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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: Z-27998 Date: 10/05/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 105 SECOND AVE PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 67 Block 2 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 17, 2000 pursuant to which Building Permit No. 27014-Z dated JANUARY 17, 2000 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 DECK AND ATTACHED SHED AS APPLIED FOR. The certificate is issued to BARBARA KUNEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0004 01/25/00 ELECTRICAL CERTIFICATE NO. N 510208 12/20/99 PLUMBERS CERTIFICATION DATED 01/19/00 WILLIAM DOOLEY '4 V, �'Ifvl Authorized Si 76ture Rev. 1/81 A FORM NO. 3 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) PERMIT NO. 27014 Z Date JANUARY 17, 2000 Permission is hereby granted to: BARBARA KUNEN PO BOX 103 PECONIC,NY 11958 for CONSTRUCTION OF A SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#25474-Z . at premises located at 105 SECOND AVE PECONIC County Tax Map No. 473889 Section 067 Block 0002 Lot No. 017 pursuant to application dated JANUARY 17, 2000 and approved by the Building Inspector. Fee $ 341 . 00 AuthorilL<ed Sigrr ture COPY Rev. 2/19/98 FORM NO. 3 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) PERMIT NO. 25474 Z Date JANUARY 15, 1999 Permission is hereby granted to: BARBARA KUNEN 175 BURTIS PL. PECONIC,NY 11958 for CONSTRUCTION OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 105 SECOND AVE SOUTH/PEC County Tax Map No. 473889 Section 067 Block 0002 Lot No. 017 pursuant to application dated DECEMBER 30 98 and approved by the Building Inspector. Fee $ 341.00 0;—�—Auth;orized Signature COPY Rev. 2/19/98 Form No. 6 �] ( ,, ( ,, TOWN OF SOUTHOLD ` _) Y� S 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 thl building ', inspector with the following: for new building or new use: . 1. Final survey of .property with accurate location of all buildings, property,_'llws, 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 17 .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 - �2�p 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . lPp. ./.at. . . . . . . . . . . . .. . . . . . . . . . . . . . . New Construction. . .:. . . . .. Old Or Pre-existing Building. . . . . . . . . . . . . Location of Property. . . . �.�. . . . 5�.�. . . . .�.UC . . . . . . . . . . . . . . . . . . . . . . . c O/V 1 ... . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . . fim._N�. .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . � . . .Block. . . _? . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . .��C,6:v.�aG:. Sh9YAS. . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit . . . . . .Date Of Permit. . .. . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . Health Dept. Approval. . .':.. . . . . . . . . . . . . . . . . .. ..Underwriters Approval. ... . . . , . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . .. . .. . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . h / --� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT 07/12/1939 12:30 2081573 DOOLEY PLUMBING PAGE 01 Sewn 'ail.y::tl45.tA�in?cao at =ax ''?a)795 823 a :1, 3px •.<7 +oiooncn.,S51g)79,9- 802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD S R T 17 I C A I 0 N • DATE: 00 . 3 ±ldi 2ctixat3 t `Tc _ 'Y71Y fplezoe, cr�:�t; i.•uzabar: .,.1/�.,�.�7i.9� �oo��y ornt G®z'r�.i v tfat tha 301der used In the water Supply system contAl,.'15 .i*93 8I1. 2 ;3f i lead. • !P�cunbers S�gnatu:e) beTOx.2 'Alm this Ga.r cr a ,�000 GERARD M.LANG Notary Publio,State of New York No. 475157 Suffolk County Tertn.Expires o0/ 1195099 THE NEW YORK BOARD OF FIRE . UNDERWRITERS PAGE 1 BUREAU OF ELECTRICIITY� DECEMBER 20,1999 40 FULTON STREET, NEW YORK,8661I�3A199 N 510208 Date Application No. on file ab THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant ngmed on the above application number is in the premises of BARBARA KUNEN, 2ND.AVENUE, PECONIC, NY in the following loc nn IIII e t 1st FL 2nd Fl. OUT Section Block Lot ENIBE ,y99 was examined on and found to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENA FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. I K.W. AMT. H.P. 13 32 33 13 i 1.2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AM►T'' .AMPS. TRANS. "A14TT. H.P. NO.OF FEET AMT. WATTS 1 F 1 20 1 1 600 SERVICE DISCONNECT NO.OF S E R V i C E METER niT AMP. TYPE EQUIP. 