Loading...
HomeMy WebLinkAbout29377-Z FORM PTO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-30444 Date: 09/20/04 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1040 GILLETTE DR EAST MARION - (HOUSE NO.) (STREET) (HAMLET) .County Tax Map No. 473869 Section 38 Block 2 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 14, 2003 pursuant to which Building Permit No. 29377-Z dated MAY 14, 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 AS APPLIED FOR. CONSTRUCTION CERTIFIED BY LAWRENCE M. TUTHILL, ENGINEER. The certificate is issued to FAUSTO R CIMP.DOR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0037 05/20/04 ELECTRICAL CERTIFICATE NO. 1071763 03/23/04 PLUMBERS CERTIFICATION DATED 06/24/04 DINIZIO SERVICE INC If l/n Authorized Signature Rev- 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT 140. 29377 Z Date MAY 14 , 2003 I i Permission is hereby granted to : FAUSTO R CIMADOR PO BOX 52 GREENPORT,NY 11944 for NEW CONSTRUCTION OF A ONE BEDROOM SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#27180 . at premises located at 1040 GILLETTE DR EAST MARION County Tax Map No. 473889 Section 038 Block 0002 Lot No. 011 pursuant to application dated MAY 14 , 2003 and approved by the Building Inspector to expire on NOVEMBER 14, 2004 . Fee $ 867 . 00 Qkut ized Signature ORIGINAL Rev. 5/8/02 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. 29377 Z Date MAY 14 , 2003 Permission is hereby granted to: FAUSTO R CIMADOR PO BOX 52 GREENPORT,NY 11944 for : NEW CONSTRUCTION OF A ONE BEDROOM SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#27180 . at premises located at 1040 GILLETTE DR EAST MARION County Tax Map No. 473889 Section 038 Block 0002 Lot No. 011 pursuant to application dated MAY 14 , 2003 and approved by the Building Inspector to expire on NOVEMBER 14 , 2004 . Fee $ 867 . 00 i i P Aut rized Signature a ORIGINAL 1 Rev. 5/8/02 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 'AO_ 27180 Z Date MARCH 27 , 2001 Permission is hereby granted to : FAUSTO R CIMADOR PO BOX 52 GREENPORT,NY 11944 for NEW CONSTRUCTION OF A ONE BEDROOM SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1040 GILLETTE DR EAST MARION County Tax Map No. 473889 Section 038 Block 0002 Lot No. 011 pursuant to application dated OCTOBER 18 , 2000 and approved by the Building Inspector. Fee $ 553 . 00 i t Authorized Signature i ORIGINAL Rev. 2/19/98 Form Na 6 ,---tT.___ _ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN I ALL i 765-1802 SEP Z 0 2u04 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the fol ovezng. A. For neve 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 I% lead. 5. Comi=ciat building, industrial building,multiple residences ancf similar buildings and installations, a certificate of Codb Compliance from architect or engineer responsible for the building. 6. Submit Plarnning 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: L 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. New Construction: Old or Pre-existing Building: (check one) } I Location of Property: j, t G /^ �!" (k 6 �jlt1, House1`I, o. Street Hamlet J Owner or Owners of Property:/ _ LnAz /&Clo,, Suffolk County Tax Map No 1000, Section SF Block Lot 1 Subdivision Filed Map. Lot: / J Permit No. �L� 1 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: _ (check one) Fee Submitted: $ '�LlL C Applicant S gnature f r gF04cOG o To%.cn Hall, 53095 Main Road W Fax(631) ^.65-9502 P.O. Box 1179 Oy O�� Telephone (631) 765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT r Ir' — TOWN OF 'OUTHOLD f � 1 t sCu't" CERTIFICATION Date: J < � Building Permit No. -3 Owner: 6A le C'-/'nawa/` (Please print) Plumber: (Please print) I certify that the solder used in the water supply system contains less than 2;10 of 1'o lead. (Plumbers Signature) Sworn to before me this dayof 20 Notary Public Counts JANET E.STAPLES Nabry NNo.483 Public, 49,SSuffdk��g��y Commission Exlnres Jury 31.20 f 1 rJr�frJ�JLnr�n�n�JrJ���r���nJ�r�Cf�PrJr>n rJr�r nr�r�lnnPJI�J M@fflQL305 5 BY THIS CERTIFICATE OF COMPLIANCE THE�� 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET - NEW YORK, NY 10038 C CERTIFIES THAT �. 