HomeMy WebLinkAbout25889-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27157 Date: 06/26/00
THIS CERTIFIES that the building ADDITION & ALTERATIONS
Location of Property: 560 KING ST ORIENT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 26 Block 2 Lot 35
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 28, 1999 pursuant to which
Building Permit No. 25889-Z dated JULY 22, 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 DECK ADDITIONS & ALTERATIONS TO EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to JOHN A & ARLENE TOMMASINI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. PENDING 06/23/00
PLUMBERS CERTIFICATION DATED 06/21/00 KING PLUMBING
Authorized Si ature
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. 25889 Z Date JULY 22, 1999
Permission is hereby granted to:
JOHN A & ARLENE TOMMASINI
PO BOX 458
ORIENT NY 11957
for
DECK ADDITION AND ALTERATIONS TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
at premises located at 560 KING ST ORIENT
County Tax Map No. 473889 Section 026 Block 0002 Lot No. 035
pursuant to application dated APRIL 28 1999 and approved by the
Building Inspector.
Fee $ 394 . 80
Authori d SignaVtb
ORIGINAL
Rev. 2/19/98
265-5y6 r
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.
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 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 . .Wro. X00 . . . . . . . . . . . . . . . . . . .
New Construction. .. . . . . . . . . Old Or Pre-existing Building. . . 1 . . . . . . . . . .
Location of Property. . . .S&O. . �Wk IR R�E;f,�. . . .4RI�, sI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
House No. Street
Street Hamlet
Onwer or Owners of Property. ./.A[:�.�C.N .cc.} � •�OM KI l , , , . . . . . . . . . . . . . . . . . .. .
County Tax Map No 1000, Section. 3 gFd1. . OGS z- , , . . . .Lot. .�?�J . . . . . . . . . . . .
Subdivision. . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No..450 !pp.�.-. Z. .Date Of Permit.147 V-
ft9 . . . .Applicant j{ A)360. CMQU 1 . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . .. . .Underwriters Approval. � . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . .. . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .� . . . . . .
r1ol
Fee Submitted: $. . . . . . . . . . . . • . . . •
r c1fe�. . . . . . . . . . . . . . . . .
APPLICANT
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T,.: JUN 19 2010
BLDG.DEPT
TOWN OFSOUTHOLD
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� a (51�);765 1823
Town Hall, 53095 Main Road k Tolophonld '(516) 765-1802
P. o. Cox 11790 0 JUN 2 1 2000 `
Southold, Newyork 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE: C9
,
Building Permit No -
owner:
(please print)
Plumber:
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plumners Sign ture)
sworn to before me this
5 day ofS ®�U
Notary Public,
(k *�k — County
7
�quy�1 RE L GL.EW
NryN Olo,S 8o796p6 York
Qualified in Suffolk Cou
Commission Expires Dec.S,
Town Hall,53095 Main Road p Fax(516)765-1823
P.O.Box 1179 Telephone(516)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
s 1� TOWN OF SOUTHOLD
r5�
June 15, 2000
Karen Oxholm
P.O. Box 133
East Marion, NY 11939
RE: 560 King St. , Orient, 1000-26-2-35.
pBefore; a' Certificate of Occupancy!, can'"be: issued, your.'.architect _.
ora engineer`'must°""ce'itifp"the kitchen ;beam.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
I✓XX An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
XX The check is (not on file. ) $25.00
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 # 25889-Z
Please contact our office on this matter. Thank you for
cooperation. I
SOUTHOLD TOWN BUILDING DEPT.
1 9 2000 `.:...
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755-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SOLATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS{ � (�
DATE INSPECT
M-1002
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN CATION
[ ] FRAMING [ INAL
[ } FIREPLACE S CHIMNEY
REMARKS. WYCC ) �� 7/
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DATE f &O INSPECTO
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765-1802
BUILDING DEPT.
INSPECTIO
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] F UNDATION 2ND [ ] INSULATION
[ FRAMING j ] FINAL
[ FIREPLACE & CHIMNEY
REMARKS:
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DATE INSPECTO
M-1802
BUILDING DEPT.
