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HomeMy WebLinkAbout27252-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29413 Date: 05/02/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1790 GRANDVIEW DR ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 14 Block 2 Lot 3 .13 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 5, 2001 pursuant to which Building Permit No. 27252-Z dated APRIL 18, 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 ONE FAMILY DWELLING WITH COVERED FRONT AND REAR ENTRIES, COVERED SLATE PATIO AND ATTACHED THREE CAR GARAGE AS APPLIED FOR. The certificate is issued to LISA MCELROY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, R10-00-0120 05/01/03 ELECTRICAL CERTIFICATE NO. 1040526 04/21/03 PLUMBERS CERTIFICATION DATED 05/01/03 RAY BERTHOLD Authorized Sign ure 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. 27252 Z Date APRIL 18, 2001 Permission is hereby granted to: HAROLD JR & ORS REESE 855 SUNRISE HGWY LYNBROOK,NY 11563 for NEW CONSTRUCTION OF A 4 BEDROOM SINGLE FAMILY DWELLING WITH TWO CAR GARAGE AND PORCH AS APPLIED FOR WITH TOWN TRUSTEE ' S AND NY DEC APPROVALS . at premises located at 1790 GRANDVIEW DR ORIENT County Tax Map No. 473889 Section 014 Block 0002 Lot No. 003 . 013 pursuant to application dated JANUARY 5, 2001 and approved by the Building Inspector. Fee $ 1, 628 . 60 Authoriz Signature ORIGINAL Rev. 2119/98 r. Form No.6 TOWN OF SOUTHOLD 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. -,-5-/Q 103 New Construction: Old or Pre-existing Building: (check one) Location of Property: 1 -7 D 6A&j o V_T�L4 1 DR /Y 0z1zN � rl House No. f Street T Hamlet Owner or Owners of Property: D 4V 16 9L Lisa me e�,R O y Suffolk County Tax Map No 1000, Section b ( y Block a Lot Subdivision (�r71)I111J Filed Map.._70 g2Lot: / Permit No. `` Date of Permit. p D Applicant: " kc/LIO 1�f�Sly Q�}(�I✓f_tz "[)y Health Dept. Approval: X (tet S Underwriters Approval: Planning Board Approval: —)6L Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ (� Etc (0 6 Applicant ignatu o�OgpFF01/( o� y� CA x Town Hall,53095 Main Road 0 • Fax(631) 765-9502 P.O. Box 1179 �' �� Telephone(631)765-1802 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: 5—It 03 Building Permit No. p� Owner: 6'q U I✓J `Y►r_Q. (Please print) Plumber: �� (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. O (Plumbers Signature) Sworn to before me this day of 20 G 3 JOYCE M.WILKINS Notary Public,State of Now York No.4952246,Suffolk County otary Public, County Term Expires June 12,�pO3 O cPcPP����rra � J��r �rrJ�lJ��lcP����JJPPPJ � aPP � �r@Pr1rP1rJJPLrL3rL3rPJ�PJL3PLrL3o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY C5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT S Upon the application of upon premises owned by J 5 390 OPERATING CORP. C/O SIGNATURE HOMES NORTH BAY F 5 5 1555 LOCUST AVE. 32645 MAIN ROADS e�C�C�CS BOHEMIA, NY 11716-2162, CUTCHOGUE, NY 11935 5 D7 Located at 1790 GRANDVIEW DRIVE ORIENT, NY 11957 I�+ Application Number: 1040526 Certificate Number: 1040526 5 Section: Block: Lot: Building Permit: BDC: NS11 S Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: �5 5 Basement,First Floor,Second Floor,Attached Garage, Outside,Attic, 7C 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 21st Day of April,2003. 