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HomeMy WebLinkAbout22919-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25099 Date JUNE 20, 1997 THIS CERTIFIES that the building ADDITION Location of Property 2213 INDIAN NECK LANE PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 86 Block 5 Lot 10.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 14, 1995 pursuant to which Building Permit No. 22919-Z dated AUGUST 1, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN DeGENNARO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-054835 - APRIL 17, 1997 PLUMBERS CERTIFICATION DATED JUNE 1, 1997-HENRY SMITH PLUMBING & HEAT. Bu' cing Inspe or Rev. 1/81 r pr~ 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) 19..~ N2 22919 Z Date ...f......................... Permission is hereby granted o: 11119 c s Cr. yam' .1/.... tom,, L 1 ex- ...r... /40 r' at premises located at...... ./3~.r~ CF~~4~../.k ~ P . :.6:;!.jr .....(f- .e ~..C~.. r.~.............................. County Tax Map No. 1000 Section .........4 / Block 5~77 Lot No. r pursuant to application dated a ••.l•]..•.•••••.19... and approvedbythe Building Inspector, O Fee $..c2®. 8uflding 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 - .25¢, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $155.00, Commercial $15.00 Date New Construction........... Old Or re-existing,Buildin Location of Property.. House No. Street Hamlet Onwer or Owners of Property.. ~Q N. , G.. &-N I Ar b County Tax Map No 1000, Section. ~906.tF`.'.Block. ...Lot..~.~.~/~ :.K5( Subdivision......... ..Filled Mag............ Lot..... .......r7 Permit No..~'....Date Of Permit !/C~F~. tx~?~g.~....Applicant. ~8 ;V..~~Z-_96-i~PC Health Dept. Approval ..........................Underwriters Approval t/"e S Planning Board Approval / Request for: Temporary Certificate........... Final Certicate..... 1! . Fee Submitted: ~30~~ ?il/5~/~iS'~/® (5.2256 APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8056205 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date APRIL 17 . 199 7 Application No. on file 10143445/ 5 N 05488 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 JOHN DEGENNARO, 2213 INDIAN NECK LINE, PECONIC, N.Y. in thefollowinA location; N Basement © Ist FL © 2nd Fl. OUT Seetion Block Lot was examined on APRIL 14,1997 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECFPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER NAT. K W. AMT. K W. AMT. K.W. T. K.W. - AMT. N.P. 20 55 1i 14 6 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. AMP. AMT AMPS. TRANS. AMT H P SYSTEMS AMT WATTS NO.OF FEET SERVICE DISCONNECT NO. OF S E R V I C E AMi. AMP. TypE METER 1 ,e'3W t L 3W S F IW NO. OF CC COND A. W. G. NO OF HIAEG A W. G. NO Of NEUTRALS A. W G. EQUIP. I,F tW PER % OF C . COND Of HbLEG OF NEUTRAL OTHER APPARATUS: PANELBO ARDSII 9 CIR. 60 G.F,C.1, -1 SMOKE DETECTOR:-3 S ~ JOHN DEGENNARO , aw 1u~t 2213 INDIAN NPCK LANE PECONIC, NY, 11958 GENERAL MANAGER ` - ~ Per ` This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Main Road } Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: June 1, 1997 • Building Permit No. 22919Z Owner: John DeGennaro (please print) Plumber: Henry Smith Plumbing and Heating, Inc. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. -el( ers Signature) Sworn to before me this BERNADETTEL.TAPLiN NOTARY PUBLIC #4844893 S day of 1907 Stele of New York Residing i Suffolk County Commission Expires Sept. 30,19 Notary Public, uffpl County FIELD INSPECTION REPORT DATE COMMENTS - FOUNDATION (IST) Irc_ II jj lit FOUNDATION (2ND)=== II ROUGH FRAME d iOl I' PLUMBING INSULATION PER N. T. STATE ENERGY CODE Aig al II p FINAL I{ D ADDITIONAL COMMENTS: 6 T H 0 ro, r r~ - y glq T 765-1802 BUILDING DEPT. 1 NSPECTIO [ ] FOUNDATION iST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: st 0-le- A4& /f~f'~4'Gn~t-•,p~~r//"QM.P- ~~/f?1~~"1 ~~1 ISL~C~7 DATE /'v?~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ } INSULATION [FR MIND [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: -;4-~ - DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INS CATION [ ] FRAMING FINAL [ } FIREPLACE & CHIMNEY REMARKS: DATE ( INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 1SULATION [ ] FRAMING [?]