HomeMy WebLinkAbout32350-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-32672
Date: 10/15/07
THIS CERTIFIES that the building
NEW DWELLING
Location of Property: 900 SOUND
(HOUSE NO.)
County Tax Map No. 473889 Section 120
AVE
(STREET)
Block 3
MATTITUCK
(HAMLET)
Lot 4
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
AUGUST 19, 2006 pursuant to which
Building Pennit No. 323S0-Z
dated SEPTEMBER 11, 2006
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 ATTACHED WOOD DECK AS APPLIED FOR.
The certificate is issued to HARBES FARM RIVERHEAD EAST LLC
(OWNER)
of the aforesaid building.
10/01/07
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-06-0003
ELECTRICAL CERTIFICATE NO.
7369
04/19/07
07/13/07 BRETT SINCLAIR PLUMBING
PLUMBERS CERTIFICATION DATED
/Je.::t,::e!:::
Rev. 1/81
.
~y
Form No.6
TOWN OF SOUTHOLD c' 'c ~
BUILDING DEP ARTME ': \ I . \ .J~'
TOWN HALL ~'J \
765-1802 \ y,
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APPLICATION FOR CERTIFICATE OF OCCUPANCY \ l--;.-.,~~.C?~~.9~c'!--'
This application must be filled in by typewriter or ink and submitted to the Building Departmenfuy~1rowing:
A. For new building or new use:
./ I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
11, Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
pproval of electrical installation from Board of Fire Underwriters.
Sworn statement from plumber certifying lhat the solder used in system contains less than 2/10 of I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for Ihe building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy
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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 ofCertificale of Occupancy - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.~\ II \ () 1
New Construction:,/' Old or Pre-existing Building:
LocationofProperty:.-9DO So",~ 4,,~
House No. Street
Owner or Owners of Property: E'dUJ~ W. ~b e..s :rrr
Suffolk County Tax Map No 1000, Section _\ 2 C) Block ~
(check one)
Nlo...tt.:W
Hamlet
Lot
4
Subdivision
Permit No. 3 :;l ~ 50
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Filed Map.
Date ofPermit.~APPlicant:
Underwriters Approval:
Lot:
r, w. H~ c.s:TIT"
Final Certificate: / (check one)
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Applicant Signature
CATHERINE MESIANO, INC.
12 MILL POND LANE
E, MORICHES, NY 11940-1222
03/- j?J?' 6"S/
Fee Submitted: $
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C'o~3'?lo7a
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.
32350 Z
Date SEPTEMBER 11, 2006
permission is hereby granted to:
HARBES
SOUND AVENUE
MATTITUCK,NY 11952
for :
CONSTRUCTION OF A NEW 4 BEDROOM SINGLE FAMILY DWELLING (MODULAR)
AS PER SCHD AND COUNTY HIGHWAY AS APPLIED FOR
at premises located at
900 SOUND AVE
MATTITUCK
County Tax Map No. 473889 Section 120
Block 0003
Lot No. 004
pursuant to application dated AUGUST
19, 2006 and approved by the
Building Inspector to expire on MARCH
Fee $
313.20
ORIGINAL
Rev. 5/8/02
Nassau Suffolk Electrical Inspections, Inc.
505-C Lincoln St. Riverhead, New York 11901. Tel: 631-813-2890. Fax: 631-813-2891
Application: 7369 Date:4/l9/07
Issued to: Harbs Farms .
Address: 900 Sound Ave
Village: Mattituck
Introduce4 By:: Avey Electric inc.
License#:2069-ME
was examined and approved up to the above date and was in compliance with the NEC
Nev.t I-bre
Residentiall2Sl
Del <?sage
Pddtion
1st FIca"
2nd floor
Pool
Hd: Tub
Cu. 'I I t::Idal
"'r:: ,e1I
Switches Receptacles Fixtures G.F.1. Range Hood Smoke
Detectors
Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon
Range/Amps Monoxide
Furnace Oil Gas Heat Zones Whirlpool Bell
Transformers
Service Meter Amps Phase Motors
1 DOA OH
Other Equipment.
