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34454-Z
���gUFF�1,f4oG Town of Southold 4/22/2016 ? Vi P.O.Box 1179 1ifr =1 53095 Main Rd -yfj o�#' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38260 Date: 4/22/2016 THIS CERTIFIES that the building ALTERATION Location of Property: 47100 Route 25, Southold SCTM#: 473889 Sec/Block/Lot: 69.-6-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/24/2009 pursuant to which Building Permit No. 34454 dated 2/24/2009 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: second floor alteration for a 4th bedroom for a Bed and Breakfast as applied for. Replaces Temporary COZ-28575, issued 7/10/2002. The certificate is issued to Scott&Constance Ellis of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-01-0259 4/18/2016 ELECTRICAL CERTIFICATE NO. 1042301 7/10/2002 PLUMBERS CERTIFICATION DATED • 6/28/2002 Andrew Case Aut ok S' atu FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. TEMPORARY CERTIFICATE OF OCCUPANCY No: Z-28575 Date: 07/10/02 THIS CERTIFIES that the building ALTERATIONS Location of Property: 47100 MAIN RD SOUTHOLD (HOUSE NO.) (STREET)' (HAMLET) County Tax Map No. 473889 Section 69 Block 6 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 2001 pursuant to which Building Permit No. 28075-Z dated FEBRUARY 7, 2002 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 THREE ROOMS FOR A BED AND BREAKFAST. THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES ON JANUARY 10, 2003 . The certificate is issued to SCOTT &' CONSTANCE ELLIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1042031 07/10/02 PLUMBERS CERTIFICATION DATED 06/28/02 ANDREW CASE tho zed 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. 34454 Z Date FEBRUARY 24, 2009 Permission is hereby granted to: SCOTT & CONSTANCE ELLIS 47100 MAIN ROAD SOUTHOLD,NY 11971 for . SECOND FLOOR ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES 28075 . at premises located at 47100 MAIN RD SOUTHOLD County Tax Map No. 473889 Section 069 Block 0006 Lot No. 011 pursuant to application dated FEBRUARY 24, 2009 and approved by the Building Inspector to expire on AUGUST 24, 2010 . .� Fee' $ 150 . 00 Au hO""riz-d Signa- u - ORIGINAL Rev. 5/8/02 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. 2$'9e5 Z Date FEBRUARY 7, 2002 Permission is hereby granted to : JAMES MITCHELL (ELLIS) 47100 MAIN RD SOUTHOLD,NY 11971 for : SECOND FLOOR ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 47100 MAIN RD SOUTH/PEC County Tax Map No. 473889 Section 069 Block 0006 Lot No. 011 pursuant to application dated OCTOBER 19, 2001 and approved by the Building Inspector. /15 Fee $ 150 . 00 C-C6 �GyL Authorized Signature ORIGINAL Rev. 2/19/98 44t4E., Form No. 6 lc, TOWN OF SOUTHOLD i ;: /6 (r. 6 (0 BUILDING DEPARTMENT JUL 2002 l` TOWN HALL '— ' 765-1802 APPLICATION FOR CERTIFICATE OF OC U 'ANCY-- r This application must be filled in by typewriter or ink and submitted to the Building Department with the following' A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2 Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certific 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 use 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant.If a Certificate of Occupant 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$25.0( Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses $50.0 • 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00/ Date. �7/ I b New Construction: Old or Pro-existing Building. / • (check one) Location of e Pro ".,1� - 5o0V(No1 A Q -,/ ( 5`11 Property: �7t 00 House No. Street Hamlet • Owner or Owners of Property: CL:5Ce?(l t C t I ,S - Suffolk County Tax Map No 1000, Section l'—I Block 10'�2 Lot in Subdivision Filed Map. Lot: Permit No. -a13 Date of Permit. Applicant: e k f S � ��� 02,I� �a pp an,fl�; Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate V Final Certificate: (check one) Fee Submitted: $16.Dv ' iee-c—co l ct-�� Pyy-z/ Applicant Signature 1-- 1, '))1 7,1 4)`I --- ',1--------11V-7-:==,v1,)': ';',)----1: -1,1 - _` '"1) '1 _: - - - ;,1" iv- V1;- -i')1- '')E---'-'1)----.-,--: .1 = i)1 '1' _1 ` )1 =1,'I - '15� -'pri' -», I_ ;I cm�CJ��Pr�CJ�r�rJ�CnrJ�r?��C1�C PrJ�rJ�rJ�rJ�C.I�C.I�C.I�rJ�rJ�rJ�rJ�r?�r�rJ�r?�r.Pr�r��PCJ�CJ�CI�CJ�rJ�rJ�rJ�CnClir?Jar?nrnrPC1�CJ�CPCI�CJ�CJ�rJ�rJ@I�CPCJ�CJcpcsoCPrJc!❑° '1 '- .� lu- 1 ! 1 - .N- 1--- 11, - ,I�'- --- -- , - - 1",- ,11_--- Imo'- -- ,I, _. 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''I',- t,.2- C,:----M--:7----7») ':'= ti, 11 -:::'0')-:-.11 :,--1,',.:--� !11`-:=11, -1'" _ 5. ,,, .5 151)This cbrbpcate•maVlnot_be aKered-in,any way a ils,validated only by the presence'of=a_ralsed sea I),at.th 'location Indicated: 1, -_-) 1 5 -l-,�''11 4, -, ' ..---•,..,, _-----.:') i --!')' 4-- ` ,::,---‘v-:---',I '1 "i1 -1 i-:�._;1 1,1- III=' .11� ' 'I' -1I 1'.;= ' -h Ii) .I -` ) 5 '')' , ❑��rJ�r?�r��PrJ�rJ�rJ�rJ�rJ�r?�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJPrJ�rJ�rJ�rJ�rJ��P�PrJ�rJ�r��PrJ��PrJ�r��PrJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�r�r�r�rJ�rJ�rJ�rJ�r?