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HomeMy WebLinkAbout24636-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26040 Date: 10/16/98 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 865 LEEWARD DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 7 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 29, 1997 pursuant to which Building Permit No. 24636-Z dated FEBRUARY 4, 1998 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 TWO CAR GARAGE AND FRONT PORCH. The certificate is issued to MICHAEL PISACANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-0176 09/30/98 ELECTRICAL CERTIFICATE NO. N 465783 09/21/98 PLUMBERS CERTIFICATION DATED 10/15/98 LAWRENCE J. LISO ui ding inspector Rev. 1/81 FORM NO.3 I 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) Date.....ff;9R.UAJiY.......4........................... 19...9.P.,. 24636 Z Permission Is hereby granted to: ........�1,�,GN..A�.4.,.P sAGAN4...t.A/.,Q...QI,S�N.1............. .En.Q.,...H.QX...a 931.................................................. ......WUT.Hob,A.aNY...# Xi97,d.......... to.....P.QN.ST.RU.Q.T..A...WW-ANE...S.T.Q.RX...S.TN.QI..E...EAMJ.I Y...A.WEL.I..INQ...WJ.TH...AT.TAQ.HF.D ............TW.Q...GAR... ............................................................................ Amended 3-I0-98 to a 2. story single family dwelling with attached two car ....................................................................................................................................... and..Front,porch. ............................................................................................. ........, „ ........................................................................................................................ at premises located at..................PAP.....LE..WARP....P..B......,...,,.............................S.QI.!THQJ R.,......... County Tax Map No. ....V;3WF..... Section ...Q.7..9............. Block .....Q.Q.Q.7........ Lot No. W.5............... pursuant to application dated ...AE.QF.MAQR...,.7.9......................... 19......9.7....., and approved by the Building Inspector. Fee$.....563;80 + f✓Jl/./....................:. ........................ Building Inspe or Rev. 6/30/80 t corm "o. u D R Iz (1 M r TOWN OF SOUTHOLD l5 L U U BUILDING DEPARTMENT TOWN HALL OCT 6 W8 765-1802 T WNLDG. UTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildin: 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 buildir 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 an "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 - t .25G. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certifica of Occupancy - Residential $15.00, Commercial $15.00 Date . .��S . . . . . . .. ..1. . .9� . . . . . . . . . . . . . New Construction. . .. ... . .... Old_ Or Pre-existing Building. ... . . . . . Location of Property.. ..o�� C������� 1W �� ��:. .. . . . . . . . . . . . .. .. . . . . . .. . .. . . . . ... . ... . .... . .: . . . House No. //n, Street Hamlet Onwer or Owners of Property.. . . . ..`�. . . .!SR . .A� U .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. ...... .Lot.. . . .... .. ....��... . .Block... .!. .., a � .... . . . . . . . Subdivision. . ... . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ./ F//i/fiq/led Map.. . . . . . L t.//. . . . . . :`. . . . . . . . Permit No.��f 7 . . . .Date Of Permit. .�?/.':�,!✓. .7 . . .Applicant / CF,/��C /•`•'ttA� �.�. . 