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HomeMy WebLinkAbout26119-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27262 Date: 08/22/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: 425 LIBERTY LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 6 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 1, 1999 pursuant to which Building Permit No. 26119-Z dated NOVEMBER 3, 1999 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 ATTACHED ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to MICHAEL & SUZANNE CONNELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0181 08/05/00 ELECTRICAL CERTIFICATE NO. 98988 08/08/00 PLUMBERS CERTIFICATION DATED 07/11/00 MICHAEL CHOMICKI 614 CX Authorized Signature Rev. 1/81 ti 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. 26119 Z Date NOVEMBER 3, 1999 Permission is hereby granted to: GERALD D SCHADE (CONNELL) 2895 RT # 52 STORMVILLE,NY 12582 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED ONE CAR GARAGE AS APPLIED FOR. at premises located at 425 LIBERTY LA SOUTHOLD County Tax Map No. 473889 Section 079 Block 0006 Lot No. 008 pursuant to application dated OCTOBER 1 1999 and approved by the Building Inspector. Fee $ 361 .00 Authori ed Signetture 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. 26119 Z Date NOVEMBER 3 99 Permission is hereby granted to: GERALD D SCHADE 2895 RT # 52 STORMVILLE,NY 12582 for CONSTRUCTION OF A FOUNDATION FOR A SINGLE FAMILY DWELLING. at premises located at 425 LIBERTY LA SOUTHOLD County Tax Map No. 473889 Section 079 Block 0006 Lot No. 008 pursuant to application dated OCTOBER 1 99 and approved by the Building Inspector. Fee $ 75 . 00 46 Author' d Sigri4ture ORIGINAL Rev. 2/19/98 nn TOWN OF SOUTHOLD BUILDING DEPARTMENT f JNTOWN HALL765-1802 FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildir 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildi 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. Iti B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a '-'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 applican If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate 'of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .'.R. !.'.V c. . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . .9. . . .. Old Or Pre-existing Building. . . . . . C . . Location of Property.. . . . . 7�S . . . . 1 . . /I.•.. .. .. . . . . . . . . . . J�!^ 914. . . . . . . . . . . . . . . . . . . House No.n� I Street Hamlet Onwer or Owners of Property.. . !! 25 �� �' . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .b5. . . .. . . ..Block. . . . . . . . . . . . . . .Lot. . . i. . . . . . . . . . . . . . . Subdivision. . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . Permit No.,P411. .9. R. . . . . .Date Of Permit. . .. . . . . . . . . . . . .Applicant. :,74 J( Health Dept. Approval. . . . g .s. .90 . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. Y . . . . . . . . 00 Fee Submitted: $. . . .CZ._,. . . . . . . . . . . . . . . . . . . . . r?! . . P. . .C-. ' . i' . . . . . . . . . . . . . . . APPLICANT LONCs ISLAND EL'EGTRYCAL INSPECTION SERVICE, INC. 670 Middle Country Road.- Saint James, NY 11780 Tel: (631) 265-3075 Date 08/08/00 Application No.-File 98988 BtdldingPermirNo. 