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Home My WebLink About20138-z n FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22653 Date OCTOBER 8, 1993 THIS CERTIFIES that the building NEW DWELLING Location of Property 1420 NO. BAYVIEW RD. EXTENSION SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 9 Lot 76 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 3, 1991 pursuant to which Building Permit No. 20138-Z dated SEPTEMBER 12, 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JACK A. & MARY E. GUILD (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-154- SEPT. 15, 1993 UNDERWRITERS CERTIFICATE NO. H-036615 - AIGIST 24. 1993 PLUMBERS CERTIFICATION DATED SEPT. 1 1993 - JACK GUILD Building Inspector Rev. 1/81 FO$ffi NO. ~ TOWN OF SOUTHOII~D 81i1LDING DEPARTMENT TOWN HAIL SOUTHOLD, N. Y. BUILDING IPERMIT CTHIS PERMIT MUST BE KEpT ON THE PREMI5ES UNTIL FULL COMPLETION OF THIr WORK AUTHORIZED? N° 2 4~ 3~ Z Date 1'.~~ 19 ~i~~ T~" Permission is heresy granted tq: Y ...............~lr:~fG.~................ ro . ...........r . , ~ ~ ~ G~ ~ ~ at pre~r115eS IOCated Ot f• ........................................:~iP............. . ......................................................................rryy..........................................................................,............ County Tax Map No. 1000 Section ......,....l..~..••• 13tock Lot No.........®~.~~........... pursuant to application dated ~~~~..~r..~ 19........, arsd approved by the Building Inspector. Fee 5..~".~~...~. uil ~ g Inspecto Rev. 6/30/80 Form No. 6 'rn.Cu,C.'. Qo g~ 33~ 'n q ir93s TOWN OF SOUTIIOLD 6~ \ '~~1:,~~,~,~ BUILDING DEPARTMENT ~ s ~ TOWN HALL i 765-1802 1 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. S. Commercial building, industrial building, multiple residences and similar buildings and installationr;, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval df completed site plan requirements. 3. 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. 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 $15.00 Date September 1993 Iew Construction..,,X,.,,,, Old Or Pre-existing Building '.ocation of Property.~42O.No....BaXview Rd Extension: Southold House No. Street Hamlet )nwer or Owners of Property.. Jack.'A: and Mary E. Guild ;ounty Tax Map No 1000, Section....~~$,,,....B1ock......09. .......Lot......, 076. subdivision.. N/A N/A N/A 024/~~"7~1~'.F=YOU?CE.S ...................Filed Map............Lot...................... permit No. ~.fi~~.~:1.7,,,,,,Date Of Permit', g.,~d`..Gf.'I....npplicant.:~~eK iY1N~1 Gt//LL~ :ealth Dept. Approval ..........................Underwriters Approval......................... 'lanning Board Approval.....,,N/A... . equest for: Temporary Certificate........... Final Certicate.. ~ 'ee Submitted: APPLICANT r/' Co.