10 2W 103W 303W 304WNO.OF CC COND. A.W. NO.OF HI-LE6 " A.W'G. NO.OF NEUTRALS A.W.G. PER 0 OF CC.GOND. OF HI-LEG OF NEUTRAL 150 CB 1 X 1 2/0 1 1/0 OTHER APPARATUS: PADDLE FANS F-3 G.F.C.I:-7 SHOKE DETECTORL-5 TRACK LIGHTING:-6 Jilt SAGE ELEC. INC. LIC.#3635 ( L L PO BOX 38 GREENPORT, NY, 11944-0038 GENERAL MANAGER 11 Per— This certificate must not be altered in any manner; return to the office of the Board If Incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE "MUST NOT BE ALTERED IN ANY MANNER. New York State Department of Environmental Conservation Building 40-SUNY, Stony Brook, New York 11790-2356 A& Telephone (516)444-0365 Facsimile (516)444-0360 Iftwe John P.Cahiii Commissioner LETTER OF NONJURISDICTION TIDAL AND FRESHWATER WETLANDS October 23, 1998 Barbara Kunen Re: 1-4738-02051/00001 P.O. Box 103 Kunen Property Peconic, NY 11958 Second Ave, Peconic SCTM# 1000-67-2-17 Dear Ms. Kunen; Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The entire parcel as shown on the survey prepared by Anthony W. Lewandowski last revised 1/12/98 and on NYSDEC Tidal Wetlands Map# 712-546 is landward of the existing paved road(Mill Lane) constructed prior to 8/20/77, greater than 300'from regulated tidal wetlands (Long Island Sound), and greater than 100' from regulated freshwater wetlands(Autumn Lake). Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 66 1) and current Freshwater Wetland Permit Requirement Regulations(6NYCRR Part 663), no permit is required under the Tidal Wetlands of Freshwater Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, or within 100' of the freshwater wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands or Freshwater Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20'wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. 7ru yours, R r Evans �s Pe 't Administrator cc:KK/file P. Moore, Esq. 10/05/2001 09:07 15164440407 NYSDEC WATER UNIT PAGE 02 New York State Department of Environmental Conservation Division of Watet, Region One Building 40-SUNY, Stony Bropk, New York 11780-2356 Phone: (631)4440406 - FAX;(631)444-0407 Website:www.decistate.ny.uS Jots P.Cahill Carunl�law October 5,2001 Michael Verity Director-of Coda Enforcament Town-of Southold Box 1179,53095 Maio Rood Southold,NY 11911 G J . Dear Mr. verity, A/Y ` We inspected the Khoo property twice. On our first inspection of the Konen residence we found a number of deficiencies including the c Ampan below the BFE;a service panel an the HVAC unit below the BFE, c and onanhared propane tanks below the house. A question remained about what was behmtthe plywood panel which had previously housed the'HVAC unit below he BFE. We also discussed the possibility of enclosing,the loafer piling area(pilings in an AE zone)so that the lower area ductwork which was rated for "interior use only„would be in an interior.space. We determined that enclosing the lower area would b6 peimisiible provided the standard openings were incocpoMW mto the design,and construction. We also determined the following needed to be done; (1)Raise the meter pan above the BFE. (2)Raise the panel located adjacent to the HVAC unit above the BFE. (3)Remove the plywood panel for purposes of inspection. (4) Secure the propane tanks against the effects of buoyancy,and remove from.under house. A subsequent inspection..waws performed at a later date when the plywood panel had boas removed. We found that two was no HVAC equipment in the void owept'for some minor zone servos;and a low vokep panel wbicb appeared to be above the BFE. The panel adjacent to the HVAC unit had,been elevated,but the meter pan had not bees elevated and the propane tanks had not been moved or anchored. Through,canversaticn with you.I understand the fuel tanks have now been relocated and anchored, and the meterpan has,.been elovated:. Therefore,I no longer have any issues with this structure with regard to flood code,and believe the house is NiwIP coupling. Thank you for your attention to this matter and if YOU have any.further questicas please feel free to call me at 631-444-0423. Sincerely, Eric Star Biviroamental Program Specialist FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No, 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important. Read the instructions on pages 1 -7. SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: OWNER'SBUILDING NAME PokyNu=r Barbara Kunen BUILDING STREET ADDRESS(Indudir9 Apt,Unit,Suite,"or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number Secoa Avenue CITY STATE MF MOE 111C New York 11958 of and SIZ Numbers,flax Parcel Number,Legal Desaiption,M.) SCTM#1000-67-02-17 Biz e.