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Home My WebLink About33993-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~/~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33732 ~te: 05/22/09 THIS CERTIFIES that the building ALTERATIONS CUTCHOGUE Location of Property: 7490 ALVAHS LA (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 101 Block 1 Lot 14.4 Filed Map No. __ Lot No. __ subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 3, 2008 pursuant to which Building Permit No. 33993-Z dated JUNE 19, 2008 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 ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING (CONVERSION OF ATTACHED GARAGE ATTIC TO LIVING SPACE WITH BALCONY) AS APPLIED FOR. The certificate is issued to ANTHONY & LISA SANNINO ( OWNER ) of the aforesaid building. SUFI~DI~KCOL~Y DEP~T~T OF }~J~TH~PRO%L~L N/A EI~t-rKICAL C~TIFIC3%~E NO. 124052H 04/27/09 PLIERS C~TIFIC3~TION DATHD 05/22/09 ANTHONY SANNINO ri n r Rev. 1/81 Form No. 6 TOWN ltALL 765-1802 [I.I MAY 2 2 2009 APPLICATION FOR CERTtFICATE OF OCCUP4N£ BLDG OEP): L )'own oF This application must be t-filed in by typewriter or ink and axtbmitted to the. Building Department with the following: For new building or new use: 1. Final survey of property with aceurate location of all buildin4s, property lines, streets, and unu.mal natural or topographic fentures. Final Approval from Health Dept. of.w~ supply and aeavorage-dispnsal (8-9 form). Approval of electrical'itmallation fi'om Board of Fim Undetwrim'a. 4. Sworn statement from plumber o~dfying that tl~ solder uaed in syat~m contains leas than 2/10 of 1 °A lead. 5. Commeroial building, indnstrial building,.multiple r~idaneea and similar buildings and installations, a certificate of Code Compliance from architect or ~ngin~r responsibl~ for the building. 6. Submit Planning Board Approval of eompl~ed site plan requirement& IL For existing'buildings (prior to April 9, 1957} n0n-eonforming ns~, or buildings and "pre-existing' land uses: l. Accurate survey ofprepefff showing all propertylinea, streets, building and.annsualnatural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a C¢~ficate of Occupancy is denied, the Building Inspector shall state tho reasons therefor in writing to the applicant. C. Fees Certificate of Occupancy - New dwelling $25.00, Additions to dwclllag $25.00, Alterations to dwelling $25.00~ Swimming pool $25.00, Acee~sory building $25.00, Additions to accessory building $25.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $ ! 00.00 3. Copy of Certificate of O~',~upancy - $.25 4. Updated Certificate ofOccapancy- $50~00 Temporary Certificate of Occupancy - Residential $15.00, CommerciaI$15.00 New Construction: Location of Property: ~C/'90 House No. Owner or Owners of Proper~y: ,fLar,~,-,~/x/ Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: Street Date. - ~ H~et Block cc>z/ Subdivision Permit bio. Date of Permit. Filed Map. _ Applicant: . Health Dept. Approx(al: Undetwrit~ws Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Finai Certificate: check one) ....~AplSli~ant Signatu~r~-~- FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERI, IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PEP, MIT NO. 33993 Z Date JUNE 19, 2008 Permission is hereby granted to: ANTHONY SANNINO 7490 ALVAHS LANE CUTCHOGUE,NY 11935 for : ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING (CONVERSION OF ATTACHED GARAGE ATTIC TO LIVING SPACE - BEDROOM/BATH) AS APPLIED FOR at prem/ses located at 7490 ALVAHS LA County Tax Map No. 473889 Section 101 pursuant to application dated JUNE Building Inspector to expire on DECEMBER Fee $ 200.00 CUTCHOGUE Block 0001 Lot No. 014.004 3, 2008 and approved by the 19, 2009. ~~/~n~urej ORIGINAL Rev. 5/8/02 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (63 I) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOL1} CERTIFICATION Building Permit No. _:g,~. (~ ,~ ~, Owner: /~;-,-~.o~,r _~'~.