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HomeMy WebLinkAbout17871-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218650 Date DECEMBER 18, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 11220 SOUNDVIEW AVE. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 054 Block 006 Lot 002.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 23, 1989 pursuant to which Building Permit No. 178712 dated FEB. 27, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE AND REAR DECK. The certificate is issued to ROBERT JOHNSEN (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-140 SEPT. 27, 1989 UNDERWRITERS CERTIFICATE N0. N105348--DEC. 5, 1989 PLUMBERS CERTIFICATION DATED ROBERT JOHNSEN DEC. 18, 1989 ilding Inspector Rev. 1/81 aoaai xa s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CfHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No X17871 Z Date ...~...a.l 19.$ Permission is hereby grant .....~i~...-...~...... u.~....1..~.q.~i.... . to ..c-4'~,~~ 5~-..4,.p.,.e..o~:-4R...~~!~.tQ~....1~,..1.4R~i-r,q.,...~az.~.. 4~A,t.Ni--.~~'y t ct premises located at ...:~~..r'?.~.°....~.R-c~exu~.1.terl~..~AI~R.......~,?.~-~.~t-..... . .....................P..... . County Tox Map No 1000 Section .Q„~..~ Block . ~ ~........p. Lot No 7 pursuant to opplication dated ~.A,~-1-~~ a1..w~" 19 4~., and approved by the Budding Inspector Fee tit f.R~.<.~.~ . ~ c!r c'-'~ Building Inspector Rev 6/30/80 TONN OP SOUTDOLD BUILDING DCPART:[C L7T TONN IIALL SOUTIIOLD, NEN YORK 11 S ~ ~ ~ ~ ,~i 765 - 1802 ~ ~ 1 ~ ~ 111, r APPLICATION FOR CERTIFICATE OF OCCIIPANCY ytCy DATL_..~~-. 9_.`~ J NEH CDNSTRUCTION .......OLD OR PRE-E%ISTIfiG BUILDING_..._.VACANT LAND._.._... / Location of Propcrty...ll ~.~:U~.........~~[-t N~C/UiG'Y,Ld.~~...~~11~r34'•.4_ IIOUSE NO. /K/K~~S`T~P.LET UAMLCT Ovner or Ovncrs of Property, . _ _ J:C"~f'LP_~.... ~-:''?i"SG'? . Couaty Taz Map No. 1000 Section . Block . ~ _ . Lot Subdivision...l~.~~l."~k~:L~~.':~....._ Filed Map __......Lot._.._--..... Permit No. ry.(..Date of PermiC ~:.~7_gApplicant _2i:'~N~'p Bealth Dept. Approval ....~~5_..._...... Undervritcrs ApprovaL Planning Board Approval Request Ear Temporary CercciEicate Final Certificate Fce Submitted: J_._......... APPLICANT....~~~~ ~s`y.6o 3875 ~ 3~ 7~~ ~w,t..H-c+s =ev. 10/14/88 ~"a,S TEL. 765-1802 Oc~vEFQL1Y~~ TOWN OF SOUTHOLD ~~c OFFICE OF BUILDING INSPECTOR ~ j~ P.O. BOX 728 _ ~ TOWN HALL I a !c' "O ~ SOUTHOLD, N.Y. 11971 L~~ ~ E ~~s~ s Cpl ~ ~ ~ , _Y? ~ ~~j°`~~SLGG DEPT - r C E R T I F I C A T I O N E.„,. T0,"JNOLD .'"i Date Building Permit No. /~]~'r'J~ Owner ~~~cy ~yNS P~~ (please print) Plumber o1e~,e 1 ~J~,lnr.~e~~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. (plumber'` signature) Sworn to before me this 1 ~ day of N¢.~ ~ ~2 U/{, 1911L' Notary Public Notary Public,_,~~y_County HELEN K DE YOE t!~TARY PUB11C, State at New York Nn 4?fi78lfi, Suffolk County Term Exwres hia:eh 39,19~r :1ELD ~:•5.~0:=~~+ I~D;,.c. .;~MMCNT~ 7. ~ ~ H F oUirDATlo;i , ( t s t ) - .'3 / iL C FOUNDATION (2nd) ~ m 2. ~ - ROUGH FRAME & PLUMBING ti 3. S ~ m• m~ IIISULATIGCI PER N. Y. I STATE ENERGY CODE I ( i /a 3 .-.I 4. H " ~ l FZidAL ~ . ADDITIO L COMMENTS: m x~ © 3 S , Go . x H 9 H H _ O Z ~ m a r _ '-3 S b m m H THE NEW XORK BOARD OF FIRE 'UNDERWRITERS PAGE: 1 1001.071 ¦UREAU OF ELEGTRIOTTY Et8 JONN STREET, NEW YORK, MEW YORK }0038 Bete DECEMBER 05,1989 ApplitwtionNo.onfile 62045989/$9- K 105348 TXIS CERTIFIES TFIAT only the electrical equipment o. dsecribsd 6ebw end introduced 6y the epplkent ttetnsd an the ahoue spplicetion twmber Jn kAe promiea qt ROBERT J08!(SEM, PRIVATE ROAD, SOU9'BOLD, N. Y. itt thefotlouigg loeetion• ©Barsment ® let F(. ®Ynd FL GAR/OUT Section Block Lot mss esemined on MOV'EMBER 20 , 1989 and ound to 6e in rnm f pllencr Trith the reyuiremente of this BwFd. RXRIEE ApK SYt1TCtlEd T COOKING DKKS OVENS EISX T f QIITIET~ INCANDlSCEN7 F1U011lSCENT OTNEP AMT. t. W. AMT. W. AMT. t.W. AMT. t. W. AMT. N. P. 32 2 40 29 3 1 12.1 1 1.2 oErEllE RBRNICE hgTOlls tltrun Arruhltce REiMt fNptItEEC'?i Tew«otKit ~n? IltxTlwTrs Euwuls IfaE AMT. t. W. Oil N. P. GAS N. P. AMT. NO. A. W.O. AMf. AIM. AMT. AMPb. TRMYS. .AMT. N. P. ~ AMT. WATTS 2 F 1 20 SERVK7 CIfODtMCT ttO.p S E R V 1 C E MAT. AMI. Tnt ~ I1 tW 1 X SW' S / TV ] / AV NO.OP CC. COND. A. W. NO.OF N4LEG A"W. O. NO. d NlUAAlS A. W. 4 i a c a NFItG a NEUTeAI 1 200 CB 1 X 1 2/0 1 2./0 ontw AP?A#ATOk HYDRO MASSAGE 'PUB-1 G.F.C.I:-7 SMOKE DET$C1'OR:-2 . G & S COMTAAC"P(1R LIC,~578-E ~~fG BOX 215 30UTHOLD, MY,.1971 OE11RAt IMAIIASEE ~ 11 ~ Pcr c in momrr retwn to of Nr 4oard if " b identified tAwr ctadenlialt. ~NLDING DRPA QF TI R, _.r ~ _ .A. . _ ~..