HomeMy WebLinkAbout33765-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-33121
Date: 06/25/08
THIS CERTIFIES that the building ADDITIONS/ALTERATION
Location of Property: 2245
(HOUSE NO.)
County Tax Map No. 473889 Section 111
HAYWATERS RD
(STREET)
Block 7
CUTCHOGUE
(HAMLET)
Lot 4
Subdivision
Filed Map No.
Lot 11Io.
conforms substantially to the Application for Building Permit heretofore
MARCH 24, 2008 pursuant to which
filed in this office dated
Building Permit 11Io. 33 765 - Z
dated
MARCH 24, 2008
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 AND ALTERATIONS, INCLUDING DECK AND COVERED PORCH, TO AN
EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to HARRY BRYAN & PATRICIA REILLY
(OWNER)
of the aforesaid building.
N/A
SUFFOLK COUI!ITY DEPARTMENT OF HEALTH APPROVAL
03/07/05
ELECTRICAL CERTIFICATE NO.
2030960
06/13/08 PECONIC PLUMBING & HEAT
PLUMBERS CERTIFICATION DATED
Rev. 1/81
,
r--~._-____.__.~_
.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
r-
,I
-~I'
.: -,
.
L.
~
~
e--, I
,j' ')1
APPLICATION FOR CERTIFICATE OF OCCUPANCY
/'..)
CY1
,
)e....=I'
" .-~::."j
,
.'~-~
~-!
-;-'1
---jJ
.5
This application must be filled in by typewriter or ink and submitted to the Building Department with the fqllowing: .
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 I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, 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, comm::ti:.1 $15.0, J d. :3 f 0 /f
New Construction: Old or Pre-existing Building: V (check one)
Location of Property: d~~YI.\JMeo.s Rb~ ~(lk=hoaue...
House No. Street J
Owner or Owners ofproperty: -1! '\1112 Y BAy tI ~) I rn-I:U't': i A- l?e..tLty
Suffolk County Tax Map No 1000, Section ~.=r.~ 8'8~ {/1. '-+-YBlock Lot
Hamlet
Subdivision
Filed Map. Lot:
Date ofpermit. 3/~\jl O<?' Applicant: fi "'~y 8/1.Y4,4 F1iFi-/~rll Reilly
Underwriters Approval:
Permit No. 3.~ 1--'''' S'
Health Dept. Approval:
Planning Board Approval:
v
(check one)
Request for:
Temporary Certificate
Final Certificate:
Fee Submitted: $ r4 ~ h D
c.to -.2 3~ l,) I
~~ 7V53y
Town Hall, 53095 Main Road
P.O. Box 1179
Soulhold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: b Uf to J1
Building Permit No. 33~> / lCf'i1-;.
Owner: 24T e~u1 l A-inta... ~t'\t"1\.
~
Plwnber: ye(!.oVLC'(' {4 b-l
G LoVCj (p~eJ~n2~vy ::J~
I certifY that the solder used in the water suPpJy system contains less than 2/10 of 1%
lead.
0~/1!..~
--
Sworn to before me this ~
day of 0\..4--V\- ~ . 20~
~e.:\4' f1l~
Notary Public, ~\.l t+v\\c...county
VICIIIL. LOPER
NolIry ""bIIe,~,!t of New 'IbI1l
No. 011.....,70081
QIIIiliIel'SUIIoILl'.ounlr
eanoAilslan_ eJ. _,Jq -/0
~.'fO ~....,'.,.
",:,"':1 I
@)~~~@)
~
~
~
~
~
~
~
~
~
~
~
~
I Located at
~ Application Number:
I Section:
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~ Dimmers
~ Paddle Fan
I GFCI Circuit Breaker
~
~
~ \- ,-
@)~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~~@)
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
ROSLAK ELECTRIC
P.O. BOX 164
CUTCHOGUE, NY 11935-2453,
HARRY BRYAN
2245 HAYWATERS RD
CUTCHOGUE, NY 11935
2245 HAYWATERS RD CUTCHOGUE, NY 11935
2030960
Certificate Number:
2030960
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, 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 7th Day of March,2005.
