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HomeMy WebLinkAbout32315-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32772 Date: 12/03/07 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 1195 GOOSE (HOUSE NO.) county Tax Map No. 473889 Section 78 CREEK LA (STREET) Block 8 SOUTHOLD (HAMLET) Lot 8 SUbdivision Filed MaP No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 21, 2006 pursuant to which Building Permit Il1o. 32315-Z dated AUGUST 24, 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5630 DATED 12/29/04. The certificate is issued to MORTIMER M & KATHLEEN KELLY (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPAR'l.'MKNT OF HEALTH APPROVAL 06/05/07 ELECTRICAL CERTIFICATE NO. 3022589 09/06/07 CUTCHOGUE EAST PLUMBING PLUMBERS CERTIFICATIOI!l' DATED horized Signature Rev. 1/81 eel <69) / -~ " TOWN ~;I~~U~HOLD. -/-(B-f{jjS~"~J'\ BUILDING DEPART \ T\s ~,,_-- \, TOWN HALL \\\.\.r \ '?J J 765-1802 \' \ \ .~ APPLICATION FOR CERTIFICATE O~ ObANCY'<' , . \ Cl.~, This application must be filled in by typewriter or i~ and submitted to the Building Department with the following: ~..-----"I., , '/3 IS' A. For new building or new Use: I. Final survey of propeliy with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead. 5. Commercial building. industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9,1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied; the Building Impector shall state the reasons tIlerefor in wIiting to the applicant. C. Fees New Construction: I. 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 Celiificate of Occupancy - $50.00 5. Temporal)' COliificate of Occupancy - Residential $15.00, Commercial $15.00 / Date. /1 t 3 f{17 '__ Old or Pre-existing Building: ~ (check ~ne) <-t~~l~ Street Location of Property: ~6CJOs~ House No. Owner or Owners of Property: ___ J<;;../I<.../ __ Suffolk County Tax Map No 1000', Section __I '-;1 ~___ Block ---<6' Hamlet Lot -~ - Subdivision_________ _____________ Filed Map. _____ Lot: .________ Pennit No --3;lJ~_____ Date ofPermit________ AP]llicant__k~IIJL------------.-------- Health Dept Approval' --___._n_n_ ________________ Underwriters Approval_____.___________ Planning Board Approval _______________ Request for: Temporary CeJiificate Fee Submitted $ ;J- S; Cl::7 Final Certificate: ~.__ (check one) ~ 7 }11 7~ CO.::l3:J- /1;2.., -' ~~ '- 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. 32315 Z Date AUGUST 24, 2006 permission is hereby granted to: MORTIMER M III KELLY 157 SOUTHARD AVE ROCKVILLE CENTRE,NY 11570 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER ZBA at premises located at 1195 GOOSE CREEK LA SOUTHOLD County Tax Map No. 473889 Section 078 Block 0008 Lot No. 008 pursuant to application dated AUGUST 21, 2006 and approved by the Building Inspector to expire on FEBRUARY Fee $ 898.50 ORIGINAL Rev. 5/8/02 APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer Lydia A. Tortora Vincent Orlando James Dinizio, Jr. Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 Tel. (631) 765-1809 Fax (631) 765-9064 hUp:/ /southoldtown.northfork. net BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF DECEMBER 29, 2004 ZB Ref. No. 5630 - MORTIMER and KATHLEEN KELLY Property Location: 1145 Goose Creek Lane, Southold; CTM 78-8-8. SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: The applicant's 18,502+- sq. ft. parcel has 75 feet along the south side of a 20 ft. wide right-of-way known as Goose Creek Lane, 72.50 feet along the southerly rear line, and 250 feet in depth. The property is improved with a single-story frame dwelling as shown on the November 6, 1987 survey prepared by John T. Metzger, L.S., revised November 20, 2004. BASIS OF APPLICATION: Building Department's August 16, 2004 Notice of Disapproval, citing Sections 100-242A and 100-244, in its denial of a building permit to construct additions with alterations, for the reasons that the new construction will be less than 10 feet on a single side and less than 25 feet for both side yards. / FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on December 16, 2004 at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: The applicant wishes to construct a second-story over the existing first floor of their home, an addition at the front of the dwelling, and enclosure of a screened porch, with setbacks at 7.8 feet (existing) at the east side and 10.5 feet (proposed) at the west side, for a total combined setback area of 18.3 feet. The height to the top of the ridge of the new addition is proposed at approximately 26 feet. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The applicant wishes to enclose a screened Page 2 - December 29, 2004 ZBA Ref. 5630 - Mortimer and Kathleen Kelly CTM Id: 78-8-8 porch and the addition will remain within the footprint of the house, which has nonconforming side yards at 10.5 feet on the west side and 7.8 feet on the east side. The additions are at least 140 feet from the front lot line facing Goose Creek Lane, and the dwelling is skewed on an angle, bringing the corners of the dwelling closest to the sides of this 75 ft. wide lot. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The existing location (footprint) of the applicant's home will not be increased and will not create a new nonconformance beyond the existing non conformities of 10.5 feet on the west side and 7.8 feet on the east side. 3. The relief requested is the maximum that the Board would approve. 4. The difficulty was self-created in that the home is skewed on an angle toward the sides of the lot, which creates a side yard setback nonconformities on the corners at its closest points. 5. No evidence has been submitted to suggest that a variance in this residential community will hi:lve an adverse impact on the physical or environmental conditions in the neighborhood. ( /6. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of additions, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Goehringer, seconded by Member Dinizio, and duly carried, to GRANT the variances as applied for, as shown on the November 6, 1987 plan prepared by John T. Metzger, L.S., amended November 30, 2004. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Orlando (Ac ng were Chairwoman Oliva and Member Tortora. IS Absent 1I~r;05 7t. - 'X - V @J~~~@J 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 ~ ~ ~ ~ ALAN HUBBARD ELEC. MRlMRS KELLY ~ ~ PO BOX 2241 1145 GOOSE CREEK LANE ~ ~ 126 CLOVER PLACE SOUTHOLD, NY 11971 ~ ~ AQUEBOGUE, NY 11931, ~ ~ Located at 1145 GOOSE CREEK LANE SOUTHOLD, NY 11971 ~ I Application Number: 3022589 Certificate Number: 3022589 I I Section: Block: Lot: Building permS.:2 IS-- BDC: n511 I ~ Described as a occupancy, wherein the premises ~ectrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ Basement, First Floor, Second