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Home My WebLink About31512-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31997 Date: 11/15/06 THIS CERTIFIES that the building ADDITIONS ALTERATIONS Location of Property: 305 (HOUSE NO.) County Tax Map No. 473889 Section 106 CAPT KIDD DR (STREET) Block 5 MATTI TUCK (HAMLET) Lot 4 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 2005 pursuant to which Building Permit No. 31512-Z dated OCTOBER 11, 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. The certificate is issued to EUGENIA LAMBIRIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-04-0191 10/27/06 ELECTRICAL CERTIFICATE NO. 2093304 10/06/06 PLUMBERS CERTIFICATION DATED 10/24/06 WILLIAM CREMLER ~ri:!::!!::::- Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUll,DING 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 211 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, Swinnning 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. /"p~/P (, New Construction: Owner or Owners of Property: E Old or Pre-existing Building: (Jppr /(','// /.1 Street /4A? 6 r ,. S , ~ IOf,o (check one) ~~ ...-z;</..... /' Hamlet .....-- Location of Property: .J3S' House No. Suffolk County Tal' Map No 1000, Section Subdivision L" /'9p or Ie;,',/ "- Permit No.3) ~ I ~ L Date of Permit. Block ~ Lot tf Filed Map. Applicant: Underwriters Approval: t.--- Lot: Health Dept. Approval: Planning Board Approval: v-- #//1- Request for: Temporary Certificate Final Certificate: ~ (check one) Fee Submitted: $ ~~ Awlicant Signature orJ- ~.1IY?) <::"02: 31YQ 7 I!I~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I!I ~ m/il! ~ii!Iii!lE!lE!~~1!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~I!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 appl ication of upon premises owned by PECONIC ELECTRIC CORP P.O. BOX 1258 QUOGUE, NY 11952, EUGENIA LAMBRIS 235 CAPTAIN KIDD DR. MATTI TUCK, NY 11952 235 CAPTAIN KIDD DR. MATTITUCK, NY 11952 2093304 Certificate Number: 2093304 106 05 04 Building Permit: 31512Z BDC: n511 Block: Lot: Described as a Residential 3000-4000 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Outside, PooVSpa, 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 6th Day of October, 2006. Name OTY Rate Rating Circuit ~ Miscellaneous house & pool Alarm and Emergency Equipment Sensor Sensor Appliances and Accessories Exhaust Fan Dish Washer Furnace Time Clock/Switch Air Conditioner Air Conditioner Time Clock/Switch Panels 3 0 10 0 Carbon Monoxide Smoke 2 0 1 0 1 0 2 0 1 0 2 0 1 0 1.2 F.H.P. KW Oil 36.000 24.000 BTU BTU 50 8 Wiring and Devices Outlet Fixture 24 0 24 0 Fixture Incandescent seal Continued on Next Page 1 of 3 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. m/il!~affi! ~~~ I!l~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I!l~ ~~~~ii!mffi!1!l ~ ~ ~ ~ ~ ~ ; ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ; ; ; ~ ; ; ~ ~ ; ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ il!ffi!