HomeMy WebLinkAbout29233-ZFO-r~ bio- 4
TO~ OF SOUTHOLD
BUILDING DEPART~fENT
office of the Building Inspector
Town Hall
Southold,
CERTIFICATE OF OCCUPANCY
No: Z-30464
Date: 09/22/04
TIIIS CERTIFIES t_hat the building SINGLE FAMILY DWELLING
Location of Property: 600 INLET VIEW EAST ~ATTITUCK
(HOUSE NO_) (STREET) (HAMLET)
County Tax Map No. 473889 Section 100 Block 3 Lot 10_10
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office d~ted MARCH 6, 2003 pursu~l~lt to which
Building Pez~nit No. 29233-Z dated ~LA~CH 24, 2003
was issued, and conforms to all of the requirements of 5he applicable
provisions of the law. The occupancy for which this certificate is issued
is SINGLE FAMILY DWELLING WITH ATTACHED G2kR3kGE & WOOD DECKS AS APPLIED
FOR.
T~e certificate is issued to JANICE L CHEW & MARILYI~ RUTKOSKI
(OWNER)
of the aforesaid building.
S~FOLK CO[~Fi~f DEPAR%~NT OF~AL~IAPPRoxr~L H10-03-0019 09/21/04
ELECTRICAL CERTIFICATE NO. 3860 05/26/04
PLUMBERS CERTIFICATION DATED 06/03/04 KEVIN HEMPE PL%~. CORP
-- ~ ut orized ~
Rev. 1/81
FORM NO. 3
TOWN OF SOUTEOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PEP~MIT
(THIs PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL
COMPLETION OF TEE WORK AUTHORIZED)
i~E~iT'NO. 29233 Z Date MARCH 24, 2003
Permission is hereby granted to:
JANICE L CHEW
PO BOX 426
MATTITUCK,NY 11952
for :
CONST~3CTION OF A NEW SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at
600 INLET VIEW EAST
MATTITUCK
County Tax Map No. 473889 Section 100
Block 0003 Lot No. 010.010
pursuanl~ to application dated MARCH
6, 2003 and approved by the
Building Inspector to expire on SEPTEMBER 24,
Fee $ 2~619.00
2004.
ORIGINAL
Rev. 5/8/~2
Form No. 6
TOXVN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPM~ICY
This application must be filled in by t)rpewriter or ink and subrrfitted to the Building Department with the following:
For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusnal 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 o f 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" laud 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, Alterations to dwelling $25.00,
3.
4.
5.
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
Certificate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - $.25
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
~ Old or Pre-existing Building: (check one)
House No. Street Hamle~
New Construction:
Location of Property:
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision ?'~ ] ~.)c
Permit No. ~ Date of Permit.
Health Dept. Approval:
Phmning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $.25
Underwriters Approval: ~t&E}
Final Certificate:
(check one)
Apphcant S~gnature
Nassau Suffolk Electrical Inspections, Inc.
5A Canal Street * Cemer Moriches, New York i1934 * Tel: 631-878-3500 * F~_x: 631-878-3764
Application: 3860
Issued to: Chew
Address:. Inlet View East
Village: Mattimck
Date: 5/26/04
Introduced By: Modem EleCtric East Lic¢: 4253-E
was examined and approved up to the above date and was in compliance with the NEC
A'~c [] 1st Flo~ [] Resider~al [] Pool Dot ~
Baserrent[] 2ndfloor [] C~]n~dal Hot Tub AdeilJon
Receptacles Fixtures G.F.I. Range Hooa Dimmers
Dishwasher Washer/Amps Dryer/Amps Range/Amps Monoxiae
Smoke Bell
Oil Gas HeatZones
Detector8 Transformers
YES 8 9 1 '
Meter Amps Phase Motors
1 60Da u,q
76
6-Ex BATH
Furnace
2
iOther Equipment:
Oat,Res
1-30A Cooktop
3-200A Panels
5-Zone A/C
3-paddle fans
This certificate must not be altered
in any manner
Section: 100
Block: 3
Lot:10.10
011111¢1 OF THI IMLMN~ iNl~lCTOl~
T~WN M' ~
Cipher 1 ~
.o q .,., o:_<...,,,..~,//
THERESA PSALTF3 DAI'~--_LMAIER
Notary Public~ State of I~ew York
No. 010/,4968918
Qualified In Suffolk County ~J,~,
Commission Expires July 30, 20
JOHN DAVID ROSE ARCHITECT P.C. AIA
21 SOUTH MAIN STREET SOUTHAMPTON NEW YORK I 1968 631 283-2051
August 4, 2005
Town of Southold Building Dep~'tment
55095 Mare Road
Southold~ NW 11971
Re: Metal building connector reviexv for l~.h'. Buzz Chew with Building
Permit No. 292537 ~'"~ ~"~ ~'
D~ar Ma'. Boufis:
VCe have inspected the site and reviewed the metal building connectors.
