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HomeMy WebLinkAbout40459-Z ,�`pSUFFOc, G�µ Town of Southold 6/28/2016 a P.O.Box 1179 W, g 53095 Main Rd '`.4 of 'i�o�r Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38369 Date: 6/28/2016 THIS CERTIFIES that the building ALTERATION Location of Property: 1100 Youngs Ave., Southold SCTM#: 473889 Sec/Block/Lot: 60.-2-7.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/2/2016 pursuant to which Building Permit No. 40459 dated 2/10/2016 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Looze, Susan&Douglas of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40459 06-09-2016 PLUMBERS CERTIFICATION DATED e i/ _ Autho ' Signature 4 �oniK TOWN OF SOUTHOLD �� 4:9i'y; BUILDING DEPARTMENT TOWN CLERK'S OFFICE • o • SOUTHOLD, NY \7101 * �a 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#: 40459 Date: 2/10/2016 Permission is hereby granted to: LaMorte, Kathie 1100 Youngs Ave Southold, NY 11971 To: Interior alterations only (no exterior alterations) to an existing dwelling as applied for. At premises located at: 1100 Youngs Ave., Southold SCTM # 473889 Sec/Block/Lot# 60.-2-7.1 Pursuant to application dated 2/2/2016 and approved by the Building Inspector. To expire on 8/11/2017. Fees: • SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 • $250.00 :uilding Insp- - . 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 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 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-3.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.000a Date. - -g o b New Construction: Old or Pre-existing Building: v (check one) Location of Property: //off k vii,c,r AUC House No. Street Hamlet Owner or Owners of Property: n'l`d.f gi 00 U-c- J-OOz. Suffolk County Tax Map No 1000, Section OCo Block 0 a- Lot 7 Subdivision Filed Map. Lot: Permit No. 1-40(1-61 Date of Permit. _Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: `t/ (check one) Fee Submitted: $ 42i_x,11 --COCO pplicant Signature if SOU / `v '7 0 it&Z) 4 Town Hall AnnexAlig 11111; Telephone(631)765-1802 54375 Main Road ; c12. % Fax(631)765-9502 P.O.Box 1179 ; Q % roger.richertr'p�town.southold.ny.us Southold,NY 11971-0959 A. •�/ �''CiUNTr,�,,�" ''''' ,-•, ,, .iii BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Looze (LaMorte) Address: 1100 Youns Avenue City: Southold St: New York Zip: 11971 Building Permit#: 40459 Section 60 Block: 2 Lot: 7 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Platinum East Electric License No: 34091-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 9 Ceiling Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 1 Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures 15 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 16 Twist Lock Exit