261192 THIS CERTIFIES THAT our local district inspector conducted an inspection of the visible portion of electrical installation described below and introduced by the applicant named on the above application in she premises of MIKE CONNELL (CAVANAGH) 725 LIBERTY LANE SOUTHOLD in thefollowing locations; ❑ Basement ❑ 1st Fl. ❑ 2,dFl. ❑ Outside Section 79 Block 6 Lot 8 was esammed on 08/07/00 R found to be in compliance with the current edition of the National Electrical Code. ❑ this certificate may be accepted as a"letter of Approval"that all circuits are in good working condition,not overloaded,and all wirmg,fisaures and other electrical equipment are in standard condition. ' FIXTURES RANGES COOKINGDECKS OVENS DRYERS NNP FANS SYIITCHES RECEPTACLES CFI DIMMER INCANDESCENT FLUORESCENT KID AMT, RAZE AMT SIZE AMT SIZE AMT. SIZE EXHAUST PADDLE 19 1 31 1 4 3 1 17 1 1 2 u 4 DW LAUNDRY HEATING EOUIP.MOTOR EXIT EMENG. SUSTEEQ; TIMER ,MNSFOR ASJ AIC EQUIP WTOF& GENERATORS AML SIZE AAT, SIZE AMR. N.P. SIGNS LIGHT AMT SIZE AMT SIZE AMT AMP iYPF AMT. HP AMT. SIZE 1 1 2 FHP POOL$ MICRO WATER HEATER SMOKE TRACK ELECT. SERVICE INFO HOT DETECT LTG NEAT SINGIE WLTI CONDUCTOR NO,01 N ABY ❑ TUB ❑ AAtr, RAZE AMT. SIZE -0GR 0FT. TYPE AMPACTY %RASE RAGE YOITS SIZEATYPE YETERS z eLo ❑ roa` ❑ "� x uG 100 1 240 4 1 °THERAP"A""Ts' 1-20A 240V Well Circixit H 1-CO Detector This cerfiflate is not intended as an approval or guareTtee of elecbial w efficiency IBM covers ony ga electnoW equipment and Histallatlonasofdate. Q. Upon the Imoductlon of additional equipment w ahemations,application h shell be�p mppll made for Inspection. �j/�,, - APPLICANT. TRIANGLE ELECTRIC C�"'�"' �C./^�'" "' G.O. BOX 61 4 rtl � STe JAMES, NY 11780 LICM4468—E GENE n Q, x a WHITE-ORIGINAL COPY YELLOW-MUNICIPAL COPY • PINK-AGENT COPY •GOLD-OFFICE COPY �.. ,,.,.,... r,..Y:.'.a ..,.,., ,... ,✓i..,e.,sr:.Y..t..k,,.a.r..��n.,.4iva�a.-,;.uu,..,L:a:b;.L...,..:tA6fiY+,.�:,�1.';¢:Xi Srx.W?:k'uure�x3n`e'4u'+.ia'ctiat/daw*tya'uaE de} .".eca"ar�ls�:iY.:£G.a'utu`l a's5. :.a3�i%SvdsA':ixd'u�! of F04 Town Hall,53095 Main Road OGy< Fax(516)765-1823 P.O. Box 1179 Telephone(516)765-1802 Southold,New York 11971-0959 Oy • �� BUILDING DEPARTMENT TOWN OF SOUTHOLD August 9, 2000 Michael & Suzanne Connell 345 West Shore Drive Southold, NY 11971 RE: 425 Liberty Lane, Southold. 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. \ v XX The check is (not on file. ) $25.00 v XX No Health Department Approval on file. No final inspection has been made. �I XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26119-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. �4AW04Z- { . fit'--IT Aol To 2 x Go tom" �, vroG rtR TTIF'p, L3 434'rl�ia -v'�'t.�1�OL✓ �� � _.�'Cht?s�5�- �r`�G�.�. r _ o . «. GLMAn- 4AI NEW ('5379'1 %'R:rtiSSlp��q, n COMMONWEALTH LAND TITLE INSURANCE COMPANY 1777-6 Veterans Memorial Hwy. Islandia, NY 11722 Phone, 516-232-3503 Fax: 516-232-3617 ip Commonwealth ntMDAMeaa+coWeM SINGLE AND SEPARATE SEARCH Title No. 70991838 3 COMMONWEALTH LAND TITLE INSURANCE COMPANY DOES HEREBY CERTIFY TO: THE TOWN OF SOUTHOLD OFFICE OF THE TOWN ATTORNEY MAIN ROAD SOUTHOLD, NY 11971 THAT it has caused a search to be made in the Office of the Clerk of the County of SUFFOLK, in the State of New York, against the premises described herein and premises adjacent thereto on all sides from 11-24-73 to date to