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Home My WebLink About37264-Z Town of Southold Annex 9/26/2013 ~ P.O. Box 1179 54375 Main Road ' 'i3 Southold, New York 11971 * , ~ ~~D! CERTIFICATE OF OCCUPANCY No: 36533 Date: 9/26/2013 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 165 Sailors Needle Rd, Mattituck, SCTM 473889 Sec/Block/Lot: 144.-5-25.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/22/2012 pursuant to which Building Permit No. 37264 dated 5/31/2012 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 alterations to an existine one family dwelline as applied for The certificate is issued to Klodnicki, Eric (OWNER) of the aforesaid bui]ding. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37264 6/I 1/13 - _ PLUMBERS CERTIFICATION DATED 9/13/13 cholas Soulas ~ Autho ' Si lure TOWN OF SOUTHOLD i `~ytliFUIR' BUILDING DEPARTMENT ~ TOWN CLERK'S OFFICE SOUTHOLD,NY ?4tvl +IS°', BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 37264 Date: 5/31/2012 Permission is hereby granted to: Klodnicki, Eric _ 2350 Deep Hole Dr _ Mattituck, NY 11952 To: Interior Alterations to a Single Family Dwelling; Kitchen, Bathrooms (3), Window Replacement (8), as applied for. At premises located at: 165 Sailors Needle Rd, Mattituck SCTM # 473889 Sec/Block/Lot # 144.-5-25.1 Pursuant to application dated 5/22/2012 and approved by the Building Inspector. To expire on 11/30/2013. Fees: CO - AL"I'ERATION TO DWELLING $50.00 SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $320.00 Total: $370.00 _ -'G~~- Building Inspector 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 9ocation of all buildings, property Itnes, 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 2110 of 1 % lead. S- Commercial building, industrial building, mtiltiple residences and similaz buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval bf completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly spmpleted 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 X50.00, 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 S. Temporary Certifca[e of Occupancy -Residential $ 15.00, Commercial $15.00 Date. ~ - 2. ~ - ~ Z New Construction: Old or Pre-existing Building: ~ (check one) - Location of Property: ~ 6s ~G71 ~ iJeed le Road I'I a Hiititc k House No. Street pO ~ I ~,Sl Hamlet 91~) Owner or Owners of Property: _ ~ r~ k I o d n ~ e k i Mai}; fu ~ f19 ~ 8sb - 3873 Suffolk County Tax Map No 1000, Section ~ ~ OO Block SQ~ Lot ZS; QQ Subdivision Filed Map. Lot-. Permit No. ~ 1 ~ ~ ~ Date of Permit. ~ 1 Z Applicant Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: _ (check one) Fee Submitted: ~ App icant tgnatme ~1(GZ:r~~ Town Hall Annex s`~~ c~' F Telephone (631) 765-1802 54375 Main Road ~g ? = Fax (631) 765-9502 P.O. Box 1179 0 • Southold, NY 11971-0959 ~~ypl ~~plti} roger.richertCa~townsouthold.ny.us ']i ~ .~,rryQ~afY BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Eric Klodnicki Address: 165 Sailors Needle Rd City: Mattituck St: NY Zip: 11952 Building Permit 37264 Section: 144 Block: 5 Lo[: 25.