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Home My WebLink About21925-z r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23131 Date AUGUST 1, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 160 ALVAH'S LANE COTCHOGUE, NY House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 2 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 22, 1994 pursuant to which Building Permit No. 21925-2 dated MARCH 3, 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 FOR A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LUIS & SHARYN SERRANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 93-SO-94 JULY 19, 1994 UNDERWRITERS CERTIFICATE NO. N320755 JULY 18, 1994 PLUMBERS CERTIFICATION DATED BERTSAND PLUMB & HEATING INC. JULY 20, 1994 Bu' ding Inspector 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) N Date 19..1... 21925 Z Permission Is hereby anted to: ...(............IBS....L ....:...~/~...~Ptn'j`s 6/~I1EEFSf_ ~O. /for 7~ /./g. ?l to r.: ~?rri.~ ..................~........................6: - / ...Q%......................~ y........~!......!./.c.%........... 5........%~li~................. . . /~.4 . s,4 at premises located at /J/~J.'.F 4. ..Ixl. 5........ County Tax Map No. 1000 Section Block Lot No. pursuant to application dated 19....T...., and approved by the Building Inspector. Fee $.J&.... JO. wilding Inspector Rev. 6/30/80 1f10S ~0 NNV2.. 1d3a E f. E FORM NO. 6 TOWN OF SOUTHOLDf Z l Building Department Town Hall 551I ~ V ) U Southold, N.Y. 11971 7J G1 J 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted mw ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept, of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $ 10 -00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date New Construction...X..OldorPre-existing Building Vacant Land Location of Property , ..160 Alvahs Lane Cutchogue House No. Street Hamlet Owner or Owners of Property Luis.aud.5harym.Serrano.... (fo=erly.Verderasel.......... County Tax Map No. 1000 Section ......109...... Block .....02........ Lot ....05 Subdivision desc. property .................Filed Map No. ..........Lot No. Permit No. 21925..... Date of Permit .3,!3!94...Applicant RiveCside.liorm6h .Inc........... . Health Dept. Approval 93-50.94 .............Labor Dept. Approval Underwriters Approval see. inspection. Slip. Planning Board Approval Request for Temporary Certificate .....................Final Certificate .....X Fee Submitted $ 25.00 Construction on above described building an r it is all a codes and regulations. V I Applic . i. { . > e h A., annazaro for owner Rev. 10.10.78 / /~QC~` qua l0 i 1 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 t' BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Dare I 1 Application No. onfile 4 7c<054/94 N -'.-!0755 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 Ci-Rii}d••,R7VRF...;T[•i !;-;lF;: E;I: F.LAIAJI:' LANE, -i!Tr•H;,GUF., N.F. in the following lacation: 0 Basement 91 IRt Fl. ? 