Loading...
HomeMy WebLinkAbout22527-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23544 Date MARCH 13, 1995 THIS CERTIFIES that the building NEW DWELLING Location of Property 1240 PARADISE SHORE ROAD SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 1 Lot 24.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 6, 1994 _ pursuant to which Building Permit No. 22527-2 dated DECEMBER 9, 1994 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 ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to MICHAEL PISACANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL-RIO-94-0118 MARCH 13, 1995 UNDERWRITERS CERTIFICATE NO. N342727 FEBRUARY 23, 1995 PLUMBERS CERTIFICATION DATED MARCH 1 1995 LAWRENCE LISO Building nspec r 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) ...1.. Date 0,...... Y..................... 19q N2, 22527 Z Permission is hereby granted to: X..0~..~, to ...f 1 . /C.... .r I7~~ .r~ ............C~' .,f . , c...... l' 2e at premises located at.................................... t S'~ County Tax Map No. 1000 Section Block .......e Lot No. .PS.. +..J............. pursuant to application dated ............A),( .•••.......••••.19...and approved by the Building Inspector. Fee S..../...` . ...''b- Building Inspector.. Rev. 6/30/80 02-28 95 12:42 T:2014038260 P:01 February le, 1995 Brian Hambrick Brendan Hambrick P.O. Rox 360 Southhold, NY 11971 Building beat./Code Enforcement Town Hall Southhold, NY 11971 Dear Sir or madam: we would like to bring to your attention an environmental hazard and code violation existing at 1595 Lake Drive, Southhold, residence of Mafia's Taxi Service and Theo Manolokos. The referenced residence is operating a taxi business from the property which is also used to store and repair numerous vehicles. Many of these vehicles look to be unregistered without license plates and abandoned. It is our understanding that a residential property may he only used for residential use and not for commercial services. Maria's Taxi Service uses this address as a place of business, even advertising the above address in the telephone book. Potential hazardous conditions include leaking oil, fuel and other fluids which have a direct and detrimental impact on the fragile environment surrounding the property. This area is adjacent to Great Pond and many wetlands which contain abundant wildlife and provide drinking water to the residents via an underground aquifer. In addition, a pigeon coup exists on the property in close proximity to the adjacent residences. Again, it is our understanding that the coup must be 50 feet from any other properly line. we believe this is also in direct violation of town code. Please investigate this matter and inform us of any actions taken- Thank you. Sincerely, nr. i an pambrick,j ~ ~FEB 2 8 t9~i JR ~ Brendan Bambrick BLDG. DEPT: ` TOWN OF SOUTHOLD HMV' y) t Town Hall, 53095 Main Road $ ? Fax (516) 765-1823 P. O. Box 1179 a N Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR •m' mT TOWN OF SOUTHOLD C E R T I F I C A T I O N MAR S 195 p DATE: 3 - S EBLDG. l3GP"C. Building Permit No. Owner: j V1 e4rL 6 (/please print) Plumber: L?~u/v/C~ G/ S U (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Si nat re) Sworn to before me this day of tG~ 19G /Notary_Public, County F9_IFA,(3t-TH o lVfr41lLL.E l O 5t P~,l.)lic, State tate to 09 P,aW York 1'~?ri.7 ±-5;~+7P°r,Sl~ 2. :yutiolk C~~1k-i of:er~9, 1 1 'lIDATION S t) I y IDATiO1_ t_f 2nd) r y • / m H FRAME ,'-FLUHB:CN s y II •-7 JLATIO:I PER N. Y. 11161c STATE ENERGY ~I CODE II z FINAL o ADDITIO AL CO!