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Home My WebLink About31917-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 04/08/08 NO: Z-32970 THIS CERTIFIES that the building ADDITION & ALTERATION Location of property: 5300 (HOUSE NO.) County Tax Map No. 473889 Section 110 PEQUASH AVE (STREET) Block ~ CUTCHOGUE (HAMLET) Lot 32 SUbdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6, 2006 pursuant to which Building Permit No. 3191 7 - Z dated APRIL 18, 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 #5838 DATED 3/9/06. The certificate is issued to GEORGE K SIORAS (OWNER) of the aforesaid building. SUFFOLK CUW!on DBPAR'l'MBHT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3020662 11/20/07 PLUMIIKRS CERTIFICATION DATED 11/08/07 J.ZEES PLUMBING & HEATING ~iZ~ Rev. 1/81 ." -, -, 1:1\ (l eo>>- 'fSlf- tPsrt, .,' 'PR ~l {"'J._ , !lk.. ~ 'L __J I ..._ '--"-~ ; -:'., (:. T. .,' ,,- . -'.':'.0 l~--"--"--,,,,,--- Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features, 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1 % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. ~r~y Location of Property: 7300 House No. Old or Pre-existing Building: ;tJ,rt/IJW /;1/6 Street 6fo/?O~ k 5f'ORftS 1/ () Block IJ dO :? v (check one) /t6r#rJ6?/~ Hamlet New Construction: Owner or Owners of Property: Suffolk County Tal' Map No 1000, Section . Lot 0'3'2- Subdivision Permit No. 3/ 9/ 7 Date of Permit. Filed Map. Applicant: Underwriters Approval: Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ :2 S Final Certificate: (check one) ~. 7<(0 rt' c CI-t;- odq 70 1l~~ rt lcan! gnatUre 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) 18, 2006 PERMIT NO. 31917 Z Date APRIL Permission is hereby granted to: GEORGE K SIORAS 5300 PEQUASH AVE CUTCHOGUE,NY 11935 for : ADDITION & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING PER ZBA DECISION #5838 AS APPLIED FOR at premises located at 5300 PEQUASH AVE CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0005 Lot No. 032 pursuant to application dated APRIL 6, 2006 and approved by the Building Inspector to expire on OCTOBER 18, 2007. Fee $ 551. 40 ~~ C1L. , Authorized Signature ORIGINAL Rev. 5/8/02 .errFr.!~~~~1ID ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ JIM SAGE ELEC. INC. GEORGE SIORAS ~ ~ PO BOX 38 5300 PEOUASH AVE ~ E GREENPORT, NY 11944-0038, CUTCHOGUE, NY 11935 E ~ Located at 5300 PEOUASH AVE CUTCHOGUE, NY 11935 ~ ~ ~ ~ Application Number: 3020662 Certificate Number: 3020662 ~ ~ Section: Block: Lot: Building Permit: BDC: ns11 ~ ~ ~ ~ Described as a occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ = Basement, First Floor, Second Floor, 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 20th Day of November, 2007. I F.!I Name OTY Rate Rating Circuit I.Yill; ~ ~ Alarm and Emergency Equipment ~ ~ Sensor 2 0 Carbon Monoxide ~ ~ Sensor 7 0 Smoke ~ ~~~~~ ~ ffii Exhaust Fan 4 0 F.H.P. ~ ~ Dish Washer I 0 \.2 KW ~ ~ Furnace 1 0 Gas ~ ~ Air Conditioner I 0 24.000 BTU ~ ~ Wiring and Devices ~ ~ Outlet 26 0 Fixture ~ = Fixture 26 0 Incandescent ~ ~ Outlet 4623 00 General Purpose ~ ~ Receptacle General Purpose F.!I ~ Switch 34 0 General Purpose = = Receptacle I 0 20a Laundry = ~ Receptacle 1 0 30a Dryer ~ ~ Paddle Fan 2 0 seal ~ ~ Disconnect 1 0 60a Air Conditioner ~ I eM"'"" M No' "'" "' , 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, ~ mJG! . ~ i ~ ~ I i ~ ~ ~ ~ E Located at ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I I!I~~~I!