HomeMy WebLinkAbout31343-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 10/30/06
No: Z-31970
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 500 MIRIAM
(HOUSE NO.)
County Tax Map No. 473889 Section 99
RD
(STREET)
Block 2
MATTITUCK
(HAMLET)
Lot 9
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
AUGUST 2, 2005 pursuant to which
Building Permit No. 31343-Z
dated
AUGUST 9, 2005
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR & AS PER CONDITIONS OF ZBA #5687 DATED 4/14/05.
The certificate is issued to JAMES PAPADOPOULOS
(OWNER)
of the aforesaid building.
N/A
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
111200C
10/17/06
N/A
PLUMBERS CERTIFICATION DATED
~ ~~~-
Au orized Signature
Rev. 1/81
51 "" 3<?1-f q d-d- i)
, ')
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
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 2/1 0 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
1. Certificate of Occupancy ,New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory 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. /tJ 1.;2(, ~ 6
.
New Construction:
./'
,~tJ~
House No.
Old or Pre,existing Building:
,#; j,e di7?l -1?;
Street
~a .10 i7b",L,. "
.t~ <1'1 Block
(check one)
./h 4 Tn /'VUe
,
'7
Hamlet
Location of Property:
Owner or Owners of Property: ..J ~
Suffolk County Tal' Map No 1000, Section
Subdivision (~T XI :J d
3L?> '43
...::/=::
.;)
L6t
3~CJ~
Filed Map.
Applicant:
Underwriters Approval:
Lot:
Permit No.
Date of Permit.
Health Dept. Approval:
Planning Board Approval:
N/~
.
.v I /I-
-
Request for:
Temporary Certificate
Final Certificate:
t--'"
(check one)
Fee Submitted: $
/L~
Awficant Signature
c:;~ ,
v
rt~?}~5
Electrical Inspection Certificate
Issue Date
10/1712006
Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue, New York 11772
(631) 286-6642
Application
111200C
Issued To:
Street:
Village:
Section:
Mr. Papadopoulas
Salt Miriam Road
Mattituck
Zip: 11952
Lot:
Town: Southold
Block:
-Contra~to.. 3M-Electrie
.!"ic.-#--.3n5s.ME-
Was examined and found to be in compliance with the National Electrical Code.
D Commercial D NV Defects D Pool [J 1st Floor 00 Indoor D Basement D Hot Tub
IKI Residential [J Det. Garage D Attic [J 2nd Floor IKI Outdoor 00 Addition D Survey
I Switches Receptacles Fixtures GFI Heaters AlC Fans
! 3 7 5 1
i Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
I Furnace Oil Gas Circulators Smoke Detector Bell Transformer
i
I
I Meter Amps Phase UG/OH Jacuzzi Television CO Detector
/
Bldg. Permit:
Other Equipment
f6.ttached Garage
'1- Garage Door Opener Receptacle
~~/.~~
Hugo S. Surdi
President
Rough Inspection: 08/30/2006
Inspector: John Mc Mahon III
I
I
I
...__n_____
Final Inspection:
Inspector:
10/11/2006
John Me Mahon III
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
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.
31343 Z
Date AUGUST
9, 2005
permission is hereby granted to:
JAMES PAPADOPOULOS
500 MIRIAM ROAD
MATTITUCK,NY 11952
for :
ADDITION & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR PER ZBA DECISION #5687
at premises located at
500 MIRIAM RD
MATTITUCK
County Tax Map No. 473889 Section 099
Block 0002
Lot No. 009
pursuant to application dated AUGUST 2, 2005 and approved by the
Building Inspector to expire on FEBRUARY 9, 2007.
Fee $
438.00
~~
I Authorized Signature
ORIGINAL
Rev. 5/8/02
05/16/2005 04:19
6317659064
ZEA
PAGE 02
.,
Southold Town Hall
53095 Main Road. P.O. Box 1179
Southold, NY 11971-0959
Office Location:
Town Annex /Pint Floor, NOIth Fork Bank
54375 Main Road (at Youngs Avenue)
Southold. NY 1197J
APPEALS BOARD MEMBERS
Ruth D. Oliva, Chairwoman
Gerard P. Gochringer
Vincen.! Orlando
James Dinizio. Jr.
