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HomeMy WebLinkAbout33953-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33241 THIS CHRTIFIHS that the building NEW DWELLING Date: 08/22/08 Location Of Piopeity: 150 LAUREL WAY LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 125 Block 4 Lot 24.21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 3, 2008 pursuant to which Building Permit No. 33953-Z dated JUNE 3, 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 ONE FAMILY DWELLING. COVERED ENTRIES. DECK. SECOND FLOOR BALCONY. ATT. 3 CAR GARAGE AND STONE PATIO AS APPLIED FOR. THIS CERTIFICATE OF OCCUPANCY REPLACES REVOKED C/O 233164 ISSUED 7/21/08. The certificate is issued to KATHLEEN AND PETER RAZCA of the aforesaid building. (OWNER) SDFFOLR CODNTY DHPARTMENT OF HHAI,TH APPROVAI, R10-OB-0057 08/11/06 SLHCTRICAL CERTIFICATH NO. 07-6520 08/30/07 PLDIYIDHRS CHRTIFICATION DATHD 07/09/08 H2M LABS, INC zed Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOIZ CERTIFICATE OF OCCUPANCY This application must be filled in by t}~~ewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accura(e location of all buildings, property lines, streets, and unusual naturalor topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of elechical 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, indusU~ial building, nutltiple residences and similar buildings aad installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planruug Board Approval of completed site plan requirements. B. Por existing buildings (prior to April 9, (957) uou-conforming uses, or buildiugs and "pre-existing" land uses: I . Accurate sun+ey of property shorting all properly lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signied by the applicant If a Certificate of Occupancy is denied, the Building Inspector ,hall state the reasons therefor in writing to the applicant. C. Fees l . Certificate of Occupanc~, - Nc~r duelling $25-00, .Additions [o dwelling $25.00, Alterations to dwelling $2S-OU, Swimming pool $25-00. -Acces,or~~ building $25.OQ.Addi(ions to accessory building $25.00, Businesses $50.00. 2. Certi6eateofOccupancyonl'rc-cxistingBuilding- $100-00 3. Copy of Certi&cate of Occupauc~,~ $.25 4 Updated Certificate of Oecupanc}' $50.00 5. Temporary Certificate of nccupancy~ -Residential $ t~ 00, Conmiercial $I 5.00 Date. 8'01-~~ New Constmction: _ Old or Pre-existing Building: (check one) Location of Property: __ _ _ ~ rjp l.-Q,t~.Yt,Q ~~ ~~ House No. Sn-eet Hamlet Owner or Owners of Property: _ __ I~{G.N.leen ~' ~~~Q. ~~ (~' Qt Suffolk Cowrty Tax Map No 1000, Section _~y5 Block ~ Lot ~ ~. a Subdivisio^ Filed Map. Lot: _ _ _- - - - p Permit No. 33 q 53 Date of Permit- t~ • 3 "(~ a _ Applicant Health Dept Approval __ _ Underwriters Approval: Planning Board Approval: Request for: Temporary Certilficate _ Final Certificate: (check one) Fee Subnutted: $ IJ `~ ND ~ ~- ~ 33a~ i Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 1 197 1-0959 ,~'~pF SOUry ~' ~~ ~ ~1y00UNT ~i~~~ V ,~,+,~' BUILDING DEPARTMENT TOWN OF SOUTHOLD Kathleen & Peter Raica 605 Helena Creek Court San Ramon, CA 94583 RE: 150 Laurel Way, Laurel Suffolk County Tax Map Number: 1000-125-4-24.21 Dear Mr. & Mrs. Raica: Telephone (631) 765-1802 Fax (631)765-9502 Please be advised that your Certificate of Occupancy # Z-33164, dated July 21, 2008, has been revoked. Suffolk County Health Department has notified us that fraudulent documents were