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HomeMy WebLinkAbout21191-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23283 Date OCTOBER 14, 1994 THIS CERTIFIES that the building ADDITION Location of Property 2213 INDIAN NECK LANE PECONIC, NY 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 JANUARY 15, 1993 pursuant to which Building Permit No. 21191-Z dated JANUARY 19, 1993 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 FIRST AND SECOND STORY DECK ADDITIONS TO A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN DE GENNARO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H038724 DECEMBER 20, 1994 PLUMBERS CERTIFICATION DATED N/A Building Inspect Rev. 1/81 FORM NO. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N °-N° 21191 Z Date 116z 19 ?3 j Permission is hereby granted to: . ...44 r ...Y.. S r. at premises located at .....::~2. c rF. ? y C,?s...4r~ E c County Tax Map No. 1000 Section .lam(. Block Lot No. .1.. . pursuant to application dated A~ 191 and approved by the Building Inspector. Fee 3.•.. B ' ding Inspect } Rev. 6/30/80 M Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 2110 of 1% lead. 5. Commercial building, industrial building, multiplk 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. 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. 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 ew Construction.I:A Q ~ Old Or Pre xisting Building... ocation of Property....~J...:~f.......C~l e House No. Street Hamlet nwer or Owners of Property.'A.0. h ,f:4YI/~s/~v ounty Tax Map No 1000, Section.... Qr! .Block... Lot. °J ubdivision....I...n ..............................Filed Map....... Lot. . ermit ..Date Of Permit Applicant.).Q. l-' \ (a~_ f:~ /?~~'U 2alth Dept. Approval ..........................Underwriters Approval......................... Lanning Board Approval equest for: Temporary Certificate........... Final Certicate.... Submitted: $......f~ ~y )3 APPLICANT Consultant )C <'?7~1t2~ i~~: Project Name l~~r~Hvl DQ G~~ « JAN 5 19M SCTb1 #10oo- Date The Southold Town Trustee office has determined that your application for a R%tland ermi is n-it ris zcti.or please consider the following information in this regard for and required return submission: ~aP /lro"h ' ,~`>?~/J/Jig. ?~4r~ n o V f/ / 14r~x- rustee R prey n' ti e cc: Building De pea-~:s . i~trn~t3g--Be__ This notice makes no claim with respect to other jurisdictions within or outside the Town of Southold with respect to permits, permission required. 4/92 =1ELD 1: :i jlJ :S jl (i9ENi^ M, s1.. a~ FOUNDATION (1st) ~'1 ' c FOUNDATION (2nd) 2. `off SOUGH FRAME $ .PLUMBING to H =11SULATI0;1 PER N. Y. n y STATE ENERGY CODE } ivi D FINAL ADDITIONAL COMMENTS: m x • x O r yy I v• 1 H m / X ((D 3 JAN 1 51993 co -i z m O o~amCD v 300 m 3 a o ~ CD .O 3~~~~ Sv CD CO -z -t ~1. CDpu(D CD 3 h - CD Cfl CD DO = Cl) O ~ n SI) O =3 ICU QC: =3 ~'m O m CD -i 1 .+O co :3 O opmqq% =3 m CD (n C O Q. O- CD 3 IL A C CD CD ty o 0 X nl O m 0SD = O N 1 CD 0 .-r CA 00 3 o Q COoC=o CD Cp 0 (D CD ~00-n~< SU xo sv O CD -3 o O - r« ~NS~n0 n CD~p~~0 O 3 CD (0 0 CD M CD ccD, a ~ 0 r'- w < ~ % o ~ "m°-3~u' (n O o N - :3 0 m :3 CL -95.20.6 (10 90)-.'S, SEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CON'SERVATION' • DEC PERMIT .NU•NIMR ® tFFECTIrE DATE 1-4738-00546/00002-0 W December 9, 1992 FACILITY PROGRAM NUMBER(s) Y" Ypv~ M IT EXPIRATION DATE Under th or~CR Conservation Law (ECL) December 31, 1995 TYPE OF PERMIT (Check All Applicable Boxes/ ®Ne - I_1 IReme al ?Modificabon ?Permlt to Construct ?Permn to Operate Article tecton of Title Water ~ SArticle POES 17, Titles 7, 8: a HArticle 