The URL can be used to link to this page

Home My WebLink About19483-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19681 Date JANUARY 24, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1625 ORIOLE DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 15.21 Subdivision HIGHPOINT MEADOWS Filed Map No. Lot No. IS conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 23, 1990 pursuant to which Building Permit No. 19483-Z dated OCTOBER 25, 1990 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 D.B.M. CO. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTS+iENT OF HEALTH APPROVAL 90-SO-118-DEE. 20, 1990 UNDERWRITERS CERTIFICATE N0. N-170692 - JANUARY 23, 1991 PLUMBERS CERTIFICATION DATED DEC. 7, 1990-K&K PLUMBING & HEATING Build' I spec-or Rev. 1/81 I` soaa~ xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDINGa PERMIT ' (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N o 19 4 8 ~ Z Dote ...10~.~°...4~..~ 19.<.~ ~ Permission is hereby muted to• ..~..~........ps.. .~,l ~ to .~~.~!?.1i.6~.r~n:iii.~.....~........~2....G~~r~.. ,,1..~,~.~~.......1'.+~~~.'~...-..~c~6r:~'i~.,r:......~~....... i ~ as at premises located at ...................................................~~~Gj~........>.................................................................. E i / County Tox Map No. 1000 Section Bloek .....~r............q.~Lot No...... ~.?..!.'~.Z.~ pursuant 4o application dated .......~.~~...,(.y..7.t' 19.!::ll.., and approved by the i Building Inspector. / Fee S.:~l~..~~ i y. • ` B ' ng Inspector Rev. 6/30/80 l ~r r~s~l~~:.s PLANNING BOARD MEMBERS ~ , ~r$}~` SCOTT L. HARRIS Berme[[ Orlowski, Jr., Chairman ` w~ f. ~ Supervisor George Ritchie Latham, Jr. ~"p _ Richard G. Ward 'n~ is ~3 r\ ' Town Hall, 53095 Main Road - Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF 50UTHOLD Fax 51 ~ =~~d December 27, 1990 Herbert R. Mandel DBM Co. 443 Main Street e~•~~~- Greenport, New York 11944 Tom"" ~ RE: Highpoint Meadows SCTM# 1000-55-6-15.1 Dear Mr. Mandel: The Planning Board has reviewed the interim inspection report dated December 24, 1990, from the office of Sidney B. Bowne and Son. A copy is enclosed for your records. The Board is'not in favor of reducing the bond estimate at this time. However, the Board has recommended to the Building Department that they proceed with the issuance of Certificates of Occupancy. Please contact this office if you have any questions regarding the above, i Ver truly yours, Bennett Orlowski, Jr. /rr/s Chairman enc. cc: Victor Lessard, Principal Building Inspector ) -fit `st .:?..n* d•.4:.... t . , ~ kxx...Y.d m,..p cr., N.r,**an-a ~SuaNk+`sfd~R3a Officers y/~ (/,,/l MAYDR V L'GLa`/e o/ V ree~z~or~ UTI4ITY OFFICE GEORGG W. HUBBARD ? INCOgPOPATED IB]E (516) 477.1748 NEW INCOPPOflNT10N APN1E 1.1868 TRUS1'F.FS flEgNCOPPOgATION UNOEP GENEgAL 4AW MAV R8. 1880 ~ POWER PLANT WILLIAM D. ALLEN 4}~y (516) 477-0172 STIiPHEN L. CLARKS ~ ~t DAVID S. CORWIN u.......r_,/,r F° FAX ISlhl 477-1877 GAIL P. HOR"fON ~~NJ' U C ' 1 S-~q ~N O~/.