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30817-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33823 Date: 07/09/09 THIS CERTIFIES that the building NEW DWELLING Location of Property: 450 LAUREL WAY LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 125 Block 4 Lot 24. 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 28, 2004 pursuant to which Building Permit No. 30817-Z dated DECEMBER 2, 2004 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH COVERED PORCH, REAR DECK, SECOND FLOOR DECKING AND ATTACHED THREE CAR GARAGE AS APPLIED FOR. The certificate is issued to THOMAS & DEBORAH MARTIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. R10-04-0103 06/12/09 ELECTRICAL CERTIFICATE NO. 127751H 04/16/09 PLUMBERS CERTIFICATION DATED 04/03/09 MULCO PLUMBING T flA uthorized Signature Rev. 1/81 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. 30817 Z Date DECEMBER 2 , 2004 Permission is hereby granted to : B CHRISTIANO (MARTIN) 246 DEER RUN ROAD WILTON, CT 06897 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED THREE CAR GARAGE, COVERED FRONT PORCH & REAR UPPER DECKING & DETACHED SWIMMING POOL at premises located at 450 LAUREL WAY LAUREL County Tax Map No. 473889 Section 125 Block 0004 Lot No. 024 . 018 pursuant to application dated SEPTEMBER 28 , 2004 and approved by the Building Inspector to expire on JUNE 2 , 2006 . Fee $ 2 , 444 . 70 4't� Z� Authorized Signature ORIGINAL Rev. 5/8/02 ?�'�HUILDING TOWN OF SOUTHOLD 97hth�e u E DEPARTMENT D TOWN HALL 765-1802 2 2009 APPLICATION FOR CERTIFICATE OF OCCUPAN ,OEFL SOUTHOI0This application must be filled in by typewriter or ink and submitted to the Building Depollowing: 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 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. B. For existing buildings (prior to April 9, 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 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. y - ) a -O 9 New Construction: ✓ Old or Pre-existing Building: (check one) Location of Property: ��5-0 I(At ke_L Wg Lf}k L House No. // Street Hamlet Owner or Owners of Property: FZLr,� IVA jCkri)q� // Suffolk County Tax Map No 1000, Section /a Block Lot 02,1/ Subdivision 14ttp is L L i N k s Filed Map./�oV 013 ,?.off Lot: .2,5— Permit No.,43oki,7-Z Date of Permit. Applicant: &ZE,-i &&kvnRN Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signa e Of F014, Town Hall,53095 Main Road Fax(631)765.9502 P.O..Box 1179 Wephonc(631)765-1502 Southold,New York 11971-0939 BUILDING DEPARTMENT TOWN OF SOUTHOLD IFIC " (Q�' BuildingPormitNo. Owner: (Please print) Plumber: (Please print) 1 certify that the solder used in the water Supply system contains les.; than 2';0 of 1 Y lead, (P lumbersMSignature) Sworn to before me this day of , ?(hLq-- ROMMGMFM r Quay w In4814557 Commission Expire 2o11 Notary Public, ��County r T'd 2056 59L Teg 9WIQ-iIf1H (3-10HInOS W20:01 50, 02 :)3Q 11 lill 1, 111111, ! Jill : Electrical Inspection Certificate Issue Date Electrical Inspection Service, Inc. Application Number 4/16/2009 376 Dunton Avenue 127751H East Patchogue, New York 11772 (631)266-6642 Issued To: Ellen Hagerman Street: 450 Laurel Way Village: Laurel Zip: 11948 Town: Southold Section: Block: Lot: Contractor: Lic. # Was examined and found to be in compliance with the National Electrical Code. F-1 Commercial 17 NV Defects 1 Pool IXj 1st Floor (XI Indoor )XI Basement _ Hot Tub Xl Residential LL Det Garage LL Attic X 2nd Floor LL Outdoor 1:1 Addition 'X', Survey Switches Receptacles Fixtures GFI Heaters All Fans 71 75 165 14 3 4 Dishwasher WashedAmps Dryer/Amps Oven Ranga/Amps Microwaves 1 1 20 1 30 1 gas Furnace Oil Gas Circulators Smoke Detector Bell Transformer 1 x 4 by others Meter Amps Phase UG/OH Jacuzzi Television CO Detector 1 200 1 LXJ / 3 Bldg. Permit: Other Equipment 2 150amp main breaker panels/ 3-garage door opener receptacles/ 3-15amp air handler disconnects/2-30amp ac disconnects 15amp Hugo S. Surdi c disconnect/3-20amp special outlets. President Rough Inspection: Ins Po": Q! 0r. John McMahon III This certificate must not be altered in any manner. Inspectors maybe identified by their credentials. �o�.�OF SOGTy06 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLOG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING FINAL 41, [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS:— DATE EMARKS:DATE 3 r / n INSPECTOR �(!" TOWN OF SOUTHOLD BUILDI EP f 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. , [ ] FOUNDATION 2ND [ ] INSULATI N [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS REMARKS: -�'--�;�✓,���1 ,� -tire. �-,-c�<ye�:,.:.'�•� � az-` .�Qa-'� i Cl �� X46 �� ��` DATE INSPECTOR -' / OK—'r �ry.. .,�Q.�vcT�'•�-_ �3�-fn-%'�dt� _�;,L.,T ,�= /� -..�s�..— t�- CYL - 0 �!�, < 5 Il I' �o�yoF soulyo6 30 -7 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ��^ °2 7�° INSPECTOR 3 o v i ! z 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND XINSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: /C�' 3k� fQr�-�'� Lx"V� aj ok A07D Ca � DATE ��/°? �O� INSPECTOR �� 0 I 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/,57f�l°P/1V6[ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: '-6t , DATE /� D� INSPECTOR o��OF SOUIyo 3og 1 7 Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST N ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [�] FRAMING / STRAPPING [ ] FINAL [' �] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION R MARKS: CR/ t f - t c� - d— DATE ( �/rb� INSPECTOR , hO�y,OF SOUTho� 3OK / ��covNn,� TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: .r I 04 DATE ��'� �ps INSPECTOR . I al I Do 117 10 131121 FOUNDATION (2ND) ill' M' • �„ ROUGH FRAMING ' PLUMBING F. I NO STATE ENERGY CODE Iff ffl -li SWIM r � ADDmoNAj:cOMMENTS lm, © i Nfo OWWW TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. 309/7 .-- Check Septic Form N.Y.S.D.E.C. Trustees Examined 10 200c( Contact: Approved 12-b-,20 oo 4 Mail to: Disapproved a/c Phone: Expiration �Ja ,20Cj; Building Inspector APPLICATION FOR BUILDING PERMIT Date�j28 t Ot I , 20 !__ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 .;ts 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 vs 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 Permit 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. (Signature of applicant or name,if a corporation) LX) . (L i (Mailing address of applicant) �� State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder C),-)wne ,(- Name of owner of premises `�yi t aM l_ tx�raA,) (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. 1. Location of land on which proposed work will V ' House Number Street Hamlet County Tax Map No. 1000 Section I ZS— Block Ll Lot 2,4 • 10 Subdivision_ Lau Filed Map No. 10-112 Lot 2 S (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy \k(1CQ)A- `a_A- rX b. Intended use and occupancy \e_ �a rr'-,A r���c� '�� r_ J 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost3co000 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units____LNumber 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. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 9 o Rear 0 5- Depth d Height 32- ' Number of Stories 9. Size of lot: Front a 3 n ' Rear SO Depth i RO 10. Date of Purchase Tone .Ogl Name of Former Owner Aag,bc_rG + C l a A, (',h r, SJ-;, 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 V Will excess fill be removed from premises? YES NO—,/ 14. Names of Owner of premises—� -4lUa/ ;.Address � Wa4,L l.4- Phone No. b3 t 2-K V 4 7 Y to Name of Architect NbyIL - Ln Address PAeS9L-1zi6 Phone No 7-) r-5Y� &A Name of Contractor_f�Inti,c 1 ,-,,-I n Address Phone No. 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) COUNTYSS: )P�Doro �n mow-�'V✓l being duly sworn, deposes and says thatge is the applicant (Name of individual signing contract)above named, S)$e is the 0, nea/ (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. Swo to-before me day 20 og Noisfy Pulic Signature of Applicant REBECCAL. SIK Notary Public,State of New York No 01Y06026761 aualified in Suffolk County Commission Expires June 21,200L mw wbl+A"45 20 F5?.I w Loads FOUWA11ON ©� I I. CmwAo b to be X=prd.marfm m 2 tons/a.f,sd beans W04*1. SNA so bra" apo*in the&Q. 2. 24"wds x I2'46W paras aavrta fmMW wh a I 1/2"x'51/4" ko*A to mww in 8" peaad arrnfk fmw6u n ed. 5. 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N, lhapil bwwdEans rrkfw slat wbkst'gasdar thdn tlb wdup tabdabd a babbr 4-I of the #:' .rofxplrr4. &W—M muff . ApIAMt�IprM�l6►lkrUwkdrllaoJ�d�,4slYfwfd�ah�fMlJripdxt,lhx►66r►4a+ arlgNp�tMiMa,�ehWx�ibihrw+6irw,uy►•�nMtlrM"JtaOtC+ilrfpCorrr�apea �+i�il�inlflAr4aN17G"i'ilxalu 1'qbt:llydarfpwiafliiaffxidlrfMwre . I +p�S+r�aWw�fbrlFMr.t.�w� a #C 6As 404V NUr► rtLifrtwe i1"1M zmI }< 4wwa '° iiliti�Mitatrl4sy I Xv _ FROM MKAinc RTJarch FAX NO. Nov. 30 2004 11:34RM P2 Permit Number REScheck Compliance Certificate ChockedBy/Date New York State Energy Conservation Construction Code Generated by RESchack-Web Software PROJECT TITLE:Martin COUNTY:Suffolk STATE:Nc York HDD:5750 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 11/30/04 DATE OF PLANS: 11/29/04 PROJECT DESCRIPTION: Single Family Residence DESIGNER/CONTRACTOR: Mark Knotoff COMPLIANCE:Passes Maximum UA-631 Your Home UA—617 2.2%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door PR Value R-Value U-Factor UA Ceiling 1:Flat or Scissor Truss 2367 30.0 0.0 83 Ceiling 2:Cathedral 485 30.0 0.0 16 Skylight 1:Metal Frame,2 Pane w/Low-E 12 0.270 3 Wall 1:Wood Frame, 16"o.c. 3331 19.0 0.0 143 Window 1:Wood Frame,2 Pane w/Low-E 948 0.270 256 Floorl:All-Wood Joist/Truss over Uncond.Space 2474 19.0 0.0 116 Boiler 1:Other(Except Gas-Fired Steam),80 AFUE 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 e� k.,.bean daeigwd er meat eke Airs.Yee4 Cee"&-�C..en lies Cod. requ,r=cnts_ When a Registered Design Prostamped and signed this page,they are attesting that to the bast of his/her kn led belief and p sinal judgment such plans or specifications are in compliance with this 1� Buildar/Desigoer Da • I! FROM : MKAinc RTJarch FAX NO. Nov. 30 2004 11:35RM P3 REScheck Inspection Checklist New York State Energy Conservation Construction Code uwuawiuy nca:/wryaiUr.cOr�nw,uc DATE: 11/30/04 PROJE(T TITLE:Martin Bldg. Dept. Usc Ceilings: [ ] 1. Ceiling 1:Flat or Scissor Truss,&30.0 cavity insulation Comments: [ ] I 2. Ceiling 2:Cathedral,R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] I 1. Wall I:Wood Frame. 16"o.c.,R-19.0 cavity insulation Comments: I Windows: [ ] I 1. Window 1: Wood Frame,2 Pane w/Low-E,U-factor:0.270 For windows without labeled U-factors,describe features: #Pana_Frame T_yV Thermal Break?[ ]Yes[ ]No Comments: I Skylights: [ ] I 1. a><y ught 1%A 6. .l e..r .�no...,,i r my U.u f.' ..1&27n For skylights without labeled 13-factors,describe features: #Panes_Frame Type Thermal Break![ ] Yes[ ]No Comments: Floors: [ ] 1. Flood:ALL-Wood Joist/Truss over Uncond. Space,R-19.0 cavity insulation Comments: I Heating and Cooling Equipment- 1. quipment1. Boiler 1:Other(Except Gas-Fired Sicam),80 AFUE or higher I Make and Motel Number Air Leakage: L ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ( ] I Recessed lights must be 1)Type IC ratA or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-1C rated,the fixture must be installed with a 3"clearance from insulation. I Vapor Retarder: 1 J ltegwred on the warm-m-winter side of all not-vented Named cerlrngs,walls,and floors. I [ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] I Materials and cgmpment must be identified so that compliance can be determined. 