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HomeMy WebLinkAbout27720-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28982 Date: 10/10/02 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 7055 INDIAN NECK LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 6 Lot 26.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 20, 2001 pursuant to which Building Permit No. 27720-Z dated SEPTEMBER 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 ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT O DAY & ORS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 09/27/02 PLUMBERS CERTIFICATION DATED 10/08/02 CUTCHOGUE EAST PLUMBING s. e""IL 9 �x-�- u ori d 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. 27720 Z Date SEPTEMBER 24 , 2001 Permission is hereby granted to: ROBERT 0 & ORS DAY BROOKLYN,NY 11201 for . NEW CONSTRUCTION OF AN ADDITION AND ALTERATION TO A FOUR BEDROOM SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 7055 INDIAN NECK LA PECONIC County Tax Map No. 473889 Section 086 Block 0006 Lot No. 026 . 001 pursuant to application dated AUGUST 20, 2001 and approved by the Building Inspector. •Fee $ 1, 527 . 00 Authorized Signature COPY Rev. 2/19/98 I ti Form No.6 TOWN OF SOUTHOLD AFP 2 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 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 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- $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00 Date. ,ZX �— New Construction: Old or Pre-existing Building:: z (check one). Location of Property:(-2) /k C-/c1 h Ale e C--Jf' L,a A T e---e10 h,' c House No.' e /� /CStreeet Hamlet Owner or Owners of Property: C X? , A A G/f A� Suffolk County Tax Map N 1000,Section 44 e6 Block D o Lot . © 2 G, VO/ Subdivision Filed Map. Lot: Permit No. 2-0 Date of PermiY7L ),7`" 20a/Applicant: / 6 C / Q/H S C e • / Health Dept. Approval: i/ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Y10 �/ Applicant ignature o��SUFF01,4, 0 y Town Hall;53095 Main Road u• Fax(631) 765-1823 P.O. Box 1179 �*4 � �� Telephone(631)765-18C Southold,New York 11971-0959 0� � BUILDING DEPARTMENT TOWN OF SOUTHOLD i CERTIFICATION Date: U Building Permit No. v _ Owner: `ISA- Y lease print) p, Plumber: _� G t5 + Dmf Co-tc l���.e eroT T ^ t (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. I//'ry-or (Plumbers Signature) Sworn to before me this q day of QC+06tr , 20 JIM, ZE.SA"IRL WIT PubBc,State of New v No.4948503 OnNed in Suito1C Cou* Notary Public, SJ-4y L( County � 1'l ct a� D rJ��nrJ@Pr�r1rJr�cPr�rJ��P�ncnrJ�rJ�rJ�r�rJ�rJ�rJ�cnrJ�rJ�rJ�rJ��.ncPrJ�rJ��Pr.nrJ�rJ�rJ�rJ�.nrJ�r�cPrJ�rJ�rn�PcPrJ�i:nc�r�cPrJ'�nrJ�r.PrJ�rJ�r�rJ�i�i:n�nrJ��n o 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 55 5 Upon the application of upon premises owned by 5 5 DOROSKI ELEC. INC ROBERT DAY 5 P.O. BOX 781 7055 INDIAN NECK LANE 5 CUTCHOGUE, N.Y. 11935, PECONIC, NY 11958 [C� 5 Located at 7055 INDIAN NECK LANE PECONIC, NY 11958 7� Application Number: 1055728 Certificate Number: 1055728 SSection: Block: Lot: Building Permit: BDC: NS11 S 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 5 electrical devices and wiring,described below, located in/on the premises at: 5 SBasement,First Floor,Second Floor,Outside, 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 found to be in compliance therewith on the 27th Day of September,2002. 