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: ROCky POlnt Electric License No: 32644-me SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic X Garage INVENTORY Service 1 ph 200a Heat gas Duplec Recpt 83 Ceiling Fixures 6 HID Fixures Service 3 ph Hot W ater GFCI Recpt 10 Wall Fixtures 9 Smoke Detectors ~j Main Panel 200a A/C Condenser 1 Single Recpt Recessed Fixtures 14 CO Detectors 2 Sub Panel 2-10 A/C Blower 1 Range Recpt 1-50 Fluorescent Fixture 7 Pumps Transformer Appliances dw Dryer Recpt Emergency Fixtures Time Clocks Disconnect 200a Switches 35 Twist Lock Exit Fixures TVSS otner Equipment: 5-paddle fans, 3-exhaust fans, 8-ARC fault circuit breakers 200a underground service Notes: 7 Inspector Signature: Date: June 11 2013 Electrical Certificffie.xls I f ~ i1 I 1~1 ~ ~ 11 w`~ry~~/ A ~ LI lli VvI L 1 i' T ~~~i.i~ CERTIFICATION Date: C ` Building Permit No. ~ l~ Owner: ~ V~1(_. ~IVL1 ~ i ~~-1 (Please print) Plumber: ~ 1 C~ (QS SoU1~>LS (Please print) I certify that the solder used in the water supply system contains less than 2/fCl of ° lead. i (Plumbers Signature) Sworn to before me this day of 20 (3 ~s~ ~ Notary Public, ~~S ~ 7 County Christine M. Christie Notary Public, State of New Yprh O1CH6125800 Qualified in Suffolk County G'ommissinn Fxpires4/25/20J ~ ~o~.~,OF SWT,~6 ~ti TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION iST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRl1CTI0N [ ]FIRE RESISTANT PENETRATION [ELECTRICAL (ROUGH) [ ]ELECTRICAL FINAL) REMARKS: ems---- Q DATE ~T ~ INSPECTOI; 4- ' ho~aoe souryo6 z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION Q~"[ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE w INSPECTO 3 ~ ~o~.~,OF SOOryo6 'r~bUNfl,'~~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INS N [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE ` "f/~~ INSPECTOR ~~,Of SOUT'Yo ~ # TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 i 1 NSPECT ON [ ] FOU ATION 1ST [ OUGH PLBG. [ ] F UNDATION 2ND [ ]INSULATION [ FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION ~ [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROU/~GH/)~ ~ [ ]ELECTRICAL (FINAL) REMARKS: 17 ~~~1/~ i i Q DATE ` INSPECTOR " o~~,OF SOUTy~ v W ~F +IF TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIR ETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ IRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FJNAL) REMARKS: G c i DATE INSPECTOR FIELD SON REPORT DATE COMMENTS UJ ~ro FOUNDATION (1ST} ~ U1 FOUNDATION (2ND) ~ z 0 H /L Z- ~ ,y ROUGH FRAMING & a ~ PLUMBING S E2 4~2 ~J INSULATION PER N. Y. H STATE ENERGY CODE FINAL # / / ADDITIONAL COMMENTS n~~ s~ ~t~? ~ ~ ~ ~ 0 m _ ~ Y ~ ~ o t1,, z ~ ~ - T~OV4N 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 ? ~ L1 Survey SoutholdTown.NorthFork.net PERMIT NO. .7 `T' Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined 3 ~ . 20 ~ ~ Single & Separate Storm-Water Assessment Form Contact: pp,,~~,, Approved _ ~ ~ 20 ~ ~ Mail to: Po DyX I 13;~ _ Ma~tuck Mf 119 ~ 2 _ Pnone: 91~ 8~b 3873 Expiration 3 ~ . 20 I h I~r~ f~` ~ 2 Building Inspector ~ PLICATION FOR BUILDING PERMIT I AY 2 2 2012 Date l' i ay l6 , 20 I z 3tD6 ~EP1 INSTRUCTIONS rover: or snnrNm o app ica ion e completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Pee 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 watenvavs. c. The worl: 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 l2 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. q~~ j' 1~ vw /`/Z ~~~YLN~t ~of applicant or name, if a corporation) Po box loll, Ma~i+uck Ny 119Sz (Mailing address of applicant) State whether applicant is owner, lessee. agent, architect engineer, general contractor, electrician, plumber or builder owner Name of owner of premises Eric klQdnlCkl (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. 