submitted in order to obtain final Health Department approval. Should you have any further questions concerning this matter, please contact the Suffolk County Health Department at (631) 852-5700. When an approval is issued from the Health Department, we will re-issue a Certificate of Occupancy. Sincerely, Southold Town Building Dept. Michael J. Verity Chief Building Inspector FORM NO. 4 / / /~ /~. TOWN OF 30UTHOLD ~ h BUILDING DEPARTMENT ~ /// / Office of the Building inspector /fir/ VV~ Town Hall Southold, N.Y. CERTZFICATB OF OCCUPANCY No: Z-33169 Date- 07 21/08 TBIS C~TIFiBS that the building NSN DWELLING LOCatiOn of Property: 150 LAUREL WAY LAUREL (HOUSE NO.) (STRBET) (HAMLET) County Taz Nap Bo. 473889 Section 125 Block 4 Lot 24.21 8ubdivisia~n Filed Nap NO. Lot BO. conforms substantially to the Application for Building Permit heretofore filed in thfs office dated JUNE 3, 2008 pursuant to which Building Permit No. 33953-Z dated JUNE 3, 2008 was iaeued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWBLLING, COVERED ENTRIES, DBCR, 38COND FLOOR BALCONY, ATTACHED THREE CAR 6ARAG8 AND STONB PATIO A9 APPLIHD POR. The certificate is issued to KATHLEEN 6 PETBR RAICA (OWNffit) of the aforesaid building. SOFPOLE COUNTY DSPARTMBNT OP HEAVlH APPROVAL R10-OB-0057 07 10 08 *R•~TCAL CSRTIPICATS NO. 07-6520 08 30 07 PLDlBSRS CERTIFICATION DATED 07 09 OB H2M LABS, INC / ' A riy d Signature v Rev. 1/81 COUNTY OF SUFFOLK .~. STEVE LEVY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES CERTIFIED MAIL -RETURN RECEIPT John T. Bradley 150 Laurel Way Laurel, NY 11948 RE: H.D. Ref. #R10-08-0057; S.C.T.M. 1000-125-4-24.21 North side Laurel Way, 119' West of Laurel Trail Subdivision of Laurel Links, Lot number 28 Dear Mr. Bradley: HUMAYUN J. CHAUDHRY, D.O., M.S. Commissioner July 30, 2008 Please be advised that the above referenced Health Department Final Approval is hereby rescinded. It has come to our attention that fraudulent documents were apparently submitted for review in order to obtain Final Health Department Approval of Constructed Works. Allegedly the contractor that certified the sanitary system installation for this site is not the contractor that performed the actual installation. Based on the above information, this office has no recourse but to suspend your permit in accordance with Article 3, Section 760-305 & 307 of the Suffolk County Sanitary Code until this matter is resolved. Further occupancy of this dwelling may result in legal action by this Department. Please see enclosed form WWM-052 for outstanding items required. Should you have any further questions concerning this matter, please do not hesitate to contact me at (631) 852- 5700. Sincerely yours, John DiGiuseppe Senior Public Health Sanitarian Office of Wastewater Management Cc: Town of Southold Building Department DIVISION OF ENVIRONMENTAL QUALITY Office of Wastewater Management • 360 Yaphank Avenue, Suite 2C, Yaphank NY 11980 (631) 852-5700 Fax (631) 852-5755 Public Health ^s i'j~V G v t T0~ ° ~~ ~iUL, DEPARTMENT OF HEALTH SERVICES HUMAYUN J. CHAUDHRY, D.O., M.S. Commissioner CERTIFIED MAIL -RETURN RECEIPT John T. Bradley 150 Laurel Way Laurel, NY 11948 RE: H.D. Ref # R10-08-0057; S.C.T.M. 1000-125-4-24.21 North side Laurel Way, 119' West of Laurel Trail Subdivision of Laurel Links, Lpt number 28 Dear Mc Bradley: August I1, 2008 Please be advised that the above referenced Health Department Permit Final Approval is hereby