HomeMy WebLinkAbout44092-Z �o�OgUFFUtcoGy Town of Southold 12/23/2019
0
P.O.Box 1179
v' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40961 Date: 12/23/2019
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 180 Navy St, Orient
SCTM#: 473889 Sec/Block/Lot: 26.-1-24
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/17/2017 pursuant to which Building Permit No. 44092 dated 8/22/2019
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 SECOND FLOOR AND SECOND STORY DECK TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR
The certificate is issued to Reinecke,Thomas&Maria
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44092 10-17-2019
PLUMBERS CERTIFICATION DATED 10-18-19 ort k Pool C e
oh izegnature
m TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • j} - 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#: 44092 Date: 8/22/2019
Permission is hereby granted to:
Reinecke, Thomas & Maria
42 Lindeman Ave
Closter, NJ 07624
To: legalize "as built" finished second floor and second story deck to existing single-family
dwelling as applied for with flood permit. Additional certification will be required.
At premises located at:
180 Navy St, Orient
SCTM # 473889
Sec/Block/Lot#26.-1-24
Pursuant to application dated 11/17/2017 and approved by the Building Inspector.
To expire on 2/20/2021.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,201.60
Flood Permit $100.00
CO -ADDITION TO DWELLING $50.00
Total: $1,351.60
ing 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:
cation of all buildings,property lines,streets,and unusual natural or
1. Final survey of property with accurate lo
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$15.00
Date.
' 11 ! 171 11
New Construction: Old or Pre-existing Building: (check one)
Location of Property: Hamlet
House No. S eet
- � r '
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block Cry Lot a4—
Subdivision Filed Map. Lot:
Permit No.
V q o_`��_Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Tempora Certificate Final Certificate: (check on
Fee Submitted:$
A,plicant ignature
of SO
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road - Fax(631)765-9502
P.O.Box 1179 sean.devlinl-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Thomas Reinecke
Address: 180 Navy St city Orient st. NY zip: 11957
Building Permit# 44092 Section- 26 Block. 1 Lot 24
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No-
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey X Attic X Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 12 Ceding Fixtures 6 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 4 Smoke Detectors 2
Main Panel 100A A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 1 Range Recpt Ceiling Fan 1 Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 13 Twist Lock Exit Fixtures Combo SD/CO 1
Other Equipment
Notes " AS BUILT " " NO VISUAL DEFECTS " Second Floor Renovation
Inspector Signature: -� Date: October 17, 2019
S Devlin-Cert Electrical Compliance Form As
V'so,
Town Hall Annex Telephone(631)765-1802
54375 Main RoadFax(631)765-9502
P.O.Box 1179 I!g"
Southold,NY 11971-0959 tj
___j BUILDING DEPARTMENT
TOWN OF SOUTHOLD
OCT 1 8 2019
I-F I-C-AX-1-0-N,
Date: J
Building Permit No.
Owner:. d.3(b 4
_(PI-ease-print)
Plumber: �jo . .�_�Ork.Roid__Z_29
(Please print)
6q6��l , 0 -
I certify that the solder used in the water supply system contains less t 2/10 of 1%
contains
lead. 0
(PfuY Signature)
Sworn to before me this nlf)e s
day of t 20
'p
Notary Public, touniv
0,()iINIE D.BUNCH
Public,State of New Yo"Ik
No,01BU6185050
luallfied in Suffolk County
n'imission Expims April 14,2r a 0
1
• ®�� �aOF 50GTyO
# TOWN OF SOUTHOLD BUILDING DEPT.
coulm, 765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLRG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING /STRAPPING [ FINAL 'A 6,t (fs
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ I CAULKING
REMARKS:
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LAJ1 Cao o _ ft)vs D--aj �K
DATE" INSPECTOR
LA L4 ?2..., �zo S+
OE SOUTyo
# TOWN OF SOUTHOLD BUILDING DEPT.
�ycou765-1802
INSPECTION -
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) J ELECTRICAL (FINAL)"7
[ ] CODE VIOLATION [ ] CAULKING 'wWG'Ao
REMARKS: � f L-77-
Ole
oe
DATE t U INSPECTOR
ITE T
MARK SECHWARTZ &ASSOCIATES 28495 Main Road 9 PO Box 933*Cutchogue, NY 11935
631.734.4185 1 NvN%,w.mksarchitcct.corn
August 15,2019 i 1 ��� _ - w' �_ `
AUG 1 6 2019
Southold Town Building Department
54375 Main Road
Southold,New York 11971
Re: Reinecke Residence
180 Navy Street
Orient,New York
To whom it may concern,
I have been on site to review the existing conditions for the aforementioned project. Both Storage
Rooms on the Second Floor do not have the NYS code ceiling height to be utilized as habitable rooms
(see photos attached).
