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HomeMy WebLinkAbout41232-Z cpfFQ(,fcD Town of Southold 10/8/2018 P.O.Box 1179 W 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39953 Date: 10/8/2018 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 415 Willow Dr., Greenport SCTM#: 473889 Sec/Block/Lot: 33.-6-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/12/2014 pursuant to which Building Permit No. 41232 dated 12/16/2016 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: alterations to an existing one family dwelling as applied for. The certificate is issued to Cahill,Kevin&McKenna,Noreen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41232 10/2/2018 PLUMBERS CERTIFICATION DATED 10/2/2018 Kqvt Cahill t 0 ' e Signature 1. I 1 • • " � • 1 1. w ry . -'�► PLUMBROUGH FRAMING& ING t► IMUL ATION ITATE ENERGY COM 1 • � EWA ml - • / 1 • r I t fi l f - � �� r� 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 _ 51 J G LE F A-M i Ltf Ho M e b. Intended use and occupancy Sr K;tiq L F_- t:1FFA Md Ly f4OME 3. Nature of work(check which applicable):New Building Addition Alteration ✓ Repair Removal s Demolition Other Work (Description) 4. Estimated Cost '10, ®moo Fee ; { (To be paid on filing this,application) 5. If dwelling, number of dwelling units ©NjE Number of dwelling units on each floor If garage, number of cars ' Two . t 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. -° 7. Dimensions of existing structures, if any: Front 38� Rear Depth Height 2S" ' " [;Dumber of Stories ,f1 Dimensions of same structure:with alterations or additions: Front 44 Rear Depth (XV Height 7 Sf Number of Stories 7b�O 8. Dimensions of entire new construction: Front Rear 1:6 Depth 7 Height 6' Number of Stories T,,vw-9 9.~ Size of lot: Front rz Rear I ws!'I3 Depth Baca•54� '14.10 10. Date of Purchase 9 19 1 2014 Name of Former Owner DIC KV-1 A N 8U RSV K 11. Zone or use district in which premises are situated bSMT 1Al..-, 12. Does proposed construction violate any zoning I•aw, 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 tCAK'41.../N�Ke,4NkAddress 41S W'L"Lai RA Phone No. qo'z- 1307 Name of Architect 206"x 6 A��oTr Par : Address-429S VAN stm w RD Phone No '73y—y?3O Name of Contractor — Address Phone No. -- 15 a. Is this property within 100 feet of a tidal wetlabd 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 eleyat}Qn at any point on property is at,10 feet;or below, must provide topographical data on survey. Nb 18. Are there any covenants and restrictions with respect to this property? * YES NO ✓ * IF YES, PROVIDE A COPY. STATE OFW Y K) S LINTY OF r being duly sworn,deposes and says that(s)he is the applicant (Name of indi idual signing contract)above named, (S)He is the (Contracfor,�ge t, Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworrito before me N • day of I V-011,eA&C20 � Nota Public TOTH Signature of Applicant Notary Notary PUN Stat of New York g PP Quallifl06 oed in�Suff Suffolk County 0919rMISsion Expires July 28,20 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 G Survey Sou tholdTown.NorthFork.net PERMIT NO. D 1 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 2 ( 20 '1 Single&Separate Storm-Water Assessment Form (( r Contact: Approved ,20 ('`I Mail to: �6EiLT I>AAXA'V•t; Disapproved a/c zQ5_ye�ustaid--RA—t rN: E LJ Expirationtsfi2_20� / �- • - l NOV 12 2014 Building Inspector ;APPLICATION FOR BUILDING)FERMI TW&I Of SOUTHOLD� Date t J,-u � , 20 14 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•1.8 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws,Ordinances or Regulations, for the construction of buildings, additions,or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing code,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) q-2g5 VAn_SToN i2-o0.t:,� CvT,e1404uC Nb 11935" (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder �N�1 NEE !2 Name of owner of premises KEVJ nJ CAH ILL- AND AJePL9EAJ MC h<F_NN A (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 