HomeMy WebLinkAbout32417-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32822
Date: 01/07/08
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 1825 TRUMANS
(HOUSE NO.)
COunty Tax Map No. 473889 Section 31
PATH
(STREET)
Block 13
EAST MARION
(HAMLET)
Lot 3
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 26, 2006 pursuant to which
Building Permit No. 32417-Z
dated
OCTOBER 11, 2006
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 ADDITION & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR & AS PER CONDITIONS OF ZBA #5907 DATED 8/17/06.
The certificate is issued to JOHN C. WILLIAMS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPAR'l'MBNT OF HEALTH APPROVAL
N/A
3019446
04/02/07
ELECTHICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
07/11/07 RBT.VANETTEN PLUMBING
Rev. 1/81
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NO\! I 9
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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APPLICA TION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or il!lC and submitted to the Building Department with the followli1g:
A. For new building or new use:
I. Final survey ofpropeliy 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 electlical installation from Board of Fire Underwriters.
4, Sworn statement from plumber celiifying 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:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
fealures,
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 tli:erefor 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 $5000.
2. Celiificate of Occupancy on Pre-existing Building _ $100,00
3, Copy ofCertificale of Occupancy - $.25
4, Updated Celiificale of Occupancy - $50,00
5, Temporary Celiificate of Occupancy - Residential $15.00, Commercial $15,00
QJ.fe<Q1 lonl adtl '+,'o-v
New Construction: ..;' Old or Pre-existing Building:
Date.
II. ICf. ZOU,
Location of Property
....,....
J82~ ""f>'1{I{)'~
(check one)
-__ Ec#!>-I ml/":o\V
Hamlet
,-
HOllse No.
PcHh
Street
Owner or Owners of Propeliy: ___-::::Jen~ " r;.
Suffolk County Tax Map No 1000, Section ______ .3 1
6O.....l nf
Block
1'3.
Lot
.3
Subdivision
---_._--._---._~._---_._--. ---
Filed Map.
----._------.- ------.'----------.-
Lot,
PemLiI No -3?-\.fL"1_-_2._ [hlc ofPcl11u!. - ()L Applicant Jft1Il~{f-!'_~CP~l"l_m
Health Dep!. Applol'al __~_L~ ______ Underwlllers Approval' .__. -,.-:J:>l.____
Planning BOMd Approval rtl ~
Request for:
Temporary Celilficate
Final Certificate:
,,___ (check one)
&:eb7W~g $ 2 S .0.12.
to -t 3.?~ II
eDit. of (lhnp"'Q1lCR. mSf'i'I'I,on b'1
T'f'u!.w!. 'o.,.ct."l'rl n-I~.O:}
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A licant 19nature
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.
32417 Z
Date OCTOBER
11, 2006
permission is hereby granted to:
JENNIFER B GOULD
PO BOX 32
EAST MARION,NY 11939
for :
ALTERATIONS & ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR PER ZBA DECISION #5907 AND TRUSTEES APPROVAL
at premises located at
1825 TRUMANS PATH
EAST MARION
County Tax Map No. 473889 Section 031
Block 0013
Lot No. 003
pursuant to application dated APRIL
26, 2006 and approved by the
Building Inspector to expire on APRIL
11, 2008.
Fee $
150.00
1An-o- C1vUr--/
Authorized Signature
ORIGINAL
Rev. 5/8/02
-3......