INSPECTION ,
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[ ] OUNDATION 2ND [ ] INSULATION
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DATE INSPECTO
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] F NDATION 2ND [ ] INSULATION
(
FRAMING. [ ] FINAL
] FIREPLACE A CHIMNEY
REMARKS: _
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M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING ] FINAL
[ ] FIREPLAC & CHIMNEY
REMARKS: `
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Town Hall,53095 Main Road yy. Fax(516)765-1823
P.O.Box 1179 Oy Telephone(516)765-1802
Southold,New York 11971
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
ORDER TO REMEDY VIOLATION
Date: March 9, 1999
TO:John Tommasini &
Arlene Long
200 East 71st St Apt 4G
New York, NY 10021
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance - Chapter 45
Other Applicable Laws, Ordinances or Regulations Sect 45-8
at premises hereinafter described in that:
Structural work is being done on a dwelling that requires a
building permit.
In violation of Chapter 45-8
YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the
law and remedy the conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers ,
are situated at: 560 King Street
Orient
SUFFOLK COUNTY TAX MAP #1000-26-2-35
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may co titute an offense punishable
by fine or imprisonment or both.
UILDING INSP4CTOR
encl.
(Cert. Mail)
O��gUFFO�,�cG
Gyp
Town Hall,53095 Main Road W Fax(516)765-1823
P.O.Box 1179 , O�� Telephone(516)765-1802
Southold,New York 11971
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
STOP WORK ORDER
TO: John Tommasini & Arlene Long
YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT:
560 King St. Orient
TAX MAP NUMBER -1000-26-2-35
Pursuant to Section 45-8 of the Code of the Town of Southold,
New York, you are notified to immediately suspend all work and
building activities until this order has been rescinded
BASIS OF STOP WORK ORDER:
Structural work being done that requires a Building Permit
CONDITIONS UNDER WHICH WORK MAY BE RESUMED:
When the proper permits are
issued.
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
DATED: 3/8/99
M-1802
UILDI DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING ( ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS����
c
DATE INSPECTO
Town Hall, 53095 Main Road I
P. O. Box 1179 Fax(516)765-1623
, �r Fax
(516) 765-1602
Southold, New York 119714.1
o fir%
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
ORDER TO REMEDY VIOLATION
Date :
TO:
PLEASE TAKE NOTICE there x s a viola ion of :
Zoning Ordinance �jGG. pp
Other Applicable Laws , Ordinances or Regulations /
at premises hereinafter described in that: e�
e'r �
In violation of
YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the
law and remedy the conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers
are situated at: ��� �i191e—.
SUFFOLK COUNTY TAX MAP � /��Z7" 7 12 f--
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may co-is `_itute an offense punishable
by fine or imprisonment or both.
B DIfdG INSPECTOR
encl .
(Cert. Mail)
KAREN OXHOLM / DESIGNER
P.O. BOX 133
EAST MARION, N.Y. 11939
(516) 477-9636 Fax (516) 477-2207
December 15, 1999
Southold Town Building Department
Main Road
Southold, NY 11971 Re: John & Arlene Tommasini
Residence
Dear Inspector:
The attached plans are for a renovation in Orient that encompasses the following basic
factors:
-- New decks and arbor
--New kitchen
--New enlarged window well
--New Master Bathroom
--New oil tank fenced enclosure
--New high performance windows throughout
--New decorative false roof at front of house (bedroom)
--New chimney chase and flu
The bulk of this project is in upgrading electric, plumbing and existing roofing and
flooring. Space planning has been revised to bring back the original feel of the 1920;s
section of the house. Two ceilings are being raised from flat to cathedral. A zero
clearance wood-burning fireplace is included in the new plan. The entire existing
foundation and perimeter walls will remain "as is" except for new locations of windows
and doors. Naturally all venting and insulation factors will be improved and to code.
Thank you for your review.
Sinc rely,
�n
Karen Oxholm
KAREN OXHOLM / DESIGNER
P.O. BOX 133
EAST MARION, N.Y. 11939
(516) 477-9636 Fax (516) 477-2207
April 21, 1999
Southold Town Buildings Dept. Re: John & Arlene Tommasini Residence
Main Road 560 King St.
Southold, NY 11971 Orient, NY 11957
Attention: Mike Verity/James Richter AIA
Dear Mike and /or James:
Enclosed please find plans for alterations and new decks at the above mentioned
premises. I have also attached my original application with a letter explaining the
intended alterations dated December 15, 1998.
