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HomeMy WebLinkAbout27959-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28160 Date: 01/10/02 THIS CERTIFIES that the building REPAIRS Location of Property: 4150 ALDRICH LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 2001 pursuant to which Building Permit No. 27959-Z dated DECEMBER 13, 2001 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 "AS BUILT" ROOF REPAIRS AS APPLIED FOR. The certificate is issued to NYLA C LAMM (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A c /)6thori/ed Sign ture Rev. 1/81 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. 27959 Z Date DECEMBER 13 , 2001 Permission is hereby granted to: NYLA C LAMM PO BOX 455 LAUREL,NY 11948 for . "AS BUILT" ROOF REPAIRS AS APPLIED FOR at premises located at 4150 ALDRICH LA MATTITUCK County Tax Map No. 473889 Section 120 Block 0003 Lot No. 013 pursuant to application dated JUNE 5, 2001 and approved by the Building Inspector. Fee $ 300 . 00 Authorized Signature COPY Rev. 2/19/98 Form No.6 L�,� JAN TOWN OF SOUTHOLDBUILDING DEPARTMENT _ ,TOWN HALL765-1802 APPLICATION FOR CERTIFICATE OF OCC This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees /e 0 D T 1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00, terations to dwel g$25.00, Swimming pool$25.00,Accessory building$25.00, Additions to accessory building$25.00,Businesses 5 .00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: v-`� (check one) Location of Property: #/S D A /�r �c 4*_n r oC. LL L House No. Street Hamlet Owner or Owners of Property: 41, e a, h, r„ Suffolk County Tax Map No 1000, Section Block Lot j_� Subdivision Filed Map. Lot: Permit No. Z `?�-S9 Z- Date of Permit. , n pplicant: 7),?// ° Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ o�S , Applicant Signature Ap CD 3 0 N (Da CD o a a qo N C c. , m • Ln <Ai c V r ap C7 O P � T , on C I m 0 0 0 r O O I� 1 Z z _ a m O ri U � ° X N CD m v 0 Np �a — 1 W � � � m D �G C2 i v � Ma� fi C LL LL t (b N N T c g °' d o0 g m I c = a a -s --s L J } V 4 J o � � LL. m u'S LL � M �o a i Y: 1 FN �> A du N o 04 l' o 0 0 0 �' 0 � C LB 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ �INAL [ ] FIREPLACE & CHIMNEY ... REMARKS: t DATE 17 INSPECTOR rISLD tNsr$cxloN NxPoRTDATE COMMENTS - -- ~s lODPMATION ( 1ST)' ATIUN ROUGH FRAME � Of • t_ PLUMBING . f ' e MSULATION PER N. Y. i J STATE ENERGY f CODE c ' f FINAL MDITIONAL COMMS: \ C • E J c TOWN OF SOUMOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 7654802 Survey PERMIT NO.,,271KY Z, Check Septic Form N.Y.S.D.E.C. Trustees Examined i 20 QZ Contact: *• Approved 20Mail to: Disapproved a/c / Phone: 9 e' CQ(00 lO Building Inspector I ��� s!'' j APPLICATION FOR BUILDING PERA#T Date 6 . S , 20_� INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted 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 waterways. 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 a permit shall be kept on the premises available for inspegtion throughout the work e.No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupancy is issued by the 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-wde,housing code,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. c . (Signature of app li ant or name,if a corporation) /t1 l 11 iY r address o licant) State whether applicant is owner,lessee, agent, architect, engineer, general contractor, electrician,; umber or builder 0wnr_r '/yI Name of owner of premises d i ft d L`n% Y, (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which pr posed work will be done: 'Y/S° A/dNlee- �(1 House Number Street Hamlet County Tax Map No. 1000 Section-12- 0 Block 0 -3 . 0 a 1n f Subdivision Filed Map No. Lot (Name) 2. State existingvse and occupancy of premises and intended use and occupancy of proposed a. Existing use and occupancy k 4 e.4 e.t% n T b. Intended use and occupancy A :rnc st 5 CLL e d L -- k 5,b 4.1t ,i: !