HomeMy WebLinkAbout25058-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31794
Date: 09/11/06
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 2320
(HOUSE NO.)
County Tax Map No. 473889 Section 38
GILLETTE DR
(STREET)
Block L-
EAST MARION
(HAMLET)
Lot 24
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 16, 1998 pursuant to which
Building Permit No. 2S0S8-Z
dated
JULY 27, 1998
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 ALTERATION AND ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR. CONSTRUCTION CERTIFIED BY LAWRENCE M. TUTHILL, PE.
The certificate is issued to EILEEN J O'ROURKE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
26690
07/28/99
PLUMBERS CERTIFICATION DATED
o
ROBERT VAN ETTON
ature
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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 2/1 0 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and 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 - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 g/A t:f / t? L
Date. _ I / '
Location of Property:
023~o
House No.
Old or Pre-existing Building:
&I/... l..e.-r-r& ~.
Street
v
( check one)
eA.s'1(Yl ~ I 0 ,.I
Hamlet
New Construction:
Owner or Owners of Property: E..1...e.6;<1 al ~Pil< II
Suffolk County Tax Map No 1000, Section 5' ?
Subdivision
Date of Permit. 7/ efJ? / '1'f
Filed Map.
of Lot ot f
Lot:
?~f?"___ ;;;f ~
I
Block
Permit No. cf2.5tJ5!1
Applicant:
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
f ~ ~pl
FeeSnbmitted:$ ~ --
Final Certificate:
v'
(check one)
Co ~3\ 'l q~
C?ec-1'=:ll\ \\0
~ I
Lp~&{~
Applicant Signature
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: ~/~!/ 20D b
Building Permit No. d.. S- 0 S- 8 - L
, I ,
Owner: t111c.Y 0 f.Du.rYcc
(Please print)
Plumber: ~ tobe/IFA'/V~1T~ ]O'i:J f/--~
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1 %
lead.
~ fO;^-/ ~.
(Plumbers Signature)
CYNTHIA M. MANWARING
NOTARY PUBLIC, STATE OF NEW YORK
NO:01 MA61 00507
QUALIFIED IN SUFFOLK COUNJ)1./
MISSION EXPIRES OCT. 20{,Lf
Notary Public,
'. '
"
EUiCTR/(:AL /NS/'EC'l1ON SHRVICH me.
37.~ J}lIN'l'ON A VI~NUr::
b".WPAl'CIIC}(;UK,r,U;W YORK 1/772
(.5J6) 21J6.tl6./2
26690
DATh', ]/"R/99 APP/.IC1TION No. ON FlU:
1'11./.AGt:.. Fa..t Marion 1OWN' Sou/hold
.WDRE$..<.. 'i'''n Gill,-,,/! nrivv ..
fSSUFJ) TO.. /-;, O'Rourl.-e
-
INTRODucr;D BY, I.aderman ,.Jeetrle J..JCJtlO!
-
t4'tI:if:XlI"."redun '.lr<.W III111.f(Jf",J If_ hI/lit c;VHtpJltlIfCtI will. ,Jut Nationul F:lecl~JJ:d1 Cod~
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swnnw' R/ct'I,/'1:4(,/'/':, ,.].17/ Jill" 1-L!!0";''f:':
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I 1 I MF.TF.H AMP.' PHA.'<E
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Out,wd,,' Resitknl
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PRr:.SJDENT
BUll,DtN(i PERM17' No. 'nw..-ci~.m"'nol.bellD8C in "YII\lInIMI"
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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)
PERMIT NO.
25058 Z
Date JULY
27, 1998
Permission is hereby granted to:
EILEEN J O'ROURKE
2320 GILLETTE DR
EAST MARION,NY 11939
for :
CONSTRUCT AND ALTERATION AND ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR AND TO CONDITIONS OF CHAPTER 46 TOWN OF SOUTHOLD.
at premises located at
2320 GILLETTE DR
EAST MARION
County Tax Map No. 473889 Section 038
Block 0002
Lot No. 024
pursuant to application dated APRIL
16 1998 and approved by the
Building Inspector.