lID.~lID
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 ~
~ ~
~ JIM SHAW ELECTRIC INC JENNIFER GOULD ~
~ 530 MIDDLETON RD 1825 TRUMAN S PATH ~
I GREENPORT, NY 11944 EAST MARION, NY 11939 I
~ Located at 1825 TRUMAN S PATH EAST MARION, NY 11939 ~
I 3019446 3019446 I
~ Application Number: Certificate ~
~ Section: 1000 Block: 31 Lot: 13 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, 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 2nd Day of April, 2007. ~
~ Name Ory Rate Ratin. Circuit ~ ~
~ Miscellaneous ~
~ 1-20 radiant floor heat ~
~ Alarm and Emergency Equipment ~
~ Sensor I 0 Carbon Monoxide ~
~ Sensor 3 0 Smoke ~
~ Appliances and Accessories ~
~ Electric Heater Unit 2 0 2.0 KW ~
~ Electric Heater Baseboard 1 0 .78 KW ~
~ Electric Heater Baseboard 1 0 .375 KW ~
~ Exhaust Fan 1 0 F.H.P. ~
~ Dish Washer 1 0 1.2 KW ~
~~~~ ~
~ Outlet 18 0 Fixture ~
~ Fixture 17 0 Incandescent ~
~ Fixture 1 0 Flourescent ~
~ Outlet 19 0 General Purpose ~
~ Receptacle 12 0 General Purpose seal ~
~ Switch 5 0 General Purpose ~
~ Continued on Next Page of 2 ~
i Th'''''';/;'''''"","m be ,',,",d '" ,~ ." "'" " ~Ii_ """ ~ 'be ""'"~"' , .'''<1 ~, . 'h' "'~oo '"Ii'''''d I
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I Section: 1000 Block:
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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 appl ication of
upon premises owned by
JIM SHAW ELECTRIC INC
530 MIDDLETON RD
GREENPORT, NY 11944
JENNIFER GOULD
1825 TRUMAN SPATH
EAST MARION, NY 11939
1825 TRUMAN S PATH EAST MARION, NY 11939
3019446
3019446
Certificate Number:
31
Building Permit: 32417
nsll
BDC:
Lot:
13
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, 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 and/or 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 2nd Day of April,2007.
Name OTY Rate Ratin. Circuit ~
Paddle Fan 1 0
Receptacle 1 0
Receptacle 4 0
30 a
Dryer
GFCI
seal
2 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
Town Hall, 53095 Main Road
P.O.. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
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I 6i...0\.J. DEPT.
TOWN QIi"'UTHOLD
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: J ~
II.
I
07
.
Building Permit No.
3J.. '117 Z-
Owner: -:TetlniW GVwd
(Please print)
Plumber: 1<oh-er..j.- /Ja-nE-#en
(Please print)
I certify that the solder used in the water supply system contains less than 2/1 0 of 1 %
lead.
~-CJ/~~
(plumbers Signature)
to before me this ,:;(~ ~
, 20.92
Notary PUbl~ 0 IJ. ../ County
JANET E. STAPLES
Notary Public.. Stale of New York
No. 483194., Suffo1tt.County
Commission Expires July 31, 20~
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James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dav~ii:l--;;~gen
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"'Bob Ghosio, Jr.
JAN
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# 0288C
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
Date January 7.2008
THIS CERTIFIES that the single-story addition to the dwelling
At 1825 Truman's Path. East Marion
Suffolk County Tax Map # 31-13-3
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 3/24/06 pursuant to which Trustees Wetland Permit #6335A Dated 4/19/06was
issued, and conforms to all of the requirements and conditions of the applicable
provisions of law. The project for which this certificate is being issued
is for the single-story addition to the dwelling.
The certificate is issued to JENNIFER GOULD owner of the
aforesaid property.
~~~
Authorized Signature
3J'i /7 .z..
SURVEY OF PROPERTY
SITUATE: EAST MARION
TO~: 5OIJTHOLD
SUFFOLK COUNTY, NY
.
