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HomeMy WebLinkAbout16748-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17661 Date Januray 9, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1290 WILLOW TERRACE LANE ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 026 Block 2 Lot 24 SubdivisionWILLOW TERRACE SEC 1Filed Map No. 5407 Lot No. 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated February 8, 1988 pursuant to which Building Permit No. 16748-Z dated February 22, 1988 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 GARAGE ~ ATTACHED DECK The certificate is issued to ROBERT N. & ANN V. HULSMANN (owner, XXXXXX/QXXXXXXXY2K) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-152 - 1/4/I~89. UNDERWRITERS CERTIFICATE NO. N046780 - 11/18/1988 PLUMBERS CERTIFICATION DATED 11/16/1988 - ROY C. TAPLIN u~gj~d'in9 Inspector Rev. 1/81 FOR,~ NO. I~ TOWN OF $OUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NE16748 Z to~~¢ at premises located at .Z~.~.....~~...~...,~.~ .................................. Coun~ Tax Map No. 1000 Section ..... .~..~ ...... BIlk ............ ~ .... Lot No .......... ~ .... pursuont to oppiicotlon dot~ ...~/~ ........................................, 19.~ ond opprov~ by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRI/CTION ....... OLD OR PRE-EXISTING BI/ILDING ...... VACANT LAND ........ 1290 WILLOW TERRACE LANE ORIENT Location of Property ........................................................ HOUSE NO. STREET HAMLET ROBERT N. & ANN V. HULSMANN Owner or Owners of Property ' 026 2 24 County Tax Map No. I000 Section ...... Block ....... Lot ......... WILLOW TERRACE #5407 Subdivision SECTION 1 AT ORIENT 11/28/69 #5 ....................... Filed Map ........ Lot .......... 16748 2/22/88 Robert N. Hulsmann Permit No ........... Date of Permit .......... Applicant ................... Health Dept. Approval '.~. .............. .~.~x~.~. ~.~ Underwriters Approval.~.-...~.~?.~.\\ \~[ q~ .... Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate .............. 25,00 Fee Submitted: $ .................... Robert N. Hulsmann APPLICANT .................................... rev. HENRY P.$M~H 30HN M. BREDEMEYER, III, President John Bednoski, Jr. ALBERT KRUPSKI, JR., Vice-President BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO-SIGNIFICANT EFFECT ON THE ENVIRONMENT DATE: February 24, 1988 APPLICATION NO.: 606 NAME: LATHAM SAND AND GRAVEL, lNG. FOR ROBERT HULSMAN This notice is issued pursuant lo the provisions of Article 8 of the Environmental Conservation Law State Environmental Quality Review and 6NYCRR Part 617, Section 617.10 and Chapter 44 of the Code of the Town of Sou/hold, notice is hereby given that the Southold Town Trustees, as lead agency for the action described below has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration 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. TYPE OF ACTION: · UNLISTED DESCRIPTION OF ACTION: To construct 135 ft. of timber bulkhead and to backfill from an upland source. LOCATION: S.C.T.M. No. 1000-026-2-24- Willow Terrace Subdivision Map # 5407; Orient, New York. REASONS SUPPORTING THIS DETERMINATION: 1. An environmental assessment form has been submitted which indicated that there would be no adverse effe¢l to the environment should the project be implemented as planned. 