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HomeMy WebLinkAbout31161-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32063 Date: 12/11/06 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 1125 PEQUASH (HOUSE NO.) County Tax Map No. 473889 Section 103 AVE (STREET) Block 2- CUTCHOGUE (HAMLET) Lot 20 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20, 2005 pursuant to which Building Permit No. 31161-Z dated MAY 24, 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 NON-HABITABLE ACCESSORY GARAGE WITH HALF BATHROOM & STORAGE ABOVE ONLY AS APPLIED FOR. The certificate is issued to GEORGE T.& GEORGE W.SCHNEIDER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-06-0052 08/24/06 ELECTRICAL CERTIFICATE NO. 2084241 04/20/06 PLUMBERS CERTIFICATION DATED 05/04/06 HARDY PLUMBING & HEATING ~~-- Au horized Signature Rev. 1/81 iR 26 ')(F"O ;' /' I '. u~!J :; Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 u~7jlf~"'~.s$g- ~ @O 6};n Jd. &I ~. 4) '1 "93S . .__ _n.__) in,' ;', 1< r-\. . I~ I!'\ j ! " 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: 1. 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 (8-9 fonn). 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 1. Certificate of Occupancy - New dwelling $25.0Cl, 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: / I Old or Pre-existing Building: (check one) (Il..\'1C H D6' !.liS"' Hamlet Location of Property: I I 'l. 5" House No. Owner or Owners of Property: GE:t:>R6€ Suffolk County Tax Map No 1000, Section 'PEtt:'vAs I-l All;:!' Street T: cr G E'oR~ W I C> 3 Block SO-hi E:) DE R 7 Lot 2..0 Subdivision Permit No. 3 11 (, I Health Dept. Approval: Planning Board Approval: Date ofPetmit. Filed Map. S /24/05 Applicant: Underwriters Approval: Lot: ,/)If "/11 , / Request for: Temporary Certificate Final Certificate: v' (check one) Fee Submitted: $ 2.5 ... e..~ 7; Lf 8':2, (0 ~3,;1oG :3 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. 31161 Z Date MAY 24, 2005 permission is hereby granted to: MARIE D JABLONSKI PO BOX 524 CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR 1125 PEQUASH AVE CUTCHOGUE at premises located at County Tax Map No. 473889 Section 103 Block 0007 Lot No. 020 pursuant to application dated MAY 20, 2005 and approved by the Building Inspector to expire on NOVEMBER 24, 2006. Fee $ 351.00 0/2- Authorized Signature ORIGINAL Rev. 5/8/02 TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL SOUTHOLD, NY 11971 CERTIFICATION Date: ~'-I L\ L ZCd-o , Building Permit NO.~\ \lo \ Owner: f -::Jk1Y-~ ~C' X\ I0.l1 \ (\)w\ (please prin Plumber: HARtl~ 'PL.uMP>IN6,ftEATINE,,}-A-jc...:r:Nc.. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1 % lead. I also certify that I installed an anti-scold and/or thermal shock preventing device at all bathing and/or showering fixtures in conformance with part 902.6(k) of the N.Y.S.F.P.A.B.C. Sworn to before me this !-f!i: day of MA- '/-- LOoo-, ,ZOO'=> Notary Public,. 0'1) f {!$I L [<-- c6"au.ty .d;1; MA'~ (Notary PubliC) JOANN BARONE Notary Public. State 01 New Volt No. 01 BA6087018 Qu~lIfled In Suffolk County CoIl1llll88lon Expirea 02110120 f[] @I.