NOV 3 0 2006
N
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SURVEYED 03-30-2005
TOPO ADDED 01-21-2006
PROPOSED ACTIONS 03-21-2006
FOUNDATION LQC.ATION 11-2<1-2006
SUFFOLK COUNTY TAX #
1000-31-13-3
UllClll'llW TO:
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JeaaII'm B. GoaId
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NOTES,
MONUMENT FOUND
FLOOD ZONE AS SHOHN ON FEMA FLOOD MAP
!'UMBER 36103C0064 c:; EFFEC.TVE DATE MAY 4, 1<1<18
I 1/2 STORY FRAME HOUSE ROOF
PEAK AT 20.5' ABOVE AVERAGE GRADE
ELEVATIONS REFERENc.E N6VD'2<1
C..E.HL AS ANNOTATED FROM c.GASTAL AREA HAZARD MAP,
TOHN OF SOUTHOLD PHOTO No. 48-640-83 SHEET 28-0 OF 4<1
AREA = 1,410 S.F. or 0.11 AC.RE
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GRAPHIC SCALE
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JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. lie. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.\\CompaqserveI\pros\0S\05-141\OS-147.pro
FLOOD ZONE AS SHOHN ON FEMA FLOOD MAP
NUMBER 36103C0064 6 EFFECTVE DATE MAY 4, Iqq8
I 1/2 STORY FRAME HOUSE ROOF
PEAK AT 20.5' ABOVE AVERA6E 6RADE
ELEVATIONS REFERENCE N6VO'2Q
C.E.HL AS ANNOTATED FROM COASTAL AREA HAZARD MAP,
TOHN OF SOUTHOLD PHOTO No. 48-640-83 SHEET 28-0 OF ~
AREA = 1,410 S.F. or 0.11 ACRE
SURVEY OF PROPERTY
SIlVA TE: EAST MARION
TO~: SOUTHOLD
SUFFOLK caJNTY, NY
SURVEYED 03-;;0-2005
TOPO ADDED 01-21-2006
PROPOSED ACTIONS 03-21-2006
SUFFOLK COUNTY TAX #
1000-31-13-3
CBRTIFIBD TO:
JoIm C. WlIIimM
JeIIaiftr B. Gould
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PROPOSED
ADDITION
LOT COVERA6E T A6LE
EXISTIN6 HOUSE 1~ SG FT
EXISTIN6 6ARA6E 25B SG FT
EXISITN6 DECK 183 SG FT
EXISTIN6 DECK 31 SG FT
CELLAR ENlRANCE 2, SG FT
EXISTlN6 TOTAL 1,243 SG FT OR 16.TI%
EXISTIN6 HOUSE ,~ SG FT
EXISTIN6 6ARA6E 25B SG FT
EXISTIN6 DECK 31 SG FT
PROPOSED ADDITION 325 SG FT
TOTAL EXISITN6 AND PROPOSED 1,358 SG FT OR 1833%
NOTES,
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MONUMENT FOUND
GRAPHIC SCALE
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JOHNt~. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. UC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.\\Compaqservet\pros\05\05-147\05-147.pro
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APPEALS BOARD MEMBERS
Ruth D. Oliva, Chairwoman
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Gerard P. Goehringer
James Dinizio, Jr.
Michael A. Simon
Lesli(~~man ~_.
SEP I 5 :: .'6
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http://southoldtown.northfork.net
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
-3 (631) 765-1809' Fax (631) 765-9064
3J~ 17-2:
Mailing Address:
Southold Town Hall
53095 Main Road. P.O. Box 1179
Southold, NY 11971-0959
Office Location:
Town Annex /First Floor, North Fork Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF AUGUST 17, 2006
ZB File No. 5907 - Jennifer B. Gould
Property Location: 1820 Truman's Path, East Marion
CTM 31-13-3
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 FACTS/DESCRIPTION: The applicant's property consists of 7,410 square feet and is
improved with a single-family dwelling and accessory building, as shown on the survey prepared
March 30, 2005 by John C. Ehlers.
BASIS OF APPLICATION: Building Inspector's April 27, 2005 Notice of Disapproval, based on
Zoning Code Sections 100-242A and 100-244, based on ZBA Interpretation No. 5039 (R. Walz
Application), for the reason that the proposed additions and alterations will increase the degree of
non-conformance when located less than 10 feet on a single side yard and less than 25 feet for total
side yards.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on July 27, 2006, at which
time written and oral evidence were presented. Based upon all testimony, documentation, personal
inspection of the property, and other evidence, the Zoning Board finds the following facts to be true
and relevant:
AREA VARIANCE RELIEF REQUESTED: The applicant wishes to construct a 325+/- square foot
addition, shown on the site map amended March 31, 2006 by John C. Ehlers, and architectural
diagrams A-01, A-02, A-03, prepared 3/25/06 by Hideaki Ariizumi, R. A.
REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and
personal inspections, the Board makes the following findings:
1. Grant of the variance will not produce an undesirable change in the character of the
neighborhood or a detriment to nearby properties. The proposed renovation is a one story landward
extension to the existing dwelling, which will result in a net increase in lot coverage of 115 square
.
. Page 2 - Augusl17, 2006
ZB File No. 5907 - Jennifer B Gould
elM No. 31-13-3
.
feet or 1.56%. The purpose of the addition is to update and reconfigure the existing kitchen,
bedroom, bathroom and entryway to provide adequate first floor living quarters for the aging owners
of the property. The design of the renovation seeks to maintain the character of the existing
residence. The completed renovation will be consistent in size and character with the majority of
dwellings in the neighborhood; and therefore, will not negatively impact the adjacent neighbors or
the surrounding area.
2. The benefit sought by the applicant cannot be achieved by some method feasible for the
applicant to pursue, other than an area variance, because: there is no reasonable alternative to the
present proposal, due to narrow lot size (40 feet at its widest) and location of the pre-existing non-
conforming dwelling, originally constructed approximately 70 years ago. A code conforming
renovation would require the construction of a "railroad car" addition running the length of the
property and would necessitate the relocation of the accessory building and the entire septic system
at the premises. Such an addition would be unattractive and out of character with the neighborhood.
3. The amount of relief requested is not substantial because: the proposed project will result in a net
increase in lot coverage of 115 sq. ft. or 1.56% after removal of existing stoop deck entry way and
cellar entrance to partial basement. The total lot ccverage will be 1,356 square feet or 18.33%,
which ccnforms to present code requirements and is also consistent with the lot coverage of the
majority of the dwellings in the surrounding area.
4. The variance will not have an adverse effect or impact on the physical or environmental
ccnditions in the neighborhood or district because: the scope of the renovation is in scale with the
existing dwelling. Although the addition will enlarge the present footprint by 115 square feet, the
renovation is a reconfiguration of an existing kitchen, bedroom and bathroom, which will not impact
the environment. In addition, the proposed renovation will not interfere or block the scenic or visual
access of adjacent neighbors. The subject property is already suitably landscaped and provides
privacy to the owners and their immediate neighbors.
5. This is the minimum that is necessary and adequate and at the same time preserves and
protects 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 Dinizio, seconded by
Member Simon, and duly carried, to
GRANT the variance as applied for, as shown on the site map amended March 31, 2006 by
John C. Ehlers, and architectural diagrams A-01, A-02, A-03, prepared 3/25/06 by Hideaki
Ariizumi, R. A.
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 ccndone 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.
The Board reserves the right to substitute a similar design that is de minimis in nature for an
. Page 3 - August 17. 2006
I ZB File No. 5907 - Jennifer B Gould
elM No. 31-13-3
alteration that does not increase the degree of nonconformity.
Vote of the Board: Ayes: Members Oliva, Goehringer, Dinizio, Simon, and Weisman. This
Resolution was duly adopted (5-0)., "
~r1. ~~
Ruth D. Oliva 9/ ~~ /06
Approved for Filing
New York State Department of Environmental Conservation
Division of Environmental Permits, Region One
Building 40 - SUNY, Stony Brook, New York 11790-2356
Phone: (631) 444-0365 . FAX: (631) 444-0360
Website: www.dec.state.ny.us
~
~
~
Denise M. Sheehan
. Commissioner
LETTER OF NO JURISDICTION - TIDAL WETLANDS ACT
Jennifer B. Gould
P.O. Box 177
Greenport, NY 11944
Re: Application #1-4738-03587/00001
Gould Property, 1825 Truman's Path, East Marion, NY
S.C.T.M. #1000-31-13-3
August 25, 2006
Dear Ms. Gould:
Based on the information you have submitted, the Department of Environmental Conservation
(DEC) has determined that the property landward of the 17 foot elevation contour, as shown
on the survey prepared by John C. Ehlers Land Surveyor dated 03-30-2005 last revised
03-21-2006, is beyond Article 25 (Tidal Wetlands Act) jurisdiction.
