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Home My WebLink About21365-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22462 Date JULY 22~ 1993 ACCESSORY THIS CERTIFIES that the building Location of Property 4855 STILLWATER AVENUE CUTCHOGUE~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 3 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 23, 1993 pursuant to which Building Permit No. 21365-Z dated APRIL 26~ 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 ACCESSORY THREE CAR GARAGE AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A JOHN & CHRISTINE CARACCIA Rev. 1/El I~OBM NO. ,u TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP. EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~N? 2136~ Z Permission is hereby granted to: .~.~..'t..... ' ..... ~.~ ~~/.~.,~, ....~..:.,-/..,.LL...'7.~..~ ..... ,o ..~~....,~.....~.L~....~....~...,~.~,,.....c~.. ...... at premises located at .......................................... ~ ........ County Tax Map No. 1000 Sectiof~Jy.~.,7~ ........ 8lock ....... I~.~2~ ...... Lot No....I~...~. ............ ,u~.,o,t ~o o,,~l~a~ion do*~ ...~.....~.~ .................. , !~.9...~, a,d oppro~ by ,h, Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~65-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed 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 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, Swin~ming pool $25.00, Accessor~ 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 ~ Date ......... ................. . New Construction ...... · .... Old Or P~e-exis'ting Buildin~ .... House No. Street ZHamlet Onwer or Owners of Property ..... ~q..~ .f.~. . ..~.~. ........................... County Tax Map No 1000, Section. /.~.7. .Block. ..~. Subdivision .................................... Filed Map ............ Lot .................... . . No...~../.~..~.~-- ~ ~ . .~.. ~. ?..~. ~ ?..~ Applicant..~..O.~..~...~.~. ~ .~.~. ~./.~(~... Permit ..... oate Of Permit .... .. Health Dept. Approval...~/~ ............ ..... Underwriters Approval....~?./~ ................ Planning Board Approval ..... ~//~ .............. Request for: Temporary Certificate ........... Final Certicate.,..~. ...... ~ ' APPLICANT ' INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 gIJ'LY 12, 1993 JOHN & CHRISTINE CARACCIA 5855 STILL}/AI~R AVENUE CIJ~CHO~UE, BY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~u~l~a~X/not on file.)$25.00 No Health Department Approval on file. No final inspectio~ has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 21365-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ?~IELD '~L,S, ~C, ~ON IfDATE FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [~F~MING [ ] FINAL 765-1802 BUILDING DEPT. ON 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL REMARKS: ~/~-~'~'~~ DATE INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION ~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL RE~:~4RKS: / DATE INSPECTOR New York State Department of Environmental Conservation Building 40--SUNY, Stony Brook, New York 11790-2356 (516) 751--1389 FAX (516) 751-3839 John Caracoia 18 Linden Lane Farmingville, NY 11738 April 5, 1993 Thomas C. Jorling Commissioner RE: 1-4738-00771/00001-0 Dear Mr. Caraccia: 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. Very truly yours, Darleen Gerbino Program Aide DG/nw enclosure /-~DOT71 PERMIT Under the £n¥1ronmentM Conservation Law i Article 15, Tttle 3; 6NYCRR 327, . 328, 329. Aquatic Pesticides ) Article 15, Title 5: _ Protection ol Water ~------~ Article tS, Title 15: Water Supply ~ Article 15, Title 15: Water Transport -- Article 15, Title 15' __ Long Island Wells ~'---i Article 15, T(t~e 27: Wild, Sc~nic and Recreational Rivers 6NYORR 608: Water Quality Certification ~ ArtiCe 17, Titles 7, 8: SPDES ~--~ Article 19'. Air potlution Control* Artmle 23, Title 27: Mined Land Reclamation ~'--] Article 24: Freshwater Wetlands N--New, R--Renewal, M--Modification, O--Oonstruct (*only). O--Operate (*only) EFFECTIVE DATI: Tidal Wetlands Article 27, Title 7; 6NYCRR 360: Solid Waste Management* Article 27, Title 9; 6NYORR 373: Hazardous Waste Management Article 34: · Coastal Erosion Management Article 36: Floodplain Management Artices 1, 3 17, 19, 27, 37; 6NYCRR 380: P~diation Centre r N^t _ , -/'c eve ' Con str~c¢~ on/expa~ on/mod~ f~ ca¢~ on of ~ struc~uP~TaC~ · .