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Home My WebLink About25159-zFORM NO. 4 TOWN OF SOUTMOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26843 Date: 12/16/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 2050 DIGNANS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 83 Block 2 Lot 7.3 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 1998 pursuant to which Building Permit No. 25159-Z dated SEPTEMBER 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to NANCY BUTKUS of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 492721 06/28/99 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26842 Date: 12/16/99 THIS CERTIFIES that the building ADDITIONS & ALTERATION Location of Property: 2050 DIGNANS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 83 Block 2 Lot 7.3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 1998 pursuant to which Building Permit No. 25159-Z dated SEPTEMBER 4, 1998 was issued, and oonforms to all of the requirements, of the applicable provisions of the law. The occupancy for which this certificate is issued is SECOND STORY ADDITION, COVERED PORCH ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NANCY BUTKUS of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 11/17/99 N/A N 492719 06/28/99 MATTITUCK PLUMBING & HEAT /ding Inspector Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall $outhold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25159 Z Date SEPTEMBER 4 98 Permission is hereby granted to: PETER& PATRICIA KALAMARAS C/O BOECKMAN P.O. 1453 MATTITUCK~NY 11952 for : ALTERATION & ADDITION TO AN EXISTING SINGLE FAMILY DWELLING TO INCLUDE A 2ND STORY ADDITION & COVERED PORCH AS APPLIED FOR. at premises located at 2050 County Tax Map No. 473889 Section 083 pursuant to application dated JULY Building Inspector. DIGNANS RD CUTCHOGUE Block 0002 Lot No. 007.003 21 98 and approved by the Fee $ 543.80 7 .0o 618.80 /~ '~/dd i~g/I n~s p e c t o r ORIGINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 li~es, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% 'lead. 5. Commercial building, industrial building, multiple residences and similar 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. 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 proper%y 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. 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 Qccupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or ~re-existing Building.~.~ ....... ' ~. ~ Location of Property.. ~...~J ..... ~...~ ....... .~..~ ............. ¢.~¢. .......... House No. -- Street Ha~et Onwer or Owners of Property .......... , ................................................. County Tax Map No.~ 1000, Section...~..~. ...... Block .... ~ .......... Lot...7:.~. ............ Subdivision .................................... Filed Map ....... rl~j~_A~p~_~O~_~ffig Permit . ~..} ......... Date Of · ''' Health Dept Approval . .. . Underwriters Approval ..... -. Planning Board Approval ........................ Request for: Fee Submitted: $ .... .~.,. ................ ... Temporary Certificate ........... Final Certicate.. APPLICANT Tuwn Hall, 5300.5 Mat~l Rood P, O. Box 1t79 Southold, New York t 1971 Fax (.516) 765d823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD .cERTI F I CATZON Owner: (p'l~~ Plumber: ~ (please print) I certify that the solder used in the water supply system contains less thaQ 2/10 of ]% lead. Sworn to before me this Notary Public, ~ No, 01KE~1297 Cou~lty Location of combustible tueptace tnrn Figure 7-2(c) Fireplace clearance Io combustible material. 7-5 Combustion Air Ducts. 7-5.1 Where required by the authority ha'~ing jurigdic- tion, combustion air ducts shall be installed accordin~g to this section.. ~. . ........... · '. ~, I Exceplion No. 1: Combustion air ducts for factory-built fire. places shall be a listed component of the fireplace and shall be installed according to the manufacturer s instructions. .' Exception No. 2: Listed combustion air duct systems for malsonry fireplaces shall be installed according to the lerms of their listing and manufacturer's instructions. 