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Home My WebLink About35981-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 4/20/2011 CERTIFICATE OF OCCUPANCY No: 34908 Date: 4/20/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ALTERATION 245 Pine Neck Road, Southold, NY 11971, Sec/Block/Lot: 70.-5-29 Filed Map No. conforms substantially to the Application for Building Perm/t heretofore 10/18/2010 pursuant to which Building Permit No. 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: interior alteration (insulation, plumbing & electric) to an existing one family dwelling as applied for. Lot No. filed in this officed dated 35981 dated 10/28/2010 The certificate is issued to Kowalski, Robert & Kowalski, Karen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 4/8/11 35981 4/8/11 K & K Plumbing & Heating 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. 35981 Z Date OCTOBER 28, 2010 Permission is hereby granted to: IRENE KOWALSKI PINE NECK ROAD SOUTHOLD,NY 11971 for : INTERIOR RENOVATION (INSULATION) OF EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 245 PINE NECK RD County Tax Map No. 473889 Section 070 Block pursuant to application dated OCTOBER 18, 2010 Building Inspector to expire on APRIL 28, SOUTHOLD 0005 Lot No. 029 and approved by the 2012. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 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 o f Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commemial 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 New Construction: 7 Old or Pre-existing Building: Location of Property: ~/'] 5 ~)~ ~ P_~ Ed, House No. Street Owner orOwnersofProperty: ~x_.Ob.~/.~ C~ ~/~ Suffolk County Tax Map No t 000, Section 70 Subdivision Permit No. ~q Health Dept. Approval: (check one) Date of Permit. Hamlet Block ..5 Lot Filed Map. Lot: Applicant: ~M - ~Vc Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ,d~Z./~.~ Final Certificate: k~ (check one) /' - Applicant Signature Toxxn Hall Anncx .5 ~37.5 Main Road P.(). P, ox 117!) Sotnllold, NY 115)7 Tdcphonc (6H) 76,5-1802 F~tx (63 l) 76,3-9,50~2 ro.qer, richert~town.southold.ny.us BI II,DIN(; DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Robert Kowalski ~,ddress: 245 Pine Neck Rd City: Southold St: NY Zip: 11971 Building Permit#: 35981 Section: 70 Block: 5 Lot: 29 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Glens Electric LicenseNo: 4770-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures Service 3 ph Hot Water GFCl Recpt Wall Fixtures Main Panel NC Condenser Single Recpt Recessed Fixtures Sub Panel NC Blower Range Recpt Fluorescent Fixture Transformer Appliances Dryer Recpt Emergency Fixture~ Disconnect Switches Twist Lock Exit Fixtures Other Equipment: 100a over head service, 2 arc fault circuit breakers, HID Fixtures Smoke Detectors CO Detectors Pumps Time Clocks TVSS Notes: Inspector Signature: Date: April 8 2011 81-Cert Electrical Compliance Form Town Hull, 53095 Main Road P.O. ~ 1179 Southold, New York 11971-0959 Fax (631) 765°9.502 BUILDING DEPARTMENT TOWN OF CERTIFICATION I c~tify thst the solder used in the water supply system ~ le~s than 2/10 of 1% lead. Sworn to before me this ~ ,. 