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HomeMy WebLinkAbout17902-z 4 t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18247 Date AUGUST 7, 1989 THIS CERTIFIES that the building ADDITION Location of Property 1525 NORTH SEA RD. SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 054 Block 04 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 6, 1989 pursuant to which Building Perm~.t No. 17902-Z dated MARCH 10, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION TO E%ISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STANLEY WALDSHAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-683334 - JULY 28 1989 PLUMBERS CERTIFICATION DATED JUNE 23 1989-HENRY J. SMITH & SON INC. ~v Building Inspector Rev. 1/81 80EM NO. ~ 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~ ~~79~2 Z Date Gi!~:`:•!....~..D 19g I Permission is hereby gronted~ta~.Q ~ ~ e ..~.~~-...~.~y..:.. r c9 ~.r.. . to ct premises located at .'-'..T.°.:..../ll..Cl.4.G!J.....~i1~-0.-.~ ~.•....~.A':':~r....... 155 . ~~.¢..........1-c~ ......'.r . Caunty Tox Map No 1000 Section Y.~.. Block ......~.`.f....... Lot No ..1..~....... pursuant to application dated ~ LP. 19.~.~., and approved by the Building~iln~spector. / Fee $ S.d A . Building inspector Rev 6/30/80 I ~ I I TOWN OF SOIITHOLD nn~~ BUILDING DEPARTMENT JV~ _ 8 `'a TOWN HALL SLGG.OE?T. SOIITHOLD, NEW YORK 11971 TOWNUFSOUTHO4D 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY 1 ~ DATE . 1R.p e-. ~f Qll-Cl~"la nJ NEW CONSTRIICTION ...OLD OR(~/PRE-E%ISTING BIIILDING..f.I...VACANT LAND........ Location of Property... 1 `~~.~f!_l(~ C10j~~20/C~J 1..... HOIISE N0. Sj~T~REET L HAMLET `'"Owner or Owners of Property....~~ w~.(~J'.l~a;~---J 'County Taz Map No. 1000 Section .~1.. Block d Lot ~ Subdivision Filed Map ........Lot.......... Permit No. j~9ga..Date of Permit 3J.~~~6~...Applicant ~~?ha,13e.~~~ Health Dept. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: APPLICANT ..~`~~-L~ !'~-~s'~/L.~A~{r'L: j ~ . re 10/14/88 ~~.3~yiN Cd~.Isay~ HENRY J. SMITH & SON, Inc. PLUMBING, HEATING & FUEL OIL MAIN ROAD SOUTHOLD, N Y 11971 (516)765-3690 C_E_R_T_I_F_I_C_A_T_I_0_N . _ Date_June 2~y 118 Building Permit No. 17~02Z_______ Owner__Stanley Waldshan Plumber__Henry_J__Smith & Son1_Inc_ ' I certify that the solder used in the water supply ~ system contains less than 2/10 of 1~ lead. - ----z Henry P. Smith Sworn to before me this 2~rd_d ay o f _,jy~~_____-' , Notar Pu lic Notary Public, Suffolk County BERNADETTE L TAtLIN NOTARY PUBLIC X4d14l93 Sbte of New York Resldm! m Su6dk CouMY Canmisslon Espres Sept 30, 18~. , THE NEW YORK BOARD OF FIRE UNDERWRITERS rACE 1 1.001071 BUREAU OF ELECTRICITY 8E JOHN STREET, NEW YORK, NEW YORK 10038 peLP JU1TY 28,1989 gpplicationNo.onfile 62241$89189 N 083334 THIS CERTIFIES THAT only the electrkd equipment a described 6ebre and introduced by the appNcont named on the above application number in tM promisee of S. 4iALDSNAN, NORTH SEA DRIVE, SOUTNOLD, N.Y. m ehefdlom;ngbcotion; ? Bosement ®IRt Fl. ? 2nd Fl. OUT .Section Block Lot p eyuirementR of thu Board. ~ Esasbxamined on JULY 10, 19$9 ondfound to be in com licence frith the r BXiUE! NTACUS fWITCNES RXTYRES RANOlS COOItIPIG DECKS OVENS DISH WASNlRE EXNAUST FANS OUTIETf INCANDFSCFNi-fIUpESCENi OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMi. R.P. 10 14 10 1.0 3 k DRYERS RNlNACE MOTORS t11TUMAPRIANCE REDERf SPECIAL ElC'PT TIME CLOCKS Elll UNIT IIEATlES MUUI.OUTIlT DUAMERS AMT. K. W. dl X. r. GAS R. r. AMT. NO. A. W. G. AMT. AMI. AMT. AMPS. TRANS. AMT. e. P. SYSTYAS AMT. WAnS NO.OF RTM 1 G SHVtC! OKCONNECT NO:OF S E R V I C E .::Ain. AMr. TTPt ~ t / eW 1 / SW S / SW 3,I KW GPER DCOND. Or CC COND. NO. OF MI-LPG OF~HI IEG Na.Oe NEUTRALS Of ~~Un:AL OTMR A/PARATUS: 3 TON A/C UNIT-1 JACUZZI TUB-1 G. F.C.I:-1 "Po~ G & S CONTRACTOR LIC.