@1 I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ GEORGESCHNBDER GEORGESCHNBDER ~ ~ PO BOX 1261 PO BOX 1261 ~ ~ CUTCHGUE, NY 11935 CUTCHOGUE, NY 11935 ~ ~ ~ ~ Located at 1125 PEQUASH AVENUE CUTCHOGUE, NY 11935 ~ i Application Number: 2084241 Certificate Number: 2084241 i ~ Section: Block: Lot: Building Permit: BDC: ns11 ~ ~ ~ ~ Described as a Residential 600-1199 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, garage with apt., Detached Garage, Attic, ~ ~ 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 20th Day of April, 2006. ~ ~ Name Cry Rate Ratin. Circuit ~ ~ ~ Alarm and Emergency Equipment ~ ~ Sensor I 0 Carbon Monoxide ~ ~ Sensor 2 0 Smoke ~ ~ Appliances and Accessories ~ ~ Exhaust Fan I 0 F.H.P. ~ ~~ ~ ~ Wiring and Devices I 70 14 ~ ~ Outlet 9 0 Fixture ~ ~ Fixture 9 0 Incandescent ~ ~ Outlet 30 0 General Purpose ~ ~ Receptacle 20 0 General Purpose ~ ~ Switch 12 0 General Purpose ~ ~ Paddle Fan I 0 ~ ~ Receptacle I 0 20 amp Laundry ~ ~ Receptacle I 0 30 amp Dryer ~ ~ Receptacle 3 0 GFCI seal ~ ~ Service ~ i Continued on Next Page I of 2 I 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 @I.@1 l!I.l!I ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ GEORGE SCHNEIDER GEORGE SCHNEIDER ~ ~ PO BOX 1261 PO BOX 1261 ~ I CUTCHGUE, NY 11935 CUTCHOGUE, NY 11935 I ~ Located at 1125 PEQUASH AVENUE CUTCHOGUE, NY 11935 ~ ~ ~ ~ Application Number: 2084241 Certificate Number: 2084241 ~ I Section: Block: Lot: Building Permit: BDC: ns11 I ~ Described as a Residential 600-1 199 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, garage with apt., Detached Garage, Attic, ~ ~ 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 20th Dayof April, 2006. ~ ~ Name OTY Rate Ratin. Circuit ~ ~ ~ 1 Phase 3W Service Rating ]00 Amperes ~ ~ Service Disconnect: 1] 00 cb ~ ~ Meters: t ~ ~ ~ ~ ~ ~ ~ ~ ~ i (LCO~ wrt j(./J./V i ~ )~~~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ ~ ~ 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. I l!I~.l!I 311~1 Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING W FINAL [ ] FIREPLACE & CHIMNEY'[ ) FIRE SAFETY INSPECTION REMARKS: r~ ~ t-# Ok; ~ f/r- c 1- D ~4 ~SjV lJ P-e ~~\ct" /;1-- ~ - 0 h ~A a.(.tat DATE INSPECTOR../ ~. # ~ 3)1~\ :z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION L/-!)(5 ~ +/ r II x E{ l't J/ !IJ---- 6"- () (, DATE INSPECTOR ffi: ~ . 3/1 ~ I Z TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING p<J FINAL ~ : [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ , L4..- ~~, , ~~ DATE 1 ~ ',-0(, INSPECTOR ~~ I 3\\.6 t 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 (). _ If ~ \\ REMARKS=-ilm'tlJ~ t1..IrNS> m Is;: ::evIl:( ~.C- ~-:G-I- \)?:~ G J2rl R64=i-mN_ Z!\JWh&f ('~L.Alz()~S .pw DATE 6.4, of, 3/J~1 :z.- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [)<j FINAL A ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS~: ~ ~ F ",: ~_l t.4, ok,. DATE JI-';-1-()5" INSPECTOR ~~ L 3J1b/ z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND p(lNSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE /1-7-17 s- INSPECTOR A~-~ '-- 311(,( z- 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION ~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: r~-, ~. ~,~~ w OK_ ~~~~~ ~~ ~ ~ L.