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Home My WebLink About31663-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31647 Date: 07/06/06 THIS CERTIFIES that the building ADDITION/ALTERATION (STREET) Block 6 SOUTH/PEC (HAMLET) Location of Property: 48220 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 69 Lot 7 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 5, 2005 pursuant to which Building Permit No. 31663-Z dated DECEMBER 8, 2005 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 "AS BUILT" ADDITION AND ALTERATIONS TO AN EXISTING TWO FAMILY DWELLING AS APPLIED FOR PER ZBA #4625 DATED 10/15/98. The certificate is issued to THOMAS C JEROME & ORS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2079017 11/16/05 PLUMBERS CERTIFICATION DATED 07/06/06 THOMAS JEROME /U-:/ ~iL. .~ A orize~ature Rev. 1/81 11oj'- 6~ lp \ 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: I. 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 2/1 0 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: I. 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 I. 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. 7/~/aC;; ./ / Location of Property: /' .J!8t2:;.o Old or Pre-existing Building: /J1/J1 JtJ Rd, -rStreet C- c.J e J- (J rvr E' House No. Owner or Owners of Property: r[fb fl1 A :s . / (check one) '5,o,:;/J,o LJ IV. if II <1 ';>/ Hamlet GJ-e(Y~1 Jeh7Me 00 0 ~ Lot 00,/ New Construction: Suffolk County Tax Map No 1000, Section (!)~9 Block Filed Map. Applicant: Underwriters Approval: Lot: Subdivision Permit No. 3) !alP 3 Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ C:.-D 2- ~\'=~I l2t v'1DSOy A.",~ Town Hall, 53095 Main Road P.O. Box 1179 Southo!d, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: ~/~/ 06 Building Permit No. '3/t,t;3 Owner: ~cJl'1l9j L JEff()hE (Please print) Plumber: /flIt?IVfJJS C. JEf;ofl1E- (Please print) I certify thai the solder used in the water supply system contains less than 2110 of 1 % lead. Swom to before me this 0, day of %r., 202.{,- *a~ Notary Public, a~ ~County / @J~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I @J~ ~~@J ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Amount ~ ~ ~ ~ ~ $0.00 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~~@J BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS 40 BUREAU OF ELECTRICITY FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by THOMAS JEROME 305 MAPLE AVE SOUTHOLD, NY 11971 THOMAS JEROME 305 MAPLE AVENUE SOUTHOLD, NY 11971 48220 MAIN ROAD SOUTHOLD. NY 11971 2079017 Certificate Number: 2079017 Block: Lot: Building Permit: BDC: n511 Described as a Residential 2400-2999 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located inion the premises at: Basement, First Floor, Second Floor, barnlgaragelhouse, Detached Garage, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code andlor standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the16th Day of November, 2005. Name OTY Rate Ratio!! Circuit ~ Miscellaneous as built 1940- last renovation-I 992 house -barn-garage Alarm and Emergency Equipment Sensor Appliances and Accessories Exhaust Fan Dish Washer Range Water Heater Furnace Wiring and Devices Outlet 6 0 Smoke 1 0 2 0 3 0 3 0 1 0 1.2 11.2 4.5 F.H.P. KW KW KW Oil Fixture Incandescent General Purpose General Purpose General Purpose 40 0 40 0 99 0 74 0 30 0 6 0 Fixture Outlet Receptacle Switch Paddle Fan seal Continued on Next Page 1 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 @)~~~@) ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I @)~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Amount ~ $0.00 ~ ~ $0.00 ~ ~ $205.00 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ii!I2IE!