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HomeMy WebLinkAbout35020-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-35019 Date: 10/16/09 THIS CERTIFIES that the building ADDITION Location of Property: 485 RACCOON RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 106 Block 10 Subdivision Filed Map NO. __ Lot No. -- MATTITUCK Lot 9 ( HAMLET ) conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 9, 2009 pursuant to which Building Permit No. 35020-Z dated SEPTEMBER 23, 2009 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 "AS BUILT" REAR PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT E PAL~DINO (OWNER) of the aforesaid building. SUFFOLK COI~I~fDBPART~T OF HEALTH APPROVAL N/A EL~t-rKIC~J~ C~u~TIFICA~ NO. 4031958 08/18/09 PLIERS CERTIFICATION DA'r~u N/A Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-35018 Date: 10/16/09 THIS cKKTIFIES that the building ALTERATIONS/ACCESSORIES Location of Property: 485 RACCOON RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 10 Lot 9 Subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 18, 2009 pursuant to which Building Permit No. 35018-Z dated SEPTEMBER 23, 2009 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 "AS BUILT" GARAGE CONVERSION TO LIVING SPACE AND INTERIOR ALTERATIONS, ACCESSORY HOT TUB AND BAR (NO SINK) AS APPLIED FOR. The certificate is issued to ROBERT E PALADINO ( OWNER ) of the aforesaid building. SuFfOLK COUNTY DEPART~NT OF HEALTH APPRO~-AL N/A BL~t-rKICAL CERTIFICATE NO. 4031958 08/18/09 PLIghtErS CERTIFICATION DA'r~o N/A Signature Rev. 1/81 BUILDING DEPARTMENT TOWN This application m~t be fill~ in by t~wfiter or ~ ~d submi~d to ~ Buil~~~llow~g: 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: t. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 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. New ConstrUction: Location of Property: 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, Commemial $15.00 Date. t/i~/~O7 Old or Pre-existing Building: ~-~ (check one) House No. Street Hamlet Owner or Owners of Property: /~l/'~ ~'~)~¢~ Suffolk County Tax Map No 1000, Section /~ ~:~ Subdivision Permit No. '~ ~"O°°~ '~' Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ OQ~ Block t/cD Lot q Filed Map. Lot: Applicant: ~F.. ~6eq.~' ~", pAq/trtatt',a/O Underwriters Approval: Final Certificate: (check pp icant Signature Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP This application must be filled in by typewriter or ink and submitted to the Building i OCT BLDG. DEPT. I'OW.N,OF ~OUT~O[D . A. For 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 frem 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. F~r existing buildings (pri~r t~ April 9~ ~957) n~n-c~nf~rming uses~ ~r bui~dings and ``pre-ey.isting~~ 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 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 New Construction: '~ Old or Pre-existing Building: ~ (check one) Locationoferoperty: 7t9~" ~)< ]l~/[o~, ~'~0 4 ~7z~'~' ~I~U_~OM I~--~. House No. Street OwnerorOwnersofProperty: [t/~__, ~0~)'~.