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Home My WebLink About33256-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32898 Date: 02/19/08 THIS CERTIFIES that the building ALTERATIONS Location of Property: 630 WIGGINS (HOUSE NO.) County Tax Map No. 473889 Section 48 ST (STREET) Block 1 GREENPORT (HAMLET) Lot 29.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 12, 2007 pursuant to which Building Permit No. 33256-Z dated JULY 18, 2007 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 ALTERATIONS(FIRE REPAIR TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JUAN ANTONIA SECAIDA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMEIIT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3069187 02/13/08 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 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. 33256 Z Date JULY 18, 2007 permission is hereby granted to: JUAN ANTONIA SECAIDA 803 WIGGINS ST GREENPORT,NY 11944 for : FIRE REPAIR (ALTERATIONS) TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.THIS PERMIT REPLACES BP # 29172 at premises located at 630 WIGGINS ST GREENPORT County Tax Map No. 473889 Section 048 Block 0001 Lot No. 02 9 . 001 pursuant to application dated JULY 12, 2007 and approved by the Building Inspector to expire on JANUARY 18, 2009. Fee $ 150.00 L~j~ / Aut orized Signature ORIGINAL Rev. 5/8/02 1 I I.:; ',1 r-'. . I ~ 1: :uULEG 3' I '--' Lf~ ~ ~~ ilrt:) C~ ~ [to~ - APPLICATION FOR CERTIFICATE OF OCCUPANCY 7~-:a) Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 J j . , . i ,......\..1 L"__..~.~ -'. 1(":"" This application must be tIlled in by typewriter or ink and submitted to the Budding Department with the following: A. For new building or new use: l. Final survey of property with accurate location of all buildings, propel1y hncs, 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 2il 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 nses: 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 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 Celiiticate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 7- 13-7 New Construction: Location of Property: b,~o House No. .- _ Old or Pre-existing Building: (check one) \'u;1jCI'I" s, 0\.. ~r-Q (1.", foo-t- f 10'1 Street I \liL( I..{ Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section "';1 Block 01. 0 0 .:l ft, i Lot 02 'l....J:x;;7) Subdivision Filed Map. Lot: Pennit No. Date of Permit. Applicant: Health Ocpt. Approval: ... Underwriters Approval: Planning floard Approval: Request for: Temporary Celiiticate Final Certificate: (check one) Fee Submitted: $ I 50,t!Jl> ~___ ~.~ ~_l)7)OI Co -c 3) S q <( '(%, -1- ~9~1 @].@] ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ 33. 5c;,. ~ I NEW YORK BOARD OF FIRE UNDERWRITERS I ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ JUAN SETAIDA JUAN SETAIDA ~ ~ 803 WIGGINS ST 803 WIGGINS ST ~ I GREEN PORT, NY 11944 GREENPORT, NY 11944 I ~ Located at 630 WIGGINS ST GREEN PORT, NY 11944 ~ ~ i ~ Application Number: 3059187 Certificate Number: 3059187 ~ ~ Section: Block: Lot: Building Permit: BDC: NS37 ~ ~ ~~ ~ ~ Described as a occupancy, wherein the premises electrical system consisting of ~ i electrical devices and wiring, described below, located in/on the premises at: i ~ Basement, First Floor, Second Floor, Attached Garage, Outside, ~ ~ 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 13th Day of February, 2008. ~ fojJ Name OTY Rate Ratin. Circuit D:Ill; ~ ~~~ ~ ~ as built 1950 with some ~ ~ kitchen upgrades ~ ~ Alarm and Emergency Equipment ~ ~ Sensor 4 0 Smoke ~ ~ Appliances and Accessories ~ ~ Exhaust Fan I 0 F.R.P. ~ ~ Furnace I 0 Oil ~ ~ Wiring and Devices ~ ~ Outlet 15 0 Fixture i ~ Fixture 14 0 Incandescent ~ ~ Fixture 1 0 Flourescent ~ fojJ Outlet 34 0 General Purpose fojJ ~ Receptacle 21 0 General Purpose ~ ~ Switch 16 0 General Purpose ~ ~ Paddle Fan 3 0 ~ I Receptacle 4 0 GFCI seal I 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 @].