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37152-Z
FF-4 FFO4 Town of Southold Annex 6/26/2012 OgU P.O.Box 1179 n x 54375 Main Road o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35782 Date: 6/26/2012 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 780 Ole Jule Ln, Mattituck, SCTM#: 473889 Sec/Block/Lot: 114.-12-13.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/13/2012 pursuant to which Building Permit No. 37152 dated 4/23/2012 _._was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: interior alterations to three bathrooms and fireplace addition to an existing one family dwelling as applied for. The certificate is issued to Rizzo Group LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37152 6/4/12 PLUMBERS CERTIFICATION DATED 6/8/12 6brad Piecuch j Au tho Si ature �g11FFDl,��, TOWN OF SOUTHOLD ��o may BUILDING DEPARTMENT y 2 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#: 37152 Date: 4/23/2012 Permission is hereby granted to: Rizzo Group LLC 780 Ole Jule Ln Mattituck, NY 11952 To: interior alteration (three baths) &fireplace construction as applied for At premises located at: 780 Ole Jule Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 114.-12-13.6 Pursuant to application dated 4/13/2012 and approved by the Building Inspector. To expire on 10/23/2013. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $265.20 CO -ALTERATION TO DWELLING $50.00 Total: $315.20 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accutate'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 thereforwriting to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00, . Swimming pool $50.00, Accessory building$50.00, Additions to accessory building$50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: �0 ale— Me— House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block l a Lot (3 • f� Subdivision Filed Map. Lot: Permit No. 2j11 �j� .Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for Temporary Certificate Final Certificate: _� (check one) Fee Submitted: $ o ► J / Appli nt i nature SO!/jyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Q roger.richert(C7town.Southold.ny.us Southold,NY 11971-0959 COUNTY,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: RiaoNoung Address: 780 Ole Jule Lane City: Mattituck St: NY Zip: 11952 Building Permit#: 37152 Section: 114 Block: 12 Lot: 13.6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL.ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation 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 2 Wall Fixtures 3 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 5 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 5 Twist Lock Exit Fixtures TVSS Other Equipment: bathroom renovation & fireplace, 2 exhaust fans Notes: Inspector Signature: �� Date: June 4 2012 81-Cert Electrical Compliance Form.xls pf so�ro Town Hall Annex Telephone(G31)•765-1$02 54375 Mari Road Fax(63 l),765-9502 P.O.Box 1179 Southold,New York 1 197 1-0959 Irou BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. ! � . Owner: I Z2c�` Y u vevG� (Please print) Plumber: 'cld Pie�CluC.1� (Please.print) I certify that the solder used in the water supply system contains less.than 2/10 of I%o. lead. v ' (Plumbers Signature) '" Sworn to before me this i day of 201� ray ���nr�s/oo� 2,�Pi'�e3 03 .Notary Public, County SO!