5 5 Name QTY Rate Rating Circuit Type 5 5 5 Alarm and Emergency Equipment 5 Sensor 2 0 Carbon Monoxide 5 5 Sensor 8 0 Smoke 5 Appliances and Accessories C5 5 Exhaust Fan 6 0 F.H.P. 5 5 Hydro Massage Tub,Residential 1 0 5 5 Cooking Deck 1 0 7.7 KW Oven 2 0 7.2 KW 5 5 Furnace 1 0 Gas 5 5 Pump/Motor 2 0 1 H.P. Air Conditioner 2 0 60.000 BTU 5 Wiring and Devices 5 5 Receptacle 108 0 General Purpose �5 5 Switch 101 0 General Purpose 5 5 5 Fixture 88 0 Cj Receptacle 1 0 20 amp Laundry 5 seal 5 Receptacle 1 0 30 amp Dryer Receptacle 14 0 GFCI Continued on Next Page 1 of 2 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. FBI r�rJ ar PcPrJ@PrJ arJ acPcPr�cPrJ arJdPcPr�rJdPrJ��Pr1 arJ arJ arJ ac TarJ�r fart arJ arJ�rJ�c PrJ�rJ��f arJ�rJ arJ ac frJ�rJrJ arJrJ atPrJ�rncJ�rJ acPcPrJ�rJrJ�rJ�rJ arJ atnrJ a�PcPrJ� o O �I-rJ�rJ�rJ�rJ�rJ�c.n�nrJ�rJ�rJ�rJ�rJ@nen�l-rJ�rJ�rJ�cP�n�l-awl-arlarJ�rJ�r1rJ�rJ�rJ�rJ�rJ�ePrJ�rJ��l-rJ�rJ�rJ@nrJ�rJ@P�PrSenrJ�rJ�rJ�rJ�rJ'arJ�trdJ@P�I-a�l-dJ�rJ��l-el-a�l-dJ� � 5 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 �5 5 CERTIFIES THAT �S5 5 Upon the application of upon premises owned by 5 5 S S 390 OPERATING CORP. C/O SIGNATURE HOMES NORTH BAY F1555 LOCUST 5 S�eBOHEMIA, NY AVE.17 - 2162, CUTCHOGUEOD NY119355 5 5 f3 Located at 1790 GRANDVIEW DRIVE ORIENT, NY 11957 5 5� 5 5 Application Number: 1040526 Certificate Number: 1040526 Section: Block: Lot: Building Permit: BDC: NS11 5 c� Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: �5 5 Basement,First Floor, Second Floor,Attached Garage,Outside,Attic, 5 5 55 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 21st Day of April,2003. 5 5 Name OTY Rate Rging Circuit Type 5 5 Service 5 5 1 Phase 3W Service Rating 300 Amperes r5 5 Service Disconnect: 2 150 cb 5 Meters: 1 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 seal 5 55 5 2 of 2 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 S S u rJ'rJarnrJ ar�rJrJ a�nrJ�rJrJarJ ar lETEME 1arJarJa�n�l arrr�r�r��@PrJ�rJ arJ a�n�l arJ arJ�n�l arJrJ�rJ�rJ�i nil arJ arJ arJ��l�nrJ�rJ�rJ arJrJ�rJ��l ac l�IdJrl�P�n�l arJr�acl a o Albert J.Krupski,President �S �C Town Hall James King,Vice-President 53095 GGy 53095 Route 25 Henry Smith c P.O.Box 1179 Artie Foster y : Southold,New York 11971.0959 Ken Pohwoda � �'� Telephone(631) 765-1892 R1f01 ��0 Fax(631)765-1366 BOARD OF TOWN TRUSTEES ' TOWN OF SOUTHOLD January 9, 2001 R� W. David J. McElroy Signature Homes 32645 Main Road Cutchogue,NY 11935 RE: 1790 Grandview