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Home My WebLink About33040-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32570 Date: 08/30/07 THIS CERTIFIES that the building ALTERATIONS Location of Property: 3500 LIGHT (HOUSE NO.) County Tax Map No. 473889 Section 50 HOUSE RD (STREET) Block 2 SOUTHOLD (HAMLET) Lot I SUbdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 30, 2007 pursuant to which Building Permit No. 33040-Z dated MAY 16, 2007 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 "AS BUILT" ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5766 DATED 9/14/06. The certificate is issued to DONALD DYE & STEPHAN SEQOUIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3022119 08/10/07 PLUMBERS CERTIFICATION DATED 08/22/07 GREENPORT PLUMB. &HEATING Rev. 1/81 il~t;~l: ~ 1~1' l~! I bc[J" DEP"T. I L-JC'y.,INDF S"'::IHO:D_J APPLICATION FOR CERTIFICATE OF OCCUPANCY 51C,- 7021- '-(007 D~ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: I. 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 I % 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 Celiificate of Occupancy - Residential $15.00, Commercial $15.00 Date. Old or Pre-existing Building: l/ L/9-lffltvv\f/ {}c!. Street / H~mlet 'iJ~1 G' ( ~ 1"..( fA /j-rJ c; ~ 0 U ( rJ (/:s- 0 Block () 0 () ;)--. Lot 0 () I New Construction: Location of Propel1y: , {{() cJ House No. Owner or Owners of Propert~ rJ Itl-- D (check one) l ~ u--r1l 0 L- r) Suffolk County Tax Map No 1000, Section Subdivision Filed Map. . Lot: Date of Permit. 11 f'r( / Io-d- APPlicant~.? -XfOl/f ",.J . Underwriters Approval: Permit No. 3J 0 V () Health Dept. Approval: _. Planning Board Approval: _____ Request for: Temporary Certificate_ Fee Submitted: $ a ( t.2J Final Certificate: ~checkOne) '~A' l' S' pp leant I ~.7.22 ,r Co ~3;25 70 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. . T: . BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33040 Z Date MAY 16, 2007 permission is hereby granted to: DYE SOUTHOLD,NY 11971 for : AS BUILT ALTERATIONS TO AN EXISTING DWELLING (DORMER) AS APPLIED FOR PER ZBA #5766 at premises located at 3500 LIGHT HOUSE RD SOUTHOLD County Tax Map No. 473889 Section 050 Block 0002 Lot No. 001 pursuant to application dated JANUARY 30, 2007 and approved by the Fee $ 400.00 Building Inspector to expire on NOVEMBER 16, ORIGINAL Rev. 5/8/02 tID.tID I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ PLATINUM EAST ELECTRIC DONALD DYE ~ ~ 1320 KENNEY'S RD 3500 LIGHTHOUSE RD. ~ ~ SOUTHOLD, NY 11971, SOUTHOLD, NY 11971 I ~ Located at 3500 LIGHTHOUSE RD. SOUTHOLD, NY 11971 ~ ~ ~ ~ Application Number: 3022119 Certificate Number: 3022119 ~ I Section: Block: Lot: Building Permit: BDC: n511 I ~ Described as a occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ First Floor, Second Floor, Outside, ~ il A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed il ~ 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 ~ il authority having jurisdiction, and found to be in compliance therewith on the tOth Day of August, 2007. I ii!I Name OTY Rate Ratin" Circuit Im ii!I ~ Miscellaneous ~ ~ based on 1999 nee ~ ~ Alarm and Emergency Equipment ~ @! Sensor 5 Smoke ii!I ~ Sensor 2 Carbon Monoxide ~ ~ Appliances and Accessories ~ ~ Air Conditioner I 40 Amps ~ ~ Air Handler 1 20 Amps ~ ~ Dish Washer I 1.5 KW ~ ~ Furnace 1 Gas ~ ~ Motors ~ ~ 1 f.h.p. ~ @! Wiring and Devices ii!I ~ Disconnect I Air Conditioner ~ ~ Fixture I Flourescent ~ ~ Fixture 47 Incandescent ~ ~ Receptacle 37 General Purpose seal ~ ~~ 9 ~ ~ I Continued on Next Page 1 of 2 I I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I tID.tID I!I.I!I I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ PLATINUM EAST ELECTRIC DONALD DYE ~ ~ 1320 KENNEY'S RD 3500 LIGHTHOUSE RD. ~ ~ SOUTHOLD, NY 11971, SOUTHOLD, NY 11971 ~ I Located at 3500 LIGHTHOUSE RD. SOUTHOLD, NY 11971 I ~ Application Number: 3022119 Certificate Number: 3022119 ~ ~ Section: Block: Lot: Building Permit: BDC: n511 ~ ~ ~ ~ Described as a occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located inion the premises at: ~ ~ First Floor, Second Floor, Outside, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code andlor standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 10th Day of August, 2007. ~ F.!l Name OTY Rate Rating Circuit IYN F.!l ~ Receptacle 1 30a Dryer ~ ~ Receptacle 3 20a Special ~ ~ Switch 41 General Purpose ~ ~ Service ~ ~ 1 Phase 3 W Service Rating 200 Amperes ~ ~ Service Disconnect: 1 200 cb ~ ~ Meters: 1 ~ ~ An as built inspection, of the delineated electrical installation, detennined that an obvious hazard is not present and the installation is believed to ~ ~ be in comformance with the applicable reference standard for the estimated period of construction ofthe premises wiring system. ~ ~ ~ ~ ~ ~ ~ ~ ~ I e~ I ~ ~ ~ 2 of 2 ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. IÇ I!I.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 CERTIFICATION Date: /t/l.6/L"::>/ 2;? I ~ 1 Building Permit No. 33MI () z.. Owner: Do rJ IJLb ))''/ C' (Please prtnt) Plumber: Gee-eN poeT ?Lum!3f,uj ic!kI1Tf(i)!1 (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~/C-~/7~-7~~-:"h' ~' (Plumbers Signature) ~ f/ Sworn to before me this 3> () {be- ,20~ ~ day of Notary Public, ~ounty .....,.ClIIft.~ Il~~ ~SepL 13. d-vD 9 APPEALS BOARD MEMBERS Ruth D. Oliva. Chairwoman . ."q,l"O...2"Z<:<c ,1'> "'4;" l~~.' ~~r SOlll;yi"'.';)". ~ .' . "" !loc '~.. {f!i., ~ ~, , r-fCOUNTl.\\~l' <q>>--<7J.-c,{:/rf! . Gerard P. Unehringer James Dinizio. Jr. Michael A. Simoo Leslie Kanes Weisman Mailin~ Address: SOlllhold Ii,wn Hall 53095 Main Road. PO. Box 1179 Southold. NY 11971-0959 Ot1ice Location: Town Annex IFim Fh,r. :-lonh Fork Bank 54375 Main Road 1"[ Ymmgs Avenue) Soulhold. NY 1197 I http://SOLltholdtowll,northfork. net ZONING BOARD OF APPEALS TOWN OF SOlJTHOLD Tel. (631) 765-1809. Fax (631) 765-9064 RECEIVED 4 hJ~6 \1'\YcUY' -'? ,OC". 1.9.. ).QC6 , '.J L;,~ .....' . '-2 ' ~ '<f-i', :l"'~ South old Town (Ier' FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF SEPTEMBER 14, 2006 ZB File No. 5766 - Stephan Segouin Property Location: 3500 Lighthouse Road, Southold CTM 50-2-1 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's list of Actions. without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTSfDESCRIPTION: The applicant's 18,908 square foot parcel is improved with a two story framed dwelling. The property contains a large bluff area between the house and the Long Island Sound, shown on the August 22, 2006 survey prepared by John C. Ehlers. BASIS OF APPLICATION: Request for Variances under Section 280-122 (100-242A based on Interpretation under Walz Appeal No. 5039) and Section 280-124 (100-244), based on the Building Inspector's June 13, 2005 Notice of Disapproval, amended June 16, 2006 and august 4, 2006, concerning proposed additions and alleratiol1<; to an existing