ascertain the fee chain of title respecting said premises described herein; and the premises abutting since 8-25-76 and has found only the returns as set forth herein on the following pages as they bear on record title; and DOES certify that"the owners of the premises described herein have owned the same in single and separate ownership as defined by law during this period of time, except as otherwise shown herein." This Company's liability is limited to Twenty Five Thousand ($25,000.00) Dollars for negligence only. NO policy of insurance is to be issued hereunder. COMMONWEALTH LAND TITLE INSURANCE COMPANY BY: Catharine King Title Officer Title Number: 70991838 Dated: 6-1-99 Date Printed: July 21, 1999 r Title No. 70991838 CHAIN OF TITLE FOR SUBJECT PREMISES: 1000 - 079.00 - 06.00 - 008.000 JOSEPH KRAUS and FLORENCE M. KRAUS, HIS WIFE DATED: 11-24-73 TO RECORDED: 12-21-73 JOHN PICINICH, and GLORIA PICINICH, HIS WIFE LIBER: 7556 CP 357 --------------------------------------------------------------------------------------------------------------- JOHN PICINICH and GLORIA PICINICK, HIS WIFE DATED: 3-24-84 TO RECORDED: 4-24-84 EDWARD E. WILLIAMS AND ELLEN E. WILLIAMS, HIS WIFE LIBER: 9550 CP 486 ------------------------------------------------------------------------------------------------------------ EDWARD WILLIAMS AND ELLEN WILLIAMS) HIS WIFE DATED: 4-30-85 TO RECORDED: 5-13-85 GERALD D. SCHADE AND BARBARA A. SCHADER, HIS WIFE LIBER: 9788 CP 500 ------------------------------------------------------------------------------------------------------------ LAST RECORD OWNER STATE OF NEW YORK) ) ss: COUNTY OF SUFFOLK: CATHARINE J. KING, being duly sworn deposes and says: That she is an Officer of Commonwealth Land Title Insurance Company; That the above are true Chains of Title of the adjoining premises as shown on the records of the Clerk of the County of Suffolk and the variance search under the above captioned title number: STATE OF NEW YORK) ) ss: COUNTY OF SUFFOLK: Sworn to before me this 19tr' day of July, 1999 COMMONWEALTH LAND TITLE INSURANCE COMPANY mCATHARINE KING JANA M.PRINDLE TITLE OFFICER Nepry public,State of New York No.01•PR4911757 Ouaff led in Suffolk County CommisslonExplresNov.IC, Date Printed: July 21, 1999 Title No. 70991838 Premises to the North 1000 — 079.00 — 06.00 — 003.007 THEODORE D. HARRIS DATED: 10-5-73 TO RECORDED: 10-23-76 MICHAEL L. WEINSTEIN LIBER: 7514 CP 208 -------------------------------------------------------------------------------------------------------------- GENERAL L. RAINS AS COMPANY TREASURER OF COUNTY OF SUFFOLK DATED: 3-20-85 TO RECORDED: 3-21-85 COUNTY OF SUFFOLK LIBER: 9756 CP 53 ------------------------------------------------------------------------------------------------------------ COUNTY OF SUFFOLK DATED: 8-23-88 TO RECORDED: 4-5-89 TOWN OF SOUTHOLD LIBER: 10830 CP 42 ----------------------------------------------------------------------------------------------------------- TOWN OF SOUTHOLD DATED: 8-15-89 TO RECORDED: 12-6-89 NORTH FORK HOUSING LIBER: 10977 CP 450 ALLIANCE INC. --------------------------------------------------------------------------------------------------------- NORTH FORK HOUSING ALLIANCE INC. DATED: 10-2-90 TO RECORDED: 10-15-90 JEANNE PEREZ LIBER: 11152 CP 138 --------------------------------------------------------------------------------------------------------- LAST RECORD OWNER PREMISES TO THE SOUTH LIBERTY LANE PREMISES TO THE EAST 1000-0790.00-0600-007.000 EDWARD NIDDS DATED: 4-23-69 TO RECORDED: 4-29-69 SALVATORE J. CONRARDY AND ELEANOR CONRARDY, HIS WIFE LIBER: 6541 CP 348 ------------------------------------------------------------------------------------------------------- LAST RECORD OWNER STATE OF NEW YORK) ) ss: COUNTY OF SUFFOLK: Sworn to before me this 19th day of July, 1999 COMMONWEALTH LAND TITLE INSURANCE COMPANY 60't4 Public CATHARINE KING JAMA M.PRINDLE' NotWPubllo,Stale ofNewYork TITLE OFFICER No.01•PR4911757 Queli8ed In Suffolk County. Commission Expires Nov.18, Date Printed: July 21, 1999 Title No. 70991838 EDWARD TOBIN DATED: 8-25-76 TO RECORDED: 8-30-76 WARREN L. KNUDSON AND LYNN KNUDSON, HIS WIFE LIBER: 8095 CP 575 -------------------------------------------------------------------------------------------------------------- LAST RECORD OWNER 9 STATE OF NEW YORK) ) ss: COUNTY OF SUFFOLK: CATHARINE J. KING, being duly sworn deposes and says: That she is an Officer of Commonwealth Land Title Insurance Company; That the above are true Chains of Title of the adjoining premises as shown on the records of the Clerk of the County of Suffolk and the variance search under the above captioned title number: STATE OF NEW YORK) ) ss: COUNTY OF SUFFOLK: Sworn to before me this 19'h day of July, 1999 COMMONWEALTH LAND TITLE INSURANCE �f COMPANY N ary Public CATHARINE KING JANA M.PRINDLE TITLE OFFICER Notary Public,State of New York No.01•PR4911757 ouelfHad fn Suf fo9c County Commleelon EVIrea Nov.16, �9 Date Printed, )uty 21, 1999 DEBORAH DOTY ATTORNEY AT LAW 670 WEST CREEK AVENUE P.O.Box 1181 CUTCxocUE,NY 11935-0876 Fe 516-734-7702 516-734-6648 October 4, 1999 Michael B. & Suzanne C. Connell 715 Liberty Lane Southold, NY 11971 RE: Connell from Schade (No #) Liberty Lane, Southold, NY (SCTM #1000-79-6-8) Dear Mike & Suzanne: As you requested, enclosed please find a copy of the deed dated September 8, 1966 for the above-referenced premises. Because the lot contains more than 12,500 square feet, this deed should be sufficient for the Southold Building Department. Very truly yours, Deborah Doty Encl. DD:bdr FJ tY ba. i("E OF 'T',AE BWLUV'�'N4K`A, iNG)l R -1 F Vit: U I C A N�- 4 lkc lA% Lm7aNot-,, -t Stat., fork,(1, J'q Suffolk County ,.titration ND. 01 W.C20 17699 -ir,tjo f% DIANE r-GTLE.,�o s December Appointment Expires December 14,2ain I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST j ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ULATION [ ] FRAMING ] FINAL [ ] FIREPLAC CHIM Y REMARKS DATE ? INSPECTOR Rpp� M-1302 BUILDING DEPT. INSPECTION [ ] F=OUNDION IST [ ] RO PLBG. [ ] FION 2ND SOLATION [ FRAMING .� [ ] FINAL [ ] FIREPLACEE & CHIMNEY :s REMARKS: 77. / DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ /F'RAMINGL UNDATION 2ND [ j INSULATION [ ] FINAL [ ] FIREPLAC A CHI NEY REMARKS: -� �- � ��� DATE INSPECTOR I M-1802 BUILDING DEPT. INSPECT1O [ ] FOU TION IST [ ROUGH PLBG. [ ] F NDATION 2ND [ FRAMING [ ] FINAL L ' J & CHIMNEY�/� � REMARKS:,�&?"-%z,Lap t✓ — LAO tin un �ia�_�aesfi�'✓ a�a. �o -- � � .�. dam dA- � �Jo�s� c+�e -�/1✓�l c?e�lc� �1'ozs��-�l��-�.