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Home My WebLink About17682-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18656 Date DECEMBER 19, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1105 WESTWOOD LANE & 695 INLET POND RD. GREENPORT House No. Street Hamlet County Tax Map No. 1000 Section 33 Block 2 Lot 5 Section #2 Subdivision M/o Eastern Shores/Filed Map No. 4426 Lot No. 73 conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 6, 1988 pursuant to which Building Permit No. 17682-Z dated DECEMBER 13, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & DECK AS APPLIED FOR The certificate is issued to JAMES P. & BEVERLY A. SAGE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-67-DEC. 11, 1989 UNDERWRITERS CERTIFICATE NO. PENDING - OCTOBER 4, 1989 PLUMBERS CERTIFICATION DATED DECEMBER 12, 1989-DAVID LEE FULTON Bu lding Inspector Rev. 1/81 i- _ _ _ _ _ _ _ _ rows xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON Tt-IE PREMISES UNTlL FULL COMPLETION OF THE WORK AUTHORIZED) 19..... . N°_ G17682 Z Date ../..~?.~.1..~ ~ Permission is hereby granted to• ..i~.~lcry%?~~/~!2'1~.,..~.G~~~....1./..4.r~.t~.~ / . to ~'°'!'~lfc.GL-.•••eF7GG ~q•~.. ~iG,!:rr~:.....~f'...''..~ / ` f_~.... ct premises located at .~.~Q...`~'r..~..k(l.,XR~f...kf.6.~^C.~..~2.~~! .............................~r...~~f. County Tox Map No 1000 Section 81ock .....~i........... Lot No .....r~^... pursuant to application doted ~.~~~t..... 19.~g and approved by the Buiid~ng Inspector. Fee 3 . ~J~.. .C ~Buildi nspector Rev 6/30/80 ,THE NEW YORK BOARD Of FIRE UNDERWRITERS PAGT1 .1 1.195099 fUREAV Of ELEC7RIC:1'TY 8f JOHN STREET, NEW YORK, NEW YOIMC 10038 n.a DECEMBER 19.1989 AppllcatianNo.onf7le 61620189189 N 1070'1.6 TNIf CERTFFIEf TFIAT awly tka a~eeteieal aquipmsnt v dseDriksd MIoTe anel lntrodreed 6Y tlw applkwt named on tka a6ow applioaNon numkar in the premLee of JAMES P. SAGE, iIESTi(OOD LANE, GREENPORT, N.Y. GAR /ATT1r_ /our '7.i iw tMJoBa~etnR Iocation; ~ Basement 0 let FI. ®Ynd Fi. Section Block Lot swt e:emined on DECEMBER 06,1989 andJoMnd to 5e in rnmptlonremitk the reyuiremente of thL Board. RRTIIY 11JRRS RAMORY 0 0 0 11111 6 elCKS OW11r KAUST fA114 OUTtRS A~6 ~T~ INGNpKENT n11peSC2N/ OTNfR AMT. K. W. AMT. R, W. AML R.W. NAT. R.W. AMT. N. r. 85 80 86 85 1 7.5 1 7..2 3 f' BRYRRf RIRNAQ2 MOTORS NTIIRe AeeuAIlrJ R~Nf srKliu ersa ilRlRt.?OCKf ~ Y1NT 1EATMf tttMihtltiTYt DIMMRRS AMT. N. W. ql N. r. GAS N. r. AMT. NO. A. W.O. AMT. AIM. AMT: AMPS. TRANS: AML N. p ~1 M1T. WATfE 5 F 1 30 1 8 500 SBRWIO CMCOIMRiCT NO.Oe 5 ! R p~ V 1 C R AMT. AIN. rrrt ~ w aw t w tw 7.I aw S w IW NO. q CC; OIVD. W.ONC. NO.Or X4LEG p. W' NO. a NEl1TIlALS a . W. 1 200 CR I X 7 2/0 1 1/0 ~OTtIRt ANMRAT11k HYDRO MASSAGE UNIT-1. ~2 ~ ~,~5~ NOTOR3:1-.75 N.P. J C,,F.C.I:_7 .e'o'~ SAGE JAMITS L1C.i3635 E 519 STERLING PLACP; GRRENPORT, NY, 11.944 oRKmiu MIWAM 11 . Per Tiw nrlilicaN npM net ita ohRnd in any mannRr; rNwn ro 1kR 07 flw bard if incarRet.. s br idaMi,., r . _~?9!!'~! ~e w~~c os~~ue'twsrr. n+a c#a~xN~~t'~ w~sr ?+~t r~ ~w fir. TOS7N OF SOUTIIOLD 1/~~j I(~~ (L 1 BUILDI!!G DLPART:II:NT `I`~'~ '"'"'"~~""°°~VJ"-"-~'!