~'"' ~ ~t~]Prd~O0 Suffolk County Tax Map No 1000, Section / t.9 ~ Block f' t9 Subdivision PermitNo. ~"~)l ~'~ DateofPermit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ t5 'C)C) Hamlet Filed Map. Lot: Applicant: ~'~. /~of~ ~7'" ~', Underwriters Approval: Final Certificate: ~'N... ~check one)/q 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 REP ELECTRIC ROBERT PALANDINO 485 RACOON RD PO BOX 635 MA~I'ITUCK, NY 11952, MA'I-I'ITUCK, NY 11952 Located at 485 RACOON RD MA'I-rlTUCK, NY 11952 Application Number: 4031958 Certificate Number: 4031958 Section: Block: Lot: Building Permit:. BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, Spa, Deck, 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 thelsth Day of August, 2009. Name QTY Rate Rating Circuits Tvoe Appliances and Accessories Pool / Spa Bonding 1 0 Pool Heater 1 0 hot tub Gas Time Clock Switch 1 0 hot tub Miscellaneous includes additions to house, deck, and hot tub Wiring And Devices Fixture 3 0 Incandescent Outlet 3 0 Fixture Outlet 12 0 Gen, Purpose Paddle Fan 2 0 Receptacle I 0 GFCl Receptacle 2 0 20a-hot tub Special I twist lock Receptacle 8 0 Gen, Purpose Switch 8 0 Gen, Purpose 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. 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 REP ELECTRIC ROBERT PALANDINO PO BOX 635 485 RACOON RD MATT~TUCK, NY 11952, MA'VrlTUCK, NY 11952 Located at 485 PJ~COON RD MATTITUCK, NY 11952 Application Number: 4031958 Certificate Number: 4031958 Section: Block: Lot: Building Permit:* BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, Spa, Deck, 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 the18th Day of A.gust, 2009. Name QTY Rate Ratin~ Circqits Tv~e seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence a of raised seal at the location indicated. 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. 35018 Z Date SEPTEMBER 23, 2009 Permission is hereby granted to: ROBERT E PALADINO PO BOX 635 M3~TTITUCK,NY 11952 for : "AS BLTS" GAR3kGE CONVERSION TO HABITABLE SPACE (2BDRMS), INTERIOR ALTERATIONS, HOT TUB AND BAR PER APPROVED PLANS. METAL SHED TO BE REMOVED at premises located at 485 RACCOON RD County Tax Map No. 473889 Section 106 pursuant to application dated JUNE Building Inspector to expire on MARCH MATTITUCK Block 0010 Lot No. 009 18, 2009 a~d approved by the 23, 2011. Fee $ 900.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [~)~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CO/~I$1~UCTION[ ] FIRE R ,F.S, ISTANT PENETRATION '~,~ REMARKS: ~ "~ -/~~, ) DATE /~-/~-'D~ INSPECTOR Robert E. Paladino PO Box 635 Mattituck, NY 11952 July 16, 2009 To whom it may concern, I Robert Paladino purchased a house at 485 Raccoon Road in 1992. There was a cabana, hot tub and all the hot tub equipment here on the premises when I bought the house. Thank~'~Y ~~'~ you., Robert E. Paladino Christine M. Christie Notary Public, State of New York 01 CH6125800 Qualified in Suffolk County Commission Expires 4/25t20._~/~.~ INspECTION REPORT DATE I COMlVIENTS ~J C FO~A~ON (1ST) ~ ~ ~o~mO~ (2~) (~ PL~G ~S~A~ON P~ N.Y. ~ ~ STA~ ~RGY CODE ~ /~1~-o ~ . .~ ~,, ~ ~D~ION~ COUNTS 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. 35020 Z Date SEPTEMBER 23, 2009 Permission is hereby granted to: ROBERT E PALADINO PO BOX 635 MATTITUCK,NY 11952 for : AS BUILT REAR PORCH ADDITION TO EXISTING SFD AS PER APPROVED PLANS AS APPLIED FOR. METAL SHED TO BE REMOVED at premises located at 485 RACCOON RD County Tax Map No. 473889 Section 106 Block pursuant to application dated SEPTEMBER 9, 2009 Building Inspector to expire on MARCH 23, MATTITUCK 0010 Lot No. 009 and approved by the 2011. Fee $ 400.00 Authorized Signature Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined Approved Disapproved a/c Expiration PERMIT NO. ~ 57)i ? 