2nd Fl. '.TT W / OUT .Se rion Block Lot 1187 .LI,'( I.'i i4a1 uws examined on and found to be in compliance with the National Electrical Code. NXTURE FCEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANMKENT FLUORESCENT OTHER µ.T K W. AMT. K. W pMT K.W. 1MT I(. W. AMT. N. P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RKFT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS T. K. W On H P. GAS N. P. AMT. NO. A. w, G. AM AML AMP T AMPS. TRANS. AMT N. P NO.ST SYSTEMS FEET AM AMT. WATTS 1 I' 3 SERVICE DISCONNECT NO. OF S E R V I C E AMi. AMP. TYPE METER t / Iw t R 3 3 8 3w 3 F xw NO. OF CC. COND. A. w G. EQUIP. jjjj Res OF CC. COND. Of Hi-AEG Oi-M~IG NC) OF NEVTRA6 CHA' E PRAL 1 150 CD 1 h 1 1 I 1 OTHER APPARATUS: MOTORS:1-F H.F. G. F. C. I:-7 SMOKE DETECTOR: -1 PETER CHARBONNEW LIC.#2697-E 35 SHEPPARD LANE SMITHTOWN, NY, 11788 GiIEERU MANAGER 11 Per This cartificate most 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. O rJI ~cPcPcPr~rJtPrJrJ~ cPcP~Pr~rJrJrJrJrJcPrJ~r1rJglplgl gJ~cPcPrJr~r1r~r~rL3rJcPrJrJr~rlrrJ~cPcPrJ~r~rJrJ@PrJrJrJr~rJ~cPcPrJcPrJrJ o 5 BY THIS CERTIFICATE OF COMPLIANCE THE S NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU 5 40 FULTTON STREET F ELECTRICITY NEWYORK, NY 10038 5 CERTIFIES THAT 5 Upon the application of upon premises owned by S 5 5 5 LUIS SERRANO LUIS SERRANO 5 5 160 ALVAHS LANE 160 ALVAHS LANE S ~j CUTCHOGUE, NY 11935 CUTCHOGUE, NY 11935 S 5 Located at 160 ALVAHS LANE CUTCHOGUE, NY 11935 5 S 5 c~ Application Number: 2087107 Certificate Number: 2087107 eS Section: Block: Lot: Building Permit: BDC: nsl l c, Described as a Residential 600-1199 square ft. occupancy, wherein the premises electrical system consisting of j 5 electrical devices and wiring, described below, located in/on the premises at: CCCS Second Floor, 2nd floor addition, Porch/Deck, e~ ~c A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed Rj 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard S promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the 6th Day of February, 2006. 5 5 Name TY Rate Rating Circuit Tyne C 5 No visual defects: an elctrical survey has been made of the exposed electrical equpment in the premises indicated. No obvious unsatisfactory 5 S condition was found. 5 5 5 5 5 5 5 ~ 5 5 S cS 5 seal 2 of 2 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 ° C.I~ r~ C.nCPCn • V ~,N ~jtl0 ~Z/OVA THE NEW VORKBOARD OF FIREUNDERWRTTERS WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION NOTED BE APPUCATIONNO. ~ y 4 ~ 18 ~ q LOCATION I ~I I Q 4 ri S C~ INSPECTOR'bw DATE .V-1 [RD (REV 9190) iI ~p~ff~CO~ TOWN OF SOUTWLD TEL 765-1802 ~c OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL "O 0r SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date July 20, 1994 Building/ Permit No. Z / (ZS Owner U E Q~G2 (please print) Plumber Sertsand Plumbing & Heating, Inc. ` (please print) I certify that the solder used in the water supply ay&ton contains less than 2/10 of It lead. plumoer's signature) Sworn to before me this , 20th day of July- 17 19 94 Notary Public Notary Public, Suffolk County EILEEN M. ROACHE Nomy Pebac, sate 01 Hew'fork No. 4826942 awltNed in Suffolk coumy Cpmmission Expires January 91, 19.1l~ ~~S~FFOIKCo~ JUDITH T. TERRY L Town Hall, 53095 Main Road TOWN CLERK p r=j~ P.O. Box 1179 N Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (516) 765-1523 MARRIAGE OFFICER Telephone (516) 765-1901 RECORDS MANAGEMENT OFFICER 1 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1095 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : RIVERSIDE HOMES, INC. Address 1: P. O. BOX 274 City St Zip RIVERHEAD NY 11901 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. SCHD REF. #93-SO-94 Name Of Owner