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HomeMy WebLinkAbout29073-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30631 Date: 12/14/04 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 615 DOGWOOD LA EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 37 Block 1 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 26, 2002 pursuant to which Building Permit No. 29073-Z dated JANUARY 6, 2003 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITIONS & ALTERATIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5195. The certificate is issued to DIANE D DUNBAR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 82301C 09/09/04 PLUMBERS CERTIFICATION DATED 11/08/04 THOMAS HOGAN / lt�l /1'1'1ut/0rizWd 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 NO. 29073 Z Date JANUARY 6 , 2003 Permission is hereby granted to: DIANE D DUNBAR 19 SCOTT DRIVE MELVILLE,NY 11747 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR AS PER ZBA CONDITIONS UNDER APPEAL #5195 at premises located at 615 DOGWOOD LA EAST MARION County Tax Map No. 473889 Section 037 Block 0001 Lot No. 011 pursuant to application dated DECEMBER 26, 2002 and approved by the Building Inspector to expire on JULY 6, 2004 _ Fee $ 448 . 20 17 Autho iz S ',gna re �. COPY 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 nen' building or new tise: 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 certifica of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy i 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 l' 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial $11,5.00 Date. / o New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: 6/-5, Z A",I House No. Street Owner or Owners of Property: �y L% ; d1_7tA? Suffolk County Tax Map No 1000, Section J Block / Lot / Subdivision Filed Map. Lot: Permit No. Date of Permit. A �-, () � ta pplicant: i��i� Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: {f� (check one) Fee Submitted: $ Applicant Signature C cT� 30� 3� 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. 29073 Z Date JANUARY 6, 2003 Permission is hereby granted to: DIANE D DUNBAR 19 SCOTT DRIVE MELVILLE,NY 11747 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR AS PER ZBA CONDITIONS UNDER APPEAL #5195 at premises located at 615 DOGWOOD LA EAST MARION County Tax Map No. 473889 Section 037 Block 0001 Lot No. 011 pursuant to application dated DECEMBER 26 , 2002 and approved by the Building Inspector to expire on JULY Fee $ 448 . 20 / Auth riz d Signature ORIGINAL Rev. 5/8/02 to_�.°, °+.`S�p"'�°tig°otrot�"+e�,'49 yiesr tYe?�.�tP�♦'-:•° a'p ma gats .{f>e:,. '''�,• '••re •v. - f° a' g �o°••'m' �a"g-"t`'�'4.y,� //,, '.. �,,¢ -. °� a. ., t � t-,aer e.a,.,•a .°, k ° n���st° rs.��:a�?ad�..°t°°.'l ,°.ora: }s�°rti }* fs"+,., a;�4k+<.:ro,a .��a°s�.�.•i..az4 ,'�,.tSe?�r�,•��a.tr°se.."��t°t�°s�r°e'9�t��ti-0a'?b'`;@ft°i{*.af`P��•.��'*t°4a.:.:,ti Paw�6wct°.