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Home My WebLink About32609-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 09/18/07 No: Z-32613 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 900 (HOUSE NO.) County Tax Map No. 473889 Section 113 HOLBROOK LA (STREET) Block 6 MATTI TUCK (HAMLET) Lot 11 Filed Map No_ Lot No. SUbdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 2, 2007 pursuant to which Building Permit No. 32609-Z dated JANUARY 3, 2007 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 1ST & 2ND FLOOR ADDITIONS & ALTERATIONS, COVERED PORCH, 2ND FLOOR COVERED DECK & ATTACHED CARPORT TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANTHONY & BARBARA BONAGURA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-04-0132 09/14/07 ELECTRICAL CERTIFICATE NO. 102068C 09/14/07 08/01/07 BURTS RELIABLE, INC. PLUMBERS CERTIFICATION DATED ~ize!:!!::- Rev. 1/81 . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 !} q<6 - 1/3;), ~ 57 ~ <qD~ Inn &u- ; ~ il- G" i~ r In k r LS - -'--1' ThIs apphcallon mnst be filled In by typewnter or Ink and submItted to the Buddmg Department ~IJ, r:"(OllOVV,llili \ 'l:) IlJ I r '. A. For new building or new use: i L- ~ I I 1. Final survey of property with accurate location of all buildings, property lines, streets, anq unusual "')t~~"I~~HO' L_ topographIc features. L---1C"'J"N-Q. -.- 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 2/1 0 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. Submit Planning Board Approval of completed site plan requirements. APPLICATION FOR CERTIFICATE OF OCCUPANCY B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land IIses: 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. 9 / I 7 /0 7 New Construction: (Dwell) xx Location of Property: qo-o House No. Old or Pre-existing Building: ~~ ) Street (check one) I'll /1... ttJ 'kc Ie. ( /...1 'f ((<J<;2- Hamlet Owner Dr Owners Df Property: BtSrbOYtL +- A-r... n 0 Suffolk County Tax Map No 1000, Section I I 3 Bo () tl ~ l-L.- "'- Block 6 LDt II Subdivision Filed Map. LDt: A. BONAGURA PennitNo. 32609-2 Date of Permit. I /3/07 Applicant: Health Dept. ApprDval: __,_________ Underwriters Approval:_ Planning Board Approval: _. ., Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 25.00 I~t~ 0\ u.. ; 3017 CO -t 3d~13 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 09/18/07 No: Z-32614 THIS CERTIFIES that the building ACCESSORY Location of Property: 900 (HOUSE NO.) County Tax Map No. 473889 Section 113 HOLBROOK LA (STREET) Block 6 MATTI TUCK (HAMLET) Lot 11 Filed Map No_ Lot No. Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 2, 2007 pursuant to which Building Permit NO. 32609-Z dated JANUARY 3, 2007 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 ACCESSORY TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to ANTHONY & BARBARA BONAGURA (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO_ N/A N/A PLUMIlllRS CERTIFICATION DATED ~ze~ Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY i'u) lli~0: G [\ 3tlsl: ThIS applicatIOn must be filled m by typewnter or ink and submitted to the Buddmg Department ~~ (: (oll?,u.,- \ ~ A. For new building or new use: t L I I. Final survey of propeIiy with accurate location of all buildings, property lines, streets, an unusual ~(j~'I!~~~o'.'l . topographIc features. --Ir31'l-Q1-,..---. --- 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 2/1 0 of I % lead, 5. Coou11ercial 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. . ~ q<6 - '7/3d, f/r>n-. 57 ~ ~Dd-. '//7'0 Cd-<- B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. 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 CeIiificate of Occupancy - $50.00 5. Temporary Celiificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 9/ I 7 /07 New Construction: xx (accy) qO/) Old or Pre-existing Building: ~~ ) Street ( check one) House No. Owner or Owners of Property: B6rbOv-lL h, ILttJ -kc.lC. , ,.,\ 'f , II '1 <;' 2- Hamlet Location of Property: Suffolk County Tax Map No 1000, Section +- A-r- th ~ 113 Bt> n CL ~ V- ,"'- Block 6 Lot II SubdiviSIOn Pennit No. 32609-2 Date of Permit. 1/3/07 Filed Map. Applicant: Lot: A. BONI\GURA Health Oep! Approval: .__ Underwriters Approval: Plmming Board Approval: Request for: TempOlary CeIilficate Final Certificate: .__._ _ (check one) Fee Submitted: $ 25.00 ~t~ ~J.,C. 7.3~S'2> CO Z; ~ ~, (Lf 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. 32609 Z Date JANUARY 3, 2007 permission is hereby granted to: ANTHONY BONAGURA P.O. BOX 661 MATITUCK,NY 11952 for : ADD.& ALTER.TO AN EXISTING SINGLE FAMILY DWELLING & CONSTRUCTION OF A NEW ACCY GARAGE AS APPLIED FOR PER DEC,TRS,SCHD.REPLACES BP# 30878 at premises located at 900 HOLBROOK LA MATTI TUCK County Tax Map No. 473889 Section 113 Block 0006 Lot No. 011 pursuant to application dated JANUARY 2, 2007 and approved by the Building Inspector to expire on JULY Fee $ 2,200.50 3, 2008. ORIGINAL Rev. 5/8/02 08/02/2007 12:48 FAX 6312987132 A&B BONAGURA nUG U~ U/ l~:~lp El.ct~1oal Insp.ctton 63129&&.693 1j!J001 p.l Electrica'Inspection Certificate __ a.Ie 8I2J07 - "'-.-.....IF- 1tDII......OII.Ina.. 375_"- EMt Podo......... _ y_ 11772 cat).. ..12 A..-....nt~" ,~ ,..ued To; SfI..c: VI......; Mr. Bonagura 11 HoRlroak Lane M8ttiIuck Stillion: Block: ZIp: 11962 Lot: Town: SolIIhoId ec...b...h..r. Summit EIeoUk. LIe. #I 35473-E __""'_10 ba 1n..../lll__...