~~il!ffi!ffi!il!ffi!ffi!1!l 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 PECONIC ELECTRIC CORP P.O. BOX 1258 QUOGUE, NY 11952, upon premises owned by EUGENIA LAMBRIS 235 CAPTAIN KIDD DR. MATTITUCK, NY 11952 235 CAPTAIN KIDD DR. MATTITUCK, NY 11952 2093304 106 05 Block: Lot: Certificate Number: 2093304 Described as a Residential 3000-4000 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Outside, PoollSpa, 04 Building Permit: 31512Z 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 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 6th Day of October, 2006. Name OTY Rate Ratin. Circuit Im Outlet 129 0 General Purpose Receptacle 78 0 General Purpose Switch 64 0 General Purpose Dimmers 15 0 Receptacle 3 0 Receptacle I 0 Paddle Fan 5 0 Multi Outlet System 2 0 Disconnect 3 0 Receptacle 12 0 Receptacle I 0 Receptacle I 0 Fixture I 0 Receptacle I 0 Service I Phase 3W Service Rating 300 Amperes Service Disconnect: Meters: 2 2 Continued on Next Page 30 amp 20 amp Dryer Laundry ft 60 amp Appliance GFCI Pooll Spa Pooll Spa Pooll Spa GFCI 20 amp 150 cb seal 2 of 3 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the iocation indicated. jgffi!~il!ffi!ffi!1!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~ I!I~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: 106 Block: I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I!I jgffi! jgffi! ~ ii!/ii!IE!ffi!f~ 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 PECONIC ELECTRIC CORP P.O. BOX 1258 QUOGUE, NY 11952, EUGENIA LAMBRIS 235 CAPTAIN KIDD DR. MATTITUCK, NY 11952 235 CAPTAIN KIDD DR. MATTITUCK, NY 11952 2093304 Certificate Number: 2093304 05 04 Building Permit: 315122 BDC: ns11 Lot: Described as a Residential 3000-4000 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Outside, Pool/Spa, 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 6th Day of October, 2006. Name OTY Rate Ratin. Circuit ms; seal 3 of 3 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. , Town Hell, 53096 Main Road P. O. Sox 11711 Southold. New Yorll 11 i71 Fill (518) 785,1823 T_phone (5111) 785"802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CBR!'II'ICA'1'IOR DA'1'B: 10 ..;?4. Of, Buildinq Permit No. .3 / 5/2 Z Owner: ( tJ.J'V}f..rj.5J/<; (pleas. ~nt.) PIWllber: L--Willlttm Crmn 0-= (pleeae print) I certify that the sollier USed in the water Supply syst. contains 1... tnan 2/10 of l' le.d. J (PIWlbers - Signature) SWorn to b.fore m. this 2. S~ aay of l)ctD~ l ~fo Notary Public, ~ County ~~~.~ DIANA F. LOCROTONDO Notary Public, state of New YOlk No.01L06146740. SuffolkCaunfy Commission Expires May 22, ~ 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. 31512 Z Date OCTOBER 11, 2005 permission is hereby granted to: EUGENIA LAMBIRIS 235 CAPTAIN KIDD DR MATTITUCK,NY 11952 for : ADDITIONS AND ALTERATIONS TO AN EXISTING DWELLING USING AN AVERAGE SETBACK AS APPLIED FOR at premises located at 305 CAPT KIDD DR MATTI TUCK County Tax Map No. 473889 Section 106 Block 0005 Lot No. 004 pursuant to application dated SEPTEMBER 29, 2005 and approved by the Building Inspector to expire on APRIL 11, 2007. - --~ ~-- -, Fee $ 815.40 ----~- ORIGINAL Rev. 5/8/02 JAMES 1. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 To: Town of South old Building Dept. Date: October II, 2006 Re: Fire stops Salouris 235 Capt. Kidd Rd. Mattituck, NY 11952 Permit# To Whom It May Concern: Fire stops were installed correctly in all Three (3) Fireplace Chimney Chases and meets all state and local building and fire prevention codes. Any other questions please call. wEFFREY T. BUTLER, P. E. Po Box 634 SHOREHAM, NY 1 17B6 (631) 208-88.'50 (631) 727-8033 FAX LICENSED PROFESSIONAL ENGINEER MEMBER NATIONAL SOCIETY OF" PROFESSIONAL ENGINEERS October 7, 2005 Town of South old Building Department PO Box 1179 Southold, NY 11971 Re: SCTM # 1000-106-05-04 Proposed Renovation To Whom It May Concern: \ , .JEFFREY T. BUTLER, P.E. 20 DVERHILL RD. SHDREHAM, NEW YORK 1 17B6 6:3 1 -20B-BBSO LICENSED PROFESSIONAL E:NGINEER MEMBER NATIONAL SOCIETY DF PRDFESSIDNAL ENGINEERS April 24, 2006 Town of South old Building Department Re: Proposed Remodel of Residence Captain Kidd Mattituck, NY Permit # 315l2-Z Dear Sirs: Please note the following concerning this application: I have inspected the above referenced dwellings foundation and damp proofing(12/22/05), framing, strapping and plumbing, including pressure test (4/6/06), and insulation (4/12/06) pursuant to the building code and find that the work conforms to the plan as filed with this application. Please call if you should have any additional concerns about this application. Sincerely, .JEFFREY T. BUTLER, P.E. 20 OVERHILL RD. SHOREHAM, NEW YORK 1 1786 631-208-8850 LICENSED PROFESSIONAL ENGINEER MEMBER NATIONAL SDCIETY OF PROFESSIONAL ENGINEERS April 12, 2006 Town of South old Building Department Re: Proposed Remodel of Residence Captain Kidd Mattituck, NY Permit # 31512-Z Dear Sirs: Please note the following concerning this application: I have inspected the above referenced dwellings foundation (12/22/05), framing, strapping and plumbing (4/6/06), and insulation (4/12/06) pursuant to the building code and find that the work conforms to the plan as filed with this application. Please call if you should have any additional concerns about this application. r, P.E. 3(S(;L Z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: r.;d~v- ~'{ ~. CeM-y rI- (U DATE / ~;)-4~ () j; 3l>/~Z-. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING p<1 FINAL k; [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMA'KS:~ ~ ~~ ~ -to- ~-,,~-;t ~ tJft:, ~~()/<~ \d, /!r, ~ I ~ 10 --/6 --I) {; DATE INSPECTOR~~ -' IS/:J-Z- ~ f. E, cPot-~ ~ p;~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING yl FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: I ,-:; TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [)<t FRAMING I STRAPPING [ ] FINAL . .. .... [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: cJ.1 ...- - DATE 1~1 r.. 4? INSPECTOR ~~ I . ~ , FffiLD INSPECTION REPORT DATE COMMENTS \)J.., _l"l vi ~ -- ... 'Y'~ FOUNDATION (1ST) r /1, P " A..U_.;;\ ./ '-. FOUNDATION (2ND) ~~ J'~ / AOPo '-- . \ }f. IV.. ~ /~ 2 P oJ o '" V).., 1:l l"l ~.., v -I ROUGH FRAMING & PLUMBING 7'- / \ go~ /,l-el j, . V.L. ^ ~ INSULATIONPERN. Y. 1"",1<1.--... A17J.....' .