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HomeMy WebLinkAbout18564-z 'ti FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19050 Date MAY 16, 1990 THIS CERTIFIES that the building ADDITION Location of Property 365 CAMPFIRE LANE PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 3 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 18, 1988 pursuant to which Building Permit No. 18564-Z dated OCTOBER 10, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy far which this certificate is issued is ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARGARET MCGWIRE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-126465 - APRIL 30, 1990 PLUMBERS CERTIFICATION DATED MAY 14, 1990 - EDWARD F. SCHILLER $uilding Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCi}FANCY No Z-14051 Date MAY 16, 1990 THIS CERTIFIES that the building ACCESSORY Location of Property 365 CAMFFIRE LANE PECONIC, N.Y. _ House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 03 Lot 17 Subdivision Filed Map No. Lat No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 18, 1988 pursuant to which Building Permit No. 18564-Z dated OCTOBER 10, 1989 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 STORAGE BUILDING AS APPLIED FOR. The certificate is issued to MARGARET McGWIRE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 r --a absai xo. a 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) Na 8 5 6 4 2 Date ..~.~~,........l...d 19 Permission is hereby gwnted to: .~.~......P.C...~J:i~- r ........c,~,-,.....~x,~s~...Y..',a...cn-ra... ..Its-Q--~... . ,.....r~....~ n at premises located ot ...,~.~4.........4~.~"':::!/~2 a.:!7,ft.f.....~.R..~cdv!t.S-:................... r...~,..~:.... County Tox Map No. 1000 Section ....Q,l..~....... Block Lot No..~..l pursuant to application doted ..Q..~~'~r......~.g 19..~.~, and approved by the Building Inspector. Fee $.s~r'~ : W ~ 1 ' ~~"`t' ~ e7, ~ C' Building Inspector Rev. 6/30/80 1~ Form No. 6 I TOWN OF SOUTHOLD jJ ..E ~My ? i ~~\~~[c; BUILDING DEPARTMENT ~ ' ~ ~ is - -..P._...~_-, l TOWN HALL s~'-t>> 76s-lso2 i ;1 ~ >>~d,'f 14 (~~0 F } H~ APPLICATION FOR CERTIFICATE OF OCCUPANCY $~~9 aLGa. i~tPT. u~TOVYPlO~'~ Ott A. 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 17 lead. r 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. Ct~ Fees t 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 $15.00p, Commercial $15.00 Date ...°r..:~/ G? New Construction........... Old Or Pre-existing Building Location of Property..~~7.-?r'...~~.M.~F[R.....~.~:Jt~.................~r--~COAIhSr.--.... House No. 'Street Hamlet Onwer or Owners of Property../'7!t~CZ/j/L,~ i.... N/C Fj~llc'~ County Tax Map No 1000, Section...o 9......Block.... ~ ........Lot..... ~ ~ Subdivision ....................................Filed Map............Lot...............-...... Permit No.. f~~.6:~'. Z ...Date Of Permit...~~~f°,~~9....Applicant.. ~'~'.::`~!tf. f.~:~:~:$:`1~H . Health Dept. Approval .......................:..Underwriters Approval........................ Planning Board Approval ' Request for: Temporary Certificate........... Final Certicate.~........ Fee Submitted: ~ v ~ . e o ~ 1 OS APPLICANT Y Form No. 6 TOWN OF SOUTHOLD a ~9 I BUILDING DEPARTMENT ? ' p TOWN HALL i% 76s-Iaoz li~~ MAY 141990 ~ ~~Pr. ~ APPLICATION POR CERTIFICATE OF OCCUPANCY t~ Ri.GC Tc7~r~N c~~ ~c~~!`rr~ca~~.~.,..~~ A. 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 17 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, 1967) 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. Fees 1. Certificate of Occupancy - New dwelling $2s.OO, Additions to dwelling $25.00, Alterations to dwelling $2s.OO, Swimming pool $2s.OO, Accessory building $25.00, Additions to accessory building $z5.OO. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over s years - $10.00 4. Updated Certificate of Occupancy - $sO.OO s. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...