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HomeMy WebLinkAbout33269-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32623 Date: 09/24/07 THIS CERTIFIES that the building ALTER ACCESSORY GARAGE Location of Property: 2080 TOWN (HOUSE NO.) County Tax Map No. 473889 Section 65 HARBOR LA (STREET) Block 1 SOUTHOLD (HAMLET) Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 23, 2007 pursuant to whicb Building Permit No. 33269-Z dated JULY 23, 2007 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 ALTERATION TO EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to JOHN M. MAY & RICHARD H. WELS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARnmNT OF HEALTH APPROVAL N/A KLECTRICAL CERTIFICATE NO. 3046103 09/14/07 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 .. 1loS' \1~9 Form No.6 TOWN OF SOUTHOLD BUILDINGDEP~N~ ~ n ':II ~ ; T~~I~~d'S. r---- ,\ u' ~ i ' ' 13 \L:0 APPLICATION FOR CERTIFI.A OF OCCUPANCYj ~ r.:'__1-I J LE~, This application must be filled in by typewriter or ink and submitttl. ~o ~~M ,. ith the following: A. For new building or new IIse: I. Final survey of propel1y 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 Old or Pre-existing Building: t.-oto Tol.VfV \;!-up" bC/7 ~ House No. Street '" ,rUt} Date. ~ I ~, l-.?t7 '7 V (check one) SOu ThcJ// Hamlet New Construction: Location of Property: Owner or Owners of Property: A ' w,/ ffl-M t17 Suffolk County Tax Map No 100~, Section 0 b j Block 1 Lot Ib Subdivision ---- Filed Map. ______ Lot: Pennit No ___~6 0/ Date of Permit. Health Dept. Approval: _____ Planning Board Approval: 1- '2-tf-07 Applicant:---V7)1?/V n. f1A V . I f Underwnters Approva : Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ ~. 73 II .2- e 0 -E: :3 ;<0,}..3 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIWING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33269 Z Date JULY 23, 2007 Permission is hereby granted to: JOHN MAY 2080 TOWN HARBOR LANE SOUTHOLD,NY 11971 for : CONSTRUCT ALTERATION TO EXISTING ACCESSORY GARAGE. THIS PERMIT REPLACES BP 17845. at premises located at 2 080 TOWN HARBOR LA SOUTHOLD Block 0001 Lot No. 016 County Tax Map No. 473889 Section 065 pursuant to application dated JULY 23, 2007 and approved by the Building Inspector to expire on JANUARY 23, 2009. Fee $ 100.00 thor' ORIGINAL Rev. 5/8/02 I!I~~I!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ Described as a occupancy, wherein the premises electrical system consisting of ~ electrical devices and wiring, described below, located in/on the premises at: ~ Detached Garage, ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 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 witb lbe applicable reference standard for lbe estimated period of construction ofthe premises wiring sy~l. ~ ~ Continoed 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!I~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Amouot ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 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 JOHN MAY 2080 TOWN HARBOR LANE SOUTHOLD, NY 11971 A. WILFRED MAY TRUST 2080 TOWN HARBOR LANE SOUTHOLD, NY 11971 2080 TOWN HARBOR LANE SOUTHOLD, NY 11971 3046103 Certificate Number: 3046103 Block: Building Permit: BDC: n511 Lot: 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 14th Day of September, 2007. Name OTY Rate Ratin. Circuit ~ Miscellaneous change garage space into usable storage space as built-1989 Appliances and Accessories Furnace Panels I 0 Gas 40 7 Wiring and Devices Outlet Fixture Outlet Receptacle Switch 2 0 2 0 10 0 8 0 4 0 Fixture Incandescent General Purpose General Purpose General Purpose Invoice Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $90.00 [!J.[!J 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 14th Day of September, 2007. Name Ory Rate Ratine: Circuit ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Located at ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I 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 JOHN MAY 2080 TOWN HARBOR LANE SOUTHOLD, NY 11971 A. WILFRED MAY TRUST 2080 TOWN HARBOR LANE SOUTHOLD, NY 11971 2080 TOWN HARBOR LANE SOUTHOLD, NY 11971 3046103 Certificate Number: 3046103 Application Number: Building Permit: BDC: Section: Block: Lot: Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Detached Garage, seal THIS IS VOTTR RF,CF.IPT 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. ns11 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Amount ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ l!;i 332-& 9c TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ~ATION [ ] FRAMING I STRAPPING [,v1FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: /jme:J/J. / /A,J 73 J(ftH.J ~-47- ~/~~) C.r&ffi? "_ SL;c ,~}to'~ '7 1//,1.