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HomeMy WebLinkAbout29843-Z FOAM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector . Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-303.81 Date: 08/27/04 THIS CERTIFIES that the building FIRE REPAIR Location of Property: 243 MAIDEN LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 140 Block 1 Lot B i Subdivision Filed Map No_ Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 24, 2003 pursuant to which Building Permit No. 29843-Z dated OCTOBER 27, 2003 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 INTERIOR, FIRE REPAIR TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR_ The certificate is issued to HELEN Z REEVE (OWNER) of the aforesaid building_ SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 1182779 05/24/04 PLUMBERS CERTIFICATION DATED 07/15/04 ANTHONY PISCITELLI c _ oXed gnature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT I (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 1 PERMIT 90. 29843 Z Date OCTOBER 27 , 2003 9 R I Permission is hereby granted to : HELEN Z REEVE PO BOX 47 MATTITUCK,NY 11952 for : INTERIOR FIRE REPAIR TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 243 MAIDEN LA MATTITUCK County Tax Map No. 473889 Section 140 Block 0001 Lot No. 008 pursuant to application dated OCTOBER 24 , 2003 and approved by the Building Inspector to expire on APRIL 27, 2005 . Fee $ 150 . 00 e� uth V zed Sign atur ORIGINAL Rev. 5/8/02 `'✓ '�„� �. 7 ' Form No.6 ___"�.a- - l TOWN OF SOUTHOLD ! ' ' BUILDING DEPARTIVIENT C� TOWN HALL 765-1802 AUG 1 9 2004 � �D �� c APPLICATION FOR CERTIFICATE OF OCCUPANCIY PLDG'. ``cr.i. r This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2- Final Approval from Health Dept of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters, j 4- Swom statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Iq 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 mddings-(Tr-ior-to-April 9 1A37}nea cttnferming usererr�uildings and-"prae�sting21 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$25.00,Additions to dwelling$25.00, terations 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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 ii ' I Date. G h cc 1©`1 New Construction: Old or Pre-existing Building: (cheek one) Location of Property: 2(4-S W i Deij L!� mx-m-w L/ NV 11%2- House No. Street t Hamlet Owner or Owners of Property: �keA Zit✓ Suffolk County Tax Map No 1000, Section HD Block Lot aDS Subdivision pp Filed Map. Lot: Permit No. Date of Permit. -7LD-a-Applicant: Health Dept.Approval: NI Do, Underwriters Approval: I l((a Z Planning Board Approval: N)iq / Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ 25-CO Cly // Applicant Signature c0li�7303a/ 1 (631) 738-7232 I(Ptun2b&29 an d tF, &23,—q=. 631) 738-7571 (far) lieeras���iarrrli've9 Conl+caetoas J July 15, 2004 i Re: Reeve 243 Maiden Ln. Mattitucl; NY 11952 To Whom It May Concern: Regarding the above referenced location; all plumbing work was performed to local codes usingP P ro er materials. All solder used throughout was lead free. If you need any additional information, please contact my office. i' Very truly yours, /Anthony Piscitelli License #2603-MP Swom beforoi this,J day of J(JI1J' 2004 % n Notary t�� c, su-l-rom Notary Pufaiic, State of New) ,,, eveYork { f'4a. O I SUG04S5 32 Quaiitied ir. Suffolk County I Commision Expires Oct. 23, 2 �L,f 55 :f-Rv ton-Stud • cdPonkonkoma, &Ky 11779 6F-,E&f @ao[co n T O 11111111 9J iPJ�J111111111 r1���rr�n�- p NO 01 