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HomeMy WebLinkAbout32390-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33231 Filed Map No. Lot No. THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 360 LAKEVIEW TERRACE EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 9 Lot 12 Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 26, 2006 pursuant to which Building Permit No. 32390-Z dated SEPTEMBER 26, 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 ADDITIONS AND ALTERATIONS, INCLUDING FRONT ENTRY DECK WITH PERGOLA AND ENTRY DECK AS APPLIED FOR. The certificate is issued to WALTER E & LINELL D GAIPA (OWNER) of the aforesaid building. SIIFFOLR CODNTY DEPARTMENT OF HEAT TH APPROVAI, ELHCTRICAL CERTIFICATE NO. PLDMBSRS CHRTIFICATION DATED Date: OS/18/OS 73018342 00/13/00 03/07/08 MIKE JACOBI PLUMBING ut orize Signature Rev. 1/81 Form No. 6 (~ C/~. ~ \ TOWN OF SOUTHOLD `„ BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% 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. B. For existing buildings (prior to Apri19, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Oc~fa ~yt 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, terations to dwelling $25.00, 1 Swimming pool $25.00, Accessory building $25 A0, Additions to accessory buik~g $25.00, lpsin~ses $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. ~ f Z/y New Constmction: 2 / Old or Pre-existing Building: Y (check one) Location of Property: ,~D Lakrw,~„v ~ltc` ~~Jt ~'~r/~~ House No. /~ , l /Street, ~ Hamlet Owner or Owners of Property: (~C~ ~ CV ~ C / dY ~ l (~ G' t ~C Suffolk County Tax Map No 1000, Section C~/'3 ~ Block ~L9 Lot ~pZ Subdivision Filed Map. Lot: Permit No. v~23~'/U7 Date of Permit. Applicant:/~rr (TCf~,p4 Health Dept. Approval: Underwriters Approva~_~j ~0 ~~ ~~, Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ X332-3 ~~~~I~~S Final Certificate: _~_ (check one) Applicant Si ature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28915 Z Date NOVEMBER 18. 2002 Permission is hereby granted to: WALTER GAIPA & WIFE PO BOX 247 EAST MARION,NY 11939 for ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 360 LAKEVIEW TERRACE EAST MARION County Tax Map No. 473889 Section 031 Block 0009 Lot No. 012 pursuant to application dated SEPTEMBER 3, 2002 and approved by the Building Inspector to expire on MAY 18, 2004. Fee $ 150.00 / w ~AU-/'~i~ Authorized Signature ORIGINAL Rev. 5/8/02 James F. King, President ~~F ~OV jy Town Hall Jill M. Doherty, Vice-President `~ 0 ,`O l~ 53095 Route 25 Peggy A. Dickerson l~ # P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen H ~ ~ ~ T l h (631) 765-1892 Bob Ghosio, Jr. ~ ~ one e ep ~~,~~~~ ~~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0351C Date: Aueust 13, 2008 THIS CERTIFIES that the enclosing of the overhang on the north side, new front entrance and entry deck on the west side and the installation of gutters, leaders and drvwells on the existing dwelling At 360 Lakeview Terrace, East Marion, New York Suffolk County Tax Map # 31-9-12 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 09/23/02 pursuant to which Trustees Permit # 5637 Dated 10/18/02 and 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 issued is for the enclosing