Name OTY Rate Ratin. Circuit ID!!
Alarm and Emergency Equipment
Sensor
Sensor
Appliances and Accessories
Dish Washer
Range
HY~IO M.ssage Tun (Therapeutic
Wiring and Devices
Outlet
2 0
5 0
Carbon Monoxide
Smoke
o
o
o
1.2
11.0
KW
KW
Fixture
Flourescent
Incandescent
Incandescent
General Purpose
General Purpose
General Purpose
IS 0
I 0
14 0
I 0
24 0
13 0
IS 0
3 0
2 0
I 0
20 amp
Appliance
Fixture
Fixture
Heat, Light, Vent
Outlet
Receptacle
Switch
seal
Continued on Next Page
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.
r-----
@]~~@]
1 BY THIS CERTIFICATE OF COMPLIANCE THE 1-
~ 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 ~
~ ~
~ ROSLAK ELECTRIC HARRY BRYAN ~
~ P.O. BOX 164 2245 HAYWATERS RD ~
~ CUTCHOGUE, NY 11935-2453, CUTCHOGUE, NY 11935 ~
~ Located at 2245 HAYWATERS RD CUTCHOGUE. NY 11935 ~
~ ~
~ Application Number: 2030960 Certificate Number: 2030960 ~
I Section: Block: Lot: Building Permit: BDC: ns11 I
~ 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, 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 7th Day of March, 2005. ~
ii!l Name OTY Rate Rating Circuit IYm< ii!l
~ Receptacle 5 0 GFCI ~
~~ ~
~ I Phase 3W Service Rating 200 Amperes ~
~ Service Disconnect: 200 cb ~
ii!l Meters: I ii!l
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ seal ~
~ ~
I 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. ~
@] ~ ii!lil!Iii!lE!I~~ @]
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
33765 Z
Date MARCH
24, 2008
permission is hereby granted to:
HARRY BRYAN
129 BAY RIDGE PKWY. ,NO. 3
BROOKLYN,NY 11209
for :
ADDITION AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR. THIS PERMIT REPLACES EXPIRED BP # 29973
at premises located at
2245 HAYWATERS RD
CUTCHOGUE
County Tax Map No. 473889 Section 111
Block 0007
Lot No. 004
pursuant to application dated MARCH
24, 2008 and approved by the
Building Inspector to expire on SEPTEMBER 24, 2009
Fee $
274.80
ure
ORIGINAL
Rev. 5/8/02
----~
_..__..,--_..._--_._-----~_.
.
-.
2=
:;.
\Q
l'-
l<')
~"'S~ 44- :.-
I.l.J
{~
I.?~
,
"-
39.3
"15.;2.01'1:.
1',1"
10D.0
.
o
o
\0
1\I
l.J1
~
~
.......
IJ)
~.
~
Pr2epCflf;[7
I?!?u/C
~f~
;:- A(?Of'~
,..
.
(/\
hI
~
~.l! If;,d 15' .
:~ '20, 0 '7 'G'\
~ v.:. ~/ .'" lr)
, / ,'/, t,) LJQ' 1.,
\: <;";' ..,.&r:. ;./ ~. I t-
.~-+'--' ~~I- ]
:l "ti f {~:~~: ~
-~_.!~~_.
~ 7/Z,c. t (pO
?mpoYie [? ~~ ,
C.Ovrg~>> ~ ~
.PtJUH ~
r.
l--
l\I
'<
"
oi:4
..:"',-
N.2. '0" V'I,
IO(), Ci ..',
(,
,~
()
o
V.
lI.I
. 'ot ,t."
~ i 1'1.. o;~j
l:'-
If)
ti'(.)'!
I
-
L~
'"..~,
~ q
~ "
1"-,
VI ,
r"
04.. "'\
..-
" .
