Loading...
HomeMy WebLinkAbout44136-Z o�OgHlfOtX 2k, Town of Southold 7/18/2022 a� �; P.O.Box 1179 0 c r.{ 53095 Main Rd cy MV Southold,New York 11971 ;:rte � rite' CERTIFICATE OF OCCUPANCY No: 43267 Date: 7/17/2022 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 505 Southern Cross Rd., Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-5-29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/21/2019 pursu nt to which Building Permit No. 44136 dated 9/9/2019 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: alterations to existing single family dwellling as applied for. The certificate is issued to Dubon Eleanor C Fmly Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44136 7/1/2022 PLUMBERS CERTIFICATION DATED 6/22/2022 Na Piccioip u or e Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o 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#: 44136 Date: 9/9/2019 Permission is hereby granted to: Dubon Eleanor C Fmly Trt 505 Southern Cross Rd Cutchogue, NY 11935 To: make alterations to an existing dwellling as applied for. At premises located at: 505 Southern Cross Rd., Cutchogue SCTM # 473889 Sec/Block/Lot# 110.-5-29 Pursuant to application dated 8/21/2019 and approved by the Building Inspector. To expire on 3/10/2021. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $228.80 CO -ALTERATION T $50.00 Total: $278.80 ti Building Inspector 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: Old or Pre-existing Building: ✓ (check one) Location of Property: 565 Sb y v' !`(� ^7- e � L4 t e- House No. r Street Hamle Owner or Owners of Property: 4 ✓l c' r w Es n Suffolk County Tax Map No 1000, Section 11o , b a Block bS, Db Lot Oo?! , bD D Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: v Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 5v Applicant Signature pF SOUTyoI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G sean.deviinatown.southold.ny.us Southold,NY 11971-0959 'rOly BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Dubon Eleanor C Family Trust Address: 505 Southern Cross Rd city:Cutchogue st: NY zip: 11935 Building Permit#: 44136 Section: 110 Block: 5 Lot: 29 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Ptractor:77 DBA: Custom Electric Const License No: 31009-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1 st Floor Pool New Renovation X 2nd Floor X Hot Tub Addition Surrey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 2 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 2 Smoke Detectors 4 Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures 2 CO2 Detectors 3 Sub Panel A/C Blower 2 Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect 2 Switches 6 4'LED Exit Fixtures Pump Other Equipment: Notes: Two Baths on Second Floor and New Smoke Detectors and Two Ac's Inspector Signature: Date: July 1, 2022 S.Devlin-Cert Electrical Compliance Form :���pF S0�/Tyo:� .�• Town Hall Annex _ f Telephone,(631)765-1802 54375 Main Road & Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 • BUILDING DEPARTMENT TOWN OF SOUTHOLD CERT.IFICA.TI.-0-- Date: Building Permit No. "1 Owner: &-/ h Ct PtGc'k i o n .'o (Please print Plumber:.- - "M- _ civ,,�bG— (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 0. (Plumbers Signature) Sworn to before me this day ofJVL^k 20 CONNIE D.BUNCH Notary Public,State of New,York No.01 BU 6185050 Qualified in Suffolk County Commission Expires April 14, Notary Public, '(:ourtfy OF SOUlyO� # # "TOWN OF SOUTHOLD BUILDING DEPT. �`ycourmN�` 765-1802 INSPECTION. [ ] FOUNDATION 1ST [� UGH PLBG. [ ] F -UNDATION 2ND:' [. INSULATION/CAULKING [ FRAMING/STRAPPING [ ] FINAL [ ] -FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] -FIRE RESISTANT CONSTRUCTION [ ]- FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: ^ !, DATE INSPECTOR - souryO� Li 1 154 yos SO u`�LiJI/� # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 NSPECT:I-.ON . [ ] FOUNDATION 1 ST [ ] ROUGH PLBG:- [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY,INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION �>&LECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR , Of SOUIyo # # TOWN OFSOUTHOLD:BUILDING DEPT: `�coutm ' 765-1802 . : :. INSPECTION. [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [. ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REM ARKS: 04 z Ywh4l6t.1- 0& rov\1 I L dki V r DATE 'Y�' yO� INSPECTOR snaryO� 44 ! 