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Home My WebLink About30560-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31542 Date: 04/18/06 THIS CERTIFIES that the building NEW DWELLING Location of Property: 14750 (HOUSE NO.) County Tax Map No. 473889 Section 50 SOUNDVIEW AVE (STREET) Block 6 SOUTHOLD (HAMLET) Lot 3 Subdivision Filed Map 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. 30560-Z dated AUGUST 12, 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 ONE FAMILY DWELLING WITH COVERED FRONT PORCH AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to RICHARD W & BARBARA J DESRAULT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO - 0 3 - 0 112 04/18/06 ELECTRICAL CERTIFICATE NO. 2065365 02/24/06 PLUMBERS CERTIFICATION DATED 03/01/06 JOHN DINIZIO 2l/; ~)(uth~ized Signature Rev. 1/81 Cs7&) 799-- YS(,z. . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 , I ~ " ,. \ This application must be filled in by typewriter or ink and submitted to the Building Department with the following:":.--' APPLICATION FOR CERTIFICATE OF OCCUPANCY 18 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 2110 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. /1/,810[" . Location of Property: ,/ 1'f7!Jr? House No. . Old or Pre-existing Building: ( check one) "Q:>>njdLJ:) ,.,J.o.I. Hamlet New Construction: -.scv1Utt?u/~) .At%. Street Owner or Owners of Property: --€ IL 114,( (7 UA-..Q_ Suffolk County Tax Map No 1000, Section .~.s D ~A~re4 D<t:.\ 4gAiJl r Block ~ Lot 3 Subdivision Filed Map. ___. Dale ofPermit~_' IJ.~D ~Applicant: Lot: Pennit No.3b5l(1D Health Dept. Approval: Planning Board Approval: .__ Underwriters Approval: Request for: Temporary Certificate ~~__ Final Certificate: (check one) Fee Submitted: $ ~L~ Cl3~;:~li~a~ CD :? ~ \~'-t::L lU L (lco \ \.p @].@] I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ DANA P. FOX RICHARD DESRAUL T ~ ~ 2810 WESTPHALlA RD 14750 SOUNDVIEW AVE. ~ ~ MA TTITUCK, NY 11952, SOUTHOLD, NY 11971 ~ ~ Located at 14750 SOUNDVIEW AVE. SOUTHOLD, NY 11971 ~ I Application Number: 2065365 Certificate Number: 2065365 I ~ Section: Block: Lot: Building Permit: BDC: ns11 ~ ~ ~ ~ Described as a Residential 1800-2399 square ft. occupancy, wherein the premises eleclrical syslem consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ Basement, First Floor, Second 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 24th Day of February, 2006. ~ ~ Name OTY Rate Ratinl! Circuit ~ ~ ~ Appliances and Accessories ~ ~ Exhaust Fan 3 0 F.H.P. ~ @J Pump Motor I 0 H.P. @J ~ Furnace I 0 Oil ~ ~ Dish Washer I 0 1.2 KW ~ ~h~ ~ ~ 100 20 ~ ~WiringandD"ices ~ ~ Outlet 69 0 Fixture ~ ~ Fixture 69 0 Incandescent ~ ~ Outlet 81 0 General Purpose ~ ~ Receptacle 57 0 General Purpose ~ ~ Switch 51 0 General Purpose ~ ~ Paddle Fan 5 0 ~ ~ Receptacle I 0 20 amp Laundry ~ ~ Receptaclle I 0 30 amp DGryer ~ ~ Receptac e II 0 FC! seal ~ ~ Disconnect 2 0 60 amp Air Conditioner ~ ~ Continued on Next Page of 2 ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I @].