HomeMy WebLinkAbout22553-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23795 Date JULY 25, 1995
THIS CERTIFIES that the building ADDITION
Location of Property 3295 HAYWATERS ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 111 Block 11 Lot 19
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 27, 1994 pursuant to which
Building Permit No. 22553-Z dated JANUARY 11, 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 2ND STORY ADDITION WITH GARAGE UNDER & REAR PORCH TO EXISTING
ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to CORNELIUS M. & CAROL A. MCSIDM
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING - JULY 24, 1995
PLUMBERS CERTIFICATION DATED JULY 25, 1995- BERTSAND PLUMBING & HEATING
Building Inspector
Rev. 1/81
FORM NO.b
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 •1..... 19...9`c
NG 22553 Z
Permission Is hereby granted to:
....Ec f........... ~GS
,.."9......~~ ......~fr f........
to w?!/sr t `J `I. ,.....rr7o
.........fJ zJ~.~G? i .........f..`!~l........................
.
at premises located at
County Tax MapNo. 1000 Section../// f ,99........... Block ........99... Lot No.
pursuant to application dated ..................`r ..7,...... , 19....1.. and approved by the
Building Inspector.
Fee
But in9 Inspector
Rev. 6/30/80
j .
Form No. 6
ti
JUL_ 2 5 No
N¢~ SuRVL''{ l5 bN F~ TOWN OF SOUTHOLD
V
BUILDING DEPARTMENT
V.71 BVILb iN(i ~QQT.
TOWN HALL ::;F2^:-i.. iEiE DEEP°£ _
F 9bLIJ
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-O 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 Buildine - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00•, Commercial $15.00
Date uL
New Construction........... Old Or Pre-existing Building...............
Location of Property.... 9S....'~"~`{lAl~'(l .....~_p....... e,~LC,.~~V~.H .
House No. Street Hamlet
Onwer or Owners of Property.C:Q&W0-~U5 M- 8..CAoL...~:...t1E...........
County Tax Map No 1000, Section M Block IL........ Lot...... 1~
Subdivision. .~4 : p:... we*5 Ar) ............Filed Map...` d.~ Lot........ .0.5
Permit No. 225 3 Daterr Of Permit S...Applicant Q w ov?
Health Dept. Approval..... Nl~ .................Underwriters Approval.... 0C
,Planning Board Approval
Request for: Temporary Certificate........... Final Certicate
Fee Submitted: ?0,,,,,,,,,,,,,,,,,, ,
C o'~9gS~
~ ~ CANT.. mss:,,
_
FIELD-INSPECTION=REPORT=====_=====I- DATE_II_==---- _ COMMENTS
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II- 51
FOUNDATION (iS
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FOUNDATION OND)
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II II N
II II C N
ROUGH FRAME &
PLUMBING n II v1
2QIJ -2 9. I~ II ~G~j= Z~C/ 1
II II
INSULATION PER N. Y. iir y
STATE ENERGY
-tw
CODE
Jil-
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FINAL II. 1I't,/ ~
ADDITIONAL COMMENTS: ft
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TEL. 765-1 W2
Q~~c~~FFOLkcO TOWN OF SOMOLD
OFFICE OF BUILDING INSPEC`T'OR
P.O. BOX 728
TOWN HALL
SOUTH
OLD, N .Y. 11971
col ~a
C E R T I F'I C A T I 0 N
Date July 25, 1995
building Permit No. 225532
Owner Cornelius McShane
(please print)
Plumber-Bertsand Plumbinq & Heating, Inc.
` (please print)
I certify that the solder used in the water supply syatpm
contains less than 2/10 of 1% lead.
x
plumber's signature)
Sworn to before me this
25th day of JulY,
19 95 Notary Public
Notary Public, Suffolk County
EILEEN M. ROACHE
Notary Public, State of Newyork '
No. Qualified in Suffo Suffolk County
Commission Expires January 31,192(e
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DONALD G. FEILER • ARCHITECT
600 Ole Jule Lane • Mattituck, NY 11952 • (516) 296-5250
July 24, 1995 fir? aj'! S z Inc
Mr. Gary Fish, Building Inspector
Town of Southold Building Department
Town Hall, Main Road, Southold, NY
Re: Proposed Additions & Renovations to the McShane Residence
Haywaters Road, Cutchogue, New York
Dear Gary:
As per your request, 1 have investigated the hatch door at the garagetcrawl space
at the above mentioned project, and can verify that the metal covering on both
sides of the door meets the requirements of the Codes Rules and Regulations of
the State of New York.