/FINAL [ ] FIREPLACE & CHIMNEY RDATE 6110 7 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ) ROUGH PLBG- [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ) FIREPLACE & CHIMNEY / REMARKS: DATE INSPECTO 17 . M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R H PLBG- [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC CHIMNEY REMA S: DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS:n , f a ~zc ._L~ T~1 ~~?J'u. G~~Z DATE ~~_INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FO ATION 1 ST [ ] ROUGH PLBG. OUNDATION 2ND [ ] INSULATION [ J FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY f REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION { ] FRAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: DATE `S _INSPECTOR 1 oo,~L 7e, Oell)ln "v Yds. to be excavated:o2©O Yds. to be filled: Manner in wh'h mater al will be remgved or deposi ed: XP~S,S 1-III (010 TQ \i~ i0 ('C.4rad~ enr~S b gkr•^i'~Z Width of canal, creek oar bay-fro ing property: Zeg__i Depth at low tide: '3 Aver. tr in tide: ' ro Distance to nearest channel: /,m Distance project extends beyond S' filar projects in area: Area zoning: ~li,~LLand area in acre p,7 Is project for private or busing s use: v(1 Intended use of property: '~G S\ 1xn Describe known prior operations conducted,orkpremise 7.04L o,s `tom FN Has any prior'license or permit been issued to erect structures, dredge, or deposit fill on said premises:, Has any license or permi.t..ever been revoked or suspended by a Governmental Agency: Project Description The project description must also include plans for reclamation of land disturbed during construction of the principle and accessory structures and underground structures.(i.e., pipeline and septic system; make additional attachments if necessary). ry ©h ~ioy ofx~s i~~~ roc ~rA ~16-L i Authorization (Where the applicant is not the owner) I residing at (Print-owner of subject property)_(Mailing address-phone) r do hereby authorize to apply for Coastal Erosion permit(s) from the Southold Town Trustees Signature THIS IS NOT A PERMIT County of Suffolk ) State of New York ) BEING DULY SWORN DEPOSES AND Y AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DA1AGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(s) OR REPRESENTATIVE(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SIGNATURE SWORN TO BEFORE ME THIS DAY OF ? ,19 NOTARY PUBLIC MICHELE I DE ANGELUS NOTARY PUALIO, OTATF. OF NPPN YORIS 110.52-5949275,SUF MCOUIT( CM1141SSION FYPIFlE211 ),19 K Suggested space for location Map THIS IS NOT A PERMIT R~ +Y!onwryA I PmvIm OMIne, XP9PRJ0 PapF I Southold Building Dept 1/14/97 PO Box 1179 n 1 /J XT N7 1.1 nn9 91WA4 A4, tP EtM/4 Re: Permit 22919Z John DeGennaro 2213 Indian Neck Lane Peconic, N.Y. 11958 Dear Sirs; I believe my permit for an extension will expire on 2/97. Due to some illness and many delays I request an extension for permit # 22919Z. I have all the necessary items needed for a final, except some railing must be put up. I would like to finish the job completely and then get the final. If there is a problem with getting the extension please contact me at the above address. n DeGennaro 734-4066 s a; Yds. to be excavated: '200 Yds. to be filled: //C'/'z_ Manner in wh'ch mater'al will be remgqved or deposited: )(te I-il~ ist1~ o c,C o _rQ1CU`adsL ~artS bF- rv ~i Width of canal, creek o,: bay fro ing property: 1,2-5" 0Depth at low tide: ~ ~ Aver. ~ise in tide: 3 11 Distance to nearest channel: / Jni Distance project extends beyond sipilar projects in area: Area zoning: K 4'cj~ ,r~( Land area in acre p,7 Is project for private or busine s use: 6E? v(j p Intended use of property: S kI(4 Describe known prior operations conducted o premise Has any prior license or permit been issued to erect structures, dredge, or deposit fill on said premises: Has any license or permit..ever been revoked or suspended by a Governmental Agency: Project Description The project description must also include plans for reclamation of land disturbed during construction of the principle and accessory structures and underground structures (i.e., pipeline and septic system; make additional attachments if necessary). ©F i r7,~ ATI-~e rA t16~4_ 1 \ o.