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�(C1 (� r BOARD HEALTH 0,1. . . . . . . . ..
D 5'1.�1�i.. FORM NO. 'A 3.,SETS,,
°PLANS . + . .
TOWN OF SOUTHOLD SURVEY_ ,td" ,i . . • • .
2 g BUILDING DEPARTMENT CHECR7*'1 j��: . . . . . . . . . . . . . . .
TOWN HALL 5EPTIC'FORM iS+'. .. . . . . . .
: . . . . .
SOUTHOLD, N.Y. - 11971
%
r BLDG.DEFT. .
UTHOLD
TEL: 765-1802 NOTIFY:
` CALL . . . . ..
Examined... ...../.lO.. 9....
MAIL to: s . . . :: . . . . . . .
. a �:':19. ; 7
Approved— ..., 19.:.. Permit No; ... �Yy'�i+ .............. ..:.........
Disapproved a/c ...............4........ ...... .... ...............................
. .... .� ....... .....
(Building Inspector). P
PPLICATION FOR BUILDING PERMIT
..Date. .I.9an44$KY. 7. , 19 9 a. .
INSTRUCTIONS
a. ,"Ibia application not be conpletel.y filled in by typewriter or in ink and submitted to the Building Inspector with
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship gEo'''adjoining premises or public
street -4? areas, and giving a detailed description of layout of property must drawn`.
on,the diagirsm wthich is part of
this application.
C. The work covered by'this application may not be commenced before issuancs'of Building Permit`.'
d. Upon approval of this application, the Building Inspector will issue a Buildicig`.Pehmit,to the applicant. . Such
permit shall be.kept on the premises available for inspection th=4ut the work'."'
e. No building shall be occupied err used in whole or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector. ;'; ,���`, Y
°AmICArICN. IS 11EMW MAIL to the Building Department for the issuance of a Build(ng Permit pursuant to the
1k."ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and otherra;p'l1cable Laws, Ordinances•or
Regulations, for the construction of buildings, additions or alterations, or for remaval'6k.demolitioni as herein
described. The applicant agrees to comply with all applicable laws, ordinances,'bu dii�gcode housing code, and
regulations,fand to admit authorized inspectors on premises and in building for ssaiy i tions'-
.
ions.. . .. ... ....•.............
(Signature of applicant,.or nsine,.if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer,•general contractor, electrician, plumber or builder_
................................................ ............ . . ; ..................... ..
Name of owner of premises ....................... P.5 E 9 e..$....Arid :B eX tX LCV.H1. II1311..........................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.................................................
• . . ••.•..•.•••...•.'.
(Name andtitleofcorporateofficer) a
Builders License No. ...rlszt..$I:��Ced. @t s
Plumbers License No. ...nat..selec:.ed..yet
Electricians License No ncLt..select_ed.yet
Other Trade's License No. ...nC)t..sP_1rcted yet
I. Location of land on which proposed work will be done. .......................i.
.....................................9Xkttgi?-9.)�W)?..............i ..:.:t•':. O1a.t ......... .......
House Number Street Hamlet „,
County Tax Map No. 1000 . Section ....0.70........ Block .............11. Lot :i i it>'3 Q5l i
�t� ' �+til
&Mvision ...................................... Filed Map No. ............+• .ot':i..1.�:..:.+...
2. State existing use and occupancy of premises and intended use and occupancy ofr .constructioni
a. Existing use and occupancy I..............A illg l F aiIa 1,y..H"Ps j-d. .n 6A .'.r.. ..... ::. ...
Single Family Res d�I Ve'� Fj (4 MAIM ...
b. Intended use and occupancy .....................................414t.r:..L>. 1( ��t.�.h✓t
' .,Q'�,'Q6 r1z1QnAt�"1 ttpi0hlirvth'p�
ful
1111
3. Nature of work'(dmeck Wlmtdm applicable): New Iinilding ...... . Addition ..x.. }}teration ....X.
l l` ' Demolition'
Repair ,:.'i r t •,;, Remoova�t l .p .. ..... Other Work .I
- � �:�ti.✓+a�,id'�>�� � Ped i ,; .�lM►y-4�..4. Estimated Cost GAc ` .. ... fee .