~~ @) BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by THOMAS JEROME 305 MAPLE AVE SOUTHOLD, NY 11971 THOMAS JEROME 305 MAPLE AVENUE SOUTHOLD, NY 11971 48220 MAIN ROAD SOUTHOLD, NY 11971 2079017 Certificate Number: 2079017 Block: Lot: Building Permit: BDC: ns11 Described as a Residential 2400-2999 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, barnlgarage/house, Detached Garage, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the]6th Day of November, 2005. Name OTY Rate Rating Circuit ~ Receptacle 8 0 GFCI Service ] Phase 3W Service Rating 400 Amperes Service Disconnect: Meters: 4 4 100 cb Invoice Total An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal THIS IS YOUR RRCRIPT 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. r'-' , , JUl 2 0 25 L-~_,_.. ~' :- : . ':' ~ "i-'~r, : ,.L. , , Condon Engineering, P.C. N~W York State Licensed Professional Engineer 17~ Sigsbee Road Mat;tituck, New York 11952 631-298-1986 Fax 631-298-2651 July 16, 2006 Mr. Michael J, Verity Principal Building Inspector Southold Town Building Department 53095 Route 25 P,O, Box 1179 Southold, New York 11971 Dear Mr, Verity : I visited and inspected the 48220 Main Road building in Southold New York, It is my understanding that the preexisting two family house is older than 60 years and predates building codes, Inspection found the building to be divided into rooms as shown on the attached drawings, Smoke and carbon monoxide detectors are installed in the locations shown on the drawings, I nspection also found there to be only one kitchen with a range/oven installed on the first floor. The most resent work performed at the building included interior non structural renovation, To the best of my knowledge the work performed during this renovation is in conformance with the New York State Building Code that was in affect at that time If you have any questions please call me on 298-1986, Yovrs truly, Gerard P. Goehringer, Chairman James Dinizio, Jr. Lydia A. Tortora Lora S. Collins George Homing Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 ZBA Fax (516) 765-9064 Telephone (516) 765-1809 APPEALS BOARD MEMBERS r=:;---- -I [i'O. ~ P, ~ ~ Ig ~ .00 I n 1,..--_.___", Wl . -5.1'~ BLDG. DEPT. T WN F SrUTHOLD BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF OCTOBER 27 , 1998 Appl. No. 4625 - THOMAS JE~OME AND OTHERS PARCEL 1000-69-6-7 STREET &. LOCALITY: 48220 Main Road, Southold DATE OF PUBliC HEARING: October 15, 1998 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: The subject property is situated on a 4.423 acre parcel located along the south side of State Route 25 (a/k/a Main Road), Southold. The property is improved with a two-story and one-story stucco principal dwelling structure and accessory buildings. The only survey of record is dated August 10, 1996, prepared by Roderick VanTuyl, P.c. for the new owners, Daniel, Thomas C. and Gregory Jerome. BASIS OF APPEAL: The Building Inspector's July 14, 1998 Notice of Disapproval which states: "as specified in the attached Pre-C.O. dated September 11, 1996, the existing dwelling is listed as a Non-habitable one-family dwelling. Under Article III, Section 100- 31B(1) of the R-BO Zone, a special Exception is required to obtain a two-family dwelling." RELIEF REOUESTED: Applicant is requesting a determination from the Board of Appeals in favor of applicant-owner granting recognition as a two-family use regarding Preexisting Certificate of Occupancy No. Z-24610 issued Septem- ber 11, 1996. (No Article or Section was furnished by applicant other than that noted in the Notice of Disapproval.) REASONS FOR BOARD ACTION. DESCRlPED BELOW: The present two-unit dwelling, although updated, has been in existence for more than 60 years. The purpose of this action is merely to recognize this