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15193-z
FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPAETMENT Office of the Bulldlng Inspector Town Hall Southold, N Y. Certificate Of Occupancy No ...Z-.I.61~9 .... Date. ~9pt.qMCpy..~3~..l~7 ....... THIS CERTIFIES that the building . ONE . ?A.M.I.L.¥. D?.[ .L.L.I~G ................ Locat~on of Property 11020 Soundvzew Avenue Southold, New York House No Street Hem/et County Tax Map No 1000 Sectmn 054 .Block 06 .Lot 3 Subdtws~on ................ Fded Map No ....... Lot No ............ conforms substantially to the Apphcatlon for Bmldlng Permit heretofore filed ~n this office dated August 6, 1986 pursuanttowluchBuddlngPerm~tNo. 15193 g dated Au. .gu.s t 26, l 986 was ~ssued, and conforms to all of the requirements of the applicable prov~mons of the law The occupancy for wtuch tlus certfficate ~s ~ssued is ...... ONE FAMILY DWELLING ~ITH ATTACHED PORCH AS APPLIED FOR The certificate is ~ssued to .... RgNALD' E. PETERSEN "/ow. er./~ ~;,,'(t:~)~ X ....... of the aforesazd braiding. Suffolk County Bepartment of Health Approval ..... 8.6.- .8 .O.- 1.4.0 ............... UNDERWRITERS CERTIFICATE NO .......... Iq 82648 z~ PLUMBERS CERTIFICATION DATED: April I0, 1987 Rev 1/81 FOEM NO. ~ TOWN OF SOUTHOLD BUILDING DEFARTM. ENT TOWN HALL $OUTHOLD, N. Y. N°. BUILDING PE PJ?~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15193 Z Date..~..~.~......~. ......... , Perrmss~on is hereby granted to ~.....~.?..~...~ ~..~....~..... ..~... ~,/k....~.:~.:...L,..z~...~. ,o ...~~ ...... ~'" ~"~"Z~t -'"~'~'"'~""¥~' ~ ......................................... £ ............ ~.- -,- ..... ~ ............. .._. ............... .: ................... 0t p~e~,e~ ~oc~t~ ot ..U.~..~..o....~V ~.....~..: ........ ~.~.~... ........... County Tax Map No lO00 Sect*on . 0.~-?. . Block pursuant to application dated .....~.~. .~.. Building Inspector. ...~...~. ....... Lot No...~ ......... ...... , ig~..L~, ond approved by the uilding nspector Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY IrlstructloFis A. This application must be filled in typewriter OR ink, and submitted ~mlmamammmm to the Building Inspec- tor with the following; for new buildings or new use' 1. Final survey of property with accurate location of all buddings, property {ines, 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. Commercml braidings, Industrml buddings, Multiple Residences and similar braidings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building, 5.Submit Planning Board approval of completed rote plan reqmrements where applicable. B. For ex~stmg buddings (prmr to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topograph ~c features. 2,Sworn statement of owner or previous owner as to use, occupancy and condition of braidings. 3. Date of any housing code or safety inspection of bu[Idings or premises, or other pertinent ~nforma- tlon required to prepare a certificate. C. Fees: Add£t£ons $25.00 1. Certificate of occupancy New Dwell~ng $25.00, Accessory,SI0.00 Business $50.00 2. Certificate of occupancy on pre-ex~stmg dwelhng $ 50.00 3. Copy of certlfmate of occupancy $ 5.00 over 5 years , $ t~O.O0 ~ o.oo 5.Upctated C.O. $ 50.00 Date ..................... NewCons Cruct~on ..... Old or Pre-exmtlng Budding ......... Vacant Land ............. Locat,on of Property ~%~ ..... %.~.~.0. ~.~.~....~.~. ..................... Owner or Owners of Property ..%..~5~¢'~ '---~ ......... ..~.