{- ~, ~ Z>6;-: DATE r -I -f) S- INSPECTOR ~ ~ 3 II c:, 12- ~~~ G ' 7~ Y. _ s;?-~ C c:e-o/ ) ?/3- ] FINAL 7/ Lf-S- ] FIRE SAFETY INSPECTION TOWN OF SOUTH OLD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PlBG. ~FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ REMARKS: " OJ.... ,C4... '{ \ DATE ~ -?-7- oS- INSPECTOR *~ 31/'" z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION p<{FOUNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION k ok, REMARKS: ok " - ')-3 - or hh- ~. '//J", DATE INSPECTOR ./ /'""" (/' ~ Town Hall, 53095 Main Road P.O. Box J 179 Southold. New Yark 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD George T. & George W. Schneider PO Box 1028 Cutchogue NY 11935 November 15, 2006 RE: Building Permit #31161Z As per our discussion today, please cap all plumbing, including washer hook-up, behind spackled walls and under the floor, remove all fixtures, cabinets and the shower stall, repair any openings. The toilet and sink may remain once amended plans have been submitted. ~~ George Gillen, Building Inspector Southold Town Building Department 1(..:1.....01 ---,::::;: - .'.J- l% -' _"" ok . - p:."n ,".tf . 0 n-l. . / ~ Ad; /y\ Ah- P. ::: oK.~ ..7-dT _.7. _on-4 J j)~ ..I~ ..0 QI '" /1)1 t/' ~ 11\ ~ i"l """'0'" (\1 ~ ~ ~~ ( '" I \.....~~ l.-o~ ~, ~ ~ \l i:Q., tJtr ~ "/1. ~ . p::.'f/.I A- ----..a.C ~ .A.J.- f' ~ '..R. ,'- - v ~ .Q q .....//ol ;l:);::ir.. 0 ~ ~ ~-f:K?7_ . -41=", --t;:...., ~ .-:+--' ' -,/ Ci LV.. 0,0.>-..(...-,,' 0...:..-11 ~11 ~ IT -1-'" ""v.L -1 . II-- 'AJ..L-F Y ~v -:.' .. ~ ro .:;;'-.77 ~ft~.. ~ ~ _'h,,_~ L. ./:01'11 /,1'1 ~..1 Lf~" ~ ~ k" ^ /I . ~ /L /I pJ.-YYJ ~ '_A _ 77P'.1 _".'~ ,~... ~ --h ,Y,,?II, ADDITIONAL COMMENTS - z::..4.iXo ~,u1':>Sb "r\S '?:,UlL-T'~I"-+-.JS R-\:;~.~I .3. C. l~--':>"Ln-\ - -, ~-u. " Z::I-.) 'Z RG'-/ C~ 'Q..c---a. . SOU")'2Q... LG~ ntP fJdT I~ C.O. "<"1=7~~ '"7">0 ~ 'CC- I I V\,\P' IAIIr\1::::~ PI ^ 'S An~ ~ . J ~~J /6/u/J.. "'7C3c.b ScfllJ/l/ht'1<, :1[hJr ~/eeJJ /f,(Ap1~r/O"'---]j Tf \ ___ /' ",7) PJf' lr~-ot; Cr.l);it;".......uI ~,~~) /VJ - U " - #. ~ ~ - T _ i"l t;l P f1 'l::l1~. 7f'" ~~.7J..f to.' . JJ.!i '- _,~ / ~ ,d' '../ '\ ~ --m...fi... JJ ..HI. ,j.- . I".:,;L, N....!J.' R~ ~~ 7._ n' . _ l. ,,~ . U D.. _". ." , ..., / R.. .~, b::! tr1Z.A-V ~ ~ t) ~ iT.....).1rtl" ID,p " -.1 _d~ ok //',../ ........-2:?::--~.//_ '~-1o-0k 7..- T . 7~/I(f) , r'_ Il .. I'.,J 0 ~ 101l>l) J!ng QT lL.-:7. '" .. VT #;-/0 u · \j..-7-o1o ..fl ,I _.At- \J .':i.L) A ,]f. , I 'J..- 'b- 0(., 1\ ^ .,J -t::J.- Otk - -L. --6.... - < 0 ~ / j "R.........g--ob j// ~~ "'- - ',h- ~o.. Ig.J j:. ;PC rn"~ ",on\-:f." --pz, .// II . ~ 0 L- .~ u,-,/-c... U 7 , " . ~ FIELD P!sPECTION REPORT DATE , -:J-) ......or 7 COMMENTS ~ f~. .d/ ~ 8.k-- -6d- _1Z7/ 'PO L7 ~ A/1 ..__ ~ PJ'/ FOUNDATION (1ST) v ------------------------------------ ~--tl--jI'- t):S- . .:::..... D-fc-l~f- -' /~IJ. v FOUNDATION (2ND) r'l j) r rfJ . ROUGH FRAMING & PLUMBING \I ,'1/fl Il<..l._.......... \ ,~ t>P ~ aT rI~.1. U .M A.