Out Res
.K=^frJfPa,~.'TMJ-Vw- &>
7.--#~ ~
lIDs certificate must not be altered
III any manner
Town Hall, 53095 Main Road
P,O, Box 1179
Southold, New York 11971-0959
Pax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: 7 - J 3 -0')
Building Permit No,
32350 -2-
Owner: fff+f</J'E".c:.. f'llt<. ms
(Please print)
Plumber: -'~f'~Tf f S',l--rJJil{l.. P\ ~ + tH-q =ff 3/~ - m p
(Please print) "y
lead,
I certify that the solder used iu the water supply system contains less than 2/I 0 of 1%
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f'" /, .________--
(Plumbers Signature)
Sworn to before me this ---12-
day of <jt,.o, 1-' 20 O--:f-
,O~;012~
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11 In~~.l\-
Notary Public, ~ County
,
TOWN OF SOUTH OLD BUILDING DEPT. ..- ~ ./
765-1802 c#t.k:JJt,
INSPECTION cJ~~/1~1~
[ ] FOUNOATION 1ST [ ] ROUGH PLBG. ~
[ ) FOUNDATION 2ND [ ) INSULATION +~ J
[ ].....-.>1 S'I1IAPPING txi FINAL }"""7A.y!
[ ) FIREPLACE & CHIMNEY [) FIRE SAFETY INSPECTION
[ ) RRE RESISTANT CONSTRUCTION [ ) FIRE RESISTANT PENmATlON
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INSPECTOR #.
3:?-}50Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
l/<J FOUNDATION 1ST IKJ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
D<i FRAMING ~RAPPIN~ [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONS1RUCTION [ ] FIRE RESISTANT PENETRAnON
REMARKS: ~4._.~ ~
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
P<tFRAMING~TRAPPI~ [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
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REMARKS:
DATE
7-10 ..,t) 7
INSPECTOR >.~
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
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JAMESJ. DEERKOSKl, r.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
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Date: December 20, 2006
To: Town of Southold
Re: Strapping Inspection
Ed Harbes
1181 Sound Ave
Mattituck, NY 11952
ScrM# 1000-120-03-04
To Whom It May Concern:
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TIns letter certifies that all wind strapping on the above mentioned project is in tact, and
meets all state and local building codes. Any questions please feel free to call.
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JAMES J. DEERKOSKl, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
Date: December 6, 2006
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To: Town of South old Building Dept.
Foundation Inspection
Ed Harbes
900 Sound Ave
Mattituck, NY 1 1952
SCTM# 1000-120-03-04
Permit # 32350
-
To Whom It May Concern:
A Foundation inspection was preformed at the above-mentioned site, and the footings
were excavated to the proper depth and size. They were also installed as per plan and
meet all state and local building codes. Any other questions please call.
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INSULATION PER N. Y.
STATE ENERGY CODE
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YOUNG & YOUNG
400 Ostrander Avenue
Riverhead, New York 11901
Telephone 631-727-2303
Facsimile 631-727-0144
admin@youngengineering.com
HOWARD W YOUNG, Land Surveyor
THOMAS C. WOLPERT, Proftssional Engineer
ROBERT C. TAST, Architect
RONALD E. PFUHL, Landscape Architect
DOUGLAS E. ADAMS, Professional Engineer
July 20, 2007
Town of Southold Building Department
Town Hall, 54375 Main Road
P.O. Box 1179
Southold, New York 11971
RE: HARBES FARM WORKER HOUSING
900 Sound Ave.
Mattituck, Town of Southold New York
S.C.T:M. N6::"TOOo:'UO-03-04
Permit # 32350
Dear Sir or Madam:
In response to a request from Mr. Ed Harbes, I performed a visual
non-destructive inspection of the completed improvements at the above
project on July 19, 2007. To the best of my knowledge, information and
belief, the construction conforms to the submitted drawings and I could not
see any hazardous or deleterious construction. All bedrooms have a smoke
detector and there is a carbon monoxide detector in the Dining Area which is
central to the home.
I also understand that your representative requested two (2) copies of
the revised deck drawings showing relationship to the house and conforming
to the as-built conditions. These are enclosed herein as requested.
Very truly yours,
Korut t 10M
RCTQ
Encl.
Robert C. Tast
cc: Mr. Ed Harbes
Planning
Engineering
Land Surveying
Architecture
,
..
111i
-t-
equipment, existing and new, and all parts thereof shall be maintained in a
safe and sanitary condition. All device or safeguards which are required by
applicable codes or by the Manufactured Home Standards shall be maintained
in conformance with the code or standard under which it was installed. The
owner or the owner's designated agent shall be responsible for the
maintenance of manufactured homes, accessory buildings, structures and
their building service equipment. To determine compliance with this
subsection, the building official may cause any manufactured home, accessory
building or structure to be reinspected.
