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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23476 Date FEBRUARY 2, 1995
THIS CERTIFIES that the building ADDITION
Location of Property 1400 WEST CREEK AVENUE CUTCHOGUE NY
House No. Street Hamlet
County Tax Map No. 1000 Section 110 Block 1 Lot 4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 29, 1993 pursuant to which
Building Permit No. 21835-Z dated DECEMBER 14, 1993
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 A 12' % 20' DECK ADDITION AS APPLIED FOR.
The certificate is issued to MARY MC GAHAN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Ins ector
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) oQ
N Date 19.....F.
21835 Z rf~.
Permission Is hereby granted to:
~.......7.... ~......,.l~vf.,
93
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.EL...#...~..~.`73. .DO P1-4PoQ..P..Q../.. 0.......lv~r/....~u~2rs
...............................................................ry1.~...G...~'! r_4
at premises located at......./'V w
//y3S
rrc,yn
County Tax Map No. 1000 Section v......q.... Block Lot No........ ~
pursuant to application dated V 19.... p7.-3....., and approved by the
Building Inspector.
Fee 5...75 ~JQ....
......./.....~y.tom
wilding Inspector
Rev. 6/30/80
'n
Cw,~
Form No. line-n M C~
TOWN OF SOUTHOLD ~ (L lC
BUILDING DEPARTMENT
(J l /L~ k F law
O cc,") TOWN HALL
765-1802
LY_
uLJ.U. OD 1.
TOA[:: OF SOUi-r-~Ot
=--APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 buildine.
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.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swinming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...:iM!!a:~!~:f ...31> .!8?J
New Construction........... Old Or Pre-existing Building......}...........
Location of Property ...~.~j~.~...~~.
House No. Street Hamlet
Onwer or Owners of Property.... N/ . .
T
County Tax Map No 1000, Section Block.... Lot BV5
Subdivision................... sled Map............ Lot......................
Permit No................ Date Of Permit Applicant..!Yj47LY~S/!yeG?//Y+F~d
Ifealth Dept. Approval ..........................Underwriters Approval................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $....~.:5.;~
34 1Le
wo.
a APPLICANT.80MMYAM0011
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
r8059770 BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK. NEW YORK 10038
Date APRIL 26,1996 Application No. onfile 11540196/96 H 049731
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
WALLACE & MARY MCGAHAN, 630 LAKE DRIVE, SOUTHOLD, N.Y.
in thefollolcinq location; ? Basement If Ist Fl. ® 2nd Ft. Section Block Lot
ens examined on APRIL 22 , 1996 and found to be in compliance with the National Electrical Code.
FIXTURE !ClPTAtSES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASNlRS EXHAUST FANS
OUTLETS INCANDESCENT[ FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. ANT. K. W. T. X.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RlC'PT TIME CLOCKS "LL UNIT HEATERS IAULTI.OUTLET DUAMERS
AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H. P. No. OF OF E AMi. WAnS
FEET
SERVICE DISCONNECT NO.OF S E R V 1 C E
AMT. AMP. TYPE MRER 1 / tW 1 X 3W 3 a 3W 3,s AW No. OF CC. COND. A. W. G. NO. OF N41EG A. W.G. NO. OF NEUnAM A. W. G.
EQUIP. PER a OF CC. CONo. OF NIAM OF NEUTRAL
OTHER APPARATUS:
SMOKE DETECTOR:-1 1+
*NO VISUAL DEFECTSt "An electrical - la
survey has been made of the exposed
electrical equipment in the
premises indicated." "No obvious D
unsatisfactory condition was found.
WALLACE & MARY McGAHAN
1400 WEST CREEK AVENUE GINEW MANAGER
CUTCHOGUE, NY, 11935
Per.
11
This certificate most not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credenWals:
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ INAL
REMARKS:
l
DATE INSPECTO
o~
M-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
Aek
t2y
DATE / INSPECTO
1~0 %'affft/r UA49,
Town Hall, 53095 Main Road CC422 at Fax (516) 765-1823
P. 0. Box 1179 Telephone (516) 765-1802
Southold, NewYork 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 19, 1994
Wallace A. McGahan
1400 W. Creek Ave.
Cutchogue, NY 11935
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XX The check is not on file. $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 21835Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
New York State Department of Environmental Conservatll yI
BuildinIglT6 u5YISTsixsrook, New York 11790-2356 NOV 2 9
WA"-
-TOWN Cyr Svc m' n;
Thomas C. Jorling
n Commissioner
Date:A1)JL)5i ay, ~~53
IV&, w. e~eck~ 14oEIY7 ue.
u ` LJ76~U2 ~~c1 3•-- Re: /-c1738-cJDBLG OOOO/-6
m06,, ha n r e rf~!
/y00 W . C re F.J/4ue nue Cu-kiOve.
Dear ~~??11 n 1 SC 7TY) &r0. 1006 -1/0 -
1~ I S n'l ~ C4~ ham
Based on the information you have submitted, the New York State
Department of Environmental Conservation has determined that:
~+cxu 2Ce l~ q Qr~Q, 35
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
rho tidal wetlands jurisdictional boundary, as indicated above,
without a permit. It is your responsiniiizy -'u ClalLL1C ::iat- 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.
Very truly yours,
Deputy Regional Permit Administrator
_~+1/~( ~ C~unnna onxvcieE woes
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INSULATION PER 11. Y.