415 Wit-toW RoA7b caeyiPDp--r NY 11 Q4CA House Number Street Hamlet County Tax Map No. 1000 Section 033 Block 016 Lot In OF SO�Tyolo 1 eourm,��' TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLSG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) "REMARKS: DATE 1 INSPECTOR v SOUjyo cOUM`1,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSPECT ON [ ] FOUNDATION 1ST [ ROUGH PLSG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) RE RIGS: ff DATE INSPECTOR ,r N Ho 2 Project information Location: SCTM# 1000-033-06-10 Address: 415 Willow Dr, Greenport, NY 11944 R� $n '� _ �,pAPC W� 9 Owners: Kevin Cahill and Noreen McKenna INLET' ; Co.\PARK rm N- —�� Use: Single family dwelling -M m.%-,e4,~ --)1- W m r>bw W ELA_ I Building code: Residential Code of NYS- latest edition ag ". 6ASEnENT ��oc g�KF«- WITH Lot Area: 25,919 sq ft, 0.60 acres BLU E STC N E . Survey: �� s c c r e►.r g-g s E c r t,IJ A A I Roderick Van Tuyl dated 08/18/1986 Scale:1 in = 50ft Balcony offmaster suite Suver.,> E M E R 4 E -,-fE 4 2 E SS W N fl o w Pre-existing window converted to sliding glass door 8ft x 6.5ft Permits In place: L" Kon '•NORTH sr � Concrete foundation walls reinforcing bar on 16in and 24in centers C of O Three bedroom house and two-car garage MAILFA a Columns 4"x 4"on Eft x 9t centers Suffolk Co Health Services Approval Wall header 2(2"x 0")attached with 0.5in bolts to north wall studsfJoists Ref No 86-50-177 Dated 09/22/1986 GREENPORT ' wEsr * ti MA v ' 4• �lIGH QAND 2"X 10"joists on 14, centers u - OdN _ -.C.APs<4•e ( s"x1"floor boards on s.25in centers IL Planning set-backs &coverage: Spec Actual i - Max lot coverage % 20 9 f - ,� K►y, vE2TICA, - Min front set-back ft 40 76.5 i--oc-'�I-- Map - Min one side-back ft 15 3 6s ! T° Min total side- backs ft 35 -78.5 �xlsClnly '7'z. xSs ' vE,"? Min rear set-back ft 50 60 t311.�o Door. ' Proposed improvements Basement and second floor 1. CO and smoke detectors in basement �0.saDE �Ir t_ �I HA�o aAll. oFF �e�c 1rAEat.t� 2. Emergency egress window from basement Pump-uP WG 111 F_Wrw.y rsoOQ 6 '6'x 3�ou -rd Exls,'►N� S , QE_IMPOA•CEI� q 3. Direct basement access, Bilco door, steps, entry door S`ZsTEM - fbomow'ttcw M1 � - ,�IN�,�,�� [f�N��,- �I.oa� s«as 4 txllWOk« 4. Full bathroom to pre-existing plumbing C ANq FooTlN4 WsTN AtLtatN VlA DtiY WG-U_ ,v � ENe �xtsrlNc FoaTlua 5. Intermittent 20cfm forced air fan in bathroom. SI bE. GLE.VA'rIQIJ gALC_C !f MII-C,0 t>oori.- -31LC+1b0 G-C' 6. Balcony off master bedroom ase M*"T 6ATI.17Loo!"L 13 w �/ ••� 34 �� 7. Opening in wall on,upstairs landing Legend �- '� A. ; —iA rJ W F Furnace �saF KEVy,Yo W Window �.�P �.� Q• g,Q� O F G Garage 6 I 8 f�E bcooM Z G• Closet •�' " 1 r+asi E rt c c SD Sliding door BE= S Shower n L Lavatory n viii rrN ® 5 a SIPG WC Water'closet 081865' �' DWG #092414 RevO , � Title: BuildingPermit Submission a PosEy &A-r,4 $EO�oo.•13 Robert Barratt PE, 4295 Vanston Road, Cutchogue, Gucsr NY 11935 Tel 631 875 0275 Oj gAT _ O W These plans are an instrument of the service and are the property of the design professional whose seal is affixed _hereto. Infringements will be prosecuted to the fullest _ I extent of the law. Contractor shall verify all field conditions G and dimensions and be solely responsible for field fit. 6 43g' The design professional assumes no liability for omissions I SCALE: 1'= to due to unknown or unforeseen field conditions and or - - I f'Ff P n.iJ - gASE ME"-t- 5ECOtiJD FLooQ Padditions based upon comments not formally acknowledged as revisions to these plans. f i so how o� # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTI-ON [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: ( ,A � DATE 0 INSPECTOR aum pa - ��oaXc TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE oy_• o� SOUTHOLD, NY 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#: 41232 Date: 12/16/2016 Permission is hereby granted to: Cahill, Kevin 415 Willow Dr Greeport, NY 11944 To: Additions and alterations to an existing single family dwelling as applied for. Replaces BP# 39376 At premises located at: 415 Willow Dr., Greenport SCTM # 473889 Sec/Block/Lot# 33.