HomeMy WebLinkAbout24636-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26040 Date: 10/16/98
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
Location of Property: 865 LEEWARD DR SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 79 Block 7 Lot 25
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 29, 1997 pursuant to which
Building Permit No. 24636-Z dated FEBRUARY 4, 1998
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 ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AND FRONT PORCH.
The certificate is issued to MICHAEL PISACANO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-0176 09/30/98
ELECTRICAL CERTIFICATE NO. N 465783 09/21/98
PLUMBERS CERTIFICATION DATED 10/15/98 LAWRENCE J. LISO
uillrfi ng Inspector
Rev. 1/81
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD,N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date .....FW3.U!Q.RX........4........................... 19...99....
24636 Z
Permission is hereby granted to:
........ I CHAEL„P I SA.Q.A O„..(,A/,C,,,QLQEN,).............
P.O. BOX 193.1
.......5 UTHg1r;P,.MY—i157.i........................................
to......WN.ST.RIXT...A...N.GW..,Q.NE...5.TQ.RY...5.T.N.GIr.G...FA.M.T.4.Y...D.WF-L�I.-zN.G...WI-T,H...A.T.TAQ.HQ.D
............TW.Qi...GA.R...GARtq.GF'-0.19...APHJ.E)D... Q.R.,............................................................................
Amended 3-10-98 to a 2 story single family dwelling with attached two car
............................................. ................................................................................................................
„garage„and front porch.
............................................................................................
.................. ...............................................................................................................................................
at premises located at..................86.5.....LEEWARp. DR................................. ...EQUTHMJP...........
...............I....................;...................................................................................................................
County Tax Map No. ....473889„ „ Section ...079,,,,, ,,,, , BIoGk .....R.Q.4.7........ Lot No. .4?2.5...............
pursuant to application dated ....DECEMHER 2,q...:...................... 19......97...., and approved by the
Building Inspector.
Fee$......563.;BO.....
+ iz�.Rn
S687.6n
Building Inspe. for
Rev. 6/30/80
C O L"m LV O. U
TOWN OF SOUTHOLD
d
u BUILDING DEPARTMENT
TOWN HALL
OGT 6 NO 765-1802
BLDG. DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY
T WN F S UTHOLD
A. This application must be filled in by typewriter OR ink and submitted to the buildin;
inspector with the following: 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 buildir
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 an
"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 a 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 $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy -
4. Updated .Certificate of Occupancy - $50.00
5. Temporary Certifica a of Occupancy - Residential $15.00, Commercial $15.00
Date . . . ... . . .. . . ./�7 . . . . . . . . . . . . .
New Construction. .. . . .. c Old Or Pre-existing Building. . .. . .. . .
Location of Property...A.�l.. .. .. . ..... ..C , . . .�`�.: . . .. Ci17 fr:L::� . . . .. . . . . . .
House No.
�, �� Street Hamlet
IE
Onwer or Owners of Property.. i :1�v` . . ,prS�� U . . . . . . . . . . . . . . . . . . . _ _ . . .
County Tax Map No 1000, Section. . . . . . .. ..Block. .. .r. . . . . . . . . . .Lot. . .�. . . . . . . . . .
Subdivision. . .. .Filed Map. . . . . . . . . . . .L t. . . . . . . . . . . . . . . .
Permit No.,)Y�!�6. � . . .Date Of Permit. . �f .7 . . .Applicant. . . . .
C
Health Dept. Approvale�.lO . ... . .. . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fe Submitted: $. . . . . . . . . . . . . . .. . . . . . . . . . . . . . _
CJ�o -;-2- Vo�-J . . . = 2 . . . . . . . . . . . . . . .
(Q G 9�2_6 6 APPLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE '
1135021 BUREAU OF ELECTRICITY
F_ 40 FULTON STREET, NEW YORK, NY 10038 NO
SEPTEMBER 21 1998 16135098/98 N 465783 No
Date Ap lication �12?146
THIS CERTIFIES THAT r RMIT KQ
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of rM
Ka
MICHAEL PISACP-NO, 865 5 1I LEEWARD DRIVE, LILCO POLE # 7, SOUTHOLD, NY ,I
in the following location; u Basement ® 1st Fl. 11 2nd Fl. GAR/ATTIC/OUT Section Block Lot Ka
was examined on SEPTEMBER 14,1998 and found to be in compliance with the National Electrical Code. 110
NO
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. I K.W. I AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P.
