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HomeMy WebLinkAbout29865-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30232 Date: 06/08/04 THIS CERTIFIES that the building ALTERATION Location of Property: 260 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 145 Block 2 Lot 1.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 28, 2003 pursuant to which Building Permit No. 29865-Z dated NOVEMBER 13, 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 WINDOW ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN C DILLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A or' ed Sigidture 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. 29865 Z Date NOVEMBER 13 , 2003 Permission is hereby granted to: JOHN C DILLER 162 CHARLESTON PARK NASHVILLE TN, 37205 for ALTERATIONS & ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 260 GREAT PECONIC BAY BLVD LAUREL County Tax Map No. 473889 Section 145 Block 0002 Lot No. 001 . 006 pursuant to application dated OCTOBER 28, 2003 and approved by the Building Inspector to expire on MAY 13 , 2005 . Fee $ 246 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool $25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. �jld New Construction: Old or Pre-existing Building: (check one) Location of Property: leo Pnel .UC_ �/�j QL✓ID 1"e4_ House No. Street Hamlet Owner or Owners of Property: .Jiqtv C. '94- At, y Af_ Suffolk County Tax Map No 1000, Section Block a>2 Lot Subdivision Filed Map. Lot: l � Permit No. 21 ��O S Date of Permit. �� (1:5 o Applicant: :.•I_r4 i244w_-9t,' Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check ne) Fee Submitted: $ 2_�—o J plicant ignature TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET =Z VILLAGE DIST. SUB. LOT ((__ n r ' fl C ii1e�r iG G' V FORMER OWNER N N r a E --" ACR. 50) r 2 MCN(A S W A I' l 'l CODE DATE OF CONSTRUCTION .2- LAND IMP. TOTAL DATE REMARKS �v o 3 5a v C 3 a s/!/� /� p /.',1? //a 3 d "' ,,.parr, u C/w'! fi �• �' �"`� a r Z 5 Cacti` c� S30 Z 1 t 141r,46 Q � - SWL Z fl Up t-70 lotljq &oA141,1(3- L^ a - C-[�u ' - s 3 i6, RGO A, L 1 I Cir �t r Tillable FRONTAGE ON WATER �c , '`/ a a' Woodland FRONTAGE ON ROAD Meadowland DEPTH ,_ House Plot BULKHEAD Total G M. Bldg. _ �� S �/D 3 Foundation 16% �� Bath // Extension Basement Al `/ Floors Extension Ext. Walls �tK r// Interior FinishMOAM E ion `O : t�0 4 Fire Place Heat l 136 l9 [0-.1 IDO 0 L coo Porch ?22let Pool Attic X � Deck _ v 2 ' L f Patio Rooms 1st Floor amemwiNIt ?d t` Driveway Rooms 2nd Floor 0. B. s New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 -SUNY, Stony Brook, New York 11790-2356 imbue Phone: (631) 444-0365 - FAX: (631)444-0360 - Website: www.dec.state.ny.us Erin M.Crotty Commissioner LETTER OF NO JURISDICTION September 11, 2003 John Diller 162 Charleston Park Nashville, Tennessee 37205 Re: Application #1-4738-00663/00005 Property, SCTM # 1000-145-2-1.6 Dear Mr. Diller: Based on the information you have submitted, this Department has determined that: The property landward of the pre-existing, functional bulkhead, which is a minimum of 100 feet in length, as shown on the survey prepared by Young & Young, Land Surveyors dated June 17, 1947, as updated February 25, 1976, is beyond the jurisdiction of Article 25 (Tidal Wetlands Act). Therefore, in accordance with the