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26603-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27582 Date: 03/23/0 THIS CERTIFIES that the building DEMO & NEW DWELLING Location of Property: 28280 MAIN RD ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 18 Block 6 Lot 23 .1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 20, 2000 pursuant to which Building Permit No. 26603-Z dated JUNE 21, 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 CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH COVERED FRONT PORCH AND SECOND FLOOR AS APPLIED FOR The certificate is issued to CARL & DANIELLE DEMAREST (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0084 03/IG/01 ELECTRICAL CERTIFICATE NO. 46175 01/16/0 PLUMBERS CERTIFICATION DATED 02/28/0 VAN ETTEN PLUMBING A tho ized 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. 26603 Z Date JUNE 21, 2000 Permission is hereby granted to: CARL & DANIELLE DEMAREST 28280 MAIN ROAD ORIENT,NY 11957 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH COVERED PORCH AND SECOND FLOOR AS APPLIED FOR. at premises located at 28280 MAIN RD ORIENT County Tax Map No. 473889 Section 018 Block 0006 Lot No. 023.001 pursuant to application dated JUNE 20, 2000 and approved by the Building Inspector. Fee $ 557 . 00 Z�l Authors d Signature ORIGINAL Rev. 2/19/98 (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. 26603 Z Date JUNE 21, 2000 Permission is hereby granted to: CARL & DANIELLE DEMAREST 28280 MAIN ROAD ORIENT,NY 11957 for DEMOLITION OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 28280 MAIN RD ORIENT County Tax Map No. 473889 Section 018 Block 0006 Lot No. 023 . 001 pursuant to application dated NNE 20 , 2000 and approved by the Building Inspector. Fee $ 159 . 60 Authoriz Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL J 765-1802 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 of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 12 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 x$15.00, Commercial $15.00 Date a. I D.1. . New Construction. . . I . . . . . . . Old Or Pre-exist' Buildi Location of Property... . ..a q.,21 W. .. . .. . . . . . . . . . . . . . . .. t�.?I4:7 . . . . . . . . House No. ff StreetHamlet V^Hamlet Onwer or Owners of Property. 0 Y. .1. . . ��Cl . r1 E.�`.Q. . ��m ! .et��. . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . .1 b. . . . .Block. . . .Z)&. . . . . . .Lot. . .B. +. .1 . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f� // Fii/ed Map. . . . . . . . . . ot. . . . . . . . . . . . (] . . . . . Permit No. . ., .k ? D. . . .Date Of Permit. . �l/. .�1.4'.�. .Applicant. . . I��.�l.��. 4 . . . . . . Health Dept. Approval. . . . . . . . . .. . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . .. . . . . . . . . . . . . . Request for: Temporary Certtivvficate. . . . . . . . . . . Final /C]erticate. . . /J Fee Submitted: $. .a'� : .�k,✓. . . . . . . . . . . . . . . . . D. p4/ . / �"'iiz� ���•:?'�'?� �. 2758 t, APPLICANT �SpFFO(kC49 Town Hall, 53095 Main Road y x Fax (516) 765-1823 P. O. Box 1179 0-o 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. 266o3 Z Owner: 40ay&,r„rcC-7 - (f/•1r f (plea//se print) r, Plumber: jepk I� Ur,� )E SCA" Jai (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 this day of o0 Notary Dublic, County HELENE O. HORNE Notary Public, State of New York No.4951364 Qualified in Suffolk County,' Commission Expires May 22, 6 -+tv r��t�\ti��t��t�.r�.1.,��t�'—�•1.^.1��1�'-�l��t�'' :�� 1��2 r ,•v �; :. A :f;y � i, n,... „-;�i �Qi� �: t.{y. tiS ...S:Y S'.i;��:. V{S� Y;{(. a-vl„ .i;,y, ,,,rl.,.y,;i.� l j{;S?,. :R,,tt1t�;. . 5;�:': 1F;J. ,+.n,., .., •,'•+�:'` , fir ji.. . „1,,, .,;:�., :�. ..��.,. $�:,� ,N� •n ;;, .'y .s . , �: , A.Lh}.�r '"t;;:`vir d"% �51'.h ...fs, .ab,• a(r x`+ia• y..t.A..a ii�'C!i"4/r l �1�fj.�i':11��f t.�� "a1 T fT�`i„1'y„ if '4+ir ii��1/.l=1t,y �r"f �����M» 7 s / t IJ Electrical rnspection Certificate ` q " Electrical Inspection Service Inc. 375 Dunton Avenue ' r«a4 East Patchogue, New York 11772 (631)266-6642 rr' • u�C(f Date: 01/16/2001 Application No. : 46175 19 Issued to: Carl Demarest 7 Street: 28280 Main Road Village: Orient Zip: 11957 Town:Southold Section: Block: Lot: i�(t S)ADSFF. Introduced by: Lademann Electric Inc. Lic.