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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218975 Date APRIL 18, 1990 THIS CERTIFIES that the building ADDITION AND ALTERATIONS Location of Property 58185 C.R. #48 Greenport House No. Street Hamlet County Tax Map No. 1000 Section 44 Block 02 Lot OZ Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 14, 1989 pursuant to which Building Permit No. 183592 dated AUGUST 8, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is SECOND STORY ADDITION AND ALTERATIONS TO EXISTING ONE FAMILY DWELLING. The certificate is issued to AGNES DANSEREAU (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. PENDING SLIP 4/12/90 PLUMBERS CERTIFICATION DATED PERFECTION PLUMBING & HEATING 3/27/90 Building Inspector Rev. 1/81 gosas xo. s 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 ° ~ 3 ~ g Z Date .....(S ff~ 19.11.,/.. Permission is hereby gr/a~n~te~d to: / . r~,~........... , at premises located at ..a.d'.-..~~.Lfw~~°.....~kt.°.(...~~° ...........................................................................~~.LL.................................................................................. County Tox Map No. 1000 Section ~T........ Block ............~.~a..:.. Lot Na pursuant to application dot~.....~ j~/~ 19.~., and approved by the Building Inspector, ~ ~ ~ Fee ~..s~.~ uildl I tar Rev. 6/30/80 / ~ ~ TOGIN OP SOUTIIOLD ~ ppp ~ n r,/ 111 BUILDING DCPART:ICNT INII f,"?~"_ ~ l" 4 ~ i'tf ~ n~c~fpp ~ SOUTIIOLD,HNEW YOKK 1 197 r11'n , ~ I~ ' \ ~v 7 6 5 III 0 2 BLDG. DEN7. 4 r T®WPl CDC SCtU7ti®LC}xp V APPLICATION F02 GERTIFICATE OF OCCUPANCY / . DATE. .rJ. ,~~j.Z~YcYb. NEA CONSTRUCTION .......OLD OR PRE-ESISTING BUIJL/DINC.~c.~y3VACA^t7T LAND........ Location of Prapcrty_. s5.71 ~~...~~D.~~! ~d-°t~ {-~~-~~-Tw~-_tT~i~~JG~~.~... llOUSE NO. ~ STP.CET UAMLET Ovnet or Ovners of Property..~.loCtaC.~A-"JcS'Cl^l~~dld-•----•--•--•----•-_.-• County Taz Map No. 1000 Section .`7/.~.. IIlock Lot' .!tea...... Subdivision Filed My~app _.......LoC._...._...'n / / PCralC NO. .~l.v?.$~i~~DaCe Of PCrm1C ~~,VY-..Applicant ~G1F..:'~Ft7.~~`.IS~cYM(A.2Gh Health DepC. Approval Undcrvritcrs App roval.__........... PlanninII Board Approval Request for Temporary Certificate Final CeztificaCC Y Fce Submitted: APPLICANT.. ,~~"~~T~-- ~ 3as'3 , ~ 3y~a~ ~il~/q~ ~aZ ~b'l~s' ~Oy• 10/i4/BS ! ~a , ~ ~ FORM NO. 6 ~ - TOWN OF SOUTIIOLD BIIILDING DEPARTMENT _ I TOWN IIAL: 765 - 1802 ' APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must b'e filed in typewriter OR ink and submitted Co the Huilding - Inspector with the foll;owingq for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual!inatural or topographic features. ' ' 2. Final approval of BealCh Dept. of water supply and sewerage-disposal(S-9 form). ' 3. Approval of electrical installation from Board of Firc Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less' than 2/10 of Iz lead'. 