__~ e~i~jnq sj~¢zz~ALt~Z_dwell~nq and more thg~ bound~rz o~r~s~reconstructJon o~ ~n /~ ~bls e m~t the perm~ttee ~ ~ ) ~'~ ~ /Y Y ~ ' rees that the perm t s contingent upon strsct comp~- Office of General Services or local government wh,ch may be required solvents, lubricants, epoxy coatings, paints, concrete, leachate or any ~. ~'~'i/~/'/--~ Tidal Wetlands Anv mater~al dredged m the prosecution ot the work hereto permitted to,ts former condition Nocla~rn shall be made against the State If granted under Article 36, this permtt does not s~gmfv tn any wa,, that r.b,e pro~ect wdl be free from floodm~ If ~ranted under 6 NYCRR Part 60~, the NYS Department ot Environ- mental Conservation hereby cert~Hes that the subject ~rolect will not Sections 301, 302, 303, 306 a~d 307 of the C~ean Water Act ot 1977 (PL 9S-2~7) prowded that all of the conditions hsted hereto are met Ali act)v~t~es authottzed by th~s permit must be wmth the approved plans submitted by the appimcant or hms agent as part ot the permit apphcatmon~/~ Such app,oved plans were prepared b~~- SPECIAL CONDITIONS 1. A copy of this permit with supplementary conditions and approved plans must be available at the project site whenever authorized work is in progress. 2. The permit sign enclosed with the permit or a copy of letter of approval must be protected from the weather and posted in a conspicuous location at the work site until completion of authorized work. 3. At least 48 hours prior to commencement of the project, the permittee must 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 must also be completed and returned. 4. If the permittee intends to undertake any project design modifications after permit issuance, the permittee must 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 submission of a new application for permit. 5. Discharge of wet or fresh concrete, leachate or wash water from mix trucks, mixers or other devices to tidal wetlands is prohibited. 6. Contamination of tidal wetlands and the waters of New York State by suspended solids, sediments, fuels, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the conduct of the permitted activity is prohibited. Page ~ 2 of ~ SPECIAL CONDITIONS For Article 25 ( Tidal Wetlands .) 7. Contamination of tidal wetlands and the waters of New York State by suspended solids, sediments, fuels, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the conduct of the permitted activity is prohibited. 8. Any debris or excess material from construction of this project must be immediately and completely removed from the adjacent area and disposed of at an approved upland site. Disposal of debris in tidal wetlands is prohibited. 9. Construction equipment and materials must be stored in upland areas more than 75 ft. landward of the most landward edge of the tidal wetland boundary. 10. All areas of soil disturbance resulting from this project must be seeded with an appropriate perennial grass seed and mulched with hay or straw within one week of final grading. Mulch must be maintained until a suitable vegetative cover is established. 11. If seeding is impracticable due to the time of year, a temporary mulch must be applied and final seeding performed at the earliest opportunity when weather conditions favor germination and growth, but not more than six months after project completion. 12. All disturbed areas where soil is temporarily exposed or stockpiled for longer than one month must be stabilized with a temporary hay or s=raw mulch. Mulch must be maintained until a suitable vegetative cover is established. 13. Bales of hay or other means to control erosion are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good condition until all disturbed land is heavily vegetated. 14. Disturbance to the natural vegetation or topography greater than 25 feet seaward of the approved structure is prohibited. 15. Driveway and parking areas must be constructed of pervious material. 16. Roof runoff must be directed to drywells a minimum of 75 linear feet landward of the tidal wetland boundary. 17. Backwash from pool filter must be discharged to a drywell located a mini- mum of 100 linear feet landward of the tidal wetland boundary. 18. Draining of swimming pool water directly or indirectly into tidal wetlands is prohibited. 19. Road, driveway and/or parking areas must be graded to direct runoff away from tidal wetlands. 20. Construction of any decks, accessory structures or additions that are not specifically authorized by the approved plans that are part of the permit is prohibited.. FACILITY ID NUMBER Regional Permit Administrator N¥S Dept. of Environmental Conservation Building 40, SUNY - Room 291 Stony Brook, NY 11794 (516) 751-7900 P R O C ~ ^ M N U M B,~..,./~:)~ Page 3 of__ SUPPLEMENTARY SPECIAL CONDITIONS The following conditions apply to all permits: 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. 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. Ct If project design modifications become necessary 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 submission of a new application for permit. 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 th~ 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 (5~6) 474-2195, which may be required for any encroachment upon State-owned lands underwater. DEC PERMIT NUMBER 1-4738-00771/00001-0 PAGE 4 OF 4 ............. o al .............. Demolition ..... : .......... Other Work ............... 