7-5.2 Combustion air ducts shall extend as directly as practical from the outdoors (inlet) to a termination outside the fire chamber (outlet). Combustion air ducts shall be constructed of masonry, galvanized steel with a thickness not less than 90 gage [0.019 in. (0.483 mm)], Or mher approved noncombustible material and ah,all be equipped with a damper that is canable of being full) closed. 7-5~.3' ~o~bustion air ducts that terminate outside the llre chamber but within 6 in, of the fire chamber shall be designed and installed to prevent the direct entry of llame, embers, or ashes from the fire chamber into the duct. 7-5.4 Unlisted combustion air ducts shall be installed ~ith a minimum I in. (25 mm) clearance to combustibles for all parts of the duct construction within 5 ft (1.5 m) of the duct outlet. 7-5.5 The exterior inlet of the combustion air duct shall be screened. 7-5.6 Combusuon air ducts shall not originate in an attic, basement, garage, or other interior space. 1992 Ed~bon 211~~5 Figure 7-2(d) Fireplace hearth extension deIails. Chapter 8 Solid Fuel-Burning Appliances 8-1 Appliances. Solid fuel-burning app}ianccs shall be listed and installed in accordance with the terms of their bsting. Exception.. Unlisted appbances approved by the authority having ju~isdtctian shall be inatalled as specified tn this chapter. Such instal. lations shall also be tn accordance with the mannfacturer'$ instal/a- tton tnstructio~ if such instructions specify the use of iucrea~ed pro- tection or greater clearances than specified in this chapter. 73is exceptton shall not apply to mobile home mstallatiovs. 8-2 Location of Appliances. 8-2.1 Every appliance shall be located with respect to building construction and other equipment so as to permit a~cess to the appliance. Sufficient clearance shall be main- tamed to permit cleaning of surfaces; the replacement of air filters, blowers, motors, controls, and chintney connec- tors; the'lubrication and servicing of moving parts; and the adjustmem and servicing of stokers, if provided. 8-2.2 Solid fuel-burning appliances sltalJ m>t be installed in confined spaces. The space or room shall be of ample size to permit adequate clrculanon ot heated air. Appli- ances shall be so located as not to lutertere with proper cir- culation of mr within the heated space. Exception.. Solid fuel-burning appliances listed for installation .~ in confined spaces such as alcoves shall be installed in accordauce " with the terms of the listing and the manltfactulvr's tnsh-uctions. 8-2.3 Solid fiael-burning appliances shall not be installed in any location where gasoline or an), other flammable vapors or gases are likely to be pre~ent. 8-2.4 Sobd fuel-burning appliances shall not be installed in any residential garage. 8-3 Air for Combustion and Ventilation. So d fuel- burning appliances shall be installed ~ a location and nan- her to provide adequate ventilation atd combtlst on a r sup-. ply to permit satisfactory combustion &fuel, proper chmmey /draft, and maintenance of safe temperatures. Where bnild- rags are so ~.ight that normal infi tradon does not proxide the .... necessary att, outside air shall be introduced. 211-36 8-4 Chimney Connections and Usage. 8-4.1 ,'ill mhd hwbburnmg appliances sh.dl I)e ~onnc(led ptovlded sll,dl hi' Iii act_ol'dJiliCe ~llh 'l'aifie hie luau.';ial sh.fll I)c as specified tit Tab]c 5-5(a). 8-4.3 Connectors and chimneys Ibr solid flwl-hurmng al!phances shall bc designed, loc;lied, anti installed to per- 8-4.4 For resideutial-type solid fuel-burning appliance:,, burning appliamc such as a stove or in~ert shall bc permu- ted to use a masonry fireplace flue when the following con- Exception: Li~ted fireplace accessories may use a masonry fire- placeflue. (a) There is a connector that extends from thc apphancc to the flue liner. (b) The cross-sectional area of tile flue is no more than 3 times the cross-sectioual area of the tiue collar of tile appliance. (c) If the appliance vents directly through the chimney wall above the smoke chamber, there shall be a noncom- bustible seal below the entry point of the connector. (d) The installation shall be such that Ihe chimney sys- tem can be inspected and cleaned. (e) Means shall be prm'Ided to prevent dilution of com- bustion prodd'cts in the chimney flue wnh air from the habitable space. 