5. Commercial buildi.ngs!, industrial buildings, multiple residences and similar, buildings and instalilations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. ' B. For existing buildings I(Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land uses: ~ ~ I. Accurate survey of property showing all property lines, streeCS, buildings and ~ unusual natural or t',opographic features. _ 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate ofl,Occupancy is denied, the IIuilding Inspector shall state [he reasons therefor in ',writing to the applicant. 3. Date of any housing 'c ode or safety inspection of buildings or premises, or ocher pertinent informatioin required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. M application for vacant land Certificate of Occupancy shall be submitted, and a certified abstiract of title issued by a title company showing single and separate ownership of~the entire lot prior to April 9, 1957 shall also accompany the application. Ifs, a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. I D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition Co AccQSSOry buildings, $25.00 -'Businesses $50.00. 2. Certificate of Qccupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 • 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$1.5.00 Residential Commercial ~ ~I i ~ r ~ - - .'r- - - i ~ ev. 10/14/S8 - TEL. 7G5-1802 oS~FFOC,S C~~i TO'tY~N OT' S~3YJ~'IIObPJ o Ps d ..c OFFICE OF BUILDII4G INSPECTOR t ;.r, P.O. BOX 728 y`~~ TOWN HALL OfM~l ~ ~,~O~c SOUTHOLD, N.Y. 11971 i~~tl~".S'~ M4R 2 ? 19~p~ C E R T I F I C A T I O . T~lLn.p", , Date 7 C7 Building P~eyrnmit No . ~ 3 S 9 Owner /~'/C ~vu.~~ G (p/lease p/~rint/} Plumber nX i~'~faN (1~/Urr~,bi.U~ N ~~G+~~r9 (please print ? I I certify that the solder used ~n the water supply system contains less than 2/10 of to lead. r (plumber's signature) Swor to before me this a~day of , Notary Public Notary Public, ~ft~l i\ County ~ ClA1REloGIEW Notary Public, State of New York No. 4879505 Qualified in Suffolk County Q~ Commission Expires Donember 8. i TEL. 7C5-1 F,07. rs~rrrz,-.,. ~~F~'~~Lk ~o,_ x~~«rN l~r~ sc~UTUO~.~ x,,, / , n~~:tir~: ~ OFI'IC(: OI~ ItU1L~1NG ITSSPECTOR ~ ,r ( P.O, [107+. 728 r' ~ , g~ '1'Ol~ N 11ALL ~`A,~f ..~'~aza~`,.h~ SOIJI'IIOLI), N.Y. 11971 January I7, 1990 AGNES McGDNNIGLE 52A NORTH ROAD RTE 2 50DTHOLD N•y• 11971 To 47hom Thin May Concern, t•ir arc uuablc r_o complete your Certificate ' o£ Occup.inry because of the following reason. / ~An application for Certificate of Occupancy .is not on file. <ENCLOSED) J-J! `lo !Jndcr.;ozitcrs Certificate on file. i The check .iu (o75b7~I57~Xilnot cn file.) $25.00 J / No 'lealth Dept. Approval on file. / / t:o Final inspection has been made. PJe.1:;e contact: our office on this matter. Thank yot.t foz your cooperation. i3uildi.nr Permit 1E ~ 8 3 5 9 Z Duildi^c( [7enl•.. ,Yb k/~tio Plumber Solder Certificate on file. ( all permit:: involving plumbing being i~~~nted .xftcr April 1,19F3~ 1 - :'lELD i:..