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HomeMy WebLinkAbout18453-z .,fie FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20222 Date SEPTEMBER 18, 1991 - THIS CERTIFIES that the building NEW DWELLING T,ocation of Property 185 BAY AVE. & 45 EAST LEGION AVE. MATTITUCK NY _ House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 3 Lot I2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 21 1989 pursuant to which Building Permit No. 18453-Z dated SEPTEMBER 1, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & DECK AS APPLIED FOR The certificate is issued to GRACE A. FINORA (owner) of the aforesaid building. SUFFOLK COUNTY DEPAATMENT OF HEALTH APPROVAL 8$-SO-73- AUG. 9, 1991 UNDERWRITERS CERTIFICATE NO. N-196401 - JULY 16 1991 PLUMBERS CERTIFICATION DATED AUG. 29, 1991-JONATHAN B. SPAHR uilding Inspector Rev. 1/81 rosat xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 8 4 5 3 Z Dnte 19..f1.~ Permission is hereby granted to: 4 f at premises located at j(!..?~.A.....:~r{~.:C....~ . r.................. .................P~°J.(~(e................................................... 6 Cnunty Tnx Map No. 1000 Section ..,,~/1t°..~.../..... Bock ......:.~.-a........... Lot Na...... ~ pursuont to application doted ....~J.~'.~...~1 19.~~, and approved by the Buildinggln~spector. / Fee Ll,,'~.'.~~ ulldin for Rev. 6/30/80 ~ ^.....-:"'`;a ~ ~~'~';:~~;.tii' Form No. 6 ~~w.. "'.~`~''~~~~~Ju.a'w~w.,~,~ ~ o~ "!1 ~ TOWN OF SOUTHOLD y ~ CJ~1 - 3 ?gg1 BUILDING DEPARTMENT t~~,}i ~ TOWN HALL 4L~ta~~ DE~7.~ 765-1802 '(GV~J!~ Gar' b~tJTNGI-,,,,,~,- APPLICATION FOR CERTIFICATE OP OCCUPANCY A. This application must be filled in by typewriter OF. 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 1~ 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. i 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. CerCificate 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 $15,00 Date d~C,d~.. ::ew Construction...~~ Old Or Pre-existing Building Location of Property....~°.RA%lr.,r~..~.6"r...~-'.~y. f~~'.°~. ~F'i.S~; L~~le~~.rN, . t'~!~~ House No. Street Hamlet Onwer or Owners of Property....~~ $~~5~. , fl:c ,~l~:a~'.l~ . County Tax Map No 1000, Section...~~oS......Block......~........Lot.,,l,~,,,,,,,,,,,,,,, Subdivision././7.~.1...y ............................Filed Map............Lot...................... Permit No. 0. %~1..~...Date Of Permit ................Applicant.......... Uealth Dept. Approval.....>~ .................Underwriters Approval... Llanning Board Approval.. ~ Request for: Temporary Certificate........... Final Certicate.. Y......, Pee Submitted: $ Z Ao ~ 6;z.~., N a 6 ~ ~ ~ . ~ ~ ~ a oaa~, APPLICANT o~O~~~ F 0(i(~CO~ TEL. 7G5-1802 Town or s~~~r~oa.~ 1..:'" • l:~!i.~}s ~c OFFICE OF BUILDI2•IG INSPECTOR o _3~~,, f;, P.O. BOX 728 ; U' ~ -e TOWN HALL ~ ~ ~ O~ SOUTHULD, N.Y. 11971 %Ol ~ Y~~ . C E R T I F I C A T I O N , IDate ~ " e~ ~ - l Building Permit No. ~ ~ , Owner_ ~ih o~ (please pra.nt) (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plumber's signature) Sworn `o before his/ 19~ a~'~/ Notary Public notary Public, S County Notary F'Uk21i;:, State of New York Nu. 6LS14442~ QuahifcJ m Queens County Cert. Flled in Ne~J York County Commission Lxpires Feb, 2$, 19I, °i - k-..;.., _ _ _ _ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAct: 7.025094 BUREAU OF ELECTRICITY ~ Z 83 JOHN STREET. NEW YORK, NEW YORK 10038 JU1.