HomeMy WebLinkAbout37363-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
8/3/2012
No: 35860 Date: 8/3/2012
THIS CERTIFIES that the building ALTERATION
Location of Property: 505 LIGHTHOUSE LANE, SOUTHOLD,
SCTM #: 473889 Sec/Block/Lot: 70.-6-29.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/30/2008 pursuant to which Building Permit No. 37363 dated 7/16/2012
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:
minor interior alteration and windows in an existing one family dwelling as applied for.
The certificate is issued to
PdTA & JOHN KILGALLEN
(OWNER)
of the aforesaid built[rog.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIHCATE NO.
PLUMBERS CERTIFICATION DATED
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATIO. N FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ·
Date. :l[~[' ~'~
New Construction: Old or Pre-existing Building:
Location of Property: ~ ~..~,~ h t C [')"]-h OL~.~ ~
House No.
Owner or Owners of Property:'----'~
Suffolk County Tax Map No 1000, Section
(chc~ne).
-Hamlet
Block (~p Lot ~, [
Subdivision
Permit No. 3r'~ % [_o
Health Dept. Approval:
Filed Map.. Lot:
DateofPermit. t~.{ICt}~c~ Applicant:t¥~0_ I(.~f~l~r[~
'
Underwriters Approval: "
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~5 C).cr~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 37363
Permission is hereby granted to:
RITA & JOHN KILGALLEN
608 WALNUT STREET
WASHINGTON TOWNSHIP, NJ 07676
Date: 7/16/2012
To:
MINOR INTERIOR ALTERATION & WINDOW REPLACEMENT AS APPLIED
FOR.REPLACES EXPIRED B.P. # 33911
At premises located at:
505 LIGHTHOUSE LANE, SOUTHOLD
SCTM # 473889
Sec/Block/Lot # 70.-6-29.1
Pursuant to application dated
To expire on 1/16/2014.
Fees:
4~30~2008 and approved by the Building Inspector.
PERMIT RENEWAL
Total:
$200.00
$200.00
lng Inspector
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)
PEP,~IT NO. ~911 Z~7~ Date MAY 15, 2008
Permission is hereby granted to:
JAMES GIBBONS
99 7TH STREET APT 1-C
GARDEN CITY,NY 11530
for :
MINOR INTERIOR ALTERATION & WINDOW REPLACEMENT AS APPLIED FOR
at premises located at 505 LIGHTHOUSE LA SOUTHOLD
County Tax Map No. 473889 Section 070 Block 0006 Lot No. 029.001
pursuant to application dated APRIL 30, 2008 and approved by the
Building Inspector to expire on NOVEMBER 15, 2009.
Fee $ 200.00
Authorized Signature
Rev. S/8/02
COPY
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] I~J~ATION
[J/~INAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ]ELECTRICAL(ROUGH) _ ~] EL~.~_RICAL (FINAL)
REMARKS: __ ~
DATE
FIELD INSPECTION REPORT I DATE I' COIvllVlENTS (36
FOI[JNI)ATION (1ST)
FOUNDATION (2ND)
ROUGH F~G &
LNSL~ATION PER N. Y.
STATE ENERGY CODE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined ~11 5"', 20 0~/,
^pproved
Disapproved a/c
Expiration
PERMIT NO.
Building Inspector
BUILDING PERMIT }kPPLICATION 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:
Mall to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date
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 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 fi.om 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 Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, ho~tgi~g code, an~ regulations%and to adm/t
authorized inspectors on premises and in building for necessary inspects/ns.
~d~pp~a~ ~f a cOrpOratiOn)
(h//a~ling address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~0-/P6 ~
Cf applic~y
(Na~e anc~t~tle of co~--"o'i4te officer)
(As on the tax roll or latest deed)
,tvithorized officer
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Lo~otion, z~ C)~-°fland on which~.,[. -~ proppsed~ ~ork[~ ¢)Axk~will be d0ne:]__aLdqE , x ,~ 0
House Number x-,Street Hamlet
County Tax Map No. 1000 Section l'q ~ Block Co
Subdivision Filed Map No.
