HomeMy WebLinkAbout18099-z
f
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19323 Date AUGUST 28, 1990
THIS CERTIFIES that the building ADDITION
Location of Property 1010 SALT MARSH LANE PECONIC, NEW YORR
House No. Street Hamlet
County Tax Map No. 1000 Section 68 Block 3 Lot 6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
faled in this office dated May 3, 1989 pursuant to which
Building Permit No. 18099-Z dated MAY 5, 1989
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 ADDITION TO A SEASONAL RESIDENCE AS APPLIED FOR.
The certificate is issued to MICHAEL. & ARLINE YOUNGMAN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-108435 - DECEMBER 27, 1989
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
ms~c xa s
TOWN OF SOUTHOLD
EUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N 18 0 9 9 Z Dnte .......~:Y..~. ~ 19....1
Permission is hereby granted
to .~..L~'.'.-~....~......~ .Q.^..^......9~.~K.~(~.K.t.d~ca~.s2...5A....,A.R,4'•:~rA~!+Y .
. .
~.\..1..~.
at premises located at ...1..~.~.~.... A.?.4~.*...1..'..ISAd~!.:'1... ~'.`~':~...u. Q:.:~ .
.~~...4~R.
~ .
Olo~ Block ......0.~`.~........ Lot No ~
County Tox Map No 0 Section
pursuant to application doted ...~`i. 19.~~., and approved by the
Building Inspector.
Fee 5. f
~C.Y a-<.
0...^
Buildin I for
Rev. 6/30/80
Form No. 5 4+~,r'°" ~
~,,'~5~- _ ~
TOWN OF SOUTHOLD ~ ~ ~`Vf ! l
BUILDTOWNDHALLTMENT 't R ~l,~n; 2 Q ~i
76s-Lao2 ~ ;L 6
_ neF~
TO'~ ~ u~ S'OUTh}pLi~ {
, APPLICATION FOR CERTIFICATE OF OCCUPANC
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.
t 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
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(LO of 12 lead. ~
` 5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engiaeer
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.D0,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buildin`
g"'$15~0,
Additions to accessory huxldi.ng $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. L'j,uaLed Certisl_cate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ........~i~.2.l~ot.o
,~v Construction........... Old Or Pre-existing Building.. .1r
:.cation of Property.1,O/.Q..~a~~..T..n:1.PrR$,~...I:AN~ ................poCONtC;...__..,~.l~l~
House No. Street Hamlet
)over or Ovners of Property.l~:1.LC1~:9'G.4:. ~:.~'.~~:11~/'E...~,OVN(r;'1?/}lJ,,r/,_~,,,,,,,,,,,,,,,,,
County Tax Map No 1000, Section...........Block......~...,.,....Lot...ul
Subdivision ....................................Filed Map............Lot..............._......
Permit No.f.~~?q q,Z.....Date Of Permit.~~$.~.~L~....,.Applicant U4~:To~,Crf~15SJr;r;?.,,,,
Tiealth Dept. Approval...... .................Underwriters Approval.N~.~'.~i~...~.~OSt{3S
lao«~3t~ ; '
?fanning Board Approval
Request for: Temporary Certificate........... Final Certicate...~
Fee Submitted; $,.~1,~,,,/.~Y °
6~P,c•~-I03~S. - •..G-"J::S:'t`t: APPLI'2ANT•.••..•••.••
end t43~?3
I::LD I;.S: ~C: ~u;i I~Un:.. I~ i,LtKMLNT~
-o
~ . m
a
H
y
r 0Ut1DAT20tJ ( 1st ) ~ {
c
FOUNDATIOW (2nd) m
2.
z
0
ROUGH FRAME &
PLUMBING _
~n _
3. ~
m
m
IIJSULATIOJJ PER N. Y. n
STATE ENERGY bF
CODE
a
k
a . 7 ~ ~
FINAL ~ ~
~ o ~
AD TIOPIAL COMMEflTS: s
.
fi
' x
H
y
H
H ~
O
r
m
~ ~
r
`3 e
Z r
0
rn
^a
H
a
~ , Y
~.+'nn+WwMl.. ~.H 1
> ~ x
JS L,Q~d ,
r ~---f or,ar„o~ ~G~~? .
w,
N ~ GYM a a
T'e r,,,
n
tV
~ ~
~ - o^~` a
a„;~
' U
X ,
Q r fi. ~4 ('~~LY~ Z
r ~ r,sy ' Y
~ <
O ~,O '
~ a
NI ,
~ Z
SS
7 N.J?
_R ~~M~`t
` ~ ~ ~ u
S.
