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HomeMy WebLinkAbout22214-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26915 Date: 02/04/00 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 1530 CLEARVIEW AVE. SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 9 Lot 53 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 1, 1993 pursuant to which Building Permit No. 22214-Z dated JULY 30, 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 ADDITIONS, GARAGE ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR & AS PER ZBA #4189. The certificate is issued to SALVATORE & CHRISTINE CAMPO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-066730 01103100 PLUMBERS CERTIFICATION DATED 02/01/00 SALVATORE W. CAMPO Authorized Signat e 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) Date.. 19.i19.4/ N® 22214 Z Permisslon Is hereby ranted to, 30 r /.-.'......T~r~i'..... at premises located at.....C.1...... .e............ f q 4 County Tax Map No. 1000 Section 0~........... Block Lot No. pursuant to application dated..,99.E 19 and approved by the ~cc o 716 / q~ I Building Inspector. f l Fee $ . 4 t . ctor......................... ( Building Inspe i Rev. 6/30/80 TOWN OF SOUTHOLD --I r~/t^ BUILDING DEPARTMENT .ITL Y`OI`. TOWN HALL 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., 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 buildit 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 ar '.'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 12. 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 - .25V 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date p`'./.-. . . New Construction.. z.... Old Or Pre-existing Building Location of Property.. 1142.0........ f~ C . Hamlet House Ncoo.N y~ /jStreet Onwer or Owners of Property.,y~.VA~ICGC. .S -70 County Tax Map No 1000, Section........ .Block T........ Lot................. Subdivision ................................/....Filed Map............ Lot.................. Permit .....Date Of Permit..•7/ Applicant. .,1~_A_J(/_JV r` ~ Health Dept. Approval .....................Underwriters Approval.. planning Board Approval Request for: Temporary Certificate........... Final Certicate... Fee Submitted: $..:1`5 APP CANT _~7 Y57 fe> ~~'2695 APPEALS BOARD MEMBERS SCOTT L. HARRIS Supervisor Gerard P. Goehringer, Chairman v°a Serge Doyen, Jr. a ` r Town Hall, 53095 Main Road James Dinizio, Jr. " , c p P.O. Box 1179 Robert A. Villa ~~~''Z Southold, New York 11971 Richard C. Wilton« Fax (516) 765-1823 Telephone (516) 765-1809 BOARD OF APPEALS Telephone (516) 765-1800 TOWN OF SOUTHOLD August 23, 1993 Mr. Salvatore W. Campo 1630 Landing Path Southold, NY 11971 Re: Appl. No. 4189 - Variance for Addition to Dwelling Dear Mr. Campo: Enclosed please find a copy of the findings and determination rendered by the Board of Appeals concerning your application for a variance (based upon the July 30, 1993 Notice of Disapproval from the Building Inspector). Please be sure to return to the Building Inspector (and any other agency which may have jurisdiction) for issuance of final permits and approvals before commencing construction activities. We have furnished copies of this approval to the Building Department for their update and permanent recordkeeping concerning the issuance of their Notice of Disapproval. Also, since this project is located at or near 500 feet of the creek shoreline, a copy of this file has been transmitted to the Suffolk County Department of Planning in accordance with the rules and requirements of the Suffolk County Administrative Code pertaining to variance projects. Very truly yours, *Lnda owa ski Enclosure Copies of Decision to: Building Department Suffolk County Department of Planning - C A+r i O C O O w J CO N E 'o E -0 i- Cc$ + Cl) O a C _c - OCZ - L. ..C CZ C C Q N -OOL..