@] IID.IID ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ ~ lID 40 FULTON STREET - NEW YORK, NY 10038 lID ~ ~ ~ CERTIFIES THAT ~ I Upon the application of upon premises owned by I ~ JUAN SETAIDA JUAN SETAIDA ~ ~ 803 WIGGINS ST 803 WIGGINS ST ~ ~ GREEN PORT, NY 11944 GREENPORT, NY 11944 ~ ~ ~ ~ Located at 630 WIGGINS ST GREEN PORT, NY 11944 ~ ~ Application Number: 3059187 Certificate Number: 3059187 ~ ~ ~ ~ Section: Block: Lot: Building Permit: BDC: NS37 ~ ~ Described as a occupancy, wherein the prem~e~~rtal system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ Basement, First Floor, Second Floor, Attached Garage, Outside, ~ ~ ~ ~ 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 13th Day of February, 2008. ~ ~ Name OTY Rate Ratin. Circuit ~ ~ @ An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to ~ lID be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. F.!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 IID.IID FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. 851-5~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29172 Z Date FEBRUARY 28, 2003 permission is hereby granted to: JUAN ANTONIA SECAIDA 803 WIGGINS ST GREENPORT,NY 11944 for : FIRE REPAIR (ALTERATIONS) TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 630 WIGGINS ST GREENPORT County Tax Map No. 473889 Section 048 Block 0001 Lot No. 029.001 pursuant to application dated FEBRUARY 28, 2003 and approved by the Building Inspector to expire on AUGUST 28, 2904,_. Fee $ 150.00 --- orized Signature ORIGINAL Rev. 5/8/02 CONSENT TO INSPECTION Ia~ An+O,,;o 5eLct;d.a Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at which is shown and designated on the Suffolk County Tax Map as District 1000, Section CH $. Pp' Block 0 f. rJ 0, Lot '0 -z% . Of) {) That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors ofthe Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations ofthe Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: 0}- -I d- ~ D)- " (Signature) UIJ", ~n,'[) ,'3e-c-c{f.d- (Print Name) (Signature) (Print Name) j32- ~~ 2- TOWN OF SOUTHOLD BUILDING DEPT. ~ > 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: DATE ~ [ ] ROUGH PLBG. [ ] I~LATION [ vrFINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION INSPECTOR J-117,}- -P 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ ] FRAMING [ ] FINAL [ ] FIREPLfl' & C= REMARK~ ~.L.?jr--, aY?~ t;:{a>>-;- ~~~ - - y-~U . ~~aCA ~~ t/ DATE '~q (7:2- ft 765-1802 BUILDING DEPT. INSPECTION [ ] FOU ATION 1ST [] ROUGH PLBG. [ ] F NDATION 2ND [] INSULATION FRAMING [ ] FINAL [ ] FIREP~C~ ~ CHIMNEY REMARKSW&1fJL? ~~ ') -C - - ARCHITECTURE EAST, pc ARCHITECTS · DESIGNERS January 14, 2004 Town of Southold Building Department 53095 Main Road Southold, NY 11971 Attn: Mr. John Boofus ! l_, Secaida Residence \ ' 803 Wiggins Ct, Greenport, NY 11944--- Permit No, 29172Z e 14M 8~ Re: -~ Dear Mr. Boofus, In 2002, the aforementioned home was damaged by fire and our firm was retained to prepare the architectural drawings to repair the damage. It has been brought to my attention, that there were several issues regarding our drawings and said repairs, which I wish to address. 