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HomeMy WebLinkAbout23570-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25456 Date: 12/23/97 THIS CERTIFIES that the building REPLACE DWELLING Location of Property: 3405 WICKHAM AVE. MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 9 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 19, 1996 pursuant to which Building Permit No. 23570-Z dated JULY 11, 1996 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 REPLACE DWELLING DESTROYED BY FIRE AS APPLIED FOR & AS TO CONDITIONS OF ZBA #4357 DATED JAN. 10, 1996. The certificate is issued to MARGUERITE RUSSELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-424250 06/30/97 PLUMBERS CERTIFICATION DATED 10/29/97 MATTITUCK PLUMB.&HEATING 5 ` ldi Inspector Rev. 1/81 FORM NO. $ 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) No23570 Z Date ................ ............. ..I/................... Permission is hereby granted o: IRK. to i,.: ........ . ,/�............................ at premises located at ................... ...... ... . j... . .. ?�.-".......................... .................................................................................................................................................................. . County Tax Map No. 1000 Section /. .... Block ....... ...........?.//Lot No. .eZ................ pursuant to application dated ......... ........................ 1�!f�., and approved by the Building Inspector. Fee 573.. /..�(r t... ... .............. BuildingI Rev. 6/30/80 turm Nu. o TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 less than 2/10 of 1Z 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. 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 of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Yees 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 r Date . . .�y�y ��. . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . V. . .ct. Ol.d Or �Pr/e-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . W. ! �F�t.+3C?. . l-nf� . . . . . . . . . . . . . .�/3��7 r/f�.�.. . . . . . . . . House Nomy../f / 99 Street Hamlet Onweror Owners of Property.. G .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .0 . . . . . .Block. . . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . ��. . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . 7!3�7� �� . . .Date Of Permit. .?/Afth. . . . .Applicant. Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . / Request for: Temporary Certif:icate. . . . . . .. . . . Final Certicate. . . .. . . . . . . . {Gi Fee Submitted: $ . . . . . . ?!. . . . . . . . . . . . . . . . . . . . � . . . . . . . . . . . . . r os Z_ Sc( 5 (o 19HI- Or. '35 15:c'1 I'A'II1 A �k,WIi'!LD Town Hall, 53095 Main Road "-` Fax (516)765-1823 P.O. Box 1179 Telephone(516)785-1802 Southold,New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. Z— Owner: (please print) Plumber: r�4-14 brc� v ; j- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% .lead. Plumbersn e) Sworn to before me this day of p � 19_ff Notary Public, County Nano Mr! M Term FxOMN o��gUFFO(,�c O Town Hall, 53095 Main Road y = Fax (516)765-1823 P. O. Box 1179 %A-Oy Telephone (516)765-1802 Southold, New York 11971 • �� OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 8, 1997 Wickham Wickham & Bressler P .O. Box 1424 Mattituck, NY 11952 Att: Abigail Re: Russell - 2406 Wickham Avenue, Mattituck SCTM# 1000-107-9-11 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx / An application for Certificate of Occupancy is not on file. (Enclosed) jNo Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. / No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23570-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS FLTaE .t TOO 14371 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date ,Tl1Nr 0,1;97 Appliration No.on file 7�r'7 N 4'24`.50 THIS CERTIFIES THAT I only the electrical equipment as described below and introduced by theapplicant namedon the above application number in the premises of IIARGARITE RUSSEL, CIO GWID & WICKA11 AVENUE, HATTITUCK, N.Y. in thefollowinp locations M Basement 0 let Fl. 0 2nd FT. OUT Section Blork Lot was examined an JANE 24.199 T and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES I RANGES ICOOKING DECKS I OVENS IDISMWASHERS EXHAUST FANS OUiieii EeiACEE$ $WITCHESFLUO.°FSCENT GIHFR "r K.W. AMT KW AMI KW. "T K.W. AMT, H.P. 31 47 �5 27 4 1 1..2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS IMCIAL REC'FT TIMECLOCKS BELL UNITHEATERS MULTI-OUTLET DIMMERS 011 M.P GAS N.P. AMT NO. A.W.G. AMT. NAI. IMT "Ps. TRANS. AT I M.P. AML WATTS NO.OF FEET A F 7 SERVICE DISCONNECT NO.OF S E R V 1 C E ANT. ANr TYPE METER 1 F tW 1/]W J Jl tW T/AW NO.Of CC CONa A W 4 NO pF NbIEG A.W.E NO.OF NEVTMlS A.W G WULF PER a O CC.COND OF W O OF NEUTRAL OTHER APRARAtUS: 1;tTTILE ipANS-r, 2 T W Alf-i .'. 1/ TON A/C-1. 140TORS:1-1 H.P. ,5-F H_P. ,2 F H.P_ ,1-' H.F`. 11 2.5 H.P. PANEID)ARDS:2-1 CIR. 60 SMOKE DETECT6R:-7 L L GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAtE r�/"K31(37.1 BUREAU OF ELECTRICITY I 85 JOHN STREET, NEW YORK, NY 10038 Date JUNE 30,19-97 Application No.onfile THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of 11ARGARITE RUSSEL, CIO GRAND 1& WICYA1 A`/ENUE, IIATTITTJ:.T, N-Y. in thefollowing location; Q Basement ❑~ Ixt Fl. 0 2nd FL OUT Section Block Lot was examined on JUNE -'4,.!'-497 andfound to be in compliance with the National Electrical Code. FIXTURE I FIXTURES I RANGES COOKING DECKS I OVENS IDISHWASHERS EXHAUST FANS ECE►TAC.LE$ SWITCHES "NrAQMWFNi FLIKAESCENr OTHER AMT K W AMT. r W. NAT K W. NAT N.W. .WT- H.P. DRYERS FURNACE MOTORS FUTURE AMBIANCE FEEDERS STECIAL REC'PT TIME CLOCK$ I BELL UNIT HEATERS MULTI.OUTLET DIMMERS 1 IMI K.W dt H.P. GAS H.P AMT NO. A.W.G. AMT. N.V. AMT. AMPS. TRANS. AMT H.P. SYSTEMS NAT. WATTS NO.OF FEET SERVICE DISCONNECTaT MNO. ETOF S E R V I C E SE AMG ER TW lA tW lAJA 6W ]A IW HO.GF CC COHO AWG NO.Of H14EG A'W_G,11EG NO.OF NENRMS A. 1 G EQUIP. IER 8 Of [C.COND OF HOf NEVTRAt OTHER APPARATUS: R yJ G & .S CONTRACTOR LIC.8578 -E L Smoot r= GOX 215 ANN SOUTHOLD NW, 11971 GENERAL MANAGER f] This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. f 11i1.D IN51'sgPION_REI'OR'1'==_=DATE, COMMIN'I'5=====________`____ FOUNDATION ( 1ST) II I e3f � --- - - ' -- - - -. FOUNDATION (2ND) II _ ROUGH FRAMC S II PLUMBING IF it n I' --- -- — ------ INSULATION PER N. Y. I STATE ENI7RCY CODE �I I+ u I I � II PCNAL ----------------------------------- -------- =ADDITTO=-__ NTS_---- ---------_-------- i[ FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL Date ,/Q. . . . . . . . . . . . . . . . . .. 19 To PLEASE TAKE NOTICE that your application dated . . . . . . . . . . . . . . . .. 