2. Because there has been no response in the allotted time from the Southold Town-Building Dept. and {he New ~York State D.E.C. it is assumed that there are no objections nor Comments' from those agencies. : Board of Town Trustees Page 2 For further informatio¢ regarding this application please contact: John Bredemeyer, tlII President Town Trustees Southold Town Hall Main Road ' ' Southold, New Yo~k 11971 (516) 765-1892 CC; Robert A. Green,.:D.E.C., Stony-Brook Bldg. Dept. Town Clerk's BulI~tln Board file Latham Sand ~ Gravel , Inc. for Robert Hulsman VICTOR LESSARD EXECUTIVE ADMINISTRATOR (516) 765-1802 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD TO: HENRY SMITH, PRESIDENT TRUSTEES FROM: VICTOR LESSARD, EXECUTIVE ADMINISTRATOR SUBJECT: BULKHEAD FOR ROBERT HULSMAN DATE: JANUARY 19, 1988 Zone with a height factor of eleven Present design may not be able of bulkhead construction is in a V-High Velocity feet above average high to sustain an above VL:gar HENRY P. SMITH JOHN M. BREDEMEYER, III,' President John Bednoski, Jr. ALBERT KRUPSKI, JR., Vice-President BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 To: From: Re: Date: Victor Lessard, Admin., Bldg. Dept. John M. Bredemeyer, III, Presi~i/~ Flood Plain Maps February 19, 1988 Pursuant to my recent conversation with you: Please be advised the Trustees reviewed the FIRM-Flood Plain Maps at our 2-17-88 work session and will make Flood elevation determinations for marine related structures (bulkheads, retaining walls, revetments, etc.) coming before us for Wetland Permits. Further, please be advised that we will not make determinations for any building type of structure ie. cabanas, retaining walls or similar type structures attached to or functionally part of a house or building. You will continue to receive copies of our applications as in the past for your independent determination in these matters. A "FIRM~ key map with Trustee areas designated is posted in our office should you need it. Based on conversations with the N.Y.S.D.E.C. and other knowledgeable sources, we will consider setting aside your determination of elevation in the Latham Sand and Gravel for Robert Hulsman, Orient application. Should you wish to present additional technical information on this matter, please do so promptly so we may request modification/change for this plan and that of neighboring permits we issued [where you seemingly failed to comment on Flood Plain compliance.] CC: Town Board Board of Appeals Planning Board Latham Sand and Gravel HENRY P. SM~H JOHN M. BREDEMEYER, III, President John Bednoski, Jr. ALBERT KRUPSKI, JR., Vice-President BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 February 10, 1988 L_ IVWN (JI~ SOUTi~OLD NE 1892 Mr. Robert Hulsmann 64 Willow Street Floral Park, New York 11001 Re: 1000-026-2-24 Dear Mr. Hulsmann: Pursuant to your request for a determination of jurisdiction regarding the construction of a single family residence on the above property, please be advised that in accordance with the survey dated and revised on October 21, 1987 the Trustees have no jurisdiction in this matter as proposed. Please note that if in the future any work is anticipated on the property 75~ or closer to the water/wetlands a permit will be required, This determination is not a determination made for any other department or agency which may have jurisdiction in this matter. Should you have any questions or concerns, please do not hesitate to contact this office at the telephone number listed above. V~ truly yours, Board of Town Trustees JMB :ip cc: Bldg. Dept Board of Appeals Terry Latham, Latham Sand and Gravel ¢ I~uYl~ ~t~lt eA[~[~t~me~ ~o~,Er~v~ ~.m~ !al~e~ation Room 219, Stony Brook, NY 11794 A review has. been made of your proposal to: ~%%~ ~ .