5 Name (OTY Rate Rating Circuit Type 5 ,5 Alarm and Emergency Equipment 55 Sensor 2 0 Carbon Monoxide 5 Sensor 7 0 Smoke 5 5 Appliances and Accessories 5 5 Exhaust Fan 2 0 F.H.P. 5 Dish Washer 1 0 1.2 KW 5 Pump/Motor 1 0 1 H.P. 5 C] Furnace 1 0 Oil 5 L5J Wiring and Devices 5 5 Receptacle 58 0 General Purpose 5 5 Switch 45 0 General Purpose 5 5 Fixture 41 0 Incandescent 5 5 Fixture 5 0 Fluorescent CD 5 Dimmers 8 0 5 5 rj Multi Outlet System 3 0 ft 5 Receptacle 1 0 20 amp Laundry 5 5 Receptacle 7 0 GFCI seal 5 5 5 I of I 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 RINE-111111111111�rrrnr�rJ�r��nrPr�r�r�rJ�crrJ�rJrJrJ�urJ�LPL 11j3 0r IMfflffljM0MM 11jr j Jar_PLPrrJLL PrJ'rJ�r..rrrr�rJ"rrr�rJ�rJ�rJrJ�rJ�rJ�nCXLr rr:nrrr3@Pr PLffl C o Albert J. Krupski, President g�FFO(,Y Town Hall James King,Vice-President ��� CD 53095 Route 25 Henry Smith �� Gym P.O. Box 1179 .t Southold, New York 11971-0959 Artie Foster y Ken Poliwoda Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 2, 2001 Ms. Patricia C. Moore, Esq. 51020 Main Road Southold,NY 11971 RE: Bob Day 7055 Indian Neck Drive, Peconic, NY SCTM#86-06-26.1 Dear Ms. Moore: The following action was taken by the Board of Town Trustees during a Regular Meeting, held on July 25, 2001, regarding the above matter. WHEREAS,Patricia C. Moore. on behalf of BOB DAY applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated June 14, 2001 WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 25, 2001 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold Town Code. WHEREAS, the Board has determined that the project as proposed will not affect the health, Safety and general welfare of the people of the town, 2 NOW THEREFORE BE IT. RESOLVED, that the Board of Trustees approved the application of BOB DAY for a Wetland Permit for renovation to existing house 8'x8' addition and 36'x24' addition to contain roof- run-off with drywells on the new additions. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Permit to construct project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified when project is started and on completion of said project. FEES: NONE Very truly yours, 0/,_� Albert J. Krupski, Jr. President, Board of Trustees AJK/cj c cc: DEC Building Dept. j Board Of Southold Town Trustees h SOUTHOLD, NEW YORK PERMIT NO. . ._... DATE: ..Ju1y_25.,....2.001 !: ISSUED TO ................B.QB...BAY................................._._ .............................................. ... a: Aut4orantiDn Pursuant to the provisions of Chapter 615 of the Laws of }: the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS ,. '. IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the . Resolution of The Board adopted at a meeting held on .........July2 .. ............... s ' 200.... and in consideration of the sum of $.....2QQ..Qn...... paid by ` Patricia Moore, Es... . on behalf of Bob Day_..__. _........ . ... Peconic N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, i3 of Southold Town Trustees authorizes and permits the following: Wetland Permit for renovation to existing house 8'x8' addition and 361x24' addition to contain roof run-off with drywells on new addition. all in accordance with the detailed specifications as presented in ** the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these Presents to r be subscribed by a majority of the said Board as of this date. y �FFO Tmstees r r>, TERMS and CONDITIONS The Permittee Bob DaW !!