<)1 .0.. _ :..., . aD ~Jl... I' _ ('Iv'" STATE ENERGY CODE IIT"IIl' u ~_ I' 'J- A. 1\ . 0 .:I-':-.,.Ah- ~ to- 'l 1 J.J {{ /1/"4-1 \ " _ I I '€ ('RAt,.f,..,n. A A ,., --I/. ' V" ~ .L /F- ~ Nt1JE ~ J- '.;M ~ -Itf1'\.' 3 '" OICh XRJ ~ 11., ~ il.l.Lit.: ~ ~ \O~\.Hl!:) 'OIC"{T;S r;~ ,~~.; CL. A..nl./. _I. :.A ~ ~~~e.; do- 1"": h I .A -AIJ iJ-'_ ft. --... ~ ~ ~& n v/1 ~ ~((~.~ ii1 ua.~,/J' ~ I ^~ll"-A V"" ..lL ..~'r -:T7ii ^..LJ. ;to ~)~ fAlJn P'o-r::t n!l. __,../.. An' ~ VJ ~. 4J:tAJ FINAL ~;, .~ ",,1.,I. ~/ArA L 5/1,I!-V ~y ) /7f/ r:: ~l~Ut..D.'\,J"H lo-/~~ .1" l1>-:'~. n~< .t:i- /l~. A-I aNLtJ-k ~ f71: ..: - 'A_lf\., 1J:.c.\l l€ ev\l:,,M LA.* L, r~ II. '6.-.. ~ '1f..,iI..JIoTE-. 1Jv1r-\I... ~'.1/l . ~J' L' v A I 'Tf1tr<\.,'~, ~~'(J,Ji:;P' Jo.~A'IF~.I/... ~lJk-k ~-E~ .~\(/~ ADDmONAL COMMENTS c;:- -J1'Jh /A. ,:....L.....:.......~ J,f "'/A 1.li7 //,t1.r/~,?;' /. /lJ/ .; J};;Ud '-'f ,AM.L/ n~ "",.Lt' L.~' _ '1'i!1L.. /) . \j:> r ,---",L/ ~'~y - L."" , _.~ 11.':.-1 't1p..-O(, 1JI.n"'.rOJl-J-, h f..Je- Afrt.' " f... ""-. 5.~ , ,..J. .~ ~ I, D. l rJ.:-,,' (/ '_--T': - c; 1C , "/A ;9./' ~ ...... (' V ') '!;.IIJJ ,J fJ A J -. .1-.' I ,.1- J./ ~ r '-. : ~n/~ ~il;rt UA~hA L.~o A/L -0../_ -- '6 ~O. ,.L ~ JJ., " 1..17A · a.' , tv;., rJ. v "'1"I1~O , -lc.-JO!t, ~ d. 4- -)f!~1? uM- N.. \ v. J. h....... ~ f -'^.' ......... l"l .:11.. D. ~v if . .n:-t:j~ vrtYK L.[III/) U 0 U (j' /1 K"'-~ II VJr t~ JA/i/lt. /lit? [Of - Revoi'I1t/(Jer,.,-d- f2.ke--"htu"ceJw.-l-er levellrr/'Ioor,' J"J"/~ "::::Jg I I ;"~r u..L /),.d~/~", h. ,;.,-. tpI-/) b..-h. Jloorx . _'J _I. L. 2 .Au f . / / u 70 c: .~ 0.., ....c= I t::l o ~ - .., .>' . ~ PERMIT NO. BUILD APPLICATION CHECKLIST I 0 you have or need the following~ore applying? Board of Health ./' / 4 sets of Building Plans ./ Planning Board approval Survey Check..JL 11)~ Sepl1c Fonn N.Y.S.D.E.C. Trustees Contact: /7 J, &M/~S Mail to: l'o~ lJ111~' ...1IoTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ ,20_ ,20_ ~u--- SIr;:, .3 <f- </ - <J.7.,.2 S Examined Approved Disapproved alc Phone: Exp~~ II~ ~ i I/;} ~ .. il..' : 1,_"0 2 9 2005 I - L" ',r .~. ,--.J ~~~. ,,~ """ J~D ,20_ " I ;" Building Inspector '" , , APPLICATION FOR BUILDING PERMIT -- Date V-..7 r 20<'S' '- 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. c. The work covered by this application may not be commenced before issuance of Building Pennit. d~ Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a pennit 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. 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 pennit for an addition six months. Thereafter, 'a new pennit 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 South old, 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. /J / L as /~ q~ (Signatufe of applicant or name, ~ a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ;:::1~ Name of owner of premises '-;;,ifj JZb0 (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. 1. Location ofland on which proposed work will be done" d.,3.S' .~ ~'./../ ~ House Number Street" -~~let~ County Tax Map ct 1000 Section /0 f; Subdivision /'!<t,;(/ &;...4 (Name) Block Filed Map No. (!) s- tot ,.May, ' Lot ~, ~. 