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I 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 application of upon premises owned by JIM SAGE ELEC. INC. PO BOX 38 GREENPORT, NY 11944-0038, GEORGE SIORAS 5300 PEQUASH AVE CUTCHOGUE, NY 11935 5300 PEQUASH AVE CUTCHOGUE, NY 11935 3020662 Certificate Number: 3020662 Application Number: Section: Block: Lot: Building Permit: BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, 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 YOr"k, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 20th Day of November, 2007. Name OTY Rate Rating Circuit ~ Receptacle 6 0 GFCI Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 200 cb Meters: I 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. ~~I!I Town Hall, 53095 Main Road p, O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 \ \D /~L i. -'0~-~-lc~:,i \i rUI'. I\~ .' IU I . \ i L-. L~~.". OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD j c ~ R T I FIe A T ION -L-~ . DATE I II/flu? . Building Permit No. 3/9/7.z Owner: "" . ~IO",~ (please print) Plumber: J.2..u's (please I') ''''''''I~/''' J.- ...,. f.-kA""7J"';L- print) I certify that the solder used in the water supply system contains less than 2/10 of l' lead. ~~s~~ {]Ja... (J2 day of '1l~ -~F I -t! .df4)'l countY~9 f1t .""M j, NAGY NmolY Public State of New York N~, 4898735 Qua'nlld In Suffolk County CommlnelM ExpIres May 2011 Sworn to before me this Notary Public i APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman .._._.-_..-;---;~ r.:.~--'-, ,-", ;. f: .~~. I..: \ '" " 'i I 'I \ http://southoldtown.northfork.net I", . ! :ZONING BOARD OF APPEALS APR - 6 2J:S : - ji TOWN OF SOUTHOLD \ ';'~~~~_"~ "J,~~el. (631) 765-1809 . Fax (631) 765-9064 Mailing Address: Southold Town Hall 53095 Main Road' PO. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex /First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 FINDINGS, DELIBERATIONS AND DETERMINATION MARCH 9, 2006 ZBA Application No. 5838 - GEORGE and MARY SIORAS Property Location: 5300 Pequash Avenue, Cutchogue Parcel CTM 110-5-32 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 applicants' 13,000 square foot parcel has 65 feet along Fleet's Neck Road and 200 feet along Southern Cross Road, and is improved with a one-story frame house and accessory garage, shown on the September 21, 2005 survey prepared by John C. Ehlers. BASIS OF APPLICATION: Building Inspector's January 3, 2006 Notice of Disapproval, amended January 18, 2006, citing Sections 100-242A and 100-244, concerning proposed additions and alterations to an existing dwelling, increasing the degree of nonconformance when located less than 35 feet from the front yard lot line. (The January 3, 2006 Notice of Disapproval was replaced because the deck is proposed in a conforming location at the side of the home, rather than the rear yard that was noted.) FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on March 2, 2006, 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 applicants wish to construct a second-story addition (with alterations to the existing dwelling) maintaining the same 14 feet from the front yard line facing Southern Cross Road that exists. The height of the dwelling will be increased from 17'6" to 25'5" (measured to the top of the ridge), as shown on the January 9, 2006 site plan and elevation drawings prepared by Alta Indelman, R.A. (Job No. 2508). REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: Page 2 - March 9, 2006 ZB File No. 5838 - G. and M. Sioras CTM No. 110-5-32 1. Grant of the area variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. Owner/applicants wishes to add a second story addition within the footprint of the existing dwelling. The roof slopes will be maintained and the siding will be similar to the existing material. The proposed scale is in keeping with other houses in the neighborhood. 