dwelling. The reasons stated for disapproving the building permit application are that the new construction will constitute an increase in the degree of nonconformance when located less than 35 feet from the front yard lot line and less than 35 feet from the rear lot line. The August 4, 2006 Notice of Disapproval was also amended when the applicant again proposed changes in the scope of the work. Also on August 5, 2006, the as-built accessory deck was removed from the plan by the applicant, instead of applying for a variance or a building permit for the nonconforming bluff setback. FINDiNGS OF FACT The Zoning Board of Appeals held a public hearing on this application on July 27,2006 and August 31, 2006, at which time written and oral evidence were presented. Based upon ali testimony, documentation, personal inspection of the property, and other eVidence, Ihe Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED The Applicant's original request was for a carport extension (open wilh wali lolly columns) and westerly extension for interior alterations, resulting in a setback of 3.9 feet from the front property line, and less than 5 feet from the side (southerly) lot line. Subsequent, the plan was amended, at the request of the Zoning Board of Appeals during the July 27, 2006 public hearing, and the applicant has removed the carport from the plan, and wishes to construct a two-story with alterations, as shown on the revised august 22, 2006 survey prepared by John C. Ehlers, with a setback 5.9 feet from the westerly front iine, and 8.4 feet from the rear lot line (measured at the southeast corner). (The original request for a carport on the south side of the dwelling was withdrawn and therefore is not a part of this determination.) REASONS FOR BOARD ACTION: On the basis of testimony presented, materiais submitted and personal inspections, the Board makes the following findings: Page 2 - September 14. 2006 _ ZB File No. 5766 - Stephan Seguo"llll" CTM No. 50-2-1 . REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of alternative relief will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The applicant is requesting a 5.9 ft. setback from the front lot line, on this improved lot fronting on the Long Isiand Sound, in Southold. Mr. Rubin, Architect appeared before the Board on July 27, 2006 and was requested by the Board to amend the plans for the new construction areas. The Board finds that the applicant's agreement to comply with the conditions set forth herein will mitigate concerns by an adjacent landowner to the east, and the immediate neighborhood will not be compromised with an undesirable Change or detriment. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. Based upon the size and conformity of the applicants' property, the applicant has no alternative but to request variances for any change over or beyond the footprint or foundation of the dwelling. 3. The alternative relief granted herein is substantial. The 5.9 ft. setback is the maximum that the Board will approve. The setback requested is a Substantial nonconformity to the minimum requirements of the zoning regulation s. 4. The difficulty has been self-created in that the applicant's lot has a significantly small first floor footprint of the existing dwelling area and a small amount of usable land, located south of the L.1. Sound bluff. 