HomeMy WebLinkAbout22680-z N,
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24101 Date DECEMBER 29, 1995
THIS CERTIFIES that the building NEW DWELLING
Location of Property 1100 EVERGREEN DRIVE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 102 Block 1 Lot 4.12
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 24, 1995 pursuant to which
Building Permit No. 22680-Z dated APRIL 17, 1995
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 GARAGE, OPEN PORCH
& WOOD DECK AS APPLIED FOR.
The certificate is issued to SUSAN A. SHEPHERD
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0038-DEC. 15, 1995
ELECTRICAL INSPECTIONS CERT. #9197 - NOVEMBER 6, 1995
PLUMBERS CERTIFICATION DATED DEC. 16, 1995 - MICHAEL F. FERGUSON
B ilding Inspector
Rev. 1/81
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
YVG 22680 Z Date 144. 19..
Permission Is hereby granted to:
..VO....................
N..Y...
60'Vx/'a-'.0.4 ,..1W..... / . c%
...l i.. C...
.....y................fe
at premises located at ...............(..~CG..../~...f .~y......................f........................
.~...c..°.
roc O
County Tax Map No. 1000 Section ~d.. Block Lot No.
pursuant to application dated ..............[.fix.. 19...and approved by the
Building Inspector,
Fee S../..r.....
............7.......
Building Inspe r
Rev. 6/30/80
y - Form No. 6
t5
TOWN OF SOUTHOLD 7-5 as/
ej
DEC 2 7 6% 3UILDING DEPARTMENT
TOWN HALL
d 765-1802
BLDG. DEPT.
TOWN OF §00TNOi p
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 17, lead.
5. Commercial building, maustr4-al 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
i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling 525.00,
Alterations to dwelling $25.00, Swimming pool 525.00, Accessory building $25.00,
Additions to accessory building 525.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificat of Occupancy - Residential $15.00, Commercial 515.00
/ / Date As
New Construction - Old Or Pre-existing Building
Location of Property..~~Q.o.........Fs"~ec~Cev~. ~ ec}~ .
House No. Street Hamlet
Onwer or Owners of Property......S
County Tax Map No 1000, Section. .~.C).Z. Block k........... Lot..LArA.Z
Subdivision ....................................Filed Map............ Lot......................
Permit ZZ ~O ?!-....Date Of Perak. :.~1-. RS. • . • •Anplicant.'.Q^~'N`', g• V
_ No. 'f
Health Dept. Approval ..........................Underwriters Approval.........................
?'anning Board Approval
1equest for: Temporary Certificate........... Final Certicate..~••
fee Submitted: $
Q u . SO 6 7 PPLICANT
s
Town Hall, 53095 Main Road Fax (516) 765-1823
P. O. Box 1179 - Telephone (516) 7651802
Southold, New York 11971
r? ,
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N `
/ f
I)A'1'E
Building Permit No. 17(, sO
Owner: _ S 11 2 eF t e'. J_- C~cw L ev
(please print)c ~o
1 _?~(CbO~J
4Av(
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.,
( lumbers Signa ur.e
Sworn to befor to this Q
U'„
r ®u
l(p day of LL~~'7~J~ieYZ. 19 'FJ~
DEC 2 7 1995
Notary Public, SGelcyy County
'r Wg O.e„~~OGDEPT `_._a
PAUL R. VERRY SOUT;i01 ,n
Notary Public, State of New Yoyk
Hn. 52.4850144, Suffolk County
!arm Expires
J' AJe 30~ 19Q 7
o~OgOFFO(,~co
Gm
V1
Town Hall, 53095 Main Road p • Fax (516) 765-1823
P. 0. Box 91971 Telephone (516) 765-1802
Southold, New York 1
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
December 12, 1995
Ms. Susan Shepherd
P.O. Box 393
Yaphank, NY 11980
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) /
xx No Underwriters Certificate on file'
xx The check is not on file. $25.00
xx No Health Department Approval on file.--
No final inspection has been made.
xx No Plumber Solder Certificate on file.!
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 22680-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
FIELD-1'YSPECTION=REPORT ====°_====-I~AATP,it
-_-C _NTS_----- ,
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INSULATION PER N. Y.
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_ ADDITIONAL COMMENTS:
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: l2td:12 62
4
DATE y L INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] i SULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
1
REMARKS:<
677s 7;5~- 7
DATE INSPECTOR
765-1802-~
ING D
INSPECTION
[ ] FOUNDATION 1ST [ ] RO H PLOD.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING ( ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: n/e
DATE INSPECTO
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST VT-kOUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ -RAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE ? ~ INSPECTOR
a /J
76S-1802
LDING DEPT.
iNSil
E
CTION
[ ] FOUNDATION 1ST [ -T'ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ v/] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE 0 S INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] F NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE S CHIMNEY
REMARKS:
1
DATE tiL INSPECTOR '"J°I
M-1802
BUILDING DEPT.