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS CS BUREAU ,OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT i Upon the application of upon premises owned by C I i C a ABCO ELECTRIC CORP. HELEN REEVE 5 P.O. BOX 365 243 MAIDEN LANE 5 EAST QUOGUE, NY 11942 MATTITUCK, NY 11952 Located at 243 MAIDEN LARJE MATTITUCK, NY 11952 C� ' C5 Application Number: 1182779 Certificate Number: 1182779 Section: 140 Block: 0001 Lot: 008 Building Permit: BDC: ns11 5 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: 5 Basement,First Floor, Second Floor,Attached Garage,Outside,Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other e 5 authority having jurisdiction, and found to be in compliance therewith on the 24th Day of May, 2004 5 5 5 Name OTY' Rate Rating Circuit T!ve 5 Alarm and Emergency Equipment rj Sensor 2 0 Carbon Monoxide 5 Sensor 7 0 Smoke C5 Appliances and.accessories 5 5 Exhaust Fan 1 0 F.H.P. rj 5 Purno'Motor 1 0 F.H.P. 5 Furnace 1 0 Gas ,7 Wiring and Devices 5 Outlet 66 0 General Purpose 5 Receptacle 45 0 General Purpose Switch 26 0 General Purpose I'J Outlet 24 0 Fixture 5 Fixture 22 0 Incandescent Fixture 2 0 Fluorescent 5 Receptacle i 0 20 amp Laundi e Paddle Fan 1 0 Receptacle 7 0 GFCI seal 5 Service - - Continued on Nest Page 1 of 2 This certificate may not bealtered in any way and is validated only by the presence of a raised seal at the location indicated. n D rJ�rJ�rPrJ�r�enrJrJ�rJMe�rrJ�rJ�rJrJ�ePrJrJ ar�r�rJ ar��rtJr�ePrJr�rJ��PenrJ�rJi nrJ�enrJ�rUenr�rJrr�rJ orJ�rJr�PcPcPrJ�rJ orPrSrJLpr PrrJr PLrL3r�P O r�rJ�rJ�anfrl@PrJ�r�rJ�rJ�rJ�rJrr�r�rJ�frJ�P�r�rannr�r.Pa�,� ,�r,r= "' _ �J7�dG71PJ1711�r]rr]Ir7ra1717G717� + r, 7f�17r7i7' L5U BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 DD C5 CERTIFIES THAT 5 Upon the application of upon premises owned by r ' 5 ABCO ELECTRIC CORP. HELEN REEVE 5 P.O. BOX 365 243 MAIDEN LANE EAST QUOGUE, NY 11942 MATTITUCK, NY 11952 Located at 243 MAIDEN LANE MATTITUCK NY 11952 5 I 5 5e Application Number: 1182779 Certificate Number: f 1182779 Section: 140 Black: 0001 Lot: 008 Building Permit: BI nsll 5 —Ic Described as a Residential occupancy, wherein the premises electrical system consisting ofj 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,First Floor, Second Floor, :attached Garage, Outside,Attic, 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 herein, was conducted it accordance with the requirements of the applicable code and/or standard 5 5 promulgated by the State of New York, Department of State Cade Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the Day of 24flt May,2004. Name QTYRate Rating Circuit Tvoe Service Disconnect-. 1 200 cb Meters: l 5 5 5 5 5 5 S 55 55 - _ 5 5 seal 5 2 of 2 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 17�scPLfflQr PL1rcfrJLrJ�rJ@J�r�cPc 991511girar�r�rJuM ar�cPrJ�rJrJ�cPrJ�rJ�rJcnr�frJ�r�rJ�rJ�rJ�rJ@nrJ arJ�cnrJ�rJ�rr rJ rcJ J�r�rrJ��l arJ�rJ a Permit Number REScheckCompliance Certificate CheckedBy/Dme New York State Energy Conservation Construction Code REScheckSoftware Version 15 Release la Data filename: C:1CADTcmGroup',Archi-,,es2002-2003\200210267-Reeve10267-reece.rck TITLE:Reece Residence C COUNTY: Suffolk STATE: Nen York 1 111)1): 5750 CONSTRUCTION TIDE:Detached 1 or 2 Family i HEATING TYPE: Non-Electric DATE: 10/16/03 DATE OF PLANS: 10,116,103 PROJECT INFORNL-MON: 243 Maiden Lane Manituck, NY 11952 COMPANY INFORMATION: R.C_M. Architectural Design Studio, P.C. 8 Knollcrest Rd. Nesconset, NY 11767 NOTES: Fire Restoration COMPLIANCE: Passes Maximum UA= 393 Tour Home UA= 386 1.8%Better Than Code(UA) Gross Glazing Area or Cacit} Cont. or Door Perimeter R-Value R-Value TJ-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 724 19.0 0.0 37 Ceiling 2: Cathedral Ceiling(no artic) 378 13.0 0.0 28 Nall 1:Wood Frame. 