27, azardous Waste Management 3 Pro Article 15. Title 15: Article 19: Article 34: Water Supply Air Pollution Control Coastal Erosion Management Article 15, Title 15: Article 23, Title 27: Article 36: Water Transport Mined Land Reclamation Floodplain Management a Article Title S Article e Articles 1 19, 27, 37; Island Wells Freshwater Wetlands 6NYCRR380: Radiation Control a Article 15, Title Article l Other: Wild, Scenic and Recreational x Tidal Wetlands Rivers Article 27, Title 7; 6NYCRR 360: 6NYCRR 608: Solid Waste Management Water Quality Certification PERMIT ISSUED TO _ TELEPHONE NUMBER John DeGennaro ADDRESS OF PERMITTEE 22 Bridge Lane, Pt. Jefferson, NY 11777 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER ( 1 NAME AND ADDRESS OF PROIECTIFACILITY DeGennaro Property 2213 Indian Neck Lane LOCATION OF PROIECTIFACIUTY Peconic COUNTY TOwNlBC WATERCOURSEIWETLAND NO. NYTM COORDINATES Suffolk Southold Richmond Creek E:- _ N4 _ DESCRIPTION OF AUTHORIZED ACTIVITY Construct 12 feet wide porch along three sides of existing dwelling. All work shall be in accordance with the attached NYSDEC approved plan. 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 (See Reverse Side) and any Special Conditions included as part of this permit. xaR,tes Deputy Regional O4 - 4; 14 V PERMIT ADMINISTRATOR ADDRESS David AUTHORIZED SIGNATURE DATE /~GLs~i~// ¢~uu~C December 9, 1992 Page 1 of 4 GENERAL CONDITIONS Inspections 1. The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determi~e whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71.0301 and SARA 401(3). A copy of this permit, including ail referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. Permit Changes and Renewals 2. The Department reserves the right to modify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations is found; b) the permit was obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) environmental conditions, relevant technology, or applicable law or regulation have materially changed since the permit was issued. 3. The permittee must submit a separate written application to the Department for renewal, modifica- tion or transfer of this permit. Such application must include any forms, fees or supplemental infor- mation the Department requires, Any renewal, modification or transfer granted by the Department must be in writing. 4. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPOES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. 5. Unless expressly provided for by the Department, Issuance of this permit does not modify, supersede or rescind any order or .determination previously issued by the Department or any of the terms, con- ditions or requirements, contained in such order or determination. Other Legal Obligations of Permutes 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibili- ty for all damages, direct or indirect, of whatever nature and by whomever suffered, arising out of the project described in this permit and has agreed to indemnify and save harmless the State from suits, actions, damages, and costs of every name and description resulting from this project. 7. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impair- ment of any rights, title,' or interest in real or personal property held or vested in a person not a party to the permit. 