Loading...
HomeMy WebLinkAbout17769-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218297 Date AUGLFST 17, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2970 BAY AVE. & 11425 PECONIC BAY BLVD-MATTITUCR House No. Street Hamlet County Tax Map No. 1000 Section 144 Slock 03 Lot 20 Subdivision Filed Map No. Lot No._ conforms substantially to the Application far Building Permit heretofore filed in this office dated JAN. 19, 1989 pursuant to which Building Permit No. 177692 dated JAN. I9 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 ONE CAR GARAGE AND DECK. The certificate is issued to DOROTHY A. & ROBERT J. ENDERLE (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL SO-722 JULY 21 1971 UNDERWRITERS CERTIFICATE NO. N3U8802 MARCH 15, 1976 PLUMBERS CERTIFICATION DATED N/A REPLACES B.P. 46652 Building Inspector Rev. 1/81 r~osat xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TtiE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~0 ~~77~~ Z Date ....~~~/1...~ 19Q~ Permission is hereby granted to: ta..rZ~,~i~~~il .~.`yt~.... .4:.![.h........~~,~erY.!.fJ..y,~j~....... ..L~.1~i..........~...'..... ............GP cr premises located at ...~~...~.~:C1..............G~~...~.'~ Caunty Tax Map No. 1000 Section/....../..~C~....... Block Lot No........... pursuant to application dated ....1...`.1.~ 19~y~., and approved by the Building InsQpec~tor, Fee $...~/•l.!.. /t~~ G~~~~G 6 /Builds for Rev. 6/30/80 - - D '""G~~d V~ _ y~~ U ~ TOWN OR SOUTHOLD ~ ~ /'1 ,p,,~ ~ BUILDING DEPART2IENT ,,,,,,,,,,,,.,~,WB TOWN HA L L 66DG.I~-~"~ SOUTHOLD, NEW YORK 11971 'roWN OP SUts ri:'s','.r,. z 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE. ~~~~~ac~...... NEW CONSTRUCTION ...,Ot~LD ORryPRE-E%ISTING BUILDING...... VACANT LAND........ Location of Property. 1~4~~...5~=.~.~"2~;~1~~~~~,L.l,?~ HOUSE NO. ST EET HAHLET r Owner or Owners of Property. ~~~~/;y',~~~~~,`~- ~~(~,{Z~ ~ ~ ~~(:~\.,,,L~_ _ _ _ Gounty Tax Map No_ 1000 Section ..l.l.l. Block Lot Subdivision Filed Map ........Lot.. Permit No. ~~.4:Date of Permit ~~...ApplicanC ~1p~~~_.S: Health DepC. Approval Underwriters Approval...,,,,,,,. „ _ Planning Board Approval Request for Temporary Certificate Final Certificate Pee Submitted: - a APPLICAN 3 ~U6.z 3~~ f Co ~i~~9~ rev, 10/14/88 ii w... „+a..~x~up.....M1 FORM N0. 6 ~ j¦~>d TOWN OF SOUTHOLD BIIILDING DEPARTMENT ~ ~ ~ TOWN DAL?. j I 765 - 1802 ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS „ A. 'This application must bg filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusuallnatural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form), 3. Approval of electric~'I installation from $oard of Fire Underwriters. 4. Sworn statement fromlplumber certifying that solder used in system contains less than 2/10 of 1Z lead: 5. Commercial buildings; industrial. buildings, multiple residences and similar. . buildings and installations, a certificate of code compliance from the Architect or Engineer responsib',le for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (iPrior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land~iuses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed ';application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. ' If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Dale of any housing code or safety inspection of buildings or premises, or other pertinent information', required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: An application For vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued bq a title company showing single and separate ownership of~lthe entire lot prior to April 9,-1957 shall also accompany the application, If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: ~ f, CERTIFICATE OF OC~UPANCY - New Duelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certi€icate of Occupancy - $20.00 5. IIpdated Certifica(e of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential li $50.00 Commercial APPLICATION ON BACK re°~• 10/14/S8 i 1cLD I~:S:'~~ 'i~t+ ~~Unir, ~ COhiMENT° - .a \ ~ ~ ~ 2 ~ V _ y S FOUIIDATION-_.. (1st) c FOUNDATION (2nd) m 2. z ~ 0 ROUGH FRAME & V O PLUMBING ~ ~ 3. ~ H ~ V~ I2ISULATIOP! PER N. Y. STATE ENERGY CODE V~ x 3~O } ± a 3 FIiJAL u z ~ _ ~ I~ ~ ADDITIOPfAL COMMENTS: x~ - c~ - ~~tt- i`~ t at c 314-5 ' u.R ' cc` _ • U,~ ~5 r " ~ Cb ~ L O ~ i7 ' eLT co ~ r ~ ~ H H ~ O W ~ e . • r~ H T\ O m~ H ~ roe . SUFFOLK COUNTY DEPARTMENT OF HEALTH EASTERN DISTRICT H.D.Ref. No.