Loading...
HomeMy WebLinkAbout18407-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19293 Date AUGUST 15, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 723 LIBERTY LANE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 6 Lot 3.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 14, 1989 pursuant to which Building Permit No. 18407-Z dated AUGUST 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-19-APRIL 24, 1990 UNDERWRITERS CERTIFICATE NO. N-127637-5/9/90-N-142492-7/30/90 PLUMBERS CERTIFICATION DATED MAY 24, 1990-HARDY PLUMBING & HEATING NORTH uild~ Irispecto" r Rev. 1/81 1011[ NQ f TOWN OF SOUTHOLD BUILDING DEPARTMCNT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 18 4 0 7 Z Date 19.~ Permission is hereby granted ......[.l... to ...........D..L......Q.'t1~.. at premises located at ......~,J..~.~... ~ County Tox Map No. 1000 Section ......~1.....~~....... Block ......Lf~........... Lot No......4,!.r......../.... pursuant to application doted ........d~.~ .............~..Y......., 19..~~nd approved by the Building Inspector. Fee ;..Al/.~i ifs ...~~.~~..~r/. Building Inspector Rev. 6/30/80 :~F~ THE NEW YORK BQARD OF UNDERWRITERS racy tonnvax 85 JOHN 3TllEE~`.~'~OW.'~~ ~~YYf~I~~.~(C088 Date MAY U4,194U ApplftwttonNo.onfile 65UU49N4 fS9 N 1l7b37 THIS CERTIFIES THAT only the e4ctrtcat equipment a. deecriked 6ebto and introduced 6y the appUeant PKaPrtedM tM ~6oor appt5lgtton number to t/FapFwnien q/ TNU Ht(AR3 flIITIDER:i, N/L`/f; LdBif(t"Y L.ANF', 9i1UtHUl.U, N.Y. ~-~ry A7TIf../UItT U79 Ub 3.7 in the following kxstton; nt LJ I Rt F(. ~ Snd FL SrF~tiun Bloek Lot was examined on end found to 6e in contpltonce utiththt reyuiromentK of this Based. aliitETS ACIRS fYWTCNFS NCANOESClM FIVORtSCEM GTNER AMT. K.W. AMT. K.W~ t. W.. AMT. K.W. AMf. N.F. - t'~ 2v T'~ - s oRrtNls wRNltce rtloroRS wTIRn AnuANU tRERRK frrclAtlnrn TY;IEUOCtts y~ IaMTNEATN6 Aaa~i+T Bwtkrls AMT. K. W. dl N. P. GAS N. P. AMT. NO. A. W. G. AMi. AMP. ANT. A1a0. .TRANS. AMT. N. P. ~ ~T AMi. WA1I6 S 1' ] S U 1. SERVICE WSCONNLCT Nt1. OF 5 E R V 1 t) E ANT. AMP. IT/f MiTRR 1 X TM 1 J SW S X SW S X Ar NO. d COFb. A. W. 6. ~ NO. OF N4a0 A. W' G. NG. OF NFm11M5 A W. tOUD.r a c. coNS. a NFUG a L T tilU t't3 t X t G S A o: OTHER AAARATUS: - - ca M01 Oft l;: a , 75 H.P. n: r,.I.C.t~ tit~ltY h1.TfCTl1R:-;~ _ WtL1.CAM f.51"CU;K I.YC.VAttg..E 526(:1 SM1TtITONN AV[Nllt tS ~11i t: M T A , N Y , L L ; I E7fIBRAL RIRNAORR 55 ' Per Y This esrgficaro must not hs altered in any manner; return to the off' of the Boatel S,fi lhair, . , ' COPY FOR BINLDINt: DEPARTMlNT. TIRS COPY ALT6R~ IN A11i1r MAlM~R. ' ¦ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 100096$ BUREAU OF ELECTRICITY 33 JOHN STREET, NEW YORK, NEW YORK 10033 Date ,JULY 30,1990 Application No. on file 69458990/90 N 142492 THIS CERTIFIES THAT only the electrkal equipment as describd 6ebw and introducd by the app/icont namd on the oboes application number in the premises of T{i0 BEARS BUILDERS, ^N/E/C