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HomeMy WebLinkAbout17194-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219142 Date JUNE 13, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2000 BEEBE DR. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 03 Lot 07 Subdivision MOOSE COVE Filed Map No. 3230 Lot No, 53 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29, 1988 pursuant to which Building Permit No. 171942 dated JULY 6, 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 DECK AS APPLIEII FOR. The certificate is issued to DAVIB M. WINKhER & LYNN A. JOHNSON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-56-235 6/12/90 UNDERWRITERS CERTIFICATE N0. PENDING SLIP 6/7/90 PLUMBERS CERTIFICATION DATED HARDY PLIIP~IBING 4/3/90 mil/ i B ilding Inspector Rev. 1/81 i xosas xo. a ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST 8E KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 017194 Z Dote 19.~.~ Permission is hereby granted to: ' at Premises located at ..~.'~:a......`.~a...r.4,~..~~!':~.~~ ' Caunty Tax Map No. 1000 Section ......~r.Q.~...... Blogck .......~..w~..... `L'ot No....®.~ pursuant to application dated ........~A,.....=Z...1 19..~.d, and approved by the Building Ins~~p~~ector. Fee ......0 z"...... Building Inspector Rev. 6/30/80 ate' Form No. 6 R W ! ~`^?'J3 TOWN OF SOUTHOLD ~ ~ [1 ~f BUILDTOWNDHALLTMENT ~ U ~I~~ //1n ~ ~ ~`?O~~t ~ 765-1802 ( ~ ~ ~ ~ ' ~y ~ i( I ; ~ F tl..i, a i ~~.a APPLICATION FOR CERTIFICATE OF OCCUPAN ~131.0;.pEP'~~~-v„u-;- s .nTOW~! OF SC~IJTtiOL~S A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept, of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains a less than 2/10 of 17> lead. , 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. i B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ' 2. A properly completed application and a consent to inspect signed by the applicant, If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00, 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 S,. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .....6 l~ f~ New Construction...../ Old/Or jPre-existing Building..••••••.••.•..'.• Location of Property..¢Zr~;~.q../5,e2/!l..~o:'::P.....~.C~f:~°F~ House No. / / Street Hamlet Onwer or Owners of Property... vG~ „~y/,~~~~r y, , ; ; ,Gly; ; ~C4 ~p ~ County Tax Map No 1000, Section...~.°.~'.......Block....d .........Lot.....°..~. Subdivision ....................................Filed Map............Lot.............: Permit No...l,7(, :f. ,,,,.Date Of Permit..~`:?f' ~;1~/~: ~ 9 ......Applicant.l..yl.. Piealth Dept. Approval ..........................Underwriters Approval...................... ' Planning Board Approval ' Request for: Temporary Certificcate........... Final Certicate........... Fee Submitted: , 3~77~7 ~l ~6/i s f 90 ~ E, ~ Z ~ I ~ APPbICANT ~ . . _ T,E•L.7G.-1802 r~''C, ~ r-:-- Cp. TO~~~!I~1+ 0~ S1~~s1rT.fiI~~LU. 1,~ ..,_.•w.~. ~ : o~ra~ca: o~ aaaviina~a~ c~rs~E~a;o~ ' ',Q' L,a D '~,,,,,~,v.... "O ~ SOiJ'I'I~U,:.Q, .`•E 1'. 1,19,7=flt ~ ~J 1~J t-~~~~a i, C E R T I E° I CAT Z Q. Ld ~ "i G. e ) Date I~ Building Permit N~o, pI I'~~ (please print) P \ _ Plumber \ ~ ` ~ V~~ (pleas grin ) I certify that the solder used in the water supply system contains less than 2!10 of 1~ lead. (plumber's signature) Saturn to before me this day of ~ ~ 7~~~ _,~~~-P 19~ Rotary Public Nota:~ Pt+',_ic, ~ Coun:.y ~1)pOrt118 Ab.B$.