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HomeMy WebLinkAbout28632-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29531 Date: 06/18/03 T~IS CERTIFIES that the building ACCESSORY Location of Property: 1935 OLD WOODS PATE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 Block 2 I~Dt 21 Subdivision FiledMap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 14, 2002 pursuant to which Building Pez~it No. 28632-Z dated AUGUST 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 NON-HABITABLE ACCESSORY TWO CAR GARAGE WITH STORAGE AREAS AS APPLIED FOR PER ZBA #5233 DATED 1/23/03. The certificate is issued to JOSEPH J & BENTE F SNELLENBURG II (OWNER) of the aforesaid building. SUFFOLK COUN~f DEPARTMENT OF ~EALT~ ~-PPROVi~L ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A 1115695 05/29/03 06/04/03 MATTITUCK PLUMBING & HEAT Autho~i~e~JSign~re 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) PEP=MIT NO. 28632 Z Date AUGUST 6, 2002 Permission is hereby granted to: JOSEPH J II SNELLENBURG PRIVATE ROAD #10 SOUTHOLD,NY 11971 for : DEMOLITION AND REPLACEMENT OF A NON-HABITABLE ACCESSORY GARAGE AS APPLIED FOR WITH BATHROOM AS APPLIED FOR at premises located at 1935 OLD WOODS PATH County Tax Map No. 473889 Section 087 Block pursuant to application dated JUNE 14, 2002 SOUTHOLD 0002 Lot No. 021 and approved by the Building Inspector to expire on FEBRUARY Fee $ 514.40 6, 2004 . /z ~/ AuthoriZed Signature COPY Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUH~DING 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 o f 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 ar~hitect 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. F · , 2. A properly completed application and a consent to inspect signed by the applicant.ilf-alCertificate 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, 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 Building - $100.00 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 J' Old or Pre-existing Building: (check one) House No. Street Hamlet d ~ 7 Block _000~ Lot 0 ~- J Filed Map. Lot: Applicant: {~ ~ ~1~ ~ ~ ~ ~ ~jQ New Construction: Location of Property: Owner or Owners of Property:'-~ Suffolk County Tax Map No 1000, Section Subdivision PermitNo. ~_ (032)-'~ Health Dept. Approval: Planning Board Approval: \,.j k~ ~ Request for: Temporary Certificate Fee Submitted: $ ~ 3/('~ Underwriters Approval: Final Certificate: J (check one) ant Signature ' P. (k Ilox 1179 BruHl,uht. l'lew YOlk I IgTI I n~ (F. Ir0 7fi'LI e~'J r~q,.phone (516) 7Ii,~.lOO~ OFFICE O,F THE BUILI]ING INSPECTOR TOWN OF SOUI'IIOLD DA'PP. ! certify float the solder used contains los9 than 2/10 o[ {% leud. the water su[.)p].y sy:;tem BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by PAUL R. BURNS P.O. BOX 1061 SOUTHOLD, NY 11971-0932, Located at Application Number: 1115695 Section: Block: Described as a Residential JOSEPH SNELLENBURG 1935 OLD WOOD PATH SOUTHOLD, NY 11971 1935 OLD WOOD PATH SOUTHOLD, NY 11971 Certificate Number: 1115695 Lot: Building Permit: BDC: NS11 occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, Detached Garage, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the Alarm and Emergency Equipment Sensor Appliances and Accessories Air Conditioner Wiring and Devices Receptacle Switch Fixture Fixture Receptacle Disconnect Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: Meters: 1 29th Dayof May, 2003. QTY Rate Rating Circuit Type 1 0 Smoke 1 0 24.000 BTU 20 0 16 0 19 0 6 0 8 0 1 0 50 amp General Purpose General Purpose Incandescent Fluorescent GFCI Appliance 1 200 cb seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated, File ~o: 51( WARREN A. SAMBACH, SR. CONSULTING ENGINEERS . PLANNERS 7675 COX LANE · P.O. BOX 1033 CUTCHOGUE. NY 11935 63 1 - (~ 734-7492 March 5 2003 Building Department Town of Southold Town Hall 53095 Main Road Southold NY 11971 Re: Joseph Snellenburg 1935 Old Woods Path Southold NY 11971 SCTM: 1000-087-0002-021 Permit ~28632Z To ~om it May Concern: I HAVE VISITED THE JOB SITE AND AS BUIL_~CONSTRUCTION Sincerely, Warren A. Sambach Sr. P.E. was:S WARREN A. SAMBACH, SR. CONSULTING ENGINEERS · PLANNERS 7675 COX LANE · P.O BOX 1033 CUTCHOGUE, NY 11935 6 3 1 -- ~.