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Home My WebLink About31070-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32121 Date: 01/08/07 THIS CERTIFIES that the building ALTERATIONS Location of Property: 2973 LIGHT HOUSE RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 50 Block 3 Lot 10 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 21, 2005 pursuant to which Building Permit No. 31070-Z dated APRIL 21, 2005 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 ENCLOSE EXISTING PORCH & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NIJOLE KUDIRKA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2043469 05/16/06 PLUMBERS CERTIFICATION DATED 05/02/06 GREENPORT PLUMB.& HEATING "'Z � 1-4"e /./lIt7lized' Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. 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 statenient from plumber certifying that the solder used in system contains less than 2/10 of I% 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. Subirrit 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 I. 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. Lk New Construction: Old or Pie-existing Building: V (check one) Location ofProperty: qA ] 3 9=4 House No. Street t Harillet Owner or Owntrs of Property: L Suffolk County Tax Map No 1000, Section —tAF-T—Block ID Lot Subdivision I-ot: Permit No. �IJ�0-71 Dateoff'erinit --- --_Applicant: --k --- "e" Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V (check one) Fee Subinitted: $ G CTO ApplicHit Sign—ature 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. 31070 Z Date APRIL 21, 2005 Permission is hereby granted to: NIJOLE KUDIRKA 195 2ND AVE NEW YORK,NY 10003 for ENCLOSE EXISTING PORCH & MAKE ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP12558 . at premises located at 2973 LIGHT HOUSE RD SOUTHOLD County Tax Map No. 473889 Section 050 Block 0003 Lot No. 010 pursuant to application dated APRIL 21, 2005 and approved by the Building Inspector to expire on OCTOBER Fee $ 150 . 00 Authorized Sign-allu're ORIGINAL Rev. 5/8/02 BY THIS CERTIFICATE OF COMPLIANCE THE-�t -70 i NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICiTY 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by BRIAN BROOKS ELEC. INC. MAX GOTTESMAN BOX 1001, 455 BEEBE DR. 2973 LIGHTHOUSE RD CUTCHOGUE, NY 11935, SOUTHOLD, NY 11971 Located at 2973 LIGHTHOUSE RD SOUTHOLD, NY 11971 Application Number: 2043469 Certificate Number: 2043469 Section: Block: Lot: Building Permit; BDC: nsll Described as a Residential 600-1199 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,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 16th Day of May,2006. Name OTY Rate Eiing Circuit Type Alarm and Emergency Equipment Sensor 1 0 Carbon Monoxide Sensor 7 0 Smoke Appliances and Accessories Dish Washer 1 0 1.2 KW Electric Heater Baseboard 1 0 1.0 KW Water Heater 1 0 4.5 KW ;,j Wiring and Devices Outlet 14 0 Fixture NJ Fixture 13 0 Incandescent NJ Fixture f 0 Fluorescent ON, rs"11 Outlet 62 0 General Purpose Receptacle 42 0 General Purpose NMI 0011 Switch 16 0 General Purpose 1i i MR' Dimmers 7! 