HomeMy WebLinkAbout27828-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28371 Date: 04/30/02
THIS CERTIFIES that the building ADDITIONS & ALTERATIONS
Location of Property: 5705 NASSAU POINT RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 111 Block 13 Lot 4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 31, 2001 pursuant to which
Building Permit No. 27828-Z dated OCTOBER 24, 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 ADDITIONS AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR. ZBA #5001 DATED 9/20/01.
The certificate is issued to DINA MASSO
(OWNER)
of the aforesaid building.
SUFFOLK. COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1045192 04/11/02
PLUMBERS CERTIFICATION DATED 04/12/02 JOSEPH M BLANDO
utho ized Signature
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. 27828 Z Date OCTOBER 24 ,2001
Permission is hereby granted to:
DINA MASSO
8 FAIRWAY LANE
MANHASSET,NY 11030
for
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR AND AS PER ZBA CONDITIONS
at premises located at 5705 NASSAU POINT RD CUTCHOGUE
County Tax Map No. 473889 Section 111 Block 0013 Lot No. 004
pursuant to application dated JULY 31, 2001 and approved by the
Building Inspector.
Fee $ 99 . 80
L
Author it e re
COPY
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 I% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificat
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 Occupanc)
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. 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: S70'5_
House No. Street Hemet
Owner or Owners of Property: C) JAAg 5 S o
Suffolk County Tax Map No 1000, Section Ll-I'S B Q 1 Block_ 1) b 15 Lot UU f
Subdivision Filed Map. Lot:
Permit No. �- �1 Z Z Date of Permit.C .2 Q Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ Z
�- `C Applican Signature
� a �
5 5 BY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS
5 BUREAU OF ELECTRICITY
5 40 FULTON STREET -- NEW YORK, NY 10038
5
5 CERTIFIES THAT
5 5 Upon the application of upon premises owned by
5 55
5 REP ELECTRIC *MASSO 5
5 P.O. BOX 635 5705 NASSAU POINT ROAD
5 MATTITUCK, NY 11952, CUTCHOGUE, NY 11935
5
5 Located at 5705 NASSAU POINT ROAD CUTCHOGUE, NY 11935
5 Application Number: 1045192 Certificate Number: 1045192 5
5 5
SSection: Block: Lot: Building Permit'27828 Z BDC: NSI 1 5
S
5 Described as a Residential occupancy,wherein the premises electrical system consisting of
electrical devices and wiring,described below, located in/on the premises at:
5
5 Second Floor, 5
5 S
r55 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was
j found to be in compliance therewith on the I Ith Day of April,2002.
5 Name QTY Rate Ratin¢ Circuit Type 5
5 fj Alarm and Emergency Equipment
g Y
5 Sensor 4 Smoke
5 Appliances and Accessories
5 Exhaust Fan 1 F.H.P.
Wiring and Devices
Outlet 9 Fixture
5 Receptacle 15 General Purpose 5
5 Switch 13 General Purpose
5Fixture
5 9 Incandescent
GFCI Circuit Breaker 1 5
5
5
5 5
5
5 seal
5
5
5 1 of 1
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5
0
��guFFot,�c
H
Town Hall;53095 Main Road v► Fax(631)765-1823
P.O. Box 1179 i �� Telephone(631)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: L� I ( Z f 0
T
Building Permit No. 2-7 S LY
Owner: M " S5 O
(please print)
Plumber: Q'Sd5 e ova V\ \�����V
(please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
(Plumbers Signature)
Sworn to before me this
h
day of_dM _._, 20 _
KELLY J.MARTIN z
NX1'p,RY PUBLIC,State of New York
No.01 MA5039374
Qualified in Suffolk County
Notary Public, County Commission Expires February 21,
T
APPEALS BOARD MEMBERS StFF01
OG Southold Town Hall
Gerard P. Goehringer, Chairman = y� 53095 Main Road
James Dinizio, Jr. y P.O. Box 1179
Lydia A. Tortora 5 ' Southold, New York 11971
Lora S. Collins �l,�O a�� ZBA Fax (631)765-9064
George Horning Telephone(631) 765-1809
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS AND DETERMINATION
September 20, 2001 Meeting
Appl. No. 5001 — DINA MASSO 1000-111-13-4
Location of Property: 5705 Nassau Point Road, Cutchogue
Date of Public Hearing: September 20, 2001
Findings of Fact
PROPERTY FACTS: Applicant's property is located at Nassau Point in Cutchogue, and has 100.48
ft. frontage along the easterly side of Nassau Point Road. The property consists of 34,508+- sq. ft.
in area and is improved with a one-family, one-story frame house with wood deck areas and cabana.