22 [ ] Manufietwer 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. I Duct Insulation: I l I Supply dune in unconditioned attics or outside the building must be insulated to R-8. [ ] I Return ducts in unconditioned attics or outside the building must be insulated to Rd. r 1 I Gmnly tiuctx in lmrnndifiniie l wnevx mart hn incnbtwrl in R-R [ i TAc n duma in unooeadrto*od opeaw(7.uWpF b45amOLClj mlG ee mmiamd to 1h*. Insulation is not required on return ducts in basements. I I Duct Construction: [ ] I All joints,scams,and connections must be securely fastened with welds,gaskets,mastics I (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is no permitted I Fxceptlon:Continuously welded and locking-type longitudinal joints and seams on ducts I operating at less than 2 in.w.g.(500 Pa). [ ] I Ducts shall he supported every 10 The or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] I Air filters are required in the return air system. [ ] Thr HVAC cyMnm mnM nrrwi&x mrenF fnr 1,AN.rinaair And avatar oyaVme I lempe[awre%-unFruu: [ J I Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set point of the largest zone. I Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. I 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 Coda of New York Store,the Residential Code of New York State or I the Naw York City Building Coda,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. [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: [ ] I Insulate circulating ho water pipes to the levels in Table 1. Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is front non-dep[etable sources. Pool pumps require a time clock I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. Table l: Minimum Insulation TAkknen for Circulating Hot Water Pipes I.."..1..�:.... 74.:al ntw is InoLm W bRi Eieea Heated Water Non-Circulating Run outs GSreulatine Mains and Runouts Temperature(Fl Up to 1" LIo to 1.25" 1.5"to 2A" Over 2" 170.180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Ia01e L: Minimum Insulation IA;WJMWJorRVAC;JVds fluid Temp. Insulation Thickness in lncbes by Pine Sizes Pioinc Sys=Tm $ga gg(F) r RunoLtc_ 1"and Loss 1.25^to 2" 2.5"to4" Heating Systems Low PressurJl'®poraturc 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 APPLICATION FOR PUBLIC ACCESS TO RECORDS SUFFOLK COUNTY TO FREEDOM OF INFORMATION OFFICEA/DF.SIC•NEE: Suffolk County Dept of Health Services,Office of wastewater Management 360 Yaphank Avenue,Suite 2C,Yaphank,New York 11980 SECTION I: TO BE COMPLETED BY APPLICANT INSTRUCTIONS TO APPLICANT:Plesse complete Section I ofthis form(type or print legibly). SUwRT THE OwGiNAL FORst to the agency Freedom of Information Officer. The Freedom of Information Officer or Designee will respond to your request as soon as possible. I HEREBY APPLY TO: CHECK ONE Q Inspect the following record dReceive a copy of the following document(s) (Please describe the record sought and include the complete tax map number. Supply a date,a file title, and any other information that will help locate the record desired:) Filed: 4OVem beta 3_arn I� M4P AJwfthe2 loll a S'&44ed 0-i MA4,4,ACk TOUJAt ofSOLLfhoIdSg' FFoiK eoaNf , /l to )/okk Aiz+k,ct/aoo Sec +irut /a-s- 61v�t y Lo+ ftiy5rcaL- AdAAgcss is' : tho /CwxaeL i,)a� �luel r , Zkw o 48 SIGNATURE OF AN%WANT: ,�, Applicant Represents Telephone# E"kLEN /1,4GeRtnAAJ Se-/F !a31-a48-3ao!< AnLICANTms MAIL NG ADDREss(MUST BE COMPLETED): Date of Application PD 60 �) 9,y /hflrj:7'ru,-K I Y-/6 -o SECTION II: FOR USE BY AGENCY FREEDOM OF INFORMATION OFFICER/DESIGNEE ONLY Q Approved. Call to arrange an appointment to inspect the requested record. Contact Person Phone# Q Records not possessed or maintained by this agency. Q Records cannot be found after diligent search. Q Denied. Reason for denial. (See Attached). Q Recent of this request is acknowledged. There will be a delay in supplying the requested record until: �,/ iPayment of Reproduction Fee$ � • Q Other 4Zent(s)enclosed,as requested. r Oyler �� a 0. 1 A 7 .06 Signature of FOI Designee Title Date $� 't - SECTION HL NOTICE TO APPLICANT YOU HAVE A RIGHT TO APPEAL A DENIAL OF THIS APPLICATION IN WRITING TO THE OFFICE OF THE COUNTY ATTORNEY WITHIN 30 DAYS OF THE DENIAL. INFORMATION AS TO THE PERSON TO CONTACT IS SHOWN BELOW. THE CONTACTED PERSON MUST RESPOND TO YOU IN WRITING WITHIN TEN BUSINESS DAYS OF RECEIPT OF YOUR APPEAL. Suffolk County Attorney Business Telephone H.Lee Dennison Bldg 6°FL Veterans Memorial Hwy.,Hauppaup,NY 11788 (631)853-4049 W WM-074(RIOS) Trackinit# SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES OFFICE OF WASTEWATER MANAGEMENT 360 YAPHANK AVENUE, SUITE 2C YAPHANK, NEW YORK 11980 631-852-5700 INCOMPLETE NOTICE-- FINAL APPROVAL FOR RESIDENTIAL/COMMERCIAL TO: Deborah Martin FILE REF.: R10-04-0103 5 Adam Lane PROPERTY DESCRIPTION.: Laurel Way Westhampton, NY Your final approval cannot be processed because of the following: ®Inspections of the sewage disposal system not ❑Submit certification from sewer district (S-9 Forms or completed.See Below _..._................ ......... — ,-_ eq_yivalent). ❑Submit 4 prints as-built surveys/site plans with seal and j ❑Submit Carbon Monoxide Alarm(s)Certification(s), Form y signature. WWM 075. - ----- _ - -- — -- -- --- ----- 1 ❑As-built surveys/site plans have wrong/no ❑Submit Design Professional Certification: Form measurements. See Below WWM-073 ❑Show sewage disposal system(s) and sewer line(s) on ❑Sewage disposal/water supply facility does not conform as-built surveys/site-.plans............- - ---- --- ) --to-aPeroved_plans/standards. -- - ---........................:::... . ❑Show well/water line/water supply system components []Show sewage collection/treatment system on as-built on as--buiuilt—su-rvessipans.. surves/siteye .........................................--__-----.-.- _plans...-.. ❑Show driveway, parking area & walkways on as-built 1 ❑Water analysis does not conform to drinking water __ surveys/site plans _ standards.. ❑Submit water line tap letter from water company or ❑Covenant required for: See enclosed. district. ®Submit certification from licensed installer of sewage ❑Awaiting approval from Office of Pollution Control. a--_-..