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HomeMy WebLinkAbout14162-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19960 Date ~ JUNE 7~ 1991 THIS CERTIFIES that the building. NEW DWELLING Location of Propert~ 330 SNUG HARBOR ROAD GREENPORT, N.Y... House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 5 Lot 31 Subdivision CLEAVES POINT Filed Map No. 4650 Lot No. 57 conforms substantially to the Application for Building Permit heretofore filed in this office dated__.JULY 26, 1985 pursuant to which Building Permit No. 14162-Z dated JULY 26, 1985. . __ 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 IYWELLING WITH ATTACHED GAPJIGE & PORCH. The certificate is issued to JOSEPH & NADELON DUGGAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 85-SO-08 - MAY 21, 1991 UNDERWRITERS CERTIFICATE NO. N-182440 - APRIL 9,. 1991 PLUMBERS CERTIFICATION DATED__May 5~ 1991 - VINCENT BORDASL Rev. 1/81 Buildin~Inspector 1~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJv~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14162 Z Pe~mission is hereby gronted to: ............. ~¢.,e..~.......z:2..~f.¢~. ................ ...... /..O..~/......~v~..~..~..~ ......... .... ~f~..~.~...~.?..~.z,z:.~.....zzwo ......... ~.o.~zz~...o..c.z:.......~.....~.~.~......,.-/m~.~.~%,'~ - ............................ premises Iocoted ot ..... .~....~...~-. ....... ~':~.~.~....~./'.~,~.(..~..~./~....Z,.~.~.O. ............................. .................................. ~ ............................................................... ~r ,. .- ~.,. ..-, ~,.C .................. CX'.-**~ , , z -~' ..~..?.:.. ~o z ~ .... .......................... ~:....:!..~..:~ ........................................................................ ~. ......... .Y.. ............. Co~nl¥ Tox MOp No. 1000 Section ....~...~....~.,Z .... Block ....~..~..-].. ....... Lot No..t~,...~. .......... purm~ont to application dat~:l ......................................................... 19 ......... and approved by the Building Inspector. ~ee ,..~Z.~? Rev. 6/30/80 Form No. 6 //$ BUILDINGTOWN OF DEPARTMENTSOUTHOLD TOWN HALL This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new bu±lding or new use: 1. Final survey of property with accurate location of all buildings, property iines, streets, and unusual natural or topographic £eatures. Final Approval from Health Dept. of: water supply and sewerage-disposal(S-9 form). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 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. For existing buildings (prior to April 9, 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 a 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occnpancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..~.~.Pz..!~ .......................... New. Construction.,. ~ ...... Old Or Pre-existing Building ................. Loc~tion of Property.. ~ .~O~g .~.q~. ~P.~ ............... ~.q~. ~. ~ ......... House No. Street Hamlet 0nwer or Owners of Property...~q~P~.~.~PD..P~q ................................ .. . County Tax Map No 1000, Section..0O~ ........ Block. 05 ..... Lot.. 031 .... i~t 4650 57 ~ub~ivision. ~9~ Po Fil ........................... ed ~ap ............ Lot ...................... 7n~7~A Appli Joseph Du~an Permit No..............14162 ..Date Of Permit ....... cant .................. {eallth Dept. Approval.. 85SO-08 · ~ N182440 ........................ Underwriters approve± ....................... ~lanning Board Approval ........................ [equ~st for: Temporary Certificate. Final Certicate.. X ;ubmitted: ~ 25.00 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~./~;t,:.:, .