8-4.8 Another s~fiid fuel-burning apphance shall not be installed using an ex~sting flue serving a factory-buih fire- place unless the appliance is speahcalty listed for such installauon. 8.5 Mounting. 8-5.1 Mounting for Residential-type Appliances. 8-5.1.1 General Requirements. 8-5.1.1.1 Residential-type solid fuel-burning appliances that are tested and listed by a recognized testing laboratory for installation on Iloors constructed of combustible mate- rials shall be placed on floors in accordance with the requirements of the lisdug anti the conditions of approval. Such appliances that are not listed by a recognized testing laboratory shall be provided with floor protection in accor- dance with the provisiuns of 8-5.1.2 or 8-5.1.3. Exceptwn: Residential-t3pe solid f~tel.burning appliances are permitted to be placed w~tbout floor protection in an), of the follow- mg manners: (d) o" p~ope~(y ~tabihzed g~ound tbat can.~uppo~t the load of ) I/u' appha me. 1c~% than 18 in. (457 mm) I)cyond thc applhmcc on ;dl s~dcs. installation mstruclions shall be ~crmitted Io be empluycd. and floor-ceding assembhes and their supports shall be 8-5.1.2 Room Heaters, Fireplace Stoves, Room Heater/ Fireplace Combinations, Ranges. vcnfilated open space beneath thc fire chamber or base of busfible construcnon provided the floor under thc apph- -, 24 gage J0.023 in. (0.58 mm)] The floor protecuon shall cxlend not less than 18 in. (457 mm beyond thc apphance on all sides. 8-5.1.2.2 Room heaters, fireplace stoves, room heater/ tireplace stove comblnanons, or ranges that are set on legs or pedestals pruviding 2 to 6 in. (51 to 152 mm) of venti- lated open space beneath the fire chamber or base of the appliance are permitted to be placed on floors of combus- tible construcuon provided the floor under the apphance is protected with one course of holtow masonry umts not less than 4 tn. (102 mm) in thickness. The masonry units shall be laid with ends unsealed and joints matched in such a way as to provide a free circulation of air through the core spaces of tFe masonry. The top surface of the masonry shall be covered with sheet metal not less than 24 gage I0.023 in. (0.58 mm)]. The floor protection shall extend not less than 18 in. (457,mm). beyond the apphance on all sides. 8-5.1.2.3 Room h"eaters, fireplace stoves, room heater/ fireplace stove combinations, or ranges with legs or pedes- tals that provide less than 2 in. (51 mm) of ventilated open space beneath the firechamber or base of tfie appliance shall not be placed on fi. oors of combustible construction. 8-5.1.3 Furnaces, Boilers. 8-5.1.3.1 Furnaces or boilers with legs or pedestals that provide not less than 6 in. (152 mm) of ventilated open space beneath the firechamber or base of the appliance are () () 211-33 2 in. Figure 7-2(b) Fireplace clearance to combustible material. 7-2.3 Clearance. 7-2.3.1 All wood beams, joists, studs, and other combus- tible material sball have a clearance of not less than 2 in. (51 mm) from the tront thces and sides of masonry fire- pla(es and not less than 4 m, (102 mm) from the back faces of masonry hreplaces. 7-2.3.2 Spaces between headers or trimmers of combusu- ble material and masonry fireplaces shall be firestopped wuh noncombustible mat~:rial. The material used for fire* stopping shall be galvamzed steel not less than 26 gage [0.19 in. (0.483 mm)] m thickness or noncombustible sheet material not more than I/2 in. (12.7 mm) thick. 7-%3.3 Woodwork, such as wood trim and mantels, and other combustible material, shall not be placed within 6 in. (152 mm) of a fireplace opening. Combustible material above and projecting more than ll/2 ir~. (38 mm) from a fireplace opening shall not be placed les~ than 12 in. (305 mm) from the top of the fireplace opening. 7-2.4 Accessibility. For cleaning purl~oses, means shall be provided for access to the venting area above and imme- diately behind any movable damper valve plate in masonry fireplaces and steel fireplace units. 7-3 Hearth Extensions, 7-3.1 Masonry fireplaces shall have hearth extensions of brick, concrete, stone, tile, or other approved noncombus- 4 in. tible material properly supported and with no combustible material against the underside thereof. Wooden forms used during the construction of heartfi and hearth exten- sion shall be removed when the construction is completed. 