~..Il../ 1\ .I,i) ....... .... 2 A .;;;';.11 U v .~ A . INSULATION PER N. Y. STATE ENERGY CODE FINAL lfJ~ ;:::: ~ ~ ::l -.. '" . - 0 "- 90<:: ;>~[{i ,.~ i:1r'" z ~ ~I I, ~ \ '\ ,I- I.- ~~~ o. m:> - ;0. . " ;> b := z..i"l ~~ t:l i"l ." :-l /~., FORMER OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET //2.5 Pe. tJJ..[ A ,4 lie" (I C N r'. t...:? o~os/C S WILlow $'t- )1-'2- mt VILLAGE DIST. SUB. LOT Ii fc;), d v€.- /:J- ACR.,t :31 TYPE OF BUILDING e.s Q. . E bJonok,'_ _ q(~J::-~- J. tNN' ~ d/a SEAS. W P<2..Q,........sh A-J-e.. N6 VL. FARM COMM. CB. MISe. Mkt. Value LAND IMP. TOTAL DATE REMARKS 4-00 o bOO ~oo ~ ,s-...." .3 I c> '" AGE NEW FARM BUILDING CONDITION II~~ c.c...~J NORMAL BELOW ABOVE Acre Value Per Acre Value C Q. de Tillable 1 Tillable 2 rillable 3 Noodland ;wampland FRONTAGE ON WATER FRONTAGE ON ROAD ..r -f h @.- S' ~ o. h tJ V DEPTH ;.. () () -{ f BULKHEAD lrushland ~ause Plat ....,;- rotal DOCK . - . .. ~ ,~..-; '/., .. ,I ',< --', , " ""~'" '"-,T COLOR c.;,/" . ,."- " < < ,< , ,," . ',., .< < . eRr 0.1 - ...., ""'4 ,-, . .- << TRIM ~'-"" .... ..... -" r ) ~It - vJ U l-r/~ ,"1,.-1 "lr " Nil llfoi ,L . -~-. : " I 7 ~ 0.- j ., ,..~ >' 11 , M. Bldg. 2~ )( 1../.. 0 ~I/.} Foundation t3 Both I Dinette :L..,.":. S;;.g C. Extension Basement , Floors K. Sx ~J. . II .:l ~ .s-o ..t 7 S- F,) I '- ,PINE Extension Ext. Walls r"t SB Interior Finish ''''-''-L.. j?D LR. Extension , Fire Place ND Heat \1 E' s: DR. / Type Roof Rooms I st Floor BR. Porch r;-vlf ,/ifl./ ~..., .J..J1,f Recreation Room Rooms 2nd Floor FIN. B. -. Porch Dormer Breezeway Driveway , " Garage I e ,cr z> .,';'."p -l,.'o) Patio , O. B. Total I.< 7.j~- ~. ;. '1J .:L? 1.-- ~ c .2 'IS :3 r--. \ ) , 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 DEPARTMEN11 TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ . PERMIT NO. 3/lblb Examined Ohy"'--,20 )' 'S-1~20T Approved Disapproved ale Mail to: Building Inspector ~n_~--r J"+ ,'-~ l~) tl, ,j ~J l ---- ; :.I;U:r MAY 2~-;-l~ . :" L_. -- ---.. t- "J-P'i ~'H'" ~- ~()ur':'" Expiration l/ ~l ,20-" e)1! i APPLICATION FOR BUILDING PERMIT' Date 5-/7~OS- ,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 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 Pennit. 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. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Pennit 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. 'J,JO II ~ Mill,,, /I). c"h-4~v~ (Mailing address of applic t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ,4,:;-(,,1 ." Name of owner of premises (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. c"./.-,4~v.e Hamlet .. .. ... County Tax Map No. 1000 Section I () 3 Subdivision Block 7 Filed Map No. Lot ~ tJ Lot (Name) , 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy II ~<!lItJf!'" e(' . b. Intended use and occupancy I? e~/)fn &-< 3. Nature of work (check which applicable): New Building X Repair Removal Demolition Addition Other Work Alteration (Description) 4. Estimated Cost 75", ~ ()O . Fee 5. If dwelling, number of dwelling units If garage, number of cars L (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. "(t'~ ttii'l 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 3.2- Height f-/- 1. () Number of Stories 9. Size oflot: Front 7 () Rear 7 p Rear 3 2- ~ Depth 2 6" Depth 2. ~ 0 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated t<-4~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO 1 13. Will lot bere-graded? YES_ NOLWill excess fill be removed from premises? YES_ NOL 14. Names of Owner of premises "Se":r-':'fr Address C".J.4,.I<Ve Phone No. Name of Architect 8/v)' 1'14",,1._ 4~f- Address c"kt.,..//G- Phone No 711-';h; II Name of Contractor Address - Phone No. 15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO-K * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. lr. Is this property within 300 feet of a tidal wetland? * YES_NO---.L * 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 ) I?/J b r:,f hi" (r f being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)Heisthe 4-elf f (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 m. e this IIJ {7 0\ da~of I"'-l1. 20~ jft~~ t u~JJr "'-001,_ ~ 'Y..I(}.I( Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 1 t 971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD ORDER OF RESCISION TO: George T. & George W. Schneider PO Box 1028 Cutchogue NY 11935 DATE: November 2, 2006 RE: Building Permit #31161Z BUILDING PERMIT #31161Z ISSUED TO YOU FOR SCTM #1000-103-7-20 IS HEREBY RESCINDED. The reason for the rescission of this Building Permit is as follows: On May 20, 2005 you applied for a Building Permit. The application and supporting documents were reviewed and all the required elements of Town Code Section 144-8, A through L, as well as Town Code Section 280-13 C & Section 280-15 were satisfied. As you are aware, Town Code Section 280-13 C discusses the allowable accessory uses on a residential property. Your permit was issued for a non-habitable accessory garage with second- floor storage, an allowable accessory use in this zone. Building permit #31161 Z was issued on May 24, 2005. Throughout the inspection process, all requirements of the permit were met and upon preparing for Certificate of Occupancy, the Southold Town Building Department flagged the file following the receipt ofa Certificate of Compliance from the New York Board of Fire Underwriters noting the use of the building as "garage with apartment." Subsequently, an inspection dated May 4, 2006, led the building department to determine that the garage had been converted to an apartment. You were notified and asked to comply with the permit originally issued. Another inspection, dated September 1, 2006 found that the apartment was still in place. At this point you were advised that the construction should be amended to match the original permit issued. That included all unapproved electrical work, heating, plumbing, cabinets and countertops, etc. to be removed immediately. Following the most recent inspection, it was determined that many components of the apartment were still in place. You are hereby notified that Building Permit # 31161Z is rescinded. This permit will be reinstated