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HomeMy WebLinkAbout20253-zFORM NO. 4 TOWN OF SOL~fHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP/LNCY No: Z-34408 Rte: 06/17/10 THIS u~K'fIFIBS that the building ADDITIONS/ALTERATIONS Location of Property: 1412 TRUMANS PATH EAST MARION (HOUSE NO.) (STREET) (HA24LET) County Tax Map No. 473889 Section 31 Block 12 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~3LY 11, 1991 purs,,~nt to which Building Permit NO. 20253-Z dated NOIrE~fBER 4, 1991 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 ADDITION, DECK ADDITION, FINISHED STORAGE ROOM AND ALTERATION FROM SEASONAL TO YEAR ROUND ONE FAMILY DWELLING AS APPLIED FOR. THIS C/O REPLACES C/O Z-20595 ISSUED 3/17/92. · ~ne certificate is issued to DAVID P & M3~RY A GIUGLI~/~OTTI (OWNER) of the aforesaid building. S~FOI~ C~D~ DEPAR~%~ OF ~TH ;%PPRO~L~L N/A BLRC~rKICAL C~TIFICl%TH NO. N 217986 12/27/91 ~=LU~K~ERS u~TIFICATION DA'£~ 03/12/92 BRUCE TAYLOR ~~'/ed~nat ure Rev. 1/81 TOWNHALL Ill [[1 J[I~[ ' ' 765-180Z / l BLDG D£PI~ APPLICATION FOR CERTIFICATE OF OCCUPANCY 10wn 0F ~00T~0LD This application must be rifled in by typewriter or ink and submitted to the Building Department with the following: A. 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 wator supply and sewerage-disposal (8-9 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 Planuing 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 sm'veY of Property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Ocenpancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 ,4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00. Commercial $15.00 New Construction: Old or Pre-existing Building: {check one) LocationofPmperty: /,,~/~ ~WfffffA/d ,~/5~,T-,~, ~/q$~ //~ff/ff/~2/ House No. Street ' OwnerorOwnersofProperty: .~d // /J : ~ //~/?~t./ /~. Hamlet Suffolk County Tax Map No i000, Section Subdivision Z/ Permit No. o~ ~ o~.,4' ~ Health Dept. Approval: Date of Permit. Il/los~iff/ Block / ~ Lot Filed Map. Lot: Applicant: ¢/~ <:/) Underwriters Approval: // Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ o'~ff~ ~ Final Certificate: (check one) ( Applican~Signature FORM ~o. 0 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) 20255 Z Dote .....~'.~ ...................................... , J 9..~7Z Permission is hereby gronted to: ...... ............................ ~.~.~ ....... ~. ........~....., ......... o{prom,,~,;o~o,....../...~.~..~L?~.~.~...~~.~ .......... '. 2 ...... ............................................... ~~ .................................................................... ~ .......... .~.....z.....~.~..:~.....~. ..................................................... ~un~ Tox ~op ~o. 1000 S~ction ........... ~ ...... Bilk ......... .~..~ ....~t ~o ........~ ............ Fee $...~...~.....~.... Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20595 Date MARCH 17~ 1992. THIS CERTIFIES that the building Location of Property 1360 TRUMANS PATH House No. County Tax Map No. 1000 Section 31 Subdivision ADDITIONS EAST MARION~ N.Y. Street Hamlet Block 12 Lot I1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 1t~ 1991 pursuant to which Building Permit No. 20253-Z dated NOVEMBER 4r 1991 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is ADDITION, DECK ADDITION & FINISHED STORAGE ROOM TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. SUFFOLK COUNT~DEPARTMENT OF HEALTH APPROVAL DAVID & MARY GIUGLIANOTTI UNDERWRITERS CERTIFICATE NO. N-217986 - DECEMBER 27, 1991 PLUMBERS CERTIFICATION DATED MARCH 12, 1992 - BRUCE TAYLOR / 'Buildinq Inspector Rev. 1/81 Form No, 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN ~LALL 765-1802 A~PLICATION 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 loss 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-oxisting" 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. Foes 1. Cortificate of Occupancy - New dwolling $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 Date ........... New Construction ........... Old Or Pre-existin uildin ...... House No. Street Hamlet Onwer or Owners of Property .......... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ......... Date Of Permit ..... Applicant. i i I j~O :?~ pt App A 1 Health De . roval .......................... Underwriters ..pprova ............. · ............. Planning Board Approval ....................... . Request for: Temporary Certificate ........... Final Certicate.~ .... Fee Submitted: . ............................. ................... . . .......................... . THE NEW YORK BOARD OF FIRE UNDERWRITERS :7 ~ 't '~ ~)(~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~ly the eJectrlcal equipment ~ ~scrJbed below and i~tr~uced by the applicant ~med on the a~ve appllcotion number in the premises of in the following location; ~ Basement ~ 1st FL ~ 2nd FI. ()~'J~ Sectio~ ~t~k Lot was examined oil ~ ~fi~' b~h ~'*~ ~'1 ~ ~) ~ ~ and found to be in compliance with the requirements qf this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS NO, OF FEET R V OTHER APPARATUS: C NO, OF HI-LEG GENEI~AI~ ,MANAGER This certificate must not be altered i~ny monner, return ;o the office of the Board if incorrect. Inspectors ma;ebre identified ~'y their credentials. COPY FOR BUILDING DE~PARTMENT. THIS COPY Gl~ CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTEOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TO~VN HALL SOUTHOLD, N.Y. 11971 CERTIFICATioN TEL. 765-1802 ltli MAR I 6 199:2 TOWN G: $(:~ Owne r_~ % ~7 ~ ~ %){~ [~ i ~ ~--(!~,t (please print ) (please print)- I certify that the solder used contains less' than 2/10 of 1% lead. in the water supply system (plumber s S~at-u~-e) Sworn to before me this __l~ day of ~& ,. HOtary Public,~ ~% County Notary Public FOUNDATION FOU;~D,~ T IOl; 2. f2nd) ROUGH FRAHE & .FLUMBING INSULATION PER N. STATE ENERGY CODE Fi;~AL ADDITIONAL COMMENTS 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: FINAL INSPECTOR/~i ~~~ New York State Del~ rB, Ulldlngr 40--SUNY,~ Stony Brook New ;',,. ',~,Y°rk 11790-2356'~,)~ (516) 751-'1389 ', ~ October 2~ 1992 Thomas C. Jorllnf Commlssloner David Giugl~notti 36 Wdodland Path ~i,g~ P~rk, NY 11754 Dear Mr. Gluglianotti: 1 ~4738-0Q35'0/00001-0 ~ conformance with the requirements of the St§Ce Uniform Procedures Act (~ticle 70,ECL) and its implement~n~ regulatiohs (6~YCRR, Part 621) we a~e enclosing your permit. Ple~ ~ead all conditions carefully. If ~ou ~ unable ~o comply with any egpd~tzons, please contact us at the '~lSO enclosed is a permit sign w~ich is po be conspiouously posted at ~e p~eo~ pite and protected from g~9 ~eathgr. : Vgry FruSy Laura'S. $cocazz~ Envi ro~,mQntal' Af]~lyst LJS/nw ' GENERAL'bi~NDmONS ~ ' 1. The p~rmitted ~ite or facility, mclu~ln~ relevant records, i~ ~ubject to insp~ction at r~a~onable hours and intervals by an authorized r~pmse~tative ~f the Department of Envirohmental Conservation (the ' Department) to determin~ whether th~ ~erm ttee is compiyin9 wi~h th ~ permit and th~ ECL. repr~sentativei ~ . may order the work suspended pursuant. ~o EGL 7~:0301.. and 8APA 40~ (g.) A copy of th s permll, mcludm9 all referenced maps, drAwm~ ~nd ~pecla cond tons, mu~t be available inspect on by th~ Department at all time~ ~t the project ~i~ ~a U~e to produce a copy Df tha perm t ~pon r~quest by a D~partm~nt repr~sentat ye ~ a v oiAt o~ of ~hJs permit. P~r~t Changes and Renewals 2, . The Department reseryes the right to modify,: suspen~ o~ re~oke th!~ permit when: a) the scope of the permitted activity Is exceeded or a violation of any condition of the permit ~ prowslons of the ECL and pertinent regulations is found . b) the permit was obtain~ by misrepr~'entat~dn or ~failure to di~lo~e reJevant facts; c) new materi~[ information is discovered; or ' d) environmental conditipns relevant technology, or aPplicable law or regulation have materially ~nged since the permit was issued, ~, The p~r~ittee must submit a separate written applicatioq to the Depertment for renewal, modifica. tlp~ or ~ransfer o¢ this permit. Such applicstion m~st i~clude any forms, fees or supplemental infor- ma~ien the Department requires. Any renew~l, mgdifi~ation or transfer granted by the Department ~us~ b~ In writing. 