Loading...
HomeMy WebLinkAbout27580-Z lIEi.'IAissEEG`EYON REPORT l7tYTN COM[ffiNTS; FOUNDATION OST)" Q — — — i FOUNDATION (2ND) i a ROUGH FRAME. h PLUMBING - 9 u y INSOLATION PER N. Y. q � STATS ENERGY + CODS D- u H. CLI C q ' FINAL n n C ADDITIONAL COMMENTS: _ S' f — `� H . C3 W FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. ,L I BUILDING PERMIT (THIS, PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMrP NO. 27580 Z Date AUGUST 28, 2001 v ' Permission is hereby granted to: JANE GARTENBERG CUMMINS 45 LITCHFIELD ROAD I; PORT WASHINGTON,NY 11050 for ADDITION AND ALTERATION TO, SINGLE AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR WITH TRUSTEE AND DEC APPROVAL I I at premises located at 6485 NASSAU POINT RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0013 Lot No. 011 pursuant to application dated JULY 12, 2001 and approved by the i (Building Inspector. I Fee $ 213 . 00 Authorized Signature i � r � I i I 4 t it II COPY Rev. 2/19/98 i L i I V VV 1-4 Vr 00U 1 n,ULiJ BUILIANU YhXM11 APPLICATIUN CHEC;KLIS' BUILDING DEPARTMENT Do you have or need the following,before applying TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. 2 Check Septic Form N.Y.S.D.E.C. Trustees Examined 8.44 ,20 0/ Contact: Approved 2001 Mail to: Disapproved a/c Phone:7�624t)%j I < Building InsP ector i fir! BLDGaGnE- APPLICATION FOR BUILDING PERMIT T Vii OF QUI-HOLD Dat _, 20_qJ 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupan is issued 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,hou ing code, d regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Si a of applicant or name,if a corporation) • 'v l (Mailing address of applicant) 1q7 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Avy-;-L—t a Name of owner of premises n2 ory)ltO."" (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which roposed wor ill be don House Number Street Hamlet County Tax Map No. 1000 kction Block �,3 Lot, Subdivision Filed Map No. Lot, (Name) —, s ?. State existing use and occupancy of premises and i tended use and occupancy of proposed corMtruction: a. Existing use and occupancy ��/ G� b. Intended use and occupancy i. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 7—,n-fP_r1orlf �,r� (Description) G. Estimated Cost �/�, poo Fee T (to be paid oTi filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars . If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear 39 ' Depth �b ' Height 301 Number of Stories / Dimensions of same structure with alterations or additions: Front Rear -401-011, Depth � Height Number of Stories / Dimensions of entire new construction: Front Rear Depth Height Number of Stories Size of lot: Front 110. a3 Rear L*. 7�� Depth O 0. Date of Purchase_,�,Z1yaX,, -- ?_6e :Name of Former Owner Cafael-nnb 1. Zone or use district in which premises are situated —4 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded Will excess fill be removed from premises: YES NO 4. Names of Owner of premises)Ahe CUMrrnns Address Phone No.`l-,Qt'') 4316 Name of Architect 59tH an ^jAddress Phone No Name of Contractor Address Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES _NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 5:!!&- atfad leer" 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: 'OUNTY OF&Ufo ) L)d yVA L,11tM 0,44, being duly sworn, deposes and says that(s)he is the applicant (Name o individual signing contract) above named, 3)He,is the (Contractor,Agent,Corporate Officer,etc.) f said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be -rformed in the manner set forth in the application filed therewith. worn to before me this _day of _^206 ^ � Notary Public Signature of Applicant PATRICIA RICHARDS Notary Public, State of New York No. 01 RI6042467 Qualified in Suffolk County Commission Expires May 30, 2002 Albert J. Krupski, President _4SVFFOI�C Town Hall James King,Vice-President �.�� �Gy 53095 Route 25 Henry Smith o P.O.Box 1179 Artie Foster co = Southold,New York 11971-0959 Ken Poliwoda Oyu Telephone(631)765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 9, 2001 Nancy Steelman, R.A. Samuels & Steelman 25235 Main Road Cutchogue,NY 11935 RE: CUMMINS RESIDENCE 6485 Nassau Point Rd., Cutchogue SCTM#111-13-I1 Dear Ms. Steelman: The Southold Town Board of Trustees reviewed the site plan dated 4/30/01 and determined the addition to an existing residence to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code. However, any activity within 100' of the Wetland line would require permits from this office. This determination is not a determination from any other agency. If you have any further questions,please do not hesitate to call. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 -SUNY, Stony Brook, New York 11790-2356 Phone: (631)444-0365 - FAX: (631)444-0360 _ Website: www.dec.state.ny.us Erin M.Crotty Commissioner Letter of Non-Jurisdiction Tidal Wetlands Act May 8, 2001 Ms. Jane Cummins 45 Litchfield Road Port Washington, NY 11050 Re: 6485 Nassau Point Road Cutchogue, NY 11935 SCTM# 1000-111-13-11 DEC# 1-4738-00658/00003 Dear Ms. Cummins: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: Your property, which is located landward of a functional and substantial man-made structure (a bulkhead) greater than 100' in length, constructed prior to 8/20/77 as shown on NYSDEC Tidal Wetlands Map# 714-540, is beyond the jurisdiction of Article 25 (Tidal Wetlands). Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, 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 within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15'to 20'wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Veer truIv vours, R g r Evan P r it Administrator �cr Samuels & Steelman Architects STATE OF NEW YORK ) ss.: COUNTY OF SUFFOLK ) Q�V1121n , being duly sworn, deposes and says: That deponent is over the age of 18 years, and rasicla§ at That on the_aday of , 1.99g, deponent, being the architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code ZK NYCRR). rchitect/ eer Sworn to before me this j�day of Notary Public A►��Ny p�blf�BtRete ofRDS N0, 01RI6042467eW York 10u611fIQd In Suffolk County go,MM'4410n txptrea May 30,200.1 cc: applicant TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET b t_ VILLAGE DISTRICT SUB, LOT FORMER OWNER N E ACREAGE v1 behriman Gc/1 W TYPE OF BUILDING 0 rha s F1 ES. SEAS. VL FARM COMM. IND. CB. ( MISC. LAND IMP. TOTAL DATE REMARKS14/�3. fd�✓ ray 00 / �P� IM. fo �� ww►a h. _ o� g 7e/+ /.2 J l7� 3 . 4 o 4ea,e r a lays -l. ld99 8`T- VAr 500-0 _0 v 2-- © o �'`G CJ ,- Cp ;, t"Lgo 6 of e r r f(ti if, deo � 7ao s =� �o �O 3��`� ►o J o �L ^t AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value illable 1 "°" '� •� /� ' � a s e 7` /0 0 ,ra r- W,Ve i- e 6 a illable 2 illable, 3 /o.odla:nd aampland 00 WA rush Iand . louse Plot f ataI ■■■■■■■■■■■■■■■■■■■■ Ji ■■■■■■■■■■■■■■■■■■■■ ■■�■■i..t�■■i I■■■■■■■■■ � � ■��i■■■�l■SIJ■■■■■■ ■■■�w®�..®J■■■■■■Interior Finish ■■■ Foundation --p v Basement Fire Place r ` '• • Rooms 2nd Floor