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HomeMy WebLinkAbout26526-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No: Z-28338 Date: 04/15/02 THIS CERTIFIES that the building ADDITION Location of Property: 1065 FLEETWOOD RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 137 Block 4 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 8, 2000 pursuant to which Building Permit No. 26526-Z dated MAY 25, 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 DECK ADDITION & 2ND STORY ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. (THIS UPDATES CO Z-27411 DATED NOV. 16, 2000) The certificate is issued to PHILIP H. & DEBRA J. RYBECKY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-067936 05/15/00 PLUMBERS CERTIFICATION DATED N/A uthorized 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. 26526 Z Date MAY 25, 2000 Permission is hereby granted to: ARLENE J LAMPARTER DIX HILLS,NY 11746 for REPLACES BUILDING PERMIT #9065 . NEW PERMIT FOR SECOND FLOOR_ _ ADDITION ONLY. at premises located at 1065 FLEETWOOD RD CUTCHOGUE County Tax Map No. 473889 Section 137 Block 0004 Lot No. 024 pursuant to application dated MARCH 8, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authori ed Sigirature ORIGINAL Rev. 2/19/98 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-27411 Date: 11/16/00 THIS CERTIFIES that the building ADDITION Location of Property: 1065 FLEETWOOD RD CUTCHOGUE (HOUSE N0.) (STREET) (HAMLET) County Tax Map No. 473889 Section 137 Block 4 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 8, 2000 pursuant to which Building Permit No. 26526-Z dated MAY 25, 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 2ND FL. ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. (THIS REPLACES BP 49065 DATED 3/1977) The certificate is issued to ARLENE J LAMPARTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-067936 05/15/00 PLUMBERS CERTIFICATION DATED N/A /./u/orized Signature NOTE: DECK IS NOT INCLUDED IN THIS CO. Rev. 1/81 LU 1I'D l.a ., ULI :J,I.ia.u♦ TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY QTIU ap'pAcation must be filled in by typewriter OR ink and submitted to the build tl inspec `or ` ith the following: for new building or new use: Inurvey of .property with accurate location of all buildings, property lin 'cntSTH d and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 for+ 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buila 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 "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 applic. If a Certificate of Occupancy is denied, the Building Inspector shall state th. 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 $25.01 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 - _25e. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . 1.\� ):y� V4. . . . . . . . . . . . . . . . . . . New Construction. . . . . .. . . . Old Or\Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . .A.�l�?. . . .\'S,-5..\. '!Oa ..• . . � r�G�1-dAVL.•�- �• - . . . . . . . . House No. Street �� \ Ha et Onwer or Owners of Property.. . . . . W„A.,. Q�,'1MP`!). .' 1.. . . . . . . . . . . . . . . . . . . . . . . .. . County Tax Map No 1000, Section. t. ;:7 .^^.1. . . . . . .Bl ock. . . . . . . . . . . . . . .Lot. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Cert at . �. . . . . . Fee Submitted: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . APPLICANT c� GARY FLANNER OLSEN �8 1 Main Rd, PO Box 706 C 0 z a7yl/ Cutchogue,NY 11935 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8C797W BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 r D Date HAY 15,2000 Application No. on file IC1048900,00 H 067936 k r THIS CERTIFIES THAT c on the electrical equipment as described below and introduced b the t /yy applicant named on the above application number is in the premises of E r c ARLENE LA11PM.TER,DIX HILL, 1065FLEET�� J Fi--7O7(3D ROAD, 3-BAYARD DR. ,D.CICCOTTO, CUTCHOGUE, NY i in the following location; ® Basement IXI 1s1 FL LT, 2nd Fl. Section Block Lot r L was examined on t3AY 08,20M and found to be in compliance with the National Electrical Code.- c r L FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS t OUTLETS INCANCESCE FLUORESCENT I OTHER AMT. K.W. AMT. N.W. AMT. N.W. AMT. K.W. AMT. L e 4 c DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS L SYSTEMS t AMT. K.W. OIL N.P. GAS H.P. AMi, NO. A.W.G. AMi. AMP. AMT. AMPS. TRANS. AMT. N.P. NO.OF FEET AMT. WATTS L e c r SERVICE DISCONNECT No,of S E R V I C E L METFR AMT. AMP. TYPE EQUIP, 1/RW 1/JW J/3w 3/4W NO, .We S OND. OF CC MOND. NO.OF HIAEG OF NIAEG NO.OF NEOTRAa ONLLL LL L e K P OTHER APPARATUS: L r F r. *NO VISUAL. DE^ECT5s "Ar, electrical F r- survey has been made of the exposed n electrical egQipment in the premises indicated." "No obvious c n unsatisfactory condition was found. u — n u n SEAN J. CONWAY EBQ. 700 VETERANS MMI.HIGHWAY HAUPPAUGE, NY, 11788 GENERAL MANAGER r 11 EPer E This certificate must not be altered In any manner,return to the office of the Board It Incorrect.Inspectors may be identified by their credentials. F -- ---: COPY FOR HU7IDING MENT. THIS COPY OF' CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ' o�oSUFFot,��, OGA Town Hall,53095 Main Road o '� Fax(516)765-1823 P.O.Box 1179 W Telephone(516)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 3 , 2000 Arlene Lamparter & Denise Ciccotto 3 Bayard Dr. Dix Hills, NY 11746 RE: 1065 Fleetwood 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) 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 . No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26526-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. AiVCN 11 CONSULTING ENGINEERS May 04, 2000 Our Reference Job No. 009907 Subject: Addition to 1065 Fleetwood Drive, Cutchogue,NY To Whom It May Concern: We have been retained by Lamparter/Ciccotto to inspect the second floor addition to the referenced residence. It is our conclusion, as signified by our stamp below, that the addition is in accordance with the New York State Building Code (NYS Code). The walls are framed with 2 x 4 wood studs, spaced at 16 inches (') on center(o. c.). At a span of eight feet ('), this framing is capable of withstanding a load of 35 pounds per square foot (psf). The design wind load from the NYS Code is 18 psf. The roof framing consists of 2 x 6 wood rafters, spaced at 16" o. c., and spanning 11' - 4". A live load of 30 psf(NYS Code) plus a dead load of 10 psf can be safely supported by this roof structure. The outside deck is framed with 2 x 8 wood joists spaced at 16" o. c., supported at the building foundation and on two (2) rows of(2) 2 x 12 wood girders spaced at a maximum of 8' - 0" o. c. These girders are supported on posts for a maximum span of 8' - 6". The deck, so framed, can support over 100 psf,which is well above the allowable design load of 55 psf(including dead load). The