VERDERESE, DOROTHY K. Mailing Address 1 C/O RIVERSIDE HOMES, INC. P. O. BOX 274 City St Zip RIVERHEAD NY 11901 Property Address 1 ALVAHS LANE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 109.00 block 2 lot 5.000 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 3/10/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) Riverside Homes, Inc. &tm 2uiha , L P. O. BOX 274 "40 1159 West Main Street Riverhead, N. Y. 11901 Phone: 516 - 727-3395 July 20, 1994 Building Department Main Street Southold, New York 11971 Re: Bldg. Permit No. 21925 Gentlemen: Enclosed for Certificate of occupancy, please find"application, check for $25 and required papers. Sincerely, f~ y^ n ~ ~ ~n I!, f~~4 T.~ 5 tn94 ro ~jL 2 i Cinnaza Enclosures PS:/ Plumber's affidavit will be sent under separate cover AJo>s ~ ~iva.c ,ttic S~tszou- r~ pie y/~z19r/ S-.1~1TIG~r MEMBER ammo ~e n~ 5 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL REMARKS: 1 et , = / ~ V~?~1: ~4 (.ra / 11 DATE 7/Z INSPECTOR ~'~1 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ j UGH PLBG. [ j FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ) FINAL REMARKS DATE % INSPECTO 2, So 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] RO H PLBG. [ ) FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL REMARKS: r DATE INSP ,65.1802 BUILDING DEPT. INSPECTION [ I FOUNDATION 1ST [ 14 ROUGH PLBG. [ ] FOUNDATION 2ND [ I INSULATION [ /FRAMING [ I FINAL REMARKS: t DATE I INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ] FINAL REMARKS: f7/ - DATE _ INSPECTOR M-1"2 BUILDING DEPT. INSPECTION [ /FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~p J [ ] FINAL REMARKS: L% A 11 DATE S L INSPECTOR IIDATa II OCSMGNTS y rn a' H j FOUNDATION (tst) f En FOWIDATION (2nd) _ m 2. r / z p ~ ROUGH FRAME & C .PLUMBI2IG . C a m m INSULATION PER N. Y. STATE ENERGY CODE s ~y 4. 7LL FINAL 19 /lcc,FSJ ADDI /NAL COMMENTS: x~ INC m~ Fi W 9 \ 9 H H O M a •-3 0 ' - S O rr) ^0 Riverside Homes, Inc. ~~Qeu P. f. BOX 274 1159 West Main Street Riverhead, N. Y. 11901 Phone: 516 - 727-3395 J MAY,, 11994 I May 27, 1994 i OEPT, OCD Building Department Town of Southold Main Street Southold, New York 11971 Re: Permit No. 21925 Gentlemen: Enclosed for your files is the under construction survey required. •~incerely, 1 E izabeth A. CAnnazaro Enclosure v, -v(4TIwy o NfMRp o l IONL RL1ND ~ 1~6 ~ PEERLESS ABSTRACT CORP. 131 Route 25A • PO Drawer 1536 Rocky Point, New York 11778 (516)744-7170• Fax 744-7179 ALLAN D.GRE000 President and General Counsel SPECIAL SEARCH NO. SS 1878-S VARIANCE SEARCH STATE OF NEW YORK) COUNTY OF SUFFOLK) ALLAN D. GRECCO, ESQ., being duly sworn, deposes and says: That he is the President of PEERLESS ABSTRACT CORP., and has had a search made under his direction of the records and/or files of the County Clerk and Registrar of the County of Suffolk for the purposes of an application for a variance affecting the following premises: TAX MAP DESIGNATION: District: 1000 Section: 109.00 Block: 02.00 Lot: 005.000 That such search includes a chain of title to the premises and all of the adjoining lots since prior to 5-22-91 and such search shows, and he does certify that according to the names listed herein as shown by the search of the public records, no contiguous property was owned by an owner of the property involved since that date. That this