Floor, Outside, 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 5th Day of June, 2007. ~ ~ Name OTY Rate Ratin. Circuit ~ ~ ~ Alarm and Emergency Equipment ~ ~ Sensor 2 0 Carbon Monoxide ~ ~ Sensor 6 0 Smoke ~ ~ Appliances and Accessories ~ ~ Exhaust Fan 4 0 F.H.P. ~ ~ Range I 0 50 Amps ~ ~ Dish Washer I 0 1.2 KW ~ ~ Stearn Unit/Sauna I 0 50 Amps ~ ~ Air Conditioner I 0 20a Amps ~ ~ Air Conditioner I 0 40 Amps ~ ~ Pump Motor I 0 F.H.P. ~ ~~~~ ~ rnJ Receptacle 45 0 General Purpose rnJ ~ Switch 44 0 General Purpose ~ ~ Fixture 46 0 Incandescent ~ ~ Receptacle I 0 30a Dryer ~ ~ ~:::;:~le 1 ~ ~ GFCI seal ~ I Continued on Next Page 1 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 @J.@J [!J~~~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: ~ ~ ~ ~ ~ ~ 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 andlor 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 5th Day of June, 2007. ~ Name OTY Rate Ratin. Circuit ~ ~ Paddle Fan 4 0 ~ Service ~ t Phase 3W Service Rating 200 Amperes ~ Service Disconnect: ~ Meters: 1 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I [!J~~ , y ~~[!J ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~[!J 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 ALAN HUBBARD ELEC. PO BOX 2241 126 CLOVER PLACE AQUEBOGUE, NY 11931, 1145 GOOSE CREEK LANE SOUTHOLD, NY 11971 MR/MRS KELLY 1145 GOOSE CREEK LANE SOUTHOLD, NY 11971 3022589 Certificate Number: 3022589 Section: Block: Lot: Building Permit: BDC: n511 .b d h . th ~;2.311S;t-1 .. f Descn e as a occupancy, w ereln e premises e ec nca system consisting 0 electrical devices and wiring, described below, located inion the premises at: Basement, First Floor, Second Floor, Outside, Attic, 200 cb seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~~~ T own Hall, 53095 !.lam Road PO. Box \179 SouthOk1, New YOrK" 1971 Fax (5\6) 765-1fZ3 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I FIe A T ION DATE: 94 h) , Owner: Building Permit No. 3:J '3 IS /-fori- Kdlt/ (please prInt) . Plumber :;J~c ~L G IS me J ; / ~ (please print) / _.- (vlcl"":Jue t f- H ~ "Ie I certify that the solder used in the water supply system contains less than 2/10 of It lead. s signature) count.y 'i!JSAN J, NAGY ~~~~~~~c State of New Yor~ gualffi,!d in Suffolk County ommrssion Expires May 20.LL ~'9rd?J Sworn to before /po... day of Notary Public, -P.1c:;:loc7 I ;[1 I I i I ~ o 0 o 0 ~)~ ~ '. 0 '" ~~ ~ g'" =r ~ ~ -:z ~ \J f~ \t1 'i: R - 1\\ ~ . I , f-- '.~...._.......-. I I ~ ~ !:- I 8> ~~ -t_ rn j;;- \J H ~. \~t~ ~ ~ t. . -...1 1<< ~ - S;q'l'> ..:::.~~ ~1Vb o t'\ :rE::.J> ~N~ ~:lCJ fJl:.... \Y V1 l'l c ~ ,~' 0-'_ <::,- ! Q ~ \' ~ ~ r: ~ ~ ~ ~ l' J c:. '::'If ~ rc I~ -2{ ~ .. 1_- -.. - c:: . .-< r---~l-=-- p ,~: I~,,' .... . ~ ()r-,: , 1"".,/ I\) ,.1) 1'0';1: ~ i 3'-' )'; l~:;; o L " L- /b L=-......" ~- l I \ " sS -- GOO zo' l , €.. .')0 .(')3 ._ \ 6 ..~. t. ,-'( t!- oJ,," lI"e . ;e \..-f>.~S QSS\Z yJOj), v\ Cp 01 P;~J- I'<iq\'l\ 00' " 1')' "'::/\ F'~''- ,4 ~ ,~ . q..II'1 ,-\- ,,-0 . \\:1 "Vo ~ OJ /-..-s.- <7)- L-/ -5>0 <<'~ <70 '>-0 ~o.{ {i, .' \ -z.. o "" \" ~ o - ~ ~ o "" \ o "" ~, I. '" o'e po". ." ~ '" \- c- O ~ \'II01f l}' , .\ \ . . \ OJ\ "'. \ .' " \ , \ ,,')0' \ 1<-' 0'" , ~. Cr\€.~ ""0'" .')3.')0 \J~{:>.' 110;: S. 61 '< SCr\ 0-1 t. r< ' r\{:>.~~ SCt-ll.l\'il~ t. 0 't,jI N ~ ~ CERTIFIED' TITlE: USA INSURANCE CORPORA TlON OF NEW YORK WESTMfNfSTER BANK LEONARD LERER GERTIE LERER TITlE NO. 8752-61747 ., ,_ o.,:~. 