~r.../,~/.../pL? New Construction........... Old Or Pre-existing Building Location of Property.~.~7.-J~'...~~.M.~~~~:L.....:~.~:~:4 ................~/--,C0it/0,~....... House No. Street Hamlet Onwer or Owners of Property..M~~~.C'T~~~l....!,~C..Cl~JI/~'~ County Tax Map No 1000, Section... 9 ......Block.... d~........Lot..... ~ ~ Subdivision ....................................Filed Map............Lot...................... Permit No..~~i>.6:~.y...Date Of Permit...~~~~°~~9....Applicant..~`'C:~!~f~.~:v:~!j~H. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certi//f''icate........... Final Certicate.~....... Fee Submitted: $.~4~.....1..Z.Q."~°.~.•..... ~ ' 1 ~ APPL I~LL~ CANT eo ~ 1 qo.~a .~nx .5-a 9 r'IELD 1::5: ~::.U;. IIJni I i.vMM L.NT.^, _ - ~ ~ 1. I m ~ f. su r'OUJJDATIO;J (1st) ___`I ~ _ ~ c ?OUNDATI0IJ (pnd) _ _ ~ mI~ 2. 2S U z o W ROUGH FRAME & PLUMBING n 3. .6 - a m m IJJSULATIOPJ PER N. Y, e/ y STATE ENERGY CODE ' ~ ~ 4 . r m H FINAL n P__ ADDITIOPJAL COMMEPJTS: x`.'~~" H 9 H 1. O "0 m a r - ~ m -o H Q~ocuFFO(,Y~oG FRANK A. KUJAWSKI, JR., President o TELEPHONE ALBERT J. KRUPSKI, JR., Vice-President ~ ~ (516) 765-1892 JOHN M. BREDEMEYER, III O~ ~ JOHN L. BEDNOSKI, JR. "~®1 ~ aA~~ HENRY P. SMITH yyy- BOARD OF TOWN TRUSTEES ~ i~,w TowN of souTHOLD ~ ~ FEB 2 1989 Town Hall, 53095 Main Road ~~q Vv~~~'•'~~ P.O. Box 728 6"" 01-Uc2. uEPT. Southold, New York 11971 TUVUN LyF SCUTtiOLD February 1, 1989 Mr. John Holzapfel, Chairman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, New York 11971 Dear Mr. Holzapfel: Transmitted herewith is application No. 12-3-88-98-3-17 for a Wetland Permit submitted by Margaret Mc Gwire. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Frank A. Kujawski, Jr. President Board of Town Trustees FAK:jas cc: Bldg. Dep't.? FRANK A. KUJAWSK[, JR., President ~ ~ ALBERT J• KRUPSKI, JR., Vice-President ~ ~i TELEPHONE ,y ` (516) 765-1892 JOHN M. BREDEMEYER, I[I r9 JOHN L. BEDNOSK[, JR. HENRY P. SMITH BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 February 1, 1989 Mr. Robert A. Greene Alternate Regional Permit Administrator New York State D.E.C. Bldg. 40, SUNY, Room 219 Stony Brook, New York 11794 Re: Margaret McGwire App. No. 12-3-88-98-3-17 Dear Mr. Greene: Please be advised that this office has received a partial application in the above referenced matter. Pursuant to the Code of the Town of Southold, the Board of Town Trustees will not act upon an application until it is deemed complete by the submission of documentary proof that all other necessary permits and approvals have been received. Please keep this office informed of your progress in this matter. We wish to be involved in your environmental review under the S.E.Q.R.A. Legislation. Feel free to contact this office at (516) 765-1932 should you have any questions in regard to this matter. Very truly yours, Frank A. Kujawski, Jr., Pres. Board of Town Trustees FAK: jas cc: Margaret McGwire C.A.C. Board of Appeals Building Dept. Army Corps of Engineers p~. (Y nC~i~1 ~ TELEPHOYE . ' BOARD OF TO~~'Y TR L~STCGS (516) 765-1892 TOIVN OF SOUTHOLD \ Town Hall, 53095 Main Road P.O. Box 728 Souttlold, New York 1 1971 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF THE TOWN OF SOUTHOLD, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OFf//THE ~/CODgE~cS OF TrHJE TOWN OF SOUTHOLD. ~ Q' , APPLICATION NO. /~C_~~'lj ~=1O~(DATE OF~AP/P'LICpATION ~~_yL / 6 1 DENT I TY OF APPL (CANT-*gg--I_~~i~y-°'-~-- C [7G1~/A E i _OWa/~/~ PHON/E NO___. ADDRESS OF APpLICANT_3~S C.rlivl~1~E %~A~-- ~,ECa~/~e_ ~ 3~f 6$'~~ ~'a, ~oX x.5"3 „ 5'P ~ ---Z- CC TAX MAP NO . _1 9 O 3 - Z_ AGENT -_-r---__--_~ ___nP~7HONE NO . ~PERMfT REQUESTED TO_~~~r ~ Z sT0[~-,~-~~~'S ~SZt aC~K A'ap /~MJ~_?3n/ ~ ?i~cr~?J _ ~a ~ ia__.s~o,Pi~ U t _ sH£~`_r- LOCATION OF PROPERTY FOR WHICH PERMIT WgNTED ~~Y_ HOME ADDRESS OF PERMIT AppLICgNT IF DIFFERENT FROM1t AFORESAID LOCATION - CREEK, BAY OR HARDOR FRONTING PROPERTY ~C/T'T,~~'_ ~E~.