The URL can be used to link to this page

Home My WebLink About28920-ZFOPd~I NO. 4 T0~TN OF SOUTI~OLD BUILDING DEPARTMENT office of the Building Inspecuor Tow~ Ball Southold, CERTIFICATE OF OCCUPA~NCY No: Z-30434 Date: 09/16/04 THIS CERTIFIES t~t the building ADDITIONS Location of Property: 160 APPLE CT (ROUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 1 Lot 6_7 Subdivision Filed Map No. Lot No. SOUTHOLD conforms substannially to the Applicauion for Building Permit heretofore filed in this office dated NOVEMBER 15, 2002 pursuant to which Building Permit No. 28~20-Z dated biOVEMBER 18, 2002 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancI- for which this certificate is issued is FRO~T PORCH & GARAGE ADDITION TO EXISTING SI~GLE FD~ILY DWELLING AS APPLIED FOR. The certificate is issued to BRIDal & TERRI P. MOZER (Om~ER) of the aforesaid building. EUFFOLi~ COUNTS[ DEPARTMENT OF ~F~ALTH APPROVAL bi/A ELECTRICAL CERTIFICATE NO. '11195'48 06/06/03 PLUMBERS CERTIFICATION DA'~'~U3 N/A Authorized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (T~IS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) pERMIT NO. 28920 Z Date NOVEMBER 18, 2002 Permission is hereby granned to: TERRI L PRESTON 160 APPLE CT SOUTHOLD,NY 11971 for : CONSTRUCTION OF A FRONT PORCH AND GARAGE ADDITION AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 070 pursuant to application dated NOVEMBER Building Inspector to expire on MAY Fee $ 150.00 160 APPLE CT SOUTHOLD Block 0001 Lot No. 006.007 15, 2002 and approved by the 18, 2004. ' ~ Aut~6ri~ed Signature ORIGINAL Rev. 5/8/02 Form No. 6 TO;,I~ OF SOUTHOLD BUILDING DEPARTMENT TOWN 1~,~ L 765-1802 APPLICATION FOR CERTB~ICATE OF OCCUPANCY. -' ! . . .., %aq Tb2s application must be tried m by typewriter or mk and suhtmtted to the Braiding Department?x'~th~e_ foJlox,~ ~m-ge---- A. For new building or new use: ~ 1. Final su~ ey of property t~ ith accurate location of all buildings, properly lines, streets, and unusual natural or topo~aphic £eamres. 2. Final A?proval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3_ Approv~ of electrical installation from Board of Fire Undem'riters. S~vorn statement from plmnber certi$'ing that the solder used in system contains less than 2/10 of 1% lead. 5. Conzmercial build~ag; indzsmal building, rnultiple residences and similar buildings and installations, a certificate of Code Compliance from arch/tect or angineer responsible for the building. 6. Submit Planning Board Approval o£ completed site pian requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land tlses: 1. Accurate sta'x'~v of property showing ali property lines, su'eets, building and dnusual natural or topographic features 2. A properly completed application and consent to inspect s~gned by the applicant. If a Certificate of Occupanc3 is denied, the Building Inspector shall state the i easons therefor in writing to the applicant. l. Certificate of Occu?ancy - New dwelling 525.00. Addkions to dwelling 525.00, Aheradons to dwelling Swi~,'duing pool $25.00, AccessoD' build[ng S25.00, Addition~ to a¢cessmT building $25.00, Businesses $50~00. 