current Tidal Wetlands Regulations (6NYCRR Part 661) no permit is required. Please be advised, however, that no cgnstruction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that al% precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Sincerely, Mark C. Carrara Permit Administrator cc: MHP file IV110/Ua THU U3:43 FAA 516 765 1366 Southold Town Accounting 1001 Albert J.KrupWd,President . . S10F0�� Town HaII James King,Vioe-President �'�� 53095 Route 26 Artie Foster P.O.Bos 1179 Tien Poliw oda , Southold,New York 11971-0969 Peggy A.Dickerson �. Telephone(631)765-1892 Q,[ � Fax(631)765-1366 HOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 7, 2003 Mr_ John C. Diller 264 Peconic Bay Blvd. P.Q. Box 39 Laurel, NY 11948 RE: 264 PECONIC BAY BLVD., PECONIC SCTM#145-2-1.6 Dear Mr. Diller: The Southold Town Board of Trustees reviewed the survey prepared by Howard W. Young last dated July 2, 1982 and determined the construction of an addition on the landward side of the existing dwelling to be out of the Wetland jurisdiction under, Chapter 97 of the Town Wetland Code and Chapter 37 of the Town Code. Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97)and the Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. However, any activity within 100' of a Wetland line or seaward of the Coastal Erosion Hazard Area would require permits from this office. This determination is not a determination from any other agency. IV/10%U3 'THU 03:43 FAX 516 765 1366 Southold 'Town Accounting 0 002 2 If you have any further questions, please do not hesitate to call. Sincerely, Albert J. Krupski, Jr. President, Board of'Trustees AJK:ims • Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code RES check Software Version 3.5 Release 1 Data filename: C:\Program Files\Check\REScheck\Diller Residence.rck TITLE:Diller Residence COUNTY: Suffolk STATE:New York HDD: 5750 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:09/25/03 DATE OF PLANS: 9/26/03 COMPANY INFORMATION: Donald G.Feiler-Architect COMPLIANCE:Passes Maximum UA= 117 Your Home UA= 104 11.1%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 310 30.0 0.0 11 Wall 1:Wood Frame, 16"o.c. 717 21.0 0.0 34 Window 1:Wood Frame:Double Pane with Low-E 102 0.320 33 Door 1: Solid 21 0.590 12 Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 310 21.0 0.0 14 Furnace 1:Forced Hot Air,78 AFUE Air Conditioner 1:Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment, such plans or specifications are in pliance ' h this C e. Builder/Designer Date (0 ( d I\ hlG SHow�R:_._. 3" Lr9r iL i1 mw-- -0-w I �D e�.q ce.. RE D _ �S�E ARC -PSNIG P-0-0. lh-1/0, L6.Jf EJ—, M o° OA 14IN f f: DONALD G. FEILER • ARCHITECT 11725 Main Awd MaStuck, NY 11952 - (516)298-UW 015a� �p`b� DONALD G. FEILER • ARCHITECT 11725 Main Rd•Box 1692•MattlTuck,NY 11952•631.298.5453•Fax 298.1380 LtJ+J S November 5, 2003 Mrs. Patricia Conklin Town of Southold Building Department Town Hall, Main Road, Southold, NY Re: Proposed Addition to the Diller Residence 260 Peconic Bay Boulevard, Laurel, NY Dear Mrs. Conklin: I have investigated the existing sewage disposal system at the above mentioned project, and can verify that its capacity meets the requirements of the Suffolk County Department of Health Services for four bedrooms at the existing single family