HomeMy WebLinkAbout26484-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27844 Date: 07/31/01
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 1160 NORTH BAYVIEW RD EXT SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 78 Block 9 Lot 54
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 21, 2000 pursuant to which
Building Permit No. 26484-Z dated MAY 5, 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 ONE FAMILY DWELLING WITH COVERED FRONT AND REAR PORCHES AND ATTACHED
TWO CAR GARAGE AS APPLIED FOR.
The certificate is issued to NANCY & SALVATORE SAPORITO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0005 07/30/01
ELECTRICAL CERTIFICATE NO. N 560672 06/08/0
PLUMBERS CERTIFICATION DATED 06/04/0 PECONIC PLUMBING & HEAT
Authoriz 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. 26484 Z Date MAY 5 , 2000
Permission is hereby granted to:
M. MUJSCE (SAPORITO)
17 BELLOWS POND ROAD
HAMPTON BAYS,NY 11946
for
CONSTRUCTION OF NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR
GARAGE COVERED FRONT PORCH & COVERED REAR PORCH AS APPLIED FOR.
at premises located at 1160 NORTH BAYVIEW RD EXT SOUTHOLD
County Tax Map No. 473889 Section 078 Block 0009 Lot No. 054
pursuant to application dated MARCH 21, 2000 and approved by the
Building Inspector.
Fee $ 1, 179 . 00
00,
" AuthorizecVSignatufe
ORIGINAL
Rev. 2/19/98
JUL 3 1 ?n,nI
Salvatore and Nancy Saporito
1160 No. Bayview Road Ext .
P.O. Box 1600
Southold, NY 11971
(w) 631-765-5015
Town of Southold Building Department
Southold, New York
Re: 1160 No. Bayview Road Ext . , Southold, NY
Dear Sir/Madam:
Pursuant to your recent inquiry, this is to advise that the
kitchen at the above premises has been purchased at Expo and is in
the process of being completed. Attached hereto is a copy of the
paid invoice.
If you require any additional information, please contact me
at my place of business : (63 1) 765-5015 . Thank you for your
consideration.
Very truly yours,
ancy apo ito
/ns
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL — -
765-1802 ��-
x
APPLICATION FOR.CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and sLbmitted_ to the--building
inspector with the following: for new building or new use: '
1. Final survey of .property with accurate location of all buil inperty
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 of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 17 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 Building - $100.00
3. Copy of Certificate of Occupancy - .25V
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . . . a.`f, .a0 o �. . . . . . . . . . . . . .
New Construction. . . .. . . . . .. Old Or Pre-exi ting Build'ng. . . .. .. .. .. . . . . . .
SxLylo
Location of Property.. ./160 . . .N0/"/� YJCI[�(IIF ) !1� L1Cj .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .
House No. Street ff Hamlet
00
Onwer or Owners of Property. . . . . .4 =�-1� fvrc". .G4+�� . . C! tLCtr U(.t. . . i.. . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . .{P. . . . . . . .Block. . . . ./. . . . . . . . . . .Lot. .-;. .� . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . .rr. .(27:?r. �. . .Date Of Permit. .SC:ZUO . . . . . . .Applicant.V6i)ll . C' 1t . .� L-�t,),����I
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
- s
manning Board Approval. . . . . . . . . . .. . . I. . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .11. . . . . . .
S o0
Fee Submit ed: $. � . . .. . . . . . . . . . . . . .
S `�`o APPLICANT . . . . . . . . . . . . . . . . . . .
a,
516
Town Hall,53095 Main Road p �� Fax( ) 765.1823
P.O. Box 1179 Telephone(516) 765-1802
Southold,New York 11971-0959
�Ol * foo
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 19, 2001
Nancy & Salvatore Saporito
55 Green Drive
Roslyn, NY 11576
RE: 1160 North Bayview Rd. Ext.
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)
xx No Underwriters Certificate on file.
xx The check is (not on file. )$25.00
XX 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 a 26484-Z
Please contact our office on this matter- Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
STATE OF NEW YORK )
ss.:
COUNTY OF SUFFOLK )
Vogt P40".fe, LCL , being duly sworn, deposes and says:
That deponent is over the age of 18 years, and resides at
(.,Do b LA '� LN I M P' j0C'W-- .
That on the 14 day of MP114t} 1999, 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 Buildingde (9 NYCRR).
Architect/Engi
Sworn to before me this aopc,
qday of rn et2 c rt JIM.