•->(~ ' r'~~~ County Center, Riverhead, New York PA 7-4700 APPLICATION FOR APPROVAL OF INSTALLED PRIVATE SEWAGE DISPOSAL AND WATER SUPPLY SYSTEMS Inspection for approval is requested, pertinent installation data herewith. 1-Name of Owner ~ ~ ~ ~~~~'Lt 3-Subdiv. .,/(rr''P/v'~ AddressR-`Sr F12ttt~JDS 4R. W~=STR~I1?`/ Ir:Y. Phone ~D:~ 2C'k~ 4-Section No. 2-Name of Builder l~Ritc_ C_',si-~_c-F'T! Phone (,~t°~. ~>Lj?^3 5-Lot Number dl~+Nc ISSucD Address ~r}'3 FctXNt/t'S7' !ir°E>4NS~~,,. tJEt~1 Yut'RR'.-~ 6-B1dg.Permit No> 7-Sewage System installed by Iwtut(iFlfrAi~ C~1~/irn'fJ!i_ ~ ~ Phone f~ `j° ~~~'i~~ Addreas~'~){~] A~t7 r?R'F' lath. [t! ' I~t I c'!~ t J 8-(a)Deed location of property~~, "eK c' 6h V' ANil PL-(=J 'rC ~i,.~i ~ 'i (b)Hamlet or Village V G" (c)Town S~'~' TH rUL,h 9-Sepeie tan'.-~6a1 ---i~--F~~W_. fr t t~_~,~3_IIepth-__~-ft.._ 10-Cesspools-(a)No.pools ° (b)Blocks below inlet-1) 2) 3) (c)Block size-L in.W in.H in.(d)Precast pooh ?_-(e)1 2y (f)H~ft.~in; Diam ft.=in.(g)Finished grade to cover ~ ft. (h)Backfill Material ~.,r c `v- , ;r/ . 11-Water Supply: n••L'a.~~at~ Private Well Y'~ If Private, the following questions are to be answered: 12-Private Water Su~ply Systeem! installed by i1t % / ~rlC,~ U/~9~'/~' aPhone ~ - , ~ Address ,Ij9/J.iA .E~j~ /~/~T~(./.f ?CiC , y. 13 (a)-Total Depth of Well (b Depth to S atic Water Level 14-Diametez of well pipe i 1. in. Crut7(~iAA! rN TE2P~'~S"c=s 15-Name of LaboratoryS'OJ7µ Sr1oR'l At t~ hA1716-Method of Disinfection LAG jes6 !3/~'oT/1 17-Date ready for inspection 7! The undersigned CERTIFIES: Above systems have been constructed and are in compliance with the Suffolk County Health Depart ent's current Stand /ids, Bulletins and Amendments thereto. % ~ 18-Date 7 /G' ! Signed / ~ 1`' ~i ~ ~ Owner ~ B'uild er .~9-Insert sketch of location of Water & Sewerage Facilities with accurate dimensions. Qi •M 2e' ~ M ~o ~ . ~ a ~ ~ ~ ^i N ~„,y STREET fjG ..NJ - FOR HEA TH DEPARTMENT rUSE_ ONLY Inspected by /~~t~-u- "3~ Date "7~ 7~~21 Based upon the inf ation stated above, satisfactory fu ctioning of the above systems can be expected with proper maintega~e d are %Jn Date 21 1971 Approved 'Iy~~ t;e o en r S-Se i Instructions for Submission o£ Installed Private SewaYe Disposal and Water Svstem Application ~ - - Application~ are do be submitted in duplicate. Required information should be typed or legibly printeid in ink. Inspectors are not permitted to make inspections of installations until~applicationa have been submitted to and accepted by this de- partment. The item number on the application form and item number listed below are the same: I 1. Owner's name and address - if owner and builder are same, so indicate. 2. Builder's name and~,addreas - approvals will be mailed to this address. 3. Give name of filedrealty subdivision map. - 4. Section number of realty aubdivisioa map. 5. Lot number of plot~,on which disposal unit is constructed. 6. Building permit nuo;ber assigned by the Building Department. ' 7. Name of person or firm who actually constructed the sewage disposal facilities. i 8. (a) For example: s/s Jones St., 100' e/o Smith St. (b) Hamlet, (ugincorporated area in Cownship),~for example: East Moriches. Village (incorporated area), for exam ~1~P P> P r^~~"~ ple: Nort ort. (c) Townshi for exam le: Brookhaven etc. 9. Give inside length ;and width in feet. Liquid depth is measured in feet from bottom of outlet pipe to bottom of tank. 10. (a) State number of pools. (b) State number of blocks below inlet pipe for each pool. (c) State length, width, and height of cesspool blocks in inches. (d) Indicate by cheek if precast sections are used. (e) Give number of leach- . ing sections per pool. (f) Give height and diameter of each leaching section. (g) Give depth in feet from finished grade to cesspool cover. (h) Describe backfill material used. 11. Indicate by check i~'f water supply is public or private. 