7-3.2 Where the fireplace opening is less than 6 sq ft (0.56 m~), the hearth extension shall extend at least 16 in. (406 mm) in front of the facing mater~al and at least 8 in. (203 mm) beyond each side of the fireplace opemng. 7-3.3 Where the fireplace opening is 6 sq fi (0.56 m~) or larger, the hearth extension shall extend at least 20 in. (508 mm) in front of the facing material, and at least 12 in. (305 mm) beyond each side of the fireplace opening, 7-3.4 Where a fireplace is elevated above or overhangs a floor, the hearth extension shall also extend over the area under the fireplace. 7-4 Accessories. Factory-bulk accessories for fireplaces include such devices as fireplace heater inserts, heat exchangers circulating air or water, etc., that may alter the combustion or heating characteristics of the fireplace. Such accessories shall be listed and installed in accordance with the terms of their listing. Exception: Unluted accessories that are acceptable to the author- ity having jurisdictwn shall be permitted to be installed as approved and in aceordance with the manufacturer~ i~tallation instructions. 1992 Edition ROBERT SILMAN ASSOCIATES, P.C. CONSULTING ENGINEERS 83 UNIVERSITY PLACE, NEW YORK NEW YORK 10003 www. rsapc.com (212) 620-7970 FAX (212) 620-8157 January 15,1999 Terry Atkin Atkin Kramer Architects 490 West End Avenue, lB New York, NY 10024 JAN 2 5 1999 BLDG, DEPT. TOWN OF SOLJTH,..T.~OLD Re: Butkus Auchincloss House 2050 Dignan's Road, Cutchogue, NY Dear Terry: We have reviewed the changes made to the framing plans and can approve them all for structural adequacy. The changes are as follows: 1. The header over the kitchen window and door was specified as (3) 2 x 8 but instead (2) 2 x 10 were installed. 2. Collar ties at the roof just below the ridge have been eliminated. Collar ties are not .r r~equim~d,~or this house. The ~s~ructural ridge beam amd posts provides adequate vertical support and the rafters are otherwise adequate to carry the design loads without collar beams. 3. At the first floor the original drawings called for (2) 1%" x 11 7?8" LVL at the end of the bay. Instead (3) 2 x 10 were installed. 4. The header over the window in Bathroom #i was originally specified as (3) 2 x 6 but instead (2) 2 x 10 were installed. 5. The posts under the ridge beams were slightly modified at the master bedroom and the girls bedroom. As shown on your sketches this arrangement is structurally adequate. As stated above, we find all of these modifications to be structurally acceptable. Sincerely yours, ROBERT SILMAN ASSOCIATES, P,C. Robe~ rs\W;~proiects\6328\011599FramingChanges ATKIN KRAMER ARCHITECTS 490 West End Avenue, New York, NY 10024 212/877 7994 TO: FROM: CC: DATE: RE: Town of Southold Building Department Town Hall Southold, NY 11971 Terry Atkin, R.A~ Mark Boeckman, Boeckman Construct/on Robert Silman, Robert Silman Associates, P.C. 15 January 1999 Butkus Auchincloss House, Cutchogue LI Framing Inspection COMMENTS: The "as built" framing revisions outlined by Mark Boeckman, contractor, have been reviewed by the structural engineer, Robert Silman. They are as follows: 1. Header over kitchen door and window is built with (2) 2x10. 2. Collar ties at ridge am deleted. Posts support ridge. 3. First floor bay window header is built with (3) 2x10. 4. Bath #1 window header is built with (2) 2x10. 5. Bedroom #1 and Bedroom #2 dormer members are supported by posts down. :OUNDATION (ls%) COMM£NTS ~OUNDA,TION _~. ROUGH FRAME & ,FL (2nd) INSULATION PER N. Y. STATE ENERGY CODE ' FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING [ ] INSULATION [ ~FINAL [ ] FIREPLACE & CHIMNEY .,,~,,~.~s; /~~. ~ ,,SP TO. 765-1802 BUILDING DEPT. INSPECTION [ ]~FOUNDATION ¶ST [ ] ROUGH PLBG. [ ]FOUNDATION2ND [ ]INSULATION [ ]FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS.' ~ O~/'~_~- ~ DATE 765-1802 BUILDING DEPT. INSPECTION [] FOUNDATION 1ST [] ROUG.~P~BG. ]FOUNDATION ZND [/~SO~TiON INSPECTOR 765-s802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] INSULATION [ ] FINAL DATE INSPECTOR 765-1802 UILDING DEPT. SPECTION [ I FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ] FIREPLACE & CHIMNEY .