The URL can be used to link to this page

Home My WebLink About27363-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28130 Date: 12/20/01 THIS CERTIFIES that the building ALTERATIONS & ADDITIONS Location of Property: 5700 PEQUASH AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 5 Lot 36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 29, 2000 pursuant to which Building Permit No. 27363-Z dated JUNE 7, 2001 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 ADDITIONS AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. ZBA #4931 DATED 4/5/01. The certificate is issued to JOHN LEDDY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 577089 11/28/01 PLUMBERS CERTIFICATION DATED 12/07/01 PECONIC PLUMBING & HEAT. c Aut rized Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 27363 Z Date JUNE 7, 2001 Permission is hereby granted to: JOHN LEDDY 5700 PEQUASH AVE CUTCHOGUE,NY 11935 for ALTERATIONS AND ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR AND TO THE CONDITIONS OF THE ZBA DATED 4/19/01 APPL. # 4931 at premises located at 5700 PEQUASH AVE CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0005 Lot No. 036 pursuant to application dated NOVEMBER 29, 2000 and approved by the Building Inspector. Fee $ 378 . 80 Authori ed Signa re COPY Rev. 2/19/98 Form No.� 6 TOWN OF SOUTHOLD ��, oc, BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR:CERTIFICATE OF OCCUPANCY + } A. Thisapplication must be filled in by typewriter OR ink and submi ted o gh inspector with the following: for new building or new use: . 1. Final survey of .property with accurate location of all buildin s, 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 1% 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. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - z .�5tip 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential//$f15.00, Commercial $15.00 Date . . . JJ/.� . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . .. Old Or PreU,-- isting Buildin,� . . Location of Property. . . ..�1.�� ,�/y . . . . . . . . . . . . . . . . House No. Street •Hamlet Onwer or Owners of Property.. ? `. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000,~Section. .Zz. . . . . . .Block. . . . .t. . . . . . . . .Lot. . l. . . . . . . . . . . . . . . Subdivision. . .. . ... ..400; iirL . .l v '. . . . . .Filed Map. . . . . . . . . .Lot. . . . . . . . . . . . . . . Permit No Z:� �4:�1 . .. .Date Of e it.�f�� .7 �.Applicant. . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . .. ,. . . . . . . .Underwriters Approval. . . . . . ,.. . . . . . . . . . . . . Planning Board Approval. . . . .:':: .��. . . . . Request for: Temporary Certificate. . ./. a/. .6. . . Final Certicate. . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1185077 BUREAU OF ELECTRIOtTY F 40 FULTON STREET, NEW YORK,-NY 1003E NOVEMBER 28,2001 - �,ej•.SG 1/45� N 57?084 Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JOHN LEDDY, 5700 rOEQUASH AVENUE, POLIESg# 4PA 47, CUTI�::��:t�1Z-, NY in the following location• L_t Basement LS 1st FL 13 2nd Fl. OUT Section Block Lot was examined on i&EMBER 09,2001 and.l� p 2001 found to be in compliance with the National Electrical Code., FIXTURERECEPTACLES SFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SWITCHES OUTLETS INCAN FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. I AMT. H.P. 25 30 35 25 1 1.2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT.I TIME CLOCKS I BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 2 1 6 SERVICE DISCONNECT NO.OF S E R V I C E METER NO. CC COND. A.W.6. A.W.6. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W I 0 3W 3 0 3W 3 0 4W PER R OF CC.GOND. NO•OF NI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: Cot DETECCTORS-2 PADDLE FANS-4 WELL PUMP-1 G.F.C.Ir-7 SMOKE DETECTOR:-3 L L ROSLAK ELECTRIC LTC.#3677 P.O.BOX 164 GENERAL MANAGER CUTCHOGUE, NY, 11935-2453 Per 4i 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. FFO4�,o �o oy� Town Hall,53095 Main Road ca Fax(516)765-1823 P. O. Box 1179 Telephone(516)765-1802 Southold, New York 11971 y�iol � Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: ; 21 Building Permit No. Owner: -16 LPDA (please print) Plumber: /�Z;CJili'l% ��Ul'l��%/�� /Y/!� /f (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (P er S nature) Sworn to before me this day of Notary Public, County 010111 u STEMO sai No'"i Public,State of New Yoh No.01ST4044752 Qualified in Suffolk bypDO FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE; December 27, 2000 TO John F Leddy 5700 Pequash Ave Cutchogue NY 11935 Please take notice that your application dated November 29, 2000 For permit for alteration/addition to existing one family dwelling at Location of property 5700 Pequash Ave Cutchogue County Tax Map No. 1000 - Section 110 Block 5 Lot 36 Subdivision Filed Map# Lot# Is returned herewith and disapproved on the following grounds proposed alteration/ addition, on lot +/-16,800 sq ftnot permitted pursuant to Article XXIV Section 100-244B which requires a minimum front yard setback of 35 (thirty five) feet Proposed project shown as +/-20.9 feet from front lot line on West Road. Authorizeignature r APPEALS)30ARD MEMBERS OSQFFU��►C p� OG Southold Town Hall Gerard P. Goehringer, Chairman �� y� 53095 Main Road M James Dinizio,Jr. i P.O. Box 1179 �J Lydia A.Tortora ^T Southold, New York 11971 Lora S. Collins ZBA Fax(631) 765-9064 George Horning l �a Telephone(631)765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF APRIL 19, 2001 Appl. No. 4931 —JOHN LEDDY Location of Property: 5700 Pequash Avenue, Cutchogue Parcel 1000-110-5-36 Date of Public Hearing: April 5, 2001 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: The subject property is a comer lot with frontage along Pequash Avenue and West Road in Cutchogue. The property contains approximately 17,000 sq. ft. of land area and is improved with a single-family dwelling and accessory frame garage as shown on the map prepared by Leonard J. Strandberg, Engineer/Surveyor dated October 14, 1999. BASIS OF APPEAL: Building Inspector's Notice of Disapproval dated December 27, 2000 denying an application dated November 29, 2000 for a permit to construction alteration/addition to an existing dwelling, for the reason that the front yard setback is less than 35 feet, as provided by Article XXIV, Section 100-244B. RELIEF REQUESTED: Applicant requests a variance to construct a 4.5 ft. by 41.5 ft. front porch addition with a setback at 16+-ft. from the front property line, at its closest point. REASONS FOR BOARD ACTION, DESCRIBED BELOW: On the basis of testimony presented, materials submitted and personal inspection, the Board makes the following findings: 1. Grant of the area variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties because when the porch is built, it will break up the existing architecture at the front of the house. The small porch will also appear to be approximately 25 feet from the street due an additional ten (10) feet of right-of-way between the property line and the actual road surface. 2. The benefit sought cannot be achieved by some method, feasible for the applicant to pursue other than an area variance because this house is located on a comer. 