16" o.c. 2370 13.0 0.0 170 Window L Vim_I Fratne:Double Pane 249 0.320 80 Door 1: Solid 53 0.320 17 Floor 1: All-Wood Joist/Truss-ON er Unconditioned Space 1142 19.0 0.0 54 CONiPLI_aNCE STATEMENT: The proposed building represented in this document is consistent pith the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the NenYork State Energ3 Consenution Construction Code requirements. When a Registered Design Professional has stamped and signed this page. they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. Bir:crer/Designer I i REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheck-Sofi<vare Version 3.5 Release la DATE: 10/16/03 TITLE:Reeve Residence ,I Bldg. Dept. Use I Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-19.0 cavity insulation i Comments: [ ] 2- Ceiling 2: Cathedral Ceiling(no attic),R-13.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c..R-13.0 cavity insulation Comments: I Windows: [ ] 1. Windo« 1: Vinyl Frame:Double Pane. U-factor. 0.320 For windows without labeled 13-factors, describe features: #Panes_Frame Type Thermal Break? [ ] Yes [ ] No Comments: I Doors: [ ] 1. Door 1: Solid, U-factor: 0.320 Comments: I Floors: [ ] 1. Floor 1: All-Wood Joist/Truss:Over Unconditioned Space.R-19.0 cavit3 insulation Continents: I Air Leakage: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated, or 2)installed inside an appropriate airtight assembh, with a OS" clearance from combustible materials. If non-IC rated, the fixture must be installed with a 3" clearance from insulation I Vapor Retarder: [ ] Required on the warm-in-tuinter side of all tion-vented framed ceilings, "alis, and floors. I Materials Identification: [ J Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ I Materials and equipment must be identified so that compliance can be determined. [ I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly-marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-8. [ J Return ducts in unconditioned attics or outside the building must be insulated to R-4. [ ] Supply ducts in unconditioned spaces must be insulated to R-8. [ ] Return duds in unconditioned spaces(except basements) must be insulated to R-2. Insulation is not required on return ducts in basements. . I Duct Construction: [ ] I All joints. seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted. Exception-Continuously-welded and Locking-type longitudinal joints and seams on ducts operating at Less than 2 in. vy.g. (500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system [ ] The M'--C sy stem must provide a means for balancing air and water systems. I Temperature Controls: [ ] ' Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. I Electric Systems: [ ] Separate electric meters are required for each dwelling unit. Fireplaces: [ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code ofS'eu Fork Stare, the Residential Code of Very York State or the 3'ew York City Building Code. as applicable. I Senice Water Heating: [ ] Nater heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 200% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping cam eying fluids above 105 T or chilled fluids below 55 O must be insulated to the levels in Table 2. Tcr51e 1: Mininnun Insulation Thiclnressfor Circulating Hot Rater Pipes. Insulation Thickness in Inches be Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to L„ Up to 1.25" 1.5" to 2.0" Ocer 2" 170-130 05 1.0 15 2.0 140-160 0.5 OS 1.0 15 100-130 0.5 OS OS 1.0 Table 2: Alininaurn Insulation Thickness for ITVACPipes. Fluid Temp- Insulation TMclmess in Inches by Pipe Sizes Piping Ststem'ftpes Range(Fj 2" Rtmouts P' and Less 125" to 2" 2S" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 15 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 LS Steam Condensate(for feed nater) -Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 OS 0.75 LO and Brine Below 40 1.0 1.0 15 1-5 NOTES TO FIELD (Building Department Use Only) SOUTHOLD P OPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT FORMER OWNER E ,REAGE r-5 vg• Kee VQ .. S W TYPE OF BUILDING L 14 q- RES. 0 SEAS, VL. FARM comm. I IND. misc. Est, Mkt. Value LAND IMP. TOTAL DATE REMARKS 0 00 zo/ 1h y NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD -illable 2 -DOCK ( ) -illoble 3 Voodland --------------------- Swampland /e- Cr _ , rush land I//C/zicl 0)q- Jn Ppyve -louse Plot ipl'qto -/ (P i +Oj'S 4p Q Ale- — /K/C– .0ta I fi Y e f vMAT r � -- - 1 Bldg, Foundation bath Ktension u' 0 Basement Floors + _ d ty Ion - ` / Interior Finish ev Ext. Wolfs 1,i ------ ---- <tensioh Fire Place Heat �j 6 � Hj ----- - -- L ¢� Porch Root Type Porch A F Rooms l st Floor --- �� � _„ .; �>ry ��� Patio Rooms 2nd Floor Lz Driveway — I — ---�Dormer B. — — ---- R.C.M. Architectural Design Studio, RC. i 4l 7 Norton Drive, Sndthtown, NY 11757 Telephone: (631)360-1462 .I Fax: (631)360-8210 Email: Rkatec% optonliae.net { nY r February 2,2004 Town Of Southold ! Budding Department Town Hall Southold, N.Y. 11971 Attn: Gary Fish RE: Permit 929843 Helen Reeve 243 Maiden Lane "F Mattituck, N.Y- 11952 _ J. Dear Mr. Fish: I would like to confirm that the chimney for the above referenced is inactive and has been "i covered. There was a fireplace in the house, which was removed. b If you have any questions, please contact me at 611-360-1462. u meer ly, Robert C. Miller, R. �i R.C.M. Architectural Design Studio, P.C. Icy Ili N''I Permit Number REScheck Compliance Certificate CheckedBv/Date New York State Energy Conservation Construction Code RES checkSofm are Version 3.5 Release la Data filename: C:\CAD\Rcm Group\ArcW%,es2002-2003\2002\0267-Reece\0267-reex c-rck TITLE:Reeve Residence COUNTY: Suffolk STATE:New York HDD:5750 CONSTRUCTION TYPE:Detached 1 or 2 Family BEATING TYPE:Non-Electric DATE: 10/16/03 DATE OF PLANS: 10/16/03 PROJECT INFORMATION: 243 Maiden Lane Mattituck,NY 11952 COMPANY INFORMATION: R.C-M. Architectural Design Studio,P_C. 8 Knollcrest Rd. Ne5Cnn5et,NY 11767 NOTES: Fire Restoration COMPLIANCE:Passes Na,drnu n U_4=393 Your Home UA=386 1-8%Better Than Code(LTA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 724 19.0 0.0 37 Ceiling 2: Cathedral Ceiling(no attic) 378 13.0 0.0 28 Wall 1: Wood Frame; 16" o.c. 2370 13.0 0.0 170 Window L Vin}}1 Frame:Double Pane 249 0.320 80 Door L Solid 53 0.320 17 Floor 1: All-Wood Joist/Truss:Ocer Unconditioned Space 1142 19.0 0.0 54 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications; and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page. they are attesting that to the best of his/her knoii ledge.belief and professional judgment, such plans or specifications are in compliance n-ith this Code. ,� � // j B�'zr/Dzsignzr �� L�` �i'� I Scheck Inspection Checklist New. York State Energy Conservation Construction Code REScheckSofm are Version 3.5 Release la DATE: 10/16/03 TITLE:Reece Residence Bldg. Dept. Use I