HomeMy WebLinkAbout17590-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Offlce of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18745 Date JANUARY 29~ 1990
THIS CERTIFIES that the building ONE FAMILY DWEIJ,ING (MOORES LANE)
Location of Property 3020 LINDEN AVENUE CUTCEOGUE
House No. Street Hamlet
County Tax Map No. 1000 Section 116 Block 01 Lot 8.4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in th~s office dated OCT. 28~ 1988 pursuant to which
Building Permit No. 17590Z dated NOV. 4~ 1988
was ~ssued, and conforms to all of the requirements of the applacable
provisaons of the law. The occupancy for whach th~s cert~facate as
· ssued is ONE FAMILY DWELLING WITH ATTACHED GARAGE AND DECKS.
The certificate as assued to WINDS WAY BUILDING CORP.
(owner, ~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-14 JULY 20r 1989
N105364 DEC. 5, 1989 PAGE ~1
UNDERWRITERS CERTIFICATE NO. N105364 DEC. 5r 1989 PAGE ~2
PLUMBERS CERTIFICATION DATED STEPHEN O'CONNOR JAN. 19~ 1990
Rev. 1/Sl
FOw~e NO, I~
TOI/~N OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(-I'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CO~PLETION OF THE WORK AUTHORIZED)
N9 017590 Z
Permms~on is hereby gronted to' . __ _
premises 'ocoted Ot..~..~,. ,~...~, ....... ~.,~.~-~...,,, [~'"~ ..............................................
County Tax Map No 1000 Sect,on.. ~/'../~. .... Block ......... Z ...... Lot No .... ..;~. ~ ,C~
~.~o~t ,o op~,,=,,on ~o,e~ ..... L~_........~ ~ ..... . ,~.. o.~ o~p~o~ b~ the
Building Inspector.
Rev 6/30/80
1/21/87
I Conservation Law
~'-~ Article 15, Title 3, 6NYCRR 327, ~ , ~ Adlcle 25 N
328, 329 Aquatic PestJmdes ~ Water ~ua~Ry Cemflcatmn I I T~dal Wetlands
DEC PERMIT NUMBER
-- Arhcle 15, T~tle 5
__ Protection of Water
['-'---'~ Article 15, Title 15
Water Supply
~---] Arbcle 15, Title 15
Water Transport
-- Arhcle 15, T~tle 15
__ Long Island Wells
[~-] Article 15, T~tle 27
Wild, Scemc and Recreational
Rtvers
J----[ Article 17, Titles L 8
SPDES
[-~ Admle 19
Air Pol[utmn Control*
J-'---J Ad,cie 23, T~tle 27
M~ned Land Reclamatmn
J'----J Article 24
Freshwater Wetlands
N--New, R--Renewal, M--Mod[hcatmn,
C--Construct (*only), O--Operate (*only)
-- Arhcle 27, T~tle 7, 6NYCRR 360
__ Sohd Waste Management*
[-'~ Article 27, TRle 9, 6NYCRR 373
Hazardous Waste Management
J----'q Artmle 34
Coastal Erosmn Management
['~q Article 36
Floodpimn Management
J--~ Arhcles 1, 3, 17, 19, 27, 37,
6NYCRR 380 Rad~ahon Control
PERMIT ~SSUED TO
Winds Way Building Corp.
ADDRESS OF PERMITTEE
1020 Glenn Rd., Southold~ NY 11971
AGENT FOR PERMITTEE/CONTACT PERSON
The Land Use Co., No. Country Rd.,
NAME AND ADE)RESS OF PROJECTJFACILITY (If d~fferent from Perrn~ttee)
TELEPHONE NUMBER
Box 361, Wadzng Rzve , NY 11792
Downs Creek on the West side of Linden Ave., SCTM No. 1000-116-1-8
IOCATIONOFPROJECT/EACILITY COUNTY JTOWM~I~k UTMCOORDINATE$
Catchogue Suffolk J Southold
DrSCRH~TION OF AUTHORIZED ACTIVITY
Create a 4* lot subdivision with all construction occuring landward of
the flood zone lzne or a minimum of 100' from the landward edge of the
wooded line edge in accordance with the approved plan prepared by Roderi
VanTayl revised 11/25/86 (enclosed). Permission is hereby granted for
the construction of single famzly dwellings and associated san%tar¥
systems on each lot.
