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HomeMy WebLinkAbout26379-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27775 Date: 06/27/01 THIS CERTIFIES that the building ADDITIONS Location of Property: 1435 WEST RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 7 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 17, 2000 pursuant to which Building Permit No. 26379-Z dated MARCH 9, 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 SECOND STORY ADDITION WITH DECK TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL & CORINNE SLADE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 546238 12/27/00 PLUMBERS CERTIFICATION DATED 06/26/01 ROBERT VAN ETTEN Authorize 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. 26379 Z Date MARCH 9, 2000 Permission is hereby granted to: MICHAEL & CORINNE SLADE 1435 WEST RD CUTCHOGUE,NY 11935 for CONSTRUCTION OF ADDITION TO AN EXISTING SINGLE FAMILY DWELLING TO CODE AS APPLIED FOR. at premises located at 1435 WEST RD CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0007 Lot No. 026 pursuant to application dated FEBRUARY 17, 2000 and approved by the Building Inspector. Fee $ 193 . 80 Autori ed Signature ORIGINAL Rev. 2/19/98 0. 6 n--5025q ��� Form No. 6 FM TOWN OF SOUTHOLD ���� `�� BUILDING DEPARTMENT " TOWN HALL — rn-DG. '` . 765-1802 kS!_DG.C'EPT.d(!' 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 oY 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 buildings 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 and "pre-existing" land uses: ? 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a.consent to inspect signed by the applicant. If a Certificate of Occupancy 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - I .25V 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .�tj , /(¢:. O 1 . . .. . . . . . . .. . . . . .. . . . . . New Construction. . . . . .. . . . . Old Or Pre-existing Butildinng.Y. . .. . . . . . ./. . i Location of Property. . .+ 3s .. . . . .. ... . . . . ��.`1. ..1�4 .. .,.. . . .. . % . . . . . . . . .. House No. Street Hamlet h,A I, ` Onwer or. Owners of Property..CM.� ;6AP .c( . sem: . . . . . . . . . . . Cl0b2County Tax Map No 1000, Section. . . . . .. . . . . . . .Block. ©©Q. . . . . . . . .Lot. . . . . . .. . . . . . . . . . .. . . . Subdivision. . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . 72 �Permit No,h J � : . A � � . . . . . . . Health Dept. Approval. . . . . . . . . .. . . . . .. . . . . . . .. .Underwriters Approval. . . . . . . . . . . . .. . 4 . . . . . . . . . Planning Board Approval. . . .. .. . . . . . . . . . . .. . . . .. Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submi ted $ . . . . .. . . . . . .. . . . . . L 'JAZ /0/ eP '1�%%3vF0L/r Town Hall, 53095 Main Road CD Fax(516)765-1823 P. 0. Box 1179 Telephone (516)765-1802 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T 1 0 N DATE: Building Permit No. 0� Owner: * ,51a-de (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me his — D—6 day of Notary Public, . 1 Y�county U I JOYCE M.WILKINS Notary Public,State of Now York No.4952246,Suffolk County Term Expires June 12, THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000121 BUREAU OF ELECTRICITY ' F 40 FULTON STREET, NEW YORK; NY'10038 Date DECEMBER 27,2000 q filtcaetonNo. on�lle 10�617`.