of the overhang on the north side, new front entrance and entry deck on the west side, and the installation of gutters, leaders and drvwells on the existine dwelline The certificate is issued to WALTER GAIPA owner of the aforesaid property. ~-- a~ Authorized Signature James F. King, President ~pF SOpl~ Town Hall Jill M. Doherty, Vice-President ~ o ,`O l0 53095 Route 25 Peggy A. Dickerson y ~ T P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen u+ ac Bob Ghosio, Jr. '.cn ~ ~O Telephone (631) 765-1892 ~~,~~~~ ~~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0350C Date: August 13, 2008 THIS CERTIFIES that the construction of a second-story dormer addition to the existin¢ dwelling At 360 Lakeview Terrace. East Marion. New York Suffolk County Tax Map # 31-9-12 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 08/31/06 pursuant to which Trustees Permit # 6440A Dated 09/20/06 and 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 issued is for the construction of a second-story dormer addition to the existing dwelling The certificate is issued to WALTER GAIPA owner of the aforesaid property. SI.- aG~ Authorized Signature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET -NEW YORK, NY 10038 CERTIFIES THAT Upon the application of Q.C. ELECTRIC, INC. PO BOX 518 LAUREL, NY 11948-0518, Located at 360 LAKEVIEW TERR EAST MARION, NY 11939 Application Number: 3018342 ~~ ,~-.a upon premises owned by WALTER GAIPA 360 LAKEVIEW TERR EAST MARION, NY 11939 Certificate Number: 3018342 Section: 31 Block: 9 Lot: 12 Building Permit: BDC: ns11 3 a 3qo Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Second Floor, bathroom, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 30th Day of Januazy, 2007. Name ~TY_ Rate Ratine Circuit Tvoe Miscellaneous 2nd floor bathroom Alarm and Emergency Equipment Sensor 1 0 Cazbon Monoxide Sensor 1 0 Smoke Appliances and Accessories Exhaust Fan 1 0 F.H.P. Wiring and Devices Outlet 3 0 Fixmre Fixture 3 0 Incandescent Outlet 2 0 General Purpose Switch 1 0 General Purpose Receptacle 2 0 GFCI seal I of ] This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. TorVn Hall, 53os5 FAain Road P. o. Box 1179 Southold, New Yoik 11971 ~~o~og~FFO(~-~oGy o y Z p ~ ~~ ~~ol ~ Sao Eax (516) is5-1623 telephone (51s) 7s5-tso2 _ -~~~,-- `. r,'` OFFICE OF THE UUiLbiNG INSPECTOI# u _ ''~ s~ ~ TOWN O~ 5OUTHOLb L- ~ ~~ ! C$ R T I F I CAT I O N __. ,__ BATE9 ~ 7/ d~ NUfldihclj P/ermit No ~ -~ ~ ~ (a 1JiJner i bV~ J~F e ~ G I ~~ cti ~ !~ , (please punt) >iltitnbei•t Mf ~~'!;~ ~~iGJ~l D ~v,.._~i~K~ (please print) i certify that the solder dsed in the Watei• t#U)iply t#yatem contains less than 2/10 of 18 lead. (Plumb Signature) Swor to before th(~en,thi~, day of I /IWl1J~~- ~a~~ Notary Publics County BONNIEI. DOROSHI Notary Public, State Of NewPor-i ~ No. OID06095328, Suffolk County Term Expires July 7,20 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel ~o~~pf SOUI~o~ G • ~~0,~ ~~y00UNi'1,~"~'" BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6440A Date of Receipt of Application: August 31, 2006 Applicant: Walter Gaipa SCTM#: 31-9-12 Project Location: 360 Lakeview Terrace, East Marion Date of Resolution/Issuance: September 20, 2006 Date of Expiration: September 20, 2008 Reviewed by: Trustee Jill Doherty Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1592 Fax (631) 765-6641 Project Description: To construct asecond-story dormer addition to the existing dwelling. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by Stanley J. Isaksen, Jr. received on August 31, 2006. Special Conditions: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. o~ ' Ja s F. King, Pres' nt Board of Trustees Board Of Southold Town Trustees SOUTHOLD, NEW YORK ;. 37 DATE: ,October 18, 2002 PERMIT NO.._ ..Jr'(~ _........ WALTER & LINELL GAIPA . .............._........................................ ISSUED TO ........................................:............................. . ,~u#i~vri~ttftnn Pursuant to the provisions of Chapter 615 of the Laws of I, the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- INIQANDEON OWN WATERS ND IPUBLIOC OLANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;': and in accordance with the Resolution of The Board adop+ed at a meeting held on ._Octpbex~'._16, 2002 ~ 50 00 ..... , and m consideration of the sum of S.- -'-- -~-- -- paid by Walter & Linell.Gaipa.....__.........._....... ......._ ................ .... . of ........East Marion _„_._,,,..__.___....._.. N. Y. and subject fo the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to enclose an overhang on the north side of the residence and a new front entrance and entry deck on the west side of the residence, with the condition that gutters and dryw~ are installed. aN in accordance with the detailed specifications as presents in :the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, end these presents to be subscribed by a majority of the said Board of this data. ~- -- ~. l ..~-~- t!y ~ ,-. TERMS and CONDITIONS The Pertaittee Walter & Linell Gaipa residing at 360 Lakeview Terrace Fa t ne~ N. Y, as part. of the coosideradoa for the issuan« of the Permit does tmderstand and presm'be m the fol- lawdog: 1. That the said Board of Trustees and the Town of Southold am released from nay and all damages, or claims fa damages, of suite arising directly oe htdireotly as : reach of nay open anon performed pursuant to this permit, and the said PermIttee wBl, at his or lxr own ezpertse, defend nay and all' such adts'initiated by third patties, and the said Permittee assumes fall liabdlity widt respect thereto, to the complete e>;idusioa of the Beard ~ Tnuues of the Town of So~shold 2. That dtit Permit is valid for a period of 24 mos. which B ooos~deted to be the estimated time' required ao c~tplete the work involved, but should drrnruscaACes wattaar, request for as extension may 6e made to the Hoard at a later date. 3. That this Permit should lx retained indefinitely, or as long as the said Petmiaee w7sba to msimsin the stturnue or pmject involved, to gtovide evidence to anyone eoaoerned that aah- oritadon was originally obtained. 4. That the work involved will be wbjea co the insptxxion and approval of the Board or its agents, and non-oomplianoe -with. the provisions of the odgimtiog applIndoq may be case for rt:aoatioa of this Permit by tesoladon of the aid Boatel. 5. That there will be no unteasooable interferea« with navigation as a rt:sttlt of the wodc hetdn ssidtorhed. 