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Home My WebLink About31725-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 09/22/06 No: Z-31836 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 3580 (HOUSE NO.) County Tax Map No. 473889 Section 137 STILLWATER AVE (STREET) Block 1 CUTCHOGUE (HAMLET) Lot 15.1 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 11, 2006 pursuant to which Building Permit No. 31725-Z dated JANUARY 11, 2006 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 HEATED NON-HABITABLE ACCESSORY TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to PETER & GERTRUDE BELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A 10/14/05 ELECTRICAL CERTIFICATE NO. 2024635 PLUMBERS CERTIFICATION DATED 09/13/06 CUTCHOGUE EAST PLUMBING Rev. 1/81 \'{\~ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 - r-~-=-,~ , IF i , I rr:.- , ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY V2 I loL. This application must be filled in by typewriter or ink and submitted to the Building Departbent with the following: ! .~ , 1 L._... 'I n i .._...~-~ A. For new building or new use: I. 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. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I % 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: I. 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 I. 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 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 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: 3 S90 , J<!~).e 4~7t4..' ~ ~ -Ie i~//e ,IUV House No. '~." Street mlet / ~ Owner or Owners of Property: /~ " ~:::;--€.-J? ti _ /19 :l;; ~ Suffolk County Tax Map No 1000, Section I' ~ -7 Block ) Lot 1!:5 , ( Subdivision Permit No. 3 1'1 d. ..:; Date of Permit. Filed Map. L-j - / L{ -D-:' Applicant: Lot: Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Co 2: 31~?>1, ~'GIR\D9 ~' & /!e' t?A) ~ I ApplIcant Slgn'ature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31725 Z Date JANUARY 11, 2006 Permission is hereby granted to: PETER & GERTRUDE BELL 3580 STILLWATER AVE CUTCHOGUE,NY 11935 for : CONSTRUCTION OF A HEATED, NON-HABITABLE ACCESSORY GARAGE AS APPLIED FOR. (THIS REPLACES BP #29289-Z) at premises located at 3580 STILLWATER AVE CUTCHOGUE County Tax Map No. 473889 Section 137 Block 0001 Lot No. 015.001 pursuant to application dated JANUARY 11, 2006 and approved by the Building Inspector to expire on JULY 11, 2007. Fee $ 77.20 ~.-/l //- Authoriz d Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~ ')/7:;~ PERMIT NO. 29289 Z Date APRIL 14, 2003 permission is hereby granted to: PETER & GERTRUDE BELL 3580 STILLWATER AVE CUTCHOGUE,NY 11935 for : CONSTRUCTION OF A HEATED, NON-HABITABLE ACCESSORY BUILDING AS APPLIED FOR at premises located at 3580 STILLWATER AVE CUTCHOGUE County Tax Map No. 473889 Section 137 Block 0001 Lot No. 015.001 pursuant to application dated APRIL 14, 2003 and approved by the Fee $ 77.20 ....... Building Inspector to expire on OCTOBER 14, 2004. n e ORIGINAL Rev. 5/8/02 ,~c;~~(,\ [!]~~~[!] ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: i Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Dimmers ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. [!]