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HomeMy WebLinkAbout30038-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30806 Date: 03/08/04 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 1725 BROADWATERS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 11 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 20, 2004 pursuant to which Building Permit No. 30038-Z dated JANUARY 26, 2004 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. The certificate is issued to THOMAS W. & CONSUELO G. LUDLAM (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2009761 11/09/04 PLUMBERS CERTIFICATION DATED 03/03/05 JOSPEH TVOMEY c 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. 30038 Z Date JANUARY 26, 2004 Permission is hereby granted to: T & C LUDLAM 1725 BROADWATERS RD CUTCHOGUE,NY 11935 for ALTERATIONS & ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1725 BROADWATERS RD CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0011 Lot No. 002 pursuant to application dated JANUARY 20, 2004 and approved by the Building Inspector to expire on JULY 26, 2005 . Fee $ 665 .40 Authorized Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 7_828 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. n New Construction: Old or Pre-existing Building: (check one) Location of Property: /%YG' House No. Street J Hamlet Owner or Owners of Property: %om,,4_5 !!/ .���cY��L�yyl /?Su P Suffolk County Tax Map No 1000, Section la JI Block Lot Subdivision.N l y� �� `k 5 S c�u /c/i hT Filed Map. Lot: Permit No. 7 Z Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ `l Applicant Signature Co 3 0806 o� 5 BY THIS CERTIFICATE OF COMPLIANCE THE �T`_ �„�p•.� 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 S HUBBARD ELECTRIC THOMAS&CONNIE LUDLAM 5 178 HUBBARD AVENUE 1725 BROADWATER ROAD RIVERHEAD, NY 11901, CUTCHOGUE, NY 11935 rj Located at 1725 BROADWATER ROAD CUTCHOGUE, NY 11935 Application Number: 2009761 Certificate Number: 2009761 5 5 Section: Block: Lot: Building Permit: BDC: nsl1 Described as a occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 Basement,First Floor,Attached Garage,Outside,Attic, 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed rj 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 9th Day of November,2004. S Name QTY Rate Rating Circuity Twe Alarm and Emergency Equipment Sensor 1 0 Carbon Monoxide Sensor 4 0 Smoke 0 0 Appliances and Accessories 5 Exhaust Fan 3 0 F.H.P. Cj 5 Dish Washer 1 0 1.2 KW Furnace 1 0 Oil Wiring and Devices Outlet 60 0 Fixture Fixture 51 0 Incandescent S Fixture 9 0 Flourescent Outlet 115 0 General Purpose 5 Receptacle 56 0 General Purpose Switch 57 0 General Purpose Paddle Fan 3 0 Dimmers 10 0 seal Lighting track 24 0 ft Continued on Next Page 1 of 2 r a 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 c BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITER 5 S 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET - NEW YORK, NY 10038 S 5 CERTIFIES THAT S Upon the application of upon premises owned by 5 5 HUBBARD ELECTRIC THOMAS &CONNIE LUDLAM C, 178 HUBBARD AVENUE 1725 BROADWATER ROAD RIVERHEAD, NY 11901, CUTCHOGUE, NY 11935 e Located at 1725 BROADWATER ROAD CUTCHOGUE, NY 11935 5 5 Application Number: 2009761 Certificate Number: 2009761 5 Section: Block: Lot: BuildingPermitBDC : : ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Sc Basement,First Floor,Attached Garage,Outside,Attic, S5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 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 9th Day of November,2004. 5 Name QTY Rate Ra a Circuit: Type 5 Lighting track(head) 9 0 5 Receptacle 1 0 20 amp Laundry Receptacle 1 0 30 amp Dryer C, Receptacle 10 0 GFCI CJ Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 5 5 S 5 5 5 5 seal 5 2 of 2 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. MAR 03 '05 09:59AM SOUTHOLD BUILDING 631 765 9502 P.1 g11FF01,� Tcwn Hall,53095 Main Road Fax(631)765-9502 P.O..Box 1179 ' �Q� Telephone(631)765.1802 �outhoki,New York 11971-0959 `"'�� `71►� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date:--s J Bill lding 1lermit No. -_ 3 0 D 3 S - —Y— Owlier. \_a VVN 4 l_ %A-.ie- (Please print) Plumber; (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 1 �-tI jPlumbcrs Signature) Sworn to before me this J day of ��� 200 1_ Notary Public, '\V-y'A- County 20 ij DEF'. T 'VN JQF Ste' TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET '' VILLAGE DISTRICT SUB. LOT 'S —Tllo"s 4 con5uelo #.G - � ` �L �� 7� P T Odd�. FORMER'OWNER N E ACREAGE / 3 S W TYPE OF BUILDING IES. ' SEAS. VL. FARM COMM. I IND. ( CB. I MISC. ( Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS , -1 � k"; 3f" Z a o. / o Ho Vre, �sd 6' o6 COQ ��ySf f7 ''i 6I -A/✓ Adt 27,f�Jo <!? D.2.,� ' >-a 4 To tyre, 26d 6 z 6l�' p $as- 03- a� s+ 5 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable: 3 Woodland 71 Swampland Brush land House Plot Total ,,� 3�� Wit: ■■■■■■®■■■■■■■■ ljj�ry 'rte i e � OltMINOR■ n■■■■1� oil a r .I WmAw s � Rooms 1 st Floor kooms 2nd Floor Permit Number RE5check Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release i Data filename: C:\Program Files\Check\REScheck\Ludlam Residence.rck TITLE:LUDLAM RESIDENCE COUNTY: Suffolk STATE:New York HDD: 5750 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:01/15/04 DATE OF PLANS: 1/20/04 COMPANY INFORMATION: Donald G.Feiler Architect COMPLIANCE:Passes Maximum UA= 144 Your Home UA= 144 0.0%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 623 30.0 0.0 22 Wall 1:Wood Frame, 16"o.c. 723 21.0 0.0 31 Window 1:Wood Frame:Double Pane with Low-E 186 0.320 60 Wall 2:Wood Frame, 16"o.c. 108 13.0 0.0 9 Floor 1: All-Wood Joist/Truss:Over Outside Air 485 30.0 0.0 16 Floor 2:All-Wood Joist/Truss:Over Unconditioned Space 138 21.0 0.0 6 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 arm plianc with s Code. Builder/Designer Date 20 D ,:�003 P-e- 765-1802 BUILDING DEPT. INSPECTION [ 'FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ J FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: L DATE 0 INSPECTOR 765.1802 BUILDING DEPT: INSPECTION [ ] F90INDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & C�MNEY [ ] FIRE SAFETY INSPECTION REMARKS: wc- .e- DATE - � � INSPECTOR-//) NSPECTOR " \ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ OUGH PLBG. [ ] DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE � � NSPECTOR s 3odj� ass-,aos BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ) FIRE SAFETY INSPECTION REMARKS: 715Z/dcL��-�-��-�^-?