32 q I 1 - H TBI< Plumbers License No.jy 2~ - MP RQSCt7Mm Electricians License No. 32(7t-I'-~ - M~ R[~C1W Point 1?leG. Other Trade's License No. 1. Location of land on which proposed work will be done: 165 Sailors Needle Road Ma1i-i~hnck Mf 1952 House Number Street Hamlet County Tax Map No. 1000 Section I ~ r~ QQ Block ~JOQ Lot 25•QQ I Subdivision Filed Map No. Lot r 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 2 ~R, 3BA . hOMe 'FLk' SPc50(1al / Weekenol tAs2 b. Intended use and occupancy Z $P, 3$A h0>n1e 'FN S2'dSU~I /NOSS'11J~ 1()ffM3'iPi1} I,tSQ 3. Nature of work (check which applicable): New Building Addition Alteration ? Repair Removal~Demolition_ t/ Other Work (See 2}}2Ghed (Description) 4. Estimated Cost ~ 150, 000 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 2 Nwnber of dwel ing units on each floor 2 If garage, number of cars 2 _ ~sirele s}ay Fwn2~ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Fe51d9'1}i~ on{~/ 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories. C ' Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories_ I 9. Size of lot: Front Rear Depth 10. Date of Purchase 6~Iy ~ ~ ~ Name of Former Owner Ha1laYlan 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ? 13. Will lot be re-graded? YES NO ? Will excess fill be removed from premises? YES NO PC9 [iox IOSf S2 14. Names of Owner of premises Erie Klodnick+ Address Malfih,lCtc. M/ I19 Phone No. ql~ 8S6 383 Name of Architect Address Phone No Name of Contractor~OM kl~Pbel , TCik Address P~ BOk 22$ Phone No. 516 39$ 8dS i L.~nlel ~M 1194 8 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. 18. Are there any covenants and restrictions with respect to this property? *YES NO ? * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY O~) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH (S)He is the Notary ~ ~~~a~iAtA5050W Vor1c (Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk County Commission Expires April 14, 2~ (p 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 worl: will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of 201 Notary Public Sign ure of Applicant New York State DeparUnent of Environmental Conservation _ Division of Environmental Permits Building 40 - SUNY, Stony Brook, New York 11790-2356 Tek+Phone (516) 444-0365 Facsimile (516)444-0373 - _ John P. Chill ComNSSloner NO PERMIT NECESSARY -TIDAL WETLANDS ACT April 16, 1998 Mr. & Mrs. Sean Hallahan RE: 1-4738-01899/00001 200 East 32nd Street Hallahan Property New York, NY 10016 165 Sailors Needle Rd., Mattituck SCTM #1000-144-05-23,24,25 Dear Mr. & Mrs. Hallahan: A review has been made of your proposal to replace 2x8 wood cap on existing concrete wall and roof on existing garage. Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that the project is listed in Part 661.5 of 6NYCRR (Tidal Wetlands Land Use Regulations) as a use not requiring a permit or notification letter of approval. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Pennit Administrator MMR cc: J. McGarry BMHP File i ~ Town Y~ Amnc Tdep6me 0~11765a803 5!375 NaoRovd ~ ~ . ~a 163ll 76[850! P.Q Bar 1178 Soa6dd. NY 1/97/6959 ~ ; i I' r auu~nvsn~~rr i TOWN OF SOU'1gOli.D I APPLICATION FOR ia.ECTRICAL INSPECTION l _ TF~ BY: ~1iC~ Dew (p / Name: !C 2.E/7~ L_'GF_GT,f1'C., i. No.: 3a Ca rnF_ JOBS17'E INFORMATION: ('Ir9dicat~ r~equfred infametbn) G S ,j'f}.ILO,L~S .r/~.