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HomeMy WebLinkAbout20326-z FORM N0. 4 - s TOWN OF SOUTHOLD BUTLDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22182 Date MARCH 8 1993 THIS CERTIFIES that the building ADDITION / ALTERATION Location of Property- 415 FISHERMAN`S BEACH ROAD, CUTCHOG UE~ NY House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 1 Lot 36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 10 1991 ursuant to which Building Permit No. 20326-Z dated DECEMBER 11 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 ADDITION AND ALTERATION TO EXISTING ONE-FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS & MARIANNE McKEON (owners} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE Nq. N 264754 JANUARY 28 1993 PLUMBERS CERTIFICATION DATED FEBRUARY 19 1993 Building Inspector Rev. 1jB1 108M NO. f 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 2 0 3 2 6 2 Date .....1~~:~m.~::.....!! 19.q.1. Permission is hereby granted to: ...:~Qk.~:.! ...~.~R,......~.:y.:....~ ~..9.a.~........... ta ..~~ra..?~R~:~:S~.:....a:.^.~....0.,sd~.l:Sit!!~!:?.....~?-!~fS....~4Q-;~t;v......~Q/~....1?.'.:~- at premises located at a!:!~?.....~01~!..:e:d:................ . County Tox Map No. 1000 Sec~t'i'o~n ........1.~.~.......... Biock Lot No......~. ~ pursuant to application dated ...1..J.:?.S~?^.a^.~.....:~.V 19.9...., and approved by the Bullding Inspector. Fee S..f~..~1:..~.~..... C~ Bui ding Inspector Rev. 6/30/80 Form No. 6 . TOWN OF SOUTHOLD BUILDING DEPARTMENT - ~ ~y~3 TOWN HALL ~ ~ 765-1802 .5~,.ux,-.~~1 E63J3G. NaEP'a: 1"OWPJ~3FSOi9THCl1-~?~,,,„,,; 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 $4'.5.00, 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 $15.00 Date ....March .1,•d•993••••.•••••••••••~••••• New Construction........... Old Or Pre-existing Building... X Location of Property.415„Fisherman,',s,Bear,h„R,d,,,,,,,,,,,,,C,uZc,IlQgue,,,,,,,,,,,,,,,,,,,, House No. Street Hamlet Onwer or Owners of Property.. Thomas„ and. Mariann,McKeon,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, County Tax Map No 1000, Section.. 111.,,,,,,,Block.. 1 .............Lot..,,36,,,,,,,,,,,,,,,, Subdivision Map of Peconic Bay.Properties,Filed Map....-........Lot.. ~ Permit No. 20326. Z .,,,Date Of Permit..3/1'5/92 ,,,Applicant.Georpe. Terry,;;,,,,,,,,,,,, Health Dept. Approval ..........................Underwriters Approval.... X.................... Planning Board Approval ...X Request for: Temporary Certificate........... Final Certicate....X...... Fee Submitted: 25:00 . APPLICANT _ . INSPECTORS Victor Lessard ~$UFfO(~-C Principal Building Inspector p~ OG Curtis Horton y~ SCOTT L. HARRIS, Supervisor Senior Building Inspector y a Southold Town Hall Thomas Fisher p.0. Box 1179, 53095 Main Road Building Inspector O • ~ p! Southold, New York 11971 Building nspector Fax (516) 765-1823 VincenC R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector RoberC Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR ` Telephone (516) 765-1802 TOWN OF SOUTHOLD March 5, 1993 John