~..,.v..~._ / 7~ 765-1802 BUILDING DEPT. tNSPECTIC~N [ ]FOUNDATION 1ST ( ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( FINAL REMARKS: DATE 4 INSPECTOR P~ ~ T6S-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ l FRAMING [ ]FINAL REMARKS: ~'K -tiv~. DATE ~ 0 INSPECTOR ~L _ 1771 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ j ROUGH PLBG. [.FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ,~1 [ ]FINAL REMARKS: A?~- DATE ~7 3 ~ INSPECTOR r. ~ 0 x ~R x c~ ~ ~ h j n ~ A ~ Q A ~ ~ @7 tea O ~ ti ~ c mZ C] a w a ~ ~ ~ Z 0 S BOARD OF HEALTH O D ~ 3 SETS OF PLANS ~'~'a" FORM NO. 1 SURVEY ~C . FEB 2 3 i ;Rq TOWN OF SOUTHOLD CHECK - ~ ~O•t- - • - ~ BUILDING DEPARTMENT SEPTIC FORM P~ , ~~~._~i TOWN HALL NOTIFY t'~-"'~ I r SOUTHOLD, N.Y. 11971 7f S-/iG 70i" , ~ ~ ~ rv TEL.. 765.1802 CALL . MAIL T0: Examined .x~....... , 19~~q. Approved ~ a~-?uw.o~.}l.., 19 $ .J Permit No 1. ~ ~ ~ ~.~4. Disapproved a/c . . (Building Inspector) APPLICATION FOR BUILDING PERPAIT Date a~ ,a..~......, 19 INSTRUCTIONS r a. This application must be completely filled to by typewriter or to Ink and submitted to the Building Inspector, wit sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing locarion of lot and of buildings on premtses, relationship to adlommg premises or public str. or azeas, and giving a detailed description of layout of property must be drawn on the diagram which is part of flits ap cation. c. The work covered by this application may not be commenced before Issuance of Butldmg Permit. d. Upon approval of this application, the Butldmg Inspector will Issued a Building Permit to the apphcant Such per shall be kept on the premtses available for inspection throughout the work. e. No building shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occupy shall have been granted by the Butlding Inspector. APPLICATION IS HEREBY MADE to the Butlding Department for the issuance of a Building Permit pursuant to Butlding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the construction of buildings, additions or alterations, or for vat or emohtion, as herein descn? The applicant agrees to comply with all applicable laws, ordinances, buildm co e, house g code, and regulations, ani admit authonzed inspectors on premtses and m building for necessary mspec n 2 ((Sign tore of //app i ant, or name, if a c/or/poration) .~-Y C7Ci SouNdf/~PW. ~u~. SOV~~io.CN (nfaffmg address of apphcant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or butl~ ~ccJ v,, eR Name of owner of premises .~~~`~?~T Jo~°^ 5«I . . (as on the tax roll or latest deed) If apphcant is a corporation, signature of duly authonzed officer . . . . . (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Bwlder's License No l3/~~ h`(. . Plumber's License No. d 413 P . . Electrician's License No V- 5 Other Trade's License No I. Location of land on which proposed work well be done . House Number Street I{,inilet ~a_ -i~ County Tax Map Npo 1000 Section J~.~. .Block Lot . ran u~~ . Subdivision ItO~'~t'1 .lo%wseh . Filed Alap No • • • .Lot . . (Name) 2. State existing use and occupancy of~~p//remises and intended use and occupancy of proposed construction a. Existing use and occupancy YaGON ~ b. Intended use and occupancy .,YnEV.. / ^~QSti~ ~~rvi -e . . . . . / r- 3. Nature of work (check which applicable) New Building ...7 PS Additi~On . Alteration . Repair .Removal Demolition .Other 1Vork . t~ iDescnpYion 4 Estimated Cost . , ,/,O.o, ooo._-- , , , , , , , , , , Fee , . ` (to be paid on filing tlus application) 5. If dwelling, member of dwelling units . Number of dwelling units on each floor . If garage, number of cars C 4R i~`ar /z c~ 6. ~lfbusiness, commercial or mixed occupancy, specify nature and extent of each type of use . . . 