6 SCS S ^J6VIWXAZN C�.P`.T # # TOWN OF SOUTHOLD BUILDING DEPT. °`y�ouFm ' 765-1802 INSPECTION ' . [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] _FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY' [ ] FIRE`SAFETY INSPECTION [ -] .FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) �� [ ] CODE VIOLATION ] PRE C/O REMARKS: DATE Z 2d INSPECTOR o�aoF So�lyo ,t. s0 # TOWN OF SOUTHOLD BUILDING DEPT. �ycOU631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]' RENTAL REMARKS: S 1� 1 DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) y ------------------------------------ FOUNDATION (2ND) �- f y ROUGH FRAMING& PLUMBING 1 - � N r INSULATION PER N.Y. y STATE ENERGY CODE A. l r46t.% FINAL �d ADDTTIO AL COMMENTS t �-� tZ w; n 5e cs H z � x d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health --------Z�- SOUTHOLD, NY 11971 4 sets of Building Plans V/ TEL: (631) 765-1802 F Planning Board aper I — FAX: (631) 765-9502 —I Survey Y South oldtownn gov PERMIT NO. �6 C� Check Septic Form N.Y.S.D.E.C��. Trustees C.O.Application t�`.ti Flood Permit Examined 20i�G�, �', ') Single&Separate Truss Identification Form Stone-Water Assessment Form 2 2 Contact: _ Approved 20 �4eid-te; J Disapproved a/c Phone Expiration 120 f. r Bui Insp APPLICATION FOR BUILDING PERMIT Date , 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 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 all applicable laws, ordinances,building code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ( 'nature of applicarif or name, if a corporation) k7 G L-e- � r 11961 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder s P6 A' F0 c- O u-) 1)e C Name of owner of premises '- E Le a ,n o v— (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. -/ IV Plumbers License No. Electricians License No. Other Trade's License No. - y 1. Location of land on which proposed work will be done: (1 _S7.0 0 House Number—, Street Hamlet County Tax Map No. 1000 Section 0, (7D Block—0 � � LrD Lot 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 R I A e ,/\ 0-t' b. Intended use and occupancy k C-- S t j e V� C 3. Nature of work(check which applicable): New Building Addition Alteration a/ ----I Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling'units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent,of each type'of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Fronf Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number 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 12. Doesro osed construction violate an zoning law, ordinance or regulation? YES NO p p Yg/ � g 13. Will lot be re-graded? YES NO / Will excess fill be removed from premises? YES NO 14. Names of Owner of premises F, who n Address �oS. X A'ern �i/)S Phone No. o .31 Z311 11�14 70 Name of Architect Q n I'T h, Address t6 3 76 rncd c(,c�i)AV-hone No 6,3/ ,21/ Name of ContractorPcir m,rr.H a kt a Req.-je�Address Iy;v frr-d L�Ccs ntr 4 one No. 63,1 Fsd Cyd/ Cc-Loc r-Ta.n 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES 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) SS: COUNTY OFS .),,,,A x'*�N Sg d1 CL-to re.- being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the PO A o k,-5 va a c (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 contai d in this application are true to the best of his knowledge and belief, and that the work will be performed i6's. t fort in the a tion filed therewith. DEBRA A: D'AMATO NOTARY PUBLIC State of New York worn t be No.4874280 S Qualified in Suffolk County Commission Exp' as October 27,20�Z `e Signature of Applicant r" �• 20jS1,UILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD g c r�;Hall Annex- 54375 Main Road - PO Box 1179 , .y , bTOSouthold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 .�y: q;� rogerr southoldtownn ov z seand(cD-southoldtownrly.gov APPLICATION FOR ELECTRICAL INSPECTION, ---.. - .......... ELECTRICIAN INFORMATION (All Information Required) Date:: Company Name: .. 'U._ :.. .:....: . .. . ..:::. fLcL, ._ Cc> STc.ic�-'..._C6¢L40, Name: . . License No.: 31 OOH --r� email: �qu�� �� v►� =LE�2�C�YL �r-2�� ' � '`� Address: . _. .. _y..._ H.u_- .. G .. .. ._._........... Phone No.: 6 `G e,� JOB SITE INFORMATION (All Information Required) Name: . Address:.... Cross Street: ....... ... Phone No.: Bldg.Permit#:^ l 3 6 email: __._. - _Tax Map._District: 1000Section: Block: Lot........... . : .......... BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: YES NO ough In Final i Do you need a Temp Certificate?: YES Issued On. Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: .... ..A #Meters Old Meter# . New Service- Fire Reconnect- Flood Reconnect-Service Reconnected- Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: ,PAYMENT-DUE_WITH.AP._PLICATION Request for Inspection FormAs e,3�! BUILDING DEPARTMENT- Electrical Inspector PD), � !, i:! 1t ,�' yo TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 { {� Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr _southoldtownny.gov - seand(cD_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: Company Name: �-e \P, �' e � Electrician's Name: Gc-,z p t License No.: Iq b•�l 4� Elec. email: Elec. Phone No: •7 26 ❑1 request an email copy of Certificate of Compliance Elec. Address.: , t,j [ i IJ e ; // '7 `2_07 JOB SITE INFORMATION (All Information Required) Name: 7Ia�L i -�Lt-e, &I.0 Address: Ste, -(.L� �w Gc -_c Cross Street: Phone No.: 6 3g 7"7 q rlY z,,( Bldg.Permit#: 0 .-3 �- email: Tax Map District: 1000 Section: /j Block: Lot: Z BRIEF DEOPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ©-NO Issued On Temp Information: (All information required) Service Size 1-11 PhF—]3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Add itionai'lnformation: PAYMENT DUE WITH APPLICATION �1�� PERMIT# Address: Switches Outlets I GFI's 1, Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC AH f Hood Service I Amps Have Used Special: Comments_ Lawrence Eric Davidow DDS Haag A.Davidow Lawrence A.Siegel (1890-1954) Steven H.Stern* D , D"IDOW, SIEGEL & STERN, LLP Sanford 0 Davidow "IDOW Michelle Jablonsky (1919-2009) Wend H.Sheinber t Wallace F.Davidow Wendy g Counselors at Law• Original Firm Founded 1913 (1923-2008) Hariklea D.Baialardo Courtney C.Abbott Anthony V.Falcone 1050 Old Nichols Road • Suite 100 •Islandia,New York 11749 Nassau Office: 'Katie H.Betik Tel (631) 234-3030•Fax (631) 234-3140 Sui Old Country Road Kevin S.Polikoff Suite Website: www.davidowlaw.com Gardenn City,NY 11530 Of Counsel Tel(516)393-0222 Gina Rain Bitsimis Fax(631)761-0370 Michael D.Angiulo° East End O Oded Ben-Ami Office: Scott B.Augustine Mattimttic Main Road ck,NY 11952 *Admitted to Florida Bar Tel(631)234-3030 tAdmitted to Connecticut Bar CERTIFICATION BY ATTORNEY Fax(631)761-0370 'Admitted to California Bar STATE OF NEW YORK) ss : COUNTY OF SUFFOLK) I, the undersigned, an attorney admitted to practice in the courts of the State of New York, certify that the within is a true and complete copy of a NEW YORK STATUTORY SHORT FORM, DURABLE POWER OF ATTORNEY signed by the Principal on SEPTEMBER 15, 2004 whereby said document appoints attorneys in fact ( "Agents" ) . Said document is between ELEANOR C. DuBON, as principal appointing STUART J. DuBON or JUDITH M. SANATORE, as Agents, and TO MY KNOWLEDGE, remains in full force and effect . I affirm that the foregoing statements are true, under the penalties of perjury Dated: Islandia, New York June 6, 2017 nthony V. Falcone, Esq. DURABLE GENERAL POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM THE POWERS YOU GRANT BELOW CONTINUE TO BE EFFECTIVE SHOULD YOU BECOME DISABLED OR INCOMPETENT CAUTION: This is an important document. It gives the person whom you designate (your "Agent") broad powers to handle your property during your lifetime, which may include powers to mortgage, sell, or otherwise dispose of any real or personal property without advance notice to you or approval by you. These powers will continue to exist even after you become disabled or incompetent. These powers are explained more fully in New York General Obligations Law, Article 5, Title 15, Sections 5-1502A through 5- 1503, which expressly permit the use of any other or different form of power of attorney. This document does not authorize anyone to make medical or other health care decisions. You may execute a health care proxy to do this. If there is anything about this form that you do not understand, you should ask a lawyer to explain it to you. THXS is intended to constitute a DURABLE GENERAL POWER OF ATTORNEY pursuant to Article 5, Title 15 of the New York General Obligations Law: I, ELEANOR C. DuBON, residing at 505 Southern Cross Road, Cutchogue, New York 11935 do hereby appoint STUART J. DuBON, residing at 505 Southern Cross Aoad, Cutchogue, New York 11935 OR JUDITH M. SANATORE, residing at 66 Maidstone Lane, Riverhead, New