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15226-z
TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER/.,~IT KEPT ON THE ',lTl L FULL N°. 15: Date ........................................... , ! . Permms~on ~s hereby gr · J..~ ot premises located at ../.~,~...'~...,~.. ....... County Tox Map No 1000 Sec~l~.~'~'~L, . Block ..... .(~.,~. .... Lot No .... ~ o.~. ..... pu,~uon, to °pp~,co,,o,, ,~o,~ .,,..z~,.~,~."r .t ~ ..., ,9 ~.~,, on,~ oppro¥~ by the Building Inspector. Fee $..~l'J..'J: LJ..~.... Budding Inspector Rev 6/30/80 FiELD INS~ECTION DATE COMMENTS FOUNDATION {1st} FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION ?ER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Crestwood, N.Y. 10707 May 11, 1987 To~ o~ ~o~AoZ~ ~.~. 11971 Ref: Building Permit No. 15226Z Issued September 3, 1986 Dear Mr. Lessard: Further to my telephone conversation with Mr. Fisher today, I enclose herewith a revised floor plan which is intended to amend the existing plan in your file with respect to the above Building Permit. Please review the same to determine whether the encvlosed floor plan meets the requirements of the Town of Southold. I will telephone you to discuss this amendment. Very truly yours, rr eorgiopoulos CPG/hg Encl/ 156 Read Avenue Crestwood, N.Y. 10707 August 6, 1987 Mr. Victor Lessard Town of Southold office of Building Inspector Town Hall Southold, N.Y. 11971 Ref.: Building Permit No. 15226Z Issued September 3, 1986 Dear Mr. Lessard: On May 11, 1987 I sent you a revised floor plan to amend the existing plan in your file with respect to the above building permit. It is my understanding that the building per~it has been appropriately amended. Please extend the validity of the above building permit for an additional 6 months in order that we may complete the con- struction of the house. Very truly, y~r~ Examined Approved .~L~,xk~u.~.. Dmapproved a/c ..... TOWN OF SOUTHOLD lo?o~ BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL,: 765-1802 ,19 t, , 19~{~ Permit No ? ~..~&~,z:~ (Bmlding Inspector) APPLICATION FOR BUILDING PERMIT Rece~_ved ........... ,19.. Date ...~. ?L..(o7. INSTRUCTIONS a. This apphcatmn must be completely filled m by typewriter or in ink and submitted to the Building Inspector, wzth sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing location of lot and of bmldmgs on premises, relatmnship to adjoining premises or pubhc strec or areas, and glvmg a detmled descnptmn of layout of property must be drawn on the diagram which is part of this app cataon. c. The work covered by tins apphcatzon may not be commenced before tssuance of Budding Permit d Upon approval of this apphcatzon, the Building Inspector w~ll ~ssued a Buddmg Permit to the applicant Such peru shall be kept on the premises avadable for inspection throughout the work· e. No budding 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 Bmldtng Inspector. APPLICATION IS HEREBY MADE to the Buildmg Department for the issuance of a Bmldmg Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk CounW, New York, and other apphcable Laws, Ordinances Regulations, for the construction of buddings, additions or alterahons, or for removal or demolition, as hereto describe The apphcant agrees to comply with all apphcable laws, ordinances, bufldmg code, housing code, and regulations, and admit authorized mspectors on premises and in budding for necessary liospectmn.