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Home My WebLink About12298-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No....Z.I.I. 8..6.8 ........ Date ............ .A.u.g..u.s.t. ?.4 ..........19 .8.3. THIS CERTIFIES that the building ... a.ttaeh.ed, ou.tdoor..deck .................... Location of Property .... ]~ 82.5. ............... .G.u. 1.1...P.o.n.d...L.,.qe. .......... G.r..e.e.n.p.o..r.t.. House No. Street Ham/et County Tax Map No. 1000 Section .... 3..5 ......Block ...... 4. ........ Lot ....... ,I.5, ......~ Subdivision... ?.o.r. ,d,h.a,m...A.c.r,e..s...S.9 .cC..' ,I. ,Filed Map No.. 3.5.I..9. ,Lot No ..... .I.7. ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated February. I7 19 .83pursuant to which Building Permit No. I2298Z dated May 6 19 83 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 ......... ... p.e.e.x...a.a.~.% .e.~p.n..o..n?.o., .e.x3.s.e. ~.nS..a..~.e33.~..n.%., .. .............................. The certificate is issued to GENE KESSLER & WIFE ..................... AY.'.;', 't~~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ................ ~./.R ................. . ...... UNDERWRITERS CERTIFICATE NO. N/R Rev. 1/81 Building Inspector TOWN OF SOUTHO~D BUILDING DEPAR?M~N~ TOWN*HALLI SOUTHOLD, N. Y.' BUILDING PERMi11 (THIS PERMIT MUST BE KEpT ON THE PREMISES COMPLETION OF THE WORK AUTHORIZED) ii: N.° 1~2B8 Z p~rmi$$ion i$ hereby granted to: Date UNTIL~ULL · .......... at premise* located at ............... County Tox Map No. 1000 Section ........... ......~.d~ Bh purs~uant tO application dated Building I~spector. ~ee $ ...... ~.~ .......... approved by the ?llldingi !nSpectoF, FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses'. - 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C., Fees: 1. Certificate of occupancy~"--~ *~" ~($5.0~0~,) 2. Certificate of occupancy on pre-existing dwelling 16r land use 3. Copv of certificate of occupancy $1.00 Date ....... New Building . ,,~,q~: ...... Old or Pre-existing BuildingC~) ......... ,~ tVacant Land ....... Location of Property ........ C ................................ Owner or Owners of Property . ~.,.~. ~Jt. . ~~ ....................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./..'~..~, ¢?... Date of Permit .~,/~/,.~.~..Applicant ..................... Health Dept. Approval ..... .~, ~"2-, ............ Labor Dept. Approval .... .~, ,-,/~'.. .............. Underwriters Approval ................. Planning Board Approval ........... Request for Temporary Certificate ..................... Final Certificate ,.. Fee ~ubmitted $ .... .~'~.,... ,~¢-~. ............... / Construction on above described building and perm'~s itc aPB~/cable_,codes and regulations. Applicant .... ,..,,, ........................... . .... FIELD~ INSPECTION FOUNDATION (1st) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION STATE ?DE FINAL PER N. ENERGY ADDITIONAL COMMENT______~S: NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION PERMIT 'PERMIT NO. 10-83-03 56 S/78 UNDER THE ENVIRONM?j~TAL CONSERVATION LAW Ai~'l CLE 15, J~ ARTICLE (Protection of Water) ~J ARTICLE 25, (Tidal Wetlands) 24, (Freshwater Wetlands) L-J ARTICLE 36, (Construction in Flood Hazard Areas) PERMIT ISSUED TO GENE KESSLER BY ~ALTER GAIPA 201 Gull Pond Lane, Gr~enport, N. Y. 1194~ 201 Gull Pond Lane, Gull Pond, Greenport, Town of Southold, Suffolk Construct an 21' x 28' deck and attach to existing house. Deck will be approximately 78' landward of the bulkhead. COMMUNITY NAME (City, Town, Village) ITOWN Gre enpo rt[ Sour hold COUNTY FIA COMMUNITY NO. DAM NO. PE??~E..XFJ%/,,T,ON DATE Suffolk ~/3£/~4 GENERAL CONDITIONS 1, The permittee shall file in the office of the appropriate Regional Permit Administrator, a notice of intention to commence work at least 4~ hours in advance of the time of commencement and shall also notify him promptly in writing of the completion of the work. 2. The permitted work shall be subject to inspection by an authorized representative of the Department of Environmental Conservation who may 8, That the State of New York shall in no case be liable for any damage project. 