Fee $
175.00
ORIGINAL
Rev. 2/19/98
LAWRENCE M. TUTHlLL
PROFESSIONAL ENGINEER
P.O. aox 162
GREENPORT, NY 11944
(631) 477-1652
To Whom Jt May Concern:
Re: Residence of Eileen 1. O'Rourke
2320 Gillette Dr.
East Marion, NY 11939
Permit #25058Z
On May 12, 1999 I inspected the framing of the above mentioned residence and found
that all work was done in accordance with the plans 1iled with the Southold Town
Building Department and meets the New York State Building Code.
On May 15, A999' I inspected the insulation of the above. mentioned residence and fonnd
all work was done in accordance with the plans filed with the Southold Town Building
Department.,and meets the New York State BuildiulS& Em;;llSY Code.
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September 15, 1999
To Whom It May Concern:
Re: O'Rourke
2320 Gillette Drive
East Marion, N.Y. 11939
Permit # 25058Z
Lawrence M. Tuthill
Professional Engineer
P.O. Box 162
Greenport, N.Y. 11944
C=)
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,
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On September 15, 1999 I did a final inspection at the above-mentioned residence. I found
that the work was done in accordance with the plans filed with the Southo1d Town
Building Department and meets the requirements of the New York State Building Code.
Sincerely,
~4
Lawrence M. Tuthill
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~OUNDATION (1
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~OUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING'
3.
INSULATION PER N. Y.
STATE ENERGY
CODE
01
c... O.
4.
FINAL
I
ADDITIONAL COMMENTS:
J-.;),i-/- DO S-e.e letfeR.. (:stY'~" 'l {et. (,
~u:+ ~r,S~~ \",~.s{\S. Cf!:> .
o~~A>o /b--- '~r" Pa.-~...' 4:.:-r-' ~-'-.;--
JUDITH T. TERRY
TOWN CLERK
Town Hall. S30l}S t\.'1:..illl Road
P.O. Rm 117Q
Southold. Nev,- York 1 Jt171
Fax (516) 76o-IR2,
Telephone ()16J 7(,:.-IXOI
r~GrSTRAR OF VlTAL SfAllS11CS
MARRlACE: OFFICER
RECORDS MANAGEMENT OFFICEH
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE
SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993:
RESOLVED that the Town Board of the Town of Southold hereby adopts
two (2) new forms to be used under the Flood Damage Prevent regulations
of the Code of the Town of Southold:
"Floodplain Development Permit
Application" [FDP(93)], and "Certificate of Compliance for Development in
Special Flood Hazard Area [C/C(93)].
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5...:"'\3. De-......
TOWN OF SOUTHOlD
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Southold Town Clerk
August 25, 1993
APPLICATION #
PAGE 1 o[ 4
TOWN OF SOUTHOLD
FLOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be filled out in duplicate.
SECTION 1: GENERAL PROVISIONS [APPLICANT to read and silm):
1. No work may start until a permit is issued.
2. The permit may be revoked if any false statements are made herein.
3. If revoked, all work must cease until permit is re-issued.
4. Development shall not be used or occupied until a Certificate of Compliance is issued.
5. The permit will expire if no work is commenced within six months of issnance.
6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory
requirements.
7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable
inspections required to verify compliance.
8. I, THE APPLICANT, CERTIFY T :r ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO
_ THIS APPLICATION ARE, TO T EST OF MY KN WLEDGE, TRUE AND ACCURATE.
DATE 7h7/9t?
.
(APPLICANT'S SIGNATURE)
SECTION 2: PROPOSED DEVELOPMENT [To be comoleted bv APPLICANT)
NAME
ADDRESS
TELEPHONE
APPLICANT
BUILDER
ENGINEER
PROJECT LOCATION:
To avoid delay in processing the application, please provide enough information to easily identify the project
location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the
distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing
the project location would be helpful.