Fixtures TVSS Other Equipment: 4- Exhaust Fans Notes: Inspector Signature: Date: June 9, 2016 z Electrical 81 Compliance Form.xls ���oF SO�l�,olo\` Iv/r , # * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT)ON [ ] FOUNDATION 1ST [ ROUGH PLUMBING [ ] F NDATION 2ND [ ] INSULATION [ FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE-& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLAT [ ] CAULKING fREMA KS: ir/ / Jo ‘J.40:0,64.A., OR. .re-e-v..--71R- • DATE D3/-3/6 INSPECTOR X J' \ '-------------- Ov s; * * cb' TOWN OF SOUTHOLD BUILDING DEPT: 765-1802 55 INSPECTION [ , FOUNDATION 1ST [ ]5OUGH PLUMBING [ ] FOUNDATION 2ND [VIINSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ]_FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] 5ECTRICAL (FINAL) [ ] CODE VIOLATION [ 14CAULKING REMARKS: Ofr. °I1r-tc-easj,e1C I-- DATE INSPECTOR ,1 �O��OE SOUlyOlo\` -00 ' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ . ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION LECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 444 DATE INSPECTOR �� " ,* • 404 , cn, count/ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: y DATE 6/1/1 INSPECTORS :4111V4' (�` `ter �, I „iii F SOUr4;O ,`o loi tie ;* TOWN OF SOUTHOLD BUILDING DEPT: 765-1802 INSPECTION .- [ ] FOUNDATION 1ST - [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] TBOLATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) - [ ] ELECTRICAL (FINAL) ( ] CODE VIOLATION [ ] CAULKING a"4-0.1ge-es., „,,,a2sf.,- ,..e-c,, REMARKS: 0 40.217.0 .DATE "6//. 6 lINSPECTOR ` 51 4°4 ' ' ,,,,,,,,,,, _ ii'i ,����O��,OF SObryOlo,; of, TOWN OF 'SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [v]el ISOLATION [ ] FRAMING / STRAPPING [ NAL (RR..) [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION z [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: taee. O. DATE a/S /4. INSPECTOR9 4 d. FIELD INE'ECI'X N REPORT . ALTS . CO I g: S . ' `- ---- - ►� • ' FOUND,A• 'SON(1ST) , ---- ' .. . . . a • • a, ,. . . . . r l ti . , ,- , • • t FOUNDATION(2ND) -----=.—� . . ryf 4,-mrAgr ___ • . ., . .. .., ____. , , o . , - .- , - ... ..... , ....• .0 • , v) . ,,..•,. .. .. .,.... . ....._„.. . ..• . . ... ROUGH FRt.I�IINQ& • ' C • PLUMBING - .' IIIIIIIIMIIIIINOIIII INSULATION PER N.Y. — STATE ENERGY CODE , . • • '• . - ' . . . • . . , • / . . • i WM. /_ i - - -- 4.41V ."X401..40 /4"4. - .41011 e FINAL . ; oc��AlliiiMMINNI • . , , �-` b`--es • Zak' u-4-e., 64,-c_6 .- rem-- m P' \/ % 1.e.....