12. Name of person or firm who actually installed the water supply facilities. 13. (a) Give depth in £eet from top of well pipe or casing to well point. (b) Depth in feet fromltop of well pipe or casing to water level in well. 14. Inside diameter of 'well casing. 15. Name of laboratory performing the examinations. 16. Describe method of;diainfection, for example: quart of laundry bleach in ten gallons of water poured into well and allowed to stand six hours. 17. State date on whlch' installation will be ready for inspection. 18. Application must be' signed by builder or owner. Signatures of subcontractor, superintendent, etc., will not be accepted. 19. Indicate location of Water & Sewerage Facilities with accurate dimensions on sketch. ~~I II I~ ~ ! ,t y,:r..:,,, t / / i I l0/21/76-fiTHE ,NEW YORK BOARD OF FIRE: UNDERWRITERS r - ~ BUREAU OF' ELECTRICITY' ~ ']~~LI(A`A'j`Li 0~.`i N27369], . 85 JOHN STREET, NEW YORK, NEW YORK 10038 Hate March 15,1976 Agplieauott Na, an file :`,'456415 ~ N ~ ~ ~ ~ ~ ~ - THIS CERTIFIES THAT I only the electriral equipment as described below and introduced by the applicanE named on the above application number in the premises of ~ ' Robert Enderle, n/w/c/ BBay Ave~~.II & Peconic Bay Blvd. Mattituck,L.I. in the following Location;' .ta[Basernettt LS Lst Fl. 7LJ 2nd Fl. Oataide - ,Section Block Lot wus ezatnined onMarchS ti}, 1976 and found to be in compliance with the reryuirements of this Baord. " OUTLETS RECEPTACLES SWITCHES FIXTURES M r RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS INCANDESCENT iLUORESCENT vArep AMT. K.W. AMT. K.W. AMT. K.W. AMi K.W. AMT. H.P. 24 53 28 24 1 4.8 1 .5 2 f DRYERS FURNACE MOTORS fUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULT40UTlET DIMMERS AMT. ~ K. W. OIL M. P. GAS H. P. AMT. NO. A. W. G. AMT M1P. AMT. AMPS TRANS. AMT H. P 'SYSTEMS AMi WAITS NO.OF FEET 4 f 1 0 ~'--SERVICE DISCONNECT NO.Of ~ 5 E R V 1 C. E AMT. AMP TYPE METER 1.9 YW 1 /r 9W 3,9' JW 3,6" 4W NO. OF CC COND. A. W, G A. W. G. A. W.G. ' EQUIP. PER 9 OF CC. <OND ~ NO. OF HI~LEG OF HI~IEG NO. OF NEUTRALS OF NEUTRAL 1 150 CB x 1 2/0 1 2/0 OTHER APPARATUS: Motors: 1~'~hp. Hot Water Heater: 1-4.Skw.--- I - I ~ F.W. Brudi 1194 Waverly Ave. Holtsville, L.I. 11742 GE E L NAGER Per ' This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by eir c entldls.~ January 9, 1973 Mr. Robert J. Enderle 215 Friends Lane Westbury, New York 11590 Dear Sir: Your Building Permit E4665z, dated March 30, 1970, has expired although a temporary Certificate of Occupancy was issued on June 8, 1972 Building Permit is still active and will be until Final Certificate of Occupancy is issued. If construction is not completed, please forward renewal fee in amount of $10.00. A final inspection is required and the Fire Underwriters number for our records. Upon completion, kindly arrange for this in- spection without delay. Yours truly, Edward Hindermann EH:mm Building Inspector t March 2, 1976 Mr. Robert J;. EndQSrle 215 Friends Iane Westbury, N.. Y. 11590 Rea Building Permit No. 46652 dated March 3.0,;1970 Dear Mr. Ended®: Regarding this permit if you are not completed with all construction a final Certificate of Occupancy can not be issued. However, you will be required to renew permit once again; please forward fee of $10.00 and a receipt will ba sent to you accordingly. Enclosed herewith is your Permit No. 83992 for the fence you have erected. Thank you. Yours truly, EH:mm Edward Hindermann Enclosure Building Inspector r ~ 4 Robert J. Enderle 215 Friends Lane Westbury, New York 11590 February 26, 1976 Mr. Edward