FDP(93)
APPLICATION #
PAGE 2 OF 4
DESCRIPTION OF WORK (Check all applicable boxes):
A. STRUCTURAL DEVELOPMENT
ACTIVITY
STRUCTURE TYPE
o New Structure
o Addition
o Alteration
o Relocation
o Demolition
o Replacement
o Residential (1-4 Family)
o Residential (More than 4 Family)
o Non-residential (Floodproofmg? 0 Yes)
o Combined Use (Residential & Commercial)
o Manufactured (Mobile) Home (In Manu-
factured Home Park? 0 Yes)
ESTIMATED COST OF PROJECT $
B. OTHER DEVELOPMENT ACTIVITIES:
o Fill 0 Mining 0 Drilling 0 Grading
o Excavation (Except for Structural Development Checked Above)
o Watercourse Alteration (Including Dredging and Channel Modifications)
o Drainage Improvements (Including Culvert Work)
o Road, Street or Bridge Construction
o Subdivision (New or Expansion)
o Individual Water or Sewer System
o Other (Please Specify)
After completing SECTION 2, APPLICANT should submit form to Local Administrator for review.
SECTION 3: FLOODPLAIN DETERMINATION (To be cOffinleted bv LOCAL ADMINISTRATOR)
The proposed development is located on FlRM Panel No.
. Dated
The Proposed Development:
o Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application
review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED).
o Is located in a Special Flood Hazard Area.
FIRM zone designation is
100- Year flood elevation at the site is: Ft. NGVD (MSL)
o Unavailable
o Tbe proposed development is located in a floodway.
FBFM Panel No. Dated
o See Section 4 for additional instructions.
SIGNED
DATE
APPLICATION #
PAGE 3 OF 4
SECTION 4: ADDITIONAL INFORMATION REOUlRED (To be comnleted bv LOCAL ADMINISTRATOR)
The applicant must submit the documents checked below before the application can be processed:
o A site plan sbowing tbe location of all existing structures, water bodies, adj~cent roads, lot
dimensions and proposed development.
o Development plans, drawn to scale, and specifications, including wbere applicable: details for
ancboring structures, proposed elevation of lowest floor (including basement), types of water
resistant materials used below the first floor, details of floodproofmg of utilities located below
lbe first Ooor and details of enclosures below tbe first floor.
Also,
o Subdivision or other development plans (If tbe subdivision or otber development exceeds 50
lots or 5 acres, whicbever is the lesser, lbe applicant must provide loo-year Oood elevations
if they are not otberwise available).
o Plans showing the extent of watercourse relocation and/or landform alterations.
o Top of Dew fill elevation
Ft. NGYD (MSL).
o F1oodproofing protection level (non-residential only) Ft. NGYD (MSL). For
Ooodproofed structures, applicant must attacb certification from registered engineer or
architect.
o Certification from a registered engineer tbat lbe proposed activity in a regulatory Ooodway
will Dot result in l!!!Y increase in tbe beight of tbe loo-year flood. A copy of all data and
calculations supporting this fmding must also be submitted.
o Otber:
SECTION 5: PERMIT DETERMINATION (To be comoleted bv LOCAL ADMINISTRATOR)
I bave determined tbat tbe proposed activity: A. 0 Is
B. 0 Is not
in conformance wilb provisions of Local Law # , 19 The permit is issued subject to tbe cooditions
attacbed to and made part of this permit. --
SIGNED
,DATE
If BOX A is checked, tbe Local Administrator may issue a Development Permit upon payment of designated
fee.
If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may
revise and resubmit an application to the Local Administrator or may request a bearing from tbe Board of
A ppeaJs.
