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HomeMy WebLinkAbout27348-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29121 Date: 12/13/02 THIS CERTIFIES that the building ADDITION Location of Property: 1300 BAY HAVEN LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 4 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 2, 2001 pursuant to which Building Permit No. 27348-Z dated JUNE 4, 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 TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to VITO & ANN NAVARRA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1089841 10/31/02 PLUMBERS CERTIFICATION DATED 12/10/02 VITO NAVARRA Authorized Sign ure 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. 27348 Z Date JUNE 4, 2001 Permission is hereby granted to: VITO & ANN NAVARRA 6 BARNYARD LANE LEVITTOWN,NY 11756 for . NEW CONSTRUCTION OF A DEN ADDITION WITH NON HABITABLE SPACE ABOVE AS APPLIED FOR WITH TOWN ZBA 2919 APPROVAL at premises located at 1300 BAY HAVEN LA SOUTHOLD County Tax Map No. 473889 Section 088 Block 0004 Lot No. 017 pursuant to application dated FEBRUARY 2 , 2001 and approved by the Building Inspector. Fee $ 105 . 00 Authori ed Signature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY , r) This application must be filled in by typewriter or ink and submitted to the Building Department with the follo—wiin20 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. th) .t— New Construction: Old or Pre-existing Building: // (check one) Location of Property: 8/-)Y AA ✓e%N L4,vc __5'F,r tu House No. Street Hamlet Owner or Owners of Property: L/ Tp Amw� J}rj ly A/ 1/A e'gA Suffolk County Tax Map No 1000, Section ' 7,3Y.-?q-02Alock 000 Lot 0 Subdivision Filed Map. Lot: Permit No. 3 z Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: t✓E� �C�Sfyrr*l Planning Board Approval: / Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ (✓ Applicant Signature 6 c c C* po Gyp Town Hall,53095 Main Road • Fax(631)765-9502 P.O. Box 1179 y�O ��� Telephone(631)765-1802 Southold,New York 11971-0959 1 `� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: CIO �- Building Permit A No. , // 3 7 d Owner: V �C?'° AG//9 e 9A (Please print) Plumber: 16 J'Tp 1//.i (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn before me this 0 day o 20o2, Notary Public, County ELIZABETH A STATHIS NOTARY PUBLIC,State of NewYork No.01 ST6008173,Suffolk Co ty Term Expires June 8, uA OrlrJcnrJ�rJ@Pr�rJ�r nrJ�r�rrrJ�i.nrSr::I I E J SnrJI:rylcPrJ�rJ�rJ o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 C5 BUREAU OF ELECTRICITY CS 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 SVITO NAVARRA VITO NAVARRA 1300 BAY 5 SOUTHOLD,NY 1197E SOUTHOLD, NY 11971E 1300 BAY HAVEN 5 5 5 7C5 Located at 1300 BAY HAVEN LANE SOUTHOLD, NY 11971 Application Number: 1089841 Certificate Number: 1089841 �5 Section: 088 Block: 4 Lot: 017 Building Permit:27348 Z BDC: NS11 C� .]c 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 First Floor,Second Floor, 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was S rj found to be in compliance therewith on the 31st Day of October,2002. 