-1s"1EIITS: cn of / S m ~ x • m 'SiMrK.I1•L•~-:n _ .'T1... a.. s. • v ~ • V ~~o~Og~FFO(k~OGy Town Hall, 53095 Main Road °y 2 Fax (516) 765-1823 P. O. Box 1179 S ' Telephone (516) 765-1802 Southold, New York 11971 .j. col ~ ~a OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 1, 1995 Michael Pisacano P.O. Box 40 Jamesport, N.Y. 11947 Re: Premises @ 1240 Paradise Shore Rd. Suff. Co. Tax Map #1000-80-1-24.1 To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: An application for Certificate of occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (outdated/not on file.)$25.00 XX No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22527-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. y i Form { l~ l5 0 U L5 1 rm No. 6 J FW~$ 3 TOWN OF SOUTHOLD t Lt7 t BUILDING DEPARTMENT TOWN HALL BLDG. DEPT. 765-1802 TOWN OF SOUTHOLD 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. 4. 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. F.. 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 $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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00 Commercial $15.00 Date pp .:.~.`.l.S . New Construction... I..... Old Or Pre-existing Building.. Location of Property.... .T.U........... ~~~4'.r~ r.....-~~` GS. N House No. Street Hamlet Onwer or Owners of Property... .77_ _ _ . County Tax Map No 1000, Section. ..0'0 .......Block....../.........Lot.. c~.Y Subdivision......... Filed Map............ Lot Permit No.2-~ S ,,,,,Date Of Permit. <.:Me ;1 ...Applicant...S~w Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate. Final Certicate........... Fee Submitted: . APPLICANT _s......,.,~.,~.x...,. _ . v..,........, Form No. 6 ~m FGD y~ TOWN OF SOIITHOLD 28 1 GD WOU BUILDING DEPARTMENT TOWN HALL BLDG. DEPT. 765-1802 TOWN OF SOUTHOLD 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-° 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 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. A.. 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. J 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 $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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential) $15.00•, pCommercial $15.00 Date New Construction.....f.. Old Or Pre-existing Building... ~Q Location of Property..../ ( i9lerv it s! C~. .....~cJI < House No. Street Hamlet Onwer or Owners of Property...~G ...tS~4vJ d County Tax Map No 1000, Section...00 Block l......... Lot. .C;.~ Subdivision / / Filed Map............ Lot...................... Permit a~.....Date Of Permit./.Z1.9 . Applicant. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate Final Certicate........... Fee Submitted: . ` FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. TEMPORARY CERTIFICATE OF OCCUPANCY* No Z-23522 Date MARCH 3, 1995 THIS CERTIFIES that the building NEW DWELLING Location of Property 1240 PARADISE SHORE ROAD SOUTHOLD MY House No. Street Hamlet County Tax Map No. 1000 Section SO Block 1 Lot 24.