# 4141-E 5 was examined and found to be in compliance with the National Electrical Code ,^ 2 ❑Attic CI1st Floor ❑ O/S Residential ❑ Pool ❑ Det. Garage HDefects -cca.;.... 0 Basement G 2nd Floor ❑ O/S Commercial ❑ of Tub ❑ NV Switches Receptacles Fixtures GFI Heaters A/C Fans ;u F, 30 35 23 7 3 tom: Dishwasher Washer/Amp Dryer/Amp Oven RangelAmp Garbage Disposal ` 1 1 20 1 30 1 ' Furnace Oil Gas Circulator Smoke Detector Bell Transformer Meter Amps Phase UG/OH Telephone Television Carbon Monoxide 1 200 k/ ❑ 2 "> 1 Other Equipment: / •_F,>= ZOOAMP bypass meterpan/IOOAMP main breaker rainproof outride panel a��smi Hugo S. Surdi President X Building Permit No. This certificate must not be altered in any manner \f °7 Inspectors may be identifed by their credentials t��c r . ✓ •M,. � S�Sit. �t�.+ : t � L , . f .fit " � t �' 4 i J '� "'I \ ?•, •z. k.,.} .ice {�revi v�'J�� .�sl•v' a {�. o+.�i�'''jam !�� .•tC.? L+:.. ti ..SJ 4 S:? 1ty LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT,NY 11944 (631) 477-1652 To Whom It May Concern: Re: Residence of Carl Demarest 28280 Main Road Orient,NY 11957 Permit #26603Z On November 10, 2000 I inspected the framing and plumbing of the above mentioned residence and found that all work was done in accordance with the plans filed with the Southold Town Building Department and meets the requirements of the New York State Building Code. On November 13,2000 I inspected the insulation of the above mentioned residence and found all work was done in accordance with the plans filed with the Southold Town Building Department and meets the requirements of the New York State Building& Energy Code. rely, Lawrence M. Tuthill ( 0¢ NEVJ y � • 1 JAN - 3 1 „ ". 4.-4 V, \\ 03225 .E �.`FtssWol Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 07/17/00 Receipt#: 2159 Transaction(s): Subtotal 1 Septic Permit- Construct- Resid. $10.00 Cash#: 2159 Total Paid: $10.00 Name: Demarest, Carl & Danielle 18-6-23.1 Main Rd P O Box 305 n.:,...F ni,.... V-1, 44n97 Clerk ID: LINDAC Internal ID: 15071 LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P,O. BOX 162 GREENPORT,NY 11944 (631) 477-1652 To Whom It May Concern: Re: Residence of Carl Demarest 28280 Maim Road Orient,NY 11957 Permit 4266032 On November 10, 2000 I inspected the framing and plumbing of the above mentioned residence and found that all work was done in accordance with the plans filed with the Southold Town Building Department and meets the requirements of the New York State Building Code. On November 13, 2000 I inspected the insulation of the above mentioned residence and found all work was done in accordance with the plans filed with the Southold Town Building Department and meets the requirements of the New York State Building& Energy Code. 11 ely, Lawrence M. Tuthill qF NEW yo R' GE T 9 r t "jA yfr JAN - 3 W 032254-1 �t1V 6,WFESS50NP� Installation Compound used on threaded joints of the gas piping must be of the must be performed prior to any installation work.Verify that the coned mated- type resistant to the action of liquefied petroleum gas. Use com- als,as detailed above have been used,and that the minimum or maximum pound sparingly on male threads only.Do not use excessive force vent length and terminal locations as detailed in this manual have been met. (over 31.5 Ft.Lbs.)in tightening the pipe joint at the gas valve inlet, Carefully inspect the entire venting system for any signs of cracks or frac- particularly if teflon pipe compound is used,as the valve body may tures,particularly at the joints between elbows or other fittings and the straight be damaged. runs of vent pipe.Check the system for signs of sagging or other stresses in The inlet gas pressure to the water heater must not exceed 14"w.o.for the joints as a result of mis-alignment of any components in the system.If any Natural or LP.gas.For purposes of input adjustment,the minimum inlet gas of these conditions are found,they must be corrected in accordance with the pressure(with main bumer on)is shown on the water heater rating plate. If venting instructions in this manual before completing the installation and high or low gas pressures are present,contact your gas supplier for correc- putting the water heater into service. tion. A