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HomeMy WebLinkAbout26593-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32084 Date: 12/20/06 THIS CERTIFIES that the building ACCESSORY Location of Property: 3430 BOISSEAU AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 3 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 15, 2000 pursuant to which Building Permit No. 26593-Z dated JUNE 19, 2000 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 ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to RICHARD & MICHELLE FEELEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-071359 04/30/01 PLUMBERS CERTIFICATION DATED N/A AiAhoried Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27681 Date: 05/14/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 3430 BOISSEAU AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 3 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 15, 2000 pursuant to which Building Permit No. 26593-Z dated JUNE 19, 2000 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ..y is SINGLE FAMILY DWELLING WITH COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to RICHARD & MICHELLE FEELEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0086 12/11/00 ELECTRICAL CERTIFICATE NO. H-070071 12/05/00 PLUMBERS CERTIFICATION DATED 1 9 00 PECONIC PLUMB.&HEATING Authorized S gnature 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. 26593 Z Date JUNE 19, 2000 Permission is hereby granted to: WHEELER (FEELEY) 3430 BOISSEAU AVE SOUTHOLD,NY 11971 for CONSTRUCT NEW ONE FAMILY DWELLING W/COVERED FRONT PORCH ( 1ST FLOOR ONLY) & ACCY GARAGE AS APPLIED FOR. 2 CERTIFICATES OF OCCUPANCY REQUIRED. at premises located at 3430 BOISSEAU AVE SOUTHOLD County Tax Map No. 473889 Section 055 Block 0003 Lot No. 009 pursuant to application dated MAY 15, 2000 and approved by the Building Inspector. Fee $ 714 . 80 Author ed SignagEure ORIGINAL Rev. 2/19/98 A, Form No. 6 �6-5 740 (�g TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL .J 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 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, ,tp 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 - .2%p 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . f j!9.(k0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . .tsJf,5 . . . Old Or Pre-existing Building. . . . . . . Location of Property. 3.L Q, , , .�1,��,�4 �. . Av.W I )1:wt- . , . House No. Street Hamlet . . • . • • � . . � � � � Onwer or Owners of Property.l�( ,�ll.� . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . County Tax Map No ,, II 1000, Section. . . 15.5 . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . .01A. . . . . . . . .. . . . . . . . . . . . . . . . .Filed Map. . PA. . . . . .Lot. . . A. . . . . . . . . . . . . . Permit No. ��P.S:l .�.r. , . .Date Of Permit. .: .QQ, , , , .Applicant.w oswi.RC1 . . . . Health Dept. Approval..--f�>, Q'?f; , , , , , ,Underwriters Approval. . AA �� Planning Board Approval. l�. . . . . . . . . . . . . . . . . . . Request for: Temporary Certificcaate Final Certicate Fee Submitted: $, . , '�! . . . . . . . . . . . . . . . . . . . . . . . . . S9y lGU APPLIC w Q `DO Form No.6 TOWN OF SOUTHOLD I WC ZOCc BUILDING DEPARTMENT TOWN HALL --' 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 I% 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 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 Building - $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: t/ Old or Pre-existing Building: (check one) Location of Property: Ld House No. Street Hamlet Owner or Owners of Property: _ (die ((> -Iy-e PL Suffolk County Tax Map No 1000, Section Block �5 Lot 1 Subdivision i4A Filed Map. Lot: Permit No. JtP( q_�) L—_ Date of Penlut. _Applicant; _ Health Dept. Approval: K I Underwriters Approval: IQ Plamiing Board Approval: Request for: Temporary Certificate Final Certificate: (check one) D� Fee Submitted: $ - �l" App"Signat ��c• �rs3g Coy 08, THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8081539 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Dote DECE OBER 05,20@0 Application No. on Jile 10998100/00 H 070071 THIS CERTIFIES THAT only the electrical egaipment as described below and introduced by the applicant named on the above application number is in the premises of MICHELLE FEELEY, 3430 BOISSEAU AVENUE,t_,SOUTHOLD, NY in the following location, 1:1 Basement ® 1st FL Jh 2nd FL OUT Section 55 Bloek3 Lot 9 was examined on NOVEMBER 29,2000 and found to be in compliance with the National Electrical Code.. FIXTUREFIXTURES RANGES I COOKING DECKS OVENS DISH WASHERS I EXHAUST FANS OUTLETS RECEPTACLES SWITCHES NAIORESCENT I OTHER AMT. K.W. I AMR. I K.W. AMT. K.W. AMT. K.W. AMT. N.P. 33 51 43 33 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULSOUTLET DIMMERS AMT. K W. OIL H.P. OAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 F 1 2@ 1 SERVICE DISCONNECT Lane AMT. S E R V I C E AMT. AMP. TYPE EQUIP. 10 2W 1 SW �W �W No.of CC COND. A.W.O. NO,OF NI-LEG A.w' No.OF NEurRALE A.W.G. PER• OF CC.GOND. OF M-LEO OF NEUTRAL 1 20@ CS 1 OTHER APPARATUS: CO-DETECTOR-1 PADDLE FANS-� 5 TON AIR CONDITIONER-1 MOTORSTI-5 H.P. ,1-F H.P. PANELBOARDS:1-1 CIR. 60 G.F.C.I:-5 SMOKE DETECTOR:--3 L <<< Continued On Page 2 >>> GENERAL MANAGER Per This certificate must not be altered In any manner;return to the office of the Board if Incorrect.Inspectors may be Identtiled by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERSPAGE 2 8081539 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date DECEMBER 05,2000 Application No. on file 10998100/00 H 070071 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 MICHELLE FEELEY, 34301 BOISSEAU AVENUE{{OSOUTHOLD, NY El the following location, Basement ® 1st Fl. f2nd FL OUT section 55 Block3 Lot 9 was examined on NOVEMBER 29,2000 and found to be in compliance with the National Electrical Code. . FUMES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENJ FLUORESCENT OTHER AMT. K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. M.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKSBELL UNIT HEATERS MULTIFLET DIMMERS SY AMT. I K.W. Olt M.P. j GAS I H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. I M.P. NO.OF FEET AMT. WATp SERVICE DISCONNECT O.F S E R V I C E AMT. AMP. TYPE EQUIP. 1•2W 1/3W 303W S/4WNO.OF CC GOND. A.W.O. NO.OF HIA 0 A'W'O' NO. NEUTRALS A.W.O. PER a OF CC.GOND. OF HI LEG OF NEUTRAL OTHER APPARATUS: MICHELLE LEE FEELEY L P. 0. BOX 1917 SOUTHOLD, NY, 11971 GENERALMIANAPER Per 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. pip THE NEW YORK BOARD OF FIRE UNDERWRITERS PAG71 ' 3U83702 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 A4A f 09,2001. ,'' �. �01 ;`r H 07'1359 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 HICHELLE & RICHARD FE=, 3430 BOISSEAU AVENUE, SOLn?C,.','!, 'v-i in the following location- ❑ Basement ❑ It Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on XMIL 30,2001 and found to be in compliance with the National Electrical Code. . FIXTUREFIXTURES RANGES CaOKINO"DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCE FLUORESCENT OTHER AMT. K.W. `AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 5 7 4 5 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT.1 TIME CjA OCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. MPS. TRANS. AMT. N.P. SYSTEMS AMT. WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC GOND. A.W.G. A.W.G. X W.G. AMT. AMP. TYPE ECUIP. 