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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25161 Date AUGUST 4, 1997 THIS CERTIFIES that the building NEW DWELLING Location of Property 400 HARVEST LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 120 Block 3 Lot 8.14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 10, 1997 pursuant to which Building Permit No. 23951-Z dated MARCH 3, 1997 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 TWO STORY ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE & COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to SCHEMBRI HOMES, INC. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-97-0008-JULY 16, 1997 ELECTRICAL INSPECTION CERT. #15947 - JULY 17, 1997 PLUMBERS CERTIFICATION DATED JULY 21, 1997 - G.A.H. PLUMBING Buil ing Insp ctor Rev. 1/81 FORM NO. $ 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) N° 23951 Z Date ..........Narch. 3............................... 19..97 Permission is hereby granted to: SCHEMBRI HONES, INC. (FARMVEU ASSOCIATE) ................................................................................ P.O. BOX 163 ................................................................................ WADING RIVER, N.Y. 11792 ................................................................................ CONSTRUCT A ONE STORY SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE to ............................................................................................................................................................ & FRONT PORCH AS APPLIED FOR. ................................................................................................................................................................ at premises located at ....AOO.HARVEST LANE HATTITUCR N.Y. ............................. ................x....................................... ................................................................................ ................................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section .......120........... Block .......3............. Lot No. .....$:.14........... pursuant to application dated ......FEBRITARY„10.,.,,1997...............1 19........, and approved by the Building Inspector. Fee $.... ..�JJ�....•........... ............... . :. .. ...................................... ding Inspector Rev. 6/30/80 Form No. 6 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 1% 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 Building - $100.00 3. Copy of Certificate of Occupancy - .251C 4. r Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentia $l5. 0, Commercial $15.00.. / I . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date New Construction. . . . . . . .... . Old or/ Pre-exi ttii g Building. . . . . . . . . . . . �L // Location of Property. . .[: .a^^ ^. . Yh. . . . . . .Y`... . . . . . . . . . . . . . . . . . . . . ./044oC• . . . . . . . . . . House No. ppqq Street Hamlet Onwer or Owners of Froperty. . .SVY:s^':^:`. :. . . 11"IT 4. . .�. : . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .J!. . . . . . .Block. . .✓V. .?. . . . . . . . . .Lot. . ... �.. . . . . . . . . . . . . . Subdivision.99. . . SVVIe . .. . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . . .LLot. .Vy. ol. . . . . . . . . . . . . . . At Permit No. .f. �. i.b. . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. .. . .'. .. . ...`. . /� . :. . . �y Health Dept. Approval. . . .���. (. . . V C7 v . .. . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . PlanningBoard Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Fina/Certi ate. . .Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (f 0 APPLICANT / r'; Town Hall, 53095 Main Road Fax (516) 765-1823 P. O. Box 1179 - 7eleonone (516) 65-1802 Southoic, New York 11971 lb OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N p DATE: 7 �� 7 Bulldina Permit No Owner: Yui'i L/tw«`J (X (pplenaseJ print) Plumber: LG✓t"I* (nlease print) I certify that the solder used in the water supply system contains less than 2,10 of 1% lead. (P1u s Si ature) Sworn to before me this L ta day of e�U / 19 f Notary Public, J� �r��� p C/ount•✓ N&olp"am /A�,..� a 3 ?S/ ELECTRICAL INSPECTION SERVICE INC. 375 D UtNTONAVENUE EAST PATCHOGUZA'EN'YORK 11772 (516)286-6642 15854 DATE: 7/17AI7 APPLICATI©NNo.ONFILE VILIAGE: Mattituck TOWN: Southold ADDRESS Lat#79 Halmact l nne ISSUED TO: Tony Schembri INTRODUCED BY' Delane ElecMc Inc. LICVc: 4254E wa.e examined on 7117197 and found to be in compliance with the National Electrical Code LOCATION: Base- xX 1st zx 2nd 3rd Attic Det.Garage Hot Tub Pool SWITCHES RECEPTACLES I MATURES HEATERS I FANS I G.F.I. AIR COND. 30 43 29 1-hxhaust 5 DISTMASHER DRYER CLOTHES WASH j GAR DISP. RANGE OVEN S7,10K;DETECTOR 2912 30Amp. 20Amp. 40Amp. 5 F/RIJACE OIL GAS Ca MOTORS BELL THAN. SERUCEDISCONNECT .. ._ "Em .Arps 1 1 200 ug OTHER EQUIPMENT Outside,Res. 1-Hood 2 zone oil HUGO S. SURDI PRESIDENT BUILDING PERMIT No. Thiswaumremmtnotb.PlerWm� MMM InsPectm%mxyb elmitified by ihar¢edrntisls BLUE ORIGINAL YELLOW COPY PINT,COPY OFFICE _AyPE.�JDU N► �# 1 4 AUG • 91 _ FOR. FF,-415F,: D GEIJTRa,ICE 5ILCO DOaEz STAIFZ-) AY �IoR. RES� DEti1G � • Sc+� EM �,>zi �aMEs i �ic. t4—o r 7-10 Qom\ t N a Y h'o 6 —2 —t sT9TF d )2"x 12' L2l 2"x IT' d o j �i►it>~i R _ _ 176rt N � s a Lx��{ _CLG • 0 p� _OPTIONAL,VERIFY p[ cHtgH POIN'T OF CLfi' F;ILCO DOOR RM Y tk � f X CD CDS A" _�Q _ to 15 F-O u 41 4r rr rArLTI�L FLS'. PLAN( F t V V i S i -p 2 " 10° N ; -,i SI B 2 x -- -� 1 @I I• 1 Rio qa n7 Pl!:' U -1 !I:i i'!;CfI(JI{ Il h;;'UR(' _ DA f_' E. � � � CL'CfHl;fl'I':; �•_ ' ----------------------- --- .I I -'I R(1II M PRAtt I% PLIJFI1t I N(: jl II I� I� ,�.�p�l�d" t NsuLn'rn)N rr.R N. v . :TATs IRCII?RCY 01, rnnr. i -------------------- u I , 1 10, oi I _.. II /�vtiL / ✓�+.ter•+ �_ _m_-„9a_-----r_- ADDITIONAL CWFIRNIt'S: reran-,,. --------------------- -----s I �; 239sl � 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IySULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA K.Ss- c DATE / �s INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] Ij�UGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIONCA,Q,(4&-e- [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 0�C DATE "Z S7 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] 1$QNGH PLBG. [ ] FOUNDATION 2ND [✓]/INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. 1NSPECTI p N [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS.: X/�-r -e CJ/C DATE / �� INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ `J FOUNDATION 2ND [ ] INSULATION - [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: � d� i h DATE INSPECTOR T 765-1802 BUILDING DEPT. INSPECTION [ VI FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACES�&&1 CHIMNEY REMARKS: 2 DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: (9l� i-n (?O. DATE / INSPECTOR o o _ o � o r M o 4- _ A �'wNq�ewl � 2 8 9 J I S }I Tifc. Z88•� Rc'°'S 101 3 1020 ^ I// In! I 1 loll hu h Ij Assov---d. Jy-Mm . Unauthonzed alteration or addition to this documi a violation of Section 7209 SURVEYOF: L of the New York State Education Law O Certifications behftoth indicated hereon shall run only to the parson for whom it is prepared �� O� � ��,A k and on his behalf to the Title Company,Governmental Agency and Lending w 1 Instltuhon listed hereon,and to the assignees of the lending institutions or so T C— Guent owners 1'V1Ff T T ITtn�K Tow, o �jou't�l-o�1 Copses of this document not bearing the professional's inked seal or embossed seal shell not be dimension a shod true copy The offsets(or os dimensional use shown hereon from structures to the property lines are / u��ot-K / .. .FYI ` L `/�✓ for a s,sibecificmoo purpose and use antl therefore are not intended to guide the r a lenses,retaining walls,ppols,polios,planting areas,addition to buildings ora -. constructioneei Th /�— Thexistence of right of ways anWor easements of record,if any,not �Efa � �� not guaranteed pEg;;,g r SUMXEY DATE: �j1Zq lA-� SCALE: _ ' CERTIFIED ONLY TO: L DESTIN G. GRAF W N C _ LAND SURVEYOR Ll w 9 Byt!'k ' " 73 WOODLAWN ROAD DESTIN G. GRAF N.Y.S. LIC No.50067 ROCKY POINT,NEW YORK 11778 TAX 1.D. No. �� _ I ZO - 0 - 8. 