existence. The recognition is Page 2 - October 27, 1998 'Re: 1000-69-6-7 (Jerome) Southold Town Board of Appeals based upon personal knowledge of at least one member of this Board, Affidavits, and pictures furnished by the applicants' attorney showing two antiquated kitchens, both of which have been renovated as well as both individual units on each of the two floors of this dwelling. In considering this application, the Board deems this action to be the minimum necessary and adequate to preserve and protect the character of the neighborhood, and the health, safety, welfare of the community. RESOLUTION I ACTION: On motion by Chairman Goehringer, second~b~ Member Dinizio, it was RESOLVED, to APPROVE the application, as applied for. VOTE OF THE BOARD: GOEHRINGER, DINIZIO, COLliNS, HORNING. (Absent due to bereavement was: Member Tortora). THIS RESOLUTION WAS DULY ADOPTED BY ALL THE MEMBERS PRESENT (4-0). //2 ~~ _ 1000-69-&-7 AD P. GOEHRING~ Approved for Filing ...................................................................................., RECEIVED AND FILED BY THE SOUTEOLD TOVlH CLERK DATE 11/'1/9 t F~UR -f '00 Pft( r!:ZrktJtL 2#~uN I Town Cbrk. Town or SOll~;:c]d , ....................................................................................1 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. 31663 Z Date DECEMBER 8, 2005 permission is hereby granted to: DANIEL C & ORS JEROME 6000 HORTON'S LANE SOUTHOLD,NY 11971 for : AS BUILT ADDITION/ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. ADDITIONAL CERTIFICATIONS WILL BE REQUIRED. at premises located at SOUTH/PEC 48220 MAIN RD County Tax Map No. 473889 Section 069 Block 0006 Lot No. 007 pursuant to application dated DECEMBER 5, 2005 and approved by the Building Inspector to expire on JUNE 8, 2007. Fee $ 300.00 ORIGINAL Rev. 5/8/02 EDWARD FORRESTER DIRECTOR OF CODE ENFORCEMENT Southold Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1939 Facsimile (631) 765-6639 e-mail: ed.forrester@town.southold.ny.us TOWN OF SOUTHOLD ORDER TO REMEDY VIOLATION TO: Daniel Jerome 6000 Hortons Lane Southold NY 11971 DATE: July 26, 2005 PLEASE TAKE NOnCE there exists a violation of: Southold Town Code At premises hereinafter described In that: j) Renovation main structure without valid Buildina Permit 2) Use of m~in ~tructure without valid certificate of occupancy for such use Jrnuttiple dweltinat ~ Renovation and use of accessory buildina as habitable space. In violation of Southold Town Code Sec~lon 45-8A.1& 45-15A YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law and remedy the conditions above mentioned WITHIN 30 DAYS The premises to which this ORDER TO REMEDY refers are situated at: 48220 Main Road, South old NY SUFFOLK COUNTY TAX MAP #1000-69-6-7 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or Imprisonment or both. encl. Cerl Mail cc: Town Attorney Building Dept ~ Director of C ~ nforcement Condon Engineering, P.C. N_ York State Licensed Professional Engineer 1755 Sigsbee Road Mattituck, New York 11952 \-:::- ",,;,\ , \ ' L " I ,": , _.'It~_ \ " 631-298-1986 Fax 631-298-2651 April 15,2006 p.PR \ Bi2.':l ,"", Mr. Michael J, Verity Principal Building Inspector Southold Town Building Department 53095 Route 25 P,O. Box 1179 Southold, New York 11971 Dear Mr. Verity : I visited and inspected the rear area of 48220 Main Road building in Southold New York. It is my understanding that the work was completed in 1996 and involved renovation of this area of the building. Inspection of the areas that were visible found the structural renovation, plumbing, and electrical work to be complete and to the best of my knowledge the work is in conformance with the New York State Building Code that was in affect at that time If you have any questions please call me on 298-1986. Yours truly, on, P.E. . , .