1[a
28 54 44 26 2 1 9.5 1 1.2 2 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
- SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS I(a
3 F 1 ER 12/.' 3 - 1
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO.OF CC COND. A.W.G. A.W.G. A.W.G.
M
TAMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL
200 CB 1 X 1 210 1 2/0
OTHER APPARATUS:
WELL PUMP-F-1
G.F.C.I:-5
SM61M DETECTOR:-6
THREE "C" ELECTRIC LIC.#3327 E L
RT.#1 BOX 45M SOUND AVE
RIVERHEAD, NY, 11901 GENERAL MANAGER
11 Ka
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
765-1802
BUILDING DEFT.
.INSPECTIO N
[ FO �IDATION 1ST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REM RKS:
All
DATE Y � J�� INSPECTOR _
v
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUG LBG.
[ ] FOUNDATION 2ND [ ] IN CATION
[ ] FRAMING FINALlee
[ ] FIREPLACE & CHIMNEY
REMARKS: xz/fi2 /�o�<
ell
DATE A9/7/7 INSPECT
165.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ � FRAMING [ vi"FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE a/ y�INSPECTOR_i�E��� ����
Ern �ia��fir�.
765-1802
BUILDING DEFT.
INSPECTIO
[ � FOUNDATION iST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE / ff INSPECTOR__iy� (/ /✓�
T65-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION 1ST [ ] UGH PLBG.
[ ] FOUNDATION 2ND ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLAg" CHIMNEY
REMARKS: Vo 7'z- g�j
lj
DATE INSPECTO
U
70-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ATION
[ j FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS•
/,,1A 12,
DATE INSPECTOR
,65.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUG LBG.
[ ] FOUNDATION 2ND [ ] 1 CATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS•
d��2
- L
72g
DATE le INSPECTOR
360
765-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE INSPECTOR
3
765-1802
BUILDING DEPT
INSPECTION
FOUNDATIONIST ROUGH
FOUNDATION2NDINSULATION
FRAMING FINAL
FIREPLACE & CHIMNEY
REMARKS
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Town Hall,53095 Main Road y a Fax(516)765-1823
P. O. Box 1179 �O • Telephone(516)765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE:
Building Permit No. y�36
Owner: Ii�/�G�fizi�/(�
(please print)
Plumber: 7,
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plu ers S ' gnature)
Sworn to before me this
day of 19 9T
Notary Public, �(/ ��i County
DOLORES L LW
NotaryPokS wdNowyo*
0jdhd
Co OeE*in�Od.3�t
ij
�ee
June 1, 1998
Town of Southold
Main Road
Southold NY 11971
RE: MICHAEL PISACANO
PREMISES: LEEWARD DRIVE, SOUTHOLD
Dear Sirs:
With reference to the above, please be advised that the undersigned will use his
best efforts to apply for a variance with the Zoning Board of Appeals (ZBA) in order to
satisfy the requirements of the Town of Southold Building Department.
If said Variance is not granted, then the undersigned will reduce the set back to
conform to the 50 feet as required by the Building Department.
Cows'Vz0Cr7C-'V tuic-f
W VJ0 wae'-bc `U-G BE bav-'f 0.-J 'rke—
1rn
Sincerely,
MICHAEL PISACANO
SWORN TO ME THIS 1st
day of June, 1998
ONOARY PUBLIC
JEANNETTE M.COONS
Notary`Pubrib.Stawof W*y&k
No.OIC06005734
CCommissio ExpirSuffo Ca'nry DOD
Expires Aprir 2!'Jb�.,..,.
APPEALS BOARD MEMBERS FFO
o�O%,S I/(C� old Town Hall
Gerard R Goehringer, Chairman ��` L t 95 Main Road
c O. Box 1179
James Dinizio,Jr. r. s:. �.. �T, utllo , New York 11971
(S16) 765-1823
Lydia A.Tortora - 01 �0� Telephone(516) 765-1809
Lora S. Collins
George Horning BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS, DELIBERATIONS AND DETERMINATION
REGULAR MEETING OF JULY 23, 1998
Appl. No. 4588 - MICHAEL PISACANO.