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 6, 1994 pursuant to which - Building Permit No. 22527-Z dated DECEMBER 9, 1994 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 ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to MICHAEL PISACANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL PENDING** UNDERWRITERS CERTIFICATE NO. N342727 FEBRUARY 23, 1995 PLUMBERS CERTIFICATION DATED MARCH 1, 1995 LAWRENCE LISO -Zlf 2, uil' ing I ape or * - THIS TEMP Y XPIRES 4/3/95, 30 DAYS FROM THE ISSUE DATE. - SUBJECT TO FIN SUFFOLK COUNTY HEALTH DEPT. APPROVAL. NOT YET RECEIVED BY THE BUILDING DEPT. AS OF 3/3/95. Rev. 1/S1 APPEALS BOARD MEMBERS "="sz SCOTT L. HARRIS 3 ~x Supervisor Gerard P. Goehringer, Chairman Charles Grigonis, Jr. 7 P Town Hall, 53095 Main Road Serge DoYen Jr. P.O. Box 1179 James Dinizio, Jr. Southold, New York 11971 Robert A. Villa BOARD OF APPEALS Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800 M I N U T E S SPECIAL MEETING FRIDAY, MARCH 8, 1991 A Regular meeting was held by the Southold Town Board of Appeals on FRIDAY, MARCH 8, 1991, commencing at 7:00 o'clock p.m. at the Southold Town Hall, Main Road, Southold, New York. Present were: Gerard P. Goehringer, Chairman; Member Serge J. Doyen, Member Charles Grigonis, Member James Dinizio, Jr., and Member Robert A. Villa, consisting of all five members. Also present was Board Secretary Linda Kowalski. The Chairman opened the meeting at 7:00 p.m. and proceeded with the first agenda item, as follows: Appl. No. 4001. DELIBERATIONS/DECISION. Upon application of PAUL AND KATHLEEN FORESTERI. Variance to the Zoning Ordinance, Article IIIA, Section 100-30A.3 and Article XXIV, Section 100-244, for confirmation or recognition of lot for the purposes of obtaining, in the future, a building permit for a single-family dwelling in accordance with the zoning code set-back regulations. This vacant parcel is nonconforming as to lot area in this R-40 Zone District. Location of Property: East Side of Paradise Shores Road, located approximately 1250 feet from the north side of Bayview Road, Southold, NY; County Tax Map Designation 1000-80-01-024.001. WHEREAS, a public hearing was held on February 22, 1991; and Page 2 - Appl. NO.! 4001 Matter of PAUL AND KATHLEEN FORESTERI Decision Rendered March 8, 1991 WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, Board! Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following Findings of Fact: 1. By this application, appellants are appealing to seek: (a) a determination under the Zoning Code, determining that the subject premises complies with the applicable lot area, width and depth regulations of the zoning code as applies in this zone districtfor a residence, and/or: (b) a Variance under Article IIIA,I Section 100-30A.3, Article XXIV, Section 100-244, for approval of the lot area, width and depth which may be necessary in this R-40 Zone District. 2. The premises in question is identified on the Suffolk County Tax Maps as No. 1000-80-1-24.1 and is located along the easterly side of Paradise Shore Road (identified as No. 1000- 80-1-20.1), Hamlet'iand Town of Southold. 3. It is noted for the record that (a) the subject lot was acquired by Paul and Kathleen Foresteri by deed at Liber 9705 page 49 on December 24, 1984; (b) a certification of the chain of title for this parcel and all adjoining parcels since prior to 1957 has been made a part of the'irecord dated November 7, 1990 together with copies of the prior deeds; (c) thelsubject lot was the subject of a prior decision of the Board of Appeals on September 14, 1967 under Appeal No. 1137, which approved the set-off of the center 100 ft. wide parcel from the two remaining tracts {also previously of the Axien Estate} during the period of the 12,500 sq. ft. lot area requirement. This variance has not been withdrawn or invalidated and islstill in full force and effect. 