Michael A. Simon
http://southoldtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631) 765-1809. Fax (6..'1) 765-90(j4
FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF APRIL 14, 2005
ZB Ref. 5687 - J. PAPADOPOULES
Property Location: 500 Miriam Road, Mattituck
CTM 99-2-9
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this
application and detennines that this review falls under the Type \I category of the State's List of Actions,
without an adverse effect on the environment if the project is implemented as planned.
PROPERTY FACTS/DESCRIPTION: The applicant's 12,085 sq. ft. parcel has 121 feet along Miriam
Road and 76+- feet along Inlet Drive. The property is improved with a two-story residence. as
shown on the October 27,2004 survey prepared by Joseph A. Ingegno.
BASIS OF APPLICATION: Building Department's February 22, 2005 Notice of Disapproval, citing
Section 100-244 in its denial of a building permit to construct addition, for the reason that the
addition does not meet the code requirement of 35 feet for a minimum rear yard setback, citing the
applicant's proposed rear yard setback of 12 feet.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on March 31, 2005 at which
time written and oral evidence were presented. Based upon all testimony, documentation, personal
inspection of the property, and other evidence, the Zoning Board finds the following facts to be true
and relevant:
AREA VARIANCE RELIEF REQUESTED: The applicant wishes to construct a 6' x 27' ddition for
a garage and second-story livable floor area, at 12.5 feet and 14.6 feet from tli easterly property
line, and 12 feet and 16 feet from the south/westerly property line, as shown on the undated site
plan prepared by Jeffrey T_ Butler, P.E.
REASONS FOR BOARD ACTION; On the basis of testimony presented, materials submitted and
personal inspections, the Board makes the following findings:
1. Grant of the variance will not produce an undesirable change in the character of the
neighborhood or a detriment to nearby properties. The variance is to locate a garage and two.story
addition measuring 16 ft. by 27 feet (28 feet on second floor), at the south side of the eXisting
dwelling. The applicant's property contains two front yards and Is improved with a two-story dwelling
34.7 feet from the front lot line along Miriam Road and 35.7 feet from the front lot line along Inlet
05/16/2005 04:19
6317659064
ZBA
PAGE 03
Page 2 - ~riI14, 2005
ZB Ref. 5687 - J. Papadopoules
CTM ID: 99-2.9
Drive. The south/east corners of the new construction will have setbacks at 12.5 feet, and 14.6 feet
at the opposite corner along the southeast yard. The remaining setbacks from the southwest side of
the dwelling will be 12 feet at its closest point and 16 feet at the opposite corner, and the front
setback from Miriam Road will be 35.7 feet, all as shown on the site plan and preliminary
construction drawings February 4, 2005 prepared by Jeffrey T. Butler, P.E.
2. The benefit sought by the applicant cannot be achieved by some method. feasible for the
applicant to pursue, other than an area variance, due to the topography of the property and the
magnitude of the project.
3. The variance granted herein is substantial. The code requires a minimum of 35 feet for the rear
yard, and this proposed two-story addition is a 23 ft. reduction from this requirement.
4. The difficulty was self-created and is related to the need for a garage and addition on a corner lot,
which plan was designed 30+ years after construction of the existing dwelling.
5. No evidence has been submitted to suggest that a variance in this residential community will
have an adverse impact on the physical or environmental conditions in the neighborhood.
6. Grant of the requested relief is the minimum action necessary and adequate to enable the
applicant to enjoy the benefit of a garage with second-story addition, while preserving and protecting
the character of the neighborhood and the health, safety and welfare of the community.
RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing
test under New York Town Law 267-B, motion was offered by Member Orlanda, seconded by
Chairwoman Oliva, and duly carried, to
GRANT the variance as applied for, as shown on the site plan and preliminary construction
drawings prepared February 4,2005 by Jeffrey T. Buller, P.E.
This action does not authon:<:e or condone any current or future use, setback or other feature of the
subject property that may violate the Zoning Code, other than such uses, setbacks and other
features as are expressly addressed in this action.
. Vote of the Board: Ayes: Members Oliva (Chairwoman), Orlando, Goehringer, Dini:<:io, and Simon.
This Resolution was duly adopted (S-On
'::,.ioa7Y. ,~, ~~'.....
Ruth D. Oliva, Chairwoman 5/tC'/D5
Approved for Filing
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TOWN OF SOUTHOLDl.Q-OPERTY RECO~D.
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.JEFFREY T. BUTLER, P.E.
