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HomeMy WebLinkAbout27524-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28484 Date: 05/31/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 840 GILLETTE DR EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 38 Block 2 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 28, 2001 pursuant to which Building Permit No. 27524-Z dated AUGUST 2, 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 ONE FAMILY DWELLING WITH FRONT COVERED PORCH AND ATTACHED ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to JOYCE OLSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-01-0088 05/28/02 ELECTRICAL CERTIFICATE NO. 1051451 05/09/02 PLUMBERS CERTIFICATION DATED 04/08/02 MATTITUCK PLUMBING & HEAT (1, �x Authoril 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. 27524 Z Date AUGUST 2 , 2001 Permission is hereby granted to: CORP LIMPET PO BOX 321 GREENPORT,NY 11944 for . NEW CONSTRUCTION OF A THREE BEDROOM SINGLE FAMILY DWELLING WITH A ONE CAR GARAGE AS APPLIED FOR. at premises located at 840 GILLETTE DR EAST MARION County Tax Map No. 473889 Section 038 Block 0002 Lot No. 009 pursuant to application dated APRIL 28, 2001 and approved by the Building Inspector. Fee $ 601 .40 uthorize Signature ORIGINAL Rev. 2/19/98 Form No. 6 1 .� 3 Cj TOWN OF SOUTHOLD M n BUILDING DEPARTMENT Y " TOWN HALL (-Q C,162 765-1802 <._. APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: i�. 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 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 - .25NP 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .:- .. glak . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . . .IIOld Or Pre-existing Building. . . . . . . . . . . . . . . . . Q Location of Property. . . �.�i�. . . . . .�j .l . . .J:�!�e� . . . . . . �'I�rJT�'� q!i���l.-. . . . . . . . House No. �y Street Hamlet Onwer or Owners of Property. .6! y�� . . (QL...5_►AV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map MCA, 1000, Section. . �A. . . . . . .Block. . .O0 .a. . . . . . . . .Lot. . . . 1' . . . . . . . . . . . . . . Subdivision. . . .LL1 L . . . . . . . .Filed Map.j!�3? . . . .Lot. .f. . ��. . . . . . . . . . . . . . Permit No. �Yol(4 . . . .Date Of Permit. .ZS�a/ V .�. . . . . .Applicant. C� . . (.Y1Gl�F!!�. . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. � . . . . . . o� Fee Submitted: . . . . � �. . ('A V/,�/ �J�- L APPLICANT LIC.#25245HI PHONI T 631-765-9145 FAX 631-765-9145 COUNTRYSIDE HOMECRAFTERS Inc. PO BOX 238 PECONT IC NY 11958 To: Building Department of Southold RE: Building Permit ## 27524 Upon completion. of Certificat.- of Occupancy could you please call Robert Bracken at 477-3065. CO uviol be picked up by hum since f will no longer be living in NY. Thank Y , Dors Dona r town Hall 5 1095 Malr1 Rood ! I ar (5tr,) 795.1923 p. U. nox 1176 , ! ? rMaphong(516) 7r,5-11302 C,;nwho61, PJew York 11971 OFFICE OF TI W BUILDING IIJSPECTOFI TOWN OF SOUTI IOLD C C R T.. I r I c A 'r i o N - / DATE Puildiny Petmlt No. 4 ?� Owner: (pl Ase print) Ylumhpr: 14CJ k'lv_r77!L-n- (please print) J I certify that the solder used in the water suEtply system contains loss than 2/10 of 1 % lend. ( It it ars Slynnet . _ - sworn to before me this -�` day of Notary Public,SARAH E. ErTRICK - CounCy Notary PubikStab o1 New YorkNo.01 1297 Qualmw In SuffoMc Caw+tY Term Expires June 3.?QL r3 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 SBUREAU OF ELECTRICITY t, 5 40 FULTON STREET — NEW YORK, NY 10038 55 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 JIM SAGE ELEC. INC. JOYCE OLSENP.O. BOX 38 235 W 76th STREET 5 5 G EE PORT, NY 11944-0038, NEW YORK, NY 10023 5 5 Located at 840 GILLETTE DRIVE EAST MARION, NY 11939 5 5 Application Number: 1051451 Certificate Number: 1051451 5 5 55 Section: Block: Lot: Building Permit: BDC: NS11 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 Basement,First Floor,Attached Garage,Outside,Attic, 5 5 5 Swas inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 5 found to be in compliance therewith on the 9th Day of May,2002. 