4. Estimated Cost ~?-~2 · .6~...i..' *~' ' (Description) (to be paid on filing this application) 5. If dwelling, number of dwellinj?=~pits ....... ~ ....... Number of dwelling units on each floor ................ · Ifgarage, number of cars . [ .t-3. r~ C (,3.). ' 6. If business, commercial or roi.xed occupancy, specify nature and extent of,each type of use ...... 7. Dimensions of existing structures, if any: Front ........ . ..... .. Rear .... '..' ........ D~;t't~ . Height ............... Number of Stories ........................................................ Dimensions of shine structure with alterations or additions; Front ................. Rear .................. ~D.epth .. .......... ............. Height ....... i. ~.' ......... ... Number of Stories ........... 2 . . 8. ulmenstons of entire new construction: Front... D..q, ...... Rear '~ ~ / l~o,,,h ~ ~ / ....... 9. Size of lot' Front hg~o~ · Re~ ...... (_~) ; ..... :" .... ~, ...... "'Z' ;.'c' '~. ~ .... ~ .... 10. uateotrurcnase ...... .t.rfp. ..... ~ ............. NameofFormerO,wner ..T.~.5.h.((c.~.m..' ' ........ 11. Zone or use district in which premises are situated ~¢ % I c~ .e'Aq' ,~ ..¢~.. 'J- ...... : ....... 12. Does proposed construction violate any zoning law, ordinance or regulation"' ~-' ~ ........... i ...... i ....... 13. Will lot be regraded N) O Will e .... ' ' ' '; ]' ..................... ............................. xcess ru~ oe removeu ~rom premises: Yes 14. NameofOwnerofpremjses .~n.~.~LO~.C.c~t.~ Address 8L. Iqd. eet~.o.q¢ PhoneNo (glg)Tg2--(,,qll · Name of Arcintect ... P,~f>.q.~, ........... Adgr, e~s .~..-m~r~qo I/e,~k/ PhoneNo ' Name of Contractor '~¢, [ ~. Address ....... .t .....'~ D)~ k,,- ~ ' ........... : .... t5. Is this property within 300 feet of a tidal wetland? *Yes..L~..... No... · If yes, S~uthold Town Trustees Permit may be required. ' ..... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions, from lines. Give street and block number or description according to deed, and show street names and indicate whether r corner lot. STATE OF NEW YOR~, r-,,~ ~ S S ' COUhFFY OF ....... ~ ~.[.~.. · ' .(]~ff./3 .~.~..Q~. ~¢..~...~..~.~.[..O'r ................ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the ... ...................... .~..~q ~.. ...................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make ahd file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application flied therewith. Sworn to before me this : APJ Z,; l UlL;b J JG DEPARTMENT ?t',~ i ~ ~, ~OWN HALL Examined ., 19~[~ Approved ., 19~ Permit No. sapprove a c ............... ~ ................... (Budding Inspector) APPLICATION FOR BUILDING PERMIT B~ARD OF 3 SETS OF PLANS SURVEY CIIECK sEpT c';; ................ Date ......... , ... INSTRUCTIONS a. Tins application must be com:pletely 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 o( lot and of buildings on premises, relationship to adjoining premises or public streets ~r arqas, and giving a detailed description of Iayout of property mu~t be drawn on the diagram which is part of this appli- cation. c.' The work covered by tins app!ication may not be commenced before issuance of Building Permit. d., Upon approval of this applicaition, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises availabl~ for inspection throughout the work. e. No building shall be oceupiefl or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted bY the Building Inspector. APPLICATION IS HEREBY MA~)E to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southbld, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction ofi buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply witl~ all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspect~on~ ,d ~ ' . ...... ............... -- . (~g~flture of applicant, or name, if a corporation) (Mailing address o~ applicant) // State whe,~her applicant is owner, l~ssee, 'agent, architect, engineer generai 'contractor, electrician, plumber or builder. Name of owne: of premises.. ~ ,~...~..,~. ,~n. t.h.e~, t.~~ e.d.), . , ' ........... ' ......... If applicant is a corporation, signatur~ of duly authoriied officer.' (Name and t~tle of corporote officer) Builder's License No. ' ..... Plumber's License No ........ i ....... . .......... Electrician's License No. Other Trade's License No 1. Location~of land on which prop?ed work will .be done ................... ¥ ............. ~ .. .............. .. House Number [ Street / Hamlet Cotmty Tax Map No. 1000 SectiOn . :. ].~.'~ .......... Block ...-.~. ......... i... Lot ............ Subdivision ........ . ........ (iq' ~d) ........... ......'. Filed Map No ............... Lot ............... a 2: State existing use and occupancy iof premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .i. b. Intended use'and occupancy .. oz wo ~z~ ~O<.m