14 PHONE 15 1 61 821-3442 1rKM\1- 1 IST I s�- 14 -7o- ti- 3ot2- faz•`1 1�3 h ,�/ 4- too` ; nom ' wy Milnirnu dist �QT� t1. feet }0 o r M p 5' l o4� AN Gk� l 01 7 1Y —15` m 'pofrs.� Lil�c.l.� n �Lu � TiL Z813.00 R'3�''S , lel 3 lozo ��J u ---2-70 IZ r0p r lot I ISI SUMLK COUNTY DEPARTMENT OF HEALTH 80tvx B 14 f�ItJF1Tt' I,kNE C �a'] rEi wr IM APPIMAL OWCOMMUCTMDN FOR A &HVtlLB 7rA1YiH,Y RiCS ONLY n fE WATER SUPPLY&SEWAGEpig � Q /� SUFFOLK f ^:,,f•,;' 'T � 1\10`-x/7"-cL DISPOSAL FOR THIS RESIDENCE HE L 1 APPROVED=__t���-� Vi'll-L.CO;'Fi20f.!TO T HE STAND- App[ a .. , t [1 : 01JLY P'OR MA7MUAt fHr BEDROOM ARDS OF THE SUFFOLK COUNTY DATE_`----- YEARS FROM DEPT. OF HEALTH SERVICES. H.S.R E-F.NO, APPROVAL APPROVED BY -- -- V',(�L'vR'1�tx{�7 Ir.l ASSuv++b� dicCI4M, Unauthorized alteration or addition to this document is a violation of Section 7209 SURVEY OF: L- '[' 12 ,- Certifications the New York State Education Law. Con his bathe indicated heron shall run onlym He person for wham it is prepared �� O l /r end on his behalf to the Title Company Governmental Agencyding In and Landing •G V� L4�,t m Institution err hereon,and to the essignegs of the Mantling institutions or subse 7 / , �l I quant owners. AA Copies of Ihie document not,bearing the professional's inked seal or embossed / Ir(/`((,.< T�/� O Q(�' � seal shall not be considered a vNv{q• talid true copy. The peeela(or dimensions)shownhereon are not ttheide the tines are for a specific retaining propose end use and Herefore are not Intended to guide the erection other lenses,r¢laining walls,pools,patios,planting areas,addition to buildings or any other 1q construction. 4^.y The existence of right of ways ead/or easements of record.it any.not shown not guaranteed, R ,. ,i SURVE' '• ATE: I tf'� Q7 SCALE: = So CERTIFIED ONLY TO:�ailtf r { : DESZIN G. Gam' LAND SURVEYOR ;f > R 1 D 6yp X0067 , ` 341 ROCKY POINT,NEW YORK11778O DESTIN G.GRAF N.Y.S.LIC No. TAX I.D. No. Ip� - 120 - 0 Z, - 8. 14 PHONE(516)8219442 All, l L. r I v T- JU'L U 1997 0 0 r 0 ' M p l I i7S 1< xrrr.6 �. � TiL 28Pi.00 R=$o.5 el 3 0Z0 J I A� 1 H A'Ilevot r I�f/' ISO' JUN 2 5 1997 THE LOCATION OF WELLS, SEPTIC TANKS rf',NU CESSPOOLS SHOWN HEREON A"r FsLLU OBSERVATIONS �.t a; r r, - ,; •. _:� ;e. _r;s:s :trot AND OR DATA OBTAINED FROM OTHERS. Unauthorized alteration or addition to this document is a violation of Section 7209 SURVEY OF: Vo� 1 of the New York State Education Law Can his lions l to the hereon shalt run only to the person for wham it is prepared �� of- � �`,A A and on hisisted to the Title Company,Governmental Agency and Lending \ quem owners n listed hereon,and to the assgnees of the lending institutlons or sub". GuCopies of Yv1A T Lr Copies of this considered not bearing the professional's inked seal or embossed �(A< T�/a Q(zY' � seal shell not be considsion a how true copy / f The offsets(or os Band use shown hereon from structures intended to the properly lines aro for a specific,reimpose and use and therefore are not intended to guide the erection of / T ✓r-1� l/`-^� f V� T fences,retaining walls pools.patios,planting areae,addition to buildings or any other con he exare on QF N ob The existence of right of ways and/or easements of reCpttl,it any,not shown a not guaranteed P SU E: 3 17 SCALE: CERTIFIED ONLY TO: jI, DESTIN G. 11313"F WtwlAr:n A�+d CYlnt_Y..t •�.1, 12AY,toq, ftaSrAw,new�1 ->--�IG S+a G*µ. .Ya LAND SURVEYOR LIC NSE 5 iii w4r By 73 WOODLAWN ROAD DESTIN G.GRAF N.Y.S.LIC No.50067 ROCKY PONT,NEW YORK 11776 TAX 1.D.No. I�� _ 1 20 - 0 5 _ Pj i� PHONE(516)821-3442 BOARD OF DI'.AI:I'II . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTIIOLD SURVEY ✓. BUILDING DEPARTMENT CIIECR �./. . . . . . . . . . . . . . . . . I TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1602 NOTIFY: j CALL. Qa�. . .��. . . . . . . . Examined.....3[-�?......, 19.1.,,7 y / Z MAIL. TO: . . . . . . . . . . . . . . . . . . . . Approved.....313....... 19.1.2 Permit No. .)3.`?S/.L ............................... Disapproved a/c ................................... ...................................................... (5,i] nsl . .tor) APPLICATION FOR BUILDING PERMIT 7 Date. . 19. . . I NSTRIICT IONS a. This application const be completely filled in by typewriter or in ink and sulmit[ed to the LAmilding Inspe.rtor w 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description OF. layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application mmy not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue'a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e'. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS ]1fW&'BY M11JE to Rhe Building Department for the issuance of a Building Permit pursuant to the Building 7xxhe 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 remvalor demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances build' code, housing code, and regulations, and to admit authorized inspectors on premises and in building F s un. .... ... . nems. ....... . ........ ..... .. ............. (Si turreee off.�applicant, ,orr ru if corpor a tion) �.............. (Mailing address of appl rcant) State whether applicant pi�spowner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builds. .......................(. .......!1 .................................................................................... Name of owner of promises ............................................................................................. (as on the tax roll or latest deed) If appl.ic. i. a co tion, sign/tore f. duly authorized officer. (Name and title or corporate officer) Builders License No. ......................... Phnrihers License No. .......................... Electricians License No. ..................... Other Trade's License No. ...... , n /�/�/ I. Location or land on which proposed work will be done.....: q� ' A ✓ ........ - :: / '...... °-%z................................................................. [louse Number Street Hamlet County Tax Map Noy.1000 Section ....)2-.0 ...... Block .....0.:�..... Lot —27.(41... /l Snildivisiar �:':i:`''V-�•J �1:�!'.�:.�....... Filed rLap No. ............... Lnt .....I (Name) 2. State existing use and occupancy of premises and intended use and ocoq).ancy of proposer[ construction: a. Existing use and occupancy ............................................................................. b. Intended use and occupancy ............................................................................. 1. Mitw e of work (check wllidu allA icable); Neu lklihling ..... ... AMition ... ....... Al lerat ion ....... .. . IWIxliI ...... ..... Renwal ............. lkimlition .. .......... Other Wrn k . ......... .................. (Ik:scripl:i(n) tl. L'st lll41te11 CASC .......f.. — rv--o ... fee . ........... ........................ lion...... (to be paid on filing this al>(llication) 5. if rhdelliry,, mill r of. (lwelling (nits .......... .. Mnher of (hxelliog unit's on eadi floor ... ..... ........ If garaae, troller of cars ....�................. .... .... ... 6. If lxlsioess, cxrmlercial or mixed occupancy, specify nature alxl extent of each type of use... .. ................. 7. Dinlellsi OnS of exiat.ing structures, if any: Front................ Rear ......... ..... . Depth ... ......... ..... leigllt ......................... Mrdwr of Stories ....... ............... Dimensions of sale structure with alterations or acklitions: Front ............... Rear ......... ...... Depth .................... IkAg)1C ........... ......... Maher of Stories .... ........... ..., hear DL nth ...7. So fl. Dineusiaus of entire new ccnscnlcticn: ] root ...`Y.Y:... .. illi ..,........ 1 . ....... Ik:ight .... ..............�.... Molx:r of Stories . .. ../illi........... 9. Size of lot: Fant )... ....... ..... Rear .. 47�.1... . ....,... Ik:pth . ............ I0. Iklte of I'rno9lase ..:2'J l..J..-7...... N:rre of Fucner O,nler .. ... �.. ll. Zone or use district in whidt premises are situated .......... ........ ..... ........... ........................ 12. Ikres prolxvxrl coasinx:Lioxr vi late any uniug law, nrrliruwl x�e or regal aliwl: . ................. illi 13. Will lot be regraded .....� ki2 ... Willi exr:ess fill Ile reroved flan premises: YGS (91 (� 14. Naves of Omer of pretuises � ...1 Fxklreas ........ ........ ... ftxxle No. !.°2 9 Nine of Arduitect .................................... Arklress ... ... ... ..................... Phone No. ... ....... Hare of CAntractor ................................... kklress .... .................... .......Mine No. 15. Is this property within 300 feet of a tidal ueLlarxl? * YE'S ........ ../tJD ,'......... *IF YM, 9(XIIICXD '10151 YROSIms vElvi r MAY III? wgjlRlil). PLOT DIAGRAM locate clearly ark] distinctly all lmildings, wllelluer existing or proposeol, ark] irdicaCe all set-bac:k dimensions frou property lines. Give street alit block nni>er or description according to deed. alxt stunt street rarres aril urticate rArclller interior or corner lot. SI'ME, (HT NIM Y(HtK, ss (kXINIY IH('�...t` f .......... 1 fi . ..S�. .P inti�J Y.l. ...._. .�.-�.�..e.�..... .......Ireiry, duly sw<lnr, delxnes alxl says that he is Like appli(:mlt (Mild of ilrolividual signing contract) alxrve u roll, Ike is the .........................�r� L� 7 ✓` ......... . ........ ..... ............................... (Contractor, agent, corlxlrate officer, etc.) of said iwiwr or wrlers, aril is dally authorized Cu lrerfoou or have llerlimnerl the said work and to nilce alxi file Ihis application; that all statni:uts coxaaioed in this all)lication are torr: to the Inst of his krrowletll,e aid bdieH aorl that. the urlrk will lx; ferforux:rl in the uiumer set. forth in the application filed tllerewidi. 9uorn l0 heft ilia this . .. .......Z .......day of ......... ' >19..�1�. Molar full liL ... ................ CLAIRE L.GLEW (Signalise of Applicant) Notary Public.State of New York No,4879f,05 Qualified in Sui;:rii: County � Commission.expires(l:.ar::3nbor B, 19.. A - — -------------- 4 8 P-T` FY WALL Ii IN F101.D SL. DDDR NAIL AND 8'15 DIA x 3 0 DR 114/gELA-r `r3 OF Ex? STPIa Fah V ' NAILER (I(n L� Lot �JTJRE DEGIt W/SRAVEL W/b'•a(; NTL SKATE / OF WALL TC' %E t 4" ABV C,12n DE. IS�, d' 1 tl 12-5 1 I2-5 12 - 5 12- 5' A�PE.RSE tJ P�:EFIIJ I' d- 9A5EMEtJT WI pOW 2817 PJ x I(p P, G, (1ILASTL-FZ JFK"� -OO oK EOVAL �ryP) (Y g" P. G. FN DTN. WALL ("1'u,SN) B� aPi (V ERifY) - 9"mSILE� p I0-TE4RAL W/FIJ D. v/ALI_ JN Cot4TINuoUS Iln" .J -'I p/ Ont F}" x 24" PROJELTTOIJ _ X S" D Pc, FTnIG,(T•(p) - 1o0" - L m INI TND, WALL FTC„ (VIR) Ae PEa COPE, y o T �- of �I m I �,�,,,•,,,,,.-r""• — - —i - -o w g' Z' g' _ 'L" 3'-(�" 10- ZI 10,- I, -- - DRoP 1.0. PILASTER + + Ppi� AW, I POSI ABv. T„xaTP.c u _ FnR GIROLR I " -+ I - , ' - STAI A N A .o R x_lo" rFT— -- 1 51 poILEKIN.W. � I 4 12OE: fL 4 - 4 4- -4 1 UIJ IT ,E G„ ' I4AAq LANOwq F/ 2°x lo° DROP FNDTPI. WALL LB DOOR. _ -E FIFA-f DET• 3 /2 1a 5740. WT• (3)P,J.AGV, USE M7L. @Ib"e.c, A5 ALLO W�+OLe BY CODE I _ IF fzEa D. fl.' LALLY COL. Ont STRAPb f 12' Oc' N - N -E�-- -O Q J. _ O 2 4'x 2 a' x 2" P.G PD,ST ABV. POST A SV. III I uV _ �I N FTNq.('TYR� - -A J i ( A: NEE DF.D `5/Bu TYPE 'X W.p. =� LT 'j,'x Co° GLA LEDSBR FOR. DooR l I OVER HT-q E4I�IF'• O - _ _ F7O LT ED TO FN q1 N. _ F AS PER LODE (V ER 1F7) 2 PEEL( @ (3 A�5�AE:E lT o -; �- - � w PTS ni --i t0 n LL ynaAG� a I �CHIMNc( - -- - --- -- UU// D 4 P.c. 5La6 ,n - _9 I I -p 3 G _-.