~ ,~ ~,, BUREAU OF ELECTRICFFY 85 JOHN STREET, NEW YORK, NEW YORK 10038 only the el~ctrlcal ~uipment ~ ~serib~ be~o~ e~ i~troduced by t~ applicant ~med on the a~ve application n~mber in the prorates of in thefotlowinglocatlon: ~ Basement ~ 1st Fl. ~ 2nd ~1, kAR/OIIT SectionO iS Bl~kt.:~ Lot [$1 u~s examined on ~P~ '[J'~ {} 1 ~ 'J 9 ~4} and found to be in contpllonce with the requirements ~f this Board. FIXTURE OUTLETS SWITCHES DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OTHER TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I OTHER APPARATUS: NO, OF HI.LEG C E GENEEAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentlals, COPY FOR BUILDING aANNERo FIELD FOUNDATION (~st) FOUNDATION 2. (2nd) }~OUGN FRAME & PLUMBING 'INSULATION PER N. Y. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OF[:ICE OF BUILDING IN~PECI'OR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 May 6, 1991 Mr. Joseph Duggan 1051 Van Buren Ave. Franklin Square, N.Y. llOlO TEL~;765-1802 To Whom This May Co~cern, We are unable to complete your Certificate of Occupancy because ~of the following reasons. /_//An application for Certificate Qf Occupancy is not on file. (ENCLOSED) ~;'e..~]]3 /i///NO Underwriters Certificate on.file, /F//Thc check is(~/not on fzle.) $25.00 -~3<c,5/]~ /~/~No Health Dept. Approval on file. /5/ No final ins.poetics has been made. Please contact our office on this matter. Thauk you for your cooperation. Building Permit ~ I 4 ~ 6 2 Z Buildinq Dept. ***/--//No Plumber Solder Certificate on ( all permits involving plumbing being issued after April 1,1984 ) NEED 2ND SUR~/EY S~OWING SET BACKS OF FOUNDATION. DYNATRON MECHANICAL CON'i~CTING MORICHES, N. Y. 11955 (516) 878-9136 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT ToWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL ~te...~,~...~.~. ......... ,l~ .~ PLEASE TAKE/NOTICE that your application dated ....... r/eM ~: ~./..../. ....... 19~...~.- for~n~o ~ .... ~..~~.~ .............................. ~ ~o~o~ o~ e~o~,~. ~ ~ .... ~¢./~<~.a. ~ .......... ¢~/~ ~.T House No, Street Hamlet County Tax Mar No. 1000 Section ... ~.~.~ .... Block ...~. ~ ...... Lot .. ~.$.:~ ...... ~,~,o~ ~/~.~,~' ,~'~,e~ ~ ~o...SC X~ ....... ~o, ~o.. >Z7 ........... is returned txerewith and disapproved on the following grounds..~. ~t~(9~..~-~ F; .... ~~./~x~i:,~..~. ~'x f...,~.c, x~... ~%7, .~. ~. [? .~. . ~ ~ ..... ~. ~ ...... ~ ~ ...... ~. . z~, ~ ..... .~. . . . :~ ~.~.~~,.~'. . ~. ........................................ Building Inspector RV 1/80 ~EW YORK STATE DEPARTMENT OF ENVIRO~I~NT~L COI~SERVATION Building 40, State University of New York Stony Brock, New York 11794 January 31, 1984 Mr. Joseph Duggan 1051 Van Bu~en Avenue Franklin Square, NY 11010 RE: 10-83-0256 Dear Mr. Duggan: In conformance with the requirememts of the State Uniform Procedures Act (Article 70, ECL) am.d it~ impl.eme~xt~g Regulatio%~a (6NYCRR Part 621) we are enclosing your permit. Please read all conditions carefully. If you are ~able to comply with any condi- tions, please contact the Regional Regulatory Affairs Office, }~fS Department of Environmental Conservation, State University of New York at Stony Brook, Building ~0, Stony Brook, New York 1179~. Also enclosed is a permit sign which you are to conspicuously pose at the project site, protected from the weather. naniel J ,/Tmrki Regional PVermit Admtitist rator DJL: 11 PERMIT t PEgMIT NO. 10-83-0256' ARTICLE 15, (Protection of Water) [] ARTICLE 25~ (Tidal Wetlands) PERMIT ISSUED TO Joseph Duggan ADDreSS of PERM~r~EE 1051 Van Buren Avenue, Franklin Square, NY 11010 LOCATION OF PROJECT (Section of stream, tidal wetland, dam, building) Dawn Canal, Snug Harbor Road DE$CmPI~ONOEPROJECT Construct 80-+' of timber bulkhead in line with ~g