HomeMy WebLinkAbout35853-ZTown of Southold Annex
54375 Main Road
Southoid, New York 11971
6/30/2011
CERTIFICATE OF OCCUPANCY
No: 35030
Date: 6/29/2011
THIS CERTIFIES that the building
Location of Property:
SCTM#: 473889
Subdivision:
RESIDENTIAL ADDITION
1380 Hobart Road, Southold,
Sec/Block/Lot: 64.-3-1.1
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
9/13/2010 pursuant to which Building Permit No. 35853
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 with unfinished basement and deck addition to an existing one family dwelling as applied for.
Lot No.
filed in this officed dated
dated 9/13/2010
The certificate is issued to
Smith, Henry & Smith, Vera
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 10/8/10
35853 9/16/10
Falkow~Smith Plumbing & Heating
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. 35853 Z
Date SEPTEMBER 13, 2010
Permission is hereby granted to:
HENRY P & WF SMITH
1380 HOBART RD
SOUTHOLD,NY 11971
for :
DEMO EXISTING DECK & CONSTRUCT AN ADDITION & A DECK ADDITION TO
EXISTING ONE FAMILY DWELLING REPLACES EXPIRED BP # 33286
at premises located at
County Tax Map NO. 473889 Section 064
pursuant to application dated SEPTEMBER
Building Inspector to exl~ire on M-ARCH
1380 HOBART RD
SOUTHOLD
Block 0003 Lot No. 001.001
13, 2010 and approved by the
13, 2012.
Fee $ 114.60
Authorized Signature
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERI, IT NO. 33286 Z
Date AUGUST 1, 2007
Permission is hereby granted to:
HENRY P & WF SMITH
1380 HOBART RD
SOUTHOLD,NY 11971
for :
DEMOLISH EXISTING DECK & CONSTRUCT AN ADDITION & A DECK ADDITION
TO EXISTING ONE FAMILY DWELLING. THIS PERMIT REPLACES BP # 17807.
at premises located at
County Tax Map No. 473889 Section 064
pursuant to application dated AUGUST
Building Inspector to expire on FEBRUARY
Fee $ 114.60
1380 HOBART RD SOUTHOLD
Block 0003 Lot No. 001.001
1, 2007 and approved by the
1, 2009.
ORIGINAL
Rev. 5/8/02
ItT&wM NO. S
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 017807 Z
Permissioo is heAeby granted to: ; /3 ~_~/ / .-~ ; .~
at premises located at ..../..s.~..~.~..../...~,~.~.. ...........................................................
County Tax Map No. 1000 Section ...... ~....~... ....... Block ....... .~... ......... Lot No .......... ~.~.<.../.. .....
pursuant to application dated .......... ~.0.. ............................... , 19.~.., and
- ~_1~, Y-. c, '~ ~,~ ~-~
Building Inspector.
Fee
approved by the
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPA~
This application must be filled in by typewriter or ink and submitted to the Building De
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, ,,
topographic features.
,Lf~nt w.i~th¢ following:
treets, and uq~p,~tu,,d .~a
TOWN Of SOU~HO[O
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
Bo
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
3.
4.
5.
New Construction: J
Location of Property~X4. /3 (~ O
House No.
Owner or Owners of Property.'%%0
Suffolk County Tax Map No 1000, Section
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
Certificate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - $.25
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
(check one)
Old or Pre-existing Building:
Street
Block
Hamlet
Lot /- /
Sub,on
PermitNoD. ~,~ff"-~ /v~',fl-:ZDateofPermit. cC')) /!
