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HomeMy WebLinkAbout31927-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33032 THIS CERTIFIES that the building NEW DWELLING Location of Property: 150 HENRY'S LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 74 Block 2 Lot 37.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 20, 2006 pursuant to vPhich Build i.ng Permit No. 31927-Z dated APRIL 20, 2006 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH COVERED FRONT PORCH, REAR DECK AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to CAROL HYDELL (OWNER) of the aforesaid building. SIIFFOLR COUNT7C DEPARTMSHT OF HBALTH APPROVAL R10-03-0012 05/12/08 ELECTRICAL CERTIFICATE NO. 1202928 04/24/06 PLDlBSRS CERTIFICATION DATED Date: 05/16/08 02/15/08 JOE WHITECAVAGE Rev. 1/81 Form No. 6 ~ ~O~i'~ I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~,~ APPLICATION FOR CERTIFICATE OF OCCUPANCY Tliis application tnust be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building m' 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 [he solder used in system contains less than 2/10 of 1% lead. 5. Cormnercial 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 Apri19, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning 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 ofOccupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Cerificate of Occupancy -Residential $15.00, Conunercial $15.00 Dale. _ _-_ ~. New Constmction: Old or Pre-existing Building: (check one) Location ofPropeity: _~_~Q _ t ~ ~Q ~ ~~~~ House No. Street Hamlet OVA'ner or Owners of Property:.~~~.~ Suffolk County T< 1vfap No 1000, Section ~~ _ Block ~ Lot ~ ~~_ Subdivision___~,~C..o-~,..C,~~ _I~iledMap._ Lot Permit No gate of Permit. ~ oZ~ 6 pplicant Health Dep . A1~pP~al~ ~ Undenvriters Approval _ Plamring Board Approval. _ Requcstfor: TemporaryCertiticate_ FinalCeriificate: ~ (check one) Fee Submitted: $ ~~. ~~33o~a G ~ ~~ O Applicant Signature a ~n~n~nrn~.r~n~t:n~.t~~n~r:n~n~~n~~~.n~nss~n~~n~rn~n~n~n~~~s~r~~~~~rn~n ~ss~~~rr~rr~n~n~~nss~~~~~~ o 5 c 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS S 5 BUREAU OF ELECTRICITY c5 5 40 FULTON STREET - NEW YORK, NY 10038 5 CERTIFIES THAT 5 S Upon the application of upon premises owned by 5 JIM SAGE ELEC. INC. CHARLES HYDELL S 5 P.O. BOX 38 32125 RT 48 5 5 GREENPORT, NY 11944-0038, PECONIC, NY 11958 5 r5j 55 Located at 32125 RT 48 PECONIC, NY 11958 5 5 5 ~ Application Number: 1202828 Certificate Number: 1202928 5 c 5 Buildin Permit BDC Bl k Lot n511 S ti g : : : : ec on: oc ~ C Described as a Residential occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 Basement, First Floor, Second Floor, Attached Garage, Outside, ~~ limited to electrical devices and wirin to the extent detailed j stem A visual in ti n f the remises electrical s ~C, 5 , g p y spec o o was conducted in accordance with the requirements of the applicable code and/or standard 5 herein 5 , promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 5 authority having jurisdiction, and found to be in compliance therewith on the 24th Day of Apri1,2006. 5 Name QTY Rate Ratine Circuit Twe 5 5 c Alarm and Emergency Equipment 5 5 Sensor 2 0 Carbon Monoxide S r Sensor 5 0 Smoke A liances and Accessories 5 5 j 5 pp Dish Washer 1 0 1.2 KW ~ 5 5 Oven 1 0 40 Amps Cr j 5 Exhaust Fan 3 0 F.H.P. l , ~ S 'L Pump/Motor 1 0 1 H.P. Furnace 1 0 Oil 5 J 5 Wiring and Devices Outlet 56 0 Fixture 5 5 r Fixture 55 0 Incandescent Fixture 1 0 Fluorescent 5 j 5 Outlet 97 0 General Purpose 5 Cj Receptacle 49 0 Genera] Purpose 5 Switch 58 0 General Purpose 5 5 5 Paddle Fan 1 0 seal GFCI Circuit Breaker 2 0 20 am General Pur