77 -77 Health Dept. ApprovalJ2. . . . . . . .Underwriters Approval. . �n/y/ . . . . . . . . . . . Planning Board Approval. . . . . . .. . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fe Submitted: $. . . . . . . . . . . . . . .. . .. . . . . . . . . . Cnn�l� - /'.\/oO�l7 !� r . ..`•�. . . . . . . . . . . . . . . KQG SS c p(� APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1135021 BUREAU OF ELECTRICITY I 40 FULTON STREET, NEW YORK, NY 10038 SEPTEMBER 21,1998 16135098/98 N 465783 Date APEHearton N n file THIS CERTIFIES THAT RRMIT 2463 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of MICHAEL PISACANO, 865 LEEWARD DRIVE, LILCO POLE # 7, SOUTHOLD, NY in the following location; El Basement ® Ist Fl. KI 2nd 171. GAR/ATTIC/OUT Section Block Lot was examined on SEPTEMBER 14,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT.7 K.W. AMT. H.P. 28 54 44 26 2 1 9.5 1 1.2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MUSYSTEMS LTI-OUTLET DIMMERS AMT. K.W. OIL I H.P. I GASH.. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 3 F 1 ER 12/ 3 - 1 SERVICE DISCONNECT- No.OF -__ __ ___ _ __ _ _ _ g ____--E__ —_ R__ ---V, __ I .___ ._C-_.__ _ E— METER NO.OF CC CONE) A.W.G A W G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 5 0 3W 3 0 4W PER 0 OF CC COND NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS Of NEUTRAL 1 200 CE 1 X 1 2/0 1 2/0 OTHER APPARATUS: WELL PUMP-F-1 G.F.C.I:-5 SMOG{E DETECTOR L-6 THREE "C" ELECTRIC LIC.#3327 E L L RT.#1 BOX 45M SOUND AVE RIVERHEAD, NY, 11901 GENERAL MANAGER 1'1 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect.Inspectors may be Identified by their credentials. i COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. r - ! _✓`/Iiia _�, ,a. � /Ii \%%\%f Town 0 Town Hall,53095 Main Road y x Fax(516)765-1823 P. O. Box 1179 0 • .F Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N /�j DATE:/d �� Building Permit No. Owner: (please print) Plumber: 110ug,-� /e65- %, (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 6 (Plumbers S ' nature) Sworn to before me this Z u�� day of 0e729- 47Q 19 9� Notary Public, SUS County DOLORES L.LW N Gu�lAw ewYatp copr.oa.a�'it,'"' I Ei a ; l June 1, 1998 Town of Southold Main Road Southold NY 11971 RE: MICHAEL PISACANO PREMISES: LEEWARD DRIVE, SOUTHOLD Dear Sirs: With reference to the above, please be advised that the undersigned will use his best efforts to apply for a variance with the Zoning Board of Appeals (ZBA) in order to satisfy the requirements of the Town of Southold Building Department. If said Variance is not granted, then the undersigned will reduce the set back to conform to the 50 feet as required by the Building Department. G0+UgTt20CT7C1Aj C(/Lu. L0)&f`B (kVV-( 0 e Y)no eA) t�juiGtl tr.�°� 00 i� VUO LV aif/LC 'M �IE boA✓e_ oA) -tk4L Sincerely, Y MICHAEL PISACANO SWORN TO ME THIS 1st day of June, 1998 (NOUBLIC JEANNEM M.COONS Notarryy Putdm stem of NewYqk No 0 CO6M781 Oualified in Suffolk Cuungr Commission fjornApril 24DO0 APPEALS BOARD MEMBERS OS�FFO(�(-C � old Town Halt Gerard E Goehringer, Chairman =� O ( 95 Main Road c . Box 1179 y James Dinizio, Jr. � �_ � L uth`o , New York 11971 y� • o� (516)765-1823 Lydia A. Tortora Telephone(516) 765-1809 Lora S. Collins George Horning BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION REGULAR MEETING OF JULY 23, 1998 Appl. No. 4588 - MICHAEL PISACANO. PROPERTY LOCATION: 865 Leeward Drive, Southold; 1000-79-7-25. DATE OF PUBLIC HEARING: July 23, 1998 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: This property is located on the northerly