~ -,; .....':. Condon Engineering, P.C. New York State Licensed Professional Engineer. '..' J -'- ' 1755 Sigsbee Road Mattituck, New York 11952 631-298-1986 Fax 631-298-2651 May 30, 2006 Mr. Michael J. Verity Principal Building Inspector Southold Town Building Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Dear Mr. Verity : I visited and inspected the 48220 Main Road building in Southold New York. It is my understanding that the preexisting two family house is older than 60 years and predates building codes. Inspection found the building to be divided into rooms as shown on the attached drawings. Smoke and carbon monoxide detectors are installed in the locations shown on the drawings. Inspection also found there to be only one kitchen with a range/oven installed on the first floor. If you have any questions please call me on 298-1986. Yours truly, FIELD INS1>ECTION REPORT DATE COMMENTS . ~ ~'O ~l"l f~ \)J~ ),t ~ ~ ;:~ r r. - -+ 2: -cP d,\ q.J", Cj./'" o ~ l"l '" ? ) ~.~ t"' l"l '" .. FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL oC,/n J. C, Ok ~ C. o. 0.. ~ 'b' ~ v 7 // L JIlL _ cY!-6,.e. ~ Lf{ '/1. -,..~ X-Lf' A. -...;, '6' _ '2 4~ ~~ /J oAf" ~- ~ AI' V:""A ~. ~_ 'r.J v V t:7 CI P ~ ~ 6 L.1 (\1 NoTE. " We:.. -k.\l-e- ~L-t. u.n6--t'\\Nr i-krs (D Ai. r\ p." '. S '1/ 1'1/D) \. j 0 ",nO A\ - 11.0 Clo () tc 0 {) ,..-jh ~I?" 3 ~ ~ ~ ~~ O~/J' I/) (, fl.' r..; _ ;....;<:: ~_ ~ _/~ A-. ~~ I \;0 ....J.'_'. ~ ./ "~_/L- ~/7~.L?/_ '/?'Y~. 1::-\ . V ...,(/ ,4 V C7 P _ ~ tJ71Iv lob ,,_. //~~.JfI' ,. - .L. I. - L"""") .".. ,p '1 V v ~ '7f-" ADDITIONAL COMMENTS c-' ~ \ '0 - ';<. ~ o '" ~o 2: = /~ y= o l"l '0 ~ Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 4,1998 Daniel Jerome 6000 Horton's La. Southold N.Y. 11971 Re; Premises at 48220 Main Rd. Southold SCTM# 1000-69-6-7 Please be advised that according to our records and inspection report, the above premises were in an un-heated, gutted, non-habitable condition at the time of inspection. An observation on this date shows the premises to have four electric service meters, an extension at the rear, renovation of accessory structure and the house is occupied. These conditions are evidence of several violations of Town Code and NYS Building and Fire Prevention Code. Please contact this office immediately to discuss the legal remedy to the conditions at this location. An inspection by our inspector is requested to determine the exact conditions within the dwelling. Sincerely, Edward Forrester ;;" -- f----~-. ........... 'u..~.,...."....,.,...''''~'--.-..... - - .'....~-..... . . , / "'- . ,-. -- - ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD /VJ-z-I / STREET L'U> VILLAGE DIST, SUB. ) LOT OWNER ole ~ro~fI('rs FORMER OWNER )' k hQ'I/~' KES'd/6 SEAS. LAND / j oc; ~ -d- <) <1 S'otJ o AGE NEW FARM Tillable Woodland Meadowland House~1'-" -- ( /\ ~ L/<!Sc., ACR '7.00 R TYPE OF BUILDI G I ij ..,__./. ( 'i' ~ /11/1-//,/, /c {!C'_ . N7 -4(~_..~.~c ' '. ~i' . 'rk; VL. S I S. ZiliZ~<:K, FARM COMM. tf'. /Y1?~~d Ai . CB. MICS. Mkt, Value IMP. TOTAL DATE REMARKS #-0 c> "',;Ie 0 ( I t2 G:; ,f71 Jer()(YL(' lors ?)/\~ca . /(Js /z r;;v6rtu(/ Or~ f./)e- , . ::;"- I. t ,/ , I ' ..r r , ,---- I -t/ . i' ./' f'~ /' '( ( " 1/ rJ'" t BUILDING CONDITION NORMAL ABOVE BELOW Acre Value Per Acre Value - ... FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD <,L ~a--. a<:J . 10 ()() I / ttJ e J"~o ,. /5,,/ D r"\1""'\'-'" - - . COLOR WNfTF TRIM BL uF - , I ... i , I - :r ,. I I I . ",. ""'... I I , ~ -t . -. , .- - " . ...it" . #, '1 - , '. " .L !.1 I " S" / I , - I I , :) ; i +,1 , :~ ! , .ll 'I li_ .... / I" If' I I , "' i : -. . i ,( I I I 1 , -- - .-.-. .