� TWO V*#+ residing at 7055 Indian Neck Drive, pPrQ pi, N. Y, as part of the consideration for the issuance of the Perniii does understand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or As for damages, of suits atising directly or indirectly as a result of any oper- ation performed pursuant to this petwit, and the said Pamitta will, at his or her own expense, defend any and all such suits-initisted by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Permit Is valid for a period of 24 mos. which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a Muer date. I That this Permit should be retained indefinitely, or as long as the said Permittee wishes 0o maintain the structure or project involved, to provide evidence to anyone concerned that aoth- orization was originally obtained 4. That the work involved will be subject to the inspection and approval of the Board at its agents, and non-compliance with,the provisions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the wort herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if:future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, is the opinion of the Board of Trustees, the. work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work or project betein stated without expenses to the Town of Southold & That the said Board will be notified by the Permittee of the completion of the work arah- orhtd. 9. That the Permittee will obtain all other permits and consents that may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain same. New York State Department of Environmental Conservation Division of Environmental Permits Rm 121, Building 40-SUNY Stony Brook, New York 11790-2356 AM Telephone (631) 444-0365 Facsimile (631) 444-0360 Erin M.Crotty Carnri nbier LETTER OF NON-JURISDICTION Bob Day 88 Wyckoff Street Brooklyn, NY 11201 May 17, 2001 Re: 1-4738-02874/0000 1 Day Property Indian Neck Road Southold, NY SCTM # 1000-86-6-26.1 Dear Mr. Day: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The property landward of the 14 foot elevation contour line at the western property line and continuing in a northeasterly direction along the 14 foot elevation contour line and below the existing brick patio, where the jurisdictional boundary then becomes the 16 foot elevation contour line continuing to the northern property line, is beyond the jurisdiction of Article 25 (Tidal Wetlands). The elevation contour lines are shown on the survey prepared by Peconic Surveyors, P.C. last revised on 4/5/01. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) 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. e truly yours, Jd n A. Wieland CC: P. Moore Deputy Permit Administrator BMHP File STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) 1>40a� �{-�L11J�K-� , being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at 3�2 Wl ICC(i �T— l tail. M�► ova& That on the;ldoday of , 2001 deponent architectlengineer, 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- �'7 �.� L4+ 2.& f street address L 4. rchitect/Engineer Sworn to be re me this �6 day of , 2001. Notary Public PATMOA COAWIN Notary Pubic,Stab of New V-'- No.OIC05017852 Qualffied k1&"cc: Applicant CownMW EMM f3. _afol 2 tF 2 7710 a. BUILDING PERMIT EXAMINER CHECK LIST Afe"I" DATE REVIEWED: fig-�/01 .DATE SUBMITTED:g /aa/O1 APPLICANT NAME: SCTM# DISTRICT: 1,000 SECTION: S76 BLOCK:_ LOT: 026 STREET: '?,off_ N � -Drft.) LANE—:� CITY ucoN i c--- SUBDIV.NAME: ar s PROJECT DESCRIPTION: ARCHITECT/ENGINEER:® FAST TRACK? \)j-5 SINGLE&SEPARATE CERTIFICATION-REQUIRED? N 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) 900 ZONING DISTRICT: CONFORMING? 