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HomeMy WebLinkAbout17946-z J FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19873 Date APRIL 26, 1991 THIS CERTIFIES that the building RENOVATION Location of Property 3130 MANHASSET AVENUE GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 43 Block 4 Lot IS Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 1989 pursuant to which Building Permit No. 17946-Z dated MARCH 24, 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 RENOVATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EMMANUEL TZANNES (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-180178 - MARCH 25, 1991 PLUMBERS CERTIFICATION DATED OCT. 23, 1989 - K & K PLUMBING & HEATING .2 _ ui,ding Inspector Rev. 1/81 lOBM NQ 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) 0 017 9 ~ ~ Z Dote ~..L~.C~......~..~ 19. ~.I. Permission is hereby granted to• ....Fr. i~rkt-ri. :c-~........Y...'.~ .a.r~ra. A,~ . to .~~......Rnfs-ir~...4"+16. -r-s~....4-v. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .n.. . . . . ...n. . . . . . . . . . . . . . . . . . . at premises located at ..a~. ~.t~.°.....~.4!~:1•I.l.a-4?4A~.- ~K.u?..........~151hY . . . County Tox Map No 1000 Section o`f 3 , Block . n.4 Lot No g..... . pursuant to application dated OuC~ a:~. 19~~., and approved by the Building Inspector. Fee $ ~-c~r o.-c. . . . Building Inspector Rev 6/30/80 Form No. 6 0;'~~'~!C=);~~~11~~'t' j~ TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ ~ 21,~3'y~ TOWN HALL 765-1802 ~ APPLICATION FOR CERTIFICATI: 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 lZ lead. , S. 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 Flanning Board Approval of completed site plan requirements. 3. 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. G. 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 S. Temporary Certificate of Occupancy - Resident,,~~iyya~~l $15.00, Commercial $15.00 Date .9:.~~rG~..,}~., lQ~st.( 'Iew Construction........... Orl?d1 Or/~P~r~e-~existiQng Buildingp.~ Location of Property./.~dQ.. [:.t~'4lKKf~?+4~~...+: :e:....4~?,.?P2~„~ ./~-P.'~..~~4:~Y............ House No. Street Hamlet 7nwer or Owners of Property.. ~11;1n:1C1~11-t~'r~.... ~~~.Y.1CLe~ County Tax Map No 1000, Section......~/~J.....Block..... ........Lot..... t.~ Subdivision.....pp.~~.// .............................Piled Map............Lot...~..p................. ~'ermit No...~~J.K~.....Date Of Permit..~~4~.t~~•`~Q•..Applicant~C~?n~?ku444..~~..... ![ealth Dept. Approval ..........................Underwriters Approval.. Planning Hoard Approval Zequest for: Tempora~~r''}}y/Certificate........... Final Certicate........... Fee Submitted: $....R`.?'.~.~ . ~f r.~~ ~ 0-~ / ~ ~ ~ ~ APPLICANT C TEL. 765-1802 o Oy TO'PVN Ob' SOtiTTIIOLD r~ < OFFICE OF BUILDING INSPECTOR ~ ,~z~,---, P O BOX 728 ~ TOWN HALL y~o~ ~b~~ SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N - Date 1~~~~~~ Building Permit No. r~l~y~oZ~ Owner_ ~ ~Za,n`(~Ex~ (please print) ` _ 1~ Pll:mber~ ~ ~ ~~V M~ ~ ~1~ ~\e~C\~ {please print) I certify that the solder used in the water supply system contains less than 2/10 of 1B lead. (plumber's signature) SwornJto before me this 0/ ~ 2 ~ " day of Y~ 19 l' T-TNotary Public ~ Notary Public, ~G`+~.