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Home My WebLink About35904-Z 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) PERMIT NO. 35904 Z Date SEPTEMBER 29, 2010 Permission is hereby granted to: BRIGITTE GIBBONS PO BOX 332 NEW SUFFOLK,NY 11956 for : INSTALLATION OF ELECTRIC SOLAR PANELS & HOT WATER SOLAR SYSTEM AS APPLIED FOR at premises located at 1380 GRATHWOHL RD NEW SUFFOLK County Tax Map No. 473889 Section 117 Block 0004 Lot No. 006 pursuant to application dated SEPTEMBER 15, 2010 and approved by the Building Inspector to expire on NLARCH 29, 2012. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOL~fHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28851 Z Date OCTOBER 23, 2002 Permission is hereby granted to: BRIGITTE GIBBONS PO BOX 985 MATTITUCK,NY 11952 for CONSTRUCT 2 STORY ONE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR. THIS PERMIT REPI2%CES BP#24905. at premises located at County Tax Map No. 473889 Section 117 pursuant to application dated OCTOBER Building Inspector to expire on APRIL 1380 GRATHWOHL RD NEW SUFFOLK Block 0004 Lot No. 006 23, 2002 and approved by the 23, 2004. Fee $ 801.00 ' Au~/i~d Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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. New Construction: J Old or Pre-existing Building: (check one) Location of Property: I Z ~"; ~ ~._~ l~-~. '~. House No. Street '" ~J Hamlet Owner or Owners of eroperty: ~/~t~--, t Wff. /'~ ,'~]~F) Suffolk County Tax Map No 1000, Section ~ ( 7 Block ¢ Lot Subdivision Filed Map. Lot: Applicant: f~-~ /~ ~ (.,/ Permit No. ~/ ~>~0 ~ Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ '~ Underwriters Approval: Final Certificate: (check one) f~pplicant Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ¢//~ , 20/O Approved ~/'~¢ ,20/67 Disapproved aJc PERMIT NO. 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 Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: .....~,-- : '~ ,TION FOR BUILDING PERMIT ,...%.}:~t f 'y Date AU61]$T 2.q ,20/o ~ ~::; ;:?t INSTRUCTIONS TOY, fl [)F ,C,, ,OLD a. This pphcatlon MUST be completely illed 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 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 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder A6E T Name of owner of premises ?-_¢hcO~-~]-/ (~-4t~BO/~IS (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License 1. Location of land on which proposed work will be done: t ¢o I6 I JoI4L £ A'b , C -£No uE House Number Street Hamlet County Tax Map No. 1000 Section [Iq Block C/~ Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy ofp~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy 'KEb ~-"DgNdE - ~ ~N6 L*C FAI'4:r.I..¥ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cos?-/4t~t ~00. O0 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work ~3F MOIIb/TE'D ~3LAtl (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. fi~//A 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear .Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of ent}re new construction: Front Height N//~ Number of Stories 9. Size of lot: Front qO ' Rear fro ' Rear · Rear i /k7/A Depth /~///~ Nlq '"' Depth J(.oO ' "--" 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X 13. Will lot be re-graded? YES__ NO ~ Will excess fill be removed from premises? YES NO X 14. Names of Owner of premises~"Address I~l~ r ,~ ~d ca, Phone No. Name of Architect ~Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES K 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. NO X STATE OF NEW YORK) SS: COUNTY OF ) ~'~O.qo0~ '~.'-JT-~-n~ being duly sworn, deposes and says that (s)he is the applicant ~l~l~m~ of individuai'signing contract) above named, (S)He is the Ar..lt.~Jr d (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. Swom___~before me thi~ /~ "-- day of_...~ 15] , ,, 20/__0 Notary Public LAUREN M, STANDISH Nota~y..Publlc, State of New York fro. 01ST6~64008 Qualified in SuffollvCounty Commi.~,qion Expir~~_ .,,~ / -Sighatu~e of Applicant ·ToWn of Southold Erosion, Sedimen~to~--Water Run-off ASSESSMENT FORM P~OPE~Y tL~)N.C~S.C.T.~.