@] [!J.[!J I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ DANA P. FOX RICHARD DESRAUL T ~ ~ 2810 WESTPHALlA RD 14750 SOUNDVIEW AVE. ~ I MA TTITUCK, NY 11952, SOUTHOLD, NY 11971 I ~ Located at 14750 SOUNDVIEW AVE. SOUTHOLD, NY 11971 ~ ~ ~ ~ Application Number: 2065365 Certificate Number: 2065365 ~ ~ Section: Block: Lot: Building Permit: BDC: ns11 ~ ~ ~ ~ Described as a Residential t800-2399 square ft. occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located In/on the premises at: ~ ~ Basement, First Floor, Second 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 ~ @J authority having jurisdiction, and found to be in compliance therewith on the 24th Day of February, 2006. @J ~ Name OTY Rate Rating Circuit ~ ~ ~ Service ~ ~ 1 Phase 3W Service Rating 200 Amperes ~ ~ Service Disconnect: 200 cb ~ ~ Meters: I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ ~ ~ 2 of 2 ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location Indicated. I [!J.[!J Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 .' BUILDING DEPARTMENT TOWN OF SOUTHOLD ~ 1 \ \ i .____1.", CERTIFICATION Date: :3 ~ / {)b J Plumber: Building Permit No. 30 q 60 z Owner: ~-t esROM / I- (Please print) bill (2..-/u l (Please pri 1) j()~ /l . lead. I certify that the solder used in the water supply system contains less than 2/1 0 of 1% ~i;;;","~) 'fA Sworn to before me this b Notary Public, JANET E. STAPLES NotarY. Public State 01 New York No.. ~~19'~\~J Ik CollnIY31 0 i CommlSSIOII <JlIIlf'" U Y 31, 20 ....,. " - ')0 () Ie? D March 17,2006 TO: Town of South old Building Department Southold, New York 11971 From: Richard DesRault Subject: Residence, 14750 Soundview Ave., Southold, N.Y. 11971 Affidavit concerning responsibility for Landscaping of property. Building Inspector, The purpose of this letter is to state that I, as the homeowner, will be responsible for landscaping the above named property with ground cover and walkways. Work will begin when weather breaks this spring and landscape contractor is able to begin work. If there are any questions or concerns, please call 516-799-4562. Thank you for your assistance in this matter. Sincerely, !l~ ~~~~ Richard DesRault . JAR 11 rJ'-T;;~] " II ,~ J If' ., ' t---. L/ ./ :"2_) 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. 30560 Z Date AUGUST 12, 2004 permission is hereby granted to: RICHARD W DESRAULT 90 N WALNUT ST N MASSAPEQUA,NY 11758 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR at premises located at 14750 SOUNDVIEW AVE SOUTHOLD County Tax Map No. 473889 Section 050 Block 0006 Lot No. 003 pursuant to application dated AUGUST 9, 2004 and approved by the Building Inspector to expire on FEBRUARY 12, 2006. Fee $ 1,499.40 .?:t.. C~L /L'i AC<'..;'i ~ ! Authorized Signature ORIGINAL Rev. 5/8/02 3CS-Ge:'c 765.1802 BUILDING DEPT. INSPECTION .