PC 80x 634
5HOREHAM, NEW YORK 1 1786
631-208-8850
LICENSED PROFESSIONAL ENGINEER
MEMBER NATIONAL SOCIETY OF PROFESSIONAL ENGINEERS
October 12, 2006
Town of South old
Building Department
Re: Miriam Road-Popadoplis Application
Permit # J /3 -'/3
Dear Sirs:
Please note the following concerning this application:
. 1 have inspected the footings and foundation pursuant to the building code and find
that the work conforms to the plan as amended and filed with this application.
. I have inspected the framing and strapping pursuant to the building code and find
that the work conforms to the plan as amended and filed with this application.
j/3Lf3 Z-..
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING p(f FINAL ~:
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
10- "J.. -~ ~
DATE ,v
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INSPECTOR ~ -
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST [] ROUGH PLBG.
] FOUNDATION 2ND [] INSULATION
] FRAMING I STRAPPING [~INAL ~
] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPE~ON -'
~'I-
DATE IO,--/~ -(!) t INSPECTOR ~~
.
.
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FIELD INSPECTION REPORT DATE
COMMENTS
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INSULATION PER N. Y.
STATE ENERGY CODE
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· TO\VN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southoldl
14N I 4
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planuing Board approval
Survey
i/?,fj U- Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact: L?
Mailto:C' -1,,;. ~~
/
PERMIT NO.
Examined , 20 ~
/'
Approved , 20 ~
Disapproved alC~
Phone: ...("")?-J'.ptI. f.7c:J f'
)../ q
I
, 20!:2:l
~~pector
Expiration
APPLICATION FOR BUILDING PERMIT
Date
/~/1
,20~
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
i 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
s'Q.all be kept on the premises available for inspection throughout the work. "
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections. /;3 j} ,
~~-d;.u )~-'
(Signature applicant or name, if corporation)
~5't/-t~... J
~
v
(Mailing a ess of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
c.~
~4 de. p&JV Ilk
I '(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location 9fland on which ~rk wi -:/..e done:
House Number Street
Hamlet
County Tax Map No. 1000 Secti9n
Subdivision "t'I9-pJr /</ old'
(Name)
q~
Block ~
Filed Map No.
h' ..Lot ~
Lot
. ~ ,1
"
~.
\ .
2. State existing use and occupancy of premises and inte dep use and occupancy of proposed construction:
a. Existing use and occupancy .s .""
b. Intended use and occupancy o?'"j s
D/; ~~
3. Nature of work (check which applicable): New Build'
Repair Removal Demolition
-J;- .
Addition
Other Work
Alteration
4. Estimated Cost
(Description)
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
(To be paid on filing this application)
NumbeIi~fdv.dling,_~.~ch floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of 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
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
r-
II. Zone or use district in which premises are situated
. /
.-
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
Name of Architect
Name of Contractor
Address
Address
Address
Phone No.
Phone No
Phone No.
IS a. Is this property within 100 feet ofa 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.
STATE OF NEW YORK)
SS:
COUNTY OF )
C7~1S~
(Name ofindivid ignmg contract) above named,
a~
(Contractor, Agent, COIporate Officer, etc.)
being duly sworn, deposes and says that (s)he is the applicant
(S)He is the
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.
./{l before me tbi\" ..
:\OJ da~Of(110yt~ 20L
Not blic
MELANIE DDRDSKI
NOTARY PUBLIC, State of New Yolk
No. 01004634B70
Qualified In Suffolk County .,Nl6
Commission Expires September :1"0, ~
(?Rk. L
Signa~f Applicant
Sw
-
Pennit Number
RFScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
RES check Sotlware Version 3.6 Release 2
Data filename: C:\Butler Engineedng Files\Jobs\MISCjOBS\Misc Jobs 2005\050070-Mark Teny\energy.rck
PROJECT TITLE: Proposed Renovation of
COUNTY: SuffOlk
ST ATE: New York
HDD: 5750
CONSTRUCTION TYPE: Detached I or 2 Family
HEATING TYPE: Non-Electric
WINDOW / WALL RATIO: 0.13
DATE: 07/25/05
DATE OF PLANS: 7/25/05
PROJECT DESCRIPTION:
Miriam Road
Mattituck, New York
COMPLIANCE: Passes
Maximum UA ~ 192
Your Home UA ~ 177
7.8% Better Than Code (UA)
Gross
Area or
Perimeter
Cavity Cont.
