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HomeMy WebLinkAbout18859-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCOPANCY No 219252 Date SUZY 30, 1990 THIS CERTIFIES that the building ADD AND ALTER Location of Property 705 PVT RD. #12 WINDY POINT LA. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 87 Block 04 Lot 06 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 27, 1989 pursuant to which Building Permit No. 188592 dated MARCH 12, 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 RENOVATE FIRST FLOOR & ADD SECOND STORY TO EXISTING ONE FAMILY DWELLING. The certificate is issued to cR-in.RT.FS & CAROL BURST (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING SLIP 7/30/90 PLUMBERS CERTIFICATION DATED K & K PLUMBING & HEATING 7/17/90 ~v uilding Inspector Rev. 1/81 sos~s xa s TOWN OF SOUTHOLD 6UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 18 8 5 9 Z o~te .........~.~s.~....... 19..9 Permission is horoby grouted to: c.?.k... .~~~:..~-ZQ-......~u.:~.:.....+1.~ ~o~~~ ~ll ~ nn at premises located at ~ ~-....!:~.d..~°.~.Y+(~la~...°L-- .............~4~S:Q~............. ....a.~ .....................~1.............................................llllll..................................................................................... ....~E.S:....~c7~a.X~.~:..~....~~i .L~~ County Tox Map No. 1000 Section .....,..5~..~.-li...... Block .....CJ,~......... Lot No.....d..~.......... pursuant to application doted ...~C?.,1~.1!~..........°~.~ 19.~.~.., and approved by the Building Inspector. Fee S.l3`Z:. wilding Inspector Rev. 6/30/80 Form No. 6 D JE,t. f 9I990 ~I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BLDG. DEPT, 765-1802 TOWN OF SOUTHOLD APPLICATION FOR,CERTIFZCATE OF OCCUPANCY w~(°/'~' ' ti This application must be filled in by typewriter OR ink and submitted to the building Inspector with the fallowing: 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 (5-9 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 1Z lead. ~ S. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. b. 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.D0, Alterations to dwelling $25_00, Swimming pool $25_00, Accessory building $25.00, Additions Co 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 G. Upuated 4erL1LlCflte of Occupancy - $50.00 . 5. Temporary Certificate of Occupancy - Residential $15.0f0, CommerciCCyyal $15.D0 Date .~~,~.l.~` ..~.1~ ::ew Construction...........•OlCd Or~~P"re-existing Building....... Location of Property...©.1....h`:z~. ~2:~.~J~A/.V. +~lj~ , aoinll. .~n vlrl oLf~ House No".'1 Stteet Hamlet Onwcr or Owners of Property ` ~A~~'~~"-7S ~;?l/~oL .~Ugs~. _ County Tax Map No 1000, Section...~.1......Block....._.1:........Lot..... Subdivision.....~.G .....................~^.,.,.R.p.u..Filed Map..........~.(Lot.........`.~............ Permit No. `~,g,-:, J,y..Date Of Permit:"VS:':4~:.1~}I,~,gOApplicant.'U~i/1,~~:~C.~P.~:Y~.~!~... . Underwriters A royal....... lealth Dept. Approval pp i Planning Board Approval Request for: Temporary Certificate........... Final Certicate.~ , ~ od Fee Submitted: 5'. ~ YG~ y~ ...............c 7i3i~y6 c a ~sa.s1- APPLICANT ~ ' FORM N0.3 TOWN OF SOUTiiOLD BUILDING DEPARTb1ENT TOtiVN CLERK'S OFFICL SOUTIiOLD, N.Y. NOTICE OF DISAPPROVAL n~ ~ Date /."Z ] I9 ~.9. ....7. . 3 2, PLEASE TAKE NOTICE that your application dated ~ 19 for permit to ~°^vJ-°~.~~~y:~ . ~ . ~~GP.'~..... at Location of Property 170 u!'~?~~.....!-~...... c GY.~ifJ'/ House No. !!JJ Srreer County Tax Map No. 1000 Section ....~7...... Block ........~t~..... Lot . Subdivision Filed hiap No. Lot No. . is returned herewith and disapproved on the following grounds ~._~~.!'~~...~~~i • . G.4?7 ......~..9.. . ~ ~ ~i... ~~t%~%c~ Buil n nspector RV 1/80 " ~Y~NEw~YORK STA• TR`~Mk~Ms,Or FNVUR n RVATION - ~ .nT NUMBER ~ ' + rr ' ATF 10-89-1189 U ~ /89 FAOUTYIPROGRAM NUMBE R(s) PERMIT A ~ E%Pii T N DATkU/ Under the Etevirotrn+srttat C tio~w N/A 1/92 BLCG DEPT. TGWN OF gpU~ 328 1329: Aquat c Pest cider 27 ~ Water Duality Certification ~ Tidal Wetlands Proitection itiWater ~ SPDES 17r Titles 7. 