5 Upon the application of upon premises owned by JIM SAGE EI-EC. INC. FAUSTO CIMADOR P.O. BOX 38 1040 GILLETTE DRIVE 5 GREENPORT, NY 11944-0038, EAST MARION, NY 11939 5 5 5r Located at 104n_Gli i ETTE DRIVE EAST MARION. NY 11939 - " Application Number: 1071763 1071763 5 Certificate Number: Section: Block: Lot: Building Permit: BDC: NS11 5 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement,First Floor, Outside, 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed rj herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the 23rd Day of 'March, 2004. 5 Name QTY Rate Rjuttu Circuit TFTe 5 Alarm and Emergency Equipment 5 I� Sensor 1 0 Carbon Monoxide L+ Sensor 3 0 Smoke 7 Appliances and Accessories Exhaust Fan 1 0 Oil Dishti asher 1 0 1._' Pte' S Rome 1 0 11.7 5 Furnace 1 0 Wiring and Devices Receptacle 22 0 General Purpose 5 Switch 24 0 General Purpose 5 Fixture 30 0 Incandescent Dinuners 3 0 5 Service 1 Phase 3 W Senucc Ratin'-200.Amperes Service Disconnect 1 200 cb '5 5 Meters: I seal 5 1 of 1 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ] Lill1rJi l�[Pc fcPr.P[.nc.fo[PcJ orJ�rJ�rJ�[J[PrJrarinJ@P1cEOPR[rRmr-c [ -L3rL3 LrL3[ 1CI�[P[fr�[P[f[PrP[P[P[PrJ�raL3rL3rJrcPcJL:1 LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 f i. F-` -- "` i• GREENPORT, N.Y. 11944 (631) 477.1652 r� t y ryi 556'X556'7?Q-Lci- j. i it To Whom It May Concern: Re: Residence of Fausto Cimador 1040 Gillette Drive East Marion, N.Y. 11939 Permit# 29377Z On July 3, 2004 I inspected the above residence for a final inspection and found that all work was done in accordance with the plans filed with the Southold Town Building and meets the requirements of the Neiv York State Building Code. Sincerely, LawrenceNl.Tuthill ry LAWRENCE M. TUTHILL __ .__ �• ..__ PROFESSIONAL ERNGINEER j! Ij : P.O. BOX 162 GREENPOFQ N.Y. 11944 (631) 477-1652 2�>//3 Deo r' `lova Ees a-„ ” Sc 7-/', a` Ibo0 _ 630' pQoZ Re.- N- 27/60- A 7/SD`hf�P Jr°h�sA�J' ea9�ohLo Q �� G7Dh � C^ " h15 �errcl + / wr�e/ � y ace ort�a4C� y"i S7<CTP Uh�rdrw j,6 �h P!/Gt 7loh �PS flCGb i r"`6 f r v LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 / ,, �/ 13 M,c e c Vc rJ �� 4/301 /�in� Dep r1Q,a Wag � N y �[ /7 e,51 ✓ef,CC ICY 0/I sc DbD - 0 -3L9 - IV. .38 -/Vu 2780 z ley �' �el� f7 l ih��ec�K/ LTi{ /c,��^ 1,q ey � G.7dr� Cn f dH C 2J"1C 1 W t•.[ � 7 0 eveJ, /na {�l Nev / �J el ,9 wh eQ rJ / Jhf' J A'Al. !l �esf e NEW J� � LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER i P.O. BOX 162 GREENPORT, N.Y. 11944 7 1 - (631) 477-1652 i i l?4 0 3 ov4b d /owh R dF,?Lt /V ifb Cr. 116 ?-1e L ll/e �4 s! Ngk-ioh $ CTNI /000 - o35- 007 - 61/ {' ftL Ns 271 do Z ea Mr fir , 7Y 1 I� SPgc. �ed f�c /nSu/4//oh �, � t4c bore st �n Jlohe` ef.�ehGe o n !� /1 /0 V rd4 ! L, or� � � l h,4Pleh,c%> w of e /h acc -0J. ICc �, , �y 7q' /"Ve (✓hlf0 14 jr)re 16, rI C � { /�v, /d`nf CCS grid dle a `� Z`k IJ ; y TOWN OF SOUTHOLD PROPERTY RECORD CARD M vd OWNER STREET b b VILLAGE DIST. SUB. LOT .a f-at.