5 Name QTY Rate Rati Circuit Type Amount5 5 Alarm and Emergency Equipment 5 5 Sensor 2 0 Smoke $1.5 5 5 Appliances and Accessories 5 Exhaust Fan 1 0 F.H.P. $2.0 5 f5rj Wiring and Devices r,C] � Outlet 8 0 Fixture $2.0 5 5 Receptacle 21 0 General Purpose $5.25 5 5 Switch 12 0 General Purpose $3.0 5 5 5 Fixture 8 0 Incandescent $1.6 Paddle Fan 3 0 $6.0 r5� Receptacle 1 0 GFCI $1.0 er+,] Invoice Total $50.0 5 5 5 5 seal 5 5 5 5 5 This certificate may not be altered in any way and is validated onlylby tete presence of a raised seal at the location indicated. rJ�[J�[n[n[P[P[JcP[J�cn[P[P�r[J�t nrJ��n[12131 1, Z 11:121 M c ri j@P[P-J�[P[ntPrJrJCP[PrJ[r[P[PrJ[PrJ�[P�I[11 fL3p[PL3rL3 JL3rL3r nrJ@PrJLL3n o BUILDING PERMIT REVIEW CHECK LIST • DATE REVIEWED:�6 lo, APPLICANT NAME: / v Q JQ r r a DATE SUBMITTED: /2 b/ SCTM# --- DISTRICT: 1,000 SECTION: 99 BLOCK: ©* LOT: PROJECT LOCATION STREET: /3/30 /3^6nt ,i-- CITY: S13*(7.voto SUBDIV. NAME: ARCHITECT/ ENGINEER: r f y FAST TRACK: YES SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o NOTES: x/a':w" ' ZONING: PERMIT; ATE AMOUNT: $ .00 ZONING DISTRICTtR41Y R80 AC CONFORMING: YES ORO REQUIRED LOT SIZE: 4o K SQ] WHERE ACTUAL LOT SIZE FRO ax CA ACTUAL LOT SIZE:/0S/1 SQ REQUIRED rrE —REQUIRED REQUIRED ^(5, FRONT:-%S ' PROPOSED:*/ ' SIDE YD: /0 V AV' ' PROPOSED: 2-0 'l 66 ' REAR: ' PROPOSED.24r�66/0_ LOT COVERAGE: ALLOWED: % EXISTING:13 o�8 sf/s % NEW: o3d sfp..5 % TOTAL L",,>,Q-sf/6"' CORNER? YES oaa WAT ER FRONT? YES o N DESCRIPTION: LOTS 40,000SF --100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger. (A nonconforming at anytime after July 1, 1983.) PROJECT DESCRIPTION• ADD ALT ACC OR N/D: �'( 7 6s1-2.9/9 - p /+�'� �-+ -4 /�� AGENCY PERMITS REQUIRED FOR REVIEW NEED TOWN SPETIC PERMIT: YES o SUFFOLK COUNTY HEALTH DEPT: YES o N (BED #): DTE:—/ /_ PERMIT #:R10- NEW YORK STATE DEC: PRE-DEC 9/1/75 YES ol�a SOUTHOLD TOWN TRUSTEES: o I TOWN ZONING BOARD APPROVAL YE r h s e/ X29/9 rs.� , c/�.� TOWN PLAN. BOARD APPROVAL: o N(� FLOOD COMPLIANCE ZONE: PRE-F M 3/18/80 P NEL #: iG 6 FLOOD ZONE: X s A"*-,W NYS ENERGY: YES R NO EGRESS: VENT: LIGHT: NOTES: / 6/11"i/S/t -/4s Z/Sa 19/7 Fj'YL O`C N ed, C IF L •f>J C� .i/ pfa.Jt.acy I 3 USG �jC.1 NIC I.r r 011 4a FEE STRUCTURE: FOUNDATION: _ l� FIRST FLOOR S SECOND FLR SGe SF- fc ��, s INIT OTHER TOTAL TOTAL: SF FEE FEE FEE TOT( / oop goo �( — / •� 30 � S ��At •-, /�� �a-r i...(� L/rq KIHL .L. 14-Ar' ,r //ca lu was rae�� �uno�< pr, �.-�� �/� — h� .�-o�r'�e�d � A.. .•a� A / i rc N,4 / O ,•�� /�.-(Q..� W 1j 13 µ. // �!i/J/G.f'�' �� 7-4 Southold Town Board of Appeals MAIN ROAD • STATE ROAD 25 SOUTHOLD. L.I., N.Y. 11971 1 TELEPHONE (516) 765-1809 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 2919 Application Dated November 2, 1981 TO: Mr. and Mrs. Vito Navarra [Appellant (s) ] 6 Barnyard Lane Levittown, NY 11756 At a Meeting of the Zoning Board of Appeals held on November 24 , 1981 the above appeal was considered , and the action indicated below was taken on your [ ] Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a [ l Request for Special Exception under the Zoning Ordinance Article , Section [X] Request for Variance to the Zoning Ordinance Article III , Section 100-31 [ ] Request for Upon application of Vito and Ann Navarra, 6 Barnyard Lane, Levittown, NY 11756 for a Variance to the Zoning Ordinance, Article III, Section 100-31 for permission to construct new dwelling with insufficient rearyard area at 1300 Bay Haven Lane, Southold, NY; Bay Haven Subdivision Filed Map 2910 , Lot 34 ; County Tax Map Parcel No. 1000-88-4-17. By this appeal, applicants seek permission to construct a new one-family dwelling with an established setback distance from Bay Haven Lane and