- U a) i > a) C/) LU cn (D C .C O O Q- a) 0 O Q~ a) n. U O v cz a) 5 _ .C C13 u o--- C Ct5 C (n Q~ C ~ +r v- C N E U O 0 0 0 L_ C f U) 00 ~aaco 0 )w mow"- X o > E cz 0 Qa W 0 cz C 0 +-a)C0_0Z ~ 0 0 a) ~f 5: o 0 C 3 _ .Q t W C +C- : a) ~ • 1 C O ~ ~ ci o C V. O E a)L~N~"LU L E a a) 4r .1 O C Zia a) L. .Q C c CL 00- S 'S E 7~5 3: W%* N=O"i'ca (D E cz CL -0 co L O)O C) -a < Cl) 4- z g I " as C L o LC CL a w APPEALS BOARD MEMBERS SCOTT L. HARRIS ry`, . y 1R~ Supervisor Gerard P. Goehringer, Chairman rn , %J r"' = ^ Serge Hall, 53095 Main Road Doyen, Jr. James Dinizio, Jr. P.O. Box 1179 Robert A. Villa Southold, New York 11971 Richard C. Wilton Fax (516) 765-1523 Telephone (516) 765-1809 BOARD OF APPEALS Telephone (516) 765-1800 TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS Appeal No. 4189: Application for SALVATORE W. CAMPO for a Variance to the zoning ordinance, Article III-A, Section 100-30A.3 for permission to construct addition to dwelling with an insufficient (front yard ) setback from Landing Path Road (unimproved). This parcel has two front yard areas, contains a total area of 25,175 sq. ft., 100 ft. frontage along the south side of Clearview Avenue and 251.75 feet along the westerly side of Landing Path Road (unimproved), Southold, NY; County Tax Map District, Section 70, Block 09, Lot 53. WHEREAS, a public hearing was held on August 18, 1993, at which time those who desired to be heard were heard and their testimony recorded (no opposition was received); and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, the present use and ,zone district, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question: (a) is a parcel of land known as Lot No. 3 on the subdivision map of Southfield Park, which parcel of land is situate along the southerly side of Clearview Avenue and the westerly side of an unimproved road, Landing Path Road, at Southold, containing a total lot area of 25,175 sq. ft.; (b) is improved with a single-family dwelling structure set back 42.4 feet from the northerly front property line, 17.7 feet from the side (westerly) property line, 150+- feet from the southerly (rear) property line, and 38+- feet from the subject front yard area to the east. w Page 2 - Appl. No. 4189 / Matter of SALVATORE CAMPO Decision Rendered August 18, 1993 (c) is located in the R-40 Zone District by the new revisions of the Master Plan enacted in January 1989. 2. By this application, appellant has requested approval for a reduction in the easterly yard for a 20-foot extension on the front and southerly portions of the existing dwelling which will leave a setback at 18 feet. The land area adjoining this property on the easterly side is an unimproved right-of-way (road) and is presently maintained as a lawn. 3. The area to the south of the dwelling is utilized for the cesspools, and is not recommended for this addition location. The area to the west of the house is limited due to the 17 feet established setback. The only remaining area is front yard area. 4. In considering this application, the Board also finds: (a) that the new addition, as proposed, will not be an adverse impact to the essential character of