dwelling. Also included is a Plot Plan with Floodplain Boundary lines plotted, taken from Flood Insurance Rate Map 3603C0483G Panel 483 of 1026, dated May 4, 1998. Existing elevations are as follows: Finish First Floor: 17.1 Lowest Floor (Basement): 9.6 Please include this information with the owners Building Permit application. Thank you for your consideration. Donald G. Feiler wi.AE Q 4R" G o � Y ty y (.. �q 0150% if �f NEIN �� TAT ,TJX �TJA R ILD-1 � G.J P T71� �C7��'ZZ�V,II��L��Tl Applicant/ _ Date. Owners Name: J 4 / l�, I t,,✓ Reviewed: 1� 03 Architect/ Date Engineer: Submitted: oo3 SCTM N: ` District: 1.000 Section: 13 lock: c;12 Lot: Project ��� Subdivision Location: �-- _ _ Name: Single& separate Required certification: (Yes/No) Req. Rcq. Zoning District: 11,0(size: 4;�Oj nm Actual: I (1.01covcrage,2� Proposed �l Req. / Rcq. Req. Po (�J ( _1�' p �) (Rear Yard Sa, Proposed — l ((=roof Pard � Pro se4: (Side Yard 3 I ro osed: Project Description: AGENCY-RERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number 1 Suffolk County Health Dept. New York State D. E. C. — • v Town Trustees Town Zoning Board approval: _ Town Planning Board approval: Flood Plane Elevation??? 3 Flood Zone: qI Notes:. K NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: 45 Wind Speed: 120MPH Seismic Design Category: B� Weathering: Severe Frost Depth:36" -Termite:M-H — Decay: S-NY Design Temp: 11 / Ice Shield Underlay: YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: i DESIGN CRITERIA: ENGINE D/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N / HEADERS:Y/N WALL STUDS:Y/N / GIRDERS: Y/N CEILING JOISTS:Y/N FLOOR JOISTS:Y/N ROOF RAFTERS:YIN LUMBER SPECIES AND GRADE:Y/N DESIGN LOAD CALCULATIONS: Y/N LIVE:Y/N DEAD:Y/N SNOW:Y/N SEISMIC:Y/N WIND: Y/N /"y WINDOW AND DOOR SCHEDULE: l MISSLE TEST REQUIREMENTS: Y/N'' EGRESS 5.7 S.F.: Y/N_/ LIGHT 8%: Y/N �� VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE�-VN MEANS OF EGRESS: Y/ PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N ./ TOTAL COMPLIENCE?Y/N (RETURN TO PAGE ONE) BUILDING PERMIT EXAMINER CHECKLIST DATE REVIEWED: _/ /03 APPLICANT: DATE SUBMITTED: / /03 SCTM#DISTRICT: 1,000, SECTION: , BLOCK: , LOT: SUBDIVISION: ADDRESS: CITY: ZONING DISTRICT: CONFORMING? BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N BP -Z/C/0 Z- , INFO /BP -Z/C/0 Z- , INFO BP -Z/C/0 Z- , INFO /BP -Z/C/0 Z- , INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LOTS 40,000SF-100..-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83) REQ. LOT SIZE: ACT. LOT SIZE: REQ. LOT COV. ACT. LOT COV. REQ. FRONT PROP. FRONT REQ SIDE ACT. SIDE REQ. REAR PROP. REAR REQ. HEIGHT PROP. HEIGHT PROJECT DESCRIPTION: ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: WATER FRONT? DESCRIPTION: PANEL # FLOOD ZONE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED#): DTE: _/_/_ PERMIT#: TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or NO DTE: /_/_ PERMIT#: SOUTHOLD TOWN TRUSTEES: YES or NO DTE_ /_/_ PERMIT#: TOWN ZONING BOARD APPROVAL: YES or NO DTE: /_/_ PERMIT#: TOWN PLAN. BOARD APPROVAL: YES or NO DTE__/_/_ PERMIT#: TOWN HISTORICAL PRE (SPLIA): YES or NO NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. ( SF)- ( SF)= SF X $ =$ +$ +$ =$ 2. ( SF)- ( SF)= SF X $ =$ +$ +$ =$ 3. ( SF)- ( SF)= SFX$ =$ +$ +$ =$ FINAL TOTAL: $ Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release 1 Data filename: C:\Program Files\Eheck\REScheck\Diller Residence.rck TITLE:Diller Residence COUNTY: Suffolk STATE:New York HDD:5750 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:09/25/03 DATE OF PLANS: 9/26/03 COMPANY INFORMATION: Donald G.Feiler-Architect COMPLIANCE:Passes Maximum UA� 117 Your Home UA= 104 11.1%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 310 30.0 0.0 11 Wall 1:Wood Frame, 16"o.c. 717 21.0 0.0 34 Window 1:Wood Frame:Double Pane with Low-E 102 0.320 33 Door 1: Solid 21 0.590 12 Floor 1:All-Wood Joist/Tiuss:Over Unconditioned Space 310 21.0 0.0 14 Furnace 1:Forced Hot Air, 78 AFUE Air Conditioner 1:Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief and professional judgment, such plans or specifications are in pliance ' h this C e. Builder/Designer Date (� d �N�_ytT1S I� I kc, 3" 1 Lr .... ....... Waw To 9j�, 015>i56 0�� DONALD G. FELLER • ARCHITECT w It 11725 Mon Rood • MatStuck/ W 11952 • (5 16)295-54W DONALD G, FEILER • ARCHITECT .:11725 Main Rd•Box 1692•MattBuck,NY 11952•631-298-5453•Fax 298-1380 2003 I A November 5, 2003 Mrs. Patricia Conklin Town of Southold Building Department Town Hall, Main Road, Southold, NY Re: Proposed Addition to the Diller Residence 260 Peconic Bay Boulevard, Laurel, NY Dear Mrs. Conklin: I have investigated the existing sewage disposal system at the above mentioned project, and can verify that its capacity meets the requirements of the Suffolk County Department of Health Services for four bedrooms at the existing single family dwelling. Also included is a Plot Plan with Floodplain Boundary lines plotted, taken from Flood Insurance Rate Map 3603CO483G Panel 483 of 1026, dated May 4, 1998. Existing elevations are as follows: Finish First Floor: 17.1 Lowest Floor (Basement): 9.6 Please include this information with the owners Building Permit application. Thank you for your consideration. Donald G. Feiler G FF FCj, �9 0151356 TE �f NEIN �� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ , INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE- '111610V INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [k, FINAL [ ] FIREPLACE & CHIMNEY [ J FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR '`"� 8 t � FIELD•]NSrEC'TION AMIR ATE ��lIJ LIi C�7 1L7 w. l� FOUNDATION(1ST) C . roc FOUNDATION(2ND) t"y z _ J w o •ROUGH F8A11�TG& PLUMaNG , 'c Il�TSDLATION P'ES N.Y. ►3 STATE ENXRGY CODE c FINAL ADDITTONAL commmiTs o Z. w � syyr t2y TOWN,OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL y ' Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 1 g C-7Survey www.northfork.net/Southold/ PERMIT NO. cam/0(O�� Check Septic Form N.Y.S.D.E.C. Trustees Examined �® .200 Contact: Approved /! /3,203 Mail to: Disapproved a/c 1G+ L /gf Phone:e3�/�JZ L-1 7 -z q 7—W Expiration_ !3 20—P.5 Building Inspector 1n y °I APPLICATION FOR BUILDING PERMIT 2003 ,.) Date OL a�301- I U 20 d 3 INSTRUCTIONS a.This applicatipn MUST be mpletely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plaps;accurate p1oP�I Fee according to schedule. T`- an sing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a now permit shall be required. 