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HomeMy WebLinkAbout28445-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29368 Date: 04/21/03 THIS CERTIFIES that the building ADDITION Location of Property: 385 ORCHARD LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 89 Block 2 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 2002 pursuant to which Building Permit No. 28445-Z dated JUNE 6, 2002 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 SUNROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANK F & MARIA LICARI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1075794 04/14/03 PLUMBERS CERTIFICATION DATED N/A Authorized Sign ure 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) PERMIT NO. 28445 Z Date JUNE 6, 2002 Permission is hereby granted to: FRANK F & MARIA LICARI PO BOX 261 SOUTHOLD,NY 11971 for CONSTRUCTION OF A SUNROOM/GREENHOUSE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR WITH FLOOD PERMIT at premises located at 385 ORCHARD LA SOUTHOLD County Tax Map No. 473889 Section 089 Block 0002 Lot No. 006 pursuant to application dated JUNE 4 , 2002 and approved by the Building Inspector to expire on DECEMBER 6, 2003 . Fee $ 250 . 00 / e Authorized Signa re ORIGINAL Rev. 5/8/02 Form No.6 ( s .��TOWN OF SOUTHOLD uuILDING DEPARTMENT TOWN HALL i 765-1502 I 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. R" 6'A45Eer—` e cntomb W or�ua o 4T N icy P�1�� 19160—X, oar" elt2. Final Approval from Health Dept 0 waters and sewerage-dispdsal (S-9 forms. 3. Approval of electrical installation from Board of Fire Underwriters.— _-FE Z R-4ck'l 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 o gmeer esponsible 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, dditions to dwellin $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. aPe/L 1�, foo? New Construction: p/ Old or Pre-existing Building: (check one) Location of Property: 3S75 10.0ehYAA10 AA.v-> Suc+rptoG� House No. Street Hamlet Owner or Owners of Property: FeAA/K R, %L ASAR1A .4L, a A2r Suffolk County Tax Map No 1000, Section o 9 9 Block_,2,20,g. Lot o o.6 �4Y�J8&91 Subdivision Filed Map. Lot: PermitNo. .21?446' Z Date of Permit. 6/b/0Z Applicant: G?AKK F. 4,,e-4,&/ Health Dept. Approval: Underwriters Approval:eexr,a,ce+rd do. /oTt7%44 Planning Board Approval: Request for: Temporary Certificate Final Certificate: _�_ (check one) Fee Submitted: $ 2;57t o0 j G Applicant Signature e° r� C.T� Lncf� [.ItPC.I@I�rJ�CI�Cf[l[.f� C1�GILI�CI7[P Lf2fr1'r�'cJ'r1rJCJc�faCPtlrJ'a rJ� r� BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5BUREAU OF ELECTRICITY 40 FUL 5 TON STREET -- NEW YORK, NY 10038 5 CERTIFIES THAT SUpon the application of upon premises owned by 5 FRANK LItARI FRANK LICARI 5 PO BOX 261 385 ORCHARD LANE 5 SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 5 Located at 385 ORCHARD LANE SOUTHOLD, NY 11971 Application Number: 1075794 Certificate Number: 1075794 �5 Section: Block: Lot: Building Permit: BDC: NS11 c� Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 First Floor, Outside, 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was rj found to be in compliance therewith on the 14th Day of April, 2003. 5 Name OTY Rate Rating Circuit Tvoe f7' Miscellaneous 5 TAX MAP ID#47388789-2-6 5 Wiring and Devices 5 Receptacle 2 0 General Purpose 5 Switch 2 0 General Purpose 5 Fixture 1 0 Incandescent 5 Paddle Fan 1 0 5 Dimmers 1 0 5 Lighting track 4 0 FT 5 S 5 5 5 5 seal 5 5 1 of I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. G �N � �, wont n ��� t.