Loading...
HomeMy WebLinkAbout37593-Z �aSUFFpt� Town of Southold Annex 6/24/2013 a� �y P.O.Box 1179 54375 Main Road oy Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36314 Date: 6/24/2013 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 3365 DELMAR DR LAUREL, SCTM#: 473889 Sec/Block/Lot: 125.4-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 11/30/2010 pursuant to which Building Permit No. 37593 dated 10/23/2012 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: "as built" finished basement(non-sleeping)in an existing one family dwelling as applied for. The certificate is issued to THEODORE J.&KATHY MAHER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37593 11/26/12 PLUMBERS CERTIFICATION DATED 11/15/12 37593 ikuty6rize Signa re FF0(__.fFOL TOWN OF SOUTHOLD �g11 ,�-COG. ��o y BUILDING DEPARTMENT y 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#: 37593 Date: 10/23/2012 Permission is hereby granted to: THEODORE J. & KATHY MAHER P.O. BOX 656 LAUREL, NY 11948 To: ,AS BUILT" BASEMENT ALTERATION AS APPLIED FOR.REPLACES EXPIRED B.P. # 36104 At premises located at: 3365 DELMAR DR LAUREL SCTM # 473889 Sec/Block/Lot# 125.-4-6 Pursuant to application dated 11/30/2010 and approved by the Building Inspector. To expire on 4/23/2014. Fees: PERMIT RENEWAL $548.00 CO -ALTERATION TO DWELLING $50.00 Total: $598.00 lat-;J—i� i Building Inspector FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) . PERMIT NO. 36104 Z Date DECEMBER 20, 2010 Permission is hereby granted. to: THEODORE J & KATHY MAHER 3365 DELMAR DR LAUREL,NY 11948 . for "AS BUILT" BASEMENT ALTERATION AS APPLIED FOR at premises located at 3365 DELMAR DR LAUREL County Tax Map No. 473889 Section 125 Block 0004 Lot No. 006 pursuant to application dated NOVEMBER 30, 2010 and approved by the Building Inspector to expire on JUNE 20, 2012 . Fee $ 1, 096 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 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 $100.00 3. Copy of Certificate of Occupancy-$.25 -4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00 /Date. 0. ,0/ 0 New Construction: Old or Pre-existing Building: V (check one) Location of Property: 3 3 6 5� J 6 L,Pm Iq n- b n 1 V k� v2 � House No. Street Hamlet Owner or Owners of Property: ��(� Thy y -b ( 1� p 0 0 P. Ala g Suffolk County Tax Map No 1000, Section S� Block Lot �o Subdivision fl U V1.4 L. y u/J n Filed Map. Lot: Permit No. - Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) A-� Fee Submitted: $ Applicant Signa u e pF SO!/Tyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Vsroger.richert(a)-town.southold.ny.us Southold,NY 11971-0959 .4` oly�DU�,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Theodore J Maher Address: 3365 Delmar Dr City: Laurel St: NY Zip: 11948 Building Permit#: 37593 Section: 125 Block: 4 Lot: 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 X Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph 100a Heat Duplec Recpt 8 Ceiling Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 7 Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture 11 Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4 Twist Lock Exit Fixtures TVSS 11 [I Other Equipment: move service panel, 4-combination smoke/co detectors, 1-exhaust fan Notes: Inspector Signature: Date: Nov 15 2012 81-Cert Electrical Compliance Form.xls Town Hall,53095 Main Road Fax(631)765-9509 P,O.