`+$S�ss L:°_�6o r k. . -.a tL' �� Electricallnspection Certificate ��� I Issue Date Electrical Inspection Service, Inc. Application Phi 9/10/2004 375 Dunton Avenue 82301C East Patchogue, New York 11772 1 (631)286-6642 Issued To: Dunbar Street: 615 Dogwood Lane Village: East Marion Zip: 11939 Town: Southold Section: Block: Lot: a? Contractor: Anything Electric (L) Lic. # 5220-E Was examined and found to be in compliance with the National Electrical Code. Cr�m ❑ Commercial ❑ NV Defects ❑ Pool 0 1st Floor ❑ Indoor X Basement ❑ Hot Tub a � Residential ❑ Det.Garage El Attic ❑ 2nd Floor ❑ Outdoor Addition El Survey Switches Receptacles Fixtures GFI Heaters A/C Fans e ' br �. 18 26 16 4 1/30 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves 1/20 1 20 1 30 Furnace Oil Gas Circulators Smoke Detector Bell Transformer 1 x 1 5T t� Meter Amps Phase UG/OH Jacuzzi Television CO Detector 1 200 1 /�x Bldg. Permit: 29073 Other Equipment OOamp panel with main breaker ; i Hugo S. Surdi President p i �3 Rough Inspection: 11/11/2003 ; Inspector: Sean P.Hightower " Final Inspection: 09/09/2004 Inspector: John McMahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. : c i 7 a ��P _ • f a.€.:',re�,� �4�30 �;t1xt=' `a e§ba,_°�f� da s .. " a •� a''.s<, ...<�`�' ,.e>aF if°safi'.e�.ai �� .?k'1�`� "kHde� , r@ft° ai�'� � 6' '� SCJ .� Pv°f ���<rfi�e���" e aea �a"F r 4,� is sk a� �' a a �y : � adb sx��"� 1rtaP g'aea as�g 3m6tit�e'�8j�e a r#m.�p s�9'yaf fir+• �� �,:- ,tea. c. <� F ao a ♦a s S+>a r� d k '�'� r, t MOV Oe '04 08=50AM SOUTHOLD BUILDING 631 765 9502 P.1 Town Hall,53095 Main}toadllio Fax(631)765-9582 P,O.Box 1179 Telephone(431)?155.1802 Southold.Now York 11971.0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION -r Date: �L ,' x) Building Perm0 / 0 No. ^ SAIZ- (Please;print) Plumber. — i _ SGP : C (P1a•ase print) I certify that the solder used iu fhe water supply system contains less than 2110 of 1% lead. i (Plumbers Signature) � — Sworn to before me this ;�' t�-i Notary public,__ _—County HOTARIt lli` to ew York 0.01 14 28 TQ m ift in Suffolk County i ne 20. 7WL, FORM NO. 3 NOTICE OF DISAPPROVAL DATE: July 9, 2002 TO: Diane Dunbar 615 Dogwood Lane East Marion, 11939 Please take notice that your application dated July 8, 2002 For permit to make additions and alterations to an existing single family dwelling at Location of property: 615 Dogwood Lane, East Marion, NY County Tax Map No. 1000 - Section 37 Block 1 Lot 11 Is returned herewith and disapproved on the following grounds: The proposed additions and alterations to an existing single-family dwelling, located on a non- conforming 16,422 square foot parcel,with two front yards, in the Residential R-40 District, is not permitted pursuant to Article XXIV Section 100-244B which states that on parcels measuring less than 20,000 square feet in total size a minimum front yard setback of 35 feet is required The proposed construction is noted as being 18.7 feet from Dogwood Lan-- Total Total lot c vera e following construction will be 15� re cent. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Z.B.A. s Page 2—November 21, 2002 Appl. No. 5195—D. Dunbar 37-1-11 at East Marion degree of non-conformity. Grant of an area variance will not produce an undesirable change in the neighborhood or to nearby properties. 2. The benefit sought by the applicant cannot be achieved by some method feasible for the applicant to pursue other that an area variance. The applicants need additional space for their living enjoyment. 