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Home My WebLink About23409-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 224727 Date November 8 , 1996 THIS CERTIFIES that the building addition and alteration Location of Property r-o-w off Peninsula Rd. Fishers Island House No. Street Hamlet County Tax Map No. 1000 Section 10 Block—3 Lot 7 . 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 15 , 1996 pursuant to which Building Permit No. 23409Z dated May 6, 1996 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 second floor addition alteration to existing one family dwelling, as applied for.' The certificate is issued to Schongas Susan Gail, Trustee (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N398240 Sept. 26 , 1996 PLUMBERS CERTIFICATION DATED A. John Gada Sept. 30 , 1996 r Bu ldi g Inspector 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 Z24727 Date November 8, 1996 THIS CERTIFIES that the building addition and alteration Location of Property r-o-w off Peninsula Rd. Fishers Island House No. Street Hamlet County Tax Map No. 1000 Section 10 Block—3 Lot 7 . 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 15 , 1996 pursuant to which Building Permit No. 23409Z dated May 6 , 1996 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 second floor addition alteration to existing one family dwelling, as applied for.- The rv�teV1- The certificate is issued to Sehe .zs ll, `�i•�2- ,;QAA (owner, lessee or tenant) / �j Susan Gail Schongar, Trustee 'F�. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A h �' ,4 kaj UNDERWRITERS CERTIFICATE NO. N39g240 Sept 26 1996 PLUMBERS CERTIFICATION DATED A. John Gada Sept. 30 , 1996 �Od ilding nspector Rev. 1/81 I � FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date .. .(-,.r ✓ .......... 197. . Na 23409 Z Permission Is7h�ereb grante,, to, J l��ls0.... ..... .�... ....... ...yT ........... .. ... ........... �� ' ...... .... ........................................ ........ . . .................................................................................................................................................................. ...........................................................I.....................................................I...... ............................... �.......).... at premises located at......!�.� .:14.... r.....� � ` ..f!; ...a..�........ ................................ ....... .... . ! G?��.'!/.. !Z.. ......... County Tax Map No. 1000 Section ........../P........ Block......... �............ Lot No. .7.e.1................... pursuant to application dated ........... 1...!.'..S ............................. 1 9...';R�..... and approved by the Building Inspector. Fee$... .. �' ... .... ... .. �................ ilding Inspector Rev. 6/30/80 70EN OF SOUTHOLD SU LDING DVARTMENT TOWN HALL 65-002 APPLICATION :OR CERTIFICATE OF OCCUPANCY A. This application :rust be filled in by typewriter OR ink and submitted cc the building inspector with the following: for new building or new use: 1 . Final survey of property with accurate location of ail 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 10 lead. 5 . Commercial building, industrial building, multiple residences and similar buildings and-installacions, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed Bice plan requirements. 'r 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "ore-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographicfeatures. 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 cc the applicant. C . Fees 1 . Certificate of Occupancy - New dwelling 325.00, Additions to dwelling 525.00 , Alterations to dwelling 525.00, Swimming pool S25.00, Accessory building 325 .00 , Additions to accessory building 325.00. Businesses 350.00. 2. Certificate of Occupancy on ?ra-existing Building - 5100.00 3. Copy of Certificate of Occupancy - .25c 4. Updated Certificate of Occupancy - 550.00 5. Temporary Certificate of Occupancy - Residencial 315.00,/ Commercial 315.00 Date . .tl�.gl9!0 . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location or Property. . .jim 1!'wkv .AVOY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. street Hamlet Onwer or Owners of Property. AoYydi County Tax Map No 1000, Section. . ®0. . . . . . .31oc'.c. . . 3. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /Filed Hap . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. .°?KIWI . .Date Of Permit. .rlhI /Y. . . . .Applicanc.C? .G:rimod .11 �•�5��h 014 , '///�� jo D'V"o' y i+�tlt�.j Health Dept. Approval . . .+vJ.r.'. . . . . . . . . . . . . . . . . . .Underwriters approval. . ✓. . . . . . . . . . . . . . . . . . . Planning Board Approval- . . ! . ✓A. . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Carricate Fee Submitted : 3 .Q51 00. . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . ,p_LiCANT 4 s SUSAN GAIL SCHONGAR 19 BONNIE BROOK ROAD WESTPORT, CT 06880-1505 November 13, 1996 Mr . Thomas J. Fisher Building Inspector Building Department Town of Southold Town Hall Southold, NY 11971 Dear Mr . Fisher , I am enclosing a corrected copy of the Certificate of Occupancy No 224727, dated November 8, 1996. The correction is In the spelling of my name - the last letter in my last name is " r" , not " s" . Please file the corrected copy in your records. Sincerely , Susan Gail Schongar, Trustee TEL. 765-1802 op5�FF0��O� TOWN OF SOLTHOLD ,Z .c OFFICE OF BUILDING INSPECTOR ° P.O. BOX 728 UTOWN HALL SOUTHOLD,N.Y. 11971 1 1 01,gP3 C E R T I F I C A T I O N Date 13 0l "1 Building Permit No. 02,3 L40q j � Owner oro OA (pleas- print) Plumber A . 30ty) &OLLO-- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signat e) Sworn to before m_(e, fthis day of. l-,�K�]aYY" 199(. / No ary Public Notary Public, (k CountygHy B. PAPIMIEWECL WARY PUBM SPATE Of MM W WL 52 — W 41 0*1111, EH8P6 o9)sc�9k o� Gyp y a Town Hall, 53095 Main Road p • Fax(516) 765-1823 9yj �aO� Telephone (516)765-1802 Southold, ew York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 25, 1996 B.D. Remodling & Restoration Inc. Box 447 Fishers Island, N.Y. 06390 Re: DOROTHY HOADLEY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file.