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HomeMy WebLinkAbout20312-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22399 Date NNE 16, 1993 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property 375 BEACHWOOD ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 116 Block 4 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 29, 1991 ursuant to which Building Permit No. 20312-Z dated NOVEMBER 29 1991 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 & ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOA. The certificate is issued to JEROME D'IMPERIO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-279426 - JUNE 11 1993 PLUMBERS CERTIFICATION DATED NNE S 1993-SACK GISMONDI °,.~°9~ u~ din Inspector Rev. 1f81 8'Oisffi NO. 8 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST Bfi KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N a 2 0 312 Z Date 19. Permission is here y g nted to: J / ~o~B of premises located at ~..~`-~t.~..~~;et~;..~...~.,~! ...........°.~~(:f,Cr.:'..~ ..8~.../..ilf!lf...,~/,.~....~t?:./. ./...:-.r,~." ~~i~~...•.~'.'1./i~~3k'rOO,3f'~.~.~egol=a County Tax Map No. 1000 Section ..///.....l:l.~i....... 81ock .........fj~......... Lot No. ~ a'~.. ~.r.~ pursuant to application dated ..f//.:~,~ 19~~..., and approved by the Buliding`/Inspector. / Fee 5...7"~: ~ ~s~t' n.2::. .:~?r Bu ing inspector Rev. 6/30/80 a? - Form No. 6 TOWN OF SOUTHOLD - ty ; s BUILDING DEPARTMENT ~ 6!>>' i,, ~ , ; TOWN HALL 76s-laoz ~ Jl1l~ 1 5 s~~ 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 buildings and installations, a certificate of Cade 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. Sf 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 ~ ....~~.-9 3.... New Construction.........-.7. Old Or Pre-e/xistingt,~~3uilding,R~~~OU~~I"I~~ ~ Location of Property...'3. ~Q,KIC.'J.I.~OOCJ c(¢TC I7G House No. Street aA mlet ~ ~Zc7``~ ii _ Onwer or Owners of Property..... ~~....//./p.~ .'1. ~7`.' 1© County Tax Map No 1000, Section.....~lS/:.....BlOCk......J.........Lot...~'~ Subdivision ....................................Filed Map.,.......,.g..L/ot~.~~,("............ Permit No.`~~?.31.~:..~,D~a,(te Of Permit ................ApplicantJ~:~c'y?:~:.~.'~t"Tf (~h~'t~C~ Health Dept, Approval....!:. / ................Underwriters Approval......................... Planning Board Approval... N Request for: Temporary Certificate........... Final Certicate.,.!~.... Fee Submitted: $,,,Z c o ~ aa3 q 9 .APPLi~~N~~~;..,.1~~~,-~--~ , C~ JUN 15 1,a9 ~ , itt kr`.. m gr.. - ~ t~' T i THE NEW Yf}!t!i S{~Al~~3 Q~ Flies l1NDER _ Efta ' #is~g 1 1001071 BV~wv t!F e1~cTRlclT~r f` 85 JOHN STREET. NEW YO3iK. NEW YdRK 1038 ~Le JII14& 11,1943 .tpplicuiianNv.orsfife 79836493f93 2i 27442fi j THIS GERTlP1ES THAT owly the adecuic~[ege~v~+sc wu dAanr'8.nd trefow and inh~odrsced by the appJimeuee tweed ws tlse aGo~oa aPPtt'a4on nraanberin t7u prem:ss~ ~ d$ROli6 ~}INP$RIO, B$ECR1t~lOD DRIVE, ![AT~TITUC.K, H.Y. en tTt'foftoacinFlunttiars; ~ Ic~^.•"."en[ ®l~t FY. Lal Yru! F7. 6ARlUUT Ser[son 8!w'k fwt[ noes ezam ikrtd an ldhY Z 7 , : ? axd foarxtd to be ira co+Aplia'nce vvirlt the National BCecbicut Code. p3ITlIRE , - H7C717RE'3 RF.1~ CAOpNG T C!YEttS~_ CNSM WASHEkS, E%HkV3T iAHS OUT{E't5 II+tANbFSC~An' FliM.1tE9(EM OTNER AMi. _ K kY. AMT- X-W ~MLT- M1M lVA1 1 I.,W $AMT. N. 49 41 61. 