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HomeMy WebLinkAbout21953-Z 1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 8-23132 Date AUGUST 2, 1994 THIS CERTIFIES that the building FOUNDATION Location of Property 335 BEACH WOOD ROAD COTCHOGUE, NY House No. Street Hamlet County Tax Map No. 1000 Section 116 Block 4 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 15, 1994 pursuant to which Building Permit No. 21953-Z dated MARCH 22, 1994 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ie A FOUNDATION UNDER AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT GALLAGHER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Q4, W/1 I Building nepect Rev. 1/81 FORM NO.3 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) Date ~"Z 19.. qV N° 21953 Z 1'~~ o: Permission Is hereby gra T7 to n g........./1 <>/!~rti.TX '/....,........sr-... . ......0..7~..r,s......~/vf ................9..93........................................ .C . 3.4. 3..P...-o0t30... ova./..-... o ...........................01 ~ff,,.!5~< at premises located at 3s........ 4.tXv Q/1........... Ad ........o.6.-q 4~ County Tax Map No. 1000 Section IK~........... Block 0~z .....~j.... Lot No. (1. pursuant to application dated .............I..'~~}/~~(f.... 5.......... 19..A91V and approved by the Building Inspector, Fee fK.`!~ . ...:./ui~ln! pe.ctor Rev. 6/30/80 Form No. 6 /V L~p ~er'VT TOWN OF SOUTHOLD Q' 17y BUILDING DEPARTMENT ~5hk: 6/J 765-1802 E a 13 W1 APPLICATION FOR CERTIFICATE OF OCCUP NCY T WBNOF 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 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-existing" land uses: 1. Accurate survey of property showing all Y g 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 $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.y00, Commercial $15.00 Date 111A4P • New Construction........... Old Or Pre-existing Building./. L Location of Property..a3Y.(1 r~.~O/4".Radv......... CAM-Wa6gL.......... House No. . Streets M Hamlet Onwer or Owners of Property......' ~ Mme// ~LL„//AA. 6X4419L og...... • County Tax Map No 1000, Section ~I4 Block .......7........ Lot..... q?1] Subdivision..... p / Filed Map............ Lot...................... Permit No.19 Date Of Permit. .Jl.Z ,,,,Applicant Health Dept. Approval ..Underwriters Approval Planning Board Approval Request for: Temporary Certificate........... Final Certicate.... Y...•• 0a Fee Submitted: $....f . APPLICANT NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-00830/00001-0 December 17, 1993 FACILITY/PROGRAM NUMBER(S) PE MIT EXPIRATION DATE(S) December 31, 1996 Under the Environmental Conservation Law TYPE OF PERMIT ¦ New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to operate 0 Article 15, Title 5: Protection ? 