Therefore, in accordance with the current Tidal Wetlands Regulations (6NYCRR Part 661) no
permit is required.
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 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 (Le. a 15' to 20' wide construction area) or erecting a
temporary fence, barrier, or hale bay berm.
Please note that this letter does not relieve you of the responsibility of obtaining any necessary
permits or approvals. from other agencies or local municipalities.
Sincerely,
/ ~tCt0-
Mark Carrara
Deputy Permit Administrator
cc: MHP
file (kaf)
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
John Holzapfel
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 6335A
Date of Receipt of Application: March 24, 2006
Applicant: Jennifer Gould
SCTM#: 31-13-3
Project Location: 1825 Truman's Path, East Marion
Date of Resolution/Issuance: April 19, 2006
Date of Expiration: April 19, 2008
Reviewed by: Board of Trustees
Project Description: Construct a single-story addition to the existing
dwelling; with removal of "stoop" deck and cellar entrance and all as
depicted on the plans surveyed by John Ehlers revised 3/21/06.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth by the Board of Trustees. .
Special Conditions: Final inspection
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth by the Board of Trustees, a Wetland Permit will be
required.
"
This is not a determination from any other agency.
J F '~V' PO<'~d 't
ames . t~, Vice- resl en
Board of Trustees
3l-<f/7C
TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRucnoN
[ ] ROUGH PLBG.
[ ] I~ATION
[ ,{'FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENmATION
REMARKS:
-
DATE /1~947
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INSPECTOR ~ iff
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ~UGH PLBG.
[ ] FOUNDATION 2ND [~'NSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
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REMARKS:
DATE I /LO((}f;
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INSPECTOR
32--Y:/7~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[~~ 2N~ [] INSULATION
~ ]ZRAMI~STRAPPING J [ ] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON
REMARKS: Wi:.-j, (~JiPW~
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INSPECTOR
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[vrFOUNDATION 1 ST [] ROUGH PLBG.
[~NDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE
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l
INSPECTOR
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECT
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[ ] FOUNDATION 1 ST . ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUC'I1ON [ ] RRE RESISTANT PENETRATION
REMARKS: -1M <>j-. J-'t.UI4 ~ C ,.
DATE
I /
INSPECTOR
,---.-..~ --~----.--.,.
32- 'If l-t::-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[~~STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONS1RlJCnON [ ] FIRE RESISTANT PENETRATION
R~S'~:;;!~~~
DATE J.-/ ~/07
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INSPECTOR
FIELD INSPECTION REPORT! DATE
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FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
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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:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY11971
TEL: (631) %5-1802
FAX: (631) 765-9502
www.northfork.net/Southoldl PERMIT NO.
10/ j-, 201J!L
10/11 ,20~
~/2TI' ,/
Examined
Approved
Disapproved ale
Mail to:
1"111 , 20~
Phone:' ./7'7- B-6;67
NM"R- rl>5-1's~'1~
wl>(al:. L~f,.
fo...~ 7bS- 'i$01.1. ~ q~:l1-01o
Expiration
Inspector
'126
APPLICATION FOR BUILDING PERMIT
Date 4 - :;1.Co
,200<.0
INSTRUCTIONS
a. 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 of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas; and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval ofthis 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.
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 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 regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
~
p.o. 801-. 1", ~ev1p.Yi. N'f !lq~
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
() LA.) vLO r
Name of owner of premises (]Py'))")I~'" R,. 60Ll I cL-
(As on the tax roll or latest deed)
If applicant is a corporation, signature of dul y authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
I fS;2.0 e<.1 '" 1"'- I '6:AS- ,rU)'YlllyJ's, Pa-tVl
House Number Street
Eas+ (()Cll','oN
Hamlet
I""
County Tax Map No. 1000 Section S I
Subdivision
Block I ~
Filed Map No.