side of Leeward Drive, Southold, and contains a total area of 40,205+- sq. ft. The survey map submitted under this application shows that the subject premises is improved with an existing foundation, constructed recently under Building Permit No. 24636, in a new dwelling project. BASIS OF APPEAL: Article IIIA, Section 100-30A.3, based upon the Building Inspector's June 15, 1998 Notice of Disapproval for permission to reduce front yard setback from 50 feet to approximately 48.5 feet, for the "as built" dwelling foundation. AREA VARIANCE RELIEF REQUESTED BY APPLICANT: Applicant is requesting the location of the existing foundation which is located as shown on the April 6, 1998 survey prepared by Anthony W. Lewandowski, L.S. at 48.5 feet from the front property line. Approximately 17 inches of proposed porch area is the relief requested. REASONS FOR BOARD ACTION: 1. Grant of an area variance will not produce an undesirable change in character of neighborhood or a detriment to nearby properties because a decrease of 17 inches from the code-required 50 foot front yard setback to 48.5 feet will not affect surrounding properties. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for applicant to pursue, other than an area variance because the foundation has been constructed and applicant has testified that it would be extremely costly to rip up the foundation and reconstruct it to cut back 17 inches. 3. The requested area variance is not substantial and represents a three-percent reduction from the code-required 50 ft. front yard setback. No. Page 2 ZBA,'41.1 - 45 Re: 1000-79-7-25 ( isacann,q) Regular Meeting of. uly' 23; +8 4. The proposed (variance will not have an adverse effect or impact on the physical or, environmental conditions in the neighborhood or district because thel relief sought is minuscule. 5. The situation has been self-created. In considering this application, the Board deems this action to be the minimum necessary and adequate, and at the same time preserves and protects the character of the neighborhood, and the health, safety, welfare of t e community. RESOLUTION/ACTION: On motion by Member Tortora, seconded by Member Dinizio, it was RESOLVED, toll APPROVE the variance, as applied for. VOTE OF THE BOARD: AYES: MEMBERS GOEHRINGER, DINIZIO, TORTORA, COLLIN,S, and HORNING. his Re n was my adopted (5-0) . GERAARDLP. GOEHRINGER, CH MAN Approved for Filing 7/25/98 AS400/Actions.all/7�-7-25 I it FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: June 15 1998. . . . . . .. To MichaelPisacano (A/C Robert Olsen) ._ E.O..Box.1431 . ... . . . .. . . . . . . .. ... . . . . . Southold„ New York 11971 ...... ...... ... .. .. .. . . .... . .. . .. . ... ... PLEASE TARE NOTICE that your application dated December 29 97 for permit to construct new_single .family dwelling . . ... . . ... . .. . .. .. . . .. . . at Location of Property .. . ,865 Leeward Dr. ._ Southold ... ... . ... . .. ... . ... .... . .. ... .... . . . . . ... .. House No. Street Hamlet County Tax Map No. 1000 - Section ..79.... . .. BLOCK ..� . . .. . .. LOT . 25 .. .. . .... Subdivision .. .. . .... . ..... . . .. ... . ... .. . .. Filed Map No. . ... ....Lot No. ... . is returned herewith and disapproved on the following grounds .. . .. ... . .... . . .. . . .. . . . . . Under Article IIIA, Section 100-30A.3 of the Bulk and Parking Schedule, in an . . .. .. .. .. .. . . . . . .. . . . .. . . ... ... .. .... . .. . . ... . ... . . . ... . ... . ... .. . . .. . . . ... . .. . . . . . R-40 Zone minimum front yard setback is 50 feet. Setback of under construction . ... . .. ... . .. ... .... . .... . ... . . ... ... ... . ... ...... . . .... . . .. ... .. .. . . .. . . ... . . . .... .... . as built foundation is at 48.5 feet. .. . .. ... .. .. .. .. . . .. . .... . .... . ... . ...... ... . .... ... .. .... . ... . ... . . . .. .. . ..... . ..... . . . •• •... .