the neighborhood, and the relief requested in this application is not substantial in relation to those buildings existing generally in this neighborhood; (b) that the variance will not in turn be adverse to the safety, health, welfare, comfort, convenience or order of the town, or be adverse to neighboring properties; (c) that the addition is not an activity which would cause an increase in dwelling unit density or cause a substantial effect on available governmental facilities; (d) that additional land area is not available for the appellant to pursue as an alternative; (e) in considering all of the above factors, the interests of justice will be served by granting a reduction in the easterly yard setback from 38 feet to 18 feet, as requested. reduction as requested and further noted below. Accordingly, on motion by Chairman Goehringer, seconded by Member Dinizio, it was RESOLVED, to GRANT the requested reduction to 18 feet from the easterly property line for a proposed addition to the existing dwelling, as requested and more particularly shown on Page 3 - Appl. No. 4189 Matter of SALVATORE CAMPO Decision Rendered August 18, 1993 the sketched diagram (labeled "alternative Sk-311) submitted by the applicant. Vote of the Board: Ayes: Messrs. Goehringer, Doyen, Dinizio, Villa and Wilton. This resolution was duly adopted. * :r x j~./ . lk /Z~~e-EIC,~r ZGERARD P. GO HAIRM AN ~~gpFFOLK~,~G c = Fax (516) 765-1823 Town Hall, 53095 Main Road ti Telephone (516) 765-1802 P. O. Box 1179 Southold, New York 11971 oyjh~o ~`a0! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O Nip DATE- Building Permit No.~ owner: _h fnr~ (please print) Plumber: (-46 VO.7-04 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. s signature) Sworn to before me this ( S-{- day o f Notary Public, IA -fro l k County ANN 0 ROMEO Notary Public, State of New York No.4764227 Qualified in Suffolk C unty Commission Expires M-1802 ~ BUILDING DEPT. NSPECTION` A /FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REM KS: 47 ®x DATE a3 ' INSPECTOR oy 17- i 765-1802 BUILDING DEPT. INSPECTION TION 1ST [ ] ROUGH PLBG. A ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL REMARKS: Q$~~is DATE INSPECTO ` (J THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8056723 BUREAU OF ELECTRICITY I 40 FULTON STREET, NEW YORK, NY 70038 Date JANUARY 03,2000 Application No. on file 10366095/95 H 066730 THIS CERTIFIES THAT rERMIT NO. 222142, only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of SAL CAMPO, 1630 LANDING PATH, SOUTHOLD, NY in the following location; ® Basement ® lst Fl. ® 2nd Fl. GAR/OUT Section Block Lot was examined on DECEMBER 27 , 2000 and found to be in compliance with the National Electrical Code.. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCFNi FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT K.W. AMT. H.P. -1- F 17 26 23 17 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A. W. G. AMT. AMP. AMT. Af PS; TRANS. AMT. H.P. NO. OF FEET AMT. WATTS SERVICE DISCONNECT NO. OF S E R V I C E METER NO. OF CC COND. A W. G. A W. G. A W G. AMi. AMP. TYPE EQUIP. 1 0 2W 1 0 9W 9 D 3W 9 0 4W pER 0 OF CO. OOND. NO. OF HIAEG OF HI-LEG NO OF NEUTRALS OF NEUTRAL OTHER APPARATUS: PADDLE FAN F-2 G.F.C.I:-2 SMOKE DETECTOR:-4 SAL CA14PO N Z 1630 LANDING PATH Q, L SOUTHOLD, NY, 11971 GENERAL MANAGER % 11 EPer This certificate must not be altered In any manner; return to the office of the Board it incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE ,MUST NOT, BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST V. ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [vf"FRAMING [ ] FINAL REMARKS: DATE `r a~ INSPECTOR A2~I M-1802 BUILDING DEPT. INSPECTION rOUNDATION 1ST [ I ROUGH PLBG.DATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: ~l s y l 46 . DATE INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING [ INAL [ ] FIREPLACE CHIM JOY REMARKS: L DATE INSPECTO `1V * 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU PLBG. [ ] FOUNDATION 2ND SULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMARKS: DATE J INSPECTO THE NEW YORK BOARD OF FIRE UNDERWRITERS -,PAGE 1 8056723 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date JANUARY 03,2000, Application No. on file 10366095/95 H 066730 THIS CERTIFIES THAT PERMIT NO. 222142, only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of SAL CAMPO, 1630 LANDING PATH, SOUTHOLD, NY in the following location; X? Basement © lst Fl. © 2nd Fl. GAR/OUT Section Block Got DECEMBER 27 2000 was examined on ~ and found to be in compliance with the National Eleofricat Code.. - FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 1 OUTLETS INCANDESCENT FLUORESCENT OTHER III AMT K,W. AMT. K.W. AMT K.W. AMT. K.W. AMT. H.P. 17 26 23 17 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME BLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A. W. G. AMT. AMP. AMT. A61P§. TRANS. AMT. H.P. NO. OF FEET AMT- WATTS f F R...SERVICEDISCONNECT NO. OF, , _.S.-.. E-R„.., -V, C"'. E,~..__..- -,...,._«...,re..,+...m > METER TER NO. OF CC COND A. W. G A W. G. A W. G. AMT. AMP. TYPE EQUIP. 1 0 2W I 0 3W 30 3%13 0 dW PER 0 OF CC. COND NO OF HI-lFG OF HILFG NO OF NEUTRALS - OF NEUTRAL OTHER APPARATUS: PADDLE FAN F-2 G.F.C.I:-2 SMOKE DETECTOR:-4 FEE PAID AMOUNT f - PLEASE REMIT BY.CHECK OR MONEY f ORDER TO THE ORDER OF THE NEW YORK BOARD OF FIRE UNDERWRITERS AS CASH F SENDERNT BY MAIL WILL BE AT RISK SAL CAMPO O 1630 LANDING PATH [ SOUTHOLD, NY, 11971 11 C Per THIS IS YOUR BILL FOR SERVICE RENDERED AND IS NOTA CERTIFICATE OF COMPLIANCE. THIS BILL PAYABLE At THE NEW YORK OFFICE, 40 FULTON STREET, NEW YORK, N.Y. 10038 . _ ~D I:: S:iC71u: IIU :c CUMMENT° H ? _F4 H FOUNDATION (1st) FOUNDATION (2nd) 2,. z 0 ROUGH FRAME & D 6 .ei~ PLUMBING y 3. / INSULATION PER N. Y. STATE ENERGY CODE x he r* - 4. H FINAL r ADDITION OMME TS: E2=1r\ • x A x p m v H s O 11 11 11311 111ill ^ft-;L-"a.;p71 tC;.. -'.ai.r,.tia.ti.;l'ih.'`~l_.-=._i•!.; THE -„NEW YORK-, BOARD7..00 -FIRE UNDERVYRiTERS.; 1195099 'BUREAWOF ELECTRtC1TY 40 FULTON STREETIN YORKr NY 10038.. 19097199%99 N 13V1321~ Date OCTOBER 07,-1999 AppUcattoT{ Na. on jde r U THIS-CERTIFIES THAT the electrical equipment as described below and introduced by the oojil t „a,eed'on the above appGeaNon number i9 Trt tke pnmTaes oj- CAM PAT,-MTH.#39140432 ]SQUTHOLD, NY ING 'SAL _O,_: 16 30 LAND H yO SeeNnn Blbck, iI eot . ` ? 1st'FL~l end FT. in the fallowing loeadon, SEPTEMBER.--29 ,1999 and found to be in compliance ;L WC71".tmml Electrical Cade was examined an FIXTURES ~i RANGES - c,vwngQ DEC--- OVENS !r DISHWASHERS. EXHAUSS FANS FFI OUTLETS RECEPTACLES SWITCHES INCANDfSOE fUIORESCENT OIXER'- AMT. ^'K.W. AMt "K.W.'^'AML' K.'M~., '•AMi:`., K.W:_,^ AMf. - XA: I. - _ 6FR- UNIT HEATERS MUITI OUiIEt ° :DIMMERS . FUTURE APPLIANCE FEEDERS SPECUL RECPTa TIMF CLOCI(S SYSTEMS" t A wASis DRYERS FURNACE MOTORS AMi ,AMP-, TRANS `AMT:, n r NO OPFEET 9 - <.R.W.G.'~AMT AMP• AMT-:: 11--T-I A W Qi 'J10 OF NEUIRASS OFNEUNAI 't SERVICE DISCONNECT NO OP NO.OFNI MG - OF NI IEO-r _ METER No oECMOi oho Aw G AMi AMP. "EQUIP. 