„. I°igli ..jJ"-C1 'CP113. S.C$9(kb --- • l' . .I - . - . ' , - , 2 . • P.4 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 l 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 �j -Survey SoutholdTown.NorthFork.net PERMIT NO. ®� Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application I ! Flood Permit Examined ,20. � I i Single&Separate LI � I FEB ® 2 2016 I Storm-Water Assessment Form l __ Contact: - Approved ,20 , ;,_ ;, r eta- /t~T'D 7 _ T. (' :I �� ,p Disapproved a/c /�V Phone: Expiration ,20 L. 11111, g t s►-ctor APPLICATION FOR BUILDI` • "1 " -- Date — — , 20 /;6 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways.- c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building 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. 'o -7 p c y� au/,qt.iij IrvG • (Signature of applicant or name,i'1'a corporation) a 7 Gv&ZLf foc,-Thoco Jul. }! //%7] (Mailing address of applicant) _ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder fi Name of owner of premises SM-f P7I J ac.G 0o-2.6' (As on the tax roll or latest deed) If applicant is a corporation, signature of uthorized officer Qf2 �ZC i of K&2-S c� f�r�� e(° (Name and title of corporate officer) Builders License No. I/37oj —h Plumbers License No. Electricians License No. - Other Trad'e's-License,No. ,,' ,f. 1. 'Locationrof landion!which proposed work will be done: uiv&S ,Ivc- ,5'-ot,M060 ,o- Y /07/ House Number Street Hamlet County Tax Map No. 1000 Section 0 6o Block b `� Lot 7 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy e e,SI DaT,,,C b. Intended use and occupancy (i;3/Oci%I A 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work ` (Description) 4. Estimated Cost 46 d 000 -- Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units / Num-ber,of dwelling units on each floor I' 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 22 Rear ,202 Depth ,CG Height A e' Number of Stories - 2 Dimensions of same structure with alterations or additions: Front c2a ` Rear 2 2 Depth Height 24 ' Number of Stories a 8. Dimensions of entire new construction: Front `'2 Rear 2- Depth L-5:( Height � S Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor 76063fv-v gLc2c _Tivc-• Address S 601-24r Ruc Phone No. . /c( 46 7 22•'3 Svui ffsce�r.-y 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO v/ * 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 MA,Y 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 OFSuff(AK) • -rVf Lel eht,,,, being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contract ,.Agen)orporate 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. TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO. W6306900 Sworn to before me this IED IN SUFFOLK eiJ QUALIFIED IN SUFFOLK COUNTY day of UQr 20 I6. COMMISSION EXPIRES JUNE 30,2t2La JO( A /j Notary Public Signature of Applicant James Garretson,ChairpersonOFFO(, c_ Town Hall Annex Anne Surchin,Vice Chair ; �� GG: 54375 Route 25 James Grathwohl S�; PO Box 1179 Donald Feiler cosi Southold,NY 11971 Gary Parker tyr Fax (631)765-9502 Robert Harper 4:6 �Q�',� Telephone: (631)765-1802 Edward Webb - 1 ,,'f www.southoldtownny.gov Damon Rallis,Administrative Assistant Town of Southold Historic Preservation Commission RESOLUTION 3.15.16.5 March 15, 2016 ADMINISTRATIVE PERMIT Applicant: Susan Looze Date of Receipt of Application: March 2, 2016 SCTM#: 1000-60.