4. The ~er~ittee ~ust submit a renewal appl ~tion at least: :'a) 1~9 dsys ~fqre expiration of permits f~r ~tate Pollutant DischArge E imination System (SPDES), ~H~rdou~'Waste Management Facili~i? (HWMF) major Air Poi!~t[on Contrp (APC) and Sol d W~te Ma'nagement Facilities (SWMF){'~nd ' . ' ' ? ' b) ~0~sys bg~pre expiration of all othe~ p~r~it types. 5, Upl~s~'e~pressly provided for by the Depart~Bnt, ssuance of th s per. it does not modify, supersede qr r~bP]pd any brder or determination previoqsly issued by the Department or any of the terms, con- ~ tio~ ,gr requirements contained in such q~der or determ nation . bll~a~10ns of Permi/tee ' . ; tY for ll.d a'g s, direct or nd rect, of Whatever nature and by wfi~mever suffered arisin, out of h~ ~gt described m thru permit ~nd. ha~eed to ~ndemplfy ~ ,d s~ye harmless the State from ~ts';'.~tions,;'ga~ages and costs of eve~ ~? and descr Pti6~res~lting from this project 7, ~hls p~r~it do~s qot convey to the per~itte~{~ny ~ight to tre~pas~ ~p~fi the lands or nterfere with [ne ri~r~n rights Of others in order to perfq~ the permitted wor~ poCdoes t authorize the impair- , men~)~?any rights, title or interest in r~al o~.~sona propert~ he d Q~ested in a per,on not a party The p~tte¢ is responsible for obta ~ng .~ ~ther permits, appr~v¢18/ands, easements and r ghts. ~' .f. Wa~:'~t'~ayb~ required for this proje4~:~'¢'.' ' ,' ;~', ,, 5 Page 2 of , ~0/90)-2~c NEW Y~RK STATE D~PARTMENT OF EN, VIRONMENTAL CONSE~A~IgN 1-4738-00350/00001-0 ,, , , Octobep 24, 1991 FAClllTYIPROQRAM NUMBER(s) PEBMIT ~XPIRATION DATE Unde~ t~e [nvkonmenlal Con~ervalion Law (ECL) ~ ~Y~ ~'nc~er'~ , 1993 ~New ~Renewal ~ModificaUon '' ~ ~Permit to Construct ~ Artlcla 15, Title 5: ProlPction of Water ~ Article 17 'Titles'~ 8: ~ Article 27, Title 9; 6NYCRR 373; SPDES,: ' I ~1 ~a~arO~us Wasto Manaooment  Arti~l~ 15,,T~tle 15: . ~al~¢ supply ~ Article 19: ~'~ic'le 34:' :' ' .... ' ' A r Pollut on Control , ~ ~ Coastal Erosion Ma'nagement ~ Articla 15, TIIIq 15: ~'Artlclo'23',' Title'27:' ' '~ Amcle 36: .' . ' ~t~r Trans~od I ' I Mlnod Land RoclamaUon '~ I ' ArtLqm¢ TItla 15: Article 24': ",.' 'i Adicle~'l, 19, 27, 37; Lpn~ Island Wells ~ FreshWater Wetlands '~ 3,"17, , '. , 8NYCRR 38D: Radiation Control ~ Article 15, Title 27: Wild, Scenic and RecreatiCnal ~ ArIMo 25; Tidal Wotlands ~ Othor: Rivers ~] Article 27, Title 7; 6NYCRR 360: .... S911¢ Wasto Managomont  ~NYCRR 608: 1 i~nptti ~ath, K!n s Park, ~Y 11754 nnone','396 Condin St. FarminQdale, NY 11735 ~516)694-7979 CA JION Q[ pROIFCT/~ACILITY 13~Q Tr~mans Path:Sou}hold, NY 11971 Constpuc~ ~ 16' x 16'l~e~r addition to an extsginq q~e]ling ~n~ ~ 16~ ~ 16' deck on ~n !,wn ~rea, At] ,work shall be,done ~n accgrda~co Wl~h the ~tt~ched N~SDEC' P]~, , '' By acqePtancq of th $ ~e[mit, the permittee agrees that the perm)t is Oopt![gent upon ~trict com?anc~ , ~l~'lho ~OC~ all aPPl taboo regulations the Goneral Con,It ons specified (~ee ~everse Side) aha any upec~a~ ~ ~qn~ltlo~s ~cluded aa': p:art of this permit.' ~ ~'~..;~_,~-.. "~'':~,,: ['. ?:~'.~. .' ' ~RM)T ADMIniSTRATe8 j ] ADDR~eBi~~ ~,~, ~0 ~ ..~ ,., ,,, NEW YORK STATE DEPARTMENT,OF ENVIRONMENTAL SPECIAl. CONDITIONS I " :.. ' .... i . ' All areas of .soil disturbance resulting:from this project sh~li'be'.seeded with an apprppri'ate perennial grass and mu!¢hed with straw immed~atel~iupo~ completion of the project, within two'days of .final gr~ding~'?o~'bY the e~pirat~on of the'permit, whichever is first. Mulch shall be maintain~d ~ntil ~suitable vegetati~e'coveF is established.. If seeding is impracticable dueto the time'of year, a temporary mulch shall be applied and final seeding shall be performed as'soo~ a~ webtherco~dit~ons~favor germination and The ~e~mittee ~h~ll ~ncorporate the.