1) Ridge Straps: As per section 3.2.5.1 (copy attached) of the WFCM, collar ties fastened to each opposing rafter may be utilized to substitute metal strapping. 2) Rafter Ties: The H2.5 Simpson metal tie meets or exceeds the uplift and lateral capacity required in the WFCM. 3) Rafter Plate Anchor Bolt @ top of CMU wall: The anchor bolts have been installed but can only be seen if viewed from above. They are mortised approximately %" down into the top plate. 4) Common Wall between garage/house: The general contractor, D&A Structural Contractors Inc., has framed a 2x4 stud wall on the den side and insulated it with 3%" (R-11) batts in lieu of detail on construction drawings. 5) Existing Crawl Space: The existing crawl space in the den has no access nor can any access be made. There is only an 8" space between floor joists and grade. There is an existing layer of 1%" fiberglass insulation between the tloor joists and sleeper a system that was installed over. It will be impossible to install any more insulation without ripping out the entire floor system in the den. I truly appreciate your professionalism in performing your responsibilities, assuring that construction is completed in accordance to the architectural drawings and the NYS Building Code. If you have any further questio 0 no hesitate to call. ~~ .9C'~ ~ ~. SOM~-9 ~ ;, Cl :..\ Ph 0 n e (63 1 ) 28 7 -,7 1 20 370Countv F .,39. POBox814 . . FIELD INSPECTION REPORT T DATE COMMENTS e----. OJ." \'.N~ ).Jl:: .... L.l)-l ',", C' :1\- S"" 1."SJ ..., t>l FOUNDATION (1ST) FOUNDATION (2ND) -- ROUGH FRAMING & PLUMBING . "'- /~ -A> C'z I &:/,)(" ~.5-r ~- 7) 7"; - ..': Cf} ~ ~ P f f.;;;.-,'" ,i - . ~ ../ - _ r--- -;., IZ. .. "'/~-z;;..,/;. /U., ,",,"-r:- ",,_"),. '" a.. ~~~ _ L -L S ~ Aa/12;, ~ v ..L d:J.P-A / , dl !:l II ~:#A...__ -'I' / -,a.., 1:,\ ~ J ~~f, ~- Jd.. 7&// 1-., _ #A /7-:-- AA foh L / lV/ j,'h'" -fd", " .?J '7..L-,r{12,~lD.~t1~- -Ll~q;,-, /J _.~ __;-". 7"h, ~...~ _ ~ J. / 't ~'h.., d/J - .k.- ~ ~ r __ /)// 1// U_u _, ~ r~\ /;A~ /.///UAI /7, ~~ "- A1~1~ ~ /~. ;,.t!t.//.'Z /L'" -, 4-....7 -- INSULATION PER N. Y. STATE ENERGY CODE 1----. - 1-- FINAL ~l/ti117 t?;r. Y':L Ce1 ,4 oJJ. .> .J-- //0_ /. / I / f L.T/I" .~ ilA, --L ./. r,;"7 0 _,lJ...._<./ o~ I"1-T i()P D? S-z.i-AC ~ 'l ~ ff"u 1- / Jr ff'.. 5 ~ A'(;/~ rtu. J <'~ -I 'V~ 1? \ - - /ff' If- v /7 ~ .'-? .,:..~ ", ~4/ y r " C/I (1) r> ~. ~o , :E z q!a ~ ADDITIONAL COMMENTS I , ~ f fldl-- (l1A .0. f -- -. , .No /ohc.fis/ 3oo.w ./..1 (,., , ;.. _. _ LV a , I I 1/11..? / f)'] I '/' I (7. 7 ", /1'- -:/7. ")r ()...., 4. U ~ -, -, -- L C"J -x: \/) 7 -- /'"1? -#-11'7 C/J -, //,-{'rJ II f/ v /b.r!-:__,.? _.. f / f / .. ~ll t>l ~~ I:.(\~ C;---::l --o~ - ~y~ $ -- == t>l ~~ ~ ))1:;; t>l ~ 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 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: PERMIT NO. ,20 ,20 Examined Approved Disapproved ale Mail to: Phone: '-\1 \ -d-~"'O Expiration ,20_ Building Inspector --- - - -,:::-1 \\ i Date JA-f 10 ,20t?";> G2':c.:..- ."-~' INSTRUCTIONS . . . . . a, This application MUST be completely filled In by typewnter or In Ink and submItted to the BUIldIng Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways, c. The work covered by this application may not be commenced before issuance of Building Pennit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a pennit shall be kept on the premises available for inspection throughout the work. e, No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy, f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department tor the issuance of a Building Pennit pursuant