• •• .. ... .. . ... . .. .. • •... ....... ... • • •. ....• • • . . . . ... ..• ..... • . .... . ... . . . •.. • ... .• •. .. .• •.. . ... . . . ... . ... . ..• ..• .... ... . . ... . . ..... . ... . ... . . ...... ... . ..... .....• .. ....•... . ... • •.... ...•... .. .•... ..• • ...... .•• . .. ... • • .• .. .. .... .• • ... . . • .. •... ..• .• •... .. .. . . •...• • • ... . ....• • •... .. . . . . ... . .. .. • . .. . .. .. .. .. . . ...• .. • ... .... .• •... •. ..• .... • • . .. . . .• ... .... ... . ...•. . . . . ... . .. . . • . ... . .. ..... . .. .. . ..... .... . . ....... .. . ....• • •.. . . . ... . ... .... .. . ... • ... . .• . . .. . . . . . .. . . .. .• . . . .. • . .. . . .. ... . . ...... .. .. . . . ... . ... . . ..... .. . .... . . . ... . . . ... . ... . ... . ... . .... .. . . .. . . . . . BUILDING INSPECT RV 1/80 O��gUffol'-CIO Gyp Town Hall, 53095 Main Road y Fax (516)765-1823 P. O. Box 1179 .s. Telephone (516)765-1802 Southold,New York 11971 �?, • �� �1j01 � Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD STOP WORK ORDER TO: Michael Pisacano A/C Robert Olsen Oaklawn Avenue Ext. Southold NY 11971 YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 865 Leeward Drive, Southold TAX MAP NUMBER -1000-79-7-25 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: FOUNDATION LOCATION DOES NOT HAVE REQUIRED FRONT YARD SETBACK OF 50' . CONDITIONS UNDER WHICH WORK MAY BE RESUMED: WHEN THIS ITEM IS CORRECTED 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 bot DATED: 5/19/98 s ]� f gUFFO(,y CM To H t'� 095 Main Road p ,t Fax (516) 765-1823 0. Southold, New York ox 911971 F y�1Q1 .a (f \ J Telephone (516) 765-1802 OFFIC OF THE1 ILD G INSPECTO R TOWN OF SOUTHOLD STOP WORK ORDER TO YOU ARE HEREBY NOTIFIED -TjO SUSPEND ALL WORK AT: TAX MAP NUMBER 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 BAAS�SIS OF STOP WORK ORDER: CONDITIO S UNDERWHICH WORK MAY BE RESUMED: / 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: �OgUFFO�kC O � Town Hall, 53095 Main Road y x Fax(516)765-1823 P. O. Box 1179 0 • Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD >G� 6�e M-1802 BUILDING DEPT. INSPECTION [ FO DATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REM RKS: G� - DATE 449df6 INSPECTOR 7"-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG LOG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING FINAL [ } FIREPLACE S CHIMNEY,n REMARKS: l" Z!0Z �re4, DATE / INSPECT � O M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLAC,,EE & CHIMNEY REMARKS: ®/ o- .Z4 l(" �/ � e- ✓,?, V�� ✓�`•� cam., � /�.�2.sn. _ DATEy/ INSPECTOR 4 765.1802 BUILDING DEPT. 1 NSPECTIO [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �rx � � A DATE INSPECTOR U M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] UGH PLBG- [ ] FOUNDATION 2ND ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA CHIMNEY �c REMARKS: DATE �O INSPECT0 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ J ROUGH PLBG. [ ] FOUNDATION 2ND [ J INSJULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: _ r e DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG LBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 36 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]�ATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: , DATE AZ9 �3 INSPECTOR �� A BUILDING DEPT FOUNDATIONIST ROUGH FOUNDATION2ND INSULATION FRAMING FINAL 9 AiW' S- Zzt�:� w I,- DATE INSP s '� ;a- -_ --- -- a-- --- -- x,z®° - - (,'3- c i 4 i i � 15 a �1- _ -�- _ BOARD OF HEALTH . . . ✓. . 