\-:t
>-
. .
h ~
~ <l
o oJ
l\. ~
I- I,
...::::. :>
~ ~
lot)
") ll.
~ ,)
.~ ~
. }:
~
..
....
~
'"
"
~
O'i ~...
I\! I, ,
,() ,,\~.,t-
Io!',' l
1" ~.....
()\ 'l~
III " I
" "
<II ,~<:)
Z ',;1:1
-~ ~~'-
... ~.
'- ..
I-
'-'
'~I"l"" " 0 '"
<':;".n...'~. L' ,', ,.~' ~ ,,~
^ J < ~ ,.:': f; It .....,.1 .~!
.--- ~ : ~ t " ~ ~ ;' '. 'j ~ I
--~"... jJ r' 'J. h I
~!fO<~"1>. 'J1' t. lil,S"5"",
~'+-- ~'-.~AC;.' " ;1 lilY ,~~ ? t: .~ ,i
F \.\'l L I) '. .., .\ . ~ << . "" 1i .2'1 . ~
__.. _ " .... _...II! "'~"""{\--- ,.'. f/S.ll ! Ii" 5~ j!i ~
.). ~ __"Vi J) ^ -I" . a::.~, -til!~>>III.
~'~ .'b,.,,'" "."', S<fi"'....~""".
U,I _ .r..~ ~'"l N of .' -:.- Jl ."; ~.
z > ~."fl.. '.Io/j ff) let It '. t 4. ,~ ~ c Ii .;" ~ ~
.J.. '. ~1t' ..I ; 'I.; 5 i 01 II 0 CUI" .~
\1.0 i.) \~-v. F -.J I' 1- 7,... :J":'''~'.;1 <t: " '/d
'('1 '10 i,!I-,1____ 0',' );;' ;: " lo) r. l';. s: l ',1 ~ ~ ~- .
.. ,,"'.~~ .'\ ."'f.' I . . " ~ II ~. r:".'.'
~ ');"';:0 '/,.VJ 'I ' r- .. .,. Z ~."; l ;,' ."
'~..(ja.,~..~../.I ,~, !!! i.- t: '.~ L t'
.,...... .I.~ '" \.~.Ar." ". . ( . . .
'~::'::::r-;;~~~ : ~' '
"~' HA YtNl'ITE R..s
. ",". ,..,'.--....-.......- -...-. .,'.'''....--...
~
'-..-.. -..---.::.:-,
..... '0'
... ."", ~)O ,
:{ '-~ 1
....~.,J
~
=t
V)
\(}
\11
6 I..)
Co! '>
~ <:...
r.1'
-1 ..
.:) .~
I.
Ll. lu It..
>-
() III
~ > ..~
~
q: ::. ')
~ ")
~
€C.
'J-
'.
C"J
'}
-+
...
"'"" '^
.! ...:-0 I ~
~ <ll _',
"~'7-- ~
"> ....? ! \i ~,'
-,,~, '~ ;': I
Q ~~ i ' 1_ '''l <. I
-t: i- ' -...:' "
~ -\:: ~l ~ j '''(y,..:
-:t ::s ' : >:P c I. I
l) ~ C ~: h. " ,)
~II'\' .,~! t'"7 '-l't
~ n a t,l 0\'1 ". . ""'"
-\: ~ t- r-. -;,;; "', I.."
,.5 1\ ..,a I ,,'~ ,-. '-.
",~\i~tt:"'" ~''\
\1 t: .~"
.:! lJ :'''1''11 \: .~
~ ~ k~'li~ .~
~ ~.. ~ l:, cl
~ 1Il~ ~~, t.l
'6 ~"~l
-
II
,'='
~
!'
~.
"
"
c.
~r
"
II
'..
" 'l:
. I
i- t'J
t
't- "
~ ~<( ,~'
?> ~., (.)
'f (,0
J~'2-
3H
3'0
L
\~~ 'b ~ 1.--
~~.;
3 ".....1(
~.....'-'
.-Q
". .:?Z'
~ \i 5:
... '\-,.,~ . ,.
