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HomeMy WebLinkAbout30577-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31023 Date: 06/30/05 THIS CERTIFIES that the building NEW DWELLING Location of Property: 575 WEST SHORE DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 80 Block 1 Lot 44 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 18, 2004 pursuant to which Building Permit No. 30577-Z dated AUGUST 19, 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 SINGLE FAMILY DWELLING WITH COVERED WOOD DECK AS APPLIED FOR. The certificate is issued to STEPHEN & SUSAN CAPOZZOLI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-04-0027 06/23/05 ELECTRICAL CERTIFICATE NO. 2039605 04/28/05 PLUMBERS CERTIFICATION DATED 04/08/05 BERTSAND PLUMB.&HEATING 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. 30577 Z Date AUGUST 19, 2004 Permission is hereby granted to : LINDA ANN WENK NEW YORK,NY 10011 for DEMOLITION OF AN EXISTING SINGLE FAMILY DWELLING AND CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 575 WEST SHORE DR SOUTHOLD County Tax Map No. 473889 Section 080 Block 0001 Lot No. 044 pursuant to application dated AUGUST 18 , 2004 and approved by the Building Inspector to expire on FEBRUARY 19, 2006 . Fee $ 860 .40 ;7/ Author z Signature ORIGINAL Rev. 5/8/02 MAY 12 'e5 39:26AM SOUTHOLD BUILDING 631 765 9592 P. 1 Form No.G TOWN OF SOUTHOLD BUILDING DEP.ARTMFNT TOWN HALL — 165.1802 u�III .� L y 29 :L :i APPLICATION FOR CERTIFICATE OF OCCUPANCY h. : : .FPT TOW'; nr SnUT,l^t.n 'ibis application must be filled it by typewriter or irk and submitted to the Building Departtnent with the following: A. For new building or new use: 1. Final survey of property with accunhe location of all buildings, property lines, streets, and unusual natural or topographic features. 2, Final Approval from Health Dept. of water supply turd sewerage-disposal (5-9 form). 3. Approval of electrical vastaliation from.Board of Fire Underwriters. 4. Sworn statement from plumber certifying[tial the solder used in system contains less than 2/10 of 1% lead. 5. Corrunercial building, industrial building, multiple residenecs and similar buildings and installations, a certificate of Code Compliance from architect or enginaer responsible for the building. 6. Submit Planning Board Approval or 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 litres, 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 l.. 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 acwosdry building$25.00,Businesses $50.00. 2. Certificate of Occupancy oi:Pre-existing IIuifding- $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 515.00 Date. New Construction: __.__. Old or Pere-existing Building: (check one) I.ccationofProperty: ���'_�;? r j� House No. Street Hamlet Owner or Owners of Property: ( �LirPO7—zo 1" Suffolk County Tax Map No 1000, Section,�RQ _Block OCJ t7 p 1 Lot 0 yL_ _Filed Map. Lot: _ PcrsnitNo. .805'77Date ofPennit.g q C7L Applicant: 01V",n' Health Dept.Approval: _......�__.._-._. Underwriters Approval: Plvtning Board Approval: ------.---- Request for: Temporary Certificate�.._� � Final Certificate: _ X (check one) Fee Submitted: $ Applicant Signature c ti -� 31oa3 11110o%gFU1 1 own 11,111. 