Dr., Orient SCTM#14-2-3.13 Dear Mr. McElory: The Southold Town Board of Trustees reviewed the survey dated December 27, 1999 and determined the construction of a single-family dwelling,garage, septic system and driveway to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code. However, any activity within 100' of the Wetland line would require a permit from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, Albert J. Krupski, Jr: President, Board of Trustees AJK:Ims New York State Department of Environmental Conservation _ Building 40 -SUNY, Stony Brook, New York 11790.2356 Telephone (631)444-0355 Facsimile (631) 444-0360 John P. Cahill Commissioner w TIDAL WETLAND LETTER OF NON-JURISDICTION February 22 , 2001 North Bay Properties, Inc . David McElroy, President Re : UPA#1-4738-02828/00001 32645 Main Road 1790 Grand View Drive orient Cutchogue, NY 11935 SCTM#1000 -14-2-3 . 13 Dear North Bay Properties, Inc . : Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that : The property landward of the "Top of Slope" line as shown on the survey prepared by Stanley J. Isaksen, Jr. last revised 12/26/00 is beyond Article 25 (Tidal Wetland) jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit . It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project . Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i . e . a 15 ' to 20 ' wide construction area) or erecting a temporary fere, barrier, or hay bale berm: , , Please be further advised that this letter does not re ' eve you the responsibility of obtaining any necessary perm' or approvals from other agencies . inderely, John Wiel LJS Permit Administrator cc :BMHP Proper-T Permit Services File BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: 4/18/01 APPLICANT NAME: REESE/NORTH BAY PROPERTIES DATE SUBMITTED: 1/05/01 SCTM# --- DISTRICT: 1,000 SECTION:_014_ BLOCK:_2_ LOT:-3.13 PROJECT LOCATION AND TYPE OF PROPOSED WORK: PROJECT DESCRIPTION: ADD.ALT.ACCO N/D� Q^�- ?C., %�u� ��/ e c STREET:_1790 GRAND VIEW DRIVE CITY:_ORIENT SUBDIV. NAME:_ ARCHITECT/ENGINEER: _FISHER FAST TRACK: E oRNO SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o O NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LO OM JAN.1997 100-25.Merger.(A nonconforming at any time after t7/1/83 ZONING: PERMIT ESTIMATE AMOUNT:_ 22��"< .00 PERMIT USE: EXISTING: rlo,,,._,-� INTENDED: ZONING DISTRIC : R4 R80 AC CONFORMING: ES R NO REQUIRED LOT SIZE: ffiK SQFT. WHERE ACTUAL LOT SIZE FROM?TAxCARD s' ��y ACTUAL LOT SIZE: f66S6 SQFT. REQUIRED REQUIRED REQUIRED FRONT:'PROPOSED:SO ' SIDE YD: /,�'133� ' PROPOSED: P_1e REAR: <(3 PROPOSED?E/oa ' LOT COVERAGE: OWED: % EXISIG: sf % NEW: sf % TOTAL: 3_9C sf/6 % YES CORNER? ES o N WAT ER YYY_ FRONT? E R NONO DESCRIPTION: FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #:: FLOOD ZONE:_, AGENCY PERMITS REQUIRED FOR REVIEW INCLUDLA,o A PLICATION TOWN SPETIC PERMIT: or NO IS5" SUFFOLK COUNTY HEALTH DEPT: E NO, (BE -#� /Z /B L00 PERMIT#:R10-00"/2-) NEW YORK STATE DEC: PRE-DEC 9/1/75r NO < 4.2/o i SOUTHOLD TOWN TRUSTEES: Ear N 9 0 TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES o_ NYS ENERGY. YE R NO : EGRESS: VENT: LIGHT: NOTES: �e s c tito� a Jt') p 10 FEE STRUCTURE: FOUNDATION: Wo SF FIRST FLOOR ;90F SF SECOND FLR /.) 