~y SUPT. OF UTILITIES SUPT. OF WA'PRR/WASTRWA'1'ER ~ ~ IAMES 1. MONSELL GERALD W. Ii1CK50N 236 THIRD STREET ~ P.O, ROX AH GREGNPORT, NEW YORK 11944 December 5, 1990 z~~~ f~~ 4~~~'~`~ I~ y ~ , .x Mr. Robert Petritsch ~a ~ ~l~C 1 ~ Suffolk County Health Department 111 Suffolk County Center ~i~~» l;t Riverhead, N.Y. 11901 7"tJV3jfV ~<t~~ ~~~''~z:""" ~1~.:'~" ~°c~lr y i"t,~ f r pear Mr. Petritsch, The following water service line was recently connected to the public water supply by the Village of Greenport• The installation was done according to our Rules and Regulations, and to the best of our knowledge, meets with the Suffolk County Health Department Standards. The location of the work and the date that the job was completed is shown below: D.B.M. Co. Lot No. 18 Tuthill Road Ext. Reference No. 90-50-118 Highpoint Meadows Job No. F91-99 Southold, N.Y. 11971 Water District: Outside Contractor: Latham Sand & Gravel & Applicant If I can be of further assistance, please contact me. Very truly yours, ~W J•(u~2..-~ Gerald W. Hickson By order of the Superintendent of Public Utilities GWH:cr 100 Years of Community Service Dicers 1~///// /J j/' MAYOR • / e o• reen~ort UTILi'SY OFFICE GEORGE W. IIURRARD / INCOPPOggTE01BJ8 1516) 477.174R NEW INCORPORATION APgIL T. 18E8 TRUSTEES REINCORPORATION UNDER OENFflAI LqW MAV ]B. IBBO pOW ER PLANT WILLIAM D, ALLEN ~~iy~ 15161477-0172 STEPIIISN L. CLARKf> T DAVID S. CORWIN ~ l'1.-. • ~1 FAX 151fi1 4T7-IR77 OAII. P. IIOR'SON ~ ~ "`f p N C I S L A N SUPT. OF' UTILITIES ~t~ ~ SUIT. (IF WA'1'F.RlWASTRWATFR ~y,.~ ~ JAMES 1. ~MG^JSELL GIiRAI-D W IIIC'KSON ~ L.."~ 236 TIiIRD STRF,ET ~ P.O. BOX All GRBGNPOR"S, NEW YORK 11944 Jnj d! December 5, 1990 ~ %a`~ Mr. Robert Petritsch ~f~ Suffolk County Center Department 1p~~ F~,O~pP gj f~~~° Riverhead, N.Y. 11901 GTh'p<~ Dear Mr. Petritsch, The following water service line was recently connected to the public water supply by the Village of Greenport. The installation was done according to our Rules and Regulations, and to the best of our knowledge, meets with the Suffolk County Health Department Standards. The location of the work and the date that the job was completed is shown below: D.B.M. Co. Lot No. 18 Tuthill Road Ext. Reference No. 90-X0-118 Highpoint Meadows Job No. F91-99 Southold, N.Y. 11971 Water District: Outside Contractor: Latham Sand & Gravel & Applicant If I can be of further assistance, please contact me. Very truly yours( .~~tl J 1~-.--._ Gerald W. Hickson By order of the :>uperintendent of Public Utilities GWH:cr 100 Years of Community Service O~icers r/' _ //yam MAYOR 14L~~(/e v ree~~~r~ UTILITY OFFICE GGORGE W. HURHARD ? IMCOPPOPATED 1p]p ($I6) 477-174R NEW INCOPPOPATION APPIL ].1888 TNUSTEFS PEdNGOPPOPATION UNOEP GENEPML LAW MqY pH. 1Hp< PO W HR PLANT WILLIAM D. ALLLN r^y~4 ISI6) 477-U 172 STF:PHIiN L. CLARKG ~`~~i ~ DAVID S. CORWIN ,/',s/F^~~' V FAX (516) 477-1877 CAIL F. HOR'I'ON '~G 1 S•L A,N O fir! ~3 SUPT. OF UTILITICS SUPT. OF 1VATRWWAS1'KWA'I'N:R ~~~AG-.- ~t~~t~-yy ~ JAMES I. MONSELL .....~`i-t..