Notar Public
NoIAgYPus°"ic (*� ,wAA
��In Suftw
1Pirm F,cWns Much%
cc: applicant
�O��gpFFO(K�oGy
TownHall,53095 Maln Road �y Z Fax(5 16)765-1823
P. O. Box 1179 G Telephone(516)765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N/- `
DATE:
Building Permit No. .76
Owner: Sq / IL Y ACf;1G(n 5�2poP%rd
()please `print)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
( s Sign
ua as )
Sworn to before me this
Z/- day of TuA10 &S-- l
�� IJ/L�} NoBtaAryRNPB0uA.6R011iAc,�SSTtaoEt
e4ro'f 2Notary Public, County �gniriSA11
� � ,SP.t
��gUFFO(,�C
Town Hall,53095 Main Road o�O OG-'�� Fax(516) 765-1823
P.O.Box 1179 COD Telephone (516)765-1802
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 19, 2601
Nancy Z Salvatore Saporito
55 Green Drive
Roslyn, NY 11576
RE: 1160 North Bayview Rd. Ext.
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)
xx No Underwriters Certificate on file.
xx The check is (not on file. )$25.00
xx 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 # 26484-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 03/21/00 Receipt#: 0
Transaction(s): Subtotal
1 Septic Permit-Construct- Resid. $10.00
Total Paid: $10.00
Name: Feiler, Donald G
78-9-54
11725 Main Road
Mattituck, NY 11952
Clerk ID: LYNDAB Internal ID:5312
6 9qyf�
755-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROULBG.
[ ] FOUNDATION 2ND [ NSULATION
[ e�/FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
RE KS:
,DATE INSPECTO
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
] FIREPLACE & CHIM(QN�EY
RE ARKS: J�L�12
DATEl� ���INSPECTOR
70-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ROUGH P
[ j FO N 2ND [ ] INSULATION
FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
d�.
;DATE /0 �, _INSPECTOR
765-1802
BUILDING DEPT.
114SPECTION
[ ] FOUNDATION IST [ ,e R UGH PLBG.
[ ] F NDA,TION 2ND [ ] INSULATION
A
[ FRMING1 [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
(�
l
DATE 9111A INSPECTO
M-1802
BUILDING DEPT.
INSPECTION
[ ] FO DATION 1ST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLAC CHIMNEY
� 1
REMARK
DATE ✓ INSPECTOR
765-1802
BUILDING DEPT.
114SPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I LATION
[ ] FRAMING [ FINAL
[ ] FIREP E S CHIMNEY
(f R MARK
DATE � 0 / INSPECTOR aL�.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
MARKS:
y
1
DATE INSPECTO
q6
765-1802
BUILDING DEPT.
114SPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INION
[ ] FRAMING [ NAL
[ ]
FIREPLACE
rnrn& CHIMNEY
REMARKS: �
ZT
DATE c� L1 INSPECTO
765-1802
BUILDING DEPT.
114SPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN CATION
[ ] FRAMING [ FINAL
[ ] FIREPLA, HIMNEY
REMARKS-
DATE INSPECTO
IJ.
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0
o ° 0
0 a
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�CTiY1� OG.17— -d
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
X01071 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10036
Pare JUNE 08,2001 Application No. on file 11006200/o0 N- 560672
THIS CERTIFIES THAT
only the electrical equipment as described below and Introduced by the applicant named on the above application number is la the premises qj
S. SAPMUTO, 11610—NORM BAY q EXT, �40LT1'HOLD, NY
to the following iocaaam W BawlMent I,k 1st Fi. �I sne Fi. MR/Amc/OUT 5ecdon Black Lot
was examined on MAY 31,2r3t.11' .aad jonnd'w be In comp8aaee with the lyadoaal Eleetricat Coda,
FIXTURE FIXTURES RANGES molauG DICKS DI WASHER XHAUST FANS
OUTLETS SCIPTACCI SWITCHES KWXftTsctur Omar AMT. K.W. I AMT. f K.W. I AML. I K.W. I AMT. I K.W. AML N.P.
72 49 63 71 1
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL IfEC'FT. TIME CLOCKS SILL UNIT HEATERS M ILII- S T DIMMERS
T. KW OIL N.P. OAe X.P. AMY. N0. A.W.O. AM. AMP. AMf. AMR. TRANS. AM[. N.P. NO.OF FEET AMT. WAn$
2 F 2 1 -
SERVICR4ISCMITSIt
ONNECT Nq.OF S E R V i C
AMT. AMP. r?" 11 IQUIP, 1 F 2W T e SW 1 R SW $e 4WI NO.OF CC cc p0.OF MLMO NO.01 NSRTKAIi
RP q CC.GOND. Of pl. a XFIRKAC
1 200 CB 1 X 1 4/0 1 2/0
OTH[R APPARATUS:
Coe DET")MMS-2
STEAM UNIT 9KW-1
WELL PUMP F-1
PADDLE FANS-4
5 'TON A/C-1
MOT0RS:1-5 H.P. ,i—F H.P.
PANELBOAPZDS:1-1 Crit. 60
G.F.C.r:-12
SMOKE DETE2TOR:-5
scaC Continued On Page 2 >>>
GENERAL MANAGER
Per
DIS$Certificate mull not be attend In any manner;return to the office of the Board If IITaanect,Inspectors may be Identified by their aredentfal$.
