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HomeMy WebLinkAbout37839-ZTown of Southold Annex 7/16/2013 P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36403 Date: 7/16/2013 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1075 Harbor Ln, Cutchogue, SCTM #: 473889 SeeBlock/Lot: 97.-6-12.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fded in this officed dated 2/26/2013 pursuant to which Building Permit No. 37839 dated 3/4/2013 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: additions and alterations including dormer and covered porch to an existing one family dwelling as aunlied For. The Certlflcate is issued to Moylan, Mary Patricia &Moylan, Timothy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 7/12/13 37839 7/15/13 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 #: 37839 Date: 314/2013 Permission is hereby granted to Moylan, Mary Patricia & Mo~lan, Timothy _ 3090 Equestrian Dr Boca Raton, FL 33434 To: Alterations to an existing single family dwelling as applied for. At premises located at: 1075 Harbor Ln, Cutchogue SCTM # 473889 Sec/Block/Lot # 97.-6-12.2 Pursuant to application dated To expire on 9/3/2014. Fees: 2/26/2013 and approved by the Building Inspector. SINGLE FAMILY DWELLING -ADDITION OR ALTERATION CO -ALTERATION TO DWELLING $617.60 $50.00 ._ c . 4 ,t ~> ~~ I< Fam No.fi TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF ~~ I~~ ~ 20,3 ,~D ~ JUN 2 4 , Il This application must be filled in by typewriter or ink and submitted to the Building De~artffientav+tlrt~e~'fo{lowing:- 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 Tess than 2/10 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 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 [o 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. (p Z New Construction: p ~7 Old or re-ex~sLting Building: (che/c~k o,,n/e) ` Location of Property: / ~ I ~ ~//a/1-- vR"f" ~ C.~r.{ }~L K c7 SGLI: House No.'_ Street ~ ~ '' Hamlet Owner or Owners of Property: / ~LJ r Suffolk County Tax Map No 1000, Section ~ ~ lock Lot %p? __~ Subdivision Filed Map. Lot: Permit No. `> ~~~ ~~ ~"; ~ Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applican gna[tire Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 ~o~,,... _.^ co~@ ~ ? N 2 • a~ ~~~1 ; 4'~ 4f~ Telephone (631) 765-1802 Fax (631)765-9502 roger richertCc~town.southold.nv.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Moylan Address: 1075 Harbor Ln City: Cutchogue St: NY Zip: 11935 Building Permit #: 37839 Section: 97 Black: 6 Lot: 12.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Roslak Electric Inc License No: 3677-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pod New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 12 Ceiling Fixtures 2 HID Fixtures Service 3 ph Hot W ater GFCI Recpt 3 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures 10 CO Detectors Sub Panel A/C Blower Range Recpt 1-50 Fluorescent Fixture Pumps Transformer Appliances dw Dryer Recpt 1-30 Emergency FiMures Time Clocks Disconnect Switches 19 Twist Lock ExR Fixtures TVSS otner Equipment: 1-paddle fan, 1-exhaust fan Notes: Inspector Signature: <~~~~~%~a Date: July 15 2013 Electrical Certificate.xls Town Hall Annex 54375 Main Road P.O. Box t I79 Southold, New York f 1971-0959 ~O~apf SObT~~ '~ '~ B[JII.DING DEPARTMENT TOWN OF SOUTHOLD CERTiFICATION Telephone(G3l)765-i802 Faz(631)785-9502 Date: ~,J~ l ` ~ ~ ~6~ Building Permit No. Owner: ~ ~ v~ 1 (Pleyase t) ~ "~ Plumber: U V ~ I~d 1 yr~ V-'J I~( (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1 °!o lead. Swom to before me this 1~ day of Q~„J1.