3. The area variance is not substantial. 4. No evidence has been submitted to indicate an adverse effect or impact on the physical or environmental conditions in the neighborhood or district. 5. The action set forth below is the minimum necessary and at the same time preserves and protects the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION: On motion by Member Dinizio, seconded by Chairman Goehringer, it was F Page 2—April 19,2001 ZBA Appl. No.4931 —J. Leddy Re: 1000-110-5-26 at Cutchogue RESOLVED, to GRANT the variance, as applied for. VOTE OF THE BOARD: AYES: Members Goehringer (Ch ' ), Dinizio, Collins, and Homing. Nay: Member Tortora. This Resolution was duly ado (4-1 ARD P. GOEHRINGER CHAIRMAN BUILDING PERMIT REVIEW CHECK LIS`I- Applicant) Date 7 r ,n Owners Naive: "14Reviewed: Architect/ Date Engineer: Submitted: SCTM 1l: District: 1,000 Section: , � Block s� Lot: A;) Project �`�00 subdivision Location: ✓ � Single& separate Required certification: �i(Yes/No) /.oiling District: 11,0f size. Tui 000 Actual: `i 7-5f(.-4ot coverage Pioposcd f 0 T Rey Req Req 11=ront Yard 36Proposed: 1 [Side Yard / Proposed ) [Rear Yard Proposed1 Project Description: AGENCUERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: / Town Planning Board approval: t/ Flood Plane Elevation??? - Flood Zone: to • I�NI�IZGY CODE CALCULATIONS (For Noll-Electric Beat) Desiglt Criteria G , 000 Degree'.Oa}'s O.A. JO°F I -A. 70OF / I FOR: Joh ti � e d PER: 1Dehhy �..�, 12-1 od lie QvQ.s � 20� Ca �> DATED., Pt✓ �D �O e �� "t UA DESIGN THERMEL REMARKS SUBSYSTEM AREA "U" RATING :xl:eri.or Walls (Opaque) 575 ,b5 -P Ilazing % Uva • 3L - 13 0' e puq/ Doars Ceiling/)toof (Opaque) 3 � erSC; Skylights - `f � 2L . 3 � / Ur' Floor Foulidation Walls Slab Insulat-ioli TOTAL + 77 Notes : Iluilcting Envelope Systems to meet requirements of 7015. 2 HVAC Equi.pement: to meet requirements of 7U15 . 11 HVAC Systems to meet requirements of 7015 . r2 Uuct Systems to meet: requirements of 701.5 . 1.3 Ventilatiolls Systems to meet requirements of 7U15 . 14 111su.latiotl of Pipiny Systems to meet requiremelits of 7U15 . 15 Se,rvice Water Iieat-ing Systems & Equipment to meet- requirements of 7U15 . 21 Electrical & Lighl-ing Systems & Equipment to meet requirements of 701.5 . 31 OF NE i' y+YO ' o the best of lily knowledge, ' c�CE r 9 belief, & professionals y judyemetit, these plans are i.n > compliance with the code . ` a W d- L" 032254-1 �9'JFESS I ON P\` 2- 3 �� 6,or —27— suu.uiNa uepr. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ J FIREPLACE & CHIMNEY REMARKS: ,DATE � Y �� INSPECTOR v�G, BUILDING DEPT. INSPECTIO [ ] FOUND N IST [ ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY L�xss7�l� REMARKS: DATE INSPECTOR ,� T65.1802 BUILDING DEPT. INSPECTION [ j FOUNDATION IST [ ] RO H PLBG. [ J FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: C DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: rip a ZZ DATE � I3 INSPECTOR FIELD INSPECTION REPORT DATBr,.�T COMMENTS 9—> ` -- A iE FOUNDATION ( IST) I�I Ip I II Q FOUNDATION (2ND) II II - t� _______________ __ --- ___- ---- ----------- ---------------------- !I I I� Al ROUGH FRAME & PLUMBING j INSULATION PER N. Y. ~ s S' STATE ENERGY !! if CODE � II II N q W-16 Y �- I " II if FINAL '� W ADDITIONAL COMMENTS: � 'C �J rj V i � V o ro H T11 ... . . . . : .... . BOARD Orr UZA1+ 101111 NO r 3 AN SETS O"Ls•..... .... ....... . 1 ii ! TOWN OF SOUTUOLD SURVL'Y .yb... .,. . .:.,.