HomeMy WebLinkAbout14850-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. g-16163
Date September I4, 1987
THIS CERTIFIES that the building ONE FAMILY DWELLING WITH DECK
Location of Property 365 Campfire Lane Peconic, New York
h~s'o ~V'o: ....................... 's't/e~i ....................... h~d~iei
County Tax Map No. 1000 Section 098 .Block 03 .... Lot 17
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
June 30, 1986 14850 Z
........................ pursuant to which Building Permit No ......................
dated Ju 1 y 9, 1986 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 .........
ONE FAMILY DWELLING WITH OPEN DECK AS APPLIED FOR
The certificate is issued toMARGARET McGUIRE
..................... x x ...................
of the aforesaid building,
Suffolk County Department of Health Approval 8 6- S O- 1 0 3
N819867'
UNDERWRITERS CERTIFICATE NO ................................................
PLUMBERS CERTIFICATION DATED:
August 4, 1987
Building Inspector
Rev. 1/81
FO~g~[ NO. O
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)
N? 1~850 Z
Permission is hereby granted to:
....
.......
at premises located at ..'~..~..~.. ............ ,. .:. ...................
County Tax Map No. 1000 Section .... .~...~...~. ........ Block ..... ..~...~ ......... Lot No ...... ~...~. ............
pursuant to application doted ....... ..~. ~....'~... ...................... ,
19..~...~..,
ond
opproved
by
the
Building Inspector.
Building Inspector
Rev. 6/30/80
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No. /~f~-O
Owner ~y;~ ]/~(~Jt~
Plumber /___~ ~ )O/~/~
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plumber s ~ignature)
Sworn to before me this
~L/~ day of ~o~z~ ,'
Notary Public,~~..~ounty
' Nota~ Publi~
UNDA J. COOPER
N?.tery Publle, State of
. .~o. 4822563, Suff~,d~
· - ~ uuun~
~erm EXpires December 31,
/¢. 0, ~/J'~- TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N,Y. 11971
765 - 1802
APPLICATION FOR
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ ~ma,mma to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3.Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
t/OhS, a certificate of Code compliance from the Architect or Engineer responsible for the building.
B.Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or
topographic featu res.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
t/on required to prepare a certificate.
C. Fees: Additions $25.00
1. Certificate of occupancy New Dwelling $25.0.0, Accessory',,$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50-. 00
3. Copy of certificate of occupancy $ 5.00, oYer 5 :years $]0.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..........................
NewConstruc%ion ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property...~.~. ,C.. ,~ .........................................
House No. Street Nam/et
Owner or Owners of Property ...........................................................
... Block ............... Lot ......
Subdivision.~.~ .... ~ .Filed Map No. ~., .~/.O..Lot No... /..~. .......
Permit No. /~l.~.~.~ ~ Date of Permit Applicant
Health Dept. Approval ........................ Labor Dept. Approval ........................
Fee Submitted $ ~. ~ .¢~.~. ......................
Construction on above described building and permit meets all applicable codes and regulations.
Rev, 10-10-78
LAWRENP. E M. TLITHILL
December 18, 1985
Mr. Bennett 0rlowski, Jr. Chairman
Southola Town Planning BoarA
Main Roa~
So~tholA, NY 11971
Re ~ Arrowhea4 Cove
Lot No. 17
~emtlemen~
I have inspectea the site of the above mentioneA property
and recomnenA that the present pavement on Camp Fire Lane be
extended to Lot No. 17 and to continue 30' beyond the westerly
line ( that being between Lot 16 & Lot 17 an~ that a turn
be provided in accordance with the following specifications
as a minimum requirement.
The new pavement to be 15' wide, surfaceA with four inches
of three-quarter stone blenA( or crushed concrete) with a "T"
t~be proyide for emergency vehicles.