~ j
q..... \J '4
'~-..:.. a 0 ~
~ "-...\al ~
L. ~"" ,~,
.." :) .7... ":,1 "
l ~ ...... ~
li VI ';J" '.
..c'''l...,.., ~
~ ~ ~ i
~ ..
..... f)''O'" i
,) '. .~. ~ \)
J '.-
..) i.. ~ .:
.. ~:.~ ~ . ~ ".J
'l/'j 0'''' ~
~. \"...--
." .~ "~J' \l.J
~ '
i"
,
,.
;"
~
,
"
(
'.i
, , . ~
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
29973 Z
Date DECEMBER 23, 2003
permission is hereby granted to:
HARRY BRYAN
BROOKLYN,NY 11209
for :
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at
2245 HAYWATERS RD
CUTCHOGUE
County Tax Map No. 473889 Section 111
Block 0007
Lot No. 004
pursuant to application dated DECEMBER
1, 2003 and approved by the
Fee $
274.80
Building Inspector to expire on JUNE
ORIGINAL
Rev. 5/8/ 02
~ Y~!?6
PROFESSIONAL ENGINEER
1725 HOBART ROAD I PO Box 616, SOUTHOLD, NEW YORK 11971
TEL 631-765-2954' FAX 631-614-3516 . e-mail: joseph@fischetti.oom
Date:
Reference:
November 18, 2004
Permit #29973Z / 2245 Haywaters
Southold Building Department
Main Road
Southold, NY 11971
Dear Sir,
In inspected the insulation and rough plumbing at 2245 Haywaters Road, in Cutchogue for the
above Building Permit. I certifY that the insulation and rough plumbing meet New York State Building
Codes and that the pressure test of the plumbing supply and waste piping were completed satisfactory .
!
.
Bl)IlIlln5pection-m&.pkumlng.cb:
~ y~gg
PROFESSIONAL ENGINEER
1725 HOBART ROAD I PO Box 616, SOUTHOLD, NEW YORK 11971
TEL 631-765-2954' FAX 631-614-3516 . ..mail: joseph@fischelti.com
Date:
Reference:
October 19,2004
Permit #29973Z I 2245 Haywaters
Southold Building Department
Main Road
Southold, NY 11971
Dear Sir,
I inspected the steel strapping and rough framing for the decks and alterations per the above
Building Permit. I certify that all have been completed in accordance with the submitted plans and in
accordance with New York State Codes.
Br)aII~'IW&brramins-lb.:
33l~~2
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRlJCnON
REMARKS:
[ ] ROUGH PLBG.
[ ] I~LATION
[;(FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
.... ~
-
~ 'A.f. "-
.J.Q A-1-1,~'
DATE
0/i7 /0;
I I
INSPECTOR
J1Cj'7 ~ ~
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] ~NDATION 2ND [
[ .{ FRAMING [
[ ] FIREPLACE & C IMNEY [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
INSPECTOR
,?-q,\13
765-1802
BUILDING DEPT.
INSPECTION
[~UNDATION 1ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: fl ~fJ <) k.olAJJ AN6f.w({ Sf> If;
A.:( 2. \ D. c. , 11-12 5' kGvltP ~
5/9.\\
,
DecK .fboh~~ 5 10 gC (~S~~~])
J (Mi-\I fou:;~
DATE ~~,~ INSPECTOR&~.r
USE NO. STRJ!lET HAMLET
^ i u '):J'-\S' ~n ".112' ,~ r: .-\--r"
f".......... ,
. , ' jl,.-,)
~ " (\ <1\
,<; ~~ ~ ~ )\~
, ~"~ .... \'\\1.:
, A",:~~~
~ ',~
~~.,~ ,,!j~;,
"', . "" , ~"
"" '- l ,."
,~ ~ ; \ N
,~ ~ ';~
~ ~'.h...
