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HomeMy WebLinkAbout29215-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30784 Date: 02/24/05 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 1605 MILL PATH SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 56 Block 1 Lot 4.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3, 2003 pursuant to which Building Permit No. 29215-Z dated MARCH 13, 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 ADDITION & ALTERATION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR "AS BUILT" . The certificate is issued to SCOTT R & PAULINE CARTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO- 1204535 01/13/05 & 2040200 0l/14 05 PLUMBERS CERTIFICATION DATED 02/07/05 SCOTT CARTER r Authorized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29215 Z Date MARCH 13, 2003 Permission is hereby granted to: SCOTT R & PAULINE CARTER PO BOX 211 SOUTHOLD,NY 11971 for ALTERATIONS AND ADDITION "AS BUILT" TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PRIOR TO 2003 at premises located at 1605 MILL PATH SOUTHOLD County Tax Map No. 473889 Section 056 Block 0001 Lot No. 004 . 002 pursuant to application dated MARCH 3 , 2003 and approved by the Building Inspector to expire on SEPTEMBER 13, 2004 . Fee $ 496 .20 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 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 is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. New Constriction: Old or Pre-existing Building: (check one) Location of Property: ��-�.�9 �Q1"� Z.� �0� �/C L PA?'�l� jg�AIVIZ 1 House No. Street Hamlet Owner or Owners of Property: Q/Coll '/ �Lc%-(E' RtEQ Suffolk County Tax Map No 1000,Section Block 6-4�0' 1 Lot GI;VGfl Z-- Subdivision Filed Map. Lot: Permit No. z9ZlS' z Date of Permit. 3/.0Y Applicant: �Co7z' A Health Dept.Approval: Underwriters Approval: 610'11Z1a 11azw Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ ZS-G Appbe&Signature 7 .5 7 Co 2-1 8"V 5 ' BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by SCOTT CARTER SCOTT CARTER 61339 MAIN RD 61339 MAIN RD SOUTHOLD,NY 11971 SOUTHOLD, NY 11971 Locked at. 61339-MAIN RD SOU.TH_OLD..NY.11971 _ ----- __ Application Number: 1204535 Certificate Number: 1204535 Section: OSL Block: 0,00/ Lot: OOK/M Building Permit: 292if BDC: ns11 Described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring, described below, located inton the premises at- Basement Fust Floor Attached Garage,Outside Attic A visual inspection of the premises electrical`system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the . applicable., code andfor standard promulgated by the State of New Mork, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 13th Day of January,2005. Name QTY Rae RgMS Circuit LM Appliances and Accessories Exhaust Fan 1 0 F.H.P. Air Conditioner 1 0 42.000 BTU Panels - 1 . 100 10 Wiring and Devices Outlet 17 0 Fixture Fixture 12 0 Incandescent Fixture 5 0 Fluorescent Outlet 52 0 General Purpose Receptacle 41 0 General Purpose Switch 18 0 General Purpose Lighting track 4 0 fl - Lighting track(head) 3 0 Paddle Fan 3 0 Receptacle 3 0 GFCI Disconnect 1 0 60 amp Air Conditioner-- seal ; Service - Continued on Next Page 1 of 2 This certificate may not be altered in arty way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by SCOTT CARTER SCOTT CARTER 61339 MAIN RD 61339 MAIN RD SOUTHOLD, NY 11971 SOUTHOLD, NY.11971 Located at 61339 MAIN RD SOUTHOLD, NY 11971 Application Number: 120.4535 Certificate Numb: 1204535 Section: &XiC" Block: OW/ Lot: 00,/4VZ. Building Permit: Z�Z/S " BDC: ns11. Described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement,First Floor,Attached Garage,Outside,Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of . the applicable code and/or standard promulgated by,the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 131h Day of January,2005. Name