~~/c S 1 ZE OF PROPOSED WORK ~ ~ ~ YTS vhv ! LENGTH i/ WIDTH HEIGHT ABOVE HICH WATER ~ _ ~ • i ~ DEPTH BELOW LOWWATER YARDS TO BE EXCA ~ATEp ~ MGM. YARDS TO BE FILL D WIDTH OF CANAL, QREEK OR BAy FRONTING PROPERTY DEPTH AT LOW. T 1 Dq----- AVERAGE RISE IN TIIDE DISTANCE TO THE NiEAREST CHANNEL - - ---FT. DISTANCE PROJECT ~~XTENDS HEYOND~'~,. SIMI LAR PROJECTS IN THE AREA---_ II FT. I5 THIS FOR PRIVATE OR BUSINESS~''~,USE?__~~ ~,g Tom' . AREA ZON 1 NG_- '\.~,.J. - - ' MANNER 1 N WH 1 CH M i TER I AL WILL BED REMOVEQ OR DEPOS 1 TED- ~U~(/~---_ +S _ INTENDED USE OF PROPERTY DESCRIBE ANY KNOW( PRIOR OPERAT EONS CONDUCTED ON THE PREMISE E ~ ~ ---/c~,c_'-CT ~tcJ.c._L,C /NGz_= D C~ P,E.~ /-t r ~ /_~_f1,_r_Z____ ~p8"°1 AND WHETHER ANY PF~I OR LICENSE OR~'~PERMITS HAVE BEEN ISSUED TO ERRECT STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER ANY PERMITS OR LICENSES WERE EVER SUSPENDED OR REVOKED By A GOVERNMENTAL AGENCY ~Cr K / T' - ~ l` H,~n/.c~_C-A 9~_„~xT.C.t/.D.~-A---7-a - /2. 3 ~ g DESCRIBE FULLY THE REHABI LITATIOI~ AND PROPOSED CONDITION PREMISES AFTER THE WORK IS COMPLETEp INCLUDE AN ADDITIONALFSURVEY OF THE PROJECT SITE 1 NECESSARY , - .,y T.~ cH.c-_,D " ---mss u i<T / N~ L- - ~ _ ,t~ ~v.B~1/ r G_d _1~(//~- ~i? _ C~N~J~'Jcr/ail/ r_ .1~,~-,~ WRITTEN CO-SENT OQF TITHE-OWNER OF T-------------------- HE PROPERTY, IF NOT THE SAME qS THE APPLICANT OGI/i?E _ I c II ARE TIIERE ANY COVENIINT~ OR RESTP.ICTIONS IN YOUR DEED TIIAT WOULD - PROIIIDIT THIS PROJE~T? A, I ~I • i ~ . New York State Department of Environmental Conservation Regul:.story Affairs Unit - Region I ' 1.1 1 rl~.i . 4 0 , SUNY , Room 219 Stony Brook, NY' 11794 sr,~ ( 516) 751-7900 ~ ~Ze~~~ (~$q Henry G. WIIliama Commissioner AMENDMENT TO PERMIT ForiPer Permit # (if any): RE: Permit No. & Locatiori:IV-~C~-~Z3Y~,~ L:~.lp ~~~c1~,.,~rVov-f~s~-r1'-Pc~cQ IVI vw cJaN f" {bi e 6 w ~ r.Q Ol- CA a„p ~r-.~e L~-.~y, 0 aYV S3 .QConic, ~ ~J~-( 115Sg Dear Your recent request to extend the above permit has been reviewed pursuant to 6NYCRR, Part 621.' It has beef determined that there has not beers a material change ip environmental conditions, relevant technology or applicable law or regulations since the issua44~~ce of the existing permit; therefore, the expiration date is extended. to 12Qce.w`.af ''~(I 19&c'j You;„ recent request to modify the above permit h2s been reviewed <f,»~~~'i~d, pursuant to"'6N„YCRR'; Part 621. It has been determined that the proposed modifications wi~l;not substantially change, the scope of the permitted actions or the existing permit conditions." . Therefore; the permit is amended to authorize: N164 ~M: !Y;' i Y i~ '.1. ; r' ' ' ~ .t, 1h7~ ' ~ ' S'1" This letter is~~an•amendment to the original permit and as such, shall be posted at; thy' job site. ~ All other. terms .and conditions remain as,;w~itten in'the:'original permit. • ~ s. Verg,;truly yours,. r.. i \ Deputy Regional Permit Administrator Sent. to: lye 1~ _ I~'' i', ~ S ~ ~ i~'^ ! a,,• . .:.y s.t:...:.., . ~ ..w.:."., NEW YORK STATE DEPART ~ MENT OF ENVIRONMENTAL CDNSERVATION /ERMfT NUMB- ER--- , ~ ~ 10-86-0233 E~ EEPECTIVf DATE ' -FACIlITY1PROCRAM NUMBER(,) C 8/8/$6 PERMfT f%PIRATION DATEI[) N/A Under the Envi?onmental Conservation law • 12/31/87 ?Article 15, Title 5: • Protection of Water Article 17, Titles 7, 8: SPDES , ?Article 27, Title' 7: DArticle 15, Title 15: ~Artlcle 19. ~ Solid Waste Management Water Supply Air Pollution Control , ?Article 27, Title 9: DArticle 15, Title 15: ~Art'cle Title 27: Hazardous Water Transport Mtoed land Waste Management Reclamation ~ ?Article 34: v ?Article 15, Title 15: , Long Island Wells Article 24: Coastal ,n Freshwater Wetlands Erosion Management ~ ?Article 15, Title 27: h Wild, Scenic ~ Article 25: ?Article 36: • and Recreational Rivers Tidal Wetlands Floodplain Management s ?Article: 1, 3, 37; 6NYCRR 380: A ?6NYCRR 608: N-New, R.