~ M. Bldg. .), I)X .,.: Q . /0 " <:) ->"0 ~-OOD , Extension 0" j"Y<J ." 9,1( / ~. '. /3 S- 3...- I , ~rl /":,, ') , Extension .i IOVI"~/_ , ~ Extension 7' )\ f(., , /-1.) .Ur' 1.. .-0 7/t) Foundotion COMe.... Bath I Dinette Porch Basement ?A1i?-r Floors PI -y:-' K. Porch I Ext. Walls ~/vcc C> I nteriar Finish fjls....?'''' . LR. Breezeway Fire Ploce 1>../ () Heat !Yttn- DR. I v t.. R'i ~;;,;: " . Rooms 1 st Floor BR. Garage ~y$T> & 00 ,l , / "'.0 Type Roof Patio 'R . Room Rooms 2nd Floor FIN. B i I i ecreotlon i O. B. OL--;--"lJ, ~ RJ-.I fr-c ',;( u Dormer Driveway , &404 Total I I ,,{)<.. . ..J.v":;, 3' &--" 1< ." - "e ~ -' 32- Il "" . r.-""""' --",.,-;,.-....~'''::>.~,.-~~.flIiI~~~~ fI.IQf<iff '""~~ 0- 9 - t - 7, 1-, t<-~~--. ..-- '-~_.-~._--- TOWN OF SOUTHOLD PROPERTY RECORD CARD /'1-2./ /0 OWNER I STREET L. VILLAGE SUB. LOT ,'''', .. r1~ ..... J,";;;~;""';:i~_.l. ~WN OF SOUTHOLD PROPERTY RECORD CARD - t J ~J_ /oo~ - _~ 9-t - 7. (-I OWNER STREET VILLAGE D/ST SUB. LOT S7e,tJ/, ,qIV/~ 7A2ec.f:, ,- /11'9/# ~d. SOt(7i,,.,/'/ -5 bt'Sc. FORMER OWNER N .J: .7112 e-ei:-, 1 E . I ~ W ,41,/ f:. ~rl+lJllk 160d S W TYPE OF BUILDING ()~.~.., ["bc\' Ct-, ,v-.h C~-fC\ Cl:/H6 RES. SEAS. VL. - 3/( , FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS /00'" /40.4 V KJ2~ .7'- t-:.<:. ;1)~' JA . _";~I, .... 'tl./HA/ UP!'<>/1;; D",,~fv ,p.",; (.s:-....,;." E-r~...-<T. / / / liable FRONTAGE ON WATER ood/and FRONT AGE ON ROAD eadowland DEPTH )Use Plot BULKHEAD tal --.-.- /'1-2. / rnllM 1\10.:1 TOWN OF SO'ITIIOI./J nUIUlING /J1,I'AItHIENT TOIVN CI..EIl K'S OFFICE SOIJTIIOI.IJ. N.Y. ~ ~ "", ... ... /f:jf/ TO-;)~~?!!.~;;41~ ' .~~.../Jl.~.~ . .....:....... .~./vy// :t7/ PLEASE TAKE NOTICE Ih.IY')1I1 .""lic.Ooll d,lod ..... ~ ~...q, 7.., 19.;;'1 ro.po"n;IIo ~.n':~ ... j(A-m'~'c;/~"'1 Loc"Ooll orrrol'erly . .YJ!.'.,;l.;l~.. .~~. a _.. .~~.:...... . . l~omR No. . 6 SIrtPP.1 /_ II:",,'''H COlllltv 'ox M.p No. IUOO Secl.oll ....... .~... mock...... .'P..... Lol ..7......... Sllhdivi~iOI1 . . . . . . . . . . . . . . . .. r-i1~d M<1p 1'10. ................ Lot No. .............. . . . ;, 'd~""'" ,,,,,,,,,, ''',,' ''''"'''''M''', "" "" ''':~'''''.'''' ~ .S'/~~./ . /~ 1lv-- f/1I"?ckd. &. .-:~..~ /. ..ci~ .. ~ .r .I~/r.'9.~... ... A',I~4,. . d~. ~~ ~..~ .dI@..,..A~....-4........ ~'1~&.q~i"'~ .... - .j ........... .10.4. .tr!i4~. .Z2?~. /&J.:-.;J( .~0 . r-.~../f.:-.@.;~'IZ-..~~~*~~... . ..Acl.~~.:-?O.. ~7ii:~'1~..~.l{ ~.;.~.~~~~~c.~ ....... -........ - -..... - - -.. -.. -. -.. - -..... -..... - -..... -.......... .... - - -......... -. -.......... -.............. -. -......... -.. .......... -......... -............... -....... -..... -........ -. -.. nv lIno Borrower: Jerome, T Properly Address: 48220 Main Rd City: Soulhold Lender: Jerome T Slale: NY Zip: 11971 FRONT VIEW OF SUBJECT PROPERTY REAR VIEW OF SUBJECT PROPERTY STREET SCENE BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: 0 Mail to-:71iCMI7$ J e I- , "" "t:' 30S- ~M'1f!. lJu s,-;;p,,,L.) Phone: ?~ .37' ~ ( TOWN OF SOUTHOLD. BUILDING DEP AP{fMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. '3 / bb3 ~ Examined (~/( 20 J (~i20 /) Approved Disapproved alc ,20 ,. Expiration --- ~~~-~~-f;-'~-""' r c, _ \ \'1 5 A~PLICATION FOR BUILDING PERMIT ,20_ ,.... ----- ~ a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. 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 the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 South old, Suffolk COlUlty, 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. ~.'.2----J --- Date INSTRUCTIONS ~. (Signature (Mailing address of applicant) State whether applicant is Owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises Q.. Jef-dM<' (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer 7/fcJ f'11f ..s (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. , e ~. vJT" 6 t9-t.