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~-'~'9'~. ~/
Filed Map. Lot:
~/0 7 Applicant: iL/O'S; ,'y "/- U~p.nc-
Underwriters Approval:
Final Certificate:
(check one
'/f~licant Signatm-e
'l'o~m ltall Annex
,¢ ~373 Main Road
P,O. Box 117!t
S~mlholll, NY 11971-09,5!~
1 elephonc (631) 76,M802
Fax (6H) 76,;-9,302
ro,cler.dchert~town south0 d ny.us
BI fILl)IN(; I)I:~PAI/TMI~;NT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Henry P Smith
~,ddress: 1380 Hobart Rd City: Southold St: NY Zip: 11971
3uilding Permit #: 35853 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement
Commedcal Outdoor 1st Floor
New Renovation 2nd Floor
Addition Survey Attic
Service 1 ph
Service 3 ph
Main Panel
Sub Panel
Transformer
Disconnect
Other Equipment:
Heat
Hot Water
A/C Condenser
AJC Blower
Appliances
Switches
1 paddle fan
INVENTORY
Duplec Recpt ~
GFCI Recpt
Single Recpt
Range Recpt
Dryer Recpt
Twist Lock
R Service Only ~
Pool
Hot Tub
Garage
Ceiling Fixtures ~~[~ HID Fixtures
Wall Fixtures [21 Smoke Detectors
Recessed Fixtures 161 CO Detectors
Fluorescent Fixtun ~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
Notes: as built addition of living room, and deck, including basement
Inspector Signature:
Date: Sept 16 2010
81-Ced Electrical Compliance Form
Town Haii, 53095 Main Road
,~. O, Box1179
Sou~hoid, New Yo~ ~ , 9'7!
F~× (516) 785-!823
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C F. RTZ F T £ AT Z ON
(please print)
[p±ease print)
~ certify that the solder used in 5he wa%er supply sysnem
contains less than 2/10 of 1% lead.
/?P ~u~/¢~S Signature)
Sworn to before me this
NOTARY PUBLIC - STATE ~ ~ ~
NO. 01HY618969~
QUALIFIED IN SUFF~K C~ ~
COMMiSSiON ~RES ~0~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING / STRAPPING
[ ] ROUGH PLBG.
[ ] INS~
[//~NAL
[ ] FIREPLACE & CHIMNEY [ ] nRE SAFETY INSFECT~.
[ ]flREREmSTANTCONSTRUCflON [ ]FlnEREmSTANTFENETRA~ON
REMARKS:
· -/
INSPECTO
DATE ~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [~ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
DATE
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
DAT*
765-~,802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ R~OUGN PLBG.
[[] ~U**~FRA~NA~ION ;ZND [[ ]] IF~NSAU~.ATION
REMARKS~: ~-~ ~ a-~ __~~~
DATE ~/~0/~/~ INSPECTOR
~?
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [~NSULATION
[ ] FRAMING
REMARKS:
FINAL
DATE
INSPECTOR_,~~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ] ROUGH PLBG.
] INSULATION
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESIST~/..~STRUCTION [ ] FIRE RESISTANT PENETRATION
R~EMARKS:~-~ --~ ~--,~-
DATE
INSPECTOR ·
?'IELD z,,S .... zo,i
!!DATE
FOUNDATION ( ls t)
FOUNDATION
2.
(2nd)
ROUGH FRAME
-PLUMBIN/
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADI
COMMENTS:
Examined ................ 19...
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
BOARD OF HEALTH ...........
3 SETS OF PLANS ...........
SURVEY ....................
CHECK .....................
SEPTIC FORN ...............
NOTIFY
MAIL
Disapproved a/c .....................................
APPLICATION FOR BUILDING PERMIT
Date UCC/3. S.O. ~.~
........... , ..... 19
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, ~tith
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan shmving location of lot and of buildings on premises, relationship to adjoining premises or public stree
or areas, and giving a detailed description o£ layout of property must be drawn on the diagram which is part of th.is appI
cat/on.
c. The work covered by tiffs application may not be commenced before issuance of Building Permit.
d. Upon approval of tliis application, the Building Inspector will issued a Building Permit to the applicant. Such perm
shall be kept on the premises available for inspection throughout the work.
' e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc
shall have been granted by the Building Inspector. '
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o
Reeulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describec
Tlie applicant agrees to coruplY ~,iih all a~licab]e laws, ordinances, building code, housin~ code, and regulations, and t~
admit authorized inspectors on premises and in building for necessa.~.~ inspecti0~l~s.
(Signature ot applicant, or name, if a c'oi'po'r:~t~c~n') ' ' '
(Mailing address of applicant)
State whether applicant is owner, lessee,' agent; architect, engineer, general contractor, electrician, plumber or builder
........................... . .