~~~~656; - rte,;;. FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N•Y. CERTIFICATE OF OCCUPANCY No Z-22656 Date OCTOBER 14, 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 1420 NO BAYVIEW RD. EXTENSION SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 9 Lot 76 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 3, 1987 pursuant to which Building Permit No. 16431-Z dated SEPTEMBER 7, 1987 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 ACCESSORY GARAGE AS APPLIED FOR The certificate is issued to JACK A. & MARY E. GUILD (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-036615 - AUG. 24, 1993 PLUMBERS CERTIFICATION DATED N/A ildiig Inspector Rev. 1/81 ,1~` s, . ~ Jack and Mary Guild P. O. Box 331 Cutchogue, New York 11935 March 8, 1993 Southold Town Building Department Southold Town Hall Southold, New York 11971 Re: Building Permit No. 20138 Z Gentlemen: On September 15, 1991 we were issued the above- referenced Building Permit to construct a one-family dwelling with porches and an accessory garage on our property located at 1420 North Bayview Road Extension, Southold, New York. This Permit expires this month and we respectfully request that it be extended for an additional six-month period. Please advise us at once if there is any problem with your granting this extension. Very truly yours, Jack and Mary Guild Form No. 6 ~66 TOWN OF SOUTIIOLD 4 } 0.t ~o{,y~ BUILDING DEPARTMENT yt "°3 `rti;` TOWN HALL £r a o 76s-lsoz ~~~s~ • SC6~ a 3,~;~,,'. 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 ly lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installation;;, 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 t "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 $15.00 Date ,September 1993 few Construction.......... Old Or Pre-existing Building . .ocation of Property,1420.No...Bayview Rd: Extension, Southold House No. ..••Street. • ..............Hamlet............. )nwer or Owners of Property., Jack •A: and Mari E: Guild _ . ;ounty Tax Map No 1000, Section....~~$.......B1ock......09........Lot.....,, 076 . ubdivision.. N/A NIA N/A oZd(~ E ~ 14~i~(~CE.S ............./~......Piled Map............Lot...................... ermit No..~.~~,«,~-,,,,,,Date Of Permit'..! .~~'.,9~,,,,Applicant.J~,~`„~,f7, ~~'~Y,CT,~,~ ealth Dept. Approval ..........................Underwriters Approval......................... Tanning Board Approval.....,,N/A.. equest for: Temporary Certificate........... Final Certicate., ~ ee Submitted: CA ~ a,a~t ~ 3 APPLICANT mows xo. 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) ~0 7 6 4 31 z Date ..~.Q.~°r~.r,4:~.3...~ 19.~.~ Permission is hereby granted to: ta ..C.il:~r:~~.~.?4~'....t~....~~cw~!~n,~...1.?..u::::~4,~a...Qs?4:~!-~.~......~^'.+ :~C>~.~. x,,...~..... o Q-sue.... ~D / .~°'-.~~-..J. at premises located at ..............~1...~...°~a'`.~1.~~-N~...!~C......~°C~i .'.....~)9:c4:!Y!S.}h:- County Tax Map No. 1000 Section ....p.07._~.....`.. Blak .....5~~.......... Lot No....~.~ pursuant to application doted 19~..~., and approved by the Building Inspector. Fee 3•~?.a~ :5~... c a, ~°'4 Building Inspector Rev. 6/30/80 ~.o/ ~ 7ss-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ) ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: DATE INSPECTOR . 5~FF0C~-~, TEL. 7G5-1802 o ~O "f TOWN Or SOiJZIIOLD l~~ t y~ OFFICE ORBUILDIiIGINSPECTOR cn E~~' y;=~~. 'T P.O. BOA 1179 O~~'~ ti TOtVNHALL ~0`n~' ~b0~ SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date 7~ /~jG/~ Building Permit No. p~ D_ Owner' ~/ll:~ ~nlG~ jylMr~y ~j//~ -((p~~n~use print) Plur,.ber . !