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Home My WebLink About28979-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29786 Date: 10/23/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: 130 (HOUSE NO.) County Tax Map No. 473889 Section 15 SOUNDVIEW RD (STREET) Block 3 ORIENT (HAMLET) Lot 32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 22, 2002 pursuant to which Building Permit No. 28979-Z dated DECEMBER 6, 2002 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 SINGLE FAMILY DWELLING WITH ATTACHED GARAGE & COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to GEOFFREY & CLAUDIA CLAXTON (OWNER) of the aforesaid building. SUPFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-00-0219 10/22/03 ELECTRICAL CERTIFICATE NO. 1142272 09/29/03 PLUMBERS CERTIFICATION DATED 10/10/03 PECONIC PLUMB.&HEATING 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. 28979 Z Date DECEMBER 6, 2002 Permission is hereby granted to: GEOFFREY CLAXTON 58 BUTTERFIELD DR GREENLAWN,NY 11740 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR at premises located at 130 SOUNDVIEW RD ORIENT County Tax Map No. 473889 Section 015 Block 0003 Lot No. 032 pursuant to application dated NOVEMBER 22, 2002 and approved by the -, Fee $ 1,578.00 \\ Building Inspector to expire on JUNE Signature COpy Rev. 5/8/02 .:" c:JJ '-)29- - Lf g 51 wtt ~q5 - i-f~5;}. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ''''or ? ~ iL) "I. APPLICATION FOR CERTIFICATE OF OCCUPANcY L 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. ~. 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. 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 ......................................... lew Construction........... Old Or Pre-existing Building................. "ocation of Property... .I.4>.~...~ ~ .~!":~.'.~.~. .f?.P........~ .B-.I'~~/" .~:f.............. House No. Street Hamlet C. L", .....t>. t>..... C'..:,~O f' FP'E'Y ~l..""~o t-.{ )nwer or Owners of Property.................................................................. ;ounty Tax Map No 1000, Section. ..k'.~:!... ..Block. .i?q~~...... .Lot. .t~.?:~.............. ;ubdivision.Q.~." ';;~ .~':'(.. \ ."7t.'F.-. .~~J?... . Filed Map:1. 'f.'ft.... .Lot.~~................. - 'ermit No.:;l,6':9. .7.<7. .?.Date Of Permit./. ~ 1.4!9..fl. 00 APplicant.L..I. ,s.~. . ~';'.':"; ~ L..c;..~.P:.P:. . lealth Dept. APproval.l p./~.~ j f1. ~.. .. . . . . . .. Underwriters Approval. '1 !i?~ ! d. ~. . . . . . . . . . . . ..-- 'lanning Board ApprovaL....................... Temporary Certificate........... Final Certicate..~.... ~equest for: ,'ee Submitted: $ . . ;? ~-. f. ~ . . . . . . . . . . . . . . . . . ....~..b:...f~.."