^ Id.tk_ --*-A ^ JaLm C 3. Nature of work check which applicable):New Building Addition Alteration o Repair Removal Demolition Other Work (Des cri tion) 4. Estimated Cost Fee /so • A lt!!.t + " IC •' CD (to be paio on filing this application) 5. If dwelling,number of dwelling unitsNumber of dwelling units on each floor If garage, number of cars P. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures,if any: Front Rear Depth Height Number of Stories Z. Dimensions of same structure with alterations or additions: Front Rear '�" Depth Height Number of Stories. S. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth //-- 10. Date of Purchase 9-z d -9 Name of Former Owner w.d• 11.Zone or use district in which premises are situated eL P r{E.JA 12. Does proposed construction violate any zoning law, ordinance or regulation: '►� a 13. Will lot be re-graded tv O rr Will excess fill be removed from premises: YES NO 14.Names of Owner of premises 4L- L a ty► Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 110 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF f ) lo__i,,.rv-- being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the dt mC_ A LL3 h r– 1-- (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 /.2-- day of 20 v No lic —t Si ture of Applicant ELIZABETH A STATHIS NOTARY PUBLIC,State of New Yolk N0.01 ST6008173,Suffolk County Term Expires June 8,2U%7� F ��e�eY"J"" 'N{3�,!TfBki'yyp✓' � � �Qz (� A 54ff • , Yrlr i. t J qy , ' Or1Y Ge I l RRMFAa xr *! tl roy9 n'ixx p r? ICIa fQform6��1 }I sa ys r 4 � M� p( 3 * wjy "a. 7k# r A'm�st. . 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NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS LM 7r r r r n P Q •� � i p . 0 �r1 w r ' C16 A 0 4 Is W • 83AlNQ. a x70 P}M+P O T \\ 7 pM�s Tfiu T qk Hp b33N19�� Nyla Lamm 4150 Aldrich Lase Laurel, Long Island,NY 11948 Homophone: 516 298 2606 E-mail: ABAbin@AOL.com July 6,2000 TO: Southold building department From: Nyla Lamm, home owner 'I '` 4*4- � Re: Building permit for partial roof repair/replacement Please be advised that I had a significant roof leak into the west side of my kitchen which necessitated immediate repair as my flooring boards became swollen and popped out of the tongue&groove. Upon removal of shingle it was noticed that both the plywood sheathinit and the roof rafters were wet and rotted, requiring replacement. This area was only a/61 of my entire roof. Explanations to follow. r: Total!dimensions 16' 9"wide north to south 10' 1"high east to west 1. roof rafters 2"x 6"x 10' 1"(24"on center)l"bird mouth attached to bearing wall 2. 5M'plywood 3. dripedge 4. ice shield completely covering roof 5. roof vent 24"overall dimension 6, shingles 7. flashing roof under house aluminum siding and tarred over ice shield 8. overhang soffit 12"with 6"facia 9. 8 round vents between each rafter in soffit 10. aluminum siding replaced C 1. 1"x 2"venting in each rafter 2. firring strips attached to bottom of all CCA 2"x 6"rafters 3. egg crates insulvent above R 19 6`/x"insultation 4. R 19 6 V2 insultation attached to firring strips 5. 1"x 5"tongue and groove clear cedar ceiling I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28160 Date: 01/10/02 THIS CERTIFIES that the building REPAIRS Location of Property: 4150 ALDRICH LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 2001 pursuant to which Building Permit No. 27959-Z dated DECEMBER 13, 2001 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 "AS BUILT" ROOF REPAIRS AS APPLIED FOR. The certificate is issued to NYLA C LAMM (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A thori ed Sign ture Rev. 1/81 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. 27959 Z Date DECEMBER 13 , 2001 Permission is hereby granted to: NYLA C LAMM PO BOX 455 LAUREL,NY 11948 for "AS BUILT" ROOF REPAIRS AS APPLIED FOR at premises located at 4150 ALDRICH LA MATTITUCK County Tax Map No. 473889 Section 120 Block 0003 Lot No. 013 pursuant to application dated JUNE 5, 2001 and approved by the Building Inspector. Fee $ 300 . 00 Authorized Signature COPY Rev. 2/19/98 .J` Form No.6 t; alt, TOWN OF SOUTHOLD i ) I (� BUILDING DEPARTMENT "�� {J TOWN HALL +zi JAN - 9 765-1802 APPLICATION FOR CERTIFICATE OF OCC �� .