/~I t:~~ /~Q (please print) 1 certify that the solder used in the water supply system contains less than 2/10 of to lead. V C `n A Vc ~ ~ ' l l\ / ~ plumber's signature) Sworn to before me this >.9 . ~ , l~otar• ~ Srl~uL / Notary P tic I Iublic, County ~ . . J~ F•~e d New H°otic , / tdolary . No. 5251849 ~ B's~~ion E~~ June 30, THE NEW YORK BOARD OF FIRE UNDERWRITERS anl:,t; El0`~'jf3'~ r BUREAU OF ELECTRICITY 8S JOHN STREET, NEW YORK, NEW YORK 10038 Dace IlIIGIS;I'P 2(1,1993 Ap~licationNo.onfile ?2e13779'1%(d} }j N36E;'15 THIS CERTIFIES THAT PI+ItMI?" N0. .16431. only the electrical equipment as described below and introduced by the opp/icont homed on the above application numher in the premises of JA.I)R/MA12Y GI[1'GD, 1~d2U~ 110. [iB.YVSi9W }tll.111('P„ 60iITH0I,~r N,Y. in thefollowinq locotion> ~ Basement ® Ixt Fl. ~ 2nd F'1. ~r1~ge 1. L<({~O~ .Sertion~~~ Blod~f ~'I Lot 41~~~•b~41 u~as examined ore p ~ G} ~I S 1. 6 r 1 ~ 9 and found to be to corriptfdnoe wtth the Nadiondl EZectrical Code: FIXTURE FIXTURES RANGES COOKING DECKS ~ OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLE$ SWITCHES INCANDESCENT NUORESCENT OTHER AMT. K W. AMT.. K.W AMT K.W. AMT. K.W. AMT. H P 39. h5 k,y 39 2 @ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS ggtt UNIT HEATERS MULTI.OUTLET DIMMERS AMT. K. W. OIL H P GAS N. P. AMT NO A W. G AMT. AMP. AMT. AMPS. TRANS. AMT H p SYSTEMS pMT. WATia NO.OF FEET 12 SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TypE METER I ]W e ~ aW 3 %3W J,a' dW NO OF CC COND A. W. G NO OF HbLEG A O NO. OF NFUTRAlS A. W. G. EQUIP. PER a' Of CC. COND OF M4lEG OF NEUTRAL OTNFR APPARATUS: I[OT0R:t3~6' H.;'.,4-''Fv fl,P. G. P, C, T.:-t8 uMOR'F I)I;'PECrooR; ~~''l 7AC1.;(M11I2Y r,;I1ILCi P.O. HOR :53:1 GIIY'CHOCpE, NY, 11935 ~ ~ ~ ~ ~ ~ GENERAL""'MANAGER C J. i i` i "'S Per J!; ' This certificate must not be altered in why manner; return to the office of the Board if incorrect. Inspectors may be identifi d by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS Ynt.r L aG}?1442 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date Al)t;i1~9" 141199'9 ApplicaHonNo.onfile ~1GJ6!t5"i9(hI90 fI G7~66:1G THIS CERTIFIES THAT QE7~MLT Nt7, 16931 ~ - only the electrical equipment as described below arad introduced by the opplicont named on the above application number in the premfsea of JACR/RfARY Cifl;l.Dt ~L12Q NO.. B~YV.T1J~! ROR[) k:~T.1 5(3U!Cl#07A97, Jd,Y, ® Basement ? /st Fl. ? 2nd Fl. (7U~ Serlion~~ Bloekg Lot 70 in thefollawinR location> ~ was examined on AtIG U S "1' 1 6 , 'L 9 9 .i and found fq be in campiigttce with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT fIUORESCENi OTHER PMi K W. AMi K.W. AMi NW, qMi K W AML. M. P. DRYERS FURNACE MOTORS WTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS RELL UNIT HEATERS MULTI-OUTIET DIMMERS AMT. K. W. Oll H. P. GAS M. P. AMT NO A. W. G. AMT. AMP. PMT. AMPS TRANS. AMi H. P. SYSTEMS AMT. WATTS NO.OF FEET SERVICE DISCONNECT NO.OF 5 E R V I C E AMT. AMP. rypE METER ~ TW 1 a. 3W 3.a'!W 3,a' ~W NO. Of CC COND. A W G NO. Or HbIEG A. W. G. NO OF NEUTRALS A. W. G. EQUIP. PER 9 OF CC.COND. Of H4lEG OF NEVTRAI 2Q1~ L. L9 ~r 7i~ 2)~ OTHER APPARA7U5: 2ARELh]OARD919.-25 L'J:R, 200 C//%~-~~ J1CY, A, GOCt.D lLar.~i Llonn P . Q , 90 H 3 3 9. ~ ~ GENERAL MANAGER t CU'PCHOCUP;, AIY, ]1935 l:f. Per tl I This certificate must not be uttered in any manner; return to the office of the Board if incorrect. Inspectors may be idan ified by their credentials. COPY FOR BUIWING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ;i.