4. The survey submitted under this application shows 90.94 ft. (lot width) frontage along Paradise Shores Road, with a depth of 136 feet, for a total lot area of approximately 12,370 sq. ft. Page 3 - Appl. No. 4001 Matter of PAUL AND KATHLEEN FORESTERI Decision Rendered March 8, 1991 5. It is the position of this board that sufficient proof has been demonstrated showing clear intent for the past 23 years, or more, to continue the single-and-separate ownership of the subject parcel. Accordingly, on motion by Mr. Grigonis, seconded by Mr. Villa, it was RESOLVED, that the parcel which is currently identified on the Suffolk County Tax Maps as No. 1000-80-1-24.1 (or 24), now or formerly of Paul J. and Kathleen L. Foresteri, be and hereby is CONFIRMED to be recognized for single-family dwelling use, subject to all setback, bulk schedule and other zoning requirements applicable under the zoning code, and County Health Department and other agency approvals required at the time of submission of an application for a building permit (with the exception of lot size). Vote of the Board: Ayes: Messrs. Grigonis, Doyen, Dinizio, Villa and Goehringer. This resolution was duly adopted. x i -4- I I I ACTION OF THE BOARD OF APPEALS Appl. No. 3997. Upon Application of MITCHELL A. MARKS. Variance to the Zoning Ordinance, Article XXIII, Section 100-239.4A for approval of accessory swimming pool, deck and fence construction with a set-back at less than the required 100 feet from the top of the bluff on along the Jong island sound. Premises is zoned R-80 Residential and is located at 29829 Main Road, Orient, NY; County Tax Map Parcel No. 1000-14-2-1.6. WHEREAS, a pubIlic hearing was held on February 22, 1991; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. This is an'iapplication for a Variance under Article XXIII, Section 100-239.4A for approval of an accessory inground swimmingpool with dock and fencing all as shown on the sketched photocopy (which appears to be a part of a survey) submitted under'this application. The set-back at the closest point to the top of the sound bluff for the deck around the pool appears to be at 76+- feet (but n4 less than 75 feet). A new dwelling was constructed under Permit No. 16851 issued March 22, 1988 (although the pool structure apparently was built by a contractor for the landowner without a building permit for the same.) The applicant indicateslthat the actual pool structure is situated approximately 86 feet from the sound bluff at its closest point, and was placed in ajvertical position rather than horizontally. 2. Article X}CIII, section 100-239.4A of the Zoning Code requires all buildings and structures located on lots upon which there exists a bluff or bank landward of the shore or beach of shall be set back not less than one hundred (100) feet from the top of such bluff or bank. I~ ~ ~-7_ M-1802 BUILDING DEPT. INSPECTI [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~RAMING [ ] FINAL REMARKS: DATE D INSPECTO -7 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RgIdGH PLBG. [ ] FOUNDATION 2ND [ °f INSULATION [ ] FRAMING ( ] FINAL REMARKS: ,4~ DATE 9J INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ } FOUNDATION 2ND INSULATION [ ] FRAMING [ INAL REMARKS: i i 11 DATE d INSPECTOR M-1"2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL e i REMARKS: A A111 k r DAT INSPECTO i ,;Z2 J~27 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST F I ROUGH PLBG. [ ] FOUNDATION 2ND [I - ] IN TION [ ] FRAMING [ ] FINAL REMARKS: i/1/iS/` //?,fc~/,~fiiv I~/~.9/y5 E I G~~~ DAT 1NSPECTO L~yJ~ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL, REMARKS: . x: - y r uv~ DATE INSPECTOR` w M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ) INSULATION [ ] FRAMING FINAL'S )atjj~?, ~-,ojzo REMARKS :a r A2 ~51~ DATE ` INSPECTOR ^ 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ } ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL REMARKS: i i cZA/ ca E _ DATE L INSPECTOR t E , THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1135021 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date FEBRUARY 23,1995 Application No. on file 87096695/95 N 342727 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the uboee application number in the premises of MICHAEL PISACANO, 1240 PARADISE SHORES RD., POLE LIL 12-11, SOUTHOLD, N.Y. in thefollowing location; ® Basement IN Ist Fl. ? 2nd Fl. CAR/OUT Section Block Lot uns examined on FEBRUARY 09,1995 and found to be in compliance with the National Electrical Code. FIXTURE FCEPTAGLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K W. AMT. K.W. MIT. K.W. AMT. K. W. AMT. H P 23 25 30 23 1 8.6 1 1.2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pi TIME CLOCKS BELL UNIT HEATERS M SYSTEMS ET DIMMERS AMT. K. W. OIL H. P GAS H. P AMT NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT H P NO. OF FEET AMT. WATTS 1 F 2 - 1 SERVICE DISCONNECT NO.OF S E R V I C E MT AMP TYPE METER T,e 2W 1 B 3W t ,D 3W t,e' AW NO.Of CC GOND A. W G NO OF HI-LEG A. W' G. NO. OF NEUTRALS A. W. G. EQUIP. PER d Of CC. CONO OF HbLEG Of NEUTRAL 1 200 CB 1 X 1 2/0 1 2 OTHER APPARATUS: I JACUZZI-1 MOTORSt3-F H.P. PANELBOARDSil-9. CIR. 60 G.F.C.It--5 SMOKE DETECTORt-1 THREE "C" ELECTRIC LIC.#3327E RT. #1, BOX 45M SOUND AVENUE GENERA.MAN~pFR RIVERHEAD, NY, 11901 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF-CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1135021 BUREAU OF ELECTRICITY F- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date FEBRUARY 14,1995 Application No. on file 57096695/95 N 342727 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 MICHADL PISCANO, 1240 PARADISE SHORES RD., POLE LIL 12-11, SOUTHOLD, N.Y. in thefollowing lacation• GAR/OUT Basement ~ Ixt Fl. ? 2nd pl. Section Block Lot wasexaminedon FEBRUARY 09,1995 andfound to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT K. W. AMT. K.W. AMT. K. W. AMT. H P. 23 25 30 23 1 8.6 1 1.2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT AMPS. TRANS. AMT. H. P NO.OF FEET AMT. WATTS 1 F 2 - 1 SERVICE DISCONNECT NO. OF S E - R V I C E, MIT. AMP. TYPE METER 10 3W 1 .e 3W 3,e 'W1"' IW NO. OF CR COND A W G.D. NO. OF HIAEG A. W G. :]OF NEUTRALS A W G. EQUIP. PER .9' OF CC.CON OF HIIEG OF NEUTRAL 1 200 CB 1 X 1 210 1 2/0 OTHER APPARATUS: JACUZZI-1 MOTORSt3-F H.P. PANELBOARDSil°1 CIR. 60 G.F.C.It-5 SMOKE DETECTOR:-1 t THREE "C" ELECTRIC LIC.