~ f/ ,- ..... (S~gnature of applicant, of name, if a corporatmn) (Malhng address of apphcant) State whether applicant ~s owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or bmlde .07o t,t e,. O-. ........ Name of owner of premmes (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 ......... 1 Other Trade's License No .. 1 Location of land on winch proposed work will be done ............. House Number County Tax Map No 1000 Section Subdzvmion (Name) Street Hamlet Block . .5' ...... Lot . 5}.- .~ ..... Filed Map No .. Lot.. State existing use and occupancy of premises and intended use and occupancy of proposed construction a. l:mstlng use and occupancy ,~,~ ~,'~n ~-'m- - - b Intended use and occupancy g./v,/~t.~. [-.K/P3.,t..~' ~]~L~.~L.~t_t~- . ..... 3. Nature of work (check which applicable) New Building ~ Addition ...... Alteratmn .... Repair . Removal . .. Demobt~on ..... Other Work . (Description) ,¢ Est~rnatedCost ~. ~'.O.:O..O.O...O.O ....... Fee ......... " (to be paid on filing this apphcation) 5.If dwelling, number of dwelhng umts O~ Number of dwelhng units on each floor If garage, number of cars ........ O ~ ~ ....................................... 6 If business, commercml or mined occupancy, specify nature and extent of each type of use ................ 7. D~rnenslons of ex~stmg structures, ffany Front .... Rear ....... Depth .. Height ....... Number of Stones Dimensions of same structure with alterations or additions Front .... Rear ........... Depth ... Helgjat ......... Number of Stones .............. 8 Dlmenslonsofentlrenewconstructlon' Front ~"Z.°.°'.'. '.'Rear .q.g'.?. o.~."... Depth ~.~..' -. Height .~..'.~.~? oo ', Number of Stones . .O.~. ~ 9. Slzeoflot Front ]0.0... FT, Rear ... [.~.O..~.T': .. . De~th ~)~0~..~...~'.-~.-... 10 Date of Purchase O¢-/'...~'{i[' l~.'~' . . Name of Former Owner ~.'.~' .t-.oq~t4~.F,~ ..... I 1 Zone or use district ~n which premises are s~tuated ............ 12 Doesproposedconstructlonvlolateanyzomnglaw, ordmanceorregulatlon ~' '.iiii'.i..'' iii .... 13 Wdl lot be regraded ............ Will excess fill be~,removed from prem~ses~ 14. Name ofOwnei ~fp~mm~csc'e,l~ t~...6-~ .o]~.~o*.o~. ~t~l~ress .~'St~. ~.r;.Al~...~.~. Phone No.(~'q)..~.. · . Nameo~ee~ ....... Address ¢~.e~.~..o.~o. ,.. ~7' .~hm~eNe Name~f Contractor ................ Address .......... Phone No ........ PLOT DIAGRAM Locate clearly and d~stmctly all buildings, whether existing or proposed, and, indicate all set-back d~mensaons fro property hnes Give street and block number or descnptmn accordmg to deed, and show street names and indicate wheth interior or corner lot. STATE OF NEW YORK, COUNTY OF. $~ FFO¢-/~.-... S S (Name of ~ndiwdual signing contract) above named being duly sworn, deposes and says that he is the apphca: ~He,s-t4q~ O~e .o.t' .TtJ.