\Ve' ?rave found the metal building cmmectors in compliance with the
approved architectt~ral drawings and to the best of my professional
judgement will meet all Local and State Codes. If xve can be of any further
assistance, please do not hesitate to call.
Best regards,
' '. o.~.~ '
~ f 4' '~ "' .
John Daxdd Ros~, Architect, P.C., AIA
JOHN DAVID ROSE ARCHITECT P.C. AIA
2 ! SOUTH MAIN STREE F SOUTHAMPTON NEW YORK 1 1968 631-283-2051
October 10, 20OS
Town of $ottthold Buildi_ng Department
53095 Main Road
Re: Air. Buzz Chew ~dth Building Perrait No. 29£$37
Dear Mr_ Gary Fish:
The fi'aming and structure of the above referenced building have been
built a~cord/ngxt9 tim plans as of October 10, 2003, and are certifiably
acceptable itt my professional opinion. If you have any questions, please
do not hesitate to contact the office.
N
Best regards,
John L axld Rose, )d~chitect P.C. AIA
DA
Cc: Mr..Buzz Chew
. Ironw,~j.t constructton, Inc.
JOHN DAVID ROSE ARCHITECT P.C. AIA
21 SOUTH MAIN STREF~T SOUTHAMPTON NEW YORK 1 1968 631-283-205 I
Junt, 25, 2004, ,~-- ~..:,. , .
~Town of Southold Building Department
· $3095 iMah~ Road
iSouthold, NY 11971
At-tn: Mr. Gary Fish, Buildin~ Insvector
Re: The Chew Residence - Building Permit No_ 292537
Dear Mr. Fish:
It is my m3.d..er.s_}andii~g, ~v. hen the above referenced house was inspected,
there· was,...a..,i'equ.¢~t for the garage/basement ceiling to be fire resistant.
En)los~d' pleasb' find one of the UL labels from the materials used fit the
garage to show the ceiling is fire resistance. In our professional opinion,
this system meets the code requirement.
If you have any questions or comments, please do not hesitate to call.
Best regards~
Jotm David Rose, Architect P.C. MA
DA
Cc: IM[r. Buzz Chexy .....
Ironwood Construction, Inc.
03~21/2003 16:'$2 F.4~[' 1' 631 283 ~860 JOItN'DAViD ROSE ARCH. PC ~002
JOHN DAMID ROSE ARCHITECT P.C. AIA
21 SOUTH MAIN STREET SOUTHAMPTON NEW YORK 1 1 ~68 ~31-283-2051
March ';'1, 2003
Town of Southold builciing Department
53095 Main Road
Seuthold, NY 11971
Re: The Chew Residence
At[n: Building Department;
The following revisions are based on the telephone c~nversaUon on March 2_1, 2003.
AIl structural notes shali refer to The 1995 American Forest & Paper Association
Wood Frame Construction Manual.
2) No foundation wall shall be more than twelve feet (12'-0") high, measured from
the top of the fini$1~ad firsf floor to extedor grade.
Bestrega~s,
John David Rose, Architect, P.C., AIA
JOHN DAVID ROSE ARCHITECT P.C. AIA
21 SOUTH MAIN STREET SOUTHAMPTON NEW YORK I 1968 631-283-2051
March 21, 2003
Town of Southold Building Department
53095 Main Road
Southold, NY 11971
Re: The Chew Residence
Attn: Building Department:
The following revisions are based on the telephone conversation on March 21, 2003.