The existing dwelling construction is more particularly shown on the survey prepared by Peconic
Surveyors, P.C. dated January 23, 1989.
BASIS OF REQUEST: Building Department's July 31, 2001 Notice of Disapproval for the reason
that under Article XXVI, Section 100-244, and Section 100-242A, the proposed two-story addition
and proposed structural alterations to a nonconforming structure on a nonconforming lot (with a
conforming use as a dwelling) is not permitted unless the side yard is a minimum of 15, and having a
total of thirty-five feet.
AREA VARIANCE RELIEF: The applicant proposes to construct alterations and addition over the
existing footprint and maintaining the same nonconforming southerly side yard at 10 feet, at its
closest point, shown on the 11-17-00 plans prepared by Donald G. Feiler, R.A.
REASONS FOR BOARD ACTION DESCRIBED BELOW: On the basis of testimony presented,
materials submitted and personal inspection, the Board makes the following findings:
1. Grant of an area variance will not produce an undesirable change in the character of the
neighborhood or a detriment to nearby properties. Applicant proposes to create a second-story
addition over the southerly part of the existing one-story dwelling, following the footprint of the
existing first floor one-story dwelling which has a preexisting nonconforming side yard from the
foundation—except for an 80 sq. ft. area on the south/west side of the first floor which is conforming
and is not subject to this variance request. The southerly side yard property line contains mature
trees, where the addition is proposed, and provides a buffer between the properties.
2. The benefit sought by applicant cannot be achieved by some method, feasible for appellant to
pursue, other than area variances because the existing side yard setback is nonconforming, and the
applicant wishes to build a second story addition over the existing first floor foundation.
3. The requested area variance is not substantial and represents a variance for an area of 5 feet by
27.6 feet, or approximately 138 sq. ft.
Page 2—September 20, 2001
ZBA Appeal No. 5001 —D. Masso
1000-111-13-4 at Cutchogue
4. The proposed variance will not have an adverse effect or impact on the physical or environmental
conditions in the neighborhood or district. No evidence has been submitted to suggest that the
physical or environmental conditions in the neighborhood would be adversely impacted by this
addition as proposed.
RESOLUTION/ACTION: On motion by Chairman Goehringer, seconded by Member Homing, it was
RESOLVED, to GRANT the variance as applied for.
Vote of the Board: Ayes: Members Goehringer (Chairman), Dinizio, Tortora, Collins, and Homing.
This Resolution was duly adopted (5-0).
-- ------------------------------— ----'-------
Gerard P. Goehringer
Chairman
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: July 31, 2001
TO: Dino Masso
5705 Nassau Pt. Rd.
Cutchogue,NY 11935
Please take notice that your application dated May 4, 2001
For permit to make additions/alterations to an existing single family dwelling at
Location of property 5705 Nassau Point Rd, Cuthcogue,
County Tax Map No. 1000 - Section 111 Block 13 Lot 4
Subdivision Filed Map# Lot#
Is returned herewith and disapproved on the following grounds:
The proposed addition/alteration to a non-conforming structure on a non-conforming lot is not
permitted pursuant to Article XXIV Section 100-242A which states;
"Nothing in this article shall be deemed to prevent the remodeling reconstruction or enlargement
of a non-conforming building containing a conforming use,provided that such action does not
create any new non-conformance or increase the degree of non-conformance with regard to the
regulations pertaining to such buildings_"
The existing non-conforming single family dwelling has a single side yard setback of ten.(10) feet
and a total side yard setback of twenty-five(25) feet. Therefore,the proposed addition/alteration is
not permitted pursuant to Article XXVI Section 100-244 which states that non-conforming lots
between 20,000 and 39,999 square feet in total size,require a single side yard setback of fifteen
(15) feet and a total side yard setback of thirty-five(35 feet.
The proposed lot coverage is nine (9)percent.
f
AuthorizeVS gnature
CC: file, Z.B.A.
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p LOT. LOT 39
j 'tea S 78v 3g'20P w' "AMENDED MAP A OF NASSAU POINT «
}~ FILED AUG. 16, 1922 FILE NO. 156
�. AT CUTCHOGUE
AREA X34, 508 SO.FT. TOWN OF SOUTHOLD
�P.,,of kEW y�9 to fie lino s 7a SUFFOLK COUNTY , N. Y.
p O� ' A104A MS80 1000 , 111 — 013 - 04
BrAL•E 1" . 30'.
sgnw FEB. 3 , 19 8 7
Lie% 8 wr OCT. /7, /me
AR JAN. 23 WO Amston cabana A drat)
FAX I6J11 X6.5 - 1797 AAWrC#U TO WifCY W N SW LAM VW rOW-AL 7014 aw
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.