301,9ao, 2Yy�t REQ. LOT SIZE:Ro,aoo ACT. LOT SIZE: REQ. LOT COV. cpD'O ACT. LOT COV. REQ.FRONT 6a PROP. FRONT t //? REQ SIDE yS ACT. SIDE REQ.REAR 5r PROP. REAR �/-2 WATERFRONT? \ DESCRIPTION: PANEL #: /G_f FL OD ZONE: Oma - S CC) s, cx>o AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS RE UIRED: SUFFOLK COUNTY HEALTH DEPT: S r NO, (BED#): DTE:1' / /61 PERMIT MR10-0 -O 110 NEW YORK STATE DEC:. PRE-DEC9/1/75 01(o nOn SOUTHOLD TOWN TRUSTEES: r NO — TOWN ZONING BOARD APPROVAL: or O TOWN PLAN. BOARD APPROVAL: YES TOWN HISTORICAL PRE (SPLIA): YES I NYS ENERGY: YES OR NO -7_oe1+C /C EGRESS (18 H min.? 4 sq total) VENT(SQ. FT. x 4%) LIGHT(SQ. FT. x 8%) BUILDING PERMITS OP /EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y 00)__ BP -Z/C/o Z- , NOTES FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR a14 L}d SF SECOND FLR : / SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE s-/ d 'OT( 9"o SF)-( �S° SF)= �X$ / $3° =$ /3� +$ ® +$ _ r.5 02 -�- r'1 /s9 ° Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 09/24/01 Receipt#: 0 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Total Paid: $10.00 Name: Day, Bob Po Box 555 Peconic, NY 11958 Clerk ID: LIZS Intemal ID:40355 M-1802 BUILDING DEPT. INSPECTION [�] FOUNDATION IST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ j INSULATION [ j FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: n < 011 DATE l e INSPECTOR >>2d 765-1802 BUILDING DEPT. INSPECTION [ l FOUNDATION IST [ ] ROUGH PLBG. [ LA FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE i O INSPECTOR / ; ' M-lW2 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 9= DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ) INSULATION [ ) FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �Z� INSPECTO 2,0 f 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION i ST [ ] ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE l� T Y INSPECTOR �L7-2 Y04- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO PLBG. [ ] FOUNDATION 2ND [too INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 1 t DATE INSPECTOR 7CA-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ J FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY c. REMARKS: eA DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ r ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Y ze r A DATE a a7 �INSPECTOR FIELD *INSPECTION REPORT DATE COMMENTS r; FOUNDATION OST)' FOUNDATION (2ND) ' ° Z ROUGH FRAM h PLUMING INSOLATION PER N. Y. I STATS ENERGY F J iii 333 CODE FINAL Q •ADDITIONAL COMNBNTS: `r 2l)CA2 �r/ �p„r!/'�..., Snv R.l:i�•o��e� Lo.. ...r�c O/c i`� FO �! C y �1 jug 1 c TOWN OF SOUTHOLD BUILDING PERMIT APPLLC,AT1UN q� BUIIaDING DEPARTI.IIENT Do you have or need the following,bofoze appl TOWN HALL Board ofHeahh SOUTHOLD,NY 11971 3 aeta aBugding Plans ✓ TEL: 765-1802 SWOY PEP-WW NO, 7 ;�2o-;_;I- Check �► ?3E1 Septlo Form N.Y.SD.$Q EkX ad. 9J.24. 20 Trustees ✓ Approved 20_L Mail to• 13ob [)citw Disapproved a/c $i]55 �h `r.. ti r'k Phone: 6 31 73K 17A 3 ,7t (�' f r ' BmI ft Inspector APPLICATION FOR BUILDING PERMIT, Da'to INSTRUCTIONS a.This application MAST be coavlately filled in by typewriter or in ink and submitted to the Building Inspector wird sets ofplans,accurate plot plan,to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to ofni areas,and waterways a ) 48p=es or public streets e.The work covered by this application may not be contuunced before issuance ofBuilding permit. d.Upon approval of this application,the Building 140pector will issue a Building Pemit to the shall be kept on the promises available for inspection thro4ghout the work Such a pea e.No building shall be occupied or used in whole or in,part for nay purpose what