re-instated. All outstanding items relating to this permit have been satisfied with this Department. Should you have any further questions concerning this matter, please do not hesitate to contact me at (631) 852-5700. Sincerely ours, / DiGiuseppe l//x Senior Public Health Sanitarian Office of Wastewater Cc: Walter J. Hilbert, P.E. Town of Southold Building Department DIVISION OF ENVIRONMENTAL QUALITY Otfice of Wastewater Management •360 Yaphank Avenue, Suite 2C, Yaphank NY 11980 (631) 8525700 Fax (631) 852-5755 Ph>IL11cHealth P,~rtn~. Piema,<. ROI m. COUNTY OF SUFFOLK STEVE LEVY SUFFOLK COUNTY EXECUTIVE FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33164 Filed Map No. Lot No. TNIS CERTIFIES that the building NSW DWELLING Location Of Property: 150 LAUREL WAY LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 125 Block 4 Lot 24.21 Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 3, 2008 pursuant to which Building Permit No. 33953-Z dated JUNE 3, 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 ONE FAMILY DWELLING, COVERED ENTRIES, DECK, SECOND FLOOR BALCONY, ATTACHED THREE CAR GARAGE AND STONE PATIO AS APPLIED FOR. The CertlfiCate 18 i.BSlled t0 KATHLEEN & PETER RAICA (OWNER) of the aforesaid building. SDFFOLR COUNTY DEPARTMENT OF HSAI,TH APPROVAL, R10-OB-0057 SLBCTRICAL NO. PLDFBSRS CERTIFICATION DATED Date: 07/21/08 07/10/08 07-6520 08/30/07 07/09/08 HIM LABS A ri d Signature Rev. 1/81 ~1~ '~~~~ J"~~ C ~p 4 Form No. 6 `~ U TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL Ifrll_ ~ $ ~ ! j 765-1802 ~ `~ APPLICATION FOR CERTIFICATE OF OCCUPANC~~.._ :- .' ~~ i This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. F'or new building or new use: 1. 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. Commnercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible far the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) uou-emrforming uses, or buildings and "pre-existing" land uses: 1. 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 sibnted 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 $35.00, Additions to dwelling $25.00, Alterations to dwelling $2.00, Swirmning pool $25.00, Accessory building $2.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy ou 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 p Date. ~• I ~~00 New Construction: ~ Old or Pre-existing Building: (check one) Location of Property: __~_~ ~ f1 ~/Z rG ~g,.~ ~ ~..r~ House No. Street ~ Hamlet Owner or Owners of Property ~~ !Ql,rr /7, ~Z ~~ c S _ _ Suffolk County Tax Map No 1000, Section ~j` Blook 7 L,ot ~f~ ~_~ Subdivision _ Filed Map. _ Lot: Permit No. ~~'?S,"3 Date of Permit. ~`U~' Applicant Health Dept_ Approval Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ~ (check one) Fee Submitted: $ ~-~~`'a Cc~ ~3316y ~i f~. G 1~~~~ A rcant Signature H2M 1~[3S, INC. 575 Broad Hofow Road, MdAe NY 11747 (631)1x54-.3040. FAK (631)4208436 NYSDOH ID# 10478 HARRY GOLDMAN WATER TESTING MAIN ROAD MATTITUCK, NY 11952 Attn To 631-298640 Federal lD Collected :7/2/2008 12:00:00 PM Point No Received :7/2/2008 3:05:00 PM LOCatIOn Collected By : JD99 Copy Original CC LABORATORY RESULTS Lab No.: 0807836-001A Sample Information Type :Solder Origin :Distribution Routine Client ID.: MARANO PLUMBING 150 LAUREL WAY,LAUREL SOURCE(HWH- CWL) (1000-125-04-24.2'l/R10-08-0057) Parameter(sl Results ualifier D_F. Units Limit Method Number Analyzed Lead 0.03 1 % 0.2 SW60106 07/09/2008 8:14 PM