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Home My WebLink About21356-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICA%TE OF OCCUPANCY No Z-24019 Date NOVEMBER 6, 1995 THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING Location of Propert~ 3900 DEEP MOLE DRIVE MATTITUCK NY House NO. Street Hamlet County Tax Map No. 1000 Section 115 Block 17 Lot 6.2 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15, 1993 pursuant to which Building Permit No. 21356-Z dated APRIL 20, 1993 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 A TWO STORY OWE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to A~LEWE & PATRICK CALLAHAN (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL87-SO-131 SEPTEMBER 8, 1995 UNDERWRITERS CERTIFICATE NO. M336994 DECEMBER 19, 1994 PLUMBERS CERTIFICATION DATED MAY 17, 1994 STEVEM BURNS Rev. 1/81 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') 21356 Z Date ,,. '..~.~.. Permission is hereby gra~te~d to: / ............... ........ , ..~.d~~...~;.~,...,../.z~:~ ,, ~/.~...Z:...~.. ~ ,~... ~: .~.~..~. at premises located at .~,..~,~J~..,~.~..~...:,,~.,,~ .................................................. County Tax Map No. 1000 Section ........ './/./....~... ...... Block ........ .~...?... ...... Lot No ....... ...~.~..C....'~...... pursuant to application dated ....... .~..././...~... ............................... , 19~....~.., and approved by the Building Inspector. Fee $ .... Rev. 6130/80 Form No. 6 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance. from archiuect or engineer responsible for the building. 6. Submi6 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. 2. 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 Occupancy 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 ~ew Conatructzon...w/ House No. Street Hamlet :ounty Tax Map No 1000, Section .............. Block ............. Lot ......... '. .. ubdivision .................................... Filed Map ............ Lot ...................... ermit No ................ Date Of Permit ................ Applicant ............................ . PP ' - .... r .............. Underwriters Approval. ~.../.~. 7../~. ~.. f. lanning Board Approval ........................ equest for: Temporary Certificate ........... Final Certicate ........... ee Submitted: $ ............................ ~Tq0[ 9 ' ' ............................... APPLICANT Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF $OUTHOLD September 27, 1995 Mr. & Mrs. Patrick Callahan P.O. Box 663 New Suffolk, NY 11956 Re: Building Permit#21356-Z Premises: 3900 Deep Hole Drive, Mattituck surf. Co. Tax Map #1000-115-17-6.2 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher Senior Building Inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS 1MMl105 BUREAU OF ELECTRICITY 815 JOHN STREET, NEW YORK, NEW YORK 1003~ -- D~CEHBMR 19, ~ 994 825,~1193/93't: ~ ~ ~3699~ Date ~ppticatlon No. on flJe only the zl~trlcal equipment ~ ~serlbed be~w and intr~uced by t~ appl~t ~d on the a~e appficatlon number in the premises of PAT C~,LA(~, ~E~P HOLE DRI~, ~TITUCK, N.Y. ATTIC/O~ 23 in thefollowlng b,cafi~.,~.~as~e~.,.~ Ist Ft. ~ 2nd FI. S~tion Bilk Lot ~s examined on }J~iU~D~JI~ 1 ,) , ]~9~r~ and found to be in compliance with the NaHonal Elect~cal Code. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT OTHER 37 33 2 ORYER$ DIMMERS SYSTEMS NO. OF FEET E R V I C ,E NO~ OF CC PER OTHER APPARATUS: BOUBI~E Th~ROW SP2~?ETY SWITCH lf~3 AMP-1 JACUZZI-i MOTORS:I,~5 H.P. ,1-F PANELBO~DS: 1- ] CIR. G.F.C.I=~6 SMOKE DETECTOR ~ -2 LIC, g:1562-E WILDWOOD EI,ECTRIC 4th STREET P.O.BOX 808 WADING RIVER, NY, 31792 t~O. OF HI-{EG A. WG OF HI-LEG INO.~OF NEUTRALS A, WG OF NEUTRAL GENERAL MANAGER Pe~ 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect, fnspectors may be identified by their credentials, COPY FOR BUILDING DEPARTMEN'[. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHO£D, N.Y. 11971 TEL. 765-1802 C E R T I F I CAT I.O N Building Permit No. (please print} (please prln~) I certify that the solder used contains less than 2/10 of 1% lead. in the water supply system Sworn~.to before me this /'~'ot~ry Pub.l.i~, ~County (plumber's signature) No'ta ry PubLic SUSAN M- CAR DINALE ' NOTARY PUBLIC, State of New I~o. 52-4619540 Qualifie(~ in Suffo k C~urtty ,,-;,~"-' Commission Expires ~)~f~/1 'OUItDATION (1st) 'OUNDATIO~! (2nd) -PLUMBING -~SULATIO,~! PER N. STATE E~IERGY CODE Fi~;AL ADDITIONA'L COHME ;TS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY ] ROUGH~LBG, [ ] IN~TION [ [//J~' FINAL DATE: /,/c!~//~//~',~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ] FIREPLACE & CHIMNEY DATE 7G5-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~~, DATE INSPECTO 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [//j~FRAMING FINAL REMARKS: INSPEOTOR ,.~ *~/ 765-~.802 BUILDING DEPT. INSPECTION [ ] F~UNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: [ ] FINAL DATE iNSPECTOR?/~~/ ~/~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL INSPECTOR 7G5-1802 INSPECTION NDATION 1ST [ ] ROUGH PLBG. FOUNDATION ;ZND [ ] INSULATION [ ] FRAMING FINAL FOR: ENERGY CODE CALCULATIONS (For Non-Electric Heat) Design Criteria 6,000 Degree'.Days O.A. i0°F I.A. 70°F DESIGN THERMEL SUBSYSTEM AREA "U" RATING REMARKS Exterior Walls (Opaque) /~77 4 / Glazing /-~ % Z7~ Doors ~ ~ Ceiling/Roof (Opaque) . ~ ~f O Floor f'7 0 , O~ 0 Foundation Walls Slab Insulation TOTAL Notes: Building Envelope Systems to meet requirements of 7815.2 HVAC Equipement to meet requirements of 7815.11 IIVAC Systems to meet requirements of 7815.12 Duct Systems to meet requirements of 7815.13 Ventilations Systems to meet requirements of 7815.14 Insulation of Piping Systems to meet requirements of 7815.15 Service Water }{eating Systems & Equipment to meet requirements of 7815.21 Electrical & Lighting Systems & Equipment to meet requirements of 7815.31 To the best of my knowledge, belief, & professional judgement, these plans are in compliance with the code. GARY FLANNER OLSEN COUNSELLOR AT LAW P. O, BOX 706 · MAIN ROAD ,, CUTCHOGUE, LONG ISLAND. NEW YORK 11935 ', PHONE 5[6'734-7665 May 8,1991 Re: Waterscape~to Callahan HD R~ference #: 87-S0-131 Gentlemen: Please be advised that I represent Waterscape Association, Inc.. This letter is to inform you that on May 8,1991 Waterscape Association, Inc. conveyed tine to the subject premises to Patrick Callahan and Arlene Callahan, his wife of 5011 212th Street, Bayside, N.Y. 11364 and assigned all its right, title and interest to the above refere~Dept approval to the Ca]lahans. Very t rA?~ o~ GAR? F LANIN~R~q)LS El GFO/m Suffolk County Dept of HeaIth Services County Center Riverhead, N.Y. 11901 Consented to by Waterscape Association, Inc. New York State Department of Environmental Conservation i~uitding 40--SUNY, Stony Brook, New York 11790~2356 (516) 751-1389 FAX (516) 751-3839 Thomas C. Jorling Commissioner March 15, 1993 Arlene & Patrick Callahan P.O. Box 663 New Suffolk, NY 11956 RE: 1-4738-00758/00001-0 Dear Mr. & Mrs. Callahan: 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 conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. N~rE: Speical Conditions 1 thru 4 have been modified and special conditions 5 thru 10 have been added. RT/nw Ver.¥ truly yours, Rokert Thurber Sr. Environmental Analyst enclosure 1-4738-00758/00001-0 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSLRVATION PERMIT Under the Environmental Conservation Law (ECL) E FFECTIV[ DATE [4emcb 25, 1993 EXPIRATION DATE ~'~rch 31, 1994 TYPE OF PERMIT (Check All Applicable 8oxes) []New []Renewal PERMIT L~ Article 15, Title 5: Protection of Water L----'~ Article 15, Title 15: Water Supply ~--'~ Article 15, Title 15: Water Transport Article 15, Title 15: Long Island Wells ~--~ Article 15, Title 27: Wild, Scenic and Recreational Rivers 6NYCRR 608: Water Quality Cedification ISSUED TO Article 17, Titles 7, 8: SPDES Article 19: Air Pollution Control Article 23, Title 27: Mined Land Reclamation Article 24: Freshwater Wetlands Article 25: Tidal Wetlands Article 27, Title 7; 6NYCRR 360: · Solid Waste Management [~ Article 27, Tdle 9; 6NYCRR 373: Hazardous Waste Management [~ Article 34: Coastal Erosion Management ~-~ Article 36: Floodplain Management [--~-] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control ~-~ Other: Arlen_e & Patrick Callahan TELEPHONE NUMBER ADDRESS OF PERM/TTEE ( ) P.O. Box 663~ New Suffolk, NY 11956 CONTACT PERSON FOR PERMITTED WORK NAME AND ADDRESS OF PROIECT/FACILITY Deep Hole Road _911_+ lenear feet south Of New Suffolk Ave. LOCATION OE PROIECT/FACILITY _~ttituck _Suffolk Southold Deep Hole Creek E N 4 _Construct a single family dwelling and install a septic syst~n in accordance wi~h . referneced plan approved by ~fSDEC and special conditions attached. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (See Reverse Side) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR David DeRidder I ADDRESS [~rch 15, 1993 Page 1 of 5 GENERAL CONDITIONS Inspections 1. The permitted sits or faciility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such re.presentative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). A copy of thru permit, includ ng al referenced maps, drawings and special conditions, must be available for inspection by the Depar(ment at all times at the project site. Failure to produce a copy of the permit upon request by a Depe, rtment representative is a violation of this permit. Permit Changes and Renewals 2. The Department reserves the right to modify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of thb ECL and pertinent regulations is found; b) the permit was obiained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) environmental conditions, re~evant technology, or applicable law or regulation have materially changed since thei permit was issued. 3. The permittee must submit a separate written application to the Department for renewal, modifica- tion or transfer of this permit. Such application must include any forms, fees or supplemental infor- mation the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. 4. The permittee must sub'mit a renewal application at least: 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. 5. Uniess expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or dletermination previously issued by the Department or any of the terms, con- ditions or requirements icontained in such order or determination. Other Legal Obligations of P?rmittee 6. The permittee has accep,ted expressly, by the execution of the application, the full legal responsibili- ty for all damages, diredt or indirect, of whatever nature and by whomever suffered, arising out of the project described in ithts permit and has agreed to indemnify and save harmless the State from suite, actions, damagesi and costs of every name and description resulting from this project. 7. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of oth'ere n order to perform the permitted work nor does it authorize the impair- ment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. 8. The permittee is respons= b e for obtaining any other permits, approvals, lands, easements and rights- of-way that may be required for this project. Page 2 of 9 That if future operations by the State of New York require an al- if, in the opinion of the DepaCcment of Enwronmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or ~ndanger the health, safe~y or welfare of the people of the State, or cause ~oss or destruction of the natural resources of the State, the owner may be ordered by the Department to thereby w~thout expense to the State, and if, upon the expirat,on or plated, the owners, shall, without expense to the State, and to such structure or fill and restore to it5 former condition the navigable and flood capacity of the watercourse. No claim shall be made against 10. That the State of New York shall in no case be liable for'any damage or injury to the structure or work bares authorized which may be caused by or result from future operations undertaken by the State for the no dais or right to compensation sbell accrue from any such damage 11. Crantingofthispermitdoesnotrelievetheapplicantoftheresponsi. bility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of Ceneral Services or local government which may be required. 12. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, 25, 34, 36 and 6 NYCRR Part 608 [ the bed of a waterway or floodplain o~ deep holes that may have a 14 There shall be no unreasonable interference w~th navlgatio~ by the work that the project will be free from flooding. (?L 95-217) provided that all of the conditions listed herein are met. Such approved plans were prepared ~y Jo on 11/17/86 4e SPECIAL CONDITIONS House is to be a minimum of 55' from mean high water line as shown on referenced plan. The septic system shall be landward of the 10' contour 85' elevation. A thirty five foot (35') wide natural undisturbed buffer is to be maintained between all work areas/development and the wetland edge (mean high water). A row of haybales must be secured and maintained in place between the construction site and the undisturbed buffer until all construction has been completed and disturbed areas have been graded and vegetative ground cover has been established. Ail roof runoff is to be directed into dry wells placed on the landward side of the house. Ail necessary precautions shall be taken to prevent contamination of the tidal wetlands and/or waters of New York by silt, sediment, fuels, solvent, lubricants, epoxy coatings, concrete leachate and any other pollutant associated with project work. DEC PERMIT NUMBER ~1-4738-00758/00001-0 PROGRAM/FACILITY NUMBER Page 3 of 5 ?5-20 6f (7187)--25c ~qEW YORK STATE DEPARTMENT OF ~NVIRONMI~NTAL CONSERVATION For Article 25 ( SPECIAL CONDITIONS Tidal Wetlands 10. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands. The storage of construction equipment and materials shall be confined to within the projeot work site and/or upland areas greater than 55 linear feet distant from the tidal wetland boundary. If seeding or soil stabilization is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather conditions favor germination and growth, but not more than six months after project completion. No decks, patios, porches, steps, additions or accessory structures seaward of the 10' contour line are allowed with additional approval from the Department. No fill is allowed without additional approval from the Department. Supplementary Speoial Conditions (A) thru (F) attached. DEC PERMIT NUMBER 1-4738-00758/0000~-0 FACILITY ID NUMBER Page ~ of_ 5 ~UPP~EMENT/%Ry SPECIAL CONDITIONR The following conditions apply to all per, its: A. A copy of this permit, including all conditions and approved plans, shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit shall be protected from the weather and posted in a conspicuous location at the work site until all authorized work has been completed. B. The permittee shall require that any contractor, project engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this permit and all its general, special, and supplementary special conditions. 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. If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory Affairs at the address on page one or telephone (516) 751-1389. C. If project design modifications become necessary after permit issuance, the pel-mittee shall submit the appropriate plan change~ for approval ~y the Regional Permit Administrator prior to undertaklng any such modifications. The permittee is advised that substantial modification may require submission of a new application for permit. D. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of the permitted work, the bottom portion of that form shall also be signed and returned, along with photographs of the completed work and, if required, a survey. For projects involving activities to be undertaken in phases over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to recommencing work in subsequent years. The granting of this permit does not relieve the permittee of the responsibility 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, NY 12242 (516) 474-2195, which may be required for any encroachment upon State-owned lands underwater. Southold Town Board of ADDeal~ -4- April %~e ~oard £~ds that strict application of the Ordinance will produce practical difficulties or unnecessary hardship; the hat.hip created ia unique and ~.1~4 no~ ~ sh~e~ by slx pro~ties al~e ~ ~e h~dlate v~cinity of ~$ pro~rty and in ~e s~ use dis~r~c~; and the ~riance d~s ob~e~e ~e sgirl% o~ ~e Ordnance and ~ill no~ chan~e ~e c~racter o~ on motion o£ Mr. Gillispie, seconded hymn, Bergen, it was P~SOLVED that Allen Bes~ grantea peNmission to d~vl~e nor~ sid~ Sound Avenue. ~ttituck, N~ Yor~. ~e size of ~e l~t is to be 71~50 ft. ~ Sound Avenue, ~13.54 ft. On ~e ~sterly =~u pxo~ed~elling is to~ lo. ted appr~tely 20 f~. side line and 50 f~ ~=ont~r~ Se~ ~r~Soun~ Avenue. Vote of the Board: Ayes:- Mr. Gillispie, ~. Bergen, and PUBLIC ~AR~G: Appeal ~o. 555 - 7~45 P.