..... APPLICANT 6<..u... ~ l( H :)., Co ~ .:<q 7ff' ",?42003 LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O, BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 October 23, 2003 Southold Town Building Department Main Road Southold, NY To whom it may concern: Re: Residence Geoffrey Claxton 130 Soundview Road, Orient Building permit No. 289792Z I have inspected the above mentioned site and reviewed the plans. It was noted that there several small crackS in the poured concrete foundation walls and a large crack that had been repaired with the injection of an epoxy water proofing compound. This large crack was located in the area of the master bedroom bath. The large crack was caused when backfilling in the winter. I certify t hat none of the small cracks and the large crack repaired with the epoxy will not effect the integrity of the structure and meets the Soulding Building Code and the New York St ate Fire and Building Code. Sincerely, -/~/A~~ ~wrence M. Tuthill .:~,.~":_. -t':~~;:0 ",' '~::~\ <,{ -;....;> '1 _1~ 'i.i J, Y i.:jt',~::;~'-I~ / .~~ I :.':>~,'!~~~.~~(~::;:.'/ 1li'C1Q @].~@] I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ THREE "C" ELEC. INC. GEOFFREY AND CLAUDIA CLAXTON ~ ~ 21 ZDUNKO LANE 58 BUTTERFIELD DRIVE ~ ~ RIVERHEAD, NY 11901, GREENLAWN, NY 11957 ~ ~ Located at 130 SOUNDVIEW AVENUE ORIENT, NY 11957 ~ ~ ~ ~ Application Number: 1142272 Certificate Number: 1142272 ~ I Section: 1000-15 Block: 015 Lot: 03-32 Building Permit: BDC: NS11 I ~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located inion the premises at: ~ ~ Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, ~ ~ ~ I was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was I ~ found to be in compliance therewith on the 29th Dayof September, 2003. ii!I ~ Name . OTY Rate Ratin. Circuit ~ I ~ Alarm and Emergency Equipment ~ ~ Sensor I 0 Carbon Monoxide ~ ~ Sensor 6 0 Smoke ~ ~ Appliances and Accessories ~ ~ Dish Washer I 0 1.2 KW ~ ~ Hydro Massage Tub, Residential I 0 ~ ~ Exhaust Fan 2 0 F.H.P. ~ ~ Furnace I 0 Oil ~ ~ Pump/Motor I 0 I H.P. ~ ~~~~ i ~ Receptacle 64 0 General Purpose ii!I ~ Switch 61 0 General Purpose ~ ~ Fixture 78 0 Incandescent ~ ~ Fixture 3 0 Fluorescent ~ ~ Receptacle I 0 20 amp Laundry ~~ (i!J Receptacle I 0 30 amp Dryer @I seal (i!J ~ Paddle Fan 3 0 ~ ~ Receptacle 9 0 GFCI ~ ~ Continued on Next Page I of 2 ~ I This certificate may not be altered in any way and IS validated only by the presence of a raised seal at the location indicated. I @].@] 1m.1m I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ THREE "C" ELEC. INC. GEOFFREY AND CLAUDIA CLAXTON ~ ~ 21 ZDUNKO LANE 58 BUTTERFIELD DRIVE ~ ~ RIVERHEAD, NY 11901, GREENLAWN, NY 11957 ~ ~ Located at 130 SOUNDVIEW AVENUE ORIENT, NY 11957 ~ ~ ~ ~ Application Number: 1142272 Certificate Number: 1142272 ~ I Section: 1000-15 Block: 015 Lot: 03-32 Building Permit: BDC: NS11 I ~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located inion the premises at: ~ ~ Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, ~ ~ ~ I was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was I ~ found to be in compliance therewith on the 29th Dayof September, 2003. ~ ~ Name OTY Rate Ratin. Circuit IYm; ~ ~~ ~ ~ I Phase 3W Service Rating 200 Amperes ~ ~ Service