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HomeMy WebLinkAbout17787-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218197 Date JULY 18, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1360 SOUTH HARBOR RD. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 075 Block 07 Lot 1.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JAN. 27 1989 pursuant to which Building Permit No. 177872 dated JAN. 27, 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 AMENDED TO INCLUDE REAR DECR. The certificate is issued to ROBERT H. PETTIT (owner, } of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 14-SO-157--7/18/89 UNDERWRITERS CERTIFICATE N0. HOOS642 3/28/89 & N842655 11/11/87 PLUMBERS CERTIFICATION DATED ROBERT H. FETTIT 8/2/88 REPLACES B.P. #136682 1/10/85 & B.P. #156502 1J29f87 dam' I~ B 1 ing nspector Rev. 1/81 F Fosx 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~ 017787 Z Date 19.~.~ Permission is hereby granted to: ....~.,s .....~n.~:~:..~ to ...4.:~`!~.lr.!"......Q:...I:~Sd:'~'^~"~,1....a..,.l.l I..y.. ~0...~V ct premises located at ..~.300.....~?s-c:W~...'~`~Q.t_~;e~...Y.~i.:.......~~`.c.r~k.'I..K..,C~.-:f........... Count`j Tox Map No. 1000 Sectio(n~ ........C~~.w~r..... Block Lot No....~.,a..(" pursuant to application doted ....`.~n.is..pr.Wt.....~.~ 19 $9.., and approved by the Building Inspector. / Q Fee $...~~.8:.:: .~'~in ~ Building Inspector Rev. 6/30/80 . 1 FOEM N0. >9 'TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIY (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Na Z 15650 Date t9~.?. Permission is hereby granted t ....~~......Q..... ~ :y.:....~. ~.?.'f..~. at premises located at~....s~.~..T.: ~-t~~'~'..~ti:a}Aa...... County Tax Map No. 1000 Sectio,_n,(....~.Z.~~...... Block ......Q'........^~Lot No...lht~....S~o.~.w~ pursuant to application doted ...~{.Q:!:~!fi:°ti!:".!,a.....~.~ 19.~..J.., and approved by the Building Inspector. / ~j Fee $..~-~..~.'S~... wilding Inspector Rev. 6/30/80 FORM NO. D TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (PHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N 13 6 6 8 Z Dote ........~l..~l....., 19 Permission is hereby granted t/<~~-~'-G/L~ ~j,7..5~~ to ....~,~,t~ .....~.~e-:~.~1 of Premises I ted at .....:44(~...~~. ...G?~~~~i.L~... .............y../ County Tox Map No. 1000 Section~.~~'.Q~~ ...i.... Block ....~.J...~........ ~L/ot No. ~z~l.~.~`_....~~/.®~ pursuant to application doted ..~I(~"'""._'........~~ 1~T..', and approved by the Building Inspector. Fee $...1 ~ . ~.Je~/. F:'~........... . Build ng Inspector Rev. 6/30/80 TEL. 765-1802 oOS~FF~C/~Cp~ TOWN OF SOUTHOLD ~ OFFICE OF BUILDING INSPECTOR , z P.O. BOX 728 c°rL ~ TOWN HALL ~p~~~ ~ SOUTHOLD, N.Y. 11971 1 C E R T I F I C A T I O N Date 1 a~' S3 Buildings PermitN/o. /f 6~ ~ Owner I\O[~ t1• i'~Ti l/ T~(please ,p/ri/n~t) Plumber 11c6~~T ht • /f.~T % I ~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. (plumber's signature) Sworn to before me this lj day of ~ • ~X~K~~'oia~ f"1 19 ~5l . Notary Public Notary Public, St~Fr-CLK County KAREN W. 80ERGE550N NOTARY PUBLIC, State of Naw yeFk No. 482180 Qualified In Suffolk Counry Commission Expires 131 .,.,.y ~FFO(,~ p D ti T D g ~Ol~r Y Southold, N.Y. 11971 (518) 765-1938 April 3, 19$4 Mr. Rudolph Bruer Edson and Bruer Attorneys at Law Main Road Southold NY 11971 Rei George Wells set-off Located at Southold Dear Mr. Bruer: The Southold Town Planning Board reviewed the above captioned set-off at the regular meeting of April 2, 1984. The Board noted that the location of the set-off would create 166 feet of road frontage to the North which would require a variance if it were to be a building lot in the future. The Board recommends that the set-off be moved South in order that 175 feet of road frontage be created to the North. If you have any questions, please contact this office. Very truly yours, HENRY E. RAYNOR, JR., CHAIRMAN SOCJTHOLD TOW~J P NNING BOAR/D~ By/-'Diane Schult~ret~yYr~ ,yam,„ TOWN OF SOUTIIOLD M BUILDING DEPARTitENT TOWN HALL • SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY 1A,'~ /L{- /q DATE.