°~"a.j;~ r~ . ~:f Jack and Mary Guild P. O. Box 331 Cutchogue, New York 11935 March 8, 1993 Southold Town B,ail'ding Department Southold Town Hall Southold, New York 11971 Re: Building Permit No. 20138 Z Gentlemen: On September 15, 1991 we were issued the above- referenced Building Permit to construct a one-family dwelling with porches and an accessory garage on our property located at 1420 North Bayview Road Extension, Southold, New York. This Permit expires this month and we respectfully request that it be extended for an additional six-month period. Please advise ixs at once if there is any problem with your granting this extension. Very truly yours, Jack and Mary Guild s- 765-1802 Bl11LDING DEPT. 1 NSPECTI [ ]FOUNDATION 1ST [ ) ROt~GH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ )FINAL REMARKS: __l~ t~.c.e:µ.~ r 7 i DATE a 3~ 7 INSPECTOR ~ _ _ ~3~ ~?ss-lso2 BUILDING DEPT. INSPECTION [ FOUNDATION. -1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [)FINAL REMARKS: ~~~ll-k-~`N ~ - DATE ~ G ~ INSPECTO I~~ Y6S-1802 BUILDING DEPT. INSPECTI [ ]FOUNDATION i5T [ ] ROUGH PLBG. [FOUNDATION 2ND [)INSULATION [ ]FRAMING [ ]FINAL REMARKS: ` DATE ~ d 1~INSPECTOR r'lELD IGSPEC:iU~J ~~UkTE ~ i:OMME1.tTS ~y/ 1 . e . o ~ U/ FOUNDATION (Y~t) p2 (p ~ i~- m FOUNDATION (2n ) d bn - ~ ~ r 2. o~ ROUGH FRAME _ ~ PLUMBING - -~d ~ H 3. cn . rh I1ISULATIOP7 PER N. Y. G~ STATE ENERGY g - r CODE LL, ~ ~ a . m 4 . ~y D FIidAL ~ d' z ADDITIONAL COMMENTS: x y 2 i r ¢ x - - ~ x .Q~- oC9 C o - a cQ.7Mc_- ~Q . y H ~ O b ~ H Jack and Mary Guild 3~-3~ ' Main Road 4 P. O. Box 331 ~ n~Du.DcP7 Cutchogue, New York 11935 ~ °i'OLVNnfS£JU740LD__... , February 28, 1989 Southold Town Building Department Southold Town Hall Southold, New York 11971 Re: Building Permit No. 16431 Gentlemen: On September 7, 1987 we were issued the above-captioned Building Permit to construct a one-family dwelling with porches and an accessory garage on our property located at 1420 North Bayview Avenue Extension. This Permit expires in March o£ 1989 and we respectfully request that it be extended for an additional six-month period. Please advise us at once if there is any problem with your granting this extension. Very truly yours, Jack and Mary Guild// v 8osae xo. 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_ r Date ...s~JK,~.:12~2~..kK:t:S.z.../..1~ 19g~. ° 18 12 Z YYY Permission is hereby granted to: 1~... Q 1 ~ 11 . rn ~ , ~R::4.R....~t~Y~,-!:°....V..~`:~0.....PO4^~:. ~....,?.?-tcrr.~~.. 4~ 3; l..zz aft premises located at ...~..7..-?.0...~~.?.~?....~... ~:0...... County Tox Map No. 1000 Section .....~~,~.....f.. -Block .......Q~...... Lot No..1..~p pursuant to application doted ....~?~^~1~-4...~..........., 19 g and approved by the Building Inspector. . S~ Fee 3. ~ a........... ......[~.S!!. Building Inspector Rev. 6/30/80 ~~1~.- 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ OUCH PLBG. (]FOUNDATION 2ND [ ]INSULATION [MIND [)FINAL REMARKS: T w4%.~, .x /+~,.Y,wi xum ?l v b ~ ~ v.., d~ DATE ~ ~ ~ INSPECTOR `l3 l ~ Tss-isoz BUILDING DEPT. tNSPECTiON [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ i]''F1NAL CZ ~'1~(~C,.