HomeMy WebLinkAbout18557-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19443 Date OCTOBER 12, 1990
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property 1400 WEST CREEK AVENUE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Secta.on 110 Block L Lot 4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 29, 1989 pursuant to which
Building Permit No. 18557-Z dated OCTOBER 4, 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 ALTERATIONS & ADDITIONS TO EXISTING ONE FAMILY SEASONAL
RESIDENCE AND CONVERT TO YEAR ROUND USE A5 APPLIED FOR.
The certificate is issued to MARY S. McGAHAN
(owner)
of the aforesaid bua.ldinq.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-151275 - SEPTEMBER 25, 1990
PLUMBERS CERTIFICATION DATED AUGII5T 17, 1940 - PERFECTION PLUMBING
Building Inspector
Rev. 1/81
f'O]LM N0. f
TOWN OF SOUTHOLD
QUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 1 g J J~ Z Date 19.~~.~
Permission is hereby granted to:
~~J
53.5
........~...~....f.:~..,....~
~I ~1,rJA~,S ,~.7L
~
t ~~~:~r.'..~ .....a~
~~'o...~ G~.~~...`'
~~~!..~.fr!~..~.....<...... I..........
County Tax Map No. 1000 Section ........~/..1~.. Block Lot No.........T..
pursuant to application dated ..............~r~'~•t/•••••••••• 19..~~ and approved by the
Bwlding Inspector. ~~Q~ a.7 ~~'7J 6~~,G ~
J~''
/D ~ ~ ~ ~l /O - FS~ X1,3/
Fee ~ ,r' ~ ~ / /
`J.l.."~.~4~..
Iding Inspector
/G~3alf~, )q.d0
,3kS 33
Rev. 6/30/80
~ Form No. 6
TOWN OF SOUTHOLD j/,(~
ti BUILDING DEPARTMENT /i
Q 1990 ~ TOWN HALL
765-1802
BLDG. DEPT.
TOWN URSOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY 1' '
.1. 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 12 lead. t
S. Commerciai 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.
~8. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accuzate 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, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.D0. Businesses $SD.00.
2. Certificate of Occupancy on Fre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
L'p~ated Certificate of Occupancy - $50.00 ,
5. Temporary Certificate of Occupancy - Residential 1$15.,0.-0/, -Commercial $15.00
- Date .~~V.?;L~'14~.LBj.I~FA
::ew Construction........... Old Or Pre-existing Buil~d/i~n~g.x
Location of Property...l~~.Q.~:.~^~e~K.~~...4C:~C1,~D~U~~
House No~~.{~n ,p.,~ S,,t~~sreet Hamlet
Onwcr or Owners of Property..Jlll,rfi;-:Y ..aS~.~C.S~~
County Tax Map No 1000, Section...~~ Q ......Block..., 1..........Lot.. T
Subdivisionl..pp.~~ .................................Filed Map............Lot..............
Permit No.1.4.~.~,~,,,,,Date Of Permit,!~1~~~~.....Applicant.f.`:~LY.S"..:'F~.~!
health Dept. Approval ..........................Underwriters Approval...
Planning Soard A ~
PProval..
2equest for: Temporary Certificate.........,. Final Certicate.~....... ,
'ee Submitted: $„q2.~,,,,,,,,,,,,,,,,,,,,,,, (J / .
~
R1 A. I n JJ Jt 7 .
