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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26356 Date: 04/02/99 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 6670 SKUNK LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 5 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 13, 1998 pursuant to which Building Permit No. 24648-Z dated FEBRUARY 6, 1998 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 & ALTERATION TO CONVERT TO YEAR ROUND ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BRIAN GALLAGHER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-457869 07/02/98 PLUMBERS CERTIFICATION DATED 03/23/99 BRIAN GALLAGHER-OWNER c C � B lding Inspector Rev. 1/81 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) Date.....FCBRUARY........6........................... 19..98.... 24648 Z Permission is hereby granted to: BERKOSKI HI-D. A/C GAL,�AC2HER„� P....4...PQX...I.P.97..................................................... L,►.T.G.H Q.��. !�!X...�.�,�. 5...................................... to .....QQRSTRU.ST...AN-AD.D.UMN...AND...0J-T.SRAT.>tiQN...T,Q...A,N...SX.1.S.T,MQ...S.SA.5QNAI,... .........D.WSi^L-.1Xr;z,.AS...APQIr Z I*A...RQR.,.................................................................I.......I.................... .................................................................................................................................................................. ................................................................................................................................................................ .................................................................................... ............................................................................. at premises located at................6.670,,,,,S,KUNK, LA CUTCHOGL)E ....... ........... ...................................................................................................................................................... County Tax Map No. ....4:73889,,,,, Section ...194,,,,;,,,,,,,, Block .....Q QQ........ Lot No. .9Q.7................ pursuant to application dated .... AIVUARY,,,,,,,,1;3,,,,,,,,,,,,,,,,,,,,,,,, 19......2D..... and approved by the Building Inspector. Fee$........75..0.0,,, l Building Inspec r Rev. 6/30180 TOWN OF SOUTHOLD � c:Q • BUILDING DEPARTMENT d"O /�'��&77 TOWN HALL C 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. 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 a 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. 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 Buildins - $100.00 3. Copy of Certificate of Occupancy - . 4. Updated Certificate of Occupancy - _$50.00 5. Temporary Certificate of Occupancy - Residential $15.00,�+Commercial $15.00 Date . . . . . . .. 1-!./1... . . . . . . .. . . . . .. . . . . . . . v Construction. .. . Old Or Pre-exist g Building... .✓.. . . ..... .. . . ,cation of Property..iD�O...�.�UYI,,;.1 C{;--.. ... ... . . . . .L-d.AA -A� . .. . . . . . . . House No. Street HabAet ►wer or Owners of Property.. . . "�I-)/- •. . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . +unty Tax Map No 1000, Section. . . . ..Block. .. . .. ... .Lot. . . • • • • • • • ibdivision. . . . .. . . . . . . . .. . . . . . . . . . . . . . . .. .. .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . :emit No. Of Of Permit. . . . . . .. . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . :alth Dept. Approval. . . .. . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .anning Board Approval. . . .. . . . . .. . . . . . . . . . . . . . / Certificate. . . . . . .. . . . Final Certicate. . . _quest for: Temporary ll. . . . . . - =e Submitted: $. . a5-R U. . . . . . . . . .. . . . . . . . . . . . . . . 1.:�?�. . . . . . . . . •AP LICANT G U c2-0 s� o��SpFFO(,�co Town Hall,53095 Main Road W ( ) Fax 516 765-1823 P.O.Box 1179 Oy • Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD February 19, 1999 Berkoski Builders P.O. Box 1097 Cutchogue, New York 11935 RE: Gallagher, 6670 Skunk Lane, Cutchogue, 1000-104-5-7 . To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancr--,�s not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 24648-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. rf s � o�oS%#FOL�coG Town Hall,53095 Main Road Cos Z Fax(516)765-1823 P. O. Box 1179 • Telephone(516)765-1802 Southold,New York 11971 OFFICE OF.THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE. Building Permit No. Owner: ( cO_ aAtt� .(please print Plumber: �1�IC.