1/ZW 1/SW /SW S/4W PER 0 OF CC.COND, NO.OF HIAEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: PANE MMEIS:1-3 CTR. 30 5� a HICHET LE L. E'EE.GE".f ( t P. O. BOX 1917 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 ;" Per t This certificate must not be altered In any manner;return to the office of the Board If incorrect.Inspector/may be Identified by their credential#. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. pv G Fax (516) 765-1823 Town Hall, 53095 Main Road N Tolophono (516) 765-1802 P. O. Box 1179 Southold, NewYork 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. J owner: LlbjdD �C f11 �Lz/ (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 9/4g(P1 a Signa e) Sworn to before me this day of Notary Public, G County V Pdit SWO of*W OIt N&(nST4844752 Cuftd in SuA*CaullY �oc� S*� / STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) ! � / Q t f* t � I being duly sworn, deposes and says: That Pepo ent is over the age of 18 years and resides at ! 2�r X4 /el 2&ht That on the I day of 2000 deponent architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# I street address 1�D15� 7�ta C 'JLj U Y. Architect/Engineer Swore li to before me this ;ZAL day of 6LZ , , 2000. OF NE* pp s co�P�NC E Notary Public ►- �• r '` tllicN S. sANTof1A NO MAI PUBLIC, State of 14"I No. 30.4916010 Qualified in NaMU__--_J� ��00 o032254.1 ComTis+ion Expires V cc: Applicant °FEssio�P�' APPEALS,BOARD MEMBERS o��gpFFO(,�c OG Southold Town Hall Gerard P. Goehringer, Chairman =� y� 53095 Main Road James Dinizio,Jr. P.O. Box 1179 Lydia A.Tortora coo%O • Southold, New York 11971 Lora S. Collins y�o ap! ZBA Fax(: �)765-9064 !� George Horning 1 Telephone(` i)765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD May 2, 2000 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Incomplete Application (Wheeler at Southold) Dear Mrs. Moore: In reviewing the above application for a lot waiver, delivered yesterday, we researched the history of the property. We found there was a variance issued in 1974 by the Board of Appeals for a lot area and width variance. (The index card was removed from our office, but the prior action was found through an alternative system that we maintain.) ' For your convenience we enclose a copy of the Board's 1974 decision which hopefully will assist in the zoning review process. Also enclosed is the incomplete Waiver application. (If after speaking with the Building Department, the Building Permit application is disapproved for other reasons, a new application may be submitted for review.) Thank you. Sincerely yours, ZBA Office Enclosures �* cc: Building Department W',,Q &JA4M f r PUBLIC HEARING: Appeal No. 1884 - 7 :45 P.M. (E.D.S.T.) r Wheeler, lication of Mary E. Wheeler and Lindon * Wheeler in upon aPP Southold, New York, Section 3500 Boisseau Avenue, Ordinance, Article III, accordance with the Zoning ermission to divide 100-30, 100-31 and Bulk Schedule for P J. Carroll lot with insufficient Avenue, bounded northidth and area. by of property: east side of Boisseau aid $15.00. J. Carroll & Yennecott Park, Bout Y & Ano. ; east by Boisseau Avenue. Fee p Yennecott Park; west by the applica- ened the hearing by reading The Chairman op affidavits tion for a variance, legal notice of hearing, and attesting to its publication in the official newspapers notice to the applicant. WHEELER: Referring to the Reason for Appeal MARY E. I bought both of the lots as �� as read by the Chairman, "purchaser" rather than devisee" . RUDOLPH BRUER, ESQ. : The point being made is that it was conveyed from the Estate at that time. of it-- _.MARY E.._WHEELER:- Mr. Eds11 on-did Edsonid n t- a gh a Will got was I was an executor but it did no -- to beRUI50LPH BRUER, ESQ. : The main thrust of the application is true. The question involves merger of title which occurred through Executor's Deed which was passed on through one instrument. The original Deed went from Mrs. Wheeler as executor conveying both pieces of property to herself, individually. Whether it was through a Will or came through purchase of the Estate, the argument of the applica- tion is correct. It was a technical merger. It was not intended to be a merger of property at that time. The adjoining piece was purchased at the time when the Yennecott subdivision was made. At no time was it intended that there be just one lot. The purpose now is that Mrs. Wheeler would like to convey it to her son and daughter-in-law. THE CHAIRMAN: I don't think that the wording of the application affects the intention. So, in effect, we have one parcel of approximately 40,000 sq. ft. and one which is a little over 20,000 sq. ft. THE CHAIRMAN: Is there anyone present who wishes to speak for this application? RUDOLPH BRUER, ESQ. : I am an attorney from the office of Lefferts P. Edson. We have here two pieces of property owned by a particular individual, Mrs. Wheeler. They were obtained from an Estate through two different sources of title. Conveyance was made by Mrs. Wheeler, as executor, to herself. Parcel One and Parcel Two were conveyed to herself in 1967. When the Zoning Ordinance changed there was a technical merger of two pieces of property into one. The intent was to keep it as two pieces. Our request is that the property be separated to allow Mrs. Wheeler to convey the smaller portion to her son and daughter-in-law. THE CHAIRMAN: It seems that Mrs. Freeman purchased this property as a buffer. MRS. WHEELER: I have no idea. I would have thought it was before Yennecott. I was under the impression that it came from H. Tuthill. THE CHAIRMAN: Mrs. Freeman purchased it separately. MR. BRUER: It came from two separate sources. It was two separate parcels purchased at separate times. MRS. WHEELER: I paid taxes on two parcels. �q Southold Town Board of Appeals -4- April 11, 1974 MR. BRUER: I think many of the properties in the neighborhood are smaller in size so it would not destroy the character of the neighborhood. THE CHAIRMAN: Does anyone else wish to speak for this application? (There was no response. ) THE CHAIRMAN: Is there anyone present who wishes to speak against this application? (There was no response. ) After investigation and inspection the Board finds that applicant requests permission to divide lot with insufficient width and area on the east side of Boisseau Avenue, Southold. The findings of the Board are that the two parcels were acquired at separate times prior to 1971 when the minimum lot size of the Ordinance was in- creased to 40,000 sq. ft. The Board also finds that properties largely surrounding these two properties are composed of one half acre lots known as Yennecott Park. The Board agrees with the reasoning of the applicant. The Board finds that strict application-of the Ordinance would produce practical difficulties or un- necessary hardship; the hardship created is unique and would not be shared by all properties alike in the immediate vicinity of this property and in