~ C1,1$10i r o` I a '-ND Z Ttls l R d of \ r~c ~ a~ (`Si L W- @~ C~ t4 Y1.~ ~ ~d` Q A f-1.~.~-n 1 n C'2Q S~~1~\0 .CYC ID tntic rya, 11 .So. Silk Authorization (Where the applicant is not the owner) I residing at (Print-owner of subject property) (Mailing address-phone) do hereby authorize to apply for Coastal Erosion permit(s) from the Southold Town Trustees Signature THIS IS NOT A PERMIT { County of Suffolk ) State of New York ) ~r S A-,) Aae - BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVE(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SIGNATURE SWORN TO BEFORE ME THIS DAY OF 19-n NOTARY PUBLIC MICHELE J. DE ANGELIS NOTaRYMMLIO, STATE OF NEW YOWS N0,52-5949275,SUF ~KCOUty"i'! Suggested space for location map THIS IS NOT A PERMIT y, ..r~;~, ~OEFP HOL MF4 ~ObbJ.i ro Ti1 O la qFq pB m 4 ~OW~ f ~ n i.'r OF F 0 N < P 00", T BbOSi 'tla ° ,_~fi 09 v 4srynr OLLOw n OaaMtsv3; e ~ P G ~EA OW 8M4 oa A~o ~a nvroex3 on o a o o 3 1 O O) Unix ® sy ~o e sw ^ ~ .0 5°~Ea i o f O C) ANA- .Y C m o 2 L..^ ° 3~ane 00 C LtlON o C-1 O ` Q IpyO c C J ~1 a , P y-1a 1H P4'q E 90 0 0Y A -1 +Lq, ~ E TCBO Ofl ~ j ~~s saaL s y~ ad. 9 LO 0 'P GN fI ~ lq ^ n S 9 s' ~y swa r' i # a Wickham C'r , - ^on0^n,~YS CA O o 'yt Z L 'n0 p0n 23cM- M PH a_ O e N vn £ o a 400 . p o pa3 0` '1x3 i aS N N 'tl030330L c Oq V O 2 O cp. ,'j a x TM .?f (y O N .T. q o 'Ia 4o A 0 ~C 4 D r. i cnrn"s ~y ? q ~j to m ~ ~ 1 is s BO o~' 3jHYan~a 07 y~. 9 IIIIII f ] co , py^ p Pm 1 S` 1 ~ m 'v, s~oaa .aj: x)i0 s m RBR WryF40 L4. a SMITH q0 s n BINBO ^Q f I A 3 G 00 e P ~ L Ms ~ o ' m 7 N Sf E~`qs O 00a oy yyJ V ' G7 T Pn ~ (o IJ5 CO ~~M ; 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-00546/00003-0 Ms 16, 1995 FACILITY/PROGRAM NUMBER(S)- PE IT EXPIRATION DATE(S) May 31, 1999 Under the Environmental Conservation Law TYPE OF PERMIT ¦ New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate 0 Article 15, Title 5: Protection 0 6NYCRR 608: Water Quality 0 Article 27, Title 7; 6NYCRR 360: of Waters Certification Solid Waste Management 0 Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPDES 0 Article 27, Title 9; 6NYCRR 373: Supply Hazardous Waste Management 0 Article 19: Air Pollution 0 Article 15, Title 15: Water Control 0 Article 34: Coastal Erosion Transport . , Management 0 Article 23, Title 27: Mined Land 0 Article 15, Title 15: Long Reclamation 0 Article 36: Floodplain Island Wells Management 0 Article 24: Freshwater Wetlands 0 Article 15, Title 27: Wild, 0 Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers / Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 Other: PERMIT ISSUED TO TELEPHONE NUMBER John DeGemaro' (516) 331-3164 ADDRESS OF PERMITTEE 22 Bridge Lane, Port Jefferson, NY 11777 C CONTACT PERSON FOR PERMITTED WORK - TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY Wennaro Property - 2213 Indian Neck Lane, Peconic LOCATION OF PROJECT/FACILITY COUNTY TOWN WATERCOURSE MYTH COORDINATES Suffolk Southold Richmond Creek CESMIPTIW CF Aun-MIAM fiCrivnv Remove existing garage and construct 330 x 241 two story addition to existing dwelling. All work shall be done according to plans prepared by Roderick Van Tuyl last dated 3/27/95 and stamped NYSDEC approved on 5/16/95. By acceptance of this permit, the'permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the general Conditions specified (am page 2) and any Special Conditions included as part of this permit. DEPUTY REGIONAL PERMIT ADMINISTRA- ADDRESS TOR: Charles T, Hamilton Bldg. 40, SUNY, Roam 219, Stony Brook, NY 11790-12356 AUTHORIZED SIGNATURi MDATE ay 16, 19b5 ~Kc ?ln.~~ tlrrv...Q Page 1 of 5 JUL 1 41995 i A m -0 X CD 3 y r« ^e y, g Cl) DV aO ~ c =r a CD Cc O-N CD CD 3 03-a0, w *"m CJ N > > 03::Z ° go3zxs0 =r CD CO / N = 0 PL) :r 0-N 0 momc~CD 3 . (D (Qy,Q v ~ ~ O ~ r+ D C) z fl. ~ Q r,' z O ~a-OOOO< -*z m 0 _ CD C 0 CD 3 G CD CD C m n sl) - =3 < : O N w Z OOcn~O N :3 -h r.0: CD r+ O CD <D s D n-«. O -n I (a r-f- -1 CD 3 o O O W 9D =r 'o :3 0 m CD M.0 ` O v m fn CAD O. O CD 0 CD z a 3= C' 53 N ? C r-+ Q~ m Q1 3 - p Cn P-+ N 3~ a i Cl) o 3 o m v CD - JUL 1 A 1995 BOARD OF HEALTH j FORMNO.1 --3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT "CIIECK TOWN HALL SEPTIC FORM . SOUTHOLD, N.Y. 11971 '12j-~{0(n(4 TEL.: 765-1802 NDTIFY CA Examined....