8: ~ Solid WasteTiManagementRR 360: WafeBSuppjytle 15: ~ ariPollutlon Control' ~ Hazardous Walsto~Management3• `1 Article 15, Title 15: ~ Article 23, Tftle 27: ~ Article 34: ~.J water Transport Mined land RecWmatton Coastal Erosion Management longel land )WellsS, ~ F ershwater Wetlands ~ f oodplan• Management Article 15, Title 27: N-New, R-Renewal, M-Modification, j Articles 1 3, 17, ?9, 27, 37; Wild, Scenic and Recreational C-Construct ("only), 0-Operate ('only) u 6NYCRR s80: Radiation Control Rivers , Pf RMiT ISSUED 70 ~ • Carol,& Charles Buret ` ADDRESS OF PERMITTEE 7 Chatham Pl. Dix Hills NY 11746 AGENT fOR PERMITTEEICONTACT PERSON TELEPHONE NUMBER NAME AND ADDRESS OF PROIECTIFACILI7Y (lf diflerent frnrtt ihmtiaeel Core Creek - 705 Wind Pt. Rd. Southold LOCATION OF PROIECTIFACtLITY COUNTY TOWNJCI7YNILLAGE UTM COORDINATES Southold Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY Construct a second 'tor addition to an exiatin sin le famil dwellin as per attached survey by R. Van Tu 1 dated I/7/70, amended 7/27/89. All work shall be i¢ accordance with the attached tan stem ed a roved b Ir1YSDEC 8/28/89. GENERAL CONDFTIONF Y 0Y acceptance of this Permit, the petswittee 'tires that tM permit is contingent upon strict comt4li-~ ante with the EC4 all appikabk teWktMrte 'tad the oonditiotr apecifkd irnein or attached lwreto: 1 The prrmitter shall f Jr in thr office of the appropnate reg+oul petmrt admmislgtor, or other o!f ice desiynatrd m the spe<uI cond+trons, a notice of mtentmn to comment! w o+k at bast i8 hours m advance or [he time of commencement and shat) also notify himltut promptly m wnhny of the <ompkuon of the work _ ihr F:eamrttrd work shall be wb(e<t to rnspecison by an authonad reprcserttansr d the Department of Fnveonmental Conserva++on which may order the work swyrnded a Inc yubbc interest so regwrrs pursuant to ECL E7Td]01 and TAPA Fi01f3} } The prnn¢tre ha> accepted taprasly, by the execution of the appltcabon, the full IeWt responsib+G[y for all damages,due or mdrecl of whatever nature, and by whomever sutre+od aosmy out of the project descrrhed hereks and tus ayrced fo indemniW and saw formless the State from sorts, ac,~uns, damage and costs or every name and descnp ?on resulting Iran the sad Protect. a Tlw Drpm 4nrut rexrve the nyht to modify. susperd w revoke this permit at any nine alter due notice. and, +f requested, hold a hearing when a} tnr cope of the pralect n exceeded w a vwlation of any caddion of the perms ar provi>ions of the ECL and perumnt rrgulanons err found, ur b) Ise perms wa obtained by mnrepresentation or failure W diacbae nkvent !acts, or c) newly ducwered iniamaGOn or significant phyocal changes are dlscoveted since the permit was issued 5 Tu mmntain a vehd permit, the pvrmntee must >ubmit a renewal applrcallon, Including any forms. fees or supplemental mrormabnn, whnh may be regwmd bV the Department, at least 3D days prior to tM eapaation data of the enrting permit (if10 days p+ar to State pollution disc Mrye elimination syuem perm's (SPUf 4) Solid waste managrmem fanhhes perm's ISWMFl, a Haardau> waste management fanhtin prrmns fHwMFO b Tho pain' shall not be construed as conveying to the gpphcant any right to tresp sWpon the land+ w +ntrrfere ante the ups non nyhb of other m u+J++ to pr+lonn the permuted work or as authainny the +mppartment of any rylhls, title ar inte~ fear or personal property held or voted +n a person not a party to the pcumt ' the prrmnire n resisonuble For obtaining any other permits, approvals, lands. eawmenH and nghts-ofgvay which may br requurd for this pro~rcl +ssuan<e of the permit by ehr OeWrunent does rot. unlns exprexlY Drovided tor, mod+fY. superwcte w rncmd an order on consent or determinauun by ttu Cumnnsiunrr .+vt hrrctotorc by the Department or any of the terms, conditions. ~ rtmmenta contained m such order w detrrmertauun mxbh<aucn of thn permit granted by the De xtmxnt mu}t b~ .,,ng and NlechM heroW at }IIU LA'i~Ua Y ! Arr..rrxo ISTVAnfF GATE r_r• '1NI RATts ADDRf ST ELT!GK]N 1 SUILUINO 40 13/28/$4 iZiddr~ fiTATE UNlVE1i81TY OT NE\V )'O)<~ ~oxlzED sICN..TURE _ 'TOi ' BOOt~a YW aCOEtIC L L : yva""'''111111 r l~ Page l Df . 