Respectifully submitted,
FORM NO. 11
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY
DEVELOPMENT PERMIT
Permission is hereby granted to:
~-?'~x.,i~A. ~r"~o--. .......
at premises.located at ~$~
County Tax Map No. 1000 Seotion ~%% Block ~_ ~ Lot ~
~Ursuan~ to applioa~ion dated--~ ~ ~.____,o 1~, and approved
by the Building Inspeoto~,
Building permi~ No.
1.9 Z ~-o, z
Building Inspector
k/8o
OUNDATION (~st)
OUNDATION (2nd)
OUGH
FRAME &
?LUMBING
NSULATION ?ER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
New York State
Department of Environmental Conservation
The Department of Environmental Conservation (DEC) has
issued permit(s) pursuant to the Environmental Conservation
Law for work being conducted on this site. For further informa-
tion regarding the nature and extent of work approved and any
Departmental conditions on':'it, contact the Regional Permit
Administrator listed below. Please refer to the permit number
.shown when contacting the DEC.
Charles T. Hamilton
A~e Regional Permit Administrator
Permit No.
10-86-0233
December 31, 1987
Expiration Date
95-20-1 (I 1/~2.)
NOTE: This notice is not a permit
NOTICE OF CO~-W2TE.~NC_$~M~NT OF WORK
hTSDEC, Regional Permit Administrator
Bldg. 40, SLTNy--Room 219
Stony Brook, NY 11794
RE: Permit No. Contractor
Issued to Address
Phone Number
Dear Sir:
Pursuant to General Condition Number i of the above referenced permit you are hereby
notified that the authorized activity shall commence on
This notice is to be sent at least two days in advance of commencement of the project.
The permit sign will be posted at the site and copy of permit will be available at
site for inspection.
Submitted by
Failure to notify or post sign will leave owner and/or contractor subject to applicab!
penalties for non-compliancewith permit conditions.
If r-her~ is more than one contractor - use at:aclnments to list additional n~e(s),
address(es), phone number(s) and identifying work. each one is to do.
NOTICE OF CO._W~LETION
~-YSDEC, Regional Perm!~J~iministrator
Bldg. 40, SU~J--Room 219
Stony Brook, A-f 11794
is s-~ ed To
Dear Sir:
~'rs~m~ To ge_~e, ral Ccraditio~ -~5er 1 of The abuve referenced pe,--J_t yon are here~y
no~_ied that the autho~_zed activity was co~F!eTed on
-~no~os of co~---p!eted work shm~l be foz-~arded %-ith ~his'notice.
Su'r~itued by
(2-~is nosice is ~o be sans. to a'ocrve address =ro=~=ly upon cc~o!e-.icn cf =rojecu).
Pa~ure to nosily ~! leave ~ar
SUPPL~TrARY SPECIAL C05rDITIONS
The follo~ring conditions apply to all permits:
A.
If any of the permit conditions are unclear, the permittee shall contact
the Division of Regulatory Affairs at the address and t~lephone noted below.
B. A copy of this permit or approval and supplementary conditions shall he
available at the project site whenever authorized work is in progress.
C. The permit sign enclosed with the permit or a copy of letter of approval
shall be protected from the weather and posted in a conspicinus location
at the work site until completion of authorized work.
D. At least 48 hours prior to commencement of the project, the permittee shall
complete and return the top portion of the enclosed receipt form certifying
that he is fully aware of and understands all provisions and conditions of
this permit. Within one week of completion of the permitted work, the
bottom portion of that form shall also be completed and returned.
E. For projects involving activities to be accomplished over a period er more
than one year, the permittee shall notify the Regional Permit Administrator
in ~rriting at least 48 hours to the commencement of resumption of work each
year.
F. I~ project design modifications take place after permit issuance, the
pdrmittee sh~ll submit the appropriate plan changes for approval by the
Regional Permit Administrator prior to undertaking any such modifications.
The permittee is advised that substantial'modification may require sub-
un[ssion of a new application for permit. "
G. All necessary precautions shall Be taken to preclude aont~{nation of any
wetlands or water{ay by suspended solids, sediment, fuels, solvents,
lubricants, epoxy coatings, paints, concrete, leachate or any other
environmentally deleterious materials associated with the project work.