7. rHi ns ns of exrstmg structures, if any Front .....Rear Depth . l~sglit--, Number of Stones . . . ensions of same structure with alterations or additions Front Rear . ~I3epth ..Height Number of Stones . 8. Dimensions of entire new construction: Front 5-G'8... Rear SC:``~........ Depth ...3~.~~... . Height oZ.tl.'........ Number of Stones r2.... . . . 9 Size of lot Front ..~C~$..... Rear .o~.z/~. Depth . . . 10. Date of Purchase /Y6?~ N me of Former Owner . 1 I. Zone or use district m which premises are situated ~es. .Ag,K . 12. Does proposed construction violate any zoning law, ordinance or regulation. N° . 13. Will lot be regraded ..../.V° Will excess fill be removed from premises• Yes 14. Name of Owner of premises . Sdiws ~N Address .....Phone No ,X~ S Name of Architect /3?e~6'P~ Address Phone No. , . Name of Contractor R... ,LcthxS e~.,.. ..Address .........Phone No........ . 15. Is this property located within 300 feet of a tiyidal wetland? *Yes No *If yes, Southold Town Trustees PermitP~aOy_ DIAGttgMed. Locate clearly and distinctly al] buildings, whether existing or proposed, and, indicate all set-back dunensions fr~ property fines Give street and block number or description according to deed, and show street names and indicate whet interior or corner lot. `w ~ a 'S- - Hesse 3~4-- - - N v ~ ~o fs~ 1! Q62 i Ua~C ° ^ R~ STATE OF NE1V YORK, S S COUNTY O o6PkT Tlin~evt , , , , , , , , , being duly sworn, deposes and says that he is the apphc, (Name of mdrndual signing contract) above named. He is the Gtu,g2iC„•, Co.i(/~,'a~7arL..... (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 t application, that all statements contained m this application are true to the best of his knowledge and belief, and that work will be performed m the manner set forth m the application 51ed therewith Swom to before me this .............a~.:3. .da of 'f , 19Sj / Notary Public, County ~ N6TARY PU UC~SWte e~ New York (Signature of applici No. 9767818, Suiiafx County Term Expim Mxcb !0, 19~ { S I Z F r~ , Q a ~t ^~t ~?vim '4 ~ r R ~x ~ r f^ ~ ~ ~ '1 ~ ~ ~ 1. M1 '.J , , i"A1 V t IA ~ .1i t1 R s~ ~ p ~ f ~ ~ ^ - ~ ' ' iry i ~j. t•~. ~ I ~ ~`y 11 ,~~1 ~ S t ~i ~ r ~ ~ Y r -ter ,p • I c ~ 2t ~ ~ , ~ ~ i ~ + ~ ~1 ' ~Y r~ Iii Y I ((I ` # ~'}S f~,(ri ~ - - a~~ ' M l ~ ~k• n. ~ r~ I+ :i3 ~ 'i'•. ~ ~ - ~ •c ® rti ; i. R ~ >ti , ~ ~ ry r ~ ~ ~ ° ~ ~ ~ Y 1~ ~ ~ q g ~ ~y Y yyy ~ ~ ~ ~ ~ -ors ~ ~ r`1 V7 r„' ,'°`T~4 ~'t (~V ITt ~ ~ ~ ~ t~ a ~ ~ ~ ~ m ~ a2°aoMC co~c~ - - s. , v o m $ ~ ~ ~ _ z ~ iii t~? ~ ~ ~ ~ '~s~ ~ -t r r,~'" f~ I~ ~ C-`e'i ~ C) rn ~ -N•t ~ O~^ y O 4 m f ~ ~ w Sj 3 ,q x 1 y L'` O m 'i C n x 7rC ~ v;r -n+ c r' r 1 ~ ~ ~ v r,J3 ~ ~ D ~ -i to 2 V 4P - N i ,s 4 ~ .f t x . _ ~ ,.,nz a V i[ # ~ - ~ ~ ~ ~ g ~ ~ _ - _ C7~/~~~ t \ ~ w ~ ~ ~ to s ~ ~ - f. ~ R, i q ~ µ ~x Q ~Y d V. ~ 1~ t . ~ T' „ ~ r ~ ~ p~ y ; ik x~~ of : oar I .f ~ ' e* ~ ~ ~ fT F A~~OA r T ~J R J p 1 'r 'r 4, C, ~ ~A C ~ 1 ~ ~ t ~ z: t r' ~ n v ~ tr- v c "v ~ ~ O ~ m v ~ ~ ~ y^ p. Z N ° n ,r ~ p n ry r C ~ v z ~ ^ i~1 n ~ w O C "~O ~ m .c o ~ ! ~ j ~ l~ 1- ( ~ ~Sb }Z y O Z ~`~.,,a ~F,,,` fw, T ~ ~ u + Z ~ ~ w ~ ~ m O O ~ !N , y 6 { i i _y }RY ,fail .1~1 r 'C w ~ m ~ ~ t C ~ C ~ ~ ca ~ s .mil a . ;Y rt' ti. ~ ~ ~ Y rn ~r w. ~.:I T, ~ *y^_ i`' O O D S O n cn N fn f1 N ~ m ~ a DO mC C O'<2 M1 ~ 'J .a m w,,~ ~ wn O D~rO r _ puYD 1 O ~ d# a ' ~ x ~ r~ ~ ~ ~ m `b Q D v = Z ~ ~ O r , g~~ a~ ~ j ~ a' O m a~ m d m m Z ~ ~ J,° ~ ; i~ D D m 4 ~ i • . j ~ n ti, n ~ a r O -rt m S r D 'nT N mrr JEROLD L. AXEl32OD, R.A., P.C. ARCHITECTSIPLANNERS NcARS eeae NY 8730 NJ 8278 2500 NEW YORK AVE. CONN 4877 FLA 6108 MD 3898 G. S. 180 MA eoea MELVILLE. N. Y. 11747 (BIB) 96f-6363 ANALYSIS & NOTES FOR COMPLIANCE OF THIS STRUCTURE WITH THE N.Y.S. ENERGY CODE Name of Builder Name of Model Plan File No. Method of Analysis: Part 4 - See calculations attached at rear of Notes. Part 5 - See diagrams attached at rear of Notes. 1. Insulation to be protected by vapor barrier where capable of absorbing moisture and to be continuous at plate lines, sill lines and corners. 2. Slab edge insulation to be provided in all living areas as shown on plan sections or attached diagrams. The "R" value of~this insulation is to be R=10. 3. Glazing in windows and sliding glass doors to be insulated glass, U=.58 maximum, including frames. 