so.ever until a Comte of Occup is issued by the Building Inspector. APPLICATION 1S IMMY MADE to the Bn1ft Deparhncnt for the. of a Building Permit pursuant to th Building Zone Oboe of the Town of Southold,Suffolk County,Now York,and other applicable Laws,Ordinances on,. Regulations,for the construction of bwldmv,additions,or alterations or for removal or demolition as box-cm described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and nglations,and to admit inspectors on promises and in building for necessary fospeetlow. orname,if a corporation) ` oss Ty.dLw. luCclC Cw.cr t�E �-�:� Wagingaddross ofapphcaat) State whether applicant is owner,lessee, agent, architect,engineer,general contractor, electrician,plumber or bud& 'C)W in e<- Name of owner of premises bob 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. I,pcation of land on which proposed work will be done. rve.c.tc. L PeL 1 qSR, House Number Street Hamlet County Tax Map No. l000 section x"38$19 6 BlockLot 2641 Subdivision Filed Map No Lot (Nemo) `--- Sffibe exdstmg.nse end oecupancgofpremises and intended use and OOMTaftcy bf pomposed co on: a. ,Existing use and occupancy .S U►M,vn Z,4�_ koo s c.. w`i 3 beAc-vo i*i S b. .htendeduse andocxnpancy 1C!r, ran o Wce(IL `t b oy+s r - S+licit,o Addition ✓ Alteration' a�� Nature of w (check which applicable):New�—��t�_Other Work . Repair�_Remioval Demolition__ P (Description) Estimated Cos 010.00 Fee (to be paid on filing this application) If dwelling,number of dwelling rants y Number of dwelling units on each floor I e1roo«. h5 r-L If garage, number of cars 3 i,tdrws ( 2 K� F1L If business,cdmmercial,.or m lxe occupancy,specify nature gad extent of each type of use. Dimensions of bexisting structures,if ffiY Front Stories----, �`` Rear �n� 6 I Depth 31 ` p` Height t q Number of Dimensions of same strueWre with attentions or additions: Front 8 r;`6 Rear R Z ` pew t O Height 19 6 Number of Stries 171- ems o g S6 ` 0 . (,Z ` � D 2-Lf ` 0 Height 1 `7 ' �aaw constructiumber of Stores Size of lots Front-.4 Z 4,' I f Rear 5 5 2-1 Lf 5 Depth �( 5 0.Date of Purchase. 21 Name ofFoaaer Owner L Oy�5r_' 0!2`1 1.Zone or use district in which premises are situated 2.Does proposed construction violate any zoning law,ordinance or regulation: N D ' 3.Win lot be r,,ded l�S Will excess fill be removed from premises: NO V65 nicck la.K_ 631 �3�f Z$3 4.Names of Owner of_pre tlw,`sea 13o D �ddreas Pc �► �- N Phone No. Name of Architect rtt-r-/ sac,. Address k.+. s r ' one No 54 zo Name of 'AG S Addres4231tu- Phone No. 3i 13Y 1 , If 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 topograpbicat data on survey._ TATE OF NEW YORK) SS. :OUNTY OF being duly sworn;deposes and says that(s)hc is the applicant (Name of iadividnal )above named, s")HO is the (Contractor,Agent,Corporate Officer,etc.) f said owner or owners,and is duly authorized to perform or have pafomied the said work and to make and file this application; rat all statements contained in this application are true to the best of his knowledge and belief;and that the work will be erfoaaed in the manner set forth in the application wed therewi& wom to before me this day of 20 0 1 Notarq Public S &AIrplicant PATRICIA CORWIN ' NotzN Pt>b!ic,Slate of New Yrnts ^uslified in dfio;k Ccs..! Coomis M Ej*s Sept.13,--&'P O UFF'ICE W", „I7 r( ]SCh AaTL RICBAfOND CREBS - �"°NE`�NE � - SNORE//NF SURVEY OF PR OPER T Y '!✓qFR MGl AT PECONIC / N 74.46_20' E — _C nE LINe 298,26_ TO WN OF SO UTHOLD y = SUFFOLK COUNTY , N. Y. s as�s�D 1000-86-06-26. 