�rJ�rJ�r�r�rJ�U❑� ,, ,, ,I' --',' --- ,- ,,, ,., '„ - ,I -,-- ,--- ---,,,7 I I - 11 -- II - 111 I, It: 111 .- . (,,`' - -- „ ),1 S,4 - 1)i---' = ) - '''',':--)1. =11', 1 -, i 1`I-:- =- 0. ),i,_-- '''..r 1; - ,))1__ )'111----:7-):)-:--11 , . 1',i- Y1)' r 1), - =-111 = ) )- )'' .. JUL-01-2002 MON 03:05 PM SOOTT_ELLIS P. Cl i, , ' Of FOL4.----, 4",:, q—::‘,..„V..,,,,, ,,,,,-;.c 1 Town Hall,53095 Main Road ,-,,, , ;, , , tO Fax(631)765-1823 I P.O.Box 1179_..„, ''.:,-- .. :-' ,. ...,.._to...C. " Tekplione(631)765-I8( SoinholdNoW York - .11971-0959 ' ,--," 't "rel -IL 44 / , .. "----- BUILDING'DEPARTM8NT , TOWN OF SOUTHOLD E IV__1:3111_' A..LLQE . ,----.' Date: A i_ 3 ihoe:::562, Building Permit No. % Owner. .61:2111/4.1_. (please pfint) . 'Phimber:' ii 0 -'...I'!III!._0 ____ (please print) . ,. I certify that the solder used in the i,y;ater siii:iply-,sYstern contains less than 2/10 of 1% lead. ..- r-v-: Z. ,,......_- . . . Plumbers Signatdre) Sw8rn to before me this . , day of CAA : ., ,• , 20 02- 1 , 4-- , 4 1u./.3e..,spiLitm/._ 4. i - _ 1 -i• , Notary Public, .„, •4 ,. ounty DENISE BARTLEY SOG , 0/1. ,.: ...-, Notary Purt)c,age5I New York '1/41,'1::::--k Qualified in Suffolk County . :'.7- c7),(90?5-:_z____3 ' (/7�� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: f 7 � � —_- • K4-6-7i--fredz9.-~is-- 7o-v crNA, l a - '_` DATE -2- /- 622 INSPECTOR 3 V-) 6 ?- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ OUGN PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 19,--be-444*-1 cl''et-e4.4 DATE 3 (fs INSPECTOR dif:07c- - \./ -(/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 1 ! (<74f ?1, J /44- 3 eaL ,:‘ - cz&ei fo A A v"o-4' Ce3° , DATE 45)-/c- V �l/ INSPECTOR / .u= OZ7S* 3 o s--- 765-1802 BUILDING DEPT. INSPECTI9Il1 [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 7 )7 R ARKS: f� ' ''/A 1 ;4-Z)42-42 - i' / CY<- - / aii-az,62? -.Og-7 l dPr -. _. h2z - , ',,,e - ( / "L.,_it„,,,,, e_,)cl.,,..75-- ,1 s 0 DATE it � ‘12"<NSPECTO - `-- X44 - d--, v r-- 765-1802 BUILDING DEPT. INSPECTION • [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 4I 'I - / ' ' j o4LL- --- e 4, , /-- � / // fes V S jr,e .,,e 0 -pr- 14 -tle:--vn' i. ,j 1117 ''� � - iii/.. /e'' /SI � r i 1 i `� DATE /D o9 INSPECT "0. / Al6t/..14 ( 2-e"-e--c3s - ------ 11����O�;OF SO(/r�olo ` 35- L7 ,, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING 'INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION q REMARKS: I Ti-k b-d\--'1 .---- Q-c2A -C6.-- W6C.- z .A9tpet -L, 'Er- 7-- , , c, i / / - _ (,,i.„&„,....1* 41----bk '�' � ,,,,) . , ,,--_,_ ,.„et ..pre,t, ...f„,,,,4--7,e2 El-e-c- ot- fizem.44,1--,) ce,?)t-- pl.> el , _J-1- 66tira___ --,i-a-t )1),J2fpeiL DATE 7-7- a 7 INSPECTOR ` 312-6:--46-"- , CHRISTOPHER GARTEN ARCHITECT 44 BROADWAY GREENLAWN,N.Y. 11740 (631) 754-5809 FAX(631) 754-5809 August 14,2002 Town of Southold Main Road Southold,'N.Y. 11971 Re: Ellis House 47100 Main Rd. Southold,N.Y. 11971 I inspected the penetration through the 14"TGI floor truss and the repairs. I certify the structural integrity and that they meet the N.Y.S.building code and the approved plans. 4411,, OPP or ( n, , cam . "stophe en 4, 'ormito✓ 111 No.18488 �®rt•� . FIELD INSPECTION REPORT DATE COMMENTS .,y (/1)1) FOUNDATION(1ST) 0 ` mi .S 0141/4 --,- FOUNDATION(2ND) J/ � /7 �� .i c 4' /;11 J ° C97.1/ 4rei4; ea/711-- eio.eli-r)X_ 0 ,,,,?eK re -,E,-e._ c/a ROUGH FRAMING& J PLUMBING "axe- 5' 3/0 z--/Ee.....j.- -c.f.,. „7. ... ,.... , ,,,,..'? "}% A/ W %d fi ,-,: .- - . anew '11- �_ '. ' (Ji,' rtf x t? ' .1� ,� i% 1 ti r INSULATION PER N.Y. y STATE ENERGY CODE /0 er 7'7'67 / iii t,I N //fe ( , ,_ ., ... %, ,.. ..;,__A fv,... 042. --- v ca.jt.t...,_ FINAL .)\-W .- (_ ADDITIONAL COMMENTS :Fr r 177®9 JS-C-iK if1- c AC( 7Z 3-11-15 pi. 5b C/o iec 8715 9 13O I7 ") z mm ,> fs m i7.1 55 CJ G ,- x oiv - y TOWN OFSOuTS®]GD BUILDING PER ixr APPLICATION ca ci i BUILDING DEPARTMENT Do you have orneed the fohave ornecd the follaiiin,g,beforeappi TOWN BAIL Beard ofH4alth= SOUTHOLD,NY 11971 3 sets ofBsaldiug Plans • TEL: 765-1802 • Survey PEEWIT NO. a 7S Check ' ' 'Lif6- �NSD.E. Trustees . Examined iQ/* ,20 01- Contacts • • Approves . 7 40 ©o? ys Mail to: lk‘'‘ /0 6 Disapproved a/c • Phone: L. .11 lel,03. fe-g•vs-til __. rr{ I. 0Uiffil Building P-,-/-. 5,a - , i -�i OCA' 19 200f ' APPLICATION FOR BUILD/NG�. I, OLOG.O _ ' Date, 4•z- /- ,20J1 � ..__. _ . ..'. "„t 4 INSTRUCTIONS . a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector witi 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 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 BuildirigInspector will issue a Building Permit to the applicant.Such a pcsn Ann be kept on the premises available for inspection throughout the work. . • e.No building shall be occupied or used in whole or inpart for any purpose what-so-ever until a Certificate of Occup is issued by the Building Inspector. . APPLICATION IS BEIZEBY MADB to the Building Department far the issuance of a Building Permit pursuant to tiv 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 dimohtion 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 necessaryInspections. . , . . c - it,ell e . • (Signatireofapplicant Orman;ifa •�.