GENERAL CONDITIONS
By acceptance of this permit, the permdtee agrees that the permit is conhngent upon st.ct compli-
ance w~th the ECL, all apphcabte Tegulahons and the condzhons specs{ma heTem o~ attached hereto.
PERMITISSUANCEI)ATE pEJ~If,~OJ~Vi~NISJ[~-/~'~O~ ..... ADDRESSBldg. 40, SUNY, Rm. 219
1/21/87 Alfred T. Kellar Stony Brook, NY 11794
Page I of
CC: C.T. Eam±lton
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1000121
BUREAU OF ELECTRICITY
~'- 85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CE~IFIE~ THAT
interCOmmUnication; ~ ~nt ~ IstFI. ~ e~ FI. GA~/A~TIC/~T ,~tion Bilk
~exami~ NOVEflB~ 20, 1989
and f~nd to be in complian~ with the ~qui~ments of th~
RXTUII~ OVENS DISH WA~HI~S EXHAUST FANS
OTHER
FURNACE MOTORS FUTURI AI~SJANCE FEEO~IS TIME C~OCKS M~.TI~JTLET DIM/4ERS
HYDRO MASSAGE YUBS-2
4 TON t/C UNITS-1
PANEL~D5:I-12 C~R. 125
SNOKE D~CTOR :.-1
T~ACK
S E R V I C E
2 1/0
Page
~must not be altered in any manner; return to the office oft he Board if incorrect.
m MANAGIII
Ih~r credentials.
THIS
THE NEW YORK BOARD OF FIRE UNDERWRITERS
[000~2}. BUREAU OF ELECTRICITY
~- E5 JOHN STREET, NEW YORK, NEW YORK 10038
Dote DF, CgNBgR 05,1989 Application No. onJ~l~ 60104089/89 N 105364
THIS CE~IPIES THAT
~y t~ e~t~ ~u~r ~ ~H~ ~ .~ int~ by t~ ~t ~ ~ the .~ ~t~ numar i~ t~ ~ o~
WAY BUIhDING CORP., aOOR~S bANE, CU?CBOGUE,
~ exami~ on ~V~B~ 20,19~9 and~ound ~o be in core.lance with the r~ui~men~s o~ th~ ~.
RXTUIWS
RAHGIS OVENS
mERS
SlRVICl D~CKX,41JBCT S E R V I c
OF CC. C~4D.
PAUh R. BURNS
275 TOWN BARBOR [,ARE
SOUTHOhD, NY, 11971
b[C.1282-g
Per.
This certificate must not be altered in any manner; return to th~ office of the Board if incorrect. Inspectors their credentials.
GOPY FOR IBUILDIHG DEPARTMENT. THIS COPY OF BE
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
CERTIFICATION
TEL. 765-1802
Building Permit No.
Owner [ ¢1 ¢'I:~ [ ~i,,~ "-"~2
(pleaSe print)
Plumber
(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
~ day of __~.~__,
'
Notary Public, ,~
County
Notary Public
New York State Depa~mentofEnvironmental Conse~atton
Regulatory Affairs Unit ,~
Bldg. 40, SUNY, Rm. 219
Stony Brook, N. Y. 11794
(516) 751-7~00
Hen~ G W{thams
Commms~oner
January 21,' i987
Winds Way/Build~n~
1020 Glenn Rd.
Southold, NY 11971
Corp.
Re: Permzt No.
10-86-0243
Sir:
In conformance with the requirements of the State Uniform Procedures
Act (Ar~cle 70, ECL) and ~ts implementmng Regulations (6NYCEE., Part 621)
we are encloszng your permJ, t. Please read all conditions carefully. If
you are unable to comply wl~h any conditions, please contact us at the
above address.
Also enclosed is a permit sigma which is to be conspicuously posted
at the prooect site and protected from the weather.
Very truly yours,
Alfred T. Kellar
Deputy Regional Permit Ad~n!strator
TOWN OF SOUTEOLB
BUILDING DEPARTHENT
TOWN HALL
SOUTHOL~, NEW YORK
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCDPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
HOUSE NO. STREET
o~e~ or ow~e~, of P~op~t~...~w.~ ~.. C
co~t~ Tam ~p No. ,000 Seet~o~
Subdivision ....................... Filed Map ........ Lot
Health Dept. Approval .................. Underwriters Approval ..............
Planning 5oard Approval ................
Request for Temporary Cert£ficage ....... Final Certificate ................
Fee Submitted:
APPLICAN~ .......................