ry truly yours,
Donald G. Feiler
DONALD G. FEILER • ARCHITECT
600 Ole Jule Cane Mattituck, NY 11952 (516) 296-5250
April 24, 1995 APR 6 (VU7
Mr. Gary Fish, Building Inspector
Town of Southold Building Department
Town Hall, Main Road, Southold, NY
Re: Proposed Additions & Renovations to the McShane Residence
Haywaters Road, Cutchogue, New York
Dear Gary:
As per your request, I have investigated the load-carrryring capacity of the garage
header at the above mentioned project, and can verify that the 2-2x10 header
that is in place is adequate.
Very truly yours,
Donald G. er
e Rio
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M-1102
BUILDING DEPT.
INSPECTION
[ ] FOU TION 1ST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
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DATE Y INSPECTOR
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M-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
4
REMARKS: &101
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DATE INSPECTOR
4
~a 5-57 3
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
( ] FOUNDATION 2ND [ ] INSULATION
[tjXFRAMING FINAL
REMARKS: &nL4 II-- 9
f
DATE J INSPECTO
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ROUGH PLBG.
f [ ] FOUNDATION 2ND [ ] INSULATION
[t-~RAMING [ ] FINAL
REMARKS: 0
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DATE INSPECTOR
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765-1802
BUILDING DEPT. f®
INSPECTION 0`7
~f
[ ]FOUNDATION 1ST [ ]ROUGH 7LBG!.~
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARK
DATE 7` C INSPECTOR u
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND r ]/INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACES CHIMNEY
-~./l
REMARKS:
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DATE ~ r~ ~ INSPECTOR
,,2Zss-3
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN TION
[ ] FRAMING [ FINAL
RE~I~ARKS:
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DATE J INSPECTOR w
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1,
1185077 BUREAU OF ELECTRICITY
F 85 JOHN STREET, NEW YORK, NEW YORK 10038
bate JULY 27 ,1995 Application No. on file 87945995/95 N 359086
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant namedon the above application number in the premises of
MCSHANE, 3295 HAYWATER ROAD, CUTCHOGUE, N.Y.
in thefollowing location; ® Basement ® Ist Fl. ® 2nd Fl. OUT .Sertion Black Lot 15A
was examined on JULY 2.4,1995 and found to be in compliance with the National Electrical Code.
i
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
H P
OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT K W. AMi. K. W. AMT. K W. AMT K. W. EDNA
31 37 48 31 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI.OUTLET ERS
BEII SYS
TEMS
AMT K. W. OK H. P. GAS H. P. AMT NO. A. W G. AMT. AMP AMT. AMPS. TRANS. AMT H. P. NO. OF FEET WATTS
2 1' 600
SERVICE DISCONNECT NO. OF - S E R V 1 C E
PMT. AMP. qpE METER 17303W 3,e' dW fNOOF COND A. W. G. OF HbIEG AW G. NO. OF NENRAlS A. W G.
FOUIP. d f CG COND. OF M6EG Of NEU1RAl
200 CB 1 2/0 1 1/0
i
OTHER APPARATUS:
:
CEILING FANS-F-4
WELL PUMP 3/4 H. P.-1
f PANELSOARDSt1°16 CIR. 125,1-10 CIR. 60
~ G.F.C.IS-5
SMOKE DETECTORS-2
ROSLAK ELECTRIC LIC.#3677-E
P.O.HOX 164
CUTCHOGUE, MY, 11935 GENERAL MANAGER-.
11
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.
3
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE.ALTERED IN ANY MANNER.
ri
BOAFD OF HEALTH
75~11'
FORMNO.1 3 SETS OFPLANS.........TOWN OF SOUTHOLD SURVEY • • .