102W 14 SIN 313W 30}W - ~^7YPE , 200 .CB 1•r I1 z} § T.' t , OTHER APPARATUI e} } !}•3} tai 1!'' 3P; ~ ~ , L r i ~ _ r i {r it 1}. £ !t 1 3,; F1 e.^'":. ~ y s JIM SAGE VELEC INC LTC3635,r. ° W}i PO JiSX 38 t } GENERAL MANAGER GREENPORT NY, 11944 4035. T}3, ` IPe 1 t - e u , aT x „ 5 1, , 1i-^ i ' i~~r ~aY be tllLTtitlk ldX,1riQN"at~~nitalp_ z~~ fiIE certlllcate melt not be altered In anY manner,:retum t0-the olllc6jof the Boa4d It I ~n~s~a. - ~ j ©~~supFOLIr y~ Fax (516) 765-1823 Town Hall, 53095 Main Road yr Telephone (516) 765-1802 P. o. Box 1179 Southold, New Yot1c 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE Z0 Building Permit No. owner: ~vh ~nYe V QY'~ (please print) Plumber: 6 11Fl/64r (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumbers Signature) Sworn to before me this 1S-I- day of o Notary Public, County ANN O. ROMEO Notary Public, State of New York No.4764227 Qualified in Suffolk C unty Commission Expires--- nl I j C x O Fn O Di A z O 8 v o o F) a on D OM y t\p O D r • ~ 8 ji M+ ~r Cy f; C'. y- cn 74 r; r7 L' F 72~MV~ W /1'017717 .'Y,'• v 00.E G w -3 " re 0 f~. o 0 o~ yo T m \ z0 T~V. z-Fr° pan.a'O ` • ~.da7 W r ~~1 11 /+ilsd ao yiro X y e 4aZ 0 c b ~ N u~ 4 In 'h~ .~C b rrl~, V < Vl n z ~ a Z /\tA~I ~ o ~i rE y Y I r- ~ nD A T 0 ~io~ sv. o z ~ to A 'e.7i,gny wgr.{r~ .2~'/~'o.W D --1 { >1 2 7_u ?w0 !1 7< q cn 03 6`° 1 r ~~WEsT PR 00 aas S ~Q ~Veln R~ NE/ypB s~D?s t. vl. °°R y\ 1. . X t• a -r. rS a TT~~Y~ •.S .M1p ~ kE.. DI' ~ lu ~ V` c/` f IV 11% - Ir K J. 0 c ` Ill I r 401, ter.. IS r 9. fj A) 0 C, 110*' ~xl Or k r Dry M . ~LJS NOTE* II: MONUMENT i ; )J G V SUBDIVISION MAP FILED IN THE OFFICE .°E•. o~ S +YO /yO OF THE CLERK OF SUFFOLK COUNTY ON he.. 1~" 7U DEC, 27, 1966 AS FILE NO. 4770. v, - REVISIONS YOUNG & YOUNG JAN.2,1973, 400 OSTRANDER 'AVENUE, RIVERHEAD, NEW YORK , ALDEN W. YOUNG HOWARD W, YOUNG 1 PROFESSION qL ENGINEER AND LAND SURVEYOR LAND SURVEYOR, N.Y; S. LIC. NO. 72044 N.Y.S. LIC. NO. 40843 IR•A;TN:tIF,D AITIRATION OR ADD910N TO THIS SURVET IS A VIOUIION Of SURVEY FOR: SIDTIDN 720f OF. THE NEW TORN STATE WILLIAM HOE C N N E R i~ u rv/ IDMAT7oN UkW.. ; Of Yp 'COPIES Of TNIS tUIVTY MAP NOT /FAIT U 11 ~F }'lJ~.'r A, iM IAID SURYITOA'S INkiO SIAI OA LOT 3 OF SMITHFIELD p~1R'K~',,,, IMIOSVO SfAt SNAU NOT U CONSIOVttl) 10 U A YAUD t0fiCOPY. OUA CATFIS WMIUTED HEREON SNAU RIP AT GUARA NT 0110 I'D INC MkSON IOA WHOM THE SUA IY, SOUTHOLD ` EED TOY'~p o 1 IS NI. AUD. A.0 ON HIS MHAU 10 TNT , y °m~ • t `R TOWN OF ` Iz n' .r a' tM[ COMPANY, GOVIRNMINIAt AGINCY NET UNDD+G INSTITUTION USi[D NeUON:AND SOUTHOLD TO THE ASSIGN[U OI THE UHOING INSrI• WrION. GUARANTEES ARE Not TIANSFIRA BY SUFFOLK CO., N. Y, A ` •I )r+ • TO ADntomm NmuT10Nf OR sUUIq M. ovnRAS. SCALE:., I $I _ 4OI DATE: SEPT. 12,'1972 2 vrr ROArD OF HEALTH FORM NO. 1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT C11ECK . . TOWN HALL SEPTIC FORK SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ND TIFY; 76 s - L~7 2 - CALL Examined .ry:~/~ ~........19 r1AIL TO:.. Approved . ~ 19/ Permit No. Disapproved a/c 3. I. /q.3 . oe- . (Building Spector) APPLICATION FOR BUILDING PERMIT Date /I........, 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ets 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 pr 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 inspec o s. ....:."jI?