8. The permittee is respon ible for obtaining any other permits, approvals, lands, easements and rights- of-way that may be required for this project. it . y' Ali .v .y..a Page 2 of 9520-6a (10190)-25c ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34, 36 and 6 NYCRR Part 608 ( ) 9 That if future operations by the State of New York require an ak other environmentally deleterious materials associated with the i ier,atiob in the position of the structure or work herein authorized, or protect if, in the opinion of the Department of Environmental Conservation 13 Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly, without leaving large refuse piles, ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State, the owner may be ordered by the Department to a waterway remove or alter the structural work, obstructions, or hazards caused 14 There shall be no unreasonable interference with navigation by the work thereby without expense to the State, and if, upon the expiration or herein authorized revocation of this permit, the >tructure, fill, excavation, or other 15 If upon the expiration or revocation or this permit, the project hereby modification of the watercourse hereby authorized shall not be com- authorized has not been completed, the applicant shall, without expense pleted, the owners, shall, without expense to the State, and to such to the State, and to such extent and in such time and manner as the extent and in such time and manner as the Department of Environmental Department of Environmental Conservation may require, remove all or Conservation may require, remove all or any portion of the uncompleted any portion of the uncompleted structure or till and restore the site structure or fill and restore to its former condition the navigable to its former condition. No claim shall be made against the State of and flood capacity of the watercourse No claim shall be made against New York on account of any such removal or alteration the State of New York on account of any such removal or alteration 16 If granted under Article 36, this permit does not signify in any way 10 That the State of New York shall in no case be liable for any damage that the project will be free from flooding. or injury to the structure or work herein authorized which may be caused 17 If granted under 6 NYCRR Part 608, the NYS Department of Envlron- by or result from future operations undertaken by the State for the mental Conservation hereby certifies that the subject project will not conservation of improvement of navigation, or for other purposes, and contravene effluent limitations or other limitations or standards under no claim or right to compensation shall accrue from any such damage Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 11 Granting of this permit does not relieve the applicant of the responsi- (PL 95-217) provided that all of the conditions listed herein are met. bility of obtaining any other permission, consent or approval from 18 All activities authorized by this permit must be in strict conformance the U S Army Corps of Engineers, U S. Coast Guard, New York State with the approved plans submitted by the applicant or his agent as part Office of General Services or local government which may be required of the permit application. 12 All necessary precautions shall be taken to preclude contamination Such approved plans were prepared by R. Van Tuyl dated of any wetland or waterway by suspended solids, sediments, fuels, 4/14/92 last reVlSed solvents, lubricants, epoxy coatings, paints, concrete, leachate or any on 8/18/92 SPECIAL CONDITIONS 1. The storage of construction equipment and materials shall be confined to within the project work site and/or upland areas greater than 50 linear feet distant from the tidal wetland boundary. 2. During construction, no wet or fresh concrete or leachate shall be allowed to escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices be allowed to enter tidal wetlands. 3. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands. Supplementary special conditions (A) thru (J) attached. DEC PERMIT NUMBER 1-4738-00546/00002-0 PROCRAMIFACILITY NUMBER Page 3 of 4 New York State Department of Environmental Conservation ,.Building 40-SUNY, Stony Brook, New York 11790-2356 (516) 751-1389 NOW Thomas C. Jorling Commissioner December 9, 1992 John DeGennaro 22 Bridge Lane Pt. Jefferson, NY 11777 Rg; 1-4738-00546/00002-0 Dear Mr. DeGennaro: In conformance with the requirements of the State Uniform Procedures Act (Article 70,ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing-your permit. -Please read all conditions carefully- If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, Laura Scovazzo Sr. Environmental Analyst LS/nw enclosure John DeGennaro 911194 2213 Indian Neck Lane Peconic, N.Y. 11958 Rer Building permit 21191Z Dear Sirs; Due to an oversight and my being sent to Turkey by my employer I have forgotten to ask for an extension of my building permit. I have spoken to the building dept. and was informed that i had to send a letter requesting an extension. Please use this letter as a request for an extension (6 months) for building permit # 21191z. If there is a problem please either write me at the above address or call at (516) 331-3164. ank You / John DeGennaro H6,119911 SLOG. DEPT. TOWN OF SOUTHOLD M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 N [ ] FRAMING INAL REMARKS: DATE INSPECTO z' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REMARKS-" i t DATE 6 INSPECTOR A THE NEW YORK BOARD OF FIRE UNDERWRITERS rncr3 dv34~ZP BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date Ij110"C4B,f5R 241, 1993 Application No. on file 78033792/92 33 G3;18'124 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant namedon the above application number in thepremises of JOHN DrGENNAIW, 2213 INOTt1.0 fIFt7K LFLNE, PFr110 ItJ, N.Y. in lhefollowing location; Basement 0 Ist FL 0 2nd Ft. GAR/t1TTSC/OIIT Section Block Lot was examined on o 1S r kl 411315 R 16 , I LI ,1 3 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACIE$ SWITCHES INCANDESCENT FIUORESCENi pTHER MIT K.W. AMT K. W MAT t.W AMT K W. AMT. H P. 36 S5 2R 3, 4 1 R.J 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 NO. OF FEET AMT. wpii5 1 1 1"l D!'i1H 1 3E SERVICE DISCONNECT OF S E R V I C E AMT. AMP TYPE METER 1 q 4W 1 ,R JW 9 ,9 3W 3.0 dW NO. OF CG COND A W. G. A. W. G. EQUIP. PER 9 OF CC. G0ND NO OF HbIEG OF HLLEG NO. OF NEUlRAlS OF NEUTRAL L l(1O CR 8 1 2iIn 2 0 OTHER APPARATUS: JAf'If SZI'- I ROTORS 1I 1 11.P.,6.K 11.Pld.N.C.T:-I8 SMOKE f B'11111V' k( r1 TRM!K L7CTINCr 20 ?2 13RInr,r M11f;NN 11AW: A r~ NI' P 9' , ,i Fl 1~ It S O N , 14y, 1 1 7 7 7 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'liy their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. CHARLES T. HAMILTON Chief, Marine Regulatory Section NYSDEC, Bureau of Marine Habitat Protection Bldg. 40, SUNY, Room 228 Stony Brook, NY 11790-2356 Re: Permit No. Issued To: Contractor's Name: Contractor's Address: Contractor's Phone No. Dear Sir: Pursuant to General Condition Number 1 of the above referenced permit you are hereby notified that the authorized activity shall commence on This notice is to be sent at least two days in advance of commencement of the project. The permit sign will be posted at the site and copy of permit will be available at site for inspection. Submitted By: Date: FAILURE TO NOTIFY OR POST SIGN WILL LEAVE OWNER AND/OR CONTRACTOR SUBJECT TO APPLICABLE PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITION. CHARLES T. HAMILTON Chief, Marine