~A GLRALU W. IIICKSUN 236 THIRD STREET ~ P.O. HOX AH CREENPORT, NEW YORK 11944 December 5, 1990 ~ ~r~rP, ~~~W, Mr. Robert Petritsch ~ Suffolk County Health Department ~~~~j~~, ~~~;~1 a, Suffolk County Center °m~~/~~~t'-. ',9 Riverhead, N.Y. 11901 =~'F~> << 1 Dear Mr. Petritsch, The following water service line was recently connected to the public water supply by the Village of Greenport. The installation was done according to our Rules and Regulations, and to the best of our knowledge, meets with the Suffolk County Health Department Standards. The location of the work and the date that the job was completed is shown below: D.B.M. Co. Lot No. 18 Tuthill Road Ext. Reference No. 90-SO-118 Highpoint Meadows Job No. F91-99 Southold, N.Y. 11971 Water District: Outside Contractor: Latham Sand & Gravel & Applicant If I can be of further assistance, please contact me. Very truly yours, Gerald W. Hickson By order of the Superintendent of Public Utilities \ G4JH:cr 100 Years of Community Service THE NEW YORK BOARD OF FIRE UNDERWRI~`ERS PAGE" i 1195112 BUREAU OF ELECTRICITY 9S JOHN STREET, NEW YORK, NEW YORK 100313 ~ ~ ' Datp JANUARY 23,1991 App1iK•ation No. on file 71710690/90 N 170692 ~ , THIS CERTIFIES THAT only the electrtca! egNlpmant na described beloty and lntrodacad by the applicant named on the above npplimtton nnmber in Ehe pre»tiEM1 of LAURA TEPR, TUTHILL ROAD EXT., 50UTHO11--LS~D, N.Y. in thefolloscinq location> ®Baeem¢nt ® Ist Fl. LJ 2nd F1, AT'rICIOUT .Sertion Mork Lot 1 a uas examined on JANUARY 10,1991 ondfound to be in cFlnspltanre u•itA the raµfirenlehlsgjdhta hoard., ' RxruRE FIXTURES RAN6E5 cOOxINOOFCxS OVENS DISH WASHERS X`i~IAUST FANS OUTSETS ECEPTAClES SWITCHES INCANDESCENT FIVORESCENi OTHER AM1. K. W. AML. K, W. AM1, K.W. AM7. K.W. AMT. H.P. 19 29 19 19 1 F DRYERS FURNACE MOTORS FUTURE APPIIANG! fEE0ER5 SPECIAL REC'?T TIME CLOCNS REEL UNIt HEATERS MULTI-OUTLET ~ DIMMERS AMI N. W. Oll H. P. GAK H. P. AMT. NO. A. W. G. AML. AMP. AMi AMPS ikANS. Amt H, P, SYSTEMS AMT. WA/15 NQ. fN: FEET 1 F 1 SERVICE DISCONNECT' Nb. OF -S E k V I C E _ ~ METER NO of CC. caND q. W. G. A W. G. W~ G. AMt AMp. TYPE EQUIP. 1,e ]W 1 p 3W 7 9 ]W ],e' eW PER A' Of CC_COND NO OP HbIFG Of NblEO PLO. Of NEUIRAIS Op NEUTRAL 1 100 CB 1 X 1 4 1 9. _ OTHER APPARATUS: __~__LLL_____ ___~~~111_____~~~ G.F.C.I:-3 SMOXE DETECTOR:-1 SAGE & LADEMANN INC. LIC.#3636-.F, ~.r, P.O. BOX 1768 OD ` ' ~ ~.`~~d~~ SOUTHOLD, NY, 11971 dENERAI tEUUTAOpM' ~ li PeF~ . ~ This certificate muss not be altered in any manner; return to the office of the Board iI incorrect. Inspectors may bD idenlified by •h~^ir crl•dehfials. , t ___~_...~._.....__..~-._..____~a.~ _ ti, TEL. 7G5-1802 ~S~F' ~Ik~o~~ Town or snuTx~a.~ ~ ~~-,~~~~~~~~-r,,~~- ~''`.c. OFFICE OF DUILDII3G INSPECTOR ~ ~z r~~~,~~ l: P.O. BOX 728 ~ " ~ TOWN HALL ' • - 1~ tC?gJ ~ ~ , cr~- ' , .r0 c!? `~O~ SOUTHULD, N.Y. 11971 ,JAN ~~'~~l ~ ~ ~tiis,ca;.~s ' TOE ~ , n, r C E R T I F I CAT I O N pate Building Permit No. (q~~ Owner ~~M C al (Please print) ~ ~~ces~ e. ti\e~'~~ Plusber`~~~ ~~\~m~ac~~ a-cx~ (please print) I certify that the solder used in the water supply system contains less than 2/10 0£ l~ lead. , " , , • ~ o~ ~ si nature) • (plumber's 4 Sworn to befo a me this day q£'i' C' ~/l7l~G'8~ r' i~ N tart' Public 1 q / D ERIC G. KOCH t Notary public, State of Naw York tiotar•~ Public. 