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Home My WebLink About31606-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 10/22/07 No: Z-32685 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 1275 (HOUSE NO.) County Tax Map No. 473889 Section 123 BUNGALOW LA (STREET) Block 3 MATTI TUCK (HAMLET) Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 14, 2005 pursuant to which Building Permit No. 31606-Z dated NOVEMBER 16, 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 LOUIS 0 GIGLIOLI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPAR'l'MKNT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 108492C 03/30/07 PLUMBERS CERTIFICATION DATED 11/16/05 WILLIAM SCHWAB Signature Rev. 1/81 I 05-02-2007 09:09 r; '\ SOUTHOLO BUI~gING.DEPT 16317659502 Fo,'m iIlo, 6 TOWN OIf SOUTHOI ,I) 1 .BlJILlJINGDEl'A!t'I'MENT '/'OWNHALL 7(i5.1802 PAGEl K30- 57gq 1<~ I APPLICATION FOR ClmTIFICATE OF OCCUPANCY Thi~ application 1l111~1 be filled in by I.ypew.it.:r or ink allel ,mbmitttd to U,,: Building IkpartltlCnt with the li:>lIowillg: A, For llew huildinn 01' new Use: J. "'inal survey ofpl'opcrty with acr.UI'ill.<: locmioll of all buildings, P''Op",ty lillI'S, "tr""ts. and llllUSlIn[ natllrallJr topographic features. 2, Pinal Approval from J Jeallh Depl. of waler supply '1IId sewerage'Ili"po~al (S-'J rMm). 1. Approva] of electrical ill~llll1atic)1l from Boal'd of Fire fTndmwrit<:rs, 4. Sworn statemcnt Irom plumber cc:11irying that thc solder used in ~ysteln wntldm le"~ than 2/10 or 1 % kud, 5, Commerciul building, illllu~l.rial huilding, multiple. r~idence~ alld similnr buildings and i,,"tnllalions, " cet1itieatc orCade Camplianr.e ti'nrn Hrchiteet or engir">er t'eRp(lOSible ["I' the huilding. 6. Subtllill'[nntlilll~ Hoard ^pproval or c.omplt:te,d Ritc plan requirements. I:l. For exisllng buildings ("l"/(l1" to AI"'i19. J 9!i7) non-conforming .lSe., or buildings and "l're-existing" land URes: 1. Accurak survey ofprope.rty showing all propel1y 1i1'H.;SI streets, building nnu 1JllwlWll natural or 1.C1pogntphir. features_ 2. ApJ'operly comp!t:I(',d application alld (';OJl~L~nl to lU:):pcc;t signed by the applicant, IfiJ C.:eltifientt OrOCl:llplll1'~.y is denic.rl, the Huilding In."ru'':do. ~;hllll $talt:-Ihe. Je.a~l(Jns thereJ<lr in wriling tn tlln appllccHIL C, Fec~ l. Certificate "rOCCUp""cy - New dweJli"e. $7.5.00, Ariditi""" '0 dwellil1~ $15.00, Alt..rati"n.< (I' dwelling ,P5.00, Swinuning po,,1 $1.5,00, Accessory buildinl: $25.00, Additi"n" to acee,<<OIY building $;>.5.00, Bu.incsse~ $.~().()O, 2. Certificate ofOcclIpancy 011 Pre-existing Building _ $100.00 3. Copy ofCerlifjcele "f()ec1lp"lIc.y,.$ 7.5 4. lJpdatc.d Celti(jea,e <:>f CkeLlp""cV. $-'0.00 S. Temporary C;"'1ific"tL' ()~Occupanoy. Rcsidellli"' $15.00. Com'"Gr"i.l $1.\00 New ConstIU<.:.lioll: r./ Dale. (V\'4..2"~ '1.=/ __ Old or f'1~-cX'lstiJ11t. UUilrljng; (check one) Lor.ation nCPropeJ'ly _. J~5'""_. Ilouse No. .-B(,"'.q~ ~.._ ~recl rnft:llI~F:._. Il3mle! Owner- or Owners of Properly; _L~/.s----2... ~uffolk Cmmly T"x Map No I 000, Section. . . ~{.~- __1 J-:L Block _0 o...Q3 _Lot_O"L 7 S\lbdivisioll Ftle.d Mill'. --'- -.- Lot: Pemut No _ 3 l~(,.~ I-{,",Hh DGpt. Approval: _. [)a'''ofPelTllit. 'Lj.n,,/OS- Applic.alll: ..B.~....