~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ il il ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ii!Iii!IE!ii!Iii! [!] BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS 40 BUREAU OF ELECTRICITY FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by B.J. ELEC. CO. 4300 STILLWATER AVENUE CUTCHOGUE, NY 11935. PETER BELL 3580 STILLWATER AVE. CUTCHOGUE, NY 11935 3580 STILLWATER AVE. CUTCHOGUE. NY 11935 2024635 Certificate Number: 2024635 Block: Lot: Building Permit: BDC: ns11 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, detached studio, Outside, 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 authority having jurisdiction, and found to be in compliance therewith on the 14th Day of October, 2005. Name OTY Rate Ratio. Circuit ~ Miscellaneous new service to main house renovation of detached studio Alarm and Emergency Equipment Sensor Sensor Appliances and Accessories Furnace Exhaust Fan Panels 2 0 2 0 Carbon Monoxide Smoke o o Gas F.H.P. 100 16 Wiring and Devices Outlet Fixture Outlet Receptacle Switch 20 0 20 0 33 0 21 0 18 0 4 0 Fixture Incandescent General Purpose General Purpose General Purpose seal Continued on Next Page of 2 @]~~~~~@] ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of ~ electrical devices and wiring, described below, located in/on the premises at: ~ First Floor, Second Floor, detached studio, Outside, ~ 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 ~ authority having jurisdiction, and found to be in compliance therewith on the 14th Day of October, 2005. ~ Name OTY Rate Ratin. Circuit ~ ~ Receptacle 3 0 GFC1 ~ Service ~ 1 Phase 3 W Service Rating 200 Amperes ~ Service Disconnect: ~ Meters: 1 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 2 of 2 I This certificate may not be altered in any way and is validated only bY the presence of a raised seal at the location indicated. @]~~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by B.J. ELEC. CO. 4300 STILLWATER AVENUE CUTCHOGUE, NY 11935, PETER BELL 3580 STILLWATER AVE. CUTCHOGUE, NY 11935 3580 STILLWATER AVE. CUTCHOGUE, NY 11935 2024635 Certificate Number: 2024635 Block: Lot: Building Permit: BDC: ns11 200 cb seal ---I; U. 'i--"I' '~-ri I!I~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Located at ~ ~ Application Number: I Section: ~ Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of ; electrical devices and wiring, described below, located inion the premises at: ~ First Floor, Second Floor, detached studio, Outside, ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~~i'dffi!~i'dffi!1!I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by B.J. ELEC. CO. 4300 STILLWATER AVENUE CUTCHOGUE, NY 11935, PETER BELL 3580 STILLWATER AVE. CUTCHOGUE, NY 11935 3580 STILLWATER AVE. CUTCHOGUE, NY 11935 2024635 Certificate N um ber: 2024635 Block: Lot: Building Permit: BDC: ns11 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 andlor standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdictioR' and found to be in compliance therewith on the 14th Name .:- OTY Rate Rating Circuit ~ I.'f Miscellaneous ., lit new service to main house renovation of detached studio Alarm and Emergency Equipment Sensor Sensor Appliances and Accessories Furnace Exhaust Fan Panels Day of October, 2005. ... t", 2 0 2 0 Carbon Monoxide Smoke o o Gas F.R.P. 100 16 Wiring and Devices Outlet Fixture . Outlet ~. Receptacle Switch Dimmers 20 0 20 0 33 0 21 0 18 0 4 0 Fixture Incandescent General Purpose General Purpose General Purpose seal Continued on Next Page I of 2 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ l!I~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Located at ~ ~ Application Number: I Section: ~ ~ ~ ~ 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 ~ authority having jurisdiction, and found to be in compliance therewith on the 14th Day of October, 2005. ~ Name OTY Rate Ratin. Circuit ~ ~ Receptacle 3 0 GFCI ~ Service ~ 1 Phase 3W Service Rating 200 Amperes ~ Service Disconnect: ~ Meters: 1 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~~~~i'drrEr!!ffi!~l!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by B.J. ELEC. CO. 4300 STILLWATER AVENUE CUTCHOGUE, NY 11935, PETER BELL 3580 STILLWATER AVE. CUTCHOGUE, NY 11935 3580 STILLWATER AVE. CUTCHOGUE, NY 11935 2024635 Certificate Number: 2024635 Block: Lot: Building Permit: BDC: ns11 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, detached studio, Outside, 200 cb seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at lhe location indicated. l!I il!ffi!Jii! , ~, .., ~ ~, ~ Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1602 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I FIe A T ION DATE: Plumber: Permit No .3 Jd../ c::; · 'Be, I( (please print) :J6::C ~ r; (qmo, (please print) E f- H I f\ G Building Owner: I certify that the Bolder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 1h 13 - day of,~J?- Notary Public, ~u~~ , .. ~OD~ ~~.~ NOfAIY PUllJr.Slattol'filIIrM No. SU661~85 ~III""'CUIJ o.nm...............o'1 county ,__._m,~ e e e r-"--r--.-..,-----T-- --r --T --1"- -T [ ! i ~ I ' . , I "" = = = i---T I r-.-----T I I ~.~.. ~!~ ~~ ~ ~~. . ~.~ ~~r Ifl~ " I I --'I I I , ' , : ~ .t t i i c: -; - C .~. ~, '---I' ''''' I :--4-1 , 1 i i I -\ I I . ..('. " ~. ~' , ~." f ~ ~. f ~) ~~~ ~ ~ t i ! ~ ~' 1 \ I I I ~ ~ "\ ~ lZ'l "0 ~ ~I ~ V) ~. .~ ~ ~ B ~ ~ ~ ~ ~ ~ (\ A l' 0, ~ ~ ~ " "- I ... () ~~~ 765.1802 BUILDING DEPT. . INSPECTION [ ] FOUNDATION 1ST [~GH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: /"eJ r-/~. 11/-- DATE INSPECTOR d-?~76- 765.1802 BUilDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [] R~H PlBG. [ ] FOUNDATION 2ND [ ~SUlATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: c....., JSJW~J~J cJ-(C 7D G>-y - DATE INSPECTOR / - d- 9 2--n -ts- 765.1802 BUILDING DEPT. INSPECT [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ~LJcrP~ I: REMARKS: DATE 1/ J-f'Jof / L INSPECTOR ~ :J--q m ;f 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: h - DATE ypr!:tj ~ 765.1802 UILDING DEPT. INSPECTION [ ] FOUNOATION 1ST [~ PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE S~ETY INSPECTION ~o DATE - iji%r ~~~ REMARKS: W~ 31 ;2,-6.:c TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PlBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: Co DATE INSPECTOR ,. '-. .. FIELD iNSPECTION Rln>ORT DATE . COMMEN1'S . '- . ~ ,- "... FOUNDATION (lST) ~ .I.".. - 11t-\'l ..---------- ~ n:. '" e FOUNDATION (2ND) ~ (' rA> to;! ~ . .\ 2: - .;-// ,~. / L-:./ ~ ~/J ~- ~ ~ 9 . . ./ / {/J ~ - /(fjJL-z!:g- Ef ,'7/ 0 j'''' .l5 ~~ A4_};::7~ J.-.....~. A , ;;, ; ROUGH FRAMING & ;Q .L.~. \'7 :'//A. ~ ,.Q~O'--. y,/ PLUMBING ./7 -' ./__ . ,; //1_-, ...,." , - '"l I .F' 'A 'A. //}.. -"",. .