&7
ate k'`5k+ W
D FOR -~~"---~_----___--E
~a~ tvt. Y~uw~na,~rl
D ET,~a+ ~
s~a~s:so:?`
x~c~c
}THAW P,1.Y. Guavc7rte~~°~a+E +o iia° Gks~t.o'T'i+le
~ ,~f`w NF4Y ~N 34 YU,-tCt CG IX15C.~ 1`Fl iR, ~G1t'I'}~Ot~
~~r/apGK Y4N S{3YfNf,(y ~{~}{l~ L(S SiiY Vtl4dQ
,a .~f Jucy t3,t9Tt.
~ ~ • Va nt '7'uvL ~c won.
r : z,
`"-~Lat'~~ L1GGri3L°d LLl MCj 1.~YV GypYS
GVQ6M p4Y{ , i~1+°W "YGV1t
.Y
FORM NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date Apri1..21 19.89
Michael Youngman
TO
201 Eastal7~~i~ZStagAptfo2~9H)
......??.~w.. XRrk.,....N.: Y.:...I 0003
(address of owner or nuthonzed agent of owner)
PLEASE TAKE NOTICE there exists a violation of
Zoning Ordinance CH 100
. .
Other Applicable Laws, Ordinances or Regulations
at premises hereinafter described in that AN„_ADDI,TION AND ALTERATIONS WERE
(state charocter of v~olotion)
MADE TO THE MAIN DWELLING (WEST) WITHOUT OBTAINING A BUILDING
>?>aRMI'~..F>?R.M...~'H)i. $~I.~1:D.i.~`l.~ .INSPECTQR..
.
in violation of ARTICLE XXVIII 100-281
t........
(State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
]010 SALT MARSH .LANE, 1. PECONIC County of Suffolk, New York
SUFFOLR COUNTY TAX MAP !i 1000-68-03-06
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense npun~-soh-abllel bya fine`norn~mprisonment ar both
y~zY~gg- 0~
ORDINANCE Inspe or
VINCENT .R. WIECZOREK
r2~1~ - GLcn- ~a.i? ice.Otw Ur.~.. W , - xi(2 ~ti o?~T ~I -
^ ~ UIC ~ of 2 3zS w~46we ~~4,t41ll+t'E
Forznt xo. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION q
Date r~ . ~ ~ 19
ro ~~.L...Ha~~....X4~u~~~.?.t........
(owner or a thorized agent of owner)
20 t ~ws-~ I`tT..y- st. t4 P1: 2RN
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of
Zoning Ordinance l~ ; ~ 00
Other Applicable Laws, Ordinances or Regulations
at remises hereinafter described m that ~ (7.Qt. ~ ~ v!~ .~:!:S.!~ I~I:.S-.T. ~!.r~..!~7.~.pR!s
P (state character of violation)
lu,r_IZ~-. -'M.(~.f~~r.. .~9..
1 t(~~,;. ..V.':lf~.~t:i. ~?U-? ~ f-4 t ~C..C-~- ~W ~S
t,~ u, t't-Ndu i
fC,r~.'~!btu.tu..h...~.....~utc..~?.I!~.~~....1~..~!~~.t .~~Q~!-1.. i ~t.r~-j~ul~l~t,.c~,..iuSP~crc~~
in violation of ~:.~.1. I. .xYX~CC.f -.t / d d 2 Fs.~ .
. .
(State section or paragraph of applicable law, ordnance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
/Q((f„~(l~_%„~1}}~~t# I„(~u~.~,.~~~GO;!llG.1..,,,,,County of Suffolk, New York
SUFFOLK COUNTY TAR MAP / IOOp - G Ff- D 3 -O G
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both
QIrLOI y~N.C~ R ' Inspector
~e ~ ~ 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ~ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ 7 FRAMING [ fNAL
REMAR S:
t
DATE °2' C~ INSPECTOR
/ (~(,J 765-1802
6 i~ BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ FINAL
REMARKS:
--t-
DATE INSPECTOR
~~z,~~~
~.rz. a.-, 1~r,. ~
i
1~.cx-,~.~~ `fie-`"
~ _ ~f ~1 i~ V
AllG 2 d 1990
jJl1
BLDG. DEPT.