THE NEW YORK BOARD OF FIRE UNDERWRITERS � PAIJE 2 .'
Emma
1oO1071 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 50035
Pate' ,; A XM 08 f,2001, Application Nm on fda ' 11006200/00 9 560672
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the pmmisse of
S. SAPORTM, 11610 amou sGVTHOLD NY
in the following location; Basement f r isi Fl. �@ 2nd FL t GAR/A`1TIC/0UT Section Black Lot
was examined on MAY 31,2001 and jownd to be in compliance with the National Electrical Code.
FIXTURE RECEPTACES SWITCHES FIXTURES RANGES COCKING DECK$ OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCAM019CM41 pINNOSCENT 1 OTHER 1 AMT. I K.W. I AMT. I K.W. I AMT. I N.W. I AMT, I K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RFC'PT. TIME CLOCKS SELL UNIT HEATERS M CYST MSLET DIMMERS
AM[, K.W. OIL N.P. OAS N.P. AMT. No. A.W,o. AMT. AMP. AMT. AUR. TRANS. Aµ1, M.P. NO.OF FET AM. WATM
SERVICE DISCONNECT No.Of S E R V 1 C E
METER
AMT. AMR 7YPS EQUIP. 1 17W 1•aw s e Sw s e 4w N ' GCC.GOND. NO.Ot NPIEO F ND,of NflRU.t1 F fatireAl
OTHER APPARATUS:
I
G & S COTITRACt'0R L1C.i578E ik......•..,•.. l.- ewy
BOX 215
SMMOLD, NY, 11971 GENERAL MANAGER
11 i Per
This Certificate must net be offered In any manner;tstorn to the onto*of the Board If InCarraot. Inspectols may be identlfled by their Cfadenflall. !
BOARD OF HEALTH . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . .
TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . : . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORK . . _ . ,
SOUTHOLD, N.Y. 11971 '�afl1. y 0AZ,....
TEL.: 765-1802 NOTIFY ; r�
CALL
Examined . . . . .� . .`. MAIL TO:
Approved Peunit No.
fo Roy- IG9�Z,<
Disapproved a/c . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �;-r-*v . . .
. . . S�C�z �Ff 57�.
� i
�) (Btv
uilding nsector)
i 2 F APPLICATION FOR BUILDING PERMIT
sto Date . . . . . . . . . . .. .. . . . .. 19 . . .
,.
1'OWjd GF„w: ,ry�tYt_ h
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 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 of this appli-
cation.
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 issued 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.
APPLICATION 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, 4affc 'g code, ho g code, and regulations, and to
admit authorized inspectors on premises and in building for necessary ' pe o
.. . . ..
. . . . . . . . . . . . . . . . . .
(Signature of 'cant,or name,if a corporation)
b. x. .L6 2.� . 1�'?P?[71.1?u�l4. . . . . . . .
(Mailing address of applicant)
State whether applicant is owner,.lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
ic C"r. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises . . . . . . -fU . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . .. . . . .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . .
(Name and title of corporate officer)
Builder's License No. . . .03NO2!:f6. . . . . . . . . . . . .
Plumber's'License No. . . . . . . . . . . . . . . . . . . . . . . . ..
Electrician'.s License No.... . . . . . . . . . . . . . . . . . . . . .
Other Trade's License No. .
1. Location of land'on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . .
House Number ppStreet Hamlet
County Tax Map No. 1000 Section . . b 1.V_. . . . . . . . . Block . . . . ... . . . . . . . . Lot . . . . . . .. . . . , .
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 . . . . . . IN n� x'` �:. fi1 ...... . . ... . . . . .. .
61 Ne. L)6
b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . r , , , , . . ,. ,. ... , ,
3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . .
Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . ... . . . . . . . . .
(Dcscrr?tion)
4. Estimated Cost . . .ZOO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . ... . . . . . . . . . .
(to be paid on filing this application)
S. If dwelling, number of dwelling units . . . . . . ! . . .. . . . . Number of dwelling units on each floor . . . . . . . . . . . . . .
Ifgarage, number of cars . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . f_�. . . . . . . . . . . . . . .
7. Dimensions of existing structures, if any: Front . . . .-:7. . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . .
Height . . . . . . . . . . . . . . . Number ofStories . . . .Z. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . .. . . . . . .
8. Dimensions of entire new construction: Front . . �� . . . . . . . . . Rear . . .`P..So. •. . . . . . . Depth . . .` &. ... . . . . . .
Height . : �. .. . . . . . . . NumberofStories . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .r . . . . . . . . . . .
9. Size of lot: Front . . . .1200( . . . . . . . . . . . . Rear . . . . �� .t. . . . . . . . . . . De th . . f. . . . . . . . . . . . . . . . . . .