INSPECTION
[ ) ~FNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ) FIREPLACE & CHIMNEY
REMARKS:
c~~~_ yam,
DATE S INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ /FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE CHIMNEY
REMARKS: a4z~ r '
DATE INSPECTOR
n n n n n n n n n n n n
0~ 0 ~0 0 0 0 0 0 0
C
c , (516) 286-6642 ELECTRICAL INSPECTION SERVICE INC. )
375 DUNTON AVENUE
c EAST PATCHOGUE, NEW YORK 11772 )
9197
c APPLICATION NO. ON FILE )
DATE: 11-6-95
#12
c a ADDRESS: 1100 Evergreen Avenue VILLAGE: ('ntchncfpa TOWN: RonthoI d
ISSUED TO: Ron & Susan Shepherd
INTRODUCEDBY: Dale Ouatrale LIC.NO. 4271-E )
c~
c AREAS LISTED WERE INSPECTED ON: 11-6-95kND WERE FOUND TO BE IN COMPLIANCE WITH THE >
NATIONAL ELECTRICAL CODE.
c )
LOCATION: XIBASE XX 1ST XX 2jND _3RD -ATTIC -POOL
)
c~ OUTSIDE,RES. 1 SMOKE DETECTOR t.. -DETACHED GARAGE
c 30 Switches 1-20 Amp.NashEr 1-Whirlpool
51 Receptacles 1-20 Amp. Dryer, 1-Hood
c' 36 Fixture/Outlets 1-Bell 2-F Oil
c 7-G.E.I. 1-Dishwasher 1.2 KW 1-1. H.P. Motor for Water
1-Fan 1-Wall Oven 7.3 KW Pump
ca
SERVICE DISCONNECT
C METERS AMPS PHASE
1 200 UG
c THIS CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ftUGOS.SURDI
INSPECTORS MAY BE IDENTIFIED BY THEIR CREDENTIALS. PRESIDENT
c )
0 0 0 0 0 0
q
f 1 FORM BOARD OF HEALTH
N0.1 3 SETS OF PLAYS
F a
TOWN OFSOUTHOLD SURVEY
{ i MAR 2 4 1~ fUILDI^J: DEPARTMENT,
CIIECK
g TOWN HALL SEPTIC r•ORN
SOUTHOLD, N.Y. 11971 c~
T ~f U, TEL.: 765-1802 t.OT I FY ` Cacti - ( 1
Examined . ..1917. 1 X~3/a1 CALL Q
q(` rmitNo d~V.~, MAIL
Approved 19/.?. Pe .
Disapproved a/c
(Building Inspector)
AP LI ATION FOR BUILDING PERMIT Q
Date 3......., 19 /5
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 stieet
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl
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 perm;
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 Occupanc.
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 th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o
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, housi . code, and regulations, and u
admit authorized inspectors on premises and in building for necessary inspecti ns.
.
(Signature of applicant, or name, if a corporation)
6... 3g3..t..y~
' (Mailing address of applicant) 1gOd
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Lcl?t~R
Name of owner of premises , U560 f/~y. J/1p:J" e -
(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. ,
Plumber's License No .
Electrician's License No . .
Other Trade's License No . .
I. Location of land on which proposed work will be done. . . .
............v................
0.01 6) .....G~~'-
House Number Street Hamlet tom(
County Tax Map No. 1000 Section ...:..1.~. rL Block O ,I , , , , , , Lot 60.
Subdivision ].e...l ()Qd, CIS 0o
IC" .69-0F ed Map No . Lot /.`L.-....... .
(Name)
1 State existing use and occupancy of premises and untended use and occupancy of proposed construction:
a. Existing use and occupancy ......7 O n! -r.......... .
ntended use and occupancy IIle? le ?rt I ..r~Luet1l6
J.
P I ~
'
3. Nature of work (check which applicable): New Building . , a!... , , . Addition Alteration
Repair Removal Demolition , , , . , . , , . Other Work .
(Description)
4. Estimated Cost ...~t/os ooU'',~ . Fee . . .
(to be paid on filing this application)
5. If Swel, number of dwellinllg units • Number of dwelling units on each floor . , .
If garage, number of cars I . , , , , , , ,
6. If business, commercial or mixed occupancy, specify nature and extent of•each type of use ~ .
7. Dimensions of existing structu es, if any: Front . Kear,
{ .
Height Nu)ttber of Stories Depth
. , .
Dimensions of same structure with alterations or additions: Front Rear .
Depth Height 1 Number of Stories . .
8. Dimensions of entire new construction: Front . ..0 . Rear , , , , . Depth gyp.... .
.Height Number of Stories . , o "
9. Size of lot: Front . . Rear..... Jam,., to Depth
'
10. Date of Purchase , , , , , ,Name of Form pr Owner W! l t~
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation: , r4............ , . ,
13. Will lot be regraded •'.1I!G.. . Will excess nfill be removed fro Po"nMo. emises: Yes (
14. Name of Owner of premises 3fvy AN $,heP herO.. Address fA 74X. ~a3, yAP ne No. MO. .6 7;~T
Name of Architect Pod.lq s' , . , Address I-At:.9 4a, a.~f-..3z~ -ORa.9
Name of Contractor VQ-0lq,'',Cp rQ~ftZ of Address 4. s!^ E .)onOW hone No.. 9-7,<(,-,~,5'(gS
15. Is this property within'1300 feet of a tidal 'wetland? *Yes........ No.,X
*If yes, Southold'ITown Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly a4 buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
COUNTY OF S''S
'ne R_t> . . . . • being duly sworn, deposes and says that he is the applicant
g
3Nameof ind A idu~sh~ninppg contract)
above named.