-6-10 Pursuant to application dated 12/16/2016 and approved by the Building Inspector. To expire on 6/17/2018. Fees: PERMIT RENEWAL $376.00 Total: $376.00 Building Inspector �Eo��� TOWN OF SOUTHOLD aye BUILDING DEPARTMENT ce TOWN CLERK'S OFFICE SOUTHOLD, NY 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#: 39376 Date: 11/21/2014 Permission is hereby granted to: Cahill, Kevin & McKenna, Noreen 239 Breakwater Rd Mattituck, NY 11952 To: Additions and alterations to an existing single family dwelling as applied for. At premises located at: 415 Willow Dr, Greenport SCTM # 473889 - Sec/Block/Lot# 33.-6-10 Pursuant to application dated 11/12/2014 and approved by the Building Inspector. To expire on 5/22/2016. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $376.00 CO -ALTERATION TO DWELLING $50.00 l: $426.00 1 Building Inspector -~ SUFFOLK CO. HEALTH DEPT. APPROVAL H. S. NO. 'MAP 01-- PROPERTY - ..w F-2. L,�"t ��,. ,�= SEP 2j STATEMENT OF fNTENT 9 THE WATER SUPPLY AND SEWAGE DISPOSAL ;. • .�y! 3 t �` Hcr ^ Drpr of SYSTEMS FOR THIS RESIDENCE WELL, tiLIH St6ViCEs CONFORM TO THE STANDARDS OF THE } y SUFFOLK CO. DEPT. OF HEALTH SERVICES. # (S) { APPLICANT SUFFOLK COUNTY -'DEPT. OF HEALTH SERVICES — FOR APPROVAL OF CONSTRUCTION ONLY DATE: - �", I i H_S. REF. NO_. 1 VA -SUFFOLK CO- TAX MAP'DESiGNATION: ' t LES) DTST. SECT. BLOCK PCL- ' � ' �;r-- . ._. . _ - - - � •. •,�• • . -. _ .__ (: - _._-.. OVYRERS ADDRESS; 1A SUFFOLK COUNTY DEPARTMENf OF HEALTH SERVICES ` SINGLE FAMILY DWELLING ONLY 7 PRn�056O - �;_ DATE EP 2 1I.S. REF. NO. SO `/77 3 - �, _ _� AOA 1 T 1 �} 9 pt it The sewage disposal and water supply facilities for this •' : - :- location have been inspected by this Department and/or �7" other ag s nd fouto tisfa@y. D -_ l� t C EED: L. f P. F2.HO. a Chief o Bureau of%Vastewater Management TEST HOLE STAMP 1• tp �J ��,y` .�o• � � � ti[� _ 7� *•n`�cna ak:,ra•.ien rd•Klinrs FOOLS f�. 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I7 LICENSED LAND SU E`IO RS GREENPORT MEW YORK +`ry \N,pF so�ryol Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 �� • �o roger.richertCa)-town.southold.ny.us Can,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Kevin Cahill Address: 415 Willow Dr City: Greenport St: New York Zip: 11044 Budding Permit#: 41232 Section: 33 Block 6 Lot 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Brooks Electric License No: 3613-E SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 3 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4 Twist Lock Exit Fixtures TVSS Other Equipment: 1-bath fan Notes Basement bathroom Inspector Signature: Date: October 2 2018 81-Cert Electrical Compliance Form.xls OF SO!/T�ol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road CA-) Fax(631)765-9502 P.O.Box 1179 Q Southold,NY 11971-0959 �� • �o roger.riche rtta'Dtown.south old.ny.us BUELDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To- Kevin Cahill Address: 415 Willow Dr City: Greenport St: New York Zip: 11044 Budding Permit# 41232 Section 33 Block: 6 Lot 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor DBA. Brooks Electric License No. 3613-E SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 3 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect F] Switches 4 Twist Lock Exit Fixtures TVSS Other Equipment: 1-bath fan Notes: Basement bathroom Inspector Signature: Date: October 2 2018 81-Cert Electrical Compliance Form.xls pF SOUIyo{o TOWN OF SOUTHOLD BUILDING DEPT. ycourm, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. /z-5--Z, [ ] 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: DATE f INSPECTOR • �a�, oho Town Hall Annex l�i Telephone(631)765-1802 54375 Main Road D �'�F�i(63�J4,,)76 `P5,,0 P.O.Box 1179 Southold,NY 11971-0959OCT 2'' 2018 BUILDING DEPARTMENT TOWN OF SOUTHOLD a d9il s'y T egtC� S C_ ERTIFICAT-ION Date: Building Permit No. Owner: Av/p (Please print) (Please print) a A I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. i (PI mbers Signature) Sworn to before me this Z'A day of O - 20r�� CONNIE D.BUNCH P Notary Public,State of New York No.01 BU6155050 Quaufied in Suffolk County Commission Expires April 14,2-00 Notary Public, ' County= 1 i i F APPROVED AS NOTED DATE A B.P. , a_ — � CO�'sc�LY '�"JI-`H ALL CODES of FEE: �, BY: s NEW YORK STATE & TOWN CODES NOTI Y BUILDING DEPARTMENT AT AS REOUIRED v OF 765-1802 8 AM TO 4 PM FOR THE SO�Tff A FOLLOWING INSPECTIONS: 5��4 TOIANR ,�N 0ARD 1. FOUNDATION - TWO REQUIRED -- � s�-i- Ll FOR POURED CONCRETES "-%-v�">?m�D1iT��T 2. ROUGH - FRAMING & PLUMBING 3. INSULATION "'�"`� 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL THE REQU REMENTSIION O THE COD SSHALLCET OF NEW OCCUPANCY OR YORK STATE. NOT RESPONSIBLE FOR USE IS UNLAWFUL DESIGN OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE ,vL SOT ., OF OCCUPANCY .__tt RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. PLUMBING ALL PLUMBING WASTE &WATER LINES NEED TESTING BEFORE COVERING PLUMBER CERTIFICATION ON LEAD.CONTENr BEFORE CER TIFI,CATE,OF OCCUPA-NCY SOLDER,-USED'IN (NATER r, SUPPLY SYSTEM bANNOT. EXO�02110:'OF 11%LEAD., Z Scott A. Russell SUPERVIS®R I\\][A\INA\(G 1E1\M1)EN`]F SOU53095 Main Road -S 9 OUTHOLD,NEW YORK 11971 'rte R �,o� Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOLES THIS PROJECT INVOLVE ANY OF THE FOLLOWING. Yes No DECK ALL THAT APPLY ❑Q A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑Q B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. it Fj KA C Sibe preparation on es which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑Q D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑Q E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of an watercourse. [:1 Q F. 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. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. 1000 Date: Duh 10 NAME. ?OBE-2T B=XR.fLFeTT! `PE 033 Jla 10 31'0c-4 Zct4- aN.i Section Block Lot FOR BUILDING'DEPARTNIENT G E ONLY >„` Contact Information: 634-134-7-71n Telaphone YuurtKn Reviewed By: — — — — — — — — — — — — — — — — — — Date: Property Address/ Location-Of Construction Work: — — — — — — — — — — — — — — — — — Approved for procebsing Building Permit 415 W 11,L0 W (ZOAD t C1ZF--F-1JP0.kT Stormwater Management Control Plan Not Required. — — — — — — — — — — — — — — — y11q4-4- ❑ Stormwater Management Control Plan a Required (Forward to Engineering Department for Review.) FORM ;' SIVICP-TOS MAY 2014 BUILDING PERMIT CHECKLIST Date Submitted: 11- 1-L Date Reviewed: I t - 2- 1 Applicant/Owner: �-�o.-,-r C. -za (V\kJ(-e AV,. Property Address: Project Description: SCTM#: 1000- 3� - - 1`� Zone: � � Conforming? O REQ Lot Size: REQ Coverage: REQ Building Height: PROP Lot Size: PROP Coverage: PROP Building Height: REQ Front: REQ Side: REQ Rear: PROP Front: PROP Side: PROP Front: Single and Separate Required?Yes/ of o Determination: Waterfront: Yes/Kc-water Body: Bulkhead/Bluff Distance: Flood Zone: Panel Numb Flood Permit Required:Ye No ADDITIONAL APPROVALS REQUIRED: SCHD: Yes/ t#: Date: Bed#: Town Septic:Yes/No DEC:- -or-NJ-Letter:#:- _-_---_..-_ ___ _ ____ - -or--NJ-Letter:Yes/No-Date:--------- . - -- --- - Trustees: Yes/ ermit#: or NJ Letter: Yes/No Date: ZBA: Yes/ ermit#: Date: Notes: Planning: Yes/ rmit#: Date: Notes: LPC: Yes/Ne oermit#: Date: otes: Stormwater Management Plan Required:Yes ' ien�tU ate: Received Date: ADDITIONAL NOTES: Fee Structure(square foot): Calculations: L' Foundation: 1.) Total Square Footage: '^` -X$ � � _$ 1st Floor: + Initial Fee: $ '2�0 +Other Fee: $ _ $ � 2"d Floor: 2.) Total Square Footage: X$-=$ Other: t ee rr + Initial Fee: $ + Other Fee: $ _ $ Total: TOTAL FEE: $ 3 7C;,, SUFFOLK CO. HEALTH DEPT. APPROVAL z= _ MAP OF P1210PERT Y F�J S 'a a ,.ter #.: � , fI 'SEP2,7 1987 STATEMENT NT OF INTENT 5 j THE WATER SUPPLY AND SEWAGE DISPOSAL I }t �1tp SYSTEMS FOR THIS RESIDENCE WILL - t-. t- ,I i 1 hEk��n $th j��s CONFORM TO THE STANDARDS OF THE ,PC, a t �� � 2.F ������� � �`� SUFFOLK CO. DEPT. OF HEALTH SERVICES. (S) APPLICANT -� SUFFOLK COUNTY "DEPT. OF HEALTH t SERVICES — FOR APPROVAL OF l•' CONSTRUCTION ONLY DATE:_ -- �'� - H_S. REF. NO_. ��;., ,' ti• ,. ._ .,.fi - - - �l }�� y.. APPROVED: ^t F, . 