HomeMy WebLinkAbout17930-z FORM N0. 4
TOWN OF SOUTHOLD
` BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-14039 Date MAY 11, 1990
THIS CERTIFIES that the building ACCESSORY
Location of Property 7650 NASSAU POINT ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 118 Block 03 Lot 04
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 15, 1989 pursuant to which
Building Permit No. 17936-Z dated MARCH 17, 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 INGROUND SWIMMING POOL, DECK AND FENCE AS APPLIED FOR.
The certificate is issued to JOHN J. STACK & PATRICIA E. McCAFFREY
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N-089095 - AUGUST 29, 1989
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
!'OEM NO. !
TOWN OP SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Nfl 017930 Z Date ~
..r.~.~...... ~..7 19..~.
Permission ~s hereby granted t
,
ct premises located at ...~.~P.S~..... N 4.0-0 ®d: eV
................C
~I$ Block ~..w~.
Caunty Tax Map No 1000 Section Lot No Q.~ .
i
pursuant to apphcahon dated eGA. C~q. ~ S. 19.~.~ and approved by the
Building Inspector.
Fee S••~~?.8.:••
Building Inspector
Rev 6/30/80
TOWN OP SOUTUOLD
BUILDING DCPART?ICNT 2
. TOWN HALL n L~~L~iIJ~~~Lr-i~
SOUTIIOLD, NEW YORK 1197 U tr ,
765 - 1802 ~l ~ J
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APPLICATION FOR CERTIFICATE OF OCCIIP 7~1_..._;~_`.s~m:~;t~'
DATE 1l~~.....~!....
NEW CONSTRUCTIO~~.....OLD OR PRryE~-E%ISTZNpG/BUnInLDING...._.VACANT LAND........
Location of Property.76'~~ ....../uSSQK./T ~G~®9u.t._
.Y.-.
HOUSE NO. STP.EET HAMLET
Owner or Owners of Property.SONH J, ~~"A~-~
..pp~~
County Taz Map No. 1000 Section .~~D,_ Black Lot
ISubdivision Filed Map ........Lot........_.
Permit No. ~7!:3~...?ate of Permit ~
_~?.a.~.Applicant ~,¢,VT~I6S ,~'yTffE'-SCE
.....JFIC.:....
Health DepC_ Approval Underwriters Approval....._......_.
Planning Board Approval
Request far Temporary Certificate Final Certificate ..'.~.I,.._......
Fee Submitted: $
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New York State Department of Environmental Conservation
Building 40-SUNY, Stony Brook, New York 11794
(516} 751-7900
~`~1 I ~ Thomas C. Jorling
1\ L. 4 f~J~__ Commissioner
i T r~ p
~,'1 (~~+\``~~~`tc41``~, -4~(-~`~\ ~ Date: ~-f d_~
~c~v~1~~~i4~~~,)t~~?~ III{ Il ~r~v, _~~f-1 ~S, ~,~c~..
~c.~ > e_
Dear , ,
Based on the ~uformation submitted for your proposal to: l(r[/)~,}}l/(~_~
C'l '~Ntli11`/~ ~OUt t~ C~OcI~ ~ C,
Location: I~~~jS(~)Uj~'j~ _Z'~(~ 'Pax Map Number: ~~UD~-IIo ~ i ~7
the New York State Uepartment of Environmental Conservation has
determined that:
The parcel/project is more than 100' from regulated freshwater
wetlands.
Since the freshwater wetlands present are less than 12.9 acres iri
area and have not been designated by the State as having unusual
local importance, they are not currently regulated by NYSDEC.
'Pherefore, no permit is required under the Freshwater Wetlands Act
(Article 24 of the Environmental Conservation Law).
Please note that any additional work, or modification to the project as
described, may require authorization by this Department. Please contact
this office rf such are contemplated.
Please be further advased that this letter does not relieve you of the
responsibility of obtaining any necessary permits or approvals Erom
other agencies.
Vecy truly yours,
Christine J. Co topoulos
Deputy Regional Permit Administrator
~OcuFFOCk~O
FRANK A KUJAWSKI, ~R , Presrdent ~ TEEEeHONE
ALBERT J KRUPSKI, JR , Vrce-Presrdent ~
JOHN M. BREDEMEYER, III O ~ ~ (516) 165-1892
j01iN L BEDNOSKI, JR ~ 1~0~
HENRY P SMITH 1
BOARD OF 1'OR'N TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Mam Road
P O Box 728
Southold, New York 11971
November 21, 1988
En-Consultants
1329 North Sea Road
Southampton, N.Y. 11968
RE: Application for John J. Stack, Nassau Point Road,
Cutchogue, N.Y.
Dear Mr. Ha)e:
The Trustees reviewed your application submitted on behalf
of John J. Stack. After an on site inspection by the Board of
Trustees it was determined that this work is out of Trustees
jurisdiction.
All other approvals that may be applicable should be secured
prior to the commencement of the project.
Very truly yours,
Frank A. Kujawski, Jr. /
President
Board of Town Trustees
FAK:~as
cc: Bldg. Dept.
file
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ~ FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [/J FINAL
REMARKS: ~ ~d
-
DATE L INSPECTOR "
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IIOARU OF HEALTH
3 SETS OF~LANS
FORM NO 1 SURVEY
TOWN OF SOUTHOLD CHECK .$1•~~~3:.'FlSaad?? .
BUILDING DEPARTMENT SEPTIC FORPf .