~57$-E BOX 215 SOUTNOLD, NY, 1.1971 OMIRAt~~ 11 Per Thit certificLTh mlM not bs absred in any manner; nfurn ro the oHica of the Board if incorrect. InapeL:rors may be idanHfiad by their tsadentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ,~,,,~~z.^~,.`,,, TEL. 7G5-18~' ~~~~FDI.'~~~`~~ ; TO'4~'N Ur SUIJTIIULD ~ OC'f'ICL• OF £sUILD[NG INSPECTOR v' ~ '~~"H, ~ TOWN [TALL ;`'O ~ SOUTIPOLD, N.Y. 1 1971 ~,,y~~ ~i r.~0 June 21, 1989 John Bertani Builder, Inc. 1380 OARWOOD DRIOE SODTHOLD, N.Y. 119'71 RE: STANLBY WALDSBAM To S•ihcm This Ploy Concern, We arc unable to complete your Certificate of Occupancy because of the folloenng reasons. J_/ An application for Certificate oi' occupancy is not nn £ilc. /~Dto Underwriters Certificate on file. / 1 'Che chr_c}: i:. (oulclated/nut on file. ) Pto fteal.th [)ept. Approval on file. Nn ftnal insi~ection has been made. Pleasr_ r_ontacr_ our office on this matter. Thank you £or your cooperation. ?ui1Qu.<1 Pcrm~.Y II _1 7 9 0 2_ Z DnilcItnci Dent. *tk/- tlo Plicmhcr :;olctci Certificate on file. ' ( all pc:rrtit,s involv~ncl plumbincl being i~sucd afL-er .1pr~1 1,1984 ) ~ r. ' ' 1. ~ H _ y FOUIIDATIOII (1st) ~ - - - ~ _ c F'OUNDATIO17 (2nd} ~ c° 2 . Lcc .LC.Z4.u~~e-, (mow o r P,OUGH FRAi3E & Lu r LUMBING D IC v-Q-r.~ ' ~ ~ c.i.~ U.t..c,a~Ce-rte 3 . ~ - Kau-rue- ~ ~cm I1ISULATIOC7 PER N. Y. 8 ~~r u.% ~ STATE ENERGY ~m-r' CODE / o ~z ~ c t r 4. y r FZNAL /UO fI~SS , /v0 ~ o z . A DITIOIIAL COMMENTS: x . ~ r _ fly hJ X .b H 9 ? H H O z . ~ rn A r . y S d m -o H New York State Department of Environmental Conservation Building 40-SONY, Stony Brook, New York 11794 Regulatory Affairs (516) 751-7900 NO PERMIT NECESSARY - TIDAL WETLANDS ACT _ Thomas C. Jorling Commissioner Date: Cecember 9, 1988 Application No. 10-88.1922 ~~r. Stanley 4!aldshan 271-33D Grand Central Parkway Location: North Sea Drive Floral Park, New York 11005 Southold, New York Dear Mr. Waldshan, A review has been made of your proposal to: construct an addition to an existing single family residence, and expand an existing deck, as shown in attatched site plan. There must be no disturbance of surrounding natural vegetation or topography. Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that the project is listed In Part 661.5 of 6NYCRR (Tidal Wetlands Land Use Regulations) as a use not requiring a permit or notification letter of approval. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please nose that any additional work, or modification to the project as described, may require authorization by this Department. Please con- tact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, (~~E~,w~L~~.-t ~1 C.-7~,u~t~~r~ Deputy Regional "Permit Adminrstrator cc: Linda Bertani l~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f fit' ROUGH PLBG. [ ] FOUNDATION 2ND [ l INSULATION [ ]FRAMING [ ]FINAL n n REMARKS: PO 1 ~ ,..Q,~ " ~ti " G'^-~•rr,~ n _ ~ ~ ~ DATE 8' INSPECTOR ~c,c,QL T6S-1802 BUILDING DEPT. INSPECTION [ )FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/' [ 7 FRAMING [ FINAL ~ REMARKS: ~ - DATE 3 INSPECTOR ©Y 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG, [ ]FOUNDATION 2ND t ]INSULATION [ ]FRAMING [ FINAL REMARKS: / C~ S S -~t,e_ - DATE ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] R GH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ )FRAMING [ ]FINAL REMAR 5 DATE INSPECTOR I2 ~D~ ~ 765-1802 BUILDING DEPT. I NSPECTI4N [ ]FOUNDATION 1ST (~i]~ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [FRAMING [ ]FINAL REMARItS:~ ~ `~~(,vt, , Gam. tie,~,~.. a~..,,~ ti~ r~~~~~~~ a DATE ZD~$~ INSPECTOR ~/~c l~Q~~~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ] FOUNDAT 1ST [ ] ROUGH BG. FOU ATiON 2ND [ ] iN TION [ ] RAMING [ ~ FINAL REMARKSn: ~P~-~N~ C~l~~/~~nc,~ ZC CK~-~2~ Ly1~f" L G ~ f /~G~X D o rte` c,~.-~,.~ ~ DATE ~ 3 8' INSPECTOR//,,~ ~ UfG G'~is~~tj BOAFD OF HEALTH 3 SETS OF PLANS FORM N0.1 SURVEY TOWN OF SOUTHOLD CHECK ..:'~`.~a3.$ o, ~ . . 6UlLDlNG DEPARTMENT SEPTIC FOR;t TOWN HALL SOUTHOLD,NY 11971 NOTIFY .7/5~-_,,, `SyU _n 44 TEL..7G5-1802 CALL ..............C E~anttncd ~0.J.rtY~.) 0.... , 194. MAIL T0: . Approved .~~+a-1'1.~ ~ 19~~ Pcrmtt No ~~,~QZ"~- ((fi~n Disapproved a/c ~ ~ L5 Ll C....___~,1~ ~ - 6 ~`„~i~ (Building Inspector) t;;.6G GEP TOVON OF SOUTN6Lb jjj APPLICATION FOR BUILDING PERMtT Date 14 INSTRUCTIONS a. Tltis appltcahon must be completely filled m by tgpewnter or in ink and submitted to the Butldmg Inspector, wi sets of plans, accurate plot plan to scale. Fee accoidtng to schedule. b. Plot plan showing location of lot and of buddmgs on premtses, relationship to adlommg premtses or public sir or areas, and gtvuig a detailed description of layout of property must be drawn on the diagram which is part of this al .capon. c. The work covered by this application may not be commenced before issuance of Building Penntt. d. Upon approval of tlus application, the Building Inspector will issued a Bufldmg Permit to the applicant. Such pe, shall be kept on [he premtses available for inspection throughout the work. e. No building shall be occupied or used to whole or to part for any purpose whatever until a Certificate of Occupa. shall have been granted by the Butldmg Inspector. APPLICATION IS HEREBY hfADE to the Butldmg Department for the issuance of a Butldmg Petxnrt pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordmance- Re_ulattons, for the construction of buildings, additions or alteravons, or for removal or demolition, as herein descnb The appltcanC acrces to comply with all applicable laws, ordinances, budding code, houstn; code, and regulations, and admit authorized inspectors on premtses and m building for necessary mspecuens- (Signature of applicant, or name, tf a corporation) (h4aihng address of applicant) State whether applicant is owner, lessee, agent, azchttect, engineer, general contractor, electrician, plumber or build Name of owner of premises ,~,cf?,eYC4~ ~~`.~.'t.~.5rv5.d:7!-1 . (as on the tam roll or latest deed) IF applicant is a corp~or~a•t~ion~, signature of duly authorized officer. (Name and [tile of corporate officer) Bwlder's License No. . ~~,,.7. %~,~I. f~.~. . Plumber's Ltcensc No .~nCr~ „lG~?~GG lt~~r'fJ Eiectnctan's License No .E~ww4"G:... . Other Trades License No . . . . 1. Location of land on which proposed work troll be done . . t ,td y ~4 .A•iQk`~~.. ~Jk'~'~~r.... . ~C~.RrG~............... . House Number Street ,r~ Hamlet County Tai M1iap No 1000 Section Block V.~... Lot ~ , Subdivision F~Icd M1falt No. Lot Name) ~ State e~isung use and occupancy of premises and intended use and occupancy of proposed constntcnon y~/ ~ a. Ecuung use and occupancy C/~tdG .f~I"~1~!• •~~Ti.