Disconnect: I 200 cb ~ ~ Meters: I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ ~ ~ 2 of 2 ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location Indicated. I 1m.1m ":":';"\ 3 2'_'J2 CHAPlER 5 SECTION 501 ENERGY CODE CALCULATI0NS Detached One and Two Family 1___. (For Non-Electric Heat) For: (l eo elf.. t~ Sa...,," lilt" /')..,~~I c /t;1{ !f) J, Ro.1 Design Criteria 5750 Degree Days Zone lIB Per: h"A~ lJ..t.. '2 3/S Dated: SI_.._ { I~;)~'v , SUBSYSlEM AREA DESIGN CODE DESIGN CODE "u" "U" UA UA Exterior Walls O./ot 0.14 ./ 3'1".1'0 21(3 '} 2S7.S1> Ceiling Roof Ib72 0.037 0.031 ~I . 2. l .$ /.8-' Floor Over Unheated Space /(,7t D.DS 0.05 fJ 3. ~ D 83.1. 0 Heated Slab On Grade 6.5 . Unheated Slab On Grade 4.5 Basement Wall 0.1 Crawl Space Wall 0.06 ro2..38 1'8'(..37 NOTES Co~on shall comply with 502.1.1 moisture control and 502.1.4 air leakage Building Envelope Systems to meet requirements of Section 50 I The mechanical systems and equipment including: HV AC Equipment, HV AC Systems, Duct Systems, Ventilation Systems and lnsuIation of Piping Systems to meet requirements of Section 503 Service Water Heating Systems & Equipment to meet requirements of Section 504 Electrical & Lighting Systems & Equipment to meet requirements of Section 505 To the best of my knowledge, belief, & professionaljudgement, these plans are in compliance with the code. . Er.r!7.<YJETH A. NEVILLE TOWN CLERX REGISTRAR OF VITAL STATISTJCll MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER 4~/~~~~~~. ,tP"- ~.:ln\'.1 .ft,! fl' .~. t' , ,~:. ,~,",. ' ,.""< .') -/1, ~'~~w. n",~ ..(~."" . ." [I"" ~ .\11...... ....os.; ." .-..' .....J 1j 1~ ;.~:! ~.~ ~ !i .~:~ '~ ~ j;\ ,.to:, ['r:p C \. "".., <It:~, ), 01, '\ .... [II ,\ "il'~~ ~:ir y '~. cNM,? ;r; "f~,p '.:('\,..:.~. ;.~~.: /-(jl-~ <:.:.:;(.~,}.:.o:;(.'" Town Hall. 53095 Main Road P.O. Box 1179 Souihold. New York 11971 l"ax (631) 765.6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2451 R Residential X Non-Residenti.' -.-..- .. - - Fe. $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : CLAUDIA & CEOFFREY CLAXTON Address 1: 58 BUTTERFIELD DRIVE City St Zip CREENLAWN NY 117QO Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINCLE FAMILY DWELLlNC. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF # R10-00-0219 Name Of Owner CLAXTON, CLAUDIA & CEOFFREY ---.-----------.-------------- Mailing Address 1 58 BUTTERFIELD DRIVE -----------.------------------ ------------------------------ City St Zip CREENLAWN NY 11740 -------------------- -- ---------- Property AddreliS 1 130 SOUNDVIEW ROAD ------------..---------------- ------------------------------ City St Zip ORIENT NY 11957 --------------..---- -- -.-..----- Tax Map No. section Cross Street 15.00 block 3 lot 32.000 RYDER LANE --------.--------------------- Building Permit Number Cross Reference: -----..... ~t2yLu.;L ---~...