Name of owner of premises ....:..!/~..¢.OjF;'~.j.~:~..J~FF),
'o'd t':e' ia 'r'o'li ;; i/t; t'i ;dd) ................
f apphcant is a corpora[ion, ~ignature of duly authorized officer.
(Name and title of corporate of~r) ......
Builder's License No. /dx) 67 ~ () ?J /
...... ~. p/./...: ~. ,,_.~,~....
Plumber's License No... ~.: ~.¥T~L~/=.'< .......
E,ectr c an's L =ense No...
Other Trade's License No.
I. Location of land on which proposed work will ~e don,e...,i ............ . ....
.............. · .... '"
House Number Street\ ·
Hamlet
Count.,,, Tax Map No. 1000 Section ............ Block
S bdi io - -
u vis n ...... e ap No. ot
(Name) ¥ - ............. L ...............
~. State existing use and occupancy of premises and intended use and occupancy of proposed Construction:
b. Existing use and occupancy ....... :~ Z... ~.<'?).1.:..(J.'%X.' .'¢, [j./)'~- ....... /'~'" :'Y', ..... ~"fi ~''
Intended usc and occupancy ......
3. Natureofwork ·
(check which applicable): New Building .......... A~n ....... Alteration ..........
Repair .............. Remo~_~ .............. Demolition .............. Other Work ...............
q e .'77. (D sc ption)
4. E$timate'dCost · · t ....................... Fee .....................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor.. . .....
Ifgara,,e,, number of cars .......................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....................
7. Dimensionsofexistingstructures, ifany Front . ,7..,.~' .. Rear . . ~.~'. Death
He,ght .... /.,5. ......... Number of Stories .... ./ .... - .........
Dimensions of same structure with alterations or additions: Front .... .7..~q~' Rear .~.-,~. ' ....
Dept ........... Height ... /5'' Number of Stories /
Dime new construction: Front .... ~.~.. . Rear Depth
Height .... ./~. '. ....... Number of Stories
9. Size of lot: Front ...... /.Q.Q.<. .......... Rear ...... 1.2 ............. Depth .~29 ~..T../.~.0.
10. Date of Purchase ........
............................. Name of Former Owner
· If yes, Southold Town Trustees Permit may be required.
PLOT DIAG ILAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate a/l set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or comer lot.
· 8.
APP O D AS NOTED
N~FY BUILDING DEPA~ RT
765-1~2 9 AM ~ 4 ~ FOR ~E
FOLLO~NG INSPE~IONS:
1. FOUNDAT~N - ~ REQUIRED
FOR ~URED ~NCR~E
2. ROUGH - FRAMING & ~UMBING
3. INSU~
4. FINAL CON~U~N MUST
BE COMPL~ ~R C.O.
ALL CONiStON S~ ME~
THE REQUI~E~ ~ ~ N.Y.
~ATE ~N~ & ~Y
CODES. N~ ~S~N~ ~R
DESIGN OR CONSigN ERRORS
STATE ,O,F NEW yORK,
COUNT OF ,
........ LJ.~ ~ [~. '),~C, ~C ~ ,' being duly sworn, deposes ~d says that he is the applicant
above named.
(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 m~ner act forth in the application filed therewith.
Sworn to before me this
........... .... .....
ANN N~ (Signature of applic~t)
~ ~b[ic, grote ~ New Y~
~. 52~125~50, S~olk ~un~
Term ~ir~ ~r al, 1 ~
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
ro.qer, richert~,t~ (wn~!~o~o~ .ny. us
BUILDING DEPARTMENT
TOWN OF $OUTHOLr~
APPLICATION FOR ELECTRICAL iNSPECTiON
REQUESTED BY:
Company Name:
Date:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
1000 Section:_ [~L{ Block:
*BRIEF DESCRIPTION OF WORK, (Please Print Cle~arty)
(Please Circle NI That Apply)
*Is.job ready for inspection:
*Do you need a Temp Certificate:
Temp Information (If needed} *
· Service Size: I Phase 3Phase 100
· New Service: Re-connect Underground
YES / NO Rough In Final
YES / NO
150 200 300 350 400 Other
Number of Meters Change of Service Overhead
Additional Information:
82-Request for Inspection Form
PAYMENT DUE WITH APPLICATION
FRANK A. KUJAll/SKI, JR., President
ALBERT J. KRUPSKI, JR., Vice-President
JOHN M. BREDEMEYER, III
JOHN L. BEDNOSKI, JR.