10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . 7.?C , . . . . . . . . . . . . .
11. Zone or use district in which premises are situated . . . . '� �? . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: . . Wit.Q, , , , , . . . . . . .
13. Will lot be regraded !� °. . . . . . . . . . Will excess fill be removed from premises: Yes k 1
14. Name of Owner of premises No,NUY SRf". . . , . , Address�'.'&t4 4.,y . ! y J . . Phone No.
Name of Architect QQN�rr?. .Fiv.t' . . . . . . . . Address Aet. Phone No.
Name of Contractor . . .e5!* e iµ.6. . . . . . . . . . . . . . Address . . . . . . . . Phone No:
15. Is this property within 300 feet of a tidal wetland? *Yes. . . . . . . . No.).. . . . . . .
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions fr+
property lines. Give street and block number or description according to deed, and show street names and indicate whet!
interior or comer Iot.
STATE OF NEW YORK
COUNTY OF . .54'.F. ?i.IL. . . S'S
-, , , , , , , , , , , , , , , , being duly sworn, deposes and says that he is the appl
(Name of individual signing contract)
above named.
Heis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
t (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 GL
application; that all statements contained in this application are true to the best of his knowledge and belief; and the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
�} II C
\otary Public,, . �. � �l ?e': �• \ v.lk. County i
J L'YNDA M.QOHN -
NOTARY PUBLIC.State of Newyork . . . . . . . . . . . . . . . .
No.01806020932 (Signature of appl
Qualified In Suffolk County .
Term Expires March 8,20 [/
FIALD INSPECTION REPORT DATE COMMENTS
------------------
-- ----------------
FOUNTDATION ( IST)
---------- - - -- --
It
FOUNDATION (2ND)
-______- - ----------------
-
-_
ROUGH FRAME &
II
PLUMBING -
n--- II
IF
ii ,d►a -- � '
INSULATION PER N. Y.
II II /��i.0 / C.-
STATE ENERGY II
CODE -
u —
I
II
u
II
FINAL - 7-1V -
II w
II
ADDITIONAL COMMENTS:
�a
—_—_ _-- _------
---------- --- _— ----- --- — ----_ J� ��.�
y
z
r C'
l�7
CVACANT LAND "X NOR TH BA YVIEW RD.
TIE= 1.32.06 ASPHALT PAWWNT
' EOCE OF WpODS .
S7WE MON. .
1JO' TO Ce LEANING SOUM 11__
ssPoce OPOSED 7E5 !�
Q
1.6' CC,SPOOL HOLE
(fir ® 55
RESIDENCE I r` i PROPOSED
O 509 EXPANSION
Ot \ rPROPOS�D O
11 " SEPTICCESSPOOL Al
TANK } p UNKNO N ,V
f ` -,4,. UNKNOWN
LOT 2
S.l'I � BPORC
O
JpT 1/
'
67 PROPOSE
t� cEssP a 2 STORY
J BEDROOM RESIDENCE
RES. eft
P
V
45
OTE \ �I SURVEY OF
LEASE Njs Wzynot t0 �g I �) DESC IBED PROPERTY
m r system
area- 45 w SITUATE
h Sari a r dMIC
Q
pia W \ i PPRROPOSED �` ' S UTHOLD,
TO OF SOUTHOLD
\
SU FF LK COUNTY, N. Y.
\\ \
, SURVE D FOR NANCY SAPORITO
UNKNOWN \ Q
C JS' TO CESSPOOL V ^
CS \ _ ,\ N 1000-078-09-54 '
Q \ Z6NED R-40
LOT 4 \ J Y
RESIDENCE \ �URVEYED 2 DECEMBER, 1999
50 SCALE 1"=40'
\ 'at
AREA= 79,291.07 SF
1.820 ACRES ,
F
h / \ DDS UARANTEED TO
NANCY SAPORITO
TH1S R - ED FIDELITY MA77ONAL T77L£ INS. CO.
h ( VACAN TOWN OF SOUTHOLD
55 oy FOR S.C.D.H.S. USE ONLY
0 90
b
55P 0 tl M
Guys QQ x G
LOT 6o ��i J y
RESIDENCE N 72 8 10"' W
r � o
0 WELL CESSPOOL 200 O+ UL B 4Po'4ryy�s� O 1 O
W N/F o FSSA
Rs
o McLAUGHLIN � � ;i 6�
RESIDENCE W
P4 t
TEST HOLE DATA RESIDENCE P1
PERFORMED BY : McOONALD GEOSCIENCE p
U Cn A O
Guarantees indicated here on shall run W
EXIS71NG GRADE W
C"", to t1r:: person for whom the survey � !
is rr:pared, and on his behalf to the 0.