CAUTION A WARNING_ Do not attempt to convert this water heater for use with a Failure to properly vent the water heater to the outdoors different type of gas other than the type shown on the rat- as outlined above and In the following section can re- Ing plate. Such conversion could result In hazardous oper- sult in unsafe operation of the water heater causing bod- ating conditions. ily injury,explosion, fire,or death.To avoid the risk of 6. LEAK TESTING-The water heater and its gas connections must fire,explosion,or asphyxiation from carbon monoxide, be leak tested at normal operating pressure before it is placed NEVER operate this water heater unless it is properly in operation.Turn on the manual gas shut-off valve near the vented and has an adequate air supply for proper aper- water heater(refer to Figure 4).Use a soapy water solution to test ation. for leaks at all connections and fittings. Bubbles indicate a gas BLOWER ASSEMBLY INSTALLATION-Attach Blower As- leak that must be corrected.The factory connections to the gas sembly to top pan using the four screws provided. (See Fig. 5) valve and fittings should also be lealktested after the water heater is placed in operation. Slip flexible vacuum tubing onto aluminum tube stub protruding from top pan. Connect blower electrical plug to receptacle on top A WARNING pan.Install vent connector(supplied in box with Blower Assembly) on blower housing and secure it with sheet metal screw provided. NEVER use open flame to test for gas leaks,as bod- Vent Connector Ily Injury, property damage or death could result. Vacuumrube Sheet Metal Saew PRESSURE TESTING THE GAS SUPPLY SYSTEM-The water Blower heater and its manual gas shut-off valve must be disconnected from A�ay Electric.W Plug the gas supply piping system during any high pressure testing of Sheet �® that system at pressures Inexcess of%:PSIG(I4"W.C.).The man- Metal ual gas shut-off valve need only be closed during testing at pres- - 4• scmwseet (BoothS& s) sures equal to or less than%PS IG(14"W.C.). 7. VENTING-The water heater must be vented to the outdoors as described in these instructions.DO NOT conned this water heater to an existing Vent or Figure S.—Blower Assembly Installation Chimney-it must be vented separately from all other appliances. Use only 3 inch diameter Schedule 40 PVC (Polyvinylchloride) or ABS MAXIMUM VENT LENGTH.-The system will not operate if there is (Aaylontrile Butadiene Styrene)pipe and fttings that conform to ANSU ASTM excessive restriction(pressure drop)in the venting system.A max- or CSA standards, using the appropriate solvent and adhesive. (The Vent imum of 40 feet of vent pipe may be used provided there is only one Connector fitting supplied with the Blower Assembly included with the water 90° elbow in the system.If additional elbows are required;Two el- heater is made of PVC.) bows can be used with 35 feet,and three elbows can be used with 30 feet of vent pipe.All elbows must be long radius type to minimize The unit may be vented horizontally through a wall or vertically through the vent restrictions. roof. Pipe runs must be adequately supported along both vertical and hori- zontal runs. Maximum unsupported span is recommended to be no more MINIMUM VENT LENGTH.-The venting may be as short as gem than 6 feel. it is imperative that the first hanger be located on the horizontal essary,provided the vent termination is outdoors. run immediately adjacent to the first 90 degree elbow from the vertical rise or HORIZONTAL VENT TERMINAL LOCA—_ at the blower outlet in the rase of a horizontal blower position. Support d, method used should isolate the vent pipe from floor joists or other structural vent terminal depends on the I ` ted members to help prevent the transmission of noise and vibration.Do not Sup- considerations(See Figure 6):, ,dr the port,pin or otherwise secure the venting system in a way that restricts the " SnI draw 1. Twelve(12) inches above grt, normal thermal expansion and contraction of the chosen venting material. o ectrically levels. z dace of local 9 the water heater is being installed as a replacement for an existing power 2. Four(4)feet below,or four(4)fA. Electric Code vented water heater,a thorough inspection of the existing venting system heater internal 7 Installation 4. Do Not locate vent terminal too close to shrubbery, as flue gasses may damage them. Soffit vents =_ a, a 5. Caulk all cracks,seams,and joints within six(6)feet of vent ter- minal. ®®® 6. All painted surfaces should be primed to lessen the chance of ®®® physical damage.Painted surfaces will require maintenance. Inside Corner ®®® 7. Insulate vent pipe exposed to cold conditions(attics,crawl 4' Electric � spaces etc.)to help prevent moisture from accumulating in vent Meter !