York 11901 my attorney(s) -in-fact TO ACT EG' U Each agent may SEPARATELY act ] All agents must act 'TOGETHER. [In the event: both STUART J. DuBON AND JUDITH M. SANATORF shall predecease me, fall to qualify or cease to act as my said Attorney- In-Fact, or is in any event unable or unwilling- to act as such, I hereby appoint STEPHEN G. Du$0N, residing at 220 Atlantic Avenue, Apt. C29, Lynbrook, New York 11563, as my Substitute attorney(s) - 1 in-fact TO ACP. in my name, place and stead in any way which I myself could do, if I were personally present, with respect to the following matters as each of them is defined in Title 15 of Article 5 of the New York General Obligations Law to the extent that I am permitted by law to act through an agent: (DZRECTZONS: Initial in the blank space to the left of your choice any one or more of the following lettered subdivisions as to which you WANT to give your agent authority. If the blank space to the left of any particular lettered subdivision is NOT initialed, No AUTHORYTY WILL BE GRANTED for matters that are included in that subdivi si.on. ALTERNATIVELY, the letter corresponding to each power you wish to grant may be written or typed on the blank line in subdivision " (Q) 9, and you may then put your initials in the blank space to the left of subdivision " (Q) " in order to grant. each of the powers so indicated.) [ ] (A) REAL ESTATE TRANSACTIONS, INCLUDING BUT NOT LIMITED TO THE POWER TO SELL AND CONVEY ANY AND ALL REAL PROPERTY OWNED BY ME; [ ] (B) CHATTEL AND GOODS TRANSACTIONS; [ ] (C) BOND, SHARE AND COMMODITY TRANSACTIONS; 7 (D) BANKING TRANSACTIONS; [ ] (8) BUSINESS OPERATING TRANSACTIONS; [ ] (F) INSURANCE TRANSACTIONS; [ ] (d) ESTATE TRANSACTIONS; [ a (H) CLAIMS AND LITIGATION; [ ] (I) PERSONAL RELATIONSHIPS AND AFFAIRS; ] (J) BENEFITS FROM MILITARY SERVICE; I ] (K) RECORDS, REPORTS AND STATEMENTS; ( ] (L) RETIREMENT BENEFIT TRANSACTIONS; ] (M) MAKING GIFTS TO MY SPOUSE, CHILDREN AND MORE REMOTE DESCENDANTS, AND PARENTS, NOT TO EXCEED IN THE AGGREGATE $11, 000 TO EACH OF SUCH PERSONS IN ANY YEAR; ( ] (N) TAX MATTERS; [ ] (0) ALL OTHER MATTERS; I ] (P) FULL AND UNQUALIFIED AUTHORITY TO MY ATTORNEY(S) -IN-FACT TO DELEGATE ANY OR ALL OF THE FOREGOING POWERS TO ANY PERSONS WHOM MY ATTORNEY(S) -IN-FACT SHALL SELECT; 2 EACH OF THE ABOVE MATTERS I D=I F I ED BY THE FOLLOWING LETTERS: A,B,C,D,E, F,G,H, I,J,K,L,N,O,P (BUT NOT M) SECOND: This form shall contain the following modifications and additions consistent with section 5-1503 of the New York General Obligations Law: (DIRECTIONS: Initial in the blank space to the left of your choice any one or more of the following numbered subdivisions as to which. you WANT to give your agent authority. If the blank space to the left of any particular lettered subdivision is NOT initialed, No AUTHORITY WILL BE GRANTED for matters that are inoluded in that subdivision. ALTERNATIVELY, the number corresponding to each power you wish to grant may be written or typed on the blank line in subdivision " (21) ", and you may thea put your initials in the blank space to the left of subdivision 11 (21) 11 in order to grant each of the powers so indicated.) [ ] (1) 1 authorize my attorney-in-fact to prepare, execute and file all income and gift tax (including but not limited to federal forms 1040, 1040ES, 1041, 705 and all related forms and similar state forms NY IT-201, NYC-203, IT-205, TP-403, and all successor forms thereto) , social security or unemployment insurance and information returns required by the laws of the United States, or of any state or subdivision thereof, to confer with revenue agents, to prepare, execute and file refund claims, to collect any tax refunds from the United States or any state or subdivision, to execute agreements extending the statute of limitations, to represent me or obtain representation for me before the Treasury Department of the United States and any taxing authority of any state or subdivision thereof with respect to any such tax or taxes and any claim or claims relating thereto, the Tax Court of the United States or any other court in connection with any of said tax matters, and to do anything ("perform any and all acts") whatsoever requisite with all income tax, gift tax, social security and unemployment insurance taxes required by the laws of the United States or any state or subdivision that I could do in my own person. For all