APPLICATION #
PAGE 4 OF 4
APPEALS: Appealed to Board of Appeals? 0 Yes 0 No
Hearing date:
Appeals Board Decision --- Approved? 0 Yes 0 No
Conditions
SECTION 6: AS-BUILT ELEVATIONS (To be submitted bv APPLICANT before Certificate of Comoliance
is issued)
The following information must be provided for project structures. This section must be completed by a
registered professional engineer or a licensed land surveyor (or attach a certification to this application).
Complete 1 or 2 below.
1. Actual (As-Built) Elevation of the top of tbe lowest Ooor, including basement (in Coastal Hieh Hazard
Areas. bottom of lowest structural member of the lowest Ooor, excluding piling and columns) is:
FT. NGVD (MSL).
2. - Actual (As-Built) Elevation of Ooodproofmg protection is
FT. NGVD (MSL).
NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant.
SECTION 7: COMPLIANCE ACTION (To be comoleted bv LOCAL ADMINISTRATOR)
Tbe LOCAL ADMINISTRATOR will complete this section as applicable based on inspectioo of the project to
ensure compliance witb the community's local law for Oood damage prevention.
INSPECTIONS: DATE
DATE
DATE
BY
BY
BY
DEFICIENCIES? 0 YES 0 NO
DEFICIENCIES? 0 YES 0 NO
DEFICIENCIES? 0 YES 0 NO
SECTION 8: CERTIFICATE OF COMPLIANCElTo be comoleted bv LOCAL ADMINISTRATOR)
Certificate of Compliance issued: DATE:
BY:
~
Attachment B
SAMPLE
CERTIFICATE OF COMPLIANCE
for Development in a special Flood Hazard Area
, , . ,to
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA
(OWNER MUST RETAIN THIS CERTIFICATE)
PREMISES LOCATED AT:
PERMIT NO.
PERMIT DATE
OWNERS NAME AND ADDRESS:
CHECK ONE:
o NEW BUILDING
o EXISTING BUILDING
o VACAA'T LAND
THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW:
A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 19
SIGNED: - - DATED:
B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # . 19_. AS MODIFIED BY VARIANCE #
DATED
SIGNED: DATED:
C/C(93)
~S[) 5'fl 'f
765.1802
BUILDING DEPT.
NSPECTION
OUNDATION 1 ST
] FOUNDATION 2ND
] FRAMING
] FIREPLACE
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
REMARKS:
-
/<: tD
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j/
DATE
J'ORM NO. 1
TOWN OJ! SOUTllOI.D
BUII.DING DEPARTMENT
TOWN IIALl.
SOU1'II01.D. N.Y. 11971
nn TEl.: 765-11102
'If('p
);1fBnir>ed. . fi;i!f:.. 19.... 1t ~c& ~ 0 ~ -C
AI~)rrN<"'I....?f.f;?jI,f'f. 19.... Pen"lt No. ................
lJisappnNe<1 ale..................................
oo~
rno\'llrn
ill
BOARD OFw.l ll~E .1'11 /"'...........
/.l SETS O~ ..ANS ...............
SURVEY~...<! l/(J" .......... ....
CIIBCK'-.jl,.,{ ...U..................
SEPTIC FORM ...................
APR'6 ~
Non FY :
CAI.L ..................
HAIl. TO:....................
...................................
...................................
.. .. .~&~
(I\III<1inl\ lnnl'e<:I'or) I
1\ PI.lCATlON FOR IIUll.nlNG PEllHIT
.nate~. ~~..... ,19.<<1'.
1 NSTllIICTl ONS
11. 'n,is npplicntion Bust he co~letely ,filled in hy tYPe\"riter or in ink. nnd 8ul....l,tted to the ~lildinA Tm;pectn.- ,,,
) seta of plaos. ""curate plot plan to ""ale. Fee ""cording to schedule.
h. plot plan showing location of lot and of buildings on premlscs. relationship to adjoining premises or pohl it:
streets or area!!:, Ilnd giving a detailed deocrfptlon of layout of property mJst be drfMl on the diRgrmn ~lkh is p.1rt or
this npplicntion.