~~ 20~~ ~~~_~~'~ Notary Public, County CONNIE D. BUNCH Notary Public, State of New York No.016U6185050 Qualified in Suffolk County Commission Expires April 14, 2~ ')d=3 ~~' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ] FOU ATION 1ST [ ]ROUGH PLBG. [ ] F NDATION 2ND [ ]INSULATION [ ' FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] ELE~II~AL) REMARKS: ~° ,. ~~~-~ DATE INSPECTOR 1~'~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE 8~ CHIMNEY [ ] ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [~] ELECTRICAL (ROUGH) RE`MARKS: [ ]ELECTRICAL (FINAL) DATE v / INSPECTOR ~~~~ ~~- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECT [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING/STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) , [ ] ELECTRN:AL (FINAL) REMARKS: DATE INSPECTOR ~ ~~~ ~~ TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROU PLBG. [ ]FOUNDATION 2ND [ NSULATION [ ]FRAMING /STRAPPING [ ] FIREPLACE A CHIMNEY [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT [ ]ELECTRICAL REMARKS: [ ]ELECTRICAL (FINAL) c.E J~ DATE -3 INSPECTOR ,~~,~~,~ 7 ~~ ~ ~ ®~ ~,~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTI [ ]FOUNDATION 1ST [ ] R GH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ] FRiAMING I STRiAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIR ETY INSPECTION [ ] FlRE RESISTANT CONSTRUCTION [ RE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) ~[ ]ELECTRICAL (FINAL) REMARKS: ~~-~.~~~-'`.'~-x'~~``.'~ DATE ~ ~~ ~' INSPECTOR ~~\~ - ho~~,oFSOUryo6 ~F # ®~ "~amm;~' TOWN OF SOUTI~OLD BUILDING DEPT. 765.1802 ~~ / 1 NSPECTION ~~~tr] FOUNDATION 1ST ~j ~ [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ]ELECTRICAL (ROUGH) REMARKS: ROUGH PLBG. INSULATION FINAL FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION ELECTRICAL (FINAL) DATE INSPECTOR _ __ T _ :-x-~ ~o~~,oF souryo6 #®#~ ~~ ~~~.~ ~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) ~ ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR ~ \ FIELD N REPORT DATE CONIB4ENT3 , Wro ~ m T ~ °Q ~olrr loN (ISZ) A U, ~# ~ FOUNDATION 2ND y ~ ~ ) ( z ~ c v ~ ` ~ ROUGH FRAMING & PLUMBING y ~ ~ ~ ~ N 2- ~i . ~ ~ L ^ ` ~~ tlJ H INSULATION PER N. Y. STATE ENERGY CODE _ ~~ ~ C / ~~ `~~ ~_ FINAL /~ /j ~~ ` ADDTTIONAL CO NTS o ~ ~ C ~ -1-1~ ~e ~G ~ i cep ~l Z o z i. S ~~ ~°x ~. b TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL i i i ~I II u ", FEB 2 6 2013 VI rr~;;;~: m ~oi,~~HOi o SOUTHOLD, NY 11971 TEL: (631) 765-1802 ~ ~ . FAX: (631) 765-9502 ~.,~g, SoutholdTown.NorthFork.net PERMIT NO. ~j -/~p?j~ Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Septic Form N.Y.S.D.E.C Examined (J/N .20__1_ Approved 20 I Disapproved a/c Expiration _ , 20_~ C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: gyp'/ Mail to: I~. /~- Phone: /3~ ~~ ~Q uilding Inspector APPLICATION FOR BUILDING PERMIT Date OZ l~ , 20 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 pact for any propose 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 Che 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 pennitfor 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 Lone Ordinance of the Town of Southold, Suffolk County_ Ne~m 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 necessan~ inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner. lessee, ages t, archit .engineer. general contractor. electrician, phtmber or builder Name of owner of premises f _~~'r~ /~~jQ (As on the t . roll or latest 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 No 1. Location of land on which proposed work will be done: House Number Street BUILDING PERMIT APPLICATION CHECKLIST County Tax Map No. 1000 Section / 7 Block ~ yo Lot ~2 . 2 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .S/~V G G ~ ~//~'//( (/ 2~' f b. Intended use and occupancy f~~~ 3. Nature of work (check which applicable): New Building Addition ~ Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units ]+~rrrirber'vf~d~elling units on each floor If garage, number of cars ~~ PL~ 6. If business,,commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if arty: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth __ ~- Height Number of Stories 8. Dimensions Height of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ ~ O 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO~ 13. Will lot be re-graded? YES NO~WiII excess fill be removed from premises? YES NO 14. Names of Owner of pr mises MQ rC ~ ~!/ Address Phone No.S6 ~L/'? 77,3 Name of Architect ~C f/ W A I2 T ~- Address Phone No 7,~ /~f~ Name of Contractor Address Phone No. ] 5 a. [s this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ~ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS ~IAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? 'k YGS ~/ 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. 18. Are there any covenants and restrictions with respect to this property? *YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) S: COUNTY OF G/ /'/~' ,. ~~J being duly sworn, deposes and says that (s)he is the applicant Name of individual signing contract) abov named, CONNIE D. BUNCH Notary Public, State of New York No.016U6185050 (S)He is [he ~ raua''tfad in Suffolk Gounty (Contrac r, Agent, rporate Officer, etc.) Commission F_xpires April 14, 2 ~ of said owner or owners, and is duly authorized to perform or have performed dre said work and to make and file this application; that all statements contained in this application are true to die best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this _ac~-~ day of ~ ~0~ (~~, ~ ~~~ Notary Public new construction: Num New York State Department of Environmental Conservation Division of Environmental Permits, Region SUNY @ Stony Brook 50 Circle Road, Stony Brook, NY 11790-3409 Phone: (631) 444-0365 • Fax: (631) 444-0360 Website: www.dec.state.ny.us LETTER OF NO JURISDICTION February 5, 2013 Mr. Timothy Moylan 1075 Harbor Lane Cutchogue, N.Y. 11935 Re: Application #1-4738-04158/00001 