• Jr � fl v'if U1i N sae{ .1 roe rJ rn r rnorrl 1111 A, f3'� < Ln �� x O _ PNAUTHOR9UP ALEtM(WN VA AWII!G. O TO NNIS SURVEY IS A VIOLATION OE SECTION 7309 OF THE NEW YOU S. . rnYi , EDUCATION LAW. S:OPI"OP THIS SURVL. MAr 0CI un. THE LAND SURVEYOR'S INYED SEAL OF IMAOSSED SEAL SHALL NOT IF CONSIDN ' IO RE A VALID TRUE COPY. 5 GUARANTEES INDICATED HEREON SHALL Q PNLY TO THE PEG.SON FOR WHOM THE A+ 1 I OO,� - •i IS PREPARED, AND ON HIS BEHALF TO jrjLE COMPANY, GOVERNMENTAL AGENT (` LENDING INSTITUTION LISTED HEREON, O {O THE ASSIGNEES OF THE LENDING LW ° SES)OW GUARANTEES ARE NOT TRAIVO 1 SO ADDITIONAI � 7 ,• DwweE. V G - IS K, f '1y cd 1tB�lt 4 rir1'e?o ir' i��cvC mRe n^ Pf' m SURVEYEC, FOR ' 'pa:� P� AND Y 3yc v �l (VIA2GfiC:�-- "" M . Sin EN[:)SF_N d N o �j nr0�-�� Opb Su=�IL �a✓Ttfy %WX Porgy:'. /010 e S' - Z _F suarari?e /e 3491.w •f ',-- _•CrY - S.7 R7 � - s� i '�, t: � . r .l:�iTgeC 'J 'tl.^! �� v= L ,.•v :. er'- ( Barn o , cui'oc4c % Cc! 13 V. fcv v0'ta > L-at Ft,' t'L YS 6h_,V4r YCi-_'Y {u. ir. 1hC Tui 1v L'h �...w'1 +L. l„ �4 4C ,i, .2113 r4 ,mac r. c a 0" *aza", &"W& o�,� a.,,.e Ace- go , /d4,o ' 4(c 4r se, �Y ice er�lu e8a .e f /a~ a e, uo a7 ,2zehd;.�v 7 ) e z6eejp, /••�, Cer44 ,ats�suy�{csse Osu c 5S /wsV� G .4ewee, ec�tsci,,,,q ffte tel., A4 Xcao wee `Ge.`�t7 /Z , ru�r ux k ,= 4 G 9 s fie_ *� u g4e' // -Awl -Ai�" sf �f�.rve ee�S<dee�r�r�.e.s � �.eeds2e�„t- to �o'uLS 9�tec.L/(/i �'S. by cele ree- xo_ eb ES- Albert J. Krupski,President g�FFO(�- Town Hall James King, Vice-President 53095 C� 53095 Route 25 Henry Smith h� G'Zf P.O.Box 1179 Artie Foster co Southold,New York 11971-0959 W Ken Poliwoda x Telephone(631) 765-1892 �A �a�t� Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 19, 2001 Mr. Frank Licari P.O. Box 261 Southold,NY 11971 RE: 385 Orchard Lane, Southold SCTM#89-2-6 Dear Mr. Licari: The Southold Town Board of Trustees reviewed the survey dated October 13, 1983, and after a field inspection on September 18, 2001,determined the construction of a greenhouse on a portion of the existing deck, to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code. However, any activity within 100' of the Wetland line would require permits from this office. This determination is not a determination from any other agency. If you have any further questions,please do not hesitate to call. Sincerely, Albert J. Krupski, Jr. President,Board of Trustees AJK:Ims BUILDING PERMIT EXAMINER CHECK LIST DATE ISSUED: /02 DATE REVIEWED: �K/02 APPLICANT:-V4 L4C; DAT9-SUBMITTED: d W /02 SCTM#DISTRICT: 1,000, SECTION: �`� , BLOCK: 2-- , LOT: �a„� STREET ADDRESS:,3DJ Otx� CITY:�" o �� SUBDIVISION: I ` ppu�Pv1.�+•:.. PROJECT DESCRIPTION: n�sorc 4 �,a, k _SCj�I�. J y� rye, ESTIMATED PROJECT COST: ARCHITECT / GINEE �A& ��ar FAST TRACK? Ko SINGLE & SEPARATE CERTIFICATION-REQUIRED? )((A NOTES: LOTS 40,000SF-100-24.Lot recognition(CRREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25-Merger.(A nonconforming at anytime after 7/1/8 .( . ZONING DISTRICT: 2 CONFORMING? Iia REQ. LOT SIZE, ACT. LOT SIZE: �( REQ. LOT COV. _� ACT. LOT COV. REQ. FRONT ?! PROP. FRONT i REQ SIDE pS ACT. SIDE REQ. REAR— zf PROP. REAR / tet I WATER FRONT? `ISS DESCRIPTION:c �crp g d�y�fGU� PANEL #: FLOODZONE: A / T/�, _,vf //.3 APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES OR BED #):_DTE: PERMIT PERMIT#:R10- TOWN SEPTIC RECEIPT: Y NEW YORK STATE DEC: PxE- eC 9nn r NO 5/200a SOUTHOLD TOWN TRUSTEES: or NO ►JJ (dI oY 01401 TOWN ZONING BOARD APPROVAL: YES or O TOWN PLAN. BOARD APPROVAL: YES TOWN HISTORICAL PRE (SPLIA): YES NYS ENERGY: YES OR 9D..