bul--~-~-~d to the south and connectin_~_ to a 15~ X 20' boat ramp that will be cut 5' from north property line. IApproXimately 50 -~ubi~-y~r~o~- ~i-ea~ ~i-a-~-'sand to be u~e~-o~--~-c~-il~~ --Dr~-~ a~x- limate 15' X 15' area in front of ramp to a depth of 6' at mean low water. The resultant 20 cubic yards of spoil to be deposited in a suitable upland site. A ~ catwalk is to ~xtend from bulkhead at center of property and connect to two (2) 10' X 20' floats (*OVER*) :OMMUNITY NAME (CRy, Town, Village) TOWN East Marion Southold :OUNTY JFIA COMJ~UNITY NO. DAM NO. ] PERMIT EXPIRATION DATE Suffolk J j March 31, 1985 GENERAl, CONOITION$ 1. 1he permittee shall file in the office of the appropriate Regional ~rmit AdministratoD a notice of intention to commence work at least 4~ mrs in advance of the time of commencement and shah also notify him omptly in writing of the completion of the work. 2. The permitted v.~rk shall be subject to inspection by an authorized presentative of the Department of Environmental Conservation who may der the work suspended if the public interest so requires. $. As a cor~ilion of the issuance of th~s permit, the applicant has ac- cepted expressly, by the execution of the application, the full legal respon- sibility for all damages, direct or indirecb of whatever nature, and by whorr~ b~d of the waterway or flood plain or deep holes that may have a tendency to ob~trucfion to the free navigation of said waters or flood Jfow~; ~or endanger 8. That fhe 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 o~ result from future operations undertaken by the State for the conservation or improvement of navigation, or for other p~rpeses, and no claim or right to compensation shall accrue from any such damage. 9. That if Ihe 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- ~J~ECiAL CONDITIONS *placad parallel to bulkhead.J Dredge a 10' X 20' area seawa~ meau low water. Resultant 20 cubic yards of spoil to be de~ Construct a 40' X 70' singl~ family dwelling to be located 16. Bulkhead is to be jetted in to minimize disturbance to SEE ATTACHED CONDITIONS A - J, M, N, P January 31, 1984 [Daniel ilNISTRATOR ..... . ~ ~ , J~ 'd of float to a depth of 6' at os~ted in a suitable upland site. minimum of 35' from bulkhead. marsh. )DR~SS Bldg. 40, SUNY--Room 219 Stony Brook, NY 11794 De SUPPL~q,~i, YT;-~,Y SPEC!;J~ CO~DITIO~]S 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 c~py of this R~.rmit or a~proval and ..~p.proved pr.o3ect..p!an.5 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 4~ hours prior to commencement of the project, the permlttee 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. Within 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 wo~k 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 coatinc, paints, concrete, leachate 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 ~"~iting, shall he treated as a violation of the Environmental Conservation Law. The permittee is advised to obtain any permits or approvals that may be required from the U.So Department of Army Corps of Engineers, New York District~ 26 Federal Plaza, New York ~Y 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.