~ ~~ab~i~ ! r'lELA I;:SPEC:IU,J ~~UATE ~ COMMENTS y ~ v 7. ` ~ ~ ~ ~ a H . _ H FOUNDATION (1st) . _ _ p~ r ~ p C .t'E ~ IP6/ m~ FOUNDATION) ( 2nd ) 2. ~ 0 P,OUGH FRAME ~ (~j PLUMBIN~ w H 3. ~ ~ n H I1dSULATIOPI PER N. ' STATE ENERGY CODE ' x 3 ~ _ y . FINAL ADDITIONAL COMMENTS: x`' ~o a D CD ~ ~ ' x ro H ~.r a H -.O O O Z Z O(! 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[ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: r ~ ~~T ~ r y DATE ~ t0 INSPECTOR / / 7~ rsS-isoz BUILDING DEPT. INSPECTION [ )FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ AL REMARKS: %z '~f"' I DATE INSPECTOR E l~l~~f 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [!~]~INSULATION [)FRAMING ® (]FINAL / REMARKS: ~~.~..~.a~~,~rr C~~y ~sp,~`t,? _ , DATE j ~ INSPECTOR ~i~ I (`7~~~ 765-1802 BUILDING DEPT. INSPECTI N [ ] FOl1NDATiON 1ST [ ] ROUGH PLBG. [ ] OUNDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL ~ A REMA KS: ~v-~-~~c_ r~dc DATE INSPECTOR T65-1802 BUILDING DEPT, INSPEC~'1ON [ ]FOUNDATION iST [ ]ROUGH 'PLBG. [Gj FOUNDATION 2ND [)INSULATION [ ]FRAMING [)FINAL REMARKS: G2~ ~ ~ I i ~ E I I' DATE _ i1/ x-° INSPECTOR 3 p /A~~s FORM N0. 1 JurZV~V ' TOWN OF SOUTHOLD CNfc,c BUILDING DEPARTMENT JE pYIc TOWN HALL SOUTHOLp, N.Y• 11971,,. ~ • ~f ~ TEL.: 765-1802 Examined l9~$. Received.......... , , 19.. . Approved ~ M~... 19~~. Permit No..I..~, ~ 9 ~ .LZ. _ ~1 Disapproved a/c ~ ,.-fin ; ,:qa ,i (Building Inspector) ~ ~L~G. i~t-;~f: Q ~ 'YOWN OF SOUTi-TOLD APPLICATION FOR BUILDING PERMtT QQ Date . ~.I 19 U8 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 adjoining premises or public streets ' or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not he commenced before issuance of Building Permit. `.d. Upon approval of this application, the Building Inspector wilt issued a Building Permit to the applicant. Such permit ' shall be kept on the premises available for inspection throughout the work. ' ' e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ' Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. - The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ' admit authorized inspectors on premises and in building for necessary inspections. EAST END LOG HgMkS & CONSTRUCTION, INC. (Signature of applicant, or name, if a corporation) 4465 Wickham Ave. pAattituck, N. Y. 1.1A52 T. Conlon (516) 298-9127 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor electrician, plumber o builder. ootJtkAcT` I r K Df}V tD M• W I nI ~ v[a3D~E. Name of owner of premises N:O.. S C. ('t0'~T1~4pt.~ L ~ . ~'p hil~}SDt~} (as on the tax roll or latest deed) If applicant is a rporation ature of duly authorized officer. n~~, P2~S , ...............V•~ Z (Name and till o corporate officer) Builder's License No. ~ g~.. . Plumber's License No . . Electrician's License No. .~E. sEl~Tc~?L Other Trade's License No . . 1. Location of land on which proposed work will be done . . House Number Street Hamlet County Tax Map No. 1000 Section Block Q,~......... Lot . Subdivision l;.''.i'.'......... a Filed Map No. -.J,.~ :3c,~........ Lot . (Name) 2. State existing use and occupancy of premises `an/d intended use and orrclcupancy of proposed construction: a. Existing use and occupancy ~C~c•~ t-~[ ~V~ . b. Intended use and occupancy SIN,g~ , ,~}hllLV , DLl)~ UAL 1~~-; , , , , , , , , , , , , 3. Nature of work (check which applicable): New Building Addition Alteration p ~ val on Other 1Vork . Re air Remo Demoliti . (Description) 4. Estimated Cost rL.0O1 O~ . . Fee . ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units . ~ Number of dwelling units on each floor • . • If garage, nwnber of cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....N~~' 7. Dimensions of existing structure, if any: Front Rear Depth Height ...............NumberofStories.......:................................................ Dimensions'of same structure with alterations or additions: Front Rear . Depth ....................',..Height Number of Stories . 8. Dimensions of entire new construction: Front .....(U. . • • • . Rear b~ Depth 3 . Height ; , Nutnbe~ of Stories ~ y.. • 9. Size of lot: Front . Rear .....ESQ Depth .311.'.353. ..~L~~8.7,................. ~~Na~~e of Former Owner .N. I,CrF1:o.4~...:.... • 10. Date of Purchase , . C f~~µ~N 11. 7.one or use district in which premises arc situated ~ . . 12.. Does proposed construction viola e any zoning law, ordinance or regulation: ...Nd . 13. WiB lot be regraded ,~0, Will excess fill be removed fSQm premises: Yes No 14. Name of Owner of premises A: ~~.NKIF.~{~1.:?t?N1~~dress 1nI.Rl!~!~T AvE . E• S~1!'KaT-Phone No Name of Architect . L1~1,CUl.IU, ,~t?GS, Ll~, , . AddressG~wJ Ny•, , , , ,Phone Nc~SIfC~ .`~9~ ~ ~•~•Z7• 15. Is this property located~~ 1_06 f(Ot`^t'g, ...Address M9'~1.~~: Phone No.. 2~,~; ~,l!~:~]... . Name of Contractor . • • ''within 300 feet of a tidal wetland? Yes No . *If yes, Southold Town Truistees Permit ma be re uired. WE~e.Au~s ~,pMlr~t($Cj , PLOxI' DIAGRAM 7 ?SS ~E~ Il 1~4$, Lacate clearly and distinctly alll! buildings, whether existing or proposed, and, indicate al set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether mteriar or corner lot. III SEE Cl~~ I i PAST CNf.1 LOG i18~fJt~5 ~ ~ e, CC~N4'P€:U~i1~JIJ, INr. i 455 Wickham Ave. Pl€afli'rucPc, lcl, N. 11452 iPATJr OF NEW YORK, ~I S.S T. Conlon (:alb) 245=412'r T:YOF............ l Q[J1V . "'~~y~Q ~ J : CO N , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~boyit named. I ie:is-the ................C'.O,2PD~.A;T~ ,O;~1.eE,2• 4T,~, ,2R;A~.. ,~A~, U 1~,R.Er~~:.................... . (Contractor,ag nt,corporate officer, etc.) if said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and 61e this application; that all statements cogtained in this application are true to the best of his knowledge and belief; and that the vork will be performed in the manner set forth in the application filed therewith. iwarn to before me this i rotary Public, l:"z:`:~'.'r• • f~ :K-• j/C71~-• • County e ~erm~ExPHOEL~EM St~e~f~ il~ax . i No.470)8'/B,Suflatk (Signatur'e of applicant ~ v v w Mme:" - t _ . , + "E O. o: ~ . F^r r _ ! g c~ fn ~J 6 Q~ z E=°~ ~ { 7 Q U - v H o ~ NW .5.. m m < t J Q V) ,,O °i m d ~ o . O u a Z i s 1L < n ° S ~'o o A ' awe 9338 cAo ha v we 3n ~ "~•o Uo G ~ J N ~ •3~0£ ~60oL1 S ~Q~'6N y~ w ~i ~ ° ° Q do ~ 00.0 m av ~ J ~ _ ~°n ~ a m o~ as Q y 'N ~ i~ ~ c O p~ Kt Q ~ Q 1 : • 00/ Q ~ ~ > Z a \ V J (J O ~ ~ 41 F~ Q \ 3 S.~y O c~] m~ ~ 1 u~ Q' ~ ~ o, nl ~Ey _pi U W Q ~ ~ ice.-s••a~-*x.-r...n;. ,,,.,,ai..a.~ ~ , Z q -25."_ ? el~~ 3 10L o s d. m a y 3 Z ~ ~ w o ~ 3 ~ ~ ~ O~ 0.. m W N ~ ~ - ` V' 2 ? ~ s o Z of ~ ~ W tr > - d o ~ ~ v - ~ C7 0 ~~-3 oz 4 J C d n o ~ ~ ~3 3 . ')21 ,501 ~ .n ~ ~ ~ I O ~ N ~ { J V C ~ N t Q w, W N 1 p d1 ~ M }W z J z ~ ~ - p. ~ rl o X ~ ~ +I ~ ~ Q ~ ~ ~ c.x er q~4~ Z W W , _ ~ z o JO N z ars . ~33~~ ~ ~ r a ~ v r~ rr:'; ,u.i ~ 4 d w m d~ r. 5 e-; .ti O O . ~W :rtj i`7 e~ s\ M O e, X_J~~.L, W ~ OQ .1,; (1. ~ - TOWN OF SOUTHOLD BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No. ;459,,,,,,,,,,,,, has been granted by the Town