7f •'` r. �}.'f j��• -�`.Cls•►aC'SS=��! � fi!i 1 1 •SUFfO;L•K CO. TAX M"'0$STGN:ATi.014-*:S'.Yi.�. s.E" 0 r-) DIST. SECT. RL&K• PCL._ ' AaE -25,19n �a ��• `����' OWI�EERS ADD�tESSh _ SUFFOLK COUNTY DEPARTMERT OF HEALTH SERVICESBOX _ #' QRe�t�oS60 '' P I�GLE FAMIL E Ste.__. i£5 :•fi't`i"� f T Y DW LLING ONLY DATE I.S. REF. N0. ;. /77 1sgt ,••'�: - ,�:._�. - -�3#•• 1 ��• _ � �. _ The sewage disposal and watei supply facilities for this � . ��_���,� i. 1 _ location have been inspected by this Department and/or other ag s nd found to�sfat f. DEED: C?�fA P. 11 v �' F2,Ho. a Chief o Bureau of tillastewater Management TEST HOLE STAMP -_:z' ' r ' '•i {!s`�1TL[��.�C: �y� C ! Cv±.r ycniaKVraienersd�Kirn S>J P�DLS' 7 ~.. j 1 tr 1+�LL J" w� Q 1 H LR�i!`'d•I''.;E I i V P i 1^�r p Le ro is P,Y,o atian of .r ' ...1 t r .� , r'+-r• Y` ("' i i"► ..r r:^ itl;.4tM. Tac�x °2r W. �Y C3 p r- �.�} c�4 . t �� f �/ _ _ C. ., ; ' 1".a'�I.. .�V.i {• ;y1 .�. �+!` a\1Aj�jp • r .4: F..+'• �' `.<Li ::•.'i:'.t�tFt::+rPR,•Cf.•31i)kfki SS:.I Cr n� !.l :• _ �. sm. _e•sae:zK tfoCbo�sts�37� c r I •r [ -f y b !0 the�vaRe trw cepp+�. ., .5...• [ .� .i , 75.' 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P.C. l`-_ > ;• - ' I _ ____r_� - : LICENSED LAD SUV R EYORS „ • v O So f+ _;3L1'l GR ENPORT E fii3G_3S,iG} E NEW YORK ✓ - _A -- -- �S�FFnaX. TOWN"OF SOUTHOLD y BUILDING DEPARTMENT o I TOWN CLERK'S OFFICE oy • o� SOUTHOLD, NY 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#: 41232 Date: 12/16/2016 Permission is hereby granted to: Cahill, Kevin 415 Willow Dr Greeport, NY 11944 To: Additions and alterations to an existing single family dwelling as applied for. Replaces BP# 39376 At premises located at: 415 Willow Dr., Greenport SCTM #473889 Sec/Block/Lot# 33.-6-10 Pursuant to application dated 12/16/2016 and approved by the Building Inspector. To expire on 6/17/2018. Fees: PERMIT RENEWAL $376.00 Total: $376.00 I r0p,ector g�F of TOWN OF SOUTHOLD �o� copy BUILDING DEPARTMENT TOWN CLERK'S OFFICE o . SOUTHOLD, NY 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#: 39376 Date: 11/21/2014 Permission is hereby granted to: Cahill, Kevin & McKenna, Noreen 239 Breakwater Rd Mattituck, NY 11952 To: Additions and alterations to an existing single family dwelling as applied for. At premises located at: 415 Willow Dr, Greenport SCTM # 473889 Sec/Block/Lot# 33.-6-10 Pursuant to application dated 11/12/2014 and approved by the Building Inspector. To expire on 5/22/2016. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $376.00 CO -ALTERATION TO DWELLING $50.00 V al: $426.00 B ilding or TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health ,- SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 3I 3 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application 'Flood Permit Examined ( 2 ( ,20 '1 Single&Separate Storm-Water Assessment Form Contact: Approved ,20 (:`( Mail to: R06EXT &A1ULA.'TT Disapproved a/c r �► �--�n� 'C E ea_ I�oH' nu Expiration ,20 lNOV .12 2014 N Building Inspector APPLICATION FOR BUILDING PERMI TOWNOFSOUT HOLD Date 14ou , 20 14 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. Everybuilding permit shall expire if the work authorized has not commenced within 12 months after the date of issuance"or has not been completed within-F8 months fr'orn such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months.Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York,and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions,or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing code,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) 4-24s Va..