__CO'. [, CoIIIIM... I J NY D...... 0 ~ l&I 1.. __ Illl Indoot IXI - n_ rI Hott. IltJ R ddU..... 1-:1 Del...... Iil _ ~ IrIcI FIaor Iil ~ lilI ....,1itI' . 0-.... .--. '-'" _.. '-." SI&~.. Rec._A1.. -- GI'f II r . Ale ,.,. 107 86 104 17 aro 10 Di~fI_11411.. M4l.erfAmps Dt1'w1''''-* 0.- ~~..~ _&..n~.'_ 11208 2 20 2 30 2/508 1 Gas 1r.Kla - 011 ca.. Ch'unal~nr *,,-D" ......, "'n_._tl.-Jl_1lI BIO 11 - Ampt ,.".. UGIOH ,.-.... r_L1&lan CO Dl.:ttt ra 1 300 1 I 1120a 2 Bldg. Permit: . 0CheI' ~....nt -150 amp Miiliiii:Jreiikei Par18l&- .. ...- .- ..fJO amp Subpanelt1-20 -.np Well Disc. -20 amp WeN DlllCJ1-30 -.np Stove DllIC. _ti:.t:!--I ~ Pi lident ..... ~: oa,..'6UUfI II........... _...._.. _II..........: l!IillflQOll7'. ._-.. ,,~. JolIn Mc_.' ~ ~ t.r.... not.......... In 8ft)'....... ...,_... ""Y" a..,", J by their ~.... 31P oq 1: B~L~W1... 6"..b~~ 4- ~"^:1 q~ ~.~, ~'~/<l'f U?~l- r ~ -::It- 3~G.oLJ ~ 0B-02-2007 11:41 SDUTHOLD BUILDING DEPT 16317659502 PAGEl T(YII"l dall, 53095 MOIn Q.j1j P O. 80) 1179 SC.lr,old, New YorK 1 \'071. ~<;,IlHOLK ~ ~ 0<% j$ ~ ~ , .; ~ ;Z:\ ""' ~ '.f + ~ rr. I'a, (5', C 7,co ',' Te!ep:'1:)n<J {:. ~c -',-..~ ~ OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I FIe A T ION Date 'jf-/-o1 Building Permit No, ~~d1 Owner: f')lirbt;A;t 130M Qor/A (please prinf) Plumber: f1/Jrh /o?I' /;tjlj/p, {fie (please p'rint) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumbers signature) Sworn to before me this -E- day of ,/JIIJ"Jf Notary Public. 5vlhl"- 2@,~ County ~e ()(l&p~ ,A/Q~'!i fJJh k jf 'I1'IyiU OERNADETTE L. TAPLIN NOTAIlY PUBLIC 114844893 a\~t. of NfW York R"IWn; :" &uftCllk County COf!lmi&!ion Expiltl" .' -~. 18-- ;V.N ~ 7, 0" James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0243C Date August 29, 2007 THIS CERTIFIES that the first and second-floor additions to the existing dwelling, covered porch, second-floor covered deck, garage, carport, drvwells and gutters At 900 Holbrook Lane, Mattituck, Suffolk County Tax Map # 113-6-11 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 10/26/04 pursuant to which Trnstees Permit #6034Dated 11/17/04 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issned is for first and second-floor additions to the existing dwelling, covered porch, second-floor covered deck. garage. carport, drvwells and gutters. The certificate is issued to ANTHONY & BARBARA BONAGURA owner ofthe aforesaid property. r5<~ Authorized Signature 3~b01;?::- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRlJCnON REMARKS: [ ] ROUGH PLBG. [ ] INSULATION rP(FINAL ~ ~ [ ] FIRE SAFETY INSPECnON [ ] FIRE RESISTANT PENElRAnON , ~ .150 JI ~ \~ . DATE 7--1 {)...--rJ1 INSPECTOR ~~ [ ] ROUGH PLBG. [ ] INSULATION 1>1 FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION I + c4-rYL 3 ~o~ ;7 - TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION ... , ... ~ INSPECTOR ~ ~ DATE '?-~} -07 , 3 di, 09 :z... ~ ~J;)- TOWN OF SOUTHOLD BUILDING DEPT. ~ 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION _STRAPPING ~INAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCT1ON [ ] FIRE RESISTANT PENmAnON REMARKS: .aRl...~~ ~ ~.I ~~ ~ ~ ~ ~'.1-#ll"'- ~' .. ~ .". ,I ,,';., . / ~~,~~j 0411 ~'~~ DATE <{ -1-07 INSPECTOR ~~ 3 ?-001 Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION t><I FRAMING I STRAPPING [] FINAL . ....... [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONS'IRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~ rI- ~ ~ Of;-> DATE 5 ,..?-J - ~7 INSPECTOR ~ ~ L )IJ ? 7 1 Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] ROUGH PLBG. [ [ [ [ REMARKS: -- 7 DATE (-.; /- 0 ~ INSPECTOR ~ ~ 30'1712- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST ()(ROUGH PLBG. k; [ ] FOUNDATION 2ND [] INSULATION R.e ., tXi FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 7 ~ cf- ~ ~ aJ\Z ok, /lI~ ~If' ti::- ~I:~') ^-~~ ~~ l1'-- ~, , DATE 6~~--OS-- INSPECTOR~~ 3Df7%z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION !)<Q FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ;VA- ~ ~ -Q;::. ~ ee -(~ ~ DATE 1- /t:,~tJ5 INSPECTOR ~~ 3ocg7gz:- 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDAT~2ND. '\] INSULATION o FRAMING~] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION , DATE 7/' y ---0 .s- INSPECTOR ~ ~ 3007% :2- NG DEPT. [ ] FO. [ ] FO' ON f PLBG. lTION ~ [ ] FIRI ~FETY INSPECTION REMARKS: JP~. . J ~__ {~ ~~bk q:. ~ ~d~,X ~ ~: DATE (,--;2- 0..) INSPECTOR 4v,~ 30 'l7f 7- 765.1802 BUILDING DEPT. I NSP.I/\ECTION J1 Dj) /j /o~ UNDATION 1 ST [] ROUGH PLBG. [)4: FOUNDATION 2ND [] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: I ~ r:f ~ ~ o(c #- , ,'Ok ~~, ( DATE s- ~ -- oS INSPECTOR ~ ffiM-- 30 l7'l Z 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND 1;4 FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION REMARKS: c ..- O~ / '/\..th) ~-r;t fA- f \ " DATE +~/; - DS INSPECTOR ~.~ po F:7 t z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPEC ON ( ~-~ GI11\/tGC' oA/L- Y ~ FOUNDATION 1 ST [] R GH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION 14- okJ J2-e-e{. , , DATE 3 -31-oS INSPECTOR~~ 3 :>-w4 ~Ias Hynes From: Sent: To: SUbject: Attachments: Douglas Hynes Tuesday, September 04, 2007 3:55 PM 'Mike.Verity@town.southold.ny.us' Bonagura Residence BP# 13609 Bonagura 33.jpg; Bonagura Kitchen Removal Detail (9-4-07).docx Mr. Verity- Thank you for taking the time to meet with me today about the second kitchen at the Bonagura Residence (BP# ~~pq I am attaching an image of the kitchen removal detail, four signed and sealed copies of which are being overnighted to you today. I am also attaching a photograph of the kitchen to be removed. All appliances will be removed, including the refrigerator, dishwasher and stove/oven. You will note that we would like to retain the island structure, primarily because it is finished in tile which cannot be saved in the removal process. Moreover, the kitchen floor is tiled and the removal of the island will create an opening in the tile that cannot readily be matched. We do provide for the removal of the electric stove and oven in the island and trust that these arrangements will meet with your favorable consideration. Thank you for your assistance in this matter. Doug Hynes " Douglas J. Hynes Managing Partner Design Development Group LLC Yarmouth Development LLC 4875 Sunrise Highway Suite 301 Bohemia, New York 11716 Phone Number 631-750-2944 Fax Number 631-589-4260 dh@desdevel.com Please visit our website at www.desdevel.com. 1 I i)-~- \ 'i ,. .. FIELD INSPECTION REPORT DATE . COMMENTS " . I 3-.3/-0 - )~ T".... AI rr' GLYP &LG.p (~-cn{( I~ ;;: oil! LY L<I... oA, 0 k-tt- 7E- r //#, "t'/ ~ ~ I no~ V .d 1/ ~ ..'" A V 0 O\::J ffi,/. I ~.~ ~'" . _________.l.~________m__________ 1/.. //'''-Vr fA'" . ~. ./ 7' --' './ / ,. :~ 5-').-0 - /.4; J-- -"f 11 ,r)fl fi ti1F ~ '. ___ ,..,..... 7 ?I. ~____ ./'/7 -L/Ll FouNDATION (2ND) y- o d)l'''kl7-..IC#''ff~ " " v Z (J- ~CNL.-- ~~ '../- ---J '1- flJ -S '7" A .dO f ~_ t2..., /'l-A--' ./ .... ~ --' ~ " I (F' r",~-tJ k- ~' ~ l f7 .o-fl- .0, ~-7~.-A-t .'- 1" +--cr,,'~'.l/ (j rJl ..., /" I.. ) 1'A-/lJk ~ '--? - . n - -. [;; d / ~ ~ K ~.L.- /1..PA7.... ../ -';7"< ';'., ~~ '1--'1: ~ .J'-: '-;4 A ~ ~,'.J'..AT'\ IJTl ,7 A f) l4- ~ 5Jl)f- ~ ~-Ib- "0 A..IDAfJ~~ ~ "Vdd er ~;.... 'tr~ .~ }(Ih"'-'O fL. ~ .1''''' "'" '- i:Q.. ~-k~--.. b. 8 ~ <J-~-~ P ',,,,/I 0 "~,).. '.fn.l. I. L....-L- ~"o~.. ^ ;;, jo{~ ~A ~ -~..... u::. '"... .L. . 1'-';.1: nA_ ..J....I ()\-- ~ r v ,':--27' ~L?Li '? ~ ~ I<t;....~/,/u ArlUA RPr -h::..., " 1l~/h <; ""-hI /' ~A -/' f> ~ 3 INSULATIONPERN. Y. 11.-/ ".J)^ __ .! ~ STATE ENERGY CODE A . ^ ....1-<. J j /" - r //.....~ \ .. P -;:I!z:;:;.. j f ~ 0 ~. ...--<~~p Q .----- __~j? J:l, 5-J,1-o" ~ VA V~ .tr._rr.~ ~~I~V ~ ,1 'l-I-01 /-'1t.AI AVJlO 1. ~ 7:.o~ Au \1J IAro ~--\ . . _._ "".. 0- A'I-r~ ~ ,0 l: It.OJ-:. ~ PAY. _ ---' 'J _ ~i'>. /truid "".. ~. 1 .~- ",'A,1/, . ~ .~ ~l- ~,.. Lr - rI- !3o~-I\. \U'j/ ~_,(f;.r. / If /J... IJ P: 'V A'" -' {//~JP\ -----w:!; ." ... fJ ('\" ~kPo ~ ~P' ~ 1"1>... P v~, 6?7 I '-- FOUNDATION (1ST) ~~ / -' \t~ r----. ~ ! ROUGH FRAMING & PLUMBING . ,,,,~(;:,;:' t" FINAL - AIJ 0 [, " ^ v- ~ V 'A ADDmONAL COMMEN:l:..S~ dLP -4. ~ /. /... ,~.L. '> /A -/'j/ .//"'i' . -/ / . / ' V ' ~ , I . (,^'21l (J~, o,rr t: 3 ,r'IA,Q AI) I L{/ 7. ~.T 17-. '< .~!3-f)~\ y~ P /J"'...J ~'" 1Tl,A,-'A .fI. - .. OJ-?' Ltt-4. ~\.)J . I~'V ,,\ IAU U Q rt - ,.[)"'" 'l-~-()'" J...i;.'-d_ E{//".-r...../~., .!9 '), 1 'f.. ;;t.-.B,,;{ 110./1 >() (~ " q I~ /~.,,-d-3 "lJ /)\ t:zF1 1/1.- L '-Y- ~ , -L ~. 'f-....J<n -?rJL.m. 't-. :1'" I~. " ~ \ t-': _fJ l'.. _ .~ oA ~fl..v,:;'" /l ~~ "7 t.....h-I\.1 ~Dt!,...",\A' ,,'~rl.u fJ)f, C~r-7l, ~jVo II J (I v ;t u U r ~ ~I @ :D ._~ .t'l \~~ --.J --....:::... " ~ 0J . ~~, (1\ =: t'l ;>>- t'" ..., =: o i'l .. ~ ~- r,r," . ,.c LAND SEAS. " IMP. ~3.JJ ~ (.00 / 1-6-0 ,3 ~~ NEVt FAR)' NORMAL Acre Tillable 1 Tillable 2 fillable 3 Noodland ;wampland 3rushland "louse Plot , ~- rota I -- .~_~.o.. __."_,- - ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET 00 ffolbrook. La:.- 1t1~~ N AI-/? ~.~ e:'u1~ S }1t~~ 4. ~ / / L~-f) VILLAGE DIST. SUB. LOT /)J:iSC~IIJFD ACR. I Y'V IJ-& TYPE OF BUILDING "'-', *\..~Vl---..t- VL. FARM COMM. CB. MISe. Mkt. Value TOTAL DATE REMARKS BELOW f ABOVE t-\ Value Per Acre Value <6 -~ ,8\, A- €. c.)'<;J r/t~ +-~c{ \B7() ~ ~ /477J - FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD . 'I.' u. (. ~"}..;: /. 162 of) DOCK - ... .- r , .L = ~- ~ e..t~ Elrnl/lSjM . I 61. "'- '{I. ~ ,01-V \ . c.... ~ \'.~., , P" ,. I 'l.~fI)OL<:" t-~_ '.L' .' \ J.; COLOR 11 a..7.J ~ ' lI\lM t{/ It t-:-, L i """1' ~ .t , 1<- J)/ .0{ c..' \ / ~ Dinette ~/}. K. ILA; 4.1 LR. o/.ltV DR. BR. . FIN. B. -I' -..- l'il . I, t J:"' I iJYd').:. _,j?' 11 [) 'i Lc( - ..5 CJ.-O "-' X X 2-'~ - ,,; ~.. 7~ ~ 3!..:.- J 2. 't 0 Foundation t 3 ~ )..:z- 751 Ext\ WaU, av.. V ~ Bath "h.o Floors 'lI ;: J~ e q,X Interior Finish " j) 9)( 3 r - 3eJ i:' ~ 'en- /~:x ~S-, .J." /J .. 7'7 z-. .~ ~ ~ -:.. fAll I~~ jib J / ~~ / Fir. Plac. I ~ Heat I Q'1 ~ ~ c.." 1. J, Rooms 1st Floor ,..,' ~. j RKNCltlon Room Rooms 2nd Floor I .i......f ~ ~i9 @, ~: ~ ~ ~, -.:;;> s I' 6 r .r~ /~ , :: ., . A" J..If'~,;/ 377"6 .r-" "--.1 r--\ \, ) ) , -"1 ," ."'" .......; " .' . TOWN QF,SOUTHOLD BillLDThGDEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX; (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. ,~() g-- :rP-- 2:- BillLDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health ./ 4 sets of Building Plans ,/ Planning Board approval Survey ,/ Check Septic Form N.Y.S.D.E.C. Trustees Contact: ~ Examined Approved Disapproved ale - 20 I 20~ Expiration Iv ?/ ,20 ---~---~.-. ..---... /,./. Mail to: '1"~:1. P........ ,.+04 /5'$1" s..... ilL\< llw..... J.tOf Sloto~ J.J'i ) '\7D' Phone{UI 665'" -t$OO .l< \ ~ -..........- . p' - I APPLICATION FOR BmLDING YEKMll i DEe 2 9 LUU4 L . INSTRUCTIONS Date .JUL.l. ':l"t 2004- a. This applICation Mt)ST~leteIY 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. PIo.t plan showil)g location, of lot and of buildings on premises, relationship to adjoining premises or public streets or . ' areas, and waterways.' . c, e. The work covered by this ap,plication 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','Vit\1in 18 months from such date~ Ifno zoning amendments or other regulations affecting the propertY have.been enacted in the interi"" t~ Building,InspeCfor 'may authori~, in writillg, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. ' APPLICA nON IS HEREBY MADE to'llKi 13uilding 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 forremoval 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. .Dos (".,J 1:> ..">J~..o"" tfY'4 -r-. c.. '- C ijY: 1l- r~ . A-IA (Signature bf applicant or name, if a corporation) . , ~S5" S.vN.....IS~ ~ (Mailing address of ap lieanl) Slcte.t:J1 IlIO"" State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder "'" CI~1 ,..e.c-t"" Name of owner of premises A.N"f;\l.a.J'f &""p.c.:>ul2-1'-. 1- ~A~P")l-"""" BoN""GrV12-A (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer ~IA (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 'J.,?"07L1 -H -rt?lD ,.,..-e.D -rBD I. Location of land on which proposed work will be done: q 00 l-1o\bf...oo\L- ~ House Number Street rY)/l.,.-r I T..,dL. Hamlet County Tax Map No. 1000 Section Subdivision !'JIlt (Name) 113 Block (p Lot II Filed Map No.~Lot rJllr . '. , 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: " a, EXistinguseandoccupancy_(I('2-~.- f2.c:S~ b. Intended use and occupancy '2. ~ ~ f.cS\d.<V'/'\~1",^' 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition / Other Work Alteration ........- 4. EstimatedCost_$ 35'0 , 000 (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars '2- (To be paid on filing this application) Number of dwelling units on each floor 6, If business, commercial or mixed occupancy, specify nature and extent of each type of use. /-.I//:>. 7. Dimensions of existing structures, if any: Front 2 3 ~ 0 .. Height 2. c> I _ .. ,. Number of Stories I y~ Dimensions of same structure with alterations or additions: Front lJ(, '- 0 ~ Depth fl.'" I - 7. Height 3 2'- .. · Numberof Stories . . 25 - 0 I . Depth 11-,) - 0 Rear Rear 2.. , . 30 -3 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front 101 Rear , 'l1of.<f5 Depth 330 {€ItSr) 33C:.1o:S"(~) , 1'0. Date of Purchase 3- 'j?-o I Name of Former Owner ....~~ a~1I.A (D"-' co-. p"",_ '''''''I, F..."'.'" Gt:~P v>t)ot>) I I. Zone or use district in which premises are situated t:.. -~sl~ ~<<#-t<lUl+"if-.o\J\. 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/ ~ Po Bo)< 66f '100 Ha-G'<oolc.. ~E' ] 4. Names of Owner of premisesB--wo... ~.. Address.eLA-TI1:IJ.>_,* J I'lS2 Phone No. 2::li-1/ ~.-'--- Name of Architect -r~s J. t'l1"-1<(... Address ~S' s.u....l'-Me ~J'hone No "''al- '-<OS"- S"oo Name of Contractor CDA-S.T '"' ....-.. Address _ ~"""i' ~one No. JI:Z:it - 3S~ c......11l'lCll",....... ~ UD C>Cli"_~:.t; II ?:FI. 15 a. Is this property within ] 00 feet of a tidal wetland or a fres~terw~d? "YES ~ NO _ *' IF YES, SOUFHOLD TOWN TRUS,TEES & D.E.C. PERMITS MAYBE REQUIRED. b. Is this property within 300 feet ofa tidal wetland? " YES~ NO_ " IF YES, D.E.C. PERMITS MAY BE REQUIRED. ]6. Provide survey, to scale, with accurate foundation plan and distances to property lines.. ] 7. If elevation at any point on property is at ]0 feet or below, must provide topographical data on survey. STATE OF NEW YORK) , SS: COUNTY OF j'.>~) --nlc,Vl1boS: . J. 8lP-\<:.l.... being duly swom, deposes and saysthat (s )he is the applicant (Name of individual signing contract) above named, '.. . (,8')Heisthe }I.,,~~(~ (~~) (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. 20~ 1t- {fl1f Signature of Applicant " New York State Department of Environmental Conservation Division of Environmental Permits Building 40 - SUNY, Stony Brook, NY 11790-2356 Telephone /6311444-0404 Facsimile 16311444-0360 Website: www.dec.state.ny.us .. ..... ~ Erin M. Crotty Commissioner December 6, 2004 Anthony &Barbara Bonagura P.O. Box 661 Mattituck, NY 11952-0661 RE: 1-4738-03402/00001 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. . Sincerely, {ll~ tJ~ Claire K. Werner Environmental Analyst CKW/ls NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER 1-4738-03402/00001 FACILITY/PROGRAM NUMBER(S) . PERMIT EFFECTIVE DATE December 6, 2004 EXPIRATION DATE(S) Under the Environmental Conservation Law December 6, 2009 TYPE OF PERMIT. New 0 Renewal 0 Modification. Permij to Construct 0 Permit to Operate o Article 15, Title 5: Protection of Waters o Article 17, Titles 7, 8: SPDES o Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management o Article 34: Coastal Erosion Management o Article 15, Title 15: Water Supply o Article 15, Title 15: Water Transport o Article 15, Title 15: Long Island Wells o Article 15, Title 27: Wild, Scenic and Recreational Rivers o Article 19: Air Pollution Control o Article 23, Title 27: Mined Land Reclamation o Article 36: Floodplain Management o Article 24: Freshwater Wetlands . Article 25: Tidal Wetlands o Articles 1, 3, 17, 19, 27,37; 6NYCRR 380: Radiation Control o 6NYCRR 608: Water Quality Certifica- o Article 27, Title 7; 6NYCRR 360: tion Solid Waste ManaQement PERMIT ISSUED TO TELEPHONE NUMBER Anthony & Barbara Bonagura (631) 298-7132 ADDRESS OF PERMITTEE P.O. Box 661, Mattituck, NY 11952-0661 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER DesiQn Development LLC, 1555 Sunrise HiQhway, Suite 7, Bay Shore, NY 11706 (631) 665-9500 NAME AND ADDRESS OF PROJECT/FACILITY Bonaaura orooerlY, 900 Holbrook Lane, Mattituck SCTM #1000-113-6-11 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Mattituck Creek DESCRIPTION OF AUTHORIZED ACTIVITY: Remove existing deck, construct first and second story addition, porches and deck to existing single family dwelling, abandon existing septic system and install new septic system, install driveway and construct garage. All work must be done in accordance with the attached plans stamped NYSDEC approved on 12/6/04. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Mark Carrara (CKW) Region 1 Headquarters, Bldg. #40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE /~ DATE December 6, 2004 Page 1 of 4 , NEW YORK STATE OEPARTMENT OF ENVIRONMENTAL CONSERVATION - SPECIAL CONDITIONS 1. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas. 2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity . 4. All areas of soil disturbance resulting from this project shall be stabilized immediately following project completion or prior to permit expiration, whichever comes first. The approved methodologies are as follows: a. Stabilization of the entire disturbed area with appropriate vegetation (grasses, etc.). 5. The storage of construction equipment and materials shall be confined to landward of the house. 6. Necessary erosion control measures I.e., haybales, silt fencing, etc. are to be placed on the downSlope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good condition until thick vegetative cover is established. 7. Roof runoff shall be directed to drywells a minimum of 100 feet landward of the tidal wetland boundary for immediate on-site recharge. 8. To protect the values of the tidal wetlands, a'permanent v'egetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 50 linear feet landward of the tidal wetland boundary. OEC PERMIT NUMBER PAGE20f4 1-4738-03402/00001 NEW YORK STATE DEPARlMENT OF ENVIRONMENTAL CONSERVATION .' ADDITIONAL GENERAL CONDITIONS FOR ARTICLES .15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) 1. If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove oralterthe structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. 4. All necessary precautions shall be taken to preclude contamination of any wetland orwafeiway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 8. If granted under6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies thatthe subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of tihe Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 9. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plan was prepared by Thomas J. Pirkl dated 7/8/04, last revised on 12/3/04. DEC PERMIT NUMBER PAGE30f4 1-4738-03402/00001 , . NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION . NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the. extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under article 78 of the New York Civil Practice laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The penT/ittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The penT/ittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the penT/ittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonablet!our~ <lnd jnt~O'-alS by an authorized representative of the Department of Environmental Conservation (tile Department) to detenT/ine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to Eel 71-0301 and SAPA 401 (3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this penT/it, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: . Relationship of this Pennit to Other Department Orders and Detenninations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renew;;!l, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of penT/its for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook NY 11790-2356 General Condition 4: Penn It Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in aCCOrdance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation law or regulations of the Department related to the permitted activity. DEC PERMIT NUMBER PAGE 4 OF 4 1-4738-03402/00001 f . ,~ Board Of SoutholdTown Trustees SOUTHOLD, NEW YORK PERMIT NO. .. <0.03"1:.. DATE: ..1.L/I!/o.1...... ANTHONY & BARBARA BONAGURA ISSUED TO .........................................0.................................. ............................. ........... Aut4nrilatinlt Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893: and Chapter 404 of the Laws of the . State of New Yo,"" 1952: and the Southold ToWn Ordinance en. tHled.''REeULAl1NGANDTHEPLAClNG OfOBSTRUCIIONS IN AND ON TOWN WATERS AND PUBLIC LANDS ane/the REMOVAL OF SAND, GRAVEL OR OTHER MATERIAI.S..f.iOM LANDS .UNDER TOWN WATERS:::. and in accordance wifhthe Resolution of The Board adopted at a meeting held on .N.IJ..',!L.H...... . 2.~.q.1.., and in c~slderation of the sum of $..??.O'.:..O'.O'....... paid by .. .An5;n..Q.1J.!i....L!i.MQg&(+"'.!!Ql.tlI9.(!J@........................................_.......~..........,......... of ............M.~g.k.._.......n........:............... N. Y. and. subject to the Terms and Conditions hsted on the reverse side hereof, of Southold Town' Trustees authorixes and permits the fGlowlno: WeUand Permit to oonsbuct first and second floor additions to the existing dwelling, cut back exlsUng porch, oonstruct new oovered porch, new seoond..floor oovered deck, new frame and brick garage, new oovered carport, all with the oondlUon drywalls and gutters are Installed to oontaln the roof run. off, and as deplcted on the plan prepared by Thomas J. Pirkl last dated October 25, 2004. The seaward half of the existing rear yard deck must be removed. or remove the entire deck. aB . in aCcordance ..mh the detailed specifications as fl"'$8nted in . the originating appIicetIon. . IN WITNESS WHEREOF, The said Board Of Trustees lIMe. by causes its ~at~ Seal to be affIXed, alli:l these presents to be subsorlbed by a malorlty of the saki Board .as of this dat,e. . . . . . . PERMIT NO. '10f:':ff 2:-- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health ./ 4 sets of Building Plans ,/ Planning Board approval Survey ,/ Cheek Septic Form N.Y.S.D.E.C. Trustees Contact: TOWN OF.SOUTHOLD BUlLDIM; DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ Expiration ? /'-1 I ~ -- Examined Approved Disapproved ale / / Mail to: "f"~:1. P......... ,k!... ISS~ S".. A.\C ~1'11 ."'fS""AE' 1>J'i 11'0' Phone:(UI) (,65' ~'j'OO )< 13 ,20 r I I. APPLICATION FOR BUILDING PERMIT DEe 2 9 D..,'V:; Date JUL." ?"t , 2004- L '. . INSTRUCTIONS a. This' appli.cation MI)S'fb< <eJ,letely 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. Ifno zoning amendments or other regulations affecting the property have.been enacted in the interim, the. Buildinglnspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE t01Re 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. .D.!".51 jj>tJ J) ..""......0 pn...... -r. '-... (. ~y: IL- r~ . A-IA (Signature ~f apphcant or name, If a corporatIOn) , / ~S'5 SUNI'-l~<<:.. \lu., (Mailing address of ap lieant) Sl-ou:.~ 11IOCP State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder lI-f'('J!I't'~cT" Name of owner of premises f:>..,t-J'\~1 &:'N,..cou/Z-I'- +- 2>..U,e,,..,......... (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer r->IA (Name and title of corporate officer) BON-'t G-->~A Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. J.,'LO 74 - H -rGi) ..,e,.D --rBD I. Location of land on which proposed work will be done: 900 1lo\6f....oo\L- ~ House Number Street rYl",""'I\udL. Hamlet County Tax Map No. 1000 Section Subdivision i'llA' (Name) 113 Block (0 Lot II FiledMapNo.~Lot ,Jlk . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: t a. Existing use and occupancy ( I ('2- ~ . - 14c:s ~ b. Intended use and occupancy '2. ~ - j1.c.$icluw\*i"",,^' 3. Nature of work (check which applicable): New Building Addition ~ Alteration""'" Repair Removal Demolition Other Work (Description) 4. Estimated Cost_~ .3 5""0 , 000 Fee 5. If dwelling, number of dwelling units if garage, number of cars 1. (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specifY nature and extent of each type of use. jJ It>. 7. Dimensions of existing structures, if any: Front 2 3 ~ 0 .. Height 20 I _ 0 ,. Number of Stories I :t~ Dimensions of same structure with alterations or additions: Front lib'- o. Depth 1'><.('- 1" Height 311- D . NumberofStories Rear . . 25 - 0 / . Depth IJ.J - 0 Rear z.. Depth . " 30 -3 8. Dimensions of entire new construction: Front Height Number of Stories Rear 9. Size oflot: Front /01 Rear , <J if'~~ Depth 330 (€/tW) 33(;.2.~'(~") 10. Date of Purchase :S-<;?-ol Name of Former Owner A-"""'~ G~JtA (DILtG-' F"""'_ 1'1'11 FA.~M G-e-j'U1...P v.>""c:>) \1. Zone or use district in which premises are situated ~ -~sl~ ~t&4-tClU\-t.., ~\ . 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 ,...-/ ~ Po [3.0)< 66( 11 00 Ht:X-(3.-(C01c.. L-~e ] 4. Names of Owner of premises&-w..., ~"'f" Address.p!k7::"[J:r::I)_~ J 1'l2L-Phone No. ~ . 7!.:J L. Name of Architect 'f~s. J. f'il"-I'-L- Address (SS's- s.ul"lL.tse ~Yhone No lQ'ill- "loS"- SOD Name of Contractor C"~T T'P _.. Address ~ ~ I'-''{. ~one No. $/ Z:it - 355" c.."''Ot'lClrI.l''C>. :t:fK.. z., D O~_~ ~~ , I ? ~ &. \5 a. Is this property within \ 00 feet of a tidal wetland or a fres~te'{w~d? 'YES ~ NO ~ 'IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? ' YES ~ NO_ , IF YES, D.E.C. PERMITS MAY BE REQUIRED. . \6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at \0 feet or below. must provide topographical data on survey. ST ATE OF NEW YORK) SS: COUNTY OF S..>m-) 1\.!c;.v\1t..<; .' J. ~\?\<:-L. being duly sworn, deposes and says that (s )he is the applicant (Name of individual signing contract) above named. . (.8')He is the J>p .~~(~ (~""*) (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. 20~ 1t.- {~ Signature of Applicant Notary Public "", 7' <1A- .L'.