#// .J:-&v''''\ 'f- M7-#d b \ DATE ;;J/ /07 I INSPECTOR ~LD I'.SI).....,......'Pu.. liD' ~- II "OHMENT~ ~ ~ .. .. :.1..<,1.... " .N.J.::" '- - .." 1 . , rel - . ~ ~ ~ ~ .. FOUllDATION ( 1 s t) "" - - - - -- c . (IJ FOUNDATION (2nd) '" 2 . Z).) O\:::) ROUGH .~ FRAME & 1$ ~ PLUMBING ~. . (IJ 3. >-i '" IlJSULATION PER N. Y. , . . a~ STATE ENERGY CODE :r: ::> 9//3 I/o 7 '-~ L, .C'/J ~}JD~ CD~~ :;: . ..L..."---' r;; 4. t / / .R Y.....L I // >-i 1/ :~ . V FINAL ~ I .' ,0,- .:0:; :.: ADDITIONAL COMMENTS: '''' '" . \ ;~ . . ~ - . . . - . '" >< ~"';'t~ ~~ >-il) HO ~ " 1 - . - '" ::> r- - >-i :r: t:>' .'" .." >-i .. . "" ~ l'- '" ~ "" ~ ~t ~ ~ t ~ ~ ~ ~ /V ~ JOHN M. MAY 2080 TOWN HARBOR LANE SOUTHOLD. NY 11971 RE: Southold Town Buildimz Permit 33269 Z Seotember 13. 2007 The Southold Town Building Inspector conducted an inspection on July 31, 2007 of the room that is attached to a garage at our residence, 2080 Town Harbor Lane. This room was converted in 1989 from its previous use as a bay in our three-car garage. It was converted to be used as a room to store, file, and work on papers and other materials. The inspector asked that we provide information on use, heating and insulation pf this room to supplement the building permit that is on file at the Southold Building Department: As requested by the Building Inspector, this document describes the use of this room. An engineer's report on heating and insulation is attached to this document. The room is used as a file and paper storage room. The room is used to store papers, files, books, documents, computer disks and other materials and to allow me to receive, copy, send and transmit the information contained in those materials. I have material in paper and computer files from past activities and family records. I am active as an investor, as a volunteer for not-for-profit orgflni7'1tions and as a corporate director and advisor. Also I maintain records for a family charitable foundation and for other family matters. These materials include tax, insurance, banking, medical and similar records and related correspondence The room serves as a place to store, organize and use that material and to keep mementos of past activities. When we remodeled our house in 1989, my wife and I decided to convert one bay of our garage for that use in order to remove this material from the house. The room contains an open file cabinet, several filing credenzas, a computer to create, receive and store documents, a copy machine, a fax machine, a telephone, a desk, several chairs and various mounted plaques, pictures and mementos recognizing past events and experiences. The room is not used to conduct or transact business. It is not used to hold meetings, transact business with visitors or to conduct any commercial transactions. There is no traffic generated by the use of this room. /' ( Of ( ~ :!:fJ/-I'!i.A~ /~ flolIlY ~ ..Van No. olliE 17.. ~ ~ifitdiq _~/( CommISSlOll EJpirtI........19. ~ \~rti)17fh~ I) TEL: (631) 765-1739 E-MAIL: MAYSHOLD@OPTONLINE.NET FAX: (631) 765-1303 To Whom It May Concern: Please be advised that the LPG installation consisting of piping inside the house and outside tubing connecting the 50 gallon tank to the system are all in compliance with NFPA 58 and 54 codes. Regards, 1~ l0~ Frank F. Benedetto, VP C.F. Van Duzer Gas Service, Inc. I,' ! '-, r~.r--J. -"\! (", .> ) ~~:t.'I....