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Home My WebLink About31990-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 11/29/06 No: Z-32038 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 1750 SMITH (HOUSE NO.) County Tax Map No. 473889 Section 98 RD (STREET) Block 3 PECONIC (HAMLET) Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 1, 2006 pursuant to which Building Permit No. 31990-Z dated MAY 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 ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONALD & KATHLEEN RAYNIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 110747C 11/08/06 PLUMBERS CERTIFICATION DATED 10/29/06 JACK GISMOLDI ~..,~ Rev. 1/81 , Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 (611 ~ ~7'-1.- I J-1 r 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 2/10 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) noo-conforming oses, or boildings and "pre-existing" land IIses: 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 . /I/~f~~ / / (check one) Location of Property: 17~-() House No. I( ".n Iff,! /Date. Old or Pre-existing Building: S'YM+C Rd Street ;?(;.Y'1I~ 'Ii' ( ~ ('V YJ}(./ Hamlet New Construction: Owner or Owners of Property: Suffolk County Tal' Map No 1000, Section Block {)J Lot ,;z.v Subdivision Permit No. 319 9D Filed Map. Date of Pennit. .ff It 10 t.. __ Applicant: , / Lot: Health Dept. Approval: Planning Board Approval: ~"'t~"(J4 Underwriters Approval: V Request for: Temporary Certificate Final Certificate: t/ (check one) Fee Submitted: $ ;Jr; Jl> ~~. 7ft{ (3 Co Z: ~O:r<( ---, Electrical Inspection Certificate Issue Date 11/13/06 Electrical Inspection Service, Inc. 375 Dunton Avenue East Patchogue, New York 11772 (631) 266-6642 Application Number 110747C Issued To: Street: Village: Section: Ms. Kathleen Raynis 1750 Smith Road Peconic Block: Zip: 11958 Lot: Town: South old Contractor: Shore Power Electric Contracting Lie. # 31697-ME Was examined and found to be in compliance with the National Electrical Code. D Commercial D NV Defects D Pool ~ 1 st Floor ~ Indoor D Basement D Hot Tub ~ Residential D Det. Garage D Attic D 2nd Floor 00 Outdoor [j\] Addition [J Survey Switches Receptacles Fixtures 9 5 13 Dishwasher Washer/Amps Dryer/Amps 1 1 20 1 gas Furnace 011 Gas Circulators Meter Amps Phase UG/OH Jacuzzi / Bldg. Permit: 31990 Other Equipment GFI 5 Heaters AlC Fans Oven Range/Amps Microwaves Smoke Detector Bell Transformer Television CO Detector ~j~ President Rough Inspection: 08/16/2006 Inspector: John Me Mahon III Final Inspecton: 11/08/2006 Inspector: John Me Mahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. . Town Hall, 53095 Main Road PO. Box \179 Soul hold. NewYoll< 11971 Fax (5\6)765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHQLD ,.;' C E R T I Y I CAT ION DATS : "fr1 ~ c. / I Building Permit No. "3/7''10 Owner: ka:/1.t ettlf",:r (pI ase print) r "'- Plumber: Jid !rW''';".MJ),- (please print) " I certify that the solder used in the water supply system contains less than 2/10 of l' lead. "U~.~. NG' N~ PubIc_Ie of NewYcrk No. 4818735 Quallftld In SufloIc COunay Commllelon Expl.... May 2or;2,1 Sworn to before me this 8p6 day of ~~ ~tJt'v Notary Public, countY~~v~1tf 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. 31990 Z Date MAY 11, 2006 permission is hereby granted to: C RAYNIS 1750 SMITH RD PECONIC, NY for : ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1750 SMITH RD PECONIC County Tax Map No. 473889 Section 098 Block 0003 Lot No. 020 pursuant to application dated MAY 1, 2006 and approved by the Building Inspector to expire on NOVEMBER 11, 2007. Fee $ 174.00 ) .. ... -t;tw~ c..L /~ I Authorized Signature ORIGINAL Rev. 5/8/02 31~;O ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING oq FINAL ;fe ; [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ tJ'r...---~ .~~~ ~~~ ok . /t?