STATE OF NEW YORK )
) ss..
COUNTY OF SUFFOLK )
0 � , being duly sworn,*deposes and says:
That deponent is.over the age of 18 years,.and resides at
�1
That on the 4 day of9;-deponent, being the
architect/engineer, licensed by the State of New York, hereby states that s/he
accepts full responsibility for the accompanying plans compliance with the New
York State Fire Prevention and Building C e (9 NYCRR).
Architect/Engineer
Sworn to befo a me this �;I�
nay of
_ Y1 �
NotarjCPbblic
LYNDA M.BOHN
.-_fg0{'ARy PUBLIC,State of a**y**
No.01806020932
Q jMgd in SuWk C
Tern Expires March IN 21
cc: applicant
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: /0 //( /01
.DATE SUBMITTED:b /IO/01
APPLICANT NAMEI�I iLA KAAe� 7131161
SCTM# DISTRICT: 1,000 'SECTION: 1// BLOCK:_3 LOT: _
STREET:
-5-70-57 CITY:Y'Oirtrr CITY: SUBDIV.NAME:
PROJECT DESCRIPTION: A&mw
ARCHITECT/ENGINEER�iL _ FAST TRACK? �
SINGLE& SEPARATE CERTIFICATION-REQUIRED? Al0 NOTES:
LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LATS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83)
ZONING DISTRICT: eg-go CONFORMING? A/0
>'DQ' o
REQ.LOT SIZE: 01000 ACT. LOT SIZE: 3�/i REQ. LOT COV. LD ACT. LOT COV. /0
REQ.FRONT y10 ' PROP. FRONT:/ ' REQ SIDE ACT. S
REQ.REAR JSD PROP. REAR :r /sl
WATER FRONT? 5 DESCRIPTION: L' � �Ecotii c.
PANEL #: lk2q FLOOD ZONE:
AGENCY PERMITS REQUIRED FOR REVIEW ����✓ r 7
SIC Com,
APPROVALS REOUIRED:� � � , C
SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED#): UTE: / / PERMIT#:R10-
NEW YORK STATE DEC: PRE-DEC 91ir NO -Lgm>(Z pg= jL)S. �zo
SOUTHOLD TOWN TRUSTEES: l r NO _���c r�.S. a I z z �
/cx
TOWN ZONING BOARD APPROV or -� V �I cry
TOWN PLAN. BOARD APPROVAL: YES
TOWN HISTORICAL PRE (SPLIA): YES o O
NYS ENERGY SAsqto
'��EGRESS (18 H l) (SQ.FT. x 4%) LIGHT(SQ. FT. x 8%)
BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- ,
HAVE PRE CO'S : Y OR N BP -Z/C/o Z- ,
NOTES-:,
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR : //2 SF
OLD FIRST
SECOND FLR : A6Z SF INIT OTHER TOTAL
.p Z� TOTAL: 9 y SF y FEE FEE FEE
'OT( 91� SF)- 0 SF)= iaY SF X$ -.%L=$ +$ �� +$ =$ Y7. 8
•ZO
BUILDING PERMIT REVIEW CHECK LI�rI�
Applicant/ Date
Owners Name: 1), z) Reviewed: D 1
Architect/ Date
Engineer: Dall-JS Submitted: 7X;Z6at
SCTM #:
District: 1 000 Section: ( L 13 lock:
3 Lot: T
Project -�� /► Subdivision
Location: 6-205- NCS-s,sot.,- �� fed►. e-t _ _ Name:
Sin&le& separate Required
certification: (Yes/No A20
Req.
Zoning District: (Lot size: =— :.' ' Actual: 4' ( (Lot cuveragc d l'rolwscd +
Req. ' +3 Req. / Req. �; 4
(Front Yard Projosed: �L) (Side Yard Proposed:_ J (Rear Yard {,! Proposed
Project Description:
AGENCWERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept. / a-ty-
New York State D. E. C. rJ.i
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation???
Flood Zone: , !