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 describ .The applicant agrees to comply with all applicable laws,ordinances,building code,housing co2w- (Signat mit authorized inspectors on premises and in building for necessary inspections. of applicant or ame,if a corporation) (Mailing address of appli ant) !J 9 710) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises ,► NjK,,.i / p E u, A .J/G.C (As on e tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer NMA', (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of lan on which prop sed work will be done: / IO ".3da4,614"a 111q House Number Street I fHamlet County Tax Map No. 1000 Section I yS' Block 2 Lot �o Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises,and intended use and occupancy of proposed construction: a. Existing use and occupancy 4Aa.f�I 'aewr� b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Description) ✓, 4. Estimated Cost %3� Fee �/-s 0 p (To be paid on filing this application) 5. If dwelling,number of dwelling units / Number of dwelling units on each floor /NGY If garage, number of cars 4 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. A410- 7. Dimensions of existing structures,if any:Front Rear 3 la Depth Z't Height Z( 4 Number of Stories ?- 1 Dimensions of same structure with alterations or additions: Front 3'/ Rear 3y Depth �j Height_ -�/ Number ol Stories v 8. Dimensions of entire new constriction:Front � - ear f Depth fq 1 Height ?-(( Number of Stories 2- 9. Size of lot:Front _Rear ,571V z Depth Z (P 10.Date of Purchase_ Y Name of Former Owner &-Ioy /n`/,-,�"e f 11.Zone or use district in which premises are situated Ll d 12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO 13.Will lot be re-graded?YES_NO_KWill excess fill be removed from premises?YES_NO 14.Names of Owner of premises, C G A/1'2' dJH✓!(. '?1J Phone No. Name of Architect Z►(y11.a7 6: iF4Fl(,C K- Address // All r,..i iG� Phone No L[y_S y � /1YJ?llfl//rtt Aly Name of Contractor T.u,., 16 r2M i SH Address _Phone No. 14j!- 1z AtiY►fi slr ete. /( l�L 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X NO S'r 47hu09 *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. —�j��S��Cn�� b.Is this property within 300 feet of a tidal wetland?*YES_ NO S'��ILfMt j *IF YES,D.E.C.PERMITS MAY BE REQUIRED. J.�,tt irc 4- rAvSrtYI 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. ��wt3'sc-f STATE OF NtW-70RK) 7*,--)J+a SS: COUNTY OF J�(tw �`. �!e c��J'�— being duly swom,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)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 the manner set forth in the application filed therewith. Sworn tow,*ore me thi Notary Public Signa re of Applicant SSA 5 48 51 II ' 715�Ncl J � i i J ', o 1 c L+ J N � I I m Ip Fpm IR PR I y Ir as N y Ft- 2xs7VTIchigr. '_ -38.q. fiw E 'E41N — FFFEx ,r zoN� Y. n _ 'ZONti. X � r FULJIu tae a=_ (eye) PLw® 1 -q � '44S _12 ' P�4 7/�ie2 k'i'4,199g WINDOW NOTES - 1. Ewindows as noted on Floor Plans indicate EGRESS as required for saping areas as per Section R310 of the Residential Code of New York State. - - - ---� — 2 Light and Ventilationall habitable rooms as shown on Floor Plans conform to requirements of Section R303, with an aggregate glazing area of more than 8% of floor area, and a minimum ventilating area of 4%of the floor area _ - 3 Glazed opening protection shall be provided as per the Building Code of New YorF (�67 t- - 'State, Section 1609.1.4. All lazed openings to be provided with recut plywood I I'��` ~� ?