PROPERTY LOCATION: 865 Leeward Drive, Southold;
1000-79-7-25.
DATE OF PUBLIC HEARING: July 23, 1998
FINDINGS OF FACT
PROPERTY FACTS/DESCRIPTION: This property is located on the
northerly side of Leeward Drive, Southold, and contains a total area
of 40,205+- sq. ft. The survey map submitted under this
application shows that the subject premises is improved with an
existing foundation, constructed recently under Building Permit No.
24636, in a new dwelling project.
BASIS OF APPEAL: Article IIIA, Section 100-30A.3, based upon the
Building Inspector's June 15, 1998 Notice of Disapproval for
permission to reduce front yard setback from 50 feet to
approximately 48.5 feet, for the "as built" dwelling foundation.
AREA VARIANCE RELIEF REQUESTED BY APPLICANT: Applicant
is requesting the location of the existing foundation which is
located as shown on the April 6, 1998 survey prepared by Anthony
W. Lewandowski, L.S. at 48.5 feet from the front property line.
Approximately 17 inches of proposed porch area is the relief
requested.
REASONS FOR BOARD ACTION:
1. Grant of an area variance will not produce an undesirable change
in character of neighborhood or a detriment to nearby properties
because a decrease of 17 inches from the code-required 50 foot front
yard setback to 48.5 feet will not affect surrounding properties.
2. The benefit sought by the applicant cannot be achieved by some
method, feasible for applicant to pursue, other than an area variance
because the foundation has been constructed and applicant has
testified that it would be extremely costly to rip up the foundation
and reconstruct it to cut back 17 inches.
3. The requested area variance is not substantial and represents
a three-percent reduction from the code-required 50 ft. front yard
setback.
Page 2 ZBA---App1. No. 4585
Re: 1000-79-7-25 (Pisacan;o)
Regular Meeting'of.July 2S; 1�`98
4. The proposed variance will not have an adverse effect or impact
on the physical or environmental conditions in the neighborhood or
district because the relief sought is minuscule.
5. The situation has been self-created.
In considering this application, the Board deems .this action to be
the minimum necessary and adequate, and at the same time preserves
and protects the character of the neighborhood, and the health,
safety, welfare of the community.
RESOLUTION/ACTION: On motion by Member Tortora, seconded by
Member Dinizio, it was
RESOLVED, to APPROVE the variance, as applied for.
VOTE OF THE BOARD: AYES: MEMBERS GOEHRINGER, DINIZIO,
TORTORA, COLLINS, and HORNING. his Re n was my
adopted (5-0) .
GERARD P. GOEHRINGER, CH MAN
Approved for Filing 7/25/98
AS400/Actions.all/79-7-25
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
998
DATE: . . June. 1 1. ._ . . .... . .. .
To . Michael Pisacano - -(A/C Robert Olsen)
. . . . . ... . .. ... . .... . _.-
_.E.0%.BQ4.1Q31.. ...... .. ........... .. .. .
Southold,, New York 11971
..... .. ....... . . ... . ...... .. .. .. . ... . . . ..
PLEASE TAKE NOTICE that your application dated . .. December 29 19. ....
for permit to construct
... ... .. . .n- w-single-family dwelling - - --- -- -- -- -- - -
at. ..
Location of Property ...-865--- --.- -. .. L_.. _..ward Dr_ __ _____ _ _____ Southold.. .. .. . .. . .......
j
House No. - Street Hamlet
County''Tag Map No. 1000 - Section ..79..... ._ BLOCK ._7...... . LOT .25 .. ...... .
Subdivision ......... ........ ...... ... .. ... Filed Map No. . ........Lot No. .. .. . . . .
is returned herewith and disapproved on the following grounds ...... .. ....... . . . ... .. .. .
Under.Article. - -IIIA: Section100. - _ - - .30A.3of the Parking .Schedule an- - •- • • - --•-
R-40 Zone minimum front yard setback is 50 feet. Setback of under construction
.. ..... . ....... .. . ... . .. ....... ... .. .. . ---.......-- ------- ..._. ...... . . ....... . . .... . .. . .
as built foundation is at 48.5 feet.