~Q]low~ng'.la~guage as.~ notlcel~covenant!'to the deed: !Regq]a%e~ f~shWate~ wetlands known'as~M~rio~?Lake are located~a~on~ t~e north- w~stern property boundary of the prope~ties"of-Giugllanott! an~-~heir heirs~' ~ a~i~ns or s~ccessors This prope~ty'~s subject to.the prq¥is!o~s of ECL Article 24, ]~:¢he conduct of r~gulated activities~ma~ oddur 6nl~ pursuant to ECL Article 24Jf ~:appro~a! is given by the New Yore. State Depahtment o¢iEnvironmental Conservation ~H~C), R~ulatef activities include, but aFe not limited to~ 61earing of vegetaq. ~'~ application of chemlcal~; excavationi grading and filling; and'erection ~ ~y ~trutture(s}. This~eed tQv6nant shall be recor~ed"within 90 day~,of the issuance of this ermit ~ifh ~h~'Cler~ ~f suffplk County."A6opy'of the covenanted deed or other acceptable ~[~f ~f n~go~, along with ~he.'number as~i~ne~'to this perm!t,~§hall be sent within ~o~e~da~ year 6~ ~he issuance o.f't~is'~mit ~o:' 'NYSD~C~'Region~l Masager B£P, ~¥.~l~g~:~fl; Sto~y B~ook, N6w York %1179~'2356. "i' ' 1-4738~00360/00001-0 PROGRAM NUMBER Page 4 of 5 ,~[~ T 0NAL GENERAL,CONDITIONS FOR ARTICLES 15 (Title $) 24 25 ~4 36 an~ 6 NYCRR B8 (~ ~ ~) teralion in the position of the structure or work herein authori;~d ~r project. ' ":~ the people of the State, or cause loss of destruction of the n~tu~al tendency to cause damage to n~viBab~e channets or to the banks o[ Cqnscr~ation may require remove all or any port on of he qncomple ed any portion ~f th~ ~ncompleted structure or fill and restore the apd fl~d capacity of the watercourse. No claim shall be made against New York on acc~ of any such removal or alteration. th9 ~tO~ o New York on accouot of a~ sud~ ~emov~ 9~ ake~i~. , 10 ~hfl~ t~ Sta e O ~ew York shall in .n° case bo. liable, for, any damage 16, thatlf grantedthe proj~ctunderwi~lArticleb~ f~ee36' thisfromPermitflooding,does not s~gmfy in any way or, imHfY to thp stf~Ftuce or work hemm authonzed whmh may be caused 17. f granted under 6 NYCRR Part 608, the NYS Department of Environ- : ~y ~r ~plt from future operations undertaken by the S~ate for the menta~ Conservation ~er~by ceftifie~ that the subiect proiect wi~ not 1 ] ~r~!~ of this perm t does not relieve [he applicant of the respo0si- (PL 95-217) provided that all of the conditions listed herein are met ~ 9[ obt~iph~ a~y other permissiom cons0nt or approval from 18. Al] activities authorized by this permit must be in ~trict conformance , ~0 U.~, Ar~y C~fps ~f Engineers U.f Coast Gua'rd, New York ~tate with the approved plans ~qbmitted by the applicant or his agent a~ part ~¢~¢~f Genera Services or local ~overnmen~ which ma~ be required, of the permit application 12 ~ll R~c~sary pr~caq~lons shall be taken to preclude contaminatiQ~ p[ 8~y wfqla~¢~ or waterway by suspended ~olids sediments fu8ls Such approved pJans~¢~ .SS pe~ ~rve~ s~lvefi[%, , . k~br,c¢l~ts, epoxy, coatings, paints, concrete, Jeachate, or aqy ~de~! ck V~n._.. T,~. o. SPECIAL CONDITIONS Th~ per~t~ee ~hall require that any. contractor, p~o~ect engineer, or other p rson responsible for th~ overall superv,ision of ~hl~ project reads; ~hderstands, and complies ~l~h th~s ~e~mit and a~ its gene~, ~peci~, ~nd Supplement~yspecial ~onditions. ~h~ pfirmtttee,.gr a~thopize~ represen~ativ~ sha~l complete ~and return the top port, on, 6f the encl:~ed form do,ifs.lng the Bureau 6f ~nV.iwonment~ ~r~tectlon of project commence. m~n~', ~po~';~pl~,lon Qf the penmitted pro~ec~,,aemp~.ete ~nd' re~urn the bottom po[tion of;~h~ f~r~;'a~'ong'with photos, flotify:ing the'Bureau of.~n~lponmenta~ Protect'on ot P~1o~' ~q cpm~qgncem~nt of any construct~bn ab~Jvi~1~s, a contlnu0us ro~ of stFaw bales s~a]!' be ~¢a:~ end to end on ~he do~nslope ~dge 0f' any are~ ~f ,ftl]Jng', g~adjng or ales shaU be mainta~,ne~ lfl plug6 until al],~i~turbed areas are perman- ~.