%~ County OC ~aawn wr+~ 1~1 I I l,.s: ~c:,u;, pu;,:~, q ,,,;:k~~EUr~ ~ a H - - H r'OUIIDATION (1st) ~ c =OUPJDATIOIJ ( pnd } m ~ z ROUGH FRAME o PLUMBING H 3. ~ ~ m n IIJSULATIOfJ PER N. Y. 'j STATE EflERGY CODE I ` 7 } ~ m ~ y FI11AL 3 i r i , - ~ A DITIOP]AL C/O11M PITS x ~ - K~{ - 5 4f~--~=~~ O'q f) ~ e ~M l ~ w. G 7 a .-~.f? r iS~.. ' c Z /L - ~ V" x _ ~v H • 9 H H - O i m 5 r H _ 1 CS m = ^o H oS~EFOIk~oG VICTOR LESSARD ~ Town Hall, 53095 Mam Roud PRINCIPAL BUILDING INSPECTOR = Z P O Box 1 179 ~ SoutLold, New York 1 1971 (516) 765 1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD September 24, 1990 Emmanuel Tzannes 229 Washington Avenue Garden City, NY 11530 Dear Mr. Tzannes: We have received your request for an extension of your building permit # 179462 dated September 18, 1990. Please be advised that your new expiration date is: March 24, 1991. Thank you for your cooperaiton in this matter. Sincerely yours, Southold Town Building Dept. > h YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE PART 5 COMPt.IANCE FORM: Bulld[ng Design by Acceptable Practice BUII.DING ~n{ ADDRESS: I~0 MA~'NA?~SE~ fd~i; DATE: I' Zr`~ -~t~' toP.r~cl•~~G7~. /J• it ~'3'Q' COUNTY• sJ~"~'OLK~' ARCHITECT, R OR ~OAA~bke'POR: p~~ . K*OS1~S G-e PHONE: ~ C - b 2 f - ~j (4~ 7 1. HEATING DEGREE DAYS (Table 2-1) ? sooo ®6000 ? 7oao ? sooo ? 9000 II. BUtLD[NG DESCRIPTION (Pre~uat[fying Condtttons) If the building does not meet all of the following pre-qualifying conditions, Part 5 of the Encrgy Code may not be used. Building is residential, heated aadlor cooled; or building isnon-residential, heated only. Building is less than 5,000 gross squaze feet Building is three stories or less in height Ratio of glaang azea to gross wall area is equal to or less than: - 24% if 5,000 degree days 23% if 6,000 degree days'' Actual Glazing Area 20 0 egree ays ~~qo 189'o if 8,000 degree days Actual Gross Wall Area 16%if 9,000 degree days lll. PROJECT TYPE ? New construction ? Substantial renovation of existing building Addition to existing building ? Exempt (7810.6c)~ N. HEATING SYSTEM TYPE ? Gas-fired ? Heat pump Oil-Erred ? Electric V. BUILDING ENVELOPE DATA (Table 5-1) Envelope Value Value Component Required Provtded Roof/Ceiling Up = ` Up = . O r> FIOOf Uf= ~ Uf= GAUrr Exterior W all Uw = , Uw = , p Glazing Ug = . S °v TJg = • c~ Entrance Door Ud= 4'o Ud=SP , ~ Slab Edge Insulation R;= A R;= ' Basement/Cellaz Wall Uw= P Uw= Insulated Depth Below Grade D = ~~P D = Vl. VAPOR BARRIER: 7814.2c ' Location Location 'lope Plan/Spec. Required Provided Provided I Reference ~ Walls f~'~=~! ~ k,~AU.S ~or~ Fin ~ S'~~. Ceilin g t~~r~t ~ Floor (~AA"fr~~~f~.S Vtt. A[R LEAKAGE: 7814.3 (7813.5} infiltration Rate Maximum Rates PlanlSpec. Element R~gate~s / Provided I Reference Windows Olin. ft: , ti:.n Residential Doors` Sliding/Patio OS A ~ ~ Swinging 1.0 ~ Non-Residential Doors ~wtn~~ Sliding 11~ evo g 'Vestibule or revolving doors are required for residential buildings other than one- and two-family dwellings. Flreptace ~r A PlanlSpec. Required ~ Specified I Reference Outside Combustion Air Duct with Damper Infiltration Control: 20 ctim flue damper, or non-combustible doors Joint Sealing Joint Sealant Ptan/Spec. Location ~ Type ~ Reference Windows at Exterior Zp gU~,,J Doors at Exterior Walls at Roof/Ceiling Walls at Floors • ~ Wall Panels r Utility