2. The benefit sought by the applicants cannot be achieved by some method, feasible for the applicants to pursue, other than the relief requested. The owner's/applicants' dwelling has a pre- existing non-conforming front yard setback of 14 feet instead of the required 35 feet. 3. The variance granted herein is not substantial. There will be no increase in lot coverage and all existing trees will remain undisturbed. The proposed addition is modest in size, and will replace the existing attic space with a habitable second story. The two covered porches on the east and west ends of the existing house will remain one story. 4. The alleged difficulty has not been self-created. The subject property is a corner lot with one conforming front yard setback of 64 feet from Fleet's Neck Road and a pre-existing non-conforming front yard setback of 14 feet from Southern Cross Road. 5. No evidence has been submitted to suggest that the proposed additions will have an adverse impact on physical or environmental conditions in the neighborhood. 6. Grant of the requested variance is the minimum action necessary and adequate to enable the applicants to enjoy the benefit of an enlarged dwelling, 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 Weisman, seconded by Chairwoman Oliva, and duly carried, to GRANT the variance as applied for, as shown on the January g, 2006 site plan and elevation drawings prepared by Alta Indelman, R.A. (Job No. 2508). Deviation(s) from the variance given, such as extensions, or demolitions which are not shown on the applicants' diagrams or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. 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 Oliva (Chairwoman), Goehringer, Simon, and Weisman. Member Dinizio was absent. This Res9lfJtion was duly adopted (4-0). ~1J_~ Ruth D. Oliva, Chairwoman 4/ ~ /06 Approved for Filing ',1 ,PR 8, I L_.. J L_Ir:~~c.,,~ ___. ' .2-.- JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 '.1 u~' Date: March 7, 2007 To: Town of Southold Building Dept. Deck Footing Inspection Sidras 5300 Pequash Ave Cutchogue, NY Permit # 31917 To Whom It May Concern: A Footing inspection was preformed at the above-mentioned Deck, and it is deemed that the footings were installed correctly and meet all state and local building codes. Any other questions please call. JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 Date: December 21,2006 To: Town of South old Building Dept. Re: Plumbing Inspection Sioras 5300 Pequash Ave. Cutchogue, NY 11935 Permit 31917 To Whom It May Concern: A Rough Plumbing inspection was preformed on the above property. A pressure test was performed on the plumbing system, and vent stack filled. Any other questions please feel free to call. .. .Mn II I:' .p , 9 , \ ~., . "'._J Date: October 18, 2006 JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 To: Town of South old Building Dept. Re: Framing / Strapping Inspections Sidras 5300 Pequash Ave. Cutchogue, NY 11935 Permit 31917 To Whom It May Concern: After a Framing, and Strapping inspection was preformed on the above house, it is deemed that all work performed was completed to plans and meets all state and local codes. Any other questions please call. '" 1. Deerkoski 3/~17z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING ~ FINAL ~: [ ] FIREPLACE & CHIMNEY [] RRE SAFETY INSPECTION [ ] RRE RESISTANT CONS1RUCTION [ ] RRE RESISTANT PENETRA110N REMARKS: E~ ~ ~ ~r~d-hfY' ~~, tI- ~ ~ Q'i-t>~ df ?5,oo~, F~~ 4, ~ of\, ~~~\ DATE /I-.s- -01 INSPECTOR ~ ~ 3/<=t 17 Z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [l( FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONS1RUCTION [ ] RRE RESISTANT PENElBATION 1 IJ () . ~ Df\~ IJ "" RE ARKS: ,:,~ ~ ,. ~.A.K- ~~ <lf~.