—o' e-1�TdenBTNon-r-res en a,Addithn, ry,etc. Use Commaints section if necessary.) Residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: (Type): ( ##°•#V•W.W or #I0NAD 1927 L NAD 1983 LJ USGS Quad Map Lj Other. SECTION B•FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP COMMUNITY NAME&COMMUNITY NUMBER 82.COUNTY NAME 83.STATE Town of Southold 360813 Suffolk _ New York 54.MAP AND PANEL t NUMBER DATE EFFECTIVEIREMSED DATE ZONE(S) (Zone AO,use depth of flooding) 161 G 5/4/98 5/4/98 AE 11 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. LJ FIS Profile: u FIRM L_1 Community Determined LI Other(Describe): B11.Indicate the elevation datum usod for the BFE in 89:LJ NGVD 1929 L(NAVD 1988 Lj Other(Describe): B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? L1 Yes W No Designation Date., SECYION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on I_jConstruction Drawings' LBuilding Under Construction* L)LIFInished Construction •A new Elevetk)n Certiflcatrill he required when construction of the building is complete. C2.Building Diagram Number__c�_(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. if no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,ARAE,AR/AI-A30,AR/AH,AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2.State the datum used.If the datum Is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Ube the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum NG\,I Convorsion/Comments Elevation reference mark used 14GVD 19 2 9 Does the elevation reference mark used appear on the FIRM? j'es 1,_1 No ❑ a)Top of bottom floor(includlog basement or enclosure) 11 .4 ft.(m) 0 b)Top of next higher floor --- .�ft.(m) ❑ c)Bottom o1'lowest horizontal structural member(V zones only) _ft.(m) o ❑ d)Attached garage(top of ale b) _ft.(m) O e)Lowest elevation of machinery and/or equipment W servicing the building ❑ f)Lowest adjacent grade(LAG) 4 .5 ft.(m) ❑ g)Highest"acent grade(HAG) 5 .8 ft.(m) C1 h)No.of peimanent openings (flood vents)within 1 ft.above adjacent grade ❑ 1)Total area of all permanent openings(flood vents)In C3h sq.in.(sq.cm) SEt;TION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed anc sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I cantly that the Iniormation In Sections A,8,and C on this certificate represents my best efforts to Interpret the data available. l understand that any false statement may be punishable by One orimprisionment under 18 U.S. Code Section 1001, CERTIFERTM7uk3ftNSENUMBER Anthony W.Lewand wski 4Xa�S 3696 Land Surveyor COMPANY NAM ADDRESS C" STATE --ZIP CODEr 4TELOOM -4 -' ' ` FFMA Farm it1-31 A!! SFF RFVFRSF SIA FAR GANTINUATION RFPI ACFS AI I PRFVIAUS FnlTlt? S 6LDG.DEPT 1 4 TO WAI F SO�THOW U �. c . o . !.s , �D. Fi"y,F�e AMA, G vat Et. 6 — ♦.G Lr f _ r G 9 la, ArAj Vwml G•t.�WICe [.'.L _. s�v�sc ds�rE.ti s �r Q/LOG• ce'9sfm� O ice- t. 3' �&MpCOC �d�JtibOt, 0IQ/t ew O «�jra "e iwWe:Subsurface sewage disposal system design by: Joseph Flachetti,Pe HobsA Road Southold,W 11971 5a•b 516-795-2954 E/.6-s/ � � � P.en��r�rvnwr4ysr.•.> ply, i �SSAwce.'� �a�ro�,aee�vrtlhKK.� our.,r zOerilesocn.�.a�xs 3.L nr : 0 'rl'4 v s"z{ r v 40 c�' Q � � e �s V Or awAreJ /Z5 413.z • rEfr/,e� .ycmwry aAcoo�� �vww/4arrlkt»6M v>�«or�•r cz LEw b'A �K - toT,'b�l1��iG' y//�A•A��L O�G,rV.si"j05.Sf� O �o o •t ! � �yjgpr,pi0,� tour/ay.�m ;raw.ve�a ,/,/,s� '- '^ ecww•.s�r�ew e4~a +t ooa- -oz-L_ A«.Larvns-✓sx.�r,�/y ��, e3eae /9.>✓fyL'►V✓W LEK/�R►'Lbir4°Ci v� �t/ °R Ncw °fie /a' LA�NO'.>ieMYlsy�E /.7oAar•r/s�B n Fe�ictr iB/.5•ye BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: //-?/O1 .DATE SUBMTTTED:�/�/O1 APPLICANT NAME: �; oL.r wr a SCTM# DISTRICT: 1,000 SECTION: 0 BLOCK: o? LOT: Ecr�wc STREET: / Q5 rQNn Qve, CITY: Fccoovc SUBDIV. NAME: �k�Q PROJECT DESCRIPTION: � iP.S Y2av�Pi►� ind.