----<1.... -'--~.....- fi),. '1hh .,tC ~J '.~ J '.--/I) '.i/~~ 0,."- ^'-' ., . . " / / , v , ., . JdJ-OI It/' "/...1". I~ A, J, ..J:Y:::L .,~ '- . / I y/ ./ . lilt 't /0 ~ rV. /2 .,... JC ~ r_.. -' .j..-----i ~' , / I ;y . INSULATIONPERN. Y. ':;>'"l STATE ENERGY CODE :... b ~.. ,. '-I //,..~ c. W I I '/J~ 'ff /, ..uL ..",.. "/. / / 'r.. (~. . rfL X- // /. '1A.....J , '/ I /7/ / FINAL . , " ~ . . ADDmONAL COMMENTS .. r- /0. 31. ~ - 11 \ .() . \ -h, ..'.- 1,J)o '/7 ' 10... ~ (wi kpr~ JJfl 1 1. \ - ~1I -\:_ I ..\ "0 ,-,.."" - ..... './ ,[.ad 0\./.. &:> . ~ ~ ..L.1 -r. .., 1/1 Jilt: _.(W n.~- ~ ,1A 1-:-:-1 ./''/11/ ;..~ I " . "'\ !II . .. ,,, I. .- I~ . '. co ~- .. ~ , . " ".. II '. '. ~ _. .... -_. . -.. "':-:-. -_. TOWN OF SOUTHOLD " , BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSoutholdl BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Plaoning Board approval Survey Check Septic F onn NYS,D,EC Trustees Contact: Mail to: PERMIT NO.,;2'1;;) 8''j'~ Examined Approved Disapproved alc ., ~ ,20_ 3 ,20_ -"'"\ [L; Expiration (o!, ( ,20----1 Phone: \--,' Building Inspector r:- f\PR A. APPLICATION FOR BUILDING PERMIT ,. ---.J Date ,20_ L.Jii: . 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 oflot 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. r" 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 ofthe 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 ofthe 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. . 7 ~~ (Signature of applicant or name, if a corporation) .3 S6-{) sd!&1 ~ tZt;-e, . /" -+-<M~ingaddressofapplicaptY\J /9. - L-v---f~~r #.1" / '3~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Ou.rnv7_ Name of owner of premises d)!!PA..-' ~ft . (As on the tax roil 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 oflando .:J S-g-O House Number which proposed work will be done: '-tr'LL W ATE E Street County Tax Map No. 1000 Section / 3 '7 Subdivision H. f;, H4/U I) (Name) Block \ / Filed M~I'!'l~': Cu I crt C) CruE Hamlet . lb. I Lot:' J Zl ~ ) ('-' '7 /~IiO.~tLm- /03-/0~/CL 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy /3.412 A/ S7V (Z A C7 E . b. Intended use and occupancy /.0,V ;fA lJ I FA- B L E 4- c c {?;f""[)/c Y /3 L./J CT Alteration V 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work (Description) 4. Estimated Cost /5,- ,9zh;? Fee 5. If dwelling, number of dwelling units 0 If garage, number of cars tJ (To be paid on filing this application) Number of dwelling units on each floor 0 6. Ifbusiness, commercial or mixed occupancy, specif'y nature and extent of each type of use. 0 7. Dimensions of existing structures, if any: Front a2 ~ ' Rear d2 7" / Height /u. I Number of Stories t' Dimensions of same structure with alterations or additions: Front "'W' $'/'r 1fIIf\ Depth ~.;:J I Height /h / Number of Stories / Depth c:z c2 / .;:L)€' _ Rear ,5/f /-76- 8. Dimensions of entire new construction: Front 0 Height 0 Number of Stories 6 ..,~"" / -:<....,"". /C>/ 9. Size oflot: Front -=" CL/<./ Rear .....;./<./L/. '0 Rear o Depth o Depth /93_ /7/ P,4rV/ELE ,i)U.Pt//S 10. Date of Purchase ?, /tfJ. 9b Name of Former Owner II. Zone or use district in which premises are situated ~~;T;d 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO V- 13. Will lot be re-graded? YES_NO v' Will excess fill be removed from premises? YES_NO ~ ~ /A. /J JsH> S(;.LLu.JI'fI'~/e.