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HomeMy WebLinkAbout18403-Z 5' FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219191 Date JULY 9, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 190 PRIVATE ROAD #32 SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 09 Lot 10.2 MINOR SUB Subdivision COMM DEV AGENCY Filed Map No. Lot No. 2 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1989 pursuant to which Building Permit No. 184032 dated AUG. 25, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-35 MAY 7, 1990 UNDERWRITERS CERTIFICATE N0. PENDING SLIP 7/9/90 PLUMBERS CERTIFICATION DATED HARDY PLUMBING fi HEATING MAY 24, 1990 f . ~ Suild~ ~ pectoC~J r?'•-"`~~ i Rev. 1/81 ' sosu xa s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N°- 18403 Z Date 19.~y Permission is hereby granted to: . s4. K..Tf~.a idl ~ .....,17....~~~~ ro ? at premises located at ..........t!..~.ll...~.l.3NfC.Jt /rf .................,1...~................. .........................................................~'1..~r~G2~ ...~..~a County Tox Map No. 1000 Section ...~9........... Block Lot No....~.,0..~.~ pursuant to application doted .......~2%~ ..............L...~........, 19.~.G and approved by the Building Inspector. Fee S,.~eK`.>%ti~?l"~f L i Rev. 6/30/80 THE NEW YORK BOARD QP FIR( UNDERWRITERS PAGE 1 ~ 1.00096E BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YO~iK. NEW YO[tK 10038 Date JULY 16,1996 gpplicationNo.onfile 65[itf98~~f89 M 1.40534 THIS CERTIFIES THAT only the electrical equipment or deacri6ed heloRO and introduced by the applicant Homed on the oholNt application numher in the premises of f TNO BEARS BUILDERS, PRIVATE RD., SOCCTHOLD, N. Y. ' in thefollouinq location; ~ Basement ~ let Fl. OUT 59 09 10 JULY 02,1990 Ynd Fl. .Sertion Block Lot was examined on and found to he in comp/ianre with the reyuiremente of this Board. NXTURE RXTURES RANOES c001(INC DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACIES SWITCHES INCANDESCENT FLUOIIESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMt. M. P. 12 a9 16 iz 1 ].2 1 F DRYERS FURNACE MOTORS Fl1TUR! APPLIANCE (EWERS SP[GAI RECPT TIW ClOCK4 EBl UNIT HEATERS MUL7I.OUTU!T DIMMERS AMT. K. W. OIL M. P. GAS H. I. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. N. P. ~ ~ ~T AMT. WATTS 3 F i - SlRVICE DISCONNECT NO.OF S E R V I C E AMi. AMP. TTPE METER 1 ]`tI 1 ,e ]W ] 6 3W ],e ~W ~ CC COND. A. W. G. NO, OF HIAEG A. W. G. NO. OF NEUTRALS A. W. G. FOUIP. PER b OF CC. COND. Of NFlEO OF NEVTNAI t 200 CB 1 x 7. a/0 J 2f0 OTINR APPARATUS: MOTORS:]-314 H.P. G.F.G.I:-3 SMOKE DETECT()R:'2 . / i{ILLTAM T. STOCK. L'CC.~869E C!~~~ 1250 SMITHTOifN AVENUF, BOHEMIA. NY, 11716 a 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be ideM' L by H1N credentials. COPY FOR BUILDING DEPARTM@IT. THIS OF CERTIFIG E MUST NOT BE ALTERED IN ANY fL1Al@IER. `=i C TL•L. 7G:-1802. ,'~C, TOr~i~•N O.1'? SI~.rJ:T•$~~:I3: ~ .c OFFICE OI' B,UILDd3~G IvSi'£C-T;OR l ~ _1.