1 ji 40 0 40 80 120 IIII Scale; 1' 40' P -V -� APRIL 5, 2001 (Survey & Partial To o) JUNE 14, 2001 (additions) The locations of wells and cesspools shown hereon are from field observations `"o yi Y \� I J/ and or from data obtained from others. 1/ I am famlllor with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE 1 5 DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on /he -V permit to construct. W E i L P N D S I' \� q \I W E T L R N ➢ S O / - . I t l WE L g TEST HOLE rn i PIP[ / - I Oak brown r sandy Inem OL 0.5, CU 5 lyln /'Qa crown loamy ` o`at vb a band Z OVC=—HEA➢ V l •�� 4 SM �R£5 , to `� d, Pab Drown No C 6�,nF, Ike to medhim sand SP L�nG WOIW /a /6 ane 0.15 / brown 161 (� i }{ice .�oP ,// /, l to w^msand e 9�� y AC;`'• �i 0 � f( . SP 17• Well ��+ Zp /6� iG^" / % / L I D 5 S /SyFN�LR OIUNTY ORMAR'TMRNTRF MRALTN k ��,m 7,• ,° '' CG ftRM1T POR AaPROVAL OF CONRTRUCTIOM FOR 'ohc / / 5 SINGLE FA416r RCSIDENCI. ONLY OAU $ .B (( --- AR .= 7. 3683 ACRES APPROVRD FOR MIXNUM Oft BEDROOMR ; %" a, /' — ttc / TO TIE LINES EXPIRES THREE YEARS FROM DATE OF APPROVAL j FLOOD .36O M FIRM C 103CO164 GG MAY 4, 1998 w �r - A 00 MAPNO y s COASTAL BARRIER IDENTIFIED 11-16-90 111������777 a '�• / y N$C� �pQ NEW y 35, W �•�Pa. MErZaOOG ANY ALTERATION OR ADDITION TO THIS SURVEY IS VIOL ' ` ( �� NY. LIC, NO, 49618 i OF SECTION 7209 OF THE NEW MURK STATE EDUCATION LAW,W, PE C � VEY P.C. WN. EXCEPT AS PER SECTION 72 09-SUBDIVISION P. ALL CERTIFICATDNE (631 �V `f".- .a�F� !ln' AX (631) 765-1797 MH' HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P, 0, 0 S� ELEVATIONS REFERENCED TD N,G.V,D, SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEIOR1230 TRA EL-EI2 STREET WHOSE E16NATURE APPEARS HEREON, SOUTHOLD, N.Y. 11971 EEA ATCHAMDra��,Ne CjWaa Al SURVEY OF PR OPER PY , nprG/� .. I F,'A — 4 ZOOZ A T PECONIC L N 74.46 20' E r T 0 WN OF S O UTHOLD �• s 8s�s ��`" SUFFOLK COUNTY , N. Y. \ e je w 1000-86-06-26. 1 40 U , 40 80 120 Scafe� 1' - 40' n, APRIL 5, 2001 (Survey & Partial Topo) JUNE l4, 2001 (addilion.51 .I( JAN. Il, 2002 (U/C 1 The locations of wells and cesspools shown hereon are from field observations ThX �, and or from data obtained from others. I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and wltl abide by the condiflons set forth (herein and on the permll to construct. E t L A M t . I y Y L I II SCP Y Y / pt I 4t4, N�a�F l DUB �\ � FAST a rn CA 1 rey E i L A N 0 8 T.r{ i �D'SDO • � � ,�. � � r� .1 TEST ROLE xEtr. / �6' wac L' _ Omk brown, 1 r' SW*My s /oav OL i�4 � Brown loamy soad 2 ovcxHEAn vixcs H ( 'Ot �' P,4 Of ) J SM .3.5' Pale brown line to madam sand SP �eec --- 15.0' � � '� Lime water lapaNr ins s^ • q5t !� / brawn I rP pp lV�� aF °b� '1 -�.' 40n to m0bmsand cP N 4, , !i .�' `� $ -� k - / SP lT• �ulell `�` L$r x ♦ Te g btu/� •.•/� , "l ,- ''kr. r . . . . . . . . . ' _ / AREA= 7. 3883 ACRES TO TIE LINES FLOOD ZONE LINES FROM FIRM oeAz MAP N0, 36I03COt64 G MAY 4, 1998 w \1 '. / 20" / 8A a \ COASTAL BARRIER IDENTIFIED 11-16-90 �n AGE " / ., - _ NEW yD9 fpm 1 / 1 N$�g yA�Para t. MET;, 9 Q ANY ALTER47 :K /i � .� •, 1 , �J . . 