Hindermann, Building Inspector Town of Southold Office of Building Inspector Town Clerk's Office Southold, New York 11971 Dear Mr. Hindermann I am in receipt of your letter dated February 6, 1976 in which you call my attention to the fact that I have erected a "split rail" fence on my property at 11425 Peconic Bay Bivd. , Mattituck, N. Y. As you suggested, I was not aware that my action was in violation of Town Codes and am now making applica- tion for said required permit. If there should be any difficulty with the existing fence, described as a "post and Rail" fence, I shall have it removed until such installation would be legal. (30 eight foot sections). Regarding the question of finishing construction of the house located at the aforementioned address. The house is not finished. The inside is not complete. I have installed a minimum of sheetrock for a temporary "C. O. but in these current times -things are going very slow. I do not expect the house will be completed in the near future. I am doing the work myself and do not have a need to complete the house for permanent use. Understanding the aforementioned, is there some special action that your office will require of me. If you should wish to see the house, inside, I will be happy to make this arrangeme a yo ience. Since v Ro ert J. erle February 6, 1976 Mr. Robert J. Enderle 215 Friends Lane Westbury, N. Y. 11590 Dsar Mr. Enderle: It has coma to our attention that you have erected a split rail fence on your property at Bay Avenue and 'Gr®at Peconie Bay Blvd. in Mattituck. No doubt you are unaware that a building;permit is required for fences. Enclosed arp applications; please make ou4~..in triplicate and retuxn~with a $15.00 fee. Upon receipt,.8uilding Permit>wli ba sent to you. Aleo,-please advise if you have completed cgnstruction, on your dwelling ..under peziait X46652 dated '3%30/?0. Permit has expired and wti.,+e is no record of a final"Certificate of Occupancy having been issued. Yours truly, EH:mm Edward Hinder;rtann Enclosure 8ui];dinq Inspector oS~EFOL/~~o ~ ~ VICTOR LESSARD ~ ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ P,O. Box 1179 (516) 765-1802 ~ Southold, New York 11971 FAX (516) 765-1823 y~i~' jo~ ~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 9, 1989 Mr. & Mrs. Robert J. Enderle 215 Friends Lane Westbury, NY 11590 Re: B.P. #46652 Suffolk County Tax Map #1000-144-3-20 2970 Bay Avenue, Mattituck, NY Dear Mr. & Mrs. Enderle: During a review of our files, it was noted that the above Building Permit has expired and a Certificate of Occupancy has not been issued. According to the Code of the Town of Southold Article XIV, 100-141 and 100-144 a Building Permit is needed for construction of a new dwelling and it is unlawful to occupy a dwelling until a Certificate of Occupancy has been issued. In order to avoid any legal action you must correct the above violations immediately. Thank you for your cooperation in this matter. Very truly yours, SOUTJH)OLD TOWN BLDG DEPT Vincent R. Wieczorek Ordinance Inspector VRW:smw ~9-0.-.m-, . ~.1.~.-~~~-r-.. 3 ~ ~ ~ ~ ~ ~ ~~~~s ~ • TOWN OF 5OUTHOLD Building Inspector's Office Town Clerk Building Southold, N. Y. 765-2660 IZ~>v~jf~. _ ~tG, ~ `~.~rE.i ~ !'~=reir-ro V' /If`.K1.5` ,~~ry~t''srxt:. ~~"~s`,t.~= tool' cti r.C ~ c ,C/.~'c+~ rr= C''o i+i ~•,7"r. v c ~ i ~ i Ccr ~ , it 1 r C d //7~i /e' i 6 s,J Jr ~ ++v r .i ,sr+ ~,c-+~7 ; r~iE.•-- p!'" {y G C 4~~`.C'rkh` . / ~.t noS.cTs v ~ y, ~Ei,,t r>i+c..~, „~ia S r 9 r~~ y ~ '~z" ~~P 3~ /970. / Y"^' f a~~- ~7~z 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( ) ROUGH PLBG. [ ] FOUNDA7{ON 2ND [ ]INSULATION ' ~ , [ ]FRAMING [~-)'FINAL C~®~ ~~~~~~Z :'1 72''~te", REMARKS / ~ ~ Ili w.~~.~..~._:(_Y t`' ~ x 5,~ ~1~,, - a-~-_,_= , 3 w~ in,uti-~`j,~- l2`? ~i~dtn~Co~-Qr~~~~. ~ aQdQ~ , s , DATE ~3 ~~INSPECTOR U' _ _ Y/2'f ~7 ~ j~js-ti,' ~+t,.,..r?+tl..n, 0.1~ ~ roux xa i ~/ti~Ta ? ~X ~ z sj t o.