~x3;,0~9 ' ' /(Plebe prat) Plumber: ~_ ~a,-~V ~,o~ ;.O~ ~ ' /(Plebe prat) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this day of '~1 _Nt~rr , 20C55 Notary Public,~~ County ~----.--'~"" . ..,.(Plll"mbers Signature) CONNIE Dm BUNCH Notary Public, State of New ~ No. 01BU61850§0 Qualified in Suffolk Count'/ Commission Expires April 14, 20~. Issue 4~27/2000 Electrical Inspection Certificate Electrical Inspection Servloe, Inc. Application Number $?$ Dunton Avenue 124052H East Patchogus, NewYork 11'F/'2 ($31} 256-6842 issued To: Mr, Sannino Street: 7490 Alvahs Lane Village: Cutchogue Zip: Section: Block: Lot: Contractor: 11935 Town: $outhold Lie. # Was examined and f~und to be in compliance with [he National Electric, al Code, Commercial [_; NVDefeets ~-I Pool tstFIoor IX] Indoor ~] Basement I I HotTub Residential ;-] Dat. Garage I"~ Attic ~ 2nd Floor ~. Outdoor I xl Addition I~ Survey Sv~tches Receptacles Fixtures GFI Heaters A/C Pans 14 7 13 3 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Off Gas Circulators Smoke Detector Bell Transformer 1 Meter Amps Phase UG/OH Jacuzzi Television CO Detector / Bldg. Permit: 33993 Other Equipment ',1-C/O/SD Combo/1-20 amp Spec. Rec. Hugo S. Surdi ; President Ro~lgh Inspection: 07116/~008 John McMahon Iti ~lnal lnspec~on: l~pectot; O4122/2009 John Mc Mehon III This cerliflcate must not be altered in any manner. Inspe~om may be identified by their credentials. MA¥-22--2~9 ~9:28 AM STYL£ CONTRACTING INC 6~1 205 0858 P.~I I~sue Date 4/271200g Electrical Inspection Certificate Electrical Insp~tlon Service, Inc. ApplloMIon Number 3'(5 Dunton Avenue t 24052H East Patohogue, New York 11772 (631) Issued To: Street: Village: Section: Contractor: Commercial Residential Mr. Sannino 7490 Alvahs Lane Cutchogue Zip: 11935 Town: Southold Block: Lot: Lic.# Was examined and found to be in compliance with the NaUon~l F_lectr~cal Code I~, NVDefects LJ Pool [~ lstFIoor LXJ Indoor I'] Basement ~ HotTub ~ DM. Gsmge LI Attic ~xI 2nd Floor 'i. I Outdoor 'IXl Addition r-i survey Switches Receptacles Fixtures GFI Heaters A/C Fans 14 7 13 3 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace 011 Gas Circulstors Smoke Detector Bell Transformer 1 Meter Amps Phase UG/OH Jacuzzi Television CO Detector / Bldg. Permit: 33993 Other Equipment 1-ciO/sD C0"mb--~/1-20 amp Spec. Rec. Hugo S. Surdi President Rough Inspection: 0~i~$12008; ....... Inspector: John Mc Mshon III final l~-~T- - ~4/22/'2009 John Mc Mahon III This certificate must not be altered in any 01~nnsr, Inspegtor$ may be identified by their cteSentte~. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. : [~/INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ~ STRAPPING ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING/STRAPPING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR ~, ~ FrELD I~r$/~ECTION, REPORT FOliATION (1ST) ROUG~ F~G & ~%'StWLATION PER N. Y. STATE ENERGY CODE ~DITION~ CO~S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 119'~1 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ,20 Approved ,20__ Disapproved a/c Expiration ,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 PERMIT NO. 3'2~C[ ~e~-'~ Check Survey Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: ~/ Mail to: / Phone: ~/ .