SRAE102.6 Relocation. Manufactured homes which are relocated shall have a
manufacturer's label cerclrYlng compliance wlth appl1caD~e Department of
Houslng and Urban Development (HOD) Manufactured Home Construction and
Safety Standards and a data plate, affixed in the manufacturing facility,
bearing not less than the following information:
SRAEI02.6.1 The statement: ttThis manufactured home is designed to
comply with the federal mobile home construction and safety standards
force at the time of manufacture."
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in
SRAEI02.6.2 Reference to the structural zone and wind zone for which
the home is designed.
SRAE102.6,3 Data relative to the heating and insulation zone and
outdoor design temperature.
15, 1976
pec
official
need not
y an agency
to determine
EXCEPTION. Mobile homes manufactured
comply with these provisions if they
or individual acceptable to the code
that they are:
befor June
have
enforcement
~
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1. structurally SOUndi
2. free of heating and electrical system hazards.
Written documentation signed by the agency or individual performing the
inspection shall be submitted to the code enforcement official.
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SRAE102
APPLICATION TO EXISTING MANUFACTURED HOMES AND BUILDING SERVICE EQUIPMENT
SRAEI02.1 General. Manufactured homes and their building service
equipment to which additions, alterations or repairs are made shall comply
with all the requirements of these provisions for new facilities, except as
specifically provided in this section.
SRAEI02.2 Additions, alterations or repairs. Additions made to a
manufactured home shall conform to one of the following:
?
1. Be certified under the National Manufactured Housing Construction
and Safety Standards Act of 1974 (42 U.S.C. 55401, et seq.).
..-
2. Be designed and constructed to conform with the applicable provisions
of the National Manufactured Housing Construction and Safety Standards
Act of 1974 (42 U.S.C. 55401, et seq.).
-
3. Be designed and constructed in conformance with the new construction NY
requirements of this code. NY
-.>
Additions shall be structurally separated from the manufactured home.
EXCEPTION: A structural separation need not be provided when structural
calculations are provided to justify the omission of such separation.
Alterations or repairs may be made to any manufactured home or to its
building service equipment without requiring the existing manufactured home
or its building service equipment to comply with all the requirements of
these provisions, provided the alteration or repair conforms to that
required for new construction, and provided further that no hazard to life,
health or safety will be created by such additions, alterations or repairs.
Alterations or repairs to an existing manufactured home which are
nonstructural and do not adversely affect any structural member or any part
of the building or structure having required fire protection may be made
with materials equivalent to those of which the manufactured home structure
is constructed. <-
EXCEPTION: The installation or replacement of glass shall be required
for new installations.
<-
~RAE102.3 Existing insta11ations. Building service equipment lawfully in
existence at the time of the adoption of the applicable codes may have
their use, maintenance or repair continued if the use, maintenance or
repair is in accordance with the original design and no hazard to life,
health or property has been created by such building service equipment.
~RAEI02.4 Existing occupancy. Manufactured homes which are in existence
at the time of the adoption of these provisions may have their existing use
or occupancy continued if such use or occupancy was legal at the time of
the adoption of these provisions I provided such continued use is not
dangerous to life, health and safety.
The use or occupancy of any existing manufactured home shall not be changed
unless such change in use or occupancy is made to conform with all NY
applicable provisions of this code. Upon any change in use or occupancy, NY
the manufactured home shall cease to be classified as such within the
intent of these provisions.
SRAE102.5 Maintenance. All manufactured homes and their building service
~
APPENDIX RE
MANUFACTURED HOUSING USED AS DWELLINGS
SRAE~O~
SCOPE
SRAE~O~.~ Genera~. These provisions shall be applicable only to a
manufactured home used as a single dwelling unit and shall apply to the
following:
<-
1. Construction, alteration and repair of any foundation system which is
necessary to provide for the installation of a manufactured home unit.
2. Construction, installation, addition, alteration, repair or
maintenance of the building service equipment which is necessary for
connecting manufactured homes to water, fuel, or power supplies and
sewage systems.
3. Alterations, additions, repairs or relocation of existing
manufactured homes.