>. «,. . .... . . . ,.., , C11ECR vi Y t......:. . . . . ... . . . C BUILDING DE1AR'i'MENT SEPTYC 1'01111 ....... . rOWN IIALL . . . . . . . ... . -„ SOUTHOLD, N.Y. 11971 TLrLt 765-1802 NOTITY: CALL �. . . . . . Z)mnined.*....... ......;36.0/ NAZI. TO:......•...........•......... Al�)rovt ... .... I)i sapp ............................. ..:., pkuilding hector) AppLICATTON FOR IIUILDING P51MIT p INSTRUCTIONS a. Ibis application uust be cargietely Filled in by typewriter or in Ink and submitted to the Iluilding Inspector vi 3 sets of plans,.accurate plot plan to scale. tree according to sd'0clule• sea or public b. Plot plan allotting location of lot and of buildings on premises, rellaatioc arm 00 �� re�,Is to partAAI of streets or areas, and living a detailed descriptio+r ol= laycxit of property this application. c. 'rile work covered by this application play not be ctenced lupus as lluilding ftrOtt to the applicant. Suds d. Upon approval of this application, the Wilding Inspector permit shall be•kept on dre premises available for inspection throughout d work. vhatever until a Certificate of e. No building aluull be occupied or used in vials or in part for a;V purpose Clccupancy shall Have been granted by dre lkuilding Inspector. APEIACK N IS 1LRLI3Y DSAX to the Building peparuwnt for the iasuonce of a liuilding Pemit.pursuant to the isuildi'ng, Zone Ordinance of the Town our Southold, Suffolk County, New York, aryl other applicable UPS, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or deavlition, as 'reiinn ing describU. The applicant agrees to comply with all applicable laws, ordinances, building Code, hous regulations,ralxl to admit authorized inspectors on premises and in building*for r,*cR&saTY ins tdlong. ... ........... .... ......... ... ....... ... . ($I urs of applicant, or , if a co tion) ............................. ............ (Nsiling address of applicant) State whedler applicant owner lessee, agent, architect, engineer, general contractor, electrician, pludwr or buillk ................... Name of owner of premises .. • 0(. .. (as on the tax roll or latest dead) If applicant is a corporation, signature of duly autlx)rized officer. (Nam and title of corporate officer) Wilders License No. �: :�• .•�� . PluTbers License No. Electricians License No. Other Trade's License No. .................... n� ..........�.... 1. Unction icx► o land on callicll proposed work will be dons. ..1..`0...•••••eve- 4 •��•• •'�:{• lbuse Nnber .��.........�.. :................ .:............l. t � ....................... reQ County Tax Map We 10()0 Section ... a......... Mock ...4!� ........ lot ...••�V •�•••• Subdivision ................. ...... Filed Hap No.. ........:...... Lot ............... ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. r!xi.sting-use occupancy ..................9.9........ego ....,.. ... ..:..:•...... .... ......... b. inter" use sod occupancy ............................... •'•1•••••• tbutra of work (dude wiiidt aMlieebla)i tW building .......... Addition ........., Alteration ........,. tlepair ............ Nentorat ............. tktttolition Other Work ,............ ........................ (Deacriptton) .. Latintated Coat ...... .. .: .. ........ fee. ...:.......................................... (to bet paid•ott filing tilts application) If t1well ing, ttartt>er of &*111cta unite ...6 6 6...6.. t1itiber of dwelling units ott each floor ................ if garage, txnler of caro .......6666........................... If 618111eaa, cam relal or mtxed oconmricy, apectfy nature --a77nd extent of each type of use...................... Uintenslons of existing tsttuctures, if anyt Pont.......3.../..... hear ...S'1:........ Depth A� ............ Ikdialtt Kitiber of stories .. ' ........................ 6666... ............. . Ilimenslons of Sana strudtuim with alterations or'a ditionat Pront ....64...... hear ............... Depth ..............6664.. 1101010 ......:............. Amf>er of Stories ............... 3, nhttenalons of entire new construction: lticont ..............:.. hear .............., Ikpttt ....... ....... Ikijott .................ii........ lAnber of Stories ................6666. t. size of -1ot;t ::roil[ ........... :tear .................... Depot ...`��.......:.... IU. hate of l'urdtase ..................... hared of Monter 0-rner ........................................ 11. Zone or use district in%hid% premises are situated ............................................................. . .. 12. toes proMsed construction violate any zoning ls+u, onlinanee or regulations ........................ 13. Will lot be regraded. .................... Will excess fill be removed from, premises: YES NO 14. tirms of Owner of premises ................:......:... bdclreea 6:666...:...... ............... Mona No. ......... Pam of Ardtitect ..................... Address .............................. Alone No. ............ &we of Contractor ..............:.................... Adkireas ...............................Mone No. ......6666.. IS. is tilts property Wilkin 300 feet.of a tidal wetland.? s YM .......... m ... ...... attt YM, swim Ma MMM VMI T HAY Bl3 Rfl(1111itIT. MOT DTAGRAH - tecate clearly and diatioctly all buildings, shatlter existing or proposed, and indicate all set-bash dimensions ftrt>rn prgxrty lines. Give street and block mober or description according to deed, and alta► street 'renes aril indicate tAtether interior or corner lot. "Milt (It NEW YMK, (11IN17 (Jit ....................... .... ............lx-infl duly sworn, depo9es at-KIsaysthat be is lite a0pl3utnt: (tfttu of Intliviclual signing contract) almve t>ttttecl, Ile lit site 6666..•OA. './Ar��e+l.?r..�................... ........................... . .................. (Caltractor, agent;corporate officer, etc.)• of tmid (mier or owners, mid is duty authorized to perform or have performed lite said work mel to make otxl file LldR nlq)Ilentlotl; lint all statenento contattted in this npplicatic>n are true to the best of his knowledge otxl Witlef; tttxl that tl►e work will In perLOrMl in cite minter set forth in Lite nppl.tcatic>n filed therewith. ,,?sora to before`r,e tills of .6�41 r.zzt. . Notary hibtic 66:66......... 66... (S mt:ure of Applicant HELENE D.HORNE °•: oisry Public.State of New York No.4961364 Qualified in Suffolk Coun 6 Commission Expires May 22, s JOB NO.: 99-9512 N R6'48'30" E 167.6-9 ` -4.i' Aa. -wvw NO. [ .__j-2.'?' I 20.1' ~� er: 9 FRAME A :o W. r ttl GARAGE° u n y r r+A T o mom, .0 n 7. � T 14 TtESIDWFRAIICN ' b � Cj3 y. 0 S 64.47'10�� A' !B8.20' E%E OF PAYOAENT W E S T R O A D ( H A Y R O A D ) ( 5 0 W I D D ) TAX DESIG.'�TATION n*Et6fENC_OF 4C�OF WAY b+U,4R EtitM:Y15 OF RE-QRD. r- ow.140 Stisn Nir ncr Q�nr,�• DISTRICT.' 1000. SECTIO.Y.• 110, BLUCK! 5, LOT: 36 JryL AP of S Z] T]• SURVEYED ON : vev'uBER 14, moo OF DESCRIDED PROPER �a w.us me aKraoe trw rwr x sqr�� :.�..rrsan...e _r ��' ;':•w TITLE No L 176:5 f uT ex..r+•fre wa w wt wo erw.ar!rt Ya ML:Oa map. � \`;�•�y r„wlwt,Mc•c C6RT1FlED TO: BLUL' CATV ARCTRACT.CORP. .Dore"K��~ � �` �v ��'v� LOCATED AT: COXXUN o•IULTN LAND TITLE INSUJtANC6 CO. C IT9BC XOItTOAOt. INC. UTCBOGUB, TOWN OF SOUTd v; t JOHN LSDDY COI.NTY OF SUFlOLK, STATE OF I1 ra w is°.Km MR WWAI .ua •%�,.,. r' ^.