19 `�✓��. for permit to tG r�F %. '{, .L . .IWO at Location of Property '�'yd��. . . . !�l4 elm// : . . . . . . . . . . . . . ./. .' House No. Street Hamlet County Tax Map No. 1000 Section . . . . . . Block ��. . . . . . . . . . Lot . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot N��/oo. . . . . . . . . . . . . . . . . . is returned herewith and disapproved on the following grounds . 4*0110,A,r) ✓`li�GX /�L1Gi��J. . . . . r 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bld' Inspeciror RV 1/80 I-AW OFFICES WICKHAM, WICKHAM & BRESSLER, P.C. MAIN ROAD, P.O. BOX 1424 MATTITUCK, LONG ISLAND WILLIAM WICKHAMNEW YORK 11952 MORTGAGE OFFICE ERIC J.BRE55LER 516-298-5300 ABIGAIL A.WICKHAM 516-298-8353 TELEFAX NO.516-298-2012 LYNNE M.GOROON TELEFAX NO.516-298-8565 JOSEPH C.SAVING HUBERTF SULLIVAN JANET GEASA JEFFREY STARR December 6, 1995 Southold Town Building Department Southold Town Hall Main Road Southold, New York 11971 Att: Mr. Tom Fisher, Senior Building Inspector Re: Marguerite B. Russell SCTM 1000-107-9-11 Dear Tom: We represent Marguerite B. Russell whose house was completely destroyed by fire several months ago. We enclose a copy of a survey and Building Permit Application and ask that you furnish a Notice of Disapproval for reconstruction of the house. The house is being constructed in the same location as the original structure, except for a proposed addition on the west side. The front and east side yard setbacks are intended to follow the location of the old foundation. Please call if you require any additional information. Very truly y'ours, C f Ab am AAW:mh encl. 30-bldgdptl DEC -6 )995 171 Q - a. co .PLOT PLN " _ �o_ ©' CAIN -TNY- M-- . tq 72,.YN4 Tu jL , 'r, O)e JS,o t—ins . hl,V.;,-U4k, 9V I'^152 - 1516) 293-5250 11 tea.,• Ir k y 9tL „l�� �' S .� � • m�f{��+ „i1!(�i� ..*+'''""""tttt r+trr �. R {'} lir 6"T� w.r• �� tt � ��;iR I Y 4 1d .+.5 �t ♦ � F ' "" �' moi, ".,.a �` ` t�,•t�-i � 4 22 • The Suffolk Times • dune 15, 1995 l r3. ,,,,eems�,, �}' t � \ •� ' R i it Mato by len l.lewelryq HOT WORK—Firefighters battling Tuesday morning's blaze in Mattituck. a t had caused LILCO to check the Russell M F B Vamps house for problems,as well. A crew of Douse Blaze LLCO investigators went over the house after the fire,he said. MATTITUCK—An unoccupied two- Chief Griffin said the home was about balloon old, and built, the old-style story home on Wickham Avenue was balloon construction, with beams destroyed by a predawn fire Tuesday. running up from the ground instead of Mattituck Fire Chief Marty Griffin said horizontally. "That makes it very, very the home was fully ablaze when hard to fight," he said.'"Che flames go firefighters arrived around 4 a.m.It took right up the walls." about two hours to extinguish the Mattituck had all three pumpers, a flames, by which time the home was tanker, an ambulance and a light truck "fully gutted,"he said. Southold police on hand. Cutchogue sent a pumper, said it was a summer house owned by Southold sent and aerial truck and Marguerite Russell. Jamesport sent a tanker.Cutchogue and The cause of the f¢e has not been Jamesport pumpers stood by at the determined,but Chief Griffin said there Mattituck firehouse. Two Southold are hints that it was electrical in origin. firemen were taken to Eastern Long He said another house on the street Island Hospital for treatment of smoke recently had