once you have met all of the requirements set forth by the inspector at his last inspection. You have ten days from the receipt of this letter to meet all of the requirements set forth by the inspector upon his last visit. Should you have any questions, you should call George Gillen, Building Inspector, Town of South old. Authorized By: G~ild~ Southold Town Building Department P~"WlI f /;i 3/111 ________ 4" V.T.R. ________ ~ ROOF --........::: U1lIl' AV 11/2" V 2'V FU1lIl' W1Lrf 11/2' V p.,' FUTURE SHOweR FIN. 2ND FLR. c.o. 11/2" V FU1lIl' SLOI'SIfJ( FIN. 15T FLR. Lei. \ \ TO EXISTING 5EWAR SYSTEM CD. F.A.I c.o. CELLAR c.o. PLUMBING SCHEMATIC N.T.S. NOTE: Boulevard Planuing East P.C. 32645 Main Road Culchogue, N.Y, 11935 www.blvdplan.com All PLUMBING FIXTURE5 ARE NOT IN5TAllED, BUT ROUGH PLUMBING 15 IN5TAllED FOR U5E AT AT FUTURE DATE. w May.31. 2006 9: 30AM No. 0225 Pennit Number REScheck Compliance Certificate Checked ByIDate New York State Energy Conservation Construction Code REScheckSoftware Version 3.6 Release I Data filename: Z:IBP - WORKIBP - WORK 200510512 - Schneider fesidencel0512 - Energy Code.rck PROJECT TITLE: Schneider Residence COUNTY: Suffolk STATE: New Yort< HOD: 5750 CONSTRUCfION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric WINDOW f WALL RATIO: 0.00 DATE: 05f24f06 DATE OF PLANS: 5-25-06 PROJECT DESCRIPTION: SCTM# 1000 - 103 -7 -20 DESIGNER/CONTRACTOR: Boulevard Plamiing P .C. 32645 Main Road CUtchogue, N.Y. 11935 COMPLIANCE: Passes Maximum VA ~ 258 YOur Home UA ~ 237 8.1% Better Than Code (VA) Gross Area or , Perimeter P. 1 :/- Cavil)' Cont. R-V:illne R_Vahle Glazing or Door U-Factor .lJA Ceiling I: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Floor 1: Slab-on-Grade:Unheated Insulation depth: 3.0' Floor 2: AU-Wood JoistfTruss:Over Unconditioned Space: 800 0.0 800 13.0 116 800. 19.0 13.0 0.0 19.0 0.0 .. 54 66 79 38 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 Y ort< 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 professionaljudgruenl, such plans or specifications are in compliance with this Code. i I .' .' ,I.- May.31, 2006 9:30AM No, 0225 REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.6 Release I DATE: OS/24/06 PROJECT TITLE: Schneider Residence 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 Ceilings: I. Ceiling I: Flat Ceiling or Scissor Tmss, R-l3.0 continuous insulation CommenlS: Above-Grade Walls: I. Wall I: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: Floors: I. Floor I: Slab-0n-Grade:Unheated, 3.0' insulation depth, R-19.0 continuous insulation Comments: Slab insulation to e"tend down from the top of the slab to at least 3.0 ft. OR down to at least the bottom oflhe slab then horizontally for a total distance of 3.0 ft. Exterior insulation must have a rigid, opaque, weather-resistant protective covering that c,overs the exposed (above-grade) insulation and el<lends atleasl6 in. below grade. 