• P.C!. 13.0:" ; _S. ~O. ~ ~ TOlYialIz:.Lh "-0 SOLTI'HO~D, ALY. 1,IATd • Y3 2 C E R T I F I C 8 T i. O. L7 Date MAY 24, 1990 Building Permit No. 18403 Owner TWO BEARS (please print) P1t-tC.b22 HARDY PL. & HTG. NORTH, INC. (pleaSC- Drlnt) I certify that the solder used _n the water supply system contains less than 2!10 of 1$ lead. ~ (plumber's signat re) Sworn to befor~me this - day of 19 notary ublic Nota_° Pvh_ic, Si/FFOUL- County A4CWAlIE V. 6RQNIbi Nahry PiR9ic, StW d Now Yak No. 4909712 Oioi9od in Sulbk Coungr ~ Oaankrbn FxpYw Od.19,19~ c'1c:LD i::S:::O:'_U:i ~~JA:E ~ ~GMMENT° \ r~r~~~ 1 . mi`l' - ~N FOUNDATION (1st) q iI ~9 ~ Dr FOUtJDATIOtJ (2nd) _ ~ 2. z 0 P,OUGH FRAME ii ~I .gyp O PLUMBING _ - a it L.9To~/ iL 3. ItJSULATIOPJ PER N. Y. STATE ENERGY CODE s 0 r m 4. y FZ,JAL p~ ADDITIOPIAL COMMENTS: ~ ~ .axe , . ~-E~ ^ 9 f~,I~G _ ~'1 R 'C y e~ . _ .i _ _ _ _ - ~ BOARD O-FJpEALTH 3 SETS uy PL.\NS FORM NO. t SURVEY??? . TOWN OFSOUTfIOLD CHECK BUILDING DEPARTMENT SEPTIC FORPI ' TOWN HALL EOUTHOLD, N.Y. 11971 NOTIFY / G/ TEL.: 765-1802 CnLL James. Cr. C7LC7dhPn..... [xamin:d • • •G ~ 19~./ Mn I L TO Town Hall, Main Road .lpprovcd ...~r., 19~Permit No. ~~.~0>j Z' SautholRRd, NRRew YMOrRk 11971 Disapproved a/c D 6 l5 ~ U R III' , (Building Inspector) SLUG. L'~~'T: I TOWN OF ~,±Tti0i.D t APPLICATION FOR BUILDING PERMIT Date ,May, 8,,1989..,, 15... INSTRUCTIONS a. Tliis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 .ets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of tl»s application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Petmit pursuant to the Duildin-, "lone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or i~cculations. Cor the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housinG code, and regulations, and to ~dmtt autttonzed inspectors on premises and in building for necessary inspections. _ Town of Southold - Community Develop. (Signature ot""applicant, or name, if a corporatton) Town Hall, Southold, NY 11971 (Mailing address of applicant) ~tatc whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OWNER Narnco(ownerofpremises .TOWN OF SOUTHOLD (as on the tax roll or latest deed) i, ~p;:iicant is a corporation, signature oCduly authorized officer. - James C• McMahon, Administrator, C•D. ....r (Name and title of corporate officer) Builder's Liecnsc No . Plwnber's Liecnsc No. .....L pp~--~~jj9~-j?. ~f........ [lectrician's Liecnsc No. .....Q.R. l.. v...... Outer Trade's License No . ~ =d= L Location of land on which proposed work will be done. ......'.......L~©..... ~.LV,I~~.... J~CI~~, ...3r~- `sou Tf10C.D Ilousc Number .....Strpeet. Hamlet County Tas Alap No. 1000 Section ......:5./ Block ©g , , , , , , , , , , , , Lot . , , , , , , , Subdivision Filed N[ap No. Lot ..c~.......... . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy VACAN,T b.lntendeduseandoccupancy ,Single-Family Residence 3. Nature oCtvork (check which applicable): New UuildinS • • .x.~..... Addition .Uteration , . Repair Removal , Demolition Other IVork . (Description d. istimatedCost..~~ .........................Fee,W,~iyed.,-,Town Pr,o~ect (to be paid on filing this application) 5. If dwelling, number of dwelling units ..........1.... Number of dwelling units on each floor N./,A , , . , . . Ifgaragc,numbcroCcars .NlA 6. IC business, commercial or mixed occupancy, specify nature and extent of each type of use . N./.A . 