HomeMy WebLinkAbout26223-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-27401 Date: 11/13/00
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 380 HOPE LA SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 59 Block 9 Lot 26.12
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 3, 1999 pursuant to which
Building Permit No. 26223-Z dated DECEMBER 27, 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 3 CAR GARAGE, & COVERED PORCH AS
APPLIED FOR.
The certificate is issued to EARL D. BROCK & MARGARET M. LUCE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0186 10/16/00
ELECTRICAL CERTIFICATE NO. 43433 10/03/00
PLUMBERS CERTIFICATION DATED 10/19/00 HARDY PLUMBING & HEATING
e ze!4
A horized 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. 26223 Z Date DECEMBER 27, 1999
Permission is hereby granted to:
EARL D. BROCK & MARGARET M. LULL
380 HOPE LANE
SOUTHOLD,NY 11971
for
CONSTRUCTION OF A NEW ONE FAMILY DWELLING WITH ATT. 3 CAR GARAGE &
COVERED PORCH AS APPLIED FOR & TO CONDITIONS OF THE HEALTH DEPT.
at premises located at - 380 HOPE LA SOUTHOLD
County Tax Map No. 473889 Section 059 Block 0009 Lot No. 026 . 012
pursuant to application dated DECEMBER 3 1999 and approved by the
Building Inspector.
Fee $ 1, 111 .40
Author' Sign ure
ORIGINAL
Rev. 2/19/98
Form No. 6
I TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
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.
L/4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 17 lead.
•5:� Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from ar iegt` r engineer _
responsible for the building. (v a,
dA.. Submit Planning Board Approval of completed site plan requi ementspp.((�
B. For existing buildings (prior to April 9, 1957) non-conforming iAes, lSYrb� Aps and
'!pre-existing" land uses:
1. Accurate survey of property showing all property lines, str ets� building
unusual topographicfeatures.
2. Aproperly completedaPPlicationand aconsent to inspect signed by the a
PPlicant:�
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 - ew ,dwelling $25.00 Additions to dwelling $25.00,
Alterations to dwelling $25.0', 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 - .25kj
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ��/!7/!0
New Construction. . . . . . . Old Or Pre-existing Building. . . . . . . .
Location of Property. . . . . . . . . . . . . . . .0 . /fOPL! L. . . . . . . . . . . . . ``/0//�>:
House No. Street Hamlet
Nt le6f1!e� /_4,r_,5 f- !�: eeOGIL
Onwer or Owners of Property. . -
42
County Tax Map No 1000, Section. . . . ..f /. . . . . .Block. . . . 97.?. . . . . . . . .Lot. . .
.aG:� :. . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . .
,� ti92G D •/3rleG/L
Permit No. .T. . ... ... .Date Of Permit. . . �. . .Applicant. . . . !. .. .1.:� ?. . .*cc. . . . .
X10 99e12'_1.
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . .. . . .. . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . �. . . . . .
Fee Submitted: $. . . . . . . . . 5:ero. . . . . . . . . .
G AXc. SAPPLICANT
co -.a?ya
=3r1.•�ySYi. Pb, ri .t tf.°�,.siSl. ,;t•3, ii;S�j:, Oji; .� r .`5+t, ;t.
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•_. f i, w1, '.th Q'd i=}� \tt, .�5,l.., ..Irl i;l\NiS,a, ...ig r y •,W'1• „.i.. 1t•nR..\. K<hs' \, r 1'@.'y,�'v,f <3 .q4$ ,7,Y5 •i,lw leo
y✓a., ,fi 1,%: �f(,'i; .,11I •, ..,�I,..t, l ,Lr„<3:>u„ ••f<r ,t,,!• „rr. >1�ru.},,,<Y.,.1t�:,,,e.,. .�l,i�pi:,if,.,. „r+•t•,f1., \,�ir�3.,1`r�?.,.•,�.
}'% .S�,J,3..Z I„.,.1,v :.)'�;iv.l 11,l1•,u}7),,, i,L,,.,�,1'H n"1�..�),v1Lr q.,n., .nvx)',t,,,,y .y,r.. A..yva,"V{S.; 'f,,•,� ..'fiy„r T"17. .,!v'., ' :`,p'p. .P, —"�`
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s_:� i• '1 f'fn r%} ,.•"N n %:j(°� Yn.l .+...J , ff9.. • eNJr . i. a yb” S';JrSfg}..
"�..fjf{�t`i'+,;�'Nfs. ”'&' , t . 1 , ,u ;�k f t .ii•./,,, pit .... : r,i3.....�.:_3
�., S ...,, J ..! rS}T.+, r„+T1trr yy y„r£•3Ik *4RK
R<t
Electrical Inspection Certificate
{'Ni if
erlee'<� Electrical Inspection Service Inc.