power problems, and that inhalation. i o��gUFFD(,(-CO APPEALS BOARD MEMBERS tiy` Gy Southold Town Hall Gerard P. Goehringer. Chairman T 53095 Main Road Serge Doyen.Jr, y • rC P.O. Box 1179 James Dinho.Jr. ��l ��O Southold. New York 11971 Robert A. Villa Fax(516) 765-1823 Lydia A.Tortora Telephone (516)765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD y January 16, 1996 Abigail A. Wickham, Esq. ANG d P.O. Box 1424 p�FN Mattituck, NY 11952 s 0 Re: Appl. No. 4357 - Marguerite Russell (Variance) Dear Ms. Wickham: Please find enclosed a copy of the determination rendered by the Board of Appeals and filed today concerning the above application. A copy of this determination has also been furnished to the Southold Town Building Department pertain1mg to Notice of Disapproval issued last..month. Also, due to the proximity of this project within 500 feet of a waterway, State or County Road, we have transmitted copies of the variance file to the Suffolk County Department of Planning for their determination as required under the County's Administrative Code. It is expected that the County will forward a copy of its determination directly to the property owner and our office once it has completed its review. Very truly yours, Linda Kowalski Enclosure Copies of Decision to: _Building Departmen Suffolk County Department of Planning o��gUFFdlkco'� �. APPEALS BOARD MEMBERS tiy` Gy c� G=E) Southold Town Hall Gerard P. Goehringer. Chairman 53095 Main Road Serge Doyen.Jr. y �� '� __4E3 P.O. Box 1179 James Dinizio.Jr. ��j �a� `= Southold. New York 11971 Robert A. Villa j �` Fax (516) 765-1823 Lydia A.Tortora _ i Telephone (516) 765-1809 i BOARD OF APPEALS ?� VN OF SOUTHOLD �q ACTION DATE: January 10, 1 9 ADPL. #4357. APPLICANT: MARGUERITE RUSSELL. LOCATION: 3405 Wickham Avenue (and Grand Ave.) , Mattituck. COUNTY TAX MAP DISTRICT 1000, SECTION 107, BLOCK 9, LOT 11. BASIS OF APPEAL: Notice of Disapproval issued by the Building Inspector dated December 8, 1995. PROVISIONS APPEALED FROM: Article XXIV, Section 100-242B . RELIEF REQUESTED: Construction of new dwelling which replaces the preexisting dwelling damaged by fire 6/13/95. New dwelling setbacks are proposed to be nonconforming as shown on the survey prepared August 15, 1995, amended August 18, 1995. The front yard setback is proposed at 11 feet at its closest point from the front property line along Wickham Avenue, and at 40 feet from the front property line along Grand Avenue. The northerly yard setback is shown at 17 feet at the northeast corner. MOTION MADE BY MEMBER: James Dinizio, Jr. : "the applicants were put in a poor position when a building is destroyed 'by fire and the Town's laws create a hardship after existence with a nonconforming setback for more than 100 years. The building was destroyed by fire, and not by choice of the owner." SECONDED BY MFM13ER: Gerard P. Goehringer, Chairman. ACTION/RESOLUTION ADOPTED: Granted as applied (with setbacks as shown on the survey amended August 18, 1995). REASONS/FINDINGS: (Continued from the above motion). The subject property is a corner lot with two front yards. The house as formerly existed was located 11 feet from the front property line along Wickham Avenue. There is at least one other building with similar nonconforming front yard setback in the immediate area. The dwelling as rebuilt will be similar in design to the