2. State existing use and occupancy _ .euises and inten~ed USHd ~ccupan, ~~l-' a. Existing use and occupancy ~ V'C- _ ~ ~ ~ tl t1 I ( b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work .o-A!teratioU-:- (Description) 4. Estimated Cost /.5O,OGJ,v Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 33 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 .' 11. Zone or use district in which premises are situated t 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. 15 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 o~f-ft)LL ) C kv is Ii.; ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ r (Cont61ctor, 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 me 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. . --' 20~ ~~ . Signature of Applicant MElANIE DDROSKI NOTARY PUBLIC, Sta~ of NewM No. 01 D04634870 Qualified In Suffolk County ').DOb Commission Expires Seplemb8r 30,--,. ,'. Date: 09/28/05 Transaction(s): 1 1 Town Of South old P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Receipt#: Reference 3520 Check#: 1231 Septic Permit - Construct - Resid. Total Paid: Name: Rivera, Christine 250 Sound Beach Dr Mattituck, NY 11952 Clerk 10: BONNIED 1231 Subtotal $10.00 $10.00 Internal 10: 3520 . ., Pennit Number RFScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code RES check Software Version 3.6 Release 2 Data filename: C:\Butler Engineering FileslJobs\MISCjOBSlmisc jobs 20041040 I 36-Rivera-capt kidd drivelcapt. kidd rescheck PROJECT TITLE: Proposed Addition COUNTY: SuflOlk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric WINDOW / WALL RATIO: 0.17 DATE: 09/27/05 DATE OF PLANS: September 26, 2005 PROJECT DESCRIPTION: Captain Kidd Drive Mattituck, New York COMPLIANCE:P~ses Maximum UA = 566 Your Home UA = 470 17.0% Better Than Code (VA) Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Window 1: Wood Frame:Double Pane Door 1: Gl~s Wall 2: Wood Frame, 16" O.c. Window 2: Wood Frame:Double Pane Door 2: GI~s Floor 1: All-Wood JoistIT11Iss, Over Unconditioned Space Boiler 2: , 85 AFUE Gross Area or Cavity Cont. Perimeter R~Value R-Value Glazing or Door {J-Factor llA 1554 1488 148 144 1672 189 54 1607 0.0 0.0 54 98 36 49 117 45 18 53 30.0 13.0 0.240 0.340 13.0 0.0 0.240 0.340 30.0 0;0 represented in this document is consistent with the building plans, ennit application. The proposed systems have heen designed to meet i;f: e requirements. When a Registered Design Prohsional h~ stamped !f /her knowledge, belie( and proi:ssional judgment, such plans or Builder/Designer Date Cf~Z-1L-~ -. . REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheck Software Version 3.6 Release 2 DATE: 09/27/05 PROJECT TITLE: Proposed Addition Bldg. I Dept. I Use 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 I I I [ ] I I I I [ ] I I I I I I I I I I I Ceilings: 1. Ceiling I: Flat Ceiling or Scissor TIUSS, R-30.0 cavity insulation Comments: Abov~rade Walls: 1. Wall I: Wood Frame, 16" o.C., R-13.0 cavity insulation Comments: 2. Wall 2: Wood Frame, 16" O.C., R-I3.0 cavity insulation Comments: Windows: 1. Window I: Wood Frame:DoublePane, U-tu:tor: 