~ TOLlN DALL f' ~ 1 ~ ~f I SOUTDOLD, NEN YO!!K 1197 fi€11L 4+.'W 765 - 1802 UUU 111~SSTODUN OF SOUTFIOLD` APPLICATION FOR C):RTZFZCATE OF OCCIIPAUCY G g DATE _ ...~~~/~O . HEN CONSTAUCTZON ~ OLD OR PRE-E%ISTIilG BUILDINC....._VAC/A!!T LAND........ Location of Property./IOS._...__._.l~L:~l ~~Q~~..~~:._....1..t~L~~°:1.~.~,~ IIOUSE NO_~fn~ ~/~/~t jj STP.CET UAMLLT Ovner or Ovncrs of PropcrCy. _ Kl~~.~1~4y. _ .J~~~.... ~~.~~,%~.t. i:ountp Taz Hap No. 1000 Section IIlock Lo[ Srsbdivision Filed Map __..__..Lot____...... '7 / p ^-7~ t Q Pcrait No. C ~Z4~Z-Datc of Pcrmic ~~~3~~~_.Applicant^~~~~I.~/_~/~/~"~_ ~J~ Health Dept. Approval Undcrvritcrs ApprovalSOf.S~Z~~.~/.._ Planning Board Approval Request for Temporary Certificate Final Certificate Y._.._._..... N Fcc Submitted: $ APPLICAN ~,~2 •A, cv' 10/I4/II8 LL> ~ ~Q45~ Officers / r ~/,/l j MAYOA V iLLQ9e O/ V reea/norG UTH.ITY OFFICE TEL. GEORGE W HUBBARD J INCOnnonwreo IEaE (516) 4774748 NEW INOOp/OphTION A~pILa 18M TRUSTEES pE INCOn~OpAT10N UNOEp GENEpwL LhW MAY 9E L9~ POWER PLANT TEL. WILLIAM D ALLEN ~ Eye (516) 477-0172 STEPHEN L CLAR KE ,T DAVIDS CORWIN ,d.~^Nf~ F t~ FAX (516)4774877 GAIL 1 NORTON ' . E~~ p N~ 1 S L A N 0 y ~ SUPT OF UTILITIES E`- ems' JAMES I. MONSELL ~~.a- 236 THIRD STREET ~ P O. BOX AH SUPT. OF WATER & SEWER GREENPORT, NEW YORK 11944 H. B SHERMAN December 5, 1989 Mr. Norman Wagner ~--v-`°r n~ t Suffolk County Health Department 'i)l,~l~~t-`~-'- L~' = ~ ~1~1 Suffolk County Center '.i app Riverhead, N. Y. 11901 ~,i p j 2 Wv ' es".c~ oil-r zg 7(~'~ Jh OF 50U'i HOLD Dear Mr. Wagner: FF.. The following water service line was connected to the Public Water Supply by the Village of Greenport during September 1989. The installation was done according to our rules and regulations and, to the best of our knowledge, meets with the Suffolk County Health Department standards. James Sage -Lot iE73 Westwood Lane -Eastern Shores, Greenport -Installed 9/20/89 - P.ef. 1',S°-SO-57. If I can be of further service, please contact me. Ver/y tr~ujly yours, H. B. Sherman Superintendent of Water & Sewer HBS:lkm f00 Years of Community Serwce TEL. 7G5-1802 c~~FFOL,Y~, TORN OF SOUTHOd.D O O " 'y° l ~`c OFFICE OF IIUILDII~IG iNSPECI'OR ~ P.O. BOX 728 + v' ' ~ r'' TOWN HALL "O ~ ~ ~ SOUTHOLD, N.Y. 11971 C E R T I F I•C,A T I O N Date / la ~ C/ Building Permit NQQo. DaZ Owner ~'~1YI1f°,.~ t L~f (%fki~C,1 ~ f'.~ (pl~iase print ,q~- Plumber ~,E ~ f [ZfrL~yl (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 bef ^ me thi r~~day of ~X~~~Ti-~i~, / 19~L• Notary Public ` Rotary Public, ~ County CLA~RELGt.EW , ~ Notary Public, State of New Vork No 4879505 Quabfiad ~n Suffolk County Comm+saen Expires December 3. 1 -1cLD L',SLEC.i~:~ ~(UU„:E ~ UUa`iMLNiD H H FOUtIDATION (1st) ~ t c FOUNDATIOt1 (2nd) m 2. D, ~ z Oi ROUGH FRAME & ~ ~ PLUMBING D O y~ 3. x m` n IIISULATIOCI PER N. Y. ..3 STATE ENERGY CODE x a . L ---(yam FI;IAL ' a ADDITIONAL COMMENTS' x~ ~ !i - . x H A H ~ H O C7 A r H Z v m ~v ' H ~7~~-~~ 765-1802 BUILDING DEPT. INSPECTION [v] OUNDATION 1ST f } ROUGH PLBG. [ ~ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ ~ ~i~--u-~2_.