(S/a IP l rno a,- Gi'/�e�I`e -tie r !''i'r:;(.,:;r �QRMER OyWtNER` N E ACR, }� Vr0r 11'10 �'F 23JA f (�af-e.t Srn 0-y S W l TYPE OF BUILDING 3 F / 6lJ4 e RES. SEAS. VL. 37� FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS71 r f�76 7,f, � 7 , s o v e Co 1-4, To Fm � ; 61a fea SAIF tIq0�0" A SMi T/{ io P alPaFi'vo ¢-ItIF ,o yez lz� 13 7006 SLI)o 8 7'r AO oa l0 3 7� AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER FRONTAGE ON ROAD Brushland n (,J House Plot DEPTH J ; BULKHEAD s x. Total DOCK i; Town Of Southold i I r l R n P.OBox 1179 Southold, NY 11971 [ { * RECEIPT * Date: 09/01/00 Receipt#: 0 'Transaction(s): Subtotal 1 Septic Permit- Construct- Resid. $10.00 s I Total Paid: $10.00 { I i i Name: Cimador, Fausto 395 Gilette Dr. E. Marion, N.y. 11939 Clerk ID: LIZS Intemal ID:17359 2 TITLE NO : 00-3704-30385 . SS District : 100-d' Section: 038 . 00 Block: 02 . 00 Lot : 011 . 000 Town of Southold, New York �X No, �� <•�����; Gentlemen: FIDELITY NATIONAL TITLE INSURANCE COMPANY hereby certifies that it has searched the records of the Suffolk County Clerk and/or the Suffolk County Registrar for deeds affecting the captioned property and properties immediately adjoining and finds : SEE ATTACHED And the records of the Suffolk County Clerk and/or Suffolk County Registrar disclose no other further conveyance of any of the foregoing lots other than as set forth. FIDELITY NATIONAL TITLE INSURANCE COMPANY certifies that the above- captioned property has been in single and separate ownership Fausto R. Cimador and his/her predecessors in title since prior to 1/21/00 except as follows : (see attached chains of title) . The liability of the Company is limited to the amount of the fee paid. Dated: October 24 , 2000 FID ITY TIONAL TITLE INSURANCE COMPANY ANDREA WILLIAMS Sworn to before me this 24th day of October, 2000 Notar Public MARGARET VOLLMOELLER Notary Noo 01 vo5032StBte t369W York ouamied 'n Suttoik Counl�LQeia- Commission Ezpues August 29. TITLE NO. 00-3704-30385 . SS STATE OF NEW YORK) ss : �I COUNTY OF SUFFOLK) ANDREA WILLIAMS, being duly sworn deposes and says : I That he/she has had a search made of the records of the County Clerk of Suffolk Countv with reference to an application for a variance affecting the following premises : SCTM 1000-038 . 00-02 . 00-011 . 000 That the said records indicate the following chains of title as to premises and adjoining lots since prior to 1/21/00 . i SUBJECT PREMISES : 1000-038 . 00-02 . 00-011. 000 Paul P . Orofino and Margaret M. Orofino, Dated: 11/28/98 is wife Rec ' d: 12/23/96 to Liber 11935 cp 857 austo R. Cimador RECORD OWNER III PREMISES NORTH: 1000-038 . 00-02 . 00-010 . 000 Peter Blank and Peter Blank, Jr. Dated: 10/15/65 1 to Rec ' d: 10/19/65 1 Manor Grove Corp . Liber 5842 cp 509 RECORD OWNER Premises and more PREMISES SOUTH: 1000-038 . 00-02 . 00-012 . 000 Peter Blank & Son Dated: 7/7/54 to Rec ' d: 7/8/54 Walter J. Cook and Barbara J. Cook, Liber 3721 cp 26 his wife RECORD OWNER FIDELITY NA AL TITLE INSURANCE COMPANY BY: ANDREA WILLIAMS Sworn to before me this 24th day of October, 200 LIZ Notary NPIA f }orK •.�OLLMOcLLcR Nota" Public. State o e Ne Nc. O',Vp503- Qualifietlin Suffolk County bo COMMISS bn E,pv es August 29. PREMISES EAST: GILLETTE DRIVE PREMISES WEST: 1000-038 . 00-01 . 00-001. 003 Joseph Cherepowich and Sophi Cherepowich, Dated: 1/23/84 his wife Recd: 2/3/86 ! to Liber 9971 cp 30 Joseph A. Cherepowich, Helen Polak and Premises and more Marion Santacroce I. RECORD OWNERS J FIDELITY NA IAL TITLE INSURANCE COMPANY BY: ANDREA WILLIAMS Sworn to before me this 24th day of October, 200 Vtj�� Notary' Public MARGARET VOLLNIO ELLER Notary Public. State c New York Nc 01V05032469 QUallfie,". 1F SuBoik CountyaUd?— Commrs:on EAPues %+u9us[ 29.