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Home My WebLink About18526-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19809 Date MARCH 21, 1991 THIS CERTIFIES that the building RENOVATE AND ADD Location of Property 2000 REYDON DRIVE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 080 Block 03 Lot 11 BLOCK F Subdivision REYDON SHORES Filed Map No. 1215 Lot No. 13/14/15 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 18, 1989 pursuant to which Building Permit No. 18526Z dated SEPT. 20, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is RENOVATE FIRST FLOOR AND CONSTRUCT A 2nd FLOOR issued is TO AN EXISTING DWELLING. The certificate is issued to MONICA KENNY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N159248-NOV. 5, 1990 PLUMBERS CERTIFICATION DATED HENRY J. SMITH-MARCH 13, 1991 , Building Inspector FORM N0. f 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_ 18526 Z Date p Permission is hereby granted to: vv ..� ..�-..►... (... ....... ................................................................................ :1:-........D... s ..... .......I.1.1. 11........... to ffp..�- -s.. `+'-....� ......�.... . ............................. ... .. vla .. �.. !- e ..... ��. ............... �. ..... . . ........ .... ... ..... .r at premises located at . A........ ... .. .T'1..........4�. .............. ....... .... .. .... . ,...h. . ............................................................................................... County Tax Map No. 1000 Section .......0 P...... Block .....R..ai, ....... Lot No. A1.................... pursuant to application dated .� aL....... .....i3........ 19.il., and approved by the Building Inspector. Fee S•wr�+�w: !•.f.�... r;x .................... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Bu: ding. . . . . . . . . . . . . Location of Property. . . .?Z000 . . . . . . . . . . . . . . . . ��Q! .��'. . . . . . . . . . . . .!lLyn//J!�/(!!u '. �1'&I House No. Street Hamlet Onwer or Owners of Property. . . . . . Qw�eg. . ��1. : �N�r�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .4. 0. . . . . .Block. . . . 3 . . . . . . . . .Lot. . . . . //. . . . . . . . . . . . . . Subdivision. ! .L�C�� y A ��YrF!^�(��/ .Filed Map�� . . . .L�t. . f3��!?. . . . . . . . . . Permit No. Date Date Of Permit:!OrZ� �9�Y. . .Applicant. .,�!:iF'7)r,/ NL Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . cd zl,9�paY APPLICANT. . . . . . . .. . . . . . .. . .. .. . . . ❑�..Ilr T, l} :;UMMENT.^. ?OU11DATI0:1 ( 1st ) ?OUISD1111 , ( pn' _ i 2 . �• 'tom ' . `o :'OUGH FRAME h PLUMBING /J y 3 . m n INSULATION PER N. Y. STATE ENERGY CODE 4 �L FINAL f ADDITIONAL COMMENTS : m � x 3 m ' x • H 3] A ' H O CJ m -o 71 All THE NEW YORK BOARD OF FIRE UNDERWRITERS, , Pnc4 1 li7(11071 - BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 NOVEMBfR 05, 199b 67787690/90 N 159268 Dote Application No.on file THIS CERTIFIES THAT Only the electrical equipment as described below and introduced by the applicant named on the above application number in the prend",of I.ARRY KENNY, REYDON DR, Ot1TH010, N. Y��yy.