�/ rl4j C—esl-^-4-1 DATE j � INSPECTOR 3oo3Fz 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: No DATE � � �� �� INSPECTOR�'�� 3003 '9 2 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING FINAL [ ] FIREPLACE 8 CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:��� `� d ,� /���///` ` 00, DATE °�' �/ ( �`S INSPECTOR 3b03 � 765.,ao2 BUILDING DEPT. i INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ j INSULATION [ ] FRAMING [� FINAL k2: [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE � �g �� INSPECTOR ` �" VS0 300 ,3 9 7, couffm TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION IST ] ROUGH PLBG. ] FOUNDATION 2ND ] INSULATION FRAMING / STRAPPING XFINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION REMARKS:_- DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) -_--__ jA a FOUNDATION(2ND) ROUGH FRAMING& PLUMBING INSULATION PER N.Y. STATE ENERGY CODE FINAL ol r ADDITIONAL COAMENTS .p 0 z Ll Towli 4F SOUTHOL© BUILIAN J?kxnali' A eLLCA:fLUN CHECKLIS* BUILDING DEPART T Do you have or need the following,before ipplying TOWN HALL N 2 0 Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: 765-1802L _y_ . PtL NO. --Rw 38-7-- Check . Septic Form N:Y.S.D.E.C. Trustees Examined ,20O� Contact: Approved ,20_ Mail to:—Do t4 po Ttl L. Disapproved a/c QC) may" tro 1 e WR1 IT,e. 7��6�� Phone: 2!Rv a —5453 Building Inspector APPLICATION FOR BUILDING PERMIT Date ,20_ 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 byIthis 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 throughoufthe work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan is rued by the Building Inspector." 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, additicinS,`or'alterations or for removal or demolition as herein described:The applicant agrees to comply with all applicable,laws,`ordinances,building cod using code,;and,regulations,and to admit authorized inspector's on premises and in building for n6ccssary inspectio (Signature of applicant or.name,if a corporation) box 1(02 2 M-M UGC (Mailing address of applicant) State whether applicant-is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises �}pME45 4r CpN 1'5UEL-O L-U L.AM (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorizbd officer (Name and title of corporate officer) Builders License No._ ?C*3 D 1 N to Plumbers License No. Electricians License No. t� Other Trade's License No. 1. Location of land on which proposed work will be done: — House Number Street Hamlet County Tax Map No. 1000 SectionBlock ltl0W r 112' Subdivision bM6N0ft0 MPP J& of r16.'SW �b!NT"Filed Map No. 15 t ? _zAA (Name) .. ,,laic cxlsung use and occupancy of premises and intended use and ocrnpancy of proposed construction: a. Existing use and occupancy �,>' I N C,2 L E 'Fp�cr,7 I V� K. Wl>✓�-�.1 NG .b. Intended use and occupancy 3, Nature of work.