95-~0-4 i9/75) (SEE RI~VERSE SIDE) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Building 40, State University of New York Stony Brook, New York 11794 516-751-7900 April 28, 198~ Walter Gaipa P. O. Box 247 East Marion, N. Y. 11939 Gene Kessler Re: 10-83-0356 Dear Sir: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing Regulations (6NYCRR Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any condi- tions, please contact the Regional Regulatory Affairs Office, NYS Department of Environmental Conservation, State University of New York at Stony Brook, Building 40, Stony Brook, New York 11794. Also enclosed is a permit sign which you are to conspicuously post at the project site, protected from the weather. very truly.yo~,~ ~l:nl aJ1 ~f~tinAdminis t rat o r UJL: 11 Enel$. SUPPL~EI~T^P3£ SPECIAL CO~3ITIONS The following conditions apply to all permits: A. If any of the permit conditions are unclear, the permittee shall contact the Division of ~e§ulatory Affairs at the address and telephone noted below. B. A copy of this permit or approval and supplementary conditions shall he availa~,le at the project site whenever authorized work is in proKress. C. The permit si~n enclosed with the permit or a copy of approval letter shall be p~otected from the weather end posted in a ¢onapicious location at the work site until completion of authorized work. D. At least 48 hours prior to commencement of the project, the permittee shall complete and retur~ the top portion of the enclosed receipt form certifying that he is fully aware of and understands all provisions and conditions of this permit. ~ithin one week of completion of the permitted ~ork the bottom portion of that form shall also be completed and returned. E. For projects involvin§ activities to he accomplished over a period or more than one year, the perm~ttee shat1 notify the ~eKional Permit Ad~linlstrator in writing at least ~8 hours to the commencement of resumption of work each year. F. If pro~ect design modifications take place after permit issuance, the permit- tee shall submit the appropriate plan chan§es for approval by the Regional Permit Administrator prior to undertakinK any such modlficatto~s. The permittee is advised that substantial modification may require submission of a new application for permit. G. Ail necessary precautions shall be take~ to preclude contamination of any wetlands or waterway by suspended soltds~ sediment, fuels, solvents~ lubric- auts~ epoxy coatinZs, paints~ concrete, leachate or any other environmental- ly deleterious nmterials associated with the project work. Any failure to comply precisely with all of the terms an~cOnditions of this permit, unless authorized Tn writln~, shall be treated as a violation of the Environmental Conservation Law. I. The permittee is advised to obtain any permits or approvals that nay be re- quired from the U.S. Department of Army Corps of Engineers, New York District, ~6 Federal Plaza, New York, ~IY 10007, (Attention Regulatory Functions Branch), prior to com~encing work authorized herein. J. The Mranting of this permit does not relieve the permittee of the responsib- ility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Buildfu~, Empire State Plaza, Albany, .NY 12242, which may be required for any encroach- ment upon State-owned lauda under water. Regional Permit Administrator ~7fS Department of Environmental Conservation BldK. 40, S~--Room 219 Stony Brook, l'~ 11794 (516) 751-7900 · he follo~ing con~itions,shall apply if'checked as. applicable by the - ,.Regional Permit Ad~Lnistretor: All dredgin; shall be conducted so as to leave a uni~ozmbottOm elevation free of ~ounds or holes. L. A~l spoi% ~aterial shall be disposed of either in the Atlan~c Ocean or .at an appr~ed U.S. Covermnent I~mp~ng Ground, as directed by the D~strict Engineer, UoSo Depart~ent of the Bns~nee~. ~y spo~l ~ter~ not ~ntended for s~h ~ater posal s~ll be r~d fr~ the s~te and disused of at an approved upl~4 s~te. '~. ~1 f~ll~and"~il~ter~l be su~bly--~nt~ned aC the ~o~k g~e so as to p~at its e~di~, leach~t or others '~rint ~-,~la~t~t~nds~d wats~ays. ,., N., All peripheral, rip-rap betas, cofferdams, rock revetments, .gabiona, bulkheads, etc, shall be completed prior to placement of any fill material ibehind such structures. Oo,,,.Ai~-repairs-to existing structures shall be confined' to replacement. of-existing s~cructural, elementswith no thanes in,.,desi~n..-dimenst~n. or mater~aJ~, un,ess spec£fically.authorized,herein. ~.__~_P._..The 'following Water quality Certification ehall'~apply-if':required','._ by one or more agencies of the United States'G over.eot and if. '~-....~-checked as, 'applicable by the Re~tonal Permit Administ~a~or8':" In-accor~auce~rlth.$ection,401(a)(1) of the Clean.~a~er~Act--of ....... 1977 (PL!95-217) the Ne~ York State Department of Environmental ., .,.-Conservation'hereby'certifies that the. subject proJec~.p~oposa~'~ill '""' ' not contravene ,effluent limitations or othe~l!~tions~o~-s~-nd~,,rcts~'~ --..,-..undar-Sectiens..3Ol~ 302, 303, 306 or 307 or the Act. Date:_M~r'. 31.. 1983 Re§~on No.: I Applicanl: Office: Reg. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION UNIFORM PROCEDURES ACT Receipt No.U 4-33388 Aff. Stony Brook, N. Y. Gene Kessler,/~atter Gaipa Amount: $ 10.00 Application Identification No.: 10-83-0356 Permit Type: TW Daniel J. L~r..k:$~ ~/j..,~/,. ~d;* $ DEPARTMENT RE~PR~SEN¥~"~2 ~t¢~;"¢~¢*~ Reg. Per. k~in.v Check ~ Money Order Check or M.D. No.: 828 32-14-13 (9/77) TITLE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT ;~ TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-180:~ Disapproved a/c . . ,./~. ............................