-T3ox,1170. - _ _-.- ..- - ��.. �� Telephone(631)765-11,102 Southold,Naw'York 11971-0964) BUILDINCY DEPAR'T'MEW TOWN OF SOU'l HOL D CRRTIb"ICA'I',I0I'V Buil ding;Permit No, c�� 5 2 _-- Owner: (Please print) r� Z certify that the solder used in the water ,supply systom contains less than 2/10 of 1% lead. (F'h1171 cars SSg��alure) Swom to before me this day of Alb 2 01 1_- SUSAN EHRLICH T� NOTARY PUBLIC-STATE OF NEW YORK No. O1 EH6073471 Audllfled In Suffolk County My Commission Explfes Apfll 22, 2014 Notary Public, Coluity T'd 20SG S9L TE9 9NIQ-iIf1H QIOHinos Wdzb:Z0 90. 60 snu OF SO(/r�olo l cOUNI`I, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION . [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL) REMARKS: r DATES C ��� INSPECTORS �o N � TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION . [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 11NIAUCATION . [ ] FRAMING/STRAPPING lk4INAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) d REMARK . .y DATE �" INSPECTOR �Rt pf SOpr�ol � o coutm,N�' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION- [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULATION [ ] FRAMING /STRAPPING [ FINAL. [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) P REMARKS: DATE /° / J INSPECTOR 2 FIELD INSPECTION REPORT DATE COMMENTS, FOUNDATION(IST) :4-4 FOUNDATION(2ND) O • � (J1 ROUGH FRAAM Q&. y PLUMBING G INSULATION PER N.Y. `3 STATE ENERGY CODE IAX-3j P L000l r FINAL p poor- ADDITIONAL CO •ENTS erYy� el l� c, • z-94- z rn 1 � • �6' z TOWN 4OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BTTILJ)ING 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.NorthForkxet PERMIT NO. d 1�- Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ,20 Storm-Water Assessment Form Contact: Approved �' r ,20 0 Mail to: Phone: Expiration ,20 �- 2 22 n �n 2 ' 0 D l5 Q LS U V LS Building Inspector NOV 3 ® 2010 APPLICATION FOR BUILDING PERMIT Date 20 BLDG.DEPT. INSTRUCTIONS TOWN OF SOUTHOLD 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. (Signature of applicant o4 name,if a corporation) (MaCng addre f a plicant) State whether applicant is owner, lessee, agent, architect, engineer general contractor, electrician,plumber or builder M L-1-- f if: -r — A-4 Name of owner of premises (As on the tax roll of 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: House Number Street T— Hamlet County Tax Map No. 1000 Section �tl Block j Lot Subdivision Filed Map No. Lot V • J .2. State existing use and occupancy of premises and intended use and occ pancy of proposed construction: a. Existing use and occupancy e�1ma1,' +1J�, b. Intended use and occupanc l 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work I— I I � (Description) 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 W' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 1->.A�. c► 7. Dimensions of existing structures, if any: Front '5 1 - 1 © Rear (i`i Depths Height 15->�j Number of Stories Dimensions of same structure with alterations or additions: Front Rear At 0,- Depth Height - tg- Number of Stories 8. Dimensions of entire new construction: Front IL-N.