~'/~GE ~ ./s . 7~iT.27L1C.C' 'Goes Street ~ y /9-yF Tax~Map District: 1000 . SecMon: Block Loin `BRIEF DESCWPTION OF WORK (Please Prtrlt Cleary) _ G~IJG,~A~E . (PMaes tYnde A~ Tlmt Apply) 'Is job ready i0r ir9epecNon: YEAS ~ ~ Fkral ~ . `Do-you need a Temp Cerllfica6e; ~ ~ Temp Monmtlor9 (If rreedsclj "Service Site: a 3Phase 100 150 O 300 360 .400 Otller "New Service: Remnoect Nlreber of Mslers Charge of Ssrvioe Overhead aadlua~l I wmtAPPUCanoN I JUN 18 212 ffi~equeetforkMperJlon E ~ ~ ~ Building Permit Application Description of Renovation Work Owner: Eric Klodnicki PO Box 1051 Mattituck, NY 11952 917-856-3873 Property Address: 165 Sailors Needle Road Mattituck NY 11952 1000-144-OS-25.1 Sc• opeof Renovation Work • All work to be done within the walls and footprint of the existing 1-story, 26R, 36A family dwelling at the property address listed above • Town Trustees have said this project falls outside theirjurisdiction as this is an interior renovation and windows are being replaced inside their existin framing structure • Existing framing elements are to remain (floor joists, wall studs, ceiling joists), as this proposed renovation is intended ONLY as an INTERIOR RENOVATION • Demolition,~emoval, and Replacement of Kitchen and 3 B throoms in their existing locations b o a~-, ~ 7-a7~¢ L _ jrf o,.eq.-,~;t I o ,s~~, • Upgrade and replacement of existin interior electrical rid plumbing as needed and as accessible from the demolition portion of the project • Installation of new 2-zone hydronic HVAC system and Noritz tankless hot water heater • Installation of new CO2 system as new NY State Code • Replacement of 5 windows in their existing location, with new Andersen 400 Style windows (double-hung, high performance/low E, insulated, applied exterior and interior grilles with internal spacer bars) • Master Bedroom TW30410 ~~I~.d-sL i • Master Bathroom TW2032 f ' • Guest Bathroom TW2032 • Guest Bedroom TW30410 • Guest Bedroom TW20310 ~ ~ • Dining Room TW20310 • Install appropriate high performance insulation as can be accommodated in exposed walls • R30 in exposed rafters, applied from attic f~ ; • R19 in exposed exterior walls • R13 soundproof in exposed interior walls X ~~`~~F SO!/T~ti ,Yr ~ do Town Hnll Annex ~ Telephone (631) 765-1802 54375 Main Road Fax (631) 765-9502 P.O. Box 1179 G Q Southold. NY 1 1 97 1-0959 ~0 ~ ~O~ ~.y~00NTV 0~,w~` [3LULDING DEPARTMENT TOWN OF SOUTHOLD August 16, 2013 Eric Klodnicki PO Box 1051 Mattituck, NY 11952 Re: 165 Sailors Needle Rd, Mattituck TO WHOM IT MAY CONCERN: The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00. i F nal Health Department Approval PlUmberS SOlder CertlflCatB. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (rows trustees a ass-iasz) Final Planning Board Approval. (Planning # ass-ts3s) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37264 -Interior Alterations L_ ANY AL TERAT/ON OR dDD/TION TO THIS SURVEY /S d VIOLATION ^ OF SECTION 7209 OF THE /SEW YORX STATE EDUCATION LAW, I EXCEPT AS PER SECTION 7209-SUBDlV/SIGN 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y lF \ ~ ~ SAID MAP OR COPIES BEAR TH£ IMPRESSED SfAL OF THE SURVEYOR S, WHOSE SIGNA TURF APPEARS HEREON. p ~ 5 6a 9' ~ ` \s a00/TIONALLY TO COMPL /WITH SAND LAW THE TERN 'ALTERED BY' r f 9 ~ MUST Bf VSED BY ANY ANO 4LL SURVEYORS UTILIZING A COPY ~ ~ C t'y rf 00• t OF ANOTHER SURVEYORS MAP. TERMS SUCH AS INSPECTED 'AND E ~ ~ ~ „ S \ ~ \ i 'BROUGHT TO-DATE' ARE N07 !N COMPLIANCE WITH THE LAW. t N E ~ D R O N o~, v°- AREA = 47,224 sq. ft I i o ~ ? ~r 6 2Q ~ j / ~ ~ ~ / - ~ 5°`r LOT NUMBERS 29,30 8 3/ ARE REFERENCED TO MAP OF LAND B /J ~ r ~ z-+ OF LINDA BARTLEY, SUFFOLX COUNTY FlL£ N0. 