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Home My WebLink About28497-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall So~lthold, N.Y. CERTIFICATE OF OCCUPANCY No: Z 30212 Date: 05/2~/04 {ROUSE NO.) (STREET) (F2~4LET) APPLIED FOR. (OWNER) Rev. 1/81 1179622 0~/~0/04 N/A FOPd~ NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~DING PERMIT (THIS PERMIT MUST BE KFPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT ROi 28%97 Z Date ~IJNE 2S, 2002 Permission is hereby granted to: MICHAEL MILNER PO BOX 1102 CUTCHOGUE,Nrf 11935 for : ADDITIONS AND ALTERATIONS TO ~ EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER DEC AND TRUSTEE CONDITIONS WITB FLOOD PERMIT at premises located at 530 BROADWATERS RiD County Ta~ Map NO. 473889 Section 104 Block pursuant to application dated JUNE 4, 2002 CUTCHOGUE 0010 Lot No. 004 and approved by the BuildingFee $ Inspector300.00to expire ob BECEMBER~~/~, -~ 2 5,/~'~3~._~//</~f Authorized S.gna~ ORIGINAL Rev. 5/8/02 TOWN OF SOUTItOLD BUILD]lNG DEPARTMENT 765-1802 3~PPLICATION FOR CERT~3~ICATE OF OCCUPANCY l'lus apphcation 11mlBt be filled in by ~ypeg~t er or ir& and submitted to the Building Depar~ent with the followh~g: Final smwey OT property wifll accm'ate location of all binldings, pmpeay 1Sues, streets, and unmsual norm*al or topographic features. 2. Final Approval from Ilealth Dept. of water supply amd sewerage-disposal (S-9 form). 3. Approval of clccl~5cal ins/allailon from Board of Fire Underwriters. 4. Sworn statement from phimber certifying that the solder used in system contims less than 2/10 of 1% lead. 5. Conzmemial binldmg, industrial braiding, multiple residences and similm- bulldogs and instaIlatiom, a certificate of Code Compliance from architect or cm~ff~r tccr responsible for thc building. 6. Submil Planning ~oard Approval ofcomp]etud site plan reqinrements. B~. For ex~sting buildings (prior to April 9, 1957) non-confoming uses, or buildings and "pre-existing" land uses: " 1. Accuraics~rv¢y~f~r~ertyshi~winga~]pr~pe~y~in~%stree~%bui~dingandunusua~natura~rt~p~graphic features. ~ 2. Apr~per~yc~mp~etedapp~icati~nm~dc~sentt~lnspe~tsig~edbytheapp~icant.E`aCer~cate~f~ccupancyis de~ied, the B~fildiag Inspector shall state the reasm~s therefor i~ wrlthig to/he applicant. C. Fees // 1. Cert~ficateofOccupancy N'ewdwellmg$25.00, Add~tzonstodwelliag$2>.00, Alterat~onstodwelhng$25.00~. Swimming pool S25.00, Aecesso~ buildIng $25.00, Addhions to accessory binlilhig $25.00, Businesses $50.00. 2. CertificateofOccupancyonPre-existingBuild[ng- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Tempom~3~ Cez~ificate of Ocm~pancy - Residential $15.00, Conmxerciai $15.00 c New Construction: Location of Property: HeallJo Dept. Approval: Date of Permit. Oid or Preexisting Building: ~" (check one) House No. Street IIa~et Filed Map. Lot: ~ffOZ Applicmtt: ! / IJndet~vritem Approval: Planning Board Approval: Request fbr: Temporat~ Certificate Fee Subniltted: $ (check one) Apphc,-u~ S~gnart~ce BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by ROSLAK ELECTRIC P,O, BOX 164 CUTCHOGUE, NY 11935-2453, MICHAEL MILNER 530 BROADWATERS ROAD CUTCHOGUE, NY 11935 _ocated at Application Number: 1179622 Section: Block: Described as a 14esidcmfial 530 BROADWATERS ROAD CUTCHOGUE Lot: NY 11935 Certificate Number: 1179622 Building Permit:28497'Z BDC: ns11 occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: A visual inspeclion of [he premises electrical syslem, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and formal to be in compliance therewith on the 30t6 Day of M~rch, 2004. 