7. Dimensions of existing structures, if any: Front .N%AN?.A Rear . NlA.......... Depth . J`1~? Height N /A.......... Number of Stories ~ ~ " " " Dimensions oCsame structure with alterations or additions: Front . N.~@ ~ Rear NlA.. Depth..NlA .................Ilcight.N/A. .NumbcrofStories. N/A ' 8. Dimensions of e/n`tire new construction: Front , 3y~ ,Rear Dapth';a,~;i"""' . Height v~i~~4Z?i.{::. / Nwnber of Stories O?... ~ y ~ J . 9. Size otlot: Front ..../,rp/ Rear /~?tis.~....... Depth . . lll. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated . , : A. R~Si1~~N. Gam. , :~Ku~7~iag~; ; ' ' ' ' ' ' ' ' ' ' ' ' ' l2. Does proposed construction violate any zoning law, ordnance or regulation: . M 9 . !3. Will lot be regraded ,1Vi11 excess fill be removed from premises: Yes i 14. Name of Owner of prcmisesT.owtt.nf,„$p){t<hq~d„AddressM~~n''Rd SoutholdPltoneNo.74$-1892 Name of Architect ..NiQ.. Address N,i9 Pt14ny~1n.N~A , , , Name of Contractor .TWA..@ars Bui;lders~,~~>~rAfldress P.0,6Px. 2117,.Amagp o.329ngg3p:. . 15.Ie thin property lonated within 300 feet of a tidal wetland? *YES,,,,NO,X.., *IF yea, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and dlstlnctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fro property !Ines. Glve street and block number or description according to deed, and show street names and indicate wheth Interior or corner lot. SEE ATTACHED SURVEY ' 4 ~.r. ~~.~'t~ OdF NEW Y'Oh2-C:; S.S ~>~Y of . ,James C • McMahon , , , , , being duly s+vorn, deposes and says that he Is the applicant ~(Namc of ittdlvidual slgnhtg contract) + ~ ~ • above named. IIClsthe „Community Development Administrator- ' (COntraCtOr, agent, corporate officer, CtC.) • , , • + , • ' • ~ , ~ • ~ ~ ' ' ' ' ' ' ' ' of said owner or owners, and is duly autitorizcd to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best oChis knowledge and bclicf;and that the work will be performed in fire manner set forth in the application Gicd therewith. Sworn to bclorc me tftis ' ............:7~1.........day of.... yy .........,19 Notary public, ,,,,Suffolk.,.~9;„,~~6~Caunty HF1EN K DE VOE ' C `\J' ~ •~•1 • • • . NOTARYPUBUC,StateotNe~Yak ($i;na[ureoCapplicant) Na 1701678, SufiMk Cou Twm Fxpir~ Akrch 30,1 ~ TEST HOLE fnowrxfN THE WATER SUPPLY AND SEWAGE DISPOSAL aRfr furor SYSTEM FOR THIS RESIDEfR:E WILL CONFORM cur warn TO THE STANDARDS OF THE SUFFOLK COUNTY % 10 °/p fRAVfI 3, DEPARTMENT OF f1EAlTN SERVICEf. P~~E fROwn coAR sf f An o 9~ flown cLArfv \ s o warn ~ rfRf oraAr 13' ffowN coARff fA>to Jrf~ v 13.8' d,. ? J` . wAttR ~nfnown ev or / Q' ~ A~ COARfE fAND yy" +0 ~ ~ s / / ~ ~ o • O V 'B , \ \ p9a J~ ~ O p~, ~ ,4 ?o . ~ O a`+° F yJ t ~o p~ O o''~P ~ o~0p ~ ~J , F)y v ~ 4 oQ a Z~v `ra v~ A 5 0 50 OJ\ ~ o ~ pu•. $ v O b \ Ati .y q. 1r 2 ~ti~0 0 h / / PS `y. ~o ~ ~ . pAo O `r0- 1.0 a0 s OQ. a ~SS1g<E ~a tia y. P~ 50 `Z0 AO. 52A~ Sa O "'fit . ~ • pP .h y ao Q` ~ i a~~ O x~ ~ o Rb ~ t° 306 Q`~ U~p~~ ,aa~ ~sP . R = as oo' P 2 Q 'J I' FEB R 1988 AREA = 3~I,Oa~Es~AMILY DWELLI G ON~.Y p~~s v~Es E7CPIRES TTTVVWGCOL YEARS FROM