BUILDING DEPARTMENT CHECK _
TOWN HALL SEPTIC FORK
PLDG. (DEPT SOUTHOLD, N.Y. 11971 2tz - -1p-~~zs6 Cw~rc)
70WN OF SOUTHOLU TEL.: 765-1802 N. OT I FY ~ 201 3, T 1- 9 82-? (ffV-ke)
Examined 19 (J MAIL -TO' e 7
AC 5
Approved 191~ . Permit No.153. Jrnir- - .i
Disapproved a/c C CAM ~-dA'~
V
. B e
x 6l2
(B d• In pector)
APPLICATION FOR BUILDING PERMIT
Date Z l 2
19~
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, 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, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessa Mct-il
ns.Pia LYC
- (Signature of applicant,.ot name, if a corporation)
.5-r/ 1/d4-44- 6"1 v/tv,Cr
~~wJ. c9765J
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build
o6vNr/Z
l~ .c ~YVG~
Name of owner of premises ? ! e Lru s /y-i r -Y C 4 Aa L ft.
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
/Yo 7` .v~opZIc-p,
(Name and title of corporate officer)
Builder's License No .
Plumber's License No .
Electrician's License No .
Other Trade's License No .
1. Location of land on44V which proposed work will be done. C......N. L t fF~2 . ~ecoNlc ~aLU(~ C~nnrN~ ~w gyp.
32- . wA41-11- l..~
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lof:
Subdivision c . . . . .II. . . . .U. . . . . . !a . .
. . . Filed Map No. ...g4 ......~).ot .:"..a:...
(Name) - =
2. State existing use and occupancy of premises and intended use and occupancy of proposed cc11. rS' fibn:
a. Existing use and occupancy c - S r ( A «n c y } `
•.v?.....;
b. Intended use and occupancy eS/~JP cE . ~e Fd}Mt .
3. Nature of work (check which applicable): New Building Addition ....X..... Alteration ....k.
Repair A<< Removal , • Demolition Other Work .
(Description)
4. Estimated Cost l0~ q0 Fee .
~o be
5. If dwellin number of dwellin ti (to be paid on filing this application)
g,
g i nrts Number of dwelling units on each floor .
If garage, number of cars ~ . , • . .
6. If business, commercial or mixed, occupancy, specify nature and extent of each type of use !~-ege
7. Dimensions of existing structures, if any: Front 3k+. r.T..... Rear 36. T -:C Depth ..?z ?..F t. .
Height .$J~OqK4. Number of Stories S, rvycl le. , , ,
Dimensions of same structure wi h alterations or additions: Front . S? C^^~ Rear S H nM
Depth !9 q~\e • • . • , , , , Height S A (wle Number of Stories
8, imensions of entire new construction: Front 1$ t . T Rear tip' T Depth . 61I~.. .
eight Z.f...... Number of Stories ..7'k.. ~L s, , /3s~rvr G~K vS~ .
3 , a r, S'o a 9S 72 30 3 , o .
9. S~eoflot: Front /..0 Rear Depth
10. Date of Purchase 7 f . . . . . . Name of Former Owner T32 ocu ('iL
.
11. Zone or use district in which prefinises are situated A !n/~ FfFm,;Lc~ • , .
12. Does proposed construction violate any zoning law, ordinance or regulation: NQ• , . • • , .
b27` 67712
13. Will lot be re /~71 iN0!L
graded G d7 •
Will excess fill be removed from premises: Yes
14. Name of Owner of premises . • . • . , Address MoI: ?..1".6 etc%~Y Phone No.
Name of Architect • • Address el f V 2 Phone No. 5 7. .Sz s"o.
Name of Contractor SA; . C'~ lfr /c, X f(- C-Address NHS! U~. h: , . Phone No. 73~-~s?7r~~.. .
15. Is this property'
roperty within 300 feet of a tidal wetland? *Yes........ No. ,X......
*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 4
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
III •
i
i
I
STATE OF NEW YORI,,
cb NTY OF .N....ecuo. f2 'S
S • iziraG K r ~ ~ S c~~
p• • • • • • • • • • • • • • • • • •*f 11being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the NP«
(Contractor, agent, corporate officer, etc.)
of said owner, or owners, and is duly; authorized to perform or have performed the said work and to make and file this
application; that ail statements contained in this application are true to the best of his knowledge and belief; and that the
work will be perfox,n.ed in, the manner set forth in the application filed therewith.
Sworn to before me this
.............'1C z ....day of .L-~Q C 0 AVO. 4ele'.... 19
Notary "Public, • 1_INDA PLANTS • • • • • • . ' County
blic, Stato of N IwYork [
lNo4ary Pu
No, 31-4621749
Qualified Jr, Now York County (Signature of applicant)
Commission Expires iMaich'30, 19 6
-7
BOARD OF KEALT4i
j - • FORM NO. 1 3 SETS OF PLANS
JU~ 4 19~ TOWN OF SOUTHOLD SURVEY
.