2 County Na62-2182100 ' ( Te~m 6~itw S.le ff~y 81 18ry81 Officers 111r/~~/, /y ./`/yam MAYOR , `•v~~ / e 0~ v ~'eenport UTILITY OFFICE GEORGE W. HUDUARD J INCONPOPAIED ltl]p 1516) 477.1748 NFW INOOflPOflPTION APOIL ).1868 TRUS'1'6p,S flE~INCOflPDflPT10N UNOEfl OE NE NAL LAW MAY Yp, lppd ~ POWER PLANT WILLIAM D. ALLEN ~'9,.w~ P (516) 477-0172 Sl'f:PH1iN L. CLARKE C~1. ) DAVID S. CORWIN ~1~,{~~Q`~'~'`~i!y,~,~~}.3 y FAX ($161 477.1877 GAIL P. HOR'I'ON ~~N' " G I S L A N Ot...,d SUPT. OF UTILITIES l JAMES i. MONSELL SUPG OF' WA"PF:RlWASTRWA'1'I':R I L GERALD W. I1ICKBON 236 THIfiD STREET ~ P.O. IIOX AH GREBNPORT, NEW YORK 11944 (~j December 5, 1990 ~ ~ ~Q~-~ ~ SAN ~ l I~n~ '!r` (1~"; Mr. Robert Petritsch ~4ry>., Suffolk County Health Department , res( Suffolk County Center - " Riverhead, N.Y. 11901 Dear Mr. Petritsch) I The following water service line was recently connected to the public water supply by the Village of Greenport. The installation was done according to our Rules and Regulations, and to the best of our knowledge, meets with the Suffolk County Health Department Standards. The location of the work and the date that the job was I completed is shown below: D.B.M. Co. Lot No. 18 Tuthill Road Ext. Reference No. 90-SO-118 HighpoinC Meadows Job No. F91-99 Southold, N.Y. 11971 Water District: Outside Contractor: Latham Sand & Gravel & Applicant If I can be of further assistance, please contact me. Very truly yours, ~W J.fw~-,Z~-., Gerald W. Hickson By order of the Superintendent of Public Utilities GWH:cr 100 Years of Community Service ~ ass-isoz BUILDING DEPY. IN~PECTtON [ ]FOUNDATION tST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL ~7 G~' REMARKSt jai ~.:r~./ N l DATE - INSPECTOR~~- 765-1802 BUILDING DEPT. INSPECTION [ ] FO DATION iST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ DATE l ~ ' INSPECTOR T6S-1802 BUILDING DEPT. INSPECTfON [ FOUNDATION iST [ ] ROUGN PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE 3 ~ INSPECTOR / 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ _ _ ~ < < - --~'z? DATE ~ - INSPECTOR c t ~ 765-1802 BUILDING DEPT. INSPECTION [)FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~``J' ~Cnr~1 DATE oG INSPECTOR E $ 765-1862 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST OUCH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ MIND [ ]FINAL REMARKS: ~Q~ ~y C~~~ DATE INSPECTOR • Form No. 6 -:R._~H,M- ~~~g D C~~.~~~v~~~~{~~~~rw,,~ TOWN OF SOUTHOLD BUILDING DEPARTMEI3T JqN _ 4 ~~gf F) TOWN HALL 7 65-1802 EP.f~G~t7F-~7 TOW(V !:F ~5C3UTt~C7LS7 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ " `"""""~°Y~ :1. 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 Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of 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. CertificaCe 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 „ Deeembeh 21: 1990•••••••••••••••••••••• :ew Construction.. X........ Old Or Pre-existing Building.... 1625 Uxi.a.Ee ~7n-i-ve Saufiha2d lfltigkf~a~-~ Meadaeuh) .ocation of PropertY.,e House No. Street Hamlet )nwer or Owners of Property..~.~.M.~~ 55 .B1ock..b .............Lot..15.21 ' ;ounty Tax Map No 1000, Section.. H.C h utiwt Meadawb 18 subdivision.. .~.Y? ..................Filed Map............Lot...................... 'ermit No..1.9,Q$3•Z,,......Date Of Permit ................Applicant............................. 