~ ~O~6.,,,,"i" ~l1:&~ .. I I nderwriI.ers Approval: _. --- -. ._~.. Planning DUilrd Approv()L Fee Submitted: $ ,.-~ Z)._. 1'U1,,1 (>'11:ifiC"te; V- (clleek ollt) R<:'1lJeRt (or: "l"elnporary (:er1.ificnle c,nnt :-:;ignatur<: 'RQ,C.l'i:ln'1 'l~ 3JfofrS I 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. 31606 Z Date NOVEMBER 16, 2005 permission is hereby granted to: LOUIS 0 GIGLIOLI 63 SECOND STREET BROOKLYN,NY 11231 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER TRUSTEE APPROVAL at premises located at 1275 BUNGALOW LA MATTITUCK County Tax Map No. 473889 Section 123 Block 0003 Lot No. 017 pursuant to application dated NOVEMBER 14, 2005 and approved by the Building Inspector to expire on MAY 16, 2007. Fee $ 697.80 ORIGINAL Rev. 5/8/02 t :MEYER ELECTRICAL FAX NO. :6312884842 May. 072007 08:11PM Pi Electrical Inspection Certificate '_o.te 3130107 Elec:lric:allnapectlon Service, Inc. J7l1DuntonA""nUG Eat PatcIlogue, New York t1772 (13',,, M.2 Issued To: Street: Village: Section: Mr. louis Giglloli 1275 Bungalow Lane Mattituck 123 Block: 03 Application '08492C Zip: 11952 lOt: 17 Town; SouthoIct - 1- ",- - ~ - ~ ~ -- = ~ ~ I: ~ ~ COhb...tw: 118).' EIectrIc:.I Corp. (l) Uc. " 4297-E WlIs -..Jned IIftd l'ooJnd 10 bot in ...... . - _ _Ibe NIIllonal Decb.... ec.. o CCllIUII.n'CIal 0 NY Dill ~... 0 Pool IiiJ 181 Floor 00 Indoor 00 .......... 0 Hot Tub Iii] R88idenIiaJ 00 net. Garage IiJ AIIic lXl 2nd Floor Iii] Outdo ~ 0 ... ~1I.Jn 0 8urwr BwItW._ Rec"'4:lJ_ ~ 64 47 84 DlahWMher w.m.tAmps OtyedAmpa 1 20 1 Gas Furnace 011 GIIS Cln:uhlttws lIe11er Amp. ,.".. UGIOH JKuzzi 1 200 1 r~J I Bldg. Permit: Other Equipment -200 amp MIB Panell2-15 amp Air Handler -6' Plug Mold/2-30 amp Ale Disc. -Garage Door Opener R8Cept. -100 amp Subpanel -60 amp Subpanel GR He.1w5 13 Own RilngWAmps 1 Gas s",..". DotlIeflw AIt: Fena 2 3 .0..1__4..... Bell TIM8form.,. 1 CO~fN TfIIevIaton !.~/~ President iioughIi~;,' O!iIt7l2ijjjjf ..........-....-.-- Ii..,...;ll,,; DennIs Brandl ~iiil1...._tion: 03128/2007 II~. JolIn Me M8hon III This cer1illalf8 must not be altel8d in any manner. InsllllClOlS may be identifiea by tIl&Ir _1iaIs. 0s.May. 2, 2007..11: 10AMHOLD 8UILDING DEPT 1631'7659502 Town H:.II. S:\OYS MMn Rr,llld P.O.. Box 1179 SouthoJd, New York 11()71.0\l.'59 ,-,- I '-'--', " Ii: l ,., IfUILOlNG DEPARTMENT i TOWN OF SOUTHOLD 7 ,. CERTIFICATION No, 64 1 0 I P, 2~ Fax ((;31) 765.9502 Tol.ph<'n. (~J'I) 7~5.1S(J2 Pille" ~lo..f....Jo<M: \[,., 2.oo.-(fk.,\,rtlF>r<- ') Bllilding P(:rmit No. _~ i ("O.(.,'Z.... Ownel: Lout';, 0 Gi!'{~;ol i... (PIc$c print) Plumher: \..u tJ~\'\l?t'^ ~ (Pleasc print) lead. I certify Ih,lt the solder \lsed inlhe wate,r supply ~ystem contains less thall2/l0 of 1 % $wm11 lO hefOl'lll11e lhis II ~ c1ay,)f (Y\ C CL J-' 200 I Ow oD~ ,,- rC Notary Public, __,,-0,:,,:.\ -tv, If County D,80Q\H 1\ D0~rEC~N NOTAR',' f'L"....iC. Shlc 01 New York ~':", 40 r~i"d:9 . Q,.I~!if.;~-in S!){~ik Count)',) CommrSSiC,l Exp,res M,,,h 10, .:;J( 0 I I w James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0207C Date: June 6. 2007 THIS CERTIFIES that the construction of first & second floor additions to the existing dwelling. new decks. new detached garage all with gutters and drvwells. At 1275 Bungalow Lane. Mattituck. New York Suffolk County Tax Map # 123-3-17 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 06/08/05 pursuant to which Trustees Permit # 6167 Dated 07/20/05. Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of first & second floor additions to the existing dwelling. new decks. new detached garage all with gutters and drvwells. The certificate is issued to Louis Giglioli owner of the aforesaid property. r5<~ Authorized Signature Board Of SoutholdTown Trustees SOUTHOLD, NEW YORK PERMIT NO. ... 6l.~?... DATE: ..J.~~l'~o..!....z.g.os ISSUED TO .m....~.?Y~~m9..r."~.~.r..?,~r...................m........... .... .....................m......... m.......... 1\utqnriiHtUnU Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the . State of New York 1952; and the Southold Town Ordinance en- titled ."REGULA TING AND THE PLACING OF OBSTRUCTlONS IN AND ON TOWN WATERS AND PUBLIC LANDS and'the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS.FBOM LANDS UNDER TOWN WATERS;!.'. and in accordance with the Resolution of The Board adopted at a meeting held on m~.':':~X...:2.~_!m. 20?S..m.~., and in consideration of the sum of$2..?(),.gP... .... paid by .. ..m.....m~'?~~~....?:i.!;.~.:i.'?.~~.....m......... .............................mm..........................,..................... of ..........m..'.?.~.~.~~.':''O!<......m....m.................. N. Y. and. subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit ,to construct first ,and second-floor addit~on to t exist. dwelling, construct new decKs ,,'remove , exist. attached garag and construct new detached garage with the condition gutters & 'dr~ell~ are jnstalled to contain the roof run-off, and3all as depict.li4 on the, site Polan prl'llaJ;ed 'by i;)larJ,es M. Tnomas ~ch. aU In accorClance with the C1e'talled speciticatlons as presente In .the originating application. last dated October 11, 2005. IN WITNESS WHEREOE:, The said BOard of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subsc:n"bed by 4' majority of the said Board as of this dat.e. 4Jii~:~7 , (~ie FO!)~ - . ~ Trudell .. ". _.t :3f&()0 t:- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [~NAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT ~UCTION [ ] FIRE RESISTANT PENETRAnON - '" REMARK~: YllLL ~:7--::'1 k. fJ-RM/ti7LC.fS 0-47j4_ -,~----6b # DATE .5/ (f'f() 7 I ( INSPECTOR 3 I /;/)~ z;, 765.1802 BUILDING DEPT. INSPECTION [~UNDATION 1ST ] ROUGH PLBG. [ ] FOUNDATION 2ND ] INSULATION [ ] FRAMING ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION d.A~~~ :::~::~~:::.~ ~ .l/~.........:f2 a. ~ -, 44-. ~ _~&. p~ ~ - - r- ~....- ...,,-. ~r ~ ./ ~ -- --, ~- ~ , A P- .p:=:.... ..." ~~~ ('"1.~~~_.~~- ~z--~ DATE/:J.-~r ~~ , , , INSPECTOR J??. ,-"- ~~ J}'ob7- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. !><t FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION 01\ !J--J/;, ~ o. S Ok~~'f~~/ DATE/:2--?-o~OS INSPECTOR ~~ . TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 3 ),O~ Z- INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [X FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ~ ~ #<-\cl, {I ~~ l4-0k, Cif~ ~ ~~~~~ DATE 1;-~~7- 05 INSPECTOR ~~ REMARKS: 3) bo k Z TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPE [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ~ DATE 5 - ~:J.