_�'�f panels to cover glazed openings-7/16' min. thick (4'overlap around openings). Attachment to be as per Table 1609.1,4: 2-112'#8 wood screws-12'o/c. 4. 1/-IIN OOW N4 �Er-Y-I, TD /�-N'U EWS 0, 1N50LLrTef�> . i I i I I Ir 2..- o CXW 135 P�4o4J �S - fit_. p5 - 8r f3o4o � tl - �r O ip 015nl6 �vzx7 FbLH�-OL—PL E��.i �r� e �k i-q ps P[ 4 0 4o 'Ell Y 111✓✓ �(vU �c bNq -VDL\l rel �. Uf DONAIA G. FEILER O ARCHITECT ----------- -- 11lIf iA�I�fno ° 1Walllfuct.11l' 1ki(12• !I616?9l1a36S3 510104 All criteria is designed in accordance c.1th t!te Building Code 0 C. " (t of New York State& the American Forest & Paper Association - (AF&PA p L• � l) �- L I r{ � Gj � � ! { � � G � � 1 i� 1 ! � � ) Wood Frame Construction Manual for One E Two N Family Dwellings(WCFMi High Wind Addition ROUGH E FINISH CARPENTRY BUILDING USE Residential 3� GENERAL NOTES BUILDING AREA 210 FeF r �j,.- r I FRAMING LUMBER; Dangles Fir under 1 E No. 2, 1400 inPo d around TYPE NG HEIGHT 2 i Fr �y pouC- ri ti W��� g E= 1 0x10. Double floor joist under parallel partitions end arountl TYpE OF CONSTRUCTION fypa V Q 1 , ..,: t i d of New York Stale pm ):c>c t i All construction to conform to the 2003 Building Code (nx) and the 2002 Energy Conservation Construction Code of New York Slate all openings QESIGN CRITERIA Prescriptive Design C /'��`\ 15 d>'• C6`nL Contractor to verify all dimensions m the tak1. The Contractor is to notify 2 ENGINEERED LUMBER. Parellam PSL and Microllem LVL, LIVE LOAD q0 psi p g 'loo ' 12"xIQ" PGS • - _ E=2.O x 10.psi, by Trus Joist. the Architect of any conflict or discrepancies on the Drawings and -- DEAD LOAD 315 y , Specifications. 3 PLYWOOD. INT-APA,exterior glue 10 psi �..�-__ __.__ — — — — " r. , t '. a,. ,• : flastung: leadSNOW LOAD rrl to ti INSULAT4 WALL ION FLASHING fiberglasslbelts with vapor border, heated side cop�r. SEISMIC ZONE 85 psf ground U Q r CONCRETES MASONRY Interior wells and Second Floor. R-27 sound control belts, unforced. VJINOSPEED 120 mph d.l Q 6 BUILDING PAPER: 15#Felt. EXPOSURE CATEGORY '1Y P: I 1 Concrete strength. 3000 psi 25 days; tit '* � ' G ® y ' 7 ROOFpeau Shadow Remove roofings selected Organic Asphalt, WEb.-fHE "e- c-, gaveF6 -� 14•� a'� I I = Concrete footings to bear an undisturbed soil, min bearing 2 ton cast, Chateau Shadow Bend, 300 Ibels Care; calor as selected by Owner i I 4 PR CST LIN£- C ..PT-+ Q with two#5 steel reinforcing bars = �. r J s Concrete shall not be placed when air temperature is below 40 degrees F. 3 RIDGE VENT. Cobra plastic mesh-continuous over rake overhang -TERP1 ITE +.m• c+-r1gE T µms., tv y _ or when concrbte temperature,s less than 80 degrees F 9 SIDING&TRIM. 1x8 Ceder, .r-�,.a tEg. T-'Eo 4' 4 Minimum depth of footings to be 3'-0"below grade. 10 DECK, 5/4x8 Philippine Mahogany sik. stainless steel nails; =�'v rIT T? iqp ce.F,e-1£ ACO WN ITER L>ES I&H Tk'r F.i>Lh TE.)4 F' it- �[ n Footing steps to be 1 2 ratio where required 11 RS &LEADERS, Baked while aluminum, S'x 3 tl g rs, 4G1 4y GUTTERS lumber. __--_ g _ �' ' "' ' � •r�" : ' ,' '''" ' ' 2 „Cp 6 New foundation wails to be 8"thick poured concrete,#5 tabor-48'ole WINDOW NOTES i D _ 2' utte 2"x 3" corrugated lea ars. - -- 7 Exterior of foundation walls Co be damproofed with 1/8"thick asphalt - 7 Q 1 , I(°.x g. bww I - - 72 WOOD FLOORS: Clea.Red Oak, 25/32"x2-1/4". - � •,;,-;•'�, ,P -� - mastic,from Brade down to and over top of footing. 