~,~- ~ .h :l ' Pc 9 - / c-/ ce.t ( Building 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 4 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. 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 Pemfit 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~~ __-----~"- -gg/grn"~ture of applicant or name, if a corporation) (Mailing adaress of apl~cant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner o premtses (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. Location of land on wtfich proposed work will be done: House Number Street County Tax Map No. 1000 Section /01 Block Ot Subdivision 4:o c~o ~.9o 0c;4 ~. .1~.¥,,[~ o~,~zt"~ Filed Map No. ~o_~"O/ Lot //4, Lot I 2. State existing use and occupancy of premises and intended use and occupancy ofpruposed construction: a. Existing use and occupancy ~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost ~Z~oO, EX:) 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Alteration Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front / 9 ' Height_ Number of Stories Rear tr p" Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Depth Rear Dimensions of entire new construction: Front Height Number of Stories Rear .Depth Size of lot: Front Rear _Depth 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 t,~ 13. Will lot be re-graded? YES__ NO Will excess fill be removed from premises? YES __ NO__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. NO ~ 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. NO ~C STATE OF NEW YORK) SS: COUNTY OF ) · ~: 'i-&o,o ~ ¢ ,',.o,o,.,,0' (D being' duly sworn, deposes and says that (s)he is the applicant me of i~dividual signing contract) above named, (S)He is the ~r,O,G ~. ,-~.-... (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 tree 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 ~ .,'J ,,] day of~!.~'' f~A., & 20 CD ~ (~/~,~-,, r. ,, (..-~-tt.-d~:~'3~'A ~' I INDA J COOPER -J ' N~ry Public / - - ~ NOTARY PUBLIC, State of New Yeti ~.:' ' Sig~at~m'~'of Applicant NO. 01004822563, Suffolk COunty . Term Expires December 31, 20, REScheck Software Version 4.1.4 Compliance Certificate Proiect Title: PROPOSED INTERIOR ALTERATIONS FOR ANTHONY SANNINO JOB¢~08-055 Report Date: 05/29108 Data filename: \\serverl\Server Dccs\OLD FSI\RES COM CHECK~REScheck~OB#08-055rck Energy Code: 2007 New York Energy Conservation Construction Code Location: Suffolk Count-y, New York Consb'uction Type: Detached I or2 Family Heating Type: Non-Electric Glazing A~ea Percentage: 7% Heating Degree Days: 5750 Construction Site: Owner/Agent: Designer/Contractor. Compliance: 20.6% Better Than Code Maxirn~m UA: 199 Your UA: 158 Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Windows: Wood Frame:Double Pane with Low-E Door 1: Glass Door 2: Solid Fk3or 1: All-Wood Joist/Truss:Over Uncondi~oned Space Boiler 1: Other (Except Gas-Fired Steam) 85 AFUE 530 30.0 0.0 19 1120 15.0 0.0 79 40 0.350 14 40 0.350 14 20 0.350 7 530 19.0 0,0 25 The proposed building mpreeanted in this document is consistent with the building plans, specificati(ms, and other calculations submitted with this permit application. The proposed systems have been designed to meet the 2007 New York 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 professieaal judgment, such plans or spedflcations are in comp/[~en~ce with this Code. 5'-z ?. ¢'Z' Name- Title S~gnature / ' D~'e Project Notes: / · - -'~ *' Robert J. Gruber, PA. 476 Expressway Drive So. Medford. NY Project Title: PROPOSED INTERIOR ALTERATIONS FOR ANTHONY SANNINO JOD~08-055 Report date: 05/29/08 Data fllename: \\Served\Server Docs\OLD FSI\RES COM CHECK\RESohecktJO(~.'(08-055.rck Page 1 of 4 REScheck Software Version 4.1.4 Inspection Checklist Date: 05/29/08 Ceilings: [] Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Above-Grade Walls: [] Wall 1: Wood Frame, 16" o.c.. R-15.0 cavity ins~lafion Comments: Windows: [] Windows: Wood Frame:Doubte Pane with Low-E, U-factoc 0.350 For windows without laPeled U-factors. desodbe features: #panes Frame Type Thermal Break? Comments: Yes No [] Door 1: Glass. U-factor: 0.350 Comrnents: [] Door 2: Solid, U-factor: 0.350 Comments: [] Fio(~ 1: NI-Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [] Boiler 1: Other (Except Gas-Fired Steam): 85 AFUE cr higher Make and Model NumPer: Air Leakage: Joints. penetrations, and all other such openings in the building envelope that am scurces of air leakage am sealed. R~cessed lights are 1) Type lC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" ctearance from combustible materials. If non-lC rated, flxturas are installed with a 3" clearance from insulation. Vapor Retarder: Installed on the warm-in-winter side of all non-vented fTamed ceilings, wafts, and floors. Materials Identification: [] Materials and equipment are installed in accordance with the rnanofacturer's installation instructions. [] Materials and equipment am identified so that compliance can Pe determined. [] Manufacturer manuals for all installed heating and coo~ing equipment and service water heating equipment have been provided. F-I Insulation R-values, glazing U-factom, and heating equipment efficiency are cleady medced on the building plans or speciflcetions. [] Insulation is installed according to manufacturer's instructions, in substantial contact with the surface being insulated, and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: I-I Supply ducts in unconditioned attics or outside the building are insulated to at 1east R-8. Return ducts in unconditioned attics or outside the building are insulated to at least R-4. [] Supply ducts in uncenditioned spaces are insulated to at least R*8. Project Title: PROPOSED INTERIOR ALTERATIONS FOR ANTHONY SANNINO JOB#08-055 Report date: 05/29/08 Data fildname: \\Serverl\Server Docs\OLD FSI\RES COM CHECK\RESchecldJOl~08-055.rck Page 2 of 4 I~' Return ducts in unconditioned spaces (except basements) are insuteted to R-2. Insulsti~n is not required on return ducts in basements. Duct Construction: ~1 Ail joints, s~ams, and connections are securely fastened with welds, gaskets, masllos (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics am mted UL 181A or UL 181B, Excep~ior~: Continuously we{tied and looidng-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). ~1 The HVAC system provides a means for balancing air and water systems. Temperature Controls: [] Each dwelling unit has at least o~e thermostat capable of automatically adjusting the spece temperature set point of the largest zorn. Electric Systems: ~] Separate eisctric meters exist for each dwelling uniL Fireplaces: F'l Fireplaces are irtstalled with tight flrdng non-combustible fireplace [] Rrepfaces have a esurca of c~mbusti~n air~ as required by the Rrep~ace c~nsEooii~n pmvisi~s ~f the Buiiding C~de ~f New Y~n~ State, the Residential Code of New York State or ~e New York Cily Building Code. as applicable. Service Water Heating: [] Water heaters with vertical pipe dsers have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap is part of a circulating system. [] Circulating hot water pipes are insulated to the levels in Table 1. Circulating Hot Water