E. Hill Assoc., Inc. General Contractors P. O. Box 776 Glenwood Landing, NY 11547 RE: THOMAS & MARIANNE McKEON BP #20326-Z Dear Mr. Hill: The Building Department is in receipt of your letter dated March 1,993 requesting a Certificate of Occupancy for the above referenced building permit, along with an application for a CO, plumbing and underwriters certificate, and a copy of a a DEC permit. However, we are unable to process the application since a $25.00 check for the fee was not enclosed. Kindly send a check at your earliest convenience. Should you have any questions, please feel free to contact this office. Very truly yOl1YS , ~ p e 1 a a i ! ,e.r. SOUTHOLD BUIL,fDING DEPARTMENT { F, I , QDr' C'~ jYj~~ ~ Mr7R ° ~~3 , x:=~. 5 Curtis W. Horton Senior Building Inspector CWH:jb ~ F i °J ~ - ~€.l~.t~ ~ X76'. -_rawrior-srurMO~.® (~s~) ~6-u~ March 1, 1993 Town of Southold - ;luil~ting Department - Attention: Mr. Gary Fish Town Hall Southold, NY 11971 Dear P9r. Fish: Enclosed is the application for the Certificate of Occupancy and a check for $25.00 for the fee.•-710C.{~AP~.--2*~.e-2oae..e(. The Health Department Approval is not enclosed because I was told that we were hooking up to the existing system and we did not need that approval. Please send the Certificate of Occupancy"to the above address. Thank you for all the past services and cooperation. Very truly yours, ~ ~ _ i Jo --r. Hill I e S1at~~1~,., s JEH/Ps - t 4 i _ _ INSPECTORS Victor Lessard .„r'~,_,~ , Principal Building Inspector SCOTT L. HARRIS Su ervisor ' Curtis Horton p~ ~a ~ p Senior Building Inspector ~'"l ' sn c ~ Southold Town Hall Su °~mg liup h ~i, ~ ` ~ P.O. Box 1179, 53095 Main Road • a ~ ~ Southold, New York 11971 Gary Fish ~~d~ ~ ~ja°-,- Fax (516) 765-1823 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD FEBRUARY 5, 1993 GEORGE TERRY CUSTpM BUILDER BOS 41 SOUTHOLD, NY 11971 RE: THOMAS fi MQRLANN McREDN To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: ~ An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. RIB The check is not on file.)$25.00 ~(~j~ No Health Department Approval on file. No final inspection has been made. XRx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20326-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: THOMAS 6 MARLANN McREON P.;:ELD I;:s:::c:.un po„~~ coH,~icur~ 1. mp ~N FOUNDATION x 'a'~' (31st) a i t L' ~ FOUI7DATIOt7 (2nd) 9 ~g o -c P,OUGH FRAME & ~ ,rs Y ~t PLUMBING T s` L _ ti 3 i ~ m Id U m t S L A P R N. Y. y STATE ENER y ~ ~ % CODE ~ ' f~ ry~ a` . ~ ~ 4 . ~ au•~o ~ m . ~ H FI77AL ~ iy ~ • ~ o ADDITION COMh1Et1TS: x g_~ 3 _ ~ . x ' ~ ~ 1 H • H 6 `yZ: (H r } . Z _ r~ • x d• _ m ~ ~JOHId SMITS, ARCHITECT P.C. 399 Conklin Street, Suite 300, Farmingdale, New York 11735 (518)293-5757 Fax: (516)40-1456 I i April 24, 1992 ~ Town of Southold Department o£ Buildings Town Hall Southold, NY 11971 Attn: Mr. Gary Fish, Inspector Re: McKeon Residence Fishermans Beach, Cutchogue Dear Mr. Fish, I have inspected the foundation and piers as poured in place at the site on April 24th, and have found