~ v~g6~, Trapped sediments shall P6 re~v~d.to an ~p~r~ved upland site before ~he'~a~ ~el~ ~r~ removed. ' ~ '~;'~ ~,' ~ ' :'~ '' ' ~;,~i~, ~sS ;ons~ruc~lon materl, als, br.ex~es~ excavat~ ~,tep!.~ls sh~ll b~ iN[~'~'~q~'.q~pletelyrdlsposed of on an approved,, bp~nd sit~;~oFe than.lO0 feet lan~waro ~'~b~l¢~"~tl~n~' or waterbo~Y. 'The ma$eri~l~' In'queStion,shall be suitabl5 ~$~t'~ ~d ,~=$.~a~<~hqY cannot ne-enter' ~'~e~ul~te~ .w~ter: b~, ~etl an~, or wetland' ~ q~',,'WQo~,~F,$~te~'w1'th pentachlorophenol o~ creosote Is prohibited, Standard pressure p¢~¢t~ }u~bfF"is'tre,ted with CCA and its use i~ 'p~rmitte~; :~:" '' '1:4~ ]SrOQ3~/O0001'O ~ . ~ ' ~ Page 3__of 5 --- NOTICE OF COMPLETE APPLICATION ^PPLCANT; D,~,~ 09/26/91 DAVID GIUGLIANOTTI 36, WOODLAND PATH KINGS PARK, NY 1 t754 APPtJGATION ID 1-4738-00350/00001-0 1 ARTICLE 24: FRESHWAi'ER WETLANDS PROJECt IS t (.Y~ATEU IN SOUTHOLD JN SUFFOLK cz PROJ~C'~ DL=~CH~p THE APPLICANT PROPOSES TO CONSTRUCT ~[6 FT. X 16 FT, REAR AQDITION TO AN EXISTING DWELLING AND A 16 FT. X 16 FT. DECK ON AN EXISTING LAWN AREA. THE PROJECT IS WlTFIIN 100 FEET OF REGULATED FRESHWATER WETLAND GP-1 KNOWN AS MARION LAKE. THE PARCEL IS LOCATED AT 1360 TRUMANS PATH, SOUTHOLD, SUFFOLK COUN'IY SCTM#1000-31-I2-11. SEQR - 1 ProJect ~s not subject Io SEQR because ~l ~s exempl, excluded, or a Type II action. s~uH LF~U ^~-NCY None Designated SHPA - 0 The.proposed achwty is nol Sublect [o review m accordance w~th SHPA. The permd type is exempt or the achvdy is being rewewud m accordance w~lh lederal hislonc preservahon r~ulations. Comments on this prelect must be ~URA J SCOVAZZQ submi~ in writing to tho Contact SUNY CAMPUS, BLDG 40, ROOM 2 Person no later than 10/24/91 STONY BROOK, NY 11790-2356 tO THE APPLI(;^N1 ~ THIS IS NOT A PERMIT .! SEND TO DAVID GIUGLIANOTTI 36 WOODLAND PATH KINGS PARK, NY 11754 · I CONSERVATION; ~,~ DAVID . .Date:.' { LOCATI~D IN PROSP-X2T DESCRIPTION: on- ,16 ~ lawn ~hwater M~on ~ QUALITY RBVIBW ~ _1~_ _RMINATION: ' ,I,:,~; SEQR-I Project ~ nOt mubj~ ~ SEQR ~use it is ~mpt, ~.r ~R~, L~A~ ~O~CY: ~:~ ~T~T~ . -~INATION .: ' ty Is ngt subj~t m ~i~ in ~[ t~ ~ ~pt or the a~vi- ~ ~ ~ ~ in ~or- d~ with~ fed~ml p~tion ~lations; ,.. AVAILABILITY FOR PUBLIC COMME~ Corn- ~ ~n;~[~s p~]~ must ' co~ ~sos; CO[JNTY Ol" SUF FOLK S'I'A'I'I? ()1: NI':W YORK Patricia Wood,' being duly sworn, says that she I:-ditor, o1' THE LONG ISLAND 'FRAVELER-WA'I'CH~Ai~::[~! a public newspaper printed at Southold~ in Suffolk and Ihat the notice o1' which the annexed is a printed Il.iS hccn 9ul) shed in said Long Isl;md Ir,we mice each wc~k fi~r. success}rely, comil~c~lcJng 011 lhc ..... day of, October 19 1 ................... ( .C, wm'n I¢{ b¢l'i)rc mc this ,. ................... October ........................... Notary Public BARBARA A, SCHNEIDER.-' NOTARY PUl]LIB Si."t~ el N~Y~ No 4~00846 Qualmhed OCT d. lannone 396 CONKLIN STREET FARMINGDALE, NEW YORK 11735 516/694-7979 July 22, 1991 Town of Southold Building Department Town Hall Southhold, New York 11971 Job Location 1360 Trumans Path Southold, NY Dear Mr. Fisher: As you request~attached is a sealed copy of plans for the above location. I annone(~,~-~ JUL ,,?. 31991 BLDG, TOWN OF: SOUT~O[D I Bureau o~ Environmental Protection $%d~, 40, SUNY ~ Ston~ Brook, New york 11790-2356 : suea, o. / " Contractor's ~am~ '- - '~ ' Cont%'actor' ~ Address Contractor's Phone No. To whom it may concern: Pursuant ~o Oeneral Condition Number 1 and Special Condition Number 2 of the above refe~su~e~ permit~ you are hereby notified that the authorized activity shall commence on Submitted by: 'Phis nDtice iu to be senn at least two days in advance o~ commencement'of the'project. Tbs psr~it si~n will be posted at the site and copy of permit will be available at site for SUsp~ctioD~ FailurD tQ notify or post sign will leave owner'and/or contractor subject to applicable p~!]41~i~s for no~co~pliance with permit conditions. Bur~a~ of Environmental protection ~tQRy ~roo!t,' ~Sw York 11790-2356 con'zr,a.