-- o~ INSPECTOR ~~ J>/fo6b Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ M FRAMING I STRAPPING [ . , [ ] FIREPLACE & CHIMNEY [ REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION J ~ I- /~/~ :J-~?-r- o~ DATE INSPECTOR *' ~ . 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 REMARK~~* ~ P- 9,-1)-( - 0 {, DATE INSPECTOR ~P- 3J~o6c - TOWN OF SOUTHOLD BUILDING DEPT. => 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] R.9JIGlI PLBG. [ ] FOUNDATION 2ND [v(lNSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ..,..L . ~ F GL:..r. '_ ~ ---- DATE ~/7/ f) ~ INSPECTOR ... 31~()'z-- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION ~ [ ] ROUGH PLBG. [ ] INSULATION ,P(FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnoN ~ 02/Ct: _ c.eJ'1..: , ~~ k /l>} , , (~~p r --- ---- ~P6-- DATE S---//-o 7 INSPECTOR . ,'. (2 ~.-.\ 1 !.,;j JUN 7 L:! __-.J May 29. 2007 Building Department Town of Southold 53905 Main Road Southold, N.Y. 11971 R.A. CHARLES M. THOMAS, PO Box B77 .JAMESPORT, NY 1 1947 OFFICE (631) 727-7993 FAX (631) 727-8033 Re: Giglioli Residence Bungalow Lane Mattituck, New York 11952 Permit # 31606 Dear Building Department, This letter shall serve to certify that I have inspected the framing, and strapping at the above referenced residence in June 2006, and have found it to be in conformance with the construction drawings. Please call the office with any questions or concerns at (631lF;7993. Thank you. i /;..:... /?of!I./ ~~. - ~~ - .n ..L'~ , , - ,.JT ./ ., .- . ~ _ _ ..! f;- ~ ~ ~ ~-~~ --- h-..4.. ./ ~ 6- ~ - _. ~ ~~. ~~:..- ~'....L.'~..rc-J " ~ ~ ~ - (-~ I '~)--7~ ..~ /) J) ~,] ~ 0 -k: kL ,/" (~"."L,'J:'::';:f;i v ~~ ;)..~)-'t71 ~ J'1x -' " - . ~ 0 Ie k I fj{ rfl ;// /5/-. r> A h __ -f/ (l-1 '~/? - 5 ~:J?)- kJ 10 4'J .J .n~/. /J' V A dff .n'-:;-~' ... ^ " .'L ~"QY~k, Y--.? 'l/# ~ .. . - . FIELD INSPE<;:TION REPORT COMMENTS DATE 10. ". FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE i t2&l LJ() ~ ..::r-r.~ +.-~.., . CH - . .r-::" /' / ........::r 1 L . r,., -.r;-/ . _ ~- 7 . / ~ 7/ 'X I,A/C/ L._ d. ...: ~AJA L.- -/X,., /..)"'1/'''1': ~j.. ... /"'/ / p.- x " I L...- (/7.# 'J z p ~'" V'i~ l'l .., ~ ,- r ? G\ .1, [; tJ ~ s;s 'f....a-I.-c~ v" D j .or JtJL- - ....a-. n.D . hI! J L. -:::'-' VV ?l W - ov4-c..A. 51/r4 '?' F:' .IJ. ~ 11, .J .. . .. .~~( h (r/l1,,!(!ft,~ -4 . .F.. .I f?fr~. LA" //" ' ,., .7 A:. '//y f ~, FINAL 57;P/i 7 (h:.J.~ CtJ v"'&..J;oI"._.L.":' _~;. 6 -;. ~.tt.. f , I Ctf'.6/.a /- i--./ /"1..7-, ,'-' /'11~- R: -//1 "", / -27 .J .. ADDITIONAL COMMENTS ~~/f'./A/' OJ!?, ~ -. /./.-?-./ ~ ,1"7 / /. Sf)./ 'U' \?J'~Lf '/)/7/'/ rJ~. ./J ~/ ' rr .., '- '1';' '7 ~ J ,0 Au.1111";J...,., ~ !,l./;<{}/5" G/II!Irf? (lrttc~OrZ<f ),PC/(/I1/r /};~I'f/I) __' ~.,:'Tu.._,_ 1;2/;-;/j ~.,II~<; o~ 7YP;f:q,/~fJlt?- ~ YJ, d/, r~I-"7 1.!Le'J.., r/14 J~~.., ~ ~'A:t. o;r..,.///1. /' (].,/'A A.I1 fA f) '\ S LA....ncteY S{-/? I ~ 79" (f ". (j) er- r o 0 r:e -.Z ~.. m ;0 r r ..