3. The variance granted herein is substantial in relation to the code's 35 ft. front yard setback requirement. However, most of the lots in the neighborhood are under the 20,000 sq. ft. requirement. The applicants are not asking to increase their degree of non- conformity, only to rearrange their living quarters. 4. The alleged difficulty has been self- created and is due to the applicants desire to build additional living space for themselves. 5. No evidence has been submitted to suggest that the proposed alterations will have an adverse impact on the physical or environmental conditions in the neighborhood. 6. Grant of the requested variance is the minimum necessary and adequate to enable the applicants to enjoy the benefit of additional living space while preserving and protecting the character of the neighborhood and the health, safety, and welfare of the community. BOARD RESOLUTION: Based on the evidence and testimony submitted, motion was offered by Member Oliva, seconded by Chairman Goehringer, and duly carried, to: APPROVE the Variance as applied for, and as shown on the applicant's sketched map showing the proposed conversion of garage and breezeway to living area (bedroom and den), and proposed 12' addition x 32' replacing the wood deck and small shed at the north/east side. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Goehrinairman), T a, Oliva, artd Orlando. (Member Horning was absent.) This Res tion was luly adopted(4 ). RO erar P. Goeh nger— pprove or Filing COLOR TRIM ` : ,;; � Vis. —— —— --� � �� ■■■■■■�■■■■■■■■■�■■ l r 7k'�i�■■Fi■A■1 '. ■■lra � i■■fiM. Bldg il� ■■■■■ter■■■■■r■■ Extension Extension Extension Foundation ■■iil� 1■�lii■■■ Both Dinette Y :Y Porch Basement Floors Porch lExt. Walls 1 Interior BreezewayVa irePlace -• DR. Garage �Type Roof Rooms Ist Floor ER. Patio Recreation Room Rooms 2nd Floor FIN. B 0 B. Dormer - • Total • . 6 L f - _ s t Air, �. 1jM i • f NEW cv 5 � e : 6 , 1 1 r t 1 a r n nC RR�FEssioN�'�" George Peters & Diane Dunbar Dogwood Lane East Marion NY 11939 Permit Number MECcheck Compliance Report Checked By/Date New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lc Data filename: C:\My Documents\Michael\_peters energy code_cck TITLE:Proposed addition&alteration for George Peter And Diane Dunbar COUNTY: Suffolk STATE:New York HDD: 5750 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 07/17/03 DATE OF PLANS:December 11, 2002 PROJECT INFORMATION: George Peter&Diane Dunbar 615 Dogwood Lane East Marion,New York COMPANY INFORMATION: Micchael A.Richtman RA,AIA 282 Baylawn Avenue Copiague,New York 11726 COMPLIANCE:Passes Maximum UA= 1366 Your Home=914 33.1%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 165 38.0 0.0 5 Ceiling 2: Cathedral Ceiling(no attic) 516 38.0 0.0 14 Skylight 1:Wood Frame,Double Pane with Low-E 8 0.440 4 Wall 1:Wood Frame, 16"o.c. 9792 15.0 0.0 721 Window 1:Wood Frame,Double Pane with Low-E 234 0. 10 66 Door 1: Glass 189 0.270 51 Basement Wall l: Solid Concrete or Masonry, 8.0'ht/7.0'bW8.0'insul 480 0.0 8.0 34 Floor 1: All-Wood Joist/Truss,Over UnconditianW Space 312 38.0 0.0 8 Floor 2: All-Wood Joist/Truss, Over Unconditioned Space 432 38.0 0.0 11 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this-page,th thattothe best of his/her knowledge,belief, and professional judgment, such plans or specific G ce with this Code. Builder/Designer f Date @ ! 