~I:,:1U]+ ~4J niE ~I is vt`1f`1LNT.^. ro 1 `gin, H ti r0U77DATI0:! (lstl ~f ?OUNDATIOW (2nd1 ' 1l O Gi ~OUGH FRAME & ~n PLUMBING C ~ y © N 3. ~ m n 217SULATIOPf PER N. Y. • • 'a STATE Ef1ERGY CODE I 1,~ a. ~ s r FIidAL r~ ADDITIONAL COMMEIJTS: x X \ H 9 r-3 0 0 C+J / H d C+7 ro H l N i i O J~O i ~d 1 S~ ~ F~/';6Z 'g9,go~ 1 ' a ~'d1 / gyp. . ~A,~4r . ~ '~3 h 5 • N1 N.6nA~ r~~9 (,i96 ~ ,~r,a~-'~ ~ MAP QF F~rzUf~Ek.`t'Y rdTn Off` ~ , ~ap ' ~ SUeVfivin xoEa ACNES MCGUNNIGLE ' ploar EIeW.o q Ar ~9',S (rA.s.L) ~ AR.5HAMOMAQUiW o z h~EL~• L s~ ~ 'i"owN OE= sQU-rNOE.n i, Iri 4{~^- fr.Noulle _-"'-I NEW YORE4 NY T: - I M 41'.- I i / 1 I ~ 5Gdla E 60'= I" ~ ' ~ ~ LryF, m s MoEnEEnent I / black-top ~ ' p~j . ~ drivCWdy ' ;u N ' ~ 3: 1 ~ o c~ ~ ~ I QE ~ ~udran+~~+d to Infi~r- cof,tsltty 't'(fila g Iw I I 5i Quaranty ~ rnor+gage CaE,lpany v ~ ~ a as eurveyetd ae~a?nbar lb, 1965 . , v~.Nrt-uKl» ~ 'tau 1 , ~ ~ ~ p~E~a ~ ~ G22~•_,r'.,~ra~..~ . Ix I I ~ I,,iCentlm~ ; Load EurW tors E ~ I.' a ~ a ' ~artdnparr,~ N. Y.;'; ~ \ ~ ~ (2NAVTNORILfO ALTf0.AT10N OR ADDItIDB L (O THIS SURVEY IS A VIOLATION OE , , ` I 1' ~ '~[CTION 72D9 OY THE H£W YORX StAR ~ I, , i' ° ° „yvRlES Of 1NIf SVBV:Y MA@ NOY,FEARINO' 'i i ~ , ~'y~ ,,y., IHf EAND SURVEYOR'S 1EN.ED SlIAL OR ~ „S ,EH M1055ED SFAE N CE Not eF 40N5IDfAE~ ~ ' y . I 1 ~ gbl.bx,toland aNH!e~..~u„t,~'' r ~ q y ^..k..~t Y ~ `P.O PE AYALID.~L>R, L`__.`, 'x7 ~ .c ~ '4, I,2UA0.ANTEES IND,~At€ HEREON SHALL RUN,' ;J ' a { ~y~. ~ I ~~R ~ ~ pNLY,10 tNF 9ER 811 ~ WH9M 1NE 55NIYE'L'I'r ; ~ F r'~; ~,~',~i. `~.~a / ~Y, - ~ ~ ~ , , ~ ,I ' ' ES R0.fRA0.fD, AFN 0,y. ~~ACIIAti TO MF' ~ ' ' l~%g:',{ J ~ ,~j r, ' TITLE COMRANY, O ~V~' ITAI AGENCY AND E,~ ' IERIDINb INSIItUTI ~NE0.FON, AND ~':;J ,;~~A,~... ~ l rY ~ ~ ~ 1 ~ r. ~ S `IO THE ASSICNlES 0 E" fNDINO INSTI. { , , V ; jU}LON. 6UARAN1fF5 ARf 11pT FRANcEFOARIF{"', r ~ . U, ~ ` !O ADDIHONAF HESnmm~as n+~euRSFrnrtF .,r„ ..~t.... ~ , , ..,,,..-.....,......:,..'--i-+-~*''W-"'"'.~'._.....+.ww-~ JSwid~!'1C5~"i1~..11~'F9Y.,~.1~1 ~~i,l F} ?I/!iwicM^-r+e-..-++'/Wi«y.W«.y.l,'L1,4L?1~4 ~ ,~A0.M,~.M~Y'M.~ ' 1,., 1 ~1„iTL'~~~s i~ i'1 Si}9 ~~1~ ~4. y~ ,t., _L:_ 765-1802 BUILDING DEPT. INSPECTI®N [ ]FOUNDATION 1ST f ] ROUGH PLBG. FOUNDATION 2ND [)INSULATION [ ]FRAMING [ INAL REMARKS: .,~`~-r-~ ~~~-~o~UZ~-~ DATE ~ ~ INSPECTOR ~~G°~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST f ] 1R000H PLBG. [ ] FOUNDATION 2ND INSULATION [ ]FRAMING FINAL REMARKS: ~Lt~' C~~~ I DATE ~ INSPECTOR ~"`~"~1, ~ i ~3 ~ rss-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ~ ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [,FRAMING [ ]FINAL REMAR ._._.