8'k' SF INIT OTHER TOTAL TOTAL: S6/.6 SF FEE FEE FEE T( Sjt�* SF)- ( Cr . SF)= ? (�F SF X $ •?,C� =$ /SS3. +$ --- - $ AU0% 4 +0 BUILDING PERMIT REVIEW CHECK LIST ApplicanU ?1LS' p� Date 5/d , Owners Nam ¢- D Reviewed: TV itectJ X / Date r: , �/.9�ct/Vhdll.�✓ f !` �' / Submitted: i /w SCTM #: q District: 1 000 Sections Block: Lot: Project /7�0 /v���./ (/ /�. ® Subde o I• / __/ — Location: (� iP�.J R/ Name Sin&le&separate Requirad- certification: n/�' N^ (/ W V Q� 0 J Rw gc0�Proposed�l Zoning Disaic� [l,ol size: Adual: f [Loi wvcra Rey. %� //_' Rcq. / I/ RW [Front Yard `5 b/ Proposed. V6)1 (Sides Yard i . S'S Proposed: 3S (�Rear Yard C�� Proposed: �C� ,J Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. ,Lelf �vav f�K�s r Town Trustees lilt �[!oN Town Zoning Board approval: _ ._. Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: i1antalc ,--lBp.�ev a-�l� �— 41v Ar Fz COUNTY OF SUFFOLK �apry JAN 1 4 M Robert J. Gaffney Suffolk County Executive DEPARTMENT OF HEALTH SERVICES CLARE B. BRADLEY, M.D., M.P.H. CERTIFIED MAIL -RETURN RECEIPT December 31, 2001 North Bay Properties 32645 Main Road Cutchogue, NY 11935 Re: HD Ref. R10-00-120, SCTM#1000-14-2-3.13 Dear Mr. Cataldo : Based upon an inspection conducted on December 28, 2001, it appears that the well installed for the above referenced property is less than 150 feet from a septic system across the street. The survey upon which the approval was issued, indicated the "cesspool" to be over 150 feet from the well. This does not appear to be correct information. In accordance with Article 3, Section 760-305 & 307 of the Suffolk County Sanitary Code, the above referenced permits to construct are suspended until this matter is resolved. If you have any questions concerning this, please feel free to contact me. � Sincerely, —^.4 Royal Reynolds PE Associate Public Health Engineer Cc: Charles Brigham, WWM Town of Southold Building Department division of environmental quality COUNTY CENTER RIVERHEAD,N.Y.11901-3397 852-2100 JAN 3 0 0o0 - 145 /� Toc) o 0 - 1 45 STATE OF NEW YORK ) ) ss; COUNTY OF SUFFOLK ) b �A \ 15HE� being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at O2oP<ci\1oL� t?oAo;FnR-r�u`�hLE, N`( 11`I35 That on the day of r3vq 2006 deponent archlteet/er ,4eer, licensed by the State of New York, hereby states thatke accepts responsibility for the accompanying plans compliance With the New York State Fire Prevention and Building Coda (9 NYCRR); said plans pertain to property located at 8CTM 1000- A- -z- 3.1') O lflxna.MrLL:� N4E 9oF street address hu� Vi&Q