4. Exterior doors to be urethane core or wood with storm door, U=.40 maximum allowed, including frames. 5. Window and door manufacturers to provide a certificate of compliance - including infiltration loss per 7813.5 of N.Y.S. Energy Code. a) All exterior joints at windows and doors, openings at walls, roof/ceiling and at utility services to be weatherstripped and caulked respectively. b) Fireplace units to be of such design, if provided, to include outside com- bustion air with infiltration controls; 20 CFM flue damper, or non- combustible door. 6. As per 7813.13 of N.Y.S. Energ yCode: a) Thermostats to operate in required ranges as indicated: Heating only 45-75 degrees minimum Cooling only 70-BS degrees minimum Heating & Cooling 45-85 degrees minimum Provide setback control (manual acceptable). b) Humidistats to operate at relative humidity ranges as indicated: Add moisture @ 308 maximum Remove moisture @ 608 minimum - 7. HVAC Equipment Performance Requirements as per 7813.23 of the N.Y.S. Energy Code. Minimum Equipment Performance \yt 6RED y~ee' ~C4i Gas Boi 1 er 70Z AFUE ~e°`p L ~'~F~ Gas Furnace 707 AFUE * ~ o ' Oil Boiler 75z AFUE i Oil Furnace 757 AFUE ~~s o~~ Heat Pump - Air Source ~ High temp (47 deg.) 2.6 COP 's. t F" Low temp (17 deg.) 1.8 COP ~`f Cooling 8.5 SEER Heat Pump - Water Source 3.0 COP Cooling 8.5 SEER Central Air Conditioner 9.5 SEER -1- r 8. Mechanical system insulation requirements as per section 7813.19 & 7813.20: Hydronic Low Temp. 'Required Thickness Pipe Size at 1" = R4 - R4.6 1" and less 3/4" 1 1 /4" to 2" 1 Forced Air Required Duct Temperature R-Value p T of 52.5 Deg. F. or less 3.5 (Min.) p T of more than 52.5 Deg. F. ~ T(Deg.f.)(sq. ft.) 15 btu hr 9. Water heaters & combination water heating/space heating systems to comply with section 7813.33 of the N.Y.S. Energy Code. If space heating boiler is also used for domestic hot water, the standby loss may not exceed: 13.3 PMD + 400 = BTU/hr. maximum standby loss. n Domestic hot water to be as per section 7813.38. Manufacturers certification to be provided, as required. Maximum flow for lavatories and showers to be 3 gpm. 10. Design of mechanical system to be by others, in compliance with section 7813.11 of the N.Y.S. Energy Code. 11. The design basis for heating analysis is as per code, as follows: Outside design temperature = 10 (Suffolk County Airport) Inside design temperature = 72 Heating Degree Days = 6000 12. The design will be predicated on Part 4 - Component Performance or Part 5 - Generally Accepted Standards. The design as reflected in the above notes and calculations and attached construction plans is, to the best of my knowledge, in conformity with the standards of the N.Y.S. Energy Code. Architect. Jerold L. Axelrod P"u;~t EKED A~eyi O`P L q~, 1 ~ ° . " ~ a. v -2- _ PAPT 4 N.YS. EN RGY CODE COMPONENT. PERFORMANCE ANALYSIS # o~ ~J~Y WALLS = AT GATT AT MEMBER OUTSI F M :f7 .I7 151h FELT :06 .06 V2'PLYWOOD .b2 .62 U2' GYP. BD: .4S .4S 2'x4` SPUDS - 4,3? INSIDE FILM ;68 .63 TOTAL t 13_S5) (?,2Z ) (.1$)(2100) (-138)+(.85) (2toa)Lo;~ Uw i (2100) Uw ~ ' 002 GLA55 AREA=( 3°{o){1A~a7.)- GROSS WALL=i1~4'!) - R=(31 ) ~a u UwAw+UgAq+UdAd ~'~-`mss _ ~ ~~pp k~~~Fyn4 A'~ dxx kiL,2, ~`-,j A (.083) (tioo )*{7~I )('~90 )t(.o9$)('~-1i ) o.~~y~ i~$ ~.ss:'r~ r^. ~o ~ t'1lot ) fjs'~. ~ ~ CODE PERMITS Uo-C.t7)>CALCULATED Ug°r (•14 ..THEREFORE WALL ASSEMBLY MEETS COrE . CEILINGS ~ FLAT AT BAIT AT MEMBER ATTIC AIR SPACE .GI .61 R (3o)BATTS 9" 30.60 - i/2"GYP. SD. .4S ~5 {NSIDE FILM .61 EI 2'x0'CEILING BM. - °jh TOTAL f'~l~?7 (11.04) U ~ 1/R (-031) (.09 ) CE)L1NG AREA ~ (co'~ sf. 3 (093)( ~6I)(:o~ )3f .907)(`co`~)(•D31) UC ( OC - . o3(p UC {,o3rA)~ .05 CODE ~ml q "(R-3a) ~%+tr~ Ot)DE PERMITS Uc (.OS) 'CALCULATED Uc (ro~1o), -u ~ . ROOFS (CATHEDRAL) FILES c'~1~)`= - - AT GATT. AT MEMBER OUTSIDE. FfLM - .(7 17 . 23zi~ SHINGLES- - a4 44 151L~FELT .66 06 3/g"PLYWOOD ` R-t IgJ GATT S tG° .00 - [12"GYP. BD: .45 ~ =S5 - INSIDE FILM .6I 61' 2'x~n'RAFTER ~ - _ ~`1•a TOTAL (Z~>`~`-). (G4-e'I ) - SKYLiTE AREA; ('~2:8 j iJ'-¢4 R06F AREA C'~to) - ( 093) (~1D.).( .0'~) + (.907) (°'~10`) (.aS='I) UR - -0/#9 ~S~ F r AR[C `~~,r't U _ C~.n~9)(~la~,s (io3('o;(-Sd°1)+(.