STATE ENERGY
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FINAL
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FORMNO.1 3 SETS OF PLANS
TOWN OF SOUTHOLD /~URVEY 4
BUILDING DEPARTMENT JCIIECK
TOWN HALL SEPTIC roam
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 t•.DTIFY;
[L Q9 CALL
Examined /y/X y 19 D p MAIL TO:
.
Approved 19 Permit No.-~1135.2-_.. .
r.. .
Disapproved a/c iuHdn0S d WE
ta~0. ^'9 t
(B ng Inspector)
APPLICATI N FOR BUILDING PERMIT
Date . Nov. `1-9 19
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, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
(Signature of a plicant, or name, if a corporation)
ldO, lo: ~!?~~T4 r4~C-..y .eef!retitryFt~~. .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
OU1NL-... SAoUSE
Name of owner of premises yrC. l71m.e
. .
(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 .
Electrician's License No .
Other Trade's License No .
1. Location of land on which proposed work will be done .
,....A/Y... l/Q 31
House Number Street Hamlet
County Tax Map No. 1000 Section v Block ~ Lot ....7
Subdivision Filed Map No. Lot
(Name) ,
1 State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy /~~s/06~tlCC
b. Intended use and occupancy ~2ESlD~/!/CE
Nature of work (check which applicable): New Building Addition •Da`i~ Alteration
Repair Removal Demolition C f gG/.fGE Other Work
(Description)
4. Estimated Cos[ .~i/.Q{JD Fee .
(to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars ..ipmr
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use
7. Dimensions of existing structures, if any: Front (.k Rear Depth . 33`...... • .
ffeigltt ...A-5 Number of Stories ..O9!(F
Dimensions of same structur:, with alterations or additions: Front Rear ..4'0z'. .
Depth . 5~~../.!l!eL., D ?c , Height Number of Stories .
8. Dimensions of a tire new construction: Front /.47 1......... Rear . . Depth
Hcight l Number of Stories . a'Alj~V lG~tiF,1.......
9. Size of tor. Front /4`0•'............ Rear (!f`?............ Depth 4`F? .
10. Date of Purchase Name of Former Owner . •..rc4.4`T............. .
11. Zone or use district in which premises are situated .
12. Does proposed construction violate any zoning law, ordinance or regulation: . /K4 .
13. Will lot be regraded ..NO Will excess fill be removed from premises: Yes Vo
14. Name of Owner of premises ll1 Y. S' . !t(4~~ N. Address l P.~!!' 4Ufr Phone No. rjs
Name of Architect Address Phone No............... .
Name of Contractor .e/4-Y.G!?4?'K r!~49t`7?>:...Address BQkATTl~FGl4.PhoneNo.7.-iY.-~. .
15. Is this property within 300 feet of a tidal wetland? *Yes.. X-... No.........
*If yes, Southold Town Trustees Permit may be required,
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 YORK, S.S
~_'OUNTY OF
~ . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant
cN~ ° ~-t
(Name of individua ning contract)
:bcve named.
le is the ewe-Cc%L
(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
pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
York will be performed in the manner set forth in the application filed therewith.
worn to before me this
. /•...............day of. 7. Ce4'.r: 19
otary Public. .........art yrt County
LINDA J. COOPER (Sigtfature of applicant)
Notary Public, State of New York
No. 4822563, Suffolk County
Temi ~:xt.ires December 31, 19.;
y'" cnr, ,pr n"1
rt>
USE S U N Syr nF L APPROVED AS NOTED
r1SdUT CERp eA FEE:' BY:
lip NOTIFY BUILDING DEPART EN AT
I , 765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
McFs 1. FOUNDATION - TWO REQUIRED
EDGE IF 4CUSF FOR POURED CONCRETE
2. ROUGH • FRAMING & PLUMBING
--3-INSULATION
r I. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
LL CONSTRUCTION SHALL MEET
- - - HE REQUIREMENTS OF THE N.Y.
TATE CONSTRUCTION & ENERGY
ODES. NOT RESPONSIBLE FOR
- - - ESIGN OR CONSTRUCTION ERRORS
~ - -75' u[ srEFs
Z t" KC4QigHr ALANC]Ni
SryLF- lf4•=x PT.
MARY S. MCCAHAN PRUPERTY
Ib00 W. CREEK AVE., CIITCHUGUE
DECK-PLAN VIE-%d
i
E11GE OF HOUSE
N ITEM,
i
.I,
T+i
91
- -
HIIIISr FLU'lR' LEVEL
::GALE: 1/4'=-l FT,
MARY s. ~iCG;Hr~h~ 172OPE4T"i'
1400 NA CREEK AVE, CUTCHU UE
DECK - NORTH ELE1,'ATIDNd
EDGE OF HCILISE
7' STEPS
b
I Iy
BUACEI
SCALD Ie4'~l FT,
Nt R'i MCGAHAN PPTIPERTY
iAOC 'w. CRE-K A'v'E., UUTCHOGUE
DECK-SOLITH ELE'SiATlClfd
rL,urn.Fr~irr cxiEnua, quNSaa~rt
ii
r-' HfLF FAILING
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milr,Irr~ n~u ~rn*r_FT i
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MA,2~' r4CGe,H~91; PREFER.?y
1400 i REEk A'lFE . C'JTHOr,I-IE
DEFY WEST ELElJi TICIN
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Zv I.O GLP.IEPl $1LI IHdU Aka 0l-T, -.5
42,
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L- .~,a [~o;r: Sr_r Tx rE11CRETE u1 rr_a Es
SALE. 7!9'=1 M.
H4FY S. II WAN FFCPMTl'
1d 9 V. I'FFEY, AVE CUT[34WE
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