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HomeMy WebLinkAbout17072-zFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17952 Date April 17, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1015 KIMBERLY LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 13 Lot 6 Subdivision Paradise by Bay Filed Map No. 6463 Lot No. 6 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 17, 1988 pursuant to which Building Permit No. 17072-Z dated SUNE 7, 1988 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 ATTACHED 3 CAR GARAGE & WOOD DECKS The certificate is issued to ANDREW & MARGARET DUERWALD (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-216-MAR. 06, 1989 CERTIFICATE NO. N 066092 - APRIL 11, 1989 PLUMBERS CERTIFICATION DATED MAR. 20, 1989-HENRY S. SM & SON, / ~U~(, ce.C, Building Inspector Rev. 1/81 xosai xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N0 Q17072 Z Date .........~.~~'..~ .................... 19...b..~ Permission is hereby granted to: ......! ~~$.~.,....~ ter ............. ..~ ~-ClL:~dL....~.:~.:.....4.1..9.`x.1 ............. . .....'.. ...ia~:-Q-P~-n ~.....c~ .ice.. to ..~~:.. ~._ .~~..~,~... ........~.... ...... ~.,~-~.. ...... ct premises located ~t ..... ~.~.s`t..........1..1..~4!!:+.'1.~,?.r~r~... .. ~'.':!:!} :...... ..................................... . ~1...~ .......~.~..~....-~.~ :................................................................ ...... . Caunty Tax Map No. 1000 Section .......Q?.Q....... Block .......l.w~........ Lot No....s~.i?.~.:~a........ pursuant to application dated .................. ...... .. ~..~.................., 19.8., and approved by the Building Inspector. Fee $... g.?~..l.s~"....~-~-' ~s~.- ~~ ~ . ~ c'• a s ~ Bu ding Inspector Rev. 6/30/80 { e TOWN OF SOUTHOLD .~ ~" Ll \ ~ ;' ~";"fig ~~ ~+, MAR 2~ i~~t, ` , ~ ~ ; !j 1 19 7 1 „~ u BLDG. DEP'T~~""'°~~-~' i TOWN UP SC'~'1~~-atTLD .,~...,, BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 APPLICATION FOR CERTIFIC TE OF OCCIIPANCY DATE !.'.r~l.: ~~~. r~Q .~ . NEW CONSTRUCTION . la...OLD OR PRE-E%ISTZNG BUILDING......VACANT LAND........ / ~ I , rr 44~` Location of Property....IUIS....~J1~:1.bP~.~...../;.(k_n~.....U.~C_C.IhO~~ HOUSE NO. SET HAMLET ~. ........ n~recv l~uer-wr~(e~J Owner or Owners of Property.... a:~. ~d-~-~ ~ ( County Taa Map No. 1000 Section ..~Q Block ..L~.. Lot ..`E:..... -~„ Subdivision.~~.a~;f~''.~:~''~ !0~?-.~~~'L~. Filed Map .~~lO:.j.Lot...~...... ,~ a Permit No. (J~.J~~..Date of Permit ~,1.~/~9....Applicant ~~~~.':?PT~~t~~ "~/"' / / .... -~/7C~ Health Dept. Approval ...../..........,. Underwriters Approval .....:....... Planning Board Approval ................ Request for Temporary Certificate .,~.... Final Certificate ................ Fee Submitted: APPLICANT. ~~c~J !~!' ~~(!~~-~~:' ~/ ... _ ~. cc~~ 1~9~a . rev. 10/14/88 Memorandum from ... . BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, $OUTHOLD, N. Y. 11971 765.1802 Spoke to Mrs. Duerwald 4/]7/89 and advised her that when she is ready to put in the inground swimming pool, she will have to take out a new building permit. Per Vic's instrucCions. .