~tor s Nam~ Cont~a~q.tor' s Address ~Cont,r~tor's Phone N~; To whom it ~ay concern: .: ~ur$~t to G~r!~rgl Condit$on Nuraber 1 and Special Condition N~e~ 2 of the above rererogcod p~ig'~oU ar~ hereby notified'that t!e authoriz*daot~vity was completed on .... Submitted h*~ nQ¢,ce, w~gh photo~ o~ complated work and/0~ compleCed survey, ~s to be sent to above a0d[es$.p~omptl~.llpo¢ ~om~e%~o~of pro]eot. ~i~uro to notify wz[1 leave owner and/or contr~d¢~.sgbj~st~t~'~ppltc~blo penatities for non-complia~6*'w'ith permit conditi6ns SUPPLEMENTARY SPeCIAl' cONDITiONS "~/" '~ '? "' ~ ~' ,: fq$1owing conditions apply to all permits: If any of the permit conditions are u~clear,the permittee shall con- tact the Division of Regulatory Affairs at the address' and telephone no~ed below. ~ - ~ A CODy of this permit with suDplemen~ary conditions and approved pl~B~ shall~be available at the p~0j~t site whenever authorized W~ is in progress. ~.~ ~ ~ ~ , T~: p~r~l~ sign enclosed with the permit or a copy ~f letter of aDp~a~ ~hall be protected from the weather and po~ted in a con- ~..~,~. ~o~tlon at the work site until, completlon,~ ~of..authorized.. . work. A~' $fla~ 48 hours prior to commencement of the project, the oermi'ttee · ~% ..co~lete and ~e~urn the top portion of the en61osed receipt form s~ :fy$~g :that he is fully aware of and understand~ all provisions and ~ .~io~S of this per'it. Within one week of como~etlon-of the p~ .~d .work, the bo6tom portion of that form sh~il also be Com- pt~ ~ and returned. ' . ~ pro~ects involving activities tQ be ~ccomplished over' a period of ~ .than one year, the permittee sha 1 nQt~f~ the Regional ~ermit ~qi[~)i~tra~or in writing ~t least 48 ~}ours prior to the commencement q~ [~]pt~on of work each y~a~. ' ~'p~oj~ot design modifications ~ake place after permi~ issuance, the ~[9~'~hall submit the appropriate plan changes~for approval by ~g~,~O~Q~fi~ Permit Administrator prior ta undertaking any such modi- [~c~Ds. 5he perm~ttee xs advlsed thai, substantial modification ~*~[~qux~ submission of a new appllcat~o~ for permig, Al% []~ssary precautions shall be taken ~o preclude contamination of ~y ~$aq~s.or W~erway by susp~nde~ sQli~s, sedlm~nfi, fu~ls, sqlv~t~,L~u~ri~Dts, epoxy coatings, p~i~%tS, concrete,~ leachate or flq~'~thar ~i[o~mgptall~ deleterio~ ~terials associated with the' Afi~. ~.. ~a~ur~.~. ~.~ uom, ~ly precisely w~t~ all o~ the terms and mond~t~ons ~'~';. .. p~ ..~t~ ~t~ss.. authorized ~q w~ltln~., ~hall~be treated. . as a ~:~..~i~n~.... ,. ~ th~ E~)v~ronmental,,. Consg~rv~pn, '~aW.. ~ Th~ ~9~1~i~-~ i~ a~vised to obtain ~permits or approvals ~hat may ~b~gqufrfl~'~fro~ tt~ u.s. Departmeg~'Ar,~y ~orps gf ~ineers, NY ~'~t~%~t, ~ FedOra% Plaza, New Yor~, '~Y 10~7~, (At,enrich: Regulatorv ~¢[~o~s ~nQh), ~prlor to commcne~e{~t of wQrk authorized herein. T~ ~r~OtiO~ O~ Lhi~ p~r~it does no~~, r~lieve the permittee cE the ~DQ~bi~y~'of~,,:.~ . ~,..,. . q~taznzng. . a grant~ ~6me~t~, ~ ..,~ or other necessary ~Q~a~ ~ th~ D~v~s~on of Land ~t~i~[], Offlo~ o~ G~neral ~Q~U~,~W~r, ~u~$ding, Empire St~laz~'~' Albany,'NY 12~42, 'which ~:~'~gq~e~ ~o~ any encroachmen~Dgn S~e~owned %ands nderwater. RegioBal ~e[~%~ A~m~n~st~ator NYS Dept. of ~]viroqm~ntal CQns~rvatiQn Bldg. '40, SUNY-.~oom~ ~$9": Stony Br0~', ~ %17~2~6 ~i FORM NOLj~ TOWN OF SOU;THOLO BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11071 TEL.: 705.1802 isapproved a/c ..................................... (B ildi ~{~spc~t~;~ u n APPLICATION FOR BUILDING PERMIT BOARD OF HEALTII ..... o... 3 SETS OF PLANs .......... ~F~SURV£Y ...... SEPTIC FOR:I .............. ~;07 l PY; ..... "~ ~o:~¢~¢o a. 'lids applic.