Regulatory'Section NYSDEC, Bureau of Marine Habitat Protection Bldg. 40, SUNY, Room 228 Stony Brook, NY 11790-2356 151993 Re: Permit No. Issued To:' Contractor's Name: Contractor's Address: Contractor's Phone No. Dear Sir: Pursuant to General Condition Number 1 of the above referenced permit you are hereby notified that the authorized activity was completed on Submitted By: Date: THIS NOTICE, WITH PHOTOS OF COMPLETED WORK AND/OR COMPLETED SURVEY, IS TO BE SENT TO ABOVE ADDRESS PROMPTLY UPON COMPLETION OF PROJECT. FAILURE TO NOTIFY WILL LEAVE OWNER AND/OR CONTRACTOR SUBJECT TO APPLICABLE PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS.' ref: BMHP SUPPLEMENTARY SlINC1AL CONDITIONS The following conditions apply to all permits: A. If any of the permit conditions are unclear,the permittee shall con- tact the Division of Regulatory Affairs at the address and telephone noted below. B. A copy of this permit with supplementary conditions and approved plans shall be available at the project site whenever authorized work is in progress. C. The permit- sign enclosed with the permit or a copy of letter of approval shall be protected from the weather and posted in a con- spicuous location at the work site until completion of authorized work. D. At least. 48 hours prior to commencement of the project, the permittee shall complete and return the top portion of the enclosed receipt form certifying that he is fully aware of and understands all provisions and conditions of this permit. Within one week of completion of the permitted work, the bottom portion of that form shall also be com- pleted and returned. E. For projects involving activities to be accomplished over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 413 hours prior to the commencement of resumption of work each year. F. If project design modifications take place after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modi- fications. The permittee is advised that substantial modification may require submission of a new application for permit. G. All necessary precautions shall be taken to preclude contamination of any wetlands or waterway by suspended solids, sediment, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project work. ' H. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. I. The permittee is advised to obtain any permits or.approvals that may be required from the U.S. Department of Army Corps of Engineers, NY District., 26 Federal Plaza, New York, NY L02'78, (Attention: Regulatory Functions Branch), prior to commencement of work authorized herein. J. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242, which may be required for any encroachment upon State-owned lands underwater. Regional Permit Administrator NYS Dept. of Environmental Conservation Bldg. 40, SONY-Room 219 Stony Brook, NY 11790-2356 516) 751-1389 DEC # T/ 3cJ DD?5~1v CJ6DD~ Page of 4/_ JAN 151993 w BOARD OF HEALTH FORM NO. 1 3 SETS OF EL ANS TOWN OFSOUTHOLD SURVEY . J 51 BUILDING DEPARTMENT C11Cch TOWN HALL SEPTIC FORK SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:OT . Y CALL Examined . 19 y TO: Approved /X/ 1........, 19/Permit No. i9xll~ _ Disapproved a/c (Bui ing Ins e r) APPLICATION 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 setr 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 alter ns, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordina c mg code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neces i tons. (Signat e of appli ant, or name if a corporation) Wailing address of applicant) State whether applicant is owner,,II lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 0 G_ ~ Name of owner of premises ?S? L 00 . (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..4~ . , , , , , . Plumber's License No . Electrician's License No . . Other Trade's License No . Location of land on which proposed work will be done. , , 2213 ~ i 9!