-_disposal system._ ❑Submit certification from licensed well driller and water ❑ - analysis. See Below Z Other: Inspection of the septic tank was not completed. Open the cast iron cover and call for an inspectio_r_-' NOTE:ALTERATIONS OF SURVEYS/PLANS MUST BE MADE BY A LICENSED DESIGN PROFESSIONAL OR SURVEYOR AND BE PROPERLY CERTIFIED. PHOTOCOPIES OF DOCUMENTS AND "PENCILLED" IN CORRECTIONS ARE NOT ACCEPTABLE. PLEASE RETURN ONE COPY OF THIS FORM WITH YOUR RESUBMISSION.- ` CC: REVIEWED BY: Laurie Helgans DATE: October 23, 2007 -------_---------- e WWM-052(Rev. 8/05) ,,; SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR OFFICE USE ONLY OFFICE OF WASTEWATER MANAGEMENT SUFFOLK COUNTY CENTER-RIVERHEAD,NY 11901 Health Department Ref.No.P (631) 852-2100 l� �f�- y - ���-� APPLICATION FOR SEWAGE DISPOSAL AND WATER SUPPLY FACILITIES FOR NEW SINGLE FAMILY DWELLING REFER TO REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS PLEASE TYPE OR PRINT LEGIBLY Name of Applicant7(oSk elephone No. boc-eln �tf1 )U9-97S Mailing Address S 4kao� Ln 4 �l Name of Agent(If Not Applicant) Telephone No. Mailing Address Name of Current Property Owner(If Not Applicant) Telephone No. Mailing Address Name of Surveyor,Engineer,or Architect Telephone No. z--Lo (63 1 Mailing Address 150011 _I Se.;-Vv"O c2 Dist. Sect. Block Lot Tax Map No.: I000 2� . 1s Property Location:N/S/E/W Side of Feet N/S/E/W of OR S Corner of V LAN and �--Q V r2i l —T`0.A Subdivision Name&Lot Number(if any) I Previous Health Department Reference No(s). l-o-ure� l Li;i o4- tt- S [Spe if Method of Water Supply Proposed Number of Bedrooms Hamlet . }� Public Water [ ]Private Well l� V�-'� Specify Method of Sewage Disposal Are any of the following permits/approvals required?(CHECK) [A Conventional Septic System [ ]Public Sewers a)Wetland permit-NYSDEC/TOWN? [ ] YES [vj NO [ ]Other(explain) b)Zoning variance-TOWN/VILLAGE? [ ] YES [✓] NO Application is hereby made for a permit to construct a water supply and sewage disposal system for a single family residenip in accordance with this application, surveys and plans submitted. I hereby certify that I have examined this complete application aritheblatements therein are true and correct, and that all work shall be completed in accordance with all applicable Town, County, State end FA�ral Laws and Codes. "Any false statement made herein is punishable as a misdemeanor pursuant to §210.45 of New York State Pqj LaW1'_o; Signature of Applicant Date N Z8 June-- C C Print Name of Applicant Title tz --t W WWM-059 (Rev. 3/03) Page 1 of 2 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR OFFICE USE ONLY OFFICE OF WASTEWATER MANAGEMENT 360 YAPHANK AVENUE, SUITE 2C, YAPHANK,NY 11980 Health Department Ref.No. (631) 852-5700 APPLICATION FOR EXTENSION, RENEWAL OR TRANSFER OF EXISTING PERMIT TO CONSTRUCT SEWAGE DISPOSAL AND WATER SUPPLY FACILITIES FOR SINGLE FAMILY DWELLING REFER TO REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS PLEASE TYPE OR PRINT LEGIBLY EXISTING REFERENCE NUMBER Dist. Sect, Block Lot Tax Map No. NAME OF APPLICANT (If name is different from original applicant,see instructions for transferring a permit and complete section 6 below.) Mailing Address Phone NAME OF AGENT(if not applicant) Mailing Address Phone DATE OF ORIGINAL APPROVAL (If more than 6 years old,a new application will be required.) TRANSFER OF PERMIT: I hereby transfer all rights and interest in the above referenced permit to the new applicant named above; SIGNATURE OF ORIGINAL PERMIT HOLDER/AGENT PRINT NAME. DATE MAILING ADDRESS PHONE Application is hereby made to I J extend, I J renew,I J transfer for a permit to construct in accordance with this application, surveys and plans submitted. I hereby certify that I have examined this complete application and the statements therein are true and correct,and that all work shall be done in accordance with all applicable Town,County,State and Federal Laws. "Any false statement made herein is punishable as a misdemeanor pursuant to 5210.45 of New York State Penal Law." Signature of Applicant Date Print Name of Applicant Title If you are making Substantial revisions or modifications to a project that has already received a permit to construct from the Department,or it the permit is more than six(6)yews old,a new application will be required. Renewed permits are subject to any changes in standards enacted after the approval date of the original permit. DEPARTMENT USE ONLY Permit is Extended/Renewed/Transferred Until Number of Bedrooms Approved Signature of Department Representative Date WWM-104 (Rev. 8/05) Page I oft SUFFOLK COUNTY WATER AUTHORITY 4060 Sunrise Highway, P.O. Box 38, Oakdale, New York 11769 July 24, 2007 Suffolk County Department of Health 360 Yaphank Ave., Suite 1 C Yaphank, NY 11980 To Whom It May Concern: This is to certify that the Suffolk County Water Authority has installed Public Water Service at the following location: # 450 LAUREL WAY, LAUREL A water meter was installed on 07101/05. Very truly yours, t. S. ROMANO Regional Manager SR/kgf E10\TapLetter Revised 6/03 2006 National Source Water Protection Award Winner Tiderunner Engineering & Design, P.C. 7 Ridgewood St Bay Shore,NY 11706 (631}839-4824 July 8, 2009 Building Inspector Town of Southold Re: Structural Evaluation of Existing Deck Hagerman Residence 450 Laurel Way, Laurel Dear Sir/Madam: On Sunday, July 6, 2009 I visited the subject location and conducted a visual inspection of the existing wood deck o the rear of the house. Based on these observations it is my professional opinion that the deck was constructed in accordance with the Residential Code of New York State that was in effect at the time of construction. Additionally, the deck construction appears to meet the current requirements of the Residential Code of New York State. If you have questions please feel free to call of NEW Sincerely, S CN 9�9� * oJN qN - w Louis Schwartz, P.E. tio. 0770x' pR0;ESS�' E- 9 2009 D DG.DEPT.OF SOUTHOLD Aif 10. 