Please call this office with any questions you may have.
Sincerely,
7
40
Mark Schwartz
lI
71A
Niember American hi�Iitulv of Architecture
CHITECT
MARK SCHWARTZ &ASSOCIATES 28495 IMain Road•PO Box 933•Cutchoguc, NY 11935
631.734.4185 www.ntksarchitect.com
August 22,2019
ylr .�
Southold Town Building Department pUG 22 2019
54375 Main Road
Southold,New York 11971 O�T�' p��'•
Re: Reinecke Residence
180 Navy Street
Orient,New York
To whom it may concern,
I have been on site to review the existing conditions for the aforementioned project. I understand the
second floor alterations were completed back in 2004. The second floor roof line was not alterted and
interior alterations completed did not exceed 50% of the fair market value of the existing structure.
Please call this office with any questions you may have.
Sincerely,
fi
S 0�
I
Mark Schwartz
tTA
Member American[nstttute of Atchitectuie
_y
CHITECT
MARK SCHWARTZ &ASSOCIATES 28495 \Iain Road•PO Box 933•Cutchogue, NY 11935
631.734.4185 www.mksarchitect.com
November 21,2019
a r
Southold Town Building Department _s
w._s•r
54375 Main Road N O V 2 2 2019
Southold,New York 11971 `
—
Re: Reinecke Residence
180 Navy Street
Orient,New York
To whom it may concern,
I have been on site to review the existing conditions for the aforementioned project. The second floor
alterations were completed and the walls have R13 and ceilings have R19 insulation. We have
completed the ResCheck(attached). To the best of my knowledge,the insulation installed meets or
exceeds NYS Code.
Please call this office with any questions you may have.
Sincerely,
R'
P� z.
10 N
Mark Schwartz
C '
t�ll�
Member American[nsuhite t A3dutectum
--l�CHITECT
(1 MARK SCHWARTZ &ASSOCIATES 284()3 Main Road• PO Bas 933•Cuu•hunuc. NY 11933
II -- ---- ------ ----- ---- ------ -----
691 73+.4183 1 .mka,utniicci.cum
December 19,2019
Southold Town Building Department
54375 Main Road
Southold,New York 11971
Re: Reinecke Residence
180 Navy Street
Orient,New York
To whom it may concern,
I have been on site to review the existing conditions for the aforementioned project. The second floor
bathroom was conshucted and upon review,to the best of my knowledge,the rough plumbing meets
or exceeds NYS Code.
Please call this office with any questions you may have.
Sincerely,
t
r. $
Mark Schwartz
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FIELD INSPECTION REPORT DATE COMMENTS ,
FOUNDATION(1ST) --
--------------------------------
FOUNDATION (2ND)
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PLUMBING
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ADDITIONAL COMMENTS
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Tr 'Wi OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALE- � Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 q) Survey
Southoldtownny.gov PERMIT NO. 44 Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Iq Contact:
Approved 20 Mail to: / �,�/� -( 7Disapproved a/c
Phone: ��'A f i
Expiration 20
® %'/;- ui ector
APDL CA N FOR BUILDING PERMIT
'�' NOV 1 7 201
Date , 20
' INSTRUCTIONS
a. This application MINe 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 or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, aget, architect gineer, general contractor, electrician,plumber or builder
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location ofland on which proposed work will be done:
House fTumber Street Hamlet
County Tax Map No. 1000 Section �(i� Block Lot
SOdivision Filed Map No. Lot
r '
2. State existing use and occupancy of premises aiid intended use and occupancy oT oposed construction:
a. Existing use and occupancy D l <� (, r—,
t
b. Intended use and occupancy ��/t��s
3. Nature of work(check which applicable):New Building Addition Alteration_ X—
Repair Removal Demolition Other Work It 6y f LZ rlr4 r 0 j L
(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
6. If business, commercial or mixed occupancy, s ecify nature and extent of each type of use.
7. Dimensions of existing structures, if ahy. Front Rear Depth
Height Number of Stories
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
EE —9. Size of lot: Front� � Re r Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated � Id
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO<
13. Will lot be re-graded? YES NO OJ Will excess fill be removed from premises?YES NO;<
14.Names of Owner of premises Q 1i,�-C--r—I�Address Phone No. 165u?9
Name of Architect V_ VJ1 12--�`' ddress Phone No &, ( 7:74 l -�
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE QUIRED.