Cav-zrmentcl Agency, L W 0.
he
if lion, and
;tecl r.: � Q �
tv on. ('5:'naes cf tho len6ing institution.
cre n:t ircni �rol:le to
additional insfitutons cr s.bsequdht owner&
PALE BROWN FINE TO COARSE SAND SW
SURVEYED BY
STANLEY J. ISAKSEN, J/-
P.O. OX 294
ELEVATIONS TAKEN FROM TOPOGRAPHIC NEW UFIWL NY 11951
MAPS FIVE EASTERN TOWNS PROVIDED 6,11rIJ4-5835
BY THE SUFFOLK COUNTY DEPT. OF / �--
PUBLIC WORKS. MAP DDJ8 = *
zr' a rolctian of Section 7209 of navthcrtzed alteration or addition To !hb Capies of this survey map not bearing L/CN LAND ST EY
17' the Lard Surveyors embossed seal shall NY /v. NO. 492
,75
the t:ew fork State Education Law& not be ccn;ide;ed to be a valid true 990850
cPY.
77E= 13z.os' NOR TH BA YVIEW RD,
�1 Q ' AsPNAL r PAVEMENT
Eacr or woaos
STONEMON
LEANIEANNC SOU IN
CESSPOOL
1SEPTIC N
LOT I 52.6' � A
\TANK y \
PORCH
36.4 \�
a \ p \
Q
69.75' _
o.0 2 STORY
^
tl 2AM'X5. WOOD FRAME c I
PORCH
24.7'
n
SURVEY OF
DESCRIBED PROPERTY
SITUATE
Q wE L TOWNOUTHOF SOU
°THOLD
o
�o
SUFFOLK COUNTY, N. Y.
Z
Q' SURVEYED FOR NANCY SAPORITO
TM 1000-078-09-54
CILZ
ZONED R-40
LOT 4
SURVEYED 2 DECEMBER, 1999
SCALE I"=40'
AREA= 79,297 07 SF
OR
1.820 ACRES
N/F
h MUDS GUARANTEED TO
p� NANCY SAPORITO
FIDELITY NATIONAL TITLE INS. CO.
TOWN OF SOUTHOLD
r 11tv'Tb--
-.{3>•'RtlMr 9r n t,
co + ,J��C 3 �� 2 Ep7`•.1
, rA°t
rvtni
^. GUY9
�r sr vvtail
^e
N 72' 18' 10" W L,• ; rrz t� : k �,�� -�
c - -O^
C Y1 .,
MLAUGHLIN
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. BOX 294
*NEWSUFFOLK,
, NY 517 6
RVEYOR
49 75
NOTE: 1. 08 MAY, 2001 FINAL SURVEY. 9CB50
tre—
yKwm
OCCUPANCY OR W
, ', „ o,. - -- - — - l' �r� USE IS UNLAWFUL
-- - - �` - I <+J, WITHOUT CERTIFICATE OF OCCUPANCY-- ALARM DEVICESa PLUM I NG
{,. ,`
o _ J t--� - — — --� ry� --�I �L -� -` y� --- - --- - - - --, TO PART.721.1 WATERU ES NEED
N ro _� N.Y. BUILDING COOL hnws� cavERR�e
APP 0 0 AS N
�.
I
u LFL
> " F�" " _ C, FEE: BY; -,
c�o QKrn DJ p ��'° / - �- UP -/ y
? a / - / I - NOTIFY BUIL-1802 9 M TORI PM FOR THEFRAMING OT PROCEED
SWM
� J" ' �. u� (� t
it w �\ F - ` I FOLLOWING INSPECTIONS: F F
765
'J \ FOUNDATIDCONCRETE
OF FOUNDATI�1 U�lT10N
J �I L__ - t. FOUNDATION • TWO REQUIRED D.