0 IN, Receptacle 6 0 GFCI I 0111 Service seal 1i IPhase3W Service Rating 200 Amperes 101 11 Continued on Next Page I of 2 NJ I 01 SOThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ISO- fflVL3PEJ'C3PLr@rL3rL3MPCJ 111 iii 115 2 El 11111:11 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by BRIAN BROOKS ELEC. INC. MAX GOTTESMAN BOX 1001, 455 BEEBE DR. 2973 LIGHTHOUSE RD CUTCHOGUE, NY 11935, SOUTHOLD, NY 11971 Located at 2973 LIGHTHOUSE RD SOUTHOLD, NY 11971 Application Number; 2043469 Certificate Number: 2043469 Section: Block: Lot: Building Permit: BDC: nsll Described as a Residential 600-1199 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,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 16th Day of May,2006. Name QTY Rate Rging Circui Type Service Disconnect: 1 200 cb Meters: I seat 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. RIJPLPLrL3rL3rL3pLrC3.pLr(3j&pLrC3j:I 1 :1 ipi-piffli FFOLIr Town Hall,53095 Main Road Fax(631)765-9502 P.O..Box 1179 Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date:— a/e Building Permit No. 3 7 0 Z Owner: ,',o le- Zri2 47114- (Please print) Plumber: j�,AjZr ?,�Lljk; (Please print)(6:/z�,�P—,7- I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this (Plumbers Si�ature)� day of 20-C-6 FATRICIA CORWIN No"Nft of Now York Notary Pub County No.Olt r5OIM2 Qual"inSuftit cwanTsa BOW SMINP-%-?o 11/1� Ito -70-�-- %f so TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION I FOUNDATION I ST ROUGH PLOG. FOUNDATION 2ND INSUL TION INAL FRAMING / STRAPPING INAL FIREPLACE & CHIMNEY ] FIRE SAFETY INSPECTION RRE RLSWANT CONSTRUCTION ] FIRE RUISTANT PENEMTION REMARKS: CIO E,6� - DATE INSPECTOR ROBERT JON BADIA ARCHITECT 43-32 22ND ST STE 406 LONG ISLAND CITY NY 11101 7187070599 TEL 7187070801 FAX December 19, 2005 Southold Town Building Department Town Hall Southold,NY 11971 Re: Nijole Kudirka Residence 2973 Lighthouse Road Southold,NY 11971 PERMIT#310707- Dear Sir or Madam: Upon completion of the new piping work, we had our plumber apply a pressure test. We observed that the system held at the required pressure as per code. Very truly yours, 0'ij + ROBERT JON BADIA ARCHITECT op Tia ROBERT JON BADIA ARCHITECT 43-32 22ND ST STE 406 LONG ISLAND CITY NY 11101 7187070599 TEL 7187070801 FAX December 19, 2005 Southold Town Building Department Town Hall Southold,NY 11971 Re: Nijole Kudirka Residence 2973 Lighthouse Road Southold,NY 11971 PERMIT#31070Z. Dear Sir or Madam: Prior to closing up the walls of the new work,we inspected the insulation work and found it to be complete,neatly executed and to code. 'X�g ARC, Very truly yours, 44"': ROBERT JON BADIA ARCHITECT ROBERT JON BADIA ARCHITECT 43-32 22ND ST STE 406 LONG ISLAND CITY NY 11101 7187070599 TEL 7187070801 FAX December 19,2005 Southold Town Building Department Town Hall Southold,NY 11971 Re: Nijole Kudirka Residence 2973 Lighthouse Road Southold,NY 11971 PERMIT#3107042, Dear Sir or Madam: Prior to closing up the walls of the new work,we inspected the insulation work and found it to be complete,neatly executed-akc!to code. A F?c JUN , -,\\Very truly yours, e OBERT JON BADIA ARCHITECT 27 ROBERT JON BADIA ARCHITECT 43 -32 22ND ST STE 406 LONG ISLAND CITY NY 11101 7187070599 TEL 7187070801 FAX December 19,2005 Southold Town Building Department Town Hall Southold,NY 11971 Re: Nijole Kudirka Residence 2973 Lighthouse Road Southold,NY 11971 PERMIT #310702: Dear Sir of Madam: Upon completion of the new piping work,we had our plumber apply a pressure test. We observed that the system held at the required pressure as per code, Very truly yours, ry"y 0 OBERTJON BERT JON BADIA ARCHITECT 0i 2 T ROBERT JON BADIA ARCHITECT 43-32 22ND STREET STE 406 LONG ISLAND CITY NY 11101 7187070599 TEL 7187070801 FAX May 22,2006 Southold Town Building Department Town Han Southold,NY 11971 Re: Nijole Kudirka Residenec 2973 Lighthouse Road Southold,NY 11971 Permit#310702 Dear Sir or Madam: During