~k ~Ci u TOWN OF SOUTNOLD 7~Z~fz 9 0,•~ ~-s ~ 9I ~ BUILDING DEPARTMENT 1'--. TOWN CLERK'S OFFICE q/Se/+o Vim= ~ ~ • ~ f~ SOUTHOLD, N. Y. - C..,fi~ ~,C~~,/~ ~ Exomined 19........ Application No............................~ Approved 19........ Permit No. ~ S-~ ~ ll"c.~ ~ 7Z tR~ ~-w ~ Disapproved a/c Lw-t C//0 ~ c ~ i ..........................1............,............................................. (Building Inspector) t}~( ~ f 7 ~ ~ )tea.. , ~s>~ APPLICATION FOR BUILDING PERMIT a Dote .~"'"....v.0.........., 19~....~.~_ ~ r INSTRUCTIONS ~ t = In aector.~s application must be completely filled in by typewriter or in ink and submitted in duplicate to the BuildingR~ sp 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 Qf property must be drawn on the diagram which is part of this application. 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 issue o Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of 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. 4 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordin / /],wldin(g~~~JJcode, housing co e, and gulati s. . . (Signature a icant, or name, if a corporation) 2 9 3 ~ X U,eST ,~o~D (Address of adplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........~-~...~i.~rei.. f.L........4.'( N.T~f~ G' .T...o.~.'..% Name of owner of premises ....1.~.~~~2T...~...~N'~.f~.~.L~ If opplicant is a corporate signature of duly authorized officer. (Name and title of corporate officer) i . 1. Location of land on which proposped work will be done. Map No x..................... Lat No.:.....~............ t1 Street and Number ...~..(.~?.St.t3 A`,l.... /3 L i~b ~ ~.~.'../~.V.k ....~1'l.~ T.7-r.. rY. .q7~ ~'1 ~ f ~'1 - ~ Municipality 2. State existing use and occupancy of pre/misAes~and/~in~tended use and occupTancy of proposed construction: a. Existing use and occupancy ...~lllnll`f'/!rP./.~:!~.~~n~.......~~~.<.p.........r b. Intended use and occupancy ........51./YF.........~h`~~~Y...../.~.~~1.~~~1Y.~~ - ' 9 ~ 0 E i PP 9 on Alteration 3. Nature of work (check which) a licable): New Buildin " Addit~i Repair ..............~~em~Olp Demolition....•..........,., Other Work (Describe) ~~~I ...............Fe 4. Estimated Cost e ~~pp (to be paid on filing this .application) 5., If dwelling, number of dwelliing units ....O.~v..~r .............Number of dwelling units on each floor If ara a numberofcars..... ~.N...~.....y....P ...:..................................................YP..................~.................... 1..... . 7. Dimen sons of exist nrctstlructu~txed occu anc , s eclf n,~ature and extent of each t e of use .....:.r...."~f•.~~/.. g res, if any: Front ...~.:.~.fr....... Rear Depth Height Number of Stories Dimensions of some structure with alterations or additions: Front Rear p eight ............................Numb ~ of Stories ................f.......~~...... f Y/ 2 Rear 2 Depth . ~ ~ - Hel ht ••7,-/O struction: Front Y' ~8. D mg nsions of entire new Cori of Stories I ~ /Number~d 9. Size of lot: Front .....l..7~e.~F.~ / Rear ......F7 9 ~ / / p0. DD ~ ~ .....J~..~ Depth 10. Date of Purchase ...F.f,.l~..~~VA!.'C~.,Y....Ir'~..~a.........Name of Former Owner 11. Zone Pr Pse district in which Premises are situated • gqo,late any zoning law, ordinance or re ulgt/i~on/? .,.{.f.Q./!!:d~~.,F.~ 13. Name of Owner ofsprem sesv/\D~~'~~..~.. ~~~~.~~..,Address ./.ta.~~FfFT.~f.f~R.•Y. ,..R!>.y Phone No l~7/--gyp K.~r3~~l~"E,~RD. Name of Architect ....~~~~~.A!F-'.. ~~r Address ..~./.~~f.J,gt4",f}i••.II/+••Y•<••.•••• Phone No ~ FoXtFvr'fT- Name of Contractor •~+..G'~.~ ~.~T~.~ Address Phone No. Gd.':~~.~¢3,~ ~c~~ivs~or....N..y _ I~ PLOT DIAGRAM ~ /i3 7z ~O2~aR 832x6 Locate clearly and distinctly al,l buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block number or description according to deed; and show street names and indicate whether.ir+terier or corner lot. i TC~'"'~~ i M YYY i b o an q 39.oa,, ' pY0~0,.ft' 2 ~4 ,Pt°f' a i~~ fCa~ri~ u+~elt~ln9 a •go,op ~ ? 