a ROUGH - FRAMING a-PWMBINO - Q--
w - - - - �— -- j �� r a C & INSULATION
--i
S112- x /2. ML � � s /a X9 Ym ML d, � � o ti tl - �� 4 FINAL - CONSTRUCTION MUST v
BE COMPLETE FOR C.O. �-
ALL CONSTRUCTION SHALL MEET NcopPpp�rtubing M Used 4
-. U ---- _ THE REQUIREMENTS OF THE N.Y. N=
wtiter distributing Q
STATE . NOT CONSTRUCTION a ENEFOR
1,A-1 s yor.,u1E CODES. NOT RESPONSIBLE FOR system;piping shell be
_-- -` -- - - ! of tyP K or Lpnl
L --; DESIGN OR CONSTRUCTION ERRORS r�� '1I
T - -d — r ��' —I tl PRONFIE ANiISCALD AND/OR PROVIDE OPEMM�6 FDII O 4
m NG EMERGENCY WAPE AS
EA�GUPART. CODIE.)--- - REQUI a Q
C� THEN
ILDI
U DENC
in SM NGILBYN CODE
-
PLUMBER CERTIFICATION MONDE 8/4 HR. FIRE
T (:n 2 Y o — ON LEAD CONTENT BEFORE RATED SEPARATION TO
— x -/6 M L CERTIFICATE OF OCCUPANCY PART 717.3(Q (1)OF
III/a ML pl/o X IIr/b M� _ pp
- l " SOLDER USED IN WATER N.Y. TA BUILDING CODE
$!7 7� Y r
a F -,.�^ — EXCEED I10 OF T EAD� �T B
D°x a" ��� no F
r - I �� I ��I(_ )L' '�.1"_ILCi
�r n
� � �I I - - I [a) 2xlo(pLUSH I G: HCl SU F. s aLev� . I�c
� 1=_
TCx McP P.I Ir>q'; . o-7 e, , G -1 - S4- ,
2x ID '� -� -� -
� I nl 1,
[ );t.us +l � I `J I--- � I 6ECo�' r (= I-,T_yk. I !' �G sF L�M1,e=c 7� 1 c_il ,i-,'I
I IS/4xli�/�� � � � 7'/2n I�'/B 1✓IL � � �,�12 r< IIT/P� M , ,� /g M �
_ / ( F M Jm5-IE.f�. L.bL.LY coWMI-lo `� _I(r"x e,.. Z �Ol� r l-�S ` o SCv SC ---
;24
-
1 --- 1 1 I N a
wE, 4 u 24-' x Imo' PG Ftc�TINGI pc FIEF. p _' "m veN7 --- 3"m L
o-l.) .- -- - ---- ----� �oor
, 11ENERGY -ODCOMPLIANCE M ✓'�L'Trl /`TVA
I. x Q \ - Q 0 LL — BUndkg Design lb1''Acceptable PwCllte'.
V _ - - - - O ,
I I � � - w corutrudforL egWprnenL materfalsamstannsen to conkbrm to L�.J �hJ T��B =4ri.�r� >,, .G �o-V s-�G Suoµ�-
`{1 ,� `. Z the NewYcrk SEtde Energy ConaerveSaR Corlstrlrotlon Code.
m Ern'elope Oampn nt Rtequlred R-provldled
1L EdedorWao R-te R- Ia rlRoomar l _
Floor Mp R1.7 R 3�3 lb-
� L .LT���Np �Lf�i
_ _ __ __1� _ I .
- Entrance
_
t �� � ^� EnwraeDoora R-25
_ I WA�ler. 4' of MC���i7w
thesethe beat of my knwAedge,withal and prof kxlel proem,
these dem are in oompnence wM oda code. T rL---, �I J]
f-_— . - — , x n FFEPLVCE -L'C-*1 f-�r: jL P2 hI�N INFILjrc.7klu of ;.ocFN, Env 1-'� ( �--}� �Y
_ I , 3��2 X� �2 NIL 3�2 9%_ ML I $ IIDVE oU ('ons, 1JS n,.l bl(L 'n CM rGrl fcr-F✓L . `
;- _ o P- -
ddd O C.FNFRpI_NOTES
b — — ---- — To tr lT r,y Q
p
CIA
1. Contractor to verify all dimensions in the field. The Contractor is to notify
q o yr _ the Mtlleect or any conflict or discrepancies on the Drawings and
J CEJ �T \) Specifications.
CONCRETE It MASONRY
y �� ~ ♦ h i '.:.-5� C� _ G x4 ce r�
=, ,, r o " 1 F T — 3 — ./a coK 1. Carcmb strength:2500 psi®2g days.
_ _ _—_ .." 2. Cori rete(actings to bear an undisturbed soil,min.bearing 2 ton psf. 1 1
— — — �. -- vv J
— I-A 3. Concrete shall not be placed when air temperature is below 40 degrees F.
+--)- _ --- - -- or when concrete temperature is less than 50 degrees F. O
/ ---- -- 4. Minimum depth of footings to be 3'-0"below grade.
d-b - o ,� d ,(7,.' 5. Footing steps b be 1 :2 ratio where required,
T
G,A 6 �"�T N -- - ------ --- u I k 10 e. New foundation walls to be e"beda pounded with e.
Ila"
l
1 AI(�J V Ery ON r a-� �j' — --- fop - r _- 7. Exterior of foundation wells tobevertop of fowith l/e"thick asphalt
%�„ �C 1 I _ 0 --- _-- ' i6 +>F - mastic,from grade down b and over WP or fooling.
d �° ' e. Extedor of exposed foundation wells to have troweled on stir=finish;
Y 'C (✓-k CLL' Q ST' H- L Lx 2 Lr�XiE� sWxo b consist of Portland cement,marble dust a waterproofing agent
C1ALY. ,r-✓ F-i �iC'f'- -- 9. Fireplace damper. Donley,cast Iron.poker type;infiltration to be 20 cfm
maximum. Air Intake: Superior,cast Iron; Fresh air grille: Eiesner,
total "'
type'C',cast aluminum; Ash drop and clean out door.. cast aluminum.
f a 10. Fireplace Hearth 6 Surround: 314"square cul bluestone.