~~//.! ..C k NEW CONSTRUCTION ~1 ...OLD OR PR7E~-E~j%~~LQSpTI,nNG (~BpU,ILDING.. _ ...VACANT LAND..... _ Location of Property..~~6Q,.S~u"~!1, u'~';bU/f, R'1y... ~~1.~~~(~......_._ HOUSE NO. Q ~S[TREET HAMLET Owner or Owners of Property.....IR~i°°~11~Q1,,,1_T;_P~(_~,1./ County Taa Map No, 1000 Section .~_l,~ Block Lot" ~~v.' Subdivision Filed MGap ,,,Lot...-.~.-..... Permit No. ~~~?$.~...Date of Permit 1~'Z-7~.~q..A licant ~~~~..2/ I?~//~f`% LT QQ PP Health Dept. Approval ..,!II~~~J,,,,,_„ Underwriters Approval.~~~;~,?~~~}~~~ Planning Board Approval ~/r~D.~......... Request for Temporary Certificate Final Certificate Fee Submitted: $~~;~1J,,,,,,,,,,,,, APPLICANT ~~9 1,/~~/~y rev. 10/14/8$ 70WNOfSOUTHOl0 FIELD I~3SPEG'I'ION llATE COMMENTS i J FOUNDATION (1st)_ _ J a~ c FOUNDATION (2nd) ~i - r e 2. - ! z -f~ o~ HOUGH FRAME & `"1` PLUMBING 3 . _ m INSULATION PER N. Y. y STATE ENERGY CODE ~ x . - ~ 4. 3 ~ .__..~.y FINAL J~ ~ o• ADDITIONAL COMMENTS: ~ _~:t~~~ .2~s~r~~t~.`!~'~,.ir~ T_~a.4->c~, A~O . I a.f 9 T 7 ~ dom. ~a~'',~.~~ ~ ~ rode H ~ H H Q~ /a~/1./~iP Z 6~ -7'° l ~p_s - `V ' x ' /J x lei -.r-._~_- 6~ ~ I[~~- ~~UCS~ ~ .d - - - ~ - . r` - I o . ~4.~1 i Imo' R._._. ___-__Y____•___._. ._..__-"~__~'~__~,1.. . _.~_s.. n ~ 1 tl 1) X. J. _ ~ _ __r~_~,..____ ~ ~ T t~1 d 9ixa? ~ ~ ~~__.xo....~. , \ 3 ~ ~ ~ \ 4 `r / Q-----'------- w ~P 1~L 4 t r ? ~ - e-~-----~---- , C V n ~ ~ , -,I-,~ 4~ ~ ~r-- ~ ~..r.. J - I I ' LI % t r- i • ~ ~ L~ ~ ~ ~ ~ ~ ~ ~ ! 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Box 728 ~y(i! ~ ~.~0~ Southold, New York 11971 TELEPHONE (516) 765-1801 LANDMARK PRESERVATION COMMISSION TOWN OF SOUTHOLD John Dorman-Chairrrran ]oy Bear William Peters Ralph Williams Louis Black-Secrernry JOHN HOWELL HOUSE EARLY 19th CEN'"URY CONSTRUCTION ON THE HOWELL FARM, SOUTH HARBOR ROAD, SOUTHOLD This house reveals early 19th Century construction, and today remains in nearly its original condition except for deterioration. The entire frame of the house is mortised and tenoned and the joints secured with wood pegs. Much of the hardware is hand-wrought, with three Norfolk latches remaining on second floor doors. The moldings are hand-made. Wall panels are hand- planed. Of particular interest is the milk paint used throughout. Upstairs it is a characteristic Federal blue, and in rather good condition. Down- . stairs the remains of the paint show tints of early green and early yellow. Two doors upstairs have frames applied to the front of the planks, suggesting a mortise and tenon construction. Louis Black, of Studio Galleries, Greenport, inspected the house on July 31, 1984, and made the above comments. Mr. Black is a member of the Southold Town Landmarks Preservation Committee. His reaction is that it is remarkable today to find an early 1800's house in nearly its original state, and that special effort should be made to keep it intact. The owner should be given leeway to preserve the house to maintain its character and integrity. Robert Pettit, 66 Huntington Road, Huntington, plans to move the house from the Howell Farm this fall and onto a two-acre site about 300 feet north of its present location. A historic marker was placed on this double Cape Cod home in 1960 which reads "John Howell House, 1827." In the Southold Historical Society's archives are records showing that John Howell bought his farm, with the house already on it, in 1827. ?.e cv L.