~tion must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ; of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appJi- ;on. c., The work covered by'tiffs application may not be c'bmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issu ' ' ' Such 1 be kept on the premises available for inspection throughout the wor~-e,d a Budding Permit to tlie applicant, permit · , ~o budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy I ha~.e been granted by the Building Inspector. APP/!ICATION IS HEREBY MADE to the Building De artment Z~Jh;oi;~.U, aannC~ ora Building Permit pursuant to the ding Zone Oi;dinance of the Town of Southold, Suffol~Pcounty, other applicable Laws. Ordinances or ulations, for the construction of buqdings, additions or alterations, or for removal or demolition, as herein described. applicant agree~, to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to it authorized inspe, ctors on premises and in building for necessary insl~ctions~ -. 3<. .... (Signature of ~$r~ca,,t:Or name. if a ~:,;~Jga',/o'.') .... 36 Woodland'~., Kings Park, NY 11754 : whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ' .. David Giuglianotti - Owner eofownerofpremises ~-~T.q-~O Trumans Path, Southold, NY 11791 ' ' ' (as on the t~.t roll or latest deed) ¢licant is a corporation, signature of duly authorized officer. ,' t me aaa ntle ofcorporate officer) ~,,ilder's ~-icen~e No...,5(..4. 2 ~./...¢..'~. ~. ~...7 6 6,z ~lum bet's License No~ .......... : ............. electrician's License No ....................... )ther Trade's License No ...................... Date ' i9 ' ,cation orland on which proposed work will be done.. 1360 ~rumans Path, Southold, NY 1360 Trumans Path .............. ........................................................... So. utho 1.d ,use Num her Street .............................. flamlct m~ty Tax Map No. 1000 Section .... .0.3.1. .......... Block .1.2. ............... Lot..3.1 ............... ~division ..................................... Fi/cd Map No. (Name) .............. Lot ............... '.e existing use and OCCupancy of premises and intended use and occupancy of proposed, constrnction:' ' xisting use and 1 Family . occupancy .......................... 1 Family '~;~,~'~ ',, f/(~ ~1~108 .................. ~tended use and ~,~,,a :~Iduq ~ occupancy amy ~,~ t~, ....................................... ~%~1~....,~. .... 3. Natu, re of work (check which applicable): New Building ......... Addition x .- ~ , ~ ' .......... ,\lteratton;.; ....... Rep .............. Removal ............ '..,, Demolition ....... Other Work.. 4. Estimated Cost. ;.'~. ~ ..... . ........ .... if dwelling, hum bet of d wellingi (t c' ,- , '''' i i t 5. dnits . ~. ,<~33Z .... Number or dwelling units on each . lfgarage, numb~r of cars ... , sln~ss, commercial or mixed'occu ., ' , ' ' Ifbu , . · ............... ,.ltany Pro t...lfi ..... ~,, i~ ~ Height ............... Number of Stnde~ ..................... oepth . D~cnsions .......... . · ...... o ' ' ............ fi .... fsanlc statcture wieh al:era:cons or additions: Front .. ' ................ .............. Rear..~ ........ D? ~.6. , ? .................. i. Height ...................... Ntl~bor of Stories .. ~ .................. H~ It ............... Number of Stories .. ~ .... l. acer ear: ~ . 9. Siz~oflot: Front .}7. I Y AqO fp .... .... Rear ................... Depth .lA2 ......... 0. Date o urehase .... ' ...... · ............ ~ ........ ' ......... Name of Former Owner ................... I. Zone or use district in which pren~fises are -. Do~s proposed cons rue 'an v;~l,,~ ..... '~ '~ ' ' ................. . ......... ' ..... " ' ...... ~ --y aORtae law, ordinance or regulation: .~0.. '.* ................ lone N=:c of Contractoraq~e~..Cons ~. ssa'da~ i aaw 'n, ..... - , .................. ---, ....... ...... ~. Is this properey ~xChin 3~0 feee ~ , ~¢~ ddr~s~ '~9~.~a<~,~<...PhoneNo.) /' *~f yes, Southold ~ ..... 7- ~ ~a weclana-c *Yes ........ ~n . ' .......... . / -~ - ~,w. ~cus~ees ~ermxt may be required. " .......... ' PLOT DIAG~ Locate clearly and distinctly all 1: .'operty lines. Give street and block nt ~tenor or corner lot. aildings, whether existing or proposed, and, indicate all set-back dimensions from ~ tuber or descr/ptio~ accordhag to deed, and show street names and indicate whether :: TE OF NEW YORK. ': ]NTY OF S S I. David Oiugliano~ti ................................. being duly sworn, deposes and says that individual s~gnmg C~ .... (Name of ntract) he is thc applicant 'e named. : lhe ............ own:er ~ ' ' ! (Co?tractor. agent, corporate officer, etc. '"' ................... id Owner or owners, and is duly authorized to perform or have performed the ~q,d ' ' ' · ' Xvork and to make antl file this cation; that all statements contained lit: this application are trt,e to the best of his knowledge and trill be performed in the manner set forth itt thc application filed therewith, belief; and that the :~ to before me this , .................. dayof. ! 97./ (Signature of applicant) ']'he A. following conditions apply to ali perl~its: If any of the permit conditions are unclear,the per~ittee shall con- tact the Division of Regulatory Affairs at the address and telephone noted below. ! ~ COPy of this permit with supplementary conditions and approved PlaB~ shall~be available at the project s~te wheneger authorized W~r~ is iD progress. ~' ' ~he' p~tl~ Sign enclosed with the permit or a copy ~f letter of ~p~Dva~ ~hall be protected from the weather and posted ~n a con- ~]~DUs ~oo~tion at the work site un~il completio, o~' authorized work. ~ ~a~ 48 hours prior to commencemeq~ of the projgct, the permi'ttee '~h~% .~6m~lete and re[~rn the top portion of the en9losed receipt form ~ ~ :that he is ~ully aware of and unde~stand~ all provisions and ~D~..~onS of this permit. Within one week of completion of the p~.~d work, the bottom portio, of that form shail also be eom- p~4 and returned. ~ I~ projects involving activities tQ be ~ccomplished over' a period of ~8~than one year, the permlttee shall nDtSfy the Regional permit ~}i~tra~or in writing at '!east 48 hours prior to the commencement Q~mpt~on of work ea~ yea{. .~O~t. . design modifications, take. place after~ _perm~ issuance., the ~,i~Bee ~hall submit the appropriate plan changes for approval by ~/.~9~%Q~% Permit Administrator prlor to u~dertak~ng any such modi- ~Ds? The permittee is advised tha~ substantial modification ~y;~equi~e submission of a new applicatio~ for per,it. AI~. ~gDOs~ary prgo~utions shall be taken ~o preclude contamination of ~y W~a~s~or Waterway by suspende~ s~lids, sediment, fu~ls, S~V~S,~.~U~ri~D~s, epoxy coating~,~ p~i,]'~S, concrgte,, l~achate or ~. ..Qther... ~]ui~o~m~ntally, ~ , deleterious ~}~ter~als' ' associated with the ~[]~ ~a~u~e-.~o ~om~ly precisely w~th a~l of the terms and ~ond~t~ons d~.,~$~ p~$t, ~,Iess authorized 1~ w~lt~;]g, shall be treated as a v~i~n~ th~ E~wlronmental Consqrv~l~n ~aw. , ~'h~~,,~FP~'fle~ ' f oi~ adv~sed~ to obtain ~ ~pera~its~. . or approvals..~ that may ~qutr~d~ r m t]~ u.s. Departme9~ O~'Ar~y ~orps 9f ~ng~eers, NY p$~Ft~t, 2~ Fe~er~{ Plaza, New Yor~, ~Y 10~7~, (Attention: Regulatory ~UD¢~O~S ~noh), ~rlor to commcnog~e~t of'~Qrk authorized herein. ~ ~ti~ O~ ~hi~ p~rmit does no~' F~l~eve ~be perm~ttee o~' the r~pd~b~ ~y"of q~ta~nin9 a grant~ ~enO.t~~ or othe~nece~ary ~a~$g~, g ,~r, ~u~ding, Empire St~'~piaz~","Alba~y, NY 12~42, 'which ~]~ ~eq~ {e~ ~o~ any encroachmenE'~gn S~e-owned ~ands~underwater Page Regional NYS Dept. of ~Dvtronmental Conservation Bldg. '~0, SUNy;~oonl Stony BrOD~', ,( 2"x S, TUD WALt/, Ou~mide ~r '?~,~,,,,_¢~ Insi8e Air Film R= R="5540 R= .45 a~ .:G8 R~20.82 U= .048 .59 Min. R=19.~00 ~ax. U~- .05 GELLING DETAIL_, R=',.68 P.=20.74 Min:.R=lP.OO 'vN OTE, FLOOR BASEMENT Inside Air Fi~m R= Ba~tI~sulatio~ Inside Air ~i&m Total R=2~99 -ig= .047 ~in.R=lP~, 00 Max. U= ,05 In one and two ¢4tmily dwe'il±nc3s'all pip$n~ in base~8~,t/cellars a~a' ' ~nvent~=~ated crawl space~ s~all be insulated. HoweVer,' if'the walls hope been insulated, the~' the insulation Oa piping in these areamay be exempt~ GENERAL NOTE -T Ho dS~F_ 1T't ~'so FF-- I ~L '-./F-J~-I- EL~ _~Fc_-bi©hJ ©CCUPANC¥ OR USE iS UNb~WFUL ?:JTHOUT CERTIFICATE (T ©CCUPANC¥ UNDER1NRITER$ CERTIFI~,ATE, X/