6NYCRR 608: Water Quality 0 Artie of Waters Certification Solid p 0 Article 15, Title 15: Water C Article 17, Titles 7, 8: SPDES 0 Article 27, Title 9; 6NYCRR 373: Supply 0 Article 19: Air Pollution Hazardous Waste Management 0 Article 15, Title 15: Water Control Transport 0 Article 34: Coastal Erosion Management 0 Article 23, Title 27: Mined Lend 0 Article 15, Title 15: Long Reclamation 0 Article 36: Ftoodplain Island Wells Management 0 Article 24: Freshwater Wetlands 0 Article 15, Title 27: Wild, 0 Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ¦ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 Other: PERMIT ISSUED TO Robert Gallagher TELEPHONE NUMBER ADDRESS OF PERMITTEE 74 Kenwood Rd., Garden City, NY 11530 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Land Use, 2576 Sound Ave., Baiting Hollow, NY 11933 NAME AND ADDRESS OF PROJECT/FACILITY Beachwood Rd., Cutchogue LOCATION OF PROJECT/FACILITY Beachwood Rd., Cutchogue COUNTY TOWN WATERCWRSE Suffolk Southold NYTNCOORDINATES CEMPTIUI OF All-mim AcrIV17Y Raise an existing single family dwelling from elevation 7.55 above MSL to 10.0 above MSL. Add additions of (31 x 91), (2' x 91), (31x ill), (51 x 111) and (3' 231) to the dwelling. All work shalL be in accordance with the attached NYSDEC approved plan. 2,7. q PIFF = By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (sce page 2) and any Special Conditions included as pert of this permit. REGIONAL PERMIT ADMINISTRATOR: ADDRESS Robert A. Greene Bldg. 40, SONY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED S GNATURE DATE December 17, 1993 i c_ Page 1 of j TRUSTEES %UFFN SUPERVISOR John M. Bredemeyer, III, President SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President _!k- Henry P. Smith y Town Hall John B. Tuthill 53095 Main Road William G. Albertson 17 EO. Box 1179 Iblephone (516) 765-1892 Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 2, 1993 Brian Frank Land Use 2576 Sound Avenue Baiting Hollow, NY 11933 RE: Robert Gallahger SCTM ##1000-116-4-26 Dear Mr. Frank: The following action was taken by the Southold Town Board of Trustees at the regular meeting on July 29, 1993: RESOLVED that the Southold Town Board of Trustees grants a waiver to raise the elevation of an existing 1 1/2 story dwelling by 3.451 , with minor additions to porch on north and south side 'of house which will be 4' X 5' on one side and 4' X 6' on the other-side of the north end of house. On south end of house it will be 4' X 8' and 4' X 4' addition to porch. If you have any questions, please do not hesitate to contact this office. Very truly yours, Bre~ey YII M resident, Board of Trustees JMB:jmd 765-1= BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. J FOUNDATION 2ND [ ] INS TION j [ ] FRAMING NAL REMARKS: %~Se.~,c m y.~ L DATE lI 1504 INSPECTO 1cI D Ib.Cit ..M. -UIt IDh j II s ~%:h..YQY~- :St•! ~,t!.anT•.T COMMENTS FOUNDATION (1st) a FOU14DATIOtI (2nd) 2. • Zw ROUGH FRAME -PLUMBING 3. C/31 y INSULATION PER N. Y. tn. STATE ENERGY CODE 4. _J r FIIlAL f 11 ADDITIONAL COMMENTS: m x - x ~ H 9 • 9 H M S ' O m H BOARD OF HEALTH FORM NO. 1 J SETS OF PLANS TOWN OF SOUTHOLD SURVEY _ _ . BUILDING DEPARTMENT CHECK _ TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ?NOTIFY' Examined .....~a~....., 19Y. CALL ~.~J.. ~.~b.... . MAIL TO. Approved 31,~...., 19 ~.r~. Permit No. . . Disapproved a/c l,~...._.~.. . (Buildi sp ctor) U. , APPLICATION F BUILDING PERMIT r Date . . 