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HomeMy WebLinkAbout26928-z FORM NO. 3 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) PERMIT NO. 26928 Z Date NOVEMBER 15, 2000 Permission is hereby granted to: BARBARA M DICKEYSON 334 LEEWARD D13. JUPITER FL, 33477 for VOID VOID VOID VOID VOID VOID V ID VOID at premises located at 14245 SOUNDVIEW AVE SOUTHOLD County Tax Map No. 47 889 Section 050 Block 0003 Lot No. 022 . 003 pursuant to applic tion dated SEPTEMBER 14 , 2000 and approved by the Building Inspect r to expire on JUNE 15, 2002 . Fee $ 458 . 20 Authorized Signature COPY lev. 5/8/02 I w:ELD INSPECTION REPORT DATE COMMENTS eaaa=a=x=====aaxaa======�'aaa=xax=11=====�x=======e=e=ae==xxe=e=exx=x===�=x=ea=oxx=oxxeoexe II II II II H )UNDATION OST) u n )UNDATION__ (2ND)______ ----------------------------- IIII II � II O „F ,UGH FRAME & II ii PLUMBING I�I II II r^ II II � H1f t +SULATION PER N. Y. N STATE ENERGY -----ii CODEH iiif -if II II H II II ' I� FINAL IN if ADDITIONAL COMMENTS: o ' V� �v H H O x r o H �O d' r, 1P BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 T-,,^ „_; TEL; 765-1802 NOTIFY: John Dempsey CALL 734 6058 Examined... //........ �Q.�4� MAIL. T0: .C4l1 -W Approved....!!,1.ef........ .... Permit No. ..:o ,/. p i c k up Disapproved a/c .................................. ............. . . . . ..... . .... . .... ...................................................... .. .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Da t eSeptember. .14. . , 200D. INSTRUCTIONS a. 'this application mist be completely filled in by typewriter or in ink and submitted to the Ikrilding Inspector 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 o this application. c. The work covered by this application may not be cam enced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector krill issue a Building Permit to the applicant. Suc 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 MAW to the Building Department for the issuance of a Building Pennit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordirk-races 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 inspect ions. �1 .Jrohn.R.—Dempsey... . (Signature of applicant, r if a rat on .P4.Box.5,..Cutchague.,. .NY... .1.19.3.5. . . .. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plud)er or b(lil ......contract.vendee ...John.R...Dem�seX.. ................................... . . .. . . . . . .. ... . .. . . . . .. . . . Nave of owner of premises ,• Barbara Dickerson contract vendor .......................................................... ... ... . . . .... .. . . . . . . . . .. . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. .......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.................................... .. . . . . . Soundview Avenue, Southold, New York 11971 ................. ............................... ....... .. . . . . . .. . . . .. . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section ....5.0......... Block ....3........... Lot 2 2..3...... .... Subdivision ...................................... Filed Map No. ............... Lot (Nam') 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ac an t..land..................... ............. .. .. . .. . . ... . .. . ...... . b. Intended use and occupancy ...QUQ. an j.1 Y..ON elling............. s . , 3. Nrture of work (check which applicable): New Building ..XX.... Addition .......... Alteration .......... itcpair .. ... ... . . .. Removal ............. Demolition ............ Other Work .................................. (Description) it. Lstinut&l Cos(: . .$1.5.0,:00.0........... fee .............................................. (to be paid on filing this application) 5. 1f (k.ellirig, nni-,weer of dwelling emits ...7........ Number of dwelling units on each floor ................ 1Fgarage, rxri)er of cars ...a.................................. 6. If IxrsirK ss, ccinnercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing stnictures, if any: Front................ hear ............... Depth ................. Ik!iglrt . .. . . . . . . . . . . . ........... Number of Stories ...................... Dimensions of sane stnnctvre with alterations or additions: Front ............... Rear ............... Depth .. . . .. . . . . . . . . . . .... lleight .................... Number of Stories ............... 8. Dimensions of entire new construction: Dont .f19!........... Rear ..49 .......... Depth .3.q.......... Ik-iOlt .2.2!... . .. . . ....... ..... Number of Stories ....2................ 9. Size of lot: Front ..19.0.'............. Rear ...13•Q............. Depth . 240 : ,_. 303 . 10. lkrte of 1'irchase under..aontr.aCt Name of Former Owner ........................................ 1 1. Zone or use district in which premises are situated ....rQ.9LidQntl4l......................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...no....... 13. will lot be regraded ...??9..,....,•,•„ used for backfill Will excess fill be removed from premises: YES NU 14. Nacos of Owner of prerrisesBarbara Dickerson Address Jupiter, FL 56Phone 1.575-2608 applicant/contract vendee """"""""""" N`,me of * i ............ AddressPO..$Q ..J.�. Cutchoque I� No. 734 6058 '�ohri k 'D'empsey' .. .............. wme of Ccxrtractor Inland.HomeA................. Address .Mattituck.......... ..... f1 298 9696 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .. X..... *I F YES, SCXMYN n 1ua1 'I13fS'IIB.S PERMIT MAY HE REQUIRM. PLOT DIAGRAM 14xate clearly and distinctly all buildings, whether existing or proposed, and indicate all set—back dimensions f-rrm property lines. Give street and block number or description according to deed, and show street names and indicate Mletlwr interior or corner lot. Sf�"Il; (A. "w Y(AT, SS CWNIY (A' .. . . . . . . . ... . . . . . . . .... John R. Dempsey contract)of i . (Name ...... ...............being duly sworn, deposes and says that he is the applicant rxlividiial signing, above awed, Ile is the .. . . . . app1..C.ant/contract vendee (('.contractor, agent, corporate officer,.etc.).....................••" of said owner or cxox--rs, and is (filly authorized to perform or have performed the said work and to make and file this applicatiorn; that. all state ruts contained in this application are true to the best of his knowledge and belief; and that t_he work will be performed in the manner set forth in the application filed therewith. %orn to Ipfor(� rru (leis . .. . . . .. .... . . . .. .clay of �Q,����!