- L Joy Bear, member Southold Town Landmarks Preservation Committee SOUTH HARBOR HOMES Requirements for Foundation at South Harbor Lane, Southold Property of R.H. Pettit, 66 Huntington Bay Rd, Huntington N.Y. 11743 Foundation to be located on west side of South Harbor Lane, set back 100 feet, approximately 300 feet north of driveway to Howell Farm. 1. Compliance. The contractor shall comply with the building code of the Town of Southold, specifically, the State of New York Code Manual for the State Building Construction Code, August 1, 1977 and any other requirements that the Town of Southold may invoke. Completion of the foundation shall require approval by the Building Department, Town of Southold. 2, lnsurance. The contractor agrees to carry all necessary compensation and liability insurance to protect the property owner from any and all claims for damages or injury to the public, workmen, or propery during the course of the construction. 3. The property owner shall obtain the building permit. 4. Prupose of foundation. The foundation shall be built to support an 1827 vintage cottage to be relocated to the site. 5. Excavation. The contractor agrees to furnish labor and equipment to ex- cavate as required. All excavated top soil shall be set aside for regrading. Contractor agrees to back fill and regrade around foundation. No backfilling shall be done until walls are damp proofed. 6. Walls. The walls shall be constructed of hallow masonry units - eight inches wide. The walls ahall be suitably damp proofed. 7. Footings. Footings shall be poured concrete at least eight inches thick and extending four inches beyond the walls (total width 16 inches), Footings under columns shall be 16 inches square and at least eight inches thick. 8. Top of Walls. The top of walls shall be finished level all around with the Cop of the foundation one foot above the final grade and seven feet above the Final floor level. 'w . ' 9. Support of beam. A recess four inches deep and 6 inches wide shall be located at the top of the 24 foot walls as shown on the plan for each end of a seven inch "I" Beam. 10. Floor slab. The floor slab shall be installed with an open space for the chimney base. The slab shall be at least four inches thick, reinforced with wire mesh and finished without a separate topping. 11. Anchors. Anchors shall be installed that extend three inches above the top of the foundation and shall be one-half inch in diameter, at least 24 inches long, galvanized steel and located as shown. There shall be a total of twenty anchors. 12. Window openings. Four window openings 15 inches high by 32 inches wide shall be provided in the 24' walls; two at the top of each wall as shown. Window frames will be provided by the property owner before construction. 13. Water and electricity. Water and electricity will not be available at the construction site unless provided by the contractor. 14. Chimney base. A chimney base is to be constructed in the future (about 1988) in the center opening of the basement floor. 