HomeMy WebLinkAbout26323-Z FORM NO. 3 /
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall ^n�
Southold, N.Y. v fi (j
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED) .
PERMIT NO. 26323 Z Date FEBRUARY 2 , 2000
i
Permission is hereby granted to:
MARY LEE SHANAHAN
PO BOX 88
ORIENT NY 11957
for jI
ALTERATION AND SECOND FLOOR ADDITION 4O AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
at premises located at 100 VILLAGE LA ORIENT
County Tax Map No. 473889 Section 025 Block 0001 Lot No. 019
pursuant to application dated JANUARY 18, 2000 and approved by the
Building Inspector.
Fee $ 75 . 00
AuthorizqW Signature
ORIGINAL
Rev. 2/19/98
- __ —_ —
IATION ( IST) n— ----- -._ f y
�-
It____
)ATION— --(2ND)--- IL—__
--- IV — ----
n
3 FRAME h u n .
PLUMBING _i—
I,r-- --- - - — --_ - .- -- -.—. --.
u --
II
—It
LATION PER N. Y. uIN IN
tl H
TATE ENERGY it n
CODE ' — It
u x
u
Im
ii a d
n II H
n n
—ii
FINAL n n
N
ADDITIONAL
--- �___-_-� -------------- 7
TIONAL COMMENTS:
— bl
yHJ
y (
H
O
z —
BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. I 3 SETS OF PLANS . . . . . . . . . .
r-" TOWN OF SOUTHOLD SURVEY . • • •
r "•" BUILDING DEPARTMENT CHECK • • • • • • • • •
TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY: T61ft-On^^ n1jj�-
CALL . .
32 1323 - 2�`►-c;��1
. .: . . . . . . . . . . . .
Examined.. ... ...t.........
MAIL
)J TO:
, mo. Permit No.
a�3 0?3 .��r...O ,•''y,;�;.!V`"�......•.....
Disapproved a/c ...........................�!'...... •` `1 .............!.0fl ..............
......................................................
(Building I tor)
APPLICATION FOR BUILDING PERMIT
Dater
INSTRUCTIONS
a. 'Ibis application,musiC U completely fil'14 ih by typewriter or in ink and.submitted to the Building Inspector wi
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 detaileid description of layout of property mist be drawn on the diagram Which is part of
this application.
c. the Work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
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.
APPLICATICN IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein
described. The applicant agrees to comply With all applicable laws, ordinances, building code, housing code, and
regulations, and to admit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
..... �.? f..... ........... ......QS I
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plurber or builder
.1�J.. ...................................................................:...................................
Name of owner of premises ...................................
(as on tine tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
IJ
Builders License No. ,� l: Q.....I!.-Z,.
Plumbers License No. .........................
Electricians License No. .........•••..•••••••
Other Trade's License No. ....................
1. Location of land on which proposed work will be done..............................................................
. . . .. � � .. ... ........................... :� .� �7.............
House Number Street_
��77 \\Hamlet
County Tax Map No. 1000 Section ......... Block ....\........... Lot ...1(.::�.........
Subdivision ...................................... Filed Map No. ............... lot ...............
(Name)
2. State existing use and occupancy of premises and intendqd use and occupmmxy�� �tion•
A 147
a. Existing use and occupancy . .a... . . . Ywsbl �, �-� ��Y'?ATCA
�-. .OibbU
grove';•QTwO"1 ra.4m .....
b. Intended use and occupancy .. r ��X ........... ••.oz:Senuf.aa�iclxtrt�to7
Hat'ure of work lctheck which app►icauie): crew wiiuing .......... e+uuuiuM ..�..*..... ,..�c.o".,�� ........,.
Repair ............ Removal ............. Demolition ............ Other Work ..................................
(Description)
Estimated Cost .. .�UU�c:.......... fee ..............................................
(to be paid on filing this application)
IE ()welling, number of dwelling units .....I...... Number of dwelling units on each floor ................
Ifgarage, nrnber of cars ........ ............................ f
COMM4
If business, comw ercial:oh; mixed occupancy, specify nature and extent of each type of use............ ........
��rr++rr pp �pp 3
Dimensions of existing structures, if any: Front. J..A........ Rear 3 Ll........ Depth 9. ..
])eight .AC ................... Number of Stories .............. 2 �-o
Dimensions of same structure with alterations or additions: Front ..rM..C.l...... Rear .s-J lJ... •...
Depth G. ........... Height ..Cq.V............... Number of Stories ..2r.........
Dimensions of'entire new construction: Front ...114.. ... Rear .1.4.......... Depth .�.!........
Z
v................. Number of Stories .... ...
.............Height Q
. ..��1....... Rear .... �.Da. . Depth �.....!.!.
