HomeMy WebLinkAbout12899-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z13884 Date September 26 .,19.8.5.
THIS CERTIFIES that the building .. one-family dwelling.
LocationofProperty~4855 Stillwater Ave. Cutchogue
s . Street Hem/et
County Tax Map No. 1000 Section ....... 1,3.7...Block .... 3 .Lot 8.3
Subdivision × ...Filed Map No. × .Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
F e b r u a r y ~ 6 19 .8 6. pursuant to which Building Permit No. 1 2 8 9 9 Z
dated March 3 19 8~ , 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 .........
Private one-family dwelling.
The certificate is issued to JOHN & CHRISTINE CARACCIA
..................... ......................
of the aforesaid building.
Suffolk County Department of Health Approval ............... ! .3.- S O- 1 6 4
UNDERWRITERS CERTIFICATE NO .... N 6 7 8 8 0 9
Building Inspector
Rev. 1/81
l~W~v NO. :6
TOWN OF $OUTHOLD
~ILDING DI~PARTMI~HT
50~T~OkD, ~. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
12899 Z
Permission is hereby granted to:
.......... ~. ~/v.~..~ '.i C/~7~-.... 6Pz~...~. ~e/~
........... /..~.~. ~..... '~-. ................
to ............... ~ ...... ~.~. .................................... /~ .............
.../....
o, premises ,ocotod o, ...~..~....'~.~ ........... ~.~...m/..~..~ ....... ~.~ .~g~..~.~ ........................
County Tax Map No. 1000 Section ..... ~...?.....,~.. ............ BZock ....~/.:.~. ........ Lot No...~.~.~..'....~.....
pursuant to application dated ...~/s~'C~.¢c.:.:.:.:.:.:.:.:~.....~.. ......... /...~. ......... , 19.~..~., and approved by the
Building Inspector.
Fee $../.,..,~..~ ..
m I · or
Rev. 6/30/80
T~ISPF~TIONo~v,, DATE COMMENTS
FIELD
FOUNDATION ( 1
ROUGH FRAME
INSULATION PER N. Y.
STATE ENERGY ~
FINAL
ADDITIONAL COMMENTS:
FORM NO. 3
TOWN OFSOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'SOFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................
To. Of~.~... ~. ~:e.,/~ .........
·..: .~....Z.;~.~. Z',~. ~ ...........
,o~,,~o~o,s,~...~:...:~,.~. :~~:~ .... ~ ........ a~
S~bdivision ..... :~ .~ ....... Filed Map So. ....... ¢. ...... .. Lot No. -
is returned herewith and disapp~0~_~ed.~on the following grounds ./~..~.. ~..~...' ......................... ~
Bmldmg Inspector
RV 1/80
f ~
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
PERMIT
~ PERMIT NO.
10--84-O027
UNDER THE ENVIRONMENTAL CONSERVATION LAW
ARTICLE 15, (Protection of Water) [] ARTICLE 25, (Tidal Wetlands)
ARTICLE 24, (Freshwater Wetlands) [] ARTICLE 36, (Construction in Flood Hazard Areas)
PERMIT ISSUED TO
John and Christine Caraccia
ADDRESS OF PERMITTEE
18 Linden Lane, Farmingville, NY 11738
LOCATION OF PROJECT (Section of slream, tidal wetland, dam, building) West side of Eugenes Creek off Stillwater Avenue,
approximately 500' from its intersection with Pequash Avenue.
DESCRIPTION OF PROJECT
Construct a one family dwelling and associated sanitary system a minimum of 75~ and 100'
respectively landward of the tidal wetlands boundary and install 8' X 10' floating dock with
a 25' X 4' catwalk a minimum of 3' above grade as per supplied plans.
JTOWN
Southold
PJA COMMUNITY NO. J DAM NO.
GENERAL CONDITIONS
COMMUNITY NAME (City, Town, Village)
Cutehogue
COUNTY
Suffolk
1. The permittee shall file in the office of the appropriate Regional
Permit Administrator, a notice of intention to commence work at least 48
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 bp an authorized
representative of the Department of Environmental Conservation who may
order the work suspended if the public interest so requires.
3. As a condition of the issuance of this permit, the applicant has ac-
cepted expressly, by the execution of the application, the full legal respon-
sibility for ali damages, direct or indirect, of whatever nature, and by whom-
ever suffered, arising out of the project described herein and has agreed to
indemnify and save harmless the State from suits, actions, damages and
costs of every name and description resulting from the said project.