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 Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: ~/Phone: : Building Inspector INSTRUCTIONS ,20 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pan for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, a~d,,r.e, gulations, and to admit auth°rized inspect°rs °n premises and in building f°r necessary inspecti°ns' Z~ /X///~/ (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~(D ~ (~: ~-~' 0 6:~1QQ/Q ' ~v~' {3 (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. /q/¢ 2- -7 Other Trade's License No. 1. Location~oJ' la!ld oa which proposed wor}~ will be done: House Number Street County Tax Map No. 1000 Section Subdivision Block ? O Filed Map No. Hamlet Lot / Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S ~'~ .It.t b. Intended use and occupancy ~¢'~ ~OJ~T~--/'lS.'~.~lr~Of~ (~__~ ~/~/ 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work 4. Estimated Cost Fee d~ Ifdwelling, number of dwelling units If garage, number of cars Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor /YK, If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear .Depth 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front [~ ''J Rear t 37 Depth ...... Re'~r ....... ' D pth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES NO __Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Addres~t,loS- TUT4 .-ge R0 ~?*~Phone 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES * 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. NO 3- 16. Provide survey, to scale, ~vith accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at ! 0 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF J '--'~'~)q .~ /~-'~ l (t~"~ ~I'~ . beingdulyswom, deposesandsaysthat(s)heistheapplicant (Name o? individuai'signihg 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 tree to the best of his kn~ ledge and belief; and that the work will be per/brmed in the manner set forth in the application filed therewith. / Swo~ftoffore me this day of fi-da 20 b'') ~' V c/cf.K//, [ ~' ' ~ Public. ~ of N~ Yo~ --~ P~blJc No. 0HO6190696 ~ot.~ Qualified in S~olk ~un~ , -~ Commission ~pi~ July 28, 2~/~- i 4nat~ure~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~<~,,FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT C0NSTRtlC110#[ ] FIRE RESISTANT PENETRATION ~'IF, LD INspECTIoN REPORT, DATE I COMMENTS.. ro~o~ OST) FO~ATION , ROUGH ~G & PL~G ~8~A~O~ ~ N. Y, STA~ E~R~ CODE ~DmON~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net Examined Approved Disapproved a/c Expiration 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 Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Phone: $£? 9 2009 Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,2ooq BLDG I)EPI. a~ llllllglaq~d)Ql~)0~(~l nm mT b' L completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 s~ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zon'mg 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. Thereal~er, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ]~o[9~f]l ~t~,~ottr-to (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. 1. Location of land on which pmpgsed work will be d,~e: I House Number Street Hamlet County Tax Map No. 1000 Section /g7 ~ Block / g;> Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of pre?scs and intended use and occupancy of proposed construction: a. Existinguseandoccupancy 6,ta,~l~ ~-~a~l,.L,'l~ Cas,[e~wce_ vt,/ J b. Intended use and occupancy ..