%.~.C.~.%..~.. .................. CountyTa~ap~o.~o0o~,o~. W.~ ..... ~,o~ ..... ~ ........ ~o~... ~ ......... Subd{wmon .,~3i ................... Fded Map No. ., ........ Lot No ............ Perm.tNo,'~.~..~-~ ,~ateofPerrnit .~(~f/~D~.Appl.cant ..~.. ~l\,q6,.v?.,~,~.r~,??,? ............ Health Dept. Approval .................... Labor Dept Approval ....................... Underwriters Approval ..................... Planning Board Approval ..................... Request for Temporary Certihcate .................. Final Certificate ....................... Fee Submitted $ ....................... Apphcant ...x~'x~-~r'~Su-J~. ~ .'-~.-~,~__.. ...... . .-'~--~.. ~. .......... Rev 10-10 78 FOUNDATION (1st) FOUNDATION (2nd) 2. INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL /. C,'OkJ b4 L~ // / (} ~20,0 ./ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTHOLD, N.Y 11971 TEL. 765-1802 CERTIFICATION Building Permit No. [~1~ ~ (please print) (please print) I certmfy that the solder used mn the water supply system contamns less than 2/10 of 1% lead. (plumber's slgnature) Sworn to before me th~s ~ day of ~ , 19~7 Notary Public, ~dfc County MICHAEL A. CORR.%DINO No. 47773~7 Notarv~ Publ ~c Memorandum from.... BUILDING INSPECTORS OFFICE TOWN OF $OUTHOLD TOWN HALL, SOUTHOLD, N Y 11971 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION INSPECTOR INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] ~fULATION FRAMING ~/~ FINAL REMARKS: ~/~ 765-180Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL 7GS-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL 765-X802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: [ ] FOUNDATION 1ST [ ] ROUGH PI. BG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FINAL DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS '~ ~.0~],07~L BUREAU OF ELECTRICITY ~ I~ ~H,S CE~,F~E~ ~H~m RXTURE FIXTURES RANGES COOKING DECKS OUTLETS SWITCHES ~fSC~T 50 47 OVENS EXHAUST FANS ITHER APPARATUS E R AWG OF CC COND ~/o C E Motor$-I-3/4H.P. Smoke Detector-Z G & S E[ec. Box 215 Sou~hold, N.Y., 11971 ~ MANAGER Ptr this cerhflcate must not be altered in any manner, return to the office of the Board ~f ~ncorrect Inspectors may be ~denhhed by their credenhals COPY FOR BUILDING DEPARTI',4ENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Exammed~ ~,*,~" "~' ~' Appro~ .~W' -q. ~ Disapproved a/c .... ~ ~ ~ FORM NO1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y 11971 TEL 765-1802 , 19~(~ , 19g'~. Permit No./,,~/~,i~ ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ft- tI Aece[ved ........... ,1 Date /~- , 19~. a Ttus apphcatlon must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stme or areas, and giving a detmled descnphon of layout of property must be drawn on the diagram which is part of this app cation. c. The work covered by tins application may not be commenced before issuance of Building Permit d Upon approval of th~s application, the Bmldmg Inspector will issued a Budding Permit to the apphcant. Such pern shall be kept on the prenuses available for mspechon throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan, shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmldmg Permit pursuant to t~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as hereto describe The applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulatmns, and admit authonzed inspectors on premises and in bufldmg for necessary inspections. ' (Signature 9~f apphcgnt, pr 0ame, if a corporation) (maili~'~r~ss of applzean~) "' State whether apphcant m owner, lessee, agent, architect, enDneer, general contractor, electrician, plumber or buflde Name of owner of premises ~.