. ""I.I l~ -~,
')-. f::t ~I-:,
. ,,~~ PO.. t
, ......::: ; l"il '
" '- I..;
,\ ..; '4' ~ ,[~ '
~..'1:i, ~ I-- "
~"
"I"':~
l'ERMlT#
-~ 37h;)
,
.,J I
:.tf..5l . .
-:;~ "l'
1~ J 1
~ ~
'" VI tL
I 0
'f-s
"
'I Lf::1l
, Ir l
. , ,~
. 8''::
, ~ \J
1 0
,'"
~11
'-'
i~ "..l
~ ,
:;~ ~
.71k
-Z
N ~ ':
'2 I t
~ :: I~ y.
J~ ,,~~ _
"lJl
-
I~~
It'
.~
J.. ~, "
, ! z
I I
's ~
w
~
~"
;,f
~ '.
o
'"
--::;
.~'
;-...
cIil
II
m~
~
,
/
~!
zg
"
~t:
- Je..,
~~~ .
~Ii~ .
,~ \
~~~
, ,
~
I... ~
~ ' ~ ""
, ~~,
u
"', )
( " !
(~ /
'-
~"
" ,~.
'f\
I~
~:
j
I (. ,., ~
j
u
~
I
, "'"
..~
I
.
OWNER
,\
,4;
"
..
I,
,
It?'
IXPIRAT,ON
, 9/a'l/ ~
,
)
"
HEALTII DEPT.
-
"-
.
'.
/
, .' I Ii
,
I I
.'
,--
.
TOWN OF SOUTHOLD
BUILDING DEPAR'fMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoId/
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. ;2qc, ':t 'JZ2:/
Examined
Approved
,20-.--J
,20--3
Expiration
,20~
Mail to:
L
Phone: 150-~1qtf 8LI3EN
&tiJlJtJl.l1
WD~~
'+\:')\e...oc~
,<"6,- ~~\.,,-::,C\O~
.-
APPLICATION FOR BUILDING PERMIT
\ 'C).~
Date
,20_
INSTRUCTIONS
. . .
a. This application MUST be comJietely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, acc,Urate 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 conunenced 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 conunenced 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.
k0YNl (,' [ Q.. f-fcu-rrt.J.L;
(Signature of applicant or name, if a c~rporation)
u.',)CJ 0AN"Si'Ot'-l (2.Ji::> (C.'RJ-\DLILl(
(Mailing address of applic.!nt)
State whether applicant is owner, lessee8architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises It A I~ R Y 1-312. '( Pi I\.J ~~ "PA rjC.I C i Iii R (I LL'(
(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:
c9-~4t:j HtlYuJr,rei2S 12D CJld-kx\lJF, N.Y
House Number Street Hamlet
N!\<;~u
~~- -
, I
lit
County Tax Map No. 1000 Section j ^'t,i'J
Subdivision Nfj<;9.-1L, PC'.ltJI {;..u.;o pech's,
(Name)
Block ro,.
Filed Map No.
'7
9J{)C"
Lot 4
Lot
2. State existing use and occupancy of premises and intC?llded use and occupancy of proposed constructi~n:
a. Existing use and occupancy .!Po? 'U (1,u' ) ..:- t,
b. Intended use and occupancy , L t'{L<--cU 1.:.:t-
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
FRc',Y.J r c (."y1;'l2tar.> J- I~IJ ~11i!. AIX't 0Etk
I v'"
Alteration
;/
4. Estimated Cost
.:z; ?( ~ ('el' t, ('
,
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. ~
/
(To be paid on filing this application)
Number of dwelling units on each floor I
.
7. Dimensions of existing structures, if any: Front ,,;.,0' ! Rear
Height / L/ ~ C/' Number of Stories /
Dimensions of same structure with alterations or additions: Front U' 5 '~ Rear &, 5 '_7"
Depth 5' '2, i Height /4: &, " Number of Stories I
Fi!CNT PC/ZLH, RFi-/"Si4DCO/T' 0/(/ 117mlj
8. Dimensionsofentirenewconstruction:Front '2'2'xt,' Rear Z:Z><./C" Deptft- /)'2/
Height /4~{pf' Number of Stories / p-r:;Ar.:D~t..i<. '20'Xlf?'