�s-ro� 2o.a�� G VTc 144 4 VC NY 119gs (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Entr,ruEEt'L Name of owner of premises KEV/hJ CAN I -a— Ant rD N099E^J Mc,KE,NN A (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 41s WItA-Cw R-oANY 11 Q441 House Number Street Hamlet County Tax Map No. 1000 Section 033 Block 0 161 Lot 1 C� 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 '51 J O LE F A-M 1 c.y yo m r= b. Intended use and occupancy Sit w:?q L,E• '-;F.A M t _Y HOME E 3. Nature of work(check which applicable):New Building Addition Alteration ✓ Repair Removal Demolition Other Work (Description) 4. Estimated Cost 10, OLOO Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units o kS Number of dwelling units on each floor If garage, number of cars Two ae 6. If business, cbmmercidl or mixed occupancy, specify nature and extent of each type of use. ' 7. Dimensions of existing structures, if any: Front S9 Rear 164 Depth Height z,%* " Number of Stories, 'trwco, Dimensions of same'structure'with alterations or additions: Front 444 Rear 9 Depth ��f Height ZSR Number of Stories Two i 8. Dimensions of entire new construction: Front !O-- Rear !O Depth _ 7 Height 6� Number of Stories Taw-© e 9. Size of lot: Front Rear I 5 '13 Depth �m�•5� —_ -It 4.10 10. Date of Purchase q 19 2,014 Name of Former Owner DIC KV)A N Su RSV K 11. Zone or use district in which premises are situated P-Ell bSM T`1Al. 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 XAMILL_y/MeKeouwaAddress 41S w+e s®w4 t2D Phone No. °11- 90'z- 1307 Name of Architect F.A�66"G ARRATr P& Address 4'x9S VAN STo W RD Phone No -lay-'t'7 30 Name of Contractor -- Address Phone No. -- 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ✓ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO ✓ * IF YES, D.E.C.PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If eleyatjQn at any point on property is at 10 feet or below, must provide topographical data on survey. �o 18. Are there any covenants and restrictions with respect to this property? * YES NO ✓ * IF YES, PROVIDE A COPY. STATE OF . W YORK) LINTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of indi idual signing contract)above named, (S)He is the (Contractor, ge t, Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sw r to before me t�Vs �� J ------------------- TOTH Notary Public Notary Public Stat of New York Signature of Applicant No.0566110696 Qualified in Suffolk Cowt� Commission Expires July 28,2U]b 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 .l. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00 Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2._ Certificate of Occupancy on Pre-existing Building- $100.00 - 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: 415 W 1 LL-O tom? R O,A`D C BEEN P O R:T House No. Street Hamlet Owner or Owners of Property: KGVIAj CAH1LLAW0, NoRCEN MK6n1N A Suffolk County Tax Map No 1000, Section O33 Block OG Lot 1 O Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: K. ,CAV I l.C., , IF- N. Me V- wtj Q Health Dept.Approval: g(6-156-X17 1- 9��2I86 Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted:$ S d� Applicant Signature TOWN OF SOUTHOLD "PROPERTY--..,-,,. RECORDTAIRD OWNER STREET VILLAGE DIST. SUB. LOT-; Ac f FORMER 0, E ACR. 5 C, ((!,.L, . A4 0'W's, S W TYPE OF BUILDING i �Ri RES. SEAS. VL.t FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS � . -allo'c' --r/i+.61,— .5,, 6, 1 6ajX7Z 4�k c4u PA� 1006 A�u mC6 IRK 4-2 K C. ZZ66 (0 C) 1, 20 D ///)/7 ik"141—L-10�92 1-2'L54i� - RI'Viel:51�Z k6177e-S6 I',"? ------ �07 1-13 -,S rY)a If C-1 a t Yvi ca- 3 o 4-D r � -too OW, Ito . 1 1- (z7 9q 972- lag fi 4 Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH, evki House Plot BULKHEAD Tota I x�1,r. _1' '• '�.� i` {�r:4a �<'k t•.� � : _ ,it /{.,¢d1/zT vr''h� t t �"3 s "� t t�* t s1^} • 7� • YU �,Ct1.-{ ik �' } t�l��j7`..�I '�t 1>�*t; it*.'..� ,��.t'•x+L_.+SY:..1. LX4�'` S 3 , 1 �c ,r MOMEMEM IMMEENMEMESEEMEME 1IN MIMMMEKHMMSUMMMM MEN MIMMEMMUMIMHUMMMM���� x. IMMEMEMEEMMEHEMMMMMEM MIMMMMMSIMMMEHOMMUSEMMIMMEM IMMEMSEMEBOMMAIMSEEMMMMM IMMEMIREMM11MMEMMIMMM MIN l•. r•�"--A}it. -'- nYI rt••—r x Al ■■■■EEMMUM..