90-SU-118 ,Underwriters A royal.. iealth Dept. Approval PP Tanning Board Approval .equest for: Temporary Certificate........... Final Certicate..X........ 'ee Submitted: $•,25.00•••••••••••,••••••••• C 4 R APPLICANT c'1cLD iGS: ~~:LJ:i ~~J„:., j~ ~Ub(i9LNi: _ -tl 1. 0 'OI /n0 a r0U1JDATZON (1st) ~ s \~llp)~jl~ T I yy f /D ~i c~\ FOUNDATI0IJ (2nd) ~ ti 2. o ?OUCH FRAi~SE & PLUMBING 6 ' / ~ CC\\ ` 3• m n IIISULATI011 PER N. Y. ~ t~ yn STATE EIlERGY ~ C"nl CODs . 4 . ! y ' ( t FI;JAL I • I ~ ADDITIOPIAL COMMENTS: ~ x 1I ~ . x ro ~ H . ~ a:1 • A H n HN`v, ' O m • ~ ^V a Q Z . - y • o. 4 m H \ . ~ a ~Q IV Iv~1.1 h)1_. ( ~ Iq ~j 1 ' ~ ~ ~ r ~ y ~ ~ ~ x p ~ ~B~gN~~ ~ 1p Z . ~J ~ n pp~~ ~ ~ ~ ~ ~ ~ p ~ ~ o ~ ~ '1. U ~ o C ~ ~ ` I~1 V b b y Q, . ~ ~ ~ ~ D b D G r, ~ A n 1 c r-- ~ ~ c b ~ ~ O ~ ~ Z - ~ ~ ~ o o r~ o a n o ~ ~ v b ~ ~ ~ ~ - a - .r y p M ~ i ~ O r 0 p ~ v b M o~s~ ZqW ~T9 D ~ oy~ y~2 .J @ m m T ~ ~Y•' • cti 2 ~ i Y ~.~.a_s.,_, w~--~~.-.~ ~ ~ a~zy~ . 3. Nature of work (check which applicable): New building Addition Alteration . Repair Removal Demolition ..............Swimming pool........... . Tennis Court Accessory Duilding..........Fence .......Other Work:.. pp--n oo 4. Estimated Cos~c7.Y~ ~~Q Fee 4Lo be paid on filing this application S. If dwelling, nutnbcr of dwelling units ~ Number of dwelling units on each floor . Ifgaragc.numbcroCcars 6. If business. commercial or mixed occupancy, specify nature and extent oC each type of use . 7. Dimensions of existing structures, if any: Front . Rear Depth . Hei^_Itt Numbct of Stories . Dimensions of same structure with alterations or additions: Front Rear . Depth IIcight Number of Stories . Dimensions of entire new constnuction: Front Rear Depth , Height ...............Number of Stories . 9. Size of let: Front .......I J:3........... Rear .....l~.s:........... Depth ....~1 ~ . 10. Date of Purchase ..........Name of Former Owner . 1 1. Zone or use district in which premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation : . . 13. \Vill lot be regraded Nill excess hll be removed from prezttises: . Ycs ITp~, 14. Name of Owner of premises . . Address _ _ ..........Phone No.... _ , Name of Architect ...........................Address ...................Phone No................ . Name of Contractor .................:........Address Phone No..... IS.Ls this property located within 300 feet of a tidal wetland? =YES....NO.... *If yes Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property Lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. p~ o STATE OF \E1V YORE: COUNTY OF ~.V. ~.r.4.41<. S.S being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Hcistlic........~ oi~ ~S~!L (Contractor, agent, corporate officcr,ctc.) 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 arc true to the best of his knowledge and belief; and that th< work will be perfomtcd in the manner set forth in the application filed thcrctvith. Sworn to before me this ..............~~~~-3~/.~ ..day of ~/!l'.~............., 19 ~d Notary Public, ! :'::~:~K County % ~ j~J ~ ~ ~ l_,c____, HELEN K DE of ~ ~ • . • . 470T87~ Sulfolk~I (Si;nature of applicant Term Expltes Meroh 30,1 BOARD OF HEALTH~~.rK....... 9 SETS OF PLANS FORM N0. 