NY
<-
These provisions shall not be applicable to the design and construction of
manufactured homes and shall not be deemed to authorize either
modifications or additions to manufactured homes where otherwise prohibited.
EXCEPTION: In addition to these provisions, new and replacement
manufactured homes to be located in flood hazard areas as established in
Table RR301.2(1) of this code shall meet the applicable requirements of NY
~8g}27 of the Residential Code of New York State. NY
.
SRAESOl
DESIGN
SRAESOl.l General. A manufactured home shall be installed on a foundation
system which is designed and constructed to sustain, within the stress
limitations specified in this code, all loads specified in this code, and NY
the installation instructions included within the consumer manual{s) NY
provided by the manufacturer. NY
EXCEPTION: Where installation instructions are not provided, foundation
and anchorage systems which are constructed in accordance with the
methods specified in AE600 of these provisions, or applicable provisions NY
of the NCSBCS/ANSI A225-l-1994 standards, or which are designed by an NY
engineer or architect licensed by the state to practice as such, shall be NY
deemed to meet the requirements of this code. NY
SRAES01.2 Installation instructions. The installation instructions as NY
included in the consumer manual(s) provided by the manufacturer of the NY
manufactured home shall be used to determine permissible points of support
for vertical loads and points of attachment for anchorage systems used to
resist horizontal and uplift forces. Where manufactured homes are relocated, NY
and the installation instructions are not available, such points of support NY
and attachment shall be determined in accordance with applicable provisions NY
of the NCSBCS/ANSI A225-1-l994 standards or by an engineer or architect NY
licensed by the state to practice as such. NY
"
./
SRAJ202 NY
ENERGY EFFICIENCY NY
NY
~RAJ202.1 Existing installations. provisions in this code shall not NY
require the removal, alteration or abandonment of, or prevent the continued NY
use and maintenance of, an existing building envelope, mechanical, service NY
water-heating, electrical distribution or illumination system lawfully in NY
existence at the time of the adoption of this code. NY
NY
SRAJ202.2 Additions. Additions shall conform to the provisions of this NY
code as they relate to new construction without requiring the unaltered NY
portion(s) of the existing system to comply with all of the requirements of NY
this code. Additions shall not cause anyone of the existing systems to NY
become unsafe, hazardous or overloaded. NY
NY
SRAJ202.3 Historic buildings. The provisions of this code relating to any NY
alteration, repair, enlargement, restoration, relocation or moving of NY
buildings or structures shall not be mandatory for existing buildings or NY
structures that have been specifically determined as historically NY
significant by the State or local governing body or listed in the National NY
Register of Historic Places, or that have been determined to be eligible NY
for listing in the National Register by the State Preservation Officer. NY
NY
SRAJ202.4 Substantial alterations to existing buildings. This code shall NY
only apply to that portion of a building subsystem that is replaced, NY
provided that 50 percent or more of such building subsystem is replaced NY
within any consecutive 12-month period. NY
NY
EXCEPTIONS, NY
NY
1. Installation of storm windows over existing glazing. NY
NY
2. Replacement of glazing in existing sash and frame provided the NY
u-factor and solar heat gain coefficient (SHGC) will be equal to or NY
lower than before the glass replacement. NY
NY
3. Replacement of a roof membrane where either the roof sheathing or roof NY
insulation is below the roof deck. NY
NY
4. Replacement of existing fenestration, provided, however, that the NY
area of the replacement fenestration does not exceed 50 percent of the NY
total fenestration area of an existing building and that the u-factor NY
and solar heat gain coefficient (SHGC) will be equal to or lower than NY
before the fenestration replacement. NY
NY
5. For a subsystem that is being modified or repaired but not replaced, NY
provided that such modifications will not result in an increase in NY
energy usage. NY
NY
6. For the relocation of existing equipment or appliance. NY
NY
7. Repairs and/or replacements that are not substantial alterations. NY
(
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COUNTY OF SUFFOLK
(i)
II
STEVE LEVY
SUFFOLK COUNTY EXECUTIVE
__-.-J
DEPARTMENT OF PUBLIC WORKS
GILBERT ANDERSON, P.E.