11 M FORM NO. i 3 SETS OF PLANS . . .`'� . . . . . . . . . D Il U TOWN OF SOUTDOLD SURVEY . . . . . . . . . . . °. . . . . . . . . . _ BUILDING DEPARTMENT CHECK . . . . . . . . . . . .�. . . . . . . . . . . DEC 2 9 TOWN HALL SEPTIC FORM . . . . . . .. . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 1'Ei.: 765-I802 NOTIFY: BLDG. DEPT. 1�t!: 6(•a7d �. 7r . • 7 Vnni TOWN OF SOU OLD CALL Examined.'.. . .. .�, 19.... ` MAIL TO. . . . . . . . . . . . . . . . . . . . . Approved... . ...... 19.... Permit No. .. ......... .................................... Disapproveda/c ..... .. .. .................................... .. .......... ........... . ' (Building Inspector) A 'LICAI'ION FOR BUILDING PERMIT �G,�9 Date.Dfr4. riT'•C - INS'T'RUCTIONS a. 'Ibis application must be conpletely filled in by typewriter or in ink and submitted to the Building Inspector with, 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slowing 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. lbe work covered by this application may not be caumeoced before issuance of Building Permit. d. Upon apprwal of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on die 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 HEREBY MAY: to the Building Department for the issuance of a Building Permit pursuant to the �- —Aiilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, far the construction of buildings, additions or alterations, or for reabval or demolition, as herein described. llne applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, inspectors Pr"and to admit authorized ins tors ou premises and in building for necessary inspRetions. .... '................. (Sign !.���!i! e of applicant, or name, if a corporation) .a..!n. ......11.97f- (Mailing address of applicant) State whefth��er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........!.!..t .... . '.�...4..t$.!?}!Y7Y:.r."........,.,,................................................................. Name of owner of premises .. i.�f?14 .....�t.. 9ld!.............................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. - ......................................................... (Name and title of corporate officer) BuildersLicense No. ......................... Plumbers License No. .G E`�t PL'vN P'0V-,. ......................... Electricians License No. .....................`1f12f:F.W e 5),6&#U C- Other Trade's License No. .................... tuts `�qv �J 1. Location of land on which proposed work will be done....G-�LOr�-.D ............................. ............................ ....................................................................................................................... Mousse Nuiber Street / Hamlet Camty Tax Map No. IOUO Section�.....f./7....... Block .....Q.7....... int ....a ...... Subdivision .' ?..ltd::::• .1c��,�.�/ Piled Map No. ............... Lot ...� ........ (Name) ... 2. State existing use and occupancy of premises and intended use aid occupancy of proposed construction: a. Fadisting use and occupancy ...V(A ...