•, :,. .�.) • (Mas'ha' g address ofapplicant) State whether applicant is owner,lessee, agent,architect,engineer,general contractor,electrician,plumber or builder • Name of owner of premises 2, /15 /4 AL// • (as oaths)tax roil.or latest deed) - -_- - -- If applicant is a corporation,side.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 w°rk will be done: ' //7 d 0-0 744/V � J;/fid/ ' House Number Street • Hamlet - . ' County Tax Map No. 1000 Section 6 Block "---/1-?- .• - . - .„Lot ' 4 Subdivision Filed Map'No., . ' • �'Lot r.-5-;--7,.Z.**-( • • . , • ' i. . {�. t j!9♦r' #..n`nb",a:ra,,s..y„�..vk..�_ '�,'°"`s+-o�4.,n;.,•ey may; • 1 \ s if . • 'det . p . pZotnS utipe,�010 � _ 1 Z699Lb,0nd/aim ., t . 7 "MIAs 3selsa � Zi•9LLt 1 N?3oN ' • , ;PA meN bo alrl �,is d • DGS A3ii_.I'a 3SIN34 • jddTJo S • _4(13, • a qu Lm OK . —16?-idS jj,)90S • ' —7710Z Jo L•ep r _A& smart a ojogc4Wolf • 010poig uoT atidds atgtt q;xopos tarasta°tR of pocoaajz °q ILS }P R•oq Pint°$P°imoq saw q ora o}° on TroaroTidcls sag ut p°uUwo slogaroms Ile 4E :uopirsOde gra ow pue afeeu oa,pue To&pies ma pottaopod G to=pod o}pazuotpns£jnp st pus'oueso JO=Tao we (.o :mom oplodz°3 y`=o o3). 0111 sl°H(! • • Warm"odogo( swoo&gulls isapie?poz Jo orasN) . lutaondde of SF 910) SAN pas sosodop tams ms djnp Supg Sri"7 a �.4: q 5 . . :s5 (xxox/to:IR 3O a.LVJ dams uo scup jemclinflociol oppaoui;mut'11ajaqo4aaj 0j}B stA.Tadold uo grfod pc w TroalatiaToj1'L •song£atloid o;saotrsistp pre raid uoaspuno;ammo's t 'Koos o4`dorms apuozd-c aakIfbaa S,Lmaa saa1 s.cm•Nlsios QIo$JLA.os `Sax 3t • Ois Said Mina&IgPRno;aa3 00I liftlITAtiCimdald sl'< •oxQuota - •CPPVro0 Jooluex -ox atroti� " . snappysnappy ' ox auogJ . .ssatPPY' RPW °wEis sasrupsd;o.1atrmo,jo K t •ON _ :sastt®sd tuo:g panomot oq jig soot=ji c 0,iv • ; po 'as or }oI Tam.'f aroma=.tooustgpzo` t3j 8uiuoz Sue;Opp.trciaou.pstrop posodard sooa•Z I ,,,,,f,sg pates axs rPPIAt esaso a'aoZ•� � �r , 5,�,4,�- 5=660 tazxaoa;o at�x 9 ivf v,9e9--' i9.osegom a o owe t ./ • • t9� �a . f,/ tea/ . , 6 11 �3�.oi3.o"ES / • . seNo}S pa aegwnN •mar�3o sao� lug • mad , • zeal }rota'uogaapsuoo 14 . • _ PoS j.o JegwnN x jW6IGH d;dea S • �a8911 s word :suorlpps JO suo!}et9 y.}lir►ern-cuts awes jo suolsuawla ' sepo4}o JegwnN 461aH ' ,T 5 iI << is.. zoo/ ;rota:4Cueg`s $URspro Jo saaW [ gi- asa3 o;Ail bola 30 Asa pus va kgoods`dausdn000 pomp io Victiauraroo`ssoufsaq.I • step Jo.iegwnu `e6alie531 ."773 ioog t[osa to ppm 8utjja&p 0 ioqumx 9 sTfau&Trompgo roq anu SargaAPg (iroardds s 2u uo Pled oq off) Q 4 Isoo a aaa (uo 'sea) tram ousaa FA xp3do2i Bot ' 3}jf uoR1PPV pigta K•(oppowids tprp)Togo r.' •/ o 1 �tredu000 pus asa.papu? ' 'q ch o;. dnaoo saSugs . • , 011\'rr, ' '" cv•i 4Couo �jp�o saw�►S ay:V �S=pesodolid usdnx�o pus o. 1 ,i. ° �� 11 pits sis azdaol�us p „ .t • STATE OF NEW YORK ) ) ss: COUNTY OF SUFFOLK ) )pis X169 being duly sworn, deposes and says: at depone t isover the agemf 18 ears and resides at 44 brio y ',WA./' That on the/8 day of 06 , 2001 deponent architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- t-9 //- 6 street address - .,�Z/AIP Architect/ •..1T eer • • Sw9rn to before me this /-(Fay of actcrkaA. , 2001. • Notary Public 1154- DENISE BAEY SOG� , 1gate gof New � ric ���. NOM Nc,. o 20 cc: ,. SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Si9nture item 4 if Restricted Delivery is desired. �/ r= 0 Agent • Print your name and address on the reverse �/ A El Addressee so that we can return the card to you. B. Received by(Printed C. Date of Delivery • Attach this card to the back of the mailpiece, ►� or on the front if space permits. D. Is delivery address diffeV-11 �es 1. Article Addressed to: # a'�o7 � If YES,enter delivery addrt�s below: J � No S c g-67/5 la Lp irelvd 1/7/a) 2-5 J p m SL , 3. Service Type //)' y- 0 Certified Mail ❑Express Mail ❑ Registered 0 Return Receipt for Merchandise 1,q 71 0 Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) El Yes 2. Article Number (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 411111,01er.