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HomeMy WebLinkAbout17665-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218692 Date SAN. 10, 1990 THIS CERTIFIES that the building ADDITION Location of Property 1915 CLEARVIEW AVE. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 070 Block 010 Lot 027 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 2, 1988 pursuant to which Building Permit No. 176652 dated DEC. 2, 1988 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 EXISTING ONE FAMILY DWELLING PLANS AMENDED 9/8/89 The certificate is issued to PETER HAEFFMER (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N109499 JAN. 5, 1990 PLUMBERS CERTIFICATION DATED HENRY J. SMITH & SON INC.-12/20/89 ilding Inspector Rev. 1/81 fbB.M NO. f 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 ~ ~ 17 6 5 5 Z Date ....r L~.~s~-~.~..... 19. ~.g Permission ~s hereby granted to• ' • ~ ct premises located at ~ ~.~1.....~.X tlr.4~ri.?.~4r44~ ...:.:~S~hl".4.w,..~„ :?#:s~.. J.... 1....a.~:~~......~... ~...a.:~~~n~sz.~.... County Tox Map No 1000 Section ~ Block .....r!.~.... Lot No . ~ 1 I _ pursuant to application doted °.~l ~'~^:"a.W~-t...2-. 19.~., and opproved by the Buiid~ng Ionspector. Fee 5...~.A`~~ . wilding Inspector Rev 6/30{80 D ~ TO{JN OF SOUTHOLD yy_ BUILDING DEPARTMENT ~nMl TOSiN HALL OFS~~ SOUTHOLD, NEN YOA~ 1197[ 765 - 1802 dlll't,1CATI0M FOR CERTIFICATE OF OCCIIPANCY DATE. L~e.c....ZO.,• .7.5~E'i9.. . tlrlit CON;TAUGTI011 .,r,.srQLO OR PR.B-EXISTING BUILDING......VACANT LAND........ •trsa~tioa a# Psar+Mrt7., ~9J-,ri. ~7-f-kY'!'rs??~. A.Ve Sov~tYi~ld MAY;t NO. STA$ET HAMLET ~~ea*r as Ovnrrra #'raMrscy, Peter. Haeffner • •ounty Tax Nap Ma. tQ00 ;action ...Q.7D. Block ....1.R. Lot .....~7.. ubdiMiaian 8iled Map ........Lot.......... •rMit No. ~-.~.56,5aZ,..111iR11 of Permit 12f6fF~~..Applicaat Lnt.uonmPnt: ~s~:~Incf for OFrners •a1[b Do pt. Approval ...~Z/A............ Underwriters Approval... laaniag board Apprava~1 .'~`9............ w~µast toc Tarp+trd~ry Certificate Final Certificate .X............ Ka Submitted: APPLIGA T.. ~;;;sident~.~~ .on t~Fa~ Inc. 3 Ca zi~692 ~~yd :v. 10/14/88 ~ I,Ai:p _ ic)Ulo9) THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 9 JOHN STREET. NEW YORK, NEW YORK 10038 JANUARY 05,199 6357'1689/89 N .10~>A9v Dote Application No. on file THIS CERTIFIES THAT i only the akxtrlcal equipment a• described hdow and introduced by thr applicant Homed on she shoos application numMr in the premises of HAY;FFNI';R, 1950 CIABARVTF.11 AV, Y~iIIk;A15, SQ[ITHOi.)I, N.Y. n GAR/6t1T in the ollowin loca ' ~ 1st Fl. ? Ynd Fl. .Section Black Lot f A ~1M6FkB1°~°`T~89 was examined un and found to he in compliance with the reyuirements of this Board. NXTURE XTURES RANOK COOKING DECKf OVENS qSN WASNERS EXHAUST FANS OUTtlTS KCBTAC4f fW1TCNff N(:ANDESCENT F1U011EECEM OTNEX MIT. K. W. AMi. K. W. AMi. K.W. AMT. K. W. AMt. N. P. F9 18 11 L9 1 1l.1 l 1.2 ~ k' DRYERS RlRNACE MOTORS 1VTUtl AtM11ANCE tRlOEIK tiKGAI RtC'?T i1MR ClOCKf flU DENT NEATERf teUl W ~ gMMERS AMT. K. W. Oll N. P. GAt X. P. AMT. NO. A. W. G. AMT. UM. AMT. AMPt. TRANS. AMT. N. P. ~ MT MAT. WATR ti00 SlRVICB DISWNNECT NO.Of f E R V 1 C E AMT. AAV. TYPE MR0111?. 1 / TM 1 / AV 7 / Tv ] / AW RRGrCOND. Of CC COND. NG. Of N4lFG Of ~ ~iF(; NO.OP NEUtMtS ~ ~fXll~l 1 ').00 C,8 t % 1. 2/0 1. 