~;:~::h~A~~~~--- Southold Town Clerk I ssue Date: 11/20/00 (TOWN SEAL) BUILDING PERMIT EXAMINER CHECK LIST APPLICANT:~ (1 ~ SCTM# DISTRICT: 1.000, SECTION: /1() , BLOCK: ~, LOT: <BO:l. STREET ADDRESS: Eo OCV!L)(/';et:<) CITY: t1nevr DATE REVIEWED: It-!~02 DATE SUBMITTED:JLla../02 ~ SUBDIVISION:e1~~ PROJECT DESCRIPTION: UU() /)U/CU /lUr ESTIMATED PROJECT COST:~df';7LARCHITEC~: ~11t.L FAST TRACK ~ ~INGLE & SEPARATE CERTIFICATION-REQUIRED ~ NOTES: LOTS 40,OOOSF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1183: ZONING DISTRICT: Rtfo CONFORMING? A,;JO REQ. LOT SIZE: ~O ACT. LOT SIZEo:6>80'l REQ. LOT CO REQ. FRONT '*' PROP. FRONT 40' REQ SIDE REQ. REAR ~ PROP. REAR v' REQ. WATERFR~T? _ Alc.J DESCRIPTION: PANEL #: ~ FLOOD ZONE: )(, COMPLIANCE: , ACT. LOT COY. .-/ ACT. SIDE ../ PROP. HEIGHT APPROVALS REOUlRED SUFFOLK COUNTY HEAI;if DEPT: @ or NO, (BED #):-1- DTE:lQ) L/ ()C) PERMIT #:Rl 0- d:J -Od \ ~ TOWN SEPTIC RECEIPT: (V1r N NEW YORK STATE DEC: PRE-DEC9/1I15 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or 0 TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): ~ 0 NO (NYS ENERGY: YES OR NO: ./ EGRESS (18 H min.? 4 sq total) _ VENT (SQ. FT. x 4%) LIGHT (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z / C/O Z- HAVE PRE CO'S : YORN BP~- triO z- NOTES: ~ ~ t ~';t\ ""?~~~;, ~-.i ;>~ .x Jrl-,,,~..p borD \fe' "''''''' ._ f I I FEE STRUCTURE: FOUNDATION: I ~,~b SF FIRST FLOOR: (7,8 I d SF SECOND FLOOR: I 0 6 ~ SF OTHER: SF .....- TOTAL: ') F (; I () SF 1.( Df,iO SF)-( c850sF)=j,1bO SFX$.?O =$i42R INIT FEE +$ 1)'0 OTHER TOTAL FEE_~______ / ~ '" +~~_~~8/ .' +$ =$ 2. ( SF)- ( SF)= SFX$_=$ +$ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Fax (631) 765-9502 Telephone (631) 765-1802 Datedd/o ~ &003 Building Permit No. ~ ~ CJ 7 r ;z. C,.;;; or. ... Co!.. A.... O. U. CLp--i\o ~ (please print) p[!{j(J/J Ie ?to/17 IoING i- tlel/rING- (please print) Owner: Plumber: 5a;,lIotlJ N,y> J lead. I certify that the solder used in the water supply system contains less than 2/10 of 1 % -rf:/ Sworn to before me this /0 day of 00: ,2M:t t~l0h' ~ ic")~A-. ~.$-. 1/C .s-6r:-P (pI bers Signature) Notary Public, &~\LCounty YICKIl. LOPER No!alyNo.PubIic, Slate of New \brk ~..r:06010081 Qrr' II__~ ???79 ? __ 765-1802 BUilDING DEPT. PECTION ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL oM - ~f91CZ 765-1802 BUilDING DEPT. INSPECTION [ ] FO [ ] ROUGH PlBG. [ [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] DAY ')0171 + 765.1802 BUilDING DEPT. INSPECTIO [ ] FOUNDATION 1 ST [ [ ] ycsUNDATION 2ND [] INSULATION [0 F~MING [ ] FINAL [ ~IREPLACE & CHIMNEY ~MARKS' T=:~ h/fLRlA4 !JL~_ _I(~Y--- )t1~y-C)II~"!3/o64(:~~r S~ f < 1J;~~~~~:::5hl JSf~..6&f!ir3~ (J~_I/O ~()r,JtM..J~~~ ~ 1b" e vJ):/'1~AM?, ~r-f<-~Uk> ~ -/ DATE sJ;tf/63 INSPECTOR ~ ~JO({f Ik~ ~EAe.4~ 1111 StlJf"l' -to fk~ +- //l/s0~ ';;?179'* 765.1802 BUILDING DEPT. INSPECTION [ ] ROUGH PLBG. [ ] I~TION [ ?(fINAL [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS(~a;,)~~~~ r;;-k~ II ttJ;:;/Pf!d U) /to<> - t.h.ti ~ (}>- juA t3.; ,to- - r~fU'7 ~ rJyjP.? -~-': tie.~_;~ ~~ '~...