--,� in thefollowinq k3ca i B.Re [n At FI. n 8nd Ft. OUT ,Section Black Lot t�(PQbkSf: 79, t waa examined on and found to be in compliance with the requirements of this Board. PIXTURE TACIES SWITCHES INGNDESCENT RXTURES RANGES COOKING DECKS OVENS qSN WASHERS EXHAUST FANS OUTLETS -FLUCIRESCENT OTHER Mr. K.W. AMt. K.W. I "T. K.W. AMT. K.W. AMT. M.P. 32 ' 9 74 31 1 1 30 gtYERS FURNACE MOTORS WTURE APPLIANCE IEWRS SPIKIALREC'"I TIMECLOCKS EELL UNIT HEATERS MULTI.OUTIRT DIMMERS AMT. K.W. OIL M.P. GAS N.P. AMT. NO. A.W.G. "T. AMP. AMT. AMPS. TRANS. AMT. M.P. SYSTWO AMT. WATiS NO.OF FEET 13 600 SERVICE DISCONNECT NO.OF S E R V I C E "T. AMP. TYPE MEGIXP. I N tW I/3W 3 N 3W 3 A AW NO.OF CC.COND. A.W.O. NO.OF MI-lEG A.W.G. NO.OF NEUTMLS A.W.TR PER a OF CC.COND. OF HIAEG Of A. W.G. OTHER APPARATUS: MOTORS: 1-. 5 N.P. RMOKE OE:TECfOR:.-? � do� 0 k S CONTRACT0 LTI: . 0578-E BOX 215 SOUTHOLD, NY, 11911 GINIM MANAGIR It Per This certificate must not be altered in any manner; return to the officerof this Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. TM C01EV OF CERTWWATE WXT NOT Of ALTERED IN ANY MANNER. HENRY J. SMITH & SON, Inc. PLUMBING, HEATING& FUEL OIL MAIN ROAD SOUTHOLD, N.Y. 11971 (516) 765-3690 C E R T I F I C A T I O N ---------------------- Date March 1 1991 Building Permit No . 18526Z -------------- Owner Mr. Kenny Plumber—Henry—J_—Smith_&—Son ,—Inca I certify that the solder used in the water supply system contains less than 2/10 of 1 % lead . M enry P. Smith Sworn to before me this 13th day of Ma •,ch....... Notary P blic Notary Public , Suffolk County BERNADETTEL.TAPUN NOTARY PUBLIC M844893 State of New York Residing in Suffolk Cou Commission Ezp res Sept 3Q, 9.r M-1202 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING [ FINAL REMARKS: Y DATE 1i INSPECTOR Ax,-1-7t 6 70-1802 - BUILDING DEPT. INSPECTION ( I FOUNDATION 1ST [/ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION V4*- RAMING [ ] FINAL REMc�A,R tG DATE F O INSPECTOR 4at4,i 70-1802 c �c BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [G]'rNSULATION [ ] FRAMING [ ] FINAL REMARKS. Z DATE D INSPECTOR �.V' �f �^a � A'� 'a � \ + ji. A lY Y in -�. IY \ '. r .{ ♦ Y r i r j 1 • 7t 4v-� F.� `w 4 Tom'• i .. N (� � ' "t.� t It 'l v •!!p's i 1 �I�' lid .R.: MISDIRTIED AIS A VIOL OR ADDITION r !1%/.AP OP PROP,E'RTY THIS SURVEY IS A VIOLATION OF ERION 72"OF THE NEW YOU STATE DUCATION LAW. ♦�J� /� r �t �E -�.;.--. OFIES OF THIS SURVEY MAP NOT SEARING HE LAND SU:.V£YOR'S 1 G SEAL OR-D SEAS SHALLNOT SE CONSIDERED 0 BE A VALID EVE CIPI: MONICA ONICA M UARANTEES I CATED 9=0N SHALL RUN - NLT SO IM_&.S FOR WHOM ME SURVEY f K STLL C".V?X� 'S LaiAll To THE 'I I.GOYLL.MENTAL AGENCY AND {�L D CJI! F - Z eYooAt SNORES rDULG GS:iTUNON LISTED HAEON,AND O 1NE ASSIGNEES OF THE LENDING WSW (e4jP AO. CO. JV719,0 fVO. or;e SION.GUARANTEES ARE NOS TRANSFERASU [�/�.E•.s. / /q / �/ TO ADDITIONAL INSTITUTIONS OR SUFSURIE 1T Vf/V I KDh L/j /Yi 7 O NJ4rfpt7l SH f f iltlH� re [IOYOrl fISJ >`D. . 6011��1A1d 'S4YfiY9 J Barflc. a+r� ths` Iitfa "duaerant..,xar... -.., ` co. , oRr ►sur✓.eyed:pc�.'1%f, ;9?2t.- .: : ��._. ---+-=-, suff. co . ?'aX T'�TYGd/fJB. Rsrlc� :Yort Tu /, :1?'C.` �~ a LYaer�se� LdHc/ ISarve�ors ' .