~__---~ New York State Department of Environmental Conservation Building 40-SONY, Stony Brook, New York 11794 I.~~Y~~C\ ~~~i,V~ ~ 13~ U ~~.~~«~~. ~~~ ~~~ ~ ~, ~`1 i~~ `c ~ Dea r ~ 1''~rj , ~,~~ ~ A review, has been made of ~ ~r iV~~~~1~1~ 'S ~t(r~l~~ ~ o~~- DATE: ~~ ~~~~ Re: M~.r ~. l~~~w~ ~'~~/}~~ ~ - (~~~~ -' V I Il,+homas C. Jorlin/g ~1'~"Y~~©W'1~~- ~ j iss~0~~i your proposal to: ~ ~~'~~"~''( v~ ~" Ci'L, S \ Y~ ~ ~_, 1 1 ~ ~ YV~ ~ ~ C~ I~l ~~ ~ L~ l) ~ ~1C~ ~~~, Based on the information you have submitted, the New York State Department o rronmental Conservation has determined that the parcel -~~~project is: Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure greater than 100' in length which was constructed prior to 9 20 77. ~X Landward of the 10' above mean sea level elevation contour on a ~ radual, natural slope. Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest 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 in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Deputy Regional Permit Administrator /~ _. __ _ _ __ i7n~~~ ~„ - __ -- THE NEW YORK BOARD OF FIRE UNDERWRITERS )'ACA: .I f)7J (t)OJ . OUREAU OF ELECTRICIT-Y 86 JOHN STREET, NEW YORK, NEW YORK 10038 Date APR:[J. 7T,198<) Application No. onjile '-~AU3958R/88 N Ub6G!)"1. TN13 CERTIFIES TFUT only the s/ectrleal equipment e. dacr[bsd 6ektw and inerodw.vd 6y the appUcent named on tha abooa appdation number in the premlw q( _ ~ ~ ^ DRE)I llA;Vf:R.NAJ,D, K I+tIiF.RLY LANAI, ;;01)THOI,I.r, N.Y, in thefollolrinq loratfoni ®Basement ® /et Fl. ®tnd FL (.Aft/UIJ`J' Sertion Block Lot ' ~. uw examined on ffARffi l3 , J, 9$9 and found to be in complianre with the reyuirementR of thu Buord. 11%TW! XTWlf RANOlS tbOKINO ORCKS OVlNS DISH WASlMRS lXNAi1ST ANS OUiIlTS ACLf SWITGIlS INCANDISClNT IlUOtfSCENT OTHER NAT. K. W. AMT. K. W. AMT. K.W. MIT. K. W. AMT. M. 1. kS2 7?) 3 t a,;? 2 3.5 1. T.~ t F DRYRRS RJlNACE MOTORS tLTUM AMtIAtItA TRlRRRS fNOAIRRC'-T i11NlClOCltS yLL U1NTNlAilRS MOL14p11M DYAARlRf AMi. K. W. dl M. I. GAS N. 1. AMT. NO. A. W. G. AMT. AMI. AMT. AMVb. TRANS. AMT. N. v. ~. ~.. RAT AMi. WATn 7 k 3. iU SRVIC! DIftORMIRCT NO.Of V I C ! S ! R ~wAr. AMr. rrlt p 11 tw l i tw t R aw t x Aw No. o~~ icwo. p~ cc ~ OND. No. d Ni.uc a~~~ ND. d NtUTRA11 a~'r eunAl z i5Ll ca ~ x a z/o z a/o OTINR Ap-ARATUS: 5 '1't)N AC JIN1:T-1 ?.5 TON AC UNTT-I 7 . °+ TON AC UNIT-'l. t 'Pf}N DEHIJMIDT:FI:E;R-T JAi'U'LZ7 ~-J NIO'PORS;:I-:L H.P. NOKA: DISTECTOR:-2 ~~ ~ G & ~ CUN'PRAf"'EOR LIt,`,~~i71,-B DpX 2I5 arwu IANR 50UTFIOLD, NY, 11.971. f~ Psr / TNt eerti&oM mwf not 6o akered in a ttwmary rstwn M tla office of the Board if ittwtNCl. Intpecion may bs idemifisd by Mar }; ~f F1B1T B)FRfJ)Rlfi F~fAR7MB7TT. TNR COPT OF C:ERTIFIC:ATE 1BI~T NOT B)E ALTERED IN ANY AMIfiER: ~ ~ _, - 1 ~~7 v 7~-isoa BUILDING