.... .. ..
(to be paid on filing thI 11+�d bti 1.0 ok"
5. If dwelling, nu,iier of dwelling units .... tiurber of duelling units on each floor ................
If garage, mmber•oft
6. If business, oamereial'or nmixed occupancy, specify nature acid extent of each type,of use.....,. .......
,
7. Dimensions of existing'structures, if any: Front......65....... Rear ...fi5......... Depth ....,_46........ ,
lleigitt .:.23... .,`..te, 4; Number of Stories .... . .1. ..
DImensions Of sone structure'with alterations or additions:• I+ront ...... ...... Rear ....,.6 a......
Depth .....36..; :.; `lleiglrt' ...,,:23 ..... Ntnber of Stories ....1. ........
8. Dimensions of entire near construction: Front ,, ...... Rear ......:........ Depth ..........
Heiloat .•,.,. ,--:lir i*,., Umber of Stories .....................
9. Size o lot Front 16£L.7,6,.......... Rear .158.......... Deptlm .1.65,.7.5n...17.?_ 2 2 S
10. Date of Purdmase ... . Nate of Former Owner ....... ............. .
II. Zone or use district in Whicit'premises are situated ...........R4 Q...............................................
12. ` Does t projxrsed`cxiiistruction, v16late any zoning law, ordinance or regulation:' .. rio. ,:..:.'•. ..... y
13. Will lot be regraded ui3 1 l.:lr,r r. m ,. Will excess fill be removed from premises. YES NO
14. Names of`Owner'of lnees,,$ 1.1, .: :,, :.... Address $coat.•9 6.8,..South.o ld. Phone No. :"5 4.2 6.8.....
Architect ;` *1kt ,7CXlg .. Address BO,X,.1�.12..SALLthA713. Ptwre No.76.55.455.....
Nate OE Ards ! •e ,•,,,,,,..,
, �1 ffEC
Name otraC
Address .................. ...........fwne No. ..............
15. Is this property within;300 feet:of a'tidal wetland? .* YES .......... NO .... .....
*IF YES, SOUIIIC><D TOFN MMM9 PERMIT MAY BE Rl. JIRID.
x}+p`[,A i (r.a PLOT DIAGRAM
c�44!1� t1°t'p
Locate clearly and distinctlyall buildings, whether existing or proposed, and indicate all set-back dimenaios
from property linei.,:Givestr+eetlinA block number or deacription •according to"deed, and show street names and indicate
%Abetimer interior or-corner,,lot `u
SEE ATTACHED
a:
Slur, Or. 1AW Yom(, .
SS I
axiNtY cls .SIIFF.OItK.. ..
........GARRETT..A:».STRAMr... :.......... ........behq; duly swor), delx)ses amxl says that lie is time applicant,
(None of individual signing contract)
above named, I
Ile is the ............. Architect/Anent .
(Contractor, agent,.corporate officer, etc.)
of: said owner or owners, soul is duly authorized to perform or have performed the said work and to make and file this
application; th' all:statements`contained ,in this application are tnae to the best of.his knowledge arxl:.beliefi arxl
that tie work will be perfom6d,.,Wthe manner set- forth in the application filed therewidt.
Sworn to before me this "'.110,
....27t *'•rR•day oE+ Jan"lla] Y, ..19gg, 7
...
Notary INiblicB r s
NOTAc Y •I*.i ' ..................................
•( ignat:ure of Applicant)
CotnmiWora " ,d5 > '
. pF SO!/ryol
� o
Town Hall,53095 Main Road Fax(631)765-9502
P.O. Box 1 179 G • Q Telephone(631)765-1802
Southold,New York 11971-0959
Cn
VU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
October 16t11, 2006
George Small
P.O. Box 33
Southold,N.Y. 11971
RE: 575 Critten Ln. (addition)
SCTM# 070 0011 005
Dear Mr. Small,
Please be advised that your Building Permit#24679 issued February 17th, 1998 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit,please submit a fee of$75.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions,please call us at 631-765-1802.