� ' T , ; ` vF•29 la{nl Standard N.Y.B.T.U. For _d02 Bargain and Sale Deed. with Covenant against Grantor's Aet •ladlvldasl or Corporation (Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. Rt EERLSt)72 FblE 63 1 This Indenture,made the 4th day of November ,nineteen hundred and seventy seven Between FLORENCE TaF'PENIFRE, residing atATown Harbor Lane, Southold, New York 11971 parry of the first part,and MONICA MARIE Kew, residing at 33 Hathaway Drive, Garden City, New York 11530 Q i-ST, party of the second part, /Octo Witnesseth, that the party of the first part, in consideration of Ten Dollars and other valuable consideration paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, S,eC- All that certain plot, piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the Town of Southold, County of Suffolk and State of New York and shown SQ on-"Map of Pe-Subdivision of Block F, of Map of Reydon Shores", at Bayview, Long Island, New York, which re-subdivision was made by Lewis N. Waters, L.S. of Oyster Bay, Long Island, New York, Septeiber 2nd, 1936, which said map was duly filed in the office of the Clerk of the County of Suffolk at Riverhead, �rC New York on October 7, 1936 as Map #1215 and which said lots are more particularly 3 designated as and by the Lot Numbers 13, 14 and 15 on said Re-Subdivision Map. BEING AND INTENDED TO BE THE SAME premises conveyed to the party of the first �-�- part by deed dated July 14, 1971 and recorded in the Suffolk County Clerk's Office on August 10, 1971 at Liber 6983 page 294. it TOGETHER WITH the right to use for boating, bathing and fishing all that portion of beach lying in front of Sections A and B as shown on a certain map, made July 22nd, 1 by Daniel R. Young, P.E. and L.S. , entitled "Map of Reydon Shores, Inc. , Bpyview, L.T N.Y. in the Town of Southold, Suffolk County, New York" and filed in the Office of th Clerk of the County of Suffolk, Riverhead, New York on July 1st, 1931 as Map No. 631, in ccsnnon with Reydon Shores and with others who now have or may hereafter acquire rights in the same, subject, however, to the reasonable rules and regulations with respect to the use thereof, as the said Reydon Stores, Inc. may from time to time put into effect. TOGE= WITH all the right, title and interest of the party of the first part of, in and to that portion of the bulkhead lying in front of and adjacent to said premises herein conveyed. TOGETHER WITH all the right, title and interest of the Grantor in and to any docking rights along said strip of bulkhead adjacent to said Lots Thirteen (13) , Fourteen (11 and Fifteen (15) . TOGETHER WITH the right to the party of the second part, his legal representatives or Gry assigns to erect a suitable garage in addition to the dwelling on the said premises, providing approval as to location is duly obtained. Together with all right, title and interest, if any,of the party of the first part in and to any streets and roads abutting y the above described premises to the center lines thereof; Together with the appurtenances and all the estate and rights of the party of the first part in and to said premises;To Have And To Hold the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. And the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. And the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust 3 fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the pay. �•,� ment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. In Witness Whereof, the party of the first part has duly executed this deed the day and year first above written. In Presence Of:- - i I -J RENCE LaFREIIIE UBERB372 PAGE 64 STATE OF NEW YORK,COUNTY OF SUFF'OLK SS: STATE OF NEW YORK,COUNTY OF SS: A On the T'day of NOvanber 19 77 , before me On the day of 19 before me personally came personally came Florence LaFreniere to me known to be the individual described in and who to me known to be the individual described in and who executed the foregoing instrument,and acknowledged that executed the foregoing instrument,and acknowledged that she a the same. executed the same. t�qMARY PUTLIC state a New York a:o.,:.'