.. e. 'Ihe work covered by tMs application my not be C011reneed before IS9\l8nee of lIullding Permit.
d. Upon appnNal of thia a(l(lllcation. the Jullding Iospector ..ill iaslle a fullding Permit to the npplkant. S,,,,h
permit .hnll he kept on the premisca availnble for inapection throlls"ollt the work.
e. No building shall he occupied or 118ed In "'lOle or in part for any pul'JlO8C "'lQtever .mtll a ('.ertiflcate of
Ocillpaney ahall have been granted by UIe lIuilding In.pector.
API'I.l(,JlTlCtl IS mllEOY !WE to tile Ik.llding Depart,,",nt for the ia9\l8OCe of n riullrllng Permit plr...",nt to the
huilding Zone Ordinance of the Town of SOlltllOld. Suffolk County, New York. and otller n(l(lllcable I....... Ordinances nr
Regulation., for tIle conntroctlon of ....l1dlnga. addltlona or alteration.. or for remJVal or denolltlon. aa llerein
described. nle nppllcant agree. to comply with all a(l(lllcable l""a. ordlnancea. building code, housing code, and
reg\llations. ,and to admit l1llthorlzed iospector. on premisea and In build~ for nece.aary in.pectl~a.
...6~.q~,-;.... tJ.....@~.........
(Signature of. 8p(l1~~t or nane, if a corporal ion)
...................................................
(Hail ing addreas of a(l(llicnnt)
State ~lether applicant is owner, lessee agent, architect, engineer,' general con~ractor, electrician, pludleT or huilll.
........................ .............. .~............................,......................................
Nl>re of omer of premlsea ..... .li.~.... fJ-.....t!? :tf.i~...............................""''''''''
(aa on tile tnx roq;' or loteat deed)
If npl'liennt ia a corporation. aiW"'ture of duly l1lltlw,r1zed officer.
.......................................................0'
(Nl>re and title of corporate officer)
nuilders I.iceose NO.
PIUTber5 License No.
Ele<:trician. J.\ceose No. .....................
Otller Trude'. License No. ....................
I. locntion of Innd on "',ich proposed work will be rlone.............................................................
... ..??~~..................... .4?!1-.';F.r:,~. .P.f;,............................. :fr7;.~7.. /??IY31.'~"'-............
Jlouse >>..tber Street IlmIlet
County Tax Hap No. 100J Section ..:? $.......... Block .J............... Illt .... v?,. 1.......
Subdivi.ion ...................................... Filed Hap No. ........;,..... tot ...............
(Nane )
2. State exi.ting use nnd occupaney of premise. and intended use and occupancy of proposed con.truction:
a. r""iating \Ise and occupancy........... ..-$.1. r{;;' ':-.'i.... .&.0. (/':':'1......................................
b. Intended u.'lC and occupancy ........... .:?< :f.C;.':.~... . (!}."':'.! ':-.'1......................................
"1 :(
1. "..lure ot work (doeck .,Md, applicahle): New lkJiJdlng .......... IIddicion .....!.. o/'Il'J!eralfon . .1......
llepuir ............ Rauoval ............. lleooliclon ............ Olher Work .........................,.........
(Description)
,,. Est In..Ced Cost '.;!./!.,1I:T!.. 7............ fee ...............................................
(to he paid on fil Ing this al'l'lication)
5. If (~...lIinll, 'Ulber of IMolling'"llts ............ Ib.l",r of (k...lllngunlts (x. each floor ................
1 f garage, .....ler of cara ""."""..,,.............................
6. It IXlslness. cannerclal or ml_f occul>8OCy. specify nature and extent of each tYJ>e of use......................
7. UiUleUSJ0l18 of existing 8tnJCtures, Jf any: Front................ Rear ............... Ileplh .................
. It. Illht ......................... r....ber ot Stories ......................