1)
2)
All structural notes shall refer to The 1995 American Forest & Paper Association
Wood Frame Construction Manual.
No foundation wall shall be more than twelve feet (12'-0") high, measured from
the top of the finished first floor to exterior grade.
Best regards,
John David Rose, Architect, P.C., AIA
JOHN DAVID ROSE ARCHITECT P.C. AIA
2I SOUTH MAIN STREETSOLFFHAMPTON NEWYORK I 1 968 631-283-205I
March 19, 2003
Town of Southold Building Department
53095 Main Road
Southoid, NY 11971
Re: The Chew Residence
Attn: Building Department:
The following letter is to clarify and address your latest comments on the Chew construction
drawings. Please incorporate the following information into your records:
1) The title sheet has been revised and (4) copies are enclosed to be
substituted for the title sheets currently filed. Please note revision 1, dated March 18,
2003. This clarifies the 1995 American Forest and Paper Association Wood Frame
Construction Manual for One and Two Family Dwellings, Prescriptive Method, and
changes to general notes and code criteria.
2) Light and ventilation calculations for second floor are as follows:
Bedroom #1:
243 square feet
Required light:
Required ventilation:
Actual light:
Actual ventilation:
= 19.44 (8% of 243)
= 9.72 (4% of 243)
= 24.60
= 13.27
Bedroom #2:
268 square feet
Required light:
Required ventilation:
Actual light:
Actual ventilation:
= 21.44 (8% of 268)
= 10.72 (4% of 268)
= 21.54
= 11.34
Bedroom #3:
207 square feet
Required light:
Required ventilation:
Actual light:
Actual ventilation:
= 16.56 (8% of 207)
= 8.28 (4% of 207)
= 21.54
: 11.34
3) Schedule of plywood panels for exteriorwindows is as follows:
Quantity Dimension
(6) 3'-6"w x 5'-6"h
(5) 3'-6"w x 6'-9"h
(7) 3'-4"w x 5'-2"h
(1) 7'-0"w x 4'-0"h
(1) 7'-3"w x '~-2"h
(1) 7'-3"w x 1'-6"h
(2) 3'-6"w x 7'-6"h
(I) 3'-2"w x 3'-2"h
(2) 3'-3~w x 4'-0"h
(1) 3L0"w x 3'-6'~
(1) 5'-6"w x 6'-9=h
(1) 3'-S"w x 7'-2"h
(1) 3'-6"w x 1'-6"h
(1) 3'-6'w x 5'~
(1) 6'-9"w x 5'-2"h
(1) IY-O"w x 6'-9"h
(1) 2'-4"w x 6'-9~h
(1) 3'-6"w x 4'-9"h
(2) 6'-8~'w x 7'-6"h
(2) 6'-8"w x l'-~'rh
(4) 3~-6"w X 1'-6"h
(1) 6'-4"w x 6'-9"h
(1) 3'-4"w x 6'-9~
(2) 6'-6"w x 5'-~'h
(1) 3~-4"w
(3) 6'-8"w x 4'-10"h
(4) Basement calculation clarifying that the basement is not to be deemed
a story. More than 50% is below average grade.
Total Foundation Wall = 2815s.f. : 43% AboveGrade
Exposed Foundation Wall Area 1222 s.f.
57% Below Grade: Not a story.
Best regards,
"'"7,'.'?'.::"
I --- ""
John David Rose, Architect P.O., AIA
REScheqk Compliance Certificate
Ne~v York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release 1
Dicta filaname: C:LI-ohn Rose Office Dwgs(antocad)\Chew\Chew Residence .rck
TITEE: ENERGY CALCULATIONS
Permit Number
Checked By, q)ate
COUNTY: Suffolk
STATE: New York
liT)D: 5750
CONSTRUCTION TYPE: Detached I or 2 Family
HEATING TYPE: Non-Electric
DATE: 02/03/03
DATE OF PLANS: FEBRUARY 2003
PROJECT INFORMATION:
THE CHEW RESIDENCE
COMPANY [NFORIVlATION:
JOHN DAVID ROSE, ARCHITECT, P.C.A.I.A.