them to be in conformance with the construction documents. The foundation system was designed by myself and Emanual Necula, PE, a structural engineer. It was a system designed to include both existing loads on the present locust posts, and a distribution of new and addi- tional loads onto new foundation walls and piers. The existing locust posts which remain were intended to be used, show no loss of structural integrity, and will carry no more load (most cases less) than they did previously. In addition, the contractor has provided for some extra concrete piers for reinforcement of some posts. '4 Please call me if you have any questions regarding this matter. Y~u1rs ruly, i - - ` d'~ G+~ John Smits E cc: J. Hill, Contractor t t I i f i I Member of The Amer{can Institute of Architects H. SMITH PLUMBING & HEATING, INC. MAIN ROAD SOUTHOLD, N.Y. 11971 (516)765-3690 C E R T I F I C A T I O N Date February 19, 1993 Building Permit No. 203262 Owner John E. Hi11 Associates {Ref: McKeon Residence Cutchogue, NY 1.1935) Plumber: H. Smith Plumbing & Heating, Inc. I certify that the solder used in the water supply system contains less than 2/10 of l~ lead. my P. Smith Sworn to before me this 19th day of February , lg 93 Notary Public, Suffolk County ~~imczrda~lvvO~~ry?-,rr~ Notary Publi BERNADETTE L. TAPLIN NOTARY PUBLIC N4844893 State of New York Residing in Suffolk County Commission Expires Sept. 30, 191.L .le _ , I it < ~€g~lr~tl t~.~ <'ii7f pl`~dh9I _ INSPECTORS Principal Building I pector p~~S~4F0Cx~'OG Curtis Horton =Z' y` SCOTT L. HARRIS, Supervisor Senior &tiilding Inspector o - Thomas Fisher y Z Southold Town Hall P.O. Box 1179, 53095 Main Road Building Inspectar A • ~ p~- Southold, New York 11971 Bui ding IFnspector ~ ~a Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516} 765-1800 Ordinance Inspectar Robert Fisher Assistant Fire Inspectar OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD March 5, 1993 John E. Hill Assoc., Inc. General Contractors P. O. Box 776 Glenwood Landing, NY 11547 RE: THOMAS & MARIANNE McKEON BP #24326-Z Dear Mr. Hill: The Building Department is in receipt of your letter dated March 1,993 requesting a Certificate of occupancy for the above referenced building permit, along with an application for a CO, plumbing and underwriters certificate, and a copy of a a DEC permit. However, we are unable to process the application since a $25.00 check for the fee was not enclosed. Kindly send a check at your earliest convenience. Should you have any questions, please feel free to contact this office. Very truly yours, SOUTHOLD BUILDING DEPARTMENT Curtis W. Horton Senior Building Inspector CWH:jb THE NEW YORK BOARD OF FIRE UNDERWRITERS ~A~I. ? ~51Pt5 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 pore ~TANtIARY ^f3rl.!29.: ApplirationNo.onflle 7fiY6632N2I97 !f 1414°l54 THIS CERTIFIES THAT only the electrical equipment as described below and Introduced by the appllcont Homed on the above application number in the premiaea of z'f~a~A,~ ~r.Keofl, ~~sx~Itl4n.1~:; IIEAC,t, I,zILa a, cl~~{°Iff~ctrw,, R1,Y. in thefol[o+cing hrcalion; ? Basement © lxt FL ~ 2nd FL. liARi Qtl ~4 Sertion Block Lot uns exareined on DECE<f(f#fi~ ~~6~r1.