02u59'Z O OF NES J }fl MECcheck Inspection Checklist New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lc DATE: 07/17/03 TITLE: Proposed addition&alteration for George Peter And Diane Dunbar Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1: Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: [ ) I 2. Ceiling 2: Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16 o.c.,R-15.0 cavity insulation Comments: I Basement Walls: [ ] I 1. Basement Wall 1: Solid Concrete or Masonry, 8.0'ht/7.0'bg/8.0'insul, R-8.0 continuous insulation Comments: Exterior insulation must have a rigid, opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in. below grade. I Windows: [ ] I 1. Window 1: Wood Frame,Double Pane with Low-E,U-factor: 0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Skylights: [ ] I 1. Skylight 1: Wood Frame,Double Pane with Low-E,U-factor: 0.440 For skylights without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No co mients: I Doors: [ ] ( 1. Door L Glass,U-factor: 0.270 #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: I Floors: [ ] I 1. Floor L All-Wood Joist/Truss, Over Unconditioned Space,R-38.0 cavity insulation Comments: [ ] I 2. Floor 2: All-Wood Joist/Truss,Over Unconditioned Space,R-38.O cavity insulation Comments: I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ) I Recessed lights must be 1)Type IC rated, or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials. If non-IC rated,the fixture must be installed with a 3" clearance from insulation. I I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls, and floors. I I Materials Identification: [ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating i equipment must be provided. [ ] I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-8. [ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-4. [ ] I Supply ducts in unconditioned spaces must be insulated to R-8. [ ] ( Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. I Duct Construction: [ ] I All joints, seams, and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g. (500 Pa). [ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] I Air filters are required in the return air system. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ) I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. I Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. I Fireplaces: [ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] I Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code, as applicable. I Service Water Heating: [ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] I Insulate circulating hot water pipes to the levels in Table 1. I I Circulating Hot Water Systems: [ J I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: ( J I All heated swimming pools must have an on/offheater switch and require a cover unless over 201/6 of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105 OF or chilled fluids below 55°F must be insulated to the levels in Table 2. Table