■■■..■.■ s n • {`�� ■■■®MERMUMU■■■■■■■■■ ._ .i - ,'�. � �•C...s<•+r+T"'.�"�, �=!�I.xe.Sy..�i�rJC'I•,.� �'+-.:+r.v-., .�.. � - I • I" . A Foundation y- Ext. Walls Interior Finish f G 9 . Rooms 1 st Floor S 3A BUILDING PERMIT CHECKLIST Date Submitted: I`- i Z Date Reviewed: it - Applicant/Owner: I -Applicant/Owner: 0-Ir r�. cc-L'o\ Property Address: Project Description: f��b/ C' SCTM#: 1000- - - I`� Zone: 0 Conforming? �iy REQ Lot Size: REQ Coverage: REQ Building Height: PROP Lot Size: PROP Coverage: PROP Building Height: REQ Front: REQ Side: REQ Rear: PROP Front: PROP Side: PROP Front: Single and Separate Required?YesACoo Determination: Waterfront:Yes/rater Body: Bulkhead/Bluff Distance: Flood Zone: Panel Numb Flood Permit Required:Ye No ADDITIONAL APPROVALS REQUIRED: SCHD:Yes/ it#: Date: Bed#: Town Septic:Yes/No DEC:Yes/Kwl ermit#: _. -or-NJ-Letter:Yes/No-Date: -- - Trustees: Yes/ ermit#: or NJ Letter:Yes/No Date: ZBA:Yes/ ermit#: Date: Notes: Planning:Yes/ ermit#: Date: Notes: LPC:Yes/ ermit#: Date: Notes: Stormwater Management Plan Required:Yes ent Date: Received Date: ADDITIONAL NOTES: Fee Structure (square foot): Calculations: Foundation: 1.)Total Square Footage: �40 x$ �� � _$ 1St Floor: + Initial Fee: $ +Other Fee: $ _ $ -� -' 2"d Floor: 2.)Total Square Footage: x$ _ $ Other: + Initial Fee: $ +Other Fee: $ _$ Total: -44 TOTAL FEE: $ 3 7 _., Scott A. Russell ���osUlFFcZ,r�G SUPERVISOR U) AMIAN AG]EAMUEN T SOUTHOLD TOWN HALL-P.O.Box 1179 0 53095 Main Road-SOUTHOLD,NEW YORK 11971 1 Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PR®JIECr INVOLVE ANY OF THE FOLLOWING Yes NO (CHECK ALL THAT APPLY) ❑❑✓ A. Clearing, grubbing, grading or stripping of land which affects more r i ' than 5,000 square feet of ground surface. ❑Q B. Excavation or filling involving more than 200 cubic yards of material E within-any parcel or any contiguous area. c sit tion on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. FIR D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑Q E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM.Map of any watercourse. _ [:1® F. Installation of neve or resurfaced impervious surfaces of 1,000 square } feet or more, unless prior approval of a Stormwater Management E 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. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. 4: 1000 Date Duu ut NAME: 11096-MT SzXR_9Z,AT'r 'PE ICS 2A04 Zcst4- (Nw) Section Block Lot (Si4n+Eurd c :c FOR BU LDENG DEPARTMENT USE 0-.NL`1' E\ Contact information 63:1-134---7-730 Mkphme Nwnbcu Reviewed By: — — — — — — — — — — — — — — — — — — Date Property Address/Location of Construction Work: — — — — — — — — Daa — — — — — — — — Lc a>� 2aAA �'Q16ElA1PoR�' Approved for processing Building Permit. 415 W I t ❑ Stormwater Management Control Plan Not Required — — — — — — — — — — — — — — — U 44a- Stormwater Management Control Plan is Required (Forward to Engineering Department for Review) FORM = SMCP-TOS 1VIAY 2014 APPROVED AS NOTI ED DATE: 2( ►`I B.P. -2qCOiViPLY 1:`VITH ALL CODES OF .-,��ri BY��� - NEVA! YORK STA�`� & TOWN CODES FEE - AS REQUIRED AJ31n rntKnlT_e_Ic�NS OF NOTIt Y BUILDING DEPARTMENT AT incl-I_N 765-1802 $AM TO 4 PM FOR THE SOui'rivLv�-��.,r=..n FOLLOWING INSPECTIONS: ?nihini p�nh OARD i. FOUNDATION - TWO REQUIRED FOR POURED CONCRETESO U();r)TINA::'' �STIES 2. ROUGH - FRAMING & PLUMBING 3. INSULATION ----� � 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE OCCUPANCY OR REQUIREMENTS OF THE CODES OF NEW ��� IS YORK STATE. NOT RESPONSIBLE FOR UNLAWFUL DESIGN OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE L,.,-�__', ;��,,. OF OCCUPANCY RETAIN STORM HAP ER 236ER FF PURSUANT TO C PLUMBING OF THE TOWN CODE. ALL PLUMBING WASTE & NATER LINES NEED TESTING BEFORE COVERING PLUf0llL-"ER «=FENT EFORE ON LEAD cONT CERTIFICATE 0,F 00CIJ.PANCY iN.WATER SOLDER,8upwXS EM:CANNOT IJ t - II I :`7iclel;•:p1::=`� M... s ADR Project information Location: SCTM# 1000-033-06-10 - " HtET��„o 9? Address: 415 Willow Dr, Greenport, NY 11944 --Toa t31TE 1, s_ MEstU° c Owners: Kevin Cahill and Noreen McKenna INLET P_O/ s —, , Use: Single family dwelling CO. PARK rg Rflext• a- ? E""E pg wr Nq C1wx 4!e' _ �r W,NbOW wc'u. Building code: Residential Code of NYS- latest edition ag - '"a 6ASEFtENT c.Ao� 6�,CF,��. w -ra ' Lot Area: 25,919 sq ft, 0.60 acres _ BLUESTONe . Survey: I c T.utJ A A Roderick Van Tuyl dated 08/18/1986 Scale:1in = 50ft Balcony offmaster suite s:1ver w N b o w Pre-existing window;converted to sliding lass door 8ft x 6.5ft Permits in place: E M E 2 4 E t.1 cy E �r E s s g g g C of O Three bedroom house and two-car garage KOA •NORiH 5T L' ' Concrete foundation walls reinforcing bar on 16in and 24in centers 9 g PAP r Columns 4"x 4”on Eft x 5A centers Suffolk Co Health Services Approval Wall header 2(2"x;10")attached with 0.5in bolts to north wall studsfJoists Ref No 86-50-177 Dated 09/22/1986 GREENPORT ' A. r' Planning set-backs coverage: Spec Actual i __ _.• A Mlves v ' ¢�►l1t.H i(AND RA,� 2"X 10"joists on 14"centers 0qH OAPs G lf•o I 6"x1"floor boards qn 6.25in centers m ` 6.,•z' HAND r�stt - Max lot coverage % 20 9 F@bNr, �£Co�fl �lf�or - Min front set-back ft 40 76.5 Lo c-PL.j-- M A IP Min one side-back ft 15 3&s T® ' ex,sriw., 7 ,,ss" Min total side- backs ft 35 3.5 Min rear set-back ft 50 60 f�\LSO boolG- ' Proposed improvements - Basement and second floor Z 112° I YZ° w�\:.- '•rE A\sSs - L c aA b E: �',l , 1. CO and smoke detectors in basement HawID RA\t- oFF.GoNccET6 vlPw 2. Emergency egress window from basement P°TMp-�P W a 111 E"'T\cY poop 6�6K 3��� 3. Direct basement access, Bilco door, steps, entry door To EX,ST�� S Rc- 4 ►.EP1Got<C6D 4• Full bathroom to pre-existing plumbing S y STE N RE-\N PoRCE� M foVgpA'T\ON W \N F-0R.IC.L•i� CoN CR6iE �� scab AH q Fo -ri"C' WaTN '02sAN %J to 1>M%f-W 6'Cl_ �..�jc�e•at� '¢xtsTt►�a FaoT►WQ 5. Intermittent 20cfm forced air fan in bathroom. 6. Balcony off master bedroom SSE 1ENT 6ATHRooN1 g 4-�i w 5i -� 34, 7. Opening in wall on upstairs landing _ Legend W F Furnace C� IJEWy0'Q — W Window g �� O.B,qR� t F G Garage 6 I4GoOM Z BJ rr4siErt so\TF G G C Closet SD Sliding door 9 t -, W ® S Shower ' L Lavatory sa C WC Water closet 08180' . C Zs DWG# 092414 RevOAp r i' Title: Building Permit Submission i 13aT`a ooM3 Robert Barratt PE, 4295 Vanston Road, Cutchogue, PROPOSED �"``r $e O o NY 11935 Tel 631 875 0275 Oj SAT" _ W These plans are an instrument of the service and are the property of the design professional whose seal is affixed Dat _hereto. Infringements will be prosecuted to the fullest t sp extent of the law.Contractor shall verify all field conditions r 4 G and dimensions and be solely responsible for field fit. 3g' The design professional assumes no liability for omissions due to unknown or unforeseen field conditions and or - 'soF{ PL,4,J — SASE: Mg,y-t- SEc40 Qk; FLoa2 PLev.l additions based upon comments not formally acknowledged jo — t tt SC4t 3$ as revisions to these plans. o�stlEfQ(,��oG z BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 oy • �� D Southold, New York 11971-0959 F ��! a 8 Telephone (631) 765-1802 - FAX (631) 765-9502 .. �) c roper.richerta-town.southold.nv.us �- 'q' TOWNOFsourHAWLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: K<gj'v% Cnhl)' Dater Company Name: ,,,-. tc- Name: ` ria- License No.: iS, E email: nIt' e, .V) Address: To FWL001 ho a 11 35 Phone No.: ?65- ll Il JOB SITE INFORMATION: (All Information Required) Name: Kevin CatVitvik Address: 4 L5 1kn 16 UJ 0 0r4- Cross Street: Phone No.: L-- 411-64 G�It - q LZ Bldg.Permit#: �,ig50- email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) ,, � � r,� sgd — LED L49hr Ivuu_ in e 9 � 'VYJoffi, GAT 6Jt�;FiAr . �G6YY1�d�v1 Circle All That Apply: Is job ready for inspection?: / NOou h C Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# New Service - Fire Reconnect - Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form.)ds S( f