original dwelling which was destroyed, and will meet all other laws and regulations applicable when obtaining permits. VOTE OF THE BOARD: Ayes: James Dinizio, Jr. , Member Lydia A. Tortora, Member (due to history and restrictions if forced to place dwelling in different location) Gerard P. Goehringer, Chairman-Member (above reasons) Nay: Robert A- Villa (feels applicant can correct setbacks when a new dwelling is rebuilt). (Member Doyen was absent as agreed with ZBA department, due to blizzard and travel from Fishers Island. ) / This resolution was adopted (3-1 margin) . ,GERARD P_ GOEHRINGEIZ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL N [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: 1, ZZ DATE l?'�' INSPECTORqg 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL ( ] FIREPLACE A CHIMNE-�YY� REMARKS. DATE �?17- / INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IWOULATION [ ] FRAMING INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO 5'10 2� 765-1802 BUILDING DEPT. - 7 INSPECTION [ ] FOUNDATION IST [ ] 1�0UGH PLBG. [ ] FOUNDATION 2ND [ ✓]/INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & HIMNEY REMARKS: ok DATE 3LIalF 7 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [L�4RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE (^ ® INSPECTOR iv" 765-1802 BUILDING DEPT. INSPECTION r [ ] FO DATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 4 � DATE zo —INSPECTOR,,4 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: r - J 71) n 1 r i r v DATE � INSPECTOR � Ko. I I� J � I - r I MAP .OF PROPERTY5UfZQEY ED __ POQ I WF YASSD MARGUEOTE RUSSELL ` - - . i -49{z — AT . MATT}T I31C T70U1U77E74T t wv 70P OEFl I To�ii{1sl.QF s0e7T40,L-P f 1 L � - - J . Ar 4 12i � `1'J/. �� BRrcl4 ppSRi� iij' 3 S r_ 11 C>3 SND _ , w '° AVENUE -Ar�uuErz Utz SCALA qOf A2EA=2$.86OSQ_FT :At?& ts.7995 yry�grbx«wxm _ AS SUM E `7P ssk R_ rZ r�Aa r��n l -7oz:9 11 , . q„„, Of NES 00DERiC 4-VAN TtJV� - - a _ _ ca..wewvan oa o p <x - Y f -•+•yj-�y " ax1bMP.mbMu/vxMl ��? t"�.-.3 ��".�`�''� 'r'•"p<;2,•'F .v��`3G"�`*'�"fr #.:S`da�'�:��.�.__wit..�,Yt..Y..:,N. ._r....�....r.«,g,i,.._....__......s"5•.--....:'s1`�.�acn:.�L.>'.�'n-i.. -•- BOARD ' OF HEALTH . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . —�'�—�- TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . PSU1L01610 DEPARTMENT CIIECK . . . . . . _ . . . . . . . u 614 TOWN HALL SEPTIC FORK . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL,: 765.1802 t;OT I r CALL v 1 jj lU SCJ ExaniInca . . . . . . . . . 19 MA MA 11, TO : Approved . • l/ ., 19y?oPermit NoO,1 ?�71? Disapproved /c x �. . <r� � � 7� � . . . . . . . . . . . . . . . . . (Building Inspector AP ICATION FOR BUILDING PERMIT December 6, r Date . . . .. f�Rt]e ]1xx1" 199. INSTRUCTIONS as This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,witi 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 sties or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app ,cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the, Building Inspector will issued a Building Permit to the applicant. Such perm 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 Occupant 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 ti Building Zone Ordinance of the Town of Southold, •Suffolk County, New York, and other applicable Laws,Ordinances , Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe: The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premises and in building for necessarypections. ,t`Signature of applicant, or name, if oration) • 1335 Trafalgar Street xeanePk,.New.leisey. . . . . ... . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder Agent - Attorney. i Fact. . . . . . . . . . . . . . . . . . . :. . . . . . Name of owner of premises . . . . Marguerite• Russell . .. . . . . , , , , , , . , , (as on the tax roll or latest deed) if applicant is a corporation, signature of duly authorized officer. . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . F�ml I , Plumber's License No. ' Electrician's License No. i TOWN DG.DEF, Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . r/ ,� �/;��_ Location of land on which proposed work will be done. . . . . . ��. .W.t. �, 4� . . : . . . . . . . . . . . . . . . .QQLUex.9f .Wickham•and .Crgg4 A ?RugS . . . . . . . . . . . . . . . . . . . . . . . I`LAPP4UCk. . . . . . :. . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . .1'Q7. ... . . . . . . . . . . Block . . , . .9. . . . . . . . , : . . . Lot . . . .1.1. . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .•. Filed Map No. . . . . . . . . . . . . . . Lot . , . . . . . . . . . . . . . (Name) , State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . .r"1494gg .(one .Eamily.,). .Prior. -to. A".trPctAPri. by. fxra. . .�1?��'l�gs, b. Intended use and occupancy . .r•esldence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building k'� 46 Addition .Y.�. • • . . Alteration Repair . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . Other Work . . ... . . (Des, 4. Estimated Cost Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this applica S. If dwelling,number of dwelling units' . . . ! . . . . . . . . . , Number o;dwelling units on each floor. . . . . . . . Ifgarage,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 . . . . . . . : . . . . . . . Rear, . . .:. . . . . . . . . . . Depth . . . . . . . Height . . . . . . . . . . . . .Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . Depth . . . . .. ... . . . . . . . . . . . . . . . Height . . . . . . / :. . . . . ; . : Number of Stories . . . . . . . . . . ' 8. Dimensions of entire new construction: Front ,S .0 vf4eY.�}.` � hear , ,!PPA P . . . . . . . Depth .� .Height . . . : . . . . . . Number of Stories . . .Qe . . . . . . . . . . . . . . . . . . . '(( r �l a?tt 9. Size of lot: Front . f f S. � ! m.Aue) . Rear . . . . . . . A. . . ... . . . . . . . Depth 4� l. .�GY�t. �J 10. Date of Purchase . . . . . . . .same of Former Owner . . . . . . . . . ... . . . . . . . . . . . 11, Zone or use district in whit premises are situated . . . . . ... . . . . . I . . . . . . . . . . . . . . . . . . i 12. Does proposed construrtin violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . .. . . . . . . . . . . 13. Wil11ot be regraded . N..©.:'. . . . . . . .:. . . . . . . . . . . Will excess fill be rgmovgd from premises: Yes 14. blame of Owner of premises lY1zY �Nk+�t . .�t�;��ddress .0�o.f� �1tJ.lGkbarw . Phone �: Nameof Architect . . . . . . . . . ... . . . . ... . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . .. . . Phone No. . 1,5.' Is this property within 300 feet of a tidal 'wetland? *yes. ? .