Respectfully, J E p
SOUTHOLD TOWN BUILDING DEPT. 7
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TITLE
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SCALE REVISED DRAWING N° j
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FOUNDATION NOTES:
1. All footings shall bear upon undisturbed soil, having an assumed
bearing capacity of t1;888 P.S.P. Bearing capacity of soil to be
verified by the Contraictoc prior to placement of footings.
2. Contractor is to verrify all field conditions prior to beginning of
construction and is to report any and all discrepancies to the
Architect. TITLE
�,v"'1'� 1✓i C/ A G JI`� I h� b l-T E-
3. All construction rills conform to all stele and local codes, latest
12f- �� 1 NJ ✓ 1 ' � editions. � 1-4 1!-:-
4. 1
All concrete construiction shall conform to the American Concrete M 7 e ■ "PChi � �--�/�` ��--- L__ V�_t_;, !:.-) I ���^ f _A l' El.
Inatitute'a 'BUILDIW; CODE REQUIREMENTS POR REINFORCED CONCRETE', ACI
318 latest edition. arch
� � ; tect LOCATION �.7 G�i_t._T 1:_-e-1 �� �1�. Ir-..l f.._
5. All masonry work shhall conform with 'NATIONAL CONCRETE MASONRY �� L-1 -T 1-4 c7 L_--T->, 1 J E-\N/ Yid k"t�iG_
ASSOCIATION STANDARDS" latest edition. SCALE' A� �v„r�.�. REVISED DRAWING Na
6. The ultimate compresaiive strength of concrete at 28 days will ber P �• Box 1412 Southold N.Y. 11971
Poundattion If Footings - 3,888 p.a.I. DATEq/�A�GN '`j4Ra /� _
Floor* f Slabs - 2,58/ p.s.i. 516 - 765 - 5455 DRAWN BY f �
7. All concrete slabs willl have expansion or control joints as required.
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_ _
2 Southold N.Y. 11971 DATE
7/^kC-,e, t "I?.I
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(� T-, .. ___ _-- --. _ __ __—__.. — �_ ____� __ r �- - _ __. ___ _-- _--� 516 - 765 - 5455 DRAWN BY
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_ Z._ �. 5\YI►tdl +.. /M h �- , �T_ �� i 1 GLAv i7V�►. I >� Z -� i o /L 1$ �� . �/.in�a, w,4/^rmI'A
C —c,y> /U v e:_Tt --- --_ - - _ _--, 1_ _ - - - — -- -- - -- _ _ ROJECT N- L?�
h\V1r.IGl
F
E,
SURFACE MOUNTED INCANDESCENT FIXTURE - PORCELAIN LAMP HOLDER
OR ASS SELECTED BY OWNER. 1 . All work shown on Electrical drawings is diagrammatic . Electrical 9 . Electrical Contractor shall provide adequate receptacles and 1. Contractors work is to conform with all local ordinances & New York
- - --- - - �- Contractor shall coordinate his work with that of all other trades . Do connections for all appliances as well as venting of clothes dryers and State Building and Energy Conservation Code, Latest Edition.
RECESSED INCANDESCENT LIGHTING FIXTURE - HALO # H-7 WITH # 410 TRIM not scale drawings for outlet locations, verify all outlet ,and exhaust fans to the exterior of the building.
( H-17 - 720 W.P.) OR APPROVED EQUAL. equipment locations with Architectural drawings and Owner prior to 2 . Electrical, Plumbing and HVAC work shall be governed by all National,
RECESSED INCANDESCENT LITTLE LITE FIXTURE - HALO # H-9 WITH commencing work. 10 . All kitchen, bathroom, powder room and exterior receptacles to be State and Local codes, Latest Edition.