•a, �t c t 1 _ • • • • • • FEB-06-02 05 :41 PM BOUVIN CONST CORP 516 7543424 CHRISTOPHER GARTEN ARCHITECT rt-.51,-,LILT 44 BROADWAY ;!,(1'4 pGREENLAWN,N.Y. 11740 .i'! ; Q (631) 754-5809 °'J'` FEca6t30. FAX(631)754-5809 {r { •{'-fG Town of Southold Main St. Southold,N.Y. 11971 Att: Pat Conkin Re: Ellis 47100 Main Rd. Southold,N.Y. Dear Pat, In addition to plans submitted please note the following, 1. The height of the bathroom are 8'-0" 2. The are vent with Braun exhaust fans vented to the exterior min 150cfin. 3. The main waste line is 4"not 3"as shown on the plan Sig • - hnstopher art- 0.,:::?DH ir =Donnie Ellis-° - - 47100 Main Road '-,Southold,NY 11971 . - - " : . , _ April 17, 2002 '' ' _ , _ , , - , - - - : Mr. Gary Fish ' ' Southold Town Hall ; • • ' 5095Main-Road - . Southold;NY; 11971 RE:'Building Permit'# 752 y s . _ . . Dear Mr. Fish, „ ", .. - _- - . . " Thank.you for speaking with me.on the phone last week regarding-alterations,to our . - - - - • ' - original""building plank and building permit#280752." Enclosed please find updated , , " " -" drawings•for your review: -You'll notice that we have reconfigured the"placement of the ' - ' • - „upstairs bathrooms. "Further, our original,plans did riot include a,first floor,plan, which . ' : ' - now,includes"a fourth bathroom. The number of bedrooms'remains unchanged. '• ', - . :• , , . ' : - Upon review,,please call (765-6106)'if you have any questions or need additional - • ; --" ' : ' - , information. Thank-you again for'your help. ,Sincerely, '' , " ` = _ ,., . . dirig." ' _ • .. , • ' ,Connie Ellis : , • , - , • -, , -, - . - a.te - - - - • //, �UC�GOQ4 11 • 11 ° �IA \ ' \ Town Hall,53095 Main Road C V 1% Fax(631)765-1823 P.O.Box 1179 `x420 �`QS' � Telephone(631)765-1802 Southold,New York 11971-0959 `zs $ ,0I. BUILDING DEPARTMENT TOWN OF SOUTHOLD June 27, 2002 Constance & Scott Ellis 47100 Main Road Southold, NY 11971 NOTE : For the'; Temporary"Certif ica_ te _of�V,,Occupancy for 3 rooms we need the itemschecked off below. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file . (Enclosed) XX No Underwriters Certificate on file . The check is (not on file. ) $25 . 00 No Health Department Approval on file . No final inspection has been made . XX No Plumber Solder Certificate on file . (All permits involving plumbing being ' issued after April 1, 1984) . BUILDING PERMIT # 28075-z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. r0,!0. ��F®44 ',III®N® -5.. u(0, a;* Town Hall,53095 Main Road � Fax(631)765-9502 P.O. Box 1179 � ®�II Telephone(631)765-1802 Southold,New York 11971-0959 : `� ���II BUILDING DEPARTMENT TOWN OF SOUTHOLD October 28, 2002 Constance & Scott Ellis 47100 Main Rd Southold, NY 11971 Before we can process the final Certificate of Occupancy, the following items are needed: See copy of Building Inspectors ticket dated 10/28/02 . To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file . xx The check is (not on file . ) $25 . 00 xx No Health Department Approval on file . No final inspection has been made . No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 28075-z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ,�®�®S11FF0`,�0 'I0 i ft Town Hall,53095 Main Road4.A 4 Fax Fax(631)765-9502 P.O.Box 1179 tin .iTelephone(631)765-1802 Southold,New York 11971-0959 �: .` *vo,I1 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 1, 2003 Constance & Scott Ellis 47100 Main Rd Southold, NY 11971 Dear Mr. & Mrs . Ellis : Your Temporary Certificate of Occupancy has expired as of January 10, 2003 . Please call for a final inspection so we can issue a final Certificate of Occupancy. . (631-765-1802) Repectfully, Sout old Town Building Dept . Ga J ish Building Inspector GF/cb 0 /II, Town Hall,53095 Main Road ; Fax(631)765-9502 P.O.Box 1179 r 1�,, Telephone(631)765-1802 Southold,New York 11971-0959 1 ®AB 11 1 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 8TH, 2008 Scott & Constance Ellis 47100 Route 25 Southold, N.Y. 11971 RE: 47100 Route 25 (Second Floor Alterations) SCTM #69. - 6-11 Dear Mr. & Mrs. Ellis, Please be advised that your Building Permit#28075 issued February 7th, 2002 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of$150.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall Annex Telephone(631)765-1802 54375 Maine(630.0 4' Fax(631)765-9502 P O.Box 1179 -Kt4_ Southold,New York 11971-0959 \ ./ ` l�' c�r 1 ,el X1 ----s OU r 0', BUILDING DEPARTMENT TOWN OF SOUTHOLD id NOTICE August 26th, 2008 Scott & Constance Ellis 47100 Route 25 Southold, N.Y. 11971 RE: 47100 Rt. 25 (2"d Floor Addition) SCTM # 69.-6-11 Dear Mr. & Mrs. Ellis, Please be advised that your Building Permit # 28075 issued February 7th, 2002 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. •�,‘• soot,-4 Town Hall Annex t i®t "`l N® ,r, tix • Telephone(631)765-1802 54375 Main Road ; 'n �r Fax(631)765-9502 PO.Box 1179 ` 1" Southold,New York 11971-0959 4b* COU1 8.1 BUILDING DEPARTMENT TOWN OF SOUTHOLD December 30th, 2008 FINAL NOTICE Scott d Constance Ellis 47100 Route 25 Southold, N.Y. 11971 RE: 47100 Rt. 25 (2"d Fl. Addition) SCTM: #69.-6-11 Dear Mr. d Mrs. Ellis, Please be advised that your Building Permit#28075 issued February 7th, 2002 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to the use of the structure. To renew your Building Permit, please submit a fee of$15000; at time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT cc: code enforcement cc: legal department 10 Town Hall Annex t " • Telephone(631)765-1802 54375 Main Road ; c • Fax r` a Fax(631)765 9502 P.O.Box 1179Vokil • Southold,New York 11971-0959 le\® ®1�/ f eOUNTd 0°‘.. • BUILDING DEPARTMENT TOWN OF SOUTHOLD July 10, 2009 Scott Ellis 47100 Main Road Southold, NY 11971 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$25.00 Final Health Department approval. roval. P Plumbers solder certificate (all permits involving plumbing after 4/1/84.) Trustees Certificate of Compliance. Final Planning Board Approval. Final Fire Inspection from Fire Marshal. Final inspection from the Building Department. Final Landmark Preservation approval. Building Permit : 34454-Z 4th bedroom for B & B �•,�%pF SO(/jyo d h0 l0 Town Hall Annex 411 Telephone(631)765-1802 54375 Main Road ; N Fax(631)765-9502 P.O.Box1179 ; G Q ��� Southold,New York 11971-0959 � O I� 4OOUNT`I ,,�• �l ... 