ose ~ ~ 5 5 p p Continued on Nex[ Pa e 1 of 2 55 g r This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. j 5 5 a ~~ss ~~~~~~~~~~~~~sss~~~~~~~~~~~~~~~~~~~~~ ~s~~~s~~~~ ~~ ~~~~ a 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 JIM SAGE ELEC. INC. P.O. BOX 38 GREENPORT, NY 11944-0038, Located at 32125 RT 48 PECONIC, NY 11958 Application Number: 1202928 Section: Block: Lot: CHARLES HYDELL 32125 RT 48 PECONIC, NY 11958 Certificate Number: Building Permit: 1202928 BDC: ns11 Described as a Residential 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, Attached Gazage, 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 24th Day of Apri1,2006. Name ~ Ra[e Ratine Circuit Tvoe Receptacle 8 0 GFCI Service 1 Phase 3 W Service Rating 400 Amperes Service Disconnect: 2 200 cb Meters: 1 seal 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. Town Hall, 53095 Main Road P.O_Box 1179 Southold, Neva York 11971-0959 ~~o~OgUFFO(~-coGy ~ ~ ~ z W BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. ~ ~ ~'/ ~ ~ -~ Owner: ~~~ (Please print) Phrmber: Jo_~ U~(~gLnUn e VAN Y~~'~L~ H (Plea print) Fax (631) 765-9502 Telephone (631)765-1802 I certify that the solder used in the water supply s~-stem contains less than 2/10 of 1% lead. Sv,'orn to before me this ~.~~ davof~ 200d~ -- - - - --- (Plumbers Signature) ~/~ ~~~ Nolarv Pliblii~~ " County CHRISTIE HALLOCK Notary Public. State of New York No. 4831950, Suffolk County Commission Expues May 31, 2 jL 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. 31927 Z Date APRIL 20, 2006 Permission is hereby granted to: CAROL HYDELL 32125 ROUTE 48 PECONIC,NY 11958 for CONSTRUCT 2 STY 1 FAMILY DWELLING W/ATTACHED GARAGE AND 2 OPEN PORCHES AS APPLIED FOR. THIS PERMIT REPLACES BP 29238. at premises located at 150 HENRY County Tax Map No. 473889 Section 074 pursuant to application dated APRIL Building Inspector to expire on Fee $ 1,059.90 LA PECONIC Block 0002 Lot No. 037.002 20, 2006 and approved by the ORIGINAL Rev. 5/8/02 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. 27946 Z Permission is hereby granted to: Date DECEMBER 7, 2001 CAROL & CHARLES HYDELL 32125 ROUTE 48 PECONIC,NY 11958 for CONSTRUCT A TWO STORY ONE FAMILY DWELLING WITH ATTACHED GARAGE AND TWO OPEN PORCHES AS APPLIED FOR. THIS PERMIT REPLACES BP#23713 at premises located at 150 HENRYS LA PECONIC County Tax Map No. 473889 Section 074 Block 0002 Lot No. 037.002 pursuant to application dated DECEMBER 7, 2001 and approved by the Building Inspector. Fee $ 1,059.90 Auth ized Signature ORIGINAL Rev. 2/79/98 roae~ xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N° 23'713 Z Date/..~,~/ ........................................... 19..~.~...~ Permission is hereby grantC~~ ... G~Tn~ .......................................... .~. a./.a~..st..°.~~ ......................... ... a "... ..~.~. G%~~~~G ......... .............. ........ .~ ..../... .............. . ~ `.. of premius located of .1.. v........~...( ~1G.+~ ..................... ..........................................~..f.~~.k1............................................... .. ... County Tox Mop No. 1000 Sectio////~~~~n//...~~........... Block .......u~.... pursuant to application doted .~.1 ...................... ................... 1 Building/Infspector. / Fee S.•~/..C!~.~....~ .~~?.f ...... Lot No.