/r�,o - -- �7 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO FPLBG,. [ ] FOUNDATION 1ST [ ] ROU [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) .REMARKS: A,11(0 � DATE INSPECTOR i rjf so y�0UH1Y,� TOWN OF.SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ' .. [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT:CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ .] ELECTRICAL (FINAL) c � REMARKS: DATE llf-110�7 - 4 INSPECTOR John Cronin, P.E. P.O.Box 130 Shelter Island, NY 11964-0130 Voice: 631.252-1167 Email: capticcpe@optimum.net June 14,2012 Town of Southold Building Department Town Hall Annex 54375 Main Road JUN 15 2012 P.O.Box 1179 Southold,NY 11971-0959 BLDG.DEPT. Re: 114-12-13.6 TOWN OFSOUTHOLD 780 Old Jule Land Mattituck,NY 11952 To Whom It May Concern: The cited location project drawings(i.e.,a total of two sheets)for Remodel of Baths and Fireplace Addition bearing my seal as a NYS Licensed Professional Engineer and sealed April 5,2012 reflect all work performed pursuant to the plan set title. The drawings were prepared from visually observable conditions at the site. On the basis of such observation it appears compliance with applicable codes has been satisfied. Additionally,I have reviewed a notarized certification of the use of compliant solder in the water supply system,as well as a certificate of electrical compliance with the National Electric Code and find these to be in apparent good order. r C. Cronin,Jr.,P.E.,SECB,CB 1 S Licensed Professional Engineer O�R1L�;�r� r- lip 05822A c�v� G �n SS�mA fZrD2I$.PE. ��P DATJ� COMI!?�NTS. FOUMAlt ox aST).. ors.•.r�r.�.w..R,.w.�.w•rr•wroro�.r .. - .. ((( FOUNDATION(2ND) ' � C ROUGH FRtNITNG&. PM M ING . G ` • � to INSUL•ATION PTi3.N.Y. STATE EI�IERGY CODE oo/� FINAL , • ADDITIONAL.COTY=NTS . CA 7 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 9outholdTown.NorthFork.net PERMIT NO. Check C� Septic Form N.Y.S.D.E.C. Trustees - •• (� Flood Permit Examined . —20 I ® L� i7 �/J Storm-Water Assessment Form tact: Approved "( ,20 I Mail to: a w14 APR 1 Z 2012 Disapproved a/c BLDG. Phone: TOWN OF OLITH Expiration � 0 120 13 SOLTHOLD Building Inspector APPLICATION FOR BUILDING PERMIT Date ; 20 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-riot commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have.been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an- addition _ six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit.pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or.for removal or demolition as herein described.,The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations;and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general'contractor;electrician,plumber or builder Name of owner of premises 1�12Zt� (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer _,•:7.:.:• ``'' (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 propos d work will be done: 2 6o 2 c, ' lvclkl House 14umber Street Hamlet County Tax Map No. 1000 Section . Block 02 Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and inter#d use and occupancy of proposed construction: a. Existing use and occupancy w`✓l I b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Altera io �s Repair Removal Demolition Other Wo Y ascription) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor 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 Rear L17 ( Depth J Height Number of Stories 2 Dimensions of same structure with alterations or additions: Front Rear Depth Height; Number of Stories 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories 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 lv`� ►�•�11G� Phone No. Name of Architect ('4oiUv\ Address Phone No Name of Contractor COILAV 1 Ptji — Address Mkflf foc/k,' 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 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 OF ) being duly sworn,deposes and says that(s)he is the applicant (Name of in 'vidual s gning contract)above named, CONNIE D.BUNCH (S)He is the Notary Public,State of New York (Contractor,Ageht Corporate Officer,etc.) o' Qualified in Suffolk County��//��� Commission Expires April 1�4,' al 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. Sworn to before me this `f l 21-t, day of 20_t,�, i Notary.Public Si atur o pplic r *pf SO(/j�o Town Hall Annex Telephone(631)765-1802 54375 Main Road G C 9g�olP.O.Box 1179 rogerAchertw .soutn5o 0Q 6.ny.us Southold,NY 11971-0959 I�cou BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: j- 2 /Z Company Name: Name: License No.: Address: . ���o Z cA (n lc)cLd a r(q- r Phone No.: `�(Q _ L/ O JOBSITE INFORMATION: Ond.icates required information) *Name: L you *Address: 7 BC,> CQ[ c Ufr- Lnrw *Cross Street: eg *Phone No.: Cho P6 - f nt-_ug _ _T (eS-" `L ?2 2 Permit No. 3 l ) <5L, Tax-Map District: 1000 . Section: JJL4 _ Block: 1 Z. Lot: t 3 . (o *BRIEF DESCRIPTION OF WORK (Please Print Clearly) remua-kd ��A rdorn tact (a (Please.Circle All That Apply) *Is job ready for inspection: GONO 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 Q < n u D 0 S-c .n-n, 1A c4ein 6,-a � 82=Request for Inspection Form TOWN OF .SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT V A ]11�91 M/N1 U5 Fq R RMER OWNER : N _ E ACR. Koo: ey f ooltilS40 a) koa[f`esh S W TYPE OF BUILDING RESij- SEAS. VL. FARM COMM. CB, MtCS. Mkt. Value LAND IMP. /TOTAL DATE REMARKS �.� 0 (�PPO i/oRrr+eese (� 0 0 12— /0 /7C 1 i `7 /�C� PUR 6 14A � l. . � p ��y�v�l r L�/ o - t� � �a CJ-a a eat?ea v e '¢ `_ A 1 goo FA /000 2800 3 Syoa 7300 oI a © - a o2 - a iGrL` l e ekt`4 ` — /Y c- Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD •)vleadowGQnd - DEPTH House:Plot ab C �6 BULKHEAD Tota /9-Z 3`o a � j ' ^�f��. ;� 1.'Sa��.� �v,�: y ro �`. -fps� � Cs�` • •• 1.r �� �� ,tea.�. :�:,. �� �J' ■■ +�I - n _ r h ■�■� ■■■■■■■■■■■■■■■■ ■■■ ,a'S ��t t�tiF r1j4 I "+$ '. '� _..1:� f F -Stir �U}�. ■ m, > ��`rr� � � I� _gip � �1,,,�,�uu����, ■■■■■■■■■■■ ' j, _' �9 , SUN, ■■■■■�■■. .Fk S —� F.,'� 5 -q" � ""'d fi A.2..ti'.^. .a~ 1•r + fi ' ■■■■■■■■■■■ MENEM �ii n $ ., .,`' ■■■■■■■■■�■■ U qs t�!��'rf '?'a"�'���'X•.+� .� -t �j r I. p4'�,��s � ��¢ss� '7� a � t F �`.�.#.xs�`SyjXy„ ^��ti�n:Y`,'s" t '�' �� ,x,�:.f.',� KS¢. ,7p'ryrh..Y�'c i+�,�:�. Yr'f �mF aW.� #+ �m�� �■.��■■.1w■■■■ y�ei`f' �. k y+�.'��!F',,$tt 4i f^Y > t ._ f 4� 1� F�; l�- �.I'■■■■■■■ ■®®■■ 1 ��wYc �C.s'�.aw.s 'r�Y � v ' .s k � ao-�� ■■■■��w..11fJ�� ■■■��■■��Aa9lfYl��t��r c ,,r F a ■■■■®Ili'�I��I�I�i6�L'IDJllll�■■■■■■■■ _ �I ■■ EW�4Yv- ° �" �3 F'S'�gk��^q$CY" _ ✓ .3k � "1,� 3,}�s° i�" n¢ F� '�&''dv'c����," ; [I���,^ J �.��,■■■■■■■■■■ �l.r t'.zttii3't� �G f�'2"'.