~I~)~34 -7492 File No: 5102 February 27 2003 Building Department Town of Southold 53095 Main Road Southold NY 11971 Re: Joseph Snellenburg 1935 Old Woods Path Southold NY 1197~ SCTM: 1000-087-0002-021 Permit ~28632Z ']70 ~,~nom .it May Conc.::ra: Revised plans as filed show strueBural members larger than originally design. Examination of framing and installation of increased siz~me~conforms to the New York State Building Code. Sincerely, ~arren ~. SambachSr. P.E. was:s WARREN A. SAMBACH, SR. CONSULTING ENGINEERS · pLANNERS 7675 COX LANE * P.O. BOX 1033 CUTCHOGUE, NY 11935 631-- ~)734-7492 June 19 2002 Building Department Town of Southold 58095 Main Road Southold NY 11971 Re: Snellenburg Application Hr. Verity: Please be advised that the proposed garage storage building located on Joseph Snellenburg's Southold property will contain no bath or plumbing facilities until and unless approal is granted by the Suffolk County Health Department and the Southold Town Building Department. If any additional information or permissions are needed, please let us know. Sincerely, Warren A. Sambach Sr. P.E. was: s WARREN A. SAMBACH, SR. CONSULTING ENGINEERS · PLANNERS 7675 COX LANE · P.O. BOX 1033 CUTCHOGUE, NY 11935 6 3 1 --='~6) 734-7492 June 25 2002 Building Department Town of Southold Town Hall 58095 Main Road Southold NY 11971 Re: Snellenburg Residence Mr. Verity: Be advised that the proposed garag~ storage building located on Joseph Snellenburg's Southold property will not exceed eighteen (18') feet in heighth. Sincerely~ Warren A. Sambach Sr. P.E. was:s cc: Owner Envi. East Inc. Fax (516) 765-1823 Telephone (516) 765 - 18~ ~ I/~ ~ .... Towa~ll, 5~5M~Roaa ~'~--~'~'~F ?" ~ ~': '' ~.O~x 1179 ~- '' s0u~l~w York 11971 SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION TO: FROM: DATE: RE: Southold Town Building Dept. Southold Town Landmark Pres. Comm. - Herb Adler, Jr. August 2, 2002 Snellenberg Residence - 1935 Old Woods Path, SOuthold Tax Map #87-2-21 - SPLEA No. SD-99 The Landmark Preservation Commission has received the proposed demolition of a garage on the above property and has no objection to this action. BUILDING PERMIT EXAMINER CHECK LIST APPLICANT: (~('~x~:-.; ~_x~:~ ~'--~--~e SCTM# DISTRICT: 1,000, SECTION: ~ , BLOCK: ~- , LOT: DATE REVIEWED: -~ /2q/02 DATE SUBMITTED: 6 / ~ /02 STREET ADDRESS: ~(~ ~ U~O'h~ "-~'74 CITY: q~f_~..JiMOtJ2~ SUBDIVISION: PROJECT DESCRIPTIONi-'~t=.-~o c~ ~_×,~w,koc~ Jk~_ ESTIMATED PROJECT COST:'~/~o [ ARCHITECT/Fxt~GII~R:~ccx?~¢,( ,4 FAST TRACK? No SINGLE & SEPARATE CERTIFICATION-REQUIRED? /'/o NOTES: - LOTS 40,000SF -100-24. Lot recognition,(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.199? 100-25. Merger.(A nonconforming at any time after ?/1/83 ZONING DISTRICT: 5:kqo CONFORMING? ~de-~ REQ. LOT SIZE: Mo,ooo ACT. LOT SIZE: ,q~-~o REQ. LOT COV..o-?°'*'9o ACT. LOT COV. REQ. FRONT lo PROP. FRONT ./ REQ SIDE ~o? w'> ACT. SIDE J REQ. REAR ~o PROP. REAR ..- REQ. HEIGHT /~l PROP. HEIGHT /~-5" .~..