affidavit is made to assist the Board of Appeals of the Town of SOUTHOLD , to reach any determination which requires as a basis therefor the information set forth herein and knowing full well that said Board will rely upon the truth hereof. This Company's liability is limited to One Thousand ($1,000.00) Dollars for negligence only. No policy of title insurance is to be issued hereunder. PEERLESS ABSTRACT CORP. Sworn to before me this BY: 4 c5- 16th day of ~INovember, 1993. - ALLAN D. GRECCO JANET MONTANA NOTARY PUBLIC. State of New YorR No 464tl-13. Suffolk Count q ter:o Fr rvs ea;~ ~ 30, t5 ~)C - L L _ (1) VARIANCE SEARCH TITLE NO. SS 1878-S SUBJECT PREMISES: 1000-109.00-02.00-005.000 Jennie A. Horton Dated: 4-4-63 to Rec'd: 4-9-63 Dorothy K. Verderese Liber 5330 cp 580 LAST OWNER OF RECORD PREMISES ADJOINING WESTERLY: ALVAH'S LANE PREMISES ADJOINING EASTERLY: 1000-109.00-02.00-007.000 Jennie A. Horton Dated: 8-27-52 to Rec'd: 9-10-52 Theodore Marasin & Lillian Marasin, Liber 3404 cp 436 his wife Lillian Marasin Dated: 2-18-60 to Rec'd: 2-23-60 Louis T. Verderese Liber 4772 cp 147 Louis T. Verderese Dated: 2-19-63 to Rec'd: 2-27-63 Dorothy K. Verderese Liber 5313 cp 132 Dorothy K. Verderese Dated: 5-22-91 to Rec'd: 5-28-91 The Way Back, Inc. Liber 11268 cp 582 LAST OWNER OF RECORD Sworn to before me this PEERLESS ABSTRACT CORP. 16th day of November, 1993 7AP Id NTA BY: J C ~ NOTARY PUBLIC. State or new vorR ALLAN D. GRECCO, ESQ. No. 524644213. Suffolk count~1y PRESIDENT ram EKpwe3 Match ]o, 19 q (2) VARIANCE SEARCH TITLE NO. SS 1878-S PREMISES ADJOINING SOUTHERLY: 1000-109.00-02.00-006.000 NOTE: Jennie A. Horton died on 7-30-67. Beya M. Hallock as adm, of Est. of Dated: 10-16-67 Hennie A. Horton Recd: 11-27-67 to Liber 6263 cp 36 Henry E. Horton Henry E. Horton Dated: 8-18-69 to Recd: 8-25-69 Edward Garry Slater & Liber 6610 cp 411 Joyce Slater, his wife Edward Garry Slater & Joyce Dated: 12-12-80 Slater, his wife Rec'd: 12-26-80 to Liber 8936 cp 22 J. Borden Anderson & Margaret G. Anderson J. Borden Anderson & Margaret G. Dated: 8-1-81 Anderson, his wife Rec'd: 8-4-81 to Liber 9046 cp 556 James F. Grathwohl LAST OWNER OF RECORD PREMISES ADJOINING NORTHERLY: 1000-109.00-02.00-004.000 Jennie A. Horton Dated: 7-31-56 to Rec'd: 12-10-56 Mildred B. Horton Liber 4226 cp 412 CONTINUED... Sworn to before me this PEERLESS ABSTRACT CORP. th day of November, 1993 mr~>~~ 6 d JANET ONTANO BY: a - 4& NOTARY fU ILIC. Smle of Now York LAN D. GRECCO, ESQ. No. 624646113, S0101x Countx Lam E.Doree March 30, 19 YS PRESIDENT (3) VARIANCE SEARCH TITLE NO. SS 1878-5 PREMISES ADJOINING NORTHERLY: CONTINUED... NOTE: Mildred B. Horton died on 10-7-77. L/W/T devises the property to Doris McAfee. Doris McAfee Dated: 8-9-78 to Rec'd: 8-17-78 Caroline M. Fraser Liber 8481 cp 261 LAST OWNER OF RECORD Dated: November 16, 1993 Sworn to before me this PEERLESS ABSTRACT CORP. 16th day of November, 1993 vC~ ~C BY: INL,L' /l/l/l/ ]ANtT MONTANO NOTARY PUBLIC, State of New York ALLAN D. GRECCO, ESQ. No. 524648213. W10[k Count PRESIDENT C S Ium E.DHes iWo 30. 