BUILDING DEPARTMENT CHECK
~Uuu"~,,.,~,,,,.,,;°_,„,,„ `-~9ry TOWN HALL SEPTIC PORN.
TOVJfWL-U.`i~~-'t'y SOUTHOLD N.Y.11971
wt7 3 " TEL.: 765-1802
CALL !-~s~ 1..
Examined........ 19 4
h1A I TO:
Approved
Disapproved a c • . • .
_ (Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date . 1..~' .T..., 19
INSTRUCTIONS /
sa. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets! of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, 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
3uilding 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 lierein described.
fhe applicant agrees to comply with all applicable laws, ordinanc ing code, housing c de, and regula ' n and to
admit authorized inspectors on premises and in building for necess ry in ctio
•
(Signature of applican , or name, if a cor ra o
0~I 14U 21 6~... etas ~L
l > (Mailing address of applicant)
m V4
State wA'rb0 p~i~ ~se,~agent, architect, engineer, general contractor, electrician, plumber or builder.
VIA) Al(= 2 a g : F~
Vame of owner of premises 'V&L/U-S 14 • Sfj,pNe
(as on the tax roll or latest deed)
T applicant is a corporation, signature of duly authorized officer.
ly0f,m9~i`?~tca` /1P....
(Name and title of corporate officer)
Builder's License No. / N
Plumber's License No. ....6 ~!A/ . aA-
.
Electrician's License No. P.C
.
Other Trade's License No. Q! XVJ, R 11, , , , , , , , •
Location of land on which proposed work will be done3giw e 1 G t
t Gam' rf'CON!C BW D ~~Rn/n y D.
. . . . . . . . . . . .
~S ZR . ..i.........~~~ . .
HR•i Cu rG Lie L
.1. • • • . • . • 5.........
House Number Street
Hamlet l
County Tax Map No. 1000 Section A// Block f
Lot......`............
Subdivision `j~~• .~.7, ~y~l,5S!1cl ~Qi v ~vb tlll J fled Map No. Q~ s
.4? . 6'.... Lot .......~......x.
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy !!c; FN1 Nv < S cl /Wl VvV~ p L jy a w~~~
~
b. Intended use and occupancy SN MC, S 1 l'~oV e• `x
e4• <Fi~.siF`it2;s.::. ::f:'?5:::', 13ix~-:ti.!:9:`;F(b;~
' I
3. Nature
Repair of work eck which
Rem PPlicable): New Building Addition Alteration
• • ' gval • Demolition . Other Work .
4. Estimated Cost (Description)
y „QC~'i - , , , Fee . • , ,
t, (to be paid on filing this application)
5. If dwelling, number of dwelling Units &N.C.. , , Number of dwelling units on each floor , .
If garage, number of cars °A~
6. If business, commercial or mixed occupancy, specify nature and extent of each type cruse
N. . ? L=u 9(j/
7. Dimensions existing structure, if any: Front ....:36.`, tear 36 : Dc th .
Height
Number of Stories 5 q / P' Vs 'Doclc.'10 FAQ" .
Dimensions of same structur,, with alterations or additions: Front Rear ..4!a•
Depth J. . Height Number of Stories ...°..!a,.
8. Dimensions of entire new construction: Fr , m
Haight t~.., k l......... Rear Depth
Number of Stories .
9. Size of lot: Front 3 Rear ' , . . . . Depth `~5 *
10. Date of Purchase j ;pP-. .NN % Y!? .!F, , , , , , , Name of Former Owner ...Q~9.u FO4. .
11. Zone or use district in which premises are situated . , , ? i/L , , oyvl . .
12. Does Proposed construction piolate any zoning law, ordinance or regulation:
, ' ' ' N'a ' ' ' ' ' ' ' ' ' '
1314., Will Name lot
W'll excess fill be removed from premises: Yes No
of be Owner regradeofd premises Co,R~ .'I'" --f C" l' R( hrdres *-FWy f . Phone No. 7 ~ X - 4 Ky ,
Name of Architect 1* 7-. ;fl~>~!. , , , , , , , . Address . Phone No. .
Name of Contractor XeT. , • , . , • Address . . Phone No. .
15. Is this property within 300 feet of a tidal wetland? *yes.
*If yes, Southold Town Trustees Permit may be required. No.......