~~'J., ~~i ~ -~2.-ems 4 DATE ~ ~ ~ ~l INSPECTOR ' ~1VARREN SAMBACti Englneera -Planners • Arciiltecta BHEETNO._ ~ of 3 i P.0. Box 1033 Cox Lane . - CUTCHOGUE, NEW YORK 11939 CALCULATED BY ~ DATE (516] 734.7492 CHECKED BY DATE- SCALE ~ ~ ' EXTERZ R.'WA L SE T~QN ' i ~ t I ~ ~ ~ { + - 'i 1 ~ ~ ; I ~ ~ ~ I ~ i ~ i ~ .I .1~ i I i ' ~LE$SADO~R ~WINDOfWI~ppRE'~ ~~s~r fit. i Il~ Sq ~ ft.,'.,. i i f„ ~ j... I ~ f 1- I i j= ..i 1 I i i ~ (~`7 ,CAlII'I`Y=655',~~q.i ft. { ~ ~ , i 4 REA= LESS 10 E'OR SOLI A ! ~ ( I . ~ j 1~ 1 i I . i I ~ 1 i i ' ~ ; ' ~ i ~ i ~ ~ i i .i CAVITYI ~ ~ ~ .SOLID ~ ~ ~ J' EX'TERIO~( AIR' FL;LMj ..li.. ! i~ ~ f ti i I . l W OFG'SOETki j....... ~ I.. ~ . , I e a I ' ~ , +1~'SIbING AL191161N~A ~~8~ ; ` ~ IF. 17~ I I I ' I i. ~ f F LT i I r~~y i 1 I 1 i,.. r i I i. Il t'D IQ_ir, INS LATI I s ~ ; ' I 1 I i tl 15 BUILDING 1 ~ ~ 4 i fit, ~ bN BO~RDI - i I ij ~ I I ;bv: fl, SHEATI,NGi I I l"31'0. I]L-I(3 ~ ¢N ~ l ~ ; ~ ~1,sol ,~~„K 4, s'~'~9D~ .t s ' j i ~ ~ 1:. 1 IINS1LATI I I f , ~r, ~ ~ ' ~r i46 ' ~~1~ GtYPySUAE BOA1jD i ~ ; ~~5~ ~ , i ~ I ~ I r11~ I INT~RI,OR: AIR FILM i ~i (0 i i i i.. I, i I . .i I I ; ; 1 1 i i I 22,"19. ~ ~ 1 ; ~ ti4.z~ ~ ~ ; ; i }{m1~X ~1jZ2•l~l!s.0~~ j ' ~=1/?t;'''~,/1~~2°~.~:~,~p6~. i ! ; 1. ' CAV TI'' 'SOLID ~ I I .....i I 1 ~ ; ~ i i 1 f i ' ' i i ~ ..I i , I,. i ~ ~5~; ~,~ir bV~j~J- I(/~r*1 ~i,0~ ~ ~ 2f'~''8-t" 425 ~a ~ ~ b~sr~ ~ i,TABLE .5~-1 G.... i. i i ~ i ' ~ I i i ..n... I. ~1~~ ' I ' I ~ 1.. E ; I ~ ~ , I fi ' i ROOF:SE,CT$ON~ ~ ; ~ i , ; r ' ~ ~ ; i I I I'('i - ~ _ I 'TOTAL i SQf. FT ! LESS ~ 5KYLIGHD AREA= ; ~ r~ i ~ ~ i i~ LES5`10 ~`OR,SbLIT5- ~ ~ j 1 ~ ' + - ~ ; ;J i I I ; i bAVITY AREA = ~ .d I SOLID , CAVITY .1.. ~ I i I i i ,L .bC~ ~ ~ I~ i i i i ~NTER~OR~' A$R FILM y y ~ ~ j °i ~ j ~ f { ~ , i is i . i!.,~GXPSUMiBO~ARD ~ ~ a ~yr~ I ( 1 ~ .i. s 'I ~ 3 i ; ~0;D ;(L-34,INSiJLATION i i ~ . ~ - I - ~,l.01 1 SNTERIbR AIR .F,ILM, i `;b~ a ~ .I ~ I ~ ~ ~ ' I r , ~X=r Il~~=. 1~1~b1.~'.~in~l. ; x;=. ~ 1/x= !~Ia,~'~t''z,,.d`~ . i + ~ ` ' (4q~~~.a~l~.u- ~~y~%~~'12~ I ; 1 ;L,~.'~ ~.CJ"r.a'~.,i mriBL~ ..5~,1;. ~ ~ ~ 3 _1 I ° I ~ I i i `'ate ~ I i ' I, I I ; ` i ~ r ~ ~ ; i I i ~ I 4 ; j i , ' ~ s I ' f I iAJOLCItOtI !~/SSP Iz., Ero1m, Mm 01111. 1 A ' .WARREN A. SAMBACH Jtltl V'p~~~ Englneera.- Planner! • Architects er,EErHO. ._2.--_ oE~3 h.0. Box 1033 Cox Lane CUTCHOGUE, NEW YORK 11939 CALCUlATEO BY orate. ~S''~'~ (516) 734.7Q92 CHECKED BV OA1E_ SCALE FL06R i E ~TIbN ~ ~ i I ~ ' ~ ~ i ~ 7 ' ~ I I i j I j F i I j I i i 1 i i I 1 1 i I I I I ~ ~ I i .i ~ ~ ! I j l 1 I I ~ I I i ~ ~ ' i ~ ; ~TOTAIi SQAAREi RbI`$T= j Jn~ LESS ~0%. FbR ;SOf1ID .AREA; .a ; ' ~ i..., . i. i 1 ! I i I! I ~ ~CA~IT.Y AREA=' ~ ~J ~ ~ ..i I I ' , I I .,i I i i ! I I ~ I ~ I- I I i I i 1 L. I , i L. I I~ i I i ! i I I L. I ~ - v C~VT~TYf i I i ~ ;SOLID I ~ i i ! i I j 1 i~1;AI FILM I ; i I ~ i I ~ ~ i d. I ~ ~yL''JFI~15H ~LOORICi "QF{7 3~ I ~ ~ I I. .I ~ ~ I r.