13 d� V - �� o _� fl Gad /5 •� �' 0. e 1. " �o P' �� -�� � ..o � ��•5 �_ -7� N �h�-�•� .moo � � o/ �0 , -- O �'i� ( ��_ ff•' P�� q2 g• �QS.2 160*00 / 4q, O 9 0 3 ' oT 24 3 �,eA.DE Map of Lot 25 - - - - - - "Map of Laurel Links" Filed: November 23, 2001, Map Number 10712 w J Situated at Mattituck \j Town of Southold, Suffolk County, New York Q District 1000 Section 125 Block 4 Lot 24.18 2 �t h TEST .G/uiE#/ �"2ow/ ficEO mq/� . y ANTHONY ABRUZZO R.L.S. REGISTERED LAND SURVEYOR 1500 Hortons Lane Southold, New York 11971 =' (631)-209-0676 SURVEYED: March 27, 2004 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.COPIES.OF THIS SURVEY MAP NOT / " G BEARING THE LAND SURVEYOR'S ORIGINAL SIGNATURE AND INKED OR EMBOSSEDfti� SEAL SHALL NOT BE CONSIDERED A VALID TRUE COPY. THIS PARCEL IS SUBJECT TO ANY EASEMENTS OR RESTRICTIONS OF RECORD. .w° Scale: 1" = 30' File No. 2733 ELEVATIONS REFER TO AN ASSUMED DATUM. -,rte CCi ,)01 V4/ p )010 0612- 5, 00 Pep 0 a �S L L L,�ti tl .0 ! ,? s 5 -7 � o �,cAVE R s Map of Lot 25 - - - - ` "Map of Laurel Links" Filed: November 23, 2001, Map Number 10712 w i Situated at Mattituck J i Town of Southold, Suffolk County, New York � q District 1000 Section 125 Block 4 Lot 24.18 � N { TEST h/cI16#/ R I ANTHONY ABRUZZO R.L.S. REGISTERED LAND SURVEYOR - -"- -"� 1500 Hortons Lane �— ----�1 Southold, New York 11971 'R 95 1 (631)-765-3462 J SURVEYED: March 27, 2004 De. DEPt FOUNDATION L -O`^'r�4F S "THoL? * LOCATION: April 15, 2005 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 arpn-i `` OF THE NEW YORK STATE EDUCATION LAW.COPIES OF THIS SURVEY MAP NOT uP BEARING THE LAND SURVEYOR'S ORIGINAL SIGNATURE AND INKED OR EMBOSSED LAND, SEAL SI]ALL NOT BE CONSIDERED A VALID TRUE COPY. THIS PARCEL IS SUBIECF TO ANY EASEMENTS OR RESTRICTIONS OF RECORD. SCale: 1" = 30' ile No. 2733 ELEVATIONS REFER TO AN ASSUMED DATUM. Offsets are to the foundation N HEALTH DEPARTMENT REFERENCE NUMBER R10-04-0103 OlUNN 30 NM01 SURVEY OF PROPERTY U30 9a19 \ I,,qU AT MATTITUCK 60OZ 5 I Nnr TOWN OF SOUTHOLD S�43 ��Y SUFFOLK COUNTY, N. Y. 1000-12504-24.18- 1 11g 0p, MAY 13, 2009 LOT NUMBERS REFER TO MAP OF LAUREL LINKS" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON O ' NOVEMBER 23, 2001 AS FILE N0. 10712. ^ ,�' m• < Joa m O ry�o Cor WM. f� �Qo• h N iC �; d a ao• � � %q6 4+28 .n 13• tic / 11 t m c p e<V a° QLD yd / � it A^[ m V Cq n O U1 ' C: LU ,0 A `PST YJ 5 0 j� m _ 3 a 1W f A F2 � u I am fo ' e' 57A7rIDAOT FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES CF 9�� R-58268 g� :55� ¢ and will abide by the conditions set forth therein and on the �-8.99 S�¢• LOt 2 AGF ✓ 0 permit to construct. n�f ` The location of water lines and cesspools shown hereon are �I. Y.S . \ from field observations and or from data obtained from others. . Y.S. LIC. NO. 49618 ANY ALTERA7TON OR ADDIAON TO THIS SURREY lS A VIOLA710N Cfl - S, i OF SEC77ON 7.209 OF THE NEW YORK STATE EDUCA77ON LAW. P.C. � ' �47�$*� EXCEPT AS PER SEC77ON 7209-SUBDIWSION 2. ALL CER77FICAT70NS FAX (6C. 765-1797 z . HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY 1F .r SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR AREA=30 x'73 SQ. FT. 12 ER STREET WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971 09-129 Treated 2 x 8 lag Bolted to Fx.Framing poll Wood boiling Connected to DJ with Joist Hangers a i 5/4 x 4 Teak Deck Boards i m — u 2 x 8 DJ CP 16' O.C. 0 Ik O Trea+ed 4.4 Pasts In Gonc Poo(2)2 x 10 Girder Founddons I1- F- .� - -___ __ 2',O• 4'O. 4'0, 4'.O, 4'-O' id' Post Footing 36"Mln Depth Below Grade 0 r (2)Treated m m s 2 x 10 Gyder 0 q0a 0 Section A-A 2 x1 GlydeZ Q m 8' r-8'-0, e'-0' 7-51/4" 7.81/4" 8'-0" 8'O B" a 01"1'0 +� 0 G. + z a Y1ry P L (2) 2 x 10 Girder z 6 F .a z o 28-0. I Q oo"1. LA o Plan r North Elevation W U o � W � rn w z W � � a ln� a z � � C Cn a Q x a U w � WORMUNM q .a South Elevation North Elevation z 0 w General Notes 04 1. These plans and specifications have been designed In full 7. Electrical distributon systems shall comply with National accordance with the American Society of Engineers , Electric Code and all local state codes, smoke detecting N American Forest and Paper Association, Wood alarm systems as per Section P317 NYS Carbon Monoxide <F O Frame Construction Manual for One and Two Family detectors installed as required. m l9 Dwellings 2001 Edition. O Gi m O U N!< KAt_ Il 8. Do not scale drawings. Written dimensions supercede scale. 2. These plans and specifications have been designed In full All dimensions shall be verified Note: by contractor. 2"x6" A[+x 7aF' KALL_ compliance to the requirements of the New York State z 3 A Z 2"s" nca C�Ausrn�*s T'.v Kr- T fp' RAL This plan Is shown In an "AS-BUILT' condition. The design professional Ener Conservation Construction Code, Uniform Pre w q 3 p OLa. Z,.y�„ AuQ � E t en 9. General contractor shall field check and verify all of the q observed the dock Its condition Prevention Code, and the New York State Building Code. existin conditions before comment n work d a °c has only o serve a ec n ex sting con on 9 19 w v q q rxJ SCALE i 3. Al Concrete shall be minimum 3000 PSI 28 day test with 10. General Contractor shall coordinate all architectural, 1/4" - 1 ' 1I ; I x'L' ACS' VALI3TRL C' the exception of exposed slabs, garage slabs and steps to structural, plumbing p g mechanical work as required. be 3500P51. Assumed Bearing Capacity shall be 1 ton per N W `--- -- s-' q/41V Nd{ > square foot. TI. These drawings are for obtaining building os 9s 9 9 Permits and to '0ti'sr ----T� - >ILM &DIST a A%Am II facilitate construction and shall not be construed as a � rc 4. All wood framing memebers shall be#2 Doug-Fir construction contract between owner and contractor. (Written o 1!e" EIALV STEEL rfu S, grade unless otherwie noted. Base design value: cordrac+ construction su ercedes drawin ra'Fs Rill ANP VIFb= 875 PSI Singular, F6-1006 PSI Repetitive. P �' Foq °ryaoa-� v ��t / N� f �C��4_ PAT-��_ �N�.T PET-Alf—�L_ 12.Any alteration to these plans or revislonns made during FE831a -- -- 5. Joist hangers, hurricane clips, tie downs and all metal the construction by owner, contractor, or building