15. Kitchen wing. A kitchen wing with a full basement will be added (about 1988) as located on the drawing. Two 36 inch openings - one for a stair and one for a doorway into the basement - will be cut through the foundation wall at that time. 16. Buttresses. Three integral internal and two external buttresses (as shown) shall be provided. The external buttresses shall permit proper tie-in of the future kitchen foundation. Restoration Plan Notes 1. After house is relocated on the new foundation and deck, extend the deteriorated studs to original full length. - Remove rotted sections (expected not to exceed 6 inches) - Using clamps, position two pieces of 2 x 4 on either side of the stud with approximately 10" overlap. - Drill thru the set for two z" bolts; one 2" above end of original stud and on 2" below the top end of the 2 x 4 pieces. - Insert galvanized bolts with nuts and tighten. Secure to deck with 4-16d nails. - For studs that have not deteriorated, cut off existing tenors and nail stud to deck with 4-16d nails. 2. Sound pieces of original floor planking will be reused over the new first floor platform deck---except in the bathroom, kitchen, and under the stairs. 3. All material which has deteriorated so as not to be suitable for use will be replaced or repaired to a sound condition. 4. Plaster walls and ceilings will be repaired where damaged or if the damage is severe, may be replaced with sheet rock; 3/8" thick on 16" centers, maximum, and thick on 24 inch centers, maximum. 5. Lowered vents will be installed in the three gables immediately beneath the ridge. 6. Since the spacing of the studs varies along walls, double headers will be provided. Over this, 3/4 plywood subfloor will be installed. The studs, original or repaired and extended, will be nailed directly to the plywood supported by the double header. No sole will be used. 7. The kitchen wing will be added starting in the summer of 1987. 8. The chimney will be installed in tle existing chimney space. There will be two flues; one from the fireplace in the north parlor (living room), and one from the boiler in the basement. The flues will be lined and constructed in accordance with the 1977 N.Y.S. Building Code. Original brick (b00).from the first chimney will be used in the fireplace facing and the extension of the chimney beyond the roof. Chimney will be built after 1987. 9. In order to secure the old and new construction, plywood sheathing will be added between the base of the new sill and lower 10" of the studs. 10. All new construction will be based upon the N.Y.S. 1977 Building Code except where variances are required to match original features. The ceiling height of the kitchen will be 86" instead of 96" in order to match the old building. Wiring and plumbing will conform to the code. 11. Six inch faced fiberglass insulation will be installed in the center ten foot flat portion of the second floor ceiling. In the bathroom area at the south- west corner next to the stairs, the plaster ceiling on the sloping portion will be removed and 2 x 4's will be nailed flat side to the existing 6 x 6 rafters. This will increase the space between the ceiling material and the roof boards to 7~Z inches and allow six inch faced insulation to be installed with a remaining lz inch air space. This is desirable due to the moisture generated in a bathroom. For the balance of the sloping ceiling, at the south end, the ceiling material will remain attached to the rafters. Since there is no moisture generated in these areas and a vapor barrier will be provided by the faced insulation, the 1'~ inch space is not necessary. These portions of the second floor are the only areas of the original plaster that remain in good condition. In the north room, where the plaster has been removed, the addition of the 2 x 4's to the rafters will detract from the original architecture. ~ ~~~d 765-1802 BUILDING DEPT. I NSPECTI N [ ]FOUNDATION 1ST ~ ] ROUGH PLBG. [ ] FO DATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REM~~~,~ ~ f-- /Lt~,o r DATE ~ v~ INSPECTOR ~V _a r7~~~ ass-isoz BUILDING DEPT. INSPECTION [ ~ FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ INAL REMARKS: $t .a,.v1-~Gt..u.