-` This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. ti C. Fees R©o� lie-a-46-OL 1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00, erations to dwelYmg$25.00, Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses 5 0. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: `(check one) Location of Property: �/j d �-la-r Ie✓L ZcLh r /-a4 � e- L House No. Street Hamlet Owner or Owners of Property: /,1/la, a, hA rr` Suffolk County Tax Map No 1000, Section �o�D Block Lot Subdivision Filed Map, Lot: L/2--;,-/a I rn Permit No. 2 Z-- Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ =I ' X�arc7 Applicant Signature BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ �INAL [ ] FIREPLACE & CRIMNEY REMARKS: I DATE INSPECTOR INSPECTION •REPORT • DATE _ _ -I�_- COMMENTS w h^I?; IL s 4 !'OMATION ( 1 ST)' �s 1�j,TION (2ND) ROUGH FRAME & PU MHING ' [l1SUGATION PER N. T.-* . STATS ENRRGY '� r CODE FINAL �- ADDITIONAL COM!lSL.�TS: � 1 'F • 1AY O TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 7654802 Survey, PERMIT NO. heck Septic Form N.Y.S.D.E.C. Trustees Examined i 20 o l Contact: Approved 20_4_C_ Mail to Disapproved a/c / Phone: q - C�(on Io Building Inspector ! APPLICATION FOR BUILDING PERMtL L-,, Date. (o . S , 20� INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted 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 toadjoining premises or public streets or areas, and waterways. 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 a permit shall be kept on the premises available for inspegtion throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupancy is issued by the 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 ode,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applidant or name,if a corporation) 71)72 e )( YSs /r A) V r, ,Tyr aaftm o licant) y�so A-! Nie. Le hr: State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, umber.or builder OcrJnrr Name of owner of premises e`., C • L`h. rt-.. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on whichosed work will be done: '11-T° 14/drrQ pr p,.hce- House Number Street Hamlet County Tax Map No. 1000 Section 12. 0 Block 0 .3 • b �r'''_` 5 , s`! o a �' . Yi Subdivision Filed Map No. Lot (Name) ZZ. State existing use and occupancy of premises and intended use and occupancy of proposed 'on: a. Existing use and occupancy i-�-C,�, h n •�- 1.00 rr b. Intended use and occupancy s aL►�c o V L P 4i r r cu da.atd PIF 3. Nature of work check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Descri tion) 4. Estimated Cost `�,�°0 0 Fee /.St. �i<<k �filngzthis .5 � a (to be pal oapplication) 5. If dwelling,number of dwelling units i Number of dwelling units on each floor If garage, number of cars E. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures,if any: Front Rear Depth Height Number of Stories 2-, Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories. 8. Dimensions of entire new construction: Front Reaz Depth Height Number of Stories 9. Size of lot:Front Reaz Dept 10.Date of Purchase Name of Former Owner �{ 11. Zone or use district in which premises are situated cL r 12. Does proposed construction violate any zoning law, ordinance or regulation: a 13. Will lot be re-graded tv O Will excess fill be removed from premises: YES NO 14.Names of Owner of premises 1�� �C_ L C�*.-- Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO e IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF �M being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the do m L A t.0 h r= I— (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 day of v 20 v NotarfPublic Si tune of Applicant ELIZABETH A STATHIS NOTARY PUBLIC,State of New York No. Term Expires JuneSuffolke h tANr :'«, i y..;3y�,r"p?r'�pill-17 ,NAt, 1,,r;" :1, her HKiR�*dr"y.f," -1111111 {t 'St it ``!'qqi�'a e tr aC r,, r.\ 3 i 1I yo- 4 t d i bJ Ur]' d, r ('�S,,'yy..F ry s l ^� d *'� 'li y 1`" }' ''T ! {•t h�� t .t fi i :' y c t} M 6 , � >f 1 I f, - , a f } ?E ;i' u v ur'¢n, r IAA 4I.'�fM1t le < d 4 S44 h '� ,lz�� }r 57� 4. , },17�IlYf, (YIT° s t'y .1yt I y4 t o h f S 9. 