-iELD -. ~, r ....
~ ........ u,~ IIDATE COMMENTS
FOUNDATION
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
(2nd)
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
('7~.~.l._~ ~-.-
- ~~-~.
17,~ o
765-1802
BUILDING DEPT.
INSPECTION
[ ]~FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
REMARKS:
/
765-1802
BUILDING DEPT.
INSPECTION
] FO~DATION 1ST I ~ ROUGH PLBG.
/
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
/
DATE
I N S PECTOR ~
FORM NO, 1
TOWN OF SQUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N Y. 11971
.~.~. ,. TEL.. 765-1802
Exammed ........ , 1 .(~..
Disapproved a/c .........................
BOARD OF HEALTH f../ .......
3 SETS OF PLANS
SURVEY
CHECK ......
NOTIFY
CALL ?¢5.-.. ~.~3.5 .........
MAIL TO:
APPLICATION FOR BUILDING PERMIT
Date ....... f.O/~....
· ., 19d
INSTRUCTIONS
a. Ttus apphcahon must be completely filled m by typewriter or tn ink and submitted to the Building Inspector, witl
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of bmldmgs on premises, relationship to adjmmng premises or pubhc stre
or areas, and gtvmg a detmled descnphon of layout of property must be drawn on the diagram which Is part of tl-ns ap,
cation,,
c. The work covered by tins application may not be commenced before msuance of Buddmg Permit.
a. Upon approval of tlus apphcatton, the Budding Inspector wflI issued a Budding Permtt to the apphcant. Such pen
shall be kept on the premmes avmlable for inspection throughout the work.
e. No budding shall be occupied or used in whole or m part for any purpose whatever until a Certfficate of Occupm
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Bufldmg Department for the msuance of a Bmld~ng Permit pursuant to,
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulanons, for the constructmn of buddings, a,d, dmons or alteranons, or for removal or demohtaon, as hereto descnb
The apphcant agrees to comply wtth all apphcable laws, ordinances, budding code, houmng code, and regulations, and
admit authorized inspectors on premises and m budding for necessary ~nspe~o~ns / .,// , ,/f
......
(S~gnature ot applica/ft, or name, if a/corpo~-auon)
(Marling address of apphcant)
State whether apphcant ~s owner, lessee, agent, archttect, engineer, general contractor, electncmn, plumber or build'
(as on me tax roll or latest deed)
/f (Name and ntle of corporate officer)
Budder's Ltcense No ....................
Plumber's License No . .t~. '..~...~..~. ?....~....
Electrlcian's License No../f.~/t.. ~
Other Trade's License No ...............
Locahon of land on whxch proposed work wall be done
House Number Street
.... ~,~.,¢.4..~ .o.~..~..~...~/~) ......
Hamlet
....... .... ......... .........
Subd,v,ston ~ ~ ................ riled Map No ............ Lot ~ ~
(Name)
2. State extst~ng use and occupancy of premtscsand mtendcd use and occupancy of proposed construction
a. Exmtmg use and occupancy .....................................................
b. Intended Use and occupancy ...... ] .... '&)~-~. a · ~: ........................
3. Nature of work (check which applicable) New Building ........ Addition ........ Alteratmn ......
Repmr .......... Removal ......... Demolition ......... Other Work ...........
(Description
4 Estimated Cost . .~..~.°.x ~.~.~..-r. ............... Fee ............................
(to be paid on filing this application)
5. Ifdwelhng, numberofdwelhngumts.. .CPt'r.~... . Number of dwelhng unlts on each floor ............
If garage, number of cars ...~. .......................................................
6. If busmess, commercml or mixed occupancy, specify nature and extent of each type of use ..................
7. Dimensions of existtn~ structures, if any Front ............. Rear ......... Depth ............
Heigt~t .............. Number of Stones ............................................
Dunensions of same st~u~4ure with alterations or additions Front ................ Rear ...............
Depth ........... I~.~. ...... Iteight ............... Number of Stones .................
8. Dlmensl6fis of entire new construction Front ...//~. ........ Rear .../L-ITM......... Depth ............
Hmght ~.../~. ........ Nmnber of Stones ....... ~..~k~.. .......................... ,' ..., ........
9. Slzeofld~.'.[r~n~ ...,...~.(g,~.o ...... Rear ...~.~.~)-~. ........... Depth .~.~7.o....~./.f ........
IO Date of Purchase ..:~Og .................... Name of Former Owner ~h~'~,-.~/~,,-~ .......