��1'O/00 N 546238 THIS CERTIFIES THAT ;RDfLT DICT 26379 , only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of MICHAEL SLAYDE, 1435 WEST ROAD, CUTCHOGUE, DIY in the following location; ❑ Basement ❑ lst FL © 2nd F4 ATTIC Section Block Lot was examined on DECEMBER 19,2000 and found to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCEN FLUORESCENT I OTHER I AMT. I K.W. AMT. K.W. AMT. I K.W. AMT. I K.W. AMT. N.P. 19 29 34 19 3 P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT. .TIME CLOCKS I BELL IUNIT HEATERS M SYSTEMS ET DIMMERS AMT. K.W. OIL N.P. GAS X.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS; AMT., N.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECTNO.OF - - S E R °V - I C E METER N0.OF CC COND. A. G. A.W.G. A.W.O. AMT. AMP. TYPE EQUIP. 1 0 RW 1 0 3W 3 0 3W 3 0 4W PER 0 OFA. .G. D. NO.OF NI LFG OF NI•LFO NO.Of NEUTRAIs OF NEUTRAL OTHER APPARATUS: .. CO DETECTOR-1 PADDLLE' PANS-3 G.P.C.I:-3 SMOKE DETECTOI; 4 TRACK LIGHTING: -16 LL PAUL R. BURNS LIC,#3897 PJ BOX 1061 GENERAL MANAGER SOUTHOLSD, NY, 11971-0932 NP'r4i 44 This certiflcate must not be altered In any manner; return to the office of the Board It incorrect.Inspectors may be Identifled by their credentials. COPY FOR BUILDING DEPARTMENTT, THIS COPY OF CERTIFICATE MUST-NOT-13h. ALTERED IN ANY MANNER. o��$UFFO(�co Gyp Town Hall,53095 Main Road o Fax(516)765-1823 P.O.Box 1179 W �? Telephone(516)765-1802 Southold,New York 11971-0959 Oy • �� BUILDING DEPARTMENT TOWN OF SOUTHOLD December 5 , 2000 Samuels and Steelman Architects 25235 Main Road Cutchogue, NY 11935 RE : Slade, 1435 West Rd. , Cutchogue To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) v XX No Underwriters Certificate on file . XX The check is (not on file . ) $25 . 00 No Health Department Approval on file . ^� No final inspection has been made . XX No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1 , 1984) . BUILDING PERMIT # 26379-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Albert J. Krupski, President Q$�FFQ�,{' Town Hall James King,Vice-President 53096 Main Road Henry Smith = y� P.O. Box 1179 Artie Foster y Z Southold, New York 11971 Ken Poliwoda p Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 26, 1999 Samuels & Steelman Thomas C. Samuels 25235 Main Road Cutchogue NY 11935 RE : MICHAEL & CORINNE SLADE SCTM #110-7-26 Dear Mr. Samuels, The following action was taken by the Southold Town Board of Trustees at their Regular Meeting on August 25, 1999 : RESOLVED, that the Southold Town Board of Trustees grant a Waiver to construct a partial second floor with a new master bedroom, bath and deck. Located: 1435 West Road, Cutchogue. However, this determination is not a determination from any other agency. If you have any questions , please call our office at 765-1892 . Sincerely, Albert KfUPS ki, ii. President, Board of Trustees AJK/djh cc . Bldg. Dept. FIELD INSPECTION_REPORT DATE COMMENTS 51: --------if---- _____________------- -------------- II II III.—__—� FOUNDATION ( IST) u n I If Im � FOUNDATION (2ND) II - � II ROUGH FRAME S41 PLUMBING Jj .^ J IT uIf 11 INSULATION PER N. Y. t li--- II r STATE ENERGY t It CODE —ii �Iit u n� II I� r. II IIIII �If 1 n II FINAL it II ii -- O grD ADDITIONAL COMMENTS: x r I'\ C 2 tx la ro H Albert J. Krupski, President �o$UFFO(,�CO Town Hall James King,Vice-President �b O 53095 Main Road Henry Smith y� P.O.Box 1179 Artie Foster H Z Southold,New York 11971 Ken Poliwoda p � � Telephone (516) 766-1592 Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 26 , 1999 Samuels & Steelman Thomas C. Samuels 25235 Main Road Cutchogue NY 11935 RE : MICHAEL & CORINNE SLADE SCTM #110-7-26 Dear Mr. Samuels, The following action was taken by the Southold Town Board of Trustees at their Regular Meeting on August 25, 1999 : RESOLVED, that the Southold Town Board of Trustees grant a Waiver to construct a partial second floor with a new master bedroom, bath and deck. Located: 1435 West Road, Cutchogue. However, this determination is not a determination from any other agency. If you have any questions, please call our office at 765-1892 . Sincerely, `/''�,'. Albert 'K�ups)1, Jr President, Board of Trustees AJK/djh cc . Bldg. Dept . 