HomeMy WebLinkAbout24344-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26685 Date: 09/23/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: OFF EAST END RD FISHERS ISLAND
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 3 Block 2 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 25, 1997 pursuant to which
Building Permit No. 24344-Z dated SEPTEMBER 11, 1997
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 ACCESSORY INGROUND SWIMMING POOL WITH DECK AROUND & FENCE TO CODE
AS APPLIED FOR & AS PER ZBA #4496.
The certificate is issued to JEAN N CALHOUN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. PENDING 09/22/99
PLUMBERS CERTIFICATION DATED N/A
eL �v 9- i��
Buil ding Inspector
Rev. 1/81
FORM NO. t
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)
N° 24344 Z Date ................. 1�`.............................
Permission is hereby granted to: Q� Q
.. b......" -!`!:Q �/.!!JC -1`fle4r IQ�1Sj �G.
.Qt..fix....Ku..........................................
. Ir........:. ..:....d �o
to ..1.tht�Sl7Ct�C .......��.a.�........ .......Ae. ....... . /;. .`Y........ Gam...... n/5
fA .......t ).......Arial .........9 ....... ?°�° �...... � .:......:�r...... ....
-- , .........�....... �.4. . ..............................................................................................
................................................................................ .................�.. ...........................................................
at premises located at....CFF........ .........� �" , fps ies......
County Tax Map No. 1000 Sections .... 3............ Block ..... ...... Lot No. ......Q ..........
pursuant to application dated (T.......................................
19. and approved by the
Building Inspector.
r
Fee $...��.... ..
g . for. .....................
Rev. 6130!80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
n DATE. . 41. 1 .",�
�u�llMM�Aq 00
NEW CONSCGTJJRUCTION - -X- ,. .OLD OR PRE-EEEX-ISTING BUILDING. . . . . .
lVACANT
1�LAND
�.yf/. .
Location of Property. . .. . . . : , 5!. . . �P.'d. . . . . . . . . .:VA.r_�1`.�_ CIY.i:'! . . . . .
HOUSE NO. STREET HAMLET HAMLET
Owner or Owners of Property. . . . . 'ie'pi. . . .'!5^.'I:7!r'p. . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No. 10/I00 Section .P93 . Block . _ f'`_ _ _ Lot . . .! . . . . .
Subdivision. _ .. L.... . . !y4A. _ . . . . . . . . . . Filed Map - - - - - - - -Lot . _ . {.,�_ _ _ _ _ . �Q i_�,
11
Permit No . � !:. . .Date of Permit . . . _ . . . . . .Applicant $... . ..ode.�t� arRt1�''
1:
Health Dept . Approval . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . .
Planning Board Approval . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . Final Certificate . _ . , .1X. . . . . . . . .
Fee Submitted : $ _ _ .�?. . . . . . . . . . . .
APPLICANT. . . . . . . . . . . . .
rev. 10/ 4 88
Co -?,L- a46gS
L '
4 FORM NO. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. 'This application must be filed in typewriter OR ink and submitted to the Building
Inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines,
street.j; end, unusual natural or topographic features.
2_ Final,approval of Health Dept. of water supply and sewerage-disposal(S-9 �R=MV. Pr ;+ t
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that solder used in system contains less
than 2110 of 1Z lead_
5. Commercial buildings, industrial buildings; pultipie'fresidences and similar,
buildings an& Installations, a certificate of code compliance from the Architect
or Engineer responsible for the building.
6. Submit Planning Board Approval of complete.d ,site plan requirements.
B. For existing buildings (Prior to"April' 9, 1957) non-conforming uses, or buildings
and "pre-existing" land uses:
1. Accurate survey of property sh'o'ving all property lines, streets, buildings and
unusual natural or topographic features. ` 1
2. A properly completed application, a consent to 'inspect signed by the applicant
and a certified abstract of title issued by a title company which
• show single and separate ownership of the entire lot prior to April-`9; 1957: `
If a C'err'3 ica$e Of'Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant. -
' 3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
1. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of the entire lot prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupancy is denied, r%bp $gilding Inspector
shall state the reasons therefor in writing to the applicant.',
D. FEES:
1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2, Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
S. Updated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $25.00 Residential
$50.00 Commercial
neo. 10/14/88
Building Permit/C.O. Checklist
Procedure Approved by:Signature Date
Application Received / Complete
Plan Review / OK for Permit
( enclose worksheet )
Permit Issued
Plan Amendment ( if applicable)
Final Inspection Complete / OK for C.O.