-- BUILDING PERIVHT REVIEW CHECK LIST 9 DATE REVIEWED: APPLICANT NAME: �i do.r DATE SUBMITTED: SCTDI# --- DISTRICT: 1,000 SECTION: BLOCK: ' LOT: PROJECT LOCATION AND TYPE OF PROPOSED WORK: PROJECT DESCRIPTIOM ADD.ALT ACCOR 'STREET: l 0¢0 G. CITY: SUBDIV. NADIE: ` 'ARCHITECT/ENGINEER: Loe;k _ FAST TRACK: YES o ;rte = ®x �z .a - SINGLE &: SEPARATE CERTIFICATION-REQUIRED. YES RNO NOTES- �d�e �r� �.�. aw 1�-:z:\ !LOTS 40.000SF-100-34.Lor rsognition.(CREATED before June 30,198',).ONDE OTS FRO J N..1997 00-_-.D3zrger-(Anoncourorming at au}rill `eit 7s/83 _ 11nn F ZONING: PERNUT ESST�TINLaTE AAIOUNT: S 90K .00 PERAUT USE: E USTING: VQem-4+ INTENDED_ ZONING DISTRICT:(K411)RSO, AC, CONFORMING: YES oR0O REQUIRED LOT SIZE: -f 01C SQFT. WHERE ACTUAL LOT SIZE FROM?TA,\CARD Su vii i2%�%f99 ACTUAL LOT SIZE: /b /C SQFT. REQUIRED REQUIRED REQUIRED FRONT:314 'PROPOSED:_9 S ' SIDE YD: fo " 2-S ' PROPOSED: �-S REAR:,. 'PROPOSE LOT COVERAGE: LOWED: °�o EXISTING: sf �9 NEW: /6ao sf/9�2" TOTAL: sf/d'2°% CORNER? YES opW0 WAT ER FRONT? YES oR O� DESCRIPTION: FLOOD COMPLIANCE ZONE: PRE-FMNI 3/18/80 PANEL #: FLOOD ZONE:, AGENCY PERMITS REQUIRED FOR REVIEW INCLUDEAPPLICATION TOWN SPETIC PERMIT: r NO SUFFOLK COUNTY HEALTH DEPT. S r NO, (BED #): -f- DTE: PERMIT#:R10-+0 --c,n3 7 NEW YORK STATE DEC: PRE-DEC 9/1/7e YES Or SOUTHOLD TOWN TRUSTEES: Y S or TOWN ZONING BOARD APPROVAL: orYN6= S> �i�e•ems_ TOWN PLAN. BOARD APPROVAL: YES or J NYS ENERGY: YES OR NO EGRESS:_ VENT: LIGHT: NOTES ' o ,. `F i i>' Ca»mrs-s'ce 2 c�. c„c Avq ���E?Rx- �•�RF i1�3 C�,- L/,r._F'��=d•+°�.1� t cls l�� tea' x f-�;�dJ FEE STRUCTURE: FOUNDATION: /62d SF FIRST FLOOR /622-0 SF SECOND FLR : 0 SF INIT OTHER TOTAL TOTAL: 32-40 SF FEE FEE FEE TOT( 32-46 SF)- ( 8-�50 SF)= ,,P--S£O SFX $­Zr� >S +$ � = $ � 3— 765-1802 BUILDING DEPT. INSPECTION ESTI®N [ ] FOT ION IST [ } ROUGH PLBG. [ OUNDATION 2ND [ } INSULATION [ ] FRAMING [ ] FINAL [ ] FIRED CE &�HIMNEY REMARKS: i DATE INSPECTO s' M-1802 BUILDING DEPT. SECTION FOUNDATION IST [ ] ROUGH PLOG. F ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ` a 4lo 4� DATE INSPECTO _ S� r 7TJ),INSPECTION REPORT ATP - rt-__ NT_s=_ uIf iFyH-j IIII H I FOUNDATION i FOUNDATION (2ND) - - 9 ii II � ROUGH FRAME & li i U b 11 PLUMBING II u I�H _— N p I II ,Q N INSULATION PER N. Y. If E't. 6 O14, STATE ENERGY CODEif u m \ 1 B IF q jl0 /V X. 'X H If INI � A II L� I FINAL ? C�j -- -- ADDITIONAL COMMENTS: _ _--- - / / J f t G' N O H A_ a ,UJ I � i �• a`n5�o '0-1'�f�E A';<:rti� FORMN0. 1 3 SErS OF P LA NS TOWN OF SOUTHOLD SURVEY • . • - . - • . . . . C1IECh . . . BUILDING DEPARTMENT " " ' ' { SEPA6 FORK . . . . . . . . . . . . TOWN HALL p , 50 SOUTHOLD, N.Y. 11971 TEL 765-1802 tsar �FY CALL xamined . . . .-1O/Crs. . ._ .,.�� _ "" ",,,yF k -�'�.�`, ? � - f1AAL t0 . . . . . . . . a7 ^ . . . . . . . . . . . . . . . . . . . . ylpproved . . . . . . _ . 19 . . . Permit No. .! .7tkz) isapproved a/c . . . . . . . . . . . . . r . . - . . - . . - - . . . . . . . . . . . . . .. iJr iv. . . . . . . . . . . . . . .: . .. . . . . . .. P- (Building Inspector) APPLICATION FOR BUILDING.PERMIT - Date 10-15-99 .. . . . . . . ., 19 INSTRUCTIONS F _ . a. This application must be completely filled.in by typewriter brin ink and submitted to the Building Inspector, with 3 ets of plans, accurate plot plan to scale. Fee according�to sche3ule`- b. Plot plan showing location of lot and df buildings on;premises, relationship to adjoining premises or public streets ar areas, and giving a detailed description of layout.of,propet',ty.must be drawn on the diagram which is part of this appU- ation. € c. The work covered by4his application may not be'comrvenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspectpr will issued a Building Permit to the applicant. Such permit hall 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 ,.hall