\� 2 a 4°x24" 12"�� I x ' P , FTq — �I OCCUPANCY OR N N ( I �P — _ USE IS UNLAWFUL -011, C," - 5" s' I7' a' 19 '- 8- 1 8 I WITHOUT CERTIFICATE D2OP ?.O. PII-ASTER — — _ V 0. ILAS W,P, REAM -A-" I I � II �// A.�{c OF OCCUPANCY F/L1 \ GOCI<E'T . . , — U N EXG Av' `I y.P _ (TYP) —I --II APPROVED AS NOTED GIIR DC-(t 4P• L. 5LAP7 013 COMPALTEv J - (p CCCTED—TL D� r ` �j FILL A5 rJeenEP. PIJOw cow , Z" TD 0.1J. DJORS DATE: 3 ,� B.P.# ¢.JALLLL J � >I(s" PSG, PIF Ort O STEP SLO Pp I FEE: �3 UY: . ._ T I V o 2¢°x I(D x 10 ' p,G. - TN LIP NOTIFY BUILDING DEPART ENT AT F-Td(j. w;F"c"°c E'LT r G I 755-TL�02 9 AM TO 4 PM FOR THE Y _ C g'x e P.6. NA NGN IPI 56Ab (•fYP•) FOLLOWING INS? CTIONS: `J @ r" - -t (3�2x 8' CGA '- -' - - _ _� — I 1. FOUNDATIO - TWO REQUIRED FOR POURED MINU E ING & PLUMBING 0. w, a, DEAN Pa-VFoPTIodAL e'W, z Ib" D. F. 14ALJ CH FoR AP¢o rl i 3. INSULATION ID S�/SAO Jy/r 4. FINAL CONSTRUCTION MUST I' -('_ �" 8'- 3" P•I.o. 1-5 — 0- 3' M, O. I-b�i —�', BE COMPLETE FOR C.O. 4 J ,.�^ ALL CONSTRUCTION SHALL MEET Z 3 - 8 O 2 4 ° `rc f -Z ✓�T�O THE REQUIREMENTS OF THE N.Y. _ _ _ I - o° STATE CONSTRUCTION & ENERGY x' CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE —� PLUMBING CERTIFICATE OF OCCUPANCY If copper tubing is used ALL PLUMBING WASTE A for water distributing USED IN WATER UNDERWRITERS CERTIFICATE systemTESTING BEFORE COVERING ; piping shall be &WATER LINES NEED SUPPLY SYSTEM CANNOT 3 REQUIRED of types K or L only EXCEED 2/10 OF 1%LEAD. R AY O(Z i� �5I PE t�IG E \SZG,F D A 'ONrr PROVIDE '/i HR. FIRE PROVIDE OPENINGS FOR SE"'�< 0 DATE -.10 B 'm CoQ �RAvJ J RATED SEPARATION TO EMERGENCY ESCAPE AS T--) 4,-T I N I/4 O � e N IAN. 21 , 19q ( MrD PART. 717.3 (f) (1) OF REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. N.Y. STATE BUILDING CODE. P,9j"° 7 D�� SGII�t� DR1 NoMA _ P F EWY _- — ,- — 1 11 11 I 11 {41^OII ']-10 -- ' .t.--- — — -- — — ---- 2 6 4q - 2 28 30 21 o waHro oq ruov6 R 2 B 42 • 2 2 _ y:_o�.. .�.� - � 2) 2•x 12�� Ll) 2 %I2° �} 7h�—Jll 11 f o \ ��'�' _ M.. F—__`_____F..(7R.NA,_ _ I I =y �• 6 ._ CXTH' C ro, • M 0 hl I o — ` 9 HIQN "{'ZA'� LL�' U OPTIONAL, VERIFY - < MIH PoIN'S OF CLS c0 ---- i II I i 15 cj -k-- - _ ' c �, .—. .—_ ( � 1#LYES' -� .—_ —,. �' -`.•' PlNTwi (2) 2'�x 42�_ n+ I d" SO, POS P, C�' 2¢ I �#lxtx tv 2 21 a ° Lnaj 1� =g $ , s e 2�„ 10" ADD(2) IN X14+ LVL W12� x ID MTV/. Q - I - A 9 , Rlogrc _ _ — TQ'Px"Ow Q.xID RIp4e(SEE S'Ft 0 � M°Ka — _ 42. 4'6.a. &l9 g` �, I D 41 Awl °`+' , Pus*- re"1YA'Rat� 4 ',b R 3Yz`¢e.w.P�� _ O YP,-�I a {'TYP> N�Gu Po �lr JfN S _ x -GDNC FILL&°=', I 24Y'24 xM12°9 lT c �II p ° 4 9 2,- - d Al D 4. ! 9�D 4 (s�-2 gASN +t z 4 ye l \ EN'I ERIOR i I (AT4FDRAL. cL G. 4I HeNpknTL' _ — SRM I �A Rj(c & M . I ��y 's wvinti C1,4 12" N _ Na _ 12' �+1'/i Puwan eE-twN' _i - N ON rLAT �N Q C ' U 4 P.6. fL°°F _'. \ . 084 la -3 c� I _� d" x fT/ H V1a 7L9 O•rl. DRS - a I g.57i� mo 1-18 ° =N P — aeLow 5 F -- — _ \9 r r' -x � (2) 13Ak x 14 - LVL NEADE2 --- 1 Yf'.R.R, I 1Yf'• R•R• 1 /+nro' adt,JLy, 1 - IT�I+C.h� In 'a i + 1 n 7-O 12 400 _- .. --1O- -�L-- ._= - - __ �!�'O,I— `4 — _ t 1 344 3442 _-- cork. AP2o r1 ov I AAL) �1-81 _Tll - _ 23 8 +' " RAYf�}nCZ R�SI�I�r.kGG' APPROVED BY: 962 -7 oawwn er M K 6 MRd _._ — ____ _ __ ___ .--�"�"---'� . ,°, •O 14�,a ^' m owre:JAN 90,M7 ncvlseo t p ca LANE-12 (2) 2° x 81 EXCEPT A5 00-Tr-0 m `G u,, 14F—• � �1� � 1 'O t' 1 .� DRMWf.� )M>M MwIm OI+NO.+ppp11CWIO+IINI• •�. . GENERAL NOTES 1 All work shall comply with the Ne. York State Uniform Fire H. All workshell be performed by licensed vo,,Lr.OL.r. has ere Prevention and Building Code. Contractor shall coordinate any exprerl enced with the type of work being performed. ALL ' and all inspections as required an obtain certificate of contractors shall maintain liability Insurance and workers � 1 occupancy on behalf of the owner. compennnt ton lnsuranoe In connect son with all work being ASPHALT LVFIIkl41'E•� � oP'Tlb w1AL performed on the project. aJER 15 b. FELT + 2. All work shall comply with the New York State Energy • '12" CDX PLYr10. (TYR) - PRoJ10E C04114dOJS PLIW'fE VEIN "OR ' Conservation Code. See nate 5. 