PLOT DIAGRAM
Locate clearly and distinctly all 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.
I
36 '
r
OCCUPANCY OR
USE IS UNLAWFUL
0 ITHOUT CERTIFICATE.
F OCCUPANCY
~~~~StiaCl 69D`{toNis
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,
qxe q~i~nn~ a~G ccR
eGA i~~~ o c.
TATE OF NEW YO~3
/O4NTY OF .`•~.,+~F,'~~~4,/G S.S
~e /VC= C~ vs • tr~vv
being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
Dove named.
Q ~1lGlre~
e is the
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
)Plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
ork will be performed in the manner so,t forth in the application filed therewith.
vorn~tpo~b~efo me this t~
L : .day of. . 19
rtary Public, t1 ~b"v tn~C(L
County
CI541RE C GLE1N
Notary Public, State of Now Yorlt (Signatureof applicant)
No.4879506 Qualified in Suffolk County ;
Commission Expires December 8. 1!9
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01 * 3 1
4i q 4 • oP 'o IL AfE New R AfE N ~
= n I< I 5 .i ~E IANCES U ~E IANCES RS ' I ~ ~ L~ I N
O BEUIIRED N i
-e° 0 ® y IE OIRED N 17.3(d(4) 7777,17.3 (e) (4) _ '7~ y 51,j4/1Y, 1 Y^ {E,
R I uP ~,IV,..N 7 STATElOIIDM STATE BUILD CO f J 25 C')
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84
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TO G
G NRTW IPRATION TO IwI11E W.3 (T) (1) OF )F ~bTii 1b tEN Fk~M suRVe M sUR,v YDY R .vaN F' m lU, OM TUYL '31171-7 4. , yygr;'r .
.1' N,y,NNIILDINGCODE 'ODE. 1'tY `r Lo ME: R. NFU
9 F ISYIr~ GONG E;L, I i 4 cc'NG s1 MJ p o
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„ ?nsrrrws"w~w~~~~ / it~l VIAKIL E.~-TOF.10171A
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AP ROVED AS NOTED S3 II ~6 FT bLUM • FL45F#Ir-ICS ~ ~ ',~~'~j~ Tj
DATE: B.P.N# l 1/ 1_
FEE: 3~' % v 2 z NOTIFY BUILDING DEPARTMENT AT - ~/4''GoN'(I r`I. WEt~ 0±~•~ ~F''~'s~W
765-1502 9 AM TO 4 PM FOR THEM ~i
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE I /
2• ROUGH - FRAMING & PLUMBING I r l o W, p.
9. INSULATION tea
4. FINAL - CONSTRUCTION MUST I-,. IL n to v '
.y BE COMPLETE FOR C.O. ' ALL CONSTRUCTION SHALL MEET J I
CD I THE REQUIREMENTS OF THE N.Y.~ 1 -
Q STATE CONSTRUCTION & ENERGY
\\1. CODES. NOT RESPONSIBLE FOR ~P a O
DESIGN OR CONSTRUCTION ERRORS
Ak
PLUMBER CERT/f/CATIONj ~y~ ty F p' P,G, ~DUNdr I^IL-1.L ,~y, .v..l.. .fir d ~~w,°~p
GENERAL tlDTE9 r• CONCRETE A MASIMY ~Ud?11C ON LEAD CONTENT BEFORE "~,'..f •n;.µ•`7
CERTIFICATE OF OCCUPANCY ! J i 11 r h-•
1. Contractor In verify all dimensions In the field. 1. Concrete strength: 2500 psi @ 28 days. SOLDER USED IN WATER
2. Contractor % rid to e>meed,llb "mum sideyard setback distance, 2. Concrete footings to bear on undisturbed spill, min_ bearing 2 ton psf.
as shown on the Plot Plan.' 3. Concrete shall not be placed when air temperature Is below 40 degrees 1 2 ton psf. SUPPLY SYSTEM CANNOT T TL 40 degrees F. EXCEED 2110 of I% LEAD. I
3. EXISTING CONDITIONS: `.7o be.removed - Irw4udes (but not limited to): or when concrete temperature Is less than 501 degrees F. lJ Thy .k.r,
chimney off tank (butiad).Unsce, Water heater,'dur Ia, grfilea4'doors, 4. Minimum depth of footings to be 3'-0" below grade, N copper tubing is used
baseboardi~.~idYou -S window t y~+g/'~.j~ . Fooling steps to be 1 : 2 ratio where required). farwaterdistributing 1 1 '/LII It-Ory' AI14}, n,, ~P Y .