(check which applicable): New Building Additiony Alteration Repair Removal Demolition Other Work (Description) 1. Estimated Cost 2oc>� ozo ' Fee (to be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number.,of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear +8 Depth 2`7 Height Z► Number of Stories Dimensions of same structure with alterations or additions: Front 4pe 12. Rear AW 12 Depth S► Height 215 Number of Stories l L ' Dimensions of entire new construction: Front Rear Go Depth ' Height 23 Number of Stories 1 Size of lot: Front* Rear 161 Depth r 0. Date of Purchase `l 3 Name of Former Owner STS RRD 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot4be re-graded pJ0 Will excess fill be removed from premises:. YES %'�-FI vecv-" 4. Names of Owner of premises W O>,Pr Address Phone No. 28(0 • DO8.y Name of Architect DOtsA'O SEI LJBA.- Address A.-r n-r0GIK- Phone No 29 E - 54 5-4 Name of Contractor Address Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO X • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is-at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: :OUNTY OF[DO N..{41/ LE72, being duly sworn,deposes and says that(s)he is the applicant (?Jame of individual signing contract) above named, .�� 3)He is the • (Contractor, Agent, Corporate Officer, etc.) I said owner or owners, and is-duly authorized to perform or have performed the said work and to make and file this application; iat al l statements contained in this application are true to the best of his knowledge and belief, and that the work will be :rformed in the manner set forth in the application filed therewith. wo t0efore met is day of VQC,'r _20L)�_ Nota ublic Signature of Applicant tro.011D0609 ,. J*i•� lJ IL 1.L��i J� N—I JL I T-7�� �—PP- t.1Ti��L1�- Applicant/ -�- , Date. Owners Name: C 1/���.,� Reviewed: Architect/ �- / Date Engineer: bztn ft",ren Submitted: `f SCTM t,+: District: I MM Section: _L Block: _[ Lot: vZ Projectn ,� Subdivision Location: i 7�5_ n ppd /1�/ C — Name: Sin&Ie &, separate Required certification: (Yes/No) O Rey. Req. �J /_oning District I I,ot size: ►J Actual: I (Lot coverage �I4> Proposed G, Req. {j7 Req. Sr /� Req. [Front Yard VV Proposed: (Side Yard Proposed: J (Rear Yard _ Proposed Project Description: c8L�1 t AGENCYJER Permit . REQUIRED FOR REYLE,W N.A. ISO -YEAS -� Number Suffolk Co Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? 77 ) Flood Zone: Mates,-- L NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load:45 rWind Speed: 120MPH Seismic Design Category:B / Weathering: Severe Frost Depth:36" `, Termite:M-H--� Decay: S-M Design Temp: 11 L Ice Shield Underlay:YES ✓ Flood Hazards: -- - USE/OCCUPANCY CLASSIFICATION: j HEIGHT/FIRE AREA: .,--- TYPE REA: i"TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERE RESCRIPTW FULL FRAMING DESIGN ELEMENTS: Y/N� READERS: Y/N WALL STUDS:Y/N GIRDERS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS:Y/N ROOF RAFTERS:Y/N LUMBER SPECIES AND GRADE:Y/N DESIGN LOAD CALCULATIONS: Y/N LIVE: Y/N DEAD:Y/N SNOW:Y/N SEISMIC:Y/N WIND:Y/N WINDOW AND DOOR SCHEDULE: j r j MISSLE TEST REQUIREMENTS: Y/N EGRESS/5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N 1 ENERGY CALCS: Y/N , 1 TOTAL COMPLIENCE? Y/N(RETURN TO PAGE ONE) BUILDING PERMIT EXAMINER CHECKLIST DATE REVIEWED: /03 APPLICANT: DATE SUBMITTED: / A3 SCTM#DISTRICT: 1,000, SECTION: , BLOCK: , LOT: SUBDIVISION: ADDRESS: CITY: ZONING DISTRICT: CONFORMING? BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N BP -Z/C/0 Z- , INFO /BP -Z/C/0 Z- , INFO BP -Z/C/0 Z- , INFO _/BP -Z/C/0 Z- , INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/ REQ. LOT SIZE: ACT. LOT SIZE: REQ. LOT COV. ACT. LOT COV. REQ. FRONT PROP. FRONT REQ SIDE ACT. SIDE REQ. REAR PROP. REAR REQ. HEIGHT PROP. HEIGHT PROJECT DESCRIPTION: ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: WATER FRONT? DESCRIPTION: PANEL # FLOOD ZONE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED#): DTE: /_/_ PERMIT#: TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or NO DTE: /_/_ PERMIT#: SOUTHOLD TOWN TRUSTEES: YES or NO DTE _/_/ PERMIT#: '1 Q'WN ZONING BOARD APPROVAL: YES or NO DTE: /_/_ PERMIT#: /jTOWN PLAN. BOARD APPROVAL: YES or NO DTE__/_/ PERMIT#: ( TOWN HISTORICAL PRE (SPLIA): YES or NO NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE I• (-SF)- ( SF)= SFX $ =$ +$ +$ =$ 2. C-SF)- ( SF)= SFX $ =$ +$ +$ _$ 3. (___--SF)- _SF)= SF X $ =$ +$ +$ _$ FINAL TOTAL: $ O�OgUfFO��-coG o� s� H Z Town Hall,53095 Main RoadOy �� Fax(631)765-9502 P.O.Box 1179 �Ol �a� Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD February 28, 2005 Thomas & Consuelo Ludlam 14 Firepkce Neck Rd Brookhave , Y 11719 RE: 1725 Broadwaters Rd., Cutchogue TO WHOM THIS MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the \' following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. �! XX The check is (not on file)$25.00. No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984.) BUILDING PERMIT # 30038-Z Please contact our office on this matter. Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. SUFFOLK COUNTY DEPARTMENT OF HEALTH Rive ork �O C ' Application for Approval t e Sewage bis osal System Town Hall,53095 Main Road TYPE INK Fax(631)765-9502 T3-9,Ao S4?6lk County .Department a�� Date 4—:19--61 Telephone(631)765-1802 Southold,New York 11971-0959 1 Application for Approval to co ivate sewage disposal system is here- by requested concerning which the following information is submitted: 1. Name of applicant Philip JBL DEPART 16 Cedar Street, Patchogue 2. (a) Deed location of property SIS/0 Broadwaters Drive, 2001 East of Crabbers Road, East Cutc ogue (b) Hamlet or Village East Cutehogue (c) Town Southold t 3. Cellar f-=; r4fkb,. Crawl Space 4, Water Supply (a) Public System; A)ame Private Well x Distance to nearest main Propos ed10*stem 5. Cesspools �__� 6. Septic tank '! (a) Number of pools _ (a) Inside-width ft;(b)Length ft. (b) Blocks below inlet (1) (c) Liquid depth (2) (3) 7. Seepage field C= (c) Block size-L in., w. in. (a) Trench - W in.; (b)L ft. Tota). (d);-Precast pool x (e)No. of sections�2 (c) Number of trenches (f) Sq. feet per section 85. 7 (d) Depth from bottom of seepage pipe to ground water I hereby certify that I am familiar with the requirements of. the �la`,est bulletin of the "Standards for Private Sewage Disposal t-stezall and wi�1,-c �z:struct this system in conformance with these standards, or revisions thereof;,- pra•vailing at the time of construction. Applicant's Stgnatui*6"-- .>h - - - - - - - - - - - - - - - - - - - - - - - - --- - FOR USE pp HE4TH DZP RTMENT ONLY •r.•. Based on information pre aeot-ed.here'on-its';_$s the opinion of this Department that an adequate and satisfactory sewage .disposal system can be constructed on this plot. Date CHD S-ly (Revis.) 4/61 OFO�,�co We 1 Data hy.. Gy Test Hole Data o _ Town Hall,53095 Main Road Tank C& t 0 Fax( aCi 765-9502 P.O. Box 1179 - - p � Telephone(631)765-1802 Southold,New York 11971-095 Capacity .I�. BUILDING DEPARTME -- 10 Ground Water Level SOUTHO 'II ""'' —; ~----- L 12 ..... .,_._ ..._ 14 l -.._. 16 Lj L7 Indicate V) North } iii 1 G 111T it 0� PLOT PLAN IL Q �Ct 015A�6 m OF �cii --Zz OOP" (S) CD N ' . LiIt z LL r -cl T--H El L, 'EV& T 1 1----4 0 ....... LL. ' _ ..({4-_ `fte1M �.E6�R - �jlo•� (M�M•7..��L:-�G�HT- - � � .��-." �Mbl►�� OPEN�Nd►.Spee. 4" - -4 O„ to•-��, 10.. 6, r.o ' a, a, a„ IIID„ IILU,. -----------------�-- - ------ �"----- � �" 4•, h" (t-OL 11 ) _' G S 2%5'1 3 2 -1201 or. 1 ° �p iQf �° �2>`Io,Z— F+- tb-% � i—' �" -7� IN d O - - - —� v I `a p ' ' '?IEW YJDSEMCNT fl ON _ ZR l'/a" �1 N D C� - '� O � FPO G ri wQ L UP N N % yf G 4" CcntG bu.p �' _ � z _ cJ y 1^ +pzK l , 2v e a N J 4' g" c , I -. N l rI {I - (31 >^� KEtaD4- y,y� f,'g y F ,w � �\ ID a82 oxo _ _ 205-1 13/y x�/t LVL (v.USN) v _N - - - e d LJO 29° Corm- TQPKb✓ - _ ..0 - i- ._ - '- - _ - _ •y. M �wlsT. MEw/Ew7r {ptAwai y c x'V/ PSI- 4 f J ' \. I` ITGNEP.I . I t lip _ .- EFISTIW4 MECH. I2M ❑ fSbTF1. 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L _ cI'w'1' D0 vxf, 9'+.'1' ?N,aa� =F [I - 4.00 1r, 8' 4,. 4.. = 1 a _ 4� __ 1 4;i• p.�ir �ol�Nl'JD TL(J K ti IIIb LL x 22' ivotuc . aTRaµ r f�) iib,CaS � � 9�C. T- Tr . 0 �v N � 1,.1 �� U C�`-� a” 2=0" ,�� -, NGw $R.� n �I�- � - I p.tD m' l GL. ` A n , ' ALL CONSTRUCTION SHALL %PL o ��� l� 2.L CJ•u`6 I 1ZR - 16"!& a . � �—�� ax 4 c T MEET THE REQUIREMENTS OF THE TH ALL F CODES OF NEW YORK STATE. NEW YORK STATE & WN CODES • L ` �/ AS REQUIRED AND LD NDITIONS OF '`--1 1�'' a � E ' -- --- -'i 'o,• T ,,�r-•--••�� �j SOUTHOLDT WNZBA Ili l05 I T L l/O I� SOUTHOLDT WNPL01 G A D NAILING & CONNECTIONS SOUT'nOLDT WN TRUSTEES Ala REQUIRED. N.Y,S.DEC 4^ G' � NTe a l Eu sr. r4,o. IINDERWRITERSCERTIFICATE FLOOD ZONE REQUIRED COMPLY WITH CHAPT R °46" n V lI FLOOD DAMAGE PREY N IDN ` G. ` M(26R TPS N (� BUILDING USE BOUT me . NCO CODE. RUIDINGHEIG G28 P Vy gURDINGNEIGHT pe 9T GEILIN4� FI•{.'{'UR.E; r'lK.ISTI NGi CbN3TRl,xR'ION TYPEN CITERIA CTION prawi DESIGN CRITERIA 40 par lv.q.alpn 1 �- I-JDLL p't r/.'jv RE PROjL7E>EA GpN5T1cUd.TOrJ DV OAD 10 Pin ` l7 0 W N rf_ �bN'LY,INT • SW SeP, _ _ _ _ _ =A!bT'I N4 - Jib ft*- %D40NAMD BNg144onD 4spnaro+nd ul DWT To gyT, WINOSMiamiPEED S q , WINtlSPEED 0 mpn 1 90' (� .1 PR°P ate- �b171�N EXPOSURE CATEGORY E / — 1 OU�-LF%1T WEATHERING Saver. OVTLET HI.LF uVG YEWREFROST INE DEPTH 38' grbT � DECAY Mmnelrto navy GL11• PwDp05EO �: _PsW15TtNG es ���Wp�T��Gt1 EY ls} INCA F\PF�T FL-CCA, 128(o sp DECAY BULB 6npm;,aesF tele O' 6m, C;S* ) ( oM�YI(K jE f%T� PRnPGT6 L"vO1TION"J /L1 5F WINTER DRY in*cv EMP, Rh1h. aaF -� All nlNda la Galpnd in acmrdanw wI1M1 IIIA Sulld,np Cad. n, ` QADITIoN HGVSL' \J t 0 5O ,rjMGISG l7E'(EF'Tb�' T O T L � SF dNw York Sun.&W Amarlwn Foveal d Paper Aaaadallon v- WI APnPr.>EP \\\':' �� �� O T'�LE.F'HOI.4re. 36{r., GO VE•R,E© STC>ot> (p0 $F: (AA&PA) Wood Fr.meConeWpbn Menual for Dna 4T. ' 7TbOQO Cbvl_,- vIsloN -rbcs+ T2O0)= Dr- 1 p r� F.mllypwNllrps l'WCIfM-p6)H(fph Wrb Atldlllon 34^ V _C4 - Roof o1_GI� O G G lv 4 A0U Sr- j.Ce s- e.WI 1 I d' O 5/p Y- (o PI+ MNItYH,<kc4' IvOD R'. #>4a.. WINDOW NOTES PLUMBING 0 (� 1. windows pe noted on Floor Plana Imiiwb EGRESS a regWred lar � Irrp area ar pr 8adlon R3lo of the Residential Code of Now York Slate. ALL PLUMBING WASTE 2, Ughvand Vrmhlkn: aNhabileblera esshoA Floor Planscanformto &WATER LINES NEED �--' requirements of Section R303, wim an aggregate plating area of more than S% TESTING BEF ORE COVERING (ybIL !- {CfX�P L� DVEk_TL 1 L 4 of floor area,and a minimum ventilating area of 4%bf the Roe area, U S ).z , 3. Glazed opening pmlWw shall be orovided as per Ne Building Coda of New YorkC SWb, Seelldn 180%.1,4, All pissed opaNnpr to be previtled wim precut plfmrootl i VY panels Io coyrglued openings-7118'min.thick(4'werlap around openbgs), A '4 / I Attachment to be as par Table 160%1.4: 2-to"N8w Werra-12'c/o. AP DASNOTED 'V 3 Ji'u� <� t01_d" 12 - O" (*) � �' � (}�� C111�111 / --w Evl`�T. Rlcxaa "1 L°v `v PLUMBER CERTIFICATION FEEDATS4 <� BV: � UJ L1 3ooF d G NF a 1 _ We we stm E ON LEAD CONTENT BEFORE NOTIFY BUILDING DEPARTMENT AT (n� ^v F y ° ,,, a^ z^ CERTIFICATE OF OCC(1?ANOY 765.1802 SAM TO 4 PM FOR THE U J 6 c II 11cO SOLDER USE,2IN)WA T,ER FOLLOWING INSPECTIONS: ' _ Z I �r l SUPPL I�SYST MCANNOT 1. FOUNDATION - TWO REQUIRED 1Q..GaF'gz/ LEAD. FOR POURED CONCRETE C) EXCEED 2. ROUGH - FRAMING & PLUMBING ObC7WnTJ�S _. ` gIN� lU 3. INSULATION �O 4. FINAL - CONSTRUCTION MUST p� — 1-„ = 0' ti _ LDWea LEVE 1. OCCUPANCY OR BE COMPLETE FOR C.O. PLOT F L � � 5F4nor ' � L. L-, r-� Iro e, tRr4s{,nlra ALL CONSTRUCTION SHALL MEET TH 0 1 -�-� < �•� - S'"�'1-�N USE IS UNLAWFUL REQUIREMENTS OF THE CODES OF NE R �" WITHOUT CERTIFICATE YORK DESIGN ORECON CONSTRUCTION�c j M � laao ' loEl 11 . 2 r4 FO fat?.E.3* % #; I "Y15 SF 'Lot-IE_ = R 4n pLUM'{�I l�a(,� bl taG-�R, a>v1 --- - ---9F-9G6UPAPIEI�— }� O lxG ROtX.+I-I SDhIN C�a(G --- -- �—_ _ _ _--- a•N IFI-bP Tcrl.rT 12 � , - _ -- - - - - —_� _ - -" -' --- b�Ht'•Lt Sat 11•IGIL�'� I w 8 Ram �t•5cic "�{ I I ,. I �ty��k� I I F dWM FL.o-yyll.cr Y+• ���e[e'' _ _ _' �C" 'fib t- I O •� --__ I 1 u _ NERGIT •• -- _-_..