the course of construction, I inspected the new plumbing work and found ft to be complete,Professionally executed'and to code. Z�g "'7'�JFJN [ j Fj N -'c)'\Very truly yours, 0 OBERT JON 13� BERT JON BADIA,AlA THL FIELD ,,CPECTION iDATE COMMENTS 3 fp FOUNDATION ( 1st) FOUNDATION ( 2nd ) W 2 . f zo 9 0-p ROUGH FRAME & PLUMBING -3 r En INSULATION PER N . Y. 001.6 Koo 6 A*P&t-o STATE ENERGY - CODE A,�e� 00,0� eo 4 . FINAL ADDITIONAL COMMENTS : =0 x z tv rn FIELD IN,'00.CTION DATE COMMENTS FOUNDATION ( Ist ) FOUNDATION ( 2nd ) 2 . ROUGH FRAME & fA PLUMBING 3 . INSULATION PER N . Y. STATE ENERGY q.ODE FINAL f ADDITIONAL COMMENTS : wm NAA -30 13 MAP O;r Ptaor-srdTy Co.11* tA* CANsig"ai0kov. SUIZVEYSO F:t:>.Q Disle"1000,See+.050,stack 3,PCU to. Nuo L�E 4r 5CLM-4�0 acesto f 40 Im 1. L-ewl 5 5uppol-K cccAq'r-'rI MY mw� A 6716FiZ#4 51.36 0 2 kT� Iq 0 A 100.0 z __a, N-48-oo A Ak L) ol LA (A 41 C) Z' rl N cleir 0 DO SLUM 15 A VIDLATI011 00 7-t-He No.7908-OIZ17 'WMN 730P OF TM NEWYOW LT.,, -4 POUVAM LAW. *0 +�w ovvmof-,40-Mm I*TM UPINET AW"m ff'— Cilicago 7-iW* Insipp"Do bm. and 0 t I pj M LAW mmors,"m sm og 0 SIAL ULV*NOT N CONSIDGM I TQ X A VALID Tug COPY. L Mey 7, lqn. OW AMM MCATED MWOM MAU 4� 0 "0'.KRSON FM WWM nif JW� U MWAM,AM ON MS MIALT to vM TME COMAW,GOVEIMAINrAt AC i2ocE=�2jchc-� V4"-Mre� PC DWI UMM sonnmom USTM"MON, w 10 IM AWGNW OF n*UMM Im,- 1URM GUANAWM AM fOT TRAMM' to Ammnpo� Suewym-a Lack; M"If Ybr* A.. —A Town Hall, 53095 Main Road C#3 Fax (516) 765-1823 P. 0. Box 1179 Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 13, 1998 Nijole Kudirka 195 2nd Ave. New York, New York 10003 Re: Building Permit #12558-Z SEE ATTACHED Premises : 2973 Light House Rd. Suff. Co. Tax map #1000-50-3-10 During a review of our files it was noted that the above building permit has expired, and a Certificate of occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 amined �p. . . . . . . . .. �&n Application No. . . . . . . . . . . . . . . . . . proved -elo� . . . . . . . ., IR&Permit Noldwl-� . . ;approved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Build g spector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . .40? 191?3 INSTRUCTIONS a. This application must be completeiy filled in by typewriter or in ink and submitted to the J)uilding Inspector,with 3 s 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl*- ion. 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 issued a Building Permit to the applicant. Such permit dl 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 whatever until a Certiftate of Occupancy tH have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to,the ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,Ordinances oc gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. e applicant agrees to comply with all applicable laws, ordinances, building code, housirig code, and regulatiorm..%W to mit authorized inspectors on premises and in building for necessary inspections. iC-A1Ve??J01VMeff T -e19$T- 2-12-C. . . . . . (Signature of applicant,or name,if a corporation) lVecl (Mailing address of applicant) ate whether applicant is owner, lessee, agent, architect, engineer, ��ectrician, plumber or builder. . . . . .. . . . . . . . . . . . . . . . /V A&. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I lineang of owner of promises . . . . . .. /.q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . las on the tax roll or latest dovd) a. roti s� uly authorized officer. �o . . . . . . . . . . . . J�ate 0 Icer) (N e title Woic� Builder's License No. Plumber's License No. Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . Location of land on whic roposed work will be done. qh;�hoes-e eot' ale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7% . f House Number Street Hamlet YOU /0 County Tax Map No. 1000 Section . . . . . . . . . . . . . Block . . . . . .-?. . . . . . . . . . imi. . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . A.,4 b. Intended use and occupancy . . . . . . . . . . . . . . .Ak-loe'l . . . .W 3. Nature of work (check which appadable): New Building . . . . . . . . . . Addiiion k'��. . . . Alteration . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . other Work . . . . . . . . . . . . . . 4. Estimated Cost . . . . . . . . . . .1-6000 (Description) . . . . . . . . . . . . . . . . . . . . . . . Fee (to be paid on filWg this application) 5. If dwelling,number of dwelling units . . . . . . ../ . . . . . . Number of dwelling units on each floor. . . . . . . . . . . . . . . . Ifgarage,number of can . . . . . . . . . . . . . . . . . . . . . ;Z 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use . . . . . . o . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . ZR Height . . . . 2,5... . . . . . Number of Stories . . . . . . . . . . 0; . . . . . . Depth . . .Z-ir Dimensions of same structure with alterations or additions: Front . . . . Depth . . . . . . . . ..�—C. . . . . . . . . Height . . . . . . . . .2.S� ' orie . . . . . . . . Z�p . . . . . . . . Number of St . .. . . . . Rear . . . . . . . . . . . . . . . Depth . . . A . . . . . . . . . . 8. Dimensions of entire now construction: Front . . . . . I;r: : : .�7 : : Height . . . . . . .(V. . . . . .Npber of Stories . . . . . . . . . . 10. Date of Purchase' 9. Size of lot: Front . . . . . . . . . . . . .. . . . Rear . . . . . . . . . . . . . .. . . . . Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N!Xne of Form r,Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which promises are situated . . . . Xjr-j(4tVj 12. Dods proposed construction"ilat 13. Will lot be regraded .. . . . . . .K e any zorung law, ordinance or regulation: .7-4.-V . . . . . . . . . . . . . . . . . . . . . . . . .,rO D -11 b . . . . . .Will excess fi ved from promises: Yes No 14. Name of Owner of promises Al . . . Address Xi4q.A/,XPhone .KW. . . . n J'/%�J. Name of Architect . . . . . . . . . .Address . . . . . . . . . . . . .Phone No. . . . . . . . . . . Name of Contractor ?415; Address ... . . . . . . . Phone Nc� 7.,* PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate an set-back dimensions from ,)roperty lines. Give street:and block number or description according to deed,and show street names end indicate whether interior or corner lot. 1,P;71A 14?OC exl,.S- TATE OF NEW YORK, OULUY OF . . . . . . . . . . . . . . . . . S.S . . ?*-,� r,r.-. .12% . . . � . . . . being duly sworn,deposes and says that he is the applicant (Name of individual signing contract) -love named. e is the . . . . . . . . . . . . . . . . . . . . . ILCongent, corporate officer,etc.) ...Urgjap,-'s* ' * ' ' * * * * ' * . . . * * . . . ' . . . . . f said owner or owners, and is duly authorized to perform or have performed the said work w4 to make and fik I this )Plication; that all statements contained in this application are true to the best of his knowledge and bolief,and tMt the ork will be performed in **manner set forth in the application filed therewith. Nom to before me this . . . . . . . . . . . . . . ... . . . .day of -F . . . . . .. 19 Rrz otary Pub . . . . . . . . . . . . . wCounty 11 NOW pilm aw 0 NOW wo . . . . . . . . . . . a MOM so" 0 t applicant; erm bam WA K 1. NIJOLE Aar scco to f 5ui�-FoL-L- CoUNTYs NY t arm. v�0we"i-of-t) 0 1 fol �N N.48-00-C-. 0 -$--N-m4S*OO*fF. 100.0 JOD.O BR� -4 'ell (A CD -14 0 TQ -4 DO VMM 5 A VKMATHM 01 0!IM MW VM ST"., LAW +�M OVVM*e',40-A�& Chiccigo', Irrour%ynce bo. and a am SN'mm a CoNslosm 4,o Ull u4uctl 501V iHaja ftnk it A VALO UW CM. C75 VA4v-,,� May 7, t979. """m DOCATM HNKW WAU 4� OW.- Wpm to m P&MM on WHOM Im sw� -MYL- PC U PUPAW AM ON M WHAU tO ON VAN 5.49-55-BoloW VM C*~.4W#WPWAWAL AGIWI mom NannMom upw Homo" 00 M A�C*IN Lbd*49 M, WVA�AM NOT MArew to JOINMew -Ck�� New Ybt* TOWN OF SOUTHOLD 096PERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT FORMER OWNER �, 1�*h�—Aro&,o& N E ACREAGE S W TYPE OF BUILDING -7 RES. S VL. FARM comm. IND. CB. misc. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS /Z66 Aw - Z4 J Z- If)0 jP Aj�&40,- A- lip/ 491f /P6c A-e o '74$� AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD g Tillable I BULKHEAD Fillable 2 DOCK Fillable, 3 vVoodland Swampland 3rushland ------4Ae -� - ?, -iouse Plot Fatal #1 M. BIdg- K 3 ? 664, 'y .2 4 Foundation Both Extension Basement Floors Extension Ext. Walls Interior Finish Extension Fire Place Heat 0 0 Porch Roof Type �zo Porch Rooms Ist Floor f)e 2—. �41*— 3z 41 FQtio Rooms 2nd Floor Garage I? XAO a .2 C., Dormer 0. B. S-a + �3 4 9 S.23 D 10 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 Examined 4 TEL.: 765-1802 . �04 ,1 . . . . . . . . . . . . . . P*JAVV4 70 Application No. . . . . . . . . . . . . . . . . . Approved .-i . . . . . . . .. IK.). Permit No. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B i I i 4ze* ui ding nsp ctor) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . .(;�O? 143 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Quilding 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted 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, 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. C-AIVIRONMI-71VT (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, J��eralcont�ractor lectrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of own* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . er of premises �44� (as on the tax roll or latest deed) rali , s' uly authorized officer. ie0i. *-( a�e 6�d tit cc or-aie oificer) Builder's License No. 4-5��-;�4 . . . HZ-. Plumber's License No. -�7 7( — . . le it Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . I. Location of land on whic roposed work will be done. �V , -. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0, --10D'*- �'Ov 7�7 �1. .,g, �,;% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7ON House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . . Block . . . . . .0 . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . - - . . . . ,,, "�'!"*�, , , * , * , * , , * * * , * III b. Intended use and occupancy . . . . . . . . . . . . . . IAZ-140� 111k . . . . . . . . . . -J" t04?-,1te 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . .1�1�. . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . 1-,5 .a (Description) �c 4. Estimated Cost . . . . . . . . . . . . . ..t . . . . . . . . . . . . . . . . . . . . . . . Fee . FF . . . . . . (to be paid on filing this application) S. If dwelling,number of dwelling units . . . . . . ./ . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage,number of cars . . . . . . . . . . . . . . . . . . . . . ;Z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy,specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . ZR. . . . . . Rear . . . .a.C� . . . . . . Depth . . .Z.-K . . . . . . . . Height . . . . 2,5... . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . :3.e . . . . . . Rear -555 Depth . . . . . . . . . . . . . . . . . . Height . . . . . . . . ;�� . . . . . . . . . . Number of Stories . . . . . .. 8. Dimensions of entire new construction: Front . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Dep'th Height . . . . . . Number of Stories . . . . / . IC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . .. . . . . . . . . . . . . Re ar . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N e of Form r,Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y 11. Zone or use district in which premises are situated . . . . X�;(4ni 7.�eR�. . . . 12. Does proposed construction violate an zoning law, ordinance or regulation: 13. Will lot be regraded . . . . . . .. . . . . . . . Will excess fill be rtnioved from premises: Yes No 14. Name of Owner of premises * . .. . . . . . . . . . . Address Phone Noz!?� Name of Architect . . . . . . . . . . . . Address . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor A.617 con�i- . . .. . . . � Address . . . . . . . . . . . . . . . . . . .Phone No. 7AY.-.7.4 7.,,4. . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. AP77 d7' STATE OF NEW YORK, S.S COTY OF . . . . . . . . . . . .,e . . . . . being duly �wom, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . . . . . . . . . . . . . . . . . . . . . . . . . . . - -ira (�Con�c ,agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . . . . . . . . . . . . . ... . ... day f ig rr-.3 0 Notary Public . . . . . . . . County 14 L41NO NOT*Y MM SW of#ff U* . . . .. . . . . . . . . . . . . . . . . . . . . . . . . W 4MV%S"ON* iiignatiu of applicant) lerm b0ft ftd It t C�-co 7 3-7- 41'w ML-04 CA 71-� to P 0 wvFi_A� .4 F ex 7 Z - "2 LORI a So q� pi A L ,0 at �-7 _T AP� ED AS NOTED 4 4- �" Frrq� DATE: YB P FIN. BY -7Zd N F BC,� 7:-- -IT- I 0 ILDI NO EPAR�MENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED USE IS UNLAWFUL FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING WITHOUT CERTIFICATE 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPL.FTE FOR C 0. ALL CONSTRUCTION SHALL MEET RIONT f- L t VAT lb W OF OCCUPANCY THE REQUIREMENTS OF THE N. Y, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, DATE s N,J, REG. NO C2447 WILLIAM G. CHIRIGOYI ARCHiTE BECAUSE OF T, NOTE: THESEPLANS HAVE BEEN DESIGNED AND ENGINEERED FOR SCUNDCONSTRUCTION. TIE IMPOSSIBILITY OF PROVIDING PERSONAL ANDUOR ON-SITE SUPERVISION,OR THE CONTROL OVER THE 37 MOUNTAIN AVENUE ACTUAL DO STRU ION AND THE GREAT VARIANCE OF LOCAL BUILDING CODE REOUIREMENTS�NAMONAL N CT OME M-ANN$NG SERVICE 08 THE AR0iITEGT THAT HAS PREPARED THESE PLANS. ASSUMES NO SPRINGFIELD. NEW.JERSEY 07DRI RESPONSIBILITY FOR ANY DAMAGES OR STR CTURAL FAILURES DUE TO ANY OMISSIONS OR ERROAS IN THE DESIGN ANDIOR THESE DRAWINGS. IT 11 URECOMMENDED THAT BEFORE ACTUAL CONSTIDJUION,YOU %X LOCAL BUILDING OFFICIAUS�LOCAL ARCHITECT OR ENGINEER. WAK I F_ L P CONTRACT, zt CONSULT WITH YOUR RE SIGNATU ........... y' 10 -7-7 7.- LOW, ;�lNe ft I �A-F�MQ5-1'r WA�L AWu PMOvIDF A *T!LZ� AMQ� Te $,Pp"r Z_ N C=D = = 11 07, :L�-ll L:�ll 7-- -F 50mT J=L e HT WILLIA; G. C H I R.G 6T I NJ. REG.' NO, CZ�4�� A R C H ITECT P7 MOUNTAIN AVENUE SPRINGFIELD, NEW JERSEY 070al 7 4:r,7P�A"-r c:, w 10 ------- 0 vv b E— /�\A jj; L FIT,-I F--LE.-.VAT ) -0 N T' WILL.IAM77�Clil,rAtOTIS ARCHITECT TL, 7 MOUNTAIN AVENUE . 3 SPRINdFIELD. NEW JERSEY 01081 KI 7C �4 F— �4 Y-- L I d�l A TO 9" Y L W/ f PA71 0 A 43 --T t, � '17-cq�T, - � ' aLd 6L 61L.Pit. 7 f!44V j-OAIV' TZ FLur. T. 4 rill,0 w wM`P rLANK rl I '01 cl FNIAILY Zly\//, =e, WALr- ig CIA 9 1 — in plp� 22, 4' 4� le-d 4' L Ut KnTr& q�F -9 —� ,_Is.,_ _ – 7k\ a \Al 44. LAL* UA. v r4� z —A7 7 crK '17 m I' , flnZA 4' IZ emog. ILI -4 Tt, AoW WA�L� 4Hamv �T AA4"-- lp R MMT 46_ -2 L HT 6, P a;_ Q AeTl" OR C4 i e I % I I ---. 4� ol f4' 4" (L L 4�4 Irlor 4-E -13 VA 1160T k\fv, v-evTlr (2) & e 5MT- 21 4-11 T (ai) 4'-8" CSMIT. -2 5" I r I�,z I A�-,L -T -9 rl o 7 ��' ?-e' 9 ' MAW FIL4 A ARCHI I 37 MOUKTAW AVENN a a im iEw NIEW JLVKY OMI am A Limr. oF 6TW T' FLO� I - COIL. 6tALY. AgGAWAY 01 F::)V KPA71 OW ME? r I _rF FILL ritseomm I FO K fAP 0 rlT AIMN WKF oF r-A I pear Wl&' pJar-TION T Bit 1 490 UR%_r vv� 6-9 all WP Alrpsg ovu-Y L__j pRarfm d -_ )( I— W/Z4',e4,0V I)--. '* 4"0 P,PE COL Omc. F7dk. kf\ r L 1--J L __j v 14f W6&/ASN U N F_Y.CAVATE: *MEL. F-04M I PrFpAFF- rolZ 6tA"6 WP KAILIN4�6 �Fb'-T_ 1�4 Fr 4 L"& -4- 1 7 5 " y c� -9 ZI 4 4�J no cl"7 SAM F U N PtNTI ON PLkN WILLIAM G. CMIRGDTls ARCHITECT 37 WK04TAIN AVENUE SPRINWELD. NEW JEMP 0701 -77 f 4i .14 JV41 v:n RF-11ENTS C�ODE REQUI PLAN 504 INsbLA I TIOR: COMBINED GROSS R02��RMAL TRANSMITTANCE, Percentage of window areat F 7 Wall insulation ]z - I ( VALUE (U�) C S Living Area : First Floor 1514 ft. ------ - Ceiling insulation—R- Floora over unheated 5��, sq. ft. --us R ReSiSt- Second Floor ar Heated slab on grade C R Roof/Ceilin __Lomponent Area ance A/R Unheated R� Volume: slab on grade -T� NOn-Cat dral oof Ceiling 7 Total Cubic Feet. z Framing Cathedral RoofTC'el PLUMBING: ling 1) Total Of Plumbing fixtures Totals 0, Of 3 G.P.M. A/R imu, 17 COMBINED GROSS WALL THERMAL TRANSMITTANCE VALUE 2) Shower heads shall have a max 3) Electric wattr I heater shall have a stand U Roof A -by loss 0 _(U-T CALCUMATYMNS BTU/h-ft2-op not exceedinf 4 watts per sq. ft. of tank surface. Resist- 4) Gas and oil fired water heaters shall have a min. Wall Component UO Roof Code Limit Area ance A/R recovery efficiency of 751 . 4- Y�x�,z Glass DMeets Code '-AA HEATING: Glass DDoes not meet Code Glass Type of Heat: Forced Air Door 0. 08 for the cathedral Portion of the roof. -A Baseboard Hot Water Door Wall Fired By: Gas FramUT,— Oil Wall Elec. Fram—in(T-- 4� Wall ALTERNATE 4ETHOD: TOTAL ENVELOPE CONFORMANCE 2) Gas & Oil fired equipment shall ha� a min . FramTn—g i,�. combustion efficiency of 75% . Header or UO A X U Exposed Basement Wall— A Total Code 3) Electric heating equipment: Exposed Basement Wall— Gross Are�� -A7—R L=n1t Under 65000 BTU/HR: Min. EER 6. 1 Basement Glass Limit Min. COP 1 . 8 Basement Glass Wall Over 65000 BTt/HR: - -E-dr-�-,� _ 0.2� Min. EER 6 .8 Non-Cyt o -- min. COP 2. 0 ROOf/Ceiling 4 Totals 0. 05 Cathedral �tLR 4) No new energy shall be used to produce relative U Wall A Roof/Ceiling WM� humidity below 60% or above 30% . BTU/h-ft _OF Floor 2 0. 08 Air Leakage: - Maximum infiltration rates UO Wall Code. Limit 0.23 d Total Windows: 0. 