~Y 76,7991 APPIicaNGnNo.onjile 677.f1879f1/90 N 79641)1 THIS CERTIFIES THAT only the e4ctrlcd puipment as described 6ebrs and introduced by the oppNcarat nomad on the eboro application number in the promises of R JQF; F'TNORA, BAY AVF: & F. LF;GlON AVR., MA'i"i`i.'P(1C'K, N.Y. f Ak /OiIT ~ in thefolbninR locotion• gam nt ~ let Fl. ~ Pnd FI. .Section Block Lot JUNE: t.d, I99~ ~ reoa examined on and found to be in complionre with the reyuirernenTa of this Boord. t NKTUM ACtES SWITCHES RXTURES RANGES COOKING DECKS OVENS DISH WASII@S EXHAUST FANS OUTSETS INCANDFSCEM - IlUGI1ESCEM OTHER NAT. K. W. NAT. K. W. Anti. K.W. AMt. K. W. AMT. N. P. f 59 4 ,6 ] I.7 d r• DRYERS FURNACE MOTORS wTURE AMUANCE FEEDERS sr[OAt EEC'n dale clocKS qLL UNIT IreillERS Ia111T40UT1lT ONNMElS AMT. K. W. pl N, r. GAS N. t. AMT. NO. A. W. G. AMT. AMI. AMT: AMrS. TRANS. AMT. N. P. SYf/iAAS AMT. f WATT] j' NO.OF 1ElT 3 r: ~ a Eno SlRVIOE DISCONNECT NO.OF 5 E R V 1 C E NAT. AMP. TYrE 1 / ]VI I l ]W ] .e 3W ] / ~W ~R ICONO. CK CC. C D. NO. Or N~~LFG Of ~ ~I C NG.Or NEUTRAIa OF MEWUTGRAL 7 zao CB 7 x 7 2/n 7 2./u OTHER AFFAUTUS: G,P.C.T:-7 SMOKF. DETF.C'1'C/R:-% ~ BRIAN BROfrKS (~iC.#361aF, 37 HALLOCy f,ANF _ ROCKY pctrNT, NY, 11.778 OMHAE MANAGES ¦ 77 Psr ~ This cerfificaN Imrsf not be shared in any manner; rNurn to tM office of the Board if incorrect. Inspectors may be identified by th it crodsntials. COPY POR 6liILDMIG DEPARTMIl~IT. THIS COPY OP CERTIFIGT! 1~15T N07 BE ALT¦t~ IN ANY AWWER. i CHRIS RE:!-iM F,XCAVATT~JN 8s L)FtASNAGF_: P _ O BC~X 3 ~ TELEPHONE # 765-2P94 AFTER 5:00 PM 29B-4991 Health Dept. Ref. No. ~ SC 7~ Name of Applir.ant ~RJ9c~ A', ~/.~oRy- phone 29~-~~~fD Property Location (include disinnce to nearest crass Rtreet): ~~RN~<L ~oe~ 8~Y ,?nib ~sr L.EGioN i9y6.vu~F~' Hamlet !'yr~,TT/Tug/G Township Svvy-,r.~,c{ut,D Subdivision l.ot Nn. TYPR OF S'fSTEM INSTALLED: Septic 'P~nk (a) Volume GC lb) Type pcecaa equivalr~nt, b].ock1 Leaching Pools (a) Numb~!r .Mize of Pools 3 ~co~s ~'~/y~ (b) Type tprecast - bloc):) I heraby CERTIFY that th+e priva+:a si+i~surrace ~ewagF` disposa:t system descrihed above has peen inst~rlled according to current ccitecia of t.ha Suffolk County Department of Health. DatR Jr ~ ' / G Signature CHRJSTO HER REHM ' PROPRIETOR 20 - T"he New York Hoard of Fire Underwriters BUREAU OF El-.EC7RICITY 85 JOHN STREET - NEW YORK, N. Y. 70038 ~ July 1, 1991 ` Joe Finora (272)227-3700 on Corner of Bay Ave. and East Legion Ave. Mattituck D]Y X11952 - 1990 672081-9m RE: Application inspection Fee • $67.25 - Premises: on corner of Bay Ave, and East Legion Ave. - _ rtattituck DIY //9~~- c_ar Sir: The inspection of electrical work at the above mentio ~°mises has beer. completed on 6/14/91 Various municipal authorities throw hout th g e Statz o_ ~~°w York require that electrical installations be certified anc u~i=ifications of such be directed to them by this Bureau. Receipt of the above inspection fee within the next -wenty (20) days will enable us to issue t.o you your certificates compliance, and send a record of same to the above mentioned a~.»icipal agencies. Make remittances payable to The New York Board of Fir E ~i~derwriters and attach to thi's letter, sending same to the nders-igned. - Very truly yours, Branch Manager Dlr. Ernandez s~~.,a-.,cam ~~~,.