such tax matters listed above, this power of attorney shall apply to the following years or periods: 1980 through 2030. C ] (2) In the event that my attorney-in-fact believes that I am permanently incapacitated, my attorney-in-fact ie authorized 3 to vacate my residence, or any home I may own or rent during the time this power of attorney is in effect . [ ] (3) In the event that my attorney-in-fact believes that I am permanently incapacitated, my attorney-in-fact is authorized to dispose of any and all of my tangible personal property, in- cluding wearing apparel, library, jewelry, household furnishings and other such effects. Items to be disposed of may be disposed by gift, sale or by the retention thereof by my attorney-in-fact. At the discretion of my attorney-in-fact, items of personal effects may be given as I may have requested in writing or to my children, or if I have no children to those persons who are my nearest relatives, or as a last resort to a charitable organization. If such items) are of little or no value and cannot be sold or given away, I authorize my attorney-in-fact to discard such item(s) . [ ] (4) Notwithstanding the authority granted to my agents) in paragraphs 2 and 3 above, in the event that I am placed in a nursing home facility, of any type, it shall always remain my intent to return to my personal residence. ( ] (5) I authorize my attorney-in-fact to conduct estate planning on my behalf, including but not limited to the following acts. a. the making of gifts, whether outright or in trust, of any or all of my cash, real or personal property or interests in property, including any right to receive income from any source, to those persons and in the same proportions (except as my attorney- in-fact may otherwise determine based on the standard set forth below) as set forth in my Last Will and Testament; and/or b. the making of gifts to individuals and/or organizations, whether charitable or otherwise, in the pattern I have used in my lifetime, and/or to satisfy pledgee I previously madel and/or C. the creation of trusts, whether revocable or irrevocable, and/or the transfer of my assets or income to such new trust or to a trust already in existence; and/or d. the use of any other devices I might use myself were I competent, for the purpose of providing for my spouse and/or other members of my family (at the same standard of living in which they were accustomed prior to my incapacity) , or for reducing my tax liability or otherwise preserving my assets should they be in jeopardy. 4 In carrying out the powers granted in this paragraph, my attorney-in-fact shall be guided by the standard that the estate planning powers are designed, in part, for the preservation of my assets and he or she shall exercise such powers in such a way as to provide for my best interests and the best interests of my family members. Subject to such condition . precedent (ascertainable standard) , my attorney-in-fact may exercise any estate planning power without any prohibition against self-dealing, including but not limited to making gifts to himself or herself and appointing himself or herself trustee of any trust created. I authorize my attorney-in-fact to continue making gifts of my property to carry out my lifetime giving patterns, or to begin such a pattern if deemed prudent. Furthermore, I authorize my attorney-in-fact to elect, in his or her discretion, a "split gift" with my spouse, if any, pursuant to section 2513 of the Internal Revenue Code, its successors, or its state law equivalent . I hereby give my consent to any such election and authorize my agent to sign, on my behalf, an affidavit or other proof necessary to effectuate such election. L ] (7) I authorize my attorney-in-fact to execute all statutory elections and disclaimers of whatsoever kind or nature, including, but not limited to, qualified disclaimers to effect tax savings, disclaimers to defeat the interests of any and all creditors and disclaimers to pass properties to successors. [ ] (8) I authorize my attorney-in-fact to purchase any type of property that is considered to be an exempt resource under the Social Services Taw. . [ ] (9) I authorize my attorney-in-fact to purchase from a reputable insurance company or from any of my family members, a non-assignable, non-cancelable single premium; irrevocable straight life annuity for my life which annuity shall provide