~'" ! Condon Engineering, P.C. New York State Licensed Professional Engineers 1755Sigsbee Road Mattituck, New York 11952 631-298-1986 Fax 631-298-2651 ~ ',) \ /, September 3, 2007 Mr. Michael Verity - Chief Building Inspector Building Department Southold Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971 RE: May property, 2080 Town Harbor Lane, Southold, NY Building Department No. 17845 Dear Mr. Verity: As requested, an inspection of was made of the LPG space heater located in the garage al2080 Town Harbor Lane, Southold, New York on August 10, 2007 and the energy calculation for the garage space is attached. The gas heater was found to be properly installed and to the best of our knowledge is installed in accordance with the Building Code of the State of New York that was in effect at the time of construction. Please call me if you have any questions. Yours truly, )[~ cc. John May . . NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE Part 6 Compliance Form - 6A Building Design by Thermal Rating Method (for buildings with I or 2 dwelling units) Date: fr/s1/ZDo7 7-0 8"0 TOIIJ,~ HARf.c!L folJ{) SO,)iJloLtJ /#'1 //'77/ 5uFFc Ljc. Building Address: County: Architect, Engineer or Contractor: 30Hlv .::s; CO.-Jtb/J. Pi3. , 03/-Z'if- 1<JS?6 ~ If,...) (fJ. mAy (/)" J-"7b r;- n"3 c; I. HEATING DEGREE DAYS (Table 2-1) Phone: Permit Applicant: Phone: o 5000 ~ 6000 o 7000 08000 o 9000 II. BUILDING DESCRIPTION (Pre-qualifying Conditions) If the building does not meet all of the following pre-qualifying conditions. Part 5 of the Energy Code may not be used. RI Building has one or two dwelling units. (Use this form 6A) o Building is three or more dwelling units. (Use form 6B) III. PROJECT TYPE o New Construaion 1&1 Substantial renovation of existing building o Addition to existing building o Exempt (78 1 0.6c) . , , SUMMARY OF TOTAL THERMAL RATING If the total thermal rating below is zero or greeter. the envelope portion of the building is in compliance with the Energy Code. A. WAUASSEMBLY AREA U-VALUE TABLE USED AI Net Walls A.. 501d U C). 05" C:,- I w A.. Uw t/,b --- 1-,-1 A2 Glazing A, u. {),.,. A, 3o.s u. ~.I..jq e.-I THERMAL RATING 5/ - - - -II - -II A3 Door.; A. 10.0 u. l'J.S- 6-; - -II A. U. - Subtotal Thermal Rating for Section A (AI +A2+A3): I J g I B. ROOf/CBUNG ASSEMBLY A. ZlIZ u, O.oE (0-3 A. u, - A, u. - Subtotal Thermal Rating for Section B (81 +B2): I C. ENTER DATA AS APPLICABLE (Either CI, C, or C3) C I Floor A, U, o 81 Roof/Ceiling - 82 Skylights o - C2 Foundation Wall Wall Perimeter ft. Above Grade Exposure Insulation Depth o 24" 0 48" o 84" 0 Footing ft. - U, Perimeter . R-Value C3 Slab Edge Insulation 'f'l. Z. 3.5. fD - ? _ -(; Subtotal Thermal Rating for Section C (CI +C2+C3): I -(0 D. TOTAL THERMAL RATING (A+B+C}...............:....................................... (u 2.. I II FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined p}..f. . . . . . . . . ., 19J? ~.,:;. ~ Approved .~r. . . . . . . ., 19Jr. Permit No.t: ~. BOARD OF HEALTH 3 SETS OF PLANS :7::. SURVEY. . . . . . . . . . CHECK .......... SEPTIC FORM . . . . . . . . . . . . . . NOTIFY CALL MAIL .ny.-.sp~,?... . TO: imn ',r2 ,.::;" ", i \F:; f~ il',.:/' .....:.:.:.l.::.l~ I ./( ~ Disapproved alc ..................................... i ~ \ i JAM I 31J89 . .. . .. . .. ...... .. . .. . .. ., . .. . ~. . . .~. . U// u\\ Tow~LS~s'6~OLD ' ~~J.. ~.. .. .. .. .. .. .. '. . / /Bl ilding Inspector) APPLICATION FOR BUILDING PERMIT Date.................., 19... 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 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. Hpon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall b~ kept on the premises available for inspection throughout the work. f:. 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 descrioed. 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. C<<lf~(,l~.~PMBJT.CP~'P........ . (Signatu~e of applicant, or name, if a corporation) 9:>O.'P.~. ~/.arl~f!c$.""'~. .~'t.. .l.l~.... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, ~ral contrac~ctrician, plumber or builder. .... .c;~~. CI;>~~~R............................................................~. Name of owner of premises.::1O.\:\IJ.\A.. MA.~ .~ .'RI.a\:IA~. w.a~~. ~n:~ . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 MUST BE SUFFOLK COUNTY LICENSED Builder's License No. .... .14-\Gt:'"J' .t{L . . . . . . . Plumber's License No. . .,.-'M-O. .~. ... EI .., L' N \'-'2.. ~ ectnC13n s lcense o. ....... l."t'.. ~ . . . . . . . . Co Other Trade's License No. ..................... ~f I. Location of land on which proposed work will be done.~.~€g..~~. ~ t.At;:i;.~.a,~ .cw8Q...... .1l:4J.~. .~:6~R.Lf\tJ.