Trustees according to information furnished in Application No. ....602......,... filed by Applicant.Dr:...David„M;„ Win)~J,~x, by .Fn-Consultants, Inc on ..,,Nov: 18 lg. B7.... A map of the proposed work will be kept on file in the Trustee Office under the application number given. Permit granted to do the following work .To construct aone-family house; Bluestone .driveway,,;,, sanitary„system„ as„shown„qn the,,,~te„plan, Location of property on which work to be done Beebe Drive:, Cutcho~,ue,,,,;,,,,,,,,,,,,,,,,,,,,,,,,,,,, Creek, Bay or Harbor fronting property Eu ene's Creek Size of work: Length ....see...P.lan Width ....see...1?lan Height Above High Water n/? Depth Below Low Water Yards to be Excavated ....~nly,,,excaya~ion„for„foundatio;},,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Yards to be Filled No additional„fill„will, be„needec],t„ . Manner in which material is to be removed or deposited Intended use of property Residential Conditions if any A 50 ft. buffer zone (natural) is to be adhered to. Expiration Date ,.Februarx 24; 1990, if work has not been completed, by,,,said„date. Number of Inspections Required ..2-Trustees„are..to be notified upon„completion, of„the„work, Inspection Fees $10:00..x.aid Liability Policies in the Amount of The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing. The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Trustees upon recejpt by the Trustees of written notice from such other governmental or municipal authorities of its refusal or disapproval. e The applicant does by the acceptance of this permit, assume all responsibility for operations under- taken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations. By such acceptance, the applicant also agrees to indemni- fy and save harmless the Town, and its officers, agents and employees from any and all claims arising from operations under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon which the operations authorized by this permit are being conducted, do, by the acceptance of this permit, give consent to the Town, and its officers and emplgyees to enter upon the premises where such operations are being conducted to make such insp'~ectioris as the Town may deem necessary to insure that such operations are being con- , ducted in conf rmityjwith this permit. This operation will not substantially: A. Adversely affect the wetlands of the town, B. Cause damage, from erosion, turbidity or siltation. C. Cause s~ltwater intrusion Into the fresh water resources of the town. D. Advers ly affect fish, shellfish or other beneficial marine organisms, aquafic wildlife and vege- tation orthe hatural habitat thereof. E. Increas the danger of flood and storm tide damage. F. Advers ly affect navigation on tidal waters or the tidal Clow of the tidal waters of the town. G. Change the course of any channel or the natural movement or flow of any waters. H. Weaker~or undermine the lateral support of other lands in the vicinity. I. Otherwise adversely affect the health, safety and general welfare of the people of the town. Signed 4.:/.3~?-:~.as~?~YNf~ ~,.t~~`sZ'`~r...~,.~ President Boayr~,d,of Sou~~thold Town~~,.T/rustees Data ?..!+!SF."...-.:Sr..17... fir....::. 1.4a' i I I I~ i i _ I r , N~~ ~ ~ : ~ . ADO ~ m , r~ nnjq to -~^I z ~ ~ ~ t~'ii~ A1.dr _ ~ ~ Rl ~ ~ ~ (gyp, ~e` J ~ J ; ' i , , C' f -i O o ~ G ` N: r # 4 -0 Z cp Fsa y, m N !I'e~.~•. oan ~ ~ ~ :.r ~ H C ~ N .c, R9 'Ft r:. 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