0"� BUILDING DEPARTMENT TOWN OF SOUTHOLD August 19, 2011 Scott Ellis 47100 Main Rd Southold, NY 1197 TO WHOM IT MAY CONCERN: The Following Item(s)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. (outdated check is enclosed) Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT : 34454— 4th bedroom for B & B 0,': SOU45/0 Town Hall Annex t�' ~� � Telephone(631)765-1802 54375 Main Road jig Fax(631)765-9502 P.O.Box 1179 ek Q ��` Southold,NY 11971-0959 � tet` � �ytOUNT`I,No's�,,� BUILDING DEPARTMENT TOWN OF SOUTHOLD January 18, 2012 Scott Ellis 47100 Route 25 Southold, NY 11971 TO WHOM IT MAY CONCERN: The Following Item(s)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. (Previously returned an outdated check) Final Health Department Approval. (For Swimming Pool) Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. — Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 34454 —4th Bedroom for B & B .�,e%OF SO(/r�o Town Hall Annex � h0 l� : Telephone(631)765-1802 54375 Main Road * ; Fax(631)765-9502 P.O.Box 1179 ; G Q ,i Southold,NY 11971-0959 :4 a0 1t La--Q1 j p i cic COU , , �' -5 CA r-T59 BUILDING DEPARTMENT TOWN OF SOUTHOLD OR. May 22, 2012 �� I Scott Ellis Cir6 -)5(7B 47100 Route 25 Southold, NY 11971 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) (-/ 0 Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning #765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 34454 —4th Bedroom for B & B ,r,,o��c sooryol - Town Hall Annex Telephone(631)765-1802 54375 Main Road * Fax(631)765-9502 P.O.Box 1179 O Southold,NY 11971-0959 COUNT(in"o's BUILDING DEPARTMENT TOWN OF SOUTHOLD November 27, 2012 Scott Ellis 47100 Route 25 Southold NY 11971 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) VA fee of$50.00 Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning #765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. BUILDING PERMIT : 34454—4th Bedroom for B & B eA�` A /0 � .� �. /� TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET i-/-7 / U' ) VILLAGE DIST. ' SUB. LOT ."4‘1-1:48 • " ' IITA---ATTE--e--4 -----a--,- •.-8--- -- ----------/C1-6 -':"r' " all -- -.1—'' ,.5-- FORMER OWNERN E ACR. mss A. ., C,LSO 4. tt4 e t,.� // 6 ‘,..."-e. ;v ive..// e 6 04- /� S //-- W � , TYPE OF BUILDING U /4 --6.t_-- -nGY'G I TG.7!-f itI 4,),„ :,, RES. c„2.16 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value ' LAND IMP. TOTAL DATE REMARKS / Dao S a" ° G 2- a d ?7/ ,/?2, , ?/)/i 4.57-L 11737 /6,D -It/ -d th 1tI 1' -pt tsDe36 /d- ‘, a-- 7 0.-0-0 3/i q 7 174/671% - /P'- ' a3 '.5 CoViz-i,, c)c/ i~14 O.►) t2 _2)a)€./(I 9119 \ a fl , D il-kce -4 --ici C,O, ici4 , 0-c> 33-o Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD / //9, 7o Meadowland DEPTH / 7 A ✓ House Plot BULKHEAD • Total i, _ - " < Y :.-4, COLOR '`t '-F TRIM G: E-E'V o ''.. ' ;1 toy t , • —111111.11111.111111.111.111111111.1111111.111111111. ^,�1.�rye `` k Y� �1.�\l��jpC^'`1,..Z-0....,*,- ` -�•'P` ;,,,,;;4:4A � �Y'••. t ■■S■■■■■■■■■■■■■■■■ \''y!i.:,‘' Ir.soaillti,.:0,zre,,riit:r ,_±.! ,,,'"". *'',;:''',, .•:•z.s .111.111.1111.111.1.-11111111.1111 I 11.111.111.1.11111111111111111. MEM - of sv r,' ? w F >, yr k ■■■■■■■■■■■MEEM11■■■■■■ w5# L i ext, • 111.111111111.111111=1111_ _ ,_ • .. �w. .�. SIM IUUR� .I rlIIIIIIMIIIMIIEIIIMIIIMIIINI UU1 lll U111UU•UI E111URU IUU 1- ■Rl•111U111 M. Bldg. a . . G Z 1111.1.1111.111111111CIVIIMMEMEMEMAIII Extension ,k . 1 . - g t / 6 s o`i 3 .7S 11�1.11,111.11111111110.111111.111.111.111111la Extension •■■■■■■■■■■■■■■■■■■■S■■■ mommmommommiummumomummi Extension I . Foundation Foundation B ffl Bath / Dinette K. _ 2_ Z / 3 L S` Porch G Basement p r4 R 7 Floors 7),, , < 'Th • 3- Ext. Walls hterior Finish k1 ` °�`" LR. Porch ( ) aMEs_ ® sro.ns r� sT !� Heat f Fi1 rtSG 5 DR. Breezeway BM i7/43.6.• Fire Pla No - i 1.• ® sX .2-3----35-65' I -0 ype Roof Rooms 1st Floor BR. Recreation Room Rooms 2nd Floor FIN. B Patio O. B. ormer Driveway Total rr /_ / 4.-- t971 25 N. e. 0 - Rt 1 .5._ . :\l'''''°>-----...AAI � A o �`O 91p � � 3,s E. C v. MP 0' �' "/ ° co O 4°52'3w _ 1 114 \. o .> SURVEY_ FOR in„,_- 0.....;) 1.1.1 a O. JAMES A. MITCHELL &LAURA M MITCHELL �, AT SOUTHOLD v7`" sh to • n r ; TOWN OF SOUTHOLD, ° SUFFOLK COUNTY -N Y. _ _ O Z o rn Z " z°s Z • Z 1000 - 69 - 06 - 11 rn - ; b' - sir l SCale: 1"- 30' 5. 