above focuses on the main structural components. However, all structural components were inspected and reviewed, and also found to be correct. The second floor addition and the deck, therefore, are adequately constructed. Please call if there are any questions. Very truly yours, �hr ARVENf, S ARVID J. BAUSCH, P.E. President AJB:acb ARVENT, INC. • 103 SPRAY STREET • MASSAPEQUA, N.Y. 11758 • (516) 799-6286 State of New York) County ofy` u f f-b On the 2-0 CA day of tylcLrCh in the year ZULU before me, the undersigned,C4 tIUACLVq&J f-�4'*LL -personally appeared rb i A personally known to me on the basis or satisfactory evidence to e th in lvidual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s),or the person upon behalf of which the individual(s) acted, executed the instrument. 1� A' otary Public JUt1E L.iNDELICAro NOTARYNQ sTXTE 0F N.Y. 011N0028535 QUALIFIED COMM.WlyiEB aN 08102101Y Qualified in Suffolk County SEAN J. CONWAY ATTORNEY AT LAW 700 VETERANS MEMORIAL HIGHWAY HAUPPAUGE. NEW YORK 11788 (631) 265.8135 OF COUNSEL Wende A. Doniger May 23, 2000 Southold Town Hall Building Department 53095 Main Road P.O. Box 11791 Southold, New York 11971 ATT: Mr. Verity RE: 1065 Fleetwood Road Cutchogue, New York Dear Mr. Verity, Enclosed please find One (1) Original Engineers' Report from Arvent, Inc. in reference to the application for a Certificate of Occupancy. If there are any questions or concerns, please feel free to contact my office at the above telephone number. Very truly yours, jo �;� Sean J. Conway SJC/dc Eric. oc: G.F. Olsen, Esq. (with enclosure) S. Burke, Esq. (with enclosure) A.Lamparter(with enclosure) VIA OVERNITE MAIL May-23-00 02c2t3P GARY FLANNER QUSEN.ESQ . 616 734 7712 P-01 MY-L3-UU 'Wh 13:b4 FIVE BARRISTERS FAX NO. 18317241096 P. 01/01 AiVIn r70 n r— I eN CONSULTING ENCIPIKERS May 04, 2000 U Our Reference Job No. 009907 Subject: Addition to 1065 Fleetwood Drive,Cutchogue,NY To Whom It May Concern: We have been retatasd by Lampaner/Cicootto to in the second f1cor addition to the referenced residence. It is our conclusion, as sigttifie by our stamp belaw,that the addition is in accordance with the New York Stato Building Code(NYS Code). The walls are framed, with 2 x 4 wood studs, spaced at 16 inches 0 or.center(o. c.). At a span or eight feet('), this framing is capable of withstanding a load of 25 pounds per square foot(psf). The design wind load from the NYS Code is 16 psf The tuor framing consists of t x 6 wood raRcra, spaced at 16"o. c.,and spanning I V-4". A live load of 30 psf(NYS Code) plus a dead load of 10 psf can be safely supported by this roof structure. The outside deck is framed with 2 x S wood joists spaced at 16" o. c.,supported at the building foundation and on two(2)rows of(2) 2 x 12 wood girdcrs spaced at a maximum of 8'-O" o. c. These girders are supported on posts for a maximum span of W-6". The deck so framed,can support over 100 psf, which is well above the allowable design load of 55 psf(including dead load). The above focuses on the main struotural components, However,all attuotural oomponente were inspected and reviewed.and also found to be correct. The second floor addition and the deck, therefore, are adequately constructed. Please call if there am any questions. Vey truly yours, �� _ A ARV ,.fie -� ARVID 1. -UMUSCH,P.U. President A-IJ3:acb ARVENT, INC - 103 SPRAY STREET • MASSAPEQUA. N.Y. 57758 " (SIG) 799-62EIS SEAN J. CONWAY q ATTORNEY AT LAW 