.. .............. .. .... . .. . . .... .. .. ............... ......... .................. ........ . . .
y
.......... . .... .. . ............. .. ...... .................... . ......... . .............. . ...
.................. .... .......... .. ............ ....... ... .............. ...... ........ .
.................. ... ........ .... .. ......:............ .... .. ............ .. ....... ..... .. .
................... .. .... .......... .... ............ .. ..... ... .......... .. ........ .. .. ...
............................ ... ...... . .. ........... .. . . . . . ... ............ .. ... ..... .... .
. . . . . ............. . . .. ... ..... . .. ..
... . ........ . .. .. . ..... .... .............. ... .. . . . ...... . .. . ........ .. . . ..... ...... . . . . . .
� +r
. �. . ...... ... ..
BIIILDING INSPECT
RV 1/80
o��g�FFO�,�coG
y<
Town Hall, 53095 Main Road y Fax(516)765-1823
P. O. Box 1179 Telephone (516)765-1802
Southold, New York 11971 �� • ��
�01 � Sao
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
STOP WORK ORDER
TO: Michael Pisacano
A/C Robert Olsen
Oaklawn Avenue Ext.
Southold NY 11971
YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT:
865 Leeward Drive, Southold
TAX MAP NUMBER -1000-79-7-25
Pursuant to Section 45-8 of the Code of the Town of Southold,
New York, you are notified to immediately suspend all work and
building activities until this order has been rescinded
BASIS OF STOP WORK ORDER:
FOUNDATION LOCATION DOES NOT HAVE REQUIRED FRONT YARD
SETBACK OF 501 .
CONDITIONS UNDER WHICH WORK MAY BE RESUMED:
WHEN THIS ITEM IS CORRECTED
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or bot
DATED: 5/19/98
i
S\IFFQn k�.
cm 1
Town i I 5 Main Road O ( Fax (516)765-1823
1 Or Box 117.9 v y� f ` I� Telephone (516)765-1802
Southold, New York 11971
1
- OFF
ICE OF TH ILD G INSP ECTOR
TOWN OF SOUTHOLD
STOP WORK ORDER
T &101W
YOU ARE HEREBY NOTIFIED O SUSPEND ALL WORK AT:
vd
TAX MAP NUMBER
Pursuant to Section 45-8 of the Code of the Town of Southold,
New York, you are notified to immediately suspend all work and
building activities until this order has been rescinded
BASIS OF STOP WORK ORDER:
. CONDITIO S UNDER WHICH WORK MAY BE RESUMED: 40
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
DATED:
r
FF014r
Town Hall, 53095 Main Road y Fax(516)765-1823
P. O. Box 1179 Telephone (516)765-1802
Southold, New York 11971
col � Sao
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C
1
V` 4
V ri�i C
BOARD OF UEALT11 . . . . - - - - -
FORM N0. 1 3 SETS OF PLANS . . . . . . . . . . .
U LI 15 TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . .
DEC 2 g TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971 L
'i TEL: 765-1802 NOTIFY:�� t. �0 -�,,
BLDG. DEPT. C�
1. TOWN F S UT OLD CALL70
. . . . . . . . . . . . . .
Examined.:� 19.... ll MAIL. TO: . . . . . . . . . . . . . . . . . . . .
��0��
Approved... ..�.�..���..., 19.... Permit No. .............. .....................................
Disapproveda/c ..... . .. . ... .� ....................................
(Building Inspector)
A LICATION FOR BUILDING PERMIT
Date- .b:�r- Qrr:
INSTRUCTIONS
a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit:
3 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 lxil)lic
streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of
this application.
c. 1he work covered by this application may not be camenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
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 whatever until a Certificate of.
Occupancy shall have been granted by the Building Inspector.
APPLICATION IS UEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
ibiilding 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, huilding 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)
/..'500T atJ......�1 ?�-
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer,•gene-ral contractor, electrician, plumber or builder.
.........M.I.C. `_ W..•.�:.�,S-.........................................................................
Nameof owner of prenises .. 4i2 C L.5 v............................................................
(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. ........................
1( £ �� i�l.t:1✓� utl
Electricians License No. ....................`ttiacE' L e L',E&rp t✓
Other Trade's License No. ....................
1. Iocation of land on which proposed work will. be done... �....... ...�{U F—
....... _...
.......................................................................................................................
House Number Street Hamlet
County Tax Map No. 1000 Section .....f..�7........ Block .....Q.7....... Lot ....e2..�........
Subdivision..(�P.(?- S'. ..,J U� Filed Map No. ............... Lot ...J..........
(Name) "
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...�t���../:��`�..................................................
b. Intended use and occupancy -S �? ...,C.i 1;17/Z y... P;v r f:/� ....••............•..•.
3. Pature of work (cIwL wiricli applicable): New Ihiilding _. .._.. Add t ion .....__ M .rrAll'erat ion _ �7 '
-- _— .k—�•� ;� a
Repair ............ Rewwal ............. Demolition ............ Other Work .... !..::1...................
.(DescripuGi ) .f.-l�
4. Estiuratecl cost.) OCC>,_�`�....... fee ........................... .....................
i
(to be paid on filing this. application).` �.a
5. if &Telling, rxxdber of dwelling units ...l!_Ng.. dumber of chaelIing units on each,floor
If garage, rxnber of cars .....o 0 1&. ........................
G. If lxcsiness, coinnercial or mixed occupancy, specify nature and extent of each type of use......................
7. Dimensions of existing structures, if any: Front.....:...`...".... Rear Depth .................
lleigtrt ..........�........ Nu..... ni)er of Stories .....................
Dimensions of sane structure with alterations or additions: Front ............... Rear
Depth .................... lleiglrt ...... ............. Nuober of Stories .:-E��Z........
8. Dimensions of entire new construction: Front ................ Rear ............... Depth ....... ..
lieigl�t ......................... Uni)er of Stories -�..U:N ........... G� o
9. Size of lot: Front _____(_7� .... Rear ._..P2-70.�........ Depth lf...�L `
10. DaLe of Purchase ._ a�...9 .._... Name of Fonner 0,*. . O... J S_tR�_ ...................
11. Zone or use district in which premises are situated ... 'i�.�l? ✓'`:1: .......................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .:" g.................
13. Will lot be regraded .................... Will excess fill. be removed from premises: YES G
M. Names of Owner of premises ..YEW.................... Address .............................. Phone No_ ..............
Name of Architect ..-?F�-t-.AI-f...�-(�M.(3EZZ--..... Address ........... Phone No. �1�:�!(....._
Nam of Contractor ..................... Acklress ...............................Phone No. ..............
15. Is this property within 300 feet of a tidal wetland? * YES .......... N0 ..-X ....
IF YES, SOU11KID MM 18IJS1—3 PE1;Hrr MAY BE REQUIRIM.
PLAT DIAGRAM
incate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and block rnnber or description according to deed, and show street names and indicate
xAiether interior or corner lot.
MYVIli (V NV YORK,
OlRIN1Y (7[' r�../.V.l SS
�..C_�r� ��!........hein= duly sworn deposes and sa s Lhal he is Lhe a LicanL
----------
- _____ -- g Y � f Y Pp
(Mom of individual signing contract)
above wiled,
Ile is Lhe ..... ....................
rnrtractor agent, corporate officer, etc.)
of said owner or aril is duly authorized to perform or have performed the said work and to make and file Lhis
application; that: all statements contained in Lhis application are tn)e to the best of his knowledge and Ixil.ief arxl
that Lhe work will be performed in the mrnner set forth in the application filed therewith.
Sworn to bef q me this
Notary l3 lic �. ...:... ....... Gam/ ..................
Ld (Signature of Applicant)
1r �arYak .`
ENERGY CODE REVIEW
(non-electric)
7814 (Part 5) 6,000 degree-days
vpU
For -� Per Dwgs 0 �' ICJ /
Dated S�T� 3�6�f'Cj'
----�
Envelope Component R-Value
.Exterior Wall R-18
Rodf/Ceiling R-19
Floor R-19
Foundation Wall R-10
Slab edge Insulation R-10
Glazing R-1 .7
Entrance Doors R-2 . 5
All HVAC Equipment to meet requirements of 7814.11
All HVAC Control Systems to meet requirements of 7814.12
All Duct Systems to meet requirements of 7814. 13
All Ventilating Systems to meet requirements of 7814.14
All Piping Insulation to meet requirements of 7814 .15
All Service Water Heating Systems and Equipment to meet
requirements of 7814.21
All Electric Systems to meet requirements of 7814 . 31
To the best of my knowledge,
belief, and professional
judgement, these plans are
in compliance with the code.