~.s)~32°~~ ~,as~~~~,,~o~ry~` w ERIC - t,o4`~) < .0-5 CODE ' CODE RERMITS Uric=0051 CALCULATED Unc=(.ok~), _ THEREFORE ROOF ASSEMBLY MEETS- CODE. ' . S� —77 7' A�iPI �ALT J�11 rgl l's — --- Lul - _ - -_ -- - - _ I SoCoo 3cG+o 3ouo ,.� •'�; �(rI- r�► IEL C{tl'L dtlil E OPIEL eL `PERT Slid . . 1% 10" P'rl cif -- U•.5o TYR j __ Fluls ED � I Lt t tL- 1 t +-L -I t � � -L - - - I I � - I 1 - - - - � �-1 { -+ +- - I- - - - - ---Y� - - - -� - _o -4 PLUMBER CERTIFICATION _ - - _- - - - -_ — - ` - -- = _ I �r ON LEAD CONTENT BEFORE ��� CERTIFICATE OF OCCUPANCY - __ - _ . - / - IrxrE vt4T SOLDER USED IN WATER SUPPLY SYSTEM CANNOT - FXCEED 2110 of 1% LEAD. PLUMBING ALL PLUMBING MASIE --- - IpT�- 6 WATER LINES NEED l-�� GL' _ I-- — !�•• !�.• — — --; - TESTING BEFORE COVERING cotes W . cHill eY _ -I - j- +� � i + =t- _��__-�. �. � }=-T -; � — � -- -_ — �-p►� paL µTA. NOTE: EXTERIOR' WALLS MAY HAVE TO BE 6" THICK: SEE --- L _ 1 _ -t- _. - -'� .- ACHED ANALYSIS NOTES WHICH ILLUSTRATE T_-- �- I -� i _ II - _ _ � I -+ -i- ' , COMPLIANCE OF VARIOUS ASSEMBLIES WITH N.Y.S. ---- ENERGY CODE , bgt'jo '+AlaO a - - T- — I- - - / �'-- ';.0 1_ APP OUED AS NOTED If coPPer tubing is usad1 - -� (p�yg 4LR �1UEL. aRICL 1T11 _ '- fit° DATE 7 p B.P. u /��?! sfste wateror distributingI '7 - --'�_ Y m%Piping shall b� FEE: S9a-SS BY 1LG.l. OftYPesKol• �-�-- �s-y°v I- — UNDER NOtIFY BUILDING DEPARTMENT AT A—L� I 765.1802 9 AM TO 4 PM FOR THE WRITERg( RiIF FOLLOWING INSPECTIONS Ilan + 1. FOUNDATION - TWO REQUIRED •'�F(UIRFD __ _�__,�_.� —; Sr a F`F FOR POURED CONCRETE .2. ROUGH - FRAMING d PLUMBING 3. INSULATION I I I I ! I I + 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. OCCUPANCY OR ALL CONSTRUCTION SHALL MEETTHE REQUIREMENTS OF THE N.Y. USE IS UNLAWFUL �- STATE CONSTRUCTION ESPO S ENERGY WITHOUT CERTIFICATE �LL , /�� I O` ODES. NOT RESPONSIBLE FOR PERMIT REQUIRE FqR I`�/a\ L / I`1 �I� S l l z l DESIGN OR CONOWICTKIN ERRORS OF OCCUPANCY ALARM SYSTEMS UNDER ALARM LAW /4 F-EV �',yo �, — H© IZ�23y] JfROLO L. AXEI'.ROD, 2500 NEW YORK AVE . 11.A..LC 9ElVILLE NEW YORK 11747 1,61 Gl as ice • rz-- - ' 2-1z �:,A19111 �TS � RIAR190 518 351 353 ` OF. GENERAL NOTES RE : MICRO-LAM BEAMS 1) A minimum of 1 . 5" of bearing length GENERAL NOTES is required . ' - - 2) Bearing across full length of beam ' �"'•o plans m W entWe ben 1n m.Innctbn with the is assumed . rpe<Iflcadane e'hn provided. —+ 3 1. Aewnwel•oil hurl"[canaclty - y mn./q.h. - -{- ) Lateral support required at bearing 9. Gone,Memwput.. irelnbrryamlw�Met3=pa, Points . u on,too. .N . 1'L 4) 16"& 18" deep beams are to be used s. Lome.rmheH.m-Prit to met on v1:�o:e.�•�o-ieromral, in multiple units only. IlWbt mg. E.L5 for a 1, 1.4 for e5. Hldtn bw re -- ) Iumb.r such a.O.PIr, S.Y.Mae, Mr,may he.ua- -- Nailing pattern for assembly of .tl-W for H.m-PIr. No SPP IMnher ,eay W Vwa, �-- _ multiple units to be a minimum 2) S cope 1., .111•, pta. A .W.. rows of 16d nails at 12" oc , ) ' D.MAnfeadhg,aman known par q.h. _ �3 Loudon Llv. nand Gef4a-Wm0 rows of 16d nails at 12" oe for 1411 , '•e•p'"vr aoth. tor. tJSgd 16"& 18" beams .' ]nd.Fker(.lentlq...I wlh. lab. L/Sf0 --- R I� 6) Assume fb=2800 si , E- Anirme,weem"o Utah. $r. LnAo __. �.. P -2 , 000 , 000 psi inil ivnalf(•Ie fix.WH�r Yae.. n�in. LL/7a I_{ j tl— 7) Micro-Lam beams are manufactured by moMl"Ile,rtlrd wfa.". Yth, yip "Trus Joist Corp. " & distributed by S"rload.heWksen aAlnMndm M.neher /Ifr G I;Q ' ,14 � / "Major Building Products" , Medford , NY feral'. ihioiloid'°°f the°'• Rathe wr•A�•Y — ,. r / ' IYI W b Ae 1Kr.ee.d b.CmnM0.l1 Al�br AA.r�A�A. I µI ' _ `__ —__ .� �,I,� _ ]. M�1�m Header AW b be fT 7'r Y' uW.A•tteerl� �fF Ifr A. GY••b .boon, rbwr door.A rwly Ara.desire b �. he va"otnd gla". ��� 9. 81.anotl tusk m 9wbrm to dr National{leans cod• WhhFhI� ' ' ^�• -1 - �_ _ I I _ I GA .mMae de thou,a law eet...vruNde m1.InM.t r t.. t � I 10. Conetrualan m cMorm mall melee Irr4y)orftllalea, _I . _ - I _ _ I .(i" j CI G6OAI2 GsIDiJ� of TMse plans anbalpndm Mon or.:a.dWrmyn- �7�r Mean of the None Yort State Au1Mlq code. Waea au W- Irr 1, In,In otlrrJuaeMabn.. vm%none or tl}tbnMu ,nay l 1'•'I ` Li / be re"Ite t. Verity any Urh roWlntrb.0 r ,th final 1' one,or ankrGm.M MI.,, y _ — r - b1Ja+oD �NI��LFr�,I 14 ro rd6 12. Tho.e plan...