40 Amps FT General Purpu~c Genital Purpose GFCI seal This certificate may not be altered in any way arid is validated only by the presence of a raised sea[ at the location indicated, New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Stock, New York 11790-2356 Phone: (631) 444-0365 · FAX: (631) 444-0360 Website: ww~v.dec.state.ny, us [ LETTER OF NON-JURISDICTION: TIDAL WETLANDS ACT May 23, 2002 Angola Milner 1 Minetta Lane New York, NY 10012 Re: Milner Property 500 Broadwaters Road Cutchogue, NY 11935 DEC~ %4738-02984/00001 Dear Ms. Milner: Based on the information you have submit[ed, the New York State Department of Environmental Conservation has determined that: The por~ion of your property which is located landward of the ten foot (MSL) elevation contour on a gradual, natural slope, as shown on the survey prepared by Joseph A. Ingegno last revised April 17, 2002; 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 er other alteration or disturbanca to the ground surfeca or vegetation within Tidal Wetlands judsdicttan 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. CC: Fairweather-Brown Design Associates Very truly yours, ~ P~it~ar OFFICE Ot" 'I'}{E TOWN CLERK ~'O~VN OF SOUTHOLD THIS IS TO CERTIFY{ TItAT THE FOLLOWING RLSOLUTION WAS ADOPIED BY YHE SOUTHOLD TOWN HOARD AT A REGULAR MEFTING HELD ON AUGUST 24, 19q~: RESOLVED that the Town 8nard of the Town of Southold hereby adopts of the Code of the Town of Southold: "Floodplain Developmen? Permit Application" [FDP(93)], and 'Cert~cate of Compliance ~r Development Special FIo¢~d Hazard Area Southold Town Clerk Augtist 25, 1993 ¥OWN OF SOUi HOLD FLOODPLAIN DF,~qZ, LOPMENT PLP,3VIFT APPLICATION SECTION I: GENERA~ PROVISIONS (^PI'LICAd~P to read ~md 5i~7n): _ · inspe~En~ required to verify comp~¢. 8. k THE APPLICANT, CERTIFY ~T ALL STATEMENT~ HERE/N AZID Bq ATFACHMENTS TO . THIS APPLICAT10N ~ TO THE BEST OF MY KIqOWLEDGE, TRUE AND ACCURATE. (A~PLICANT'S SIG NATLFRE). DATE. SECTrlON 2: PROPOSED DL'x~gLOPME[,tT (To be comvleted by APPLICAJZD FDP[93) DESCI~IFTION OF WORK. (Check all app{icublc boxt::) -E.,qTIMATED COST OF ]>ROJECW $ Alter completing. SECTION 2, APPLICANT should submit form to Loe~d ~xknir~lJator [or rg,46'w. [] h NOT I~:at~:l in * Spe~i~l Hc~xl H.7~rd ~rea (Nod~ the applic2m that the application ,DATE__ PAGE 3 OF 4 Certification [rom a registered enghaecr that the proposed acH'dC/in a regulatory floodway will nol result La a~X incre~e in the height of the tOO-year flood. A cop5' of ail data and SECTION 5: PERMIT DETEKMIINATION (To be comvleLed bY LOCAL A~3MINIb~I'RATOR) APPLICATION Complete 1 or 2 below. Actual (~-Built) Elevatioo of the top of the lowe.~, fl~ar, ~ndud~ng basement (in Co~st al High Hazard ~. bottom of Iowe~ ~mo~tral meml~r of the towezt floor, excluding piling and ~oltm~nz) is: Fr. ~4GVD 2. - Actual (.~-Buil0 Elevation of floodproo£mg protection i~ Fr. NGVD (MSL). SECTION 8: CERTIFICATE OF COMPLIANCE(To toe comple4¢d bY LOC-AL ADMINISTPOkTOR.