~.O /'(' ~-~7~'r~/',.-¢ e.,'/' (as on the tax roll or latest deed) If applicant m a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No ~,. 5( ~ ~. P/. ~/~. Plumber's License No Electrician's License No Other Trade's License No Location of land on which proposed work will be done . . ,x/.c,~ ..... ~ ~ .......... ttouse Number Street Hamlet County Tax Map No I000 Section ~5 ,,.,~--5/ Block . . ~ Lot. .~"~. ..... 2 Subdivision (Name) Filed Map No Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy b/~O C--/9,5/ ~/ ............ b Intended useand occupancy 3. Nature of work (check wbach applicable). New Budding ~ . Addition ......... Alteration ., .... Repmr .... Removal .......... Demohtion ........... Other Work ........ 4 ~, ,~/~ .~__~ (Description) 4. Estnnated Cost .... ~9 .~.Q ........... Fee .......................... (to be paid on filing this application) 5. If dwelhng, number of dwelhng umts ............ 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 ...... ,,~./(. ~¢2. .... 7. Dimensions of existing structures, if any Front ..... J~.o .,~.. Rear .......... Depth ........... Height .......... Number of Stones .......................... D~rnensions of same structure with alterations or additions' Front ............. Rear .............. Depth ...................... Height .............. Number of Stones .................... 8 Dunenslons of entire new construction' Front ..... ~. 6?.. .. Rear .. ~. cd ..... Depth . .~.Q' ....... / · Height . . .~-~ ..... Number of Stones ...... ~ .................................. 9. Slzeoflot Front .../~f~ .... Rear ....... f. dc~ ....... Depth ...Z~.~.,.~. ..... 10. Date of Purchase .............. Name of Former Owner ............... 11. Zone or use district in which premises are situated .................................. 12. Does proposed construction violate any zomng law, ordinance or regulation ....... ~.O ................ 13. Will lot be regraded ....... ~r/.O ........... Will exqess, f'_tll tcpje~no~ed fnom_ premises Yes 14. Name of Owner of premises r~o~ .r.~ ~. ~,~ _q~_~f.. ~aaress ~,./.x,.~ :,'~.c.~t,.~ Phone No. .~. ~/~ - ~,Z Name of Architect ff~,-~ ~(~'.~'~' ~ g'-.e¢, .... Address &~, ?~; ( f(~ ~,~,,sl~ Pt' Phone No ,-~,,~'.r'd, ~t, ~,~' '*'o ~ ............ Name of Contractor (~J,/{i,~,r,e( ~l-~..~.~d . .Address ~,~.~4~.~;.~tr~,,/t~d,',ff l~oneNo. 7.~Y -. 15. Is th~s property located wzthinl00 feet of a tidal wetland? * ~s~° ..... No ~... · If yes, Southold Town Trustees Permit may be requmred. PLOT D~AGRA~ Locate clearly and d~stmctly all buddings, whether existing or proposed, and~lndlcate all set-back dnnenslons fro property hnes. Give street and block number or descnphon according to deed, and show street names and mdmate wheth interior or corner lot j_______- ---2F- 1 ,cE- C_ 7 .'r STATE OF NEW YORK, COUNTY OF ~ . S S ....... ~' ~''//_ t-./,O 03 .~V-..,~d ~- B/t.2. being duly sworn, deposes and says that he is the apphcm (Name of in&v~dual slgnmg contract) above named He is the ... ~__-z~ .~.c~..~f2:c./.c]~.o f'7 ................... (Contractor, agent, corporate officer, etc.) of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file th apphcatlon, that all statements contained m this application are true to the best of bas knowledge and behef, and that ti work will be performed in the manner set forth m the application filed therewith Swom to before me this ~~...