CHIEF DEPUTY COMMISSIONER
LOUIS CALDERONE
DEPUTY COMMISSIONER
September 5, 2006
Young & Young
400 Ostrander Avenue
Riverhead, NY 11901
Attn: Thomas Wolpert
Re: Edward Harbes
Sound Avenue, Town of Town of Riverhead
SCTM#1000-120-03-04
Dear Mr. Wolpert:
Since this proposed development is not adjacent to a County maintained road and subsequently not under our
jurisdiction, a permit from this Department is not required.
If you have any questions, kindly contact this office at 852-4100.
Very truly yours,
William Hillman, P.E.
Chief Engineer
B~! ,
M. Paul Campa ola
Director of Highway Planning & Permits
WH:MPC:ln
SUFFOLK COUNTV IS AN EQUAL OPPORTUNITY I AFFIRMATIVE ACTION EMPLOYER
335 V APHANK AVENUE
.
VAPHANK, N.V. 11980
.
(631) 852-4010
FAX (631) 852-4150
YOUNG & YOUNG
400 Ostrander Avenue
Riverhead, New York 11901
Telephone 631-727-2303
Facsimile 631-721-0144
admin@youngengineering.com
HOWARD W. YOUNG, Land Surveyor
THOMAS C. WOLPERT, Professional Engineer
ROBERT C. TAST, Architect
RONALD E. PFUHL, Landscape Architect
DOUGLAS E. ADAMS, Professional Engineer
VIA FAX & REGULAR MAIL
September 13, 2006
AlTN: Mr. Damon Rallis
Town of Southold Building Department
Town Hall, 54375 Main Road
P.O. Box 1179
Southold, New York 11971
RE: EDWARD W. HARBES III
at Sound Avenue, TIO Riverhead, New York
(05-0541)
Dear Mr. Rallis:
The perimeter enclosure for the above referenced project is to meet all
requirements as set forth in the NYS Residential Building Code Section
AE503.1. The enclosure shall also have a minimum insulation rating of R-19
as required by the Town of Southold Building Department.
If you have any questions regarding this matter, please contact us.
Very truly yours,
if2lm-A J-c 0
Robert A. Fleming
RAF/mal
Enc!.
cc: Mr. Ed Harbes
Planning
Engineering
Land Surveying
Architecture
,20_
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
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact: ,..,,.. A ~ - . "'_
K(le.~ ,,...'-CM'~
Mail to: ";~'J,Jr, f:. -1.""..,,<,
'-/~ 061lt.4WQ'n. AlIoF l2.,vmH~""
New V,*r.. lIQOI .
Phone: "....1 - 7~ 7 - ~:~O~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN'HALb
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
PERMIT NO. Sd.- ~ ~
Examined
Approved
Disapproved ale
,20~
,20,b-
Expiration
~,
c I
B' . g
.,
r
is 9
I
"p' ~:"" :~llAPPL1CATION FOR BUILDING PERMIT L-~:..._~_ ". .;:9L'J ~
Ii ; I Date ::JuNc 5 , 20 QL
) I INSTRUCTIONS
" a. Tms a licat" ~MUS~~omPleteIY filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans; ac urate plot 'to sc e. Fee accordmg to schedule.
b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance ofthe 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.
~-'(::r; ..
, I
t./{)() ~Tf/.A.v= AJ" QhlH1Jo,-Ar> . AN Ilq() I
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Af::"F,.)'
Name of owner of premises €'D,^!A~r-, vJ i-JAll..P,~5.-rrr
(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.
I. Location of land on which proposed work will be done:
-s... ,..In A..tr:;,.)ul':
House Number Street
Hamlet
County Tax Map No. 1000 Section 1.;1.0
Subdivision
Block 03
Filed Map No.
Lot
Lot
oL/
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construct.ion:
a. Existing use and occupancy
b. Intended use and occupancy A4 (lIt', UI.... To..Jfl.AI- (AJOI2.Ii.e-te.. J-lo,)c..., ,J(,
3. Nature of work (check which applicable): New Building X.
Repair Removal Demolition x:
Addition
Other Work
Alteration
(Description)
4. Estimated Cost
Fee
(To be paid on filing this application)
Number of dwelling units on each floor NIl>,
.
5. If dwelling, number of dwelling units --.J
If garage, number of cars .ti/!!L
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front 27.3,1
Height I :>,I!:. Number of Stories
Rear ':l7:'~'
t),.)tr
Depth 5;).;;l.~ I
9. Size of lot: Front
1
loo.n
Rear
,
loo.n
Depth :!:. ;).50'
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_
13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_
Phone No. '31- 93!7'" 8<1 B<I
Phone No b~l~ 7.:1.7 - :l.....o"',
Phone No.