(enclose inspection report sheet) '
C.O. Issued
Comments:
APPEALS BOARD MEMBERS O� gDFFO(,�
" 4 C� Southold Town Hall
Gerard P. Goehringer, Chairman f'may` G�? 53095 Main Road
Serge Doyen o ` P.O. Box 1179
James Dinizio,Jr. �,. nz, Southold,New York 11971
�y • �� Fax(516)765-1823
Lydia A.Tortora �4( �`a� Telephone (516)765-1809
Maureen C. Ostermann
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS, DELIBERATIONS AND DETERMINATION
ADOPTED AT REGULAR MEETING OF JULY 24, 1997
Appl. No. 4496 - JEAN N. CALHOUN PARCEL 1000-3-2-7
STREET & LOCALITY: Private Road off East End Road, Fishers
Island
DATE OF PUBLIC HEARING: July 24, 1997
FINDINGS OF FACT
PROPERTY DESCRIPTION:
This property is located at Fishers Island, being situate on the
north side of Private Road, and consists of a total lot area of 2.74
acres as shown on the map prepared by Chandler, Palmer & King
amended March 25, 1997.
BASIS OF APPEAL: Building Inspector`s Action of Disapproval dated
May 13, 1997 which reads as follows: under Article XXIII, Section
100-239.4A(l)(2) ., proposed inground swimmingpool with deck must
be beyond 100 feet from a bluff or bank and also beyond the 100 ft.
average high water mark of Fishers Island Sound.
AREA VARIANCE RELIED' REQUESTED BY APPLICANT: To locate
proposed 25 ft. by 35 ft, lap swimming pool, elevated deck
construction, small retaining wall at the northerly portion of the
property of fieldstone creating a terrace area for the lap port, and
fence enclosure. All construction related to this project is
proposed landward of the existing 50 ft. natural buffer, landward of
the Coastal Zone hazard Boundary Line, and at a distance of
approximately 77 feet (and greater for the pool construction) from
the average mean high water mark (rocky beach) of Fishers island
Sound, as more particularly shown on map amended 3/25/97 prepared
by Chandler, Paltrier and King for board consideration.
REASONS FOR BOARD ACTION DESCRIBED BELOW:
Southold Town Trustees` approval was issued by resolution adapted
April 30, 1997.
N.Y.S. Department of Environmental Conservation issued an
Amendment 3/25/97 to former Dwelling Construction Permit issued
6/19/95 (DEC #1-4738-01113/00001-0).
(1) The granting of the area variance will not produce an
undesirable change in character of neighborhood or a detriment to
Page 2 - July 24, 1997
Appl. #4496: 1000-3-2-7
Southold Town Board of Appeals
nearby properties because this parcel and other properties on the
Map of Olmstead are large in size which ensures privacy.
(2) The benefit sought by the applicant cannot be achieved by some
method, feasible for applicant to pursue, other than an area variance
because the land areas are proscribed by archeological determinations.
(3) The requested area variance is not substantial due to the
2.74-acre size of this lot.
(4) The proposed variance will not have an adverse effect or impact
on the physical or environmental conditions in the neighborhood or
district because this project has been approved by the Southold
Town Trustees and the New York State Environmental Conservation
Departments.
(5) The situation has not been self-created and is due to
archeological considerations.
(6) This action is the minimum that the Board deems necessary and
adequate and at the same time preserves and protects the character
of the neighborhood, and the health, safety, welfare of the
community.
RESOLUTION/ACTION: On motion by Member Doyen, seconded by
Chairman Goehringer, it was
RESOLVED, to GRANT the relief as applied.
VOTE OF THE BOARD: AYES: MEMBERS DOYEN, GOEHRINGER,
DINIZIO, TORTORA, AND OS ANN. This resolution was
adopted by unanimous vote -0) .
1
GERARD P. GOEIIR NEER, CHAIRM
AS PER RESOLUTION ADOPTED 7/24/97
APPROVED FOR FILING
Actions.all/3-2-7
' M Fleose reh-iryu
Environmental Consultin Ori Si na 15 . +-v our
� C e uu k-co CIC L)
Ad,-) pU I I
September
Mr . Gary Fish, Building Inspector -- — --------�.- .
Southold Building Department
53095 Main Road
Southold , N . Y. 11971
RE : Property of Jean N . Calhoun , Pool Application
S .C .T .M .No . 1000-003-2-7
Dear Mr . Fish:
Enclosed please find an original survey for the
Calhoun 's proposed pool with the N . Y. S .D . E . C . approved stamp .
Our office was requested to send this material to your
attention by the Calhoun 's surveyor . Please feel free to
contact our office should you require any additional
information we may be able to supply you with.
