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HomeMy WebLinkAbout19904-z ~ ~ FORM NO. 4 TOWN OF SOUTHQLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22079 Date JANUARY 5, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 255 WOODSIDE LANE LAUREL N.Y, House No, Street Hamlet County Tax Map No. 1000 Section T27 Block 9 Lot 30 i Subdivision Filed Map No. Lot No, conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 31, 1991 pursuant to which Building Permit No. 19904-Z dated MAY 31 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 WITH ATTACHED GARAGE & WOOD DECK The certificate is issued to WILLIAM & MARY ISABELLE LEONARDI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPAOVAL 87-SO-175-DEC. 9, 1992 UNDERWRITERS CERTIFICATE N0. N-246234 - AUGUST 11 1992 PLUMBERS CERTIFICATION DATED DEC. 2 1991 - BERTSAND PLUMB & HEATING uildi~ng Inspector Rev. 1/81 1'08M NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N 1 9 9 Q~ Z Date 31........., 19.1.1.. Permission is hereby granted to: lLi1! to .J.~lIA:~r.~...C~.....~~.. ^ p ~......1~ ...1.~...'~. ~1 ~ of premises located at . W ....~.~..~~...~.,~:~:•z.....~:........ .:.........................................cam....,.,................... County Tox Map No. 1000 Section ..~..aZ.:.~........... Block Lot No..~ pursuant to application dated 19. and approved by the Building Inspgector. Fee 5.~..?~.....1:. .........!~:c~Tu-~ Building inspector Rev. 6/30/80 goBai xo. s TOWN OP 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 ~ ~ U ~ `I ~LJ Z Date ...1.~~ 15i^.t~ Permission is hereby granted to: ..................:s........................................................................................................... 9 ct premises located at .....e~....~~..`~.~ County Tox Map No. 1000 Section Block ....~i....~........ Lpot No.....-~.~.......... pursuant to application doted .....~.yl..~ 19.C~.L!, and approved by the Building/Inspector. Fee $..lr~.'.~.1..' ..~.Jf. - /J C/~ i// ~1~// ....~~~f/.~. .~i B ding Inspector 4~ l~ Rev. 6/30/80 Form No. 6 ~ S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement £rom 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 Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B, For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: ' 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2, Certificate of Occupancy on Pre-existing Building - $100,00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentiay~l,,~$15.00, Co/,lmmercial $15.00 Date Yf;1,,,.. 1~.~'1?~ _ New Construction........... Old Or Pre-exi1sltin Bui d®ing.. Location of Property.......:a.'5~..........I~Q~~~~.~Y.....~.~~D. ..........h'~,1~.~~~........... House No. Street Hamlet ~~~~~~+i _ < Onwer or Owners of Property...!vil~~~~.. ~,h~,....~t~,t~ ,_J.,S,ra,Joe,~ ~ County Tax Map No 1000, Section....~'~.1.......Block d ~........Lot....^~.~ Subdivision..~.yr/?~brr\\UJ114~~'1. l~Q.,W,,, ~~~~e-,J„{ ,i.IPpilyed Map.. J.