-2-7.1 Project Location: 1100 Youngs Avenue Date of Resolution/Issuance: March 15, 2016 Reviewed by: Damon Rallis, Commissioners Project Description: Replace an existing entry door with a window to match the existing front window. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 170 of the Southold Town Code. The issuance of an Administrative Permit allows for the above mentioned work only. Special Conditions: No additional work permitted beyond the scope of that outlined in the above referenced application. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in the Southold Town Code, a Certificate of Appropriateness will be required. This is not a determination from any other agency. RESULT: Passed MOVER: Ted Webb SECONDER: Gary Parker animous 4 Damon 'a *s Administrative Ass'-- ..st Landmarks Preservation Comm' -'on ;�'l�c.uFfr 1 ) mw ) Scott A. Russell o -r� SUPERVISOR ( p� ,.. MANAGEMENT SOUTHOLD TOWN BALL-P.O.Box 1179 t0L S �� 53095 Main Road-SOUTHOLD,NEW YORK 11971 14'1,o�/ ��-'����' Town ofSouthold 4...I,1, CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) Yes No ❑ !EA. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. 01:33. Excavation or filling involving more than 200 cubic yards of material ,/ within any parcel or any contiguous area. 012( C. Site preparation on slopes which exceed 10 feet vertical rise to • 100 feet of horizontal distance. ❑[2D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. 11 FIE. Site preparation within the one-hundred-year floodplain as depicted --- • -. . on-FIRM--Map--of-any watercourse: . . . . ...- DF. Installation of new or resurfaced impervious surfaces of 1,000 square . feet or more, unless prior approval of a Stormwater Management . • Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. S-C-T.M. ": 1000 (Date APPLICANT (Property Owner,Design Professional.Agent Contractor,Other) �y Dbtr,cI / NAME. / ' cek Su. at)/toad- .�et,G /4 0 2- 7. I C2 d 110 ,�,�„iSect ion Block Lot I��_ ,P .-------_ CF'f2 0 FOR L ;i:NG Di PARTh I'-NT LSI: ONLY .,.. Contact Information 576 —r/t 7 22.13 Reviewed By: 41i_ adid-Ok r Date --2 - r Property Address / Local Ion of Constl uct ton Work Approved for processing Building Permit it2,Z1 YGU1t-1 ,F)U 6. Stormwater Management Control Plan Not Required S ULi7A(61D I/O-l/ 11 7/ i Stormwater Management Control Plan a Required -- 1 (Forward to Engineering Department for };et,e;A•1 I'OM\1 ' SMC I'- -FOS L1 Y 201•t , ,4" of S O(/`•' Town Hall Annex ; if( ; ' '•"*"4% 4% Telephone(631)76S-1802 ; 54375 Main Road c ) •%!'' •;.