7,/i) OiNEII AMARATUf: G.F.C.1;~-3 GARY 1)nROSKI t11C./1.9A1-R 420 NbN5Y:t,I, t~N. C;LITCHOGIIIS, NY, '!19'.4 p~u I] Per This certificate mutt not be altered in any manner; rNurn to tM office of the Board if irrcorrM. Inspectors may be itienKfied by 1Mir credsMials. COPY FOR BUILDING DEPARTMENT. TNIS COPY OF CERTIFIGTE MUST NOT BE ALTERED IN ANY MANNER. ~ Q ~0 HENRY J. SMITH & SON, Inc. Q PLUMBING. HEATING & FUEL OIL MAIN ROAD SOUTHOLD, N Y, 11971 QLDG (518) 7s5-3690 ~'bWAI OF $QE~' D C_E_R_T_I_F_I_C_A_T_I_0_N_ . . Date_ December ~Q,. 198g_ Building Permit No._17665Z_______^ Owner Environment East__ Petex H~eg~y7,~, Clearview Ave, Southold Plumber Henry_S__Smith & Soni_Inc_ ' I certify that the solder used in the water supply system contains less than 2/10 of 17 lead. ~ t Henry P. Smi Sworn to before me this 20th day of =~g~~~___, c Notary P~ ublic Notary Public, Suffolk County 3ERNADETTE L TAPLIN NDTARY PUBLIC kA84A843 Ski~~ ~f New Yark Ra<~d~m; " Surtdk Cou~r 7misvc~~ '~:.,,res Sept 3U, 1V-11 ~r~• w ~1J' ,r. c ~ " r L ~ f'/1P,lIP/I(/l/Li~ ~11A~ • w r " ~ - ~ ~ ~a~ad ~~a~~ ~e ~cc~,cvre Environment East, Inc. ~ ~ R R. No. 3 - 3075 Indian Neck Lane Pecomc, New York 11958 _ 516-7347474 ~r s i ; ~ , ' ~ JAN l Z i99f3 January 12, 1990 Southold Town Building Dept. T[ s t, ;,~t~faJ~ o Town Hall Main Road Southold, NY 11971 Dear Sirs, Enclosed are copies of the Underwriters Certificates for the work at the Haeffne dence covered under permit # 17665 and the work on the if prop rty under permit #182962. - P,µ,v ~ / Jl~~yp If any adds o al information is needed for the Certificates of Occupaneys, ase let us know. ~ ~2 Sincerely, F Peter R. toutenburgh Preside Enva.ro ment East, Inc. Encl PRS: m :1£LD i:, S.-Ci;~: i~ Mani I~ i`4MENT.°. -o - ~ cn 7 . e2 s~ a H ~ y FOUNDATION ~ ( 1st ) JII - - - m FOUNDATION (2nd) 2. ~ 01 . ~ P,OUGH FRAME PLUMBING ~ ti H 3 . - ~ .it-..~ ~ I1dSULATIDPI PER N. Y. r y STATE ENERGY / CODE --ee--__ s /4~ _y ~ C' ~ ~ a 4 . .e i FIi4AL ' I o~ rn ADDITIONAL COMhfENTS: m L~ H S 9 H H O x rn a r H x 0 m ~o H 7rs-iso2 BUILDING DEPT. lNSPECTIC~N [ ]FOUNDATION i5T f ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ FFINAL REMARKS: DATE/y INSPECTOR ~ 7~ ~ J 765-1802 BUILDING DEPT. INS~PECTl4N [ ]FOUNDATION 1ST (v] OUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ ~.t~, DATE INSPECTOR /~~Q1i ass-lsoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 15T f I ROUGH PLBG. [ ] FOUNDATION ZND [ ] IN5ULATION [ ]FRAMING [ FINAL REMARKS: __¢y"~~ Q~~~ ~ ~r DATE ! 3 INSPECTOR C~ CB J T65_180Z BUILDING DEPT. 1NS+PECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ 7 FRAMING [ ]FINAL REMARKS: ~ ~ ~ DATE INSPECTOR ~ 7~~ s ass-isoz BUILDING DEPT, 1 NSPECTION [ ]FOUNDATION 1ST f ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [~RAMING [ ]FINAL REMARKS: ~.~-~_,~'iC DATE / ~ U INSPECTOR y~ T65-1802 BUILDING DEPT. INSPECTION (FOUNDATION 1ST [ ] ROUGH PLBG. [FOUNDATION 2ND ( ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~--n=~~~-~ DATE 3 ~ INSPECTOR 4_.