#3327E RT. #1, BOX 45M ! SOUND AVENUE GENERAL MANAGER RIVERHEAD, NY, 11901 11 _.w Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. r COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MlUi T-NOT BE ALTERED IN ANY MANNER. " BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY 9WA 61994 BUILDING DEPARTMENT CHECK t:yr;IV HALL SEPTIC FMI SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOTIFY ' p CALL Examined. MAIL TO: Approved . . . : , 19 ..Permit No 4? . ~ ' ' ' _ . ' ' Disapproved, a/c Building Inspector) APP I ATION FOR BUILDING PERMIT ` Date . v....., 19 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- 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 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 inspect' s. _ (Signature of applicant, or name, if a corporation) e. ?17 (Mailing address of applicant) State whfether applicant i owne ,lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...S.W (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. . Plumber's License No. J. p°2.6 . Electrician's License No . Other Trade's License No . h e~ r/ 1. Location of land on which proposed work will be done. House Number C~Street Hamlet A County Tax Map No. 1000 Section Y.......... Block / Lot. . :-?X . 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 /bUlfze / 41% ~:,r.=uiaWwwi~.. _~M~,aar~,.. ,max . , ~.v:-sa'~p<=„u:.=."• "/J 3 Repair of work check which applicable): New Building , Addition Alteration . Removal , , , , , , , , , , , , , , Demolition Other 1,'ork t'Description) 4. Estimated Cost 0, dU f r.... (to be paid on filing this application) 5. If , dwelling, , number dwelling units Number of dwelling units on each floor . . If garage, number of ca ....qdr!4............. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front Rear . Depth Height Number of Stories . with alterations or additions: Front Rear . Dimensions of same structure w Height Number of Stories i . $ He Dimensions of entire new c NU~ ction: Front Rear _O/ ..........Depth .a .7......... . ber of Stories Oh.e . 9. Size of lot: Front ..9 Y Rear ...~P , .9 Depth . . 10. Date ne of or use Purchase district in which 11. . • ' ' ' ' ' ' • • • Name of Former Owner . Premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded t...... , , , , Will excess fill be removed from premises: Ye o CGI~BZL 14. Name of Owner of premises , /5.l~Address . , , , , , , . , , , , , , ,phone No. , Name of Architect ..........il Address Phone No.............. , , . Name of Contractor Address Phone o. 15. Is this property within 300 feet of a tidal wetland? *Yes No.. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. I i t i~ STATE OF NEW YORK, COUNTY OF ll S;S (Name of individual sign~in' q 'N being duly sworn, deposes and says that he is the applicant g contract) above named. He is the..,.. (Contractor, agent, corporate officer, etc.) of said owner or owners, and fs 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 work will be performed in the manner set forth in the application filed therewith. Sworn before me this . day of. I. 19 Notary Public,~. . S /~_ounty Notary Public,State of New Y¢•rk No.4951384 Qualified in Suffolk Coun1y (Signature of applicant) Commission ExPUS May 22, 19i , - V - \ .I V +r - - 'rn C ! , ?.F y '.,e rt '^r' .x:r - --.'v?s mM PLumBER CERTIFICATION ON LEAD CONTENT BEFORE , IWAR CERTIFICATE OF OCCUPANCY . , /yam y. [ APPRO Ep AS NOT 6 SOLDER USED IN WATER 04rE: B.P. ~xa~~7 I SUPPLY SYSTEr? CANNOT ' Fu iJG Y` _ lr1-r1-V 1' u-+'I f _.W-ti~ -r 1} G( . - FEEBY: EXCEED 21100I'9%LEAD. ' NOTIFY BUILDING IDEI ART NT Al 785-1802 9 AM TO 4 P R THE FOLLOWING INSPECTIDN _p 1 NdN G _ t ~ IQT.'Ci J:'L11 j r I Ft7UUf1.41'l0N - TWO REQUIRED ' FO POWLE'DCONCRETE ~1 i j p1 PLUMBING - 2 RO.OC:1* FRAMING & PLUMBING r ALL PLUMBING WASTE _ 3 INSULATION - F & WATER LINES NEED PROVIDE OPENINGS FOR 4 fiiVt-I. CGiISTRUCTION M,jll)i a-4 TESTING BEFORE COVERING EMERGENCY ESCAPE AS BF COMPLETE FOR CA x'll" " 1 . t i~. { REQUIRED BY PART. 714, OF } f . AL.I- CONSTRUCTION SHALL MEET `-w -''THE REQUIREMENTS OF THE N.Y,-' N.Y. STATE BUILDING CODE.'