3e is the.... CSwoeeC .l~~~:~.,......:.
(Contractor, agent, corporate officer, etc.)
:f said owner or owners, and is duly Iiauthorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
vork will be performed in the manner set forth in the application filed therewith.
;worn to before me this
c2 ~ k ........day of. i' , YyI C-- - 19 9//5
Jotary Public, Count
9- Ccl<~LLIMnij y
No2a~ l uh,~C Sta~ M NmnrYork (Signatu of applicant
No. 4822563, Suffolk County
Term 8ttpires 4ecember31.19
COUNTY OF SUFFOLK
ROBERT J. GAFFNEY
SUFFOLK COUNTY EXECUTIVE
DEPARTMENT OF HEALTH SERVICES MARY E. HISBERD. M.D., M.P.H.
COMMISSIONER
PERMIT,
THE ATTACHED PLAN, WHEN DULY SIGNED BY A REPRESENTATIVE OF THE
DEPARTMENT, CONSTITUTES A PERMTI' TO CONSTRUCT A WATER SUPPLY
AND/OR A SEWAGE DISPOSAL SYSTEM FOR THE PROPERTY AS DEPICTED.
CONSTRUCTION MUST CONFORM WITH APPLICABLE STANDARDS INCLUDING
THE STANDARDS FOR CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL
SYSTEMS FOR SINGLE FAMILY RESIDENCES AND STANDARDS AND PROCEDURES
FOR PRIVATE WATER SYSTEMS.
THE PERMIT (PLAN) EXPIRES THREE (3) YEARS AFTER THE APPROVAL DATE.
ANY MODIFICATIONS WHICH MAY AFFECT THE PROPOSED SEWAGE DISPOSAL
SYSTEM OR WATER SUPPLY REQUIRE SUBMISSION OF A REVISED PLAN AND ANY
ADDITIONAL FEES, PRIOR TO CONSTRUCTION. NO INSPECTIONS WILL BE
PERFORMED BY THE DEPARTMENT ON EXPIRED PERMITS.
PERMITS MAY BE REISSUED UPON THE SUBMISSION OF NECESSARY
APPLICATIONS, PLANS AND FEES, AND WILL BE REQUIRED TO MEET THE
STANDARDS IN EFFECT AT THE TIME OF REISSUANCE.
A PERMIT MAY BE TRANSFERRED INTO ANOTHER PARTY'S NAME UPON RECEIPT
OF WRITTEN PERMISSION FROM THE ORIGINAL APPLICANT AND THE RECEIPT
OF ANY REQUIRED TRANSFER FEES. IN THIS CASE, THE PARTY PAYING THE
ORIGINAL APPLICATION FEE WILL BE CONSIDERED TO BE THE ORIGINAL
APPLICANT.
WWM-05 S PAGE 1 OF 2
DIVISION OF ENVIRONMENTAL QUAl1TY
COUNTY CENTER
RIVERHEAD. N.Y 11901-3397
8522 t 00 18-380..12/92
rug FINAL APPROVAL OF CONSTRUCTED SYSTEMS
It is the applicant's responsibility to call the Department to arrange inspections of the sewage disposal system and water
supply facilities prior to backfilling, These include inspections of the soil excavation for the sewage disposal system
and inspections of the water supply'well, well lateral, public water supply line, disposal system, piping and final
grading. Other inspections may be required.
Following satisfactory construction and inspections:
1. The applicant must submit 4 prints of an as-built plan (up to and including I Vx17"), by a licensed design
professional, of the subject property showing the following:
a. the lot location and dimensions;
b. the lot number(s) and the name of the subdivision, if applicable;
c. permanent structures (i.e., buildings, driveways, walkways, swimming pools, decks, etc.);
d. the exact location of the private well, if applicable (give at least 2 dimensions measured from the corners of the
building);
e. the exact location of the public water line, if applicable;
f. the exact location of the septic tank, and leaching pool(s), if applicable. Give 2 dimensions from the building
corners to the covers of the septic tank and each leaching pool;
g. the exact location of the sewer line from the dwelling to the street; if applicable; and
h. have a clear area at least Yx5" for the Department's approval stamp.
2. The applicant must submit a certificate from the sewage disposal installer attesting that the system has been
installed according to the criteria of the Suffolk County Department of Health Services, when applicable.
3. If a well has been installed as the potables water supply, the applicant must submit a current well water analysis
(within one year) and a well driller's certificate. If the well or water quality does not conform to standards, proof
of corrective measures will be required. Refer to "Standards and Procedures for Private Water Systems."