. ouf:o1L• �Couaty_ STATE OF NEW YORK,COUNTY OF SS: STATE OF NEW YORK, COUNTY OF ss: On the day of 19 before me On the day of 19 before me personally came personally came to me known,who, being by me duly sworn, did depose the subscribing witness to the foregoing instrument, with and say that he resides at No. whom I am personally acquainted,who,being by me duly that he is the sworn, did depose and say that he resides at No. Of the corporation described that he knows in and which executed the foregoing instrument; that he to be the individual knows the seal of said corporation;that the seal affixed to described in and who executed the foregoing instrument, said instrument is such corporate seal; that it was so that he, said subscribing witness, was present and saw affixed by order of the board of directors of said corpora- executed the same;and that he,said witness, tion,and that he signed h name thereto by like order. at the same time subscribed h name as witness thereto. Wa"ggtn on—W —MV-pll SECTION With Covenant /Against Grantor's Acts BLOCK Title No. /0J7 jY3 / T_ C LOT COUNTY OR TOWNr .loco Aw^Q Recorded at Request of LI;'lIFE TITLE INSURANCE Company of New York TO RETURN BY MAIL TO AILI�X4-1 ld vol- castu, EJ67S, Standard Form of New York s04P e54G cau"/TPy rPdAD Board of Title Underwriter Distributed by aP Na LPUFE TITLE INSURANCE Company of New York v O t7 z a01 W f-- r o N 9bnr♦p' V ,rn m � m w •.w M Wo � 0Z e-1 Z 0 N f:FtY � ,ntN tt� y, BOARD OF HEALTH ,,. : - • - # 3 SETS 5F PLANS FORM NO. 1 SURVEY . r SEP 18f989 � TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . SLOG.[A--PT TOWNHALL TOWN OFSOUTHOLD SOUTHOLD, N.Y. 11971 NOTIFY 1�s�p9 TEL.: 765-1802 CALL Examined . t�r. ?, 19 C OHK ,1eJa ApprovedOl�k�► 04��. ,D., 19$9. Permit No. 1.$ �� 1I? L. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date �' . . . . . . . ., 19y INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,witl 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 stre or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap 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 pen 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 Occupar 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ: The applicant agrees to comply with all applicable laws, ordinances, build' o e, housin de, and regulations, and admit authorized inspectors on premises and in building for necessary ins ctio (Sim attire o pplicant, or name, if a corporation) j�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State yyhether ap licant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build_ . . . . . . . . . . . . . . . . . . . . . . . . .�./f. . . . . . . .,. . . .�.i. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . .. . . . . . . . . . . . .. . !V r� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL CONTRACTOR' S MUS BE $UF LK COUNTY LICENSED Builder'sA-icense No. . . % p7!. �+ . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . • . . . . . . . . . . . . . . . . . 1, Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x tJ'D ? . . . . . . . . .