19 (4) Riverside Homes, Inc. P~uto~c P. O. BOX 274 1159 West Main Street Riverhead, N. Y. 11901 Phone: 516 - 727.3395 n~ February 18, 1994 L"U"Tc Chief Building Inspector Building Department Main Road Southold, New York 11971 Dear Sir: We enclosed herewith application for building permit. This particular matter must go to Government closing as quickly as possible. Circumstances beyond our control and that of the customer have put this matter in critical condition. In order to get the closing set, we must produce a building permit. Would you be good enough to kindly render a building permit quickly so that our customer might close with the Government as soon as possible. Your prompt attention to this matter would be greatly appreciated. Thanking you in advance, I am Sincer ly yours, ti- S. r on, Pre ident SG:eac Enclosures _2 _,NyTyyr o Hwaa o ~t. Yu.r $Aidd .l4+Mlrva IOHG ISW1p s~irces ~ ~bM TOWN OF SOUTHOLD, NEW YORK llirCh , ACTION OF THE ZONING BOARD OF APPEALS DATE 28 1963 Appeal No. 551 Dated March 14, 1%3 ACTIUN OF THl? ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD Jeanie A. Horton TO main no" Appellant CutdW9n*V 19" YOU* Fit a nitctirg of the Zoning Board of Appeals on March 26, 1963, Thursday the appeal v:ai considered and the action indicatrd below was taken oil yom ho:,u U.t L,r Carl;lru',• cit., t„ la('k Gf azcess t:, )):hpellY It. 1.• tLc t_:. 7tc y.it a. !4: a varlance to the Z=Ul.^ Ordinance 1. SPEWAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be granted ( ) be denied pursuant to Article Section Subsection paragraph of the Zoning Ordinance, and the decision of tho Building Inspector ( ) be reversed ( ) be confirmed because e e • 7x45 P.M. upon application of Jennie A. Horton, Nail Road, Cutdbiogue, New York, for a variance In accordance with the sanipq Ordinance, Article III, section 303 and Article X, section 1000A for pezulssion to set off a lot with 75 ft. frontage and reduced area. Location of propertys east side Alvah's Lane, Cutchogue, New Yeak, bomwled, north by Mildred Horton, east by Louis T. Verderese, wuettU by otter 'k ion' of Jo"le Dorton, and west by Alvah's Lane. • e • ,it) 6:xlct apphcacion of Use Ordinance iw'ould,lw'ould not) pa:dcce practical difficulties or unnec- essary hardship because (o) The hardship created (is) its not) unique and fwouldi (would not) be shared by all properties alike in the Immediate vicinity of this property anal In the same Use district because (c) The. var`alice (does) (does not) observe the spirit of the Ordinance and (woulM (would not) change the character of the district becaiuse and therefore, It was further determined that the requested variai,ce 1 1 be granted i be dcnir'd and that the prtvlous decisions of the Building Inspector ( ) be confirmed I be reversed. ZONING BOARD OF APPEALS FORM ZB4 ? 2 Judith T. Boken, secretary ^e (Continued from front) after Investigation and Inspection the Board finds that the proposed division of this parcel creating a 75 ft. lot would not barn the character of the neighborhood because the lots to the north of this parcel are undermine. "m board wislwa to point oat, bowevor, tkat they would not loon favorably upoo a farther eubdiviaLan of the reeninLrg property of J"mn ie Wrt0a a the oo wAkc of Irma Road and Alvah's Larm. the board flies that Strict Apylicatlar of oiler-c,..;. would ps+adrF practical difficulties or unnecessary hardships the basdebip created Is unique and would not be shared by all properties alike In the immediate vicinity of this property and In the sae use districts and the variance does observe the spirit of the