Mo sincerely,
'tom
G enn E . Just
arh
Phone (5 16) 653-0607 • Fax (5 16) 653-3348
121 Jessup Ave • 2nd Floor • P.O. Box 447
Quogue, New York 11959-0447
Ne Y rk State Department of Environmental Conservation Aim
40 - SUNY, Stony Brook, New York 11790-2356
Phone (516) 444-0365 v
Fax # (516) 444-0373 NOW
John P. Cahill
Acting Commissioner
AMENDMENT TO PERMIT
Mail To: Date: 3 IQ S d q-7
�14'AJ i_ n�l.A„S Permit No.
Permittee: Seg,,.., KJ,
Location: SC—( m ( %Xti-) - 7
f(i
Dear Y11 2.S C.4�
" Your recent request to extend the above permit has been reviewed pursuant to 6NYCRR,
Part 621. The expiration date is extended to
_✓Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR,
Part 621. It has been determined that the proposed modifications will not substantially change
the scope of the permitted actions or the existing permit conditions. Therefore, the permit is
amended to authorize: Ir"o r�+ST RvC-Lw�f �-3 C�' I.JS-4�a ltq F..�� cY A , n,52,. V
bau� est :acc�al:, r� 1r t�f"ti 5'F�l�v CPI(_ 7/5-2
This letter is an amendment to the original permit and, as such, shall be available at the job site
whenever authorized work is in progress.
All other terms and conditions remain as written in the original permit.
Very truly yours,
Deputy Regional Permit Administrator
cc: �rn 140
rnnw nrn.t
TOIVN Of-- SO I.ITT 10 U)
ITUII,I31NC, DF'VAR'iNILiNT
TOWN
SOUTHOLD. N.Y.
NOTICE OF DISAPPROVAL.
� nate . . . . . .
. . . . . . . . . . . . . . . . . . . .
PLCASETAKF, NNOOTICIH ihnl ygnr npplicntinn Baled . . . . . . . . f9��J. .
for permit to
Locntion or Properly ,. . . . . . :11 �!�^r�. �/� �. . . . .
me. Nn. Stropr vy 11a17,1pr
Cormly l'nx A-Hp No. 1000 Secl ion . . . . . . �. . . . . Block . . . . ���. . . . . . . . Lot . . !. . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . Fited Mrip No. . . . . . . . . . . . . . . . .
�yLot Noo... . . ... .. ... . . . . . . . . .
is .hnnr-tl itcrexvith anti diSapptovrd nn Ilu Following gromttls .+�Y"!"'��. Yi/L-
. . � . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . `/
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I3tij. r InsL7P t..
RV ! /PO
Albert J. Krupski,President Town Hall
John Holzapfel,Vice President c y` 53095 Main Road
Jim King „ P.O. Box 1179
Martin H. Garrell Gy �� Southold, New York 11971
Peter Wenzel ��j y`�� Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOL D
APRIL 30, 1997
J.M.O. Consulting
121 Jessup Ave
2nd Floor
Box 447
Quogue, NY 11959-0447
RE: Jean N. Calhoun
SCTM# 3-2-7
Dear Mr. Just:
The following action was taken by the Southold Town
Trustees on Wednesday April 30,1997, at their regular meeting.
RESOLVED that the Southold Town Trustees grants a waiver to
construct a swimming pool, pool backwash, decking,
retaining wall, and fencing. All work is greater than 75t from
M.H.W. As per plans dated 3-25-97.
This approval does not constitute approvals from any other
agency.
If you have any questions, please feel free to contact our
office at 765-1892.
SINC L� �• `� �r
ALBERT J. KRUPSKI JR.
PRESIDENT, BOARD OF TRUSTEES
RJR/djh
i�
D
REMODELING & RESTORATION
Box 447 INC. Jean N.Calhoun
Fishers Island,NY 06390
Tel: 516/788-7919 David C.Beckwith
Fax: 5161788-7192 President
February 26, 1998
Town of Southold Building Department
Attn: GaryFish
Town Hall
Southold, NY 11971
Dear Mr. Fish,
Enclosed is the survey of as-builts needed for the Certificate of Occupancy for the
property of Jean Calhoun (Building permit 922896-Z).
Since y,
David C. Beckwith
MAR 4 ,- ; i
FRQtM Fj REMODELING & RESTORATION PHONE NO. Sep. 14 1999 11:05RM P1
REMODELING & RESTORATION
INC.
P . O . BOX 447 PHONL- ( 516 ) 788 - 7919
FISHrRS ISLAND , NY 06390 FAX ( 516 ) 788 - 7192
FACSIMILE
TRANSMITTAL SHEET
TO.