~ REMARKS: ~~q ~ ~ g~,p I1 fI iK ~t ~4 ~~tht J ~ .Jl~ _ DATE ~Z~INSPECTOR ~ / 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. F NDATION 2ND [ ]INSULATION [ FRAMING- ~a~u [ )FINAL REMARKS: ~ ~..,..,P _ ~ DATE ~ ~ ~ INSPECTOR Jack and Mary Guild P. O. Box 331 Cutchogue, New York 11935 September 3, 1991 Southold Town Building Department Southold Town Hall 53095 Main Road Southold, New York 11971 Re: Building Permit No. 185122 Gentlemen: Please be advised that we would like to obtain a new Building Permit in order to continue construction on the one-family dwelling with porches on our property at 1420 • North Bayview Road Extension in Southold. The current Permit expires this month. There is enclosed our blank check made payable to the Southold Town Building Department in order to cover the cost of same. Please send the new Permit to us at the above-address and call if there is any problem with your issuing same. Very truly yours, Jack and Mary Guildv Enclosure - ~D ~ ~i I~ ~ SEP - 51991 ~ rown~rr~ : r;; _ _ _ !MR Z Iii BLGG. pEFF. TOWN OF SOl1YNOE.Q Jack and Mary Guild P. 0. Box 331 Cutchogue, New York 11935 March 5, 1991 Southold Town Building Department Southold Town Hall Main Road Southold, New York 11971 Re: Building Permit No. 185122 Gentlemen: On September 15, 1989 we were issued the above referenced Building Permit to construct a one-family dwelling with porches on our property located at 1420 North Bayview Road Extension. This Permit expires in March, 1991 and we respectfully request that it be extended for an additional six-month period, until September, 1991. Please advise us at once if there is any problem with your granting this extension. Very truly yours, ~c `l~ ~cc~oti Jack and Mary Guild ~ 1 Jack and Mary Guild M~~ Main Road P. O. Box 331 ~ ~tt~~~~~dr=~'Y Cutchogue, New York 11935 ~'C~titift10PS0UTMdLD February 28, 1989 Southold Town Building Department Southold Town Hall Southold, New York 11971 Re: Building Permit No. 16431 Gentlemen: On September 7, 1987 we were issued the above-captioned Building Permit to construct a one-family dwelling with porches and an accessory garage on our property located at 1420 North Bayview Avenue Extension. This Permit expires in March of 1989 and we respectfully request that it be extended for an additional six-month period. Please advise us at once if there is any problem with your granting this extension. Very truly yours, G~ 1~~,~t-emu Jack and Mary Guild 11~'n' / BOARD OF HEALTH ~ D ~ ~ ~ 0 " ~ 3 SETS OF PLANS . . FORM N0. 1 SURVEY - SFP ~ 8 TOWN OF SOUTHOLD CHECK ~ •`~~5• • • • • BUILDING DEPARTMENT SEPTIC FORM TOWN BALL ' E0UTH0LD,N.Y.11971 NOTIFY 73`~.~2Z~ TEL.: 765-1802 CALL • • • - • • MAIL T0: ~C, ~x 33\ w~bo~n t~ Examined . ~~'*.hr~., 19~q" ~ 851I Approved I9~ Permit No..~:~y=~j:LZ. Disapproved a/e - ~ MGR(- ~i (Building Inspector) APPLICATION FOR BUILDING PERPAIT ~ TOWN OFSOtJPtt10LD ; 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 .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 Depaztment 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. pp i~ ~9,~~.7.~ lti~'V . (Signature of applicant, or name, if a corporation) ..?0.3~ 331., IM0.~r`.~I.c~...~'n.~'C~ge......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. QW.t9~ Name of owner of premises . ~C~'rL~ G~~`LI . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .........r (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. .......