-Renewal, M- Radiation Control Water ualit Modification Q y Certification C-Construction, O-O PERMIT ISS D TO peratiOn, (If Applicable) ~argaret McGuire ti ADDRESS OF P R P~ ~i~;~+litherbee Ct.,915 Wynwpod Rd. ,Pelham NY 10803 ~ AGENT FOR~6RMITTEEICONTAC7 PERSON , ! HH TELEPHONE NUMBER ai;x;,:~xts~tsu~~ts~atrt~~xxi~l easterly end of Campfire Lane tt a econ c ay at nort - LOCATION OF PROTECT '1, Peconic c Suffolk TOWN/CITYNILLAGE IrTM COORDINATES I DESCRIPTION OF PRO)ECTIFACILITY Southold Construct a one family dwelling with"U" shaped deck around the south end of house; all parts of both structures a minimum of SOt landward of the seaward toe of dune. Driveway with circle, garage and septic system~a minimum of'IOOL landward of toe of dune in r. accordance with submitted plans,' : GENERAL CONDRIONS • ' By acceptance of this permit, the Perteittee aPee, that the . with ttse ECL, all apPGobk Pertnrt ° oo"'f"se1t °pp^ strict oompl'ur,te lY T. The PermmteslullfRe mthe ~ ~EiO1' ~°f~ herein ar attached hcrefo• work at lout b Noun in adwnce of tha time of ctmimencemem a d shalt~alw no[dy h eim/her ~imatad et the 2. The permmed ..w4shall be wbrec[to ms PromPtlY mwrnm IcoMrtioM,a nonce of invention to commence ~ t}le PYbIK Mterea[ a0 reDYlre,. h1' an arnfrorced repeeerrLtM of lfte / Of the eempletlefl OE The rvdk. 3. The nominee hu ac of Envnprer,en[al CDUervamr wttiCh may «der the wpk suspenDed tF wHered, aroma out oi~tthe preo~~ b~ ~°'npn oithe apPliuwn. the lultlgalraoomibahyfaall - oars rewluna from the sa,d pro/ert, 'nand hu asrced to errlemmny and nave h+rmku the State f' dot ~ ~4sxL of wlurever naMe, and bywhpnever ;7 The De 1Q1OAt. t4m+ae+and cons of every name and descrtp. o+ronent reserves the naht to modify. ,uspeml a revoke this permit at arty trine afar due sauce, and, H reoYUUd, hpy a hnrinR wiNr[ +1 the cope of the Project n exceeded or a valatian of arty condrtao of the Perron a Proveionf of the EQ and h) the permit wu ohunred bV murcpresentabon or failure to dnclofe rckverrt iattz; or U newly d'ucovered information or sianrtiunt Pertinent reculatau are loured ar S. The DnmrDee a rcs Plryrul ehansea arc ducovercd since dre perrrtn wu hwed. ' Pomibk for 4eepin[ the asrmh actwe by wbmmma a rerrwal apdru ~n hY tht peyrupenl no I+ur than 30 da norY includm[ any }Dino, Iter °r supplemental inlomudDn •J 6. Thh permit shall not bF tonnn,ed u c r• OItO days la SPOFS or Salaf a Hayrduovs Wuu A4naeemerr[ Persnrul Pray 1o the esauatan datti ~ "wY be raquwed ~ Dermmed work or u authonzmR the r~rrrrep[ 01 spplium am• dFM to trc,pay upon th! land, or intMerc with the +n1' rights, title a ~ rffwrun n~htr of others in aderm perform the •i 7. The permrrtee is rotaaihk for ohurmn~ anY atirer Perrntp, rmereat m ruI or personal property fwid M versed m a Person rot a W • a. Uauance of thu appwah, Lr.ds. earemenu and dshoof way whrdt tna be M to the perms, ..i usurd herraloreb n Try ~ DePartmem does nol unlaa e~renlY Prevraed for. frrodify,,uDersede w rest Y required 1a shu plDleq Y the DeParsment a anY of trte temp. mndnrw, or reourrcmentr [Doomed in w and an order on consent or detcmrrrratan trvthe Commiuioner 9. nnv rnoddirauon of ffin Permit c •e? M•~' c pePar••xn• our, in U' aO~ or dr[ermrnatan, ' wmma and attached harem. PERMIT ISSUAr:CF DATE PERMIT ADMINIST TOR 5/8/86 Cha les T. Hamilton I ADDRESS B g, e$ sRm. ' AUTHORIZED SIGNATURE Stony Brook,NY 11794 v 1~ J~//~ .C~ NEFI YOFR STATE DEPARTMENT OF Ef1VIRONMEI9TAL CONSERVATION Regulatory Affairs Unit Building 40, SUNY-Room 219 Stony Brook, New York 11794 • (516) 751-7900 ~ ~ - ~d ~ v~ 1 ~tla,~ ~~Giw•rn.c. ~~/~b %/S-~/1/y~rwov~~~ Pl /,f..,, N y /os~a3 RE: Permit No., Location /a-8'6- oz3.~ ~r5~/.~ P~..~ O y~ A L ~I1D41ElIT TO PERMIT O LOttIL I ~/k.