5 CFM per feet of sash crack . (1) Grain (2)Total 'A "M ElDoes not meet, Code Sliding doors: 0.5 CFM per sq.ft. of door area. E)Meets Code B-T-u7H--x KTU7H XoV - Swinging doors: 1.25 CFM per sq.ft. of door area. 73meets Code NOTE: All exterior joint's around windows, doors, ODoes not meet Code Utility penetrations, at meetings of walls, If the grand total (1) of the wa floors and roofs shall be caulked, gaske�ted COMBINFn rPnQQ 4ITTANCE VALUE and floo *1 roof/ceiling or otherwise sealed. r A/R valu�i�S e5Ual to tpr less than 1�,' ��UULATEONS the total --�-21cf the A x UO Code Lim'l-t-s--Zor-the ELECTRICAL: Resist- walL,-r-oof/ceiling and floor, Floor Component meets the Code, even though the w, —,_Mf.1 e Area the Total Envelop 1) -al No. � ance ceiling or floor may not. roo Elec. Tot f- outlets -44 Floor Switches Framin�--�— IiC A Fixtures Z7 2) Electrical Jj@fbting Power budget: Totals Kitchen 360 watts. U Floor Lay. 1 0 A BTU/h-ft2-o 13 watts . F La undry Main _1 oc� watts . U. Floor Code Limit 0.08 Bath Zr.S watts. Master Bath —1 -30 watts. OMeets Code E3Does Not meet Cod, �W 77�2-1 qF: 7a T--$;b t4 - -2 4�0" It "J5ATH If 44 L4-a� - �T-T 4 4 E=0 e '7 ILI ALL J1 d 'tj1 -do k 77 72, 1�� P�IT A�AS.�. T'v T, V&K"� f-n-�r: a!CD P-1�4 4w, N"I"I. + it is Y 22 z R� A Ijo� -&�L�K zZim '�mt , LG' 2 0 )p "NIC U T copper tubing is use 4 j7 __L 0 _QQ FLA for Wcli,r distribu tiu systern- PiPing hall be VTI2 �Ta to eS,U c Frt.� L�J',M- X Z4�ELK 61 K or L only p TL If Copper tubing is used nil �1q, I.E0 I L TYPIC&L. 13RI�K CLUOINS -T _0 for water distributing -N A--A J� U� system; piping shall be �5- J�1RIC-V, COURSE!r J4 1(;iH of types K or L only 3 ?,R[CKS \VIDE! I �,R`I�K �OUF?51E ZETWErN 4:P -k D ATE �RM.:No. C2 4 ...... WILLIAM G. CHARGOTIS 41 x I/ ARCHITECT '4jjAL.5 37 MOUNTAIN AVENUE SPRINGFIELD. NEW JERSEY 07081 TYPiCAL QOCAN IDETKIL: T.A.T NATURE- 14 �504 SIG, 7 1)iyll) AS-NOTED AACY OR A41M Ocm DAA pTMFNT A FEE USE is URLAWFU NO�jFy BUILDING DFP� c '�q AM To 4 PM FOR THE 765-1802 wil 'i I WiFICATE INSPECTIONS FOLLOVN`G 1. FOUNDATION - WO REQUIRED -TE FOR POURED CONCRE PLUMBING OF CCUPANCY 2 ROUGH - FRAMING & 31 INSULATION cnI,1"FQ11-TI0N MUST 4 FINAL - P, c 0 BE C,)MpL[-r rn , ALL CO�,JSTR jC-VIC)N SHALL MEET p s O� THE N y- SOLDER USED IN WATER THE E0UIL-MFNT ENERGY a t4� STATE CONS-I-RUCTioN & SUPPLY SYSTEM CANNOT NOT RESPONSIBLE FOR CODES ERRORS- EXCEED 2110 of 1% LEAD. DESIGN OR CONSTRUCTION T Er c 1�any er.'s - J" LZ If c�pper ubing is used 12VI fif� for water di3tri6uting sysiem; piping shall 69 "a de d pf types K or L only 5TO V L e ock Y\\ �15 z ()-PFN jo, 4vhi)Ie As ke �os 2- 7 n Z� A[ 0 I fIN b pose --K6, 0 J . It J 4 jlr� j --4 7- A�,A-r�F 'Y' r oric COUN"rEE 0, &red co,v, vu vV 4 1— 1 Rr,. L 2- Heo�Te PC yIq Off A f4i G --- 2 �00,rt a --3 2 25 AN 0, �3 0 qv IcA 'ob f asAe �a-s P; 4,a 11' rip i Fe v—t L�w— W A 4� V�� 7 7c ,&ck, ur 6/,5 (or K3 (L,-- TO—= K ,UbIOKA ' T-AYLDk dedM— D"MG NWWR Ll f,VL 4 7- 7/7/03 PAiC ,641t *,AMR" pRR�"011 PRINM ON HCH NA"PAINT VOLLUM it? copper tubing is used AP ROVED As NOTED Ott qL if for water clistributing Is 13.P. # ',ping $hall b BY: sy',ern; p TMEN I A I y *3—U?t D I of types K or L 00 pqu ri --- M FOR THE 765 1802 9 AM To 4 1'qS. Fo��OWING INSPECTIO1 Lj. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE I ROUGH - FRAM11G 8, PLUMBING 0. INSULATION N MUST 4. FINAL - CONSTRt-I'Tl') BE CoMpt.rTE FOR C 0 ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N-Y� & ENERGY 51-ATF CONSTRUCTION FOR C 3DES NOT RESPONSIBLE L6 NSTRUCTIOIN ERRORS. DESIGN OR CO Y�j Ich )(i",ZFD,�E P 9 n V2'� af —1 t I A7--A-f f,I-1,� ca—�; TEco 1�aAyet-�� /-,3* reli 4YA, X-( kA(q VZA (,j,5 6 Y��w Tb - - I 5TPIIL- L05TAI-A K3po - rL--- - 01 ILI Xj, 0 i-�T P,j lvhilr /)Tfir� 2- --2-X -73 1 I- I�-� - - �-7�W,,,, I -E,I - -77� -AW eS. iz�# : It �j o 2- >( IF,,,I, e CA VA, �r k (00c Lj 0 A" (-6preell-e ('0 P C r e 0 Fbdl-Y)q /2 X, TE! - i TrIPICA L KLJL)]kKA T4VJ LL -- 47* 77,