- V' 0\~ .... ~~ .., ('1 - - 0 --lz =: l'l -~ ~~ .... ~ New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40. SUNY, Stony Brook, New York 11790-2356 Phone: (631)444.0365 . FAX: (631)444-0360 Web.ite: www.dllC.slate.ny.us ~ -... ~ Dent,. M. Sneet'lan Commi3Sioner LETTER OF NON.JURlSDlCTION November 15,2005 Mr. Loui8 Giglioni 63 Second St. Brooklyn, NY 11231 Re: Oiglioni Property 1275 Bungalow Lane SCTM# 1000.123-03.17 DEC# 1-4738-03497/00001 Dear Mr. Giglion!: Based on the infonnation you have submilted. the New York Stale Department of Environmental Conservation has detefUnned that: The property landward oftbe 10' elevaliou contour as sho",,, on the survey of this property prepated by JoseDh A. IngelmO last revised on December 13 2004, is beyond the jurisdiction of Article 2S (Tidal Wetlands). Therefore. in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR 1>311 661), no permit is required under the jidal Wetlands Act. Please be advised, however, rhat no consh'uctlon, stdimentatl<lll, <lr disturbance of any kind may take place .ea..ard oftbe tidal wetlands Jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any scdlrnenflllion Or other alieration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your projolCt. SUch precautions may inclnde maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a IS' to 20' wide construction a.rca) or erecting a temporary fence, barrier, or hay bale berm. 1>lcase be further advised lhat this letter does not relieve you of the responsibility of obtaining any neoessary permils or approvals from other agencies. cc: Charles M thomas File Tn-~ m,t?T cnn.7 C:T I\O~I nQC'nt7ttpTr;'Q' ;(P-l ('J TI"r:':lor=l..j tdrr)JTI'.to.t~ "i-::n0 JH \ ----\ ~-::;- . ' \' c" V .' CONSTRUCTION M M e>- ...... ...... >- Z ~ o ...J ...J o I " Z I- <C co LU ~ (./) o 0.:: ~ o LU ...... o ...... . - <+- - LO LO LO e>- e>- '" M ...... M '" . Ci: - o ...... M "- e>- '" M ...... M '" SEll '2. -i . . \ L-- ~, ,>~--' : __.J SEPTEMBER 21, 2006 TOWN OF SOUTHOLD BUILDING DEPARMENT TOWN HALL SOUTHOLD, N.Y. 11971 ATTENTION MR. GEORGE GILLEN: THIS NOTE IS IN RESPONSE TO YOUR TELEPHONE CONVERSATION WITH BOB FASCE OF OWEN CONSTRUCTION CORP., PERTAINING TO THE RUN OFF PROBLEM AT OUR WORK SITE OF 1275 BUNGALOW LANE, SOUTHOLD, N.Y. OWEN CONSTRUCTION WILL BE INSTALLING A SILT FENCE BARRIER IMMEDIA TEL Y TO RESOLVE THIS PROBLEM.. THIS SHOULD ELIMINATE THE RUN OFF PROBLEM AT 1375 BUNGALOW LANE. IF YOU HAVE ANY FURTHER CONCERNS PLEASE FEEL FREE TO CONTACT US AT OWEN CONSTRUCTION CORP. TOWN OF SOUTHOL~ r. I" BUILDING DEPART ' , TOWN HALL SOUTHOLD, NY 11971 i TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/South f;1 r ,', 1 \n \1 Q\ ~:-.\'.",,1 I Expiratio (' j ,/' / 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:il d G:3 r Septic Form N.Y.S.D.E.C. , Trustees ,/ Contact: Mail to:C1Ylr IeP l\nMJ..? 7Dtnc 8n ~ \\041 Phone:lDoI ./3>1' ,9Cj?, ~ tv ---//-~~./- .- ~ ).--~<: ~ . 'jl D ~) { bO(, .~ NO. Examined Approved Disapproved ale '{ ,20-----::;;;>", , 20---1- -".~,- Building Inspecto In - APPLICATION FOR BUILDING PERMIT (- Date0~N\)Qy \0" ,20~ rr-~ p I' \1, ,) " ,. : I ' I I') f. '. . INSTRUCTIONS I 5", , t' 'This application MUST be coinpletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets ofp ans,lioourate plot plan to scale. iFee according to schedule. . Plotploo showing loeation oflot and of buildings on premises, relationship to adjoining premises or public streets or areas, an Waferways. 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 th~ 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 r a or olition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building e, housing code, d regulations, and to admit authorized inspectors on premises and in building for necessary inspec' ns. ~ 81\ ~ "- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder -H-W~ ~ ~C')..