have been granted by the Building Inspector. j APPLICATION �S HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 'luilding Zone Ordinance ofithe Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Reeulations. for the construction of buildings, additions or alterafions, or for removal or demolition, as herein described. The Fapplicant agrees to comply with all applicable laws, ordinances, building ode, housing c e, and a ' and to droit authorized inspectors on premises and in'building for necessary ' pectinalhi s. ` f� C r,,,e_,,7R7C,1hat ure of applic'a'nt', or a e, r a co�ryporation) (Wiling address of applicant) 1035,11PL IIState whether applicant is owner, lessee, agent, r.! v contractor, electrician, plumber or builder. G' REGI -49EILE,ARCHITECT +t91 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OF tom®v •'Name of owner of premises - . •FAUSTO CIPIADOR , , , , ,,, , , , , , , , , , , , , , • - „ - , . . . . _ . . . . . , °pl C� (as on the tar roll or latest deed) EE� EIf applicant is a corporation, signature of duly authorized officer. (Name and title of corpo ate officer) Builder's License No � . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . I Electrician's License No. - ' - `= ”- "• ; —_ ' I4a Other Trade's License No. . . . . . . . . . . . . . . . : . . . . . 1. Location of land on which proposed work will be done. .GILG$TT.4RIVEr ,EAST MARION, D1EW YbRK LOT #1000 038 02 011 Ilouse Number Street Hamlet i INT County Tax Dlap No. 1000 Section . . . . . . . • , _ 038 . , Block . . . . . . . 11 Lot . . . . . . . . . . . . . . . .. . . @I' Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . _ . . . . . . . Lot . . . . . . . . . . . . . . . ^- (Name) State existing use and occupancy-of premises and intended use and occupancy of proposed construction: a. Existing u'se ani occupancy _ Yacaol'Jarid. . . . . . . . . . . . . . . ... . . . . . . _ . . . _ . . . . . . . . . . . b. Intended use and occupancy . . . . . . . ONE_ FAMILY HOUSE - li 3. Nature of work (check which applicable): New Building . . . NEW. . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . , . (Description) 4. Estimated Cost . . . .$.RQ,,O.00.AQ • . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . one- . . . . . . - . . . Number of dwelling units on each floor. . . . . . . . . . . . Ifgarage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7- Dimensions of existing structures,if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . - . . . . . . . . . Height .. . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . - . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . - I. . . . . . . . Ngrntler of Stories . . . . . . . . - . S. Dimensions of entire new construction: Front . - . �. . . . . . . . Rear AM.-w.Q161 . . . . . . . - Depth .i�,..0o. . . . . . . . - Height '-zQ.. . . . . . . . . . . . Number of Stones . . . . . . Ane. . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . , . . . . . . . . - . . . . . 9. Size of lot: Front . . . . . . . 194.' . . . . . . . . . . . Rear . -100' . . . . . . . . . . . . . . . . Depth 1004 . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . 1999. . . . . . . . . . . . . . . . . Name of Former Owner . . .Orofino . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . .F. . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . ... . . . . . . .r!9. . . . . . . . . . . . . . - . - 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Fausto.Cimador. . . . . . Address Gillett.Drive.E.M. •Phone No. . . . . . . . . . . . . . . . Name of Architect R.F . . . . . . . . . .Address Aquaview.Dr. -E.rii. . . Phone No477.97-�5. . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . 15. Is this property within 300 feet of a tidal wetland? *Yes. . . . . . . . No• X . . . . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, 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. SEE ATTACHED PLANS , rt TATE OF NEW YORK, S.S F . . . Q aa�Uv►- being duly sworn, deposes and says that he is the applicant (Name of ividual signing contract) bove named- / eisthe . . �� •= - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) C said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this iplication- that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the marmar set forth in the application filed therewith. .worn to before me this L .�J. . . . . . . . . . . . .day of. l:a . . . . . �5. __ . R otary Public, - • _ . County FiELENE D. KCsRNE � , � .L - '/ ` Notary Pume,Stare of Now York r No.49B1364 (Signature of applicant} Qualified in Suffolk CeuMy Comr;ission Expires May 22, s�CG j. hot numbers refer @o,,'"Mods of Marlon Mance" fIIAd-In'^'the huffdlk Gouni,y TT e a CIffI^k'9 Office 6h Murch 19 19'58QAV Mv 65 File No, 2Q38 O� 14l k3"4/'r� Y l V nB r r � * en. T Ar &A VARZ S FF { . eA� AI3. 1d` raP 1 ek a �9� W"OLKC0lJmyJ)HP.A1RTNil�31`I 017M 'A,LTH9iiRV[C!$S. 5I dWe ep5e 1 ��ryry p�rw •� qry p�q p�e•p�g @�@ty •y 7" !��' •• l0 Amb ldl�\\ \n �y�y�y„�� A�Ff�OV�AW V',V'Mp�4oIgqmip�Y�kp�.,ni41`f+ ON WOR 0% t "a ggVdiJl�JP'fii.4na!�l) '�'OJVIil!' �x �•: ,eg° 41 l ocgg4l ) o. . ;fQO OQ. DATF3 �'2r „ ? ! APP1tOVED • �1 J?O4triIA7{I1b1[AVIOF—,Lb' � ayloe`l — leolvnsandyIogm or EXPItRESTHkG�J35(RARSnomDATEMAI�FROVALr 5 2 `, - t t' a�eP`�9 9rgwn lonrny eon d. 5M � 2.5 d - 9rctwn clayey &and' sc 'I _ — a SSpTE OF 44 J am fgrnlllpr. OOdt�_. STANgARpS FO '°�M��'�F�m`°� AND C`ONORU'CTION OF SUBSURFACE APPROVAL ' Pale' 2fown tma to course .snnd I w R r SEWAGE "bl waSA4 Y57 M F'CR:, S1NGFC FANk,,Y PFSIDMCES ; �blde UY the CdrldRiong, seta forth therein an'di ss,r # ,, � {o t�aris'truct� I � ANY S ALTYHA IQNy OR ADDITIION T©O THI�TURVEY IS A� VlOkATION ors #he' �rmlt t` Ll Che ,,4v,Catlon aTlr. welj%rand Gesspoo'Is' ahowri'heF�aon .ore' G N Q� Y✓ rt, A E , AL r,s�69 �,� t7 EXCEPT �AS PEI'5`'6GTIRN 7209 ^ UBDIb1510N 2, _ AI,L!CERF A:rIGNS fr9rn 'Field.. abyerVdtiors, pn or, 09trq 'autrtined fr.prnv#,hex. II�;REaN AkF VA'LIO.,FdF THIS MAP ANIS EdWFES TH6fE�F ONI'v'.:jF F U. Cd l,i _y J:+ r tt§T-.fib "'r. DATA ATo M fila tXR" PIES QEAP 'Iil Ilv{I?E? Sti` A 6E 'T•f tiRve .TJR 1 a r� x --R.. . p t. ys.i. __ ��f,._ .�,. `/ . _ .4 E"leti tao{�sr dr ,r �2rerS Cr #a enc-Uysurrred rlat,urn, �4H slov,4 k AsafA'B, REON. ",JUTHGW, ` e : _. 'al ,..f 'N `4C.(rt, ., .... 1�"r %n,'f.{, ,nK r'•.w e,. r '«, io 3' ... , in.- :n .:vL' ., E .! ' 1 Lot nurnbers' refer to "Flap of Marion _ ; t Manor" Mi ed 'ln the Suffoll< County * Clerk's Office on Mgich 18, 1958 pip �j OUT as File Na 2038, Q� �' lVaoo l tu! ia4lakM { ./ a . 'If YORK f e` SSET \ 1000-36-02- 11 SCALE: 1 '=30' �4 tl4nnti\ 1� \ DEC 21 10i) l '4rQ9"lads set J tlf P&Q-6, (W'4ier rnaln) ,�'1drat 1 ; tbl (mpro. loundallon I 9g'a� ' ,oat \ 4,� l'j9 o 5c� .71 �y 1 I' t,,.ry 9 r7 gel .f Bros n soody I,om QL Vo 31 'r"'(,p !"�'IC,Ii c;\\�r`9 Brown loamy aund SM 2.5' Brown clayey sand SC yJ1G�ar�2r°� Srvae/ d,:O�[ ✓�i ,/ o�� Si /1c AR,".- . 30,000 a tt. -mcntjmantr,xr FP I . arlrfamlligr with the_5rANDARDS FOR APPROVAL. Pule Brown ane to coarse sated' Sw AND CONSTRUCTION OF `S'UB SURI ACE SEWAGE I� ��I DISPU$lil, SYSTEMS FDR 'SINGLE FAMILY .RESIDENCES and will chide-'by the condition's set forth therein and d as vee ��o or the permlt to construct. / S . . .;0, 49618 ANY AI-10ATION OR ADDI IIUN r0 THIS SURVEY IS A VIOLfJlvt ATION ' A' The lOcQtl6n pf wells and, cesspbol's Shawn I]ere0n Ore OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. l 1r 0xCEP.T AS faFR SVPON 7209—SURO1VISION z. AEI. CERTIFICATIONS (631) 765 — 5020 PAX 16311 765.'