- No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23409-Z * Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. *CERTIFICATION ON TRUSSES REQUIRED BEFORE CO CAN BE ISSUED. d o 0 THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1 1075012 BUREAU OF ELECTRICITY F - 85 JOHN STREET, NEW YORK, NY 10038 Date SEPTEMBER '26,1996 Application No.on file 12523696196 N 398240 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of GAIL SCHONGAR, PENINSULA ROAD, FISHERS ISLAND, N.Y. in thefollowinq location; ❑ Basement ❑ Ist Fl. IN 2nd Fl. OUT 3ection0108lork3 Lot 7 was examined on SEPTEMBER 20,1996 and found to he in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES ICOOKING DECKS I OVENS I DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENTI FLUORESCENT I OTHER AMi I K.W. AMT. K.W. AMT. K.W. WT. K.W. T. H.P. 7.3 17 14 12 1 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. "p.. I AML "Ps. TRANS. AML HP SYSTEMS NO.OF FEET Amt. WATTS 1 20 SERVICE DISCONNECT NO.OF S E R V I C E METER NO. CC CONO A.W.G. A.W.G. A.W.G. AMT. AMP, TYPE EOIItP. 1 p tW 1,e 3W t 6 3W p IW PER 9 Of CC.COND. NO Of HILEG OF HI-lEG NO OF NEVTRAlS Of NEUTRAL OTHER APPARATUS: PADDLE FAN-1 WHIRLPOOL BATH-1 MOTORSt1—F H.P. G.F.C.I;-4 SMOKE DETECTORt-3 L L DADA CONTRACTOR LIC4296—E DRAWER — B GENERAL JAANAGER FISHERS ISLAND, NY, 06390 X'+ Per 1' ,....,".".� 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 CERTIFICATE MUST NOT BE,ALTERED IN ANY MANNER. 1I OCT-00-'96 TLE 15:49 IP: TEL NO: 13195 1`01 Jab Truea ..�-.• TRJO Tyne —__�...�._._.._� ._. __ WOOD a boom FIM( � IDly �PIAy -•'�,�.�..��.- MOOdgmCIWI.IM, 1 t ryT sToclts +v 'F'Tlaa m„41r}s,pDllhoqirw. e McOna^•ren�q .x. . Fft Jj 111'J 'lJ� xar•be '••ue tMLI —1 4xn c e•ee, 4 )� pV,EhLtIlOR4r1 �e 3x4. \ m^ .srcay�lflv� ;;� 60012 9x4♦. 2 \ 3x4¢ S )�, m Z 18 p Y � 777•oi fa`..�.I !! w xxl• ".Tr..+�.�i 3x4 4 a 6 7 =3,4= 3Y4= 7 SLE, DETAIL LOADING s TCLL 42,0 a lts,I 2.OA I C51 Pu TCDL 7, 14e1N lnmeeea 1.13 DEFL 6n1 (IOCI Vd°0 pLgTB9 ORIA ,• f LuroGrtnaneee tri3 TC V•nfLL) 0.26 918 899 0 l.VO i BOLL 0,0 SC LOQ M20(20pa) 180/346 �� tieP 8lhH lner Y89 Vel(%) U.J_ 9/8 10.0 CWN TPI WB e,n9 Horz¢L) O.CB 7 n/a LVMBaR. Min lenpm/LL aeO.240 WelOhl:D2 pbe) TOP rHORD 2 X 4 BPs,100ps,/,6E GRACING _ BOrcNORO 2X 49op 9a0s,t,aa TOPCHORb Sne•Ih 4}+i...j u.. WGYB 2 X 4 appow ,• BOT CHORD RI I ?a ��9�PpRr�Ea3�i{pRh mE1g' 10f bmtin 9 Q'tifid' y1M1'�ef4Nlee1eL(F4 OAo RBACTIDN4 gbdeka) 1.196717173.0,7+190 u«� �1� ..ar..,.'7 a rro.a•6 N,.'�'� o�� '•�•aie• xGaca :�:• S'EP11EU YJ�'.'�y�°s TOP diOf1D 1•T•d761 26+6392,0.40.2382,4.9•.2297,a.6-•2392,6.7•.2751 «>=. : C A g L R 6OT CHORD r•a•2954,�4M1a0a,0.10.1600.1.10.2494 r� WEBS 2.10••71',4dp•a09,4.6.069,6.0•.377 0 JUN 2 p LOAD CAafi(3) N�. 