~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 E
5077 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038 f
c
SEPTEMBER 25.1990 4pplfrateonA'u urtfde 66015789(89 N 151275 ~
Date
THIS CERTIFIES THAT [
r
only the electnca! equipment oa deacnbed below and Nntrodured by the applmont named on the abaoe applfrahon number m the prem:aes of 4
r
t
r
.A. MC GAHAN, 1400 WEST CREEK AV., CUTCHOGUE, N Y e
in thefolluauiA breahon. ®Baaement ~ lAt Ff ? 2nd F7 ATTIC/OUT Sertmn Block Lut
uos examined on SEPTEMBER 13,1990 and found to be in curnphmire uNth the rwfuimulent+n(thn lfaord ^p
FlXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTViTS KFPTACLES SWITCHES INUNDEXENi fIUORESCENi OTHER AMi K w AMi N w AML Nw AMi N w AMi H P
34 8 48 34 1 1 2 6 F I
E
DRYERS FURNACE MOTORS FUTURE APPl1ANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL VNIT HEATERS MULTI-OUTLET DIMMERS 0
AMi N W Oll H P GAS H P AMT NO A W G AMi AMP AMi AMPS TRANS AMi H p SYSTEMS AMi WAiiS ~
NO OF FEET
1 2 14 60D f
SERVICE DISCONNECT NO of S E R V 1 C E ~E
AMi AMp iTpE METER I ~ 7N' I ~ 3W 3 H 3W 3 B AW NO OP CC CGND A W G NO OF HI LEG A W G NO Of NEUTRALS A W G
E/]ttlP P R b Of CC COND OF HI LEG Of NEUfRAE
1 200 CB 1 X 1 2)0 1 /D E
OTHER APPARATUS ~
MOTORS:i-3/4 H P E
G F C.I:-8
SMOKE DETECTOR:-1 ~
TRACK LIGHTING.-36 ~
ROSLAK ELECTRIC LIC #3b77-E ~
P. O. BOX 164 ~
PATCHOGUE, NY, 11935 GENERAL MANAGER ~
I 12 L~~ ~
Per C~
ihls cerb{ICate must not be altered In any manner, return to the offlca o4 the Board If Incorrect Inspectors may be Identlfled by their credentials
TEL. 7G5-1802
Q~pc~~FF~[.(r ~O~~ TOWN OF SO~JT~Od.~
f'a' ~ OFFICE OF BUILDit30 INSPECTOR
=o t'~ m P.O. BOX 728
u' ~ K TOWN HALL
O~'~l ~ SOUTHULD, K.Y. 11971 _
C E R T I F I C A T I O N
Date /9~v
Suildirg Permit No. f~,~7
Owner / //1a ~~dry
(please prin/ty
P1ur,Wer~Ft~oN ~bup~&~,ur,y:~~Tit/G
{please print)
Z certify that the solder used in the water supply system
contains less than 2/10 of 1~ lead.
c
iplumber's siynaturel
Sworn to before me this
~q~
day of ~
I9--L~ / ~ Notary Public
tlotary Public,_ diua County
D ~y~ ?wrwt
LLu' luJ... ~~liu 'Jfl~r II liL:'Y.`IIrNI... +f
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PLUMBIi1G
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I;ISULATIOf1 PER N. Y. ~f y
STATE E;IERGY
CODE
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ADDITIQIIAL CO"1*1EIlTS:
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66 BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN CATION
[ ]FRAMING [ FINAL
REMARKS:
DATE ~ INSPECTOR
1 (SSs~ 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ) ROUGH PLBG.
[ FOUNDATION 2ND ~ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: ~--~i
c
DATE ~L ~ ° 1 INSPECTO
j ~ 765-1802
U BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:
r
DATE Z INSPECTOR
~Fs~7 r~->.BOZ
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST (ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]/FINAL
REMARKS: P`~~"
DATE ~ ® O INSPECTOR
ass-isoz
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T [ ] ROUGH PLBG.
[ J i`OUNDATiON 2ND [Lyr~ULATION
[)FRAMING [ )FINAL
REMARKS:
DATE INSPECTOR
Y ~s ~
7ss-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( } ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
FRAMING [ ]FINAL
/
REMARKS ..~.x"
t
Z
DATE J ~ l~ INSPECTOR
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~~EFO(~~~~
FRANK A KUJAWSKI, IR., Presrdent = ~
TELEPHONE
ALBERT ] KRUPSKI, JR , Vrce-Presrdent ~ ~ (516) 766.1892
JOHN M BREDEMEYER, III O,y~ ~
JOHN L BEDNOSKI, JR '1101 ~ ~1~~~
HENRY P SMITH
BOAItp OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Mam Road
P.O Box 72&
Southold, New York 11971
June 26, 1989
Ms. Mary McGahan
1400 West Creek Avenue
Cutchoque, NY 11935
Re: W. Creek Avenue, Fleet's Neck, Cutchoque N.Y.
Dear Ms. McGahan:
The following action was taken by the Board of Town Trustees
during their regular meeting held on June 22, 1989 as follows:
WHEREAS the Town Trustees have conducted an on site inspection of the
subject property, West Creek Avenue, Fleet's Neck, Cutchoque, NY.
RESOLVED that the Town Trustees approve the request made by
for a waiver to construct addition to single family dwelling on above
mentioned property.
Please return to the Building Department for a determination on
the need for any other permits which may be required for this project.
Very truly yours,
Frank A. Ku7awski, Jr.
President
Board of Town Trustees
FAK:jas
ce: Bldg. Dept.
Board of Appeals
file
. , T
- ? t
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tlN rif~d N~n~sNt'a intedk9n4 0 }TYT ~ ~ R- l lar/ ~r / ~ f V1 ~1, <a' ~ - _
Le, ~ ~tn0oxw10 „sl ahatl not Fe axrerr9 R~,'t7} ~ ~ .
n 4e i ~1° «!?v t ~ a~+rF~l`!t 13~7"'~ NE
t ~ .ih~wt96 nnv9on "s ,~j y Qf
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to the s.=.-gncas a tre J;;:..t ~Jb ,s tt y r n
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"tanrrai ~ 13, 1990
49 GI. Long ?r .
Laws encevi 11e,
h,k7 OBb4B
Mr. Tom Fisher
Surlding Department
Southold Town Offices
Main Rd.
Southold, NY 11971
Dear h1r Fisher ,
Enclosed are trro repies of the map showing the
foundation location for the renovation/remodeling of our
property located at 1400 Pf. Creek /ire., Cutchogue. I
understand this will be required at the time of the framing
inspection coming up soon. Would You please see that this
information gets to the file far this fob.
Sincerely,
~rl q Wallace A McGahan
~ ~r-e c
r ~ i~~~
~
~~EFO(,~~o~
FRANK A KUJAWSKI, IR ,President
ALBERT J KRUPSKI, JR , Vue-President TELEPHONE
JOHN M BREDEMEYER, [II O,y~ ~ ~ (5161 765.1692
JOHN L BEDNOSKI, JR `101 ~
HENRY P SMITH
BOARD OF TOa'N TRLSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O Box 728
Southold, New York 11971
June 26, 1989
Ms. Mary McGahan
1400 West Creek Avenue
Cutchogue, NY 11935
Re: W. Creek Avenue, Fleet's Neck. Cutchogue N.Y.
Dear Ms. McGahan:
The following action was taken by the Board of Town Trustees
during their regular meeting held on June 22, 1989 as follows:
WHEREAS the Town Trustees have conducted an on site inspection of the
subject property, West Creek Avenue, Fleet's Neck, Cutchogue, NY.
RESOLVED that the Town Trustees approve the request made by
for a waiver to construct addition to single family dwelling on above
mentioned property.
Please return to the Building Department for a determination on
the need for any other permits which may be required for this pro3ect.
Very truly yours,
Frank A. Kujawski, Jr.
President
Board of Town Trustees
FAK:7as
cc: Bldg. Dept.