1 i _ r JL ! .tL faEl1l~At CONDITIONS FOR~ARTICLE{ tyfj,~ SxiR4, 2S, 7L, Ii awd iiVYCRR Part f08 ( ) ,net of future Nerations by the State of New York rpuib an a4 other emironmanally delebrious materials associated with the xration in the position of tM stnscWn «work Mrein wthorizsd, « protect. if, in the opinbn of tM Department of Environmental ConsarvaUon 14. • Any mateiaal dredged in the prosecution of the work herein permitted It shall cauu unreasonable obsfsuction to tM free naviaatlon of said shall ba removed evenly, without leaving large refux piles, ridges across waters or flood tows « endanger the health, safety or welfare of the bed of a waterway « floodplain or deep holes that may have a the people of the Sbb, « uwsr lop « destruction of the naWral tendency to caux damage to nevi{able channels « to the banks of reso«cc of tM State, tM owner may be ordered 6y the Department to a waterway. remove « alter tM strucWral work, obstructions, « hazards caused 15. There shall be no u«easonable interference with navigatiors 6y the work thereby without expanx to the Stab, and If, upon the expkatlon « herein auth«ized. revocation of this permit, the structure, fill, excavation, or other 16. If upon the expiation «revocation of this permit, the protect hereby modification of the watarcourx fserebY tuth«ized shall not be com- wth«ized has not been completed, the applicant shall, without expense pleted, the owners, shall, without expanx W tM Stab. and to such to the State, and to wch extent and in such time and manner as the extent and M such time and manner as tM Departrrwst d EmkorRnenbl Department of Environmental Conervation may rpuire, remove all « Comervatbn mayrpuke, remove all«arty portion of tfse uncanplebd any portion of the uncompleted struuure or fill and restore the site structure « fill and restore to its former condition the navigable to its former tordiiion. No claim shall fx made against the State of and flood capuity of the watarcourx. No claim shall be ttsade against New York rsn account of any wch removal « alteration. the State of Naw Yodt on account of any such removal «alteratfon. 17. If granted under Article 36, this permit does not signify in any way 11 . That the Sate of New York shall in ra case Ise liable t« any damage that fire project will be free from flooding. «injury to the structure «work herein authorized which may be caused 78. If granted under 6 NYCRR Part 608, the NYS t)epartment of Environ- by « revel[ from fuWre operations undertaken Isy the State f« tM mental Conervation hereby certifie. that the subject project will not conservation «improvemmt of nevi{anon, «f« other purposes, and contraverse effluent limitations «ol, er limitations « standards under rso claim «ri{ht to compensation shat) ucnM from any such damage. Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 12. Crantin{ of this permit does not renew the applkaM of the respomi- (PL 95.217) provided that all of the conditions listed Iserein era met bility of obbinin{ any other permipion, convent « approval'irom 19. All activities authorized by this permit must be in strict conf«mance the U.S. Army Corps of Engineers, U.S. Coast Cuard, Ndsv YoAe Sbb .with [tr approved Plans submitted by the applicant dr his agent u part Offke of General Senkes «l~cal pvsnwmM Whkh may be reQUkerl of the permit application. 13. All necessary precaut ores shall 1>. taken to pracktde ctsntsminatlon of am/ wetland « waterway by suspended sdkls, sediments, fuels, Such approved Plans wero prepared by sdvents, lubricants, epoxy cwtinp, paint. corscrete. INGllib « arty on SPECIAL CONDITIONS Supplementary Special Conditions (A) through (J) attached. _3 _C PERMIT NUMBER l0-89-1189 PROCRAIsVEAC1UTy NUMBER ~ N/A Pa e 2 of 3 3 e _l' ui ki.4 .a"i ~'.ZA.