~ (E.S. To), u~on application of Prank S. Zaleski, Deep I{ole Drive, N~ York, for a variance ~ accor~nce w~ ~e Zoning Ordnance, Article XII, Section 307, and Article X, Seu%ion 1000A, for east side Dee~ Hole Dr~ve, ~ttituck, ~ York, ~un~4 land of F. ZaleSk~, and west by Deep Hole Drive. F~ ~id $5.00. The Chairman o~ned the hearing by rea~ing application for a variance, legal notice of hearing, affidavit attesting to its publication in the official newspaper and notice to the applicant. Tf~ Ci~iRMA~: ~s there anyone present who wishes to speak for th~ application? TRUSTEES John M, Bredemeyer, III, President Albert J. Krupski, Jr., Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road EO. Box 1179 Southold, New York 11971 June l, 1993 Patrick & Arlene Callahan P.O. Box 663 New Suffolk, NY 11956 Re: SCTM ~ 1000-115-17-6.2 Dear Mr. & Mrs. Callahan: The following action was taken by the Board of Trustees at their regular meeting of May 26, 1993: RESOLVED that the Southold Town Board of Trustees approved the request for an amendment to Permit ~3842 to add a 10' X 16' deck attached to house approx. 54' from MHW. If you have any questions, please call our office. V~ruly yours, John M. Bredemeyer, III President, Board of Trustees JMB:djh TRUSTEES John M. Bredemeyer, III, President Albert J. Krupski, Jr., Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 June 11, 1992 Patrick Callahan 50-11 212 St. Bayside, NY 11364 RE: Permit #3842 SCTM ~1000-115-17-6.2 Dear Mr. Callahan: The following action was taken by the Southold Town Board of Trustees on Thursday, May 28, 1992; RESOLVED that the Southold Town Board of Trustees grant an extension on permit ~3842 (formally Brent Bookmiller) to expire June 22, 1993. If you have any questions, please do not hesitate to contact this office. Very truly yours, ~ohn M. Bredemeyer, III President, Board of Trustees JMB:jmt Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 3842 ISSUED TO ..Br~nt Bookmiller DATE:..~une 22, ~990 IN WITNESS WHEREOF, The said Board of Trustees here- causes. ~ts Corporate. Se. al to be affixed, and these presents to subscribed by a malonty of ~qe se~d Board es of this date. ",'r ? '//_ ._...... .~--~-:~r~ ~ . / ,... ~'~-~.~-~-/~ , ,- : , , .;- .... of .................. N.Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: To construct a single family dwelling, well and associated sanitary system with the following conditions: All runoff musl be contained onsite, 35' vegetation buffer must be maintain t~ house Fnust h~ I~c~d. a,~ ~lose Spt ~e road as p. os~i. ble. all m accoraance wl?n e aetanec~ specihcahons as presenfedm the originating application. Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Soufhold Town Ordinance en- rifled "REC=ULATINC= AND THE PLACINC= OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, CoRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance wlfh the Resoluflon of The Board adopted afa meeting held on Ju~n¢ 2].,.. 19 90 , and in consideration of the sum of $ paid by TERMS and CONDITIONS The Permlttee B~'ent Bookmiller residing at .. Deephol~ Road, Mattituck part of the considerafi, lowing: 1. That the said all damages, or claims N. ¥., a~ ,n for the issuance of the Permit does understand and prescribe to the roi- ~loard of Trustees and the Town of Southold are released from any and !or damages, of suits arising directly or indirectly as a re~-ult of any ope~. atlon performed pursua to this permit, and the said Permittee will, at his o~ her own expense, defend any and ail such! suits initiated by third parties, and the said Permlttee assumes full liability with respect thereto, to i the complete exclusion of the Board of Trustees of the Town of ~mthold 2. That this Permit is valid for a period of 24 . mos. which is considesed to be the estimated time reqmredlto complete the work involved, but should drcumstances warrant, request for an extension may b~ made to the Board at a later date. 3. That this Pera~t should be retained indefinitely, or as long as the said Permit'tee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that auth- orization was originallyi obtained. 