654f3 1)Lomon lrromae•1.t3,pyy inaruea•1•i3 %��••> �/ r 0 ,%�`'�; IJnOwm Lw4e 60610p,epr, 0,. .........RMe4. �• ++neye ''+ COM4,9111 ad wde lit.) 0.4.4)6.0,-0• .. 0 Jes Le=.20 0, `Fss�GNAL tC\,�'`�'�d`+Q� C,01�/,I ON ,r14q 5 99. ,5.6..98,0,9•f=.< �. VM:1•-106. 2•. 20.b,310•.707.1.iG•u'1Q,Q,.•....• ,+ay .lune..• r 0. ua6,a•aa.D,10•.760 ? 1t4'.•'�LN W DESIGN LOADINGS :Av.1+f,.0h', TCLUTOTAL(Paid42np 24"Ga, 53174 19,21.00, ba/89 ` y'•w €x 191 Thla truss flat P4M �+ 16"qc. •rn .INN f L^ whIniVar this Claar daa1011ad for 20 Psf bottom chord ave Iaad,applietl sonculrenuy with elr other cads -y ' r'Fx� Thla Check tnRf dlitatga baWnn Iho lop of the bottom Chord and on '72�; � :4 Ohba M11h 1803,Section 15D8.1,2,Tabla 1606 LTher member Is 42 Inches or greater. ��'., 0, )010 ,f ry.A f't adN �r,�\1Nflf)Ik//A 100-1 F rrrrrnits111j�' :'S ..,......... ;,, ,� ,.•°� of riE►v •..,. �� ,i� ,, Ax'MA% •,� !YTE?}IEN PI, ' WIT-, 4xjS;J -, 1 � 1 CA3LER �: j��, CD- v No. 0548 �ONAL �t�t'r? -2"v 9^' r!a)MrsW .,,FSS,... G4AL 1i°"'Dv/po.v.'jAjy ""i� law.e.rrrnaRa,lexorarcrrr+rra •• ` .- - " + 6•lyn Wb W yee�' 0e61k OaaaMla•lhk a M'rD R4'YER3a SIDL aEAPRy 75'6, H:bly enc 9M7 ' tln aaM6 qM�a W bl�, a�n a� Pgr9M.1�/getla PIOp.� Opu,4lbn'Olnaam Onq a/qi On NtlMtlu.l bypolny ay,n 'r ' y of IM a140fe1.17tltleham 01 web m•mben enN,.Addnx.r,gl bmbo,q,yPp eohv to h y�e�igjpy.ryyp M OM Pon•ni le b•nd Iwa01,p bbrcelle,y q,l•a p•ImgMai Wa04p al Ib•w•,al Ilrydlw•a IM s• 0 blel•MI LNq No.w,pq h,l• f(bllllq,HtxpO.,Mtyry14glba gntl OmeM on pe^.mnly OI Me bUMN 0 OgnglVOrlan�IM ' xNIa OM afNAy Rw•mm•,q•Ipn PY07y'�rwm hvu Hale Nnilyle,OB1 b•Ono 48Nva,Alatlhea Wl0Al0,•�nN•sal Oang0l Wldenq• :+` Y lendartl,bil•09 HtlglnO eP•aNlWick aNle•41 MITat(UTAua a ... N.I1f0. 1 _ UNITED BUHME T 1 LLOI BERMFAM_ az4s SWROM&I.,TM': :` a 4% 'niairono _ p 'k. .`ti'.JF '•Q�'1S: •,• •-v:�iY^' _ - .ai S�'r Y-l3,vt.:�iY:-:-: n.::r.o:: � ' ", g fSAlsik `t�lY`�f).63`70 ` 84;'��¢!�S..'7H".. D4'J47N46: I a0W7k-0 '. erx_os. • _•k-•`,'.^ • ,_' ey, e j"24MAtorift U, Y. M ,c R V{?;Pa FWSPEC ORO 00050 22. 54'.BS/EACH 1.206.64 22 28' REfi.TROBS 5/12 PITCH J . 2 GABLE ti: _ _•� _apt . . — ---- T ' :: r'F a aTeOM� j III '(� ` — ..,._-- - _.. •f .a - !: .Fy►v11:6C1i1�iciFaY - .�. _ -__ . . : _, :.' t �,� �.- :, i�NaBllt@omcaW}R70�:; .a • cis;. •.". • - X tMPL)RTANT • i...;- - IELD INSPECTION_REPORTDATE___ ---------COtAfENTS=====--------===== i r' ii n II y FOUNDATION OST) o ii Ilu —ii � _OUNDATION—===(2ND)====__rr___=__ ____________________________=________________===91 ItIt II OIIGH FRAME N li�—l PLIIt�ING IIS— ii Itit V p 1ISULATION PER N. Y. 4. y STATE ENERGY it CODE It ItIt II II jj lVi 11 II II 11 i 1 FINAL I —JL ADDITIONAL COMMENTS: .a \ I y� � O z � n ` y ` O EAV VEerlrc�. I"-a' Y 1'I021LCNT4 I^-4: 4� env Ne.�ixneur . 'o, a. c.v o.R2Rz 9 �. �aEo� \ S I iIIOTE� 5�� 2c-�/a�rMEur To LE' �t N V \\ TA1P30 Ihl QYE �i OF �2o.N0�l �✓�O \ .<' I,1C�Y. a I •g• 0 / � 153.8�� Go?3Ti>�- EPS�sbl.a •.¢'D m N UUE- _ N �dd'y" `r 3 � BOARD OF HEALTH . . . . . . . . . . . . 3 SETS OF PLANS . i FORMNO. 1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DFPARTMENT SEPTIC FORM . . . . . . . . . . . . . . . TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY : /41 � TEL.: 765.1802 CALLExamined� 19.. MAIL T0 : Approved . . .��g. . . . . . . .. 195i6 Pennit No�37:r:�.! . Disapproved a/c / y . . . . . . : : . . . . . . . . . .(: 6 r ' old Building(Building Inspector) APPLICATION FOR BUILDING PERMIT Date Gf: . . . . . . . . . ., 15�4C! 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 t&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 appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued 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 HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housinl- code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. Z.L?. .P�FAAD.t?4VAiK A&—( V94riOc! 6!IlG' (Signature of applicant, or name, if a corporation) 4 -7 . . . �e . salt? . illi (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . .A . . . . . . . . . . . _ r . . . . . . . . . . . . . . . . . . . . . . . . EoItE�:=0 q /`.ame of owner of premises ,t 14. . . . C40' t�t�(�?:'b� . . , . 1.1(as on the tax if app ' an is acor ratio natur ofd authorized officer. (Na` a and title of corporate officer) Builder's License No. ..2A(p„{3f//--�8 Plumber's License No. . 7��P••, , , , , , , , , , , , Electrician's License No. Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . Location of land on which proposed work will be done; .. . . . . . . .. . . . . . . ,� . (louse Number Street. Hamlet ” ' County Tax ,Map No. 1000 Section . .0.�.0. . . . . . . . . ... Block , , , , , , , , Lot . . . . .�, , 1 Subdivision . �" . . . . . ; �, . . . . . . . . . . . . . : . . . . . . . . . Filed Map No. State existing use and occupancy of premises and intended use and occupancy v�proposed construction: A. Existing use and occupancy. . . .�� r� '. . , 1 . . .. . . . . . . . . . . . B. Intended use and occupancy. . . . . . . . . . . . ... . . .. . . . 3. Nature-of c work (check which applicable):' ( he PP 'able): New Building . . . . . . . . . . Addition /. . . . . . Altcra'tion . . . . . . . . . . . RepairCu • . . Riimoval'i . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . .Swimning pool. . . . . . . . . . .4 Tennis ort . . . . . . . . . Acgessory Building. . . . . . . . . . Fence . . . . . . .Other Work. . . . . . . . . . . . i. Estimated Cast . .A/Je. . . . . . . . . . . . . . . . . . . . . . . . Fee . . . .7;:%.00. . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this a� icauon) i. If dwelling, number of dwelling nibs . . . �. . . . . . . . . .- Number of dwelling units on tach floor . . X , , , , , . . . If garage, number of cars .!V�.4- . . ��f i. If business, commercial or mixed occupancy fy natuup and extent of each tyape of use . .,; . 'r , , , , , , , , , 7, Dimensions ofFg•cisting structu�r 3 . . . . . . . Rear . ..�Z . . . . . . . . Depth .27 , • Hui-lit . . . ll!!. . . . . . . . . Nur `a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of G�structure wit tcratio a ditions: Front . . .�J fi . r. . . . . . Rear ,2j,Z )r.' Depth . . . . . •G , . . . ... . .. i t r. . . . . . . . . . Numbcr of Stories . . . . 3. Dimensions of a,n Lire n w constntc vont , , 'fig—. . . . . . . . . Rear . . .3 7i. .X tr , • Depth .�, ,T i. , , , , , Hcight . . . .?e. �. . . Nu ber o 2i. . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . 1:LO:; . . . . . . (�Q. . . . . . . . . . . . . . Depth . I6T . . . . . . . . . . . . . 3. Date of Purchase • , , . . . . . . . • . , , , Name of Former Owner 9Z6tzo'� q bh3A4 . . . . . . . . 1. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . .�.j 2, Does proposed construction violate!any zoning law, ordinance or regulation: . lY . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Will lot be regraded . . . ./„Yp• , , , , ,T,r , , , , Will excess fill be removed from premises: Yes Note• wner of emises t Name of Name of OA chitect prLlaUl D. �.6414� yA�Y'50GAR Address 5 *Nr '!�� . Phone Name of Contractor p. NO�, ,Ppfgj(tkU gddress 9l .447. .IF. I�•7. . . Phone No„5*.;;, �::7`ll�. . . :5 .Is this property lociteii within 300 feet of a tidal wetland? *YCS.1l. .NO. . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly.all buildings, whether existing or proposed, and,indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether iterior or corner lot. TATE OF NE YO • ' • I`' L" • • • . • • . . . . being duly sworn, deposes and says that he is theapplicant (Name of individual signing'contract) bout named. . . . . . III. . . . . . . . . . . . fc is the .C_e( `. . . . !`^ 0. `�. . . . . . . . . . . . I (Contractor, agent, corporate officer,, etc.) ' , f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this PPlication: that all statements contained in this application are true to the best of.his knowledge and belief;and that tt�c pork will be performed in the manner scf forth in the application filed therewith. w0m to before me this . . . . . . . . . .� & . . . . . .day of. 19 10tary Public, . . .. . . . . . . . . .�.. . . . . . . Co my � EILEEN G. �IWALL. NOTARY PUBLIC, NEW YORK STATE NO. 01 W A9509185 QUALIFIED IN SUFFOLK COUNTY pp // (Signature of applicant) TERM EXPIRES 00TOSER 31, 19 .1 V APR 2 2 J I 'BLDG.DEPT - 0 ' N O T E S 4" ----- -- --- cONTRnCTOR 7O VERIFY ALL DIMENSIONS dGQNdITIONS LP SITE DECK. DG NOT SGALi; PRAVVI NGS -II--`'ti" - Q'-IOB31,gn - A[.L WORK- SHALL PSE DONE IN STRICT AGCOKFIANCE WITH ArrLICA6LE _ 5TATE @: LOCAL CORE,- f KEGULATIONS "SI',, _ _ _ __ :t'Qo pomp" REPLACE EXI9T1146 NPAPr RS -(�} I At4C45_PANEL, WITH PAFALAM 5EAM5 GONTSAC70RTONOTIFY /�KGHITEGTOfANYDISClzEPAI.ICIEJ' N _ It - '�g WINDOW SEAT, - +l d0' I S Ta:R (� 1 IG-a I - I L-LGEhID - -FANli,1TE r N 3 *6a Pl7N �Xn EXISTING CONSTRUCTION TO r- AMIN °' 2+x6 -- x �✓ LIVING DINING KITCHEN New CONsTF uGTION I AV,, r-1 uk 1 2.4- sxeLVes� SXI5TING CONSTIeUCTION 12C.MOVED ExH I 17UPLEX OUTLET $WITCHED OUTLET 0 yy LIGHT PIXTUR.E -- r SD SMOKE PTTECTOK - DATTCIKyl ARDWINE C0NI61NATION - - - ' .'i - 2r,4p P". __.� D m B1 FAN/LITE LJ Nu oNe v2o N G� sP.� DRDD u V LP00L, �vMTH REPARTEE � K- I392-H wNTKIhM"OK-9694 by KOULEIR ro c P FSATH / O PLUMBER CV7E1V7 BE FOR _ CPR 0 0 M T W N M ON LEgO CONTENT BfEURL d3 E D R D 0 M O '( XNA05_7 FAN t, 1 CERT/F/GATE OF OCCUPANC'V SOLDER USED/N DATER EXCEED 2/1070%LEAD. 7 STORnGE I x 9-� PROVIDEOPENINGS FOR 4rQ "' - PLUMBINQ EMERGENCY ESCAPE AS 6 WATER BNS Neep REQUIRED BY PART. 714 OF TESTING BEFORE COVERING --_-- k w RRERSCERIIFICNIE MOND FL00 K PLAN DECK. 6 N.Y. STATE BUILDING CODE. - uNRERREQu1RED /5 N copper Lubin %�y �%�r�6 c� �aaa"wn,pAS ' OUP g is used �'.�' --. —R.F Y , / kr rn-piwater -istributing �,y� �/ ,9_ - / `i 'G sYste; Pingshall �, uo �' I i,or-v fev i of types be 7�{ .'r fF'l� u�cI PIV, Ir AT S- Kor�°� _ /��-rt;r�s� �. n,ra T�� F+n,�l Fllda' ro-lE � o Gf�CGf Iia LOVrfFrr; Jo 11" lfl5d^ccx ��r�� 7 FCauHSGe,'oa KrM Pl.'�dC� �RF_G!d!?REn � 6-f rf:{'f lu7R�S�EfNiCtv7Ew F_ U t7,�1�fyPi - PF',nYISPit; ri4 r^P AlI>Ai F..ViVf; 5/8°E%7, R-ywoo0 SNFATHIMeV a It l�TigRb 7 ,u Ilr TI 4PC'� .IV dSi''S'f b Olh Bu_ at der ': r � 5 -- FIRST ffLOOR t" LA �I ,q� ufw .[+ _I ty w' ra �"/ if 'tdd}IM L1bL11VT ai& 1F°u. NI l: 2xG RaF rERs(-vIc woa� rrcua5Es 824^ scALp= I/4' = I'- 011 {T . aVitra RnPa ala on IcslcN Ieli ��» V C.(�(i( d r e.IT,I ,VirUCU leAn , rFl nr PROV DE OPENINGS FOR � 2 � � � _ EMERIGENCY ESCAPE AS Li 6 II v ' 1' G b`G -� - - - REQUIRED BY PART 714 OF 'hl`aII" i' 'I '' ' ;u HeA�Ez N.Y. STATE BUILDING CODET'(` hl'° 'tilt .`I �� pr (vc(;Nwp^E'[i'K,'v 4 S I Is =VJtNaao W EA7 -51S"BOwooca JvapGoOR —2"o FLOOF- � .Y" •��// / ' MDo fl YwvoD ,fioFFIT , 'P'r ==�_2xlaJOISTS 4'15TCR.l:OTO _-UPT.IN& 2x6_JD ISTS- JM aD PIN . Ito - _ sr Ps AAS i N FC ,R ��.. I 2�V—D_IT1rzN TORESInEN E of / MF 4MR5 F'. SCHON&AK 'Dz'.0 E N�'�"i RISHRS IS LAWD N•Y BUEE owwWN eV 12T o9V2+1"FIbSIIJG - -- f _ 1'L oDli� PLANS -�TE�- REVrsED GR.OS_S_fEGT101} _ _ tY{D-G: HOLLOWAY AKGHITECT scAL + V4°= r'-a" L5TAI -� SECTION -258 GIANTS NECK RR NIANTtr, C7. -.SGALS' 518" z ILO JDATE JAPPROVED By 0RAWrNDN.MBEF -A�14�96 mwoe m u s w ILU PRINTS NNL 75503 __ - -- - -CSPWII.T/FI�EI�GLASS SHINGLES 0F1164 I=L-L.T - - RIn&E VENT ---- El — — FLAT.E - - "anaG- _-3DSYr Soso` ' 4Q�s5 _3050- _ i F-1 N—� 1 ; — I - SOUTH ELEVATION — - rcn E : 1/411 = I', R'I _ NOTE - - WINDOW NUMBERS f (POM CAGUC- - VvINDOW DODfiJING. - NE ,ST FL. EVATIDNSCA S, 114111 11.0- II fZIDGI; VeNT - CHIMNEY AS SNOWN 12 / NV(6E V?NT � � � � ____ __�_�i1Sf�*�7�Fff6�R.f7 LASS Sylf✓GLE'S -AWMr GUTTERS � LRAIJEP.4 ^-�_�_ `PLATE - 1H6Ave1Z,- ✓�� ',!� fFuGEDAR CORNER 6DARD5 � � - �- WNP-SPLIT GGDAZSHIN6LE5 1714 15#PELT INI 5rLAY / 3050 _ rr 3060_- 3050- a d i -h 00 i -'L° FLOOR i t Q _ EAST EL. EVATI"ON - . - _ _ NORTH F-L.EVATION _ _ h rsHrRF15AND, Nly, 1f2 - dCALE< 1/4 C, O O 1b scwLE ORAWN er F.LEVATIoNs Y4"_-tom REVEE° _ SrFS,Eo nac�'j 17>f,V fII G. HOL"LO WAY itRGEi ITTGT - - 50aYMIAN-rS'_h1BO14- 'RD NIANTIG, GT wPPROVEO BV JDRAWINO NUMBER 4,LL412c 2- 'LU PRINTS NNL 75503 MADE in osw.