~y1 and found to be in ron+pliance uith the requireneents q/'this Roard. i1XTURE ECEPTACLES SWI7CHE5 FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTUiTS INCANDESCENT FIVORESCENT OTHER PMT. K W. AMT. K. W. AMi K W. AMl K. W AMT. H. P 65 53 S9 fl'L 1 1 t.8. 3 B DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gEq UNIT HEATERS MULTI.OUTLEi DIMMERS AMT. K. W. OIL M. P. GAS H. P AMT. NO A. W. G. AMT. PMP. AMT. AMPS. TRANS. AMT. H P. SYSTEMS AML WA1i5 NO.OF FEET 5 F 2 2 1 22 601 SERVICE DISCONNECT NO.OF S E R V 1 C E AMi AMP TYPE METER I a. YW 1 % 3W S % JW 3,e 4W NO.OF OC. COND. A. W G. NO OF HbLEG A' G' NO Of NEUTRALS 0. W'r' EQUIP. PER % OF CC COND, OF H44EG OF NEUTRAL 20P+ (;tl X 1 4162 1 2~*7+ OTHER APPARATUS: JACI]I.raT l IIOTtlCi5ol.0-f' It.i'. I'ANFIIBQACtt38T4.-1 t;til, 1.@0 {a.F.C.ta-R 5NOtCF; DI;Th.C`L'Oltt ~2 /,/per GADp,PlAtdh' ELE4, 7'lIC., L7C.~4193.-G C~/~~ ~ IG'l!i "aTLI.I,WATFR AVF,PlMJP; CVY'CHQGUE, !1{'r 9.193`i OENERAI MANAGER Lk i' Per This certificate must not be altered in any manner; return to the office of The Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DE A TMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. t' i., k 4 m o ~ ~ ~ - a o z D C7 m o ~f~i-~ ~ ~--a n (Q ~ ~ ~ C7 ~ ~ ~ O ~ ~ r-a rn Z ~n.~~ Q~.~ ~ s o Z o t°~D~~mr*o mCD ~ < y G, m ~ o zv ~ - z ~op~~o CD ~ r+ ~ ,o' o ~~o u~ ~ w m s~ ~ ~~~cno ~ ~ ~~om~rn ~ ~ r* su ~ p ~ ~ r ~ ~ 3 ~ o ~ m ° ~~~~~a i ' ~ ~ PECONIC SURVEYORS, P.C. ~ ~p ~ ~~a ~ ~ 1`"'" i ~ ~ s _.a= 1,x,t P.O.Box909 ~ ~i' ; ~ 54655 Main Road e MAY i.2199~ , ~ , ~ Southold, N.Y. 11971 ~ ~ ~ ; c e , ` > f 516-765-5020 i~rsE, ~ FAX 516-765-1797 ~TC3YJi~` C~ d °~k`~ John T. Metzger, L.S. May s,lss2 Mr. Gary Fish Southold Building Dept. Southold N. Y. Dear Mr. Fish: Re: McKeon Residence 1000-111-01-36 The Survey Map dated April 28,1992 with the revision date of 5/6/92 above the bottom margin is the corrected map. Sinoe e~ly, `M L.S. f JOHN SMITS, ARCHITECT P.C. 399 Conklin Street, Suite 300. Farmingdale, Newyork 11735 (516)2935757 Fax: (516)420-1456 I ~ ~'-~'~~~=~s~ July lo, 1992 ~ ~ 1~419~2 I at.o~. rarr:~x: T®\R!~! CAF .~s~t"3ElFhi®Lr) ° Town of. Southold _ ,,,~,,,,,,,g Department o£ Buildings Main Road Southold, NY 11971 Attn: Mr. Tom Fisher Re: McKeon Residence Fisherman's Beach, Gutchogue Dear Mr. Fisher, This letter is to certify that I have personally inspected the framing of this residence on at least three site visits, and had redesigned the ceiling/roof framing of the first floor master bedroom. I have also inspected the finished revised framing and found it to be in accordance with the plan. All framing in the residence is in accordance with the filed plans with the exception of the modification to the roo£ line of the bayside bedroom. i Y urs truly, i E John Smits k Member of The American Instifufe of Architects f - _ _ . - ~ F s 95~20b (10190)-25c DEC PERMIT NUMBCR ~ 7~cii~vr DATE 