1 tried to apply in December, but was informed that I needed all drawings sealed by a
licensed architect or engineer. This task became most difficult due to the fact that the
residence was made up of four different sections built between turn of the century to
approximately 1975, and totally closed in. Determining the factors in the existing
structures was impossible without exposing areas. I was not able to design the new
space until I saw what we were working with. John Boufis saw the work that had
taken place. While I was designing the alterations, i had the roofing replaced as we
found three layers of shingles (metal and asphalt) on more than 50% of the building. 1
realized this was a project we could do without applying for a permit.
As 1 discussed with John regarding the "Stop Work Order" posted, it was never my
intention to do this project without a permit. As soon as I could see what we working
with and the work was made safe and secure, the crew left to work elsewhere while I
worked on drawings. We knew we couldn't proceed further. Every inch of new lumber
is completely exposed for the purpose of inspections.
Mr. Larry Tuthill, who has been reviewing my designs every step of the way has
completed his review and just stamped the drawings this morning.
I'm sorry for any inconvenience this situation might have caused you so far, but 1 know,
and our carpenter, Paul Angeloni, knows that you and the owners will have concrete
plans to work with now without the need for continuous amendments.
I'm requesting you take notice of this matter immediately and make whatever
considerations you can to expedite your review. Please keep in mind that I attempted
to apply in December and was turned away. Over the past few weeks all of our electric
overhead lines were ripped out, probably by a boom or crane passing through the
right of way to Douglas Marine. I am very concerned about safety at this point and
need to have our underground service installed immediately.
I am making a request that you consider that my application was first submitted to you
in December and that a new review of the plans be made as soon as possible. Please
advise so that I may schedule work to resolve the present electrical problem as well as
accepting a window order that has been stored at Riverhead Building Supply for over
a month now.
I am anticipating that your department would like to have the "Stop Work Order"
removed as quickly as possible as well. I am anxious to proceed with the project and
to prove to the Buildings Department that it will run as smoothly as my projects have in
the past.
I am looking forward to your response and recommendations.
Thank You.
4Tq, (Vww �
Karen Oxholm
Designer / Project Manager
ENERGY CODE CALCULATIONS
(Cor Non-Electric Beat) Design CriL-eria 6,000 Uegree'.Days
O.A. lU°F I.T. 70°F
F022: V D�h Utr Mdh Sln : PER: 4,arer, DvChflIM��_
,-6o K.„ Q Sjhee/
r/ehl tO VATrD• Rev
DESIGN 'TRERMEL REMARKS
SUBSYSTEM ARE °U" RATING
Exterior Walls (Opaque) S'
Opsi
aque) 37 0 7-7 - 5-14
A CSS" P!' ordAt --
Glaziny / 6 a 2 4V 3 Z - 53
Doors
Cciliuy/Roof (Opaque)
SkylighL•s G. 7 % 8 3 f S
Floor b .- 0
Foundation Walls f + / 5 ✓
Slab Insulation
TOTAL r
Notes: 1
Building, Envelope SysLems to meet requirements or 7015.2
nVAC Equipement to' meet requirements of 7015. 11
11VAC Systems to meet requirements of 7015. r2
UucL• Systems to meet requiremenLs of 7015. 13
VenLilaLions SysLems to meet requirements of 7015.14
IusulaL'iou of Piping Systems to meet requiremenLs of: 7015. 15 r
71
Service Water Heating Systems & E ui men L' to meemeetrequirements of '70 U
ElecL•rical & LighLing Systems & Equipment to meet' requiremenL•s of 7015. 31
To the best of my knowledge, OF NE.
belief, & professional �� ccE r
judgemenL•, these plans are in
compliance wit-(t the code.
ea w
A F� 032254-
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32254-ESS( ,
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M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REM KS: � d�
DATE INSPECTORS. `
M-11102
BUILDING DEPT.
NSPECTION
[ OUNDATION IST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY /f
REMARKS: � ;
DATE INSPECTO
M-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIRE ACE CHIMNEY
REM KS: Z�✓
DATE INSPECTO
. . . . . . . ..
BOARD OF HEALTH
FORM N0. 1 3 SETS OF PLANS . . . . . . . . . . . . . ..
.r TOWN OF SOUTHOLD SURVEY . . . . . .. . . .. .. ..
BUILDING DEPARTMENT CHECK ...... ... .. . . . . . ... .... ..
g E TOWN HALL SEPTIC FORM .. . .. . . . . .
TOWNO OU'rHnID SOUTHOLD. N.Y. 11971
TEL: 765-1802 NOTIFY:!��.