Notes:
f
Albert J. Krupski, President �0$UFFO(,�c Town Hall
James King,Vice-President ��� �Gy 53095 Route 25
Henry Smith c P.O.Box 1179
Artie Foster W Southold,New York 11971-0959
Ken Poliwoda Oy !� Telephone(631) 765-1892
Fax(631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
November 22 , 2000
Mr. Donald Feiler
P.O. Box 1692
Mattituck, NY 11952
RE: DINA MASSO
SCTM#111-13-4
Dear Mr. Feiler:
The Southold Town Board of Trustees reviewed the plot plan
received October 30, 2000 and determined the construction of a
second-floor addition to the existing residence to be out of the
Wetland jurisdiction under Chapter 97 of the Town Wetland Code.
However, any activity within 100 ' of the Wetland line would
require a permit from this office.
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to
call .
Sincerely,
^ O
Albert J. Krupski, Jr.
President, Board of Trustees
AJK: lms
L
e'(%tall co
New York State Department of Environmental Conservation o� �
Division of Environmental Permits, Region One
70 4
Building 40 -SUNY, Stony Brook, New York 11790-2356 2.,
Phone: (631)444-0365 • FAX:( 631)444-0360 P.
Cahill
Website: www.dec.state.ny.us Johnn PP.C
Commissioner
LETTER OF NON-JURISDICTION
}
December 13, 2000
Ms. Diana Masso
8 Fairway Lane
Manhasset, New York 11030-3212
Re: Nassau Point Road(SCTM# 1000-111-13-04)
Cutchogue, New York
ov Y�,6
Dear Ms Masso:
Based on the information you have submitted, the New York State Department of Environmental
Conservation has determined that: The portion of property which landward of the top of the slope at
elevation 57' is beyond the jurisdiction of Article 25 (Tidal Wetlands) as shown on the survey by
John Metzger dated October 17, 1988, last revised November 10, 2000.
Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 66 1)
no permit is required under the Tidal 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, 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 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.
Very truly yours,
Ro r Evans
Pe ' Administrator
cc: BMHP/MEP
Don Feiler
suiLDiNc DEPT.
INSPECTION
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ MIN6 [ ] FINAL
11 On 0IMPIEV
REMARKS: / �.E —/ 1-7-dl/L.S
' A)
cif � ,1 -ZP
L,JA Ils �'V) 3
DATE l�' a—'I D INSPECTOR AZL-4—�l
suauiNa DEPT.
INSPECTION .
[ ] FOUND ON IST [ OUGN PLBG. �.
[ ] F DATION 2ND [ ] INSULATION
[ FRAMIMQ � I 1 FIWLL
[ ] FIREPLACE 8 CHIMNEY
REMARKS:
DATE � ve lo Y--INSPECTOR //L
M.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROU PLBG.
[ ] FOUNDATION 2ND NSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS:
DATE _ / l Y INSPECTOR /t^�
ass-isox
BUILDING DE".
INSPECTION
[ ] FOUNDATION IST [ ] RO PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING I 1 FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE � � OI/ IN8PECTOR �j
suauiNc uEr+r.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 CATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE INSPECTOR
1 1 U4 1 ,
w WK
fAF
�I
-�
1 1 1 I,ulul:
r
' C
a
iv+►vii yr; +tv><t�vil �. ' tWILVINU ftf(MlI Aff iQAQQN (hECKLIS
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: 765-1802 1 ;:�' "` Survey
p� eritT=tit( Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined C ,20Contact*. .
Approved
,20-01 Mail to:
Disapproved a/c X Tr lri
Phone: 2
y99- B-5.2 #7
s►� - 3 s 3- 9 7�/
Buildi
APPLICATION FOR BUILDING PERMIT
Date , 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 inspection 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 Occupan
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 coinply with all applicable laws,ordinances,building code using code, and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature f plicant or name, if a corporation)
FOECK T )Cr--
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
T
Name of owner of premises I N c-�, Int A, SSO
-
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
w
(Name and title of corporate officer)
Builders License No. E]N O t N CR
Plumbers License No.
Electricians License No.