47 z ' ~ d _ ~t ^1___~_._____~_ i _ ~ ~ --pR^(~. NNNhCE NSVTt?4t5 ~ WiU1'E AlslteitK7: 1'~F.oeRS~iIEC'wiT L'I~s?oQ[s : wat HEAESBts °~S ~ . AMT K W dl ~M R- f,AS H. 1. AMi ~ NO__rA W~GT~+~A,~~i~•wa ,vet. w*YS. i11R115. wxT. x.P IW tiF F$T~~`_~ SEI[V9CE OFSCOti[iECT HO. t?F 5 E R Y _ 111EFlR NO V~ CC [ANO~- A. w. G ,p, Gf Nt eEfi A. W G. ~t~. CT` NFU1N/.LS T{ ~ ~fni.U T AMi AMr- T19E ~ir. t.b (1,1' S 1r 3w ~ ,a 3W k X A`If pay e _ Cf Cam. CdAU _ C~ VM~IEG j,__~__ _.L-.-v__ 1 _L~ c~ ~ 1 ~ ___i_%~~~_~ zr9 _ ____12__. 4 ornca •}fdOpATUSc G ~ xar rvs-1 xaroes:2-s x.P.,z-P x.~. RAHEL80ARD5:1-19 flit. 280,1-1 CiR. 68,1-9 CIR. 298 G. P.C.I:-11 i ~ 6 & S CWiTRACTAR L2C.4578•li . fl4% 215 6f3~t MiANktiBR SOUrx0i.D, AY, 214?1 ii~~ I This oertifievte must' nvt be aharcd in asty moaner; rohnn is t1,c office aF tf>a Fbo[d S inrwexct` lnspcciarx may be ideerrified 9sY their crcdeMsak. 5v~ ~ ~Ui'~+ TEL. 7G5-1802 .a o., To~rr or so~T~oaz, l` . ~c OFFICE OF DUILDIP7G INSPECTOR t°n~~*yr ~31~~, f=n P.O.BOX 1179 0~ e??~i ~ TOWN HALL ~Ol ~ ~d© SOUTHULD, N.Y. 11971 C E R T I F I C A T I O N i Date~(,~p~ O ~ l 1~,3 . I building Permi N ~-P_ 3/2 Owner (please grin ~ Plumber„~Q~f~ ~ ~L^„ ~ ` r (please print). i I certify that the solder used in the water su 1 s stem contains ,less than 2/10 of lo' pp y y lead. / ~ '(plumber's signature) r- I ' Sworn to befor/e~ me this day of ~l.uiy„e~ ~ Notary Public Notary Public, Count Y SMN Mlk, . N0. 474d76A. GwtlRed N?tuNollt CeiwN~ Conwaipion ExplrN O~nbM 9t, tp9.8 INSPECTrJRS Victor Lessard ; ~_'J~F!)( s(" Principal Building Inspector : J" Curtis Horton ~ ',;a , F'; SCOTT L. HARRIS, Supervisor Senior Buildin Ins ectm m? ` 'L g p' 4 ::*n t' > ~ Southold Town Hall Thomas Fisher ~ L' ~ '~~r ~ „ P.O. Sox 1179, 53095 Main Road Buildinglnspectm ~ ; Gary Fish , Southold, New York 11971 Building Inspector ` : Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD MAY 2 $ 1993 JEROME D' IASPERIO 375 BEACHWOOD ROAD CUTCAOGUE, NY 11935 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) - xxx No Underwriters Certificate on file. XxX The check is not on file. )$25.00 No Health Department Approval on file. No final inspection has been made. N- o~T'i~Rrb Certificate on file. 6~~~~ (All permits involve bing being issued after April 1, 1984). BUILDING PERMIT # 20312-Z Please contact our office on this matter. Thank you for I~ cooperation. I SOUTHOLD TOWN BUILDING DEPT. c'lELD i;:S: ES:1J:i ~~i)A:.. I~ :;i::~fi•Jf.NT^ • I ~ N FOUtJDATION (1st) ~ y a FOUtJDATIOtd (pnd) c 2. u/k~ P,OUGH FRAME & _ , I ~ C~ PLUMBING I V` ti 3 . / ©C. ~ m e INSULATIO.1 PER N. Y. , , ~ni STATE EPIERGY CODE c 4' y H { ~ f \ FI;IAL • • o ADDITIDPIAL COMMENTS: ~ • i i x • I ~ 1 ' ~ y • H r~ O rV - m _ ~-1 S • v. cn -v H ' a t S U T E R and S U T E R P A R T N E R S H I P 6 Atlantic Ave. POBox 389 East Moriches New York 11940 December 11, 1991 TOWPd OF SOUTHOLD BUILDIPdG DEPARTME2IT P.O. Box 728 Southold, PdY. 11971 Re: D'Imperio Residence Beachwood St., Cutchogue, PdY. Permit #153 F Dear Sirs, Enclosed please find the Flood Zone Application for the above referenced project, as per your request. Please give us a call if you have any questio s. Yours trul , Richard M Suter RS:rq ec: D' Imperio , .,1: t,=r' t;;"~ ~~c i z ~~y e`~ ~s _ t , Encl: ` __„w. is w; „ ...r~ 516 8 7 8 4602 fax 5l 6 878 6485 rolcrl xo. 11 Towr~r or °otrrxoLD BUILDZNC3 DEPARTM~.TIT TOWx IIAI,I, SOUTIIOLD, I7Y DE:VI.I~OPMl:~rT PERMIT ~ g 270 E' Da t o ~ l c)Y.~ Yer:ninulon la hereby I;rant©d to: 1J//J~ r ~y ~ r ~O G'e~'~l~l~~`777/l ~ _~~j" ~jy~~~ _ ; r nt promloea locatod nt ~~~~'C'-~~ ~r/~ w _ Cc~w,ty `I'nx Mnp tdo, 1000 ~ootlon Bloclc r~ I,ot ~5......