1 SURVEY • • • • • . TOWN OF SOUTHOLD CHECK ~ aZO~~. • • • . I~, BUILDING DEPARTMENT SErTIt: Foari ..~°fl~•.......... TOWN HALL $pUTFit1L•11,. t~ly_ tt271 NQ'F I FY o • ~ ~ ~ TEL.: 755~1II02 CALL . • ,i MAIL T0: Examined . 5 19... • • . Approved 1 J ~Y. Permit No. ,1~,/. ,u, ( . Disapproved a/c ~ . , ~ o-~ ~'a L~ ~ ' ~ ~ P$ ~f j~i . ocr 2 3 iy~o r ~ pt . ~ ~ -.,.,.~,e....., t ' ' 1. • i~ ' ill g Inspec or) BL17c3. ,~.'tHP7. 'll • • T04VN OF :~f~117iNfil.C1 1 APPLICATION FOR BUILDING PERMtT Date / ~ 2- 3 Iy%'d INSTRUCTIONS a. Tltis application must be cdmpletely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate. plot plan to scale. Fee accottting to schedule. b. Plot plan showing location ~~of lot and of buildings on premises, relationship to adjoining premises or public street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl cation. e. 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 permi s}call be kept on the premises available for inspection throughout the work. e• No building shall be occupied of used in whole or in part for any purpose whatever until a Certificate of Occupant sh;tll have been granted by the Building Inspector. APPLICATION IS HEREBY M!J1DE to.the Building Aepartment 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 o: 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 tc admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporauon) • • • • (Mailing address of applicant) State whether applicant is owner, )essee, agent, architect, engineer, general contractor, electrician, plumber or builder. VJ /.7•c. ~S . Name of owner oC premises ......~U..~ M ..Cu. ° . (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. . cd work will be done; ' 1. Location of land on which propos I toas~ Street. Hamlet !louse Number r County Tax ~[apI No. 1800 Section ~ ..S • • Btoek .......~7........ , . Lot ~,[.d : I" . Subdivision L~. ~ ~ ~9.1. •t. ~ •r9~s• d tJS• Filed !,tap No . Lot . Ig.......... . (Name) • State existing use and occupancy of premises and intended use and occupancy of proposed construction: c A. l:xisCing use and occupancy..... !J . ...........:...5,,,..4,'..•...............•....... B. Intended use and occupancy.... ~ i ~ ~ - ~ ~i r \ E'i20 ~~~°A9 ~ O ~g5 ~ 2~:z2 ° N ~ u`° ~17Q \ i~ 3%Ey O; ~ N,i l DP09 Y ~ ~ \ GA E~.2\p 90~~V i ~ VA i urls. Olx1 8 V V. ~y 0 LOt\ ~a 5~• To m P 2Z` ~ 0~0 PP'Np'( ago \ ; Q NND \ a ~ ~ ~ m N Y) OCf 2~~41990 `o, vv `:,2 \ N .a BLDG. DEPT. \~o. O~ . 6\~~Q TUWN OF &OUTHOlA ~ 2 \ O \ 2~ ~ y~ o \VP \ ~ 2p E~R~ g ~i.2 ~O~OpNtl \ ~ u\. ~ R\~ / \ Ds ,ye 0 ~ ~~.2 56~ ~\O~ /~a/N/ / Eve / ~ \V AO ANZ l v F~ a g`~ ~ iY€~pg~~pC)~s, ~l_ _~'~y,§~'~a~ ~ ;-.~"`~'/_}~{`:°~ay',~f~~ty tys~ ~ r,~ w ~y~j!_T+ ~p~^~ ~ . ,~a~ ~~'•'A `r^yi~.:' ~J~.{~-.N i7.L:.47 F 1'L` V J E-..s"tY3+~3 -I-~I~S iJiVJ S,+PaF L_ id.T w"`~I"~~f:^~~YS'P"4aL I ~~4.i"~ ~ 3A~/~~ "iii°,' . SURVEY FOR ~p~tf!'c D.B.M. COMPANY ~<u~ ,uFFOLK courlrY DFPh.