DA E OF APPROVAL •a THE LOCATIONS OF WElL3 AND CESSPOOLS SHOWN HEREON AR[ c"•` FROM FIELD 0o8ERVATIONS AND OR DATA OETANED FROM OTHERS. SURVEY OF PR VrGRT 1 FO R SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ~ e n COMMUNITY DEVELOPMENT AB~NCY FORA RO AL OF I:OMSTRUCTIOM ONLY DATE REP. NO S ~ AT SOUTHOLD APPROVED '~lp~, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. ~J,oF~j iooo - as - os - wo io Prfpond iii aecnfdanef wM, Nlf tea„ /O~ SCALE 3 0' f/arwlordf for fRlf wrvflly of fftaMbfrod by ti~f L 1. A. L S. and approrfd and adeptr, i /p~!Q N 0 V . 3 , I e ~G for afeh wf by Thf Nrrw York SWrrr to a 9~ Tea A~,~,. ` r / ~~~'pF0 ,f, A ~ .Y. S. LIC. NO. 4si6lA JA ~ -04~~;.`FgLf' c. al~raANan~ oG os F~ r P C COMMUNITY CEVELOPMENT OFpIC! fLp Q,. TOWN HALL .drr ss O i0UTf10LD NEw n971 a°r ~C' d~~ MAIN ROAD l0T NUMBERB~~EFER TO "MINOR SU8DIV1910N" ELEVATI ~I~ENCED ~dJTNOLD r M.Y. IIO7I MADE FOR COMMUNITY DEVELOPMENT AGENCY. ANA TUM. 4 OK. O ~'d~/A ~ t~ ~ ~ J ~ ' P 9 ~'v ~ ~ ~ 'l ? ~R \r\o\ \~6 Sppe J~Q 0~ 9~w~Q ~ og ~ '°2 50 l 9 o~ o~ p0` tte lp sJq 9 0a~! ` 0~0P ~ J~ , - v +!`y ~ s v o' ~ ~ ` ~ W~ J~9 0+ ~ • D , `O A ~R R1? O~~' g 7 v / / `RO / . / ah ~ d / ~y ~ ~ ~ . pp• / ~aO ~ ~ 4 . ` --ii / ~ \ \ a ,y / ~ R0 z. / o v / v R b' O o • Q rye. ~ ...i' i8y0 SURV Y OF PROPERTY FO R C(UIINTY DEVELOPMENT A~Efi1CY ARFA . M0,11/7aq. k. AT SOUTHOID TOWN OF SOUTHOID SUFFOLK COUNTY,N.Y. 1000 - 'S9 - P9 P/0 10 O~,ANDg` SCALE I" = 30~ ° A Sept 1, tABO (tou~dbc.1. p d'o. aeeh0_~o .Y. i. UC. N0. 4lsie COM ~ YORi , P. C. erli rea - ao2o P.O. 80X. f0>i MAIM ROAD l0T NUMIt£Rf REFER TO : ° MIMOIt fUlOIVIf10N" ELEVAT?1pp~~{{ REFERENCED TO i01JTMOL D , I.Y. IIY7I MADE 1911 'C-OMMUNITM DEYEtd1?MtEMT AGENCY. AM AtfINA~D aMtUlL de ~ ~ ~ w . `pe pJ4. ,o ' 9 ~ o o ~ a J~ rs , ~,o o r\ ~F yb~~ ~ a p ~O 2~ F F F J ~ ~~O 9e • O q ~o,, 5 p ~ .ro eo QO o fee ~ 0~0p ~ JJ . e to ~ ~ p OQ ~ v d7 N \ O ?ey Y O J~9 0 . n O, O i ~ r- i v • ~ rya e~A \ Ati .r • \ 0' vp o , y,,. ~ . a0 / , i ~ ~ o~~ `y. ti aj ~ ~ a~ >•9 ' r. / `tie. 0 0 t~ 4t a ~ O ~ \ F-,(r. ~e ~ a t~ o te' d ----u_ / ~ ,~j o ~ . OPT ~ ~ Ro ~ ~ , O~ Rio' ~ / e~\ O / o R ,d y• Og o~ Q fia ° ~O y0 ry~6 p0 Q Prepared fn accordance with the minimum etanctards for tills surveys as established by the L.I. A. L. S. and apprrned and adopted for such use by The New York State Land Title Association. 'o rti SURVEY OF PROPERTY H.S. ~ 88-SO-85 FO R COMMUNITY DEVELOPMENT AGENCY AAA = ~,~~:q rr. AT SOUTHOLD CERT/Fl~'D TO: BANK OF NEW YORK TOWN OF SOUTHOLD _ nAiERw YORK MO TR QA GB AGENCYED SUFFOLK COUNTY N.Y. MICHAEL W/ONER ~ CATHY W/ONER 1000 Sg ;Aj kd 4. 09 - P/0 10 V ~ _ SUr""f0'..?; C^f.i;TY CFPARTNEi3T Cf HEh~TN SeRVICES 'SCALE I ° s 3 0 S,~lG! ~Yr ~~,~,~rr;ly NOV. 23 1988 dil J G9` cr,t~AY Q .7..199D ~ .89 So 3s' ' Qs ~ r 1 Sept. 1, 1888 (found./oc.1 -too ~ Feb. 1S, 1980 (fins/) ~n;iiur .S. LIC. N0. 4 66r~ ' r. ~ .:~,x. .r~_' p'3 6) tio3 8 s P. C . } ,t C i~._,r.. ~bdru~6iRent ~ -.TiO~. P. O. ~X. a MAIM ROAD LOT NUMBERS REFER TO MINOR SUBDIVISION~~ >WUTNOL D s N.Y. I197I MADE FOR COMMUNITY DEVELOPMENT AGENCY. ANEASSIHAED DATUM.FERENCED TO A?I~CYtI - FD.M