HENRY P. SMITH
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
May 27, 1988
TELEPHONE
(516) 765-1892
Mr. Henry P. Smith
Box 487
Southold, New York
11971
Re: Waiver request
Dear Henry:
The following action was taken by the Board of Town Trustees during
their regular meeting held on May 25, 1988 regarding the request for a
waiver for the construction of a shed on your property in Southold.
RESOLVED that the Southold Town Trustees approve the request made
by Henry P. Smith for a waiver of the Wetland Ordinance to place an :8'
x 12' tool storage shed on property located on Hobart Road, Southold.
Please remit the required $25.00 fee for this waiver at this time.
Very truly yours, ~
rank A. Kuj~wski, Jr.
President
Board of Town Trustees
FAK: ip
cc: Bldg. Dept.
Board of Appeals
file
10-88-2016
N/A
PERMIT
Under the Envirenmeotal Conservation Law
Article 15, Title 3; 6NYCRR 327,
328, 329: Aquatic Pesticides
Article 15, Title 5:
Protection of Water
Article 15, Title 15:
Water Supply
] Article 15, Title 15:
j Water Transport
---- Article 15, Title !5:
Long island Wells
Article 15, Title 27:
~ Wild, Scenic and Recreational
Rivers
-- 6NYCRR 608:
__ Water Quality Certification
Article 17, Titles 7, 8:
SPDES
Adicle 19:
Air Pollution Control*
Articfe 23, Title 27:
__ Mined LanO Reclamation
-- Article 24:
__ Freshwater Wetlands
N--New, R--Renewal, M--Modification,
C--Construct (*only), O--Operate (*only)
iN
l/19/89
1/31/90
-- Article 25:
Tidal Wetlands
Article 27, Title 7; 6NYCRR 360:
Solid Waste Management*
Article 27, Title 9; 6NYCRR 373:
Hazardous Waste Management
Article 34:
Coastal Erosion Management
Article 36:
Floodplain Management
-- Articles 1, 3, 17, 19, 27, 37;
6NYCRR 380: Radiation Control
Henry P. Smith
Hobart Ave., Southold, NY 11971
AGENT [OR PERMrTiEE'CONTACT PERSON J TELEPHONE NUMBER
JMO Consulting, P.O. Box 361, North Country Rd., Wading River, NY~1792
Town Creek SCTM No. 1000-064-3-1
Southold Suffolk Southold
Remove a deck attached to an existing single family dwelling and construct an
addition with basement and new deck. Construct a 10'x12' shed. Ail work shall be
in accordance with the attached NYSDEC approved plan.
GENERAL CONDITIONS
By acceptance of this permit, the permittee agrees that the permit ~$ contingent upon strict compli-
ance with the ECL all applicable ~egulations and the conditions specified herein or attached hereto.
P~RM~? ~SS~,,~C~ V^T~ ! P¥~g~¥~,:~,%~,R~5'6~'' I ^O~REss /
Costopoulos 'lBldg. 40 SUNY Rm. 219 Stony Brook, NY 117!4
~/1~_~9
Christine
cc: BMHP
9S-20-6a (1/86)-- 25c
ADDITIONAI~ GENERAL CONDITIONS FOR ARTICLES 15 (Title S), 24, 25, 34,
10. That if future operations by the State of New York require an al-
teration in the position of the structure or work herein authorized, or
if, in the opinion of the Department of Environmental Conservations
it shall cause unreasonable obstruction to the free navigation of said
waters or flood flows or endanger the health, safety or welfare of
the people of the State, or cause loss or destruction of the natural
resources of the State, the owner may be ordered by the Department to
remove or alter the structural work, obstructions, or hazards caused
thereby without expense to the State, and if, upon the expiration or
revocation of this permit the structure, fill, excavation, or other
modification of the watercourse hereby authorized shall not be com-
pleted, the owners, shall, without expense to the State, and to such
extent and in such time and manner as the Department of Environmental
Conservation may require, remove all or any portion of the uncompleted
structure or fill and restore to its former condition the navigable
and flood capacity of the watercourse. No claim shall be made against
the State of New York on account of any such removal or alteration.