ivE � o R ©ZItrN`i I q Archltec Sworn to b!qFore me this day o " , 20(�L otery P40 A.EMANUEIA Y�Nou61303Gushfied N�wYatk urkty comm E>rMAAuguassou stIZ?tel CC: Applicant M-1802 BUILDING DEPT. NSPECTION [ OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY E ARKS: I/a4l DATE An INSPECTO M-1802 BUILDING DEPT. NSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REM RKS: Ja yi'�✓�CJ"�Yom, DATE INSPECT l7d��-P7 765-1802 BUILDING DEPT. INSPECTION [ ] OUNDATION IST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] F EPLAC & CHIMNEY MA 4 DATE INSPE 165-isu BUILDING DEPT. INSPECTION [ ] FOUNDATION IST ROUGH PLBG. [ ] FOUNDATION 2ND ] INSULATION ( FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: � � 4-r , I v DATE 12��oi INSPECTOR -18a BUILDING DEPT. p INSPECTION [ ] FOUNDATION IST [/�cj ROUGH PLBG. ( ] FOUNDATION 2ND [ ] INSULATION f FRAMING FINAL[ l [ ] FIREPLACE A CHIMNEY REMARKS: a T i' I DATE og 02- INSPECTOR E 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] SOUGH PLBG. [ UN ION 2ND INSULATION [ F MING [ ] FINAL U l FIREPLACE & CHIMNEY REMARKS: DATE �//r'� SPECTOR ` W M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING INAL [ ] FIREPLACE & CHIMNEY REMARKS: Akw �G -fib � lf/ �J �•'� w��A ozJ DATE `j a INSPE ' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FO ION 2ND TQC[ INSULATION [ FRAMING [ ] FINAL [ ] FIREPLA � HIMNEY RE RKS: �'� _'� _ toll-) d aZa zlo-� Axe DATE /4�1 �/INSPECTO 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;]� INNAL N FRAMING [ I [ ] FIREPL C MNEY REMARKS: ff�/�'7 DATE / 'o INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ) FIREPLACE HIMNEY REMARKS: v DATE �i INSPECT _� 7a jam) / � 765_1802 BUILDING DEPT. `s f 4"s -� INSPECTION p ' f`yU[ I FOUNDATION IST AY/11 PLBG. [ ] FOUNDATION 2ND � [✓ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE& CHIMNEY REMARKS:4iL,tGffiGd�i. DATE PECTOR 1 1 ' 1 ' 1 � 1 1 1 ��,� / �. / . ,9 �, /� �� . i 1- � - :.- / ` / '' +� � � ,� �� I� ��i .lam. .� _�. ��I i a _ ��/ � �//i/l. �� ii i/� / �, %� � i i� , 1 � % / / / % -- ii y i � / ii %� i/ � � l � � ii / / / / � ��' .,�, J �� '� j � - - -� � / � _ _ _.. _. /1/ � �/� / '/ ice: ='=/ �_�� ��/'//� '�. '.lfu � � .��3ii� 'lam ,� . -; i /,.' �� i �1 �� l� i � 1 1 1 1 -I'I. •,� ` LI� �� � v `. _ � / • � � _ ��� i � tvWIN Ur avu irtUi liF1 I ' " bUiLIANU Fb M11 AYYLIC:ATiON CHECKLIS BUILDING DEPARTMENT g t.. Do you have or need the following,before applyin; TOWN HALL Board of Health SOUTHOLD, NY 11971 I '' JAN 5 3 sets of Building Plans TEL: 765-1802 -._ Survey PERMIT NO: Check Septic Form N.Y.S.D.E.C. Trustees Examined 9 41Yr 20_p/ Contact: Approved 12061 Mail to: Disapproved a/c Phone: Building Ins for APPLICATION FOR BUILDING PERMIT Date / 20Q INSTRUCTIONS a. This 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 waterways. P c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupan is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for 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 admit authorized inspectors on premises and in building for necessary inspections. NvRfH SAII P"A6 1.106, 141C. (Signature of applicant or name, if a corporation) 32&&-5 NAiN RID • C*7'cWyuE, NY /193' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder BUI LD>✓2 C ov\V, \I,eyNcl eel Name of owner of premises NOS{ ' 5Aq ?eOPE21l5-S, IMC— (as plG(as on the tax roll or I'atest deed) Ifa lic t is a co or on, si ature of du authorized officer MZZ --i eS Glev,\ e and`title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: r7V q-yf V3 �Y House Number Street Hamlet County Tax Map No. 1000 Section 014 Block OZ Lot 3:. 3 Subdivision G IgAtJtTAeW EgTAT�S Filed Map No. 7C2G a Lot 9 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ZAddition Altefati n~ Repair Removal Demolition Other Work_ (Description) l 4. Estimated Cost aUCaC?Z1 Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units___ Number of dwelling units on each floor i iI - If garage, number of cars 3 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N �c 7, Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensionsj of same structure ith alterations or dditions: Front Rear Depth fight Nu er of Stories 3. Dimensions of entire new construction: Front Rear Depth Height 23 Number of Stories �. Size of lot: Front I 10� Rear ISO' Depth n 10. Date of Purchase Q I rC} Name of Former Owner_`�CLV el� cam_ 1. Zone or use district in which premises are situated &<;acv N-% \ 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded Will excess fill be removed from premises: YES NO 4. Names of Owner of premises_ t}a v 44 5 Address Phone No. NameofArchitect ,_ w E;5)jeAddress aNw.,vwo(,4jt�Phone No 3q?-5B6y Name of Contractor_NcvN�4_(bA j jjgj _Address 3}G y 5 MP}MJ U Phone No. 73y-X3sj - 5. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED Provide survey, to scale, with accurate foundation plan and distances to property lines. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. ATE OF NEW YORK) SS: ,UNTY OF� being duly sworn, deposes and says that(s)he is the applicant (Name f individual signing contract) above named, Ie is the (Contractor, Agent, Corporal Officer, etc.) id owner or owners, and is duly authorized to perform or have performed the said work nd to make and file this application; all statements contained in this application are true to the best of his knowledge and belief, and that the work will be ,rmed in the manner set forth in the application filed therewith. Ti to re me th's day of 200/ / Notary Public Si lure of A cant HELENE D.HORNE Notary P State of Newyork No. No.4961364 Qualified in Suffolk Courtly Commission Expires May 22, ,1 L ONG ISLAND SOUND S LROVT 9 OF L. THIS H W. -L" T IN DATE DEPT DF SUBDIVISION MAP OF GRAND VIEW ESTATES SITUATE �� of — — _ ORIENT, UO NOV 20 P3 :01 