Itl' I I' I/O , Depth '7~c.1
9. Size oflot: Front _~ Rear. 1L!L <-- .I
&,6 .
211'1
Depth ,"f'-
10. Date of Purchase
Name of Former Owner
:YffE4
11. Zone or use district in which premises are situated
\
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO-----K..
13. Will lot be re-graded? YES_NO L Will excess fill be removed from premises? YES_NO 1
. H4RRy BC)14iJ I'~(J &4'1 Fe/DelE Pk't..V( r> 1.;:;1, ..7,Q 2
14. Names of Owner of premIses , , Addressry;;l;(.'/<..l--'r'N';Nr Phone No. /I~ vA" ./;0:,
Name of Architect ['I lkf'tJ hAlvTG/..A Address [;':J(c i,f,:.)),67;;A.i eD Phone No '13 - JIf!,711' <f
Name of Contractor Address Phone No. '
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO -$-
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E-C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
1\1 CI-iAf2..D A HA YIJI[ being duly sworn, deposes and says that (\)he is the applicant
(Name of individual signing contract) above named,
A LltNT
~He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this [)eu;
I day of 1,'/ilk!2- 20 ()>j
,7' P f '
fl/j{':'? , , \ ~,',;l.t9tYL.-
Notary Public
rJ "l (\, ;'
~U)I12~CL t{, /iLtpLbJ
Signature of Applicant II
flLfEN s. SANTORA
NOTAR.Y PUBl.IC, Stele of New VOlt
No. 30...916018
Qu.lifj~ in Nuuu Count)'
COll1mluion Expires ,I {/ f 0G::l
; I
.
Permit Number
REScheck Compliance Certificate Checked ByIDate
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release Ib
Data filename: Untitled.rck
TITLE: Master Suite Addition
COUNTY: Suffolk
STATE: New York
HDD: 5750
CONSTRUCTION TYPE: Detached I or 2 Family
HEATING TYPE: Non-Electric
DATE: 12/15/03
DATE OF PLANS: 10-28-03
PROJECT INFORMATION:
Pat Reilly & Harry Bryan
COMPANY INFORMATION:
Eileen Santora
COMPLIANCE: Passes
Maximum UA = 97
Your Home UA = 80
17.5% Better Than Code (U A)
Gross Glazing
Area or Cavity ConI. or Door
Perimeter R-Value R-Value U-Factor VA
Ceiling I: Flat Ceiling or Scissor Truss 396 30.0 0.0 14
Wall I : Wood Frame, 16" O.c. 504 19.0 0.0 27
Window I: Wood Frame:Double Pane with Low-E 58 0.340 20
Floor I: All-Wood Joist/Truss:Over Unconditioned Space 396 19.0 0.0 19
COMPLIANCE T EMENT: The proposed building represented in this document is consistent with the building plans,
specifications, an othe calculations submitted with this permit application. The proposed systems have been designed to meet the
New York State E ergy nserva . . Code requirements. When a Registered Design Professional has stamped and
signed this page, th are a is/her knowledge, belief, and professional judgment, such plans or
specifications are in c i
BuilderIDesigner
Date~
.
..
BUILDING CONSTRUCTION NOTES
,
GENERAL
I. All construction work shall comply with the New York State Building Construction Code
and with the requirements of any governing departments, as well as the requirements of
authorities having jurisdiction.
2. Contractor shall arrange for all required municipal inspections of the work.
3. All work shall comply with the New York State Energy Code
I. It shall be the contractor's responsibility to submit the size design and type of
mechanical systems that will be used in sufficient detail as required by the
Building Department.