# 93 TRIM 50W R20. G.F. I . devices.
- -------------- - --------- -------
-- 2 . All Electrical work is to be done by a licensed electrician and is to 3 . All connections of water supply lines are to be made with 95 5 solder
Q RECESSED INCANDESCENT LIGHTING FIXTURE WITH EYEBALL - HALO # H-7 WITH
# H-78 TRIM OR APPROVED EQUAL. comply with all National, State and Local codes in addition to 11 . Provide "Decora" switches, receptacles, CATV and telephone devices with as approved by Suffolk County Department of Health Services.
- -- Underwriters standards as they apply. respective covers in colors as directed by Owner. All recessed PA
00 00 VANITY LIGHT FIXTURE lighting to be on dimmer devices. 4 . Contractors shall verify all field conditions and dimensions, and will
AS SELECTED BY OWNER - 3 . Electrical Contractor shall coordinate modifications to electric be responsible for same. Any discrepancies shall be reported to the
' 1 EXTERIOR WALL BRAKET FIXTURE --- --- ----- service, installation, service equipment and details as required and 12 . Provide all telephone wiring, outlets and service requirements as the Architect immediately.
AS SELECTED BY OWNER approved by LILCO. Provide seperate service for new addition. directed by Bell Atlantic Telephone Company.
150 WATT PAR EXTERIOR FLOOD LIGHT FIXTURE 5 . Contractors will cooperate with all other trades and Will complete
OR AS SELECTED BY OWNER 4 . Electrical Contractor is to upgrade as required the existing electrical 13 . Electrical Contractor to prewire for CATV, intercom and fire/security their work in accordance with best standards and practices.
-- - ------------- ----------- ----- - service. systems as directed by Owner. Provide and install centrally located
EXHAUST FAN DUCTED TO THE EXTERIOR - NUTONE QT-110 door chimes with two (2) call locations as directed by Owner. 6 . All dimensions are nominal and take precedence over scale. All
lLy OR APPROVED EQUAL. 5 . The existing and new main electrical services and meter pan is to be abbreviations are standard.
WALL MOUNTED SWITCH ROCKER STYLE "DECORA" SINGLE POLE relocated as required and as directed by the Owner. 14 . All fixtures are to be equipped with "watt miser" lamps where
OR 33-WAY As sxowN. applicable. 7 . All items of work on the drawings are new, unless otherwise noted.
- WALL' MOUNTED 110V. DUPLEX RECEPTACLE "DECORA" STYLE. LOCATIONS AND 6 • The electrical system is to provide adequate service and circuits for
Proprietary names identifying items of work are used solely to
MOUNTING HEIGHTS TO BE CONFIRMED WITH OWNER. future exterior loads, ie. , landscape lighting, irrigation, etc . 15 . Electrical Contractor shall furnish a Certificate of Inspection from S .
the Board of Fire Underwriters, upon completion of the work under his prescribe standards of construction. Items of equal quality may be
WALL MOUNTED 110V. DUPLEX RECEPTACLE "DECORA" STYLE - 1/2 SWITCHED. 7 . The existing Main Breaker panel to remain where located. The New Main contract. Such certificate shall indicate the approval of the work submitted to the Architect for consideration.
LOCATIONS AND MOUNTING HEIGHTS TO BE CONFIRMED WITH OWNER. -_- Breaker Panel is to be located in the altered garage area (or as installed and of the complete electrical system.
TELEPHONE JACK - QUANTITY AND FINAL LOCATIONS directed by Owner) and is to service the entire addition. 9 . All Wood frame construction shall conform with the American Institute
TO E3E CONFIRMED WITH OWNER. of Timber Construction' s "TIMBER CONSTRUCTION MANUAL" Latest Edition.
--- ----- 8 . Electrical Contractor shall provide all heating, ventilating and air
CABLE TELEVISION OUTLET - QUANTITY AND FINAL LOCATIONS conditioning power and control wiring 10 . All wood framing members shall have an allowable extreme fiber stress
To BE CONFIRMED WITH OWNER. equal to or greater than structural grade Douglas Fir:
O THERMOSTAT DEVICE - QUANTITY AND FINAL LOCATIONS TO BE _ Fb = 875 psi Fv - 95 psi E = 1, 600, 000 psi
CONFIRMED WITH OWNER AND HVAC CONTRACTOR.