` 375 Dunton Avenue
<, East Patchogue, New York 11772 ”
a«4`,
�% (631)288.8842
OW2
ft--- Date: 10/3/2000 pp 43433
.<�°_ ,;.,� Application No. .
Issued to: Earl Brock
«car,
r Street: Hope Lane -
ct�se. Village: Southold Zip: 11971 Town:Southold
Section: 59 Block: 26 Lot: .12
.: `R ' Introduced by: D.C. Electric Inc. Lic.# 4076-E
i3?`r was examined and found to be in comp/lance with the National E/ectr'ica/Code
❑Attic W1st Floor ❑ O/S Residential ❑ Pool ❑ Det. Garage
❑� Basement ❑O 2nd Floor ❑ O/S Commercial E] Hot Tub ❑ NV Defects
�fl rx`
G�a, Switches Receptacles Fixtures GFI Heaters A/C Fans
,y 52 58 78 8 4 F:-
efj� -' Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal �^ `•
31
1 1 20
1 1 w....�
Furnace Oil Gas Circulator Smoke Detector Bell Transformer
s'<�''` 1 1 2 7 1 'jet
Meter Amps Phase Motors Telephone Television Carbon Monoxide
41+;r{ M 1 200
Ir =:
3=aa. m
Other Equipment: {�<:
s t , 1 Hood, l lacuzzl, 115amp Double Pole Breaker For
A/CA/r Handler, 115ampAirHonder,
Hugo%. Surdi Fal
President
This certifcate must not be altered in any manner ra
Building Permit No.
..��- ...,�:..:.' Inspectors may be identifed by their credentials -
� :\ 7rr, �\ it f th.' l�.i�ilr7 aa ai�'ff1 IY 1 :ffl Lt�fi i3vi" � ilii'ii' y1t miff J} la ivf ll.}�S�� 1i7,rj pt,'; ��u r/ 'v yrr t �f;y_�d=:
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•gid Pfd;'a-' 'i,1i 1 t . P ��i' 7 i� �.;:� '1 � S; y S;, it i . 1�i i;• ' � �'
u;Jee e�41?}�;. sn•V:?�.P.,'13 S:S.SJI�fD '•.,.;}�%t", i �f•.• ''.e�iP�'• ..!.?.ift '��-,iwj � � �i<... ..,.{5.. Z....e.
I
TEL. 765-1802
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 1179
TOWN HALL
SOUTHOLD, NY 11971
CERTIFICATION
Date:
Building Permit No. Q(01a�
Owner: USL- - Mz�
(please print)
Plumber: \AK12134 ' AuM6YIy' A Ck wa,
(please pr nt)
I certify that the solder used in the water supply system contains less than
2/10 of 1% lead. I also certify that I installed an anti-scold and/or thermal shock
preventing device at all bathing and/or showering fixtures in conformance with part
902.6(k) of the N.Y.S.F.P.A.B.C.
(plumber's signature)
Sworn to before me this
WMEMAIOM
OrmyPUBUC,State of Nw%*
day of 0Vr0MfL_ N0.01EC5084055
0eaified in Su0ooMy
CAmmWion Ezpl
2000
(Notary Public)
Notary Public, 0-W— County
o��$pFFO(�co
Gyp
Town Hall,53095 Main Road o Fax(516)765-1823
P.O.Box 1179 W Telephone(516)765-1802
Southold,New York 11971-0959 Oy • ��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
November 3 , 2000
Earl Brock & Margaret Luce
290 Koke Drive
Southold, NY 11971
RE : 380 Hope Lane, Southold
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
An application for Certificate of Occupancy is
not on file . (Enclosed)
No Underwriters Certificate on file .
The check is (not on file. ) $25 . 00
No Health Department Approval on file .
No final inspection has been made .
XX No Plumber Solder Certificate on file .
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 26223-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
ADDITIONAL \ M
F
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ) I ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
,DATE 01-0 INSPECTOR
a4�
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]DATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
REMARK
iq:. L�� It.Qltf-ZA
V v
f
D E INSPECTOR
765-1802
BUILDING DEPT.
INSIDE TIO
[ ] FOUND N IST [ UGH PLBG.
[ ] F NDATION 2ND ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPL E & CHIMNEY
RE RKS:
P r
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECT I0
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] F UNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS: D _
�(
DATE �' INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [✓/] ROUGH PLBG.