~. ~ ...... ~. ~ ..... day of ...... 19~. N~ ................ County ~ ~ ~ ~ ~ ~¢-~ ~ applican FOEM NO, ! TOWN OF $OUTHOL~ TOWN CLERK'S OFFICE SOUTHOLD, Iq. Y. / 7 .5/- Examined Approved '/~' ~""/- --/ ~--' --~ 7 /~ ~ ........................................ , 19 ........ Pemit No ..................................... Disapproved a/c ........ ]]'"~' "~'L:~:'"'~'~ ..................................;: ..... (Building Inspector) Application No. _~ '7/ 3 APPLICATION FOR BUILDINGs,PERMIT Dote /~7 19 ~Z INSTRUCTIONS a. This application must be completely filled in by typewriter or in':ink and ~ubmitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, rela~.ionship to adjoining premises or public streets or areas, and giving o detailed description of layout ofproperty must be draw0 on the diagram which is part of this application. c. The work covered by this application may not be commenced bef6re issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issu~ a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the prc~tress of the work. e. No building shall be occupied or used in whole or in part for any p~rpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for thb 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, afl for removal or demolition, as herein described. The applicant agrees to comply with oll applicable laws, ordinances, buil(]ing code, housing code, and regulations. ......... ........ .................... ........... ..................... State whether applicant is owner, lessee, agent, orchitect~,~n~ne'ral coatrac:tor, electrician, plumber or builder. Name of owner of premises ~ '~' '~' i ff applicon)/ is a eorporate, ~gq~ature of duly outhorized officer. (No~d~e end title of corporate officer) 1. Location of lend on which proposed wo~rk will be done. Map No.: ..~ ...................................... [.~t Nx~ .................. Street and Number ...././....~...~.~....~.......~...~.~....~.... ....... ~...] ..................... ...~...~:...~.... .................... ,, Municipality State existing use and occupancy of premises and intended use on~J~ occupancy of proposed construction; o. £xisiting use and occupancy ............>~.... b. Intended use and occupancy 3. Nature of work (check which applicable): New Building / Addition Alteration Repair .................. Removal .................. Demolition .......... ..,J.~... Other Work (Describe) ........................................ 4. Estimated Cost .......... ~.z/.).~:..~... ........................... Fee ....'~....,Z.~,,~.....,~....~.. ........................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............. ~ .............. Number of dwelling units on each floor ......... ( .................. I'f 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 .................... Neight ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................Height ............................Number of Stories ................................ ' ,, ....... 8. Dimensions of entire new construction: Front ........... ~....~... ................ Rear ..... .~..~. ................ Depth . ~.~.. ............ Height ..... ?r..! ........... Number of Stories 9. Size of lot: Front .......... ./.~.0.. ........... Rear .........../..Z,...~. ................... Depth .......... .~...'~..~.