Board of Appeals
file
New York State Department of Environmental Conservation
Building 40-SUNY, Stony Brook, New York 11794 9
q / , , ~m~f~' ~?/~,J o~.~ DATE : U~~.(~/yC~ ~ ~ ~ l
/~f(I7J ~~Z!`~~L1'v
`t-~ Re: QO/ -~1~~ _
/[may ~3J~ W ~ ~ C„~~,~ommas C. Jorling
/ (///~~r ~ missioner
Dear ~'L( ~Ci.G~"'~~„ ~
A review has been made of your proposal to: ~}~1~'~/u.~l~ ~ ~aXlL
Based
own
~e nformatian/~ou have submitted, the New York State Department
of Environmental Conservation has determined that the parcel
project is:
Greater than 300' from inventoried tidal wetlands.
_ Landward of a substantial man-made structure
greater than 100' in length which was constructed prior to 9/20 77.
?{k Landward of the 10' above mean sea level elevation contour on a
gradual, natural slope.
_ Landward of the topographic crest of a bluff, cliff or dune which is
greater than 10' in elevation above mean sea level.
Therefore, no permit is required under the Tidal Wetlands Act (Article 25
of the Environmental Conservation Law). Please be advised, however, that
no construction, sedimentation or disturbance of any kind may take place
seaward of the 10' contour or topographic crest without a permit. It is
your responsibility to ensure that all necessary precautions are taken to
prevent any sedimentation or other alteration or disturbance to the
ground surface or vegetation in this area as a result of your project.
Such precautions may include providing adequate work area between the
10' contour or topographic crest and the project (i.e. a 15' to 20' wide
construction area) or erection of a temporary fence, barrier, or hay
bale berm.
Please note that any additional work, or modification to the protect as
described, may require authorization by this Department. Please contact
this office if such are contemplated.
Please be further advised that this letter does not relieve you of the
responsibility of obtaining any necessary permits or approvals from other
agencies.
Very truly yours,
Deputy Regional mit Administrator
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3. Nature of work (check which applicable): New Building Addition . v...... Alteration
Repair Removal , Demolition Other 11'ork , .
(DescnpIion)
4. Estimated Cost 7d ao0 Fee .
' (to be paid on filing this application)
5. If dwelling, number of dwelling units S~!U~ Number of dwelling units on each floor
Ifgarace,numberofcars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any Front Rear . ~F~ Depth .
Height .7 ~.wat4...... Number of Stones . d.~l~`.E .
Duncnsions of same structure with alterations or additions. Front Rear .
Depth Height...................... Number of Stones
8. Dunensions of entire new construction Front , 3', , , , Rear (0.3 ~ .........Depth .3~`......... .
Height ~k~!A-~4~. E~f~ o: iF.. Number of Stones ..Q:t".F .
9. Size of lot: Front ~4~Q~ Rear Depth
10. Date of Purchase , J,9.~9 ..Name oC Fo~~J;;tter OwnerTTElG. ~~FT..~~1tC....... .
11. Zone or use district in which premises are situated .....~t'S'14~~L1Y.~ .
12. Does proposed construction violate any zontiig law, ordinance or regulation . .
13. \1'ill lot be regraded ..../.V~....... , Hill excess fill be removed from premises ~ ;r
14, Name of Owner of premises ./d'1Rf~,Y. -sr .~1'S=~fF~i?d! Address u'' lone No. 73.~~i..~74 .(/4OG
Name of Architect
...........................Address................... hone No...............
Name of Contractor .~.}.'.4R~a'G.8Y1/.~~Pc~ ....Address GJ•~,~~~'
i~q~t~~ . ?~f.'4+ 7r? .
15. Is this property located within 300 feetyof a tiidal wetland? *Yes "No
*If yes, Southold Town Trustees PermitPLO"I' DIAGftAMed, ~q,~t
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions froii
oroperty hues Give street and block number or descnption according to deed, and show street names and indicate whethe
:+itenor or comer lot.