2. Insulate all ducts and piping as required by code
3. All windows, doors sills openings etc. shall be caulked and weatherstripped.
4. Provide one smoke detector on each floor including the basement. Provide smoke
detectors in all sleeping areas. All detectors to be directly wired to the electrical system of
the home.
5. Engineer is not responsible for the supervision of construction. General Contractor must
verify all dimensions and conditions before construction of fabrication. Engineer not
responsible for any changes without written prior approval.
6. Do not scale drawings
7. The engineer shall be responsible for the content of these drawings only. He shall not be
held responsible for any materials, workmanship, means or methods of construction. The
Engineer shall not be held responsible for the design or installation of materials and
equipment: Electrical, plumbing, heating, ventilation, air conditioning or any system not
specifically contained in the drawings.
8. Electric construction is to conform to the National Electric Code, New York State
Building Code, and LIP A
9. Plumbing is to conform to the County and local health department requirements and NYS
Code.
Page 1 of2
Building Constriction Notes
CARPENTRY
10. Framing: Douglas Fir #2 or better
11. Sill Plates to be 2x6 Treated 40 year CCA with sill sealer
12. Provide double Joists and trimmers at all stair and floor openings, under all posts and
partitions running parallel to joists. Refer to plan.
13. Provide bridging for all floor joists
14. Provide solid blocking under all bearing points
15. Openings to have to (2) 2 "x 1 0" headers unless otherwise noted
16. Structural metal connectors as requires for all flush structural load carrying conditions
CONCRETE I FOUNDATION
17. Strength 3,000 PSI at 28 day ASTM C-94 ready mix concrete
18. All footings, foundations etc. shall rest on undisturbed soil.
22. Soil bearing capacity shall be 3000 p.s.f. Contractor shall conduct soil test to verify
bearing capacity prior to construction and report any discrepancy to Engineer. Any
changes in soil condition noted during excavation shall be reported to the Engineer.
23. Footings shall be 36" below finished grade minimum.
Reinforcing steel shall be 40 ksi
Page 2 of2
Building Constriction Notes
OWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET 2- 2 L/.5
VILLAGE
DIST.
SUB. ..-- LOT
I IH<!. .
ve..
1
~..r.rOf/ ~ /41
S
W
ACR.
-.57 ~
TYPE OF BUILDING
(ES.210
LAND
SEAS.
VL
FARM
COMM. CB.
MISe. Mkt. Value
IMP.
TOTAL
DATE
REMARKS
C~;-J- I
Ae.6
.". +,
, - .
. I E, <:.. t4/ ~t) cJ1Y[).
-In 8,'f'tjan.f Redl'i- ~/f4ooo
-
00
3L/"CJ
1/1:00
- (YO
AGE
NEW
FARM
BUILDING CONDITION
NORMAL
BELOW
ABOVE
Acre
Value Per
Acre
Value
"-
Tillable 1
Tillable 2
nllable 3
Noodland
5wampland
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
~ 7
7~
Brushland
House Plot
~ .....
--
t~ l-
Total
DOCK
-
~ -'
.
:;.
....
-'
COLOR .
. 'nidi
Wf/rtE -
TRIM
Wl-l'''''~ .\
,. Dr ~
J .., W I~ ,
,
'lit:>
4!g9
~ -..,..--- , - -= ."
t Bldg. 4f( '-/-0 '- <f'c, () 3 $'0 .3 3 "0 Foundati<oQ.. C13 Bath I Dinette
xten~~{'r lY' ~ il./"," 33& .3~ /()17 Basement P'v/... L Floors o AI< . K.
./ -
xtension Ext. Walls .~/.Mr: I nterior Finish S flE['fi('. C '" LR.
:xtension Fire Place '\IE'S Heat ff-.W. DR.
-----
Type Roof I Rooms 1 st Floor BR.
orch Recreation Room Rooms 2nd Floor FIN. B.
arch Dormer
3 reezeway Driveway
. /"7 < , Il--~ ;.. </ ~ :J.1f" /!.f 3/..0
JO rage
Patio
). B. -
rotal L/ 't J 2--- /
(~oO
STREET 2- 29...5
VILLAGE
DIST.