COMPLIANCE: Passes
Maximttm UA = 709
Your Home UA = 685
3.4% Better Than Code CLIA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Tress 3224 38.0 0.0
SkB, light 1: Metal Frame:Double Pane with Low-E 22
Wall 1: Wood Frame, 16" o.c. 3568 21.0 0.0
Window 1: Wood Frame:Double Pane with Low-E 997
Door I: Solid 21
Floor l: All-Wood Joist/Tress:Over Unconditioned Space 3224 38.0 0.0
Air Conditioner 1: Electric Central Air, 10 SEER
Boiler 1: Other (Except Gas-Fired Steam), 80 AFUE
96
0.440 10
145
0.330 329
0.990 21
84
COMPLL~.NCE 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 Ener~'~ C.:,r,.et,a,;,:,r, Cor,.'h',_,c,io, C,.,d¢ r¢,~u;t:rr, e,',,: When a Registered Design Professional has stamped and
signed this page, the' ~,?-~ ,.,, n,: ~,,~,. i_,-,.:.,~ ~,: _~ rc ~belief, and professional judgment, such plans or
specifications are In,,.,~~,.-'_~ -..,
Builder/Designer ______~.. ' ate O
;.-.t .. - , ,~
~,' l:~"b- ' ~- ':,-'
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSofiware Version 3.5 Release I '
DATE: 02/03/03 · '.. .: · !
TITLE: ENERGY CALCULATIONS
Bldg.
Dept.
Use
[ ]
[ I
[ I
[ I
[ ]
[ ]
[ ]
[ ]
[ ]
[ I
Ceilings:
1. Ceiling i: Flat Ceiling or Scissor Trhss~'R-3&'.0 CaiAt~,:insulation
Comments:
Above-Grade Walls:
1. Wall l: Wood Frame, 16" c.c., Rz2I:0 cavityifisulatidn
Comments:
Windows: · , '
1. Window 1: Wood Frame:Double Pane with Lo~-E, U-factor: 0.330
For windows without labeled U-factors, de~exibe features:
# panes__ Fram~ Type · ,: ': :-The/-mal.Br~5.k? [' ] Yes [
Comments:
] No
Skylights: ~ ~:·': ~:~:'~ !' . ~
1. Skylight 1: Metal Frame:Double Pane with Low-E, U-~actor: 0.440
For skylights without labeled U-factors, describe features:
# Panes Frame Type2 Thermal Break? [ ]'Yes [
] No
Doors:
l, Door 1: Solid, U-~ctor: 0,990
Comments:
Floors:
1. Floor l: All-Wood Joist/Tress:Over Unconditioned Space, R-38.0 cavity insulation
Comments:
Heating and Cooling Equipment:
1. Air Conditioner 1: Electric Central Air, 10 SEER or higher
Make and Model Number
2. Boiler l: Other (Except Gas-Fired Steam), 80 AFUE or higher
Make and Model Number
Air Leakage:
Joints, pancrralions, and all other such openings in the bt~ildin~ envelope that are sources of air
leakage must be sealed.
Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly
with a 0.5'; clearance fi-om combustible materials. If non-IC rated, the fixture must be installed with a
3" clearance fi'om insulation.
Vapor Retarder:
Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors.
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ I
[ ]
Materials Identification: ,.t
Materials and equipment must be installed in accordance with-theimanufacturer's installation instn_tctions.
Materials and equipmant must be identified so that compliance can be determined.
Manufueturer manuals for all installed heating afiil~ooling ~dfulO~-/e'ht and Service water beating
equipment must be provided·
Insulation R-values and glazing U-factors must be clearLy.marked on the bulldirtg plans or specifications.
Duet Insulation:
Supply ducts in unconditioned aries or outside the bull.ding must be insulated to R-8.
Return, ducts in anconditioped attics or outside the~buildLr/g~u~j);be, in _s~lated to R-4.
Supply ducts in tmconditioned spaces urast be insulated to R-8.
Return. duets in unconditioned spaces (except basements) must be insulated to R-2.
Insulation is not required on return ducts in basements.