~ ~O ...Lot.. ~.ll..... Permit No...~1.! V;I,,,,,,Date Of Permit..:-!j'.~).t!1.....Applicant........./d Health Dept. Approval., d,~,~u.~,~ ~ ............Underwriters Approval... Planning Board Approval Request for: Temporary Certificate..........: Final Certicate...~..... Fee Submitted: a~yo~ ~o~aao ~ 9 TEL. 765.1802 pS~FF~~~DG'- TOWN OF SOUTHOLD _ t .c OFFICE OF BUILDING INSPECCOR yir„~,,r , , ~ j'~ P.O. BOX 728 v ~ souTxoin,Hiv Y i I97I APR - 9192 ~1 ~i , _ ~ t; ~ ~s, _ TUVb~~ ' „,s..,,,~ w_ _ C E R T I F I C A T I O N Date December 2, 1991 Building Permit No. 19904 Z Owner Francis L. Bosco - Lot 30; Golden View Estates, Laurel, New York (please print) Plumber,l3~,e-sa ?n ~~u~-,a~v~ ~ ~,/~~~„v6, y ~c ' (please print) ' I certify that the solder used in the water supply system ~ ,a contains less than 2/10 of 1$ lead. (plumber's signature) Sworn to before me this ~7„ct day of 7PeFm~r--,~ , ~j Notary Public Notary Public, u`rr FFOC.~ County RILEEN M. ROACHE Notary Public, State of New York No. 4826842 Qualified in Suffolk County Commission Expires January 31,18~- 1 Q~ y ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ 241Q996!t BUREAU OF ELEGTRIGITV 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date AO(rD5'P 11tJ'992 Application No. on file ~ 2~i'r23Q THIS CERTIFIES THAT only the electrical equipment ale deacrihed below and introduced 6y the applicant named on the shove app/ication numher in the premises of ur.r.cz~g~ r,r~f~t~afar,r., zs~ Graratasrns J.,n~>a, flhu~~J~, za.x. in the following location; ®Botement ® lat F'l. ©2nd F'l. ~x tl{11AT7.r J:ClQQT Sertion Blork Lot was examined on filJC lJ9gl 01,1792 arrdfoundW6e in rontplianre with the regaireorenta q(this Board. FIXTURE ECEPTACLE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FWORESCENi OTHER AMT. K.W. AMi K W. AMT KW. AMi. K.W. AMi. H.P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS BEII SYSTEMS AMi. K. W. OIL N. P. GAS N. P AMT. NO. A. W. G AMi AMP. AMT AMPS TRANS, uni R. P NO. OF FEET AMi. WAiiS SERVICE pISCONNECT NO.OF S E R V 1 C E M4. AMP. TYPE METER ~ ~ 4W I ~ 8W 3.0' ]W 3,d' dW NO.OF CC COND. A W G. NO. OF HbIEG A. W. G' NO. OF NEUTRALS A. G. EQUIP. PER .e' OF CG COND. OF HbIEG OF NEU1RAl OTHER APPARATUS: C 130U9E E7,F;. u11X{v1S~f A: P~12 I~ETTZiIt-1 "NO VLiiQAG ))P,FF;('£3r "An eJ.r,:cCrJcal ~ sur veil hair 9!een mraTte ~f h.#r~ fi:?rx>wel9 electrl.r.aJ. ~~qu11!Inetlt. 5.11 Gtte . premiueq Sndlcat.E:d." "Na ot!v.ioue wt~~ClsCracl:ory eaHd9Glotl H~~s ~nunli. B JD,PtEb T. 12ZDGE G7P„~i.J)9 13l SfAk7D3tlNF RVfI. 'a B.YVLS,~G LhF NYr 1X7$2 GENERAL MANAGER Pert ~ ! 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 DEPARTMENT. THIS COPY'OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~ c'1~LD Ii:SP?C:iUN ~~UnTF. ~ ~OaKMLNT° -o t . ~ 8 ~ D eri ~ FOUNDATION (1st) FOUNDATION (2nd) 2. zp„ o(11Y ROUGH FRAME & ~ PLUMBING ~ ~ s,.. 