~ 14. Names of Owner of premises d~~Address r'r~TCH06-t./G Phone No. 7.J</-f7?,f- Name of Architect ___ Address Phone No Name of Contractor --- Address Phone No. 15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO t.../ * 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 V -- * 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. STATE OF NEW YORK) SS: COUNTY OF ) e h ..{ --& fl/ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ 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 ~ da)J f Notary Public ROBE I. SCOTT. JR. Notary PllliIlc. Slale of New York Quilliffed in Suffolk County / No. 01SC472508i ._/If Term Expires May 31, ~ .M~~ Signature of Applicant . i ( L /00 J - 1- OWNER OF SOUTHOLD P'ltOPERTY RECORD CARD STREET: 1:, (', Y/dJ ~ -re...11 tie, N VILLAGE DISTRICT SUB. Ce,; ~ A~ E u~ I. ACREAGE ,(J,Yt /~ W TYPE OF BUILDING S RES. SEAS. COMM. FARM VL. '31'> TOTAL DATE LAND IMP. "':;-Cl t1 I~ () tiHJ 7Qt) /~(., 0 7 <Co:.J C2. I 0 <> 700 IZ-oo 00 1500 \.- '...- 5j 0 NORMAL BELOW ABOVE FR9~IT ^.GE O~I 'AI A. AiR 'A NEW OM~ 1 LOT -"N /dr -/ CJ 6 .H rI /67-/o? (30 I Cj7Z84 -ku(10Al . I Est. Mkt. Value O-S\ 5 '. <..) 1 Farm Acre Value Per Acre Value FRONTAGE ON ROAD <3 700 - 2\O( Tillable 1 Tillable 2 DOCK %. eu weD Tillable 3 Waadland i) 2J. G-fS / ef ;).45/7 Swampland Brushland , Hause Plat Total , -, , /la-q' ('.'C1St'o.>A.J 700 7!jl/YJ.- / ./ IA/ /,~{. , I I I , I i , ! , I I i , , I I i I i I 1 I i I I ! ! I I ! I , , I , k ! ! . i Iv' . I , ! I i , I , I I I , 1 I ') , I~ I I I , ' i . i i ! t+! I i" ...Ii' I , I I I i It , I Ii I I i ! I I i , , , I L, M. Bldg. ')-~'I. \. 'f ':.. jl-y" !-3 Bath -- Extension i - Floors '. C (~itt ;.t i Porch i Roof Type S( ~t,. fj/; QAJ/{ Extension Ext. Walls IV ~, Interior Finish Extension Fire Place Heat Porch Rooms 1 st Floor Breezeway Patio Rooms 2nd Floor Garage Driveway Dormer O. B. &' r'<> ~/. :,,,1/5 J?~ SUB. ~"o S SEAS. VL. FARM IMP. TOTAL (JO(J :2- Y-atJ '/'166 '19 6~ s-t:> 0 c) s~oo <::' 10 . sr~<> ---~\,..._-~---- u. 1'600 CARD -it' / (locJ - n'f. I-I OWNER Pe.;te...y .v G-erirW:LL L "B-.e.-1I. FORMER OWNER VILLAGE LOT # /d..f~/tfY' ,//R. Cv7c)t) E v-€ 1 ACREAGE ~ y/ J' W TYPE OF BUILDING RES. .;, Id LAND I COMM. '!d d _f}i1. ~p-o f" " AGE NEW NORMAL BELOW ABOVE 1R00H.^.CE mJ \^/I'TIiiR /Je~ _ fA""'''''''/ J"..L . ~t ~. ,~~, L) ~ ~,/ Farm Acre Value Per Acre Value ,pe>d Tillable 1 I!I'_'L.I<IIC~,D '?J/ 6.2- Tillable 2 DOCK Tillable. 3 Woodland Swampland Brushland ~ House Plot ..... ,. ~ ~ Total ~t-rt '.- t. \ 2{. X J'i =: 1(('8 ../ i Foundotion I Both .t.. I \j-!d . \. "'...., i I , o...y I f"'~.O J;'S -n l- t- ()4f(';(~~e/ - J:ca,cl.......VI1, ~ enslon i 3 () 1.10 ::- (P 0 () , .3 1-/7 I . Bosement Floors xtension 2.y X I 2.. :. 1 n' , i/ <-I 'l?J;. /.t r;. yt. Wolls WObd fit Interior Finish "1164 d PaLl --- in 1'1 "'. ... 6n~ FH.fI. I xtension I Ii- :: Ie ~ . Fire Ploce H.eat i '. ~ I I I Porch i I ! I Roof Type I Porch Rooms 1 st Floor 'reezeway I Patio Rooms 2nd Floor I ---- iaroge I It: j 2-~ ~ in /IU.- 0''; Driveway Dormer ; - , ), B. ! I I - I I I s: c.jj I.; I I I.. . ..... ~ ~ <* I " ~ I r kflrJZ :;-/.1{ E; 6J.7 7"% ..-~......