~lcvs-cf a~ ~~tcGal `~n:o,~C~a.~ ~o~: Sa~*~ qC -L/t,~c a~ ~'ca~..,,-i„ r 765-1802 # ~ BUI4DING DEPT. i SPE~TION [ FOUNDATION i5T [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]--FINAL REMARKS: v~1> j ~ x r i i DATE ~ INSPECTOt~''~~ I ~ ~ H FOUNDATION (1st) ~ _ d FOU?JDATIO?J (2nd) ~ f ~ 2. 1 ,2d ~ o to~,o ROUGH FRAME & ~ t PLUMBING • ~i / ~l 17 ~ ,p r ~ t~ib" 3. ~ m ra H ZIJSULATIOPI PER N. Y. STATE ENERGY C CODE ` ~ 4 . FI;IAL ~ , . I ~ ADDITIOPIAL COMMENTS: x ~ / Y' 1 ~ 111 ~ Q~1J~ ~21+i1...wg ~ ~ ~ 9T.-__ y --r-- ' ,*TITTT~ y~ ~ r O 1L' ~6d~ r m a ~ c^ ~ H Q s I -o ~ (~~,9 I H m I ,f 640 Vincent Avenue Throgs Neck, N.Y. 10465 February 13, 1991 Town of Southhold Building Department Town Hall Southhold, N.Y. 11971 Re: Permit No. 18453 Z Gentlemen: It would be greatly appreciated if your department would grant a 6 month extension for completion of construction authorized under the above referenced permit number. Thank you in advance for your kind consideration. Very truly yours, ~~~f f ? " Grace A. Finora 6-, 2 d 1991 s _ l~ 765-1802 BUILDING DEPT. rNSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ~INAL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING (]FINAL REMARKS: ~ DATE ~ INSPECTOR ~`~J _ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [l~]'~INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~_T~-, DATE ~ INSPECTOR 2 i~~~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: i ~ ,r' DATE ~ ~ INSPECTOR f/ ~ L, _ y T6S-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] fNSULATION [AMING (]FINAL REMARKS: ~ ~e:U.~'l ' ~ - - I'~ ~ DATE ~ ~ INSPECTOR ~ - ~ f~. i - ~ - - , - 1-- ' F-;--,--- -~-~--r-- - , i ~ ; i - i- - - - I--;- - ~j - --~-I--i--t--l-~ - t aR - - I ~ -~--r--~- ~ ~ ; -i-{--,-- ; ~ j ~ , I ~ y, ~ ( 5 i - ' i _ ~ _ 1 t _ ~I i- - -T-;- - ~ ~ , - ; _ . ~ ~ ~ ~ _r- _ cW _ _ _i, ~ - u, ~ ~ -_~1.~{.. ~ i ~ ~ I - - - I-- ~ - - ~ -i y t _ - i :C:_ ' o~i - - ~ - - - - - ~ - ° ~ 1-- - ; - - _ -L-~== - - ~ - - F r. ; E L--~- - ~ - - - - r - ~ I - - - I--- f i - - t---I r- - - ~ - - - - { - _ ` - ~ n - ~ ~ - - _ i -I - ' . - - ' ` - --~e;~- - - " ~ - a - - ~ - - - ~I rt ~-j- - t - ~ ~i n -YA -39 V'~ .y . - ~ f 'i 4 ~L::. ~~~w k'~'Z ie.4 :z.;J r r d~ `.n't :v~ #t. :r. a.a. eiio4 M.m. , t-~ 'v». . <-~,i ~~.''Y.~" aL i e 640 Vincent Avenue Throgs Neck, N.Y. 10465 February 13, 1991 Town of Southhold Building Department Town Hall Southhold, N.Y. 11971 Re: Permit No. 18453 Z Gentlemen: It would be greatly appreciated if your department would grant a 6 month extension for completion of construction authorized under the above referenced permit number. Thank you in advance for your kind consideration. Very truly yours, 'Grace A. Finora y , {5 FE8 2 8199! Z °L~ i...._ 6 Y !t f q !YJIV ~ {_.f G ~ f Y 95-20-b (9/86)-25c NEW YORK STATE DEPlgRTMENTN D A~N rw...