~~~~~~ .3 7 oZ ~~., and approved by the ..... f . ..d iv~T'l ............... B I nspector Rev. 6/30/80 ~ ~~a3~ E. S. KALOG E RAS, P. E. C'onsuC't~ny ~,~9i.,~z ACEC Member ~: Supporting Excellence In Engineering UNION SQUARE 727 UNION AVENUE RIVERHEAD, NY 11901 May 7, 2004 Town of Southold ~ (' ~ Building Department Main Road Southold, New York 11971 Re: Hydell Residence under construction in the Town of Southold, N.Y. Gentlemen: This is to certify that the above referenced residence was properly damproofed prior to backfilling and inspected by our office to insure proper workmanship. Enclosed are project photographs taken of the subject work. If you have any questions concerning this matter, please call us at your convenience. Very truly yours, E.S. KALOGERAS, P.E. CONSULTING ENGINEER E.S. Kalogeras, P.E. ,: ~.. Q y ~ a ~ , COQ ESK:wpwin10.0 Encl. cc: Mr. & Mrs. C. Hydell TEL: (631) 722-4040 FAX: (631) 722-4004 E-mail: Lkalogeras@msn.com - _ ,. _ ~ w:,;, ~~' ~ ~r_ '~~,~ 1 z _ ~E. /S. KALOGERAS'P.E. ~ ~ (..~01211LL~G21~ ~YLC~U2EE2 L" r ~. ACEC Member ;F,-. ~ SuPPOrting Excellence is! I ~ ~~~~~~ In Englneering UNION SQUARE 727 UNION AVENUE RIVERHEAD, NY 11901 July 31, 2002 Town of Southold Building Department Town Hall Main Road Southold, N.Y. 11971 Re: Proposed Residence ofCharles Hydell AT 150 Henry's Lane, Southold, N.Y., SCTM# 1000-074.00-02-037.2 Gentlemen: We have inspected the concrete block foundation of the above referenced residence, on this date at the request of the owner and hereby issue this engineering report and recommendations. It is our opinion that the foundation will be adequate to meet the structural demands of the proposed residence, if certain improvements were implemented. The recommended improvements are that deformed reinforcement bars of minimum #5 size be placed continuously in the vertical cells of the blocks (from top of wall to top of existing footing), then backfilled completely within these cells with 2,500 psi strength, cement concrete. The bars should be installed vertically, every 3-feet on center along the foundation wall, and every 1.5-feet on center along the garage foundation walls. This will provide the necessary structural integrity for the existing foundation to support the proposed residence and soil backfill. Anchor bolts for the timber plates should also be continued around the foundation. It is further recommended that the floor joists be set in place and the sub-floor be erected, prior to backfilling operations. If you have any questions on this matter or need clarification ofthis report, please contact me at your convenience. Respectfully submitted, SPA a KA(~ `'' y E.S. KALOGERAS, P.E. a Py oF,~ o.~ CONSULTING ENGINEER * ,~ a ~ E.S.Kaloeeras.P.E N~OAR°' oaz~~,,~~2~/ ESK:wpwin 10.0 cc: Charles Hydell TEL: (631) 722-4040 FAX: (631) 722-4004 E-mail: Lkalogeras@msn.com E. S. KALOG ERAS' P. E. ~onst~Eln~ ~iuJin~z ACEC Member Supporting Excellence In Engineering UNION SQUARE 727 UNION AVENUE RIVERHEAD, NY 11901 September 12, 2003 ~-~ q n r ~ -~ ~ ~ ~ Town of Southold Building Department ' b ~~~~ ; I Main Road Southold, New York 11971 ~ v__ _ _~ Re: Hydell Residence under construction in the Town of Southold, N.Y. Gentlemen: I have inspected and reviewed the masonry foundation for the garage and residence, at the above referenced site and certify that the construction is adequate to support the live and dead loads ofthe structure at that location. The foundations are suitable for performing the timber framing of the main residence and garage. If you have any questions concerning this matter, please call us at your convenience. Very truly yours, E.S. KALOGERAS, P.E. CONSULTING ENGINEER E.S. Kalogeras, P.E. TEL: (631) 722-4040 FAX: (631) 722-4004 E-mail: Lkalogeras@msn.com ESK:wpwin10.0 cc: Mr. & Mrs. C. Hydell 319~~ z TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ [ ]FOUNDATION 2ND [ [ ]FRAMING /STRAPPING [ [ ] FIREPLACE A CHIMNEY [ REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ~~ 7-i ~ 6 ~ ~~~~- DATE INSPECTOR 3~~Z7~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. DATE ~`~ ~~ INSPECTOR [ ]FOUNDATION 2ND [ ] INSU TION [ ]FRAMING /STRAPPING [ IN [ ]FIREPLACE 8~ CFIIMNEY [ ]FIRE SAFETY INSPECTION TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [FINAL ~ "~'''b'~ [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPE~ pp ~ -~' DATE ~ r~~ ~ a ~° INSPECTOR ~!