HomeMy WebLinkAbout23033-zTOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HAU.
$OUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL
COMPLETION OF THE WORK AUTHORIZED)
Dote
23033 Z
Permission Is hereby grar~ted to:
....-,/~.~.. ....... ~ ....... ..~.~.~. ....... ~ ..........................
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,~...~~.~.~......~...~ ....... ~.~ ,~ ~ ~ ~ ~ ,
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.............................................................. .~.,~,~..c..,~-- ......................................................................
Coun~' Tax Map No. 1000 Secflon..,,~ ........... Block ...... ~,, ,,~,,, ......... LotNo, ,,..~,',,,/,, .........
pursuant to application dated ............... ,.~...,~'~,,,..~...~.. ................. 19,, ..~.~... and approved bythe
Building Inspector.
~e ~.~,:,~,,,
Rev. 6/30/80
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27416 Date: 11/21/00
THIS CERTIFIES that the building ADDITION
Location of Property: 555 REYDON DR SOUTNOLD
(HOUSE NO.) (STREET) (HAMLET)
Co%ulty Ta-x ~4ap ~). 473889 Section 79 Block 5 Lot 22.1
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Buildin9 Permit heretofore
filed in this office dated SEPTEMBER 14, 1995 pursuant to which
Building Permit No. 23033~Z dated OCTOBER 2, 1995
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 ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR TO INCLUDE
A GA/~AGE & DECK.
The certificate is issued to JAMES H RICH III & TERESA L. RICH
( OWNER )
of the aforesaid building.
~u[.'l.'OI,K COT31~ DEPARTT~T OF ~n~TH
RT.RCTHICAL CERTIFICATH NO.
PLUMB~ CERTIFICATION
~/A
9954 11/14/00
N/A
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
t ~--" ,_-~-'~/~--~-~--~ APPLICATION FOR CERTIFICATE OF OCCUPANCY
!
A. This' a~catzon--mu~t be filled in by typewriter OR ink and submitted to the building
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 oh 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 buildin
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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings an
Ppre-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 buiiding $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinm - $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 ...~-O~..~..~.. ~%~o .....................
New Construction.~[[?~. Old Or Pre-existing Building .................
Location of Property .....
House No. Street Hamlet
(4 T h:
Onwer or Owners of Property.. ~¢? - ~C~ ,). e~s~ ~
County T~ ~p ~o [000, SectSon .......... Blocg ............ Lo~.. .' .........
Subdivision ................................. Filed Map ............ Lot ..........
Permit No..~..-b~ ~.'5~.~. .... Date Of Permit..~.~.l.~. [.~.~. ..... Applicant..~%.~.. ~
?
Health Dept Approval Underwriters Approval · · ·
Planning Board Approval . .
Request for:
Fee Submitted:
Temporary Certificate ........... Final Certicate ...........
...... ...................
DATE: 11/14/00
ELECTRICAL INSPECTION SER VICE INC.
375 DUNTON.4 VENUE
EAST PA TCHOGUE, NEW YORK 11772
(516) 286-6642
9954
APPLICATION No. ON FILE
VlLt.4GF.: Southold
ADDRESS: 555 R~. don I')rive
ISSUED TO: James H. Rich
Southold
INTRODUCED BY: EECO Electric Corp. LlC No: 2816-E
was examined on t 1/14/2000 and found to be in compliance with the National Electrical Code
LOCATION: Base.. 1st X 2nd X Srd Attic
Det. Garage Hot Tub Pool
SWITCHES ] RECEPTACLES FIXTURES HEATERS FANS G.F.L AIR. COND.
19 16 20 6
DISHWASHER DRYER CLOTHES WASH. GAR. DISP. t~4NGE OVEN S310KE DETECTOR
FURNACE OIL GAS CIR. MOTORS BELL TRAN. SERVICE DISCONNECT
OTHER
EQUIPMENT
outside residence
addition
HUGO S, SURDI
PRESIDENT
BUILDING PERMIT No.
BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE
(516) 286-6642
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTON AVENUE
EAST PATCHOGUE, NEW YORK 11772
DATE: 11-6-95
ADDRESS: 555 Reydon Drive
ISSUED TO: James H. Rich III
9954
APPLICATION NO, ON FILE
INTRODUCED BY:
VILLAGE: Sou%hold TOWN: Sou%hold
EECO Elec%ric Corporation
2816-E
LIC. NO.
AREAS LISTED WERE INSPECTED ON: 11-6-95 AND WERE FOUND TO BE IN COMPLIANCE WITH THE
NATIONAL ELECTRICAL CODE.