offical ft& AAME --,C',NME I/4 = -d strap/plate connectors as manufactured by"Simpson" may add additional charge over and above anginal arch. fees. or equal. Attach as per monfacturers specifications. N PLANS 7 7 A S S. Al wood In contact with masonry and ground shall be AGR r L 1�1 V or equal as required January 1, 2003. DWG. NO. A - 1 PAGE 1 OF I GENERPL Not>;5151mpl1fled w ' hoof' LSTA'-> I, Nrmstnenm o to conform to NY State ad load buildup codaNO, Na111_ng_, /nes Rafter ries /= 2. N pkaduq a to acr8am to Canty ad lad health depa+mmt rewire—t" @ 161, O,G, 1 3, 1h15 5et of plans has been de51gned In ------ 4. Lmtrata sill wrdr ad r dmerowa ed radltuxe m tlo fldd prior to rahstrucum ed roktfl4anvor* cogke mkardts startle,, 5, Wrktendmmskroshelltakepmcoderkowmereladonesedla-geraaladelallshell accordance with the American forest and paper tete pmwolvntoxw mall scale drmvrcfs, 6. ,w,archiected�kwnOMOfAclov tathe deak„, The archudest A55ociatlon ( A� &PA) wood frame eon�xuetlon resprolle fa dwgao mile wMkatroGflcatim MNk IN WRmNG, - 7, It, ,toiilate,ofAmAffWs napaLct,shall mak allmaufatwa,re rte, manual for one and two family dwelling5, 1995 e. provide Make ad carbon mronde detactae m per NY State codes, (L 3 l I 9, prefabricated flrepleceo anal fluess shall be U.approved 2 — ; i 1 � � N2 10,petard achtee,a rot mpaable fa agawersx mspectlm a&Immelrkim of this 513C Nigh Wind �ditlon i 2 h X R' @16" 0,C, ' proJcd.urless rcgesFed In writeq. l 1 1 I I 12061\1 b0A195 4' NOTE Re"aderthan sleepM manta 40 p.5,p.I,"lulls Provide 1/211 CGA Wall 5heathlnq Header j `�eevrq retro 50 p.5p,the foals s}'x to tap of second floor wA pl t z, Exter or Mune, 60 p5Y.live lads 4' Plywood 19 to be Min, of 21-011 neAa 4oP.5P,lxe1,ad, 5NEA11NG SCNEf7UI.E taw p -1 Abloo wpdwt storax IO P.S,p.lta lids doom frau of wall, Nall Igwood Mice with,braq, 201`6P.lwlends with Bellci nails @ 4" O,C, Doth Ends ZONE I ZONE 2 ZONE 3 hxizontally across tap plate and 16-10d F011NVA110NG t1 11 around window and door wpenlnq I, Caereta biro be A00 Roca.mmnumon2tae/s,f sill beaus apecyq verily sal bearq I IEI.n 'I O,C, 8 O,C, 12 O.C. at 41, O,C, 'pato n the two, 2, 24"wide x12"deep poured concrete fmuap with a l 1/21101/4",Wock to newhe an 6" WCZ 311 0,0, 411 O.C. 611 O,C, N - wed coewtfandaumwill, 5, nemp-pmdaxternr aFfaudetmnwad with troxdled on mastic to Wade. NI I/2"Ext,Fktiwood Well 5kathrq to 6e 5eared Provide canblrucuz load wo 6d Comnm Nei,t abtem as Indicated Nwvs, path from rld e to fandabim, CA rP N1V1' 5dewA quathirq to be 11211,Roof to be I/2" C17X g X516124 17-7 �n.rr .rI All eonnedlcnz to be Simpson @ l6° O�; \ I. Nllumber fa frentq shill b:nada,pn q2, Dean,headers and flarlmsteshall Moro a flea GLAZING PPOTClION '%rtrq-fic" connectors, 1B-IOd \ 6sdrgstre,sofe50p,,,1. WIND 130M 17Wp15 2. NI Ihaabre to be 2-2"x 12"uta otherwhsa noted. 5. PIA Al pork tads ad bearm patRun loads dlrectlq to faudatmn. Ad rax book Pla as rcccssay, - 1 4. viable franc aomd ell open",oder parallel petition,ad uder bath ttb,, 5, "feed' cmwcwcmregvred at all fkah structural ked cerrghrej rcvch k s. � 6, Al exterior deck franN shill be PLQ treated Iurbor, PA5IENERS AS NMP IN 7. Dridgrq to W akher sdld or 111011 cross br*irq or 18 ca,cross bridgirq A 8' os. 5CI1EfU"E DEIOW \ 8, Intarow 6e&aq wall,to ba blocked at 4'oz, 9. provide ndx wake where cathedral codhroa are used, Huricae clip d1 rafters wive where cakl acelmgs we used, 10.NI Itkch platee,s,l,V.l;s ad graters are to baa on sdld wood poste ad have slid blocklmq . pINNOCI7 A5 NOfEn dawn to fobtion wellsfoundation / II, NI franuq hardware shown m these Riaz,Mee,ddxrxise ndlcoted, Is"5impsm 5traq-ia / i ENERGY NOtES p Yw00V 5TMM FAN I, N rmstrudm stall be in accerdaee wrh the m prementa of the NY Stats Energ4 skurmR DEAL rte. Cmxrvatgf Construction Lab,tie latest edkoh at the time the permit Is approved. 2, Wuabes ad all dao-0.56= 7, extaiw dears ad chore to garax-0.40 ma. 9. M thermostat,Owl be a4o tale 45.85 deq.f.pa rmbratlm Iva*ad ocduq pASTENER� I'MEI SPAN tknroalaba,the rape shad be 45-85 dm.f mm, < 4'-0" 4'-6' 6'-8' . NQT� 5, It shell 6a the r&,pav1611 q of the aalaela to vlmk au,desmn ad type of ned,mmal 2 1/2" Is 6 12„ 9" 617 Provide 5/8" CGA sheathing across second - - systems which will Is,usednaufnakdetalaearawredbythe DuddrgnepartmA. Wf,5CMW5 floor box, InstallplewdhorizontallywithJoist 6. NI fireplaces are to be pranced with a clasper for onlehde canbvstkn air, 150-200 c,fm fire to Iaro teht,stabled damper-M.our Wksge 20 c.fa. 21/2' # 8 I2" 12" 9" 1211 below Ist floor wall plates, 7. Water samoo torerehra cmtrd,shall b serer 140 AMA env.• � "•5MW5 Extend 4'sheet across box and bottom of 2nd tS16 B ` a. N lavatories and showers shat be ewrypad with davmas to hmk bot water flax to a malmm of 11 h h l @ 16" O,C, 3 g.p,m.a 60 psA.prelate. Prortde I/Z CIpX plywood panels, Maximum span of 8 O floor wall studs, Provide 2 rows of 8d qav,for even{window, 14-I Od 9, NI makerds cap"of Awl he melstae shell be protected bq a vapor barer located on the ndow, Panels shall be pre-cut to corer the glazed Wads across tap aF 1st floor, wall plate, wMer warm orb of Hokum. openitq, laked, with appropriate abtachmert hardware, and 2nd floor sill @ 4" O,C, to connect 10. halation shill be retalled n a manor that pnrwdss fm cmuhuhtq of nakuon at Hate Imes, wall framlrq across bay beam, - bandhut,ad evicts ._ I. WAC coolsq ewlpnmk shall be rated n accords n,with table 4.6 of tie Energy Code min,5ER (afflcbay) call be a speeded in table,4-8,4-9,and 4-10 of the ercrgl code. Faeter4er 5checlule for 5tnletural Members 12. kJate dl pryer ad Awlsa per code,`',,, 13, Lmdustmn ewlpmrnt fa spore heattq ad water kat+q shall hero a mmmun«mbatmn of75F "� 3-8d I6" O.C. i ad shill else sta'dla4losses be,Oral the cads spetlfled maamah based m .blob to sill a q crl tee tall ,i aduel awhpmmt see. " x 6" aboar 5t or cs to sad,Joist,face Hall 2"5d 2 staples, 3/4"" abfiwr b 14. fhermd tramlt#arce vaM1es shell rot k areata theta tit velhes tabalated n table 5-I oF#pe 2JoI,C m gtrdepr Mond and Paco Hall 16cl . epaw rode, 5de plate to joist a ldokrq, hall Ibd I6" O.L. Anchor 1335 \ Top a see lata to stud,end nail 2-16d i W p "`n, �� l Stud to sate date,to rail 5,-ad or 2-I6d APCNITEC75 SfAiEMENf fable studs, face hall �'� IOd 24" a.C, " u2!511 I/ 2 diaxlb , x .