I
4. In those cases where public sewers are util~zed for the dwelling, the applicant is also to submit one (1) copy of the
sewer line inspection approval from the public sewer district. In districts operated by Suffolk County, two (2)
copies of Form S-9, duly executed by the Suffolk County Department of Public Works, are required.
5. In those cases in which the installation and cI mnection of the public water service line has not been inspected by
the Department of Health Services, a tap letter from the appropriate water company is required.
HEALTH DEPARTMENT REFERENCE NUMBER MUST
BE ON ALL CORRESPONDENCE OR DOCUMENTS SUBMITTED.
SUBMIT ALL NECESSARY FINAL PAPERS AT THE SAME TIME.
PHOTOCOPIES OF DOCUMENTS WILL NOT BE ACCEPTED.
i
WWM-058 PAGE 2 OF 2
-x,
18.380..12/92
REF ONLY" /000 -102-01-004.12 SEC. SHD JOB 8302
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m i
APPL/CANT----,---- DEPOT LAVE
S UR VEY OF PROPERTY
Situated at surveyed by
CUT Cf106!/E sM1rH UNs
TOWN OF SOUTHOL D
SUFFOLK COUNTY Professional a~ S veyor
NEW YORK 120 MEDFORD AVE.
SCALE l"=50~" PATCHOGUE/N.Y.
Phone 47S-3192
Survey Ceht i fled t0: COT NOS. 6110M NEREON REFER TO "MAPOFWOODS
5 USAAt SHEPHERD AT CUTCN064YE, FACED A44RCN 23,1989,F11ED AS
5TEWART TITLE INSURANCE AGENCY C•C- F/1-6c W'8717-
BAY LAND TITLE 46EIVCK, INC.
STAKEOUT DWL& CON6• FD. LQ0
DATES SURVEYED: S EPTEMBEIM, 1494-; JUNE a, 1995, -JUNE 30, 1995 SHLcJ°HERD
REF. OW 1000-102°01-004`12 SEC. SH JOB 030p-
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rn THE WATER SuPP(y a SEWAGE DISPOSAL '
C Nb M
SYSIf S FOR INISRES/DENCE Wit CONFORM
m 2 TO TN~ STANDARDS OF THE SUFFO[K COUNTY
DEPARTMENT OF HEdL7N SERVICES.
T
APPLICANT_____-__ DEPOT LANE
,c,"R V EY ' OF PROPERTY
W'Di situated at Surveyed by
SMITH ~UNO
N CIUTCHOGV6
OWN OF SOOTHOL D
SUFFOLK COUNTY -Froressional % ,veyor
J NEW YORK 120 MEDFORD AVE. ,
w. / PATCHOMIE)N' .
SCALE ~ I 50 Phone 4t~-31e
Survey certified t0: COT A/OS• s#wVN NeREoN REFER 70'1~A%f'4#00,cjV0,0As
S US'AAl SHEPHERD AT CuTC11064YE; F/cE0 A4ARCN23,19894-=ARC-VAS
v5 EWART TITLE INSURANCE 46ENCY C•C• FILE Ne'8717-
BA Y LAND TITLE 116ENCY, INC.
Sr~rcr=ou> AwcG cme.r-D. 1.06 FINAL SURVEY
DATES SURVEYED S EPTEMBER2Br/494y JUNE 8, 1995; JUNE 30, 1995 OCT. 25, 1995 SHEPHERD
REF Of tv /000 -/02-0/-00412 SEC. SHDJOB 8302
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co
o T N THE WATER SUPPLY ~SE WAGE
DISPOSAL
~^q SYSTE 5 FOR [HIS RESIDENCE W/[ I CONFORM
T y> ° TO TH~ STANDARDS OF THE SUFFOLK COUNTY
DEPARTMENT OF HEALTH SERVICES,
i `
~ AE
' c
APPIICANT,________ DEPOT / 1-4M
S UR V EY OF PROPERTY
Situated at Surveyed by
CUTCHOGV560
SMITH -UNQTOWN OF SOUTHOL D
SUFFOLK COUNTY Frofessiohal- Ld- op,
NEW YORK 120 4EDp0Rt b -v
SCALE: l"-50' PATCHOGUE jA7 t~`
Phone 4751~ <~$uhVEy CEMf i f lEd ERD LOT N05• SNOPVN HEREON REFeR TO -44POF$'Mi
S USA N SHEPHE qj CUTCN06UE; FLED MARCN23,1989--FitEvTAS
STEWART TITLE INSURANCE A6ENCV C•C- FILE /0.8717.
BAY LAND TITLE AGENCY, INC. DWELLNG-OMLY
HaE~ ~ 5 FROM D~1f~ OF Ak~OVA~•
DATES SURVEYED: 5 EPTEMBERee, 199f)M T SHEIoHfRD
REF ONLY: /000 -102-0/-004.12 SEC. SY JOB 5302
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m °Aa ^ 5YSTf S FOR THISNESIDENCE WILL CONFORM
T 0 TN~ SMNAM05 OF THE S UFFOL K COUNTY
m ^ DEPARTMENT OFHEALTN SERVICES.