~A/ ~ ~ ~A,~ p~ (~.e ~ ~r ~ 9L DATE ,3 INSPECTO i~ xss-isoa BUI4DING DEPT. 1 N~PECTION [ ]FOUNDATION 1ST [ ~ ROUGH P6BG. FOUNDATION 2ND [INSULATION [ ]FRAMING ~ t ]FINAL REMARKS: L~:.wt..f.~.(' ~.~.cJ.S-~ ~,,`/~j DATE d INSPECTOR •THE NEW YORK BOARD OF FIRE UNDERWRITERS " ~'T, BUREAU OF ELECTRICITY 85 JAHN STREET, NEW YORK, NEW YARK T0038J ~9 . Date ATOVP.IYt~f?2' ~.1. ~.~~7 APPlicarion No. on file y3~(}J ~a~r ~3~ w~ . ~#'1 'F"4 o1 THIS CERTIFIES THAT E w ~Y e./ td 6/ only the electrical equipment as described below and introduced by a/Ee applicant named on the above application number in the premises of Coere~e tccs~J-.-Il.s~~ou~h I-~aa:~ra~: IZtAa~dP~tlu~hAlc~mN~w y,7~^7tr I in the fo(laming location: Rb? 8asement ? 1st F'(. ? 2nd Fl. Section 81ock Lot mss examined orz k~AV HCCI~)PT" ~ ~ and found to be in conep(ianre uirh the reyairenrenta of Utis Qoard. FI%TURE ECEPTACLES SWITCHES FIXTURES M R u RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ODTLET$ INCANDESCENT FLUORESCENT yAPDR AML K W. AMT K W. AML KW qMi.' K.W AMi N P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTtEi DIMMERS AMT K. W. Oll N. P GAS H. P AMi NO. A. W G. AMT AMP. AMi AMPS TRANS. AMi N p SYSTEMS unr WA115 NO.OF FEEY ` A f ' SERVICE DISCONNECT NO.OF 5 E R V I C E ' AMT. AMP, TYPE METER L YW L yW 5 P 3W 5,e 4W NO.OP CC COND A. W G. NO OF NI-LEG A' W' G' NO OF NEUTRALS A. W' G' EQUIP. PER 9 OF CC COND OF NI-LEG OF NEUTRAL 1. ~ 100 f:D~ 7. X 7_ ~ a OTNEA APPARATUS: PE3U~. Z3LT X'41:3 ~w~r_ 275 TAwn Tixaxl>Ar. ~tat~F L3.c~L2/62~/°~/P/~ L!~~~ 5c~ufihA].d I+?aw Yrork L7:'~7I, GENERAL MANAOERI 12 ~ .1 ~ ~ Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. 4 I~`. COPY FORuBUILDING DEPARTMENT. THIS COPY.OF CERTIFICATE MUST NOT: BE,ALTERED IN ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD J~ 9 BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined a`.1., 19~Z. Received........... , 19.. , Approved . . 19~ Permit No. ~ ~ 3 6 g s~' Disapproved a/c . . . . ..1. (Building Inspector) APPLICATION FOR BUILDING PERMIT ~(~y ~y,-' Gu~W ~(r~ Date9Q1 5^....., 19~.~ puc~S t~QE Ot) F/t.,4 tvtTN• Q~tLt)tN(, 1JEA~fRT~tlrw'vi .INSTRUCTIONS _ , a. This 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ///J ~~,,((/~QQ (Signature of applicant, or name, if a corporation) (mailing address of~applicant)~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .....1~.0, (~iE, /1.t`.... f7 , . CG / / . (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 . . Plumber's License No . . r',lectrician's License iVo . . Other Trade's License No . . 1. Location of land on which proposed work will be done . . ~ C~ 7. S~........SdVTkF . (fiFRBD2 ..R{lkt1 SDUTKOLv House Number Street Hamlet County Tax Map No. 1000 Section Q .7.~ Block D.~.......... Lot 2 . W Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . b. Intended use and occupancy .....PR~v~'~... kd~~ , (;uealldde 3o ain;euBtS) [,''~6R i0 o uosuaanaaid;:~ uoissiwtuo0 7 0 0 pa!;l~en0 .....y 9SSSVSb-Ib 'oN ~ HaoAmaN;oa;e;S'OIIS(1dA21VlON ~ 831H918• b111iN ~~,y/p~S;uno~ ollgnd ~e;oN L~6I ~........J o,i p......... sly; aw azo3aq o; uzomS •y;Imazay; pa113 uol;eolldde au; ul y;zo3;as zauueuz au; ul pauuo3zad aq Ilan xzom au;;ey; pue :;ayaq pue a~palmouX sl~l3o;saq ay; o; anz; axe uol;eolldde sly; ul paule;uoa s;uauca;e;s lle ;ey; :uol;eolldde sly; all3 pue a~leuz o; pue ~Izom ples ay; pauuo3zad aney zo uuo3zad o; pazlzoy;ne Alnp sl pue ` (~~;a `iaol33o a;ezodzoo `;uaSe `zo;aez;uo~) i ...............................................