6. That there shall be no intetferea« wkh the right of the public m pass and tepas along . the beach between high cad low water marks. 7. That Tf future operations of the Tows of Southold require the. removal aad/a altetatktos . in fire location of the work herds aadtorY.ed, or elf; in the opinion of the Hoard of Tnutees, the. waaic sball caau uarrasooabte obsetucaoa to -free tnvigatioa, the said Petmiaee wild be tequieed, upon due node, to remove of alter thlswotk oc project Lerdn acted wIdtau eapetsses to the Ttrwn of Southold e. Thar the said Board will be notified by the Petmittee of the ooatpledon. of the vatic tmdt- orittd. 9. That ,the Permittee will obtain all other permits cad eoosents shu toty 6e tegttdred sop' elemental m this permit whkh may be wbjetc to revoke upon failure to obnin same. ~~~4~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE 8~ CHIMNEY [ ]ROUGH PLBG. [ ] IN~SLJLATION [j/J/FINAL [ ]FIRE SAFETY INSPECTION DATE ~' (O ~~ INSPECTOR ""~~j [ ] FlRE RESISTANT CONSTRUCTION [ ] FlRE RESISTANT PENETRATION 3y34©~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ] FIREPLACE A CNIMNEY [ ]FIRE RESIST~IT CONSIRUCI REMARKS: ___~~ [ ]ROUGH PLBG. [ ] 1 ATION [ FINAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT PENETRATION ~r_(3 DATE ~ ~' Y ~ INSPECTOR ~ ~3 9 a ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION FRAMING /STRAPPING [ ~ - ]FINAL ~ ~ [ ]FIREPLACE 8 CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: ~ v 7 l~~"~J ~ `~- DATE /~ ~~5, ~~ INSPECTOR '~~ " ` ~~ 3 ~3 ~~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ RO H PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: ,. DATE ~ ~ INSPECTOR 'w` 765-1802 BUILDING DEPT. SPECTION [/j FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL [ ] FIREPLACE ~ CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: DATE ~ ~ INSPECTOR a~~~"~ 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ]FINAL 7 [ ] FIREPLACE ~ CHIMNEY 7ss-1802 BUILDING DEPT. 1 NSI~ECTION ST [ OU LBG. .ND [ NSULATION [ ]FINAL ] FIREPLACE ~ R• FIELD INSPECTION REPORT A CONIlVIENTS ~ ,~ ~ O ~ TAD ~ FOUNDATION ( y ~ ae ~' r ~- r C ~"~ FOUNDATION (2ND) r ~.~ O G~-~ _ ROUGH FRAMING & PLUMBING ~ y ~~' -~ ~ lac ~ . i > ZL.. I I ~!d ~ "~ INSULATION PER N. Y. STATE ENERGY CODE tl 4` d ~~ 2 ~ ~e ~~ ~ s ~ ~ ~,,ti ~ ADDTlIONAL COMMENTS ~ fr~_~~, i.~C i - O Z m a n - \ ~z _.. I ~ 46a -~ ~- 9-/2. TOWN OF SOUTHOLD ~ _~,_ ~~PERTY -~,, RECORD CARD `~ ~ `~~ OWNER ',' ~ STREET ~ (00 VILLAGE DISTRICT SUB. LOT FORMER OWNER ~,f. N - E ~ ACREAGE ~a ~ _ - coif, yy Ggipa +-6rs ~' ~ TYPE OF BUILDING Ssu-- .~ ! -~ .d.. _ :ES.` ~i~ SEAS. I/ 0 VL. FARM COMM. I IND. I I CB. I MISC. I f ~• Est. Mkt. Value LAND MP. TOTAL .DATE REMARKS ~~~ 7f ~ _ '~ • y , '~ i' .3- o 74 d i 6 0 0 .t rjld, aao, L-~8.t1 7 , ~ ! ~.' . 'To s-a 6 3/ trb 36 00 3 ,2 ~6 S/~3~~7 ~' a ~. _ __w__ ~ D 0 0~ ~8 E~-~`/Do o ~-GZ1 Q'~ ~ ~S' 7d-G ~o ?~' I ~B f _' ~ ~ t ~; s ~~0-`~1` So 3 a a ' 3 % e o ~ ~ z2 - ~-~ , ~D -1, til E C ~ fnoo0~ ~ !~3a / I DING N ~/z~b3 ~ ~ 1218 ~la$x1GE/31t~,. ~. ~~~ ~ Y L ELOW ~fCBOVE FRONTAGE ON WATER ~ ~ ~ / 7 ~ Farm Acre Volue Per Acre Value FRONTAGE ON ROAD ~ tillable 1 BULKHEAD "illable 2 DOCK billable 3 1 ~ ~ Noodland c~ _ ~ _ ~ _ ~~ N G 2 swampland 3rushland O `gi douse Prof ~ p ~ ~~ U - ~otol ~ ~~, le 1- ~ )-aW~ ~ , ° ,, , f ti-~ i~r, ~ ~x ,~te . __. .