&~~7C... ~(Pnd F/om) U//ak.,~'t-~(~ 5h.dl'~ d C!u " ~ . k. Ntf . AI< . ~tfrr- ~ DATE (o/Ifjo~ INSPECTOR~,8~ aLl + ~r~ .8o~ ~~ ~ ~~c/..a-r - (Ja/ M P_lft)~ I cf-0~ 1'~"$ ~ ~ fp-u.. /p/I a- ~~f)~c-Ie- . ~ z ~ 0 - z z 9 c:J ... ~2 ~ = ~ - - II. ~ I a ... ~ ~ ... c:J U ti .z !E III ~ a~1 ::!A. U) z - icn ... ~ z z z () Z 20" ~ - - iC = c:J -q a a Z C Z Z - ... ~ ~ ::Ii A. ~ o 0 ~ I! \'... II. II. II. it ~ ~ ~ ~ ~ ~ ~ ~ ... ~ !C ~ a ~ ~ ""'- ~ ~ . c:J z ~ 0 a. t:; z cc ~ ~~ ~ ~ >- ~I CI - Ii; = 1S ,.. Z all Z 0 o _ ~ =c i CI CI - Z Z :E ::>> ::>> ~ o 0 IL IL IL ~ ~ ~ ~ ~ ~ ~ ~ ~ '<;;:) ~ g .. . .' FIELDJNSPECTIONREPORT DATE 1/ ~ COMMENTS' . - ,,' ,~ 12/~~ -<rAn .L ~ /:'~ AI'/~ ~~. ,-cbh" k'" 1/ / . - - u( #_.-1. :/. A j 77~ ~ ~ . __ ~ ZJ. ' .//. A J.> ~ -~ ~ __________________________.:..__ ~ / ...r ~ ./"". ./ 4. - ",' ~ ~ .. ~/.;> '..... -=Z7..-..';;' ~.~ ~ I~'/f ~ 'J. / "/H' 0/ / __ ,.' '0 ,z;K~ '18../ / E- fi.i I'-' tI!l ." , FOUNDATION (1ST) FOUNDATION (2ND) . ROUGH FRAMING & PLUMBING , INSULATION PERN. Y. STATE ENERGY CODE FINAL /. -- '31.... / ~ ...::p fll , . ~ /Y ~/P4?==Z./~..hj' tflk ~ tJ_.. j ~ ....u 1/ '/ ~~~ A -~t:n</ 7:/..rI A.... /M A ~~1:""'~ j _/~ ~L J.(/ J or- h./..r./ ~ ~~ ""- _ -,::-~. . #~ .L A, ~ . a. "A.... AL. ~.t:r'rll" A....., ..; <7 -.1 ..L.- 6~ / _ -. /'.- .r _ /~. '(' ';' _~ /1 pY' /' ".v. ",.d. 4'..?;'-/ M_ ~~ .#~~ q/-ckJ/- dY.Arn .r? _ .,!f)/M / '/$ ~ ..., / _ ,,) , V' '. ////t.~.,.~~~-~ ai . f " /. -r / //J / A h2 ~ I/~I/ d_ /. . ~I r; If, !dd..r/d. '/y~.._~~~#~a'~~J~ ~~ .r. . L _'57/(//""<? ~r#.- -?) ~-r-d'.. 'A' I //1';;:' IL 'r) V. /;C;;;;;-' A hY ~ ' - ,~_. rA~./" A!?G;w~d,.,., /iJ ~ /2. --- '. ~-<'AlK'*'.sI;//j } "7i . ~17 _ c- ;. .',/l. A_ ~Ad /. L~ '-/,J. ,L ~ L~' A. Ul. '/. 0 .IJOJ,.~A /,~ ~..r;t:""' )..,..J_ A#~A..~, 'Z~~~~_'6)../:".'~ - -b~k~_w:_...../..f""r~Z::.",,4',r)-, C!. '''%AnKc /. I',~ G.:vA /,~A - '?' _ ~C'/1nv -/11"-/ ~_ -z:i:ee '//h / ~ 777~ " ;'\) ADDmoN)J[coMMENTS 1 ~ TT ..... _7/' ~ C'\=rfJlJ ___ '"...... \J _ L-:.../I " , ". . } '--L..- '--' ~ . . _. -_. . --... . .1- 2i P p - p') '" ; ~ ", C 1- ~ ~ ~ 5,'" I~ o $:> o J 0 ~ :l~ ~. t} ..., .to. , }-,~ ~L( ( ...: h.. .- ~~I ~.~ -L ::l ~ p; ~ ~ ~ ~ Ji " .' 2. State existing use andoecupancy of pren1ises and intended use and occupancy of proposed construction:- a. Existing use and oCC1ip8ncy - . b. Intended use and occupancy 6Hc 'F-A"" .c..'-I D....-.:.L U N~ 3. Nature of work (check which applicable): New Building .~ Addition Repair Removal Demolition Other Work Alteration (Description) 4. Estimated Cost ;; 7.f" (7 jI 5. If dwelling, number of dwelling units (, If garage, number of cars .;.2 Fee (to be paid on filing this application) Number of dwelling units on each floor S~/5T - I-;;llft:. FL. 