~ b""LV;L~ . ;t!.P<L,/l E -GF ' ~~ oJ- c .JUtr \ g"-3- 07 - r , DATE INSPECTOR ~ ~ 31r172- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONS1RUCTION [ ] ROUGH PLBG. M- INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnoN \. DATE , - / ;L - 0 7 INSPECTOR #; ~ INSPECTION REPORT DATE COMMENTS UJ'" 1'0 FOUNDATION (1ST) ..D~ .... -..., ----J"" ~------------------------------------ I /'4. . ~ FOUNDATION (2ND) N/R =t~ , , \i0; z p \J\ \ IjJ / C) '" ( /.2LP V.II .-1 V ~ ROUGH FRAMING & '/ \. . 1'0 PLUMBING ~..., (\ ~ ;;: ~ . v\ 1-lrO r7 ~ Jl .() , (\4. 'OA, AI JU.I . ~~ r2..L/'),.' · ~ ,~ l/Jt.. /~ rf- ~ , /JJI A ~:/~ s:: 1;; INSULATION PER N. Y. . rt( ..., STATE ENERGY CODE t.-.J-o'1l~ dJ.1t. . A,iJ" .;; '-4-~ < <t ~ A_ A" ~ JlJCi::\ /,...AfJ -br- I. 17 nA~ AL !,Li.--.~~I y/ III .~OA"-.A f:c-: - .J, ,,~ .; /'lJ.<.I l' ...t A"~ t /I/~ fJ~-t;;::; , 2J..'_ a A ~ /Jr/J I) k c.Ji. () ~ .~~ v tT. ~ .. /tY::. . 1\ . I - , ('(\ I ,......~- 07 '1-\,""""1 ~ o'W -'./ ./.PJ) . . 0,; . - 'k. -A ~.n h:' Y' CJ.-J\;;F /\/iu. \AI d";/....I ~ , y v """i: '-- (} . ADDmONAL COMMENTS '0 . . ... I0 fo/IX..oj. f.-t.c.\J f t= MAi M.-: r-A A '... "- ,h>i:. ~;,. v ~jY" /. =t> h-,\- o~ t) ~J nP.. n '_ J Lb..n l~~.~. rL/..cJ-I-Ir:-:--()'t' ~q' lJ ~ W . ~ IF I - -. 'W ~ FINAL ?: >:: 4 --- 1'0 CJ ~ \ .... ~~ < ..., o .... -.J~ " == ~~ ----- ..., :p; 1'0 '" ~ " TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOPi'HOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSoutholdJ 3/'11 Ie- 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 Fonn N.Y.S.D.E.C. Trustees Contact: PERMIT NO. Examined Approved Disapproved ale If, r 20ce. '2012!:... , Mail to: /r(/%.20J2)' I :,1 \lJ \ ~ :' ......,... . 1.1' I . I;' / , :/~_. BuHdll}t'lnspC\.ou::'1 - ) Expiration Phone: " ',' ~ 1 ( I '1,1 APPLlCA nON FOR BUILDING PERMIT liGll,.. '"1:'a"on'~,:J INSTRUCTIONS Date t>e'E:Mf,~~ 2~ ,2005 1\ ,.~ '{biS 'ii lie .". completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 . n-ti ~iltlns. accurate plot plan to scale. Fee according to schedule. ~.. b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may Dot be commenced before issuance of Building Pennit. d. Upon approval of this application, the Building Inspector will issue a Building Pennit 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 pennit 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 pennit for an addition six months. Thereafter, a new permit shall be required. APPLlCA nON IS HEREBY MADE 10 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 r demolition erein described. The applicant agrees to comply with aU applicable Jaws, ordinances, building code. hou n e, and gu tions, and to mit authorized inspectors on premises and in building for necessary inspections. \ State whether applicant is owner. lessee, agent, architect, engineer, general contractor. electrician, plumber or builder (Signature of ALiA fN/)(:J..M.AfJ, AR.CHIT~cr 451 ~OOMf" <;r; SUiTt 'Z~ N.l.(. N.~.lol>f'?> (Mailing address ofappliCBnt) I AFPLICANr IS T/-f~ ARCH} rf:Cr Nameofownerofpremises Gf5-0~ 1"\, SIORAS (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. S/A~OFN'1 ~~("jS~~l:>.4I(C:IfI~r fVo.IS'3>\?5 1. c.urCI-lO&U~ County Tax Map No, 1000 Section Subdivision N A (Name) 110 Block '5 Filed Map No. N A Lot Lot 32- NA A ~ TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold! BUILDING PERMIT APPLICA nON CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Sumy Check Septic Fonn N.Y.S.D.E.C. Trustees Contact: Mail to: - PERMIT NO. Examined Approved Disapproved ale ,20_ ,20_ Expiration Phone: ,20_ Building Inspector APPLICATION FOR BUILDING PERMIT Date '2 r~8fWAR1_,20~ 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 Dot be commenced before issuance of Building Pennit. d. Upon approval of this application, the Building Inspector will issue a Building Pennit 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. EvelY building pennit 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 