•:;:" 0 roger_ichert4aownouad .ny.usP.O_ sox 1179 o 14 Southold,NY 11971-0959 :QIyC� �,�a s�� .UI ,•it''`' 6 / BUILDING DEPARTMENT O� TOWN OF SOUITHOLD APPLICATION FOR ELECTRICAL INSPECTION 1REQUESTEDBY: __ - f tr.,/ f D,�koJeo Date: ;2-1-2 0,6 i _'Company Name: Td `LGruc,1,)- 6u/coat I =1 - - E ��/ " 1 ) -Name: - ••" License No.: Address: - C)( I Phone-No.: - -, 1_)4.. • JOBSITE INFORMATION: *Indicates required information - - *Name: rh(L t i-lw 5vS fJ I,, -t )o 6c C-- Z O c Z-(i —-(VAA) 1) L!' 1_ . - *Address: woo your G-s - p o C-' - - LLA Mbr' e, J *Cross Street: avgyu -120. . _ *Phone No.: I Permit No.: C-(01(� Tax-Map District: • 1000 Section: 060 • Block: 6a.. Lot: 7. / *BRIEF DESCRIPTION OF WORK(Please Print Clearly) C bNLy - I - (Please Circle All That Apply)P ) • is job ready for inspection: - YES i3. Rough In Final *Do•you need a Temp Certificate: YES! NO - - Temp Information (if needed] - *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other . "- *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION . 82-Request for Inspection Form k Q � . ,,i olff01,t�0 Town Hall Annex Ci IQ. .. • - Gy Telephone(631-1802 54375 Main Road H Fax Fax(631) 734-9502 P. 0. Box 1179 .i Southold, NY 11971-0959 Z •T 1/ ;‘....4-../9.1 4' a0%- � �' iI__ �eisN BUILDING DEPARTMENT NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION, PRE-ENGINEERED WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION Date: ©`–i— c2Df Owner: you - L YZ4 ' Location of Property: ) loo Yov,v(- ( / Ut1 Please take notice that the (check applicable line): New residential structure . ` Addition to existing residential structure Rehabilitation to an existing residential structure • .-- to be constructed or performed at the subject property reference above will utilize (check applicable line): Truss type construction (TT) Pre-engineered wood construction (PW) , Timber construction (TC) in the following location(s) (check applicable line): Floor framing, including girders and beams (F) Roof framing (R) • Floor and roof framing (FR) Signature: / �,i'ff C#02 ,1, Toe-k62Jc:A.) &Oar JAJC ' Name (person submitting this form): 701 / - (Zj /6- ,fcri Capacity(check applicable line): - Owner Owner representative TrussResRegl5.docx Effective 1/1/2015 .. .-........•.**,%%;. w v .r•••�y •r;+J 77.':7.!4,"rh �:'7� t"•-•n•.W.:•:trf ?+•"�^u :.q.•. "a�••.r.. ••.%�i... .:: `i•4:^.•_••ri?.•a cL t•. {�''�•�.. st . .. i '�� .. ..'f . via ,.. .. �i .. r 6" DIAMETER REFLECTIVE RED ROMAN ALPHANUMERIC - PANTONE--- ;' - - -"-- DESIGNATION-OF-CONSTRUCTION -• (PMS) 11187 .:.-, TYPE BASED ON SECTION 602 OF THE BUILDING CODE OF NEW YORK STATE 2" MIN. REFLECTIVE r; WHITE • •• . .: .: ... . .. . . . I II . 