700 VETERANS MEMORIAL HIGHWAY HAUPPAUGE. NEW YORK 11788 (631) 265.8135 ` 'r�y L` Le OF COUNSEL Wende A. Doniger May 18, 2000 Southold Town Hail Building Department 53095 Main Road P.O. Box 11791 Southold, New York 11971 ATT: Mr. Verity RE: 1065 Fleetwood Road Cutchogue, New York Dear Mr. Verity, Enclosed please find One (1) Original Certificate from The New York Board of Fire Underwriters in reference to the above premises. If I can be of any further assistance, please feel free to contact my office at the above telephone number. Very truly yours, Aean . Conway SJC/dc Enc. cc: G.F. Olsen, Esq. (w/o enclosures) S. Burke, Esq. (w/o enclosures) A.Lamparter (w/o enclosures) SEAN J. CONWAY ATTORNEY AT LAW 700 VETERANS MEMORIAL HIGHWAY HAUPPAUGE. NEW YORK 11788 _ MM (631) 265.8135 �wU OF COUNSEL Wende A. Doniger L r' May 2, 2000 Town of Southold Building Department PO Box 1179 Southold, New York 11971 Att: Mr. Verity Re: Property of Lamparter/Ciocotto 1065 Fleetwood Road Cutchogue, New York Dear Mr. Verity, Enclosed please find two (2) original new surveys of the above referenced property indicating elevations. I am in the process of getting an affidavit from an Engineer to establish work performed as per code. Thank you for your patience in this matter. If there are questions or concerns, kindly contact the undersigned. Very truly yours, Sean J. Conway SJC/sc ca S.Burke, Esq. G.Olsen, Esq. A.Lamparter Original Sent Certified Mail. GIA ASSOCIATES • A Q CC a 0 V E (C V TO: TOW 1J OF SOVTIAOL-Q r �q)�N 2 2-000.�Vil.ptli(r 17E?PJZTN50,T, DATE: SOV- 40L,jq TowN VIAL.(, RE: P?joiZ auo i rq_--Zr41T/6,0, P O, 207(. 117LAmem- mR/GICCOTYO 00-5 Soi� naoj.Oi n1, ! it q 7 i 1465 FLEE- woop DjfvF_, GtJTC!-VOGUE NAY ATTENTION:CHIEF aoi-jgjoJf ornciAL- WE ARE SENDING HEREWITH: r70riginals ❑ Shop Drawings Photographs PklOzalid Prints A-Specifications ❑ Photostats ❑ Blue Prints ❑ Test Reports ❑ Samples ❑ Copy of Letter Survey FOR Approval ❑ Distribution ❑ Reference ❑ Comment ❑ Estimating FT%tVAC.C. ❑ Your Information ❑ Construction THE FOLLOWING ACTION APPLIES ❑ Approved ❑ Disapproved ❑ ❑ Approved as noted ❑ Resubmit Number Draw. or Latest of Copies Spec. No. Date Title �j sfTS . I on AS- SU)L.T PLANS - .51FNr-n ,ANao sFIALGn. { A1991-11; 3/?/0o PPeM1lT - sIG-IJC70r" IJO-11094220V, (Z) C H5-45 FIR -9 7S. ro -SO 19d, ,L ??LiC. F&e, l TY, SILL 12f 4 GOrY OF T^-'7L BILI,. 3 SURv>j 2 I6 0o S V rzvr-- Y - S 10r-weo Awls 5f7l� f'I Io TOS, i2 PH0TD5 of C-x15c-1N� 13 UIW11V�. SENT VIA: bEA� Is' ❑ Air Mail C5?WvC25 AQ-e ,b, GV fL1r-G-WT rst Class Mail C,O, t=09- VVftp05'r 01F 5 F C.Li U�. I�TOuS� ❑ Parcel Post L'E4v�—ALL yV� Ar1''4,C--e-lA rP- A(.,L `1` 00 ❑ Express ❑ Our Messenger Tvwiv- Ypv' ❑ Your Messenger n COPY TO 6143 JERICHO TURNPIKE • COMMACK, NEW YORK 11725 • (516) 462-9818 SEAN J. CONWAY ATTORNEY AT LAW 700 VETERANS MEMORIAL HIGHWAY A� HAUPPAUGE. NEW YORK 11788 (631) 265.8135 L. _ OF COUNSEL - Wende A. Doniger - - March 25, 2000 Southhold Town Hall 53095 Main Road Southold, New York 11971 Attention: Mr. Verity--Building Department Re: Premises: 1065 Fleetwood Road, Cutchogue, New York 137.00-04.00-024.000 Dear Mr. Verity: Enclosed herewith, as per our discussion please find an affidavit from my client Arlene Lamparter with reference to the above property. The additional information you requested shall be forthcoming. If there are any questions please do not hesitate to contact me. Very truly yours, ""I SEAN J. CONWAY SJC/vmh Endosure cc: A. Lamparter Stephen Burke, Esq. Gary Ranner Olsen, Esq. STATE OF NEW YORK) ) ss.: COUNTY OF SUFFOLK) ARLENE LAMPARTER, being duly sworn, deposes and says: 1. That I am one of the daughters of the late Edward Hussey a prior owner of the property located at 1065 Fleetwod Road, Cutchogue, New York. 2. That I am one of the owners of the referenced premises and am fully familiar by personal knowledge with all of the facts and circumstances as stated herein. 