~... ~ (Vo A C'. . . House Number r Street Hamlet County Tax Map No. 1000 Section C~ V. POP? Block Lot ...(n 1 P". Subdivision Filed l.4ap No. Lot (Name) State existing use and occupancy of pre ises and intended use and occupancy of proposed construction: a. Existing use and occupancy t "I 1JC' b. Intended use an doccupancy . 3. Nature of work (check which a! New Building pp Addition : Q>t~~, , , Alteration Repair R(oval Demolition Other Work ! ft cription) 4. Estimated Cost ....RbC)• Fee ..................y................ (to be paid on filing this application) 5. If gra- dwelling, dwelling units . . Number of dwelling units on each floor , If garag C, number of cars 6. If business, commercial or mixed occupancy, specify n3tury,and extent of each Dimensions ofexis 'ng structures, hypepf use . . Height Depth /A her of Stories . Dimensions same st t. Nuv b any: Front Rear . ,c a With alterations or additiogs: Front , , , , , , , Rear Depth 2Y . Height y..... Number of/Stori 8. Dimensions of tjre new construction: Front - y Rear . Z- , , , , , , es , ,Depth Height . Number of Stories ~?N 9. Size of lot: Front , I,-PZ"Z~a.:.......... , Rear , . ' ' Depth ~ . ~d 10. Date of Purchase 11. . • • Name of Former Owners l (~A m©s'1t~l . . ' Zone proposed or use district in which pr$mises are situated . 12'. Does construction rol' y ate any zoning law, ordinance or regulatelati : on: P . . . 13. Will lot be regraded N 14. Name of Will excess f71 be r moved ro es: No Owner of p ices ^I~?'' y Q /,-,t2A)Address~.1 ?ei , 4!t2 lid~iT (fl~7-s~foeg Name of Architect P one o , , : : , (U LQ Address lv.c7n /.ye, , p np o. Name of Contractor . , . Is this ro ert within 3 * 00 feet t of of a tidal wetland? YY ' If esSouthold 7own Trustees Address? d? •~y1. PWo. es 15 No......... y es 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 block number or description according to deed, and show street names and indicate whether interior or corner lot. 697-A Y-p I I • I Qr ' 1 ;TATE O NEW YORK, :O / S• $ being duly sworn, deposes and says that he is the applicant (Name of individual signing) contract) hove named. 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 ipiication; 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 set forth in the application filed therewith. vorn to before me this q h ..day of. 19.4- Mary Public, / - ....minty E M. WILKINS Nots ublic, fete of New York . No. 4952246, Suffolk County Term Expires June 12, 1a_~~ (Signature of applicant) 3 1 ~ I Pq z i t~ m t) 1 x I ~ ' . rJ r I! I y 1 N1 (71 "I M c3 6 w o 1-0 Z / f3 4~ ppopP PCH, 4~ x-- i -i V ' m I~ a f . su ~ I ~ I ~l a K fx ; - + E 2S7 _i }z4~~,~-; 3 1 '13 , a' =r'x 3 T> Fti PR.P3P:` P-CH.5 ! ym~x g7ur } ~u R. ..1 , to ~ 19 CP , ±3 l UUUUUU , " p III~TTT fE - - - ~ - IT Qua ~~.>a 1Y < UJ N ~ & y 110 10 \0\Ay G ~~m {{pp n vCf rn Z im IT T'j C fn Gl 1 7 ; S J~ 10 j. rr 1 Njx /Y+ NjxkY, 70 t r ; ~I Ul I ~ i may, d' Q ~ a 00 7 -'7 u 2 I Lrd , a~ (5fP--rte F~oL, ~i; fry 70 air AnZM 60ASNOTE _ . / ! ~`•x` ~ ' ~f ~ h ~ DATE: .mss'93 B.P,It ~n is46 o - `V`sj HOUT CERTIFICATE ,t FEE: _ NOTIFY BU DEPA T AT I CO' 1 7651802 9 AM TO 4 P FOR THE py~IT~, Or I ~L FOLLOWING INSPECTIONS' '~L ~CUPANCY I 1 /1 I J 7. FOUNDATION TWO R17QUIR-O FOR POURED CONCP.E f f 2. ROUGH - FRAMING & P! UMRING _ r 4.. FINAL AT1~ CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL „MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIB49. 