4 1!2" STROKE — -- -- —----- .... - • DESIGNATION•FOR-STRUCTURA1_• COMPONENTS THAT ARE OF • TRUSS CONSTRUCTION "F" FLOOR FRAMING, INCLUDING GIRDERS AND BEAMS • "R" ROOF FRAMING • "FR" FLOOR AND ROOF FRAMING TRUSS IDENTIFICATION SIGN - Cc u14NCE WITH 19 I ICCRR PART 126541 e. � • • rcnowtE ..,...simermemanamolowNsar :: CODES DIVIS4. .ION SLE TRUSS IDENTIFICATION SIGN DATE:03/08/2005 14'71' NEU YAR STATE DEPA�TIVIENT �F STATE . '.\-,-- , ,V7.-/ DIVISION OF CODE ENFORCEMENT ;: "', Y AND ADMINISTRATION;6EP:cidTl{ENT•,Il t�lFc_ qs :t:-.,•..r.., ..3....1 .,41:, :Yx...J1t ., .:f•.,-+i.. ..r.-f,:., ..r '.'r:tr•a 4;.+a•C-ivs +li .t' r.s iw.51.°.. • .."-f rc .:feT-9- r•4 : 'L...71, ;TOWN OF SOUTHOLD, --PROPERTY. .RECORD CARD !OWNER., STREET //06) VILLAGE DIST. SUB. LOT Q° 9 ' - '11 bi'VLk.i::e, Li(: .�lib `��'e f i (--P6•L:,•LciS l -vee. st,-:u rid, ® 1.,D r. . . . . FORME ' OWNER 4 Q111C{uGc N `� _ E ACR. I F ' ..,, cie-'ti-ict t 1 �` Ctr'1i S W i • TYPE OF BUILDING -'ru, -0 ., 'c:c..1 wk- /..... s _) ,d 1.1 _ - y u fv s /� v c • Li ATP oli, RES. : , /� SEAS. VL. FARM COMM. CB. MISC. Mkt. Value . - ll LAND' IMP. TOTAL DATE REMARKS - 4 - S 53)1 7 0-.0 /c2.. a 0 / O ® /c7,9 AT / ! L ._ri,P Z dr L /•, .- r''/` �-' ,p- 2.1 ir4 �q ,d, 1 o O a�0 o Li 8. 0 0 72 /.29/7/ 97-/7 . /'2�in.%I`�4 9P z ,�dd-ffa- �we/4�f• ,ECa, .,---,760, - � V _Y./ ,n o ,.??()--0 i fl'c? o-o / /"1677 6A/�-r - 1_. I OJ. to S-4 r�- i Is -I-,-7c, -Fitt ( 1 cicNi-y 75., > Vo-tn . _ .00 44'00 ///2-gfd 4,/T/��r- L )O33 i.v�z- f-lci f1A7clWa 4 i-;6. 1 - M4- 'l. rv' . _) 5•-•67.3-o /o/15 /o1 61i6/5'F-1- //)65a(log til/J/ c1_, / NIQr)d, 16re7/u6��.d 7U�Ouo BUJLMG CONS ONf, _ 1 99 f L 11 5e as icjo&1ran :>/1 /v /Wand ? 4 I T c. _ } O O 1/ 7/Z//S 0,1164 - )•-,l Z 3 5 44647 -e" f"f�. H kc ek ..L. Len Meike4 ;� ,'9. 'i 000? i- f a his`t4 13P - Sh7 in+eroux' cultfyidions A®�) Tillable 1 ` " �U2 0" loci-2 6949- 34- 'S;- }4- )aces-'_ �#,807(57-:CAT i C , Tillable 2 V2-3//7-6C /y. /5 L/Z0D `J Fillable 3 ^/ Noodland 66641 u '�/ ' kO©)/ FRONTAGE ON WATER ' Swamplandr. ` � I 3rushland • FRONTAGE ON ROAD (co0 -z---0 ,./ � . O -louse Plot DEPTH :1-'4;4,1'' ''-'- ,2 Ef3t"7 ,'- .. BULKHEAD Total - o DOCK dam. ,a,--,r=. (- - ---, -.•\. ,.,--;-.-Y; ..• , -. A-1-1,..•,,-2, 1 , • •,\-w -...:44 ,,f4 ,. 71.3i,-ep. j 5 -: , ..;.,; �`�'-0 ��yy'`'/ '` "�. I&'. �` \ 1 ...... . , 2...ir 2.- I V � Ff � �,f.� „ii! ! IlIIIII1IlIII � !��•�- � � ,r. � ��f-,,:� 111111 ,..,-,:s.., , • I ,,,,,.,..:_ innwil,.. , 1....;_,. I, L:ii.41., ...1a.1:. .....45%-,,,,, 1111.1111.1111 ;"'IN1111111111111111MIMMIIIM1111111111ER - j 01-..:, --: `. ,...-0 ' - _:-:---______--._ 1;..ti 4v..-4:0.- ...111111.1111•11■11111111111•11111 . 1 ''t .. •It .-••• L, -- , ii••:;" -.., Er , "}'f�`Y 'lrti.°141:11; �, -�, , r�., . �•� SVt J 1 - 1fl111111111111111111 //1111.1111101.1 ' 60.