4. Any material dredged in the prosecution of the work herein permitted
shall be removed evenly, without leaving large refuse piles, ridges across the
bed of the waterway or flood plain or deep holes that may have a tendency to
cause injury to navigable channels or to the banks of the waterway.
5. Any material to be deposited or dumped under this permit, either in
the waterway or on shore above high-water mark, shall be deposited or dumped
at the locality shown on the drawing hereto attached, and, if so prescribed
thereon, within or behind a good and substantial bulkhead or bulkheads, such
as wi II prevent escape of the material into the waterway.
6. There shall be no unreasonable interference with navigation by the
work herein authorized.
~. That if future operations by the State of New York require an alteration
in the position of the structure or work herein authorized, or if, in the opinion
of the Department of Environmental Conservation it shall cause unreasonable
obstruction to the free navigation of said waters or floed.fl~w~ or endanger
the health, safety or welfare of the people of the State, or loss or'destruction
of the natural resources of the State, the owner may be ordered by the Depart-
ment to remove or alter the structural work, obstructions, or hazards caused
thereby without expense to the State; and if, upon the expiration or revocation
of this permit, the structure, fill~ excavation, or other modification of the
watercourse hereby authorized shall not be completed, the owners shall,
without expense to the State, and to such extent and in such time and manner
as the Department of Environmental Conservation may require, remove all or
any portion of the uncompleted structure or fill and restore to its former
condition the navigable and flood capacity of the watercourse. No claim shall
be made against the State of New York on account of any such removal or
alteration.
JPERMIT EXPIRATION DATE
March 31, 1985
8. That the State of New York shall in no case be liable for any damage
or injury to the structure or work herein authorized which may be caused by or
result from future operations undertaken by the State for the conservation or
improvement of navigation, or for other purposes, and no claim or right to
compensation shall accrue from any such damage.
9. That if the display of lights and signals on any work hereby authorized
is not otherwise provided for by law, such lights and signals as may be pre-
scribed by the United States Coast Guard shall be installed and mamtained
by and at the expense of the owner.
10. All work carried out under this permit shall be performed in accor-
dance with established engineering practice and in a workmanlike manner.
11. If granted under Articles 24 or 25, the Department reserves the right
to reconsider this approval at any time and after due notice and hearmg to
continue, rescind or modify this permit in such a manner as may be found to
be just and equitable. If upon the expiration or revocation of this permit, the
modification of the wetland hereby authorized has not been comp[eted~ the
applicant shall, without expense to the State, and to such extent and in such
time and manner as the Department of Environmental Conservation may require,
remove all or any portion of the uncompleted structure or fill and restore the
site to its former condition. No claim shall be made against the State of New
York on account of any such removal or alteration.
12. This permit shall not be construed as conveying to the applicant any
right to trespass upon the lands or interfere with the riparian rights of others
to perform the permitted work or as authorizing the impairment of any rights,
title or interest in real or personal property held or vested in a person not a
party to the permit.
13. The permittee is responsible for obtaining any other permits, ap-
provals, lands, easements and rights-of-way which may be required for this
project.
14. If granted under Article 36, this permit is granted solely on the basis
of the requirements of Article 36 of the Environmental Conservation Law and
Part 500 of 6 NYCRR (Construction in Flood Plain Areas having Special Flood
Hazards - Building Permits) and in no way signifies that the project will be
free from flooding.
1S. By acceptance of this permit the permittee agrees that the permit
is contingent upon strict compliance with the special conditions on the
reverse side.
~s-~o.4 (9/75)
(SEE REVERSE SIDE)
SPECIAL CONDITIONS
16. There is to be no dlstu~bance to vegetation or topography within 50' of the tidal wetland
boundary.
SEE ATTACHED CONDITIONS A - J
PE~IT ISSUE DATE
February 7, 1984
PERMIT ADMINISTRATOR ~ . /~ ~ J ADDRESS
Bldg. 40,'SUNY--Room 219
Stony Brook, NY 11794
Ce
SUPPLE~.~i~TA_P.Y SPECIAL COb~DITIONS
The following conditions apply to all permits:
If any of the permit conditions are unclear, the permittee shall contact
the Division of Regulatory Affairs at the address and telephone noted below.
A copy of this permit or approval and approved project plans and supplement-
ary conditions shall be available at the project site whenever authorized
work is in progress.
The permit sign enclosed with the permit or a copy of approval letter shall
be protected from the weather and posted in a conspicious location at the
work site until completion of authorized work.
At least 48 hours prior to cormaencement of the project, the pemnittee shall
complete and return the top portion of the enclosed receipt form certifying
that he is fully aware of and understands all provisions and conditions of
this permit. ~fithin one week of completion of the permitted work the
bottom portion of that form shall also be completed and returned.