to the Building Zone Ordinance of the 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. e4 ~~(~l7tetd2E) ~ tAS-r pC ~ (Signature of applicant or nam ,if a corporation) ! I ~ 2.003 ,il APPLICATION FOR BUILDING PERMIT Jlo. ~o"gl~ ,9u~4~P-r;;,J ,I--l{ 110&c1---- (Mailing address of applicant) c:;$1;f State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder A (U1-L-1'~t--r Nameofownerofpremises~ A rJ-roJiA :2'&AIDA ~ (As on the tax roll or latest deed) If a~~ .' i . tU~(2f~ authorized officer (Name title of corporate' officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. ~(,d.l- ~ '2-,11'1107 tvlP ~ e: 1. Location ofland on which proposed work wi~bJ done: eO '? bJJ 6t-/~ I J .9 S0' ~~-( House Number Street County Tax Map No. ,WOO Section O~ 6 Subdivision ~~~.J Po (2.;(" Hamlet "f~>, Block 000 I Filed Map No. l,)~ : I '~.~ '". Lot otcq, 00 I Lot (Name) 2. State existing use and occupancy of premises and intended use anJ,o~cupancy of proposed construction: a. Existing use and occupancy .gIiJ6t~ ~JIL.."/ ~fIO~L.-~ b. Intended use and occupancy q I~(,jl-~-. ~.JIL..-{ ~PiOt?t-lt..-~ 3. Nature of work {sheck which applicable): New Building (Repair V-- Removal Demolition ~~..r.; !"',f-€. :3r) 4. Estimated Cost 'tOt OCl? . 00 Addition Other Work Alteration (Description) 5. If dwelling, number of dwelling units oJ~ If garage, number of cars 0 tJ~ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. tJ I A 10 I ,j II Rear /_Q. "~'_ III.... . . __.Depth /1_11.11 II 7. Dimensions of el'isting structures, if any: Front U ' VI _~ '1 ___ '7 t/ Height tl-o " Number of Stories 1- Fee (To be paid on filing this IPPlicatiOn) Number of dwelling units on each floor lJ A Dimensions of sallj1e structure with alterati~ns or additions: Front iJ A Depth I\.1-1A Height I-' tA Number of Stories f.J 8. Dimensions of ent!'re new construction: Front~ A Rear~ A Depth Height N ..A Number of Stories t-..J IA 9. Sizeoflot: Front lot.-tt-I Rear lo.z.-.ID' Depth '11?O I 10. Date of Purchase f...l III Name of Former Owner !--lIA II. Zone or use district in which premises are situated J - 40 12. Does proposed construction violate any zoning law, ordinance or regulation? YES ~ NO /' 13. Will lot be re-graded? YES ~ NO /" Will excess fill be removed from premises? YES ~ NO / 14. Names of Owner of premises ~At-I A,:SuP,IOA Address &~ J'btGt1r-1r <].{ Phone No. Name of Architect ri1;;:...: ~gJL'-' Address r.o.!?o. 6lio-\,SJo.MflA""'<JPhone Nou.,,1 t-f!>r1 Name of Contractor _ +A _t__M L.,_uGP.JAddress&z..[ZA.(..w~A.I( Phone No. &~ I {"II ~'I4KOilo(o;.iA I t-J-{ 111'14 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO v * IF YES, SOUTH OLD TOWN TRUSTEES & D.E.e. 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. Rear ~ A NIA 111J5' ~~O 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. ST ATE OF NEW YORK) SSe COUNTY OF ) S~-r-l-r <::?orvlu/.u..E.- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)Heisthe Loi2..folll\-.{;- Of1::I~~________~_ (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. Sworq )q before me this I YI day of 20 03 c9~l~ CYJIIIIIA K. ~ANIlREA Notary P~I~ "'at~ ot N 'N 'fori r\ li.;)>\50?~C~~ Quah',,' In Sullolll CouI\r f) to Caalmissiol ElI(IiII.....I4, 21"","" C'/llllIAIlIl'N1l1ftfA Nota~ Pubf~. Sla\I at""'.... No OlDA5014682 Quahlled jr Suffolk counlYO 0 to fIIIRissioll E.xp\le~ MarcIl 14, 2 _ . . ~ 20, ~I - ~?j rJ .. . 'I /1' - / - .:t::3Z OWN ER .J ;/1-/9- ..~ TOWN OF SOUTHOLD PROPERTY RECORD CARD Tii4/1 f}tlfomo. 5eca ld ,FORMER 9WNER ' ..,Pr'O I cI F ~ .f RES. ,)/6 II SEAS. -m----l _n __ LAND IMP. , _~oo L/O / f--nrj 7" zS ~~/.