0.240 For windows without labeled U-tu:tors, describe reamres: # Panes_ Fratne Type Thermal Break? [ ] Yes [ ] No Comments: 2. Window 2: Wood Frame:Double Pane, U-mctor: 0.240 F or windows without labeled U-tu:tors, describe Jtarures: # Panes_ Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: 1. Door I: Glass, U-ilctor: 0.340 Comments: 2. Door 2: Glass, U-ilctor: 0.340 Comments: Floors: 1. Floor I: 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 Nuttiber Air Leakage: loints, 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 mted, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance fom 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 of all non-vented ti-amed ceilings, walls, and foors. Materials Identification: Materials and equipment must be installed io accordance with the manukturer's installation instructions. Materials and equipment must be identified so that compliance can be determined. ManuJacturer manuals ilr all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-Jactors, and heating equipment efficienCy must be clearly matked on the building plans or specifications. Duct Insulation: ] Supply ducts in unconditioned attics or outside the building must be insulated to R-8. ] Retum ducts in unconditioned attics or outside the building must be insulated to R-4. ] Supply ducts in unconditibned spaces must be insulated to R-8. ] Return ducts in unconditioned spaces (except basements) must be insulated to R- ] Retum ducts in unconditioned spaces (except basements) must be insulated to R-2.. Insulation is not required on retum ducts in basements. Duct Construction: [] All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-1ahric, or tapes. Tapes and mastics must berated UL 181A orUL 181B. Exception: Continuously welded and locking-type longitudinal joiots and seams on ducts operating at less than 2 in. W.g. (500 Pa). The HV AC system must provide a means ilr balancing air and water systems. T....perature Controls: [] Each dwelling unit has at lesat one thennostat capable of automatically adjusting the space temperature set point ofthe largest zone. Electric Syst....s: Separate electric meters are required ilr each dwelling unit. Fireplaces: [ Fireplaces must be installed with tight fitting non-combustible fireplace dOO1~. [ Fireplaces must be provided"with a source ofcomhustion air, as required by the Fireplace construction provisions of the Building Code of New York State, the Residential Code of New York State or the New York City Building Code, as applicable. Service Waler Heating: [ Water heaters with vertical pipe risers must have a heat trap on both the inlet and nullet unless the water heater has an integral heat trap or is part ofa 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. Swimrninll Pools: All heated swimming pools must have an on/ojfheater switch and require a cover uuless over 20% of the heating energy is fom non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insnlation: [] HV AC piping conveying fuids above 105 "F or chilled fuids below 55 "F must be insulated to the levels in Table 2. 