""'hi:, 3
"-'LOt
(Name)
...... I
-
,
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 5, (1'j '" -fnM" ~ ci '^l P II) r1:>
b. Intendeduseandoccupancy 5. fl:,W --FaY>1'''1 rlWfll,,)~
.
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition X
Other Work
Alteration
4. Estimated Cost
$ '6 0 , ODD. DO
(Description)
Fee
(To be paid on filing this application)
5. If dwelling. number of dwelling units J Number of dwelling units on each floor
If garage, number of cars I0Ja...- p'-e--e~~"')<:J "'1""0'11"> i~ Q(('f'!,60r'l b....;cI."j
6. If business. commercial or mixed occupancy, specifY nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front .;< / I
Height ..:lD. C; I Number of Stories
Rear
'::)/ I
Depth
3'1 1
I/;J...
Dimensions of same structure with alterations or additions: Front ~ f J
Depth 55. 104- ' Height .).0. S I Number of Stories
Rear ~ I 1
'/
:J
Depth .;22,.04 I
8. Dimensions of entire new construction: Front ~ I I
Height /3.9 I fu r.. cI j~ Number of Stories
9. Size oflot: Front----39 . 23 I Rear 40 I
Rear_
1,+,5 I
Depth
ItJ.s-.I'3, I
10. Date of Purchase d. - 4 -Cjl!;- Name of Former Owner 5:>u>1r1 EfhCib;/.-fcNll){) (OtHrctNOfr".J)Jc....
rf~o{ pl.Tl"l1&~ 4-8;'&1. (j"o"~ ,^).J"'''''''~' nus""",,,I)
II. Zone or use district in which premises are situated p. - y. 0
12. Does proposed construction violate any zoning law, ordinance or regulation? YES$- NO_
I ~ide,/Qrd S-Q-H:)(Jck. +- comb,fW'ci S,'c!-f'",/orc/ so+l::D(!c ~QlAl'rfr>'l(lrr+
13. Will lot be re-graded? YES_ NO-X...- Will excess fill be removed from premises? YES_ NOL
_ P.D &N. 117 {}rl'l'YlfOrJ. 10'/ nql\'l 7&5" &1>7S WOI\.~.
14. Names of Owner of premises.J('M I tpc ~ 6bul d Address Phone No. t,~, bi" ~ I~: ~".
Name of Architect'S1'ud.o 0.{1o '" '( 1'1'*'(1'.. Address 1".0.&" 't't'l" O""Ylt Phone No b?'/ - 3 J3 - 1\1-26 Itt)-Ol>
. -
Name ofContractor(fo~ I DoI-, .,../:Jme :r:mpfvV' Addressp.o &Cl'I. :.4~ SOltthokl Phone No. I,'l. J- 1/""'- 11.:l.?'
"q"
IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ~ NO _
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES-$.- 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 SItffC'l1 t)
~Pr1 () 'ff r 2,. SolA-La.( being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the 0 Wo'\.Q r-
(Contractor, Agent, Corporate Officer, etc.)
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.
20&
,
1
MELANIE DDROSKI
NOTARY PUBLIC, State of New'1llrll
Nc 01004634870
Oual'';c' in Suffolk County ^6
Commission Expires September 30,")1)1.)
I
studio a/b
hideaki@Studioabarchitects.com
www. newyork-architects.a.>mIstudioab
651 West Main Street
Rivel1lead, NY 11901
1. 631 591 2402
24190 Main Road
PO. Box 444
Ortem NY 11957
t. & f. 631 323 1426
TRANSMITTAL
to: Building Inspector
Building Department
Town of Southold
tel. #: 631 7651802
fax #: 631 765 9502, 1823
from: Hideaki Ariizumi
re: Gould Residence, STM# 1000-31-13-3
date: October 9, 2006
Attached are four sets of T01, A02, and A04 sheets, revised according to your suggestions.