' TOWN HALL
SOUTiIOLD,NY 11071 NOTIFY
TEL.: 7651802 CALL
PiAIL T0:
E~amurcd ~ 1. , 19~~
Approved 7:Y l.G1hC~ 198 Perim[ No ~ 7 9c~ 3f IS~$~
Disapproved a/c
~~a.1
(Building Inspector)
APPLICATION FOR BUILDING PERMIT p
Date .!!~Qf~L<(. lri~.
INSTRUCTIONS
a, Thrs application must be completely filled m by typewriter or in ink and submitted to the Budding Inspector, witi
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 adlommg premrses or public stye
or areas, and giving a detazled descnpUon of layout of property must be drawn on the diagram which is part of this apt
cattaon.
c. The work covered by this application may not be commenced before issuance of Building Permit
d Upon approval of this application, the Bwlding Inspector will issued a Budding Permit to tkre applicant. Such perr
shall be kept on the premrses available for mspechon throughout the work
e. No building shall be occupied or used in whole or m part for any purpose whatever until a Certificate oC Occupan
shall have beers granted by tfte Building Inspector
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Budding Permit pursuant to t
Building Zone Ordinance of the Town of Sout}rold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnb.
The applicant agrees to comply with all applicable laws, ordinances, budding code, housing code, and regulations, and
admit authorized inspectors on premrses and in building for necessary~~pections ,
(Signatur~ot" applicant, or name, if a corporation)
.
• _ (blmhng address of a hcant)
State whether applicant rs owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build.
Name of owner of premises ~~l9 .:~`5~~~ . d .f""Cc ~2 tctc~ E ~yi'Cea77~re
. . . .
(as on the tae roll or latest deed)
IC applican i'7~~a9 Cofr/p?¢/janon~signature of d~u//l}/~j authorized oCticer
(Name and title of grate officer)
Builder's License No
Plumber's License No •
Electrician's License No .
Other Trade's License No ~cn5, ~s^J
1. Location of land on which proposed work will be done ..??6~SSau ~q~'~ `,Gt ~~-/p~e(~
~ 76~~
. . . . . .
douse Number Street Hamlet
County Tax Alap No 1000 Section ~ l.~ Block , , . , . Lot . , , , ,
Subdi~ivon . Filed tap No. Lot .
. (Name)
2 State eeisUnl; use and occupancy of prenuses and intended use and occupancy ofproposed construction•
a Eeistun~ use 6"v'?~ ~ a !`.e ~Q~ . .
o and occupancy
b Intended use and occupancy • • • • • 'S~F,M~
. .
3. Nature of work (check rahuh applicable) New Eluddmg Addition ,Utera on
Reparr Removal Demolition Other Nork ~L+ Dew
(~c: Cn Cl
_ r S iNP 7
4 Estimated Cost ~3hisF~ ' @ ° Fce ~
(to be paid on filing this app{icatton:
5. IC dwelbn„ number oC dwelling units Number of dwelling units on each floor . .
If gara;c, number of cars .
6. If business, conunercial or mteed occupancy, speedy nature and extent of each type of use
7. Dunenvons of c+cistmg stnictures. ~f any Front Rear Depth .
I[et:;ht Number of Stones .
Dmrensions of same structure with alterations or additions Front Rear . .
Depth Iietgltt Number o(Storres . ,
8. Dunenstons of enure new censtntchon Front Aeet_. ~ e X.SO. Rear !^!'TH !tan , DEcK Depth .
Heteht ...Number of Stones
9 Stae of lot• Front Rear .
Depot
10 Date of Purchase .Name oC Fonncr Owner
.
I I. Zone or use dtstnct m which premises are sduated .
12. Does proposed construction violate any zoning law, ordinance or regulatton• !:`Q. . ,
13. Ndl lot be regraded ..NO .Nall excess fill be removed from premises: _ es
14 Name of Owner oC premtses~~H~ .P,STRUC~ , , Address~~~:~u Q'r, 2D , , , , • Phone No.?~'s 3-`.~
Name of Architect ..............Address . [,!,t-t"eHO6uE , _ Phone No 73Y :?6! y
Name oC Contractor ....................Address ...................Pltone No...... .
IS.Is this property located within 300 feet of a tidal wet Land? *YES... NOS.
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAIri
Locate clearly and drstinctly all buildings, whether exrstmg or proposed, and,mdtcate all set-back drmensror)s
property lines. Give street and block number or descnptton according to deed, and show street names and indicate wY
intenor or corner lot
SCE 2_ /4T`T~4 c rf E~
STATE OF NEO!~R,R' S S
COUN"f~' OE d
• • . • • • • • • beatg duly sworn, deposes and says that he is the app
(Name of utdrvidual signing contract)
above named
Eie is tfte
(Contractor, agent, corporate officer, etc )
of said owner or owners, and is duly authonzcd to pcrfonn or have performed the said work and to make and fil
application, that all statements contained m tlus appl~cauon are true to the best of Iris },nowledge and belief; and th;
•,vorh ~~tfl be pertonned m the manner set forth ur the applrcahon fiicd therewith.
Srvorn to bctorc me this
.day of . ~l')'1 crJ-c~,l~ 19 r~9
D ~
Notary• Public . ....'.`:Y~~r<.-~~:.. County
2.t /L~.
(~L~DAJ. P R .
Notary Pubhe, State of NewYor~,C~ (Signature of appl
No 4822b63, Suffolk Goumy
Term Expires December 31,19