T
APPLICANT-------- DEPOT LA/V.E
I
SURVEY OF PROPERTY
Situated at Surveyed by
CUT CH06UL SMITH 9 1 UNG
TOWN OF SOWWOLD `
SUFFOLK COUNTY Professional aR S veyor
NEW YORK 120 MEDFORO AVE.
SCALE 1"°50 ,
Phone 475-3192
Survey Certified tot tOT NOS• SHOWN HEREON REFER TO "MAP0,PMOD.S
S USAA/ SHEPHERD AT COTCN064YE0 Pit ED MARCN 23,1989^-F/CED AS
STEWART TITLE INSURANCE A6ENOI C•C• FILE N°'8717•
BAY LAND TITLE A6EAICY, INC.
ST.4 KEOUT pWtG C"C'rp'LOC.
DATES SURVEYEO : S EP%EA4MR?e, /4944; JU14E 8, 1995; JUNE 30, 1995 SNLCJ~HERD
REF ONLY /000'/02-0/-00412 SEC. 5HDJOBa302
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c Now r, THE WATER SUPPLYsSEWAGe DISPOSAL
oea SYSTE S fOR TNISNESIDENCE WILL CONFORM
i ' 2 2 r0 TN7 SLINDARD5 OF TNF SvFFO(I( COUNTY
OFPARJMFNT Of HEALTH SERVICES.
T 1
•
APPLICANT________ DEPOT LAVE
S UR V EY OF PROPERT Y
situated at Surveyed by
CUT CH06116 SMITH 0 UNG
TOWN OF SOUTHOL D _
SUFFOLK COUNTY -Professional veyor'
NEW YORK 1.20
Meo o ~11ve
SCALE 1"=50 ' PATCHO0UE-,-N.;Y
Phone 475-192
Surve Certifled toy
"NJOTt?OFW11~,
y (OT NOS. SNON/N HEREON REFER 70
S USAAt SNEPHERD AT 007CN060E; FILED M4J1CN 0,1969^-F/465@°*-q
STEWART T17'LE 1NSURA1VCE A6ENCy C•C• FTLE N°'2717•
6AY LAND TITLE 46EIVCY, INC. SNM FAMLY DWELLNG ONLY
DA rEs SURVEYEO S EPTEWERge, /99¢ EXpt S THEE YEARS FROM DATE of APPROV 6HEPf/fRD
EHRRGY CODE CALCULATION ULATIONS:t-',i y~ir
dwrueye dai.e Edken trove ouivwy doted, U uOU~^H-3 ANU I~SNUUMy (Sow ~Plans) Owner 4 contre0t0C shall indemnify and hold ng¢I1 CONOITTORB• '
0 9101 Openingr tsS wmmryangy use *hall ingluda deers a har,a #44 the aMahit~~Q+t and their agents A Sgl SLABS Min. RIO CODE: • of glass I
$0 chars at operable employ"& fros all Mims, demagog, lds•ea Z 0pree days ISuEEolk- 6000 BALLS R39 t .p
parts of windows located as to provide Na0biatruai 3kQ11 oxaavottwo eae11 be 641ti4imnt to Provide Lull daaipn die- to legal open ipacoe, such openings $boll Set it ukolittrooted "Sons expenSMS ineA04big 1mut not limited to attorney Daeiyn Temp. 1728E indoor folk- 6000, Nassau 5000 CEILIIt6 R19 OR A30 aw plans Actual of glamal
aaaieds or tm'tllwr tar torotag 4e required. All testing in 46 smecsoncy, shall have a Riotous 4rar'ot 4 1 quell set Lspada "Vass ! fees • s1aQ out o! er resulting from the per- F Outdoa BF Indoor FLOORS R19 Z~ "~=1t 5F- Outdoor
to kutaa- N( mxi~1M Wile PsAmauAa aaeue4d Mooring aSP 2 kon, a eih. dipnsloa of la" with bottom at o;Pasings 1 arfa'Of { 44• ft. With ! tormanoe o! the vpCk provided that any such -fl O~
than 31-4" above tiaisnN floor to 411 stove grai =Ago ma hiObmr claim, damage, 1044 or expense (1) is attrib- aipwe trade stories. utable to hnAily lniuev- -iekn.•^ a'•'- r~_. EMVELOPE SUBSYSTEMS
kasAlill sad aampeaCias - use only alern earth containing no argon/e ratter, ball faded. fill beneath otrwature 9.02 Minimum window ragwtcomontr per roam to sa et t1i deat •H• .