Result(s) reportetl meet(s) Regulatory Limit(s). ~r Result(s) flagged with * Exceed Regulatory limit(s). Limit rated. o~/,pb,Q~ /~( D.F. = DiluOOn Factor Date Reported : 7/10/2008 Page 1 of 1 Laboratory Manager y , ~.r Electricallnspectors, Inc. 308 East Meadow Avenue East Meadow, NY 11534 Office: (516) 794A400 (631).196-7474 Fax: (516)794-5854 Website: www.electricalinspectors.com Email: infoQelectricalinspectots.com Mail To: 911 Electric, Inc. John J. Nistico 26 John Street Sayville, NY 11782 License: 38885-ME AREAS LISTED BELOW ARE AND FOUND TO BE IN COMPLIANCE Certificate Number: ~7-6$Z~ Municipality: Southold, Town Of /nspector: 125 /slue Date: 8/30/2007 Property Address: Is-+-INVw John Bradley 150 Laurel Way Laurel, NY 1191 ~VA~.~ERTIFICATE 4~ ~ ~~b ' Y SURVEY ATIONAL ELECTRIC CODE No obvio satisfactory conditions were found in the areas No visual defects were found for the electrical inspection proved. herein below only. `` This is a visual Survey in compliance with NFPA 73, latest edition Residential Survey/Maintairt Existing Conditions Basement: Storage Room First Floor: Bathroom, Deck, Dining Room, F ily ,Foy , Master Bedroom, Walk-/n Closet 3 Car Attached Garage Section I-1, 1-2 Kitchen. Laundry Room, Living Room, Master Bathroom, Second Floor: 2 Batkrooms, 3 Bedroo , F ily Room, e, 2 Walk-In Closets Attic: Storage Room." Richard M. Bivone ~~ ~ Not valid unless signed by an orized EB Agent Philip F. Goehring Chief Electrical Inspector 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. 33953 Z Date JUNE 3, 2008 Permission is hereby granted to: KATHLEEN & PETER RAICA 605 HELENA CREEK COURT SAN RAMON,CA 94583 for CONSTRUCT NEW ONE FAMILY DWELLING WITH ATTACHED GARAGE, COVERED FRONT ENTRY, SIDE PORCH & REAR DECK AS APPLIED FOR. REPLACES BP 31940. at premises located at 150 LAUREL WAY LAUREL County Tax Map No. 473889 Section 125 Block 0004 Lot No. 024.021 pursuant to application dated JUNE 3, 2008 and approved by the Building Inspector to expire on Fee $ 2,662.00 ORIGINAL Rev. 5/8/02 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) 3Jyyd PERMIT NO. ~302.62..__Z Date APRIL 27, 2004 Permission is hereby granted to: for CONSTRUCTION OF A NEW DWELLING WITH ATTACHED GARAGE COVERED FRONT ENTRY, SIDE PORCH & REAR DECK AS APPLIED FOR at premises located at 150 LAUREL WAY LAUREL County Tax Map No. 473889 Section 125 Block 0004 Lot No. 024.021 pursuant to application dated APRIL 16, 2004 and approved by the Building Inspector to expire on OCTOBER 27, 2005. Fee $ 2,662.20 .r~-:- Authorized Signature Rev. 5/8/02 K & P RAICA (BRADLEY) 150 LAUREL WAY LAUREL,NY ORIGINAL TOWN OF SAUTHOLD BUILDING DEPARTMENT TOWN hLALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ BUILDING PERMIT APPLICATION CHECKLIST 33~~3 V L PERMIT NO. a Examined, 20~ Approved 20 Oc Disapproved a/c Expiration o , 20 0.5 Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~Q-~--~ U pCnn<nn ~CX Phone: dl'~a ~~'` J p~ Building Inspector APPLICATION FOR BUILDING PERMIT ~ 6 200G Date ~ ~~ , 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 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 pemut 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 pemut 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. (Signatu or name, if a corporation) o . B~ 6a~! Ss'b~Gy,~~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~As on the tax roll or latest deed) If applicant is a corporation, signature of duly authonzed officer (Name and title of corporate officer) Builders License No._ Plumbers License No. _ Electricians License No. Other Trade's License N 1. Location of land on which proposed work will be done: ~' House Ntunber Street Do you have or need the following, before applying? Boazd of Health Hamlet County Tax Map No. 1000 Section /~ S Block ~ ,- L,ot re7 ~ e2/ Subdivision G.a ~~'..e. Filed Map No.