5 5 Name OTY Rate Rating Circuit Type r,C] 5 rj Alarm and Emergency Equipment 5 Sensor 1 0 Carbon Monoxide 5 Sensor 4 0 Heat S 5 Appliances and Accessories 5 5 Exhaust Fan 2 0 F.H.P. 5 5 Dish Washer 1 0 1.2 KW 5 5 Range 1 0 13 KW 5 Furnace 1 0 Oil 5 C5� Air Conditioner 1 0 36,000 BTU 5 5 Wiring and Devices 5 Receptacle 42 0 General Purpose 5 5 Switch 40 0 General Purpose Fixture 39 0 Incandescent 5 Paddle Fan 1 0 5 Cj Receptacle 1 0 20 amp Laundry 5 Receptacle 1 0 30 amp Dryer 5 5 Receptacle 7 0 GFCI seal 5 Service 5 Continued on Next Page 1 of 2 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 5 n�n�nr�CnEnEPRr�rn����rs�r0n�������nIrn���r1rr���L.nns�nrn�LpLprsrnrn o li] rJ�cncn�nrJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ �rJ�rJ��P�PrJ�rJ�rJ�rJ�r�rJ�rJ�r�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ��r�n�rcncncnr�rJr�rJrJ�r:1 :1 PrJ�rJ�rJ�rJ�rJ�ri I : Mr302323MMER303 5 BY THIS CERTIFICATE OF COMPLIANCE THE S 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 e5 BUREAU OF ELECTRICITY crj 40 FULTON STREET — NEW YORK, NY 10038 C� 5 CERTIFIES THAT7� 5 Upon the application of upon premises owned by 5 5 JIM SAGE ELEC. INC. JOYCE OLSEN e5 5 P.O. BOX 38 235 W 76th STREET 5 5 GREENPORT, NY 11944-0038, NEW YORK, NY 10023 c� Located at 840 GILLETTE DRIVE EAST MARION, NY 11939 C� 7� Application Number: 1051451 Certificate Number: 1051451 �5 Section: Block: Lot: Building Permit: BDC: NS11 5 e� Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,First Floor,Attached Garage,Outside,Attic, 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 tj found to be in compliance therewith on the 9th Day of May, 2002. 5 5 Name OTY Rate Rating Circuit !Me rj 1 Phase 3W 5 5 Service Disconnect: 1 200 cb 5 5 Meters: 1 5 5 5 5 5 5 5 5 5 5 5 5 5 S sea, 5 5 5 2 of 2 5 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 5 Do Ni'yC- �o.� rttA-ue STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) a w r f c r r`' J'�� , being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at That on the `f dayof , 2001 deponent-apd*ect/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 Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- 3$-0 2. - o q street address_ 07 Pr( b I Ve % ct/Engineer %tpF HE;y yO \ rE Sworn to before me this day of z , 2001. C1W t1n. 2 032254-1 gOFESS01 Notary Public moT 'PB .eoARYC,SGYM Na 30-4916018 Qualified In u Couu Commission Eyirau cc: Applicant TITLE NO: 32004 District : 1000 Section: 038 . 00 Block: 02. . 00 Lot : 009 . 000 Town of Southold Southold, New York Gentlemen: FIDELITY NATIONAL TITLE INSURANCE COMPANY hereby certifies that it has searched the records of the Suffolk County Clerk and/or the Suffolk County Registrar for deeds affecting the captioned property and properties immediately adjoining and rinds : SEE ATTACHED And the records of the Suffolk County Clerk and/or Suffolk County Registrar disclose no other further conveyance of any of the foregoing lots other than as set forth. FIDELITY NATIONAL TITLE INSURANCE COMPANY certifies that the: above- captioned property has been in single and separate ownersh°p Limpet Corp. and his/her