Other Trade's License No. �
1. Location of land on which proposed work will be done:
70 5 NAdy 821 P i Lz� Cu TCHCDC itr
House Number Street Haml
County Tax Map No. 1000 Section I I Block
Subdivision p004060()jptp dor ND$SW lbiNT Filed Map No. t 5� Lot 39
(Name)
1
1. State existing use aA occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy S t 1-4 G LAB uy+ QW]R,L4
b. Intended use and occupancy__ S 1 N 6 L.b 1= m t LAV O to=_L4 M&
3. Nature of work (check which applicable): New Building Addition X Alteration
Repair Removal Demolition Other Work
1. Estimated Cost 1 oD) Odo• Fee (Description)
(to be paid on filing this application)
If dwelling, number of dwelling units 1 Number of dwelling units on each floor
If garage, number of cars
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front (2d Rear O Depth
Height 2t, ' Number of Stories 1
Dimensions of same structure with alterations or additions: Front 460 Rear
CVo'
Depth Height 25� Number of Stories 2
Dimensions of entire new construction: Front 3 21 Rear IS?— Depth 3 '
Height _ �., 25 Number of Stories
Size of lot: Front 100 Rear t opDepth 3 5S
0. Date of Purchase 81 19 MMA-41 N
Name of Former Owner
1. Zone or use district in which premises are situated P, 40
2. Does proposed construction violate any zoning law, ordinance or regulation: NO
3. Will lot be re-graded 110 Will excess fill be removed from premises: ES NO
4. Names of Owner of remises OINA MASSO 5705,
P Address N_o�pf 12Q Phone No. 73!I= (0 Z86
Name of Architect DD NDvQ Ri tgn,. —Address fhNN ISD rnp phone No 29$ — S+SS
Name of Contractor Address Phone No.
5. Is this property within 100 feet of a tidal wetland? *YESNO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. PLOT A-Ar, p N
Aim. 0 W6 S
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
TATE OF NEW YORK).
SS.
:OUNTY OF U='
1�0� � being duly sworn, deposes and says that she is th
(Name of individual si ing contract)above named,
Y ( ) a applicant
3)He is the
(Contractor, Agent, Corporate Officer, etc.)
f said owner or owners, and is-duly authorized to perform or have performed the said work and to make and file this application;
iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
erformed in the manner set forth in the application filed therewith.
worn toefore me t
Cay of 20D \
otary Public Signature of Applicant'
LYNDA M.BOHN
NOTARY PUBLIC,State of VeNr y
Qualified n Suffolk9Co ork
Term Expires March 8,20r�
OCCUPANCv OR PLUMBING
OSE IS UNLAWFUL ALL PLUMBING WAM
APPROVED AS NOTED WI TF;0O► CERVI FIC.41C TESTING BERFORE LINES
CA .ion v B.P� �- OF OCCUpAhCy RING
NOTIFY BUILDING DEPARTMENT AT
765.1802 9 AM TO 4 PM FOR THE PROVIDE SMOKE-DETECTING to!' ng is used
FOLLOWING INSPECTIONS: tttr I;stributing
1. FOUNDATION - TWO REQUIRED ALARM DEVICES � ;.� ��� shall be
FC iF IURED CONCRETE AS TO PART. 721.1 ,�° s K or L only
2 ROUGH - FRAMING & PLUMBING Y
N. .S BUILDING CODE.
I INSULATION ,'�' � "ti EP,S CERTIFICATE
4 FINAL - CONSTRUCTION MUST i7LQUIRED
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.V.
STATE CONSTRUCTION A ENERGY
CODES. NOT RESPONSIBLE 11011
" '?;T -Fps
DESIGN OA lk I ,�•� �
LONsiAtIC?7pN aRpp,RO ���,.- p°p` � �
CE
ANTI-SCALD AND/OR � s " ' A
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( ,;, ,_ TI4EPf1,A[. SHOCK PREVENTING
€' .til€CES AS TO PART. 902.6(K)
li F .Y. STATE BUILDING CGDE. ~ :` `
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GSILING ee
rnooNTrP� OUTLINE SPECIFICATIONS i
n � LIGHT - -_wI�cN ^eP•, tucrToE/,T GxlsTlr�c�-TGT R.Qaa lE7J �xlsrc�e� u ��
- - psc SMOK,�. c Tr=.cT'oF, CONCRETE & MASONRY =
SWI TC Fa
1. Concrete strength: 2500 psi @ 28 days. z �r
€ 0 uTL_t_T 2. Concrete footings to bear on undisturbed sad, min. bearing 2 ton psf.
O U T L_P_�7r- RPA I_F- lye 3. Concrete shall not be placed when air temperature is below 40 degrees F.