2 1 July 11, 1995 r—ril h� = D111, VIsz ;CERTIFIED TO, C) JAMES A. MITCHELL • 0 I LAURA M. MITCHELL Z - 1 FLA TBUSH FEDERAL SAVINGS 8 LOAN ASSOCIA TION III i 'CHICAGO TITLE INSURANCE COMPANY 3 _r_ �—• f'n's ' • `1 • PSE OF NE!,y �,� � 4" ,1 5� �N T. MEr?C ep' 115.8 \ '° 7::..--.--,---, F, ,AREA =20,'320 sq`.ft. =, S. 73 GRA�TpN OF- Y_ALTERATO�N OR ADDITION TO THIS SURVEY IS A VIOLATION ! , 40• q6�9 < ' I D ON SECTIO OF THE NEW YORK STATE EDUCATION LAW, is. D GE AR GR Lt EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERT7F1CATiONS 1(, lig 5�- i R A HEREON ARE VALID FOR THIS MAP AND COPES THEREOF ONLY i /,_ N.Y.S. LIC. NO. 496/8 1 NOF MARY SAID WAP OR WHOSE SIGNATURE APPEARSS BEAR THE HEREON. SEAL OF TIE SURVEYOR PECONIC SURVEYORS, P.C. ` ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'AL TF�ED 'a r (516) 765 - 5020 . MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A CQPY P. 0. BOX 909 OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS INSPECTED-AND /230 TRAVELER STREET '3ROUGHT-TO-DATE' ARE NOT IV COMPLIANCE WITH THE LAW. SOUTHOLD, N.Y. 1197/ i 1 (0 - 0 (— 0 ).-1- ' TYPICAL CYLINDRICAL 1500 GALLON SEPTIC TANK WITH DOME r /Fu•5Hm GRAD( IOCRwC CASING TO GRADE4.; . f N - 4, i, a - q_ c„, 111 In \ .. X 1 t,,N 'A- 11.1 ! (� t 1 (� Foo DROP 'T• ACCESS19lC GIT V14 „` t� ik 1— v r- NIN. 4• D+l�_`T n',l j FOR uAUNTEtiM+CE '' ` f T� 11.1 APPROVED �•i 1 '-t ;; \ 1 "'f 1'� •— PIPE - 6- Dural h-4.- IAA, 4. DtA. PITCHED �(`� APPROVED �) \ .4 176 t/4-/t• I r° •!. PIPE - "�/}'')Vh V , �^ i PITCHED / / \ `A1 L\ ' O U Q RCw-�4a 16-MIN. 1 �/e/t, rt t3AFFEE (Cj \\ 1 5 066° , l tX 4`- .i..,, .. .-1\ 1.)) \ \ .'.. k..) v- • • . - .... r; i N14% PLEASE NOTE ' TYPICAL DETAILS OF CONSTRUCTION It is the applicant's responsibility to e' 1b c \-- maintain 2deqn Scdistan ..-- :' nce. 1 . A MINIMUM 0F FOUR INCHES CONCRETE BOTTOM. between all w ?G-cupp'y and s�waila t-- , ' ► ui , 2. AN 8 FEET IN DIAMETER BY 6 FEET HIGH APPROVED disposal facilities. ..\ ��(7 r, �� int REINFORCED PRECAST CONCRETE SOLID RING. -� '�--� 3. AN APPROVED REINFORCED PRECAST CONCRETE SOLID DOME . ..‹,..1 C ? \,_�_J�-' OR SLAB MIN. 6" THICK. , ..., 4. THE OUTLET AND INLET PIPES MUST BE LOCATED WITHIN THE ,m - , hr SOLID RING. .)uritla cot-- 5. DROP T MUST BE PINNED OR OTHERWISE FIRMLY ATTACHED. _ IL`f t t51' _ ' 1 6. LIQUID DEPTH MUST BE 5 FEET. �•, I960 I �� E ;� .�YSi �(} 7. FLOW BAFFLE OR DROP 'T' REQUIRED. r-N \ to % gOr arej> C•1.4 1--- �- -'! .� / ' CV. 1= A. kl.S '''31 _ 5V ///>te--6, \ n 92 -7_ 1/4A by Dapt.of Flocah Semi= ri,,Vril o- - 0 50116 0 0 \ ' • TYPICAL LEACHING POOL ' ^ 5 5'c -� �jj z FINISHED J1 Ji J ,✓ �� t• l9iltc.wi1!> i�t�I�: �ii4. vrwi�!' si .q:. ra 1 Q z GRADE H . ++�`.. to bo1w: ::5...0 by Hatfth artmont. .� vJ Q I. u N.. 2• Mux ('N •� . .. f4yr..,V X 111 --1 CONCRETE COVER - �J V O 4' MAX. i3�rIrOL COUfi7'Y DEFAAT,�IENY OF HEALTIf c+1CT�,VIC1C� 4� Gn IIiPPRdYhi OF CO�i6T:tUCT10h AOR fir ' - �` O CONCRETE � RilttT'� o CHIMNEY - _1 O �`c„-•�• ` � SINGLE R€StDctriCE ONLY � •.i .__I r— O INLET - K,L\'� CC�U t, t L ' ATE I' �-/��;' H 5 -1`'-. ILIO. � L)-a,51. .` . �ttJ►M- YIN 4' DIA. .1 3‘, %., P"OVED (N. 9-{-, -X -'..-7--- .---- PITCHED ,/8/,• L.`` s:g i "' MAXIMUM O^ 1SEDrl.ObMSf‘'-%----g . `�� // . , FOR FIA}; � � � .. ;.--� \..,„ 0 ❑ 1 I I 1 , "�`�^ „ ..�- �` EXPIRES THREE YEAR R0Ey1 %! -0r`AP�'ROv ,Torsi � D CJ ( I n\_) � ��� ,--�''� � �� �Q •20 320 5� \ ',/, tit 25 �``%u �.��`S Z — oa ' kl`L-LLI--v- '---6-1°7 tkiO' ( c77,(-9C7Lik. H P,.) PST~ - -, 1' JAN 2 5 2002 f J z \,..," D 11 5 ) -rE P L A H v) , 7, , 0 D ,� 1(: w salaD t.oaNc I I'' = 20=o" .Q Ni y - Ld .0 BLDG. DEPT. —1 TOWN QF SuL1TNOLD � . ��'� 3 a,IN. LEACHING ' • i' \\\ • 7 111 LLL // COLLAR SECTIONS '� 0 , ' ``� IEi' I. '1 l) '\ I B' i I G Lida_ 7e..-• �' r •%, 0-\ 9, Ol\ w/ U rEe7i,-44. `o' i d It g ,s6 - sy„v4 DA cos A-F ,' I". E ' ' -, '1'4 - n *f tx-ra, . Nov, i . q cl .5 -t> tr.,) 9'6I 12-1-01 6' M1IN. PENETRATION V t INTO A V.RGIN STRATF MH,P7:1);:ei OF SAND AND GRAVE' a , c1 {-��. j�•� / '- fr,,,.y „tHIGH SEAS DNA: GRCUN OwATER _ / r �.,t-,•_7 �O Ft_ li. . -,, P7.I ,r,:wr<, , t f` °'r ,....:,,.i- '-' HACK FILL MATERIAL TO BE CLEAN SAND AND GRAVEL . 1 / Ltt, •A it�•_ ,�, -i- iS'r [10 ; 5` r, , , iNFo 1ATI01\1 I -a C.t N ,:..2-71 \-.1) ' ' ' ''' TYPICAL CYLINDRICAL/ 50 GALLON SEPTIC TANK WITH DOME �S\\ J� � !' •' • •,-- ,,, } rr- fat6M'D GPAOE /---LOOKINC C STING TD GRADE — c; \ a � 71 T T. , � � Z 1' MN., 2' MAX. NOTE E CHANGES) • 0 \0 7 ,...(1)._ 1/ 2oN. k\ 0 1' - (D.:. I— f_. }— —1 0 a '" 0 III n .�.6 a GIT t.J I0 i ' Cj ( 1 t— 0 wxE DROP T AGYE5591C �.0 ,. ✓ i— t ma YNNTENANCC. .YID/ \1 i iJIN. 4' DIA.--N...ItJ p,2R + / NI APPROvEO —1 \ I PIPE - OutLET —�.- MN. l� NA. .^ PITCHED . APPROVED \ n 2 d 11/ 1/4./1• YZ>rt i• PITCHED 1/1571' \ O . fLOw� 16�MIN. T 1/1571' (2 \ t i BAffLE L l__ (9 /J \ .... o 5 ofc6� , (Y_ ,� tY_ cci '\, 1 v tt0' I \ , t , 0 c..i (3 4. ky TYPICAL DETAILS OF CONSTRUCTION v(9' ?i k-- 1 . A MINIMUM OF FOUR INCHES CONCRETE BOTTOM. \i/' 1 ti k VA flaill 2. ANte FEET IN DIAMETER BY 7 FEET HIGH APPROVED 6C121).) .. REINFORCED PRECAST CONCRETE SOLID RING. 1 3. AN APPROVED REINFORCED PRECAST CONCRETE SOLID DOME ! �' `� OR SLAB MIN, 6" THICK. , \ s� 4. THE OUTLET AND INLET PIPES MUST BE LOCATED WITHIN THE �j,�i�G , `r 1 – SOLID RING. c�.