Ceilings: [ ] L Ceiling l:Flat Ceiling or Scissor Truss,R-19.0 cavity insulation Comments: [ ] 2_ Ceiling 2: Cathedral Ceiling(no attic),R-13.0 tacit} insulation Comments I Above-Grade Walls: [ 1 1. Wall 1: Wood Frame, 16" o.a. R-13.0 caxitg insulation Comments. I Windows: [ ] 1. Window 1:Vinyl Frame:Double Pane.U-factor: 0-320 I For windows without labeled U-factors_ describe features: 9 Panes_Frame T}pe_ _Thermal Break-9 [ ] Yes [ ] No Comments: Doors: [ ] 1. Door 1: Solid,U-factor: 0.320 Comments: I Floors: [ ] 1. Floor 1: all-Wood JoistfTr(iss:Ovcr Unconditioned Space,R-19.0 cavity insulation Comments: Air Leakage: [ ] Joints,penetrations, and all other such openings in the building euc elope that are sources of air leakage must be sealed. [ ] I Recessed lights must be 1) Type IC rated. or 2) installed inside an appropriate air-tight assembly with a OS" clearance from combustible materials If non-IC rated,the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls, and floors. I Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions- [ ] Materials and equipment must be identified so that compliance can be determined- [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-3. [ ] Return ducts in unconditioned attics or outside tite building must be insulated to R-1. [ ] Supply ducts in unconditioned spaces must be insulated to R-S. [ ] Return ducts in unconditioned spaces(except basements) must be insulated to R-2. ` Insulation is not required on return ducts in basements. I Duct Construction: [ ] I All joints, seams, and connections must be secureh fastened N ith welds. gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). { [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation trust be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ I I The MfAC systein must protide a means for balancing air and water sy stems. I ! Temperature Controls: [ ] ! Each dwelling unit his at lesat one thermostat capable of automaticalh adjusting the space temperature set point of the largest zone. I Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. a Fireplaces: [ 1 Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ J Fireplaces must be proaded with a source of combustion air. as required by the Fireplace construction I provisions of the Building Code of.l ev, Iork Stare, the Residential Code of\'ew Fork State or the\-eu Iork On Building Code, as applicable. I Senice Water Heating: [ ] Nater heaters with i ertical pipe risers must have a heat trap on both the inlet and outlet unless the nater heater has an integral heat trap or is part of a circulating system. [ ] Insudate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table L ! Swimming Pools: [ ] All heated shhitmning pools must have an on/off heater snitch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] RVAC piping conveying fluids above 10.5 °F or chilled fluids below 55 'F must be insulated to the levels in Table 2. Table 1: Minimum Insulation Tliickwess for Circulating Hot Prater Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runoms Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25' 1.51' to 2.0" Over 2" 170-150 OS 1.0 1.5 2.0 110-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 10 I j Table 2: Minimum Insulation Thielatessfor Hf AC'Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes I Piping SN stein Types Range(F) 2"Rmtouts 1" and Less 1.25" to 2" 2S" to a" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 15 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Anc 1.0 1.0 15 2.0 Cotrlitug Systems Chilled Water.Refrigerant, 40-55 OS 0.5 0.75 1.0 i and Brine Below 40 1.0 1.0 15 1.5 NOTES TO FIELD (Building Department Use Only-) f V 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ :° ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ vf FRAM 14G [ ` ] FINAL [ FIREPLACE &ACHIMNEY REMARKS: f Jht DATE / / f' c INSPECTOR i V i i a 765-1802 BUILDING DEPT. INSPECTION I [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ �FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: All/ oz— DATE DATE INSPECTOR k S. 