SUB. ". LOT
I II1c. .
OWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
ve..
!
CiJ',fov A /1 1
S
W
ACR.
..s--7 ~
TYPE OF BUILDING
N
~ES. 2/0
LAND
SEAS.
VL
FARM
COMM. CB. MISe. Mkt. Value
IMP.
TOTAL
DATE
REMARKS
'--,
70 CC/J-J- I
Ae6
Ie'" t:.
. , E.. c..:- t1I ~ i) JlT[)-
-Iv 8nJ/);Y) ~ Red/../ - ~ / ZO, ODD
I ,
-"
00
3'-100
t.J?DO
'i!-()
- &0
AGE
NEW
FARM
BUILDING CONDITION
NORMAL
BELOW
ABOVE
Acre
Value Per
Acre
Value
'.
Tillable 1
,Tillable 2
rillable 3
Noodland
--
--
FRONTAGE ON WATER
FRONTAGE ON ROAD 11 ~ I, ~ 7
DEPTH j.'I~ft,
e d ~ I b 6 f f.
7""
5wampland
Brush land
House Plot
Total
DOCK
- .....
I I
COLOR
'/"Udi
uNI rt E
TRIM
WI.l/,.'; ~
" l)! 't
J !V W I~ ,
'117
I 4/99
"
t Bldg. .1</If'-fD ~ 'l' C, 0 35'0 ..3 ~ ,"0 FounclatioQ., c!B Bath / Dinette
xtenJignf'<r IY' ~ J../..fo;. 33& 3~ / f)q z- Basement P't/L L Flaars OJ'4K K.
- ,~
., --
xtension Ext. Walls WOO]) ~~J.;,t~ Interior Finish S HE[TR:. C io< LR.
:xtehsion Fire Place --IE'=> Heat H.vJ. DR.
Type Roof I Rooms 1st Floor BR.
arch Recreation Room Rooms 2nd Floor FIN. B.
arch Dormer
3reezewoy Driveway
. r7'-' 11.;(- ;.t/.,..:J-If' IL'"
JOrage 31,.0
Patio
). B.
;j 't J 2,- "--
rotal /
(~JIJ
....
I
TEifEPHONE
(6~) 734-6270
211lta C-lA. ~J.Y"
-~~
mJII-
't"'''l <:c.,.. ~os.,..
I, .., .
, " . ...
" .
. . ClIO .. .
. .
~N'd 331lcc.)
BAY CREEK BUILDERS, U...r'
D. W. MCGAHAN
RESIDENTIAL ~SIGN CONSTRUCTION
AND CUStOM RENOVATIONS
f.O. BOX 602
CUTCHOGUE, NY 11935
M~'fY:> t:>ec'L l>(AI:tJ
\C.\\3H Ibe..y"'" ~\~
'"2.2-'-1 ~ I1'ffl \oV~ ~ S ~
c vTC-"'+'><:' ve ( N_y' ll"tJ ~
;-,
"
,
,
\.
,
I ,
" :\
'\.. '1)<"l <'( 6. ...A
P<>~ ~
l,'b"~lo )<,'0
c:.ow<"~
J f'<>o,1'1""}
I \ If"'" trl9>-(Jo,l ".
I
'\
,
I
,
,
.. ~lo)C ~lu)C \ b
~ flJ:'f\.....
~..~&N;)'iT
,
,
"
"
..
...
~
..
"
~
'?
.c
~
!.
~
r'
~
M~
"
'"
.
"
"
"
I
\
\
/
2. 0 ';"'",.4-
F ')O\ST1 "., D.C.. "
Ii;
r%-~..
l
I
M
,! ...."TGl...
~
{:'l<f~V\
.g~\)M~lVi
13U\'-'O\wG \>~lT ~ l1"1't3~
~
~vV
C~
~