~ii DtC PERMIT NUMBER I, U I i1VE DATE 10-86-1273 fACILITY/PROGRAM NUMBER(S) j~f~f~ 1,3/23/$$ PERMI AUG ~ ~ I.7O'? ^i ION DATE(S) Under the Environmental ons rvation Law N/A BLDG. l7EF~T. TOWN OF SOiJTHO 12/ 31 / 92 328CI329: Agoat c~ Pestlcides327 ~ Wat C OualOitq Certification N Article 25: Article 15, Title 5: Article 17, Titles 7, 8: ~ grtclle 271,aTtle 7; 6NYCRR 360: Protection of Water ~ SPDES ~ Solid Waste Management' WateleSU5ppjytle 15: Article 19: Article 27, Title 9; 6NYCRR 373: Air Pollution Control ~ Hazardous Waste Management Article 15, Title 15: ~ Article 23, Title 27: Article 34: Water Transport Mined Land Reclamation ~ Coastal Erosion Management Lonlg IslandTlWelisS~ ~ F elshwate~r Wetlands ~ Floodplain~ Management Article 15, Title 27: N-New, R-Renewal, M-Modification, Articles 1, 3, 17, 19, 27, 37; Wild, Scenic and Recreational C-Construct ("only), 0-Operate (*only) ~ 6NYCRR 380: Radiation Control Rivers PERMIT ISSUED TO Jose h Finora ADDRESS OF PERMITTEE 640 Vincent Ave. Thro s Neck NY ]0465 ACENT FOR PERMITTEE/CONTACT PERSON Glenn Just Land Use Co. N. County Rd. P.O. Box 361 Wadin R1V2r NY 117 2 TELEPHONE NUMBER NAME AND ADDRESS OF PR07ECT)FACILITY (If drfferent from Permittee) James Creek SCTM ]000-122-5-1'2 LOCATION OF PROIF.CT/FACILITY COUNTY TOWN(CITY(VILLAGE eastside Bay Ave. Suffolk UTM COORDINATES Southold/Mattituck DESCRIPTION OF AUTHORIZED ACTIVITY ' Construct a single family dwelling and associated sanitary system in accordance with the attached NYSDEC approved plan. i GENERAL CONDITIONS ~~F By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compli• 4 ante with the ECL, all applicable regulations and the conditions specified herein or attached hereto. I [kf( 7 The permittee shall file in the office of the appropriate regional permit administrator, or other office designated in the special conditions, a notice of intention to commence work at least 48 hours in advance of the time of commencement and shall also notify him/her promptly in writing of the completion of the work. t 2 The permitted work shall be subject to inspection by an authorized representative of the Department of Environmental Conservation which may order the work suspended if the public interest so requires pursuant to ECL §71-0301 and SAPA §401f3). 3 The permittee has attepted expressly, by the execution of the application, the full legal responsiblbty for all damages, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and descrip- tion resulting from the said project. 4 The Department reserves the right to modify, suspend or revoke this permit at any time after due notice, and, if requested, hold a hearing when: a) the scope of the protect a exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations are found, or b) the permit was obtained by misrepresentation or failure to disclose relevent facts, or c7 newly discovered information or significant physical changes are discovered since the permit was issued. 