_..~ puruuunt to nppliontion dntc+d r__._"7"'""~'~'^"'---~~ 19,,,~, and approved by the Building In4pmctor, "7" ~;uildinl, Paxr~it r7o. I .~0.3/~ - Z ~x.~ ~ r.l7-L- ui1~Y K Tnspoctor ~~Y ~ it/~0 . ~ ~ 6xacrz ~~sr~~ ~ R5: ~ ' Jr.~tue fM S`3r~cl~meyr,Y, i1d,'~resiaSrni ' s-~ ss ~Qfi~'It#t'~+J~[1Jt , J[cxvv Ils. asnish, #fi,:t~ ~^tr:aident .T ~ 'x~ti t.J"i'i° E.. @~t4Stktl~ R Jo~a 1.. &~dn#,~0~'.i, Jr. ~ T'#t=~rrs!~xli ~ Jahn J3. 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AUIN4IW!FlrJ jIl:NA1WRf • "'}.y.- i 4 ! 4 { ' i Yi ~ ~r,yc :.i~•A+l, It 16: ~r F. tnF 45708u IfrY;M)f ''251 A,Dl,IdlSIFN,h! ~':4 W€x./61. 4rrrNal,l4.,M8 B41k At~7i~l.F# !A iTtlSa ~d. ~9, 'y!. 44r a,ora N as§1'A,.9 B'Aa, ~1sb i q Ti9at it fufur,k c+iFSraiinm by t>°.ir 3tmte a1.4<r~w, {{,,wk rPt,:,;rn Nn qt• s, ~ 1 iara Nnn ur'thr +t/fNmn nl the strut tvr ~ ~ tb r dm•,rt,nrpmtgbUy ~4rl~«ta,aas n, xkertais bkdxrat5d artth ,hF ! d of IYQPF, Fi¢r~,n ¢lektktrrditHi, ski µxn;AL k d, in ShP apvaian nt it,c, ±Japartrnfn! e! knwtanr~'nrstal t:~nrer~,A,.r.RV ~ - c ~ t3 ,+,ndmp,;rnq,dixrci.xallr°4ac fl, dsrcat:on a~€kha worF ha~asr'r {rCtcvr4,fet1 ,t shad r. auto vnras COn,ibh^ nhtirur'nuH .n rirr fre. nAaittahpn of e~a.+9 r W Start ur it naq n2Y,nt ryt t•n~di}kr•r iltr heal{!r, i kt•ry ;1F n~eki A,a n$ ;3c);1 ~y r'ar~'.eA".'ra mu^ar,ly, VMit,,ay~ba7, vedy,xr;jy re4rt,»;abet rrd~et aerate thr ylk`apl4~'o! tho Stets, ar reues'fGff er r{gsltu;1 u;r, of tt>P natavs! I:e !~sY4 t>k a to mre:~,a? rte !ht5.k„i¢i^- na dap hnta> !{ral nrxy have n»eurces ur the 5rata, the ~wnsr ire:ly,+a ateteret! hg s%n~ (leparSiv-s,It to r. n; 3x a: in ,~vrri¢~ e:srr;ugU 6n APViNtah6e ehmn¢err ua ca aha fnan4e at IPniONn or 3fiPr the etatai5tcai `.Tdrk, UGSCnAIIIpnt 'pr l1A~Arf§t £xtte¢(, a'Wr'sersray i ~i thereby tvithr;ur rvpxnss ka rho 5,diS xnd r!, ur,rear kho rt:{Pir.ni,v;n sA; T,wru +htt, uU 'ta~tirr~tlpcrab,e 65tira4erwnrn sash nmvlgotsan,:y ttt, avrxA rpvrlt dt,on IN this M•nnu. d1F strarinrn, hit, ue~a,'fitise h?te i'I duthrvria8.tl ~ - rt, trr arbor n7rAddu.JLu:7 of Ihn .y,ii^a aurcM herphY nr,n?Colo ~aQ shall sat Row _~,r;p iS i{ ::~,-r+ lt`e r.nnat4s>re nr sa.r„ a<,,,n or .bw f,>vm,r, ihr (;r~jrr l brushy prrt^d, 41e np~tiBrv, sFali, wrthMtl 0x pn.d to v!io.' YP, aa, ns+ir`gr;:e cza tq,r r. „gr'A:^r~udslL,Gia;U~sa the agahht~nr thn(t, :~ahssu? erpbrur P k,n '1 iR erjrh i_r a ve ~L Q'vrr'Rr dOJ pl flleh tlli{p .Inl, ,ItCnq@t a5] FhF LYhriS', ~1 vYi f,7Nirill'Rle'h$Ai ~ t )lf, t»'~ ir, 4.a^. t7 F"ti/:?4 t^,r'j i~t +.,b(h i11nr; d,FP~ Ih9nn61 d. the t'rsn,arvnt,nn rr,ny rvvluar rrn¢ivr,ili ur xn £Yd yt9t^„'reni!•tfpvmd^v9re~nk3it l~-,~re^vtt,e~rt may raqurrfl, rcnvgWr all ur Y f 3thrn iRe Aatrrtn{llAt(.+~ ant , C6 r. rune rhrr u+~ liq JN1 rrelulk i,e ,ry to{Sant coP!t: dory" !No ltavfy9htp C""r 1 t! ti:F VnCSKti(1(Gi+°:i ti?2.; tyNi' (il! do+~ refrt:r9~ ihP 11t,. and f,arlsl rrry(,~(:n' of 14b wdtPr4 tlyM@ tkn t,AnTr Nya ii,W_ fl,A~4 altAfn51 Its ):;`b,e: fz»;llivr+i TNS c'I#,Y1e sh6N bo~ vtA!!r aUz,psi tlta Slafa ni tr,r. Starr r,! dePw YorM nn Arrount h! ea,~ iur:h ter , , r., , '4tw ''a,, nn ,r.cnl:t,t ,d yn~. <{:<2s r4n«csxF rar .51tPrrn:ur r s :Al nr Ahxrs,i',t ,n That Iha Sia,P n( Nray Yoek tha0 in rn tovP Le !k»!