2. Certificate of Occupancy on Pre-existing Building- $1~0.00 3. Cop3' of Certificate of Occupant3 $ 25 4. Updated Certificate of Occupancy- $50.00 5. TempolaI5 Certificate ofOccopancy- Residential $15.00. Co~vunercial $15.00 New Constntction: ~fh(&~-/01d o1' Pre-existiug Building: L~cation of Properr3: i~O {~P9 Ce. check ane) House N-O. · Owner or Owners of ProperU,: ~dx ~r- Suffblk County Tax Map No 1000, Section Street Subdivision PemfitNo. ,~q,,Z0-~-. DateofPermit. h ii~ Health Dept. Approval: Haz~et "~ I.~ Block I ' Lot Filed Map. Lot: Applicant: Under~vriters Approval: Plamfing Board Approval: Request for: Temporar3 Certificate Fee Submitted: $ ~ ~ . Oh Final Celtificate: co -a 5o't/3 (cheek one) Applicant Signature By THIS CERTIFICATE OF COMPLIANCE THE NEW YORk BOARD Of FIRE UNDERWRITERS BUREAU Of ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JIM SAGE ELEC. INC. TERRI pRESTON P.O. BOX 38 160 APPLE CT GREENPORT, NY 11944-0038, SOUTHOLD, NY 11971 Located at 160 APPLE CT SOUTHOLD, NY 11971 Application Number: 1119548 Certificate Number: 1119548 Section: Block: Lot: Building Permit~>8920Z BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, Iocaled in/on the premises at: F/rst Floor, Attached Garage, Outside, Attic, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in therewith the 6th of June, 2003. compliance on Day ~Name OTY Rate Ratin~_ Chcuit Tv'pe Wiring and Devices Receptacle 6 0 General Purpose Switch 5 0 General Ptupose F Lxture 10 0 Incandescent Receptacle 3 0 GFCI seal 1 of l This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. PHONE NO. : 6Z17~,4428..% Mar. 26 28~L~ i2:4iPM P1 Permit Number Ch~cked By/Da~e MECcheck Compliance Report New York State Energy Conservation Constntction Code MECche, ck Softv~are Versim 3.3 Rcle.~e 1¢ Da~ ill,name: C:\Progrmll Fil~s\Checkh'vlECchccl~resmn Hous~Garage. cc, k TITLE: Preston House/Garage COUNTY: sm~TM STATE: New York I-IDD:, 5750! CONSTRUCTION TYPB: D~ache. d 1 or 2 Family IIEATINO TYPB: lqo~-Ele~ric DATE: DATE OF pLANs: 05-24-03 · ' PROJECT INFORMATION: · . Pr~st~:m Hous~(~arage z, o,XD ,l Sou~h61~ New York COMPANY INFORMATION: MarkK..Schwart~ AJA - Architc~q PLLC P.O, BoX 933 Cuw, hogue, New York 11935 COMPLIANCE: Passes Maximum UA = 71 Your I~me = 04 9.9% Better Than Code Gross Glazing Area or Cavity ConL or ~ Perimeter R-V~due R-V~luc U-Factor Ceiling l: Cathedral C~iling (no attic) 644 · 30.0 Wall 1: Wood Fmme~ 16" o.¢. 216 19,0 ' Window h Wood Frame, Double Pane 15 Floor I: AII-Wo~I Joist/Truss, Over Unconditional Space 525 19_0 0.0 22 0.0 12 0.320 $ 0_0 25 COMPLIANCE STATEIVfRNT: Thc Prol~ building relR-es~lt~j in ~il~ pl~ ~cific~s, ~d have ~ des~ ~ed D~i~ Prof~on~ h~ ~ ~ s~ ~is ~g~ ~ m'~ ~dng ~at to PHONE NO. : 63175441E~5 Mar. 26 2003 %2:42PM P3 [ ] [ ] r 1 [ ] [ ]' [1 I' [ ] [ 1 [ ] [ ] [ ] [ ] All joints, s~mms, and coaagtioes must be ~ardy i'asgno:l wi~ wdds, g~k~, masti~ (a~iv~), m~ic-pl~d~&~i~ or ~p~_ ~pe is n~ p~iR~. F~ceptio~: Con~uo~ly ~ld~ and I~ing-~c lon~imd~ jo~ts ~d s~ms on d~ o~ging at I~ ~ 2 ~, w,g. (500 ~). Du~ sh~l ~.s~ ~.10 f~ ~.in ~r~nce with ~e man~aotur~'s ~s~ions- C~ling du~s ~ ~t~or ~lafi~ m~ ~ ~vg~ wi~ a ~' ~der: ~.