H. Any failure to comply precisely with all of the terms and conditions of
'~his per-~tt, ~rm~ess authorized in %~riting, shall be treated as a violation
of the Environmental Conservation Law.
DEC #
The permtttee is advised to obtain any par-~i~s or approvals that may be
required from the U.S. Department of Az~y Corps of Engineers, NY District,
26 Federal Plaza, New York, h'Y 10278, (Attention: Regulatory Functions
Brmnch), prior to commene~ent of work authorized herein.
Ina granting of -dmi~ net---it does. not relieve the perm!tree of thc
res~onsibi!ity of obtaining a grant, easement, or other necessary approval
fro~ the Division of Land Utilization, Office of General Sera-ices, Tower
Building, Empire State Plaza, Albany, h-f 12242', wlnich may he required for
any e_ncros~b~aemt upon State-c~-ned lands under water~
Regional Per-~it Ad.~nlstrator
h~S Dept. of Envirouman=s-I Conserver-ion
Bldg. ~0, SUbJ--Rocrm 219
Sto~ Brook, ~ 11794 ' ·
(516) 751-7900
10-86-0233 ~
Pa~e 3 of 3
}7~ YORK STA~--E DEPARTM~Cf OF ~VlKOh~.--~AL CONS~--RVATION
Regulatory Affairs Unit
Bldg. 40, SUA~--Room 219
Stony Brook, AY 11794
(516) 751-7900
May 8, 1986
Ms. Margaret McGuire
Apt.6C,Witherbee Ct.
915 Synwood Rd.
Pelham, N.Y. 10803
RE: PERMIT NO. 10-86-0233
Dear Ms. McGuire:
In confor-~ance with the requirements of the State Uniform Procedures Act
(~tiala 70, ECL) ~-nd its i~.-p!eman~!ng Regulations (6~, Par~ 621) we
are enclosing your pe~.'~.~/e~se r~d ~]1 conditions caraf~!y.
you are unable to comply ~tA~y conditions, please con,act the
~egion~ Reg~atory~fa~s Unit, k~S Depzr~en% of
Consa~at!on, State U~v~sity of ~aw York az S~ony Brook, Building
Stony ~rook, ~ew York.
Also enc~osad is a par=d_t sign which you are to conspicuously post at
the project site, protected from the weather.
Very t_-~!y yours,
~-lt e_--aate Regional
?er--it kd~szra~or
]ion No.: ~ Office:
plication tdentification No.: t/'~r .~ ~
UNIFORM PROCEDURES ACT
/8/86
12/31/87
~ck or M.O. No.: j~,~. /~.. ('j~) ~_.~.j~ ,ent
14-13 (9/77) ~'T~ (/ -- ~' ' CRR 380'
P£RM,T lSS~r~aret McGuire
ADDRESS O P R E .
%p~.~,~ltherbee Ct. ,915 Wynwood Rd. ,Pelham,NY 10803
ACENT FORN°J~MiTTEE/CONTACT PERSON
t,7~g~B~~~) FROJECT S£TE ADDRESS:
easterly end of Campfire La~e
j
TELEPHON[ NUMBER
Little Peconic Bay at north-
LOCATION OFPROJE~ . 'JCOUNT~.' TOWN/CITY~ILLACE UTM COORDINATES
Peconic '-' J Suffolk Southold
DESCRIPTION O~PROJE~AClLI~
Construct a one family dwelling with"U" shaped deck around the south end of house; all
parts of both structures a minimum of 80' landward pf the seaward toe of dune. Driveway
with circle, garage and septic system a minimum of 100' landward of toe of dune in
.accordance with submitted plans.
P~R~IT ISSUANCE D^T£ J PE ~ M'T ,',~M~,',,ST ~','~OR J ^DDRESS Bldg · 40, SUNY ,Rm. 219
5/8/86 Charles T. Hamilton I Stony Brook,~ 11794
X P~ee 1' of
cc :D. Fallon ~ ~
!