- - No. . . . . . . ..tr6"� *If yes,' Southold Town Trustees Permit may. .be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions property lines.Give street and block number or description according to deed, and show street names and indicate wl interior or corner lot. STATE OF NEW YORK, COUNTY OF . . SA�k'AI S.S sworn, deposes and says that he is the appy. (Name of individua signi g c ntract) above named. / -le is the . .,. . .Agant . (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly authorized 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 tha vork will be performed in the manner set forth in the application filed therewith. ;wom to before me this �7 . . . .day of. . .`+ , 19$5 . rotary Public, . !.: :.�f . . . . . . . . . County j/j1 1�f1 AUCE C.A4ac[;ptVAl p . 4fn�h of New YJtk . . . . NdtarY lrlir•. N ! S 2 (7,t Y � d ; s 0 F � SURVEY OF off, (fC, FOUNDATION L OCA TION AT MATTITUCK � � o TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. l°L 1000 - 10,- 09 - n Scale: 11996 4Q0' Oct iF J O.^ r v p 9�tJ 1 ,• go ryV h NE U F Y O , r, QEF�j.MET2G� Csw A ATtON - TO ThfS SURVEY/S VkX ANY AL OR THE NEW �� '��'= CT7ON 7209 01� THE AEw YORK STATE EDUCAT70N LAW OF SE r EXCEPT AS PER SECTM 7209-SUSO MON 2. ALL CERTFKATJONS N0. 43518 e' SAV AIAP OR �VACOPES OR TI£N{OSS PESSEAS L ��VEYOR AE— (516) 76 wNosE sT�+A TtARE APPEARS MUMOM L P. 0. 765 - �� /0/f/tl P. 0. 80X 309 Ac1GvnGNeAccr TO C0M°LY WITH sAp LAW THE TERM "ALTERED BY' 1230 TRAVELER STREET MVBT BE USED BY ANY AAD ALL SURVEYORS UTlLLZWS A COPY OF ANOTFER 9ARVEYORS MAP. TERMS SUCH AS WWECTED'AND SOUTHOLD, N.Y. 11971 YROtiBNT-TO-DATE'ARE NOT N COOUANCE w1TM ThE LAM. ti`s°S * yy a �T04•.11.i �. � c , --- L.lqIjt(ay'-GQUL COMPLVs= los' - Ikuttfing Dn3lgn by Tharinal Rating Method. I Undirl-ICllen, ogwprnant , materiels & installation to conform to to - p In,, ivew Yon( Stals Enaigy Conservation Construction Code. f 0 f.un,pulrnce: will ro<7ulre that the totpl thermal rating of the a q bwC 6 "ulici ,} nvc,IG]&I clasiofi shall be n0 less than ZafO. H I �- - - - - --------- - --+ - --- -- , _ Thermal J _to Area U-Value Rating Tqylq " 7 {� \ - ___ - --_ -- _. __ __ _'- --_-X ✓'(,o Pt- IJIH(N'lalls\ 6 + I' —F WI ED - a -_ - - ------ O i-IWd„ 1404 _05 O L' 3 I � (V I,R11 I I,ounal Raung of 13uilding Envelope +-Ick - +I --- a lila ul+ l uY by knnwluctge, belief and pml J fossip�iniaudgme 4 ^I Yc I ro L { �N � I IPPro,a L,Inns @F(4 In6n ntl,ne9nre with this Dods. +✓ lk i - _ J- . � �, ,,, ✓ a___ - , '` - { StV KQWKQ F(XJhl D1rTTON l+lpu., ,' A�' '� 'V gg pin/�. �� FIR 6 L g _ U �� g o t APP 091 AS NOTE l� "902- P oZ 5.0. DATE:. / R.R a a35 7 NOTIFY BUILDING D" F AT LVE 5 O :'�• o(� CF" �,y� FOLLOWING N AM FC FM FtlR Tl1E - - -g 4° NG S L j iY1 ,_,. , . �Wb I FOUND A INSFEcnONB: S / _ Y I _ n L I _ I `i D FCDIINDA'cIUFd - 1WfJ REQUIRED 1:01 ( 3FOR POURED CONCRETE P ROUGH SUL A - fR,4h7PNG K FLUMEtiNG of ATION l6"x Pi 6t.JM k-S-IJa:DI ,°0 � pV-V'E177EF- 0 -� �a. . l Al. . CONST'RUCTIONMUST .._ — _____ . , .___.—_— \ �U � VoyT- TyPICro.1, _ -_ —I CJR,oP TOP�IDU-Y COIL. L `V ,I'_ RE 4;C�MPLETE FOR C.O. I - � -./.>•• �1, \• C ALL CONSTRUCTION SHALL MEET I I I -- -- - ry --r------e ^ ------- �,o• �r.IoaTnr-a.,'I", F CJ'�� 'i,�� � t? I -.1- --I - FHE REQUIREMENTS OF THE N.Y. C!��T�` kl_1`1 Imo- "',1,x'/1 �J'l)IK,`✓E,�r �3� \x a: � . l ST!