51 TE PLAN I'~ I :20 10 0 20 8RAPHI(; sc.ALE - - - - EXISflNi9 Rl!51DE!NGE PUeL.lc, lI'lA Te:t .. -...... . , .', , - .' ,') '.. . 1,~ .:0 I I . (, I:.' C , , ) ',," f ' STlN6 M!'TAL. 5tED f I . . \ / . ~ \ .' ~\It:J I '. if ~ 1500 lSAL., S &6.oo0;,0':'E_ ~ SEPTIc, TANK I - ii} - .. )-' IQ~ Y I~I \ ~ I" - --.. CAPTAIN KIDD DRIVE .aq .~ B \(1) ~' D1Ax16' )... DeEP LP. .....0 \., tJ' ." .E!..J 0 _ ,0 ^ MlN.\. I . S r. ~', ~o. '0 . ~4.' I.Q ~1J;..... ,l) W.:.~~~ . "~. ,.: \ J!)(JSTlNi9 2 SfORY - - - - -., ... PRN-E RE!5lDE!NGE ~ III ~~) ~ 'i (~re:: ~ ,,' f..' . -1"'~-- I ........ "" 'f . I)': I ':~ I~ , , I " ' \ \ ...............~ ~ ~trJtty. 1!!I\ICl....c5eP . '. ~ CiCNC. J 1 , ",O7~---_ __~........ 011840"- ""ARP~"']..." ---- ~ n~i77~ . ~ut. itItu~-BP~ /7),1-' r1A4fl- fJfif>~ EXISTlt16 SANITARY' !W51&1 TO BE REMOVeD F'eR St:;DHS STANDARDS ~. CHAIN UI<<~ " N b6.oo'30" ".. EXISriN6 RI$lP!HGE PUBLIc. Wi'1"IFt , I !XI5T1NeRSl~~ FU.!!Llc, i"lAa I I "lO I 60 I . ,I f!iO : IQO .1" - :20'~' ~ " r_ ED6e OIP PAV&ENT - - N &6.00'30" ".. 2'4'4~~ <... \3. \ 'lr> '0' ~:>> SIilP'T'lc. S'('$1l!!M. uee 1500 &AI... eeP1"lc, TANK NI>. (I) &' r.itAx16' DeEP U!AGHlNe ftINE55 RJTURJ!. ~ EXPNl5ION VACANT - - ~. Tl!! PL.AN BA5I!D ON lSlNAL. SURVel" BY. A. 1N6E<3t~ SURVEYOR , SOX lcel ,NY' 1IC101 '. (MJI) 1:27-2OCfO FAx. (631) 127-n27 DATeD. oc,TOBI!R:27, 2004 . jj;t,r'.. ~ ~ r- N ~.. ~~ d... it)- .. 5 \Q~~ i= X ~ 11- . 0.. ~ .~ N ~ . in \Q 11) N r-: .. ....i ~ll 'I d. .1 ~ "" ~ ~ 9 ~ ~.@ ~. . .~ r;. ~mPOlE f \\ \' CAPTAIN . 0 o. f 0 . 0 0 0 . . 0 o. . . I .. . ClJR8 CUT 0 . 0 w ~ """" STEPs TO ~ 2.. STORy C '-l .... "'OIlY '-""- OVER '01 STORy lIOClO PlAT. . stEP FOIJHO CONe. _. o . FOIJN/) CONe. _. 'DIet 0.2'5. a.I'W "= . o o o N ~ ro.c. 0.2'E. STONE STOOP STEP . WJt1<' JJ.,]' ~ ~ l :::l 2 STORY FRANE HOUSE 25.0' ~ 25.,' .... STORy - IlEa< <MR ""no , ,.- IIlICk ""no "- Ii J4 I """"'- Pool I LU . o ~ Ol It) . ~ o z O.."H. 0.1'E CHotJN UNK Ft:NcE N 86'00'30" W N/O/7 ./OItJ( ANftiNOPOuLOs Ki1'l.NA ANf'ONOPDULOS KIDD DRIVE 0 0 . 0 0 . . CONe. CURB o. 0 . . . UCTAl. FENcE 100.00' 1.2'E. N 86.00'30" W 214.43' 0 0 S 0 "I ~ ~ :::l Z ~ 4 . . o. . ...... CUT . 4' . 9.,]' e i' :::lS Ii'. ~ . s " CEUNl 3 EHlIW<<:E z ! ~ ~ ~ C '-l ~ C '-l FElICE 0.4". 51.7' '<< ft:NCE O.4'N.6.2'W. WIRE fD<<:E 100.00' N/O/7 ~!lrAJ1l/J)/S ....r ~ ~ . o ~ . Ol It) . ~ o Vl , \)\) <:>. , o~'}; \)~ ~ ~1' V' ~ cS ~~ l 0q, I'!! ! .:::;:j ~ f!::' ~ /:::) ~ .-uTHOAIZEIl All!llA11ON OR AIlOfTIOH TO THIS SUR\IEY IS . \IIOIA11ON OF SEClKlN 7209 OF 1HE NEW YlJRI( ST'TE E1lUCA11ON lAW. COPIES OF THIS SUIMY _ NOT IlEARlNG TIE IN<0 SUfMYOR'S INI<ED S[AL OR EWIIOSSED SE.OI. SHAll. NOT BE 00NSI00lED TO BE A VAUO TRUE COPY. CERI1F1CAT1ONS INDICATED HEREON SHAll. RUN ON..Y TO TIE PERSON FOR WHOIl 1HE SUR\IEY IS Pfl[PAIlED. NIl) ON HIS BEHAlF TO .1HE mu: OOt/I'Ntf. OO\/EAHIotEIlTAl ~ _ LEJClING INSTIMlON US1El HEIlBlN. _ TO 1HE ASSIGNaS OF 1HE LEJClING lNSTl- lUTlON. cvmFlCATlONS _ NOT 11W<SfERA8lE. THE EXISTENCE or RIOHTS or WAY AND/OR EASDlENTS or RECOIlD. If AMY, NOT _ All[ NOT GUAllANTEED. SURVEY OF LOT 192 MAP OF CAPTAIN KIDD ESTATES BLOCK 15 FILE No. 1672 FILED JANUARY 19, 1949 SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK s.c. TAX No. 1000-106-05-04 SCALE 1"=20' OCTOBER 27, 2004 DECEMBER 1 6. 