~,,,~ :::: Lot 1 (Name) . 4 sets of Building Plans Planning Board approval Survey 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~ a. Existing use and occupancy (/A a,c ~,-f b. Intended use and occupancy 3. Nature of work (check which applicable): New Building -~ Addition Repair Removal Demolition Other Work_ s~ (Description) 4. Estimated Cost ~0~, UO~ Fee ~ (To be paid on filing this a plication) 5. If dwelling, number of dwelling units~_Number of dwelling units on each floor ! If garage, number of cars , 3 ~r If business, commercial or mixed occupancy, specify nature and extent of each type of use. ,~ Dimensions of existing structures, if any: Front Reaz Height Number of Stories Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height ~ Number of Stories 8. Dimensions of entire ~ew construction: Front fC'G ~ Ream/ ,~ ~ ~S / Depth ~a ~ Height 3 3 p Number of Stories ~ ; 22E~xGiO~. 9. Size of lot: Front g1-,37 Rear ~;~~CS ~ D'/epth ~~.~~ ~ 10. Date of Purchase t ~ .3 Name of Former Owner G Rutz G~~~es ~ ~~ 11. Zone or use district in which premises aze situated ~~ z/b 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 `%e>~~/ ~.eAGc[ti Address Phone No. ~-77-0!/.S~ Name of Architect ~r~ ~ur~c_. Address ~.~• Big /3 f! Phone No~~-S~ s~ Name of Contractor Address St~s26'srA.n 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 ) S~GP /LOS 7. /~2J f C~C N being duly sworn, deposes and says that (s)he is the applicant (Name of i dividual signing contract) above named, (S)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. Sw to before met of 20~ otary Public Signature o Applicant NOTARY UBL C StatOe oNNew York No.01B06020932 Qualified in Suffolk Coun Term Expires March 8, 21, Alteration 339s3 ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FlRE RESISTANT CONSTRUCTION [ ]FlRE RESISTANT PENETRATION REMARKS: ~_ti~ dam- e t.~L: 7~r-.~e-~ J DATE ~~~~~~ ~ INSPECTOR-~~~Jd~ 339.x3 .z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE 8~ CHIMNEY [ ]ROUGH PLBG. [ ]INSULATION (FINAL [/ ]) FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKSe r 1~ DATE 6 `9 ~~ ~ INSPECTOR ~ ~ `~ 3395 ~~~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION ~" ~~ [ ]FOUNDATION 1ST [ ]ROUGH PLBG. ,¢,~y.,,~.-rJ... [ ]FOUNDATION 2ND [ ]INSULATION ~~ [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: ~ _~s- ~~'' ~~ . , n / n o ./l 1'/~ ~f n DATE INSPECTOR `G ~ d- 33~.5~ 3~o z TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT [ ]ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT PENETRATION nru w svc•. DATE ~ ~~5~~ ~ INSPECTOR "~" `~ `3353 z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION i ST ~ROUGFI PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE ~ CHIMNEY [ ]FIRE SAFETY INSPECTION oGUeQ~rc. DATE o ^ / r ~ ~0 INSPECTOR J c~ - -- 33953 3f9~~ z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION RE/M~pAR~KS: /U~ ~~~'~'~ ~'i°~~ i - -~ /V -~ wv nx ~ DATE ~ °`L7-0 ~ INSPECTOR ~~`'~ ''~ ~~~~ ~0 Z ~~ TOWN OF SOUTHOLD BUILDING DEPT. N~ ~. '~ _ toA 765.1802 j~, ~ ~ C ON ~,e~, [ ]FOUNDATION 1ST ACC}, ROUGH PLBG. [ ]FOUNDATION 2ND ~[ ]INSULATION FRAMING /STRAPPING [ ]FINAL d~L ' [ ]FIRE LAP CE 8c CHIMNEY [ ]FIRE SAFETY INSPECTION '~ R~nARKS: ~'VL' i ~~`c ' 3 a1. U- . a. ~.,., a ,~,_. ~,-~.