predecessors in title since prior to 4/1/57 except as follows : (see attached chains of title) . The liability of the Company is limited to the amount of the fee paid. Dated: 2/6/01 FIDELITY T7L'TI7-NTA; TI ^LE TTOUR CO!"IPAA?Y MARIE PAGE Sworn to before me this 6th day of Feb. 2001 Notary Public MICHELLE L SCOTT State of Now No IO1SC6053279k Qualffied D mrnissl IEvInes Ani avy S,20-0-ga TITLE NO. 32004 STATE OF NEW YORK) ss : COUNTY OF SUFFOLK) MARIE PAGE, being duly sworn deposes and says : That he/she has had a search made of the records of the County Clerk of Suffolk County with reference to an application for a variance affecting the following premises : SCTM 1000-038 . 00-02 . 00-009 . 000 That the said records indicate the following chains of title as to premises and adjoining lots since prior to 4/1/57 . SUBJECT PREMISES: 1000-038 .00-02 .00-009 .000 Joseph Cherepowich Dated: 6/27/52 Sophie Cherepowich Recd: 7/2/52 to Liber 3374 cp 163 Peter Blank & Son Edwin H. King Dated: 10/24/52 to Recd: 11/7/52 Peter Blank & Son Liber 3433 cp 289 Peter Blank, Peter Blank Jr. Dated: 3/6/59 Sole partners of Peter Blank Recd: 3/9/59 & Son Liber 4596 cp 247 to Peter Blank Peter Blank Jr. Tenants in common Peter Blank Dated: 10/15/65 Peter Blank Jr. Recd: 10/19/65 to Liber 5842 cp 309 iner orp: Manor Grove Corp. ated: 12/20/96 to ec : 12 20/96 Limpet Corp. Liber 11807 cp 140 LAST OWNER OF RECORD FI LITY NATIONAL TITLE INSURANCE CO. Sworn to before me this BY: 6th day of Feb. 2001 MARIE PAGE �YYI�n � 1� 1 � � �,QC�-�' Notary Public MICHELLE L SCOTT Notary N 01SC�6053279 1RDrtt Qualified In Suffolk County Commission Expires January e.20_. 'JARIANCE NORTH: 1000-038.00-02 .00-008. 000 Peter Blank & Son Dated: 6/19/53 to Recd: 7/6/53 Town of Southold Liber 3541 cp 436 LAST OWNER OF RECORD VARIANCE SOUTH: 1000-038 .00-02 .00-010 . 000 Joseph Cherepowich Dated: 6/27/52 Sophie Cherepowich Recd: 7/2/52 to Liber 3374 cp 163 Peter Blank & Son Edwin H. King Dated: 10/24/52 to Recd: 11/7/52 Peter Blank & Son Liber 3433 cp 289 Peter Blank, Peter Blank Jr. Dated: 3/6/59 sole partners of Peter Blank Recd: 3/9/59 & Son Liber 4596 cp 247 to Peter Blank Peter Blank Jr. Tenants in common Peter Blank Dated: 10/15 Peter Blank Jr. Recd: 0 19/65 to Liber 5842 cp 509 Manor Grove Coors 0W OF RECORD F DELITY NATIONAL TITLE INSURANCE CO. Sworn to before me this BY:_ 6th day of Feb. 2001 MARIE PAGE Nota y Public MICHELLE L SCOTT Notary o.018 Y 06053279 Qualified In Suffolk County Commission Expires January 8,20.E VARIANCE WEST: 1000-038 .00-01.00-001.003 Peter Cherepowich Dated: 9/28/51 to Recd: 10/26/51 Joseph Cherepowich Liber 3282 cp 311 Sophie Cherepowich, his wife tenants by the entirety Joseph Cherepowich Dated: 1/23/86 Sophie Cherepowich Recd: 2/3/86 to Liber 9971 cp 30 Joseph A. Cherepowich Helen Polak Marion Santacroce LAST OWNERS OF RECORD VARIANCE EAST: GILLETTE DRIVE FI ELITY NATIONAL TITLE INSURANCE CO. Sworn to before me this BY: 6th day of Feb. 2001 MARIE PAGE Notary Public MICHELLE L SCOTT Notary Public,State of Now York No.0ISC6053279 Ouallfled In Suffolk County Commission Expires January 8,20_ o��gUfFO�,f-�O C* H Town Hall,53095 Main Road u• Fax(631)765-1823 P.O.Box 1179 Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD NOTICE OF DISAPPROVAL DATE July 30, 2001 TO Don Dornauer PO Box 238 East Marion,NY 11939 Please take notice that your application dated April 23, 2001 for a permit to construct a new single family dwelling on property located at Gillette Drive, East Marion, County Tax Map No. 1000— Section 38 Block 2 Lot 9 returned herewith and disapproved on the following