0" .J-. 19-- .p-- / . ~ , "\ -1 '......- SURV~FOR LEONARD LERER 6: GERTIE LERER AT BA YVIEW TOWN OF SOUTHOLO SUFFOLK COUNTY, N. Y. 1000- 78- 08 -08 SCALE: 1"= 30' NOV. 6, 1987 '" /' Ie. NO. 496/ 8 GfNEERS, P.C. 87-868 , .. . "t-o ~~/' -.y-Y )....1- .~! ~o~ ~ o~ 0' '1' . .:. ,..~€. . 'vt'" €.€." ~oj 1. C~ at . p;~:'-' .,,\11 0 fl h, 15.0 . ,. t." -z. o -n \" \ o -n -z. o ~ -n J,I. .r lI'e .- p 0 ~ ,,," . ~ c..- ~ .~ \" c..- O ~ ~ ~ ..4..' FL 000 ZONES FROM FIRM MAP NO. 36103COl88 (] MA y 4, 1998 l'IlOlr ~ \ \ \ \.. \~ . \'''' . ~ ,-- \ rP (F ;;..,. t,1I)c _ I \ ~. ---- \ 50 tone "1-\ . 12. ~~ '"f-d.' 1'5"b'50' 'lI. ~~p.C\"\ 8- s. 6 '( 5C p.Crl t. r\p.~~ SC rlu\'JI . OVJIN .S .--- . . " ~. ,'/<'.~ ;;'4.-':; . ELEVA TlON /S REFERENCED ro MG. V.Dtllum. SURVEY FOR MORTIMER KELL Y & KA THLEEN KELL Y A T BA YVIEW TOWN OF SOUTHOLD. SUFFOLK COUNTY, N. Y. 1000- 78- 08 -08 SCALE: I": 30' \ NOV. 6, /987 .~. ~ 'f-~ f . NO. 496'8 ECONK: SUR EYO ENGINEERS, P.C: 1516) 765 - 5QZL _._. P:O. BOX 909 . MAIN ROAD . SOUTHOLD,N. Y. 1/97/ Dec. 3, 200/ (flood 10flU lidded) ";. 87-868 3 ';-3 {S- C TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [q1iNAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ,f/7ii t4::-"j k ~tU liD ~ ~~J~ /~ , DATE 11/?/o7 I I INSPECTOR 3 r3/->'2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION !p<tFOUNDATION 1ST [] ROUGH PLBG. ~OUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ () f~~~ ~/ (J , DATE /o-H-Ob INSPECTOR ~ ~ 32--31~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUN I'ION 1 ST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING (frRAPPlNV [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION (jl~ ~h 5f7U+P (Jfc , REMARKS: DATE I I f) 0 INSPECTOR - -- -- 5L31S2:- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 -'INSPECTION ~J~~NDATIDN 1ST [ ] RDUGH PLBG. / [] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUC11ON [ ] FIRE RESISTANT PENETRAnON DATE /)Ir~ INSPECTOR - 3J-3 ;s-- 7- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION t><( FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION <- ~ ~~ ~~J~- ) ') --') J-- 0 L. DATE INSPECTOR ~~ JL5/Sc:- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [~:~ATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR - - ~ -- 3 23 { s6 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FJMi.iDATION 2ND [A'FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISt CONS1RUCTION ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRAnON .~ : C ~ DATE "-' CO I ./ Vv< INSPECTOR' ~ 3-):3/~ . H ~~ 5~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] ROUGH PLBG. ~ATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ~ESlSTANT PENE1'RAnON dL- [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMI~~NG) [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION DATE ~!rj(J 7 INSPECTOR ~.32-3/~G TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [ri'FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPEC'nON [ ] FIRE RESISTANT CONSTRlJCnON [ ] FIRE RESISTANT PENETRATION (f)'1 REMARKS: UA'!91 J:-rwL /1) k j,JSI14I/t!"4 ~......--. .......---- .. !;, -'-.JS7;1-~&N MZ(J~.s ~ }::}~) ~~ (Z) _ ~cd- -)/~ Z,<j kr~ A,UA. , -/u~~ ,ijA<l~. /J DATE 9//f1o 7 F { r INSPECTOR ~ ..>J-3/S' TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON ~C- ;b ~ I W~) d77WL :a~~ /'( ~~0~ [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [~REPLACE & CHIMNEY REMARKS: DATlO 103/07 INSPECTOR ~)r h COMMENTS <-... W p\JJvl.