I 1. Zone or use dtstnct in winch premises are situated ...........................................
12. Does proposed construction violate any zoning law, ordinance or regulation: . ~. ~5 .........................
13. W~II lot be regraded ...~...~ ................... Wall excess fill be removed from premmes Yes
14. Name of Owner of premises ~'kZ~f .P?~ ~¢~'t~.?.~.. Address .X~, .)~..~/~o.~. ....... Phone No. ?P}.
Name of Architect ..................... '...:. Address ................. Phone No ..............
Name of Contractor .. A ......... O ..... .~. ..... Address .... t. ,. ............. Phone No . ...~ .........
15.Is this property located within 300 feet of a tidal wetland? ~YES.{'~..NO ....
~If yes, Southold Town Trustees Permit may be required. 1
PLOT DIAGRAM
Locate clearly and dlstmctly all bmldmgs, whether existing or proposed, and, indicate all set-back dn-nenslo'n~f
property Imes. Give street and block number or descnptmn accordmg to deed, and show street names and indicate whetl
intemor or comer lot.
STATE OF NEWk.~ P~3~
COUNTY OF~.
(Name of md~viduaI si,nino contract)
above nam a.
He ~s the ..... ~: ......
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~d
apphcat~on, that all statements cantoned m thru apphcatmn are true to the best oflus knowledge and behef, and that t
work will be perta~ed tn the m~ner set forth tn the apphcattan filed therewith.
Swam to before me th~s
...... .... .......
TOWN CLERK
TOWN OF SOUTIIOLD
Suffolk Count?~, New York 516- 765-1801
$oathold. N. ¥. 11971__~J~
SUFFOLK CO. HE/IlLTH DEPT. APPROVAL
H.S. NO.
~t~/~e~ ~...~, ~ ~~ . ; .- : ......... -2 ~ ~ F~ TH~ RESl~NEE WILL
~ ~.,~ ~ ~." Z~'~ ~ ~ ~ ~ , ,~ ,. AT C~F~M TO T~ STA~AR~ OF THE
...~7~,~, ~ ~, ~ ,~ ~ ',o _ ~
~ ~1'~~, ~ ~ ~ ~ '~ ~.s.~.~.: .....
j ~~T ~W Y~K
"o~
;¢ ~_~ ~ ~." -~ '~ ~ __~ _ /h~
, .. ~,. ~,,,, ~:~, ~,~ ~ ~ ~
k
"' SINGLE F~Mt
EXPIRES TWO YEA~RS
NO~,L,h[ L',. K) A;-,
ROOERICK VAN TOyL. P C
GREENPORT NEW YORK
SUFFOLK CO HEALTH DEPT APPROVAL
H S NO
LY DWELLING ONLY
FROM DATE OF APPROVAL
STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
i SYSTEMS FOR THIS RESIDENCE WILL
SUFFOlk C~. ~_~AL~S~ES
/ /APPLICANT _
SUFfOlk COUNTY DEPT Of HEALTH
SERVICES FOR APPROVAL OF
~ CONSTRUCT¢O~NLY
DIST. SECT BLOCK PCL
OWNERS ADDRESS:
DEED: L. _. ~ P ~,. r '
TEST HOLE STAMP
4
///. / ,f, y
$UFF'OLK CO. HEALTH DEPT.
H.S. HO. ,~i~',~)'~
,,~ 2 91[~0
' ~i2TE5:
JUL lO, ~o8~
STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTE~ FOR THIS RESIDENCE WILL
CONFORM TO THE STANDARD~ OF THE
SUFFOLK CO. D~PT. OF HEALTH
IS) ,, ,
APPLICANT
COUNTY DEPT. OF HEALTH
VICES -- FOR APPROVAL OF
CONSTRUCTION ONLY
DATE:.
H. S. REP. NO. ~8?~D::~-
APPROVED:
SUFFOLK CO. TAX MAP DE~ATION:
DIST. SECT. ~.OCK PCL.
D(ED: C. cr~
LICENSED LAND SURV~'YORS
GREENFORT NEW YORK
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
PLUMBER CERTIFICAI'ION , , :,
ON LEAD CONTENT B£FOR~ '
AP~VED AS N~ED -,
CER~IFI~TE OF OCCUPANCy
SO~ER USED IN WATER
EXC~gD 2/IO oI I~ ~AD.
FOL~WING INSPE~O~:
F~
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