The URL can be used to link to this page

Home My WebLink About26944-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27875 Date: 08/16/01 THIS CERTIFIES that the building ALTERATIONS Location of Property: 315 FOURTH ST NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 10 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 12, 2000 pursuant to which Building Permit No. 26944-Z dated NOVEMBER 29, 2000 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CORNELIA P ROGERS & LUCILLE GOODMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 564425 07/19/01 PLUMBERS CERTIFICATION DATED 06/27/01 HARDY PLUMBING & HEATING S ho zed Signature Rev. 1/81 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. 26944 Z Date NOVEMBER 29, 2000 Permission is hereby granted to: CORNELIA P ROGERS PO BOX 616 NEW SUFFOLK,NY 11956 for ALTERATION OF BATHROOMS & MISCELLANEOUS ALTERATIONS IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. FLOOD PMT. INCLUDED. at premises located at 315 FOURTH ST NEW SUFFOLK County Tax Map No. 473889 Section 117 Block 0010 Lot No. 016 pursuant to application dated SEPTEMBER 12 , 2000 and approved by the Building Inspector. Fee $ 175 . 00 Authorizeff,.gignature ORIGINAL Rev. 2/19/98 Form No. 6 ' TOWN OF SOUTHOLD BUILDING DEPARTMENT AUG 15 TOWN HALL JJ 765-1.802 -' APPLICATION FOR.-CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of ..property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply, and sewerage-disposal(S-9 form) , 3. Approval of electrical installation from Board bt Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 .of 1% lead. 5. Commercial building, industrial building, multiple. residences and similar buildinj and installations, a certificate of Code Compliance from architect or engineer responsible for the building. ' 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9; 1957) non-conforming uses, or buildings an( •pre-existing land uses: 1. Accurate survey of property showing all property lines, streets, building and d unusual natural or topographic features. 2. A properly completed application and a.consent to inspect signed by the applicant. If a Certificate of Occ�}pancy is denied, .the Building Inspector shall state the reasons therefor in writing'to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.,00. Businesses $50.00. - 2. Certificate of Occupancy on Pre-existing Building - $IU0.00 3. Copy of Certificate of Occupancy - .25' 4. Updated Certificate of Occupancy - $50.00 5. Temporary 'Certificate of Occupancy - Residential $15.00, Commercial $15.00 :Date ... . .. ... .R.(o { ... . .. . ... . ... . . ... New Construction. . .... . . . . . Old Or Pre-existing Building. . J0. ... . . . . . . .. . Location of Property. .. . ! .... .A: .. ..�'. .. . .:...N L�.- . .. RJk..... . ! House No. Street Hamlet• . . • . . . . . • Onwer or. Owners of Property..Co.n✓. awl'., jj PP�� J� Couuty Tax Map No 1000, Section. . .. .F.f .�G. . .Block. . . . . . Jo. . . . . . .Lot. . . . p . . . . . . . . . . .. . Subdivision. . .. . ... . . . . . . . . . .. . . .. . . . . . . . . . .• .Filed Map. . . . . . . . . . . .Lot. . . . : . . . . . . . . . . . . . Permit N.o. . 1.'Tly 7 . 4 .Date Of Permit. . . .�.°��99... .Applicant. . . . . .. . ._. . . . . . . . . . . . . . : . . . Health Dept. Approval. . . . . . . . . . . . 4 . . . .. . . . .. Underwriters Approval. . ... . . . . . . . .. . . . . . Planning Board Approval. . . . . . . . . . .. . . . .. .. . . . . 