-__ _ - _ F�ucr I a Iy 1 L- - FF EHGbNoP4 �acY — HA —�z - !R Howl ir•�%"' C` -I 5ik a _ _ _ +VIII I -- _ ({•ED GEDDR 5F11nYi1TS - � �--* -- - - ��''� bw 1 —2W2 uroeF.�ll.t._------TTT �_ {•v fZ, tI L (O/4% (a (MIN) I �Vn4L�T ..---- r / \ r `. 5TOCOO ___ - 'i.� ....slurr<. Cw �� __- e'rJD5 10, 00 FT-] r, 0 / / \ - NeN oaG v TYiY I.eVEt GI2ADE- ,� I r- I I IA1-IFp, LEVEL L L L _ - 3�„ -- BOI 9 Be0 Mrnul�0 bT11,Aen I I L - 1 l- - - - gz NU /a ---�— 5/•r 9 ��• x � Lill ��I j f�T�' C b•`j l t-�C� �--L�I L • LU `- 11 Y.ICILF.S , 12 _ _ __ I I i MrdW Fc'Cf I IN 1 2x4 bTUOwow' II.'t m 2x S IAVTZ V. 016 r woln.: to CJ^V PTitG TC NCVE 'Kie oVPkS1 h 2r6 m�r.rrcTleo- Ite'°i PIWFY '1� 4h.C•-1 t I - __ 7F1Y O PH Mnu "64GC{.Klr�tq ' 2u OUST• _ IN ..I I � -- - _ - _ __ .� f ATki - - - ( - -- 1/2 gL, + ~ \ M a5c�n CONTINUOUS LOAD P-96 - L.11 ..- . �a as a AFPA CFM -86 I � �� frjx per W 2tib c.7 « � _ - X211 pV HIGH WIND ADDITION P7 F'I�'W 2r8 CJ •12"% 2 ' Ir. � -� Ha'Y'1 lz 21 n - 3co,4T, IO �Ftr ROOF n WALL COVER�D STf GV I"G.'5,Ft roc VENT J Simpson Strong-Tie PORCH POST TO BEAM ILL �00M LI- ' M� iZEo GErbR JIi1MfgLEEs MTS - 12 each 4- 10d each Rafter %A Ej E: -» V2" p Wn0 4 - 10d each Stud io IIG a m, cern I — ti+l�T 5NDIwru- n -_ I _ 1 - s Qy.L SNDk1aV• • Ir:' b V,/ALL TO FOUNDATION BEAM TO WALL 0/t3"'PI-`?WRY' �'SNf:a'Mlr-ly To E.v.Tar-+U :2*1 p P3 _IW °t To rr p of ToP 1 -114• x 20 gage Strap LUIS 26(2) Connectors -`_-_-_-- - ---__-- ---- _ _ - - — �' 2X b 41LL - b•GR lapped under sill 3.8d to Wall eau _ 3 8d to Balm ch Std - - LF xU1S H PSL--- I.t,� R-3n �.T pl'' '(CRrM Pfd. �JNIE40 r, -------- ----'- 516H g�,L, 2- So III (both sides) POST TO FOUNDATION -� 5/C+T`+fE'% ��� ] 5/o"rb AI'+CNCX.1'lLT• �2"o/a ABU 44 Anchor �- uv" FROM CoWNI�lK•'- RDOF OeGK ' 12 - 16d to Post $ °/ �>N4TING Gc�c�G� Net l bF;.c.0 a° sc,. wlc-u (LL 12DIM LEn LFA \ R1 II _.__._._--------- 1Mt5 T12 V 4 - I.qio o0 N lb - ' , cel-IST. 604C�iLY, Wh" �imot GMWCC _ '1-L'-•"% Wbt-M To cE1l-INq � . (g•rawc.Citcew Wai.M- MT'5- 12 I. / b " f I r'�LFTL"CJAFNpDi'GFI Fy�hDE. (CWW' suu-2P�Ltvi1o) 4` ✓O G 1 /w G`0ry4e 9mc �P 4- d ech ,Top ) o — Egdl. nN RMNW,W . ; '..+w—hr 'e: : n:».Y-"'"'tl.a. a,l. ,n• -e.•Y./w,n D_-.--U'" ----I- �I _ l _�_�1 �/ /S T I U 1`I b - �\ -- � — -- -- —� �j � � � I �} �-1 I °y6V�EG- 1I ToT OFrCnS>TMTe>bAk4I 2.5& >To aol Nailing Schatlule e >N YIpYI� / ' DOS2- 2/4 3 Nw, ) .�_ '.,nwir.l.rY1 Nnb _ cipyii'uen liii[iP w-ulWl 3' 4.i lo.Taa"i•in MY� JI le"x8" P-1 �' R ABU 4q FIL=Fi. ' I+.YW uN r+w...R+.wwl a- IY+ Mrale i.0 -aw a11NCx>TII.tL .wmn. cWI.TY.Yna Ro..lMn 1 . I.d Ovral.yr Nw ..WI wnd, --- 12 lod T. ILsr .I.wf1.1Y iV e.,.IwI iglu i~i ,.rr..�l•Y n.••. -- _ - x 51 WhL ' Turd.I.T.IW.RNaYw x.lw Ner Ydw,l,n.wru •� rmn+.+1J-NI-•RM++u+n 2`h Gx bGO., (a''u�P E�CK. uWMaw R.nnWWI sau u.. _ _- - _ _ - � � M c xdN,.w✓n,nN.,.ln IY u-..J-rWN .W_.,,nW. - __ �4h(a) P(CN n Cl p t'`rl HIV-1 LC' U�'4�• �f2�F1, 1 !-.�. 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