- a-..- III V j\,fU!\ If- 'e/v' V J~ J ..^ J-- ~;;! I /.; ~ Ifl' (A."~ -w J"> ..... A -;[-< ~~ (lA. D'-< ~ nt4- ~ L v-v (J "'- AO'i.) . ~~ _________________________________ ' D --'/PI - ) b 'I ~ tt-- "d.J ~. J/ /l~~ aJ\,L . t9 r-r.. L "" AJ-rA 11 ~ '0 ? , ,;.eA,L. . I /I.. J'I~ "B-1- V /A d~, I. /." 10 v: ,~. . A.... (1 ;;- f.."J.&:1' / AI( \ I ' , ff /J /.1./J I Nor (..wb'L. ~~ oils) ';)10 M,jh &'\ I- .A of .... .A~'"' I,'J'.. .r-, -r-' A f"-c/-<.u"."J;/. A./)--..d.~ ./ If' / ...~ ~~.0 / jJ~.' ./ .. ~ .r. ~- J ..d/.-L . OJ , ;..c.D y~/ LId. '-' ~~,. b ;~.,/ IH,,-4 /l I V.' (AKrr A'l..l ",/ f-b clfflU .~:a~/ ' .?'jplJ .~O'A"';';' nF fJ...A', ;~. A-7 / II iit.' I . '--' . FIELD INSPECTION REPORT DATE """- II~--o FOUNDATIO~ (~ FOUNDATION (2ND) I' ROUGH FRAMING & PLUMBING . J /f'to /, I T), r'~.I7. (' 4~.' / / l ,*, ^ .WI-. , " ~//~ tY INSULATION PER N. Y. STATE ENERGY CODE . C//tL./t 17 ~)" J" #.~. u 70 k r:;r ../1. .\. v, 'I 11? I;)rt'tU'J.LA-o:.1 JfiJ.~r.' ' 15 ~ ~ j:--: A..~ 'lJ LJIL 1 TO hu,.1 _ ,~ ,~./~. ~.f/.tkJ .IA K,,'U#..J _ -f.J..:.y /0103 07 ~J6 (:)rJ_:', / w~r';h'~.D,s " ,..., I I (.t ~,L~.JeE- <o/c. ..-{ y~ If Ir/a . tJ1f)4;, ~ -;/ ?.... 1\ /. /~'~ r- /...e. t-.Lf1...f. 0, ' .p I N(J7L:- J.o/>>~ r.j, +, ~...., n. I , $Ad. { '- ADDmONALCO \[/J ''1/.-/ " 1J.. ~ 10 I' ~ <32..."", & I To..j\ 1/. I // J V' . FINAL . '-. 4 ~ . . ~ ~ ::::'z _0 \nO ~ ~~ ~ r~ ~ ~. ~ ~ I~ /. I J . ~. >~ m.. " ~ ~ ~ z = ~ ~ t::I ~ 'l:1 ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ 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 F OrIn N.Y.S.D.E.C. Trustees Contact: v' PERMIT NO. 3;13/S'c / v/ ,/ ~~i ,20~ 5/7'1,20~ I Examined Approved Disapproved ale Expiration ,20_ Mail to: !1011,rnf?,r.} t'rn J{/'J p:o~' ~~ ~ ~ II f)V n{,-)~J. -(Olg 516. 7Jq- 8ot,J- oM o._____'') \1 ., I.'.' '1' , I, ~ 1 i: r I , .~. I . , I" 2 Ii 1),1 "'''' 2J,.j j_~___ __ _J ~ll,..'-\J :-''"::''T. i ____T" "'l.C~'::)THOLD '. w-t APPLICATION FOR BUILDING PERMIT ~ Date (.)5 otl- ,2006 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 remova or demolition as herei escribed. The applicant agrees to comply with all applicable laws, ordinances, building code, hous' g code, and e it authorized inspectors on premises and in building for necessary inspections. o State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder .- /:."12-- {? Kit Name of owner of premises (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: ) I Lf '\ ~e CUt=----1c LIh.F House Number Street '1'7"3&'81 County Tax Map No. 1000 Section Subdivision <)oqJ.o / h Hamlet I (C()/ 'li? ,.', '.~~.... Block" . .<?.' Filed Mal? No. "....,,,( W. f (Name) -Lot Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 1 ~,' 0 TZt;<; f b er-c.- b. Intended use and occupancy I 179m v ~ V2.t;:)/ b~ 3. Nature of work (check which applicable): New Building Repair emoval Demolition Addition Other Work (<l Alteration yJ / (Description) . 4. Estimated Cost . 5. If dwelling, num er of dwelling units I If garage, number of cars ~ Fee (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. 7. Dimensions of existing structures, if any: Front L/ 8 I Rear?~ I Depth Height /5 f Number of Stories-' .. <)mt01 JfJ4t:c.. 1 ( me structure with alterationsP/r additions: Front '-10 R-,ar ~ 0 Depth ( Height :J.. " Number of Stories ?-.f.- ")mAl. iHfrc... 