~ f~ ~Nft~~ / I-/~-()!o DATE INSPECTOR ~~~ 3l crqO-6- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ~DATION 1ST [] ROUGH PLBG. [vJFOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] "FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR I.... ~ 3'~90 Z. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [1)4. FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: r~ J-D~ DATE '6'-1-0(, INSPECTOR ~~ I 3 1 990i!:;- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECT N [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION REMARKS: ffi. {,-r ~~~~ ~- DATE r(r / &G ( INSPECTOR 3>1110 Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND P(INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:~ ~ ok( "I ~l DATE 1-1(- ()~ INSPECTOR ~ ~ 3/~{o Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION F~ . DATE II-K --0 " INSPECTOR ~~ I . .~ IlELD I/liSPECTION REPORT DATE COMMENTS "7/-. .1. ~ L,. /..7:~ A-A- . " _ V:~ \}J.., t'!l f l / , 'l J -A~ FOUNDATION (1ST) ...S\- 0:= ------------------------------------ '7 ftyJ,~ If),.. I .A.. p..;;y r" trk. ~ /^ /{/' J -~ FOUNDATION (2ND) U -\-.a.t'l Z , ~/ ~ 'f.,,.f/() Jzj{ ... ~/QAJ - '" oJ1.L tJ rIr ~ A JII) - ~ J . (/ I' (J ^ ~ v V\", ROUGH FRAMING & I ~lIo~ ./R /...../1.. .w/. A~rf- .II! ~ .,t.-7Z> O~ II ( r' 1.1- HIt .4.J ~ -r.i1. r ..AI.d 6//- k, J A . (A~ PLUMBING ~1Ju'.. -5. -I~_....L / 3 I' / 7 ./ f- l. (~/f 0& JJ. .U -. ~ 0* h~flJ ~~ , INSULATION PER N. Y. 1;; ... STATE ENERGY CODE ~ rh , , ~ 1/14-, /IA. '14-. JVjf'CJJ . ^ - , t=:',- "::. P ~uQ.K /'>", .11 -~ . (\ , ~. P. f.{ ./ ..., ./.. / 0 ~ I '" -y<: ? I ^. ~ . . v FINAL J l..-tl. II) ~t--:::d) U -.~ Ort-' JI~ { .D0 " I J J~ ~ . I J:=:; ~A~. fA' I' ~ AT ;""~J-JL~ V " ~ .ADDmONAL COMMENTS 1{'0 . I~ " z.- . - 0 I!\:E . z m.. p ::0 "- _t'!l \~ :-~ c;i ... , -.JO z == t'!l 2~ . i} ~ I t;; ." ~ ----- PERMIT NO. 3/'J'to Z7 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: TOWN OF SOUTHOLD BUILDING QEP,(RTMENT TOWN HALt, SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ .sf;' 20 0..6 /,2rt2L Examined Approved Disapproved ale Mail to: Expiration if /(,2001 Phone: 0 J/ -.3 7y - 1,;),5'1 . ~ ! c..JL Building Inspector [' ." !Y\~ '0(., I ~ APPLICATION FOR BUILDING PERMIT I 'l I ., -~_..-J ,20_ Date 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 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. 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 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, an a it authorized inspectors on premises and in building for necessary inspections. Ignalure of applicant or arne, if a corporation) /.)1 .#r-r"''Y.-IvI' y/7l'4/.>vd ~ /19,/v (Mailing address of appli t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ;5w / J.t. r- Name of owner of premises Ct'dh/~t"'1 ~YI'J;J (UOII/d.ld. ~ deretJ..kd' . (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer 5."t7tJtac) # ....... (Name and title of corporate officer) Builders License No. Itt?~iI' If Plumbers License No. Electricians License No. Other Trade's License No. I. Location ofland on which proposed work will be done: J) 17 S'U .f'm/lt. lid r~ tul1l~ House Number Street Hamlet l"OZJFI...:> .8 AC11!J County Tax Map No. 1000 Section Y' t ~~~;'\O~~r?,!j~:i 1(1810M Lot ,;J() Subdivision F;loddI.<<an,~:i'n;-'j"" 'euO Lot (Name) _c~ ,;,r .\i\.iV1 c3fniqJt-J nO,G.3u'll",nh) 2. State existing use and occupancy of premises and intended use and oC9upancy of proposed constructifn: a. Existing use and occupancy S/'7}/( -h/IMfy /.lju!.tl111 , b. Intended use and occupancy JtlML- Addition Other Work / Alteration / 3. Nature OfW01;k (check which applicable): New Building Repair V Removal Demolition 4. Estimated Cost 51 I txJJ DOl!, tJ1; (Description) 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. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. Rear 41.