�r: .................................................. b. Intended use and occupancyej I N.JC°l. ,...�Y-I yYl/C;�-�..- Z��t LUd✓ ......................... 46W r- tt�( ryry Repair ............ Renrnral cable): New IAuilding ........ AckliCion ....... n 1C kat`� 11.-. . +''1 1 p .. ... F _._,,. .,... ...4........ DennlILIon ............ Other Work ......,:, 1..................... 3. Nature of work d�edc wlud� spill Ix ( sg . rt ) l± � �-�• 4. Estimated Cost".S.d.j.® .G�....... fee ............................�.................. (to be paid ni filing Lhis'ad>nlicatian) _;., �t" J 5. If dwelling, nnber of dwelling i�mits g . ' QIV9.. Nniier of dwelling cmdl.s on earh�floor '-- ' ... ............ Ifgarage, mnher of cars .....d tU je-......................... G. if business, canrercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Uinensiacs of existing etnucturel , if any: Frani................ Rear ....' ....... Depth ................. Height ......................... Nnber of Stories ...................... Dimensions of sure structure wile alterations or additions: Front ........'-..... Rear ............... Depth � ................... Umber of Stories 4jon . De / R. Haight:ions of entire new consttu : Front ................ Rear ............... Depth .......4'S t1 � Nudger of Stories _,.U:��. " ................. .. ,n ..... 9. Size of lot: Front .....1.z, d.h .... Rear ........ Depth 10. Date of Purchase ...... Name of Fonrer Owoer;Fo6f. ... ................... II. Zone or use district in which prgl ises are situated f-c:..................................... 12. ibex proposed clnstnx:Lion violate any zoning law, ordinance or regulation: ..fig................. 13. Will lot be regraded .................... Will excess Fill be removed from praxises: YES 14. Nines of Owner of prenises ... ................... Address ......... Pion No. Name of Architect ..f.��.1'�t:'.1..��,1':'UM!3Ji.Z �/ EN�I �%1'"• ry ........ Address ...........' ............ Pine No. ',�'1.Y (. . Nerre of Csrntracl:or . ` r4!ta...................... Address ...............................Pixie No. .............. 15. Is this property within 300 feelhI of a tidal wetland? * YE-9 .......... l) ... .... *IF Yg3, SOWnart 'iu4N 1R 1103 11GId4Cf MY R13 Rlitil IIWD. PLOT DIAGRAM I.cx:aLe clearly and distinctly alII buildings, wd)elher existing or proposed, and inlicate all set-back dimensions f"rrm property lines. Give street and block nnber or description according to deed, and allow street nnres and indicate cdhether interior or corner lot. (YJI (OFNiW IT Y(NiK, (/ •......... ... ..........!..(. � .......beim cul sworn deposes and sa s Ulal' he in Lhe split io nil: 6 Y I Y (Name of individual signing contract); alxwe nailed, Ileis Lhe ....... ...... ....(. ................................................................ .cn(rac(or agent, horporate officer, etc.) of raid om er or and is dulyLhorized to perforin or or diave performed Lhe said work six] to make and file this applicaticm; Lhal: all s(alaients comtoined in Lhis applica(ion are true Lo the best of his knxwledge and b6lief; and that (he work will be performed in Lhe nrmnr set forlb in the application filed therewith. Ulm Lo bef�ne tins ��•� � g �.:. .Try f Notary IN lic P ......... .. ....... (Sigrkature of AppUcaoC) UnaUMW'zod idkxadm- o'r �.......w....w.a. :....... .. .. fowsaawykaMdkfond Seaben72MdM/MwYak8M ' - Edmodo Lm. � .�.wtwar�w.rkrra ftoa.,wipwaW '� is wewr�4 aNas W MI���rMq �/ �raMwtwW� ma"dOnWkndorjW.