~ TO (REMOVE EXCE3SR0~ A.r
FROM ABOVE PREMISES 9Y
Rt~~p,DING 40T .r
pp1VEWRY CON$TflUCTfON
CESSPOOt CONgTRUCYION
C~t,LAfi COpI^sT UC!`!~
,TATS OF NL~:,YOILR(~ S S
~~C '~!~!%7V . being duly sworn, deposes and says that he is the apphcan
(\mne of mdrvidual signing contract)
Dove mm~cd.
:c isihe
(Contractor, agent, corporate officer, etc )
f said owner or owners, and is duly authonzed to perform or have performed the said work and to make and fi]e t}u
cphcaUOn, chat all statements contained in this apphcation are true to the best of his knowledge and belief; and that th
ork will be pcrfonned m the manner set forth m the apphcation filed therewith.
,vorn to bcCore me this , (
.11C-~. day of ~ 19
otary Public, . ;(~i, , .{fi~`f~~.'-~< .County
[~IwoeYPubNO.~ ~NMnYa1t (Signature of applicant
f11M1Mfad in Suffolk Coemty ~
yt_~
Commisekm ExPfras i7eoember 8,19.._
r' BOARD OF HEALTH
3 SETS OF PLANS
FORM NO 1 SURVEY
TOWN OF SOUTHOLD CHECK • - • - !~~y
BUILDING DEPARTMENT SEPTIC FORAI
TOWN HALL
, °.OUTHOLD, N.Y. 11971 NOTIFY y~~ _ C ~
TEL..7G5-1802 CAti~
y~G MAIL T0:
Examined . ~ .7';/. , 19 ~f
Approved ~/Y........., 191. Permtt No. /.~`~~~'jT
Dtsapproveda/c
~~j
-1~
(Bu,l~img Ins ctor)
APPLICATION FOR BUILDING PERMIT
Date s~~ . °t'~......, 194;
INSTRUCTIONS
a. This appltcatton must be completely filled to by typewriter or in tnk and submttted to the Building Inspector, with
sets of plans, accurate plot plan to scale. Fee accordtng to schedule.
b. Plot plan showing location of lot and of butldings on premtses, relattonshtp to adjoining premtses or public stree
os areas, and giving a detailed descrtptton of layout of property must be drawn on the diagram which is part of ttus app
cation.
c. The work covered by this appltcatton may not be commenced before issuance of Building Permit,
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perm
shall be kept on the premtses available for inspection throughout the work.
e. No building shall be occupied or used to whole or m part for any purpose whatever until a Certificate of Occupan~_
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY h1ADE to the Building Depaztment for the issuance of a Building Permit pursuant to ti
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demohhon, as herein descnbe,
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t
admit authonzed inspectors on premtses and in building for necessary inspections. ,
(S,gna~~tur~+ of applicant, or name, tf a corporation)
(Mailing address of applicant)
State whether applicant is owner, Iessee, agent, architect, engineer, general contractor, electnctan, plumber or builde,
D l(~~r2
. . .
Name of owner of premtses /,l'l A'?Y- S (71c' ~!g-f><i¢yy . .
(as on the tax roll ar latest deed)
If applicant is a corporation, signature of duly authanzed otficer.
.
(Name and title of}c~orporate~/o~f5cer)
ALBuilder's Ltcense No .M(~~rJ'J.t~/7-~FFOLK COUNTY LICENSEn
Plumber's Ltcense No
Electrician's Ltcense No .
O[}ter Trade's Ltcense No .
I. Location of land on which proposed work will be done . . . . . . . .
House Number Street Hamlet /L
County Tax hiap No 1000 Scctton l~~ , . Block I............ Lot ..7 , , , , , , , , , , , , , ,
Subdivision Filed \fap No .Lot .
(Name)
State existing use and occupancy of premtses and intended use and occupancy of proposed construction:
a. Existing use and occupancy SUMME?R:. (26y/IJG~!!C~.. , ;e
• V S,.
b. Intended use and occupancy . Y~~ • R~UAJO • ;!~~S(DEiI!~F„# ~f }
w ~ai~-