TOWN UP 50UTHOLD
r~ . _ . _ _ _
THE NEW YORK BOARD OF FIRE UNDERWRITERS 7~AC,~; a ~
10110:17.4 BUREAU OF ELECTRICITY
83 JOHN STREET, NEW YORK. NEW. YORK 10038
bete U$C75MBSR '2"1,79B!) Application No. on file 645921.B9(89 N 7GB43F
THIS CERTIFIES THAT
onty the shtetrled aquiprPSent v descrihsd 6efom and introduced 6y the appltcont nowKed on the ohoro application wuRn6sr Jn the prewsieee q/
!laCHAKI, YOttNGiMAN, SOUND SftiiKra ROAti, BOi,LtN7, tTl,<~OMLt., N.Y.
in thefolbecin;T leeotion; ? Baeensent ® Iwt FI. ? Yrad Fl, Section Block Lot
arY e:arnined on D$C7SHBER 17. , 19139 and found to 6e in rnmpliance with the rryoirementR eFf ehia Board.
11IITYE! TURK RANOlS COOKNt6 DICKS OVBES OMiM W MAUST MII!__
tMlTtETf At1![ fKRTC~li NCANpFSCFNT FlUORESCEM OTNEn AMi. K. W. AMT. K. W. NAT. K.W. AMT. K. W. NAT. N. P.
L
DlYa1S RIRNAC! MOTOK IUIIN! AINIANC! IBDNf S?[dAL EEC'PT TIME CIOCKS EBL IMRIIEAilRS MULi40YT1ET DIIAEEItR!
AMi. R. W. dl N. P. GAS N. P. AMT. NO. A. W. G. AMT. AM1. NAT. AMPS. TRANS. AMT. N. 1. ~t)f R!T NAT. WA16
!lRMIC7 Olffi4lEMiBGT NO.Ot S ! R V 1- C E
AMT. Aw. T11E ! Tw 1 / t\V t ~ ]W 9 / AW NO. D~ COND. OF CC
LOHU. NO. OF N4LEG a •w NO. p NFUTKAIS « •~~l e
OTINE APNIRAI{8r
ar.sc amraRanR >tiL1scTR3:r,Al. wr.Kr.~tc 7.
?:1,7SC. KOO!! Hf6ATKR5:I l.ti K.M.
B..J. Ei,~;GTR7<" i:CS. LIC.~~670 B
BOX 16, 5T71ALM71'!'Eti AVk;.
t7UTCBOGUK, NY, 7.7.975 YlNIRhE wtholR
17 s
Psr 6' L
This oxtiRcata mwt not bo oherad in a;ry manner; return to tM offiu of tFr Fbt+rd if incorrad. M n.. may bo idrlKfioal. 4y their crodantiols.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFIGTE MUST. NOT BE ALT ED R.
,
BOAFD OF HE.'+LTH
3 SETS OF PLANS .!!r •
FORM1I NO 1 SUKVLY
TOWN OFSOUTHOLD CFIECK
BUILDING DEPARTMENT SEPTIC FORP1 .
• TOWN HALL ~/1CTL,"LC~'ISSf}n/•
• SOUTHOLD, N.Y. 11Q71 NOTI F ~ -7 7
• TEL..7G51802 CALL
Exanuned . 19 0 1 MAIL TO : ~-r~ ,
Approved 19~. Pcrmd No 4
" ~ j D~~,
Disapproved a/c y_ppp t
17hR F7W
.\.r.-u'•••• BLDG DEPT. IIV)1
(Budding Inspector) 70WN OF SOUTHOLD
APPLICATION FOR BUILDING PERMIT / /
Date °~'l........... IS~~
INSTRUCTIONS
a. Tltis appltcatton must be completely filled to by typewriter or to ink and submitted to the Budding 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 premtses, relationship [o adlotntng premtses or pubtic stree~
or areas, and giving a detailed descnphon of layout of property must be drawn on the diagram whtnh is part of tkus appl
Patton.