5 The permittee is responsible for keeping the permit active by submitting a renewal application, including any forms, fees or supplemental information which may be requred by the Department, no later than 30 days (180 days for SPDES or Solid or Hazarduous Waste Management permits? prior to the expiration date 6 This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work or as authorizing the impairment of any rights, title or interest in real or personal property held or vested in a person not a party to the permit 7 The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way which may be required for this proect. 8 Issuance o(Ihis permit by the Department does not, unless expressly provided for, modify, supersede or rescind an order on consent or determination by the Commissioner issued heretofore by the Department or any of the terms, conditmns, or requvements contained in such order or determination. 9 Any modificauon of this permit granted the Depar ent must b in writing and attached hereto. PERMIT ISSUANCE DATE PERMIT ADMINISTRATOR 3/23/88 Alfred T. Kellar ADDRESS Bldg. 40 SUNY Rm. 219 Stony Brook, NY 1]794 ~I AUTHORIZED SIGNATURE cc: BMHP ~ Page 1 of 3 ~ i I~ I o~~g~f FO(,t~ D CG a°rolatrlos ~o runner HENRY P. SMITH, President ~ 'JO'18 JOHN M. BREDEMEYER, Vice-Pres. ~ r; "I'BLEPHONE John Bednoski, Jr. ~ ~ .F Q ~ ! Z ~nd (516) 765-1892 ALBERT KRUPSKI, JR. 'y.~ol ~ r~Q~ 5~ I30ARD OF 'TOWN 'I'RUS1'EES TOWN OF SOUTHOLD 'row„ Ifall, 53095 Main Road P.O. Box 728 Southold, New York 1 1971 January 22, 1988 Mr. Charles W. Bowman The Land Use Company N: Country Road Box 361 Wading River, New York 11792 Re: Grace A. Finora -Permit No. 347 Dear Mr. Bowman: Your request to extend the above referenced permit has been reviewed at the Trustee meeting held on January 21, 1988. Your request has been approved by resolution, adopted at this meeting for a period of two years. Your permit will expire on October 30, 1989. This letter is an amendment to the original permit and as such, shall be attached thereto. All other terms and conditions remain as written in the original permit. Very truly yours, John M. Bredemeyer, President Board of Town Trustees JMB : ip cc: Commissioner Thomas C. Jorling, D.E.C., Albany Robert A. Greene, D.E.C., Stony Brook Stephen Mars, Army Corps of Engineers Thomas Hart, Coastal Management John Holzapfel, Chairman, Southold Town C.A.C. Victor Lessard, Admin. , Building Dept. ' Planning Board Board of Appeals file n y~ _ _ _ _ /lei ~ BOARD OF HEALTH ~ 3 .~-d9^; ~ ~7a""y_ ~ g^.~ ' 1 C~s~.d_ 3 SETS 0 F P L r~pl S • . i' FORM NO. t SURVEY / TOWN OFSOUTHOLO CHECK i..,,t,LJ..%'~-~- BUILDING DEPARTMENT SEPTIC Foart I~ . TOWN HALL GRAS /A- F/ERR £OUTHOLD, N.Y. 11971 NOTIFY Zq~~q~'gb n~ TEL.: 765.1802 CALL .74Z-.~64?-...... . C•xamincd .7/. 1. hey Tom- MAIL xo: (rRAtE f:i. F/n~o~A ..........,19 Y Q o, 6~0 ~I/VCENT flvE. ,~pprovcd . 1~Pcnnit No~~, .3~~2It~Z~F6-Selo ~~~OES N6+rK~ /V.y /O~bu Disapproved a/c . '1~/x~~ D 30 {y'~"f,~1~~~~.. INS Z i ~ (Bud ng~ tor) BLDG. DEPT. APPLICATION FOR BUILDING PERMIT 13~ ~ . ~v-' ~ Date ~U G.. >?!