~tate Plaza, Albany, ~ 12242, which may be required for any encroachment upon State-owned lands under water. Regional Permit Administrator ~S Department of Environmental Cons. Bldg. 40, SU~Y--Room 219 Stony Brook, ~f 11794 (516) 75t-7900 Tbs following conditions shall apply if' checked-as applicable by the Regional Permit Administrator: Ail dredging shall be conducted so as to leave a uniform bottom elevation free of mounds or holes. X N. Ail spoil materiel shall be disposed of either in the Atlantic Ocean or at an approved U.S. Government Dumping Ground, as directed by the District Engineer, U.S, Department of the Army, Corps of Engineers. Any spoil material not intended for such water dis- posal shall be removed from the site and disposed of at an approved upland site. X All fill and spoil material shall be suitably contained at the work site so as to prevent its eroding, leaching or otherwise en~ring tn~oad~acentwe~lands end waterways. All peripheral rip-rap berms, cofferdams, rock revetments, gabions, bulkheads, etc. shall be completed prior to placement of any fill material behind such structures. Ail repairs to existing structures shall be confined to replacement of existing st~uctuzal e!o.~mtswith no cha~ge in design. /L__/mensi~no Or materials, -~ess Specificall~ authortz~dh~rein. _P.. The following Water Quality Certification shall -apply'if required by one or mo~e agencies of the United States Gove~t and if .._ ,.checked as applicable by the Regional Permit In.accordancewith Section 401(a)(1) of the Clean. Waters Ac~"of .... 1977 (PL 95-217) the New York State Department of Environm~ntal ..Conservation hereby cer~ifiea that the sub~ac~ pt~ec~ p~ogosal will not contravene effluent limitations or other lmaer Sections.301, 302, 303, 306 or 307 or the Act. January 31, 1984 10-83-0256 Daniel J. I~rkin, P.E. Division of Regulatory Affairs Conservation Stony Brook, NY 11794 F,~u'rl: e c I] r'~ o ! o ~ >' for' 762-'9752. .: I...1I II lat ~ ~ .=,HI=iL 1 I='CII.;~ I=,NEI::;,'G Y CAI...C:UI_A'T :i; ONS I:; I.I S t ~ '" ~ "' L '~ ":ai:' i on: Nap :i. on ~- N ,, Y ,, Oe,~:u" ee Bays: '7~ I n s :i. ct e ", ~ "~ Outside De~:,:i.~u"~ 'Tem~=,er~atur. e~ 75 de~r. ees F Wa] '1~ Frame 294.'7~ ,, 145 Cavity :L669.97 . ~59 '.1. 964. ,, 69 141 ,, 26 I..,t ( a,:: t ) := .......................... =. ~7:1.9 196zt. ~ 69 T o .I: a 'I F' '1 o 0 P ( 0 V e I'" h ~l I] ~ ) (oveP LI I"~ h t!? 6~.t ~! Cl 135.64 :B t)TE',. 49 66:;;ii ,, 89 U XA 14. I ""x Roof ';~ .................. NEXUS .............. PaFF['(~Ct'IliO ] O.~Y fOP t 2 i]odfr-e~. P (2 ~:3 ) human deve ! OP[lier~t' Ni]ton~ Ci:,, Heat i.,os'~ F:r. om inf:iltr, at$on A,:: [ua 1 IRa t: e s: W:i. ndows = .18 cfrn/lin.ft./cPack= 1¢,.8 cfh S'l:[,:lins~ Glass Door. s .... ,:I. 4. cfm/s~,~,ft.=8,4 ci'h Note: Infi]tr. ation rates cited above ar.e as Per. manufactur~.m;s ~tam.:tar. ds.~ Casemeni: Windo,~,~,s are custem made I;,~¢ [)ec.k I..~ouse~ S'lidins~ Glass Boors m~nufactured k,~ Nor. th Amer'.ican Manufactur. in~ C!:H'l'n':,an~,, ]infiltration r. ate for. ~,eatherstr. iPPed swins~in!~ door. ih'om AS1-.IRAE Flandbool< o f Actual Heat L..oss in BTU/hr Met:hod of Cat,:::uial:ion: C'r. acl< Method For. mu'la: f.,.I = .~!S L. V (ti-to) H = Heat Loss in B'TU/hr'.,, ,,(¢:1.:;3 :..: .2Zl. x (.24 is specific heat of air'. in B'T'lJ/P~und~ .¢'75 is dens:i.t~' of air. in Pounds Per. cu. ft.) I,., = Le¥'~!~4'(:h of all cr'a,::ks V = Vol~.]me of air. infil'('r, atior~ Per'. foot of cf, ack Per' hour'- (ai(~ Pep ASHFi'.AE Handbook) t:i. = J. nside desi!~¢n air" ~:'o = out'side des:~.sm air. '[emFq~H-.atur. e .l: n f i 1 t r' a t i o n f r o m C a~ s e m e n 'I:' W i n ,.'I o ~,s: (,,,~19)(]::!;1.~)(!0,,S)(/:,7) = 2357.4'F' BTU/HR,, Ini'iltra'bion fr'om Swinsins doors: E! = (.018) (7:2:.:;'3:B) (4:E:) (67) = 4247,82 B'TU/HF~= Infi'Itr'at.[on fr'or~ S'lidJ, n?~ G'las~ Doors: (;:! = (.~;'1:ii!:)(20¢.1¢)(8,,4.)(67) = 2027.0';~ BTLI/HR. -x ................. NEXUS ................... ~ ParF~e,::hnoi o~Y for 1:2 L;odfr'c:y F'lao'..'..,, ( :2¢3 )'?6:2-9752 Wi ] t,:ln ~ Ct',, Loss in B'TU/hr'. fr'om E>~ter'ior' Facades ( ~zhaR~-'~e 'I]eiTu::~ ,, ) /4331.¢~. 35 BT'U/hr. ,, 6 ¢ 24.8:2 E:TU / h r'. ,, 8632. a.(~ 'STUlhr. 63256.53 BTU/hr ,, ]]. F'ur. na,:::e at: 85% elf. = 744.19.45 BTU/hr. use 75¢¢0.