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HomeMy WebLinkAbout29068-ZFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEP~tTMENT Office of the Building InspecEor To~n Eall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30060 Date: 03/03~04 T~IS CERTIFIES that ~he building NEW DWELLING Location of Property: 1745 EAST GILLETTE DR EAST MA2IION HOUSE NO.) (STREET) (EAMLET) County TaxMap No. 473889 Section 38 Block 4 Lot 25 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 26. 2002 pursuant to wt~ich Building Pez~mit No. 29068-Z dated JANUARY 6, 2003 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 ATTACHED ONE C~/{ GARAGE AS APPLIED FOR. (MODULAR ROME) The certificate is issued to DANIEL F HIGGINS (O~R) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~ALTtI APPRO~QkL R10-02-0161 ELEC~RICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~rmu Rev. 1/81 12/18/0~ 03-~234 06/24/03 10/22/03 T~ FIRE PROTECTION FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED FULL pERMIT NO. 29068 Z Date JANUARY 6, 2003 Permission zs hereby granted DANIEL P HIGGINS 47 MAPLE AVE FLOP=AL PARK,NY 11001 ~or : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH AN ATTATCHED GARAGE AS APPLIED FOR at premises located at 1745 EAST GILLETTE DR EAST MARION County Tax Map No. 473889 Section 038 Block 0004 Lot No. 025 pursuant to application dated DECEMBER Building Inspector to ex~pire on JULY Fee $ 841.80 26, 2002 and approved by the ORIGINAL Rev. 5/8/02 Form No. 6 TO~T OF SOUTHOLD BUILDING .DEPARTMENT TOWN ltALL 765-18~2 ay, ~PLICATION FOR _~RT~_ _~A~ ,_,Th/s application must be fflted/n by typewriter or ink and submitted to the Bhilding 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 fromHealth Depu of water supply and sewerage-disposal (S-9 form). 3. Approval ofelectnca! mstalI~t~on from Board of Fzre Underwriters. 4. Sworn skqIement from p~umber codifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial btfild~ng, ~dustr}al building~ multiple residences and sim/far buildings and installations, a certificate of Code Cor2pl~e~ architect or engineer responsible for the bu/lding. 6. Sabruit Plarming Board Asrproval 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 Accuraxe survey 0fpropeny showing all property lines, streets, building and unusual natural or topograpl-dc features. A,properly completed application and consent to inspect signed by the applicant. If a Certifidate of Occupancy is denied; the Building inspector shall state the reasons therefor in writing to the applicant. Fees 1 Certificate of' Occupancy - New dweI ing $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinmaing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate o£Occupanc~ on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy" - $.25 4. Updated Certificate ofO~cupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15 00, Commercial $15.00 Date. New Construction: k/ Old or Pre-existing Building; Property: / ?/'~. S-- '~' Location of House No. Owner or O~er8 ox Property: Suffolk Co~ty T~ Map No 1000, Section Subdivision Permit No. Block Filed Map. Health Dept. Approval: ('check one~ Lot Lot: Date ° f Permit'~/~-~U '~'~nderwriters _Applicant: Approval: Plarming Board Approval: Request for: Temporary Certificate Final Cm'tificate: [check one) Fee Submitted: / ' - Appfica~(Sign~[t~/ O. {~Ox 1 't 7~ New York Fax (516) 765-1823 OFFICE OF T~E BUILDING INSPECTOR TOWN OF SOUTHOLD I uert-iify that the solder used in the water contains ie~s than 2/10 of 1% !ea~. Sworn to before me this No. O1P~U~'o i I:1:.I l [:: : ii I l ' ,ll:l~ .... 1 i i :Ill. i I I 1~ :llllll:l i iI i iI ' I: II ~: IllI I I 'I l1 .iII : :' i i ' ii I iI ,I ,i il i ~:l :l I~ I I I: ' i I ~l. II l::I l~I ~ ~i :l Il llll lI II I i Ill: :ill' I :lll~lI I ll: I II il I IlI i i[I I :~ lll I l' i i Il :illI' I I I il I Il i litI ~.y ...... ,.,. ~ .,. ,~. :~ r---/.'~ ~.~!'F~:~ .. "c ?:.r... ~ '~. U": S.. ~ z"< ,:~ ~ ~'~;. N,'. ~:.R P. S'. ~(',~ 'E ~.%~ z(r, lle. ...... ~,. SEC~ON ~- F~O~I~U~CE ~ MAP {F RM~FO~A~ON · B1 ~JP CO~NI~ ~E & ~M~NI~ ~M~ ~ ~U~ ~ME '~ B~. ST~ ~ '- J gU~E~ } m I ,, ~DA~ , ,, ] EFFECTI~SEDDA~: B10. Indite theseurce of the Base F graf [i,'=,lz:fi~n <27~) d;.i[6 5~'~.:.;: 2::c'f depth ente~d in ]~]~S;~r~flle', ~ FI~ ...' Camm~nP~ D3m?{m::: _~ Other (D~cn~ej;'~ Bl~.indi~leth~ele~fiondatumused <3r'"~FEfl:G$}' '~ N3'.,'D lg2~. ' _ N~VD1988 ~]Oth~r(D~fi~}; '_ _ B12. Is the b~ddl~ lo,ted m a Coa~al Bar~r Resou~ ~stem (CBRS) area or O~e~e P~te~e~Ar~,(OP~). ~{,Yse {~ No D~gna~off Da~L C1. Buil~ng~etevatiogs are based o0: [._iCarus.tract on' Drawings' __ Building J_~JFinished Construction A new E~evat on Certificate w 5e required when construction of thebu d ngs complb~te C2. B;uiiorfn~OiagramNumber ~>-- (Se~ectthebuildir~gd~agramm~stsim~art~thebuil~.ingf~rwhicb~htscertiflc~teisbeingeamp~?eo~see page~ 6and 7. ~no diagram accutatelyrepres.