`~rJ'!1'n7.0..aglslag •pauzeu anoga (;aez;uoa 8ulu8ls IettPInIPuI3o acueN) I dde a sl a y p ap `uzoms dlnp ~ulaq . ;ueo I y; y;e ; srCes ue sasod s•s ' ' /Y~i<SS1IN ~ a .z ~n~~ x2IO~i M3N 30 ff.LV.LS X1°01/ ~ ~I ~p4~ 31Vb~'.~-v~~bbd oIP~J iI'ir bo ~00~ G~~Cyd'O.ls~ i( SI 5l~{,~ I I~ i .,L~1 ~~I~~J.N~ •;ol zauzoa ao zoua;ul zay;aym a;ealpul pue sauzeu;aa.~;s mods pue'paap o; 9ucpzooae uor;duasap zo zaquznu Kaolq pue;aa.~;s ael>) •sauR .(;zadozd uzoz3 suolsuauclp xoeq-;as Ile a;ealpul~,~pue `pasodozd zo 5ul;slxa zay;aym `s~ulpgnq I[e kl;aul;slp pue ~ilzeala a;eao7 YdF~2I~VIQ .LO'Id auo 'PazFnbaz aq lem ;Fmzad saalsnzy uMOy pToq~nog `sa,i 3I ~ oNI~I yd•sa~ ~'I LPUET~aM TePF~ s 30 ~aa3 00'T uFylFm pa~eaoi 6~zadozd sFy~ sI 'Si ssazPPd ~ +119(/ f~ zo;oez;uo~3o auzel~ ................oN auoyd ssazPPd .....1y1~ ~ • ;aa;Iyazt~ 3o acuell .5d. ~r~ gp _~q,(, _y~g •oN auoyd ~r,~. •/;~r~y~p~•y~y~, • ssazPPd " " :C~' 1:! ~ . sastutazd 3o zaump 3o aureN 'bI ' sas~uzaz uzoz an sa ouiaz a t ssaaxa r • • • • a ez~az a o N ~ 3P gIL3 ILM""""""' ~N p p qi II[IM '£I ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 'rf'n/' • :uol;eltt2az zo aaueulpzo `mel quluoz .fue a;eloln uol;anz;suoa pasodozd saoQ 'Z I pa;en;Is axe sasluzazd yolym ul;alz;stp asn zo auoZ 'I I ,r773'do up~a • jzaump zauuo3 3o auzell ase am o a e -b•S~'~~ • •1Sh'yn~f " y d3 I Q 'OI Q.b.. ~ a ..I d b'L' ' zeag GO 7: ' ' ;uozg :;olio azlS '6 .................aa.. sauo;S 3o zaquxnN Iy~IaH • , • y; Q •sauo • . • o ~ ~ • . zeag • • • • . • • • • ~ ~ ' ;uos3 :uol;anz;suoa mau azl;u~ 3o suolsuaunQ •g IS 3 aaqumN i i... ;y~cag y;daQ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ~;j ' zeag • • • • • • • • • • • ;uozg :suor;tppe zo suot;e.~a;Ie y;rm azn;otu;s autzs 3o suolsuaunQ ...............''~-I ~ sauo;S 3o zaqumN O~ Iy$IaH • ~ ~ • y;daQ . ~ :y £ xeag ~ •Z ;uoz3 :,Sue 3t `sazn;aru;s but;slxa 3o suolsuaunq, ' L • • • • • • • • • • • • • • • • • • • • • asn 3o adeS; yaea 3o;ua;xa pue am;eu ~i31aads `~iauednooo paxluz zo lelozau~ucoo `ssaulsnq 3T~ '9 _ szeo 3o zaqusnu `a~ezeJ 3I iooT3 yoea uo s;l~{n BulAamp 3o zaquznK ~ s;lun $ulliamp 3o saquznu `3ulltamP 3I ' S (uot;ealldde sly; 8u110 uo pled as o;) • aag db~'`S ~ ~ • ;soa pa;euil;sQ 'b (uol;duasaQ) ' .ryrydlli~~U1S~QV7• xlid IaylO uol;llouiaQ Ienouxag zledag I • • UOI EJa UOi;IPPt7 • . ~Uip([ng marj :(a[gE~IIddE yail[m Jlaaya) S[IOm 30 a1ri}ej~j i s ' ° ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 Examined . 1~~ Received........... , 19.. . Approved . ~V 1t~~Permit No. . Disa r da c PP ~ _ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ,~Ee~~... ~Q...., 19g~. INSTRUCTIONS a. This 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 Depaztment 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, ordinances, building co e, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) . rr/. ~..1711,iJTl~J~i.t~'~ ~'`1'... d`.' . (Mai g addr~s$~f ai pl~ ~~t,~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .....1.~"P, PUC~~...(S..~cu u~2 . ~~p ~ Name of owner of premises ` 1 !~.t~•-'!~., ~'_._®_E_®. A B/, , C-L~;'~j, ~ , , , _ - ~ ~ (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. ~ . Plumber's License No. .:~1~ . . Electrician's License No. . Other Trade's License No . . 1. Location of land on which proposed work will be done. SU(J'1~'f ll °~~~~Z ~'U~,~ sG1(J~7~G'~/~ 1423. 5.0. (~.i.fi`.. Q ~/~tl~. ~ ~ ~/:Q~ O.F. ~.U?~f..ff/.R?~o!2. L~F~f-~=......... . House Number Street Hamlet / P b County Tax Map No. 1000 Section ..Q `J Block ~ Lot . Subdivision . SF/. Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and inte~gnded use and occupancy of proposed construction: a. Existing use and occupancy ~p~~..L!~~lJr? . b. Intended use and occupancy P12~t1.. ~ r i 3, Y(rTrfff.N wry' ISM ktY.1~i~ /4X(6 Nature of work (check which applicable): New Building Addition . , . Alteration . Repair Remora] . . Demolition , ther Work . . ~E5i73~k1-i0^f (M=1'E2 REt,DtRT%Dl~ / OF oll~ Fib tiau~ VIA~'r7gkiE !8 1 r (Description) 4.. Estimated Cost ~.~P~ ODO - ~ Fee . ~ . ' (to be paid n filing this application) i-" 5. If dwellin number of dwellin units Number of dwelling units on ach floor . g, g j If garage, number of cars . . 6, If business, commercial or mixed occupancy, specify nature and extent of each type of se . . 7. D gensions of existing structures, if any: Front 3,~' Rear , . Depth ..Z~......... . . Hei ht ,~i~.......... Number of Stories . , , . ~ Dimensions of same structure with alterations or additions: Front .~'7-r . . Rear .'~.;3.~.. , . 2 Depth .:4~...t '..Height , :~.'D Number of Stori s . - ! p , 8. Dimensions of entire new construction: Front ...1.'C; Rear De th lrEt , , . ' Hei t Num f . berofStories...~ 9. Stze of lot: Front . 2dD...`t'.. , Rear_ . ~.~P.Q.... Depth . 10, Date of Purchase Z'~. TUL .~`1 . ............Name of Former Owner ~~Q~ ~ wFru,~:........ . 11. Zone or use district in which premises are situated . t°~~..dl;„ RF S 11)Fv,Alc~, , , , , , , , , , , , , , , , , , , , , , , , 12. Does proposed construction violate any zoning law, ordinance or regulation: !U . 13. Will lot be regraded ~ Will excess fill be~~'g'g~m•~- y~veQ¢~,f~~rom premises:~}} Yes No 14, Name of Owner of premises ~.~,O~r%!(.......Address<~~'(f!!~1~f.~.?bit"(~,tf7/A,y%PhoneNo.Y~~~Q~~:.... ~ Name of Architect .ri~'?41~ ............Address ........r! ..........Phone No.....'~ . Name of Contractor .........5~~............ Address ll.......... Phony o.....k . I~~ ~ ~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block jrumber or description according to deed, and show street names and indicate whether interior or corner lot. , i r /4 z 3,26 w ~ SOD HMU. gal ~ , ~rsrr rooo ~ ~.I 5F_cT o ~5 X001 ! rv 3tit ~ l3cocrT ~ ~ ~ Pcc, old /oo' y (~Ufu)r~ IS (~1t~2raR ~Oi ~ ~ (iXlSl7rUC~ '~7v B~ REL(JUki~'~ MiD R,E.STOR~'~~ OA/ TbflS 5/7E STATE OF NEW Y RK, COUNT OF ~"~ti`'t'`- ~..2 ~ ~,,.S.S . • • v ~ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ~ Heisthe....G.?r4:Lu!c-.......~ (Contractor, agent, corporate officer, etc.) o. ' ,and is dujy authorized to perform or have performed the said work and to make and file this application; that all statements conUained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thi~ ...dayof..~~~.~: 19 ' Nota Public . ~ County rY , , ..NO HORTENSF, J,. MORA 7ARY PUBLIC,i Store of New Yo ~ ' ' ' ~ ~ ' ~ ' ~~Ls/~ . QUO++t ed+n+No64650 rk (Signature of applicant) C6mmission Ex Ir ' ssou County P e ~ Morch 30, 14,~„~ L'zP i'~ ~ _ ' ~ ~ SUFFOLK CO HEALTH DEPT. APPROVAL i _ ~ ~ w ~ ~ ~ li • 4- ' I r, I I ~ i'~ 10 w{• I STATEMENT OF INTENT i~ j i THE WATER SUPPLY AND SEWAGE DISPOSAL ~ ry Kl,.~,~i ~ i SYSTEMS FOR THIS RESIDENCE WILL z q5 j. CONFORM TO THE STANDARDS OF THE ~ ~ .p TEST ~,,A~ 1 ~ SUFFOLK CO. DEPT. OF HEALTH SERVICES. ~1ULF Y ~ ~ lSl i"r ~ ' C, ~_7 AMLICANT S ~ r SUFFOLK COUNTY DEPT. OF HEALTH ' SERVICES - FOR APPROVAL OF ~r1ELL ~ < CONSTRUCTION ONLY ti+ t vti~ ~ o 1 N _l DATE: Y2>roR.v ,Z9" o. ~ H. S. REF. NO.: 1`~'. 5 O - 1 S'7 APPROVED ~ : ' ~ SUFFOLK CO. TAX MAP ICi~lAT10N: ~ ! ' DtST. SECT. BICOCK ' PCL. i - ~ ~ 1, ! f '.~E'f~ BG,J(-X~ .•F OWNERS ADDRESS: 'sEPTtC - ~~,yy 23 i - s- z _ y-~ a.a , 1.