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 rl'
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTYOF s ��
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contrac)above named,
(S)He is the l
(Contractor,Agent,drporate bfficer,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 thi '
day of N"�M 20
% C®RIMt1
E D.� Nt:ld
� (�� RINPt®tary public State of New Y k �i
Notary Public No.0103!161
85060
Qualified in Suffolk County �\ ;�Sig f Applicant
Commission Expires April 14,2_-V
♦,1 I
,•,, ♦ - %. i{ r I
m rtr ARRY r I }= _G,� (nwr) H;rll. 511145 �la�r►
.Vp471.H T. Trf 0flax ax 117()
'TOWN CLERK C I � Snulholil Nc%.- Turk 1 1
y ICS ` Fax (.5 10) 765.1 R�.1
IL:GIs,rRAR OF VITAJ,STATI-TIICS ti O
MARRIAGE OFFICER - Tdcphonc ( S I(i) 7(r5.
RECORI)s MANAGEMENT OI-FICEII
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE
SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993 :
RESOLVED that the Town Board of the Town of Southold hereby adopts
two (2) new forms to be used under the Flood Damage Prevent regulations
of the Code of the Town of Southold: "Floodplain Development Permit
/(pplication" (FDP(93) ) , and ';'Certificate of Compliance frsr Development in
Special Flood Hazard Area (C/C(93)) BLfi\l DEFT
.
TOIA';a OF SOU'PIOLD
/�h T. Terry
Southold Town Clerk
August 25, 1993
h
APPLICATION
f PAGE I of 4
TOWN OF SOUTHOLD
FLOODPLAIN DEVELOPMENT PERMIT A-PPLICATION
This form is to be filled out in duplicate.
SEC PION 1 GENERAL PROVISIONS (APPLICANT to read and sign).
1. No work may start until a permit is issued.
2 The permit may be revoked if any false statements are made herein.
3. If revoked, all work must cease until permit is re-issued.
4. Development shall not be used or occupied until a Certificate of Compliance is issued.
5. The permit will expire if uo work is commenced within six months of issuance.
6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory
requirements.
7. Applicant hereby gives consent to the Lova[Administrator or his/her representative to make imasonable
inspections required to verify compliance.
8. I,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO
_ THIS APPLICATION ARE,TO THE BEST OF MY KNOWLEDGE,TRUE AND ACCURATE. ..
(APPLICANTS SIGNATURE) DATE
SECTTON l: PROPOSED DL�ELOPtIENT (Tf,,4- completed by APPLICAN n
M a fE ADDRESS l''d IIA-'l 51- DIC ni TELEPHONE �
BUILDER
ENGI ER
PROJECT LOCATION:
• To avoid delay is processing the application, please provide coouph information to easily identify the project
locadon- Provide the street address, lot number or Icgal description (attach) and, outside urban areas, the
distance to the nearest in(crsecting road or well-known landmark A sketcb attached to this application showing
(he project location would be hclpbJ-
FDP(93)
I
APPLICATION
PAGE 20F4
DESCRIPTION OF WORK (Check all applicable boxes)
A STRUCTURAL DEVELOPMENT
ACTIVELY STRUCTURE TYPE
❑ New Structure XResidendal (1-4 Family)
❑ Addition ❑ Residential (More [ham 4 Family)
0Altcratioo ❑ Noo-residential (Floodprooftng? ❑ Yes)
O Relocation ❑ Combined Use (Residential & Commeraal)
❑ Demolition P ❑ Manufactured (Mobile) Home (In Ma-nu-
0 Replacement factured Home Park? O Yes)
ESTIMATED COST OF PROJECTS D
B. OTHER DEVELOPMENT ACTIVITIES:
O Fill O Mining O Drilling O Grading
❑ Excavation (Except for Structural Development Checked Above)
❑ Watercourse Alteration (Including Dredging and Channel Modifications)
❑ Drainage Improvements (Including Culvert Work)
j ❑ Roa�rt, Street or Bridge Construction
❑ SUFAivision (New or Expansion) /
/ ❑ Individual Water or Sewer System J
G Otber (Please Specify) N ®17�i
After completing SECTION 2, APPLICANT should submit form to Local Administrator for
review-
ECTION 3: FLOODPLAIN DETERMINATION o be completed bv LOCAL ADMINISTRATOR)
The proposed dcvclopmcnt is locaced oa FIRM Pancl No. , Dated
The Proposed Development:
❑ Is EQj located in a Special Flood Hazard Arca (Notify the applicant that the application
review is complete and NO FLOODPLkIN DEVELOPMENT PERMIT IS REQUIRED).
