HomeMy WebLinkAbout28164-Z 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. 28164 Z Date MARCH 12 , 2002
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Permission is hereby granted to: (Z,\(— (v
DALE F & WF FALCINELLI -iN-L 1�
PO BOX 646
EASTON, PA 18044
for
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at 1095 MIDWOOD RD CUTCHOGUE
County Tax Map No. 473889 Section 110 Block 0002 Lot No. 010
pursuant to application dated MARCH 11, 2002 and approved by the
Building Inspector.
Fee $ 192 . 00
4
uthorized ignature
ORIGINAL
Rev. 2/19/98
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION(1ST) — - - -- y
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FOUNDATION(2ND) - - --- - -- -
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PLUMBING - - - -
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INSULATION PER N.Y.
STATE ENERGY CODE -
a 0 7
FINAL
ADDITIONAL COMMENTS
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Town Hall,53095 Main RoadFax (631)765-9502
P.O. Box 1179 G � Telephone(631)765-1802
Southold,New York 11971-0959
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" °BOUNTY
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
February 20th 2007
Dale Falcinelli
P.O. Box 646
Easton, PA 18044
RE: 1095 Midwood Road (additions/alterations) 2nd NOTICE
SCTM: 110 2 10
Dear Mr. Falcinelli,
Please be advised that your Building Permit#28164 issued March 12th, 2002 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of$192.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD,NY 11971 .
TEL: 765-1802
BUILDING PERMIT APPLICATION CHECKLIST:
Do you have or need the following,before applying?:
R�C�G.17EFT.
Board of Health?
3 sets of Building Plans
Survey
Check ��
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 1 �Z , 20
Approved — ,20 • PERMIT NO.C
Disapproved a/c
Building Inspector
APPLICATION FOR BUILDING PERMIT "
Date— 4 KA ay /V1 , 2002
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to sale. 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 application.
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 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.
(Sig ature of applicant or name,if a corporation)
124- Brame , 62 V)13 ort
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises �¢c�, G �Y r-A LO I` EU,
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which pgosed work will be done:
10c WOOD P\DAD , C UT6 Ff®GU EI
House Number Street Hamlet
County Tax Map No. 1000 Section / / Block Lot �d
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 61g6 L R FA M l LY NP-!5 IDEM GE
b. Intended use and occupancyb PA M I LY P--:P—S 1,1EWC E
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost -Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars 2
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front �J5 l Rear 4 Z Depth -15
Height 2J0' Number of Stories ll
Dimensions of s e structure with alterations or additions: Front 5,1 Rear 42
Depth 45 eight �M Number of Stories 2
8. Dimensions of entire new construction: Front Rear Depth
Height i Number of Stories
9. Size of lot: Front 1 5 S . d- Rear 1 SS ,4Z) Depth 2�
10. Date of Purchase120 J' 0 Name of Former Owner ��
11. Zone or use district in which premises are situated R -40
12. Does proposed construction violate any zoning law, ordinance or regulation: 0
13. Will lot be re-graded b Will excess fill be removed from premises: ES NO
14. Names of Owner of premises.DAULW PALON dress 1015 MIDWOOD RD ._.Phone No.134 -Igo /
Name of Architect MEML, KRAMF-fZ Address 124 260AD ST, 61 . 8I*No 4-+-�-0 82.6
Name of Contractor IKOP mor MZ0 Address WY :J Bq �YQQII'la(.8hone No. -765
15. Is this property within 300 feet of a tidal wetland? *YES NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
16. Provide survey, indicate scope of project, to scale, with 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
0 M I VYI Fit/ being duly sworn, deposes and says that(s)he is the applicant
(Name of individual si-giniing contract)above named,
(S)He is theGK'�
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that.the work will be
performed in the manner set forth in the application filed therewith.
Sworn to b s
Mf Z9�6==
Notary PablImE D.HORNS &Signature of Applicant
Notary Public.State of New York
No,4951364
cryin Suffolk County ,
.- :)lav 22, ,-!Q d C7
BUILDING PERMIT EXAMINER CHECK LIST
DATE ISSUED: / /02
/^� `�. DATE REVIEWED: a//Z/02
APPLICANT: DAT9•SUBMITTED: 1x/02
SCTM# DISTRICT: 1,000, SECTION: ► 1U , BLOCK: Z , LOT: I U
STREET ADDRESS: IC q5MI►�U.X'l�l� I�D . CITY: SUBDIVISION: "VIA
PROJECT DESCRIPTION: w s -'-to S :Q .,r 1
ESTIMATED PROJECT COST: Zo oo ARCHITE /ENGINEER: 01- FAST TRACK?