Oadinaaoe and would not change the character of the district. Therefbse it was RBSO[.YiD that Jemle A. Horton be granted pernissioa to set off a lot 75 ft. front by 135.52 In depth an the north and 137.54 ft, in depth an the south. Location of propertyz east s4de Alvahes Lane, Cutchoque, Now Tozk. w w • f FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ....../3".... , Received 119 Approved 31-x...... , 19 /.YPermit No. P/ Ff". Disapproved a/c (Btig Inspector) APPLICATION FOR BUILDING PERMIT Date C 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 petmi 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 o; Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and tL admit authorized inspectors on premises and in building for necessary inspections. RIVERSIDE. BXFBS.. INC. . (Signature of applicant, or name, if a corporation) P.O. Box. 274, . Riypj:hp id, . NNW. Ygrk.1i99i (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 17VU41eti................................................................ Name of owner of preen' es ...DOrothy,K, .verderese,. (as on the tax roll or latest deed) If applicant is a rpor tion, ' ature of duly authorized officer. `u,.....' ( ame a d title of corporate officer) Go don, President Builder's License No . Plumber's License No. 1487P, , , , , , , , , , , Electrician's License No. . ?697E Other Trade's License No . 1. Location of land on which proposed work will be done. . , . ES Alvahs Lane 154.82' NO Main Rd (Rte 25) Cutchogue House Number Street Hamlet County Tax Map No. 1000 Section 149............ Block Lot .......5........ . Subdivision ...described praperty 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 vacant land ,r. b. Intended use and occupancy single family dwelling i 3. Nature of work (check which applicable): New Building X....... Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost..'sn ~a . fir Fee ese . (to be paid on filing this application) 5. If dwelling, number of dwelling units 3......... 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 Rear Depth Height Number of Stories . Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front ...46 Rear 4..6 . , ........Depth ....1 Height 16' Number of Stories .....1 . 9. Size of lot: Front 75.' Rear ......75 Depth 1.:38:52 10. Date of Purchase 4(4(63 . . . . . . . . . . Name of Former Owner . Jennie, A,., Horton, . , , , , , . , . 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . RO 13. Will lot be regraded YeS Will excess fill be removed from premises: . Yes No 14. Name of Owner of premises . Dorothy. K.. Verderesalddress 4/.0 ,I?o Box ,274,. Rk% No c/o. 727-. M9 Name of Architect Richard. WandPIPPIc Address ?t?.Box ,971, Riverheafkone No. 727-3395 Name of Contractor )?fivers}de, Homes, , Inc.... , . Address ?!?.Box . . . 274, Riverhe 72 -339 . . ...tone 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 comer lot. See attached survey ATE OF NEW YORK, S.S UNTY OF., SJFFPJ R........ . . S:. GORDON being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ,e named. the .....,,president.of .buildec (Contractor, agent, corporate officer, etc.) id owner or owners, and is duly authorized to perform or have performed the said work and to make and file this cation; that all statements contained in this application are true to the best of his knowledge and belief; and that the will be performed in the manner set forth in the application filed therewith. n to before msqlis da of. 19C, am= y v fubliic, . 