I: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Unto 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Ran"(F1 2"Runouts 1" and Less 1_,25"to 2" 2,5114" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) 6\o t� a U 0p c� 00 06.00' �0 0 cr 220 ss o 100. •per\ c - � ./ 90 g2 .40 b ' OO c'. �G NI O BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: 0 L-A,102 APPLICANT: '���� DATE SUBMITTED:—0, 0 /02 SCTM#DISTRICT: 1,000, SECTION: , BLOCK: I , LOT: I I STREET ADDRESS: 6J CITY: �L(-kQZ� SUBDIVISIOI�T. —�'F— PROJECT DESCRIPTION: J�vm 9- ESTIMATED PROJECT COST: (, CHI T/ENGINEERK r,�,�p� ,�► FAST TRACK? 1�ICU SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES: LOTS 40,000SF-100-24.Lot recognition,(CRFATED before June 30, 1983),UNDERSIZED LOTS FROM JAN1997 100-25.Merger.(A nonconforming at anytime after 7/1/8.- ZONING /1/8:ZONING DISTRICT: - p CONFORMING? ko REQ. LOT SIZE: 0 Aft LOT SIZ . REQ. LOT COV ACT. LOT COV. REQ. FRONT gROP. FRON 2 REQ SIDE I a ACT. SIDE 1 REQ. REAR j PROP. RE REQ. IGHT PROP. HEIGHT WATER FRONT? 0 DESCRIP PANEL #: FLOOD ZONE: , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH PT: YES otNV, (BED #): DTE:—/—/ PERMIT #:R10- TOWN SEPTIC RECEIPT: Y qui NEW YORK STATE DEC5 YES o SOUTHOLD TOWN TRUSTEES: ES o TOWN ZONING BOARD APPROV YES r- Jj'/'51- /tlov,c 1, 2u0 TOWN PLAN. BOARD APPROVAL: S o TOWN HISTORICAL PRE (SPLIA): YESor NYS ENERGY YES R NO EGRESS (18 . 4 sq total) ,-BENT (SQ. FT. x 4%) Z7 LIGHT (SQ. FT. x 8%) — BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE F7E 1. y SF)- ASF)= SFX $ ,I, =$ +$ KO +$ $ �� 2. ( SF)- ( SF)= SFX $ =$ +$ +$ _ 76s-18o2 BUILDING DEPT. INSPECTION ( ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY R ARKS: 04 DATE INSPECTOR ��t1 765-1802 BUILDING DEPT. 1 PECTION [ ] FDATION iST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS cazL DATE INSPECTOR 765-1802 -DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 1. /� -/= DATE /v . -f X INSPECTOR 765-1102 BUILDING DE". INSPECTION FOUNDATION IST 4�4 6-`UGH PLBG. FOUNDATION 2ND INSULATION R�MING FINAL -,J--i; FIREPLACE CHIMNEY �EMARKS: Z-7 -z 7e ca le. DATE INSPECTOR, '5 T65-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION IST ] R GM PLBCo/�- [ ] F NDATION 2ND [ INSULATION FRAMING//� [ ] FINAL [ ] FIREPLAC CHIMNEY REMARKS: DATED , INSP l I D1 mg1 1 FOUNDATION(IST) I� lCl�iL- .� / � Lam. / •/ /it �� FOUNDATION(21 DWIa%< • • 11 PLUMBING m IVIVKAi INSULATION PER N.Y. 1 ENERGYSTATE 11 EVA.i. R , 1 1 (6N.A COAEWENTS � -_- TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING D)N;PARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health ' Wk SOUTHOLD, NY 11971 3 sets of Building Plans TEL,: (631)'765-1802 Planning Board approval FAX: (631) 765-9502 Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined G 20 Contact: ApprovedAe 0 Mail to: Disapprov Phone: 77 yS Expiration20 ing ecxo� APPLICATION FOR BUILDING PERMIT 20 �- Date 0 \03--L 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. I "tA, Signature of appl' ant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0 wbwx /Nrr�� ame of owner of premises �Ilqlve- - ,1/ 6,q1e– (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. ocation of la o�which �propo�s2d ork will be done: �- House Number Street Harslet-,-- - -. /< County Tax Map No. 1000 Section `� Block U/ Lot Subdivision Filed Map No. Lot (Name) OOLvO� y� c CP V 4 o PO a9A !0 .h 0 oze ao i O O <' OT t( ry R- 25.00' L- 40.50' -- CH- 0.50' --CH- N.I305650' W. �, '� ' �3• / 0 1 9 �`'• SURVEY OF PROPERTY �-9 AT EAST MAR/ON TOWN OF SOUTHOLD AREA = 16,655 sq. fr. SUFFOLK COUNTY, NY 1000 - 37 - 01 - 11 SCALE: 1" = 30' CERTIF/ED TO$ SEPT. 14, 2001 DIANE DUNBAR Sept. 23, 2003 '!