8. Dimensions of entire new construction: Front '1 at Rear '1. d Depth ~ Height ~ t f Number of Stories 2. + ")JYJ 1:)41 ~ ~ f 11 ( ' / 9. Size oflot: Front 7 :> . ():) Rear" . '9:J Depth 1- SO. 01..( . 10. Date ofpurchaseJqq?? Name of Former Owner n~ ,. y;,.., 11111'" ~/ Ij/J- ~~' . , , II. Zone or use district in which premises are situated ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO _ 5e:~ J9. . 13. Will lot be re-graded? YES _ NO_Will excess fill be removed from l?~mises? YES_NO_ MorT"" <v rJ- flp4(VI //-< "'J-~ ;? 14. N,m~ "fOwn<<O~ ~011 Add=, Iq~1I'HJ Phoo' No. ~- n. -Jb/o Name of Architect Address \ ~fl..b I Phone No t.r 77 - Of.{(p Name of Contractor Address \ o~1 Phone No. --: IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO -)fL * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY ~~ 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 ) " K ITT J-J Lee"'; .p 1< &LL i being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above n,amed, (S)He is the ('J Wlv~ fC (Contractor, Agent, COlporate 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 this cU dayof a"f~ ~d'~~~ Notary Pu lie 20~ - lINOA J COOPER NOTARY PU6L1C. State 01 New York NO, 01CQ4822563. Suffolk Coun~ fo Term Expires December 31. 20.J.I. c r~ TOWN OF SOUTHOLD PltOPERTY RECORD CARD fi1 tp -.5- OWNER STREET VIL~GE DISTRICT SUB. LOT I ~ND .J7.p. 0 00 ~-o-T::> SeO 5tJO AGE NEW Farm Tillable 1 Tillable 2 I Tillable. 3 , Oodland Swampland Brushlan~ House Plot ... ..... Total VL. ~ /< r ~cJ E; /~. / S // .I / r> W'Rl rr- ~u..t.~t</,.t(j<. ,v, FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value ,~ IMP. ,I TOTAL DATE ,ptJ .3 ()~ 0 3 ;Z 0.-0 -;J cr<l 3~oo NORMAL BELOW Acre Value Per Acre FRONTAGE ON ROAD BULKHEAD 3 I 0 '0 ~ DOCK _ .j":J-..f- j " ;6fl'j) ~ /0 -~ .9 .~ [i -, . . ,~4:;'~""?'-"'" . " - , ':~'~'_:;<_I'" {;.~ ".0 .~ ~!-;.. -.... _ . ~~ ~ ~.' ",. -'~ '''~'''-',' ~ ','j""",,-, ......;/ . ~ ~ d:""~:"', ....~.. , . .". ...".' ~:->~.::'. ::':;~:T- . ~ ~.. - ~ ~, 'ii ; 'It~~:\,~;:". j t~ Breezeway Garage O. B. '-'~"~'~ _v_"'- ~02. ~ ---.." , . / g-O ? ~ -;.176 '" 1.2.. ~ 12.. I,~ c Patio Driveway 72- 352 ?"j Porch Porch .. f/ . / ! , I I : I /,' 1"'"'1 f ',. y?.J I lVr-,. '.- ~ I /, / 7- i'/?l?Ie "" I~ / ,J ,., " ~b , , , I I , Both Floors Interior Finish Heat Otl. Roof Type Rooms 1 st Floor Rooms 2nd Floor Dormer , / '7 i I , , I , i / ~. ----- ) ENERGY CODE CALCULATIONS CHAPTER5 SECTION 501 Detached One and Two Family (For Non-Electric Beat) . For: K (./ /1 $ooJtk,!I Design Criteria 5750 Degree Days Zone lIB It Per: Pellll'1 /.j" ;c. '2.7/6 . I Dated: 3/111' / {) , I SUBSYSTEM AREA DESIGN CODE DESIGN CODE '''U'' "D" UA VA Exterior Walls 2587 D. 12 of 0.14 2 9'1.73 31,/. /8 . Ceiling Roof '/'13 0.0)0 0.031 l.!lJ. J r .rO.O/J Floor Over Unheated Space "13 /J.di 0.05 8(1." f" 80. '5 . 6.5 Heated Slab On Grade Unheated Slab On Grade 4.5 . Basement Wall 0.1 Crawl Space Wall 0.06 1f2J.77 l.f12.63 NOTES. Construction shall comply with 502.1.1 moisture control and 502.1.4 air leakage Building Envelope 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 ~eet requirements of Section 503 Service Water Heating Systems & Equipment to meet requirements of Section 504 Electrical & Lighting Systems & Equipment to meet requirements of Section 505 To the best of my knowledge, belief, & professional judgement, . these plans are in compliance with ,the code.