~Y~ Cdr : SUPPF.EMENTAAYk'&PECIRL CONDITIONS ' ~ ' ~ilowing conditions apply ko all permits: If any of the permit conditions are unclear the permittee shall con- tact the Divisian Q~ Regulatory Affairs at the address and telephone nested below. o..e'ra'~~~ A copy of this permit with supplementary conditions and approved plans shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit or a copy of letter of approval shall be protected from the weather and posted in a con- spicuous location at the work site until completion of authorized work. At least 48 hours prior to commencement of the project, the permittee shall complete and return the top portion of the enclosed receipt form certifying that he is fully aware of and upderstands ail prov siora and conditions of this permit. Within one weed of completion of he permitted work, the bottom portion, of khat form shall also bt com- pleted and returned. , For projects involving activities to be accomplished over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to the commencement of resumption of work each year. If project design modifications take place after permit issuance, the permittee shall submit the appropriate plan changes for, approval by the Regional Permit Administrator prior ko undertaking any such modi- fications. The permittee is advised that substantial modification may require submission of a Hera application for permit. All necessary precautions shill be taken to preclude contamination of any wetlands or waterway by suspended solids, sedia~ent, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associate. with the project work. r Any failure to comply precisely with all of the terms and con x~tions of this permit, unless aut;;.rized in writing, shall be treate~ ~as a violation of the Environmental Conservation Law. The permittee is advised to obtain any permits or approvals that may be required from the U.'i. Department of Army Corps of Engineers, NY District, 26 Federal Plaza, New York, NY 10278, (Attent on: Regulatory Functions Branchy, prior to commencement of work authorized herein. J. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242, which may be required for any encroachm~iypon ~ ite-owned lands underwater. Regional P it Administrat NYS Dent 'nvironmenta' .ervation gt ~ 219 94 _fi,.,.. _ , work. tha bSttto=. go ioct'"ot hataforn, shal'!""a17Ft• Q~ cuu+- . and returned;' - _ projects involving activities to be accomplished over a period of :e than one year, the pcrmittee sh-,11 notify the Regional Permit lministrator in writittg at l Est hours prior to the commencement of resumption of work each yea.'. ~f project 3esign m~3ificatinns take pi ,e after permit issuance, the pcrmittee shall sab~~it the a;.propriate Yian changes for approval by the Regional Permit Administrator prior to undertaking any such modi- fications. The pcrmittee is advised that substantial modification may require scat;mission of a new application for permit. G. All necessary precautions shall be taken to preclude contamination of any wetlands or waterway by suspended solids, sediment, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project work, Fi. Any Failure to c z[ precisely with all of the terms and conditions of this permit, u.il_.,.. aut~•orized in writing, shall be treated as a violation of the Environmental Conservation Law. I. The pcrmittee is advised to ohta'in any permits or approvals that may be required from the U.S. Department of Army Corps of Engineers, NY District, 26 Federal Plaza, New Xork, NY 10278, (Attention: Regulatory Functions Branch}, prigr,to cgmm~ncement of wgrk authorized herein. J. The granting of this permit does not relieve the pcrmittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Aivision of Land Utilization, Office of General Services, Tower Building, Empire Skate Plaza, Alban, NY 12242, which may be required ~qr dny encroachment upon State-owned lands underwater. Regiondi Permit Administrator NYS Dept. of Environmental Conservation Bldg. 40, SUNY-RooFn 219 Stony Brook, NY 11794 (5,j6) 751-7900 ~y Page 3 of 3 C~r~ g~FFDLY~, ~ ~ f Qiy ~ M Southold Town ~®ard of Appeals 4' Y~ ~ ~ ~'~Ol MAIN ROAD -STATE ROAD 25 P.O. BOX 1179 SOUTHOLD, L.L, N.Y. 11971 TELEPHONE (616) 765.1609 FAX No. (516) 765.1823 A...~ a..., RUC . APPEALS BOARD 1 MEMBERS (y ~ iYl GERARD P. GOEH RINGER, CHAIRMAN Q lJ ILSS V CHARLES GRIGONIS, JR. SERGE DOYEN, JR. tJV! J ~ h7R? JOSEPH H. SAWICKI ACTION OF THE BOARD OF APPEALS JAMES DINIZIO, JR. 