-^ Rear l--) A Depth D-.) •A Height N.A Number of Stories 10-A 9. Size of lot: Front fir'-D-,7,—t Rear p Depth (� 10. Date of Purchase t/L l q l(Name of Former Owner �'W�-' •E� I�OP'-� 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 N-KNO Will excess fill be removed from premises?YES NO 14. Names of Owner of premises-MZ7 Address L-u-Tz-a- ,' ++lone No.I 6* Name of Architect Address i� _ �!`�✓ Phone No l a l Name of Contractor a�.,A , Address '�"AT ,I J"-IUD a`'' Phone No. (Iqz�7v 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES No * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO� * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY O being duly sworn deposes�d says that(s)he is the applicant (Name of individual sig ni g contract)above named, (S)He is the (Contractor,Agent, 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. Sworn to before me this 919 Wt- day of_ZftM`Z21 20 Id ORNINE Notary Public Notary Public, State Of New York Signatur of pplicant No.01 C05792800 Qualified In Suffolk County Commission Expires C' 4/0 Town of Southold Erosion, Sedimentation & S orm- o � Water Run-off ASSESSMENT FORM PROPERTY LOCATION:. S.0 T:M.fi THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSIDN OF A S •ORM WAT ,GRADIN ERG,DRAINAGE AND EROSION CONTROL PLAN his ict 84 a on k: T— CERTIFIED OTA DESIGN iPRUESSIONAL IN THE STATE OF NEW PORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORKASSESSME),VT Yes No a. What Is the Total Area of the projed parcels? (Include Total Area of all Parcels located within '� Wtll this Project Retain AU Storm-Water Run-Off the Scope of Work for Proposed Construction) Generated by a Two(21 Inch Rainfall on Site? (sF.fAaes) (This item will inctude all run-oif.created b site b. What 1s the i Area of Land tearing clearing and/or construction activities as well as all and/or Groundnd Disturbance fiirthe proposed Site Improvements.and'the permanent creation of construction activity? . Site surfaces.) PROVIDE BRIEF PROJECT DESCRIPTION (PraddeAdddor�alPegesasNeedeth 3 Does the SitePianand/orSurvey Show AltProposed Drainage Structures Indicating Size&Location?This / .all. Proposed Grade Changes and — El l(em shall Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion / and sediment control practices that will be used to 1/ control site erosion and storm water discharges. This item must be maintained throughout the Entire Consiudion Period. 4 Will this Project Require.any Land filling,Grading or Excavation where there is a change to the Natural Existing Grade involving more than 200 Cubic Yards of Material within any Parcel? Will this Application Require Land Di$turbing Activities ` Encompassing an Area in Excess of Five Thousand (5,000'S.F.)Square Feet of Ground Surface? — — 6 1s there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SIMPRP Requirements or Within One Hundred(I OW-)feet of a Watland or — Submission of a SWPPP k;required for all Construction activities involvingsoil Beach? disturbances of one(1)or more acres;includtngdisturbances of less than one acre that