DEPT. INSPECTION [ }FOUNDATION 15T [ ROUGH PLBG. [ ]FOUNDATION 2ND [)INSULATION ~RAMING [)FINAL J DATE ~'~ Y INSPECTOR !l n ~~ T65-1802 BUILDING DEPT. INSPECTI®N [ ]/FOUNDATION 1ST [ ] ROUGH PLBG. [/] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING REMARKS: [ ]FINAL ~ l,~ DATE ~ ~ O a INS / 70 7~- 7f5-1802 BUILDING DEPT. [ FOUNDATION 15T [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE 4 INSPECTOR '~ l7©7z' 765-1802 BU1LDiNG DEPT. INSPECTION [ }FOUNDATION i5T } ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING [ ] I CATION [ FINAL DATE _,j~/`~;f~ _INSPECTOR 12~72- ass-1so~ BUILDING DEPT. lNSP~C7'!4N [ ]FOUNDATION i5T [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~~a~`-cs~%1 B~ ~` DATE ~ Iy INSPECTOR ~-~ !~~ ~~ iA LAN 153.11' ,~ 891.33' n ~ R~-Y MgE im ~ wy " ti ti ~~ K~ " W • Z ~ 0 4 ~ N j8, I q l0 ~ A ~ V N m fA ~ ~ I w ~ ~ N o ~ a ' ° M $ ~l~i ~ ©ar ffi..-..~ A ~ m xx ' T1 C0. o "~ITI o' ~ 1^ ~' ~='~ ~ ~ ~ i L ff '~~' (f1::~. Qw 4 'o u E o O : -Ill r ~ K g ^~ ~ Q ~ a ~~ 6 ~ n ~~ M? t i7 O A O N ~. }~ O ~R ~ ~ ~3 a ~ Il'I' ~ ~ 8 o° °'C das3 , S:? ~ r i I; ~~ , 0 -~ ?~~~ a p ~ ~ r • ~. e sR,~ E ~, r. ~ t ~ .. cn s a Z ' ~g o ~~~ ~ Ya 8 ~~ ~S, n ~ 20' i y n - ~ n ~~ ~0 ~ 0 ~ 0 ~ N y o m `~ ~ o ++ ro r p o N C ~ 3 ON A b m ~ ~ v ~ ' ~ ~ ~~~. O v ~ ~b 2~ ppl~yy i(`~7 _ MOOGEN IU.KK~7 ~ 2~ ~ ~ tl, s I~0' E ~_ ZT "I z rym J Z7 Q A 136.81' _~- ~-~ ~ w1 i' ~-- _ ~ - ~ Memorandum from ... . ~ BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 April 17, 1989 John Bertani Builder, Inc. 1380 Oakwood Drive Southold, New York 1197] Re: Building Permit 1117071-Z DUERWALD Dear Linda: Enclosed are your two checks - Check (13799 in the amount of $15.00 and - Check 113819 in the amount of $25.00. Mr. Duerwald paid for the CO and picked it up today. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Georgia Rudder, Secretary HENRY J. SMITH & SON, Incr. PLUMBING, HEATING & FUEL OIL I ~~`~~11 ~.' -" ' t - - ~ ' MAIN ROAD I~ IIs,._....~.! SOUTHOLD, N.Y. 11971 11s~s (518) 765-3890 I'~`a`i C E_R_T_I_F_I_C_A_T_I_0 N_ i Date__ Marc13?0;_~g$q___ Building Permit P3o._],~ry~________ Owner__ ~+nS1L~t.D.uerwn.ld------------- Plumber__Henry_J__Smith & Soni_Inc_ I certify that the solder used in the water supply system contains less than 2/10 of 19 lead. ,~- C== -~~'I-~~~--------------- Henry P. Smith Sworn to before me this ,,/ ~,.,p~~, 2998__day of March -----' ,Gf%/~ldi~~~`~ 3__• Notary ublic Notary Public, Suffolk County BERNADETTE L. TAPLIN NOTARY PUBLIC k4844893 State at New Yark Residing m Suffolk County Commission Expires Sept. 30, 19~ tIM 101998 i i I 1 I 36,7' FOUN0A770N r.F.,S.Q u2' 1 , SE7 PK CD a'~,,,!" . m 353.48' I ~ W ^ N "~i / ~/ t . ~ % I I ~ ~ o 131.85'._ -' _ _ "" O h h ____ _ __ / M gg ~ ~i d' ~ sa• i_Ol~ 6 `° tl1 ~' u V L ~ ~ d a q \~ V ~~ Y Z J 0~ Y ~ m v . ~ ~~ h Q p O N /~ I.1 QC~ Y . 