~~~~ ?W-~rJ~ _ DATE~2~INSPECTOR~ ~ ~ ~ f?~ 7ss-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ } FOUNDATION 2ND [ yyINSULATION [ ]FRAMING [ FINAL f,~ REMARKS: y~ !G~ DATE ~ ~ INSPECTOR i2~''v 765-1802 BUILDING DEPT. 1 NSPECTION ( ]FOUNDATION 1ST ~ ] ROUGH PLBG. [ OUNDATION 2ND [ ]INSULATION [ ]FRAMING ( ]FINAL REMARK-S: i ~ ~ v ( - l C DATE ~ o`~ INSPECTO~ ~ , ~f ~ f ~~u,//~/~/j/~y~c*C yp c BUILDING DEPT. ~2~~~ INSRECTIAN [ ]FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION ~'j FRAMING [ ]FINAL REMARKS: ~ ~ ' , i ~ ~ ~ . r DATE~,~2Sf e~/r~`f INSPECTOR'~~"''"~ 17~~v 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ~ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] iN ULATION [ ]FRAMING [ FINAL REMARKS: ~ Gs~ DATE INSPECTOR 1 ~ / ~ Z 765-1802 BUILDING DEPT. INSPECTIO U [ ]FOUNDATION 1ST ( } ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [/]/FINAL R MARKS: .iW (~2 a 'f DATE ~ INSPECTOR may- BOARD DF HEALTH U tt ~L s~~~ `•~.~~.Y'~ 3 SETS Or PLANS G K . . ~~t,W~ FORMN0.1 SURVEY ~ K TOWN OF SOUTHOLD CHECK ~ 5•il • • ' BU{LDING DEPARTMENT SEPTIC FORM TOWN HALL ^~gGDEP* SOUTHOLD,NY.11971 NOTIFY - TEL.•765.1802 CALL ~ p MAIL TO: Exammed.~~.,/!'3.. , 19 ~QU ~i, Approved ~ f ~ , 19~v Permit No ~ ? 7'-' Disapproved of c ( fldi ns ector) APPLICATION OR fiUILDING PERMIT Date 19 INSTRUCTIONS a. This applicatron must be completely tilled m by typewnter or m ink and submitted to the Building Inspector, wi sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showing locatron of lot and of buildings on premises, relationship to ad}oining premises or public str or azeas, and giving a detailed descriptron of ]ayout of property must be drawn on the diagram which is part of this al cation. c. The work covered by this application may not be commenced before issuance of Buildmg Permit d Upon approval of this application, the Building Inspector will issued a Buildmg Permit to the applicant. Such peg shall be kept on the premises available for inspection throughout the work e. No building shall be occupied or used m whole or m pazt for any purpose whatever until a Certificate of Occupy shall have been granted by the Buildmg Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Buildmg Permit pursuant to Buildmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the construction of buildings, additrons or alterations, or for removal or demohtron, as herein descnl The applicant agrees to comply with all applicable laws, ordinances, Buildmg code, housing code, and regulations, an~ admit authonzed inspectors on premises and m Buildmg for necessary inspectrons . . . . . . (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electncian, plumber or built . ~u1Nfc2 . Name of owner of premises V [~'i1 ES. 1C Sf~fvG. / QJ ~4~ ~ 2~ /7`. ,~~Jt;~ , - • • • • - • • . . (as on the tax roll or latest deed) If applicant is a corporarion, signature of duly authorized officer (Name and title of corporate officer) ALL CONTRACTOR'S MUS~B$ SjjFFOLK COUNTY LICENSED Builder's License No. 1SS'' . Plumber's License No. a//~?: Electncian's License No 3.t~'3S Other Trade's License No C~i~n~6~- I Location of land on which proposed work will be done ~Crr R 7~cs?It7 ~ltC)2..