Duet Construction:
AIl joints, seams, and connections must be securgly fastened '~dth welds, gaskets, mastics
(adhesives), fiurstic-plus-embedded-fabric, or tapes. Duct ~.pe is not permitred.
E..:cceiotion:'Continuously welded and lo~k/ng-Br, pe longi~idintd jo~n~ and s~ams on ducts
op6rating atless thun2 im w.g. (500 Pa). .~
Ducts shall be supported every 10 feet or in accorder~ce xyith th~ manufacturer's instructions.
Cooling duets wirh exterior insulation must be covered With a vapor retarder.
Airfiltersarereq/;iredintheretueaair-syste.m. i....,,.:,. , , ~,,.
The HVAC Systemmust provide a means for bala~cifi~ ~ir/~fi'd~,aier Sjstams.
Temperature Controls:
Each dwelling milt has at lesat one thermostat capab!e .of a~q~matic~:l!y adjusting the space
temperature set point of the largest zone. . ~ .... ..,
Electric Systems:
Separate electric meters are required for each d. we ing.t ult: .~ ;:.: . ~.:
Fireplaces:
Fireplaces must be installed with tight fitting non-coml?ustible £treplace.dc~ors.
Fireplaces must be provided with a source of combustion air, ins.required by the Fireplace construction
provisions ofthe Building Code of New ¥ork State , tl~e Re~d~nt~'ai C~ode of New York State or
the New York City Building Code, as applicable· . .
Service Water Heating:
Water 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 ora circulating System...
Insulate circulating hot water pipes to the levels in Table 1... . : ~ ~.
Circulating Hot Water Systems:
Insulate circulating hot water pipes to the levels in Table 1. ., · ·
Swimming Pools: , .
All heated swimming pools must have an on/offheaterlsvCi~eh andir~ciui~e a cover unless over 20%
of the heating energy is fi-mn non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation: . ..:... .: .
HVAC piping conve>Sng fluids above 105 °F or chilled fluids below 55 · must be insulated to the
levels in Table 2.
Tab[e 1: Min#num Insulation TMclmessfor Circulating Hot ~I~ater Pipes.
Insulation Thickness:in ~nc~es by Pipe Sizes
mated Water Non-Circu!ating Runouts cii'~ul~[ifi~Mains and Rtmouts
Temperature (F) Up to 1" · Up to 1.25" 1.5" to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0_5 0.5 0.5 1.0
Table 2: l$1inimttm l~tsulatiott Thickt~ess for HI/AC Pipes. '
Fluid Temp. Insulation Thiclmess in Inches by Pipe Sizes
Piping System Types Range (F) 2" Ruanuts 1" and Less 1.25" to 2" 2.5" to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0
Low.Tcmpera~tre 120-200 0.5
Steam Cbndensate (for feed water) Any 1.0
Cooling Systems
Chilled Water, Refrigerant, 40-55 0.5
and Brine Below 40 1.0
1.5 1.5 2.0
1.0 1.0 1.5
1.0' 1.5 2.0
0.5 0.75 1.0
1.0 1.5 1.5
NOTES TO FIELD (Building Department lJse Only)
New York State Department of Envir,,onmental Conservation
Division of Environmental Permits, Region One
Building 40 - SUNY, Stony Brook, New York 11790-2356
_ .Phone.:(631)444-0365 FAX:((~.31)444;.0_360_'
LETTER OF NON JURISDICTI. N~DAL WETLANDS
Erin Crot~y
February 18, 2003
Hull F. Chew
PO Box 426
Mattituck, NY 11952-0426
Re: NYSDEC Application ID # 1-4738-03131/00001
Inlet View East SCTM 1000-3-10.10, Mattituck
C~r¥~t-~udt single far~ii~ dwelling '
Dear Applicant:
Based on the information you have submitted, this Department has determined that:
The property landward of the topographic top of the slope as shown on the survey
prepared by Joseph A. Ingegno, dated January 30, 1997, revised January 10, 2003, is
beyond the jurisdiction of Article 25.