____. ~ 5UFF0(/~~0~ HENRY P SMITH, President TELEPHONE JOHN M BRED EMEYER, Vice-Pees. ~ ~ (516) 765-1092 PHlLLIP J. GOUBEAUD ~+0 ~ `F ELLEN MKLARSEN JR ~ ~~OT BOARD OF TOWN TRUSTEES TOWN OF SOIITHOLD Town Hall, 53095 Main Road P O Box 728 Southold, New York 11971 December 21, 1987 Ms. Nancy L. Steelman, Principal Samuels -Steelman, Architects 57125 Main Road Southold, New York 11971 Re: Haeffner Residence, 1915 Clearview Ave., Southold Dear Ms. Steelman: Pursuant to your request for a waiver of the wetland ordinance for the above captioned property please be advised that the Board of Trustees took the following action during their regular meeting held on December 17, 1987. Moved by Trustee Bredemeyer seconded by Trustee Krupski WHEREAS, Nancy L. Steelman on behalf of Mr. Pete Haeffner requested a WAIVER of the GVetland Ordinance for the construction of a family room and deck at the first floor and a master bedroom suite at the second floor on property located at 1915 Clearview Ave., Southold, and WHEREAS, the Board members have personally viewed the property and WHEREAS, the Board made the following findmg~ of fact: 1. By this request appellant requests permission to construct a family room and deck at the first floor and a master bedroom suite at the second floor. 2. The subject property is located at 1915 Clearview Ave. , Southold. 3. The protect will not affect the health, safety or general welfare of the people of the town. Now therefore be it RESOLVED that Nancy L. Steelman on behalf of Pete Haeffner be and hereby is granted a Waiver of the Wetland Ordinance as requested with the provision that there is to be no disturbance to the wetland area. A 50' buffer area is to be maintained . Please remit a $25.00 fee at this time. Please retuxn to the Building Dept. for a determination on the need of any other town permits that may be required for this protect. 'q _ . Page 2. Very truly yours, Henry P. Smith, President Board of Town Trustees HPS:ip cc: Commissioner Thomas C. Jorling, D.E.C., Albany Robert A. Greene, D.E.C., Stony Brook Stephen Mars, Army Corps of Engineers Thomas Hart, Coastal Management John Holzapfel, Chairman, Southold Town C.A.C. Victor Lessard, Admin. , Building Dept. Planning Board Board of Appeals file - ~~L~'uYi°d~o~t~.f3~8~~inq~ic{f E~Ki~mg@talservation Room 219, /Stony1Brook, NY 11794 ~(,j/J/g7 NAh~ 5~~e~,~+fY~~l?rl Re:J/C~~ RQe~Vl@Y ~"'.~,1:. ~~`e~~(~--~_l~Q~( HCommissi'o+nams ~~a~~ N~~ IIRZ l ~rn#.I000-b~o- to-a~ Dear +~CJ 5~,~~ A review has been made of your proposalit : Cp~-~.(' C'~ ice{ a~. c~p.~~ cc~, ~~10 ~..e ~ ~ ,,~4v~hv~.'y~`Sov~~~id Bas~~n t e in rr~a-tio~~+`~ ~a'0't~~su~lYtt'e t~w York State Department of nvironmental Conservation has determined that the parcel project is: Greater than 300' from inventoried tidal wetlands. _ Landward of a substantial man-made structure greater than 100' in length which was constructed prior to 9 20 77. _ Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' in elevation above mean sea level. 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 be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact 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 your~s.,~, 1,~C7~-ril % ~c,~a-~ q(o~: rv~ Q Deputy Regional Permit Administrator JAI ,n ~,l~~C~ ~`~bm '~~cOP~S`PC~ Qa C~~ I~IOYI s1~0..1I r'''~`- ~ c~ y ~ w~.l1S ~ ~ Yea inc~rq ~ . . New York State Department of Environmental Conservation Bldg 40 SUNY, Rm 219 Stony Brook, N.Y. 11794 Henry G. Williams 111 ~I,'' ~n J C~e~~~`' ~ Date /D//(//~~ Commissioner So~~p~d, fly ~ Re: Application No.* ~~-"J~_/~/~ Applicant / Owner - P, /~Gte~~Fher Dear Applicant: The Bureau of Marine Habitat Protection has completed its field review of your pro3ect and has the following comments: 'thy ~~'cQos~e~ lec~~.