leaving an insufficient rearyard setback from 'Bay Haven Subdivision Lot 15 of 40 feet. The lot in question has road frontage of 140 feet and a depth of 125 feet and was established prior to the change in rear and front yard setbacks from 35 to 50 feet. It is the feeling of the board that the relief requested is practical and reasonable under the circumstances, that same is within the character of the neighborhood and is within the spirit of the zoning ordinance. In considering this appeal, the board determines that the variance request is not substantial; that the circumstances herein are unique; that by allowing the variance no substantial detriment to adjoining properties would be created; that the difficulty cannot be obviated by a method, feasible to appellant, other than a variance; that no adverse effects will be produced on available governmental facilities of any increased population; that the relief requested will be in harmony with and promote the general purposes of zoning; and that the interests of justice will be served by allowing the variance. On motion by Mr. Douglass, seconded by Mr. Sawicki, it was RESOLVED, that the application of Vito and Ann Navarra, 6 Barn- yard Lane, Levittown, NY 11756 be GRANTED AS APPLIED FOR. Location of Property: 1300 Bay Haven Lane, Southold, NY; Bay Haven Subdivision Filed Map 2910 , Lot 34 ; County Tax Map Parcel No. 1000-88-4-17. Vote of the Board: Ayes : Messrs. Doyen, Douglass, Goehringer and Sawicki. Mr. Grigonis was absent. DATED: January 11 , 1982. CHAIRMAN, SOU OLD TO ZONING BOARD OF APPEALS Form ZB4 (rev. 12/81) FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 -; ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. SECTION A-PROPERTY OWNER INFORMATIONFor ( tnppy 4Is' i ,,. BUILDING OWNER'S NAME Vito & Ann Navarra .� � BUILDING STREET ADDRESS(Including.Apt.,Unit,Suite,and/or Bldg. No.)OR P.O.ROUTE AND BOX NO. =CorrIpa zNAIC.Nti ''�' � Ba Haven Lane 3. ��`� ` t e-CiKN." aSu' ci A .rpt 63rc 31 CITY STATE ZIP CODE Soutkold New York 11971 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) 1000-88-04-17 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) Residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: lJ GPS(Type): ( W-*#'-##.it#- or ##.##i##°) IX.I NAD 1927 Ll NAD 1983 LI USGS Quad Map Ll Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE Southold 360813 Suffolk New York B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX 67.FIRM PANEL B8.FLOOD B9.BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) 36103CO166 G May4, 1998 X 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. IJ FIS Profile I_I FIRM 1J Community Determined LJ Other(Describe): 611. Indicate the elevation datum used for the BFE in B9: 1J NGVD 1929 1J NAVD 1988 IJ Other(Describe): B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 1_I Yes I_XJ No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: 1-(Construction Drawings' 1_1Building Under Construction' IX 1Finished Construction `A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations–Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO Complete Items C3.a-i below according to the building diagram specified in Item C2.State the datum used. If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on s 1J No ❑ a)Top of bottom floor(including basement or enclosure) s. s ft.(m) �, 9 ❑ b)Top of next higher floor 14 1 ft,(m) v0 41. LElygID ry ❑ c)Bottom of lowest horizontal structural member(V zones only) ft.