500-T+Uten 60- OLPT
COMP Y: nnTE: p
FAX NUMBER: TOTei.NO.Of PAGES IN LUnING CO'1 Ell
�4�;
PHONE NUMBER: SEHOER'S REFERENCE NUMBER
RE: YOUR RE•PCRENCE NUMBER'
❑ URGF,NT ❑ FOR REVIEW ❑ PLF,ASE COMMENT El ALEASS AEPLY ❑ PLEASE RECYCLE
NOTES/COMMENTS:
FROM : BLvIREMODELING & RESTORATION PHONE NO. Sep. 14 1999 11:9SAM P2
A SEPARATE APPUCATION MUST BE FILED FOR EACH SEPARATE BUILDING
THE NEW YORK BOARD OF FIRE UNDERWRITERS CETITICATENO
DO NOT WRITE HERE-FOR OFFICE USE"ONlY'-- •• -
MUItu:NC PUIMII NO
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NUMBER OF OUTLETS U.of iatufes& BRANCH'' OFFICE USE I
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THIS APPLICATION IS INTENC[D TO COYER THE ABOYE-LISTED EQUIPMENT 70 UC INSPECTED,BUT IF AT TIME OF INSPECTION.THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE ALO HORIZED TO MAKE THE INSPECTION AND ADJUST THE FEe TO COVER
THE AUDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
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IDENTIFICATION NUMBER
`_,pVOfD DELAYS BY CtnrnvG BULL ANO dCCURATf INFORNATJON.ALLP"QLUWISZK FILLED IN OR AVPL((aT10N MAY 8E RETURNED
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THE NEW YORK BOARD OF FIRE UNDERWRLTERS
T:
BUILDING D)=P 1.UUPY GP APPLIC:Af'ION FORM 46-EL,NEW YOHKbONRIJ OF F4 UNU(=HWHOI RJ,
FILE THIS COPY WITH BUILDING DEPT,WHEN REQUIRED.
FROM PD REMODELING 8 RESTORATION PHONE N0. Sep. 14 1999 11:OGAM P3
YW ARE HEREBY REQUESTED 16'
INSPXT AND ISSUE CER7I>=ICATFS
FOR 7HE FOLLOWING ELECTRIGAZ
EOUIPMENT Ill BE INSTALLED BY
y; ME UNDERSIGNED
,Of1VMAOfi LP CODf TONx$NIP <bUxTn/
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THIS APPUCATION IS INTENDED�TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED;BUT IF ATTIME OF INSPECTION.THERE IS
.FOUND ADDITIONALEQUIPMENT.NCI-ABOVE.LISTED,•YOU ARE AUTHORIZED TO,MAKE TKE)NSPECTION'AND ADJUST THE FEE IO'COVER
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THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
r1075012 BUREAU OF ELECTRICITY e
40 FULTON STREET, NEW YORK, NY 10038 n
Dale
OCTOBER 07F'1999 Application No. on file 15186197/97 N 503350
p
THIS CERTIFIES THAT u
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of y
n
JEAN N.CALHOUN, DST ENI} ROAD, FISHERS ISLAND, NY P
n
u
in the following location; ❑ Basement ❑ /st Fl. ❑ 2nd Fl. OUT section003 Block2 Lot 7 B
OCTOBER 01 1999 n
was examined on " and found to be in compliance with the National Electrical Code.- 6
n
P
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS h
OUTLETS INCANDESCEM FLUORESCENT I OTHER AMT, K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS B
SYSTEMS
AMT. K.W. OIL N.P. GAS H.P. AMi. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATT
1 F 1 20
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO.OF CC COND. A W.G. A W.G. A.W.G. C
AMT. AMP, IVPE EQUIP. 1 0 4W 1 0 3W ]0 3W ]0 dW PER 0 OF CC COND. NO.OF HILEG Of HI-LEG I NO,OF NEUTRALS _ OF NEUTRAL
OTHER APPARATUS:
POOL-1
B
B
B
B
y� B
6D REMODELLING AND RESTOR. LIC.#296 E
PO BOX 477t B
FISHERS ISLAND, NY, 06390 GENERAL MANAGER B
11 B
Per—
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials
COPY FOR DUfLDING DEPARTMENT. THIS COPY OF CERTIFICATE MU5T NOT RE Al TFRFn IN ANly nneni nioo
FbnMNO, 1 J SETS OF PLANS . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . , . . . . . . .
19 _ 5
BUILDING DEPARTMENT
PRLMENT CHECK . . . . . . . . . . . . . . . . . . . .