� Prchkect ztetes that to the best of my krowiedx,bear aid prokaimel Adaemerk that toe plan fable top plates. face rind �" IOd . 24° O,L' O,C, with 2° 5't, WaSher; 2 and spcolllratkns trotted le these d-awmgs cendewith id NY Stats Fuck a that W 5da plate tojoM a Rockrq,at brood wall palls ",w 3-Ibd 16 ' O,C, belts '-0" Aran comers @ � O,C, mstrucum cods. Referto MEC Otwd,ComH'ao Report fled as part of th'a bnldrq permit fable tap Oates, arenm 46" offset of end joints, C fact tall m Lamedarea apHKa bon,attackd tonic"ccvocn cbmn naamenta, Dlockkq between joists or rafter,to tap Hate,to rad, Ren Joist to tap Hate,to red ad '.,.6„ O.C. (.s" CLIMATIC ANP GEOGRAPHIC t516N CRITERIA; Tap p a es, laps at comers and ntarxabo s,f" v 11 2-I0d r Gramd 51W load 95 PSp DuIR•up header,taw pieces w6l/2" fpker Ibd 16" O.L,alaq each edge -- Wrd Speed(MRH) 3 Second Gust 120* Md'H Wmd Zea III Cakrued Meader,Lwo pleas Ibd 16" O.C.slag each edge r,✓; ' :/'" "`-", Seems ne,gm Cate 51dTAD callMjoists to plata.to rall,. ' 3"gd � IS �` � �••• ( � i ,...... .•.. w.__.. / ' _ 'lrl gay Weatfertq 5awre Contmous header to stud,toe Wad 4-Bal .�.,T.. . .,.—,- ._....y,-... Moderate to He '`,.. . ..._..__ , . ._.. ..... .. .. ' 1 ProsOme sept, 3'-0 Calmq joist laps ouerparuuons, feta nail 3-IOd ferMtes a"t i 178184 Cedlhq joist to,pa"a r rafters, feta reel 2-16 d rq Stlght to Mxbrata f �1� �rt nays-1M-�' Ratter m place,ion rad 2-Ibd ,``'" { — Wtller 17es fe 5uffdkH �V�' L C Mme' '\ Q op , pkedHeve-el Z"C 11NOrOFF Wrdxpoe Eee �"� /1550CIATE5 GENWRN NvrEsl NO � / 51mellfled Wall/ Roof I. NI w0hatan bFo cmform to NY5;ete a'+d Lad buid;res ales. �5fA9 �. 2. Nl pkmbhq 1,toconfam to Caahl ad Lard health depsimmt rayrananra, Nalllnq Zones Rafter nes s, Mata a "�ktawfamtat�d"'eL' d acw"""a�"mOt'. Th15 Set of laps has been clesloned In @ 16" O.C. 4. Lotkrada shell verify dl dmaawn,and wdtW m the fkld pier to anifnetkn p I and W04 adMeot of Axl w,flkta a duaepacl», B-1Od -1 5, *"an Jimkmshelltakepmmdmtovascdedweandlarge ",doted ttal accordance wlth the American Forest and Paper take pramdmt ver smell orale d-spvs'q,. 6. Tie achxedshdl60roGiledofAdonee,tothe dniqu lhewchltedbre; A55oelatlon ( AP VA) wood frame eon5txuctlon resp"W fa dwesa rode wtt roWR hgureaton MAM IN K I. Tho twfdlaum dell nuked,and paLat,ddl mast all twurachrae re,,remmte, 5. pmra,wkeadeadranmold,d.r ,wpar NY5katae� fA— X31 Z manual for one and two famdlq dWelling5, 1995 9, lerda6reatad%oau roms ad fire,,hdl ".app,"o. SVC HI h Wind LdILIOn 10.X=d archtect b raspaeMe fa operv,im.Impedlan a&6hutraum d this q I 2 N2 prolacbupesemgpeakedrnwrttrq. , 2 @ 16" O.C. PE516N 60All a, / Ream oblurihan deePaq roam NOTE 40 p,SF,Lite Loads `dCariar Wp"" °A r5r,Lae Lwdo � � provide l/2" CPX Wall Sheathing i Header 17e,+s r ldana, 60 p.5.P.Loa Lail, 4' to top of second floor wall plates. � / � ne k' 1 0 F5.16j'. Lbn Lad, 4' Plywood Is to 6e Min. of 2'-O" / �'with olmea m 0 p,SF,Lia L ids 5HM ING 5CNEnULE down from tap of wall. Nall pl ywad I %A 21 �0 with�� 20 p,S,P.Lhe Loada ZONE I ZONE 2 ZONE 3 WOBd ga1V, 1151115 @ 4" O.C. —Doth Ends POLNPA110N horizontally across top plate and 16-IOd 1. Combo I'to6 X= ,.l.Mani M2tau/'A Wel ba P1ELn esu O.C. 811 O.C. 1211 O.C, ,rand window and da oopenlnq P• ales bloody. Verity sal bearq at 4" O.C. cwm&4 n the fleld, 2. 24"wide x 12"deep pared caxmta fwW p wth a 11/2" K3 I/4"kmilaek to rem Ne an 6" EDGE pared canaeE foridebbt well. 5" O.C. 4" O.C. /_I1 O.C.5, nam'Roof axterar dfaedeum well with trvxdled m mmtc to credo - NI 1/2" Ext plylwad Mill 5haabhhq to 6d 5eored l• No with 6d Carmol Nal,rakkem as Indleated Abm, provide caltlnua5 load CARpENiRY 5olmal 5heathr;q to be 1/2",Rwf to 6e 1/2" COX path from ridge to fmndatlon, SfA 24 I. Aldadper for frontes dtdl b,pada,pn 42, bean,leaden and flarlon,[a shall ha.n a fY.a GLAZING p�OTEC110N Al connections to be 51mp5m @ 6" 0.c \ bN AVA hoadetra»d850pad, "5trcrg-rte" connectors. 18-1011 2, pled l Aa i tloa Ito 2.2"x rri;,pass o,loalse weed. WIT 1301:NE 12 61305 _ D, plod:517 pant keds and bsanq pailum lade d;rectlU to faadaeet. Ptld new blare pia no nee"W4, 4. pwNa from amid all Warren,uder prdlel partition,and"or bath td», 'lL{ 5. "fern"wsuctwe mgsred dell Flush,habrd bed carmnq caditkm. 6. Al axlerer deck frames shell be K0 treated lumter. fASfEhLR5 A5 NOTED IN 7, fhdgo-q to be taker,diel a I"x 3" ambrklgrng a IB ay.am,bridgrrq at 8'a.c. 50 ftU DELOW 8. Interew baatq well,to be 6lwted at 4'a.c. Ilk 9. Prwds rdq,xento whom casedrd motes,we used. Hrrrrar¢dip all raRers where Am raUnc671 mines are used 10.Ill flikh plat",L.V.L,'s ad grata,alta Lva On add ward poet,and hove,did blakvq _ \ dam to fa„lekbn wells. /)II Il. NI frames lmi sham m Hex I Tans,utas dlperwra adeated, is 115onpsw 5trmq-Te pLYWOOP A5 NOTE17 �II``I ENERGY NOTES V I, NI cm bructm shell 6e In wardwee wRh tar reeprMnanta of the NY 5tata Energy P4w5Y'OD StORM PMEL coaorvatw Corahwum Coda,the latest adtkn A do tae the parrot 1,appwad. 5lIM VEM its.I 2. Wind"ad all olm,-U-56 mea 3. Exton claws ad doe,togwxr-U-40 mm. 4. M Hamtasbabs dull be adu"s 45-85 xbq.f.Pa wrbrutlm heats q ad adrq oarnoAate.the rape doll IV 45.85 deq.f M. PAWNER tYPE MI 5PAN 5. k 1W b,to mspa,I Wley of line wdractor to subnt are,dmtfi ad ti or n ed mini a 4'-O" 4'-6' 6'-8' NOTE oysbeme when A be uxd n,uf ed dotal w n,rmpred N the Duildrq l7epatmrnt. 6, All f6eplama are to be pwded wyh a danger fa aearde cad>r,Ga,air. 150-200 c.f.m tApe W17 SCREW$ 12" 9" 6" Provide 6/8" COX 511eat1linq across second to I"tghk smtbed damper-max,or laduge 20 c.fm. 21�Z" #8 floor box Install plywood horizontally with joiA I. Water serve,temparArs cmtrd,olutl be wba6140 deq,f,mix, . 