LOCATION: ___BASE
OUTSIDE, RES.
L%rDERGROL~XrD
RELOCATED 1-150AMP
IST __.2ND 3RD __.ATTIC
___SMOKE DETECTOR DETACHED GARAGE
__.POOL
SERVICE DISCONNECT
METERS AMPS I pHASE
I
THIS CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
INSPECrORS MAY BE IDENTIFIED BY THEIR CREDENTIALS.
s.
PRESIDENT
ENERGY CODE CALCULATIONS
(For Non-Electric Ilea{a) Design Criteria 6,000 Degree'Da¥s
! O.A. IU°F I.A. 7O"F
DATED:
DESIGN TItF, RMEL
SUBSYSTEM AREA "U" RATING REMARKS
~':×~e~ior w~,,s (op~que~ ~[fL , of ~ ~3~
ceiling/Roof (Opaque) ~ Q~ O~ O
Skylights %
Foundation W~lls
Slab In~ulat~oll
No res:
Building Euvelope Systems ~:o meet requirements of 7815.2
IIVAC Equipemeqt %o meet requirements of 7815.11
HVAC Systems to meet requirements of ~815.12
Duc% Systems to meet requirements of 7815.13
Ventilations Systems ko meet requiremeats of 7815.14
Insulation ef Pipiilg Systems to meet require,,ents of 7815.15
Service Water Heating Systems & Equipment to meet requirements of 7815,21
Electrical & Lighting Systems & Equipment to meet requirements of 7815.31
To the best of my knowledge,
belief, & professional
judgement, tbe~e plails are in
compliance with the code.
ENF. ItG¥ Il)DE IIE¥1E~
Rxter lot Wall [I-10
RoOf/celllll9 R-I9
Slab F~9~ ittsula[lon R-Il}
Glazi,9 R-I.7
All Ventilattn9 Systen~ to ,~et requirements of 71114.14
reqUi~e,~lTta of 7814.2[
All Electric Systel~ to ,~et recJul~ement~ o[ 7814.31
765-1802
BUILDING DEPT.
-~ INSPECTION
[ F~ouNr~'ATION 1ST I- ] ROUGH PLBG.
[ ] FOUNDATION ZND [ ] INSULATION
[ ] FRAMING
[ ] FINAL
DATE //F~:~/~' f INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNC~ATION 1ST [ ] ROUGH PLBG.
[ ] F/~UNDATION 2ND [
INSULATION
[ ~/FRAMING [ ] FINAL
[ ] FIREPII. ACE& CHIMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE~NEY
REMA~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNI~ATION 1ST [ ] ROU.,~t'PLBG.
[ ] FOUNI~ATION 2ND [/-~INSULATION
REMARKS
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNr)ATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
ROU///GH PLBG.
].~ISULATION
FINAL
[ ] FIREPI.ACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
FIREPII. ACE& CHIMNEY
[ ] ROUGH PLBG.
[ ] ,N,~LATION
[ ~INAL
,,DATE__
INSPECTOR
BLDG. DEFt',
Approved ................ 197~mtt No.
Disapproved a/c .....................................
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT'.
TOWN HALL
SOUTHOLD, N.Y. 119771
TEL.: 765-1802
BbAKO OF i{EALTI{
3 SE~S OF PLANS
SURVEY
CIIECK
SEPTIC FORH
CALL
MAIL TO:
/(Bt ' ~ p )
APPLICATION FOR BUILDING'PERMIT
Date ................... l!
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, w
sets of plans, accurate plot plan to scale. Fee acco[ding to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public si
or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this ;_
cation.
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 issued a BuL[ding Permit to the applicant. Such p~
sliall 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 Occup
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant t,
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinanc
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descr
The applicant agrees to comply with all applicable laws, ordinances, building code, imusing code, and regulations, at
admit authorized inspectors on premises and in building for necessary inspections. ~- ~
..............
(~'ignature of applicant, or name, if a corporation!
.... ....
(Mailing address of applicant) I I ~ ~ ~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bui
Name of owner of premises .¢./'3.~..~.%....~. 7 .~.} .c?... t..~.....A...~.o....~..~. [~.~.z$..,~....~.....}5. t. ?..~. ........... (as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authori2ed officer.
(Name and title of corporate officer)
Builder's License No. ~,~t_ ¢:
Plumber's License No. &Jo
Electrician's License No... ~¢ ,,-~r> ~ ,-- ,,
Other Trade's License No ......................
Location of land on which proposed work will be done. ' ........