the same use district; and the variance will not change the character of the neighborhood, and will observe the spirit of the Ordinance. On motion by Mr. Grigonis, seconded by Mr. Bergen, it was RESOLVED, Mary E. Wheeler and Linda J. Wheeler, 3500 Boisseau Avenue, Southold, be GRANTED permission to divide lot with insufficient width and area on the east side of Boisseau Avenue, Southold, subject to condition that Parcel 1 and Parcel 2 shall revert to the original dimensions as indicated on sketch. Vote of the Board: Ayes:- Messrs: Gillispie, Bergen, Grigonis. TOWN OF SOUT110LD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION I l FRAMINGISTRAPPING [ FINAL Glfo [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION <j REMARKS: A L DATE - -INSPECTOR suu.uiNc DE". INSPECTION [ ] FOUNDATION IST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ J FRAMING � INAL [ ] FIREPLA CHIMNEY REMARKS /I 6cejye,� ,DATE [J'� INSPECTO i BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY R ARKS: ���G O/�- �.C/GZ��c•� 44± olv DATE INSPECTOR ass-1ao2 suauiNa DE". INSPECTION [ ] FOUNDATION IST �ROUGR PLBG. [ ] F UNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMARKS: DATE a/ 00 INSPECTO / BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ /ROUH PLBG. [ j FOUNDATION 2ND [ ATION FRAMING [ [ ] FIREPLACE 8 CHIMNEY EMARKS:A��- Ox & ,c ,DATE �O�` INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING [ FINAL [ ] FIREPLACE S CHIMNEY R AR S:�/ -194J DATE/W/.XY/AP INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION I ] FRAWN0 FINAL [ FIREPLACE & CFIIMNEY REMARKS: f%�9*/l�-'.� �✓1f�9��g17�0�/ � 0 wI/hvre/�4GrzccL.E/L � ,DATE (� �� W INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROSIGR PLBG. [ ] FOUNDATION 2ND NI 8ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHI NEY REMARKS: DATE �� 3 O� INSPECTOR ���!/ BUILDING DEPT. INSPECTION [ 14/FOUNDATION IST [ ] ROUGH PL66. �G [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FIN/LL [ ] FIREPLACE & CHIMNEY REMARKS: oor —7 o0of DATE v /�QO INSPECTOR 2L4 C�-91 M-1802 BUILDING DEPT. INSPECTION [ ] F UNDATION IST [ ] ROUGH PLBG. I [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPL CHIMNEY REMARKS• � ref DATE �� �/ INSPECTO I / '1 ' 1 • 1 I I i rpo/ � �� /' �,� / ���� /`�. i - ',���.�. ®rMS �TM, !,j % OF 11 1 1 I I I� i BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: Reviewed: Architect/ Date Engineer: Submitted: SCTM #: District: 1.000 Section: -_Block: Lot: Project Subdivision Location: Name: Single&separate Required certification: (Yes/No) ( Zoning District [Lot[Lot Req'size: OW Actual: ODv [Lot coverage Proposed: L0 [F70 ront Req. /0 i Req. Front Yard Proposed: I [Side Yard Proposed: f] [Rear Yard � Proposed: � (i 3 Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Numbe Suffolk County Health Dept. oo —o 01?1 New York State D. E. C. _ l Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes: r ✓BOARD OF HEALTH ✓ FORM N0. I VS SETS OF PLANS TOWN OF SOUTHOLD i vSURVEY BUILDING DEPARTMENT CHECK . .4. . , , , TOWNV HALL J l VSEPTIC FORM . . . . SOUTHOLD N.Y. 11971 TEL; 765-1802 NOTIFY: CALL 10;!A-36. 7405 . MAIL TOPluf-E Ui r- Apprav �Y!..., Permit "IGH. . _�c7. Disapp ed a/c . ..... ... . ... . ...................................................... I .. ....... .. ........... (Buoding tor) APPLICATION FOR BUILDING PERMIT ''JJ Da t e .fir.T . . . . . . . . . . . 20C.Y0 INSTRUCTIONS a. 