20./I 'I CONNIE D. BUNCH Notary Public, State of New York No. 01BU61850~0 Qualified In Suffolk County ,..., Commiulon Explre~ April 14, 2L// TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 I NSPECTI/ON [ ] FOUNDATION 1ST [ ~]~ROU_GH PLBG. [ ] FOUNDATION 2ND [~]~N~LATION [ ] FRAMING / STRAPPING [ ' ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]FI~ml~ST,~T~ [ ]FmRmmlmsTAm'm, mm'tRA'nO. REMARKS: DATE ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] FOUNDATION 2ND ] FRAMING / STRAPPING ] FIREPLACE & CHIMNEY ] F~ERESb'T~TCO~'~UCI'mt REMARKS: ~'~ [ ] ROUGH PLBG. [ ] INS/~TION I* 'NAL [ ] fiRE SAFETY IHSi~CT~H [ ] RRE RESISTANT I~ILrmATION DATE INSPECTOR~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTAI(T CONSTRUCTION[ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~,~ELECTRICAL (FINAL) REMARKS: DATE TOWN OF SOUTHOL BUILDING DEPARTY TOWN HALL SOUTHOLD, NY 1197] TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthF( TOWN OF SOUTHOLD Examined Approved Disapproved a/c Expiration /o/M:20 /o f/,)~/, 20 /-.%' / Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS \O\ Vo,, ,20/ 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 belbre 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 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) (Ma~ing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises x~. c,~,.-.~ \<_o,..~.,,-\~[,.L,. (.._C2.tcJl-,?,-.~ (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. '&5~[ ,*ta Electricians License No. ~.O.- Other Trade's License No. 1, Location ofl~nd on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision '¸70 Hamlet Filed ~ No?mm~/)l)o ',,. ,.k~t 2. State existing use and occupancy of pre, raises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 5. If dwelling, number of dwelling units \ If garage, number of cars O Nature of work (check which applicable): New Building_ Repair Removal Demolition Estimated Cost Fee Addition Alteration Other ~W. ork ~I,.X~Ck~ko~. ~, \~¢~X.q~ .[~escription~ (To be paid on filing this .application) Number of dwelling units on each floor [ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Iq/o,, 7. Dimensions of existing structures, if any: Front -~ t:-I' Rear .3&/ 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 ' -- Rear Height -- Number of Stories ~ .Depth 9. Size of lot: Front ~-~ Rear ~ .Depth ~ -- 10. Date of Purchase Name of Former Owner l I . Zone or use district in which premises are situated ' [~[~e~\~_14~ ~ %~ 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 ofpremise~oX,~ '(-,,,o.-~\~L~. Address z.~,....}\\.,,\ ~ Phone No.~ Name of Architect Address ~ Phone No Name of Contractor&--'~"~ M.:~.o~X~K.~ Address Phone No. t-aoX 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 Bb~REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NOV" 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 NOJ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) ~. SS: COUNTY OF ) ~(b'XC'Oo-ff ~ ~~~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)Heisthe Q.~"~L ~.&_~ / Q.~XJ~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work gnd to make and file this application; that all statements contained in this application are true to the best of his knowledge arm belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this--* A- l G cM. _. 20 / Notary NO. 01~61~ QUAUFIE~ IN SUFFO~ ~ COMMISSION ~PIRE8 ~20~ Signature of Applicant 78/ Town of Southold t~[~)~ Erosion, SedimentatiOn & S~o~--Water Run-Off ~SS_~$SMENT FOR" ! ~~ P~',~L~ S.C.T.~ ~ THE 'O~O~NG R~O"S ~y R~U'~ ~E SUBMI~In-- I ~ ~[ ~n B~ LM ~IFIED BY A DESIGN PR~iOHAL IN STATE OF NEW' YORK, COUNTY OF .............. ~ ................. : ......... SS ~ramaae ~u~ures ~leaUng s~ze & L.o~atk:,n? "nas ~m~e~~a~ ~~ ~Wa~. 3 ~~n ~d~e~ ~P~. ~ ~ ~ R~u~.a~ ~ ~g, O~ ~ ~ ~m ~ ~ a ~e ~ ~ Na~ ~s~ G~e In~g mm ~n ~0 ~bE Ya~s of Mate~al ~n any ~ , 5 Will this ApplicaUon Require Land DL~turbing Activities Encompassing an Ama in Excess of Five ThouSand (5,000 S.F.) Square Feet of Ground Surface9 6 Is Ulere a Natural Water Course Running through Site? Is this Project within the Trustees jmisdlc~on or wilhb~ One Hundred (100!} feet of a Wetland Or Beach? 