~. ........... 10, [)ate of Purchase ........ .,~..,,~.?. ........... ~.~,~. ................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ........................ ~ ......................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation? ........ ~ ............................................... 13. Name of Owner of premises__ _--,-,Z,:.~.~...e~.t.....~..Z.:,/~r.~' ......... Address ..j~.~/.¢..,'./.~..c.¢...~.~......~.q~.~.:. Phone No. Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ,,.~...¢~R....~.~./e.f.~'...../~#.¢.~.f.,~h.~...Address ..~,~.~...~.g.X....~.~......~k .~.' ...... Phone No..Z.~.~....~.~...~.~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-bock dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW',.Y~ORJ~, ~' ~ ¢ ~ couNw ............................... ~ ......................................... being duly sworn, deposes ond soys that he is the applicant ~ individual signing application) above named. He is the ................................................................... ~~ ............................................................... (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 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 fo~h in the application filed therewith. Sworn to before me this X .... ............. ............................................................... ........................................ , 19. ....... Pem~t Ne ..................................... Disopproved o/c ................. ,..- ~. .............. , ............................................ APPLICATION IS HEREBY MADE to the Bui~ Degartment for the issuance Building Zone Ordinance of the To~n of Sou~)id,~ CouP/, New York Regulations, for the constructlan of buildings, ~ or alNlel~,, or for The applicant agrees to comply with all applicable la~s, orcttnance~, buildlr~ ......... ........... ('~'"~"~"~'*?'~"'~'*'~'~""'"'~'"'~'~ of ~tk~lt) ] ................. State whether applicant is owner, lessee, agent, architect, engineer, 9eneral contractor, electrician, plumber or builde~ ......... ' ......................................... Name of owner of premi,s .............. _?..~.~j.......~.__ ........... ..~1~...~ ................................................... I, applicay ,,~ a corpo~,~, ~1/1~ a. tur. of du~uthetiz~ officer. ................ i~r~'~:~ title of C'""""*'"'"'~'l~'l~'~"~f~i~er""~ ........ I location o{ ha~d on ~i~'(~,~'~h p. _n:~:l wllrk ~ill ~ dcl~. h~il ~o.: ................. ; ...... ~...~ ~ ........................ s~ .. ~ ...~_..~m..~.~ ....... .......................... ~~ ........................ Exisiting u~e and occupancy ..................................................................................... ~....? ................................. Intended u~e'and occulx~ncy .............................. ~.....~':~M~.V ..................................... ~; .......................... 3. Nature 'of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................. Removal ~. ................. Demolitio~ ........... .~... ~/~ W~k/(Describe) ........................................ 4. Estimated Cost ..........,.~.~1.~:C6.¢r~I?.." ........................ Fee ..... .~.....~...~.:.'c~"~....i" ......................................................... (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: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... ~J.~.~...~..~'. .............. Rear ..... ~..,~..%..4~...~.