Removal froth uW ails to be Op~ oo W !once with afi rules and regulations 8. Exterior of foundation wells to too damproofed with ;118" (hick asphalt k asphalt system; piping shell be
of agendas lard mdh ~nu judwicti mask, from grade down to and over top op k9pa Miell. s of f footing. of types K or on ,if a,
4. EXISTINO FOUNDATION ';pie Conlreclor b.toadequately protect the 7. Exterior d,exposed Foundation walls In have troweled on stucco finish; ucDo finish; UNDERWRITERS CERTIFICATE
existing ys~tru.~t ghire Iyio,~rn being underminred dwkV g4cava0on end sluom to oormbt of Portland cement; . marble dual 6. water-proofing ~ LAgar proofing ~ Lagent. REQUIRED
consliutlw.Uv hrg and blrl*U O1.watli to be maintained as required 8. Concrete slabs to be placed over well compacted fill, with exexifl0 rhesh x6x#10 rhesh;
to'Asti" the ( f? of Nie,wark adlecattt structure, lip f Pent thickne to be ungarm;'screeded level and steel trowel smooth. Doth. ~F~ CGq ITN~r_l ~~O SQ,
endlhe w 'CMmrleye to be, brick, ss eeleded by dwner. Chimneys to be step fleaht be step flea had PLUMBING
into root with Isad,coated coppaf and capped) with cement wash:, . vash: ALLp UMBINOWASTE Fl.WP, (o7Pj a.
10:,' r Fireplace dompah Donley, Ust Iron, poker typs, :Infiltration control to br?, i t WATER LINES NEED C „
20 cfm. Alt Intake: 'Supeft,,cost Inyti; Fresh ek grIlle: Riesner, `Tb fML J IPJ c C~ asnar.".. ' TESTING BENMECOVERING r
type "C"; cost aluminum.. , G.-Y.15~F+.I~D $~[ZGl'~ 252 .SC,~. ~
O 7
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c 2~ (27 2Kg _ _(2~ 2xd t I
dlv 4x4 POST i
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2r-(v GGD 173 oN C~fLb06 - po I ~'ASK.Y I~OFLO''t _ I I ~ I I r t
Ims ~ N I I I I~
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~ V PROW PROVIDE 601hid Fd
hr ,o„ :p M to d } EMER
l+,,AOo1.4 NOI'F- y l i M t~ ER I r EMERGENCY ESCAPE AS i..=, 1'• ?'''^.`3
~t L4: M 2 b til'P4 -lb tt 94eMOVE0 t NF-W 2e' REQUIR 0 1"~ r'3 j REQUIRED BY PART. 714 OF
STATFBUILDING CODE. N. 1 4r
0-IM5 WL,)TNLIEp IN5XIST CFEmlrvq, _ up F tH 5v l,
1, I 1 1?~,pi h,
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---i.- FW SN 1VP.xPy7'F~~'I; I I I d- PROVIDE OPENINGSFOR °
r~L.I~f-IOWET•LEhIGI_C)`'~~iE O ' 1. ~1~~1 = ~ it I ~ ~l~(Z, l i i # 2' h_ _ I N EMERGENCY ESCAPI AS G
6 _ REQUIRED BY PART 714 N.Y. STATE BUILDING CODS -
~ _ ' clos. . 17100 JIt4 4,: 1
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2nli ~J-I(o /G 00 GIO C) J12 e~
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PLUMBM wl.,te_ ~ cvr l~~rlti~x-7toN to ~aJwFAC-T- NCt7t r
1. BATH PI XT BATH FIXTURES: American Standard, Keno faucets-to be selected. - - - -
j- ~ - M. Bath - La M rX rt)TI t-l _ TO ~ IEIvEt) {r) I l ~Ip LL MCJNB~ .tleth - Lay. - - - - ~GUNl fi IyNR,G A i
T Lov W. Tub
W.c} FaNI U<gtir-1
j Bath - a, Bath - Lev.
Y I Sh Shower - Aker, fiberglass 36"x36" c• ~~.pp
r W. W.C.
WATER HE ENERGY C-ODE&QMMAN.C WATER HEATER: Back, oil fired, 50 gallons, glass lined, insulated; OAT
Existing wa ~n y Existing ng water heater to be disconnected and removed. . ' Building Deelgn by "Acceptable Practice".