9. All materials. systema, equipment, fixture. etc. shell be ` _ installed in strict tlompllance with the manuf actarere written ROOF JACK VF-174 A4 REQ O. OH REAR 510G OF ROOF;' a, All electric work shell comply with the National Electric epecirl.,tione and installation instructions inoludlng all nAI�"(Alk� Id4 L6A`R $x>w IO A RID4E�At4OARD Code. Electrician shell obtain Fire Underwriters Certificate clearances for service etc. I5 ETt•1, TSP OF 1N5ll L. for pJL electric work and shall aubmlt to owner. Provide all sY C2) la�v)< 14•' L.W. W�2"Y IUw B TW EEnI nutlet end Junction boxes required far all appllascew, pompe• 10. All contractors shell warrant [bier work In writing to the 501 OF ROOF 511[J,TH• - equipment etc. Contractor owner for a minimum period of ONE year. /•rY PI _ _ 2"le A••GoLLAR E VJA (� 8E"O•c• shall review service requirements, all lighting, outlets, \I / _ _ - _ BR4 KdEb WaLI (/2k4E 14"n°•) ACROSS Eni'r,PE fixture.. phone Jacks, T.V. cable Jack,, At., with owner ae ll. The Arch[tett shall not have contrail or charge of and shell - _ _ _ - a 4)2"w 4" t rebgrH OF 1'10[JS6 required for the full instal let[on end ant lefgat ion of owners not be techniques. sequences for r procuct(on aeon,, menthols, -- - - ,q p5T T Rstre Q requirement. and code compliance and shall provide same. in connects n with the or pro cecduree, or for safety programs - _ li_"• Architect le not responsible far electrical design. for Ibis In connect ton with the work or far act* or omlae lonw of the G 2"w 4" co protect In any capacity. contractor, sub-oont...lure or any person performing Any of _ ' Slarap C.J. the work, or fol the failure of any of them to carry out the _ _ - Ile"LA' F- 19 E. All plumbing work shall comply with the National Plumbing Code work Inaccordenee with the intent of the contract documents in Q.ak 6"R.R ,i� IIl6JL . Z11Y QJ PL.R, Q 10" o•C. antl all local eotlee. Contractor shall review with the owner that acid reeponelbiliLy is the Acle responsibility of the -F{URRIOAw1E CLIPS •L OF the requirements for plumbing installation. including but not contractor. TGw ac. 2'F UwGj• 2 EA. R JL• limited to fixtures, trim, aloeeearles, etc. and requirements _ - / 'f2'4YL 6D.C(TP) - _ ._ __- HURRIratdE CLIPS for water service and domestic hat water. Architect to not 12. All exterior door.. roofing shingles• trim, est lag, air.. shall _ _ [X}•, R- q IlJ61IL, L _ __ e R a responsible for any plumbing systems in any capacity. be reviewed and approved by owner. _ _ p Im ec _ _ GLH N Contractor shell provide sanitary system In eccordnoce with IJ. All Interior finishes including but not limited to wells, the ...Are Approved site plan and shall coordinate All flooring, tile, etc, .hall be reviewed with and approved by 2x4 a Oak ° �- inspections required for approval of same. And surveys owner. C'2-)'L°x�° (2�2°%IZ W� 'h"PLYwv. 6ETN. (2)2•w l2 Ay,�H gr,a E C2)2w12 GLpD w�A/IOY Indicating final tank locations shell be by owner, aurvevor. -NGTE ..kJSfi jRAY v'�'��"PLY`Vp• �f EnIj6P JINYL Contractor shall provide surveyor with Information A. 14. All also. interior Items Including but not limited to doors. G44. mdR(O.PT.j {�r Contract. trim, fireplaces, closet shelving, kitchen cabinet., shelving. 5 P ) hardware• etc. shall be review ad with and approved by owner. 