~ ~ ~~~'`~`'`'~ ~~ ~~ a ~ 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ [ ]FOUNDATION 2ND [ [ ]FRAMING [ FIREPLACE 8~ CHIMNEY [ ,~- REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION t~- '{~~-s ,. DATE / - / ~ ~ ~ INSPECTOR '/~' ~,, >>~~~~ 'oL~ ~3 ~ Z 765.1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING FINAL [ ] FIREPLACE A CHIMNEY/[ \] FIRE SAFETY INSPECTION DATE / -7- 6~ INSPECTOR "~' " ~~S~~`~`~ REMARKS: ~ ~ ~ ~ ~' _1~-e`~gJe, ado-~Z~ •~ °~ ,~~ ~ ~~ 765.1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: DATE 4 z~23$ 765-1802 BUILDING DEPT. INSPECTI [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] F UNDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY . REMARKS: 3,~ InJAS ~ ~~ ~~~ ~~ ~Su~t ~ ~ d • k • Rl~. ~~~G ~~ i,J~.(l~ 6~•ce,Q~ a ~ DATE g / ° ~ INSPECTOR ~~t~Q~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ] F NDATION 2ND [~ FRAMING [ ROUGH PLBG. [ ]INSULATION [ ]FINAL DATE ~ © INSPECTOR [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION ~.. ~ '~ I `7 ;~_1 ~~ ~®~- ~_-~--- ~~ ~- 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ]ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: i ~ ~~~ ., 2~j~1~~ _~~ 765-1802 -DEPT. 1 NSPECTION [ ,/~~OUNDATION 1ST [ ]ROUGH PLBG. [ "] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ]FINAL V `~, DATE . i ~~~ ~~~ ~~~p~ ~~ [ ] FIREPLACE & CHIMNEY -- - _ _ `i'Y RECORD CARD `~~~~.9„__ STREET ~' VILLAGE DIST. SUB. LOT ', y ~. _ _ ~ .~ - ,~~iE~O~WNER[~a/'ol t-I e t N E A R. ~ / c ~ e ~r " /n ~ - I~ /Ke ~,ae• s W TYPE OF BUILDING RES SEAS. VL. 3 (~ FARM _,._.- ~ - COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS o ~ ., i ~ s ~p`~a,~ s' s- ~~ 4- ~.~ ~ o-o ,3.v-o 5.0 ~ ~ ~ ,~ ~ 3D4 /Gx ~DO yy .fix 5c 2 r - 2 ~, ~`. 7~a 3 vvv ~~.~.~<,- ,~ y AGE B I DING CONDI I ~ "'"~----" " ' NEW- D NO L . .. B A - ~ ( 37 ° t 1 - ~~ !"! R.t ~ .~ :~ O ~q.~ _- - /q~ ~J .i tJ,.7 I ~ 2 '' (~ ~+JUU ~ * ~' / ~ aL ._ (~~ 5 3~0. illable 1 /D (o ~t"3~1 Jr 3` CDO CtG1~G;l. {i'd`>l -~f~ c%tcte%FC~ c1ct/ ~~YOc~ illable 2 ~ 7 ii ~ - p~ ~02~0 - CD~Vet~ ~~•g / ~~cl ! ~ o l l7 ~ ' I ~ illable 3 , .~, _ c ~P i , ,v n ~, , - ~ d OaO, z'~ 9i ~ G ~3 PN~ Joodland ~ - / - r ~P~>/ }- 2 N ~% .vampland FRONTAGE ON WATER rushland FRONTAGE ON ROAD / ~ L ~ ouse Plot DEPTH r,, ~ ~o ~- 96~ ~ ~~ ~ ~c - ~' t~~ - m w . ~ .tar' _ Docly / _ c..! i ~ On .5 ~ /-S~l f . S7 ar ~i, ~, ~~~ !/ ~aj5~~gaP~~3°dw~~ Il ~a flyd{ll N/~- ~~ COLOR ^ ' / , ~~ ~ ,, ~ ~ , ' t . i TRIM i i - _ I I ~ ,. ,,, a i M. Bldg. ~ d3 ~ ~ Foundation Bath Dinette 'r Extension Basement Floors ~ K. Extension Ext. Walls Interior Finish LR. Extension Fire Place Heat DR. Type Roof Rooms lst Floor BR. Porch Recreation Room Rooms 2nd Floor FIN. B. Porch Dormer Breezeway Driveway Garage Patio Tota ~--~ .__,. may/ y ~- •r ^..~ s ~ aoa -~~f-z-37-~ ~~ TOWN OF SOUTHOLD PROPERTY RECORD CARD ~~ OWNER --- - T S REET `Cv ~ - - VILLAGE DIST. SUB. LOT .Q/~o~ ~'~ (~Q ~I 1 ~ ~1-ehr S L~ Pe C OBI C~ ~ Pecon ~ ~. }-~b ~'tP5 ACR. ~'7lo // ` /~/ e / / REMARK JiL ~Z~h / 0~~' T~ CJC// To 1 / ~l/ ~G- TYPE OF BLD. 3 ~ a - // C ^Glro ~ ~chr~rle~ ~-{.f I~ PROP. CLASS Lla LAND IMP. TOTAL DATE 8~e 50~` i3 3 I ~Z FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL FORM N0. I ` TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOI.D, N.Y. 11971 TEL: 765-1802 Euanine/l./.. ......, 19/!