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 l;4' 1, ("� nib SOU(-) That on theL day of aQG& 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 NYCRR) rchitec gineer Sworn to before me this aoo u Ldayof Felorjarj `+9 - air.E.S{'MI pug 85P tiv Y Owned in suuo"u WAY;t�sSans3/28(1oA1 EM ary Public 67 cc: applicant s New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, NY 11790-2356 _ Phone: (631) 444-0365 Fax : (631) 444-0360 John P. Cahill Commissioner November 15 , 1999 Mr. Michael Slade 1467 Midland Avenue Bronxville, NY 10708-6033 RE : 1-4738-01140/00009 Dear Permittee : In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit . Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address . Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather . Very truly yours, Claire K. Werner Environmental Analyst I CKW: cg enclosure NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01140/00009 November 15, 1999 FACILITY/PROGRAM NUMBER(S) P E RM I T EXPIRATION DATE(S) Under the Environmental November 30, 2003 Conservation Law f� TYPE OF PERMIT ■ New El Renewal L1 Modification ■ Permit to Construct EI Permit to Operate � ❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; 6NYCRR of Waters Certification 360: Solid Waste Management ❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR Supply 373: Hazardous Waste Management ❑ Article 19: Air Pollution ❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Lransport Management ❑ Article 23, Title 27: Mined ❑ Article 15, Title 15: Long Land Reclamation ❑ Article 36: Floodptain Island Wells Management ❑ Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER Michael Slade (201) 652-9192 ADDRESS OF PERMITTEE 1467 Midland Avenue, Apt. 2J Bronxville, NY 10708-6033 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Nancy Steelman - Samuels & Steelman Architects 25235 Main Road, Cutchogue NY 11935 (631) 734-6405 NAME AND ADDRESS OF PROJECT/FACILITY Slade Property 1435 West Road LOCATION OF PROJECT/FACILITY SCTM #1000-110-7-26 Cutchogue COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Wickham Creek DESCRIPTION OF AUTHORIZED ACTIVITY: Construct second story addition to existing single family dwelling. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Mark C. Carrara CKW Bldg. #40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE Page 1 of 4 � November 75, 1999 95-20-1(&87)-9d New York State Department of Environmental Conservation v v IqW N 0 T I .0 E The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator Permit Number // 0 DUUU 9 J®HN W. PAVACIC Expiration Date NOTE: This notice is NOT a permit ' � W J • u`�. Z W X < N X $ w • Z ti .. Q F- • v �1tof � � srF�l�aW c� 17953-1 FRf C� P oj(ict N . Drawn By: Li r, Checked By: Date: Scale: Mom A5 ti•loTE.D Sheet Title: - SITE. . PLAN r N Y S DEC T'ERM3 APPROVED A3 I't ANO CONDITIONS o�F O Oa,),C' Sheet No: 29+-'+l[Z 'ANN• _ ���¢I 5 New York State Department of Environmental Conservation Ad& Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, NY 11790-2356 Abow Phone: 1631) 444-0365 Fax : (631) 444-0360 John P. Cahill Commissioner November 15 , 1999 Mr. Michael Slade 1467 Midland Avenue Bronxville, NY 10708-6033 RE : 1-4738-01140/00009 Dear Permittee : In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit . Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address . Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, Claire K. Werner Environmental Analyst I CKW: cg enclosure NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01140/00009 November 15, 1999 FACILITY/PROGRAM NUMRER(S) P E RM I T EXPIRATION DATE(S) Under the Environmental November 30, 2003 Conservation Law TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ■ Permit to Construct ❑ Permit to Operate ❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; 6NYCRR of Waters Certification 360: Solid Waste Management ❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR Supply 373: Hazardous Waste Management ❑ Article 19: Air Pollution ❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion T.ransport Management ❑ Article 23, Title 27: Mined ❑ Article 15, Title 15: Long Land Reclamation ❑ Article 36: Floodplain Island Wells Management ❑ Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER Michael Slade (201) 652-9192 ADDRESS OF PERMITTEE 1467 Midland Avenue, Apt. 2J Bronxville, NY 10708-6033 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Nancy Steelman - Samuels & Steelman Architects 25235 Main Road, Cutchogue NY 11935 (631) 734-6405 NAME AND ADDRESS OF PROJECT/FACILITY Slade Property 1435 West Road LOCATION OF PROJECT/FACILITY SCTM #1000-110-7-26 Cutchogue COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Wickham Creek DESCRIPTION OF AUTHORIZED ACTIVITY: Construct second story addition to existing single family dwelling. L I By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Mark C. Carrara CKW Bldg. #40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE <' Page 1 of 4 / ,- November 15, 1999 765_$8®2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH P [ ] FOUNDATION 2ND [ ] INU LATION [ ] FRAMING [ FINAL [ ] FIREPLAC C IMNEY REMARKS. C �o ,DATE elZ�� INSPECTO 765-1802 BUILDING DEPT. INSPECTION j ] FOUNDATION IST [ } ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION j FRAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: DATE INSPECTOR /,�� I 3 7�F 785-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [XRHG. FOUNDATION 2ND [ [ ] FRAMING [ ] FINAL [ ] FIREPL CE S CHIMNEY 60 REMARKS• DATE / INSPECTO let A" 'DEC ' BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS v. . . . . . . . . . . . . 7.7(fn TOWN OF SOUTHOLD SURVEY . .. . . . .''.I.. . . . . . . . . . BUILDING DEPARTMENT CHECK 1�. .8.N�.7.-. 1:75:!?). . . . . . L TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . l- rw IJ SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL .73J-1040.5 . . . Examined.................. 19.... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved....S�.�a.........U6A) Permit No. .. 7J. ... .................................... Disapproveda/c .................................. ................... .......................................... ......... - (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. /5 . . . . . . . . , 19.41 t5� INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Wilding Inspector wit 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 most be drawn on the diagram which is part of this application. c. The work covered by this application may not be cenmenced 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. APFLICATICN IS LLrREIIY MAD= 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, ordi es, bu' 'ng c housing code, and regulations, and to admit authorized inspectors on premises and in buil g for nec ry i tions. . . . . . . ....... .. ............. ........ (Signat of applicant, or nate; if a co ration) (Mailing address of applicant) I State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ............. /p.`.'Y..!�7.��G�7�.........................../.....................................a.......................... Nam Naof owner of premises .k!!/.!G?7�J :... !!,i ...S.r �:v ...i-d.'4e. ................................ (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...[.%.. ��....�'6C5� ............................................ ............................................................. Tc pGu,�... .`... ..9t3.............. House Number StreetHanleet County Tax Map No. 1000 Section ..4I //yy........ Block ....1........... Lot ...Z.-.V!...... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... v�t� .. �Gv ..l�?� C4�!................... b. Intended use and occupancy .. 1!U�PG f� 1�1..... �� e' .................. 3, PbLure of work (Check which applicable): New Building .......... Addition ...� Alteration .......... Repair ............ Removal ......r....... Dow]ition ............ Other Work .................................. $ (Description) /� m. Estimated Cost ,.. a900 ...../.........I,....... fee ............................. .(to be paid on filing this application) 5. If dwelling, nuiber of dwelling of ...../..... tkuber of shelling units on each floor ................ Ifgarage, nuhber of cars .......�L.............I................ G. if Insiness, caaercial or mixed occupancy, specify nature and extent of each type of use........... ........... i r/ gl .. x tur , if any: Front.��G1........... Rear .4;. ........ Depth ..¢1..'........ Dimensions of sare'stnucture wi[hlNuhber of Stories .................... m ? Ileirhthos of existing stmcturesalteration or additions: Dont . Rear � Z �/Z .,.41.5....... .....�....... Depth .... Beightl .....2V........... Nuhber of Stories .. ....2... 3. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. neurit .....................c........ Number ofiStories ..................... f 3. Size of lot: Front .1�.1 J ,�.... Rear ....9s 5i..... Depth ..,.... 10. Date of Purchase ................1.... Name of Dormer Owner ........................................ 11. Zone or use district in which premises are situated ....... ........iCJ©............................. 12. Does ro sed construction violate p tn' a any zoning law, ordinance or regulation: ........................ , 13. 14. lot be Owner of u�. �7 regraded .........,..�1........ Will excess fill be removed from premises: D YES premises �::.l� �i7 ....... Address Name of Architect ...... Address ?: ?3.5%AAA)APAIAI(. hone No. M'f..0.1".0.5 Name of Contractor ..............'I .................... Address ...................Plane No, ..../........ .............. 15. Is tlhis property within 300 feet �f a tidal wetland? * YES v ... ND .......... *IR YES, SQflll()In lum 1Id1SF m Puter MAY BE REQUIRED: PLOT DIAGRAM Locate clearly and distinctly all'Ibuildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block nuduer or description according to deed, and show street nares and indicate whether interior or corner lot. 'I,I��urZZ 1 31'NIE (R' NSJ YORK, /^ S4 ,�V .. !1 .......1..................being duly sworn, deposes and says that he is the applicant (None of it ividual signing contract) I above named, n ` f (Contractor, agent, corporate officer, etc.) 3f said Deer or umcrs, and is duly authorized to perfomi or have performed the said work and to make and file this application; that all statements contained in this application are true Lo the best of bis knowledge and belief; and that the work will be perfornned in the hiMarnner set forth in the application filed therewith. ;worn to before me this 1 ........... ....day of . Y.Gfi' l Notary Public .. .. . U Jt1NSe, .. .. ... ............ .• k ulAS _ Signator. Applicant) - i o 948603' r tR3PL^�i ��11'Ci1�3 i�wows , LOCATION IMAP V 5 + EAST "— s�I- CUTCN0L 9r11 c� / _"Al a • e 0 vY —._ - Harsh Pt I do I IOG Irrle 3 22 ' go" E go4, 85 I .j s, wacl< U v� - - - - - - - - - ', z SITE ` . ;, I „ �,. of cur CNOGUE 1�� NASSAU SNEO (ir �K GI htii..— O and c... NAN80R J POINT W ow.eo VVV N 0 � Z pOol�9 �� a C E � Q L atS � l Cn — W Z o N \ r SITE DATA o LUOkDln�"'--`!� HICaIH I SCTM # 1000 - 110 - 7 - 26 W ATE2 bW�KAs ppct VANTU�'L_SURVEy '� ( I PROPERTY: 1435 West Road NOV. 25, I`lf-) \ N , ADDRESS Cutchogue, NY 11935 69• ,°�L OWNER: Michael and Corinne Slade Q j p AH u55 1- 65 Park Slope y, P2p -R PROPf R-T �3 _/ G° I� A IK O 2-8 � I5Y� 0.�. , Ridgewood, NJ 07450 SE2VIGES a�18/9lo c" L. — U 3o �, ' XiS z�� Ffz - SITE: 1.0 acres SE F4�IZ - ' � U .y�alT'ION ro �, AREA t. \ ��IL7FNc:�. CHER SXIST. F=1F<51-1=L„ - ZONING: R - 40 NEI5<7(L 2nd FL f, �. ' . .� , FLOOD: AE K w—r•: c V l6T FL DEfX4 ��. �' ZONE SURVEYOR: Roderick Van Tuyl Greenport, N.Y 11944 License # LS 25626 Q, r Dated August 22, 1990 .6z . 3 - I = a z a a u o _ Q H . - bLILKHEJ\D _ F'o a I 0 OF Nf* < tIIF'u. t Z z 17 r<r� SITE PLANCIA `0179 L F4E G� SCALE : 1" = 20'- 0" �\ \��•. �' �P 'N/F J,N SG. TREhI'rAl_.ANetE Project o: c1a2A� N Drawn By: p LJ I \\ Y Checked By: IJ 8 \ Date: � 2-/9 /o 0 Scale: AS IJOTEIJ Sheet Title: J SITE PLAN Sheet No: FxIaTINe1 RODF FR.41✓IINCr�_ ExIBTIWC, FRANI�NG I FL�R {7•XIBTINCy ZO�F F�2.�.1✓�INC7 e� �X.15TIhIC, FI •*'llNey % FLoor OCCUPANCY OR CC EILItJCy TO hE RE:MOVED pp-ovIDE I.J P.I-T..9 , cEII.IrJc� �. (-�.�C�F GEIL., NCy T© %E 2E1.�IovEL� PI2oVD .J�t. L.s , c.E.1� 1�1Cy Ro©F USE IS UNLAWFUL NE,I..I FLoo2,cEIL.INc„RooF¢ To REMAIN WITHOUT FL.0012 , G7✓IL+II� Cr , RooF ¢ TO r2E'MA�1 WITHOUT CERTIFICATE APP VED AS NOTED3�� � OF OCCUPANCY DATE B.P. ba 011 51. 10 21- 11 Col- 11 FEE 3 Sy. NOTI BUDING ILEPAR ENT AT 785.1802 9 AM TO 4 PM FOR THE 3)1_ 21121_811 FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE PROVIDE ANTI-SCALD AND/OR - - _ S ROUGH • FRAMING t PLUMBING i INSULATION u ' THERMAL SHOCK PREVENTING L FINAL • CONSTRUCTION MUST -- 2O - �- -- - DEVICES AS TO PART. 002.6(K) BE COMPLETE FOR C.O. NX STATE BUILDING CODETHE REQUIREMENTS OF THE NX - -F- I --- ALL CONSTRUCTION $HALL MEET Exr TN4 __ _ 3� 2>4 zP'- 'r c�o6ET• DECK PceT STATE CONSTRUCTION i ENERGY W OWO TILE STEAM Ft-r — -- ER FLgIbR W4 CODES. NOT RESPONSIBLE FOR - pCSTINGI DESIGN OR CONSTRUCTION ERRORS }� C3) 2ri� - SEp�M I a� UNDEKN6RFRSCER11FlG1E Z OO NEI-ol..l _ TEAK 6 V.7E5 fIU1111RED G p r � 1 'I ull� .�� jy of I — 6rIST 3-2c(o 1 G o 4 f 1 - - PROVIDE OPEIBNBS F011 U) 6 — k , RE e ExlsrGYP, a � � 1111 711 PSD, SK-(LT Er S EMERGENCYEBCAPEAS _ J 3 it CEILING REQUIRED BY PMC 711 OF At II - All STATE SIALOSIS CODE 0 � NEW ATTIC - __- r ( posT4 ® PROVIDE SMOKE-DETECTING 0CII ALARM DEVICES Q AS TO PART. 721.1 06 a) W x � D E 6IP - N.YS BUILDING CODE (Zn W30TTfo Of `- P 0 GLG � J N8 4Yf. ID� �l & =l, ONLEADCONTENTBEFORE WALK- IN �, - / ` O PLUMBING CERT111" EOFOCCUPANCy Q C3) 2 n} O O ALL PWMBINO WASH BOLDER USED/N WATER Ivo o,T - C�_ t - - h L LE EX to pie o� I 5H* 'L 2r1lo i' F R ,( SWMEIILBESNEEO SUPPLYSYSTEMCANNOT ZO 01 n -� E TP R 1SiT11NBE COVENNO EXCEEDQ/10OF1%LEAQ W Uj p' > 81- 011 41.011 �'L 11 tY 3'-4° F<115 o 1 o�3P�EIDNR(XT>OM MfASLTOEWR O LtI _ ncsoLT. .olwpEer�L� VIETH O ILLAA T 6MAMNIG oISN N 7 d } (Z) z• i2 x o I W' ® y EX 67 4 ttl A 2 4 IR CLOSET U p Poo c •J DN 1 STEP l� I_G I?