~X(~ {~ ~as~h~l~dr~tion you have submitted, the New York State Department o~/~vironmental Conservation has determined that the parcel _~. project is: ~ Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure greater than 100' in length which was constructed prior to 9~7~. Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' in elevation above mean sea level. _ Listed in Part 661.5 of 6NYCRR (Tidal Wetlands Land Use Regulations) as a use not requiring a permit or notification letter of approval. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, that no construction, sedimentation or'disturbance of any kind may take place seaward of the 10' contour or topographic crest 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 in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Depu(y Regional Permit Administrator 10-87-1112 Article 15, Title 3; 6NYCRR 327, 328, 329: Aquatic Pesticides Article 15, Title 5: Protection of Water Article 15, Title 15: Water Supply Article 15, Title Water Transport :' -" Article 15, Title 15: Long Island Wells Article 15, Title 27: Wild, Scenic and Recreational Rivers yc~ rate DEP^rTM~NT OF FNVIRONMENTAL £ONSERVAc PERMIT Under Ihe Environmental Conservation Law -----]Article 24: Freshwater Wetlands N-New, R--Renewal, M--Modification,' C--Construct (*only), O--Operate (*only) 6NYCRR 608: · Water Ouality Certification Article 17, Titles 7, 8: · SPDES Article 19: Air Pollution Control' Article 23, Title 27: Mined Land Reclamation EFFECTIVE DATE 7/21/87 7/31/89 Ptrmltl~$ueDtO ~.,, ~ . Robert Hulsmann ADI)R~SS OF PERMITTEE 64 Willow St., Floral Park, NY 11001 N/A Orient Harbor, Willow Terrace Lane Lot 5 Orient I Suffolk Construct ~ Article 25: Tidal Wetlands N --'--]Article 27, Title ?; 6NYCRR 360: Solid Waste Management* {--'~ Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management --'---]Article 34: , Coastal Er0slun Management [-----'~ Article 36: Floodplain Management [--'-~ Articles 1, 3, 17, 19, 27, 37; 6flYCRR 380: Radiation Control TELEPHONE NUMBER I TOWNIO~'~ { UFM COORDINATES ~outhold a 135 linear foot timber bulkhead plus a 14' return on southeast end. Bulkhead to be in line with and tie into~ existing bulkhead to northwest. Truck in 300 cubic yards clean fill from an upland source. Work to be in accordance with attached plans approved by NYSDEC (3 pages). GENERAL CONDITIONS 7/21/87 ' Alfred T. Keller Bldg. 40 S~ Rm. 219 SLony Brook, ~ 117 4 / ADDITIONAl. GENERAL CONDITIONS FOR ARTICLES 15 tTitle 5), 10, That if future operations by the State of New York requi~e an if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or weltare of the people of the State, or cause loss or destruction of the natural ~esources of the State, the owner may be ordered by the Department to remove or alter tim structural wolk, obstructions, or hazards caused ' 15, thereby without expense to the State. and if, upon the expiration or revocation of this permit, the structure, fill,' excavation, or other 16. modification of the watercourse hereby authorized shall not be cum, pier%d, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleled structure or fiji and restore to lis former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or a~teration, 11, That the State of New York shall in no c~,se be liable for any damage or in~u~Z to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage, 12. Granting of this permit does not relieve the applicant of the responsi- bility of obtaining any other permission consent or approval from the U,S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be requi~ed. of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any I other environmentally deleterious materials associated with the proiect. 14. Any materia~ dredged in the prosecution of the work herein permilled shall be removed evenly, without ~eaving large ~efuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. There shall be no unreasonable interference with navigation by the work herein authorized. It upon the expiration or revocation of this permit, the project hereby , authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Envi~onmenta~ Conservationmay require, remove all or any portion of the uncompleted structure or fJ~ and restore the site to its turner condition. No claim shall be made against the State of New York on account of any such removal or alteration, 17, If granted under Article 36, this permit does not signify in any way that the p~oject will be free from flooding. 18. If granted under 6 NYCRR Part 608, the NYS Department of Environ- menta1 Conservation hereby certifies that the subject project will not com~avene effluent ~imitations or other limitations or standards under Such approved plans were prepared by Latham Sand & Gravel 7/7/87 [cross-somalian SPECIAL CONDITIONS There is to be no dredging. . <.~ ' There are Lo be no outfall pipes draining into the bay through or over the bulkhead. Upon completion of structure a profile view of, structure stating distances in feet and inches between beach surface and top of bulkhead at each end on the property and photos showiug the beach and the face of retaining wall and return must be submittgd with written notice of completion to DEC in compliance with Condition #1. ~,,~', .... ~' if within 3 years of completion of structure the Department determines that damage has occurred to beach and/or adjacent properties as a result of toe scour a~ound this structure, the permittee will be required to install rip-rap, toed in,'on filter cloth, 4' wide x 2' high around Structure. Supplementary Special Conditions (Al through (J) attached. Additional Supplementary Special Conditions (M) (NJ attached. Pa, ge, 2 of 4 FIELD FOUNDATION Ilst) FOUNDATION I 2nd ) ROUGH FRAME & PLUMBIN~ INSULATION PER N. STATE ENERGY ~CODE FINAL ADDITIONAL COMMENTS'. TOWN OF SOUTtlOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL SOUTIIOLD, N,Y. 11971 TEL. 765-1802 To Whom 2Ills May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. /~/An application for Certificate of Occupancy / is ,,et on fi .o. /~o~ Underwriters Certificate on.file,' /~['ho check is (~t/not on file. /~/ No Ileal. th Dept. Approval on file. /-'~/ No final inspection has been made. Please centact (>ur office on this matter. Thank you for yo[~r cooperation. Build~ Dept. . ***/~/ Uo Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date i//~ ~h~ Building Permit No. /~ ~/~ (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plUmber's signature) Sworn to before me this , ~7 ev Lo/ LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER 1215 INLET LANE GREENPORT, N,Y. 11944 (516) 477-1652 BUILDING DEPT. INSPECTION [' ]~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION · 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [/FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS ! 85 ~HN ~T~. N~ YORK. ~W ~RK 10038 ' ~ ~P ~ppl~at~ No. on file THI~ CB~IFIBS THAT RORERT SORENS~. ~'tId',0~ TE~R~Cg O~IEHT, ~.Y. ~ exami~ on ~J~nd to ~ in c~l~ with the ~uirementa of th~ ~. DIYIIS I~CI MO~ ~ flI&TIIS ~ SIRV~I ~ S ~: II V I C I G. {,% C. 1:-8 P.O, BO)i 1768 SO0tH)1,1~ NY~ 11991. I,I CI,;NSI,; NO. ';~6.]Si,; ~X~EAI~ ~v~z~ (OP~O~) ~ o~ o.o~ 4 ZoO ~z~z/~ /~ % 383 o.58 /3,5o~ 1) H~TING ~UIP~ ~ ~ET 7'813.23 - 75% EFF. ~ THE BEST OF 2) ~TING CO~ROLS ~ ~ 7813.13 BELI~, ~ PROF~SIONAL ~GE 45 ~ 75 DEG~ES FA~EIT. ~ THESE PLUS 3) WAT~ H~TING P~ 7813.31 T~U .38. IN ~LI~CE ~TH THE CODE. 4) PIPE INS~ATION 7813.19 5) ~S - ~LE GL~S. 6) ~NS~UCTION ~ ~ET N.Y.S. E~ CODE. Toot< Th~s /A/ ~OARO OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY ,~ ...... --~ TOWN OF SOUTHOLD CHECK -- BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ~.//~..2~-. ......... 19 .~..ff ......... Disapproved a/c ..................................... /(Buildin~Inspector) APPLICATION FOR BUILDING PERMIT CALL ................ MAIL TO: 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation, 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) .......................... (Mailing address of applic~/nt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bui Name of owner of premises ...~...Q..~7.:.~...~'..~...~..~..~.?>.~.'.~.. ~..'..~.~...V~..~...~.5. .............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) , ALL CONTRACTOR'S I, IUST~ ILE_SUFFO.LK COUNTY LICENSED Builder's License No .... ~:.~. ~ ~.[. )2~ .,J-J. ....... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ~ .:..~...!....v._.....~. :.x.x. ?.~....-?..~. ~s ~-...~,.v,~.. P ~ >.~-.,~.~...' .................... House Num her Street Hamlet County Tax Map No. 1000 Section ~ '~ G Block ~ Lot. ~ ~ : Subdivision ~XSXe~ W~Q~5.G.~ Filed Map No. ~ ~ ~'~ Lot ~. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of prbp6sdd~'~On~d'~jen};,. a. Existing use and occupancy ...¢.Q).'~.. ~ N']-..w.. ~9 ?.. :lA S 9~: ~ ' 3. Nature of work (check which applicable): New Building / Addition Alteration Repair .............. Removal ..'. ............ Demolition .............. Other Work ............... J escnp.t~e.r~ 4. Estimated Cost ..... ..................... Fee ...................................... ,, ' (to be paid on filing this application~ 5. If dwelhng, number of dwelhng umts ............. Number of dwelling units on each floor. ~ .9 ~..~ .... h,. If garage, number of cars .... :~ ................................................ ~.. S~. ~?~.7. 6. If business, commercial or mixed occupancy, specify nature apd extent of each type of use ............. 5 ........ 7. Dimensions of existing structures, if ~ny Front. ~h. ~Rear . ~ ..... Depth..~ ....... Height . ~ ...... Number ~f Stores .... ~ ............................................... D~ensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ..... ~' ': U 25 ........ .8. Dimensions of entire new construction: Front ...~., x .... Rear . .~ ':~ ........ Dept . .~ ~ ......... Height .. ~.~ ..... Number jof Stories ..... ~ .................................. , ............. 9. Sizeoflot Front .... N.NO3 .... , ........ Rear...~.~..~Z5 ........... Depth ..N.~.O~ .... 11. Zone or use dist~ct in which~remisp~ are situated ...... ~ ~ ..... ~ ........................... .~ .... 12. Does proposed construction violate ~ny zoning law, ordinance or regulation: .. ~ ~ .......................... 13. Will lot be regraded .... .~.*..., ...... ; ......... ~. Will excess fill be removed fro~remises: Yes ~ 14. Nme of Owner of premises ~ x~ .~5~ ,aP~ddress . ~ ~ ~y~*¢ ~ ~e No.5~ [. ~}~. ff~ Name of Architect ~ ~.~'~.~ .x.~ Address ph~ ~ ~ ......... j ..................... ~ ............................ ~. ·. Nmne of Contractor ~0~ ~d~y ~Address o~g~.~Phone No B~-~ 15. Is this property locateJ ~i~hin 3J~'JeJt ;f a tid;i w~'~Y~/~'7:,~.. No ' ~ . [ ....... .... · If yes, 8outhold Tom Trust&es Permit maybe re0uired. PLOT DIAG~M Locate clearly and distinctly all bu'ildlngs, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. ~'~ ~ ~{~ .~_,~. ~ ~'"~ · ~'~O~ 5 ~. l%- ~ ~l being duly sworn, deposes and says that he is the applicant (Name of individual signiCg contract) above named. He is the ' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in ~he manne,t set forth in the application filed therewith. Sworn to before me ........... .... day ofj ..... 19 .. Notary Public~':: · , ~! Notary Pub~t, State of New ¥or~¢ ................................... ~ ,I . (Signature of applicant) : i NO, 728376, Suffolk County ! Ye~m Expires July 31, 1988 7G5-~,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. [ J FOUNDATION 2ND []INSULATION ~FRAMING []FINAL ~ r REMARKS: ~~ CLIP BED RM. I~S xl2© BED RM, BED RM. IIOxlO2 II°xl36 UPPER FOYER ATTIC DESIGN #2500 © HOME PLANNERS, INC. SECOND FLOOR 762 SO FT, COVEREB PORCH LIVING RM 140x 23o DINING RM 12o x 136 KITCHEN IIo x 136 FOYER BATH BIRKFST; 9'° x 1 36 MAS'T'ER BED RM, 12oxl56 FAMILY RM, I 3° x 206 LAUNDRY FIRST FLOOR 1851 SQ. FT, COVERED PORCH GARAGE 234 x 230 HOME PLANNERS, INC. 23761 RESEARCH DRIVE, FARMINGTON HILLS, MICHIGAN 48024 T-II ~ I , ED I. ~ I../~ ILl D ~-TA //...5 DATE 25 '- I//~, LIMEk'CA ~/TED IIIIII ~' O U I, J ZD ,~ 'T' I O I,.I MtmOVED ,As NOTI~ $UPPLY ~YSTEM ~OT ~. ~ EXCEED 2li0 ~ ~ ~D. n~ ~ILDI~G D~PA~J.~ ~O~NG ~UNDATiON ~ REO~R~ ~ ~ED~CON~ETE ~UGH FRAMING ~ 3. INSULATION ~ COMPLETE R')F[ C - ~' ' ~ co.s*",'~T. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY /VOTE~/ /~00 120 PSI 7~,0~000 .7/./~,~ ~ ' ,,, ,~,,, . ~ ~ ~--- ~ . ~1~,'~,~, ~ ~ ~, -- :~ -~ . ~.q,, ~ .,~ ~/, · j-~ ~lJZ, . -' ;,. ~ 2:4" ~" /4:~" ~ ;' 5~" ~' ~" ~ "" ~ " , ~ .. ,o~,,~,~, ~ . ~ ~ ,- ~ ~ -// ~ ~ , ~¢, ~ ~' ,..~,,,~.~.. ..~,,,, ,,~.., ,, .,~.. ;.. ~, ,, , , - . - ,, .... . ~ ....... ~&. ~ ~ ~ ........ ~ ~ .... ~ ~ ~ .,....,.... ~ ...... ~. }}' .,~4 ,,,,.,. ~,,..I ~ I Il& 0, I0" ~. I~Jo'' 1~/o// l~Lo" 7/~ ~" I/:4 "l //'..11' J~lB, ELE~4T/OH I I ,~.,v/_,~ /.~/= /do/`' I I I I I ,,~ ~ 7 cur t I I ~ l_.J ] t _j ~ t I [ cd:v,., DATE; REVISIONS BY D"'O" "0.2__500 NO. 4 6 /2 . I BY DATE NOTE= /. [ · I PLANNERS, INC. ,,-,o..0.2_500 5 6 /£ Iwc~ D I t,./ I M ~, /'-MAW. % '7'1 0 /,J .0.2.500 6 LINE ITEM QUANTITY & MATERIAL UNiT TOTAL LINE ITEM QU~ANTITY & MATERIAL UNIT TOTAL LINE ITEM QUANTITY & MATERIAL UNIT TOTAL LINE ITEM QUANTITY & MATERIAL UNIT TOTAL NO. COLUMN NO. 1 UNIT MEAS. (TYPE and/or SIZE) COST I COST NO. COLUMN NO. B UNLIT MEA$. (TYPE and/or SIZE) COST COST NO. COLUMN NO. 3 UNIT MEAS. (TYPE a,d/,r SIZE) COST COST NO.1 BESIGNCOLUMNNu. H.P.~' Z~UU4 UNIT MEAS. (TYPE and/or SIZE) COST COST t ~FST~N N~. H.P. 250[ I DESIGN NU. H.H,ZbUU ~ DESIGN NO. H.P.2500 e F~AMIN~ LUM~ (Con~ ~nued) z ~T~I~ FTNT~H MATFRIA~ ~ ~Continue~ 2 INTERIOR FINISH (Con ~inued~ , 3 :abinets 2 MAq~NRY ~ Interior Partitior s 3 Porch & Balcony T~m l" 6" 8'-0" Column Facinq 4 ~re~lace ~antel 3 Fnoe~nn~ 4 2~5 Pcs. 2" x 4" x 8'-0" Studs 4 16 Pcs. l" x 4" x 8'-0" ~ 1 Unit ~'-9~"x4'-6~"x7~" Colonial Fireplace Hant~l ~ l~ l in. F~. 16x8" 2b Cu.Y~s. 60/40 Gravel 2" 12'* 6'-0" 12 x x , s 146 20~10" ll8 Sacks Cement 5 1 Pc. x x Header 5 ~, 1 Pc. "xS"x6'-O" Solid Hood Mantel Shelf ~ lB6 Ex42" 170 Sq. Ft. 1" Fiberql~ss Perimeter Insulation ~ 16B~8 Lin. Pt. 2" x ~'~,,Plates ~ ? 2 Pcs. 2" x x 12'-0" Headers ~ ~dlnn ? ~ 2 l"x6"x6" Sha~ed Hood Mantel Brackets ~ 24 " t~x4~" 168 Pcs. 4" Drain Tile ~ 17'6 Lin. Ft. 2" x 6" Headers ~ 13~0 Lin. Ft. l" x 12" Vertical Panelin~ " 1" x 2" Batten Boards ~ F~m~lv Rnnm 8 4 Pad~ 30x30x16" lO 4" 4" Tees Els ~ 3 Pcs. 2" x 12" x lO'-O" Headers m~ 1340~78 ,1" x 6" Corner ~ m ' 1 Base 12'-11-3/4" x 24" x 32" Storage Cabinets ~ 1 "3'-8"x6'-8"xl~ ~ 4" ~ 10 Il" 3" I1 U~per 12'-11-3/4" x 12" x 34" Open Book Shelve~ ~ m 1 "4'-O"xT'-8"x12 6 " Vitrified Crock Tile H Cpilin~ FraminQ ~1 268 x Furrin~ Strips ~ ~ ~nll~ 15~ 4" Strip Felt 12 17 Pcs. 2" x 8" x 16'-0" CeilinQ Joists ~ gO " /4"x lO" Skirt Board ~ Baths ~2 lO gu. Yds. Pea Gravel ~3 19 " 2" x 8" x 22'-g" ~3 60 ;/4"x 6" s4 Base 24" x 32" x 21" Lavatory Cabinet ~ ~4 5 " ~" x 6" x 8'-0" 1~ t~ 54" X 32" x 21" 32" 21" ~ M~onrv Block W~I' s 2~5 2" x ~',', x 10'-0" ~ ~i~cellaneous Mil work 69" x x ~ 126 Pcs. 12 x 8 x 16" Masonry ~rad9 Blocks ~ 42" ~e 12 12 x 8 x 16" Corner m 116 2" x 6" x 12'-0" ~e Pair 16" x Louvered Shutters 24" 21" " 20" x 78" ~7 Pc. x Plastic Laminate Counter & Splash 16" ~? . 3~3 2" x x 14'-0" Beams s7 2 12" 12" 50" 1 54" 21" ~ 12 8 x 8 x m 114 2" x 6" x 16'-0" CeilinQ Joists m 1 Unit x x Metal Lined Window Boxes mm 6~" Xx 21" m 1274 12 x 8 x 16" Reqular m 118 2" x 4" x lO'-O .... & Ledgers m ~ 4 Pcs. 16" x 36" Medicine Cabinets 16" 60" 60" m ll2 8 x 8 x 12" Solid " ~ ~ INTERIOR FINISH 2~ 2 U~its x Aluminum & Glass Tub Enclosure ~ 96 4 x 8 x 21 Fxterior Doors 8" 2~ 24 4 x 8 x 16" 2~ Roof Framinq Exhaust Fan, Ducts & Roof Vents ~ 124 8 x 8 x 16" ,, ,, ~ 118 Pcs. 2" x 8" x 24'-0" Rafters ~ 2 Front 2'-8"x6'-8"xl-3/4" 4-vanel ~lazed Z~"x~o ~ 1 Uni e~ 9~" 8 x 8 x 16" ~ "L" Blocks 23 118 2" x ~',', x 20'-0" 2~ 3 Rear ?-8"x6'-B"xl-3/4" 4- 22"x36 ~ 6 2" x x 14'-0" 24 1 Garaqe 16'-O"x7'-O"xl-3/4" Overhead Door, Track 24 Kitchen E Laundr 36" 36" ~ 1 Base x x 24" Sink and Storag gu)boa d 2~ 15 gu.Yds. 5~/50 Mason,San~ ~ 6 " 2" x 8" x 12'-0" ~ and Hardware ~ 1 30" x 36" x 24" Cooking Top & 24" 24" Oven and ~ ~ ~rtar m ~ ~1 Pc. 2" x 8,, 8._0,, Rafters ~ ~ 1 x 36,, x 24,, Laundr~ ,' 8" x 18'-0" ~ Rafter ~ Insulation 6" ~ Fao~ &.~e~lin ~nsulation ~ 1 12" x ~',', x 24" 4 - Drawer ~ ] Cement ~ ~ 2" x x 10, 0,, ~ ~ ~ll lnsula%lon ~ ~ ~ ' Coati ~ ~ ~ x - ~~-~ ~wall Nallboard ~ 1 24" x x 24" m 4 Pcs. l~ ~ Linin~ 9900 - 12" x 36" x ~ 2 8 x 8" Cleanout Doors ~ ~ ~ ~ ~ ~ 1 36" ~ 1 Pc. 8" Diameter Steel Furnace Thimble ~ ~ ,~ ~ ~ 928 ~ ~ 9" x 36,,x 2~,, 31 1 6" Water Heater Thimble 3~ ] ~ 31 3600 Lin. Ft. Perforated Dr wall ~int Ta e __ 91 2 ~2 ~ ,, ,, ,- " " 32 600 Lbs., ~wall Joint Comoound ~2 1 36" x x 33 90 Hol dti t~~N a i 1 s ~3 2 32 ~3 ~ ~ 300 Lin. Ft. ~Cornerbeads ~ ~ ~ ~~ ~6 2 x lO Rid~ Member 34 ~ ...... - " 3~ ~ 8 x 8 ~ Steel Bearin~Plates 34 ~ 3S ~ ~ ~ 1~8 " . 2. X 4" Cornice Overhan~ Framin~ ~ ~ ~eel PiDe Columns ~ ~ ' ~ 36" x 30" 30" x 12" 3-Shelf ~ ~ ,, '- " I-B ams ~ ~ ~ 4~rnice Blo~ki~. ~ ~ ~ " . .Slat H arths ~ 1 ~ ~,, 2" x 4,, Rafter Crio~le Studs & Plates ~ 1 24" x x 12" 3-Shelf ~ ~ ~7 ~ ~1 ,, '- " I- " ~ - ~ ~ ~'-~' o ar ~es ~ Harble Thresholds~ ~ 1 ~ ~ x 24" x 12" 2-Shelf ~ ~ ~ 12" Steel Sash ~ UnQ aze eramlc ~ e DOt ~ ~ 24" Corrugated Stee~ ~ 40~0 ~Ft. Roof Sheathin~ 3~ ~ ~a s ove a~ ~ 1 ~ 30" x l~ 12" 1-Shelf ~ 2 " 37" Diam. x , ~ 45~0 15~ Buil~in~ Felt ~ 41 ~ 9 x 4 x 12 2-She f ~ 1 Pc. 84" x 24" ~~ 41 ~~~~I 4~ 3 Pcs. p~olders 1 24" x 20" x 12" 2-Shelf ~ ~ ~ ~ ~ ~ ~ ~~ Soa~ & Grab Bars ~I ~ ~ ~ ~~ .~ ~ ~ eln orclng ar ~ 4z RO FING & SHEET METI~ a:~l~ ~ ~hlnn ~ ----T ~ ~ Towel Bars ~ .3 1 Pc. ~ ~~ ~~~ ~ ~ ~ I~ ~ Plastic Lamina~ Counter & Solash ~ ~ ~ ~ 43 ~ 810 Lin. Ft.'