-2-7.1 2/05 . -- ` I I31dg. 02 vX 3 0 - 7.0_0 �r9-v"--= '�f...._ ____In 3/P/a d Bath IMIIII Dinette /DR le �"y -Floors K. _ :eiisFon r'o�' / — .�. , // 2 S! = a !�'� 3,o � -� Basement 1- .. _ . `erasion �t�—�L Ext. Walls Interior Finish .� LR. if -77----6---7F- tension _ Fire Place /V 0 HeatEWE DR. / 1 "4 -o -- Rooms 1st Floor BR. 3 ,5z/N.. 33 , f 4i - -, Type Roof A e i Veh: . ,• ,t• , ../ _ - Recreation Room Rooms 2nd Floor $�Qy� / ^ y s. ,� ;Dormer 6A-7-4-1-n-+- reezewdy Driveway Vital., : r ' 0 n n SURVEY OF r ' , 61/0/P GASPEq.! a A4ELAINE E.PISACAN0 PROPERTY N ' • ! is , AT SOUTHOL 0 o °1'., H67•oo'Jo"e ; 287.46' ; °y TOWNOF'SOU7'HOLD. '-' uw ...i •....♦n• • _ b, SURFOLX�G�[NTY,M•Y. jl) �� . --- -,• ,• � .7 u 100000 06 t-t f at"*•,‘ .. /Z. W SCALE 1•40 • I./ p 3 i y JUNE H,1917 4N. ' J 1. u ol�` �� � l5. g �.; . • _z • Q /. If 3 �' 's.•. , k r ; n •: x CERTIfI ED TO: Q TICOR TITLE GUARANTEE S6T�J6 00 K I66� w�♦/.. /w• 0.0.0. Tit 97-1636 W kg, .... XII!Pisse•49'•i"W 1!0.36' HERBERT R.MANDEL MICHAEL J. HALL ❑ : : k m N/OAF MICHAEL ✓.HALL aKOF � E.SOYD a H ANHE.hI. HALL WILLIAM 0.E ti AO '. RL k NCI PAUL/WEN ���y 1, t�e'a��C• in r. .0 x' MAlN �.eby ,• • r ROAD !NY.S RT. ra•,.:• --•xi k(� ,• ,. , `"? w :ippEC LYONS a EHG/Na ER9 P.C. I (316/769-90RO . t F0.80 900 34 AIN ROAD W • ' 9 D, N.Y. I/97/'— 40 J ! s ......w.... '. ZONING DISTRICT' HAMLET BUSINESS• sr\oh •Vim,_. COVERAGE CALCULATIONS z TOTAL 1,637 SF(BUILDING+IMPERVIOUS PROPOSED TOTAL SURFACES) N COVERAGE 1,977SF IBUIIDING+IMPERVIOUS q ;p6SURFACESa HANDICAP) g" Ci 261 A5 S. c i, P15pCPN0 cv, to 6 ;so,p1N Isf. ER J 0 tM UGU a 13 SIGNAGE-ELEVATION VIEW GPSP NG P c SCALE.3/6'=1' S. NIO� 0� 1. LIRA 0 30"E r O1.• 1b , ® �Ros u1' pr�p�pp.1111k '''41 w \ O. °Ram \ °� aur _.„,,ft PO"' 01.0e) C, 6 0Vr. 0 (3) ��'`, 6 D 12 E ep f 44111 . wf \ y G 6 r a\y �� s'� PU �6 lad\`,� a a� ,Va •' 1�(L2 A�0 5p W \ EXISTING SITE PROPOSED SITE �� � �,rA r� O o,. A $6 9 COVERAGE COVERAGE ,.e, ' 8%7'1' '" ✓ l'4^ Ul1(N� Loi 1 4,1415, LmumR aider p - n^ \'\ & NIOIff0 WPB nuow.me Auvv7me '� ,�T leis �� \ 9,35° COVERAGE COVERAGE .�:I:'r•'' 8 oaarwo tor, Rtlo0BE0 Lor N pN +F• ,��fjQ �� �•/ 06 9. COVERAGE COVERAGE VA ,y!`►!- 7; Ao je 16 ALLOWABLE u u O C+ /� 3rd LNG/SCARED IMOSCAPEO L 7S :\, 1 //�VW AREAS AREAS n 7+ BW1oE` %/ ` T- C 40 - x asl6 6 p W V NPU" CyEG w1' , r��• 567 3 O PNNE Wp'tFR R,w.=C. MO Comm. t. �� �N /RF oI M1c,P3 �M PU8L1C Southold Town Planning Board Approval f G for G SPACE EHANDICAP PARK040 7M N�MM2R0AP� LaPanache Hair Salon CD NOPARLIP ACE C. 0 7...i CL. SCTM#: 1000-60-2-7.1 PROPOSED HAIR SALON (�0 1 94. DESCRIPTION SO FT '"" ir ;Mr,(�-- Lag iriir HAIR SALON 363 '+r rr— A'''''1'11 r�.rTT �� 25) EXISTING 1st FLOOR 1i0 'A^n owl "Y°"�'I"m" {�"�(,$i.