� ti 5. DROP T MUST BE PINNED OR OTHERWISE FIRMLY ATTACHED. +•_,. M111,-'( 6IM/4C / . I q GO -, k •1 �Y• S(STo i -, 6. LIQUID DEPTH MUST BE 5 FEET. To F Gt�GV'c.,� in 7. FLOW BAFFLE OR DROP 'T' REQUIRED. V , i— n i. ;., - ,,,N, ik, •4___., —3. a zi) t 7 , TYPICAL LEACHING POOL Ra-v\.<)szD 2 -0 ,. - &AID j� 51.15V-%c u.I C �' FINISHED .✓ .✓ .✓ J✓ `[ ((x; — 7 GRADE I SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES \ J „ 1' UN, 2' MAX S�r'��r' r!1`�T p??*zT'a,f+e *FS. ��-n r~1'7. .7..rn^,a.,,.r�rt':a•..,,•,FOP. t CONCRETE COVER — ,. ,::.> ' pp�FF..at' ,t Jr �i.� .:»z,.r__,.2r�.s.�. ` t ,� '(" 4' MAX. si c-LE�1 �`F v''QP rn T:°6. r•" GIN: j �j (� -1- F Film=lit'.v.tiJ:rl'�'..be ��eii 11.. -_ O I-- CONCRETE CONCRETE DATE : 1C . HS ‘EF.NO. I_O–QI—O2 rYJJocr. j 0 n CHIMNEY — S —� APPROVED . ... AISILIII..•16•4.4�,. _ f . LUI— O I+ \ FOR MAXIMUM OF 1-7 ROM': �'�jr7T I INLET I � . , DA_ EXPIRES THREEYEARS FROM DATE OFAF'- 'OVAL v ApPoNto PAPE - • /� Pi1CHED C'i 1 ,'µp' 18.;1• .�G (� Abandonment of existing sanitary system iia 0 ❑ L l 1 4' 4 ' ��;' t2 be witnessri, bs,Henn Deportment. 1 } �" t DO _ I � _ —� o ��V ��A '2o, 37,05P MAY. 25' a y ��� }� irl -,�� -��1A��t v(�f. � % l.o�' \ � tocr 4,4 o in o //i � � Tc�' C o�lr � c " S J -1-E P L Av, , .., � k - PQ r•1 V _ 7_ x o j 5 Sa►1 D got b 111 20=0 " ____—_ .Q o 5 /0 9/J /�' e/° V a = -- SII COLLAR LEACHING \�' _o t I— Q SECTIONS - o Hof r `jE.rr�TIC. S'erSTEM 10 e.- &u(G 1 IN /� r-z At GC. \� j�` S1�ND 11�D c� iii' k1/ 5 LI I ra- Co• C el• o F N z-'T4-) amt..'DA o °'F (.. 3' L. 6' MIN. PENETRATION C) INTO A V RG1M STRATI OF SANG ANO GRA'✓El 0 /Cif` '� (�_9���, f,-+FcT° HIGH SEASONAL GRCUNOrvATER Z O "99 / SACK FILL MATERIAL TO SE CLEAN SAND AND GRAVEL .i:-. t I" Fp+"--N1ATI or\ .;,. �= '� �, Nis 4 - 1 (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW (2)DISTANCES SHOWN HEREON FROM PROPERTY UNES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY UNES OR FOR ERECTION OF FENCES (3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED SEAL OR EMBOSSED TEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY (4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE RILE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION USTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)&CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS •% \ 400 Ostrander Avenue,Riverhead,New York 119OI N tel 63112'72303 fax.631.12/.0144 admin@youngengineering.com 4ntn 3øflfl \ bili 1 Howard W.Young,Land Surveyor ,\ ��' \ Thomas G.Wolpert,Professional Engineer \ / Douglas E.Adams,Professional Engineer w ® p • \ \ /' Robert G.Tast,Architect 41 SITE DATA ` S \ 'i i' aw A AREA = 20,311 SQ. FT. a \ • VERTICAL DATUM = NAV.DATUM(1188) I • ' ,'0o • GROSS FLOOR AREA = 1,0146 5a.FT. "� (SN HEALTH DEPARTMENT USE cv--• "') ,3 0 /�J oc \ �N e 1.0 . ' Pi ^ �eNo8 i \ • • k 5 / >k� 1. t. 0 23Q `b%,\ 't ii o �� �T c \dt• ID 0 .,,,,-07****.* � �Qf \ LS, 'V ("N O SURVEYOR'S CERTIFICATION � ,� �6����J \t : w V w ry t�t�M:�� ' b • WE HEREBY CERTIFY TO SCOTT H H. ELL^ C p`N' ' G E .' . \1 : Ii' .) ELLIS THAT THIS SURVEY WAS PREPARED Ac.;60$DANCE I'^(I-:.,,.`\ t _ O THE CODE OF PRACTICE FOR LAND SUR :'S,OPTED'BYyTHE r e` sw O 0_• V YORK STATE ASSOCIATION OF PROFES ..NAGE AND SURVEI'ORS. g Mrn s AJC` M -� `S t O .,...,(7.-ti �p�G tt p O 0 irw. B ;),-. \ ' altpt-Vfl. .r, . , $5 9 0 N oh_m��A sW . ' � s i Sh > +` I o AGO' ppofp pOr t m len \n y HOWARD W.YOUNG,N.Y.S.L5.NO.45813 \ c'..m...1)1` F.r 0 c o • h f _ W v J 7 ` U lti p 5'j 0N ' j i -- - - pry02T sIO�C"eo�,® o SURVEY FOR 06 o O LPI v• � 09 W kA ClO�Ee- , N ' LU ® '.tea 0 SCOTT 1 H. ELLIS �1' ^_ [t 0 '3 < O ca, '3 0 �o s' 14.4' CO Q 0 C� o c� �, t 0 CONSTANCE ELLIS . . ' LP2 s a ®0L) 2 �'' o E at Southold, Town of Southold 3 - 0 0, ,f 0 N Ca o 0 i g co Suffolk County, New York -" �Nc. 0 L psg ® a I ° �ct7 1 FINAL SURVEY L o - C31 m ai 1 lS� Ij -a>' ••••• h- ! wbq Block 06 Lot II ` gam CL'_4 C3 :y.1= Lt: County Tax Map District 1000 Section 59" SS _ `, s''C� < CO l - - FIELD SURVEY COMPLETED DEC 01,2015 •64P-)-- '- C1., C,)FLE1 t . . = �, a MAP PREPARED DEC.01,2015 -� 125 m L�....1 Record of Revisions O` F� a ' 13 . ®, 4)75 RECORD OF REVISIONS DATE SANITARY MEASUREMENTS S'- "� 09 �� 7 _" °cz,A °' , '. 0 I FINAL SURVEY MAR.08,2016 V3 14..L jod r,.