- .. -' +- I i : I : , , 01 , I' iI Sf ,.. . - 3. " I b ,./, j ,.Ivl i.J.l, ' I I I .-.Li I'i , : I I I I I I I I i i I I I I. ! :i / . :.I-~, i I "" I , I. I I ! I I ~ , 1:"' i i ." ~ ! i ! I ~ -H-+i~ i i i.$D , I" ! V' ,",' . J . , - -- . ----- ,-"". ~,-...--..- '-'_.', . LOT 69 1 LOT 109 N 49"0/' 20"E . I' - FENCE~STOCKADE FENCE I ~IRE I CORNER \1 S05' E25' LOT 68 ~ ) I g I<) ~I ... ~ J <0 OJ ~ \<J LOT 67 ~ I~ 22.3' 1075' e FRAME '" ..., BARN '" '" LOT 64 ~ ~ I~ -~ ~ a i:j ~ ~ LOT 63 \) ~ 1(t&ZZfR _ 101' N 1.0,' STOCKADE ~ WI) E 1.5 FENCE ..... SII.d -- LOT 66 h-, \.CHAIN LINK I FENCE~ I I I I ---1 LOT 65 1--:;-rOIVE -- -..- / I ~ I _D I-<T -P~""EW<41 ( -- 'J.,.,., LOT 105 CHIMNEY \ 4." 50' 25.8' - ./ -,,----- " .. "- - ~ TA.I/f'IOOO-137-1-15 \ PATIO -., !!' I,f' - -., <ri 12.0' TM#t000-137-1-14 ) ... I STORY g: 'b WOOO FRAME . ~ IfESIOENCE .., ..... ,,' .:: 29' ~ #.1',... ~ !! 26_3~ LOT 62 S 49"0/ 20 W 3.J' 0, ~ I END FENCE NU' Guarant_ lnoIlcoted ...... 011 "...L,Q.T 102 only 10 the p_ fo, .......... .... _1 Is p,.pa.-d, ...;r 011 Ills behaH 10 th. title company, ('O'Iern entol Agl'ncy, lending institution, if. Ibted hereon, and 10 the o..iQnees of th. lending Inslllullarl. C',uC1rontee. are not trans',..,,,bb to oddltlanallmdMlans '" s.b..quent 0_ FILE NO 1280 FILED MAY 12,1939 TM'iF1000-/37-1-14,15 SURVEY OF /93. 77'/ FENCE ,..." LOT 108 ) LOT 107 77' ------- LOT 106 ./ /' / .// , gO ~ LOT 104 Cl ~ 4/ 54.0' LOT 103 /83.99' ~ I.U Fe/. j::: ~"N(. .J(c:W. TRACK AVE. ~ ::::.: "t ~ f..: ~ ~ l<J ~ h Cl (I) "" ~ . Cl 't lJ) SURVEYED 17 AUGUST, 1996 SCALE, 1"= 40' AREA = 56,66B.21 SF or 1.3009 Acre LOTS 103-108 Incl. I", MAP ofSECTlON1Wa"PROPERTY of " ..~M.S. HAND . SURVeYeD BY' SITUATE CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK CO.. N. Y. GUARANTEED TO' PeTER BELL GeRTRUDE J. BELL FIDeLITY NATIONAL TITLe INS. co. TITLE 2016821 TOWN OF SOUTHOLD SURVEYED FOn: PETER BELL GERTRUDE J. BELL UllOlllhorls." ..1t..N1Iol1 or oddlllan to thlo ......y h a violation of hc:Itaft 7209 .' the "'ew yarltStGIe Elh.crion LtIw. STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK.N.Y.,1I956 (516) 734 -583:> . II '! eo",.. of thlo surv.y map .... ......... th.. Land SU....~ .m...... .... tlllIII nol be ~.'ed to 10. a ...... true copy. 96 R 606 SUFFOLK COUNTY DEPARTMENT OF HEALlJii SERVICES Aa:-~R-YS-r-R..~e..E' PERMIT FOR APP OVAL OFCONSTRU~ON FOR A .)lNGLE F l/f IWlUlfEll!~Y LO DATE I M \ ~~.NO.s C 0 I I THIS RESIDENCE I MUNI~$!C WATER It! l>lIZ at:' a :""w OJ\~ I" It;; '" ~ lor 1i1i ~',eg," '.., o' E 1.5' C\J ~ STOCKADE FENCE ~ S 49"01 20 W ~ ~ ,. 67 66 WELL + 150' FROM PL 64 THIS RESIDENCE USES MUNICIPAL WATER '" Z "'", u"" ,,0 r; -~-r' - , 'I ' !' 1: _.~_:' : Wl;LL ! i> i I:;. il.: 1-. ro 109 19 WIRE FENCE LOT 108 N \w U1 u Z a \w -l>- ti- a I", :lE I~ I~ 1(fJ lJJ -l>- q U1 OJ LOT 107 ~ a M 107.5' PROPOSED TOilET & WASH BASIN 65 I \ PROPOSED 22 J' -u 1000 GAl ~\ . :::0 ~ - - S'P~TA::OPOSED [r \'0"<i,~\ I 8~' ~ ~ I CESSPOOL % I .'i CHAIN LINK 1 I FENCE : TM#1000-IJ7- 4-15 I I 0.3' 107.7' LOT 106 CESSPOOL (DRY) LOT 105 0.3 CESSPOOL 17,3' '" p> . 0 "'. . 2.0' N 1 - STORY '" WOOD FRAME io RESIDENCE . 11,8 LOT 104 W~TER LINE iVC. l>l a ~ a a ..., - '" N p> ~ 6J 26.3' LOT 10J ~ WOOO SHED "'. END FE N 1.1' '6 o "' " 183.99 LOT 102 (J) ~ ~ ~ ~ ~ ~ trJ ~ > -< trJ L: c::: trJ ~ ~ !