- (Signature of applicant, or name, if a corporation) '(4,30 ZAA)vmC, fA7~1 (Mailing address of applicant) //971 State whether applicant i owne lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~ ~!/fJ70RE C pd . . . (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. Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will j~e done. -630 1 GLSFRUiEt? IJ~F /r36 ~oRmtRcH' P,57 30 A7.W. o.i dL House Number Street Hamlet County Tax Map No. 1000 Section d ? 0.-. Block 0.9,6. 0...:... Lot ....Q < .a d. . Subdivision • ...S...... ict-0 A9421t......... Filed Map.No. (Namc) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 9 `i% . lL7 .....O C 5 U,.-.A u ; . S-A b. Intended use and occupancy .J . 3. Nature of . work (....check , , . which aPPlicable): New Building Additio teratio Repair , • • • • • • • • Demolition Other Work / 4. Estimated Cost J. 2o6 . Fee , (Description) . 5. If dwelling, number of dwelliti (to be paid on filing this application) units Number of dwelling units on each floor . S , , , , , , , • , . 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 y structures, if any: Front SS : , . • , . , . Rear ..ss.......... Depth'.' epth , .5(3 , • , , Height tuber of Stories ...t . Dimensions of same structure With alterations or additions: Front , , Rear s3-? G fire STonJ ear Depth S 8, Dimensions of a new construction: Front , , , , , , , ; • , Number of Stories A . S;T ° ; , , , , , ruction: Front . 40 , , , Rear . 4VAU .`t'?; . , . Depth ~0SI........... Height Number of Stories .Nu . , 9. Size of lot: Front c~ $I, • • Rear . , r1 t t Depth .l on • 10. Date of Purchase . , . . Ada us7 ~9 g9 • , , , , , Name of Former Owner . . . 141.v.E<S/l~~~ • • . 11. Zone or use district in which premises are situated • . . ' ' ' ' ' ' ' 12. Does proposed construction violate any zoning law, ordinance or regulation: . , Yfs... SF r. f y4CX • • • ' • • ' ' ' ' 13. Will lot be regraded ~d"... q.1kSf.. •To , B4A, Fri , , Will excess 611 be removed from premises: Yes No 14. Na ne of Architect premises : ; ~~upro??i C>4 M p a Address A 19. z,>9 ~+!?uG PgrN Phone No.Sts -N s , 47 ~ Name of Contractor . , f hl i1 ' ' ' . ' ' • • • • Address . Phone No . . Address 15.' Is this property within '00 feet of a tidal wetland? , VA4 '''•Phone No . *If yes, Southold Town Trustees Permit may be required. 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 ' li STATE OF NEW COUNTY OF. t4:..... S.S' S>a L1aR ,p G mPd , being duly sworn, deposes and says that he is the applicant (Name of individual signing ;contract) above named. He is the ...1AI-VATOR E G~ CA 71h,100 (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the vork will be performed in the manner sefiforth in the application filed therewith. worn to before me this . ..da V`~ 19 RA rotary Public, C0 p TT JR ROBERT Stafe of NXw . NOTARY 4 4Cj flo0 Coo ti N0.472 S4 (Signature of applicant) Tartu Ex 1M MsY 31,19 f °r,z in- ox z J aa0 LL Y W W LL n ~ w Q ca. LL O r'z j N> °z p 4 Y N//•9 /9.3 ~ .-1 O ~a G~\ ~wuo, N o Q 60 /FJJ'x Q ~ J O LL II QQ ~ 1 4 ,~J W N N 1 LL ° 0 0 - - - L.- Allc- L/LG/•Oit/ N W s ~ x Yy e ® m v- O ® y o .N °OJOemoO a~~0 =92 V t f W _ Fv o o~ >~z 3 Q W I wo c~ Ygg W ~ 3 M1,' - , y I Lu LL 0 cc U F CL 4 LL~ vVV~' V~7 'F r - z i~ v3 "AA fF+t~.AiIDYl3~5~'n.NK._eo-1S`tk~2,.. a3S~-Ysy.