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION i ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE, A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE � � � INSPECTOR 765-1802 BUILDING DEPT. { INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION j [ ] FRAMING [ FINAL i [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: QTS _ I I ' I j DATE INSPECTOR-,"' l i i 765.1802 BUILDING DEPT. INSPECTION [ r FOUNDATION IST [ ] ROUGH PLBG. { [ ] FOUNDATION 2ND [ ] INS ATION j [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS• n DATE INSPECTOR 0 FOUNDAMON(IST). - 11 3L' WWI ' . RW/�'�_ C1,19,1/ � FPAll - � pow ; a Tomw OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval F-AX: (631) 765-9502 0 Survey tvlvw. northfork_net/Southold/ PERMIT NO S Check Septic Form l I N.Y.S.D.E.C. `2 Trustees Examined , 20 J Contact: _approved '03 Mail to: Disapproved ac _ I Phone: p Expiration ,20 i yQ � 1�`Z4A;P-�& Buildin sp r kAPPLICATION FOR BUILDING PERMIT DateOLL- Jt'y' Z� 20 L, it INSTRUCTIONS -a. This application MUST be completely 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 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 buildir.L,. shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate o'O�cupancy_ f. Every building perm t 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 HEP FBY 1\LADE 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 adroit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) Ccs �cxync�rK�-i;�t.le+Ra�lKcu��ct��a.,�[•�{_ (Mailing address of applicant) I FT7 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder 'BLki Icier, Name of owner of premises en, (As on the tax roll or latest deed) If applic torpor r, s' ''atu of duly,authorized officer ` (Name and tie �orpo ate officer) Builders License No. Plumbers License No. 9Up3 P Electricians License No.R I I E Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street _ . -_ - Hamlet co, Tax Map No. 1000 Section HT3 Block g� Lot I'�t D )—O Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction_ a. Existing use and occupancy �?cSin�0.a 1lor b. Intended use and occupancy pzs i c�2r ti{iC�! I�fa Yl� 3. Nature of work(check which applicable):New Building Addition Alteration Repair, ✓ Removal Demolition Other Work Fi kq�. Eetai r (Description) 4. Estimated Cost C 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 i 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N ( 1 7. Dimensions of exis � g structures,if any: Front rXU tF' Rear2#'r Depth �b Height Number of Stories Dimensions of same structure with alterations or additions: Front f �R Rear Depth Height Number of Stories S. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 4 12_Does proposed construction violate any zoning law, ordinance or regulation? YES_NO 13. Will lot be re-graded?YES_NO Will excess fill be removed from premises`' YES_NO 14. Names of Owner of premises 1+e-1eY 1 k(f&e Address a43 MO(J8-)Ly)=Phone No. guo-4(sq-R I l7 d Name of Architect RL`b:CdMOff- Address Kr)bI1C---"i ` shone No- Loa)-? pQ-1Hl- Name of ContractorD4A skvuc-A-u�at CCrriroelc6 Address s 2. Phone No. b3I-Li-7 I--aW.6 I�.cn l doCana 15 a. Is this property-within 100 feet of a tidal wetland or a freshwater wetland° *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D-E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? *YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. _ 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STAin OF NEW YORK) SS: COUNTY OF ) Fy-cLnG S l -0- n being duly swom, deposes and says that(s)he is the applicant (Name of individual signingcontract) above named, (S)He is the C on A-<- 1 O-C�w (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this L val3 day�of�j �c 1 �er 20 U23 Q An Notary Public Sig6atureofApplicant RRYT,GALE NbTARY PURUC.Sfate of NewYak . - No.DiGASD49023 - - - Cuaftd M SUN*CWW - - Gsrtirr �L.x�ss I Y �k f r > q AP SLJPvVEY A . Tj io I r� i .. ty bur T 4 - LL 1 .� a7,.4 . EJ LS 5.44 4'P' - W• 8r7.Co4 � g74 � j! L. C 7 U 'Ik. _ h - II �CaileC? _ }„ GLiGtYCtV'Lt2. {i F I �.'� _• i-f'fC7'�?L!�f`Y'E�-'R'.S�" �\4Y��_;c -.' i—l'r'Tv ' � ".1+ -. 1-_ _'f __—. .. ��4 liv- ..d 4 i lI —���------- HHF,IGNEEN © PSANNLIG4 EI[IPLIfGF.S' PLUMBING comsT's_"cTneN NAINAGEES LUING WASTE ALL WATER NES NEED VED AS NOTM TESTING BEFORE COVERING AR . 0 M GROUP �'I R O T T P DATE: 10 B.P.,I9it4,'3 ' ' A. R C H S 'T E C T S FE 5<D BY,. N !v*107.7,CRNN1' EOaD, NP,9W Nftl'Tl N.V. JITH7 FH./EAT" 1(5311 3U 11-!d L'9. NOTIFY BUILDING DEPARTMENT AT 766.1802 SAM TO 4 P FOR THE ROBERT C. MILLER, R.A. FOLLOWING INSPECTWO14- ROBERT alcn'rr•rr, MILLER, R.A. NOTE: 1. FOUNDATION - TWO REQUIRED UNDERWRITERS CERTIFICATE: SHADED AREA INDICATIE5 FOR POURED CONCRETE DAMAGED F.-PE, TO BE RMOVED REQUIRED i\----- AND REPLAGED' W/ 2"X8" F.L.'S 2• ROUGH - FRAMING 8 PLUMBWD 3. INSULATION 16" O.G. (REPLACE 3/4" PLYWD. 4. FINAL - CONSTRUCTION MUST �\ 51JB-FLR ABOVE) BE COMPLETE FOR C.O. DI&A STRUCTURAL. CONTRACTORS ALL CONSTRUCTION SHALL MEET THE I ME RESTORATION BUILDING PROFESSIONALS REQUIREMENTS OF THE CODES OF NEW 60 RAYNOR AVE., ROIKONK091A, NEW YORK 11779 \\ YORK STATE. NOT RESPONSIBLE FOR RMI fbV41HE00 R:AXI (66U4I1,2105 S\ DESIGN OR CONSTRUCTION ERRORS, RR 2849 VINYL \ R/R 2445 VINYL _ � D H ea i-o HP I�Ir ExsT. ro COMPLY WITH ALL CODES OF P.H.oH.® 5'�T" Ho Hr �T \ 3 I ` REMAIN AS E LH E ANDOCONDITIONSOCODES PLUMBER CERTIFICATION _ TE & TOWN OF ON LEAD CONTENT BEFORE 1 j AI�1 ZY (EXsr CERTIFICATE OF OCCUPANCY m ~' e SO` HOLD TO N PLANNING BOARD SOLDER USED IN WATER w _ - NT,RUSTEES SUPPLYSYSTEMCANN07 IR 2 - = EXCEED 2110 OF1%LEAD. 4- -- F N.Y.S.DEC 3 E 5GREENEE J N KITCHEN s r -- --- J T I F�ORGEf ------ �J (EXST.) o (rxeT) a m OCCUPANCY OR G�• CY >_ 2"X8" FA.'5 2 = C� O 1- (HESE PLANS ARE AN INSTRUMENT OF SERVICE AND FEAT 3- 0 4 T ry ARE THE EXCLUSIVE PROPERTY :OF RCM GROUP EXSTJ ® 24„ N USE IS UNLAWFUL Be /r� r l INFRINGEMENTS OF THE CONCEPTS AND ® i o VE <51r ° WITHOUT CERTIFICATE DESIGN IDEAS PRESENTED ON THESE ST TE I I /+/. /� DHALL BE PROSECUTED 717 N T ESE CR EXTENT -ry`• 24 GL. DRR.H.® 6qB VINYL O.N.as 7-0 HD Iii — (per TX411 OF OCCUPANCY PERMITTED 2003 AW RCM GROUP RA2 255 HD HT _ __ _ ALL RIGHTS PRESERVED, NO PART OF THESE PLANS —m 1 �� —= - 2850 VINY - `�- _ tti ,, , MAY BE REPRODUCED WITHOUT THE EXPRESSED - Ii WRITTEN CONSENT OF RCM GROUP. — — — — " .