5. No evidence has been submitted to show that the variance will not have an adverse impact on the physical or envirormental conditions in the neighborhood. The increase of the setback will allow a one-foot reduction from the E>xisting nonconforming front yard setback, rather than the 3.9 ft. setback originally applied for by the applicant. 6. Grant of the altemative relief is the minimum action necessary and adequate to enable the applicant to enjelY the benefit of an addition with alterations, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Goehringer, seconded by Chairwoman Oliva, and duly carried, to GI~NT the variance as applied for, as shown on plans submitted on 8/3/2006 by Michael Rubin Architects subject to the following conditions: 1. That the front yard setback be no closer than 5.9 feet to the front property line (yard that faces the Town parking lot). 2. That all water shall be discharged from an adequate drainage system (leaders and gutters) and into dry wells in the easterly or southerly yards within the applicant's property. 3. The applicant or his authorized representative, shall contact the South old Fire District, for an evaluation. The purpose of this evaluation is for adequacy of access to his property from the Town's parking lot, in the case of fire or emergency purposes. (This was offered by the Agent of the applicant at the August 31, 2006 ZBA hearing). Any deviation from the variance given such as extensions, or demolitions which are not shown on the applicant's diagrams or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. . . Page 3 - September 14, 2006 _ ZB File No. 5766 - Stephan SeguoP eTM No. 50-2-1 . The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase 118 degree of nonconformity. Vote of the Board: Ayes: Members Oliva (Chairwoman), Goehringer and Weisman. (Absent were: Members Dinizio and Member Simon.) This Resoluti9f1\}'as duly adopted (3-0). _ \ }(f)e~ (:\; CC;~~ Ruth D. Oliva 10/ I rg- /06 !\pproved for Filing FROM MarkSchwartz, AI A-Arch i teet PHONE NO, 6317342110 Feb, 15 2007 06:59PM Pl if&: !!lark K.. Schwa.rtz, AlA - Archi~e.~t, PLL.c::______.. .. P.O. 60,:933 I'h(II1f:: ((i,)1)734.418~ ".,..,,_ Cut<!1of\U', New York 11935 F.x: (1i~1) 734 - 2110 FAX TRANSMITT AL Date: February 16, 2007 To; Southold Building Department Attn: Damon Rallis Fax number: 765-9502 Phone number: 765-1802 From: Mark Schwartz Re; 3500 Lighthouse Road Southold, New York Pages: 1 (including cover sheet) Comments; Damon, please revise the Disapproval letter for the Dye Bouse (not Dieon) to Charles 'Thorp. ClIarlie wul be the applicant for the variance and the Zoning Board Office requires the applicant to be the same. The Owners name is Donald Dye Applicant to be Chades Thorp Please call with any questions, 'Thanks. 02-16-2007 15:16 SOUTHOLO BUILDING DEPT 16317659502 PAGEl f i . "-\c- _ TOWN OF SOUTHOLD PROPERTY RECORD CARD m ..// STREET BCD VILLAGE DIST. SUB. LOT .I:. l-I-L.,. ",or: ,. .......... ") I ~.,,,, ~. ........ ~J ./..~ ..~_I S ~t.fH'-.~ Ltc!- ~-~d/./ E c;.. . a...~ W , r /.../ I. I "";"'-'-'-::; /:,,- .' . _ ..--IOL..(t, - ~ ACR.. .. .50() TYPE OF BUILDING #.t:.v u- ./-., " '1.."0/ VL. FARM COMM. CB. LAND IMP. TOTAL DATE REMARKS 170 .C:I "'t,.4'.............., k- I> (:) a 3106 12.bO 3 iJO 2..2cr() / MICS. Mkt. Value " -.<:,.,c~ ',<.4.' ~"",.j ()/:1 Ii <; C, . OC 0 NORMAL BELOW ABOVE 7t . Ri r!t -ro .(! / f,;:<')~ o. I LJ yo I p- ('oJ a.::r- -6l.i..; l + ;;/I2-jO'f-L 12357 f q rb - ((PAmr' h /;Lfe {fCIn/) $ '019, ~O() j;/'/ UV1) AGE NEW FARM BUILDING CONDITION Acre Value Per Acre Value House Plot FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD ( ...