1-4738-00343/00001-0 = September 5, 1991 FACll1TY(PROGRAM NUM4ERP) PRRMIT C%PIRATION DATF Under the Environmental Conservation Law (ECL) September 30, 1993 TYPE OF PERMIT (Check All Applicable Boxes) ®New ?Renewal ?Modif ¢aUOn ?PermLL to Construct ?Permrt m Operate Proltectlon of(tWat r ~ SPDES 17, Titles 7, 8: ~ Hazardous WalsteManagement 3 Article 15, Title 15: ~ Article 19: ~ Article 34: Water Supply Air Pollution Control Coastal Erosion Management Article 15, Title 15: Article 23, Title 27: Article 36: Water Transport ~ Mined Land Reclamation ~ Floodplain Management Longelsland IWelisS ~ Frelshwater Wetlands ~ 6NYCRR1380. Ratlation Control Article 15, Title 27: ~ Article 25: ~ Other: Wild, Scenic and Recreational x Tidal Wetlands Rivers Article 27, Title 7; 6NYCRR 360: 6NYCRR 608: ~ Solid Waste Management Water Quality Certification PERMIT ISSUkD TO TELEPHONE NUMBER Thomas McKeon ADORk 55 OF PCRMITTFE 17 Mass chus s Blvd. Bell i NY 1 0 1 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER S 39 3 735 (5 6) 293-57 7 NAMC AND ADDRESS OF PRO)f CTIFACILITY ' LOCATION OF PRO1kCT/FACILITY COUNTY TOWN/CITV/VILLAGE WATE RCOURSE(WETLANU NO NYTM COORDINATES E~ - N4___ DESCRIPTION OF AUTHORIZED ACTIV ITV 1 1 breezeway and a 20' X 25' ara e. Relocate existin se tic s stem, All work shall be in accordance with the attached NYSDEC approved plan. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (See Reverse Side) and any Special Conditions included as part of this permit. "'t Y) PERMIT ADMINISTRATOR ADDRESS AUTHORIZED SIGNATURE ~ ~ DATE page 1 Of ~~gUFFO~kc TRUSTEES hy~ QGy John M. Bredemeyer, III, President p ~ SUPERVISOR. Henry P. Smith, Vice President W ~ SCOTT L. HARRIS Albert J. Ktupski, Jr. j, • ' John L. Bednoski, Jr. 'flQl ~a0 Town Hall John B. Tuthill ~ 53095 Main Road P.O. Box 1179 Telephone (516} 765-1892 BOARD OF TOWN TRUSTEES Southold, New York 11971 Fax (516) 765-1823 TOWN OF SOUTHOLD July 12, 1991 John Smits, 399 Conklin Street Suite 300 Farmingdale, NY 11735 RE: Waiver 'Phomas McKeon SCTM#1000-111-1-36 Dear Mr. Smits: The following action was taken by the Board of Town Trustees during its regular meeting held on July 11, 1991: RESOLVED that the Town Trustees APPROVE the request for a waiver for the following: To construct addition to existing house as per survey dated June 24, 91. Please return to the Building Department for a determination on the . need for any other permits which may be required for this project. Very truly yours, G~- - John M. Bredemeyer, III President, Board of Town Trustees JMB:jt cc: Bldg. Dept. File JOHN SMITS, ARCHITECT P.C. 399 Conklin Street, Sulte 300, Farmingdale, New York 11735 (516)2935757 Fax: (516)420-1456 December 2, 1991 Town of Southold Building Department Town Hall Southold, NY 11971 Attn: Mr. LaSarde Re: McKeon Residence Fisherman's Beach, Cutchogue Dear Mr. LaSarde, In order to clarify the status of the addition in regards to FEMA regulations, I spoke with Mr. Paul Weiberg of their New York City office. He said that we would need to build at elevation 8 or