✓ ARCHITECT/ENGINEER: FAST TRACK? //c SINGLE& SEPARATE CERTIFICATION-REQUIRED? NOTES: LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LATS FROM JAN.1997 100-25.Merger.(A nonconfomring at any time after 7/1/83) ZONING DISTRICT:—�p CONFORMING? o REQ. LOT SIZE: 1mpa ACT. LOT SIZE:?NO5'REQ. LOT COV. 9,60to ACT. LOT COV. REQ.FRONT 3,5— PROP. FRONT '36.3 REQ SIDE /o ACT. SIDE I */a.8' REQ. REAR PROP. REAR ;2 y dt WATER FRONT? DESCRIPTION: PANEL #: FLOOD ZONE: , AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REOUIRED: SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED#): DTE:—/—/ PERMIT#:R10- NEW YORK STATE DEC: PRE-DEC 9/v75 YES or NO SOUTHOLD TOWN TRUSTEES: YES TOWN ZONING BOARD APPROVAL. NO TOWN PLAN. BOARD APPROVAL: AYES TOWN HISTORICAL PRE (SPLIA): YES or NO NYS ENERGY: YES OR NO EGRESS (18 H min.? 4 sq total) VENT(SQ. x 4%) LIGH (SQ. FT. x 8%) BUILDING PERMITS OPEN IRE • P ab -Z/C/0 Z.-- HAVE PRE CO'S : Y OR N BP, -Z/C/o Z- NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR SF SECOND FLR : SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 'OT( SF)- ( SF)= SFX$ =$ +$ +$ _$ JUDITH T. TERRY Town Hall. 53095 N•lain Road I P.O. Rox 117 TOWN CLERK Southold. New fork 11971 l .sew ( REGISTRAR OF VITAL.STATIS'I'iCS � O� Fax (516) 765-1923 MARRIAGE OFFICER _ Tcicphonc (516) 765-1801 RECORDS MANAGEMENT OITICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" [FDP(93)] , and "Certificate of Compliance for Development in Special Flood Hazard Area [C/C(93)] . !FD�I r! 7: ; _ TOWN OF SO.-J-MOLD �h T. Terr Y Southold Town Clerk August 25, 1993 • APPLICATION # PAGE 1 of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. K SECTION 1• GENERAL PROVISIONS (APPLICANT to read and sign): 1. No work may start until a permit is issued. 2 The permit may be revoked if any false statements are made herein_ 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. S. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE,TO THE B T OF MY KNOWLEDGE, TRUE AND ACCURATE. (APPLICANT'S SIGNATURE) DATE �S E N 2: PROPOSED DEVELOPMENT e completed v APPLICANn 7��_ L 6 6 3— a✓boc--ex ACU n / 7 6 B v•trs P1 . NAME ADDRESS ReenniL NY TELEPHONE APPLICANT BUILDER ENGINEEI j /+ �r S / a/e fCCOrYiCta [ • /�OD/'Y 5_107-0 /Y�rn nu_.--o e1 AY [/17/ '7k = V 330 PROJECT LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. 7- a — /7 toT 1 FDP(93) APPLICATION r PAGE 2OF4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE New Structure 121 Residential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (Floodproofmg? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT S ` `/ B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling U5/Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑,,%Qbdivision (New or Expansion) Individual Water or Sewer System ❑ Other (Please Specify) After completing SECTION 2,APPLICANT should submit form to Local Administrator for review. SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. . Dated The Proposed Development: ❑ Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is located in a floodway. FBFM Panel No. Dated ❑ See Section 4 for additional instructions. SIGNED DATE APPLICATION # PAGE 3OF4 SECTION 4• ADDITIONAL INFORMATION REQUIRED (To be completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: ❑ A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑Development plans,drawn to scale,and specifications,including where applicable:details for anchoring structures, proposed elevation of lowest floor(including basement), types of water resistant materials used below the first floor,details of floodproofmg of utilities located below the first floor and details of enclosures below the first floor. Also ❑Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofing protection level (non-residential only) Ft. NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other: SECTION 5• PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity. A- ❑ Is B. ❑ Is not in conformance with provisions of Local Law , 19 . The permit is issued subject to the conditions attached to and made part of this permit. SIGNED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appeals. APPLICATION # PAGE 4 OF 4 APPEALS: Appealed to Board of Appeals? ❑ Yes O No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Conditions SECTION 6• AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued) �ycG �ccao. The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofing protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES O NO DATE BY DEFICIENCIES? OYES ONO DATE BY DEFICIENCIES? OYES ONO SECTION 8• CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNS NAME AND ADDRESS: COCK ONE: �' rR 6 vnel-t- NEW BUILDING O EXISTING BUILDING O VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY_ CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_ SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19AS MODIFIED BY VARIANCE # DATED ' SIGNED: DATED: C/C(93) ..VJ. 0 LAWRENCE M. TUTHILL O PROFESSIONAL ENGINEER P.O. sox 162 LJUN $ ��99GREENPORT. N.Y. 11944 (516)477-1652 BLDG. DEPT. N OF SOUTHOLD June 7, 1999 Barbara Kunen Second Ave. Peconic, N.Y. 11958 TO WHOM IT MAY CONCERN: I have inspected the piling foundation, reviewed the house and piling plans, and the pile driving data sheets and find the construction of the foundation in accordance with the New York State Building Code. Lawrence M. Tuthill, P.E. tt OF NEJV r S��tNOE Z'nF 032254'1 v� mb�©f ESSIONP�'�� BUILDING PERMIT REVIEW CHECK LIST Application Name: h utue ,) AK6444 %6-6t-6-5' Architect/Engineer: Date Submitted: SCTM #: District: 1.000 Section: Block: Lot: 17 Subdivision Name: Req. Req. Zoning District: [Lot size: Actual: ] [Lot coverage Proposed: ] Req. Req. Req. [Front Yard Proposed: ] [Side Yard Proposed: ] [Rear Yard Proposed: ] Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. x Rl O��— OOC)4 New York State D. E. C. J�TuSpt�+�a,.. «ct�g4�l Town Trustees Lout of JcAl ,-T ALP- A S z- J%A*"e— ?a Ce1f-ef- Z Town Zoning Board approval: Town Planning Board approval: X Flood Plane Elevation ??? Flood Zone: /`t — Eay l G * 3O q20 C 02 M-1802 BUILDING DEPT. INSPECTIOK--�' [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY rn6Le � / .REMARKS: �4' /yamG- L�/QG� w- A e e, y[�tIAI UAu� /'o✓ 147 Y414� Zola-zf A —Ae,� ,DATE INSPECTOR g4jg�� Ze� l GG�C� BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH P G. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING FINAL [ ] FIREPLACE 8 CHIMN REMARKS: D -- DAT 0 INSPE suiLDiNc DEPT. ,fNSPECTION [ ] UNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REM (S• DATE � � INSPECTO V7 T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL R KS• ✓ l��L DATE -INSPECTO BUILDING DEPT. INSPECTION [ ] FOUNDATION IST 7UGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY iREMARKS:�DGt_ O/4Z a �_ DATE 7 � INSPECTOR suiLDiNc oar. INSPECTION [ ef FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /L��✓ ' c«/t� -44-� DATE �0 3 . _IN8PECTOR BUILDING DE". INSPECTION FOUNDATION IST ROUGH PLOG. /OUNDATION 2ND INSULATION ] FRAMING FINAL '" i ft<DATE INSPECTOR �,/��►i�� ��/�����f��+/. �� 1 ,.�_ _ __rte. / / / /" 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FO NDATION 2ND [ ] INSULATION [ RAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKSa[c�/ / —�eo, x;py/v/ r owe- D TE 7 - INSPECTO FIELD=INSLEECTION REPORTrp aDA. . - _ COMMENTSaaaarr aiaaa>F�=sis'I C H � FOUNDATWN ' ( 1ST) N � FpUNDATIQN (2ND) UEJOYfii�(F'ICFI7�JU � aaassssssss______aea =s______ =assn' sc=ss-_ z _ ROUGH FRAME & PLUMBING gat 1.oprN n�u INSULATION PER N. Y. II pq STATE ENERGY p y /iso S y CODE � q --aaaaaxsassasassasa --.�-��- �� ---ser--er=rs saaaaaasaaa�_r�aamaasaaassaaa �- n FINAL N 8 aasaasaa ---a:xssasasa�aasasas�ssaas_-aaaa aaaasr=assaeras=aaaaasaasasaaasaaasaraasa n ADDITIONAL COMMENTS: aaaa arxassssxasaaaaaaaaaaaasaaa_ aeaa----saaaz=-- eras==aasaraassasaaeaaaasaaxas f00NOW1. oki LocA-flow Susvvi O.k . (o-4 71 P1L'E �RT►F►GATt�ti► R�,DU �a�� LDR� �Ro9M�NLa . 6-g- - Fl 1 �Le�iv u � •7 49 Q 6�- G — e72 o - M 1 F-t / r � cr • CI d FORM NO. 1 3 SETS OF• VLAWi.•............... TONN OF SOUT11O1.D SURVEY ...... ,•.•..,n}. •.•••••.... .. . . BUILDING DEVAR'1't1ENT CHECK ..•....:••••. • . . .. ' . 'TOWN t1ALL SLTPTYC. TOM .....•• .. . .. . . 2 SOUTIMAD, N.Y. 1197i TELL 765-1802 NOTIFYt 6Q�hgVA Kuik2-I� CALL ...7 4 G1.�•tP HAII. TO...... .. .. . . . . . .. . . . . 5onined .... ..., 19. ? 19"" Permit No. Disapproved a/c ................................... :�,� Irl �a-� � .............. r v 1 is 3� S EXn (Wilding Inspector)PPI.ECATTON POR BUILDING P1IRliI't' Date INSTRUCTIONS D'loanpletely filled in by typewriter or in ink and mbuitted to the Wilding Enspector wi 3 seta of plans,.accurate plot plan to scale. 