~..v... iit#.'V hl,( OW" (T ~":J::" fi)wl/i in ~ LLV"I . ~. /I~tnf)foI)1.J3'1/ f.iiNn. ~. V/p1/ f~ r Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code RES check Software Version 3.5 Release I Data filename: Untitled.rck TITLE: BONABURA RESIDENCE COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric DATE: 07/30/04 DATE OF PLANS: 070804 PROJECT INFORMATION: BONAGURA RESIDENCE 900 HOLBROOK ROAD MATTlTUCK, N.Y. COMPANY INFORMATION: DESIGN DEVELOPMENT 1555 SUNRISE HIGHWAY BA YSHORE N.Y. I 1706 COMPLIANCE: Passes Maximum UA ~ 814 Your Home UA = 786 3.4% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-VaIue R-Value U-Factor UA Ceiling I: Flat Ceiling or Scissor Truss 2605 19.0 0.0 133 Wall I: Wood Frame, 16" o.c. 4556 15.0 0.0 305 Window I: Wood Frame:Double Pane 433 0.340 147 Door I : Glass 160 0.340 54 Floor I: All-Wood JoistlTruss:Over Unconditioned Space 3129 19.0 0.0 147 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best ofhislher knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. Builder/Designer ~(2...P Date 7-30-0{. REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release I DA TE: 07/30104 TITLE: BONABURA RESIDENCE Bldg. Dept. Use Ceilings: [] 1. Ceiling I: Flat Ceiling or Scissor Truss, R-19.0 cavity insulation Comments: Above-Grade Walls: [] 1. Wall I: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: Windows: [] I. Window I: Wood Frame:Double Pane, U-factor: 0.340 For windows without labeled U-factors, describe features: # Panes~ Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: [] I. Door I: Glass, U-factor: 0.340 Comments: Floors: [] I. Floor I: All-Wood JoistlTruss:Over Unconditioned Space, R-19.0 cavity insulation Comments: Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be I) Type IC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: [] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: Materials and equipment must be installed in accordance with the manufacturer's installation instructions. Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in unconditioned attics or outside the building must be insulated to R-8. Return ducts in unconditioned attics or outside the building must be insulated to R-4. Supply ducts in unconditioned spaces must be insulated to R-8. Return ducts in unconditioned spaces (except basements) must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Coustructiou: All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not pennitted. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pal. Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. Cooling ducts with exterior insulation must be covered with a vapor retarder. Air filters are required in the return air system. The HV AC system must provide a means for balancing air and water systems. Temperature Controls: Each dwelling unit has at lesat one thennostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: Separate electric meters are required for each dwelling unit. Fireplaces: Fireplaces must be installed with tight fitting non-combustible fireplace doors. Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State, the Residential Code afNew York State or the New York City Building Code, as applicable. Service Water Heating: Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. Insulate circulating hot water pipes to the levels in Table I. Circulating Hot Water Systems: Insulate circulating hot water pipes to the levels in Table I. Swimming Pools: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: HV AC piping conveying fluids above 105 "F or chilled fluids below 55 "F must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Up to 111 Up to 1.25" 1.5" to 2.0" Over 21! 0.5 1.0 1.5 2.0 0.5 0.5 1.0 1.5 0.5 0.5 0.5 1.0 Heated Water Temperature ( F) 170-180 140-160 100-130 Table 2: Minimum Insulation Thicknessfor HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range (F) 2" Runouts I" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low PressurelT emperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant, and Brine 201-250 1.0 1.5 1.5 2.0 120-200 0.5 1.0 1.0 1.5 Any 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) 0f='F 1'-& - ~/ff ~8-D U~)IJE1fL-1AVtv1G~.n- ~t~LAub ( . r APP 0 ED ~ S NOTED DATE: / '6""- 5P # ~7r::t' F - Jg BY: ~ (I JP/Z- t. - cy BUILDING DEPARHAENT AT 76, 1802 8 AM TO 4 PM ~OR THE W cOWING INSPECT lor,s 1. FOUNDATION. TWO REQUIRED FOR POURED CONCRETE 2. ROUGH. FRAMING & PLUMBING 3. INSULATION 4. FINAL . CON~TSUCTION MUST BE COMPLETE "OR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. PLUMBER CERTIFICA TION ON LEAD CONTENT BEFORE CERTIFlCA TE OF OCCUPANCY SOLDER USED IN WA TER SUPPL Y SYSTEM CANNOT EXCEED 2/10 OF 1% LEAD. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UNDERWRITERS CERTIFICATE REQUIRED -- COMPLY WITH All CODES OF NEW YORK STATE & TOWN CODES AS REQuiRED AND CONDITIONS OF SOI..TU:)i,"~ "OWN ZSA SOc'. _ ' ?L'~NING BOARD SOL - M0'_W TOWN TRUSTEES N.Y.S DEe /1 7 y' ~ /2-/6/'1 . FLOOD ZONE tJ/A COMPLY WITH CHAPTER" 46" FLOOD DAMAGE PREVENTION SOUTHOLD TOWN CODE. ME~L~HCE~:6RUCTlON SHALL CODES OF N~~~~~~T;T~~iHE CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. PLUMBING ALL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING RETAIN STORM WATER RUNOFF PURSUANT TO SECTION 45-10C OF THE TOWN CODE. DO NOT PROCEED WITH FRAMING UNTIL SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED. .. , , Pennit Number REScheck Compliance Certificate New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release I Data filename: Untitled.rck Checked By/Date TITLE: BONABURA RESIDENCE COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric DATE: 07/30/04 DATE OF PLANS: 070804 PROJECT INFORMATION: BONAGURA RESIDENCE 900 HOLBROOK ROAD MATTITUCK, N.Y. COMPANY INFORMATION: DESIGN DEVELOPMENT 1555 SUNRISE HIGHWAY BAY SHORE N.Y. 11706 COMPLIANCE: Passes Maximum UA ~ 814 Your Home UA ~ 786 3.4% Better Than Code (U A) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling I: Flat Ceiling or Scissor Truss 2605 19.0 0.0 133 Wall!: Wood Frame, 16" O.c. 4556 15.0 0.0 305 Window 1: Wood Frame:Double Pane 433 0.340 147 Door I: Glass 160 0.340 54 Floor I: All-Wood JoistlTruss:Over Unconditioned Space 3129 19.0 0.0 147 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this pennit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best of his /her knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. BUilder/DeSigner~S J.PtP-l'L Date~ ". 'REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release I DATE: 07/30/04 TITLE: BONABURA RESIDENCE Bldg. Dept. Use Ceilings: [] 1. Ceiling I: Flat Ceiling or Scissor Truss, R-19.0 cavity insulation Comments: Above-Grade Walls: [] 1. Wall I : Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: Windows: [] I. Window I: Wood Frame:Double Pane, U-factor: 0.340 For windows without labeled U-factors, describe features: # Panes_ Frame Type Thennal Break? [ ] Yes [ ] No Comments: Doors: [] I. Door 1: Glass, U-factor: 0.340 Comments: Floors: [] 1. Floor I: All-Wood JoistlTruss:Over Unconditioned Space, R-19.0 cavity insulation Comments: Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be I) Type IC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a 3 n clearance from insulation. Vapor Retarder: [] Required on the wann-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: Materials and equipment must be installed in accordance with the manufacturer's installation instructions. Materials and equipment must be identified so that compliance can be detennined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in unconditioned attics or outside the building must be insulated to R-8. Return ducts in unconditioned attics or outside the building must be insulated to R-4. Supply ducts in unconditioned spaces must be insulated to R-8. Return ducts in unconditioned spaces (except basements) must be insulated to R-2. " . Insulation is not required on return ducts in basements. Duct Coustructiou: All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pal. Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. Cooling ducts with exterior insulation must be covered with a vapor retarder. Air filters are required in the return air system. The HV AC system must provide a means for balancing air and water systems. Temperature Controls: Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: Separate electric meters are required for each dwelling unit. [ 1 t ] Fireplaces: Fireplaces must be installed with tight fitting non-combustible fireplace doors. , Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State, the Residential Code of New York State or the New York City Building Code, as applicable. Service Water Heating: Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. Insulate circulating hot water pipes to the levels in Table I. Circulating Hot Water Systems: [] Insulate circulating hot water pipes to the levels in Table I. Swimming Pools: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: HV AC piping conveying fluids above J 05 "F or chilled fluids below 55 "F must be insulated to the levels in Table 2. . e, Heated Water Temperature ( F) 170-180 140-160 100-130 Table 1: Minimum Insulation Thickness/or Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Up to 111 Up to J .25" 1.5" to 2.0" Over 2" 0.5 1.0 1.5 2.0 0.5 0.5 1.0 1.5 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness/or HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range ( F) 2" Runouts I" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/T emperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, RetTigerant, and Brine 201-250 1.0 1.5 1.5 2.0 120-200 0.5 1.0 1.0 1.5 Any 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) " " , /' '" I / ? ) , " G) DW TO BE REMOVED AND PLUMBING CAPPED AT FLOOR LEVEL. <Zl REFRIGERATOR TO BE REMOVED AND ANY PLUMBING TO BE CAPPED BELOW FINISHED FLOOR. Q) ELECTRIC STOVE AND OVEN TO BE REMOVED (TILED COUNTER TOP ISLAND TO REMAIN). -I @EXISTlNG TILED COUNTER TOP, SINK AND CABINETRY TO REMAIN. 1/ - ~ - ~ 'Ar- "'-' "'-~ , r=1 '"":'\ 711- V DETAIL FOR REMOVAL OF KITCHENl IN ORIGINAL PORTION OF DWELlNG ~ ~IT v- '\ '""" r\ < a ~ ~ ~ 1. D R @ ~ a:: '" G) z DW 0 EXISTING l ~ Dj KI TCHEN ~ '-- ) ^ I / <Z> REF < - t; _./ .IILJ ","fJ\[D ARC ,,\'3 _;-;-_,.""1,. Q;.~ ~\"s J. p/"i1" f~ "J~~\ \ \\~. ~.;~,; }J'.'/ ~/- ~~C:71.'2.~.c+.._ . "':"'~ ~"----- .o~ r<-- 'Or....~..... ( ~~~ 5 - , ~ zl~ a -I 1 rev I dale description :5[ by .ESIGN DEVEWPMENT 1555 Sunrise Highway Bay Shore, New York 11706 Tel: 631.665.9500 Fax: 631.665,6358 THOMAS JOSEPH PIRKL, A.I.A. ARCHITECT. lh...pIonon....._lol.....-"'lW!4I1';lh.II'''''..l'.I'''. '-dI;I..ll"frio_j,oiI...lII'no<ut...t.Ih<I,....tllt"'loll~. '0'0, c...lrad.._,.;I,..lioIf'OfIdo';",.otI/I_.........~. _,_~.!otliol<lfil"'~J.~_UI,oI...... lbo _I..t.._n.liobilitrlaf"."."".......t._'" "'",._lItId~t......d/"'oddItioo....'od<>'l~m..b II'omI1'l....iI;.,.._ Pro~t II If IIII'. III MA rTIrucK NY Orowinq FIRST FLOOR PLAN IXQle AS SHOWN rawn 1:1)' .,_ [Date 070804 pftkea t1y lJ.P. fO,IKt' 04-030 !5h..1 4 or 8 (owing' A-1 Date: 01/21/05 Transaction(s): 1 1 Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Septic Permit - Construct - Resid. Reference 3426 Subtotal $10.00 Cash $10.00 Bonagura, Barbara 900 Holbrook Lane Po Box 661 Matlltuck, NY 11952 Clerk ID: BONNIED Name: Total Paid: IntemallD: 3426