~ ...... Depth ......~..~.. ............ Height ......~..I ........... Number of Stories ............... /...~. ................................................................................................ 9. Size of lot: Front .......... .~.~1~ ............ Rear ......... ~.~tl~. ................... Depth .......... ,,~.~ ........... 10. Date of Purchase ..... ~..~J~.~ ....... ~.../..~.~.~ ................... 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? ........ ~ ............................................... - .......... Name of Owner of premises ~.~.¢~;S......~. Address ..~.~,..~.~;:...~.....~s~,^. Phone No. ~.~L;.../.~.~'. 13. Name of Architect ...................................................... Address ............................................ Phone No ............ ::~ ....... Name of Contractor ..~-~....~.(.~...trJ,,-/~L~,&...Address .Z~...~J~...~....~.e~ ...... Phone No..?..Jt.~...~.~./.~e ~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all Set-beck dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate Whether interior or comer lot. STATE OF NEW YORK, COUNT ,,S, ............... n~J~'~.~.....J...r~,~J~ ......................................... being duly sworn, deposes and says that he is the applicant (Namd of individual signing application) above named. He is the ................................................................... (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 contained in this application are true to the best of his knowledge and belief; and that the w.or~ will be performed in the manner set forth in the application filed therewith. Swam to I/e~6re me this ........................ day of ............... L~,., _~ /I I ~ /1/i " ............. -~...-:.<.....'-.~........~.-.'~..;,.~.--;-..~.. ..................................... Notary Public, ~,:,(,.~.~ .~;,~./.~/...,~Z~ ...... County /(Signature of applicant) t ELIZABETH ANN NEVILLJL/ NOTARY PUBLIO, State of N~'w York No. 52-8125850, Suffolk CouJ;tt~,., Term Expires March 30, 45, ,g 120,0 r :r H S NO ~' ,.' :, SINGLE FAMILY DWELLING ONLY ' ~' ' [~'L'~ [>[-_. ic~; F-,~q~IRES TWO YI-~RS FROM DATE OF APPROVAL' Al LICENSED LAND IURVEYORS ~REEN~RT NEW YORK ~SUFFOU< cou.'rv DEPT Of .EALT. I SERV,CES - FOR A,'PROVAL OF CONSTRUCTION O.~V APPROVED SUFFOLK CO TAX MAP ~IG~TION DIST SECT BLOCK PCL OWNERS ADDRESS -/o Nil';, ~, ),.'~' DEED L P T~ST HOLE STAMP SEAL -:. VAc ANt-F) 0 /, -~aJ__ -J ~4 t 08 lO 'W 45 ..VAC. A.!q ] ) N__A[C__?E_ 5UF2VE. YLLL: POtZ F2"'! 'PI']" ' .. ,.. .-/ ..-_,C ,wi. t Ai TC;VCN OF- '~" "" '- _,,..',J, M-.L~, NY, The ~age d~s~l an~ wa~ ~¢y t~l~ for ~ I~almn h~ve been ms~d ~ th~s ~a~nt ~1~ Chief of Jur~u of Wastew~ da~gme t RO[iERICK VAN TUYL. P Cj LICENSED LAND S4JRVEYORS GREENPORT NEW YORK SUFFOLK CO .~ALT. ~PT A,.~.OV^L H.S NO STATEMENT OF INTENT i THE WATER SURLY AND SEWAGE ~STEMS FOR THFS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT OF HEALTH SERVICES {s) ........ APPLICANT SUFFOLK COUNTY D~PT OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTIO~ ~LY DAT~ ............ ~OV~O' SUFFOLK CO TAX MAP DESIGNATION* DIST ~CT BL~K ~L io~ 054 5 ~:, ,OWNE"S A'D~E~ ..... ..... ~ ~'&k ...... SEAL REVISIONS BY , , , REViSiONS ~ .... ?