• 076 or 1V M HINT rt..r.,p A%V ME t, •1 Jam": ,;^ LFUNARD 1. S7RAIVDBERC AND A Moto WI.Ml 4 t 0lcaflR'.M" �t , ',', •) , it uawn.w wAru wOU"aru SII OAU In ne"W".0'"x a�A^~°• '0�'�4`�r�' CO O _ 20 40 EO CO.KSULlLYG 6RLL'JLiR:i AND I.IND S ,A 3JtrT s qtQ.�.K M W O.Il n twe r,H-TFiv.n,nc trrerr.a Y /.l. s� +1 �11.. I �- ._� --^...r.�- - _.. --- 09 AT7.A AM'7�` ♦vr NTrR rprs..no m.[-ro alr..:w.wwa�eA hsa�.w ..�..-,.• �"S — —� F BOARD OF EIEALTEI �•.. . .• . f j -FORH NO. 1 3 SETS 0 LOS ..... ........... If I TOWN OF SOUTUOLU SUAVZY ..4 ..... . .,,.r«.•••••• BUILDING DEPARTMENT CUECR �'�Ytb.... ..'.:. . . . . .. TOWN IIALL SEPTIC TOM ... . .. . . . . .... . . . . . ... . SOUTIhOI.B, N.Y. 11971 TLrI,s 765-1802 NOTIM ;/ _ CALL 5� •y� 57 Examined.*0/c �J MAIL. 'I O i.... . . . . . . . . . . .. . . . . AI�I>rovc �1 ..../s'J'..! Penult No�l. .................................... Disapl> .L?:1�Ru :. ..: ................................... . . .................................... :. (Wilding 'iector)• r APPLICATION FOR BUILDING PERHI'T pp •Date. �..z+�• • ••• •, 194�C� INS'TRUC'TIONS s. 'Asir application oust be carpletely filled in by typewriter or in Ink and submitted Co the Building inspector wi 3 sets of plans,.accurate plot plan to scale. Fee according to aclw ule. rises or clic b. Plot plan sharing location of lot and of buildings on premises, relatioaship to adjoining Premises la� i of streets or areas, and Giving a detailed description of layout of property must be drawn oa toe diagram M Chis application, c. The work covered by dsis application may not be cw=nced beforl; issuance of Bailding Persalt. d. Upon approval of this application, the building Inspector Wilt issue s Building ftradt to dee applicant. Sudo permit sliall be,kept on dee premises available for inspection througlsout tut work- e. No building shall be occupied or used in dole or in part for aspr purpose TAat9vQr until a certificate of Occupancy shall have been granted by the wilding Inspector. APPt.ICKnai IS I== MAB(.' to the Building Tkpartment.for the issuance of a Building remit pursuant to the Isuilding Zone Ordinance of the lbws of Southold, Suffolk County, New York, and otter applicable Laws, Ordinances or Regulations, for the constrwtion of buildings, additions or alterations, or for removal or demolition, as herein deacrIM. the applicant agrees to conply with all applicable laws, ordinances, building cods, hou W code, and regulations,;and to admit authorized inspectors on premises and in building for 9GWasary ins mons. (Si '• ore of applicant, or If a co tion) .................... (Mailing address of applicant) State whether applicant oUrser lessee, agent, architect, engineer,'general contractor, electrician, plusher or buillk �Gl�.f/�i ........ ................... ...... .......................................................... Name of owner of premises ... � ..... ......! ✓.. ............................................. (as on dee tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ............... (Name and title of corporate officer) Doilders License No. �:.�:'.i. ..ti�L ....... Plunders License No. Clectriciana License No. Other Trade's License No. Q 77 f> n I. location o lard on uiddl proposed work Will be dow, . .....•....,.. ..v:4. . ..... .... ......... ;r 'Q house tkmber �7Q p Street �77�f� 1Zaals/t County Tax limp No. 1000 Section ...�la ........ Block .... ......... hat .... .R..::. Subdivision ...... .. ........................ Piled Map No. ........:�..... lot ............... (�) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructions a, r�ci.ating•use and occupancy ...................................... ...::. :...