10 That If future opera.ons by the State of New York require an al- 54
teratlon in the posmon of the structure or work berem authorized, or
waters or flood flows or endanger the health, safety or welfare of
the people of the State, or cause loss or destruction of the natural 15.
thereby without expense to the State, and if, upon the expiration or
modification of the watercourse hereby authorized shall not be com-
Conservabon may require, remove all or any portion of the uncompleted
structure or fill and restore to its former condition the navigable 17
and flood capacity of the watercourse. No claim shall be made against
11. That the State of New York shall in no case be liable for any damage
or injury to the structure or work herein authorized which may be caused
by or result from future operatmns undertaken by the State for the
12. That if the display of lights and signals on any work hereby authorized 18.
is not otherwise provided for by Jaw. such lights and signals as may
be prescribed by the United States Coast Cuard shall be installed and 19.
maintained.
All necessary precautions sbe[I be taken to preclude contamination
of any wetland or waterway by suspended solids, sediments, fuels,
other environmentally deleterious materials associated with the
proiecL
13.
Any mater~al dredged in the prosecuuon of the work harem permitted
shall be removed evenly, wffbout leaving large refuse p~les, ,dges across
the bed of a waterway or floodplain or deep holes that may have a
tendency to cause damage to nawgable channels or to the banks of
a waterway,
If any material is to be deposited or dumped under this permit, either
in the waterway or on shore above higl~.vater mark, It shall be deposited
or dumped at the locality shown on the drawing hereto attached, and,
if so prescribed thereon, w~thm or behind a good and substantial
bulkhead or bu[kbeads, such as will prevent escape of the material
mto the waterway.
There shall be no un~easonab[e interference w~th navigation by the work
harem authorized.
If granted under Articles 24 or 25. and if upon the expiration or re-
vocation of this permit, modification of the wetland befeby authorized
has not been completed, the applicant shall, without expense to the
State, and to such extent and m such ume and manner as the
Department of Environmental Conservation may require, remove all or
any portion of the uncompleted structure or fill and restore the site
to Its former condi.on. No claim shall be made against the State of
New York on account of any such removal or. alteration.
If granted under Article 36, ~his permit does not signify in any way
that the proiect will be free from flooding.
All activities authorized by this permit must be in strict conformance
with the approved plans submitted by the applicant or h~s agent as part
of the permit application.
Such approved plans were prepared by
McGuire received 3/20/86
SPECIAL CONDITIONS
I, In order t~ ~reaerve the values of the nearby'~etlands and dune protection there
is to be ~o Risturbance to vegetation or topography within 10' landward of the
landward {oe of dune shown on survey by R. VanTuyl with amended date of 1/20/86.
2. A certified survey by a licensed surveyor is to be submitted showing location
of structures as actually built.
Supplementary Special Conditions (A) through (J) attached.
10-86-0233
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
To Whom This May Concern,
We are unable to complete your Certificate
of Oceupancy because .of the following reasons.
/_~ An application for Certificate of Occupancy
is not on file.
/--~-' No Underwriters Certificate on file.
/~ The check is(outdated/not on file.)
/~ No Health Dept. Approval on file.
/Z/ No final inspection has been made.
Please' contact our office on this matter.
Thank you for your cooperation.
Building Permit # _~ _~ ~ ~ Z
Bu.ilding Dept.
***/--~.No Plumber solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
Occupancy or use is unlawful without a Certificate
of Occupancy. Clear up this ma~ter as soon as posslble
so ~hat legal action does not have to be taken.
Thank you for your prompt attention.
W~LL
J. H. GEIDEMAN
~50x A. Ib
NEW YORK
Date
S.C DEPT. OF!