~r-~ Wit' , f;;T` 3 _ _ - ~V ~4~ ~l t I - w ~ Qa ' ~ .?6~ 206 >~a,~ ~z~'~ . I DEED: L.?i0 i P. ' ~ < r. i'r1 [it~~ ~ i TE H _ IOf~ M Sd'1?21an $'I Y= T.IOn Ot L^_ ~ ( ' . a. we ^'ew \'ork Stmt : r n~law ( 1 ~ p ~ a ~ i7 [s ~ t71 I_ •ht s wsv man na daann9 1 i ~ a or s mead sea{ a r t-_/~~ ~ ~ I • ~ ~ ' 1 ' ~ ~ a t:. f I , , ~.:hd truo f,oy t ba cnnarderad ~_li'~G_V f"_Y~ 1 l,t ~ ~~1 z. ~ I ~ t '•?~.~I_ Q~i ~iG.. ..~`i_~E._-__ Fp• t_UAM 2'~r ~ nun ~whrsm thaaffio o) 1s ' ~ _ ~ r.. ~ t r 1 G - ~ ~ rJ ~ t t zv fnr.~~n f a. r and ' } r E_.•~ r- ~ 'f a t ~ rn trh cnT~ ~-.yt I IC ~ . ~ ~ ~ ~ r ~ ~f ~ AMEt1DED AUG. ZS t98'f -tt e!.; a ? i 1 i ' ~n _ r ry s s , re r,, t tran'afstradl9 _ r- _ V " : ' l1 2 _ 5A to ar_I n..iWtions or suCSyauem ~ I' L ~ z ~ _ " h'IA`? III 198 ' T.'~RAVEL •s w ~a <,i'_ a~~ , g; I SEAL ~1 r r , ~ a., ~ ~ ~ 1O, i - .I _ v d / V ~'I I ~ O ci, v ~ ' J ~ t ~ ~ RO RICK VAN TUYL, P C ~----r ~ ~ v a..._ ~ LICENSED LAND SU EYORS GREENPORT NEW YORK TEllpYNE rOST Ntl615 m I, , i. j W I. S ; , _ , ~,r _ _ _ ~ ~t ~ ~ r:1 'V ~ 1 1' ~ ~ EIS I i . I ~ ~ ~ ~ ~ ~ ; - ~ {-r , , I~ . ~ c I i i ~ I' , j ~ ~ I, ~ i, _ 1 I i ~ ~ ~ i ~ .F i ti ~ ` I ~ i,' ' I ~ N _ ~ ~ " t7p ! 1w i ~ I E . ~ c,~ ~ ~ i - ~ I I i ni ~ `zj i u ° - - I 117`, - ~ ~ , _oe: ~ _ ;.u ~.i Y~{AC " -.._I I\ t I 1!! _ _ . _ _ 1~ t )n [~S \r l?r" ...li . - t t [ 1. ~r 1 ' A n ~.Ot.,; - ~ ~ ~..r ~ - ~ ~ A A r F ~ D~ v ~ ~ i ' / 0 w~Z Y!A f ~ 1 Z C ~ +h ~ ery ~ I::, m c,_ ~ i r <s' O j0 'n t.. A"1_ A A { ~ U1 t ~ 1 ~ _l _ti fl C ®S,~^ i'`Y f V ~ w3 O $ ~ D O m C C O~ 2 y~ p m ro m A m -n z m ~ ~ I m ~ ~ t 3 C ~ 1 Z '+f ~ 1 C GlT j is ~ ~`~i ;r; i'::.t`; A-~{-m.1 O mm~ <O fpinO pmt m - ~ Z A ,A x 1 , ui O m C ~ ~ x ~ ~ -Di O ! O ~ ~ n ~ 7c ~ I C~ m ~ ~`~1;- A ~ O ~O ~ ~ OOvsy ~ r> _ 1_, m im0 z f c O ,~C-a O Ci ~ at'., f{ - r i"f is; ~ ~~n.1 D O ~n ~ mo ~ r ~ x ~ •u I -i yC ~ r A r x Z !n ~ ' N ~ ~ > ~ ~ , 3 ~ ~ O min D -i Cf9 ~ x ji, t i I~_ D ~ ~ ~ ~ ~ g O x ~ 1t us ~ b m ~ _ D v Z O m O O Y ~ ~ ~ s t ~ ~ 1'L' O O G ~ D A m r ''r -i ~ ~ 1 A ~pDm -l D ~~p g D ~<c' 1s G9 ~ 0 0 ~ 2 0 m O Z y ~ ` ~irr Ilt?~` 0 ~ ~ m ~ m O m ~ l! ,s A to O n a i1 n 2 D 2 < ~ Q D " -n x mrr-r _ " m r.. N vFt ~ h, x . - t z _ _ t ~ ~ _ 5. v I ~ ~ ~ ` ; .P ~ ~ i~ i j" 1~~ - ~ i ~ ~ I ~ ,t i~ ~ i' ~ ~ I i; i ~ ' ~r r I, ! ~ 1 F~, i 4 ti j 1, -i ~J Ij ( 7 i M N r- ~~dcr I ~ 1 ( i is ~ ( • ~ =nt ~ f %a i ~ - { t,, art ~ ci ~ - L~ _ - ;5. - i, - o i~ ~yo ,>%?'r-... ~3t'il' rtV.a... ~ ".3.~'Fa ty9h! h,l k(1/-: 1"; z;~~ ; I i~° : a M ~ i-~ ~ Z u.} _ o ~1~, v j r' = ' / ~ ~ ~ i". , ut ~3 I .~s ~t ti; ~.~~L - - Q A 2 O h vt N N ~ cn 1 m ~ ~ f b A O m C C O x ' r' ~ - i {dry m ~ •Z ~ ~ ~ ~ ~ -1 Z Tl _ ~ ~ '~i m C r' O 3 j O i ; ' r" t7 Z ci m ~ y n ~ ~ ~ x rn - ~ i m {xa! d0 ~ O -t ~ ~ r -t to n t~~ ~ ~ O O O O C~ p u O I o ~ v )t r-~~ mx z- rnD ~ F y 9... W b m O f i ~ ?r ~ ~~'tf f•' A v z~ an T O p c w i d -o ^-t m m~ m ~ ~ ~ . w a U! rn i ~ ~ O ~ -0 ~ N ~ ~ m ~ w ~ ~ ~ ~ b p~ Q A m ~ n D 1 ~ O Ui Z r ~ ~ . ' F ~sy s_„ ,-SS Z ~ ~I ~ m F~tl -Zi Ay ~ 'w ~ A D to n o 'u ~ t a i ` m o g D ' ~ ~ ~ mrrA- ~ 7~B'-[t~0~ ~t AM TO 4 PM FOR THE ~. FOIJNOATIOIx, I - TWO REQUIRED FOR POURED CONCRETE ~. ~OU~ - F~MING & PLUMBING ~. I~NSULAT~ON 4. FINAL - CONSTRUCTION MUST ~BE COMPL~E FOR C, O, CON~RU~ION SHALL MEET ~E ~QUIREMENTS OF THE N, Y. ' '; ' , ' ;, ,' , ~,, SI'ATE CONSTRUCrON & ENERGY ,, , '., ',' ! ,i,- ,~" ' ' , ;'~ ' ~ CODES. NOT RESPONS BLE FOR ' ' . , ' , ' - ': :, , ' ' ~)~ ' DESIGN OR C. ON$T'RUCTION ERRORS ' ' ,i'' ' ' - · ' ,', ' '.' ~',' '- , ~ %.,,' q .) · ", ,;,~ . '.:, ', , ~,, ' :;: i ,: , :';? ~."Y .5. 2 II TOrkL ~_~ ,('~ r,e¢~,d d 0 (,r,~,~.~ · t O r ,r ~Oid~r~LT I ~ ~ rr :L . I,~