~lters are y~ir~ ~g HVAC sy~ Temperature Controls: Each dy, riling unit hasat le, sa) one thermostat capable of automatkally adjusting the spaca taaperamre set p~int of the largest zone. Electric. Systems: electric metm'~ axe required fer each dwdEng mit. Fireplaces: Firggla~es must & installed with fight fitting nen--~ombusfible fireplace doors. Fir,~lac, os mint be provided with a ~unrcg of combuation air, as nglulr~d by the Fireplace consm~wn Pr°vigions !of the Building Code of New York State. ~e Residential Cod~ of N~w York State or th~ New York City Building Code, as applicable. Service Water Heatin~ Water hearers with wa'deal pip~ risers must have a hint wap oa both the inlet and outlet tmlgas the wat~ heater has an integral heat trap er is part of a circulating system. l~ulate circulating hot water pi!nas to' the l~v¢is iu Table L Cirenlating Hot Water Systems: , Ivsulat~ ciroalating hot water pipes to the l~vels in Table 1. Swimming Pools: All heated swimming pools must have aa on/offh~gr switch and requir~ a ~ov~ ~ualess over 20% of the hga'dog energy is ~'om non-depl~taNg sourg-es. Pod ptunps regluir~ a fling clock.. Heating and Co. ling Piping Imnulation: HVAC piping conveying fluids above 105 °F or chillczl fluids 1odow 55 °F must ~ inzula~d to rko levels in Table 2. FROM : MarkSchwartz,RI~-RrcKit~ct PHONE NO'. : E~17~44185 Mar. 2G..7_88~ 12:41PM P2 -'MECcA¢ck Inspection Checklist New York State Enerffy Conservation Construction Code MECche. ck Software Va-sion 3.3 Rel~as~ lc DATE: 03/26/03 TITLE: Preston HousedGaragc Bldg. - De.pt. Us~ [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] I] ] [ ] [ ] [ ] [ ] [ ] Ceilings: 1. Call/nc 1: Ca~bedral Ceiling ~no attic), R-30,0 cavity insulation Co~nmcnT~: Above-Grade Walls: Wall 1: Woad Framg' 16" o.c-, R-19,0 cavityincalafion C0mmo'tts: Windows: 1. Window I: Wood Framg' Double Pang, U-factor: 0.320 For windows without labeled U-f:~.ors, descrlhe f~amres: # Fanes . Frame. Typ~ Thc'mai Break? [ Comments: ]Yes[ ]No Floors: 1. FI.o~ 1: All-Wood Joist/Truss, Over Unconditional Spare, R-19.O cavity insulation Comments: Air Lgakag¢: Joints, p~tra~ians, and all other such ol~ningg in thc building envelope that a. re sources of air I~,ag~ must b~ s~aled. Re.cms~d lights must ~e I ) Typo IC ~ or 2) inst~lled ig~.d¢ an approgriate alr. tlgh~: assembly with a 0.S" clearance ~-om combustible, materials. If non-JC rated, thc gxrare' must be installed wi6-~ 3" clear~nce fi'om ins~lafion_ Vapor Relarder:. Required c~ ~h¢ w-~rm-in-wintm' sido of all n~-v~md frzm~l cailings, vails, and floors. M~teriais ldenfifle.atiou: M~tcrlals and ~quipmont mu~ be installed in accordance with ibc manufimmrcr's installation instructions Mat~ials and equ/pm ev~ must be ickntifi~l so th~ complhnc~ can be date,-m/ned. Manufacturer manuals tor all installed h~a~ing and ~ooling equlpmgat and sea-vic~ ~ heating equipment mast be providod.. Insulation R-valucs and glazing U-factot'~ must be clearly mark~I on thc buildi~g plans or specifications. Duct Insulation: Supply ducts .in unconditioned attics or outside the, building mus~ be insulated to R-g, Remm ducts in Lmconditioned a~cs or outsldo thc building must be insolated to R-4. Supply ducts in unooaditinned spaces must b~ insulat~ to R-8. Raturn dusm in uncondkioncd ~pac~s (~xc~pt basements) mint Im insulargd ro R-2. Insulation is no~ r~quired, on r~ura ducts in basem~ans. Duct Construction: FROM : Mar~Sck~ar±z,ArR--A~ckitect P,NONE ND. : Fo.31"?344J. SS Mar. ~ 2~03 ~2:42PM P4 Table I: Jn.~ul~tion Thickhes,~ in .h3.~.~h~ . H~at~l Water ~on-Circuladng Runout~. Circula0ne Mains _and Runou~ ..Temperature(F) Uptol", · Untol,25" 1.5"to2.0" Over2" 170-180 0.5. 1,0 1.5 2.0 ' 140-160 0.5 0.5 1.0 1.5 100-130 0_5 0.5 0.5 1.0 Table 2: Mtninmm laful~on Tl~ickness for II}'AC Pipes. Fluid T~np_ Inmladon Thickness in lnchea bv Pine Sizes Pinin~Svste~Twes Ranm:fF) 2"Run~.s .l"andL~s' 1.25"W2" 2.5"to4" Heating Sy~em~ I~w Pre~urarl'empemI~¢ 20t-250 i.0 ~W T~e 120-200 0~5 5m~ ~te (~r ~ ~) Any 1,0 C~g Sys~ · ChHI~ Wat~, ~g~t, 40-55' 0,5 ~d Brine B~ow ~ 1-0 1,5 1.5 '2,0. 1_0 1.0 1.5 1.0 1.5 2.0 0.5 0.75 1,0 1.0 I.$ 1.5 NOTES TO _~I~LD (Building Dopartm~nt Use Only) FROM : MarkSchwartz,RIA-Archi~ect PHONE NO. : G3iTJ44185 Mar. 26 2~03 12:3SPM P3 TtIb~d ]: Minimum lnsulalion Tki¢lcness forCirculat~g Hot Water Pipes. Insulation Thickness ~n Irtches by Pioe Sizes Heated Water Non-Circulatinz RunoulS Circulating Mains and Rtmoura Temperature ( F~ Um to 1" Up.to 1.25" 1.5" ~o 2.0" Over 2" 170-180 0.$ .1.0 1_5 2.0 140-160 0.5 0.5 1.0 1.5 · 100-130 0.5 0.5 0,$ 1.0 Table 2: Mitdmum Insulation Tb~lmessfoz IIVAC Fluid T~np. lasulati~ Thickness in ]nahes bv Pi~e Sizes .,~ Range(F) 2"Ranou~s l"andLcss 1.25"W2~ 2.5"to4" Heating Systems LowPr~s~ea~T~mparaturc 201-:Z$0' · 1.0 1.5 1.5 2.0 ~w T~ 120-200 0.S 1.0 ..1.0 15' S~ ~nsat~ (~r ~ ~t~) ~y 1,0 LO 1.5 ~0 Chill~ Wa~, ~ig~ ~55 0.5 0.5 0.75 ] .0 ~d~ BeJow~ 1,0 1.0 1.5 1.5 NOTES TO FIELD (Buildh;g D~arrme~: Use Only) . FROM : MarkSchwartz,AIA-Arcgit~ct PHONE NO. : GSI~E~418S Mar. 26 '200E 12:39PM P2 M ECcheck Inspection Checklist New York State Energy Conservation Coastruction Code MECclmck Software Version 3.3 Rel~a$~ I c DATE: 03/26/03 TITLE: Pregum Hou_~/Garag~ Bldg. U~ [ I £ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] Ceilings: ' 1. Ceiling 1: Czlhcdral Ceiling (,',~ ~.tti~), ll-:~.O ~a.vity insulation Above-Grade Walls: 1. Wall l: Wend Frame, 16" o.c., I~-lg.0 cavil~'i~alalion Cormnents: · Windows: 1. Window 1; Wood Frame, Double Pane, U-l~at~r: 0_320 Fo~ wi~do,~ ~ithont la, left U-~ctors, d~crib6 f~ture9: # Panea. Fram~ Type Thermal Break? [ Comments: lYes[ ]No 1. Floor 1: All-Wood Joist/True, Ovar Uncoadition~d Spa;~, R-19.0 cavity i~suladon Commen~: Air Leakage: Jo/nL% penetrations, and all other reich openings i~ ~e building envelolm that arc sources l~age must he s~al~L P,i~ssed lights must be I) Type IC ~ or 2) installad inside an approprlat~ air-fig~t ~bly wi~ a 0.$" clearanc~ i-om combustible ma~arjals. Ifnon-IC rated, the ~ mw be inslalltxl 3't elearanc~ bom insulmien.. Vapor R¢larder: P, zquired on the warm-in-wintgr side of all non-vented framod c~ilings, walls, and floors. Ma~er!al~ Identification: Materials and equipment must Ix~ inslallcd in a~orden~ with tiaa manu~-~:turer's inst~ llation instmctioas Materials and equipment must be i&mti~ed $o that c, otnpliance can b~ dean-m/ne& Manufactu~ maauals f~ all install~t h~ating and c~oling equipment and servi~ ~ heating ecluipment must be.prov4d~L ~sulation R-values and glo.inS U-facto~ must be clearly marked on the building plans or speckScatiens. Duet,Insulation: Supply dm:ts in unconditkmed attica ~ outside the Imflding must be/nsulamd to R-g. ~ duexs in unc~nditien~d attics or outsid~ the building mu; ba in.mla~l to R-4. Supply duc~s in unr~ndilion~d spae~s must be insulated m R-8, R~xu~tx alii;ts in tmc~lditioncd spa~es (e'x.c~.pl: bi~semcnts) mus~ b~ insulated re K-2. Insulation is not required oll return ducts/n ba_~.m~.ts. Dact Construction: MECcheck Compliance Report New York State Energy Conservation Construction Code' MECcheck Software V~-ion 3.3 Relea.~ lc Data filename; C;",Pro~ Files\Ch¢ck'4VlECchcck'tPres'u:~ HouseOarage. cck TITLe: Preston House/Garage COUNTY: Suffolk STATE: New York HDD: 5750 CONSTKUCTION TYPE; Detached 1 or 2 Family H~ATING TYPE: Non=Ele~-ic DATE: 03/26/03 DANTE OF PLANS: 03=24-03 PROJECT INFORMATION: Preste~ HousdGarage 160 Apple CouiX Southold, New York COlvIPAiq Y INFOR~TION: Marl~ K- Schwartz, AJA - Ard~it~-t, PLLC P.O, Box 933 · C~chogu~ N~:w York 11935 COMPLIANCE: Pass~ Maximum UA = 71 Your Home = 64. 9.9% Beta= Than Code: Orot~ Glazing Area or Cavity Cent or Door Per~memr R-Value R-V~lue U-F~-tor UA C~iliug I: Cath¢~/ral C,~iling (no attic) 644 30_0 0.0 Wall 1; Woo~ Frame, 16" o-~ 216 19.0 0.0 Window !: Wood Frame, Double Pane . 15 Floor 1: AIl-W°ed JoisffTruss, Over Unconditioned Sp'a~ 525 19.0 0-0 0.320 22 12 5 25 COMI~LIANCE STATEMENT: The propo~a=d building rcpres~lmd in this do~m~mt is co-~at with the bu/lding plans, spccificatiom, and ct. bar eaieulations submi~ed wi~b th/s perm/t applkation. Tho propos~ have b~n designed ~o m~t the Now York Stat~ 'Ikt~tgy Conservation Con~'ugdon C. od.e r~luiremeax~. l~gister~[ Design Professional has stamped and sign~[ this page, they are attes~g that to the besl: ofh~~.;~. knowledge, belle~ and pmfe~innal judgrnFal,r, such plans or., flianc~.with th-~$ ~?~ hp~ifieafioos are in complianc~.with th-; Mark K. Schwartz, AIA -Arch, itect, PLLC P.O Box 933 Cutchog~e, New York 11935 Phone; (631) 734-4185 Fa_x: (631) 734-4185 FAX TRANSMITTAL Date: To: January. 13, 2003 Southold Building Department Attn: John Boufis Fax number: 765-9502 Phone number: 765-1802 From: Mark Schwartz Re: 160 Apple Court Southold, New York (SCTM# 1000-70-01-6.7) Pages: I (including cover sheet,) Co/llI21e12~: The footings for the garage addition sl~ll be changed to a single pour 16" wide x -14' depth (min_) fix lieu of the 8" x 16" footing with 8" wall as shown 6~t plans. Please call this office ff you have questions or require additional information. Freston2.doc FROM : MarkSchwartz,RIAIArchitmct PHONE ND. : G3173~4i85 Feb. 2? 2003~ 02: 4SAM P1 Mark K. Schwartz, A[A - Architect, PLLC Phone; (6~'1) 7.~4 -41~ Fa= (631) 7?,4 - 41 ~ FAX TRA}Y(SM ITTAL Date: To: F~x hurtle_r; Phon~ number: February 22, 2003 Southold Buikling I)eparf~ent Attn: ~ehn Boufis 765-9502 765-1802 Ma~k Schwar ~. Preston House 160 Apple Cou~t Sou~Lold, New Yor~ (sc~# ~000-70-0~4.7) 1 · (incluclh~g cover?keet) Commen~: .U R G E N T I u~nderstand the frarrdng ~p~ ~ ~ s~-~ed for ~y. t~m~e ~ew ~e f~g sket~ ~t depkm ~a~g ~ga~ ~c ~o~e ~ I ~s~ ~ ~ve now ~ complet~_ Please call fffis office ff you have quest~ore~ or reqrfire additional information. FROf'I : ['~kS~kwaf-1;z, lqlA-Ar~¢ki-bect Pt-ONE NO. : 6.~i'7'344185 Feb. 2? 2_~03 02.'4&qf'l P2 TYPE OF RLD. I ~ ' · ~,~~+ ~, ~'~o ~/~l~e ~l/Zq~/ F~r,v ~ ~e~ ~" n ~ ~ ~ ~.p.,~-{~ · ' '"' ' ' FRONTAGE ON WATER .TtLLABLE FRONTAGE ON ROAD WOODLAND 'DEPTH ,, ME~DOWLAND BULKHE&D "' HOUSE/LOT ...... BUILDING PER3IFF EXAMINER CItECK LIST DATE REVFEWED: DATE SUBMITTED: Ii ,' i~ "02 SCTM# DISTRICT: 1,000, SECTION: -~O , BLOCK: / LOT: 6. ~ STREEt.reD.SS: ,qf CITY: S a SiON: PROJECT DESC~TION: ~a)~/~,~~ * ~- EST~fATED PROJECT COST _~CT'ENG~EER: ~~, FAST T~&CK ~ S~GLE & SEP.~kTE CERT~CATION-~.Q~D ~ NOTES: LOTS ~,000SF -I 00-24. Lot reco~;ifion.(C~A~D befure June 30, 19835, L~E~ED LOTS FROM JAN_lgP7 100-25. Merg~_(A nonco~o~&tg a; ~5 time afar 7. I.'83~ ZON~G .DIST~CT: ~ CO~O~,~G? ~ ~.Q, LOIS~E: mO~ ACT. LOTS=E:,~¢ ~Q. LOTCOV. ~%ACT_LOTCOV./5~ ~ ~.Q. FRONT_ ~ PROP. FRONT /~Q S~E tO~ ACT. SDE / ~Q. ~,~ ~ PROP. ~2 ~ ~QJ~IGHT PROP. HEIGHT kV_A.T ER ERONT? P)dNEL #: ,4/0 ~/, DESCRIPTION: FLOOD ZONE:__/~, COMP£L~,~CE: APPROVALS REQUIRED YES or ~_,~, (BED #):__ SUFFOLK COUNTY nEPaL ~TH 12~1~T: TOWN SEPTIC RECEIPT: X or~_j NEW YORK STATE DEC: Pro-tEc ~a/?s YES SOUTHOLD TOWN TRUSTEES: YES of,4 TOWN ZONING BOARD APPR?~AL: YES ~OWNPLAN. BOARD APPROYAL: YES FOWN HISTORICAL PRE (SPLIA): YE$,~ NYS ENERGY: YES 01~0 EGRESS (18 H mkn_? 4 sq total) ,~VENT (SQ. FT. x 4%) BUILDING PERMITS OPEN/EXPIRED: BP ltAVE PRE CO'S: Y OR N BP NOTES: DTE: / / PERMIT #:RIO- -Z / C/0 Z- -Z / C/0 Z- LIGHT (SQ. FT. x 8%). FEE STRUCTURE: FOUNDATION: ')/5- SF · FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF TOTAL: ~ I ~ SF 1.( 2[f SF)-( INIT OTHER TOTAL FEE FEE FEE SF)-( SF)= SF X $__=$ +$ +$ =$ 765-1802 BUILDING DEPT. oSPECTION N 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS:~,~/~ / ~ DATE 765-1802 BUILDING DEPT. 1ST ] FOUNDATION 2ND [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY ROUGH PLBG. INSULATION FINAL DATE/~/~~ INS~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNQ~ATIONIST [ ] ROUGH PLBG, [ ]~UND~TION 2ND [ ]INSULATION [..~ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ;~ . ---- / · / i / / f INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING _____~_~.[ ~'/~NAL [ ] FIREI &CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSUL~TJ~N [ ] FRAMING [~'~IN~ /~. ~- [ ] FIREPLACE & CHIMNEY REMARKS: ~ ~._ DATE 765-1802 BUILDING DEPT. , iI'NSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [' ] FIREPLACE & CHIMNEY [ [ ] ROUGH PLBG. [ ] II~ULATION [~FINAL ] FIRE SAFETY INSPECTION REMARKS: mLD'iNSPECTIONREPORTI DATE{ ' '. CO''I~td]~ibl'~- '-'...~ · -. .......................... ~ ....... ~ _~~~Z~*-~ ~*~~~ ~.×~ ,.--- ~,:~...:f ~~~. ~. ~ ~ :£/7- Z/ ~/~ ~-~ [ ~ / ~S~ON P~ N.Y. ~ q STATE ENER~ CODE '~D~ON~ CO~TS B UILD~G/)EPARTMENT TO~Cq ]~LL SOUTltOLD, N~' 11971 TEL: (631) 765-1802 'F:&X: (631) 765-9502 ~wwv. n~rthfork~ner/So utho ldJ Approved / - E~adonDisappr~'ed ~c ~~~*, ~, 20~ BUll,DING PERMIT APPLICATION CI-IECKLI8 ' Buildin ~~~mr APPLICATION FOR BUII~DING PERMIT Date INSTRUCTIONS ,2O _ .a. Zh~s apphcat~on ME ST be completely fl.[led m by typewriter or m ~ and sabm.~I W the Building Inspector w~th 3 sets of plans, accurate plo~ plan to scale. Fee accord.~g to schedo, le. b. Plot plan showing loc~.tion of lot and of buildings on premises, relationship to adj°ining premises or public streets or areas, and waterways. c. The work covered by this application may not be commellced before issuanc~ of Building P~-mit. d_ Upon approval o£ rials application, the Building Lnspector will issue a Building Pemdt to the applicant. Such a pormit shall be kept on rte premzscs a;mlable for inspection throughout the work. e. No buildh~.g shall bc occupied or used in whole or in part for any purpose whal: so ever unlil the Building issues a Certificate of Occupancy. fi Every building pernfit shall expire if the work authorized lm.s not commea~ced within 12 months a~r the date of issuance or has not been complered with2n 18 months from such date. If no zoning amendments or other regalatiom affecting the proper~ have been enacted in the/nl:erim, the Build.~g Inspector may authorize, in w'riliag, ~he ext~sion oft. he p,~mi~.for addition six months. Thereafter, a new permit shall be required. .~PPLICATION IS ~tEREBY NL-~DE to the Ba/lding Deparm~ent for the issuance of a Building Permit parsua~t to the Bmldmg Zone Ordinance of rte Town of Southold, Suffolk County, New York, .and Other applicabl~ Laws, Ord~n~n~ or Regulations, for ~e consrr~crion of buildings, additions, or alteratiorm or for removal or demolition a~ hecta d~scdbed. Thc applicant agrees ro comply with all applicable laws, ordinances, building code, housing code, and regulations, andto m'Imlt ' ' (M~ai~g addr~s of appl/cam) S~ate whether applicant is ox~ net, l~ssee, ag~ent, arc~t~e ,~ eng~eer, g~aeral contractor, electrician, plumb~ or builder Name of owner ofpremises 7~r'~ ~ [ & ~ ~'7~A,/ (As on the tax roll or latest d~) If applicunt is a corporation, signature of duly.authorized officer (Name and tide of corporate officer) Builders License No. Plumbers License No. Electricians License No, Other T~rade's License No. Location of lmxd on w~ch proposed work will be done: House Number Stre~ Hamlo~ Cormty Tax Map No. 1000 Section Subdivision 0Name) State existing use and occupancy of premises and intended use~d occupancy of proposed construction: · . a. Existing use and occupancy ~/~1f6'¢~' t~,'~/r, t,/ ~..