-.EL Wu O +I .� NEW WD C:IR-. _ I-- I Hcoppertubing is used � + () t 2x s olo'� e.K oa CLL? aTf�IR 2 g O w j for water distributing P�FTER Pv r Few GLoop - �' QS o 1 u I' // system;piping shall be O 'I of types K or L only i z) i Iz_ _ II +I - � N RFp�F DCI T- 41 4u J,1-4u _411 vel �(IST5M 61 WDLL H �GFt E-- ppROVI E NEW C3) z-& y rosT 1F RFt� U CF1.U81.1) dl j I U ��y NEW Mf'6TE,2 E)Q STING �C ST NG opNC O -N _ ' 6N I p l p L3ED2UDM _ U baR�M l D oDrM R l Il3ELO �h1 REUSE FXlf-7 9I V I N m OPEN GI:G Q �.t,`1o�eP�oyl� FLIZ s Cz) :w l2 > - - - - - (0 a z • N - 2F�`fa/E EX, E - REMOVE E) ISrsK 4 _ LIGHT GYP r3D, g P� I GI.�ETr;: INRL� ' � ' NF.IW 2agb F_T, GF= LIIG� STRLiCTL.Ik'- ais7DR OPEN 1(o"O,G, � • - - M DRf�I L � I I LO T � p, I I GEIUI�IG � C ) ,.�}— --- - � - d I � ©O �37t;* « z� O .5- ' �y �osT - --- --- -- ' �P — -- - a _ C X5 oi1 31-_Co_Ilr Ett � (ol__ �r._ ___ 1- (� E ZIFY I.OW I.JA LLS To 1_JFST F% -r cEIL.,NG,, F¢ovIOEhLL NEW FIN IF>HES —._-_ _— - - - -_- ll- E$ TO FY.Tcr+ REP.n12 r"L EX18TiNC, PINISHE!:; s.s 12 EQ1JIw-Ery : hIA L.•L.S, oEILING 4 FL.00l2s - PRov1vE LOFT PLAN' SECOND FLOOR PLAN "�W r�pINT F'N'S" ,� Go- 2o�M PIE OF NFh, ';, SCALE : 1/4" = 1'- 0" SCALE : 1/4" = 1'- 0" fsrE �d9 v" N GN - GAS S bW�2 1-a1Ncer� ENIGLC3URE. /--- - � RMEEGO. CAF'.1N Ers 17953-- 7 90 7953--iAso 1, / A% TYPIcshL ci`61NU �� ; 'Project N q82_�j <- (P D --- - D Drawn By: NS /IJT . %211 R. j YB137 I— yi' W.Iz, F SL IbU�1[a Yp r�iD Checked By: c -_ _ tL GI<F_T WING1Gbl <- - F EW T hIS TW,/TYP C?�INc:a , ' -� I+ L< - - �_— Date: - TLE 71P F IN N _ 1 ` W/PLeeT6V 4L's7 E — bJPJN`r��TCa / I o � �4, Scale: �S S HOWN L. _� Sheet Title: FLOOR \/AN17Y II PLANS & I I ELEVATIONS�— INTERIOR a" TILE �'aE 4'11-'IAF �5F 71 L \/Apl ITS( Imo/ 701L,ff.7 M A•, 'T �r: ?"H M sTEe rH G, ti1A_,T �, MA�rc. PATI-f Sheet No: 77 - �x10TINC, RooF Fp-AMNC., To 3E pE1.�mvED ExIsTINC� PFA MINC, FLoo GJ- ExISTING GEILIpIC. -1� 16T� .�T t✓t•.9TEK I..I..w�-8 , cE1E IIJc, 4 RooF P�EDRo01� �. KITcHEwI To 13E e16T EKED To riEMAIN WITH NI Eb.I 2 ,. 8's ADDIT� oN1 To Gx18TIN C.1 p-ESIDE1JcE. � t C3� 2.a Po ST TVP 1,JIN1DoI.J Y MOTE: 12E.M0�/E �CIIO o I�GYJF STT?11GTLJRE 51� WN ✓' o a „V 3Z 4 9� raw ��w�� e Fs °2 A 1 SIDING rO IATG r- e��' i 1 L N � (D pCl TFR DIST, arttc F 0NTs % Z Y^Ap u EXIST M�STE � . ��TH J _NEW LOFT xls7slol - . - Y - ED<IST DEGK� ExIsT. Z �F�20oM m�n er, F �, New �, - - - - 4 L N F � ExlsT r-�R, 77u a ExlstF.J — POOP25L,G E – --- �CISTcONSTRucrloN ow NG1.JVz" 4YP FW LLW[y)2r4 - (3)z.4 / ExIe,T, FINISHc.8 j CEI L IN C� o TbsT,JI C-. Q1I x to �t -1 \ - Z L—JAU_Ih� C'�UTT IZ AO A Fo Z C��x Srl/Vm 7 h F VIN-(LCR O Ex Q VERIFY C511 I 6TL. PLATE r'.ril aTnJG � , CA9F�E.NTT NI�Ng i ~ ed DG i 0 Bta ulr Br�e�rl FJ o govE M DP.oP j �I1 ON a TD Ex Q..-�-Fr.I ���� df O C3�zn4 MFW Q�d AT 2"1FLIz _ - - - ExIaTNQ - I I po�TTYP vER Y �Is_vlj � Isr 4 w li L u ..._._. d 136aM M 1 (v)irPj EX. .� 61 UI N Ci O O .r . EnIsTNIG pool 6cREEJ O EX. 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PskIr.JT FIhJl�ra IIS K.ITGF-1'ENI r C auNKGN e� EX18T-, t..�i.STE(Z 13Eulz.Oot.il �i r�rr '� �.TG�Y NELJ I,.IINoor.ls � ra,,ti IZ � r, o � / / v w . , oti tiw-rc+a t�isTING RccP �. � `�"� Y` �4 RMF p-A Fw ¢ I- • ' C2�z.Io HoF O To i7 E. REr�6ve.l� ov LL IT Y o N1- dF v d � 0 z7 z Ij �z <� �hv ca) mK to To rxIeTlNq IC ` -- 6UPPO RL2 T A L 2x10 / N - -- - T - 4: y`PtE OS �flg`v Chi) 2•.10 /� " .'