4 Request for: Temporary Certificate. .. .. . . . . . . Final Certicate. . .11. . . . . . . Pee Submitted: $.... . . . . a� . . .. . . . . . .. . . . . . : -95 F'- a ITTT ^A loft"' TEL. 765-1802 TO SOUTHOLD '. OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL SOUTHOLD, NY 11971 CERTIFICATION Date: L-2- 1-01 Building Permit No. 2 FOCI y H Owner: Coy/10 /0 R0 c I' (please pri t) Plumber: V I (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. I also certify that I installed an anti-scold and/or thermal shock preventing device at all bathing and/or showering fixtures in conformance with part 902.6(k) of the N.Y.S.F.P.A.B.C. "Milc[CHEVARM (plumber's signature) Sworn to before me this RNARYPUBLIC,State off4ewya No.01ECI—II4055 day of Gc-� �un:c :ca ::firs 200Q1_ a (Notary Public) Notary Public, Jit-BOG/G County The New York Board of Fire Underwriters Bureau of Electricity is in the process of issuing a certificate of compliance for the electrical installation as provided for in the application for inspection TOWN OF SOUTHOLD a OFFICE OF BUILDING INSPECTO P.O. BOX 1179 TOWN HALL New York Board of Fire Underwriters SOUTHOLD, NY 11971 Bureau of Electricity Inspection activity pursuant to Application # �' u4y4jz has been completed and a certificate of CERTIFICATION compliance setting forth the detail of the ele ' al system's being prepared. Date: Inspector Da e Building Permit No. 2 SOC ir1 H Form 00(Rev.06/00) Owner: Coy l c I /al Izoq C' 1' s (please pri t) Plumber: Y C d- f� I C ZY1C (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. I also certify that I installed an anti-scold and/or thermal shock preventing device at all bathing and/or showering fixtures in conformance with part 902.6(k) of the N.Y.S.F.P.A.B.C. nrttrr tct+EvahrtM (plumber's signature) Sworn to before me this MARYNIBLIc,SON 0Nw1W nx-ty day of_,5 200Q�1_ , �a (Notary Public) Notary Public, > County w STATE OF NEW YORK ) ss.: COUNTY OF SUFFOLK ) being duly sworn, deposes and says: That deponent is over the age of 18 years, and resides at That on the day of , 4ag8; deponent, being the architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR). cWiect/AEn—gine&F--" Sworn to before met is Q.._dayof5eA9tem uix 1999.. a(SZSU Qt�- P-It� Notary Public PATRICIA RICHARDS Notary Public, State of New York No. 01 R16042467 Qualified in Suffolk County Commission Expires May 30, 2002 cc: applicant 7ss-isoz BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR ,,,�/ ass-iaoz BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ]:NSULATION OU H PLBG. [ ] FOUNDATION 2ND [ [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS �. d�_ DATE 917101 INSPECTOR � M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE l/ o--7 -INSPECTOR X65.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ `].RaUGN PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATEo� �� INSPECTOR 4 I LET"INSPECTION REPORT DATE COMMENTS ________________________________ `� ii — H FOUNDATION OST) Irr- —JI ..� i LI o -u FOUNDATION (2ND) Irr it _—� ----------------- —____ ______ __ -------- ROUGH FRAME & PLUMBING II ij CV 1 ------------- — II INSULATION PER N. Y. tii --jj tjt STATE ENERGY00, ri ii lr t CODE11,4 ri ii u 11 II u ------------------------- -- ---- -sem ____--- ------- ----- --- -_�___- - - - ------ ----- --- - u u � n I ri P^PPP u 1f FINAL If I u ADDITIONAL COMMENTS: --------------- ---- -------------------------------- ------ 7d ct t� r' \ N � z � a d c� ro H 02/28/2001 02:21 5167346407 SAMUELSSTEELMAN PAGE 01/01 S A M U E L S & S T E E L M A N February 28, 2001 John Boufis, Inspector Building Department Town Hall Southold, NY 11971 FAX 765 1823 Re: ROGERS/GOODMAN RESIDENCE BP#26944 Z Dear John, I have inspected the above referenced project, and hereby certify that the steel angles installed by the contractor at the ceiling/wall intersection are more than sufficient to bear all imposed loads. Thank you for your consideration, Th mas C. Sa u Is �NEW 4 . ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (631)734-6405` FAX(631)734-6407 lli ( Hall.. 51095 i :TUL)ITIi T. TERRY ? � --- „��n ('.O. Tl<,e 1174" Ilna,l TOWN CLERK cry Suull,c,lcl. Nccl c,rk 1 1')7 1 ItEG15rr'AR OF VITAL STAT1S11CS v% <C;,�" Fax (51()) 765-)9, MARRIAGEOFFICER Tcicrlc ,c S I( ) 765. I xO 1 RECORI)S MANAGEMENT OFFICER FREEDOM OF INrORNUTION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993 : RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" [FDP(93) ] , and "Certificate of Compliance for Development in Special Flood Hazard Area (C/C(93) ] . D � E G. 0 pn. TOWN OF SOURiOLD Judith T. Terry Southold Town Clerk August 25, 1993 r APPLICATION PAGE 1 of 4 -- TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1• GENERAL PROVISIONS (APPLICANT to read and si6): 1. No work may start until a permit is issued. 2 The permit may be revoked if any false statements are made herein_ 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certiftcatc of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO _ THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE,TRUE AND ACCURATE. (APPLICANTS SIGNATURE) DATE SECTION 2• PROPOSED DEVELOPMENT (To be completed by APPLICANTI NAME �p ADDRESS TELEPHONE APPLICANT-yj QS C Z%44t G�•t1O 44A,4369`!lalr� d G�.t� �3 Y-6 09 BUILDER ENGINEER �GGhH, ,. „/'Q c� �(��;i.�.��R.l�. �7��•�� C��GKO�O�'�i / c3`C�(DT�J� �Gy r PROJECT LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. • c�Yleoe FDP(93) APPLICATION PAGE 20F4 DESCRIPTION OF WORK (Check all applicablc boxcs): A. STRUCTURAL DEVELOPMENT ACTIVITYSTRUCTURE TYPE O New Structure 2f/Residential (1-4 Family) ❑ fjddition ❑ Residential (More than 4�Family) ®/Alteration ❑ Non-residential (Floodproofing? O Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) O Demolition ❑ Manufactured (Mobile) Home (In Manu- ❑ Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT S DODO, B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) O Drainage Improvements (Including Culvert Work) O Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Sewer System ❑ Other (Please Specify) After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3 FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. , Dated The Proposed Development: ❑ Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). • O Is located in a Special Flood Hazard Area. FIRM zone designation is loo-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable O The proposed development is located in a floodway. FBFM Panel No. Dated O See Section 4 for additional instructions. SIGNED__ __ -- DATE _ — APPLICATION # PAGE 3OF4 SECTION 4 ADDITIONAL INFORMATION REQUIRED (To he completed by LOCAL ADMINISTRATORI The applicant must submit the documents checked below before the application can be processed: ❑ A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑Development plans,drawn to scale,and specifications,including where applicable:details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the fust floor,details of floodproofing of utilities located below the first floor and details of enclosures below the first floor. Also ❑ Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodprooftng protection level (non-residential only) Ft.'NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway will not result inany increase in the height of the 100-year flood. A copy of all data and calculations supporting this Grading must also be submitted. ❑ Other: SECTION 5• PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity. A. ❑ Is B.