(m) o ��' �O O ❑ d)Attached garage(top of slab) 1 2 ft.(m) _ 9 ❑ e) Lowest elevation of machinery and/or equipment w L ?t servicing the building(Describe in a Comments area.) ft.(m) E 8 4 ❑ f)Lowest adjacent(finished)grade(LAG) ft.(m) 203? ❑ g)Highest adjacent(finished)grade(HAG) 12 . 1 ft.(rr fi N aA b ❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade � ��r 33 eta P O i)Total area of all permanent openings(flood vents)in C3.h sq. in. (sq.cm) O�bIrw Y O SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAM LICENSE NUMBER Antony W. Lewandowski NYSLS33696 TITLE COMPANY NAME Land Surveyor ADDRESS CITY STATE ZIP CODE SIGNATUREENT&PHON B FEMA Form 81-31,JUL SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:: BUILDING OWNER'S NAME Policy Number Vito & Ann Navarra BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg. No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number Bay Haven Lane CITY STATE ZIP CODE Southold New York 11971 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) 1000-88-04-17 BUILDING USE(e.g.,Residential, Non-residential,Addition,Accessory,etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: LI GPS(Type): ##.##" or ##.ikwiar#°) IXl NAD 1927 1_1 NAD 1983 LI USGS Quad Map LI Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE Southold 360813 Suffolk New York B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX B7.FIRM PANEL B8.FLOOD B9.BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) 36103CO166 G May4, 1998 I X B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. IJ FIS Profile 1J FIRM IJ Community Determined IJ Other(Describe): B11. Indicate the elevation datum used for the BFE in B9: III NGVD 1929 IJ NAVD 1988 1_1 Other(Describe): B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? IJ Yes I_XJ No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: JlConstruction Drawings* I_IBuilding Under Construction' IX(Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on s IJ No ❑ a)Top of bottom floor(including basement or enclosure) 1 4 5. ft.(m) N vG�y * LEwgy 9`� ft( ). ma � ❑ c) Bottom of lowest horizontal structural member(V zones only) ft.(m) 0 2` �� p ❑ d)Attached garage(top of slab) 12 1 ft.(m) E F � 9 ❑ e) Lowest elevation of machinery and/or equipment w i v . servicing the building(Describe in a Comments area.) ft.(m) ❑ 0 Lowest adjacent(finished)grade(LAG) ft.(m) i H ❑ g) Highest adjacent(finished)grade(HAG) 12 . 1 ft.(m) �A ❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade ❑ i)Total area of all permanent openings(flood vents)in C3.h sq. in.(sq.cm) GK�r[W Y SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER Anthony W. Lewandowski NYSLS33696 TITLE COMPANY NAME Land Surveyor ADDRESS CITY STATE ZIP CODE SIGNATURE 4, DE PHONE /AyT_ FEMA Form 81-31,JUL 0 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS 1?;NERGY CODE CALCULATIONS (For Non-ElecL-ric Heat) Design Criteria 6 , 000 Uegree'.0sys d / /^ O.A. lU°F I.A. 7U°F -A FOR: 0h�Gf a v rl � PER: 13 00 £3 r l CL q!A P DA'Z'ED: SDESIGN T'RERMEL UUSYSTEM AREA REMARI(5 U RATING ExL•erloc: Walls (Opaque) cf 20 Glaziny 3,�t 2 �' 3 - LID 6, �`S�e � v� P Doors Celliccy/hoof (Opaque) 14 0 n 5� 0 Skyliylct•s B Floor L Q U) 0 roundatiorl Walls Slab Insulation TOTAL t Notes, Iluildiny Envelope Systems to meet requirements of 7815 . 2 11VAC Equipement to meet requirements of-, 7U15. 11 JUN _ ) i HVAC Sys Lams to meet requirements of 78.15 . r2 Duct SysL•cros to meet- requiremeiiLs of 781.5 . 13 i -D Ven Lila Lions Systems Lo meet requirements of 7015 . 1 :0 TnsulaLinn of Piping Systems to meeL- requirements of 7U15 . 1j Service Water Heating Systems & LquipmenL to meeL• requirements of '1015 . 7.1 Electrical & Lighting Systems & Equipment to meet requiremenLs of 7015 . 31 To the best of my knowledge, �Of NEW y belief, & professional � 4CE . r �9q judgement, these plans ore in �`` compliance wiLli the code. ' a w F 032254-1 aV Op9�FESStO�P�� J I C/I/ M-1802 BUILDING DEPT. NSPECTION [ NDATION 1 ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPL HIMNE REMA DATE INSPECTOR 7 3K�:. 765-1802 BUILDING DEPT. INSPECTION [ ] FOU ATION IST [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /4�`c l/�� 1� aeo_a -tf DATE INSPECT 765-1802 BUILDING DEPT. INSPECTIOV""-� ( ] FOUNDATION IST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [�] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE v INSPECTOR J 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA & CHIMNEY REMARKS: DATE G INSPE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ INAL [ ] FIREPLAC � CHIMNEY REMARKS: D DATE 4r�1 SPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING FINAL [ ] FIREPLACE CHIM;mw N ,gyp REMARKS: v DATE l /l/) 1-1�.NSPECTOR FIELD INSPECTION REPORT DATE _ __¢ COMMENTS , _ ____ _s -- -_=____=_______ ii i II M II j H FOUNDATION ( I �I I tl j b FOUNDATION ( ND) 1 l 4100, ==s=====___________ 40 4v, ROUGH FRAME & PLUMBING f�C. k4 _ AgneeAt-el vll�47C II rA INSULATION PER N. Y. ± _ STATE ENERGY CODE W" 20 'fjC-0n H 117 FINAL Nu ADDITIONAL COMMENTS: F 47411- N G c" ea ro H rr BOARD OF HEALTH . . . . . . . . . . . . . . . `i FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . 111 TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . EmmVnined.... S�f�...... 20.Q1. MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved....... f.......I add/. Permit No. 212 4�. .. ................................... Disapprovedarc .................................. ................................... _ .... .. .... ................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Dat�f.2 . . . . . . . . . . . . 20 of. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w 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 giving a detailed description of layout of property mist be drawn on the diagram which is part of this application. C. m The work covered by this application may not be camenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall bekept 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS BERM MATE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane Ordinance of the Town of Southold, Suffolk Canty, 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, buildimmg code, hwaic& code, and regulations, and to admit authorized inspectors on premises and in building for necessary_inspections. .1. : ...................... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ....13 w.m..k.°L.4.*-.................................................................................................. Name of owner of premises X1!1.7 .a V a l r am................................. ............ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nene and title of corporate officer) Builders License No. i 3 9-..ttl........... Plumbers License No. .......