1 Cvtk- 3 . IIdSULATI0D1 PER N. Y. y STATE ENERGY ~i ~ CODE ~ g x d A y ~r 4. l Y ~ y F I id A L t/? /tfJ~-t~ z~ AD TIO AL COMMENTS: x ~ , a ..2 ~ ~ ca ~ Y~ ` ` ~ ~ ~W H \ L ~ z°~ 4 . r ~\V1 ' x ) d \ my ~v "t H 1 INSPECTORS OFFO( (516) 765-1802 ~Q.S C VICTORLESSARD,Principal a~0 ~rjy SCOTTL.HARRffi,Supervisor CURTIS HORTON, Senior ~ ~ Southold Town Hall VINCENT R. WIECZOREK, Ordinance y P.O. Box 1179, 53095 Main Road ROBERT FISHER, Assistant Fire Southold, New York 11971 Building Inspectors O • ~ Fax (516) 765-1823 THOMAS FISHER y~ Telephone (516) 765-1800 GARY FISH J~t OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 26, 1990 GOLDEN VIEW ESTATES INC. James De Lucca 12 Linda Lane East Riverhead, n.y. 11901 Re: B.P. 167102 NEW DWELLING 255 Woodside Lane, Laurel, N.Y. Dear Mr. De Lucca: The above permit has expired and you have not obtained a Certificate of Occupancy. Please send us a check to renew the permit. If you have any questions please call our office. Thank you. Yours truly, ,N2~e„J ~,e-UJe_- Secretary William J. Leonardi ~ ~ ~ ~~~-"~'~E 3a'1 i+t~ p~ P. O. Box 355 ~ NOV 2 T t99Q 4 ~'3 'f ~ d t ~ rv,e Laurel, New York 11948 ~ ` fiE.:~C~. L3~:F'Y. ,.,:,_.iaUd„n„ hd CAF' ~E?U7H~OLC1,.,,.,.,,.,+ November 25, 1992 Town of Southold Town Hall Building Department Main Road Southold, New York 11971 To whom this may concern: My building permit # 19904 Z which was issued on May 31, 1991 will expire on November 30, 1992. I am requesting a six month extension for my permit to May 31, 1993. Thank you for your cooperation in this matter. Sincerely, /`'V°l~ William J. Leonardi INSPECTORS uFFO~ (516) 765-1802 0S ~C VICTORLESSARD,Principal ,rod' ~~j SCOTT L.HARRIS,Supervisor CURTIS HORTON, Senior ~ y~ ~ Southold Town Hall VINCENT R. WIECZOREK, Ordinance y P.O. Box 1179, 53095 Main Road ROBERT FISHER, Assistant Fire ty ~ Southold, New Yotk 11971 Building Inspectors O • 'F Fax (516) 765-1823 GARY FISH SHER y~J~! ~ Telephone (516) 765-1800 OFFICE OF BUILDING iNSPF.CTOR TOWN OF SOUTHOLD October 26, 1990 GOLDEN VIEW ESTATES INC. James De Lucca 12 Linda Lane East Riverhead, n.y. 11901 Re: B.P. 167102 NEW DWELLING 255 Woodside Lane, Laurel, N.Y. Dear Mr. De Lucca: The above permit has expired and you have not obtained a Certificate of Occupancy. Please send us a check to renew the permit:. If you have any questions please call our office. Thank you. Yours truly, secretary / 755-1002 BUILDING DEPT. INSPECTION [ ]~FQUNDATION 1ST ( ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARltSe ~a' DATE ~ ~ ~ INSPECTOR 1~1~° rss-iso2 BUILDING DEPT. 11~ISPECTIOi~I [ ]FOUNDATION iST ( ~ ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ~RAMING [ ]FINAL REMARKS: ~ ~ ' ~.