-0 /..rl>' -t- .) z..~. ~ 2-2.""" Tillable Woodland Meadowland z.--o -- Total -....... DOCK - - - - , --,- ~ I---~ ,'. /:,' 1 . - , " , . I' i ,<, . , '. , , .' '/ , . .I / . U,\ (1 I 1: rotJ t.- III ; I' I-e k b..V . ,1 b<i . . .. / -\ . - '''~_...iiF:.,~-:::'_: 1 .5 h " ~'-_. - ,,"~'.",- ","'- 1/ " ,.g / . ","_' ~"~~--_~____~"'_""~'_.~o__ . , 'r. y' ,tJ " .' . ~ ' IE'" - /0 .J~IP;t 7'~i /3 !6J I> '..' , . BI . 2J x If :=. 308 I (6;6~~, , J;J:. [. , .~ 0/ n Q' ten on n X 17 -+2:::JJ'..J /,1/ /785/ - . E~to,..{ 2'5X/7 - !3~yS1' , xt:.nl,on , Extension / . . Foundatian p~, Both ()"e Dinette .' . PorchEIIC. /o"f'-?,L ~ .i'~ (1 Z!!:E- ~ Fo Bosement No F laors v,JIAJ K. Porch Ext. Walls -pLVWOiJ ;1!> Interior Finish S$ LR. B ! i D rJ. - '11" I I Fi re Place <; Heat Ye-:;' DR. ree-'L /), , ! ,') : /,1;' ) !I' E.> - Type Roof / 1 st Floor { Garage Rooms SR. Patio I I Recreation Room Rooms 2nd Floor FIN. B I . O. B. Dormer Driveway Total 1107"'1 i COLOR NI9 ""~~4L. TRIM /Vii rv N-"l'- ,\qmi)h Mark K Schwartz, AlA -Architect, PLLC ~~~ :',,%'~: P.O. Box 933 -=:-- Cutchogue, New York 11935 Phone: (631) 734 - 4185 Fax: (631) 734 - 2110 August 28, 2007 r :1 !~ I;: ': n \\7 k J -- - -'--~.., I )' . 'I r:11 " '1 0 ':,U I I :u I ' ! ~.-i : L_ _ __'_ -..J I I G'_I. C/. \>;-:r' T,~""'" < ,- ::: n_l("' , Southold Town Building Department Main Road Southold, New York 11971 Re: Dye House 3500 Lighthouse Road Southold, New York SCTM# 1000-50-02-01 Permit# 33040 To Whom This May Concern: I have been on site the aforementioned site during the construction phase to inspect the framing, rough plumbing, pressure test for the new piping, pvc waste and vent pipes and insulation work. The framing, rough plumbing and the insulation installation, to the best of my knowledge, have been completed as per plans and the work meets or exceeds NYS code requirements. Please call this office if you have any questions or require additional information. ~. I .~ ! t ,l(f' /"~5 ~'17J>:,~~>j- y DyeBuildingInspectCert 330 )c.cJ~. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION "- [EUG.... H.. PLBG. [ NSUL~T / [ ] FINL [ ] FIRE [ ] FIRE RESISTANT PENETRATION , REMARKS: ({) "" INSPECTOR DATE PI 1(07 -.- -.-- 3~cO~i:- TOWN OF SOUTH OLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~LATION [ ] FRAMING I STRAPPING [rl'fINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPEcnON [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ~r ' t REMARKS: ~S" ~ ~ M:-rO /M-t/L _ _ ~~~~ 7 ff~~ (f) F4J~ I",.; h."..r t.,h..,j: .?b ~ A> 'tW. ~;?r /~ ~ - ~ <- st . 3 ~UJ:L .'t= DATE pjo,7 INSPECTOR 33fEJ~ TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL~ [ ] FRAMING I STRAPPING [~' L k . [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESI~ rSTR~ON [ ] FIRE RESISTANT PENET1IAll0N REMARKS: ft/~ I~ ~~ - r/~-; ~ /.bJ~ ~ ~ ,70 U L/ /r /) 1(fr:/~r/-7 8# ~ DATE INSPECTOR 8 . FIELD INSPECTION REPORT DATE I FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING COMMENTS ") II? /(n I / (~ . " vO. I J ~/ 0 I' -v ( .-f/ "'>/..... ir 1/_ (/ / ~ .:..>z. y..-! - / .-f' / \ ~ ---f-- INSULATIONPERN.Y. -~-- STATE ENERGY CODE . ?k~ 1, {[/),1 J .//,.' A lh. 2..1 &.."".,/. ~ ~ / ~ I / 4,1.... b ~ / tp-r.~I"'7',. A_d~,,-7I.- (,;)JL.. n , ..(),/~' '- <L 11/.1(1 ~ m -... I :t:I{-...... </ , ,/ /10' / ~ ~ Y, /I , -;/A u~ ..;::1J/'fJL7" I ~ - 11"';.