~lY i fn ~1~ ~ce*a~are .'',Tyre Contractor shall furnish all labor and material as required .quired 1, Assumed soil bearing. capacity, 2 tons per square foot, subject to idicated inspection and verification. EXISTING FOUNDATION TQ.i8EWN II to coWIgtq,the deatolition and removal of all ,items as indicated on the Demolition Plans 2. All footings to be carried down to undisturbed soil. No, footing MEW FOUNDATION/FOOTING.; N$,F. wli%ft~ 'iNs1N4 The Contractor shall execute the work within the regulations of ions of shall be set higher or lower than a 30 degree angle fresl any the Building Owner for demolition and removal of debris, other footing. Step footings.a maximum of 30 degrees. - j d' ..c including temporary protection as required. Every precaution A on :i shall be taken as to not disturb existing electrical, mechanical, ad plumbing that, service other building areas. :hanical, 3. Anchor bolts to be 112" diam. x 10" long with max. spacing of T{le Contractor shall remove all wall conduits left after wall wall 8'-0" o.c. 4. All concrete to be 1:20 mix, 2500 lb. concrete unless otherwise `k3.= IG~ ` ' 'v F+r'r^-' 440oli.tion, including switch boxe's', plates, telephone wiring. .ing. noted. .,i pp /-rte ~><rn,.~.-1. ~ vw~w SS .I ; Care should be taken not to disturb electrical outlets that are iat are ! remaining, and if disrupted should be re-circuited. 5. If concrete block foundations are used, concrete blocks shall be ASTH-145 with full mortar beds. Fill cores solid at corners, Fill. _!A: EYGYE,FAIS ING,: 04i90~TI.QN :WOO W~ upper 2 block courses solid at aanchor bolts and set 1/2" diam, x 10" long bolts at 6'-0" o.c. max• spacing. REMOWE EXISTING $LAI 6. Provide 0.025" aluminum termite shields over fibrous insulation at all perimeter sills. 7. All wood in contact with concrete' or masonry to be Wolmanized or pressure creosoted. .o, I I ~qK' I I.I I ~ 6J w eel vD'W, owl. ~ I" i _ I I A II ~ l I I i y~ T.+2 - I ""mmHg Vpm N" 4 . w,,,l~ ~ ~ 4 I I i I ~ } i y ~ I o00 ~a a ~ ~ ~ i l PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER -let SUPPLY SYSTEM CANNOT EXCEED2/1O OF1%LEAD. • I 'F.~, i 41110-61 N coppw tubV4Is used j 4- 11 1,,4 {et vasm dlsulbutln0 m* piplng III W ~D• ~ ~ fir. -.-~d~F~~~~3,ru~.,. G~~'~-' I o 4 ~ ~ i \ vi 1VX " le I lp. _l 44 ~ ~ Asa Mpe._ fir rve OCCUPANCY OR USE IS UNLAWFUL Mf- WITHOUT CERTIFICATE OF OCCUPANCY A4RED AS NOTED i ~ " EKG I i ~ OI„FG o~+~I.E+.~-I llrvi~l " ~tw ) ~ - ~ ~;2GI;rJ/ ~ '~'~M+>lCl*-IC.9 U? ~ ~'I< . ~y DO NOT PROCEED W ry rr4 COAVYV 1 ~ ~ DATE' B.P, q °2 I _ "f `T F 1 UNTILJW SURVEY OF BY. )F FEE: NOTIFY DEPARTM TAT FOUNDATION LOCATION IO ON 765-180'2 9 AM TO 4 PM FOR THE ' I J / I HAS BEEN APPROVED ED FOLLOWING INSPECTIONS: 4 ~ I ~'i 1J .TI". I I I 1. FOUNDATION - TWO REQUIRED 4y FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION h 4. FINAL - CONSTRUCTION MUST c,~ BE COMPLETE FOR C.O. a TOM ALL CONSTRUCTION SHALL MEET 1 v THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY I~ I I . I r~ ~ CODES. NOT RESPONSIBLE FOR "I DESIGN OR CONSTRUCTION ERRORS C~ ZAN zAA44 A? *VA* I a ~~%4~'NK I~OTgT 'Y'~~ a a -1= r r LOT ~44* ~r~J~;Cv ;o..02121Ger`ll'Z`a ~ ~ v 'Jv9 t iU I F ! I 1 i AebiV~- . ;ay G' ~'K%'UI.~ I~?~.I.e~?,~ i~Nt%~•F'G,%~a-{ ~ h'~~ ~.i frA"~'~'t'"b"`~.a. Aliwork shall be performed in accordance with all State, Nunicipal-, ITf~4 VTh Local zoning and building codes and ordinances having jurisdiction and ter,, `~~r*I~ '~r• ~~i 2~ t~^° ®Gv? I? ©G~U 1¢ O GN/t4 ~J m° best standards of construction practice. -zosms Nf*/ oe9r,9 I'ln,;%Y3z VVGi ~IV.. It IdiVi ' -It~V! ~'O-J c,~ ~a GU,~~r '~~.I. ®Gv?