'Tee according to scdiedule. ser pt public b. Plot plan sussing location of lot and of buildings on Pseaises, relationship to adjoining iia P�11ch is part of streets or areas, aM Giving a detailed description of layout of property oust be drawn ca tlse diagram this applicatio(s. applicant. c, 'live work .covered by this application may not be crsimencecl before issuance of Wilding Yenuit. d. liven approval ed this application, the 1luildtng Inspector Wit issue'a Building Farah to ti:e permit shall be.kept on the premises available for inspection thrOu811out the work. e. No building shall be occupied or used in whole or in. part for spry purpose whatever until a Certificate of (Icupancy shall lisve leen granted by the Wilding Inspector. � t to the APPI.ICUICH IS 11.RCISY TW to the Wilding Department for the Issuruu=Of a Wilding ftble Leos, Ocdi:�axea or Building Zone Ordinance of the Town of Southold, Suffolk County, as herein Regulations, for the conattwctioo of buildings, additions or alterations, or for rewaval or diIXXMW ol i ! code, described. The applicant agrees to coaply with all applicable laws, ildiusncea, building ' Cions. regcslations,land to admit authorized inspectors at premises and in buil[QdJ�i nieces Y Pac .i,i��.1,1.,1JJ_.,. i.�...,,•........... ........ ... .(Signature of applicant, or naafi, if a corporation) (palling address of applicant) r WildState Wlietlier applicant is owner, lessee, agent, architect, a ineer, Beesal casiractor a+c�tr°.cia:. ^'^ Q N R -6e- P�ACA-,I c t e� ...................................... .................... ....../.�...`.. ....................a t-W) � .N A).d�Y..K� ••....:.......................... .... .............. Name of aar�er of Premises ••• ( cps .Clue tax roll or latest deed) If applicant is a corporation, aiVwture of duly authorized officer. ..................,.....,.................. (Name arxl title of corporate officer) wilders License No. ......................... PlusWra License No. ....._................... Electricians License No. ........ ....... .:. _ 1 Other Trade's License No. prl i �s�.Q� •• . . . .............: 1. Iocation of land on uidch proposed work will be done.... ...,...••••••••"•`•'•�•• ...............................................•...............•.....•.•..N•••!.••.•.•.•• •••..•........... ........ 1 use t nber Street Cr County Tax Map No. 1000 Section .......('03...... Block ......,W., . ••• LDC .1.�..••••••••:: 1�. .1 ( ,�..... Piled Flap No.' .j C. ` IoC .. ........ Subdivision ...Pi<CDN ••••.•.•• .. 2. State existing use and occupancy, of prewiaes and intended use and Occupancy of proposed construct iosr �t ......... a. TW* stisis use and occupancy .....�U C.�.r..�... ................•....,............. ............... - b, Intecxled tlae QW occupancy .•.,1.,,i.�iVJi�.�♦•,,••,••,e• • • • • a..•,.•!RA!►RaRR..•w•,. Future of crock (dmdtshildi aMlleable)t MOV Building .... ..... Addition ........., Alteration .......... Repair ............ it�ngnrat .444.6...,.... T)m*lttion 4444........ Other /Mork ... 7 (Description) /X3c, = ho jSE Lal'irmtecD Coat .... .. ,...,, fee. ~o 2VY�3o - 7209F a-�1 :.................. 4444.. 4444.. $x g 8 4444. (to be pald on filing this application) r'�W If Al Il#ng, mother of awalliug unite ....I....... tkjnler of dwelling units on each floor ....1........... If garage, twmber of care ............... I.................... .. 6 u 130,at If lnisImes, connarc#al or mtxe&occupency, specify nature and extent of each type of use.... ............. -7S Ilimena#ons of existing structures, if anyt Fr'ont................. hear [epthaaSi ..........4444.. Haight ........... &rlxer of Stories .................. Dinrenaione of mm strucntre Stith alterations or'additionat Front ............... hear ........ Depth .. ........... :.. 11CigiuC .................... Deicer of Stories ............... 3. nitrenssiona of entire new emstructiont Meront ... ,r 4444 ilenr ..;L`.1,, ........ fepeh °J. )r• ' . ................ tarsluer of Stories .Zr............... I. size of Lott Front ....4J0.� ....... clear ...... d o ... . Depth ..../-45 .. 4444 I0, llnte of Purchase ..S:t.�?.