'kris application must be completely filled in by typewriter or in ink and submitted to the fluilding Inspecto 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 mist be drawn on the diagram which is part this application. c= the work covered by this application 'my not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Su permit shall be kept on the premises available for inspection th e. No building shall be occupied or used in whole or in roughout the work. Pmt ary purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. ie APPLICATION IS BERM MALE to the Building Department for the issuance of a Building Permit Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordirances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, a� 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. (Signature of applican , or name, if a corporation (Mailing address of applicant) State whet h er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plrntx•r or bui ( N.•!!,.......--..1.. ......... ... ......................... ..... . . . . . .. . .. . . . . . . . . . ... . Name of owner of premises {YlAC1 � / ,/�I�j�p.�o '/ .......... ..YY!!c-e;ICY .......................... ... . . . . . .. . . . . . . . . .... . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. .............. Plumbers License No. ........ ��� .......... Electricians License No. .,,- „•- Other Trade's License No. ............ I. location of lard on which proposed work will be done„ ........... 15S.....0 �4ve ... House Number Street SQ�1? ••� ?........-.. ...... ......... .. . . ......................... County Tax Map No. 1Section ....... Block Lot Q Hamlet :... ...... .7, Subdivision .....J ............... ( ......... Filed Map No.A. (Name) .... . . . . .. .. . . . 2. State existing use and occupancy of preonises and •nt use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy �C" �}� l1/►/ ' �... . 6 7 -7 jlrr'�h 2 + ^tgriM Tey 3. fixture of work (check wlhich applicable): New Builth ..-11'... Addition .......... Alteration ... Repair Removal Demolition ............ Other Work . ....... ...... .... '(� •�y� /� (Description) 4. Estimated Cost:'/(401.V.-Par..�,....... fee ...... .................................. ...... oto be paid on filing this application) 5. If rk+elIing, nuoier of dwelling units ....I....... NiLuber of dwelling units on each floor ... . . . ... ....... If garage, umber of cars ....... 6. If Ixisiness, ctmnercial or mixed occupancy, specify nature and extent of e � I Nact).type of use. . ............... 7• Uinensiahs of existing structures, if any: Front /q // 11) ..... Rear .. Depth A-)IA. Ikig)ht ..N Nurixer of Stories .�1/ . ............. Dimensions o4 re structure with al erations or additions: Front .n lQ ..•. q Depth (�. ... ...... Height ,Jl�... .. N Rear .�. /.t ........ ••••........ NLimber of Stories ..!./ 8. Diirensions of entire new construction: Dont tt!11 / cpt� T4!...I R Rear Dept \r Kimber of Storiess .c .,,)...... 5✓iarrtV �/�t7L_J } FFrn cx'1 '��s?l 9. Size of lot: Front ]Xt-e? 2 .!T•,,,,,•,•, Rear .�iC i,.. 2 Depth �cY4!4! 10. Date of Rhr ,se�IL.1 (` rCNane of Former OwnerI.UIf. . lie� 1..UVC(�Cf fr ..... . 11. Zone or Usd district in which prenises are situated12. ........:............................ Does proposed construe 'on violate any zoning lav, ordinance or regulation: UY•,., _ Dpnn r (�� 13. Will lot he regraded .fes, exc "Fill be re Dved from e • premises: YES 14. {lames of Owner of premises . P17 // -1� 1 ', p Rhone �.5.. . N.me of Ard6tectY#'..NW.WM _ tLf...�. ~[ +s:�r� s .. �. Phone Q(te�a yyyy�� /yam No-4. o.