~.2 WATER FROlXJT? /go DESCRIPTION: PANEL #: [~ FLOOD ZONE:__72~, APPROVALS REQUIRED SUFFOLK COUNTY HEAI~_T~ DEPT:~)br NO, (BED #): DTE: __ TOWN SEPTIC RECEIPT Y(~y_,flr N NEW YORK STATE DEC: PV,~-vzc 9/VTS YES o~ SOUTHOLD TOWN TRUSTEES: YES o~ TOWN ZONING BOARD APPROVAL: YES TOWN PLAN. BOARD APPROVAL: TOWN HISTORICAL PRE (SPLIA~__~,)or NO NYS ENERGY: YES OR NO : EGRESS (18 H min.? 4 sq total) ~_~_VENT (SQ. FT. x 4%)_ BUILDING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z- HAVE PRE CO'S (~IORN [_%U(~o9, BP -Z/C/0 Z- NOTES: / / PERMIT #:RI0- ~_~I?HT (SQ. FT. x 8% ) ,/ FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: 1. ( o2~ I SF)~ ( SF)= SF X $__ SF SF SF SF SF INIT OTHER TOTAL FEE FEE FEE =$ +$ +$ = $ ~' ~-- SFX$ .gO:$q0q. q0+$ 7( +$ 83/85/2883 16:82 6317345812 £EI P~6E 81 Ellvironment East, Inc. 2555 Indian Neck Lane P-O. BOX 197 Peconic, New York 11958-0197 631-734-7474 Fax: 631-734-5812 APPEALS BOARD MEMBERS Lydia A. Tortora, Chairwoman Gerard P. Goehringer George Horning Ruth D. Oliva Vincent Orlando Sm~thold Town Hal1 53095 Main Road ~.So~hold. d~ew York 11971-0959 ZB~x (631) 765-9064 ~1~-~fi~63t~765-1809 ht~/~holdtown/northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD / FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF JANUARY 23, 2003 Appl. No. 5233 - JOSEPH J. SNELLENBURG Property Location: 1935 Old Woods Path, Southold; Parcel 1000-87-2-21. SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: The property is a described parcel located on a private road referred to as Old Woods Path, Southold. The lot is improved with a two- story frame house and accessory building, and contains an area of 15,540 sq. ft. adjacent to the developed area of Nunnakoma Waters, as shown on the survey mapped dated November 8, 2002 prepared by Peconic Surveyors, L.S. BASIS OF APPLICATION: The applicant has filed an amendment to Building Permit #28632-z for the proposed installation of a (partial) bathroom. The Building Department in its September 20, 2002 Notice of Disapproval disallowed the bathroom for the reason that the new garage building constitutes a second dwelling, a use that is not permitted under Section 100-3 lA. FINDINGS OF FACT The Zoning Board of Appeals held a public headng on this application on January 16, 2003, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: A Variance is requested under Section 100- 31A for installation of a bathroom facility, containing a toilet and a sink, in a new accessory garage building. This garage/barn is under construction and referred to in a recent Building Permit (#28632-z), and for which an amendment is being requested by the Building Department. REASONS FOR BOARD ACTION : On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of the variance will not produce an undesirable change in the neighborhood or a detriment to nearby properties. The applicant's builder-agent confirmed that the owner is in need of a storage building with a lavatory and sink, and with climate-controlled ~age 3 - January 23, 2003 Appl. No. 5223 - Joseph J. Snellenburg 1000-87-2-21 at Southold setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Tortora (Chairwoman), Goehringer, Oliva, and Orlando. (Member Homing of Fishers Island was absent.) This Resolution was duly adopted (4-0). ggflk ~ 2/~/03 Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release la Data filename: C:XProgram Files\Cheek~,.EScheek\Snellenburgrck TITLE: Snellenburg Accessory Building COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric DATE: 03/05/03 DATE OF PLANS: March 4, 2003 PROJECT INFORMATION Accessory Building COMI~ANY INFORMATION: Environment East Inc. COMPLIANCE: Passes Maximum UA = 206 Your Home UA = 166 19.4% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Wall 1: Wood Frame, 16" o.c. 780 15.0 0.0 50 Wall 2: Wood Frame, 16" o.c. 304 22.0 0.0 17 Window I: Wood Frame:Double Pane with Low-E $ 0.340 3 Window 2: Wood Frame:Double Pane with Low-E 7 0.340 2 Window 3: Wood Frame:Double Pane with Low-E ? 