LIBERTY LANE~~,yy--,,SOUTNOLD, N.Y. in thefollowinq hwo4aO,Y lb, BgA@gtaent ~ IM FI. L'J Ynd F1. .Sartion07981ock46 Lot `f'7 woe examind un JJ UULL 111 b00 ~11~777717 andfound to 6e in compliance with the reyuirernenrx of this Berard. NKTURE RXTURES RANGES COOKING DICKS OVENS DISH WASiRR15 EXNAUST FANS OUTLETS ECBTACLES SWITCHES INCANpESCFM FIVORESCENT OTHER AMT. t. W. AMT. N. W. AM1. x.W. AMT. K. W. MIT. M. P. 4 4 4 DRYERS WRNACE MOTORS FUTURE AFFUANC! RIDIRS SFICIAL RECPT TIME CLOCKS Illl UNIT NEATElS MWTI-0Ui!!T DIMMERS AMT. K. W. Oll N. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. N. P. SYSTYAS AMT. WAITS ItO.OF PHT SlRVICE DISCONNlCT NO. of S E R V 1 C E AMT. AMP. TYPE MEOW. 1 ATM 1 R SW ] .B' 3`N ] F AW RX dCOND. OF CC. CONG. ~ HI-lFG Oi ~ HI NO.Of NEUTEAlS Op NEUTGNAL OTHER AMARATUS: ~ ~ SWITCHES ONLY-1. REPAIRED IMPROPER GROUNDING-1 DEFECTS REMOVED LETTER OY 6-15-90-1 NILGIAM T.STOCR LIC.~889-E 1250 SMITHTOWN AVENUE BOAEMIA, NY, 1.1716 orN~u ~AQu 11 Per Thit certificaN mwt not be altered in any manner; rqurn to iM oNia of tM Board ii incorrect. InspaNOrs may ba identified by tMir cndeMiDlt. COPY FOR BUILDING DE ARTMENT. THIS KATE bE AtTERED IN ANY MANIER. TEL. 7G.-1802 ~ C J C L V'17 ~1'~ 04. J.~~.L.'173g7YiL' ~ . ~ ~ osF1cE or• 1~UU:>x~~~ t~isr;~c-rox 'r' = ~ 'FO3YIII-:.:LL OZ- SOLI'1'HULD, Y.Y. 1:1971 vy~O. 21 C E R T I F I C 8 T I. O. W: Date May 24, 1990 Building Permit No. 18407 Owner TWO BEARS (please print) Plaaber HARDY PL. & HTG. NORTH, INC. (p1eFiSC- prlnt) I certify that the solder used _a the water supply system contains less than 2!10 of 18 lead. " (plumber's signatu e) Sworn to beforQe~ me this ~S day of ~ ~'1Q.~7/t~~.t-c'/ ~ >.9 90 - Rotary ublic Nota_° Pnh_ic, SI/I~~~L~-' County wuEi.AMIEV.BRCNM Ndry Pu bo,'o2NNr York CuoNArrd in SuMolr County I Comnkalon Expires Oct. i9, tY9 r'lELO i;:S:~C:ib;: I~'Ji.i:, ~ ~ ~ ~voYMENT° ~ _9 - ~ FOUIJDATION (1st) r o, _ FOUNDATIOIJ (2nd) 2. cz~ , ROUGH FRAME & (~1 PLUMBING Q"V J` r~ 3. ~ INSULATIOPf PER N. Y. STATE ENERGY CODE x 4 . n y FI;JAL ADDITIOPIAL COMMENTS: . o~ Aa ~ n_ ~ Q f 1C) ~~S~i _ - v B0~\RD OF HE.ILTH t! . 3 SETS CLf` PLANS FORM NG.1 SURVEY TOWN OFSOUTHOLD CtIECK BUILDING DEPARTMENT SEPTIC r•oarl ' TOWN HALL SOUTHOLD,N.Y.11971 NOTIFY • TEL.: 7651802 CALL James. t:. f1F[7ahPn.... . Examined . ~.:F 19~1..~ MAIL TO O Town Hall, Main Road Approved G~~....~s- 1:L'L~Permit No. ! •4 U 1 ~ Sout DisaPProveda/c „V1R~ ji„ .~ti~...~ _ _~~~9 ~j ~ t ' "V.. BLDG. iicPL ' ? (Building Inspector) TO'n'N ~F- g;)Ur~~,r,~t~^•, APPLICATION FOR BUILDING PERMIT Date ,May, 8, , 1989.... 15 . INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and Giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. Ttte 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 permit ,hall be kept on the premises available for inspection throughout the work. e. N'o buildin, 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. APPLIG\TION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Duildin^. Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Rcculattons, for the construction of buildings, additions or alterations, or for iemoval or demolition, as herein described. The applicant acrees 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. Town of Southold - Community Develop. •(Signature of appiicant, or name, if a corporatron) Town Ha11, Southold, NY 11971 • (Mailing address of applicant) State svltettter applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. OWNER Nantcoiou~ncrofpremises ,TOWN, OF SOUTHOLD (as on the tax roll or latest deed) IC appiicant is a corporation, signature of duly authorized officer. James C• McMahon, Administrator, C•D• (Name and title of corporate officer) [3uildcr's Liccnsc No. ......~.~-.••.2., Plumber's Liccnsc No. ..,l JJ..?.~ [lcctrician's Liccnsc No. Outer Trade's License No . . I. Location of land on which proposed work will be done. ' Ilousc Number Street. Hamlet ~ ~ . • County Tas 11ap No. 1000 Section ...,1 / Blaok Lot ...f!~............ Subdivision ./Y~/g......... Filed Afap No. I{7/t¢.......... Lot ~~/9.......... . ..(Name) Sute existing use and occupancy ofpremises and intended usernd occupancy of proposed construction: a. E:cisting use and occupancy VA C A N,T; , , , , , , • . b.lntendeduseandoccupancy Single-Family Residence Perez • t 3. Nature o(work (check which applicable): New Building X,', , , , , Addition , , , , , , , , Alteration epair Removal Demolition Other 1Vork . (Description 4. Estimated Cost .......lY~ Fee - ••r Waived Town Pro'ect (to be paid on filing this application) 5. If dwelling, number of dwelling units ..........1 , , , , Number of dwelling units on each floor . , fy/ A , , • • • . . If garage, number of cars .NlA . 6. IC business, commercial or mixed occupancy, specify nature and extent of each type oC use . N,/.A . 7. Dimensions of existing structures, if any: Front , N,~A , , , , , , , [tear ,NIA.........: Depth . Jy/A, , • • Height . , N/A.......... Number of Stories , ,N%A Dimensions oCsame structure with alterations or additions: Front , NSA • • • ~ • • " Depth ..NlA Ilcight . N/A Rear NlA............ ' R. Dimensions of enti r, nrev construction: Front , ~ • ~ • ' ' ' ' ' • • • Number oC Stories , , N /A • • ' Hcigltt . , , ,Number oC Stories . ~ • • ' ' ' ' ' • Rear , ,3t)', , , , , , , , , Depth r~./, , , , , , , . ..iZ: . 9. SizeoClot:Front.lSx?~fA~!R+S),• Rcar,S9~~>~~•••••~•""""""'~1~'75~:.•••••••• Dc 10. Date of Purchase $ .^'.'"i. , , , , • • • • • , , , , , ,Name of Former Owner Sy~lk ~:o~y}y. , , , , , , • • • • • 1 1. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: ,NO, , , • • • 13. Will lot be regraded ' ' • • • • • • • • • • • • • 1Vi11 excess fill be removed from premises: Yes 1 14. Name of Owner ofprcmisesT.own.uf,„$pNthold„AddressMa~n';Rd, Southold Name ofArchitcct ..NSA ••••••••.PltoneNo.~b~`'1892•.