~ · Certificate of Compliance issued: DATE: BY: TOWN OF $OUTHOLD CERTIFICATE OF COMPLIANCI£ FOR I)EVEI,OPMENT IN A SPECIAL FLOOD HAZ~AI{D AREA (O~rlX~R MUST [LETAIIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. pERMIT DATE OV',rlN~RS NAME AND ADDI:LF~S: CHECK ONE: Ul NEW BUILDING [] EXISTING BUILDING [3 VACAiN~I' LAND THE LOCAL ADMINIS'IXATOR IS TO COMPLETE A. OR B. BELOW: COMPLL,MNCE IS HEir~EBY LOCAL LAW # , I~ SIGNED: CERTIFIED WITH THE REQUItLEMENTS DATED: COMPLIANCE IS HEREBY CERTIFIED WI'IH THE REQUIREMEN~Ik'q LOCAL I~W # DATED_ SIGNED: DATED: OF OF New York State Department of Environmental Conservation Division of Environmental Permits, Region One Bui[din~ 40 - SUNY. Stony Brook. New York 11790-2356 Phone: (631) 444-0365 · FAX: {631) dd~ 0360 Website: www.oec.s[a[e.ny, us LE'rI'ER OF NON-JURiSDICTION: 'I'LU~L WETLANDS ACT May 23 2002 Angola Milner I MineEa Lane New York, NY I00t2 Re: Milner Property 500 Breadwatars Read Cutchogue NY 11935 DEC# 1-4738-02984/00001 Dear Ms. Milner: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The portion of your property which is located landward of the ten foot (MSL) elevation contour on a gradual, natural slope, as shown on the survey prepared by Joseph A. Ingegno last revised April 17, 2002, is beyond the judsdicUon of ACLiCle 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, er 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 j udsdictional boundary and you r project (i.e. a 15f 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 ef obtaining any necessary permits or approvals from other agencies. CC; Fairweather-Brown Design Associates Very truly yours, P r~hit Administrator SCTM#DISTRICT:I,000, SECTION: /o~/ ,BLOCK: /0 ,LOT: 4/ STREET ADDRESS:~ CITY: ~..~g,~t/~" PROJECT DESCRIPTION: .~.,~'~X6' ff~0 ~ ;~: ~':~ffg7~ d~'~.~. ESTIMATED PROJECT COST: ~ ~NGINEER: ~l'J DATE REVIEWED: ~ / I[/02 DATE SUBMITTED: d /.'.[ /02 SUBDIVISION: FAST TRACK? SINGLE & SEPARATE CERTII~ICATION-REQ[flP, ED? .)~ NOTES: ACT. LOT CQV. ACT. SI])E /~'.t/SY ZONING DISTRICT: .... ,~y~ CONFORMING? REQ. LOTSIZE: ~..a~ ACT. LOTSIZE:2~ff] REQ. LOTCOV. ~Q. FRO~ q~ PROP. ~ONT ~ ~Q S~E ~Q.~ ~ PROP. REAR / ~Q. ~IGHT WATER ~O~7 ~S DESC~TION: P~L ~: /~ FLOOD ZO~:~ ~PROV~S ~ ~D S~O~ CO~ ~ D~T: ~S or~ ~ED ~): DTE: / TO~ SEPTIC ~CE~T: Y or ~ ~ ., · - SOUmOL~ 'town TRUST~S: ~o~O m~ TO~ ZO~G BO~ ~PROVAL: ~S or~ TO~ PL~. BO~ ~PROV~: ~S or~ TO~STOR[CALPRE (SPL~): ~S or~ ~S E~RGY: ~S OR NO : ~SS (18 H ~n.? 4 sq to~) -l* ~ (SQ. FT. x 4%) B~D~G PE~[FS OPEN/E~: BP ~ P~ CO'S: Y OR N BP -Z / C/0: Z- NOTES: / PERMIT #:R10- LIGHT (SQ. FT. x 8%) .../~ FEE SqXUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: ~. ¢/l(' SE)- ( 2. (SE)- ( SF SF SF SF SF .SE)- SFX $ :$ .SP)= SFX $ __=$ INIT OTHER TOTAL FEE FEE FEE +$ +$ =$ /am +S +$ = $ FAIRWEATHER-BROWN DESIGN ASSOCIATES, iNC. June 25, 2002 Southold Town Buildir~g Dept. Southold Town Hall Main Roar[ Southold, Iq. Y. 11971 Re: Milner SCTax Map # 1000-104-10-4 Attached please find: 3 sets of stamped revised Plans with atypropfiate setbacks Thank you, Respectfully S ubmilled, ~/ TOWN OF SOUT~IOLD PROPERTY RECORD CARD OWNER S'rREET ~ ~ V:,L~,~B ~.OT ~/~:~ __ FOYER OWNER,. ~ ~ S W TYPE OF BUILDING [ES.~/~ SEAS. VL COMM. CB. MJSC. M',¢t Value . ~::~ / BUILDING~ONDITION -. NE~ NOR~L FARM /---ACre Volue Per Valae Acre J -Jllable 1 'Hlable 2 ¢ood]ond ] rushl~nd~ FRONTAGE ON ROAD ~ouse PI~ DEPTH ~ ~ BULKH~D _ ~ DOCK Alberg J. I~xupskL President James King, Vice-Presidem Artie Foster Ken Po]iwoda Peg~ A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Halt 53095 Route 25 P.O. Box 1179 Southold, New York i19'71 0959 Telephone (631) 765-1892 Fax (631) 765-1366 January 16, 2002 Ms. Amy Martin Fairweather-Brown