2. Floor 2; All-Wood JoistITruss:Over Unconditioned Space, R-19.0 cavity insulation CommenlS; 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 OS' clearance from combusnble materials. If non-Ie rated, the fIXture must be installed with a 3 II clearance from insulation.. Vapor Retarder: ReqUired on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: Materials aod equipment must be installed in accordance with the manufacturer's installatioD inStroctiODS. Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all insta1led heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct InsulatioD: Supply ducts in unconditioned anics or outside the building must be insulated to R-8. Return ducts in unconditioned anics or outside the building must be insulated to R-4. p, 3 May. 31. 2006 9:31AM No. 0225 Table 1., Minimum Il1$ulo/ion Thickness/or Circulating Hot Water Pipes. Immlation Thickness in [nches bv Pine Sizes Non-Circnlatinrt Runouts Circulatin(!. Mains and Runolltc; Uo to 1 ,I TJil to 1.25" 1.5" to 2.0" Ovel" ?" 0.5 1.0 1.5 2.0 0.5 0.5 1.0 1.5 0.5 0.5 0.5 1.0 Heated Water I~ll1Perature ( F) 170-180 140-160 100-130 Table 2: Minimum Insulation Thickness/or HVAC Pipes. Fluid Temp. Insulation Thickness in Inches bv Pine Sizes Pininp' Sv!;tern Tvr'es R~tu7e (F) 2" Rllnouts }" and Less 1.25'1 to 211 ? 5" to 411 Heating Systems Low PressureITemperature Low Temperature Steam Condensate (for feed warer) Cooling Systems Chilled Water, Refiigerant, 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) P. 5 May,31, 2006 9:31AM [ [ [ [ ] [ ] [ ] ( ] [ [ ] [ ] [ ] No, 0225 I Supply ducts in unconditioned spaces mUsl be insulated to R-8. I Return ducts in unconditioned spaces (except basements) must be insulated to R- I Retwn dUClS in unconditioned spaces (except basements) milll! be insulated to R-2.. I Insulation is not required on return dUCIS in basements. 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 Duct Construction: All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), rnastic-plus-embedded-fabric, or tapes. Tapes and mastics mllSt be rated UL ISlA or UL 18lB. Exception: 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 for balancing air and water systems. TeDlperature Controls: Each dwelling unit has at Iesat one thermostat capable of automatically adjusting the space temperature set point of the largest Zone. Electric SysteDls: Separate electric meters are required for each dwelling unit Fireplac..: Fireplaces must be instaUed wilh tight fitting non-combllStible fll'eplace doors. Fireplaces must be provided with a sourCe of combustion air, as required by the Fireplace constrUction provisions of the Ijuilding Code of New York State, the ResidenriaJ Code of New. York State or the New York Ciry Building Code, as applicable. Service WaterHeating: Water hearers with vertical pipe risers must have a beat trap on both the inlet and outlet unless the water beater bas 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 tbe levels in Table 1. SwimDling Pools: All beated swimming pools must have an owoffheater switch and require a cOVer unless over 20% of the heating energy is from non-depletable sources. Pool pwnps require a time clock. Heating add Cooling Piping Insulation: HVAC piping conveying fluids above 105 'i' or chilled fluids below 55 'i' must be insulated to the levels in Table 2. p, 4 ~ I SURVEY OF PROPERTY . 