�4Qs' 4es DATE S INSPECTOR r 765-1802 BUILDING DEPT. INSPECTION [ ] F DATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ) FIREPLAC HIMNEY REMARKS: DATE INSPEC M-1802 BUILDING DEPT. NSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: F DATE INSPECTOR 765-1802 BUILDING DEPT. NSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: F DATE a INSPECTOR ii � r �� . dam, • v' �` < III r /. / i r✓ �f 'lam- /! s < � /" IPA, v X nun.�u ur tln�u.a❑ FORM NO. 1 3 SETS OF PLANS �.... ..". . . . .. n fI�JII TOWN OF SOUTHOLD SURVEY,I!! BUILDING DEPARTMENT c.c. tutu TOWN HALL SEPTIC FORM �. �L • SOUTHOLD, N.Y. 11971 I•�V• S PL TEL: 765-1802 NOTIFY: ro: ke CALL E�ined..6.' ...... 19.K MAIL T0: 7 i*. L i �?Ci .•. . �.... . .Z I� Approved...Vr!4.: ./..., 19. Permit No. Disapproved a/c.................................... 1� \®.9J 1 ......... Wldi ) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 19. . . . 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 must be drawn on 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 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. APO.ICATION IS HAY MAW to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tom 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. �J .......... (Signature of applicant, or name, if a corporation) 15 tr .1?J.CY. "r.r.�414010.1).e �:1Jj�7� (Mailing ss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plunber or builder ........................... .'..........I...........................................:...................................... Name of owner of premises d...�L:l Gt A A...�Cl ... �C b(�'d.a..aJ G h raAs�.............. .................... (as on the tax roll or latest deed) f If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ��l/!.//////.__............... Electricians License No. :I:7.Y .E........ Other Trades license No. P ............ location of which work will be done..(Jyv /g�✓� e.......................... ...............I... ..b ,,............................................:.t.U7.... ................... Baum Number Street llamle ''•'�//p r Canty Tax Map No. 1000 Section .....(.1........ Block ................ Int ................ Subdivision ... 1/ ":? r ..........:. 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 .......y...^^.....�.....s........................................................... b. Intended use and occupancy ... f�Y/ n5� ��.....4�W. n2......f.. N✓ j N 3. Nature of work (check which applicable): New Building ..,n...... Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description) 4. Estimated Cost .a 0:0........... fee .............................................. (to be paid on filing this application) 5. if dwelling, nuber of dwelling unit ....)....... Nmber of dwelling units on each floor .....'......... Ifgarage, nnber of cars ..........1............. .......... 6� A�If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7 0 'Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... Nuaber of Stories ...................... Dimensions of sae structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Nuhber of Stories ............... 8. Dimensions of entire new construction: Front ....;1V. .... Rear ....�....... Depth ... ...... Height ......................... Nwber of Stories rrp...-sDi:...^ T ..�..I.��........ 9. Size of lot. Front ....J5D........... Rear ....A Gl . ./...•. Depth ..<.