~ ~, _ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If 9arage, number of ears Addition Alteration Other Work /t~5 -~u/ // ~r'lc __ . ~e~fi~n) (To be paid on filing ~is appfication) ~umber of dwelling ~its on each fl~r 6. If business, commemial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions o£existin~ structures, if any: Front /O £ ,./t" Rear Height ~ ~ O'~ ~//- Number of Stories / Dimensions of same structure with alterations or additions: Front Depth. · Rear Height Number of Stories 8. Dimensions of entire new construction: Front Height 9. Size of lot: Front 10. Date of Pumhase /57 '-0" Number of Stories Rear / 3 7.3"/ ' Name of Former Owner Rear Depth Depth / 7~7. ~ $- ~ 11. Zone or use district in which promises are situated ~ ~"(w 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES NO//x~ Will excess fill be removed from premises? YES NO~ 14. Names of Owner of premises ~a~ t~tc/~n~ Address /J~4L//~;~/c-~_ Phone No. ~' 7- NameofArehitect ~.}a/-~44 d'~'rt~/~ra Address /tY],~,:~C~- PhoncNo Name of Contractor Address Phone No. 15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES NO,~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY ]~E~4REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO, z:~_ * 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO_,~ ' · 1F YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY O F c~tY/'a~/~/]ff?: signing ~:ontract) above (S)He is the being duly swum, deposes and says that (s)he is the applicant named, (Contractor, Ag6fi~ 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 tree 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 day of Notary Public 2O VICKI TnT~ ~'~ Nota,'y Public, State of New York A No. 01T06190696 Qualified in Suff01k County Commission Expires July 28 PROFESSIONAL ENGINEER 725 HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK 11971 TEL:631.765.2954- FAX:631.614.3516 · e-mail:joseph@fischetti.com Date: Reference: September 17, 2009 485 Raccoon Road SCTM#106-10-9 Building Inspector Southold Building Dept PO Box 1179 Southold, NY 11971 Dear Sir, I have inspected the sanitary system for the above referenced dwelling. I certify that the system consists of a 1000 gallon septic tank and one 8 foot diameter leaching pool 12 foot deep. The system was in working order. This type of system is the minimum required by the County and is adequate for up to 4 bedrooms. A review of a survey for the property and the system itself reveals that this system is relatively new and seems to have been installed in place of 2 older cesspools (one block) located in the same location. Joseph Fischetti, PE TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET qFx.~ VILLAGE DIST, ~,ORMER.OWN~R ^ N E ~ ~ o Z~,,,~/~ ~,~~ '> Ab~(e ,(',, w VJ.5~ _ . ~ TYPE OF BUILDING ~' ~/O S~S' VL~ FARM ~M~. CB. MISC. Mkt. Value ~ND IMP. TOTAL DATE REMARKS N~ NO~L BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONZAGE ON ROAD__ House Plot D~P~H BULKH~D Fotal DOCK COLOR M. Bldg. Extension Extension Extension Porch Porch Breezeway Garage O.B. ' Total .Foundation ]asement Wails Fire ,Place Type Roof Recreation Dormer Driveway Bath Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Dinette )~,~! ,~ ~.~. IR. / DR.