~,r ~ r t/" y ~ DATE ~ ~~ _ ~^' INSPECTOR v '~~' ~3~ 53 3o~~z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [~ FRAMING / ST~APPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: l.~ ~ ~. DATE 1~~~7~ ~~ INSPECTOR •~o~----'"~ `3353 Z TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ [ ]FOUNDATION 2ND [ [ ~(f FRAMING /STRAPPING [ 1 .--~ [ ]FIREPLACE 8~ CHIMNEY [ .. REMARKS: _ ~" ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ~~ /~ o't.~ _ , ,-, DATE / ~ ~~/~~~ INSPECTOR ~ '' %~~ 33~~f-3 3~~-~ 765.1802 BUILDING DEPT. INSPECTION ~] FOUNDATION 1ST [ ]ROUGH PLBG. `FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL [ ]FIREPLACE 8~ )CHIMNEY [ ]?FIRE~SAFETY INSPECTION REMARKS: / ~ ~ `~ ' "°'- ~ ~- DATE / ~ ~ -~`S INSPECTOR /~_ ''~ s, ~\) .l ~' ~ FIELD INSPECTION REPORT DATE COMMENTS b b FOUNDATION (1ST) t~f ~• ~ - y x FOUNDATION (2ND) - Z C ~.t.2_.. ~~~ ~. t~ D-~I oS ~~ c i~ r pr._ ~. ~. 1 ROUGH FRAMING & ~~ PLUMBING ~~ ~ ~ ` D ~ ~* ?7 ^~ d ~ T H S ~WL 3 ~ ~ te ~ a~_ -a ~~ r , ~ . ~ ~ ~~~ ~, °~ x A~fJ4d ' INSULATION PER N. Y. \ t' STATE ENERGY CODE H t ~ Ov~~ -- ~. ~ ~ ~ ~ ~ ~ FINAL i _~ •. r A.,2Pn...~_~ ...a ~ a~ i ~ ' ADDTTIONAL CO . ,~~ a. ~ g Sl Mme , " ~ ~ ~ - ,~ s~ m ~~ ~ O z ~ ~ ~ ~ O z ~J m i ~ o ~ ~ H ~, x c d ro U ~ n! ~I JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631)298-7116 Date: October 17, 2007 To: Town of Southold Building Dept. Re: Framing/Strapping Inspections Blados 350 Track Ave Cutchogue, NY 11935 Permit# 32685 To Whom It May Concern: __ ° f ~~~~' s- " -~ ~n~~ I8 ~,,;~i ~, ~" L- - i - . iTU~~ A Framing, Strapping, Rough Plumbing inspection was preformed on the above property, and it is deemed that all this work was done as per plan and meet all state and local building codes. A pressure test was also performed on the entire plumbing system, and vent stack filled. Any other questions please feel free to call. incerely ~, f James J.', eerkoski Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release 1 Data filename: C:\Documents and SettingsUEFF\Desktop\MISC_JOBS\Misc Jobs 2003\030069-BRADLEY\REDUCED\energy.rck TITLE: Proposed Bradley Residence COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric DATE: 04/15/04 DATE OF PLANS: 4/15/04 PROJECT INFORMATION: Lot #28 Laurel Links Laurel, New York COMPLIANCE: Passes Maximum UA = 845 Your Home UA = 725 14.2% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 2913 30.0 0.0 102 Wall 1: Wood Frame, 16" o.c. 4210 13.0 0.0 287 Window 1: Vinyl Frame:Double Pane with Low-E 620 0.340 211 Door 1: Glass 84 0.340 29 Floor 1: All-Wood Joist/Trnss:Over Unconditioned Space 2913 30.0 0.0 96 Furnace 1: Forced Hot Air, 85 AFUE 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 syste ""4'~' ed to meet the New York State Energy Conservation Construction Code requirements. When a Registered D "moo $a ^rriped and signed this page, they are attesting that to the best of his/her knowledge, belief, and professioyj&t] Q{it, ss"u, L specifications are in compliance with this Code. ~/'~} ~ G. ~ ~ r ty ~e Y / ~ ~ x s' Builder/Designe Date ~` , In ~~ . ~ G , : /. i 's' ~V vQ+N < REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftwaze Version 3.5 Release 1 DATE: 04/15/04 TITLE: Proposed Bradley