~j 15 INSTRUCTIONS V~~ a. Tiris application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit 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 any purpose whatever until a Certificate of Occupancy 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 the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for iemoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housr~~~,~'and regulations, and to admit authorized inspectors on premises and in building for necessary inspecti ~(Si^rYture of applicant ~'~':`:'.ultl.. . 6~e 1/iw/eiE~vT- /4•vE. ...?ItR.RG.$.. rYIE.~.J~.. /.Y.y,.l°~65~... ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. o, w~v,E Name of owner of premises ...........'~r'R.A~~..~}',..Fl./,1!t'~/~.~7,,,,,,,,,,,,,,,,,,,,,,,,,,,, (as on the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. ~ . ~&~~Y.R!'~:...c`RNSa of EAST, cESio~? A!+iD BAY A~ve~ K,¢7'7'~rucK . . . . . flouseNumbcr Street Hamlet County Tax \tap No. 1000 Suction ....!Z~• • • • Block , , , , , , , , , , , Lot . Subdivision F.ilud ~fap No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~~tw~Nr ...¢.Q. ~ . b. Intended use .~1.,,,,.....,...,........ and occupancy .5/N¢¢~„ oF'4VP1O!!~S,?~. R14SlP~tVTi!4L'hO;!ilf+i-`~,+1ev,t~:........ .~.t'? . i ~ 3. Nature o, work check which a f ' ( pplicable): New Building • , , , Addition Alteratjon • , Repair Removal Demolition Other 1Vork . (Description) 4. Estimated Cost O°!?r""' .Fee . (to be paid on filing this application} 5. If dwelling, number of dwe[fin units , .d,+;u;-•; , t~l • , , Number of dwelling units on each (7oor , , , , , , s ' Ifeara,c,numbcrofcars .Lt?+?~,(l~,,,,, 6. ]f business, commercial or mixed occupancy, specify nature and extent oC each type of use I~,S`$~p,~.N,T,JJQ • • • _ H~i;ht b.... Nur~s, if any: Front Rear . • Depth.............. Dimensions of same`siruc ureuw ber of Stories . . . . Fth alterations or additions: Front Rear , Depth .Height . . Number,of Stories . ~ • • • • • 8. Dimensions of entire new constntction: Front , , „•S•,~! , • , Rear . ~ ' ~ ' • Height Nunjber of Stories . 2-- Depth . 0. Date o urchase ' ' ' ' • Rear , ....17.7 Depth .fir! r~r . , . Name of Former Owner . P.TT+? . ~ :./,¢yl~1,,~',.; . 1 1. Zone or use district in whicli remises are situated . . . aes ro osed construction vio p p bate any zoning law, ordinance or regulation: ~ . 13, tiVill ]ot be regraded •Nm , , • , , tVili excess fill be removed from premises: Yes Nc , 14. Name of Owner of premise:G.Rl~y$, ~9,,~Nb~p}r, , , , Address6`~~''!Nfkprr•~• P to a No?~!?•. 7;4,2•;3bo2 •Name of Architcctu!t,'.NAM A:.+SRtgY,srs........ ~ boyys Ns ~.ij. l~ . . Name of Contractor . R~f.'t4rR~.• ne No . • ' • ,Address R ISIS -this property located with in 900 feet of a tidal wetland? *Y;?5..,.NO.... *If yes, Southold Tawn Trustees Permit may be required. PLOT DIAGRAM I'.ERNIT NrlS ,BE,fFi? /'~RNJr ;w7 CraR~Tfc'y~ Locate clearly and distinctly ally buildings, whether existing or proposed, and, indicate all set-back dimensions from property tines. Give street and block'jnumber or description according to dead, and show street names and indicate whether interior or corner lot. , I I ~ I i i STATE OP NE1V YORK, COUNTY OF . S~!F~4K . • . , , , ~S.S ........