'fDWN OF SpEPT. App1. No. 3865 Matter of CHARLES AND CAROL BURST. Variance to the Zoning Ordinance, Article III A, Section 100-30 A.3, as disapproved, for permission to - s non --side and rear yard setbacks in this R=$ - one- strict- Property- Location: 705 Windy Point~Road, County Map District 1000, Section 87, Block 4, Lot 6. WHEREAS, a public hearing was held and concluded on September 21, 1989 in the matter - under Appeal No. 3865; and - WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is located along the south of Bayview Road, Town of Southold, and is identified on the Suffolk County Tax Maps as District 1000, Section 87, Block 4, Lot 6. 2. This is an application for Variances from the Zoning Code Article III A, Section 100-30 A.3, for permission to construct an addition with insufficient side and rear yard setbacks. ' Page 2 - Appl. No. 3865 Matter of CHARLES AND CAROL BURST recision rendered October 4, 1989 3. Article III A, Section 100-30 A.3, no building or premises shall be used and no building or part thereof shall be erected or altered in the Low Density Residential R-40 District unless the same conforms to the requirements of the Bulk Schedule and of the Parking Schedule, with the same force and effect as if such regulations were set forth hearin in full. 4. The subject premises on the northeast side of the house will be 7+- feet from the property line, there is approximately .21 acreage at this location. 5. In considering this application, the Board finds and determines: (a) that the circumstances of this application are uniquely related to the premises and its established nonconformities; (b) that the variance will not in turn cause a substantial effect on the safety, health, welfare, comfort, convenience and/or order of the Town; {c) that in carefully considering the record and all the above factors the interests of justice will be served by granting the variance, as applied conditionally noted below. Accordingly, on motion by Mr. Grigonis, Seconded by Mr. Goehringer, it was -f~+ ~~Variance in the matter of the application of CgiARLES AND CAROL BURST as applied under Appeal No. 3865 for approval of a addition with insufficient side and rear yard setbacks, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That on the northeast side that the bushes be trimmed back to 7 feet so to remain open and unobstructed, of a height of minimum of 10 feet, for fire apparatus or other emergency vehicles to have access around the house. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen, Sawicki and Dinizio. This resolution was duly adopted. * x ~ df GERARD P. GOEHRINGE CHAIRMAN y~ ~ 'r"~ FRANK A. KUJAWSKI, JR., President ~ " 4'~ TELEPHONE ALBERT J. KRUPSKI, JR., Vice-President r,,~i . • R JOHN M. BREDEMEYER, IlI D JOHN L. BEDNOSKI, JR. `:¢r9~~">•> ,~'.*~w~" D HENRY P. SMITH ~ n' AUG - BOARD OF TOa'N TRUSTEES TOWN OF SOUTHOLD TOWN OF SOI TI lOLD Town Hall, 53095 Main Road P.O. Box 7'?8 Southold, New York l 1971 August 1, 1989 Edson and Bruer Attorneys at Law PO Box 1466 Southold, N.Y. 11971 Re: Burst - 1000-87-4-6, Windy Pt. Road, Southold, N.Y. Dear Mr. Bruer: The following action was taken by the Board of Town Trustees during their regular meeting held on July 27, 1989 as follows: WHEREAS the Town Trustees have conducted an on site inspection of the subject property, RESOLVED that the Town Trustees approve the request made by Charles and Caroline Burst for a waiver to construct second story addition to single family dwelling located on above mentioned property. Please return to the Building Department for a determination on the need for any other permits which may be required far this project. Very truly yours, Frank A. Kujawski, Jr. President Board of Town Trustees FAK:jas cc: Bldg. Dept. Board of Appeals file TEL. 7G5-1802 c~~FFOL,~~, To~rr or so~rHOa,D o~° , ~c OFFICE OF BUILDII~IG INSPECTOR P.O. BOX 728 TO\VN HALL "%~0 SOUTHULD, N.Y. 11971 , ~ r~t C E R T I F I C A T I O N - Date Building Permit No.~v ' owner~~j{~Z~~ ~y~ (please print) Plumber ~ ~ ~ "~Urc~~c~, c~(~~ ~ie~~~ (please print) ^ ~S1 tl~ ' I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. ' ' (plumber's signature) Sworry, to before me t .is rua day of ~n ~ .ti «(~j~jjj Z9-~= ~ Notary Public Notary Public, i t'"~ v~" `County ~ ER~IcC,G.KOCF1 ~ N~o. 52.3182 00~ 1Mflt . TEL. 7G5-1802 S~FFOtK~.