(Name)
Lot :
Lot :
2. State existing use and occupancy ofpre~e? and inte en~se and occt~pancy of proposed construction:
a. Existing use and occupancy ,_D t r0 C [ -e' ~t ct
b It ~ -
. n ended use and occupancy %(~)~lff
3. Nature of work (check which applicable): New Building Addition 'Altegation
Repair Removal Demolition Other Work
(~ (Description)
Estimated Cost ] ! 00 0 Fee
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. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear
Height Number of Stories ~-~
_Depth
Dimensions of same structure with alterations or additions: Front
Depth_ Height Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size of lot: Front I ~-q ,t~'" Rear [ ~c~-'
Rear Depth
Depth 5q 0.q
10. Date of Purchase
Name of Former Owfier
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
14. Names of Owner of_premises-..¥trv~e5 ~,gbo 5Address~g <[eoe'~,4~.t POt~ Phone No.
Name ofArchitect xnet! t'b o,q Address 5o w" qo ld Phone No
Name of Contractor Address Phor~e No.
15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet cfa tidal wetland? * YES NO
* IF, YES, D.E.C. PERMITS MAY BE REQUIRED.
NO
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 )
t~'~mn~m musw ~ cumx~t~ ~ auuw nmn~ -'~*-~?~cV~"-~0~"'?d"~""--~ng ~f-k'St{~ ~0~4"~-~tJdbeing duly sworn, deposes and says that (s)he is the applicant
~ (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 tree 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.
Sw~r~I~ before me this r~ _ ~
' ~' day of ~
Not~ Public
~dh Coy*
No~ Public State of New Yo~
No. 01 LO6054063
Qualified in Suffolk Coun~ ~ ~
Commission ~pires Mamh 5, 20 ~
20
/:::_ ?~_ ¢_ z. 2./TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
,::'FORMER OWNER
SEAS. VL FARM
LAND
IMP.
TOTAL
DATE
NEW NORMAL BELOW ABOVE
Farm Acre Value Per Acre Value
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
Brushland
House Plot
Tota I
J VILLAGE
COMM.
k
DISTRICT SUB. LOT
~)CREAGE
TYPE OF BUILDING
FRONTAGE ON WATER
FRONTAGE ON ROAD
BULKHEAD
DOCK
Est. Mkt. Value
IND. I CB. MISC.
M. Bldg.
Extension
Extension
Extension
Breezeway
Garage
/46-
~/~"z~/'~ Foundation
Basement
,~;~ // ~Ext. Walls
Fire Place
Patio
,, ~ ~'TJDriveway
Porch
Porch
Interior Finish
Rooms Ist Floor
Rooms 2nd Floor
Dormer
McCARTHY MANAGEMENT, INC.
46520 Coun~ Road 48
SOUTHOLD, NEW YORK 11971
(631) 765-5815
FAX (631) 765-5816
WE ARE SENDING YOU [] Attached [] Under separate cover via
:>
[] Shop drawings [] Pdnts [] Plans
[] Copy of letter [] Change order []
[] Samples
the following items:
[] Specifications
THESE ARE TRANSMITTED as checked below:
[] For approval
[] For your use
[] As requested
[] For review and comment
[] FOR BIDS DUE
[] Approved as submitted
[] Approved as noted
[] Returned for corrections
[]
[] Resubmit
[3 Submit
[] Return
copies for approval
copies for distribution
corrected prints
[] PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
PRODUCT 240T
SIGNED:
If enclosures are not as noted, kindly notify us at once.