J cd awl 3PCK or when concrete temperature is less than 50 degrees F. _ - - roF 'IF
r ROUGH & FINISH CARPENTRY - - --
2, 1400
ASTINC-a 01c� 1^ 1. FRAMING LUMBER: Douglas Fir No. 1 & No. 2, 1400 fb (repetitive), to
E = 1.0x10.. Double floor joist under parallel partitions and around Q w I _._ F Q
all openings. nor.a
6X1sT1 cUcon_ t�Loc,k, TouNObs- ori w,6 L- 2. ENGINEERED LUMBER: Georgia-Pacific 2.0EG-P Lam LVL.TO PSE uNooe.P, NNz'rJ
3. PLYWOOD: CDX,FLASHING:
INT-APA, exterior glue.--
4.
lue. -
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4. WALL FLASHING: Aluminum. e�w EY n
<- evl'rIw �.1
5. INSULATION: Exterior Walls, Roof/Ceiling, Floor- fiberglass bads with �- �
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w = vapor barrier, heated side;
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Interor was- - sound control Bttfd
as, unace .
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(fI6. BUILDING PAPER: Walls- TyvekHousewrap; Roof- 15# Felt. -TIr non1Tl- ,
7. ROOF SHINGLES: Organic Asphalt, type &color to match existing.
N' 8. RIDGE VENT: Cobra plastic mesh - continuous over rake overhangs. V Q -
9. VERTICAL SIDING: 1x6 Cedar, t & g, V-joint, No. 2 or better.
6"mNca or K,
10. EXTERIOR WOOD TRIM: Clear White Pine.
11. GUTTERS & LEADERS: Baked white aluminum, 5"x3-1/2" gutters;To 2"x3" corrugated leaders, with concrete splash pan.
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12. INTERIOR WOOD TRIM: Clear White Pine to match existing;
1"x 4" base, 1"x 3"door&window casing.,, ' a Bath Rooms. n?E'M 3 4 r °" III -cle -oa \ 1
------ 13. GYPSUM BOARD: 1/2" tapered edge; moisture resistant t
(i) 14. CLOSET SHELVING: 3/4" Plywood, A-A, with hardwood edge;
_ Clothes: 1 -18" shelf and hangrod; Linen: 5 shelves, full depth.
----------- ------- -- --------- - -— -- ��� E k I�F
WINDOWS. DOORSKYLIGHTS
LLro0 � I 1. WINDOWS Andersen, e9Performancegassandscreens.
P 19 s T F Lo o W A c c I T I o 1 o c F 2. INTERIOR DOORS: Birch veneer, solid core.
SE cor-1 p F oo - a e I_' 1 -x10^-, P. ,o s 3. HARDWARE: Schiage, A Series, style and finish to be selected;
To,r>, u v I N G yro a c6 = o sF Interior Doors -A40s Privacy Lock; Closet Doors -A10S Closet Latch.
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FINISHES
1. EXTERIOR SIDING: 1 coat Olympic stain.
2. EXTERIOR TRIM: 1 prime coat, 1 coat satin enamel latex paint. I
3, INTERIOR: DRYWALL: 1 prime, 1 coat finish coat enamel latex paint.
4. INTERIOR DOORS & TRIM: stain, 2 coats polyurethane, satin finish.
ELECTRICAL
QLU hA171n�Cn '�\s1Cf Rani, ENFJgYSCG "OMP IAN - {'.--11 ( \
1. ELECTRIC SERVICE: existing service to be maintained, no change. Building Design by Thermal Rating Method.
Construction.equipment•materials&Installation to=rdGM%to
Electric malar to be relocated as required! the New York Stale Energy Conservation Construction Code.
2. LIGHTING FIXTURES: as selected by Owner. --1 Compliance wul require that the total thermal rating of the
3. TELEPHONE & CABLE: jack locations as shown on Drawings. building envelope design$hall be no less than zero.
4. BATH EXHAUST FAN/LIGHT: Nutone QT100FL, switch separately, I �,p }.1 3 Thermal L '
duct to exterior. I Area U-value Rating1 Table
Not Walls loSo iF •o} 1• S 6-IE
5. ELECTRIC HEATING: decentralized, perimeter baseboard units, uc sN�t.�0': Glazing .e= 13s -ao 4-1 E O 4
with thermostat at each room. r ' _ _
Doors (�
l� � —7—
Roof/Coiling Ego _3 + 4 6,-IF
PLUMBING - -
G f 42fSkylights if
Floor$
1. PLUMBING FIXTURES: to be selected; provide shut off valves on all �-''` "
water lines at all fixtures. Shower faucets to be 7'-0" above floor. �'--� Total Tharmal Rating of Building Envelope 20
rD I> Z
2. DOMESTIC WATER SUPPLY: connect to existing water line. ` ii ro w' To the best of by krw.nedge,barer and pmreas udgme
3. SANITARY SYSTEM: connect piping to existing. these plans an to compilation with this code. qty