�l.L2,, f 10. Date of Purchase ..................... Name of Former Owner .�e ra Id.ai.ad.I X rbArq..,5,hAa le. 11. Zone or use district in which premises are situated ............................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises:,, YES NO 14. Nacos of Owner of premises .......... .......... Address .............................. Phone No. ....... .............. ,�(ffes�--,,,, _ Name of Architect Y:Yf .. .... l.!U.�........ Address .............................. Inow NO. .............. Hare of,Contractor ................................... Address ...............................Phone No. ............... 15. Is this property within 300 feet of a tidal wetland? * YES .......... LD .. ... *IF YES, SOM V D MM TRUSIFES PERMIT MAY BE MIRED. PLOT DIAGRAM Innate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block comber or description according to deed, and show street naves and indicate whether interior or corner lot. m STA1E OF Nyl YORK, SS COl1NTYK/O/F/ GAT/�pl�S.� ..�...... .�fY.�....�r A. Nle (,.C.✓........................being duly sworn, deposes and says that be is the applicant (Nave of individual signing contract) above nanec`I; Ileis the ................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to p�riorm or have performed the said work and to make and file this application; that all statements contained in this application are true to the beat of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to bzefore we this //��' ......� ........day of `-��.... ..196q... Notary Public ....�.. . ... .. ��OWd 6AR9AMWSKI (Signature of Applicant) Yak BUILDINREVIEW CHECK LIST Applicant/ Date Owners Name: A,,` ; ,e- kCA""AQ- Reviewed: [o Architect/ Date . Engineer: 4e S s + tJ (. Submitted: SCTM #: District: 1.000 Section: Block: (0 Lot: Project i Subdivision Location: 10"f r y 0. - Name: Single "separate Rest)e o) 0 k Req. p i, Req. Zoning District. [Lot size: ��(i U U U Actual:L ' 1 [Lot coverage 2-0 Proposed:_L [Front Yard ) Proposed: 1 [Side Yard t Proposed. 1 [Rear Yard 3 Proposed: / 1 Project Description: 6J e wn L., AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES S umber Suffolk County Health Dept. R-I0 9 q-0 1 9 1 New York State D. E. C. -x_ Town Trustees Town Zoning Board approval: Town Planning Board approval: x Flood Plane Elevation ??? ' Flood Zone: is Notes: / /, z -,�r 6 "EST Hot.E C�(2-ADE "� l3RowN silTY t.o4M SHARON O'BRIEN >•' 00 M -3 BRcwN (.OAMy54 SANp Middle Island Road C >4 3 O c+1 pAIE 6ROV/Id FINE Mt. Sinai, N.Y. 11766 °� W N l3" To ME O. 5AN0 -4-7-3 -071PW Z ra a\ O !7` BRAWN 511-Ty SAnlp y O r� q ./7 23" ; Po E aowN i r1� Ss v� F �+ cc cn n h :3 U M O con cn O - f.,, 00 J' � c) I r7 (FIN. FL- 93.5 in v� . o W ' C �IoAR. FL- 92.0 � air+ I:Q .�..cn r/1 Z i P R.o P. 110. d Q rORK do vu '� �� o N RES• � sr ^ a 50 EXCAVATION INSPECTION REG' 3 54 A 1 FOR SANITARY SYSTEM ®'n I Y HEALTH DEPARTtVIENT 1d1 ; d� {(� i vl rFOA CDLWff IMPARU 6 IT OF HEALTH SERVIK25 `� ► 011 i ; Qf �Q9 r lJl IL PEDWYMAPPMULCIPCOMMUCrIONWRA > GM= ex � 1 96.4 87. IBJ 5--7 a 'B•c�. IO ' v�J EfY 1 � .oo TE-� �• �/ v l ( •APPRO'JED o 96.9 + e .