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done..I. 5�4�.. ��.. .aviR el...... ).3. .................. .E} r............. S ,ti .�.v..t.�-................... House Number Street Hamlet Carty Tax Map No. 1000 Section ..$r§.......... Block ...P.4......... Lot Subdivision ...................................... Filed Map No. ............... Tut ............... (Name) 2. State existing use and occupancy of premises andel intended use and occupancy,of proposed construction: a. Existing use and occupancy ..RS . .4.v? ! !................................ b. Intended use and occupancy ..�Q S.1 d E von,!,1. .................................................... I J. iuue uL wut« muteuc wtucYt jpplrcable): New Building ... Addition .... Alteration ........ Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description) i. Estimated Cost �. S.� J�`�•. i?�'�... fee .............................................. (to be paid on filing this application) ppn) dwelling,i. if umber of dwelling units ...t....... Number of dwelling units on each floor ....1............ If garage, rxnber of,cars ...................................... ...................................... i. If business, caarercial or mixed occupancy, specify nature and extent of each type of use...:7777:` ............. Dimensions of existing structures, if any: Front..G n.......... Rear ......... Depth ...7.'V............ Height ................... Umber of Stories .... ................( it 1 t( Dimensions of sore structure with alterations or additions: Front -T, .1 1.1...... Reart..7 ...... ..... Be rt .r?.(o�.l Q ........ Nudger of Stories Depth .............. gl .m ............... t y t %I 1. Dimensions of entire new construction: Front, �...1...... Rear 7 7..7....... Depth . 4.sem?..... t tl Height ..1.1;k............. Umber of Stories ....)................ 1 Size of lot: Front ....... Rear ........ Depth .1.� ............. 0. Date of Purchase ..................... Nana of Former Owner .. ..... ............................... I. Zone or use district in which premises are situated ..! S�lt Yl ..i .1l.''.................................... 2. Does proposed construction 11 violate any zoning last, ordinance or regulation: l a.................. 3. Will lot be regraded ..1ICt ... .... Will excess fill be removed from 'ses: N-Q vim �rlrl .va,l-r- G esa.!--nyam YES t...�"� ZaC G.Ssp 4. Nares of Owner of premises ........................... Address .4R�t. R' !t!�N.14 MgAr.. Phone No.�`�.............. Nam of Architect .................................... Address .............................. Phone No. .............. RJ, kol2 r1.� �.. .. . . Name of Contractor ��. 4-N."t'�ry-�............... Address 5. Is this property within 300 feet of a tidal wetland? * YES ..........Q......... *IF YES, 9UII M TOWN IMSIMS PERMIT MAY BE R"JIM). PLOT DIAGRAM ' Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ram property lines. Give street and block number or description according to deed, and show street names and indicate hetber interior or corner lot. CAFE OF N1-5W YORK, SS IUNIY (IF ....... ............ .......................being duly sworn, deposes and says that he is the applicant lame of individual signing c ract) muwe named, ais the .................................. ...... ...................................................... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to per -farm or have performed the said work and to make and file this rplicatiah; that all statements contained in this application are true to the best of his knowledge and belief; and mat the work will be performed in the manner set forth in the application filed therewith. -orn to before me this l ;Ue ....day of .`-1 &O......... 20.cr�)... Notary Public .... =�...... 4� .. h• UNDAJ.COOPER (Signature of Applicant) C/ Notery PublW Stow of York 4E 63 Suft N ow 24Clrr M Term Expires December 31,loo l g,8 a', Q 37X/Zc s2 12R./fes 509 o y2 K"=?4D ti 0)K +4a n. � O .vaa�sscs Q 11 ce, V h Q � �-•+-�- �f ONS` � �--.—�_... fI • LoT 3.5 � �SgD LAND�G ie►,,�y • /9TitX0OAe EZ �•ew Q� c! ../ aF v o G,yo,i tuoecG =/2,/ !o NO�G�R✓ErCt� Lccrrt�v��wryxo.�J��6,r C'cart�/rY..(/,t! vurf��OiNY.//97/ os�re', ,/. .�av gyp/zoo✓ OC TM /GioG Bd,od-/ /=dfPW4,Mvv,A^ Roo Gne i Zj z I 5h I" P i � Y Pr a<<srAltc �1�,v 7= s 11 0 i1c PVL P✓c- _ _ 1Y4Nr opt I IJOLW9 DRAIi if 1 S .i i IN - J 'p/ywd t, o � ' !zo wq mpur��ic it), h17 IVY'l 795' 13H1q Al /91ve, 1 9 71 a 3 r r a 7 2) . - god F1, Re add ISWAZI, c R� ,Gne — —I— ;; 900 � ` y r k 1 PVG QVC, v G 411T oar f t Y � tTF 1 - { y j M01 - �� Of �1Flyy is-Ti21cvF,nIT T a IN Cei�i�tg l'2tp/ywd �"o yo. 351�� � ' !zo wgmpvo�17C K), 15-h/2 n!y/i 795 Mq�� Jz 130D (31ql so ugh 9 7/ _ � z 61 -I do 2hd /. 1?cY�s�on add i ^Ions.. / L�+•✓e�- wJTH Anc r`lsB e- ,yro 7a-,:) �,n Ls .es .e.c.✓.<rG. - r ; DO NOT PROCEED WITH A FRAMINOUNTILSURVEY PL UPISERCERTIFICATION APPROVED AS NOTED N LEAQ CONTENT BEFORE !!! g �+ B P.a �a Of FOUNDATION LOCATION C r7 IFLTE OF OCCUPANCY / \ D E i onrE: HAS BEEN APPROVED. FEE: /�" BY% S LOER USED IN WATg ( NOTIFY BUILDING DEPARTMENT AT - T ,af�; SUPPLY SYSTEM CA l O 765-1802 9 AM TO 4 PM FOR THE ,_,t Cc fQ-2/�Q QF ° LEAD f^Zk PROVIDE OPENINGS FOR FOLLOWING INSPECTIONS KL --�. - 1 FOUNDATION - TWD REQUIRED EMERG'NC' NC. ESCAPEAS FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING EQUIRE' C PART.714 OF uNDERYAtITERSCERTIFlCA7E s. INSULATION N C STATE BUfLDING CODE. REQUIRED 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. i ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. rPR STATE CONSTRUCTION & DV1DF SMOKE-DETECTINQ'_-_. ENERGY CODES. NOT RESPONSIBLE FOR . ALARM DEVICES i,) pY t s ( v t r^- 'j' DESIGN OR CONSTRUCTION ERRORS AS TO PART. 721.1 i I 11 tt p ! I u n11 r s Y.SBUILDING CODE. I I . I i l I SAME AyL,=s a copper tubing is used J for water distributing 44 x _Z1, t^-,as ti.tit4 mJ stem;piping shall be i Ce ull sj SHIYY E. SN IM6tE7 . . of types K or L only OCCUPANCY ^1/��/ p � ��Jl�k6r- VirCUf AIVIr I OI1 A PLUMBIN WAST' USUSI: iCv &,1�JATER LIN S NEED IS UNLAWFUL T:W1 0 BET'ORE COVERIN iI IVITNOUTCERTIFICATE Y I I CERTI IC. S v I � r FICATF t OF QcvuPArlC - I. it h"!-LVA "e rr,Jy ezrsrtnl6Hoys; � �' ---- .� t I ..,t aL R �+ eE�tR : =o.,x N�r� . �>t � !g ALt 4Jq 4w 3J Jat G:r-. , ili.s t ? I ` WA{t � 1w 1JJ - . � S I+t tit NCtt JFl". cteDck trr6CRCA'_t ( \ VNFIIf) �lfliUlcry,:Jt "'TI t T r r +1i 1 _ - _ " y_ .. . ice:, _ c. : --�•I <__ 6 ` \ I °c NEW yOq¢ P3o / .. . c: l' �ISuL 032251-1 ?V OFES MIA rrf 15 S 1DI —, ._ I UP ! - ' . 511c St4 r'y tr,,: i � /I � I �. r. i I: Ca acre ,(. 4c 4Y(Sl I--. TSE Pk� I ALI n,i) ® G: D•SC.t C . I >a.l � ` r � I y.7' l — //,.�/.%'i`/ Huns A): of "r1 QN 7 1 t. QF mlka awl., rp tri" S l-;.Ac C,` j �TY f"ICfiL... kw[ lrt: ' :- ( ' on,\vw�v �v Y@k�5 .:.,,.j I "Al T. 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