~ FIN. B. REScheck Software Version 3.7.3 Compliance Certificate Project Title: New Addition Report Date: 06/16/09 Data filename: Untillad.rck Energy Code: New York State Energy Conservation Construction Code Location: Suffolk County, New York Construction Type: Detached I or 2 Family Heating Type: Non-Electric Gla~ng Area Percentage: 4% Heating Degree Days: 5750 Construction Site: 485 Raccoon Road Mattituck, NY Owner/Agent: Robert Paladino Designer/Contractoc Joseph Fischetti 1725 Hobart Read SOuthold, NY 11971 631-765-2954 Permit # Permit Date Ceiling 1: Flat Ceiling or Scissor Truss: 292 19.0 0.0 15 Wall 1: Wood Frame, 16" o.c.: 600 11.0 0.0 51 Window 1: Wood Frame:Double Pane: ~ , 26 0.350 9 Th~prusentad in this [~o.,~J~_~~Om building plans, specifications, and other calculalions ~it application. The~~[deslgned to meet the New York State Energy Conservation Co~ments. When ~ 0~'~ has stamped and signed this page, they are attesting that to tbe best of h is/~, be~ ~ ~llF~v.,.¥~ ns or specifications are in compliance ~ith this Code. Builder/Designer ~~~_ _..~j~,~f ~ Date New Addition Page I ~f 1 MAP _OF Pr~O PiE,Q_T ¥ TOWN O~ ~'~' '*' ' · N SURVEY OF PROPERTY A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY,N.Y. 1000-106-10-09 SCALE: 1'=$0' · JUL Y 9, 2009 AUG. 6, 2009 (~ddilionsI SEPT. 2l~ 200-o (NEW SEPTIC SYSTEM) (OW~u150' * DANG~-RO ~.,,jC..t.,~ G~[~DN[8(:~ N7%~ r5.65' am fomi/iar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ond will obide by the condit[ons set forth therein ond on the permit to construct. ~he locution of wells ond cesspools shown hereon ore from field observotions ond or from doto obtoined from others. Elevotions referenced to on ossumed dotum. · =MONUMENT ANY ALIERA~ON OR ADDlllON TO THIS SURVEY IS A ~40LATION OF SECTION 7209 OF THE NEW YORK STATE EDUCAHON LAV~ EXCEPT AS PER SEO]70N 7209-SUNDIWSION 2. ALL CER17~7OAHONS HEREON ARE VALID FOR THIS MAP AND DOPIES THEREOF ONLY IF SAID MAP OR COPIES NEAR THE IMPRESSED SEAL OF IHS SURVEYOR WHOSE SIGNATURE APPEARS HEREON. SEP 2 2 2009 BI DG. DEPT. TOWN OF SOIJTHOLO AREA=23,372 SQ. FT. (INCLUDING R.O.W.) AREA=19,768 SO.. FT. (EXCLUDING R.O.W.) (ssi) m5- P.O. BOX 909 12J0 TRAVELER STREET SOUTHOLD. N.Y. t1971 49618 46 ?ALADI NO E._51DENCE EXISTING C,J. ELEVATION SCALE. F~"= ILO" EXISTING F.J. TO REMArN fiXISTING SCREEN NEW 2- I ~" X 52L" LVL EXISTING DECK ~ ITP-,UCTURE TO P, EMAIN FLOOR PLAN h, = I '-0" 5CALF: ~ CERTIFICATION Of NAILING & CONNECTIONS RB3UtRED, VIN'd_ 50ffrT MATERIAL CEILING FrNISH 2" 5TYP. OFOAM INSULATION, ~" PLYWOOD SHEATHING I~" X 5~' LVL ENCLODED PORCH P3q5TING ~XISTING 2" X ~" ACQ D.J I G" O.C ) REMAIN FOOTING; ASbUME 36" BELOW GRADE - V,I,F, (TYPICAL ALL LOCATIONS) DUILDtNG SECTION "A" h, = I '-0" SCALE: ¥ OCCUPANCY OR USE IS UNLAWFUL -'"'""-~THOUT CEE'i'IFIC. ATi-~ OF ,',p,-,~ ,~,...,.., UNDERWRITERS CERTIROATE REQUIRED ~P ..t~! ..... .ATE: ;,, FEE' flO,~O NOTFy ~dILEINL- L ' ,'RTMENT AT 765'1802 8AM [0 4 PM FOR THE I FOUHDAf;ON. TWO REOUIRED FOR POURED J'ShqF;ETE 2. ROUGH - FRF'MIhHi & PLUMBING 3 INSULATION 'L FNAL - C0¢~:¢ bCTION MUST B~ CC~PLETE FOR CO. ALL CONS]RUCTION SHALL MEET THE REQUIREMFN IS OF THE CODE8 OF NEW YORK ST¢~FE. NOT RESPONSIBLE FOR DESIGN OR OORS'rRUCTION ERRORS. RETAIN STORM WATER RUNOFF PIIRSUANT TO CN,~'H-,~ 236 OF THE TOWN COl]E, ALL CONSTRUC?ION SI4ALL MEET THE REQUIRE'qEHTS OF TF h PAGE Uk), ¢'c ,t:~°DA f OCCUPANCYOR 'USEIS UNLAWFUL WITHOUTCERTIFICATE OFOCCUPANCY RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OFTHETOWNCODE. APPROVED AS NOTED DATE:~ B,P. NOTIFY BUILDING DEPARTMENT AT 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION ,' 4. FINAL 'CONSTRUCTION MUST BE COMPLETE FOR C O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ON, LEAD'CO~I~T, BEFORE (~ERTIFICA~ ~ .~, '~JqUPANGY :~"~ER USED:IN WATER SUPPL Y gY~T~.~NOT EXCEED 2/10 OF 1%LEAD. ALL CONSTRUCTION MEET THE REQ ..... SHALL COOEs Ts O, T E ','-w YORK STATE. CERTIFICATION OF NAILING & CONNECTIONS REQUIFIED.