I 3. SANITARY SANITARY SYSTEM: existing, no change. C6hatluction, aq Apmehl, „pt MIS $ idstallation to conform to
4. EXISTING I EXISTING OUTDOOR SHOWER: to be removed. the.Naw York State Enargy,Conservetkin Construction,-code. H 1 IT`+
~eIT'~FJ-i Envelope Component; R-fequirod R-provided O`p SMoI~~
c .~yy FI ECTRICA 'TRICAL Exterlor:WeU R-16`; R
Roof/Ceifi"9 11
1 ELECTRIC' ' R•19. R_ t~ ELECTRIC SERVICE: Existing Service to be upgraded as required Floor °'-(Nazing rL Pi Apr W(CIHT
2. LIGHTING I LIGHTING FIXTURES: supplied by Owner, installed by Conlydator.`. EMrence Doors R 2 5 IL 14:4 W~
3. TELEPHM TELEPHONE d CABLE Jack locations as ditbcled by,Owner
Co ,Tothet>est,ofmy- gilpll~~badplples elhtil arrlertl ~ ~r -pouT'i->=
these lliilr era M with fi a coda, ` " Pc- flv i~ ua b,
GOr1'~TR.uCjION bUPI -\IOV4
I
wlrrxnwvEr,-r' ~
~U L.L t.tNC.I'~SN - "
12
d rod
'50F r- 11 TO '51
I
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Asp+r~-t ~wwC~l.es o,n - - - - - - + k
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- r WINDOWS. (BOORS a SKYLIGHTS
ROUGH A PIMBH CARPENTRY " 1. WINDOWS E FRENCH bOORSI: Andersen, while, with win chile, with window screens; 1 ~ I
ings. FLY "cOO ZOM7
1. FRAMING LUMBER: Douglas Fir, Nb.,t and No. 2, 14001b (repetitive), Interior grilles to be whflA, custorin, as per Drawings. 38. 02 !,1 I " C.D -r it4,x, vEN
E = 1,300,000 OD. 1 2. SKYLIGHTS: Insule-Dome insullated safety glass. led with wood frame and
2. PLYWOOOD.' CDs. IN7 APAexterior pile. • 3. EXTERIOR DOORS: Benchmark steel, Insulated with wooc - DuDN W WIµm'1 }i+7 ( 1
3. INSULATION; •Exterior Walls, Rdof"ing iR First Floor - fiberglass balls comprssslon %eatherstdpping. with vapor biirrieft (1ef119d slfl~b~i• ttflalitlt Wells, flew.(! existing " and Foyer Entry- C:donW 449 ghi witch SL10 sidelight, 14", Storm it, 14", Storm/Screen door
Second Floor - R-11 sound l 6dnJ1 belts, unfeded; by Rayrior, full-view baked while aluminum. lardwere. F II ~[,`tINL`C L~.Itr'.iY_ Ef•',"= - i-'j
RIGID INSULATION; stair/feundilieh wells , Dow Styrfosm, R-5; Garage 8 Mach. Eq. - Flush, wilth self closing hardware. 2x12~J-I~" -
4. BUILDING: PAPEAs,,Wail9rTyvek'Nousawrep;eRoof •1%Felt. Stair •Colonial 0-fight.
5. ROOF .SHINQLIES;,aephail4imensionel, S25 laquete, IKO or equal, Basement- relocala axlaUng fmml door. - new and exirrlnp roof,1-' ss lelOtded InOvAt6ri k 4. INTERIOR DOORS: Pine 4-Pamel; existing doors to be reps; ors to be replaced. - - - - - I III ~ ~1 .L I
e RIDGE VENT:.Cor44VertJ Cantliluaus Md fake overhang. 5. HARDWARE: Schlsgs, A eeriest, Plymouth, finish to be safe Ash to be setected;
light Latch; I IST LGj
7. PORCH ROrJFt rQ0 hggr >Ji•sok shee4 double.cpveroge. , Exterior- A53PO Entrance lock tend B250PD Night Latch;
8. SIDING:. Well Shltglew ~ R1 ftd Cedetperfeclions; -1B" long with e"exp : Interior pass drxNS - A403 PrivalCy lode; vertical $Idllg:' lx0',Rbd 0i*.'N6.:2'6r bitttaY,, fRGs butted jotnL Closet doors • A1Q9 Cldeel Letcih.