McCARTHY MANAGEMENT, INC,
46520 Coun~ Road 48
SOUTHOLD, NEW YORK 11971
(631) 765-5815
FAX(631) 765-5816
TO
RE:
WE ARE SENDING YOU [] Attached [] Under separate cover via
[] Shop drawings [] Pdnts [] Plans
[] Copy of tetter [] Change order []
the fOllowing items:
[] Samples [] SPeCifications
THESE ARE TRANSMI~i-ED as checked below:
[] For approval
~ For your use
[] As requested
[] For review and comment
[] FOR BIDS DUE
[] Approved as submitted
[] Approved as noted
[] Returned for corrections
[]
[] Resubmit
[] Submit
[] Return
copies for approval
copies for distribution
corrected prints
[] PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
PRODUCT 240T
SIGNED:
If enclosures are not as noted, kindly notify us at once.
Southold Town Building Department
P.O. Box 1179
54375 Main Road
Southold, New York 11971
(631) 765-1802
Parcel ID: 70.-6-29.1
Permit #: 33911
Permit Date: 5/15/2008
Expiration Date: 11/15/2009
Applicant:
Location:
Work Description:
Dated: 7/6/2012
RITA & JOHN KILGALLEN
505 LIGHTHOUSE LANE, SOUTHOLD
ALTERATION
MINOR INTERIOR ALTERATION & WINDOW REPLACEMENT AS APPLIED FOR.
Owner: RITA & JOHN KILGALLEN
Address: 608 WALNUT STREET
WASHINGTON TOWNSHIP, N.I 07676
Your BUILDING PERMIT #33911 has been referred to me because you have not responded to requests
to obtain your Certificate of Occupancy as required by Southold Town code.
Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or
occupied in whole or in part until a certificate of occupancy shah have been issued by the Building
Inspector."
Therefore, you have ten days from the receipt fo this letter to submit a check made out to the Town of
Southold in the amount of $200.00 to renew the building permit, or legal action will be taken against you.
Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00
p.m.
Respectfully Yours,
Michael Verity: Chief Building Inspector
Southold Building Department
cc: Damon Rallis Zoning Inspector
Southold Town Building Department
P.O. Box 1179
54375 Main Road
Southold, New York 11971
(631) 765-1802
Parcel ID: 70.-6-29.1
Permit #: 33911
Permit Date: 5/15/2008
Expiration Date: 11/15/2009
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
Applicant:
Location:
Work Description:
Dated: 3/22/2012
R'rTA & ,,TOHN K.tL6ALLEN
505 L'r6HTHOUSE LANE
AL TERA T£ON
MTNOR TNTER]:OR ALTERATTON & WZNDOW REPLACEMENT A5 APPLZED FOR.
A FEE OF $200.00 l$ REQUIRED TO RENEW THTS BUILDING PERMIT.
Add,ess:
R'rTA & ,TOHN KI:L6ALLEN
608 WALNUT STREET
WASHTN6TON TOWNSHI:P, N,.T 07676
The permit listed above has expired. Please contact our office as soon as possible to begin
the renewal process. All work on the project must stop on the expiration date.
THANK YOU,
$OUTHOLD TOWN BU'rLDIN~ bEPT.
GIOVANNI PATAN~
ASSOCIATES
24 COVERT AVE
NEW HYDE PARK, NY 11040
November 28, 2008
Ms. Patricia Conklin
Town of Southold
P.O. Box 1179
Southold, NY 11971
Re: Permit No. 30855 Z
4050 Bayshore Road, Greenport
Dear Ms. Conklin:
DEPT.
Tel 516358-0150
Fax 516-358-1494
As discussed during a telephone conversation, I am requesting a six month extension of the
above-referenced building permit. Kindly call me at (516) 616-5680 when the permit is ready for
pick up.
Thank you for your continued courtesy and cooperation.
Gi~'vanni Patane~R~.