❑ Is not in conformance with provisions of Local Law , 19 . The permit is issued subject to the conditions attached to and made part of this permit. SIGNED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. APPLICATION PAGE 4OF4 APPEALS: Appealed to Board of Appeals? O Yes O No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Conditions SECTION G: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard cas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofmg protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7: COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSP]✓CTIONS: DATE BY DEFICIENCIES? ❑ YES ONO DATE BY DEFICIENCIES? OYES ONO DATE BY DEFICIENCIES? OYES ONO SECTION 8: CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING ❑ EXISTING BUILDING ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW #-, 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW #� , I9_, AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C/C(93) BOARD OF HEALTH . . . . . . . . . . . . . . . i Tn Bil ;�? A �nn�lRJtt DORM NO. I 3 Sf?TS OF PLANS *. . L .1,OWN OF SOUTIIOi,D SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTT(ENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . BLDG.DEPT. TOWN IiALL. SEPTIC FORM . . . . . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SOUTHOLD,, N.Y. 1 197 1 TEA.: 765- 1802 NOTIFY: CALL . . . D . . . . . . . . .........,��- MAII. TO: . - . . . At>,rrrnrcxl....!l/A4......,29:Q-k Penni L No. 1497 T.�i .. .................................... i)is"Ilijn-oved a/i: .:..........0................0.::.. .................................... ...................................................... *(Mlilding Inspector) APPLLCAT ION FOR BUILDING PERMIT INSTRUCTIONS a. 'Ibis application mist be carPleLely .filled in by typewriter or in ink and sulmitLed to the Wilding inspector will 3 sets of plans, accurate plot plan to scale- Fee according to schedtile. h. Plot plan slxving location of lot and of lxrildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mist he drawn on the diagram which is pkart of this allA ication. c. 'll x' work covered by this app]icat ion Pvey not be cernmnuxl before isstian a of Building Permit:' d. l)pxxr approval of this application, the ikrilding Inspector will issue a Building Permit to the applicant. %ich I�en11j,k stmt1 lie kept on the premise§ available 'Ni inspectiov throtgftxrt the work. e. No building shall be occupied or used in Jiole or in part for any purpose whatever until a Certificate of (kctrparxy sit-all. have been granted by the ikrilding inspector. APPi.LC,APIm iS lcm- IY ME to Lire ikrilding Department for the issuance of a ikiilding Permit pxrrstrant to the Ikailding Zane Ordinance of the Town of SoxrLhold, Suffolk Ccxrnty, Neta York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 11re applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and repnrlatiors, and to adnit M11110rized inspectors on premises aril in Wilding for necessary in tions. ' (Signature of applicant, or name, if a corporation) . v, ............ . (Mailing address of applikant) Stage witether applicant is. owner, lessee, agent, architect, engineer, general contractor, electrician, pltnfvr or lxiilder. ........................................................................... N me of mner of premises ........ !!n!!! r/ ..i �E s... ... erre ................... (as on the tax roll or latest deed) If alrpilicant is a corporation, signature of duly arrllrorized officer. ......................................................... (TJ.-xre and title of corporate officer) Ikrilders License No. ......................... 