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Home My WebLink About18777-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19163 Date JUNE 22, 1990 THIS CERTIFIES that the building Location of Property 1120 WEST LANE RD. House No. County Tax Map No. 1000 Section 88 Subdivision ADDITIONS & ALTERATIONS Block 6 Filed Map No. SOUTHOLDr N.Y. Street Hamlet Lot 16 Lot No. -conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 29~ 1990 pursuant to which Building Permit No. 18777-Z dated FEBRUARY 7r 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 DECK ADDITION~ ADDITIONS & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CAROL STANCS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - 6/21/90 PLUMBERS CERTIFICATION DATED JUNE 21~ 1990 - HENRY J. SMITH & SON~ INC. 'Building Inspector Rev. 1/81 TOWN OF SOUTHOLO BUILDING DEPARTMI:NT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 18777 Z Permission is hergby granted tg' ................ ~~..~~;~ ..... c~~ ................ ~~ ................ ~~ ......... ~Z~.~..~..~..~..~=.....~..~...~.~..~...~..~ ......................... co,,w T~, ~ ,o. ~0oo s,~,o~ ......... Z~ ..... ~k ............. ~. .... ~ot ,o ......... /~ ......... pu~uant to application dat~ ........... ~ ............................., 19...~ and approv~ by the Building Inspector. Fee $...~......~..~...~ Rev, 6/30/80 Bm Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCU] 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. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. ,' 5. Commercial building, indus.trial building, multiple residences and similar bmildings 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildimgs and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building amd unusual natural or topographic features. '" 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the appiicant. 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 $t5.00 New Construction .... ~ ...... Old Or Pre-existing Building ................. Location of Property ...... . ..... House No. Street Hamlet Onwer or Owners of Property..~.~.~...~-.~...~.~}~ ....Q~.¥.~O. ................... County Tax Map No 1000, Section .............. Block ................ Lot ...................... SubdiVision .................................... Filed Map ........... . Lot ...................... Fermit o.Ql' t%S ...... Dat . of ..... ~{ealth Dept Approval Underwriters Approval Planning Board Approval ........................ FeeRequest for: ~Temporary Certificate.,submitted. $ ....................... ....... i~...~~~Certicate''~'~ ................................................ APPLICANT New York State Department of Environmental Conservation Buildin9 40--SUNY, Stony Brook, New York 11794 A review has been made of your propos 1 to: ~~ ~~ Based on the information you have submitted, the New York State Department. of ~iro~.t~l Conse~.uation.~s. det~r~ned that the __ parcel ~ prelect is: Gre~ter than 300' from inventoried tidal wetlands. ~,, Landward 0f a substantial man-made structure __~ ~eater than t00' in ~Dn~t~ w~ch ~as~nstru~te~_pri to 9/20/77. Landward of n~e 10' above mean sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff, cliff or dune Which is greater than t0' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25' of the Environmental Conservation Law). Please be advised, however, tha~ no construction~ sedimentation or disturbance of any kind may take place seaward of the 10' ccntour or topographic crest without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation o~ other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction~area) .or er~ion of a temporary fence, barrier, or hay bale berm. Please note that any additiona~ work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. _ Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, ~{ Deputy Regiona~ermit Adm!n'istrator John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert J. Krupski, Jr. John L. Bednoski, Jr. 3ohn B. Tuthill Telephone (516) 765-1892 '~/d~ $"~ 3~ Town Hall, 53095 Main Roa~ ~ P.O. Box 1179 Southold, New York 11971 BOARD OF TOWN TRUSTEES Fax (516)765-1823 TOWN OF SOUTHOLD Telephone (516) 765-1800 John Bertani Builder, Inc. 1380 Oakwood Drive Southold, NY 11971 RE: Waiver~~~.~ Dear Mr. Bertani: _ry 30, 1990 [/ JAN$119ojO The following action was taken by the Board of Town Trustees during its regular meeting held on January 25, 1990: RESOLVED that the Town Trustees~ your request for a waiver to on the water side. The property is located on Private Road (Sunset Lane), Cedar Beach Park, Southold, NY and fronts Little Peconic Bay. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. JITB: jb cc: Bldg. Dept. CAC File Very truly yours, President Board of Town Trustees HENRY J. SMITH & SON, PLUMGING, HEATING & FUEL OIL MAiN ROAD SOUTHOLD, N.Y. 11971 (516) 765--3690 CERTIFICATION Date June 21~ .1_9_90 Building Permit No. Owner Carol Stancs 18777Z P 1 umb e r___H en ry__J_. __S_m i_% h__&__S_o n_~ Inc. I certify that the solder system contains less than 2/10 used in the water supply of 1% lead. ' /'-' ~[enry ~P. Smith Sworn to before me this ~gk_day of ___J_uz~e ..... , 19_9.0__. Notary Public Notary Public, Suffolk County PUBLIC ~ires SepL FOUUDATION (1st) FOU~DATIO~'; 2. (2nd) ROUGH FRAME & -PLUMBING INSULATION PER N. Y. STATE E~;ERGY CODE Fi::AL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~INAL REMARKS: 765-180::' BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND L ] INS~J~ION FRAMING [//q'FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ['~NSULATION [ ] FRAMING REMARKS: FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. SPECTION [ ] FOUNDATION 1ST [/.~'*/ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~MING [ ]FINAL /~~,~ INSPECTQ~~ DATE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined - "~/~' '~: .......... , 19.~.~. Disapproved a/c ..................................... (fl, dildin~s~3ec to~ APPLICATION PE ,T INSTRUCTIONS BOARD OF HEALTH ........ 3 SETS OF PLANS ........ SURVEY CHECK .................. SEPTIC FORbl ............. CALL MAlL TO: a. This application must be completeIy filled in by typewriter or in ink and submitted to the Building Inspector, ~v 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 st or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this a cation. c. The work covered by th.is 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 pe 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 m3y purpose whatever until a Certificate of Occupn shall have been granted by We Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the construction of buildings, ad. ditions or alterations, or for removal or demolition, as herein descrik The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, anti admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporanon) (Mailing address of applicant) I~q T/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build Name of owner of premises ~..~-z5 L.. ~7'",<IAJ ~51. .......... (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...~rq. qq.. ......... Trade's License No ...................... 1. Location of land on which proposed work will be doq.e House Number ~ Stree ~ Hamlet irk " Ate County Tax Map No. I000 Section .................. Block . /o Lot. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended 3. Nature of work (check. whicli applicable): New Building ... ' Addition . J. ..... Alteration d. Rep~r .............. Removal .............. Demolition .............. Other Work .......... (Dcscript 4. Estimatdd Cost .. fi~'.:P'~ ~¢~. ............................. Fee ................................. (to be paid on filing this application 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ........... If gate-e,, number of cars .................................................................., 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................ 7. Dimensions of existing structures, if an:,': Front .... ~.."~=. ....... Rear .~...~r. ......... Depth ....~.~. Height .... 0¢?.<., ..... .... Number of Stones ...... ~ ..................................... Dimensions of same st~bture with alterations or additions: Front ..... ~..'~. ........ Rear .... ~ .'~- ...... DimenSibr~,..&~lje new construction: Front /- ~-7 ..... '- '~ Height .... ~..'&.'. .......Number of Stories / ,, . ........... ................ Size of lot: Front ..... l~.t ............ Rear ...... [~ ............ Depth ....... Date of Purchase .................... . ......... Name of Former Owner ......................... Zone or use district in whiclx premises are situated..~y'~c~f~ .................................. Does proposed construction violate any zoning law, ordinance or regulation: ...... .~.O .................. Will lot be regraded ............................ \Vill excess fill be removed from premises: Yes ~ 15.Is this property located within a00-feet of a tidal-"~/~nd? ~YES~..NO .... *If yes, $outhold Town Trustees Permit may he required. PLOT DIAGRAM Locate clearly and distLrtctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fi property lines. Give st_reel and block number or description according to deed, :md show street names and indicate whet interior or corner lot. 9. 10. 11. 12. 13. 14. r;' RMIT fNCLUO~S APPROVA,.. TO REMO'V[: EXCESS FILL FROI'.~ &BOV£ PREMISES BY GRADING LOT ~ c s oot ..... STATE OF NE\'¢ YORK, COUNTY OF ..... ~...~.. S.S ............ · .-.~ .~. · · '-~- -~-~ .'¢'¢- -] ............... being duly sworn, deposes mad says that he is the applied (Name of individual signing contract) above named. is the ...... .¢?. ............................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform orqmve performed the said work and to make and file application; that all statements contained in £his application are true to thc best of his knowledge and belief; and that work will be per/ore, ed in thc manner scl forth in thc application tiled therewith. Sworn to before me this ................. g.f .... (Signature of applied