��cl4�:is1Q,.... Bauer: of border Owner ...i.............. 11. Zone or use district #n shidu premises are situated ( ,ti, i Q ,.. . ...... 12. Does proposed coistxuction violate any teeing leu, OnIlinance or regulation: .... ................. 13. Will lot he regraded .... . ............ Vill excess fill be removed from premises: YM 14. tlrmea of Owner of premises ........................... Address ...............:.............. Phone No. Hmia of Architect ......................�............. Addresa .......:...................... Phone No. Nome of Contractor ................Y.................. Address ......................... ...Phone No. ............. 15. Is this property within 300 feet,of a tidal s lord? *'YM ...V/ .... No 4444...... *1tr Ylm, SQ1'iflQD'117Ia11td1SIn 1'C13,Dt'P MAY m Di1�lilra. Q�cQe� . PLOT DIAGRAM Locate clearly and distinctly all hunalrgs, iAhether existing or proposed, and Indicate all aet-hack dimensions frcxn property lines. Give street and block timber or description according to deed, and show street nnnr a arxi irxliente +dsetber interior or corner lot. °i2 nrnlc�T Ss' r. . ?Rr>emseD n_ �'Siory VACAKT QQSI YlC2 010 UC 15 _ (o 5 SfAllt (It NN Y(MIK, 4S Q11mlY (At 4 4 4 4..•................ tTl ? 1�� 1�4J�/✓�/ .. .......Ix-in dul ..•••• ••••• •• •, g y mourn, ctelxuses at-KI says that he is lite noptionw: (t(sne of ItAlvidual;aignhsg contract) abme emceed, Pei a&/kc'zIle is Lire ....... ........44,44.......... ... ......... YJ .. `. (Crnttractor, agent;corporate offleer, of said (mier or owners, mxl is duly authorized Co per.Conn orirrrre perNmit4i lite said work aml to make arx) file Lhis ainA kentim, tint kill atatenente contained in this nl7plicati�n are true to the best of his kmvledge nrxt lxil lef; tnxl that the wurk will be perfonred in Life mmnner net fnrtlh in the application filed therewith. 9uurn to before me Lhis �......... of .:. :.......J9........ ticucary Pubic .., .i,:l./ " ....................................... (Sigtlnlsure of Appl.lennt) -3OYGI M.VALKINS Notary public,State of New York No.4552248,Suffolk Cownn��yy Term F.xplres,iura 1418Lf,1 Fiv, G4'�s'm25' EL. G Gr G: Zp - N Fe�av7.J ' Y7 r GE��p: O i=8p 8•, , 3 SUFFOLK COUTNTY DEPARTNMIT OF IAI.ITI SI;RVICE$ -- y�y /eT PERMIT FOR APPROVAL OF CCN5 UNTON FOR A 71NGLF Z AIMILY RESIDENCIE ONLY FSRERNO. Qm4 APPROVEDHrr,resy� Note: Subsurface sewage disposal system 'f? MAXDr1�Ta OP E M5 design by: iW%PGa ` + :At° FROM nAITZ,-)p-,ppROVAi Joseph Fischetti, PE __._. _ . . . Hobart Road Southold,NY 11971 516-765-2954 /✓J�aJy ®BGG cC/• S/ 10 f - F�.eo �.gr�,rvayrJj'er �y$ 1� L� 1P io .S'-BGiq..r20�EALE.ac3�i.-uG���, OF IYE8y FIS °•p 7 fie �� v�1 ejFQ FA �OesSiotsP` /-0TF2oo t/ E/. /Z10 K) V ilk N o � t� k0 W' a t� b( 3•g EXCAV `PION INSPECTION REQUIRED FOR SANITARY SYSTEM 8e�.s'.vlaa�syd.�Nos�J �y HEALT D�FAQ�F�E � z,5 Ep LqN �. 3,z, dw�sworG.gt'ct Gg�g LE O 8G9 y�s7T�p tiYArb/s�NGG • � �• W G :; �� �}•V.OyClegy �A �r ,33.41.gidG7�' � .��r19.� " ,�/!�',cp .5�SS� o O x�r /.1, We LpC,gT/At/•j�e 7c'�1Y/S+�Q�"�J,T .�/Y. * •ti' � �bH'n/.ri.�ETr7 d'l1/ Cq,5WyeI•drSSUD r •' 369g Iw r o4`i fo, .. /"• V'r/��YQ it CA�D'/.'ii dn.J'�..a Hf./1.Yr .. ..AiUttS h '};r.Y`er4"X M 1 �`'.^y✓Ir Fiv. G.Q.s�oc EL• G 11 N /F /GeU' C _ GN1 '�agGZ I177- / G'S Uw 7E'�1,3 Z AliN ov ILI G.es>.C7i�f/G GG�.t/ ;,4EpTIG SYSTEM yS/Ew S >�iY•G�aPgc f��i�G O ' �v ✓�' iWAX SUFFOLK COUNTY DF,sPAaD ZINT UrO FI Ag TH SERVICES Gpao� — PERMIT FOR e Yitn3. h A93K 5y€UCTION FORA 3lli�:?�e°.i�+s"I'�}'Y�"L'r. :t.._e_S DATE HS RM.N0. cw4 ti r✓ a Note: Subsurface �PpRovpm ®� sewage disposal system design by: �� yas i4�d�i "— �` '` ` ' Joseph Fischetti, PE EXPIRES s H "IF rRJ - f a OF Ad,`PR VAI. Hobart Road __._..__ .._. Southold,NY 11971 516-765-2954 �Z Fiat N.5 �3 o"E ter. 1 4 , P,Ieo�a✓�•gr�irvayfli'erca� 1 lee,) 4e LP io .?-d'Oiq.X ZOALE.acfi�uG�a � " t3 TE OF MEW r O I i o � FIS � 4. `} A �O 05251 ID" � � ESSIONP�'�' i. srse� � n n 151 /o N V s � �� -00 37q.9Z' CIO 7E5T/,Fx.� QxC6eel,6AA: -EXCAVATION INSPECTION HEQUIRED g,7,y,�l�iyyD.�Nos.19 FOR SANITARY SYSTEM z.5' BY HEALTH DEPARTMENT �y�y�iworG.9y�� �ggD LANpB �.2 y�lgjdGp///A*VAIv G %0FLEW- °9` 4e, dszv�i'c��y �A Lor 33/�1.9Pi '•� u/a�er�/�9.� 'Z �G/�'B.�" S.iS/ o �� 9 'OBCt%wAi.