HEALTH SERVICES
Co~
..Stole /'~ :n'
............ ~ ' ~<~ '~
~s pod: ~' ~,3,¢~
SUFFOLK COUN~ DEPARTMENT ~
___SINGLE FAMILY DWELLING ONLY
DATE ~&S. REF, N~. ~
?, ?~ d?o~l and ?q~y ~ ~.~i~iti.~ fo~ t~i~
mcauon nave ~een mspec[e~ Dy ~nis uepadment and/or
other ~ci~s and ~nd ~ sati~tory.
Ch~e~of Bureau of Wastewater Management
......
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
THIS CERTIFIES THAT
only t~ electrical equipment ~ ~scrlbed be~w a~ introduced by t~ ap~llcant ~ed on the a~ve application nu ~ber in the premises of
~oma~ A. HcGwire, A~ro~h~ad Covo~ on C~p~lr~ L~ Pecouic, ~Y
~s examined on Hay ~ ~7 a~td found to ~e in compliance wi~h the requlre.~ents ~f ~hls Board.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT
~4 §4 5~ ~4
DRYERS FURNACE MOTORS APPLIANCE FEEOERS TIMECLOCKS UNIT HEATER.~ MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERV/CE DISCONNECT S E R
OTHER AP~R~UE:
~lect~c ~oo~ heatore~2-2.0~Wo,
1-Smo~e detector
C
NO Oi~ERCC~CONO, A.W O. NO OF HI.LEO A,W O
OF CC. COND, OF HI-LEO
NO OF NEUTRALS A. W, O,
OF NEUTRAL
Pat bane
~aCtttuck, ~ 11952 ~1c#2300~
TH~ certificote must mo! be oltered ~n on~ monner; re!urn to !He office o~ the Board i~ incorrect. Inspectors mo¥ be ~denti~ed ~¥ ~heir credenfiols,
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
'FOR~ NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined
Approved....~..~ ..... , 19~..~. Permit No.~. ~.~.h.~..~..
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS.
Received ........... ,19...
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 neces~sar~ inspections. ~ (h
(Mailing address of applicant)
State whether applicant~essee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises . . . .~. 'P'/~.~. ...............................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer) . ~- ~ .~ [,
Builder's License No ..........................
Plumber s License No .........................
Electrician's License No .......................
Other Trade's License No.
1. Location of land on which proposed work will be done; .~'~. ?..P..~7..~..~.~-: .~. ~..~. ...... ~ ....
............................ ....................
House Number Street "~...a.m let
County Tax Map No. 1000 Section ..... .~)..~..~ ...... Block ..... .Q)..~.~.~..~' ..... Lot . . . · .'~../.? .........
Subdivision ~..~/~O/~//,~"~)~ ~o~/,~' Filed Map No ~.~.~. O'JF Lot.. f.~. ....... ..-
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed c. onstruction:
a. Existing use and occupancy .' ..... 1~./]..~..~..~..:~. .............................. ! ......................
b. Intended use and occupancy /lily
Locate clearly and distinctly all b
property lines. Give street and block n~
interior or .corner lot.
3. Nature o,f work (check which
appllicable): New Building .......... Addition .......... Alteration ..........
Repair ~,~¢ ............. Removal .............. Demolition .............. Other Work ...............
i (Description)
4. Estimated Cost ........................... Fee ........................... : ..........
~1 ' (to be paid on filing this application)
5. If dwelhng, number of dwelling u~its ..... ./ ......... Number of dwelling units on each floor ...............
If garage, number of cars ...... ~ ............................................... i'..: ...............
6. If business, commercial or mixed 9ccupancy, specify nature and extent of each type of use .. 'r'~'; ..... ~ ..........
7. Dimensions of existing structure, if any Front '.~:; Rear DelSth .
He~g t ........... -..~ml~r of Stones .........................................
Dimensions'of sam~cture witb~ alterations or additions: Front ................. Rear ..................
Depth .... ~ ............. i Height ...................... Number of Stories ...................