// AV' ""J:A~'O~L"_' "-/'/1...8, - , j;:/. 'i//! ..f /V ,--, ' / .c--. M. I ~ '1(;- ~,/~M/(-X/2, k.A A.. J th~ C,?-) /. 0 '/'/ ~_ T./f ~k~U!... /~ /1t:.r~J.A.I ~ 77J M ~'#::r /~ /*-,r-.r :0-.... ": ..:,ph~~' ADDITIONAL COMMENTS r ff . cJ7G/....rl'1~f(.'7Uf- M.. J?AM./",d j)~flu.I',\ / 771 r~.. ~~' ~/ 6. L' ~~ /L-ve- "'-.fI..1. .f/;.~~~ ^-.Lj / ~. H.......... j,.~...GLJI ~ '-" '- / . / ......., .Jl.. 1/.-,. L --# ./ .. "'" FINAL J V'ttL/~- 'J' ' J '/ .. ~. \N Wt:i o I;:l ...:c-= 0'" '" -~ I\! -- ~r:: ~ '1~ LP ;: ~ 2: -+ ~ 0-' (., CIJ VI.., g e .., r-- - \-1-. t: ,::;- ~ ~, /0 0:: ;.. ~ ~;.., lJ\ o ~ {' ""'- 2 (t ~o 5~ ,tSl ;:0... -j- . '- ,f) '- > CJ .-....... r---- '" :><: .. ..- ~ o 2: ~ [::; .., == I:j '" .. ~ 3~()'-j D Erosion. Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM Yes No EXEMPTIONS: A. Does this project meet the minimum standards for classification as an Agricultural Project. Note: If you answered Yes to any of the above, a Storm-water, Grading, Drainage & Erosion Control Plan is not required. J ACTIONS REOUlRING THE SUBMISSION OF A STORM-WATER. GRADING. DRAINAGE & EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (J) for each question is required for complete application) 1. Will this project retain all Storm-Water Run-off generated on Site? (This will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Yes No Jg GJL/ g J [d [d../ gJ [de./' GJ~ / Note: If any answer to questions one through eight is answered with a check mark in the Box, a Storm-water, Grading, Drainage & Erosion Control Plan is required and must be submitted for review prior to issuance of any building permit. 2. Will this project require any land filling, grading or excavation where there is a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? STATE OF NEW YORK, c., ~ CQUNTY o/t....v'(~.~ That I.\J.\Y...M..L:.c....-.,~y.. (Name of individual signing document) And that He/She is the .....Q~....(O~~~;:c~~;;;;~;';;:A~;~;:c~~;;';~offi~~;:~~;...'........................ .............. Owner and/or representative of the Owner or Owner's, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belier; and that the work sill be performed in the manner set forth in the application filed herewith. 3. Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? 4. Is there a Natural Water course running through the site or is this project within One hundred (100) feet of wetlands or a beach? 5. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to One hundred (100) feet of horizontal distance? 6. Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? 7. Will this application require the placement of material, removal of vegetation and/or the .construction of any item within the Town Right-of-Way or road shoulder area? (This item does not include the installation of driveway aprons.) 8. Will there be site preparation within the one hundred (100) year floodplain of any watercourse? .. S8 . being duly sworn, deposes and says that he/she is the applicant for Pennit, Sworn to before me this; .......1.6 ~.Vi.............day ~..~.......... 2oDJ. .1. ' ) Notary Public: .... J.M.IM.J....I...I. ..... .Ct./........................ MElANIE DOROSIO IIOTARY PUBLIC, State of New'llllll No. 01004634870 Qualified In Suffolk Counff } ". D CarmlIIslon ExpiI8I September 3O,s..s..IJ ~~..L:~.~.... (Signature of/Applicant) TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SoutholdJ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: ,J. Mail to: fllfAttK PERMIT NO. 3 301...