monthly installment payments either to me or to my spouse at the discretion of my attorney-in-fact and may provide that if I die before the initial cost of the annuity has been paid., then the remaining balance shall be distributed to the same beneficiaries of my Vast Will and Testament in effect at the time of the purchase of such annuity. [ ] (10) I authorize my attorney-in-]Fact to request, receive and review and to provide any confidential information regarding my personal affairs or my physical or mental health. [ ] (11) If I become incapacitated or partially incapacitated I intend by this durable power of attorney to avoid 5 /f any type of proceeding for the appointment of a conservator, committee or guardian. However, if any such appointment must be made, I hereby nominate my agent (s) or substitute agent (s) herein, in the same order of priority, to serge in any such capacity. [ ] (12) I authorize my attorney-in-fact to communicate the contents of my Living Will, if any, to the appropriate entities specified in said document. I ] (13) I authorize my attorney-in-fact to have access to any and all safe deposit boxes in my name and to open, inspect, inventory, place items in or remove from, and close said safe deposit boxes. In the event that the key to my safe deposit box cannot be located, I authorize my attorney-in-fact to drill, it open. E ] (14) I authorize my attorney-in-fact to make all necessary decisions and elections, of whatsoever kind and nature, regarding my Social Security benefits and any annuity, pension or other retirement plans) or fund(s) , or similar type plans, that I may possess, including, but not limited to, lump-sum payouts, installment payouts, roll-overs, contributions, change of ownership, beneficiary designations or waiving nonemployee spousal rights. E ] (15) I authorize my attorney-in-fact to borrow funds to avoid forced liquidation of my assets. E ] (16) I authorize my attorney-in-fact to deal with any and all insurance policies I may own or may be qualified to purchase, including but not limited to the following types; life, medical, disability, long term care/home care/nursing home care, homeowners and vehicle. In addition, I authorize my attorney-in-fact to make all necessary decisions and elections regarding my life insurance Policies, including but not limited to changing the beneficiaries, the payout method, or whether to borrow the cash value. [ ] (17) I authorize my attorney-in-fact to forgive and collect debts. [ ] (18) 1 authorize my attorney-in-fact to qualify me for any and all government entitlements that I may be eligible for, in- cluding, but not limited to, Medicare, Medicaid and $$I. This authority shall also include the power to litigate or settle any matter pertaining to the above entitlements. E ] (19) I authorize my attorney-in-fact to change my domicile to another state. 6 1 [ ] (20) 1 authorize my attorney-in-fact to retain and compensate attorneys, accountants, investment Counsel and similar professionals, concerning my property and personal affairs. ICL' s] (21) EACH OF THE ABOVE MATTERS IDENTIFIED BY THE FOLLOWING NUMBERS: 1,2,3,4,5,6,7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 1'7, 18, 19, 20 DURABILITY. This Durable Power of Attorney shall not be affected by my subsequent disability or incompetence. The enumeration of specific items, rights, acts or powers herein is not intended to, nor does it, limit or restrict, and is not to be construed or interpreted as limiting or restricting the general powers herein granted to said attorney-in-fact. The rights, powers and authority of said attorney-in-fact herein granted shall commence and be in full force and effect upon execution hereof, and such rights, powers and authority shall remain in full force and effect thereafter until terminated by written revocation, order of a court, or my death. This power of attorney is Effective in my absence or disappearance, explained or unexplained, and is also effective even if I am deceased until such time as the fact of my death is confirmed. To induce any third party to act hereunder, I hereby agree that any third party receiving a duly executed copy or facsimile of this instrument may act hereunder, and that revocation or termination hereof shall be ineffective as to such third party unless and until actual notice or knowledge of such revocation or termination shall have been