-7 S c)<l1lv, L j Hamlet I. Location of land on which prol?osed work will be done: 19 'J-a..CJ I1!NP I1J House Number Street County Tax Map No. 1000 Section 1.J 73 t g 1 Subdivision Block G '7 Filed Map No. C/'J(:U~ :I.~H 6> ~ 7 'ill', ....u~ 'qt.,tGtG _)~'(IuoI\ l-t'". .~VilU _ tln:,<;.lotluZ 0' b9t\J!&uC OS ,OS .n6;. ~1"..i3 'lO..:MWnoJ (Name) , 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 2 rl'f1>7 I L y" b. Intended use and occupancy ~ r:J-{}- Jo>"t ("-t' 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition .,.......-. Other Work Alteration (Description) 4. Estimated Cost j) o"'C Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. If business, 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 Depth /}5 Ifr-- .;f?..rc 4 Height Number of Stories Rear j/ .J 8. Dimensions of entire new construction: Front Height 1M pR,c sl< ~r" ^ Number of Stories Rear I ~ Depth 9. Size oflot: Front Rear Depth 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? YES_ NO ..- 13. Will lot bere-graded? YES-,--NO /" Will excess fill be removed from premises? YES-=-NO_ 14. Names of Owner of premises Name of Architectl''''J'Na,~ J...I-.... &.--J,~ Name of Contractor Address Address Address Phone No. Phone No 2"t8 -0.."/ Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO _ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) 88: COUNTY OF \' l'FfoL/<- ) ~I1IiS C J aoHe being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thi~ ___ .s day of Dec0-16a:.. 20..QL Signature ofi p cant fWfCY T. FUSCO NoeItyNlllC ~.!U!!IJIw York A:Jlrj~~ f\ eaMliiian'"'&i*ii JIll. 20~ Q../ T I'ORH NO. I TOWN 01' SOUTlIOJ.D \IUlI.DING DEPARTMENT T9WN IIA I.l. SOI!1:II01.D, N.Y. 11971 TEl.: 765-1802 BOARD OF UEALl'll .........;..... 3 SETS OF PLANS ............... SURVEY ........................ CllBCK ......................... SEPTIC FORM ................... ~I;::::~I.~~~.::~~~~~:.::.............. ,I ~ NOTIFY: CAJ.L .................. HAIl. To:i11/.~'!.5.. .J~?f~ /' - - ,,0 \)-a:- ::? Mc.PIP.q-vv ::k:h;!.l:~NY;ri~:1.( : ];xunlned.................. 19.... ...................................................... ................................ O'Jlldlng Inspector) . Date. $.!~.1.l. . . . , 19. ry APPJ.ICATlON FOR \IUILllING PEllHl'f INSTRlICTIONS a. 'n,ls application nust be corvletely filled In hy l-ypewrlter or in Ink mel .....ltted to tI... ",lldlng Inspector wi 3 sets of plans, accurate plot plan to acale. Fee according to ad""..le. h. Plot plan "lOWing location of lot and of buildings on premises, relationship to adjoining prenlses nr Id,lIc streets or areS8. and giving a detailed deacrlptlon of layout of property III'St he c1r8Wl1 00 the dlsgrll1l ..,Id. Is part of thia BPl,licatlon. c. 'n... work covered by this application.....y not I... C01I1enced before issuance of IIulldlng Permit. d. Upon spp""",1 of this application, tl... I'-'Ilding Inspector wn ( iS8lle a IIullding Permit to tI... applicant. Such pennit shall be ,kept on tI... premises avellable for Inspection throuaJlOOt tl... work. e. No building "wll be occupied or used in "lOle or In part for any )JJrJIO&e wtaver lIIltil a Certificate of Occupancy shall have been granted by tI... ",Ilding Inspector. API'l.ICh'nrn IS JERI!IlY tWE to the .',Ilding Department for t1... issuance of a Building Permit )JJrsuant to the lluilding Zone Ordirwnce of tI1e Town of SoutllOld, SUffolk Coonty, New York, and otl...r appUcable 1_, Ordinances or Regulations. for tI... construction of buildings, additions or alterations. or for T81O\/81 or demolition, lIB herein described. n... applicant agrees to ~ly with all applicable laws, ordirwnces, building code, housing code, and regulstions"and to adnlt IIUdIllrized inapectors on premises and In building for necell8llTY inapectlona. ..................................................... (Signature of applicant, or _. If a corporation) ................................................... (Hailing address of applicant) State ,.j...ther applicant is owner, lessee, agent, architect, englneer..g.....ral contractor, electrician. plud",r or IXlihle' .................6: ~l'.