grounds: • The proposed new dwelling is not permitted pursuant to Article II Section 100-25 which states: • A Non-conforming lot shall merge with an ad'acent conforming or non-conforming lot which has been held in common ownership with the first lot at any time after July 1 1983 • The proposed single family dwelling is located on a lot that has been merged according to a recent title search. The application may be remitted to the Zoning Board of Appeals for a waiver of merger as per Article II Section 100-26 Sincer /Bru a on Building Inspector CC:file BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: ir /fz /01 DATE SUBMITTED: 'I /?S-/01 APPLICANT NAME: SCTM# --- DISTRICT: 1,000 SECTION: 3S- BLOCK: 6.2 LOT: 69 ii// /n� rive CITY: 4`7 -/� SUBDIV.NAME: 946 STREET: (/^r 1 Ile /fes /J PROJECT DESCRIPTION: ADD ALT Acc OR / - 3 b�� ARCHITECT/ ENGINEER: / ara<it FAST TRACK Er R O 4 �,) ( x� s SINGLE & SEPARATE CERTIFICATION-REQUIRE : YE R NO NOTES: / �gcorg3c� LOTS 40,000SF-100-24.Lot recognition.(CREATED before June Z 1983),UND RSIZE OTS FROM JAN.1997 100q-2 .Merger.(A nonconfo mg at any t�me�aft/e�r 7/llS3) ZONING: PERMIT ESTIMATE AMOUNT:_$ /�4 K .00 PERMIT USE:!EXISTINGrV a<a.�r INTENDED: }+ ^' ZONING DISTRICT04>80, AC,. CONFORMING: YES oK�s� REQUIRED LOT SIZE: q, SQFT. /�f of ACTUAL LOT SIZE: /ootid SQFT. WHERE ACTUAL LOT SIZE FROM?TAX CARDREQ s�,,�'y k REQUIRED REQUIRED REQUIRED IST FOUND:FRONT S'PROPOSED: 3 s' SIDE YD: /O '/ _' PROPOSED: /O '/ REAR:AS 'PROPOSED: S' 2ND FOUND:FRONT:_' ACTUAL: ' SIDE YD: '/ ACTUAL: / REAR: ACTUAL: LOT COVERAGE: OWED:4p% EXISTING: sf % NEW:�sf,% TOTAL:,, CORNER? YES o WAT ER FRONT? YES OR O DESCRIPTION: FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18180 PANEL /26 FLOOD ZONE: x AGENCY PERMITS REQUIRED FOR REVIEW INCLRED IN APPLICATION TOWN SPETIC PERMIT- �Y S or NO — met — SUFFOLK COUNTY HEALTH DEPT: Com' r NO, (BED #):�_DTE: 4 //7 /�� PERMIT#:R10- ei -aas$ APPROVALS RE UIRED: NEW YORK STATE DEC: PRE-DEC 9/l/71i YES o SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL YE rN /`��� 4 t �? 4 1 TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL HISTORICAL PRE (SPLIIAA): YES o NYS ENERGY: ES RNO ✓ EGRESS: VENT: LIGHT: Ute✓ BUILDING PERMITS OPV2j/EXPIRED: BP - HAVE PRE CO'S : Y O BP -Z / C/0 Z- NOTES: / s_ 7 QO! ;e, Data { �mcr a r•er44, / 9 j Oi S o.r r � C� t uta FEE STRUCTURE: FOUNDAT 1 9? SF SF FIRST FLOOR INIT OTHER TOTAL SECOND FLR SF TOTAL: 3 f82 SF FEE FEE FEE roT( 3t&� SF)- ASF)=2 32 SFX$ .Zd =$ Sx*o+$ 'S +s — _ $ e ENEILGY CODE CALCULATIONS;` (For Non-Electric Heat) Design Criteria O. UUU Degree'I .A. 0 A. r•/. to° . 7n°r• i)0rh l{VeD PER: Pe,hhy � `' hi 6-t.• z� 7 � FO It: sp � �h• /�/ DATED: 3 c / o/ DESIGN '1'f1ERMEL REMARKS SUBSYSTEM AREA "U" RATING t:xterlor Walls (Opaque) / 34(- 067 + 113 — h e.Teti claziny 1 2- 2- 3 , 3Y or e pJ91 Doors y0 , y0 Coiliny/Itoof (OZjaque) Skylights _ $ Floor ,� 3 o 0 P'oundation Walls Slab Insulatioli TOTAL + �3 Notes : I)uildlny Envelope Systems to meet- requirements of 7815. 2 IIVAC Equipement to meet- requirements of 7015. 11 IIVAC Systems to meet requirements of 7015 . r2 Uuct Systems to meet- requiremeiits of 7015 . 13 Ventilations Systems to meet requirements of 7015 . 14 lnsu:lat•ion of piping Systems to meet requirements of 7015 . 15 Service Water Heating Systems & Equipment to meet requirements of 7015 . 21 Electrical & Lighting Systems & Equipment- to meet requirements of 701.5 . 31 of NEw To the best of my knowledge, ��.