14. Names ofOwnerofpremisess:>"A"'" ..I J.J..."'<t""'Address~B"i '''~
f h. v...vtot ddr IN< N "'5:1.
Name 0 Arc Itect ~ r. -rA~r "F. ., ..... A ess ~~ ~"'f?fi:f A_
f t<vv dd ' .... - "q..,
Name 0 Contractor A ress '
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _ NO ~
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO ~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
55:
COUNTY OF )
D.I'>t:Yl.,.- A. 1=L.e:.......v 9 being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
AC!iEJI
(CV.L4.lu.""Lv.l, Agent, C\.HYv.LaL..... 0[.&....."".1, .....l.....)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application:
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this.,-: ., 0 b
;)-'"'-U day of....) U/,^-^--- 20 ~
Qj- si~l:Of A'ant -:>
SUlWfJ.1llPl'IIG
NoIIIyPdilo,8lIIIaI_Yak
No.4llOO150. SlMQulIJ ^(1A
CoR~11iIIIon ~JdJt2l, 2lI J::: l
COMPLIANCE CERTIFuJA I t:.
J.j / :<.'1 J?I
Date of Manufacture
Ii..'!']:) :<;'1lt',;) {/ VlllRF'IEl/) P.:J..:1
. M.anufact~rer's Serial Number and M,odel Un~ De~ir~on..
Jtltl'-~l'l~~l.':b.'" CN1~'-1Iio\lI:':I" !c.,-r,'tX :t,~3+IM _ 1,..~t.
Design approvai by (D.A.P.I. .)
MANUFACTURING PLAN I
FtJ:J;';",j
~.Lrl."lw~t
n1
Ii\~-.
/'.
Ii1[DLlCG~.:~, '
1;it
P:~Gi~: ! l-t ~,' '"
oa/040
03/0'1(,.
If questions regarding the operation, maintenance. warranty or performance of this mobile home should arise please conta!:t the dealer from
whom it was purchased. the manufacturing plant listed below or:
Answers to most questions regarding operation, Installation, maintenance and design capabilities are found in the appropriate sections of the
owner's maintenance and information manual and installation ins~ructions furnished with each mobile home.
This mobile home is designed to comply with the federal mobile home safety standard in force at the time of manufacture.
The factory Installed equipment includes;
EquIpment Manufacturer
M,.Ul"....
~1.
A
OF.
Mtlr . Fin
Model No.
Model No. Equipment
CoM;' MDod Washer
Clothes Dryer
Dishwasher
TrAF/'1SA J.I.JII Garbage Disposal
:Zfle... 'l~ nv. Other
Manufacturer
NIIJ
^/ltJ
Jj/t}.
NI~
.
For heating
For air cooting
For cooking
Refrigerator
Water heater
S......k..
Hl1nt!l!\( l..ll td j
'T'(!.-<41
South
\
Note: Hawaii. Canal Zone, Puerto Rico and
Virgin Islands are South Zone
.... --
North
..Jl~
DESIGN ROOF LOAD ZONE MAP
_South 20PSF
-X-Middle 30 PSF
_North 40PSF _Other_PSF
DESIGN WiND ZONE MAP
_Standard Wind Zone I
-x""Hurricane Resistive Zone II
_Other
15 PSF Horizontal
25 PSF Horizontal
_PSF Horizontal
9 PSF Uplift
15 PSFUpllft
_PSF Uplift
HEATING AND COOLING DESIGN BASIS CERTIFICATE
~II
------~~;~i~~~~~~-----,
ThiS mobile home has been thermally insulated to
conform with the requirements of the Federal Mobile
Home Construction and Safety Standards for all
locations within climalic Zone I
Zone II 11 Zone III
.
INFORMATION PROVIDED BY THE MANUFACTURER NECES-
SARY TO CALCULATE SENSIBLE HEAT GAIN.
Walls (without windows and doors) . . . . . .. . . . .. "U"=
Ceilings and roofs of light color .............. "U"=
Ceilings and roots at dark color .............. IOU""'"
Floors .................................. "U"=
Air ~ucts In floor.... .. .. .. ....... ..... .... . "U"=
Air ducts in ceiling. . . . . . . . . . . . . . . . . . . . . . .. "U"=,
Air ducts installed outside the home .......... "U"=
Heat transfer area 10 outside of home from air ducts
located:
Inside home. . .. . . . . . . . . . .