~.ts the building provide a sketch or photograph.) C3. Eie~ ,a~o? - Zones Al-A30, AE, AH, A (with BFE~, VE, VI-V30, V (with~BFE), AR; AR/A~ AR/AE, APJA'/~A30, AR/AH, AR/AC . Com~l~ Items ~3.~-i below according troths building diagram specifie~d ti Item C2_ State. the datum used. If the datum is different from the~d~at~m seed.for the. BFE n Section B;.sOpvert the datum ~o that u .~e~d for the BFE Show ~e~ mehsurements and datum conversion calculation. Us~the ~paca provided orthe Cbmn'~en~;s area ,of,SechbmD or Sechon G,~ a's appropna~e, [o document the datum conversion. Datur~. Conversidn/Cemm~nts _ -. ....... . ,., ____ _ _ Eleva~Jdd"referedce ~ark used _ ___ ____ O a')~Top~ofbottom floor (inctuding~,basem~nt'or;enc]~sure)'~ Q b) TOO of next higher floor __ Q c) Bottom of lowest horizor tal structural~member (V zones only) ......... . _~_ ~,,(m) O d] Attached garage (top of slab) / O . ~_ fL(m)' Q e} Lowest elevation of machinery and/er equipment servicing the building (Describe in a Comments araa.) __ __,/_~_ , ~_ ft.(m) O f3 Lowest adjacent (finished) grade (LAG) _~_ g) Highest adjacent (finished) ~rade'(H~G) /'O . O_ ft:(m), i Q Q h] No. of perman~t'openings (flood vents) within 1 ff. above adjacent graee ..... O i) Total area of alt permanent opening~ (flood vents) in C3.h -___ sq. in. (sq. cm) " SECTION D - SURVEYOR, ENGINEER, OR ARCHI~rECT CERTIFIC,~TION This certification is to be signed and sealed by aland surveyor, engineer, or architect authorized by la~ tc~ car~ify eJevatise information. I certi~, that the information in Sectietm A. B, and C on this certificate represents my best efforts to inte~rprel the data available. I understandthat any fal~e statement maybe punishable byfine orimpfi$onmeet under f8 U.S. Code;IL~ection fOOl. CERTIFIER'~NAME ~ _ L CENSE NUMBE~ ,~-~) ~_ O .~- ITLE ,~ _ ~/, LOJ~O '~ u-r'V~q0r' COMPANY NAME ~,, -- ~ ~' CITY f3 , ~ _ I STATE, ,.~ ZIP'CODE .~ ' ~(tV~tt~~d- [~q~. J I 't01 1--t (~heck~her, e if attachmen~t,s SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NO3' REQ,,UIRED) FOP, ZONE AO AND ZpN~ t~/ITH, C[U?= B:FE) ,~,~ For Zone Aa and Zone A (Without BFE), complete'Items El. through E4, If the Elevation Certificate is Trended for u~ as support ng informatio~ fat a LaMA orLQ~R~F, Section C must b~ completed. ' ~ {' El, B~fl~l~J3g Disg~ ~lum~e~. ~ ~(~.ele~ t~e btf~ldm9 ~agram most s~mllar to ~he bu ldrng for which this certificate Is bemg comp~ted - ......... ..... s ( .... e .... gp~ rev de a a)<etct~or, ph. t3~go mp.h~) ..... E3, ~er~;3 ~lld~ n ~ Di~!~ ra I~;S '~ .~;~[?~ ~penlngs ~aee~pa~qR 7~; the~nex[ h~gher ~'loor ~.ele~ated floor (ete~atl~i3. b) or,he ~i~cJing ts , , . SECjl3~I~'~= - ~P~p,.T~,. OWNER (OR OWNER S REPRESEN, ATIVE} CERTIFICATION , The p~pe~ owner~er owne~;u~h~eZed repr~.~enta~tjve who comp etas Sections A IB C (items C3 h and C~3 lea y) and E fbr Zone A (w ~o~t ~M,~ss~ed~or~¢m~n ~'~Ju ed ~E) or Zon'e Aa must s!gn~flera The~taternent~ in Sections~, B, C and E ere correct to the be~t o~,~y~knowl, edg~. % ' ~ SIGNATURE DATE' COMMENTS STATE [ ' ZIP CODE TELEPHONE . ~ . : !&-I Check here if attachments . SECTIQNG, - COMMUNtTYINEORMAT]ON (OPTIONAL) The [scsi official Who is authorized by {aw Or ordinance to adminiSter-the community's floodp[aJn maned, ernest ordinance can complete SectiOns A'~; C (erE), and G of this Elevation CertifiCate. ComCete the appficable item(s) and sign below, Gl. 1--~ ,~h~'information in Section Cwas taken fhSrd o, ther documedtaUon that ha~ been signed and embos, sec~ tiy aticensed surveyor, es'enact, or a~chitect who is authon'zed b~,~tete or ccal a'~ to cart f~ elevation nformat on;. ( ndicate the source and date of the e{~¥ation data-~n tee Comments area below,) G2. I-JI A~omm$~f~j'~fficP*~ completed Sect on F-..~ar abu d ng ocated n Zone A (w thout a FNMA-issued et community- ssued BFE} ar , Zone Aa. G3. ~ Tr, e fo,low~r¢2 tnform'~n ~ltams:G4-Gg) is provide¢ for community floodplain management purposes. C¢¢~[UM~E~ ~.~,~- L: G5.' DATE F~ERMIT ISSUED G6. DATE CERTIFICATE OF COIVIPLIANCE/OCCUPANCY G7. T~.pe~it-haa~?e~%i§eSed for: J,_,'_ New Construction --I Substantial Improvement G8. Elevat~ercdfJ~s~ba~t4owest floor (mcludmg basement) of the bu~ld~eg ~s: ....... ff.(m) Datum: __ __ Gg- BFE or (i~;~'~) depflt'of flcodieg at the buildin~ site ts: ', ff.