8. Dimensions of entire new construction: Front . ~,7.. Rear ..... ~?.... Depth '.~.~. . . .
Height ...~.'('.... Numb~r of Stories .... ./~ ......... i... '.' .... i.i'i' i' '
9. Size of lot: Front ~.>:'. ~. . I Rear ~'.'.'.'.'.'.'.'.~? : D~tl~ .... )~>~> '~',~ ~. .......
10. Date of Purchase .... ~..~.,Y.../.5 g.g. ............. Name of Former Owner ,~.~,~"~ ./T. i .~."~q.'C..~ ........
11. Zone or use district in which premises are situated ....................................................
12. Does proposed construction violat any zoning law, ordinance or regulation.. . ...............~ ...........
13. Will lot be regraded ..... /~..~.~.. ........ ' .......... Will excess fill be removed from premises: Yes
14. Name of Owner of premises .~'..~.'~ ffr.~.,~'..~ ,$t,~,e' Address ................... Phone No ............ ' ....
Name of Architect ~, 7/~.F?.~.L~ ?'.' .~"i. i~.'~.'~.'~.' .~'.~.~.'
.......... Address ................... Phone No ................
Name of Contractor . ~,~t/,,~'-- .~. Address .... : .............. Phone No .......
15. Is this property located within 300 feet of a tidal wetland? *Yes .~.... No .....
*If yes, Southold Town Trustees Permit maybe required.
PLOT DIAGRA~
~ildings, whether existing or proposed, and. indicate all set-back dimensions from
nber or description according to deed, and show street names and indicate whether
!TATE OF NEW,.YOI~K., ~ S S]
.OUNTY OF ~.. ..... ,, '
..... (~Xrr~'o'f'i~d~wdual mgmng Contract) being duly
.bore named. ' I
. P~-qco/,¢'/C ~,,i,
sworn, deposes and says that*he is the applicant
~[e is the .........................................................................................
I . (Contractor, agent, corporate officer, etc.)
,f said owner or owners, and is duly adthorized to perform or have performed the said work and to make and file this
pplicafion; that all statements containe¢ in this application are true to the best of his knowledge and belief; and that the
~ork will be performed in the manner se}forth in the application filed therewith.
worn to before me this I
19 .,~.~.
........ .............. day of_ . .~u-~ ._ ............
SUFFOLK CO. HEALTH DEPT.
H.S. NO."
EXPIRES TWO YI ;AIiS .... ¢ ..... "
,OF P/ OPEt T)"'
~U~ZVE Y~'D POI~
THE WATER ~4J'Pt~LY AND .~WAGE DISPOSAL
SYSTEMS FOR THIS RE.DElE WILL
~v~ To TH~ SX~.~ OV
SUFF~K CO. DE~. OF ~ALTH ~RVlCES.
SUFFOLK COUNTY DEPT. OF HE'ALTH
SERVICES -- FOR APPROVAL~ OF
CONSTRUCTION ONLY ~
AP~QVED:
~FFOLK CO. TAX ~AP D~JGNAT~N:
~CT. B~K
~D': L. ~ P. ,: '
rF-
Kitchen Side
Utility Room
Lavatory
0
1/2 WaN
to' ~5 " D'9- t/a' 2~ c~. I '5'0 - I/4,
11'11- ?/8~'
Gome Room
1/2 Wull
Uving Room
~,Y ¥~H
Stair Kil
by y81t
Dinin~ Room
} ~J c)" I'~~ 9- I/'~'" ~'~
PO,= II ' ~ X I~0'r
LEGEND
DOOR LEGEND
--
." 114 ~s. ~ 3zY~ ~ 14B ~/z" ~mdows Are White g~m CasemmB '
APPROVED AS ~T~
NOTI~ ~UILOING"" DE~ARTM~ AT uP '
FOkLOWING76~l~2 9 INSPEC~ONs:AM TO 4 ~R THE
FOUNDA~rlON TWO REQUIRED
FOR POURED CONCRETE
2 ROUG~ FRAMING & PLUMBING
3. INSUL~ I'ION
· 1., FINAL CONSTRUCTION MUST
~ COMPETE FOR C.O.