~-~ar~ o~ d~~K ~C~c~i~~on ~5 I~cc~~ec~ ~IO` 1~ht~vJarCQ C~' --~1~;~.1 t,v~~~c~v~cQ bovv~c~c~~~, Q1~~S~ reloe~,~e. dick ~ Q~ 1i~;on,5 ~Q~n~• 6 tv~e g' 1~~~1i~v~ ~SQ~c~ K~ Y ~v~~P We are returning a copy of the plan you submitted with recommended changes noted thereon. The project srte was qot properly staked. Please notify us in writing when the staking rs completed and submit photographs confirming Lhe staked area. The property could not be located, please submit a specific location map and/or directions. We are advised that work has started at this siL-e and therefore according to section 621.3(e) of the Uniform Procedures Act processing of your application is suspended until such time as it can be verified that the violation is resolved.(Written verification rs necessary). 3 Upon submittal of revised plans (-Eeu-r copies) incorporating ouc recommendations and/or requirements we will reswne processing of your application. * Please refer to the Application No. rn all correspondence. If we do not recerve a response within 3 ~ days of the date of this letter we will assume that you helve abandoned your proposal and will consider your application withdrawn. ~rncerely ~F1'1 /~D~ ~m ~l(Q~I l e z z r~ ° o / 3 a pL A ~ ~m X11 I f ~ t ~ n ~ y~ _ 1 ~ ~ ~ n m ~ 1 7 rt ~ G i i ~ r p N i ~ ~ ~ ~ Z ~ ~ ~ m r~ 1 5 m cr ~ ~ =r ~ p ~ ~ :G Z V+ ~ Ct~ ` 'A --1 ~ 'Sr O ~ Q ~t p 1~ ,t U, ~ C-Tl J C~, C ~ D s. ' ~ ~ ~ ~ _ ~ ~ FORM NO. 1 ~,{22.~:.t'~ ~ S 1 A _ TOWN OF SOUTHOLD ~ i` ~ 2 BUILDING DEPARTMENT ~ ~y~~ - ~,yZ~L~~~ ~ll TOWN HALL BLDG DE?T SOUTHOLD, N.Y. 11971 70wN OF sot!THa~fl TEL.: 765.1802 Tau ~ ~-z7.7- Examrne~d~~s'~!~"~.. 19 Received.......... , 19. . Approved ~.?t+~e.~ 19 Permit No 1.7 ~P ~ y . Drsapproved a/c . ` ~ ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ,SeptembEr„26~,~ 19.` INSTRUCTIONS a. This application must be completely filled in by typewriter or rn rnk and submrtted to the Building Inspector, wrti- sets of plans, accurate plot plan to scale. Fee according to schedule. b. Piot plan showing location of lot and of burldmgs on premises, relatronshrp to ad~orntng premises or public stre~ or areas, and giving a detailed description of layout of property must be drawn on the dragram which is part of this apg catron. c. The work covered by this application may not be commenced before rssuance of Building Permrt. d. Upon approval of this application, the Burldmg Inspector will issued a Building Permrt to the applicant. Such perm shall be kept on the premrses available for inspectron throughout the work. e. No building shall be occupred or used m whole or in pazt for any purpose whatever until a Certrficate of Occupar_ shall have been granted by the Burldmg Inspector APPLICATION IS HEREBY MADE to the Burldmg Depaztment for the rssuance of a Burldmg Permit pursuant to t Bmldrng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applrcable Laws, Ordinances Regulatrons, for the constructron of buildings, addrtrons or alterations, or for removal or demolrtron, as herein describe The applicant agrees to comgly wrth all apghcable laws, ordinances, buildrhg code, housing code, and regulations, and admrt authorized inspectors on premrses and in building for necessary mspectrons. .Snuironmant. F'.as~.,..Iao (Srgnature of applrcant, or name, rf a corporatron) 