4 Gou e"vCrae 111tnirers License No. ......................... Electricians License No. ..................... Otlx-r Trzide's License Wo .................... I. Icx-ation of land on which Pcopxrsed work will he ckxx .................................................. ...... �3.(.S ..................... ......................Nl �sFO.�-K................ ikxrse Ntrrier Streetilamlet Ccxmty Tax Kip No. 10(10 Section ....(!.? ....... Illock ....LQ........ Lot . !.6 ......... solxlivision....................................... Filed Kip No. ............... Lot ............... 2. Suite existing use and occrrp).11cy of premises auxt intended use aril occupancy of proposed construction: a. Existing use and occupancy ....D.kAA. -.LL]�).67..................................................... h. Intended ,nse find occuparx-y ... ��.1l�/ L.L,j A14................................... ................ 1. r!►lute of work (ci►eck which applicable): New 14tilding; .......... Nklition ..V/ .. Alterations.:........ 14clktir ............ R ovaI ............. DelltoliLion ............ O(her 14otk c; ��--�� (Description) 4. Estinrtic'd (ost .. V C.00 ......I........... fee ....... .......................... ....... ...... (to Ix, bifid ort filing this altl►licaliort) 5. If (kaellir►g;, tanner of ckaellirq., units ......�..... tltnber of (kaelling laths oft ea(li floor .......... If garage, tenf►er of cars 6. If Irtsit►ess, mm►ercial or mixed ocCultancy, slwcify nature atxl exler►t of each type of use...................... 7. Dirtr!nu siotts of existing structures, if any: Fron ..... Rear- tQ.1. '. �(� `� ) } ...... .... I>epLlt Ikig;ltt .Z. '.(Q.............. lAxiber of Stories .... Dimensims of sane stntcture with alteraticx,s or amklitions: Front .. Q.. SQ, Rear ......... lk ip.l: .....z�?..(�:�...... Usiber of Stories ............... fl. Dhirmisiotts of"ent ire new ccxtstrttc(,low Froot ...,..,,,_. hear ............... I)epl It ....... ....... Ileig�tt ......................... tkiiher of Stories ..................... 9. Size of lot:: Fmot: ... .. ........... Rear .................f`..,)... Depth 10. Iktte of lltrdta;;e ....,1/•�o-........ Kille of I�orttter Vatter .. VA_:r& I. 7.cxte or use district in sAdclt ptenises are sitt>ktted ...' CDAr.L- 12. lbes proposed ccrtstnr_l.ion violate any zc>tting law", ordinance or regulation: ....U0. 13. Will 101: lte regrailed ......NO ......... Will excess fill be retmved from pretnises: YES NO 14. Na►rs of Omer of premisesKOl. fJtS/aWJ)M..I,IAI...... Address ,3.1.E 4 STE T.MV.44I,F Bone No. .............. Name of Architect SAMV�F.- 54-,3.T94:A.6 Aft........ M1lress'2.!_.Z3�../`�14�X(./lQCe[TetiEr,GuBtorte No. 128.,1.-: Mate of ('XX)I ractor ................................... A(kh ess ...............................Mone Not. .............. 15- Is this prolterLy within 30O feet of a Hilal wetland? * YF.S .......... K) ..[Y.Q... *lF YES, S(1U11rAD IUM 7RUS1103 Pf's1dil'I' HAY 'RL- V(Trmm. t PLOT DIAQltAH Y"<wale clearly and distinctly all buildings, A)eLlwr existing or proposed, and indicate all seg-back dimnsions frau property limes. Give street and block miliber or description according to deed, and show street tkanes and itxlicate t tenter tnterror or corner lot. S E ATTIC �{ r p PLANS d�� GUOf2K" QUI Th�i�V �JrltSl`�i�� /�l'�l. �y 1-700 AIS 16;�T�&WME- AfAnE. (A. raw VIM, JARJIY (AF ..S 44 G!`Q K....... ... rl o . . S L ......... Ixtinl; duly sworn, delx►ses atxl says that he is the appl icartt xlividual. signing; contract) Axwe umed, k! is the .............lt.�?? ,�rT (('cmtrtclor, .190corlx►ra(e officer, etc.)................................................ ►I' said minter or natters, awl is (filly mallorized to lxrrfonn or have perforated Lhe said work and to nuke aril file Lhis l[q)I ic:ltion; ghat ;if l stal:E+ttenLs, cottttairxxl in Lhis. .114)LicaLictn are gate .to the hest of his koowledge atxl Ix±l.ief;,:aixl: Owl. the work will Ice performed in the imowr set fort-h in the application filed Oterewith. 1-no to before ne this .....1- ........clay o fa Nolaty 1lthlic�� e�✓. ........ ... ... .. ........ d PATRICIA RIC HARDS Notary Public, State of New York- (Sig;talure of Applivao(.) No. 01 R16042467 Qualified in Suffolk County ry Commission Expires May 30; 2002 BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: r APPLICANT NAME: d aex s - a DATE SUBMITTED:/12/ Cao PROJECT LOCATION STREET: S/S 44,4 S CITY: S,44._/kSUBDIV. NAME: ARCHITECT/ENGINEER: FAST TRAC EYE R NO SCTM# --- DISTRICT: 1,000 SECTION: BLOCK: /d LOT: ZONING: ZONING DISTRICT:n4 R80 AC CONFORMING: YES oo REQUIRED LOT SIZE: SOK SQFT. WHERE ACTUAL LOT SIZE FROM? ACTUAL LOT SIZE2625 SQFT. REQ. REQ. REQ. FRONT: 'PROPOSED:�"C ' SIDE YD:/O VA' ' PROPOSED: �E '1^e ' REAR:SO 'PROPOSED: ' LOT COVERAGE: ALLOWED: d % EXISTING: /"C- sf --% NEW: U' sf— % TOTAL:,,40 sf % CORNER? YES o NO WAT ER FRONT? YES o 00 DESCRIPTION: SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES oR NOTES: )E�vs 7.-Fg LOTS 40,000SF --100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger. (A nonconforming at any time after July 1, 1983.) PROJECT DESCRIPTIONJ� 1. ACC OR N/D: ) �oo� 2.Io `Zn A/74m-tl� AGENCY PERMITS REQUIRED FOR REVIEW NEEDE TOWN SPETIC PERMIT: YES or SUFFOLK COUNTY HEALTH DEPT: YES or Ud (BED #): DTE:—/—/ PERMIT#:R10- NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES o N !4q sd 6 rt, FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 P L #: 0/ FLOOD ZONE: Ate- as s. NYS EN$RGY: YES ORO : NOTES. o,< r Ajetd' 4 V ce 4 FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR 2) 66 - SF SECOND FLR 352 SF INIT OTHER TOTAL TOTAL: ?/f SF FEE FEE FEE TOTS SF)- SF)= SF X $ _$ U' +$ $�� PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE APPR5IIFFJ ASS NNED CERTIFICATE OF OCCUPANCY DATE: ///�, °` a.ea SOLDERUSEDINWATERF- �- FEE: r BY SUPPLYSYSTEM CANNOT HA _ __ __ _ _ _ NOTIFY BUILDING DEPARTMENT AT EXCEED 2/10 OF 1%LEAD, 786-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE _ °C 2. ROUGH - FRAMING & PLUMBING NEW EXISTING 3. INSULATION EX/F ) PAT5Y5 V 4. FINAL - CONSTRUCTION MUST pp18p ��_� BAl rl w BE COMPLETE FOR C.O. ODWIUt BEAR NEW RAPPERS ON (2) 2X8 PLATE LAID ON BEDROOM STUDY z ALL CONSTRUCTION SHALL MEET y�y1pV,,,,. CHAI:�EDI /{6 EXISTING ROOF 511EATh11NG PROVIDE 1 2 " WIDE LUCILLE'S Z THE REQUIREMENTS OF THE N.Y. � R7��•Y�� STATE CONSTRUCTION & ENERGY "CDIDDAMAQEVALLEY FLASHING ��— � EX/F] w CODES. NOT RESPONSIBLE FOR 60UTTtOLD, TOWI'fi COD .I DESIGN OR CONSTRUCTION ERRORS w Q TZ r I OCCUPANCY OR I DN 0 W ELECTRICAL LAYOUT PLAN USE IS UNLAWFU z of WITHOUT CERTIFICATE / 10 '6 ' REMOVE EXISTING O OF OCCUPANCY J "A" _ _ , Z BATHRooM FlxTul?es � SHELF d POLE m LINEN SHE VES ALL FINI9HE5 Q PROVIDE OPENINGS FOR BEDROOM EMERGENCY ESCAPE AS LUCILL[:5 FATSYS Q REQUIRED BY PART. 714 OFFM _ I � 1O 3 7[75E706 Q N N.Y. STATE BUILDING CODE. HALL WOOD FLOOR -- - — — --- 5TEP FLA5HING woos i°Lo - - - - - - - - O wood rLoaR - - ------ Z 511 LVE5 SHELF 4 POLE UNDERWRITERS CERTIFICATE REQUIRED EXISTING 51 DI NG Q pp PROVIDE ANTI-SCALD AND/OR TO REMAIN T (ROOF _ THERMAL SHOCK PREVENTING 4 B A O \ DEVICES AS TO PART. 902.6(K) ------ - ROOF ---- -- - I /2" L - - - —- - - z SEE BUILDING 5ECTION Z N.Y.STATE BUILDING CODE. ® BELOW N B I_UCILLE'S `pLU PLUMBING ALL - ALL PLUMBING WASTE _ &WATER LINES NEED - - f- W TESTING BEP3RE