&.i — f •__ - I 1l I� I N'A - O� O�rf16 t- Now York Stale EnarV ccao.,atio GOM Gone A T - 'r Z-o GA I L 7' the SCCA Paerp Conaerntl"God,for.AEop _ e —t-' I - -.- 1� �ELt hY cumfitam. AfthwAhthestanbrd.rHAMrgpu- I ryble Mefor My W nyl.a,clay nd ohnaia e:wrl/�Heauo re. qutnm.n'- PerrlarlerlY If uetq.l.CtriC heat 1M/n M' qulry higher In .non ralua., l9. The erchlaa uumse an n.ponahill for onnM,gtrmn 7f—J- 1 �2iC.CbII HIJ� .� (�� `I I� O.L. / mane. mathud., tarhepw.. O .qun"e or ptop.drm, Or for "tiny� _'- T-_ -r- }!•L II � I f1L, the wrk. Thom.1.an ntle rime l e, nor•nY�rtl.r�M•Mb lul'[Y of flttleu for a apeClflc tau.tpru.nd or Imylbd a rile tau of rhn.plan.. _ 11. Go ter anal.dr clop. Pour ell rt,eneIon.only. iS. copyright; 19 Aepraduttfon o!than Phan, Y"Y form, .plots dy er"morMn of the arehlbCL IA pohlAlud. The"Plan MY la be fund for cmRNalea Prpoea•b any huildlnA depaameaL rldtmt the am hiaae"relvea autherWtMe led/or aeal. Amy use of these pgame line&W purpose, erbr two that eveepfeafly•Mearia"M the .ZCltl t. 1s Me f, and MY"penttw mean thuled an P. �- � -- -- I --yt- A•rma.t a/m�oo.lmwleae. i - — -- — I(o' DedaLi f�efcF , dyb6rE ALL fARJ.LLLI FAR'(ITW jZ�'— -- 4,14gizi' I r ' � I 0 e.d, 6" oB. �p�. � "N6 II •rlll5 GJFI �F i.�_1._ , �_, I - -F T_�-r- ' � `+- � - ' G,�, I '1• Ii 3• I e i SI/ +--- -i- ,--I-- I I-rr-- — -- ,------T s LhI I ' A' Y. Il GJ 1 I � � --f- - w'SN w1u1 K IlK I Z v I I t f �>--T+-r- — -s--- — I — _ -- L ---� -1- —1-- O <G,St EAEG qT _h G•�' „ co yJ.G. ^,,�� yl - -- �' - f - p . L Yo`DLqrr? 2 L 0 . -`- r _ e'r4 { s 9 " < V NoIY,E ' )ZA,p 14J I I I I M - U - iCII. d f f I l t a g 1 121 "10 �N I NEROLD L. AXELROD, 2500 NEW YORK AVE . � ��-I ��� �.� I �' $ R.A.,►C. MELVILLE NEW ,YORK 11747 Z hTS,riJ r� 2-I2- it'. 1alCCl:er�, . : "� 3O'� ANCINPECIS/, PLANNEAS 51'11 • 351- 5353 ' I91-o.'CoP ) W 9 n' rs, 191 1: — — —� C�)2 gcp �z$ - —$-- 19 � 4' — I .I I I •,.. FsY c yr l 0 e,� r a0 fC7 P�ih1T. G�Aci)} \ 2'•x (i'fP) MEAT s. Le - oo O.• GLC+ NG' 'I Y1� � �' D I 1 II I FIDZI-1. III dh "¢al vUY II I N g Gi�hr „ cd3our AIZ, i--- --! do. �' Jq La A 44"Cp �. .tl jq : 4.. g �✓ �}' IN y + -- - 12 , Ic - LPeA.TO -v III N —T - LO �/I��n ,Ip1-^I• I 1� � • �;LL ¢ 7f*MP rbR 4' coFL, N cam. . a�A o �� b R N D N I eA 5 6• _ �, U I3•.o, r J 1'ZIT'aa'('r*- �° 1- ^o y0 Nti b P�LocKI JG -y o JERK GIR OQ iIt' 6'-4" Yl,a I�a b'- 4" -- - EQT �� # °o712- I NIOb�� �Ht d� JEROLD L. AXELROD, 2500 NEW YO'RK AVE . —ywT -: {�k�(y I�2��S� R.A..RC. MELVILLE NEW YORK 11747 . THE G_,4l cHcn.�� Z� ,2 ARCHITECTS/ 'PLANNERS 5t8 351 6853 n - °Y 12° _ _ fJ oq7 D EpK Au, CAA " VRZ I - l -I it ` Irl ZAITILl I s p - r 1 - (2ILti b C2) e*10� = ZroG�pirlsl4 -- Gs -- (oprl y�� _ 6 a v a I ~ Zw SL ti Ib-4 �Tt � d 1 N "� .,d ' N � '� n�� rqD� ._ Y I(0�1?. � l�`V�1`0.� ✓u ` � NON �t �il"�� mil. :po ' h�X I '" p,. \ Y - _ .� N' w•RfN Iti+f 1 q, , i J •� �t 1 4.' v y�A�l�- i, uPN' { � ., "� ,I �''fJ� I "+ '' yl•�IF y�FJ �I� a� 4n, �,,,ow — ,Ic.. U` .f fb• O'� T�ipp r �9 _ tirNR 4 o(tl 'L'* Io�FNi• IG'' - ; - or N 47 2'or` OG 9.F1 Lx .ACrr7✓U O O,� �Zi 4� p n i{• Z•Q r r� ,� 4. C.5L�4 I LtiN� 1� F{3 ( "nli" r 2 'rq`L4Irv"aG `— N 1 ' I� I f" W lk�o"Wage cl t � t _ x o GvL i' !f'1�171Rr��s�l1•+!• G N — s ` �G X12 IFT) -i dt �• ,Y a 4nll 9 � O 4,� +ry'• I d (V ,� n a r +{ P Pt�'�• I r�•,o 13.Q I� ti)13/4 x l'1 MI .7�O A+ f va 1 E I /�) 2"xto'� as ilJp ( - _ _ TI- -3^ LaUYco M i�1i out (21 "2.4'I �L><V/it's'•1(a�Drr �I�tE o�2�n P� _� — — -- — , ' C2 2n'""x'W.�' 'ti• � �' `pi ,� �s�pparr - - - -��. ��•2"ARi 12"o.d, — — — — uxG� ;. Yal7palt qt, tit C2)Q'r(av V Itor�N-�Yt 1 12°al 2M� p1lAj� Cd I7 rl'O f0"�l -(Q-� 10 �tszceca,t,� { per ST. '� OF -ew. T, - SAGE �It� � I�� JfB? I.il ATE : � �� �1•�.i� c t : �F+r Iwlti�l�l JEROLO L. AXELROD 2506 NEW YORK AVE. II•A•'RC• � MELVIILE NEW YORK 11747 7HF, BUT KrJ� � �`� (� t ��` 3_ �_�g OCRIM'C1S / PLANNERS 516 • 351 - 5353 OF' q• ?3�ss . I �21'%3101 G�RPF11GrIL� (�-ATFO�r'1 _ V I�,.o1� c,EE yT' F�/p' � _ 13 •o — ---_<° { �-o _c� � 4 �_ _ - - — ; u �t FiK P*1N�2 411r�vcl l h' IF oa 9 N (4 r Me'+T Ilwr0 0 2 c��r pt GIG. o v 4� `� v c E c Il non a s -� cJc2GI c� ^ SGK(41T� g°oVr -� -� VPH I?