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front__ Height - Number of Stories Rear Depth _ ' Dimensions of same structure with alterations or additions: Front Rear Number of Stories Rear &' a ( Depth ~~ '4 rl Depth - Height - 8. Dimensions of entire new construction: Front f? t) ( Height,J;l7 ' Number of Stories lir 9. Size of1ot: Front jS 0 ' Rear IS'iJ I I Depth / S lJ 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated -' 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded AI () Will excess fill be removed from premises: YES (NQ) Cp,'i!"'l'~ c:....... ..,p,,... 4LA>",",t-I 5'i!l raurrNF~ PP'v~ ~ 14. Names of Owner of premises ':':A~L...-.... NY Address Phone No. 7.37- 7 7~ ~ Name of Architect LACl.,""'<- -r....~........L Address t;s.R.-___"'LT PhoneNo- NameofContractor\..\s" c..,...c, Address9D-.t 4;!.&f PhoneNo. "'7,a..,d, -4R~-/ ..1 _..... ~5.,.. (l-r- ./ 15, Is this property within 100 feet ofa tidal wetland? *YES . NO V . . IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. Ifelev-ation at any point on property is at 10 feet or below, must provide topographical data on survey, STATE OF NEW YORK) ss: COUNTY OF ) t... bw- .- (l.,..........e \...1 SO ...I Po-. being dilly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, :S)He is the c. " f-L71J..r:....-Z", Q... (Contractor, Agent, Corporate Officer, etc.) )f said owner or owners: and.is ~y ~~ed to perform or have p~ormed the said work and to make and file this application; :bat all statements contained In this application are true to the best of his knowledge and belief; and that the work will be )erformed in the manner set forth in the application filed therewith, >worn to before me this ~. d.yO~~20~ ~tary Public .~..'4 Slgnature of Applicant LYNDA M. BOHN NOTARY PUBLIC, State of New York No. 01 B06020932 Qualified in Suffolk Coun1lf Term Expires March 8, 20 02.- TOwN OF SOUTHOLD BUILDING DEl' ARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined PERMIT NO. ~m19:z... BUILDING PERMIT APPLICA110N CHECKLIST Do you have or Deed the following, before applying ? Board of Health 3 sets of Building Plans Survey Check Septic Fonn N.Y.S.D.E.C. Trustees Contact: Approved Disapproved a/ c 20~ ,20~ Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date No II I ~. , 20 Cld.. 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 premis~ or public streets or areas, and waterways. c. The work covered by this application may not be co=encedbefore issuance of Building Pennit. d. Upon approval oftbis application, the BUilding Inspector will issue a Building Pennit to the applicant. Such a pennit 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 OCCUPancl is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pennit 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. . L\ s,o c::.u1ool.;7 Cu p."f>. (SignAture of applicant or DlIIDC, if a corpotation) q~1 n ,...0.( ~.,- ~'1" 4'O&'f .JA ,...e..s P, Po'; N.='l. \. to! <47 (Mailing address of applicant) . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or.builder G.~~.~..t..... z..,.....I'A~ (l.... Nameofownerofprernises G.aD"foF~e'-{' c:.L... ""l'>11>\ ~LA-..ilo N. (as on the tax roll or lat~t deed) If ap~rporatio~. ture of duly aUth.orized. officer ~,-.. r-~. PA ~5 (Name and title of corporate 0 cer) . Builders License No. f?