. ~f @5 _ -STATE CONSTRUCTION & ENERGY - } CODES. NOT RESPONSIBLE FOR r„pLd ''-.2 l - _-if COpper tubing,iS Used " DESIGN OR CONSTRUCTIONERRORS for water distributing OCCUPANCY R system; Plying shall V of types K or l only ' - q ~y T141S Atz&A Ff}1~[Y C L. GGIT AItI* Fi~1011 'M~+ r SGf1L I~^~ - ~"I' C4ll€lll} APt. lK ff $E UNLAViFUL l Tg, OCIMPANCY I1• ITT Y SD t rY.TNC -2- A 12- ~IYRY PROVIDE fi NR: FIRE IN. FIRE SCXsLE I-,.Q I, . D PROVIDE OPENINGS FOR GTD+„ N" RATER SEPARATION TD ANION E DO NOT PROCEED WITH , EMERGENCY ESCAPE AS Irk, f)(1)OF FRAMING UNTIL SURVEY RI-OcTe REQUf RED BY PART 714 OF f G~ GS' 1MkL7' I D PART. 711.3 (f) (1) OF N.Y STA1E BUILDING CODE 1111 STATE BUILDING CODE, ZING COOL OF FOUNDATION LOCATION I ~r ` HAS BEEN APPROVED X11 2 iftIU - 7xf : H. DIP,. . I1 b ~ -----Of rt- 2x4- µWl ~ 02 5, T F. I A, IT -p 'a'nlcaolz tja TS1 ~I p. /may r. i I 2 _ # y { I b ~U _ ' I I I ~i 1 1F~ - _ _ 14 IX y T (ON T-Yl. Pj L SL LE I 5 `I N . E V A." . DEC 2.2 1994 4 BLDG DEPT. TOWN OF SOUTHOLD r ~ •o 2 h oli T ~ 1 H R'!L ~9• Z ~ a} y~i~~ ~ ~ ~ ~ fig: ngRh 73,ctvr,y J~su~rln9,aiY j ~ e Q` ~ ~ d ti - arrrysssw t?ra'E7Kf7.7''° Ilk rv¢-TncFrst~+sE 20 I e~ ~o N~G f~.slr~le'~' ~/nlC'.:H?ec[. CE~.~aL ~©cna'ino?~ ~Ya7~~s ~UrrY%*YFa~AY'&w?~FiYRYG1~b?eFf~' g,o elk qva ad`YEYO ¢ of v 41. car~vaur_r/oto-sd4Cc~riyrr. N,Y. flax s/ r/B Le kw s 11171 QJ/&oy,-cCE/L~.F/~P~1'•4/Yl . /u'L'%Y~iTl'S'~"•/MO!/. /s,~/ * •Z - 9 Co.~tirlv)ali~ ~ Ze r~OJNL79TnONLCL~~6G..71/~y T~, a36G•9 °FMEW YOP DEC 06 IS14 ~i~-~l~ Glp~' a -a cla A 1 U-1 G) T~ tO t4 (11 GJ Qm s. o u:s_. °y co (o co V c~.e 7n* h aU n DA,PX 17.E'EVf'N A o 1. ru sNar v @ s J Q v /V/i4- fi/f7/Ij ~E ~?n>2*'wi?e(rL . Ce'~,rzat LOCr~l/cW9 BYG~c~„c+~ dRY%'YFo,4:,. /~I/CN~EG P/06,~C/JNG+ •:r~P~L~"?YyL,Er3~~NG~w.iil-/' Ng=U -^i t LANO Dda'?EYO.¢ ~E SV r/!lesy :?aUY/ot0 6~Y-fo4GC~cx'H7 Y M•-Y 414149 v y • Lt ky,-y q rE/J v,Fi(ea ~4.vJE,c'::s: -/w a s a Z~ e. QO¢ A t s. L" v NOV 7 494 +r aeee~ opovewyo /dao- C94 41 - Z44 SC D PT. OF HEALTH SERVICES SUf'FOLK COUNTY DEPAM ENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION OF o SINGLE FAMA Y RESIDENCE ONLY H ~ 3 DATEC 06 199 HS o-aF tj~.RID 9 olIe APPROV o EXPIRES THREE YEARS FROM DATE OF APPROVAL ~ N (z ......,M_ _ z w 40) N M Q ~ 3Y V v~Y ~ a n y 3 ~ co ~0 E BD:5 t /'o'~l ~CGZEG A$~"o,Cid d~jl Mt N, WQG Fj ~ 40, • Wi4XLm ti osss ~ 4t 0 ~®l R 0 ~ ~8olFiyLOq U o f'cusoesa . t y ~ x LS I 3,? - 0 iV6ye 3 'S/GS"vt/ /o 5,- ~ yb F6Silo ~E 1 40 /V/.C /S~i9/~1,~Lt° ~+/c'Te''Wi?e'~1. CE9a.~2aG ~o i7dV> 8Y~7eys^..e.s ow Nsso * ~o s\ tyrr2 yFO~, M/CNAEG/aC~Nr? *~i1'l.Pw~/L6/Y•P ,w G.9.ua ?Eyo¢ .c' a~ O °9 carew:rQa~ urr/vo[,Fyi~e~ r.Y-.sUoM4EC.4C"v, crYrr r iy/,y v a LCar,s/~6 ~ZO~ 41. LE W- o 0 4t NOV 7 f"4 4'. +T a~698 HEALTH SERVICES FSURFOLK INGM FAWLY DW E OILY mai. > Sit, p..25_.ek c)~'v''Y~u~JRNB YsbF}.. vp '~z 5 b+"^ of Iftas;; ra w w !m!02 . n, a .aassxzs C i o ~C9° %vo•:~ /.36.2/' o o ® 1e xf'C°y'~yr S ~ C _ /3XEZ/.kxYY~t+ N~9°-5~c'S •;S+,O "/:t/ l3 ?S: i~Z~ - Z.CJ F.~`T G[bE !1NHA V I ~X N a~ to ./nrc's,wEr~ G~'~r~nt.toenr-,ona avu~~e~s urrrc~y.Cae~GN•9LO~Dr~'RLE.Y/E~aG6"`? .'AA'P,44~vyCb/s°•9.YG~lt~f'iN~so ..pro ~ L 9u0 aueYEyo a ~O~ LE S~9 .%av~Jauri/e[y~~d~,Ccw.y~/1?:Y. ~fax~s~B v ~ ~ Wq s Gu/r.7,oiyr~c'~o 7b f/ ,?~u1s,`e~a,N.Y//91/ 'lQ FA o~rirYN.9rrew.r,c Tier 4c ~ ~ o~ p ,rdcJNQ9T/ONLcti.O6C..?l/~y r a3es8 OF New YOP~