�� l EGRESS (18 H min.? 4 sq total) &:� VENT(SQ. FT. x 4%) Nr LIGHT(SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z-� p f �T`Y HAVE PRE CO'S : Y OR N BP -Z/C/0 Z- _ NOTES: FEE STRUCTURE: FOUNDATION: 1 SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: 63 SF FEE FEE FEE 1. SF)- ( SF)= SF X$—=$—+$—+s—=$ -5-0 IFLccnc 2. ( SF)- ( SF)= SF X$ _$ +$ +$ +M1r $ ��� d:l.T. TERRY TOWN CLERK "•. f'f iv, P.O. R„s 1170 soulhuld. N,,, 1',vk I 1 171 RECI SFRM OF VITAI.STAn S-11CS �✓� f �•' Fax (5191 76$ MARRIAoe orrlatR _ I x'_l c,�' y`�OTcicphu"c 151x,1 76$- �Hbl RECORDS MANAGEMENT OFFICER 11 FREEDOM OF INFORdAnON OFFICER - OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993 : RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" (FDP(93) ) , and "Certificate of Compliance for Development in Special Flood Hazard Area (C/C(93) ) . t - TOWN OF SOiTHOLD �hl�� f-' 1 Southold Town Clerk L F � ,n ' August 25, 1993 _. TT— • APPLICATION s PAGE I of a TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate_ SECTION I: GENERAL PROVISIONS (APPLICANT to read and siom . 1. No work may start until a permit is issued. 2 The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. S. The permit will expire if no work is commenced within six mouths of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Loral Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. 1, THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE,TO THE BEST OF MY KNOVLEDGE TRUE AND ACCURATE. (APPLICANTS SIGNATURE) ! . G DATE V& 06 OZ SECTION 2• PROPOSED DEVELOPMENT(To be comoletcd by APPLICANTI NAME ADDRESS TELEPHONE APPLICANT 't.,, �•����,,,,�/,� ,✓ .r/zANVX F. 21CA /L,/ .3eS 01e--/-1AXX, .e- A.) dWrfty E> 765—g �l BUILDER -,% F ENGINEER SELF �4P�Qat/ED 8� Pte. �>a/ Sp-yfAt/ TO,t/ PROJECT LOCATION: To avoid delay in processing the appficatioa, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful- 038S HeAT . "Ve 29 3tis>� •�h ,la !'lrO�.G �aC/s .e/� FDP(93) APPLICATION _ PAGE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTTVTTI' STRUCTURE TYPE O New Structure O Residential (1-4 Family) MAddition O Residential (More than 4 Family) O Alteration ❑ Noo-residcmial (Floodproofmg? O Yes) O Relocation. O Combined Usc (Residential & Commercial) ❑ Demolition R ❑ Manufactured (Mobile) Home (In Manu- ❑ Replacement factured Home Park? O Yes) ESTIMATED COST OF PROJECT S y, o o O B. OTHER DEVELOPMENT ACTIVITIES: O Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) O Individual Water or Sewer System ❑ Other (Please Specify) .Vo,vLC' After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. . Dated The Proposed Development: ❑ Is MOT located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: //. 3 / Ft. NGVD (MSL) O Unavailable ❑ The proposed development is located in a floodway. FBFM Panel No. Dated ❑ Sec Section 4 for additional instructions. SIGNED_ DATE C/&/A6�� Z DEPARTMENT OF THE ARMY NEW YORK DISTRICT,CORPS OF ENGINEERS JACOB K.JAVITS FEDERAL BUILDING ' NEW YORK,N.Y. 10278-0090 REPLY IO •nENRONOF May 8, 2002 Eastern Permits Section SUBJECT: Joint Application with New York State Department of Environmental Conservation Frank F. Licari PO Box 261 385 Orchard Lane - •Southold, NY 11971 Dear Mr. LicariL We have recently received a copy of the Joint Application for permit you filed with the New York State Department of Environmental Conservation (NYSDEC) . Please be advised we have reviewed the copy of the Joint Application