~,(g (ur any fliARiN^g 1*s if ra~,tree^!I vn?ar Npi~`a 3E~, lh,~ CSaes5,I9 Q±,a;i nok s,gn,JY :n gny wey nr mpuq toihP~a+'antnrnr wrysk h,~rBar A,IIhnt,enA erkpich+ri-er he r~dsu¢c1 ! t''xk+,:P pin}rca ;aitf b^frv-a is ~,t, !lood:ra by na ca+uh~flvm ItltuVe gt'.oL;uwt! un_Av+r;d,rSn b),he- 4:n13~ !nr kha 7 N ~r.rtr^d sad,*r r/ W}'S H;? half ~in";A, :hP MYS Drt~,arirnA~tt nC lnwmn ioe,erwndnn nr i:nprUVrnerni rvt nnvigAUbn, »r i0f nffanr a, >art, soul r^c7,; a1 (ont:^/vdiirvn (xa nr+a~ <p}i;i:nz thAt vh° zuitiert (rte,{rrr wvii r;:u I ~ G' ^4V,tT {~qaM at}eu,~»i 1!miiLkiQP'. C*:.lih~re il:RilAl:nr1}, na Nmim of r:4ht rn snruiren,adan ^,hell arrruP frt^m~d ny strth rlxn:y;flA x st,unrtxrde ,rnv.r r 11 Cr:m h9y 5i Ib:t i,errr:n tkar, nn! ft4u~vn ihP apµ7`[nhi of hits` ter ':"nc~+its iUi, ~!t1..tfll .fi(Ah xnn~~ ?i;7 :rd the s:,rpq sA~e rvr krr ar ,=ell b/ipy b! nh~,dNnp d»t e.tttc•i Ponr,grart. toncrnf s!r A,; p-.. ! lr,. »z•27') !u'. vu:r!i tRrts A!t nr~,,y~ s;,,nrirt,at!t i^vfrt! harx.» prf~ maa i i+n+gi tnir,-. i& AJi as im n,a~t 7q iP,:rurr! by th¢'a • th/; tl S Arnty I: r.r(ae al l ny~ne~nv t, V Cnafl ClrA rr! WOor Yorl 4teip ) f v. nt nBU!t 1s~ nt !;ril t ronrorn,,,u„~ C)fhca of QPhttAi $Ffyrcet ryf IACA, r,flBVMaOmFnt n,¢+.ir rr•d yllq~ fadj4irW~ `'diI 7Pwr dryF.f C'/9!, (`iY,r R Sinbt*r:it i`~ by;tM m(ttelH.Ani nr h+S sadn2 61 n,:rl t ih+ s>•sr~pf4 R(}y,f!c Arlen 12 hli ner,PtfarW yrrtcaurlam thAli hs i»9nre tt. nr@;,i,Ha can,A+rtnaaian of any wPtla,uRf nr u-Atenrot b~ yutpon0ad fdh i 4'.IC"i r.`t-x4C lasso ~trra, ~ ~9a~t`T'i~=kit,?n"s't, 1 r. eUUUnrnta. luau, . i' ns<>A _ ! ;r,..Y by ftlly&nls, )nUilcAntt, eynn coat,0yv. r . ' v y nxintt, tn>,cre. , laatha.A ur Arr ~'hNrLa ij}t 1.1 l?!± nu AtGZ"&~tk' a~ s;l[JCd$4rtAC: Ay LtFi1 :'-`~tke ('iD1f"i,t v1'Id is :'i, l,.ih s?T ~'~i4&:-j'f tklC,d +}Y Gt ~,1k'YMt'lal4 of mrerhS.nee nn!'th o~ 9enu~h~acr~d did. , Thnre shall hn na ~turvgc~ ±,f ~+znecps.cct~.ar, nq:ai~n~.€.ih, ai<rt3:arialla ;+p t~akcRi:rta*e ~t~sagt~r rl,an SA' nduth of thy' ~rxl.atfcs~ a,:rsan pr,r°cl,. ~3, `i'f1AT'k? el't~t,l !5@ nSI Co~;e~], k1C1 C,4 C)Il Ula G1~3i2 reap++„1, rk'lriN f1! 24'Y+~f*'• )r~ ~La.y 7!.„i~~lfrt+ r AnidflCitAa 1u122'~GpPlLfl K'aCri,`$f:1:+ a r e to ~ bra 8.,e:t9t 5 2narhaBta rkr .e„~ ~r.,t~rrgrklltar~,ai ~,±{rx-~c.iarnd srirtk thn projaae, work, 4. T,rs praCece rir~e~ valana tyE the id:Bl ~rtet'1,±,5.1, °i ~taa•rr;sr,:?itr y~r=~~t~2c€r~ h+affser Z~Yxg aliesll krar €ut+,bt irahncl. The r,r l,l,r,ll .e no tai bX,ei Yaen•,: tt ttt t},t» H,r.+, ekrxni °at ~FVte.ritan 4r t<>pssgrn,phy tti.t.FtAta an dt,:a er:v ndi.,~~ 't5i Irin~ltzRarc! nA t'rtrs t.i<2~F1. ,rni71,~qu.f l,wurirlsarp, S. RoGL ruinaff flhall h~ dfrdotNCB~ca e~ryva2lfl fl ksar,i.inu+~ otE !4%~~,r ).n¢,~dnrsl r,# tt,sx Pi.kiAi ,~Rtlt,nl~ boundary lar;ifl,oFad(slt~ <>t2^~>eitk, t'er,hr~rg6. 6. All fbi'1. aha1B rgnuigt of "tR1~4r,'r ~rau¢~1 end 7!f>tl (rias ~eap,ar3lt, t}2A,~, Plyoah, tkrakrxnlcc,enrnca hr dnFnalztj.rrnidrhrifl). i 7. 7'h.ifl p~,'mat autha,•i.r~a u„~y char nark diY~c:e•i.bt,si h~rm.in. i s SuArp1!e~yr~nt~ry Specd~l Canrtiti>x„g Chtu ~wi) i~tt+,.ch~:d. j ' ~i ) i i i ~ r I I I ~ ~ ' wtr r,nMit He,nnu.u ,..p 73&-463796 r' 1 I «~.waez~~........M...w..J,.,......,u.u ,.~...,.vw..~.p.e...ee......,..ynyenv: . . , Y , 1 :J : i b f' . u ~ f...... tetffitta~rttdns t. ~~tl4t (IE7f fTt~itiQ~! 5t4H Qt tilntltty, f6!;: ~LlLtiti~ tiHV£; rat /AiCiit B}`1., i~ ttWM1, L1°d to Iii?ht;Ss['i ltytt .it r4a+S~°At}fktY~ttS {'1(}L9~ Anei Interr7f8 k',y an ~4rlhcal7~sit~rQt7!C~`!Qrltt9tivR e~i tk':~ ;?~~brt93!