~ , . BI ~ `. ' ~~ X Z =~6 .~ I U Q I 4 Foundation C~ I Bath ~ ~~h~ ~ ~' t on ~~X,,(3c 31Z UU I S~ / Z~$ Basement V Floors ¢a K i i r 3e sio~n y ~a x ~ = 7/~ ' ~'' ~~ Ext. Walls ~ W' Interior Finish ~, _~C . ~~ ' o Sl si a ~ '~ = 5 L~ x ~ Z.$S , l I ~~ Fire Flace ,, / ~ /IC O I I H.eot ~ ~ e t .i J 9 Porch CI Roof Type ~ i ~z K ~$ = ~~~' ~y ~ Porch Rooms 1st Floor ~ eezeway Patio Rooms 2nd Floor '. ---- ~rage !I~ Driveway ~ Dormer ~ i . B. ~ ;~.~.~~ ~ ~~ ~~ ~ ,~ h ~ 3 6 - ~ ~ '~3~ f ~ ~~~ I i " - ~ '~`~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHULD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined f p p, 20 0 d Approved D ,20~ Disapproved a/c uilding Inspector APPLICATION FOR BUILDING PERMIT Date , 20 ~~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to 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 pemut 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. £ 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. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pemrit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ( tgnature o applicant or e, i a corporation) t`~O (~o){ Zy7 C ~1'I~lr~an N'~ 11939 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ll (As on the tax roll If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. __ Other Trade's License No. 1. Location of land on which proposed work will be done: House Number County Tax Map No. 1000 Section Subdivision BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Boazd of Health . 3 sets of Building Planning Boazd approval PERMIT NO. ~ ~9/. S ~ Surve} Check. Septic N.Y.S Contact: Mail 20 (7~ 3~ deed) Hamlet Block k:;~ ~. ~ ~ I,ot l0? _ Filed'IVl~srlti.° ~ ~ . '`,: " _T Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy s t rC le lei m ~ lam, Cc~ ~Jenc~ b. Intended use and ~~ ~L 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work 4. Estimated Cost ~ S ~O a • O p (Description) Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units~Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. t Dimensions of existing structures, if any: Front Rear 'r Height c~~ t Number of Stories l Depth SS' Dimensions of same structure with alterations or additions: Front { ~ ~ Rear ~~ r Depth ~"r' Height ~~E' Number of Stories t. 8. Dimensions of entire new construction: Front ~ ~ ` Rear Z.~r ~ Depth .~.~ Height ~~ ~ Number of Stories L ~ 9. Size of lot: Front CO ~ ~ Rear ~7 ~ Depth ~ Z j ~ 10. Date of Purchase `Q ~I,D Name of Former Owner E~ w c/ ~ Pori `g 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 Ul/ativ t (.~n~tl ~di ~a gt{ L47 X77- ~ ~ is 14. Names of Owner of premises ~Address~' Mdrw., N`(11431 phone No.4f'1'1.1T13 Name of Architectf`'.~-a~rN ~ia_~v~b` Address Phone No Name of Contractor 6(~u np ~ Address Phon/e No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES t/ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BEgEQUIRED. 