~I. l~f LL t, MAIL TO approved 19 7Permit No.C2 2 / ~mrT;3Q(=C; ..sots Disapproved a/c ..Ifs ~ r (Building Inspector AP (CATION FOR BUILDING PERMIT Date ' 19 INSTRUCTIONS a: This application must be completely filled in by typewriter or in ink and submitted to the building Inspector, with 3 ets 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 call 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 tall 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 uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ,egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agiees to comply with all applicable laws, ordina ces, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for nece ry ' ections. (Signature of applicant, or name, if a corporation) lialing address of applicant)/</ state whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . tame of owner of premises J.©.~.hS /?//??1i 0 (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. JUL 141995 } Plumber's License No. - p-- UJIG "U" S(,)U':'f a)L93_ TOU`J6v OF. Electrician's License No. Other Trade's License No . Location of land on which proposed-work will be done. ..0?-13. --~=A . c!~... / A!4e PaOI ! 1.c........................ House Number Street Hamlet County Tax Map No. 1000 Section Block Lot ..Q.1©a O0, , , , , , , , Subdivision Filed Map No. Lot............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy e...C e b. Intended use and occupancy r 3. Nature of work (check which applicable): New Building ..........,Addition F2U_i?9AS.l1J(kteration Repair ReToval . . Demolition Other Work , . , , . . (Description) 4. Estimated Cost . Fee (to be paid on filing this application) 5. If If garage, dwelling, numbnumberer of of cars dwelling units . Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature ind extent of each t~ypP of use 7. Dimensions ofExisting structufies, if any: Front ~ / Rear V-y , , , , , , , Depth . 3c9 . , , , , Height .4-5 Number of Stories . L!J Q.. , , Dimension of same structure with alterations or add itions: Front 'V5'. 4 , , , Rear r Depth. 6 y~............ Haight / Number ~ Stories.,.Jut 8, Dimensions of entire new construction: Front , Rear ...~Y?. , Depth .%6 , Height ~Nyytuber of Stories ...~7_SYib,' ' ' ' ' ' ' ' 9. Size of lot: Front Rear ~•'1 c G Depth,-,904,! T!t~ . Z.~©4(" rll~ 104 Date of Purchase . , , , , , , , • , , • Name f Former Owner 11. Zone or use district in which premises are situated 12. Does proposed constructipn violate-any zoning law, ordinance or re gulation: ~a 13. Will lot be regraded ....Will excess fill be re~povg~ from premises: Ye o 14. Name of Owner of emises t l U ~ N./?/1e DAddress ~ ~2./R l~ one No. ~W A/Py . Name of Architect .t~ , , , , , Address i ©¢ep ,phone No. Name of Contractor . . Address . Phone No. . 15. Is this property within '11300 feet of a tidal wetland? yes, 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 property lines. Give street and blocks number or description according to deed, and show street names and indicate whether interior or corner lot. C S Cxf efarro~ • I ~I STATE OF NEW YO s ~OUNTY OF u 4.S . • ' ' • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ibove named. le is the ~I ®In J/`i!? /l7L (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 the vork will be performed in the manner set forth in the application filed therewith. worn to before me this *Y. rotary PublicOA 4tt,. ~ e\' • • County LISA A. SETTENCOURT NOTARY PUBLIC, State'af Now York • • • , , No. OtBE5021 Qualified In Suffolk Co (Signature of applicant) County Commission Expires Oeoerpber 13, y 8 LC3 c ti I,'c~yr 41 s x Q,; sy" ' 010 t to LU N LLI { , 'tu 15 /y i i 4u 5N?