~`.!t?Jl............ Plumber's License No. . Electrician's License No. P.w??QII . Other Trade's License No . . 1. Location of land on w',h~~ilch prop'o'sed workpwill be done. . House Number Street C~ Hamlet County Tax Map No. 1000 Section 7$ Block ! Lot .....~CO 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 . a b. Intended use and occupancy S-?.~?~-~ I ' J-D--Si'OE yatW sa{~dx3 weal - (3 1 3 } S) ~ ' . ~ AWndJM1~lMS'8/.BLOL4'oN • uEO[ ddE o am •EUa? ~ MBA MaN to elRS'~I1811d AfIYION 30A 30 TI N313N .C;uno~ ~ 7 ~ `ot?gnd.t.tE?oh i 1~6i ~ ~.3~Ep.. ~ i s?y; aw ago}aq o; u~omS •y;?ma.tay; pa1?3 uor;eo??ddE ay; u? y;so;;as.rauuEw ay; u? pauuo,?~ad aq ?Rm xsom ayl lEyl PuE :;a??aq puE a5pa?moux $tr?;o;saq ay; o; an„ aie uor;EO??ddE s?y; u? pau?e;uoo s;wawa;E;s ??E ;cy; :uor;cai?ddE s?y3 att} puE axEw o; puE X.rom p?es ay; pauuo3iad anEy .ro uuo;zad o; pazuoy;nE ~(Inp sr puE `sraumo uo saumo pros 30 (•o;a `iao?33o a;E,todroo `;uaBE `so;JEl;uor) I •paweu anogE (;oEZ;uoo Su?u~rs?Enp?n?pu?3o awEN) ;uEO??ddE ay; s? ay;Ey; s,(ES puE saspdap `uxoms ~C?np ou?aq bz • • • • • • . S S °'I 30 .C.L'yI]OJ 2I .C M3ty 30 H.LV.LS i I~ • , III III, ' ~ trr~an~S ~x~~~~ aas . I ay;aym a;EO?puc puE saurEU;aa.t;s Moys puE `paap o; ~u?pioooE uo?;duosap so.ragwnu Xoo?q puE;aa,r;s an?~ •sauR ~CUadosd tirot3 suo?suaunp xoEq-las ?p: a;EO?p'luc puE `pasodo.rd .ro ~u?;s?xa say;aym `s2tnppnq ?p: 6?;ou?;s?p puE ~i?.rEa?o a;EOOZ t • a W n5azdeQ 7~mdatmza saa~snz uMO o < I P F q d S, Z PT gznog satC ;I~ u ~ sax LPuEi~aM TEPFO E 3o aaa3 00£ uFyoFM Pa~EOOT ~C~zadozd sFy~ sI 'SI ..............:.off auoc?d ....I.......... ; ssa.tPPV ~~,~J.... J,~'''~ zo;aES;uor 3o atueK ................oN auoyd ....L , ssa.tPPV i rN.+»i...a~+SF~M'~... }oa;?yoiy 3o aurEK ..b~~~•~J~~'G..oNauoyd...~'"'ol~t)~%~~'+ai0~ssasPPV...~,h.~~J..~1;~~'..... sascwaid3o.taump;oaurEPI 'bl aH sastwaad woi} nowaz aq ??g ssaaxa ???A1 ' ' ' ' ' ' ' ' ' ' ' ' ' ' papEioaz aq;ol II?A1 '£I • • • • • • • • • • • • • • • • • ~ :uoc;e?n~a.r .to aoueu?pzo `mE? Su?uoz .CuE a;E~?n uo?;onr;suoa.pasodo.rd saoQ 'Z? .......................(f" ...II........ tiy~;y,~• • ~~~1 • • pa;En;?s azE sas?wa.rd go?ym u?;outs?p asi~;1'o`~uoZ ' [ I iaum0 a~a`wi°~d •~o~awety ase'goind 3o a7E~`"Ol y;daQll O~ .....tEag uor, :;o?;o az?S '',6 sauo;S 3o tagwn~l......'~'},t~/,... ;y9?aH .........~~?....u~daa .......!I•~~... • iEag...... ~C...... }uos3:uo?;oru;suoomau.~z?;~~3osuotsuauit~ • sauo;S;,}o .raq wnN • l~taH . . ti„'.,.,y,. y3daQ • iEag ....'I........ ~ ' ;uoz3 auo?;?ppE io suo?;E.za;?E y;?m am;orals awes ~'0'suo?suaw?Q ..........................sauolS3oragwnH............... ly~?aH y3daQ .read ' ;uoi3 :6uE `sawn;orals 8u?;s?xa 3o suotsuaw?Q ' ' • • ' ' ' ' ' ' ' ' ' ' ' • • • • • • asn do ad~Cl yoga 3o;ua;xa pue amlt:u ri~[oads `~Souednooo pax?w io ?E?oiawwoo `ssau?snq,?[ '9 srEO3o.ragwnu'a~ESCSdI .roou yoEa uo s •(uot;EOt?ddE sty; 3u??g uo pted}?un 2u???amP3o iagwnN slTun 9uglamp}o.ragwnu `~u??IamPJi 'S aq o;1 aa~ ...................~l~L ..........lso~ pa;Ew?ls3 'b (uo?~duosaQ) II x~oA\ say?O I uor;powaQ ?Enowag in'da~ uo?lE.ta1?`d ........i.. uo?;?PPd ' ' ' ' ' ' q eu?ppng maH :(a?gEO?1dde yo?ym xoayo) x.rom 3o amlEN ' BOARD OF HEALTH - 3 SETS 0? PLANS • • • • - FORM NO. 1 SURVEY TOWN OF SOUTHOLD CHECK # •'i~$- • • • • / BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL • • • • • •7`~•~2Z~ TEL.: 765-1802 MAIL T0: Q., rr'~ &x 331 wliku\ t`~ Examined .Z 192~.