For projects involving activities to be accomplished over a period or more
than one year, the permittee shall notify the Regional Permit Administrator
in writing at least 48 hours to the commencement of resumption of work each
year.
If project design modifications take place after permit issuance~ the
permittee shall submit the appropriate plan changes for approval by the
Regional Permit Administrator prior to undertaking any such modifications°
The permittee is advised that substantial modification may require submiss-
ion of a new application for permit.
Ail necessary precautions shall be taken to preclude contamination of any
wetlands or waterway by suspended solids, sediment, fuels, solvents,
lubricants, epoxy coating, paints, concrete, leachers or any other
environmentally deleterious materials associated with the project work.
Any failure to comply precisely with all of the terms and conditions of this
permit, unless authorized in writing, shall be treated as a violation of
the Environmental Conservation Law.
The permittse is advised to obtain any permits or approvals that may be
required from the U.So Department of A~ay Corps of Engineers, New York
District, 26 Federal Plaza~ New York ~ 10007, (Attention Regulatory
Functions Branch), prior to commencing work authorized herein.
The granting 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 Building,
Empire. State Plaza, Albany, I~f 12242, which may be required for any
encroachment upon State-owned lands under water.
Regional Permit Administrator
lqYS Department of Environmental Cons.
Bldg. 40~ SUI.Uf--Room 219
Stony Brook, NY 11794
(516) 751-7900
DEC # 10-84-0027
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL,: 765-1802
isapproved ......
................ ~'' :: ...... ' ' ' "' ' ~' (Bhilding Inspector) ;: '
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Received .......... ,19...
a. Tins application must be completely filled in by Wpewriter 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 tins appli-
cation.
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 issued a Building Permit to the applicant. Such 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 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 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~s.peftions~
6 v(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
Name of owner of premises ........................................................
(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.~-~} .~'~.. %.1 ............
Electrician's License No..~.J?~4.o~
Other Trade's License No ......................
1. Location of land on which proposed work will be done...~. ?.~..e%h 9~¢.~. .7..~.0/..t ~.o.k.~., 7 .~. ?.'~. 0./: ~..C.e~9¢ .....
House Number Street Hamlet
County Tax Map No. 1000 Section I 3 -~, 0 0 Block 0 ~ 0 0 Lot..0.0. ~ 7..o.o..3. ......
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of J~remises and intended use and occupancy of proposed construction:
a. Existing use and occupancyV,.~..~co~v~ ...........................................
b. Intended use and occupancy ................... ,,, ,,,. · ,~,.,.,......~ ................................
3. Nature of work (check which applicable): New Building ........ Addition ..... Alteration
Repair .............. Removal .............. Demolition ............ Other Work ...............
~ .~..~ ~ (Description)
4. Estimated Cost .......................... Fee .....................................
(to be paid on filing this application)
$ Ifd ill ' gi ' N b fd Iii
we ng, number ofdwelhn umts .............. um er o we ng units on each floor ...........
If garage, number of cars .... ~ ...................................................................
6. If business, commercial or mixecl occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
tteight Number of Stories
Dimensions of same structure ,~ith alterations or additions: Front ................. Rear ..................
Depth ................... i · · Height ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front .......... . .... Rear ............... Depth ...............
Height ............... Number of Stories ..................................... ,. ..................
9. Size of lot: Front .......... ~ ........... Rear ...................... Depth ......................
10. Date of Purchase .......... ~ .................. Name of Former Owner .............................
ll Zone or use .......
· &smct m winch premises are s~tuated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ......................
13. Will lot be regraded ...... r ~' · · r~ ............... Will exce~s ,fiji betTemoyed from premises: Y. es. No
14. Name of Owner of premises ~rr~..~' .o~5,.o~..c~-c. '.% .... Address I?. 9 .X'p a, Phone No,'7..~.~.z ~. ¥ ;,/;I .....
Name of Architect
Name of Contractor ........ i. ................. Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly alt buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and blockl number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEVd~FORK~---,-~ , I ~ S
....... .'N~.. ~.,~/[d... 0 .~Z. )'. !ZToz. O_~,C:-. 1.4:k_~.. ...... being duly sworn, deposes and says that he is the applicant
(Name of individual sig~ing contract)
above named·
He is the ............... t22~t,~m~c~. ............................................................
(Contractor, agent, corporate officer, etc.)
of said owner or o~,ners, and is du:ly 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 this
.... ' .....~..~..~..~. ..... day o
8__ . (Signature of applicani)
D