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HomeMy WebLinkAbout35352-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34245 Date: 03/26/10 T~IS C~TIFIES that the building ADDITION Location of Property: 125 RACCOON RD (HOUSE NO.) (STREET) County Ta~ap No. 473889 Section 106 Block 10 subdivision Filed~ap No. Lot No. __ MATTITUCK Lot 12 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 23, 2010 pursuant to which Building ~I~uit No. 35352-Z dated FEBRUARY 23, 2010 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM C & PAMELA A REIMER III (OWNER) of the aforesaid building. SIIFI~DI~CO~DEPART~T OF H~%L~{APPRO~-AL N/A EI~t-£ilCJ%5 U~RTIFIfJ%~ NO. 1045129 11/01/02 I~LI~B~ CE~TIFIC~%TION DA'£~3 03/22/10 MICHAEL REED Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL , 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP 2 4 2010 BLDG. DEPT. TOWN OF SOUTHOLD This application must be filled in by typewriter or ink and submitted to the Building Department with the following: For new building or new use: 1. Final survey of property with accurate locat'ion of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6~ Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming 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 signed by the applicant, ff a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Cortificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 5/ ,ZOIO. New Construction: Old or Pre-existing Building: Location of Property: /xg,~ /~/~e~o~/L/ (check one) House No. Owner or Owners of Property: f/G]~ Suffolk County Tax Map No 1000, Section Subdivision Street / Permit No. 3ff~-~- Health Dept. Approval: Block ~1~) Filed Map. Date of Permit. Applicant: Hamlet Lot Lot: Underwriters Approval: · Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF 8OUTfIOI,n Telephone (631 ) 765-1802 Fax (63 I) 765-9502 CERTIFICATION Building Permit No. (Please print) Plumber: /~/~ a/64C-~ (Please print) lead. I certify that the solder used in the water supply system contains less than 2/10 of 1% ,20 I0 County Sworn to before me this ayof Notary Public, NOTARY PIJ~ ~,1C REGISTRATION # '~226126 COMMONWEALTH OF VIRGINIA MY COMMISSION EXPIRES APRIL 30,2012 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 KEVIN SCHRAGE ELECTRIC WILLIAM REIMER 10 NORMANDIE LANE 125 RACCOON RD E. MORICHES, NY 11940-1579, MATTITUCK, NY 11952 [] Located at 125 RACCOON RD I~ATTI'rUCK, NY 11952 Application Number: 1045129 Certificate Number: 10451291 [] Section: Block: Building Permit~278872 NS11 Lot: BDC: 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, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 1st Day of November, 2002. Name QTY Rate Ratimz Circuit Type Alarm and Emergency Equipment Sensor 1 0 Carbon Monoxide Sensor 2 0 Smoke~ [] Appliances and Accessories Exhaust Fan I 0 F.H.P. Wiring and Devices Receptacle 4 0 General Purpose la Switch 10 0 General Purpose Fixture 5 0 Incandescent la Fixture 1 0 Fluorescent la Receptacle 1 0 20 amp Laundry Receptacle 1 0 30 amp D~er Paddle Fan 1 0 Receptacle 1 0 GFCI seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEP~TMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35352 Z Date FEBRUARY 23, 2010 Permission is hereby granted to: WILLIAM C REIMER III 125 RACOON RD ~© ~ ~Q~ MATTITUCK, NY 11952 for : ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 27827. at premises located at County Tax Map No. 473889 Section 106 pursuant to application