«.6W*Wjt 33 X660 LAryt)8 0 f 9 6 CC rt N °F reeve Y CQ . �O,?epeq�p X!6 LG R OO V ,�a D �yE NENT OF IMALTH SERVICES -4> 10 f AFrPROVAL OF CM Somas£r.FAI'dLYRE �V ` q � 7- -0/;7-G N K1 U N N NRacelva'd Su.'o:k aunty i Z A - i J s a DECZ 9 1 7 /V39`Z6'fYGeci. 0, Health Services a+'97 Z>- O ;v y,, Office Of%Wastewater mgrn:. � � n �UQYE'YFOR•!YI/�.�S�AEL f�/✓�'/�C�iiY© N �cr 3z �lAvoF LoEsr geoA�eFs�rB.s�rYi�s+/Fi_�m� /ri3��1 NtkQ �I L C�9TiaV StYJTYaQ, 'fdFFalCl1/Y -'� •RJEYG 4 �'� V — __��o ,4.vrs/ovyly���.s�a�voo��.e� .��a�e-,/u so, LANo.�ueyEyoe D,9TE'.Nav�.H��9/99> Unaumodzed alWamaa"don to tNs survey is a%idm6n of Section 7108 of f■w■Ywk fto Edueafenfs. copluor"meeWW& ry=sMs@" \ e�dbeeefawstrllaafMartfNraf I ' ' bbeava"twow LO ` GuayrfwiEAi/OfMaMlWan tia 1 onybbpe�w 1erMiUslbfe� isecap0,aSWA ANOW tNr t len ogbw*L ymaaiariwe�ftaAfana bur�aeNyteea dafMwNni aannii Guarmdee:ara nattatu4rekfe to addaonai eudodfam arsuwaquett j oxnecs. - ! �� �� LEI�• O pia p p o 9 Pt A 9 QG go A 2�` FP iv VO i 4 N � G r pei 05 ti+ t � N v H � 63 N39a26'iY ( /97Z7' CA w�« �,- I ; � - � � � �ueYE7'Fae• IJ,/C./�IrEG �/✓�i�CA�SIQ 17 N -- _ " ,� � � � `Nn \�� GaT• 3z.Glnnam-L�.qeo,9eseFss9r6.�yYi�sr.fi�oGL•�/>r��.S� W i � �� ,` V �ur�i, iSw�rd/ry1l. h.�e,Gsis' T_3!N•Y �tII� n" V � o• P i .E,� osi8�,air i �F« 02V — Pye9.a11�.9blT.et>wTCa• .4Nrs/oNY,yLfw/JNOo��/ �G'AL�-•/"�-�, L•9wo��/.141 �'oe O.9ro:�T u�oc�da��6/iYY� APR 8 ' �c�Et�.�.� � o.�X.�.ve I • TITLE o. A/a Unauthorized almradm a addSon to this survey is avafauon of sectionmg of ft Nowvdfk um Educa6onlas. /� co lawwA awvgraf+net6ytkg dte lrtl oanyan Mni aW ar eboaaadaaalsrluatMatfnYlraa to be a m"Kesm \ , GumanWakwk"Nr Mraa onytDft -abrakawramng -------- is e w onlyroplltatal�rM WecmOM,yewnn,anM aloe Guarantees era notitanakrahla to addidwW msdwdwa of m brpaa Owners. LAIVO 8` LEWq�Q 9p�A WALL ' 9 f G� A of NEW Y�¢ �� AI Y I V SEP 3 C, 195 - tv klvy"N°t.''?Ar $fDz< a _. ,�V ; ;a Sea gib✓ 8 -- tw SU Repeivetl � l �o(�C4°0EY 6 /V34'Z6'sv Q 197. S£P 2 S 19 . 5l1RYE Fo • /Yf/ EG DOe a f waealth SAN. �� �t Rei � Ga>• 38 Rla oe-Lem ,o �.e r �i firmG r \ amnio-riiei. 5�.,r�/.�.� �diFoeCCeew,g'NY � v .x916 0 o•.Yl Pri✓a CiTi69.��= �%IlK/TY ce p AIV221VI/YtYLEt�ANOotY�eJ �eaLe /,•-So LAit/O,SU��B o� �vvT�lac�lte 6/�� rrE ,9/d Uneumodzee almmo as to INS swwyb avwatlon of Seaton 7108«!u Um rant$ara EduaaanLw- tho moor \ toestoea waos"e raarWlrw �s waw$'•tlaawwr.s. '� t! ID to adcbdaa an ons orraEM i 't to adduional nsrioroana or auhn4+ut owners. �sgo Lgryo8 --. J G LEk.,�O gL,wj:c- n � N"�e y�� �e�• .9 a a�s9a � W Elly �t N39"Z6'yY /97.ZT t� O V 0 wc« P SURYf yFaR• /17iG5/AEL O5.5C.v.YO — m N Zara 3 �1A507w CZem"IcoAcse�A>B.9rYi ; / A a✓S.�NC O, or.�as�,��rreserco• GF�P�L ANl�bNY LEiyart/ao�v�,e/ __� L9rvo�U,et�EYoe O.9rE'�Nover��e*.e9 i99y �FEyl49.� P.o•�,x,r1.r/B :�wiArewlo�.,.�,o,Qk 6//9y� i G/dM-F ro'OE REVIEW (non-electric) M,14- ?'S46gtrJD 7814 (Part 5) 6 ,000 degree-days For ° Per Dwgs Dated Envelope Component R-Value .Exterior Wall R-18 Rodf/Ceiling R-19 Floor R-19 Foundation Wall R-10 Slab edge Insulation R-10 Glazing R-1.7 Entrance Doors R-2 .5 All HVAC Equipment to meet requirements of 7814. 11 All HVAC Control Systems to meet requirements of 7814. 12 All Duct Systems to meet requirements of 7814. 13 All Ventilating Systems to meet requirements of 7814.14 All Piping Insulation to meet requirements of 7814. 15 All Service Water Heating Systems and Equipment to meet requirements of 7814.21 All Electric Systems to meet requirements of 7814 . 