/oundalion.' NOTE, L 0 T NUMBERS ARE REFERENCED TO ' GARD/NER'S BA Y ES TA TES, SEC TION TWO ' FILED /N THE SUFFOLK COUNTY CLERK'S OFFICE ON SEP T. 23, /92 7 FIL E NO. 275 atE Of N SZ.o'j'N T. MFTto�O�� ANY ALTERATION OR ADDITION TO SURVEY IS A VIOLATION ���r► �i► OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CER TIFICATIONS 'sJ •k HEREON ARE VALID FOR TMS MAP AND COPIES THEREOF ONLY /F I SAID MAP OR COPIES BEAR THE "clRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. �' ``- `� N. LIC. NO. 496/8 ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY' OECO C. MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY (631) 7 - �aa A (63/1 765 - 1797 OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED' AND P. 0. BOX 'BROUGHT - TO - DATE'ARE NOT /N COMPLIANCE WITH THE LAW. 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INJI1, 1,TYE9T,RALAao9N, r.� I'� h g ° y RICHTMAN R.A. A. I .A. 910m]N9, oNAIdN9, T>f CIVEIV I Q R-401, (r r e:,r �'+IZ.. ' V' 11�1''I t. V V N' �!A R * + tF SCALE IN CoNili ENCS ,NP , 9a. CN y Co I {� G, a+W Op L� ��� HP° IZIo ►"I N X20592 ,yp¢� ARCHITECT TOWNSHIP 5 Mol O " a . 19991NNM1'ft NAI EE MADIt kf Tfil'�WT-►t1101E NRITTEN,'Cdl' SENT ar tNC' AI1dIITT. AtL `c of NE`N 282 BAYLAWN AVENUE', COPfAGUE, N.Y. 11728 Tp� �"3T �,i41,At IF p ,C9w N ' $YNWY�E'.:A11E TN,rt� . . 4 , 842-3430 9HE 'EETB rLL G C, fM to" Axl IRE9Y,NrE3iTkAIL NGNehp OF r; 1616 . r. 777: . e, r, .. , .. . � .. ..•, .r . . . .,, 1161 .;, .. .. „� ; .. ., '., .i ., . , , � i d - � s. �,�., ,.' �. .. � � 6611 x;.., . .. ; rl ,. _ ,,, , . ' . .. . ., '.. - � kik. 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G 0011J&PI W �f�Oi�� �EL�c$=G.aRN�LS , for A poOT 2.r I GaL 2wr ... t]cc y- 0 0 POR-G coL- DP, L OAT REV • DATE REV . PR!o p+�XaW >6Wd g l o H / A L 7I-RA1' I o N DRAWN eY REMARKS utH.BY. NO• �pED Aq� `�" "* '�" AUTH•BY. NO- `5� A. Ric 9� NOTICE �,o �,a o3 �n_ y DATE i Pbv.� X* Qa. , u.0CaL� , � i g z ICHAEL A. RICHTMr. AN R.A. A.I.A. SCALP. TWI9 ARCRItECTURA! AND EN- 11 o f f+^ P ';,T 0 IL � t)� LA H P' u " &A � * •�. '* A'R�CH tT. lm �'C,,■ � . OINEERIN6 DRAWING IS DIVER Y1 ,�, �I. 1'©p t1 I �.kL = , •� 'L�.P I�, A D I �� NJ. 'T $' IM CONFIDENCE. NO USE ON I+ Y� V vfi I I '(/°f^' D20592 pQ' IN COMINATTCN MAY MNI HAgN F 282 BAYLAWN AYENI (`.QPIAGUE, N Y. 1Y728 NITMOUT'PRION'WRITTEN CON- OF NEN EENT OF THE ARCHITECT. A41• d (� . 1,.,� p�'" p (�' �' 1 I ` 'LLLLL COMMON RIONT$ OF'COPT- r IfPONT ANC OT141WISE ARE NE- � SAI '• a , " • ' ��* RENT 6PECIFICµLT - pENERVEOr' � � � ', � 1 ' .� - , � � '., ,, �� .- _. 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' —macOEMl— — -- — -- �1 -- o � L Ot, �► y 24x ` D � � � � � i i � �'�! � �a� �� �`-Ca • � Ni�•'� �r��.'