� Ci iJELJ RAiLiNC1 v Ga� �3�y. DEC I) z �FJw n I �T 2 FLen-- O .7 I Z �WdS.0 h C. � FosT 9IDN vJ/.L6.S To ExIa7I1�E1r'I,s iN is4.4 NE,I.J DLGK roj A WOVE orl FiR'ST 1=Lool�'- NC, FINISHBS� STa��ER I ect �g28 4 _ , - _ J ' QQ J Ct'r PICAL) Ea ��T,Nc. DEc� Too Ex ST NCy LKI3TIN CI Drawn e _ N 0 PoaT�P.cV �- ---.. _ 1 fl j p , t P.vNT EkI STINT To WEI.n.� N Checked By: - NEJ oIN , L O e Es En Ext LTA G.t Pme <,F3ovE___.. Date: NS Exla N�GJ) I Fb5TAp ✓ App Cd.) 1AIo To GxIaTIN GiRDEFL,pIZovlVc. Exlatwc, 2 /9 /00 �ToP PLi•TE .cT GOLLIVhI To BlJ hvo RT 5i"I`JG - tt Cxi9Tn.�C� flivlNy rJ EGKWG Liu a. 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G6ILINCa p,�A�LJS?ERS CCO"m,C.) PITON 0 I '� 0. E,x15Tl'Nci CEILIWCy Date: EXIST, �NING �M TO 2 /d /oo AND PIWIBN PROaBRA F- PAIINc, -ITCHFaJ I .. iO RIM PSD, _ _ I.IEWI 2-6'a e, FLcRj;L GAPD, Po•TGH L REPAIR pAL/IAGE,D CP-6, Scale:,,,,,-, 1 �E'W,IR 9EG-- rCS � WALL /FLDOR• FI LJISN Es I%2' 9PAGL II I� Ew eTINCy 2-$ FLOOR J01aT5 iLE01J ItzED T•oR _ A,CCEa9 To NEW EX16T, KITCL-IEN " PEVE6TAL. AT Ir. 1p RII.d gD I� I2" dJY SI - ,,.-1 F�IBTr�IG (212-10 HE-wEr+- HI1TN EJ( 5T'. ZXO F.rC'. lol'O.(✓,—� L•,G,G, FLA6IJINC6" wE2 ,�1 _ NEW (2� 2nlo DFL K ,�. �" oN RIM PJ'D, /I i �� Sheet Title: ('e) 2'6 GGA Bon �Ea � 2,.10 LE�GEr2 w/ TEGos / ELEVATION R - 21 HIC,I4 DEWaITY F.ATT IN5LJLA,T10+4 -- I" c:In NT. vSWT W/ Ec ILEtIJ / Io r✓P.AM '- D�I WTItiG - F.+.Ie TIN CI SOTIFIT WA,76121AL TO a c2,� x - IO FJ ,.naTc1-I ExIs.TING -F.+xIaTINCi HEADER OVE12 Fx18TINCy I.JINDpIWS BUILDING , 3EAI✓I To REI-�.+.11N "` L`� GOLT2au'BTIIWC� OvERI-IAN^y AT PLAY EX157 p 13E ���o�E SECTIONS - E `�T LDNG, �A5EMCINT Ir FRIE2E FjD To ALIGN Ex 1871NG 6JIN DOWS To RFiI✓�AIN 12° PIA soWoT.•�L_fG F�j WHLL 13OTTo1'I mF G><1 sT1WC; FA`�.�.I.•. DE E_xISTINC IToHEr�l coNcl PE _ 1.•l/ zo - 2' Sheet No: FTC1 GI'yZr.r)E , AT EN. 4 CGP-N ER OF 13AY T 4 ODETAILS SCALE : 1" = 1'- 0" OBUILDING SECTION SCA :.1/4" = 1'- 0" Y V . Y DESK �I W } LL Z F�41FJ;j LT U) W EXIST- �tLr o � ---- {-I� MASTE r, ZEM�d J - Re o la c�T .\ LSI C�ArH �tC - Ff.rl Xxl•+, uorr m GxTEaaow; i 0 Q IK 0 r J L { \ , GF U) a- W O ^ , — EKje7v T it WPLK- IN - Isr ZF�r, > EXIsE O L . IXIIJ RE Z . STwR W W I III �P�N TO MAST`:. r ._ - m ri I I� � ' (IST m� / O II 3�D2X> p LOrJ f - 7ji - �N O _ V - O L I o v-� U T l I � I I _ I I � I hEW M �..-R ExISTING EXIsrING oPe.N o C51E. BEDRG�M LI /W� 2 { NEW RODE j �6 IELT.LTV J� ST T, CEL o� l ♦ LowNo N NEw, _ .6z • LOFT r- ewlLrc +Ca 4xreTr { _ dtJTL.E'R'. A0 RECFvi 7 p.l ry 2 4 J LOFT PLAN ELECTRIC J SECOND FLOOR PLAN � - ELECTRIC �1E Of Nfy SCALE : 1/4" =1'- 0" SCALE : 1/4" = 1'- 0" hyo STF�`a�o9� 01795 ti F A ' 61-IAKIF�Tz HE.At7 - Project o: " � � '• TILE LSI LL6 -- TILE. y�IALLB Drawn By: Checked By: Hok4 FA Date' 2 00 f2EG SS �/ALVE Scale: _ _ CyLASS \ i --- - Sheet Title: ELECTRICAL W"LNG N I - reAfl- sLaTcs -- - PLANS 41, • e' 'FILE -J- INTERIOR 4 TIVr2" - " ELEVATIONS _ ��.r•: V. ;,%rl' .' � F-'� �i, rJl"1�W�� I.J, Jr1�Wl-I� . / `. Sheet No: 34-I0L,� E.Z INTERI© Iz 1 . EUATI OI�I � BUILDING PERMIT REVIEW CHECK LIST Applicant/ - - Date Owners Name:U4� �,, Reviewed: Architect/ p - /� 1 Date Engineer:�, ; 1r�U�� -Q�2 Submitted: a �7 SCTM #: District: 1 000 Section: JJ0 Block: —7 Lot: Project 'q 3, W IZD Subdivision Location: Name: Single&separate Requtr certification: {Yes I Req. d v o Req. Zoning District: PI ya [Lot size: 0 V v v Actual [Lot cover- Pr ed: j Req. Rey. [Front Yard �[Side Yard Proposed: 1 [Rear Yard Proposed: ] P Project Description: J 4W, AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. 1-y M IV0�00oo p New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? ' Flood Zone: Notes: -4-t co aC t+- k n --�-- r a s