-" ") '3 :; -~ / 3000 AGE NEW NORMAL Farm Acre Tillable 1 -- ___ I Tetal - I VILLAGE STREET -1<, ')11. / w. \:/ ,( N l . , \ f >,., i <QA f.!/ I~, E '0 t5*~- d S" Fiat-Ie VL. I FARM TOTAL DATE COMM. :j . ) '/' . V <' REMARKS (2. 0 () ! "-;L /) () (t, .( ( 2'-7..)0 r' 3~()(J / .3500 DISTRICT SUB. LOT / CJ 1)ESC, ACREAGE ~ ,55 TYPE OF BUILDING CB. I MISe. , l-'}' t. ~~. c. (I " C,~~Lc' 1....1'- i $j ~, ..rO 0, , u - '7/ ~ ::, I {; () (~ I I .,. ~rOo, L (;,tf&1 P 3Q(" I 7.6 ;;;. ~" -- ~ () i _ L- , .~ -( 0 ! , ',1 'y I" r ,3 V " /' " / I , ';j " OJ / . ., C--. Y \II ~ . ~ I . -- f-.. , i .3 M. Bldg. I..: . ..,.~ _ 0 J. ,/ ./' Extension r- "- ,".~ - Q' " ~- Extension I E"tensiont-___ .". !",e ,b. 1/2 { n';." / ~A.,=-_ . .~' I " I ~re~zewoy~ J. :0 " v / ! I T /f'oundation Ie. ... 'VY\ <. '^, I .7~O I~O/ 81 I BI-o~K '1 ------" 'tiu./J , . Basement Ext. Walls G,-v.. . ^ . AJ.: t2 ~ c..vk .. Fire Place I Bath / F [oors 0 1/ f() Interior Finish ;;!:;:; f( Hem l,d W i3 /6 Attic /;)"h ,/ Porch .--.-'---.-. Porci., Rooms 1 st F[oor Rooms 2nd Floor t/ e ~ I / ~:> ", - " ,j I .:l () ,.0 1.9 y 3(,( /atio v6riV~Way Garage I' . 35""7 9 O. B. .- , r jj ~.i' ....L... ~ "':> , ,~ , Gt?fi!fi! r/ J ! j ."" v..-:,E:- k[, \f,,- /i . I AI 'VV) i ~ -.i, TOWN OF 'SOUTHOLDP~UCORD CARD (:7," /fJ, N E[e' S . W .e. Ata-z:zG ~~"'I>'f..t7'~K.t.F _CN-re:LLO FARM COMM. CB. MISe. Mkt. Value - ,.~. . STREET eealda.' l!' i' RES, SEAS. VL. 3/() LAND IMP, TOTAL tJtJ lt1rJ / " VILLAGE DIST. LOT SUB. 'I /,/({;),./(~:e:} '.:~},,,i o,,~~:,l~~ J> Ese.. . 10 ACR. . 6f;u TYPE OF BUILDING ~", DATE REMARKS , I j!/~'Yld /17' -k~ -Flaf/Pj ~ ~~/({a cfl,3o{)O NORMAL BELOW BUILDING CONDITION ABOVE AGE NEW FARM Acre Value Per Acre Tillable 1 Tillable 2 Tillable 3 Waadland Swampland Brushland Hause Plat Tatal Value vie. 3/1/ 7 FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD 3 A-- I u' .... ~)" /(/d /0 DOCK COLOR TRIM , 'A. Bldg. Foundation Both Dinette - :xtension Basement Floors K. Extension Ext. Walls Interior Finish LR. - Extension ! IFire Place Heat DR. Type Roof Rooms 1 st Floor BR. Porch Recreation Room Rooms 2nd Floor FIN. B. Porch Dormer Breezeway Driveway Garage .- Patio O. B. ~- Total ,I 'I . -',~ . ...- ~ . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSouthold/ BUILDING PERMIT APPLICATION CHECKLIST Examined PERMIT Ncd5/9 ;( b- Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Approved Disapproved alc ,207 ,20~ Expiration Mail to: Phone: APPLICATION FOR BUILDING PERMIT UNDERWRITERS CERTIFICATE REQUIRED Date '2.....\--z...s 2003 '- INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 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. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor1 electrician, plumber or builder La 1\9 ::fSLcv, ([ Mob; \ e \~\ OV\A.~ Lec(,S ;J\,Ct c. 0( f --1 ,\- d Name of owner of premises UQV\ y-\ y\\oV\\Q.. S€...c..cc[' Ct... (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) rJ I Vf NJr-. Electricians License No. ry V> Y Ii') AlLw<.t.y.s Other Trade's License No. Builders Liceljlse No. Plumbers License No. . (l.o:$l) ~Le<-\ r,L.. u(,(r0'171 1. Location of land op wIJich proposed work will be done: G lv30 W~\r0 5L ~A House Number Street forr- Hamlet --...... (Name) LoL c. ~ , \ l:ot-. County Tax Map No. 1000 Section Subdivision Lfce:, Block Filed Map No. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy MM..fO~ IACU~~/\T(DP\. SII-:e.) Y~e... '10 ~00~Q 0r.e. 4-1 OCA"\-IO./\... . b. Intended use and occupancy 3.~Nature of work (check which applicable): New Building Repair ~ Removal , D~ll\ition EL.eC:v"!0.J ~'S~ ifcf...