TOWN OF OF S 45' SUFFOLK COUNTY, N. Y. 38' E 130.0' N SURVEYED FOR NORTH BAY PROPERTIES, INC. P N BOTTOM OF SLOPE SURVEYED 27 DECEMBER, 1999 SCALE 1"=40' AREA= 40,650 SF $ OR 0.9332 ACRES — TO OF SLOPE ZONED R40 i i -A6 $ ELEVA77ONS ARE IN 1929NVGD BM 0325-1943 EL. 8.28 COAS EROSION HAZARD LINE — — LOT 10 VACANT TM 1000-014-02-0313 PROPOSED CESS OOL LOT 8 MORE THAN 150' FM f 7083 VACANT \ -<\ --� ��,l��n TO ANY WELL & FILED JUN 8, 1982 �r ./ lll� MORE THAN 150' PR POSED�y \ /�' CESSPOOL TO ANY WELL & Sl PTIC �I� \ GUARANTEED TO CESSPOOL ANORTH BAY PROPER77ES INC. ,gyp COVENANT ABSTRACT CO. INC. w TOWN OF SOUTHOLD \ PIZOP��O``SED N 5 4 BEuNOOM O-13 1 \ WOOD FRSE ROP. -o -m ES CAR -71 k LL, \ �A AG PROP 3 G� 35' Bo. DRIVEWA -3> 'ZD z- -13 ZO H E \ O O NN Z \ PROPO D R- 20• \ \ LL \0 STA A- 39.21' 5� N 43' 0 'SIN \ FIRE SET CONC CURB 170.O BOX TIE= 466.11' (MOUNTABLE GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR NHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE VACANT GRAND VIEW DRI VE J o� RN LENDING INS7IT GOVERNMENTAL AGENCY, C^ LENDING ASSIGNEES SIGN ES IF E EU HEREON, AND p TO THE 7EES ARE OF THE LENDING/NSDIURON. OGUARANIES ARE NOT 7RANSFERAB(f � Z ADD/DONAL INSR7VRON5 OR SUBSEQUENT OV5NER5. W � O UNAUTHORIZED ALTERA71ON OR A001RON TO 7HIS O p SURVEY 1S A NOXA DON OF SEC770N 7209 OF THE NEW YORK STA 7E EDUCA 77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING ----- _ IRE LAND SURVEYORS EMBOSSED SEAL SHALL T A N G E( BE CONSIDERED TO BE A VAUD /RUE 75 r T,�. .T.rt3 s ,avT G �' C3�' 'r E Y by Dept of kiea{ih Services "O" FiX t A 1 0 GAL. SEPTIC TANK & TWO POOLS DEC2' DEEP 600SF SIDE WALL POOLS EC v GJ�V t J �10. .1 ofIRST EL. JZ i Cr* ..r"� q"w s '` GRADE EL. 28.0 . . _ Y �.. . INV. INV T6.5 J' COLLAR OF T e'DIA. SAND & GRAVEL Sanitary system designed by �Eb GAL. I T I I I TYR Joseph Fischetti, PE ;t j iUi PROVA )- SEPITC TANK AND & 1725 Nob art d g SAND & EL. 8.0 I GRAVEL I I A I Southold 631-7 4 W y s P p150 O .,; NOTE. REMOVE'"AYL"'DRTSUTTABL�'MATERIA'C TD"`fYfE{•L-E{+it }�}-�}F BACKFILL WITH SAND& GRAVEL. PROVIDE A 3'-0" COLLAR OF m Z SAND& GRAVEL AROUND BOTH LEACHING POOLS. _. O Z rzsrKU Dorn 0. 05 SURVEYED nrwwv emsN,c y�rym J NMW S.I9YlLIOHtlR'IC YtI.GI.O KIV 91 s' SURVEYED BY �4I K ie STANLEY J. ISAKSEN, JR. P.O. BOX 294 UFFOLK NY 11956 NN w.or:r K 6,11 34-58.# 61' M 1rA N BIONI/I( /O KYIY SNO Y 67' d NOTE 1. 27 JUNE, 2000 REVISE SANITARY& *FULOCA7TON5 KENS AND SURV OR 2. 10 JULY, 2000 REVISE SAN/TARP& WFLL COCARONS NYS L/ NO. 49273 J. 07 AUGUST, 2000 REVISE SANITARY& WLL LOCA77ONS ` 4. 13 SEPTEMBER, 2000 ADD SANITARY SEC77ON. 5. 30 OCTOBER, 2000 REVISE SANITARY ORTON. 6. 15 NOVEMBER 2000 REVISE SANITARY DESIGN. 