/ll",enolons of aune stnlCture with alterations or additions: Front............... Ilear ...............
lJeplh .................... lleil!l.t .................... r....I"'r of Stories ...............
Illne"olona of entire .- oonatnlCtion: l'ront................ Rear............... DepU.
6.
Ill.
II.
12.
n.
lleillilt ......................... r....I"'r of Stories.....................
51"" of lot: I'ront ......~'!.q.:........ Ilesr .../.P.r::.~......... Depth ...t.'!.{,.'..........
1~.le ot I'urdlase ..~'...I.~{i.f... Har... of I'o",er IM",r ...ft/.~.'i.'(.f;(F.f......................
Zone or use district In ""ld. premises are situated ..... ..1f1{-f>.(.l>k<<.r:~ ft 17....................................
IJoes proposed oonstnrctlon violate any zoning 1..... ordhl8l1Ce or regulation: ... !Y:.c!................
Will lot I", regraded .................... WI II exceas fill I", removed non premises: YIlS e
Harnes of O"...r of prenises ........................... Atklress .............................. 1'1"".. No. .....~........
9.
I'..
NI..e of Ard,lcect .................................... lIddress
..............................
I'IKlIle No.
15.
NI.ne of ('.ontrsetor ................................... Atklress .............................. .n",,", No.
la Ihis property within 300 feet. of a tidal wetland? * YI!S ..........@.........
*IF YIlS. SlIInOD m-ll11lUSll!I!.~ 1'EIt11'l' Hl\Y DB \lIl(1/I1UlJ).
1'1.0'1' II IAGlIAH
locate clearly and distinctly all buildings, .....U..r existing or proposed, and Indlcste aU set-hack dimensions
fmn I,rol..rty linea. Give street and hlock n..l...r or description according to deed. and show street nunes snd Indicate
\...t.elher interior or corner lot.
,I,
~~
~
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sl'r;m (I' tI~ Y(HU<,
Svf'fo....t<
UAltilY Il' .......................
............ !{!. f-. ~ ~ -:f.... ..:r.. .?.'~~~. K ft....... .he;'~l dilly ""'><11,
(Nelle uf individuHt siguing contract)
ulxNe 1N"I,el.
55
(}eIXlSes and says lhut he is the appli<:lll\t
. GY{v;...J?~
lie ,. .he ...................................................................................................
(Colllractor, Bgcnt," corporote officer. elc.)
of Raid (J.lner or uwners, nnd is (hlly DUlhodze<.1to llerform u[" hUYH I.e.-fumed ..he said work Dnd to nnke ond file this
<1l'pl icutiollj lhat illl staleTelllS contained in this opplication are tn.-e to tile hest of his kl'KJwledge Dud belief; nut:!
Lhllt .he "OIk "ill be J>erfonned ill 1.1", "..n,,,,r /let forth in Lhe nl~)I.icatIOll filed the"",IU..
9w!:)nl to beFore Ill! 11118 .
.......!f'.:.:.... ..dllY of ..~...... 19.1.(...
Notary l~wlic .~v..r;."'~''''''''
UNDA J. COOPER
Notary Public, State of N_ YarIc'?f
No. 4822563, Suffolk County
Term Expires December 31. 1~
..r:t~. r1~~
(SIIlI~ll:lIre of ^I~)I~)
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 8th, 2006
Eileen J. O'Rourke
P.O. Box 115
East Marion, N.Y. 11939
RE: 2320 Gillette Dr.
SCTM# 038 0002 024
Dear Ms. O'Rourke,
Please be advised that your Building Permit #25058 issued July 27th, 1998 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued prior to use ofthe structure.
To renew your Building Permit, please submit a fee of$175.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
~d -
OWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
;/1- Yd
~.
6 i SEAS.
I S
I
I
W
DIST.] SUB.
31
i J!/CV'iA-~~"7
ACR. ;i
.:;. <f 1
TYPE OF BUILDING
LOT /1
I; ttf-t (~/'
Jr. II- tthO
I STREET 23
I
1(; tf~//'
iN
! VILLAGE
it;.-.-L
/'/'. S
,v' / l?