53095 Mnin nond pia Z 1°nx (516) 765-1823 P. O. nnx 1 179 1 "' e 1 elephone (5 16) 765-1802 Southold. New York 1 1971 OFFICE OF TI1E BUILDING INSPECTOR TOWN OF SOUTHOLD C L•' It T 1 r• I C A '1' 1 o N DATE: April 9 , 2005 Bullding Permit No • 30577 owner: _ (please prinC: Plumber : Bertsand Plumbing & Heating, Inc. (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 8th day of April 2005 Notary Public, Suffolk county q�rnwNo Z Dro Crw+on ynr+ra�i;�o l57cPrJ�rJ�rJ�r�rJrJ�r�cPrJ: fcPrJrJ�rJ@PcPrJ@Pc fE EE frrrJ�rJ�cPcPrJ@PrJ�rJ�rJ�cPc farJ�rJ�rJ�rJ�rJ�r�rJ�rJ@PrlrJ�rJ�cPr�cPrJ@PrJ�cPrJrJr PrJ�r PrJ�rJ� ���07777, 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY R 55 40 FULTON STREET - NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 SUpon the application of upon premises owned by 5 CENTER MORICHES ELEC. CORP. M CAPO=OLI 5 5 P.O. BOX 486 655 S}10RE DRIVE 5 S CENTER MORICHES, NY 11934-2805, SOUTHOLD, NY 11971 5 5 5 SLocated at 655 W. SHORE DRIVE SOUTHOLD, NY 11971 5 SApplication Number: 2039605 Certificate Number: 2039605 Section: Block: Lot: Building Permit: BDC: ns11 r5 SDescribed as a occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 �� Basement,First Floor,Second Floor,Outside, � [5 �c A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 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 28th Day of April, 2005. 5 5 Name OTY Rate Rating Circuit Type 5 Alarm and Emergency Equipment 5 5 Sensor 2 0 Carbon Monoxide 5 Sensor 5 0 Smoke 5 5 Appliances and Accessories 5 Exhaust Fan 1 0 F.H.P. 5 5 Dish Washer 1 0 1.2 KW 5 Ij Range 1 0 12.9 KW 5 5 Furnace 1 0 Oil 5 Air Conditioner 1 0 42.000 BTU �5 S Wiring and Devices r 5 Outlet 27 0 Fixture 5 5 Fixture 1 0 Flourescent 5 5 Fixture 26 0 Incandescent 5 rj Outlet 66 0 General Purpose 5 5 Receptacle 45 0 General Purpose 5 5 Switch 35 0 General Purpose — 5 5 Paddle Fan 5 0 sea/ 7� 5 Receptacle 1 0 20 amp Laundry 5 Continued on Next Page 1 of 2 �� r5 cl 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 rJrJ�cPrJ�r�rJ�rJ�cPr�cPticPcPrJrJ�rJ arJ�rJ�rJrJ@PrJ�rJ�i 10111�rJ@PcPrJ arlarJ�cPcPrJ@PrJ@PcPrJ�rJ�cPcPrJ@PrJ�rJ�rJ�cPrPcPcPcPcPc rL3rL3 3rL3r3rL3r PcP o ' D rJ�Lf�rJ�rJ�rJr�rinrJ�rJ�r_J�r�rJ�rJ�rJ�cfarJ�Pr�rPrJ�rJ�cPrJrJ�rJrJ�cPrJ�cPrJ�rPrJ�rPrlcPrJ�rJ�cPrJ�rPrJ�rPrJ�rJrJ�rJ�r�r��rJ�rJr1rJ�cPrJ�r�rJ�rJ�r�rJ�rPr�rJ� p 5 BY THIS CERTIFICATE OF COMPLIANCE- THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 SBUREAU OF ELECTRICITY 5 5 40 FULTON STREET - NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5] CENTER MORICHES ELEC. CORP. M CAPO=OLI �1 5 5 P.O. BOX 486 655 SHORE DRIVE 5 CENTER MORICHES, NY 11934-2805, SOUTHOLD, NY 11971 5 5 (5 Located at 655 W. SHORE DRIVE SOUTHOLD, NY 11971 5 Application Number: 2039605 Certificate Number 2039605 J 5 .'Section - -- Block Lot Bmlding Permit. BDC: ns91 _ 5 5 = : 5 5 -Described is a occupancylwherem the premises electrical system consisting of :;.7 = 5 5 electrical devices and wiring "described below,.localed Tivo-n the premises at:' 5 Basement,Fust Floor Second Floor,Outside 5A visual inspection of the premises electrical system; limited to electrical devices and wiring to the extent,detailed 555 5 herein, was conducted to -accordance with _Abe requirements of the applicable code and/or standard 5 5 :promulgated "by the State .of New York, Department of State Code Enforcement and Administration, other 5 S5 _ 5 authority having jurisdiction, and found to be in compliance therewith on the 28th Day of April,2005. 