~ 00 \-\-:t: Plumbers License No. 7 t.. .3 ? Electricians License No. ~ 5" 7 E. Other Trade's License No. - 1. Location of land on which proposed work will be done: Sell v '141> "'/f!.-V 1i v;:' . House Number Street - o p... U;i...N. L. Hamlet County Tax Map No. 1000 Section 0 I$' Subdivision (} Q. \ ~ 13'-{~ii- 5 s..,.. (Name) 5 t::G.l 7""0 Block 03 . . Filed Map No...3 ~~f./ .I.otJ {}- . . Lot ~7 tv RYDER LANDING VACANT ~ ~ -..J ;,. '" " ... - LOT 45 CP SOUND ASPHALT WELL . LOT 46 c5 () 3; [:3 U K :f- a ... - VIEW CP ROAD N 71" 12' 40" E TO II' I S 72' 12' 50" W LOT 79 FOR S.C.D.H.S. USE ONL Y TEST HOLE DATA 150.0' '" ... E5 / 114' ~1 20' (: :~ :':. :.:' . ~ LOT 66 / Pf;?OPOSED PROPOSED ~'1-i 4 BEDROOM RES. .. -of Q:: GARAGE -""- c:.:.:> ::ii'!:i VAC1NT 24' - :z c.-, 10' -0 \ ~.. c::::t :z \ PROPOSED /;~ SEPTIC ~ TANK '" .c:::::. ~ "'!i( ~ - L.!GAROCN :::a I ,PWlT9' FRI ~ ---- ,. tE. l ~O - PROPOSED ;., CESSPOOL - ---- ... 't;: ~ ---- '" LIL 2'..... TO NO..' II' 150.0' LOT 80 00'- c,q C~c:; ~,-'- ,"10 "10 \"J'J 'x \'JO l 0 tll- I c ~ "II "TO I'l -, l~ :u 0 ;:: r :i ;:< 11 0 . III i} n \;! 1Il ~ 0 z c: <.- Gl :u "' 1::0 Co r" )>- ::: I'" - n ." ., \J11 s: ':;J ." CJ -< c :u I'l \'" !: ::: 0 ." <: )>- 0 ~ ,.. ,.. ::0 "TO r" ~ . III ;:tI 0 -. I \r I'l '" ~l Ul n a 0 ... z 0 Z <II .,,' n -l :I: I'l :oJ I'll J11 111 0 0 c ,..' Z ~ .-' ~ " t ~ 0 ... :u :c ~ a 0 Z 10. a ::: 0 "T\ r-'l' "V UJ , a ~ :u ;0 0 :l>' n .~ 1'1 Y Ul - J) 2 ~ DOS11NG mADe - " r _lOoWrcumSMe .: ............cur ./,..""-.... Cl .r _QAm_ .: ... _""'CCMaI'S4MI ." ... GUARANTeCS INOICATrD HCRC ON SHALL RUN ONLY TO me I'CRSON 1'OR WHOM THe SURVCY IS PREPARCo, AND ON HIS IKHA/J' 10 rHC TInE COMPANY. OO'lEllNlJEHTAL AGENCY. LCNOINQ INSTlrunDN. IF LISTED HeRroN. AND TO THC ASSKJNrES OF THe LENDINQ INSTITUTION. QUARAHTCCS ARC HOT 71WISFERABU TO ADOI1'IONAL INSTl1VlJONS OR SUBSEoueNT OWNCtIS. UNAUTHORIZeD ALTClfAnoN OR ADOI11ON 10 THIS SlJRVCY IS A YIOLArtON 01' seCTION 7ZOf OF THe NEW YORK STArr CDUCAOOH LAW. COPICS OF THIS SURVEY ltIAP HOT flEARlHG THe LAND SURVC'fO/IS fA/BOSSCD SeAL SHALL NOT BE CONSIDeRCD 10 Be A VALlO TRUe COPY. ", SURVEY OF LOT# 67 IN MAP OF ORIENT BY-THE-SEA SEcnON TWO SITUA TE: OR/EN T. TOWN OF SQUTHOLD SUFFOLK COUN TY, N. Y. SURVEYED FOR GEOFFERY D. CLAXTON CLAUDIA CLAXTON 00'- c,c,~ C~ "10 .&\-\- 'x 'l'V \<,0 . "10 \\'J TO ell WELL . ~ e;; It) - LOT 68 100' TO CESSPOOL '^v '" . ~ ~ ;., "- '" ". U11L 1'Ot.E N 0.1' TO ell LOT 78 VACANT SURVEYED: SCALE 1 "=3D' AREA= 22.J09.467SF OR 0.512 ACRES ZONED R40 NOTE:: HEVA nONS SHOWN HEREON ARE FROM SUFFOLK COUNTY D. P. W. EAST ENO TOPOMAPS TM lOoo-015-03-J2 FM I 3444 ALED OCT. 26. 1961 GUARANTEED TO GEOFFERY D. CLAXTON CLAUDIA CLAXTON OOC924 , r~l . .!il \! .... .. ilR 7?fYl1 ! ,:.; \ Lp... .,---1 ~ ~,; ::..--:',-,','. .jL~ _ TIE~ 135.0 ----.--...