sent to this office by NYSDEC. Based solely upon the information provided, it appears that a Department of the Army permit is not required for your proposal . The Department of the Army regulates construction activities in navigable waterways and discharges of dredged or fill material into waters of the United States, including inland and coastal wetlands . If your proposal would involve such work, and has 'not been portrayed as such in your Joint Application, you should contact this office immediately so that a project-specific determination can be made as to whether a Department of the Army permit will be required. Any inquiries can be directed to this office at (212) 264- 3912 , 3913 , 6730, or 6731 . Sincerely, Marc Helman Acting Chief, Eastern Permits Section K' NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-03026/00001 May 28, 2002 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental May 28, 2006 Conservation Law TYPE OF PERMIT■ New ❑ Renewal ❑Modification ■ Permit to Construct ❑ Permit to Operate ❑ Article 15,Title 5: Protection of Waters ❑ Article 17,Titles 7, 8: SPDES ❑ Article 27,Title 9; 6NYCRR 373: Hazardous Waste Management ❑ Article 15, Title 15: Water Supply ❑ Article 19:Air Pollution Control ❑ Article 34:Coastal Erosion ❑ Article 15, Title 15: Water Transport ❑ Article 23,Title 27: Mined Land Management Reclamation ❑ Article 15, Title 15: Long Island Wells ❑ Article 36: Floodplain Management ❑ Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, Scenic and ❑ Articles 1, 3, 17, 19, 27, 37;6NYCRR Recreational Rivers ■ Article 25:Tidal Wetlands 380: Radiation Control ❑6NYCRR 608:Water Quality Certification ❑ Article 27,Title 7; 6NYCRR 360: Solid Waste Management PERMIT ISSUED TO TELEPHONE NUMBER Frank Licari 631 765-5185 ADDRESS OF PERMITTEE P.O. Box 261, 385 Orchard Lane, Southold, NY 11971 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY Licari property, 385 Orchard Lane, Southold COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk I Southold Dryad's Basin DESCRIPTION OF AUTHORIZED ACTIVITY: '7 Construct addition to existing single family dwelling and relocate shed. All work must be done in accordance with the attached plans stamped NYSDEC approved on May 24, 2002. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified(see page 2 &3) and any Special Conditions included as part of this permit. ;', PERMIT ADMINISTRATOR: ADDRESS Region 1 Headquarters Mark C. Carrara CK [Bldg. #40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE Page 1 of 4 Ma 28, 2002 To 7-HE ATTE-,PV- 1,0N �kl. � RF57"6lFf OL t F _ b } Q � e N 100 p fm MAY *yesc/Ys ED - OAC IL ly onvw."sl ROOM rb 64 -.'r nc�FD 1 Aoug,16 tri ew cr•s r.xr� ( __ •QOpM UZE'• ps.rG ' xo=s�,xia- PAL - SCALE [,•= 50' QVr r^.. .. _ covN s y rqY Mqa fr0; �jN sere- VOL ppm . - No �r c�l.A rxeN x,[i s.r m tv�O s.ld-rLeu. . � n7 Gi.Arui�/wnoa ier4 - NousE Amo CxfC./swq .r�r a+. rvuwees Y 5 V E C it• �;n ;,,1\"e:? :\': Pii ii TERJIS or co:: / 3E3 3D2Co�GCOFI NO. D.t--,E '� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATI IST [ ] ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLAY REMARKS: -M7 DATE Fl;'O INSPE M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROU LBG. [ ] FOUNDATION 2ND [ SULATION [ ] FRAMIN [ ] FINAL [ ] FIREPL CE & CHIMNEY REMARK r DATE ov INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2NDfi [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPLACE,& CIJIMNEY REMARKS,-. i��--G -- DATE ZI INSPECTOR FlElLD INSPECTION REPORT DATE