Design Associates. Inc. P.O. Box 521 413 Main St. Grcenport. NY 11944 RE: ANGELA MILNER SCTM#1000-104-10-4 Dear Ms. Martin: The Southold Town Board of Trustees revicwcd the site plm~ dated December 13, 2001 and determined thc second sto~ addition to the water side of the cxisfmg residence to be out offuc Wetlm~d jurisdiction under Chapter 97 o£thc Town Wetland Code. However, any activity within 100' of thc Wetland line would require permits Rom tiffs office. This determination is not a determination fi.om a~y othcr agency. If you have any further questions, please do not hesitate to call. Sincerely, Albert J. Krupski..Ir. President. Board o£Trastees AJK:kus Easter~ Pe~72its Seotio~ DEPARTMENT OFTHE ARMY NEW YORK DISTRICT. CORPS OF ENGINEERS JACOB K. JAVI~S FEDERAL RUILDIRG SUBJECT: Joint Application with New Environmeutal Conservation ~, MarLin ~ FBDA P.O. Box 521 ~reenport. NY 11944 Dear Ms. Martin: York State Department of We ha~le recently received a copy of the for permit you filed with the New York State Environmental Conservation (NYSDEC). Joint Application Depar5men5 of Please be advimed we have reviewed the copy of the Joint Application sen~ co this office by ~YSDEC. Based solely upon the information provided, it appears that a Department of the Army permit is not required for your proposal. The Department of the Army regulates construction activities in navigable waterways and discharges of dredged or fill material · nto waters of the United Stanes, including inland and coastal wetlands. If your proposal would involve such work, and h~s'noc been portrayed as such mn your Joint Application, you should contacc this office immediately so that a project-specific determination can be made as co whether a Deparnmenu of the Army permit will be re_c~ired. Any inqu~rzes can be directed to this office au (212) 264- 3912, ~913, 6730, or 6731. ~Marc Helman Acting Chief, Eastern 765-1802 BUILDING DEPT. INSPECTION [,/~ FOUNDATION 1ST [ [ ]FOUNDATION 2ND [ ]FRAMING [ ]FIREPLACE & CHIMNEY ] ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE INSPECTO~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ [ ].~JJNDATION 2ND [ [ ,,~ FRAMING [ [ ] FIREPLACE & CHIMNEY ] ROUGH PLBG. ] INSULATION ] FINAL REMARKS INSPECTOR 765-1802 BUILDING DEl:VT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND [ ~NSULATION [ ] FRAMING [ ] FINAL [ REMARKS: ] FIREPLACE & CHIMNEY 765-t 802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLB. G. [ ] INS~N [~AL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~ [ ] INSU~L,ATION FRAMING ~[~,"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ ~ FOUNDA~O~ (152) i roWN 0g sgtrmoLD TOWN HALL SOUTHOLD, NY 11971 TEL: 7~5-1802 ,/ ~ Phone: APPLICATION I~'OR BUILDING PERMIT'- 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 m schedule. b. P ct plan showing location 0flo and ofbuil&ngs on:premises, relationship to adjoining premi{~s or pub lc streets or areas, and waterways. ¢. The work covered by this application may not be commenced before issuance of Building Permi:t. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the ap~ieant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No braiding shall be occupied or used m whole or m part for any purpose what-so-ever until a Ce~ficate of Occupan% is issued by the Building Inspector. : APPLICATION IS HEREBY MADE to the Building D~partmem for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tow~ of Sauthold, Suffolk Celery, New York, and other applieable Laws, Ordinances or Regulations, for the censlruetion of buildings, additions, or altcTafions or for removal or demolition as herein described. The applicant agrees to comply ~vith all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neeessar,j'inspe¢fions. (Signore of applicant or name, if a corporation) (Mailing ad~s of apl~licant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises //~1~)_/9~31 'e .,~/~4~/& - (a~o~e t~ roll ~r l~tesFdeed) If applicmt is a eo~oration, si~ature of duly authorized ~fficer (Nme ~d title of co~orate office0 Builde~ License No. Plumbem License No. Electfici~s Lice~e No. Other Traders License No. 1. Location o f l~d on w~ch proposed work will be done': House N~ber Street H~let Eo~T~MapNo. 1000 Section /~ Block Subdivision · Filed Map No. Lot ~ne) gtate e×isfing usc and occupancy ofprcmises and lntend~xl use and ooeupancM of propnsed censtmeti~,m b· Inmndednseaudoceupaney ~'/.¢/e. ~.c-¢yq,O ..~:~/t~ft.,?L~, · Nature of work (check which applicable): New Building. Repair _ _Removal_ Demolition · Estimated Cost Fee If dwelling, number of dwelling units / If garage, number of cars Addition Other Work Alteration (Description) (to be paid on filing this application) Number of dwelling [mits on each floor Size of lot: Front 0. Date of Purchase_ 1 f business, commercial or mixed occupancy, specify nature and extent of each type of use. __ Dimensions of existing structures, if any: Front //-~, ~/-~ Rear -~, d'" ~ _Depth Height / ~-/Z __ Number of Stories Dimensions of same structure with alterations or additions: Front_ '¢7./0 ~ Rear Depth· /~¢, & Height / ¢/_~ Number of Stories Dimensions of cntk~ new construction: Front. 6~ / ~- /z)/_5 o Rear ¢ / ~ /~; .Depth Height Number of Stories Rear ~D- f~ / Depth ~ .~52ff Name of Former Owner 1. Zone or use district in which premises are situated ~, 2, Does proposed construction violate any zoning law, ordinanoe or regulation: 3. Will lei be re-graded 4, Nap2es of Owner of premises Name of Archite~ '¢~ zCe.~.~ Name of Contractor Will excess fill be removed from premises: YES Address Phone No. Address.~/5~/O,~ ~' PhoncNo Address / .Phone No. l ~. ts this prope~within 100 feet of a tidal wetland? *YES NO · IF YES SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED i ¢. l~ovide survey, t~o scale, with accurate foundation plan and distances to property lines. l ?. If elevation at on,point on properly is at 10 feet or below, must provide topographical data on survey. ir^'r mw COUNTY OF~ ~1;2 ~ J~ //]/~/~r//~/ being duly sworn, deposes and says that (s)he is the applicant (Name q/individual signinlc6ntr'aet) above named, )f said owner or owners, and is duly authorized to perform or have per£onned the said work and m make and file this applieatidn; hat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be )erformed in the manner set forth in the application filed therewith. ~wom to before me this ~'~ ~S~a~ N t I ..% .-fl `SCALE: = BOLO'' I:3A`SED ON `SUVEY OF LOT 1 &5 AMENDED MAP A Off NA~`SAU POIN] FILE NO. t 66 N/%D AUG. 16, 1922 .~ITUATED AT TOL~VN O~ .50UTHOLD `SUPPOLrx COUNTY, NEW YOI~q 5.C, TAXNO. 1000 104 1004 APRIL 17, 2002 OR 0.611 ACPJ:`S(TO TIE LINE.S) CEP-.FiF]ED TO MfCHAEL MILNEK MILNEE 05/14/02 PAl P..WEATPi EP-.-BI%OWN DESIGN A550CIATE~h,INC. 4 I 3 MAIN 5TP-,EET P,O.BOX 52 I GP45ENPOIhT, N.Y. I I f344 631-477 9752 (Pax) 43 t -477-0973