COVERING - - - - - - � FU -�� ' ^ J A A A A NEW FLOOR. AREA 51-1OWN /6X22- t 3Spsr v O C[RAP✓IIC TILE ON RADIANT SLAB � SHADED If copper tubing is used - - IN PJFW 5ATHROOM5 O N for water distributing o° 7' i° 3' z" x' 7" o" ELECTRICAL LEGEND WW system; pipings all be z of types l(orLonly 0 9 DUPLEX RECEPTACLE OUTLET UNDERWRITERS CERTIFICATE 2 2'-0" REQUIRED GROUND FAULT INTERRUPPOR OUTLET �— — - - - - - -- - - - - - - - - -- - - - -- - - - - - - - - - - HIGH Cff FIX URE SURFACE MOUNTED CEILING FIXIUR[ SOUTH ELEVATION 5URFAGE MOUNTED WALL FIX, URE SCALE: 1/4" = 1'-0" SECOND FLOOR (PARTIAL) s o MM R SWITCH Q . SCALE; 1/4" =1'-0" 5/D SMOKE DETECTOR oY� i SURFACE MOUNTED LIGHTING TRACK J < W M EX/F EXHAUST FAN ()°>-X W - .F3ng: LL LU =¢ Z W •WNLU QW . N04 N� � O = V CX151ING ROOF - 2 FOOT DIAMETEF. WOOD S_ S VENT I II NEW CROS5 GABLED ADDITION NO INTERIOR WAI-1-5 W/ROOF DETAILS TO MATCH SHOWN 4q, EXI5TINGI � - I 5/4"'X4" WOOD CASING C dty�£�j I I I REMOVE FORTION.OF L — L— EXI5TING ROOF # 5KYLIG�1TS M 00A W4 NEW WINDOWS IN TRACK to EX. - NEW [XI5TING 3PENING5 MOUNTED TO PROJECT NO: ELECTRICAL LAYOUT PLAN BEAMS DRAWN BY: NEW CK055 GABLE LIVING DOOM RJB EXISTING ROOF CHECKED BY: TS - - - - - - - - - - - - - - - - - - - - - - - - DATE: - - - - OREMOVE EXISTING DOOR 918/00 O O — WALL CONTAINS EXISTING SCALE: PLUMBING LINES �— 1l4" = 1' - 0" /2- x f4 �B8 SHEET TITLE: EXISTING SIDING o O EW PLYWD DECKING 9 )< 2z=/qg FIRST & W/ RADIANT HEAT IN O 3�s� SECOND MUD WmLE FINISH FLR PLAN NEW TRIPLE o DINING ROOM (PARTIAL) FRAMING ABOVE UCATHEDRAL CEILING O SOUTH & WEST - - - - - 416W FLAT CEILING AREA I I I {sKYUGHTs ELEVATIONS UTILITY ROOM 0 ABOVE rI _ _ _ _ _ _ _ _ _ _ - - -- - - - - - - - - - - - - - - - -- - -- - - - - - - - - - - - -- - -� MULTIBLE FRAMING "I NEW WIPJDOWS IN EXISTING SHEET NO. L — -- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - -' L — J OPENING, INF ILL OPENING5A5 UNDER BEAM EX O WEST ELEVATION REQ IRED SCALE: 1/4" = V-0" VERIFY DffTri 3 (2x8) HDR. O O O O O O CONDITION OF EX15TING FOUNDATION FIRST FLOOR (PARTIAL) (3) 2x4 5TUD5 TO SCALE: 1/4" = 1'-0" FOUNDATION BELOW fi: RECE55ED MED. CAB. W/ CLASS ENCL05URF W/ ALUMINUM FRP.ME MIRRORED SLIDING DOORS B CASING TO MATCH WINDOW I x4 PLAT CA51NG W/ 3/8" BEADED INNER EDGE (T YF.) MARBLE SILL Al SHOWER. 2" WIDE NOSING vv/COVE MOLD 1 1 ,z WOOD WAINSCOTING MIR OR. 1"I WAINSCOT CAP (IYP.) LLJ O WOOD TOWS U WAINSCOTING BAR w TOWtL z BAR TOILET PAPER. W W LUGILLES BATh I I � � � I � � � � 1 � I III SCALE I /2" — I ' 0" '^ VJ I II I z 0 r SOUTH WEST PAINTED WOOD FLAT PANEL N0 T H 1x6 BASE N T P EDGE. 7Z f"— EAS DOOR, ff CABINeI PROVIDE SHOE MOLD. RECESSED MED. CAB. Q W/CASING 10 MATCH 06 0 WINDOW TRIM 0 0_ r0^ V {� { > \ T WVAIN5COFINGO U) TOWCI_ FINISH W/ (2) BAR TOWEL Z I..L� 5 I7 ELVES PER BAR w JNIT l t LL PATSYS BATH TOILET ')(,ALF: 112" = U" O it I' PAPER I , i I N ro i 0*\ i . II II I I® P - 'ACE AI TCD WAINSCOT( JC ON P N i I I � MARBLE U DY EAST OF CABINET SOLTH WEST NORTH Z � U) Q • x mm ASF 0ALT SHINGLES TO MAFCH EXISTING ON J J • DYQ ' ICE I$ WATER EAF.RIER° ON #30 BLDG. PAPER PLYWOOD DECKING ON 2x8 ROOF RAFTERS - - -- �� 6" O.C. W � • �az 2X8 RAFTERS 1 G" 0 I W • <n� FX'5TING ROOF R-30 5AT' INSULATION W • _ SKYLIGHTQ RADIANT MCAT W/ MUD d TILE (BOTH 3'-0" GLA55 ENCLOSURE ABOVE BATHS) WALL 4'-0" HALF WALL 2XG FKAMF W/ 5/8" EXT PLYWOOD N GYP BOARD CLAPBOARD TO MATCH EXISTING aw6P�- GYP BOARD o VENT SOFFIT AS PCR E CODF'. NFW BATH — exJ5TING ROOF W BATT INSULATION w"r SEE INTERIOR VEN SOFFIBSDAS R QUIRCD ISH is CXISTING ROOF LINE ELEVATIONS PROVIDE NEW RIDGE VENT. o 0 t <0 In IFIROJECT NO. o (2) 2X4 COLLAR TIES p @ 4b` 0 C. CASED