4.. WON iNKNO"Wwo"INIT90t M 524 uu ~dPodt r ty _ 1M A 00 it //~//J-/ a o ~ `r 2 d ~EVOR * 2 j 00 yJPvgP Y 00 ` n p ~ _ } n N V1 cl: no) 2 \ f^ ~hOpO' v, ~C CO 40 &3 t, z=gyp` n O Q 0 ~ C.) (J)ZO 0101p~ as -LLJ m N ~ a . j O U O Zi o lb to E~« 0 ~ ti r ~ `O ~ Q 1 0 3 ~ mmoa 'q Ct r"uii^JJ' a y c = ti0~~~ a+~.a c W co QyQ .C OQ b ZW _ O iz V _ m q -t O rc Q m J O.C N rya: QcyQO o m m ~Q :j :t co J O O C PGA •~0 o°' ' to f heMSi "j 3 0 s. 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QA o t boo u I bay o o z F N ~ c W O m t °OO ~Q C CO I-.O O ~ 1 o'er` ~ c ~h tit C K o m -no 4 F m s °j>x F n cb -u ` - 0 i m q -OC ~(o :uz 0 0-4 y~H r o n-v boo ' A ° m r o n> 0 im 1 J z mi Qo4 r~V d O°n s~ah Apr da fw (may N O ~ ~1 0\.c .3m Z i O a N ® \ N AO ~L s k %c\ W ry, OWN \ o v Rl a N cr) \ Cn ~ O Cb Z3 7 ° C J~ \ OP c a41 rri N a 'I d%a to ° k ' $ w 76 CD lb 2 ct m Cb UZI Z o t m a ~m Q 0~ S y r`' C n ~!Z w 00'0 ~0 tri 6z a vaq d rive N an ° i po D~moo yO)e~ h }rte m n~n~ ~o n2y0 o 20 '~z C~ 000 rw ° o' b P P 8 Q u 11C Ck omNa ~a(ACb i ~pZ M o n o r• C~ romp ~Ov~ c(~1i^y~~ Sm~3 2 ~v~0 ~`JrA m 4° Ac~O II OOQO~+J b c°a.woo~=C on F ~a• Z~m~ CZO ° -0 ip y o C' Vi .'C r-O c3 Q) t N m aoti~~ Moi ` o o z 01 .~ao ~o~e ~dW l1 Z ODD " n 00 o a m co h H ~ IY '9,~ 3 f Y}77 R n S s - h I f~ v t rf~e 41 ? i ~ rt ~ i r tl LF- Vlt-''i'L iba zF+,v ~ L' r ~i d~2V ,t iE " ' YL u ~ y M irw kl - IIYf~. il 1 ,ill 4 I^ sP~uE I i _ i o~ 5fGn fa Y-3 J i L 1{ Ih~l woo L2 f ~_-T-_.,, t~ ~ x 12 l o° cT ~ ~ " X4'/2• - - - - - - - - - Wrtw e 12A .c-a. _ rT s DO NOT PROCEED 1 Dr nY a ICi-_ G~ r ~ xLl er ~ I c~ j, ; ~ i 4~_ 2- G•`;r"I -(c . rl ~ ' 4' i I I - C', `O ~`,'rovF. ,=?,`~f~•• UNTIL 2nd SURVEY OF NUMPANCY OR FOUNDATION LOCATION - HAS BEEN APPROVED Il i . I' 4 ,w t USE IS UNLAWFUL ~i AIR YED AS NOTED FI s, f 7F"-_- a'tMTHOUT CERTEFICATEDATE: 3 3 B.P.# H4_ir~ L Carl UPIDERWRITERS CERTIFICATE REQUIRED s r I 3 BY: I-. T AT i ~ OF OCCUPANCY NOTIFYFY BU M DEPA FOR THE 765-1802 9 AM TO 4 P FOR +l' a1 Gt3 n1C.. FOLLOWING INSPECTIONS: _ II ~I 1 -1 11 F•'~' ~~u I ~ - .5 „cam w( ~ -4 ',c„ H~t.oea.v~ r IN, S IY 1. FOUNDATION - TWO REQUIRED N M k ~/1 1 1 ti -41 J11 0 f FOR POURED CONCRETE t!1 0 Y d qL1? , RtiYUOr1 - FRAMING S PLUMBING p1 t''II. -V kl ( te,e. z'_I"•'"~,~. R s.xv. INFL'LATKON ' P L- t: }r) f d-, {l 1 Skl~ to y k PLUMBERCERfIFICATION a FnanL - CCINSTRUCTIONMUST Z~ w ,r 11J I*' r os t L k~ t9, , ^I IL I.. Gam" ON LEAD CONTENT BEFORE 8E COMPLETE FOR C O Fu CON: TRUCTION SHALL MEET X-1, kk ul fur°u r ,_a d~ 1f,~ }}u: CERTIFICATE OF OCCUPANCY THE RT011119FMENTS OF THE N Y. 9 If ooppsr tubing Is used u' SOLDER USED IN WATER STATE CONSTRUCTION PA ENERGY U . 2 for water distributing f ' Pte' I r u t CODES. NOT RESPONSIBLE FOR 11 SUPPLY SYSTEM CANNOT DESIGN OR CONSTRUCTION ERRORS ty1 system; piping shall be 4Iq t t ,y, k of types K or L on _ EXCEED 2110 of I% LEAD, a I y r~, x { t4 f PLUMBING 1' F ALL PLUMBING WASTE R _II I WATER LINES NEED TESTING BEFORE COVE ING +v r - 1 i,J 1 X Sc`~Ea 'F.G . ~hJ4f..t.S~FJ ICp s-5" L'-L.. (-_T'!_z I I 0 fir `i t I ~ ~r ~4 t i 4 ~ x as - •9 fit' _ 40 e '4 el 74" LJ4 a ~ f t ~ y a y 1 ,V I7' 1 ' I I I 4 `9 ~ ~Fg A ~Yl~fi, hd I b ~r I J k ~ i aarf~gi lL <d ry^P F n