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Home My WebLink About30555-Z FORM 110. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30651 Date: 12/23,'04 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 360 BAYVIEW DR EAST f•LkRION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 37 Block 4 Lot 1 Subdivision Filed Nap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 9, 2004 pursuant to which Building Permit No. 30555-Z dated AUGUST 10, 2004 ,as issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ROOM ADDITION OVER EXISTING DECK IN SINGLE FAMILY DWELLING AS APPLIED FGR. The certificate is issued to JUDITH DIBLASI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2027034 12,116,,04 PLUMBERS CERTIFICATION DATED N/A thor' ed Si ature Rev. 1;61 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. 30555 Z Date AUGUST 10 , 2004 Permission is hereby granted to : JUDITH DIBLASI PO BOX 736 EAST MARION,NY 11939 for CONSTRUCT A ROOM OVER AN EXISTING DECK AS APPLIED FOR at premises located at 360 BAYVIEW DR EAST MARION County Tax Map No. 473889 Section 037 Block 0004 Lot No. 001 pursuant to application dated AUGUST 9, 2004 and approved by the Building Inspector to expire on FEBRUARY 1Q.; Fee $ 150 . 00 o izy-.d Signature ORIGINAL Rev. 5/8/02 Form No.6 TORN OF SOUTHOLD BUILDING DEPARTMENT 7 TORN HALL 765-1802 APPLICATION FOR C'ERTIFIC:�TF 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: I. Final survey of property with accurate location of all buildings, property lines. streets, and unusual natural or topographic feature:. 2. Final Approval from health Dept. Of water supply;and seiceraee-disposal (S-0 fomo. 3. Approval of electrical insudlatiun trom Board tit Fire Ilndern'riteis. 4. Swont stateunent from plumber certifying that the solder used in system contains less than 2 it) of 1°u lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses,or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$25.00, Additions to dwelling$25.00, Alterations to dwelling$25.00, Swimming pool$25.00, Accessory building$25.00, Additions to accessory building$25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial$15.00 Date. yl C- e, 2 U 0 New Construction: Old or Pre-existing Building: (check one) Location of Property: ?j6 O �� k _-) (D r l-c f+ 01",�,,� House No. Street Hamlet Owner or Owners of Property: 0 i t�1 r,_✓, Suffolk County Tax Map No 1000, Section 3 Block Lot Subdivision Filed Map. Lot: Permit No. 3 D 51 S Date of Pentnit. _ __ Applicant:___ Health Dept. Approval Llndenvriters Approval t/ Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted .$ 0-0 L2c�c✓ � . N..Ct�ti �— Applicant Signature �- G p JOHN BERTANI BUILDER INC. P l 1380 Oakwood Drive CO 3 0� 5 SOUTHOLD NEW YORK 11971 ��PrJ� :i!:i :i :i :i 1 !i : :i�� Pn :it :J1 :!1:1 : im!: � :! :: J2Pd'3PLPLPLPLrLrPLPO J��ncnnr �nnJJ11:11: � � lPPnnnC 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU 40 FULTTON STREET F C NEW YORK, NY 10038 S T CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 G & S ELECTRICAL CONTR. RICHARD DI BLASI 5 5 5 P.O. BOX 215 390 BAYVIEW DRIVE 5 SOUTHOLD, NY 11971, EAST MARION, NY 11939 rrr5 5 Located at 390 BAYVIEW DRIVE EAST MARION, NY 11939 5 5 b N t tifi C b N ti li Appcaon Number: 2027034 Certificate Number: 2027034 5 5 r5+ 5 Section: 