pennit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the iss Building Zone Ordinance of the Town of South old, Suffolk County, New York, an th a licable La s, Regulations, for the construction of buildings, additions, or alterations or for remo 8.1 0 applicant agrees to comply with all applicable laws, ordinances, building code, h sin c authorized inspectors on premises and in buildinlZ for necessarY insoections. Aha Indelman, Architect 451 Broome Street New York, N.Y. 10013 Tel. (212) 219-1774 Fax (212) 219-0084 e.mail aindelmanaia@earthlink.net ( (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder APhlCANf IS 11ft- ARCJ..j/!1fc, Nameofowoerofpremises G6.0p-&e F;'. SIORAS. (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate offic~r) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. s:rA~ Of NY 1<~..&ISre:~~'D ARGH'nc.r No. \ 51 gS 1. Location oflaod on which proposed work will be donef.4l.-.6. ~ ~ ~ "'5 ~OO O~UA.s: H AVr.l\)tJr. l,plVl . 5 Nf:GK I<OA"Gf C UTC:H06U~ House Number I" treet amlet County Tax Map No. 1000 Section Subdivision f'J A (Name) 1\0 Block ? Filed Map No.-N A Lot "t, ~ Lot --f'.I A 2. State existing use and occupancy of premises and intended use and occupancy of proposed onstruction: a. Existing use and occupancy . \... 1.1. b. Intended use and occupancy SIN&L.1f rAMIL.~ 1>W~L.LIN& 3. Nature of work (check which applicable): New Buildin. Addition / Alteration / Repair Removal Demolition Other Work 4. Estimated cost_iJ 00 I 000 Fee (Description) 5. If dwelling, number of dwelling units II garage, number 01 cars (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. I I q' II 7. Dimensions of existing structures, if any: Front '2. '2. Rear '2. .z Depth --A .Il Height~NumberolStories I Dimensions 01 same structure with alterations or addi~ons: Front '2 'Z ' Rear '2. -z.' DePth~Height 'Z'S~4 1." Number 01 Stories 'L.- S. Dimensions of "P-tire new construction: Front '2 '2. I Rear 'Z "'2. I Depth '> '2. I Heighq!.lf'lqll,Mt"t NumberoIStories-'--gro~'1' ADDf:p A~Vf ~IS'T1rvr,,<;'J'?>p..'r 9. Size ollot: FrontiG<;' I Sf, Rear ~'5 I Depth '2. 00 I 10. Date of Purchase \qlo Name of Fonner Owner wILL.IAMS t:,C;"fAT-E 11. Zone or use district in which premises are situated ~ 0 IC NO~ f:.'><lSilW& C;f'n~Ac.k' 12. Does proposed construction violate any zoning law, ordinance or regulation? YES ~ NO _ . I S No N CO,vl fl. IA-1V'f" 13. Will lot be re.graded? YES NO / Will excess fill be removed from premises? YES NO - - 1.'2 I3RIN6'lt>N~fP. ~ - 14. Names of Owner ofPremisesG~~ K, SI~a:.dres~'*1 MA O''r>h~NO'~~Z:;'Z'' 'Z S?~ Name of ArchitectA(.'fA f1l1l!;._N.. ~Address t1lt ~~;,$~ Phone No __ 'ZI1. /111: Name of Contractor Address _ '~ '------'--'---I Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? oYES _ NO ~ o IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BEJU'QUlRED. b. Is this property within 300 feet ofa tidal wetland? 0 YES_NOL- o IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distimces 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: I COUNfYOF~~tUV+ IJ L TI1 t!; tM II ~ beins duly sworn, deposes and says that (s)he is the applicant (Name of in lvidual signing contract) ve named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have perfonned 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 perfonn. ed in the manner_~et forth in the application filed therewith. ~ Sworn.to before me thiS~ t. ^ day of . c..L, 20~ ' r"7A ~'-" ~/ (t c A' -' ...<.-< .' Notary Public Signa e N LEONARD CECERE olary Public, SlIIte of New Yon No. 31-4711987 Qualllied In New Yo.~ntv ," ~Ia.ion Exoi_ , ~ ,z..