Therefore, in accordance with the current Tidal Wetlands Regulations (6NYCRR Part
661) no permit is required. Please be advised, however, that no construction,
sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands
jurisdictional boundary, as indicated above, without a permit. It is your responsibility to
ensure that all precautions are taken to prevent any sedimentation or other alteration or
disturbance to the ground surface or vegetation wKhin Tidal Wetlands jurisdiction which
may result from your project. Such precautions may include maintaining adequate wcrk
area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20'
wide construction area) or erecting a temporary fence, barrier, or hale bay berm.
Please be further advised that this letter does not relieve you of the responsibility of
obtaining any necessary permits or approvals from other agencies.
CAF
cc; J.M.O. Consulting Service~
Sincerely,
Permit Administrator
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
PegKy A. Dickerson
' BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall
58095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
March 5, 2003
.Hull F. chew -
PO Box 426
Mattituck, NY 11952-0426
RE: SCTM#3-10-10
Inlet View East
Mattituck, NY
Dear Mr, Chew:
The Southold Town Board of Trustees reviewed the smwey prepared by Joseph A. Ingeg-no dated
January 30, 1997, revised January 10, 2003 to constrtlct single family dwelling to be out of the
Wetland Jurisdiction under Chapter 97 of the Town Wetland Code.
Theretbre, in accordance with the current Tidal Wetlands Code (Chapter 97) m~d the
Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised however that
no construction, sedimentation, or disturbance of any kind ma), take place seaward of the tidal
wetlands jurisdictional botmdary or seaward of the coastal erosion hazard area as indicated
above, without a permit. It is your responsibility to ensure that all necessary precautions are
taken to prevent any sedimentation of other alteration or distmbance to the ground surface or
vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may
result fi-om your projects. Such precautions ma), include maintaining adequate work area
between the tidal wetland jurisdictional boundaW and the coastal erosion hazard area and your
project or erecting a temporary fence, barrier, or hay bale ben'n,
However any activity within 100' of the Wetland line and/or seaward of the Coastal Erosion
Hazard Line, would require action from this office.
This determination is not a determination fi'om any other agency.
If you have any further questions, please do not hesitate to call.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK:cjc
cc: Building Department
Town Of Southoid
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
~Datei 03/10/03
Transaction(s):
Septic Permit - Construct - Resid.
Receipt"~:
0
Subtotal
$10.00
Cash
Total Paid:
$10.00
Name:
ClerklD:
Feavel, David G For Chew
Inlet View East
Mattituck ny
LIZS
In[ernal ID: 71450
BUILDING PERMIT EXAMINE~ CItECK LIST
APPLICANT: ~
SCTM#
DISTRICT: 1,000, SECTION:
DATE REVIEWED: ~ //~/03
DATE SUBMITTED: $ / ~; /03
/oo , BLOCK: d ; LOT:/o .,o SUBDiViSiON:.Z~e~_~-y~ ~tmv ~'~r/~
ADDRESS: &~:~ meem~, ,/,~..., ~. CITY:
BUILDING PERMITS OPEN/EXpIRED:
BP -Z / C/0 Z- , INFO
BP__ -Z / C/0 Z- , INFO~
PRE CO: Y OR N BP
m~"w ~.,'w.~c._~ ZONT',IG DISTRICT: /2-,to CONFORMING?
/ / BP :Z/C/0 Z- , 1NFO
A//a- / BP -Z .. C, 0 Z- INFO
-Z'/C/0 Z- ' -
SINGLE & SEPARATE CERTIFICATION-REQUIRED ' NOTES:
LOTS 40,000SF -t00-24. Lot reco=~aifion.(CREATED before fune 30, [983), UNDERSIZED LOTS FRONt JAN.1997 I00-25. MergerYk norrconforwdng at ~ay 5imP after 7/1/82
· REQ. LOT SIZE: qo:~, ACT. LOT SIZE: ,~;~&q&,z REQ. LOT COV. ~.o~o
REQ. FRONT 5~ -- PROP. FRONT..,,- to o~[LEQ SIISE. ,.r-/3~'~ 'ACT. ~SDE .,:rr/..~
REQ, REAR r, PROP. RE.~ ~/_ ~' ~ ~'RE~I~IT -~f ~PROP. ~IGHT~" ·
PROJECT DESCRIPTION:
~}ESTIMATED PROJECT C6ST:~}
WATER FRONT? ¥~
'~)PANEL #: lq5 FLOOD ZONE:
~NGINEER: Rc~
DESCRIPTION: "%,~,4 ~.- /'~ k/g_ff~
~, cOMPLIANCE: ink__ .--
APPROVALS REQUIRED
SUFEOLKCOUNTYHE.~LTHDEPT:~rNO, (BED#): f DTE: Z /'Lo ,'~
TOSVN SEPTIC RECEIPT~r N
· NE~:V YORK STATE DEC: PRE-DE¢:g/ln~orNO ~ I...~'~. ~l[~'[~
SOUT[I-OLD TOWN TRUST-~: r'{~or NO ~LE~K~ ~[5-[~
FAST TILACK ,4/o
PERMIT #: g~*-~t, oot~
TO'~VN ZONING BOARD APPROVAL: YES or~)
TOWN PLAN. BOARD APPROV)~L: 5TS or~,Qx
TOWN HISTORICAL PRE (SPLIA): YES orhL.O
NEW YORK STATE CODE COi¥ .I'.PLIANCE (SEE PAGE 2): YES or NO
NOTES: /~&e.~* {~,~{g~_ ~'d,~/g~_ ~ ~d~27/,~ ~d.~k~e~ ~~' '
FEE STRUCTUILE: FOUNDATION:
FIRST FLOOR:
SECOND FLOOR:
OTHER:
TOTAL:
1. (~0 SF)- (~(5~)
2. ( SF)- (
INFf OTHER TOTAL
FEE FEE FEE
SF): SF X $
.$ +$ = $
3. ( SF)- ( SF)=
SF X $ =4
+$ +$ = $
FINAL TOTAL: $ ~ [7
NEW YORK STATE CODE COMPLIANCE CHECKLIST
USE/OCCUPANCY CLASSIFICATION:
T~E OF CONSTRUC~ON:
F~L FROG DESIGN ELEMENTS:
HE~E-~S~ WALL
d~s:~ _ c~mm~
~oo~ Jo~s~s:~ ~ooF
'
~OW _~ DOOR SCttED~E:
~ ~SSLE TEST ~Q~B~NTS~IN
E~SS, LIGHT, VE~:
ROOF TO FO~ATION
NAiLING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N
PLUMBING RISER DIAGRAM:{5}/N ~
LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N
TRUSSDESIGN'~./N '~ p~ ~?
CERTIFICATION~/N
TOTAL COMPLIANCE? Y/N (RETURN TO PAGE ONE)
765-1802
BUILDING DEPT.
/ SPECTION
[ ~ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE~& CHIMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [
[~/FOUNDATION 2ND [
[ ] FRAMING [
ROUGH PLBG.
INSULATION
FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~~-/
DATE
765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
/
DATE
765-'~802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [~'] ROUGH PLBG.
] FO~ATION 2ND [ ]INSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] R~GH PLBG.
[ ] FOUNDATION 2ND [ ',~'INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLAC~CHIMNEY
DATE
INSPECTOR/
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING,
[ ] ROUGH PLBG.
[ ] IN~.LATION
[~INAL
[ ] FIREPLAC,~E & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:~
DATE
/
VJ/~ ~ / .NSPECTO ,~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [~INAL ~'~~-
[ ] FIREPLACE & CHIM~NEY [ ] FIRE SAFETY INSPECTION
FIELD INSPECTION REPORT I DAT~E I .. ,.~ ,. COIVlbIENTS
................................... //~~. ~ ~ / .~
~s~ATIOn ~ER N' Y' d~ ~
STATE ENERGY CODE
.:. -, ~ ~
To iYt sOtr iiO O
BUILDING D~EP T~ T M~ N T
TOXVN ~L
SOU~OLD, ~ 11971
TEL: (631) 765-1802
F~: (6~1) 76~-9502
~-. northfork.ne~S outhol~
BUILDING pERMIT APPLICATION CHECKLIST
Do you.have or ~eed the foli0x~Sug, before appl:ySng?.