· ARCHITECTURE ' PLANNING · INTERIOR DESIGN
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765 1802
Fax (63 I) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTI-IOLD
July 27, 2012
Rita & John Kilgallen
608 Walnut St
Washington Township, NJ 07676
Re: 505 Lighthouse Lane, Southold
TO WHOM IT MAY CONCERN:
The Followin9 Items Are Needed To Complete Your Certificate of Occupancy:
// Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (contact your electrician)
~///A fee of $50.00.
__ Final Health Department Approval.
__ Plumbers Solder Certificate. (All permits involving plumbing after 4/1184)
__ Trustees Certificate of Compliance. (Town Trustees # 765-1892)
__ Final Planning Board Approval. (Planning # 765-1938)
__ Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 37363 - Windows
5,UR~ OF: PROPER'Eh'
51TLI^TtE-' SOU'T'HOLP
TOI~I, .~:2brTHOLP
5UFt=OLK C, CAJNT~, N'r'
SUR',/E'r'E[2
SUFFOLK C, OUNT¥ TAX
1000-~O-O-2q.I
~ames ~ibbom
N
. Now oc pocm6Cltj o~
', , ~, Lond RosO Hod~on
NOTES:
· IvlONUI~iE N T FOUND
AREA : 42,q~6 S.F. or o.qq AC. RE
6RAPHIC SGALE I"= 40'
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.Vff-Ip server~d~PROS\03-316.pro
KILGAI I
N RESID
SCALE:4 ±'' = I'-0"
WINDOW SCHEDULE
ALI_ WI],IDOW~ T~ DE ANDERSEN 400 SE~ES UNITS OP~ APPROVED EQUAL
4 I.D~ViDUAL WINDOWS, rACT$~.X MU~D 1 - J
WINDOW~ TO HAVE TP-,ADITION,Cd- STYLE, 5TO~E FINISH LO C E-,S ¢ IIAle, DWAI~ AND PULL
PEPJvlANENT EXTER. IOP., P-.EMOVADLE INTE~JOR. COLONIAL STYLE TO MATCH EXISTING WINDOWS
lO 4 25,9 26,1 30
'
FOE HADITADLE SFACE, ' ' '
' CUSTOM G~LLES - SEE ELEVATIONS
: I I
ALL OPENINGS INCLUDING WINDOWS AND DOOP-.5 SHALL DE PROTECTED wrI'H REMOVEADLE 5/8" WOOD STRUCTURAL PANEL5
~OP-5PANS U? Tg~IIO~ SHALL SE 2, .... 1/2"-#¢ AT.. I 2" O/C.,. TADLE 301.2.1.2 ......... i ~ Ir [
I~LL UNITS MUST MEL=T 01~ EXCEED THE MINIMUM DESIGN FI~,[SSUP-Z ~QUlI~.D;'.4~ MLILL~D UNITS MUST M~ET bE EXCEED
NC
BACK. ELEVATION - EXISTING
CENTERUNE OF NEW
WINDOW' TO ALIGN WITH
~KISTING BAY TO R~MAIN;
N[W WINDOW5 TO MATCH
EXISTING HEADER; HEIGHT
ALL CONSI'ifiL l lobr $1II,~,LI.
MEET THE RECUIF[~i',iENTS OF THE
CODES OF NEW YORK STATE,
EXISTING DAY
FI~OVIDE 2- 14~ X ~' LVL
APPROVED
Bf':
~7ji6-1802 8AM TO IOR THE
FOLLOWfNG ff~SPEC?IOHS:
FOUNDATION . ?WO RE ~UT~ED
FOR POURED CONCRE
EXISTING LIVING R. OOM
TO I~ZMAIN
2- I ~" X ~ LVL D~OPPED
2. ROUGH - FRAM NO & p[ JI~EII,~G
ALL CONSTRUCTION SHALL MEET THE
REQUIREMEI%~,S OF THE CODES OF
FLOOE PLAN
5CALI~: ¼"= ILO"
OCCUPANCY OR
USE IS UNLAWFUL.
WITHOUT (';: :- ~- -,
OF OCCUF, ~:
PAGE: