HomeMy WebLinkAbout30751-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 04/23/07
No: 2-32307
THIS CERTIFIES that the building
NEW DWELLING
Location of Property: 365 MARINE
(HOUSE NO.)
County Tax Map No. 473889 Section 35
PL
(STREET)
Block 6
GREENPORT
(HAMLET)
Lot 10
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
NOVEMBER 15, 2004 pursuant to which
Building Permit No. 30751-2
dated
NOVEMBER 15, 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 2 CAR GARAGE BELOW, PORCH, RAISED FRONT
DECK AS APPLIED FOR & AS PER AMENDMENT 4/23/07 TO INCLUDE SECOND STORY
DECKS.
The certificate is issued to PASQUALE & SANDRA VARDARO
(OWNER)
of the aforesaid building.
11/09/98
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-0143
08/26/98
ELECTRICAL CERTIFICATE NO.
20733
10/03/05 ALAN GROSS PLUMB. &HEATING
PLUMBERS CERTIFICATION DATED
~~
Authorized Signature
Rev. 1/81
Sep-23-05 12:~2P Ga;l A.
Rer;s;
(516) 939-9006 P.03
Sllo- jl~~ S~l.cl-.
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Form No.6
TOWN OF SOUTBOI ,f)
BUlLUlNG DEPARTMJl:NT
TOWN UALL
765-11102
I
APPI.ICA'l'ION I,'OR C1CRTIFICATI': OF OCClJI'ANC~-~--
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"l'hi", appliClltioll mllst b<e lilloo in by typewriter or ink lInd suhmilttxl to the flllilding Depltrlmmt with Ihe following:
A. I'll.' lIew builrlj,,!: Ilf m.w use:
I. Final sllrvey of property with accur-atc ]ncalioll of all buildings, prbl'~tl)' Iin"'8, str""I". and unnsllal'H1l.urnl or
1.0pllh'Tapllic, fe,ntllres.
2. hnal Alll1rovalli'01T\ HC.lllh Vept. ofwatef' supply and sewerage.disposal (8.9 form).
3, Appl'Ov.l or c1eclnClII installntion trom floard of Fire Undel'll'ril.(;r8.
4. Sworn sla'''lncnl rrom plumber ce,liifying th"t I.h.., solder used in "yslcm.cnlLl.ains le." 111'111 2/1 n of I % lead.
5, COIlI11lcrdal huiltling, industrial buildiug, multiple l'esidellc~" an,' similar huilciings ,md insl"lIa'ions, a ecrlilic"l.c
of Code ( ;o11lpl ian,'" from nrchitec,( 0,. elllline..", n"1,onsib10 rn,. II,,: huilding.
(I. SUbUlit PhUlllillg Board Approval of c.(Imptcl.cd site pian J'eq\1ilclllelll~
D. Ii'or- (~J;istlllg Inlildiugs (III-in.... to A(l.oil ~J, 1957, nOIl-L"onfnnniug uses, or huildinJ(s Slud upre-<,xistinglllnlld nsC1i:
I. ACCUT'aI(~ :mrvey of property :.;howin1~ all propcny Hues, :ilrt~els, huilditl)!. lll1d uJlU~aJalllaturr~1 or topog.raphic
ft.:;"tun..:~.
7:. A pI OIK~dy compkkA,;I npplicntinu awl com.(~nl 10 inspect signed hy lI't.: applHiant. If a C(~rtifJc;<.1te of <)c.l:up:mey i.l:t
Ih:J1jl~d. tile [h,ihljug 'uspcclor $h:.U statil~ ll~b 'C(f~;()II:-; Ihen::!()!" ill writin~~ 10 tlu:. iippHcJlll.
C I'-ceo
I, C"l'lifi""tc of O,'cIII"mey . Nl'W d",cHill$( $25.00, Add,l;o,," 10 dwdlillg $?5.00, Altct<llj<>lls 10 dwdlmg $25.00,
S\l'iuHllinV. J1nol $7.5,00, A,;.ces.c.;o,y huilding $2.5.00. AddiliOJls to ;1c.t.~r~!;,,,(1)' hujJJjj!!{. $2'),00, HUNio0SSC;'i S50.0n,
2. (;('11ili,'atc of OC'<:<lJl""cy 0" I'rc-<oxisling HlIil<lilll~" $100.00
3. Copy o"Cq1ilicHI~.ofOccll"ltllcy, $,2S
~. IIpda(('d C"rtili,'<\(t of<)cclllltllley, $SO,OO
5. '!'clIlponlry ('qiifk(lh.~ of Occ.upallc)' - 'H.c:~idcnj illl $1 5.00, CQI1Hllt'.reial $1 ') .ell.")
Ncv..' (;ou,,1l"l,w1l(ltr
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3b s'"
llouse No.
\.late.
o
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'~7..
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O'Vllcr or OWUCI..; or Properly: ..
f'c\~~1'-:l C;
fifc;A " .....t 'fi-
Old or I'n:.lCxbling. Buildillg:
.p~. h'G~er.>.
S(.lT(~1
L.$~~.._V-N2.Q.~
_ ___.... (dl<x:k one)
J..o<;at.10Tl 01" Pn...)l'~~lty:
11 '" n"'l
Suffolk ClHllIly r"x lViiiI' No 1000. Stx',\ionLl2>S""'
Block .9J29..b
1.01 l?J32
Sub(ljvision
._...._... Fikd Map.
)Ol~ L I late (.1f Pmllil.__JJ:2.f:().<j. Applie.allt:.
Lol:
Permit No.
H",lth J kl't, Apprllval:
Under\\,,.;t,,,.,; /\]1pr<lv'Il: . ._:
Planning U"ani .\ppro\'a1:
Rcq L\cst fur:
'1'''lnl'orllI'Y Ccrlifklll". _ __..._.
Finnl C('.l1itkat~:
,,_ (che.ck "lie)
Jj~,.r~
Pet Sltbtllitl.cd: ~:
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C2..J-<-. 7 d. 3 ~ 7
COc3;)'307
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.
30751 Z
Date NOVEMBER 15, 2004
Permission is hereby granted to:
PASQUALE & SANDRA VARDARO
58 CONKLIN AVE
WOODMERE,NY 11598
for :
CONSTRUCT A NEW ONE FAMILY DWELLING WITH 2 CAR GARAGE BELOW, PORCH
AND RAISED FRONT DECK AS APPLIED FOR. THIS PERMIT REPLACES BP#24524.
at premises located at
365 MARINE PL
GREEN PORT
County Tax Map No. 473889 Section 035
Block 0006
Lot No. 010
pursuant to application dated NOVEMBER 15, 2004 and approved by the
Building Inspector to expire on MAY 15, 2006.
Fee $
798.00
>
Signature
ORIGINAL
Rev. 5/8/02
.
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTONAVENUE
EAST PATCHOGUE,NEW YORK 11772
(516) 286-6642
DATE,
8/26/98
20733
APPLICATION No. ON FILE
VILlAGE..
Greenport
TOWN,
Southold
ADDRES&
~65 Marine Place
ISSUED TO,
Vardaro
INTRODUCED BY, Dickinson Electric
LICNo, 4415 E
was examined on
8/26/98
and found to be in compliance with the National Electrical Code
WCATION,
Base..
x
1st X
2nd
x
3rd
Attic
Det. Garage
Hot Tub
Pool
SWncHES RECEPTACLES FIXTURES HEATERS FANS G.F.I. AIR. CONDo
42 54 35 2 exhaust 9
DISHWASHER DRYER CWmES WASH. GAR DISP. RANGE OVEN SMOKE DETECTOR
1.2kw 30amp 20amp 40am 6
FURNACE OlL GAS CIR. MOTORS BELL TRAN. SERVICE DISCONNECT
METER AMPS PHASE
1 200 OH
omER
EQUIPMENT
outside, res.
1 light/fan cambination
1 30amp cookingtop
1 20amp microwave
1 air handler
1 40amp compressor
/b.M --d._ 4-ur-~
~r;uGO S. SURDI
PRESIDENT
BUILDING PERMIT No.
This oertificate mustnotbe altered in anYmaIll1l:l"
Inspectotsmaybeidentifiedbytheiraedentials
BLUE ORIGINAL YELWW COPY PINK COPY OFFICE
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Cr...EqvES Po/ur CO&? P.
fW. a:;
fOO. a:; 'NrS,
Suffolk County Dept. of Health Services
for approval of construction only
l:l
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~~ OSPREY NEST
ROAD
Date
HS Ref No.
I~ TEST HOLE (McDonald GeoScience)
>0 - l' .~- Dark brown loam OL -
I' . 3' Brown sandy loam OL
3' - 5' Brown clayey sand with 10% gravel SC
5' - 10.3' Brown fine 10 coarse sand SW
10' - 11' Water in brown fine to coarse sand SW!
11' - 12' Water In brown silty sand SM
1'2' - 18' I Water In brown fine to coarse sand SW
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SURVEY NO. 7/5.32
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P.O.IS".117\1
Sw'hald, New Vo.... !I~?loQ!I!It;I
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BUllDlNO DBPAll.'tMENT
TOWN 0' BOtJTHOLD
CE R 'rlll'lCATJ ON
3 cq 5 J 2:::-' Da\c:___~:...._. ,__ 0$_
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(Pl_ print)
lead,
I certi fy !haltll" solder used in the \\Illor 8\l\lI"ly s~slem contain, ls~" lI111n 2/1 n lIr
NOIIIY Pllblic.~.~CaunIY
SHIRLEY A. SLAVIK
NOTARY PUBLIC, Slate of New York
No. 4959316, Suffoli County ~
Commission Expires November 27,.~ (
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301s1 Z-
TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING LP<1 FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~
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DATE /. INSPECTOR ./ ~. /~
-- -
3t{lS:(c
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSU~
[ ] FRAMING I STRAPPING [~A~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~uj ~) ~ U5:.f:- 40
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DATE r ~t: INSPECTOR
.30151 Z-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATIO
[ ] FRAMING I STRAPPING [4 FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFE
REMARK~ .
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DATE (,~;;L-o~ INSPECTOR ~. ~
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765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [] R~GH PLBG.
[ ] FOUNDATION 2ND [ l-{INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
R~I!~S. ~,. '" L Qk,
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DATE .=;-)/;18
I ,
INSPECTOR ~ 4
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riW',3C
765-1802
BUILDING DEPT.
INSPECTION
[~H PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
cO~,
REI\!,A~KS :
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DATE s/yfS
/
INSPECTOR ~~
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765-1802
BUILDING DEPT.
INSPECTION
[ ] F~ATION 1ST
[v(fOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS: O~{)(;,
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
--ATE 3'h~h8
I I
INSPECTOR ~~
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765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNOATION 1ST ~:-u'i::~
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:~ ~ ~~ ~ ;Jj~
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
REMARKS:
tJ)"f.
] FIREPLACE & CHIMNEY
~ t'd/ ~,
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DATE 12/1.'-//7 INSPECTOR ~~
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765-1802
BUILDING DEPT.
INSPECTION
[ ] ROUGH PLBG.
[ ] I~LATION
[ ~INAL
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:~-~/tZi ;::;1f~ aU ~.r-
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'tVt:1 '''-', J
RES. 0
""to
LAND
FARM,
COMM. CB. MISe. Mkt. Value
IMP.
TOTAL
DATE
REMARKS ~
iJorJ '
Acre
-, i
;: It- (1 ! t L'; .
.8 eM
/000
1000
lOOO
AGE
NEW
FARM
..G0&C:>P
10<0100
Ij'oo
NORMAL
BELGW
ABOVE
Value Per
Acre
Value
Tillable 1
Tillable 2
Tillable 3
Woodlond
House Plot
FRONTAGE oN WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
.. '-'" ~ ,,'-", i )}').a;1'j~~-V Q'} it "'" J :? t) , . l ,,s.(,. ~;;;} '''. ;:1
,
, ,~{;
. J.'IY {':'1'
Swampland
Brushlond
-01
/
,
./
I
Total
DOCK
.~.,pr>-
-
I
,
II
,'.
I, /),N w'.\-Ci€""
r r-....
COLOR :.. ~
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I D D
,
(J;
. " TRIM II
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-
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I~ .4"- I 'Ill
\' I
, .
ll[ Cf7
- "~_~~~:-~~l'''a?,O ~--"S7S"" <j~73 \51 (y~ 2..)) (2)
"M;;.-ttldg. Foundation p, "-. Bath Dinette
..
Extension l't-x' 0&" E/:)'l) Bosement ~\\ Floors K. ..,/
, :'e~~~';",
., ~~en&-on . 6,':> Ext. Walls Interior Finish c;./e, LR. ./
(~)(. l4~ I~ 2- loq2.
h~te'4~n (I) '-.j Heat , /
"l X 14 ~ IUp 4O~ SO 4- Fire Place ""'.\.../'.'\S DR.
Type Roof Rooms 1 st Floor Q ~ ~~
~lhh 7Y- 14 ~ q& \2.S- ?'5 Retreation Roon Rooms 2nd Floo ~e.~ FIN. B.
Porch~l,,! q0 ~\"~~7o ~>-78~ .~ 1'17 Dormer
Breezeway Driveway
Garage J~,. fUuc>'S4?O )(\~ ~~ '4te
~. ..
Patio .:;
O. B.
,
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TITLE NO.
Tflx. PISr. 1t7O(J,
SURVEY NO. /'~.3~
-SEer: S~ .PLt7~K ~ .&r 10
b.
~
/vIAR/NE
PLAC'G
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MAP OF PROPERT
51TUATI! AT
n W Il ~i ROBERT A. HAYNES
flEG ,\ I ." lj /PROFESSIONAL LANO & CITY SURVEYOR
! 741 B WEST JERICHO TURNPIKE
HUNTINGTON, N.Y. 11743
GREGNPOR7
TOWN OF sour/,'OL./)
:5(/~~ot..1<t CO(//VTY,A/'Y,
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SUIVEY IS A VIOLATION OF
SECTION not OF THE NEW YOlK STATE
EDUCATION LAW.
eO"E$ OF THIS SUIVEY htAP NOT IlEARING
THE LAND suJtvEYoa's INKED SEAL OR
EMIOSSEO SEAL SHALL NOT Ie CONSIDERED
TO Ie A VALID nue COPY.
&UAlANT!ES Ol CERTIFICAnONS INDICATED
HEREON SHALL lUN ONLY TO THE PElSON
FOR WHOM THE SUIVEY IS PU,...lB).. ,AND
ON HIS BEHALF TO THE Tln.e COW'''N't'
GOVERNMENTAL AQENCY AND LENDINe
INmTUTION LISTED HEIEON, AND TO THE
ASSIGNEES OF THE LENDING INSTlTUTION.
GUA.RANTEES 01 CElTlFICATIONS AlE NOT
TltA.NSFEIASLE TO ADDITIONAL INSTITUTIONS
01 SUIISEQUENT OWNERS.
"'.... ~....T .....nn.,....T~ .....r'"
:1,~
-4~~J
."11m;!'
BLDG. OEPT.
FS U HO 0
219 SYOSSET.WOODBURY ROAD
SYOSSET, N.Y. 11791
LOT NUMBERS
SURVEYED FOtlNP4TI'ON STAKeS
OEceN8E<€ 5,/997. -
Ri/d"""'''''4 bIa:1J7d1l -Q!;C. 2!f, /5.97-
GUARANTEED TO:-
718-631-7595
N1"na",
""
Exanired./~;/!2., 19....
APPrOVed/f-y.'f2.., 19....
FORM NO. 1
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTIIOtD, N.Y. 11971
TEl.: 765-1802
~dlS\ (~
Penllit th. ct :f..~-?:yp
- B-OARD OF IIEALTII--:-.. yo. . . . . . . . . .
3 SETS OF PLANS . K. . . . ... .. . ..
SURVEY ...:... .;1...............
CHECK;#: .7.'I'd-y... ...........
SEPTIC FORM .......-:................
NOTIFY:
:Jg7-.;ltJ'l
CALI. ..................
MAIL TO:........ ..........
Disapproved alc ..................................
.......................................... .. ........ ~~
... (~iidi~~~~~)..:.....
ill rn ~ \VJ
I':ml
.,
',,:
D
I!f- .2 pnt(?
1'1 ,:}/'" - .rY
'Date. .I.q.-:". .'.~......, 19.97
INSTRUCTIONS
a. '\llis application DUSt be conpletely filled in by typewriter or in ink and suhnitted to the Building Inspector
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 (>Jblic
streets or areas, and giving a detailed description of layoot of property DUSt be drawn on the diagran which is part 0
this application. .
c. '\l1e ""rk covered by this application ...,y not be comenced before issuance of Building Pennit.
d. UIXXl approval of this application, the Iluilding Inspector will issue a Building Pennit to the applicant. Sud
permit shall be kept on tile premises available for inspection throughout tile ""rk.
e. No building shall be occupied or used in \AlOle or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by tile lluilding Inspector.
APPl..ICl\TlCll IS llElllillY !WE to the lluilding Department for tile issuance of a Building Permi t pursuant to the
lluilding Zone Ordinance of tlJe Town of Southold, Suffolk County, New York, and otlJer applicable l.aws, Ordinances or
Regulations, for the constnx:tion .of wildings, ackIitioos or alterations, or for remJVal or dennlitioo, as herein
described. The applicant agrees to c....,ly with all applicable laws, ordi es, building code, housing code, and
regulatiohs, and to a<hit autllOrized inspectors on premises and' bu!ldi ~ssary inspections.
, ~~.L~.c.rjJ.....................
(Signature of applicant, or llCIle, if a corporation)
.fi~. .f'.119.J;~. .K4.....f'.Qll.th'l1llb't.QP... J..19.513......
(Mailing address of applicant)
State 'whether applicant is owfler, lessee, agent, architect, engineer, general contractor, electrician, plurber or lx.til
........... .1?~~.1.9~:;-.............. ..................... ...... ............................ ...........................
Nate of owner of premises. .P.asquaJ.e......Sa];\dra. :v.a.t;adil.t;Q............... ... ......... ... .....................
(as on tile tax ro] 1 or latest deed)
ration, signature of duly authorized officer.
> . ~~
.i~.~~.~i~l;--~f.~~~~~~.~~fi~~~)...................
Builders License No.
9265
.........................
Plrnbers License No. .23.0 13.-:P...... __.... __..
Electricians License th. .. .44.15.~K.......__
Otl>er Trade's License No. ....................
J. location of land on \Adch proposed lo'Ork will be done.............................................................
........... .~?~............. !"!':.r: ~n'.".. f.~,:.c:'.".................................... .G..EJ~.rIP.Q..t.....................
llouse N.nUer Street lIanlet
CAlImty Tax Map No. I(xx) Section ..Q.~?......... mock ...0.&.......... lDt ..01.0..........
Subdivision C.lll'-a"'.es.P.oi.J<t..~.S"'ct.i.Qn..6 Filed Map No. ............... lilt ...............