~tst sot F.aFrtzss~rt;r~aarat G'arses~tw~il~rF ith~ 4 t)r?p~atttn~nt) t,~ dettc~errtm~ t~,dY~+t67t,t tt!!! t:~n^~ntti;3;e t~2 s:~o;;2t~ib~i2t2 v:,Hts tHfrt ~.~r~~r9t ~€t~ tr!a E.r~1.. ~b!rrh ~eprra~~nlathra tray~y n€d~3! thc~ ~rrrr+s trt~rf~t;c+n;S~r~ t~r.:~~tr~sr,t ,rk F.°.C~~ r4.p~~i ~n.r~tt ~e~Q~. 4p t?'??. A ~~?ky c! ttil8 put!!Ttf, InL'll.fl'~~I'F~ ~I{ Il.A2;rl~!ofN%u¢" t~7kX ('t (d, Ct!l~1k4V{~8 [3r`,i'} ${rfS:'t4>.t C't;f4~IfZ~i;?;9~, ,Ttt1Qt bra ~~tF'!ti3bt~ t4F in.~y~acthnn %a}• then [~e~p~rt+na~r2t;nz adl t4srr~a ~4 tkrost 6~~r-}atC€ ~~k~. ~~btt~~s~ i~ ~€~,~5~~:~s ~a c:npy ~f trtt~ ?s~rrr!rt a8ptltl taqu~at Cay 0 t9e{atat;tsss,~f11 eQ~tP~a~nttBCt^~~ 4sa s~ vt~t~ittut i44 tttl~ ~rrtrattt. ti p~cYwt't ChaaFtte>r ~aed t4~nnY~a~l~ ~ , 2. 'I~ha Crragarttrt~nt r~srstw~ta 1?IS~ tlt{h! to m,,~ri4p}~, ~~~stY~ts:~ as tcy~rtx~ ;t'tis~ ~~~tlsr42 vs~hws~: ~ the adtlpat oP ih~s tssti°~2lt~~v1 roc+lMtty I~ ~sa;ts•==c+,~c~t ~r m vtr„?~s!n~ X71 ~t4y t*rn~3lSa~t! tlt ihn ttttr,rslt ar {~ru~ri>~ttln~ a! tha~ ~G1~. ~n<i ~~}atl9r~1~5f t.S~ttts~itesrt~ !ra 9t~Ft~st~; q} tht§ YYeremit raeFrP c,bg~tY~~~l by rs'rt~r~~€cs?`AsttSx?irJtY stir f~.Hrst~a tc; rgpa~r(t~~~ rst#Y~tnt 4~tt~, ' rl nnw mptarl!rt, Irrtor~rt~Uc~n i~ di,cnv~s~s~; ar I t9~ 0nvtrdttm4tYtAl ~;rsne{kt4csa~~, r~l~k~nt t~+='t+ra~lut~y, ~a ~?at.Yl;rw+~PJt~ tta~~i r; i~;~t~Pzttlr:rt ha+sce a'n~Ya~I~Nx chan~„eci ~Inr,~ this ~~nrt~it w~~ {~net~+t. 1t!H t)r}ttniLl FrA r7Yt1:31 SUkamid ?3~{s}B(.11,Rtf4QiA 1,aFpllt i{~ f:4}y~lltl EYtl{7(4 4L1 {}l+~r SSit~P.].";{fiHnl ?GI t@It1B4sl1 r; r'ilt'IS.~t?I{:A• ~Icrn 41[ 1Y8i1Si~lt fdP tP!I9 {laitTtlC, st?rCli ldri~7lf{:9alu~',11f!!,iilf if)f)I!1?'i6? Rs?y {'J5F{i:7, "f•"l+Ar4 ff9 «$td~~f@31t'd331aFAe !R?4tl1• tndttOh fh"d C,Efl}FRfF(Y153651 t~~t.t ~?ftk4. h,tt)r 1'13t1f••;'i"@~, ,"11t1CS1~`r f~;PtiUl"1 QP tY9sfi??Z~daC !~s~tStt}Cf ~y tt"i@ {,79~;1#ttf'dQnt ftYGRit bC3 til WVYftln~. ~ A. 111+~ pFrtrtiit9n rrtu,,t sut~*rn.+t ~ u4rt~t~ap9 ~a?ta~c~lF;,n ~t letsst: ~ I 111 d~y~ kx~4t~ra gx?Fle~sti+,n u4 taQrrni?;~ tirP siitgtc!r'~r~tsrt~+r,R ~9ttchar~a t°~trratn~ststaoro ~yK+tct~ (x~?"tt:'31, tittztstUaSuQ l3ie~t~ As~51rt~Qfrrn~€ttt t'mc.ttl;r~~ ~k~3l~i8.R~~, r'~~}rar !1?r €~dttua9;~an t"antac~t t~?~~! &n~ ~~1t4 VI7~»titd ANnAt"AtJartti~nf!t t''~~'!tltt~4~ (`~1'~~~Y; at!s~ I ~ b~ 3~ daY~ bmiurtr ~xt7itzktf~3t2 F,t ~St cth~r t?r'rtanlf ty;2~~. ,UnIs~~A ea~;~t~t~r~;y ptorol;xer*~ itr~ t;~ 4h~< t3esry~±ftr;r?ttit, i~a~,:~~o~ n.at t~'4itY ~;~rfltit s't'!~~ nuti:~trdlay, ,~upsa~~da 'tar t~n~aind ~ny,tltrsaa'r cr a3~t~r~n3at~ti:~n ~,t~`t"~,+~!tty to;6a+~d t~'t Ik!~ t~f~t,z3rt.€et~zt2t at ~n=~ aP 1?t~l tet'ntfi, cam ~~dl4ton~ tlr requtrmttr~ht~ wa~t~i~lts~+f ~~~h Ord}sir ~!~d~r)~Itt~tzrrt~. ~tha~r R.~p~9 t~tritt#~ttaattw er( P~tCaz~BtzW~ 8. 9'ht+ ~arrrtittntY nay ~sc~gst~ae! ~r?e.;rQa~ty, b~ 1h~ ~~er;,r9iin+Y c!i ttr~ aa~[~4tc.~#ti:~Ir~ tttr~ treti t€aga;;1 r~~ta~otYtslbtli~ ty ttll all dSAlnt~~t6a, dtl'N>;t dt it'rrt~t9L;t, t1t 10. ~1:3tL}++dt ne'',lU€A ~(trf iJt{r Vf P'Z»'4tY-L+V^f f?Ql{?&!'i;'tCt; ~fl~lt!(} t)l!t at ' 'the t>tolnr.t dgae,rlbcid In tttl~' p"ttrftit ~rtn i4~'4 d~trlel~ t6D U!dr neat!{y ~re1 ~r~Fr~ h~tentEta~ tin ;"sta4ti irtsm istlNq, uciinry~, dantapes ~~a~ we:~3te al kr~,tt' rtrn'a~a dxra~9 a~t~~'ritr4t~xn ta~a!t4ts4~ tasatet ttrt~3 ~ra~y~at. 7. ,7hie ~,orrnrt <.fraaa ndt tan~~s~~ ter the ,>t~trrvtt~~ wr<p 9i~?at trr Irs~~a~,~e~ 4ttY~n r,?Y~ t~nrts# dr iatt9rttFr~t with t?t~ rlp~tt~n rlgtrt~ of nihatte fn Uftl~tr ttl trer9+:rtrt! thi~+ ?rtsttt;ttt+~~t ~~arit ttnr rsrr~~ 6t akGthCrttta3 ttYa~ t!