~\~C ~ . Name of owner of premises l J)\,:A~ b\G.<\\'D\\ '--='(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 of land on which proposed work will be done: "me:'-:> <"-~'h~ \'0' .-, \. B'0e_ House Number Street ~o....~~c:N Hamlet County Tax Map No. 1000 Section \ d'? Subdivision Block 06 Filed Map No. J.,ot: \"1 LOt (Name) 2. State existing use and occupancy of remises and intended use and occupancy of proposed construction: a. Existing use and occupancy . C\ \ \ . l b. Intended use and occupanc'y~f'7'-,\c\ I:-n""'n. \ h, "A'W \\ C\ () Addition Other Work 3. Nature of work (check which applicable): New Building Repair Removal Demolition ./ / Alteration (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units .Lj If garage, number of cars _61 (To be paid on filing this application) Number of dwelling units on each floor (:'"('. \ . 'S. C :':> 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front~4'o" '7 Rear_O" \ b Height Number of Stories_ bN~ Dimensions of same structure with alterations or additions: Front '::)\ ' >-\ Rear '5\' ...j Depth l-\ G ''7 Height ~\ Number of Stories ---\1;..--r, Depth 03' \ 8. Dimensions of entire new construction: Front cJl 0 \ Height Number of Stories Rear cOlD' Depth ;Jc:..,' ~ \- 9. Size oflot: Front \ DC> Rear \ oS Depth -On 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situate~0\c'L~Y\ 'no... \ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ./ 13. Will lot be re-graded? YES~ NO I Will excess fill be removed from premises? YES_NOL l~!~es (\f'Owner ofPremises~~ lame of Architect~\Q&. ~ 'ame of Contractor Address 19'Q ,.;>.n '6\k'U.~ Phone No. Addressfu~ 'Rn~. Phone No!ce\ :ialiC1Q::, Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES L 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 ~#Vl') . -\ o.rY~""'n,~~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing c tract) above named, (S)He is the r~~~ ~) G...'\C ~\ \.> (~ . , (Contractor, Agent, Corporate Officer, etc,) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me tmy {) / "'2/0 dayof :)~.,.- 20~ cr-:J:~ ..~~lA . No, 4922202 New y"" Commi 0uaIifieij .n Suffolk County - flIpjres febl1l4\}' 28. 2006 Pennit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release Ie Data filename: C:\Program Files\CheckIREScheck\GlGLlOLl.rck TITLE: GIGLlOLl RESIDENCE COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric DATE: 09119/05 DATE OF PLANS: JANUARY 2005 PROJECT INFORMATION: PROPOSED ADDITION COMPANY INFORMATION: CHARLES M. THOMAS ARCHITECT COMPLIANCE: Passes Maximum UA ~ 554 Your Home UA ~ 526 5.1 % Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling I: Flat Ceiling or Scissor Truss 1281 30.0 0.0 45 Wall I: Wood Frame, 16" O.c. 1818 15.0 0.0 107 Window I: Wood Frame:Double Pane 270 0.280 76 Door I: Glass 162 0.340 55 Wall 2: Wood Frame, 16" O.c. 1272 15.0 0.0 76 Window 2: Wood Frame:Double Pane 229 0.280 64 Door 2: Glass 54 0340 18 Floor I: All-Wood Joist/Truss:Over Unconditioned Space 1808 19.0 0.0 85 Boiler I: Other (Except Gas-Fired Steam), 84 AFUE BuilderlDesigner epresented in this document is consistent with the building plans, it application. The proposed systems