~3:5..4 SUB ~'LQOR~ i. ~ , q 3~ ~ ~ L. i ~ I 3~,0 ;R-3blr(soLATION ;~1• ~ ~ ~ ~udn'~ ' I ; ~ ~ i~,l AIR k'ILIk i ..ICI ' ( ~ j ! i I , j j ' i I I . I I I i..... i..... .L......' f 3345 I ~ j i j,. i'~ '~'i o ~ I I f j C , 2`~ I m b G~~V~L/ ~ c ~ I ' X= i lI x-. ! 33 ~ D; 0, ; x- I i~l s^1 ~ I 1 ~ ~ , , I i I , i I I I I ~ ~ I 1~ I I I 1 x I I .CA ITY , ~ ~ ;SOLID I I 1 I I I I , r~~ r. I I ~ ~ ~ `J~b`7j ~ i I i , i i ~i yi~ I , i i ~ ~ ~ .r, ~ ~ j I ~ 1 ~ a. I I I j I, I I I I e I , I GLAZIN o, I ' AREA .f i I d i ! ; D able ,Pane - :58: ...1 ! ~ may;,.-~ I ' ~ i ff ~ I I ,Ii I 4 I ~ I ~ j i !Hil ;PerfOr a t .~3 ~~04!~7 I I - I ~ I ~ I I ' j j ~ 'Z, h l /5~ ~ I 2' I I I x? 100 m, n t (boor window area~i y(T,otal wall area): j i I: ~ ~ j i 9 i , . i t I j , I ~ I i ~ , ~ > I ~ I I i 1 i.~ ~ I j . I i, I ~ i I ~ r 1 i, I j I I I I ~ I i I ' r I i i ~ - I ~ I ~ ~ i ~ i i i 1 i i i ~ I ~ ~ i a~ i 1 ~ i I I 1- ~ I I, I I I ~ ~ i I ' i i r , 1 ! ~ ~ I ~ , I I , I i ~ ~ I i i ~ i 9 I , ~I ~ I I I ~ , i ~ i i 1 ~ ~ ~ , i j ~ I ~1~ i ~ ~ ~ ~ I ~ I i ~ I ~ 1 I i ' 1 t 1 ~ ~ i j{ ' ~ . .i.. I ~ ' , i ' ' ~ 1 1 , > , , I ~ ~ I 1 ~ ~ i ~ ~ ~ i , I , I , I , I I I.... I I I "'I . i ~ I , , i I I ~ I i ; i i I ~ ~ ~ ~ 1 f i ~ • , a i i ~ I i I ~ j ~ t i I ~ ~ 1 .a. 1 . . ~ i, i i I j , 1. 1 ...I j I i 1 I 1 i ' I I I f ~ f. I ~ I i i i ' I ; ~ I ~ i ' I , I I I , ~ 1.„.1 I i .I. I i d ~ , 9 ' ~ i ' ' i , I j I ~ ~ ~ I I I j I I ~ i ~ ~ I I i i I j I ~ i j I I 1 I I I I I I IPAOIEI}OLI NE'119 4t, Erekn,Mm 0101. i - - ~ \ .WARREN A. SAMBACIi ~Dn- ~g~ _ ~'19~~ bAA ~~Q~J Engineerp • Planners • Architects 941EET NO.' ~ DF----~ P.O. Box 1033 Cox Lane i CU7CH~GUE, NEW YORK 11939 D.:LCUTATED BY DATE (516) 734^7492 CHECKED DV DATE- ' ~ " BCAIE i j i i I I , ~ I I ! ~IUMMA (Y F TOmA TfIERMA~, R'ATINGI ~ ~ t j ~ ~ f I ~ ~ ! j IF ~H~ TOTAL THERMAL 'RATING IS ZERO '(Oj I ! j ! ~ i I I I ! O,R (~REATHR,' THE ~PRQPOSE)5 DE5fGN; F6R THE i I ~ I f I. ~ ' ' ~ fE ~DMPLIES WITH THE„, 1 ' ~ { i I, BUII~.DI!NG I ENVEI,OP~ I ENE GY CEDE. I I!~ i i I 1 1 ! I , ~ ! I ~ ~ ~ 1 j.. { ' 1 ! ~ ! ~ i I I I ( ~ ! ~AR~II A j 1 U VALUE , THE~MA~ E},ATrNC~ TA1~LEi USE A. `RO:OF/CEIL~NG' ','~'.-?Q ; ~D,3Z: ~ ~ IG i t i ~ , ~ I s. 'NET wAil,s I "lg!1' : ~ b.~~l! ~ O' ; ~C~-I , i ~ ~ i , ~ i I i I . ' ; ~ P , ' ( t ' t ; G cl;AZiNC ~L ~ ~ i ~ i i.., I I I j ~ , . ' , ~ ' ' ' . j Windgw ; i ~ ~j4~A,~ ~ ,3Zj .;~i..~.i. j !..~i~~I... n, ~ ; . { ! f I Witldow I I i .1 1 ' ~ I Isx~li'gh i i I I I I I ~ ~ ~ ~ { , ~ i . 1 ( ~ ~ i, 6 r I I j. 4 4 .y { ~ i , D1. ~ FLIOOL~tS ~ ! tiy/'^'^6 ; I S7 ~ ~ I i i I ..I. ~~.i~~. ' ' I ~I. i ~ I f I i ` t~ i f ~ I ~ I I , t ~2,IBASEMEN,T CELLAR WALLS ~ I ~ Wall' perimeter i ~I ~ ~ . , .L., ~ i „ ,I ~ ..F j i ~ E~c'po~ur'e~abo'rre'I grade ~ ~ ~ ! . i ! i r ` IWa!ll,IU,;V .jue, _ ~ ~ ~ ~ ! I I Depth of Wal'1 U Value ~ ~ ~ ! i. i ~ 1 beib~t gr~de ~ ~ ' ~ I I ..I ~ . I { ' i ~ i ~ i f ~ , 4 I ' ~ ~ ~ 1 i' I73.~SL~BIINSULATION , ! I ' e i { 1 , i IS1'ab! pe.rintet;er. { i i . ' j ; jInsulat.ion R Value { , ~ ' i 'I, I i .i~ , i , ~ , I ~ ~ i, , I ~ E. ~INFILATRATION CONTROL i ~ ! ~ i r. I ! , ~ j ' 1 ,j IC,ond~ti;on~d ~floor~ area i ` ! ~ I ! I 1 F!• i SOUTH FACING GLAZING ; ~ ; ~ I ~ ~ ~ ' j i " i { i South q,La~s%;total', glass i j ; , . I I ; i . i ;Glass Area/G,ro~s Wa11 area,! ! j { I ; i ~ i ' ! !Cond(.ti'oned iFlbor: Atea ; ~ .4 I °°i f 9 P # ' ! ~ ave been nrel5ared !byj , F,Thes,e,drawi § ecificat ons ~nd(calc,ul~tions h ~ ~ ~ I ' o;' underl,th~ direction o:f the, unders)gri,edjand do the best of Bhe~ ! III i und~rsigned'knowkedge; i`nfe~rmatiorz and belieF ~ee.t the:-requirements of ' the.,New.. S~ar~C..S~ta~e :Eae~gY. Con,sezvatign ,Constru4~tion;Code;, ; i ~ , i I ~ I ~ I ! ! ~ ~ i ~ ~ I I' t SOP a~ i i i ' , I i i i ' r 1 ~ ~ 1. { ~ I ~ ...i ! t ~ I ' I I ' i ' ~ I ' i i i i I 'i , i ~ I 1 I i I ! I ~ ~ ~ ~ aa'; tNa ' ~ i ~ i I i i ~ ' { I I i I ~ i 3,z~,e , a )AOdI1.TA41 NgBS IM. GMm, Mm 01111 J 5°'~~~ ,1,) 9 VP 1~ ti ~U 19.E v 0 ~/~6 A~ oj'~ ~ ~5 ~Tr, ~ NI N•~~n, Hag C?9~' 1 s~'~~~~ o~'d,'" r''f ot~~ - MAP OF p~C1PER'f'Y ~a?.~" - ~uev~v~n xoa .ice 3. AC~NES MGGUNNlGLE Fioar Ef ed, r; O Ar a" p~et~. Be--t ~ AR,SWAMC7MAtJU~ n' AI' t-s+a~y TgWN L7C lTY _ _ fr, nouaa ----_I $4gTNgl_p I New York S` T 4f' ~ t 1 ~ ~ 1, t ~ r N J m ~ Morrumenfi black-rap I ~ r arcvcway ~ ~ 1 eLi ~ k ~I II 1 ~ y;~ ~ ~ r~ + , ~ rot ~ G.uaT'btn4'ef~d to lNtar- caF,ysM14y 'i`ftis ' ~ I ~r ,~j 6uarti?nty ~ Mor4gae~t ~eEri~SaWE~ I 1 yr aat survtygd taetetwbar A, t9a4S r I fybttd ~ { t VAN'7"t,lWL I~i $ON r~ I 1 -.-~.-G~~1~~.,~'.+ttsf~..~u~ I d°, r _ ~ GiCerE~ec) :Land ~tur gars are~npor* 1 \ / 1 ~ ' ~ (~[TAUTMO0.RED IIETERATION OR ADDITION \ ~'~O THIS SURVEY I$ A VIOLATION OF ' '6KTION 7]09 OF T/IE MEW YORK 5(ATF ' 1 i ItED9CATION LAW ' i ~ ~ T „(Q11F5 OF TNI$ SU('V.Y MA9 NOY FEARING 5 ~ a r I ~E,' i L ~ IHE LAND SURVEYOR ShNYrD $k~Al OR 5 ' " \ ~ (y 'I'O 1dVid tTYNT 6~ ~~1~~ - (FAIO$$ED SEAL $IlALL ~10i BE CO{JSIDF0.FD - "r 5 75 ~ i ^z I E (~i~, ~.~Q• ~S {N ~ ~E r(jUARANTEES INDr~-1A~(~ H,EftEON SHALL AUN .~A Tr ~ LJ~TLY TO THE Oz $EYV Rr.WHUM THE 51NFYBT d r .t5 98EPARED APD ~d;~~,bCIIALf TO THE ' r'.4 t'S ~ e~ j111E COM9ANY, 0 4 ~IFTAI AfiFNCY ANO p ~ 3`f~ 1 ;y dL~~ ~ p W'~' iG - IFNDINO ~MSTITUjf~ ~~~p HEREON, AND e ' V lil f 5 r Ij0 THE ASSIGNEES,OF ipE; LENDING INST~~ r ' ~~JUTION. GUARAtREES ARE,?!Oi iRANSLFRktltff'S ' . ~ " r- ~ ' ~ «O ADDITIONAL IQSaPUrngs t.n'<u0.5E0ufF . - ~ ~,.yL... .r.. -rW~r...e..rk."5,:;.