\TE CONSTRUCTION & ENERGY COVES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS �'(-K h�IbP ' I ODS - I D' s i[ °I Gi�,AWI� sphc s gT 17 N ! ``� ' � RAT ryiQCEED M111N 4 a- --- _ - �1 r�oo ri • FRAMING UNT1l SURA _- _ fV '7" _ OF FOUNDATION LOCATION ar tubing is used �14"0' . � - t_ 0"nlfl O � pIF3 l _ coNcsur� fcoPP distributing NA$B x I PC ffc, o t for wat�iPin shell be r - "� b �'-� •, system*. K or L ont S n �( 'k lccG v=r.l l \\ B I °l - - 1 -- -_ -- - ---"-- - ------- - - - — -- -- - - of types T 2x10 PJ ' ICD° "�G &WATER LINES NEED •K'�j �•R - ��"�G -+� 1 �' --_- n ALLPWM8ING WASTE �.�/� x x � n d- BEFORE COVERING v �� V I�!n�• CD r.IG 9�L(x,'. - ,. L:->'W cZ'2^ �. QRI J RTIFICATIONE a p" PIo, FouNDdZ oh1 wal_L aH r- gERCE TBEFOR v,��'-, �FF„- li�' r�pP ec �II r PgU pD CONTENCCUPANCY cnla`� v • r k Y. TIM E 0 CERTIFICATE IN WATER r D T �R, 1 I Gi DLLI j SOLDER sTEM CANEAD. T�rl x`� � c - � ' — - ---- — - �- -SUPPLY Sy 2/100 l 1°/a L � I LX ELJ - �.- ��- n.- I1 (�f_v]f�O OIgxE,pl'.r.1/�i Sj"ie9 I� i I Ifs" T.71 /?,S Sc ' IZ"%o �i J iia F?F Ff �]? ArE. 7 UL zCI`A IT F I I AVS, - -- ✓- -------- -- -- ----"- - ---- - r t 3 '2"�Q>1�LLVCOL . T 2"[clv,SL 3 1 s i�.-. �� ✓ ;�. t{�P � � � I J � III` II v- '' � —J LF" Qr 4 P ,a , pmTl�lro .� LJUN 1 91996 Ij BLDG DEPT. TOWN OF SOUTFPOLD o , ✓� •2�0 lw � /1 - - r I Vag yW' ' \ /l D \ 61 10a � II tDcip �� � -3 - lx RAA GJ S O II I xG(iJ li IL- (n D -- LIVIN �a / bINING tjR 205 Z PROVIDEOPEN I NOS FOR — -- — a EMERGENCY ESCAPE AS p REQUIRED BY PART. 714 OF �o - - / I, N.Y. STATE BUILDING CODE. - G� 4' 4 G TJ 1/%35 SP L^y - I- F\ + - cXl*; -04P 3446 as 3 � 1 11 y 119 +,6 C W442 --_ _ f Z, � TJ I - _ PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS 4' 5' REQUIRED BY PART. 714 OF ° -- —J N.Y. STATE BUILDING CODE. LIOUIOE 0 C�t u PENiMGSjFOR c b REQ ERGENCY ESCAPE AS - - — _ 1 PR _ \ _ REQUIRED BY PART. 714 OF -- - __- _ I WJ�Y TATE BUILBING C E. li --- °� m _ `� -- - * tt] T' ¢ � � � - ay,• �� -�.. ---- ISI -- ---� i � I• -O - dl- 1,4 6iiY'FT 6 //y/y nq M � M I ,�W I ' •� � � — ' I 1 I - Q _ _ ------ � N W LAllNtkw oEK K l I GN Ef �` '' `o ' i \ PROVIDE 0 N Pf�11NGS FOR DTII L b h f EMERGENCY'S CAPE AS I, � ' � � PROVIDE MENINGS FOR 0 � �(� 'I„ �� --__ _ K REQUIRED BY PART. 714 OF I \\ EMERGENCY ESCAPE AS N.Y. STATE BUILDING CODE. - -_ - - - - SIV N - — - REQUIRED BY PART.714 OF I: `j' bG 2P7$Co DG 2346 L� '� �� � � � it - l � Q � � . J a = N.Y.STATE WlILDIND CDDL tltltltl x �a �;r5(�' AW 251 AW2131 AW 251 } C>G 2P q� AW 251 tc 2546, tE, N Q ) II Y ��` - 14'-0" -- — 12 o � q'_o,. �•-P_ :, �'-E� q-" I 10�' fJla-P� �-4' to �' I � _- � I -- i n � - -- - - - --- - - _L I 0 Lo � I �� I - --rLL1 SII Fcn= "�Vo-Ir �_T -- - -- - - - c� rLU - Pn,y/LI6HT -�"'IITCN�j-��lW -2O r �< -- -- - --- '$H tTGI.; F!Gi Q- l Tu PJ HOV<Ic . I - - - r� ,1.7 Y'.a t ' cam, c.n. lu_, - --t- ,,. _ � - -----L'-�I G. - � • -rte/' -, ,;a"- - "� �wP ours woTew ¢rmP � - PL 'yM�;✓IN/� �,lld�ayE:Y�f - - - ��� - - pyo' cv 3.n m w ,Jd, S1P — - - - T - - X91 No DE ---- -I 8 --- T — —1 ---- �45' ± EXIsTIN�� 2� 28' ( 17' 3" £2<<ST•� 2'J'-9EX %T. P A P U„p LPV � 4 . LNINC� PIa�11Nc� �'x8 5xG 6xCG. In w n _ FT — UN i I ' I 125T tcc e2' xi¢' U'x 17' II'x15'fEj �qup ' O 4 I i�•�T FL002, 'Lla N �4• co »n ��� ��I I9r PL-� 1532 1�-Gt. rT . 2^'0 Fl CA�(2 10 &4 . FT ToT.a.L- 2 5ciC� �. FT . Merl 512 fT I � wm �N � ISL I or--1 Sl��c,•l-4 ''{'I-�'rl5 �OP��D f�eC0�I5i12�q"l0f� �P l-bU�. "�R, . • M L F% G u E1� I T E , lJ � DE- L L • � t ;.e .: r,yr€ �1daY�Pk4u Pa :t'd