��Y.Q !Q'P. . . . . . . . . . . . . . . . . . . . . �/eo!J wxrx . . . . . . . . :. . . . . House Number pp Street Hamlet County Tax Map No. 1000 Section AP. . . . . . . . . . . . Block . , ,3. . . . . . . . . . . . . Lot . ��. . . , . , Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . :. . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . .. . . �/�i 6 . .#*t A*1iI is • + '• ^ =`3. ;' " . . . . . . . . . . . . . It srEs rY; b. Intended use and occupancy . . ., . . . &W . . . . . . . . . . . . . . ::.". . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . • . ... . . . . Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition Other Work . . . y . . . . . . . . . . . . . . D pcv (Descriplion) 4. Estimated Cost . ./3. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . Ifgarage,number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each t,y/ppe of use . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . . . . . . Rear P?7. . . . . . . . Depth . .`T 7. . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . /. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions'of ame structure with alterations or additions: Front . . . A? . . . . . . . . . Rear "� . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . ..... . . . . . . . . . . 8. Dimensions of entire new construction: Front . . .t� . Rear . . . . . . . . . . . . Depth .`l?. . . . : . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . .�a L. . . . . . . . . . . . . . . Rear . . . . .7 . . . . . . . . . . . . . epth ' . . . . . . . . . . . . . 10. Date of Purchase.;&V I. ✓�. . %9J,. . . . . . . . . . . . . . . . Name of Former Owner��" � �?F�!� , , . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . .N. f/. . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . ✓ o Will excess fill be rem d f om premises: _,Yes �1 14, Name of Owner of,preL�Ose� �? Address 331 /V9�. ?W, 'Phone No. Ty/. :p ��6: . . . Name of Architect Jfik�0 /-"` Address . . . . . . . . Phone No. . . . . . . . . . . . . . . . . Name of Contractor / "�r. . . . . . . . . . . Address� ?p1 . : . . . . .• Pl ee No. �eSZ COI. . . . . . 15. Is this property located within 300 feet yyof a tidal wetland? *Yes .1l . . No . . . . . *If yes, Southold Town Trustees Permit may be DIAGRAMuired. Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions fror property lines. Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. STATE OF S.S _Oli . . . being duly sworn, deposes and says that he is the applican ( mne of individual signing contract) above named. 3eis the . . . . �c°� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor,agent,corporate officer, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi pplication: that all statements contained in this application are true to the best of his knowledge and belief;and that th York will be performed in the manner set forth in the application filed therewith. ;worn to before the this day of. . . . . 19 :otar)• Public, . . . . . . . . County CWRE L li1M NOMY pid)k ft"of NeWYpk • • . . . .Signature of apPIicant Gomm Explree C Dew*e 8,78 ENERGY CODE CALCULATIONS etry ChM — PEa �\vN y� n . 4 L,. �ES/yrV �p/TEPJ� 6000 nE. Qe _ Faa _ by aA Ls- 0.A. = /0 0F X.A- 70"F _SUBSYSTE/�� AA-FA Q DES/s+� Acca�ae �Esiyu AL<ewee Q6i\\ 4RfC3 1 'U' U I STU44 I is 4 i EX776R/OA WAILS (4AO53) I I 0. 17 I EXTEQ/DA WQLLS 6O0DA UE) 113t I I 0.0E G��ziiur, osa 0 L/ � 5 � �mQS I I o.vo G E/L/NCTS � .0 mF I I I I O.'OS I FGco.a I I I 0. 