Shall be o"P44too to doneity as per A.S.T.M. 03557 for tight end 41 for ventilation. 1 0% at floor area prop III WINDOWS nau: •R' Insul. 00 Code •U• Provid. Sq. Ft. ESq/RR
McSiiad D. the _ Insul. al. .56 .26 2 yJ(D9~
0ceth.cor .40 .19
A.07 -fNi'a1" a9 I4atinV as required 4" died. Parfocated 9.03 Doors and window to be insulated gloss. 1. taus II DOORS WUC4tl or o NALLS(opaque)~--1 n-ig 03- - R 19
plaakia pigs.; 8.04 gotcance doors to conform to NYS energy gods. t 904e. uneb v - 3 yZ. Walls(ovvcall)
-17 00
i.t) 9.0 CjOlLUU ' FLOOR _ _ _ R-_19_ in p _ '-+-R-19.--- .05 X04545 52111
,141 concrete MufM'-iCkall ealitarn to Amarlcen Oeaareto iaetitute 9.01 Drywall - k" tapered edge gypsum board, applied, Ineul. al. .69 ,26
etandasd,. fin(?hed es lees ACChitaC SKYLIGHT Ineu3 applied. tread and
per U,S. Gypsum ~Company recommendskia water resistant type as substrate for ceramic til :ommandakions. Use unless a CKILIRG I1 R-19 ceramic till use. I CEILING 42 R-30 R-19 _ .045
.x.02 concrete akall;be a min. 1,500 Pat olase #'as day* Unitas 5/0' Type Y (3/4 hr. rated) in garage, 51-0' out 5'-0" out on wells 15.0 ELECTRICi KZ R-30 - .03
unless noted otkarwlao. and coiling as par NYS Building Code. CEILING(Overall .04p9 Co
15.1 Shall col
7.03 Rwintarcing go" - ABTA A-615 and A-3051 Mesh 6 X 6 10/10 10.0 CAS's-1N-KAC8 CONC80TC M.M.r. As" A-19A. Reinforcing in Coatings only where var- electric I TOSAL
taCtoo in soil conditions require, and where soil does not 10.1 Atl ccoinforrete rdanced ithCthe shall be furnished and in ACI provide 2500 pal or noted otherwise, yinuiacccements ordan for reinforced ChM w cur Conrenctreetete." lorel cej .3 "7 _ NOTRS: AIA INFILTRATION
8 " buildi ng shed and installed Fireplace to conform to lot 'Building COda,R1- r 15.$ Provide 1 AS WELL AS ALL EQUIPHSWT IN Ora to latest revision of the MYE Energy Cade, TOTAL OIPNEMT INSTALLATION A CONSTRUCTION.
I _ C Air infiltration .37cfm-doo .37cfm-doors, .SCfm-vindowa. EVAC min.
3.04 ?*rework aha.ll be well braced true to dimension, loyal and 15.3 Provide 1 y,j p 7 performance: furnaces c boi aces A boilers (gas or oil) 80% "us
plumb. - 10.2 Concrete shall have A minimum 28 day compressive impressive atrength Z) Central Air cond. split my* split system 10. SEER, single 9.7 SEiR
of 3,000 pal. 3.05 vapor Barrier-4 all. polyethelene sheet lap all edges 6". 15.4 Kitchen ode. floating system to be:Q,((! f bo.01! fired 10T Wt&_-reR- Ala
- 10.3 Reinforcing steel shell conform to AST" A-61$, Gc t 7/ Heating system to be able t be able to handle a min. of ~9TU/RR. BEAT LOSS
A-61$, Gcad.• 40 WWF. f 145 ~i{ for new Comtcuction as per ion Aa per the plans attached, Beating contractor/
4.0 MASONRY Shall conform to ASTM A-185. s ~ 01- Plumber to verify. If any d If any discrepancies notifiy architect.
4.01 Concrete Masohry Units shall meat A5TM C-90 10.4 In On-grade concrete slab$ the WWF reinforcement forcemant shall be Hot water to b4 a Qll fired 7 hot water storage tank v/ a Qll.fired hot water tank or 40 gallon aqua booster
grade A; solid located midway in the slab thickness. black ASTM C-,145 grade S. Shapes as required; 28 days old or triple wall pipe. _ i tank v/ jacks nrr AAFlue size min. VxV, terra cotta
before installation. Minimum not compressive strength of 10.5 Ali exterior concrete to be sic-entrained. Pa.