• ..... .... ......... b. Intended use aril occupancy ............................... t.�.... .� ••• e fbiore of wod(dtedtwtildt ttpltlleabla)t flaw Dullding .......... Addition .......... Alteration :. 6666. tic;wir ............ Rencral ........:.... tkmolitlon ,............ Other Work ........64.....6.4 ....... ....... (Necription) 6atltmted cost ......%.i!�':S!. ........ fen. ............................. ............ 6666 (to be paid• rxs filing title application) if dwelling, timber of dwelling imlta ............ f1mber of dwelling units ori esch floor .............. .. Ifgarage, :Dumber of cars ........I.,........................... If Imaltless, oam,ereial or mlxm4owiperlcy, opacify nature --and extent of eacli type of use.......�........,...... nimnnsions of existing 6tructures, if anyt Front......3...l..... ttear ........ Depth .SSI ............ Iktlght ...........u..u....u. Miiber of Stories .................. iimenelons of same atuldr tre with alterations or'additio nl Front ............... Rear ............ ... Depth ........... .....A,, lteigiic ... nitaenslona of entire new eonstructiont Front ................ hear ............... Depth .............. Iteiiolt .....' ......... I.,..... hnber of Stories Size of 'loraFront ...k0�.... ....... Beer .................... tepCil ...`�2............ 3. Mite of Purdlsse ........0 u.......... it" of llortrar Owtter ....................................... . I. Zone or use district in said% premises are situated .........................:................................. ... 2. Does proposed construction violate arty sonlng tau, orclinen a or regulations ........................ 3. Will lot be regraded t................... will excess fill lie removed from premises: YES NO 4. Nemec of Amer of premtees .......................:... Adcireae .:.........6666:.............. 1'lione No. ............ More of Ardsitect ...... Addrese ........4..................... Atone No. ............ Name of Contractor ..............:.................... Acklrees ...............................1'11one tlo. ............ 15. Ta title property widdet 300 feet,of a tidal wetland? s YRS .......... NO ...i(..... *IP YES, S3 MOD TOM 14i11S1L11S t'13mrr HAY in 11Dr(itnr1 z. MOT D?AGRAM Locate clearly and distinctly all buiidinga, whether existing or proposed, and medicate all set-back dimensions tram property lines. Give street sed block moiler or description according to reed, and allow street 'vanes aril indicate �.ttether interior or corner lot. 51'11111 UDI HN YMK, S.'i (>A1NIY (1(I ....................... �myr„t..P.:... . .... 7 ............Ixxing duly sworn, deposes atxl says tint be in the appl.iumt (Min of itxlividtial signing contract) olxrve tiaterl, Ileis the ...... C.II./�I.[ .'......... ........ ........................... . .........I....... (0mitractor, agestt,-corporate officer, etc.) . of said owner or owners, end is duly ettdtorised to perform or have lterfr>rniatl the said work mid to moke anti file Lids ulilMentimi; lint kill st.atanettte contalned In this application are true to the hest of his ktitmledge and b6lief; mtxl that Ute work will be performed In die mmtler set north In the application filed therewith. yuctrn to tie fore Ire Uits' tiny of ..i Notary Public .. 