05 I . SNF/LT.1A7/ON I I I OD/8 I I I .tJO TES . TcTnLS �pF NEW y '_) BEATING E4QIPP�IT 1U ME :F.'T 7813.73 — 758 E . TO THEeEST OF MY i4iC/RL^JGE, yT` BEM rG�9,f 3) HEATING CONTROLS To MEET 7813.13 ,BELIEF, ADID ESEPRC PLANS AR S[IDG�ffi`1I THESE PLANS ARE i/ ✓"` � w RANGE 45 TO 75 DEIMML S F.4PMENHEIT. IN COMPLLINC. WITH THE CODE. 3) WA--M BEATING PER 7813.31 THRU .38. " 2 4) PIPE INSULATION 7,313.19 .1�. 0322s -i :) WIHIYJWS - DOUBLE Talcs. <) CONSTRUCTION TO := N.Y.S. ENERGY CODE_ - OfESS E N ERGY CODE CALCULATIONS :9 f,.- - - _ O.r4. /O F S-A. : 70'F AA6A ,Q -.Desrqu Acc.owco DEJ24.4 A[7,ulc/ - QEi\\,4Rfcs f I _�UBSYSTEM ' U' V BTU C3TUH EXTE,Q/,C�A \VALLS (4AOOS ) I I °' /T EXTEQ/QC WALLS t�� nz/.v4. i '/e /c s I o.58 -5-e s L)C�AS G E/L/NG-5 11C�F /1 7 FLG�A. I 9B l 4 I I O. OS I 30 0 SNF/LTl3ATl�N 94� ° I I O.oia I / b / yo ToTeLS I I LZ $3 � �tJO TES OF NEW ya y1? 'GEM H - TU T�— BEST OF Pu' I4`1Gwi..^�Gi. 1) HEATING EQui?.M1Ti' IU ?E= 7813.23 — 75% SEE. EELIEF, AND PROFESSIONAL i-' 2) HEATING CONTROLS IU MEET 7813.13 ,7UDGE. = TB SE PLANS ARE R $ RANGE 45 TO 75 DEGPrnc FAUF HEIT. IN CWLIANCE WITH THE CODE. s�\ a�22sai E) WATER HEATING PEP. 7813.31 TERU .38. 4) PIPE INSULATION 7813.19 P�eFE5S10NP 5) WINDOWS — DOOELE GLASS. _ / — C) CONSTRUCTION TC MET N.`_'.S. ENERGY CODE_ 1 FLUUMNO ALLRIDANN i - R_ I K(ANBER CERT/F/CAT/ON --- ---- - -- - - -- —__ ONM411D CONTFNT BEFORE ` -- - - - _ --__ -_..-- .---- CER111 RATE OF OCCUPANCY t SOLDER USED IN WATER ri I SUPPLYSYSTEM CANNOT — i T APPROVED AS RDTED EXCEED 2110 o/ f% LEAD. I I I j I + L � J — _ _ _ _ DATE: Y B.P.NJ� � I � I 334.7e V.FEE: . GL._ NOTIFY 2 9 AM DEPARTMENT4PMFRA7 785-1802 9 AM TO 4 PM FOR THE , b FOLLOWING INSPECTIONS: d, i 9. FOUNDATION - TWO REQUIRED a OCCUPANCY OR FOR POURS DCONCRETE USE IS UNLAWFUL 2. ROUGH - FRAMINGAPLUMBING 3. INSULATION WITHOUT CERTIFICATE 4. FINAL - CONSTRUCTION MUST OF OCCUPANCY BE COMPLETE FOR C.O ALL CONSTRUCTION ,SHALL MEET 9�o THE REQUIREMENTS OF THE N.Y. ■owwwalyI.und f STATE CONSTRUCTION A ENERGY Iw9110 wdimWing CODES. NOT RESPONSIBLE FOR �C PWM NINI be y 4 C d DESIGN OR CONSTRUCTION ERRORS d"M K er L only ' 2 gx LIMMMS O MFIGTE Almuw J. mS S DRMtNOE! MI? Ml e L 6 s. I', ' Kl N4 yn _! AneovsD ar,r,, •��._. sy„{.• 21 sole :;� . ., oR.wN�rJN Klc.l ,. DA,e.2 .�i ]�l1 L'{ J I REVISED It4J AU(T + \� �QFESSIDb� r . Sln � CL.�_JrI TID�I DRAWIr NUAUER O 4 - I \ �r-GAL 2�Macc;uA�� rt'Lip 1�l 14 i w 2 - I f '(AMIL'y lt.ov`n / C''-u L"`S'r—Ro� - l�1lL5rI n{h, _G'pt.L RL+LNF.�2.c ,.s Y ti I • I J � • _ - - - � �"LSE" `\ rU>� 1 i!i\. f. `i i \`j � � f"1P. VrTr;'. K��1N:RY �"r�IrJV --- T i' try 11241 S-SF(eW Agn[wEOry onAWNry a�F1(CqN _ �q.x ' d^gLFES.IUh�e '� OAiE^� .Sui_'r l'il AFNlFL 2"i T�iQ B�,•_ pRAWINO NVMIEn 44�� SAT 5(T I �i N�r�Cr I,I K1Tf Ii EN p202 x �J _ lij cLO�ET 3 TT O -- 111111 Y M I F QpSt2-L-K� 'y�+ EICIST I KE-MOVE EX75T. WALL bl °a // g h WrL>i '_ FlzB,PL AC.Cq, - ¢ r jlo Uj6_ ----- a i I -- ti it 'yyS,��•� I � m I'll �• � I x�i t�-drid m w w �W dl Ali ` 1 w Ilk 94 _ Z5,2a �pz nFW r� J ,Yo _ her' mm fS f �a _. r sQ ruaaz A i6* R. 4 pr Y i I 3132 a _ I C ai '� � I � I , J \ I I •i � �11IN � �1 ------------ n Z�SKo�e RI <. I i 9. Tt, I } 8 1.'� >. 1 e ---- 01/` 8 SG APPROVE.BY- _ ouwNry SH ftIcN a� I _ oArt,-�_T�atk'B9 . nemsBo�c-Y zzPuy_OA A-t 1*9 ' ORIWING NOMRFR .L;d}1 4EAOI,OrE'B°-. C6 IN: