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HomeMy WebLinkAbout29110-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30547 Date: 11/12/04 THIS CERTIFIES that the building NEW DWELLING Location of Property: 390 SHORE LA PECONIC (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 1 Lot 4.11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 31, 2002 pursuant to which Building Permit No. 29110-Z dated JANUARY 16, 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 SINGLE FAMILY DWELLING WITH TWO CAR GARAGE, WRAP AROUND PORCH & REAR DECK AS APPLIED FOR. The certificate is issued to SCHEMBRI HOMES INC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0016 11/04/04 ELECTRICAL CERTIFICATE NO. 4326 07/26/04 PLUMBERS CERTIFICATION DATED 02/09/04 CHARLES SANBERI th ized ignature 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. 29110 Z Date JANUARY 16, 2003 Permission is hereby granted to: SCHEMBRI HOMES INC 2042 NORTH COUNTRY ROAD WADING RIVER,NY 11792 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH TWO CAR GARAGE WRAP AROUND PORCH AND REAR DECK AS APPLIED FOR at premises located at 390 SHORE LA PECONIC County Tax Map No. 473889 Section 086 Block 0001 Lot No. 004 . 011 pursuant to application dated DECEMBER 31, 2002 and approved by the Building Inspector to expire on JULY 16, 2004 . Fee $ 1, 566 . 30 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 Planting 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 si"red by the; applicant. Ira Cerlilicai<� uiC�c�up.ui�} i denied, the Building Inspector shall stale the reasons therefor in writing to the alaplicanl. C. Fees- 1. Certificate of Occupancy - New dwelling$25.00, Additions to dwelling, $25.00, Alterations to $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building, $25.00, BUSIne»eS `h5U.00. 2. Certificate of Occupancy on Pre-existing Buuilding - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certlficale of Occupancy - Rcsidcntial $15.00. C'r,numerciA $15.00 Date.New Construction: Old or Pre-existing Building: (check ou l/ Location of Property: ����D 6 House No. Street,^^^ Hamlet Owner or Owners of Property: -- Suffolk County x Map No 1000, Section Block / Lot Subdivision IAOFiled Map. �V(?73 Lot: Permit No. Date of Permit. /��f Applicant- ,��,�Q Health Dept. Approval: R,) 0 nC Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $eR6.(" Ap icant Signature Ca� 36sy � c. i FROlr1 SOUTHOLD TOWN PLANNING BOARD FAX NO. 631 765 3136 Jun. 11 2001 09:54Ah1 P1 Ztz.- Town Hall, 53095 Main Road P. 0. Box 1179 Fax (516)7651823 Southold, New York 11971 Telephone(518)765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICAT10NY DACE; Building Pormit No, Owner: , (plea> e MF)r nt j P 1 umber: 1_...: l/v��. _ (please print) I certify that the solder used in. the .water supply system contains leas than 2/10 of 1% lead. (PIumberffi gnature Sworn o be f ore • 9 this clay o f 0 DONNA HREN7.E Notary Publ ' !_ County NOTARY PUBLIC STATE OF NY NO.41085.COUNTY OF S K COMMISSION EXPIRES MARCH ,O Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street• Center Moriches,New York 11934 • Tel: 631-878-3500 • Fax: 631-878-3764 Application:4326 Date:7-26-04 Issued to:Schembri Homes Address:Lot#11 Richmond Shores Village:Southhold Introduced By:DeLane Electric License#:4354-E was examined and approved up to the above date and was in compliance with the NEC A&IM 1st Floor[] Pm dentid❑x Rod W.Garage Bffiement[R] 2nd floc 0 Cartrnerdal Hot Tub Adci w Switches Receptacles Fixtures G.F.I. Microwave Whirlpool 24 46 37 5 1 1 Fans Dishwasher Washer/Amps DryerlAmps Oven CarbonRange/Amps Monoxide 1 1 1 1 Furnace Oil Gas Heat Zones Smoke Bell Detectors Transformers 1 yes 2 6 1 Rough Insp: 6-20-04 Meter Amps Phase Motors Final Insp: 7-27-04 1 100A-UG 1 Other Equipment: 2-Zone AC ut,Res - v T 's certificate must not be altered in any manner OS�FFO�,�c Albert J. Krupski, President ��. QG Town Hall James King,Vice-President h� yip 53095 Route 25 Artie Fostery -'� P.O.Box 1179 Ken Poliwoda Southold, New York 11971-0959 Peggy A. Dickerson 'yifJQ �Q� Telephone(631) 765-1892 1 `1► Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0017C Date Nov. 70 2004 THIS CERTIFIES that the singte-ham Zy dwe.P.P.i.ng with gaAage and spt t-tcaiZ hence At E/z Shane Lane, Pecon i,c Suffolk County Tax Map # 86-1-4. 11 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 7/30/02 pursuant to which Trustees Permit# 5615 Dated 8121102 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is 'otc the zing.2e-6amity dwetti.ng with garage, and spt- t-&afe Aence. The certificate is issued to Schembtu. Homes, Inc. owner of the aforesaid property. Authorized Signature �. 'ern' � :�`•. •!r._r r .!�-Y.r. _ R.•t��-Yrs r..rr- . ♦ Y Board Of Southold Town Trustees Bo ��• SOUTHOLD, NEW YORK .Se tember 1 2002 .. J ... ....... DATE: ... ?................:......... PERMIT NO. . s = SCHEMBRI HOMES, INC. ISSUEDTO ........................................................................................ i Pursuant to the provisions of Chapter 615 of the Laws of 3 the State of New York, 1893; and Chapter 404 of the Laws of the •� .x State of New York 1952; and the Southold Town Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS :h IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND. GRAVEL OR OTHER MATERIALS FROM. LANDS UNDER TOWN WATERS;": and in accordance with the Aug. , Resolution of The Board adopted at a meeting held on .........ia.�............... 2002 .......... and in consideration of the sum of #.........200......'..00.......... paid by Schembri Homes, Inc. .................................... :_', - ................ ................. Riverhead ......_.. . the Of .......................................................... . . ... N Y and subject to Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the foNowing: • 1� Wetland Permit to construct a 51'X 61'singlo-family dwelling and on-site sewage disposal system,with.the condition of a non-disturbance buffer 50'from the edge of the wetlands and a 1 ere. split-rail farce installed at the 50'line,and a 25'non-turf buffer on the west side of the fence,all as depicted on the survey dated January 14,2000 and last revised August 29,2002. rred to a Documentary proof that the reserved areas indicated on the survey has been trasfnd nd approvals "! homeowners association"tan-exanPt organrzahon"or that all rrecessary steps app have been obtained to transfer the reserved areas indicated on the above survey to a homeowners.nted In all in accort association"tax-exempt Milanization"or the Town of Southold must be provided. the originating application. f IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this datie. 4 Trustees (� DRi -i O`• Albert J.Krupski,President Town Hall James King,Vice-President SVFFOI/('C 53095 Route 25 �+ Artie Foster � 00. P.O.Box 1179 I` Southold,New York 11971-0959 Ken Poliwoda o Peggy A.Dickerson g Z Telephone(631)765-1892 p Fax(631)765-1366 W • BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 10, 2002 Ms. Catherine Mesinao Catherine Mesiano, Inc. 12 Mill Pond Lane East Moriches,NY 11940 RE: SCHEMBRI HOMES, iNC. E/s SHORE LANE,PECONIC SCTM#86-1-4.11 Dear Ms. Mesiano: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 21, 2002 regarding the above matter: WHEREAS, Catherine Mesiano on behalf of SCHEMBRI HOMES, INC. applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code,the Wetland Ordinance of the Town of Southold, application dated July 30, 2002, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 21, 2002, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, 2 WHEREAS,the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of SCHEMBRI HOMES, INC. to construct a 5V 61' single-family dwelling and on-site sewage disposal system,with the condition of a non-disturbance buffer 50' from the edge of the wetlands and a split-rail fence installed at the 50' line, and a 25'non-turf buffer on the west side of the fence, all as depicted on the survey dated January 14, 2000 and last revised August 28, 2002. Documentary proof that the reserved areas indicated on the survey has been transferred to a homeowners association "tax-exempt organization" or that all necessary steps and approvals have been obtained to transfer the reserved areas indicated on the above survey to a homeowners association"tax- exempt organization" or the Town of Southold,must be provided. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$5.00 per inspection. (See attached schedule.) Fees: $10.00 Very truly yours, Albert J. Krupski,Jr. President,Board of Trustees AJK/lms cc: Building Dept. Health Dept. NYSDEC EES SOUTHOLUmm'k THOU I - 14r Issued T-m- '� h i6fid Date :I l9�o� Address K-IS Sh�'Q �� � Q�e�c,►c. 86 - t -4. 11 THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOtQ, N.Y. 11471 TEL. : 765-1892 a Town nan Albert J.Krupski,President FFQI 53095 Route 25 James King,Vice-President o�Q �C� P.O.Box 1179 Artie Foster o� � Southold,New York 11971-0959 Ken Poliwoda Peggy A.Dickerson 0 Z Telephone(631)765-1892 • Fax(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICETHE WORK, TO MAKE AN TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT O APPOINTMENT FOR APRE-CONSTRUCTAIPOSSEBLEON.REVOCILURE TO DO ATION OF THE SHALL BE CONSIDERED A VIOLATION AND PERMIT. INSPECTION SCHEDULE Pre-constructionqkvry-691e4.me7- 1St day of construction '/2 constructed Project complete, compliance inspection. -t - la- TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT , �6�- 5L�Qye LOH e- P�,,_'Xj G P'ckkq, FORMER OWNER N E ACR. Oul.. &UY m n S W TYPE OF BUILDING RES. SEAS. VL. FARM comm. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS I lo `1- I ! 5 - iQ. G.C. R d4r1Amj Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total r YvU�'I t- 19151FfrirJ :rv,., r"A nU. - QD.L-0f0-07.71 �.+��- -' «'-- New York State Department of Environmental Conservation (division of cnvironmontal Permits RM 219, Building 40-SUNY Stony Brook, Now York 11790.2356 AM Talephono(631)444-036'0 - Facsimile (691)44A-0380 Jo11n P.Cahill Commissioner LLTR OF NON-JURISIDICTION OC-ober- 2, 2COC Schembri Homes 2042 N Country Rd wading River, NY 11792 Re: Loc # 11, Richmond Snores at ?econic, Peconic, NY SC'-'M# 1000'96-01-4 . 11 DECO 1,4738-02748/00001 Dear Sohembri Homes : 3ased on the informatior_ ycu have submitted, the New York State Department of Envircnmer_tal Conservation_ has determined that : The property landward of the 10 ' elevation ccnCour a$ shown on the survey prepared by 7ogep. - ?'r�geanc, -.5 . dated 7a.nuary 14, ,2000, is beyond tree ju.risdictio-I of Article 25 (Tide: Wetlands) . Therefore, in accordance with ;.he current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no perm-it is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation, Or disturbance of any kind may take place seaward of the tidal wetlands jur .sdictional boundary, as indicated above, without a permit , it is your responsibility to er.sure that all necessary precautions are taken to prevent any sedimentation o; ocher alteraz:! n -Dr aisturbance to the ground surface or vegetation with;,'.1 Tidal wetland= I=sdiction which may resvit from your project, Such precau^_cns may include maintaining adequate work area between, the tidal wetland ]urisdictiouatl boundary acid your proj cct (i .e. a 15 , to 0 , ;vide construction areal or erecting a ternporary fence, barrier, or hay bale berm_ ?Tease be further advised that this letter does roc r . ` ve you of ccs responsibilit_r of obtaining any necessary permits appro ala from of:Ztr agencies , truly urs, o h n Idi eran ermic Administrator r. i'(iesiano I l J1 LDl l�%,,,J n_J__J I JL 1�1J__J yy 1 Z'i. r T�Z Sq Applicant/ Date. Owners Name: Reviewed: Architect/ - Date Engineer: h� 4 Submitted: SCTM tt: District: 1.000 Section: �7v Block: _ Lot: Project3 Subdivision Location: d GUS-Vic _ Name:_ r Sin&le & separate Required certification: (Yes/No)Req. jj Req, �,> � /.Doing District:_ (lot size: Actual: Jo 1 (Ixt coverage Z Proposed L j Rey. ;7�� t Req. 1$ / t Req. ' [front Yard)`� Propose [Sid,Yard /�.S Proposed: / 3J [Rear Yard Proposed Project Description: c) AGENCM2MITS Permit �tEQUIRED FOR REVIEW N.A. ISO YES Number Suffolk County Health Dept. New York State D. E. C. �f►�C1 Town Trustees Town Zoning Board approval: 1� Town Planning Board approval: yam_ Flood Plane Elevation??? Flood Zone: Atilt X Notes: Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 01/02/03 Receipt#: 7325 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Check#: 7325 Total Paid: $10.00 L� Name: Schembri, Homes Inc 102 Sandpiper Dr. Riverhead, NY 11901 Clerk ID: BONNIED Internal ID:66061 M-1802 BUILDING DEPT. -INSPECTION [ FOUNDATION IST [ ] ROUGH PLB6. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: UL p �T DATE INS OR 765-1802 BUILDING DEPT. INSPECTION [ ] UNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION I 1 FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS• C DATE � gj INSPECTOR ass-ieot suaciNc DE". INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I 1 FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE � INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST }R UGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ P11'FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 9� c DATE � � �3 INSPECTOR,, i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. i [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ INAL [ ] FIREPLA & CHIMNEY [ ] FIRE SAFETY INSPECTION C 4 REMARKS:�""w�-�T,r'�' �Urre�l l`Z� DATE ` o INSPECTOR BUILDING DEPT. INSPECTION [ J FOUNDATION IST [ ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION [ F MING [ ] FINAL [ FIREPLACE S CHIMNEY REMARKS: DATE ` � ` �7 INSPECTOR X65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE Al INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 1 DATE INSPECTOR �j --le MIMM jr Tr FOUNDATION(IST) jj� -Rli 110 111"'111111�A WWWW i » A l%.fir ��/_� �'��1_F 00 P 11 ! ) ImwRIMS l� PLUMING. WA I!J/ LIIm W- - vX—F .. rm W.WA w'I VIMrel.,Aw— "DMONAL COBEMMqvs TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined 20__ 03 Contact: \\ Approved ,203 Mail to: (\C- Disapproved \CDisapproved a/c L o1�� N C Phone:Cr�1—?�?��(Z� ItSat Expiration ( (P 20 Building Inspector APPLICATION FOR BUILDING PERMIT T . Date , 20 vZ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and 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 new 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 described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing code,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or"name,if a corporation) (Mailing ad ess of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises a-,;- i in c (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: Lv l t t t2-1�k K.Q�� L.�-r.e �-�-.dn►� House Number Street Hai*1 t, County Tax Map No. 1000 Section 18G Block 0 1 ,` Lot NN 1 � Subdivision Filed Map No. tot"''T-' (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy V�S(A a 1 3. Nature of work(check which applicable): New Building (/ Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost �O a ,ovv Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor 3 If garage, number of cars 17-- 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 Number of Stories 8. Dimensions of entire new construction: Front 4? Rear_74._iDepth Height Z Number of Stories 9. Size of lot: Front 110 1 Rear L 6 c t Depth i C�3 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 NO e---- 13. Will lot be re-graded? YES ---NO Will excess fill be removed from premises? YES NO �r 14. Names of Owner of premises 6 �tddress hone No.C=R('-)a `WO Name of Architect Address Phone No Name of ContractorScAy-mb r i .s�Address j� Sv�;�p�aC c'Phone No. `200-rk.Q!ZS 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ✓� * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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. STATE OF NEW YORK) SS: COUNTY OF 1 K �. S;7C-,%C-k being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the }-1 (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 t before me this L'-'Y of 20C)3 c Notary Pul�iFR�STM Si ature of Applicant molary Public,State 01 New YA No.4866720 Duel W in Suffolk Cou* commission upka August S, PLOT PLAN OF -_ LOT 11 f;T z r MAP OF O4 -7 1 ,r ., RICHMOND SHORES AT PECONIC '/*1 r`T7 ^�Ra A FILE No. 6873 FILED NOVEMBER 20. 1979 _..1. SITUATED AT Y �.;�1�:,�. , ,- ' �:,L � ��., ab:J PECOI�IC ' .4 SEP 1 2000 r (� ,o . c� o• 41 1TJ h OF TOW THOLD AP;IZOVE SUFFOLK NCOUNT�,U NEW YORK FOR I 'L'�1UUi Gr_ k;aFa;C;! S S.C. TAX No. 1000-86-01 -4.1 1 SCALE 1"=40' R_25.00 0TUMS T'r:�E YEARS FROM DATL OF APPROVAL ( JANUARY 14, 2400 AUGUST 18, 2000 ADDED TOPOGRAPHICAL SURVEY AREA = 21,265.22 sq. ft. 0.488 oc. o p i s \ Z ELEVATION$ AiIE IR1ELT�EEIRKENCED TO N.G.V.D. 1f29 DATUM EWSTI NG ELEVATIONS AIIE SHOWN TWA:14 0 2. REM TO FILED MAP FOR TEST HOLE DATA. + p 3. MBOiIUM SMAC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1.000 GALLONS. I TANK. 8' LONG. 4'-3' WIDE, 6'-7" DEER _ A - 4. MKWJMSYSTEM FOR A 1 TO 4 KDROOM HOUSE IS 300 sq N SIDEWALL AREAL 2 POOLS; '1 DEEP, 8' die. PROPBBED EXPAIIMON-POLI Alt LOQ GPI► \\ \\ \ \ >VL: ®PROPOSED LEACHING POOL P \ \ s A\ \ �PRD/OSED sEPTIc TANK \O�\ S. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE.FROM FIELD - - OBSERVATI110116 ANO/OR DATA 01TAI ED FROM OTHERS. -... \ \ \ \[\ \ \\ \ A S. PROPERTY FLOODINFORMATIONISINLO T�IG FROM: \ \ \\ \ \ \ \ \ FLOOD INSURANCE RATE MAP No. 36103Ci62 G ZONE x: AREAS DETERMINED TO BE OUTSIDE 500—YEAR FLOODPLAIN. - 69 \ \ \ ` \\ \ \\ \ Woo \ JAL � AL N9 O PREPARED--M�1L"U SUIWM-OR MINIMUM GPD go'r. .00+ $ II 1 \\ ,� \ \ DIAL ' SIDLAND _�cr nDO'I .165 da ,/ \ ` AL \ \ coAL ifiA 13—7 — _ ___ - 72.9 0 a . !` N.Y.5, Lie. No. 49688 O / WNMITHOR2ED ALTERATION OR ADD" TO THIS SURVEY IS A VIOLATION OF Z � � vEB M�TWN�IAOIOF THE NEWYOWc STATE A.'oo N COPES OF DNS S~MAP NOT K~ THE [Alm SVRWVM'S"m SEAL OR VAO Of SMALL WT BE COMUDEITED To 13E A V&TRUE cow, Land !I>r�/� �" CERTMiCAT1fON5 IiDCJ1T[D HEAaPN-SNNMI RUN ONLY To DW Pf86N FOR WNON TME SURVEY is R.^ ME COMP:mAEPrEo. o ON m wwr AGENL'Y N410 htk Surveys - SN*dM&,*m - Site Pf" - Corm*nxbm Layout ic III .40 Loom LOW 14 mu11DN n6A PNUNE (631)727-2090 Fax (631)727-1727 I THE EKISTFIICE OF RIGMT OF WAYS OFF1C£S LOGIIED AT r;6ulING ADiDHESS =RIOT 3 ARF AXC�llRV.EED. 1380 ROANOKE AVENUE P.O. Box 1931 RNERroo, New York 11901 Riverhead.New '(wk 1 1 901-0963 i PLOT PLAN OF LOT 11 / MAP OF RICHMOND SHORES AT PECONIC 0 / FILE No. 6873 FILED NOVEMBER 20, 1979 SITUATED AT �1 PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-86-01-4.11 R=25.00' L= 9.2 SCALE 1"=40' JANUARY 14, 2000 \ AUGUST 18, 2000 ADDED TOPOGRAPHICAL SURVEY JULY 23, 2002 ADDED PROPOSED HOUSE AUGUST 28, 2002 REVISED AS PER LETTER DATED 8/23/02 DECEMBER 27, 2002 REVISED PROPOSED HOUSE \� AREA = 21,265.22 sq. ft. 0.488 ac. NOTES: Sao ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: Bim, y r 2. REFER TO FILED MAP FOR TEST HOLE DATA. '0 1 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. 1 TANK; 8' LONG, 4'-3' WIDE. 6'-7' DEEP O. b•� 4. MINRAUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq H SIDEWALL AREA. '\b '.� 2 POOLS: 8' DEEP. 8' dia. C� PROPOSED EXPANSION POOL PROPOSED LEACHING POOL PROPOSED SEPTIC TANK 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 6. THIS PROPERTY IS IN FLOOD ZONE X. AL FLOOD ZONE INFORMATION TAKEN FROM: I Y FLOOD INSURANCE RATE MAP No. 36103C162 G \ •�O ` # C y0 ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN �y� V L AL AL v No SIO N fig. / FSG PREPARED IN ACCORDANCE THE MMWNIM .O STANDARDS FOR TITLE S AS ESTABLISHED -► - ` BY THE L.!.ALS. AND AND ADOPTED /�'1'� r, FOR SUCH YORK STATE LAND N _ \ TILE \ � r LOT C) ALL AIL = L5 COY N.Y.S Lic. No 49668 \ 0 UNAUTHDMZED ALTERATION OR ADDITION 1' TO THIS SURVEY 6 A VIOLATION OF - 1 •Op �,00?� _ L �y SECTION 7209 OF THE NEW YORK STATE 5 50900 W ZoG)�9 y\A EDUCATION LAW. Jose A. Ingegno 1 AI COPIES OF THIS SURVEY MAP NOT BEARING LoA 2/ THE LD SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHAL� BE VALE TRU COE PPYY. BE CONSIDERED La d Surveyor Y CERTWICATKOIS INDICATED HEREON SHALL RUN -- ONLY TO THE PERSON FOR WHOM THE SURVEY - C' tS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AW4CY AND Ttie Surveys — Subdivisions — Site Plans — Construction layout T LENDING USTE EON AND ASSIGNEES 0 LE Ru+sn- > �A RMON CERTIFICATIONS ARE NOT TRANSFERABLE PHONE (631)727-2090 Fox (631)727-1727 THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT AWLING ADDRESS O AND/OR EASEMENTS Or RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. 1380 ROANOKE AVENUE P.O. Box 1931 RIVERHEAD, New York 11.901 Riverhead, New York 11901-0865 SURVEY OF O�u � LOT 11 RnRI,oras r2riz� 3z MAP OF RICHMOND SHORES AT PECONIC FILE No. 6873 FILED NOVEMBER 20, 1979 y SITUATED AT PECONIC L_3927 � R 3 .�25 ' TOWN OF SOUTHOLD m UIl' SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-86-01 -4. 11 Ah, SCALE I "=20' So 9 JANUARY 14, 2000 1-3 1 AUGUST 18, 2000 ADDED TOPOGRAPHICAL SURVEY Vow JULY 23, 2002 ADDED PROPOSED HOUSE <J AUGUST 28, 2002 REVISED AS PER LETTER DATED 8/23/02 �- All, DECEMBER 27, 2002 REVISED PROPOSED HOUSE JANUARY 24, 2003 REVISED PROPOSED HOUSE p OCTOBER 1 , 2004 FINAL SURVEY OCTOBER 26, 2004 AMENDED CESSPOOL LOCATION VIER \ AREA = 21 ,265.22 sq. ft. all, 0.488 ac. Ed ul CERTIFIED T0. ' 00 \`n `"a \ �` Z� awl, SCHEMBRI HOMES, Inc. s DO } G 6� dd COMMONWEALTH LAND TITLE INSURANCE COMPANY � Pa _ cwMH 3> "ll G � �' all, 9 B N '`P O,fp0�4 B° MSE oa si[PS ��(l ,111, all, • llAs SG--S ,t7tgTG 2s G N o s - — c65spoo 1 - 7-2o "' o y m }l Y • 4 LOT 11 n A0 all, F qa ti / dll, e 0 4 ZQLLll yQ/D DO ,70�1a 1 UP - 1 a �� Laµ 'URB A bq BEL' B DRIJRe" �° 63 10 I ie �.. e � eELauF eLOca CURB ' �eROW J �Z s E0. VICE µA1a, IN GpE PEENS p •�{ c}TN drY C `A� �Q,� PREPARED IN ACCORDANCE WITH THE MINIMUM p9, 0o VEL �T STANDPR0FOR TIDD SURVEYS AS ESTABLISHED S B THE 1,11AL . ANO PPRO D ND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND ° TRITE ASSOCATION U (] _ Ar NY.S LIc Na, 49668 TOTHISSURVEY ZED ALTERATION ATVIOIATION ADDITION SECTION 7209 OF THE NEW YORK STATE Josep A. Ingegno EDUCATION Lhw. COPIES OF THIS SUT'EY MAP NOT OEARINC Land Surveyor THE LAND SURVEYORS INKED SE4L OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON 5HALL RUN ONLY TD THE PERSON FOO WHOM THE SURVEY 2111¢ Surveys - Subdivisions - Site PIanS - COnSf/uCflon Layout IS PREPARED. AND ON HIS BEHALF TO THE TIRE COMPANY. GOVERNMENTAL AGENCY AND Fax (631)727-1727 LE BOND INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSN- PHONE (631)727-2090 TOLON. CERTIFICATIONS ARE NOT TRANSFERABLE MAILING ADDRESS OFFICES LOCATED AT THE EXISTENCE OF RIGHTS OF WAY 322 ROANOKE AVENUE PC. Box 1931 AND/OR EASEMENTS OF RECORD, IF RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 ANY, NOT SHOWN ARE NOT GUARANTEED. 20-12 AJ Wk/ _ . -we, -- LA✓ LAV �.1U hFIWP" I GAV WG -ro& - - 4_T- �y r _ U - B II ? IL i1 IZ° 31 2n JIy1v ao o q°g° - 3 sxr = - - I � � 2=T J, Twn - - T LAV wU Owl,- pW LvAA �1 �� 4'1 ICAl N o ,J IL11 ?SII 211 /LII ----UJs 2n V&I0,1ie &AW (rail AdLviln- ,qit GO co ( �n . 2.2KiO 1•Y>< o LLA -ro A Sd-oIA T—� ofr1ma vao Q 1 /re- un g/A-Icr /e S Ere- SAnJ I'(a,,j Syi14M, �J - ?Q I cg I GrQ1'�II - p� peps ---- 1-hASDNa "F�Pl�al. X A 1� 7✓l! Go �� - ��� 'r�P av cNucft CL 'Sep D dJJy// 2a11 -- - I Li _ o J ELEVATE HEAT G Jt° P NG r�� cn IZr- - N cv /� APPLIANCES 18 q5 LL PL ING WAST .� / &NG I � ES NEED 5L•A�h 2842 I ° k� bel 1 �j' 2 E4°ua 11 y 7P.34 (e)(4) O Rr ( TESTING FORE COVERI G I 13,11 �_•�' ¢ o �f N 5p�tcto 1 STATEBUILDING,0 �,z -- _ ti p GcL —T G 00 n IGI ` PL(1MlT RC .RTIF/C - -- -- -- - - -- -- - 'rY �fG/ H -o -- - _ : G __ M -- j��jJJ� ze";T PROVIDE ANT - ID AND/ R ,I '19A? _ LI III, - 3 THERMALSHO AS PREVPART. 9 NTING 2.6 '�J Q Q 0 i ?7Rx '!ll"x 12j1 ao-oo, /AR (1110�� ' _� ON LrzAD COO TENT l_,1`_0' ,F —1 _ DEVICES AS TD PART. 9C2.6( ) 1�161 TQrI G �i �� tJ(7�1� H.Y. STATE BUILDING CODE be D CIA1 -1 TE OF OCC0 'r4s � p If copper tL1DiOt7 is used r ( ✓ �! N for Water distributing 51' 0,06 I � system: piping shall b = 1 6/LAYJJJi -typrcaG I I N , It I IL of types K or L ont Q W ASK s — a �1 7� 7 q '7 8 NDERWRITERS CERTIFICATE —1 n � �II21�tc1121' La/V REQUIRED �L�i/�.2. �li � VA'f_I � 1—J----- '-- — GJ( loll (71 �1 f�l N r 11 7 II I ° — - - -'FKUVIDEOPENIN 5FOR f Vgi�l%U I I'x,I 52 KII 8 qi� EMERGENCY ESCAPE AS %O J ' M LVL �'' REQUIRED BY PART. 714 OFI q''3" — _ T�° N.Y. STATE BUILDING CODE.I Mo N W �jP g� A?iV 3o"x91t Iv✓ lou $ fee, od a �x 5l � � p r�� APPROVEDASNOTEDIo N t1° N 9 '� /SL14nl •1't` ATE: (L�03 ■n N p n /Z✓ FEE: SYr l� 7 Q -` J OTIFV BUILDING DE ARTMENT I\ 5 a Q ` V dp i� I�aES J D` � 65.1802 9 AM TO 4 PM FOR T ,1 _ v [Fir [iO�,1G �j'(f-�S 1� LLOWING INSPECTInNS: Z ASN@ FOUNDATION - TWO RFOUI I!J J L FORPOUREDCONI`:, ] Q Q Q > P �I` °I( ROUGH - FRAMINU a l LUI iR. U w w E u{Ah�Ek O 9N b `, O `p : 1 - [kULb WAW (Z A/b INSULATION cit 3 m GIT Ah$ �-A!c£ ZLLp-6,p� PROVIDE SMOKE-OETECTING FINAL • CONSTRUCTION MLS ' IIA0 Q d (oil �1 ALARM DEVICES BE CONSTRUCTIOOMPLETE FOR N C.O. LL CONSTRUCTION aHALL M E N N I�°yf� AS TO PART. 721.1 — HE REQUIREMENTS OF THE FFT_ h+ ( II m I L1146 V 0 TATE CONSTRUCTION & ENR I6 4. N.Y.S BUILDING CODE. N - m ODES. NOT RESPONSIEI�I _ I �7_IZ11K11�8 L N lotIGN OR CONSTRUCTION BffR OCCUPANCY OR W w z o - - - - i. 2xg CCA I•.IPILER I v` T-It DO NOT PROCEED WITHUSE IS UNLAWFUL FRAMING UNTIL SURVWITHOUT CERTIFICAT W W — = WAH,r ✓�� Q _ OF FOUNDATInN I CAnr44dOCCUPANCY m a S o16 \ Z) Veo o� r (` RATED SEPARATION TO T 29' X Z4" x / z T PART 717.3 (f) (1) OF 4 Q P-2x10 Q.Zxlo /2" 6 PIIex- ' zY. STATE BUILDING OD p D yA�hi W 12L � v 01 � q X 9 CGA ,op ST N el 1 N <,ti , v II ' Q 14"a l� V f � � (/V�� �I �� i IQ•I' TI �Q I� �II 4�r'.v � � Eby BIS . ' 10 r—DuNL7A �"IO.J �L�/� Or lio / sG l E TYPICAL ROOF CONSTRUCTION Asphalt RW"on 154roorpp 1?Eatatbr Rade plywood sheathing f�Ll(olJ fza'P 91ckr—Tf52.S Reba per pion TYPICAL SOFFIT CONSTRUCTION+ I Z C ov,dtrtp / l S•am wrap wood triol$ Fr Vwftd vi*son? 4x4c 46,10- � 7 T TYPICAL EXTERIOR WALL 2r4 wood studs®1S"ox, A-rf L tlaEle top plate,single sole plate W Esbrior grads plywood sheathing Iyv¢house wrap vino a wood siding TYPICAL FLOOR CONSTRUCTION f� EA J� I2. 30 3N"Plywood sublloor,glue&nail G _L� flooroft per plan C� /LYL bridging par code TYPICAL FOUNDATION CONST. C S"paced mncets wells on ryry�sPOA 1�l 1 J Ce _ te"s S"cors,wall Inning Edorior e rance 2-26 treated silll pllbalm at, 100 L,H f 911 Glj twinhe.shield I 1r7 s 17 AnCha bolt o 0 TYtA'1 2 hold -0 ' "trme am mrs 4"corst slab Garage slob-4*Wopt.W.W.M. INSULATION SCHEDULE `I 0000 All sh"be Kra&Fared S-rr1.P y T`lo VtJ7LJ T'ileJt ME.ch4cK11 1Jv�l•-,�-I re.2�I vrJ ti'L��- �`s(S SaFYr1 °1L I2J,Iv p2i�2 Tu / —,WIEAP Gm..ls-r(ZJ c--rl L,4 V, a"1 1 6- TICAL INTERIOR FINISH ��� O- <, am YP wall board on walls and ceilings unlet noted t I 1 waterproof ambdinbathrooms SAhF MT. q5 WLl/u-� W\/ 2rt0'TR+rI (va 5c. boo R. V h 3° coPt Fra f�ca `Jr —2z� Io I9I.4i gt Z �.p+ I;g' I ll ry It STs I47 2 9' " to r.l 0 6°4vet,OR G/ IJr�- 1 cog 4"fig I:o I I�o V.0" 1,l/1/0rr M le 0, ai t --- -- - M II s Pa.o�LCrLt,',V'.cyc�iph/I✓�E.�1S IotI ' ' (��2+ ffeol I10J.I qJIJ. N LHAiNtd1 'N1xu4 US4 ti"tHI Ir.NMo II, �t�r �y I bI IN1W VIJ 5wl•-U -19w GRet°J All' �1 4` — �c�7�`p - - ii °- q N'rui -cr.� xg•x I4� 0 q sNK a CJ ,JJ N I Q (JN' (3)210° rtdsll t - n IJu W T ' �131P. '/. Hour fire fEGv FI ? rated door with IL M P selfrl9sure,,. ' ,I `� t 9 hPAr�2 KA (2u?•2iiI,11A° ' 114R 01.4" .. go P J .411 Iq .o ro .9 u'�•Taraa M <�p a/ FhI.ToGiftplot2 r �E 42IcpeJG - QS� I --b N LI l/r rzrt d o .I n x v 6 /,✓u/Gi 1J � 17,13 1 d ?X 10 � I(1 'IUG Q P 2 51orx� M' O t'I ' A dJ II m I� �( t to fo M,t = 11� t,Ar' (0I, &il q,e 4 X C7A2AG7� Iz o I , :Sf2'X 10 rd 3 UN .0 �►-�, N T 1, rd N _ - N p /Lx /zrt9eo GYF �t Y e' I PCO Ot•1 r.JALG$ .S V N 3'2Kj° ¢ T e ^� dJ t I1 A" I o c[�1 PFh lave D N Q rc z � �a / tyF , rgv J ✓ray%� 7 � Gq� AGG cam / 1 `h — � I � flnu • �,'L l) oil 9� � � � a S/q>rGo �o9y 3a5� T �t y f r a c U LUUJI � � ' N G boll Iro 'I �I011 Ialr �q mg0U p02 l it '- 90 H Ira , 21 oI'q 30l Igl,ol TS 29' 8' � -Q, sQ 3 e lof I,gr,4i� Ic 300'1 7ql �It S°- I - -ly ry _ ,��p,EDAR�hi 5FT W va 5 AT 8%ue �xcePT z�� °' ^�� �� ��r✓U/S-- ! �..>"-\/V THE ( /84 L /649411 Fw�57 /3A-,'_WI-1000J5 ( 5!L (-fl/ V (,it 0A _ x /,qf2�% ��f�0'Sr Atc. wia.�a;.,is: i+,rive.Lze.J cLRn //,¢"-.lice-IN.'CS " a • i� aG04�Hr�cr : 10� � NoT6: /sf/�{',OcrC : 9=a Pl..g7d , 1 ��9 ,t �a QQ�c 83Fy sP / e-f '51 4/ r � jDl Sr �AL4,610 Pl)&O RJ � lo ,0r -" p I '� CoAO't,a_5 x�w-� S(10 Ile IZ it \ 12� LJ. IS oil lJft I\ I I --- --- ga ;oll P11/40 I , r GV Cf 1" jfv 711 2I,oit �. skj+- L/-`rr( 60 IWpvtlptl" �oWfq en s.4Tcn ba 1 V en L.4 G� Y'J '-L, 0 42 -- -d O' N /7f vv W v I Gc9 . lV,lod so- Ivry q hI h $P LL N N {'° N ti �a a \1r sTPl2 0 1 C) r`mit PerNumber q+ . �„ _p 32f( C Z m V tet_ N a �v Checked B)/Date O 3 P I-IAvV I(D y MECebeck Compliance Report y Q Conservation Construction Code spy lI°h��II� �5 To P New York State Energy 2. 4•Xlo RAlli. © gxto r— 'T" 5M 3e� Aftic 2aloylrXrPi MECcheck Software Versionn 3..3 Relegae Votl l ¢ck - - — — 1lIGC+� Daly filename:k\ml p\ri v I%I.JyN 1 X�.fI TITLE:Lot 11.Richmond'-be= t ,., 1 N F1r(�71L m ct_ .o =� d N r u Q 3/A"pi yw COUNTY: Suffolkl Aa IG' O 2,Ile ff I yMI(' r STATE:New York 51 i -(- da — (% P O . HDD. 5750 'S v \ CONSTRUCTION TYPEt Detached 1 or 2 Family _ „ • " N r Q11 N N sn Ar �/ C HEATING TYPE Non-Eleoric 2X� PJ I�2/b OG Q�� is t}� n (OI- O! T S . I J A l ki) , 0 1jT5 e� nATE: I2/30/02ti A n CN1� SV n x aZ 1 DATE OF PLANS: 11-22-02 �12i �- 11�0a��1, I — Vu N �•I ' tt ti r COMPLIANCEPolies -� ��� fi 2 X !?'J QK- /(Or oG n1 \. �` 5 V 2x8 RRlt�n°G Y Matimum UA=J91 / O ry o� Co I K 2 x G GJ I(O�rGG 2 kv G .J l(o�loC - , Your Home=479 Glazing \ N r, NCG 04%Better Than Code G, i I?x 9 L7. 48" °G Q r ,III �O :8�/ I �'I 2 K 4 /4, O rI qPJ Area or Cavity Cont. or Door (q,0 i a1 N -I Z Factor Un �tti F Q perimm R-Value R Value 1•-1=---- - — in w v) N 5 o M I X a uvi ❑ a x X Uj n0 190 no d /G Ceding 1 Cathedral Ceiling(no amc) 6 0 7-00 2 '` �� •� 2 X g ��- r 50 'Q' 1 •��� pf. S41ight I, Wood Frame.Double Pune with Low-E I440 30 0 0 11<) W _ NOG Ceiling 2: Flat Ceiling or Scissor Truss 2936 13.0 0.0 / ( - V 'ZX q G 7 78 wall 1:woad Fronie. 16-0 411 0.350 166 A I o 9 3 04 G Z Q Window 1: Wood Frame.Double Pune with Low-E d0 OlIXI IG _ =r n ( - 1 Door L Solid 1450 30.0 0.0 a9 `n , - �N y� 1 N z - 3 Floor 1 Ali-Wood JoietlFnrsc.Oyer Unconditioned Space 51 30.0 0 0 ,N_ 07 / rvr Q yn0 Floor 2: All-Wood loburr"ss.Over Outside Air 2 — 2 o j� (e ' Q - I II I it ._._.._—_.-- ~ a Z building rapreseriosd io this document is rwnsrstenl with the 3�q 2 Ct>`I Bio- 2- /D 3Q 4 2 W COMPLIANCE STATEh•TENT: The PrOP�I sed stems QA its !lcetiore The encs sy N Z ~ a' building plans.speciflcadata,end other cylpdatiom submitted with this Pekin PP Conservation Construction Code mgaueuienu. Whena [[1, �l I11 /�i�Fn have been designed m mxt the New York Stafe Erwrgy this defy arc arresting that to the best i his/her v�J V'f TU �1, (7° 91. 101 3' J I 1 'All _. ___. _ llJ W = W Registered Design Pl fmioml has stuiryied and agrwd Pngn• witb Chic Code - - }3'T h knowledge, belid,and Polossi°nal lodgment.sueb plow or Wandiatiam are m complbtiice r I�4i I Pf L o 1-I .I f Q G L p ry 1 _ r21✓JG1E ' - S Ie R' SQ 3 7 --- - —'-- DAgC N sT eteo`0.,10 "I to OF t4 s P+� 17 y�I" CLDN GrJoErJ „J -rnvK U4 A4AA - �1,ot?f?';,o��y