3. Approximately from the Spring of 1977, my father Edward Hussey obtained a building permit and proceeded with construction on the referenced property in conformity therewith. The construction was completed with the following: Second floor addition with a. Two bedrooms with a bathroom and a shower stall; b. A sitting room C. A staircase from the first to second floor 4. In addition, he expanded the existing deck as illustrated in the papers submitted to obtain such a building permit, which papers are anne"LAMP rewith. Sworn to before me this 25th day of March, 2000. I -Notary PubliwwcowwNO,o- llOtffrll j&zA0015 vYhtk o elmw.in cuff *CouMY ab 0 Expires March 18, 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPLACES CHIMNEY REMARKS: Z-4- DATE DATE INSPECTOR �J SUILDIN PT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] #SULATION [ ] FRAMING [ ✓]/FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ave DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPILACE & CHIMNEY REMARKS o 40 —- DATE ( INSPECTOR M-11102 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE INSPECTOR FIELD 1ASPECTION REPORT DATE ---_« _�__------ ------------------- COMMENTS II II .ry II tl FOUNDATION ( 1ST) FOUNDATION (2ND) -II II _________________________ ii u I ty if---- -JI-------- ------ ------ - Z ROUGH FRAME h 0 PLUMBINGTr JI------------- ------ it II INSULATION PER N. Y. STATE ENERGY CODE ri u u it l0 GSD _ ]�--�----- 11 Villa y - -- if FINAL q ` r r --II II aa=aaaaaa=aa.aaacaaa=aa—�-c=aa==aa�;aaa==caaa-= aa�aa=ra=sa=aaa==aa==a=s=aaa==aoaa=== ADDITIONAL COMMENTS: 00 t 00L ov 91 4t H V 1 H d r z b H BUILDING PERMIT Iz VTF.W CHECK LIST Applicant/ Date sZ�Da Owners Name: Reviewed: Architect/ Date Engineer: R b5cr n A. G t a Submitted: 3 " 9 SCTM M QL District: 1.000 Section: _ Block: 4 Lot: Project � -^ Subdivision Location: 1 l ePia � A(ame: Single&separate Required certification: (Yes/No) Req. R Zoning District: [Lot size: ! ZA970 Actual: /O !�. [Lot coverage roposed: ] Req. Req. Req- [Front Yard Proposed: [Side Yard Proposed: 1 [Rear Yard Proposed: ] Project Description: edlre AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES S umber Suffolk County P Health Dept. New York State D. E. C. Town Trustees Town Zoning PP Board approval: Town Planning Board approval: Flood Plane Elevation ??? O Flood Zone: Notes: �„ao . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Eromined.. ... .. �f..... `A� MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved...... ., A Permit No. d?4 � . ''yi ................................... Disapproveda/c .................................. ....................... ............. ...................................... 