~Mv oil p. f + F ! o 81 pP o I 1 1 ~ s~ d IL I- tn 1' 1 l i ~4~5 * L\o~a y tt1 CID Ott y y§_ - It, Eir Mom2 qq WW 5 ~ry Jy V pzA1 f}~~1 C~ D W n'$ 6 C~ O r 23 \ T V, 2 F E' yF _.I Iti t 1 w }W ~,i'° t V) E x Iw' t , G e - E8lB Y OAE CUL Y [ B~. Owner .i cbriitreotor shall Indemnify and hold AHSXZM CONAITIO & " SLABS min. Rio CODE: f of glass 171: tfy*lm from, 810 DOORS AND WYMBOW$ (See plane) 4 0 ; l fl ..A?". augvay doted, _ . hornless too architect and their agents 4 WALLS R19 Actual 4 of glans; - - - -art ~u-Y 8.01 openings tog emergency use shall include door* a do door* or operable employees, frum'all claims, damages, losses fi Degraa days $Wf folk- 6000 'folk- 6000, Nassau 5000 CEILING R19 OR R30 use plans parts of windows located as to provide, umo?etcue une4strueted agrees expenaes including but not limited to attorney Desicln Temp. 728F Indoor to Indoor FLOORS R19 I-J • % 2. 1 /ilapat?e,tke,n,apsll be sutficie,nt tp prov140 full design die,- to legal open spaces. Such openings shall, not 1 hall, not impede agresa fees ariaing out of or resulting from the parr _10 Foutdoo I Outdoor 1a0 1S eg•"te allow for gemming as raqulred• All footing in an emergency, shall have a minimum area of 4 area of a aq. ft. With formance of the work provided that any such 620L%- 0'^ Hutt -~--'71- ENVELOPE. SUBSYSTEMS k9'ii K on,.i? 40 19114 pX4liaure Assumed bearing cap 2 ton. a min. dimension of 18' with bottom at openings openings no higher claim, damage, lose or expense (1) is attrib- ebova grade stories. unable to bodily injury, sickness, disease or " than 31-6" above finished floor in all above gra death or to injury zo or dastruation of tangible Insul U' Cod" -rovid. Sq. Pt. BTU/MR 'u P 2M GvfUl 4*41,eoftwtloa use only clean earth containing a at of floor area property (other than the work itself) including r WINDOWS - lnau lnsu.l. Gl .5U 26 . ~E;bty~anlG...taatesr. wall gr4dded. Fill beneath structure 8.02 Minimum window requirements per cpom is em, of fl 4ki1~4',1M aiW%V_ttd to900 density an per A.s.T.M. 01551 for light and 4% for ventilation. the :lose Q4 use resulting therefrom and (2) is MS +I---- Oreth.cor .40 iiii? kiA p. " > caused in thole or in part by any negligent act Uret ' 8.03 Door* and windows Co be insulated geese. s. or omission of the contractor, any subcontractor, WALL6{opaque) R-19 _ anyone directly or indirectly employed by any of R-19 .OS .045: 3.413- lgfmi,*aw$3 at ioatiago - as tequireld 4" diac. Perforated Walls{overall) .17 ,Q pl ottc pipe. 8.04 Entrance doors to conform to NYS energy Gods. y code. them or anyone for whose acts any of them may be unable, regardless whether or not it is caused FLOOR 7 R-19 R-19 - ^.05 .045,,__ 9.0 1°IN35NE5 in part by a party indemnified hereunder. SKYLIGUT Insu 3.0 3.01 Concrete Mori(: ahall conform to American Concxate.lhatltnte 9.01 Drywall - tapered edge gypsum board, applied, 14.4 Architect is not engaged for supervision in any capacity _ I;8-U1---GT .69 .26 r applied, taped and unless noted otherwise. CEILING tit R~19 R-19 .045_, finished as per U.S. Gypsum Company recommendati commendations. Use CEILING tile use. .t 5.0 ELECTRICAL i2 R-3q R-30 03 eteMderdr, water resistant type as substrate for ceramic ti lp as' o R 3402 l3onerote Mhal'1 be a min. 2,500 psi class 0 26 days unless 5/8" Type X (3/4 hr. rated) in garage, 51-0" out 5'-0" out on walla CEILING(Ovecall) 1- = - - Ci ...~p unlerie noted atharwkee. and coiling am per NYS Building Code. 15.1, Shall conform to the latest revision of the National ---i TOTAL Electric Cods,'the Local Power Co. and all applicable NOTES: AIR INFILTRATION 3.03 Reinforcing Rods - ASTM A-615 and A-305: Mesh 6 x 6 10/10 10.0 CAST-IN-PLACE CONCRETE lpC2t ragulat ie?ns- Fireplace to cobfgrm to Is form to latent cevision of the NYS Energy Code, TOTAL M.R.S. A02M 1-185. Reinforcing in footings only where var- t shad and installed AS WBLL AS ALL RQuIPMEN7 II 4"UIPMEN7 INSTALLATION s CONSTRUCTION:. iation in $oil conditions require, and where soil does not. 10.1 All reinforced concrete shall be furnished and 1 yin accordance with the current ACI-318 "Building "Building Code Ro- 15.2 Provide clock type day/night thermostat. Air infiltration 437cfm-do 437cfm-doors, .5cfm-windows.] UVAC min. Maces G boilers (gas or oil) .,Oa APUR pimvide 2500 psi or noted otherwise. quiromeats for reinforced concrete." 