-.1-797 - from 'field observations ;'and' Or', dato -'obtained frcxrn others. HEREON r RE VAIAD FOR THIS MAR AND COPIES THEREOF ONLY IF P. 61 X 90.9 TEST HOLE DATA -,AID MAP Oa CpPIE5 BEAH THE IMFRESSEO SEAL OF THE SURVEYOR 1219 'TPA VEL E`R STREET ('] levdtians Lire referenced to an 'assuniad datura. wri0sE =ICNArura APPEARS HEREON, flUlFiOLD, RVrY, 719%7F9`+a -- � !!! _ I Lot numbers refer to "Map of Marlon Manor" filed in the Suffolk County t.1 Clerk's Office on March 18, 1958 g 1Y as File No. 2038. Olt �" SURVEY OF PROPERTY A T EAST MARION is R T / TOWN OF SO UTHOLD X01 SUYEOLK COUNTY, N. Y. 1000-38-02-I1 04- � SCALE: 1 `30' , - ILA ODpd -_� DEC. 21, 1898 vo Iso 1 �+ APRIL 11, 2000 (stks set) JULY 18, 2000 (water main) SEPT 19, 2001 (cane, foundation) 110 N� �tp \ aoov APRIL 1, 20004 (final) 5 a st c Ja N r ap3yU - 29 v� oun '00 \ nr9 W^ _ _ .�. sof 11AEALTt'f SkE��f9C S rl1 9 11Nj y 1]EPARTMEIVT fJF� O (pRl \ ,p9 1 t i illFF'OJ{CS) NSTljt1c.'f€DvyORKSpOR T £ X0. ' 3o Wa\cs9��'em� Aa C)F GO ENCS We\ 'O ASIe`1CxL FAl1_YP.lS1TJ fJ �ry OQ UC)✓� qV , Q 7�Q �t M. `' ta.s.R� - 55� FE,S #9t�9@'m_..�.�.�._...,.:,..... y5lies tit 4hisl �havc.baan u Na. >5 SPS' 00 \ agz disrasal and w2ter-' >uppY - nthar e9R �lyd found to �� 100• Yt a x drnaflt rx \�oa !3[DF�OC7MS, 9nsA�+' 'd andlnr'cer9ike3liy Ota uaUslaAcxyFORfiMplNilk.. U11 8" Hnbara P. .. f;l Ott n ,r1101) ———— Brown surd loam OL \ 0400111 Brown loamy sand SM x "".""•� �� . ----- 2.5' Brown clayey sand SC AREA = 10,000 sq. ft. 0=Monument I am familiar with the STANDARDS FOR APPROVAL Pale Brown fine to coarse sand Sw OV NEWG AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct, t_l. iN '-a K` C. 49.618 ANY ALTERATION AOR ADDITION TO THIS SURVEY IS A VIOLATION The location of wells and cesspools shown hereon are Or-9CC1TION 72M, OF THE 'NEW YORK STATE EDUCATION LAW (( /U , JF{1..� A ( is 3 ) 1797 1T EXCEPT AS PEP SECTION 7209-SUBDIVISION 2, ALL CERTIFICATIONS C' r from field observations and or data obtained from others. ti . IT ARE VEL FOR IHIS MAP AND COSIES THEREOF. .ONLY IF TEST, HOLE DATA SAID MAP OR :Cd°IES-19hAR THE.IMPRESSEb SEAL OF THE SURVEYOR 1163l T.+AVCLLit- Nr1 U Elevations are referenced to an assumed datum. 9 8 -` -.�.J....,_::A_...-mvr.. w-9':-a. -"'._- - - w",.>"-, - _ „P. _. .,- dA;.ez�.�'•..rrf',.�+'". �.; - . J rac wr7tpY Tdistributing r Igo ® 7 y Systervr PIpJcgty hall tie - D37^� e "pa- , APPROVED AS NOTES. lENd1S�RlNFiyllz-�EIf.Sp�EE1.TII'iCACE DATE: =i ;� it B.P# a7/ �. - .. ', ' r ''. r DISTRICT ,1000 FEE: z NOTIFY BUILDING DEPARTMENT AT a (DPENIN ITf� 038 . E f IIbIE IIY9 7' 765-1602 9 AM TO 4 PM FOR THE ALL,PI UMBING iA"ASTF FOLLOWING INSPECTIONS: iIT 2, ROUGH - ED CON u & REQUIRED ¢'X' D RY PARC�14 OF 11 44 ' 10" ; NCY•ESC IP4�14S, z, �'ItlJ'A"fER9-.I�ImsN�laD �. FOUNDATION - Two PLUMBING TESTING F1Y'I',7;iF C0�6E8i'9NG FOR POURED CONCRETE DING CODE. 3. INSULATION _— -- — -- 4. FINAL - CONSTRUCTION MUST ' h Y OWNER. Fe $to Cimadox' E BU I BE COMPLETE FOR C.O. Ii 4 3.( Gillett Drive � r ALL CONSTRUCTION SHALL MEET 4 3/4" East Marion, New York THE REQUIREMENTS OF TH iV Y. j /411 ARCHTT ( 7: Rqi Weile, Architect COPESTATES NpTRUCTION RESPONSIBLE XiR 4 3 i Raft. M tion, New Yorl< Alderson; C'1 :w iPS 51(JR/L 42 DESIGN OR CONSThUCT'ION ki Fm 55 Anders.0n Piitio Doors And n: C]251 �- 2'011• i ca Qment a . D 2 1 h `� NC . I)NSTRUCT;ION -� - ONE FAMILY RESIDENCE: W/full basement (YU'CUPA N Y OR �I Ilc61 L-�SE IS UNLAWFUL v ., n c � 1,71 Y D7NIN ` R9 M I =-� KITCHEN w MnON i1417j11 O /e•( 4"�re2.