~.,,.,~.. /~/~ A-~...~-~ DATE /~/~/~ INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I R.O/~UGH PLBG. [ ] FOUNDATION 2ND [ ~I~SuLATION [ ] FRAMING [ ]FINAL [ ] FIREPlACE&CHIMNEY DATE :/~?~' INSPECTOR ~ ~/~//~ 765-~,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ~RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR 765-~80Z BUILDING DEPT. -INSPECTIO FO~ 1ST [ ~OUGH PLBG. [ ]/~JNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2NO [ ] FRAMING [ ] ROUGH PLBG. [ ] INS,~UJ.ATION [~'~NAL []FIREPLACE&CHIMNEY REMARKS:(~~ _. -.WI INSPECTOR F\ THE NEW YORK BOARD OF FIRE UNDERWRITERS PA ,I 119§O99 BUREAU OF ELECTRICITY [---, 40 FULTON STREET~ NEW YORK, NY 10038 Date JUNE 28,1999 Application No. on file 17923599/99 N 492721 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of NANCY BUTKU,:, DIGNANS ROAD, CUTCHOGUE. NY in the following location; [] Basement [] ]st FI. ~ 2nd FI. OUT Section Block Lot was examined on OUNE 22,1999 and found to be in compliance with the National Electrical Code. FIXTURES RANGES COOKINO DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE RECEPTACLES SWITCHES OUTLETS 2 t DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: E R .o %%coND. OF CC. COND C NO OF HI-LEG OF HI-LEG NO. OF NEUTRALS OF NEUTRAL SWIt~4ING POOL-1 GFCI--I PANELBOARDS:i-3 CIR. 100 *(SWI~a4ING POOL) This certificate covers compli~lce at the date of inspection only. Because of unusual have frec~aent test/and or repairs made by a qualiEied person. <<< Continued on Page 2 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. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIF!CATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS P^ ;2 1195e99 .UR AU OF LEC R,C, Y ~-- 40 FULTON STREET, NEW YORK, NY 10038 Date JUlqP, 28,1999 Application No. on file 17923599/99 N 492721 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of NANCY BUTKUS, DIGNANS ROAD, CUTCHOGUE, NY in the following location; [] Basement [] 1st Fl. [] 2nd FI. OUT Section Block was examined on JUl~ 22,1999 and found to be in compliance with the National Electrical Code. Lot FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE ODTi. ET$ RECEPTACLES SWITCHES FLUORESCENT OTHER DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPEClALREC'PT, TIMEC[OCKS UNIT HEATER$ MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R V I C NO OF CC COND. A. W G A W.G. PER ~ OF CC. COND. NO. OF NEUTRALS OF NEUTRAL NO. OF F~I- LEG OF HI-LEG JIH SAGE ELEC. INC. PO BOX 38 GREW~NPORT, NY, 11944-0038 LIC. #3635 GENERAL MANAGER Per--- This certifiaate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUiLDiNG DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAG~.Z 1~G9~ GU.EAU OF ELECTR,C,TY ~ 40 FULTON STREET, NEW YORK, NY 10038 Date O~J~ 28,1999 Application No. on file 17556599/99 N 492719 THIS CERTIFIES THAT only the electrical equipment as described below attd introduced by the applicant named on the above application number is in the premises of NANCY BUTKUS, DIGNAUS ROAD, CUTEHOGUE, NY in the following location; [] Basement [] 1st Fl. [] 2nd Fl. OUT Section Block was examined on JUN~ 22 t 1999 and found to be in compliance with the National Electrical Code. Lot FIXTURE RECEPTACLES SWITCHES OUTLETS 42 38 33 I 38 FIXTURES I INCANDESCENT FLUOi~E$CENT OTHER RANGES i OVENS I DiSH WASHERS __3 SERVICE DISCONNECT I NO. OFJ S E j OTHER APPARATUS: AW, G., OF CC. COND. NO, OF HI-LEG UNIT HEATERS C OF HI-LEG MULTi-OUTLET SYSTEMS NO. OF FEET NO, OF NEUTRALS EXHAUST FANS DIMMERS JIl~ SAGE ELEC. INC. PO BOX 38 GREENPORT, NY, 11944-0~38 - m Per i~'GENERAL M~!~R This certifioofe must not be altered in Qny manner; return to the office of the Board if incorrect. Inspectors mey be identified by their credenliols. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOOTHOLD, N.Y. 11971 TEL.: 765-1802 Examined Approved ...... F.~. ..... 197/Permit No...~..~.7...ff~..'~-- Disapproved a/c ..................................... /,(,B u ~ding Inspector) APPLICATION FOR BUILDING PERMIT BOAR0 0F HEALYII ......... 3 BETS OF PLANS .......... SURVEY ................... CIIECK c^L, ..3..l.q... I-IAZL TO; INSTRUCTIONS a. This application must be completely 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 showing location of lot and of buildings on premises, relatiot~ship 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 appli- cation.. e. 