8 2007 (Building Inspector) APPL CATION FOR BUILDING PERMIT _-, M,�tut1 2 2e�o INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mist be drawn an the diagram Which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection througbout the work. e. No building shall be occupied or used in Whole or in part for any purpose Whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICN IS HEEMBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Tone 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 cdmply with all applicable laws, o mance , building , housing code, and regulations, and to admit authorized inspectors on premises and in ild' necessary tions. I (SignayaVof licant, or name, if a corporation) �I¢3 J>=pacm} � v2v�lxrr� 6OM14AC4 W( 11-725 ................................................... (Mailing address of applicant) State whether applicant is owner, lessee, agent architec , engineer, general contractor, electrician, plumber or builder ........................................................................................................................ Nave of owner of remises . LAM('Ai2TE(L laf2LEwe J . E.. C I CGo i,ro D Ef l l Se L . p ................... ................... .................................. (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. ..........,uA........ Plumbers license No.. ............q/J `........ `\ Electricians License No. Other Trade's License No. ......191A:....... I. Location of land oa Which proposed work will be dale...,.ti?QED(L j3U1( l CSsev-)Pa C6� ... .. ........ J069 FLES-rwooD bfz)V� CVTCiA0&0E NJEW Yt7l2 - ............................... ....h..................... .�......................................... House Ncnber Street Hamlet Canty Tax Map No. 1000 Section ... i 37.00... Block Lot Subdivision 1. .......... Filed Ma No. lnt Map (Nam) 2. State erasting use and occupancy of premises and intended use and occupancy of proposed construction: a. E)dsting use and occupancy ... 51NGLE r-AMIL'' 121^S! 1Jl^Nl S4\ME b. Intended use and occupancy ............................................................................. N/a Nature of fork (check wbidh applicable): New Building .......... Addition .......... Alteration ....... ... Repair ............ Removal ............. Demolition ............ Other Wo .................................. ( NSTI)fG fTp13GNit Tb 1ZfMA11�j. (Description) Estimated Cost .....t,/.A:...... ( I 0,00 ATTAGE Np fee ... ..............I........ �.... .......... (to be paid on filing this application) If duelling, number of duelling units Si NG 1 tuuber of dolling units on each floor .. . ..�� :..... Ifgarage, number of cars .. ft............................ If business, eom ercial or mixed occupancy, specify nature and extent of each type of use... ..N/ttT.". .......... Dimensions of existing structures, if any: Front..3 4:j........ Rear . Rr.+....... Depth `3 3 r3........ Deig)ht .......I................ Number of Stories ....2:. ... .... Dimensions of same structure with alterations or additions: awht ............... Rear ... ....... ... .. Depth .................... Height .................... Number of Stories ............... Dimensions of entire new construction: N1A '................. Rear ............... Depth .. .... .... .... Ileight ......................... Huber of Stories ..................... Size of lot: Front .................... Rear .................... Depth .................... 1. Date of Purchase ..................... Name of Former Owner ........................................ Tore or use district in which premises are situatedhv-f IA L ' Does proposed construction violate any zoning las, ordinance or regulation: ....W& ............... i. Will lot be regraded ....N/k.......... Will excess fill be removed from premises: N/N.Y X46 NO I. Names of Owner of LAN7A9_reY. ClCeo'700. Address3.1.�AYAFO DV-. D1XIAILL5 • P4a t7o3�,�-tJi64 premises ............ .......................................... Nae of Architect .G•iA ASSt?G ; 1�( Jt IUGr �,e0MMAGIC 11-1 pts s 4 _.. A............. Name of Contractor ......NAI:....................... Address ...............................Phone No. ....... .... i. Is this property within 300 feet of a tidal wetland? * YES .......... ND .......... *IF YES, SO' rim TVA IRUSIIhL+S PS[HU MAY BE RLJWRIrED. PLOT DIAGRAM locate clearly and distinctly all buildings, c#hethnr existing or proposed, and indicate all set-back dimensions rom property lines. Give street and block amber or description according to deed, and show street nares and indicate xther interior or cornett lot. CS>rE: Ai"TRICy�p StJTI-V�.YS J ME OF MU YORK, ARMY OC t rJ ,� `\.... .................fi`.� ...`'.�.t�........................being duly sworn, deposes and says that he is the applicant Jame of individual signing contract) me nawd, is the ......... faG. ��TC.• r :.............................. ..................................... (Contractor, agent, corporate officer, etc.) r. said owner or owners, and is duly authorized to perform or have performed the said work and to make and Me this pplication; that all statements conitalned in this application are true to the best of his knowledge and belief; and That the work will be performed in the manner set forth in the application filed therewith. worn to before methis � ..................day of . .r. .. �L1 Nosy hq119E Lr RZELICAV••{+��. � NOTARY PUBLIC,STATE OF ,NY ••'••"'• ••'• """"••'•"'••••"" NO,GiIN6028535 J (Siam Applicant) QUALIFIED IN SUFFOLK COUNTY COMM.EXPIRES ON 08/02/01 Z 000-13, 12 h� ✓ Qo J , ,r 'l P v n 'v o u �ysW e W Gy A}.o DEC.e A�Bf. _Vf NY tr� J GNA 4 J 5�eP5 , a,vaec Z 6Tgx d 3 AO d?AB° �r�T: 8 O NC 3 W 1 K 0 W fNF- LA^N �jDNL Com ") o' W m `� ..s eMF-e of GF N 7ao 00 mos. 0 � �T' ti/o o D UNAUMHORIZEO ALTFRAEION OR ntP OF PPLOPl<(LTV AMMON TO nils SURVEY IS A ♦p(/� VIOIATION OF SFCTRIN' OF THF NEW /� /� r t C V / �I^1ND YORK STATE FOLYATION LAW. S ITu• ,T[- / T': r�EETJ F-C4 , ® V T. ��� COPIES OF THIS SURVEY MAF NOT IIEA((�QA���y ,SEALN R•MBOSSEDTHE DSEAL SHALL NOT BE SURVMRS CuTe„H o&wr cl CONSIDERE.DHY BEA VXLH)nUECOPY TO(A14 OF 2500THOLD -+ UARAMEFS OR CEREIFICATPONS 1' INDIGTFOHERFONSHALLRUNONIYTO THE PERSON FUR WHOM ME SURVEY IS `-�uFFoLK GoUnlr�/A " �w /ONK PREPARED.AND ON HIS BEHAIFTOTHE COMPANY, GOVERNMENTAL. SUP\\&-y ED: FE-B. I,^v l 7-000 'i. AGENCY AND LENDING INSTITVHON dOj � MSEFP HEREON,AND TO ME ASSIGNEES GE2TIFIED ONLY Tn: // \S . 050) OF TIF. LE aRY7w INPTrNSTHIRON OvnRnN7E OCE1 ARE N NOT TRANSFERABLE TO ADDDOONAL A2L.E-A1E. L-AynPA9-T`6INSI'TNITONS OR SUBSEQUEPO OW M. FAS YSIGL MENT ON PROPERTY EA115 E G I GGOTTO NO PHUNLESS NO I. RECORDEn EASEM S OR RIGHT Ok WAY'S,IF ANY NOT SHOWN. ARE NOT CERTFIED. WALLACE T. BRYAN LICENSED LAND SURVEYOR H 39 PAULANNA AVENUE,BAYPORT,NY 11705 TELEPHONE(516) 472-7770 6cAL.P—: 30 5c-'rt : t000 - 137.00 - o 4.00 - 07-4.000 vo�, o J 0 Y ' `it 12 ✓f T�Er o•N Nt Q VQ ''� 5 n t� / V,, o a !k 'w vW� N A� O� 4 5>EPS ✓NAFt I z5.i ,s J I FF= A1.o n �v 31mP + Srgp,., Ae-e-d5. NoN I 39.i iS rh 3 nr� �q � 3 ; a Tw Iz.4 N o OI C 0� ro fHE LA ToNL Cv � zoo L ,f Gti� N • m / . s Foer+no Y MoD 00 o �✓ oqD -' ..._- �.'