+ t � ^ � �r b�t ✓r -s � �}���P ,z~b u,��., ■■■��i����'r�l■■=® �■■■■■■■■ ;.�--�: ,���»;� �s,�,�,� :� ,,r :'� v� ",��.����. t... v=N,�,.;k�,k .�� ■■■■■■I�1>���■�i■■fir®■ ■■ ■■ ■■■■_■ ■■■■■■■ ■■■■■■■■■■■1 No 0 MEN ■ 13 �■■■■■■■■MEN■■■■■■■■■■■■■■mom TOWN OF -SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT8 Iv, Km I y/ /Vc K } � nsua /F'ApRMER OWNER -V .. N f�c��G�{S w KOc�uf�ski S W TYPE OF BUILDING �eiceap RE SEAS. L. g FARM COMM. CB, MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 0 Ri"PQh'iioF✓su�,N ( 0 0 12 /© 176 i i /� L/�7� I've D f rr c i % L I0�f %G0 ,�"f/0 f" f CJ • r 9 o a $yo a 73 00 LO IR ©(19- aW_ 02 - !d)Gl :5 I;a S��c rkl ."- — N c- I,'ort ,�D,DDD Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH °,., House.P.lot CPb� BULKHEAD Total � y'2 0 3/fa a '' ■■■■■■ON■■■MOO■■■Oi■i■■ gas, •,r" .. k t�>,{4 1 5 ���■■� � r `k *x0h a 4 .k YF4'"n':.>, 5 'JR;r", `" ` 4! M.f`}c ■■■■■■©■�F`=�■�■�■■■■■■■■■■®©■■ "M _ , Pam"� ■■■■ �' l'EYY 9 `W" };f °4 +i h� l Y a.• • `4 ■■■■��1�.�,�1�■I.�®�I ■■■ OR t ����� <.. ��. 1{� .r'� . t,r y , a�GSM ��_::�_=�■■■ii■i■■i■i■■ ...■..�. s�■■ilmllt■■■■■■■■■ ■■■■■■l■`-■moil �■■■■■■■■■■■■■■ WIN ■■■■■■� ►��.FZ.��.. ■■■■■■■■■■■■■. ■■■■■■ICI goECIM■■■■■■■■■■■ ■■■OMEN■■■■■■\■■■ ■■NN■■■■N■■N■llPROE■■■■■■■■■OSEE Tosement Ext. Walls Fire Place - . pe Roof Poo B, P: 37 BUILDING PERMIT EXAMINER CHECKLIST Date Submitted: Date Reviewed. Applicant: Owner: Architect/Ea ineer: �o- g� Estimated Cost: SCTM# 1000 — Subdivision: Zone: Conforming? Property Address: 78 ® City:/fl Pre COs? Building Permits (Open/Expired): BP -Z/Go Z- ,Info: BP -Z/C/o Z- ,Info: BP -Z/C/o Z- , Info: BP -Z/C/O Z- ,Info: BP -Z/C/0 Z- ,Info: Single& Separate Search Required? Y"`tJDetermination: STaRM , 7R,:Rt�4l��FF: REQ. Lot Size: ACT. Lot Size: REQ. Lot Cov. o Oc ACT. Lot Cov. REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear PROP. Rear REQ. Heigh_t_357.iACT. Height R E ct,.00TH SI DES A C T Project Description: Gt- t%�c-dr-Q__ Waterfront? f or N? door- If yes,water body: Panel# Flood Zone: RdAkhead/B f Distance: ADDITIONAL APPROVALS REQUIRED $L.AN 5(4) SIGNED, SEALED SL1RVEY DR SITt PLAN_ Suffolk County Health: Y or N- If yes,*Bed#: _ *Date: / / *.Permit#: Town Septic: Y-N- - If no, certification required: Y or N Received: Y or N By: NYS DEC: PRE-DEC 911/75 Y or N - Date: / /_ Permit#: or NJ Letter— Notes: Southold Trustees: Y or N- Date: / / Permit#: or NJ Letter—Notes: Southold ZBA: Y or N - Date: / / Permit#: —Notes: Southold Planning: Y or N- Date: / /� Permit#: —Notes: Town Landmark C of A: r N DTE: _/ /_ *NYS CODE-Co pliance(page 2): Y or N CQNTWT,09 ICEN DISABIL.I y I-1ABIL1 y 1A/ol�knf� oMPFNs ton/ Notes 3U 4r Fee Structure: Calculation: Foundation: SF X$ , _$ First Floor: SF +Initial Fee: $ 9--y o , 0,0 Second Floor: SF + Additional Fee ^): $ Other: SF SF X.$ =$ Total: SF +Initial Fee: $ +Additional Fee ( ): $ C of o FEE) AS BUILT FEE TOTAL: $ PATRICIA C. MOORE, ATTORNEY AT LAW LfGUMO 51020 Main Road Southold, NY 11971 LETTER (631) 765-4330 ` email: pcmoore@mooreattys.com � ' Date,---, LQ —.....V4............�................................................................................................ To..................... .......... ..........` ................................................................................................................................ Subject............................................................................................................................................... ......................................................................................................................................................................................................................................... .._ . ........................................................................................................................................................................................................................ �.. ........... ........................................... .............................................................................................................................................................................................................................................................................................................................................................................................................................. 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TMAIN Or SOUTHOLD ............................................................................................................................................................................................................................................................................................................................................................................................................................... SIGNED El Please reply ElNo reply necessary 37 BUILDING PERMIT EXAMINER CHECKLIST Date Submitted. Date Reviewed. LV-4e &�� Applicant: .�y Owner: ArchitectlEagiueer: Estimated Cost: SCTM# 1000 — ,I f a' — -13 t Subdivision: Zone: Conforming? Property Address: J City: Pre COs. Building Permits (Open/Expired): BP -Z/Go Z- ,Info: BP -Z/C/o Z- ,Info: BP -Z/C/o Z- , Info: BP -Z/C/o Z- ,Info: BP -Z/C/o Z- Info: Single& Separate Search Required? Y d&Determination: ' STOR1AW4,T-e--K:.Rik N REQ. Lot Size: ACT. Lot Size: REQ. Lot Cov: A'07b ACT: Lot'Cov. REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear PROP. Rear REQ. Height. 3 5� ACT. Height R E cZ, BmTN SIDES ACT Project Description: ° Waterfront? It or N? ? 1 Q,� , If yes, water body: Panel# Flood Zone: Bulkhead/B f Distance: ADDITIONAL APPROVALS REQUIRED QLAN S��� SIGNED, S�rILED SUPVEy M S1TE PLAN Suffolk County Health: Y-or N- If yes, *Bed#: _ *Date: _/_/ *Permit#: Town Septic: Y-N - If no, certification required: Y or N Received: Y or N By: NYS DEC: PRE-DEC 911/75 Y or N - Date: / /_ Permit#: or NJ Letter- Notes: Southold Trustees: Y or N- Date: / / Permit#: or NJ Letter-Notes: Southold ZBA: Y or N - Date: / / Permit#: -Notes: Southold Planning: Y or N- Date: =/ /� Permit#: -Notes: Town Landmark C of A: r N DTE: _/ /_ *NYS CODE-C%o Le(page 2): Y or N CoNTRACT-oR 1C�N A15,4B1L1Mi I y ...U/Q1�1C/!fE /VS /on/ Notes• °- oyl 3 Fee Structure: Calculation: Foundation: SF X $ , _$ First Floor: SF + Initial Fee: $ 9-0 y ©0 Second Floor: SF + Additional Fee $ Other: SF SF X$ , =$ Total: SF +Initial Fee: $ + Additional Fee ( ): $ C of © FEES 57,0,00 AS B t1 I L T FEE '19 TOTAL: $ NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load:20 