49618 -TON OR ADDITION I'0 THIS SURVEY IS A VIULATIOS, LIC. N0 N 'pf 8a., gi RS, P.C. OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, " EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS (63 AND 0 FAX (631) 765-1797 M,Nu.w ELEVATIONS REFERENCED T❑ NG. VD� HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P, O, $ SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYpR 1230 TRAVELER STIPEET WHOSE SIGNATURE APPEARS HEREOIN. - SOUTHOLD„ N.Y. 11971 , V 7G CF-F-) IIIVDCI;VdRliER9 CER'11FICAtiE REQUIRED\ OCCUPANCY OR PLUMBING USE IS UNLAWFUL ALL PLUMBING WASTE WITHOUT CERTIFICATE awnrERUNFSNeFD APpROVEDASNOTED 1`` OF OCCUPANCY TESTwGBEFGRecavGi:INc GATE• 5 a� B.P. FEE '�/s��-� BY: PROVIDE OPENINGS FOR i NOTIFY BUILDING DEPARTME T AT 765-1802 9 AM TO 4 PM FOR THE EMERGENCY ESCAPE AS FOLLOWING INSPECTIONS: REQUIRED BY PART. 714 OF PL1JMa7 1, FOUNDATION - TWO REQUIRED N.Y. STATE BUILDING CODE. 0,1,IL,ri-1L) �� 1-::`�oURED CONCRETE rC�y7� 2 F!L. 030H - FRAMING & PLUMBING `'t-'" �L"ICAX' 8. IN;-LILATION 0/c('1{ 4 FINAL - CONSTRUCTION MUST D -!y¢•R USED 1N 1 � NDT P - BE COMPLETE FOR C.O. ROCEED WITH V'S)'S`7E'M r ALL CONSTRUCTION THE REQUIREMENTS OFATHE N.Y.LL MEET OF UNTIL SURVEY 2/10 of 15; STATE CONSTRUCTION & ENERGY FOUNDATION LOCATIONCODES. NOT RESPONSIBLE FOR ' DESIGN OR CONSTRUCTION ERRORS HAS BEEN APPROVED. PROVIDE ANTI-SCALD THERMAL SHOCK PREV$V11sC DEVICES AS TO.PART 902,6(%), PROVIDE 114 HR. FIRE N.Y. STATE BUILDING CODE. RATED SEPARATION TO PROVIDE SMOKE-DETECTING PART. 717.3 (f) (1) OF ALARM DEVICES N.Y. STATE BUILDING CODE. AS 10 FART. 721.1 N.Y.S BUILDING CODE. DAY RESIDENCE „_, 'Acs .°tiW Gayi�'IJ.L ,,oe; - 'P_R11S�ICAfE PECONIC, NEiNYORK 11958 � G>r� � � Cane, '"•rrr .os/ rvs6c .tea ��� ���� �QGsb/s e4 _ / 1 �{/ 1� _ 1� NC'/ 4I� COM� '/Or5 J` / �� /ONJ A/✓J�rl ONO L 6•� r+�/ Q // MO� rL�IOTT DRAWING INDEX architect: n R 2 L L Mfl � � � Q Q M � � � N S MW � ARCHITECTURAL A S S g 0 VIIC 0 A 7 IfVE S O NC 01-121 SITE SURVEY Al FIRST FLOOP PLAN 221 flamphom SOW CamNbrldge,Awsm useM02139 A2 SECOND FLOOR PLAN 617541.6120 Fax: 6176614986 A3 BASEMENT PLAN A4 ELEVATIONS i A5 BUILDING SECTIONS structural engineer. A6 BUILDING SECTION, ELEVATION Abrejona Engineering INTERIOR ELEVATION 1 Mt. Vernon St., 3rd Floor A7 DETAILS Winchester, Mass. 01890 A8 FIRST FLOOR FRAMING PLAN TEL# (781 ) 729-6188 A9 SECOND FLf`?R FRAMING PLAN FAX# (781 ) 729-7960 A10 ROOF FRAMING PLAN All ROOF PLAN t JOB # 01010 . 00 W V BID SET z JUNE 11 , 2001 0 I n 0 Z ; C t ft LLA I I RIMMOND CRBBX _-- 'THORf�rNC SURVEY OF PROPERTY N 74.46_20' E .� A T PECONIC Y j 1 _ 7-` ""` - - - -298,26' - - TOWN OF SO UTHOLD vs SUFFOLK COUNTY N. Y. S2D of 1000-86-06-26. 1 i 140 u 40 so 120 L � — l c'$4Jg, sale, I" 40' 1 l' L APRIL 5, 0lad 0ons/(Survey & Partial Topo) JUIVE 4 The locations of wells and cesspools - l" shown hereon are from field observations t \ and or from data obtained from others. I � � I am familiar with the STANDARDS FOR APPROVAL L � AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the t 1 p permit to construct. � � � L. � I l B l Y L t L iota r1 F'PFDq UZI - d / FA,pT m m / WEILgN ➢ + JOS O Exu rlrvo � � TEST HOLE ML pJpr Dark brawnOL Co e / .+b Brown loamy smrd 2 • ,J nV=arrEAn WIRES SM _ to e / o , 99 t `9p�r, e/e Drown / Me to medum o \ I 0C � sand SP \ 1/ 15.0' % - - �ne-1 Water In Pale G Mown line -01 _ m a t / to mealumsp d /T' °Weil 9% y OPG" ��� r✓' ;V 6 j / 5a 4.33 n Ir l'P AREA= 7 . 3683 ACRES TO TIE LINES P ' E / FLOOD ZONE LINES FROM FIRM co ie 1` n6 / MAP NO. 36103CO164 G MAY 4, 1998 W 1 1 ZO 8Aly m ° / -V77 OF NE COASTAL HARRIER IDENTIFIED 11-16-90 'mom �0 °�eE^ / / .�F. gyp'p" f • O / NBV� S1P i s pG ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION ,'. LIC ND. 49618 DF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, Eco U S• P.C. EXCEPT AS PER SECTION 7209-SUBDIVISIDN 2, ALL CERTIFICATIONS (631) 7 - FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P. D, BOX 909 EL EVATI❑NS REEERENC ED T❑ NGV,D. SAID MAP DR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. SDUTHOLD, N.Y. 11971 O — - I I II 3 ICI'(GI-I7✓f.I �INI�i�-IL-� ' a-ToN� TILE SY Ove 4r-m ' INaT*uL. 