~.~ ........ r~ow ii; (Contractor, agent, corporate officer, etc ) ~ ~ .......... ~ ...... ~ ~, ~d ~s duly authorized to perform or have perfo~ed the ~d work and to m~e ~d fide ~ apphcatmn, that all statements contmned m thru apphcatmn are true to the best of bm ~owledge and behef, and that ti work will be perfomed ~n the m~ner set forth ~n the apphcat~on filed therewith. Sworn to before me th~s .. ./~ ..... dayof.,~: ~ .. ,19 ' ,-,, ,-. ,, ,- ...... FOUNDATION SIL~-LL BE CONSTRUCTED AS FOLLOHS.' 2. ANY DEVIATION IN CONHTRHCTION FROM Till'ISm RRMOV'ED "F~O~, I" / USE la~'' PLanS W[TI{OUT ~R['I'[PE~ APPROVAL FROM ~nG[~ga F~ING'I' AhL, TRENCH,LO0'8~ SOrL TO, BEI,I EV~S FILL ENTIRE , ' , JOINT NITH 3. ENG[NEKE. UOE&_ ,.. NOP SUPERVIS~ CONSTRUCTION GET A QUALIFIED INSPECIOR TO ~VIE~ SOI;L. "iii l''' CONCRETE 0N ALL OR CI'.RPI~Y CONSTRUCTION 'WAS COMPLETED 3, ANY.VOiOS ACCOED~ 'm PL~S: LARGE STONES TO BE LEFT EMPTY ~D FILLED,~Wi~H ~i ] , ' BLOCKS BELON SLAB LEVEL. / BE.ORbE · CONSTRUCTION. 4. COLUMN FOOTENGS TO PROTECTED FROM FROST AT ALL TIMES. 5. Al,f, CONTRA(TOIlS 'FO CARRY WORKMAN'S 6. SIDES OF FOOT.[NGS TO BE FORMED ,WI'~H ENDS WALL5 ~ 2. ALI, Foo'rIN{!S TO SIT ONLY ON VIRG'IN, IJNDISTURIIEH LOAD IiEARING SOIL. IF IN DOUBT ~-~/12. X 3g XZ/~' $o&lU I 1. FOOTTNG DRAIN TO INCLUDE 4 INCH PERFORATEI) P.V.C. PIPE. SLOPEI) MiN I/4 INCH PER FOOT, IN [FT X [ FT TRENCE WITH 3/4 INCH 12. FOOTING DRAin OUTLET TO EXTEND MIN 10 FT ["ROM CORNER OF HOUSE SLOPED MIN t/4 INCH PER FOOT. 2. I I" TWO GARAGE DOO'RS ARE LOCATED IN ]~ND 'I. USE 12 COURSE OF BLOCK BETWEEN TOP OB' 2. ALL BLOCK BELOW GRAOE TO SE COAT'iD ' TWO COATS ASP[IALTIC FOUNDATION SEA~ER, : ' REMOVED FROM BACKFILL PRIOR TO BACKFILLING,' 4. BACKFILL SOIL HI'CHIN 3 '~ OF HLQC~ wALL~ ~ ] r W'ITH,SANDY RUN OF B/%NE FILL. NO MORE',eHaNS%' {: OF FILL ~y WEIGHT TO PASS A 200 MESH ~i'CR~EN ~R' - i{I 10% I~Y WEIGHT TO PAS~ A I00 MESH SCREen. S~LT " ii 5. SII, L PLATE TO' BE 2 X 8 WOLMANIZ~I) ORA'DE, ~ ~ SOUTImRN PiNE .O~ eOUlVat,E~m , EEALRR INSULATION BETWEEN Bi,UL P~ATE AND TOP '!? COURSE OF Hmcx. 8. IF ELECTRICAl, CANAL BOX IS THEN INSTALL 4 X 8 FOOT ~( ~/8 9. IF GARAGE IN BASEMENT, OA~G~ CEASING AND, DIVIDING WnLL TO fie 5/8 INCH TIi[CK F~R~'JPR~F. ~o. BASZ~EN~ Am) GARAGE CeH~[N,'~"fO' ~' WAL ,S TO BE tNSULATED WIT~ ~],N: /NSULAT LON. INSULATEO TYPE AND TO 'I'NC'LU )E W~A~I{ 1. USE 3/4 INOH 'PO· 1/;~" 2. ' PLACE A .NETWQ'RK SO NO PUDBLBS NOVIELLO & '"" ' ' RT, 90 Z ELVINS LA,, GARRISON NEw YORK' lO 5'2 ' (914) :3~-+~0o -' .j. _ OCCUPANCY OR NOTIFy ~UILDIN~ DEPARTIME~T AT 785-180~ 9 AM TO 4 PM FOH THE FOLLOWING INSPECTIONS: FOUI~JIDATION TWO RIECIUIRED OODE~. NOT RESPONSIBLE FOR r~P. SIGN OR CC:~ISTRUCTION ERRORS, -- IJE~ yORK STATE DIVISION OF II(JUSI'NO ;,ND CON~UNITT RENEWAL S'[AI/,? OF APPROVAL FO~ A t/OOEL OR COMPONE~4T. I,IEW. ¥ORI(. STAT~ DIVISION OF HOUSINg AND OOMMNU,iTY RENE/~AL ~Lt-t USE IS UNLAWFUL WITHOUT cERTIFICATE APPROVED AS NOTED -4 PENN LYON NEW YORK STATE DIVISION OF ROUS]NG AND OONt~U~NLT¥ RENEWAL. sr.,. OF APPROVAL FOR A uODELOR COMPONENT oo3m .. . ~ I~E~N 'fOR~ sTATE DIVISION OF , . ,c~ ANO OO~NUIT~ RENEWAL ~ 801~0 T~AT A~E ASSZ~BLSD ,~ ?'r WA,GTE LIHE: VEl'iT l_tHE: ...... PENN LYON'HOMES, INC. NEW YORK STATE DIVISION OF HOUSINg AND CO~t~UNITY RENEWAL STAI,4P OF APPROyAL FOR A T/ODEL OR OOivlPONENT r'E~ 'Y©RI¢, STATE DIVISION OF h,..