-,.,.,a.W.+.xd+~w'~-r-a6.a..,ix..n.l:c . bWr,ERS.I t .,w>...~-.-+....:u+...~-v.w..ud...-~•ur^- wN+.+„ -F'r ~ yy,,~~ ~,y. yy.. ~_yryry ~ 1~~ t ~MIFlr1~~`4~ x3~~i~fLf 19F1u l4 r. ~ r til y.4'.,° ~ f ~ s, ^)s~:M~y1+../lYV+t ~~M1T 0.1T'l~tY! i'h'hi 5, uunitu ut~ uI;nLTN 3 SIiTS OP ['CANS FORMNO, i SURVEY TOWN OF SOU1"HOLD CHECK • • • • • • • • • - BUILDING DEPARTMENT SEPTIC TOKt9 TOWN HALL NOTIFY ~OUTf10LD, N.Y. 11971 TEL: 7G5-1802 CALL • • • • • • p~ ~ iNAIL 1'0: Examined . ~.U. , 19Q~l. Approved 19 I'ennit No.~~i~~.,~~ D Disapproved a/c , i' ~ i(ir f~ fJ~ TOtkN Q~ SOOFi{p ~[_:1 ` (Bu' ding Inspei~ r} APPLICAT N FOR BUILDING PERMIT Date . July. 1`1........., 19 INSTRUCTIONS a. 'I'bis application must be completely filled in by typewriter or in ink and submitted to the Building htspector, with 3 sets of plans, accurate p(ol plan to scale. Pee according to schedule. • b. Plot plan showing location of lot and of buildings alt premises, relationship to adjoining premises or public streets or areas, and givhtg a detailed description of layout of property must be drawn on.the diagram which is part of this appli; cation. a The work covered by this applicatimt 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 lltroughout 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 IIGREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the 'T'own of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regutatiuns, 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 necessary rn, ~~ec~t~io~n~pps~~p ~ rX. tR~~it~t~,l~telG_._.. . (Signature of applicant, or name, rf a corporation) P.•..Bo~..I.4~3..COx. I+,ane,..Cutchague.,NY.. (Mailing address of applicant) 11935 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Consulting Engineer Name of owner ofprentisesAgnes Dansereau,"".."•••.."•".,•."...."",."••,•,••.••_••. (as mt the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CON'1'KACTOK'S MUST BG SUPYOLK COUNTY LiCLNSEll Builder's License No. Charles • Thompson , " , . , • I'luntber's License No . . Electrician's License No . . Ot)rer "frade's License No . . I. Location of land on which proposed work will be dare. Northsi de North Road County Road 48 ~ ~ Arshamoma ...f..~~~~ ...G ,~y . !`.1~...~ .~~.'P~=~AJtPd k ~ 9ue , house Number ~ Street Hamlet County Tax Map No. 1000 Section ~4 Block Z........ , Lot . Subdivision " . " " . Piled Map No. Lot . (Name) ' 2. State existing use and occupancy of prenuses and intended use and occupancy of proposed construction: a. Existing use and occupancy .one. s.tory.,..one..Eami,]-.y.. res.i.denee . b, Intended use and occupancy one & two story, one family residence i 9, Nalurr of work (check which ulyiliaiblo): New nuildlnR Addition ....XX.... Alteration XX, , , , , , , Repair . Removal , , Demolition ..............Other York , , . , , . . j (Description) 4. Estimated Cost ..27; 750 :00 f Pee , , , j (to Ue paid on filing this application) g 5 If d~ alien number of c dwcllin units , . Rr;E Number of dwelling units at each floor . F• g ,exirsiti,r}d~. one,ca; 6. If business, commercial'or mixed'' occupancy, specify nature and extent of each type of use . 