6 _ 1.J ✓ f.
,M.
I�F. ---- ELECTRICAL
1. ELECTRIC SERVICE: new a�eeo service to be 200 amp,single_ O O
ciii Service
l to be located In
u - _ v (' '\ r� 1
LIGHTING�FIXTURES as seelectedb Owner. cement
—_—�_
l 1
I\ 'J l 1 3. TELEPHONE: jedc locations as shown on Drawings.
i �U I°IPA O lei �d F• L L �r- � _ L.�1� l�° C•� , - — j 4. DOORBELL: Install push ballon doorbell at Entry door,by Nulone.
� I
5. BATH EXHAUST FANILIGHT: Nulane 0T70aFL,switch separately,
I \• j _ �{- - duct to exterior. 11
HVAC IjJ
/
1. SYSTEM: Provide and install all equipment necessary for an cul-fired
,. Zone
1: heating tsystemFloor and air-cond,goning system, zoned as follows: J�
��`}- - � `C' Zane 1: First Floor /J
_ Zone 2 Second Floor /1
_ Note: system to be designed to provide future heading and IA4�1
air-condiBbning at the basement.
��. 2. DESIGN: healing system shall be designed and guaranteed to maintain O
Ne Inside temperature at 72 degrees R when me outside temperature is
C degrees F.and ig wind d 15 MPH.
F.and shall be designed and an outside
to cool epeees l0 76 degrees
F.end 50%relative humidity when outside nit to b lura Is r, degrees F. l _
3. G E.a BENT: Pomace and Condensing Unit lobe Carder,Trane,
OIL TANK.-4 � end Install 2-275gallon oil tanks we dad steel
fiberglass meted,UL approved,boded. Fill pipe to be 24m above grade.
l
q I
�1 _- - � ..-- � PLUMBING
i '��- � l I r_ ��I i--
- - - I I`- �- I - l 1 PLUMBING FUTURES: to be ealednd; provide shutW a off valves on all
/-/x/\ water lines Aall R--Back Shower.faucets to
gallons,
lassabovegar. I/VI
2. WATER HEATER: Rork,PLY. c 75 gallons,glass limp,insulated. \1
3. DOMESTIC WATER SUPPLY: mooed to new well as per SCDHS v
C• 0 1 SANITARY
S ProvSTEM: and install water filtration and treatment as system.
(. 4. SANITARY SYSTEM: conned piping to new septic system,as per SC DHS
approved plans.
5. HOSE 81BS: Frost-firea,locations as shown on Drawings.
psi
1-17 0
--------------
-- —_ __ - -_ — — -- -- AFH rwEtH
J �
IL
A-,Tla cost"
I
TW3o510 - _ -
of _—TW 3o SIO 5 ' x 1 u a-� �. -N ��_ -- TW 285E - -Tw 2B ow - - -lW 2B'5-
/
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ROUGH a EWISH CARPENTRY _
/� w ,LC1E `fie- I-"11
1. FRAMING LUMBER: Douglas Fir No. 1 8 No.2, 1400 to(repetitive), -
E-1.Dx10. Double floor)oisl under parallel partitions and around
W openings. -
2. ENGINEERED LUMBER: MIcro=Lem L.V.L., E=2.0i psi,by Trus Joist
3. PLYWOOD: COX INT-APA.exterior glue.
4. WALL FLASHING: Aluminum.
5. INSULATION: Exterior Walls,RoogCelling 8 First Floor R-19 -----
fiberglass bats with vapor barrier.heated side.
Interior walls and Second Floor-R-11 sound control batts,unlaced.
6 BUILDING PAPER: Wets-Tyvek Housewmp; Roof-15%Fell;
Porch Roof .Gram lots and Water Shield walerproor undedaymanL
7. ROOF SHINGLES: IKO Organic Asphalt Chateau Shadow Band, - -
b
300 WWsgcare;color as selected by Architect L
a RIDGEVENT: Cobra plastic mash-continuous over rake overhangs. - -
9. WALL SIDING: CertalnTaed MainStreet vinyl,double 4'Woodgrain
Clapboard. Does a windows-Crown Moulding and 3 lir Decoradve - _ - -
Trim Lineals.
10. VERTICAL SIDING: Ymyl,B"V-joint
12. PORCH CEILING SSOFFITS: Vinyl,walnscol aryls. I III � �'-�" -- - ----
13,
13. PORCH DECKING: 514x4 Cedar stk.;CCA framing lumber. ----
14. PORCH POSTS: HBSG New Orleans turned post
15. LOUVERS: Fypon half kxwer680H-32-house; 660H-24garege. - - - -- _- -- ' - - -- -- - V
18. GUTTERS 6 LEADERS: Baked aluminum,5'Sq-11T gutters; 2•x3'
corrugated leaden,color to match siding,with cantles splash Pans.