•np~ir n't~nt as{ any rf~ht~, ttti~, tlr t~!t~t~~t fn s~r~t nt t:~t~e4r~~i p~r+act~€4w/ fiF~dA ar ~r~s~r~t~c1 in ~ ~~tr:cn ~,ai a psrYy tU ih~ puttttll. ~ ' ~ y'h~ ~0flt4ttt$@ ~!Y fON{ltlfl@I~I~ tdSa dkZi HZatlf1~ ~r 924' Gi?CisY` }1~o-ttsl:kiR, ~{F#2tf#k`~{fir R~6flG9R, 4D$i~Q4kbQiAt~S E?(td €if}t'1tA• af•w~y Ih¢tt rntay be t~qu{rrtsN IUr thl•'s {!rtY{pct. i { j I ' I I' i i peptf 2 6t w~ r ~ - i I ~ t 1 ~ ~ . ~ I ~ ~ ~ ~ i~ ~ co ~ ' ~ a I p/4~~ryyl yrye ~~~NO~ ~ u ~ //{Mryryry ~ N1'I^~1M~ ff'~~~~f ~I~4~~'8y[, ~ d pp~ I gFgyy /!e aA+ Nfa (ems fnY ~ +y~W, l~ ~ R&s eN ~ ~ ~ ~ . ~ v ~D t"~' e `Q~"~ y~, py rt.` 1~ ~ 'y~+a &~afN pq if„wg' ~ s ~ }p, n~va ~Jt~M,ydpn+~3~aa ,R~Nh~' Iyaap gwy~J 'm'g A~y*}''r ` :k' ~o~i P~~ 'MI ,.9 P+' AA 1l.WIJ ~ R.BH 4 w C s ~ ~ _ i ~ ~G kauM IRUe• uwN yp}g~ ~ ~ ! L l~ A q ~ _ I ~ ~ u~ ,y, ee~• ~ ~ 'I Nv~( tl~V ~~~4 4v`$1~ Nwbm» LR~f^}"$ rn I ~ p'q d y ~~p I+wrt I iu+Sre ~ MuJ '~iq ` ~ I ~ ~ ids 9 ~ NMa i } I I i . liltil : i ~ S - _ ~~~ti~ res-isoa BUILDING DEPT. INSPECTItJN [ ] FOU DATION 1ST [ ROU~`iH PL~G. ~ FOUNDATION 2ND [ ]INSULATION [ ] FRAMING ~ [ ]FINAL REMARKS: i t ' DATE "INSPECTOR 765-1802 BUILDINti DEPT. INSPECTION [ ]FOUNDATION iST [ } RL~ Ot~6~i PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~~~~-~-vL_~~ DATE ~ ~ IN8PECTOR ~~~Z~-~- 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [~J rcOUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [y~'FRAMiNG [ ]FINAL REMARKS: d 4 DATE ~ INSPECTOR u~ I ~~1~~ 765-1802 BUILDING DEPT. i NSPECTION [ FOUNDATION 1ST [ ]ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL RE AR S: ~~a~~ G'"~ f t ~ ~ ~ ~ INSPECTOR L~ DATE ~ ~ ~ Ss , r ~ ~ ~ i t ~ it FORM NO. 1 ~ -y , TOWN OF SOUTHOLD ~p . ~ f ~I p! ; p~~` . 2 ~t~G~ ~ ? BUILDING DEPARTMENT (4i~ ~ TOWN HALL ~.j E~L- SOUTHOID, N.Y. 17977 T~~ ~ s`ir, ~ ;';t,p~o'~° - TEL.: 765-1802 .E.r.-n,....~..,,..., E Examined ~a~~.,./......., 19~// Received........... , 19.. . Approved ...~~/T......., 19 Permit N~la.~ Disapproved a/c G°'~- (B ilding ector) APPLICATION FOR BUILDING PERMIT , ~ ~t Date 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 kot 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 sh_al( 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. (Signature of applicant, or name, if a corporation) (mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises J .~I?. .clrr...'+.J.... 1.?+ ~~~.~1'~~ ~ . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corp~~ to of icer) Ivul S ....Y~G'T ~ P+~' ~I'yPL+~71~ l~"S .at>~? ~`S 7~ Builder's License No. ~5 ~~GT~' Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. ......~~F ..~.~~r• • P~• • • • • • • • • • • • ~A~.l~~Jtx?P......1~D.... GUT~,l~~u~ House Number St//reet Hamlet County Tax Mpap No. 1000 Section .....l~.lQ........ Block Lot....-!.......... Subdivision .;I7~fk4bf'1..d71~~. ~cs1-,~Al~'. • • • • • • • • • • Filed Map No. ~7.Z7..... Lot . (Name) 2. State existing use and occupancy of premises and intended use and oc~ctupa~n~cy of proposed construct~iton: a. Existing use and occupancy ..`JJr~~A9~'~_ •~~`7• .~.~~!~d'I~!~p~..,~,,.~t?f d.~~~P.. b. Intended use and occupancy ..~?..I:u "d.~• • .lrF"~~ • • .l' `1r!!.. 1'.'~/.~•~ • • • • • . • • . "J~• ~~~gg •ad~a eaxtd:c~ nogasfcuxa0p~ o;l K[oSS~zS of Pa!df[ant~ (;ueorldde 3o axn;eu3rS) I sa9~sss •oH _ ~ ,~'~A meN,{o a;eqS `aff4nd T.rn}off . 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'7f'~.~$..D7~~I~JI.