COMMENTS b 177 o� FOUNDATION (1ST) S y ----------------------------------- P--' O m FOUNDATION (2ND) � z I � z r� ROUGH FRAMING& � PLUMBING r a INSULATION PER N.Y. "3 STATE ENERGY CODE 2— FINAL �1J�i ADDITIONAL COMMENTS O m S n N a G � ca z x P } � ll y x d b a TO'W OF SOUTHOLD 1 . `=ING PERMIT APPLICATION CHECKL BUILDING DEPARTMENT '—_ Do you love oraeed to follawin&befne apply TOWN HALL 4 202 r Jar} Board ofHealth SOUTHOLD,NY 11971 _ - S �-�•3 sets*fBu�ngPlans-- dex.t- TEL: 765-1802 n P epv s8>Survey shack Septic FDB 6 Co 1lustees 1?asffiaed 20 Z Approvod 6 20—.j? M811 to:rre.a.,e- r. .G ce e Disapproveda/c P�Zi:r�i Tft&A d AY Phone:G.3I— 76S S'/RS Building APPLICATION FOR BUILDING PERAW. Dale3 2001 INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the FAilding Inspector with sets of plans,accurate plot plan to scala Fee aecording.to schedule. b.Piot plan showing location of lot and ofbuildings on premises,relationship to ac}join agpromises or public streets 4 areas,and waterways. o.The work covered by this application.may not be before issuance ofBpildiag permit d Upon mnovai oftbis application,the ftadhr&IuapectorwM issue a BvildhrgPe mit to the applicant Such aperm shall be kept on the premises available for iaspectionthrogghout the work. e.No building shall be oocapied or used in whole or faput for any purpose what-so-ever until a Cerdficate of Occupy is issued by the Blinding Inspector. APPLICATION IS I EPMYKA,DB to the BuildingDepartmeat.forthe issusnoe of aBWlftPemsit pursuant to the B=Mmg Zone Ordinance of the Town of Southold,Suffolir County,New York,and other applicable Laws,Ordinances or Regulations,for the oonstructiOn ofbuildfiW,additions,or alterations or for removal or dQmolition as hmain describe&The applicant agrees to comply with all applicable laws,ordinances,building code,horsing code,and regalations,and to admit authorized mspectors on premises and is building for neoesea y inspections. (Stnsture ofapplioentornane,lfaoorporatton) P.a Bo,c ��/ �u1,d1u�0 ,V14�sp7/ (Mailing address of spPl ) State whether applicant is owner,lessee, agent, architect,engineer,general contractor, electrician,plumber or builder Name of owner of premises (as on the tax roll or latest dead) If applicant is a corporation,signal=of duly authorized officer (Name and title of corporate officer) Builders License No. owe/EA: rweA.Iic A ,(,cAR w�GL /aG.aiORin ALL TiYB K/qg,� Plumbers License No. . -1W~2 .40-part of .f,ce7.VSR Electricians License No. Foo IA-wa i,ovRw ue m&NTs Other Trade's License No. EN,C�yF.[RiN6 bA�ti'G.GeyvND lAECbyAvriCA{� L' Location of land on which proposed work will be done: -M Q-*QHA,2D 4AJ SewTt/OLD House Number Street Hamlet County Tax Map No. 1000 Section 8 9 Block 'a Lot b Subdivision Filed Map No. T_Lot (Namo) State eaisft use and ooMlinegotpretnises and flfended use and occupanegbf proposed eowftuctiow a. 'Existing WeandOOCnpanCy PCsre�uriA4 b. Intended use and occTanCy ert, Q,-AJT i+4L Nature of work(check which applicable):New Building_ Addition ✓ Alteration Repair Removal Demolition Other Work (Description) Estimated 6A '�Pckap .t r soo c'�fS9 27 Fee (to be paid on filing this application) If dwelling,number of dwelling units Number of dwelling units on each floor if garage, number of cars lfbusiness, commercial,or mixed occupancy, specify nature and extent of each type of use. rr Dimensions of existing stmetares,if any:Front ¢O // Rear S25,' 7 �� Depth 9 7 Height umber of Stories 2avcGVe£o ze sq\. naltc i /'01DG=cK 5 l .14!r Dec, Dimensions of same structure with alterations or additions: Front 4o // `r Rear 5S'70-+,8'r' - SL 3 ' ��,acuvv�S 3BA, iolpec.CS) Depth6s' 7"/rAIC&VV&S. Height -7312" Number of Stories z /or paws) . Dimensions of entire new construction:Front t D'8�&, Rear la'g�'� Depth i5 .9 Height_ ! 