`:.. :20•QO... Notary Public MONIOU M. MASCUNANA Notary Public,State of New York (Si of Applicant) No. 01 MA6003807 Qualified in Suffolk County ,l`��l Commission Expires MarCh 09,�D DWELLING SURVEY OF PROPERTY SITUATED AT AM SOUTHOLD j D S8, TOWN OF SOUTHOLD ' ZQ'' k o \ �� SUFFOLK COUNTY, NEW YORK '`. F r !`� S.C. TAX No. 1000-50-03-22.3 as'o_ \ SCALE i "=40' 1'4F DECEMBER 2, 1999 C'+NT G�C \ � MAY 19, 2nO0 UPDATE SURVEY N ADDED PLOT PLAN AREA = 43,813.61 sq. it. O • \ `...' 1.006 cc. SUFFOLK COUNTY E)EPARThri0hHEALTH SERVICES N \ �, PERMIT FOR AD$ROV OF CONST RL1('fi )N FOR A T 0 I. ELEVATIONS ARE ELEVATIONS TO ANTHUS:ASSUMED DATUM > q E $?y 'bp Y Ft£5ILEN�E ONLY EgSTMF DMAP Mf SHOWN THUS:340 ,�,_(0�,l) (}��e ��/� /�,,^ I _ Y. RC(fil TO (RED WP (dl TEST YIXE DATA. �� , �'v [W ISGFa IR/. `��vv i •L O S MMMUY SEPTIC TAIKK CAPACTINS CORA 1 TO A BCDROOY NOUS( IS 1,000 WLLONS. v, ,R� J I TNR(: 6' LONG, 4'-l' WIDE, 6'-7• DEEP �AT6 / A MINIMUM LEACHO46 SYSTEM FOR A I TO 4 BEDROOM HOUSE IS W a4 II SIDEWALL AREA. APPROVED I POOL; 12' DEEP, e' IN.. o FM�MY S�M \ 3O PROPOSED EAPAI�ON P L &&WMY ;A /xgORAiAXA'UA10F ROOMS C / Y H TH �\` \ C, 7r . 01 REIMPOSED LEACHING POOL i " I �!. `p J�p[R$S MM YEARS FROM DATE OF APPROVAL 0 PTpP06FD ,E.,K TALAR 5 THE PROPOSED SEWAGE DISPOSAL SYSTEM SMALL BE EFFECTIVELY DUG OUT, DOWN TO A SIX (6) FOOT STRATA a ACCEPTABLE SAME) AND URAVU, FON A MAI4I i1E Do F(LI �Q VACANT \- I .... .. GREATER IMAM THE LEACK I PONT. �y,RYS/. 6 AREA OF EXCAVATION TO BE BACN(Il1ED WITH ACCCPTABLF SAND R GRAVEL. 7 THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD DBSERVATIONS AND/OR DATA OBTAWD (POM OTHERS. i \ ORM 1Y TEST HOLE DATA IfFSF HOLE DoC 8I Mc A"] GEOSCIENCf ON MAI 2?. 10(10) i x✓ Wl \\ o' �,. � � � A�• ,� \ /' WICwv LW,r 9Lry 1Wo Y 'I1NE4 rX KrvORDAHCL WIM IM MANN M }yam V" ADS FOR TITLE SUFN LSTASUSHED \. \\\ / ,(a RN MS AS Ai s AND APPRMPO ANL AUDI n� i SUCH M EY TIIF NDA IDPA $TATE WN F A540CIATIDN _A� 0. N.'S Lc No 49668 Q /� rI'r O TO THC, ZFSURYFr F A Nd,ADON f CERTIFIED TY: \ Y' / f�T�7�Or %>a NEW.[WI SiA'[ CHICAGO TITLE INSURANCE COMPANY �, \. oseph A. X19®9110 cwLs IF rHc wFrvLr aMP NOD BEARING. b r \\ LMI I LRM10P'O W1M`FSEM pi Land A_ _—v®yor JOHN R. DEMP5EY 5S ,7 % io WE iAi rsR r Yr �aMsnRED iSAitlflRlVl VVWWr ' �- - CCYTPI[AfNkb INDICATED HRSpI SWILL RUR ---- A MY 10 THE PERSON FOR WHOM THE SURVEY — OA. 15 Coldl . 0M WS 6PNA41 low - V Is LJYP.Wa. I NYKMIh AC.EMCY AND urvRla LOV4JI LENDING RIBPTUTRRL LISTED HEREON. AND DJ Lam' TUTON CERTIIFIASTIONS ACRE UrIDF TwNFFRAINE. PHONE (631)727-2090 } 27-1727 1 b• fD4 (637 7 THE ERNS EASE OF ROF EC WAYS OFFICES LOCATED AT 4Y(MIG ADDRESS I AND/OP SHOWN OF RECORD, N OANOKE EMA I DWELLING ANY, NOT SHOWN ARE NOT GUARANTEED F E�CAO, Ne. Y11x 11901 Mr.eHre,O.F NnNlork 4I 11IVf11-09L' 1 4lI J�" DO NOT PROCEED WITH FRAMING UNTIL SURVEY F OF FOUNDATION LOCATION APPROVED AS NOTED HAS BEEN APPROVED. i" .