~A~e~ ~[e ~n//l SCTiYl /a06 -09$-3 ~ Dear ~ ~/j~, jJs c ('jw i rt _ cent request to extend the above permit has been reviewed to 6iTICRR, Part been determined that th een a material change in environmental conditions a nology or applicable law or regulations since ce of the existing pe , fore, the expiration ended to Your recent request to modify the above permit has been reviewed pursuant to 6NYCRK, Part 621. It has been determined that the proposed modifications will not substantially change the scope of the permltted actions or the existing permit conditions. Therefore, the permit is amende~/d to authorize: P//,~,~,~,,,,•,~.~o~~p~~c,. c~Gut e~~.,Te ~l~Qrpu«.~ /~+al/~i.,1.1~/.CtiT-lryrr ~u`~/.o1L~oJYG srs7~~+~r r.Q°~y[.~ P~,(!~~o ./~~~"~/Ch! ~a../ar ~~i[/CC ?+Na~~~/ 1//IS TTl GAIf(p/`N f7 S"Gf~J.CGII/S ~o MtSCrf ~fyL IN D/Y./'/M,~( ~C/yy/~ This letter is an amendment to the original permit and as such, shall be posted at the fob site. All other terms and conditions remain as written in the original permit. V/er'y''~////Itf~ru/yl//~y you/r/-/~s////~/~// Alternate Regional Permit Administrator CTH:DDR:co's Sent to: C7VJC t F f~ ~r G KO!~US'.~ D ; L / Sry z sry L3.iD ~j L'~ ~ ~Ly 28 \2 _ ~ N % O_ ~ IBS-~ Y Ny Y ~ \ H 1~ ~ ~T ~ ~ a, ~l ~ Nc n ~ h G ~ : ~Vi \ f. ~ ~ C~ ` . / T 'V EXis TINT ~ • ~l ~ /~L Sr0/~~ -~-L P; i \ ~,i.;. 2, 1 ~1 1 01 V ~ 1 V / i Z ~ J ' ~ J ~l i 1 r`\ + ~l} ~ r r.~ R J. H. G E i D [ f~i A N ~1 c~6.~~9 ~ ~~a,. BOX 4110 ~ ~i E: ~'JR1Z/ON ~ ~Z~ ct~/~~ NEW YORK //9 9 ~ I ( ~ f ~ ~f ` I ~~P~pfP / ~ N. Y. State Lic. Land Surveyor. p tijJF T, ~ ~ G o o°„~r _ 22840 Date /?/4~B~ S, ,ox ~ ~ io-i o~ F,yG~ (~~,~e•i ~ ~ art Y fit.. ~(,~L Fii9, c~~G+G~It° ,F~ ~.4'-.~ ~x?G. 1G,-~~5 0~ _ ~ vyA~~ a~'~ CZ S °t~ ~ir G c ti ~'o f ~a - x o® ® 315\\ '~4c'•~ J`CGiIP -L( ~ l ~l 4 ~Y \ \ z ~a~ I~~t o.to Siya'' ~t Cess Paul L` f~6n'`P ~ ~ y1i ~ I X320 te° °P` ~ \ r , Fin f'. t~l. ~ q ` ~ /1,1~ .S'~~ff:~.~,~ ~u~fY ~l Fir ? q'4% ec~~ F~. Cc~,r,~.. ~ pO~~ ~ ~ - ~ ~ ,)U r 4.0?Y1~fl ~2 ~ LaG~ ~ ~ Ord :lQ y ty f l1~`F a ° tic I„=, : % tir,.,:. ,k a ~ FORM N0.3 TOtiVN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL ~/~CC J ~ / Date ...~~/a.~~ 19.~~. Ta!'..C~'.~~~r~~.'.~1fo~~~, ~ijG~j~Y/LP~ Y~G~i.uiriL2 ,~1.~ .5~.i?- . PLEASE TAKE NOTICE that your application dated , . • , , , , , , , 19 CS..~. for permit to L~d~O~,~i~t~GC~~• •G~3!~~,.~, ~?z%~~i~y1. .....................at Location of Property ~.G.S , , , , , , , , , , , ~~Qilc.P T ~ House No. q~~~ppZ~~y~~ i~~Streei ......1....... • Ham/et County Tax Map No. 1000 Section .....9.0...... Block .....s-~....... Lot /..7.... . Subdivision . Filed Map No. Lot No. is ieturned herewith and disapproved on the following grounds' J.ZC., . y. , ~2. rte. . . - .sue..... ; >~'~...~.r,.+:~'r. Build'ng ector F RV 1/80 Qc~~FF~(~,`O, TEL. 7G5-1802 TOWN OF SOYJTIIOd.D ~ ~ ~ • ~ OFFICE OF BUILDIt~IG INSPECTOR ~ ~='a ~~a ~~~I•,t~-', ~ j ; ,j E ~ P.O. BOX 728 ~ ~,r; z TowN H~~LL MAY 1410 ~ ~ ' f O~ SOUTHOLD, N.Y. 11971 ~i j ~ ~ ~~pl ~ Y+~ l;1 BLDG. DEI''i. T®Vt'N l?F SOU"PNOLD C E R T I F I C A T I O N Date .~-LL Building Permit No. ~Q~ owner ~ ~=6 ~!JCIJ/f~/= (please print) Plur, :er ~~cr/4rn~ ~ ~C'~i ~fP~,-' (please print) I certify that the solder used in the water supply system contains less than 2/1.0 of to lead. (plumber's si ture) Sworn to before me this _r ~ day of , Notary Public t7otary Public,r~ County HELEN K DE VOE NOTARY PUBLIC, State of New ~ No. a~Bia7a, seBelk Term Expires I~rch 30,1 ~ ~~F~o~x~~~ FRANtC A. KUJAWSKI, ]R., President ~ ~ 7eLEPHONE ALBERT KRUPSKI, JR., Vice-President en JOHN M. BREDEMEYER, IlI ~ ~ ~ (516) 765.1892 HENRY P. SMITH KI JR '~O'` ~ D ~ ~ ~ Q `r BOARD OF TOWN TRUSTEES AU6 291989 TOWN OF SOUTHOLD z ~?j~ L'LDG. JEP'r. ~ I~ Town Hall, 53095 Main Road TG)VUtt of sourHO~o P.O. Box 728 ~ Southold, New York 11971 August 29, 1989 Mrs. -r~Marg a=ret~~Me,G~re. PO Box 453 Peconic, N.Y. 11958 Re: Application No. 12-3-88-98-3-17 , Dear Mrs McGwire: The following action was taken by the Board of Town Trustees during their regular meeting held on August 24, 1989 regarding the above matter: WHEREAS, Edward Diefenbach on behalf of Margaret McGwire applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated December 15, 1989 and, WHEREAS