¢✓;,cE TG�9 belief-, & professional judgement, these pla»s arc in compliance with the code. w 032254-1 A'�afEss1aNP��, ENERGY COLIC CALCULATIONS ZJS2 Z. (For Non-.Electric Heat) D 'rile 6 , 000 Degree'-Days o.n. 10°r• t.R. 7U'C e. FOlt: ,lil�,6�+ Orh �UC� _ PLR: �'O�y • DATED: DESIGN '1 HEI MEL REMARKS SUBSYSTEM AREA. "U" WNTI'NG t,xterlor. Wall© (Opaque) 134131 r ,�- /:1 _ -- Glaziny � � 223 Doors 4/0 . Ifo r C:eiliny/ltuor• (Opaque) `>�j8 �J t'J) Skyliyltts _ c e hloor / S� �� 0 3 0 foundation Walls Slab Insulation TOTAL 41 Ploles: . 1)uild1ny Lnvelope Systems to meet requirements of 7015. 2 11VAC Equipement to meet requirements or, 7015. 11 11VAC SysL•ems to meet requirements of 70.15 . r2 Duct Systems to meet- requiremeiiL-s of 7015 . 13 VenL•iiations Systems to meet requirements of 7015 .19 Insulation of pipiny .SysL•ems to meet- requirements of N15- 15 Service Water Heating Systems & Equipment to meet requirement's of '1U15. 21 1;1ectrlcal & Lighting Systems & Equipment to meet requirements of 701.5 . 31 To the best of my knowledge, belief, & professional judgement, theseplans are j-11 compliance with the code. . r 9 � Z mi z 2 � OZ / a 7,z X.Oo 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY G� ARKS: V /or ov DATEIl 4 INSPE ; 2S- 7GS-1802 BUILDING DEPT. INSPECTION [ ] FO NDATION 1 ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FO NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE ?,T- ,O INSPECTOR v "7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND J(�C] INSULATION ( ] FRAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: 1 �y✓s- C,1 VV u// <<cP L s DATE ©�/ �.INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATEd'0�INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY RE ARK a,7` y2© .V DATE INSPECTOR //� C 1/7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1>IISULATION [ ] FRAMING [ FINAL [ ] FIRE E A HIMN REMARK �el — �- DAT � �ySPECT ' 11 1 1 1 1 r, i I 1 ��1.rog� ivwty yr ��uirivLL bUILUINUPhKMII APPLICAfIUN CHECK-LIS 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 Survey REKNIT NO. _:_ S ¢� Check Septic Form N.Y.S.D.E.C. Examined 6 /? Trustees , 20_QL Contact:. Approved ,Z . 200 / Mail � Mail to: .I.aYl `bC-jl Q u,,,.Q�., Disapproved a/c Phone:-�,(�9(w;— 7 S't—S06� Zl:;2 Building Inspector APPLICATION FOR BUILDING PERMIT Date (.1 L sl3 201v/ 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 comply with all applicable laws, ordinances,building code, housi code, and regulatio nd to admit authorized inspectors on premises and in building for negpr gary inspections. (Signature of ap li t or name, if a corporation) ya 60 x 2�t 'PeCaz,� (Mailing address of applicant) 7+4s g State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder C�c,lne ` Name of of owner of premises - (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.. 5,) '1 5 } Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: (, 11 --se Jc f �Q,t oy, House Number Street Hamlet County Tax Map No. 1000 Section Block Q Q Lot O Subdivision (Y�ac;or� Mia nnr- Filed Map No. o3; Lot (Name) Z. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Repair Removal - X Alteration Demolition Other Work 1. Estimated Cost_ t 00� pip Fee (Description) If dwelling, number of dwellingunits (to be paid on filing this application) l Number of dwelling units on each floor If garage, number of cars i If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories_ A Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front_ b�.,' L/ Rear (o -I ' cy Depth Height 1 -7 ` Number of Stories Size of lot: Front_ 100, Rear____L22'pp' Depth /UO " ,+ 0. Date ofPurchase__'�,, /it) joi Name of Former Owner L'Mp 4- I. 