Entrance Fenetrations t, , Other Other Vtll. HVAC CONTROLS: 7814.13 (7813.13) ' Thermostat (7813.13a) Type Range I Provgided Refes~iice Heating Only 45'F - 75•F ~ L • Cooling Only 70°F - g5°F ~KC S~ ST Heating and Cooling 45'F - 85°F Humtdistat (7813.13b) Humidity Provided Plan/Spec. Type Setting Settin Reference Add Moisture 30°.6 RH max. Remove Moisture El1°!o RH mia. ~ Temperature Zoning (7813.13c) Required Locations Plan/Spec. .Type Locations 'Provided Reference Thermostat Each HVAC system EU~Dwe!ling Thermostaz Each Zone" iJf w Zo~E. S`(c.C, Shut-off Each Zone Shut-ot[ Each Floor or story • Applies to one- and two-family dwell'm~. Does aot app}y to one' and two-family dwellings. Control Setback (7813.13[c][4]) • T e I P ovided Re~rence Manual or Automatic ~ ~p~ ~7~~ cwC fc.~ ~C Mechanical Ventilation (7813.16) Location Location Pian/Spec. Required I Provided I Re€erer;ce Shutoff damper at eavelope 2 S Volume wntrol t,}~ou~ tX. PtPtNG fNSUlATtON (Heating and Cooling): 7814.1 (7813.19} System Type Tem~ranmire Range I Rleference Hot Water/'5temn 4~~5'( C~~~d Water Thielmess' Pipe Size i ~ Runouts 1" and 1 1/4" 2 1/~" 8" and ~~p less to 2" ' to 4 5"- b" more (T~ab~e 4d5) Provided ~latg/S~ec. e er nce • at R = 4.0 to 4.6 per inch of thicimess X. DUCT WSULATION: 7814.14 (7813.20) N~p. of =Duct air temp. -Surrounding temp. st = •F Requued Value Plan/Spec. of ( Value ~ .Provided Reference 52S°F or less R = 3S min Greater than 52S•F R = of min. 15 X[. DUCT CONSTRUCTION: 7814.'!4 (7813.21) Duct Pressure I Requirement Scheduled/Spec. Low I Joint sealing ha57rc ~r~l s~ . S Xtl. HVAC EQUIPMENT PERFORMANCE REQUIREMENTS: 7814.12 (781323) . Equipment Perform nce Ptrfor Hance Refes~nc~e Furnace • Gaa-225A~ Btu/hr oz less 7096 AFVE • 0~7-225,000 BEnlhr or less 759b AFUE AIIOthera 7596 CE - Boiler ? - - - 1 l~ Gas-300,000 Btvlhr or Jess 7096 AFUE . OS-300,000 Btulhr ar Jess 7596 AFUE - - - All Others - - 7596 CE ' Heat Pump -Air Source Cooling - - I` tJ~65'000 Btv/hr. ss SHER ' z~ch~ ,ooo Bturhr. ~ E>~ tS~OSO BtuJJu, and over 73 EEFt - Hcatiag - - high temp. (4TF) 2.6 COP I - Lowtemp. (17•F) L8 COP - • Heat Pump -Water Source Cooling - ? ~tl awn 65,000 Btulhr. 83 SEER ~t~65,000 ButThr. ~ 3~• - - - I - • 65000 Btn/hr. and over 73 EER I - Iicating ~ AII - 3A COP ~ - - I - - _ - Heat Pump -Packaged Terminal Tieating 2.6 COP _ - ~ EER 1- - 1- - Central Air conditioner ILXtS'tpo ~i~,9 t'~ - - l.~~cl~bsaoo Btu/hr. 9S sEER - - N tt ~ t ~WIM1M1I B~ W 44. _ KO ~ r' 6500 Btnlhr. and over 73 EER - - - ~ Packaged Tertniaal A/C 6S EER AFV E - Annual Fue! UiiliLhoa Ffficeacy CE -Combustion Effieienry SEER -Seasonal Eaerd9 Eliydenry Ratio EER -Energy Effideacy 12atio COP - Cdeil-ident of Performance 5 R i . . ~ Xtll. SERVICE WATER HEATING: 781427 (7813.31.7813.39) Pertormance Requirem~e~nts ~ ~~gS~-~~~G p Water Heaters Performance Perfor anre Refes~nce US DOE Covcrcd Electric Storage EF x.93 - .0013V Gas-Fired EF x.60 - .0019V Oil-Fired EF x.59 - .0019V All Others , Electric Storage SL s 4 watts/sf Gas-Fired TE x75% Oil-Fired TE x 75% Gas-Fired Storage SL s23 + 67N Oil-F'ued Storage SL s2.3 + 67N Combination Service/ SL < 13.3 pmd +400 - Space Heating' n 'Must also meet performance requirements listed in XII. EF -Energy Factor TE -Thermal Energy V -Volume pmd -probable maaumum demand (gph SL -Standby Loss n - fraction of year when mean temp. > ~.9° F. f Ptpe Insutatton* ( h Insulation Pi a Size Runouts to 2" i" and Less 1114" to 6" 6" or More Required 1R" 3/4" 1" 11/2" Provided ~la~/S~ec- e er nce "1Kot required for piping 1" and less in one-and two-family dwelling units. i ~ t Hot Water Conservation ~ i Required Contr 1 p1 Spea Cate o Control Provi~ed Reference Residential Temp. 14Q'F max. setting F,CtS-(rt~6 Electric Water Htrs. Shutdown switch Gas/Oil Water Htrs Fuel shutoff valve Circulating System Pump shutoff Z st Fixtures Pubtic Lavatories OS gpm and 110• F. max. Other Lavatories 3.0 gpm max. at 60 psi S Showers 3.0 gpm max. at 60 psi Swimming Pool ~ p Temperature 80• F max. setting Heating System Shutoff switch XtV. ELECTRICAL POWER: 7814.31 (7813.51, 7813.52) la~~//S ec. Category Required SpeciSed efer~nce Power Factor 85%a min. r-ei~ ~t4uq-~ ~~9 Voltage Drop 3%max. Lighting Switching Local Switching Required (~~,p,,~ Illumination 50% min. if over Reduction 500 sq. ft. Electric Meters Ea. Dwelling Unit ,~~i5 ~ _ XV. UGHTlNG POWER BUDGET': 7814.31 (7813.53) +.1~A Design Lighting Power shall not exceed Lighting Power Budget. Design Lighting Power Lighting Power Budget 'Not required for residential buildings. ~S~EfOLK~OG VICTOR LESSARD ` Town Hall, 53095 Mam Road PRINCIPAL BUILDING INSPECTOR = z P O Box 1 179 ~ Southold, New York 1 1971 (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR ' TOWN OF SOUTHOLD September 24, 1990 Emmanuel Tzannes 229 Washington Avenue Garden City, NY 11530 Dear Mr. Tzannes: We have received your request for an extension of your building permit # 179462 dated September 18, 1990. Please be advised that your new expiration date is: March 24, 1991. Thank you for your cooperaiton in this matter. Sincerely yours, Southold Town Building Dept. ti~ ~ sEa 2 a ~~u BLDG DEFT TOWN OF SOUTHOLD September 18, 1990 Southold Town Building Dept. P.0. Box 1179 Southold, NY 11791 To Whom It May Concern: I, Emmanuel Tzann__=s of 3130 ~Nanhasset Avenue Greenport, have a building permit that expires on September 24, 1990. The permit number is 179462, an extension on the permit is necessary. If you need to contact me, my business number is 516 538 2576 or send written notice to: 229 Washington Avenue Garden City, NY 11530. Very Truly Yours, Emmanuel Tzannes THE NEW YORK BOARD OF FIRS UNDERWRITERS ~Ar,E i 10007.66 BUREAU OF ELECTRICITY 85 JOHN BTREET. NEW YORK. N!W YORK 10038 k Date NARCH 25,1941 Application No. on ftb 63348189189 N 180178 s THIS CERTIFIES THAT only thI ebetr4al equipment N daecri6ed 6abro and Jnen]ducsd by tM app/bant named on the ehooe appBcation number Jn the promLp of MR E TZANNES, 3130 NANBASSET AVF.,, GRE~~yE.•NPORT, N.Y. in thefelbloinp loc~}t~;~y~ g~q~gnt ~ Ist Fl. U End Fl. ATTY./nUT ~,ti~34 eloek2~ Lot 7k8 = was examined un '"_""CN ~8' 19y1 and found to 6e in compliance with. the reyuircmenta of this Board. RXriRE RX11BlEf fbORN16 RECItS O DISH W BXNAYST FANS twTl/2Tf AClE6 fYY1TCN6 Ctf[EM rlUCt[KEM OTHEn AMT. K, W, AMT. K. W. AMi. C.W. MIT. R W. AMT. M. r. 58 48 37 55 1 6:87 1 7.4 1 1.2 1 F DRYBRS RIBSIAC! MOTORS IIITUtl A!lt1AlICR RRiRIf SMgM RK'K TIAAS t,YOaf AML {IMT.:. lEef CIIt11AERS ~E AMr. K. W, ql X. r. GAE X. r. AMT. NO. A. W.O. AMT. MV. AMT. -MVS. ~RM'tS. AMT. N. r NO. a REI AMT. WATTS ] 1 6 600 ? SRRVIOT OBCONNECT NO.M S 'E R V I C p~ E ' AMT. AAV: TYrE 1 / Tv 11 TV ] 1 ]W ] / eM K~CECdM. ~ A.