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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'+ +