Wind Speed: 120MPH Seismic Design Category:B Weathering: Severe -Frost Depth: 36" Termite: M-H' Decay: S-M Design Temp: I Ice Shield Underlay:YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FI E AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: YIN HEADERS: YIN WALL STUDS:Y/N GIRDERS: YIN CEILING JOISTS: Y/N FLOOR JOISTS:Y/N ROOF RAFTERS: Y/N LUMBER SPECIES AND GRADE: YIN WINDOW AND DOOR SCHEDULE: -MISSLE TEST REQUIRE)IENTS: Y/N EGRESS 5.7 S.F.: Y/N i LIGHT 8%: Y/N TENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: YIN LOCATION OF PME PROTECTION EQUIPMENT: Y/N- -TRUSS DESIGN: YIN CERTIFICATION: Y/N .ENERGY CALCS: YIN (RESCNECK) TOTAL COMPUENCE? Y/N (RETURN TO PAGE ONE) z RIZZO RE51DENCE g 0 N oL EXISTING WINDOW w — Lu TO REMAIN ~O ON O z o VANITY WITH MARBLE „y rD AS NOTE© ILL- TOP; WALL MOUNTED ' M I RROR ABOVE J�l : � B p # 71S�, � z w lu HANG RO %01-11)ING DEPARTLMFNT AT U Q �t, , ^.M rO 4 PM FOR THE o (t) o m w/SHELF BATH 468 V; 1��5RECTION� CLOSET RENOVATED 'ON TW QUIRED f�� 20G5 CEILING � STRUCTURE ,: n a;. TO REMAIN AS EXISTING F .'JFlED C0Nr PL"TE • 2468 IN ALL AREAS ,� = � ���•FRAMING,PL'„P,�E,1.yv, cLosEr 0 PLUP.sER CERTIFICATION ; 'P;"NG. ELECTRICAL & CAULKING LINEN TILE FLOOR ON ON LEAD CONTENT BEFORE 3 '",`ULA ICN MUDENTRY 0 suBF o CERTIFICATE OF Dec 'A A!-•CONSTRUCTION a ELECTRICAL 30 KNEE WALL WITH MARBLE UPANCY IIuST BE COMPLETE FpR C.O. BEDROOM EXHAUST V T TOP t FRAMELESS GLA55; - WOOD MANTLE SOLDER US r'i ,;,l (/ ]'ER ALL CONSTRUCTION SHALL MEET THE z EXISTING TO REMAIN INTERIOR B TH — TEMPERED GLA55 5HOWER ABOVE FIREPLACE SUPPLYSYS;Cry✓�G�NNOT REQUIREMENTS OF THE CODES OF NEW 2468 Li Oo HowER DOOR* ENCLOSURE EXCEED 2J)� OF ;o LEAD. YORK STATE. NOT RESPONSIBLE FOR w MARBLE MAI SADDLE,,BATH ° NEW CUSTOM 5HOWER NEW MASONRY FIREPLACE; DESIGN OR CONSTRUCTION ERRORS, ON W/VINYL PAN. ALL WALL PROVIDE RAISED HEARTH, N w C� NEW SURFACES TO RECEIVE BRICK SURROUND GIAS D OR WONDER BOARD PROIR TO ENCLOSURE W O Q 2668 TILE INSTALLATION S PLUMBING OCCUIPA ��,��, C > BEDROOM ALL PLUMBING U HALL WASTE EXISTING TO REMAIN TESTINGTER.LINES NEED USE IS UNLffi/VRJ',- cLosEr aosEr � V'~ r BEFOR_COUEP,�NG ��,,. DOWN CLOSET CLOSET " O OPEN BANISTER ' ELECTRICAL = F— WALL LEGEND: INSPECTION REQUIRED- F— C) WALL TO REMAIN [� Q _! LLJ -- _ - WALL TO BE REMOVED W U ------ C J LIVING AREAS TO O REMAIN AS EXISTING NEW CONSTRUCTION , T 2"X 4"STUD FRAME ,`P(E OF E Lu WITH I LAYER ' GYPSUM BOARD c \5q0 E Lu ON EACH SIDE; USE MOISTURE RESISTANT BOARD IN BATHROOMS (► > LL- USE CEMENT BOARD ON ALL AREAS TO RECEEVE TILE 2- 2"X 8" HEADERS ABOVE ---"-- A OS822 ANY NEW DOOR OPENING � 9�FESSIOtkP� �O 2468 U _ z r BATH CLOSET O ORIGINAL LAYOUT O � � Ln Ln Luz BEDROOM � J MAIN FLOOK LAYOUT o 206e �(ISTING TO REMAIN Q LINEN SCALE: 4' = I'-O" U O 2468 Z (s) Q v Z z z o U � CLOSET Lu DOWN :Rl I CLOSET r CLOSES LL I OPEN BANISTER PAGE: MAIN FLOOR ORIGINAL LAYOUT SCALE: 1" = I '-O" I 4 GENERAL NOTES: LU 0 • The information on this set of construction documents is to relate basic design ++ intent and frammg details. They are intended as a construction aid, not as a Z substitute for generally accepted good building practice and are In compliance with g p N DRYER I I current New York State building codes. The general contractor Is responsible for (L H BATH O rovidm standard construction details and procedures to ensure a professionally m/ 0 RENOVATED j j � PROV. EPDXIED#4 STEEL finished, structurally sound and weatherproof completed product. p y C O N I REBAR VERT. @ 12 O.C.5T VENT O INTERIOR BATH a I I INTO EXISTING FOUNDATION General contractor to coordinate all subcontractors, scheduling of work and Q WASHER I i WALL t NEW WALL ABUTTING interaction between trades. 