¢c~a -e. I~ , y V ~yo ~~~GS~ tea,--- DATE l0 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ ] ROUGH PLRG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ~ [ ~AL G,~a~ R~,EM~ARKS: ~ G Gam" C,~~~~- - r .r DATE ~ INSPE O~ /~~o~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] I CATION [ ]FRAMING FINAL REMARKS: L" ~ DATE ~ INSPECTOR ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND I ULATION [ ]FRAMING G [ FINAL REMARKS: ~ / ~ h~ 3 cw~_ DATE ~ INSPECTOR '~'`~"1 x'65-1802 BUILDING DEPT. 1 NSPECTtC) [FOUNDATION 1ST [ )ROUGH PLBG. [ ]FOUNDATION 2ND [)INSULATION [ ]FRAMING [)FINAL REMARKS: ~ ~~~~G'L~~ r DATE ~ ~ ~ INSPECTOR/° r -7 ~U~ l ~ ~ TfS-iso2 GUILDING DEPT. INSPECTIC'N [ ]FOUNDATION 1ST (G R UGH PLBG. [)FOUNDATION 2ND [ ]INSULATION ~RAMING [ ]FINAL REM KSa r~~~~ `X'?~ C9~ ` ,f DATE ~ y INSPECTOR k 765-1802 BUILDING DEPT. 1 NSPECTIQN [ ]FOUNDATION 1ST f ] ROUGH PLBG. [ ] FOUNDAT{ON 2ND ~ INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE ~ 1 INSPECTOR , - ~ i ~ i~ A FORM NO. 1 -a0 F{ TOWN OF SOUTHOLD 3 ~(~o.,..o BUILDING DEPARTMENT TOWN HALL ~~U ~o 30 ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 ^`"1` ~°""'",.Ci/C? Examined .l/~,•~~........, 19 Received..... , 19.. . Approved ////.//..~J........., 19~~ Permit No ~~??~a J r . ~ I ~ Disapproved a/c ~ ~,pp ~~ff.®?!' . ! ~ TOWN OF u4ldin Spector) APPLICATION FOR BUILDING PERMIT Date 19 .i"~~ 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 all 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 :hall 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, buil g code, houc ,and regAJAtions, and to admit authorized inspectors on premises and in building for necessary ins ions. ignaturejof applic~nt,,Dr name, if a corporation) (mailing add ess of~applicant)~~~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...C,a ~7~ J,;iy=N, , J//~ ~'J, , , ~ S %~~J/: , , (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . . ..ass House Number Street Hamlet County Tax Map No. 1000 Section Block ....(J..~~........... Lot . Subdivision /-~O/_Ji=i~'. '~/iF_?i.> .L'~ `TF)Tr=5 Filed Map No. ,777!S....... Lot J........ . ......(Name) . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . b. Intended use and occupancy ,.y.`-'~-~.... ~1~,~? ~ ~ Z.~i, !.r:~->=~.1_i~~~y:~:? . y 3~tc~ _ (;usarldde;o axn;suSl) ~ ~'I /`'""'BI'0¢ 4maW sendz3 w~e1 ~ / AWnaJtlloknS'BLB[ULV'oN . „ l~;S i }qA MeN to elBiS'911811d ABYlON ~ ' ~ .S;uno~ 30A 3Q'M N313N L% 6I ~'(1r/ ~ . ~ ~e~~ . Vim. ' stq; auc axo;aq o; uxomS •q}Imaxau} PaI13 uoI}eacldde aq; uI q;xo;;as xauueuz aq} uI pauuolxad aq IPm xzom au; }sq} pus.:;allaq pu>: aSpalmou~ sIU 30 }saq aq; o} anx; axe uoc}Ealldde sIq} uI pause;uoa s;uauca;s;s Its ;eq; :uoI;ealldde sril; aIg pus axeuc o;,p'us ,xxom pies au; pauuo3xad aneq xo ucxo3;ad d; pazuou;ns 6lnp sI pus 'sxaumo xo xaumo piss 30 ~ ~ ~ ~ I (•a}a'xaaT33o a}ezodxoa °;uaSs `.~o;aex;uoa) ' "''''''p ' ' ~Itf ~€(rs ili L:,i' aul sT ag ~~Nr I I •pautsu anogs i,.i ueac • . e sass. t~ sa (}aex}uoa SucuSls Ienplnlpul;o au[eN) 3 .I ' ul ~ P $odap `uxoms ~Slnp Sucaq ' ~-i -y~~1...~ -~~...~...