~.'r! ~ ~~ 1 tL_ Apprwed..1~. .~......, 19l~~. Permit No."2 ~~(3~ Disapproved a/c .................................. (19urlding. jpector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS CALL . .................. MAIL. TO :.................... Date .................19.... a. This application most be canpletely filled in by typewriter or in ink aid submitted to the Building inspector with 3 sets of plans, acccsate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of 6enildings on premises, rela[ionsicip [o adjoining premises or public streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram which is part of this application. - c. The work covered by this application T'mY not be connenced before issuance of Building Pennir.- d. Upon approval of this application, the Building Inspector caill issue a Building Permit to tl~e applicant. Such perotit stall be kept on the premises available for inspection thraglcwt the work. e. No building shall be occupied or cased in whole or in part for any purpose whatever cmtil a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HELZeBY MAUE to the Builditg Department for the issuance of a Building Permit lursuant to the Building lane Ordicarx•P of the Town of Southold, Suffolk County, New York, aid other applicable Laws, Ordiraoces or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'Doe applicant agrees to caoply with all applicable laws, ordinances, building code, haLVing code, abe regulations, and to admit authorized inspectors on prises and in boil ding~for~nec sary i/n pe~ct//iq//~/{1-y,~~' (Signature of applicant, r name, if a corporation) ~ 1 2 ~f ~ ~~^~` (Mailing address of applicant) t' / State whether applicant is(ownetJ, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........ C~c..rR. ..... ....~ .. ~~ ................~., CI~l~Hi00S d0 P1M01' ... ........ (as on the tax roll or 1 test deed) ~~77p If applicant is a corporation, signature of duly authorized officer. ~~,I ~ U~J (Name and title of corporate officer) Builders License No. ..f ~.~~ I Plumbers License No. . ......................... Electricians License No . ..................... OC}cer 'IYade's License Nu . .................... ~~_ ~ ~ ~ ~] ~ ~1 t ~ I. incation of ]and on which proposed work will be done ...............................:.............................. I .... .........f~SO ............. ~~r. ~.s....1: ~ e- e~.on.~ ~- ... ik><nse Nid~er Scree[ Haslet County Tax Map No. 1000 Section .... ~ ~. ~QBloclc f3 °~ ' ~~ Iat ........._~~o. % ,ylj~/ ~ ~" subdivision ......~P.L5h1.G..-:,~~?.hae.~..... Filed Map No . ....... ..... fot ~4~~....... (Name) ~XG,BPr/ o nJ C.iSr 2. State existing use azcd occupancy of prmtis'e/s and intertdcrl /use aLnd occupancy of proposed construction: a. Existing use atd occupancy ............K•a{.?:1f~.1y1~..LnO..tr ........................................... b. Intendtd use and occupancy ..........~Qi!'~ ....f'.P.VS.~ :........................................... c/ °ISOARU OF HEALTII ............... -3 SETS OF PLANS ~T .............. SURVEY ........................ CHEC& ... .... SEPTIC FORM .................. NOTIFY: 3. Nrlure of work (clxtck Giricfi applicable): Neu Ikrilding .. .~klificxr ... ....... Alteration .......... Ilelxrir ............ Removal. ............. Oenditiar .... ........ Other IJork .................................. fir. I:SI:Ilrclte(1 C.nst ... ODD 3.5 ................ fee -. ..............-...... (Description) ...................-~-- 5. / If rkxlling, rxnirer of: clwelliry; units ... `........ tMrdrer if garage, rxnirer of cars .........~ .................. (CO Ire paid cxr filing of: <kaelling rmils nn ....... this applicaCion) each flcxrr ................ G. If Ixrsirress, amrercial or mixed ocarpancy, specify matur e and extent of each type of r>se ...................... 1. Uinensiars of existing strac_hrres, if any: FrarC ........ ........ Rear ....... ........ Depth ................. 8. 9. 10. II. IZ. 13. 14 I5. Ik iglr[ ......................... Nrnirer of Stories ...................... Dinens ions of sire stnxaure with alterations or ackliCions: Pront ............... Bear ............... Oeplh .................... 11eiFJLL .................... Rnirer of Stories ..... .... Q ... 0inensiars of entire new orrstnr.Ciar: PrcxrC ..~8.~,'~:- Rear ... S. V. ~~ Depth ...3.7! Ileil~rt ....---~.~.~~--.'"'''')N)idrer of Sl:or ies .....~ ............. Q Size of lac: Prrxrf~ -.y..uu....l.I ..+?5...... (tear .....1 .~.~....... /nl7]epr)h .....~L). ~........ Ikrre of 1'rrrchase 1. /-..(J.7..-....... Name of Former Owrer ...~C./h' ~..'~...... Zcxre or use district in wlridr premises are s%Arated .......-~eSLY.~.h.~.~. / ............................. Ones proposed carstruct ion violate any zcnring law, onlinance or regulation: ~ ........!v ............ WiII 1oC Ire regraclecl ..-...N//ll.~-......- i l exc ss ill Ire removed Fran premises• YC.S ND '.',zsnes n[ Owner of premises .4-~rQ .. Acklress ., flxnre rln. --- e t1-me of Arc]ritrcC .~//''rn.~.....II .. 0.. .I.~.,.D ..1. Mklress .... ... .-../ .............. [7xxr_ tio- rL^re of Ccm[rac.COr ..-~,!.~.d`VJ~~. y~.~!~4~~ kklress ...~~J~.~...G.-~'yl.~.......Ilxxre No. ~H~sbav.c~ Ts Lhis pmperl.;+ wi[Lin 300 feet of a ulal aetlarxl? * YFS .......... ~......... *IF Yrs, (acxmlcxn 7IEJN 7Rl1SRTS er;lrlrr rely I+ra RelplRfD. 1'1.0'1' DiAGItAM 7.~.~..-~.°. ~Y. 7..6.E-3°Srs l.cx:ale clearly mxl distinctly all lxrildirgs, wlretlrer existing or proposed, arx) indicate all. sec-Irac:k dirrensions frrnr prr>(rerty lines. Give street arcl block ani~er or cescription according to deed, and rJrow street hares aril irxlicate r~l x^(Irer interior or comer lot. SI'A'llt (A' laid YIAUC, ~' SS (IAINIY fA' .:. .~~7: .e7. ~. )rte.'.... ....._~-. L.i Y-4 .......... ..... ~1.~-C .~..............Ireing duly sworn, de(x~ses arxl says thaC he is lire algd icant. (Hare oC irxlivichral signing cemtr.~c!t) alxrve ruarrxl, ~l le is Ure ..................... ~.Yi. Lt, N~.r .................---.......----......----........-...........-- /l ((kmtrac tor, agent, cor~rrate officer, etc.) of said cxarer or cxnrrs, arxl is tidy mdhor i>rxl fo Ixu form or have Ixir fornxsl Lhe said work aril to nmke aril file this :qqd icaCirn , Urat all statarenls cartairxrl in lh is al>Id icaCiar are tme Co the IresC of his krxrwl edlre vxl Ixi lief; arxl Ural the work will Ire perfornerl in the rmnrrer sec forUr in the alrpl.icaticm filed Urerewith. Sworn to Ire fore nr Ihis ..----~•~~. ~1.....day of ~.,P.LC':1~~P(..19~.~-- V , Nol ary ILblic~~~'4~ E~lZABEfH ANN NEVILLE Notarryy Public, State of Kew York No. 52-81 es Octobeff31,19~ Term FxP (Sigr unl ure of Algd icon - .~ ..g~, ": ~ I :4'. ~7°°'0'30 "~. i :34 +~ i, <fie ~/ ~~ - ~ ; r ao. ~ ~ 6'y ,'\ ~ ~ ~ i s / ~ ,,~~ r~ ---- ----'' - i . .+ •+ 9 a r. tL, I ~ 41~.. I~p' - K s ~~ ~ ~ . ~ ~ ~~ A ~ygs try we'' _. A-... ~ o `50 `~ .~ i f -- ~ i .~ t -.: '~ J ~Ia'` c ~;' ~, ,.~, ,:. . ~ yi Z • s 1~• _ ' ~ } ~ ~ G9 n ~ nar ~ i ~'Q' .4e1. _ ~ ~ ~ ~. ~ , ,yon; t ~' ~ , 1 ,.ice, ~~? 0 ~ _ . __ ~ ~ s~al~ e ~ , ,, a ~ ~ ~~ WATRER .~ ~ ~ ~ 7 .• (~g .~ ~ h ~ A r^e n : z o, 16 0 :.p. f t. U l~i~ ~ o = tripe / ~~ ' _ _..._ S. 97 ' Sa • 3 G' •' ~. ~ ! B O. O ! -~ ~, 3 ~9 - ,____ ,. ~ N i.'