4. That the ~.volved will be subject to the inspection and approval of the Board its agents, and non-compllance with the provisions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will ibe no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shailjbe no interference with the fight of the public to pass and repass along the beach between high land low water marks. 7. That if future Operations of the Town of Southold l. equire the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreaSOnable obstmenon to free navigation, the said Pennittee will be required, upOn due notice to remo~e or alter this work or proiect herein stated without expenses to the Town of Southold. 8. That B~ard will be notified by the Permlttee ot the completion of the work auth- the orized. 9, That the Permiltee will obtain all other permits and consents that may be required sup plementai to this permil which may be subject to revoke upon failure to obtain game. i 'L.t? APR I 5 1993, Approved...~.~..~. ......... , 19~..~. Permit No.,~...~.~...~..~. .~ Disapprove~ a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,: 765-1803 SURVEY (B~ldin~fispector) APPLICATION FOR BUILDING'PERMIT . INSTRUCTIONS , a. Tiffs ~ip~lication must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s?ts 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 sti'eets pr areas, and giving a detailed description of layout of property must be dr&wn on the diagram which is part of this appli- cation. c. The work covered by tiffs 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 Occdpancy 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 South01d, 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 necessazg.inspec?ons. -- (Signature of applicant, or name, if a corpt}ra~;ion) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .ff... N~meofownerofpremises .~..~<?~ E (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 ........ ~.r ................ Electrician's License No ..... ?. ................ Other Trade's License No. // 1. Location of land on which proposed work will be done ................. . House Number Street Hamlet /2-*" Z cotmty Tax Map No. 1000 Section ...i .............. Block ..... ./. .. ' .. Lot...'. Snbdivision ........ . ............................. Filed Map No ............... Lot ............... (Name) Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ' - . .............. ,.. ......................... .. b. Intended use and occupancy ....... '. .; ................ k ( k whi Ppli bi ) . t/ ~.dditi · 3. Nature of wot chec ch a ca e: New Building ....... on .......... Alteration .... ; .... Repair Removal Demolition .............. Other Work 4. Estimated Cost ......... ~_~ escr on (to be paid on filing this application) 5. ![ dwelling, number of dwelling.Units....'~..'~: .~-...: .... . Number of dwelling uo[ts~.~eac% floe[., ~ ............. 6. f bustnyss, co~mercml or m~.xe~ occupancy, specify natu~ and extent of.each type of use ..................... 7. Dimensmns of existing stmctur s, if any: Front... ,. : ..... Rear .............. Depth .............. Height Number of Stories 2 ' Dimensions of shme structure with alterations or additions: Front ............ Rear ............... Depth .... ~ ............... ; HeiSt ....... · ........ ,., Number of Sto~es 8. Dimensions of entire new const ction: Front ...... ' Rear Depth .Hmght . ~. ~. ~ ...... Number of Stories .... ~ ~. 11. ~one or use a~stnct ~n which premises are situated /g~ ~, ~ n ~: ....... .12· Does proposed construction viol'ate any zonin. law ordinance ...... ,~-~. ~ ................... 13. Will lot be regraded '~.: .I · . · Will ex ss .................. 15.' ID thio property within ~00 feet of a tidal wetland? ~Yes..