received by such third party, and I for myself and for my heirs, executors, legal representatives and asaigns, hereby agree to indemnify and hold harmless any such third party from and against any and all cliaims that may arise against such third party by reason of such third party having relied -on the provisions of this instrument, This Durable Power of Attorney may be revoked by me at any time. IN WITNEfSS THEREOF, I have hereunto signed my name this /V" lay of S6K 2004 . ELEANOR C. DuBON 7 STATE OF NEW YORK ) ss. : COUNTY OF SUFFOLK ) On the IV' day of J49Am c-1- 2004, before me, the undersigned, a Notary Public in and for said State, personally appeared ELEANOR C. DuBON, personally known to me or proved to me on the basis of satisfactory evidence to the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. Notary Publicate of New York TERRY CIPRIAM Notary Public,State of NewYotk PREPARED BY: No.0206002962 Qualified in Suffolk County Commission txpiees Feb. 77,20.0� DAVIDOW, DAVIDOW, SIEGEL & ST$RN, LLP One Suffolk Square, Suite 330 Ielandia, New York 11749 (631) 234-3034 (631) 420-4040 P. O. Box 344 13105 Main Road Mattrituck, New York 11952 (631) 298 9600 8 Pontino, Susan From: artie picchione <apicchione@icloud.com> Sent: Wednesday,June 22, 2022 12:12 PM To: Pontino, Susan Subject: 505 ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. rRmvt vXR A DA TE' M00. N0. 4TTR3042E100Q�U !h/SERL NO. MINIMUM CIR AA3� 6l1 i CUIT �MRACITY . 22 � { OVERCURRENT PROTECTIVE D �IG� SSA PS MAX FUSE [IRE � RACRy CANADA HFA — -4.1_p� � LBS. �+ .. _ 35 . 10 'FIC 02- Oz. of ' . '- k 9 �R EE SHMAAT�N tl�Fi{�TRE ?RAII srtuft .41u�s u10 SAlna FJn u k:g -SCCRIM tune U.S.Inc. SYLER,1%75707 $Alto# , ASSEMALED�IN.USA'. t j1SfEIQ C4MPR.MOT. . 17.p RiA08 �►�orlt �.o. o�. ' - l23lI Y DESIGN P$I - HHGN'T FLA 208l2$Q .n 46E! 401, F.�� staill Ptahibi ed In sau>�nL SER. t and: un SmylbM'k4h alreelgjY.Qril �0 4 1 IFR 412021 ®ATF OD.NO. 4TTR301$141000NR.- AM 208/230. SERlAlNO.' 21171SX43F. -PN 9 ., M 60- MtKIMUM CIRCUITANIPACITY . i2:iD - QVEOURRENT FROTECTE DEVICE US- 20 2N UA , MAX FUSE-I BREAKER 0114 : . :" MFG = 410k 4 .Lbt 02 OZ. 4R. 1.87 kq(SQ 1 Q °I:SC tTfNI.OR SEE SNCHART IN LITERATURE.- SM SkA rms Ilmatull DuraTufl. Spine Fin QIIIQk—Secs 1 RAN s�lrsas ?raae;U.T!IS. Ceui US LISTED- " = TY , 75707..,' ASSE M®Ll:R IN USA �� use IER COMPR..MOT: -RLA : 208►230 �- 48-0 SRA 01Z;MOT.,- O.B® RA 2001280' V Os NP UESM PSI--= UIOFI 4M LOW 4M F.10. Q11 R iaslall Prohibited in Southeast and'&outhwast. WIF Mi ',- AFIRiSt+n0ed21a"�Ip Artie P. 2 GENERAL NOTES IMPORTANT NOTES EXISTING ITEM NOTE 3"Dia. Vent ALL ITEMS INDICATED ON TH15 PLAN ARE EXISTING TO 1. ALL DIMENSIONS AND CONDITIONS TO BE VERIFIED BY CONTRACTORS 9. ALL HEADERS TO BE SUPPORTED ON DOUBLE STUDS OR 4"x4" POSTS Through Roof ROOF REMAIN UNLESS OTHERWISE NOTED AS "PROPOSED" OR "NEA" PRIOR TO CONSTRUCTION AND PRIOR TO ORDERING MATERIALS. UNLESS OTHERWISE NOTED [U.O.N.]. ----------------------------- -------------------------- -------- OR "INSTALL"OR "PROVIDE" 1. THE RECORD ARCHITECT IS NOT RESPONSIBLE FOR PROPOSED MBR BATHROOM i PROPOSED HALL BATHROOM V 2. DO NOT SCALE THE DRAWINGS. WRITTEN DIMENSIONS SUPERCEDE 10. PROVIDE DOUBLE HEADERS AND TRIMMERS AT ALL STAIR AND FLOOR PROJECT SUPERVISION, INSPECTION OR ADMINISTRATION I d. SCALED DIMENSIONS. OPENINGS AND UNDER ALL POSTS AND PARTITIONS RUNNING PARALLEL -�� tN1 t OF THIS CONSTRUCTION PROJECT. --- -T--' _ vent LEGEND 3. RECORD ARCHITECT/ENGINEER OR DESIGW CONSULTANT ARE NOT TO SAME, r i D1O I 132'Dia. T_ I~' RESPONSIBLE FOR 'SUPERVISION, INSPECTION OR ADMINISTRATION 2. ALL WORK SHALL COMPLY WITH THE 2015 INTERNATIONAL I vent Vent I V 11. BRIDGING TO BE EITHER FULL DEPTH 2"x SOLID OR 1"x3" OR 18 GAUGE Existing I � E WALL CONSTRUCTION TO BE REMOVED W OF THIS CONSTRUCTION PROJECT. CROSS BRIDGING,@ MID-SPAN OF FRAMING BAY AND NOT EXCEEDING RESIDENTIAL CODE {2015 IRC LOCAL CODES AND W LAV I LAV I E 8'-0" ON CENTER. ORDINANCES HAVING JURISDICTION. I I TUB I WC I 4. ALL CONCRETE STRENGTH [Fc] TO BE 3,500 P.S.I. AIR-ENTRAINED Existing Tub - - - - PROPOSED WALL CONSTRUCTION z = to 0 0 NN MIN. @28 DAYS AND ALL CONCRETE FLAT STRENGTH [Fc] TO BE 12. ALL HEADERS TO BE 2-2"x8"UNLESS OTHERWISE NOTED. to SHOWER 132"Dia. tYz"Di°. V J }0 SECOND FLOOR „ „ „ 3,500P.s.l. 3. NO WORK TO COMMENCE UNTIL APPROVAL HAS BEEN ------------ - - --- -- - - - - - - ----- - 2X4 X 8 ft. height wood studs at 16 o.c.typical > .