^T#~h.FN? ray HLT~ tleg LOT N0.18,~~HIGHPOINT MEADOWS, SECTION TWO~~ AT SOUTHOLD DATE. OCT.IS,199O FOR APPRq'fAL GF CGhlSTRUCYsgp~ gnllt TOWN OF SOUTHOLD scALE~ I"=4o' SUFFOLK COUNTY, NEW YORK No. so-oeoo DA,QCT 191990 H, R- . Nq. V/_D'~ N UIMUTNdt1ZCD AL7CRATtOM OR 4001TION ro TNIf SUPV[Y 6 A VIOLATION OF lE CTION T20f OF THE ~ HEW YORK STATE EDUCASION lAw K COPT ES as THIS 3UIIVEY MOT fEARWG iNE LAND qg OF NE 4PPROVED SuR VE roR'S INKED SEAL OR ENSOSSED SEAL SNA LL a'1 P' bB' `O D ~ / / ~ ~ iy ~ _ NOT B[ COMSID EREO i0 BE A VALID TRUE COPY . P D {O/ i1'7" THE PERSOM[FOR WINOME DINE SUINEy pS PREPARED m ~ w~ HEALTH DEPARTMENT-DATA FOR APPRO TO C C7 r0 ANO d1 HIS KNALF ro THE TITLE CON PANY, 60VERM- R NLARLST wATU rA1N ~Ml S RSOURCE OP WATER' PRIMITE PWIIC _ NEN TAI AOEMCY AND 1EM01MG INSTITUTION uSTED ~ ~ N f CO. TA% ? FIST 1000 3[C TION SLOCK ~ l0T p~y,f~`.I NE/IEON, AND t0 THE AESIONEE3 OF THE IE NDING G1 NTNLK ARf NO Dw(1L11N1f wITNIM 100 FEET OF TNIf MOPERTY INSTITUTIW OUARANT[ES ARE NOT TRANSFERABLE OTNLR TNAN TNOSE. SNOwN MLRfON TO A0OI TIONAL INS itTUt10NS OR SUBSEQUENT N iME wATLR fYML1 AND SEfMK gSPOSAI lYfTLM F'OR TNIf R[f IDENCE OwNER3 wILL CON/DRN N TN[ fTANDAR9S Of 1NE SUITOIK COUNTY D[PARTN[NT R DI SEANCES SNOWN N[REON FROM MOPERTY LINES 01 N[ALTN S[RVIC[S. TO ExISTIMG fTRUCTURES AR[POR •SP[CIPIC O~g ?UI1P03C ANO ARE NOT i0 K USED TO ES TABLISN AS?41CANT~ T.(1 ~ P ?IgPERTY LINES OR FOR THE ER EC TI OM Oi FENCEf ~psf~ LAND SURVEyoQ AOOR[fS 7 y~ AJ1n A ~I l1JA~ 1 ~tr¢ PiN ~Or~' 1'1~ 119k _ YV ~L ~~7,' LL23 YOUNG a YOUNG ~ RNE' o"NSW ro~ E NOTE+ ALDEN W,VOUNG,PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MAR.19,199O AS FILE N0. 8911. 4N0 LANG SURVEYOR N Y.S. LICENSE N0. 12843 w HOWARD W. YOUNG, LAND SURVEYOR ~ NM LOGTgI10F WFl.I(W1,KPflt TANNIfT)4 C(SSPOOL3(CPI SNOwN N[I1tON N.Y. S. LICENSE ND.45893 a ARE-FROM PI[l0 OpERMT10Mf AND OR DATA OST4M[D PITON OtNERf ZB BRANDIB 6 SONS INC. ~ ~Z r ~ ~ dot Y9 \ ~g5 00 N \ ~ \ o D ~ 2p E cNr. ~ ~ m ~ a N?A ~ \ $ T, ,w op C-~ ~'o2Z~'(8 5~. 11 s 2 PCe~ ~ s ~ i ~ .N 1 j / No ~ P 2 RpME 381~~- ~1 'Z NP F 0~5E . N.(.1~-~ ~1' . o. N ~5?1 \m. P . V'~ . st ~ o 0,2 _ _ as_I_~ O i ' ,(2~ \ ~,,3~. N ,h d i vO ~ / / \O `Q ~ ~ / ~ ~ /~N V~333 ~i~- 0 583 ~ OR\~ / \ - - ~ Q - - ~ - - i .n ~'g19g~ Disc rsso I TUw~UF'~EPT ~ouTyo~D ,Z.y, ! VOr" ~eEs SURVEY FOR SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES LAURA TEPE ®~CS~G~.E1,Mj~~LY DNJELLING OPlLY LOT N0.18, "HIGHPOINT MEADOWS, SECTION TWOII DATE U ~JYi.S. REf. N0. ~_~.~s~~~ AT SOUTHOLD DATE: DEC. 13, 1990 The sewage disposal and water su;^,p!y'rarilities for this 1DWN OF`SOUTHOLD scALE I"= 40' location have been inspected by this i)a;?aament and/or SUFFOLK COUNTY NEW YORK No. 9D - 0985 other agencies and found to be satisfactory. ' T~ KWMUTNptIZED ALTERATION OR ADDI TION TO THIS CERTIFIED TOE °I- SURVEY R A VIOIATtOM OF SECTION 1209 OF TyE LAURA TEPE ie oreau 0 VUas ewate~ Management NEM YORK STATE EDUDA.TIDN LAN D.B.M R COIL ES'OF TNf7 31MVEY NOT KEARW6 TN[ LAND TI P; TEE - SURVEYOR'S INKED SEAL OR EMKOSSED SEAL SN4lL NOT COMSID(RED TO 0E A VALID TRUE COPY B D A~j9 NAL BANK RGU ARAN TEES INDIUTED NE REON SHALL RUM ONLY ro W, HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM rNE suRV[Y IS PREPARED rO~ }O r AND O, NIS fENAIf 10 THE TITLE COMPANY, OOVfdN- ? MENTAL AGENCY AND 1EN01NG INSTITUTION LISTED K N[AR[ST KfAT[J1 KIAIN_MI M SOURCE OF WATER PRIMTE _PUKIIC . N SllFf CO TA%MAP pfT 1000 SLC TIOM 53_KLDCK .3t_ SOT O/o 