(re)Datum: '" LOCAL OF FICIAL'S J,4AME TITLE COMMUNITY NAME TELEPHONE Check here if attachments ' · .;J'~d~TH T. TJ~YCRY TOV~/ C LEIU:( ' OFFICE OF TEIE TOWN CLERK TOWN OF SOUTHOLD PO go× IlV~l THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY, THE SoUTHOLD TOWN[ BOARD AT A REGULAR MEETING HELD ON AUGUST 2~, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two {2) new forms to be used under tt~e Flood Damage Prevent regulations of the Code of the Town of $outhold: "Floodplain Developmen3 Permit Application" [FDP(93)], and "Certificate of Compliance for Development in Special Flood Hazard Area [C/C(93)]. BLSG. DEFT.. TOWN OF SO'.J~O_Lq. Southotd Town Clerk August 25, 1993 APPLICATION PAGE I el ~ TOWN OF' 50UTHOLD FLOODPLAIN Dg'~rEbOPMENT PERMIT APPLi~CATIOiN This form is to be filled out in duplicate. SECTION I: GENERAL PROVISIONS (APPLICANT to rcao an_d 1. No work ma)' start tmdl a permit is issued. 2. The pemit may be r, yoked if any false statemen~ are made her¢im 3. If revoked, all work mtmt cease tmdl permit is re-kssued. 4. Dex, elopme~t shall not be tt~ed or occupied until a Certificate of Compliance isl issued. 5. The permit will expir? if fi'o work is commenced within six months of issu;mce_ 6. Applicant is hereby informed that other permits may be required to fiJlfill local, state mxd federal regulatory requirements. 7. Applica~. t I~rebT. gives comment to the Local Administrator or h~/her repr=eatadve, to mako feasonaNe 8. 1~ 'I'~E APPI.~C-AN'r, C:F~TIFY TI4AT ALL STATEMENTS HEi~I~iq AND ~ ATI'A~.EN'I~ TO (APFLICAJq"PS SIGNATURE) _ ~ _~. _ _ SECTION 2: PROPOSED Db-SrELOPMENT (To be completed by APPLICA/x~f) NAB<fE /j AI~DR ~$ ,..- TELEPHONE 7 PROJECT LOCATION: To avoid delay in preceding the application, please provide enough iaformation tel easily' identify the project iocadom Provide the street addre~ lot number or legal dexctiption (aaadQ and, outside m-ban areas, the distanc.¢ to the nearext intersecting road or well-kuoWU Lh/fidmark- A sketch attached io thEs application showing the project loczadou would bc helpful. FDP(93) APPLICATION PAGE 2 OF '~ DESCRIPTION OF WORK ~Check all ap~licablc boxes). A. STRUCTU~'~L DEVELOPMENT ACTIVITY ,STRUCTURE ~ ~ New Structure [] Addition [] A~teration [~ Relocation ff [] Combined Use ~idend~ Dcmo~tion' / ~ M~ufa~ed ~D CO~ OF PROtE~ $ ll;~%Resid~.~ ~n~( 1-4 Family) ~.-egidential (More than 4 Family) [] No.)..u~esidendaJ (Fioodproo£mg? [] (In Man~- OFdl Fl Mining Fl Excavation (Except - F1 Watercourse Fl Drainage. O Road, [] UI 0 I [] Grading Dea'elopment Checked Above) (Including Dredging and Channel Modilieatiorm) (Including Culvert Work) ge Construction Specify). After completing SECTION 2. APPLICAMT should submit form to Local Admiulstrator for revi~v. ~EGTIO.N 3: FLOODPLAIN DETERMINATION rte be completed bY_LOCAL ADMINISTRATOR) The proposed development is located on F[P3~ P:mc[ No. , Dated The Proposed Development: 0 lz NOT located in a Spexial Flood N,~'urd Asea 0qotify the app~c, ant that the application re~iew is complete and NO FLOODPLAIN DEVELOPMENT PEI:UM1T IS REQUIRED). FI Is located in a Special Flood Harard Area. FIRM zone designation is i00-Year flood elevation at thc site i~:' Ft. NGVD (M: L) O Unavailable [21 The proposed development is located in a floodway. FBFM Panel No. Dated fl] See Section 4 for additional instructions· SIGNED DATE -- AYPLICATI©N ~ PAGE 3 OF 4 SECTION ,4: ADDITIONAL I~.FOILMATION P~OUIRED~(To bc completed by L~QCAL ADMINISTR_ATOR~ Thc applicant must submit thc documents checked bc ow before thc app[Jcafiop c~u bc processed: site plan show;rog mc rotation oC all cxistLag structttres, water bodies, adjpccnt roads. dimensions and proposed development. Development plans, drawn to scale, and specificatkons, including where appEcable: details for a~choring structure& proposed elevation of lowest floor (indudlng basement), types of water resistant materials used below the flu-st Floor, details of floodproo£mg of utilities located below the la'st floor and details of endosm-es below the Fa-st floor. El Subdi~ion or other development ptar~ (I[ the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant ..must provide ~.00-year flood elevations if they are not otherwise available). ~ Pla~s showing the ~xte.~L of watercourse relocation and/gr landform alterations. 123 Top of new fill elevation t..ov (MSL). [] Floodprool'mg protection level (non-residential only) t~C.~ NG'V'D (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect_ El Ceaification from a registered engineer that the proposed activity in a regulatorY floodway will not result in .an~g increase in the height of the lO0-year flood. A copy of all data and calculations supporting this £mding must also be submitted. [] Other:. SECTION S: PERMIT DETERMINATION (To be completed b~LQCAL ADMINII~'TI:LaTOR_~ I have determined that the proposed activity:. A. B. [] Is not in conformance 'a4th provi~iorts of Local Law attached to and made part of this permit. SIGNED , · The permit is issued subject tothe conditions fB~ i~ ch¢ckc4, thc Local Adminktrator may izsue a Development Permit upon payment of dbsignated l. lf BOX B i~; checked, thc Local Administrator will provide a written summary o( de. ficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appe~!s. APPE.Zd~: Appealed to Board of Appeals? [] Yes O No Hca.ring date: Appeals Board D¢chioa ~- Approved~' [] Y~s Conditions [] No APPLICATION PAGE 4 OF ,1 ~Eu'71'ION 6: A~tBUILT ELEVATIONS rTe be submitted__bv.ApPblC,kNT before CertLVmate o[' C0mpbance The £ollowi~g h:fformadon must be provided for project structures. Thix section must be completed ~y a registered profe~io~al engineer or a licensed land sttrveyor (or attach a certificatiOn to this application). ComPlete: i or 2 below; · L Actual (A.s-Bt~ilt_) Elevation of the top of the lowest floor, inducting basement (in Coastal Hieh Haza'rd Ar~as, bottom of lowest stru'ctural member of the lowest lloor, excluding piling and columns) ix:. Fr: NGVD (~SL). 2- Actual (A.~-Built) Elevation of floodproo£mg protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information iz at the risk of the Applicant. .SECTION 7: COMPLIANCE ACTION (To be completed bv LOCAI5 ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based ou inspection of the project to ensure compti:mct: with the community's local law for flood dmzage prevention_ INSPECTIONS: DATE BY DEFICIENCIES7 0 5~c.S 0 NO DATE BY DEFICIENCFES? 0 ~ 0 NO DATE BY DEF[CLENC1ES? [] Y~ 0 NO ~EGTION 8: GERTIFICATE OF COMPLIANCE(T9 be comlvleted bY LOCAL ADMINI~FRATOR) C. ertil'icate of Comp~ance issued: DATE: BY: Attachment B ~A/~PLE CERTIFICATE OF CO~PLI~/~CE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD FIAZ~I~ (OVVNER MUST RETAIN THIS CERTIFICA~) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: m NEW BUILDING g] EXISTING BUILDING O VACANT LAND THE LOC,Cb ADMINISTRATOR IS TO COMPLETE A~ OR B. BELOW: A. COMPLIANCE iS HEREBY CERTIFIED WITH THE REQuIREMENTS OF LOCAL LAW # , I9 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH TILE REQuIREMENTS OF LOCAL LAW # _, 19__, AS MODIFIED BY VARIANCE # DATED. SIGNED: DATED: C/C{93} STATE OF NEW YOt~K DEPARTMENT OF STATE 4 I STATE STREET A,LIBAN¥. NY l 2~3 J -000 I Mr. ;Tim Novic Chelsea Modular Homes. Inc. P.O. Bo5 11'08, Route9W Marlboro_ NY 12542 August 20, 2002 RE: M0648-02-017; Modification of System. M0648-96-001, for compliance with Energy Conservation Construction Code of New York State Dear Mr. Novlc: Issued herewith in response ro your June 4, 2002 application for modific[ation of an approved system, 310648- 96-001. for compliance xvith the provisions of Energy Conservation Coustruction Code of New York State - 2002 Edition, is the FactoE Manufactured Home Approval designated as M 1648-02-017. as authorized under Part 1281 of the State Uniform Fire Prevention and Building Code. The approval is indicated by the New York State Department of State's "Stamp of Approval" placed aritho set of plans accompanyin~ this let[er. This approval Mil remain in effect for a period of two years from the date of approval, unless sooner revoked see item 3 below), subject to renewal thereafter mad the following conditions: 1. A copy ofthis approval latter shall accompany each factory manufactured structure plans derived from an approved system that are submitted to local jurisdiction in connection with a building permit application mad be deemed a duplicate original. 2. Documentation for each factory manufactured structure showing compliance with all pertinent requirements of the Energy Conservation Construction Code of New York State - 2002 Edition_ shall be submitted [o the local code enforcement official as part of the building permit application. 