Size of lot: Front '�'• •• ""'
0. Date of Purchase .j... :: 9....... Name of Former Owner .l.`N.. .J: t r^-
I. Zone or use district in which premises are situated +?.............................................
2. Does proposed construction violate any zoning law, ordinance or regulation: ...F,S•J. .............•
3. Will lot be regraded ..: .......... Will excess fill be removed from premises: YES
!4. Names of Owner of premises Address Address .... Phone No. ✓. "��..
•
Name of Architect : .-arch...�.•.C�U Cl ........... Address
Phone �s�
Name of Contractor (ki.%Ak........ Address ..�. J ...n(1/!#� ...Phone No.
IS. is this property within 300 feet of a tidal wetland? * YES .......... ND ../.k....
*rF YES, 9UTI m mm TRDS MS PU IIT MAY BE W!QUIIED.
PLOT DIAGRAM
locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and block number or description according to deed, and show street names and indicate
tether interior or corner lot.
wxtr. Or. N1J Y()W, SS
.... .��,, �.. ��.(�..............being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named,
Ileis 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 Co the best of his knowledge and belief; arxl
that the work will be performed in the manner set forth in the application filet] therewith.
Sworn to before me this _
......./..:5 ......day of
Notary Publi ....
( gnature of Applicant)
EUZABETHASTATM
WMARYPUBLIC SbftafNSWVbk
7VMJ 8.=q
SURVEY OF PROPERTY
51TUATE: ORIENT N
TOWN OF 5OUTHOLD
5UFFOLK COUNTY, NY
SURVEYED 12-6-48 -
AMENDED 12-22-q8
SUFFOLK GOUNTY TAX #
x 1000 - 25 - I - Icl
CERTIFIED TO: ^'� O� ' 3�20
��
MARY LEE SHANAHAN ^w,,V �c� f f / ,' �����es4a
FIDELITY NATIONAL TITLE tom` v Q 0 - \
INSURANGE GOMPNAY OF NY to
FNTG818821 s
3
o< •S9
CO
cIV
oq
'� � �` �• '�;. �u C Ste, 2
'Sto.
e Fr
um
Sg
00
J A l
t
IWTES: � `�� Q� 'uneutnorized alteration or addition toe rvey
vlalatlon f! tion 7209. nuD-divisions2, of the
0 Dearing a licenaed Iantl yOr*S eel 1b
d !t wew York State Education Lew."
"Only copies from the original of this survey
marked with a original of the land eurveyor'I
stamped sea]Shan be considered to 0.valid true
MONUMENT FOUND °°pima"
'certification! Indicated hereon signify that this
lstrvey was prepared In accordance with the es-
ing code of Practice for Land Survey.adopted
O PIPE FOUND Dy the waw York State Association of Professf Ona]
Lana Surveyors. Sa1d C.rt if ltatlons shall run OnIY
HEDGE to the person for whom the";;:n
urvey 1a prepared.
and on the behalf to the title c mpany. vovernmen-
ta]agency*no lending Institution listed hereon. and
-R to the as
of the]Ano ng Inst ltut ion. Certlflca-
tion6 are not[ranlferaole[0 adtlf[fona] 1nst1tut3ona
AREA = 5,1535F OR 0.13 AGRER5
G. 1E , bo
N.Y.S. LIC. NO. 50202
GRAPHIC SGALE I11= 201 JJO ME D �J EYOR
R I V pp, 19
369- FO 3 REFERENCE # 98-0299
1
P
If coppPer tubing is used
for -,e,r ri t r i b u t i n y
syszt-)m; shtell be
ALL PLUIP,,151t,G 10VASTE
R
1 The undersigned engineer has reviewed these plans. It is a violation of the New York State ',tor L iy &VvATER LIN
Education Law,Article 145, Section 7209, for any person unless acting under the direction of
a licensed professional engineer or architect to alter these plans in any way. If an item is ' .;
altered, the altering engineer or architect shall affix his/her seal and the notation, "Altered by" APPROVED AS NOTED
followed by his/her signature, the date of such alteration, and a specific description of the 0_'��Qiz-1 a 6 32-3--1
1
change. DATE: B-P# _-L-d q0_ , PLt1f'4r1r'R CERTIFIC4TION
FEE: —By: ON LE1413 MAITI,-:177 BEFORE
Ath the New York State Energy NOTIFY BUILDING DEP
2. These plans have been determined to be in compliance v A NT Af
Conservation Construction Code. 765-1902 9 AM TO 4�FF:OR THE CERTIFICATE gyp OCCUPANCy
FOLLOWM INSPECTIONS:
I FOUNDATIONREOUIRED SOLDT-,R, trq W14TER
OF NEW)"
j-,
FOR POURED CONCRETE f "0 T
PN CAJVA
- ROUGH -F:pj&ANG & PLUMBING
3H
3. INSULATION
LEAD.