<.J<cJ "t"o "f/c>~f?..) 4. stimated Cost (" AJ In- . Addition Alteration Other Workievt.A fO~ 110~SI .....f DescnptlOn 011. S' It Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 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 Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES ~ NO ~ 13. Will lot be re-graded? YES~ NO~Will excess fill be removed from premises? YES~ NO J . J .At'\"o 'r :5eu-;dll &~ ~..LST 14. Names of Owner of premIses lw-\ rT '" 1'\'" Address IU I Phone No. Name of Architect Address Phone No e/l1-SI,/ -FfS2L- Name of ContractorLOI'9 'tf(.<--J Mob;le Ho...e LD..SI~ddress ~~d~ "vL Phone No( 4>3/ )41.> "Sf 00 M'f' ~ N.f'/I7b'3 15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO_ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMI~A Y 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: CO!JOF ~- -. f''t:~ -.~ A ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract above named, (S)He is the L o~ ::J5,(Cv....,CJ VV\o ~ 'Ce 4~ L.e-<<...~,' -"t7 C 0 r-(' (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. ~~x?tv~ v~lk .... Sigilature of Applicant ELIZABETH A STATHIS NOTARY PUBLIC, State of New York No. 01 ST6008173. Suffolk Courly Term Expires June 8, 20~Lp / /: /, '"- "r"1.c. -/ ? c;..- .... (...i L..' C. ~ (J ......- ....-.() .._...~ ....-.-..--.--........ ----.~................,-1~.:.:.:-.._..?..c....,~.......-........ - .....-...T-.... --""""--"" -........ '" ..../...-i .. "...." . _./ . . J... / lJJ kJ ~ I fJ) J : , I { ! . ~ I i " I 1 4J ; , ""--..- ~- () ( . I .. ...... 1 / ./ / ('" / , , ... ~ WIGGINS S T /': E e: -r .,' .......j N ~ I ~ ~ f\ " . ,.,~ ,~ ~ .~ b .... Q" ,'- t;>J-J U. .~ , t. I ~ '.:r-..! I,;", ..-:."Ulp"~'... fJ,~,'.J.t. ~ '..'!" <1 o " -t "11,$" I , ~ Jf I ..~.-...",.._......- Nit 8 c>,"u:lar'.,.:-hlA k _\- L MAP OP'" LANO uO........iM/ -'lI"Il If .tllliM ~I..I&O\-'''''V ..~,..u""'YIo.~ I 9 "or,", ,EP f"'<J/il; ....'</P.7>>441........,:.,..... . "."".......t..ow.."::" GERALD 4 CeCILIA Fl-AT.LE~:;:::~.:~~ to IN. ~MfI~~..._..... AT GUOr_~ . -,,,,,, OtIIr..I/woHt........=~.1UI '-..::rRs:e::NPOAT ::'~-""''''''''w..",,~ .....7.:.:J;:.t;-~..., lO"or'n! NE:.W YO~K =~-"-;":'C:::I.::t .' ._,. ...;,., ""'.-...l1li.....-.... --..MWlr lI...1hf.....-............_.-. ""l'I.'.. .......... S&:(:f/e SOI:/11 . . Q;:I{ 'I""t:m r)lf'~, l3r ..r r'l7t?n 1.1 m t1n t .:serf' (t;I/,I; ~O';Ii!IrJ -/"',. r1'I~ '" dt';r1.':'t'N'h'":"',' k~Jo'/r'i::i /~;';''''';'. .5(!.'~; r ~,I -fS. ~r::,'".:::,'C.r.." .I,.." ,..:;- f _. .~, ."....~ Permit Number REScheck Compliance Certificate New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release Ic Data filename: C:\Documents and SettingslMike MacrinaIDesktoplSecaida Energy.rck 50?/ TITLE: Repair of Fire Damage r COUNTY: Suffolk STATE: New York HOD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric J27aa L_._ ~ " : _J DATE: OS/23/03 DATE OF PLANS: May 8, 2003 PROJECT INFORM A TION: Juan Secaida 803 Wiggins Street Greenport, N.Y. .WK COMPANY INFORMATION: Architecture East, p.c. Southampton, N. Y. NOTES: Energy Calculations are for the Fire Damaged Family Room only. COMPLIANCE: Passes Maximum UA = 91 YourHomeUA=85 6.6% Better Than Code (UA) Gross Area or Cavity Perimeter R-Value Glazing ConI. or Door R-Value V-Factor VA Ceiling I: Flat Ceiling or Scissor Truss Wall I: Wood Frame, 16" O.c. Window I: Vinyl Fmme:Double Pane with Low-E Door I: Solid WaIl 2: Masonry Block with Empty Cells:Interior Insulation Floor 1: All-Wood Joist/fruss:Over Unconditioned Space 220 510 46 12 0.340 0.490 11 37 IS 6 19.0 13.0 0.0 0.0 56 