1000-3-Plock: 4 Lot: 1 Building Permit: 30555 BDC: ns11 r5 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 5 First Floor, Outside, rR, �c A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed `r5l 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard IN 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 �+ authority having jurisdiction, and found to be in compliance therewith on the 16th Day of December, 200x. 5 Narne L Rate Rama Circuit Type 5 5 appliances and accessories C 5 Electric Heater Baseboard 1 0 1.0 K%4' S Wiring and Devices 5 5 Outlet l 0 Fixture 5 5 Fixture 1 0 Incandescent C5 5 Outlet 6 0 General Purpose 5 5 Receptacle 5 0 General Purpose 5 5 Switch 3 0 General Purpose 5 Paddle Fan l 0 Lighting track S 0 ft 5 5 5 5 5 5 sea/ 5 5 I or 1 7 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 5 I7 JffiPc1�0J11J�0JrJ@Pc.PrJ�rJ@PcPrJ�rJr.lorPrJrPcJrJ�rP12FL3 L3 r3pd'rPrJ�rJocP o ' - Albert J. Krupski,President �� CQ Town Hall James King,Vice-President 63095 Route 25 Artie Foster P.O. Box 1179 Ken Puliwoda Southold, New York 11971-0959 Peggy A. Dickerson �j�n, � Telephone(6311 765.1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0078C Date Nov. 5, 2004 THIS CERTIFIES that the 6iut-6Zoon addition At 360 Bayview D)t., E"t Ma i.on Suffolk County Tax Map# 37-4-1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 1/23/04 pursuant to which Trustees permit 5870 Dated 2/251104 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 a 6�,tet-GZoon addition The certificate is issued to R.i.choAd DiBQas i. owner of the aforesaid property. Authorized Signature 30 September 2004 TO: Building Department, Town of Southold FROM: Warren Sambach, P.E. RE: Building Permit #30555 Richard & Judith Di Blasi, Owners 360 Bayview Drive, East Marion, NY Insulation completed as per plans and New York State Code. Warren Sambach, P.E. E ORALF SUAM��•fXA �p g OF 711E¢�� r 4 2G'Od 22 September 2004 TO: Building Department, Town of Southold FROM: Warren Sambach, P.E. RE: Building Permit #30555 Richard & Judith Di Blasi, Owners 360 Bayview Drive, East Marion, NY The strapping was done according to plans and New York State Code. -1 1 4". - "e' Warren Sambach, P.E. ~PR,2cN 4 rE a P 2 2 2004 0 1, 28 September 2004 TO: Building Department, Town of Southold FROM: Warren Sambach, P.E. RE: Building Permit #30555 Richard & Judith Di Blasi, Owners 360 Bayview Drive, East Marion, NY Framing completed as per plans and New York State Code. % Warren Sambach, P.E. OfESaOry,I g Mo. Board Of Southold Town Trustees J SOUTHOLD, NEW YORK 1 PERMIT NO. � DATE: .. Feb. zs, 2004 i ISSUED TO . ... ...RICHARD DIBLASI ,�utt�nri�tttinn ., Pursuant to the provisions of Chapter 615 of the Laws of I r` the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance an- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS :i 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 Resolution of The Board adopted at a meeting held on . Feb.. .25, 2004200.00.. and in consideration of the sum of paid by . Richard Di Blasi ti of .. East Marion N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of $outholo Town Trustees authorizes and permits the following: ? Wetland Permit to add a one-story room on the existing deck, b'X 12' , with the condition drywells and gutters are installed to contain the roof run-off, and as depicted on the plan prepared by Warren A. Sambach Sr. last dated March 10, 2004. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees Frere- by causes its Corporate Seal to be affixed, and these presents to r be subscribed by a majority of the said Board as of this data. � FFO(,��o in Artie Foster (absent) Ttwleer \ "%i'.,LJir i�ii'�i7•>.+L. '�'t�- -- - jr-.. 1. k 4, r �' 1. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION IT NUMBER EFFECTIVE DATE 337/00001 29 Jul 2004 TY/PROGRAMNUMBER(S) PERMIT EXPIRATIONDATE(S) a Under the Environmental 31 July 2009 Conservation Law TYPE OF PERMIT■New ❑Renewal ❑Modification❑Permit to Construct ❑Permit to Operate ❑Article 15,Title 5: Protection of Waters ❑ Article 17,Titles 7,8:SPDES ❑ Article 27,Title 9; 6NYCRR 373: ❑ Article 15,Title 15:Water Supply ❑ Article 19:Air Pollution Control Hazardous Waste Management ❑ Article 34:Coastal Erosion ❑ Article 15,Title 15:Water Transport ❑ Article 23,Title 27:Mined Land Management Reclamation ❑ Article 15,Title 15: Long Island Wells Cl Article 36: Floodplain Management ❑ Article 24: Freshwater Wetlands ❑ Article 15,Title 27: Wild,Scenic and ❑ Articles 1,3, 17, 19, 27, 37;6NYCRR Recreational Rivers ■Article 25:Tidal Wetlands 380:Radiation Control NYCRR 608:Water Quality Certifca- ❑ Article 27,Title 7; 6NYCRR 360: flon Solid Waste Mana ement `PERMIT ISSUED TO Richard DlBlasi EL HON HON77 TELEPHONE NUMBER ADDRESS OF PERMITTEE 360 Ba few Drive East Marion NY 11939 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Warren Sambach,PO Box 1033 Cutch22ue NY 11935 631 734-7492 NAME AND ADDRESS OF PROJECT/FACILITY ' DlBlasi Property.360 Bayview Drive,East Marion LOCATION OF PROJECT/FACILITY SCTM: 1000-037-04-01 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Spring Pond E:723.3 N:4555.4 DESCRIPTION OF AUTHORIZED ACTIVITY Expand the single family dwelling by constructing an addition measuring 6 feet by 12 feet on an existing deck. All work is to be done in accordance with the attached plans stamped NYSDEC approved. i By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL,all applicable regulations, the General Conditions specified(see page 2&3)and any Special Conditions included as part of this permit. [Uepu!X MITADMINISTRATOR: (KSW) ADDRESS rge W.Hammarth, Region 1 Headquarters Permit Adminstrator Bld .#40, SUNY,Ston Brook,_NY 11790-2356 HORIZE SIGNATUR� DATE 6/ /�� Page 1 of 4 If 1F - II F Deo - - . - TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 3 (� 0 VILL!GE DIST. SUB. ✓LOT j / BA / YI ;�:""r�•t-f1 '-j � �-..�j,":( ,:f'i'_ ��:f !�1-.!07"A, l..i!N . OR ER'OWNER\ N E ACR. IG Q(' J < 3A S V� TYPE OF BUILDING CU� = IPO�A�16/ ZES. %/0 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value / p G LAND IMP. TOTAL DATE REMARKS 2e�i r Z l L L� 1) 7/7 9 SoL 1 AE s 1 or) UIL ING CON 9 fr& +lar, -�'p dne i' r„ l �P//'ha�aS, 000 " m s � a9 o- 3PI - �ssk - 3ann FARM Acre Value Per e 8' 5 2- `i - L 1/ 5121k 1-61gsl fpblBIOS/' &/0— Tillable 1 -- Tillable 2 Fillable 3 Noodland s� swampland FRONTAGE ON WATER eO 3rushland FRONTAGE ON ROAD r. ��x' ✓� ; � , louse Plot DEPTH i BULKHEAD "otal DOCK MEN No M■■��!■■■■■■■■■■■■■ +, ■■■■■ r'■■III!yslim■■■NESE■■■■■Emw NEIso■ 40% �'� E� .. ■■■■■� ��E��.i■■■■■■■■■EE■■S a _ _,-- ■■t� ' '' 1 ■■E■■■ ■�ISlWII1■■■■■■■■■■■■■E - � ■E■E■■ ■111■■■t1■■■■■■■EEE■■■■ r� �+TrR ■ENNEN INMEN■mi■■EEE■■■■■■■■■ f ' ■■■N■NmNONE iiiwmm■■■■■■■■■■N ,t- r.,�. � EEEEEISN■E■EE��►1l1EEN■ENEEEE■■■ EM asemen ��'_� -- - � __ EEE■■o■■■D7■��■�■E■E■■■E■■■■■ ' • WallsExtensi Rooms I st Floor Porch Garage Pati I • • —_ New York State Department of Environmental Conservation Division of Environmental Permits, Region One _ Building 40- SUNY, Stony Brook, New York 11790-2356 Phone: (631)444-0365 • FAX: (631)444-0360 Website: www.dec.state.ny.us - Edn M.Crotty Commissioner July 29, 2004 X44 Richard DiBlasi 360 Bayview Dr East Marion NY 111939 Dear Permittee: Re: DiBlasi Property, 360 Bayview Drive, East Marion DEC No. 1-4738-03337/00001 In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621), we are enclosing your permit and approved plans. Please read all permit conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign, which is to be conspicuously posted at the project site and protected from the weather, and the dual Notice of Com men cement/Completion of Construction. Please follow all instructions on the latter. Very truly yours, Karen S. Westerlind Environmental Analyst Enclosures: 1 cc: Warren Sambach NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-03337/00001 29 July 2004 FACILITY/PROGRAMNUMBER(S) PERMIT EXPIRATIONDATE(S) Under the Environmental 31 July 2009 Conservation Law TYPE OF PERMIT■New ❑Renewal ❑Modification❑Permit to Construct ❑Permit to Operate ❑Article 15,Title 5: Protection of Waters ❑ Article 17,Titles 7,8:SPDES ❑ Article 27,Title 9; 6NYCRR 373: ❑ Article 15,Title 15:Water Supply ❑ Article 19:Air Pollution Control Hazardous Waste Management ❑ Article 34: Coastal Erosion ❑ Article 15,Title 15: Water Transport ❑ Article 23,Title 27: Mined Land Management Reclamation ❑ Article 15,Title 15: Long Island Wells ❑ Article 36:Floodplain Management ❑ Article 24:Freshwater Wetlands ❑ Article 15,Title 27: Wild,Scenic and ❑ Articles 1,3, 17, 19, 27,37;6NYCRR Recreational Rivers ■Article 25:Tidal Wetlands 380:Radiation Control €}6NYCRR 608:Water Quality Certifica- ❑ Article 27,Title 7; 6NYCRR 360: tion Solid Waste Management `PERMIT ISSUED TO TELEPHONE NUMBER Richard DiBlasi 631 477-0977 ADDRESS OF PERMITTEE 360 Bayview Drive, East Marion NY 11939 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Warren Sambach, PO Box 1033,Cutch ue NY 11935 631 734-7492 NAME AND ADDRESS OF PROJECT/FACILITY DiBlasi Property,360 Bayview Drive,East Marion LOCATION OF PROJECT/FACILITY SCTM: 1000-037-04-01 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Spring Pond E:723.3 N:4555.4 DESCRIPTION OF AUTHORIZED ACTIVITY Expand the single family dwelling by constructing an addition measuring 6 feet by 12 feet on an existing deck. All work is to be done in accordance with the attached plans stamped NYSDEC approved. By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL,all applicable regulations, the General Conditions specified(see page 2&3)and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: (KSW) ADDRESS George W. Hammarth, Region 1 Headquarters Deputy Permit Adminstrator Bid .#40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZE SIGNATURDATE Page e 1 of 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification - The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York,its representatives,employees,and agents("DEC")for all claims,suits,actions,and damages,to the extent attributable to the permittee's acts or omissions in connection with, or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims,suits, actions,or damages to the extent attributable to DEC's own negligent or intentional acts or omissions,orto any claims,suits,or actions naming the DEC and arising underArticle 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit,including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits,approvals,lands,easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title,or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department)to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps,drawings and special conditions,must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal,modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DEC PERMIT NUMBER Richard DiBlasi PAGE 3 OF 4 1-4736-03337/00001 Q Tm,.n H:,!` .i.nice- Fv r.;.;. Cor-Yrr .;�l.•u[ ;'h� Gy��, _ O fi tis-I'{ 6 BOARD OF TOWN TRUSTEES "fO«N OF '�OUTHOLD February 25, 2004 Mr. VVarren A. Sambach Sr., P.E. P.O. Bo.x, 1033 7675 Cox Lane Cutchogue, NY 11935 RE RICHARD DIBLASI 360 BAYVIEW DR., EAST MARION SCTM#37-4-1 Dear Mr Sambach: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 25 2004 regarding the above matter WHEREAS, Warren A Sambach Sr., P.E. on behalf of RICHARD DIBLASI applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold i-own Code, the Wetland Ordinance of the Town of Southold, application dated January 23, 2004 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 February 25. 2004, 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 surrrunding area, and, WHFREAS, 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 9? of the Southold Town Code. WHEREAS, the Board has determined that the project as proposed evil! 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 RICHARD DIBLASI to add a one-story room on the existing deck, 6'X 12', with the condition drywells and gutters are installed to contain the roof run-of, and as depicted on the plan prepared by Warren A. Sambach Sr. last dated March 10, 2004. 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: $.5.00 Very truly yours. Alhert J. KrupAi. Jr. President Board of Trustees AJKilms r� cCS V/ r MAR ?004 �I 4 AP -.n A r)AM3/ Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release le Data filename: C:\Program Files\Check\REScheck\RICHARD DIBLASI.rck PROJECT TITLE: ROOM ADDITION COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric DATE: 06/02/04 DATE OF PLANS: 03-10-04 PROJECT DESCRIPTION: M/M RIC14ARD DIBLASI 360 BAYVIEW DRIVE EAST MARION, NY. 11939 DESIGNER/CONTRACTOR: WARREN A. SAMBACH SR. CONSULTING ENGINEER AND PLANNER 7675 COX LANE P.O. BOX 1033 CUTCHOGUE, NY. 11935 PROJECT NOTES: ALL WINDOWS TO BE ANDERSEN HP. GLASS OR EQUAL ALL DOOR TO BE U40 OR BETTER. COMPLIANCE: Passes Maximum UA=389 Your Home UA=378 2.8% Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Cathedral Ceiling(no attic) 85 19.0 0.0 4 Ceiling 2: Flat Ceiling or Scissor Truss 1700 30.0 0.0 60 Wall 1: Wood Frame, 16"o.c. 139 19.0 0.0 3 Window 1: Wood Frame:Double Pane with Low-E 63 0.330 21 Door L Solid 19 0.400 8 Wall 2: Wood Frame, 16"o.c. 1700 13.0 0.0 124 Window 2: Wood Frame:Double Pane with Low-E 164 0.330 54 Door 2: Solid 21 0.400 8 Floor L Slab-On-Grade:Unheated 25 30.0 16 Insulation depth: 6.0' F.loor-2: All-Wood Joist/Truss:Over Unconditioned Space 1700 19.0 0.0 SO COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge, belief,and professional judgment, such plans or specifications are in compliance with this Code. Builder/Designer -- +-w 4�,wL=G,t�-�/� Date BUILDING PERMIT EXAMINER CHECKLIST DATE REVIEWED: Op l 10 'iO4 APPLICANT' �1 � �'� DATE SUBNIITTED:,, 04 SCTNI# DISTRICT: 1_,000, SECTION: '�3 , BLOCK: </ , LOT: _L SUBDIVISION: N/rt ADDRESS: 3(,(j >.,�u cs� CITI': - ,pp_ZONING DISTRICT: CONFORMING? BUILDING PERAIITS OPEN/EXPIRED: PRE CO: Y OR N BP -Z / C/0 Z- FO BP -Z / C/0 Z- , INFO /BP 7 IN Z/ C/0 Z- INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED_1 d NOTES: LOTS 40,000SF.100-24 Lot recognition(;CREATED before June 30, 1Q83j,UNDERSIZED LOTS FROM J..N'.1997 100-25.Merger.IA nonconforming at any nine after 7:'I/831 REQ. LOT SIZE: ACT. LOT SIZE: �_REQ. LOT COV. 0'5.ACT. LOT C i REQ. FRONT 3PROP. FRONT_ - ,REQ SIDE IC> L6- ACT. SIDE U REQ REAR PROP. REAR 7 REQ. HEIGHT PROP. GHT PROJECT DESCRIPTION:rESCRIPTION: ESTIMATED PROJECT COSQ,�ARCHITE NGINE •WATER FRONT? �S/',�r �U�� PANEL # /7 7FLOOD ZONE:_ BULKHEAD? NU DISTANCE? APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES o1 N'BED #): D /_/_ PERMIT #: TOWN SEPTIC RECEIPT: Y or N SEPTIC CERTIFICATION--- Y o NEW YORK STATE DEC: PRE-DEC 9/1/7j FSS, or NO DTE: 2/o2Q/ '� PERMIT#: Iqj� SOUTHOLD TOWN TRUS''TEES: E�r NO DTE�cj1��4 PERMIT#: 7p TOWN ZONING BOARD APPROVAL: YES o DTE: / /_ PERMIT#: TOWN PLAN. BOARD APPROVAL: YES o DTE-.— /_/ PERMIT #: TOWN HISTORICAL PRE (SPLIA): YES or NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2C-Tr*or NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. ( SF)- C_SF)= SF X 2. ( SF)- C_SF)= SF X 3. ( SF)- SF)= SF X FINAL TOTAL. 765-1802 13UILDING DEPT- INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLOG. [ ] FOUNDATION 2ND [ ] IN"LATION [ ] FRAMING [v'f FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARK,: DATE �y �` INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 1 i � DATE /7 INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS W a m FOUNDATION(1ST) _ _ LA �H u -------------------------------------- FOUNDATION (2ND) m K d � U H ROUGH FRAMING& PLUMBING H r INSULATION PER N.Y. m STATE ENERGY CODE A-flcl A / 6 1 O FINAL ADDITIONAL COMMENTS A U -O z m m � m X 1 � H C7 j 6— z _ I x m a r H x v m BOARD OF UEALTH FORM NO. 1 3 SETS OF PLANS . . . . . . . . A TOWN OF SOUTHOLD SURVEY — 9 BUILDING DEPARTMENT CHECK- TOHN HALL SEPTIC 'FgRkd . . .. . . . . . . SOUTHOLD, N.Y. 11971 DEC . . ,,// i. TRUSTEES . . . . . . . . . . . . . . . . . . . TEL: 765-1802 . . . . . . . . . . . . . . . . . --"'" NOTIFY: Barren . Sambach CALL 7.34— 92 . . . . . . - - Examined.................. 20.... •� �� MAIL TO: BOiC- -1-03-3- - - - - - - Approved.................. .... Permit No. ....Cut .... .. IJY 11935.. . .............. r`7 ry o Disapproveda/c .................................. .A /. p��.`. T.7............ ...................................................... ................................ rryyyy�� (Building Inspector) Ll!<1'e APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 2G. . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sharing location of lot and of buildings on premises, relationship to adjoining premises or Public streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram uhich is part of this application. c. 'Hie work covered by this application my 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. sucli permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in %hole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS VEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tam 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) P.O. Box 1033 7675 Cox Lane •I;utchvque•••MY•••1.19.3 5.................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plrber or builder Warren A. Sambach Sr . P. E. Consulting Engineer ........................................................................................................................ Name of owner of premises ._,_ Rich.ard. .DiBlSi... . .......a.. ................................................................... (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. .................... I. Location of land on ubioh proposed work will be done.............................................................. 360 Bayview Drive, East Marion, NY 11939 ....................................................................................................................... House dlrber Street Hamlet County Tax Map No. 1000 Section .3.7............ Block ........4....... Lot ..1............. Subdivision ...................................... Filed Map No. 27S.......... lot ....,1„ZQ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. ES fisting use and occupancy ... ............................................. One family residence b. Intended use and Occupancy ............................................................................. t � O 6 �t 10 go, ON LOCATION MAP zaN6: F-40 i [�qY Vi E-V/ o nP-JVE - - -,- --1,y SG?/71 InOtJ-l,�/..f§7-•^^ I , - ��_1, YI SIL W)Ha0 UI HLh51 -D�� • r � Rle bl $GJ L`lrYvl f:/Dfe �y Y "PUOVED M PER TRRrt ja44 DLNX�2Y } [-A'.T IIIN I.-104 SND CONDITIONS OF 250 NVVIEWORIV.E20 i LR 3 "RMT lTOL /- 73V-j 0 337/WocY • EAST Mha-)nu NY11939— fij, °c.•ry% ,�j^ y gzK DATIB 7 2 0 /G /,/ Lq v y 1 F 4 SURDWG SUPPGEES TO BE DELIVERED TO REAR OF PROPERTY PROPOSED ROOM TO BE QURT ON DECK, NO DISTURBANCE OF SOIL. Eo p v i IME/NJ . [ I�!♦-I�IJ I�1 L'.L 1j.+' � sGn Tom!'/VItW umrvc 5f� fe'luE� 'rGND , � PLOT PLAN --- - WARL'-EAl /} Cow SULTIt-Ie ~= �i <. i,JF-F ... SCALE: Y•=t0' IUUBUr 1173 T.-i; L rNE M,, C _ 8 OA 7E' nJ.A 12 2004 JOrnJ� ' 5208 C F R R R 1 •. --N- construction All contractors to visit Job Sit check e.-i-•tl S Larch APPRO ED AS NOTED Do a F'` a - and There extension is to be built• c n i �Q � >�- -_:� i� ^tamped uala v ------- ----------"""-"-"—'-�- -- - 2 . All framing lumber shall be grade , - -` : r Ind' , 9`/� , r DATE:' BP.# �'"'_'r'„* ^ structural grade No. 2 or better. ' FEE: '� BY: - r - - -. _—.