~ tc 9cr~ ~.lltET f/d/~~ J C ~~~~1:' .~G°"Z-~" 7 OtJ : y ~ ~ ~ ~ (.t,1 EST~G7C'P0.. tZ~9~.~~., .G1cFa! sv~~~l~'.~' House Number Street Hamlet County Tax Map No 1000 Section ~.3~ Block • ~ Lot . CG'5~~. Subdrvision~r757.£k'~ .~h02f'S FxT C'l~~F~~f'~ Filed Map No yy~ Lot ~,3 . . (Name) 2 State existing use and occupancy of ~prlemises and intended use and occupancy of proposed construction. a Existing use and occupancy i! ~ C n T : 11 +p , , . b. Intended use and occupancy F'~ M I L.y L/G~~ ~l- ( n C 3. Nature of work (check which applicable) New Building Addition Alteration . Repair .Removal , Demolition ....Other \Vork . scnption) 4. Estimated Cost . ~ S.~C": ~ • • • • .Fee . ` (to be paid on filing this application) . 5 If dwelling, number of dwelling units Number of dwelling units on each floor . . If garage, number of cazs c~. . 6 If business, commercial or mixed occupancy, specify n`a/Lure and extent of each y e of use 7. Dimensions of existing structures, if any Front .N~. .Rear nt~~ Depth l.~~l~. , . Height }1~,11'~ Number of Stones /f '7/ . Dimensions f sarp structure with alterations or ad i Qns Front ~ Rear ~ Depth !v ~ ....Height ..~~/f umber of Stones . 8. Dunensions of entire new construction Front ~ (~F'T Rear . ~p~p. Depth . Height ....Number of Stones . ~ . . 9 Size of lot Front C ~~y.//(~ .!T Rear llepth 10 Date of Purchase y Ri.QC% . Nam: of Former Owner F~e1/91c~ u-rt.$fd~l~~. 1 1 Zone or use distnct i ~ ich premises cre situ ate i . . 12 Does proposed construction violate any zoning law, ordinance or regulation ~Li . 13 Will lot be regraded ,1` f.5 Will excess fill be removed from premises Yes 14. Name of Owner of premises . Address Phone No. . Name of Architect Address . Phone No. . . Name of Contractor ..Address . Phone No. . i5. Is this property located within 300 feetyyof a tgidal wetland? *Yes No *If yes, Southold Town Trustees PermitPLOTDIAGKAMed. Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions frog property fines. Give street and block number or descnption according to deed, and show street names and indicate wheth~ intenor or corner lot. ~ ~ --Z~ ti f' STATE OF NEW YORK, S S COUNTY OF being duly sworn, deposes and says that he is the apphcai (Name of mdrvidual signing contract) above named He is the (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file th application; that all statements contained in this application are true to the best of his knowledge and belief, and that tl work will be performed m the manner set forth in the application filed therewith Sworn to before me this ~P..jj day of. . 19 Notary Public, ~`52.K4~! ~ P:.(/ , . County ..<___~~.~c*J HELEN K DE d0E (Signature of apphcan ~No~4767818, SuNulk Cou rfp p~ Term Expires Merch 30, ly y ` i ~ a1 a ~O~ (t~OCc.7''97'J s ' ~G?T ,~r t`Vll. t: 7`,, 9 ' ~ ~ ~ „ f'~1'aic ~ c 1 ( /'t'G Er' - _~-.f",»•~,a ,•-"~<.'r - ~ fem. 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