(lbre )
2. State existing use and occupancy of premises and inten<led use and occupancy of proposed construction:
a. Existing use and occupancy . ... .Va-Gil-ll.t..plot.............;..........................................
b. Intended use and occupancy.. .s.ingLe. .farni.ly.............. ... ............ ...................... ....
,.
,
.~,. : ,.',
......:.... ,.....'
1. ""lure of wrk (doeck. lddd. applicable): New Ilnilding . XXXXX. ^,kJition .......... Alteration..........
'le,.lir ............ RatwaI ......... .... llem:>lition ............ Other l..I:>rk ..................................
(Oescription)
',.
Estimated r.ost .....6..8...000...........
fee ... .$2.12................ ....................
(to be paid on filing this application)
). If ck~lling. B.JJber of dwelling Imits ...R.Q~.... tl.lJher of ().,<lelting \mits on each floor ..NA...........
If garage, IXI.ber of car~, ...t.wo..............................
). If business. canrercial or mixed occupancy, specify nature and extent of each type of use... NA................
nillJ2!osions of existing stn!Ctures, if aoy: Front.... NA......... Rear. .NA:.......... Depth .N~,'.'. .c-L.=-....'.:. .,',.
, ~ r-"':~
IJcight .. ~lU;l<... N!I........ ~.. tuJiJer or Stories. XXX.. .NA.......... __" .
nin-eosions of s.:'Ire stulCture with alterations or additions: Front.... N.~........ Rear....... NA.....
Oeplh ..../18.............. l\eight ....../111............ N.nher or Stories .NA...........
\.
Oill.,nsions.of entjre new coostruetion: Front...3 6........... Hear. .36........::.
l\ei!~lt ........36.............. N...l>er of Stories .....2-..............
Oeplh .33...........
,Vi"
.'~ .(
',l!"
---.-"-.:,"-
).
5i..e of lot: Front .....J.O'01.......... Rear ....l'OO'.~.......... Depth .'1.50....."'.........
llate of PlJrchase ~-':P.1::..~.~?~...... Ibre of Forner <Mi>er .l~l!".t:'.~y..f.qt."l).......................
1(1.
I J. Zone or use district in ldlidl premises are situated .... Residenti.aT.........................................
12. Does proposed construetionviolate any zoning law, ordinance or regulation: ........................
1'1. Will lot be regraded ..Y.es.............. Will excess filll>e renoved tran premises:
~
10
11,. Mares of o.mer of premises .l?,..5<..S....'laJ:cl.ar.o.... lItklress .5a.ConkJ.in~Ave.WoodmlJJOOe No.3.7-4'Ol5.11.....
Nrn., of Ardlitect ..;r.~..F.:..qP.<li'.~P.................. NklressP.Q.J3p.)j:..'l2.6..Big..El.at..s. nlOOe No.6075623560
Mane of r.ontractor Van. HO.ut.en. . Cons t.. Co..I n.c. lItldress6.1. .soor-e. .Rd.. S! hamp>wn-HlOOe No.287. .2'1.38.. .
I). Is tltis property within 300 feet of a tidal ''''tland? "YJi:S .....t... 10 ..........
"IF YES, ~1Jl) 1UIN 'mUSTEE5 l'E1~IT MI\Y IY, IlE[1JIIU!Il.
PLOT 01AGIIAM
.
locate clearly and distinctly all buildings, ldtether existing or proposed, and indicate all set"back dinensions
fmn property lines. Give street and block ""'Uer or description according to deed, and show street oanes and in~icate
..tlether interior or corner lot.
See attachments
;"AlI! 01' loBI YlXl!(,
UINIY OF .......................
55
...............W.T..\la.n.Ho.ut.en.,.p..re.s.................being duly S\o.'Unl, de(XJses and says that he is the appl.icHnt
)i-:Jle of individual signing contract)
.bove n.'J're(],
Ie is the .... . C.qp.l;..q9.t,9.J: ...............................................................................