c. The work covered by flits apphcatron may not be commenced before tssuance of Building Permtt.
d. Upon approval of flits appltcatton, the Building Inspector will issued a Building Permtt to the applicant. Such permt
xhall be kept on the premtses evadable for inspection throughout the work.
e. No building shall be occupied or used to whole or to part for any purpose whatever until a Certificate of Occupant
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Budding Department for the tssuance of a Building Permrt pursuant to th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apptlcable Laws, Ordinances o
Re,uiattons, for the constructron of buildings, additions ar alterauons, or for removal or demolition, as herein descnbe~i
The applicant agrees to comply with all applicable laws, ordinances, budding code, houstn, code, and regulations, and u
admit authorized mspectots on premses and m building for necessary msp
(Signature t" p llcan~ tt; or name, tf a corporanon)
• (Mailing address of applicant)
State whether applicant is owner, 3essee, agent, architect, engineer, general contractor, electrician, plumber or builder
tct ,A,l . .
Name oC owner of premtses ~ ~ .`t.l,-~ fI: ~L . YL?Ll~Co. IYr.I~:.L~ .
lllr (as on the tax roll or latest deed)
If applicant is a core~
r~r~ta''~~++oda\;*~rgnal[~r~~f duly authorized ofFcer
(Na`tti~h'~ rttl"e bf corporate officer)
Builder's Lreense No. ..~G1>a1/~~ • ~ G ' G
Plumber's Ltcense No /krd ..l/~.<l~.f:-.~•/1,~•~
Electnctan's Ltcense No. ~...Gf, ..~'`'~L • • 6- ~
Otfter Trade's Ltcense No .
1. Location of land on wlttch proposed work will be done •
House Number Street Hmnlet
County Tai Map No FOOD Sccuon .~9.~:........... B1o~k ..r`t Lo[~...............
Subdntston Filed ~fap No Lot
(Name)
Slate c~tstmg use and occupancy oC premtses,land tntendc2d use and ocsc~upancy~ Hof proposed construcnotr
a. Extsgng use and occupancy ~ ~~?F ?rt ~.1~.../~l.fd':/~ ~?!T~`.¢.cLJ .
b. Intended use and occupancy ..••d•,~'•~
3. Nature of work (check which applicable). New Budding Addrtron . Jam. • • • • • .Vteratron .
Repatr Removal Demolition Other SVork
(D~scnpuon
4. Esumatcd Cost . ~ Fee . .
(to be paid on lilrng thts applrcauon)
5. If dwelling, number of dwelling units ..r............ Number of dwelling units on each (Ioor .
If garage,numbcrofcars
6. If business, commercial or mr~ed occupancy, specrty nature and extent o(cach type of use . , ~ , , , , , , , , ,
7. Dimensions of 'crsung structures, rf any' Front ~'!,-.~-f.... , Rear . ,~:.C.-~........ Depth . , , , , ,
Hcigttt f Number of Stones , , . ,
Dimensions of ame structure with al[craUons or a ditrons• Front
. Rcar.....-~.........
Depth ~ ~ . . . . Itcight , Numbc of St nes . • .r .
y ~ d
g, Dtmen °§A~~n_t- ,new constructron. Front ~ , , , , Rcar , l~.:~ De th
Height , . umb r`of Stones . ~ , _
y~. . . . .
9• Srze of lot: Front ~ p 'W
~ Rcar g~ !":7............ Depth .
10. Date of Purchase Gjdl: y.. e, r. , ~%7/....... Name o£ Former Owner f
R'~ft ~.~1°.., ~~°'.~.tr-.rt%~4° . .
11. Zone or use drstrtct in which premises arc situated .,//~rrt.~ , . , , . , , . .
1 Daes proposed construction violate any zoning law, ordinance or regulation: ,rtf, t'-~
13. Will lot be regraded .....................Itihll excess fill be rem v d rom premises: Ycs d~
14. Name of Owner of premise ,Address ~'7, Phone No
3,YS'.:~.ea:'~
Name of Archrtcct ....~,~~{'r... , ,Address ..............J, Phonr. No............