2
A ASEPTIC r• oittt . . . . . . . . . . . . .
s SOUTHOLD, N.Y. 11971
wr`TEC.: 7651802 ttoFiPY
r.-'-nr6+` F S E . ._...._...11 CALL . . . . . . . . . . . . . . . . . .
Examined, .: -- . . . ., 19 NAIL T0 :
Approved . • , /j��j.J. . . . ., P7ermit . . . . . . . . . . . . . . . . .�.
Disapproved a/c . . ./.!tel. /� � . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
t in inspector)
APPLICATI N FOR BUILDING PERMIT --
Date ... '"Z: z�. . . . . . .. 197
INSTRUCTIONS
a. This application must be completely filled In by typewriter or in Ink and submitted to the Building Inspector, with
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 street
or areas, and giving a detailed description of layout of property must be drawn on the diagram which Is part of this appl
,ca tion.
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 Penult to the appIlcant. Such perm
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 Occupanc
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 11
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances .
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, anti
adnn{t authorized inspectors on premises and in building for necessary i e tions.
stature of a ti
c
ant or name, if a corporation)
(Mailing address of applicant)
State whether applicant Is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build-
/"r��. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . , . . . . . . . • . . . . . . . . . . . I . . . . . . . . . . .
Name of owner of premises . . . . N • .lv.< . C,q,1ocJN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed)
IC a 'cant is a or"
or on, signature of dul authorized officer.
(Name and title of corporate officer)
Builder's Ll"
No. �� .4?.a.
Plumber's License No. . . �/Z/" .�. . . . . . . . .
Electrician's License No. . . .1,(p. �. . . .. . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
I . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
r . . . . . . . . . . . . • . . . . . . . 1s 'Ky . !. . . . . . . . .
I louse Number Street Hamlet 7
County 'fax Map No. 1000 Section . . . . . . . . . . . . . . Block . . . . . . . , . . Lot : . . .,(. . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . .
YA T. (Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . , . . . .
b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . .
�/. � . . .f�Q�4 . . . . . . . . . . . . . . . .
3. Nature of work (check which applicable): New Building . . . , . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . .
Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . , J'::W—r. . . .
(Description)
4. Estimated Cost . . . . L . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , . . . . . . .
1 (to be paid on filing this application)
5. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . , . . . . .
Ifgarage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . .
7. Dimensions of existing stnrotures, if any: Front . . . . . . . . . . . . . . . Rear . , . . . . . . . . . . . . Depth . . . . . . . . . . . . . .
Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same stricture with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . I . . . . . . . . . . . . . . . Number of Stories . . . . . . I . . . I . . . . . , . . . .
8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . , . . . .
Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . .
9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . .
10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
l l. "Lone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded . . . . A" . . . . . ...�. ". .. Will excess fill be removed from premises: Yes N.
14. Name of Owner of premises a-1.4s N . i1flCl.►f••W . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . , . . . . . .
Name of Architect ,G:/' f.. . . . . . . . . . . . . . . . Address IV444-.- {.&:1. . . Q Lam, . Phone No.�GP "fr 75
Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . , . . . , . . . . . . . .y� Phone No. . . . . .
15. Is this property within 300 feet of a tidal wetland? *yea. . .11. , . . 'No. . . . . . . . .
Alf yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM �3 �6 ,7pG_7/1��
�/Q�` 04 /
Locate clearly and distinctly all buildings, whether existing or proposed, andAndicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and Indicate whether
interior or corner lot.
;PATE OF NC "O If,
'OUNI•Y OF . . . . . . "°` C . . . S.S
J.� . . .K .a, . �.. . V/0. . . . . . . . , being duly sworn, deposes and says that he Is the applican
(Name o'individual signing contract)
Bove named.
Ie isllie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
it' said owner or owners, and is duly authorized to perform or have performed the said work and to make and file till
pplication; that all statements contained in this application are true to the best of his know) Mc;jbeWj,#nd that lh
vork will.be performed in the manner set forth in the application Bled (herewith. NOTARY PUBLIC, NEW YORK STATE
tworn to•hefor: me this „ NO. OIWA9509185
! q
QUALIFIED
SUFFOLK
,19 c
. . . . . . . . . . . `',� . . ,day of , . . . . , �. . .�. . . . TERM. E PIRES OC OBER 31
., 19 .J.�
Jotary Public . . , . .`' , . . . . .\. . . . . . County
.. . . . . . . . . . . I . . . . . . . . . . . . . .