7 Wilt there be Si~ prepamUon on Existing Grede Slopes which Exceed Flff~e,,en (15) feet of VarUsal' Rise to One Hundred (100) of Hoi~mntalDistar~Ce? 8 Will D~veways, Parldng Areas or other Impen~inus Surfaces be Sloped ~o Direct Stom~watar Run-off hlto and/er in the dlrec~on, of a Town right-of-way? 9 we th~ ero~ Requlm.~ ~,:ene.to.~eate,~ a Stogm-Wat~, (~adlng~ Drainage i Ero~ea ~mlrol'~an b Required f~ h TOMS M $omhold 8nd Mut be ~dm~Red f~J~;lew pflor to Js~am~ M Ar~pDulld¥,gperm ~ ACho~PMk(~) efl~Afl~b*eachque4b~lsReq~ml,,qx, oC~Ap~) Sworn to be[ore me Us; . ......... L.../. .............................. day~.......(-,~.:.~. ......... , ................. , FORM - 0611 O ~^,oL ~-,~u. ,O~A~¥ ~UeUC- STATE O~ NO, 01HY6189695 QUALIFIED IN SUFFOLK COUI~ COMMISSION EXPIRES 0~20..~ 'lb. at I ................ ~W~'~'~,~ij ................... being duly sworn, deposes and says that he/she is ~he apldicant for Permit, And that he/she is the · (~: ~, Agra. Coqx~a~ Omca-, e~) ............. Owner and/or rcprczontative of the Owner or Owners, and is duly authorized to pexl'onn or have performed the said work and make and file this application; that all statements contained in this application are Uue to the best of his knowledge and belie~ and that the work will be performed in the manner set forth in the application filed herewith. ' (~gnat~e e~ .~) ~ .I~ING DEPARTM 'rowl',,l OF SOUTi:IOI,D APPLICATION· FOR I~L~CTRICAL INSPECTION, IESTED BY: Name: Date: JOBSITE INFORMATION: (*{ndicates required information) *Address: . - *Cross Street: *Phone No.: Permit No.: Tax Map District: .*~,~' /.~o,V w,-~.q,./ · 1000S;'eC-flon: .~o *BRIEF DEscRIPTION OF WORK (Please Print. clearly) . (Please Circle All That .e;pply) *Is job ready for inspection: ~ you need a Temp Cmtiflcate: Temp-lnf_o..rmafion (If needed}* . · · SelNiCeS~ze: ~ 3Phase (Z~) 150 200 · New Service: ~nnect Underground Number of Met;m Additional InfOrmation: Flna! 300 350 400 Other Change 0f Service Overhead PAYMENT DUE WITH·APPLICATION. ~,-/~ r/ ., REScheck Software Version 4.2.1 Compliance Certificate Project Title: Kawalski Residence Energy Code: 2007 New York Energy Conservation Construction Code Location: Suffolk Count, New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric G~azing Area Percentage: 7% Heating Dsgree Days: 5750 Construction Site: Owner/Agent: Pine Neck Road Southold, NY 11971 Designer/Contractor: Nancy Dwyer Design Consulting, Inc. Southold, NY Compliance: 0.0% Better Than Code Maximum UA: 215 Your UA: 215 Wall 1: Wood Frame, 16# o.c. Window 1: Vinyl Frame:Double Pane with Low-E Door 1: Solid Ceiling 1: Fiat Ceiling or Sdseor Truss Floor 1: Ali-Wood Joist/Truss:Over Unconditioned Space 1192 15.0 0.0 83 89 0.330 29 20 1.850 37 780 19.0 0.0 40 780 30.0 0.0 26 The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the 2007 New York Energy Conservation Construction k n oC~wel re~qg~i,r~ emliee~t, s; nV~ hp~on f~ sRsi~£~ S~tl~ ru~dg mD ~itg, ~ uPcr~ pfel:~ sO ~1 shp~ r~ ed ti~i~ cPeagwiet~t thh~Ys ~d~t~esting that to the best of his/her .. ign?e :Date '~,¢;~,~,',¢?ANC ~ OR iJSE iS UNLAWFUL ,ViTHOUT CERTIFICATE OF OCCUPANCY UNDERWRITERS CERTIFIOAT~ REQUIRED APPROVED AS Nv~ED BP# , hO F)FY BUILDmNG DEPARTUENT AT 765-1802 8 ~ TO 4 PU FOR THE FOLLOWING INSPECTmONS: 1, FOUNDATION - ~ REOUIRED FOR POURED CONCRETE 2 R~- F~I~, ~U~aNG, STRAPPING, ELEOTRICAL ~ ~AULKING 3. INSU~ 4 FINAL- CONSTRUOTION ~ ELECTRICAL Mm.S~ ~E COMPLETE FOR AL L C~h ;~ !CqO~ ~ALL ~EET ~E F..; ' L~'." ~' ~ '~ JF TdE C3DES OF NEW ~ ¢~,,,,~ rA~: ', .r qE3PONSiBLE FOR DESIGN O~ CGNSTRUC~ION ERRORS Project Tit/d: Kawalski Residence Report date: 10/13/10 REScheck Software Version 4.2.1 Inspection Checklist Ceilings: [] Ceiling 1: Flat Ceiling or Scissor Truss, R-19.0 cavity