20G8 (TYPICAL ALL AREAS) • The contractor is responsible for ensuring that all work and construction meets V' LAUNDRY z EXISTING ! or exceeds current federal, state and local codes, ordinances and regulations,etc. W GARAGE " (� These codes are to be considered as part of the specifications for this building plan. Q LU EXISTING TO REMAIN PLUMBING * HVAC NOTES: o ` o • All plumbing work shall be done by a duly licensed plumber and must conform and adhere DOWN to all New York State building codes t saftey requirements. DEN NEW POURED CONCRETE FOUNDATION WITH 1'-4" FTG. If wall plates or joists are cut during the Installation of plumbing fixtures or equipment FOYER EXISTING TOI REMAIN UNDER MASONRY FIREPLACE; contractor must provide appropriate bracing to tie framing back together. EXISTING ALLOW FOR FIREPLACE FLUE2--411 • Baseboard heatmg Is to be hot water and zoned. Plumbing contractor Is to adequately size the system and place the baseboards In an unobstructive location In each room W m required to recieve heat. Minimum of one thermostat for each zone will be required. z g UP • Mechanical subcontractor Is responsible for adhering to all applicable codes and O W saftely requirements. N -, SZ N w V ,-/ J D • HVAC subcontractor to fully coordinate system data t requirements with the LL p MECHANICALS equipment supplier and to provide final system layout drawing and submit It to general contractor, UJ 0 Q owner and equipment supplier for final review t approval. O < WALL LEGEND: ELECTRICAL NOTES: WALL TO REMAIN 0 All electrical work to be BOARD OF FIRE UNDERWRITERS approved and to include installation of fixtures t specifications as indicated on plans. Light fixtures to be supplied by ------ WALL TO BE REMOVED owner and Installed by contractor. GPI outlets required at bathrooms and exterior areas. Install all outlets as per code. All work Is to be done In strict accordance with the New York State Code Z by a licensed electrician. All new switches+t outlets to be Levition, standard, supplied installed LIVING AREAS TO NEW CONSTRUCTION by contractor. Contractor to do all hook-ups as required for bathrooms. O REMAIN AS EXISTING , 7 2"X 4"STUD FRAME E— WITH I LAYER� GYPSUM BOARD ON EACH SIDE; U5E MOISTURE I— F) RESISTANT BOARD IN BATHROOMS Q Q I: USE CEMENT BOARD ON (�] Q ALL AREAS TO RECIEVE TILE W W 4"0 ROOF VENT n ROOF LJ O LLJ 4 � � LL. ATTIC KITCHEN - BATH 2 - BATH I - EXISTING NEW RET 1 1/4 1 1/2 1 112 1 1/4 1 1/4 D.W. LOWER LEVEL LAYOUT I K SHOWER 3 SCALE: I.A_ 1 '-O" MAIN FLOOR U 2 1 1/4 3 1 1/4 3 2 Z cAtC.OI a a C.O c LAUNDRY- BATH 3 - CIZ U� EXISTING 31I Lu i K/4 11/4 F.A.1. J 4 ;111 1/2 (� SHOWER U Z LOWER LEVEL z O 11/4 3 z z 2 C.O 4 TO SUFFOLK COUNTY — • DEPT.OF HEALTH 4"C.I. SERVICES APPROVED HOUSE SANITARY SYSTEM. W SLOPE' 114" PER FOOT PITCH TO TRAP n DRAIN ��Pgic F NEW y PLUMBING KISER DIAGRAM PAGE: NOT TO SCALE a _ UJ E S1d�P�. 2