0.340 2 Window 4: Wood Frame:Double Pane with Low-E 7 0.340 2 Window 5: Wood Frame:Double Pane with Low~E 7 0.340 2 Window 6: Wood Frame:Double Pane with Low-E 7 0.340 2 Window 7: Wood Frame:Double Pane with Low~E 7 0.340 2 Window 8: Wood Frame:Double Pane with Low-E 7 0.340 2 Door 2: Solid 20 0.140 3 Door 1: Glass 48 0.280 13 Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 836 28.0 0.0 28 C~ftling 1: Flat Ceiling or Scissor Truss 836 22.0 0.0 38 COMPLIANCE STATEMENT: The proposed bui/ding represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energl~ Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or Permit Number Checked By/Date REScheck Compliance Certificate New York State Energy Conservation Construction Code RF,,ScheckSoflware Version 3.5 Release la Data filename: C:~Program Files\Check~REScheck\Sneilenburg rev. 3.6.03 TITLE: Sneilenburg COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric DATE: 03/06/03 DATE OF PLANS: 3.6.03 Environment East Inc COMPLIANCE: Passes PROJECT INFORMATION: Garage COMPANY INFORMATION: \ Maximum UA = 257~ Your Home UA = 246~__, 6.6% Better Than Cod~ (UAY Ceiling 1: Flat Ceiling or Scissor Tress Ceiling 2: Cathedral Ceiling (no attic) Wall 1: Wood Frame, 16" o.c. Window 1: Wood Frame:Double Pane with Low-E Window 2: Wood Frame:Double 9ane with Low-E Window 3: Wood Frame:Double Pane with Low-E W~mdow 4: Wood Frame:Double Pane with Low-E Window 5: Wood Frame:Double Pane with Low-E Window 6: Vinyl Frame:Double Pane with Low-E Window 7: Vinyl Frame:Double Pane with Low-E Window 8: Wood Frame:Double Pane with Low-E Door 1: Glass Door 2: Solid Basement Wall 1: Wood Frame Wall height: 8.0' Depth below grade: 0.0' Insulation depth: 8.0' Floor 1: All-Wood lois~Tmss:Ovcr Unconditioned Space Gross Glazing Area or Cavity Cont. or Door Perim~er R-Value R-Value U-Factor UA 566 22.0 0.0 25 233 22.0 0.0 11 820 15.0 0,0 48 12 0.340 4 12 0.340 4 12 0.340 4 12 0.340 4 12 0.340 4 1l 0.340 4 11 0.340 4 11 0.340 4 80 0.280 22 20 0.140 3 933 15.0 0,0 66 790 22.0 0.0 33 - COIV~PLIANCE STATEMENT: The proposed b~ilding represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. Builder?Designer Date 765-1802 BUILDING DEPT. INSPECTION [ ~ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY RF.~MA,~IKS.' ~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~'~ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~ REMARKS...-' ~.~.~-//-~-.~/ ~ ~*~ .~ .~ ~-,, 765-1802 BUILDING DEPT. INSPECTION [ [ [ ] FRAMING DATE ] FOUNDATION 1ST [ ] FOUNDATION 2ND ~ INSULATION , [ ] FINAL , CHIMNEY 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY [ 'I""INSU LATION [ ] FINAL DATE~~ INSPE~ BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG~G. [ ] FOUNDATION 2ND [/]~,~UEATION [ ] FRAMING [~'~] FINAL I ] FIREP~LA~_& CHIMNEY REMARKS, ~ ~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. / [ ] FOUNDATION 2ND [ ] II~/ULATION [ ] FRAMING /~ [ ~/FINAL [ ] FIREPLAC. E,~CHIMNEY// .~ INSP~_ FOUNDATION F OL?NI}ATIO~N (21XTD) INSUI__,A.TION FERN. Y. STATE ENE/~.G~Y CODE TOWN OF SO'UTItOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined /' , 20 Approved ., 20 Disapproved PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Bom'd of Health 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees Coatact: Mail I:o: Phone: Building Inspector p; I 2002 cji 'i -----J ] INSTRUCTIONS I ..... Ti 'ETr. -- La. T~pp~t~e~_'-ig.