-70 FORIdARQlMCF.0 3 N EXPUM THRWIYEAM PIM DATE OF APPROVAL 'D o � 0 ti 0 . d'� a•, „gym � � w CL J rt s ® Pep(40 4 pr. S � q•y C'i4> � � is �9 /oG7 J 11[AYr DR1VE rl� 55,020.0 o O: ✓ '! _CoA1� o q OS,T bG © TU1 0 p1 h ' y bb. �(� x N 1 � � N SUMN)/T V A,% C.A. nlT S Rte, o J V' va x. ro N Map of Described Property r w Situated at Bayview, near Southold c c a rTown of Southold, Suffolk County, New York Of District 1000 Section 79 Block d I.,ot S © ANTHONY ABRUZZO R.L."1. of roFiy REGISTERED LAND SURVEYOR 1700 Hortons Lane " a � o � Southold, New York 11971 v .o3i r„ o o "• . (631}-765-6242 �� t.r, 1 s c,, r„ oa sz n , io t SURVEYED y 2•.5,_1 92, Q � N P 8 .• ; ��a«a ' Foundation Loca i.op: x��Nl t!,20(JCt <, Final $wvey: July 27 2QII0 .: ,�._.. Septic-system arzd Weil Igcations by applicant. Elevations are'in assumed datum. 0$ets are to the foundation » ' New septic system locatign by the Builder. Sebe: 1 File l.;?"_;3Pr, pllpY 1.,P rn p SGS, wae.� > �S � o r-s � z £ M /Q/.7 •� r ZZ 0. 12 0 1 +� P' L o � zz zz z UO A 20.00 m ora Gln (A ( ° v � o N ➢ Q -55.0 i i 3 �oo 07, 6 S UNI NI/ T k' u /-,A, rJT S \WELL Map of Described Property Situated at Bayview, near Southold Town of Southold, Suffolk County, New York District 1000 Section 79 Block 6 Lot 8 Z ANTHONY ABRUZZO R.L.S. REGISTERED LAND SURVEYOR 775 Mill Creels Drive Southold, New York 11971 o,0v A� � (631)-765-6242 u fin' SURVEYED: July 25 1999 Foundation Location: March 3,2000 _-.�......-.._•- �S LAND Septic f-, 1' '•'Gi�OF SUUt'riC Septic system and well locations by applicant. Scale: 1" = 3 File . 2236 Elevations are in assumed datum. sD'c• lac �,c. lac• xow• K,,,I,o, A ' 2 !� Q 4110 Vl' - - - -LI —LO—L— IJ r' — IAS I -- - - --- -- -- - - -- - -- -- -- - - -- -- -- -- -- -- -- -, 6066 5upt teoeo 3040 I o I x I I I j 1612• sir n'd• °S' CELLAR g g 00 4" GONG. SLAB OVER — —— — — —— —- -- - I - � b MIL VAPOR BAR 8 ® I R y a r 5D. I y COUNTRY KITCHEN 001 O BATH sa s M. BEDROONh r-- - - � � n\ /� I°• T.P Tom• r Tya! r.by. I e, n n rALN o \ UNEXCAVATED// I I 6ARA6E a Pµ m y \W' REINFV. GONG. SLAB I I I Fwe. O 9 3/4 HR ® TA rVrcH TO Dom / I I I I B B PALLS a cElur GEILIN 6 Fsx CODE (2) 2 x 12 — — . 4' REINFV. GONG. SLAB — - I -9 PITCH TO DOOR — — _ 10 RI00 DSE — p — _ — e ® Ree' IB \ / e IR'IH DIA 5r PIPE LOL. 1V1 I '{'✓I 2 x 10 RIDOS — 8 M D i cLe. i / I \ 1 0 5 N L I V. I N 6 VE BURNER R RATER GL6, A5 ABOVE BURNN ER PER CODE /]x D Rfe N'oc ob. b BEDRM. 3 BES DRM. 2 I 6010 OR DODR 5D. L — - - - - -- -- - - -- -- -- - - — -- - -- -J --- - - - -- - -- - - - - -- ---- - -- t�2x12 (21 '3040 3046 ]x b LGA 1836 I , e' LAS�TW DIA LONG.PIER//C I 54• TM. F O U N D A T I O N P L A N F. IRS' T 1= LOOia�lxj � 1040 S.F. LIVING 7 -' 200 S.F. GARAGE OR APPROVED AS NOTED OCCUPANCY DATE: II 3 -0101 B.P� *EAT USE IS UNLAWFUL 9FEE:fru=BY: ,rqNON18 BUILDING 4 PN WITHOUT CERTI (FICA E 786-0802 B AM TO 4 PM FOR THE oe 0./ tl 2 X 10 RIDGE FOLLOWING INSPECTIONS: per' pr, I FOUNDATION - TWO REQUIRED (31IV` �Yi,'ICCI IP11,;1110y FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING THERMAL RATING _ S. INSULATION 4. FINAL - CONSTRUCTION MUST 2354 ASPHALT-FIBERGLASS ROOF SHINGLES , COMPONENT AREA U-VALUE RATIN6 TABLE BE COMPLETE FOR C.O. X 4 TIES ALL CONSTRUCTION SHALL MEET DO HONG PROUNTCEED SURVEY 2 X 4 T 15 FELT , 1/2' COX PLYWOOD , NET WALL5 0120 SF .016 66 6-1 THE REQUIREMENTS OF THE NY. 2 x 8 RAFTERS Ib" o.c. - STATE CONSTRUCTION & ENERGY WINDOWS 82 5F .31 - 13 6-1 CODES. NOT RESPONSIBLE FOR OF FOUNDATION LOCATION BRID61N6 DESIGN OR CONSTRUCTION ERRORS HAS BEEN APP0"" 8'-0" O.G. MAX ALUM. 6UTTER5 DOOR5 b3 5F .2q - 10 6-1 4 LEADERS PROVIDE SMOKE-DETECTING FLOOR5 1040 5F .050 O 6-3 ALARM DEVICES ROOF/CL6. 