=!-... .... TRACK AVE. ~.~ ~~ .' r:, -r, G."-' '".'D -. (...O.:t -n SURVEYED: 17 ~UGUS~ 199'61 :', --; :-. or:, ",);. l(~~ SCALE 1 = 40 (j'. N ..' '; --' . \.0 ",...... ~ fT", _ 04!!-::. AREA = 56,661J;$!!,' S.,. OrT; OR~-_ ::J: '.C 1.301 !R:RES:::: .'. $~ ;:., -:rr- - ~<./ UNKNOWN LOCATION OF WELL & CESSPOOLS GUARANTC:ES INDICA TED HERE ON SHALL RUN ONL Y TO THE PERSON FOR WHOM mE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE nT/.E COMPANY, GOVERNMENTAL AGENCY, LENDING INSnrunoN, IF LlSTm HEREON, AND TO THE ASSIGNEES OF THE LENDING INsmunON. GUARANTUS ARE NOT TRANSFERABLE TO AOOlnONAL INsnrunONS OR SUBSEOUENT OWNERS. UNAUTHORIZED AL TERA TION OR ADOlnON TO THIS SURVEY IS A VIOLA nON OF SfcnON 7209 OF THE NEW YORK STA TE EDUCA nON LAW, SURVEY OF LOTS 103-108 INCL, IN MAP OF SECTION TWO PROPERTY OF M.S. HAND COPIES OF THIS SURVE:Y MAP NOT BEARING THE LAND SURVE:YORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO Bf A VALID TRUE COPY. FM# 1280 DATE FILED MAY 12, 1939 TM# 1000-137-01-14,15 GUARANTEED TO: PETER BELL GERTRUDE J. BELL FIDELlIY NATIONAL TITLE TITLE NO. 2016821 SITUATE CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED BY STANLEY J. ISAKSEN, P.O. BOX 294 NEW SU FOLK. N.Y. 631- 7 '1--5835 - CENSE - tf!s RV NYS Lie. No. 4927 SURVEYED FOR: PETER BELL GERTRUDE J. BELL INS. CO. 2. 20 OCT OJ ADD PROP. SAN. & ADJACENT CESSPOOLS/WELLS/MUN.WATER SVC. 1. 2 OCT 03 ADD EXIST CESSPOOLS. JR. 11956 ) Permit Number MECcheck Compliance Report Checked By/Date New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release Ic Data filename: C:\Program FileslChecklMECchecklpeter bell.cck TITLE: Peter Bell COUNTY: Sutfulk STATE: New York HOD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric DATE: 03/19/03 DATE OF PLANS: 3/14/03 PROJECT INFORMATION: Cutchouge COMPLIANCE: Passes Maximwn UA = 109 Your Home = 109 0.0"10 Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R- Value R- Value V-Factor VA Ceiling I: Flat Ceiling or Scissor Truss Wall I: Wood Frame, 16" o.c. Window I: Wood Frame, Double Pane with Low-E Window 2: Wood Frame, Double Pane with Low-E Window 3: Wood Frame, Double Pane with Low-E Window 4: Wood Frame, Double Pane with Low-E Door I: Glass Window 5: Wood Frame, Double Pane with Low-E 528 21.0 0.0 25 736 15.0 0.0 47 13 0.350 5 15 0.340 5 13 0.350 5 2 0.310 I 69 0.280 19 8 0.260 2 COMPLIANCE STATEMENT: The proposed building represented in this docwnent 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 ofhislher knowledge, belief; and professional judgment, such plans or specifications ate in compliance with this Code. BuilderlDesigner ~~ Date ~~ l"l-O} MECcheck Inspection Checklist New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release Ic DATE: 03/19/03 TInE: Peter Bell / Bldg. Dept. Use CeiUngs: [J 1. Ceiling I: Flat Ceiling or Scissor Truss, R-21.0 cavity insulation Comments: Above-Grade Walls: [J 1. Wall I: Wood Frame, 16" O.c., R-15.0 cavity insulation Comments: Windows: [J 1. Window I: Wood Frame, Double Pane with Low-E, U-&ctor: 0.350 For windows without labeled U-&ctors, describe reatures: # Panes_ Frame Type Thermal Break? [ ] Yes [ ] No Comments: [J 2. Window 2: Wood Frame, Double Pane with Low-E, U-filctor: 0.340 For windows without labeled U-mclors, describe reatures: # Panes_ Frame Type