~-*~--%* ...... :: ',' t'~1: ....... :, ¢~ ~:d' ' :, I '~,~** __ ;_ ~, I$ ¢] ~ - ~ :'~* I,~ , *~,~ , , a.a ~,~¢ . ~ ~ ~ ~ < . , , _ _: 1~ ~ , o " ' 1 , t ~f' ........................... - ....... D ..... ,~~ , , ,, ¢ ,, ~ ~ , ~ I I h , - ., I ~" ..... '~ Jo~ ~T LO~ L , ....................... ~<~f~":xo" o, 59'-8" TERRACE DESIGN #2774 (~) HOME PLANNERS, INC. RAISED HEARTH BREAKFAST RM. FAMILY RM t4Oxll6 KITCHEN 214x 136 IOOxll6 BED RM. STUDY Il°x132 CURe FOYER LIVING RM. UP -- uP ]7Ox [56 -- COVERED PORCH " GARAGE '' **,'" ' ' ' ' ' ~~ ~i~ FIRST FLOOR-,370 SQ.F'E '" ""' HOME PLANNERS, INC 23761 RESEARCH DRIVE, FARMINGTON~HILLS, MICHIGAN 48024 BED RM. IOOx lO6 BATH VANITY DRESSING RM CL BATH BED RM. 13© x 106 ROOF CL, MASTER BED RM. 13Ox 13~' CL ROOF ATTIC 294x 28© ? HEADROOM AREA 294x106 ) JJ ~ ROOF SECOND FLOOR - 969 SQ. FT I I ~i~" ,=IAI. DINI, SCHEDULE OF ABBREVIATIONS lO~.~~ ,=lA~, ¢/44. "',"" N~:,2'774 5 F L ELEV,~7'/OW SCHEDULE OF ABBREVIATIONS ~L6 DESIGN J DESIGN flPACED DECK CRITERIA [E ~ ~:D,~ OOhd SCHEDULE OF ATIONS DESIGN CRITERIA "?'2774 OF 5 5 QUANTITY '& ,-~- MATERIAL COLUMN NO. 1 UNIT MEAS, '- (.TYPE end/or SIZE) ~T -- 170So. Ft. ,, ~ · _ 1T 138 Pcs.~ .-- 1T -- 6 " i -- ' ,a 2Rolls 21 Masonr_~_ Block Wall~ 22 100 Pcs. 12" x 8" x 16" Masonry Grade Blocks 2__4 20 " ~ " " " 1042 ~--~'~ x 8,, x 16" 28 146 8" x 8" x 16" 29 60 4" x 8" x 12" Solid " 35 -- ~ 4" X ~X 16" " " 3~__ ~ x8 x 16. E Bocs 3a 15 Cu. Vds, 34 78 Sacks Mortar 3a 30 Gals. Asphalt Foundation Coatin__~f___ 4 Pcs. 8" x 12" Flue Lininqs ~ 1 Pc. 8" Diameter Steel Furnace Thimble 40 - 1 6. Water Heater Thimble 4T Basement Steel & Si sh 4'--~ 2 Pcs. 8' x 8" xl 4 Stee Bearqng a__es 4T ~ 2 ,. ,,Steel B am 47 ~ - i ht " 2 " Steel Sash 4T ~ "' " ated Steel AreawaJ~ -- -- 3%" x 3~" x 5/16" x 48" Fire lace 51 3 Pcs. 3~' x 3~" x 5 16" x 48_ r~reph Lintel 5~ 622" x 2" x 1./4 x 24" T-Irons 5--~- 1 Pc. 5" 8" Ash D s ~ 130 Pcs. Fire Bricks 5T 50 Lbs~ ~_Z 56 3000 Pcs. Common Bricks a~ 2500 Face "' 5~ ~ 2~~ x 5" Flaqstone Sills a~ 28 ,, 4. x 7" Cut Stone Door Sill 6o 6 Cu. Yds. 5 50 Mas n Sand 61 40 Sacks Mortar 6~ 100 Pcs. ~ Wall Ties 6--~- - 15 ,' 8. x 12" Flue Lininqs ~ on ere Slabs ~idewalks and Driveway Not Included_~ a~-~- ~( ~ 6. 6~Welded Wire Re~ 68 1200 ~ x ?_~_o - 16 " 3000~_ Concrete__ 71 12 Gals. Li uid Cement Hardener 7~ 4 Pcs. ~n hors For Wood Pos1 74 Interior Slabs - 75 16 Cu. Yds. Fill Gravel - 76 16 " " 3000# Concrete 77 47 Pcs. 4" Vitrified Crocks 7--~--- 5 " 4. ~ 450 79 5 ~- ~ ~ - ac ---460 Sq. Ft. Plastic Membrane Va~Oor Uarr~er 3~ FRAMING LUMBER ]Lumber Sizes Baaed on De-~--gn Stress, aa ~ 78 Lin. Ft. B,. x 12" Sill Plates 09 ~ 2.... Rim ists Headers & Brid~inq a.__~_9 ~ .... 8'- " ists _j~_o 25" 2" x~ '" 92 22 2" X 10" x 22'-0" 94 1 Pc. 3-1/8" x 13~ Structura-'~l--["~-{ 416 Lin. Ft. 1" x 3"-Brid in 0 t~nal B Code . 9.~6 3800 S~.Ft. ~wood Subfloor 1~ ~ ~" S ~C~ 1 Lami~a~ ~d Woo( {eader ~___ 64 Lin. Ft. 2" x 6" Headers 21 -- 280~ Exterior Wall Sheathi~ ~_ ~ ~" ~ . 3~ ~ " " '-" ~ ' ~ ~ ~ " ,, 3~ ~ 2" x 4" Exterior Soffit Framin~ 4T Roof Framing 42 30 Pcs. 2" x 6" x 8'-0" Rafters 43 42 2" x 6" x 10'-0" 5T~ 1LOD Lin. Ft. 2" ~ e Member 5T ~- 1L68 ~~" He~ Plate T ~ .... F hi s ~ ~ ,, ~ Cornic~ Returr :la. bin( ~ - · ~ in H rdware 7) ~ " ,.2 ,,D bl Hun Cut 3-Wide 4-F 7~ __~ ' ..... 