Outside Home. . . . , , , . . . . . . . . . . . . . . .
.D"'1
. fJ5"t.
.fl.<rG.
./,)'1'1
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J>l/IJ
,!J!J.'"
"Sq. Fl"=
"Sq. Fl."=
irS'
,v/}J
fThe above heating equipment has the capac:lty to maintain a~
average 700F temperature In this home at outdoor temperatures of
~~F.
To maximize furnace operating economy, and to conserve energy,
it is recommended that this home be Installed whe!2J.he outdoor win-
ter design temperature (97Y2%) is not higher than"MoF.
The above Information has been calculated as:sumlng a maximum
wind velocity of 15 MPH at standard atmospheric pressure.
The air distribution system of this home is suitable for the In-
stallation of cen'bal air conditioning. .
The supply air distribution system Installed in this home Is sized for
Mobile Home Central Air Conditioning Systems of up to
~ B.T.U./Hr. rated capacity which are certified in accordance'
with the appropriate Air Conditioning and Refrigeration Institute Stan-
dards. When the air circulators of such air conditioners are rated at
0.3 inch water column static presSure or greater for the cooling air
delivered to the mobile home supply air duct system.
Information necessary to calculate cooling loads at various
locations and orientations is provided in the speCial comfort cooling
Information provided with this mobile home.
To determine the required capacity of equipment to cool a home
efficiently and economically, a cooling load (heat gain) calculation is
required, The cooling load is dependent on the orientation, location
and the structure of the home. Central air conditioners operate most
efficiently and provide the greatest comfort when their capacity
closely approximates the calculated cooling load. Each home's air
conditioner should be sized In accordance with Chapter 22 at the
American Society of Heating, Refrigeration and Air Conditioning
Engineers (ASHRAE) Handbooks of Fundamentals. once the location
and orientation are known.
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NOTES
AREA = 2S,6/6 SQ. FT.
. VERTICAL DATU~ = N.GV. DATU~ (~.5.L. 1"12"1)
400
Young &- Young
Ostrander Avenue, Riverhead, New York 11901
631-727-2303
Howard W. Young, Land Surveyor
Thomas C. Wolpert, Professional Engineer
Robert C. Tast, Architect
Ronald E. Pfuhl, Landscape Architect
Douglas E. Adams, Professional Engineer
E
HEAL TH DEPARTMENT USE
SUFFOLK COUNTY DEPARTMENT OF HEAL TIl SERVICES
PERL',1:IT FOR .4..PPROV.\L ,DFCC-r";<x.~ '-~~.~~~=.;I'i }70R A
S!NGLE ;;'A!\'i:L~~~! :';'.:"~- 'tt'~~:.:.:~;I:'[~V
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APPRoveD a I . ..- ---,..
.... --.~ - .. ~~ -~~-~
F MAX_AIUjl _,_.. _lJ.__ _ ',,: I"~,
EXPIRES THREE YEARS FROM DATE OF APPROVAL
SURVEYOR'S CERTIFICATION
· iI'E HEREBY CERTIFY TO EDWARD HARBES
SURVEY I"lAS PREPARED IN ACCORDANCE ~I
PRACTICE FOR LAND SURVEYS ADOPTED
STATE ASSOCIATION OF PROFESSIONAL
~M.A-~~a
HO~ARD ~. YOUN6, N.Y.5. L.5. NO. 458"15
SUR.VEY FOR.
ED~RD HARBES
At Sound Avenue, TOV'ln 01' Southold
5ul'f'olk Countl:j, NeV'l York
c.ount~ Tax Map o;,t,ict 1000 Sectio" 120 Block OS Lot 04
eUILDINcS PERMIT SURVEY
ADDED TEST HOLE DATA
~AP PREPARED
APR. 5, 2006
DEC. 5,2005
SCALE, 1"=40'
..JOB NO. 2005-0541
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-SOUNDTAVENUE----
1 EO&f: OF PAvef'o'eNT
l111LI"" I SiOHE P~H6
~-Nee'14'50'E
100.00'
50'1.01' TO ALDRICH LANE-
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Young & Young
400 Ostrander Avenue, Riverhead, New York 11901
631-727-2303
Howard W. Young, Land Surveyor
Thomas C. Wolpert, Professional Engineer
Robert C. Tast, Architect
Ronald E. Pfuh~ Landscape Architect
Douglas E. Adams, Professional Engineer
E
NOTES
AREA = 2S,b1b SQ. FT.