' NEW FIRE DETECTION DEVICE WITH AUDIBLE ALARM 11 . All CCA Treated wood framing members shall have an allowable extreme
INSTALLED AS PER CODE. fiber stress equal to Or greater than structural grade Southern Yellow
--- - - -- -- - -- --- ---- -- ----- - ----------- - -- -- - - --- - - Pine:
G H. DEVIECE TO BE MOUNTED AT COUNTER HEIGHT.
Fb = 875 psi Fv = 85 psi E = 1,400, 000 psi
_._ `V. r; - DEVICE TO BE WEATHERPROOF. 12 . All "Micro-Lam" and "Parallam" headers/girders as well as "TJI"
joists and beams are to be designed and manufactured by TRUS JOIST
MacMILLAN. Installation must be in accordance with Manufacturer' s
specifications .
13 . Contractors are to follow all Manufacturer' s instructions, shop
drawings, as well as installation manuals when installing any
prefabricated items .
14 . Floor joists below all bearing and parallel partitions are to doubled
unless noted otherwise on the drawings .
4
15 . Double all headers and/or trimmers around all floor openings .
d
16 . Provide solid blocking on all joist spans in excess of 8' -0" .
3 17 . All headers and girders with a span in excess of five feet (51 ) are to
bear on a minimum of 2-2x4 or 2-2x6 jack studs with double floor joists
below, unless noted otherwise on the drawings .
18 . Provide 1/2" moisture resistant gypsum board on walls and ceilings of
all bath and laundry rooms . Provide 1/2" "WONDER BOARD" on all walls
of shower which are to receive ceramic tile.
-- -- 19 . Provide 5/8" Fire Code gypsum board on walls and ceilings of mechanical
equipment room and garage as required by Code.
20 . All firestopping shall be of an approved non-combustible material and
installed in accordance with all applicable codes .
21 . Wall insulation shall be 6" (R-lg) Kraft-faced batts with vapor barrier
- :� _.(c_,•. �-�.��;ice,', � �
facing warm side of building. Ceiling/Roof insulation shall be 6-1/2"
(R-22) Kraft-faced batts with vapor barrier facing warm side of
building. Floor insulation shall be 6-1/2" (R-22) Kraft-faced batts
with vapor barrier facing warm side of building.
22 .
{ 22 . Contractor to provide one layer of building paper between sub and
finish floors or underlyment, with all joints staggered and properly
secured.
II - I , _fit 23 . All windows and doors to be insulated "Low-E" glass, vinyl clad with
white screens and operating hardware as manufactured by Andersen.
Stainless steel hardware suitable to a marine climate is to be used on
� ��,,• I �, i - ---_-- ® }? all windows and doors . Contractor is to confirm operation, style,
finish, color and Manufacturer with Owner prior to placing order.
24 . All windows and exterior doors to have aluminum or wood drip caps .
+ ---
��` 25 . All door hardware, butts and door stops are to be Schlage "A" or "B"
series or approved equal . Style and finish as directed by Owner.
26 . All cabinetry, shelving, casework, vanitys, mirrors, medicine cabinets
i -44 and shower doors to be given an installed allowance with style and
- + finish as selected by Owner.
27 . Contractor to provide 16" by 3/4" PTS plywood with edgeband and/or
1-3/8" diameter wood poles at all closets. Layout as directed by
Owner.
I i i
28 . Contractor to install all interior and exterior trim to match existing.
- 29 . Contractor is to clean all door & window glass, as well as leave all
\ I floors, walls and ceilings free of debris immediately prior to' final
completion.
i
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TITLE
C � I � � C� LOCATION s,-✓� 5 4,_-, ;-I,- I T`t" �.-•-r-� �✓ L /-�., h-! E.-
SCALE 1�4''a ( ��' REVISED DRAWING N?
"P.O. Box 1412 Southold N.Y. 11971
DATE .7 IAA\ r-e-W1
516 - 765 - 5455 DRAWN BY
PROJECT N 9
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