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely f'flled in by typewriter or in ink and submitted to the Buildi~ Inspector, with sets of plans, accurate plot phn to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationslfip 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 Buildlmg Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. ~uch pemfit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildin8 Depa~huent 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, u het~in described. The applicant .s.g~..ees to comply with all app. licable laws, ordinances, buildina code, hous/ng,gbde, and regulations, and to admit authorized inspectors on premises and m building for necessary (Sig/~iure of applicant/or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~'.~.~,.. ~.(~'A/E'... ~(,d..~--. .... .~.....(~..~.. .......................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... .~.~ .-~. ............... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .... ......... .................. Street Hamlet County Tax Map No. 1000 Section ~' Block ~ Lot.. /.~". Subdivision. ~-~r~y.a~..~..~/.e_~.q, .~e.~..: ./. ....... Filed Map No..-~.-~./..~. ...... Lot.~/.'~ .......... (Name) 2. State existing use and occupancy of p/l.~mises and intended use and occupancy of proposed eunstrucfion: a. Existing use and occuRancy ...............~ W'.~m~t~.... .,~CJT.4a.~.~..a.~. .................................... b. Intended use and occupancy .. ,,q..z.~.z'r-~l.~....eP,47.OI~'.,~....g).~..~ ............... · ................... 3. Nature of work (check which applicable): New Building ........ '.. Addition....b~. ..... Alteration .... ....... Repair ............. ./]Removal .... ' ........... Demolition .............. Other Work... ~ .... .~..,... ~f -, , -'~ ~ '-'o~:~ (DescripfioO 4. Estimated Cost ....... q....,~....O-~Q... ?..02~.. ............... Fee .~.. ~..~.. ~ ......................... (to be paid on filing this application) 5.' If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ..... ! ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ..... 7. iq..: ..... Rear .... '~..O. r Depth ..2:,~. :. Height . .............. Number of Stories ....... ~.C., ............................................ Dimansions of same structure with alterations or additions: Front .... ~.O .......... Rear ...7.0 ............. Depth ...... .~../. .......... :.. Height ...................... Number of Stories. ~:~ ~.. ............... 8. Dimensions of entire new construction: Front .... ?~../. ....... Rear . .~ / .......... Depth . mO(~' .......... Height ...qr../ ......... Number of Stories ........ 7.~.. ~ ............................... 9. Size of lot: Front .... /tirO..Q ........... Rear .... /.d'~ f. ........... Depth . .~.:~g)~../ ....... 10. Date of Purchase ........... .................. Name of Forrner Owner ~..~,,. ~.7-~xs~.../Y,~y/la-C. ....... I 1. Zone or use district in which pr~mises are situated ..................................................... ' V 12. Does proposed construction violate any zoning law, ordinance or regulation: .../.. 0 ....................... 13. Will lot be regraded ...... .~t/0. ..... Will excess fill be removed from premises: Yes 1 4. Name of Owner of premlses/4~,'~ ~'~2/C/(~.~.~ iA. . Address q~.o./. ~'o¢c j~o~u~.~t~..~.~. Phone No. ¢.7. .7 .~.. ......... Name of Architect . .' ....... :i ................. Address ................... Phone No ................ Name of Contractor ~tT~'A. ~..~/.'f.~...~,.,,g.t.)q'~.~... Address ~e:Z2.~d,~ .7'.~.~. ~/t~/t/.~Phone No. ~.~.q.w d~¢~..~.. PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block pumber or description according to deed, and show street names and indicate whether interior or corner lot. / STATE OF Nt~O,P~ ~,~ ..... '~' '~?~ff-~' 'r '~ .............. being duly sworn, deposes and says that he is the applicant (Name of ini~fi~idual signinrg contract) above named. ----("// (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly'['au-thorized taq:~ffo~m or have performed the said work and to make and file this application; that all statements contain'ed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne~ set forth in the application filed therewith. Sworn to before me this ~' ~o>~~o~.u~,or~/'''' ~-----,'~. (Signature of applicant) AS NOTIFy~ U'LDING 765-1802 p AM POLLo 0 4 PM WING I L FOUNDA~PEC~IONs: ~ FOR POUo~ ~' ROUGH _ ~' INSULA~IO~~MING & 4. FINAL _ CON'STRumTiON ALL CoNqm~',m>' OR C. 0 ' ", DESIGN ~q CONSTRuCtiON ERR~o~~