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: v 3. Will lot be re-graded ()SWill excess fill be removed from premises: YES NO Donald 'r- ��nF u, -=r+. cr'y L- �ornew 4. Names of Owner of premises - Address Phone No. Name of Architect '�� S, ( �, Address��, Q�(z� � phone Nom�- o Name of Contractor y Address L,) 6&,e z3q t , Phone No. �cJv.f� Ci l.�yyli.r n da jig.. 5. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 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 being duly swom, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, �)He is the_ Cn,__�C'r ( {1,) (0) pmc-la. (Contractor, Agent, Corporate Officer, etc.) I 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. wom to before me this day of Apr� t 200 L=Notary Public Signa of Applicant SUSAN K TOOKER NOTARY PUBLIC,State of New York No.01TO507812o Qualified in Suffolk county Commission Expires May y` 2 p03 unauthorizedatlesadon a ad~ G fothissurveyisaViolnbnof �p�� ��• LE seetion,7M of Ow Nsw Vo*SSW /�///1�� Z. Education LOW. /►''rr �O O O CopinO/tNtaunuytltaprtatbMhtO NV, 9 0'U IM land gswws Had sesdor emboaMdpaf"r4b*wr lalnaa • * z v to be a wild NO OW. Guerarlwsa Ytdkalld WW ds*Mn onlybdMVNsu^�WlpllthiMassy is prepared. compaan�d_an�.hM..barM1NNh title y Wim•-•-- twAwginstitutfonlataditansn Ole' w OP+ to ft asslpness of M 10rt0 MIMt len. N _/ Guarantees we not awlra4M j to odi8onal inslitutons a aub"WW owners. :7: Tow.v 0,4= �arr.Yota b a M /oe .�D, IA N � -r a ioo.cb o • \ r , p �71, W Qrdc 0 r, t % - t`.1., \p V A W � v L oT ✓Ac.V,v7) 1 - V 'U e?C J 4...i .-, [2. SG�Incx 5 elas NO r ODed, V v C'. "i] i": ..a .... i+°✓� ., .t'i Gty�':"ei:int �"tia n; Pi r4 .O7 / t 1p . 0/ - o6 9K " ROV AL .. �^� � �INTXb�vY lam•LEKi.4NGtOwt7.ri• �1�vEYF�e•DO,crAGO��/.+s1�,�if/�lJ�.e. LifZt/O:�N?Y17.e ' tor• 2S /19�of rYl.9,Qioy�'1.9.vo T rt9.�.v�'2a,38 �ya�„p�,t/.1/ Lam rioci. EST BAR/o Tow,v o.�✓aaryo�Q .c%y _ ��q7� �u.�.P. .�,r�r�FlLT J•_9�4'B�,efl�irby�-���.�4_!�' _/BL.au�c. �7r«'/�7L�.a.���o, OWA&�O�.gev.�.eYq ?del J!'so6E•141 yp/ ,yx&/oa6-38--OZ-0 noul SO LA#Vb unauthorized alteration or addition to Nit survey is a Molabil of CL `a �, Section 7208 a the Now York titter �+ � p. /1�N �► ry LEW,, '9/'O �►� Education tier COON of$61«AVIVIRW O t w-Aln0 _ d the lend eurseyore YdtN heal ar .mboee.d eMl etM1 rat w atMiirad � m r< � to be a%dd MM eat. •. Gwantle�eMpYNMfNO1*/MoMO del PA � . tnly pr Mipwd.Md en fiNM ode Cot"IV to the as gn of ramie lar itMlUaw N oR J Guaranties are not trembrebr to addidonal insCmians or subeequMS owners. �v � L= Tow,1 o,-= 1W01 ' 0 N � 3 o I �• o90 A W T�'0Tf1vGG" A/C t�av�vc0 y/�7/a/ N Za./ G 11JL b2YYN�eff'l�Y.S�4T • �w i LoT, 2,S /Aylg.�o,�iYIA.Pic u/�ll�.vo�e. /ll,A.�'�°�38 SRO• �C /� LoGs�ric�,u. E.r, T/YJA.eic.Aci TO/�✓,t'/o�.�a!/T�/©gyp 'o y, ,OW7W.,�iaJP/G/7 Zoe/ gilt/oars-38-a z-o Y i [ f, MPIN ROPD qz� rn N R=25' A=39.27' "RESERVED" TOWN OF SOUTHOLD o Ln N 64'51 '10"E 100.00' Z N Ln N) C71 29.8' cn p 35.1' p 00 00 2591 CESSPOOL Ui O c nl ONE STORY Ld WOOD FRAME o RESIDENCE 0 SEPTIC I i � �"j• l9 TANK Q o OOF OVER Ll w WOOD PORCH Q WITH RAILING N 5.0' STEP O 0 WIND O OW W � L ti WATERLINE SERVICE LLJ (GARAGE) o DRIVEWAYWJ U.C. J p 35.1' p O � 0 STAKE STAKE FOUND S 64'51 10 W 100.00 LOT 24 (VACANT) f--- Yr 1=t tiY 1 t' a,1TH i"RVILLS girt: k, GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR NHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE 7771E COMPANY, GOVERNMENTAL AGENCY, LENDING INSTITUTION, IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. - t GUARANTEES ARE NOT 7RANSfERABLE TO I .f ,♦ ,,_, i .f ✓ `'i" 1 ADDITIONAL INS777UTI0NS OR SUBSEOUENT OIWERS _ r.L t li,"t UNAU7HORIZED ALTERATION OR ADDITION TO 7HIS t•_ �,_ .j SURVEY IS A NOLATION OF SECTION 7708 OF THE NEW YORK STATE EDUCATION LAW. ..._.- COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. FM# 2038 SURVEY OF SURVEYED: 12 APRIL 2002 DATE FILED MAR 18 1952 LOT 25 IN SCALE 1"=20' TM# 1000-038-02-009 MAP OF MARION MANOR AREA = 10,000 S.F. SITUATE OR EAST MARION, TOWN OF SOUTHOLD 0.230 ACRES SUFFOLK COUNTY, N.Y. SURVEYED BY SURVEYED FOR: DONALD DORNAUER STANLEY J. ISAKSEN, JR. KIM DORNAUER P.O. BOX 294 NEW SUFFOLK. N.Y. 119 631 734-5835 GUARANTEED TO: DONALD DORNAUER KIM DORNAUER FIDELITY NATIONAL TITLE INS. CO. --- --- -- BARBARA KUNEN LICENS LAND SU EYOR NYS Lic. No. 49273 02C1125 - - r� f^` } 1 11 ; 1� I I r lilTl„ 7SIIIL .:iL I." l 1 I L I . . Ia } LTA 1rl ` rL �. r T I �1.11 Ila � l I � ,:Nil ; L11I_LC I r I T _ � I L _ _� 117 1 � , � ,, T..1 F J I�] LT ZI 7 _ d "- JjI - I L I LTl � , I �L jr - _ I - IIIF t �=T- Ii I - _ I T "I!• — I IT F L i , i Ihl 1111�1'I iI, _ : , •i — _- �I I , f- � ��I� � l ill lll� ��� �� �I77} � - - _ _ �. 0.4 Vinyl 6l'I e IIS u I �I > -- I _� i ---: „ .-. .._� .--_. •.,_-,... .�.--...-.... -- ,_- �._. ^- --...�..` .,....,,,.�-��. -,.r. ,' , If copper tubing is used - - for water distributing _ OCCUPANCY VR. ' . system: piping shall beof , USE IS UNLAWFUL typesKerL.only ri PLUP48ERCERTIF II - - - - - WITHOUT CERTIFICATE . _ _ � carr OF OCCUPANCY - - - Q cE - L ._, - AD ONTENTBEF E. N F - 'II€RTIfICATE OFOCCUPA CV __ _. SOLDER USED 1N WAT --- ... - -- - - -._.._- - -- SUPPLY SYSTEMC,4NN T DO NOT PROCEED WITH PROVIDE,ANTI-SCALD AND/OR EXCEED 2/10 OF"1/o LE pRONT ELEVATLON FRAMING UNTIL SURVEY THERMAL SHOCK PREVENTING soALe Iia^ • '•o" OF FOUNDATION'LOCATION DEVICES AS TO PART. 902.6(K) APP OVED AS NOTED N.Y. STATE BUILDING CODE. �/R HAS BEEN APPROVED. - - DATE: 7T 61 B.P.M UNDERWRITERS CERtIFICAtE FEE: 411'6", I. ¢d gy; <�aF NEp yo REQUIRED ; NOTIFY BUILDING DEPARTMENT AT PROVIDE OPENINGS FOR 768-1802 9 AM TO a PM FOR THE EMERGENCY ESCAPE AS ` + rh FOLLOWING INSPECTIONS: NR: FIR REQUIRED BY PART. 714 OF e PROVIDE 1 FOUNDATION - TWO REQUIRED m J RATED SEPARATION T , FOR POURED CONCRETE N.Y._STATE BUILDING CODE. s �; I 2 ROUGH - FRAMING & PLUMBING FFG °ass6�'t �� PART. 717.3(f)(1) O a INSULATION '9OFESs10% N.Y. STATE BUILDING GO E 4. FINAL - CONSTRUCTION.MUST Q k BE COMPLETE FOR C.O. PROVIDE SMOKE-DETECTING IPP ALL CONSTRUCTION SHALL MEET -ALARM DEVICES , JJ//� T- E RE�)UIREMENTS OF THE N.Y. AS TO PART. T21.1 aiC C.-ISTRUCTION & ENERGY C."i'FS 'u'T RESPONSIBLE FOR N,Y.S BUILDING CODE: PLUMBING " - ! L�S,GN UR CONSTRUCTION ERRORS - ALL PLUMBING WASTE &WATER LINES NEED e } TESTING BEFORE COVERING q I tJ; > ' � � , Lo µrTN A-/C NYS�S( /h�O T'aY'.JLG'ods5 /� RGIS✓//4F1 4 s wJ ne.r m IF ' � l L Cv I � Lb 17 - . I I , I _ _ - _ 1 - , f to l I , � I i I 'l LEFT ELEVATION RIGHT -ELEVATION -- --_ -_ SCALE. /-0 _.. 1 SCALE: 11+' • I'•C' - - of NEW yo AMX ' 4 r 1'.ljF.l . W 225 ? . SFO 03]]511 p9pFES510NAv • ui a 3 yt . Oti 3 a .p i I A - L.IA 7 T.1 1 _ ,C _ r[ -1 1 l 1 J. , Lbt Ff- I I ic _ I - - ___ Bd�amant Ceiling - - F- _ __ ___ _Fooling Haight-� 1. �. --�........._✓.^...........-...�. ...-�-.�...A. . ..--..' ..^'�.,""""" �..._........r..+-..-.r.�^, ._ ,`./\Mr..�...�+. .,rv,...--.r+.rm+^"*,w.. ....-ti ..,�.�„1,...,,.. .s-. , r I I i i REAR ELEVATION 6CALE: 1/4' . f-0" J /, Uf 19Ely 03 254 1 gOFESSl a � I + i I , n, -� - - - - — - -- -- - --_ ,r rr--- - - - - — r__ , --- - -- ---- '-- - -- r -- — --- "- - - - - - - -- - I 3 s-- 1 44- r $ l 14 S'-S" 9.IO" i 14gi TTnn �I Y P CAL GARAGE FLOG . � a" coNGREfP SLAB any � __ Lany cowmn ' - I 6v(,,W/ipMREINFORCE"fENT Trlpls 1 W4"x8 If"' LVL e ml POLY VAPOR eARF'IER4" D1e�eter + COMPACTED GRANULAR FILL �-'----� Tb x Tb x19 O - li Poured Concrete Fo thoQ _ m tl (WW-404JAIED) ' p TYPICAL BASEMENT FLOOR, 1 1 -I 4" CONCRETE BLAB ciw f.o - 6 m'l POLT VAPOR BARRIER COMPACTEDGRANULAR FILL 1 h i 16 BASEMENT LAYOUT 1 '; SCALE. 