�. Nee of Contractor' �� gess t ! .' U.1„t t/ � 7 9/1y3 Phone No. 46 15. is this property within 300 feet of a tidal wetland? * YES .......... .......... *1F YES, samlrxn Taal TlausltEs PQat1T Mf�lf BE . PLOT DIAGRAM locate clearly and distinctly all buildings, whether existingor fen property lines. Give street and black pr'0��� and indicate all set-back dimensions C,n ember or description according to deed, and show street nares aril indicate rlhetther interior or corner lot. See, SUrV�r 1 / �� a�• s��� O� GC��,1 �Irn���✓)S r. 1�1 b Si"1eb GfILArS (J �/ Porch_ 17NIE (A' NU Y()itl(, a>HIY car ....:. . . .... . .. Mi LL'eC J J. ......................being duly sworn, deposes and says that he is the applicant Narhe of irxlividhual. signing contract) bove moved, e is the .. . . . . . ........................................................... .... ((-cxhtractor, agent, corporate officer, etc.) f said owner or v.,nhers, red is dUly authorized to perform or have performed the said work and to make and file this hat pplLh w r, that all s rronnets n tile ned in this appl.icatiorh are true to the best of his knowledge and belief; and hat the work w I 1 the performed in flue marnher set forth in 011e application filed therewith m . worn to before rtui �...... .. .day of .. 3?` 20 Notary Rhblic,7(.CC rrltc s�mteo� trt (Sig t�rre of Applicant) ew 4982528 O�iohshblac �ItsYrw���w�,�:pc• SUFFOLK COUNTY DEPARTUENT OF IMALTH SOMICES PERbUT FOR APPROVAL OF COMTAUC'3'ION FOR A TEgr GE SINGLE FAINTLY RES.I YCB ONLY tet. ze•8 DATE o 0g 2,ip l o , 00 -o-og( Deo�i�yrs APPROVED �nxa✓l4v�ny I FOR MA3;9.iUM OF ,�LEll)ROOMS WIRES THREE YEARS FROM DATE OF APPROVAL T 3 "mar i� W �a rrf co a , , t ape, {p � O AN LEW�yO9G�� V' -�JO 9r 3369 + EW V QQ! uR E Fo t3 /P�t 'H�9.20 /Ch�ELLE� �Y Al/Tifewe W LE/f/9ND0 dk/ .vo�uRVErae �aP�xy�/B <a .q /av• a vG C .c/ Y, aur.yo�0i✓Y./iy7/ ��.v�u/rEEo Ta �.UE!✓ry .Clsrieeu.�� TirLC/ iJ�/eE L' .v eY-NE3�y.C.r �C/1/�iP0�f�lcy+fu�F�YEy Di5'TC �ly,�/�Z,7 2Gao - �fC�9Lerr'•/''��G . .,e 28M TE6T�G�" Aax�.vlgv�r�y I ML �i�T roNFivE �floSE�it'pO � /p SS N 2�� /6bIv- h ��tvd.9r/ov �J�✓ifi11 i l � `t�3 •` oe p �� AND S �vU� �G�♦ �' LEW,q� Q � 0© -�iyA a 369 OF N1 E W V 0�. flJ E Foe' ��'/✓�9.20 /Ch�E E� �Y 4, 17ht-We w- LANOdURVEYU.e Pa B+�xti�s/B �acgTio�/•�vrc�vto ��c.�i�- C�,yT-,,,,y y our•9ro�oi✓Y./�97/ �.9.P.s�re�o ro FiaFt✓ry •[/,�r�aorG Tir«/ /J-veE L' ---- � A�"NE3vJ�•tx' � .Pcrg,Qo d/y1c,�rfu�F�L�'y �vo•9r�ov Loc.9roo�a�yzz,zaov 0�9PC�.Yl.9.�NZ7 Zado r i ---Jun 'zed alteration or addition to the urwy is a violadon of i n LD Sectioi 7206 d du New Vork Stats on taw" Dea�eA�! C",o - a1� a1AA of Oft v t11�YNlggN>y I .mbouWad"retbemttddred robe a void vwam. oonly iD did,yerw for rAw ft army laprepared,end on N s bOW b dw dda company powmmensd @*arm*acid WWN B�D�s'NfivE FC? 2�a33' wulpnm fattionof ft lendinng k h"In r 43 . Guarantees are not transferable �.G�L,tligUd / to additional Institut;^ns or subsequent �lt� c •9 SS owner.. 0 /7 .h Pv � t zq. 0 � uu�:e Ccrtlj.' i6.o r 0 J F�3 h v 61'0 AND s 4p. LE Wqy`94�` DvjzJ OOH p i v © qr 33690 + AQP NEW YAP ue E F,oe �i�'ygep ieh'ELLE� tY AvMdVYK/rLE/y�9ND0 NOd�?rEYU.e LacgTio�/�.To�rr�oco ��c�G� C'auyr✓ .t/Y, avri��v�✓>!/i9>� ��.�,tu/re�o ro F•vE�✓ry -C/.9rietu,�� Tir«/ r,�vcE C v ev�-NE�'vyotx- aer rr farw4.9r�ov Loc.9r�o../v�yzzi z000�yvG�rTi6,zcbo Or1�TC��Yl.9eCNZ,7 Z4ao �(CNLE•/"��flG IE 2:12'7519 55 . 3 - 9 ,.l }... �l .1 , is lif l_ Y:la. rj lRl •�'.r� ' } —�� •6?: .d,. a ��;'f`t Y :=a: t.� blfif�y';r`F'C%k � �n o -0o8 �` �` -'LUpII" –ice•-+ --- ----- ...__,unau odzed alteration or addition TEsl LE to thij survey is a violation of - _ t•^t^c 1•. fait r• I =,.tr }ice tion 7201 of ft New York Stale yY.'' k r,n i r r t rat tiLaw. 28,8 C.ir.tt to dL �k �Y, S R r,, C e of tNa survey wdp not bmiry /r �! tM I stxveyae ktwd reel or j�h r ��.... l.,{. c •r (.