said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a public hearing was held by the Town Trustees with respect to said application on March 23, 1989 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW, THEREFORE BE IT - RESOLVED that Edward Diefenbach ON BEHALF OF Margaret McGwire BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: Construct 22' x 40' addition to existing single family dwelling on property located on property located on Campfire Lane, Peconic, N.Y. yy ~±53. _ , r This permit will expire two years from the date it is signed if work has not commenced by said date. Fees must be paid and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Please return to the Building Department for a determination on r, the need for any other permits which may be required for this project. I' Very truly yours, ~ O / Frank A. Kujawski, Jr. President / Board of Town Trustees ~ FAK:jas ~ cc: Bldg. Dept. Conservation Advisory Council file f ~/a.< i~~ ''4sils H.... /G ~ `J '~?x' ~cA ,~k'. !dm,• xw., ~ dr ' a x' 8 J , /l, rm 1__ ~~~~~±.S~~,i"'~''~~~fi~.d's~.19"~..";w~"M?.:.1~' _ _<"4' _ i'fw ~ •/I - - Y ~ I Board Of Southold Town Trustees , a~, SOUTHOLD, NEW YORK fi~ PERMIT N0.12-3-8s-98-3,-17 DATE: Aug. 25, 1989 ~ k ~ l~ x I~ y ~ " i ~k; ~ " ISSUED TO ....~?AR„GARET,.McGWIRE ~ ih$ r~ ;i ` .~~#l~nri~ttfinn !ATM `';~h ` d'~ Pursuant to the provisions of Chapter 615 of 4he Laws of ~E,, the State of New York, d 893; and Chap+er 404 of the 'Laws of the s State of New York 1952; and the Southold Town Ordinance en- ~ titled "REGULATING AND THE PLACING OF OBSTRUCTIONS ' IN AND ON TOWN WATERS AND PUBLIC LANDS and 'the !i REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM L~ ~ M LANDS UNDER TOWN WATERS;" and in accordance with 4he ~ Resolution of The Board adopted at a meeting held on Aug. 24, 1989 41 Fb t 19 ,and in consideration of the sum of $ paid by II;~ r ~ t ~y ~ ~j,~ of N. Y. and subject 4o the z~ ~ ~ tV ~ Terms and Conditions listed on the reverse side hereof { 11 ~ ~ °~a! of Southold Town Trustees authorizes and permits the following: s ° '~a~ Construct 22' x 40' addition to existing single family ill . ~ , F;, ~ a ~hng located on Campfire Lane, Peconic, N. Y. I{„ S~ , r f:. 4 5 A~ ~ e*y . ~1 all in accordance with the detailed specifications as presented in r °i, the originating application. ~ ~ ~ 4~j ~ ~ IN WITNESS WHEREOF, The said Board of Trustees here- „ '~'+E b?i by causes its Corporate Seal to be affixed, and these presents to tT 4;r, ~ ~?I be subscribed by a majority of the said Board as of this date. ~+i 'S ~K ~ o~, , ~G it i ~ ~ I . ~ fl ~ g,. + 1 O ~ ~ ~ iii ~ 5:m«~ i ~ tees t 1 b ~ \ / ~ ~4 ~~ue~.,r+.~,~,fd6;?,.~.,a~.../inexW~sL.J..~ ,r'.~c1"a~'.s+~r tal"k"''. ~;~m,~., s^ ,F s t<`.a,~' s ~':~:.raM a. r. `~.a q ' x ~ ~Yr/,,~ .tt~'~ ~ Ya,~,j yF.~ M3`Y am Yya R r-5.~~~ y l x.~ l ~ ~ x ' i ' TERMS and CONDITIONS The Pumirtee AdARrARFT AA f:6VTRF residing at Campfi~e Lane, Peconic, N. Y. N, y,, as part of the considerad~a for the lasuance of the Permit does understand and prescribe to the fol- lowing: THe SOutl~'odl Town Trustees permit must be prominenlty displayed on effected p emises during period of work. 1. That the said ~oard of Trustees anti the Town of Southold arc released from any anti all damages, or claims for damages, of suits arising directly or indirectly as a result of any open anon performed pursuapt.to this permit, anti the said Permittee will, at his of her own expense, defend any and all such suits initiated by third parties, anti the said Permittee assumes full IiabilItq with respect thereto, to, the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Pertx~it is valid for a period of 24 mos. which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may Iije made to the Board at a later date. 3. Tlrat this Pert~it should be retained indefinitely, or as long as the said Petmittee wishes to maintain the stmrnlre or pmject involved, to provide evidence to anyone concerned that auth- orization was originally obtained. ~ 4. That the work) involved will be subject to the inspection and approval of the Board or its agents, and non-cot~rpliance with the provisions of the originating application, may be cause for revocation of this Perrpit by resolution of the said Board. 