�� 44 J {,f^) /, A fie(/ • _G�►D, � - � ' - - �` i - � ' � I �j�.`�''�.l G+J�"r = 1 _ � � CJ -- - A ONO , Po rJ —4 =} 2!0!9 --- ----------- - --1-_--t-_ -_— - --- -`�'--------- --------- i _ n ! All, CRS ID _�. � _ -n4 00 �, n of -�— � I� ► f��i i ' C3 z `������ 151 ! V\ 4 1� AP 0 1! v JI rItAA4-Do N11 RVr 'rl iS CERTIEICAT i1 `'� ~� UN REQUIRED OF, lG�� `��_ ��- '`� _ '(7 0�� ' , a'' '!�6 yds �! � / r` U FUUI�Fu�2Tl E S' ry 3 �' C" y U LOCATION � u . OCCUPANCY OR °� ti, , PROVIDE OPENINGS FOR , HAS BEEN APPROVED: Q , v USE IS UNLAWFUL E fo kERGENCY ESCAPE AS3�. ti's' W THOUT CERTIFICA REQUIRED BY PART. 714 OF az = 25,c:<;, +' � ,� ' APP E��S NOTES Q � .� � � • DATE: B.P.jc990�3-t OF OCCUPANCY 1 N.Y. STATE BUILDING CODE: 2 BY: FE 8 i �,�'�'�' / N TIFY BUILDING DEPARTMENT AT765-1802 9 AM TO 4 PM FOLLOWING INSPECTIONS: FOR THE is G � Al,l.� (GttJ � IM1'�OtiI I� E 'A LTpLoqC)1,J I. FOU!���iATIOIV - TWO REQ I © D !`! +�HG�wR�jr�'A1 PI I CP(2il-4t t` fai �`�k d 3J5 OR POURED CONCRETE Syst m 4 'Ing O R A p P .G�I gr-420^A- FRAMING G3 rrti0 2. ROUGH - FRAMING & PLUMBING l Y� � L fi i --3. INSULATION � fipl O� 3 }, 4 FINAL - CONSTRUCTION MUST UI DEI��r BITE S GERTiFICATE v �yt;0 egg � 100.0 BE COMPLETE FOR C.O. RI: '�I�iED ALL CONSTRUCTION SHALL MEET ^ , 79 THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR PROVIDE SMOXE-DrTECTING DESIGN OR CONSTRUCTION ERRORSIeI! PROVIDE ANTI-SCALD AND/OR ►'�6;or L)P ALAP. DEVICES THERMAL SHUCK PREVENTING �}�'-�I}� � �r�,��► AS TO PART. CO L ; . C"2. (�. �(�„�, � N.Y.S BUILDING CODE DEVICES AS TO PART96(K) . N.Y. STATE BUILDING CODE. -__ A P�VILiING• P�RMr1' � � dirk pr�I�r�. fiU 7 ,a' � . ,�,,� brae.K- PLUMBER CERTIFICATION PLUMBING ,,. ,� `.-- ' �,, :�,, 2, t+,l.�,. I +��2►,�•L!� , * M► Lil:s, cct-4!,TL (_TlvH L,DIW f.�►t��. ON LEAD CONTENT EFORE ALL PLUMBIN G WASTE &WATER LINES NEED 1 � tt� ����``�r CERT'IFI TE OF O�CUPA VCY TESTING BEFORE COVERING � � � 'JlTaI' ����t 1� (- � (�i:'�'Altil�.(� �O(�- �'f�Ud �t.��?�'.,�t.�/t�;�t��1 l�1'� SOLD� ra-�e;,r��4,�q4� g7 gy�����+,ep, Nrt pia� 4 ��� � � .~Z �'j (�,{(�[ �'1�j A� f �.y"-��,.y.p �/,r�1/� t L t• �,�j� + ,L (,. / fes-,. /' �.F7 ,�«.. / ,rte ) /� �.2..d'�-t' @ 7..a air.�su.:+' G'C"0 iy 3�� 2 �a� � � - r i_/ I �-I 4n•�i 1 s F�V R+r ��/'�t„d„r (.,rS/'/"[r� �� 3!1.F�� `l-� / (N 7 T 11..) 7 i ���/�� 1 N J rte. t✓. �..YL...-f.� I�.li� �i�� G.J I© � C..:'�`..'r � Cf Gr S �� k - UFPLYf��� - t�'_""_`' G ��rc -�° t_, �1C ,�1c.(,1 Q1(� ,txvtlr . , c� ( -t> f- . x" aLEAD. t. r, I 7 t K �� la.. u— 4 �� r,l-� 1j4- 1b IC�l 'x'`51 fG� �,*q 7, ''� �".�I Utv(„� C�TOt"t Q`��q" t o 0V. i � �' , ALL, '��>>c- v+c.�.... L.�r� � � a �� 4*►l'z&j" `�grA1i -TA K, 0�j-"(1-I�• 1h oXT IC 1 iA L _f � IJ:,0))t 10..31 , A-V5Ct:t 10� I1I 40 t,_A L.r, f�+t..L �1 t fr 0 t S dSFIA L t,. . H C M -�i L ✓�! Sr, ! g 1 s __T taD. ,, 41-4- Wr��t k ,t , wc.. r 'i tidf_t) I N t (�-U,A .., Wr�� f 't� - V-AL*. Pk-Ac TlL+,- ���. �_ c �u ► t,.3 ..a A,JD 1�1 rzaAJ j*-0 2 � . _ [ h µf TA C i 74'� �� I 'i� I � � � �A. " �I C�#-} , ii ��.., Qm� 191 1 19Pie— � I F 1 ; ' i I.'. te P—1 P-- Q j'w Cs' Q.yo, 0A ::,_; �5 �i'.1iN 7E]YS,..YY"_•Y 4^„•v.. Y •r��,i-�-�' ,'.{r'�'.1�.