Facility: 1075 Harbor Lane, Cutchogue, N.Y SCTM# 1000-97-6-12.2 Dear Mr. Moylan, Joe Martens Commissioner Based on the information you have submitted, the Department of Environmental Conservation has determined that the property landward of the 10 foot elevation contour on a gradual, natural slope as shown on the survey prepared by Robert B. Holzman dated 8/16/11 last revised 1/29/13 is beyond Tidal Wetlands Act (Article 25) jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required. Be advised, 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 Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. 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. Si erely, usan V. Ackerman Deputy Permit Administrator cc: Mark K. Schwartz, Habitat-TW, file /'"/ .s ~1 ~ A~ 1 ~`~ ,~ Town of Southold -Chapter 236 - Stormwater Management ~ •~'~ SWPPP -Storm Water Pollution Prevention Plan As sessment Form GF.NF'RAi. ~pRMATION: (All Requested Information is Required for a Complete Application) CANT NAME: OrrrM •Agant•ConsWbM-Conoacbr ar Othv ICtcN Onrl Pngrtt. tMYNEPo pf aaannt than ApgkaMl ` /o r ~ c..~ c~ c Addrpa: rwpree.fh L/3 ~ F°~ TaMpgna k Faa R E-Mai E • Mai: ~~~- /'~PAZ.aOiG L /j'".t/~ HrxrDearnpdan ofConrtac0oa ~oal6'r Proposed Smteimal BMPs, Sal e.aT.M.s: ~ ~ ~ LL 3bLaGsamn BMP>,14ojert Scope and/or Segomce of ComtrurSon A,ctiyjty r I~MrMwb W AKp slkm) NnraN Caneeebr aedlw Cpeaot Parson RapwreO,M PoranpMmwNeaan NalMPP-: /'~ -~_~V _ (/(~~-~/` /~ _ ~ __ _ 4A1 FLUC.~-._ ___ p / tl ralaphgral: FaaR -~S!.(-.R.el L'.~F~~~~f/_ __v~i~±,(G/! Nacre N Panora Ru o W / I ~~ p na a or _ _ naLXatba a MFlntuana W lroalon Crntrvl thactlce: _ _ __ _ _ __ _ _ _ _ _ _ _ _ _ _! IProlect~PerNma. o '~!-land dnaDisnro~anxre .O~ l VYIII thb Project Disturbs Rv. (s- or More Acres a< p d Arry One TDrro Durirg 1M Proposed DeveloprneM T Yes No eYEB: Pease AMrarga Felewlrp a. Does the Applkant Dave a Qtalllied YMpecbr On SIaR To Condud the Required IrMpeWats T b. Does the SWPPP Indfeats How Frequently the Sbe 0 O Inepectlons wtll Doan and for what Period or Thte ? a Does tlw SWppp Adegtulely McMRy A!I Temporary Q Q and/or Permanad So3 SPabatlzatbn Measures ? Yq No d Does Vas SWPPP Adsquately IdenhYy a Complete 0 Prolect Rresirg Plan 7 e. Does the SWPPP Ntdkate Ad6tlonel Silo Specific Yes No ~ O Pmgloes Viet ww De tntlaed to Pmlect water Qualtry 7 t• Flan ~ ApptlCdfll SubmMed a Completed DEC NMke Of Intent arW SWPPP Acceplarlee Forrn for Review ~ Q Dy Ute Town of Sartlldd 7 Yes No Lint Ha NAMES ar MaefaMan Nall PaenWliY MpacbdwaYrhodtaa aedrw NkYada: TYW N tmp@N WMeraady. lag. Lain, Creek Bey, Peed. Swnd, Fnnhwler WeYnp_). __...._....____-------._.---rcwa,.r..._ ,,. .-.__ •••••• •• •• ••• ~•~ •~~••••••~••• No. 016U6185050 ~t, Clraiitied in Suffolk Coun~~ty~~ That I, ._........ /1 i~r..!(i .. h to d sworn, ..(....ai~wMa,uapN~iy'uo ~'`a~'t""'°""""• 8 Wy deposesmdsaysthat'tAFj~13Lp~Q¢~lf~(~ry Z~ And thatheJshe is Ihe ...._......._....._.........._ ..............._.,Q-J2 G.~....._. IOearro-~ obr;eor Ries; ...~ .................._......._._..._. . Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have perforated the said work and to make and fik this application; that all statements contained in this application are tme ro the best of his knowledge and belief; and that the work will be ~rf~ormed in the manner set forth in the application filed herewith. Sworn ro befo~r~e//me fins; ^ ~~~ ~ 11 ......._~.(P..'r!,.\ ................ day of . ~/~ 20./.~ Notary Public ...L:./.L1Y.l.f_:^:/.~....~...~~' S.i~....._........ ........................~. ~ / C/ V ......................._...... lsianalva a 1 1HPPP Assessment FORM: 03.12 TwNiA~ 3~5Wild !'.O. eor 1179 Somhold, NY 11971-0959 Tati~s iiil7~1~ _JtailtA7a(~ -- RH~- - - - BUILDING DEPARTMENT T01H~3 OF SO[3TI'[OI.D APPLICATION FOR ELECTRICAL INSPECTION t'ED 8Y: Name: No.: fro.: oate: 3/ z 9 / l -73U-SZ7o ~c,~C~S~/6 ~~6 3 JOi3SITE INFORMATION: (*indit:ates required information} `Name: `^Ad~~dre!! ss~^ •tJaVO~ Street 'Phone No.: Permit No.: Tax 4Aaq Oist~dk: `BRIEF DESCRIPTION OF 1NORK (Please Prink Clearly) (Phase CN+da AN That APPIYI •le lpb toady for ktapediort: ~ NO o~sg'h 4 FMaI •Do you need e Terttp Certificate: YES l~ Tamp )nfonnatlon tlf rnr+~1 'Service She: 1 Phase 3Phase 100 150 200 300 350 400 Other 'New Service: Rs-connect Underground Number of Meters Change of Service Overhead AtlA'rtbna6 Vnfortnatlon: PAYfJYEfi'T Dt3E WiTfi APPLICA'f10N C~ o~ ~~ ~ a`b• ~ ~~~ n~~ B7-RequsM ror lrnpecflon Form i~ - RCHITECT MARK SCHWARTZ & ASSOCIATES Mazch 4, 2013 Southold Town Building Department P.O. Box 1179 54375 Main Road Southold, New York 11971 Attn: Mr. Damon Rallis ''?H+9:~ Alein Rued . NO Bns 933 • Cun~huy;ui-. AS 1193.,-r f 31. ~3~F.J1H3 ~ ~c~cm:mksarrhii~~c~.rum Re: Moylan House 1075 Harbor Lane Cutchogue, New York SCTM#1000-97-06-12.2 To Whom this may concern, The construction for this project will take place beyond the 100' dimension from the landward edge of vegetated wetlands line as shown on Holzman survey dated 12.24.12. Please call this office if you have questions or require additional information. _. ~~ 1 ,, . ~~ 1~. ,~ , ~~ ~~ :J ~~'~~~~~ ~ ,6 2013 ~ ~~~ / ~, ~; ~ ,~ a~ ~--"/ Sincerely, Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 July 16, 2013 Timothy & Mary Moylan 3090 Equestrian Dr Boca Raton, FL 33434 ,~~OF SOUI~o~ ~~ ~ ~ ~~~ °`'~~ourm,~~ BUILDING DEPARTMENT TOWN OF SOUTHOLD Re: 1075 Harbor Lane, Cutchogue TO WHOM IT MAY CONCERN: Telephone (631) 765-1802 Fax (631)765-9502 The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) / Electrical Underwriters Certificate. (contact your electrician)'Need Electrical Final Inspection A fee of $50.00. Final Health Department Approval. PlUmberS SOlder CertlflCate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees # ass-iss2) Final Planning Board Approval. (Planning # 7s5-1g3s) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37305 -Outdoor Shower Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 June 18, 2013 Timothy & Mary Moylan 3090 Equestrian Dr Boca Raton, FL 33434 ~O~~OF SOpryo~ ~ ~ ~~~ OI~COU~ N~ BUILllING DEPARTMENT TOWN OF SOUTHOLD Re: 1075 Harbor Lane, Cutchogue TO WHOM IT MAY CONCERN: Telephone (631)765-1802 Fax (631) 765-9502 The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: **NOTE: Please submit pictures of the insulation as requested by theme building inspector. c ~~~ !