•, ..Address Jy~A .Pt ~ .NiA Name of Contractor .TWA.Qear•,s Bui•l,rJers, ~~lc7ress P.Q,Qp?c„2,17,7, Amagp~~e~•32:i-,Q03P... IS.Is this property located with in 300 feet of a tidal wetland? *YES..:.NO.X... *If yes, Southold Town Trustees Permit may be required. _ PLOT D?AGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fro property lines. Give street and block number or description according to deed, and show street names and indicate wheth interior or comer lot. SEE ATTACHED SURVEY ' ~ ~ K STATE OF \E1V YORK, COU, ITY OF S.S • James C• McMahon • " • • " " " " " " " " ' • • • • • • • • • • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ltcistlte„Community Development Administrator ' • • . • • • • • • • • • • • • • • • . • • • . (Contractor, agent, corporate officer, etc.). • • • • . • • • • " " " " of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application arc true to the best oChis knowledge and belicF, and that the work will be perforated in the manner set forth in the application filed therewith. Sworn to before me this ' ~.~........day of...... Notary Public, ,,,,Suffolk ~~-County NOTARY PlllttlC, ~~Ie~ Yak Ter~m•t'.4iep~ires~M~weh~~, • . • i (Si;nature of applicant) 1 ~ LOT NUMBERS ,PARK 8 RE C R E ATI ON RE SE RV ATiON WrawoiTieN~ awe ol1 sA`r~Citarw~i pq~ ~ 011 ~ ! 3 J~ AREA SHOW ON MINOR SUBDIVLSION MADE o~Q ~ ~ O ; ~ FOR MICHAEL WEINSTEIN. ~ \ ~ f r ~ PLEASE NOTE suFFOLK COUNTY OEPARTMERT OF HEALTH ~1tVICEB ' fMO' ~ ~ ~ aAr ~ FOR 4PPROVAL Of CONSTRUCTION ONLY OJ'w.a.~ ~ p > ° io q 1i!' -.,Oqb~~ ~ ? ~ ~ „,~~q~~~es septic tank OA.~ 1419 REF. NO. r I s• . ~ ` ~ y~' a` ~ : cover to grade. • 0 AsQ„ r ! ` 4 o APPROVED • ~ i.~~T ~ p stl ` Yq„ 'Z' ~ • O ~ V TH8 1*TE R D F?{.'Y FT B ~ e "'o, J~ ~ r. „~r. st ° ~ r~ o AMO 11L/l~iNtBS~H7B ftF THE SUFFOLK COUNTY X96 ,r • WFq. : ! p ~ DEPAR NT OF HEALTH. Apr ~ dt." ~ $ Rf a,tt r qr ~ + tEST HOLE ~ RASE. Vq X89 Qs I ~R ~s/ ^ sntr teal 4. R N u.Nr , M4! MEt' l~?o'~~E'o~F ass \ ~y~ 8 iH. ~ Y~q~'`~y~~ :.`~s,e.lrw¦ are "A4~ \ ~ pot j},gTF~ b• R ~ ?A4~ r/OMI oy ~ 6 1b. ~O c~rpp, ~iC-~~ etu7Ontee T ~ p. b!O' J~ p~~ V fps ID.q~ iii' '0 W~~ ~o,~t CO(( O~~ IP V Ito 17~ Fl F ' - \1r' ~ AREA 1. 12 f4 acres c~""~<(r ~ 3• ~.~f 'rt<< ' ~ ~t~~. ~ ~ ~ \ SURVEY OF PROPERTY I am familiar with the Standards for A royal aid "7 ~ ~ t- o /~~e / ~ ~ 4° Qonstruction of Subsurface Sewage Disposal Systems ,g it : / .Zg ~ A T for Single Family Residences find will abide by the ~ Q ~ ~ ~ ~~T ~ , /QF ; ~:ti~O~ , y 9 V conditions sat forth therettl and on the permit to construct. ' ; nQ ~ T A'~p '~W ~ ate, ~ ~ s °w" ~ "r, TOWW OF SOUTF~..O ~ " slgnatura TDcutJ of sour4oc D ' T ~o ti $UFFOI K COUNTY, ~l.Y. tp' , ~ 1000 - O7 9 - 06 - 3.7 ~orcA{CC.~,Ny N9'7/ ~ SCALE I" = 50' ~ OCT. 26 , 19 88 . 