Thermal Break? [ ] Yes [ ] No Comments: [J 3. Window 3: Wood Frame, Double Pane with Low-E, U-mclor: 0.350 For windows without labeled U-mclors, describe reatures: # Panes_ Frame Type Thermal Break? [ ] Yes [ ] No Comments: [J 4. Window 4: Wood Frame, Double Pane with Low-E, U-filctor: 0.310 For windows without labeled U-mclors, describe reatures: # Panes_ Frame Type Thermal Break? [ ] Yes [ ] No Comments: [J 5. Window 5: Wood Frame, Double Pane with Low-E, U-filctor: 0.260 For windows without labeled U- filctors, describe reatures: # Panes_ Frame Type Thermal Break? [ ] Yes [ ] No Comments: [ ] Doors: 1. Door I: Glass, U-mclor: 0.280 # Panes_ Frame Type Comments: Thermal Break? [ ] Yes [ ] No [ ] [ ] 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 I) Type IC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: J [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: Materials and equipment must be installed in aeeordance with the manumcturer's installation instructions Materials and equipment must be identified so that compliance can be determined. Manumcturer manuals fur all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-mctors must be clearly marked on the building plans or specifications. Duet Insulation: Supply ducts in unconditioned allics or outside the building must be insulated to R-8. 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 ducts in unconditioned spaces (except basements) must be insulated to R-2. Insulation is not required on return ducts in basements. ] ] ] ] Duct Construction: All joints, seams, and connections must be securely mstened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-mbric, 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 aeeordance with the manufilcturer's instructions. Cooling ducts with exterior insulation must be covered with a vapor retarder. Air filters are required in the return air sYStem. The HV AC sYStem must provide a means for balancing air and water systems. Temperature Controls: Each dwelling uuit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Eleetric Systems: Separate electric meters are required for each dwelling unit. ] ] Fircplaces: 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 ofthe Building Code of New York State, the Residential Code 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 of a circulating sYStem. Insulate circulating hot water pipes to the levels in Table I. ] Circulating Hot Water Systems: Insulate circulating hot water pipes to the levels in Table I. Swimming Pools: All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: HV AC piping conveying fluids above 105 "F or chilled fluids below 55 "F must be insulated to the levels in Table 2. / Heated Water Temoerature ( f) 170-180 140-160 100-130 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pioo Sizes Non-Circulatinl! Runouts Circulatinl! Mains and Runouts UP to I" UP to 1.25" 1.5" to 2.0" Over 2" 0.5 1.0 1.5 2.0 0.5 0.5 1.0 1.5 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thicknessfor HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pioo Sizes Pipinl! SyStem Tvoes Ranl!e (F) 2" Runouts I" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant, and Brine 201-250 1.0 1.5 1.5 2.0 120-200 0.5 1.0 1.0 1.5 Any 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only)