ALL ~Ruc~ ~ ME~
~E ~QUI~E~S ~ ~E N.Y
~, NOT ~$~LE ~R
45'0" Ou+- 1'o Out
'4~'q-I/4" Out To Ou+~ I/2" CD×
DESCRIPTION & REASON
Custom Design For:
Margaret
Design Series:
48' Prairi~ .Barn w/
18' Foyer / Green
House ~
15' ?or t.(c~
Description:
First Floor Plan
McGwire
Detail Reference:
See
Construction Guide
Property of:
YANKEE BARN HOMES, INC. Grantham, N.H.
Bedroom #2
Attic ,~lme
Bedroom #3
Kitchen Side
4-~5'~ t/4" oo~. %
Bath
[ I Velux ~8 I,
I L - -Oy-Othm- ~ 6' Ce" ".z
Bedroom
Master Bedroom
F-
Z(o' 8"
®
closcL closet
6uilt-i~ Drowero
Green House Side
DESCRIPTION & REASON
t
Deck By
Others
,/
0
0
Custom Design For:
Margaret A.
Design Series:
481 Prairie Barn w
18' Foyer /
House g.
I~' PoHci co
McGwire
Detail ]¢eference:
See Constructior~ Guide
Property o. fi'
YANKEE BARN HOMES, INC. Grantham, N.H.
Second Floor Plan
I,I
0
0
Kitchen Side
ii,
I
roo
:Bed m Below'
Below
^'~tic
A L~- ~- ,S~a~r5,
J~ YESH
Bedroom Be0w ,. ,
__ ' v,~o Hall
0
0
Green House Side
DESCRIP'~ION & REASON
Design For:
Margaret A.
Design Series:
48' Prairie Barn w
18' Foyer /
House &
15' Por~.[co
Description:
Attic Floor
McOwire
Detail Reference:
Construction ,Guide
YANKEE BARN HOMES, [NC. Grantham, N.H.
Plan
L/NE
LIP)
J REV. J
DESCRIPTION & REASON
II
JD^TEJ ElY
Custom Design For:
M,4~&~ZT ,4 ..;~ ~4/,k£ .-
Design Series:
Detail Reference:
Property of:
YANKEE B,,~RN HOMES, INC. Grantham, N.H.
Description:
Iscale , J drawr~.~,
drawing #
I&' 0
Ill
IIII
41~Ol
ql
III
Ill
II
DESCRIPTION & REASON
Custom Design For:
Design Series:
~ I~'
Description:
Detail Reference:
Property of'
YANKEE BARN HOMES, INC. Grantham, N.H.
drawn
drawing #
-6Go5'/- 5x
__2-#T£,e /OR Z£CTIOIV F/f~/14 ,¢'ITE/-I£1V
DESCRIPTION & REASON
,EEcT/~34; /~/B/Yl C£E£/V //oOsE
Custom Design For:
Design Series:
Detail Reference:
Property o~.:
YANKEE BARN HOMES INC. Grantham, N.H.
Description:
drawing #
drawn
Livin~ Room End
Green House Side
DESCRIPTION & REASON
Custom Design For:
Margaret A. McGwire
Design Series:
48' Prairie Barn w/
18' Foyer / Green
House &
15' ~orf. ico
Description:
Detail RefejenceA- . ..
bee bo[Istructlo[1 Guide
Property of:
YANKEE BARN HOMES, INC. Grantham. N.H.
Elevations
dra1~'~_~¢6037_4
' ' I
i,
DESCRIPTION & REASON
Game Room End
Custom Design For:
iVldrgoret A, McGwire
Design Series:
48' Prd,r'm Bqtn
18' Foyer /
House &
ID' Pnrtlco
Description:
w
ElevaSons
Detail Reference/ -
oee bOrlS[rL/cUon Guide
ProperO,
YANKEE BARN HOMES, INC, Grantham, N. tL
'1/+' = I'o"
drawing #
PB-86037 5