are part ofalarger.common plan that will ultimately disturb one or more acres of land; 7 Wilt there be Site preparation on Existing Grade Slopes including Construction activities involving soil disturbances of less than one(1)acre where which Exceed Fifteen(15)feet of Vertical Rise to ` / 'the DEC has determined that a SPDES permit is required for storm waterdischarges. One Hundred(100')of Mori¢ontal.DistanCe2 — V (SWPP.P's Shall meet the Minimum Requirements of the SPOES General Permit• $ Will Driveways,Parking Areas or ether Impervious for Storm Water Discharges from Construction activity-Permit No.612+10-001.) r Ruri-Off Surfaces be Sloped to Direct Storm=Wate t.The SWPPP shall be prepared prior to the subrin'ttal of the NOL The Not shall pe into and/or in the direction. D submitted to the Department pilor to the commencement of constnlclicn activity on ofa Town ri9 to-of-way? 2.The SWPPP shag describe the erosion andsediment.control practices and where 9 .Will this Project Require-the Placement of Material, required,post construction stor'water management practices that will be used and/or Removal of VegetattOn and/or the Constr#Iction of any / constructed to reduce the Polkand i nts in storm water emit.In ad con,t e SW Item Within the TownRight-of-Way or Road.Shoukier � /.(._ comptiancewith the terms and oonditioris of this permit In addition,the SWPPP shag identify potential sources of pollution which may reasonably be expected to affect the Area?ubb rem win NoT include umhisbli ow erDdyeviayApronsa quality of storm waterdiseharges, NOTE. BAny Answer to questlons one through Nino is Answered with a Check Mark 3.Ail SWPPPS1hat r_quire the post-ionsttucnon storm water management practice in a Box and MO epnstruction site disturbance is bi twecn 6,000 S.F.d,1 Acre in area, component shall be'prepated by a quardied Design Professional Licensed in New York a Storm-Water,Grading,Drainage 3 Erosion Control°Plan is Required by the Town of that is kagwledgeable in the principles and practkes of Storm Water Management. Southold and MustbeSubmitted f"Review Priorto issuance of AnyBuilding;Permit (NOTE A Cheek Mark(jr)arMforAnswer for each question is Required for a Cm pieta Applimlkn) JUNE STATE OF NEW YOM Notary Public,State of New York COUNTY OF.�-�--• ..... . ,..SS No.01 BUt31 tI M ,l CommeaaiMend.in Suffolk County�;��� 1 bat I,,....�F�+!®? ? ... A l�to Expires April 14,P`_` (Name of inriividual sRjningNa;;;r;4.... """""'�g duly sworn,deposes and says that he/she is the applicant for ermi Andthat he/she is the .........................................•. :.............;............................................................................................(�►mer,Contractor•,-Agent,Corporate o►tieer,eta) Owner and/or representative of the 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 herewith. Sworn to before me this; .......f310-: . ...............day of..��l!�i!1 �`�..1......... 201C) Notary Public: .! P:M.�.. . JS................... �� ............ (Signature of Ap nt FORM - 06/10 so�rrM . Town mall Amex. � � Telephone(631)765)-11 02: 5 P.O 75 Main Road OU.Box 1179 ro_ger:rlchertl5§8V nn 06. nV US Southold,NY 119714959 "WPI11r�'' BUILDING DEPARTALE NT - TOWN OF SOUTHOLD APPLICATION FQR ELECTRICAL INSPECTIQN- REOttE&TED BY: �f0✓0X,8 -j I b r�. Date: 111901Z 0.1. p Company:flame: J a- tv Nar>& 11 A License:Na.: S l� Address: D b, z o x 3 o 6 A00 8 o f v 6- Phone-No.: JOSSITE INFORMATION.-! (* ndicafies. required inform. ati€}n) *Address: 33 u 6 Yd2 i/Iz .(�ia. v x,f I- // *Cross Street: 61 N 4 *Phone No.: 31� 2 �' �� :9 !'— Permit No.: Tax Map I?istrict: .1000 Section: j z Block:- Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly -(please Circle Aft That Apply *Is.jc br ready for inspection: (�SNO Rough In Flnal- *Do you need`a Temp Certificate: YES/ NO Ump-Information (If needed} *Serm'ce Size: ' 1 Phase. 3I3hase 400 15a 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DICE WITH APPLICATION SECB PROFESSIONAL ENGINEER 1725 HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971 TEL:631.765.2954 • FAX:631.614.3516 • e-mail:joseph@fischetti.com Date: 18 June 2013 Reference: BP#37593 Gary Fish, Building Inspector U E. C E � W E Town of Southold Main Road JUN 18 2013 Southold, NY 11971 BLDG. DEPT. TOWN OF SOLITHOLD Dear Mr. Fish, I inspected the basement alteration at 3365 Delmar Drive in Mattituck on June 17th and specifically the following: 1. Egress window and well 2. Plumbing for the basement shower bath 3. The blown in insulation on the basement walls - Minimum required R-5 I certify to the best of my knowledge the basement alteration has.been completed in accordance with New York State Building Codes. - 05 P ass D-u BOARD CERTIFIED IN STRUCTURAL ENGINEERING pF SO(/l�ol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 June 21, 2013 BUILDING DEPARTMENT TOWN OF SOUTHOLD Theodore & Kathy Maher PO Box 656 Laurel, NY 11948 Re: 3365 Delmar Dr, Laurel TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. /Final Health Department Approval. v Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37593 — "As Built" Basement Alteration U.1. iW __5Z5/D�f- WILDING PERMIT EXAMINER CHECKLIST *Date Submitted: 30 1 o Date Reviewed. iLpplicant: Owner: ✓- _ �rchitec Et�rggr: Estimated Cost: >CTM# 1000- �S - Subdivision: Zone: e''�IV Conforming? 'roperty Address: �� � City: Pre COs? Wilding Permits (Open/Expired): BP -Z/Go z- ,Info: BP -Z/C/o z- ,Info: !P -Z/C/o Z- ,Info: BP -Z I C/o Z- ,Info: BP -Z/CIO Z- ,Info: ►ugle& Separate Search Required? Y or N Determination: tEQ. Lot Size: ACT. Lot Size: REQ. Lot Cov. ACT: Lot Cov. tEQ. Front ACT. Front REQ Side ACT. Side REQ. Rear_PROP: Rear tEQ. Height. ACT. Height Est, 130 SIDS A�'�� 'roject Description:: Naterfrond Y or N? f yes, water body: Panel# Flood Zone: Bulkhead/Bluff Distance: WDITIONAL APPROVALS REQUIRED. ►uffolk County Health: Y or N- If yes, *Bed#: _*Date: / / *.Pere: it#f: Town Septic: Y or 14. - If no, certification required: Y or N Received: Y or N By: WS DEC: PRE-DEC 9nn5 Y or N - Date: / / Permit#: or NJ Letter—Notes: ►outhold Trustees: Y or N- Date: /_/ Permit#: or NJ Letter—Notes: )outhold ZBA: Y or N- Date: / / Permit#: —.Notes. wuthold Planning: Y or N- Bate: "/ . /� Permit#: —Notes: Cown Landmark C of A: Y or N DTE: / / *NYS CODE Compliance(page 2): Y or N dotes: .Ac 4� D r +ee Structure: Calculation: Foundation: 9-7o SF �70 SF X $ ��—$ `f 00 First Floor: SF + Initial Fee: $ �Lo o . ®v iecond Floor: SF +Additional Fee $ ither: SF SF X$ =$ total: SF / +Initial Fee: $ +Additional Tee. 0 O TOTAL: $ I 0 0 0 NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load:ZO Wind Speed: 1ZOMPH Seismic Design Category:B Weathering:Severe -Frost Depth: 36" Termite:M-11' Decay: S-M Design Temp: 11 -lee Shield Underlay:YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/RIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: YIN HEADERS: Y/N WALL STUDS:YIN GIRDERS: Y/N CEILING JOISTS: YIN FLOOR JOISTS:Y/N ROOF RAFTERS: Y/N LUMBER SPECIES AND GRADE: Y/N WINDOW AND DOOR SCHEDULE: •MISSLE TEST REQUIREMENTS: Y/N . EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: YIN MEANS OF EGRESS: Y/N P LUMB ING RIS ER-D IAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT:Y/N = l TRUSS DESIGN: Y/N CERTIFICATION: YIN ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) �w J/pKe \ .n T, \m 710 c 1•T �ITj PM �l q A• UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY 15 A VI0LA71ON Of ... •_..._ ..t:. _... _._. � ._ .. ._ `�-.-:_ _�.1._—_S - _. ....-.. ..__^_.__.__d+C310K-7Z04AF-A4E-NElet vcssr_ST?w._.� ..._._:_..-. __.� _... ._ _.._�.__ -.......,---._..._....--•--�--- � .• r ECU ATION LAW. _D a T 1 po 3Q CC I S OE TYI'SU:VET MAP NOT RFAWNG - QS \1 1 \OL*• - Q Ir It L E�v,:<]IWL D SEAL OR Of all �J-' 6•Z � Y.�l.•I/� OL Q FhC+::D s A S AL'A.T BE CONSIDERED N {� 4 °• �'� V ttD N� 1:.8'P.4 IL I•UE C07Y. y Qb O u �► = �� I 01:A A TL.L r.,,AT,D HEREON SMALL RUN ..,L S 113 0"1L:7H."a"N FOR WHOM THE SURVEY, r.l.A.v.A ..:. K.5 6l.AlE TO THE NOTE •: v p 71TIL W��n:.�••.I jViV MENIAL AGENCY AND .4 "M H_REON,AND =MONUMENT kG 2 E TO THI A"GrIL3 OF THE LU<DING INSTH SUBD/Y/SR7N MAPF/LED/NTHEO /CE J T .GJARANTEL5 A NOT TRANSFERABLE OF7NECLSWoieSUFFOLKCOUNTYON -ISM sfa 1918 •,TIOn RE TO A0.11IONAL INSIRUTIONS OR SUBSEQUENT ✓NNE22,1970ASF/LENO.5485.. o w -► cD w ' 0 0 a o m �+ REv1sloNs YOUNG & YOUNG O\� S'1o23 40 w `°t 23 v` JULY 12,1973 ALDEN W.YOUNGSTRANDER AVENUE, RIVERHEAD, NEW YORK NgwARD W.YOUNG JULY 2331973 PAOF9S8IOP A, ENGINEER AND -LAAW&SU""OTE ' LAND SURVEYOR.N.Y.S.LIC.NO,I2845 N.Y.S.LIC.NO.45883 ?. SURVEY FOR: INLAND HOMES,II+1C. i of N LOT NO. 24,°LAUREL COUNTRY KA'�I "PFuw y OG t °� AT A NTE G o A STREE LAUREL S ANK A TOWN of S cu ITY R ref CO. GIN SOUTHOLD do 4 3 _ SUFFaK CO., N.Y. BY y` SCALE: f" = 40E DATE:MAR.12,197, 7 -216 DIETZGEN 135 11646 �j NOTE ELECTRICAL LEGEND DOOR SCHEDULE WINDOW SCHEDULE ��" - , , U WW EX= ASEMENT LL WINDOWS EXISTING ~� O �r GFI � IILTJNTEF3F3lJP1 OOR # IDTH: EIGHT: OOR MAT'L. OPERATION: OCATION: ASEMENT O _ 1 �'-6" -8" OOD EFT ASEMENT ROUGH ROUGH - CTIDN�flX - AWNING SIZES OPENING OPENING UANTI MISC. NOTES DRAWING LIST O JB 2 -O 8 OOD EFT ASEMENT WIDTH EIGHT _ �zr 3 '-0" '-8" OOD IGHT ASEMENT A '-472'-6" — — EX ST. SINGLE UNIT O .r JB E CAF3 - 4 -6" '-8" OOD EFT ASEMENT B AN ERSEN CX14 V.I.F. V.I.F. I CA EMENT-EGRESS AQ 0-U-N AT- N PLAN SD � HAF�2DWARE. 5 -10" '-8" OOD EFT ASEMENT 3 EF AL SWITCH-AT_WALL. "BROAN" HEAVY D \ . _AN/L1.�HT WITH DU L1�C UNIT-, z �N U ^' T U � w CT1 _ W � N 000 U � N DINING ROOM KITCHEN FOYER_ BATHROOM (EXISTING) (E)<STING) (EXISTING) NOTE (EXISTING) Ht= \ \\\ CO-DE�C ESTG n \\ \� DESIGI`ra%l=OF=E ,COMPLY - KI4OWL-EDGE._—__ \.�c�\� �• \\ \ ``0 \\\ BEDROOM (EXISTING) REMOVE EXISTING DOOR AND ®SD(NEW) REPLACE WITH NEW INSULATED RAISED PANEL DOOR; 1 1/2 HR. F.P.S.C. / ^C - ®SD( vvl PROV.5/8"F.R.SHEET ROCK 1 GARAGE CEILING AND WALLS. J. ®SD NE ®SD(NEW) ` /� GARAG E 17 BEDROOM ( �' (EXISTING) � (EXISTING) so I i BEDROOM EXISTING FIRST FLOOR PLAN (EXISTING) � AREA = 1 ,448 SO. FT. { � 1'r�i`L,�' '•�rl.._t-i f_-, ..� 0*0r1ES Or ` NEZV Y�)i,K STF,'I & TOVI d COC7cs FINISHED BASEMENT AS PC Q U I R- E C Mr, - =�-,D.7U, .,-- 4'-9" X 14'-0" (EXISTING) JB O SA BOILER RM. I -($)JB 4'-9" X 14'-0" (EXISTING) ELECTr CAL APPROVED AS DOTED O INISPECT'ION REOUll n- ED CAVE P- NOTIFY EUII-DING DEPARTMENT AT A 765-'8G2 8 AM TO 4 PM FOR THE _oJB FULI.U,',r r' aG INSPECTIONS: UP a R. I FOI,NT,ATION-TWO REQUIRED FOR POIORED CONCRETE O ®SD(NEW) 1%I I 2 ROUGH•FR." iNG,PLUMBING, O STRAPPING ELECTRICAL&CAULKi G TION 0 ❑ ❑ ❑ SING 4 PSG_CONSTRUCTION&ELECTRI L _ PLUII BE COMPLETE FOR C.O. p ALL PLUMBING WASTE Al L CONSTRUCTION SHALL MEET THE W &WATER LINES NEED RFC"11R`~MENTS OF THE(CODES OF NE ccn TESTING BEFORE COVERING Yo"K STATE NOT RESPONSIBLE FOR N DESIGN OR CONSTRUCTION ERRORS. 3 BATHROOM 6'-2" X 9'-6" ( > >> (EXISTING) W W " ILUiV13 ii C:Ef T IFICATION / (7N LEA©CONTENT BEFORE :� � � Ow w w �R l' l :! , ��,RTf1'ICATE OF OCCUPANCY � �' � Z o 0 0 0 _ 1 9 ^JLDER USED IN WATER , J 6UPPLYSYSTEMCA=1t:%,10T 3" MIN. ELEC. CLOS. �� JB JB _._____ - FIN. GRADE " Cs�i�E L�2J10 OF 1% LcfiU. ak w O 17 W III 3'-O" X 6'-6 (EXISTING) ," „ V) � 0 10 -6 NOTE: O O O "DEADMEN" 4' �\ -CONTRACTOR--T--O— ARCH OTIEYSNHE ARCH IT �O N ' -I-�- (3 SIDES) I —B— I `' ( IT10L�1S._CLIEIITT_ =0 T. N HUV. I `: OP_OF 1[�[EL " SODEFJB:=GRA� : I �R:NEW WIND-OWASINSTALLED-- � - r I — — I �' ��v F �-DEAV9IL�OSIRPFOIFCCATION SCALE: Ov u ___ I EXISTING FOUNDATION PLAN l % f - -� 3" _ ; N. 3 BASEMENT _-- - 1LAlE=(R O_ I I — DWG. NAME: AREA 955 SO. FT. l __:r OFFICE SET H- P.-�6Nc:-Fc50EXISTING WALL TO REMAIN /, 4.27.07 � ALTERNATE- 'i �FADMEN"- _ y •� NEW RETAINING WALL FOR EGRESS WINDOW., CF17_ SECT. THRU FOUNDATION "AS-BUILT" WALL •`�--.."e---"'�� THESE DRAWINGS AS INSTRUMENTS OF SERVICE, DWG. NO.: � � �/ \,� ���✓�� ARE THE SOLE PROPERTY OF THE ARCHITECT.NO N.T.S;. REVISIONS,CHANGES,AND/OR MODIFICATIONS SHALL BE ALLOWED W/O WRITTEN AUTHORIZATION BY THE ARCHITECT. ANY REPRODUCTION IN PART OR WHOLE IS STRICTLY PROHIBITED BY LAW. LA- 1 'w e W W \ U u � U O � z 1 0 �I--�1 U z 3 � w � \ U � N gpo IN\immmom \� \ \, \, y m.., \ c \ 4, �O O. O. N O, O� 25 Ago W U � z 0 Lu W 0 2 � N Il cf) N � oW 0 LL gPSE. (YJ' Z W &C, cf) rr OEC, O ES'POo�- ZGO 8� g3 t9 NW y O O �O CA, SIYE SURVEY � 23 � 0 s• MAP OF LOT NO. 24 R FOR 23 -1,0 0 2�/ Z INLAND HOMES INC. \,o 'y SITUATED AT Gip LAUREL, TOWN OF SO UTHOLD W S UFFOLK COUNTY, NE W YORK y S. C. T.M. # ( --0- f =24e W O, AREA = 24,807 S.F. J_ 0 w11 �0 S 0° u 0 O p, W (✓' INFORMATION TAKEN FROM SURVEY PREPARED , , - ..>',r !;. ,� �;. . SCALE: BY YOUNG & YOUNG, RIVERHEAD, N.Y. .�>>!;;k MARCH 12, 1973 N.Y.S. LIC. NO. 45893 ill= DWG. NAME: SITE PLAN J: '. DWG. NO. -SIT