19 r INSTRUCTIONS 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 Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. . e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of 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 code, housi code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins ep(Signature 0ant, name, if a corporation) Nye is ; (Mailing address of applicant) State whether applicant is owner, .lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~i64 .U?2t: . Name of owner of premises . /j6r1T E L . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. • (Name and title of corporate officer) 60Y p4Vs Builder's License No. kVltI. ..(?Hj2127VP4 . Plumbcr's•License No. I:Sr~tTl / • , , , , . . Electrician's License No....'1-__!)QI , , • . . Other Trade's License No., , , . 1. Location of Iand'on which proposed work will be done. F1ous~Number 0A.u!oa.............C~cyv9U~ . Street Hamlet County Tax Map No. 1000 Section Block , Subdivision . Lot Filed Map No. . (Name) Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...J P? b. Intended use and occupancy s 1~2P1t, .....C:2.. . /1 ea Q Erw.~ .r- 3. Nature of work (check which R app?icable): New Building , Repair Removal Addition • • • • • Demolition Alteration _ Other Work ! /5/.~1 y~1 ~X/ ST / " Sriz(1G;VRE t,'E f'e~EJ;IQ 4. Estimated Cost J O<J `'w 'NO to i2e:y,~Fv y,. Ew (Description) .....`ree 5. If dwelling, number of dwelling (to be paid on filing this application) If garage, number of cars units , • • • . • , . Number of dwelling u 6 nits on each floor. ..yam , 6. If business, commercial or mixed occupancy, specify nature and extent of each ty e of use . . 7, Dimensions ot• existing • ' ' ' ' ' ' Heim 2/ structures, if any: Front , • • • - • . ~P Rear 34......... Depth °ht • • • • • Number of Stories Dimensions of same structure with alterations or additio .s: Front . . r~ Depth .........`t`41............ Height a' Rear " . / • • • • • • Number . Stories . 8. Dimensions of entjre new construction: Front Q , • Rear ~U . r Height ` `i/, • , , 9. Size of lot: Front Number of Stories • , • • ' • • • • Depth . . . . . . . . . . 10. Date of Purchase ' ~ ' Rear y~$. , • De p ; - 'cliF Y7 " 3• l~ 11. Zone or use district in which premises are situated . Na y ormer Owner .~Q p i:E !Y7: / J•~ ~~u r.?~:p4_ •:,~OY~,~-TO, • , • _ . 12. Does proposed construction violate any zoning law 13. Will lot be regraded il/o y ° , ordinance or regulation: NCB. . 14. Name of Owner of premises /Az 1/,.. yfe ~ Will excess fill be removed from premises: Yes Nc Name of A ~ ~fz~ .P-E* ~~fceq~F;tZAddress ?4 ~Ff l~~~r" Architect SLTE2 f ,`t(~ ~r~"~ t+~ G~Phone No(y/L/ J//, a)e Name of C r • . Address 6470,111c .4`r. E `T - ontractor / F , EG. 4(NN•Q~.... j P,C Fes; ~/yPhone Noel) 15. Is this property within 300 feet of a tidaldwetland?* * Phone No...,.,, *if yes, Southold Town Trustees Permit may be requuiiS"red No......... PLOT DIAGRAM. Locate clearly 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. STATE OF NEW ~Y'0 r COUNT`ISOF.. (.RCCTz:///~.. /S.S ahoy (Narirc of individual signing contract) • , . • • ' • being duly sworn, deposes and says that he is the applicant c named. He is the (1 (Contractor, agent, corporate officer, ctc.) Of said owner or owners, and is duly authorized to perform or have performed the said work and tom • • . Ipplication: that all statements contained in this application arc true to the best of his knowledge and belief; and that the Nork will be performed in the manner set forth in the application filed therewith. ~`e and file this iworn to before mq t/his r rotary Public, 4 Z/ County X I N CLAIRE L GLEW Notary Public, State of New York No.4879505 Qualified in Suffolk County • • • • • • • • • • • • • . . Commission Expires December 8,19 (Signature of applicant) t er --,•adsMd,MneMem~+""'° 2 i~1"\F f '~C. ~C_h Y e P rMln~er~a~wn~nec~ t p' 5uL_,~'Uf ED vet, ranMM~~wwrwMmaaA A:f"dfatlon c. 13E AC - -•(pRIVA E32 ..--^I Q I wo y ~ - +LL Pl 4 ~ ` / ~N ~ ~ wwu I y j xH. 5.r Y Fri r2 :5r F OGtq t I 5 T Of NEW's E.EVATICj i of P:._ ~`EL FIN aRAC%~J1i~~-*', 1R Noy 8~, ry i \ I ,"'IP F,Q,~GK V,I0 ARGI.!vQ H'h}Dg...q.n I' Iu FLoo2 I 19 Y 5 J u4c t5266M1S~ u 1 ALA I YI F ,fY L 40 I r_ 1 i h 1 MAR 514 i 1 Y- 1 v .TOWN OF SOUPI~Ot.® I '.EFE!, MEAN '3e^ LEYF?LLG.1P. t'V~P AMEN DE L -SEPT. t7, leg 1; o&T - T 93 qua n,, "e t Tp lHF TirL.E Gua v.r ri CG. I j i91 ~t I j 4 v ! FY 14..t i UltkT lv'Y I o seal shaO nK U9 ~9 r..: vcl;d true cW- ~A wW an his W. Olt l~ N 7~:E1: Fl!~.3rAf =..f qtr ti~C rr 114 - 6LS- --S5 <S 256 to L a° wl f.._ - r: 1 r Pr)-QP. ADC; tJ 5. 51994 g f , N~rr MAQ+, . +qy; TOWiv O~ .~Us,~tC?Li5 S ELE~iAr 1. P- ~EVEia l.p 3 r I j ; JNov a+ Gl, oN"1M P4%Y' AM ~z i ITT- 17. DEB. 9, lye>~ ? IL- T i ,..1:. aUN'tP ~ 'r,. r I TC: -4L S,~IJ? H"J L :.lA,_! h:ti ; - E3 ; + !C I ter' ~_.4 - %ti~ ;L - ? Y:.la - . :;r. ;k i `l' I o w y i - C- - IF C i 21 N oFT l-1 ~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY I~ u : ~h n n u -i, - I DO NOT PROCEED UNTIL 2nd SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED E i j I - - LUMBER CERTIFICATION i 1 2 -d .kIL•jkg o - O LEAD CONTENT BEFORE T. ___Yeer._ --1 A M, f j C TIFICATE OF OCCUPANCY I i SOLDER USED IN WATER i SUPPLY SYSTEM CANNOT rr EXCEED 2110 of I% LEAD. - _ ~ - (OO PvaP ' ~6r'.dlrE _ _ _ . - P j I I UNDERWRITERS CERTIFICATE r '6r*II~E lJ i , P r r I 1 1i I L o0_ r Off' I I l APPROVED AS NOTED 1 DATE: 3w 6.P-N -f FEE: Y _ NUTiFY BUILDING DEPARTMENT AT ' 785-1802 9 AM TO A PM FOR THE i FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED j d FOR POURED CONCRETE ` L-_ _ 2 ROUGH - FRAMING f, PLUMBING r - 3 INSUL ATION 7 2~ ~:+r 4 NNAI. - COpfiTRUCVON MUST HF. COMPLETE FOR C O. :`ALL CONSTRUCTION SHALL MEET THE REOUIREMENT$ OF I '71tl I~J~ " P~~I~ STATE CONSTRUCTION & T ENERGY UYZ4N _ CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS TGddN .r^ L'UUi'hDLV - - it K T ;#b4. IF R , . FT W~~-_s<eF I 6 ao r ~ W k yy ~yy ~ } ' IRKS? ~I~l~R ~Z~ Zt7. F'f. ~ 4'G~ rF C, G N u 7 6 r - FhdTPfiIN7 ca 54? I k ~ 1. 1 `Fib ~~'H fi ~j`4 YSR~g, 5.~j ~ ~5 ~ t•~'g`i z 4~,~ ~4~~~f b"`~M' h ',.b ~z w ~oF~~~Y~ .~....-•~---a.- _-.,J . _ _ a ~a M1 ~ TT".r r ~ r 14.. _ S ~ •Lr hZ L.J ~ ii.~e i II, I . k~aU'S~' ~A~15 11~ G N ©T~5 - II Ij r~y1 p)MeN5loN5 OF THE ~XIh71NG Huu$F- A-KF ! CswFlr-rl F(NA-c- Vsl ~E+/51oN5 c 51TE, 71E. Z~- ~~S1~Y11N4.5T12UGG (V~$ 5+10-r1~ UNDE2 TRf- HOu5F- 51ff+~I 6a noxq=i ract $StvK>r 1-.4YING 0V 7 T1M , n T_LVh ' 4 RDCK£7 LDrA-MA4. 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