¢¢ B'l"U/hr. RecommeF~ded furnace size based in sect:Lon C,, J"JiF~. fir:Ln.~ rat'e of .75 :~at! of ~os0ee B"f'LI/hr. on ,::a't cu]a'bions with a ~mess t-at:Ln~ E. {E'lec'~r'ica] ]it, d"~in!~ an,J Power ,Jesi~zm d~{i'a ,Joes ar.'i::'] Y i'o or/e fam:Li Y r'.esidenc:es ,, 7MI-'1802 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING £] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [] ROUGH PLBG. FOUNDATION 2ND [] INSULATION FRAMING [~J~NAL 7~-~80Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION / FRAMING [~NAL 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .. .... , 19... Approved ............ , ermit No ........... Disapproved a/c ......................... ._ ........... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT. TOWN OF $OUTHOLD Received ........... ,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 br 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. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ~hall 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. 'i ~ 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 tdmit authorized inspectors on premises and in building for necessary inspections. .... ............ (Sigt~ature 5f applicant, or nannY, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (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 ...................... Location of land on which proposed work will be done ........................... ~.~. o~. · ................. v.. k ......... ................ '.. H... House Number Street Hamlet County Tax Map No. I000 Section ..... .~.. ~} .~.-~ .....Block .... .'-~'~ ........... Lot ..... -.~-..[ ........... Subdivision..~.(_%At/kLX ~73.~% ~.I'T- Filed Map No. .C/..~O ... Lot .... .~q'..~7 ....... .......... (~q'a~e) ........................ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .~./'.~..cT .~.54.'] ..... .~-. Y~ .~J.O ..................................... b. Intended use and occupancy ..... .(~. o Nature of work (check which ,pplicable): New Building .... ~ ... 'A dition .......... Alteration .......... Repair ~.[...J~.. Reinovai .............. Demolition .. / .......... Other Work ..... ' .......... m:ate ~" ' 0./5.0 ~ Esti d COst .. ,,, ,..... 7~.6. !9~ ..................... Fee ............................. If dwelling, number of dwelling units ...... I. ........ Number of d~ If garage number of cars ' l If business, commercial or mixed occupancy, specify nature and extent < Dimensions of existing structures, if any: Front ............... Rear 10. Date of Purchase ... ~ r....~11~.. Name of Form 11. Zone or use district in which premises are situated ......... 12. Does proposed construction violate any_ zoning law, ordinance or regula~ 13. Will lot be regraded ........ i....?'74. .'.O ............. Will excess fill 14. Name: of Owner of premises .~,~,.~. Name of Architect .CB.cu. R,~.c.e....G. ( Name of Contractor ........ i .................. Address ...... (to be paid on filing this application) ailing units on each floor ................ f each type of use ..... , ............... .............. Depth ............... Height ............... Number of Stories ........................................................ DimeCsions of same structuie With alterations or additions: Front ................. Rear .................. Depth .................. i... Height ............. I~ umber of Stori,e~ ....... '7' il'" Dimensions of entire new construction Front ] I 7 /~. l~nr . .'~.{....