9,4.6/ ~ b k f~~~ m o a o I~ ~ v i rr. ~6 ~7G • ~i/l~f,~;l 'I ~~r ~ v~~~~ ; ~ STATE'OF NEW YORK, 1'S.S. COUNTY O v~ «~1~ .................being duly sworn, deposes and says that he is the applicant ` (Name of individual si Wing application) I......... above named. He is the E!`-.!!;~.....:~Q'!",~'/.`:1.7..CTd I (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 - this application; that all statements contained in this application are true to the best of his knowledge and belief; and thar t e work wl a er orme In t _ he manner set forth iryrynn~the applicati ed therewith. SWOrn~totbufore da tof ........Y..../. 19./!/,... ~ ~[??..77AA.+ Y n, PP.,..... - Notary Public, . /e.~•KE... Coun 6f i (Si t e of a ficanf) ' ~EL~ZARET ANN NEVILLE Q 1 ~ fvUTARY PURLI6, State of New York No. 52-8125850, Suffolk County Term 1, Expires March 30, 19~ I 1 , $,E a BOARD OF HEALTH , _ ~ iI ~ 3 SETS OF PLANS _ ' ~ lI FORM N0. 1 SURVEY ~ ~ ~ ~ ~ ~ ~ ~ ' .~QN I ~ . x , TOWN OFSOUTHOLD CHECK -.,-.......x...a..,~_.~._ BUILDINGDEPARTMENT SEPTIC FORDf tfir.DG. DcP'L TOWN HALL TOWN OFSOUTHDLD SOUTHOLD, N.Y. 11971 NOTIFY 2 t~ 9 TEL.: 765-1802 CALL 7~~, ,0,10 w Examined . ! 19,(~~ > -7 ,r~ ~c+ MAIL TO : 2~4 ~ - ~k`1 ZZ., ~nn Approved 1~~ Permit No. (..7,{.!? !~/.'~"/"i/ Disapproved a/c ~/O'L~i~/~~~°i,~ ~ ~ ~0 G!!i° . . ( ildin~ pector) APPLICATION FOR BUILDING PERMIT Date 15 . INSTRUCTIONS a. Tlris 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 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 removal or demolition, as herein described. The applicant a;rees to comply with all applicable laws, ordinances, buildin c housi co regulations, and to admit authorized inspectors on premises and in building for necessary in a ,tions., (Signre or app~~lie t, o nom , rfra corporatton) 2,A~ v~CL~~iao~S S--f~ d-'= (Mailing address of applicant) - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~ U4',t~::~.. ~ ~ (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 . . Plurnber's License No . . Electrician's License No . . Ottrer Trade's License No . . . I, Location of land on which proposed work will be done . . House Number Street Hamlet County Tax klap No. 1000 Section ....`~-~k Blpck , , , , , , , , . , . , Lot Subdivision Filed slap No. Lot . (Name) State existing use and occupancy of premtses and intended use and occupancy of proposed construction: a. Existing use and occupancy ~..~:.~E^(il,+--:t<, , , ~ W (.,~L. (lS b. Intended use and occupancy - • • • ...0.. ~.:.1-`~~.t t:v1... ~ ~ ~~-l-t l°F E°s' 3. Nature of work check which a P • • Rcm~plicable): New Building Addition Alteration , : , , , , , , Re air 'ova! . Demolition Irr:;Wo ~i~H, d1lA#, . - ~ (Description) II 4. Estimated Cost ....1,~.} ~'d.~.~ Fee ~ ~ / (to be paid on cling this application) 5. If swellin„ number of dwelling) units ~ 1~:~, , , , Number of dwcllin units on each floor . g If ara~e, number of cars ~ .......©,1~.~ . , ' ' ' ' ' ' ' ' 6. If business, commercial or mixed occupancy, specify nature~nd extent of each type of use ~a, , 7. Dimensions of existing sttuctures, if any: Front , . , , , , , , ,Rcar . . . Depth , , , , , , , , Height ...............Nur~tberofStorics........................................................ rmensrons of same sttvcture with alterations or additions: Front Rear , , , , , , , , Depth Iieight pt. r~ Nu b~~$$ ~f S~Qrjes . ~ 8. Dimensions of entire new constj~ttction: Front . ~A Rear ..~X~. - d.~.... Depth ~~,t, ; ,d ;rr, f Height . ~Q... . Nur' t~cr of Stories . . ~ i~ ~ ~ ' ' 9. Size of lot: Front ~ I..1 Rcar . , { , , , , , , , , , Depth ~ ~1.4~..U~? I , . I 10. Date of Purchase . ~`t.~4~.uAS~;-, , ~ q"j~ , , • , , , , , ,Name of Former Owner . 1 1. Zone or use district in which premises are situated . 12, Does proposed constructton vio 13, \Vill lot be regraded , , • _ ~ slate any zoning law, ordinance or regulation: ~ . .r...'....... will ex ~s-j"~1 b;~le~n~gv fdrQm premises: Yes No 14, Name of Owner of premises ~9pstfL;` ~ ~ ~„1yp~2~~'Address . i, e(~ut~ Phone No. 5~S? ;33',x, ~.