.............. '
[louse Number Street tlamlet
County Tax Map No. f000 Section . . "~. G ¢" ~
i .......... Block .... ~. Lot 2'2 - I
Subdivision ........ . .................. ' Filed Map No ............... Lot ............
(Name)
Stat~ existing use and occup.ancy of premises a ~d intended use and occupancy of proposed construction:
a. Existing use and occupancy I '°'-i ~- '< ~"~e-x i ~..'r . 3.~?. ~.. Oeo. r e_~ ...................
b. Intended use 'and occupancy ....... ' ....... .~.
.3. Nature of work (check which applicable): New Building .......... Addition ~ Alteration
Repair .............. Removal .............. Demolition .... : ......... Other Work .............
· ~b[ ~ ' (Description)
4. Estimated Cost ..... e~ oD ' Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units I Number of dwelling units on each floor
· lC garage, number of cars ............ ~ ..........................................................
g. If business, commercial or mixed occupancy, specify nature ~nd extent of.each type ,of use ...................
7. Dimensions of existin~ structures, if any' Front . ~ .~,.'- ? '. . Rear '.~.¢. L ? Depti~ ~.%.~
Iteight . . .~.~ .cl.: . .-<.... Number of Stories ..... !. ].'z,- .................. ~ ......................... .-,.
Dimensions of shme structure with alterations, or, additlons:c Front .. ~'.' ~.~..¢~ ........ Rear c~.(o ~~.' .f:'. ........ '
Depth . . .~ .................. Hexght .... .% (. ~ . . ~. ......;.. Numberrof Stgries . , . {, [z.- .............
8. Dimensions of entire new construction: Front . . ~--?. :.t.B/~ ..... ; Rear .~'f.'7.¢~. ..... Depth . .'~.~ .....
}te~ght ..... ~..t ........ N)amber of Stones ...... t. J.?~. · · ..., ........ . ............. .:,~ :,~ ....: ........
9. Size of lot: Front ..... (.~.S ........... ~ .. Rear ..... .I.5.$ ............. Depth . .'.'~-(.t~.. ..............
I0. Date of Purchase ., ~¢?..f, i. [ .q.e>. ! ............. Najne of Former Owner }~4. t. qt.-t.,?~.'-.:~.. ~cC'i% .c-.,..,~.. .....
11. Zone or use district in which premises are situated ...... ~..<A t 9.e. .~?. ........ a~ 'f ........................
1 2. Does proposed construction v~olate any zoning law, ordinance or regulation: .... lYqc?. ......................
13. Wil lot be regraded . ~.['.~ ..... t .............. Will excess fill be removed from premises: Yes ~
14. Name of Owner of premises .~J ~.~.~ .*/.T.?c.~.hn: ~.%~ Address o. ) ~.(~.¥P~."i ht!~.~5-;.. Phone No.~/Mi7: .Si.b.
Name of Architect ........................... Address ....... J ............ Phone No
Name of Contractor ... ~..~.'P.~..':':. .............. Address ................... '~ Phone No ...............
15. Is tliis property wiCliin 300 feet of a tidal wetland? *Yes ........ No .........
· If yes, Soutliold Town Trustees Permit may be required,
PLOT DIAG RAM
Locate clearly and distinctly ~1 buildings, whether existing or proposed, and. indicate all set-back dimensions frm.
property lines. Give street and block number or description according to deed, and show street names and indicate whethe
interior or corner lot.
STATE OF NEW.YORK, S S
COUNTY OF .... P.~ F.17¢ ~."~ ..... -'
........ ' .-TJ ]'~'m. ,~..~... ~. -J ....- ('( ;.~ci..~[k . .. ......... being duly sworn, deposes ~d says that he is the applicant
(Name of individual signing contract)'-
1bore named.
te is the ..... . .......... ~ ~ ~.~ ....... ........... : ............................... ' .............. (Contractor, agent, corporate officer, etc.)
)f said owner or owners, ~fl is duly authorized to perform or have perfo~ed the said work and to m~e and file thh
~pplication; that all statements contained ha this application are true to the best of his ~owledge and belief; and that
york w~l be perfo~ed in the manner set forth in the application filed therewith.
;worn to before me this
. . k~,. ),:...~. ...... ~,'.
~ uo~uu ' ", ;/~' ...... ~--~ .................. of applic~t
N~I~, StYe of New
: ' ....~d, 4951364 '
~mmi~ion ~ires May ,~, ) 9
(Additional)
Drawings and
.Plm s are on file at
the Town of
Southold Building
Department.