Systems: [~ CirculaUng hot water pipes are insuisted to the lavers in Table 1. Swimming Pools: I-I All heated swimming pools have an on/off heater switch and a cover unless over 20% of the heaUng energy is Eom nor~iepletable source& pooi pumpa have a time clock. Heating and Cooling Piping Insulation: [] HVAC piping conveying fluids above 105 degrees F or chilled fluids bek~w 55 degrees F are insulated to the leveis in Tabfa 2. Project Title: PROPOSED INTERIOR ALTERATIONS FOR ANTHONY SANNINO JOB#08-055 Report date: 05/29/08 Data fiisname: \~Sen~rl \Server DOcs\OLD FSI\RES COM CHECK~RESeheckLIOB~08-055. rck Page 3 of 4 T~ble' 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in I~cJ~es b~ Pipe Sizes Non-Circulating Runouts Clrcutst]ng Mains and Runouts Heated Water Up to 1' Up to 1.25" 1.5' to 2.0' Over 2' Temperature (°F} 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0,5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Piping System Types Range(OF) Insulation Thlclmess In Inches by Pipe Sizes 2" Runouts 1" and Less 125' tu 2.0" 2.5' tu4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0,5 1 .O 1.0 1.5 Steare C~ensate (for feed water) Any 1.0 1.0 1,5 2.0 Cooling Systems CNIled Water, Refligerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD: (Building Department Use Only) Project 'rifle: PROPOSED INTERIOR ALTERATIONS FOR ANTHONY SANNINO JOB~08-055 Report date: 05/29/08 Data fllename: ~\Serverl~Berver Docs\OLD FSI\RES COM CHECK%REScheck~JOB#08*-055.rck Page 4 of 4 [~<~O ~ I d-.~l - I-~;~ TOWN OF SOUTHOLD PROPERTY RECORD CARD O~WNER STREET -7 H q5 VILLAGE DIST. SUB. __ LOT ACH. ~- .--', REMARKS /~.~ ~:~., t ' TYPE OF BLD. '~ ~ PROP. CLASS I ~ LAND IMP. TOTAL DATE ~/o~' ~ ~ ' ' ~ -' ~-''~ S~ '-~ FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL 3OLOR 30 101.-1-14,4 2/0'/ ~'~ ~ B f)~ P[~,'n~. ~ Bath "~/,,~ Dinette ~-~?~g+ ~1~ ~,Fo ~67 Foundation ~ ~J ~ 5 ~c Floors ~/~ ~ ~/ Kit' Exte~ion SLAB ~n~ ~ ~.00 ~ Basement Extension + ~ [~ x[~ = ~ ~'/~ .~ [ O ~ Ext' Walls ~ 5. Interior Finish~,~ Extension Fire Place ~ Heat ~1J D'R' Patio Woodstove BR. Porc~ =~Pi~ ,~0 ~ Dormer Fin. B. Oec~ *.~c ~ ~ ~.eez~w.~ ,oo~ ~.~ ,~oo. ~ O ~W~ ~ ~,Tff ~ Driveway Rooms 2nd Floor Pool / ~ ~ ~ . Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M, #: District Section Block THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK, Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No 1 2 3 4 5 6 7 8 9 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town dght-of-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This Item will NOT Include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permitl EXEMPTION: Ye__s N__o Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm.Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl __ __ STATE OF NEW YORK, ]~.,j.7_, doCOU Nq~[ OF ....... ,~.~.~!.[ .................. SS Thai I, . ........................... ~ ........................ being duly sworn, deposes m~d says that he/she is fl~c applicator for Permit, (Name of individual signing Document) And that lin/she is dm .~~ .......................................................................................................................... (~ner, Contractor, Agent, Co.orate Officer, etc.) O~er and/or representative of fl~e Owner of Owner's, ;md is duly au~orized to perform or bave performed the smd work ~md to make and file fids application; that ifil statemenU contained in fl~is application are tree to the best of bis knowledge and belief; and that tim work will be performed in the manner set forfl~ in fl~e application filed here~htb. Sworn to betbre me fl~is; ~ , ................. .......................... ........................ 