�,�'• { DATE: / -d B.P. k a6 9 FEE: BY:, 1 (- - - I _ - NOTIFY BUILDING DEPARTMENT qT OCCUPANCY OR 765-1802 9 AM TO 4 PM FOR THE FOLLOWING IUSE IS UNLAWFUL NSPECTIONS: I -- - 1 FOUNDATION - TWO REQUIRED WITHOUT CERTIFICATE ! FOR POURED CONCRETE 2. ROUGH „ FRAMIY3 & PLUMBING 3 F INSULATION OCCUPANCY 4. FINAL - CONSTRUCTION BE COMPLETE FOR C.OMUST . _ ALL CONSTRUCTION SHALL MEET IRT THE REQUIREMENTS OF THE N.V. ALARM REQUIRED SYSTEMS STATE CONSTRUCTION & ENERGY S - -� CODES. NOT RESPONSIBLE FOR ALARM LAZY -`^ ' - _.,.._._..._.,____ _ _ _ _ _ DESIGN OR CONSTRUCTION ERRORS PROVIDE ANTI-SCALD AND/OR _r T PROVIDE OPENINGS FOR THERMAL SHOCK PREVENTING ER DEVICES A GE S NC i0 P C � Y ' ESCAPE AS ARL 902.6 K REQUIRED BY PARE 714 OF N.Y. STATE BUILDING CODE. N.Y. STATE BUILDING CODE. PLUG _ MNG _T_ &LWAi FI LINES NEED MBING WASTE PROVIDE smoxE D TESTING BEFORE COVERING -- ALARM DEVICESCTING M AS TO PART 7211 N.Y.S BUILDING CODE. IforoPPer H ester stn Is used .,_ .'� t hh i 1 c t, system:ei dist shall be n w a Of tYPes IC or=y UNDERWRITERS CERTIFICATE UNDERWRITERS CERTIFICATE - - „ REQUIRED REQUIRED PROVIDE % HR. FIRE PLUMBER CERTIFICATION FATED S 7.3 (f) (1) OF CERTLFICATE OF OCCUPANCY PART. 717.3 (f) (1) OF N. . STATE BUILDING CODE. Y SOLDER USED/N WATER SUPPLY SYSTEM CANNOT EXCEED2110 OF 1%LEAD. VF !L_C 'tt A-\liC�9! v i 3 / li A7 0� - FESs�'J % - .. _ rJi i PROVIDE Yi HR.FIRE 4 }' RATED SEPARATION TO ar PART.'717.3,(f) (1)OF ,=10&Tt(QL� 3 N.Y. STATE BUILDING CODE. I ( .1 i { � kYPieaL 4 � UNI}'NCf-aV A"i Et'� pV,PQ'1 r1 i t, of c t I �. Pin' . e �� Qom' , Ali 1­1 1 ' t .j ' �Y �• do- 2 r x i'o i o,,._ Fao�,",,w r.' - r„l . " IL `4 ;. u�fl3.l� AWsrING � 28's� e 283 , , mai" PROVIDE V4 HR. FIRE RATED SEPARATION TO r I PART.717.3 (f)(1)OF, N.Y. STATE BUILDING CODE - 44 _ .'_'V=----3 ryryry��� 111111 __ ,i , I � 11 yy I I `i 1 - i 4r'' a ' T �{ '•1. _ r 111 - g-2%4 , -?_r ! , - - - _ f P Jit � ! , „ li i .t r� A N t r t i rte, +✓ I Y I PC IT �. - ._, � � a ' -,11 � � �.� +] r + ,. , ,e .p' � ,`..*""�r"'I"`,` ., rte,• "::✓" ,a fL%,fit-'Flo"� ,: � - � � � 1 .I %lror,T ., IT, y f a ice_ t ''� Ao It- ' i G k G'E ' -R zx d tFR;r.� II drt¢ EfiAv- . � I ! 1 � J � AUCNvk 9a Lt I . t_xn'o I 12 / 71 j I/ t i I _ ';i-?--(�L ,-S�,sr. ' , ,r✓ � ' �,..., �£�S".�' Lk'ruN.u"r �Sq �i�;•. �.6� �" I . ,^I�� ,, �.� .r°`° �—i '—` ' �i� fA I c' 0 I . .... _ _ . { PROVIDE% HR.FIRE 4+ ATC R' ' z RATED SEPARATION TO j .x Fs m PART.'7,17.3,(fl(1)OF inn Tcnr 3 N.Y. STATE BUILDING CODE _c yyi�n - " ' 4 ^- ,=,� T _ _ -JF- T''wfFCAL � UN 'a'C'. FwAi"r`.! I . 00a . Gl.q , YYY tL) I I { J I. N 3assF I ------ 141C- �I �Jr �I�,• G � Po,T !u �I . ��6 f 9� 1 - z ik" s � :v]/ RA(4+`rr�Ys t 1 r� A � L i X45 { r a ,.... .i{,. PROVIDE V, HR. FIRE 1,�, } RATED SEPARATION Td i PART.717.3 (f1(1)OFi PIAS l N.Y STATE BUILDING COPE. ? �2.y+o, . — 9n, Ha -�3' /'t7 nw f.w3E t l.A � al T11 J �, �1f i "I int Iu4J ` t +W 9! l F' F , r r y % Wn .J_...+ QvQ S , XjWll t , G' I w Ww I � 21 rr 41 r - f- I I r s' f L u , ZP340 �i .- . .� .. ._, _ ,,,LI ��.-�� v cY i�• -..',.-� -..--. ......,+......:.�-.,r-++- ri 'k K'��P ij.R� �r� � � ` :w-w-:a; , MLf I^-y'%',•" ' �.?rfy �7�dd,ryH' Ib1C1G � `� � �. � k _ rte•--'"- � �'-- � ff 4 -7�f -„1.._,-,. ' Elk r tG{ t f 91, rib;`o.¢. � __... _ ..--- ..-�.,--...�- _r ...._ _ _l__.� /� zti ori � - - �— -- . � �4 , f - ; r r • •'F?, � "� - ,.�:-a .� _ -.,.��,.v,y l,” Is�`�' _ fi!- r es eaF CV[ "^ _ r .•-;..,��rr, r_ y. L 6!_ l[a r �`' (�L ;� �GiR'+11�. 'F�WNT. �_ J'tak�.'1�WM#' sl N'S'�r