✓,o, [cc���4d•�m6+� »r�rti ctr<-�rs�.o,s�/.Y. * ~ � r e4,Lr o iO)V L✓oir.irsRA ' 4 Fn_ 3698¢� . "I � � L// /'iN. G�'•rta�s EL. G 6" 5 �G �Cwc IE'1J.3 VIVM/ �6,Pr/c �YyTE�1 oO 4R.Otls G�15r�aoL O .✓or/vvy Note: Subsurface sewage disposal system design by: 41-1�1 Joseph Fischetti, PE Hobart Road Southold,NY 11971 516-765-2954. 3 s� � ��2o, ✓�igt�irv,2yflydrese�l i �dctals OEpl*Tuvc ve . � N � � �DUNDATiflN LD[.H'i1UNt /yGGb/Vi5'G!t GEO JG'/E�tXr" o.-K. .le ftLtr CEr�TtFtc�t�vrt R��u►��►� zi5• asyrwla9/�yd.�.va�.r� ® ,v�.orGAy ct of,* LAIVO �•2 Y1�1"T2 'r�Yltt17/✓NC` •�I. 1!✓ a ,�� dorr��y 2✓�7'f'ar�.. �f� i92�k��lr/ N yG �y LE �A o °� °� LoGgT�Ri/,J r IY�W a T " f^' le z `^ Zka.)�VW,45/ 4CA:; OIV 4 _ CASA`diD cr �/oa�v-�7-oz-/7 .��r�r�l�r�cd✓.c�.1�,9� 'r �aese �.✓Ti''Yt/L,E�/s9rY ?h/ /' v � t7 ✓z�J �F New 1�P� �I FG./Z stmom COU1+TIY WA'ft+ma!t f PPALTH SMVM APPROVALQIP C.0WV JCtEDVV0r-J3 LSO Z„ A UNGLL"PAM9TI V P44MEN CIL 6 IE'�J.3 2'MJs/ ne s mate Tswsal M0••vh.r 9,43=11y4s^u�m �'W4 W=60"ton t ai - 5�*..':L„d.�+"k��`m'S.gr..F3�,� Y�,aF:�?`�"� tv�L�.�' E�&Y.licilititstOMl!fdtn b.C•W.S+JLet fG,D.G Nsa`ii-aCtw3 _ !'?f�CCa'��.T�#1�f1[�i.AVetdtR'f�saE�G�i N/�G�s i y F¢auT .J , •v G.Pi sn� e-4 O . I 3 Note:Subsurface_ sewage disposal system design by: 4 Joseph Fischetti, PE Hobart Road Southold,NY 11971 5a•G 516-765-2964 6-765 2954 PJee �JnJtJ.rJ�.axyayvrr,ar '-- - i Ge�lp6ots� /dGl:Uc'j+��E,rJr�?r,.ttEe#/ � a roc Z' {, 'V 0p CP V' 4�1L --------------- cD ellu 0 ss � 1 �•;�Cgrlr G l 1 , .IVAWorAI#r cc SED LAIVO p J zJ 1'J*dcp MIAVA-10V `P a�9` 4�vvYG�.�y �� �2,✓�i'Fo2..^�9 �i9.C9��.r/�.�/ _ ., fiyv. 'LES. rya pj O o - Lc>T33/Yl.+q,�'CI�'i� Y.�'�Jf�'C1E"��/��'�"�tfGlk+.s�.'�" 5551 O Lacer✓/!• anM 7� r /,Y. kj%W114I4544W Aa OIy GTM�!'OOiC__/7 O Z:/7 JOL/lU��oe"1�?2�✓GIt�E';71,,SJ�� 1I. 3 6 9� J / /,�NTti�vY i�/•LJ.E'J�//9iY�f "/ p�T�"�.C7 -Z/ of N sw Y QQb LAiv06K�c 'ydA�. J /Cl -- ENERGY CUUE CALCULATIONS (For Nota-Electric Heat) Design Criteria 6, ()00 Uegree'.Days O.A. IU°FI.A. 7IU°C roll: u h e yf' YER 1 �jDATED: /?ty PeC oil IL DESIGN THEItMEL REMARKS SUBSYSTEM AREA "U" RATING EXLeriol: Walls (opaque) /-349 05" IS-7 _ Glazing Doors 2- 0 L? Ceiling/Roof (Upaclue) v Skylights � Floor FoulldatioIl Walls Slav Insulation TOTAL EHO — Notes: Building Envelope Systems to lnee t requirements of 7815.2 IIVAC. Equipement to meet requirements of 7015. 11 11VAC Systems to meet requirements of 7815. 1'2 UucL• Systems to meet requirements of 7815. 13 Velltilztiolis Systems to meet requirements of 7915. 14 II1sulatioll of piping Systems to meet requirements of 7015. 15 Service Water Ileating Systems & Equipment to meet- requiretttenL•s of 7U15 . 21 13'lectrical & LighUng Systems & Equipment to meeL- requiremenL-s of 7015. 31 t OF NEW To the best of my knowledg lC,E belief, & professional jUdlyemenL-, these plats are compliance with the code. 032254-1 '90� 0FfSS10 - rt- e - _ _ - - 00 r , Df elL _ - PROYtDE 11N�-3t�AED ItRD/QR �E - - WERMAt s"OC PRE�ItF OCCI WAi C OR i DEWS 0 TO PMM$02-0) �` I APPROVED AS NOTED USS MiLAWFUL BTATF NUING CODE. DATE: B.P.# WITH UT CERTIFICATE' - -FEE: �: �. BY �Z UF OCCUR n NOTIFY BUILDING DEPARTMENT-AT UY 765-1802 9 AM TO 4 PM FOR THE _ If copper tubing is used FOLLOWING INSPECTIONS: for water disinbu-ng 1. FOUNDATION • TWO REQUIRED - SY-stem;Piping shall be FOR POURED CONCRETE Of types K or L only PROVIDE OPENINGS FOR 2. ROUGH - FRAMING & PING - 3. INSULATION EMERGENCY ESCAPE AS 4. FINAL - CONSTRUCTION Muni REQUIRED BY PART.7I OF BE COMPLETE FOR C.O. PLUMBING ALL CONSTRUCTION SHALL MEET ALL PLUMBING WASTE N.Y. STATE BUILPING CODE. - THE REQUIREMENTS OF THE N.Y. &WATER i INES NEED STATE CONSTRUCTION & ENERGY TESTING BEFORE COVERING CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS PLUMBER CERTIFICATION PROVIDE SMO • E=NG ON LEAD CONTENT BEFOREQEYl CERTIFICATE of OCCUPANCY DO NOT PROCEED WITH AS TO PAK 7W SOLDER USED IN WATER FRAMINU UNTIL SURVEY _rNA s BUILDING WDL SUPPLY SYSTEM CANNOT DATION tOCAfit4 10 OF • CE21 4 HA ""BEEN APPROVED, F # . id# IC: � �. • � - - 1� UNDERWRITERS cER�tca� - IINDERYVR 1 - ♦ RAll EQUIRED ' zu I It rv. . a t r _ ,.2 - 1' - - c.'+ :"�R •LF,. �3�,yl1r•'I�rYJ44..i'� <4: _ �'.,M• - 3-- ,' ,- -- .z, *• e - - - .: :� -. .. - - - - - - �.,,, - - .-,.....;rte,- - - - - - s t a r s - t , ' 7 e r - .. - - .' 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