~~N'~ 30 A.L[~IIIO~ S 5 `}I2IO.I M3N 30 3.LV.LS I I I I I I I I " , ~i i I i~ 'i •;oI xauxoa xo xoua;ul xaq;aqm a;ealpul pus sauceu;aax;s n?ocls pus `paap o; Sulpxoaas uoI;~Tuasap xo xagcunu xlaolq pus;aax;s anl~ •saull ,t;xadoxd ucox3 suolsuaunp xasq-}as ItE a}salpuc~pue 'pasodoxd xo Suc}slxa xa,q;aum `sSucplmq IIe .CI;aul;sTp pus 6lxeala a}eao7 LcIdg~VIQ y~,0'~Td •pazFnbaz aq st~ ~~mza~ saa~snzy uMOy ploq~nog 'saef ;I s 3, ol.Iauogd...~l~ iPusT~aM TEPF~PPdo.~2a.:~~TuFq~FM Pa~saol 6~zadozd slq~ sI 'SI ssax I ~ xo;aex;uo~3oaun=N °ll • Lc°Z ~'9/~ oAI auogd~~y~ 1~~~ N~a:,:~7 r% ssaxPPd , ...tJ'~73C7..~..~~iieiyJ~ }aa}Igaxy;o aureN . G•d ~5•'~F31.:{3/G'oNauogd'~;e~7d•.~~59~~,Z-~~ssaxPPd...1••~~..:~exx,=>.... sasliuaxd3oxaumO3oau~eN 'bI o sa :sascucaxd ucox noucax a c ssaaxa c ' • • r"~'~ H~'~ • • • • . • . • • • • • • • • ~ N. • q IL3 ILM ' ' • ~ ~ ',sI S~CCUOZ Sus a;eloln uoI;anx;suoa pasodoxd saoQ 'Z I ' :uoI}einSax xo aausuTpxo'M a exiax a o ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' • • • • • ' • pa;en3ls axs saslucaxd clalgm uI }atx;sip asn xo auoZ ' I I ~ xaump xauuog 3o auceN .....;i asegaxnd 3o a}sQ 'OI b ~,T... u} aQ,......... xsa aa... : : . ~ s.........~ o~ ~ ;uoxg :;ol,;o azlg 6 q} Q .......J.. G'~..... auo3S 3o xaqumN ;gSlag ' ' ' ' ' I • • ;uox uoc;atu;suoa mau axl;ua 3o suolsuauclQ •g ......,.°.~r.~... . ~y~.... g: sauo3S 3o xaqucnN sag ~ . • • 3~IaH cI}daQ xsa ; uox , ,pp xo suol;sxa;Is 0.;Im axn;anx}s auxes 3o suoTSUaugQ g 3 g :suoc;c E .sauo3S3oxagtun~............... ;c{Slag q;daQ • " "I' xeag • ;uoxg :,Sus 3I `saxn}anx;s SuI}slxa;o suolsuaunQ • • • • • • • • • • • • • • • • • • • • •asn;o ad~i} uaea 30 }ua}xa pue axn;eu 6~gads `,iauednaao paxhu xo Ielaxauxucoa `ssauTSnq 3I '9 sxsa3oxaqucnu'aSexeS3I II4 3. P3 4 .II P3I 'S un Suc am o xa ucn scan Suc am o xa ucnu Suc am xoo aea uo s} .II P 3 q 11 i (uoI;eagdde scq; SuII~ uo pled aq o;) i leg ;sod pa}eucl}sg 'b ~ •O~JQ ~JQI~¢/ (uoc}duasaQ) I ~ xxoMxaq}O ....~i.......... uoI;IloucaQ ....L Ienou[ag xtedag uoI;exa;Iy • uoI3IPPd SucpPng ma a sac dds ac m asa xom o,axn s ' AI Iq .I .q X q) x 3 3 N ~ ~ r~~ ~iC~L~Q~~rl~~~)(11i E30.1RD OF HEALT71 f~~ i; POFiMN0.1 ~ SETS OF PL.\:7S ~t ' TOWN OFSOUTHOLD SUi:VEY Ff\ ~ MAY 3 1 1991 i~i BUILDING DEPl1RTMENT CtICCK . , n:%;~ TOWN HALL SEPTIC ['Oita a...~.,.......~._....,....,.~.........b'--. _ _ . Bt.UC9. E~~;-'. ~ ~ SOUTHOLD, N. Y. 11971 ~ ' ' TOwN ol- ^t~-.!'~FIOLCr _ ~ TEL.: 7651302 t:o: I FF ; xarnincd .3~~, l9 ~ ~ CALL . . . . / rInIL ~'o..~/.~~ PProved ~ 19 9.~. Pcrrnit No.. Lt?.~IQ2-- I isapprovcd a/c • ~~E'c , . ' _ //7~' (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 5,~.~/~ t9.`~~ INSTRUCTIONS ' -s. This application must be completely filled in by typewriter or in ink and submitted to file Building Inspector, with 3 s of plans, accurate plot plan to scale. Fee according to schedule. h. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ron. 