~................... ..~.ntto.l...:-t>..........;............. House Number Street Hamlet ~ County Tax Map No. 1000 Section ........... t?':;;. .. Block ...!.............. Lot........ -'-~. . . . . . . . , Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FiIed Map No. .............. Lot............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy. .. . SIh:l.6I..-f. . .f.Atl~'""{. Ke:>9S.f. .. . ... . .... . . ...... .. . .., ... . .... b. Intended use and occupancy fu,.~lIO.W.. '10. .~l~~~. :D:6TAC~. .~~~... . . . .. 3. Nature of work (check which applicable): New Building.... ."..... Addition.......... ~....... Repair .............. Removal . . . . . . . . . . . . .. Demolition ......."....'. Other WorK. . . . . . . . . . . . . . . (Descripiion) 4. Estimated Cost. . . . . . . t (Y. ~. . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... (to be paid on filing this application) 5. If dwelling, number of dwelling units.. . . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . . Ifgarage,numberofcars ....................................... ................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each' type of use . . . . . . . . .'. . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front. . . . . . . . . . . . . . . Rear .............. Depth............... Height ............... Number of Stories. . . . . . . . . . . . . . .'. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions 'of same .tf) w~ a1t~rations or additions: Front .................. Rear.................. Depth. . . . . . . . . . . . . . . . . . . . . ".-Helght . . . . . . . . . . . . . " . . . . . . . . Number of Stones. . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions ()fentire n.ew construction: Front. . . . . . . . . .. . . .. Rear............... Depth ..... . . . . . . . . . . Height ...;....,........ Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . 9. Size of lot: ,Fnmt . . . . . . . . . . . . . . .. . . . . .. Rear...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ...........................". II. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address ... . . . . . . . . . . . . . . . . Phone No. .. . . . . . . . . . . . . . Name of Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phone No. .. . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address .. . . : . . . . . . . . . . . . . . Phone No. .. . . . . . . . . . . . . . 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permit ma~be re~uired. PLOT DIAGRAM 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 comer lot. , . J. . , '.. .. STATE OF NEW YORK, SS COUNTY OF . . . ju~c,...l<. .. I" . . . . . . . . ~~ . ~~~!-. .,,:"\\~. " . . . . . .. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. :'He is the:...... ~~............. "....................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfbrnied 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 this .. ... ..l1~.... ......dayof.9~.~.... ...., 19(9 Notary Public, ....,..... .. . . . . . . . .. Cou ~,,-(2 ;gNDA J. CO PER N~ry Publ~ State of New YorIc ...... 4822583. Sufftjlk Term expires December 3~ (Signature of applicant) Height . ~.<;)'. '" . . . .. . . Number of Stories. .7. -t. &)\.'7~.MEJ''(J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . .I.e?./.' . . . . . . . . . .. Rear .[9.1.'. . . . . . . . . . . . . Depth . .<;l.~ ~ . .. .. .. .. . ...... Height.. ?"~ . . ... . .. '" . . . .. Number of Stories .'?+.~Ja~.er-,lT. . . . . . . 8. Dimensions of entire new construction: Front. . . . . . . . . . . . . .. Rear............... Depth ...... . . . . . . . . . Heicht ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <) Size of lot: Front .......~~Q.(.......... Rear.....I.'llP:............ Depth .:~.4/i............... I I!. Date of Purchase .../ P /'1/~ 7. . . . . . . . . . . . . . . . . . Name cf Former Owner F.I,.Q~.e;f,lc..lii. U\ p'(?f;.~ JeJ2e. . . II. Zone or use district in which premises are situated . .M$Ip.e~.nAI.-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . I.e. Does proposed construction violate any zoning law, ordinance or regulation: .~.Q............................ 13. Will lot be regraded .~.o......................... Will excess fill be removed from premises: Yes No 1.1. Name of Owner of premises .j~",! .":': ~'":X ..