1�'�a�jNW orvr • Size of lot;Front i©o ' Rear i©Go Depth ?96 7b• 4/w w oit9 n/tep p4 F,4Fo +nA.D 0.Date of Purchase' LP 86 Name ofFom:er Owner ER.��s9-8e...rx1 xvo'ora rr,GM "MICA 1.Zone or use district in v&dhpremises are sitnated._�ESr aFu r�AL 2.Does proposed construction violate any zoning law,ordinance or regulation: ,yo 3. Wi711ot be re-gra$eii Na . WM excess fill be removed from premises: yES (NO:) . P.e.FsVUZ?e/ 3$SO4CM eb 4V 4. Names of Owner ofpremises ddress •soor,�re�� .✓L_Phoae:No. 76s-s.&T Name of Architect Address No. No Name of Contractor Address Phone No. S. Is this•property within 100 feet of a tidal wetland? *YES NO t,--- 0 IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQLTMED 6. Provide survey,to scale,with accurate foundation plan and distances to property limes. 7. If elevation at say point on property is at 10 feet or below,must provide topographical data on survey. TATE OF NEW YORK) 40017'IV 2 wrtc ae r,.3' smvp 4-s R/RST RGCC�,e of �{oc,SE SS: :OUN1 Y OF ) being duty sworn;deposes and says that(s)he is the hcxnt (Name of maxvidaal' signing contract)above named, Me is the &v A (Contractor,Agent,Corporate Officer,etc.) f said owner or owners,and is duly authorized to perform or Have performed the said work and to make and file this applicatu gat all statements contained in this application are true to the best of his knowledge and belief;and that the work will be erfommd in the maturer set faith in the application'iiled therewith. worn ,re me this u.�=Lday of 20 Nr Public Sigaattme of Iiaant HELENE D.HORNE Notary Public State of N6W yea No.4851364 Qualified in Suffolk County Commission Expires May 22, Notes on the Planned Room in the Application for Building Permit The room will be built on an approved Building Department foundation and sub-floor. Since its construction,the foundation and sub-floor has been used as an extension of the deck around a portion of the house. The deck as it exists was also approved by the Building Department. * I have drawings of the work done and a Certificate of Occupancy which show approval for the foundation and sub-floor by the Building Department for your perusal. Before the new room structure is installed,the 3/4"plywood sub-floor, which has weathered, will be replaced. At this time,R-19 insulation will be installed between the joists below the plywood. To maximize the amount of light in the structure,Anderson windows and gliding doors will be used, as shown on the drawings. The roof will have two insula-domes on each side which can be opened or closed from the inside. The roof will have R-19 insulation, and the walls will have R-11 insulation. The inside of the room will be finished with 1/2"sheetrock, and the floor will be red-oak tongue and groove. Heat to the room will be provided with ducting from the home's hot-air furnace. A ceiling fan and light assembly will be installed y✓ith its dual switch; three electrical duplex receptacles will be installed and a water tight electrical outdoor box with a GFCI dual receptacle will be installed on the outside of the north wall. * Underwriters approval will be obtained for all electrical service to this room. Access to this room will be from the dining room through an