3075 Indian Neck Lane Pe.conic.,. :3Y .11958......... (Mailing address of applicant) State whether applrcant rs owner, lessee, agent, azchitect, engineer, general contractor, electrrcran, plumber or burlde Gene'ral.C.antrac.tor Name of owner of premrses P,e.te r. $c . Nanny. HaeEfner (as on the tax roll or latest deed) If p/hcant ryr Srgnature of duly authorized officer. ~ ..Pres...... (Name and true of corporate officer) Burlder's Lrcense No. 55~6HI. , . , . Plumber's Lrcense No Electrrcran's Lrcense No. Other Trade's Lrcense No. . 1. Locatron of land on wlrrch proposed work wrll be done. . . 1915 Qlearview.Ave,,,,,,,,,,, Southold House Number Street Hamlet County Tax Map No 1000 Section •~~0..... .Block 10_ Lot . Subdrvrsron Fded Map No Lot . (Name) 3. State exrs4ng use and occupancy of premrses and intended use and occupancy of proposed constructron. a.Exrstrnguseandoccupancy~ne,farnily,,dwellirr~,,,_ b lntendeduseandoccupancy Dne far7ily dwelling with addlt~~Xi , . 3. Nature of work (check which applicable). New Building Addition X Alteration . Repair Removal Demolition .......Other Work . ~Q~ I_ (Descnption 4 Estimated Cost "V l~~l 6QQ .Fee . (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor .1.......... . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type ,of use . 7. Dimensions of existing structures, if any: Front 70?.........Rear .....7.4 r....... Depth ~~lr........ . Height Number of Stones . Dunensions of same structure with alterations or additions• Front 70 r Rear . . . Depth ...li.6 ~ ................Height Number of Stones , l . 8. Dimensions of entire new construction: Front 3 I , Rear . 1~........... Depth 1~'...... . Height Number of Stones . l..... • • • '22~ c . 9. Size of lot• Front 100...Q0 Rear .......105 • Depth 33/;'33 .8~, , , , 10 Date of Purchase Name of Former Owner . 11. Zone or use district in which premises are situated . , ,Residential 12. Does proposed construction violate any zoning law, ordinance or regulation• .No . 13. Will lot be regraded No Will excess fill be removed from premises: gs 14. Name of Owner of premisesl?...13&.@ #'f.ne Address19ZS C 1e arvie ~vephone No. 76S5~S3, . , . Name of Architect ..Address Phone No . Name of Contractor nv iro rie nit n~ E a s t, ~ ~I ric . Address3 a75..r tid i ari ' 17k"L~ " " " " ' " " " " ' ;7e c o ni 6 ; ".V'i' ' I19'~~hone No. 73.4- 7~.71~4 . . PLAT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dunensions f property fines Give street and block number or descnption according to deed, and show street names and indicate whe intenor or cornet lot. STATE OF NE~vG~~ OR~ J ~i S.S COUN Oc~F 4J~ (tti / . , 4T ~ ~t~ut~ ~2.C/.4'G(~ being duly sworn, deposes and says that he is the apply (Name of individual signing contra ibove named. Ieisthe ontractor gent, corporate officer, etc ) if said owner or owners, and is duly authon a to perform or have performed the said work and to make and file application; that all statements contained in this application are true to the best of his knowledge and belief; and than .vork will be performed m the manner set forth in the application filed therewith. iworn to before me this ..day of . ~ , 19 .'~.O Qotary Public,(~,,;~~SC.,E/K• / Coun CLAIRE G t31.EW i e-.. . ~Y~ ~ 6~ MWNewYorlc 1 . (Signature of applii Qual'rfied in Sufloik County Commassaon Expues December 8. t 9! -