Name of Contractor ..~,r~' G!d`.~,gl.7~.~• • • , ,Address . .Phone No .
15.Is this property located within X00 feet of a tidal wetland? *YES....NO..rf~
*If yes, Southold Town Trustees Permit may be required.
_ PLOT DIAGRAb1
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunenstons fro
property fines. Grve street and block number or descnption according to decd, and show street names and mdmate wheth
intenor or comer lot. ,/l h~~ ~J~~ ,d
APPR VEDAS HOT~E,pO~Qc~
DATES g B.P. H Lti~:! L~
FEE sue' BY' y. ~
NtJTiFY BUILDING DEPARjMENT AT
7aS 1802 9 AiV1 TC`. h F'M FOR THE - '
FOt t0' "dtNC. Si~b'^ FCtiQh; i
t FOt1NDATtON - Tth'C REQUIRED
FOR POUREC CONCRETE
2 ROUGH FRAMING Fi PLUMBING
3 INSULATION
4 FINAL CONSTRUCTION MUST
BF COMPLETE FOR C Q ~CCUP~~~Y OR
ALL CONSTRUCTION SrIALL MEET
THE REQUIREMENTS OF THE N Y, t
STATE CONSTRUCTION & ENERGY USE Ira ~HI,pWFUI.
CODES NOT RESPONSIBLE FOR ~Ij}ItDUT C~.ttTIFtCATE
OEStGN OR CONSTRUCTION ERROR$ 4~ OCC11PpKCY
STATE OrtiEwYORK, SS
COUtiTY OF . .
• • • • - • • • • • • being duly sworn, deposes and says that he is the appticai
(A`amc of mdtvidual signing contract)
above named.
ilcrsthe
(Contractor, agent, corporate officer, etc.)
~f said owner or owners, and a duly authonzcd to perform or have performed the said work and to make and file th
'pphcauon, that all statements contained m tins application arc true to the best of firs knowledge and belie C; and that tf
vark will be performed rn the manner set forth m the apphcaUOn filed thcrcwith
~wom to bctorc me this
~ P ~
day of.... ...........,19c~ ~ ~
JJ,, pp,^, ~ -~~fZ ~~i~ v~ir~~ --f'
,otary Public, ~r'~"'.. ~ F-!D`.e... County
NEtEN K OE VOE
NOTARY PU8tt0, State of New Yak • .
Na 4707878, Suffolk Countyy ($i;nature of apptican
Term Expires March 30.19.._.._
r
5s""°.
T,.,.
.
1
I -
_ ~
_ l
j. .
- - -
a _ ,
-//Y' ~ ~ _
_ /r - ~ _
a -~yl
- -
- -
_ -
.S7YatV ~ `t,. Sruar;~ f
yy .
k ~ P 3
~ ~
R
~~bd.
~ ~ ~ i; 5~a ¢ ~`l sp~yy -
Ay ° ~ rb ,V"' `fix y a
c ~ x' ; az, a ~ ° 7 ~~t;
r ; _
' ~ r vw F "^`r Pte, a ~ ~ r a 7 d''li ~ ~SP ~ tr<f prG i
.fY e ~ ~ ~ . °n. a c ...-11 ~ ~ I,a4 ,
{ i i n' s ¢ m
; ~ ~ F Mit ~ '2j / t l 4 ~ 4
fn aR A `L4.,i{p, ' X t ~ . ~ 3r..e dy ~ ~ g
Y
r0 ~/ar ~ a ~
~ CIS/`etT _
v
~ ~
0 E xi zT• t 2x9 /G o, c.
\ h ~ ~
,1 t
~ % ~ 4„
N V i
M Y
-L~Ra
"toNt. Ibr,oG~ ~,~-~wsT
- Y
' T~ df ~ t Cy~Q
i le
C,
H a ~ T,a ~ 1 t J ~ -
y _
H --F~'-0~-~.M~--,_:_ z t~ j' ~BrX i8'' PSG. FrG _ _ /~,E, ,
~
. _ _ Dw BY
f ~ r >I " ~-'~-_tados5_ .L~G._ Jer Gnl
ty t P. ~ y 5~ x
r~. ~ ~ 8s ` ~ {fir. ~y.. / t
k