5. That there wil# be no unreasonable interference with navigation as a result of the work herein authorized. I~ 6. That there shall be no interference with the right of the public to pass and repass along the beach between higlj and low water marks, i 7. That if future III operations of the Town of Southold require 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 unre onable obstruction 'to free navigation, the said Petmittee will be required, upon due notice, to remove or alter this work or project herein stated without expenses to the Towa of Southold. 8. That the said ~oard will be notified by the Permittee of the completion of the work auth- orized. 9. That the Perr~iittee w1ll obtain all other permits and consents .that may be required sup. plemental to this pertniit which may be subject to revoke upon failure to obtain same. I i I FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date ~~°?.vl 19 To l:%. dG~1E.. ~`9f2YjlQ~ Y~G ~.~v'r/1.~ ~5j~./.~:- . PLEASE TAKE NOTICE that your application dated 19 45.~. for permit to G'~"""F • • f ..G~'i~,'~ ' .~:rl at Location of Property ~ . , .~r~, House No. q~~~G~%~r~~Stree[~~..>....... Haml~ County Tax Map No. 1000 Section ...../.0...... Block ......Lot / 7.... . Subdivision Filed Map No. 'Lot Non.'.......'......... . is returned herewith and disapproved on the following grounds . F(~K~'.PG...~ll~C . , ..T~ . y~..T.. . Build'ng ector RV 1/80 THE NEW YORK B+~ARD t3F 'SIRE UNDfRWR~TERS Nn(;f ' g I1?li 1. ss I sunewv of R, ~cTRTCrrY 85 JOHN STRlET. q@WYOIRK, NBW YOMC.f0038 AI'R3I ,eta, dot+i7 ApplicaticnNo.onfile ('"JtI019ryC1(N9 M a2f+4E~b THIS CfiRTIFI@S THAT only the dsetr7ed equipmen[ v dascrihed 6elolo and introduced 6y the ~pp/icant wumed on the e6ow pplk+eton rw~tMr in tke prawJws of I'hi(iMAS Mc~ifittl", CArM1NE'I1it'. LANI', YECa)Nlt;, N. Y. in thefdbleinR bcotion• ? 8aeement (+AI4 ~tl U'( ? 7At FI. ~ Ynd Fl. Sertion i>koek Lot ~ AFhaIL r)S, I9ot1 uw examined on and found to 6e in trompliance rciththe reyuirementA of thiat-h1n1. axnlu 71cus swlTClles riztluts RANORS eEarc Ove+~=~itl~iil E%luusT fAtK oUTHT{ NCAt10ltClM P1U011leClNT OTXEn AMT. K.. W. AMT. K. W. AMT. K.W. MAT. t. W. Atli. N P. 1 n ;ur zv I ~r s r - DRY/RS IUIMtAG! MOTORS IUTIItl AMl1ANp R?~RRf SMGAI RRCIi iWRP,lO06f Rµ UMIT 1NATgS IIIR OIRIRIMS AMT. K. W, pl IA P. GAS H. I. AMT. NO. A W. G. AMT. AMI. AMT. AMP¢. TltllTlf.. AMT. N. P. AMT. WA1R r~ 1. S6tVlq DIRCONNRCT MO.Ot 5 E R V 1 C E ANT. AMP. TTPF MRRR 1 / Tv t / 3W ~ I Tv 3 / IW MO. oP CC. COMD. A. W. O. ND. OP HFlE6 A' W. G. NQ.OF IIEYTMIS A. W. G. ~ RGIN?. _ PEIt Y _ oT cc, t~+~. a M~l[G _ I _ a neunul OT!!R AMARATUk F WIR'(NGFUR NtN ADUI'ii(aN (1N1_Y--1 PANk:LNQANp5.1.-12 CI'N. iU0 c JORY PIINILIU L~IC.#?Sgtl--f: 1'A! I ANTI HAI'ITIUCf(, NY, 1..t9!i> I1 OMRl MM173 l~ Per 11Fit not M olNrnd in any manner;. rNUrn to dw, oRK4 of 1M bard ff iacorrW.. ,n M ' ?T !I!IUS chdRntiak. FOR ~tIJ~IC CEPARTMENT. TtMS QP CEftTfFiGTE KE Al. qi ANY UDR. ~ s~Y r~'o BOARD OF HEALTH D e~ FORMN0.1 3 SETS OF.PLANS•.:::::;:;;:: SURVEY . TOWN OFSOUTHOLD CHECK . 1988 BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL BLD .DEPT. SOUTHOLD,N.Y.11971 NOTIFY TQWNOFSOUTNOLD TEL.: 765-1802 CALL Examined .©.C~~W 19489 `l MAIL T0: ~ Approved S9R.~'r/.Q4+../. 4 19Y9. Permit No..~.B.S~.7..Z. Disapproved a/c .................................Y;~ .~:'r3......., . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .'...~~..--f-....., 19`.