\.O~ Expiration ,20_ fltt./I'frlFL- , Examined Approved Disapproved alc -, Building Inspector Phone: 734 -I- /?,) c...~ i> \r~ (c).A f oJ?~ L( 19 -.?- 'i -r--r- APPLICATION FOR BUILDING PERMIT j[l..\\ '2. 'j . . ~ Date ,20_ INSTRUCTIONS ",-,';--" ~. This.application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 ,---- sets of plans, accurate plot plan to scale. fee according to schedule. b. Plot plan showing location oflot 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 the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, 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 regulatio d to admit authorized inspectors on premises and in building for necessary inspections. (Signature of ap icant r name, if a corporation) /0 60.x 9,f.J C"Ztjo~c.L' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises IJ U: t7 AJ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer OOA..J (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location ofland on which proposed work will be done: '3 S'OO (1& H rf'/7(//F tZ-tJ House Number Street I Sg",~ Hamlet County Tax Map No. 1000 Section Subdivision '50 Block 0 Z. Filed Map No. t... 'Lot ~ / '.' Lot ". ~l (Name) ,,; 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S / IV ~ L /C FA./ft {c....t nF. J' I J:? &~c...€' b. Intended use and occupancy r )1 M P 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work x Alteration X (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specifY nature and extent of each type of use. S C::-E:- tp c....~ ..f 7. Dimensions of eXlstmg structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories J(.1 Ie l./ ~ Rear - / Rear Depth 9. Size oflot: Front SGIC Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated Ie 4-- 0 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO L 13. Will lot be re-graded? YES_ NO~ Will excess fill be removed from premises? YES_ NO_ 14. Names of Owner of premises ~tJ;o/ 0, G-QN Address Phone No. ~Z~~ ~ Co /.F Name of Architect M AJI2/r cH<-v~rT- Address Phone No 73_- I ..P r Name of Contractor Address Phone No. IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES L NO _ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES ---X- NO_ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF\<<oLt... ) A1;;; _ R ~ A' ~ L being duly sworn, deposes and says lhat (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 4(, tf:.A./T.- Anc l~ (Contractor, Agent, Corporate Officer, tc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. MELANIE DOROSKl NOTARY PUBLIC, State of New'ttllll No. 01004634870 Qualified in Suffolk County ).1\' 0 CommIssion Ellpires September 3"O~ '" SUl1alJl CllU!I!y ~ ~ ilUt 141978. DJ:pAll1'lllllr - d. RI:I. # L[ -50:tlJ... The sewage disPosal .tac111 ties .tor tb! and water SUPPly inspected by tbis :e~OCatlon have been to b. s.t1sr..t.ry~~ rO.",d . Chiet or General Ens1a. ~~ Services neer1ns SOUND ~ " III Lt NU. J~Il.;tl~U F HEAL1H UEFAi~g!~~UG. BY. 'lS JUl LONG ISLAND -:::::- - -- -~-;-" 02.83' ~ N82'5720E. I . fie ""., '~!kr""rI:- --- 4PI'roJf ,",h.... ~ '.. -. -;:". 00.... -t --- Q "0 &>~~ ~ <> 0_ - .so <'..... G>- -:S-A v... ~ " ~ -g,. a> .so "'- .,. $:-..." ~ 'l;; "'0 ? -:S- Oc- ~ , i/ ,~ ... / \~- .... . , Ih()IIS~ a",h rut tOC.lTl'ON Or WElJ.S JUm crsSPOOIS' SHOWN HEREIN ARE FROM FIELD OBSEJlVAnOIfl ANDIOS fROM DATA OBrJUNBD FROM OrBI'BS REVISIONS YOUNG & YOU 400 OSTRANDER AVENUE, ALeEN W. YOUNG PIltOl'"n'IONAL. EfoI01NIlER AND LA,NO SI,II'tVEYOR. N.Y,'. Lie. NO. 12e"!l UNAUlHCllZlD AtnlATlON 01 ADemON TO TH1$ SUIVIY ISA VIOLATION 0' . nCTION7:1090FTHINEWYOIIJ(STATI IDUCATlON LA,W. COFl!lOFTHISSU'\'fYMAPNOTlfAtING THE IA"O SU.'