~ Approved~~ 19g~. Permit No..~.~y 31•ti~.'. Disapproved a/c ..:4,5 . ~ 9"'31987 ~F X 4 (Building Inspector) BLDG. D PT. APPLICATION FOR BUILDING PERMIT TOWN OFSOUTHOLO__ _ 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 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 pern~it 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. nn f~,,f( ........~A~~.TS.~~.41v'V (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is. owner, lessee, agent, architect, epgineer, general contractor, electrician, plumber or builder. ............~W.N~ Name of owner of premises ~~J ...~.tia'f~ . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. C~I)1.1.~1............ Plumber's License No. . Electrician's License No. C~w??~7 . Other Trade's License No . . 1. Location of land on which proposed work will be done. . .......1:20 ...V17. ,~.~e~~ ...~e~ ..................~~~~o~.................... . House Number Street ~y Hamlet County Tax Map No. 1000 Section 7 ~ , Block ! Lot . 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 tln ~ b. Intended use and occupancy ~ l~.~E.\.1yti . . 3. Nature of work (check which applicable): New Building . Y Addition Alteration . Repair . Rem'ioval Demolition ..............Other Work . (Description) 4. Estimated Cost..........~~1~ Fee...................................... ` (to be paid on filing this application) g g g, y7rits Number of dwelling units on each floor . 5. If darallennumberof adwellin ~/SS . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structurgs, if any: Front ...........Rear , Depth . Height Nurjtber of Stories . Dimensi~gns7pf same structure with alterations or additions: Front Rear . ",9 ,rinensrons of ~ti; ~A'ew const. 'Height Number of Stories '~~P~14"/i.., (~~,~„~"~t:; ....~ction: Front ~Ff...... Rear ....•~g........ Depth ...yS~......... g ~ Het ht v Nur{t ! ber of Stories t Size of lot. )~'"ro r+~~ . Rear .....~Q Depth . 10'. ° a e of P ~ c_hase ~ ~ me off' Fqrm~~r Owner . 11. Z e dj'fract in which premises are situated ~~..C~"!'~.LY . y~~....... . 12. Does proposed•construction vir 13. Wr~l~hlo~t regraded q]ate any zoning law, ordinance or regulation: ......./Y.Q . • Will excess fill be remov d rom premises: ~ No 14. Name of Owner of premises . , i...V W.~:'?.Gtanl , . , , Address ~4~!".~. t'~a•~~~.. Phone No:.~.3`f ~~q . . Name of Architect ~A.Wfi,~4~^^S.e. , .~TrA'F,~ni ~ ~ ...Address ...................Phone No............... . Name of Contractor , : „ ,('~,,y~p~...... , .Address . .............Phone o............... . 15. Is this property locatedliwithin 300 feet of a tiyidal wetland? *Yes *If yes, Southold Town Trustees PermitPLO~ DIAGKAM ed. Locate clearly and distinctly alb buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block, number or description according to deed, and show street names and indicate whether interior or corner lot. , I! S>°~ ~ ~oX ( SWtJ i VAC O~ I i II ii I STATE OF NEW Y~RJ~, I~ S.S COUNTY OF tx;. n Ilia ~ ~ 4~r ~ being duly sworn, deposes and says that he is the applicant (Name of individual sigrSing contract) above named. He is the ....