13.1 NEIIEON, ANO TO THE ASSIGNEES Of iNE IEMDIM6 KTN[RE ARE MO 01Y[L LIIKf WITHIN 100 fE ET OF TIKE PRO PF RTY INSTITUTION GUARANTEES ARE NOT TRANSFERA KIE OTN[11 TN AM THOSE' SHOWN N[REOM TO ADDI TIONAI INSTITUTIONS OR SUeSEOUE NT N TN[ WAT[R 3UPR.Y AMD fEMMi[ DISPOf AL SYSTCM FOR TNIf Rt110EN0[ OWNERS ~ K OI lTAMC[! SHOWN HEREON FROM PROPERTY LINES ~ MILL CONFORM TO TNL fTAMDAR03 OF THE SUFTOIK COUNri DVARTMEMT TO EKIf TING STRUC TURCS ARC fOR A SPECIFIC IT.A~_~Yj/ . OF NQLTN K[RVICLf. NR?OSE AND ARE NOT TO KE USED TO ESTAKIISN 44557755 Gy ATLICANT• ?ROPERTY ONES OR FOR THE ERECTION Oi fENCES tABD SUQV~' ADOREY 'EL YOUNG ~ YOUNG 4ooosTRANOERAVENUE RIVERHEAO, NEW YORK NOTES p =STAKE ALOEN W. YOUNG, PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND UAND SURVEYOR N YS UCENSE NO 12845 SUFFOLK COUNTY ON MAR.19,1990 AS FILE N0. 8911. m HOWARD W.YOUNG, LAND SURVEYOR ~ NTHE LOG7Klr1 Of WFLLIW), SEPTIC TAMKISTIO C[SSMOU(C/) fNOWM NU[ON N YS. LICENSE N0.45897 a ARE fROM i1ElD OpERMT10Nf AMD OR DATA OfTAIMtO FIfOY OTHERS Z.B. ORAN019 6 SONS INC. ~ i Z r ~r ~Ot 19 t65 ~0 ~n ~ N \ 0 4 20 E' cP. \ ~ N?~ 3 \ $ Q lw 4 L0~2t~g sf• \A 2 PTe° ^ ~ ~ ~ D ~ ~ f0 N SOON T~ N J Op 381~~-~ ~N ..AZ Ey,cl~ stop o Ti; - ~w ~ ,oQ ' \ ~ ~~3 33 56 ~ Mp~N~ l 7 ~ SURVEY FOR D.B.M. COMPANY LOT N0.18, ~HiG HPOINT MEADOWS, SECTION TWO Nov. 1,1990 ' , OCT.29,1990 AT SOUTHOLD DATE". OCT. 15,1990 TDWN OF SOUTHOLD ScaLE 1"=40' SUFFOLK COUNTY, NEW YORK No. 9o-Oeoo N UNAUiNOR 12E0 ALTCRA 71 OM OR ADDITION ro THIS " SVRYEY D A VIOL ATIOM aF Sf CTION 1209 OF TyE NEW YORR STATE [DUC ATIOM LAN a,'~E CIF roFW rt COPI ES OF THIS SURVEY NOT fEARWG THE LAND Tyq SURVEYOR'S IMNEO SEAL OR EMfOSffD SEAL SHALL P® yy O,~ NOT fC COMSID ERED TO 0E A vAL10 TRUE COPY ~P NGVARAMT[ES Ni01CA TED HEREON SHALL RUN ONLY TD o `G HEALTH DEPARTMENT -04TH FOR APPROVAL TO CONSTRUCT THE PERSON FOR WNOY THE SURVEY IS PREFAB EO .r ANO OM NIS MNAIF TO THE ilTlf COMPANY, 60VEAM- ~ O M MCIRCST MATU •AIM~MI ~ NSOURCf OF WATER' PRIMTE _PUlIK_ MENTAL AG[NCY AND LENDING INSTITV TION LBTED R fl/F CO. 7A%MA/ DN{T 1000 SCC TION S~fIOCN LOT O%igd HEREON, AMO TO THE AS316N ECS OF THE LE NOING N TNLRE ARE 110 OWfLl11M1f WITHIN 100 FEET OF TWS PROPCRTY INSTITUTION GUARANTEES •RE NOT TRANSFERA lLE OTNCR THAN THOSE fNOMN NCR[ON ro 4001 TIOMAL INS TlTUTIq/5 OR SUBSEQUENT OWNERS R THE WAT[R fUM.Y AND SEMMYE DIfPOSAL SYf T[M FOR illlf R[f IOE NCC R D13TAMCC3 SNOYfN HEREON FROM ?RO?ERTY LIMES ry0, ~ WILL CONFORM TO TMC iTAMDMOt OF THE SUFFOLK COUNTY D[IARTMLNT TO EX IfT1Mi STRUCTURES AR[ FOR A 3PfCIFlC 4580 M HEALTH 1[IN IC[f. PURPOSE AND "ARE NOT 70 0E USED TO Ef Tpf LlfN V AMLICANT~ ?ROpERTY LINES OR FOR THE ERECTION a fENCE3 FD SAND $OQV e ROME 14 YOUNG e~ YOUNG ~'"'E q ~!~1~ K NOTE ~ ~ =STAKE ALDEN W YOUNG, PROFESSIONAL ENGIN D ; ` S U801VISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N YS LICENSE NO I Ip1 " ~ `~o SUFFOLK COUNTY ON MAR.19,1990 AS FILE N0. 8911. m HOWARD W. YOUNG, LAND SURVEYOR m N TNf IOCATf7N DP •ELl(WI,lERfIC TA MKIfh• C[ff?OOIf(CPl fNOWM Nucor N Y. S. IiCENSE k0 45893 SLDG. OEPT• a ARE FROM FIELD OpERWTION! AMO OR DATA OfTA1N[D FROM OTHERS TOWN OF S'~I,.ITf'-0QvL,.~,.~o~{ 2. G. G RAN015 6 SONS INC.