[ ] FF UNDATION 2ND [ ] INSULATION
[ O] F MING [ ] FINAL
[ )FIREPLACE A CHIMNEY
REM KS:
r
.r
c j `
r �
G
DATE INSPECTOR �-
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
DATE INSPECTOR
j
Reference#R10-99-186, Brock
SPECIAL CONDITIONS OF APPROVAL
1. Installation of the sewage disposal system wall must be supervised and certified by a licensed
design professional (Form WWM-073 enclosed).
r
2. This permit is subject to Town approval of grading and drainage plan.
3. Depth of leaching pools are not shown on plan, a minimum of 300 ft2 of sidewall leaching area
is required. For the purposes of this permit it is assumed that the pool depths will be a minnimum
of 6 feet each.
4. Due to the poor soil conditions which extend below the water table, it is recommended that the
excavation for the sewage disposal system be conducted prior to installation of the foundation.
If it is not possible for the Department to clearly ascertain that the excavation has been completed
to the required depth (because of groundwater conditions and/or caving), then dewatering or
sheathing may be required.
i
1
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ `FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
-
DATE INSPECTOR
765-1802 �1��
EFT.
INSPECTION
[ ] OUNDATION IST [ i.-"000H PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
[ FIREPLACE A CHIMNEY
REMA KS:
1
a VV RJ
DATE? 5 OD INSPECTOR.
M-1802
BUILDING DEPT.
INSPECTION
�FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ J FIREPLACE & nCHIMNEY
R MARKS: Pot,e
4 -
v
i ,� `vt/✓l �G
e
c
DATE /` CSU INSPECTOR "�
-
Reference#R10-99-186, Brock
SPECIAL CONDITIONS OF APPROVAL
1. Installation of the sewage disposal system wall must be supervised and certified by a licensed
design professional (Form WWM-073 enclosed).
2. This permit is subject to Town approval of grading and drainage plan.
3. Depth of leaching pools are not shown on plan, a minimum of 300 ft2 of sidewall leaching area
is required. For the purposes of this permit it is assumed that the pool depths will be a minnimum
of 6 feet each.
4. Due to the poor soil conditions which extend below the water table, it is recommended that the
excavation for the sewage disposal system be conducted prior to installation of the foundation.
If it is not possible for the Department to clearly ascertain that the excavation has been completed
to the required depth (because of groundwater conditions and/or caving), then dewatering or
sheathing may be required.
}}-
��o E�-e /•�a�i� 9�s1I fir•-�W�� � d(� ,.;.,
DEC
w,romv A G.DEA
STATE OF NEW YORK j
ss.:
COUNTY OF SUFFOLK )
/cA044s being duly sworn, deposes and says:
That deponent is over the age of 18 years, and resides at
That on the day of 1999, deponent, being the
architect/engineer, licensed by the State of New York, hereby states that s/he
accepts full responsibility for the accompanying plans-compliance with the New
York State Fire Prevention and Building Code (9 NYCRR).
Archited �
Sworn to befor me thi
day of �-
a' ' u UNDA,
u ic,State of NewYork
No.52-4502164
Qualified in Sufk
r'temrnission Expires
cc: applicant
. .., . - �3 it
I
OARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 SETS OF PLANS
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . .. . . . . . . . . . .. .. . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . ... . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
CALL qG. . . . , .
•744 /44.5-3..
MAIL TO F'y,/2L Bk'D :! N/,FY6 JO
Examined. .. - "Ae. . .
Approved. .., 19 � Permit No. .. ............ .... ............................
Digapproved a/c .................
5'ou�o!<
77,
p
(Building Snspector)
DEC , y ;r ,� APPLICATION FOR BUILDING PERMIT
rel q � J
Date. . . . . n/n. . . . . ,
iT.
INSTRUCTIONS
a. This application most be� Icompletely filled in by typewriter or in ink and submitted to the Building Inspector wilt
3 sets of plans, accurate plot planjto 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 deta�led 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 cammenced 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 occup ed or used in whole or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATION IS HER= MATE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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, buildin 'code, housing code, and
regulations, and to admit authorizes) inspectors on premises and in building for neces inspections.
(Signature of app t, or name, if a corporation)
PPO Zo,t/t drt. S'Da�,-,&IA /V f cop 7/
...................................................
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluaber or builder.
.......04wge ?................ ...................................................................................
Name of owner of premises 4WI2G 4 �40eBe-......P'- N?�9 �aar3•g'�T ieE
................................
(ss on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate offi r)
Builders License No. .........L...............
Plumbers License No. .........li...............
Electricians License No. .....................
Other Trade's License No. ............
1. location of land on which work will be done.. 2�NWT� �'D/9 a�FaG S'Dp.vjjl/i[ruJ
................................................
........................// C.57' �c �G��a/✓C
....... ......................... ..................................................
House Number 1, Street Hamlet
Canty Tax Map No. 1000 Section ®...............0 G . Block ..Q.9.:�.D... Lot Q ,D /z
Subdivision '....^./1A/......Co................. Filed Map No. ............... Lot ...............
(Name)'
st occupancy em f proposed construction:
2. State. Ex sting use�occupancy ..^�!Y �!!� /v��A use occupancy of.............................
b. Intended use and occupancy J{NG/C . �il�/�� ��.. b�iYC�
......................................................
3. Nature of work (check which applicable): New Building .... Addition .......... Alteration ..........
Repair ............ Removal ............. Demolition ............ Other Work ....................... ...........
(Description)
4. Estimated Cost%, 0104!:E ........... fee ...............................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ....(....... Nurber of dwelling units on each floor ................
Ifgarage, number of cars ... -3.................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use..77777.............
7. Dimensions of existing structures, if any: Front.. 777......... Rear ............... Depth 777777.........
Height
......................... Nwber of Stories ......................
Dimensions of same structure with alterations or additions: Front . `�.......... Rear ....: ......
Depth .................... height .............. Number of Stories ...............
o i .6 7"• /i
8. Dimensions of entire new construction: Front ...rd�.......... Rear ....6� ...... Depth .... `.......
Height .....41�................ Number of Stories .... ..............
i
9. Size of lot: FronC ...... ............ Rear .. 2 .�'......... Depth ....................
10. Date of Purchase ....?I/YI?Y...... Name of Former Owner rTo6N N1cLiC/C
................
11. 7.one or use district in which premises are situated ...... �0 ................... :'. ;.
......................
12. Does proposed construction violate any zoning law, ordinance or regulation: .!VU
.................. z,
13. Will lot be regraded .......Ymo
v ......... Will excess fill be removed from premises: YES 6D
e qnc 'b A3Qol.r-
14. Names of Owner of premises A!11Rc!3t?�T GvcG........ Address a7?B......... ..... !�A/6: Phone No. 76.S-/4 53'
......... ............ ..............
Name of Architect SCJy!!//jS IOL,E?G? ............. Address !/o Mi%/2d:lU�ST//�1.ry�T s Plane
Name of Contractor ................................... Address ...............................Phone No. ..............
15. Is this property within 300 feet of a tidal wetland? * YES ....r:... - N) .°�.....
*IF YES, SOIHM TOWN IMS1EES FMM MAY BE REQIIIRM.
s a 4e•r 1033' S 419840 , 24o.uu
Locate clearly Parcel 11 "
90 5d V S 4198'40" E //o/DE /YE f it�ny
from property lines. a=z
whether interior qr �=9e o 64.03
T ° y •n hers 0
�(pP� 1A1.� R-50.090
0 3
o w
z = ' o
o .r
N _
a
a N
2 ♦ N
0 �
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ri
y
N7975-8 4(fW 376.54
SPAM OF NIU
0 73 cfOG 35 0 ki N/0/F STEVE DORosia
OOONIY OF 10 aL /
..........................................................being duly sworn, deposes and says that be is the applicant
(Name of individual signing contract)
above named,
fie is the .... l?Cr1NG/L 5....�� ....!'�OrL rty .........................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and
I
hat the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this /�L� (�'
°� day of�tr ............I9 !..... C
& aC-2
Notary Publ .. .... (. .....
Nry
JEANPublic,Stele (Signature of Applicant)
otaof New Yak
No,OIJA7076900
^uallfied in Suffolk Counbit
Con �csionExpiresApnl
BUILDING PERMIT REVIEW CHECK LIST
Applicant/ Date
Owners Name:LPA + t'nagq�fc " L,c-e_ Reviewed:
Architect/ Date
Engineer:KIc�a�a 5 V�Ro L [ e�eA T ka9, Submitted:
SCTM #: q
District: 1.000 Section: 1 Block:9 Lot: ��-
Project1I �p Subdivision f�(�
Location: Mri �Af1l Sa �e� Name: I ' t UZOIe.. `>("b
Single&separate Required
certification: (Yes/No)Req �j�' 9
Zoning District: Q [Lot size: w Actual: J [Lot coverage j;?0Z Proposed:-7---M
Rey. / / Rey. .20 / :►� Req. J* f
[Front Yard � d Proposed: �d 1 [Side Yard Proposed: 1 [Rear Yard 1'� Proposed:� r
Project Description:
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
A-Suffolk County p Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval: V
Flood Plane Elevation ???
Flood Zone:
Notes.
SCDMS REF. * R10 - 99 - 0166
CERTIFIED TO
Earl ° truck
Margaret Luce SURVEY OF PROPERTY
Fidelity National Title Insurance Company of New York
AT SO UTHOLD
T 0 WN OF S 0 UTHOLD
AREA = 1.9559 a� SUFFOLK COUNTY , N. Y.
a i' 1000-59-09-26. 12
SCALE.
1, 0
JUNE 8. 1999
Soy JUNE 25, 1999 ( admllp 1 1
2g' SEPT. 22, 1999 (prop. hse 5
1'/a
5 NOV.fP,1999(=Clu
el 2¢
m, �. y........aaEXCAVATIDN INSPECTIs 9 M1 FUR SANITARY S1.�ai. tt q• ,n f_,.,.• . B.Y HEALI'�FI UE1'RR
yY
h1P �\ Brown .io,w,y sand and sandy cloy sc . a
�f
T e
S G Op. m O� Oa oc c rzs C y r
F SO1� s �Q� r\ 0 wm., .a or... slowly soon
OP,
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+l. P5 POS,
TEST HOLE dpi
Dwk braGLO
wma, .n down nna ,o aaa„a sena sw
lam OL
� SO
solid
P C��$ \\7� ' or A
9d TESTHOLE&sen the to nY/
medYm sand st a S i/
- � 4' C p Cm Amy Q
PMIIrI deY�j'
swirl $C
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SUFFOLK COUNfyOVAI 'MTOFHEALTHSERVI
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_ ALOFCO
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Prop e/evat.on %A.
SINGLE FAMILY W&DENCE ONLY
s 1 _ DA.NOV RIO - 9 i8b
o .APPROVED err((
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I FORMMBED
cl L.P.a76ERFROMDA0
OFAFPROVAL
EXCAVATE 12'0 JJ "o
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ORA WL
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AO
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!1et 3e 5
33. LLdlf,f lk*W Vol
/Torn
SEPTIC TAN( E 27,I
3• + / ] I E t4 It1o0¢et
cM.L am familiar with the STANDARDS OF APPROVAL
OF N ry AND CONSTRUCTION OF SUBSURFACE SEWAGE
T Y rnM P FSS h yp DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
or. -i; T 'g'A FT 9� and will abide by the conditions set forth therein and
/2 * t� „ on the permit to construct,
remove yywy
�
'� par.. .�rd aN A�oar
I_ - -- clan +pd pd - 2 The locations of wells and cesspools shown hereon are
'FIRE TO COAR SAND Z o from field observations and or data obtained from others.
Ho• 0525
SEPTC SYSTEM
CROSSEC1I N OFESSIONP� Elevations are refere ed datum.
HN T.M8"
CF
_ Pit
Y5. LIC. NO. 49618
ANY ALTERATION OR ADDITION TO THIS SURVEY 15 A VIOLATION Co EY P C
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. ( 6) �76:�;..�--,50
EXCEPT AS PER SECTION 7209–SUBDIVISION 2 ALL CERTIFICATIONS � '
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF nBOX 9 9/�.�0
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR AC`s'- REE T F99-2281
] (]_ O [J O
WHOSE SIGNATURE APPEARS HEREON. $Q (9L�bP $ 11971 a7 �i.G O
SCQHSREF. # RIO - 99 - OW
CERTIFIED TO:
Earl D Brock SURVEY OF PROPERTY
Margaret Luce
Fidelity National Title Insurance Company of New York AT SO UTHOLD
D
TOWN OF SO UTHOLD
��°$ SUFFOLK COUNTY N. Y.
! AREA = 1.9559 ac �`y_-' 1000-59-09-26. 12
Pae SCALE: 1 "=50
��� �Op�,, •� JUNE 8, 1999
R, JUNE 25, 1999 1 oddIl I
SOv ay• Zme AE el /° Ure SEPT. 22, 1999 (prop. het 26�
Q oo
l"65 V06 NOV.1P, 1999 rL1 4, crown loom or
�� 9a 'SO• �. 11>c 29 /999(Fkw z^nc+v �.
V
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FLS 0
1� Zone Hoer any se s cr
SOP
st. 25 �S „ eo
TEST HOLE #2 � � . \`� wm.r m eroww nn. m eon.,e .nna sw
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9'
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senaG, • 90 a
'
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i
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COARSE SAAP SW
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9 aL 30.5
33, u(1.6 t lofted grade \
/ma
V SEPTIC TAN[ As 2>/
�AfA
3, �' E 'sa` loon st am familiar with the STANDARDS OF APPROVAL
s• s
ss/r AND CONSTRUCTION OF SUBSURFACE SEWAGE
4 /fa 3r ad, DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
R water - — 1 and will chide by the conditions set forth therein and
/2 on the permit to construct
rwmsw dsrywr sad to
awsa 0aM bell Mq, The locatibns of wells and cesspools shown hereon are
ctake sand aN 9wsd
C�---F Av from field observations and or data obtained from others.
SEPTIC SYSTEM Elevations are reference re ssumed datum.
CRQSS6CTICM p4 NEWYp�y
Fano Zo ae. Flan Y.S. LIC N0. 49618
36103CO194 G CDNRb'g. VE1 PC'
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION >
OF SECTION 7209 OF THE NEW YORK STATE EDUCAPON LAW lO ` � ,1 �0 �0
EXCEPT AS PER SECTION 7209—SUBDIVISION 2 ALL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF 1°2 0 TRk`b L R �T EET 99-228
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR J EOyv w� 11971
WHOSE SIGNATURE APPEARS HEREON.
_ I
SCOHS REF. # R10 - 99 w OW
CERTIFIED
Earl D. Brroowck SURVEY OF PR OPER T Y
Margaret Luce
Fidelity National Title insurance Company of New York
The Suffolk County Notional Bank A T SO UTHOLD
9 ,
TOWN OF S 0 UTHOLD
SUFFOLK COUNTY , N. Y.
AREA = 1.9559 ac 1000-59-09-26. 12
AQo SCALE: 1"=50
JUNE S, 1999
V.
0q AE cl /o JUNE 25, 1999 1 addl„on 1 ll
`3 z9, ZMe no SEPT. 22, 1999 (prop. heleffi5
NOV'12 1999 fT'%'
'0'fl main n oL
5� s, I% 46 OEC.29,1999-( cord zones)
� a° MAR.30, 2000 fcartlllcpcpn ) '
s, A6°� 1 no X r
em»n roomy no v,ane sc
4. et' d3e• u, April 20, 2000 (foundation)
July 25, 2000 N.C.)
amwn owner sone ana sandy dor sc k Q
♦ G' / Ia r P F $a,
O 611 Ips 9° �S
dPIII
aT G ryOk mea?• t^mai
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6F, 10,� LO/JP � own s vg �j ane randy any SC a cc
d. 25
t2 ' none bond
�,
TEST HOLE d
ry� � '•ae� wnt.r m brown me ion sw
Dent bra" t,. OS,
M roam 2 a�3 0' 00• 9
Pe' TEST HOLE
z5 90' 10
Broon 0a 10 \ 4 iY A A E 1P
weaken want s4` 5Rpgd A.. OrA 1 '0
Brown 9' S{ tyjkYf t,.� t.P Ui �_
V64 w,
Wi i A
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SC
It
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33
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t9 I ti�9�
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t S.T.
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/•1 111 TA
L.R. E 5 SK
a' u're h' 'E ' Low PL I am familiar with the STANDARDS OF APPROVAL
noer e! o. AND CONSTRUCTION OF SUBSURFACE SEWAGE
a IL• _ W.0, pF NEK. DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
y. ruler —T and will abide by the conditions set forth {herein and
/R '� n the
permit to construct
,
r— rgnnre debdw he"
toClean, sod a z e locations of wells and cesspools shown hereon are
TO COARSE SAAR _ yWj m field observations and or data obtamed From others,
2
SEPTAC SYSTEMfo. 05 �.�' levations are referenced to an assumed datum,
CROSSE07M t� �+►`
fe o Zowes Faun Fr2M +'r euFES310 .,i. PtC'.',7151gd JJIJ aO ur,, - S. LIC NO 49618
,3&103c e154 G "L^ 'i 1': 11! 1': If J I-10
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION 0 C V .C.
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW :�E� I;�I ��,_ r�,t ti_i� '� 3j 76b,, q. 21) A (631) 765 - 1797
EXCEPT AS PER SECTION 7209-SUBDIVISION 2, ALL CERTIFICATIONS P O BO�jy I s
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF 1' . J TRFP'i�„ ST EE 99-228
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ii , S Y , �4 1
WHOSE SIGNATURE APPEARS HEREON.
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,EEN"AIt NOTES
{ ° I Iin
1 All construction is to conform to N.Y. State and Local building codes
$7- - �: .- .- <'. r �- t2 All plumbing is to conform to Countyedoca
sLl health depanment requirements
Al
_ 0 3 All electrical work is to conform to Local,NE C, and Underwriters requirements
4. Contractor shall yerify all dimensions and conditions in the field prior to constsuc ort Notify the Architect ofconflwis or
discrepancies.- 4
-- - -r — - - - - - - - ! 5 Do not scale the drawings. Written dirnensions shall rake precedence over scaled ones Larger scale derails shall take precedence
®r, -
11
over smaller drawings.it is the brication of the drawings to provide for a compiete,,ob in all respects.6 "rhe Ardutect shall be notified of all changes to the design The Architect is na responsible for changes made without notification007, The Contmmrshallbe foradequat brsmn all workdari consruction nsl colla�� go g °& Pss, Nstomon and
E- .� Ce%V i it ' misalignment arxwiding to all codes, and good puuice.I _ - _ ' S- Providesmohe=dcwbonrwmxideduatmuperNYS.codm.� - a , 0 I� .11 ' 7 r 9 The installatioq ofaU maretids aedpeoducts shall mea all manufaclwers requirements ;'�y-, -�. I'LIc r5-1 9q U
P . a* pm'squa bearingcapacity. erify beariRgcapadb'-' ]0 Concrete is mbe3000 5 i �21oa rcfoot soil V soil in ltbld Double fame around all opeotogc,under peuflei partitions and under bath tubs.
- % I 12. "Toto' connections Hush structural load r I 1
regaireda6aK carMngcoWidora.
13 Ail forming lumber is to be Do4fir,N2 16= 1150 ps i , E= 1.4m p.s.i
14 All headers and girdersm be Daug-fir 02 dr 1250 p.s,r , E- L7m.ps.i.
Z. - - - % rt I 15 All exterior dark framing shall be C,C.A, treated.
I
1 - — - — IN "' d
: (T'(I n� G - 16 The Architect allows one ahtlqulte to be built with this set of pLas,with one building permit.The%varitect shill not he responsible
: ` ^
51for additional structures built upq62ye plow.4PKr� e
17. Prefabricated fireplaces and fthi ibas be U.� approved
kr - L TYY- F Iy. cotJyl
_.- 18. All headers not noted ate to be'(2)2"s12
yf r ,� 8 x -0'� P'°- F G- 19. Bridging m be either soli4 I"x3"or IB moss-bri tit not to excmd'll'-0" o c.
_ 18 ga. dg g /^/]
"' Wb LL 01-I 9nr Ifr _art' - . '� 1. I T1
I C I �,•°, i<T tr7 , _ _ 20 Provide damtes,Lng at all d tenor am to
wails g
--_ _ 21 All Flnch plates,L V.Ls and gir�rs arc ro bWr 0n solid wood v
y- -7 0 22. All joists and rafters are m babtidgA�.g'-0"o c Posts and lave solid blocking down to foundation walls o '
X J ,1 Ni s
1 0 23 Interior bearing walls ape to be Mocked Q 4!4T o c
�I ;n -"� I Fl + - 24 Steel ASTM A-36 painted,bolts as rotted(A307), nclds-E70XX. minforeement ASTM gr 60 Q'
'}$ r -'� I F' �' 'rte--�� --!-� 25 Record Amhimet isnot responsible for supervision. inspection or administration of this project ¢'
ENE$6'YHOTE'S
�.. 00I Ali construction"Ito in accordance with the requirements of the N Y.S. Energy Conservation Comorucuon Code laresi edition at O
- - - F y -r .. : F - the time of permit approval. 00
- ,l_ -';� x '�✓9 - - I't� "/q / `1 /.I -.J.L ) - ,% W _ x 9_�___- a . I 2 Exterior doors acrd doors m gavage U=40 max � N
f
�., C: "u' - 3. Windom and all glass Il-.58 hwx
4 AlffifOp)aass to be provided with a damper For outside combustion air. 130-200 c Cm, flue to have light stated damper- man air
leakage 20 d.fm. Q
_+ , i. 1t shall be the .-• •..�
_ _ _ rt y1 I rzgwaubYlGry,of ttin OpptraGor 10 submit the sick.design and type of mechanical systems which will be used in -
_ 111
��"C. � r � sµtTiciGnt detail ss is requiread b5'the{ttddlug(kpartment.
- r , r-- I 6 All lhermanals dudl be atljufabl9'45-75dag,F:far combination heauall and coping thermostats the range shall be 43-85 deg. F
I I`' 7 Combmyfton equlpmem for apaaaheltpapand wireeati
hng
shall have a minimum combustion eRrcbncy of 7.16 and shat have
4
E - ' -0 151 LL /5 F. -I
A I - cv I " �x �YY P J. k.r-o�E t +} r I standby losses beran at theioade sppdfledAravimum baud N, actual equipment sire
Iµ('I o A, ins nose as1 piv?t ,+d deli ctiJp.
.,> I , I I / ,I _ f. Water service 0empptahumakW be stl tit ldO h� F max t
-M p 90 All lavatories and shmwera d"be pgldpPW with dcOv- to limit hot water flow to a maximum of 3 g, m U4 60 si. ressurc
S n n S I - I Cv _ P P p
.- - ---- -- I -N �3I r !i I. HVAC coolingwuipmtein shalt booted in acwrdanu Wath table 4-6 of the Energy Code.min EER(efcienc>)Shull pe as specified
A^ -_ _-___- I N - I in tables 4-8. 4-9. and 4-10,ofthe Erin&%Code
�_ -,TE' L, hY? �. , 12 Tfiermal lransmiturtec iaktns shall not be gre�aier rh:uilhc values rahulasrd rn ube i-I of the Falerge Cock. r
y T� r .T _�I - - =� , �Y- 33 .All materials caMble,oPabsok*ng moisture shall be pryyected by a vapor barrier located on the winttt-w;arm side of in ddu r
-- - - - -r r T 14 Insulation,shall be installed iii a manner that provides fdr continuitY of;mlalion ar plate lines bandjoisls and rnrm:r
_ I 31 t"'/q x 'i /,1 L J.( - F L . 1bT .�i` I l PROVIDE OPENINGS FO
- -- - --- - - —� - - - //�a�"�,a_����r��v��.J � '9f aRC ITECTS9T, EMEfiGENCY.�ESfAPEA
t 'r2' 13'$ ''"q ,' - = _ I - O I Nicholas Vero Architect:state that m the best of nib I,nos IcrIge.belief and prolienionul judegtnent that the plansand ,rvc,Iiea mn,
3,r�. 1K, . @ "" • v I
--- ( _ __ sp _ _ _ - - __ _ _-� I i r IiontainedinthesednwingslcomplYwiththeNYS Ercrgtrnn r,mumConstructionCak REQUIRED BY PART. 714
v1.7 f T } a F ( - fi ,� . N.Y. STATE BUILDING COI I
_
=0 + _- i
e' PLUMBER CERTIFICATION PROVIDE ANTI-SCALD AND/OR
ON LEAD CONTENT BEFORE THERMAL SHOCK PREVENTING
a) Irl I x V ° `; 4 CERTIFICATE OF OCCUPANCY DEVICES AS TD PART.902.6(N)
1 o F 5 ewe I r SOLDER USED IN WATER N.T.STATE BUILDING CODE.
SUPPLY SYSTEM CANNOT
o
EXCEED 2/10 Of 1%
1% LEAD. PROVIDE IK HR. FIRE
RATED SEPARATION TO
�L��B+��
ALL PLUMBING WASTE
"
PART 717.3 (f)(1)OF
_
N I!jIi•;1.Ii 5�'�I'.�° sLLLAW r-.M L-J/ (s
--L
1 &WATER LIN
ES 1NEPED N.Y.STATE BUILDING CODE.E.
00 Io "xI(, x $„
j0E TESTING BErJfl � Sapo`
Ba- f <stPROVIDE SMOKE•DETECTI �,>>J
)
ALARM DEVICES �
TO PARI 721.1
N.T.S BUILDING CODE. J
. 0
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OCCUPAN Y-OR
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II I tjf Zo600S. 'f 10 �'�.t.�.T, OF OCCUPANCY APPROVED ASN01 6 ��
A- v_u5'r,7 DATE: )�a � {At{
{S T `M IT PROCEED FEE:asel;e2NsLT �H
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QUNDAi'ID LU4XI IUIY FOLLOWING INSPECRON{:
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REOsA E HAS BEEN APPROVED FOR POURED CONCRETE
aROUGHFRACDFLUM0
.
4. FINAL - CONSTRUCTIONMU{T
. °' -If copper tubing Is Used BE COMPLETE FOR C.O.
for water distributing ALL CONSTRUCTION 814ALL MEET
of peSKOrLOenV� REMENTS OF THE N.Y.
STATE COTHE NSTRUCTION ION • ENERGY
system; piping
Y CODES NOT RESPONSIBLE FOR
"'"�'-"'•�"�'T'il�-j DESIGN OR CONSTRUCTION ERRORS
e �9 = o" UNDERWRITERS CERTIFICATE
REQUIRED
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