17, INTERIOR WOOD TRIM:R R R Wood Products Co.,Clear Wh,la Pilo;
Ban-BAS540;Door E window casing-S255;Cmwn(thlui ACD215: - - -__ - w
Chair Reil(Foyer,Stair,Living,Dining,Lav,Bath)Si Moulding -
(Foyer,Stay,Dining)Feldman 8455;Wuxlows to have wood stool detail: IF - _ -__ - I
Wainscot 318'x 3111 Clear Pine(Bath)36-heightis. WOOD FLOOR: $1 Red Oak 25132-x3.11' -
I I �\
19. STAIRS: 1sg2M Floor and Basement stein; Red Oak Circle,
Pine risen,kneewell epldmtion;Coffman-C-8830 Had Circle Starting
G6045 ShmrsiL 0-6050 fillet: _ _. .. __ - -- - - - - - _ _ _ _ _- 1 � �
Strap:C-5067 Baluster(pninleE): � -(.L SIG
C-4091 Newel:"010 Traditional Hand Rail.
20. INTERIOR COLUMNS: HBSGsquare fluted. - -+ _ - -- -- - --
27.
MANTEL' To be purchased by Owner.Installed by Contractor. �r+0 F1� law _ - _ _ _ - - _ - _ _ _ __ -- _ -
_ ._
22. GYPSUM BOARD: i/2"tapered adds;moisture resistant at Bath Rooms. � IL
a i
515 Type XFkecode at Owego walls and coding.
__ - � � ;,� • ray
1
23. CLOSET SHELVING. 314 Plywood,AA,antr with hardwood edge,
• an &Unen: 5 shelves,NII depth.
ClaBsc 1 .15 shelf and hen9rod, P try
_ n
WINDOWS AND DOORS - - _ _ _ ✓ , ~r
1. WINDOWS 6 FRENCH DOORS:Andersen,while,High-Perbmnxnce
glazing.with scream and interior wood grilles,white.
2 EXTERIORDOORS: Entry-ThermeW Double 81501 Fiber Classico; -- -- �• _ - - � - - - - \ _ __ _ _ _ _ �- - -
Gempe80lchen-Benchmark Williamsburg 6 panel steel door and frame,
with insulated core,weatherstripping and self-closing hardware.
GwgarPorch-Bentllmark-Colonial 9llghL mi OVERHEAD DOORS: steel panel;Provide antl Insall electric automaticopenersaleachticec _ IN INTERIOR DOORS:Masonite,2 panel.MBR/Attic-solid cos Birch,with weathesWPping ' lI:LEY 1__ _ - 1 _ ,�� �� _ • -'
5. HARDWARE: Scrdage,A Series,Plymouth,Bright Brass 605. _ - -- -- -- _- - - - -
Entry-Grip Handle, GasgelPorch S KltcheNGarage- A63PD with
B160N deadholt keyed alike. --
Interior Doore-M08 Privacy lack; Closet Doors-A10S Closet Lalrh
6. WEATHERSTRIPPING: Neoprene gasket at Hall/Basemenk CIMIJAttic r� �
EINISHFS
1. EXTERIOR TRIM(Porch Posts d Rails): 1 prime coat, 1 finish coat I t-` -t f IT<-7 T1 tiir-'
wi enamel latex paint ( 4-- -t
2. INTERIOR: DRYWALL 1 primed 1 finish coal later Dat paint
3. INTERIOR DOORS d TRIM: 1 prime,(coat satin enamel latex paint I _
4. OAK FLOORING: and,slain,1 coat sealer,2 toes PUYu1001e0), - - - 1
said finish
CERAMIC TILE
' LAUNDRY: Soon end beats J
EN B Aar LAV. BATHS -- -I - '
1. KETCH Rwner. _
eelacrian by Oalw,
M.BATH WALLS: 3W height
SHOWERS: base.wass,bench and calling.
2. INSTALLATION: mudsetfor ROOM Wnsat for wells; � � � ( `HI' ,� L- �- �✓ ��, I- � �� f�"_� �-I-,.
ahawer base to have sloped rubber membrane;
slower and Nb(vats and coding to be set mer Wonderboi
Rehr ACCESSORIES
1. MIRRORS: 1W Polished plate glen,fW ahf mrd varies.
2. SHOWERDOORS Bard-OVWWMgath-brightbserswtgdoor.
3. TOWEL BARS,SOAP 6 PAPER HOLDERS:as selected by Owns.
LUIL Vlly Y-- E�.LUM , FL hSHInJr�! T
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