4. FINAL CONSTRUCTION MUST
C
j BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
822% STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
...............
PROVIDE OPENINGS FOR
EMERGENCY ESCAPE AS
REQUIRED BY PART 714 OF
N.Y. STATE BUILDING CODE.
IR
PROVIDE ANTI-SCALD AND/OR
THERMAL SHOCK PREVENTI N
DEVICES AS TO PART. 902.6(0
JL N.Y. STATE BUILDING CODE.
BOARDMAI BUILDERS
P.O. Box 322 PROVIDE SMOKE-DETECTING
Orient NY 11957 ALARM DEVICES
AS TO PART. 721.1
N.Y.S BUILDING CODE.
i
1. The undersigned engineer has reviewed these plans. It is a violation of the New York State
Education Law,Article 145,Section 7209,for any person unless acting under the direction of
a licensed professional engineer or architect to alter these plans in any way. If an item is
altered, the altering engineer or architect shall affix his/her seal and the notation, "Altered by"
followed by his/her signature, the date of such alteration, and a specific description of the
change.
2. These plans have been determined to be in compliance with the New York State Energy
Conservation Construction Code.
'S OF NEW
V, JOPHE'q
r
i
� I
OS822ALL
1
3
1
1-
1
ly 1
i
f
1
!L Ll I
I t i
F
1
{
BOARDMAN BUILDERS {` Ato
P.O. Box 322
Orient, NY 11957
sour+„ :�,•,,��' :,�.
1. The undersigned engineer has reviewed these plans. It is a violation of the New York State
Education Law, Article 145, Section 7209, for any person unless acting under the direction of
a licensed professional engineer or architect to alter these plans in any way. If an item is
altered,the altering engineer or architect shall affix his/her seal and the notation, "Altered by"
followed by histher signature, the date of such alteration, and a specific description of the
change.
�
.CIA, 2. These plans have been determined to be in compliance with the New York State Energy
+ 4 Conservation Construction Code.
I A
! VAS Co TQ9 , I
IL
1 1
BOARDMAN BUILDERS
P.O. Box 322
Orient, NY 11957 I
1. The undersigned engineer has reviewed these plans. It is a violation of the New York State
Education Law, Article 145, Section 7209, for any person unless acting under the direction of P'
a licensed professional engineer or architect to alter these plans in any way. If an item is c+-
altered, the altering engineer or architect shall affix his/her seal and the notation, "Altered by"
followed by his/her signature, the date of such alteration, and a specific description of the
change.
2. These plans have been determined to be in compliance with the New York State Energy
Conservation Construction Code.
r
1
f 1 ,
,,t_I 1, v
� v
1
j '
J;
Iy I
Ic
i
,
n ,
I
BOARDMAN BUILDERS E k
P.O. Box 322
Orient, NY 11957 - -
—-- - ------ --- -------
i
I
rn ! I
� I � S V��v�1 C,fV1C� '/� 1 v1 ��\ G�/�¢'✓� �'�`"�At`i
1. The undersigned engineer has reviewed these plans. It is a violation of the New York State
Education Law, Article 145, Section 7209,for any person unless acting under the direction of
a licensed professional engineer or architect to alter these plans in any way. If an item is r '
altered,the altering engineer or architect shall affix his/her seal and the notation, "Altered by" dcC:R. :
followed by his/her signature, the date of such alteration, and a specific description of the
a i
fi
change. �_ �,�•n ` .l,.r , .
2. These plans have been determined to be in compliance with the New York State Energy
Conservation Construction Code. i
i
»322
i - I
17-
i
L,i
!4X 13 1
EA
BOARDMAN BUILDERS =— --
P.O. Box 322
Orient, NY 11957 - 1
f
_ Pfa
f
- 3 r,
/14 �T?X
r�;; — �� -" �,,:,u`�� ` ti;« ,fir ��. ,�►�� G.�_ ;Xa 16aC-
I
- + w�-
N�t : Q�lva-�S',c*r`a- lr,�7`t ..5+tv
zy";
Lr ,
i
- - --- — - � L— �' -- - --- - - --- ---- s� -- -
Y�
Lt r r O Q,CI1�
2 bC
1. The undersigned engineer has reviewed these plans. it is a violation of the New York State s_
Education Law, Article 145, Section 7209,for any person unless acting under the direction of
a licensed professional engineer or architect to alter these plans in any way. If an item is
altered, the altering engineer or architect shall affix his/her seal and the notation, "Altered by" T
followed by his/her signature, the date of such alteration, and a specific description of the
change. - -- --
2. These plans have been determined to be in compliance with the New York State Energy
Conservation Construction Code.
r
OFA '�.
R 3 ,
E \
Xb Zo" oc
BOARDMAN BUILDERS
P.O. Box 322
Orient, NY 11957 - � 822'+
+