~~ ~~p ~OGy ` TOWN OI' SOUTIiOLD ~ (,{;~,*s~.i ~ UP[~ICE O~ BUILDING INSPECTOR :~w P.O. BOl' 728 ~ TO1VN FIALL `Y~yf/O~ ~ SOUTEIOLD, N.Y. 11971 ! 9, ~ 9 ~o To I'7hom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. /x/ An application for Certificate of Occupancy i : not on file. F'^~~~e*a~o2 /X/ No Underwriters Certificate on file. /,Y/ Tlic check is /not on file.) ~ aS. ao / / No health Wept. Approval on file. Nc~ final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Buildi.n~l Permit Ik / ~ ~ ~ Z ~~+-~v,.La~Cercr Building Dcpt. ***/~Yy/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,198 ) ~ - - _ -L7 Illin:' II is i;:SCd 6N T.~. - _ - - ?OUIIDATI0:1 (1st) ?OUIIDATIO:I (2nd1 _ ~ ~ gfl . / 30UCH FRAb1E & ~ J PLUMBING s G 3. y IIISULATIOPI PER N. Y. STAT° EIIERGY CODE I~ I~ r m H 4. FI;7AL o M ADDITIOTIAL COM?•1ENTS: x . ~ x ' ~ C C r - LAtY,r1 '4AF, 1~ ~ ~ anb ~ ~ a PZ~m t ~ i ~ ti 4 ~ F` ~ a t!J Z`Gf M E'EP .Q ~ C3' 1 1~~ ~ ~~t 1'1{ ~G ~ ~ F t W 4 r , j ~ o ~ ¢l ' ~ may` " ! w ~1 ~ ~ o_ ~ ~ ~ ~ ~ ,Q , P ~ ~ o i G r ~ t~ oz- n Z ~'s ~ ~ ~ X ` ~ Z-, M ~ ~ l ~ 7 v ^r ~m ~ ~ ~ ~ ~ ~ ~ ~ g ~ ~ W y e 9' 1 p 1 ` v'""r ~ ~ O. p Q ~ ~ ~c{~ ~ ~ a r~ N o ~ M , ohm ~ m~ ~i ~ , , V r. 3 1L Y W, frj r-~ r~ j1~~~ f~ ii' ~ {t~~t, ~ ~ C...~ ~ ~ V i~f~r~.Ar L..w l.r Yl. `l ~Y\1..r?,w !?1. ~rt~F~~'\1 7 *.F. 3 _ p~ j( i " y ~ i . ~ r~ P f'~Y ti' ~ c.' yr; .r f r ~ . ~ r~ ~ TG W G ~ ~ C:'t~!'; H L'~ C. D ~ PSI. ~ [ Z t . S _ ij'lr`C z /O py~ \ ~Q. + iv 1 hR°r ~ f l~j j t ~ r 1 ~ ~ F ' O. ~ ;T. { "V ~ - y of s ~ y - ~ I ~ ~ ~J ~ L ~ l ~/.F 1e i i Ct as F C .Y ^a Y ' rr ~ a. - i C'~ s n r-ds~+fa^ ~d ~p l ~ v» ~ rat epm ¢.r 4 ,r f i ...,v c w~s M~ifiwFMsrf±; , , j x ~ ~ t . _ # g `~I. r.. F @G 19 \ ~ .~x+tM le1~CISlIS'~M~M~ /•MY } G ` ~ j~#~ ~j ,fti j ~.y x~G adiwl~wtrtbttie ~ ~ n 1 r~ .~.r.~awxr.nt ~ ~ 3 mrluMfi~4p(ts1ls:,rmh'A `q j j .a'Y?+tiiU0lMiiP i9SOPJYMI! r[ti ~1~'~ t t l ~ 4. ~ ~ ,,nn ~ V~` pr ti -t, T~P:C, 1. ? ;x i. ..R ~ E~ .f f uiir, i ~~~5~ ~~-182 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( ) ROUGH PLBG. [ J FOUNDATION 2ND [ ]~IN~SULATION [ ]FRAMING [~7 r~NAL REMARKS: _ L DATE / ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ~j--F~t~MiNG ~ ]FINAL REMARKS: ./ty ~ ' ~ ~ - DATE ~ ~ INSPECTOR C j ~~5~ ass-iso2 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ]/`ROUGH PLBG. [ J FOUNDATION 2ND [/1 INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ C~ DATE ~ .j ~ ~ INSPECTOR C l THE NEW YORK BOARD OF FIRE UNDERWRITERS rsACE ' 1000708 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 aUIY 36,1990 6965.>59i1/h0 N th3'l6'l. .Date Application No. on file - THIS CERTIFIES THAT only the e4ctrlcal equipment a described 6eloES and Introduced by the oppUcant MFrsed on the abose applicoNon number IPS the promGes of CNARI_E4 BURST, PRTVATF. RD N1.7, SOl1iHHOLD, N.'Y. in thefolloFeinR Iota nt ~ /at Ft. ~ Ynd F/. 6t1f Sertian Bfock Lot 4~4ty l~, ~s~r~ ~ Eeea examined on and found to be in compliancy Kcith the reyuirementa aJ thu Buord. q%TW! RXTURES RANOES CtXXIN16 MCKS OVENS qSN WASNHf HICNAUST FANS WTIETS AQn fWITCNES INGNDESCENT P1U011ESLENi OTHER AMT. K. W. AMT. N. W. AMT. K.W. AMT. K. W. AMT. H. P. 74 34 29 '2:i 1 3 p DRYlK RlRNAC! MOTORS FUTURE AFRIANCE FREEERS fFKIAI RK'FT TUAE CIOCKf RRL UNIT HEATERS ~T i~ DY11fAEftS i AMi. K. W, pl N. P. GAS N. P. AMT. NO. A. W. G. AMT. AAV. AMi. AMR. 7RAN5. AMT. N. P. ~ ~ AMT. WAITt ~4 F 5 4 'l. 6 1 "50 t F SERVICE DISCOtMRCT NO.OF S E R V 1 C E AMT. AMI. 1YPE ~ t/eW 1/tW t/tW 3/AW NO. MM;COND. OF CC. LO"D. NO.OF NPIEG Oi"wEEO NO.OP NEU/IIAIt Of "NEIITGMAI ~ 16o t:B a x 1 2 t ~ oTNER AFMRATUY. _ r.r.c.1:-a ~ srtnkr'; oE"rECri~1R:--z ¦ 5ALVA1"ORE f.. PRATQ 11C.tl1049-E WIfGIN3 LANE K.R. BOX 2QA p~ MANAORR ~REENWOR7, NY, 11.994 11 Per ~ This certificaN mmt not M alNred in any manner; rNUrn to tM office of the Board if incorrM. 1 rs M ' ytMir cnrisatiah. COPY FOR WILDIIIP DEPARTMENT. THIS COPY OF CERTIFIGITE MFlET NDT SE ALTERED Ni ANY MAlr1ER. rn ~n ,n w n> ~ y ~ ti ~ ~ y ~ ~ ~ ~ c1 ~ ro to A In ~ A ~ ' ~ ~ ~ v~ ~ g f~ _ c u ~ ~ 4,~ w '~i ~ p ~ ~ O ~ A _ . ~ 1 D L D M a r ~o ~ ~y ~ ~ b D' ~ -ti C~ y ~ ' ~ .a' ~ ~ ~ ~ ~ I` ~ L ~ n a bl ' ~ o R D C ~ r N s l ~ ~ a o r a o o ~ ~ - - ~ ~ yb~r~ N` c ~ Q ~ r cam. 