9L~< •Y. S. LIC. NO. 48Q68 r„ -~poo, o~, ~ f ` _ 30 S , P. C. ~ yo 3 2 ~v \ =andord/ ifor tilttiNe wnrsYsr~ ytaYliahed 1sj FF • ~ a . ~ 0 the L 1. A. L S. and approved and tldopiFl 9 P 60 " , ~ T d for aach a,e by Ths rdsw York Slate la~i~ R /ge9 M Al 1F5AD ~ TOEAN ABSIMIEAO D YUMRENCEO TiNs Arxialion. g O~ SOUTHOL© ,M.Y. 11971 s 1. DX. ~ S+ ~8 - 627 b r ~ LDT NUMSIERS,?ARK ~ RECREATION RESERVATION ~T OJT AREA SHOW ON MINOR SUBDIVISION MADE a / \ 4 O ' ~ ~ FOR MICNAEI WEINSTEtN. ? o~ • :4 v ~ Z t ~ b a ~ e' ` "tt o~ a ° i w ' + \ee"Wr ~ = tea' • ? ~ ~ O ~ o o ~ 3 ~ • e 2 ~s ~ • T3. ~ W ~J,~a• f o ~ ~ r' o +e+ ~ ~.~+r ~ y° 'e O = i. qe .r • e•9i. ! s / ~ 3 p ? e- e q4 ~ ARk ~ • e` a O w of / REAT~ON R ~MQ` ~ ~YYNNI 1>D °~<~~T~ ~6 ~°'q~AT/ON a aae, es ~ ~i lI / h ~ ~e O~ '4 <F, ,i. i • ! r R,AOy ~ i ' so . e ti! ti~ ~~i 11' O ~ d ~ e. ° o ~ a . AREA I. 1214 acres "moo o° ~ a ~ p '~`{D~ <q "f~;<<Y .~',e~~~ '`~'s,?`°~~ ~`~~~°~pp~ \ SURVEY OF PROPERTY t~°ti~ ti y~ g 4 BAYVIEW • NS'°,1', z~ y s~to/~"o,~ 0 gP~ ,c,~T! TOWN OF SOUTHOLD E~ IANOS caMT ~ SUFFOLK COUNTY, N.Y. 5 p~'pe.~P~ A' lNOF~9~~ PROP R.O. W. AREA = ! ~ 1000 - O7 9 - 06 - 3.7 ,v, a SCALE I~~ = 50~ o O 2,000 SQ. Ft. ~ 3 ~ 7D QQ , .M v OCT. 26,1988 0 is .S. LIC. N0. 49668 0 ~'°oo, 0P, \ o APR. 7, 1989 S ti QE CO R5d11"01 RS , P. C. ~Q 2 a ~ ~P ~ >~N(110wfd, bat l~sls) ls5 -Bozo h ? P.O. BOX 909 V ~ ~T S •MAIN ROAD O ELEVATIONS ARE REFERENCED SOOT HOLD ,N.Y. 11971 V TO AN ASSUMED DATUM. D.K. 8p ~ ~L 1r~ _ _ ~ ~ v - LOT NUMlERB,PA RK 6 RECREATION RESERVATION (f s% ":~1 J'k' AREA tINOW ON MINOR t{USDIVISION MADE ~ 4 ~o FOR MICNAEL WEINlTEIN. B.O.H. ND. 89-SO-18 ~~A 2 vs f ~ 9~ o \y .OJT ~ 4A. .r ~ n `7:QJ ~ T Z 4' 4~~N. p ~ • r O o~~ a ai~rT S, 73 ° 40 ~ ? r° c y, • Prepcred in aaordonee with the~ininimum 3' ° ~ ~ ! siu::c:.rd; for title surveys as esiab6shad by 20 ~r f O ' ~ ' ° the L. A. L S. and approved and adopted ! r~` °pJr ~ ° for such use by The New York State Land ~ ° Y° p ~ N. ~ : • • ~ r W Title Association. °N 3 t r ~ ti~ ti \ Jlsu NoN ~ • ~ 2~ o • r O qeq~ ` 34 , Pq " cf r 4 "O~"r/ 4 ~HgoF /0 k~ RK d RfCRfgT w'~e ~~NC @ o C6~1/!+n TOE / /ON RES£t s99 / ARCS MOR7•AA~ ORPORA7•ED s~ RVq ,i • 8 g ~ IIEW YORK AIOR'R3ACiE Al3ENCY /on, ~o~llwl~ ~z 4T°R~ ~ N / / 0 b O / ~ F~~,4NORA, n~~ ~~~a Q?o SUFfGLK COUNTY DF_PA.RT'v?ENT OF HEALTH StRVICES c~" C° i ? / S;'J~L'- Fit w ~L' ING GitiLY r~ ~R4 °~F .APR 2 4 1990 r ~ ~ _QR So I qo h moo' <<~ Cnl~ r I ~R y ~ ' ~ ~ , ° ? P ~ ~ . _ / S dI N/ N/ \\~M tir1° ~ Nb C~OVt ~l,. t. "'ii r,__ :r1'~'.[, f. u.cr ~ij?fl~$&?IC!lt / C ° /m a ~ ~ c C ~ r c~ ~ \ ~io° AREA I. 1214 acres °~~°<<y , '.J'' ,2 ` ~ w ~ ,,,o~ /d' '~<B , o \ SURVEY OF PROPERTY ,Y o a~, 2 ~ AT ~ ~titi QPe~~3 se,2j' ~~rQ BAYVIEW r °~y T ~~O /.4i r y4Oq . "s>, ~.Q, y~ s~wti o° 0 ~P "r, TOWN OF SOUTHOLD 39/0 ~ ~ e,tp. / Y,C T"°~o `~y SUFFOLK COUNTY, N.Y. ~"r~ ~ 1000 - 07 9 06 - 3.7 PROP R.O.W. AREA = 3 SCALE I~~ = 50~ 1.ANDSG 2,000 Sq. Ft. Q. ° ~°ic~A,~C ,9L~ ~ ,,o ~ OCT. 26,1988 4 Fcy ~ ~ .'OO° °P APR. 7, 1989 } c . S . L I C . N0. 4 96 6 8 v o ° ~ ti ' ~ ° S1~pt. 1~ 1s?8>P(fow?d. loc.) Q 3 r a - \ Fib. 18, 1999 (final ) P I EY ~ , P. C. ~ - v x(51 '9F 0't - ~ <pT MAIN R~gE fOv ELEVATIONS ARE REiERENCED S V TO AN ASSUMED DATUM. SOUTHOLD ,N.Y. 11971 RR _ R77R