114" . I,O-i' __•- __. - A. FFlyYO 2 � 03]154-0 �V pgOPE55100 W Q a „ . a : a r y ,II 14-4' Yl 4" 1- - - .a T..,-- - ..v_..,. � i.- - --+! - j IAF � Y 2'41z"+I�nc� ' II � I 'I 2•z"n'�� �. �i i I - I I YI I _ .�'a3" � �' i II S•, i. V I iVI I I I I r Aj , I - earab colonial a i{ III ! i a =i I MASTER SEDRO - M °i y z I . p I � �, u rrw sre v c tas.-.,r �.«.Yw•�s.r - ;.' I. , I j �I I I I � ' 4 qW m U 3 r 1 2'-4" lu L} 2'-s:' u- 2-6 _ 2-b 9 r _i _:I _ t5' I > 9' -W� S -LV a'�R I1 � PROVIDEN FIRE — CnRATED SEPA ATION TO �'{PARL-X#9 I f 1 OFN.Y. STATE BUIL ING CODEQ 0 . N I Q t � - OOM MI s BEDROOM a I h _ Z BEDR� I + I GW:-05 m �N . I Cw7+a5 I aro ao n' Down, - .�4 J}lT I -b'V, ..-.--�-. I _ r - 9 29.9 ..- _. " - ..� - - l'-0� - 9{ 2 1-0 IST FLOOR PLAN 1 5CAi E, lu" 1'-0:. - � Of NEW r v � , s, W ]]55 2 034-1 -' p9pFE5S101A o i _ ' - i r � 111 •�� If J f, Asphalt Shingles .__. 150 Felt 1/2 Plywood Sheathing I 2x8 Rater$ a Ir ' O,C. _. ._. ._ . is gbHe 'rrld Vella I � �l�i� - 1�5� 1'L? .T �f �� ) �} CS ) 1{j��,/, ►� I� ucn�t*4 - �. ._ auk, U:0Utrtl ,t1t>. VENT D-4 1/tn I Std(n tl 1/;,, DrywaEl r 1A Air Retarder g �-�i' 2*Celllna joists ' 7 1/2" Plywood Sheathing 'j� rl 2x4 Studs 4D 16" O.G, R15 Batt Insulation I' I i I I 1/2 Dr wall s 11 y �� � t I dl �� - Ic ��' U� ! : f,l I _ I ! _ 2x10 Box !!I( ! I !t_ I��,--_� a:.��,li F5� - 2,2'dTre�ated Lumber - �� ! �� 5;�_'�S' „ , �� �'� rti,i;)�1 .1 �r l+r�'t, 1 ' � �� I ' '-��. 1 r �j';i r I`)� ! (-1 �,�r ' � -'� �, ;� , 10 Aluminum T s 11 _ v Sill Sealer �� 2x10 Floor Joist a 16" O.G, GRAD R-19 Batt insulation ''3/4 TtG Underlaymemt Flooring '!I Damp Proof to Code (" r S" F�'oured Concrete .. all Anchor Bolts - (dD,G, 4" Concrete Slab ®rr tfC ; u nnew 1 -4 � ' ' , tn . ' -� x z r�oq�� ll-sin � 1 z Zw 022254-1 C�'.Or.�' .�+. SECTION pA�FE5910NPy lacale 1/2" If-011 O a • i IG i 3 W F O N O, m E 9 5'' L A O 11 V 2 O O n I ¢ Q1 Q i_ 1 �- � 3 L _i 1-_ � !-_ � �_ � Z W f` '�P'CAL GARA!xE -LCOR Z r LollCol.,mr V9L'dq ri A' GCgGRETE ALAS Tnoh 13V"r9 " L ' (ov(y' !G IOWL�b RE'NfCRCE"ENT '--' 13 -y T'6 I � - =' Clamate" U � .9 e mi'. PULS .'A�U4 M.11141ER 11 -- J i6r96 r136 I O OGMPAO'ED uRAN�.-AP. SILL i PoureG Ccr--rata Poourrz �9 I6L�l I r�fY O syI 4 CONCRETEb AS cLOGR: POLY vAPrR eARRER ' OOMF'AGTEJ GRANULAR �I I � �,.�,lo_' e" -jt,All 12- 'II BASEMENT LAYOUT_ w �OF NEW y0 'SPS dGE TL,,9'y O �i r � V 0322544 op9pFES—�a�P�, J a _Z o ?�,,I, �I BLDf 0-PT. 3 TOWN OF SC^li i i z I -`Lit - 4 �J 41 11 z • ohs m m I- I I 1 ' I _ r i I i � o a n LU sN x 4. I II II I I 11- ll ' ' I { W. cc0 IN 3 f m PIGor +Y Bdaeement C6111ng �� I � - �� I IE N. I I Ba'.'sn! Floor - -- - an� REAR ELEVATION /�- DD CO 3 r KYcic.cir v 5CALE: '14" : ;=c ' '.' I j: p6'f9E{yrA O i - O 05225 -1 0� Ili 1 �� 1420 9'�FESSIDNP� I �LJ t� Tns4N'tF S°�tITHOLD oi a i z yy .wear•' ,-- 3 0 r !, � I I � -i ' ra�las�C'=� ��'� � .. ... . ' �',, r I , I I' rl'2'�IZ'N'�}N.,1�'.P, ' � 1 . � I -m L•�rj�l"�.iE 'k! i '. I I r � I V I5'-:_ a^ f - b •L.yz '� it �.k MAS Ol T RD_ER 6ED n i z I , 1 . I i I M - Q - Q CL 4" ��'2 aA pOaT�� W.40 m l u PIII l , BEDROOM 02 m I', SEC?iROOM NI"1- 1 �Iso/130'I'4'1 DOWN 7�p- 1- :-� HEALtl �! ' w44B I I cw as � I iii - ...,.: IO..OI, � B.-O• 1,79" -0 ' IMMM IST FLOOR PLAN i 31-ALE 1/4" -t D" HECJ YD C, w W ' ' ZJF 0322541 0V , ' � OpROFES510N¢y ��� _