11 ~ That the State of New York shall in no case be liable for any damage
or injury to the structure or work herein authorized which may he caused
by or result from future operations undertaken by the State for the
conservation or improvement of navigation, or for other purposes, and
no claim or right to compensation shah accrue from any such damage.
12 Granting of this permit does not relieve the applicant of the responsi-
bility of obtaining any other pet'mission, consent or approval from
the U.S. Army Corps of Engineers. U.S. Coast Guard, New York State
Office of General Services or local government which may be required.
13 All necessary precautions shall be taken to preclude contamination
of any wetland or waterway by suspended solids, sediments, fuels,
solvents, lubricants, epoxy coatings, paints, concrete, leachate or any
36 and 6 NYCRR Part 60~ ( )
other environmenta]ly deleterious materia[s associated with the
pr, oiect.
14 Any material dredged in the prosecution of the work herein permitted
shall be removed evenly, without leaving large refuse piles, ridges across
the bed of a waterway or floodplain or deep holes that may have a
tendency to cause damage to navigable channels or to the banks of
a waterway.
15 There shall be no unreasonable interference with navigation by the work
herein authorized,
16 If upon the expiration or revocation of this permit, the project hereby
authorized has not been completed, the applicant shall, without expense
to the State, and to such extent and in such time and manner as the
Department of Environmental Conservation may require, remove all or
any portion of the uncompleted structure or fill and restore the site
to its former condition. No claim shall be made against the State of
New York on account of any such removaJ or alteration.
17 If granted under Article 36. this permit does not signify in any way
that the project will be free from flooding.
18 If granted under 6 NYCRR Part 608, the NYS Department of Environ-
mental Conservation hereby certifies that the subject project wdl not
contravene effluent limitations or other limitations or standards under
Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977
(Pt 95-217) provided that all of the conditions listed herein are met
19 All activities authorized by this permit must be in strict conformance
with the approved plans submitted by the al~icant or his agent as part
of the permit application.
Such approved:~~~yx photOCOl~ of survey by
R. Van Tuyl dated 4/11/78, last revised 8/9/88 showing shed
locatzon; szte p£an Dy ~. t~less dated ~8/88, snowing add-
ition and deck locations.
SPECIAL CONDITIONS
1. Roof runoff shall be directed to drywells for on site recharge.
Supplementary Special Conditions (A) thru (J) attached.
DEC PERMIT NUMBER
10-88-2016
PROGRAM/FACILiTY NUMBER
N/A
Page 2 of 3
SUPPLEMENTARY SPECIAL CONDITIONS
The following conditions apply to all permits:
If any of the permit
tact the Division of
noted below.
conditions are unclear,the permittee shall con-
Regulatory Affairs at the address and telephone
A copy of this permit with supplementary conditions and approved
plans shall be available at the project site whenever authorized
work is in progress.
The permit sign enclosed with the permit or a copy of letter of
approval shall be protected from the weather and posted in a con-
spicuous location at the work site until completion of authorized work.
De
At least 48 hours prior to commencement of the project, the permittee
shall complete and return the top portion of the enclosed receipt form
certifying that he is fully aware of and understands all provisions and
conditions of this permit. Within one week of completion of the
permitted work, the bottom portion of that form shall also be com-
pleted and returned.
For projects involving activities to be accomplished over a period of
more than one year, the permittee shall notify the Regional Permit
Administrator in writing at least 48 hours prior to the commencement
of resumption of work each year.
If project design modifications take place after permit issuance, the
permittee shall submit the appropriate plan changes for approval by
the Regional Permit Administrator prior to undertaking any such modi-
fications. The permittee is advised that substantial modification
may require submission of a new application for permit.
Ail necessary precautions shall be taken to preclude contamination of
any wetlands or waterway by suspended solids, sediment, fuels,
solvents, lubricants, epoxy coatings, paints, concrete, leachate or
any other environmentally deleterious materials associated with the
project work.
Ho
Any failure to comply precisely with all of the terms and conditions
of this permit, unless authorized in writing, shall be treated as a
violation of the Environmental Conservation Law.