3. This approval will be revoked on December 31st. 2002 unless prior to that date the Manufacturer will secure approval for modification of the system to comply with provisions of the new Building Code of New York Stare or Resident~al Code of New York State. The fees required for this approval are: All fees have been paid. Enclosure File: 02-017AL.wpd Filing Fee $ 50.00 Plan Checking Fee $ 150.00(3hr ~ $50/hr) Total $ 200.00 Director Division of Code Enforcement and Administration ToWin Of So~tho]d P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 12/30/02 Transaction(s): Septic Permit - Construct- Res[d. Receipt#: 0 Cash SubtOtal $~0,0o Total Paid: $10.0~ Clerk ID: Higgins, Daniel F. 47 Maple Ave Floral Park, NY 11001 LINDAC Internal ID: 65764 Commonwealth Land Title Znsurance Company ~1177 Old Country Road, PO Box 419 I Riverhead, NYl1901-0203 lPhone: 631-727~7760 Fax: 631-727-7818 File No.: RH80020~32 SZNGLE AND SEPARATE SEARCH Effective Date: 1/22/02 Title No. RH80020432 Commonwealth Land Title Znsurance Company DOES HEREBY CERTZFY TO: TOWN OF SOUTHOLD THAT it has caused a search tc ~e made in the Office of the Clerk of tf~e County of SUFFOLK, in the State of New York, against the premises described herein and property adjacent thereto on all sides from :[/83 to date to ascertain the fee chain of title respecting the premises described herein and the property adjacent thereto and has found only the returns as set forth herein on the following pages as they bear on record title; and Certifies that the owners of the premises described herein have owned the same ~n single and separate ownership as defined by law during this period of time, except as otherwise shown herein. This Company's liability is limited to Twenty Five Thousand [$25,000.001 Dollars. NO policy of ~nsurance is to be issued hereunder. Premises: 1745 GZLLETTE Drive E~ EAST MARTON, NY District: 1000 Section: 038.00 Block: 04.00 Lot: 02S.000 County: SUFFOLK T/O: SOUTHOLD Commonwealth Land Title Znsurance Company CATHARZNE KZNG VZCE PRESZDENT Subscribed and Sworn to this 30th day of December, ~002. etary ub,e / Dated: 1/22/02 No~.~ PublA ~,a~e of N~,,., York ~i~led In Suffolk Single and Separate Search TQ20015NY [07/00) 7 ICANT: / CTM# DISTRICT: 1,000, SECTION: DATE REVIEWED: / /o DATE SUBMITTED:/~/~,/02 BLOCK: ~ , LOT: STREET ADDRESS: ] 5--~. ~,- .- ,-Z~£ CITY: ~sz- ~z~,~ SUBDIVISION: PROJECT DESCP&PTION: ~/~7~ 3~'~-z4-1~/~'-' :ESTIMATED PROJECT COST: ~C~TECT~: ~ FAST T~CK? ~o CERTWlCATION-~Q~D~ _~ NOTES: ~ ~g~ . reco~i~on.(C~ATED before June 30, 1983. ~DE~D LOTS FROM J~A997 100~25. ~er~n~ at any time a~ 7/1/8: LOT S=E: ~ACT. LOT S=E: Oi~q. LCT COV. ~2 ACT. LOT COV. { 6~ ,F OST PROP. F OST kkr. ~ .~ pROP. ~ ~ ~m.~i~nr PROP. ~O~ DESCRIPTION: m ]?d _ FLOOD ZONE: ~ , -- N [,TATE DEC: vPz~-I)ECg/V?5 YES or~_ TOWN TRUSTEES: YESo )ARD APPROVAL: YES or BOARD APPROVAL: YESor . PRE (SPLIA): YES o REs ENERGY:3%ORNO: SS (18 H irn~.? 4 sq total) /VENT (SQ. FT. x 4%). iBtJILDING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z- ~--[~AVE PRE CO'S: Y OR N BP NOTES: APPROVALS REQUIRED YES or NO, IT~ED #):4 DTE:/-~ 4.P~" / o,~. PERMIT #:RI0- LIGHT (SQ. FT. x 8%). ~'~E STRUCTURE: FOUNDATION: I s~ ~ SF FIRST FLOOR: I ~ -~ ~g SF SF SECOND FLOOR: OTHER: TOTAL: ; ( , SF)- ( SF 3 IT4 SF 2~ ( SF)- ( ~o~) SF)=Oj gOG SFX$ .20 =$ 4qt~8°+$ SF)= SF X $__ =$ +$ INIT OTHER TOTAL FEE +$ = $ CHAZN OF TTTLE FOR SUB3ECT PREMIsEs: District: 1000 Section: 038.00 BIo/ck: 04.00 Lot: 025.000 / 1) Peter ~31and and Son to Kenneth W. Thornhlll aad Alexanora F. Thornhill, his wife / 2) Kenneth. W. Thomhill * to Davio M. Wirtz · No proof of death found for Atexandra F. Thornhill. Dated: 6/30/58 Recorded: 7/2/58 Liber 4480 page 187 Dated: 4/13/92 Recorded: 5/4/92 Liber 11460 page 147 LAST DEED OF RECORD COmmonwealth Land Title Insurance Company VINCENT SETTE VP AND PRODUCT[ON MANAGER Single and Separate Search Subscribed and Swo~n to x.thi$19th day of Februar Nora RN~H~,liA Notar~ No. 498~119 Qualified in Suffolk Count Commission Expires July CHA]'N OF TTTLE FOR AD3ACENT PREM]:SES NORTH: CEDAR LANE Commonwealth Land Title l'nsurance Company VINCENT SETTE VP AND PRODUCT[ON MANAGER Single and Separate Search Subscribed and Swor~;e~ this 19th day of,FebrCary/', 2002. Notary Publib~) . Nancy A Lang ' New York Notary Public, StAte cT No. 4984119 Qu@.li~iod in Suffolk County ~.~ ~.,., ~ ,~.~ ~.~. ,,o ~,.s Juiv 15 1r9-_-~ CHAIN OF TI'TLE FOR AD.IACENT PREMTSES SOU~H: EAST GTLLETTE DPJ[VE Commonwealt~ Land Title Insurance Company BY: ~"~'--'~,~ VINCENT SETTE VP AND PRODUCT[ON MANAGER Single and Separate Search Subscribed and Sworn to t%th day of Febru.a ~,~02. Notary PubliCNa~_~¥; Lang No;~/Public, State,el'New York No, 4984119 Qualified n SuffoIk County ~ Cornmissioa Expires du y 15, CHATN OF TITLE FOR AD3ACENT PREMZSES EAST: District: 1000 Section: 038.00 6lock: 04.00 Lot: 026, 1) Herbert .~. EgerG Louise H. Ege~, his wife, Irving L. Price, .~r. and Lillian A. Price, his wife/., to Toba Laja Orro / J 2) Toba Laja Orro to George $iderakie and Helen Siderakis, his wife ,~O0 / / Dated: 9/2/70 Recorded: 9/9/70 Liber 6803 page 573 Dated: 8/19/86 Recorded: 9/10/86 Liber 10119 page 126 LAST DEED OF RECORD Commonwealth Land Title Insurance Company BY: ~ V'rNCENT SETTE VP AND PRODUCTTON MANAGER Single and Separate Search Subscribed and Sworn to t~his 19th day of Fe~uary.., 2~.2Z Notary Public. State I~W York No. 49841 I9 Qualified in Suffolk County _ Commissio~ Expires July 15, File No.: RH80020432 CHATN OF TTTLE FOR AD3ACENT PREMTSES WEST: District: 1000 Section: 038.00 Block: 04.00 Lot: 024.000 / / / 1) Charles J. Smith and Adele F. Smith, his wife EO James McLoug alin ano Joan McLoughlin, his wife 2) James McLoughlin aha Joan McLoughlin, his wife to Jay Koza aha Linda Koza, his wife Dated: 5/28/82 Recorded: 6/7/82 Liber 9193 page Dated: 2/13/84 Recorded: 2/29/84 Liber 9520 page 165 3) 4) .]ay Koza and Linda Koza, his wife to Max Pilossof and Margot T. Pilossof, his wife Max Pilossof and Margot T. Pilossof, his wife to Philip G. Herrmann and Patricia Herrmann, his wife Dated: 9/23/85 Recoraeo: 9/30/85 Liber 9884 page Dated: 8/4/88 Recorded: 8/9/88 Liber 10664 page 92 LAST DEED OF RECORD VINCENT SETTE VP AND PRODUCTION MANAGER Single and Separate Search Subscribed and Sworn to this 19th day of Februar~/,)2002, No. 4984119 Qualified in Suffolk County ~,'~/'Vt ~ Commission Expires July 15,~T9'~'~ / 765-1802 BUILDING DEPT. iSPECTiON [ / F~NDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE CHI DATE 765-1802 BUILDING DEPT. [ DN 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL FIREPLACE & CHIMNEY DAT£ ~~~ INSPE~ 765-1802 BUILDING DEPT. IN [ £ [ ]' FRAMING [ REMARKS: FOUNDATION 1ST FOUNDATION 2ND & CHIMNEY DATE 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ .]~LATION [ ] FRAMING [ ~ FINAL //?~] FIREPLACE & CHIMNEY DATE` i~~ INSPECTOR~/~~ ~ 765-~.802 .~ ~ BUILDING~DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING [ ] ~ION [ ,~INAL [ ] FIREPL~'E & DATE ~ECTOR PER!ffiT NO. Bu/lding Inspector APPLICATION FOR BUIX~G PERMIT Date INSTRUCTIONS a, This application MUST be completely filled ia by ~peWrker or iii ink aud subm~ed to the Building Im'pector with 3 se~s of plans, accura~e.plot plan to scale. Fee according m schedule. b. Plot plan showing localion of lot ami of buildings on p. remq~es, relationship to adjoining preanises or public streets or areas, a~d waterways. c. The work covered by this application may not be commenced before is~u~e¢ o£ Building Permit. d.. Upo~ approval of this application, the ~lai~g Impec¢or .witl' issue a Bailding P¢am~it re'the apptieam. Such a pcnm~ shall be kept on the premis~ available for incpection throughout the work. e; No 15uilaing shall be occupied or used in whole or in par~ for any purpose what-so-ever ~m~l a Cerffficate of Ocdup;mq is issued by th~ Buil&~ng Inspector. APPLIC~IXON IS ~¥ MADE to thc Building Deparxaem for the issuance Of a Baildlng Pea-mit pursuant to the Build~g Zone Ordiaa~c¢ of the'Towii of~Soulhold, Suffolk County, New'Yo~k, and 9ther applicable. Laws, Ordinances or Regulations, for the conaraetion 0f buildiags, additions, or alteratiom or for rmuowal or demolition as bm-cia desert-bed. The applicant agrees.~o comply w~th all applicable laws, ordiuaaoes, building code; hous/ng ood~, J~rt r~gutations, and to adrhit authorized iaspee~ors onprea~ises and ia builfllng for necessary inspections. State whether appl/cant is owner, lessee,' age~zT~ architect, er~gine~r, geaXeral oontra~tor, elecn~rician, plumber of builder ta~ o~ ~h~ ~ax roll I~ appl~can~ is ~ odrpormion, sign~tur~ of d~Iy ~uthofized officer (Name and rifle of corporate offic¢r) Builders License No. Plumbers License No. Electricians license No. Other Trade's License No. 1. or latest deed) Location of laud onmhie, h mr~l~osed work will be don_e: , Ho~e Nz~h~ S~¢~ Haml~ Co vT xM No', 000 S ao= Z7%'¢, Subdivision Filed Map No. Lot g~ate ~g useafif~.oe¢~ancy of~omises ~a~,e,,& g ,'I,,,' e .'.,n ,,,oce}~.pan~ Of proposed a. xi a g e a ,y ; ' ..- 'Nature ofwgrk(check whieh apl>he, able): New Bttilding . p/ ~itdition Repair : ' RomovaL, Demolition Other'Weak ECdmated Cost . Fee If dwelling, number of dwelling units / If garage; number of cars Alterafion, (D~s~ptioi~) (to be paid on filing this application) Number of dwelling units on each floor 6.. If:tS~si~ss, commemtal or maxed oocupancy, specify n~ture and extant.of each type of nsc. 7. Dimensions o±;[xisting structares, if anY, From //A~ Rear .Depth 'Height Nuraber of Stories r Dimensions of same structure with alterations or addit one: Front .Rear Depth H~igf~t Number of Stories 8, Dimensions o~'eatir~ new coustmction: Front Rear Height Number' of Stories Depth 9.. Size of lot: Front Depth 10. Date bf Purchase Name of Former Owner 11. Zone or ns9 district in'whibh premLqes are situated 12. Does proposed comlzuction violate any zoning taw, ordinance or r~gutation: ./~r¢ 13. Will lot be re,graded ~,5 Will excess fill be removed.from premises: 14. Names of Owner ofpremise~Add~ess Name.of Architect ~ Address Name of Contractor Adckess NO Phone No. Phone No ?hone N6, 15. Is this property witla~ 100 feet of a tidal wetland? *'YES NO · 12~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE R~QUIRED ~( 16. Provide survey, to scale, With accurate fourtdatioli plan and distances to property lines. 1.7. If elevation at auyp6im on property is at 10 feet or 15elo%. must provide topographical data on survey. STATE OF kN~'~/YOP, J~) (Name of i~di-ddnat sig~mg co/,~t~ct) above mm.ed. /¢o,-,~r, ~ent, borporate Offie~r' ere.) of said cocmer or owaers, and i~ duly amhozized to perform or t~:¢e performed the said work and to make an~ file t~s at>pJication; that a//statemems ¢onta~rted in this applieatioa are me m the best ofkis knowledge mxl belie~ mid tha~ the work w/I/be perJ3o~ned Jn the mariner se~ forth .in the appticatio:a filed therewith. 5URVE'IF OF: LOT 84 ~OJ~ ~~: ~ PERMIT Fo~ APPROV~ OF CoNSTRUCTION FOR A j j SINGLE FA~ILY RESIDENCE ONLY L FOR ~l~uu 0r ~ ~nn.& ~PIRES THREE YEARS FE~U DATE OF iPP~vtl 5 ¢ ~ 04-11-02 NOTE~: I MONUMENT ~OUNO O PIPE FOUN~ PARCEL E~IBT5 IN ZONIN~ DIBTRICT R-40 LOT5 OF T~ E ~UTHOLP TO~N COPE .***= ,o.,oo ,, o, o.=~ *o,~, JO;~ C. E~ERS L~D SURVEYOR , ~ ~s~ ~m s~ ~.Y.S. ~i~. ~o. so=o=. i O~APHIO5(,ALE I"= 20' ~,N.Y. 11901 ~ ~ ~69~8~88 ~ 3d9-8287 ~.~ se~er~d~OS~02-t4Z.~ro MAC' FILE~ AMEN~E~ MARION MANOR 18,, IqS~ FILE No. 20~6 EAST MARION -0~02 -~q-02 TAX ~ N S NOTES~ I 0 LOT5 A~EA ®~APHI ~ONUh'1ENT FOUND PIPE FOUN~ ~15T5 IN ZONIN® DIBT~ICT R-40 BABED ON NONOONFORMIN® BOUTHOLD TOkeN GO~E ~EFE~ENOE ~UFFOL~ COUNTY TOPO ~AP5 JOHN C. EHLERS LA2 ~D SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y, 11901 369-8288 Fax 369-8287 REF.\KHP SERVER~D~PROS\02-141A.pro 5, OF LOT 8,1 -. MAP (:)F: MARION MANOP..N FIL.tD::: I',fAI~_4'-I I,D, IqS~ PILE No. 2OS8, -m 51TUA ih: EAST i~IARION L~-2:;¢'~ \ w~~ I MONUMENT FOUND 0 , ~,- ' ~JPE FOUNP ~ET~AF~K~ BA~E~ ON NONOONFORMIN~ '-~ ...... **~., :,~ ooo ~. o. o.:~ .¢~ x ~;';:~o.':; ;q;;.¢.~¢~gOHN C EHLERS L~ND sURVEYOR ..........,. ~.~ 6 EAST ~ S~ET N.Y.S. LIC. NO. 50202 ~~ ~ 369-8288 F~ 369-8287 ~F.Xmp se~erXd~ROSX02-141~pm , APPROVED AS NOTED ..,Lm.o ^. 765-1802 , AM TO'4 PM ~mo" THE ?~0VIDE % BR. FIFE RATED SEPARATION TO PART. 717.3 (f} (I) OF ILY. STATE BUILDgN~ CODE. F~0~'~DE $~OKDDETEOTJ~ ALAR~ DEVJOES AS TO FART. 721o1 N.Y.S BUiLDiNG CODE. O0 NOT PROCEED WiTH FRAMING UNTIL SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED. PLUMB£R CERX~/CA2'ON E~E~GE~CY EScaPE AS O~F L~4,~ CO,rV~/V~ B~O~ ~E~D~ED BY PA~T. 714 OF CERY/P/CATE OF OCCUPANCY N,Y. STATE BUiLDinG CODE, SUPPLY S?Z~7£M CANNOT of t~s K or L on~ UNDE~I~'R~TERS OERTE~CA~ REQUIRED PROVIDE ANTI-SCAI. D AND/OR THERUAL SHOCK PREVENTI DEVICES AS TO PART. N.Y, STATE BU!/.DING CODE. FLOODZONE COMPLY WITH OHAPTI:::R'"~6" FLOOD DAMAGE PHI::VI::NTION $OUTHOLD TOWN CODE. ALL PLUMBING WASTE & WATER BNES NEED TESTING ~EFORE COVERING cJNO!BIA~I ~8 °<uu~d i~RoR~ :tu.~uodt..uoo .,Jo lepo{,'.j 'tu~:tsF, S ~ Jo) i~^o.;dd~ jo l. O00*Lg~g~, AN 'ANV~3¥ NOISi'/~ ICI S3aoo 31V15 dO IN3~N1W~d30 rm LLJ IL.I-- ~< -_., ~-(.D .~< tO--'-. O~ J I O - ~o : z I I[ Table ]: ~rinimum Insulation Thickness for Circulating Hot WaterPipes. I Insulation Thickness in Inches bv Pipe $ize~ Heated{Wafer Non-Circulating Rur~0uts. Circuhtine Mains and ~unouts ~ _Up_to i" Up to 1.25" 1.5" to 2..0;' .Over 2~ '" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 0.5 0.5 0.5 t.( Table 2 essjbr HI/A C Pipes. Low LoW q Fluid Temp, Range (F) Insulation Thickness m Inche~S bv Pipe_S ze~ 2" Runou~_s 1' and Less !.25" to 2' 2.5" to 4" 201-250 1,0 1.5 t.5 2.0 120-200 0.5 1.0 1.0 1.5 Any, 1~0 I.( 1.5 2.0 40-55 0.5 0.5 0.75 1.0 Below 4( 1.0 1.0 1.5 1.5 FIELD Building Deparm~ent Use Only. Permit Number Checked By/Date gy C~onservation Construction Code Version ,3_3 Release 1 c 2 - GILLETTE York TYPE: Detached 1 )r 2 Family DATE: DAFFE LANS: 08/15/02 NOTES R N CORP. IN"FORMATION: IODULAR HOMES 1.0% Bttter Ceiling [: F Wall 1 :~Vo Windo¢' 1: Door 1: Door 2: [Sol Door 3: Sol Floor llAII COMP~IA7 submitted profess Builder CE: Passes 3O8 Gross Glazing Area or Cavit5 Cont. or Door Perimeter R-Value R-Value U-Factor UA at Ceiling or Scissor Truss ~d Frame. I6" o.c ~Vood Frame. Double Pane with Low-E d Wood Joist/Truss Over Unconditioned Space 1598 30.