¢V;1, Name of Architect .`.3~Q..g'f:~,fL, , , , , , , , , , ,Address ..'~i~ ~'~i~~~~~s ~ Phone No. ~C , , Name of Contractor ;~?Ayi; ;3-,. U l-.t".t<~: ~ , , , , , , , ,Address ...[~tt, ~ , I.i,.t , , ,Phone No.. ol~~ :3 LA~ IS.Is this property looted within X00 "feet of a t-idol wetland? *YES....NO. Y.. *If yes, Southold Tow¢ Trustees Permit may be required. PLOT DIAGRAM Locate cieazly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block~number or description according to deed, and show street names and indicate whether interior or corner lot. S C~ ~ 0`~ 1-~- 0 l~1 ~ t mac:. ~ ~ 5 Z , STATE OF NE1V YORK, ~~iIS.S COUNTY OF . (Acme of individual si~nl ' ' ' ' ' ' ' ' • • being duly sworn, deposes and says that he is the a leant r I"""""" PP ing contract) above named. He is the II . (Contractor, agenf~corporatc officer, eta.} of said owner or owners, and is duly authorized to perform or~have performed the said work and to make and file this application; that all statements contpincd in this application are true to the best of his knowledge and belief; and that the work will be performed in ttte mannei set forth in the application Glcd therewith. Sworn to before me tgh~is ~ Notary Public, /`!"5-:~,4zp°..~ ;i..~".~ Count , HELEN K. DE VOE NOT~RYPUBLIC,StateattdewYark (Signatureofa cant) No. 47078'/$$, Suffolk Ouunty~ Term Expiree rytarch 30, I . ----=7 _ _ , - _ _ cur+~c~r- i _ _ - , _ _ _ _ ~ l . 1 _ ~ _ . ~GLSp~7Q.l~ s`itPi ~eS - { i - ~ ~ _ _ . r - _ ~ _ ~ _ _ _ - i - _ _ { _ _ _ _ - _ _ , - i) _ ~ _ _ j i - - - ~ _ _ - 1`~.__._ ~ - l 3 '1 'X /O ° 9i rdFr - - . ! i ~T~_' i 1 -----r~-,.._. ~ _ . = i ~ , -r'- ,f 3-2~xb"pvst ~ i ~ ~ a I - ; ~ced¢Y 54~4%~79 ~ ~o , j ~ c ~ a , r n ~~si DEng ~FO~. - ~ _ _ i.___~ MR.~MR,S. K..J. ~f1DEf~L~ ~ 1 = 1 -C) ~tIhTTITUCK, L.I. ___1-__Y ~ ~ Nofe!,~,'~~e`- to Co~vrr ~eveL lar~ 'P/1t1L J: COLLETT! fir ~~~-,-N~t ~~acement _1_.._____ shee~l of 9 - - } cNrgrn ac s O: I ~ . ~ _ ~ r _ _ _ _ _ _ _ ~ J _ ~ ` ' 1 - _ ~ ` - - - ~ . `l 1 - . - _ _ _ _ _ _ \ _ _ _ _ ~ _ _ _ ~ . ~ _ _ } ~ - _ _ ~ _ _ . _ ~ _ . _ - ~ _ - . _ ~ ~ I` - ~ . ~ _ i L , ~ I ~ _ _ _ _ _ ~ - - _ _ _ l _ _ _ ~ II 1 1 1 ~ T I~ i i 3 I ~ ~ , li w v ;l ~ ~ ; :~I~ ~ i ~ ~ .t , I , _ a t ~ . _ . E i ~.a _ _ _ __l..f-._,..,+. _..._......,f.._....!_. i..!.._~-. _..-..tea:.~ i...., ! _ ~ ~ i i W~.S1 ~~~U~1i~. ~ MR. M R.S. ~n o~~.tE ~ p/I ~1Tr I T U cK . L. 1. ,.n.Y. /1/~~ ~ ~~~v t l~~~y ~„t - _ ar cotter scpa. PAUL J.COt1.ETTI o{windows ¢ ~/joanS~ s ~n STAr~. P E o~B~~e SheQr' 2 of 9 181-20 ~RvGER4~i. uAMAICA~Pl•~ ,I ~ ~ 1 ' i ~ - ' N' ~ .n.~ ~ 't!~ 5' 1 ~ ~ R C ~ .D ;m- i. 1~~~ I ~ gin`(-~`_'l'~ I~~ i~ I`: a N t r"" ~ ' t i I I ~ ~ i ~ ~f - l - I~ i ~ i r ~ ~ i~ , ~ ii I Q --I jfllj~ _ _ ~ h 1----- i i ~r . _ v_ SCE J T~ ~L~~~TIC~C1 ~ ~1 _ - ~dfd ~ ,~e~e~- to ~~oor~Caas for cod-rcci~ s- s ~?CacemeMt o~~cvG~a~ouJS . ~ dc~mrs- r ; ~ i I - I, - ~ ~ ~ ~ - 1 i- - ~ L --I _ _ I shee~3 of 9 ~ same,oc~mrnse S as in ~ ~ sectcon kX. ~ e 4 X.l A ~Y./ 111 y y ~c S~1 t'~~ 4JOt nee Pd Lh ~6 '10 6 ~ ~ 5~~.. / .Sf- C Zz ~ara g e arE'Q. ~ra'~T } n - . ¢"conc. ,rl,~t6 t - 8"6eloto t~n.{Yoor S€C. XX SfC. W-W ~ va S-o ~ _ " 9=6" z _ - I y ~a 2.. t ~ z _ _ _ _ _ 4~ _ 2 I N, G imnyy, ~oot' ' ~ I E'. / i w I " . M _ } 0 ~ eon~ir'nuods 2~ o"X /=a" 41 i 24x2 x12 cndc'cafed~ _ f i ~ footings I Y .J _ , a° I, l,? not 9-" ~ppIV~~' , e . n ° e AY° w ~ 0 ~ fi0 n w'. i _ a..-...,. e. e e a - 1 ~b y,~O,~ pM . • ~ _ I • • t . , I ~ ,.r- _ /f ~ _ j ~ /YVIB / Lowe [ dY~L ~ ~ - -A ~ f ~r ~ii~r.shed ~dar ~ gare~ r ~on~. s k. ~ ' ~ cork..- slle 6 ~'Lua J1'l~ z _ w ~,`:lg6~eJ {loan ~ ia, fo..r~d~t~on urrtll ~o ~ a ~ ~/ofe: ar,c9r rla6~ F I ~t f ~ p., w~t o ~aI^e cop~_ vi .t i ? ~ • . . ~ ~ ~ ~._W~. ' • _ - ~•1•`p' ¢_D "t ~~C nc stet e ~ ~ Il ~ , ~w~~, i 6e ~w {~'n. f look- /1 k ~ES1QEt~fEEA7`TfTti~K,A4Y t " - ` - ~ S6~Qf 4of 9 F91•zo KrtvGertRo.,JAMA~cA,td.Y - - , _ x _ _ N 1 i ~ ~ yc - - 2f~ - o d, _ _ - I N ~ ~ _ _ . ~ ~o' rte: r i- Z1 Z 0 r~ ;r„ ~ ~ - . _ conc. slab conc. slab 'A ~ ~ - \ 'o ~ o ~ ~ ~ ~ ;R te" I { for! ..rltdc~ i / s i iE---- T~,!