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) ~ 's.SS: COUNTY OF Ss<+~ ) ~1~ ./~~Q~TQ~,~r~` being duly sworn, deposes. and says that (s)he is the applicant (Name of-uidividual sigung contfact) above named, ( He' the ~~ (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 mamier set forth in the application filed therewith. Swo to before ~r~Q dz Notary Public 20 O'Z SCOTT. JR. tote of New York No. Ot Expires Signature of Appli ant v Alteration ENERGY CODE CALCULATIONS CHAPTER 5 SECTION 501 Detached One and Two Family (For Non-Electric Heat) For: VV Q ~r t r LT Q r p f EQS ~bJOV/en ~Gdd, ~4 Design Criteria 5750 Degree Days Zone 11 B Per: E rSahTo~ t Dated: SUBSYSTEM AREA DESIGN «U„ CODE ,<U,> ~~•rt~ u ,t GJ~ ~ A Exterior Walls 9 ~ . d 6 y' 0.14 I • s p ~3. ~~ Ceiling Roof 3 p , b S 0.031 ~ ~p , ~ 3 ER~W Floor Over U++herKed Space 3 0 p ~ C o3~ ~.9b ~, S J S3 Heated Slab On Grade 6.5 Unheated Slab On Grade 4.5 Basement Wall 0.1 Crawl Space Wall 0.06 NOTES: ''(. • B u/ ! ~. D Z Construction shall comply wilt 502.1.1 moisture control and 502.1.4 air -ealcage.--^` Building Envelope Systems to meet requvem~ts of Section SOl The mechanical systems and equipment including: HVAC Equipment, HVAC Systems, Duct Systems, Ventilation Systems and Insulation of Piping Systems to meet requirdnents of Section 503 Service Water Heating Systems 8t Equipment to meet requirements of Section 504 Electrical &, Lighting Systems 8c Equipment to meet rcquirements of Section 505 To the best of my knowledge, belief, & professional judgement,. these plans are in compliance with the code. STANLCY J. ISAKSEN, JR. PROFESSIONAL LAND SURVGY012 _„ P.O! Box"294 Topographic New Suffolk, N. Y. 1 1956 Surveys Mr. Walter E. Gaipa P.O. Box 247 East Marion, N.Y. 11939 Dear Mr. Gaipa; 'title Surveys 'telephone & Fax 631-734-5835 13 November 2002 This is to advise you that the residence located at 360 Lakeview Terrace, East Marion, N.Y., TM#1000-031-09-012, has been determined that the entire structure (residence) found thereon is in fact above elevation 10, 1929,,,N.;.-~ , Very truly yours, ' ; _ CC: file OOR861 AMERICAN CONGRHSS Nli W YORK S'1 KI'R ASS(A:. NASSAU-SUPIt 11.K ON OR CIVIL GNGINIili12S,INC. SURVEYING AM)MAI'I'ING PROfGSSIONAI, LAND SURVEYORS,INC. 'V i ,~ W JJJ~~ N 55' 47' 20 "E LATTICE FfNCf ~ 20, Z ~ ~+J N O _ 724• 2 ` ti ~ ~ ~ B£LG/UM BLOCK CURB n Z BRu ~ 2 ~ BLUESTON£ 2 ~ DRIVEWAY ~ a o -~ CONC. FRAME GARAGE .~ r N SLAB a ~ m 2o.T' 2. M ~ S 55' 47' 20"W g N 0.1' ' £ 0.6 A a m TAX MAP N0. 1000-037 -09-12 GUARANTEED TO ~ N 55' 47' 20"E 210.00' FD IP N/F HUSSAINA :E N 0.1' 119.63' ~~ ~fiE U sw 3.1 • 131.03' N/F SALMINEN 167' 32' STOCKADE FfNCf _ ENO FENCE N 0.1' ~ OFD b .29' ~ NN0.1' ~`~ .. _ ----- - ~ R I8. E' 12 !~ O ~ Y v 2 STORY Ntp00 ~ ~AItINC w% nA/uNC LIMIT of VEGETA TIJ ~r `TEPS --` ~- FROFO`'ED D WOOD FRAME ~ PROpp~EO ~~ ,wDE 5 ~ PS Crl µALK ~J RESIDENCE o T ~~ > -1 O ' ~,,nuwc CLEARIN I~ %! " A m~ G z e. . X2.5 °- r 12.2 GETAnV GLIMIT OF~TE j'lEps r Z m I - ~ DECK ~ ~' w/ RuuNC EPS ~ °~' u w > ~1 m v iT ?n u ~ ~ W ~A ~ ~ °" `, 34.17' v ~ 182.51' N 0.2' SURVEY OF DESCRIBED PROPERTY SlTUA7E EAST MARlbN, TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. SUR KEYED FOR : WAL TER E GAIPA LINELL D. GAIPA WAL7ER E GAIPA s ^~ ~,, LINELL D. GAIPA ` TOWN OF SOUTHOLD SURVEYED 3 JANUARY, 2000 SCALE 1"=20' AREA= 11,544.189 SF OR 1.265 ACRES SURVEYED BY STANLEY J. ISAKSEN, JR. P. O. BGX 294 NEVV SUFFOLK, NY 11956 631 734-5835 w LICEN' ED LAND S R~EYOR NYS LTC. N0. 49273 OOR861