Residence Bldg Dept Use ~ Ceilings: [ ] ~ 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation ~ Comments: ~ Above-Grade Walls: [ ] ~ 1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation ~ Comments: ~ Windows: [ ] ~ I. Window 1: Vinyl Frame:Double Pane with Low-E, U-factor: 0.340 ~ For windows without labeled U-factors, describe features: ~ # Panes_ Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: ~ Doors: [ ] ~ 1. Door 1: Glass, U-factor: 0.340 ~ Comments: ~ Floors: [ ] ~ 1. Floor 1: All-Wood Joist/'I'rnss:Over Unconditioned Space, R-30.0 cavity insulation ~ Comments: ~ Heating and Cooling Equipment: [ ] ~ ]. Furnace 1: Forced Hot Air, 85 AFUE or higher ~ Make and Model Number ~ Air Leakage: [ ] ~ Joints, penetrations, and all other such openings in the building envelope that are sources of air ~ leakage must be sealed. [ ] ~ Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly ~ with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a ~ 3" clearance from insulation. ~ Vapor Retarder: [ ] ~ Required on the warns-in-winter side of all non-vented framed ceilings, walls, and floors. ~ Materials Identification: [ ] ~ Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] ~ Materials and equipment must be identified so that compliance can be determined. [ ] ~ Manufacturer manuals for all installed heating and cooling equipment and service water heating ~ equipment must be provided. [ ] ~ Insulation R-values, glazing U-factors, and heating equipment efficiency must be clearly marked on ~ the building plans or specifications. Duct Insulation: Supply ducts in unconditioned attics or outside the building must be insulated to R-8 Retum ducts in unconditioned attics or outside the building must be insulated to R-4 Supply ducts in unconditioned spaces must be insulated to R-8. Retum ducts in unconditioned spaces (except basements) must be insulated to R-2. 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 permitted. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions Cooling ducts with exterior insulation must be covered with a vapor retarder. Air filters are required in the return air system. The HVAC system must provide a means for balancing air and water systems. Temperature Controls: Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: 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 State or the New York City Building Code , as applicable. Service Water Heating: Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: Insulate circulating hot water pipes to the levels in Table 1. ~ Swimming Pools: [ ] ~ 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: [ ] ~ HVAC piping conveying fluids above 105 °F or chilled fluids below 55 ~' must be insulated to the ~ levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature (F) Up to ]„ Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Ran e F 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant, and Brine 201-250 1.0 1.5 1.5 2.0 120-200 0.5 1.0 1.0 1.5 Any 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) I6 00 - ! 2 S -~ -2 .2 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER ~e~ STREET ~ La ure t vJa VILLAGE Laure I a tF DIST. ~ z SUB. LOT Z ~' Laure I -L~h l;s ~' if # ~O ACR. ,? 2 REMARKS TYPE OF BLD. c~ 7D~ c70t7 ~ rya-L, a -7 70 - ~~ ~n a ~ ,~ . cure l L~ h ks L.