20.ep ~ ~UREN M,~TA~DI~ /~ ) c ~ ~ . , N~q ~bllc,~ of ~ York ~ ~ ~ ~ No r,,Ptb ~~ ~' ~~ ~..~93s[6~p~ / / : ~ ........................................................................... ~81~ In ~'~~~ ............... ~0~ - O~/O~ SURVEY OF PROPERTY AT CUTCHOGUE TOF[N OF $OUTHOLD SUFFOLK COUNTY, N.K t.j~:~c' '~ Ic'h AREA=5.2081 ARES OR 226,864 SO. Fr. AN41 BATH ROOM dl ~04~ NEIN DECK I ~o4~ EXT'e SECTION OF INALL TO BE P. EHOVED LEVEL PLAN (EXISTINg) (,OMPUTER RM. (EXISTINg) LAUNI~R'r'/ (EXISTINg) ~ (,AR ~AP-,A~ q LOJAIER LEVEL PLAN (EXISTINg) ANDERSEN !NINDOINS OR E(~UIVALENT N SIDINe TO HATCH EXISTINe ANDERSEN HINDOHS OR E(~UIVALENT (NE~) II~H RAILINe 'EXISTINe) VINYL 51DINe TO REHAIN ~,/INIDOHS TO REHAIN FINI~HEO ~RAOE Il LE®ENI? EXISTIN® HALLS -STUO HALL I LAYEt~ D/~" G'CP. BO. BOTH SLOES OF 4" HOOD STUDS @ EXISTIN® HALL SECTION TO BE REMOVED CEILINe JOIST (NE~) R-BO INSUL. (NEH) R-BO 2"XlO" O.d. (NE!N) R-BO INSUL. EXT'¢ AJS20 X 14" F.J. FIR~ RETARD AS NYS O00E RE,HTS. (EXISTINg) CAR ~ARA~IE FIN. F=L. @ HOUSE t:INISHEP ~t~,ADE (EXISTINe) 4" P. CONC. SLAB 8' P. C. FOUNDATION FINISH SECTION "A - A" EXT'¢ AJS20 X 14" F.J. R-Iq IN~UL. // (DX ISTI N~) ~ (,AR ~ARA~E (SXISTINe) 4" F'. CONG. SLAB SECTION GENERAL NOTES: I. ALL MATER. IAL$, ASSEMBLE$, C, ON¢I'P. UCTION AND Ed~UIPMENT ~,HALL TO TNB ~51DENTIAL OOZE O~ ~ORK STA~. 2. ~O~MAN~IP 5HALL CONFIRM TO SB~LY ACCEPiED ¢000 P~OTI6~ IN ALL OI~N¢ION¢ SHALL BB OHEO~O IN ~IEL~ BY CON~¢TO~ ~10~ TO O~E~IN~ MArtIALS O~ COHMENClN~ CONS~TION FIELO ~IFIE~ ~I~NSlON5 ~H~L TA~ P~O~N~ 0~ ~ALIN~, NOTIDT A~HI~Gt O~ ~ONDLI~TD. ~. ~L ~ON~ SHALL B~ MINI~M D~= ~00 ~I ~N~TH AT 2~ PAY ~t. (NO~ ALL ~IOR GON~ ~PS A~ ~A~ ~L~ ~L B~ HINI~ F~= D~O ~l S~NGTH At ~ PAY ~L DOOTIN~ ~AL1 B~A~ ON ~OI~EO ~JL HAVIN~ GA~A~J~ OF ~00 L.B. P~R &. All ~L~BIN~ DH~L B~ IN A~O~AN~ ~JTH N.Y.C. ~A~ O~ ~1~ U~RI~. ALL LUHB~ ~ALL B~ OOU~L~I~ ~. ~ OR BEJ OTH~l~ NOlo. ~L D~G~L H~ TO B~ (~) ~"x&" UNL~D~ OtH~I~ NO~. I0. ~L F~HIN~ DH~L B~ ~OUBL~D ~ PARTITIONS, PO~T~ AN~ A~ ALL O~NIN~S. II. ALL HVA~ ~UI~NT ~ALL H~T ~UI~N~ OD ~ONG~VATION ~ON~tION ~0~ ~UJ~H~NtG. ~lO.l.I HJN. D ~.F. O~NIN~ ON ~l~t ~LOOR HI~ ~0" HIN. ~l~TH AN~ ~4" HIN. H~J~hT, D,~ D.~. ON TH~ ~nd ~LO0~, A~ HA~ A GILL H~l~HT NOt Ho~ tHAN d~ INGH~ ~ ~INI~H~O fLOOR. I~. U~ ~A~=~ GLAD~ ON ALL Hl~O~ IN ~ O~ DHO~ ~NGLO~D HitH ~lLL HEIght LE~D THAN &o" ABO~ FINISH ~LOOR A~ ~ ~H ~ORL ~TA~ ~Ig~NTIAL I~. ~LAZIN~ ~HALL ~ON~ORM TO ~ TOR~ ~TA~ ~IO~NTI~ ~-DO~ * R-~O~.4(I. tH~ IIJ. EXISTINe) RIDeE BEAM SIDINe TO MATCH -(NE~ ~' HleN P-AILINe , uUPANGY OR 5/4" AC.(~ I~EC<~NeI 'SE IS UNLAWFUL z'xw'SL PERaT HT ERTIFICATE IAIAqlER PROOF HEHBI~JaI. RE~'~ v ,3F OCCUPANCY DATE: NOTI BUILDING DEP¢ 765-1802 8AM TO 4PM FOR TF FOLLOWING INSPECTIONS: COM~LY WITH ALL CODES Of NEW YORK S FA, L: & TOWN CODES AS REQUIRED AND CONDITIONS OF A//~ SOLrTHOLO TOWN ZBA JJ ! / ~'J SOUTHOLDTOWNPLANNINGBOARD / V ///-'~- SOUTHOLDTOWNTSUSTEES / N.Y,S. DEC 1. FOUNDATION - TWO REQUIREB I 2. ROUGH - FRAMING & PLUMBING o. · INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C 0 / 2nd FLOOR ALL CONSTRUCTION SHXLL MEETtHE j REQUIREMENTS OF THE CODES Of ~IEw YORk STATE. NOT RESPONSIBLE lt£R-- DESIGN OR CONSTRUCTION ERRORS. %6" ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OFTHE CODES OF NEW YORK STATE, PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCy COLDER USED IAI SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1% LEAD. PLUI"IBING RISER (SANITARY ~IASTE) PLUMBING ALL PLUMBING W, &WATERLINE TESTING ~ ~'~"~ cov~,~