770 Z j, _ e _ z ~i O- N V o y~ 31 LOT NUAA9ERS /3 8 l4 ARE REFERENCED TO 'MAP Of SALT LAKE Lg.- ~ z~_v~ e D~,K anm O ~O1 VILLAGE', SUFFOLK COUNTY F2E NO. l3/O. ~ .s , 5}.<y ~ N,,,.s ~ a pl a ~o O r z~' i v , CERTIFIED TOE ~ O f O PHILIP M. FANEY . ELlZA9ETH S. FAHEY o ~ w 31 / E. O ~ PSQ P1 ~ o 13 Q„ P + " • - 1' O I o 5.19~~Z.Q6 ? 1 ~ ~ h to SURVEY FOR ~ DoT 14 a~~P p,`~ PHILIP M. & ELIZABETH S. FAHEY o, A T MA T TI TUCK ~ F~~ ~ ~ TOWN OF SOUTHOLD p ~i Fr SUFFOLK COUNTY, N. Y. 5' ~P' W 1000-144- 05-23, 24, 25 ~ SCALE ~ 1" - 40' - ~ OCT. 12, 1994 r p~ dh`~ \ ~p 1ANps V ~ V NT. MET G9` N v QO !-O ~~L Q, YV. 79'05.OO~W. R ~ w\ V J~ ~ IC.~ .496/8 FIN. FLDOR ELEVATION - i1.7 ~ S. 35.00 PECONIC SU REFERENCED 70 N. G.V.Dalum. ~ / S (5/6) 765 50` Q~'~ y0~ S~' I O P O BOX 909 of L MAIN ROAD SOV'THOLD, N. Y. 1/97/ 94 -303 BUILDING PERMIT EXAMINER CHECKLIST Date Submitted: s~~~'~OZDate Reviewed: ~ 3I -I a Applicant: Owner: Arc6itectlEngineer: Estimated Cost: ~ LSD, SCTM# LOOP - ~ ,S - o2.S, I Subd'iv`ision: p ~ Zone: pConforming? Property Address: I~ ~ / N City: Pre COs? Building Permits (Open/Expired): BP -Z / GO Z- Info: ~ BP -Z / Go Z- ,Info: HP -Z / GO Z- ,Info: BP -Z / C/0 Z- Info: BP -Z / GO Z- ,Info: _ Single & Separate Search Required? Y o~i etermination: SToRMW/Id~FR_R4N aFF• - REQ. Lot Size: ACT. Lot Size: REQ. Lot Cov. a0°To ACT: Lot C;ov. REQ. Front ACT. Front RFQ Side ACT. Side REQ. Reaz PROP. Rear REQ. Height . 3 $ ~ ACT. Height R E ~ .BOTH 51 DES Aye T Project cription: ~ ~ ~ `JJ ~ 3 Waterfront? Y or N? If yes, water body: An~kt_ C~.ee,~a-- Panel# Flood Zone• Bulkhead/Bluff Distance: ' ADDITIONAL APPROVALS REQUI D QLq N S ~}£16rwEQ; =SURVeY o~+~E-pkr4iJ ~Z\ Suffolk County Health: Y or~- If yes, *Bed#: *Date: *Permit#: Town Septic: Y• N - if nn_ certification r e~Received: Y ~r N Rv: ~ t COMPLY WITH ALL CODES OF S 31,~a- . NEW YORK STATE & TOWN CODES ~ 7~-6~.f . AS REQUIRE ~ 3 2-0, oo F S OLD TOWN ZBA - NNINGBOARD ~ ar SOUTHOL ~ j`'` ; Vh ~ riE 50UT TOWNTR S . ~:U~I~f:O ..S. DEC _ - e ~ e: - ' ~G . a~;c-" -°~ICAULKING ELECTRICAL ' ~ ~ ,~~~oN a Et.ECntlc~ INSPECTION REQUIRED a ~ucriorisHApRTNE ~ ~k~MENrSOFTHE000ESOFNEW K SrArE. NOT RESPONSIBLE FOR GtSIGN OR COI'ISTRUCTION ERRORS, PLUMBER CERTlF~CaTK)N ON t EAD COIftTENT BEFORE CERTIFICATE OFOECUfaANCY sotaFR us~a Irv waTER PLUMBINp SUPPLY SYSTEM•CANNOT WASTI'c EXCEED 2/10 OF 1 % LEAD. TESfiINfi BEFORE GOING KLODI~ICK1 Renova~o~ PLUMBING ScN~MaTIc I (,S SA 1 LO RS NE~DI.E ROAD SCTM 1000- ly4 - ~ - 25.1 J'L3e JI`3n--- ROOF - .t. I 1 I 6UE5T ~ MASTER HALL 1 BATH KITCHEN I BATH BATit 1 I r,I ~ - - r ~ I , ? ~ 1 i 1 ~ i??~ ~ i" ~ti IZi I l z t~ 1 1 IZ I Z 1 2 t I I l I I 1 1 I j I t I I ? I I I I I DW 1 I 1 ~ FCOOR ' n ~h M s lp n e- t„ Zy C.o. C;n, 2 3 Ii 2 3 tz 2 J 1= C.O. $UILD?NG DRAIN DIAMETER To Ex15TMG ~/g" PER FOOT MIN. PITC?~ SAN 1TARY BASEMEIJ7 -..~...~...~-w. ...~--r..~ --r . r r r - - - ~ - - t