#: ~E FO~O~ ~O~ MAY ~UI~ ~. SU~ON OF A o~n ~ ~ U~K~IFIbD BY A D~iU~ PRO~IO~ IN THE STA~ OF NW YO~ SCOPE OFWORK PROPOSED CONSI=qUCIION (Inclode Tofal Ama of aD Parceis incated within b. What is the Total Area o~ Land Cisadng and/or Ground Disturbance for the proposed (S.F./~) Will this ProJ~of Retain NI Storm-Watar Run-Off Generated by a Two (2") Inch Reinfafl on 81to? ('l~is Item will Include all mn-off c~',atod by site olearing and/or con~truc0on actlvltles as well as al Sl~e Improvements ar~l'the pem~nent creation of Irn~s suflace~.) Does the ~ta Plan and/or Survey Show AIl Proposed Dmlnage b~ruc~ures Indfca~ng Size & Lo(ration? Th~ Item sha# include all Proposed Grade Changes and Slopes ~g Surface Wa~er Flow. Does the 81to Plan and/or 8unmy descn*be the erosion and ~llm*a~ °°n~°l Pm~ka~ thet will be u~l ta item must be mathtothed threui~0ut the En~e ConsthJction Period. Will this P~ Requhe.any Land Filling, Greeting or Excavation where there is a chai~ge to the Natural E)ds~g Grade bwolvthg mom than 200 Cubic Yards of Material w~thin any Parce~ . Will this AppiicetJon Require Land Disturbing ActJvittas Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Grcund Surface? Is there a Natural Water Course Rumdng through the Site? Is this Project withth the Trustees jurisdlctton or wi~in One Hundred (100') feet of a WeGand or B~h? Will' thore be $1ta prep~rofton on F-~xlsting Grode 81op~s 1~... which Exceed Fllteen (15) feet °f Vedicet Rise to One Hundred (100) of Horizontal Dista~ce? Will Driveways, Parldng Areas or other impervious Suri~ I~ ~o~d. to ~ ~tonn-Wat~r into and/or in the direction of a Town (~r)t:of-way? WIll this Projec~ Require the Placemen~of Ideteda~. Rem6val °f Vegetolf~3n and/°r the C°nstmc~°n °~' any STATE OF NEW' YORK, COUNTY OF ..~.k,::......~...~ ..E~..........; ......... And ~t h~she ~ ~c .~. ~.:~:~'~;~ ~ ~or ~p~e of S~ to ~fo me ~ . o. ................. ................. ............ // (~~) FORM - 06/t 0 Southold Town Building Department P.O. Box 1179 54375 Main Road Southoid, New York 11971 (631) 765-1802 Parcel ID: 117.-4-6 Permit #: 35904 Permit Date: 9/29/2010 Expiration Date: 3/29/2012 BUILDING PERMIT RENEWAL LETTER Dated: 1/15/2013 Applicant: Location: Work Description: BRIGITTE GIBBONS 1380 GRATHWOHL RD NEW SUFFOLK SOLAR PANEL INSTALLATION OF ELECTRIC SOLAR PANELS & HOT WATER SOLAR SYSTEM AS APPLIED FOR A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Address: BRIGITTE GIBBONS P.O. BOX 332 NEW SUFFOLK, NY 11956-0032 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. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department P.O. Box 1179 54375 Main Road Southold, New York 11971 (631) 765-1802 Parcel ID: 117.-4-6 Permit #: 35904 Permit Date: 9/29/2010 Expiration Date: 3/29/2012 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Applicant: Location: Work Description: Dated: 4/23/2013 BRIGITTE GIBBONS 1380 GRATHWOHL RD NEW SUFFOLK SOLAR PANEL INSTALLATION OF ELECTRIC SOLAR PANELS & HOT WATER SOLAR SYSTEM AS APPLIED FOR. A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Address: BRIGITTE GIBBONS P.O. BOX 332 NEW SUFFOLK, NY 11956-0032 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. 7011 1570 0001 8894 7797 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. \ \ 1. FLOOD ZONE ZONE Aa: (i ( JOSEPH SCHMITT Consulting En ineers Joseph Schmitt, Consulting Engineers 12 VVylie Way Stony Brook, NY 11790 RETAIN STORM WATER RUN(5'J~'~6316314389-727°-751-7047 PURSUANT TO CHAPT~ OF THE TOWN ba~O~,jsse~schmittengineedng'c°m September 8, 2010 Town of Southold Building Department Town Hall Annex Building 54375 Route 25, P.O. Box 1179 Southold NY 11971 RE: Joseph & Brigitte Gibbons 1380 Grathwohl Rd. Cutchogue, NY 11935 Dear Sir/Madam: I have reviewed the UNIRAC Free Standing PV the following: AF)ROVED AS NCT~D 765-1802 8~ T04 PM FOR THE FOLLOV$1NG INSPECTIONS: 1. FOUNDATION - 'I1NO REQUIRED FOR POURED CONCRETE STRAPPING, ELECTRICAL & CAULKING 3. INSULA310N 4 FINAL- CONSTRUCTION & ELECTRICAL MUST BE COMR. ETE FO~ C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW Mount , based on I. The ASCE7- Code for wind and snow loads using 20 psfground snow loads and 130mph wind loads in Exposure "D". Il. "Manual of Steel Construction: Load Resistance Factor Design," 3rd Ed, American Institute of Steel Construction, Chicago, IL, 2001. III. "Aluminum Design Manual: Specifications and Gui&lines for Aluminum Structures":, The Aluminum Association, Washington D.C., 2000. IV. Mechanical Properties of UNIRAC extruded rails and related components based on data obtained from UNIRAC. In our opinion the UNIRAC Free Standing PV Mounting Frame meets the requirements of the 2010 Building Code of New York State. Sincerely, Joseph Schmitt, P.E. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ~DERWF{~RS CEFflFIOATf- REQUIRED