1 E windows as noted on Floor Plans Indicate EGRESS as required for ;. s .ping areas as per Section R31 O of the Residential Code of New York Slate c 2. Light and Vanblatem. all habitable rooms as shown on Floor Plans confdrm to N V�1R ✓ M - '� 13 INTERIOR WOOD TRIM: ' t"LL r+eW - To SRI•f=�tt'o BATH ACCESSORIES � qq GYPSUM BOARD: i/2"tapered edge, molsturd resistant at Bath Room. � L t 5 CLOSET SHELVING: 3W Plyvrood. A-A,with hardwood edge; l a 1!I LJ 2I MIRRORS. 114"SHOWER DOOR:oIpO ed l be glass, sawing door over vanity Clothes: i -18"shelf and hani Linen: 5 shelves, full depth, requirements of Section R303, with an aggregate glazing area of mora than 8% tc. n,oe wG STOtR. tDfzsx.ada Me�Eu 70 of floor area,arida minimum venBlating arae of 4%oftha floor area. 7 3 TOWEL BARS, SOAP&PAPER HOLDERS: as selected by Owners. f WINDOWS AND DOORS - 3 GlazedSach i ll5 ctlan All gl be Provided as per the Building Coda of New York .ry (21 4 iat- Ro•'`•W �' x0 'Stale, SacOon 1fp9:4.4, All glazedopeninga 10 to Prnwtled with precut plywood Np-I/L-`rtTs' Fon' W>w_-� { w, panels to cover glazed openings(4'overlap around openings), Atfachmont to W �>/-1.5TJ n.1 C3 Gf�,dWLSFFrc'E. Gc"ti-+acTic�,y� FIer.TRx:AL 1 WINDOWS d,SLIDING FRENCH DOORS' Pella Designer Series. ` asper TabW1609.1,4 2-1r2` 0Swgw1,wewa-ITT, PLY11601/1✓"-rox. - EY I"ST. c6 dour-t Lnr_'tTni-+ w&i..0 clad white, SmartSash II,with Low-E glass and full size screens. - i 1 ELECTRIC SERVICE: existing service to be extended to new addition, 2 EXTERIOR DOOR-to be selected by Owner. 2 LIGHTING FIXTURES: as selected by Owner. INTERIOR DOORS, Solid-core Blrch face I, L,y,i�Tridp, r-- 3 _3 TELEPHONE &CABLE: Jack locations as shown on Drawings. 3 HARDWARE: to be selected by Owner. --- -----------" �-- ,1 4 BATH EXHAUST FANILIGHT: Nutone QT400FL, switch separately. F71 fZ,`�T F " m tS�c�x duct to exterior. FINISHES hEcc NC 1=tnp1< COO1Tl r',"-' c,� �i Sr DOORBELL:-Nutone PB-29LP8 push button doorbell at Entry door, 1 INTERIOR, DRYWALL: 1 prime E 1 finish coat latex fiat paint, T O T b L r>G = Q Benjamin Moore or equal. ' 2 INTERIOR DOORS&TRIM: stain, 2 coals polyurethane, to match 1 SYSTEM:Provide and install all equipment necessary for¢gas-fired warm existing. / d D air heating system and central air-conditioning system,zoned as follows: 3. OAK FLOORING: sang 1 coat sealer, 2 coats polyurethane,satin finish. C� ht(J[fJ: r Zone 1 First Zone 2: Second Floor O 2 DESIGN beeping to re at 2 Bebe designed and outside to ratureti PR,Oj�Cia,� j - FR P ` ---� I `�N the d Inside temperature at 72 degrees M F.when the outside tamperetura is / -10 degrees F.and the wind is.15 MPH. �Op 1 .tort Cooling shall be designed and guaranteed to cool spaces to 76 degrees and 50% relative humidify whenoutsidetemperature Is 95 degrees F 12.L' 36.q' 1�D, �2,, n + ) PLUMPipOi E1a5T> _ _E IT -- - Y t tT I rJ --� - -- - -- - ,/�•^� 1 PLUMBING FIXTURES: to he selected by Owner, provide shun Tiff valves IR1gFLF+.' WEa.1`I.(I fir"? -` \y cn all walbr lines at all fixtures. IrI.L 6y.4sT: Ft yN S•ryUE 1S¢T+,h.M. "� a- No,zr 3 DOMESTIC WATER SUPPLY: connect to axisGng. G` �" y'• M LNbT, Dank E}:mr.. 1 n ' Lai h i I q, - 6 1.