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MMFY01 ppDEa iq -14 Sp YYS P LR jTkL MSRxc EW W DQ xLQVLTIXO t{[IICY CppL. xlYYYa LpIY1. W.1 .Sa D•.3b o [M n[Nl[.c[ Y.. una.[NX.n . lto[ud op. a! pwL.ulonil unica.. rv1i. q. re. . l tM a n. eu [ivn dvouwnu ptwia.a ey [M 11HFw wr fey +EQS L. bfw0 putlaau rLna' In [ co9nl[UP eL tn. Can[[+atvr'. roph6[lealon. Coo- ~%~.1 ~ r~ / Roof alhincoo fMll TY[ MNYp{MYCL M TYI Xpna PNOVIpR }M} .91 00 C 15. PtOV[DE SXDI{L DR[ct0ae M PM pWRL UYM.eu" .Gp .ls +Erue[1en vlll wpul[I CM[ eF. Cen[[w.o[ +d+p[ N. 'pblldwa 1. I.` to [nn =2~•'~`Y--T~` ~j~I~ ' Lf.la evnalelm..neov ¢.a .na ..4 lq{vLL .aEy.4mn o-flael.. i W OANACIM WR Iv MRXR (1) (1) Is xYa a4p6 Cpp0. YLId epqu. x- .pS A;ILFYUMM Tp Q.III IY.3D11E, I[CX- dl.umicn .ntl yu.ntf [y ,h.C .n L[IOwtl only p.nyaly YY [h. puLLd.o Ir-K ILw`. Sn .KLL1 w .uldip.. Sa oydN Yy NP 5# felt or ~ryywak m a r.n) .ll NLaI p;LRNI, "109:111:61* STINWY la. TnpvIpl 3-.{~ Yi30tni pvR ANx L-U •p[ 1M} YD OL pbWVCFIDN UM E[DL- ~IYWN AY? MIDN WpiX08 YNLESE t4OD11 ' C.n[[.e[a[ v vn. tvr cona[ucein. v Pr.).ee. h..Mtl - cull- ay no[lLV rn. dcmin[e. n~YV~yt. jlr.F ~`.Ipb~notlvl m.lt extorlor plywood FQTY (pMM tYAM SI{ TpAN C'SLLV I XLLYSSI Mxry. TXCLppIK TYL LYa d' W[ RLAyvtlNp M.M. 3L YLMfLpl1 MD IS) Is CADMp +L 1>. AL4 I R .1 N [IRON nUaS XAV[ RILIIK Il [-lL - .M3 _ w1Lv N. e[en14e[ of ruPVn+1hl11tY lG[ [F. IwgF~wny. roof it qee pl"a tosi uYDLL DL M R N.Y [IIT S. OpUwt auMbei RppE. ...m", {yp -pS Att DN NV.SXA C..., DIRa, M - 93aRa to have, to6o ; EUYCY INV." I.I.Nm I. It MDIN 11 GXyD OIYSWIp M NR Ot TIIM pAAD6 TANMO. , - broom each On MIWA WA MN RDM ACRE Mi pF ;NLM SpA4 NAY II VYMI,)t, aMA{p[taa NXRTYM 39. OPLYSYDD Nn M[wFNCY Dae ^OLL 1WR: ML MIILTMtIM IOyln i 'nnA.Ltun ro©f rat a iq cath, clg.; pR YYt iT Ik CAYaW IY AApS IY N IYC4U0A NWLI D{ pN4WLL P RSF 14 eY1LP G [.n[O4 G IMYC tYLpn ni W YM NYgL CwL, PANTF SM[MSfIID YLMDNM. PT YMt-0YL tM At ED Aa 10 MaVIDY M xai4 Y AL4 [plian(R [[RMF'GTIW L CGYOS{pC{IW. ~t eae. inaulati.00 UYpIIMULTFD ".t YU NNIL DPLY lG MLUtY{[Y .API•ii•Fi w{elnrl.kYl. Rµ' LLN. a. ML :KWON PMTiexpY w atbn ar n.' N' TM4 OWYLY Kpq{ ip[aSS. AVON MINLA LM44 YCi MrkMWpN• [yYW a YL[AYN ITN .r tlpl m ITON Ixi[M IDNMa Ix A~1 6VQeMCY. CMtY! a[L 1YY. gdlt NRYY A0. A }.3 im aY ~ ! V 4Ri.1ia9 ata» awe Plans Jill agza 094. A I NMI 4Aum N NLMLMSWt DI . ILDp R. R W." " A Ui1[TWL 0[NtblWnp W LMLGp L'/NG. G M•GN{a[Gletl ~yx. L L•1 f kYL64 bM M,RA OL { aV. ~Y~-1~~,N(r~ yyy~ CUM 'ppN[TY RM M4 1Y YDTiDX DI WM[R¢i M.tINq ryIpLL G M pY~1~~ \W1N [ Ly. • } CMRkYL1VDY.a IxaTTLLYTIDY rtRLA PLAY l'-{r AaOVA TIXISNCp LK YY WIC[wRM M TY W WY LGt v WN IN AF[ AIDVY WM6 {TOIILS, k14W[ Y FY[[!y~[ YL /ll.e1[MxekY YrtIf llf aY Lte. `A Lou s. AW, No.. ;e lx A xG. lEOD Pax LNL x.Gr G Y• L@{e RYiY M[ rY.< GNe e[ [D T.11aL aW WaN1C Jt IN WM. 39. MOR SLCI.I! YDT [IlpnpR MX MC wGi ILOFW HNL / La 1niML W?. RY aV1 Lf4 •~1I• LMG NN /lit l 5. L400N, tt[L[a L 4Nt ipgasl Te pi sOMkvkatA ]Y AQL CMMrtS Uxins a W W wll p[M- l~C.i lM1Y Po tM ew[ nt q WwIaYY Y[tlq I ~j rOFAD pTNNM1NIM. M. MY. pl.nL rMp1Y t.. Yr41nn w !M N1a YMgI CN.,~ ~YJJ l'afr` taa¢ia board LC/I,Y.Pi F~1`~~ Il1~Nr vi or q tt.. a tb , . AQ. tit vaata" :requ:f~?do ;avice@tiaag..ap ir'naed r xch .afGTf:3f49 . -T I~ 8 i Zib'atnd9.lt'*o:C. 9 igetulatlon - ly 9ypaup Vall board ~46 Celt, sill' alumfhom termite shield ' dia. anchor bolta l'; c rYP2CAf, B'OdI4GhT'tnn 41 old" ' V. v . 'PT - - - u $i#ad to + o ° a a tooting. '4n Concrete alab a J~ ~pT T ; d~ltrakH'+~q. 3 ~fa0 #6*e6 ,Ajp. ;d014'g - : on d..:2 ~ x2 Yl iioueed apla4. I - j S / r if i ro 4 ' Coll - fl' - - 1ell~ -~1 1 7 s r I ' i' Y ~ 1 r~ ~ vv IWARNING, - ~Y Y Y ~t,`•_ _ --=3.'.~ fit, - OF L,iCEPJSkt.? M1,y,riiMti; i P 1 uwrt~w ~rnr i~rrn+ri~N 0".l.f~if~ 'tp1Y FEW UN T11S 4{Cz'i;l..f€404T 4, 7 i-%Ny pk:A'ti. 1'e k17 o7i!Yte_ Y , :,ltAi~t4ik.Al1 As Kom - - - - - - - - - - - - - - --r 171 r7l ire ~I I~I - f r ' I I I ti ii i• i. li I ! I' 1, ~ j4 ~ I f{ i i - -,--'-~"h ! II 1 ~ it ~ I i ! {I i I' ~ i~ i Ii ' I PAPA I:t IG1ifR~RRA~..~. N Tn 1.1 TO n `x - - - - - I i7ti_-- - - 25 - - I i I I~ ~I~~. ~ III ~ I .It ' If~II~ n f~ L~~j t ~ ~ II I I 11,I,III ~~Ii~l ~ 11 E t I I I I I I I ' ~ s~ r''~ II I! II I I~ I 11.1._ It { ' Airt MINOW kRN[N WARN[NG T[I ANY k~A . Ixv ~ns~~+ sv 4 i ~ 7R(~ GCdAF N~RIZ~f~TPL SIYlIr~G ~ - - - I i i G,y+ )4:Jm ~ I_ ~ ~t I Tlb 1 Y I' i i~ 54 - ¢ ~~r= r~ rya 1 i " z+lt b",~ t' pIC; Fey. . " I I l - I t i F 1 1 I- i I gKl~~t+_nn, oN_nR 8'*' OEM. C~ SS.I !7r R. I- ~ t - - f~ftR^ ~rV i ~ v r-d' IF- i t9 s s S,~" - , sew: a I:.:~,,.1 ~i yl/ -,--v .,vf' V4'=1_p TYPICAL ROOF iRoof shingles- 1'IS"'µj.SPNAI.'f i i 15# felt or Tyvek exterior plywoodl roof -see p sizes. to havre teco i- tc P IZ e' / roof rafters in cath. c gh I ~ y- bocce: Pulc.Pens rcnlus ,c I ~i _ - The Concracto ran15 In thn Architect LhaL ha pesetaaee [ha pare cult= - rupe[ence and skill c=ore C[uciion n cesmcy co buildthla pro]eCt 1111- L I plans f~ll an9R no [n, end arch rent rr.[1 vI_a, ana• Ear CRC _o that core uo.,m nn or nu n.z, n[r ec to c o lahae r my ap es hLr c tampeCencer Lhe L n ILa[ o OL-' LL~d C°LI+~F ?i ceiling joists- see ono. has atrlc Cad tile Architect - a no ire of Pro fare l Onal r vices. In Cl to ncc ATYPICAL OVE@UAHG "'•'=`r"° `n" the Contractor u enLy and at tile aapre" raga a at of the n1[ac LOr [one r" tM1a Archl C act het and art aka In a limited "Cope of pcofume i onal servi cos. T _-IEIII .1 1- rze r.e, a-uu[w xhe a [atcuctlon dowman[e prov lead by tile limited a vita shall be canoed - - ldars Plane" In re c ognl Clon of tha Co n t rac to r'o ¢ophtselw[ion. ['on-111, 1 .~.r nwuuu atcuetiOn Bill raquiea that the Contractor adapt the Ill"ldaca Plena" to the T 1"x6" fascia board I N 0 r.[ field conditions ancientavad and reeks logical ad]uaCmenta in fit, Lone, r = _ ...ru vxu dilnarrs ion and gum[ ["[y [hoc are [[Dated only, generally by the "oulldere G' x or wood saffi.t with Plana". In the event additional detail or guidance to needed by the Contractor at Oenec for c nalruc[lon of any aapect oftho n e preJe¢r in nrell soffit vents as required mediataly notify the ALchitecn. pallu to qiv ri.I a[vice shall =r~m=•ion= rclleva the Archit-L of [aspo nibil[ty for [he consequent, 1 1~ 6)Iv` overhang as indicated i I,,, sun: rx.. m= u1 ~...u=rn= o.rx Y TYPICAL WALL III-E- ~E ma.- .rm.,. u.=. nom u.c.nvw. onr r. . ~v on¢urur nmvn ! (2•) I ~Y•~ Wi0 15# ft or Tyvek .I~;":: .277 :;°n.,....., .'exterior sheathing i t F rA *F LI -,-''-U L:~ 2x-0-studs 16"o.c-6A~LW°rI fFAM6 r y gig nx1 7 w tp e-7 0,H s nLrn 17, nle I r, cnRM[xc0 x TYPT,GAL GPNNE T O_N xacox nr ur I.., male a.nul[, /L AF pi e0 I/_4~ 2x6 CCA sill -..,.,„..a, . - , ~2 ~2'torlG ,4yRstl~ J sill seal 4IP(I,Eu +1 , a4FJ 5Ek., fyp, Gar~~ EC'(9~t aluminum termite shiield ev-,i.~+e,ur na s9B i I dia. anchor bolts mow."u, ue ,:n,na F --TYPICAL POUNOATION 'o.r~ GAR P°7~oI,N~ paa14 9°6LIp~{t ~f~r~Ga'R'I I, rn 8" poured c nccato found. wall ar keyed to a + xu eoncrot footing. 4" concraMe slab deapproofing 3" dia a ae sip Maluena on a 2dx 2x1 ' pour"rd Conc. L/ foot: inq PSYMNytyo p140#r 4 AJA , irar 1 All A I Wil wnx pAIE ill M"I' ollf 1, fir lroph I; he, I0, noun