~~~~...~Address 1! .f1IT~~<:~~~;.::y~:":PilOne No.c~I.~) .~~i .-.';:?<?:S. . Name of Architect fI=;:TP.I~. ~~e;~I<:. .g.A.... .. . . . Address ~1. ~\4-1fP/i."r; .&.~t-,l. Phone No.("I1).~~:1; MZ". . Name of Contractor .. . . . . . . . . . . . . . . . . . . . . . . . . Address .. . . . . . . . . . . . . . . . . . Phone No. .. . . . . . . . . . . . . . 15. Is this property located within 300 feet of a tidal wetland? *Yes K... No..... *If yes, Southold Town Trustees Permit may'" be re.!juired. PLOT DIAGRAM . . . . . . . . .. .....-1'.... . ..... . . . . . . . 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. /__ . . . v~'t'Y\_____--::-; V&--~f&i. /, ~---- .' GO/lj...l-~ ----~~ L.oU /. -~ -- /.j / . / . /j I ;" J \<.8J-ll (2.l <!.. \3U)? IJ / I ol \) lI\l 01 1 10><1 ST/",", T'D .~ NO"." eXISTI..... TO s. A""1"a.., Ve',.,p eNI> . I 2.060 .. ~":"I1:J.,""L / ~ - loS-I-I\p ej3?::;).1.o'1 STATE OF NEW YORK, COUNTY OF. 5lJF.F.o/"'K... ..... S.S ............ .P.P.-r.~~.. .I$IZ.€ESe:.......... ."..... (Name of individual signing contract) above named. S'ClVTHot-17 ,.....'\' . . 7- '- ------------ -"----- - being duly sworn, deposes and says that he is the applicant lie is the........ .~.~~':l/Tf.c;.r.....:.............................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfonned 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 tlte work will, be performed in the manner set forth in the application filed therewith. ,Sworn to before me this . . .. .. .. ... . Z.~~.. . .. ..day of.. A.l!~.l!H .. . .. .. .., 19 .f:?7 -Notary PULliC,~. J ~~...... County . FOBII NO. . TOWN OF sOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 33:>1.,/1 N! ~5 Z ...... Dote ...?;:./!..~.................................... 19.f.'9. -'-~7i?1l::Jf11:;t!~~y~Ji'f4'~ .J. ~ ~c,.(~'~'~~';("/.<?'~~'''''''''' to~~..~~~......E~~.....~..~.1.~(4.~.~~..... ................................................................................................................................................................ at premises located at ./..~s:....~...;t~........................................................................ ...................................;{Q.t!..t;J......z:.~.~...~........................................................ ..............................................................~"q~/~............................................................... County Tox Map No. 1000 Section ..........p..~... Block ........./.......... Lot No. ..........A~. It., pursuant to application dated .............../It.~............................ 19.tf.?. and approved by the Building Inspector. ,,~ Fee $..:26;r:.'j"'-'" Rev. 6/30/80 ~ VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 ;:jJI:?'~.}.~\ :-:; ~~ >~~ - ) . .,,', ~" "~l ~.;,,' -~ -,~,"" ')" ,pt"....',- " ~./ -,.~; u ~ X11 ;. .';/ ~------....-:.,'::(;...;,/ ~-- .'-',-........ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Jan. 27, ]989 Cutchogue Dev. Corp 500 Beebe Drive Cutchogue, N.Y. 11935 Dear Sirs: Enclosed please find a disapproval, also we are returning your check. Yours truly, ~ DL {;~ })I ~ i- l'--Q..UL, j\ u.. V (;V\. \ 0- Secretary I!I~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I I!I~ ~S. - I - Ie, ~~~I!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~I!I 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 JOHN MAY 2080 TOWN HARBOR LANE SOUTH OLD, NY 11971 A. WILFRED MAY TRUST 2080 TOWN HARBOR LANE SOUTHOLD, NY 11971 2080 TOWN HARBOR LANE SOUTHOLD, NY 11971 3046103 3046103 Certificate Number: Section: Block: Lot: Building Permit: BDC: ns11 Described as a occupancy, wherein the premise: e~cfri~ystem consisting of electrical devices and wiring, described below, located inion the premises at: Detached Garage, 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 14th Day of September, 2007. Name OTY Rate Ratin. Circuit D:Il!2 Miscellaneous change garage space into usable storage space as built-I 989 Appliances and Accessories Furnace Panels o Gas 40 7 Wiring and Devices Outlet Fixture Outlet Receptacle Switch 2 0 2 0 10 0 8 0 4 0 Fixture Incandescent General Purpose General Purpose General Purpose 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 of 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. ~~~