'C ~ {-1 ~ U O 6 ~ G ~ ~ ' ~ ~ `i ~ p' X11 8 ~ ~7 N G ~ ~ o a Zm D. ~ D ~ ~ O r ~ ~ O ~ ~ ' O ~4y, P,p c ~J 5~ .r~, ~ ~ / T ~ o ; A N~ m ~ m ~ n 1~ ~ N ~ ~ m n (n i ~ F ~G~NEER * ~ Q 1~ c 0 S r BOARD OF HEALTH 3 SETS OF PLr1NS FORM NO.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC .FORI.1 . ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.:765~1802 CALL 3 y 19~Cf MAIL T0: Examined ...7. .\pProved 19 Permit No......... D Disapproved a/c ~ J. J..Fr../....... ~j.~.~..... . LIID BLDG. DEPT. TOWN UFSOUTHOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 15 . . INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 street or areas, and Diving a detailed description of layout of property must be drawn on the diagram which is part of this appl; 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 permi shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole ar in part for any purpose whatever until a Certificate of Occupanc 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 th 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 describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t~ admit authorized inspectors on premises and in building for necessa ins ections. (Signature of applicant, or name, if a corporation) ~~~qs is~s•,r!1,~j,~~~ ~'.~l~o~,. r~ ~~.y. • (Mailing address of applicant) State whether appl~nt is/o'ywner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildei .....~~~?fi N.&R~LL- C?Y.l`/1,rf'c 1,~1?. ' . , f'! c! r L FJ~TL . Name of owner of premises . C'Ni¢~e~ES°. `4' ~v~'`s% (as on the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized ofFcer. (Name and title of//corporate ofFcer) Builder's License No. .(.~l. ~'7S l Plumber's License No . . Electrician's License No . . Other Trade's License No . ~ ~ 1. Location of land on which proposed work will be done. . D ~ CrO~ C ~ G/ZG-~~ ~ li ~ ~ ...........'~G' ~...WirvpZ Poin?" flm~r-rJ Sow%N °L~ 1{ouse Number Styyre~~et. ~//Hamlet County Tax 11ap No. 1000 Section .........:".':.~~..L Block ~f" Lot.... - Subdivision ..4~-.~ .~C . ~ C. ~.`-f Filed tap No. Lot . • s. (Name) State existing use and occupancy oC premrises and intended use and occu;7pancy oC proposed construction: a. Existing use and occupancy !YE. • • ~;!r~!! l.G~. , ,/,E,cS/ a]~}?t/~~ . • , , , , • • • . . b. Intended use and occupancy ....-•s/.`Y.?'+!GG ~~..;~,l~,e-.e/~:,,,,,,,,,•,,,,,,_,,,, 3. Nature of work (check which applicable): New Building Addition Alteration . . Repair Removal Demolition Other work . • • . (Description) 4. Estimated Cost ..-35 80fl Fee . (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor , , , , If garage.numbcrofcars iness. commercial or mixed occupancy, specify nature and extent of each type of use . 6 H b hsii5~i~b xis~'irtR sirt~ctures, if any: Front ..2Q~^f. ry Rear ,.ZQ -.G.'!.... Depth .~Q,~, , , , , , 7. Dme. ~t : ;..z~i~.:.::.'.: Number of Stories ~!vrr`.:........ ~ . Dimensions of ame structure with alterations or additions: Front ..~.~7 ::lia Rear .z.~j , , , , , Depth llcight Number o Stories . ' 8. Dimensions of et~ttre new construction: Front , , , . , Rear yam!: b. y.... Depth ;'t~, , Number of Stories TAI.Q....:..... . Hcigltt s14. 9. Size of lot: Front Rear....................,. Depth 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, will lot be regraded . ~ Will excess fill be removed from premises: Yes N 14. Name of Owner of premises ....................Address P}tone No.............. . Name of Architect .Address ...................Phone No.............. . Name of Contractor ..........................Address ...................Phone No............:. , 15.Is this property located with in 300 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fro; property Bnes. Give street and block number or description according to deed, and show street names and indicate wheth~ interior or corner iot. ~ • ~v~v J~ STATE OF NEiV YORE, S.S COUNTY OF . . being duly sworn, degoses and says Yhat he is the applicar (Name of individual signing contract) above named. heist}te (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 th application; that all statements contained in this application arc true to the best of his knowledge and bciief; and that tl work will be performed in the manner set forth in the application filed therewith. Swom to before me this • .day of ...