Board-o£He~ihh
3 sets of Building Plans
· Plamfing Board approval
Sttrvey
Check
S~U'~Form
N.Y.g.D.E.C.
Trustees
Contact:
Mail to:
Phone:
~'~*~, :~ .. , ~ ,~ Building Inspector
-~':~- ',' .::6: .~':',~
~ .' " . ~d"! APPLICATION FOR BUILDING PEI~HT
~, ,.~ i. ',. ~/
.............. ~ Date 3 20 ~,,~
---'-' '"'' .... ~--'~J INSTRUCTIONS
a. This appl/cation MUST be completely filled in by typea~ter 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 sneers or
areas, and waten~'ays.
c. The work coxrered by this application may npt b~ commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Penint to the applicant. Such a permit
shall be kept on the premises ava/lable for inspection throughoat the work.
e. No building shah 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 pemt/t shah expire if the work authorized has not commenced witkin 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amandmeuts or other regulations affecting the
propet~y have beea enacted/n the interim, the Building h~spector may authorize, in writingl.the extension of the permit for an
addition six months. Thereafter, a new permk shall be requS-ed.
APPLICATION [S HEREBY IVlk4DE to the Building Department for the issuance ora Building Permit pursuant to the
Building Zone Ordinance of the To,an of Southold, Suffolk Cotmty, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demohtion as herein described. The
applicant agrees to comply with ~I1 applicable laws, ordinances, buildh~g code, housing code, and r%m. dations, and to admit
anthorized inspectors on pren~ises and in building £or necessary inspections, dd~~ff
( a corporation)
(Mmlmg address of apphcant)
State whether applicant is oxxmer, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name o f owner ofpremises ,~ ~ lee L,
(As on the tax roll or latest deed)
. , [f 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.
Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section ./DO
Subdivision ~'~
(Nmne)
Hamlet
Block 0.~ y2~::cC
FiledMap No. 6~
2. State ex~stmg use end o.ccupancy of premises ~d in~endec) u~e- ,~a~' d occupancy of proposed constm~ion:
a. Existing nsc and.occupancy :
b. Intended use anO.pccupancy
3. Nature of work (,check Gl-ach applicable): New Building
Repair PC&&oval
4. Estimated 'Cosec
5. If divelling, numbm 9~}3}~eJling units
If garage, number q~L-'~'?
J
X Addition
Demolition Other Work
Alteration
Fee
(Description)
(To be.paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupency, specify nature and extent of each type o f use.
7. Dimensions of existing structures, if any: Front
Height. Number of Stories
Rear Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth. · Height Number of Stories.'
8. Dimensions of entire new construction: Front :~ tt'Jd't~ear Depth
Height Number of Stories
9. Size of lot: Front :~g* gl~¥t**kr~ar Depth
10_ Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated ~_ z./O
12. Does proposed construction xdolate any' zoning law, ordinance or regulation? YES__ NO X
13. Will lot be re-graded? YES )~ . NO __Will excess fill be removed from premises? YES__ NO
14. Names of Oxvner of premises~Address t~.~-~4-oc,~7 ,U:t~- Phone No.
Name of Architect ~ ~w~ ~o~ Address ~~It~PhoneNo ~
N~e of Con,actor Address Phone No.
l 5 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X' NO __ * IF YES, SOUTHOLD TOWN TRUS:rEES & D.E_C. PERMITS MAY BE REQUIRED.
b. Isthispropertywithin300feetofatidalwefland?*YES X NO
* IF YES, D.E.C. PERMITS IvlAY BE REQUIRED.
16_ Provide survey, to scale, with accurate fotmdation plan and distances to property lines.
l 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
~tt.,d ~r- l~'-.gh.t/¢., ] being duly sworn, deposes and says that (s)he is the applicam
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly author/zed 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 appI/cation filed therexvith.
Swo~z to before me this,C//
[~ dayof / 5/,/!7~,~(°// //~0~
~ Notary PuSlic '~
ELI~ A STATHIS
NOTARY PUBLIC, S~te of New YO~
No. 01ST6008173, S~olk ~u¢~
Tern ~pims ,June ~, ~
'
/"~'ignanfte~o f _kpplicant