SURVEYOR'S CERTIFICATION
. I^IE HEREBY CERTIFY TO EDWARD HARBES THAT THI5
5URVEY I^IA5 PREPARED IN ACCORDANCE I^IITH THE CODE OF
PRACTICE FOR LAND 5URVEY5 ADOPTED BY THE NEI^I YORK
5TATE A550CIATION OF PROFE5510NAL LAND 5URVEYOR5.
I/-rrv PvL iA{.
SURVEY FOR
EDYiARD HARBES
At Sound Avenue, TOV'ln or Southold
Sui'i'olk. Count~, NeYll York.
c.ovnt~ Tax Hap o;,l,;ct 1000 Section 120 Block OS Lot 04
FINAL SURVEY
FINAL 5URVEY
ADDED PROP05ED l"IA'lER 5ERVICE
ADDED 'lEST HOLE DATA
MAP PREPARED
AlJ6. 21, 2001
JULY 11, 2001
MAR. I, 2001
APR. 5, 200t>
DEC. 5,2005
SCALE, 1'=40'
JOe NO. 2001-o2'lt>
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sUFFOLK COUNn' DEPARTMENY 0F HEAlTH SERVICES
APPRU\;.<LOF CO;,c',,<UCTEO WORKS FOR 't
A E;::'~GL~ F ,t,;}il..'" RES10ENCE
Date OCT 01.2OOf H.S. Ref. Na.R'lo- 0<0 -ooo~
The lle'1'/Iloe p;Sl><",.?I_~-,.O. ~",t~.. "JO,;" t:cNU<1S al this ~tron have!leen I
In~-w;j an<lFY' csr:..,::;;:; c;v !r:;; L\.:~:.-: ~nlO'n!orothar egeoae.5 and founCI tw I
bosat;sf1lct:(':fCR~.Mij".l:-l-'!:."r. _~ DEDROOM$. I
/.' -~
_ t:~~~ _!(~_..__,'__-: ~:::;-
VV'E,;'-Pf.1. Hj\be:t. 14' T~:-c7~
Offic.e cf '-'['1aLte'.'.Iater Mcif1agement
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noV'l or former!Ij
Halj D. Harbes ~
EdV'lard Harbes
-------
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, ,-',
Young &- Young
400 Ostrander Avenue, Riverhead, New York 11901
631-727-2303
'J
'. l,-,
~, I' ;
Howard W. Young, La.nd Surveyor
Thomas C. Wolpert, Professional Engineer
Robert C. Tast, Architect
Ronald E. Pfuh~ Landscape Architect
Douglas E. Adams, Professional Engineer
\ ,f'
'J''''
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~l:.c. '., ,lie\,
NOTES
AREA = 2:3,b1b SQ. FT.
SURVEYOR'S CERTIFICATION
. I'IE HEREBY C.ERTIFY TO EDWARD HARBE5 THAT THIS
SURVEY I'IAS PREPARED IN AC.C.ORDANC.E I'IITH THE C.ODE OF
PRAC.TIC.E FOR LAND SURVEYS ADOPTED BY THE NEI'I YORK
STATE ASSOC.IATION OF PROFESSIONAL LAND SURVEYORS.
~M.A-~~o
HOI'IARD 1'1. YOUNG<, NY.S. L.5. NO. 4510'15
SURVEY FOR
EDYiARD HARBES
At Sound Avenue, TOY\ln of Southold
Suffolk Count~, NeY\l York
Govnt~ Tax Mop Dist,;cl 1000 Secl;on 120 Block 0:3 Lot 04
FINAL SURVEY
.
FINAl.. SURVEY
ADDED PROPOSED I'IATER SERVIC.E
ADDED TEST HOLE DATA
MAP PREPARED
AlJ6. 21, 2001
..JJLY 11,2001
MAR. I, 2001
APR. 5, 2006
DEC.. S, 200S
5c.Al..E, 1"=40'
JOB NO. 2001-02'16
DI'I6. 20OS_0224_'&
FS
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