~ p-.. '\ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ;I. Existing use and occupancy SINt1-U: pAMI!., t>W~LLI/IJ(.. b. Intendeduseandoccupancy SINGLE:: FAMIL.VJ"PWf.:LL.INC:r V 3. Nature of work (check which applicable): New BuildinR Repair Removal Demolition 4. Estimated Cost-.iJ 00, 000 Addition Other Work Alteration V (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy. specifY nature and extent of each type of use. I ,4.q ~ 0 II 7. Dimensions of existing structures, if any: Front '2.'2.. Rear 'Z. '2,.' Depth ~ Height I' '. ~ II Number of Stories , Dimensions of same structure with alterations or addtlions: Front '2 Z. Rear 'Z. '2.' Depth +~. 9)" Height z.'5' Number of Stories '1., 8. Dimensions of entire new construction: Front 'Z. 'Z. I Rear 'Z. 'Z,' Depth '7.z. ' Height1~qT Af>wEi (:-XISf. Number of Stories I S"TtlR'1 Al>'I>E:'t> A&VE ~X1ST1NG- I STOR'( /.~' Rear /0:::' Depth /lOO' 9. Size oflot: Front VI ~ vrJ '- 10. Date of Purchase jQ10 Name of Former Owner iN I l..t..l AM 5 ~-4o e.S-(A1"'e: 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO_ N6~Tlf ~I sn~ 5~Mcf( ... - 13. Will lot be re-graded? YES_ NO./ Will excess fill be removed from premises? YES_ NO_ N A /VDNl4Mf/.1ItNr. '2.5 0~ING-T\N r;:CM> ~ 14. Names of Owner of premises G~~ k, S/D~ddressl!>P,ob"L'N~ (ttrZ./'f(Rhone No (;,(~'Z;.z. Z'5~ Name of Architect dl. rA 1Nr>l:u'iJAt'V"'I.CH.Address4<; I fhRorJIA <:;T', Phone No(! l1. '2". l'1i_ Name of Contractor Address N'1 N7 (()(Jl~ Phone No. 15 a.ls this property within 100 feet ofa tidal wetland ora freshwater wetland? "YES_NO V " IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE lUlQUIRED. b. Is this property within 300 feet of a tidal wetland? " YES_ NO ~ " IF YES, D.E.C. PERMITS MAY BE REQUIRED. I 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: COUNTYOJiR/u'r}J: ALi"A J NDE.LMAN being duly swam, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ARCHIi"~(,T (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to pc1fonn or have perfonned 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. Signature of Applicant Sworn to before me this n ,.... 2 ?" dayof U.LL., 20 a J ~XQ~'/ f'J"f..ALAR Notary Public LEONARD CECERE Notary Pub1lc, StIle of New York No. 31-4711887 Qualified In NewY~ ~ ".ommlssion EXDira I J.-' ~ '0 , / ~ j EXISTING ENCLOSED PORCH ~ ii: ~ ~ fl C) z t5 i5 ~N SOUTHERN CROSS ROAD NEW 2ND STORY ADDITION ABOVE EXIST. 1-STORY 200' ... ~ NEW OPEN DECK Ii II II EXIST. \ Q CONCRETE \\ STEP :~_ ---Cu-- _-~----- -- u ~-r -- ---- EXISTING : \ s: ENCLOSED \ ~ PORCH I ~ II'" .<( I:;: II,.; (~~ \ 5 \ \ \ ~ I - WALL\ a.eN 261-3' NEWAC COMPRESSOR ON CONC. PAD WALL a.4N - EXISTING CESSPOOL ADJUST GRADING LOCALLY AT STEPS TO DECK. iB Sl o IX: ~ () W z tu w -I u... .' ;pJ:/ JJ( (\{ \~ ~) . ~\~) 7, ~ j , 1 SIaRAS RESIDENCE 5300 PEQUASH AVE. CUTCHOGUE , N.Y. ARCHITECT: ALTA INDELMAN, ARCHITECT 451 BROOME STREET, SUITE 2E NEW YORK ,NY 10013 TEL. (212) 219 .ln4 FAX. (212) 219.0084 E.MAlL: alndelmanela@earthllnk.net . Permit # Permit Date Generated by REScheck-Web Software Compliance Certificate Report Date: 01120/06 Energy Code: New York State Energy Conservallon Construction Code Location: Suffolk County, New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: 7.000000000000001% Heating Degree Days: 5750 Construction Site: S-;OD ~~tl tbV~~r/Agent: ~ K,. $'IOMS Designer/Contractor: ~Hc(,,06- ., Assembly ..... partly flat with attic above: Flat or Scissor Truss: Skylight 1: Wood Frame, 2 Pane wI Low.E: Wall 1: Wood Frame, 161n. C.C.: Window 1: Wood Frame, 2 Pane wI Low-E: 1035 15 988 74 0.650 19 10 42 48 30.0 25.0 15.0 13.0 0.650 Statement of Compliance: 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 ConselVation Construction Gode requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. Aha Indehnan, Architect 451 Broome Street New York, N.Y. 10013 Tel. (212) 219-1774 Fax (212) 219-0084 e-mail aindelmanaia@earthlink.net I FE~. :2004> Builder/Designer Date Project Notes: " r fEBlJ' i :- ,r i ...r,",'. __~~ ;..J..::...