~ • }oa}iyoxd;o auteN ....r£rr•~ gg£'oN auoydMfN•1~ ~jy~p~•gSssaxPPd CSfj?~dL,))[Q....Wb~~sastu[axd3o aaumO3o au[eN ooN sad :sascu[axd uxox3 p2nou[ax aq [[3 ssaoxa I[F ~ ~ • ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' • ' ' ~ :uoc;ein~ax zo aou~c~pza ~ ~~uiuoz hue a;ejoxn uol;anx}suo epasodoxd saoQ 'Z I ~ pa;en;cs axe sasTU[azd yotym uc;au;stp asn xo auoZ 'I i xaum xauxxo o auce . r1~/'~Y/ O 3 3 N ~ r , aseyoxnd 3o a3eQ O I ................~fg.S ~ y;daQ, .................e~• • xeag , ;uox3 :}013o aziS •6 ~ sauo o xa uxn Is~.. Sw pSLS": g3ZQ . ' . i~ ~J~ aj'Z xeag A•%.[~... }uox,d :uot}anx}suoo mau at.~[;ua~o suoTSUaunQ :g sa, o;S go xaquinN }y~cag y;daQ , t 11'~".~.. . ' xea~ ' • • ;uox,~.suor;{'ppe xo suoi}exa;ie y}cm axn;anz;s auces<3o suo~suaunQ ll... [ . It...[...................a sauo}g;o xagtunN ......~,Z..L, }ySlag • •K„~ i•~t", t{}daQ asn old ~ xeag I~a?~~ g..~ }uox3 :,iue3i `saxn;o[u;s ~~ii}s~ca3o suoisuau[rQ ' ' ' ' •~"N ' ' 3 d; yoea;o;ua}xa pue azh}eu ~f~raads `etouednooo paxruc xo [eTaxaucucoa `ssaursnq 3I '9 L sxeo 3o xaquxnu `a~eze~ 3I ' • • • • • • • • t~•~ • zoo oea uo s;Iun Bu~Ilamp;o xaqu[nN • • • • • • • • • • • • s~ n uijjamp 3o xaquxnu `eu[IIamP 3I 'S (uor;ea[Idde siy; ~uci~ uo •ed~ a o;,l ~ i °,-S'~~.... aa3 . , • 3so~ paleu[t}sg (uor;duosaQ) xxoM xay}O L uoT;itou[aQ , , ienou[ag , xredag uoc;exa}~ ;..uoc;rppd 8utpgng maN :(aigeaildde yo[ym xaayo) xxom;o axn}eN •g x x L Application. j:ceived Disapproval Issued Permit # ,2/7i 19~ 19_ y ig~ FORM NO. 10 APPLICATION FOR DEVELOPMENT PERMIT IN THE TOWN OF SOUTHOLD 19~ 1. 't'ype or Development Propos a: New Structure (including storage tan.!cs Addition andJor Alteration ~ Flood Proof Below Rase Flood Elevati!a~~.~ , ~rh~.. (sped";; ; 2,. Elevation Data in relation to above mean sea, level of: _ (a) Lowest floor elevation, including basement /c~ feet 27 inches {b) In a V Zone, bottom of lowest structural member fbet inckles 3. FIRM--Flood Insurance Rate Map, Zone designations ~ ~ Z i ' 4. Owner of Premises ~ R, ~ ~ ,r,m~,~¢ -V 5. Location of Property: House # Street H mle County Tax Map No., Dist. 1000, Section Block ~ Lot(s) Subdivision Filed Map# Lot(s) 6. Permission to be granted: Owner as above _ New Owner Under Contract _ Lessee ~ Contractor _ Phone # Name if not given above Mailing address 7. Approval from other(s) before Permit is issued: DEC %y738-Ua3 79~aoo/.a Wetlands -~~sr~.a 9~/ (Town Boar j Health Services ZBA - N~ff Buildinrg~ Permit ~0 3/~ ~ Planning Board ~//J - rt s) I~~~~I~ M. 'JU7'~ , the applicant, am the Owner Co-Owner New Owner Under Contract , Lessee _ Agent Contractor _ and agree to comply with all applicable sections of the Code of the Town of Southold; County, and State and to admit authorized inspectors to premises 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 my knowl dge and belief and that the work will be performed in the manner set fo h in the application filed therewith. i - STATE OF NEW YORK t COUNTY OF ~ju~oyt+~ 5~ Signatu e ORN TO THIS )b~ DAY OF~~~ 19 I ~ BEVERLY L. IlLUJ3CE / o any Publie, State of New York ~ No. n861759 i - otary pu C Qualified 3n Siiffolic County ' Commission Expires Feb. ,3 197 Applicant's mailing •P , ~j)( ~~0~ + ; address and phone # ,t,... if not given above ~~T /IZO,~~G ~ " . _ 1iJ85 NY, ii ~,~U J~ • FORM NO. 10 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 P.O. Box 728 I Town Hall Southold, N.Y. 11971 ~ Main Road Southold,N.Y. APPT.T ('ATTf1N F(117 itF(JRT,((PMFpTT AEFMTT ~ Instructions; The application to the Building Inspector includes (each i do uplicate) 1. Form'NO. 10 filled out in ink or.typewritten, 2. Sur- vey of premises with elevations above mean sea level, 3. Drawings of pro posed work. The application r~lust give complete information to show that the proposed can complyito the Local Law No. 1-1980, Chapter 46 of the Code of the Town of Southold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any other agency requires. , General Standards as required in Section 46-17 of the law to minimize flood damage: A. Anchoring of stlructures, including tanks and mobile homes B. Use of construction material and methods C. Design and location of utilities D. Subdivision proposal with drainage, public utilities design and • base.flood.elevations ~ecific Standards as required in Section 46-18: A. Residential construction B. Non-residential) construction C. Mobile homes The applicant must submit plans and specifications as well as any other information requested liy the Building Inspector to substantiate the facts that the structure has or will have the lowest floor, including basement/ cellar, elevated abovethe base flood elevation or; if permitted by the Federal Regulation, that; 1. such structure is flood proofed in such manner that below the ]jase flood level the structure is water tight with walls substantially anti impermeable to the passage of water, 2, that structural components ire capable to resisting hydrostatic and hydrodynamic loads and effects of buoyancy, 3. applicant must submit certification by a registered professional engineer or architect that the standards set forth in Section 46-18B {1) (2) (3) of the Southold Code are satisfied. Coastal High Hazard.. area (V Zone) 46-19. Applicant shall submit plans, specifications including the required certifications and such other in- formation as the Building Inspector may require in that the provisions of 46-19 are complied with. Mobile homes are prohibited. The lowest portion o£ the structural members of the lowest floor cannot be lower than the base flood elevation w.~th all space below open except breakaway walls. Sand Dunes. If sand dunes exist on the premises and the applicant pro- poses to alter same, plans and specification must be shown in detailed nature of any alteratipn submitted. Building Permit. A Building Permit is also required for any structure. Both a Development andja Building Permit must be issued before any work can start in a specialjflood hazard zone. A written disapproval or a permit must be issued Within ten (10) working days. During construction, the inspector shall be notified in time so he may make the required insp~etions.' ; [Jpon completion, the required certification of the final elevations and work must be submittedibefore the approval to use or occupy can be approved. ~l " (Fill ouit the form,on the back of this sheet} 11/85 I rc ' ~ ~ ,r ,:~-.'.e,v'."'.w4A.j.'S'hn ec.,m'i.... ,ry, ~ r-'~Y.. m...,: ,~,-,,~a :=+LaA,`'~.'W'fic'~~n.as:da~i:Sii"~.s~~ixskwr iv `"n~1 i I I I ~ " ~ i Ee~1Y4?~4i;PR1°~~f1'~"s82'f ~[fk:~4r~Lr C!;t;~ll>f'fit.~ta4 ~ ; ~ ~ to ft~llc~wl{rg ~asssrdir3pn~ ~~~p1r+ kr, zrl.l; ~~rsai.r.ez ~ ~ IC tl Yt {J~ t, hE' ~Hi?t'ti4tt tW~,tCl~lE:~l4~S{3 dYf? tlri~rit.=7sS n~t1 ~+:t=~'t11.tE"Gw ~11a11 C7 t;3 d3° tack, eMte~ Ptvt?~Icrrs ~ta~gseta~ts~ry #{f€i,iz~ ak f:lrk~ ac~~1r~~~ ttrid G~eR.+~~kxss't~ naked binl:~w. ~ . 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