SINGLE & SEPARATE CERTIFICATION-REQUIRED? )lo NOTES:
LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at anytime after 7/1/83)
ZONING DISTRICT: P-0-10 CONFORMING? Na
REQ. LOT SIZE: or�ACT. LOT SIZE:31 f 625- REQ. LOT COV. ACT. LOT COV.
REQ. FRONT s/p PROP. FRONT t REQ SIDE_ ACT. SIDE _
REQ. REAR rp PROP. REAR /
WATER FRONT? N0 DESCRIPTION:
PANEL #: /`3 FLOOD ZONE:,
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES or 19(BED#): DTE:—/—/_ PERMIT#:R10-
TOWN SEPTIC RECEIPT: Y o&
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or
SOUTHOLD TOWN TRUSTEES: YES or 10
TOWN ZONING BOARD APPROVAL: YES or�
TOWN PLAN. BOARD APPROVAL: YES or
TOWN HISTORICAL PRE (SPLIA): YES or
NYS ENERGY: YES OR NO
EGRESS (18 H min.? 4 sq total) I��Q• FT. 4°/ 2 Ok LLIGHT (SQ. FT. x 8%)
BUILDING PERMITS OPEN/EXPIRED: BP leO >"! -Z/C/0 Z- j ge,Y-5`
HAVE PRE CO'S : Y OR N BP -Z/C/o Z- ,
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: 910 SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: 990 SF FEE FEE FEE
1. ( 9q n SF)- SF)= lyy SFX $ + =$ �f +$J.,D+$ = $�
2. ( SF)- SF)= SFX$ =$ +$ +$ =$
UNDERWRITERS CERTIFICII
•REQaIRE(3
DO NOT PROCEED WITH-
-L
ITH .
TYPICAL EXTERIOR WALL CCINSTRUCTION TO MATCH EX15T.: APPRO ED AS NOTED FRAMING.UNTI-L SURVEY
OF FOUNDATIO
DATBP.
VERT. WD. 51DING ON BLDG. PAPER ON 1/2" N LOCATION
E: Z y .
WD. 5HEATHING ON 2X4 WD 5'►TUD5, 160 O.C. HAS BEEN APPROVED:
FEE: —BY:-
NOTIFY
Y:NOTIFY BUILDING DEPARTMENT AT
2xG CCA - -
765-1802 9,AM TO 4 PM„FOR THE
1/2"x 12” A.B. @48" O.C. 51LL PL FOLLOWING INSPECTIONS: CC 'CPA CY C
. FOUNDATION TWO REQUIRED t� C�1�LA����L
FOR POURED CONCRETE USE
TERMITE 2. ROUGH - FRAMING & PLUMBING MITI; " C��T���C .�E
4
SHIELD INSULATION OF OCCUPANCY 01-30-2002
FINAL - .CONSTRUCTION MUST
a BE COMPLETE FOR C.O. 01-1s-2002 "
ALL CONSTRUCTION SHALL MEET
TOP OF CONC. WALL TO MATCH EX15T. THE REQUIREMENTS OF THE N.Y. PROM 3
EXE T S ATE CONSTRUCTION & ENERGY DE /4 HR. FIRE
WOOD SIDING LINE OF r CODES.
NOT
RESPONSIBLE
RATED SEPARATION TO
LINE OF d i PART. 717.3 (f)(1) OF
EXISTING EXfSTING WALL �J. 2#5 BARS, CONT. N-Y STATE BUILDING CODE.
GARAGE DO R
CONTRACTOR TO VERIFY THAT THERE 15 a a
�- ADEQUATE ROOM FOR GARAGE DOOR 8" POURED CONC, FOUNDATION WALL I x3 PURLINS
Q i HEADER AND CA51NG DU 4" PC SLAB a
�--NEW WOOD 51DING EXCAVATION PRIOR TO 5ETTING 5LAB W/GxG 10/10
i TO MATCH EX15T'G/ HEIGHT a
2x 10 ROOF RAFTERS
NEW CONC. — — �- —
FOUND.WALL ° a _
a
///
// — 3-2x 10 GIRDER/ / —
\ \ \ \
LINE OF EXISTING GARAGE SLAB /
v,P//
/
�- \ \ \ \ 5TL CONNECTOR I ' u 7
VE m wy z
EXIST. CONC NEW REA OF NEW GARAGE NEW REA OF
ND.WALL EXCAVATIO -I-
FOU PLAN EK DOOR PLAN ER _
AREA � " 1 m .