dated FEBRUARY Building Inspector to expire on AUGUST 125 RACCOON RD MATTITUCK Block 0010 Lot No. 012 23, 2010 and approved by the 23, 2011. Fee $ 150.00 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) PERMIT NO. 27827 Z Date OCTOBER 24, 2001 Permission is hereby granted to: WILLIAM C III REIMER 125 R3tCOON RD ~LATTITUCK,NY 11952 for ADDITION TO AN EXISTING SINGLE F~LMILY DWELLING AS APPLIED FOR at premises located at 125 County Tax Map No. 473889 Section 106 pursuant to application dated OCTOBER Building Inspector. RACCOON RD MATTITUCK Block 0010 Lot No. 012 9, 2001 and approved by the Fee $ 150.00 Authorized Signature ORIGINAL Rev. 2/19/98 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS, ] ROUGH PLBG. ] INSULATION ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] F~NDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 7654802 BUILDING DEPT. INSPECTI O . [ ] FOUNDATION 1ST [..~Jrl~OUGH PLBG. [ ] FOUNDATION 2ND [ ]~INSULATI.O.N [[]] ~iR~EM;LNAGc E & CH i M NEy [-f~I:N~L--::-7::: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ],~JH PLBG. [ ,,~ INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 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 CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR ~' ~ ~llg~D 'I[-[qSPK[ITION · KgPORT '~ BOARD OF HEALTH 3 SETS O.,~/PLAN$ '";'~ ..... .''''.'' SURVEY ........................ CHECK ~. ~.q~ .................. SEPTIC FORH ................... Date ................ INSTRUCTIONS a. 'Ibis a~pli~ation must ~e c~pletely filled in ~ ~iter or in i~ ~ mitt~ to ~ hdldi~ I~tor ~{ 3 ~ts of pl~, ~ate plot pl~ to ~ale. F~ ~i~ to ~le. b. Plot pl~ ~ l~ti~ of lot ~ of ~ildi~ ~ ~s, ~lati~ip to Mjoini~ pr~s or ~lic struts or aec, ~ givi~ a ~tail~ ~ripti~ of l~t of ~ ~t ~ ~ ~ ~ di~ ~i~ is ~rt of this a~l i~ti~. c. ~ ~ ~ ~ ~is a~li~ti~ ~ ~t ~ ~ ~fo~ is~ of ~ildi~ ~t. ~; ~ ~1 of ~is ~liati~, ~ hildi~ ~tor ~11 is~ a hildi~ Pe~t to the ~li~t. ~ ~t ~11 ~ ~pt ~ ~ ~s ~il~le for i~ti~ ~t ~ ~rk. e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~rt for ~ ~ ~at~r ~til a ~rtificate of ~ ~all ~ ~n ~mC~ ~ ~ ~ldi~ I~t~. aI~ IS ~l ~ to t~ hildi~ ~*,,~nt for a ism of a ~ildi~ ~t ~t to tM ~ildi~ ~ ~i~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~er ~li~le ~s, ~i~es or ~lati~, for ~ ~txti~ of hildi~s, ~iti~s or alteraci~ or for r~al or ~liti~, ~ ~rein ~ri~. ~ a~li~t ~s tO ~ly ~ all ~li~le 1~, o~i~s, ~ildi~ ~, ~ing c~, ~ ~lati~s, ~ to ~it ~ri~ i~tors ~ ~as ~ in ~ild~ f~ ~s~ ius~ti~. ............. ....... (~ili~ ~ss of eli~t) /l¢l'Z State M~echer at~limt is o~ner, less~e, agent, architect, engineer, general co~tractor, electrician, plumber or builder If applicant is a corporation, signature of duly authorixed officer. (Name and title of corporate officer) Builders License No .......................... Plu~L~rs License No .......................... Electricians License No ...................... Other Trade's License No ..................... ~ ~~ ~o ¢...~f~..~ I. h3catico of land c~ which proposed work ~rill be d~. /~ .......... : ......................... ,,-,.,. ............. .... .>. ......................................................... ltoune hlu~er Street Hamlet co~ T~x mp.~. ~0 s~tio, ..... ./.~..~. .... Rl~ .... /..? ........ bt ../~-. .......... 2. State existing use and occupan~ of praises.. / · ~d~nt? use/ ~/'and occupancy of proposed co~stroction: .................................... ,. .................................... l~ture of york (c~k ~,tdd~ applicable): Bev Boilding .......... ~iti~ ~ ~terati~ ~ir ........ .... ~1 .......... · .. ~liti~ . ........... OUter ~ (~rlp~i~) E~tltmt~ ~st ......................... f~ .............................................. (to ~ ~id ~ filing this a~li~ti~) If ~lli~, m~r of ~lli~ traits ............ t~r of ~lling traits m ead~ ~r ................ If garage, ~r of ~r$ ...................................... If ~i~ss, ~reial or ~ ~, s~i~ ~ture ~ ~tent of ea~ ~ of ~ ...................... Dimnsi~s of ~isti~ stamina, if ~: ~t ...... 7.~ ..... ~ar ...~.~ ....... ~pth .d.~:k ........ ibi~t ......................... ~r of Stories ..' . ~pth .................... ~i~t .................... ~r of Stories ............... Di~nsi~ of enti~ ~ ~st~ti~: ~t .... ~.: ...... ~ar ...... ~ .... ~p~ .~ ....... Ibi~t ......................... ~r of Stories ..................... Si~ of lot: ~t ....... ~.&~.~. ~ar ...... ~.~ ....... ~pth .... ~.~.~ ......... Mte of ~rdlam ..~.~ .......... ~ of Fomr ~r .~.<~ .......................... ~ or ~ district in d~i~ pm{ms am si~tM .............................................................. ~s ~o~ mt=tim violate a~ mi~ lin, oMi~e g re~latim: . ~ .................. ~ of ~tr~tor ..... (7 .... : ................... .... ~ress ............................... H~ ~ .......... ~... Is tiffs p~r~fliin ~ f~t of a ti~l~tl~t * ~ ' ~ PLOT DIAGEAH locate clearly and distinctly all buildings, ~hether existing or proposed, and indicate all set-back dimensions mm pro~rty lines. Give street and block r,~her or description according to deed, and sho~ street hanes and indicate hether interior or corner lot. ...... ............... , ing ~ of iMivial si~ing c~tract) ~ is the (~tracto~~rate o[[icer, etc. ) [ aid ~r or ~rs, ~ is ~ly ~thori~ to ~rfoa or ha ~r[o~ d~ ~id ~ ag to ~ a~ ~ile this ~llcatlon; ~at all star--ars c~tai~ in ~is a~l. lca~J, on are t~ to d~e I~st o[ his ~l~ hat U~ ~ ~ill ~ ~r[o~ in ti~ ~r ~t ~orth i, ae a~l.i~ti~ [il~ ~. Notary Publio, State ot..~.ew No. 01GL4879t~uo Qualified in Suffolk Commission Expires DeC. 8, sl~om, deposes and says that he is the appl. icm~t (Signature of TOWN OF SOUTHOLD PROPE TY RECORD CARD OWNER STREET Z ~ VILL&GE ' DIST. -&~- FORMER OWNER N ' E ACR: J ' F~~t~ S W ~PE OF BUILDING RES. ~/~ S~S. /' ~. FA~ ' COMM. CB. MISC. Mkt. Value ~ND IMP. TOTAL DATE REMARKS FARM Acre Value Per Value ~re Tillable 1 Tillable 2 Tillable 3 Woodland Swamplond FRONTAGE ON WATER B~u~M=nd FRONTAGE ON ROAD BULKH~D Total D~K M. Bldg. Extension Extension Extension COLOR TRIM Foundation ~asement Ext. Walls Fire Place Both Floors Interior Finish Heat Type Roof Rooms Ist Floor Porch Recreation Room Rooms 2nd Floor Porch Dormer Drive,way Breezeway Garoge Patio Total Dinette K. LR. DR. BR. FIN. B. . /~o -/~¢ ,'~-/a TOWN OF SOUTHOLD PROPE TY RECORD CARD OWNER STREET ,' ~_,_~ VILLAGE '~ DIST. -S~t?~, LOT FORMER OWNER N / ACR: '' S ' ' ' W TYPE OF BUILDING RES. 2,/~ SEAS. -:~ VL FARM ' COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 7o0 700 ~ FA~ Acre Value Per Value ~re Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER HouseP,o, ' DEPTH ~r~ ~0/°'* ~ ~ ,-: Total D~K~ ] M. Bldg. Extension Extension Extension Porch Porch Breezeway Garage Patio Total COLOR / TRIM Foundation Basement Ext. Walls Fire Place Type Roof P, ecreation Room Dormer ~Driveway Bath Floors Interior Finish Heat Rooms ]st Floor Rooms 2nd Floo Dine~ei STATE OF NEW YORK) ) SS: COUNTY OF SUFFOLK ) , being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at That on the 5'- day of ¢~7~¢¢'/--- ,2001 deponent architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- street address Sworn to before me this ,~"~ day of O~-%~)e~- ,2001. Nb~aw Public .... ~ cc: App!icant ~:~'~ OCCUPA FOUNDATION NOTES: 1. 