12" 12" 9" 12" below 15t floor wall plates, I.SfA 8 8. NI laataim ad sMwars shill be acy;pped with doves,to loot hob water flow to a nua mm d Extend 4'sheet across box and 6obtan of 2nd � 5 q.p.m.a 60 pe.r,pre,ara, Provide 1/2" CVX I ad '- " 9, NI materia',cap"d abaebtq moebre dell be proeected by a vapor barrier hated m to p yv+ patois. Maximum span of 8 O floor wall studs. Provide 2 rows of N call @ I6 OC� � .l water wpm oda of kwaum, for every window, panels shall be pre-cut to over the glazed \ Wads across tap of 15t flan, wall plate, 14-I0d 10,, Insdauw 4WI6 notalled in a macer H•at pavtd o fa caeautq of nadaum"at-las,, openlnq, la6led, with appropriate abtachment hardware. and 2nd floor sill @ 4" O,C.to connect Ij II. WAC wdrq a IRnV 1k ehdl be robed n saadaca with table 4.6 dtne Emrgy Code ran.SER wall framlrq across bay beam, i (atTkeml) analip"ad drat. clntable,4.8.49,ad 4.10elle Em%y Late. 12, kadaEe 111 pgpes d+de m per rafe. Fastener 5cWule for 5bavctural Members ' 13. Lonb,sten agnpmmt ra '�",. q+an then t e oe'poeaerq shell hme a mmnun wnkustkn d 95X q ad dell haae,w;adal b„eo b„Har;the ode apeclFled magm,n brood m .la154;to 5111 a 4*'tope nail 3-Bel I6" O.C, �. stud aeprpment,pe, I" X 6" m6flar orIAw to each Joist, face rod 2-5d 2 staples, I V 4" / 14. rerg4 cele. are argue,dell rot be geaba tle5t He vaM1iw+ab,lated a table 5-I d the 2" wbflar talars{.a 43!e Ll lmd ad face tad 2-1611 emrq{oda. I - 5da plate to Wet a blakrq,raq Will Ibd 161, O.G. J fop a ode plate to stud,end roll 2-1611 Anchor Dolts Stud to sate plate,tea nal "d a 2-16d ARCHIiEC15 SfATEMENI Da6la,tads, face nail lod 24" ac. „ Ardiyed state,tab to t o Gab d kro my ioal e,tpelaf ap d dwap esa )rdgement that the plan pable tap plate,, feta red �'* IOd ,24” O.C. 1/ 2 dla x 16 x 2!5'1 1 rm and V=Ifkauws wtaaed In taw drawtgs mmply with the NY Rate EmreM C,,arvaSw, 5de plate ta,pist or blwklrq,at braced wall panelz��" ,`3-Ibd 16" O,C. O,C, w0i 2" 5t, washer; 2 CaWnctut Lada. Uar to MEL Check Cepitarn Repat fled as petdHe 6wildnq permit DaddetN plate,, min"4B" offsetdand lod,, ,' , belle P-0" from comers @ ,, O,C. appleauq;,attadped to ex Ca,uuctxm paumnts, fpm nail n lapped am Dlocktq 1,etwean}omt,a raftem to tap plate,toe no CI IMA11C ANP GEOGRAPHIC PE51GN CRIiERIPo Rmloatto top plata,to nall fir plates, laps ab canners and re,,fam herwctWnail 2-I0d _ Gamrl 54M Lead 45p5P Dulkv header,taw lemS wlUtl/2" " 1 �`r-�� I' ';-,� +.:e";,,,)�- -•�;=` flu, k Wad 5pmd(MPH) 3 S,cmd Guat 120+ MPH Wmd Zan III p p Wer 16d 16 O.C. daq each edge d +f \" 1 �""•`" rC✓ --- Sarame pesnp Lategay S;ffdk 5 p ares des ._........_ �_......,.�._,,....._.. Weatei 5ew.re Mlalsfa#a lake.WWII 3-811 Prosklna pepW 3'.p.. Cakauws header to stud,�rail 4-Bel Conb fermfteo Moderate to Neat' Galnq jo et laps o,er-,yarugms,face iced 3-1011 � �,..�.. ,'. ^.•,.. � „—.• � �. _ :�` nae p o races Ibd I6 ' O,C,d each e ...-.. .,__....._,......»,....._....._...........�,...,_.,_n..,.,._ , . . . , .,. -_ Derry 514t to Moderate Catltrq Joel to polel rafter,, face nail 3-1011 Nbrar Pesep Temp 5,ffdk H Rafter to aJafe,tea nal 2-16d Plod Hazard Zone C � \'V=�---- - 4 - b" . (-° o+ i i T os IPL - — - -- j f Ll �- 2E � - 0 9' ?bcci 2,jli/4,x915 Mla _ �l x91f� MI c¢o a - - -- r.I IR�82 1I L �L, � CnNC• WAa..L 1 ` z, to arl(_. vtr- CF - I.JrrreZv'wa>= -1-o(,s2aDE Q' Sr ° TYPE'k� SNEi;?'RttK ewe dJl, � , �y t9 _ s l/l�I cy- -� s 47 10 PT L4 m� 0 1 9. q.,, CnN C - S L#B o Ia lr•l L r �' �I r, cnr IPArr FILL CT`GB• I N N 0- ° �'u \ p - - -- m DMP �u/_o MASw+- H 0 —�: yj o ` CNIMNE`/ oN -1 - e -� p t7" 9; N .l L �� —1�4x�Ca Cak. I - rl. IL `b 4 ' r f' I _ '1 I FTG• _ Y R- ( __ 7 9 \ o� / LON�P. 'FIL•1- CT�(P•� �vw�CZ4 A 'E �i>llb '�•� ? r , 1 �s ti` gTL- Cy LU Mac o bN X1.4 w 'I,�E x 0, COWL I 0 -- - 9� - LIZ)" ` / C n i O C' 22, �� o a r 'vV]'I.wld CONNEGTJONs FRA I � - REDU FiED. N PR CEEO IT MAObUIIN NTILS LO AT ON FN I— - N APPROVED. _- cfI P�u. L CQNSTRUCTION SHALL rLY7�lA' rl.��" I ME THE REQUIREMENTS OF THE _ 9 CODES OF NEW YORK STATE. �iCUPANC�Y QR -- .� 341 -41 USE- USE IS UNLAWFUL PLUMBING WITHOUT CERTIFICATE01 o lb" 1 �U I to'- w' � � 0 - 6" �, �� � 'l•T" --�- Y7" ); ALL PLUMNG WASTE ED , OF OCCUPANCY - ' 1 'I,i, to _ TO"41,�5,- NQ -ro tZ FS QhJ TESTING BEFORE COVERING PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE APPROVED7ISNOTE1 a 1 .1J r 3 CERTIFICATE OF OCCUPANCY DATE. L g,p•r�3c S®/ 7 c" SOLDER USED IN WATER FEE, a!4 o By: (� SUPPLY SYSTEMCANNOT NOTIFY BUILDING DEPARTMENT AT EXCEED 2/10 OF I% LEAD. 765-1802 8 AM TO 4 PM FOR THE �- FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED RETAIN STORM WATER RUNOFF FOR POURED CONCRETE - I 2. ROUGH - FRAMING & PLUMBING PURSUANT TO SECTION 45-1 OC 3. INSULATION 4. FINAL - CONSTRUCTION MUST 5 _v 1- - -+ - - - - 1 �I-bs t� �y 1 - -- _ OF BE COMPLETE FOR C.O. FTNETOWN i s � ALL CONSTRUCTION SHALL MEET THE I4Fi O" _ 1O1 - d„ -- \ D �y 3 .- - -�1 0" ,� .0° - r7 ` - o �71 �+ --- --- ---- ----- _ - I-��- -� - -- - ----- - - - -- - - --- - -- -- - - - - - - - BLE FOR J YO STATE OWN CODES DESIGN ORODE&OF YORK ECONSTRUCTIONSIERLY WITH ALL C T FICA 7 r 1UNDERW,RITERSCER TE Yti` �1 REQUIREMENTS OF THE CODES OF NEW i �sEOIJ F FD AND CONDITIONS-0 _ — SOUIHOLDTOWNZBA �I I r r AEAU� c - DMOLD TOWN PLANNING BOARD " SOUIHOLDTOWN TRUSTEES FLOOD ZONE Kms---^ N.Y:S.OEC COMPLY WITH CHAPTER 46 1 8 2001 -- FLOOD DAMAGE PREVENTION UTHOLD TOWN CON-, I zz {LIJoTa�F �, L� plSc-,ovlA'TE4t � � ID, r ' ; ' C43f uTL;a1Yr�CMtimlf�9Xgc — "n. - i — Tl -__ ° (y1 • I^ 1_ a I 1 - __ -. _ - -. - -_. -_-_— --- °vCa^ til lo� I � — 2, p �n Fe � pTa h�riG K pkv. 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Flood Zone: /� �w•-�� Lis)) _ r tj Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 11/18/04 Receipt#: 0 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Check#: 733 Total Paid: $10.00 Name: Martin, Thomas& Deborah 5 Adam Lane Westhampton Beach, Nly 11978 Clerk ID: JOYCEW Internal ID:101800