-f-d PROP. ~L iiS LAND IMP. TOTAL DATE ~e\/ 2 Q -- ---- FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD _ -- -- --- WOODLAND DEPTH MEADOWLAND BULKHEAD ~ HOUSE/LOT TOTAL Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 January 17, 2008 4'eter aZ 7(µthleen ~µica 6057feCena CreekCourt San ~tmon, Ca 94583 ~o~~pF SOUryo~ # # ~ • ~~0~ OI~C~U~,~~rP' BUILDING DEPARTMENT TOWN OF SOUTHOLD ~: ~t'r'emises @ISO GaureC'Way, Gaure~ N.4`. Suffolk Co. 7a~,~2ap #1000-125-4-24.21 Building ~'ermit #31940-Z ~DeariY(r. aZ9Krs. ~t\'µica: Fax (631)765-9502 Telephone(63l)765-1802 rYlease he advised that the Bui~ng Department has receiveda complaint that the above premises are being occupiedwithoutfisst obtaining a Cert~ate of Occupancy. According to the Code of the Town of Southold; it is unlawful to occupy the dwelling untiCa Cert~ate of Occupancy has been issued `When the construction has been compCeted, please contact this office so that we may arrange for a finaCinspection and issue the Cert~ate of Occupancy. Ifyou have any questions, place do not hesitate to contact this office. (lhanf you foryouranticipatedcooperation in this matter. ~spec~lCy, 50712~fOL~D 70'WNB'UIL~DINCj ~DE2'7 George CjiCCen, Building Inspector CjCj:gar (Cert. iY(ail) 1 _ -.. REF. NO. R10-03-0133 // i i ~Y\ 'OSED SEPTIC SYSTEM: O 6AL. SEPTIC TANK I-8' DIA.xl6' DEEP TA12Y LEAGHIN6 POOL r I ~~ 'h'Y~ 4~~~ W .. W COUNTY DEPAR'l1~NTOF HFa4L1H PERMIT FOR APPROVAL OF CON87RUCT[ON FOIL S ~ FAl1~I.Y RESIDENC$ ONLY STS ~- A Q3 HS REF, NO.R~l~ ©~ ~~~ FOR M"~MUM OF ~ BEDfi00MS ~~ THREE YEARS FROM DATE OF APPRO~V,~, ..,. ~, ,Ili 17_iil ~L ! -.i') W ~ a r ~ ~ w O~ ~t ~ . d ~~ xz~- m 0 ~ ~ w~ ~ ~ry O~ `~ m ~I ~ UJ z ~~ ~z ~ ~ lU 0 Q J ~~~ mcOJ Q# N ~ ~ ~ ~ ~ O J 0 1~L. ~I O 6RAPHIG SCALE I" = 30'-O" 51T~ i~L~N r~D^j ~ Y~~rC~ D 2 C~ n D r rn J ' •$ =- _ ;~ ~~v~l l32lAti c z ~_ vy ~M ~ ~~~ ~ T~~ O ;c ~~ SS W c i ~ ' ~~ O e• v. ~ _ i '~q~F ~a''~ y~ ~ ~ SITE PLAN PROPOSED BRADLEY RESIDENCE LOT #28 -LAUREL LINKS LAUREL, NY JEFFREY T. BUTLER, P.E. P.O. BOX 634 SHOREHAM, NEW YORK TEL.: 631.821.8850 FAX: 631.821.7287 OF SUFFOLK TOWN OF SOUTHOLD ~~ryf _ ,ACE` -, f,p, ~R~FI i^8'~ l~~ ;y o° ~~~ ~' ,P~ '; <: ~~ ~ ti ~ X60 >>, S~ . ~ / ,~,, L=256.52 0 o~ ~~ ,o,~- _; ; 0 y N, ~~ ~ ~ ~ o ~ o T ~ v ~'REPARC N 4~„VRDPNIF NIiH ~I~f MNIMi 0.~ ' STAN pAk t` ~ P IiTLE JR~N~ a5 E~lA3 SHEL ' _ ~ K' J - j~ i ' ~' B SHE A ~ ~ AND APPRnV ~ 4N0 ADi?P EC ~ l ~kp /qkF ~R ': U'. H UHF H~ THE NFW JFK TATE LA4i ~ -~E ~~u,~~~ . -'~ L- 9 1 .2 7' _ » ~''<s's NEW ~ Y l ~ .n °,.~„~,E e 4 w - ,~ , ~~ - ~, ~ ~, o _. ~ ~ ~ A~.u, ti * 1 , ~ ~ !~ C~ , ~ ~ / f ~~,' p ~ 4 ~ N I ~~, ti 4 aoo° f ryP '.i HORVFI~ ~,?F<TION c Af `)~r'ON I no h A e J ~~ ,~ ~ ,F ~Ew w~ ~ . ng g osep q ,~ '~ " " ~~`~'~ Land Surve or 4 AN ~I lti ~ 11 NKE~ 6 ~ 4' ~ y t M i. Nan i N r.~ ~.. ~ f. - _. it ie M ~ N N ~L .ftv'r ve. ..,r ] . ~ _ ~. -r. i , ~...yd ~~(12 -' F g 4 f L, N N '. f a I i [ . h ~Af AN W VNMEh~/+ o -N~ i oNl~ v ti N°'i, N ~Ei fPl N AN PHONE (631)727-2090 x "~ '~°r" "F `"~'^' "' ,in a°u n N npl v ,~nN'aI~AYJ q~~qf _;; N,~.; ~ ~ ~ THE E%ISTENCE OE RIGHTS OF WAY ~~y~~, ~ ~ ~ ~ ~ _ y, _~ ~~ AND~OR EASEMENTS OF RECORD, IF ANV. NOT SHOWN ARE NUi GUARANTEED. ~~b~- SLTRVEI~ OF ,~ta~~ of I,-~~'F~E~1, f,T~K FILE No. 10712 FILED NOVEMBER 23. 2001 TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-125-04-24.21 SCALE 1"=30' APRIL 14, 2005 ~,,~;:~~ locr F~uNOn,~oN ,~carioN AREA = 31 ,298.94 sq. ft. 0.719 ac. /~ ~; ~~ ~~ ,~ s ~P~ ~re.oo. ~~~o. ~ . _;~_ / „~> ~> ^~.~ ~' ~~ rI~ r 3 I ~ ~ ~ ;1~~ L .~_; _~~ ~ ~~ ~, --J .'-'J~. _