~ NO. OP NFIEG OI ~KLLO 1q. p mlmAls - ' 1 200 CH 1 X 1 3/0 1 3/0' ortm ArrAUTUS: 2TON A/C UNITS-1 2.5TON A/C UNITS-1, G. F.C.I:-5 SNAKE AETECTUR:-?. COR&REY ELECTRIC L.T.C.{17.04-E 294 JERUSALEN AVE. NENPSTBAO, NY, 11550 aBKItAt~ 11 t s` ~0 F';rf Per This artificaH must not ba alHrad in any mann?r; return to fhe offiu of tlr Board ff iTMOrnct..lnspeclort. ba idaMffiedby Is. N, _ _ DOPY Fqt EWLDINf. OEPARTMlNT. THIS CGrY t9F ClRTtRICA~E-ASIST NOT ~ ALTERED IN ANY M111Mdt. 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ] FI~NA_L~ REMARKS: d ~ ~s~~,~ G~~ ~ ~ DATE lNSPECTC~f~ raj ~ (~f X65-1802 ! ! (Q BUILDING DEPT. 1 NS~PECTION [ ]FOUNDATION 1ST ( OUCH PLBG. [ ] FOUNDATION 2ND INSULATION [ ]FRAMING [ ]FINAL REMARKS: _ ,l'L ~ ~ - J~,_ DATE ~ INSPECTOR 1 7 ~ 765-1802 BUILDING DEPT. t NSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] UNDATION 2ND [ ]INSULATION [~RAMING [ ]FINAL REMARKS: ~ DATE INSPECTOR vC~ B0~\RD OF HE.\LTH 3 SETS OF PLANS ...k!...... FORR1 N0 1 SURVEY TOWN OFSOUTHOLD CHECK .........r!:.......... QUILDING DEPARTMENT SEPTIC FORM ' 70WN HALL SOUT110LD, N Y 11971 NOTIFY-J~i_~-~~ nn q TEL.. 7651802 C~1Lti Exanlincd . ~~Cnn~1 arrty 19~gI. rinlL TO • MM ~pprovcd ~GuCf(I..~'i , 19g t Penntt No ~ ? R.~~ ~ k tt .t I I Disapproved a/c ~1~ 2 ~ ( ' ~i , -.,•r•.~ UUU (Buildmg Inspector) APPLICATION FOR BUILDING PERMIT Date Z ~ 19 g INSTRUCTIONS a Tlus application must be completely filled m by typewriter or m ink and submitted to the Buildmg Inspector, with 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 ad~ommg 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 ttus app cation. c. The work covered by this apphcatton may not be commenced before issuance of Buildmg Permit. d Upon approval of this apphcatton, the Budding Inspector tvdl issued a Building Permit to the applicant. Such pent shall be kept on tfte premises available for inspection t}troughout t}te work. e. No building shall be occupied or used m whole o: m part for any purpose whatever unfit a Certificate of Occupan~ shall have been granted by the Buildmg Inspector. APPLICATION IS HEREBY h1ADE to the Buildmg Department for the issuance of a Bwldmg Permit pursuant to ti Buildmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances . Regulations, for the construction of buildings, atldihons or alterations, or for removal or dcmohtron, as hereut describe The applicant agrees to comply wdh all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in betiding for necessa~nspecUOns (Sicnahue of applicant, or name, i a corporation) ~?9.V,IIts~tiuc:,~?ra I~~~....~~k~G°1y.... • (hlaihng address of applicant) j~ State w'~hether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ...~1.4%?lt.E Q. GG Name of owner of premises 4-:'~ M {aN J fc,i, , .~~-1LF.r.N fe S • . (as on the tai roll or latast deed) If applicant is a cotrnrn},poration, signature of duly authorized officer (Name and title of corporate officer) er s License, . . 