" '_ " 4-5 I / / / 3'#5 BARS, CONT. 4x4 P05T
90 90
a z
�- LINE OF NEW GARAGE SLAB \ \/ 0
/ a -
ONT ELEVATION �/ — -
FR
„- , a. 8"X I G" POURED CONC. FOOTING1 /4 — 1 -0„
° ad
• �] d
4
Now—
4-2xG POST
z
- 2x8 CCA D.J.
FOUNDATION DETAIL TRELLIS DETAIL_ —
1 - 12 1 '-91 z � � s
NEW GIRDER BELOW, TYP. 1 - 112 - 1 -0 /
4x4 WD P05T ON
LATTICE ENCL05fURE
24” X 24„ X 12” P.C. FT
4x4 P05T
__ _ _ - - _ - - - - - = ,1 - - - - - - 2-2x8 DECK GIRDER-CCA
TRELLIS— — — — — / ,
ABOV NEW WOOD DECK — —
EX15T. BATHROOM = _ _ _ _ _ _ - _ - _=''_ ,, - - - -- - - - _
EXIST. SINKTOBERE
BENCH SHOWER '
1 --------------------- ------------ --
,' 4 i � RELOCATE EX15 I 60
DOOR ' ' E 1 .26.0
L - - - - - J r LINE OF CONC. CURB BELOW +
2-2x 10 E1 .18.6 MIDWOOD ROAD
EX15T'G WALL TO - - - - - , LINE OF FOOTING BELOW LEGEND
BE DEMOLISHED ' ' LINE OF FOOTING BELOW <-- 300' TO N65 40' 10 E -'--'-� 158.43
-' -- --_ EXISTING WALL
1 _ 2- x 10 I '-.-- F OVERHANG ABOVE WICKt1AM CREEK a 1 .26.5
LINE O O E 1 .22.4 / DEMOLI5H WALL
EX157G ROOF RAFTER5� _ NEW ROOF RAFTERS �� c j - - - - - -
2 X 10 @ 16" OC 2 X 10 @ I G" OC PROVIDE HURRICANE CLIPS NEW DRIVEWAY' NEW WALL
r
- 13 4 x 18 LVL �� _ 2-2x 10 �, �I AT ALL RR/ PLATE LINE OF EX15T. UNDERGRO ND
NEW GIRDER, 3 ! J1 1 I —I t CONNECTION5 u ELEC. AND SPRINKLERS $ INSULATED WALL
NEW WOOD STAIR AND RAILING �a 1 ; W; NE GABA E DITION $
Zf-Xl5TG CONC.5fAB I r =I ,
/ TO BE DEMOL15HF-D xi _ 2- x I 0 + MODIFY EDGE OF VI - EXISTING � STORY HOUSE
ml � PC � � � 2-2x I 0 @SKYLIGHT AS SHOWN w •
NEW 5LAB , 0
CV .
cq -----2-2.x 10 N 1 w a +
1 ir) >
----- , fii - - - - - - - d W
1 i ,
I IN5ULADOME 30xG0 Z 2'_0" ,,,� W 4j
FIXED 5KYLIGHT, TYP. OF 3
1 i __ _ _ _2-2x I 0 NEW GARAGE DOOR u-' E r.30.6 ` x
Un
ce ,
1 = ELECTRICAL LEGEND
NEW GIRDER
UP d w
DUPLEX RECEPTACLE OUTLET � M
- 1314x_ t� A-py 10._. r
_\9 - 5 U RFACE MOUNTED WALL FIXTURE d
-O"
-Olt 9_0" 4-0 > `4 SWITCH +'I
N
O � :�
c\1
IG-01
$4 FOUR WAY 5WITCH
3-2xG POST 3-2x10
W
- EACH SfDE OF THE WALL O E1.43.9 IF
EXTERIOR WALL MOUNTED FLOOD LIGHT
=2xG POST AB
4
+
OVE HEADER FLUORECENT ELECTRICAL FIXTURE
3- 1 3/4 x 1 1 7/8 LUL Z E 1 .32.9 158.43' E 1 .43.9
b E-- 5G5°40" 10" W
AREA OF PLANTER N/F GERARD 5CHULTHEI5
NO PAVING
NOTES
1 G.C. TO COORD.EXCAVATION,-AND ROUGH GRADING {
AT DRIVEWAY AND PERIMETER OF GARAGE
2. ALL INTERIOR WALLS AND) CEILING5 OF GARAGE PLAN
EI�RST FLOOR PLAN SHALL BE PAINTED GWB 51TE
-- 1 "— 40'-0"