( ll�— a• n Fresh ��/ Air pipe. tenemnnniended i Window«Vent °111a ®WARNING a' 1r7 Moisture in the flue gas will condense as it leaves the 1i vent terminal. In cold weather this condensate can Figure 6.—Minimum Clearances freeze on the exterior wall, under the eaves, and on dow,or gravity air inlet to the building or other appliances, or surrounding objects. Some discoloration to the ex- from gas or electric meters.Do not locate vent above walkways, terior of the building is to be expected.However,Im- doors, windows,air inlets,gas or electrical meters. proper location or installation can result in severe damage to the structure or exterior finish of the build- 3. Ten(10)feet from any forced air inlet to the building.Any fresh ing. or make-up air inlet such as for a dryer or furnace area is con- sidered to be a forced air inlet. VERTICAL VENT TERMINAL LOCATION-The location of vertical vent terminal depends on the following considerations(See Fig.8): 4. Six(6) feet from an inside corner formed by two exterior walls. _ 5. Four(4)feet horizontally from any soffit or under-eave vent. Insert 12"Mesh Protective Screen Inside Terminal Elbow C�klk Short Place of T Vent Pipe Rising Moisture WII Collect Under Eaves M Soffit Vent Too Bose, ® Block Of and Install New Vent at Another Location. 6' Inside 6 CauLletc.,sMng T Vent PiComer Cau& Zone Mn.12"above Roof Pe Through Roof 6'Caulk to edgMin.12"above anocpatedZaie dvdmCaulk Snow level. 6 Max.24'above rod 3"Ebows (Without Additional Support) LJ 4' 2 Fl.Sq.Sheet Mehl RTV Silicone Caulk Flateanenckor Figure 8.—Vertical Vent Terminal Location Masxuy Surface 1. Minimum twelve(12)inches above roof. Figure 7.— Additional Considerations for Vent Terminal 2. Minimum twelve(12)inches above anticipated snow level. Location Additional Considerations(See Fig.7) 3. Maximum twenty-four(24)inches above roof level without ad- 1. Do Not install vent terminal under any patio or deck. ditional support for vent pipe 2. To help prevent moisture from freezing on walls and under eaves 4. Four(4)feet from any gable,dormer,or other roof structure with do not locate vent terminal on the side of a building with pre- building interior access(i.e.;vent,window,etc.). vailing winter winds 5. Ten(10)feet from any forced air inlet to the building.Any fresh 3. Do Not terminate vent pipe directly on brick or masonry sur- or make-up air inlet such as a dryer or furnace area is consid- faces.Use a rust resistant sheet metal backing plate(2 x 2 feet) ered to be a forced air inlet. behind vent.(See Fig.7). 8 M-1802 BUILDING DEPT. [/INSPECTION DATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REM RK 747 DATE INSPECT O M-1802 BUILDING DEPT. INSPECTION XFODATION 1ST [ ] ROUGH PLBG. ] DATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC CHIMNEY REMARKS: N l DATE iNSPECTO 2r/ ? FIELD INSPECTION REPORT AT _ COMMENTS --- --- C+7 y' II II FOUNDATION ( I ) I I ti kyr ii II FOUNDATION (-- -----I�--- - I�------------------------- ----� ------------ - ------------- --- ----- ----- 01 II O ROUGH FRAME 6 _-----II --- -- PLUMBING II ii II —JI II " -II 7 INSULATION PER N. Y. y ;J STATE ENERGY Imo_- ii CODE u ii 11� (lj IIt m ;i-/,o 11I _ I --JitI i1 FINAL ----------------- ADDITIONAL COMMENTS_ l. � r-. H H T O z TJ r CJ b -- ---------- ------------------------ ---- rJ BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date 0 Owners Name: Lr\I elnk LQV\�'—J Reviewed: !� Architect/ Date Engineer: Submitted: SCTM #: (� J District: 1.000 Section: I Block: i" Lot: Project c f Subdivision Location: Name: Single&separate Required certification: (Yes/No ° Req. Req. Zoning District /('¢d [Lot size: Actual: 1 [Lot coverage �Propose ) Req. / Req. e Req. [Front Yard s5 Proposed: ) 1 [Side Yard lV Z� Proposed: [Rear Yard 9-/' Proposed: J Project Description: IJ14 a�--s AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number � Suffolk County Health Dept. New York State D. E. C. a� Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes: BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . .. . . . . . .... . .. . .. TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC . . .. . . .. .. . ... .. .. . .. .. ... . TEL. 765-1802 TRUSTEES . .. .. .. .. . .. . . .... . .. . NOTIFY: CALL . . Examined.................. 20.... MAIL TO: . . . . . . . . . . . . . . . . . . . Approved..6.�.�.. ........2�.::` Ferment No. � Disapproved a/c .................................. ................................. ......................................... .......... (BuildI r) APPLICATION FOR BUILDING PERMIT JUN 2 0 2000 nat�!hre . .7. - �o. t . . . INSTRUCTIONS a1__ihi5 application`must�l7e"iletely filled in by typewriter or in ink and submitted Co the Building Inspector 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stret-ts or areas, and giving a detailed description of layout of property mist be drawn on the diagram which is part of this application. c. Mie 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 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. APPLICKIT N IS WAUM 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 lases, Ordinancesor Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .......... .................. (Signature of applicant, or name, if a corporation) -. 1 ) '_ 119 :1 (Mailing address afl p@ 0 �� Yn" State whether applicant is owner, lessee, agent, architect, engineer, general contractoi,' 2 cRician, plumber or build. i, 'La, .. ................................................................... Nave of owner of premises 6 (as on the tax roll or latest deed) 'NOTIFY B ILDIN DEPA MENT AT If applicant is a corporation, signature of duly authorized officer. NOTIF02 9 DI TO 4 PM FOR THE FOLLOWING INSPECTIONS. ......................................................... 1. FOUNDATION - TWO REQUIRED (Name and title of corporate officer) 5c,o tieL:x AL-L- FOR POURED CONCRETE U T I 2 ROUGH - FRAMING A PLUMBING & INSULATION Builders License No. ......................... .7(t to (Z. Ta 4. FINAL • CONSTRUCTION MUST Plumbers License No. ......................... � CY'^C c- t I-.o�Q BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Electricians License No. ..................... THE REQUIREMENTS OF THE N.Y. Other Trade's License No. .................... STATE CONSTRUCTION i ENERGY on which CODES. NOT RESPONSIBLE FOR 1. Location of land proposed work will be done..... S�................DESIGN.OA.CONSTRUC7JON•HRpORS.. D.............. ...............................ck4C,V.v±.......---............. Horse Number StreetHamlet I ?Haml1et County Tax Map No. 1000 Section ...1-.S......... Block ...6........... IDt a J:..1....... 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 .. .,,`,\ 1.4i.�:Ck!(Y].�.1.Y..............1. ............................. b. Intended use and occupancy ....:^e'��...: .. I�?1-) �t':;e ' l l ...... ....... ........................... 3. Nature of work (check which applicable): New building .. ....... Addition ...:::.::: Alteration .......... Repair ............ Removal ............. Demolition ....... Other Work ................. 0 (Description) 4. Estimated Cost lit l�.(�,�.:�.�....... fee ............... (to be paid on filing this application) 5. If d<aelling, narber of dwelling units ............ Narber of dwelling units an each floor ................ Ifgarage, umber of cars ....................................... 6. If business, cannercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of e�dsting structures, if any: Front................ Rear ............... Depth ................. Height Naber of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... 11-mber of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... lltrrber of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Nam of Former Owner ........................................ 11. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction violate any zoning lac, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be remroed from premir�es: YES G) 14. Names of Owner of premises ........................... Address .............................. Pham No. ........., Name of Architect .................................... Address .............................. Phone No. ......... Name of Contractor ................................... Address ...............................Phone No. ......... 15. is this property within 300 feet of a tidal wetland? * YM- .......... NO .: .. *IF YES, SULMI D 'IDM TMSIEES PE 41T MAY DE I1 WM-M. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block nater or description according to deed, and show street nares and indicate whether interior or corner lot. s(' iiV a1 ; � 0"17 OF .✓.� 3 �....... ...a :�i..'.: ..1hJ L.4'�L..�r� ✓ .............'.�5�......being duly sworn, deposes and says that he is the applicant MAof l'fn)r�Yitlual Signing contract) � lieis Lite ......04 ....... .................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfonred the said work and to make and file this application; that all statements coitained in this application are true to the best of his knowledge and txil.ief; and that the work will be performed in the manner set forth in Lhe application filed therewith. Sworn to before me this .........h5.".::.....day ..:fir.�.....:200.i1... Notary Public ...d3 !....:G...... BABETTE CORNINE Nwary Public.,State of New York (Signature of Applicant) Suffolk County N 52.5 9f X800 rid CamtNiRaion ExPirea���y JOB No. 99-25 TAX I.D. No. 1000-18-06-23.1 MAIN ROAD [ 66` 1 S.R. 25 �I N 79°20'40"E 101.83' i 01 25 1 24.3 4 TIE APPROX 3708' 5,9 m 'D TAX MAP ^' —33.T- i ST ;C m FRAME 9.2 0.5E 06 'o e > w ro 25.3 J.--3t.f- 14;-- GRIPPE ti.6 CONO PLT NIF GEORGE L.YOI ING 5.8 WOOD PLT ENT DOWN f 24.3 u'-t a 1$T 2 N GAR W M O 0 FZn N 12.4 rn 6 SHED N 00 WO -A N NIF WHITE Unauthoruiee alteration or addNon to inns docomern is a nclai of Section 7209 DESCRIBED PROPERTY of the New York State Education Law, SURVEY OF: aeons°sbeneftomeiae°Comapa Y�cno�wt pensionAgency`whom a��9pdf°d LIBER 11637 PAGE 0602 institution listed hereon,and to the assignees of the lending institutions or a°bsueqaeohowhers docu ORIENT POINT,TOWN OF SOUTHOLD Caples ll thisnot document not beating the professional's.inked seal or embossetl seal shall not be imensionsd shown valid true copy The o Recd orrpose nduseandhereon are structures to the prop"the rection SUFFOLK COUNTY, NEW YORK fora specific purpose and use and therefore are not n to buildings to guide any erection of fences,retaining walls.pools.planting areas,addition to buildings or any other construction The existence of right of ways and,or easements of record,if any,not shown are SURVEY DATE: 4122199 SCALE: 1"=40' not guaranteed CERTIFIED ONLY TO: CARL DEMAREST C2 DE TING.GRAFDESTIN G.GRAF \ LAND SURVEYOR Cl 3 Woodlawn Road p ocky Point, N.Y. 11778 By DESTIN G. GRAF N.Y.S. LIC No. 50067 4 �O16-821-3442 SfONA JOB No. 99-25C TAX I.D. No. 1000-18-06-23.1 MAIN ROAD [ 66' j S.R. 25 N 79°20'40"E 101.83' TIE APPROX 3708' TAX DMP 42.7 r 0 38.0 11 D N 0 1p 6.4 NIF GRIPPE c 44 q 21.9 N/F GEORGE L.YOUNG CONC 106 FOUNDATION 24.3 Cn I ST GaR Co At"I " o gl MG [,-"T, W Ri 00 W V O N SCGo.-t0 wnvey OK NIF WHITE UNDER CONSTRUCTION SURVEY Unauthorized alteration or addition W this document is a violation of Section 7209 --- °ftheNewyokSYaeEdaw°°"`e SURVEY OF: DESCRIBED PROPERTY and on his is oe ndicstth hereon Company. on namvo e tariiQencon for whom rt ding ared LIBER 11637 PAGE 0602 and on his behalf to the Tide Com n .Governmental Agency and Lending subsebon fisted hereon,and to the assignees of the lending institutions or wbsequem owners. Copies of this document not bearing the professional's inked seal or embossed ORIENT POINT,TOWN OF SOUTHOLD seal shall not be considered a valid true copy. The offsets l or dimensions I sh°vm hereon from structures to the property lines are SUFFOLK COUNTY NEW YORK for a specrIc purpose and use and Hre Herefore are not intended to guide the emotion of , fences,reta,mng walls,pools,planting areas,addition to bwldings or any other construction. rogaeright of waysancif°r easements ofmood,ifany,not snovmare SURVEY DATE: 7/27/00 SCALE: 1"=40' CERTIFIED ONLY TO: OF NEW YC CARL DEMAREST DESTIN G.GRAF TI a.aAa� F LAND SURVEYOR O; 73 WoodTawn Road E ' Rocky Point, N.Y. 11778 By DESTIN G. GRAF