3 Clciln'c i irrncP Ny'. . Other Trade's License No . I Location of land on which proposed work will be done , . , . . House Number Streets Hmn[et • • Subdivision ~ Fllcd Atap No Lot . (N.une) Z State e~istmg use and occupancy of premises and intended use and ocpc~up~ancy of proposed construction a. Existing use and occupancy . ~t ~~S--f • t • ~{'`f • • •6~xz-~~,~r~•-}~ iA", 8:°.r.5~ . b. Intended use and occupancy • • • • r ' •s<• ~ 3. Nature of work (check which applicable) New Butldmg Addrtion Y~ ,'Uteratron .t-'.'... . Reparr .Removal Demolrtron Other Work (DescnpUOr 4. Estimated Cost . Fee ([o be pard on filing thrs apphcatron) 5. If dwelling, nurnber of dwelling units ~ Number of dwelling units on each floor , k~k... . If gara^.c, number of cars . C~ jJa . , , , . . 6. If business. commercral or mixed occupancy, specffy nature and extent of each type of use ~~(fa............ 7. Dmtenstons of existing s(ructures, rf any Front ; : . ; :Rear Depth . i s , , , , Fletght , Number of Stones , , Dtmensr~ort~ of same struciur~wrth alteratrons or addrttons: Front ~ju',..~ ~F44!%!K.... Rear 3Z.?7, .~,e~ Depth n~.i ./~~.6(~C~iv.. Ilerg}tt .~r.~%,.~ Number of Stones ..fir Drmensrons of entire new constructron Front y!/.Ja... Rear Depth . Herght ..Number of Stones .t....... P . 9. Srze of lot Front .52-.?:v...... Rear .5C) De th 11.4-..:r.......... . 10 Date of Purchase . ........Name of Former Owner 11. Zer.e cr use dtstr,~t which premrses are sttuated . 12. Does proposed construction vtoJate any zoning law, ordinance or regulatron. ..~C~ . 13. 1Vd1 lot be regraded r3t?..... . ~ . J f Nrll excess fill be re~oved fro~ry,~remrses ~~A Yes 14. Name of Owner of pr~e/mtses~~`~ .)'1::~ ~ ~1r r s~~rtw Address ~R h ~.<°vt . ~`:E~C:~ Y~:uli3ione No. , Name of Archr[ect . MI U-If~G.I•s (".C.$?h,~~ Address"~L~!`~t ~1~~.~,.~: ~I)~tc~ne No . r.5! Name of Contractor ..........................Address .............Phone No............. . 15.Is this property located within~00 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and duttnctly all buildings, whether exrsting or proposed, and mdtcata all set-back dunenstons fn property tines. Give street and black number or descnptron according to deed, and show street names and indicate whetr tntenor or corner lot. S~~ F1'(~~Ct~tt•? t7itifa~~,J6 STATE OF tiEN YORK, S.S COUNTY OF ~1I' ~J • ,~.h?.t'r?ot9 AILf~ ~/L'~!".'~~, bang duly sworn, deposes and says that he is the appltca (Name of mdmdual srgnmg contract) above named Eie rs the C:4 J/~~~C.~.~{~,.~. . (Contractor, agent, corporate offrcer, etc.) of said owner or owners, and rs duly authonzcd to perform or h.tve performed the Bard wort. and to make and file t,' apphcatron, [hat ail statements contmnrd m this applrcghon are true to the best of hrs knowledge and belief; and that t work wdl be performed m the manner set forth m the apphcatron fled therewith Sworn to before me tats ...day of.. ~~r~~.....,19~ Notary Publrc . ~~,~r`~-:...... County Et.lA$JAQNAa .G~~'ZZf''.°`~~'~i,/~~a~d~...~. Nate-4804732anr1Rorit (Srgnature of applicar Quafiflad in Nassau CasMY Term Expires August 31, f 9_.1 G F t V /I ' , H ?'_H-u,q - / ~j b :J 7 [e'd~ ~ -, ~. --1 F-I ~Z -/~1// .MIChAeL KOSINSK~, 3~ SPRIi,TG HILL ~OAD EAST HILLS, N.Y. 11577 i' 5 o" ARCHITECT COPYRIGHT (O~ 1989 TEL. 516 - 62P- 5141 CONSTR fL,TI~N THE PROPENTI oF. EA@~%ANUEL TZANNE~ 3130 ~%Alh~dANSET AVENUE GREEI, JPORT, NEW YORK 11944 FOR TIIE OWNER: EM~/iANUEL TZANNES 229 WASHINGTON AVENUE GARDEN CITY, NEW YORK 11530 PLANS ELEVATIONS SECTIONS ~OT~S REV. DATE PRO~ECT: SCALE DWG.