15.3 Provide smoke detectors as per NYS building code. performance: furnaces fi bo. Central Air cond. split sy spli,~tt~~~~ s""ystem 10. SEER, sin le 9.7 SEE 3.04 YormYork ahall be well braced true to dimension, level and 10.2 Concrete shall have a minimium 28 day compressive :ompressive atrength i " o be: ~ ficed _Hs l. . lµ-'4I ~ , - plumb, of 3,000 psi. 15.4 Kitchen and bath to have echauat fan as per M building code. Heating system to be:0 Heating system to be able S be able to handle a min. of BTU/BR. HEAT LOSS Cion as per the plans attached. Nea ing contractor/ N.05 vapor Sorrier 4 mil. polyat-helsno shoat lap all edges 60• 10.3 Reinforcing steel shall coniform to ASTM A-615, G !M A-615, Grads 60 WWF. *I,S,.r t..~'.,ap''5:7• ~f~~rl'~' ~c"ail C Fi.L_iri,-I'll++. TO 65 for new construction as pe, plumber to verify, if any f, If any discrepancies notifiy architect. Shall conform to ASTM A-185• ter f`M^`r got water to be 4 fire, p ~_fired hot water tank or 40 gallon agea booster 4.0 MSA! f, nforcemant shall be hot water storage tank w/ 1 dd tank w/ RS jacket, n. P1oR ai min. S•xB'., recta cotta 1~.+~ In On-n:a,;la oa,rret.a >La bs rk,:: NWr ceinf nr'uement or triple wall pipe. kPa. 4.01 Concrete Masonry Units shall meet ASTM C-90 grade A; 401h. ln.:at~d ai,way In the slab thl+:kneas. , block ASTM C-145 grade B. Shapes as required; 28 days old ,hstare installation- Minimum net compressive strength of l.o-5 All extar,lc u,~:.ret.w t-, bem air-ent,.•axned. nad. 4 ? block to 60 2000 psi. i I t III , 11 4'.02 Parglnq 1 coat Portland cement parging on above grade .0 FOUNDATION NOTES G°al,li: sponge finish li" smooth finish k' at masonry walls 11.1 The presumptive soil bearing capacity is assumo, is assumed to be j:ialUY'gCads. 2500 psi for all footings. )go shall be com- 5.0 - 11.2 Filled subgrade below floor and footings shall t parted Co be 95Y of the modified proctor. :or. 5.01 itlichor Bolts shall, be diameter embedded 8" in poured 11 concrete work f`tfl "4Gcata and 15' in grouted unit' masonry. Min (2) anchor 11.3 Provisions must be taken to protect all concrete bolta por':m%Otion of plate. 12'" from each end with inter- from frost damage with special attention paid t, Lon paid to footings mediate bolts at b'-O' o.c. max-. and other on grads prior to backfilling and enc. 9g and enclosing the building. lu I~ i i from the top of • $.02 Metal '30W .lisngees A Ty-Gowns shall be used at all joists 11.4 The maximum vertical distance measured from the without,diramt bearing, 10 GA galvinized stoal. Use all basement floor slab to outside finished grade al od grade shall not nMi11 pr!ok;tdad by aanufactlurera9y Torn or equal. exceed the following: $.43 !tails - numiter and type for each application an called for Typo of Wall Heigh 'to the 8.4.tiA. Code, or Mlanutadturer's recommended standard. - 8" block 6' 6.0 12" block 7' , h,'~h'it, 8' concrete (unceinforced) 7' Guidelines tor' Wind Effects in Coastal Areas 6.01 Bill plats -,CCA treated to coot American Lf Rood preservers 10" concrete (unrainforcadl) 8' _ ;petituts at+lhpacd. ~ 1) ('e'Nng;joist and rafters should be securely fastened at their Intersections and a 6.02 Wall Stydk - 2 x 12.0 MASONRY SSe Ycsaing and plane for spacing. All metal c~nnector'should be used at every other ceiling joist/ rafter connections to, the e1'suctnralilumber *bell have lk%O fb Mending stress; 1.00,000 12.1 Concrete masonry units (CMW) to ASTM:C-90. c-90. top plate. Co, C.O. modu'luo of elasticity snd.max 19% aoiature content unless Rotod otherwise, 12.2 Minimum net compressive atrrength"ehall be 2,000 1 be 2,000 i e psi. 2) r~U" exterior plywood sheathing, overlapping the fop wall plate and continuing trongth to be 2,000 psi. downtothesill, 6.03 gloat, Coiling, joist, Roof Rafters and Girders - same grade 12.3 Mortar to be type "N". compressive strength to sad coni!'tCAgtlon as for structural lumber noted above (6.02). C, H, 32.4 Provide "Dur-o--wall" standard guags or equal in 3) At nails, fasteners, ty-downs to be hot dipped galvanized. - ~ r aCual in all vans 6.04 Bridging -wood cross bridging, as required by code, over 6 CQi,rsea high. 4) i~l floor joists to be anchored to the girder system with gatv ty-down at f ` G.Q$ Root TCUSasa - designed apd manufactured to meet all appli- every Ater floor joist. gaAle codes, Provide shop drawings eaalad by a professional 13.0 §TRIUCTURAL STE&4 h2j" engineer, fabric