( Depth 3L' 7. Dimensions of existing structures, if any: Front 4'-1 Height JlI Number of Stories , I Dimensions of same structure with alterations or additions: Front Lj 'I Depth L/ (, Height I Lf Number of Stories Rear _SO~ / 8. Dimensions of entire new construction: Front 0 Height 1'1 Number of Stories Rear ;21 Depth If) . I 9. Size oflot: Front 1M) Rear /dO Depth J () 0 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated ;? - '-I/) 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO ~ 13. Will lot be re-graded? YES_NO V Will excess fill be removed from premises? YES VNO_ 14. Names of Owner ofpremisesCtItku. ,(4/#); Address 17S<, Sh<<#o,e! ;?cr.,~Phone No. 7:1 y -11t!' 3 Name of Architect ~1Ur__ (" ~n.. t..-"'r.J Adslr.ess . Phone No 't" 7- 0 'tlJo Name ofContractorll/nrll.l'"M"'r Clr'p.IIlr '[~Mt'&rress /iJ7 Sr'r-r~.A>'t- Phone No. 37~-/,;)3f qrzr~rf- . / 15 a. Is this property within I 00 feet of a tidal wetland or a freshwater wetland? *YES _ NO ~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) COUNTY OF ~.ffo/tt "P~y 0, It -t~rJ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the CvntrN. t-o,r (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. . /'1 SWO~i'" m 20 trP ~ ~.... 4 J ~;/'f Notary Public LINDA I. CARl.8ON NoWy Public, 8tatI of New 'fbIlI . No.01CA8137178 Qualified In luffolk County /J IJ ODmmIaalon ExpI_ Nov. 14, 2O!!..l ENERGY CODE CALCULATIONS CHAPTER,S SECTION 501 Detached One and Two Family (For Non-Electric Heat) For: ("llte/, ~q},nt.J. 17S'1> S~t..l( ",. ( P~Cd"'''' Design Criteria 5750 Degree Days Zone lIB Per: p~I'J") j -.i' J. 7.:7/J Daied: SUBSYSTEM AREA DESIGN CODE DESIGN CODE "u" "U" UA UA Exterior Walls 'I 'IS ".12.8& 0.14 ~ J.'Lf &9.30 Ceiling Roof I/lf3 ". " 3 0.031 /3.2.9 Ij . 7:J Floor Over Unheated Space Z3s' O.o~ 0.05 If.71 " . 75" Heated Slab On Grade 6.5 Unheated Slab On Grade 4.5 Basement Wall 0.1 Crawl Space Wall 0.06 86'.6 B q If .78 s: N01E Construction shall comply with 502.1.1 moisture control and 502.1.4 air leakage Building ElIVelope Systems to meet requirements of Section 50 I 'The mechanical systems and equipment including: HV AC Equipment, HV AC Systems, Duct Systems, Ventilation Systems and Insulation of Piping Systems to meet requirements of Section 503 Service Water Heating Systems & E9Jllpment to meet re<Juirements of Section 504," Electrical & Lighting Systems & Equipment to meet reqUirements of Section 505 . . 9 " ....".y\ To the best of my knowledge, belief, & professional judgement, these plans are in compliance with ,the code. n (-~, r~ .:;. r' q :- ii ' ' \- ANY AL TeRA TION OR ADD/lION fO THIS SURVeY IS A VIOLA TION OF SECTION 7209 OF THE NeW YORK STATe eDUCATION LAW. eJ(CffPT AS PeR SECTION 7209 - SUBDIVISION 2. ALL CERTIFICA TIONS 1ERE0N ARe VALIl FOR THIS MAP AND COPtE:S THEREOF ONL Y F SAil MAP OR COPIES BeAR THE IMPRESSED SEAL OF TIE SURVE:YOR WHOSE SIGNA TURe APPeARS HEReON. F€ O~s o.s'&: JjJ~'-- lI!~T.JJ- . . sTY ~ ,.. ~fIl.~ .., ~ . ... , ~ ... Ii . ... . \ ~ LOT .,. -. CiD o C't UI ~ .... , I N 79" e",,'" FNO "ON Q IU -' ii: , - " C't- titi 00 -- - -ia- - - :> o o ..... ..... -' .a~ IUI- 9.'0 Q < < LOT- ! GD ~... ~ 0 0_ llI:\'I) llI: . ~~ ~ o o , ~ ~ ~ \L,IU O~ ~ ~ . . ~ j~ . o.4'E 2 -- FHO "ON . 204.23' 205.2' \ \ \ AREA = 20,127sq. ft. INDIAN 37' 00" E L.... \ \i JV.a. i<oAD ,QHC. sTEPs NECK ROAD ,..-.. Q 4( o a:. \U \- 4( '> ii a.. ~ , -.', - o o " - @ {DEED' 198.2' TUALJr98.31' (AC ~ ~E ,,'.. \ FlfoH pOST . RA - F€NC ..-- \ ~ . o \ -: 42.1'_ -- \ -- I . eu \ ~\ .. -- _---42,5. - , o o eR 6R"VEL-~ 32.2' Co .\ , o o ti o - ~f'SI' poND ~ ? ~ ~ ~i~ FEJIC! . . LlI!!! ~\ ~ (ACTUAL' (DEEf)' -~ S 79" 37' (J) SURVEY OF LOT 35 MAP OF "INDIAN NECK PARK" FILED MA Y 27, 7973 FILE NO. 557 A T INDIA-N NECK TOWN OF SOUTHOLD SUFFOLK COUNT~ N Y 7000 - 98 - 03 - 20 Scale 7" - 30' August 6, 7990 FEB. 2, 2006 ... ... a <( Q ~ -. :r:. \- - ~ (J) CERTIFIED TO' DONALD R. RA YNIS KA TLEEN E. RA.YNIS -' INTRACOASTAL ABSTRACT COMPANY F 3655 8038 " - - " -, N w