•,f 3• �' "'-A{i i,;" _,'F n'+' . YTPR. . n +_T,'jJ I'.eT 1 T _ V ... .a. +t,�t Yvz - � rr. rx>sea= - _,r ..r"- "y a.r���w�� •L'il,..� i+fi DATE REV . DATE REV . ; t REMARKS N t7 Fv—o l a 12 -I' DRAWN B1 RUTH.eY. tNp. urH.eY � D TIDH L�` I I` m� i NOTICE DATE x " MICHAELRICHTMAN R.A. A. I .A.THIS ARCHITECTURAI, AND EN— A GINEERING DRAWING IS GIVEN I✓ UW. SCALE ••FF` I '"� � (�, IN CONFIDENCE. NO USE OR 1 c +'. a ' O I SSEMI NATION MAY BE MADE 5 p �, H^ I�I ARCHITECT TOWNSHIP _ w WITHOUT PRIOR WRITTEN CON- SENT '. 4 F ., i t , `, � r SENT OF THE ARCHITECT. ALL R OF COPY- � x'82 BAYLAWN AVENUE, COPIAGUE, N.Y. 11726 7471 COMMON LAW RIGHTS �^ RIGHT AND OTHERWISE ARE HE— vJ G 'r '� 1000 — �_l - 0 I 8,42-3430 SHEET S 0 REBY SPECIFICALLY RESERVED. ' _ OF •'wW. _ .`'r`. -,`e!FY'•', .9. ^v'.. .,.r. .,a 4 =..a':,, ^rr*e r .. .:_ 'SS��a`{L'^� sl.Gi.'a.,.. . .. ... .+ .. .n .- sbr6 - ., .,._. .r._.. .l i. _"_'..,:•tA' .._ .. - ' -- J'. . ...- -. Q -'fir •_ .ia .. 2'> S i..,w1•a..... r. . L'sT`i _.,._s, .'a'.^'./;�wl .3....,fV£_ ... 'a.a., ._ � ,.,4 S - - y " rC�f7tF,� `l4'r'� a- ti - 2. 21r�o - . . �J ,P6 ��1 2Y � �.j .,, . �t� '� _ .. _ 1 (J�tiJ I►J(o (�00 - 1 VJ G D � �� r C ► r rz P- it-Or f� � ..� ' Il,., ; ;. OJ�'�L' �'r.l.r_. "�' iJ, g„ ����::+k�.� �' !G. �'�.�af�, ���,��' �h � �r'�CC /�`✓�^'' 4�LA,!4 �, e Q)Lo � �' u-1� A' w 0, L-0 Z) -TVA 0-:t) 0&!i bt, �(.`'"'T'i e� s ' i/ �..III.q�.wWMI../R54tl`Ts. - G1-YA LL t7 Q 11--1 1-01 --- ------ - -- ----- Cv r C� G("A o�� T Q Pb k-) DATE REV . REMARKS DATE REV . ,�,ii RUTH.BY. NO. RUTH. BY . NO. F�c P �/� R I� I L F RLA- O :.ti=- ?NOTCE �� �1� DRAWN 8Y ,f` ��. rte. �1 2.1c't4-'MArJ I THIS ARCHITECTURAL AND EN— , DATE12 , i'c T GINEERING DRAWING IS GIVEN o P E"-r b , , , 3 �� MICHAEL A. RICHTMAN R .A. A. I .A."� SCALE �� D 1N CONFIDENCE. NO USE OR I E DISSEMINATION MAY BE MADE CqFv oc) D L,� N � e 5� �� � � n` € . F � � ARCHITECT / ` `� TOWNSHIP N WITHOUT PRIOR WRITTEN CON- ,� .O. '=-;"T4-0L-0 � ��� 3 SENT OF THE ARCHITECT. ALL COMMON LAW RIGHTS OF COPY- r'� N `e 282 BAYLAWN AVENUE, COPIAGUE, N.Y. 11726 `r ` RIGHT AND OTHERWISE ARE HE- (// r✓ I OO C- � - UI '' � ' 842.3430 SHEET SHEETS r REBY SPECIFICALLY RESERVED. mA-2, Or C 0 ls,:4:Y , ! { a • WY i A��rnJW fi I I r . 00 - -- - L L _ yl� y — - --- - .� �� �r4 otirtls tr.� — - Ems;'"""" —_ - % o +`'.�`.x-' �� • -- --__ '(��l�T I J - / � �'✓+'1/fit � :� ✓ � � '�` � __ ___ � r _.____'-_. I r - I + SND _ 3 -o I N&r�.�t i I� r --- - f 'r ob it Ott DATo •.. . ` :; '` t=,. ;�.:.��>.. . ,. a. ... ,:�:._.`�ii i _ _ a�, .,.�`e�' , ..�>. .s—_ _ _ .. e. ..,, . .. . -. E REV • DATE REV REMARKS DRAWN BY N O $ AUTH.BY. AUTH.BY- N0. pKo POS� D P\P IT IO ("--� L k D / ' � D ' NOT I CE - ( � -�° ,a q -... M IZI c.�'-�� THIS ARCHITECTURAL AND EN- ;{ - ` c z DATE 1 , " 'L- 12 R 1 a� GINEERING DRAWING IS GIVEN r� O MICHAEL A. RICHTMAN�, . R.A. A. I .A. SCALE� s1N CONFIDENCE. NO USE ORa ARCHITECT f ` F OISSEMiNATION MAY BE MADE Qj�DQ p La 1 © Sti 'J �a TOWNSHIP WITHOUT PRIOR WRITTEN CON- `�� 10 a SENT OF THE ARCHITECT. ALL 282 BAYLAWN AVENUE C�JPIAGUE N.Y. 11726 -T o, So t-)T ° COMMON LAW RIGHTS OF COPY- � ' ' RIGHT AND OTHERWISE ARE HE- I 842-3430 REBY SPECIFICALLY RESERVED. G ` OI ( � SHEET SHEETS — +'��.��i'•�;m:,�.w'�?<��...4.� 01= 3 :E .t