~~vl'~ ~ . (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 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. Swom to before me this 3 da ok'..............., 19~T ~r~.... Notary Public, . . I . ~L County NOTA NELEN K. DE VOE ' C. ~ . RY PUBLIC; Sta of New Yak C No.47o7878, SuP~olkCountY (Srgnature of applicant) Term Ezpires March~30, ln_.~e.,r r ~ dhe Water supply & segv°pe disposal sye- DBSERVAtIONS ANDEOR fROM DATA OB AIN D f OM OTHERS ~MfiELD ,tams for this residence will conform to the ~ :standards of the Suffolk Count' Depa~aa 3a / V QR f V 4 cq N .meet of Health Services. ` S Tc' ~ T~~ o° 2 ~ ~.9, o° °o 00 ~ ~ s ~ ~ ~ ~ ~ ~ Pref. O ~ \i /66. fem. a ~ s= ~ ~ so ~ O Q a O y ~ A 4i r~ QO' PROP. s 0 0 j v o M SEp. a Q. P CT ~ P p ao Z' \ ~ ~ ~ 28' h ' ~ ~ ~ Q 2 o e4 ~ Q ~ T y ~ a 4 ~ V ~s 4 ~ r l'? 4' ~ _ v a4 V TEST HOLE Q ! ~ , i~0o 0¢rk O .Z~ J ~ bror~vn h Q ~Jv /oam 10 of 2Y o JY BrOWr! o Q V SCGlI~j' ry 4~ L loam 2 3 ~ 3 4 Pvle \ brown s~ a, ~X h0 \ coarse O~ san Cia /se.a ~ I7 ;wry~2° ~ ~ /8 ',O „ ~ . so N - `TNO`D/ "~O~ 2pO'OO' ,3 SURVEY FQ~ ~ F /mot ~ r,a~ M'``'' JACK A. GU~LQrs~ C`'.et~k°~E«t oJOR~Hpryy p_ ~,ryx. A ~oe,~ ~ G7i ~ CERTIFIED TO l L MARY E. GI~~L COMMONWEALTH LANG TITLE n INSURANCE COMPANY ~ ( AT BAY VIEW JACK A. GUILD TOWN OF $Q(,/THOt_D MARY E, GUILD SUFFOLK COUNTY , N. Y. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES (000 - 078 09 076 FOR APP VAL OF CONSTRUCpTCION ONLY 5 C A LE I n = 6O ~ DATE ~ s REF, 0 S ~ ~ JULY 14 , 19 8 6 MAR. 17 198 7 APPRO ED ~n~ra- . 4b ,s~, SI L F ILY DWELLING ONLY e~`a,~eN/°'9f'YcF9L N Q S FROMB~AT~aC~F APt~E'Ri,OVtAL„ ~ ~ P ~ N 1. ~ RS 8 E N G 1 N EE R $ , P. C , standards for title surveys ai'eatablished b~ ( I ~ 5 0 the L.I.A. L. S. and approved and adopted for such use by The New York State Land P. 909g Tifle Association. MA F t'0 SOUT E .11971 ,Qwrae e a r w+« s/t~/~7 86 - 358 A H.S. Ref. # 87-SO-154 E6q 33 N~/Q 7,y `VQCAN •1 B T~ C9UNTY DEPARTMENT 4F H H SfRVICFSsa~ S Q Y~/~1~, ~IMG tLY DWELLlWG OAIi Y z ° t g • t0 ~Y O Da .E I_~~3H.~. REF. ao.8 E. / R A D Th . age dis;nual and water supply faciliti~f this / 20 t~se,sa loc;at(o haue been insf~-ted by this Qepartrr~nt nrVOr I O. 00 ' other ~and~our sa{~ ~O ~ ,,;F x hi f of BureaiTof lNastewaRer Man errt ay/ ~ ~ o°',?V ~ss,zp, ~ O 6O o sr O Y - - - - - - - - ~ a? O y ti O O . h u'' / O ~ 2 ~ ~c dun O J c vi ~':a$ G' 4 ~ ~Q ~ o a 2e.a ' ~ - ~ `C ~ ti ~p / ~ c Q ~ Q 4 C/ 4o ii Q "tp i. ~ "'E'/~ .`'`to. Q TEST HOLE ~ ~ ' r OanF O brovun h P 3J /oam ~0 er a a~n~y N~ ulL 4~ lOam 2 3' = SEP ~ 19:5 ~ ~ Pale ~ brown h \ coarse e~ ~ e S.C. DEPT. OF ~ _ sancY ~ HEALTH SERVICES ° i7' /mss ~ q'. ° ro TpwN ~~F , w, rya OF ~i SCUT"~~~ o ~ F 2pO oo ' SURVEY FOR l MA`V'~ JACK A. G U I L D ~w`~e,°~ecc~ QJ~R'~'HOAq ~ ,°o ~ CERTIFIED ro ~ MARY E. GUILD COMMONWEALTH LAND TITLE A'r BAY VIE W INSURANCE COMPANY JACK A. GUILD TOWN OF SOUTHOLD MARY E. GUILD SUFFOLK COUNTY , N. Y. f000 - 078 - 09 - 076 SCALE I~~ = 60~ JULY 14, 1986 MAR. 17 198 7 ~ ~w FEB. II , 1988 (FOUNDATION Aug. 11,1993 (finall S'te'O~N t. MEIrQy~ip~, h• +(1. / ''~0 ` N 4 5. LIC. NO. 496/8 prepared in accordance with the minimum ~o S ~klE ~ , P.C. standards /or /i//e surveys os es/ob/fished f5/ by the L.I.A.L.S. and approved and adopted P. O. ~IN ~ Ior such use by The New York Stale Land ' MAIN R Tile Association. SOUTHOLD, N. Y. l197/ 86 - 358 A a