(Contractor, agent, corporate officer, etc.)
If said (7wlUer OT o.mers, and is duly authorIzed to perfonn or have perfomed the said work and to rroke arxl file this
.ppl icntion; that all slatelTEnts'contained in this application are tnJe Lo Ule hest of his knowledb~ alld.b(~lief; a1KI
hat the work will be perfonred in the manlier set forth ill lhe application filed t1>erewith.
)worn to before Ire this
... .!~~.......day of ~...19..'1.T.
tblnry Public '~4.~..........
UNDAJ. COOPER
Notary Public. State of N_ Yorlc 0 r)
No. 4822553. Suffolk County 'to
Term Ellpires December 31. 1e......:..;
~~'>
(Sign..,tur.e of ^tlpticant) ,
I
!
eE'~ IL "ON A31lHnS
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RESERVE';;:> By'
CLEqves PO/ur-' =12?
Suffolk County Dept. of HseIIh &Nvices
for approval of coo$/nx;OOn only
Date'
H, S. Ref No,
Approved.
ulfap 01 CP-fOpe-ftg
('{/un'" nt
gieehpoit
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:;~j:\;J ~~Q:~~;~~l'i3
fORMAXWUM Oil -'::t. EDRCIOMS
IIDIUStIIJUii YEARSf'ROM A1ECF APPROVAL
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ROAD
~~t;ST ~l::::rt!t:b~I6~L _~
l' - 3' 'Brown sandy loam OL
i 3' - 5' Brown clayey sand with 10% gmvel SC
5' - 103' i Brown fine to C08IS8 sand SW
10' - 11' ' Watar in brown fine to coarse sand SW I
11' - 12' Water in brown silty sand SM
12'-18' , Watermbrownfinetocoaf'S8sand SW,
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GfUTOu./G Pi-qJ
l!rlwt~,
/
-. .-. .._... ... - - -. - - -
(Gas, Oil or Wood)
N.Y. State Energy Conservation Code Requirements
(
The following amendments to the specifications are required to comply
with the New York State Building Code and the New York State Energy Con-
servation Code effective March I, 1991. This specification supersedes any
other notes on these plans where such notes are not in agreement with same.
Insulation values indicated are based on PART 5. ACCEPTABLE PRACTICE.
Reference table 5-1 and table 5-2, and are minimum requirements.
Plan Name I-IDfJr 'tt- 32-8
County of Construction 50~~ c.€)
Heating
~ <roO
Degree Days
Type of Heating Gas, Oil or Propane
Exterior Wall Insulation *
Minimums
R= ~, U=.050
-
R= ~, U=.040
-
R= ---12- , U=.050
-
R= ~, U= .09
-
R= ~, U= .09
-
R= -1.:1, U=0.58
R= ~, U=0.40
-
4.0 Ft.
Roof and Ceiling Insulation
Floor Insulation
Foundation Wall
Slab Insulation
Glazing
Entrance Doors
Depth of Slab Insulation
* Note: If 2x4 wall construction - provide R-13 fiberglass insulation
with minimum R-6 exterior sheathing.
If 2x6 wall construction - provide R-19 wall cavity insulation.
* All masonry walls around basements or cellars to have steel reinforcement of
#5 bars vertically at 32" ole. In C.M.U. construction, cores with rebar to
be filled with 2500 psi concrete from footer to sill. Install Dur-O-Wall
every three coarses. In poured construction, vertical rebar is to be
installed 3" from inside face of wall. Also install horizontal rebar #5
bars horizontally at 6" and 18" below sill plate around perimeter.
russes indicated on plans are to be supplied with design criteria for
w loads with a New York Professional Engineer's or Architect's
01} "'3(\ ('oS IFf'"
.~
James R. Frandsen, P.E.
P.O. Box 426
Big Flats, NY 14814
(607) 562-3560
7 ( 9/ I 1(7