~_F. b. Intendeduseandoccupaucy . ~"l X J d t , ~- ff ~] ,'~ t c ~ · '3. Nature of~vork (check Which applicable): New Building_ Repair Removal Demolition Estimated Co 3 t90 ~ 5. If d~vdliag, n/m~ber.ofdWellingumts If ga r;age,',numl:/er'of'cars ·Addition Other Work Fee Alteration (.Description) (To be paid on filing this application' Number of dwelling units on each floor i, 6. If business, commercial or mixed occupancy, specify nature and extent of each .type of use. 7. Dimensions of existing structures, if any: Front ~ ~ ~ (/,~a.) 3~ Rear Height Number of Stories Dimensions of same Depth. Depth Rear 8_ DLmensaons Depth Height Structure with alterations or additions: Front · ._ Height. '... - Number of Stories of entire new construction: Front Rear Number of Stories t~ear / Depth 9. Size of lot: Front 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ 13. Will lot be re-graded? YES__ NO ~)~'Will excess fill be removed from premises? YES NO__ : 14. Names.ofOwne'r ofpremises T'F~/~f ~_.£~-~t'/Address /~,~ ,~,~o£ ¢7-- NameofArchiteet /~.~/~/5 '~6t5%t,/,4W.~.7'-'-~- Addressflo zTaX ~_~ Name of Contractor '- :- Address 15 a. Is this property within,100 feet of a,tidaJ wetland or a fresh~vater wetland? *'FES __ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D_E.C_ PERMITS NL~Y BE REQUIRED. b. Is this property within,gOO feet 9fa fid.al wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. rhpn ,'o._Tb£- 4- g 7 Phrme No 7 g' ,4/- - 'q-lf'ff" Phone No. 16_ Provide survey;-to· scalefiwith accurate foundation plan and distances to property lines. 17. If elevation at any point on propexty is at 10 feet or below, must proxqde topographical data on surv%~_ STATE OF NEW YORK) SS: COUNTY OF. _~) . . (Name of individual signlng'con'tmct) above named, (Contraetms. Agent, Corporate Officer. etc.) of said owner or owners, and is duly author/zed to perform or have performed the said work and to make and file th/s application: that all statements contained in this application are tree to the best ofkis knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn.to before me thia I 155 ~' ' '" LYNDA M. BOHN NOTARY PUBLIC. State of New ~3~ No. 01BO6020932 Qualified in SuffoLk CounW Term Expires March 8, 20 ~ Pplicant $CDHS REF. # 9~ SO 51 · / ~' 73O ~o. 3o. ~. N AREA = 12,804 s~ft. CERTIFIED TO~ wALTER t~ BERRY MlCHEI_I_E A. BERRY THE LON~ 1SL~¥D SA VIN6~ BANK FSB SI. IPERIOR A~TRACT CORPORA 770N TRW-$-5459o~8-14 ~. TE, R~ TION .o~ ~T A~.~ ~C~N 7~09 - ~~. ~.A~ VA~ F~ MAP ~ ~ ~ ~E ~ ~0~. ADtTITJOIC4~L Y TO C¢2~I~.Y l~'H 8.4~ LAW TERM ° AL TERE,~ BY ' ~T ~ ~ BY ~ A~ ALL ~0~8~ A ~Y 'OF ~0~ ~S ~, ~ 8~ ~T~ A~ ' BR~T - TO - D~ ' ~E NOT ~ COMP~ ~ ~ ~. The ioceEees of well=. ~d cesspools shown hereon ere from field observ=fto~s o~d or from d¢1to obt~ed from olher~ I revJ~e rev/se .~x number A T SOUTHOLD TO WN OF SOUTHOLD SUFFOLK COUNTY,~ N Y. 100'0 - 70 - 0i- 6.7 ,Scale: I"= 40' March 11, 1992 JUL Y 15, 1992 (foundab'on) Oct 23,1992 (final) ~ NO. 49Foi8 ., ~~~REE T $0~ 1197/ SUI ¢I 'r' OF: PI .OPt=P.-I-'r' SITUATE: SOUTHOLD TOINN; 50UTHOLD 5t)Ff-OLt,::: OOUNT'I', N'r' ~UP. VE'T'~ ~ 0B-14-02 SUFFOLK: COUNTY TAX # 1000-~4-1-12 N W "" ~/ S E CEF~TIFI[~O TO: PHILIP [~. STANTON JENNIPEF~ LAME~ERT~ STANTON PECONIC. AE~ST~.ACT, INC.. C.I TI BANI:::::, N.A. $86°42,00,,E 169.61' N86°$1'00"W 91.70' '2 NOTES: · 0 CONC. RETE MONUMENT PIPE FOUNI~ A'~.EA = 24,1~O ~P O~-. 0.55 AC~.ES ®~APHIC, SCALF 1"=30' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN S~ET N.Y.S. EIC. NO. 50202 ~VE~EAD, N.Y. 1190l 369-8288 F~ 369-8287 ~F.X~p se~erXd~ROS~02-129.pro