(Signature of aitpticnn
I n:1.0 Ili,lrl:��lull^ill-rinlr unr�:
I'I lllnlln'I'IIVI ( 1!1'1'1 -'�, �'
I;vi!I�u�rimi ( lml)
II 11111:11 1'11A111', A
V1.111111 1 1111 _ T7
1 2 `
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1!11111( � n
- ,........_�..., '.. ....�........ w.,n...... ...,^,....^ ....,.....n.,..---..,-- ..............................................----.,..--- it
n
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I ^
I
O
pl
� FUHMNO. I • 3 SETS OF PLANS . . . . . . . .
TOWN OF SOUT14OLD SURVEY ; : . . . . . . . . I . . . . . . . . .
BUILDING DEPARTMENT CiiECK . . . . . . . . . . . . . . . . . . . .
j TOWN HALL SEPTIC F011ti . . . . . .
SOUTHOLD, N.Y. 11871
-'`" " TEL.: 765-1802 tIOT I PY ;
"J 0` _1
r^t� rj /, CALL : . . . . . . . . . . . . . . . . .
Exatnme� . . . j / 19 HAIL TO :
Approved . . . . .
19/, :/. Pernill No� l<T
Disapproved a/c . . ./v(
. . . . . . . . . . . . . . . . . . . . . . . . . . . /
(B t in nspeclor)
APPLICATI N FOR BUILDING PERMIT Q
Date ... .�`. . . . . . . ., 19 �.1. �
INSTRUCTIONS
a. TIds application must be completely filled In by typewriter or in ink and submitted to the Building Inspector, will) 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 properly must be drawn on the diagram which is part of this nppii-
cation.
c. The work covered by thin application may not be commenced before Issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will Issued a Building Pennit to the applicant. Such permit
shall be kept on the premises available for Inspection throughout the wotk.
e. No building Shall be occupied or used It 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 Buildhng Department for the Issuance of a Building Penult pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, end 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 nil applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized Inspectors on premises and In building for necessary i e tions.
nature of a �puca nt or name if a corporation)
?<. A.
7, , . t. Nis.
(Mailing address of applicant)
State whether applicant Is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. . . . . . . .lyi�
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
Name of owner of premises . . . C 'yf -A..00. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on (lie lax toll or latest deed)
If n 'cant is a orpor jpn, signalmre of dui authorized officer.
(Nanne and title of corporate officer)
Builder's License No.
Plumber's License No. . . . . . . . . .
Electrician's License No. . ..�61 .�. . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
I . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . : . . . . . , . . . . . . . . . . . . . . , . . . . . . . .
l louse Number Street Hamlet �/
County Tax Map No. 1000 Section . . . . . . . . . . . . . . . Block : , . . . . . Lot : . If: l
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Piled Map No. . . . . . : . . ... . . . . Lot . . . . . . . . . . . , . . .
Y M, (Name)
2. Slate existing userand,occupaucy of/p�remises and intended use and occupancy of proposed construction:
a. Existing use and occupancy PeA! l�-q(-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Intended Use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . , . . . . . .
3. Nature of work (check which applicable): New Dullding . . . . , . . . . , Addition . . . . . . . . . . Alteration ,
Repair . Removal . . . . . . . . . Demolition
. . . , . . . . . . . . . . . . . . . Other Work . . . .
4. Estimated Cost . . . . 1,QUU i r (Description)
J . . . . . . . . . . . . . . . . . . . . . . . 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 stmchres, If any: Front . . , . , , , ' ' ' ' ' ' ' ' ' ' ' • • • •
Height Rear Depth . . . . . . . . . . . . . .
• • • • • . , . . NnfmberofSlories . . , . . , , , , , , , • •
Dimensions of same stnicture with alterations or additions: Front
. . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . . . . . . . . . . Ilelglut . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . .Rear . . . . . . . . . . . . . . . . . .
• Number of Stories . . . . . . . . . .
8. Dimensions of entire new construction: Front . . , , . , , ' ' • • • • • • • -
• • . . . . . . Rear Deptlt
leighl . . . . . . . . . . . . . . . Number of Stories . . . . . . . , . . ' . . . . . . . . , . . . . .
9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Rear . . . . . . . . . . . . . .
10, Dale of Purchase ' ' ' • • • • • • • • • • • • Depth
. Name of Former Owner . . . . .
I I. "Lone or use district In which premises are situated " " " " " " " " " " '
2. Does proposed construction violate any zoning law, ordinance or regulation: � � � � • � � • � ' '
13. Will lot be regraded from • • •premises:
• , . . . . . . . �. .
g s-d • • • • • Will excess fill be removed from premises: Yes 6
H. Name of Owner of premises s.�crr7q/�/ , C�Ll,�t.iN , Address , , . , , , ,
Name of Architect , , , Phone No. . , . . . . .
�'p K. , • . . . . . . . . . . . . . Address
Name of Contractor 4'..1[{Q. . . . Phone No.
Address . , ,
15. Is this property within 300 feet of a tidal wetland? .A y� Plnone No. . , , , . ,
Yes. . .Y. . . . No. . . • . . . . .
AIf yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM �J� •S/G
Locale clearly and distinctly all bulldings, whether existing or proposed, and.Indicate all set-back dimensions from
properly lines. Give street and block number or description according to deed, and show street names and Indicate whether
inferior or corner lot.
;TATr OF NE
'OUNTY OF . . . . . . S.S
• • • • • . . . , being duly sworn, deposes slid says that he is the applicant
(Name of individual signing contract)
Bove named.
le is Ilia
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
11' said owner or owners, and Is duly aulhorized to perform or have performed (he said work and to make slid file (his
pplication; that all statements contained In (Ills application are true to the best of his knowItjWej
vork will be per.ornted in the manner set forth In (he application filed Iherewilh. f*14�? 4fLEnd (list the
;worn to'befora me this „ NOTARY PUBLIC, NEW YORK STATE
{J NO. OI WA9509185
a QUALIFIED IN SUFFOLK COUNTY
. .. , . . ..cllay_of , . . ./.}� ^ Q,Q, , , , , , IM 9� TERM EXPIRES OCTOBER 31, 19
,loiary Public . . . . .`/ , . •••� ^^'\
. . . . . County
(Signature of npplirxml)
-.°_� ,i :, Frei».�"t^ESr�I a. . .. . � � fy •..i� � $�,�};e. i.� � �.: 1w* �"4��a e -. � krx _
7 TOWN ! OF SOUTHOLD PROPERTY RECORD' CARD -
OWNER STREET VILLAGEDIST. SU9% LOT "t
r ;.
FOR ER OWNE N ACRS`' I '
,ernodE7tlz �PS�eraf%an I a
2c(r! •Ctc �o u: S W ' TYPE OF BUILDING
:ES. .� SEAS. VL FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
/oo 1 = zo.'02 970- tr . 4vCc'
1)\0o P ll000mc, as S 7 �8�95 �P aA8 ? cans m-�an,�
�1 o0 1U. (noo "Ivo z z y ip 6 -Lt i -7 -71 P 10 8-- ( o n fv 8 PM e -iv `
G
-LI17F7a676-61 madE/ince A ("0 crn i✓� �
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
- OR - - -
FARM I Acre Value Per Value
Acre
I illable 1
Killable 2 - — - -- -- l
illable 3
Noodland
wamplond FRONTAGE ON WATER
rushland FRONTAGE ON ROAD
louse Plot DEPTH
BULKHEAD
otal DOCK
,\\
W 1.
��0■■��■:■■■■■■■■■■■■■■■■:■
■ ■._— ■■■■■MEN
■■■■■■■■■■■■
■■ ■ ■■■■■■■■■■■■■■■■ ■
�CCi��■■ : ■■e■■■■■■■■ee■■■■■■■
le■e ■�■�.....■1■■■ee■■■■■
-------
■0 1 'v■■ ■�■.ii■■■■11■■■■■■■■■■
■e■It■■■ ■■i■■■■■E11■■■■■■■■■■
■■■It■ns �m�■!s■■■■II ■e■■e■■■■
■■■■■■■ `�■J■mom■■�■■■Interior Finish
■■■■■■
o .
rch
Porch
Garage
®� • .
�� • s��
0 B ® . , A • •
Tota I
�_- ..
New York State Department of Environmental Conservation AmBuilding 40 - SUNY, Stony Brook, New York 11790-2356 Am
Phone (516) 444-0365 4 �S
Fax # (516) 444-0373 _
John P. Cahill
Acting Commissioner
AMENDMENT TO PERMIT
Mail To: Date: 3 las I -7
J-eAJ ll. Loll o a Permit No. I - X7-39 -0///30060/-0
oZOs (Z.ouj N-il 1 Permittee: leP• #3. C a( I+.o.,.,
Gne¢a c�. . Ck O(c931 Location: SCTrr l--4ck> -cx�3.1-7
Dear CRs C Ck kj�
— Your recent request to extend the above permit has been reviewed pursuant to 6NYCRR,
Part 621. The expiration date is extended to
✓Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR,
Part 621. It has been determined that the proposed modifications will not substantially change
the scope of the permitted actions or the existing permit conditions. Therefore, the permit is '1
amended to authorize:
I(.�,no TA1-A, V nu"s r2�c,r ti a.�`cA( i as 1� tl v+ �� o I� / a NS 41y�• �d/
�1 HJIm YNN( AQUI1 NIIv� wa Cke(t�- 1 ci(1� wCl` T�,� �'• 1 " `
CPIC Cla* P 3/17/470
This letter is an amendment to the original permit and, as such, shall be available at the job site
whenever authorized work is in progress.