•-e. .�. GAF - ��:ri� �d�l M1 r : Ln ry� Pii11TR� .. � t .. y-C''E1•GP/ 4 .� _ � + � d _ � h Y-i. 7n x c� f1EFRLCa. WIQ H r • E i ROVID SMOKE-DETECTING 1 I ,1 f a,, ALAR , ,1 I _"} ��rJti Res: M DEVICES. ]4 O I{1 61al1 -- 31011 ,9 yyILL AS TO PA Z1 r N.Y.S BUILDING C mDEP,C� a,f II CW13 ;0 D : JN "n ANDER t ry _ __ UNDERWRITE S it�OFIL�AT, I _ tIt , U' C01-3 ,. REQ 1R D.. .+ U'1 u An PROVIDE SHOCK P E ETING-7 1s =o-, r rN Q;. 4.. : NII THERMAL , . viNG,R� 7, —, bEVICES AS TO PART L M` , . ... ErQ� T-1_t BEDROOM K r� 'ITRY . r t Y. STATE BUILDINGC D I I, h<„ 9 a r �'I 1 ht bpv a 1�0 mirrN O,L 10SZf$t QQ f 6T PROCEED WITH FRAMING UNTIE SUR1uQ 3 !a�7i� Q PROVIDE 9/ IIR. FIRE fl. Arched nnbry�goo k-UMRE CERTIFICATION I i' )F;FOUNDATION°LOCATION ° - RATED SEPARATION To • � I ()IV LTAC3 ONTENT REFORM kAS BEEN APPROVCD . PART. 717.3 (f) (1) 0" ' f' t f rv' t°tT3TIFICA OF,OCCUpAA9t" - - 1 _—.�_ N.Y. STATE BUILDING C ' is k , rr _ .ia A-1 7SEI.d# VVi'1TfP— L- F L fi 14'B " - - ,I-4f'PC9"SY8TEOV' CAA/iVa " k r� IT , PLAN Sca1p: 111=iD1nir' �:h �. cti/1U OF 1%L�f' 4 U ��? (ski �n •� r fabricated truss-see plans --•-- - - --T - " j clip bet. clg, and wall bd. 1' athin9/ building Paper _. - •-_--._ on wire lath-- d ath-d do ble headdr' ' i I • I ��a I I 'll . I 16" O.c. x1U_D. 161'__o�c. __ <__. .2x10-C�_16" o,.c. !, I- f.lr➢nr fr mtn9__ ght `see plans i J. I. windows/see 2-2x10 , — 2_2x10" ' I I I 1fIJT_;-_.. _�__,._ ___ .------- '�. a „;•, i I � i-..:��,,�{ ; e ,, s-•5'/8" sheotruck f I d 't nge 5 ©lGfi 0c W/ inUl_5 . _ _ __ _ - - -I i g r aard - • h r /sill CCN a I hipld/fldshinq. 1r fo ndatio -- Q E.� EQ EQ I F U n 36" .—v + oil .•. ~ 1 +. 9 M p"• ` ti�i ._ _^ 11�• I — 9r to be 36 below rade. — - ,-- 7.817 min. ` ' II d �.�"•�_r"'._ .. ., . i�,Y, n `� - - - .� ••,L�� I r d'1' 1p: .YI ar:�. ,Bi , + +e y :. , V� 7 I , 1 Gnl InInA'G.TnN. p AI B lase cmar h Pl.o.� I �. l�. � 44 15 - fpr architects apprpvai, , and coordination of s4liahtf_ ciay'tile, facing at mansard section and perimeter [ location. c. p Contractor to Verify all insulation dimensions—for coordination - - 6" top of a hot compesit roof matt - of trades- 6nsard \' _ Pi SINE puc�AHRICATED. TRUSS -- - ------- e3 ti-1e facing --- r— �_ 210 �� B' sheet rock ga, 2 - 4 i -- -- + i ] gutter and downspout Tderson patio poor i wcod trim see elevations windows and doors i ' +-. 1 — bsmt wind- _ t ii SECTION A-A SCALE 3/16"= 1'O" - i f { ALPINE TRUSS top chord 2x6 bct. chord 2x4 - h 24" o•c - - - ? 4" min br , a g• i SUBMIT SHOP_ DRAWItGS FOR APPROVAL** I s } FIRESTOPPING -;i 1 + � -1 .�41 + _ f FIRESTOPP.W'_ t Ii,io , 1 01 �1 0. 'P I� Y I ; I fI I - a . ;.,stUCCO _ i } Pj stuCCO . 1 �a i 1 'tom ��i � f1naT — = -- m- - idF�81� �2817j ELEVATION SCt,+ E 3/16" - 1'O" i i clay tile faced mansard roof stucco w_i- '; stucco I: gate- 9 11 ,vacd trim r�2s h EL uATIOP! ==SCALE 3/161, =11011 brie c'•av ti 1 e / shim / I t sturcrl1� stucco t - I, _ 1 j .I G I+ t PELEVATION Scale 3116"-=' 1'O`1 t I j g Ilj `* I clav tile I j stucco l 1 j H.M. Y'1 i F fpsc _ r ' 3 1TsI i ` I . 1 1 line of full bsmt below - ,_i ON SC4iEEfZb 1'�" � s t — - - •_- I 011 ,. i r .o on wird lath—4,� n - j furrirng 12"oc--" �-wl_�osu].aiiion--- �=-T �,--� .:,: .^;.. :� - r � ,• a 9 n up Leal �xteror Wa11:SRGtio 314't7 - iaetrocR both sides-- --- F ,d l ad w/r insulation as.....-.-,- x16 by Plan j er P,roof.._5hrk at_ -_. hW'ex, aNc hath. J + i i i r -T�(�zcal;Interior W211 Section 9 3/ Gutter hangar Iboket door - -- - Eave trough cap- .t Leader I ead—_,- ' leotrdck both sides iF9d FP 3nC gtrEIp— Ins 1 ` I ...- ' {- • ._ .._ ..- - - n f yr - _ � 4 .A�riP.�.r .-..�.-._ r. •.•aFP-. •'�� NH s . dri;trm, F�t perimeter