51TUA TE: CUTCH06UE 'TOHN: SOUTHOLD I SUFFOLK COUNTY, NY , SURVEYED 03-31-2005 UPDATE 05-11-2006, 01-05-2006 ,01-01-2006,08-13-2006 SUFFOLK COUNTY TAX # 1000 - 103 - 1 - 20 SUFFOLK COUNTY DEPT. OF HEALTH SERVICES RI0-06-0052 , CERTlFIElD TO: George T. !l.-.J-.;_ George W. !l.-.J-.;tjer Commnnweal1h Laud 1itIe Insurance Company SUFFOLK COUNiY DEPARTMENT OF HEALTH SERVICES APPROVAL OF CONSTRUCTED WORKS FOR A ~AfiGLE FAMILY RESIDENCE Date AUG 24 2UU15 H.S. Ref. No. RIO, -o4-oo<;.:L N W * E S The se\'3gs c!spn~.i ;::.n1 water supply rc:d~t1es;.;t t:"lls Ic.caCon have been irspected 3;'d/or cerJficci by this Oep:":iJ11i.:mt or (lUl~;( cQ~~n:ia3 an1 found to be satisfactOry FOR A MAXIMUM~DROOMS. ~ '-..c-~ W" J l;"'b rt " ,,-,..,.~ ailer . Ji 0 . r-.t.:., l.."ntel Office of Wastewater Management <Q '?c;y ~o il"" 6( 0/"\ ~" :-;'.0 ./"0 ~ q.... ~ -?, On 0 n" y O~ i:' o " 0 o O( (,-'0 <J o 0 (0' 0 <:0,-0' d ~ '1"" 0'"" i:' ~ 00 iJ ( 00(P ""0' ...\ :0 ,,~ (f' n..~ ') ') ~ fr I' ~ ~ . , , , I J ~ {, / ~A---.\P'i7~ />~ '~9,) V~ 'I '-'0 ,,/. ;so ~-? Pb- -?~~" /-P ~ 11&'/ O~ q,... '1.~...<1J">;?-~(2 ~~~'1. . {{ ~ V. ~" ~~ "'.., /~~ &~9s ::6<"/c"'/I-:\ '0"' o,~~ Q"", ;,'),ro ~ NOTES, . MONUMENT FOUND / ~..p .p /:,';1 ~..",~ ,,~o <1'. if ,"'., ':"':",' I,'" ~ 'J "..1." "';", "',','.;,,,:;,, "," I".., AREA = 13,'1'16 S.F. or 0.32 ACRE NEI6HElORIN6 HELLS AND SEPTIC BY OHNER OBSERVATION GRAPHIC SCALE 1"= 30' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N,Y,S. LIe. NO, 50202 RIVERHEAD, N.Y. 1l90I 369-8288 Fax 369-8287 REF.\\Compaqserver\pros\05\05-153.pro ""000.,,,, SURVEY OF PROPERTY 51"nJA Tel GUTc::.HOcSUC TOWN. 5OUTH01.D SUFFOLK COUN1Y, NY SURVEYED 03-31-2005 SUFFOLK C.OUNTY TAX # 1000 - 103 - 1 - 20 CERTIFlIIlD TO: OeoqeT. SchneIder George W. SchneIder Commonwealth Land Title InsmaDce Company N W*-.E S <:;>. '/c;y ~ i;"v 6~ 0,...., ~ k ~o'" 'l~ ?;~ '" "',-i ~ O~ " 1/;* ~. (0 o 0 ('~ <) o (j ,~ ~ !(,~~ O( '" O,t~ ~ I/; 0- (0 cF' <) 0 V(j' 'f:'0 . ')0 l~ . ,?\;l O~ ~6 <? / / / ~" ""c>Jl","~';,~" ,,,,...,<>",,,, or """"'on '0 <> ""'""S~ "_"".,...""lo"<sn...d"""'......,sljO'"~"""';.a "'''''''''''''''''Oll"" 120<1......,..""".'""2.,,,.... Ne""''''''~'''',E_''''''''L_- .""'l<<>PI_'r""'lhe.,..'9""""'....~ """"...."~"""",,..'9....,'o,....,""".........p.. ""''''M'MI_''"."_",....,,..,~'''o....''rr..'''''' """..... NOTES, . MONUMENT FOUND Co,,,,,,,,,''',, ......co,.... ""CO"" ''3'"f~ lrot "'" ........."'j ""'" p'"pa''''' '" ""~.,..",,",,s ~'Oh.... S~_ 1.,"'9C"....o'Prac.~;c...'.,..L"""~...."""""'s" t>; 'he"'~ Ye<k ~l.. Ano,""'''''' ", __.""",. Lond!l<.-v~,5ald","",W~_II....."""J lo"'sP<"_'.,.........._~..~... """<>n",.be,,,,,,,,,,,,..t~I.'~~_ t<>l<><:ls""':l"""...n...-.g....""'L_,..~...__""" 101hlo'''''1gnoO...,,f_ ~"'\IM""'_ ~F"'<>" ''''''''''''.'''''lr",,"'__..lcod<:ll'i<>n<>''''''M''''''' 0RAPHIC SCALE ~ - - 1"= 30' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y,S, LIC, NO. 50202 RIVERHEAD, N.Y. 11901 369 8288 Fax 369 8287 REF.\\Hp server\dIPROS\05 153.pro ~ AREA = 13,QQ6 S.F. or 0.32 AC.RE