5 Name - OTY Rate= Ratine.- Circuit Type 55 S Receptacle — - - 1 0 - :30 amp Dryer _ 5 5 Receptacle _ 4 0 GFCI 5 5 Disconnect 1 0 60 amp Air Conditioner 5 SService 5 5 1 Phase 3W Service Rating 200 Amperes 5 5 Service Disconnect: 1 200 cb 5 5 Meters: I 5 5 5 5 - — 5 :. 5 _�I C- EL! CL 5 5 seal ,:_5 5 ,, . 2 of. 2 � 5 _ iCe 5 I�ip certificate may not be altered in any :and is validated only by the presence of a raised 'seal at the location indicated. - - - ii 5 � rJ�rJ�r�rJrJr�cPrJ�PrJrJcPrlacPrJ�r�rJ�cPrJ�cP�('arJ�r�r�rJrJ�rJ�r�cPrJ�rJrJrJcJPrJ@PcPrla�PcPr�rJcPrJ�r�clarJrJrJ��rJ�rlrJr�r.�rJ'r�r_frJrJ�r�r�rJ�� JANIGSJ. DF.I?RKOSKI, P.F.. 260 Deer Drive Nlattituck, N.Y. 119:)2 (631) 298-7116 To: Town of Southold Re: Fraining Plumbing Inspection Capozzoli West Shore Drive Southold, NY Pennittt30577z To Whom It May Concent: A Fraruing Plumbing Inspection teas Performed on this Structure, and all framing and Pltunbing was done correcdv and also meets all state and local building codes. A pressure test was also performed on the wastc;'water plunibing systems. Ant,questions please lecl free to call. jr o4✓h r- \`S�tnccrcly. ,l ?r' Jaynes . Deer, a JAMES J. DEERKOSKI, P.E. 260 Deer Drive Nlattitttc•k. N.Y. 11959 (631) `198-7116 To: Town of Southold Re: It15UlatiOtt Inspection Capporri 655 West Shore Dr. Southold, NY Permit# 30:')77"/. To Whom It Mav Concern: An Insulation Inspection was preformed at the above mentioned propert}, all insolation was installed as per Platt and meets all State and local Building Codes. Any question; please feel free to call. C ` - VIEW c v 0 -1 Niiccivh u 11 U' \ Jame liDeet`IP NP.E. mqQ SS 1J JANIES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298:5:)06 To: Town of Southold Re: Strapping Inspection Capozzoli West Shore Drive Southold, NY Pertnit#30577z To Whom It May Concern: T]iis letter certifies that all wind strapping on the above mentioned project is in tact, :aid meets all state and local building codes. Amy questions please feel free to call. ncerl`ly LU L. 2 Jan .`• �e�ski P.E. n.s7�1 Sr 765-1802 BUILDING DEPT. INSPECTION [ .-FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION f REMARKS: DATE O iS v INSPECTOR ` �, jj�l-)t7 76S-1802 BUILDING DEPT. INSPECTION [ ] F NDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: �C DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 3 zf r DATE INSPECTOR o S77 Z 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING (FINAL [ ] FIREPLACE & CHIMNEY [/ ] FIRE SAFETY INSPECTION REMARKS: G DATE �� v OS INSPECTOR �i� TOWN OF SOUTHOLD PKOPERTY RECORD CARD �Z DWNER STREET ,575 VILLAGE DISTRICT SUB. LOT v. - -l��(a =ORMER OWNER N E ACREAGE < Ru y. [BJP, S W TYPE OF BUILDING �� L a //J Oce/e ltJaiy,� 2 r•.D ES. 21a SEAS. VL. FARM COMM. IND. I CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS (fAK �ros3 fro S U� zpc--& 0 — P 6 p 7 fo+N,/ 9irr�o,C - 4o,T' ..4.4/ .✓ -7'-.�• A•G✓oi✓ S az ♦L i wailk AGE BUILDING CONDITION UI - QY Y a o NEW NORMAL BELOW ABOVE/ FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD ! X 130 ijY C la Ilable 1 BULKHEAD Ilable 2 DOCK Ilable 3 'oodland iampland ushland )use Plot rta I i� �. vy y~.� 1 d - 1 iii I I -..✓' �VL'�/�" a I, , Bldg. . .__Z 2 X .3� = W (s 0-- _ ���0� Foundation Bath - � — aension Basement (� Floors densionExt. Walls Jid N• Interior Finish :tension Fire Place Heat C ��j -e o - — -- ------ - --- - - // - - -- - I--- - �a 4 �.x!t §':KI'4 ���` � � � i S76 Porch', Root-Type q j Porch Rooms 1st Floor f� .aAi, R Xta' ' I -eezeway Patio Rooms 2nd Floor irage /Z a _ i6 Driveway Dormer B. Energy Conservation Construction Code Of New York State Chapter 5- Residential Building Design by Component Approach Project Location: Caporzoli Residence Southold New York Design Condition:Table 302.1 Suffolk County Zone l lB Degree Days 5750 Winter Design Dry Bulb Temp. 11 Summer Design Dry Bulb Temp83 Co Incident Net Bulb Temp.74 501.1 Building envelope to comply with 502.1.1 moisture control,502.1.3 lighting Fixture,502.1.4.1 and Table 502.1.4.1 Allowable air infiltration rates of window and door assemblies 502.2 Heating and cooling criteria 502.2.1 Heating and Cooling Criteria 502.2.1.1 Walls Gross Wall Area Ao=2114 sf Glazing Area Aq=191.5sf UUQ= .3 Door Area Ap=42sf Up= .5 Opaque wall Area AW=Ao- A +A Aw- 1881 2 x 4 Wall R-13 Insulation UA7..076 Table 502.2.3.1(1) Equation 5-1 U2=(Uw x Ag)+(Ua x AQL++(Up x A 1 Ao Uo=(.076 x 1881 )+(.3 x 191.5 }+(.5 x 42) 2114 Uo=.104<0.14(Table 502.2 Detached one and two family walls Zone 118) Wall complies per 502.2.1 502.2.1.1 Roof/Ceiling Ua=.03(Table 502.2.3.2 R38 Cavity Insulation) Us=0=no skylights Roof Area=Ar=1482sf Equation 5-5 Uo=LU x Ag)+(Ug x Acl Ao Uo=(.03 x 1482)+(0 x.3) 1482 Uo=.03<.031 RooUCeiling complies per 502.2.1 f ' 502.2.1.Floors over unheated spaces Uo=.05(Table 502.2.3.3 R-19 Cavity insulation) Floor Area=Af 1092sf Equation 5—7 Uo=a x A AO Uo=(.05 x 1092) 1092 Uo=.05=.05 (Table 502.2 Roof/Ceiling Zone 1 Ib) Floor complies per 502.2.1 To the best of my knowledge, belief; and professional judgement the accompanying plans are in conformance with the"Energy Conservation Construction Code of New York State"effective date July 2002. i QQ O NES SIOIV Stephen D. Lemanski P.E. Vf w L ' i 14 FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) -I .2 fte -� a ------------------------------------ — 'J. FOUNDATION(2ND) d - z v� ROUGH FRAMING& PLUMBING — - ILA �y INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS �1 x pX ut4 x _ o 1r; Cp IL'Ll TOWN OF.SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST TIUILDING DEPARTMENT Do you have or need the following. before applying' TOWN HALL Board of Health-'?- 04- 9Qo9-7 SOUTHOLD, NY 11971 3 Sets of Building Plans__ TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9.502 Chney _ �cww. northfork.net/Southold/ PERMIT N0. Chick Septic Fonn_ N.Y.S.D.F.C. Trustees Examined_ .20 Contact: // Approved .20_ [ail to://�tg0&h I7U(11(� f�OtP Disapproved a c � l:95�"l� 5 011P1vV — Phone: /C-51 a23 ler44 Expiration20 __ Building Inspector APPLICATION FOR BUILDING PERI IIT Date O 20 INSTRUCTIONS a. This application MUST be completely tilled 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 contmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a pernit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in tx hole or in par for any purpose what so ever until the Building Inspector issues a Certificate of Oecupanc,,. 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 IS months from such date. If no zoning amendments or other regulations affecting the property ha%e been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. .APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County. New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorizerbuilding for necessary inspections. AUG 6 20 .- I (,Signature of app r nt or name, i�ai corporation) ration) o� i lailirw ddre�pplicantj 3GAJo�Y�+c�rr�P�irt /A} t/tl9(oxb� State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder C E1u'E.T, AL, 0-0M T (3CTDZ R) -Dcrnou 77 0n1 Name of owner of premises Slei rJ A l C A PC 7,zej L l t�I QA 111 �N (As on the tax roll or lar t 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.-S-CC /? —47— I. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section0 _Block Lot +`} SubdivisionFiled Mapoio. _Lot m (Nae) tJ� : '. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~ a. Existing use and occupancy SINCUE7 FAMtV HDuSty 6A2P4C� 5EPr1 C,�a3E A 14-VO V4 tLir*3 - Q C cr o b. Intended use and occupancy7-rz_77E�C-7:7 7D E M O L l S 4 I�, a2 hG f✓ w l�- -'R Gl'\A r°t 1 tV 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition X -Other Work (Description) 4. Estimated Cost Fee (To be paid on tiling this application) 5. If dwelling, number of dwelling units 61JE Number of dwelling units on each floor If garage, number of cars (Wc C� �ACc -V PETrlfirN ^ 6. If business, CvimimeTCldl OC ii;ixtd id..;iifvltli;j; specify ila[U,c/find C'itCllt ofeach type Of use. Ar/'/�} 7. Dimensions of existing structures, if any: Front a T Rear / ./ Depth Height Number of Stories Cil&- Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front SEG 15ItILDJ4�rpEemrT14Ple�t41CA71UN Height Number of Stories 9. Size of lot: Front/9 P20 X Z� Rear Depth 10. Date of Purchase L 9 Name of Former Owner—?ALlL 11 ESV K 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NOX 13. Will lot be re-graded? YES__NO 2:< Will excess till be removed from premises? YES NO 14. Names of Owner of premises�APOZWLJ: WetKAddress PO('3I?D,50(,Jkll�Phone No. 7 (eS Cii 3- 4 Name of Architect Address Phone No Name of Contractor A�f1V IR,y USELI, -T MC Address &(3S077MUGA)Ohone No. L-4CE 2-02 3 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES K D.E.C. PERMITS MAYBE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES__ NO_ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey. to scale, with accurate foundation plan and distances to property lines. ATA tAE , 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on sun ey. STATE OF NEIL' y'ORK) SS: COUNTY Ort F' nn) L N� � A I� 01,45 C—L being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing c.Jontract) above named, (S)He is the Po n'o' r A-t (Contractor, Akent. 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 tiled therewith. Sworn to before me this �fi1 day of L ti 20 J Notary Public SignatureTif Applic it ONNE C:om No�qt PYblie St. iw York laU501:909, mute! 19AWie tt Rol= 25.20 CERTIFIED T0: STEVEN Z SURVEY OF SUSAN CAPOZPOZZOLILI LOT 2 & PART OF LOT 3 _ IN BLOCK C MAP OF JOB NO. 2003-528 AP NO.631 REYDON SHORES FILED::JULY Z 1931 SITUATE AT REVISIONS: BAYVIEW TOWN OF SOUTHOLD ��J SUFFOLK COUNTY, NEW YORK S.C.TM. DIST. 1000 SEC. 80 BLK. 01 LOT 44 15 8 0 15 30 45 60 75 90 105 120 135 LICENSE NO. 050363 / SCALE. I'=40' DATE:DECEMBER 16, 2003 LOT AREA: 11,460SO.FT. =0.263 ACRE HANDS ON SURVEYING 46 NORTH ROAD ELEVATIONS REFER TO APPROX. MSL. DATUM AND ARE THE RESULT OF ACTUAL FIELD MEASUREMENTS HAMPTON BAYS, NEW YORK SOUTHOLD BAY WITHIN 300'OF PROPERTY 11946 PROPERTY LOCATED IN FLOOD ZONE X TEL:(631)-,ART54 D. HAN:(631)-723-1329 AS SHOWN ON THE FLOOD INSURANCE RATE MAP MARTIN D. HAND LS MAP NO. 36103CO167 G EFFECTIVE DATE:MAY 4, 1998 TEST HOLE DATAN`� --� r DARK BROWN SANDY • p'�R'Vlq•6�m' R�fVMf For wf f' T tie i��B� Ffj � F[gj a�P�e1*-�. LOAM T- �..� BROWN ®n6nMsmnw.,o SANDY _ CLAY -3.0' BROWNR CLAYEY SAND W/ 20% GRAVEL _6.0' -- — BROWN FINE TO j MEDIUM SAND _170, �/ OLE BORING BY MCDONALD GEOSCIENCE -r \ 03 NOTE: POOR SOIL CONDITIONS TO BE REMOVED sF TO A MINIMUM OF T FROM THE PERIMETER-OF THE LEACHING POuL.S AND 10 A MINIMUM DEPTH OF 3'BEYOND WHERE SUITABLE LEACHING SOIL IS FOUND B`A�Gfc whTrou 1N5PfUPI FiCc2 IU RED BY H SANITARY SYSTEM LTH DIE SYSTEM x andO 1 to nment 0f existing sanitary 24 � �O Witness ed by Health DepYentm QQ��� � •' it `. C/ 9• Q VQ U 4 SBaSTING ANITARY46 Ao % 0 lr7 NDONEtiN6GE � • "DI F' �• t" "� i {� SBACKFILL W/ 2 X06 O / ti/ F \\ i � ti ti o o Jgo Nsge ,y dWEu /{yy4��N/T ROIi�O a •� y ? �c 10 :11 V bZ O " 13 i a ; S.C.D.H.S. ENDORSEMENTS S.� SURVEY OF CERTIFIED TO:STEVEN CAPOZZOLI SUSAN CAPOZZOLI LOT 2 & PART OF LOT 3 IN BLOCK C MAP OF JOB NO. 2003-528 MAP NO.631 REYDON SHORES FILED:JULY 2, 1931 REVISIONS: *OF New y SITUATE AT REV. PROP. DWELL&6U4 ` 00EV. SCALE r� BAYVIEW LOC. FOUNDATION 109104 fii y� TOWN OF SOUTHOLD # SUFFOLK COUNTY, NEW YORK S.C.T.M. DIST 1000 SEC. 80 BLK. 01 LOT 44 15 8 0 15 30 45 60 75 90 105 120 135 FC(AN 0 SCALE: 1'=30' DATE:DECEMBER 16, 2003 1 LICENSE NO. 0 63 LOTAREA: 11,460 SO.FT =0.263ACRE HANDS ON SURVEYING 46 NORTH ROAD SOUTHOLD BAY WITHIN 300'OF PROPERTY HAMPTON BAYS, NEW YORK 11946 PROPERTY LOCATED IN FLOOD ZONE X TEL:(631)-723-1954-FAX:(631)-723-1329 AS SHOWN ON THE FLOOD INSURANCE RATE MAP MARTIN D. HANDL S MAP NO. 36103CO167 G EFFECTIVE DATE:MAY 4, 1998 191R�\Tlqp�p r �,'RIY I,ImILNO�K 0.1SCl II011gml!!f/[ l6,yVIQ9TYIp MY1btY N1M�y,.N11M M46.m,p�lYOp /� •mYM1011P1AlTCA //I ILII\ sbnmalaw.wm.w OJB61WIM1' bflVl.q M I.VOYMYUmID l4P RON. s�. sti o� 140 O 109 \ - O wb Q `1 �S• rye/ W O � CyORD ?q�0 �G z b / 6 v / N �� e Q A H h J STEVEN CAP SURVEY OF CERTIFIED TO:SUSAN CAPO OZOLI LOT 2 & PART OF LOT 3 IN BLOCK C MAP OF JOB NO. 2003-528 ; r REYDON SHORES FI LED:JULY Z 1931 ro AP NO.631 151 .. F , .. SITUATE AT REVISIONS: REV. PROP. DWELL5MJ04 BAYVIEW REV. SCALE&M TOWN OF SOUTHOLD ' SUFFOLK COUNTY, NEW YORK S.C.T.M. DIST. 1000SEC. 80BLK01LOT 44 �LANU •�- 15 8 0 15 30 45 60 75 90 105 120 135 SCALE., 1'=,V DATE:DECEMBER 16, 2003 LICENSE NO. 050363 LOT AREA: 11,4soSQ.FT =0.263 ACRE HANDS ON SURVEYING ELEVATIONS REFER TO APPROX. MSL. DATUM 46 NORTH ROAD AND ARE THE RESULT OF ACTUAL FIELD MEASUREMENTS HAMPTON BAYS, NEW YORK 11946 SOUTHOLD BAY WITHIN 300'OF PROPERTY TEL:(631)-723-1954-FAX:(631)-723-1329 MARTIN D. HAND LS PROPERTY LOCATED IN FLOOD ZONE X AS SHOWN ON THE FLOOD INSURANCE RATE MAP TEST HOLE DATA MAP NO. 36103CO167 G EFFECTIVE DATE:MAY 4, 1998 " r DARK BROWN �� SANDY ""°"""'"°""epC LOAM :e (OL) m.ena 401 SEEM..SEEMe .. BROWN °'"" O]R�6 MI��r.Lr vI M eMMJ SANDY eue,ema�ua. v eoecu �irneaa�m CLAY 3.0' ' ""° wrou�",Yoaeei�ro wn..e. eismlmexxo BROWN CLAYEY SAND W/ 20% GRAVEL 6 0' BROWN FINE TO MEDIUM SAND -17.0' TEST HOLE BORING BY MCDONALD GEOSC/ENCE 1213W3 sF NOTE: POOR SOIL CONDITIONS TO BE REMOVED °GB�c�O TO A MINIMUM OF X FROM THE PERIMETER OF THE LEACHING POOLS AND TO A MINIMUM DEPTH OF _ n °may 31 BEYOND WHERE SUITABLE LEACHING SOIL IS FOUND EXISTING SANITARY LOCATION PER HOMEOWNER AND NOT GUARANTEED ka tiz pf SANRTAR SAN AFE4 oAll) I 54 RQ p. �F I 9 e h{O 484 li f.4 C3 O{ N59 CO '`Y 8325•' `'� � \ O �U SqH�APROVFO �. �" I C(gssyO��T S.C.D.H.S. ENDORSEMENTS SURVEY OF CERTIFIED T0: STEVEN CAPOZZOLI SUSAN CAPOZPOZZOLILI LOT 2 & PART OF LOT 3 IN BLOCK C MAP OF JOB NO. 2003-528 — REYDON SHORES FILED::JULY Z 1931 SITUA TE A T REVISIONS. REV. PROP. DWELL 5/64 REV. SCALE& BAYVIEW LOC. FOUNDAA ON 109/04 TOWN OF SOUTHOLD FINAL 3/15/05 QQQ SUFFOLK COUNTY, NEW YORK S.C.T.M. DIST. 1000 SEC. 80BLK. 01 LOT44 15 8 0 15 30 45 60 75 90 105 120 135 SCALE: 1'=30' DATE:DECEMBER 16, 2003 LICENSE NO. 050363 LOTAREA: 11,460 SQ.FT. =0.263 ACRE HANDS ON SURVEYING 46 NORTH ROAD SOUTHOLD BAY WITHIN 300'OF PROPERTY HAMPTON BAYS, NEW YORK 11946 PROPERTY LOCATED IN FLOOD ZONE X TEL (631)-723-1954-FAX.-(631)-723-1329 AS SHOWN ON THE FLOOD INSURANCE RATE MAP MARTIN D. HAND L S MAP NO. 36103CO167 G EFFECTIVE DATE:MAY 4, 1998 Ml1�1�ll.a.,, lYl,lAa l,Tl NIMH m°MY11ls,wl�la V'• m2 011OLALv�/YI.fMO IKIMOYM.Vf MI®INP 91R.O��II�pplmlllYlf Wt Ur m1[0 ,11r 00.lfll.NtllL/10 1l OOlNOl.ldrOpl.M TIK4fOm611l IGPY.In MR 9M1V1 JO/l.TT 111,IIlI.I T,9ovl xTml.OIP Owlf O CN\l CC 1 INr N,�t b � 1 ¢� O SU i SERVICES aPN" a � 07-S gam. ' t.- n 4 �' I err, 4 ,2r16 x PLUMBER CERTIFICATION A R D'ASNOTED / 2 ver ON LEADCONTE;NTBEFORE (Yye) , �I CERTIFICA'TEOFOCCUPANCY � DATE B P 'A a=l ' -�• s— SOLDER USE 1 TEA RESYSTEM CANNOT - f� L� tq�DI � D aR ENT A Y NEXCEEDEAD ` a 765 602 'qAM TO 4 PM FOR THE ,_ WtTE C+:4 AC*..2HrnV'gt+ES '\ 1 O'C„` FOLLOWING'INSPECTIONS: - - FPcrk \. ------------- - _ , e FRAMING O t. (� 1 FOUNDATION TWA'RE REQUIRED ' FOR _ YC R,I'S vy.NTS' - , '8 PLU 1� a��a-+- ,'3 INSULATION _ —r , 4 �Tvc) � (�;_!"L'j„"1"�1.J�t �. s, -y. r �,`•<< � _ ! - .` 4 FINAL 'CONSTRUC - l `'r x r . L gE CQMPLETE F f66S . . �• ' ` _ ,�y ALL CONSTRU $HAL L MEET THE ' . + •" REOUIpEME F ES NEW OF 't F - / t � ”;`Yz. `"•.., 3 j ' f FOR , YORK ISLE CO dY SPON$ , . _.....,....-.—._ � ., r -�.._`...,•� �..,� / �c�� - - �'3 WR!aF •�`�• , I t � v NSI 't Lt I � J .i � � . �+>'•� i.+v � �i-'���� I� ��I �`�^�` � lt.