existing outside door to the room. Thereafter, access to the outside will be from an Anderson gliding patio door, as shown on the north wall drawing. The outside walls of the room will be finished with shingle pattern vinyl to conform with the rest of the house. Overhangs, eaves, and facial will be clad in vinyl. SO w ation will be provided through the soffits and a grid placed at the peak of the west y ` r BD�p the drawing. yD • ° • Frank Licari e 09/01/01 y � 2 Sao" �40pesslotl Notes on the Planned Room in the Application for a Building Permit The room will be built on an approved Southold Town Building Department foundation and sub-floor. Since its construction the foundation and sub-floor has been used temporarily as an extension of the deck around a portion of the house. The deck as it exists was also approved by the Building Department. (I have drawings for the work done and a Certificate of Occupancy which shows approval for the foundation and sub floor by the Building Department for your perusal.) Before the new structure is installed the 3/4"plywood sub-floor, which has weathered, will be replaced. At this time, R-19 insulation will be installed between the joists below the plywood. To maximize the amount of light in the greenhouse,Anderson windows and a gliding door will be used,as shown on drawings. The roof will have one Insula-Dome Skylight, which faces the south. The roof will have R-19 insulation, and the walls will have R-11 insulation. The inside of the room will be finished with 1/2"sheetrock, and the floor will have carpeting. Heat to the room will be provided with ducting from the home's hot-air furnace. A ceiling fan and light assembly will be installed with its dual switches; three electrical duplex receptables will be installed, and a watertight electrical outdoor box with a GFCI receptacle will be installed on the outside of the north wall. (Underwriters approval will be obtained for all electrical service to this room.) Access to this room will be from the living room through an existing outside door. Thereafter, access to the outside will be from an Anderson gliding patio door, as shown on the north wall drawing. The outside walls of the room will be finished with shingle pattern vinyl, and the roof will have roofing shingles - both will conform with the rest of the house. Overhangs,eaves, and facias will be clad in vinyl. Ventilation will be provided through the soffits and a grid placed at the peak of the west wall, as shown on the west wall drawing. Material Specifications • The rafters and collar beams will be 2X6's • The studs and top plates will be 2X4's • The headers, except for over the Anderson gliding door,will be two each 2X8's with 1/2"plywood between them fastened together with nails, with the two 2X4's placed horizontally below the headers, the overall width dimension will be 13 1/2" • The header section over the Anderson gliding door will be a section of Microllam LVL 6 1/2"full. The overall width with the top plates will be 9 1/2" • Joists below the sub-floor will have bridging • Connectors will be used to tic rafters to the top plates and headers • Sheathing throughout will be 1/2"plywood • The Insula Dome skylight will be 30"X45 1/2" insulated safety glass Frank F. Licari O NO p0 yO�y X000/.y0 y00 y0000 h O h 00 �y0 h hyo O 1y0 y00 e0 ^/00 h00 ,�00 OOO bO O ey0 OOhyO X00 Oy0 y00 ^b0 y00 y0 00 y0 00 y0 00 cP 00 y0 00 O .50 h h h h h O n y n At A O y O Oy y N N 0 h y b y y b O A A A A h h � P O+ + - � � h � �... n SAMPLE AE _ , 1 :NLAWF L : : ;®_j it � _ , i3 :_. WEIGHT OUTGAS CONDITION Ir T CERTIR AT .45 WETTING ANGLE 8 J C ',P, C e rt Pr= -2 y cos 8 r „ =r . OPERATOR 1iRD i REQU if" : 40 --- - _ -- - - - - - - - I i I I FOUNDATIO - TWO MOUIRED i I j - _ FORF0URE0 1 35 - - 2X6 r :h�' �C- a C "1` DISULATM FINAL r CO STRUCTION MUST _. - S l?ENT 1 — --- { �QUIR TIONNT$ SHALL EET �: � R QU R. OF TM N.Y. LU r NOR COMST PONSN EFE FOR � J r ODES. NOT SPON5IBLE �' of e R �eA MS L{ ROBS DAL otrW zie►uG qtu PitfT� { I w ` O p .25 . . . ... .