99C855 d 7 SURVEY OF LOT 9 IN SUBDIVISION MAP OF GRAND VIEW ESTATES SITUATE ORIEN T, TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. SURVEYED FOR NORTH BAY PROPERTIES, INC. SURVEYED 27 DECEMBER, 1999 SCALE 1"=40" AREA= 40,650 SF OR 0.9332 ACRES ZONED R40 ELEVATIONS ARE IN 1929NVGD BM 0325-1943 EL 8.28 LONG ISLAND SOUND H. W. L. THIS DATE 6 TM 1000-014-02-03.13 --0 — E 0 FM # 7083 FILED JUN 8, 1982 S 38 4 Jr. E GUARANTEED TO 130.O• NORTH BAY PROPERTIES, INC. COVENANT ABSTRACT CO. INC. N TOWN OF SOUTHOLD ob uj N NBOTTOM OF SLOPE —0 ti� TOP OF SLOPE COASL EROSION HAZARD LINE _ n LOT 10 r l � m VACANT 1, o �U,7✓ LOT 8 a VACANT Q \ s.. \ POQRED CONCR TE \ To.. , FOUNDA TION,,' .5' m 70 5.2 5. 3 Z rL�-- O \ h .7 x`4.1.7'3.0' 5.0 2\ O Z� 14.9 3 Z Ra 20' 0 \ \ \ SAKE Aa 39.21' STAKE N 43. 0 '—W \ FIRE 'ET� .- ,70' 0• BE� CONC OK CURB (MOUNTABLE) VACANT GRAND VIEW DRI VE SURVEYED BY STANLEY J ISAKSEN, JR. P.O. BOX _294 4LN 4'OLK#5NY17956 NOTE' 1. 27 ..UNE, 2000 RENSE SANITARY& WELL LOCA77ONS 2. 10 JULY, 2000 RENSE SANITARY& WELL LOCATIONS 3. 07 AUGUST, 2000 RENSE SANITARY& WELL LOCATIONS FARY SECTION. 5. 30 OCTOBER,7000 RENSE S 2000 ADD ANITARY DESIGN.6. 15 NOVEMBER, 2000 REVISE SANITARY DESIGN. LAND S VEYOR 7. 26 DECEMBER, 2000 RENSE PROPOSED STRUCTURE FOO7PRINT. NO. 49 3 9. 20 XNE, 2001 LOCATE POURED CONCRETE FOUNDATION 99C855 SURVEY OF G:,ARa N7£ES INU,GATEU "ERE ON SHALL RUN LOT 9 Cd4 Y TO rHE PERSON FOR IIhOW THE SURVE'l IS PREPARED, ANO ON h'IS BEHALF TO THE IN n'LE 6WPA'lY, COV_`RNWENTAL AGENCY. LENDV+G PV5'HJTQN, <F L15TEO HEREON, ANG SUBDIVISION MAP Of TP ME ASSroNt ES Of T4E LENOANG ANSTITU➢ON. ,.4,RANTEES ARE NCr TRANSFERABLE To GRAND VIEW ESTATES ANOIIICn/<L l,'SNiUTIDNS OR SUBSEQUENT OWNERS SITUATE s�RVFYL'a AE VQ A 41 uE SECTCo,ro09'Of' ORIENT, TOWN OF SOUTHOLD """ YGRv `TATE E"D`AT'C.N LAW SUFFOLK COUNTY, N.Y. G;"ES Or TM5 3bP9Ef MAP NOI BEARING h E LAND SURVEYORS EMBOSSED SEAL SHALL n5T EEOOu>IOEI=ECr r0 BE/ VAL/T' IRUE �.,P. SURVEYED FOR; DAVID McELROY O LISA McELROY GUARANTEED TO: DAVID McELROY LISA MCELROY COVENANT ABSTRACT CO., INC. ULSTER SAVINGS BANK, ITS LONG h T/ 7 L A7D SOUND ,,Oy 7T D SUCCESSORS AND ASSIGNEES. FM# 7083 DATE FILED JUNE 8, 1982 HWL THIS DATE TMJ/ "1000-014-02-03.13 CREST OF BEACH GRAVEL APPrcvcd irl acevr&i1ce I I BF rd of Review --�� ct>vterminaiion �+a2�d 1 •ti� d 3 S 3845'00"E 130.00' SURVEYED: 27 DECEMBER 1999 cv SCALE I"= 40' �O N Lri '- AREA = 40,650 S.F. 80TTOM OF SLOPE ° OR t` 0.9332 ACRES N TQP SLOP EOSION HAZARD LINE - — �4C DC% 'C' ("LCL COASTAL R A Al. ,, CESSPOOLS (2) LOT 10 LOT 8 � SEP '�^� TANK rn p 9fP6 4,3' yRILK 5u1E 1.0 6.70.9 ' \ <:� T1N0 STORY RESIDENCE, � \ h 2. a r 3 m43,3' $��a > ma Q 10.7 78 RVMe' 0 3 W w'£a uN'�sf � 1 o �3ar LD Ln R=20' n A RA+'NiNc o WELL N LC) M / z 170.00' N 43'00'00"W TIE= 466.0 GRAND VIEW DRIVE r W9 AIS SURVEYED BY „IW H31b ISbM -43f-4 STANLEY J. ISAKSEN, JR. 9p:6 P.0, BOX 294 �� �Z�d�E©QZ, 03NEW 1 734F5835N.Y. 956 ",3A 130.3N nS KENS LAND REYOR lI � 17 March 03 SNOW kELOCATEO WELL., WATER LINE SERVICE. IVYS Lim. 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