have been designed to meet the uirements. When a Registered Design Professional has stamped and , owledge, belief, and professional judgment, such plans or COMPLIANCE STATEMENT: specifications, and other calcul New York State Energy Cons signed this page, they are att specifications are in complia Date Q. \0 'D~ REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release Ic DATE: 09/19/05 TITLE: GIGLlOLl RESIDENCE Bldg. Dep!. Use Ceilings: [] I. Ceiling I: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: Above-Grade Walls: I. Wall I: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: 2. Wall 2: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: Windows: [] I. Window I: Wood Frame:Double Pane, U-factor: 0.280 For windows without labeled U-factors, describe features: # Panes ~ Frame Type Thermal Break? [ ] Yes [ ] No Comments: [] 2. Window 2: Wood Frame:Double Pane, U-factor: 0.280 For windows without labeled U-factors, describe features: # Panes~ Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: I. Door I: Glass, U-factor: 0.340 Comments: 2. Door 2: Glass, U-factor: 0.340 Comments: Floors: [] I. Floor I: All-Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [] I. Boiler I: Other (Except Gas-Fired Steam), 84 AFUE or higher Make and Model Number Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be I) Type IC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: [] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: [] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing V-factors, and heating equipment efficiency 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-2. Insulation is not required on return ducts in baszments. Duct Construction: [] All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pal. Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. Cooling ducts with exterior insulation must be covered with a vapor retarder. Air filters are required in the return air system. The HV AC system must provide a means for balancing air and water systems. Temperature Controls: [] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [J Separate electric meters are required for 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 of the Building Code olNew 'fork State, the Residential Code olN<!W York State or the New York City Building Code, as applicable. Service Water Heating: Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. Insulate circulating hot water pipes to the levels in Table I. Circulating Hot Water Systems: [J Insulate circulating hot water pipes to the levels in Table I. Swimming Pools: [] All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [] HV AC piping conveying fluids above 105 "F or chilled fluids below 55 "F must be insulated to the levels in Table 2. . ' Tah/e I: Minimum Insulation TIlicknessfor CIrculating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Up to I" Up to 1.25" I .5" to 2.0" Over 2" 0.5 1.0 1.5 2.0 0.5 0.5 1.0 1.5 0.5 0.5 0.5 1.0 Heated Water Temperature ( F) 170-180 140-160 100-130 Table 2: Minimum Insulation TIlicknessfor HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range ( F) 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant, and Brine 201-250 1.0 1.5 1.5 2.0 120-200 0.5 1.0 1.0 1.5 Any 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only)