-- [ ~UNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY [ .~~ rc - REMARKS: /) DATE~ I ((}o( ! ! ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION INSPECTOR ~ 3o,5&C-i:- 765.1802 BUILDING DEPT. INSPECTION [~DATION 1ST [J ROUGH PLBG. [ ] FOUNDATION 2ND [J INSULATION [ ] FRAMING [. ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE ?/~ /t),j , / 30s'&0 - LUf..J10 ~ s~ ~ 765.1802 BUilDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ [ ] JGUNDATION 2ND [ [yJ FRAMING [ [ ] FIREPLACE & CHIMNEY [ REMARKS: ] ROUGH PlBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION DATE (J5' INSPECTOR ~ } os,,, L 765-1802 BUILDING DEPT. INSPECTION ~~\T7 J DATE lr--;;2.. -oS- INSPECTOR ~~ 3<<~C? i5 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~LBG. [ ] FOVNDATION 2ND [] INSULATION ~~NG [ ] FINAL [ ..-(FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR /' '3vs-G (0& TOWN OF SOUT 765.1802 ON [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [, ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION --r: ~ REMARK . .~ rz..;V NO) C' -It If ( , ~ ~~pJ.J/(~) ~ INSPECTOR 3/J5'Z{)c TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION REMARKS: [ ] FOUNDATION 1ST [J ~LBG. [ ] FOUNDATION 2ND k11NSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION -V~,;:) ~ . DATE If!) ( O( INSPECTOR .?J050D~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] ~ATION [ ] FRAMING I STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION (!J '--. c3. REMARKS'=/~_ .ck-..... ~ 'FrJ'!L _-1 n..L@(~~~__ t-f L I~_ .7', ~f"U-, ~~ A c~--e (; DATE J /3/(!)? II INSPECTOR pJ0()& - ------= TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION '70 [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] ~ [ ] FRAMING I STRAPPING [...-(FINAL k-' [ ] FIREPLACE & CHIMNEY [ ] FIRE INSPECTION (~) , REMARK~~ 'J<:. c::r.-J r- , DATE 5/ )-& /r;~ / I INSPECTOR 36~~() 7-- ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [J ROUGH PLBG. [ ] FOUNDATION 2ND [J INSULATI [ ] FRAMING I STRAPPING 1;Xl FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION \ REMARKS: E cd:{-- ~ .. < f :;.- J 0 0- of:, DATE _ ~ INSPECTOR ~( - ( FIELD ~SPECTION REPORT FOUNDATION (1ST) DATE COMMENTS . . / //<70 i.-- 66 /:. T......... tJ1C )'b'.~ , /2. ./., I. ~ ;;; '/ I /7. / .If /' j J ~. ~ r;6' /) ..-1_ 1--..AL / ~ ~ / / r/1 //1 &-7 -f:/ ../ / 0 ;; I / /1 L/ /Y /;; I (.0/).,91,'5 v.. . ~ =*. ^ .\/~ I 1 / /, ( /~.I I \) .. -""-., ~ '\ . Z ~" /,,/ '_1 {_~~I c I.~~ A ~ I 1/7' -~ If '/ { ,"-..--,./-1 'j'" 19/7M,'" ~~ P~. ..IlL // // ~ J/ II/ "6' ~ IY I " / ~ ., . [;; ?/ bP;:J s:: 2- ~ (JJ E.[; E:: "J>t'" " ~ '<: :z:.. ~ en \;1t'l ------------------------------------ FOUNDATION (2ND) ROUGH FRAMING & PLUMBING 10 If J-- O~ () [lAJ - _~ . ~. 1/'./ < /:7;' (/ INSULATION PER N. Y. STATE ENERGY CODE .. ~h /01. fij ,4~Pr= A f~) " Ad k .d- ~ 1 /. It I I k ",~' /J ;;" k- Aft"..I .(3.//5...Uh~ ..t' h ./. I~ n ( ,~~.,f" to / j'-- ./ . /tkJ /L.... A tLJ._ -I Alf); r ~....--" ,rt:f)~;~~~. 4/.. L.;;. 't- ///A-.' ,a a/IA-.a, J /',./ 0.- b ~ ~'1 j:/,~ . , -' // --f 'V~ r.r / I~L ~ -'-""I: ;:'. )/A " ot- f.L-- / /.,r/~' ,,[.. /~ V / 4" ~ /J /.L' chi! l.V V ~ }.,dJ. /.1: "AO ,".".vv'if mAt!.. JAis .,...., .1J.dl-,J d 7~ ~DmONXL COMMENTS I Y / ' 'W- "n-;. 'tf... ~ j/ / f~ ~~. tit/' . . " . \l ~ OK r.c/ AJ77Th _ ~ ~ a f ~ FINAL "'" ...., \ v D ~ j::> :, ? "j-,'M-,jI) r. -~ , .:..t z m It,;tJ I. 11 \ ~ ,- 3..--;}-~ 01:; fA /;/~7S"- 3-~o~tJ{~ r~. f~ ~ ~ , .., .~ ~ . 75:'= o t'l I :>>- Ot'" vl5! bt;; .. -.., V. \ '-" Albert J. Krupski, p,.,sident James King, Vice-President Artie Foster Ken poliwoda Peggy A. Dickerson .l~~fFOLK~\. rf ~~~' 0lIl :II: ~. ~ ~Q ~ ~V Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 12, 2004 Mr. Richard Desrault .90 North Walnut St. Massapequa, NY 11758 RE: 14750 SOUNDVIEW AVE., SOUTHOLD SCTM#50-6-3 Dear Mr. Desra.ult: The Southold Town Board of Trustees reviewed the survey prepared by John T. Metzger last revised June 18, 2004 and determined the proposed single-family dwelling to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code and Chapter 37 ofthe Town 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 thetidal 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 pl"ecautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. 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 a Wetland line or seaward of the Coastal Erosion Hazard Area would require permits from this office. This determination is not a determination from any other agency. PERMIT NO. 3oS1.ob BUILDING PERMIT APPLICATION CHECKLIST Do you have or n.eed the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form ~D.E.C ~ees Contact: TOWN OF SOUTHOLD BUILDING D$PARTMENT TOWN HU,L SOUTHOti>, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ ,~I /?- , 20 JJ..:L '/ ~ /2- ,20~ Examined Approved Disapproved aJ c Mail to: Phone: Expiration -?(Id- ,20~ I f0-vL- Building Inspector Ac:b 'I '2004 i APPLICATION FOR BUILDING PERMIT I . Date //2- I ,20 05'- INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLlCA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, 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. -' g fd;, ~ " 1h~ (Signature of applicant or name, if a corporation) ?o /\/'W/}l.Nu;;j Sr: H~SVl;2r>~ NY (Mailing adfuess of applicant) I //7J, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OiJN~ Nameofownerofpremises~'e~..1 ,f f]~/g.-1TZ4 I)E5 ~ 1'4 (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 ofland on whic.)u?roposed work will be done: /</7/;0 -:.:;; r:>-vl w/JI/I GbI AvE. House Number Street '/ f' rru.47I {)~ ,. r/. 'I (/ 9 7 I Hamlet f County Tax Map No. 1000 Se(:tion Subdivision 50 Block 0 b Filed Map No. ';' Lot ,6121 Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy V A r-4"^" 'y' ____ b. Intended use and occupancy {JIVE fA WI LV I V (,) .//W 6{....L 11.-'/~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition " ). :5t). /))) 0 I Addition Other Work Alteration 4. Estimated Cost (Description) Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units DNt:Number of dwelling units on each floor ______~)"" E ____. If garage, number of cars .71-A) 1) 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. ___ 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear .~ Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front "/.. J- ' Height J.. 7: '7" Number of Stories 9. Size oflot: Front .2 'iO 02/ i'llqX / 10. Date of Purchase 1..2,I/V{-- 11. Zone or use district in which premises are situated Rear -:2'1 f. 'l y' Rear 1/ ,L I 71...'./7) Depth IFt,.3 Z:J ().;J. 'i 'f ' / ri/IfN A. IfrrANur Depth 41' Name of Former Owner 1\IGJ/DtrJnA C 12. Does proposed construction violate any zoning law, ordinance or regulation? YES ___ NO v'/ 13. Will lot be re-graded? YES /NO _Will excess fill be removed from premises? YES_NO_.....::..:. t1.4(utft2J) IJ;;;S-Mz.Ic(T q0 N- WALNli,......T _' _ 14. Names of Owner ofpremises._B'CIIA-R..D D;:5!2AvLIAddress I".MA ,:.JJI't',-,-,A, /.J'-( Phone No. 5/G '1<j(tvf!>1. L Name of Architect C'A.i)4 6"'.4-1" Address P€,J.Jt LJ~;~ Phone No_ If 3/ '177. O'loc Name of Contractor Aad1tM'TU(ff, "'--'1, "" c,eu.<IAltf,fflone No. ..-" 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _ NO~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE RJ;QUIRED. 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. 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 ) 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 therewitb. Notary Public LYNDA M. 80HN NOTARY PU8L1C, State of New York No. 01806020932 Qualified in Suffolk CountL Term Expires March 8, 'LJQ.J. ~~~ A,(~'l ~1 " ' ~~. 1I\~~r S" ature of Applicant ... _."-_.'.~--,^~"""""____~~__AA=""'''''''' _ 66' '10'1.9. " .~_ .,' '0. VI ,ry1!~ ~ p CJ) o c z c CSt -. III '" '" - !a . III '"' '0 '"' ~ o III ~ .. ~~. Jfr~ z+' .. .. "'. ~ N .. ... 11 0 ::; 1.S" C Z , ;; 0 'I.., ;. ,. '" -l ,~",' 0 ... Z f' ~ Z.$"' r i- N ~ "' Z~.S"' '" 13' 73' 2 < \II CSt - - ITI '" \II =E '" 0 . PI .. o $ ~ ~ 1\ N .,. o . o o )> < ITI Z C ITI ~ .. 03' . '" CII. :2 c.CSt NO . - '" , ,'19. ~O N o 5 .2- \!)' '10" E "IF DVI'iEft .,. ... CSt \II o . . PI ~. I I 2::.:., ...:..J r--'--' :\' 11[iC'1 ;,.~ ~~ :,~ AREA: , Q 40,971 LIGHTHOUSE ROAD .'Jj II \.~\ . \ \Gd\ :-::.:~_.. \ I '.", il I t.l___ _~~..... i~_ _-.~.~__. ~ N ~ .J '0.94ACRE UNAUTHORIZED AL TERATION OR ADDITION TO THIS SURVEY IS A VIOl~T10N OF SECTION 7209 SUBDIVISION 2 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL S~iAll NOT BE CONSIDERED TO BE A VALID TRUE COPY CERTIFICATIONS INDICATED HEREON SHAl L RUN OM. Y TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECOROED ARE NOT GUARANTEED UNLESS PHYSICALL V EVIDENT ON THE PREMISES AT THE TIME OF SURVEV THE OFFSETS OR DIMENSIONS SHOWN HEREON. FROM THE PROPERTY LINES TO THE STRUCTuRES. ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES. ADDITIONAL STRUCTlRES OR ANY OTHER IMPROVEMENT DATUM ()~fSETS Tn f.()lJN[)ATI(JN t!TllITY EASEMEN r5 I~ ANY NOT SHOWN J_S SID MEASuRE vJ o V\ cs- o PUBllCWATFRAVAllABlf 0 ELEVATIONS TO WEll WAHH [I: IN[)IVIDIJAl ';ANIIAj:h <;vS1EM 0: SANITARY SEWER COt I [CTI{lN SYSTEM AV/,ltABLE 0 SURVEY OF: LOT ONE MJ\POF:NOffTHWOOD ESTATES FIl._El): 17 FEB_RUARY 1972 FILE NO.: S.C. TAX MAP: 1000-050-06-003 SITUATED AT: SOlJTHOLD TOWNQFnSOUTHOLD ,SUFFOLK CO., N.Y. AT SOUTHOLD 5675 CERTIFIED TO: WASHINGTON MU TUAL @ COPYRIGHT 20011 BY: LAND SURVEYOR - EAST TEL. 631. 286.2112 PHILIPP A. HATTEMER JR. PATCHOGUE, N.Y. 11772 FAX 631 .286 - 3808 ~~~~ seAL E I" · 30' FILE NO 1243 DATE _6 -_23-.-:.~()05 Ny S llC NO 47412 N. Y. S. CERT. NO. 0001364 , . . " <b ,),~ I ~ ~ ~ ,1i 9 "~3t1 HJ./I)l\ L715 M".$' Jlf'A08f1 31VcI 71 .... ~ i:; _a- '" ll;' t>I~ ~ill . .'~ > ~~ ~ I- ~ .0 III ~ \,p\..~ '", llJ ~ ~ll,' >- -In;>-,, .il" 'liilQ7Mp b'~~ ,8 ,b (\J ~ \lO In o "":> ~ ~ U) (.:j lU (J) .L " '" 1/ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT FOR ApPROVAL OF CONSTRUCTION FOR A SINGLE FAMILY RESIDENCE ONLY I Ie.. 10 I~ <o~ ~ 1 ~~ ~~ ::>~~ ""C . <'\l "':>.:-. ~ ~ Ol "'-~Io~~~~ :t:~...Jo::>~ .... ~1_1.4..8T - ~I~~:z:~ ~~I.~~:=~ tI) II~o~~ ~~- 10 let I ).~7J A."vs """11;19 'MI~ laA1n? N/VIOlJ8 III ..... ~ -' W~07 - ~ JJ."s N",."g ~~ ' UI h.. ~~ ~ ~~ "t ~l( ~ ~J. U) "11\ I.l.4 <:':~f'. ~ '.\I " <0() l( :::, ll\ llJc<., Q:: V) ~ ~"llJ O~-..J ,.. Ill...... ~1.l1~ IJJ" ~~~ ~V)'" ~llJ" <::> ~ ~l:'::\r-:- V)c...... . c~ ~~'< <~~ J...~'< oO~ "<le 'ft. 0 PZ , tN\JJ'<I}\ ,IN 1'13d35' bli 17160 l~l..t7o tJ. ,,0 I ON..~ ~~I/V IYI1,O?lf) DATE (t). 7-(i<)H,S, REF. No, , ApPROVED FOR MAXIMUM OF \='oW t<.. EXPIRES THREE YEARS FROM DATE ~ ~ ~ ~ '" :::. t- ,n.:::. C\J . ___ - -E)ci5 . ~-\. ;,oL o -l \ \ \ \ /1I.lI.,O,Q,oll .0,:1 ." O\~o " .O~I ~ 7.' (/.Ou P g'L2. APPROVAL ~ ~ ~ c ov EXCAVATION INSPECTION ReQUIRED FOR SANITARY SYSTEM BY H'~i,:.L TltQ,~,e:~~~!'" ':;7 .L 01 "" t 'S'H'G.:)'S -' -' '" -'" c r<) 0-. ~ ~ <t. o ex: -D -' $ p ,r-- . \ \ \ . f... - ~I pi C"}f-_ ) '";- - "j - ;' ~/ , 'i' $'; / I::t: LlJ ~ >.. ~ ~ C\J AI - , I..S\ ,. .; ~ t- ~a: ~lu Q.. c::> o ~ :).. """ <::> I- ~ ~::t'~ Cl.... -.J h: ~~c:. I. 0.....::::, ~ ~ ? .... ~ 'W <::) C) . O~....... CI) ~ ~ ::- g~ ...J ~ )..t: ____ ~ C>;: ~ ~ tI) ....., C> ~ LU CI) :::::. 0 ~ ~ ~ Q: CJ) ~ try ~ """ to ll.l U) :::> o :t. \- ':!: IJ:> -.l ." "~ry.' ,. ~::: <11 . Q.)l ~ ~j ~.. ~ ~ .... ~ 0- a ~ t: "'" ~ '" ~~ ~ ::c:.~ ". "'~ '""'J '0 ::: C(l "~ c:> ~" K o!:: \..) /-.. ~h.)..C) ~ ~~~~~ i::~:::>::c:.~~ c ._">~c....'" l.o.J ....~ ......... ).. ::; <::>::;~ ~~ I.U I:.> <::>~ f::'~ ~c~~- Q; ~ Cl::LIJ!:::/-..:;:> 'l.l ~'" <!:>.,J'-'J tI) :::........:t:<::>1IJ<X:! ............<....,)-~c :::. "C - It: - -J II) CI) Cl:;) It: '0 Ll...<o I.U I- "C Q ~ <:::> I ("C c:::> I c:::> ~ I <:::> <:::> '=> ..... <::> ...... 30NfI/lV jMglA -}loW jll'1'P, QIJ'Z Z13Ao '~'9'q=l j.:) i 713"" 'J71Yt<1 773;" - Me. eTHIS SUlfrEY tyA$ ~#6PAIlE" IN ACCORDA/IICE WITU 1I/~ E-XISTlN6 COD~ o~ PRACTICE FOIf ND SURV~Y.s ADOPTEI aY THE New YORJ( STATE ASSOCIATION OF PH TESS/ON" LANI! &VR'E~()R$. * \ eUIrIAUrHOR,zED ALT~RATlflN OR "./JITION ro Tllla SURVEY 15 If ~/OLATIO'" OF SECTIO^, 7Z0 OF THf NEW ro"/( STATE E/J(lCATIDN LAW. COPIES OF THIS SUIf"E'( MAP 1 6FARING Nt LAND .sUItIlEYO.'.$ MIME' .sEAL OR fllil60SSED SEAL SNALL N01 IE 'ONSID*~ED TO /I~ A VALID TItU~ COPY. CEIfTlFICATIO"'~ ''''II'CATED N~R~ON SHALt RUlli TO 1N I'ER,JON FOR WHOM THE SUIfV~r IS PIfEPAItED AND ON HIS 6*HAtF TO TNE rilLE COMPANY. GOVERNMENTAL AG~"'CY AND LEN(JIN(; INSTITU"ONLlSTED HElfEON, AND TO 'HJ S$16NEES OF TH\ L~N"N5 INSTI1UTIf)lt/$. CEIfTIFICATIO"I.& AilE Nor TRANSFEltAs.tE TO ADIJITIONAL I,."STlrUTlONS Olr SIJ/lS~qVEI'iT OWNE~.s. \ eTN. 0 FFS~T3 O~ DI"~NSJONS SHOtNN FROM THE STRflCT(I"~S TO THE PROP~IfTY LlN~S Aile ~Olf A -SpI!C/F/C Pf,lRP05~ AND ',"E ANII '"EIfEFORE. ARIE Nor INrEND TO G IDE THE EIfECTIO/ll OFFENCES, "ETA/H/Nt; WALL&, PODLoS, PA1IOS, PLANTING ANEAS1 ADDITION TO .V/LD/N$S ANDffr OTNEII CON$Tlfl.lFON. w . THE E~/STENCE OF R/fIlT OF WAy.s AND OF EASEMENTS OF RECOlfD, IF ANY, /JIGT SHOWN ARE Nor C;UAIf I'J.LUp. J. ... " SEPTIC TA"''', CESSpOOl.. AND ""It'EIf ~Pltr/CE LOCATIONS .Y' OTH.~. SlJ;fInJ..O 9 "".31'11 '-:;: t-l . OF~S.T3 411D DIMENSIONS TO COHeRET/? FOU"'O,ifT/OIIS. _ , ":> <r: b . $AND SNOWN ON TESTHOL.e LOG IX)ES Nor NECI!~SARILY ME~T TilE P~"MEA.'L'TY RE.VIIIEIIIIENT.$ OJ: rHE .sUFFO~K ,COU...Tr H1MLTH /)~PARTMENr. &- t::C . ASSU""W DATUM \ Q.. ~ '>C w ..) IJ. :J l.uQ '"t1\ 0_ c.- '-' ~0' -'-l ~...! p\1l ? >- ~ C l.( '1.lJ ~ .-"'------~iI ENERGY CODE CALCULATIONS CHAPTERS SECTION 501 Detached One and Two Family (For Non-Electric Heat) F~: J(SrQv/! .}D,,~J Vi;.... l~e. StJ-Hh ,I . Design Criteria 5750 Degree Days Zone lIB Per: Penn.., J"....t. !23.:W Dated: J I 'I/'J.~/()) I SUBSYSTEM AREA DESIGN CODE DESIGN CODE "V" "V" VA VA Exterior Walls 227'1 O. /I 32 0.14 2S 7. ~ '2. 318.2 , Ceiling Roof ISf" r 0.030 0.031 tf 7. 