above if we are over 50g added value. However, the Town would be within its rights to grant a variance for a lower elevation if it felt inclined to do so. Areas such as porches, garages, breezeways, etc that are not habitable areas need not be set at Elevation 8. It was recommended, but not stipulated, that any electrical devices in those areas be set at Elev. 8 or higher. k I retained the services of Mr.John Metzger of Peconic Surveyors, to obtain the elevation of existing first floor level. His finding, in U5GD is Elevation<':8I1, which meets the FEMA regulation. Therefore, our new addition:will be in accordance with the FEMA regulation for minimum Elevation 8. f Should you have any other questions concerning this addition, please call me. t G ~ Yours uly, f - - Jo ~ Smits if i i cc: T. McKeon ~f I { j j I t{ Member of The American Institute ctArchitecis _ ~ s ~ , - , _ ~ , . ~ r~ ~ ~~M ~i~ ~ 5~ \l~~, i S ~ ~n`'~ ~Y - - i i i r i i _ 765-1802 BUILDING DEPT. 1 NSPECTIAN [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND ~-fiN~U TLA ION [ 7 FRAMING [ ]FINAL REMARKS: ~-o~~~~ DATE INSPE 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: ` + ~ 7 ~ ~v_~~~ y / G~~ DATE ~ l v INSPECTOR M~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ OUCH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [~~MING [ ]FINAL REMARKS: ~o G 2~K6 ~ 2 _2xyG% ~y ~ , Gt/Q o-m~ ~ O, DATE 2~----- INSPECTOR ~ ~ ~ r 765-1802 BUILDING DEPT. tNSPE~TtON FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ]FINAL REMARKS: _,~~~~t.~,_ .~~'1 ~ DATE ? ~ INSPECTOR BOARD OF HEALTH FOFiMN0.1 3 SETS OF PL1Y5 TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CFIECK TOWN HALL SEPTIC r•oart SOUTHOLD, N.Y. 11971 TEL.: 765-1802 r:oTIPY; CALL Examined ~4"^^^~A°<k ~ I.., 19 9.1. Ct n I L T O Approved~.~?^".`~... 19.`11. Permit No.Q~.~~2,Zo . Disapproved a/c _ . 0, A c..t.we..~-,~.,~,° 01~ ~-----.7 (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .~°Z,fO~........., 19~.( INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, h ilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i tions. . ...p~. (Signature of a licant or nif a corporation) ~~~~t~d. ~!,s,~y~/~l. ~~.i%~.7~. . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .....47~'.C.r'/. ~ Name of owner of premises Y'~.MAS ANC? MA2~ANN , MCK-COn~ , , , , , , , , , , , , , , , (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 . . ...Q~I~' FISHE•j2MAn1S.¢~ACN.Ra?D...... cuT"GHOGUE,,,,,,,,,,,,,,,,,,, House Number Street Hamlet County Tax Map No. 1000 Section 4 k ~ Block ! Lot . Subdivision .M9?Op 9FCpn~1G,P,va~,CS~ ~?~,C,•,Q.93~~ Filed Map No. ' Lot ...7.......... . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy :~~J~.FAM}4~/, ~,~itDEN~~ . . . . . . . . . . . . . . . . . ~-II a~l~,"{."° j," b. Intended use and occupancy .........'SAME • !...R $ A,r?,.: s" • , . . ,y~, , r '3. ATature of work (check which app]iFable): New Building , Addition ...X...... Alteration . Repair Removal • Demolition ..............Other Work . 4. Estimated Cost ,Z,~„ (Description) O, Fee ..'jr!d(gSS~. $'~~~.