�f1 �'SGL-<<a��e,�owne✓ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 7 , (Plumbers Signature) le Sworn to before me this 1- day of 19 99 Notary Public,.. aww� County ANAAC Of Au Notary Public,St t Now Yodt No 0113 07 59 Ouald-ed in uaeb Cou Commission EV I M y t7 t9 nP/�' THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1185077 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 ' J"Ji,Y 02 '' 998 15877298/98 N 457869 Date ° Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by,the applicant named on the above application number is in the premises of BRIAN GULLAGER, 6670 SPUNK LANE, CUTCHOGUE, NY in the following location• ® Basement E3 Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on ` E 23°1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS -INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 15 33 27 15 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET L AMT. WATTS 2 - 3 600 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 Ql 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL 1 100 CB 1 X 1 4 1 4 OTHER APPARATUS: PADDLE FANS-4 G.F,C.I:-7 SMOKE DETECTOR:-4 ROSLAK ELECTRIC LIC.##3677-1 L L P.O.BOX 164 CUTCHOGUE, NY, 11935-2453 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Ll T65-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] R GN PLBG. [ � FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHI NEY REMARKS: DATE -� ` %� INSPECTOR�`" 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ r/�UGR PLBG. [ ] FOUNDATION 2ND ( ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS O DATE INSPECTOR 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE Z1116 4 INSPECTOR M� ass-iso2 BUILDING DEFT. INSPECTION [ FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: fZ i aDATE INSPECTOR .G�L1 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE 8 CHIMNEY R�q ARKS• __ a � DATE INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;",IN CATION FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ���2C�uc��✓cvr.� (d�n .rc�A`- 11u�:a- 64c,7�v�/-LL DATE/,2/�,�O�KIN8PECT0 �1� 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;F' INAL IN CATION FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: O DATE INSPECTOR /��� T65.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL �L [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR /� i I o!NiIIIIIIIi ice./:,. % • b i I BOARD OF HEALTH - - - - - - - - - - - - --- - -FORM NO. 1 3 SETS OF PLANS .. . . . . . . . ... . . . . . TOWN OF SOUTUOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . ... . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined... ........ I MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.........�0/ ..... 10K Pennit No ......... .................................... Disapproveda/c ...........4........................ ....... ............................................ (Building Inspector GLDG.DEPT. 2F JQUTH!2LD I Ot AP LICATION FOR BUILDING PERMIT Date. ;3.CLV\ 19 INSTRUCTIONS a. This application must be ccimpletely filled in by tylievrriter or in ink and submitted to the Building Inspector wilt: 3 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 giving a detailed description of layout of property nest be drawn on the diagram-'AAch is part of this application. c. 'Die 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 perinit 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 Occupancy shall have been granted by the Building Inspector. I APPLICNfION IS HEREBY MNM- 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- 1lie applicant agrees to caTly with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises abd in building for necessary inspect low- (Signature of applicant, or name, if a corporation) ...................... (Mailing address of applicant� State vAieffier applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............ ................................................................................................. (Xn -J� Nameof owner of premises ..........Z o........ GGJ..........0"*"*...*'***'*'*.....*'*"*"**"***........................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. 1k)cation of land on which proposed work will be done.............................................................. 1? 1-11� ...............?..................... ................ ................... ..................... (louse Number tr;�t Hamlet County Tax Map No. 1000 Section .....10 ...... Block .....05 ...... Lot ......ff..... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. S.tate existing use and occupancy of premises and intended use and occupancy of proposed construction: 6 `1-c-,,- a. Existing use and occupancy .......,P)e.......s\ C4 ......... .................................................... b. intended use and occupancy ........................................ ...... ....... 3. Mature of work (check wlhic► applicable): New ikuilding .......... Addition .....Y�.. Alteration .. .... Repair ............ Removal ............. Derrnliti.on ............ Other Work .................................. �- (Description) 4. Estinhated Cost ...1-4rt : )............ fee .............................................. (to be paid on filing this application) 5. If ckaelling, nuhber of dwelling units ............ Nurber ofdwelling units on each floor ................ If garage, rnnber of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensiphs'of existing sI r�Iutes, if any: Front................ Rear ............... Depth ................ IleigI& .......... il- Urber of Stories ...................... Dimensions .of sa& stnuctu a w th alterations or additions: Front ............... Rear ............... Depth' .. ....�....... �ihsn it ._._._...._ ... Nrnber of Stories ................ 8. Dimensions',nf enl"i"xek new.i 1st lion: -l�at ¢r-2 �/.x� �I3cnr, /.... De1ptlh .............. 1lei ht ................ Ui d)er of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .............. 10. Date of Purclhase ..................... H me of Forrrrer (Mier ........................................ 11- Zone or use district in which premises are situated ................................_............................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .......4/0.............. 13. Will lot be regraded ............... Will excess fill be removed from premises: YES} NO p Ili. Names of. Owner of premises 3�10.n . �I Q9 !�..._. Arklress 3�45. �:Wbr?fLl Phhone No. �t .... . Na»e of Archi��t��ec��l' ....Peen.` E ` . ... . Address .. �?? .::��.........._ Mone No. :0q06 Nalhe of CQt—ra—tdr _. ?,er..J �v`� .. Acklress ..................... .......Phone No. 15. Is Lhis property within 300 feet of a tidal wetland? * YES .......... NO ...r..... *IF YES, S(JUdll(xl) lum `IIZism's PERMTP MAY BE. MyIRI'. PLOT DIAGRAM Locate clearly and distinctly all buildings,. whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block hxmber or description according to deed, and show street names and indicate uiihedher interior or corner lot. suNIIi (v mW Y(MM, SS MINH O .................... 1 . .....................................................being duly sworn, delx)ses aril says Lhat he is Lbe applicant (Nano of individual. signing contract) alxwe mimed, Ileis the .. ....� Gi ........................................................................ (Contractor, agent,corporate officer., etc.) of said owner or owners, aril is duly autlhori.zed to perform or have perfornhed Lhe said work and to mruke and file Lhis alrlhl.icatio u; that all statements contained in this application are tnhe to the best of his knowledge and belief; and Lhat die work will be perfonTwl in the mariner set- forth in the application filed therewith. .X,orn tobefore me this .......... ...clay o 19-.7. Notary Public .. .... ..........��-.. .......... ... �� HELENE D. F(lJRNE (Signature of Applicant) No3.;ry Public,State of New York No.4951364 QulifiCorr,issiorte xphireshl lay;? , 19 r X t Nu, 1 uo a-- 1 t ///L t NO, 90-AS-220/ SA Y A BEN (49 5 R 0'W� ,ON a5IV. O.sW 107 45 N 69. 23'50" E 7583. ,\ � _ FND. 1i I MON. 1 - l5/.83 FE a yw � I o CrAicwrE L S s,s° /9.4' FR. pW6. N STY 1 FE. n rw `� CELCAR TA•dACE I O , 0 PARCEL / PARCEL 2 cry .Eo N - 3162'- - 7583' s Z FND. �2/ Qom£ca ,,-E nay - i ' ass ` /07.45 ' FE.a7F � , S 69. 23 5O. W CLQND NOW OR FORWRLY OF LA ND NOW OR FORMERLY OF Sy�LTt� PARKER f Guoronl®ed la ;SrdCe 0—Donold 601dome Really Credii is Ufp. Al dYaIMCge Abslrocl Corp. DA 7E: 07105190 PA T' / o ���,+ CAF®C� '� T.'u No. SCALE: f = 30 0/57??/C7 :1000 UU44rTAD9ZED,47VUM,CWACD.X,ro -. PROFES510NAL LAND SURVEYOR �OT�: /04 7"a,rAF M + 4 a �,�, 14 SOUTH AfA/N STREET at OCK: 05 L•� , SA YVILLE, NEW YORK //TS2 4 oT: oT (3/6)567-4773 N. Y.S.. L/C. NO. 049287 MAP OF:DESCR/BED PR peRTY SI RJA TED A T: C417CbMI E, //o SOWHOL D 34,FFOLK CO„ NY i • MfDNl.91�ENT • PPE cr rAff XP1frAwAG'rAcmmv 1 © 0 VEM EAD CAA91f KW LAZE 7ur nno { �at .�svrcL,wr sE STAKE 0 UTiC/TY POLE ® OkSWCAD MEPYOW LAB' CAA ME`'•LDCCP&Y ELEVA rIONS D" usaa a7w O A•uraaOLWTW OV£RAFAD£LEC7AC LAZE so ovr�c gar renoLraoc�ae it ava"te rn AAp CWAIS 7>, »E 7mt cawwr m► lXi1�IIPxA �111u Y q1[r 7v /IfRJovA s o�Ii LE71dW�� 4URAV VY U/L�7Ii�x,7; C 71sao•�Dc�[1 &MWNW iM i,7ZMM!A.leldom Aor im Mr A/0(?i1rY nxr c au nw for AC r LNl,?IZGY COLIC CALCULR'1'IONS (For Note-Electric Ileat) Design Criteria 6 , 000 Degree'.Days O.A. 100r• I .A. 7o°r• F OIt! In C3 �l J PER: e 7 n DATED: /? L v / / DESIGN THERVIEL REMARKS SUBSYSTEM AREA "U" RATING ExLeriol: Walls (Opaque) � G� /� U '7�7 � Jd':5' _ Glazing 20 3 Z qv Doors u qu C;cili;;y/Itoof (OpagUe) Cj j U .� Skylights $ Floor O Foundation Walls Slab '111sulaLion TOTAL dotes : Buil(.111119 Envelope SysL•eins to meet. requirements of 7815. 2 11VAC Equipement to meet requirements of 7015 . 11 IIVAC Systems to meet requirements of 7815 . 12 DucL SysL'enls to meet- requirements of 703.5. 13 VentilaLions SysL-ems L-o meet requiremeciLS Of 7E115. 14 915 - 15 111sulation of PipilIq SystL�esst& meetpreq��LUi;; eet• reqnLs of uuirements of T015 . 21 Service WaLer Heating Sys q ElecLrical & Lighting Systems & Equipment- to ineeL requirements of 7I1i5. 31 k0 To the best of my knowledge, G,� �J�E T�`,• belief, & proLessiQnal juclyemenL- , these plans are in m F•�.> � ,��� LAJ compliance witil the coae. 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