-(- `�I` v(a 11,01 o 'I.n'� 5 , ® M oto olfLa � ' �iHrpr^'r�`> n 1\- i=� � �� rJ{; '� y64 PIHFI��I���i�i• '�i 9 I � g� m `�1 _ =N - - - {r��- - , � �I��� 2azpRR it A t °` 71 LA i -- - -4-11 2odp�l . 2o 'Ll . I I} I All ,I - ,1 JIO 10 -#-I�tl ' II �}° 2 bl `SEAED A 4 n to 0 I II o-� OVD L AA,CI �L ffLA ti ! dA�' y/,-fig'' y E ►�) NEROLD L. AXELROD, 2500 NEW YORK AVE . ILA,RC. MELVILLE NEW YORK 11747IIY � 1-G'' 8Fi - J,L 616 • .361- 5363 Tfl� ` ° ti Iti "as ARCHITECTS/ PLANNERS liflKP:, 1 13 Z°.l°" �pyG P� �� ,iF 12 T'�r- -- ��•�ls�ltiS.t�) 2�� 0 �I�t'��G _� 4° (F-11) It'6jL' F 6 CS ) Q1� ' Porvrq f) 1,0 rxld Fx-ac;owvc-�' , = — T�• esdFP�T T. 1; VGIID G• 10 ' - � - - ��p p1•p� Rr a - Trr'I�L ��I��� °� -� I - V4`klo"rAo*w--Ia t �v"CI� 1�1 �� I".�" i � 6Eav" tii�tj� ,0 F� ELF) / cdlci� L.t�IAFi. z-,N 4 I L- x- x SLAB, : aN: I'-or F �1V11� 1eGbM CIO -r �nl. � Ivi r fEl i t'yl r' a741, I 9 I = I C," (r'I'1) I � UI vFUcev. l IEnldlrl/� _ Fnnnl�Ylec+�nn HAU IL N ro ✓E �I r-*1. 2x�" GaLUR 69 C "04• r_—_2. G" R.f� IL°o,c. IZ (ZK•) r -- m c r�Ene�r �II <a.d�o /4 1 0 Z.°o �E.•�.a 16'a� . 5h� ti'�4°� "ems or7• ?%' !� - "pri tix10 ( NoN•�fik p'fr4 _ZK°o alb- IG'O�. (�itkf Ov ljF( 2%pj' � G'Ov-!�J toy) C�f�� LtQ1' �i• 0oc' ) (eLll, $ FT) 'GI' c�}n - �i I VIi' - �t to '� " 'ax�o Gh? a T Cl 7a2%1 Z UH� 111 I'Ll a 00n (rp P ) 1-0 or4. r�T z:b' cl t ars !r 2'k6/sl'�lt7mJFi 21 6 a I�6°o,t. (IS�Tv�(cND $$ ^ , I r" fl " r �1 6.ilE�j 2 rIli� 2 2�to P� I�oo� C,yy I l�)13f�nI�F rjilo- AMA 4"vrq-* v /2' Y 011• •, I I C�)L�Id mueo� �TI�/ '2'xh I vor� ab. • ��� I I ( I I I i � _ � E.1P�L15 GcL4. I Uri• S_�� TGIIEN SILL I"U 'v y' ' 1 .0y pnrF : � • JEROLD L. AXELROD.- 2501 NEW YORK AVE . G b8 e.�.,►a MELVIM NEW Y'ORK 11747Cp S/ P 6N 1- 6363 ^ AAGNIT�EC� �ANNEAS 4 �� �4,PtnlT 1/ ?11" >r o u oe DJ r K P J FII o �qq APR 121989 ----� J BLDG.DEPT. TOWN OF SOUTHOLD O � L —� 7w ILAI�?�ME11T Ip l 4" Ct P1uD kM rr Y j v 4" 1 e5„ --- -N. f)A LITKY N aU � L �' L ILS'dl{. ALL, - lC Gp,K C1,4KAi>F. JlEXCAVA' X o" nou Wlt. '� - Iw^LjL� \ ,>,Pui A'. / 41 �Y sKPD� __l A_ _�l �tlo✓1U _ _ Z J�L� �I�T ooK P.��l- - - - - W(7T,: 57) rT) Olt-, • � - Ym 0.r1-fF'✓. cKpc ^E I'-O°oµ Ld' _r i-h NEkj— I;�,� F - "lk °om'ao ILL vt,f� I'•4"r 11 -- � i -, QGAIZ _ �J4�(9L s illWLh �71P) I I 1 0 -- - i - LiQE Or- VlKe,T e�10 vN pe III ` —� — f r -- , F�rD aw t. � p I I — J w10pr �- ,+u r — -I aTB 4 I b'3 Il I I moll 23 a9 aJEROtD L. AXELRO , 2500 NEW YORK AVE . d {u p,A„PC. MELVILLE NEW YORK 11747 TH G u r)%KT 16 - -. ARCHITECTS/ PLAwlIEW 9 �� 3�1 585� , i v ►.� -r ru ►�c r� 1V't 1 rN N P L`-C i t O i� DAfc (� U l�tl iVt t� t 5 --^_ ►AIM J U /U 5 I t a 1 ?O u C H F f2 A (�� �► c.) M C k - - F 3 I i a — ' I � A ;j D t L�l /V� N f S � reI �n rl # ! DATE: " Z P. FEE BY NOTIFY BUILDING DEPA ENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1.._FOUNDATION - TWO REQUIRED r6ong _ - 2. ROUGH FRAMING & PLUMBING 3. INSULATION a. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C. 0. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. e STATE CONSTRUCTION & ENERGY CODES. NOT' RESPONSIBLE FOR DES CONSTRUCTION ERRORS. 2 g CAWW W4 Ott]. �trSyiNG g t+���' o1Jit � pwsrs - cm� � C � FORM NO. 1 TOWN OF SOUTHOLD BUILDrNG'DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . . :'t~ .�". ., 19 . Application No. . JJ• . . . . . . Approved. . .'': . . . .. . ., 19 . . &rmit No. . . .:.E . . Disapproved a/c . . . . . . . . . . . .. `. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .� . . . . . / l mg Ins orj APPLICATION FOR BUILDING PERMIT Date . . . . . . . '- <7 ' . .. 1979' INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in-triplicate 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 issue 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 t4 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 buildings for necessary inspections. . . . �. . . . . . (Signature of applicant, or name, if a corporation)' (Mailing address of applicant) State whether applicant is owner, lessee,`agent;'architect, engineer, general -contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . (. . . . . . . . . .,. . . . . . . . . . . . . . . . Name of owner of premises . .f` � lid . . .�( a�� . . . . . . . . ... . . . . . . .. . .I . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) -If applicant is a corporation, signature of duly authorized.officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ` Chi /Builder's License No. . . . . . . . . . . . . - Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . y . 1. Location of land on which proposed work will be done. . . . . :,a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . „ . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . .:_ . . . . :... Block . . . . . C "`�, . . . . . . . . Lot . . . ;0 . . . . . : . . . . /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 . . . . . iA-W d � C�;, `/'�jamx. . . . .. . . . . . • • . . . . . • . . .. • . • . b. Intended use and occupancy'-'.,' . • . d 3. Nature of work (check which applicable): New Building . . . . . . . . . . 'Addition . . . . . . . . . . Alteration . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . .. Demolition . . . Other Work . . . . . . . . . . . . . . . (Description) /' - 4. Estimated Cost . . . `, .�:':± '. . . . Fee . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . 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 . . . . . . . . r . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth Height . . . . . . . . . . . . . . . .. . ... . . . Number of Stories . . .•. . . . . . . . . . . . . 8. .Dimensions of entire new construction: Front . . ' . . . . . . . Rear . . .,. . .'. . . . . . . . . Depth . . .� ° '. .j.,. r�•{J Height . . . . . . . Number of Stories . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . 9. Size of lot: Front . . . . .. . . . . . . . . . . . . . Rear . . . .Z-,b. . . . . . . . . . . . . . . Depth . ./u - . . . . . . . . . . 10. Date of Purchase . . . : . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner ''`t : . ll 1. Zone or use district in which premises are situated . .,: .: ,i:.v. ..°.. � .r.• c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .„ 12� Does proposed construction violate any zoning law, ordinance or regulation: f. . . . . . . . . . . . . . . . . . . . . . . . ...... 13. Will lot be regraded . , E. . . . . . . . . . . . . . . ... . . . . . Will excess fill be'removed from premises: Yes ,Y /No 14. Name of Owner of premises , :.�' 3'� ,; .` . . . . . Address y;f "`�`t'd"r)d : . . . . . . Phone No. .��?� Name of Architect . . . . . . . . . . . Address . .. . . . . ... . . . . . . . . . . .Phone No. . . . . . . . . . . . . ,., F :; . Address :°, . . . . . . . . .Phone No. Name of Contractor . z . . �,��:�, . . . . . . r 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. ' .r s,• a'� -� � u1' �' ry T ry,' �_X%y, r/'.�=' 47 e�.�@)�j Y A -a '"r f Via''i•'W ^� G1'K� `3 r e !�r.r�VV— wv+•. .. �i To t _ 3 t» 4 t \ Wo t�#is Pi'.x J�� �U q C\ .. +�...,..1ri�.i?... e.x-.».. ..,e....:5...,v..w...,.:..,wvc.��.v'...,..«- -r+�•F'^s..-.�•.'.www.-.,.m.-.+,.i.:..4..:.,a+vae'urv1. STATE OF NEW .ORK, S.S COUNTY OF . . . . . . . . . .. ". '; `:y:=P:�.�. . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing cont t) above'named. ., Heis the . . . . .,t,za%'� :r.�V.- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 all statements contained in this application are true to the best 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 . . . . . . . . . . . . . . . . . . . of... �.�.j . . . . .1 19 . ,� Notary Public, .f . . . . . . . . . . . . . . ..'County„ - €rTs C. CONK a Yorll. . �� ��'y`. . . . . . . . . . . . . . . . . . . . . . 6!wf.lit UBLIC.State County No. 52-5gs2aoo (Signature of applicant) Comn+iCsion Expires Marsh 30;19 V'`y'; •'7 _ ••.r?�.'�ti 'nr -- ._ _ _` xi'rti1.. raW—:.vi"e'.,. �._-. — �''%a✓ �_ _ 1<7 ' TOWN ' OF S®UTH®L P PERTY RECORD CAR® OWNER STREET VILLAGE DISTRICT SUB. LOT ' BLS FORMER OWNER E ,' ACR GE 1 W TY E OF BUILDING / r, RES. SEAS. ZOO VL. t FARM COMM I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE R5MARKS 314 ds o ,_dv D b ® �+ o LtJi Z IPA,/3-e-e.G 01 7 GZs Z/ /Dj 7/Z Jec AGE ; BUILDING CONDITION y�Z��� a �' �%`��, e� 9 � sa� �saz-- NEW NORMAL BELOW ABOVE FRONTAGE ON WATER ' f a . Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD - Tillable 2 DOCK _ Tillable, 3, �`� % - � e R �.Ce e-1C i Si',L1 W i �i,J•, 1 Woodland cL Swampland Brushland < Total , 1yJ ` ... mil.' _ ",�'•e-t..;