EArpap`rmoved....
o�S � CALL
MAILITTB0t�:v... 1
i FdL�P'.�..lq. 1 �7 Permit No. .......... : .1, ...
..........
......................................................
C�QQ Je ��(o� Tann�9
—76,57'-
..... ..................
Ib,57'-........................
(Building Inspector)
APPLICATION FOR BUILDING PERMITG• 1S
— IDate... . . . .. 1996
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in irk 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 appliFation.
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
penhit shall be,kept on the premises available for inspection throughout the work-
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATION IS HmEBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein
described. The applicant agrees to comply with all applicable laws, ordinazrxa, building code, housing code, and
regulations, and to admit authorized inspectors on premises and in building for necessary inspections.
... xo.- ...................
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer,'general contractor, electrician, plumber or builder
53 ilQlvrP�l..C�n
M
�f��GtsP.nl'. S,/`:fitA66R.......................................................
Name of owner of premises ..;�.AW.4t.A&JL.f )6;,AOAl`.:�. 10............................................
(as on the tax roll or latest deed)
i
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
Builders License No. .........................
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. Incation of land on which proposed work will be done..............................................................
................ ....................................
Douse Neer StreetP��" Hamlet
County Tax Map No. 1000 Section .....GGLK....... Block ..... .......... Lot .�6..........
Subdivision ...................................... Filed Map No. ............... Lot ...............
(Name)
2. State existing use and occupancy of premises intended uses andoccupancyof proposed construction:
a. Existing use and occupancy ... .ttlY�?. /.4�.. .��.t7�R.�v.IY.Y.Y.f....p .�<.w).'.Y.lO.................
b. Intended use and �). ��!E..R �pJ LGE U/lil��lo..............
occupancy C�1SG7c
Jilay Wok ix ,;, ,ml!a s rsnucmoR
Ktt«uji di«fi�1i?n� hCrrii}'e;v0
@ti7xaS1%. ttu
� obl
Jc VEM QEF E: M1%n1
1. Rature of rk (check wlricirli
app 'cable)z New Building ......... Addition .... Alteration .. t .
Repair ... . ..... Removal ... ....... Demolition ............ Other Work ...PXW : .............:^
(Descriptick. ,
p f,f+t1.1
i. Estimated Cost ..KiFIr..S7Q .............................................. ± '1
n . .�..�. .. fee . �. ._ .
VWr✓' N. �,i70FL�G (to be paid on FIling this application)
5. If dwelling�f to: dwelli�g i t1s ..�I ....... Number of dwelling units on each floor ................
Ifgarage, mr ber of cars ......1...............................
5. If business, commercial or mind occupancy, specify nature and extent of each type of use......................
7. Dimensions of existing structures, if any: Mmt................ Rear ............... Depth .................
"eigbt ...1k..................... Rmber of Stories .....1................
Dimensions of same structure with alterations or additions: Front ............... Rear ...............
Depth .................... Dei& .................... Number of Stories ...............
8. Dimensions of entire new construltion: Front ................ Rear ............... Depth ..............
"eight ......................... Number of Stories .....................
9. Size of lot: Fz6nt ............,........ Rear .................... Depth ....................
10. Date of Purchase ...............I',...... Name of Fonrer Owner ........................................
11. Zee or use district in which ptl miles are situated ...............................................................
12. Does proposed construction viol to any zoning law, ordinance or regulation: ....Vo ...............
13. Will lot be regraded ..........1,......... Will exceas fill be removed from premises: YES NO
14. Names of Owner of premises Jai !...................... Address .............................. Phone No. ..............
Name of Architect .............1...................... Address Phone No. ..:......
Name of Contractor
............:,...................... Address ...............................thione No. ..............
15. Is Nits property within 300 feet of a tidal wetland? * YES .......... 1U .. .....
*IF YES, SO ME D WA TRD$IEES PEM MAY BE IMMUM.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and lblock nyder or description according to deed, and show street nares and indicate
whether interior or corner lot.
STALE Or NW Yf)<IIC,
wwry or ........
...... e2Ie...........................being duly sworn, deposes and says that<gm Is thee applicant
(Mare of individual signing contract)i,
above named,
Sile is Lite ........ h?�.... .......... ...... . ...............................................
(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 beat of his knowledge and belie£.; and
that the work will be performedd in ti manner set forth in the application filed therewith.