(,'~\~ ~................................................,....................................... -1iv1\1.li- ~~1"1 L . , Nare of owner of prenlses ..................................................... ........................................ (lIB 00 tI... tax roll or latest deed) If applicsnt is a corporation, signature of duly wtlx,rized officer. (Hare and title of corporate officer) nuilders 1.lcense No. .. 6- C................ Plumbers License No. ..........<1.~~:... Electricians 14icel\Be lb. ..................... , Otl...r.Trade's License~. ...............:.... LI C77.CJ t1ct.,,,, M !:aJn;(oI I. Location of land on ""ch proposed work Will be dooe.....l. P........................../:.................... ,...... ... Y..f .t2;9....................~. ~~~:-.. .~~.......................... !;;.r::.~'.f!.~..~ ~..................:.... lloose Ib1ber StT'Tt l'lJ"let Coonty Tax Hap No. IlXXl Section ..7..7.J.J:f.~. Block ....{Ct....... IDt ....6..:];..... Su1xJivision ...................................... Filed Hap No. ........;,..... IDt ............... (Name) 2. State existing use and occupancy of I~S andl intended "'I" and occupancy of proposed constmction: a. F.xisting use and occupancy...k. J.'-B.0. ~ ..':frf' ... J:-:I,Cl.V...:>.Q....... ... ............. ................. b. Intended use and occupsncy .. .':;;:'r." ~.~.;: ''1...8'9. X';? f..................................... .f::" "r"l'~>2 ~ T!:~""('f! ':', .,. 'c" .., '" ~'~ V'i'of'lf" 'fJOl..i:';7. ~:',1 i ': ,1 . . t; " . '.. -~ < ,(' ~,', _,_.r~\f. ,......-r " 1. Halllre of work (dledt wild, awllCllble): Ilew ~l1dlng .......... IIdd I t ion .......... Alterat ion .......... 1~I~ir .. "~j {;~ ~........... Ilenolltlon... ......... Other \okJrk ... "i~~;i~~i~;"'''''''''''''' ~.t1I1..ted Cost ... '>- . . . . . . . . . . . .. . . . . . .. fee .............................................. (to be paid 'x. fil ing this oppllcotlon) If ,~...llinll, ,,,.ber of dwelllna '8.lts ....2-... !blber of. ,~""lllog 1I0lts OIl each floor .....t.......... J f gurage. ....lller of cars...................................... If I..slnesa, can...relal or mlad' occull8O<:)', specl fy nature and extent of each type of use..... .. .. . .. .. .. .. .. .. 1I1m8nslOfls of exlatlng atructurea, I f any: J.l'ront. ..:s:r.-........ Rear .3 .r........ Depth.. 1. Q.......... IJuight .. :Zs?:................. !blber of Stories... 2.................... IIll1eoslona of sa... atnlCture with alterations or addltlona: Front...f; 4-f~.?: Resr ............... lleplh .................:.. llelllht .................... !blber of Storie. ............... 'lIim80010l18 of. entire new construction: l'ront.. ,--~~.p..: lleor ............... Depth.............. I..illl.t ..... ........ ........ .... thlber of Stories..................... 51... of lot..: l'root ..1/.(/?9........... Rear ...2,0.0.......... Depth .$??~......... l~lle of Purd,ose . ./1 if. if. 3... . . . . . .. Nare of I'onrer ().n18r .. .-e.sf-~. f: f? '. . . . . . . . . . . . . . . . . . . . . . . . Zo"e or use dlatrlct In w,ld, premlsea are aituated .............................................................. Does proposed ""'18tructlon violate any zoolng law, ordlll8llCe or regulation: .....J!..9............... Will lot be regraded ,...A!.<?.......... Will excess fill be removed frem premises: YIlS Ill' Hales of o...18r of premises '. 