-10 (to be paid on filing this application) 5. If dwellin number of dwellin un If era a number of cazs g ~ts • ~ ~ ~ ~ • ' ' ' ' • • • Number of dwelling units on each floor - . . S g,> i..~,,..... 6. If business, commercial or mixed oEcupancy, specify nature and extent of each type of use ' . 7. Di pensions lo-)t .existing stru Numbe f any: Front ..51':x.° ........Rear . 51%£3 ; , Depth 3b ;`2''. Hei ht ~ ~ t of Stories ! . D Pensions of same structure with'~alterations or additions: Front , ,5,1,'-b° , , , , , , , , , , Rear . ~ I:.Q'.' . 45- De th , 2~ . .Height . ~2S'-~'~. , . Number of Stories ' : n 8. Dimensions of entire new construction: Front . , 24-d........ Rear Zo: Q ......Depth ..25'P....... . . -.1.4-0........ Number of Stories ! . . . Heightr~ e0 Rear , Depth . !-1°! ; B2.' . 10. Date of Pnr hrasa ~ Name of Former Owner 11. Zone or use district m which premises are situated 1~651AENS-E.!°~ , ,~.4onL~c~+dia~M.#Q,g4fo~ . . 12. Does proposed construction violate any zoning law, ordinance or regulation: Y.~~VA1?1~~.4~~N4-R `~,/,ql, , , , , 13. Will lot be regraded N.b , , , , , , , , , , , , , , , , Wi1I excess fill be removed from premises: ~ Yes No 14. Name of Owner of premises !d~:ANA^M~v,MG~.GO!~1 Address ~,4~~,vl!~G'~.. Phone No.'1•P~B; .61°l.9... . Name of Architect ~pEt!~l.Sr,4i;t~"S AI?CNj (~~t ; , ,Address .r`~6.P-raINC~Q:44E...... Phone No..2~.'-~'. ~,5 7~.7.. . Name of Contractor ,14}-W.H144 ?!~CI/~TE,S.... Address .SG-"A4~1'F>= ........Phone No. 1.5.°1'..`~ipSQ-; , , 15. Is this property within 30¢ feet of a tidal wetland? *yes..:~.... No......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all b{y~ildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block nu4nber or description according to deed, and show street names and indicate whether interior or corner lot. f 5~ ,4'rT7iG1-4~t7 PI.A NS ~I I j I II n I STATE OF NEW YO K ~ s.$ COU ~Y O~F r;J.kh~l~-~-. , ame of indivi a] si nin! being duly sworn, deposes and says that he is the applicant g ~ contract) above named. i II He is the.?./~.~',~~7,~........... (Contractor, agent, corporate officer, etc.) of 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 contairied in this application are true to the bast 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 ...........10'.~''. .dayo ~ ~c2w..~Odr" 19a:~ Notary Public, , , , • , ~ S'u~~jo~l~ .County ROB~R . SCOTT, JR. 11pTARYP LIC, to,pfR.Y. Ato. 47 , Su~a'k Cou~qryy~ (Signature of applicant) term Expires Id~y 31,18 kL. ' ~ _ ROg ~S, oa, _ = ser>~u< f~LOG,4TET~ ' Sy5TE1`a qo~ 6At,I,ON - ~ t.E NiniG Poo L '7' ~Wa~y ~20o Gnu _ / Se c~K r z r= s N r ~ Nam ~r~+-1 ~ ~ IJEW /4DDITlON ~,XISTING RE~IDENC.1_, ' '1J~, Op , O ' N . r TIE C.I N ~ H! C H - - - - - - WAT~R MgRI< ~ _ . G/3/ ~ 7 ~5•-75~ ' • c CUTGNQGUE ,~er~ROVt~ +.s rEx ~xN9 t~ GNU l'C)NUIT10li/ ~ ~IA~B~R ~ 7 -QO~~ ODJ~~ o 1't_itMl"1' NO. 7XJ~ '.~G.~CJO~ 1 ~C~fvU/~W u;rt_413~-R JQHN SMITS A(2CHITECT RC. 399 CCfdKLIN ST. SUITE 300 ( SITS PLAN FA)l~?