insulation Comments: Above-Grade Walls: [] Wall 1: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: Windows: [] Window 1: Vinyl Frame:Double Pane with Low-E, U-factor: 0.330 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? Comments: Yes__No Doors: [] Door 1: Solid, U-factor: 1.850 Comments: Floors: [] Floor 1; Ali-Wood Joist/Truss:Over Unconditioned Space, R-30.0 cavity insulation Comments: Air Leakage: [] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed. [] Recessed lights are 1) Type lC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-lC rated, fixtures are installed with a 3" clearance from insulation. Vapor Retarder: [] Installed on the warm-th-winter side of all non-vented flamed ceilings, walls, and floors. Materials Identification; Materials and equipment are installed in accordance with the manufacturer's installation insfructions. [] Materials and equipment are identified so that compliance can be determined. [] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. [] Insulation R-values and glazing U-factors are cleady marked on the building plans or specifications. [] Insulation is installed according to manufacturer's instructions, in substantial contact with the surfaco being insulated, and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: [] Supply ducts in unoonditioned attics or outside the building are insulatad to at least R-8. [] Return ducts in unconditioned attics or outside the building are insulated to at least R-4. [] Supply ducts in unconditioned spaces are insulated to at least R-8. [] Return ducts in unconditioned spaces (except basements) are insulated to R-2. insulation is not required on return ducts in basements. Duct Construction: [] All joints, seams, and connections are securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics are rated UL 181A or UL 181B. Exceptions: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). [] The HVAC system provides a means for balancing air and water systems. Project Title: Kawalski Residence Repor~ date: 10/13/10 Data filename: Untitled.rck Page 2 of 4 Temperature Controls: [] Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [] Separate electric meters exist for each dwelling unit. Fireplaces: ~j Fireplaces are installed with tight tiring non-combustible fireplace doors. [] Fireplaces have a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State, the Residential Code of New York State or the New York City Building Code, as applicable. Service Water Heating: [] Water heaters with vertical pipe dsers 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. ~1 Circulating hot water pipes are insulated to the levels in Table 1. Circulating Hot Water Systems: [] Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: [] All heated swimming pools have an on/off heater switch and a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps have a time dock. Heating and Cooling Piping Insulation: [] HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Project Title: Kawalski Residence Report date: 10/13/10 Data filename: Untlfled.rck Page 3 of 4 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating 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 Thickness In Inches by Pipe Sizes 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed wafor) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant 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 Title: Kawalski Residence Report date: 10/13/10 Data fllename: Untitled.rck Page 4 of 4 GARRETT A._. STRANG architect 1230 Traveler Street, P~.Box 1412 Southold, New York 11971 ph. 631 - 765 - 5455, ftc 931'~ 765 - 5490 architect@quixnet.net TITLE LOCATION ~CALE REVISED DRAWN BY PROJECT NO~ ~ ~., ~ ~