�) I b - r 4 SANITARY SYSTEM: connect piping to exiating sanitary system. 2'-0' 4', G" LU Zpi-LE x 2�•�" ilj i. D" _ -It.- fid �i- �" 3L Cn" 6i, - y,`- al �,. L16 CEN1r1- or+ 9soNJ wwa;,wi aHd 1 , 6U41cHB 14 - J"4ECAKPs, 4110, - I q"r n" poet . 259 2959 7c� Ib 00 w� N ,6�? ht � "`� 2k IQ FJ - I4"% iII---CLi� LbT 1�L L� 1 _ � E ��°- 50 rt O ; SI OPati �Laai-�ne •,-'ovntet I "l-1 i.th 714625Ll'bx J,A" N" IOOQ - I q•5 . 2 - f/o Im - ' OnK. I-LL2:K- 1:>TF/LOC'��4" , K y ` , , , :� � �a) LPVa' h 5ter T`t iic6-{ 2 SF IR - 'jc vn, TT INSVI-� �� q NVi 4fd?. Dr la_ro MJr4,19T6 111 u --.i _ I 0 G01T L'FLO6 Gp*/ ) rr p1IICOMPL WITH CHAPTER"4 T / FLOOD AMAGE PREVENTI N J d! 29 h1 Q --_ SOUTH LD TOWN CODE. __ r � o _ - z V 1W I tr t ,I F M_ r L r�4 _1NEW �+J - � Tu D`-2 �• - UNDERWR7-q^F°TIPICAiELd LCO2�v 751 N - p REQUIRED 0 f- 1 _ � III` d� -j --- E FICATIbNOF 13 Z © (� �� Q _ NAI & CONNECTION - 11 - � --- Q REQUIRED. t. -- �tT - _ _ P r o 9 '/z. sL - - \ `\J/ .Ti-I P Al STRUCTIONSHALL MEET THE REQUIREMENTS OFT E (xi Lntir:.-' g/p," �j4vE'r' rwn CODES OF NEW YORK STATE. COMPLY WITH ALL CODES O NEW YORK STATE & TOWN CO S K�T(N�j I 1�1 N �P1CT L I V I rl pc rticN _ AS REQUIRED AND CONDITION F OCCUPANCY OR Z '^'.THOLDTOWN ZEA USE IS UNLAWFUL o Q ZN '�° r.' . VITHOLDTOWN DLANNING RD WITHOUT CERTIFICATE v 2 n 611 8011,iCLDTOWN TRUSTEE '� OF OCCUPANCY F N.Y.S.DEC V r Q r-- � E7, t--4 V m APPROVED AS NO'T�ED� �� q -- 4t!,,TII.LCa Gb�JSTk.ucTioi--1 N DATE—) B.P.#�.a-�1� ^" PfzO .` CnraST4-.UCTtcri LU ER v CERTIFICA�YI FEE'- �' BY E:Y-ISTI NCa - To $E Ec .1avEra _ ON LrE��A{{DCONT-OCCC _..766-1_ BUILDING ^D4 PM FENT E - - _ - - - -T - F LLO ING INSPECTION ^_ __ _ _ _ _ 755-18 SAM T e PM FOR THE ._-- -– - ___ �- _ _ — — C� Q i2 _ _ � _ F OGC P Y 2 ' ELiECTr`I ,�Ct,L - LE-r-iE C) 3 41 41o!i �UPL (AD) gf°lr2 (,bx) 4tCo5 2 1i �J 7G8 ° (xo) SOLERe 1• FOR POURDCONCRETE FOU DATION - TWO UIRED -- - L, r ...1 G' Y� SUP YSYSTE CT Ge.tw"IC, F ; v TtJ ,(✓ - kG"U . - -� - - l.rY- I _.T I �.I L7_.. n.LGG�H 'e' w/LL 1.acu rl�'u F1�lTL1 w+t EX D 2/f0 OF 1% LE �•a„ 2. ROUGH - FRAMING 8 PLUMBINGO t 3. INSULATION CONS 4. FINAL -COMPLETE FOR 1;.0 MUST IO BE COMPLETE FOR G.O. O , :n CnxrPr,t t.1C`t €c,V'1'L-L E: 1111.�R• -1 ��,C- } ' �-� /-V_. I r --- - - - --1 ALL CONSTRUCTION SHALL MEET THE U 4r-. ;,M0V_F_ OC-T Er-1hK• �'• I 1 �r Vv l-.� - 1 t---l_1 - -N L � � 1 ySOFINEW o F'� p�.1 -,. �,�_1 ✓l '� �1\a '� ,_�-I � �,Uti,r,;r. (il LEcr-P"sT;�" PLUMBING YORK I STATE. NOT RESPONSIBLE FOR +1 .+�i'Tr Ld 1_____ � _-._ _.___.�._�.._._ FE(".VcE F�cLco.,4 WIDTi_I ALL PLUMBING WASTE DESIGN OR CONSTRUCTION ERRORS. I�4-' -G� i•I. TL6T IIr ,.F Ltl r 4 &WATER EED TESTING BEFORORCOV E COVERING I a ' L\1 N v ►L /. — -- -- -- x — — -- — --- — -- 0017: nd....�e'n.e. T .or annlpe,m., �� \�•� �d I ��� I — M�Tr-I- Fwt _ O4Wer Nnia nl eek YO' o.e� - 21'�lN140'lo Q0.Jm 0.14 — —`I —_____ - - - le Oopbr Nol6 at'•ay.•^ �epie llmj- '/ ' ` r • rwW.n stv.- Cdtllhg bracing gable'entlNrall - A CBams SECTION END.YIEW Y.µJ�X UP nr 41yrYt1 CO hfTl til L;OU`_': LO `,I) Fbl`y . Lateral Yr.rmini eeq edlem@m _ ��.� �rILYT E' �1CryT Irr mryt 11 J1!'fSp Lys HIGH W w0 G.a01-� h nV �— CRG,SS SECTION _ ENO VIEW Y^s. trw 4y '-fn3 I /� \'�� 2+P.' 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