• RESI DENTIAL SPACE 987 .4 .21lanoroo_- NwwvaF T arm 110 F TOTAL 1,400 °"b�°°' "' °'` 07 rthLPS-410 °�'', F Eur 1nc.i'•P 1-[Dt-6c1 1 '— � - -- I N'-; ^� 1 N. 3 \ Uoor CkC_115c4 0Ou�t f' l Opp — {n CZL`c,� t JFK dJ ir c t,� float ou.rnsAUe. • 1_- __' re(�acrol ,-0a-�-cf) F act-r1% i rl Gid i n��ocJ +0 GCJ� _Pro)-\f Pt n 861.3 i l l4 n d e�s�, bi"c ()t3t; i 1 7 ( z ' 1.t rAcci-i--) 1 y 6I I f �f i • 1 7 1 i !'i i:1 _ t F` f IL ' { 1, ` r, {, 1 1 fol r !: 4i s i , H . MMS r f 1 ,.n--';- r s ' j e. ti , I 771,---7. IG=_ -f 7 *""--t. r y S'I-I�vvr. 1 6 pr-r 1-k . 2 I oo,i, , . , • 0 F01t:i , r ,, ...w, . ......____s . • _ ., , ._,_ Y 1 Jl' L- tea` / . . 1 C: t,�►uwp/ty ?� s ..c 0 41-i-i • 1--Nt-t--- -7{-- '1--" '" i rw r AUL +N 1=igJ1 Rove . { V Q 3r/1 • (M e t' 6PT1-1 (44-1-06000, 5. aue, 020,00 pi t✓' r$rrw - I i5ArH M F T ti f y 4-4- J . / Cu'fGT l f' two PG c)0(L &L 04-5 900010c----1 40(4•Scl .� --i-D) ,„,,,,,b, ...... _ , EC E NEr-3 , _ 0.-.),,, JUN 14201 - � ) :. BUILDING DEPT. LL f7 �o'L TOWN OF SOUTHOLD ' j Ptoft, 1;:l [C-/' C2' r , 00 l't1 k u.._.. 1 ti.05 4: 7- 0 len Apr14 . 0 cv-- - 0-krk( 0 • Di 0opr06nh , ,reg erv., Foyc-a1 r i, . nib to 1=/('Ji rcoog • ..)0 R-.°I\Ak) Wei- _ � ^ . Ot'J'.Mt . CO'•i'-'L 1Y WITH ALL CODES OF irASN Ef NEvy ',(ORK STP.I E & TOWN CODES DAT : B.P.# QAS REQUIRED A417,71TONS OF •HOLD TOWN ZBA 1 FE_ '` 0_,.._BUILDING BY, _ s NOTI1 SO ,JLD TOWN PLANNING ITIkBUILDING DEPARTENTAT .E 765-1802 8 AM TO 4 PM FOR THEAC j i HOLD TOWN TRUS i ES FOLLOWING INSPECTIONS: _ 1. FOUNDATION - TWO REQUIRED —m �,W.�..—.� ' ' ' i FOR POURED CONCRETE /\ 4,4 "112. ROUGH - FRAMING & PLUMBING � r ------ 3. INSULATION _ _I�.,,,1, ,,.,.k,., t ._ _._„• Cli�_- 4. FINAL - CONSTRUCTION MUST IPLUMBER CERTIFICATION BE COMPLETE FOR C O. ALL CONSTRUCTION SHALL MEET THE ELECTRICAL ON LEAD.CONTENT BEFORE REQUIREMENTS OF THE CODES OF NEW �� 1 � '" ; =`°"` ' CERTIFtCA.TE�OF,Q 'C, ANCY ONTO c�`� • „ YORK STATE. NOT RESPONSIBLE FOR .SOLDE.R_U3'Ept1m wATER-. DESIGN OR CONSTRUCTION ERRORS. SU?PLYrSYSTEA !_b4'fQT p ,:S (�j rt.))iv G- a rt-) EXCEED 2/!0 �' Ado= F6ita4 , OCCUPANCY OR p PLUMBING USE IS UNLAWFUL ALL PLUMBING WASTE.' IT UT T6��CATE &WATER NES OVER TESTING BEFORE COVERING. OF O2CUPA OCCUPANCY ,�_ 6>f51--,t)o- r Fte, s r rt00 .,r -f pi) 17-171/1/GP ki:-/ito. .„ _,.. ._.7. - t +A 1.......,........-.4 1.--,---+-t • - ' I,- 4:)... i ° c::, C.:.--, • ',Amp/2y . ..f. , C 65 i 21- 01 Aire4 fl , I 0 i (13111 eboai 0117 I-( 1. k -' ..,., . .‘5 __•1 •--,- -.--- , ct . • ,; . rip S T Cr • :,; • J..__....__r__.. v ..., .2. cogoo il-‘ _1, i le 11-cker).. , i k ) 1 1 1 / 3 , : 1 /41...... ..--Z.-..' ..,-''. .. ii f-----.4 . ,--j_74 1 :. „, a ii OQ Q / 03AT/1 1 / mAICt A. 6j1ULh l IL, Q C\ GY1$T/01 I i3tarN .i, c� n- . tti e : 6 , tip. 1 (N :lel_ 7 ,„,„„.., 0, ... CL.of,r , , , , . . I g.wo F600rt . 0)L