2 ,, ble Hun Cut 2-Wide 4-~ 7~ __~ 36" 2" 24" Do ~e Hun Cut 3-Wide 7~ i Id Casin 7~ ~ " 2 .... Double Hun Cut 2-Wide 5-H 8~ - -- _ ~ 36" x~uble ~ut 3-Wide 5-H 8~ Brick Mold Casin~ __ 8~ 1 Double 36" ~6" Double ~ - Brick Mold C~ing ~ 2 Sin~ 3~36,r~3-Wide 6-H~ ~ Brick Mold Casi~ ~ --~ " x 2 " 24" D~ble Hun Cut~ -~ ~ '~' sement C t 2-Wide~~~ 9o ~ ~indow~Cut 5-Wide 5-Hij Brick Mold Casi~ 9~~ ~, 0,, 6,_8. Ra~ed 1-3J4 Bric o ~ 1 Front - x ~Ol Field--led Wind(~ &~ Door Trim -lo2 164 Lin. Ft. ~Jamb & Head Casi~ lo3 ~ ~0" Sill & Head Trim lO~__ ~ ~t Asbestos Panel Board ~ 28 Lin. Ft. ~rter Round Mold 107 64 " 1-1 16" ~-5 8" Dri Ca ~ld INE ITEM QUANTITY & MATERIAL UNIT TOTAL IO. ' COLUMN NO. 3 UNIT MEAS. (TYPE mtd/or SIZE) CO~T COST ~ 60 " 1" " " 11 156 " " 1" X 8" Rake Board 16 P n ~ 22 196 " " 5 4" x 6" Corner B ds 23 44 " 5/4" x 6" Skirt Board 48 1" x 10" " " 2i 36 1-1 16" x 1-58" Dri Ca Mo din 2a 2T Miscellaneous Milh ork 28 4 Pairs 14" 54" v s ~ 1 Pair 20" x 54" 3 Pairs 20" x 66" 2 20" x 78" 1 Pair 20" x 80" " 33 ~ ~TERIOR FINISH ', 35 Exterior Doors 3i 1 Front 3'-0" x 6'~ed 26" x 36" 37 --1 ~ 2'-8" 6'-8" X 1-3 4" "_ 22" X 36" -- 60" ~ 2 2~-6'' X 6'-8" 1-3 4" Fre cnh GlaBed 20' x 39 1 Garaqe 17'-0" x ~ Overhead 4o Door Track & Hardware 4T I~sulation 43 1946 Sq. Ft. ~~Floor &~g ~ __ Insulation With Va or Barrier 45 -- 2400 " " ~ Blanket Sidewall Insulation Wilth 46 ~or Barrier 47 48 Drywall Wa 11 boa'~-~'F~- 49 8104 ~ ~all Wallboard ~ 1096 5/8 .... ' al 3060 Lin. Ft. Perforated Drywall Joint Tape 52 500 Lbs. DrYwall Joint Compound 53 75 H d i Nails 54 452 Lin. Ft. M tal Dr 1 Cornerbe ds 56 Ti 1 ework 57 2 Pcs. Marble_Ihreshold~s 58 56 So. Ft. Ceramic Tile Floor 59 ~ ~ .... ~ Based 81 2 " ~rab Bars 66 438" " R -- F1 or Ti e __ 71 Stai rs 7__2 6 Pcs. 5/4" x 12" x 10'-0" Housed Strinqers 7~ 10 2" x 12"x3'-6" Treads 74 20 ~ X 12" x 3'-6' Treads 75 3 5/4" x 12" x 41-0" 76 40 1" x 8" x 4'-0" Risers 77 64 Lin. Ft. 5/4" x ~ Starter Nos~nJL 78 120 " ~ Cove MoldincL 7o 3 Pcs. 1~" Diam. x 14'-0" Handrail ac ~~ Colonial Handrail 81 1 Pc. 3½" x 3%" x 66" Turned Newel Posts a~ 34 PCS. ~ 32" Turne~lluste~ 83 84 Interior Doors 85 12 ~ - x 6 -8 x 1-3 6-Panel 35 1 " 2'-8" x ~ Fire Door 87 88 NOTE.' ~ COMPLETE WITH TRACK & H RDWARE 4'-0" 6'-8" " 9'---2-- I ~'-0" x 6'-8" x 5/4"4- " " 93 2 6'-0" x 6'-8" x 5/4" 4- 09 aa ~ 97 12 Sets 2,.6" x 6' 8-" x 4-5 8" Jambs With Stos ___ ~ 1Set 2'-8" x 6'-~ " 99 3 Sets 4' 0" x 6' 8" x ~ NO 6' 8" x 4 5 8" " 100 1Set 6'-0" x - . ~ . NO 102 Door Trim 103 24 Sides ~ Casing 1~ 6 Sides ~ ,07 i Side 5'-0" x 6'-8" 109 2 Sides lO9 -- 114 115 116 117 118 119 120 121 122 123 124 125 ITEM '~ QUANTITY& MATERIAL ~*UNIT T TOT'~ COLUMN NO. 4 UNIT MEA~, (TYPE nmi/or SIZE) COST COST ......... , ....... I 'J _ _' I 108 .... 1" x 2" Shelf ~eat ' m ' ' m ~~ " 48 " " 1" X 2" " Bottom I ~ ~ 36" ~ 21'~to~e~ ~ 2 " 48" x 3~" x 21" " " 1 Pc. 63" ~asg~ kam~na~e Counter ~ S ash ~~ 69" x ~ ...... ' .... ~~ 48" x 2~" " " .... I" I I ~~ x 6 e ~c~ne a ~nets ~~ 60" ~num & ~lass ~b [nclosur~ I I ~ I Base 42" ~~ and Stora e u board i " 54" ~" x ~kin To & T~ ~ 27" x 24" x 60" Oven and 1 " 30" ~ 36" L~r Tra & " " ~~ ~ 30" ~" x 36 ...... ~ I " " 2" 36" ..... ~ 12" x 2" 30" -Shelf .... ~ 36" ~' x 15" 1-Shelf " I " I ] ~ 5 " 30" mm 3 H 3~hel f ~~ ~ 27" x 12" x 18" 1-Shelf .... i "5~' x 12" x ~" 3-Shelf " ~~ ~ 39" x 12" x 30" 3-Shelf .... . ~ ~ ~' + ~" x 25'~ 78" x 5mm T~ ~ 3~' ~aminate Counter & S as~ T~ ~~2~ .... " " ~ 1 " 60" x 25" " " " & S ash ~ 30" R d ~h~st ~n & D~t ~ ~ Door Lock Sets ,, ,, ,, T~ 1 Set Safer Chain ~~ ~ Mail Slot Hardware ' ~~ ~ ~r~ Dead Bolts ~~ ~ Flush To & ~ttom Bolts ~ ~ ' m ic Fi D oser 5 Pair 4" ~" Butts 8 " Passa e La~h Sets ~ ~ " Knob Set ~ 12 Pair 3~" x 3~" ~tts ~ 6 Sets Handrail Brackets . ., ~ ~ 8d '~ '~" ~5 " R of~n " ~ ~ 4" ~ Cee~ ~~~. ,, . - . : ,,.-" ' .', MATERIAL' LIST ' ' ' '