'p ri( G c it C � WAI.L�a : ° �.'7'T— gp�ov� coLltil�R, nth p�'ot (N{✓1�. A•s n-e �.s IN%�f+�.-L�rb GryY ti 's I , N (f�( F�NIyH N°RM f-MN'tt'b i now, yf0N -m* YT( owq NrCLGj%ILIN� : �XPc�i�D StftUvrLlf{(= � �LL� �cfoYfr PAIhIT1 D rIxr�lw-s co�wers�nrruwNc s r vvjNrp- � 1 Or crLlP��f�IU NSTvn L� ( ti 'c PROVIDE OPENINGS FOR WkUhp>GAD vokP-V, FmKl" r I EMERGENCY' ESCAPE ASII V 21=01 G LINT `f -t - 3/B" 7LY- 6�k0 REQUIRED BY PART 714 OF (il.I, f� ti PANt�F- LINe� N.Y. STATE BUILDING CODE, w ilM ?mss%K+ - POtlh1'f�Jp Kit, , Ka �rio R•a� I I _ r - I � -��- —�� NyEW WIN9ouWs WItH I�L00�-' °�[o N�i "1'I �� '� CJ rING'R- " I I • �I, o-- ' J1°I� S�`1 klJklJif+ �%kD >�f'-o WMw.I rGo"fT Wl�Ut., o _ I '` -- c �� _ j II "�'6�G H !I II i m R'14 IIJSUI,k�1oN IN I ,I G ILINh GtY1' P2akR9 - P p6I`A-[1;p / X U �: G°UW flims �I'YTUf6 Y/1 0.11.4�Y -� 1 / i' I All I- v KIT NEW 61o�M5 ,I WINW DdWS 'f`(pI�L I i % - - _ P 5 Z o 6 ON6 \7 _ _j'N' Z � �� o �- _Y � 8'YleIi� �' d moi'/ti's ✓li' � 112+�— .. - .0 f q m o a I Sr W' roEMn ' \� AWr ,i vvp,WNfiN1 (AsuLkr 60 IN _� �IUEop E415fiNr� E�l� w6 woon ��ME -t`fYlchl. � `� = m 1 I f 1 1 I 3 alb 2 K, KZ 7 wn, r r+ . IN6 I kU, INh+i�s �KISTIhI o V, , , a 01o^ ` � • Iv n � I I f GJ o ° TbnX nom. --- �ZIs11 G '�JIN1xWS "rr�l(.tkL -- I WhU, lYfIcAI, Vd X16 �� �01 1 \ -9 — _r Wvj pit°r-M V0012- ", � AU. Plr-AK1-Z5X15 fl ,k SANE 1 l " ` i � � 9 Pwo�•. yfoN>% T1�� U'f f?WN�R � � rA�� �_ =1 � � 1 IN�'GM,�,6D Cbt H•L - �` G�hIN�, �XPo`�D �I'FUCMR� �J I 0 I <( z A F � o`A v P AR L SPC; rr, I r 11 . I � � o A•5 A`� I 1 I I I PROVIDE OPENINGS FOR _ EMERGENCY ESCAPE AS w� �bwvoM �!rll%N�� rLooR ' TohI�I�I� gGt �WwI� � W , 'No �iU�P oaR REQUIRED BY PART. 714 OF E�Iy6G GkF`P��'`D V'r' oWo4v--R— i N•Y. STATEBUILDINGCODE. 1124 6' 4 ' S/p''� 31 Z" WA tS ' TvN�U� 10 AZ"V0I POPP {,„Vpq-V WkLl,S p�47= I - -- 'I 50PWAD GLh-i51L L11 W I7H V.;K f TL-N PAT P,M tVVITE•p w i" �Z,1l9 (NSVIk oN (N _ D�P�b�31�R lu1> 10� KNISH ' �-ran��wl�+1�� ', � , r�•Yill�rr( � ,w, u. WA ---------------------- I -+ - - -- - --I- ENSN�SF�p �pcll� � �L�Qaz- ale- -GLEIkR Flt�llsl-� � % II I I 11 I EgGEN PPR(. �p�- 1*--�v pa^crTlh15111i u ole TI L-1= , Wry—Wti pY oWUT-N _ o P EppAREQ B�40SN�C ?h' 1V1V RNIN(o Nt NS'TIYLumn 5,1 ( pit : \' ° E6�S�t W►cu S : TIS W�IN�cDtr Val � e E — c VI N• ;G�, \ � r�Y owI1JEK, Ir•k>I+11-�G GY G,�- _� � Z�.i %JYuc,rlr �IU�-!�I' °IY{' P•�h2p - Pv1-ffl'fED I + •� �l�p�. ,�. � �-(UIS ' �J� OKl�l�l�— II�J'�14iL�D I owl Mill WWI i - � I • p " r T � Nom- � ?; FNF-R Dl� NSW stot~M �k�i � � � - GN ���11N� cam - (�pICA6 (tool+ ctmfJ NEW, �11`117 ; �usut kilo rl 0 A-s a M1r� Nl°alA \ OOD y� /]Q� \ l�•�VD �e1'OY'1 'n+115 �Slb� ,r' � Y� 'Qjll'y` 'C" qF p - LooiZ T°n SUvLo �� �P>� p 1'j C� ' - Y OWNie- wa<LIA! , A0. costly - P{YIti1-r�v A"` r ThokRD �A4 l � f1 'Now, t1!j-f On L w AL1 (oN�utr g Gptawe PWAV PA I tiS7Te D '� �.. -- �,reN,k� � Wku� • TI+.E w�INacoT 8Y ownlEc. , ' �-�-r - _�/'� pjj G..L' CsWM.� - -- ----- Z�'6" r 1'i l-V vEt_�t-Y' -- - ---� W�T-� 13A-N"7✓N Al �f Ar45 - pA11.ITip Prn, age. vw7,� OJT � D A a � � w .j-h lop ��SII il 'll i I 2 sat I _ d S 1 vT G / \lo'� � oN LONG I T — r k�v✓ x!WLoiP�w E _ �c� 11 I 1 1 i0 \_ - ' "�� ' ♦ MOVE py-, OFJal�7 id LL• \ FLwp 3a ICY -rYl�cn� � '� .,x�PIt."06Y. >— a' / rlL �Tr Invul„ 4v/,B. ct 4a 1 VA I o „ GDIdG. 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