-._ -_ - - _ , __ 75 ' : � .20 1 o — } - — T -� — - _ a j JeJ,4 .15 +- - _ _ — - 1 , F}-�/�o 7 � - IYyY�: _ " _ .10 - - — - 1 I ' .05 1 y + —4 f � ._:� 4I /N� _�.. L! s rr O - 4 . T ; } + y -1 {_ �.�._. -+ 4 4 - _ 1 f I.t_�� + .�_1.+�+ t_r_ _ t j4✓ i , . : 1 - /i 100 200300 400 500 600 700 800 900 1000 1100 1200 1300 1400 150r n„n n'Tenunnnc N1,111AM ononcIAIFTFP OQIr' RE-ORDER NO. SP-11 I-' runt nr�u iuJ, \MIVUJInV1VJI .+v ••� • • •••" '•••"o'-- � O O O p y O by y0 b000 h O h O hyo A0 hy0 000 ^y0 y00 tr00 A0 h00 00 pOOyyO 0000 OdJ^y0 n00 nby0 nb00 ny0 y00 �� >00 �y0 X00 �h0 n00', ^^T ^00 ^Oy0 ^000 9y0 g00 Byp / 50 y0 yy h0 y w O 0 1 y y y y tr tr A A A A h h h h h ry i. LLLL SAMPLEv4i ; WEIGHT r 4 rOUTGAS CONDITION t * I } r -. .45 -- LlWETTING ANGLE 8 t - I i r Pr= -2 y cos B ; i , i- , y , f OPERATOR 7 , _ I I 1 + I DATE .40 — — 1 - -- .35 _- _. - 1 I .30 _ w _ - w 4 - V _ 4 l7 PT U - - - a - - - + I .+ , tt I{ TY , t_{- 1- 1 ff—' ! - i 1.. - _ .f ,-', W I r _.�__1 t t 1 r .20 i - }--- - 1 i O I +{, j}— - ,T 11 { � QetT rT wz77+s . rt 5 S _ µ 1N {—� -41 iz +ilii �I � r i F I � � - 15 i , tt+ - - - ffI t t +,' 1 +� � r a -1 _ _ _ - 4-1 { +ti i- {_.y^ j -_ - 777 -1 - - -- - t , - { �. T Ob d + – f t Tt I '4 rt I � A 1 f i t # i } } 00 1400 1500 00 100 200 400 500 600 700 800 900 " 1000 1100 1200 13 _.. . .._. _ .._ _. ._ .,....,... ..�r.-., pC1r. RE ORDER NO. SP-111-1 o O �n rVnC nMU1V J. �/'11V1]JInVIVIJ/ ivv ••� . . ��•� 50 ya o ryO AO^yOO Q 0y gAAO 0yo qA hAO pAo AryyO AOO AryAo A� M1h YA� pA hAOo M1ryoO ti� ry�A����OyO 0Ao AO �O 1 0 yyA yAO pAA ^O� '1�hA App M1yO ^O� ...1� 1Qo OHO OOO 0yO e0O 0� i - r 1 17 SAMPLE ? WEIGHT • ; , + i . , + � .45 WETTING cos 8 t — -� j i-' . r I : 1 . 4_+ OUTGACONDITION ,$ +- � _: . ? +� : . I OPERATOR ANGLE 8 I ~ I 1� { t - 1 : 1_ �+T r _ . ! 1 + : � 1 + DATE - ._ - - — .40 — -- -- — ! . .35 -Eft — _ -s f/� flEp _ '�•t 7�1/C OLLAM i . Cc f i rr 30 - _ . LU --- . , - Z __ 1 -- Vi t 25 { 4 — - m } }+ 1 I Tr + -1 - * t _ }�' .� I 1 • , i LU J 20 l Q i . , I > { � •.j ` I ; If15L A- 1 + 1 14J { T r I — �..I + �`lca tf1. i + � 1 -�-• T T _ l 11 {. _ i. 1-_{-� _ _:� , � - -�- , _ I , _ _i rte _ J1 +�+ II � � _ _ _ J _ .1 _ 5 I 7 t J- � _!' k } ! + �-rt--�_ . ' , , �-t i_h r _•t•�-.' , { I I w.J� { �++ ,---+ i � , j r—F :-+-' , - w r{ - 1 L k + , ry—r- Ar .+ - 10 - -- ? • +—+fi rt �rt I _ tt ttt + { r t - r , , , t I + + _ , }{ t ; 1 { + t, -'- _t- r }7 t + I I t T i + 1, �^ ir , { IJ it , e 100 200 300 400 500 600 700 800 900 1000 1100 1200 1300 1400 1500 _.. . __. . _ . - ___,,,,...�«., ocic s RE'-ORDER NO. SP-111-1 fi SEC A-/a ,yf4/Zl�'JCf7ME �I 1G�/J '� 7�E5 Nr ALL i rr�Y� ,CaxrE,es, �r�Nfn�e,CS� ` � COLLA2 SCAM q T6PF='AYES L K All — 4 t0 . ' v%HSS \VJNDUtvY, GLASS VMJNDOW r - SEC q- max-/ i III i i I II , i II ANDe,2.SON WJNDaVV CR P, -2 ANDER-50N WAIDOW c'R 28 -2- RB NGN Ol'ENIN ,rj .5'b j8 x,t.i�z�ii �TJUGf/ 61aLY/ING .'� 03�& X $ 6i8Y� I � , I Ili � y�PtE OF NEW Yb A , , 0.50 G . SANK DCAR/ R/ -*=--I' L