~ INS'I'RUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. ' b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Pennit 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 Occupancy 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 Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building ode, housing code and regulations, and to admit authorized inspectors on premises and in building for necessary inspe t- s JX; (Sig ture of appl~ic~ or name, i~ano (Mailing address applicant State whether applicant is owner, lessee agent architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises y~iQ~~r.l~'+ET ...!`~e.. •~G!/i~~', _ , . (~OX '~f?~..3 ..../~~'ee>n/7~' (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. ..~C~{ G/~ Electrician's License No . ~.T y ~v~"1~'/ ~'L~o Other Trade's License No . . Location of land on which proposed work will be done . . .365', eArf{~'F/2~.'...Lit!k!~............~':Econr.ic........!'!.~.'."....~~,1'~ House Number Street Hamlet County Tax Map No. f 000 Section ......~p~ Block O3........... Lot Subdivision Filed Map No. Lot . (Name) 2. Slate existing use and occupancy of pr/~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..../.(.~~/,T,~.~!tJCC . ° b. Intended use and occupancy 3 Ret air of.work (check which alipplicable): New Building Addit o „~~:~A.fJ~ r~tio*n (~J~,' , , , , , , , P Re oval . Demolition Other Work 1 ~ .i, , , , , , . ~~(D~e~~ ~ption) 4. EstimatedCost ..~:°.t.4''.•P. Fee ' 4i , (to ~ ~Cd"87t;fl~p~~JyjS',s"a'Ticat~ n) la 'u ~ ~s r~w~ 5. If gdwe~in~, number of dwellin units . Number of dwellin . If ara e, number of cars , T. '~o . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Ftont Z, f f2/ j°~Dt•~~t'S Rear ?7,?` ~ •a~-°.~,'~, Depth . y~d, •,1 ~ • ~Er'.~ Height .......30...... Nurpber of Stories , , ~ • ~ • • ~ ~ • • . . . P pith alterations or additions: Front ,C?l, !A; A~~,NlRear ~o ,aEc,~ , De th . !f ~ . Zv, ~DEG,C, . 8. Di pensions of enh~esnew const • height . , , .3~ . Number of Stories , . ' suction: Front z9 Rear . ?-1~, , Depth ,2,T.-, , Height ....~'3't... ~Iunj~ber of Stories .....~-r. . 9. Size of lot: Front ...a,`~. Rear . ./t~.9:3 Depth . ~<o.. TR i• • • • • ~ • 10. Date dC Purchase ~ S~ • ' • • ' ' • ' ' • • • ~ / Name of Former Owner ;~Ry,E•S.T.. ,si9?L',~; , , 11. Zone or use district in which premises are situated , , , , , , , , , , , , , , , , , , , , , , , 12. Dyes proposed construction violate any zoning law, ordinance or regulation: !`l5? 13. Will lot be regraded . ~~s~, , , , , , , , , , , , , , , , ,Will excess fill be removed from premises: Yes Q 14. Name of Owner of premises !7~M.~~u!!RE• • • , , , , ,Address 3(.(;C,gHnF{.2,E 1,~,1G~hone No. 73fE. ; 6;f"{~(; , , , Name of Architect .....~9.. 1y...Tu>iI/t4 ,Address ...................Phone No............... . Name of Contractor { • • • • • • • • • • .......Address .......Phone No. IS.Is this property looted within 300 feet of a tidal wetland? *YES....NO.... *If yes, Southold Towp Trustees Permit may be required, PLOT DIAGRAM Locate cleazly and distinctly all% buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block;number or description according to deed, and show street names and indicate whether interior or corner lot. i, I~~ / / 7`".c.,EA s,~ Q~r~ ~'/L c ~9 %T~i c./.E"a P•Gc~ r p.C ~ I III , ~I , , ~I , I I i STATE OF NEW YORK, S COUNTY O ~ •'S ' ' • • • • ' ' ' ~ • ' ' ' ' '~~r ~ being duly sworn, deposes and says that he is the applicant (Name of individual sigmrtg contract) above named. it He is the (Contracto gen ,~orporate officer, etc.) of said owner or owners, and is duly authorized to perf0tm~or have performed the said work and to make and file this application; that all statements contai ed in this application are true to tlrc best of Itis knowledge and belief; and that the work will be performed in the manner iset forth in the application filed therewith. Sworn to before me this ~ .daffy/of Jo `'8, , 19 ~.g Notary Public, C , ~f ; , , , , , , , County NOTARY PUBUC~ShtEe o~tENew lbrk • • • • (Signature of applicant) Ter~m~ExgrTags?Mircht30,iau9 A y'... 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