATrR 7EiTING SEFGIiF CGV RI_ ' ~y~ ~ ?~_VPLYISYSTEM CANNOT- - XCEE 2/10 of 1% LEAD.- ~r~e7 14T' If copper tubing is used ' for water distributing sYStOrn; Piping shall be - - - - - - - - - - - - - - of Typos Kor Lonly - _ ~ - - i - - - ¢w 6~. - - - 4-10 6 - - = - - - - - - - - - y ! I` I I I ~ III I- ' ~ - ! I~ I i I ~ I D - I I~- II r - - - I - ~ gg~~ s I I j - { U u- cz!y~f I--'-------- - - ~ - - - may' - - - - - - - ~ - - - 'Za - - - 9~P~FI ~v,a (r Fo~~o~ rdJ- - - - >'rrti~ ~o ti T Fu oa4rjA; h -l - mo`o' - - - 1- h~ G' l.7 ov~7 I T i I i i I I I - 4 I L~ o.~ - 115, Erac' ~ T ~~Afi a f f9HL UY1 ~ I ~ I I ~ I - i I T T --1 li ~ I -1T i I - ~ - L _ C 1 j-d i a-LtIT jj- I- - - - - - - - T ' - T - I I I I T I - -1- - 1-~ Ti I I I - - E° -f i n i ~ I e L-r L I I L I I 1- ! I IT I I -I rt ~I I L-J rTL-- h -I - - 1- G- _ I, I II I I I T - - - -;--1- --,I - T - r , - - - -I - - - -1 I- I I I~ I~ I I I ~ 1-- I I I a j I - j I _ I z I 31 i II ~ ~ /,j 'I ~`ti• ~L'lin VF_ I~1°S air'P~ I I i ROVIDE OPE f GS FOR ~ i'-- MERGENCY ESC P J •r, UI~I~ UIREDB A . 4`6~1 gfulvv Q Y. STATE BU LDIN GOdE. 1 ~k GW'13 4- f 61! A I Mm f I JIT4 g I I y gt ~A Ji, ' ~ fSFORc 7 0 PROVIDE OPENI f'~i PROVIDE OPENINGS FOR - f GENC E TAPE AS S I R T 7140F UIREDB 3 EMERGENCY ESCAPE AS NT STATE BUIE ING CODE. REQUIRED Y PART~714 OF ~a I f p - N.Y. STA E LVINU f~NS ~pD I~E~BST2 C-14 Sr. 1 I- co 15457 GG0147?- poWT JZ L y Lw I~( I4 ~71 i S,j71a_ yy LW"I PROVIOt OPENINGS FOR \J EMERGENCY ESf1.A~PE AS a J PRO" E OPENINGS FOR REQUIREp BY PARRY. 714 OF __l 5 EM" ENCY ESCAPE - - Rf UIR D BY PAR aF i na r N.Y. Si TER WING^ Z_-1..--.._ Q. N.Y. STATE BUILD G`OtjL~. j C a 2. LI 7, f / Lv~P~ i g~dd+^~ 5 e -f-w a 15 I ' 1 ~Y~ C',Ar L~J V4 ~I"OG~L I ~ ~ ( ~ ~ Writ -ro New foaTt,NS>~ I ~ i SS _ VlOICAMC liNlr~~s~ f g 3 i ~ V ~L~~ _1UU1~ iJ ' ry 3t5 ~ P~aNeo'hW oc9 wHV ~ ..r hl~~ ) LA", ~ ~ --1 ` z~b frz 5/~u5 1 r 3/ z.d-tz z V I;N yJ, y_jPIN - it r ~R u.iL !y/~~ll~ Gur+c/e.~id l.,i All 13. I I I~ ~-._-_i~ Z42 a1 i'naf'~ ) gj e~TN.i c_?. 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