~~~:>~® Gw I~-'~ ©y~~2~~Th• o r%koi 'VeZae,742- ®o ors o aI al ~ j G~IUFYPi Ju~a~-r-k ~?.mac i, . Before commencement of work, the Contractor shall furnish the Owner with ° Gam.; copies of all required insurance certificates and names of all sub- uyaA" y,/I~~i- ' i contractors. ® ' T E, i I f ®,yG~,/Aa'r;: ©TW~°r rid NSW 12~*~-Y }~n/i~-L~U~NT IDGn~ e~A. N€~?~1 f~ic 3. The Contractor shall be responsible for all dimensions and conditions on ~ ~ .$~~'~ar[.~'g~~'~'~' i"* ~"b ".Os.K• 1f~r-{~-.~.ie _ I VV ~'y I1^%~ q• o ~.l,~.r-lr:s.~ G,~a>iF-I~ its aLl. N f~ ~ IH~GSF-r~r%"^ the job and the Architect must be notified of any variations from the Qak=O?~i~ egr- ell dimensions shown. f",~t/~ v?/ O ~1M. Top" - ~AI~ v • fi x to • f1 ,i y~{,a r•d, ~I ~i- Goth-. 4. The Contractor shall guarantee to the Owner that all materials and C~.~I-4~~"~`r II-i'f~V'L1'~I• LNI Yrtf U ~T equipment incorporated in the work will be new unless otherwise w~, yJliW~ Oa~~/1 specified, and that all work will be of good quality, free from faults Wp ~fylaw 3'Tn/ F-CJ' and defects for a period of one year from completion. G~(tI jet o 7 T Gtr.a Ife- aA \/Ir 47 /{F - I 5. The Contractor shall be responsible for adequateli bracing and o 'd~4 T/ VIVY ~/UtF-4:~ f~koz! ` eA protecting all work during construction against damage, breakage, ~ oS- fwtraz~.~I-J- ® +i~'~•.w~YN Flo".kG8" collapse, distortion and mis-alignment according to applicable codes. G7MIG ~I ~.•+YJ-{If~A't--'Y iOlr' f`Nll'A 6. The Contractor shall pay for all permits, fees', and costs related to the 0 T° .I>.~ ~ ~-I,~~, way ~ ; x.•, ff~y~N work of this contract. Contractors shall initiate all required vG UhPff, ;:PI,-4fft,TF -m,! inspections of all work completed under this contract. ?4 W 7. The ,Contractor shall at all times keep the premises clean and shall be responsible for removal of all rubbish for all trades from the building. Any "extras" for changes or legitimate unforseen conditions shall be documented with the cost for approval by the owner or his Agent prior to r f ~ starting the additional work. / 40 . The Contractor shall submit shop drawings for all special work (millwork, sprinklers, etc.) for Architect's approval before work is started. - L n r _ to, Double- joists gnsler all <pa rtitidnr, paiaallel to framing and provide - dputrla header joUtS at,atl' openin&. Ref. to construction plan fair ' y I~ k ~ ~ k%r•) ~ ~ Cdr-~fY~ ~ ti Sizes. as to reduce beam depth', use bridle irons or galvanized metal " d I 1.}, Rafter heel cuts at 4" maximum. Where joists are notched to headers so ` Coanegtors. ` ? dS ~Y All framing lumber to be Douglas fir number two or better construction grade. F M / I }d3,, All electrical work to be in accordance with the rules and regulations .,,LI of the N.Y,B.F.U, and a N.Y.B.F.U. certifidate is to be presented to the Owner at the completion of the job. .I ~ The Owner shall, provide all lighting fixtures u.o.n. All other electrical equipment and materials to be supplied by the Contractor. as I ~ j b6F r ! i I ; I ~ .d]~ r . ~xl'd'f..'f' i • ° it _ I ~ ~ ~yt^I t ~j t u u - VIL ~ ~ ~ • : U : 1!"~Ik / v, f 1' Ir~Y"KUewT'~' ~ 1 y i i f ~i E x ~ C~~ r r ~ ~ y c6 4a VIT14 • i Y . - I y' ' ~ ti lv~ . ra " rv" G'f'~tK- lsT~) ~ N~?~` _~A//.,IhG9' 'G~ x !c"WGev i wGnb la.i~ our:~.6s+.~L+ Ale" 41 t I i pi ~ •p fi ~ 1 12'~G'' tl1~~t ~~~-tiIG I f'•( '~~r,,-r-^' ~'''~-r N _ ~-._-~^y.••-'^° _ ~_?.~~~-Fi'..~e~w~e?- ~,raW ~'r'~ Gr~.F-i I •e I Al f" it S Y a Mq I~~y c~ _ v f'. '~j~ Nu. 0312~6.$ll~' w tlni i n I # i w. J x p aR+VS i rvl I , a . r.-- - / 1 - _ - . _ AV/ two - y ~ IR W Vill ~ u 4 , I. 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