�a.– a aW ehd not be oarWerea ApJYNLg9iHy — — to avalid bw=ff. ML �✓/Lr Act)A __ ()'7:ac r,l M+a'^!rand k'aslcw.! olvall run !IManagcmcnt only dwperanbrwlo thRsurMy t--- is ,and on We bahell to M fendkV adtut�io nn edtwoon�nd and 'C;tiE ?> 3,3 to dw aasignm of the lending bwltudon. y/ Guarantees are not transferable to additional instinr'rns or subaegwnt 11046fPVIP /p Ss owners. 0 N 0 h �h �� yr � Q aji i /moo n RNai It Oe • � b �`G�•CjCj� yGf` 1 .yJ. LE{W,j�`pG� © `'f NEW Y00 AV7hV&e W,ZfPW V4P0 :OA-0/ �,gNOduRVErae oaP�xtiye lac�Tio•y• SUrr.�ot'L>7' i�oGr �o�,yTr� �[/ Y, aur�SdoCoNy�/y>� Guy,P.��/TELO To F.OEl,/rY �llAricw,g� TiTI�/��,�,vcE Laryogvs�a<-/VE.yf/�o-C.r � .�xi vo sr/o el Loc 972-zPAJZ y'z7,z000 a v�Ti6j zaaa Oi9mn,iYJ�9G��'/27 2ac�o yGdMBE Y/2000 7fG.4L6•/y=.flo � / �c7'.rr!#iaaa 3S-i-�3� o W � n I'� -ry•�, 3n" A�5 413x d0 10 2'- III AUG 7 � !u CLLLAK 3 G o a a n I l9 1 a 0 IrI n� , �, ` s-n. eoL• n 1 ��� � 9 ^ "✓. Iii 2'p r z (7' u l 01 �� Z Z n -y'• Imo . - r06 TI hd TII 361 zn II m TTT��V : I I o M 'WAbL, rF� Jl' 0 SRA nI JET, ON UND18r 4':D SbIL - ,pW� _�J `INT DF' Bk loW a4 '6 n - ---1/ -- -- -- - - — - -- -- - r0 -- -- - - - -- ------- - — ----- ---- ----- ---- - - 0 t � „ ' - - NOrI.' �e4'R+fif U �Mc•""N,S•any (Ty 1 �1 r a 1�1 � �1 0 tz a - a M ..M„".;.+rv:uwvewwwnuww-.'''k h„y,Y+�.+n:�6..'"°µ' ✓,Nno«.w.,wr,arws+++.P„n.«..na * .a.. , an 42 ' r �- . I , ; •, i .,rf ” �r � , d ,.,= � ,� ' J / �. ` ( t 'c"` i��^f R ���_ .. . ,-. "' i '- ;.! y'sr/ ��[ _ � 3 �g � � N; N•; � i m f M, . 1f1 ,r`{. ; , / rlt 1 I / ! � � rt I __ L.r��i. � j(��' •-i' _ f'�P / r r• -u I y — L. M1I l Y' i J K .6 _ ALAl1MDEVICES j. T_ k1 Y rem raP 1 lISTOMR[3x1.1 I � t�w'? =f� ' � y , r r ^� a w� � v +� , vh -��� I,il. •' _�_ �'`- , _ __� M.YA SUILOINS tome ' W - - 1 _.--..-_ 4 i --,,, ' < i�*'�,� .� rd hx -� ���� ''e.�5� ,Iw �i'�' . `�.,..a �.,, y i i , -- `�!-•i - f 1jI _ .� "SMS- _ _ '-•'" •--+-- _. ._ .. __.�__ , �—..- _. .. 'L..-, T^ I y 1 4✓7. M } 14 _.�.� _"_ _._ _ —__'-__ i __ •'-. - ..�'wS' l,. -� '. a .. ' * � Q {� A17 za q N PRO EMERGENCY ESCAPE AS -*'w .;y.t -..tee .•.,W..;,„..�, w,�,--�._,,....y x M wwmw � w.wAIT 9 ((� REOUIRED BY PART. 714 OF y ILK STATE BUILDING COOL. SEmlwEB ROVED AS NOtEq DATP l9-ao B,R (05 3 � �ab • �rsr: � `_� NOTIFY BUILDING DEPAR T 765-011102 6 AM TO 4 PM• FOR THE - FOLLOWING INSPECTIONS: - 1. FOUNDATION - TWO REQUIRED Y FOR POURED CONCRETE L ROPGH _FRAMING & PLUMBING A INSULATION - ^ 4 FINAL - CONSTRUCTION MUST - BECOMPLETEFORC.O. •' - _ '/ j ALL. CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. - x STATE CONSTRUCTION & ENERGY CODES.. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS r . . 1 htto ENEW J, OCCUPANCY OR USE. IS UNLAWFUL • Q W WITHOUT CERTIFICATE OF OCCUPANCY s�o W225 .11 ” h'yy� P'gOFES510wP ifmp* bund tea?WPMO shall he FROVIOE ANTI-SCALD AND/OR at W"IZ L onk INERMM,SHOCK PREVENTING p1 UMBtNQ. KX iTAIE BUILDING CODE— PLUMBING. DEVICES AS TO PART 902,6(K) k ;ALL'FLUMMKGWASTE 3W=RLINESNEED 'MB10ISr BEFORE COVERING PLUMBER CERTIFICATV7,V, _ ': __..' ,' .... __ ,M.,,.- + r'+,• _ � `. '.:+r; ON LEAD CONTENT BES ,: E- - "AITIFICATE OF OCC&PAiv CY 00 IM PROCEED WITH, , 80 FRAMING SURVEY'. LDER USED IN K�ATE �I aSEMCANNGTSUPPLSYaFFOUNOATION'IOCADON �„ — 4.. o;.' k MMi PEEN APFRpVEO FXCEED 2110.0F 13/6 LEAD 4 r a. \\ _ .. ,r., ,, _ _ _..... --. ,._-:t-_•:+f�r'>wirw �tikw''; ...',`.M.,; y59:', �y,�^ + ;G�, .o- �. . �l, ^ , '. -�r V _,. ' •..',d^. : :i', 'y' .'_'�.:r. ..,.. r.'. ; f . 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