~(.X114'~ b. Intended use and occupancy ~~N'•~ • ~ •~hl:iGG~i~~S'• 3. Nature of work (check ~~hrch applicable). New Building Addruon ...1l Aiterauon . Repair Removal Demolrtran Other 14ork B (Dcscnptton) 4. Estimated Cnst ~f 4r~.~ .Fee . (to be pmd on filing thrs apphcatton) 5. If dtvelhn„ number of dwelling unus Number of dwcllrng units on each floor . If gara.e. number of cars . . 6. If business, commercral or mrxed occupancy, specrfy nature and extent of cacti type o(use , 7. Drmensrons of exi~ung strucmres, rf any Front Rear pth •..-~.'f....... . ....Dc Herght . 23 Number of Stones a~ . • Drmensrons of same structure with alterations or addrttons Front Rear w Depth . licrght Nuntbcr of Siones ......-L:. . 8. Dimensions of entire new constntctron Front Rear Depth . , 5~ Herght ~'J.'...... Numbe oC Stones .........-fir....... . 3 r.. 9. Size of Iot: Front ~QC? Rear /.~~i Depth . 10 Date of Purchase .Name oC former Owner . I1. Zone or use drstnct m whuh premises are situated , f~~.t~ar.CJ~L.Iid,4L . . . 12. Does proposed construchpn vrolate any zoning law, ordinance or regulation . 13. N211 lot be regraded LEI D wrtl excess GII be removed from premrses. Ycs x N 14. Name of Owner of premises f.~,~ S, ,t~~~ ;cia~r..;-, pddress I: 3.~~7. Ca.'~lfa. CNU'C~tone No . Name of Architect .........Address . t`~~, r#C.Y"./Ay3~.. Phone No • . . Name of Contractor h'J.G~A>Kt..~.~+.Ll~R9+-...Address J~3F'. p .~4+t~Phone No .r.~:%t.SljJ~ . _ 15.Is this property located within 300 feet of a tidal wetland? *YCS..__NO.R.. *Tf yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and dtstmetly all buildings, whether exzshng or proposed, and indreate ail set-back dunenstons fro. property fines. Give street and block number or descnptron according to deed, and show street names and indicate wheth= tntenor or comer lot. Sc--~ ~C~+-~ STATL OF tiE«' YORE, COU;tiTI' OFD. ~L.'~'eL~ _ S S +./46{h-~ . f'~'l . . being duly sworn, deposes and says that he is the appleca (1`ame of ntdrndua] srgnmg contract) above named. !ie rs the ~iCkf~.. t~'1~'!G'~........ (Contractor, agent, corporate offreer, etc ) oC sard owner or owners, and a duly ,wthonzed to perform onhavc performed the Bard work and to make and Gle tl spphcanon, that ali statements contained rn this apphcauon arc true to the best oC lus knowledge and bchef, and that t work will be performed ut the manner set forth rn the applrcauon lilcd therewrtlt Sworn to bctore me t//hu ~t7A; ...............lp ..day of . .~A:l? 19~"/. rotary Publrc, . "~!r• • . County NELENK DEVOE (Srgnamre of applrcm NOTARY PU8LIC, State or New York Nu. 4701878, Suffolk County Term lxmres March 30,18 LONG ISLAND SOUND N 40° 32~ 40~~ E 100 02~ ,~~i... ilE LINE ALO ND H WM - HWM (D M M M ~ r N EDGE F 9EACH R N LUFF LINE ~I N ~ ' ~ m M J \ ~ J O f F- N t W O ' J (O I Q O U z I WOOD DECK } {p ON 2n0 STY ~ ~D i J ~ Y.. p rY., o la4' 34 5' I- a~4' z N I jF.,~ 2 SiY FR z Q ~ IAL~T a HSE W/9AR- Ik FL N 990 ~ O W ID 2 ~ ~ ~ _ _ S2 S' O 0 O I W I ~ = I I O _ ~ I I ~ ~ 3 1 I W Z m LL - I 1 - Z ~ 0 1 I o ~ -N I I ~ z M °ml ~1 m ~ I ~I ° ~ t o 0 i O ~ ~ ~ ~ ii i ~ : I ~ z ~ ~ I cn D ~ 1 Iz I F ~ I , J 1 I 1475 00~ - Y' I I Ste" f PIPE o s'w S 39° 24~OO~~W 10000 AREA 25, 236 SQ.FT. TO TIE LINE 11hORT H SEA DRIVE SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 'r ' 1000 - 054 - 04 - 17 o ~ y ~ N ,.r . ~ II y~?`'~ pN a,. ~,y~ G,9 ''fir'', ~ SCALE I = 3 0 J ~0 1 Fp ~ `~W~;c~;~;} AUG II 1988 Zoo ~ t µ ~ .Y.S. LIC. NO. 49668 /G-~, `,y4. OR16ess4~ O ORS, P.C. - .I't:~~y' P. 09 MAIN D SOUTHOLD, N.Y. 11971 " B8 - 505