� ` I' �� I 1 II If {r i� � I G'.+i,tr,. -- �. > gni ...-.._..._....... _..._...__.............�...._....�._ ... �. RETAIN STORM WATER RUNOFF ALL CONSTRUCTION SHACI, 'PURSUANT TO SECTION 4F,10C MEET'THE REQUIREMENTS'OF THE' 3 OF THE TOWN CODE. CODES OF NEW YORK STATE: c-- UNDERWRRERS CERTIFICATE) REQUIRED DO NOT PROCEED WITH - ' FRAMING UNTIL SURVEY I A 01T c A L. - VAS t N too w s -Tv l3E CERTIFICATION OF OF FOUNDATION LOCATION _ NAILING&CONNECTIONS HAS BEEN APPROVED. AN h Eat S E ra WITH STo(2t�k "Lr-Li�Rc'T 2E ���,,TArLT � C-T LASS ' FLOOD ZONE r OCCUPANCYQR, FELE- -c ,�,1 11 COMPLY WITH CHAPT ovC � "1i' coX '�-•i ,----. .- USE IS,UNLAWFUL - FLOOD DAMAGE PREVENTION SOUTHOLD TOWN CODE. I:THOUT CERTIFICATE � ._ 00OCCUPANCY �`FAciATmill, 1-4 iI ALL CODES OF COMPLY WCfH.W YOflKS ATE &`TOWN CODES' yZ'cDXaaaY 4S'RE " IFI ' AND CONDITIONS OF SOUfHOLpTOWN28A _ 1^ 6CpTOWNPLANNING800 HpLpTOWNTRUSTEES ` N to AA WI%%pL � _ �Slvr4cA4 T, . \ / I "' / � _ -_ RM�YA.nrc'e`+ L' � � p• . 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N AA So, titK4 STi11� 0R Svi A>_.L_ti--s r 7Cy LAt WITH L PTe -AL_ So PPo2T W REJ Q BUILDING PERMIT EXAMINER CHECKLIST DATE REVIEWED: k/ /04 APPLICANT: K- L�{Wu�F DATE SUBMITTED: IL/A/04 SCTM#DISTRICT: 1,000, SECTION: BLOCK: LOT: SUBDIVISION: ADDRESS:Ia1—�rycka- kovy &✓ CITY: ZONING DISTRICT"" CONFORMING? BUILDING PERMITS OPEN/EXPIRED: PRE CO: OR N 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 7/1/83) REQ. LOT SIZE: ACT. LOT SIZE: 120 2 2 REQ. LOT COV. d 9"). ACT. LOT REQ. FRONT �' S' PROP. FRONT l REQ SIDE z ACT. SIDE REQ. REAR 3 T'" PROP. REAR // REQ. HE GHT PROP. HEIGHT PROJECT DESCRIPTION: ,�i p �� ( fit tILJ ,tltLQ�,t,�tC ESTIMATED PROJECT COST: tj����NGINEER: WATER FRONT? /vo DESCRIPTION: PANEL # FLOOD ZONE: BULKHEAD? DISTANCE? APPROVALS RE 7rE,4 SUFFOLK COUNTY HE �H��jDEP�r NO, (BED#): �E:,�_/PERMIT#: TOWN SEPTIC RECEIPT ,Of N SEPTIC CE FICATION'. Y old NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or DTE: PERMIT#: SOUTHOLD TOWN TRUi°TEES: YES o DTE__/_/_ PERMIT#: TOWN ZONING BOARD APPROVAL: YES o DTE: /_/_ PERMIT#: TOWN PLAN. BOARD APPROVAL: YES o DTE_ /_/_ PERMIT#: TOWN HISTORICAL PRE (SPLIA): YES NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2)• ES r NO NOTES: 44 FEE STRUCTURE: FOUNDATION:_ SF FIRST FLOOR: SF SECOND FLOOR: -I"/Z, SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE/ 2 1. SF)- 7 42) SF = IY SF X$ JV=$ 3 a +$ +$ =$ g 0 2. (SLI` SF)- ( 300 SF)= �a�SF X +$�+$ =s -= 3. ( SF)- ( _SF)= SFX$ _$ +$ +$ FINAL TOT NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: 45 Wind Speed: 120MPH Seismic Design Category: B Weathering: Sevepe Frost Depth: 36" Termite:M-H Decay: S-M Design Temp: 11 Ice Shield Underlay:YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: 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: 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 ENERGY CALCS:ON TOTAL COMMENCE? Y/N(RETURN TO PAGE ONE) Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 08/18/04 Receipt#: 354 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Check#: 354 Total Paid: $10.00 Name: Lynch, Homes Development Corp 321 County Rd 39 Southampton, NY 11968 Clerk ID: BONNIED Intemal ID:99686