❑ Is located in a Special Flood Hazard Arca
FIRM zone designation is
1Q0-Year flood elevation ac the site is: Ft. NGVD (MSL)
O Uoavailablc
❑ The proposed dcvclopmcnt Is located io a noodway
FBF-M Parcel No Dated
O Scc Seaton 4 for additional loslrucrnoas
SIGNED DATE
APPLICATION #
PAGE l OF 4
SECTION 4 ADDITIONAL INFORMATION REOUIRED (To he completed by LOCAL ADMINIST'RATOR)
The applicant must submit the documents checked below before the application ran be processed:
❑ A silo plan sbowing the location of all casting structures, water bodies, adjacent roads, lot
dimensions and proposed deyclopmcot.
❑ Development plans, drawn to scale, and specificatioru,including where applicable: details for
anchoring structures, proposed elevation of lowest floor(including basement), types of water
resistant materials used below the first floor, details of floodproofng of utilities located below
the first floor and details of enclosures below the First floor.
Also
❑Subdivision or other development plans(If the subdivision or other development exceeds 50
lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations
if they are not otherwise available).
❑ Plans showing the extent of watercourse relocation and/or landform alterations.
❑ Top of new fill elevation Ft. NGVD (MSL).
❑ Floodproofing protection level (non-residential only) Ft:NGVD (MSL). For
floodproofed structures,�nppGcant must attach certification from registered engzueer or
architect. / ;
❑ Certification from a-repstered engineer that the proposed act.ivit�in a regulatory floodway
will not result in any increase in the height of the 110-year flood. A copy of all data and
calculations supporting this finding must also be submitted.
❑ Other.
SECTIONS PERMIT DETERMINATION (To be completed by LOI;AL ADMINISTRATOR)
I have determined that the proposed activity. A- ❑ Is
B. ❑ Is not
in conformance with provisions of Local Law if 19_. The permit is issued subject to the conditions
attached to and made part of this permit.
SIGNED DATE
If BQX A is checked, the Local Administrator may issue a Dcvolopment Permit upon payment of designated
fee
If BQX B i5 checked, the Local Admirustrator will provide a written summary of deficiencies. Applicant may
revise and resubmit an application to the Local Administrator or may request a bearing from lbe Board of
Appeals
y r I
• APPLICATION PY
PAGE 4OF4
APPEALS. Appealed to Board of Appeals' O Ycs ❑ No
Hcarwg date:
Appeals ---
Approved? El Yes 9 Ne
Conditions
SECTION 6 AS BUILT ELEVATIONS (To be submitted by APPLICANT before Certifica(c of Compliance
is issued
The following information must be provided for project structures. This section must be completed by a
registered professional engineer or a licensed land surveyor (or attach a certification to this application).
Complete 1 or 2 below.
I. Actual (As-Built) Elevation of the top of the lowest floor, including basement rn Coastal Hizh Hazard
Areas bottom of lowest structural member of the lowest floor, excluding piling and columns) is:
Fr. NGVD (MSL).
L Actual (As-Built) Elevation of floodproofmg protection is FT. NGVD (MSL)_
NOT' Any work performed prior to submittal/of the above information is at the risk of the Appl;:canL.
/ J
SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR)
The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to
ensure compliance with the community's local law for flood damage prevention.
INSPECTIONS: DATE BY DEFICIENCIES? Cl YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? O YES ❑ NO
,SECTION 8• CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR)
Ccrtificatc of Compliance issued: DATE: BY:
Attachment B
/ BAMP,i E
CERTIY//CATE %'F COHPLIANCE
for Development in a Sp
I I // ecial Flood Hazard Area
r , i
, TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
FOR DEVELOPMENT IN A SPECIAL FLOOD HAZ.A.RD AREA
(www-o, MAST RETAIN THIS CERTIFICATE)
PREMISES LOCATED AT: PERMIT NO.
PERMIT DATE
OWNERS NAME AND ADDRESS: CHECK ONE:
❑ NEW BUILDING
❑EjCISTING BUILDING
❑ VACANT LAND '
/ J
THE LOCAL ADMINISTRA'T'OR IS TO COMPLETE AA, OR B. BELOW:
A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 19_.
SIGNED: DATED:
B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , I9_, AS MODIFIED BY VARIANCE # ,
DATED
SIGNED: DATED:
C /C ( 93)
ISCIHWARTZHITECT
MAR &ASSOCIATES 28495 Main Road•PO Bos 933•Cutchoguc, NY 11935
631.734.4185 1 www.mksarchitcct.com
August 15,2019
AUG 1 6 2019
Southold Town Building Department
54375 Main Road
Southold,New York 11971
Re: Reinecke Residence
180 Navy Street
Orient,New York
To whom it may concern,
I have been on site to review the existing conditions for the aforementioned project. Both Storage
Rooms on the Second Floor do not have the NYS code ceiling height to be utilized as habitable rooms
(see photos attached).
Please call this office with any questions you may have.
Sincerely,
t
3 ,
�0
Mark Schwartz
AlA
1lrmhei Amrriican ImUtule of Archile.lurc
Scott A. Russell , '6;®SII5T01KMWA `]F1E1K
SUPERVISOR
1\�][A\NA\G1E1\�J[]EN'7C'
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES TI;IIS PROJECT INVOLVE AN Y '0F THE VOLLOW NG:
Yes No (CHECK ALL THAT APPLY)
❑ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑ B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑ C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑ E. Site preparation within the one-hundred-year floodplain as depicted ,
on FIRM Map of any watercourse.
❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP'. Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT (Property Owner,Desig ofessional,Agent.Contractor,Other) S.C.T.M. �: 1000 Date
� � '� �/ / District !�
NAME e Id�� P—� r FJ' _ _/ J.
Sion ectBlock Lot
FOR BUILDING DEPARTMENT USE ONLY
Contact Information. `
fr irplwl ..bx)
Reviewed By: ) }
— — — — — — — — — — — — — — — —
- - - - - - - - Date- - - - -
Property Address/ Location of Construction Work: — — —
�� /� �,^ ED
Approved for processing Building Permit.
oft L' �/ Stormwater Management Control Plan Not Required.
Stormwater Management Control Plan is Required
(Forward to Engineering Department for Review.)
FORM # SMCP-TOS MAY 2014
�OSVfFOC�,`O BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
c Town Hall Annex - 54375 Main Road - PO Box 1179
o Southold, New York 11971-0959
y p� Telephone (631)'765-1802 - FAX (631) 765-9502
rogerr(D_southoldtownny.gov — sea nd(a southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name:
Address: V
Cross Street: /k4-,Py—
Phone No.:
Bldg.Permit#: email: IT
Tax Map District: , 1000 Section: Block: L
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
r e 0-01A:� Join (f -
'Circle All That Apply:
Is job ready for inspection?-. YES / NO Rough In Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect - Flood Reconnect - Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Formals �� ��
Town Hall Annex Telephone(631-1802
54375 Main Road Fax(631)734-9502
P_O.Box 1179
Southold, NY 11971-0959
BUILDING DEPARTIIIIENT
NOTICE OF UTILIZATION QF TRUSS TYRE CONSTRUCTLON PRE-ENGINEERED
WOOD COMSTRUCTION AtIDlQR•T4MBER CC.USTRUCTION
Date: h, 11-7117
Owner._ `•'A t'
�-
- - - -miy:-,_'m. rte. gm:Yf;•�_•ri- -
Location of Property:
Please take notice that the(che8k a t` bI `tine):
New residential structure : :n .&;;, • -:{°``
Addition to existing-•ropidential str06ture
A: 0 17
Rehabilitation
- tci ap:extsting:residential structure
to be constructed or performed at r.`tit.t; fcefibe above will utilize
(checkp ):
a plicable line
Truss type constrtirr-( =�' =:•`t,. -;_;
Pre-engineered wVQOCt&Q%tst�iic
Timber constructi6h(TC)" '
. in the followirig location(s)(check applicable line):
Floor framing, inclitding3gWbm.—.artd,�ea is(F}_
Roof-f-rareing(R)'
Floor and roof f iui4ng,(Ff:),
IRVSignature:
,Name.(pQrson subr::itting this fc.. " L �
Caliacity(check applicable line):
Owner
Owner representative
TrussResReg15_docx Effective 1/1/2015
02/05/1997 16:25 5164772416 HAHN REALTY PAGE 04
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(T)•UNMITHORRED ALTERATION OR ADDITION TO THIS SURVEY IS A 410IAT04 OF SECTION 7209 DF THE NEW YORK STATE EDUCATION LAW(2)DISTANCES SHORFI HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIRC PDRPOSE AND ARE NOT 70 BE USED 70 ESTASUA4 PROPERN LINES OR FOR D=TION CE FENCES(])CCDIES OF THIS SURVEY YAP NOT BEARING THE LAID SURVEYORS MAFD SEAL OR EEIOSSED SEAL SHALL NOT BE CONSIDERED 70 BE A VALD TRUE COPY.(4)CERTinGTICN
INDICATED HEREON SHALL RUN MY 70 THE PERSON FOR WHOU-7HE SURVET IS PREPARED AND ON HIS 6EHALr TO THE TITLE COAPANY.GOVERNMENTAL AGENCY AND LENONG INSiTU am LISTED HEREON.M0 70 THE ASSICHEFS OF THE LENDING INSMUTICN CER70CATIONS ARE NOT TRANS EAAIIE TO ADDITICNAL IHSIIlU11ONS OR SUBS:OUFNT OWNERS (S)THE LOCATION OF WELLS(*I SMC TANKS(ST) CFSSPOCLS(CP)SHOW HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS
EN&INEM5, CERTIFICATION 400 Ostrander Avenue,Rverhead,Now York 11,401
, tot.65I.121.2505 Pax.651.121_0144
adminayoung"Inaer(ng com
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L ._ (DF,eIIIFw) proposoQ ( Thomas G.F"lolport,Professional Engineer
`-r i ylou to oxaass o¢150'Prom Douglas E.Adams,Professional Engineer
Robert G.Tast,Architect
j jrJ 4� (17"011 ne��1 CMF Robert Stromskl,Architect
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THOMAS G.WOLPERT,N.YS.F.E.NO.61488. ./ 7lii���}p•7t�'i\-K Trom prop'"ad��
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15_6'.__ 1 I •'WE HEREBY CERTIFY TO MARIA REINECK _
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DARK BROi+'AI �� �, i 5b4°48`5al�w 1 nOW i I -cat Ortent, Town of Southold
s LogM `� Caroline &reet Nolali
4 (Ou \ m now or formerly Vocable Livtn9 Trust 5uffollc County, New York
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PALE BROWN (DwelltT+g) �� PfOp /moi MAP'PR PA;tM MMAAY 24,2018
FINE TO \� �� Record of ReVisions
SAND �� ✓ice RECORD OF REVISIONS DATE
(SN ✓
MATER IN
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&ROUND WATER F-L-1 O a VERTICAL DATUM a N.A.V.DATUM(Ig88) J05 NO.20115-0080
WELL DWS.a0°i8_0088_bp I OF'2
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Compliance Certificate
Project
Energy Code: 2015 IECC
Location: Southold, New York
Construction Type: Single-family
Project Type: Alteration
Climate Zone: 4 (5572 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
Envelope Assemblies
Assembly Gross Area Cavity Cont'.
or U-Factor UA
Wall 1: Wood Frame, 16"o.c. -- ___ __ ___ -_-
Exemption: Framing cavity filled with insulation
Window 1:Wood Frame:Double Pane with Low-E 45 0.300 14
SHGC: 0.31
Door 1:Glass 42 0.300 13
SHGC: 0.24
Ceiling 1: Flat Ceiling or Scissor Truss -- --- --- --- --
Exemption: Framing cavity filled with insulation
Compliance Statement. The proposed building design described here is consistent with the building plans,specifications, and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2015 IECC requirements in
REScheck Version 4.6.5 and to comply with the mandatory require men ist in the REScheck Inspection Checklist.
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Project Title: Report date: 11/21/19
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FEE: C) BY:,
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FOLLOWING INSPECTIONS: NEW YORK STATE & TOWN CODE
1. FOUNDATION - TWO REQUIRED AS REQUIRED AND CONDITIONS O
FOR POURED CONCRETE
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4. FINAL - CONSTRUC;TI'JN MUST
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