~rt?9 l~ ~ ..F. i • , C~ • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual siding contract) above named. (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 Gle this application; that all statements contained in this application arc true to the best of his knowledge and belief; and that [he work will be perlbnned in the manner set forth in the application filed therewith. Sworn to before me this ......................day of~... A.4~Ct'.V , ]9tF'y9 Notary public G~-xcea Q, ,~~.......-%`~-::f~'-,~.ce-l-A-; County n ~ /7 LINDA J. COOPEit ~ ~ < Nniary Public, Siaxepf New (Signature of applicant) Nn. 2f322663, Suffolk Coumy U ' term +:xpires December 39,1_,,, _ J J W YI = LL .i i:. ;:Y:,',l'' i~~+cilgY tl0aj~ ' e ~1r LL = O Lfy ~~jfyf es ti'~ 4 j ~.uO N Q < _'.~~.5;~~~_SEi GFye ~ Y~}~~Y~'~yN W W D S LL ~ ~ ~ ~ sb5 ~~bi; ~it ~~E ~yoO`~~~.-2 h"O aQ 2 W ~ Q d ~j ~ 9 ~^5 3; ~ ~~}~-~o3~ 3~ l _ ° O ~ N f LL 0 4 ? ~ ~ Rd~ ~T.~L o~e£hg 55L W S f-f~I'~ < ZLLO b~tN ~q tw/~~xpj ~Y ~ y' - t~ 0 0 ~ O p E ~ V i ~ N WLLF-G a w~ ZC Yi 1 < w ~1 ~m~p 6 ' yLL, OOuf o>~ rc~ m~w o i • . ~ W~rZ ILLiV W 04„~ ~W- Z ~ ~ p. . ~ ~uluoi< t o C!"1gt~AP10S NM®1. ~ g 'gs?~iQ °J451~ ~ ~ ~J(ld ~ ~ ~ ~ MM t V ~ I ~ ~ ro 4J ~I ~ ~ w t~ Q5~na ~ ~ ~ -z,uNU,~~,~ ri, cx:~ Y, o l._].. 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"s~,~-tv~.b _ "-r r. rr. ;"t- ~m r~i6n~` in° Inii `i iloz•`I`I 1 ~~1f11?1011 ~ ~ _ _ _ _ - - _ x SUff04K CO: FIEALTtI D6rT. • r ~ q.: %1ii Fuses ~Wti'~BN 3cKt N _a r v~o i'~ ~ rv, ~UFfOLK CDUNTV DEPARTMENT OF a - - . - - ! ~ e ~ '1" ei ! T ~ ~ ~ ' ~ r ~ t' ' TOR APPROVAL OF CDIiSTR OF ~ ~ i _L~, SirW1e Family'Ftesid ~ o~ ~ „~~=tr~~Y~v S© 3 ~At~$i a `ttE!V ; ~ r., ~ r ' ! f' _ ~ , ~ .c HS EF IiO. 1. ~ ti r - - - i kf ~ t i ~ - `~"~rp ~ _ 'r ~ EXPIRES TWO YEARS FROM DAT OF TER 3W`PLY ANO wo>XaC ~ ~ ~'A ~ a S~~ { !"tfi~ '`i IF~w K SYSTEMS POIR TFi1S RESIDENCE ' MIiLI, . _ ~ "l. ~ r ~ COlif$RM FO THE flTANDARL>5 OF 7NE - ~ ~ ~"~1rr . T' ~ j C-' ~ J r ~ i~ .;~'i_1-'n Ql. a.+r N, tom. SUFFOi.K G0. DEI+t'. QF WEAtTH S~tRY~CBS. c+i 1Vt.Y. ' 3J _ 6' ;ilYAt~l INSPECTI~1 ~S, t\ ~ A.b?E c - • SUFFOLK COUNTY ~P'F. OF IiEAkT~i 5 4,,.; ~ aoraF.we~.. 1` j~-. `-FZ ~1 i~ sERV~cES FoR nPf+ROVat .;:t~Q 2 ~ y~ 31 ttw~n. ~ S~bU~K vF' ` jj %j •rf 41 CONSTRUCTION OMLY I '~`c'_ DATE: r I"."::~.~ .H a 'N/,yUVIN(y. 10(SQI:fiEB - ~..if ~ y+1 ' ~ { 1 i ~ f- VG .1 H. S. REF. NO.: 8B - rte'=.`[$ ~ t ' ; t~ I ~ n 'A ~ a * . ' s-- s~ ~ ~ g - ~1- . t!, ~ ~o~ G „ 9UFFOLIi ICO. tA)k th~AMP ~1E##sNA ~ ' ~ . ;F. 3S Q `~G' p m OIIIET. SECT. 11lOEK .ll~:! ' ~ +i I w 4 't7~ 04YNERS ADDRESS: ~ t1 ~ ~ ~ Cov S S Tic , _ _ a> ~ . ~ . ~ i ~v~.. ~ ~,;r ,Q., _ ~ _ ~ ~ t0 '`~'~;,y ~5~ ! ~iarTtr~~; ~,.hiv.'t~'w? ' ' ~ .245 sQ ~ r nEaro: l,. ~ ~tr ` 1 /k Ir ~ r ~ k 1 I~ j rF~Ct ~ ~s g'TA. - i;iia;!~''7j - yy~~,,,, 9a. Ej,~ rr wt,p. ` ~ 16C`J ~ - naa,Ka bearittb , yy,,~~ r ' e / ~'j."'l` ~,y~ ~ ~ fi~arenteas indir;atriC net'eon Wqu NII E~ 1 ` - ~a i I V. 1 _ on1Y ro tha Dxrsan to (whom tlis ~'ar'~~t~! ~ i i ~ jJt//¦~ r is prepareC anti on hp paheM.to theme A_id V~_.~a• 1 ~ ~ ~f"1,~i.~ •com Krtutron s[i1 rMt~ M ++~~:7 i - ~ _ - ~~7f--;; (~6`~?? ~~11y ~ndmg in'9naea d theiendl 1~relda ^ ~ Il~fii.