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 11 be kept on the premises available for inspection throughout the work. e. Ido building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy 11 have been granted by the ?uilding Inspector. APPLICATION IS HERESY MADE to the Building Department for the issuance of a Building Permit pursuant to the (ding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. applicant agrees, to comply with all applicable laws, ordinances, building ode, housing code, and re;t~yations, and to ut authorized inspectors on premises and in building for necessary ms jns, j _ (Signature of applicant, or na te, tf a Cbrp ion) .U~~3N... Ave IJraxk?<?r:r:...17 7a~ . (l,failing address of applicant) e whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ °i-~ yv e.r'. to of owner of premises ~~;~u, , , . {f t 2ctiJ, . • , Ta7- ~ ~ S..... . (as on the tart roll or latest deed) :plicant is a corporation, signature of duly authorized officer. ' (Name and title of corporate officer) Builder's.~.iccnse No. , . Plumber's License Na . Electrician's License No. . Other Trade's License No. , xation of land on which proposed work will be done . . ruse Number Street " " " " f tamlct wnty Tax ,1fap No. 1000 Section I ~ 7 Block . , , , , C> q ....Lot.....,3(~............ bdivision ~ c (lJ C,4J ~5.~./:~:~5.... Piled htap No. 7 Q Lot 3 . .....(Name} rte existing use and occupancy of premises and intended use and occupancy of proposed construction: cxistinguscandoccupancy mended use and occupancy , , , , 5!t!.l , , , I ucal dde o 'Z'Ya~ • • • • • • • • • ; rT;aoop AID dnS ul Parill¢np i ~A McNSlo9ei¢iS~'arl9nd ~L¢;¢K • ~j~ • - N3pU0p 31J3NNtJ . rCiunoQ ,arlgnd ~ 'i '~'!_Gl'' ...._/'~'ZJ~...Johc 0~......... 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N~u ~O~ 85 Fj9y OQ 5 t~ 6Eav~~~ ~ ~ ~~a,, 5~~°a\~~eo~~~ 5 O 'f p6 R~ /\'f t~` G F ~3 ~~\O x,02 app / ~ ~co5 5 mot O~ o~- \ ~ k ~~.i N51 029 ~Pti.°`'Q, ~ ~ 0~2 2~ i i +^Ya Sb 0 ~pG ~F b ~ S+O 2 2F~o `'w, Q~P A e 5~0 ~o \ / \ry . `>•u`~ do ° Y ,G2 !L ~o~ o\~'h a P~e~ .`yet ~0< 29 4i°~~~ ~~o ~ ~,e Goy On ~^t, sN ~~~02 t~e~\~ t~0 O~ O'~ SURVEY FOR , GOLDEN VIEW ESTATES LOT 30, ~~GOLDEN VIEW ESTATES" DEC. 21, 1987 AT LAUREL DATE MAR. 9, 1987 TOWN OF SOUTNOLD .SCALE: I" 50' SUFFOLK COUNTY, NEW YORK NO. 87 - 327 ' K UIMUTN01112C0 AIiERAt10N OR A001TION TO THIS lURVEY Pl A VIOLATION OF 7f CTION 7205 OF TNC NEW YORK STATE CDUCATION lAW ZE OF fyLc K COPIES OF THIS SUIIVEY NOT SEMANO TN[ lANO '(P' lUR VEYOR~S INKED SEAL OR lNSOSSCD SfAL !NAIL S 60 KDUAl1AMT[ES O1N01U TCD N[REOMI SHALL CRUNPdILY TO ®`1(~~® e°® ~°F' HEALTH DEPARTMENT-DATA FOR APPROVI4L TO CONSiRUC T THE PERlON FOR wHOM THE SUMEY IS PREPARED ~ AND dl HIS SENA Lf TO TME TITLC COMMNY, GOVERN- ~ '1 N NCARCST WAT(~ MAIN MI. Y MSOURCE OF WATERS MINITE _PVSLIC_ MENTAL AGENCY AND LlNpIMB INSTITV TION LISTED fnd ~ M SUFF CO, TA%MAP pfT~O SECTION 127 fIOGK 9i-- lOT-ice HEREON, AND TO THE ASIION fES OF THE LE NOINO ~ k TN[R ARE ND DwELU/Nlf WITHIN 100 FEET Of THIS ?ROPfRTY INSTITUTION. OUARA NT[ES ARE NOT TRAM SFCRA SLE OTNlR THAN TNOlE !MOWN N[RCON, TO ADDITIONAL INSTITUTIONS