~, be q~mpletely filled in by t~ewfiter or in i~ ~d sets of plus, acetate plot pl~ to scMe. Fee accord~g to schedule. '. ' ' ~, ! !APPLICATION FOR BUILDING PERMIT Date ~---r-oto~_, 12,--' ,2002~ submitted to the Building Inspector with 3 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 th/s 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 a Certificate of Occupancy is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Buildiug Pennit 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, additiorm, 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. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, eng/neer, general contractor, electrician, plumber or builder Name of owner of premises ,,~O,S fi5 Pmc (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. ~f i 5~(:2 Plumbers License No. Electricians License No. Other Trade's Lice~nse No. 1. Location of land on which proposed work will be done: I, q House Number Street Hamlet County Tax Map No. 1000 Section ~>q Block 0 Subdivision Filed Map No. (Name) Lot z~ Lot 3. Nature of work (check which applicable): New Building Repair Removal ~ Demolition State existing use and occupancy of premises and intended use and occupancy of proposed cons[rdct:/oh: a. Existing use and occupancy c~ F'Ar~ ~ c*( b. Intended use and occupancy ,,~ -~L,i!g I~At~xtbq D~.:i..L, It,3G- ~/ADI>la,D ~t~,56~kC.~ Alteration 4. Estimated Cost z~/-~! ti G' 0 / 5. If dwelling, number of dwelling units If garage, number of cars ~ Fee Addition Other Work (Description) (to be paid on filing this application) Number of dwelling units on each floor 6. If business, conm~ercial or mixed occupancy, specify nature and extent of each type of use. K/~-. 7. Dimensions of existing structures, if any: Front f' ~ Rear I ~ Depth ~ ~ Height i L~ ~ Number of Stories I ~/~z-. Dimensions of same structure with alterations or additions: Front Rear Depth, Height 8. Dimensions of entire new construction: Front 2,2-' Height mt. ao k,.'(¢y,% l¢~'O¢' Number of Stories 9. Size of lot: Front t 'Lc,oO t Rear I/ZO.c,() Number of Stories Rear _Depth Depth ti¸ 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: P J0 13. Will lot be re-graded ~o Will excess fill be removed from premises: YES ~ 14. Names of Owner of premises ~,J73}or~q_aa~,ot~c,- Address I~35 ocr, ~0oS. p,~-raPhone No. Name of Architect Address Phone No Name of Contractor ~,30. E~A~- /Nc_ Address 1>o ~< tc[-I PhoneNo. 15. Is this property within 100 feet of a tidal wetland? *YES NO ~ · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 7474' 16. Provide survey, to scale, with accurate foundation plan aud distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ! YJt::>,~. ~Y~ ~ ~ ~-~ ~ ~ being duly sworn, deposes and says ~at (s)he is the applicant ~me of ~vidual si~ing contr~) above named, (S)He is ~e ~',.~ (ConWactor, Agent, Co.orate 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 ali statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swom to before me this /¢ dayof t NotarlT/Public Signature of Applicant . ¢# ? DOOR 11'-0" 11'-0" l-~-' 8'-°" I'll]' 8-o · GARAGE II L~_J L~!: ~C. 5/8" GYP. BO. ~ ALL WALLS AND CEILING © 1ST FLOOR I I I L ,W -J I STORAGE 8'Lb' ~'---- 4- 2X4 COLUMN W/ 2' X 2~ X 16" CONC. FTG. 2x4 STUDS © 16" O.C.;W/~E X GYP. BB. BOTH Sll~$..; STANDARD FLOOR MOUNTED TOILET TO EXISTING SEPTIC SYSTEM PREMANUFACTURED LAV. X 2'--0" D~UBLE WINDOW W/ FROSTED 'GLASS GROUND FLOOR PLAN SCALE: 1/4" = 1~-0" -- 2'-6" X 6'-8" HCWO -- CONCRE;TE APRON W/ TOOLED CONTROL JOINT AT OPENING EDGE W/F~OSEO /8"wx //~ RAIL 5/4" P.T. DECKING ,.,. 2X6 CEILING JOISTS ~16" O.C. 2X8 RAFTERS 0 16" (~.C. -/ I I SEASOF AL SPACE (UNHEATED) PROVIDE SMOKE AND} C02 DETECTORS PER COD~: I 'o 4'-5" J' I ~, 4'-5" / RATED CLOSING h UPSTAIRS PLAN SCALE: I/4" = 1'-0"