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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~ ,L U n ,t i -I 0 ~.,J