5~a................ !Ilklress .............................. 1'1Ol18 No. ............. Hale of Ardlltect .......&W;[.e.~...... Mdress .............................. Phone No. ............. HlIfe of C.ootractor ................................... Mdress .............................. .HlOIl8 No. ............. '.. 5. 6. 7. , 8. 9. Ill. II. 12. n. I'.. 15. Is Ihls property within 300 feet,of a tidal wetland? "YIlS .......... III .......... "IF YHS, InrnOJ) 'lOol! 'l1lllSl1!l!S P1IllMrl' M/l,Y Ill! RllI~IIIl1lD. PI.OT DIAGRAM. locate clearly and dlatlnctly all buildings, "'",d18r exlatlng or proposed, and Indicate all set-back dlnensions fmll IICOJ..rty linea. Give atreet and block rutller or description according to deed, aod show street nares aod indkate w1..I118r Interior or COerler lot. 2-' I() cl 4-r"tr fV~vv H(Jq+-llo/~+' R epcvf.. pJA,d!r-c/V. Cf4 f!-.t>q(L ~ ~ Pql'fL-.,J- U\e f~cJJ. po '2 c1 f1Je <A./ >~[A- ('q s:' e. 3 J<:JOI- S I\J ~ "v' .co (L-{/ I '(..QS'- -+0 r/~uS-R- .r c.l..o 5> e /'1,) /"'lerC ~/o- Sli'l'!I! IX' tI!W YlXlK . SS (UINIY lX' .....~t~....... .~&.I!z......S...J.ft.t?./!f.t.::.............beil~1 d"ly sworn, de\ll.Bes 81x1 88YS UIDt he is II.. oppliClllll (~~~~:~ i.xlivid"al signing contract) , olxNe IUllm, lie i. Ihe ... .... .............~.~................ ........... ...... .... .... ..... ..... ................ (C.olltractor, lIgent,"corporate officer, etc.) of Mid 'JWl18r or owner.) Old is duly lIUlhorlzed to ...rronn or 11IIve perfor"",1 Ihe 88id work Dlxl to rmke Dlxl fi ie Ihi. nl~ll iCllti'~I; thllt nil staterenta contained in this lIl~,liclltioll ore true to Il.e l18st of his knowledge DldIMi!ief; Ulkl Ihot Ihe wurk will be perfomed I llI18r set forth in the oppl,icoti<~, filed t118rewith. !Mlrn to before De U,\s 'Z.~ . .. . . . . .. .. . . . .. .. .tlIIY of . Nowry I\wlic ROBERT I. scart JR. NolIry PubliC, Sla" of NeW 'II Qualifiad in Suffolk Co""" No. 01SC472~ .96 Tem\ Expirea May 31. $' ~+,J:.".-',- '~, ,;,. -- ,', s. . , .'~ ,.' ~.~ . -' ~ .~ : ~ -------~ c-"'"'-" I<'C;-,y ""4~ .J'" " . ,",',~: . ..... . '''\<; -. --~- --.. - ":fro.?s. I'\-t~(t\t 1b ~"IJo7 ' 40..60,- €'oQoI ---- ---- ~- --,-,....,.,::: ---..---- ~ ....... .:20 t-l.YS. ~O eRa-3-f3.04 4:zc -62.'37 "8'OA.'4:?"!!~------ ..,.- '. ~. &4"" <'.2 N.~. N!S..::.--1-- ! ,-:_.....,..- B 2.hB ! .' if) iJ, ~ 0..>>'/ i ,'~. ",":/ ~_~.-;;i(l,j .V i 9lucc!o; N ; &.. I"; '.. I I shed -8J .liJ' , . ;0 ,'t 'f'- r,;-l! (\J Uj/~ ,Ii) I 'fltJ 'Y= . 'J:s;_ -"3>. SO" "t.- .....SO . , ..., "6 o "j I l..~' o N' ~ .0 Q)/[;j N /C -70' < - G~ ,'0 41 E. . 7~""',!~ .i 80~/~ Ch '-'---..J / (u' . , /0 / ....... /' rv - , (V , . I ~ S'SO. / (f)' O.o~ I/SO~_____ j ~>'O(. ^v . _ <: _ E;:Sk/ 000 ~8S- :e I /! 'VI! ~/ \>- i rv \0' ; ! I i , I / / ~./ , . '~ .~/ \I- I .0/ ~/ <'/ f o~ "- ::,; U IJ) N ~ I\J J !!/ \9 ~ {( ;! ~ '. r' ; "- . ' " , - / / / ;25 MAP OF P120PE12TY 3.JI2VEiY50 FO!2 Q;Cit'0! F~.~_Tf-jC!'v1~~L.;;:.-__*_(ir;2EG0f2Y JE120ME AT SQUTHOL0 SUFF"OLIG COUNTY, N. 'y, / /1 Ij / .if 5CCiLE: 100'''' I" ~er=A ~ 4.4 23 t:t:_ G ~ MONUN1ENT o = PIPE /1 '/ SuFt=OlJ:; COUNTY '77lx,fY1Ap Desi~TION: OIS-r: /000, SecT. 069, BLK..iO, PeL. 7. .~ ~. ~.............. ""'_~iiiiiliilflrnol _"""'of"'___ -- """"of....__..._ "lIIndturW)'Clfl~....ot ' ~""""'noI"~ tlIbeavddlrUeoopsc. 4ul1MIen irIcIclded ...., .... """ oNy to lhe person for whom lie NWf' l&.orepanKl, ....onNsbehdtD... tlIle ,ompeny, !:ovemmentaI ager.cr... IeI1(1i.'lg ir.1;1~lt.;.m listed het80n tnd te I'll" "~~:~r,_:r ~1 t~e lending lnsti- lit. -,'[,noIlr1n1farabl. to..;;,~,., ;,,,...,_......,ivnsorsubseql.J8l'"( -- ','[;LIrzvGYeO 4.Ja. 10, 1c:J9'=> f200E:elCk:. ~N 7(jVL ,p. C. ,Ie. V - 7=-iJr _____ L-IC..NSEiO LAND S<.Jsv~ C!!1I2EENPOeT NEw YQ2/o::