31 To the best of my knowledge, belief, and professional judgement, these plans are in compliance with the code. 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'. �.� 1 '��•W,+�•!.+,'Y'!::c"m'^'.r.' sY`^`^Z"h!"FT"T.^" ..,�...•T„-pman+^r�T*'^i^r-xmm.-,n'.-rt,_M+,-T'•'•.-m,-•s.em.+-.;- ,1 l 'I'I � Y " r i - IT t - - " ! .. .i . - IT [ Q ! . > j - L:GpXOWO' CoVe. A1 OXI r , FGoPIK�-r AreK - • � . U �� I P} �iSto .. 'k 0 •• �'` y, � Cr�)'�g.j 6A ' { F ." ELEVATE H APPLIANCES 19 AS , I - , , • REQUI6ED BY VARY. - — t / 117.3 (e)l;)DE / > , 3 I N.V� AYE DUIIDI�I�i QDE . .- - - l A "`-`S" . :F� 1 :--•.- I , / It 'N , _t vNE�xCtivAt , z IT lie. rw o 1O t..l r � k� sTa vim•. - -ir `-'-'_I - - ._— , _ � ._ - }.SIL a [ v-• V r , 00 I Y r'- � ' ",;l'1�vE��17 QUt; C�IAAe�_NCIf2.�hfFs41 � , -1 - � 4i k 0- .3 {oJyam ': I I /�.( I co:_{ - 1 r ,•. - - ¢__,_�� _.�._ ,-_.__� ._- -- 23'(x' - -.y ---- _ -- j 'Keep kcd I I t l`�C: d 03 5d-I lV ( ' �� I Fl(._,;{,_ Fes! :_Corer Jr^-�{✓j.0 � tC[v VU'��1'-11-r(,.., 0 essinIIP� f •� r 1 I_. .._ _F _-._ I ...-_�. � 4ry.{II' � ',��{�� EQI7� IliiJ�V +h f ;'-'~•� ✓I YI • .: .._4 ! 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'.. , .. -- ��--•__-_. . ..'-'�., -. kc p ... .s APA V.o t4aU{.,`BAE r�, , � - ,+'ii.✓1.'L11L,1-Y COL. _ NQS .� {,� � .; �' +. .y MFr l' CleLiyc'� , WhL.G \'l, aW "�I. `z P13 • ' - fig/ <} �1' c ��.- ' +, .'i U - �.- - FIGE` <ou� FNEe=Tkoc�C 4 PROVIDE % NR. FIRE r RATED SEPARATION TO t t: I�MER i PART. 717.3p) (1) Of $ p Q N V STATE BUILDING CODE r' V ' . „J15t�fS� ' -CUIZIIGbv?,*Y�a. ' .r} �'l�X/!*G =?' _�Alt.l{ljw,:� •'' ,u-F/ Pk. .�, ,. '�` X1032251 1 d `" h Iy.-y 1s OA 1 131 _ r TR °Tessio l� , )14"* zz l � ' {)I • I 0 / , M2 r n , :A.. ..•.�...-v.�,�,..vow,wee.v+�3..o.«..n®..+.♦.vm'.,.+ew.v.n�.a..: ..� t r 5 l . , _...q .._..�1 !U��'_, ♦ -' Qin '- ��/'*'� /Irl .-_.-_.____b� . � ' .:. 4{4310 �4�Ip:� - -KogF (N S - -- - -' - - -- - 10 PRC ISl OPENINGS FOR - - ---- -- j EF1Ir 3ENCT ESCAPE AS K MA''Sf MR1• �� �� , ' � L3E 2���M ' v > ' REQU IEOOY'PART. 7140F I T `Yr O'S N.Y. TI BUILDING CODE. tf o m 1 {ALL Iters a7nit e I IG"o'c '� �3r 3�f�T �� `��'� > �i�'L.4 1 ,�-`>� ���SN\'"t-•�"' 1 � ' V. ,':' � r aa'�ITiF o�Frllrlrs Fate Et31EROErjcY ESCAPE AS ' 0' REQUIRED BY PART 714 OF • I Ec o:i z 1 ' PROVIDE OPENINGS F . So�F• . �rN Y:SPATE BUILDING COD . GENCYESCAPE S .. .. _ /.1UREQ BY Irf NtY STATE j u: 1 BUILDING G .MIA FOR ' � � �•/'�� ! t � - } q47E♦ P� ut q„ - RO_ OPENIN9_$,FOR to! " Y7^ v `_ fti-Al ' 4 EIdF7( ENCY ESC APE AS - `•. REQUIRED BY PART. 714 9E . tx` 4 9 N.Y.STATE BUILDING CODE. sF LOOP 0 77. r J At \ f g" „ IS- - A rT�l\ 4 ! e • , , I >.., r ..,» -...e .._:_: .�. ..,. .,.,_ _..,.-.+. r ..l.,-.,._ ..mom....,.->».., .v-..,.:......« ,�:-q++:.+.-...-•_-,m_-.-n.e x,..:..er..l,..._r...+e,�. w. ..?--ti..ww..e.a..,._.�..r,m�ce.�.. � � � �3— �•...�ar..u...r,......y.. _ i , , I� r ry r —.:E atilaF�t r , , $YNOiIG VINYL. .Ol?rti VCfmt.h, WIZ,ItY _r • ' i 4BIY4 d° �INY4 S(QIgr 1 lk R191N ULAM Tt CV. i % tulYrl_ . zoK10 la 'O�. ._.i._ ' .L ..._..-.�:..�- __ •-�-t-.—.-..--..-._ ' _ i '� ' •--•� ••'---`.,..�. �'�----�-� ^ ' ._ ' _ _ -_ _ -hr,,,i S+K m� F ; , 1 _. ..ay z. o_v. ,a-.,+srY'- -.a -.<,.:. Yu 9W_^c ,coir. 'nn.a.+u�n.n... •mro,_ry ll I ^ r 7 p. i � s .,!. � lk'rt k.• uF y rt_, .. ^ '�:; b.`t '. !, ' . � t �l'�•�;1'1 .. , ! r 1 � . a a' k*�acl;r- {1i � 4 �k k bii,, , yo tt � , l I Ili. tf c WN- (if MESyy t Foa 1 ��t+ ' r' it• xOoa lit o zzsat • jT Ilk A • w . r 1 ! ! 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