- __ _ --_ 3 . All heating to bn APA rater , posur^ 11 L min thLckn ^=s- �e _ __ ___ 9 AX afar” 1 , NOTI BUILQIJJG DEPARTMENT -- - - to be APA rated STORDI-I-FLOOR, P NOTI[ 2 BLD)NG EPA FORT E - 4 , All subflooring , and to b^ Int on solid blocking. -. -- I 3/4" thickness. All edges of ply FOLL ING INSPECTIONS: 2 2 .2�r NeA�r� L I 1. FO NDATION - TWO REQUIRE y,_ °/9° , z 111 15 Ja' 4woow li i `� 1t glue sad sail all sheets . ri htkq FO POURED CONCRETE '' AYk' �,) r+ I � "5 All headers 6`0" and over shall be supported with double VP g 2. ROI�GH - FRAMING & PLUMBINfi ! N 9,0„ �I#6 OVER L1ITN WI-ft TR1PLE AMTS' All headers shall be 3. INS�jLATION '� '" I 2.,2"x8' .or .as ahovo 0o Pian- . 4. FIN L - CONSTRUCTION MUST NEI I ' \ .� a 1 openings. BE OMPLETE FOR C.O. J I " - - olible framing around all k 11 flush wood connect'lona shall be fastened with rated ga#vanize$ r ALL C NSTRUCTION SHALL EE TH m -' I V ..__-�_._--_--,._—_ -- -- --- , roved eSual. z --- metal connectors by TECO" or app !M } REOUI EMENTS OF THE CODESO < _ — _ -- $ YORK TATE. NOT RESPONSIBLE FO �S 4 fl _- - — 7, Nailing cchedulen shall He as. Per thn 1fXS Building Code >sa a DESIG OR CONSTRUCTION ER ORI n. VVV I 'r 4r I minimm. All" 28x4" studs shall. 'receive S-LOD sailn at x111 and N I IIS - r" o ! - plate. All 'exterior Haile shall ba' ga - ad. 3 Plyvood aheatingto be ,>failed'vith 8D q 4' jc azter Aur rdgas sad '6D 'T 12"b%c intlrAedi,ate. , y r d, to be 'provide by [� v'lz° L,�L 2 i11 a i 6 m. % P -\9 9, h1t iater.ior and cack+lrior finiut s, £1,Mahiag F NI contractor. - CER IFICAT�QPN OF ®0 f _r � 10 Provide nnolre deper code teeetor as . NAILIN & CONtVY«CTIONS 11 . Electrrical vork to conform to the National Electric Code, New Tart' EQUIRED\, o " sktate 8ee;g� Code and any apiicabie local ends. iv O I I 12. A11 viedoyA to he thermal insulated glass. - COMI LY WITH ALL CODE - NEW Y STATE &TOWN ES a qS RE 1 E AND CONDITI y OF n lJ T'� = �/�' L DX pLY MlOpU SFf.EATI N D GROUND #6tQC CT TO lUGE 1108 YIm1w IcU bM V_ASDUTHOLOTOWNZ�A �x15TINb zx vEetilue j SNOW CATEGORY Goo d ImvS , _ _ �' _ _LOW__.- _,-,yq CATEGORY luu ET ouHa0TOWNPO G \ ; —_ a lsrik6 awn' no. n a.w+ .�Ian. , ,�Re. u• Cyt p{b ' SOUTHOLDTOWNOUST � _ 'St1n-ros GS FN.Y.S.DEC 72iv tl gal o/c o, a-'�„ e° rl n7 o� r�sew 90 �Sx - - CROSS SECTIIO'N cmc g4i -�'----- UNDERV 11TERSCERTIFICATE - --- REQUIRED __.�i. ..�.�. . F40�'1fl PLAN A L CONSTRUCTION SHALL n Q z u k MEET HE REQUIREMENTS OF THE i V C ES OF NEW YORK STATE. 'a I°/4"✓91✓2 4 " 6 N.0/rM I t- I h.f- 4' >"-- -- -- " Vt~ a f7 C i USE IS UNLAWFUL ' -A5pNr�cr Zmn4(505 1149CC CANZ7 Oi� 74I; PA-ACP- WITHOUT CERTIFICATE I —"'`" -I/z� coy 4Pt-q rose, /` �� OF OCCUPANCY f � \ .z„rc�' -fir r e oc� r��rree s a a FLOOD ZONE f--rHC--OMCi1tlT� CiH—AP_TE "46_ cX /{ q 41 , VF'-\ '10 1O EVE-TIONFLOOd'bAMAGE'RR . SQUTHQLO TOWN COD2Lf -a' 6R7TFr. i4.wd, „ww r r - �Az ,N�o W / t �r_ -r� N� it ;i I � I �--- -(k.il;YliA{urs Sb�'fl7 V�-u'i M+t7tk tx15�)t+4 4t �Pk IrIG PO I. r. 0 a� m R— ToP PaoS t c710 ” PLOT PLAN SCALE: 1•_40• . lI I I TA A 0D1710 J �{DING -, � - � - SIDINF-MATrH 'PYlsillty � - S N1/1767 _ _.-f I 7OP nl TYYfa M /, R +:WIki�C3 iJlF3f-J4rl L)dL fJ UdeS 't=R_ Tklf Iat,1 C14 alve rri3K, ' K' d Nd NJ 2� COX (�LYUJG'a1��H /}TIN K, - m I � -- - - E-f`/ fAISUtATMTiIk _ - cx1s71N� G yu, evA _^ ✓ALYJ WARR/N A. InierSAIMUMN Sit"; A v rse g p<vwaa� nnw E3 76 a WanaM _ �572AInIc�.A,c fpF„µ ,.rA '+} s 7675 Cw LmM ' II M tC�p 8a 1033 U7Ct�ODIUE NEW r01i1( i� 6wAlY _ _ a ^ mA21r,1e (+'Ly wrxvo r,,” 41k"TV ti1p,4. llalN S: NORTH ELVATIU LO!!1GlTUO1NAL SECTION ScAT.E: V2•=Tvo1 0111,11 eill 1 — ` 1wv to