atioa osr~iffed by en9Lomas prior to install- 1.3.1 Steelwork in the currant specific- 5) nlfloor joists tohave lx3cross bridging 8'-0"D.C. uoTlce. BUILDVR PLANS PLANS at ion general shall conform to the eurra Lions for the design, fabrication and erection erection of structural , The Contractor sarrants tc 'arrants to the Architect pmt he possesses the particular I.S.C. 6)# yable;roofs should be stabill2ed by Installing 2 x 4 Inch blocking on 2 foot competence and skill in cc ;kill in construction necalf"ry to 'build this project withoat 6.06 3tloor Den$ -.5/9'.plywoo& standard C-D++Y - D,I:P.A, direct stool for buildings adopted by the A.I.S.C. and architectural services. dad, for the reason that the " bearing -At '009e8.+ provide V plywood finish un4clayment rdance with the 118TH centersbetween the rafters at each gable end for a distance of 8 feet toward the full engineerinj and arohi buildinglnterlor from each gable end, contractor wishes to rely !a to rely upon his own competence, the Contractor or Owner below all,vtoyl flooring 09 equal. 13.2 All structural steel shall be in accordance wit specifications. has restricted the Archite ,he Architect's scope of professional services. In reliance - 6.07 Root Deck - k" plywood C-}t-x exterior glue. op coat of, TWENCC 99 7) At cantilevers to receive knee bracing to counter uplift. on the contractor's warren, Owner, the Ar Utect hag U !C's warranty and at the erpCess CeQUesC Rf the Contractor or " tect has undertaken A limited scope of professional services. 13.3 All steel shall be painted with on shop coat at intinga as directed The conatructiop documents ! documents provided by the limited aervioes shall be tamed in recognition of the Contractor's sophistication. Con-„'•~ " 6.06 Sheathing - 11" plywood C-D-x - D.F.P.A. exterior glue. Primer or approved equal and field paintings as by the Architect. 8) 411 machinery and equipment servicing the bullding should be elevated above "Builders Plana° in recogr equire that the contractor adapt the "Builders Plans" to the 6,04 Piywoud - all plywood used atruttturally shall most the per- 13.4 All connections except as noted on plans and de an* and details *hall flood Ovation, Including heating, HVAC, hot water heaters, appliances, electrical struction will require the ! encountered and make logical adjustments in fit, forM, formanae staadards and all other requirements of applicable have bolted or welded connections as in the let .O.a. Comseral`~ol standards for the typo, grade and species in the latest edition junetlorand circuit breaker boxes. Electrical service should be attached to the building field conditions encounter In an wprove,d manner and so that no undue damage to the building will result when dimension and quantity the antity that are treated only generally by the "Huildets event additional detail or guidance is needed by the Hof plywood and sflall be ae identified by on approved testing of the RISC manual. Iinesll+ during the windstorm. Plans". zb the event adai ctor ~ctucal engineer for i - , immediately notify -therArt ,net for construction of any aspect of the new projectf he shall agency. 13.5 Shop drawings to be submitted to structural eng fy the Architect. Failuge to give a simple notice shall relieve the Architect of r !itect of responsibility €or the consequence. 6,10 Horizontal Siding approval prior to iabrificatior.. Applied over 15 It. felt. 13.6 Enactor shall pcavide adequate temporaYy boar ir^ ary bracing for dywoodr roof trusses SQUARE FOOTAGE CALCULAM 'A4CU1,ATX0NS 6.11 Provide dowblo joists under all parallel partitions. lateral stability until stud walls, plywood, cc CJ sq. ft. deck sq. ft. and sheathing are in place. let Floor sq. ft 6.12 _provide ,F2) .2°x6" headers min. over any window, door ~T 2nd Floor 1q. ft sq. ft. Porch sq. ft. gotolag ur any opening unless otherwise noted. 14.0 MISCELLANEOUS Li be used so as not i t Q sq. It. garage sq; ft'. 6.13 All hoaders 61 or larger must have double support atude. 