block to be 2600 pal. ed. i
aI,
4.02 Pac4in9 - 1 coat Portland cement parging on showa grad. 11.0 FOUNDATION NOTES 3~ ~F \F n-
C.M.U. sponge;flnieh k" smooth finish k" at masonry walla below grade. 11.1 The presumptive soil bearing capacity is assumed • assumed to be
2500 psi for all footings. {1T ~ III
5.0 MBTAl.3 11.2 Filled aubgrade below floor and footings shall be
I ~I • shall be com-
Patted to be 951 of the modified proctor. 5.01 Anchor Bolta Shall be k" diameter embedded 8" in poured
concrete and 15" in grouted unit masonry. Min (2) anchor 11.3 Provisions must be taken to protect all concrete
bolts per *action of 'elate. IV from each end with inter- from frost damage with special attention paid to concrete work
mediate bolts.at 6'-0 o.c: max. and other on grade prior to backfilling and onclo n paid to footings and enclosing
the building. 2e I L111
5.02 Metal Joist gangers a Ty-DCwne shall be used at all joists 11.4 The maximum vertical distance asasured from the t i
without dic t bearing, is GA galvanized steel. use all basement floor slab to outside finished grade she from the top of a 2 IILu
nails provi~d by martpfacturer"fly T•co cc equal. exceed the following: grade shall not + %J
5.03 Mails - number y And type,foc each application.as called for Tye of Wall Height in the B.O.C M. code, ac manufacturers cecommanded standard. R t
' ~ I ICI
b.0 8' block 6' 12" block 7'
8' concrete (unreinfocced) 7' 6.01 Bill Plate- CCA treated to meet American Mood Preservecs lo" concrete (unreinforced) e'
Institute iRkhbS/rd. OCCUPANCY OR
6.02 Wall Stu" -4 rW_See groping and plans tar Spacing. All 12.0 MASONRY USE IS UNLAWFUL
atruotu7ral lumber shall have 31 0 fb bending stream: 1400,000 12.1 Concrete masonry units (CMU) to ASTM C-90. )0. WITHOUT CERTIFICATE
modulus of olaiticity and Paz 191 moisturo content unless , - noted otherwise. 12.2 Minimum not compressive strength shall be 2,000 pi +
2,000 Pei. OF OCCUPANCY
6.03 rloac, Ceiling, Joist, Root Raftero and Girders - same. grade 12.3 Mortar to be t pc
sad conatrueislon as for Structural lumber noted above (6.02). type "N"• cop •reive strength to b, Ingth to be 2,000 psi. u` „ ^
?1 P.~! NCa
6.04 acidgtng wood aroaa bridging, as required by code. 12.4 Provide 'our-a-wall" standard guage cc equal in a: over 6 courses high. IQual in all walls i ~11'La'r"1/!I
WIDOW
6.05 Roof Trusses,- designed and manufactured to meet all appli-
Cable codes,, Provide chap dtowing4 4"144 by a profesMianal 13.0 STEUQTUEdL STEED L NOTE 'eVlllaF9
engineer; fabriCation c0rtifled by engineer prior to iagtall- i
Mon. 13.1 Stoolwock in general shall conform to the current is current specific- NOTICE: BUILDEnS PLANS 'LANS
tions for the design, fabrication and erection of 6.06 Ploor Deck -'5/B" plywood, Standard C-D-Y - D.P.F,A, direct steel for buildings adopted by the A.I.S.C. rection of structural
basrinq at edgs4. Provide 4" Plywood finish undeclaysent I.C. The Contractor varrants to t AP RDASNOTED competence and ,Skill in cone vantu to the Architect that he possesses the particular
below all widyl flooriag or *qua lf,pgrp.. c:yApLIOWr - 13.2 All structural Stool shall be in accordance with t ,nos with the A47A p~~ full ongineeric~g and architc 11 in construction necessary to build this project without
end architectural ssrvicea, and, for the reason that the to rely upon his own competence, the Contractor or Owner
6,07 Ro?t Doak plywood C-D-Y - D.F.F.A. exterior glue. specifications. ? 1 FE B contractor wisliea to rely ug Architect's scope of professional services. In reliance
" 13.3 All steel shall be painted with on shop coot of TN BUILDING DE has restricted the Architect coat of TRRRRC 94 NOTIFY the Contractor's warranty if warranty and at Ehs ekpress request of the Contractor or
6,08 Sheathing - plywood C-D-X - D.r.P.A. exterior glue. Primer or approved equal and field paintings as di inga as directed 765-1802 g AM TO A FOR THE py(MBERCFRTIF/CATION FOLLOWINGINSPECNO S: Owner, the Architect hde una ct has undertaken a limited scope of professional services.
by the Architect. 6.09 Plywood - all Plywood used steucturally shall meet the per- 1. FOUNDATION - TWO REQUIRED The conetructiun ducumwnt@ p M-LEAD CONTENTBEFOR FOR F OUNDATION TWOE "Builders Pjww" in recognit ueuments provided by the limited services shall be termed
torments standards and all other requir""t4 of applicable 13,4 All connections except ae noted on plans and detai POURED and details shall aMT/F/CATE„OCCUPANCY 2. ROUGH - FRAMING&PLUMBING atcuction will, require that n recognition of the c'ontractor's sophiatioat(on. Con-
U.B. comaer4tal tt"dyer~da'gor the type, grade and species have bolted or wlded connections as in the latest the latest edition uire that the Contractor adapt the "Builders plans" to the ncountored and make logical adjustments in fit, form,
of plywood add shall be go identified by en approved testing of the AISC manual. SOLDERUSD/NWATER B. INSULATION field eon8itimla encountered tity that are tree t0d only generally by the "Builders
agency. S79MCANNOT 4. FINAL - CE FOR C.O. CONSTRUCTION MUST dimension and a ity that SUPPI F~ LCONSTRUCTISHALL ontra• In tnu event aaditi ant additional detail or guidanos is needed by the
I ` l 13.5 Shop drawings to be submitted to structural engln4 6.10 gorlsontal siding _ ]Li approval prior to fabrification. Cal engineer for ; EXCEED 211 Of 8,91 LEAD. ALL CONSTRUCTION SHALL MEET Cctoc or owner for cons r for construction of any aspect of the new project, he shall
Applied over: MNo f4irt. TTvM-K- _ r THE REQUIREMENTS OF THE N.Y. ilnmediatoly nogify the Archi the Architect. failure to dive a aimplo duties shall '
- - - ' 13.6 Erector ¦hall provide adequate temporary bracing ! STATE CONSTRUCTION & ENERGY relieve the Architect of can bracing for i CODES. NOT RESPONSIBLE FOR act of responsibility for the conseq>* e.