0 7 48. b1 Floor Over Unheated Space (5'6 ? o. os' 0.05 7t.I./S 7tl. f)' Heated Slab On Grade 6.5 Unheated Slab On Grade 4.5 Basement Wall 0.1 , Crawl Space Wall 0.06 :3 8 3,1l.f WI 5'.3 ~ NOTES Construction shall comply with 502.1.1 moisture control and 502.1.4 air leakage Building Envelope Systems to meet requirements of Section 50 I The mechanical systems and equipment including: HV AC Equipment, HV AC Systems, Duct Systems, Ventilation Systems and Insulation of Piping Systems to meet requirements of Section 503 Service Water Heating Systems & Equipment to meet requirements of Section 504 Electrical & Lighting Systems & Equipment to meet requirements of Section 505 To the best of my knowledge, belief, & professional judgement, these plans are in compliance with ,the code. . -.,' ,0" ~ " ..~ 5/~~.~~5 CI> -. IJI u' <D . !a . I I L____ 2.4."'3' ~t\ {\I <.J ~ ~ N '" ill N w , '" . 4./ s ... 2S ~ -0 o lJ[ z.,-' ~ ~"i ~ " Z_~' ~~~ \\J ",;;' 4> 0) <l'\rtI ~ Q\ c [l\ '" '<. /&..0 ,. ~;; I , ~ A-": ?" f-9f\' ~ ., 1'fIlttol' '3-.... ,1' .. .. '- ~ ;'''0 ~"- "I IJI f'\ '0 f'\ S O. IJI .,. .. - ~ ,3.3' 1', 2>.4- co) ... ~ . <D cp. "E 5 ..~. ,5' ~O "IF DwyER AREA: / Q 40,971 LIGHTHOUSE .0.94 AC RE /6-dLJ 6 ~ :/ 0(/2..----- '0,.9~~-"~ ~ 66' ~ ~til o 9 en o c z c f?IO 03 oil '1 5'f?;t (-.I E ORJ"IE'NAj '" < '" ( ~ i g > , 2 UI CI> . Ul UI Ul o . PI N f" ~ o o _2 c.CI> NO - . Ul N o f" ~ CI> UI o PI < - f'T1 == ]> < ITI Z C f'T1 ~ '" '" " :r. " c ~ : #'0>11)7,:;'" I ,I! do 1-< ii ~ij APR 1 3 2006 ;M ./,., 8Y~~~~~~1 .'-.,".. UNAUTHORIZED Al TERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 SUBDIVISION 2 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHAl L NOT BE CONSIDERED TO BE A VALID TRUE copy CERT!FICATIONS INDICATED HEREON SHAll RUN ONL Y TO THE PERSON fOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY GOVERNMENTAL AGENCY AND lENDING INSTITUTION l.ISTED HEREON AND TO THE ASSIGNEES OF THE lENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSfERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEOUENT OWNERS EASEMENTS AND/OR SUBSURfACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEEO UNLESS PHYSICAlL Y EVIDENT ON THE PREMiSES AT THE TIME OF SURVEY THE OFFSETS OR DIMENSIONS SHOWN HEREON. FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE ""NO USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUiDE THE ERECTION OF FENCES. ADDITIONAL STRUCTURES. OR ANY OTHER IMPROVEMENl FtMEN/)eO 5EPT!f.. -rAHIt... PlHO LcfkM''''(. PdOL 4-1l-2tU1(, , "' ~ PUBLIC WATER AVAllABlf 0 ELEVATIONS TO . . o ~DI/d- Wfll WATER 0: INDIVIDIIAL SANIIARY SYSTEM 0: SANITARY SEWER COLLECTION SYSTEM AVAilABLE 0 on Sf.: TS 10 FOUNOAIIO"< UTILIT Y EASEMENTS IF ANY NOT SHOWN liS STD. MEASURE DATUM SURVEY OF: LOT ONE MAPOF: NORTHWOOD ESTATES FILED: 17 FEBRUARY 1972 FILE NO.: 1000-050-06-003 SOUTHOLD TQ.,I'~_Q.Fm!OUT~OI"j). ,_,SUI'FOLKmCO., N.Y. AT SOUTHOLD 5675 S.C. TAX MAP: SITUATED AT: @ COPYRIGHT 200ll BY: LAND SURVEYOR - EAST TEL. 631- 286 - 2112 PHILIPP A. HATTEMER JR. PATCHOGUE, N.Y. 11772 FAX 631 - 286 - 3808 ," 30' SCALE_ · , ,~9.30 ROAD CERTIFIED TO: WA SHINGTON MUTUAL f1JI4 tf ~t FILE NO ~... ~___m_ DATE.-!.:- 23 - 2 005 FINAL: 3-15-2006 N. Y. S. CERT. NO. 0001364 N Y S lie NO 47412 ~