~. ~¥ .... Depth . ~.Q ~. H~,g ....... ~, ~)~ ....... Numbpr ,~f ,,.ones ......... .9>.. ....................... '/ .... PLOT DIAGRAM Locate: clearly and distinctly all buildings, whether existing or propo., property lines. Give street and blocl~ number or description according to dee~ interior or corner lot. STATE OE NEw YORK, COUNTY OF ...... S.S ................................................. being duly (Name of individual signing contract) above named. He is the (Contractor, agent, corporate oI of said owner or owners, and is dully authorized to perform or have perfot application:; that all statements contained in this application are true to the work will be performed in the mannbr set forth in the application filed there~ Sworn to before me this .............. / ./~../ ...... day o:f ...... ~ .......... 19 .av.g5 Notary Public ............ g.d.r. .............. County ' '~' HELEN K, DE VO!E OTARY PUBUC, StaLe ~,z No, 4107878, Sullolk ~l~ T~rm Expires March 30C°untYl~ ' Owner ,./~.~Tk.o[q.{.~... f3.e, .%0.. ...... ,.q-.~..~. ~..~..% ......................... ion: ...... ~. ©. ...................... ~e removed from premises: Yes No' ~Pa¢¥ AKq... Phone No.~.4.-¥: .~?.~.q. ...... : .t'.°('.(~. icY°.5 .cT.'. Phone No..qko.3. ~7.~.&. :e../.q.S[ .~.. ........... Phone No ................ i, and, indicate ail set-back dimensions from and show street names and indicate whether ~orn, deposes and says that he is the applicant ricer, etc.) ~ed the said work and to make and file this best of his knowledge and belief; and that the 'ith. Bldg. 40, Room 219 SUNY Gampus Ston.y Brook, N.Y. 11794 Permit Issued Pursuant to General Condition No. 1 of the above referenced pemmit you are hereby notified that the authorized activity shall commenq~ om · This notice is to be sent ,~ least two days in advance of com- me---~c-~men----t Of t~e project. The permit sign will be posted at the site and copy of permit will be avail- able at site for inspection. ~ Submitted by_ Failure to notify or post sign will leave owner and/or contractor ~ubject to applicable penalties for non-compliance with permit conditioms. UYSDEC Reg. Permit Administrator Bldg. 40~ Room 219 S~Y Campus Stony Brook, N.Y. 11794 Re: , Permit No. Issued to (Agent) ........ ;Dear Sir~ P,~rsuant to General Condition Mo. 1 of the above referenced permit yon ars ihereby notified that the authorized sc$ivi~y was completed on Submitted by ...........-- (This notice is to be sent ro ~bove address proropt] g vp~.n completion of '.oroJect). Failure to noc~.i!y will TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, NEW YORK WETLANDS P E R M_I_T This Wetlands Permit No ...... .1,5.,1 .......... has been granted by the $outhold Town Board according to infqrrrtatip~ furnished in Application No ...... .1.,6..1, ......... filed by Applicant ....T,,.h..e....L..a..n...d..U..~,.e.,.C..o..r~p...a,n¥ on Denalt Ot Joseph Duggan on September 7 83 ..................................................................... 19 .......... A map of the proposed work will be kept on file in the Town Clerk's Office under the application number given. , construct bulkhead f oatin .d,9,,c.~, ,,r~ ,, Permit granted to (~o the following work .............................. ,..... ......... ~[ ........ I~, .... an.d., dr.e.d~.e,,..,al n accor..d..a..n.c..e, ..w. th mD,cl..,f.i.e,.d, i~..r, op. os,a..I .a,.n,d..a.p..p. rov.e...d..b.,y..t.~.e, .N,.e...w. York State Department of Env ronmenta Conservation. Location of property ..... h;~ ...... u .~ ha H~n~ vacant lot, east s de,..o..f, .D_a.,.w.n ,.L. ag.o. on, on Snu~l Harlot Road. Gr~enport ........ Dawn Laooon . . Creek. Bay or Harbor fronting property ..................... ......................................... ....,....~: ................ ramp- 10 ft. Lo a h ramp.;-2..0.,f.t., ~-.t'!o~.t..s.-10. f.~...,...d..r,.e.,d..gjngT..z~ Size of work: n_t ................................................ · . ~ . .... ramp-4 ft. f ~,l~eturn~ 20 t~. ram -15 ft., 2-floats-20 .f~., dr.~dgi..qg-l~ Width ........... P. ................................................................................................. Height Above High Water ~.g,p,..,o,,f..,tauJJ~[3,~,(;;t~,E..f.t;, .................................................... .......... g ....... .~..~. .................................................................. Depth Below Low Water tired ed r a-~, .f.~ . Yards to be Excavated .,...l..l..q...c..u..b.i.c..~y.a..r..d.,~, .................................................................. Yards to be Filled ...1.!P,..~,q,,b.i,q..Y,a,?.,d,.~, .................................. : ........ , r Manner in which material is to be removed or deposited ..9...~.~.~..~I~B..~I~ffi..~B.0.1.| .............................. Intended use of property pr vate- estdent a This erin t must conform 1;o ~p,w, ~..orl~. Conditions if any .......... P,. ........................................................ ................ Environmental Conservatio,r) ,.P,~.rmit. , ...... Expiration Date .~.M..a..r..c..b....2.7~-.1.~9.~..5-.~...!.F..~..w~.~.R..~.~U~5~5...H.Q.T...~.~MM~h~D..Bg...5A~..DA~£" ' Number of Inspections Required 2, ?,.,~.Q.~,~ ~.[,l~J~J~ ,'IL'.~ COMPLETED. Inspection Fees ...... ~,.1~ .............................................................................................. Liability Policies in the Amount of ...... T.T,~ .............................................................................................. The validity of this permit is or may be subject to the approval of other governmental or municipal authorities, The Town accepts no responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing. The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Town Clerk upon receipt by the Town Clerk of written notice from such other governmental or municipal authorities of its refusal or disapproval. The applicant does by the a~ceptance of this permit, assume all resl taken pursuant to ~is permit, and shall take all precautions for the and property resulting from such operations. BV such acceptance, the fy and save harmless tile Town, and its officers, agents and employe~ from operations under this permit and any and all acts or omit emploY/oas. : The applicant and .the owner,;and occupants of the premises upon w this permit are being'conducied, do, by the acceptance of this permi its officers and employees to!enter upon the premises where such oF make such inspections as the !Town may deem necessary to insure th, ducted in conformity wittl thi~ permit. This operation will not substahtially: A. Adversely affect the wetlands of the town. Cause damage from erbsion, turbidity or siltation. C. Cause saltwater intrusion into the fresh water resources of the D. Adversely afi~ect fish, ishellfish or other beneficial marirm org~ ration or the natural hi~bitat thereof. E. Increase the danger ofiflood and storm.tide damage. F. Adversely affect navigation on tidal waters or the tidal flow G. Change the course of ~ny channel or the natural movement or H. Weaken or undermine ~he lateral support of other lands in the' Otherwise adversely affect the health, safety and general wel SEAl_ Signed~-.~,~2~; Town CI Date ...... r..c,.b...; onsibility for operations under- 3revention of injuries to persons applicant also agrees to indemni- ~s from any and all claims arising ons of applicant, his agent and ch the operations authorized by '~, give consent to the Town, and erations are being conducted to su. ch operations are being con- ~wn. nisms,, aquatic wildlife and vega- )f the tidal waters of the town, :low of any waters. ,icinity. ~are of the people of the town. n' z i- u~ d