OR SUSSEOUENT K THE WAT[R SUPPLY ANO ![WAS[ DISPOSAL SYSTCM FOIL THIS RES IDlNC! OWNERS WILL C011FORM 10 TNC STANDARDS OF TH[ SU/Fd.K COUNTY OCPMTMENT M DI !TANG[! SHOWN NCRCON FROM ?RWERTY LINES 4589 TO E%1571N0 STRUCTURCS ARE FOR A lPCCIFIC ~LU~T 5[RVIC[S• PURPOSL AND ARE NOT TO SE USED TO ESTASU SN °bs~® 0@ PROPERTY LINE! OR FOR THE ERECTION OF iENCE! ~4ND $UK ADDRESS "L YOUNG 8r YOUNG R~RHEADNNEWAYORKE NOTE• ¦ =MONUMENT O = PIPE D : STAKE ALDEN W. YOUNG PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLE RK OF + SUFFOLK COUNTY ON AUG. 30,1984 AS FILE N0. 7770 ANO LAND SURVEYOR N.Y.S. LICENSE N0.12Q4S HOWARD W YOUNG, LAND SURVEYOR N TNC LOGTgN OF WlLL(W),lEPTIC TAMKISTIA CfSSPOOLNCP) SHOWN NERE0IT M.Y. S. LICENSE N0.45893 AR[ FROM FIELD OSSERNITIONS AMD OR DATA OSTAIMEO FROM OTHERS BRAN013 A 90N9 INC. 104! M P I 0 ~o 4~ <U= ,k3 E• 290 < ~ e°O9. ~G. Y, E~°2.Ze $3cj op9A3 w S 0a Oa ~ PNE ~`,a2 ~ e\~o O~~L t~ ~ ~ a~ ° ~,o~~ ~O ~ ~ O~ O~\Q~ ~,a2'l ~s\ ~ x\05 % ~G \,o'c ~ ,,,w,``O~ off- Vv ~ r, / \oox \g ~*z~g cj'~~26 29 °n ~ ~ o''~~ Ca ~~'a 4~'~~ P , yq~ ~o a~ ~ Z \ 2 ~ ~o'ti p~0 P~eo •\\et e 2°~ ~ - - - - \,o / o\,~~ cps 1 ~ G . p F~, h~ 2 et\~ A- n0 5 ~0~~ Ot COQ .}~Y~q slLY ~~l.L1AtG~+LY SCN ~ l l ~ .T 4M t~AT~ ©fi q,6~pR©V~~, ~j / E L t/ G c f~' ' / r1 D 9Ur s X98, ~ld~~l~~~O /V.~ HFq~T OfPT D Y FOR GOLDEN VIEW ESTATES SUFFOLK COUNTY DEPARTMENT Clf HEALTH SERVICES LOT 30, ~~GOLDEN VIEW ESTATES~I AT LAUREL DATE MAR. 9, 1987 FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD SCALE I" = 50' ~ ~ ~ ~ V 7 ~ SUFFOLK COUNTY, NEW YORK N0. 67 - 327 DATE 3 0 ~ HS REF. NO. V N UNAU7NOR12ED ALTERATION OR ADDITION Tb THIS f ~ SURVEY b A VIOLATION Oi SECTION 7209 OF THE 'jE OF Nf~ V NEW YORK STATE EDUCATION lAW ~ IQ 4PPROVEO - SURVEYOR'S NKED SEAlYOROEM OSSED SEAL SNARL PRO W AO 9r MOT BE CONSIO EREO TO BE A VALID TRUE COPY r~ N6UARANTlES INDICA 7ED HEREON SHALL RUN ONLY TO ~ , ~ HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED ANO 011 HIS BEHALF 70 THE TITLE COMPANY, 60VERN- N NEAREST WATG rAIN ML Y NSOURCE OF WATER PRINTS -PUBLIC ~ MENTAL ADENCY ANO LENOIN6 tN5717U7lON LISTED ~ R lUif CO. TAX MA? DISTTO~O S[CTION 12~ BIOCK.~ L07 '+O NEREON~ AND TO THE ASSIGNEES OF THE LE NDIMO RTNERE ARE MO OWELUTAi! WITHIN 100 FEET OF TM3 PROPERTY INSTI1UilON. GUARANTEES ARE 110T TRAM SFERABLE OTNCR THAN THOSE SHOWN N[REON. TO ADDITIONAL INSTIiUT10N5 OR SUBSEOUEM7 , R iME WATLR SUPPLY ANO SEWABC DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS J WILL CdIFORM TO TN[ STANDAROf OF TI SUFFOLK COUNTY DEPARTMENT N DISTANCES SHOWN HEREON FROM PROPERTY LINES oY OF HEALTH BFRVICLS. TOE%ISTIN6 STRUCTURES ARE FOR A SPlCIFIC 1y~ AP?LICAN7_/ PURPOSE AND ARE NOT TO !E USED TO ESTABLISH J ~ P110PERTY LINES OR FOR THE ERECTION Oi iENCES AOOIIESf ~__-____C- ~ TEL.-~'~~~ YOUNG a YOUNG R~RHEADI,NEWYORKE NOTE• ALDEN W.YOUNG,PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N.Y.S. UCENSE N0.12@45 SUFFOLK COUNTY ON AUG. 30,1984 AS FILE N0. 