+ 3o 5. FOUNDATIONS AND FOOTINGS ARE SIZED FOR BEARING ON VIRGIN 13. THE TOP AND BOTTOM OF JOISTS SHALL NOT BE NOTCHED MORE OBTAINED FROM THE BUILDING DEPARTMENT OF THE CO2�Dia. 3"Dia IC.O. la Dla 3"Dia• � a Z W a 3"Dia.SOILAT MIN. BEARNG CAPACITY OF 1.5 TONS PER SQUARE FOOT THAN 2 INCHES. MUNICIPAL AUTHORITY HAVING JURISDICTION AND ALL Z WITH A MINIMUM OF 3'-0" COVER. NECESSARY PERMITS HAVE BEEN SECURED. 3 ola. U.O.N. UNLESS OTHERWISE NOTEDYI 14. ALL STRUCTURAL WOOD SHALL BE KEPT 2" CLEAR FROM CHIMNEYS. NNECT TO EXISTING = 6. ALL WOOD FRAMING, INCLUDING:COLUMNS,POSTS,GIRDERS,BEAMS, -2- EXISTING EXTERIOR OG 4. CONTRACTOR AND OR RESPECTIVE SUBCONTRACTORS RISER PIPE JOISTS,STUDS ETC. TO BE HEM FIR No.1 OR BETTER WITH: 15. ALL WOOD FRAMING ANCHORS FOR BEAM S,JOISTS,RAFTERS,ETC.TO WALL Fb= 1,200 PSI SINGULAR BE 18 GAUGE MIN. GALVANIZED STEEL MFG. BY SIMPSON STRONG- SHALL BE RESPONSIBLE FOR ADEQUATELY BRACING L6 ^ Z 3"Dia. Exlstin Fb= 1,400 PSI REPETITIVE AND PROTECTING ALL WORK DURING CONSTRUCTION 9 EXISTING NOTE m TIE CO. PLEASANTON CA.(800-999-5099)FOR FLUSH STRUCTURAL Min. F.A.I. FINISHED CONNECTORS. AGAINST DAMAGE, BREAKAGE, COLLAPSES, DISTORTIONS, GRADE 014 7. STRUCTURAL STEEL TO BE ASTM A36,DETAILED, FABRICATED PLANS PREPARED FOR: z AND MISALIGNMENT ACCORDING TO ALL APPLICABLE FIRST FLOOR To REMAIN IL AND ERECTED AS PER A.I.S.C. 16. ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE --------------------------------------------------------- - Q CODES, STANDARDS,GOOD CONSTRUCTION PRACTICES. Premier Home Remodellin Cor _ RESIDENTIAL CODE OF NEW YORK STATE AND ITS ADOPTED GENERALLY 9 p NY Ig33 � 8. WOOD SILLS TO BE 2-2"x6" ACQ OR WGLMANIZED ANCHORED ACCEPTED STANDARDS. 4°470 Middle Country Road, Colverton, WITH 5/8" DIAMETER x 12" LONG ANCHOR BOLTS @ 45" ON 5, THE ARCHITECT ACCEPTS NO RESPONSIBILITY FOR THE - - To INS Ea (631) 886-2829 Li 17. ELECTRICAL DISTRIBUTION SYSTEMS SHALL COMPLY WITH THE EXISTTING CENTER ON INTERIOR ZONES & 39" ON CENTER ON 8'-0" END NATIONAL ELECTRIC CODEORK NOT CONSTRUCTED ACCORDING TO THESE PLANS SANITARY SYSTEM. Q ZONES FOR 1-3 STORY DWELLINGS. (A5 PER 2001 WFGM TABLE 3.2G) [NEC].[ ] OR NOT UNDER HIS PERSONAL SUPERVISION. o 18. ALL LUMBER THAT COMES IN CONTACT WITH CONCRETE SHALL BE HOUSE ACO OR WOLMANIZED LUMBER. TRAP c.o. SCHEMATIC SANITARY RISER DIAGRAM No scale PLAN NOTES MARK DESCRIPTION HATER SUPPLY $ D15TRBUTION NOTE: REMOVE EXISTING BATHTUB and VANITY SINK (LAV). z O I.SERVICE FOR NEW BATHROOM WILL BE TAKEN -t FROM THE EXISTING WATER 5ER.VI6E. O - INSTALL NEW 4' x 3' SHOWER STALL IN MBR BATHROOM. - INSTALL NEW BATHTUB IN HALL BATHROOM. 3 INSTALL NEW FLUSH TOILET (Water closet) IN HALL BATHROOM X m 0 4 INSTALL--}O (�) 24" WIDE VANITY / SINKS IN EACH BATHROOM �c � ? INSTALL 24' WIDE x 80" POCKET DOOR O y � V (3 © ALL: UL PLUMBING FIXTURES, DOORS, VANITY, LIGHTS, TILE, FLOORING, ETC. COLOR STYLE TO BE SELECTED BY THE OWNER U.O.N. tu z ® ® a a Q JU UL O Q C31- 4 11 SSLL// �I_/TII 5SSCC// 1_rnll sED- 1 � el-4" 2 AAA [4- ® Il- - - - - • ,q ,amt'•,. ,q d" fw R*P°:.,.. ,.}.� .y- g h. �: d r 1(� BATHROOM Hallwa p n Hallwau Down " U er o QL MBR Bathroom Hall Bathroom U er • t F. GCk elling Height t'�� _. - - - ,. ...... - $'-o" (� c Axl I g Toilet ho ed Ir- � ✓ ?'1" O ,m� to aln Tall ,!. ('y'✓TI•., ul..I..L)IIVw" LJ�;.;r.1�SI�'.:.i V^� !'.T X - - - - - _ _ - _ - - - - _ 7,518 2 8A"v' TO r°n 'r OF; TH 1. F:UNDATION - T VdOJ:RED cel FOR FOU.=1M0 Cor; ,rFT� 2. ROUE„i - FE.,- ll.0 & "I � 3. 1t•ISULATION 4. FINAL - CON CTION N'US7 IL 0) B,: CO?:"PLETE PO C.O. J 4 ALL CONSTRU.,TiONI c'HAL.L tJ EET T'HE 0 -13Q Z REQ1jIRF%I1f7NTS OI`' l - CODES OF t:�41r 1 YO ?t STATE. t?OT RESPONSfELE FOR ! _ L DESIGN OR CONSTRUCTION ERRORS. F Lo MASTER BEDROOM 3 MASTER BEDROOM 3 Gellln Height Gellin Height � � � � > $ 0" 9 m 9 n- ks) Z 9 � a V tl tl tl V N W COMPLY WITH ALL CODES 07' ;,�,� � 6 2019 NEW YORK STATE & TOWN CODES X X AS REQUIRED AVD-GON tTIONS O'= 0 0 S D TOVtA PLANNING EOPAD F Arox. 161-0" ,4 rox. 16'-O" OLDTOI".�'JTRUSTEES Approx. pp U.Y.S.DEC lj U. �v +' � ;� t DRAWN BY: CHECKED BY: ykW ykw f :!'r L DATE: dd �® 3 s�rtR�� x �s �� O`� �0r�i ®®f Ofd ® �Ot IIS®®I` e� tt�i` �,' Au ust 14, 201q plan ®®r On ® �a �r®®ms o g � lO W®rr�0 scAl�: Y4"I = I'-C" Sul act Work Area SOALE: IV4" = 1'-0" uSCALE: J J�� JOB NORTH ARROW A5 Noted JOB NO. 19-122 3 SKEET No. V V E 0 V O 1 E 0 V O C a 0 Ya 0 C �ao U 4