� DNAUTHORII.ED ALTEILVDION OF n.P of PrzoP��ry ' +` �c� ' p .. V oouTpNDFTHIS+ SURVEYIs H: SITUATE- A,-r: F-EE7--5 ) F—CK , a' ti'��.0 T. ,C=r:<. '` YM STATE EDUCATION uw: COPIES OF THIS SURVEY MAP NOT CU T(✓H 0 GU F- ;r BEARING THE LAND SURVEYORS fNRED MI5L OR UABOSSFD SEAL StUll NOT RE COTSIDFRFDTO BEA VAUD7VVEGOrr. ToWAI of SocTTHoLD GUARANTEES OR CBKRF[CAVON5 +. Y,. - '� RiDIc:ATED HE0.EON SHALL RUN ONLYTtl -6UFFoLle GoVnIT-y, rJ�W \/ORK '- " s' n"'EFrA�:Eo"�"ANON'a nsWHO"Rv"in�Sro e .T �+ TTTT.E COMPANY. GOVERNMENTAL •SUR.+lE�/ED: FE-B. leo , 7.000 c.L�Y�T1onl5 AAD�D nPR1E Z Z000 ��. a AGENCY AND LENDING D+s OH �O, ,'`T�..� ?•.,a,,,••.i� «a+ LMM HEREON,AND TO THE ASPGNFES CE2T}FIED olfL!/ -M: of THE LFrwNc wsmTma+ GUARANTEES OR CEKDFICATIONS ARE NOT TRANSFERABLE TO ADDTHONAL AF-LE-N& I--AlIvAg-TE.9. DTSTTRITTONSORSUSSIRWENTOWNFRL DEh1156 G I C.CoTTo NO PHYSICAL EASEMENT ON TxxUm UNLESS NOTED.RECORDED EASEMENT$ OR RIGHT OF WAYS,IF ANY NOT SHOWN. ARE NOT CERTIFIED. WALLACE T. BRYAN LICENSED LAND SURVEYOR 39 PAULANNA AVENUE,BAYPORT,NY 11705 `-A' GALE: 1 ' 30 5c-rN{: l000 - 137.00 - o4.00 - oz4.oao TELEPHONE(516)472-1770 �IrItlYR1M#NIIIMIIIAIMIplIIMSYYIIMYAIAIlyIIIIIMYIIAIMlIIIIM11111MIIIIIMIW{IIM11111pp11 RIYlIYBYIMIIIAIr111A11 • I 1 ' I i BAIr.m1AIM6'tl1YIMl1lAIM191AIMItlImIMI1pAIMIAl11MY1 plr#mlglM6tlIMM11111MlIIAIMIIl11r pillydtl{IIMIIIAIrill _ , 111AIMFN@mIMiNINYMIIII6Mi1SRlr1WSAIMi1111MI11AIMP1IYIMI1lmI�111YIMIm1A1lIp1Yli911M IAIIIdtlitlRMMI11AIM11�, I��Ml�, �� '' '' ' ' IMIIYAIMipIWiMfNIWI©I�tl1AIMYRYNIrYOIniMIYF11MltllIIM6N8MMlIk1M,IIaIM8111iriN111M1 i 1rI11AIMI1INIM#1@RIMY! - ipi�pilm !MIpWNI£I6pla! 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X14' .I _ ,t , •n , . 4 I - i " " X l '_� T �IIN' � . � N � �P L lel E X I S T I N CC I iR S T `I )= LOOK PLN L„E ,: ! � '%Fo�. ' ONE '� POO' T SCALE : / q = ONE FOOT P II45 . 5" ' SQ,'U /� R EEr,T IN, GUpLN',G 5 'ARA6E 1145 . 5 SQUARE FEET , i EX.ISTIN� GONDITION S at the LAIMPARTER / GIGGOTTO RESIDENGE IC)65 FLEE-ThI00� DRIVE GUTGHOC�UE, NY ill FIRST FLOOR, = 1145 .5 562,j FT. SEGO.NI7 FLOOR = 610.5 50. FT, G\StEnEo AacH,T � I A A �SOG I AT E � �RGHIT�C, -17 TOTAL FIRST AND 5EGOND FLOORS =1 1756 50. FT, 6143 JERIGHO TURNPIKE, GOMMAGK, N.Y. 11125 a (516) 462-1818 FAX (516) 462-8453 III CI=L,LAR' = F145.5 5Q. FT. �NGLf�DIIV� �'Af�A&1= ' 's��e" ' e �e� e t DRAWN BY: LJSRA PROJ: N—O;:' r OOggcl REAR "NOOD DEG< 405 50.' ,F-r, IN'CLIJIIIDINO STAIRS DATE, N. logo Drzw6. No .: �1, � l 24'-b" I II ♦ ROOF _ _ __ _____ _ _ ___ _ __ _ _ _ _ — l n 'r WINDOW WINDOW ' — I Wc. BATH RM. ROOF I I Q GL05ET CLOSET ry LAV. SNOMER a p Z h U I x $ LL05ET LLOSET Ii I RM - 1 l'-b'LL6.HT. ' 2/4 DOOR I I m ATTIC .{ ry � I I I a � I y I p I ry I o I -i J I � LL I x � I ♦ IV EDROOM ' T-6'GLC. NT. i 51TTIN6 AREA WN 13 ' � I T-b'LL6.NT. RISERS I 2/6 DOOR I . _r WINDOW WINDOW WINDOW ❑ -- --- -- - -- ------- --- -- - -------- ----- - ROOF ROOF ❑ " I _ I I I I ' I I LINE OF FIRST FLOOR BELOW I I - I I I I L —— i T 24'_b" I IIS EX15TI NCS 5EG0ND F L 0 0 R PLAN 5 G A L E 1 ' / 4 = ONE FOOT 6 1 0 . 5 5 Q U A R E F E E T i EXISTING-5 GONDITIONS of the LAMPARTER / G I GGOTTO RESI LENGE 1005 FLEETWOOD C>F-� I /VE GUTGHOC�UE, NY ' S6REU A,�Ch/ � I A S� S S O G I ATE- Q��\osPa� ' cr°l AFZGI—I I TSG -F!F e 143 JERI H 6 G O TURNPIKE, GOMMAGK, N.Y. II"125 462 6818 FA (516) FAX (516) 462-6453 DRAWN BY: LJSRA PROD. No .: 9G to _ 00 9 a t DATE: JAN. 2000 � DRW6. 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