3 o., e S 84° 22' 20" W 7 ANT ) J1rea = 52,220sgfL(To map line! isinR ai \Q Prepored in accordance with the r+' ' standards for title surveys au en,. tl,o L. 1. A. L. S, and approv®d ana ,,. for such use by The New Yark ~t9te La... Title Associatioe. CERTIFIED TO CHICAGO TITLE INSURANCE CO. ,, ~, ~ ~ , ~ ~ ~, ' ,` ~ ~~ ~~ I ~~ Q m \\ ~~ O O I I M 1 ~~~ ~p~ a. t'i'C ~~L e F, # { ~ ~ ~ .Y.S. LIC. N0. 49668 _. N~ i I a S 8 ENGINEERS P.C. t f P.0. MAIN R SOUTHOLDt N. Y. 11971 ~ 87 -722fiot 6) ®~ o u ir, ;~a ~ 2 ~!~- _ ~ 1.: FORM NO. 7 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH .. 3 SETS OF PLANS ~'K •••• SURVEY.. , CHECK ~ ~' °t ~`.~-.. . S PTIC FORM ,,,,,,,,,,,,,; ,C. ('a~...w . NOTIFY CALL ................ MAIL T0: Examined ... ...... 7...., 19 ~.~ //LC. Approved .... -..7.. „ 19~~. Permit No. I.7 O ~!~ :~ ~ ~ ~„`~va.'" Disapproved a/c ..................................... ~J'" _ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS /~/~ ~ Date ./.! !.~... 1. ~/..., 19 .. 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 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 this 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 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 necess~nspections. .~..! ~h n .~er:~r.A-t-1 i . ~u:l. (.~~. P ~-;~r c,.~ ........ . (Signat/u~re of applicant, or name, i(f~a,co6rporation) . ~.~~. ~.. S•%CI :k-W7J.t~~. ~l! {'C, cJ QU.Tn. v I Cl I ~ %~ [ . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..............~P~-(1R.C'C4-~ ...~C1YlG"'. ,I7.LC t,I ~ 2 /~, ....a......... }.~............"~.. ~.............. . Name of owner of premises ...~IC'1.1? .~':. • ~4-n •~• • • • ~ 4!~:4V. • •ovt!t•{'~•c,elG`•- ~~/.. • • • • • (J (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~''~ /~ (Name and title of corporate officer) ALL CONTRACTOR'S NUST BE SUFFOLK COUNTY LICENSED Builder's License No. ... !a~~ .~~ . ~.4....... . Plumber's License No. ... ~. ~o~!Y?'t,t ~ ...... . Electrician's License No. .... ~~~ ........... . Other Trade's License No . ....... ........... . 1. Location of land on which proposed work /will be done . ................................................ . House Number Street Hamlet County Tax Ma No. 1000 Section ....~ ~........... Block .... ~ 3........... Lot .. ~~ ~. /.~'? ........ . Subdivision ..~~~~-~.tJfi ~ T7 ~4-. !4'.~ • ..... Filed Map No. .~.~~.3....... Lot ....lo. ( ame) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... (~C~.CGt(l`~`......,,./...../ ....................................... . b. Intended use and occupancy ..... !..:~u-!?~ 11. . ~%'i~:e: f'!. , , , , , ; ,..~4„ . . . . . . . . . . . . ........ . '.. . /' 3. ' RPt aiz of work (check which applicable): New Building ... ~... Addition .. ~!t.. ...... '... . ,p .............. Remoya! ..... , ........ Demolition ......... , ..'. OtherWork, u .. , ....... . -~ i ~~ ~ ~ ~ _ ~ escriplion) d E, 4. Estimated Cost......u~'S ~~.~~ ........................ Fee ... ...,...................'........... I (to'-t7d ~s ap lication) 5. If dwelling, number of dwelling units ...... l ........ Number of dw li. ............... . 6 If era ~,numberofcars .................................................................. If business commercial or mixed,, g g occupancy, specify nature and extent of each type of use ........ . ........... . 7. 'Dimensions of existing structures', if any: Front ...............Rear .............. Depth .............. . Hi;ight ............... Numl7er of Stories ....................................................... . Dimensions of same structure with alterations or additions: Front ................. Rear ................. . Da;pth .................... ! .Height ........... ........Number of Stories ............ . 8. ,Dimensions of entire new construction: Front .... ~7........ Rear ....~7, ........ Depth .. ~~......... . ....... l7er of Stories ....... r~ ................................... . Hei ht ~ ... ; :.. Num l.......... Rear .... ~.~6.. $:i........... epth ~~?,~~ ~ . ...... . ... l.~... `J: 10. Date of Purchase ~ ................. Na e of Former Owner .~IC-jiLl/:~. rn~ ~!:/1 ~(l'Eet~(1Jeo 11. ,Zone or use district m whit:~~ re~hises are situated ...... ~:. ( ............................... ~...... , .. . 12. De>es proposed construction violate any zoning law, ordinance or regulation: .. , . (7 D ....................... 13. Will lot be regraded ...... Y.1.4 .............. Will excess fill be removed from remises: Yes w 14. Ntune of Owner of r~mises . l~b4eritlAlcli.... , .Address a,~/:~?.CA~ ~ !~v..N.urrt~~-Nosy ..7~7: ~~ . . Nsune of Architect p ~n?~i~~w lu~.u?1.+eJS~, .....Address '7~u ....+ti~ . l~d'~ne No/~.~/.~.~~ ..... . N;une of Contractor'.lr . i .13.~i.«e~, ~-/i~:... Address .?>3.FL1 Q4~~OCt. ~~./:~`~'hone No. X65- /,S?/.`~.... , 15. I:; this property located within 300 feet of a tidal wetland? *Yes ..... No ..... *Ifi yes,, Southold Town Trustees Permit ma be re uired. I PLO DIAG)~AM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~''e.,~ ,~ Ic,..r1S I STATE OF NE~YORK, $ S COliNTY OF . 44'C .F:Q 4 IS-:.... I , . , , , J ~h.;;~, , ~,,.. (~Cr'~(1,~, , , , , , , , , ,,, , , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. i He is the..........~~-.cSf1'~TC~~'4~` :................................. ............................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~, authorized 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 of his knowledge and belief; and that the work will be performed in the mannerset forth in the application filed therewith. Swom to before me tghis I ...............l,/.. ...day of;. .........,19~~ .. ~ /~/.. Notary Public, .... ~~..il.:....G. U~.... County HELEN 1. NOT~,nii~tnK.DE ~ ~~~...~~ ............. yy~y,~ (Signature of applicant) c..x.,a n....w -~ -U o-,~~ D ° ~ y 0 ~m a ~ ~n v7 b ~'O Y p ui n -1 b < z ~~ ~~ 'D oz ,i Q O z r ~' m cn y ' ro n m m ~'~ ~ ~ n ~ra~b 0 r q b ~. m n -~ A -< ~ ~ cn v, I r'a < ~ o-.I~`~'S Cn Cn~ co - I. w z, ~ --1 ~ .~. 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