~ "~ ~ ~y~' ~o ~ng ~~~ T ' ~1 40 ...... ~ ~ ~ ~~ ~ ~ ~ ~ 1 ,, ~~mi~te Counter & SDI~ sh i ~ 1 Pc~~~]-I ~ Lin. Ft. ~l ~ ~~~~~ ~ 1 " 108" x 2 .... _ . _ . i ~ ~3 Pcs. ~ire ~ce Lintel An les ~l ~~:2~ Skirt & Kick Boaro vlasn~nq ~ 306 " " Resilient Floor Til ~ ~ ~ ~~Exhaust Fan & Duct ~ ~ . ~~ 4~ ~~ Metal Dri Ed e I~ ~ ~ ~ 47 ~~ ~ ~~ Harwood Floorin ~~~ ~ ~~~~~ ~ ~ ~" 3~"x~" 48" ~~~ 5" ~' M~te~ Fl~hinqs ~~ ~ ~ 90 Lin. Ft. ~4 Re~rclng Bar ~ ~ ~~ ~ter Flashin s ~ ~l~~ Floorin Felt ~~~ ~ ~ ~ ~- x s umps ~ ~~ Wall t~f Flashino l~ 50 Lbs. 8d Floorin Nails ~~~ ~ Door Lock Set ~ ~ ~ ~~ Fir~rlc s ~ ~ ~ ~~~ ~ si ~ 1 '~ "~ S~ts Blind ~ ~ ~ ~~ 5~ ~ Window & Door Head Flashin~~ ~ ~ ~~~ 5,-0" Housed Strin ers ~l 4 Rear ~~~ ~ 61 ~ ~ ~~~~ ~ 52 Stairs ~ ~~ 5~ ~~ ~ ~~ Common Bric s ~ ~ ~ ~ ~ ',~ ~ 1 " Mail Slot Hardware 5~ 5/4" x 8" '- " Ce t~ ar~ s' ~ ~~M~se ~ad Bolts ~ ~ ~ ~~ ~~ ~ FI~ & BoSom Bolts ~ ~~ ~~[~I. ~ ~ " ~~~~ ~ ~..[.._ ~ ~ J S~t A~atic Fir ODD.loser __ ~ ~ ~ ~ _ ~ ~~x 3'-6" Treads ~~ 5~~ ..--~ ...... ~utts · 57 ~~ 3"x3'x~"x48 ....... 57 ' d ~~ HAVE BRISK M~LD ~G - .. ~ ~~ 3'-0 .... ~ ~ ~ ~ ~~~t ~ W~de ~ H1 ~ ~,,-~ .... ~~~~~ rlvacy Loc ets . ~~ 50 50 Mason Sand ~ ~~~ l" ~J' ~ ~'~'' Ri~rs " ~ ~ Hortar ~ 2 " ~6 ........ 4 " 6 ~ ~ ~ ~~ ~ ~~ 6~~ 13 Pcs. 12' ~ue Lininas ~ 6~ ~ ~ ~~~ ~~i~ ~. ~.~:~ ~ 6~ 17 Pair 3~"x3~" Butts ~ ~ ~~ ~ ~ 20 x 36 Casement Cut 2 3 ~ 62 6z 10 " 12" x 16 ...... ~~~ ~ ~ ~ ~~ ~ ~" Handrail ~ 6~ ~ " T~~~ ~--T ~ ~ 20" x 36" Diamond Pattern ~T ~~ 2~" Colonial Handrail ~~~ ~ ~ Handrail racke ~ ~n fete Slabs ~ ~~ ~~~ ~ll ~~52 1~"3>" ~ x ~" Tu~ Newel Posts ~ ~ ~ · · ' r · ~ ~~ ~ ~~~ ~ ,, ~ed Balusters ~~l ~ ll Pcs. ., ,, " " ' Pi . ~ ~ ~ ~ ~vewa ~iot Included ~~~~~~ ~~~ ~ ~ ~~l ~~ ll Pair ., " " " d m ' '.~ ~ ~__ Ext~labs ~ ~~/ire Reinfor~n Mes ~ ~ ~ ~~ ~l ~~ .... l~~ ' av ~~~~ 2'-8" x 6 -8 Rabbeted 1-3/4 - ~ ~ .... ~M a~ · ~~ ~ ~ ~~ ~~~ ~~~1 ~m~ire Door ~ 1 R am ~~ ~ ~ ~ Li.uid ~ment Hardener ~~ ~ ~M~ Casino ~~ ~ ~~ ~~ ~ ~ ~75 ~ ~~ ~~l ~~ ~~erhead Frame ~ --~7~ ~~ - -" ~ - - x - '8 ~-- 7~~~ ~~~~~-- --~ ~~~----i ~~ Bri~ Mold Casin ~ __~~~~ ~~ ~~~~~~~~ .... ~ ~ T ~ ~ ~ r~ le roc S ~ ~~-- T oor rames i ~ ~ o Bends --~ ~1o~~ , , ~ ~~~~~ ~ 30 8d Casin ,, ~ ~ --~ & Door Trim . -- ~ ~ ~ ~ --~~~ 5~~-- ~~ ~ · n / r -- 8~ ~ 60 ....~~ao~ nnnr Trlm -- ~ O~~ 1 Set 2'- " '- " - .... ' " -- ~ ~"~"'"'"'""" ~'"'-' "--- - --~ ~ ~ ~ ~~ ~ '- ,, ,_ . _ .... ~ ~ eT ~ ~ ~d F]~h ails ~ ~ ~~d on Desi n Strew, = O ~ 44 .... ~ " & Gara e ~or Trim ~ __ e~~ --~~~ d .... __ ~ ~~ 3 4" 4~" Cr n Mold ~ __~o~~~~ ,_ ,, ,~ ~ .... ~ ~~ea ~~ ~~~~ ~ 160 Lin. Ft. ~ Plates ~ ~ ~ ~~ ~5 36 Pcs. 10" Joist A le ~ ~ ~ ~ es Do~ Trim ~ .... - ~ --~ ~ 62 " 2" x 10" x 14'-0 .... ~ ~~ 1" x 8" Soffit " __~ ~ 5 " '- " '- " " ~ i ~~ ~ 1" 3" Bri~l~l b Code ~ ~ ~~~ffit & Cel ~ ~ .... s~ ~~~~ s~ ~~~d & Screened s2 ~ 2 Sid s ~~~ 92 ~~ sT 2 Pcs. ~ St~ural Laminated ~ ~~ ~ ~ ~ ~~~ Wood Beam S3 P1 odd Soffit ~ ~ ~ 1 Side '-0" '- " " -- ~~~~ -~~~ ~~ ~ ~5 4"x 8" ~ ~-- ~ ~ ~~ lO " 2" x 4" x 12'-0" " ~ ~~ ~~ ~~ ~~ ~ --~ ~ 72 l~eam Soffit ~~ ~ ~ ~ i~ ~ ~~~ i'2'-x Shoe ~~~ 2" ~" Plates ~~ ~~ ~ 11/16" x 3~" Ba ~ ~~ ~ ~~ ~~~forced with ~ ~ ~~~~~ ~ le~ ~ ~ ~~~ ~~~ l~n ~n.~f. ~de Pl~ood Beam Facin ~ jei ~ ~ ~ ~, 1~ 2 Pcs. ~.~6~~, Steel Plate - ~oI~' . ~~ ~~~ 1. x IZ" ~elwn. __~ lo2 ~ ~~ ~o~~ ~ ~o~ ~ ~6" Rake Board ~ ~ ~o2 ~ ~ ~ Iol~~ ra H d r ~~ ~ ~ ~~~ ~Hook ~ri ~~ ~o~ ~ ~~ ~~~ 2.... 4'- " ~ad rs ~o3 ~~ 1 x 6 ~ ~ ~o3 ~ ~~elf Cleat ~~ ~0~ ~ ~~ ~ ~ ~ x x 2 ~oo S e v~n 103 ~ .... O' O .... ~ ~ ~o~ 8" 4" G~o~er - Brick Mold Casi~ ~ ~o4 ~ ~ ~ ~ ~o4 ~ lo5 ~ ~ . .~ ~ iDB ~ ~ IT ~~ ~ ~los ~~ " " '- " " ..... I~ ~ 2 ,, ~~a~od Cornice Brackets,, ~~1l ~ ~ ~~~~~_ ~~~~ ~ ~ ~ ~ Exterior Wall Sheathinq ~~~~ ~~ l~j ~~ ~ 1/8 10% - ~ ~ ' ~ '" -- '" ----'" MATERIAL LIST