2004 ADDED TEST HOLE OCTOBER 3. 2006 FINAL SURVEY AREA = 12,000.00 sq. ft. 0.275 ce. PREPARED IN ACCOROtitHCE MTH THE IrMNt.IUW STANIWIllS FOR llIU SUIMYS AS EST_ED BY THE L1A.LS. AND APPROVED AHO ADOPTED f'OA SUCH USE BY THE HEW YORK STATE !..AND mu: ASSOClAroN. N.Y.S. lie. No. 49668 Joseph A. Ingegno Land Surveyor Title Surveys - Subdivisions - Site Pions - Construction Layout PHONE (631)727-2090 Fox (631)727-1727 IofAIUNG AOORF:SS P.O. Box 1931 Ri.erheod. Ne. York 11901-0ge5 OFFICES lOCATED AT 322 ROANOKE AVENUE R1VERHEAD. New Yorl< 11901 . ~ . . . 4 B ~ ~I -_>0 .... 2nd SlDIlr Cl "" ..... SlDIlr _ CM:R '01 SlDIlr _ PlAT. .. lID' '*"=-'= .. . ". cfllrlJlYl'OlE I \\ \' ~APT AIN . .,. p. . ..,. I KIDD . '. . . :.... ." . .. "... t ~ ,4' ... .... ,,' . ," . . C\M8OlJJ.' .. .. . 4 QIT' .4, .' ' ~. CUIIt .. .. ..' ... FENtt . II",,'" ... D.2'S, 0",. 100.00' ~ . <::) o o N -- ---~ .... " ~ .... ""'~( \ / / _/ .t ~ 2 STORY FRAIIE HOIIS[ ~ ~ ~ ...,. .... Cl "" .... - IlDenD lIED< _ ~1ID w ,.- ftNCE 0....... . . o rot) . 01 lO . rot) o :z ......- '" a 51.7' I -..., - I --- ftNCE 0.4'tUh. - FENtt 0.4'lo. g..'! OWN 1.11< _ N 86*00'30" W If l 100.00' ..:.~ DRIVE '. ' ~~ -~~. -- -.....,.. . 0- ~ -s ~ ~ I g ~ ~ ~ o rot) . 01 lO . rot) o VI '. . , . _~ or, . N 8"00'30. W 2f..43' ~ .... Cl "" ~ ~ ~~ Q ~ 011: ~l .~w ~'! ~ '-l ~~1!!!!""~ __ .,. ", lItE __ STATE EIliUCGIGN ... =-,OFm, r:#&~ _~... ' IE_ 10 IE A ...... . &, 1lr:"E-,S:-# T1I\.E . llIllAl__ ~~- ",~~-=- l11IICllI. _.....~ 111[ ~ Of" ~ or WAY N/I)/fM IAiOIE\nS Of" IIlQlM, IF NIf, _ ..... NIIf. NOT ~ED. SURVEY OFi OCT 2 5 2006 LOT 19~u MAP OF \3j___~-===-====-==-~ CAPTAIN KIDD ESTATES BLOCK 15 FILE No. 1672 FILED JANUARY 19, 1949 SITUA TED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK s.c. TAX No. 1000-106-05-04- SCALE 1 "=20' OCTOBER 27, 2004 DECEMBER 16, 2004 ADDEO TEST HOLE OCTOBER 3. 2006 FINAL SURVEY OCTOBER 25, 2006 ~o WATER LINE ., ....,~ fA," _"'." ~. .,"". ",' ,,:,..'ft:-_-'-'-'.''-;~''~'''.'''~'''.~7'"i SU, V"""'O. '1:1'\:"-'" ' "." .', .. APPROVAL. 9~ GONSTRU;::;'l:'::;~; ~~ ;;:~:,V.3 F~,:'\i. . - AS!lcJ~LSFi\MiLYRES:Di;~'~G:~ Date ocr 272008 H.G, R3~. hl.:;. 11\9.-0'-( - 0!91- Tfl.~ t!c.~:2~}C d:q;;;::~! :::nt OJ;::::1 m2):::y ::2':;;1':;.:-,:. .::J ~~-.:~: L:;:-:~i:L.';-:l h:~:\-J I)ij~;j Inspcct0<':~ 2:n:./Ct GJ,"'~::a ~J ~;::'j G::'r"::Z~i~;;j'-':':f ~';~:,:~. ;:;;.:;;~j::;s .gt':,:,11J;'"ict b- FO~ ~ ~l^~"[l,,"l"r,"" / r--,,...,.~c:.,!""l"""""'" I besalisfaclooy "j, '{?\I:"';"!~''VV'''''' I ~/. ~~-.,.~ i Walter J. Hilbert.P:"t:.. i.;1\it:' ' I Office of Wastewater Mana~~ir:J _ARED IN ACCQRIWlCE WITH lHE _ APf'IllMl) _ ADDPItD USE THE NEW )'QRIl Sf ATE LONO N.Y.S. Uc. No. 49llGll Joseph A. Ingegno L'" &rveyor Title Si.ntoyo - __ - SiIw PlaM - CcrnIIruetIon Loyout PHON[ (631 )727 - 2OtO OFFICES LOCAIDJ Ar 322 RCWIOKE AVEHIJE RlYERHrAD. _ York 11901 Fax (631)727-1727 -.JNG AD/JRESS P.O. Box 11131 RNerheod. _ York 11901-lllM15 24-