Sworn to before rte this
.
Notary Public . ......... 1 .... ..... G? ��T/yl l / I`....�n!✓Y� —
ROBERT+•SCOTT,JR. "'
Notary Public,,Stateof'Gw ork (Signature of Applicant)
Qualified Suffolk Co ty
Term Expires May 31. a)
BUILDING PERMIT RE W CHECK LI
Application Name:
Architect/Engineer:
SCTM #: District: 1.000 Section: Block: -2— Lot: 3-15—
Subdivision Name:
X-00
Req Req' 4
Zoning District:
7� [Lot sin: 000 Proposed: 3 �J (Lot coverageProposed:-
R T /�p Req. /0/ / Req
[Front Yard _Proposed: ) [Side YardProposed- /G.� ) (Rear Yard Proposed:
Project Description:
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A. NO Y$ Number
Suffolk County Health Dept.
New York State D. E. C. v
Town Trustees
Town Zoning Board approval:
Town Planning Board approval: y
Flood Plain Elevation???
Flood Zone:
Notes:-
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PLUMBING
ALL PLUMBING WASTE
Ilk WATER LINES NEED
TESTING BEFORE COVERING
APPROVED AS NOTED
7-aa- B.P.# C,
\1D
PEEL
7G DEPA
NOAF21 auO
PW
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T
765�1802 9 AM TO 4 PM RTE E
FOLLOWING INSPECTIONS:
I qOLINDATION . TWO REGUIRED
FOR POURED CONCRETE
2. FIOUGH - FRAMING & PLUMBING
& INSULATION
4. INAL - CONSTRUCTION MUST
E COMPLETE FOR C.O.
A CONSTRUCTION SHALL MEET
TH REQUIREMENTS OF THE N.Y.
E CONSTRUCTIONS ENERGY 77'_
C ES. NOT RESPONSIBLE FOR
DEfIGN OR CONSTRUCTION ERRORS
1jr-w Pecv- LV/DPN
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,�I—IfPJCAL, w1tdpDw wfjl�
L I'VINOW& S NORV a5VA110J
FoOTYN�f 3'
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF NEJV),
OF OCCUPANCY
7
H copper tubing is used
U�2�541
for water distributing
system;Wiping shell be 'ESSI 'A
of rfim K or L only
UNDERWRITERS CERTIFICATE
REQUIRED
=Z:----------�_
d
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY 6
�7
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
4
EXCEED 2110 of I%LEAD. -! , — I . .� T
J
'T
PROVIDE OPENINGS FOR
ow
7m 3
5PLA615- LOL(JD00c� _D,90P, (42 V
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[MERGER"ESCAPE AS Ij
601 ry& -w
REQUIRED BY PART.714 OF K0 , W7
N.Y. STATE BUILDING CODE.
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PROVIDESMOKE-DETECTING TH
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h (t ri%ce �aFa1Cn?P .917 9{�:(�
ENERGY COUG CALCULATIONS
(For NmrGlectric Heat) Design Criteria 6,000 Ueyree' Days
O.A. 1U°F L.A. 7U"F
r•OR: D 46 o t3 ¢ �S �i YCB 71?hhq ��M� 23'17
M0' ✓' " �' —
/ � z I DATED
SUUSYSTEM AREA DESIGN '1' GL REMARKS
U" PATING NG
Exterior Walls (Opaque) yv .F 3 '3 -r 70Y
Glazmy vs 9 3r� zl . JL 7b U. 'Ipzi
Doers ,Lu
Cal l iay/Roof (Opaque)
Skylights 8
Floor U
Foundation Walls
Slab Insulation
TOTAL
Notes:
DuLldluy Envelope Systems to meet requirements of 7815 .2
IIVAC Gquipement to meeL requirements of 7015 . 11
IIVAC Sys Leam to meet requirements of 7015 . 12
UucL Systems to meet requirements of 7U15. 13
Ventilations Systems to meeL requirements of 7015. 14
Iusu Latiou of piping Systems to meeL requiremen Ls o1 7U15. 15
Service Water healing Systems & EquipmenL to meeL requiremen Ls of 7U15. 21
Electrlcal & Llglttiug Systems & EquipmenL to meeL re ire enLs of 7U15 . 3L
'(E OF NEIYy
P
To the best of my knowledge,
belief, & professional v is L
judgemen L, these plans are i.0 I� y,
compliance wil:h the code.
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