~
~ES.
VL.
FARM
COMM. CB. MISe. Mkt. Value
LAND
IMP.
TOTAL
DATE
I REMARKS
"N&"
7{)6
7,g;,!:.
NEW
-~~~ ~5A
r:;!/t>UJ~ ~~~ll/,~ f)we//t~Q F. G. <lsO,O~l
I' ,$ 7
9L( - . C6
L/7- t)t:> /
NORMAL
BELOW
FARM Acre I Value Per I Value
: Acre
Tillable 1 i
Tillable 2 i ,
Tillable 3 ,
Woodland ! !
Swampland i i FRONTAGE ON WATER I
FRONT AGE ON ROAD /O.f;; ,....
Brushland
House Plot I I DEPTH /cJcJ
I I
BULKHEAD
-- -- I
Total DOCK !
I:,. " ,~.;';'
(. . .....
V\. J~~.
,I,-h~o"i,
:xtenslOn
:xtension
:xtension
'orch
~IC
Breezeway
;aroge
Patio
:>, B.
rota I
.
-
,.; '.
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"
-
I I
COLOR
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/ J )( '21./-::. ~~ 8
/Oy2() " 7.00
I'LX1t..1-?~<:;(
,',_""i-
,t:'j ."',
3j"'~
3,~.s
r2r
:;. '1.4 ~ Foundation
/ .12 ~ . Basement
Ext, Walls
so
/2.~ ~r:.()
II/fN,'
Fire Place
Type Roof
Recreation Roon
Dormer
Driveway
/),;.:7/
."
,
'1lu l 'I II..
I I X llJ.
1'-"1 : 'I; ,4 2L
.. ! '
1,If- W .
y
PC. Bath I Dinette /
S/J4h Floors UJt.U K. I
I;~vf / .A Interior Finish Sx.... LR, /
.....- Heat ffcu 111<[, DR. /
(,.. i/<P Rooms 1 st Floor 'I SR. :L
Rooms 2nd Floor FIN. B,
-' ENERGY CODE CJ\.LCUL1\'l'IONS
I."Olt:
E,lett,
01 /?ovr fle
PElt:
J.~,-d
G,OOO Degree' Days
O.1\.. 10"I."(l.1\.. 70"1."
EqJ/w~J
(I."or NOli-Electric Ileat)
Desigll criteria
DJ\.'l'ED:
~/ 5'd'
SUUSYS'l'EM 1\REA DESIGN 'l'UEHMEL REM1\RKS
'lU" lU\'l'ING
I' 4 ,oj"" -rl'i' z.",.t. , ~ well Nfi~
I:~xteriol: Wulls (Opuque) ,,;.1 ...... I/; (jaH
18 !) ,D7"1 ~ IZ 2.'" f'
-.------
Glazillg /7' " 81 .31- -p
Doors
,"
"
ceil.i.mJ/ Hoof (Opaque) 1. .." . 05 D
Skylights 8,~ " 2. ( ,3 ) 7'
~
I."loor
I:"oumla tioll Walls
Slab Insulatioll
'l'O'l'AL +10
rr)
Notes:
11Uildlllg Envelope Systems to meet req\1irements of 7U15.2
IIV1\C Equipement to meet requirements of 7U15.11
IJV1\.C Systems to meet requirements of 7015.1'2
Duct Systcms to meet requirements of 7015.13
Vcntilations systems to meet requirements of 7015.14
Il1sulation of Piping Systems to meet requirements of 70i5.15
Service Water Heating Systems (, Equipment to meet requirements of 7015.21
Electrical (, LighHlIg Systems (, Equipment to meet requirements of 7015.31
~ A
'1'0 the bes t of my knowledge,
belief, (, professional
juclgement, thelle plans tire ill
compliance with the coue.
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