14.11 Extreme care and proper measures shall be used to damage bulge, or tip wells due to Anp.,,puper: any.,, paper i wposed TOTAL I~~Q sq• ft pressure, shoring, bracing, etc., shall be slap: ell he employed until e an the wall. ; 1~ ARMING 7,6 ^ma zawar. sera MOISTURE PROTECTION the full dead load of the building is an the w tth other drawings [Sc A'_ i1t~;4 A i ION 016qC`CTCl THE LAW FGH ANY 7.01 pampproofing, brush apply one coat of asphalt emulsion to 14,2 where drawings are - in conflict with other r tty the architect for PSIL T.vN 0141,-ES$ A ~sNT(` UNDER YME. exterior of oil below grade walls. or details, the contractor shAn notify the AV, cLacifications. 0,HcG!l10N OF UCEWE.D ARCHITECT TO 7'.02 'Sill Soal x 5-k" comprrssable fiberglass beneath all - A;-MH ANY f3'EM ON THIS DOCUMENT IN rxtarinr'eill platen. 141:7 The 4:Ch;teut wail not have control or ehaCga., )r choege.of and :ions easne, - wi;j no'. hvetponsibla for constructions meona fraas or for 7,43 insulation - floor i wells - 5-V Batt. R-19 inaulation. sethada, taehni.iHes, aequen"4# i programs or f4 innaction with Kraft paper fee* vapor barrier. Coilinps at roofs dofety [3recautaons And programs xn connection ^ ,TadY WAY. _ fiberglass 80 batt R-19 graft paper faced or as noted the vQck. gtherwi~le A. The contraccoc mall give all notices i ca, ticee 4 comply e w, r;v ;r. with all laws, ordinancoa, rules, rogulati, regulations L04 atsefi otherwise asphalt shingles- Apply over 15 lbs talk at and lawful orders of any public apthority I ;Mthority bear- q~ 4* noted , etlier, ing on the performance of the work sod she rk and shall y w m t the drawings a w ~ promptly notify the architect if the drawn end specifications are at variance, therewl ce therewith. 2 017 20 ah o, a. ; 7.p5 Plai}hieigrt- )liuminum flash~1ing. Baked rnessl while flash &~qJP o f srq £ n~7he. a PETER T. MOOLAS AXA all wullYpaSekratioha. glaab 411 corners. Plash all, ~allsys. r1Ali9es, vipdowa: door heads, and joints of dis- I ARCMT94T ~e~tA41aY sralaa'Clalr. 1t 5Pa' ! -5 wu uwe. acu 9y, nerr;s "ftG, eY 1"00,51tlft 0" l CYUnf 7:11iS : Gr llKier #4*l:iat as soi*cted.by builder. ( - sowr.w, aowiw, D ~ fl t S k ' bi#.lkl 18aJldera,;" 0,W p;#tiniohod aluminum guttata. - _1tRhed rl ryiainpm lop :'IF's. . ~ t - .11CA11' w4 .1ewe' I/e4 4 i i ' ' i r i 4 d c I nn ~ f F i I ~I FIO,~ I I I (E I f --y,~ ~ r. N ~.~.,.~~~~~~~-~i _`hm..__f~___~ ~ ~ 14 . T /G; ~2EiV/ r v 1\ 1 II I may. ~ ~--"`-3';a . ~ - c7i~l ~a li. 2'xc~'u-~ u,z~~- i I J P ill I ~ ~ DTI y~~ -~-"_r I~ W/T rcS Ty-C5 µw~ ~ fAF _ f i ~i i 1 r° 2119) ~k bi ~xl !K ` i ~EDPENI ~ ~ 31i ~ ~ i PRO IDE ENIM-FOR J_ - my ES (Apr "Q C) !1! ~E GEM YESAt `[-Y BI PA 17 1F Ii _ I ~ I i 2v'c-~ ~~.vC9 ~J I ---7 ?----'-'-7 DTLI" N.EQUI ED' B PART R Of 4 t N BMLD G OF ` TER ILDIN DE. ~'<'s>' Kee'=~ ! F~~IF~ 'QM- °i-~G•~ Pr'.~T R~f~ I ~ J014-I7- C-~7/ti~r1L-~ <d J I' W 1 (~~;A ~r toll C, a.,, ~m 5a1 to ~ 1 G 4 I-.. it ~li. I \\\2~ Y,~• i 1 i , G~l'_ 2kvJ IT~° ~ _ j III '~T ~ Fl r--~r %1) (p VV w t r _ 51 tau 3~I c r . IS - - - - - - - X44 E -tAL i Y I 2 ~ I~~I i I ~I 6T,2HO, f "i.g' . P„04 I i 1115 w M~ J Det1i2 1 f i PET[R T. PODLA! A.I.A P o 7-1 6 wweRlrecr } 1 I Ind I -C4 3 I q _ . t a.'..~._ E-T r ` I - z } L4 j CJs? _ L. 1 -r- I -T s cl al N( --l I - --2 7 / t ~ ~ ~ ~ _ _ ~o ~ ~f°'tt-I ITT Fi M1 - -f i FJI,cyaov S a b 001W) FF I f IF , ~~`~1 ~4 ~ ~ ~ 1 140T F-vk* 4+A_lK/ `I - _ - - - - - 3 ---1~ Mgt Roof ` ~~~I~~! l Oh V. r 1 (IIG{~ Q Lam, 2» xoE jAAh ~i ~eskApsar 1~ to *iqk, 000 tt11~~ ~~p TYPICAL WALL n `LdV fcc-~~T~~C)C' 1~.u l~~r p I, ei,di*g r I"-~ I ~I 1 ~I~`JJI•~"`rt1U ~r) ~~~yvak ggxCura~}~ibr ehaafiMit}g l l~ - f.*Arl insulation 1"~e• €aatais Ese~'R'~e9 ~ 21x~'C,9 Z~rG"G~ gypsum wall boaid ALAA" vinyl or wood soffit Vitt' - ht vents as Ated ~•ec over ~ L •~r{-~-~ overhang as~ indiamted t 1 t . I - - c 15r 2,10 FLc€R ,c:r o 7J yP -Ti ! - - - t.- - - G 1 TYPIC L N CTI4 LI 11 L7 11 t 1Tv, ) 2x11 - -i-~ _ - axG (;CA - - - - alamipu, ~ r its shield rt - i i dia 4hdc bolts Li LC I r TYPICAL!gilN.ATIPN f- A 8" poach' ~coijarete €aund~. ~ vail keyed t P Y ooncret €odtinq oohcrete slab 4ampproJnft,41 34 dia6~96604 tip Columns on a 2 x2 xi poured conc AAh i th 4 I c iIOL% 70 • ~w c •172 < TgrE rgrE ° B0~ PETER T. POOLAi A.I.A f f ARCHITECT M - LAILA LANE, BOX 285, IIEMBBNBUNO, NY 11000 910320.0029 r . ~C lCALe: A8N TEO i nF ~l Ofli Np ~