- w Z S :2 Q L2 Q JV~ w 0 ~ Q LOT 66 UL 21. NO.8 I FOUND GUARANTEES INDICA 1m HERE ON SHALL RUN ONL Y TO THE ~RSON FOR ImOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY, LENDING !NST/TUnON, IF L1STFD HEREON. AND TO THE ASSIGNEES OF mE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO AMITlnNAl IfoIST/TlInONe; ()f?<;/IRc;rQIlFNT OWNFRS UNAUTHORIZED AL TCRA TlON OR ADDlnON TO THIS SURIlf:Y IS A V10iATlQN OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES or THIS SURIlEY MAP NOT BEARING THE LAND 5URVE:'r'ORS [M80SSEO SEAL SHALL NOT BE CONSIDERED TO BE A VALID mu[ COPY. N 71'12'40"E z ,~"" \ o '" ",1 . G.l ~ o ~ o ::;;: . .j>. :--J <0 'oJ SOUND COLUMN FOOTIN~5 . · 6. 2. 29.3. POURED CONCRETE FOUNDATION S 72'1250 W 0.0. '" . If VIEW LOT 79 23.7' ~ C) > '" > C) '" <D 0.0' ROAD 150.00' N ... N " 38.9' UTIL POLE NO.7' 150.00 CONC MON U) G.l ~ (JJ c.,j o rei (JJ ~ Cf> <0 CONC MON LOT 68 7. 1.3 MAR OJ SHOW CONe FOUNDA nON bR. d-."b'\11 SURVEY OF LOT 67 IN MAP OF ORIENT-BY-THE-SEA SECTION TWO SITUATE ORIENT, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: GEOFFREY D. CLAXTON CLAUDIA CLAXTON FM# 3444 DATE FILED OCT. .26, 1961 " TM# 1000-015-03-32 {!- GUARANTEED TO: GEOFFREY D. CLAXTON CLAUDIA CLAXTON ~ oIL tJ\.., SURVEYED: 082AUGUST 2000 SCALE 1 "= 30' AREA ~ 22.309.5 S.F. OR 0.512 ACRES SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK. N.Y. 631/h4-;;5835 , _r(C~~URV OR- NYS Lid.' No. -1927.3 OOC92-1 TEST HOLE BY MCDONDALO GEOSCIENCE 14 AUG DO ' SURVEyor LOT 67 ORIGINAL GROUND ~R~ BROWN LOAM OL BROWN LOAMY CLAYEY SAND SC _3 IN MAP OF OR/ENT-BY-THE-SEA SECTION TWO SITUATE ORIENT, TOWN OF SOUTHOLD SUFFOLK COUN7Y, N.Y. ROAD 150.00' VIEW SOUND CONC MON Ul 71.12'40"E 7\ .;0- a ~ (,.j '" U1 v:; o rri SURVEYED FOR: GEOFFREY D. CLAXTON CLAUDIA CLAXTON BROWN SANDY CLAY WITH HEAVY GRAVEL CL ll' a OJ '0. -13 waoO STEP COVERED PORCH , 2. 29.3 FM# 3444 DATE FILED OCT. 26, 1961 TM# 1000-015-03-32 BROWN CLAYEY SAND SC 20 BROWN fiNE TO COARSE SAND 26 SW 2 - STORY RESIDENCE eN LOT 66 OJ '" GARAGE LOT 68 GUARANTEED TO: GEOFFREY D. CLAXTON CLAUDIA CLAXTON <0 0.0' 39.6' FOR SCDHS USE ONLY ;> v 'S' 0'. ~ESSPOOl UTIL POLE N 0.7' U1 !::l 0> <0 ~ -l'> -...J <0 -...J \,.- '" ...) .J CONC MON 150,00 ." UL 21, N 0.8 I FOUND ...) ~ \'( ~ S 7Z1250W LOT 79 J SURVEYED: 082AUGUST 2000 SCALE 1"= 30' AREA ~ 22,309.5 SF OR 0.512 ACRES GUARANTEES INDICA Tf:D HERE ON SHALL RUN QNL Y TO THE PERSON FOR WHOM THE $URVn IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY, LENDING INsnrunQN, IF USrr::D HEREON, AND TO THE ASSIGNEES OF THE LENDING INsnrUnON. GUARANTEES ARE Nor TRANSFERABLE TO ADOlnONAL INsmvnON$ OR SUBSEOUENT OWNERS SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW FFOLK. N.Y. 6.31 - .34-58.35 UNAUTHORIZED ALTERAnON OR ADD/nON TO THIS SURVEY 1$ A \IIOLA nON OF 5EcnON 7209 OF THE NEW YORK STATE EDUCAnON LAW SHOW RELOCA TED CESSPOOL. CORRECT SEPTIC TANK LaCA TlON. FiNAL SURVEY SHOW CONC. FOUNOA TlON 22 OCT 03 74 OCT 03 75 SEP 03 73 MAR 03 4. 3 2. 7. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. 00C924