~SING AND OONiivINUiTY RENEWAL PLUMBING -DRAINAGE LAKERIDGE I #710 ~ II #7t5 DRWN BY: ELM CHKD BY: DATE:2-26-86 DATE: PLAN NO. d'C;~LIP' WATF_.R: :.-. HOT WA.T'E~: ...... PENN LYON HOMES, INC. STAMP OF AppROVAL FOR k MODEL OR COMPONENT 00361 " . / oR;', oFATE DIVISION OF AND COMMNUITY RENEWAL PLUMBING -suppLy LAKERZDGE I #7~0 ~ II #725 DRWN BY: ELM" IDATE:2-26-86 CHKD_~BY: _1DATE: r .... 'l F .... F i~lE~/ YORK STATE DIVISION OF HOUSIN~ AND OOMMNUIT¥' RENEWAL HEIGHT ROUGH OI~NIN~ MANUF. TYPE I~ ~ X ~ ~" U~TA ~ H~ ~ ~4~X~ ~' ~TA ~. H~ ', ~ ~ X ~" K~IN ~ 41CF ~ X ST I~' ~BN ~ 4l~ ~ ~ ~' X ~ I~" ~TA ~ m ~X ~ I~' KTA ~3 ~ ~'X ~ ~" M~TA G ~4 ~ 29' X 411~ ~ ~NT 3 2-~ (-~ ~' ~ ~ TAY~ FI~ RATED PENN LYON HOMES, INC. STAI/~P OF APPROVAL FOR A FiOOEL OR COI,4PONENT oo 61 DOOR G WINDOW SCHEDULES LAKERIDGE I #710 G II #715 DRWN BY:ELM DATE:2-26-86 CHKD BY: DATE: P~AN NO, '1 i STAI,4P OF APPROVAL FOR A NODEL OR COMPONENT ~{ .... LI'-~ Adb ,~u,.,,,,,,UlFf RENE~VAL USE 6170UP- R3 CONST. TYP[-SB' SQ. FT-18G?~ PENN LYON I NC FLOOR PLAM - MODIFIED LAKERIDGE II #715 ~RWN BY:EI~ 2-25-86 pATE' 'dOTE: F~ .~'. ¢ ~,,' ¢'::' NEW YORK STATE DIVrSION OF 5TAW, p OF APPROVAL FOR A I¢,ODEL OR COMPONENT 00561 F'E~`F 'FORK STATE DIVISION OF ~,-CLNG AND 6014hlNUITY IEENEWAL PLAN APPROVAL IS APPLIOABLE (]lILY TO STAI/,P OF A?PROVAL FOR A I¢OBEL OR COMPONENT F'EW YORK STATE DIVISION OF H,,JS/NG AND CO~/1~4NUITY RENEWAL USE GROUP-R3 CONST. TyI;:)E-5~ NEW YORK STATE DIVISION OF HOUSING AND COMMUNITY RENEWAL S I-At/,P OF APPROVAL FOR A MODEL OR COMPONENT tlE~ YORK STATE OWISION OF BGUSING AND CO~'ItCU'~UtTY RENEWAL USE GROUP-~$ CONST TYP[-~B $0 FT't867~ 1'2. NEW YORk STATE DIVISION OF HOUSINg AND OOMMUNLTY RENEWAL STAMP OF APPROVAL FOR A MODEL OR OO~PONEt4T trw ~ORI<. STATE DIVISION OF lO Abed COT,41,~NU~T'( RENEWAL t-® USE GROUP- CONST. TYPE- 51~ Sq FT 11~67*' PENN NEW YORK STATE DIVISION OF STAMP OF APPROVAL FOR A NODEL OR COMPONENT oosci ,. AM flEW ¥ORI(STATE DIVLSION OF H,-.JSIN8 AHD CO'4MNULTY RENEWAL Tills PLAN APPROVAL iS APPLICABLE ~]?IL¥ TO TNOBE OOMPON~B TS OF TBiE FABTOR',[ btANU- ELECTRICAL PLAFJ MOOTFIED- '1 STAMP OF APPROVAL FOR A NODEL OR COMPONENT NEW YORK STATE DIVISION OF HOUSING AND COMMNUITY RENEWAL FI~ E~7='/H (~ HOT I ~120. ~,. ~ / T~u~ BUILDERS NOTE 1. It is mandatory for the builder to complete this home in compliance with the Maryland Energy Conservation Building Standards Act of 1981. Additional site work may be: a. Floor Insulatioh -crawl space b, Foundation Wall ]nsulatlon--baseJnent NEW YORK STATE DIViSiON OF MOUSINO AND COMMUNITY RENEWAL STM4P OF APPROVAL FOR A HODEL OR COMPONE'4T TNIS PLAt! APPROVAL ~S APPLIOABLE 8NL¥ TO USE GROUP- R3 CONST. TYPE-SB SCI. FT-1867a' PENN LYON ,R'OSS SECTION NOTES LAKERIDGE I #710 6 II #7~5 ORWN BY:ELH CHK© BY' BATE'3 4-86 LPLAN ~0