-:-_-- r, Page 1 of4 Generated by REScheck-Web Softwar Inspection Checklist ,. . Date: 01120106 Ceilings: o partly flat with attic above: Flat or Scissor Truss, R-30.0 cavity + R.25.0 continuous insulation Comments: Above-Grade Walls: o Wall 1: Wood Frame. 161n. e.c., R-15.0 cavity + R-13.0 continuous insulation Comments: Windows: o Window 1: Wood Frame, 2 Pane wllow-E, U-factor: 0.650 For windows without labeled U-factors. describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: Skylights: o Skylight 1: Wood Frame, 2 Pane wi Low-E, U-factor: 0.650 #Panes _ Frame Type Thennal Break? _ Yes _ No Comments: Air Leakage: o Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. o Recessed lights must be 1) Type Ie rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-Ie rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: o Required on the warm-in-winter side of all non-vented framed ceilings., walls, and floors. Materials Identification: o Materials and equipment must be installed in accordance with the manufacturer's installation instructions. o Materials and equipment must be identified so that compliance can be determined. o Manufacturer manuals for aU installed heating and cooling equipment and service water heating equipment must be provided. o Insulation R.values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: o Supply ducts in unconditioned attics or outside the building must be insulated to R~8. o Return ducts in unconditioned attics or outside the building must be insulated to R-4. o Supply ducts in unconditioned spaces must be insulated to R.8. D Return ducts in unconditioned spaces (except basements) must be insulated to R. D Return ducts in unconditioned spaces (except basements) must be insulated to R.2. . Insulation is not required on return ducts in basements. Duct Construction: o All joints, seams, and connections must be securely fastened with welds. gaskets, mastics (adhesives), mastic-plus.embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 1818. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pal. o The HVAC system must provide a means for balancing air and water systems. Page 2 of 4 { Temperature Controls: o Each dwelling unit has at lesal one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: o Separate electric meters are required for each dwelling unit. Fireplaces: o Fireplaces must be installed with tight fitting non-combustible fireplace doors. o Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Gode of New York State. the Residential Code of New York State or the New York City Building Code. as applicable. Service Water Heating: o Water heaters w.ith 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. o Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: o Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: o All heated swimming pools must have an on/off heater 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: o HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. Page30f4 , Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Heated Water Temperature (OF) 170-180 140-169 100-139 Non.Clrculating Runouts Circulating Mains and Runouts Upto 1" Up to 1.25" 1.5"102.0" 0....er2" 0.5 1.0 1.5 2.0 0.5 0.5 1.0 1.5 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Piping System Types Heating Systems Low PressurefTemperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water I Refrigerant and Brine Fluid Temp. Range("F) Insulation Thickness in Inches by Pipe Sizes 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" 201-250 120-200 Any 1.0 1.5 1.5 2.0 0.5 1.0 1.0 1.5 1.0 1.0 1.5 2.0 0.5 0.5 0.75 1.0 1.0 1.0 1.5 1.5 40-55 Below 40 NOTES TO FIELD: (Building Department Use Only) Page 4 of 4