��pF NEW),,
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0322541
A�OFESSt
0
MAR 6 P"oa F:_.
Unwthori28d atteradon'oi�ddjtlOfl
tZ
to US survey,Is aviotation of .;.
_[. S0CWn 720s 010W INm y/ark 3riM -
( - Edum§m Lw:
/ Copbs of tidhwtr�ttl+glt Wii+O
die bed MNtA�OH fytr/Md Cr
embDmuWu l/rraf boudbrM
� 1 Gwrrw�tlrr�ortal/Ilidw�tMipn
� only
ny bP�Pt�.arrdM!N.%#wmftr/1@ww
W&col q.e,,,ooNrtttwrd a
• GuararrOWrannot
• to addidonW insdiudons or iulfmpm
. - -- owners.
yDC/�L` �ggp LApOLE
-- Wet-I- A �0� pO� C
L 9
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°� N - • � � ��' -yam`'
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_�r0 COUNTY DEPARTMENT OF YMALTH SERVICES
a u v/ FOR APPROVAL O�Coi� �3C�Oid FOR A 111 �� � G•�, g�
a SOY ONLY '1�('1•?a. `� �� /G6
� Rio-�� -0/�6 ►V � �Q�°I��� -�,t' ���
ATE
Lle z z �77
-.1yd i93 � ,� � �4 / � SU'IfC{it tiL7LlPlty
j s � n ®: _A O APPROVAL _ DEC 19 1997
EXPOUTE - - _
'b_
Dept.Of Health Services
e �
�K1 W'riL Office Of wastewater Mgmt•
1 40 - _
n �
�u eYer'�'F'o�e•Apll kslwL 051vCAN®
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—
' �' L.9ivo�vev�yoe �ATE.NovP.H�,e9/99�
����i�.e0 ,w P.o• Moto •s!
��T ��/
Unauthorized alteration or addition
to this surrey Is a violation of
Section 7M of to Nstr York Stet•
Education law.
lcoal..Of*ft«.r.ya WMtb9oft
the land vzm;m trt W aw a f
ontbosaW and andrmwaltMeat.e
1� to bo a tatHUai aW
1 my Oudpao�oe�ttt�*UM�art�t�m
is PreAwd.arreoetb4MlM/�tAa
title canpary 0 ana
'�' lending tnasloaan Illsd hMaaet d
to additional kv;dwtiorti or subMqusnt
owners.
'�1 2 yt/ELL ��gED LAjVD
Letw,9r� 9��►
Cb
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K1 It i Boa p�
N3 Q 5
ty
Al -iv
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0 ��.erecYFo�e• /YI/Ch/f�EL 0/5�C.9�0
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LA�vo.�U.evEYoe ,DA�E./�ov���.e9�99>
_ TirGE a, A/a
- Unauthorized alteration oraddigon
to this survey Is a violation of
Section 720E of ft Wr ysrk Strata
Education last.
/ copl.s olti.n„q►tetB,noee�big
the land sirvsyars rtl.d«.lor
embossed aw idW MItsp61�tr0
• to baavddtnrattrA
Guam , MR Mam itdim
only to flitP*nMbtElio fMi @Uny
is prepm4 ardoamsL4tiHalNti"
We eotigarry,oeeneitiwnd dtd
3 ...—Is iratitutlo,i l7fad hsilpllalld
to ttr assEytisss d dta bnft koftd&i.
Guarantees are not ranch Wlft
to additional institutions or uabisqustd
owners.
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aradier cc rti,e<<��t°ri:. a�w q-or nl cr u`ercias and found to
C N
is:ac ,ry FOR P ,mAXM/PJm OF � i3 R4ui+K5. tV
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O V :)ffl, e Of health
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