~h1 a.c~f~ 19~.Y Nota Public, ry (~{=.~~.+t.... !rr.. AlIL .~4:C....... County t ; HELEHRDEVOE ~~~~L~?~y~ 4~ . NOTARYPUDLIC,Stateofy"ertwtYYgak' (Signature of applican ier~m ~Exa es Ma ch 3Q l~u~._c/ t ~ t ; ~ A'~ f ~ ' ~?y,,,,... T RoA ~ ~ C ~P` B AY V I E W J j N DF ~G7uTµ~4~ _ w t',, µ `tit ~ _5' s ~ C~Cr`c i '.~1~ _ Ip 'tie rc hfe c~S2%J~'/ ,r ~ e d ~ ~ or w ~ ~ / arn, 3. i+ Q ~ '.ID ~ t»*'. s~ ~~~w ~YaA ~ C „x ~t t 7' ~T~ ' ; m~1+^M CC 4x ~ ~ y r t _ ~ ~md+"'°i6~ttae ytp4 rrn ~ FL.,Ej ~„~'R. rt a,1 'Y , Z Gnueras+r. yy, xa ,f to ,_3 ~ I 1 i S Vt en^i {O `n»7'.r+,^n+ - !hC r 1 _~h~__.""`•.J ~ 'j' / ~r ` y~~.,,.~1` s ~ F -:Fj 1 'y ~r 4'~ /.21~~ LL~ ~ ie 6 . Cj~ ~ ~ C ' '~k .1~ ~ ~ti e rt ~ E~ Zp MFAh!. ~ ~ n,~ ~ ~ • t+~or`~` VPT10N5 REF.v O._. w.. _ `"rte ~ y~ r ~ 9~~ - ~~i d, i`rv.or ~ A~ Oi I x.•,~; ~s~cytis U .TAE , r 7 Qa a 1 ~ r,t~~ca C3r;+.+ i r d Gu Yd,at' d S ri ~ , So a ~,iL~p _ J,~~ Z7.;~~9 ~ 4 ~ $ ~a,~,rc vc„+~ emu'; ` ~ M~~ aa~ f c~ ~ : t`~wrf) ,c~rJ ~ , F 'F':. ~ ~ % f s : ~ ~ ~ ~ ~ ~ ~ ~ ~ A ~ - ~ ~ y ~ n: - I ~ ~ I ~JY, ~ ~ . _ w y ~ -t i ~ ~ it I ~r ~ III1 ~ ~ I - ~ . ~ I i ~ I, ~ FJP J~ 'fi-C : i. a i~'b 1, ~ a~. ~ cJ d _-.~:~j ~ u; .I, ~ ,,a 1 ~ ~ r ~`~a ~I - a , 1 ~I I ~ i~ ~ r_x~ri..*f, C~~ ki~i-.T 4'w;: c.4~„, ' ~ ~ r~ ~ r ~ h ~ ~ 1{ i 1 ~ I L ~ - ~ i - I ~4 i! ~ ~ F ' ~ ~ ~ 4•S~.-ti 'S iT r~M.l AF ~ }~F-.F,c ~~.u. ~'11~j~i a+{.;. L'+¢.,.,~,~., y~'^ ~ ~ ~ 11~ ~ I I z 6 x i ~i ~"~f~ 1, +f' f ~ ,k ~ ~ y ``s~+^ I a.,. • " ~ - ~....y.,~ . ~ - . _ . ~ E~c vl E'Lb~' 1 OCCUPANCY OR ~ - ~:,.a ' _ ~ USE IS UNLAWFUL ~ `s ITNOU7 CERTIFICATE h --J- ~ - OF OCCUPANCY ~ ~ ~ ~ - ~ L I "r- q ~ I 7 i _ I~ ~ t. xF~ro~nnl ~jrcw~a 2 c ° ~ i4 I NYNNMT YaYlO N OYYd ~ ~ ' IarYgMrdlYErbulyq ! ~ ~ - . M~m:WWhMMIbi ~ i ~ ~ ~ ~ ~ ~ ` l' ~B'. v,~C1~ - ;I~ ` r ~ ~WtypNKarLen ~ ,.F ~ I ~ ~ ~r ~ ~ I~~'R'A141,1J~C~' ~ ~ ' ' .eCd: ~ ~ ~ I REQUIRED ~ ~tY~-, ~ c-y ~ , ' ~ ~ i _ > . _ - R~ 4 ' ~ M~ FORE' r I I .a~ ONL!IIQCgMF ~ ~ ~ ~ ~ ~ ~ _ CERTlfIICiVEOf OCCUPANCY ~ sot~R USEC rN Nw~a ~ s~ : ~ ~j ~ ~ ~F ~ , ~ ~ ' SUPPLYSYSTEAI CANNOT ' ~ ~ ~ ~ ~ ~ ~ ~ • ~ ~ ~ ~ EXCEED 2/10 Of 1 % LEAD. I ~ tj ~ c, _ _ ; I ~ ~.v ~ ~ D~ vFe'e G~{f] "G-L-v u~~ _ 1 PLUMBING ~ ~ 4~ ' ~ ~ ~ s ~ :i , Cic~ c~ _ ' iNM~TERUNEB~NEED ~ ~ fn ~ ~ I ' - _ _ ' TF611R0 BEFORE COVERING ~ ~ ~ ~ ~ I I c L , ' ' 1.'~ ~ f APPRDVED AS NOTED ~ w ' DATE: ' ~ Y~ B.P.q ~8~~. T _ --r_.-...~~,., _ ~ ~~1 FEE: G SY' V~-- r ~ - - ~ ~ ~ ~ ~ ~ 7Y41 YAM TO 4 PM FUR ifRE '`r ~ 1 ~ i, INSPECTIONS: ~ ~ NOTI BUILDING OE PARTME NT-QT ~ ~ ,.'TL.-.~ '~_^_~T ~ _ i.,~..,. TNIN TWO flEOUIRED F 11t-ny1C 1 j ,N. EIIAAADiO i M.UMYING ~ ' k • CONi1'MICTION ~MU$T- ~ ~ ~~d~••I J ~~1,."v-+'C~+~~ 1'~~~1 ~~~c enn~~r~9.F r ' ALL iHALL MEET - ~ a m J W ,71N OF 711E N.Y. ~ ~ ~ ~ W OOM/IMMgON i ENEROY _ ' x ~1~iIlOC1101~iRROii ~ ~ ~ ~ ~ ~ ~ ~ ysF wzzw-+ 4a° OAAOFEEEION~~ ~ ~i s 3 v ~ O~t~.s: -r--° n,~ ~ ~ y' ~i~~~j' 1---- ~x, ~ - _ ~ ~ F i r- p 1 ~ c. a ~`i a-. Y ~ ~ it ~~.r ~ ;il~: _ _ y i`• t l tl1Gt~~ . ~ ~ Ih', _ ~ ' 'rte," .~TUCS IG C,. C. ~ 1} I ~I ~ ' .fi,~ .E~ ~ i'G l t rv'.~.._ ~ I ~ ' i I ~ hL____.l I I ~ ~ ~ ~ - - - y~ ~ ~ ~~P~tn>th. I ~ ~ --~=it ~ i'~ .I. II n ~ ~ i I ~ ~ 1 ~ ~ ~ ~ c ...,T-wl ~w. vJn,~_~'~ r ~ _ i _ j ~nteuf "S' ~~~.tt~ d 9~~tin>A"i1oN ~ -T.--~-" 7~- T~._. ~ ~ _ ~ .1 I~i' • U 1. C> C Ve L. v ~ .7 ~ 1~ ~ '_~Ti ti .,~I-~ f<D'01~ l1 k ask n~~ ~ . ~ " _ - - ~ ~ o `n ~E ~~K___l l_.k>~J._ 6~pu _ _ a .r _ I ..r - 4 t _ I ' . ' w ~`~nX if.1~/' I . F3ED K~cIG~ I .y, v I I S~ r~iN,P6~ ~ i P U , 4- , r~ ~ , i i~R Vc~l'f Fu~ ~ _ ,i .~+;,F,fS~ vi,' °`;,ai_+. 4UJCN •.,-xq't k~,j I ;'.ECnatnJ lt,(Y't(f~(4iC ~ i 1~ .?~,4~CF y.,~.t ~ i O ~i 'I ~ 'L~EI'a ita:.~C:,~~ .J ~k pia. ~ ~n~1 t t_. ~.t Y. Vic' +I~ N_ ~l i. \ f~~ 4 i' D ~ ~c lit l •7 ,n ~ ~ Pi g~r 'P ~ ~ Ivwl SA " .y A, ~ .~V . _ 1 v ~ UT'14.IR ~(~i2,C10W ~e~e~r~ woii ~K I ~ ty ~ Ir` I ~1 I t I i ~ _ ' .f.} 7'9.5. , I _ _ t 1- • i • ~ p. u~,T ~Fd ~m IR9T i`i,0~l~ ~2FA ~ `:Er'.o nip T'4-<",IG 'i"+i3 ' 1.~„~t.. fi4-<'ol AS'~Er~ ~ ~i99cs `oE'Ce~IJ'~~ i-~'•r,:sF~ rlta{;, P'Tit>nd • '~aatVz..