4"It A" CGA _ 12 (TYy.) DFFT I M' 5. All II.V.A.C. work shalt comply with article 10 of the N.Y.S. F-ST (APT) 11, ll, l� b �• ' G G ' Uniform Fire Prevention and Building Code and Energy Code. 31/¢"41 PIoo. SpLIP WD. Contractor shell review all mechanical systems with owner for -41,4-YL51pu14 TURNED P05T w1 GALV. type of system to be provided (le. oil, gas, or electric hot OVMT-(VCKe.I, 2°)<h" srwa l lip"e.A. -cLG. NT• I renter or air, etc. ) including air conditioning requirements. MTL. Cor7NEOTos-5C"T°P yam K"to), rLYYJD. W6uL. (TYM1) Architect is not responsible for heating or air conditioning T° ND(t. ¢• 6tTcM To _G 1 Oa, (rYP) t/q.' A'P.A- RATILD I t system. In any capacity. GIRDER CTYPJ 71 5UD• FLperm. G. Owner shalt obtain any and all required permits prior to M a i° I allowing contractors to proceed with any of the work. 4 tk' a 1"x m" f J. Ls i m"• T. All site work Including sanitary system, utilities, easements, Zew (pxCCA SILL- w 1:: L setbacks, elevation., drainage, retaining walls. eta. shall be J in accordance with a site plan prepared by the owners R-10, surveyor. The Architect is not responsible for site designs Of W(s/APPIL &&ILRI ER-'OF• (,IIRDER l'OLs 5Lk4• any type /n any capacity. ANCHOR PjOLjEp � ¢ M1t. GONtJEc'foR F/ TERMITE 6NIlLD CVER @MIO•SQAAI QInIAt.L "G12A DE, PIED To GIRDER SILL. SEALER (jY►.) 4q"� AdctlpR AeLTS IZ PITcN AWAY C1Y P_) DAMP,PRopF 3'Ay' sTr+D. WT. x 12"L«J4 Ca 4'-O"aa. 'pro WO NEI ("fYP) 5SI, WOEkir— SALLY GO L • SILL(jYEP.)ENp oP 6rl�i cM�lT t'i14 s}t PG.8LA6 NEW YORK STATS' ALL F-rwilq TO ENERGY CONSERVATION CONSTRUCTION CODE Ulg ❑rJDIOTURbED GLEAs.I R4JJULaR 3pIL ( YP') PART 5 COMPLIANCE PORN y (T 'I'NERAIAL RATING MET'HOH ONE AND IWO FAMILY BUILDINGS S ��TIo �I q - Buildingaddress 2AY001L Grossnograrea f301J QE$IDFQCF- Number of stories OhJE Degree days 6000 p GENERAL 1401 ES: All building envelnpe eimmenls Mal contain li nlerinis whrdl are capable of balding nn,istnm L shall be protected by a vapor retarder loomed aI the winder Winn, side of tire insmlmion yy II Insulation la be Installed in a manner(III(provides reliability of las llabun at pink Imes, sill r L lines,band joists and corners. I I Fbars over unconditioned spaces shill be iasulmed I L p�/• I I LAV. KIT. 5 i N K Slab edge insubtlon shall conform to code teclobcomn Po. All duan and windows to steel code regnirnnends fur air innlnmmn �J Hp ER ' �' 1 5 H oI4 CK Fireplace to conform to code for fresh air A air a fllre ion rr0dremcn La HVAC s stem to cnnfonn to Cade req uirenmuK 1�2,r I'�2II 2" G•�. FI1� . CL K . T01ALTHERNIA1,RATwO The total Thermal Rnling for[his building design is Ibe worksheet(list developed tlds'rlennal Rating Is nin ched 1 4,i G•O• \ A Thermal Raring of zero or gren[er indicates [lint [be bn i ld i ng envcinpe complies wish Ilie G_ •_ ,— —' — — Q �� Energy Code. 57µ[l DAR O SUMMARY OVID'I'Al,'I'HERAIAI, II HISIC I WAS7E LWE If [he Total Thermal Rating is zero (U) or greater. the proposed design fnr like building envelope cmnpinswith the energy Code. ( DT N. WALL 3 VERIFY IHrIeh+AL TABLE �OW LYIn�CI SYSTE M� oP7oNCL AREA U-VALUE RA"PINC; LISEU A. ROOF/CEILING 2- lel 1(293 65 o Lis-3 L _ �•p. �A5Eh/� E To APP 2o�E� 5,a,D•H SEP-fIL SYS, B. NCFWALLS R- 13 I(o3 J ,o'](s IIZ G- I PLlJMFtirJ6 1215E- 2 (DIAGRAM � •1' s C. GLAZING N.T G • fJ PI'i WHIMS (Ist FIC) 216,/a •33 -4-0 (�- I (o('TloryAL , VERIFY I� Windows(2nd Fir) — Skylights to . 534 Cn- v G\Stb °Fl H ' .SE,v ',., 0� D. FLOORS/WALLS/SLABS 4�� �. PATE '• -b6 AA 9 Co 2-7 t.I = I. FLOORS 160.5 .05 CD (7-3 r - 0 �I t 2. PASF.MFN'f/CELLA2 * 4, r (F• F -IA". 21 1997 I�>✓ �M1z0 �rgTF OF NT\N I =- - — �PFWIDE rzw .InoK VrKT*') CodLduolj5 P-IDfF JEOT (OPT) - -- -- CLAn w/ALUM -- �❑ � � _ _ " LAI CoA MAILER 'f\� Go0C- 6 FOR FuTURCOELI< " 5TEp5 Tn G �: PER . I I IzEAR Le -.1AT10t-J /a = I o" L- EFTELF- C- ' 4 Q.OMIS. pRoJe aT RASE � 6RicK - _ J2' Ly?) - - - gu J R E G LE is �—I �SKIR? RooF (oPToIJnL) Re E 5 a3 iL7. (YYR) - - - - _ —�\�� �\., \\ (� IGNT SIDE i: t-�v. I/gl < I�_o �SEµE ARCi� EzA`( �© R R E 5 iDE f�1G E � Tn q �G ~SCN Off, JO 1 �2'r �FLAY�IJ DATE '. 1PN . 21 , 1997 MKS MRO �T9Tf OFry ���� � li rI G^1v , 1.A � ' ��� ' 1 �co 4 OT 4