7770 HOWARD W. YOUNG, LAND SURVEYOR icTHELOCATXINOFWELLIWI,SEPTICTANKiST1BCESSPOOIS(C?1SHOWNNLRlON N.Y.S.LICENSE N0.45893 ARE MOM (ICED 0/SERWTION! AMD OR DATA OtrTA1MED IRON OTHERS SRANDIS 6 90N3 INC. 1046 M.P. G o09g3 ~ Zg0 O\ s y N6$' A~ w' G~ ij, g35 sD 09 y a e'~ s 5 C \ ~ ~5 PREP S, \~`s~ ~ ,~¢5 ~~J9 O a6 ~~S~R~E j 9°~a Ee ~o• p~ 2'1• ~~~i F GF \3 K'.a , ~ X05 5 oti O ~ V O 0~~~ ~s O \ ~ ~ ~ o' / \ rv~ ul \ ~ ei NF, J ~I ~f 1 SJO pwp / ~(O a~2 oM1 W. I s1' e. 1~Pptl`G 2~e 6 J ppPp ~ 0 ~9~ M10' yt ~0 G i 56 M1~' a y OJ m, \ ~~°0 wP%i'" ~s,, 2 ~ 2 NY 1\5 ~ ~H 0~ ` ~ / C ^O -J v_ Pte ~ `\et 29 oy~e p ~ ~o\ S Drt't ~Ot O~ / O~ Ip4 ~~T'~ ~ t' / ~D~ ~ 1~2 S.C. DEPT. OF HEALTH SERVICES SURVEY FOR SUfi01X COUNTY DEPARTAIEIYT of HEALTH 9ERWCES WILLIAM J. L EONA R D I a MARY ISAEiE LLE LEONARD I $IfYGi.~;~Al1NN1YDMIEWf~OMIY LOT 30, "GOLDEN VIEW ESTATESI~ DA1~~~.~HS.REf.NO. Q?-c~_i7,~j' AT LAUREL DATE JAN 22', 1992 Thf Rewage disposal and wetor supply hcilities for this TOWN OF SOUTHOLD scaLE I" 50' location have been inspected Dy this Ikpartmentand/or SUFFOLK COUNTY, NEW YORK No. 92 - ooss other nci and Rd ~saPi ry. _ NUINUTHOIIIZED ALTERATION OR ADDITION TO THIS CERTIFIED TD~ SURVEY R A vI01.AilON OF SECTION 7209 OF THE WILLIAM J Chief of Dureeu of MIESteW r Menagemettt NEW TORK STATE EDUCATION LAW MARY IS pEOIE DI KCOPIES Of THIS SURVEY MOT BEARWG THE LANG SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL KEY C f;'S ` NOT Bl CONSIDERED TO BEAVAL10 TRUE COPY TER A (~1~T~ 0 NGU ARANTEES INOIGTED HEREON SHALL RUN dILY TO ( AS2 $gY( ` 'Y} HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WNON THE SURVEY IS PREFAB EO FIR CA LEI UR CE AMO ON NIS BENA LF TO THE TITLE COMPANY, GOVEJIN- C Y N NEAREST WATER MAIN NI. ~ NSOURCE Of WATERS PRIWTE _PUBLIC_ MENTAL AGENCY ANO LENDING INSTITUTION LISTED M SIIfF CO. TAX MA? dfTT~O SECTION 127 BLOCK ~ LOT 30 HEREON, AND TO THE ASSIGNEES OF THE LENDING N TNCIIE ARE MO DWELLIIMif WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARC NOT TRAM SFERA BLE OTHER THAN THOSE SHOWN HEREON. TO ADOI TIONAL INSTITUTIONS OR SUBSE,OUEN7 N THE WATER SUPPLY AND BEWARE DISPOSAL SYSTEM FM MIB RDIDENCE OWNERS WILL CONFORM Tb TH[ STANOARDt OF TNC SUROLK COUNTY D[PARTM[NT MDI STANCES SHOWN HEREON FROM PROPERTY LINES LO EX ISTING fTRUC TU RES ARE FOR A SPECIFIC ~ ~LUµT fERVICE3. PURPOSE AND ARE NOT TO DE USED TO ES TABLISM ~4U. 4 3 , PROPERTY LINES OR FOR THE ERECTION OF FENCES (ANA silv-,fE"(Gp ADDRESS YOUNG & YOUNG RI~VERHEAD"NEW YORKE NOTES • =MONUMENT O =PIPE ~ =STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG, PROFESSIONAL ENGINEER SUFFOLK COUNTY ON AUG. 30,1984 AS FILE N0. 7770 AND LAND SURVEYOR N Y.S LICENSE N0.12845 HOWARD W. YOUNG, LAND SURVEYOR N THE LOUTXw OF WELLIW), SEPTIC TANK(!T)B CESSPOOLS(f7)SMOWN N[REON N.Y. S. LICENSE N0.45893 ME PROM FIELA OBSERN\TIg13 AND OR DATA OBTMM[D fROM OTHERS GRANDIS 6 SONS INC. 1046 M.P.