7, Dinsensions:of exisfiei 's'tnlctures, if any: Front 64'............ Rear . , 64.'........ Depth .39 , , . Ilei ht 1.0, , , . , , , s Number of Stories . pxte , . 1 th alferations or addifions: Front 64, Rear .64 . . Det~tht~~f~at~stntdture wi, . Ileight , . . Number of Stories , , s 4 $ f (ei~ I tsii ~t of en~ltirww~: new cr~uit'µction: Front .14: , &..1$:. Rear } 8,',, , , , , , , , ,Depth . 3A.'.$ , , , . . F ber of Stories , , ,one on t,op of existing one story. • , . 9. Size of lot: Front . X.S.~~.27.'. Rear ...1.59.•.4Q'.:.......... bepth 355...0'.. &..400.0,'• • . 10, llate of Purchase ..............................Name of Donner Owner ,Agnes McGunni~l,e , , , , , , , , , 1 1. Zone or use district in which premises are situated . R-40 . , , , . , . . , , . , . 12, Does proposed construction violpte any zoning law, ordinance or regulation : ...................XS I3. tVilt lot be regraded N~ 1Vill excess (ill be removed fran premises: Yes No 14. Name of Owner of premisesA~n~s Dansereau , AddressP.•.O.Box .52A, ,Suhldphone No. ~~~.-.477-?.481, Name of34~L4Ff~gt waxx~ri, p,,;, .$aFlbaGh. , , , , , ; AddressP,Q ,$OX, .103~..CutchPhone No. 516.-.7.3~i~.7.492. Name of Contractor Cha~~e~,;,~'iiq}ttpson, , , , , , , Addressi~Lll: R.d PP-.4Q111C. Phone No. 516-.7.65f5.7.17. 15. Is this property located 'within 300 Leet of a Cidal wetlandY *Yes No *If yes, Southold Town Trustees Permit' ma be required. I PLO 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. P~ S 'V o P'' G ~ t9.~ vt, ~ ' ~•/vyl• `s,~,~p 1 t r " ~ _.9 ' .U?. ~ to O P'f®or B~EV.c C! It,4 (rwl.dt,l.) O x p~~h. ^"tr- a t~ tl~' O 4t' t-a1o~y Iri _ _ f r. beast ° - xt ~ ~ , rn g, dl' , S'rA'1'E OP NEW YORK, S,S r~ry::S, ' . . couNrY or .sui~~:Q>~z~.. , a, a a~., w.' `~*,~"is, , , A+~,rl _ 12,p~ , Warren .A; , Sambach, , Sr,,;, , , , , , , , , , , , , , , , , , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Ile isihe. Consulting Engin'eer ~ .(Contractor, agent, corporate officer, eta) of said owner or owners, and is duly authorized to perform or have perfornteil the said work and to make and file this application; that all statements cotjtained in this applicatiat are true to the Uest of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .........day of JuJJl//Y..........., 19 .89 , Notary Public, U~, , County NEtEN R DE VOE . ' NOTARYPltBtIC,StoteofNewYork (Signature of applicant; No. X7078'!8, SuNolk County Toren EKprres Moreh 30,19_...~~