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 issued a Building Permit to the applicant. Such permit shall ge kept on the premises available for inspection throughout the w6rk. 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 MADE to the Building Department for the issuance of a Buliding 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, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections..// / (Mailing address of applicant) [ ~ ~'~.. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. GENERAL CONTRACTOR Name of owner of premises NANCY BUTKUS (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) , Builder s License No. .808.1 BI. Plumber's License No ......................... Electrician's License No "- Other Trade's License No ...................... : Location of land on which proposed work will be'done .................................................. 2050 DIGNAN'S ROAD CUTCHOGUE House Number Street Hamlet County Tax Map No. 1000 Section . .9.8.3 ............. Block ' . .... 2. .......... Lot ..... 7.:1, .......... Subdivision ..................................... Filed Mhp No ............... Lot ............... (Name) State existing use and occupancy of premises and intended Use and occupancy of proposed cohstruction: a. Existing use and occupancy .. b. Intended use and occupancy SAME 9. 10. 11. 12. 13. 14. 1.5. Locate clearly and distinctly all b property lines. Give street and block nu interior or comer lot. 3. Nature of wot check which a cable): New Building · · .~:t,. !~ './~lt~r~,~on .......... Repair ............. Removil ........ Dcm I' f,,, ............ Other Work~ .] ..... ' ' ..... '" I(D ripti ) 4. Estimated Cost $20.0,000. I ' I,: ~ x,~,,.-, ~', ~ !~ esc on i ...... Fee ,~.:, ..... , . , -. t (t pai~ p fili~g t,h ~pli ) ! o be o m a cat on ~it f dw;elli 5. If dwelling, number of dwelling u s .............. Number o ng~pnits on each floor .... · If garage, number of cars ................... , ,, · .......... 6. ll~ibusiness, commercial or mixe ccupancy, spec nature and extent of each type of use ......... i .... 7. mensions of existing structures any' Fron . · , Rear . Do ightA?.P.R..O.X 2.0. ?? b~ fS~ es ...................... pth ...... He .. · Num ro ori 2 Dimensions of same structure witt~ alterations or additions: Front ................. Rear .......... Depth t~tiHo;~..~Ftrr~'P!.'Ri(~X':'2,'5::~,~ /~rN. ?f~t : ~d~t.h,2. ...... ,. "' · . umber on s. Dimensions n e ons ight M ................ P ....... He ............... Nmn r of Stories ............. ... Size of lot: Front ............ i ......... Rear.. · Date of Purchase 7-8-98 .................... Depth . ................... ' ......... NameofFormerOwner P KALAMARAS Zone or use district in which prem,!ises are situated ............. , ......... ~ ............................. Does proposed construction violat~ any zoning law, ordinance or regulation. . .O ........... ' .... Name of Architect·g. ?.K.I.N. KRA~I'~R~'':' ':''::'' AAddddrree:: i~'~'8~V~l~O~'O0'0 .l'~one No. 8.7.7.,22.4.6. ..... Name of Contractor BOEeK.~,/./,I' ~'6NgS~'ff¢{iOix/' ,~_, )lax '&L: i-¥k; 'g;,' .,.,2~ho~ne No. B.Tj.-r799A ..... Is thi~s,p~roparty wxth~n 300 feet of a tidal wetland? '*~'e's':'....'''' ;'?~v6nve No, ~.9.8..~.9. ..... ~zr yes, Southoid To'm,Trustees Permit may be required. ... mo.q'~ ....... ... PLOT DIAGRAM dldings, whether existing or proposed, and, indicate all set-back dimensions from ~ber or description according to deed, and show street names and indicate whg,tl3er ~Y SEE PLANS AND SURV bove named· ·. b~ing duly sworn, deposes and says that he is the applicant 'e is the ~a gent, corporate officer, etc.) ....... f said owner or owners, and ~ duly autho'B~zud rb~rform or haveperformed the said work and to make and file this ~plication; that all statements containe[t in this annlicati ..... true to the best of his knowledge and belief; and that the ~°;krnWt~ol ,be performed in the manner sci forth in t~; appli~t~{~; filed therewith. oefore me this ........ '-~'L~,/X~ "~' ' ~d a Y-'°tJ ...... ~.._~..4.y. i .., 19 .?.~ .. ,~. ~.~~ ',.j