--,-,0-0 A S0 5o°3 O0TTw ri ;0 0 02 ST 22' 24i g-13 \s'00 �m�r\y and I a. 0 c 0 c , C LPI 2q' 38' 1°�� p�' �O LPrQ u 40 0 20 40 80 LP2 3�f' 351 1 m rO\� 8t0'N , , U) - (02 1 0ii `Ghp� ® r, Scale: IB = 40' \ \` JOB NO.2015-0165=} `___��_ DWG.2015_0165_fs iI �''�``6ryry,�� I OF I / I FI 'Lis �""' �i, f�11. / 0 = MONUMENT SET ■= MONUMENT FOUND A. STAKE SET A= STAKE FOUND I I O GENERAL NOTES rr 7 / 28'-O / 25'-O" / I- (Y z 1. ALL WORK SHALL CONFORM TO THE NEW YORK BUILDING CONSTRUCTION O - • O CODE AND ALL APPLICABLE CODES 3'-O" x 4'-O"3'-O" x 4'- " 3�-O" x 4'-0"3'-O" x 4'-O" ,tt (V, cei 2.THE GENERAL CONTRACTOR SHALL VERIFY ALL DIMENSIONS N THE FIELD. ANY 1 1 I 111 1 �— `J W 11/ V i— to DISCREPANCIES SHALL BE REPORTED TO THE ARCHITECT BEFORE pROCEEDING ' VLA 3.ALL WOOD FRAMING,INCLUDING JOIST,BEAMS,POSTS,STUDS,ECT.TO o -- r- 4. THE ENTIRE WORK SHALL BE ACCURATELT FRAMED PLUM,LEVEL AND TRUE, ' )-. WELL SPIKED,BRACED AND ANCHORED TOGETHER TO FORM A RIGID STRUCTURE 0 1 LA 3'-O" x 4'-O" 3'- " x 4'-O"3'-0" x 4'-0" U D O AND TO INSURE EVEN SETTLEMENT AND SHRINKING THROUGHOUT.UNLESS I�—(� ^, DOTHERWISE NO i w ON THE PLAN,ALL FRAMING MEMBERS TO RE 16"O.C. \ 1i1 1 ii1 V J ,y 13.ALL STRUCTURAL WOOD SHALL RE KEPT 2"RACK FROM ANY MASONRY CHIMNEYS. w14. JOIST METAL HANGERS,ECT.SHALL RE"TECO" OR EQUAL FOR ALL FLUSH a w STRUCTURAL CONNECTIONS. 0 15. ALL WINDOWS AND DOOR OPENINGS SHALL HAVE DOUBLE STUDS ON BOTH JAMBS. BEDROOM *2 16. ALL FLOOR JOIST SHALL BE CROSSBRIDGED WITH 5/4 X 3" BRIDGING AT BEDROOM *3 - o 6t MIDSPAN OR INTERVALS NOT TO EXCEED Sb". El.THE EXTERIOR SURFACE OF ALL FOUNDATION WALLS BELOW GRADE ,{ (EXCEPT SLAB AREAS)SHALL RE DAMPPROOFED WITH ELASTIC COAL BEDROOM #`'t TAR BASE,SELF-PR'MING BITUMINOUS PLASTIC CEMENT. o , 4 BEDROOM *5 �-� IS. INSULATION IN THE EXTERIOR WALLS AND CEILING OF ALL HEATED SPACES X 2'-0" f 0" = p �+ r� 2'-3 " SHALL BE FIBERGLASS BATTS,SIZE AS INDICATED ON THE DRAWINGS,WITH A o _ �f� POSE / PRO JE✓ /f / VAPOR BARRIER ON THE HEATED SIDE,PACK ALL SPACES AROUND WINDOWS di ,,�cc///.��}}} �(✓'' AND DOORS WITH INSULATION. 2'- " I TH *2 BAbH #i (--- 19. INSULATION IN CATHEDRAL CEILINGS SHALL RE AS INDICATED ON THE DRAWINGS. /) n ,{(—. I CARE SHALL BE TAKEN TO MAINTAIN THE FREE PASSAGE OF AIR BETWEEN '11 11111* INSULATION AND THE ROOF DECK. 0 cv I 2.-6" c3 (' 2.-6" I 6," 23.GLAZING IN DOORS,SHOWER DOORS ENCLOSURES,ADJOURNING DOORS AND BATH TUB DOORS AND ENCLOSURES,SHALL BE SO SIZED,CONSTRUCTED TREATED OR COMBINED WITH OTHER MATERIALS AS TO MINIMIZE EFFECTIVELY - ■ ■ E ■ THE POSSIBILITY OF INJURY TO PERSONS N THE EVENT THE GLAZING = 1 i IS CRACKED OR BROKEN. N PLUMBING NOTES: I. ALL PIPING SHALL CONFORM TO ALL LOCAL,COUNTY 4 TOWN -- I 2'-0" 1 111111 I-2-0'- I I 2"-0" I ---L 2'-6" -.,__ _ _- _ ___ REQUIREMENTS AND THE RECLIREMENTS OF THE N.Y.S. BUILDING _ _ CODE. o / - 2. THE USE OF LEAD SOLDER IN PIPING JOINTS IS STRICTLY PROHIBITED. '7 N1 `'�` _ /'� X _o iii " m - al EXIST 'ROPO'! D !U Z BEDROOM *6 BATH *4 BATH *3 o Q Z Q ) MB 9 --c't LII Lo, x ( . O 1 1 1 1 ' ' MASTER BEDROOM . 11 0 : 3'-O" x 4'-0" 2'-0" x 3'-0" 2'-0" x 3'-0" 9 _1 r 0 x al '1 co / 28'-O" o o - APPROVED AS r I T D 3Ly-5 I _ V.T.R. `- DA ' B.P. 02 - X , ��e Q FEE: `l BY: X11 m — NOTIFY BUILDING DE" 'RTMENT AT PROPOSED PROPOSED 765-1802 9 AM TO 4 1FOR THE EXISTING PROPOSED FOLLOWING INSPECTION 5ATT-1# 4 B4T1.°.I* 3 11 BATH-1* 2 EB4T1--1* 1. FOUNDATION • TWIe, REQUIRED 3 1�1 I el"•1)1:1=.I l',•1-int,;- \ .4 LAY. LAV. 3'-0" X 4'-0"3'-o" x 4'-o" 2. ROUGH - FRAMING PLUMBING a_ LAY. LAV. TUB TUB a INSULATION W.C. TUB __ W.G. TUB W.C. W.C. 4 FINAL • CONSTRU TION MUST QL 1E 1E BE COMPLETE FOR C. . O -, 11 11 I 1/2 1 1/2 / 2�'-0" ALL-CONS-TAU-CT ALL MEET o 1 1/2 ._„ Iii/2 d _- - - - IF,, - '��BIM 11111 THE REQUIREMENTS F THE N.Y. 2ND. 1=T.. STATE CONSRUCTION & ENERGYCODES. Q 1- 11 11 311 11 2 2 311NOT RESPONSIBLE FOR z 2 2" DESIGN OR CONSTRUCTION ERRORS If copper tubing is used PLUMBER CERTIFICATION �7 O to 311 — for water distributing Oil LEAD CONTENT t7-..',FORE - d w PROVIDE SMOKE-DETECTING system; piping shell be CERTIFICATE OF OCCI,YANCY . ' U c0 <s' ALARM DEVICES of types K or L only SOLDER i >.,t — - — - - — — - - — - — - — - — - — AS TO PART. 721.1 UNDERWRITERS CERTIFICATE SUPPLY SYSTEMCANNOT A DATE REQUIRED Cep ,6� OT / : C% 10-IS-01 F.A. N.Y.S BUILDING CODE. EXCEED 2/10 of 1© LEAD. ��°P; - ( EG.—O.— CIO. 4 �/ >n '. UZ '1..,p �m B=EET" PLUMBING RISER DIAGRAM I TO AN APPROVED - - SECOND FLOOR PLAN �''� � z °V I� !ye SANITARY SYSTEM PROVIDE ANTI-SCALD AND/OR E-± �r 1,,,3T �' r THERMAL SHOCK PI'EV NTIE: �'-e, L°,tz aE���®�m•� e SCALE: 1/4" _ 1.-0" • : 1.,.3 O USE IS UM a T F JL E G s NO SCALE DEVICES AS TO PAI;T.502.6(x) €. _ r. !V;"-411-11 L°''k: cP D , ___ MTh OUT C iTIFIC1 TE .*TESTING ISEFORE CQV R6$wO Q U(' '�E CY N.Y. STATE BUILDING CODE. P' r,I -%. . s1. +'I / ..o-v c_ '--.`/ `�� Lz2 i v0 1 (--,s"-- -...-1 ( \ ,�_� grP 7' ' , ar- Fe___. 3)6/o.2. t -, '9x.9.2 9 Y \ i - �. \--4 tiM O - X to a e: 4 \ 6 it — I ii \ v X 0 J - BEDROOM *2 - BEDROOM *3 0 BEDROOM 4. 4 74 BEDROOM - ç2-O" _- x / \ - 2'-3!:" ' O : PRG SED . BAHT_ _ _ -------A2.4.," _____ I 2'-6" (----. r:is a� , 2.-6" 1--- \ csak Il , , , , , , , , , , i . I II I Z) v. --r-r-rTtir - 4 2._�" y 2'-0" 2.-0" , 2.-6" I x ' '' , rl -- , U_ I,.__ - - -8651061.1.( ICTEXISTka ',PR4P01 D - BEDROOM BAT HBATT-I � . I+ o r I anE----) G-0C=sem et �— – BEDROOM 3'-0" x 4'-0" 2'4" x 6'-C" • , , . 13 _ / .4 Oli 8'-0 2 " . 1 I'R-00 ! ip ' BATH 04 1 11111) 1 2.64A 4:6" - Z:b•x 6:b,'