N.Y.S. LIC No. 50067 OA 516-821-3442 S► ! JOB No. 99-25B TAX I.D. Na. 1000-18-06-23.1 I ' I i OVER 150'TO WELL(IN HOUSE j TAX LOT 9 TAX LOT 7 , OVER 150'TO WELL(FRONT UWN I TAX LOT 5 FARMLAND OVER 150'TO WELL I NE OF HOUSE I TAX LOT 24.3 t41 MAIN ROAD [ 66' } S.R. 25 ,LE TEST HOLE If N 79° '40"E 101.83' 5''6+To PROP LM'E 14.5 AR i u.e LP tP x j O TIE APPROX 37W TAX MAP 35' EX N/F GEORGE L.YOUNG I N!F GRIPPE y, S!PTIC FARMLAND � f I. 45 a a l WELL AREA PROPOSED li ! SINGLE FAMILY VT 21' 1,y CONVERTED BARN c - jSEASONAL RESIDENCE �� o F-XSTING GARAGE � • I � SEPTIC AREA 24.3 13.9 2 : GST .. N ' 124 UTI 4 ! SHED t6' IV ! I r � j ALL DISTANCES TO WELLS AND CESSPOOLS PROPOSEDWELL ARE BY LOCATIONS FROM HOMEOWNERS, FIELD OBSERVATIONS, AND EXISTING SURVEYS. SINCE MOST ARE NOT VISIBLE NOTES: i l—JES€ AIMEN91ONS ARE NOT CERTIFIED. EXISTING HOUSE/SEPTICANELL i TO BE REMOVED TEST HOLE WELL INSIDE EXISTING HOUSE 2r7= EXISTING REAR YARD NEAR HOUSE EXISTING HOUSE APPROX 10'NORTH } OF PROPOSED HOUSE s DIRK BRN SILTY LOAM i SRN LOAMY 59.T ML 7 SEPTIC SYSTEM j 2 LEACHING POOLS B IN DEPTH I N/F WHITE EXPANSION POOL V IN DEPTH ` 1 PALE 9RN OCC RES WELL +!-100' SILTY SAND SPA WELL REAR YARD WN (NE OF HOUSE 1 O DY SILT SANDY 50.T 17 i ML WATER M GREYISH 12.5' BROWN SALTY SILT 13' t A� SP _ G�Sr `( WATER IN PALE DRQNM FINE TO MEDIUM SAND ,y i • y �%-''n.;� APP . / ROX AREA OF POND LJ7 i / \ I ( N I SUBJECT LOT 14,625 SQ FT ELEVATIONS IN USCGS DATUM I o ttheeNewYYoMSW*Ea,�L to"""'°c' t°a 'mss°" ' ! SURVEY OF: DESCRIBED PROPERTY I OltIllatbns aaflcaed bNOW steal nm WY to the Pareon for~d w Prearad and on hu beha to the Tkle CommnY.Gmwnmental Ag—'Y and Landing I �IUbonskS%dhez .and to mea sotmaLendlnolomttutlona LIBER 11637 PAGE 0602 wAmewwer4 owwa Coon olonddouno ndtb"tvft°'o esionars,modsaw wem ° ' OR(EN7 POINT, TOWN OF SOUTHOLD OF N8♦;yY i TThe saw RaWe[e(a dM ered 1 VOW i ,row a Route s Id/me PaM"unas are 1 'gyp' O w a swft wrpw and use and therefore are not wlandad to puke!rift emalon Of 9 %cea.rateaav"IsDoola.PadosPkorrnoareas addition tohakwas.orany dher I SUFFOLK COUNTY, NEWYORK DE8T1N 0.6RAF ounstructim ` r• ! TM awoence a nom of ways and/or easements of record.dam.not show,are f SURVEY DATE: 3/9/00 SCALE: V'= 40` not IanolMlead - CERTIFIED ONLY TO: C CARL DEMAREST �' DESTIN G. GRAF uIr�7 o , LAND SURVEYOR 73 Woodlown Road i Rocky Pokd,Now York,11778 518-821-3442 By DESTIN G. GRAF N Y.S. LIC NO. 50087 _ . _ _ g ,p - 00 - 008 JOB No. 9A-25C TAX I.D. No. 1000-18-06-23.1 I J F- '01 ,'01 FEP 1 n ('? " MAIN ROAD [ 66" 1 S.R. 25 N 79'20'49'E 101.83' LP LP �b s TIE APPROX 3708' .8 s m -O TAX MAP 5 --I WOOOPORCH —1 fvo 0 Q 38.4 ra N O � 2 ST FRAME w 8.4 - DWELLING NIF GRIPPE 'a 44.7 21.6 — NIF GEORGE L.YOUNG 10.8' a: 24.3 a 1ST 8.81 cAtx N� 2 Co O m 4 ( P, L } f w y r: C" ,fit 4'Y :� 4 THE LOCATION OF WE 'VV;1' 'ER SERVIL,;- WELL � � $ g` � �l � z LINES, SEPTIC TANKS AND CESSPOOLS ! 2 =� y SHOWN HEREON ARE FIELD OBSERVA- " ^ i s = TIONS AND OR DATA OBTAINED FROM ' ffria OTHERS. NIF WHITE f f �.._...ter=. FIMI.S 1REY Unaubwrumc!alteration or addition to this document is a violation of Section 7209 athe New York State Educabon Law. SURVEY OF: DESCRIBED PROPERTY Certifications indicated hereon shall run only to Me person for whom itis prepared and on his ti to the Tide Company,Governmental agency and Lending LIBER 11637 PAGE 0602 Institution lasted hereon,and to the assignees of the lending institutions or Cofthis document notbearingtheprofessional'sinkedsealorembossed ORIENT POINT,TOWN OF SOUTHOLD seal shall not be considered a valid true copy. The Dffseu�Iordimanaim,Ishoamherecno-omatrtiwuestothe property linie,we SUFFOLK COUNTY NEWYORK for a spec purpose and use and therefore are not intended to guide the erection of i fences,retaining walls,pools,planting areas,addition to buildings or any other construction. _ The existence of 09M of ways and/or easements of record,4 any,not shown are SURVEY DATE: 7127100 SCALE: 1"=40' not guaranteed. CERTIFIED ONLY TO: 01 NEW y CARLDEMAREST R. �pf DESTIN G.GRAF STI G.GRAF LAND SURVEYOR �} 73 Woodlawn Road r E'" 5'f6-821-34$2 �Q Rooky Point, N.Y. 11778 By DESTIN G. GRAF N.Y.S. LIC No. 50067 Ob 0 i - - - - - -- - - - - - --- - r rrrr ------------'-._— '�'/''.o" l , _ Lig?'-.