electric auto opener. J J - 8R'
9. EXIERIOR'TRIM~.~y; a.11Vhile E?Irkaj E1 or bellef•' e. OVERHEAD DOOR: Steel, tolsred panel, with electric auto c 10. SOFFIT&',0',,A=C prywodc{-Whooth faced., C(cnt
11. PORCH Cibt.iNd 1xe, Cedir, TRG, V-Joint, "B'.pr better..,
12. PORCH FLOOR:>1k4 FirDeol4 TRG, Instal pi.rallel to piich.
13. PORCAFLOORUNOERiAYMLNT; GAF-WeetherWalch. FINISHES, k-I
14. PORO~1.$CI~ ENk .Clear P,", 514X2 hop' (ride Allfl.lot,tall, 5/4x3 bottom ll
rail; Bfallirit1111 wire efxeerdllp? toreon door to bietdl. 1. EXTERIOR, PAINTING: Wood 'Ifrim A primed 1 finish coat w 1 finish coat latex paint.
15. DECKING d .$TEPSs.''Cedef STK; framing lumber- CCA tl1 i . 2. SHINGLES ll SIDING: 1 coal stemf•trensporenf stain. it stain. w <xG ~nFrA1~ -
10. GUTTERS& kEADERS: belted while alumidunif 5"xa-1/2" gutters; ` 3. INTERIOR PAINTING: 'Wells RCeilings -1 prime coal t4 1 1 he coal & l finish coat' GIMP. lFr l
2"x3" Ieadelsti cdfiupeted .prbvl' concrete splash fife Ilullar to be telex paint; Doors 6 Wood Tdmi - 1 prime coal A 2 8oish coi 21folsh coats lalex,p'dinl. ~r - 151/P~ TY(~ Ca~P {-'i- d1in,Icoalsealer, w= F{lS1GPS - - I Wi res rKTi art ~lrlt
InateNNfid atk~asUrg"Abhli~ivafk.;t~~ • ` - ' 4. INTERIOR WOOD FLOOR`. sarrid, pickling stain, l coat seat
17. WOOD FLOORING : 01 o*non Rod Oak, 2rd32" x 2.114". 1 coat polyurethane.
18. STAIRS'. i Pak tread!; pineAsks; Stair Parts lobe Collimen traditional 5. PORCH FLOOR: 1 coal sealer„ 2 costs marine grade polyu a grade polyurethank' 3 ~,i U Fv b-:--T ~
style by Viseddr dt.egt*Aet'4nd flbor Balusters - C-5015, painted;
r fi . Newel-'040`1o.
19. INTViI¢IOtt.Y~rOOD) RIM:" Feldman Clear Whle Plne; Base • 8308 R1 E CERAMIC TILE II A I1 GG~f\/J ` fl~
11/tfi" Xr7$l1 e' Door 3 Window Cooing - L-8308 R2E I II16" x 2-112". J I ~ t~s
Windows. to have stools. 1. FOYER, KITCHEN, BATH FLO(ORS, BATH WALLS - walns IALLS • welnscoll height,
Note: Fkietir)p bosebosrd, door window casing - to be removed; M.BATH TUB SURROUND - fuel height:
New wood tttm ldba instshed- . -r : ' . Ceramic Tile & materials - to be supplied by Owner,
20. MANTEL CtmrbW1.6W by Woodcarver, to be palmed. Installation to be thinset; tub wailis to be set over Wonderbe ier Wonderboard. T I l- rF
21. GYPSUM BOARD[ 112" tapered edge: mrAtuie resistant at Beth Rooms; 2. FIREPLACE: marble hearth & sturround, by Owner. wner. I 1
518" Type X Firooode at Garage and Mach Eq. csUings 8 walls.
22. CLOSET SHELVING`. '4/4" Ph-wood, A=A, with hardwood edge;
1 Clothes - 18" shelf, 4 Linen - 20" shelves; 2 Laundry - 18" shelves. BATH ACCESSORIE:1
23. DISAPPEARING STAIR: Bossier Model 25.
1. BATH VANITIES: M.Balh, suppllted by Owner. i.. J ~ I I_~ I I
2. MEDICINE CABINET: each 8a9h, as selected by per Owner by per Owner L L
3. MIRRORS: each bath, 1/4" politshed plate glass, 30"48" se, 30"48" r ~