666......6. .. .J1.X,ti .......... rin (Sint ire of Appll HELENE D.HORNE i4ertery Public.State of New York No.4951364 Qualified in Suffolk County Commission Expires May 22, AP P?VEAS NOTED - DA J7 B.P.I NPT BUILDING DEA VEAT - 76' iso 9 AM TO 4 P FOR THE w Fdi LOWINr,iulenrCTInRF: uEQUIRED P N Q �k FINAL • CONSTRUCTION MUST _ BE COMPLETE FOR C.O. ALLCONSTRUCTION SHALL MEET TV REQUIREMENTS OF THE N.Y. S"',TE CONSTRUCTION 6 ENERGY . , Ci .'FS. NOT RESPONSIBLE FOR DLSIGN OR CONSTRUCTION ERRORS OCCUPANCY OR USE IS UNLAWFUL 4 WITHOUT CERTIFICATE , OF OCCUPANCY lit PROVIDE SMOKE-DETECTING -- -- - { ' ALARM DEVICES I AS 70 FART.721.1 � I, - 1 "' I N.Y.S BUILDING COOL I � t'I J,5 I I ""KAPEll N o PON - -----1 —� ` - EMERGEIK SWIPE All �c 1 II � 11 I k L i � PROVIDE ANT4SCALD ANDIOEllR II y TTHERMAL SHOCK PREVENTING !I�� 1 '�.i DEVICES AS TO PARL 902.8(x) �f �ylll v 1 NX STATE BULLDING CODL P _ r... r.-.� •• L -� •iIT BING3 ALLPLUMbINGWABTE _- 8 WATER UNES NEED TESTING BEFORECOVERINB rLUMBERCERTIFI T y ON LEAD CONTENT CERTIFICATEOFOCC Mcoppenub b mw SWER USED IN 6 r.' ,: Torwarordbh9>,ANq iUPPLYSYSTEM o system plpMD a . EXCEED 2110 OF I o , a ollypnKal I � - fffh�1M1M14LLLr��^9� 2 031954-1 'fir - tr• - - ,j y V� o 7 U. 71 r7 FO ' S1 _,,,,,E LT9 /l� FD 0322544 2� p9OFFSS10NPQ�� m t _Z_ { I i � w u i - . J - 1 < 4z ui 032254-1 �V v� g9OFESSIO' v 2 m Q 13(3 °� V y 2sl�c �ch�"I IlU � w m tp CD a I Kiu. T Jir�� j ✓A io I I rl 0322541 AV 9pfFS510NP zij I -363 t^ C4 IN opo ; o — a -- -- WV451 7T 2J FluA MH "LwY—' u I 2t J Al' l.J M iCOLGM.A� 'u a1 � w- WZ yl 4 i �i ;o.,SfQ G7`YC ITT Q G4 1, Z i n FJ 'h,G,. ut, Ll , C�Im°tJ.t, 4 Btu"OG c�— ------------ 14 it Ir 40 44 _ x T-i L Q.6, rk J _ _ W ' /1 �'R P 032254-0 �l�V\ i OP to s I �j � _ 73 I O i -- -- »� ,�/� _ ------ - 7n�7�g-fit - 11t 4LVL L'LI�J� 2-13/q,yFf:46 ,ry�.•1- —' 4 �(�� -- _12,144B `�T. � 4 I E] q ' I Opy Fri ip cc i iI- GLL ,�`�• • Z }� I " rl �e! I � � wl �- 2 ' ��%�q•LVL �`. Q_I3/�Su )C14 LVL �Ll7�+H ''1X4f�� , i I r-� y I 5�z� -2H e� hrt O,lo,, rr 2 ��' �r.ln" " 2An I i. t � 1 .��4i /t .. .y-�n a •T t ti/a Caid — `�` 0 Y I u u _.� H�FESSIa�p� jJI isrr a 4 I tlul5 ` 1F� , v f ti-IrJ-! I '.•F�u,. . ,.Ira ra��. ��,y �. �— ,SLI— i� C%•/—�--�r�� 1"� ��C�. `�- ' a o . rl tom, LL ke P) --- { P .lnn / • ` I li F n "OA6 x f - - - _ _ - I I s r, -�-- --a— i o �fi;1--4-I r� t=Gt%n2 u d° „ ,. Fit ."]("(� f any a, .�, lltW� it i x F y iiC �1��V4 RILYa r { a I F � � ��'' �.,, ' �� u G1S;pd%� 'fal-1r.�t✓54-I � � r r 17(9810 zr;pcl pprl- it wl� �� ✓ >ry . � � �, pr L1L €� 1 '.�� I �. ,,rF. � � ...^.�.y p��y�`p_�,�� ' I ��' ' i �_I�e��Irk►a�;� I/�'° �c�, r_Yi.� s � ' y1F 4 ; !� SI�MN/`/'f1S: V11/Se lr1�i✓1/V A : yc, I - NI'R 1 .! - .�F 1'Ilap "•1. Jam' �' I I , I _.r. :' x lam '' Ay ,r t ' i�- :e IVU ;,': W4 CfJ �5 29CI0 „ Oil ..••� �.a��. �,{VL; .�lo�'yw^ . • � fel �d Y!�I ¢� I�'!�E; ' �:�: � ^�t�('��ry •{ ��: irk ` Tc tic, aIla�4cx' �+y PE�sHr��r ca-IY Nil p m5e-Kl rJ c 3 �Lw 2. 11SFICXA AiJ Y Giew 14a e I � t^ —•a- -`".fit—ter - - / 1 = lIFN� ... t _ FES IONpeO� jl- 'fS { #ic r 13G7 rl �'� 0 d 14 7 ♦• 'I c` it 9 t1 a v �. � .. . .,. . Y . r : ,. , rtr t .'„ .r �,:. ., !. !r t- :-�.-.,:r i. I c�:v -,�5�'sr A N.: z ,v.. �f 1: :. ' . . --�. s, : +� 1 ,� - � 7� .. •r - �"hwl,y�y�3} r �.w U / R I I l 4iG� L4-- % 1 .100 17" CI C� Q"X I Lv" Lat4ort3j�;WAI_ tr (0il 4"Tr I IZP1 J A2 41 � ,� ,\ ° �yi,� R OF W11011 1100,L 4.1 J2- IWAIWA a �r�r 1�•� rz1'1_ N1� !I HUb ,I 1 I �� 41V lilt P , 4NO WIN i L _ {�� W OFFSSIQ/NPS" I r, y.a 7-7-77 IF 14" IF ro OY04;'J'C'logo&, It 0 0 FJ� Id � 0/0 0100k, �Ory 47 L-fli _z ,LL III It' J c4w _x 15 r2_ l'*")(l4`LVI- WOTE: r OL)F ;opt 7,17" 032254.1 oj IF* CIL, t<L IF ouVi o 'm f -7- `*Y-T, a - ° - " - 4 CL n j 2 Ir cc be cc W � � - I _ Li .1 I I m i - I I . F 032254-1 O a oA90FESSIONP�� / � LJp /0 o �x w �