1040 5F .050 O b-3 AS TO PART. 721.1 VENTED SOFFITS N,Y.S BUILDING CODE. . SKYLI6HTS N/A VINYL SIDING , BARRRIER WRAP , SLAB N/A 12" COX PLY4 41 OR 2 x 4 STU05 Ib.o . PV 0.5.5— . TOTAL 45 ( '"-/ PLUMBER CERTIFICATION 3 I/2' R-13 BATTS ON LEAD CONTENT BEFORE nBAI�5G TERMITE SHIELD SEALER ' G E N E R A L N o T 5 CERTIFICATE OF OCCUPANCY I/2" DIA. ANCHOR BOLTS -- SOLDERUSED /N WATER PROVIDE '/i HR. FIRE V o.G. MAX. 4 I. ALL ar;.TO BE DONE IN 5TRIGT CONFORMANCE WITH ALL LOCAL CODES RATED SEPARATION TO 12" FROM CORNERS 4 0RbiNANGES , 4 THE NFwY:)R STATE UNIFORM BUILDING f CONSTRUCTION If Copper tubing is used SUPPLY SYSTEM CANNOT l (3) 2 X 10 1 CODE. ELEGTRIC WORK TO BE UL. APPROVED. CONTRACTOR RESPONSIBLE FOR for water distributing EXCEED 2/10 of 1% LEAD. PART. 717.3 (f) (1) OF Wr'ERV1510N OF WN51RXTION 4 CONFORMANCE WITH ORMIN05 t SPECS. System; piping shall be N.Y. STATE BUILDING COOP. CONTRACTOR TO VERIFY ALL EXI5TIN6 CONDITIONS 4 NOTIFY ENGINEER IN MITIOf types K or L only 8" GONG. FOUNDATION WALL OF ANY DI9GREPANCIE5 PRIOR TO START OF WORK. DO NOT 5GALE DRAWINGS , USE ONLY WRITTEN DIMEN51ONS. PROVIDE SMOKE DETECTORS AS REGID. BY UNDERWRITERS CERTIFICATE (4 DAMPPROOF BELOW 6RADE LOCAL CODE. CONTRACTOR RESPONSIBLE FOR ALL LIGENSE5 4 PERMI1-5 REOV. REQUIRED PROVIDE OPENINGS FOR - 3 1/2" IN, DIA. TO COMPLETE THE WORK. PROVIDE ANTI-SCALD AND/OR 5TEEL PIPE COL. EMERGENCY ESCAPE AS 36 x 36 x 16 2. SOIL BEARING CAPACITY TO 13E 2 TONS / 5f MININUM. ALL FOOTIN65 MUST BEAR THERMAL SHOCK PREVENTING 4" GONG. SLAB / GONG. FTG. ON UNDISTURBED SOIL. CONCRETE COMPRESSIVE 5TREN6TH TO BE 3,000 p5l a REQUIRED BY PART. 714 OF / 6 MIL VAPOR BAR. 28 DAYS. 2 PLUMBING N.Y. STATE BUILDING CODE. DEVICES AS TO PART. 902.6(K) 16" x 8" GONG. FT6. 3, ALL FRAMIN6 LUMBER TO BE HEM-FIR No. OR BETTER ; Fb = 1150 pp5sf , ALL PLUMBING WASTE N.Y. STATE BUILDING CODE. W/ 2 x 4 KEY E = 1,100000 p51 MINIMUM , OR WHERE NOTED A5 DOU6LA5-FIR LARCH No. 2 ; &WATER LINES NEED L _ _ J d (2) ><4 BARS CONT. 000611-FIR No. 2. DOUBLE�A ERS 4 TRIMMERS a ALL FLOOR 4sl MINIMUM. ALL BEAMS 4 4RROOF OPENINGS BE TESTING BEFORE COVERING i DOUBLE FLOOR JOISTS BELOW PARALLEL PARTITIONS 4 BELOW BATHS. HEADERS P. GAVANAC H FOR WALL OPENIN65 TO BE (2) 2 x 8 MIN. UNLESS NOTED OTHERWISE , PROVIDE POSTS 0 BEAM 4 HEADER BEARING PER CODE. PROVIDE GATS • MID-SPAN OF S E G T 1 O N A ALL BEARING PARTITIONS. BR06E ALL FLOORS 8'-0" oc MAX LUMBER IN 26 x 50 RANCH / I GAR GARAGE I/4' = I'-0• WITH CONCRETE OR THE EXTERIOR TO BE CGA TREATED. PLYWOOD TO 13E APA GRADE STAMPED 4 MADE WITH EXTERIOR 6LUE. PROVIDE TEGO' METAL FA5TENE 0� IvEV'J kj o ALL BUTT GONNECTioNL5 OF FRAMING MEMBERS. StP , 'Il. HESS/; P L A N S 201 MAR 901 0 PROFCSS\�� of - ; i ED 7DI a.T ox Doors _ I I i I I I I I I I I I R I G H T S 1 D E F R O N T FS 3090 3040 sda SLI zei , - - -- - - - - - - - -- - - - - — � I I F- I � STEP FOOrIPYS J — C, LI L E F T 5 I D E R E A R ,i 4'VFW THRU ROOF 13ATH 4' 4' KITCHEN I' I I I 3' F.A.I. IF I P. CAVANACH 3' r 26 x 5-6 RANGH / I GAR GARAGE 4' 4' TO APPROVED G.O. 4' SANITARY SYSTEM 4' TRA P L U M B I N 5 ynr`�� W. Nesse . ELWATF'ONJ 29 MAR 994 r„c 05 319 ��� PROFE5510�P .. �-�' ,•