~ , ~ 1' Slt x ~C~i"a f~G. ' 6~ ` bn. Guarentws are na Wnefe ~ _ ~ J~'F- , ~ SI1N~j erle@IaaN inetltatbty a en6nplwy - . ~ Pilaw?, 4 , / - ~ _ w I 'JK~.1-'~ oMwtRe. , r, ~ ~ I • v"~aa,.tt , fie SEAL r 6 , ~ N ' , { ~ Y ? f>wp lIQ T17 ~..tsfi~`tA Atm. OF MFh, t ~ r ~ fir.' 1 sara~433~Sr`~Y~,.7 [~aS(a$'f ,,.Tt~'z} yon' G-F a.c ~ ~ FCK V ~tld * r h ~ ~ ' I , . - LiGEAt3E0 L•ANd S~Iltit ORS 2s c S zaf>~P,~ ~ , ~'_-~+T 1'FflS'Lf1~ t, 4i r F~Atliyt 12~L' t.IRJE . QREENPORT MSW YORK c~LANU _ ~ ~ Ii..a,. F~~ 1 ~ ~ ++•a'~'6~L t.P "m ~t•"°..l•~ `t-~T`~.~i`/{~'a f:~,. 13.1; ~ ' 1 •.r g. ' u,`.~ - ~ 1'~..1?t-'. t.. a'v._t; %7~.r f=a•.C.vr1 t .•;}Tr~i;~':1,°a'.; ' ii; ~ i(t +[t [it F ~ 7s i~.i°~ ~ _ v~'z' ~t. ~ , - ~,y,aj,< k, Y t f . ~ 1 i~.~-..~. i~.,~fi ~ . _ ~ _ ,.k BA~Sti ~ ~ i i~~ . . x,: ~:~I s ; t': ~ E~ - , 5Y5.~ v t ~ to r-' ~.c iC 'rr, E r t rM, , ~;ir -s rn r f f ~ _ ,m ~1 . r i ~ ~ ~ f J - "O~~ _ ~I ~-14 'I~' SJ roro~~ f i ` 14 ( ~ I•' h Y' ~ i'T f rR a "K f Ihd ~ R ~i~,_ ~"ra _5 ~ ~ ~ t__--~ ~TAi 2S ' rJrJ'Kr!.3 ~ ! r" I T yq w. ~ ~ ' 1 , i 'TI Ct2 ~ ~ b'~ 1 f I ..I T /J ~ ~ ie Y ~y ~ ~ *l _ / r ~ t ~ a ~ 7 _ •7a ~ _~ty:, ~ ~ If ~ i ~1 r •.I y " i• - ~ } F/ ` l ~ , x / c t T ~ ~ , , Z, ~ , = ~ it r;' -.M, 7 j - ~ ~ ~ - ~v to f1 ~ cc a, 4: - ~ ~ c _ ~ ~ . " -r-t ~ , r ~ fir, ; C"~n J~WI. f ~ o 'O III m I f"~ ~ P. ~ y v, ~ iroi'r5 w ~ -t• F COUNTY DEFARTRAENT OFF NEAt7 ° ~ ~;.-I~t7 ..tv}~; c~ `~l ~ 1.E.F~W,IIY OWEtLItdG ONtY ~ !10 n , j ,r'+~ 1 is '`~e~ OAT 1`.)yd f > ~ ~ N.S. ft[F. NO. ~ ~ ay ®in0 W p~~~ ~ x~9~ `~e sew „ 6ispr~sal end avatar supply faoilit;s for this n ~ p"` ~ location have bean irgpa~F;; „yths Gepartrnentand/os " ~ ~ ~ ~ °^t .r other_agen es and found to be sa;' taciory. .r.~*Chi~i o1 Rureau of Wastev ater tufanagement p p D2dncnv, En nv,-i w m r~ ~ N -~°outDO m ~ ~ z~m _ ~ N. j~ i. fl'1 ~ ~ p ~ z Z V, ~ r ~ t y r ~ 2 M Z; St o b' S ~ ~S ~ ~ ~ ~ E ~ 7 1{ ,rt : )S r, A ,^I -I Rl 'S ~ 2 N D wry. ti ~ ~ O Z ~ r 5~ Ro~~T m~~~~'~ a.~~~ ta~~,~ , ~ ~ ~ O ar ~ -~i m z m m m , O o~ F`,D 6` ~ a 9. a n h t?2 p t4f D ~ Vl Z .a r' rn n a N ~e oy a ° ~ ~ ~ ~ ?i~ t,i r ~ ~ ~ ~ ~ ~ .'[t O Ri CU 1 z N rS4a~a x z m ~~"a~ ~ 'Ei Gf. O.p rn G1 ~ ~ D ~ m p~~r i1,~ nor ~ ~ ~ ~ ~ ~ ~ 1 _ ~ H. -°r ~ ~ p ~ y { ~ „2 a ~.~y$ a { .i. ``tt y I " O * n b®~._ ~ ~ ~ 5 4.i ~r ~ p ~..1 1'I ~ ~ ~ ~ ~ ~N ,r (It ~eM1° ~ .C } r` 1 / _ _ ~ r / 'ryrT lfl. C' f' ~ . f " ~ _ ~r ,s ~ . ~r?Piq m~ `i ~ i `itinr I I IIII I ! I I~ .3 I,~ J () I .~,,,:,, I L_r k_.J c~ CO~tE~ BEFORE : ~.,~ ,~ ~/'~'~}~ ' +. OCCUPANCy 0R ~-. I/ / / -~ '~ ~ -' ~ _ , ~' ~=~ USE IS U WFUL ~~ , ~ ~ WITHOUT CERTIFICATE '~v~. ~ I " ":" .... OF OCCUPANCY 4-¥ ..,A. PP. ROVED AS NOTED- / DATE. ~B R # ~ NOTIFY BI~LDI~/G DEPARTI~/1,~TtAT 765-1802 9 AM TO 4 PM ~'~R THE I.'FOUNDATION - tWO REQUIRED FOR POURE~ CONCRETE 2. I~OUGH - FRAMING & PLUMBING 3/INSULATION ' 4. FINAL ; CONSTRUCTION MUST BE COMPLETE FOR C.O, · ALL ICONSTRUCTION ~HALL MEET THE. REQUIREMENTS OF THE N.~ STATE CONSTRUCTION & ENERGY CODES· NOT RESPONSIBLE FOR D. ES GN OR CONSTRUCTION ERRORS WILl. lAM E KRAU~ R.& 2 ~c_~ coum' SE J,~.f, ~.Y. ,Tm) ,0 I i © © WILUA~ E KRAUSS P.A. 2 REGAL ¸lL 12 WI~AM_~,_ E KRAUSS R.A. REG'~ TOURT ST. ~ N,Y. 11780 '-7'k~ V,,,"~LL i WILLIAM E KRAUSS mA. 2 R~2,~ (~ ST, ,I,~¢.S, N.Y, 117B0 REVISIONS