~ Applicatiori for Certificate of Occupancy. (Enclosed) ~ ~~ Electrical Underwriters Certificate. (contact yqur electrician) A fee of $50.00. Final Health Department Approval. s~,~I1 n..e.~~ PlUmberS SOlder CertIflCBte. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (town Trustees # ass-tssz) Final Planning Board Approval. (Punning # 765-~s3a) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: X990 -Alterations -~ 7~3 ~. ~ ~- ~ `~~ V !t. ._ .~~3 4' n Y~' ~ii~ ~~ 'Y ._... _. . .. __...na?~iaE ~° _. ~~., ., (`. _ ~ "~ 'v s !'" ~' ~,.,;Y ~~~^~ . {, Z' r c ~ __i ~ . 7 R7° l ~ ~ ~ '~~ . ~ ', S?,. ~ ,, ;.; ~ ~ r ~.. r s +, ;~ :. ~1' d` j ';, . ~ ~ Y' ~ M~ : _. * , .. a~~`. _ _ -~,. r v>:-. ~, ~~y,> 't{$:: S - ~.' &~, 3 ~Em ,~. r s~ ,,,~ '' b ~ -.~ «~ ¢,,;.. ,~: ~...:... k: w. -l.. :'.fK 3 ~~ ,~,; ~,~ z IJ.J ~~ ~~~ C~~ ~;> ,~ ~~ _~.;~ 0 r r~P TITLE. IJO. MK M'5-19\81 t r+T E¢l04 ALT ERPt Ip.+ TaX LoT 1/ TAk L_e-T o u F~1. GI. ei VQ4ETptle - ` 1 p ~.Op~ WEiC L V ~ ~ ° a (~ o 1L ~ f J ~' °I 0~ Q M a s r' ;p m 0 ~ tly v 0 s TO ~a LoT 11 . d D f Ip-~ q.•bwT oc - y 1 N~jp' Dp^ E _ S~ecW. a~p4.~j __ .L,.«,--- ~ f~ a ,. Q~ u aft o t' ~ ~1_f r' i ~ ~ .: F~J, ~,.1T eF TPY Let t1.3 .v.`-1-,.. I,.lo P¢ePUSEO Reec O~a.nca LE[tT \F IEO ol..a l..+C Tao : FIRST Awl E_P.\GA,.1 TIT LE: 11.+x' 1R PUCi= Co .OF hl~Y~ M.V. M. AbSTRAGT SEa~IICL~I,.aG. µ ARY PAT RI GIP nn oY LPu TI VIOTs1Y .)~ MoKL-o.I-+ ~~'~' A'( B. NO II SAME AS DIST: looo ,SECT: g1 BLK: ~ ~ ~t'! LOT: 11.2 ,ON SUFFOLK COUNTY TAX MAP. f o 21 THE EXISTENCE OF ANY RIGNT OF WAY, AND/OR, EASEMENT II ~ M` '~., OF RECORD, IF ANY, NOT SNOWN NOT GUARANTEED. ~r : ~ ._ 8 GLGF oGE=O ~ L_.11532 P. 319 ~~° yf~{. ~I; B-3l-fi: uPO^ E G fLOe ceu,;eJRi FNUaa E-tlu pTae..S,4 \L~ tp..«Y »cW sTaucw¢cs.rl.«,.. -z <Y «....e:s sNew,..) F~ 5'49T1~76/ ' YGTXOR6ED ALttRATOq OR ADgTIO1M TO TMt NMEY IE A NOLATION OF tlCT1DN Ttm Of TN! xew PORN tTATE EDYCATION 4 W. ~ ~ N V `~~ ' CONIlt Ot TMM tYMIEY MA/ MOT EEARINO TM! UMD tYRNEYOR't INKED tGL tGLL NOT tf CONNDER[D TO EE A VALID TRUF COW. ' ClRTRICATIONt IMpOATED MlREON {MALL RUM ONLY TO TM[ KRtOM fOR WMOY THE tYRVA II FRlFAKD, AXD OM TX[IR KNAIF TO 1.~ TK IITL! COMPANY, OOVtRK[MAL AOlXCY AND LG01AM IMtTITYTIOX LMTED HEREON, ClRTIFIGTIOXt ARE NOT TRAMRFFMEL! TO T/ n _, ~~ AKITIOGL INtTITYT10Nt OR tUKEOYlM OWNlRt. (~/LQ~'W 1~ ' TN! OffKTt FROM MOflRIY LING tMOWM NGlOM ARE NOT INTENDED TO OYID[ IN THE ERECTION Df fCNCG, RlTAININO WALLt, FOOLt, Rgagxot. ADgnoYR, AND oR oTxcR CO9trRYenON. ' COKNANTt AM) RKTMC110M1, IF AMY, NOT INgDNTED OR !MOWN YXLIRt RIDYHTID IN WRITIXO EY CLIENTS OR THEIR NEFRHEMiATIVE MIOR TO tYRV[Y KING DON!. o earn9oNT EY RoteRr s.INNZIMN uxD tYRVerDR,At FER aRMINAL DATE tIM1YlN ox wRVer. T Arc L..oT \4 I ~ ~ I ~( 1 ~ 1 I ~ r ~ ~ i ( j ( I ~ d J Y I I \ ` `/ ~ \ -'E4 - 13: 2E.v, s£° oars.-. „+c° \Z'ZQ-\`L; DOOM ,raFC 400E0 p£Q OCC GownµE«ZS i-L-KSOEC ~O ~-4~j0-o4t5g~ooool olsT O-aGT: loco SE.c-Tlow-L :_ F1 ~1_.pc„LC: ~e L_oT a1.z SUFFOLK COCJti/ 7Y TALC MAP GCJTG/-IOGC/~ To \.au of SpL1T4l oL..o ,Sa•1F FOa..k- Crtl waTK ,NEVI NORK ® sY ROBERT B.' HOLZMAN L.s. 2011 LICENSED LAND SURVEYOR, N.Y.S. 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