11 �r P j ft,/�lra t i k I ugl y I r�rp: Y' tbl F: 1. -.l i4k�; �i�l}� I y 4 -! r'T I. - '�"',°iC�1'd,r1 T G_, I l,.i} ,";; I G i "T h'I I/ 1 E k - f 4.,],,,� 'c J 3yly nk ,'a Til• r , if I cN d, C R' +1"d r ¢ I' r,g-4 M 1 r W jll p i� 4� 5{4 1 �c {�'&�,II i t � /a�td //y� a (�". 4 1i'I� N� I �i 1 I/ vs I R¢! o f �4 i �k � A' q t cl y Nf kn 4 ri 1 foam, toxo* .. r Al"o ,11 �_ 'r yr. I't; t° 1. � +�`'' n t f t `f: u t '. 11 s i nAp.� ,' fv i ,., Y{ i � \ . 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I + r a t Pa i R{ T 1 ,In e '»*, tm.�k 10 'l,tg a 1 ' v �I ,,C�. ,a, d f-.. v - - I I- I f. %^i r ;µI'll" 1411 f(��/ {i sir y,hT'v'�'"r p t" �t' ;,r� r� � NOTE R Awai{ i}l sTk 3 !Y x ��qL f .4 t ; ■ =MQN(/MfNT o f �r T t v i s SJ�g4 'b k i4 f kl� 1y< vr^ tG " V } ( 7 II/� I tit,'1 "il �1 1�" 1 *'�'�e' A ,411 x"q 1 1�1'FI kr �t °bl 1p S s"1 5y;Yar'1 rc '+' T P Yr 1 � a 1 .ky ,t +: II. ... .•., 1. , . OEC i�F a ,", DQ OSTRANQ��t AVI NUS, RIY F{NEAD, N.EW.YORK s t �� � ll Wy YQUNG� `;, - h _ I HOWARD W. "lD 7 .I It �11I TROp[��IpNAL iN41.N[fll ANP ' LAMP•URVXYCQ 3 , : } f T ;r: !c R1t i :-#14R fy4MRYOA'.I1.Y/.�CI NO I;P4f.�„ N.Y.>F:�,IC.NO. ,r I i uMMITNORK[0 ALTGRITION OR ADDITION TO I��T, SRU4RMo,1NOR, '!`.., �/,/ ::' I - '" T�4 aRRTME 1NEW YORK STAT EDuG*TPN _ J j" 'yR^T m^� Y!�AI�SKI `� Q�1 RBAR SKS TOWN� ' ' ' ,_," , F N sov or t J ` ' 'Ile �w "'n"^t &OWT,N.Pf THIS SI!RVEY YAP NPT NEMIMN, 1. I • `�`} TE l.fN4•NuRVEw,i'6 IRKED 6EA6 OR". I1. t , i ,+• % 1. �,! "U..':MNQi9ED PEAL WALL,All C9MNIPEN¢D: ,t ' ~ a;. ' i Q#c A Vµ10 TRVE COPY .. p A I aLLL rjr Irk y,+ T. iij I I�NV�,4i.TEEb IH0 CATEP MEREON$MALL NUM , 't - T t `. dN}iM S0 TNC PERyuN FOR WNOMTMF yy�IjT. �� I11 •s 4�1R1(Y'. N PIIEPANLD AND ON x113 NCH♦kP I ' ,+ d � a n C Is t r,{ ,, Y, v I+II}E T 1LE COMPANY DDIEANY IITAL 1" ifllf: II 4 ,. ANERC}AUb�ExnINO rMSTfiUT1[Ih L�5TED a,}i +EII A ee'i Cnn {� ., ,04:, 4PN,SNP TO IH6 ASy13NEES 0f THE ti 4UI li+ l z`IR�1 k'�7MF� ?�.K.,rQ t N':y PX �j N� - 1 . tr Vw 7 IAC iNN INNTITUT i,ry I„,AA*. fN NIR �'W. n jai a� h+NiARaNauc nl �PNi���N.� � ( �1JIT�FI x a) 1d T.�N4 NIit�D 040#IR11NYl 4WNIIli 1;. / ,I"L a i Q r eel .Y... .,., AAAA. nt.n.HFn- : .� „yr.... .i,:. .T.. - ..„, �Mt I�'pit � '1f A7ar/ I'l SPOVEDASNOTED OCCUPANCY OR USE IS UNLAWFUL �► P WITHOUT CERTIFICATE NOTIFY BUILDING DEPARTMENT7 765-1802 ! AM TO 4 PM FOR THL FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING A PLUMBING & INSULATION 4 FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS So A ld cl �e.nG �,6.0 -C.' Z'�X �.'�!C io 111 e� �t�rt� R l Q r -Ila PCl jai i�ooT Rt. �atc n+cnTr"' Ole Y rt p C41 C_ GG 3nleal OVGr ed S hinlir.S V 49 0 u�dt r ho K•� lo - { t AA off Al 16 £ � l��ueatt►�ani+ i f p c U - 2 1 n = m i I rZ�p+IG rt►a..�q ser��i{' 6�-�aG1a. �4! !s: ! I V� f —� 61 3 A G�+h Nyla Lamm 4150 Aldrich Lane Laurel,Long Island,NY 11948 Home phone: 316 298 2606 Eknail: ABAbies@AOL.com July�,2000 TO: Southold building department. Front Nyla Lamm,home owner 11 Re: Building permit for partial roof repair/replacement Pieasit be advised that I had a significant roof leak into the west side of my kitchen which necessitated immediate repair as my flooring boards became swollen and popped out of the tongue&groove. Upon removal of shingle it was noticed that both the plywood sheathinj and the roof rafters were wet and rotted, requiring replacement. This area was only X1/6 of my entire roof. Explanations to follow. Total!dimensions 16' 9"wide north to south 10' 1"high east to west 1. roof rafters 2"x 6"x 10' 1"(24"on center)I bird mouth attached to bearing wall 2. 5/8"plywood 3. dripedge 4. ice shield completely covering roof 5. roof vent 24"overall dimension 6. shingles 7. flashing roof under house aluminum siding and tarred over ice shield 8. overhang soffit 12"with 6"facia 9. 8 round vents between each rafter in soffit 10. aluminum siding replaced Latesio 1. 1"x 2"venting in each rafter 2. firring strips attached to bottom of all CCA 2"x 6"rafters 3. egg crates insolvent above R 19 61/s"insultation 4. R 19 6 V2 insultation attached to faring strips 5. 1"x 5"tongue and groove clear cedar ceiling