All other terms and conditions remain as written in the original permit.
Very truly yours,
C"-[-96.4
Deputy Regional Permit Administrator
cc:
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NSTALL 9 MAINTAIN IID I.f. LI 1>H
SILT FENCE BACKED WITH HAYBALES.
11-•
TO REMAIN DURING
6 ALL CONSTRUCTION.
vk•o ti
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8.8 V*Vgw , 6 � G 'a\ LOTION Mme
/fid♦I {� Q "F•`r l J �' 400 200 0 400
U I I / \ Q ✓-%�rYTz'S oAi�"�`
en GRAPHIC SCALE IN FEET
eo
UNDERWRITERS CERTIFICATE
REQUIRED
�- N J Af MlO
12
o e �\ 5E TIG 11+'ST�M 11>;S NM-10 uilAM DEM MT
�. m
to �� uor To TES•+ES! s AM to a FM FOR THE
. o FOLEdIMOO W11ORS;
1 FOUTIMINIGN - TWO REGIJEmm
OCCUPANCY ORPORPOLNOOONWM
N , USE IS UNLAWFUL 3.4. IFINAL NSUAII CpNSTIIUCTION MUST
°N (PPP4WITHOUT CERTIFICATE ALL�COMPLETE TT;o >°�LL MEET
11 �p o RKING / G iu,.J r-IPr=
wgRfq / \\�uF\ OF OCCUPANCY THE 8 ATE ECONRSTRUCTION O ENERGY
COOK& NW REEIONEILLE FOR
'd DESIGN ON OONETIIUCTION SRRORW
\ _ / rs@y. 0 N�lurteur NOTE5: "
N
I. SITE IS LOCATED IN THE TOWN OF SOUTHOLD, COUNTY OF
SUFFOLK, TAX MAP 1000, SECTION 003, BLOCK 2, LOT 1.
2. SITE 15 LOCATED IN ZONE DISTRICT "R-120".
3. OWNER: JEAN N. CALHOUN
ey205
ROUND HILL
GRE NWIGH, CONNECTICUT 06651
F 4. 51TE 15 SERVICED 5Y MUNICIPAL WATER AND ON SITE
SEWAGE DISPOSAL IN COMPLIANCE WITH THE STANDARDS
F AND REQUIREMENTS Of: THE SUFFOLK COUNTY HEALTH DEPT.
359 09 I 5, BASE FOR LEVELS: N.6.V.D. 1929.
26 40 r u 6. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST
AND 5EOD5ETIC SURVEY TRIANGULATION STATION
GHOGOMOUNT 2",
B W. z6[� 'F'+ 7. TOTAL AREA: 2.74 +/- ACRES
�r I..Io1.1uNENr 8. PERCENT OF LOT COVERAGE: 2%
AL1 c�- 17 {Z 'PGH faist'.k LEGEND .\E OF NC-1 lire ',__I�
-raa cv I.bi1uHE1.N EXISTING CONTOURS
UVb I�z-9 I' PROPOSED CONTOURS h 2 51997
f II
n �1
1 13.4 EXISTING SPOT GRADE
I SITE PLAN
FILTER (�„•�'' SFMM�4 FILTER FINAL LOCATIONS
PoASRIC FIHRIC PREPARED FOR
coNP..
SEUFC JEAN N . CALHOUN
WGLE 19 UP SLOPE
FOR SIABIIJIY INC SILT FENCE BACKED
I SELF CLEWING BY YBALE BARRIER
I NOT M SCALE
30 Is 0 30 BLOCK 19, LOT ,5
GRAPHIC SCALE IN FEET FISHMS 15LAND, NEW YORK
REVISIONS
M� CHANDLER, PALMER d KING
DATE DESCRIPTION MINES
3/IT/97 PROPOSED POOL pa IS Architecture, Engineering and Surveying
110 MAWAY NBIRI CT 111=0 ea9-11I FU M-••6-Y•n
SITE PLAN
waLwT -F
DATE: MAY 28, 1996 PROPOSED POOL
SCALE: 1' = 30'
SHEET 1 OF I
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