®i'-o�aD o-1 l �� REVISION I 6-5" -_ � ' (3) 13/4 X71/2 M.L x - - --- a >Q ( I I l --- - I z=-- FA.S UNi 15 e. HALL ABOVE N0. DATE --DESCRIPTION -- C) ® pp -tN p >N" o ESED ��b ExsTJ EDPIM 13 o , >yF DINIINC� _ DEN >o AI -- - - - - — - - ® III ' 1 I ry o ALL CONSTRUCTION SH ° ROOM N I I{, � � �� 1 I! " pp"� MEET THE Ino _Y, (EX5TJ = ® X N09) x (EXST) U -(EX5T) - `T ® RELEASE STATUS ° X — CODES OF NEW YORK STATE wOW N - 5D. ry wN°i OC6 , 3 9"_-- J 7 S LL ° 41, 5'- t' I 10 I' L 5 $,R'S IY m n 6 o p, 5 - - �- s1 f- SLgIr ( �i 3a3 u_ ry li 49 I ESTIMATING PRINT — (' _.NOTE: — _ 1 1 SHADED AREA INDICATE 5 PARTIAL RELEASE -- L' ®r a 2x4: —� s ;Lai,.",I� �, 2 DAMAGIED F offio lyp H __ �' TO BE R FULL RELEASE _ sv. - AND REPLACED A/ 2 Xb FA.'SL 11 z.Q I �t. PLACE 3/4" PLYWD. — SUBMISSION TO BUILDING DEPARTMENT FONTI ExT. F.P. 1FSUBESUBMISSION TO OWNER FOR REVIEW 4R ---- m' pp PROJECT ,p E3F.�DRM ___—� 3)_ 3 Off. R PR HM H OONFOF'MS ry( LIVINOQI m a ---- Io.)L' o of NrsrGHGONF4 I ROOM PROPOSED REPAIR OF O (EXSTJ R/IR EXST S--AIR _-_ __3 9-�,- - a-n" 5° , �� I °4 FIRE DAMAGE TO: m p uJ m I (EXSTJ II (rvY T . � W.I m NC I_ U 14R m O (ExSrJ , ��� _ I I �� 1 z�� �� i c� c n G c (2) Ke . , 243 MAIDEN LANEHDR (MNJ —= _ MATTITUGk:, N)r IM52 250 OPNO—i • ®6 46 6'8 HP HT X66 850 0 D HT L — (F)(5,T) V� SD. J LL (�LI ry� 7 e m DRAWING TITLE >w EIEC>RM I ~m9' —-- - ;- - - RC)OF�tYg - - ----I --- - PL_AN EXST N ° _ -- 19�- S a I ' r I I \ (EXST.) — C�Le. (EX5TJ PROJECT NO. O 26_'1-------_----_-- ATE ®��� �� � — / 30 SCALE -- - - - /ASI NOTE-'D--- It— RA2 210210 VINYL R/R 210210 VINYL EXST. TO EXST. TO 05MNT 0 6'-6"HO Hi 05HW® 6'-6" III?HT RiR EX5T. DOOR N/ REMAIN REMAIN ' -DRAWN BY _--- -- ------------�----- �- 36"W. "FXIT" DOOR A5 PER SECTION R511FILE NAME 0267-REEVE 0VE OF Nr'- CODE , 12 —TO SEAL 0 51 ZAL)F DECK p NOTE : THERE IS NO STRUCTURAL E=IRE DAMAGE TO THE SEGOIND FLOOR NOTE: THE ONLY STRUGTUR.AL EIRE DAMAGE ARE THE 2ND F=LOOR E.-PS W,/ ®®®— THE 2ND FLOOR HAS ONLY SUSTAINED SMOKE AND WATER SUB-PLR ABOVE. ALL OTHER AREAS HAVE SUSTAINED SMOKE AND HATER DRAWING N10. DAMAGE. DAMAGE ONLY A �l 'Il 5E001ND FLL.00R FILAN----- -----_-- ---- I IR57' FL 0010 'PLmA N _--- PLAN RS AREA 01= STRUG TURAL FIRE 7T? — +,= .4,�-t w.r=r;,: T.� ., �-.,—_ ' l�rT�(rrNlessrancl tkltiFFen[�F:; NOTE: PROVIDE ICE PROTECTION THAT BUBBLED AREA INDIi ATL5 _ CONSISTS OF AT LEAST TWO LAYERS OF UNDERLAI'MENT �""^,.� GEMENTED TOGETHER OR OF A DAMAGE. ALL OTHER AREA', L,� - �� , NRI SELF ADHESIVE POLYMER MODIFIED I-TANTE SUSTA NEG' SMOKE " " •' N[ • GROUP 1+ O �/ BITUMEN 5I-IEEr SHALL BE USED AND - -- ,AND WATER DAMAGE ONLY ,� ,j I, ' r;. FI C 21 ; 'p` Y' ( `p' c 15 TO EXTE=ND FROM THE EAVES i„ - —�-- EDGE TOA POINT AT LEAST 24" INSIDE T � q ',' A 1.'�tb LL(hY�1 7AU, Nl'4CON�,f N e 1787 THE EXTERIOR WALL LINE IN ACCORPAN E WITH SECTION F:905.2,1.1 /�"�'• . ADD NEW (2) 2X6 I FJ 5 ADJACENT TO ROBERT C. MILLER, R.A. „ EX 'T DAMAGED F J 5 PROVIDE A M015TURE VAPOR RETARDER ,�_„�— T Y 1 G ,4 L R O O F I I EW,LL RItAdSn G8uor9 uNurv� NE.-: \ — � 12 (DOUG FIR #1 ONLY) ,ON THE WARM-INWINI"ER SIDE OF THE INSULATION � 2 �'®-- IN ALL FRAMED WALLS, ROOF AND CEILING, 6G' / , �6 2051 ASPHALT 'OMPONEHTS WHIGH GOMPI215EI THE BUILDING � ATTIC ----- ROOF SHINGLES THERMAL ENVELOPE, IN ACCORDANCE // AITTI G \\\/ I5# --ELT I I WITH SECTION 8320. ;. / aEXS ��\ .' n E ER,aRF,LYM. &A STRUCTURAL. CONTRACTORS PLATE Hr. ® 2ND FLR I THE RESTORATION BUILDING PROFESSIONALS Lrz Mir60 RI AVE, ROFIKONKONI NEW YORK 11779 G' R-30 #ILC-fi. (TfP) U 2��Xq�, OR 2'X6' PARTITIONS (6%fR-�00 PM(F -- (631)K71-2905 9 W I flIRE1 pK W/ (U BOTTOM PLATE, r2) �p 1 G A L HALL '� I 0 ® V TOP PLATES ,AND I/2" 6YJ.B ON BOTH SIDE5...To BE ----®--- O I REMOVED AND REPLACED _ Imp _, I 13�0 ,M —- ”' 2X1 ONTAL SIDING I 33 I = _ _