.VETon ""~'D StAl 01 ["'..05IEO Sf";l !ilM"''''~l.., 'ONS:OEtlO To.." v...,,~ Tc.Ul cen FEB.8,1974 SEPT. 9,1974 JU.. :i,1915 SURVEY FOR: OONALO ARCURI U~-,"_T[15 ;"~;Ul'.: :""lei< ~HAlt ~u~ ",',' ", j", >:'Ie" i:JO WiiOM THf SU~VlY ~. 'd. '-"lD. I..',u ..:.~ n,S '~H"LF EO rHf [lc;. ,;~."'/ "','. ,"', \';~"'.',"'l"'L AC!NeT "'NIl "'L::_( 1",-,HliW-,,, 1:,'I;~ ~'!:ON,.\NO o !Hi AS:',"",,-l OF T~I t[,'\!lING INSll_ l.>T'O;'~_ GU"'~A""!i. ...~!. NOI fIiANSI.lLO.ltIo o A~~,1I0NI\L .r.s-fiTuIIONS O~ IUgQuu.lt WN,~s AT 9 11M 9: 56 EJ SOUND VIEW AVENUE "" SOllTHOLO SOllTHOLO ~~~~~$B4NKOF'PATCH06UE t_ GlIARANTEEO 71nEOIVISIONOF. TITLE INSI./RANCECG. TOWN OF SUFFOLK CO., N. Y. SCALE: IH Z 50' BY,../<><<nu <<--,8 f... DATE:. I NO. NO", 26, 191'3 73 -1/35 :: ,OJ " 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. 33040 Z Date MAY 16, 2007 Permission is hereby granted to: DYE SOUTHOLD,NY 11971 for : AS BUILT ALTERATIONS TO AN EXISTING DWELLING (DORMER) AS APPLIED FOR PER ZBA #5766 at premises located at 3500 LIGHT HOUSE RD SOUTHOLD County Tax Map No. 473889 Section 050 Block 0002 Lot No. 001 pursuant to application dated JANUARY 30, 2007 and approved by the Building Inspector to expire on NOVEMBER Fee $ 400.00 / COpy Rev. 5/8/02 r\. --...: ~\~ ~ ~~ Vv c -::> ~ .... "" ~ f .\'" SUI10!J( COUNfY .DAn 3Ut 14 197, ll!.u,m DIPAR1'laIr The H. D. lW'. #!L -SO, {/J... sewage disposal Jill facilities tor thi and water SUPply '15 \J inspected by this : location have been to be SatiSfactory _eR,llJent ~d fOUnd Chi f I,.t.,:;j- C;. "? 1 /117 e Of General En i ~~ S g Ileerins ervices SOUND ~ C' III Lt:. NU. l~l::l';l::l;W , r f\f.ALI\I tlt.P!\i~\;rJ~~\UO, H.'!. ?-:) 0.;. ..... \$'0 '. . ~,': 5..... ~, .., LONG ISLAND -- ---- ---- -- . __ - ~ tI~7'20"E. -102.83 N. 82 /~n9~. tie Ii"., ~ 1IV"/~r"UJTJC" --- 'I'f'r~" ;"J ~ 'p -0 ~. <".... 00.. o ~ '$- . A - "'.... 0..... ,p..... ~ 00_ .... oJ' ~ ....0 " "d:> '0 ~ <S> <$0 $;>_ ~ I I~ (,' ~ '$- Oc.. .U' ~ . / 0/ ~~... / / fhotls-!! allJh . \ ...., ~ .. nm tOCJlrlON OF mus JlJIII) CESSPOOU' SHOWN HIlRIlIN ARIl FROM FlIlLD OROB~~~~~i'r AND/OR FROM DATA OBTAINIlD l' REVISIONS YOUNG & 400 OSTRANOER AVENUE, ALDEN W, YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR. N.Y,.. LIe, NO, 1284~ UNAUTHORIZED ALTERATION OR ADDmON TO THIS SURVEY IS A VIOLAJ/ON OF SECTION 7~9 Of THE NEW YORK STATE EDUCATION LAW. cor'IES OF THIS SU~\'~Y MAP NOT BEARING TH( LAr-.:O SU;~V~YOR'S 1~'~CD S[AL Oil. eW,60ssro $fAl S~jAi.I;ot.IJ":;; c,,, CO,,"'S:OfRED TO &f A VA~::'> nul. CCi-Y, FEB. 6,1974 SEPT. 9,/974 JUL. ;,1915 SURVEY FOR: DONALD ARCURI UA~";,n<s 1I,r"O.E::' ~".W:;'N SHAlL RUN '~,i.'" Tv T:~! ~:' SC,-, f:>;:. WliOM THE SURVEY ~ ,.:l, t,:,(~, Ai"P Vii n,S 6~HALF TO THE lT~i; l::,.'...:-,1';\', (,i~~-\'~~;"I,',i.I-HAL AGENCY AND lr;U:.c 1~;S';in.:rI(;j~ ml~D 11:lll0N. AND o IHi: ASS;(j(~US OF tXf 1[:-;OING INSTI. LJT:Oj-" GUARA~T(i.S A;:f NOl' TIi.ANSFElAILfl o AD':;',IIONAL ,..,SnTUnONS OR $UISfQUfNr WNH.S. AT SOUTHOLD SOUTHOLD TOWN OF 9 N>\ 9: SG B SOUND VIEW AVENUE ~ GU.kFlANTEED TO:,..,; UNIONSAVlNGSBANKOFPATCH06tIE ~. GlJARANrEEO nnEOIVlSIONOF'AMERt rlrLE INSIIRANCECO. SCALE: I" = ~O' SUFFOLK CO., N. Y. BY,../iJOJ7Lt,L;.9 [ DATE: _ _ I NO. NOV. 26,1973 73-1/35 , .~ o~