~ .... No .... o ......... elf yes, Southold Town ustees Permzt may be required. Locate clearly ~d distinctly ~1 l buildMgs, whether existing or proposed, ~d, indicate El set-back d~ansions from property ~nes. Give street ~d block humber or description accord~g to deed, and show street nines and indicate Whether Mtefior or corner lot. STATE OF NEW WORK, / SiS ... (Name of individual signinlg contract) above named. being duly sworn, depose~ and says that he is the applicant He is the i ~ ' ' '" ..................... i ..... (Co tr ctor ................................. .............. , , agent, corporate,officer, etc.) ,, ',, , of said owner or owners, and is duly 'authorized to perform or have performed the said work and to make and file this application; that all statements contaified in this'application are irue to the best of his knowledge and belief; and that the work will be performed in the manner 'et forth in the application flied therewith.. ' Swom to bef6re me this ! ' · i... '/'.."q:~ '. da ' ("~'~'~-' .... . ..... f~...aay or.!.. ~..'..'..., · ' ..... : ..... · . M.W mNS. · ' Notary Public, Stat~ of NowYork No. 4952246, Suffolk Coul~ · , Term ExpirOsdu~e 12; 19.7-.~ i~'~ti · · The local/ohs of wells and cesspools shown hereon ore from field observations and or from data obtained from olhers. H. $. R£F. NO. E? - $0 - /~/ NEW SUFFOLK AVE. The water supply and sewage disposal syslems /or this residence will conform lo fha standards of The Suffolk County Depar/ment of Health Services. SuRvEY OF PROPERTY AT MATTITUCK' TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y 1000--115- 17- 6.2 SCALE: I'= 40' NOVi 17, 1986 July 28, 1993 (foundation) AREA; i7~ m,-! ~. SQ FT. 'To DE~[~ L..I ~ ~ 5, TOWN OF SOUTHOLD Prepared in accordance w/Ih lhe minimum ' slandards for lille surveys as eslabllshed by the L.LA.L.S. and approved and adopted for such use by The New York Slate Lone Title Association. NO. 49618 P.C. SUFFOLK COUNTY DEPARTMENT OF HEALTH 8E, RVlCE$ FOR APPROVAL OF CONSTRUCTION ONLY DATE ~H. S. REF. NO. APf=flOVED · The /ocefions of wells end cesspools shown flereo~ ,~efrOm field, observations and or from data obtained from H. $. R£F. NO. ~7 - $0 ~1'31 NEW SUFFOLK AVE, · ,t' ~stdence Iv/I/conform. ~//. ~ ~ ~ of The Suffolk Counly~ of Health Services, SuR~Y OF ~RO~ERTY ~T: M~TTITUGK TOW~ OF SOUTHOLD SUFFOkK GOU~TY, ~ooo- ~t~ - t7- 6.2, SCALEs I'~ NOV~ 17, 1986 '1 Prepered in 'e,c. cor~d~Ince wilh lhe minimum ~len~etds for hfie ,surveys as established by' ~ LJ.A,L,S. an~ =pproved ond qdep~d AREA= i7t~1~ SQ. FT. for ~b~ uS~ bY The New ,YOrk Slole Tttle Assoglellon. The locations of wells ~nd cesspools shOWn hereon are from field observations and or from dote ob/a/ned from o/hers. H. $. REF. NO. 87 - SO - /3/ NEW SUFFOLK AVE. OF S I O?TH O' The waler supply and sewage ' o ~'w~,//~,~,~ L~ P~T~R ~yslems for /his residence will conform o fha sland~rds of The ~uffo/k County~ ~ ~ ...... Departmenl of Health Services. fe~e' bor~ SURVEY OF PROPERTY AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000- 115- 17- SCALE: I% 40' in accordance with the minimum for lille surveys os esloblished by /he L,I.A.L.S. and approved and adopted for such~u~/e by The New York Slate Land~'~ Tllle AssoCiation. ' ~4AIN SOUTHOLD, N, Y. TO , INC. N. YS. LIC. NO. 49618 ENGINEERS, P. C. 11971 SUFFOLK COUNTY I~'PARTMENT OF HEALTH SERVICES FOR APPROVAL OF COI~TRUCTION ONLY £1.EVA TION$ ARE REFERENcE~TO N. 'V.D. NEW SUFFOLK AVE. CONC,I N/b / F 'JOHN FE~C~ N*SJ°50 '50 "W. J' ZALESKI 36.6 ' STY, FR. H SE. 600 N. 79o 00' , N/O/F Z9' 145.09, 146. 61' AREA = 18,351 SO.FT. LePET£R CERTI FlED TO: ROBERT GElS ,JOSEPHINE GElS NORTH FORK BANK AND TRUST Co. COMMONWEALTH LAND TITLE INS. Co. TITLE No. G 661505S FLOOD ZONES A-4 and B 'SURVEY MA,' TOWN SU FFO L lO00 - SCAL OC'E P.O, BOX 909 MAIN ROAD SOUTHOLD , N.Y. OF PROPERTY AT rTITUCK OF SOUTHOLD COUNTY, N.Y. ' 17 E I"= 26, 1989 89 - 421 6.1 · The Iocaflons of well, and 'shown-hereon ore from field o,bserv=.~lons and or from d~lo NEW ~INGLE ced,led by be salldacto~'. P.E., Chief SUFFOLK cODNTY,,N.Z , s.o.¢E*~'.OC, ~O00- tt~-tF:'6.,¢ /' HEALTHSERViOE~. cERTIFiED TO ' $CTIC , 'INC. NO'V: :17;, 198:6 Aug. July 2'8~ 199,3 N..Y.,S. L~C. NO. 49618 S~)UTHOLD,.N...Y. 11971 ~"'",