220 10.0 19.0 0.0 0.0 6 10 COMPLIANCE STATEMENT: The proposed building represented in this document 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 York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are allesling lImtto the best of hislher knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. {o~k- REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release Ic DATE: OS/23/03 TITLE: Repair of Fire Damage Bldg. Dept. Use Ceilings: [] 1. Ceiling I: Flat Ceiling or Scissor Truss, R-19.0 cavity insulation Comments: Above-Grade Walls: 1. Wall I: Wood Frame, 16" O.c., R-13.0 cavity insulation Comments: 2. Wall 2: Masonry Block with Empty Cells:lnterior Insulation, R-W.O cavity insulation Comments: Window.: [] 1. Window I: Vinyl Frame:Double Pane with Low-E, U-factor: 0.340 For windows without labeled U-factors, describe features: # Panes_ Frame Type Thennal Break? [ ] Yes [ ] No Comments: Doors: [] 1. Door I: Solid, U-factor: 0.490 Comments: I I Floors: [ ] I 1. Floor I: All-Wood Joistffruss:Over Unconditioned Space, R-19.0 cavity insulation I Comments: I I Air Leakage: I Joints, penetrations. and all other such openings in the building envelope that are sources of air I leakage must be sealed. I Recessed lights must be I) Type IC rated. or 2) installed inside an appropriate air-tight assembly I with a 0.5" clearance from combustible materials. If non-IC rated. the fixture must be installed with a I 3" clearance from insulation. I I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings. walls, and floors. I I Material. Identification: I Materials and equipment must be installed in accordance with the manufacturer's insta1lation instructions. I Materials and equipment must be identified so that compliance can be determined. I Manufacturer manuals for all installed heating and cooling equipment and service water heating I equipment must be provided. I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I I Duct Insulation: I Supply ducts in unconditioned attics or outside the building must be insulated to R-S. I Return ducts in unconditioned attics or outside the building must be insulated to R-4. I Supply ducts in unconditioned spaces must be insulated to R-8. I Return ducts in unconditioned spaces (except basements) must be insulated to R-2. ~~4- Insulation is not required on return ducts in basements. 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 pennitted. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pal. Ducts shaH 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 wUt has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [] 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 of New York State, the Residential Code of New York Slale 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 iulet and outlet uu1ess 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 Bot Water Systems: [] Insulate circulating hot water pipes to the levels in Table I. Swimming Pools: [] All heated swimming pools must have an on/off heater switch and require a cover uu1ess over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Beating 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. ~{/f+ Table J: Minimum Insulation Thicknessfor Circulating Hat Water Pipes. Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Up to I" UP to 1.25" 1.5" 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 Thicknessfor HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range ( F) 2" Runouts I" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressureffemperature 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) 40w