( 0.0 56 1452 I9.C 0.0 68 199 0.370 74 40 0.340 14 37 0.280 10 40 0.280 11 i598 i9.( 0.0 75 JCE STATEMENT: The proposed building represented in this document is conststent with the building plans, specifications, and oth~ calculations ith this permit applicanon. The proposed systems have been designed to meet the New York State EnergT Conservation Construction Code When a Reg~srered~Design Professional has stamped and signed this page, the3 are arresting that to the and judgr~nt, such plans~or specificatioi?~s are in compliance with this Code. best of his/her knowledge, eel/el', DEPARTMENT OF STATE CODES DW[SION ALBANY. NY 12231-000'~ Stamp ol Approval {or a Dl~catioq No M~nu~Co.~rer's '4o. Date of Approva~ MEG,cheCi~ !inspectiOn Checklist New ~drk State Ene~rgy Conservation Construction Code MECch~k Software Version ~.3 Release 1 c DATE: I8/~9/02 TITLE:[~7{ - GILLETTE Dept, Use [ ] [ ] [ ] [ ] [ ] ] ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] flings: Ceiling 1: Fht Ceiling or Scissor Tress_ R-30.0 cavity insulation C~mmenrs: 3ye-Grade Walls: Wall i: Wood Frame. I6" c,c., R-19.0 cavity insulation Comments: [ndows: Window 1: Wood Frame. Double Pane with Lo~v-E U-factor: 0.370 For windows without labeled U-factors. describe features: # Panes Frame Type_ ThermalBreak? [ ] Yes [ CommenTs: ] No Door 1: Glass. U-factor: 0.340 ~ Panes Frame Type_ Thermal Break? [ ] Yes [ ] No Door 2: Solid U-factor: 0~280 Commems: Door 3: Solid U-factor: 0.280 Comments: ors: Floor t: All-Wood Joist/Truss Over Unconditioned Space. P._-19.0 cavity insulation Comments Leakage: Jqints, porte,canons, and ali other such openings m the building envelope that are sources of air leakage must be sealed. R~cessed lights must be l) Type IC rated, or 2) installed inside an appropriate a/r-fight assembly with a 0.5 clearance from combustible mater/als. Ifnon-IC rated, the fixture must be installed with a 3'1 clearance from thsalation apor Rets rder: tared on the warm-m-winter sideof all non-vented ~amed ceilings, ~alls, and fie ors .'rials Identification: ~terials and eqmpmem must he installed in acc ordance with the manufacturer s instalfafion inst~ctions. ite~fals and eqmpmem must be identified so that compliance can be detarnined mufacmrer manuals for afl installed heating mad cooling eqmpment and service water heathrg a~pmenx must be provided ;ulation R-values and glazing U-factors must be clearb marked ¢ n the buildmg plans or specifications. mcr Insulation: pp*y ducts in unconditioned attics or outside the buildin~ must be insulated to R-8. turn ducts in unconditioned attics or outside the building must be insulated to IK-4 pp.ty ducts tn unconditmned spaces must be insulated to R-8 turn ducts in unconditioned spaces ~except basements must be insulated to R-2. mlatinn rs nor rec}uired on remm ducts in basements ~ct Construction: l joints, seams and connections must be securely fastened with welds, gaskets masncs lhes~ves), mastic-plus-embedded-fabric, or rapes. Duct tape is not permitted. ce~rzon: Continuously welded and locking-type longitudinal joints and seams c n ducts erarmg it less than 2 in. w.g. (500 Pa~ tcts shall be supported ever~ 10 feet or in accordance with the manufacturer's instructions. >ling ducts with exterior insulation must be covered with a yap >r retarder. r filters ate reqm~ed in the return atr system e HVAC system must provide a means for balancing air and water systems ,mperarure Controls: ch dwelling unit has at lesat one thermostat capable of automatically adjusting the space nperamre sec point of the targesr zone. ectric Systems: parate electric meters are required for each dwelling umr. replaces: :eplaces must be installed with fight fitting non-combustible fireplace doors. :ephces must he provided with a source of combustion air. as required by the Fireplace consrmctinn >visions of the Buifding Code of New York State. the Residential Code of New York State or ~. New York Cic~ ~uilding Code. as applicable trice Water Heating: acer heaters with vertical pope risers must have a heat trap on both the inlet and outlet unless the uet heater ttas an integral heat trap or zs part of a circulatlng system. ~ulate circulating hot w6ter pipes to the levels in Table 1. reulating Hot Water Systems: sulate circulating hot water p~pes ro the levels in Table 1 rimming Pools: All heated swimmi~rg pools must have an or//off heater switch and require a cover unless over 20% 0fthe heating energ'y' is from non-depletabte sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: HVAC p ping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the levels/n Table 2