�, " ' •, - APPROVED AS NOTED DA o. mBR _ NOTIFY BUILDING DEPARTMENT AT 765-1602 6 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: LFOUNDATION TWO REQUIRED en ToP�F - FORPOUREDCONCRETE ! ROUGH - FRAMING & PLUMBING � 2013 -- - - - - -- - �$I�. ZHlS L.To 0. INSULATION 5E LEeei�-WtTN 4ACAAE OrJ AL FINAL - CONSTRUCTION MUST - I BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET M, q THE REQUIREMENTS OF THE N.Y. ^.I I6 STATE CONSTRUCTION 6 ENERGY a a V, , I ' CODES. NOT RESPONSIBLE -FOR DESIGN OR CONSTRUCTION ERRORS N '� j 'FS m 10 a I Al G1 — , x -- �{ �T2"C-1-l�Mtk�� rT6, . OCCUPANCY OR z� 1 3r� USE IS UNLAWFUL o s�<< WITHOUT CERTIFICATE OF OCCUPANCY :ISI p ' -iFOR 0 -A ;- NaePPNhlbirgNu6ed 1 � _ `_ 1= cJN >=XC,6.vP.T� Gatz + GE r- , �9 111prwal6f<I161riIR16n9 r COMPA'z TTV-':;' 'FILA- LL"co A1C. FL,. W14-t- WIFaaL i lTt! T I ' 3 . / b' 2' 8' wJ ",V', syst6m;piping shallhe M _- o, a' BTlypasKorLon A o -P, PLUMBING f� 0 MLPLWMWASTE BINIIIER INESHEEO T9{1NIBBEFORECOVERINO 2„ Cp,hIC. . Ovr.r- ?oLY N p-j - PLUMBER CERTIFICATION �---- ON.LEAD CONTENT BEFORE CERT/FlCATEOFOCCUPANCY SOLDER USED IN WATER SUPPLYSYSTEM CANNOT Z' c --j I' EXCEED 2110 OF1%LEAD. PROVIDE ANTL-SCALO AND/OR t l i*`� 1 Asie eo FGc t1 r INOMK SNOOK PREVENTING � � _-- _ KUM AS TO PART. 902.6(K) ,_ - J ----- --- -- -- -- - — - --- — MX STATE'BUILDING CODE. - '9, BO NOT PROCEED WITH NAMING UNTIL SURVEY -- -- -- -----_-- — ----T_ ----------- --_—_--- OF FOUNDATION LOCATION S NO SEEN APPROVED. P ^r C �� x BN9EANRDU6CG1BiFpE ' xv.:' c, J I w m 2 FROM SMOKE-DETECTING w„ op90FESS10e°`�r /) ALARM DEVICES AS TO PART. 721.1 N.Y.S BUILDING CODE. DE OPENINGS FOR —�— ENCY ESCAPE As ?`t AcN, e BY WE 714 OF C21 (o - V• 2. b.0 . AXF KE r X107 Cvt�nu Yp vIF`( � L RIw �c5u 51� IR es?+uat� �cr.sti - + tI 1 ¢ . � �- - IMF m 77 iV l,- 1A-N A41 +j' cli LAYT W � 1 deel. ?*"4a :,a m•_,�r, — 11=13°N 1(,° I ` II n ��' � � In � { �+ � . �} Kj i - { -°/..{o'*�• p � rs, °" - - i i Itl I sa 71' y� K JU5ULA7F. 5' FC..Gapia. a I ,. � N SD I a. o � Z-�J't�j OVELf�i`A,�'t•��R4:'.d.'k t2`41Dir5: ' tV- _ -Cj' f d' d eza . -ca s;.:Sc�r� -- - �I r I 4l LL Cz, - { J� OF NEWY 032259-1 V op9pFESS AV, h o V� y J 1iJ u �ARLDA �aut_=� C �7m s I ✓ r yp f • -- 2: '54.42 +A' 2:_0. l �• 4,r I i I U i I „ tl IY7 LAY. 14 c�yy w sn ?fie 0 r ) - �1?.�t2 i2iQG7M �JSDRc7©M., . `� l/ l or 4-.. N A-"G-r. 6o"f3E�ONQ PBL.AG� �'ANEL }<k�E.Wi�Lt- LQ'r l j.C. "�L'GG..Co'.Cz'm T`OTO�� �ffGo�o �G)F -- --- �LtY�" R I P G F_CVeNZ'ED� I';i, 2'x l o"R i v<as.C�ElaTau i : IZ- s 5 I L 2+Gr��•1(r:GG_ "� �� � 2v4"-IVcSa 'L'�.8'�lG' � ' W m a '^ 03225 -1 O 6oc 9pFE551 dP '� i' afbix R-3o. ._ ..2x.lo"1600 1�6 Q �r 1 '•%" 2 2.•.2""4' 2. Z: - � (,i! .2,'<4' 2 = lG"ac, 2-2,x 1Z G V1ty � 6vDj c, 2.2K4 - ", _ �L'�fo 'Ib01/. �w•DKG. _ _ . .__ _ Z'C IO�,$oX , - 2.2� 19{ 2�4" LL LL10 PN Owl1 ". a fn or. _QH�Fa'Y e poi LV 'm"i � / pwoAr/o..� LMJ ,i —....---•—' ...... CARL �i4Nl � E CMAK-E5 „u , . L/"1` r '.I i� J 1, -- - T --- - - - ti EA v v�I i I � OF NF Y i yp W E 6 �pu-c FF IT 2 '.�I. NFQ W2254-1 10%P�'0 V MMWAMMWAMIPIMMM�WOO I . - -- i -- I 1 ' /a I I i i I ' r I Li Lu lyi Ih JfAF , _ L �✓_�T( ON -- I I Ill,�l �yy h y S V 2 U 032254.1 �oNFESS\OKP� �rl 7 ly LAK Ij'N' Haat ;-Y4'=1'6 -� - ENERGY COVE CALCULA'T'IONS (For Non-Electzic cleat) Design Criteria G, 000 Oeyree Day- C.A. 10°F S A. 70"F FOR: �cr/ N P� �S YCR T DATED: 1 DESIGN 'THERMEL REMARKS SUBSYS'T'EM AREA °U" RA'T'ING Exterior Wails (Opaque) Fs ;Z OS `� 17L Glazlny / L g 22 c 32 7 L Doors y6 23 Ccil.iuy/Roof (Opaque) 1p Z'/ 0} (J Skylights 8 Floor / p7-� US Foundation Walls Slab Insulation TO'T'AL NO Les: Buildlny Envelope Sys Lents to ,test requil..emenLs of 7015.2 HVAC Equipentent to meet requirements of 7915. 11 HVAC Systems to meet requirements of 7015. 12 Duct Systems to meet requirements of 7015. 13 Venula Lions Sys Lems to meet requirements of 7015. 14 111GUla LiU11 of PipLty Systems to meet requirements of. 7015. 15 Service Water Neatiny Syste,ts & EquipinenL to meet require,tcu Ls of 'FB15 . 21 Slec Lzicil & Lighting Sys Lents & Equipment to meet requirements of 7015- 31 To the best of my knowledge, 1, belief, & professional j udy ewer t, Lhc se pLwns arc i.n sy\ compliance w1Lh lite cock. ` (r~p;,, 0322£4.1 �.AV V p�0FE&S1DKP —_ — / 7 0b