(~E bIlT11 i - ~ ~ ~ b r-,--T- I + ~.e 4~ _ ~of~~ _ ~ o ~CLu,<~ s -rn r rd 2" ire c ~ ~ ~a.~~a~~! s t 2 Coo. ~ I o„ - r ~ ~ ; ~ 2, ' 1 ~UTU~~. Co~~, s~46 - FhM 1 L'( 1~04M conc, r(ab tti i E I ~ ; f I I 4„ _ . /.3 G 'd' o,a> Tl~B x 47F~ect'are «.tio%,w _ ~ _T a dnor } -5-- g'~oH I / N ~1-~-- i ~ ~ _co~ Rto P~tTi o + _ I conc, s a6 ~ ! I j r .....A....~.._...~.._.._.._.l i s~ a e f 5 v f 9 _ ~ _ , . . I ~ ~ _ _ _ ~ ~ ~i ~ ~~~,~I ~ - /3 /a ' _ fi~~-~..rl~ J~nq w~ ndo~.. ~i , i~-rn O ' n' ~ r-^ I 9 ~ r ',--F D iO fi r' O 7G1/t~T~ ~ 6~D ~.M. 6~D R.40M - ~ ~ ~s,°'I ~ ~ ~ i ~ ~ , L LUG-~ C LO. C LC3.-' ' ~ ° ~ bLfo~d-ga. / M / " / M o ~ CL ~ s 8 ~ ao enf-l, h _ GP , " ~ ~ zB%VTn (tM. 6l~o STOf~/~C~'~ 1,-_-_lt --t F - - S _ .,'b i /1~\ ~ ~ , ~,b I W ~ ~ _ --T ~ ~ _ q~~ I rn i ref. I ~ ~ a "v i ~ i Qw. ~ eic ie,E~ I ~+'~s~ena'ed cob~nefs~ ~ i - ~ --fi r h~ ~ ~ ~ f ALL Pu (~POS~ i~ c ' 2B - o ~ _ - _ " ' ~ 2 ~ d~ ~ 6 `~y s ~ i sun ~~c~ ~s e er e` ! ~~i LP~a nh ~n 36'- o" - _ - _ _ _ _ _ sheef 6 of - n , z 1 • 4 + ~ I ' ~ I bore ~ sLCdin world ~~s I ~ C -A-1 ~ ~ I _ - _ ¢ I ~ ~ rn C.. ~ t--' ~ --Tt ~ T r"" r ,i ~9 ~ ` ; I ~ ; i- ~ ~ ~ ~ z-o„~,E~~fold ~ ~ I ~ zoX { ~ p 6; fold ~ ' ~ - ~ ' W .a i ' ~ - ~/''-4" 1 _ I j STO (~,li~~.°°, s ~ ~I I ; ~ ~ ~ . ~ ; ~ t ~ ~ 3 i _ _ d i~3 ' t ~ I f i ~ I I , ~ ~ f 1 `ff Ii L ( , i ~ ~ L I:b~.l~f~X b111.~011Y ~ ~ i' ~ ~ ~ _ ~ i i ~ i 1 nLL PU~.POS ` ~~LOW ` i i~ I I - ..-,F _ . ~ _ ~ ~ _ ~ ~i , t rldy~ / ~ 1 I ? i 1 sheef7of 9 - r_ ..__._._.-..~._.._w_.____ /4,'I-p _ _ J 1 _ S6~ o" .r.__.-.._ _ ' ovavhan 4 a„ o N / 4/ I/ O K ~T~'¦ ~ t ~ 2 ~ to u ~ ~ I ~ ,'1r ~ 'S~tl t" f4 L~ oufsldie ce/~p-~ tcentcr- aufr`d` -~lck' I secrian c-c ~"x6~r4` t~ i~o -t ~a'x~ xis" ~~o cki' Joists ;rv ~ ot~ & 'sus ~ rte ?-o'x 7=0" c~iim»e ~ , ~f eTlOfl- 0-p t 4 = o " 3'x io" •d r~ ye. . ~~ao~e se ~?It na1g2~! -4"~~- ` /4u~lsn e s ~ yy q C C ~ - ~rbh t7 ~ r°Car~at~ Z• 2 N ~ l o ~ er ra {'hers, ~f[z 6° ~ ~f~Gl'1 ~ ux4"( in. ~ e /1''Q' lorry C C ~ Q y 2"xdx/1" x ~ 2"x/o,"/ Qzb„x~1„ blocks ~`z?_'"o., ~:.i f=0"long blocks su r ~ fen, t6) ~oo sts rs 5EC 10 L fe ~heao~er ~ U a rr f ~ .....-r . '%4~ I r IIY ~r L'/J LL/O • ~ ~r _ r su or . <:,r , - ~ ~ 2 x 8' h e a ~~r ~ hrt ~ehs ~ et r c. IS 6 a /G? rF. (~»ot 2'x "a.,s vse on roof ~raPer) ~ ~D S TAR., P•E. o2B4Gd. ~ 1 ~ Ic9~'Q© KP.UGEtZ IZA,.~AMAICA~~I~`(. ~ 70 ' ~ ~•fi ee~ $ o f' 9 - 1 t c iii- a%fell ~ol~dfoY - w~ A R~.SLD~'~Cf. fOR _ j a - - =i--- R.~M1Z5. R.J. CCIa~~L~ - p1 ~ I i ~T atMATT;tUCK, L. ~ n.Y ~ . ; P~, _ ~ i ~ PAUL J.COLLCITI / 3„ ~ '1 ~'''l ~ I I ~ ~ I ~l 4~ _~iD. STA2 ~~'02$468 = ~ ~ - _ i ! % ~ 1st-zo KRt1~fR,Ra~A~?ac.E+.N.Y r _ ._.._~_._._._-__4~... 1 ~ i x a I.J l/ ,~1~-/ Y 1 J - - SO L~t ~1"~~f 6 i t ! / ~ ~ ~ , ~ q tits _ T F E WAL AF N ~ 6~ac~Wn j f , ~N.7~'O3'PO"E. too.oo' q ~2x6x12.6fscks ~ / 4„ ~3v ~ ' , . ~ TAR Q~! STS- ~ ~ 2 ~ ~ - ~ (v ~ Y l( 1e! S J OiCj:. ~ i " , ~ r ~ ~W" TM D I e x~:. ~ j; ~ t. ~fv es o~+e/' 15~1~~C~`St ! ~I 2 si when '-1 0 ; m ' I , _ i Hk 34.o9f 8.17 ~39~00 =.:eacf<s~a ~ firm ~ ' . ~ \ /7h?ftJRAtiI ~Q~ f 2-2~•C - ~ -th_ ~ - _ _2- __-1_~ _ 11 , + ! k2 ~ ca $rjy~: ~ 1 j ~ °0 t~'4 T~Cr rxr./ '/1 _ . _ _ ~ fi-arn"e ~ 1 ~s/r Z po~llin, ~ xs ' . ~ r, + / laria.N2 O + , . / f ~ a. c ~i ~ ~ - - - ` ~a~ndr D _ sn rH,dac3Y1°` ~ _ ' ~C.6' slKS swe t y- Ex~f~i~. ro S~ ~ 3. a; ~ ~ t' ~~,/t i f- :e!J[ f ! '`R p _31.30! 34.00__ _3~0o y Z _ d 1 , ~ f~ o e ~ c ~ drnac~`~lve ~ , , y. , - ~ i s .V. _4_ z• C. m ~ . 2 x~F sf~da I ' % ~ 1 I ' f-l6 s..,a. r - '~i , , ' ~ _ Pp Imo. ~ . A ~r r~ f ' , ' _ N 5.76° ; _ : , __~J H.D. ~a oo"w. ~oo.oo• .~-4x~IR'~ si 1/. J ~ ~ . ~ ~ q,~ t s i Y~ ancl~ ~GO ~ 1 ~ bo!~~r-arc. s~a~ `i~'~ ' ' ~ _ . . _ ~ - t~ ~ ~z p - P ECON I O Q Y BO L E VA p i~\!.\\~: ~ ~~tt ~ ~l~ ~ 11I T t r dethsv`~.r . a fQ• t'coa ~t lJ fj ~ , : Yj {ovn Qt%Fjn OL?CY ~ _ _ • /I~\~/.~` ~r / 4~- _ _ S~CT1C~(1 ~-P~ ~ pLC~T PL~(1 ,~,w401 .s~ E¢ o ~4-f_F