_ '~ ~' ~S(~FlOLK COUNTY DBlARTMlBNTOP I~ALTH 8iRVICEB ~i1LLID'1' l~OR A!lROVA(, 01 CONdi'1tUC110N UOR A SD~iGLL 1tAFOLY R~ENCE ONLY DAr~P ~ _y6 g AtPItOVED °+~+~rrwarrs OF~ ~~ ,- swiss r~ee Ysnxa ~ DATe OF ArAtovAt f9~ q ~ - ~.o ~a . ~, - _-._~ OIOHInno .,. ... r ,v'ots: (~(~erq h1~•ir:q we.! a ~pt,c 1CCa^FrorrS ort~s rf~bUA'a•Y !x/ owrtar. i 1 u~ N , aI ~~~jne(i - ~~ nom'-- wsNs rea. 2G,gU ~. `' 'r' '¢ ~ r . ,.. . '::..-~:lv. •_~ ~"' QTY! ..`~a - - _ _ -- .SU flCal.E: Caurr~:~r' ,~iiad Mai' Na. ~f.'8l~ ,~ , .a 7` ~'~'c:.~ric, N. Y. .svk+~~YEa~ ,~0,+2 Amefnded ~.19E1° Au~. z9, r996 LICENSED LANG fUM! GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. AM1tOVAL H. s. NO. A1'1D SEWAGE DI~OSAL SYSTEMS MUST EW STANDARDS DASD irOYE111B8.R 13,19f3. STATEMENT OF INTENT THE WATER SLIMLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF TH'E SUFFOLK CO. DEPT. OF HEALTH SERVICES. ~.r1) AMLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S. REF. NO.: AMROVED: SUFFOLK CO. TAX MAP DESIGNAT{ON: DIST. SECT. BLOCK PCL. 1000 7~¢ Z ?:'./,, ~~';j• ° r,~'S ,ylidd/e fond PG CO rr~'G, .~~. Y. rt9S8 rte!. ~6.s--~S9 DEEP: L. ~l~A P. "P 4MWBapMM.+ew.r.aety to Mn survey b a NaatNn d ?xtron ]208 0l Me New Vakltr,. '•. Y.ILEIAn Idw o^res a this survey mep aNberYN .... surveyors m.ee sw or ---~s.~tl aea snee na a wnet0..d ~o o valitl tme Copy. ~e5~e r;,,.a.a-;oos in0ieateehemon eMrrt~a w~~f tc tna person br.mom er cavay ~i~~d ac-c?'relan0onhbOehaCtOM ' tnc o ny pcvemmnaal eperpd e bnC ~p ....c .Jn liY.etl lMtrap tlld r Tr Q1.71 1 // to the .. s::pnecs cl Nelentlbp betl• wticu. GUaanteesare rrol bemMWe b atl~i[unal Institutions OriYbleglNfl( .erwra ~~ ~~ r "_,~", s~aprr war ~ .. ___ ,___ c ~~~ ~3- ~ `~$~ °a. OJT ( O~ ~\~V V ~~~ O ' ~ %; ~, ~ ~r ~a. c ~ °'~C ~ O / ~~ l~~~ C ~~ ,~O ~O b1• yir3 a '~"~ ~ C\ `~ `f' ~ \ TO WELL \i To cESS'' ~ ti 197.'= ~~. Q9t~Q / f~ ~~ ~' ~,~* R V o,~ ~~ p`~~ti ~0 i i ~ yej i c *Y~ 0,1,c o o; OG~~~~ :~. 9Titip°'F s~ 9Q ~~O ~ T ~ 9- ~~OO gg~~O X20 909ti O`~O.i `9' ~c I\ ~~ ~O~•~ co ~~~L qT c S-t ti ~;_ ~ LOT O1 ~J \J). \~> \" ~b / ~ l e ~ 66~ 7~ r?O a~d~ O~ `~~~ ;'o $ ~~ h0 ~,~. 5 ti ~~ o~J ~ O-, ?~ ~~y\ O O O~ ti f~if 9~' *~°~~ J N 82.42'00" W 34.40' \ ~J ~9 ("~~ ~a S~ ~~y O- '1'c .5~ ~o s `!/ ~~ DO sue. G~ /~ ~i AREA = 20,160.00 sq. ft. 0.463 ac. "1R 2~ ~ i SURVEY OF '`~` LOT 1 ~--- -_ --- - MAP OF ,,: -~:, - -~,.;, =,:~~`~;,-.,o~D PECONIC HOMES FILE No. 4181 FILED OCTOBER 14, 1964 SITUATED AT PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-74-02-37.2 SCALE 1"=30' NOVEMBER 13, 2002 MARCH 5, 2003 ADDED SURROUNDING PROPERTIES WELLS k CESSPOOLS 95 \ ~~y NOTE: 1. PROPOSED WELL AND CESSPOOL LOCATIONS. AND SURROUNDING WELL AND CESSPOOL LOCATIONS ARE AS SHOWN ON SURVEY PREPARED BY RODERICK VAN TUYL REVISED AUGUST 29, 1996 AND APPROVED BY THE S.C.D.H.S. ON SEPTEMBER 9, 1996 REFERENCE No. R10-96-0063. 2. CURRENT S.C.D.H.S. REFERENCE No. R10-03-0012. SUFFOLiS COUNTY BEPA.dtTMENT OF d'WALTH SERVICES I pERMPT FOR A'aPd3.0w'.~d.OF27f?A'STRLCTdON FOR A ~SPdE",d.E FAi,?Fd.~' L;f~'~''.:r."G~ d;NLY ' DATE l -E~ E~EF G.. ~© ~j _OfJ 1 APPROVED ~_,_ -- -,..;y-~ FOIL IdiAXLti4U:vl ~~F ~ BT ' MS `-=' r.. EXPIRES 7'kiRE& YEARS FROM DA3L OF APPROVAL ~. PREPARED IN AC STANDARDS FOR BY THE LIA.LS. FOR SUCH USE ~gOEfATIC ~, - - WITH TML MINIMUM EYS AS ESTABLISHED - NEW ;;y :~.. 4~°~~ ~ti~ ,~~ ~ti~ ~°~. v UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCAPON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFCATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEI' 5 PREPARED. AND ON MIS ~WLLF TO THE TRLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUPON. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. I ANO, AOOPL~D )RK TTATE LAND C•~~- ' -_ Joseph A. Ingegno Land Surveyor Title Surveys -Subdivisions - Site Plans - Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 1380 ROANOKE AVENUE P,O. Box 1931 RIVERHEAD, New York 11901 Riverheatl, New York 11901 -0965 a ~ ~~ ~ SURVEY 'OF LOT 1 AlAP OF PECONIC HOMES FILE Ne. 41>!1 FILED OCTOBER 14, 1964 SITUATED AT PECONIC TOWN OF SOUTHOID SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-74-02-37.2 SCALE 1'=30' NOYEM~R 13, 2002 MARCH 5, 2003 ADDED SURROIA~DING PROPERTIES WELLS g CESSPOOLS MAY 12. 2004 UPDATE SIIR'VEY AREA = 20,160.00 aq. ft. 0.463 ac. _._ __--- t-,. _ ~ L i `;~Y 19 2004 t! ,i ~----- - _ _ - -__.i r: - T 1'~~:~ :;COLD ~,,~~..~ ~E'RTIFIED T0: FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK ULSTER SAVINGS BANK, IT'S ASSIGNS AND/OR SUCCESSORS CHARLES HYDELL CAROL HYDELL ~T., ^~ r ,~~a~ nil PREPARED IN ACCORDANCE WfRt T STANDARDS FOR 11RE. SURVEYS AS BY THE LJAlS. ANf1 MPRMED N FOR SUCH USE 8f THE NEW YORK TITLE ASSOClAl10N. / A. ~gegno /o~~ ~~ lob ~ LLSTED HEREON. AND ac THE EENDRIG MKTI- 1R5 ARE NOT TRANSFERABLE. THE EXISTENCE OF RN#ifs OF war AND/OR FJSEMENTS OF RECORD. IF ANY. NOT SHOWN ARE NOf GUARANTEED. Title Sumys -Subdivisions - Site Pons - Construction Lgout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOGTED AT MALLRJC ADDRESS 322 ROAlgKE AVENUE P,o. Box 1931 RhERHEAO, Ner York 11901 Riverhead. New York 11901-0965 O ~O 3~ y0~ ~~v ~~ O~ ~~ GY ~~~ ~~ ~~ O ~~.~ ~e@ .a~G~ 1 ~! ~~e ~~. y 1 J~ oGGSF o'Pt QL Y''•nP9 '~'y"~~ ,~ ~ ~ \3 ~ ,~ ~ .~~- ~~O ~~ N 4~ 09. COs ~+O 9,~ a `r ~'~`o Tl~~ ~'p{.'t, 0 09~ •,y~ O•, ~o F . SURVEY OF LOT 1 M,4P OF ~~,.; ,;'~`~P~CDNIC HOMES FILE No. 4181. FILED OCTOBER 14, 1964 ;.~,, ,~.~~P'1`PIATED AT ""' ~ PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-74-02-37.2 SCALE 1"=30' NOVEMBER 13, 2002 MARCH 5, 2003 ADDED SURROUNDING PROPERTIES WELLS & CESSPOOLS MAY 12, 2004 UPDATE SURVEY DECEMBER 28, 2005 FlNAL SURVEY AUGUST 10, 2007 SHOW SHED REMOVED LOT O1 ~ ~y ~ / ~?~ ~~'19 ~. Oe~Qy J AREA = 20,160.00 sq. ft. 0.463 ac. CERTIFIED T0: FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK ULSTER SAVINGS BANK, IT'S ASSIGNS AND/OR SUCCESSORS CHARLES HYDELL CAROL HYDELL O v ~ ~ _ PREPARED IN ACCORDANCE WffH THE MINIMUM " .+:X ~OUM'IY (i, ,^ STANDARDS FOR TITLE SURVEYS AS ESTABLISHED yQ~ ~~ F ~ F{L'u.'/b{ BY THE LIA.LS. AND APPROVED AND ADOPIID a~ ;;, ; ~ p, OF a,, ~ ,~~~ FOR SUCH USE BY THE NEW YORK STATE LAND ~~ ~ TIRE ASSOCIATION. 7 As1A,GLtiAw..i.Y-7ESI0Ena:'~ gar Y 1 2 2008 M ^w n.•.MY18 'JI-.;r, ;,- n r Rl',. ~ ,: ~..r ..~ ~.. ~~~ fl`,~F ~ \, _f ~', N'ty;:. ~ "~...r~c*.. Rae. ~.3prl ~ ~ "~~; \ ~''KL."-:>:ir1 an ,n• :aAli. r rS ['.~, li » aa,istacter FOR ~ Rro , 'm°'rna~,,yya a ~ ~P',rv7.~„ iLQ b:.W :;, ~ ~ ~ `` ~ Welter ~. FlAberl, Q.E.. [1,\ .~, ~ .r ~~`~ 01 WBudWBeB/ 1~MMgerTLent ~~<~,'\ Snn^ .f,C~~ f N.Y.S. Lic. No. (~ ~ r ;f •' UNAUTHORIZED ALTERATION OR ADDIRON ~a~T' TO THIS SURVEY IS A VIOlAT10N OF Nathan ^ MR ~ •\or~l~~l SECTION 7209 OF THE NEW YORK STATE Q ` `j ^\/_ EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. ~('~ CERTIFlCATIONS INDICATED HEREON SHALL RUN ONLY 70 THE PERSON FOR WHOM THE SURVEY O L' IS PREPARED, AND ON HIS BEHPLF TO THE Title Surreys -Subdivisions - Site Plans - Construction LI TfiLE COMPANY, GOVERNMENTAL AGENCY AND N 82~ LENDING INSTffUTION LISTED HEREON, AND 42'00^ 1y ~~` TO THE ASSIGNEES OF 7HE LENDING INSTI- PHONE (631)727-2090 FOX (631)727-1; 34.40' ~ Y N9, TURON. CETiTIFlCATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRES . ~~~ `CR . AND/OR EASEMENTS OF RECORD, IF 322 Roanoke Avenue P.O. Baz 1931 ANY, NOT SHOWN ARE NO7 GUARANTEED. Riverhead, New York 11901 Riverhead, New York 11'. tn~ 9~ `~ ,~~ lc .n \ . ~O' ~ ~ r~~ ~9- O~ ~~0 ~J ~J~. \ \ ,/