g Roe �n C'renit 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: l seal/ '2 of 2 - This certificate may not be altered in any way and is validated only by the presence of a raised seal at the Iocadon indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by SCOTT CARTER SCOTT CARTER 61339 ROUTE 25 61339 ROUTE 25 SOUTHOLD, NY 11971 SOUTHOLD,NY 11971 Located at. 61339 ROUTE 25 SOUTHOLD, NY 11971 Application Number: 2040200 Certificate Number: 2040200 Section: 4?S6 Block: AX/ Lot: 00411 OV7— Building Permit: Z9 2/5%7.. BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor,addition, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 14th Day of January,2005. Name QTY Raft ftn8 Circuit T�pgr 'Miscellaneous AS BUILT-2003 Appliances and Accessories Exhaust Fan 1 0 F.H.P. Wiring and Devices Outlet Fixture Fixture 6 0 Incandescent Outlet 5 0 General Purpose Receptacle 1 0 General Purpose Switch 8 0 General Purpose Receptacle 1 0 20 amp Laundry Receptacle 1 0 30 amp Dryer Receptacle 1 0 GFGI seal 1 of 1 This certificate may not be altered in any way-and is validated only by the presence of araised seal at the location indicated. d • �gUffO���, tiy0 Q� s Town Hall,53095 Main Road 0-0 � Fax(631)765-9502 P.O..Box 1179 �01 � Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. 292,14— Owner: 9214Owner: cN/�� .Pit/V'r (Please print) Plumber: Gorr 6oaex (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this 7 day of M y , 20-v Notary Public,�sUL(L County re-- A-P W1NSXUFF0 k 1a j -.- - -- �NAID G. FEILER • ARCHITECT _. 11739 Main Rd•Box 1692•Mattituck,NY 11952•631,298.5453•Fax 298.1380 20 i To March 31, 2004 Mr. John Boufis, Building Inspector Southold Town Building Department Town Hall, Main Road, Southold, NY Re: Additions & Renovations to the Carter Residence 61339 Main Road, Southold, New York BP#29215Z Dear Mr. Boufis: I have inspected the above mentioned project regarding existing first floor plumbing and second floor framing, and I can certify that it is compliance with NYCRR provisions. At Bedroom 2, the closet shall be removed and will be designated Habitable Space. Donald G. Feiler NX 01 � DEPARTMENT OF THE ARMY NEW YORK DISTRICT,CORPS OF ENGINEERS JACOB K.JAVITS FEDERAL BUILDING NEW YORK,N.Y. 10278-0090 � MNOF Novembevr7, 2002 Eastern Permits Section SUBJECT: Joint Application with New York State Department of Environmental Conservation Scott R. Carter Post Office Box 211 Southold, NY 11971 Dear Mr. Carter: We have-tece-nt y received- a-,-copy -of the- Joint--Application - for permit you filed with the New York State Department of Environmental Conservation (NYSDEC) . Please be advised we have reviewed the copy of the Joint Application sent to this office by NYSDEC. Based solely upon the information provided, it appears that a Department of the Army , permit is not required for your proposal. The Department of the Army regulates construction activities in navigable waterways and discharges of dredged or fill material into waters of the United States, including inland and coastal wetlands. If your proposal would involve such work, and has 'not been portrayed as such in your Joint Application, you should contact this office immediately so that a project-specific determination can be made as to whether a Department of the Army permit will be required. Any inquiries can be directed to this office at (212) 264- 3912, 3913, 6730, or 6731. Sincerely, .Marc .Helman Acting Chief, Eastern Permits Section New York State Department of Environmental Conservation Division of Environmental Permits, Region One Adhi Building 40-SUNY,Stony Brook,New York 11790-2356 Phone:(631)444-0365 FAX: (631)444-0360 up Erin Crotty Letter of Non-Jurisdiction - Freshwater Wetlands Act Commissioner Mr. Scott Carter February 10, 2003 PO Box 211 Southold, NY 11971 Re: Application #1-4738-03096/00001 Dear Mr. Carter : Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: Your proposed project to construct a 12'x 30' covered porch attached to your existing single family dwelling with clearing, grading and ground disturbance no closer than 178' from NYSDEC Freshwater Wetland # SO-22 at 61339 Main Road, Southold, SCTM# 1000-56-1-4.2 as shown on the plot plan by Donald G. Feller, stamped NYSDEC received on January 17, 2003, is more than 100 feet from regulated freshwater wetlands. Therefore, no permit is required under the Freshwater Wetlands Act(Article 24 of the Environmental Conservation Law). Be advised, that all construction, clearing, excavation, filling, and/or other ground disturbance must remain more than 100 feet from the freshwater wetland boundary. In addition, any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of risibility of obtaining any necessary permits or approvals from other cies. ce y, John ' land Permit Adm istrator cc: BOH file gUFFOIx Albert J.Krupski,President O� C� Town Hall James King,Vice-President �`1` �y 53095 Route 25 Artie Foster p P.O.Bog 1179 im„ Ken Poliwoda vSouthold,New York 11971-0959 Peggy A.Dickerson flow" aO`'� Telephone(631)765-1892 j Fax(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 25, 2003 Mr. Scott R. Carter PO Box 211 Southold,NY 11971 RE: SCTM#56-1-4.2 61339 Main Road Southold,NY Dear Mr. Carter: The Southold Town Board of Trustees reviewed the survey dated Dec. 21, 1994 to indicate proposed structure to construct a 12'x30' covered porch attached to your existing single family dwelling with clearing, grading and ground disturbance no closer than 178 feet determined that the structure to be out of the Wetland Jurisdiction under Chapter 97 of the Town Wetland Code. Therefore,in accordance with the current Tidal Wetlands Code(Chapter 97) and the Coastal Erosion Hazard Area(Chapter 37)no permit is required. Please be advised however that no construction,sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above,without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation of other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area,which may result from your projects. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence,barrier, or hay bale berm, However any activity within 100' of the Wetland line and/or seaward of the Coastal Erosion Hazard Line,would require action from this office. This determination is not a determination from any other agency. If you have any further questions,please do not hesitate to call. Sincerely, Albert J. pski,Jr. President,Board of Trustees AJK:cjc cc: Building Department • a• FIELD INSPECTION REPORT DATE COMMENTS . .Sl b M FOUNDATION(1ST) ------------------------------------ FOUNDATION(2ND) zic z y 5 0 s- lr ROUGH FRANUNG& PLUMBING y AA . w INSULATION PER N.Y. y STATE ENERGY CODE • • .-meg � . � � FINAL ADDITIONAL COMMENTS 6 � o � o � z W 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 F Planning Board approval FAX: (631) 765-9502 _ Survey www.northfork.net/Southold/ PERMIT NO. �Z9a?/.`✓ Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20k�_ Contact: Approved 3 ,2o43 Mail to: Disapproved a/c Phone: ?(s '�(�4 Expiration ,20 D j Building Inspector APPLICATION FOR BUILDING PERMIT Date November 14 ,2002 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 shill 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, o admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or6arne,if a corporation) P_B_ Box 211o , ht old, N.Y. 11971 (Mailing address of applicant) State whether applicant is owner,lessee, agent, architect, engineer, general contractor,electrician,plumber or builder Owner Name of owner of premises Scott and Pauline Carter (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: 61 ,339 Main Rd. Southold House Number Street Hamlet Ai Zit%` ,=1 County Tax Map No. 1000 Section 1000 Blogk 56 ` Subdivision 4gg j0d4&WNo. ' (Name) 2. State existing use and occupancy of premises and intended usp and occupancy of proposed construction: a. Existing use and occupancy Single Family Residence— . b. Intended use and occupancy Sinqlp Fami 1 g ReSi rlanrc4*607 ® ! A ,11�1 3. Nature of work(check which applicable):New Building Addition x Alteration X Repair Removal Demolition Other Work �, (Description) 4. Estimated Cost $30,000 Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units 1 Number of dwelling units on each floor If garage, number of cars 2 6. If business,commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures,if any: Front 69' Rear 69' Dept i2' Height 20' Number of Stories 1 2/2 Dimensions of same_ structure with alterations or additions: Front 69' Rear 69' Depth 40' Height 29' Number of Stories 2 8. Dimensions of entire new construction: Front 30' Rear 30' Depth 40' Height 8' Number of Stories 1 9. Size of lot: Front Rear Depth 7acres tee attached plot plan 10. Date of Purchase 12/27/94 Name of Former Owner jamas patri rk Kell - 11. Zone or use district in which premises are situated R80 • 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO x , 13. Will lot be re-graded?YES NOS-Will excess fill be removed from premises?YES NO__ Scott & Pauline 14.Names of Owner of premises Carter--= > - Address Pn Rnx211 Southol(iPhone No. 6-m- r,5-494 Name of Architect Donal d G. Fei 1 er Address1179g; Mai n Rd Matt Phone No 631-9qR-sass Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO x * IF YES, SOUT 4OLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? *YES NO x * 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 ML44 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the _ (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 to before me this %4 day of h oVC-M 2002— CAS Notary Public Signa of Applic t 94 W1 ' KVlstk( M. (iVWtt. mak.Sm d Nwv'%&k f 48025M sdbo emwv. D6Z 31 2007„ i BUILDING DEPT. INSPECTION [ ] FOUNDATION IST OUGN PLBG. [ ] FOUNDATION 2ND [ ] INSULATION I �RAMING [ 1 FINAL [ ] FIREPLACE & CHIMNEY REMARKS: d-ry DATE 0 INSPECTOR I() s X65.,802 BUILDING DEPT: INSPEC ' ON [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & HIMNEY [ ] FIRE SAFETY INSPECTION REM KS: ��'��'`�.�vi ��� �`�Y� DATE ,�i /`5 � INSPECTOR J Jl I 76&1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ) FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: `"'nk �- DATE INSPECTOR"" ` 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] "FINAL ATION [ ] FRAMING [ [ J FIREPLACE & g11MNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE 46 °r INSPECTOR�� 765-iso2 suauINa oePr. INSPECTON [ FOUNDATIONiST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE , � INSPECTO DONALD G. FEILER * ARCHITECT 11725 Maln Rd•Box 1692•Mattltuck,NY 11952•631.298.5453•Fax 298.1380 February 19, 2003 Mr. Michael Verity, Building Inspector Southold Town Building Department Town Hall, Main Road, Southold, NY Re: Additions Renov ions to the Garter Residen 4 61339 Main Road, Southold, New York Dear Mr. Verity: I have investigated the existing sanitary system at the above mentioned project, and can verify that its capacity meets the requirements of the Suffolk County Department of Health Services for the existing single family dwelling, which includes four bedrooms. I thank you for your consideration to this matter. D iler O F, '9TH 415856 OF NE'N Building Permit For Scott and Pauline Carter Explanation of fee paid As built section of improvements to include t� Pantry, Bathroom,Laundry, and second floor over garage 1177.5 total sq.ft. -850 sq.ft permit fee$150.00x2 =$300.00 327.5sq.ft. x 0.30x 2= $196.50 Addition of Porch and Deck,not presently built or starte 350 sq.ft.x0.30= $105.00 Total: $601.50 o' Y 5 . �T T7�T1T1�T� C T'T` DTJ'1 TTl~"(VT �TST� _T LC`r�I, ZI I Tll1��� . Ll►.T 1 Applicant/ Date. Owners Name: 4 P Reviewed: 3/313 Architect/ Date Engineer: >,., Submitted: �3 3 SCTM : District: 1.000 Section: _ Block: I,ol: Project Subdivision Location: tl-on.� Name: Sin&Ic& separate Required certifica(ion: (Yes/No) Req. Req, %oningt)istricc (Iotsizc: 9:JD 0-0-0 Actual: 1Lot covcrage ;OI Proposed Rcq. Req. p Req. --J hront Yard _�Proposed: (Side Yard r f�S Proposed:_ jam. J [Rear Yard7� Proposed /C _ Project Description: ;AS A".4 ' AGENCWERMITS Permit SQUIRED FOR REVIEW _ NO YES Number Suffolk County Health Deptdppa'lw New Mork State D. E. C. AJ, J Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: t Motes: To: Southold Town Building Department From: Scott and Pauline Carter Date: September 03, 2004 Re:Building Permit Number 29807 We would like to request an extension on our permit. We are presently preparing for the final inspection Unfortunately a delay with carpet delivery will put us over our permits expiration date of 09/13/2004 as listed on our permit. Expected installation date is 09/17/2004. We should be ready for inspection shortly thereafter. Thank you for your time in this matter, if there are any problems please contact us at 631-765-4944 dr at our home address 61,339 Rt 25 Southold N.N. 11971. Sincerely, 4%djfla Scott R. Carter - --- - - - - _ - -- - - - - - - - DONALD G. FEILER • ARCHITECT7 f' ^' a 11725 Maln Rd•Box 1692•MattRuck,NY 11952•631.2918.5453•Fax 298.1380 Date To � T CO N KA, 1 (y '!,bOO'i' O .,D 1buJN ► ►-iD I N 6 p T`, Re 1�001, T ONS 4 120t--W 0f'f.S {2EGA CSxe- G t 17171�1 IMA► N �a-�-�©vim Pages to follow `� For your review —T As requested Please call at your convenience GWNAJ FI�'�1 oN Z:>;= 1�i-Ar1`3 Comments: �1eAt'r1 f N G 2ND P� 012 �jLT,�'1210�' WP-LLS 2 x�o I(,�•�/G 2"0 Ftirof C&;j L4 ,G Joisrs : 2x8 • 2+,t 20p FLV0a- I" V /r p1. Roots I�21 1 b2® VENT Ptzw:*- i .W*- Aeffa -T-&"AVE. Nr. ► 1°t.� sF < 3�t so lose- -c 14sp ISI SF L M8 SP bA 2 It SF [ 12.3 St 5.s sF L 6 sp 6'1 SF 4 So Sp 3 11.E SF < 12.3SF 5433- < 6 '7o 5F < 81 sp `.A,EWE D kpo, z �'�► fp 015856 �t- �F NE`N �b, t L 7 od. 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C - D,p 1 V 0 Cl3 _ I I 1✓LUOR, uo > 0.05 - Ll� 0 .05 n `� TO"f}1aT OF M`T KNDI+.IL£LYa s, P.1rL1EF '� PRD FGtIt'hvM1 L. \V\ ° Q e{ Flo Q, I � n 1 Ifc� J +� 1 �—� , C?' iST. �E'1-I D.rJPLL -',Ir- � o �U{,�EMQJ T-i TRE�C p..p�.13 ARE INCOMrn-ICIV`C�µ11ITVF j1115 Ctk-E. „,� ,! ��i �l O L'I O I y ` i P•LA FDJNP.W4�L - I q'k 4 99 , zPROVIDE '/4 HR. FIRE )� RATED SEPARATION TO ... v I - - e ry Q -- Imo- e• PART. 717.3 (f) (1) OF N.Y. STATE BUILDING CODE. OCCUPANCY USE IS UNLAWFUL ©t PROVIDE OPENINGS FOR W17Fi0UT CERTIFICATE i' — ' EMERGENCY ESCAPE AS OF OCCUPANCY 0 �� n�rrw M p n.�•, _ REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. o, �I APPR _ + D AS NOTED itc"x q� F - P '•4(CtiQ� 'SPPGB H r L L 1.e� /.� p_ DATE; 7 �( s� x 4L 7E�rIF. CO�IG SLAB FEE BY: ! ! NOTIFY BUILDING DEPART ✓ V I I _ {' '' a. 765.1602 9 AM TO 4 PM FOR THE - FOLLOWING INSPECTIONS: Cx�tJ d• d^ f-- PROVIDE ANTI-SCALD AND/OR rn Irn DgnoN . TWO REQUIRED I -_ ____-- �� - THERMAL SHOCK PREVENTING FOR POURED CONCRETE k -------------- -- -- -- -- "" - DEVICES AS TO PART. 902.6(K) 2. ROUGH • FRAMING & PLUMBING - - --- "----""------- -- -- 3. INSULATION 6 + — N.Y. STATE BUILDING CODE. a FINALCONSTRUCT -- _ I�- c�--( -� 12'-0" „' �• BE COMPLETE FOR C0ION MUST SH TE FOR C.O. ALL CONSTRUCTION' ALL MEET ` I - -_ - --- -- - - PLUMBING THE REQUIREMENTS OF THE N,Y. 4 C� ALL PLUMBING WASTE ATE CONSTRUCTION & ENERGY -- _— -- &WATER LINES NEED CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS .r'y 1P r j T ' I 1 nR�6�r-10- 1. �Ooiu Eu c:F_i sT l ura vcosf�; � o a. 146 I � L vl LxPl R2- IV"�- TnP�-cvr I - {`�-I X7/4 TAr, i'u7W[7 I � I '2 PoC5T - 14 C,a, - .4"% / cre — - -- - 5'4 6wv-orxK,Ne -- I I Q Boo->•q^Ak ate, � x 2 F� r,. ,�, �" U f zxe - rtiw��r I � R-19 I, �r it rl k -0 -41 t1 —I-1 ra — 47 u1 � I- 4 v �