The issues revised are followings:
1. Energy Code compliance: see T.01, and A.04
The addition part of the house references Prescriptive Requirements for residences
using Electric Resistance Heating, Table 602.1(2) of NY State Energy Conservation
Code.
2. Sill height of the Emergency escape and rescue openings: see A.02
Window #2 is lowered 4 inches. The sill height is to be 43 Yo' AFF.
Thank you.
t\: ~c. 4-
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473889 31.-13-3
NUMBER# DATE TYPE
15374 10/07/86 PERMIT
18077 4/27/89 PERMIT
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
OWNER: SOUND REHAB CONTRACTORS INC
CO # USE/DESCRIPTION
DORMER ADDITION PERMIT #1537
19937 REPLACES 15374 PERMIT #18077
F1=More F7=Permit Detail F8=Co Detail F9=Preco F12=New Swis/Parcel F3=Exit
KENNETH L. EDWARDS
MARTIN H. SIDOR
GEORGE D. SOLOMON
JOSEPH L. TOWNSEND
MAILING ADDRESS:
P.O. Box 1179
Southold, NY 11971
PLANNING BOARD MEMBERS
JERILYN B. WOODHOUSE
Chair
OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cor. Main Rd. & Youngs Ave.)
Southold, NY
Telephone: 631765-1938
Fax: 631 765-3136
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
To: James King, President
Members of the Board of Trustees
APR 1 Q "'\,0,-
G [vuo
From: Mark Terry, Senior Environmental Plarmer
L WRP Coordinator
Date: April 17, 2006
/
Re: Request for Wetland Permit for Gould/Williams
SCTM# 31-13-3
GouldIWilliams request a Wetland Permit to construct an addition on the north side of
the dwelling. SCTM#31-13- 3
The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of
the Town of South old Town Code and the Local Waterfront Revitalization Program
(L WRP) Policy Standards. Based upon the information provided on the L WRP
Consistency Assessment Form submitted to this department, as well as the records
available to me, it is my recommendation that the proposed action is CONSISTENT
with the Policy Standards and therefore is CONSISTENT with the LWRP.
Pursuant to Chapter 95, the Board of Trustees snail consider this recommendation in
preparing its written determination regarding the consistency of the proposed action.
SURVEY OF PROPERTY
SITUATE: EAST MARION
TOWN: SOUTHOLD
SUFFOLK caJNTY, NY
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SURVEYED 03-30-2005
TOPO ADDED 01-21-2006
PROPOSED ACTIONS 03-21-2006
SUFFOLK COUNTY TAX #
1000-31-13-3
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PROPOSED
ADDITION
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LOT GOVERA6E TABLE
EXISTIN6 HOUSE 14<l SGl FT
EXISTIN6 6oARA6E 253 SGl FT
EXISITN6 DEGK 100 SGl FT
EXISTIN6 DEGK 31 SGl FT
CELLAR ENTRANCE 21 SGl FT
EXISTIN6 TOTAL 1,243 SGl FT OR 16.11Sl1
EXISTIN6 HOUSE 14<l SGl FT
EXISTIN6 6oARA6E 253 SGl FT
EXISTIN6 DECK 31 SGl FT
PROPOSED ADDITION 325 SGl FT
TOTAL EXISITN6 AND PROPOSED 1,358 SGlFT OR 1833Sl1
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NOTES,
MONUMENT FOUND
FLOOD ZONE AS SHOI"IN ON FEMA FLOOD MAP
NUMBER 36103C0064 6 EFFECTVE DATE MAY 4, Iqq8
11/2 STORY FRAME HOUSE ROOF
PEAK AT 205' ABOVE AVERA60E 60RADE
ELEVATIONS REFERENCE N6oVD'2Gf
C.E.H.L. AS ANNOTATED FROM COASTAL AREA HAZARD MAP,
TOI"IN OF SOUTHOLD PHOTO No. 48--640-83 SHEET 28-0 OF 4q
AREA = 1,410 S.F. or 0.11 ACRE
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JOHN'C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. UC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.\\Compaqserver\pros\05\05-147\05-147.pro