+INC~~A!.E, N.Y. 11735 20=0" = I I0O0- 111- I -3Co Co/Z4/~I S~I~~al t h'~, sgSO. ~O. ~'tS' E; ~ e~. a / ~b• 99 ~ '9O i ~o. ,o;. i N ~s cn~ 'oO'l7. < ~'~a Pr'~j4, , ~ OQ~O~.(r ~o M1f O ~ o ,s , ~ ~ ~ Q ,ti ''s ~ , . ~ l~c~ spy YqY e'i ~ Z O ~/1~ 4i p~ qp (`i/t ~ry0 ~+~rti ,n~ O~ \ nh 2'" gay ryc v Q N g qy b 9 2 N y ~J'ID 6 ,?i ~Q 0; 3y.. Q Ae. ~ ~8 ~OA~ ~ ~ ti~L 1. ti P y. APR 2 g f~92 sss~\°~~ ~s ~o~~ ~ _ \V •o \~O. o O• TOWS! e7F tii7s,`k'i#Cii.G's Oa w,,,.,.~=,.;.r..,,..n,.~ hp~ S,s~ ~y~ F y ~ sURVEr of -9,Q~~ ~ "P~con~rc e~,a© io BRr~~s, inrc ~ Ana. ~ AT PECONrc TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. rooo - »r - o~ - ~e Scare: i" =30' April 28,1992 ltc.~~ b va~.~ 6~ ~ Q~``~ 75 a~P,.~~~gIJ{:f , . LIC. NO. 496!8 Prepared In accordance with the mtn/mum ~ standards for 11t1e surveys as established fCONI .,~.5~ R ' S, P.C. by fhe L.I,A.~,S. and approved and adopted !5/61 765 = 50 for such use by The New York Slate Land P. 0. BOX 909 T/lle Assoc%llon. MAIN ROAD SOUTHOLO, N. Y. 1t97t 91-288 ~ ,,nr~> T/TLE NO 77 S /4073,~c~r,~~1~ J-~~ J~ w , F pow.,., , ~ .l-' ~ ~J '~Y..~~}r~~ Y r,~.~•;,~apl.. / ~.p. t t+lti S ti ~ .v ' rp.,,~-gyp I~,ly'~MYM~d£4~ y,'{4,~,'.'~:~7t~i~ ~ ~a I ~ ! ~ +~~`n'~tlp ~I SU y~b~. I'' i , d~ 77 t. ly.il.' ~ ~ , ~ : ~.F~.4-,~ ~ ~y~' .~.,'lir~. T. ' ~ V .3, ~ d.. L S- ' N ` ,qT , ~ ~ BAs, `r t . ~ O m ry0\4? / soo, I', ~..i` ~ . ~ ~ ~ I; nr. I.~: Op .3$ r~.: oo ~ s.::'' Q ~ xr'+<',;I~ 1 p ~4hda~E /ai ~~h D,°0 b0' ~ ' , dCh l~ V ' ~ +,.r.,; ~~E:, \ r . •r ~y,tiu;,iµzs•t'° ~\-+74~u,"N•r,.-;~;.,v~wwv'rn-. } G1/ ~ > -V Shore line os shown v S on fi/ed mop. ~ ~ ~ .t" ~ ~ , • ~ ` Ye /ine o/ong opproximole - y " ' wolermork of June 3, /977. t q~ ' ~ ~O • ~ B ' _ PRD I'~: 0T NOTES ~ ' ~ l., ~ I ~p~ ~ }OG ~ ~ :MONUMENT ~ . ~ ' r;~'-::"ir SUBD/V/S/ON MAP F/LED /N THE OFF/CE ' . " "i" n ~ ~ OF THE CLERK OF SUFFOLK COUNTY ON ~ - k APR/L /5, /93/ AS MAP NR 7B6. , • ' - N r`^9 ~ 45893 , vv - ~F~/AYD SUAUc~Oa REVISIONS B _ _ YOUNG &_a(AUN~ ~ 400 OSTRAN DER AVENUE, RIVERH EAD, NEW YORK ~ - ' ALDEN W, YOUNG HOWARD W. YOUNG UEIAU7NDRIZFD A{iERA7IO PROFESSIONAL EN OINEER ANb 'LAND [URV[YOR F"' i0 iNl$ SURVEY IS A VIOLAT UNAOE1fION 1 LAND eURVEYOR, N,Y. B, LIC. NO, 12845 1 yl SECTION 7RDY N. Y. LIC. NO, ~![I YIDS FDUOAiION LAWE THE NEW YORY. SIAIE SURVEY FOR. ^'OORIES OF IHI$ SHRyEY AIAP p107 BEARING THOMAS McKEON Q MAR/ANN T. McXEON; i;: z'' • , EHE LAND SURVEYOR'S 117KID .SLAT OR ~'''/,~`~~'1 fME055[D $FAL SHA{{ NOI BE LOT NO. 7, "PECON/C BAY PROPERT/ES, /NC. ~E'~ ~ " 70 BE A YALID ERUE COPY. CONSIDERED GUARANTEES INDICATED H[REON SHALL FUN ONLY TO THE PERS'1 Sri ° ~ ~i"k'-~ IS pRERARFD, ~N FOR N'HUM 111: SUpyFY AT 'r GUARANTEED TOt AND ON HIS BEIIA{i 10 lHL PECON/C 1/7LE eoMpANr, °°vuevMfNU{ SOUTNOLD SAV/NCS BANK FENDING INSUNiION ~ tc L ' 10 EHF ASSIGNEES OE LiIi[F~DENpREON,EANDAND TOWN OF y CH/CAGO T/TLE. /NSUgANCECO. "U710N. GVARANikES ARE NOf NC INSiI• SOU/ HOLD 0 A If10NAl INSiIfU710N5 iRANSfERABL[ ~ / ' ~ ~ ~ E ~ oR su$SEQUErR SUFFOLK CO., N. Y. eY~v`/N!G/1,d ,('o latt~:;k~' cJ ~~~il. r%L SCALE: u i DATE: 1 ' / 40'- B 1 /Nb'7 /977 ' ' No ;