The permittee is advised to obtain any permits or approvals that may
be required from the U.S. Department of Army Corps of Engineers, NY
District, 26 Federal Plaza, New York, NY 10278, (Attention: Regulatory
Functions Branch), prior to commencement of work authorized herein.
The granting of this permit does not relieve the permittee of the
responsibility of obtaining a grant, easement, or other necessary
approval from the Division of Land Utilization, Office of General
Services, Tower Building, Empire State Plaza, Albany, NY 12242, which
may be required for any encroachment upon State-owned lands underwater.
Regional Permit Administrator
NYS Dept. of Environmental Conservation
Bldg. 40, SUNY-Room 219
Stony Brook, NY 11794
(516) 751-7900
Page 3 of _~3
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 O~" SOUI'HOLD
July 11th, 2007
Henry P. Smith
1380 Hobart Road
Southold, N.Y. 11971
RE: 1380 Hobart Rd. (Demo/addition)
SCTM#643 1 1
Dear Mr. Smith,
Please be advised that your Building Permit # 17807 issued February 7th, 1989 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $114.60; 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.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (63 I) 765-1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
March 1st, 2010
FIRST NOTICE
Henry & Vera Smith
1380 Hobart Road
Southold, N.Y. 11971
RE: 1380 Hobart Rd. (DECK aOOx~ xOIq/ADDITIOIq)
SCTM: # 1000-109.-64.-3-1.1
bear Mr. & Mrs. Smith,
Please be advised that your Building Permit # 33286 issued August 1st, 2007 has
expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy
must be issued before the use of the structure.
To renew your Building Permit's please submit a fee of $114.60: at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLb TOWN BUILblNG bEPT
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TO~fiFN OF SOUTHOLD
F'rNAL NOTZCE
September 12th, 2010
Henry & Vera Smith
1380 Hobart Road
5outhold, N.Y. 11971
RE: 1380 Hobarts Rd. (DECK ADDTI'ZON/ADD~.i~.ON)
SCTM #1000-109.-64.-3-1.1
Dear Mr. & Mrs. Smith,
Please be advised that your Building Permit # 33286 August 1st, 2007 has expired.
According to the Code of the Town of 5outhold, a Certificate of Occupancy must
be issued before use of the structure.
To renew your Building Permit, please submit a fee of $114.60. At that time, we can
schedule an inspection by one of our Building Znspectors.
Zf you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLD TOWN BUZLD'rNG DEPT
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765 9502
BUILDING DEPARTMENT
TOWN OF SOUTItOLD
June 8,2011
Henry Smith
1380 Hobart Road
Southold, NY 11971
TWO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
~ Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of 50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
__ Trustees Certificate of Compliance. (Tow, Trustees #755-1892)
__ Final Planning Board Approval.
__ Final Fire Inspection from Fire Marshall.
__ Final Landmark Preservation approval.
BUILDING PERMIT: 35853-Z addition and deck
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OCCUPanCY 0~ ' -
~ -~.,~t. USE IS UN~WFUL
WITHOUT CERTIFICATE
""""""e'". '..-. OF OCCUPANCY rP~.' "'"~ -'
for mter distributing
I ~ ~ ~ FEE: ~BY: ~
~NGBEFORE~I~ NOTIFY B~DE~T ~ ~IP& pO~lZ
' 765-1802 9 AM ~ 4 ~ FOR ~E ~ ~ % LJ
FOLLOWING mN~P[~IONS:
i, FOUNSA~N . ~ R~UIR~ -
m. mU.eD CONC.m
PLUMBER CERTIFICATION 2, .OUGH - roaMING · I'L~MBING
3, I~SU~ON
ON ~AD CONTE~ BEFORE ~. ~*na~ - CON.ruiN MUSt
~F OCCUPANCY BE ~MP~ FOR C.O.
ALL CON~ON
~ ~/~ W~ THE REGUm~E~ O~ ~ N.~
~Ld'
1
FIRST FLOOR PLAN
II
.~Lo~eT
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1/4" = 1'-0" FOUNDATION/BASEMENT PLAN 1/4" = 1'-0"
DXlCT~VAL~