R-Vallle R-Value
Glazing
or Door
U-Factor ..!.JA
Ceiling I: Flat Ceiling or Scissor Truss
Ceiling 2: Cathedral Ceiling (no attic)
Wall!: Wood Frame, 16" o.c.
Window I: Vinyl Frame, Double Pane with Low-E
Door I: Solid
Floor 1: All-Wood Joist/Tross, Over Unconditioned Space
Boiler 2: , 85 AFUE
625
405
1020
132
21
405
30.0
19.0
13.0
0.0
0.0
0.0
0.340
0.220
22
21
71
45
5
13
30.0
0.0
plans,
tomect
stamped
)
Date 7-
I
/ RFScheck Inspection Checklist
/ New York State Energy Conservation Construction Code
RES check Sollware Version 3.6 Release 2
DATE: 07/25/05
PROJECT TITLE: Proposed Renovation of.
Bldg.
Dept.
Use
Ceilings:
[ 1. Ceiling I: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
2. Ceiling 2: Cathedral Ceiling (no attic), R-19.0 cavity insulation
Comments:
Above-Grade Walls:
1. Wall I: Wood Frame, 16" o.c., R-I3.0 cavity insulation
Commeots:
Windows:
[ 1. Window I: Vinyl Frame, Double Pane with Low-E, U-nctor: 0.340
For windows without labeled U-nctors, describe 1eatures:
# Panes_ Frame Type Thermal Break? [ ] Yes [ ] No
Commeots:
Doors:
1. Door I: Solid, U-nctor: 0.220
Comments:
Floors:
1. Floor 1: All-Wood Joist/Truss, Over Unconditioned Space, R-30.0 cavity insulation
Comments:
Heating and Cooling Equipment:
1. Boiler 2: , 85 AFUE or higher
Make and Model Number
Air Leakage:
Joints, penetrations, and all other such openings in the building eovelope 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 rom combustible materials. Ifnon-IC rated, the fixture must be installed with a
3" clearance fom insulation.
Vapor Retarder:
[] Required on the wann-in-winter side ofall non-vented famed ceilings, walls, and floors.
Materials Identification:
Materials and equipmeot must be installed in accordance with the manuncturer's installation instructions.
Materials and equipmeot must be identified so that compliance can be determined.
Manufilcturer manuals Dr all installed heating and cooling equipmeot and service water heating
I
/
.
equipment must be provided.
Insulation R-values, glazing U-itctors, and heating equipment e1Iiciency 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.
[] 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-
[] Return ducts in unconditioned spaces (except basemeots) must be insulated to R-2..
Insulation is not required on retum ducts in basemeots.
Duct Construction:
All joints, seams, and connections must be securely mstened with welds, gaskets, mastics (adbesives),
mastic-plus-embedded-13bric, or tapes. Tapes and mastics must berated UL 181A orUL 181B.
Exi:eption: Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in. W.g. (500 Pal.
The HV AC system must provide a means Dr balancing air and water systems.
Temperature Controls:
Each dwelling unit has at lesat one thermostat capable ofautomatically adjusting the space
temperature set point ofthe largest zone.
Electric Systems:
Separate electric meters are required Dr 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 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 1.
Orculatlng Hot Water Systems:
Insulate circulating hot water pipes to the levels in Table 1.
SwimmIng Pools:
All heated s\\~mming pools must have an on/ojfheater switch and require a cover unless over 20%
of the heating energy is rom non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
HV AC piping conveying Jluids above 105 'F or chilled Jluids below 55 'F must be insulated to the
levels in Table 2.
Date: 08/02/05
Transaction(s):
1 1
Town Of South old
P.O Box 1179
Southold. NY 11971
* * * RECEIPT * * *
Cash
Septic Permit - Construct - Resid.
Name:
Rivera, Christine
250 Sound Beach Dr
Mattituck, NY 11952
Clerk ID: L1NDAC
Reference
3495
Total Paid:
ct
/
Subtotal
$10.00
$10.00
Internal 10: 3495
B2/B8/2BB5 13:15 6317278B33 BUTLER THOMAS PAGE B2
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ORIGINAL SURVEY BY,
.JOSEPH A. lN6EeNO
LAND SURVEYOR
p.o. BOX 1"131
RIVERHEAD, N'( 11"101
TEL. (631) 121-20"10
FAX. (631) 121-1121
DAlED. OCTOBER 21, 2004
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