6. IT provide double joists under all parallel partitions. lateral stabiiity until stud walls, plywood, root good, toot truaaea i PWIpBING DESIGN OR CONSTRUCTION ERRORS gDUARC FDIC#'AGk i'1, ,-t,Ct1I.ATI I.ti f, C U 4 AT S ~lti~f,
and sheathing are in place. I ALL PLUMjING WASTE IIn~
6.12 Provide (2) 2*40" headers min. over any windaw, door ;q ;q ? & WATER LINES NEED lot Ploor sq. ft. 3 ~ eq- ft. deok aq, it;:
opening or sty opening unless otherwise noted. 14.0 MISCELLANEOUS TESTING BEFORE COVERING ~f 'y p~.
6.13 All header& 61 or larger must have double support studs. 14.1 Extreme cars and proper measures shall be used so 2nd Pl.oor aq. ft, fe~usad so as not aq. ft- PvC011 sq. (fe
to damage bulge, or tip walls due to eny.;ruperimpc ?Fuperimposed TOTAL l (05 sal, ft.
7.q gN~,S(~AL ANl1 ,},IST((,EPTCTION pressure, shoeing, besting, etc., sha11 be employs be employed until DO NOT PROCEEDWRN 8-4. f.t. eeeage ~,~f? sq= ft:
the full dead load of the building is on the wall. the wall.
7.01 Dampproofing. brush apply one cost of asphalt emulsion to 14.2 Where drawings are in conflict with other draw If copper tubing is used FRAMING UNTIL SURVEY
exterior of all below grade wells. , or details, the Contractor shall notify the arohit othsc drawinq¦ for water distlibuUng OF FOUNDATION LOCATION IffP VIOLP'ION ;C}k''tktR,'
the arOnieeat for System; pipingshall,be NA$BEEN APPR of types K or t only OTED. I,,.IfVY F'Kjft ANY
7.02 9111 9641 - ~ " x 5-k" oompressoble fiberglass beneath 411 claritiastions. 1111, P 1)0 ! OV k 1 Ni ria AYaW OU43 W
44terigr ailL plated. 14.3 The 4rchitect will not have control or charge of a hangs of and 4 fell i4(4 y thk ON CHId LMy 4N>1FMIi',InJ
will not be responsible for Constructions "ens, a assns, { 'N't WAY
7.03 Insulation - [lent A wslis - 5-y" Batt. R-19 insulation. methods, CaahnigOos, sequences A programs or for a or for
Re01t paper taus vapor barrier. Ceilings at roofs - safety preo4utip0a and programs in connection with fiberglass 64 butt 0.19 Kraft paper toted or as noted the work. atian with i
otherxir+?. I i N +ew+!1.!'MwrM..
A. The contractor oft 411 give all natiQ4A 1 Comply v?. r 1 comply
7.04 Rooting - 240# asphalt shingl**« Apply over 15 lbs felt or with all laws, ordinances, r+lias, regulations gulatiana
to noted othorvies. and lawful orders of any public 4utk4WL%y bear aifitg bear
ing on the perfocmanee of the work &M shall " shall
promptly notify the architect it the drawings dravings
7.03 Plashing w ag uaingm [hefting. baked enamel while flesh and specifications are at variance therewith. herewith.
all wall gaotratioom. Flash 411 bormmts. Flash all 1 p U t i o
v~allays. Iti At r AAftt(a, 4090 heads, OR# joints of dig- . w~ AILA A.7
410ilax "t als.
Iu, 7,46 OattY#i»gA wwil ' Rt ar 00444ted by,b0xaar.
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ff lla1 craw. r Aa wtm Maws 1 As ROM
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UP ON u6WPLIANCEf LB' AID
REQUIRED BY PARtx 0
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coof nS era in cath. c14. itt .
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cailingF c ta- eee plans i
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EMERGENCYESCAPE AS REQUIRED BY PART. 7140 `~~y of p'' f} ` p{jl 1VY co
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N.Y. STATE BUILDING E. 0
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dill IFY PROVIIDEOPEN RTG FDR w
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M. REQUIRED BY PART. 14 OP a
N.Y. STATE BUILDIN CGDE
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