n DRAWN BY N r Ir SnLATION - � RJB R- 19 BA 1 J . o W/ CLEAR WOOD CHECKED BY TS O N DATE 8/6/00 mcm ml III KX - 117 SCALE: EXISTING FINISHES TO 3/8" _ 11-011 EXI5TING FRAMING TO REMAIN INFII_I SHET TITLE REMAIN IL TRIM A5 RFOUIRED BUILDING EXISTING UTIL11Y ROOM NEwwIVDOW SECTION DINING ROOM & 21y ! O �.. , , r �.001R '0I51 @ 16° O.C. REMove Fxls"nNG DECKING �� INTERIOR PROVIDF- New BATT N51JLA1ION BATH BFTWELN EXI5TING J5T ELEVATIONS 3!4" PL WOOD DECKING 3/4" PL�'Vv'OOD SUBFLOOR SHEET NO, W/ KADIANI INFI.00R HEAT W/ MUD s TILT d - - - - - - - _ _ _ BUILDING SECTION FXiS! ING `RAMINGTOREMP,IN - - - - - - - - � i - - - - - - - - - - - - - - - - - - - - - - - - -- - SCALE: 3/8" = 1 '-0" - - - - - - - - - - - - - - = bJ�F cE 24 S' pis-)/2- N ? rso � Z�iy�`Zkx Q' u I� O Ilk W/" 1Q0+ _ ZZ IvFO 114 1 itf� IT:UC� N i SyORpv11c talo. -� z-o $` ° to c. WMG f+ � 7- _-� cl �• .1/ Soo z o 1+D 5 U y2 aRl�tr 1i•6 of 3 a 14 lb t O — 2 Ion 111.' �l'�s' a J I-o 7-o 3 ° b4 VkND ' * �@ 1 N� lr" MkIN-' Baran 41(,.GP�I p� 4�u,rcg vcd v� IU c ' 8-� 20 N, —® I14- 0 \3P'ttl GW �AZl1' 1 N 5-0 l-�o SIJ lo-O A 11A g-3 q-o (,tVttic - I 2 53 (t4 I t lq Q- 7-1 I z-o -1 ll-c, 11-0 b L t v 7 0 I ' v� wr Io -lo Flo 5--bS r.y S-3 lo-G I� -- - -_ - - - - - _ _ 'Ij LEGEND - -- N , WATERFLOW DETECTOR HYDRAULIC REP.POINT I' I '� + iir o klTu V i ,. e + 5T-A-I R �I I I I� I I l '^'' `•' P �s I I C O RANCHTAGNUMBER ---- EXISTING PIPE TO 7ia _ la 31 Opel-) (N -I a 1 -0 1�-0 ! [�' U -{ I �� aM-X MA IPE TAGNUMBER -t'�1t EXISTINGPIPET REMOVED � p Xr•q 4 ^yr AW rM� aj O CENTERL OF PIPE ABOVE REMOVE 7PIGPIPE AND r, 4K�LI�S. �1.��UA'��^ F I �-X CONCRETES BABOVE �t•cH IN57ALOCAS ATION SHOWN AT r a">< ,% ✓ I] rJ �b I 1'l"00� �\1 4.N 0sy VAI.VI: ® �_ 7Jk r-j le`�y 11� , _ I O CENTERLINEOFP $ABOVE Y UI' TV —_f +X HUNG CEILING OR COIQ RETE WET SPRINKLERPBE SLAB - RELOCATE EXISTIG SPA HEAD w - I,JJ MTe �A �O I SPRINKLER CONTROL VALVE _- SPRINKLERHEAD 12F."n'- WITH TAMPER SWITCH REMOVE AND CAP EXISTING p —P. PREACTION PIPE CHECPRESSURE RVEEGULATINGV ®® OSE RACK RISERPIPE fi ,y,a REVISID UMBER i- BUTTE BALL VALVE W WITH EASWITCH ® CONNECT TO ;TING C. SIAMESE PRE55UREGAUGE- � s „ fir, A TM � .I1 �•� ZI R�5 �y r.�'I�C� --_.__—_ - _ a�, n S. I SY 4 Of 1 k. h 10-0 o, � 2-I A i� r 0 0 AiI llp,- REVISION DATE BY � O N SPRINKLER SYMBOLS SYSTEM 0 0 (`I - d 1'4 14 1 __ -� BEAD TYPE 0 O O 4 ❑ ® ® WET DRY t fav lw lh. - 14% I - �J 0 I - - Iso �_� 1-L 3 —� 6' � CONCEALED UPRIGHTtff a 'D -( l o PENDENT - r l- J !� T i�ILR1,: G2 ` fr ' m O I 1�57�k %.Leo �W V�.IVJ.1+1 ONIOFF RECESSED I SIDE WALL (HOR1Z.) tN W" SIDE WALL (VERT.) to i• , 11 EXISTING I IZ TOTAL: ( _ _ d DESIGN C'RIT.ERIAINFORMATION I I m o DESIGN DENSITY -- . + GPM SQ.FT 2 AREA OF APPLICATION -- IS-00 SQ-FT �+ � z , ► o �u _ I 3 COVERAGE PER SPRINKLER -- I$ SO.FT 3�D-rI y3 IJ 0Ar' Ilq- I 4 NUMBER OF SPRINKLER HEADS -- _ -- __—_----- 8� .1- 10 u Z 21v IY -1.w ,3 — ?y. 0Z4 a _ 5 FACTOR-- . ORIFICE SIZE V 3 Q n Ito-0 to v 6 __ LIG44T 4A2. N _$�z 7 SYSTEM DEMAND -- GPM r @ PSI v 2rJo f� � — • 8 1AVAILABLE SUPPLY -- GPM @ PSI ' 9 1 WATER RESERVE-- GALLONS �a C \iq 2Q ?frll2N ISI - �„ 114 tAYXJDt3 M5 wcoo "R-S a� u Q o ZrJD FLooh- S iia ryc ?q1 P2SI Rta apgl SPRtr kms Zf, DpW NTo $stn-r RIES IDUAL S I rte, M.1, k/j`l ov4 f 4p K,--S.& PROJECT: 23p ¢rAl f7D AD �SE �yso a r MOoo - cy� 1� r VY 11 ISI ft Gly I I�) S �C� I�il oS MJkll l R9. ) r/l ATT1'R)GI<� �I)l �snl SGW/h (�q8 l( AM * � d � , I 77 I ,00Ci . DR� p�D Zo�JRRpO�'1. e3t:2 9 a DRAWING � SPRINKLER PLAN 5 �' Jy I.7 9 t 0_n, F TTILE: __ „ DATE: 1 t h I oa BY DRAWING NO. s!F'- I-' PROJECT NO. u 2 7 ,,110 4 SCALE: I/4=n 110C OF 1 { - OF SO, .m Q