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HomeMy WebLinkAbout20821-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20991 Date SEPTEMBER 4, 1992 THIS CERTIFIES that the building DECK & ALTERATION Location of Property 510 BAYBERRY ROAD, NASSAU POINT CUTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 14 Lot 36.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 1992 pursuant to which Building Permit No. 20821-Z dated JULY 13, 1992 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 DECK AND ADDTITION OF DOOR & WINDOW AND REPAIR OF DRY ROT The certificate is issued to EUGENE & MARY JANE BOLTER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ui din Inspector Rev. 1/81 FORM NO. S 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°-N° 20821 Z Date ....1..1~x 19.9...=.:-- Permission is hereby granted to: 9 o..r`........11-F 1... . . to ...Cb- c...4.."....4, 4..s?~A-*? t .j.....`: nj.......... . .,o.~.... -AIL at premises located at .p ~.°~r. ? lNts. i County Tax Map No. 1000 Section ........I./I.......... Block LY Lot No.....:~ ~Pt..T........ i pursuant to application dated .............~r4......7...................., 19.x, and approved by the Building Inspector. I { Fee . ~n!..a4... :?!-sE?. Building Inspector f I { Rev. 6/30/80 y _ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 1%, lead. 5. Commercial building,' industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features, 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5.' Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction........... Old Or Pre-existing Building. Location of Property... 15./o........,.,,,,,,,,,,,,,,~~(. l r? f0Gc4CJ House No. ll Street Hamlet eAF Onwer or Owners of ProperA.. :4/. ) 7„f 4~~7 ek ° County Tax Map No 1000, Section... Block /l....... Lot.1.-7 `:..T..........., Subdivision ...............Filed Map............ Lot...................... Permit No..-ZQe„ -.2-.Date Of Permit..l.`. Applicant Health Dept. Approval CU/ ...............Underwriters Approval......................... Planning Board Approval... ?Jle / t Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: (g7'0 ^ MARY JANB•BOLTBR•••,• APPLICANT New York State Department of Environmental Conservation 7 Building 40-SONY, Stony Brook, New York 11790-2356 t i9 /5FL Re: -~73~~US<tr~°~~ Thomas C. Jorling !-o Commissioner Dear A review has been made of your proposal to: (~lza ~t as 12_ev~7 t _eKj Based on the information you have submitted the New York State Department of Environmental Conservation has determined that the parcel, project is: Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure greater than 100' in length which'was constructed prior to 9/20/77. > ~ Landward of the 10' above mean sea level elev tion contour on ~Y gradual, natural slope. ~G~cy/~C9¢ -4 _ Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a permit. it is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Deputy Regional Permit Administrator TRUSTEES o~~SpfFO(K~oD SUPERVISOR John M. Bredemeyer, III, President SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President h Henry P. Smith 5 • Town Hall John B. Tuthill 53095 Main Road William G. Albertson EO. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 26, 1992 Twin Builders P.O. Box 749 Mattituck, NY 11952 Re: Eugene Bolter SCTM# 1000-111-14-36.1 & 36.3 Dear Mr. Sir: ,J The following action was taken by the Board of Trustees at their regular meeting of June 25, 1992: RESOLVED that the Southold Town Board of Trustees approve the request for a waiver to construct a 6' X 34' deck attached to existing dwelling. If you have any questions, please give us a call. )rjry truly yours, John M. Bredemeyer, III President, Board of Trustees JMB/jmt cc: Bldg. Dept. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION j ] FRAMING [ ] FINAL REMARKS:' DATE /2-77~;--JNSPECTOR Pi(i Jai9l: N I : II _ X, 1. y I Vt_ ti` m D 00 H 3 'OUIIDATION (1st) `I 'OUNDATION (2nd) cn m I o UI ;OUCH FRAME & I p .PLUMBING x m INSULATION PER N. Y. I y p STATE ENERGY II t! CODE I ` a m FI:IAL ADDITIONAL COMMENTS. m x _s- ' x ro 7] _ ' y W m I• r v 1~ m , v BOARD OF HEALTH FORM NO. 1 ,,-3 SETS OF PLAYS TOWN OFSOUTHOLD _,/SURVEY BUILDING DEPARTMENT __,,,ICIIECK _ . _ . TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOT, Y. 7 %/J{J 4 CALL .J.! F./ .I..... Examined , ,I,y, , 1983-- MAIL TO:. 1/ Approved I 199?-. Permit No..c~ 03 ~ I. ~ 7l 71.,-) ; . Disapproved a/c _ . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19 Z INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 slits 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 of 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 inspections. / ~(J(Signat~uure of applicant, or name, if a corporation Y.t. 0. /?D. K... ~.Y . (Mailing address of applicant) 119,3'2-1 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...............................................,,..t................................................. Name of owner of premises ~~J . (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 be done. Z~.!~!'.`u...... ` . ,x d er r.. ' /r? . Cif . House Number Street Hamlet County Tax Map No. 1000 Section ./i/.^............ Block Lot 0.. 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 4!~SQ d1 e b. Intended use and occupancy 3. Nature of work (check ~hich applicable): New Building Addition ~~~KAlteration/~/ . 1 t ~y~Jy Repair oval . 0•pp4,~,Nf~y Demolition Other Workpky,koc 1`•~oJld~j~ U0 85~a Desf'ri tion) 4. Estimated Cost . 2 d os ..............................p...... ( (to be paid on filing this application) 5. If dwelling, number of ...n~ units Number of dwelling units on each floor . , If garage, numberofcazs 6. If business, commercial or mixe .1 ~d , , , , , , ,occupancy,, ,,,specify,, , , , ,nature, •and extent of each type of use Height . . . . . 7. Dimensions of existing sttructure's, if any: Front ReearDepth . of Stries Depth 5-k, • • • th Halterations or a dido tions: front Rear ..L..... . . . . . . . . . Nu b.. eight . Number of Stories z' . Dimensions of same structure ruction. Front . . . . Rear ...............Depth 8. Dimensions of enure new const Height . 9. Size of lot: Front • Number Stories Numl.....of. Rear Rat . Depth . 101. Zone or used strict in which ra • Name of Former owner , . 12. Does r misnyaresituated . . . . g pr ate an zoning law, ordinance or regulation : . 13. Will lotof Owner of radeastruchon vtol l Will excess fill be removed from premises: Yes No Name Name of Architect , . . . . . . • • • • • • • • Address . Phone No....... pre mises P Address ...................Phone No.... , . 15. 11smthis property n c . . . . ......Address ...................Phone No........... . . thin 300 yes, feet o'f a tidal wetland?............... No......... *If 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. STATE OF NEW YQRKj SjS COUNTY OF w ` . . . ,C Y.G.. (Name of ~individual signin being duly sworn, deposes and says that he is the applicant g contract) above named. fie is the , ......4~ c G r,~i.....`^L...G~.uJrle r . . . U (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly ;authorized to perform or have perforrned 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 to before me this day of. ..C'` r;l?-..... 19°~a Nota ublic . .~q, County ELIZABETH ANN N ILLY . Notary Public, Stateo Kew York No. 52-8125850, Suff Ik Co (Signature of applicant) Term WWI Expires October ~1,18.:(~ SURVEY OF PROPERTY SITUATED AT NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-111-14-36.1 W JAN ~.~t~ 1000-111-14-36.3 N/0/F N/0/F RUST S° SCALE 1"=30' 3tiS 5 JUL. 22, 1991 WUNNEWETA POND 21B S 6334'10" E~ P/O LOT 216 / 30.44' 5 89.3812( E N 71321'20„ E a ~ 60.00'1 n 762120 11 E 1_ 1 i i' / II o M~ A I 1 1 1 PLOT 278 1 i 1 5 22'02'21" W N 30'09'17" W 'I 61.08' i 3 ,333 ~g f 6" E - - N 305".1493'2' 5.43' a F, II N 56'27'17" W d pro II 3.53' LOT 217 w° B a o I I ~ M S 4334'06° E Mb Mai ' I O i 4) WAS / 31.50' 01 i' /A - I I \ I I evE I LOT 215 I\ N 79 I I I LOT 216 a* w. so ' V 7 _ FFANE HOUSE I~ ez.~im rt uq _-WATER ywk I / ~ n'7 =i, wpm i WcauE 43.39, I ryry 27,7 i \ ISyD r,""",o __-see•eo a,aq I fro mh ~q I i I ~y .6 / ~ 5 ~T53'15 W PIZ. I 3 3 rV rtu\ I ~ O 7220\`.. \ .8., I nin rnT qfa '(ONIMPROLe. IA / 0 0 O1 e4.eD• 9692' N 86'29'44 W / a iov.ie N 86'56'10" W (v PM D® esv PILE ase) a « (4s PEq Deer UM iozei PME 4z7) 301.92' ACTUAL ~ 300.00' DEED w P/0 LOT 214 ` ~0 WUNNEWETA POND k POND N/0/F McSHERRY / 0g 1A 1~ Vd 5 I CERTI CERTIFIED TO: NOTES: CHICAGO TITLE INSURANCE COMPANY 1. LOT NUMBERS AND THE LOCATION OF ISLAND PATH EUGENE BOLTER REFER TO "AMENDED MAP A OF NASSAU POINT- MARY JANE BOLTER FILE No. 156, FILED AUG. 16, 1922. 2. WETLANDS IF ANY ARE NOT SHOWN. Joseph A. Ingegno Land Surveyor Nps AREA = 104,794.34 sq. ft. em nE UN0 2.4056 a.ms ° °5 e 1186 East Main Street ay " 9 * Prepared in accordance with Uts ° Riverhead, New York 11901 ' (dance with the minimum s surveys as established by standards for tile surveys as er and approved and adopted (516)727-2090 N.Y.S c No 49666 the L I. A. L S. and approved ea ntwfor such use by The New Yak St 'he New Yak Stab Land Fax # (516)369-2009 title Assoctatton. 1-1 s V x ~K Li- ~ act `U 09 C..) Ltj LL. 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