1/2' AnChor B=~ Q Il'0" D.C. Maximum 2. 8" Con~ Foundaflo~ Wall, 8'-0" High, 3Q00~ Test 3. 16' x S' Concrete W~II Fooflogs, 3000# Test 4. OMITTED 5. OMr1'r ED MATERIAL NOTES: Floor Col~trucflon: 3,'4" OSB pFJwoad subfloor, glued ~,DDITION:: FOR P 4, FINAL APPROVED AS NOTED USE IS , WITHOUT ~, PM FOR THE · TWO REQUIRED FRAMING & PLUMBINQ UL OCATIOI APPROVED. 71, lealthat $5 ~lllton and automobile Ilabtl~ arid damage 2x4 Collar Tie! ~ 32' DC.' PREVENTING coverage not I~. thl, S2 mIHIon ~e Engln.r ~afl ~ _ -~::~_ _ - -:~- " 'ART. 902.6(K) 6~ R-t9~ mi~lngs PROV~DE ~ UNDERWRITERSCERTrFICATE FRAMING NOTES' I NI headers 2xl 2 unless noted 2. A~I comers are solid 3 Double Jacks over 48' spans 4 Double jolts under atl parallel partitions 5 Provide tim stopping tc ali walls aa per N.Y.S. Code 6 RaRer heel cuto shall not exceed 7 Where joists are notched to headers go as to reduce beam depth, use bridle bona or malal corm actors 8 All floor joists, rafters and ceiling beams to be Hem fir number two or better construction grade wdh a minimum re = 120~0 p.s.i 8 All 2x4 and 2x6 partion wal~ to be Doug fir number two or better construction grade with a minimum re = 1200 ps i Pt~O~O~EI~ AD~DITION ; BUILDING CODE. ELEVATION II I ~PI~OPO,,~E~ EXISTING ) LEFT .~IDE ELEVATION RIGHT 51DE ELEVATION I c:)r 3 22' g" I EXISTING DEC~ m A~.*LT R~F ~INaL~ EXISTING LIVIN~ A~E~ = 124~ 8~. FT.  P~OSED ~D~ITION = 322 5~. FT. SMOKE DETECTOR ~ INTERCONNECT PER CODE zO 0 : / ~ / / / / / / / / / ; FOUNDATION PLaN ~ ~NTE~CONNECT PE~ CODE B2, ~KYLISHT~ GENERAL NOTES: FOUNDATION NOTES: 1~ All work shati be perform~l In accordance wtih all st~te~ 1~ 1/2' Anchor Bolt~ ~ 8'.0~' O.C. Maximum municipal, local zoning and bulld~qg codes an~ ordinances 2, 8~ Concrete Foundation Wall, 8'~" High, 3000~ Test Compenselfoh, etc.) and general llabtilty In en mount net 2~6, 2x8 Celll~g 3ol~t~ ~116' O.C ~~ ........... ~ ..~_- ~ ~ ~ ..... ~ -. Insulation at ail perimeter sll~'4. Ove~ang as noted (match exl*~lng> O __~. ~T___ __C___~_~:~ =_ ~ E_ ............ ~ I[""~ Energy Conservation Condituction C~de. All glazed orca te be 'double 1. All haarlem 2xl 2 unless ~oted. [:~: REAR ELEVATION USE IS UNLA}?UL THERMAL SHOCN PNEVENTJH; i , m DEVICES AS TO PART. 902.6(K) ~- DA · ?~::.~.LR~.4 ~ .--:~-, _~-.oAPPROVED AS NOTED _ WITHOUToF OOOlII~IJ~Ir(~ERTJFICJ~']'E N.Y. STATE BUILDING COOL I I NOTIFY BUILDIN~I ~£RARTMENT AT 768.1802 I AM TO 4 PM Iron THE I)l~ltVIhlr IlPlrMl~/~e tho ~~i'~(i.~.FO N~ INSPECTIONS: .................... If copper tubing is used , cos for water distributing ' ! : .... ~---___.~._~_.__~ ...... _-=__----:~ ...... --;:_= = :: ____=:=:: = ----- ~ ..... System; piping shall bi ~ ~--'~-~-~-~ ----'=--- -~--- --~-- --.~-:: .... ~--~ '---- ----- -~---~-=:: .... ~:~-::.:-.-~--:-%:: ' of types K or L only_ i, ------ ............................................... .... ------ --- ..... REQUIRED ':~~- ........................... i~' ,_ ,' ¢', ~,/ ................. LEAD CONTENT BEFORE ~ ....... -- ~~ ............ - UMBER CERTIFICATION ....... ' : -::--¥ ...................... ~ ERTIFICATE OF OCCUPANCY I / ~-- :::~__~: ~=~-~<~ ..... SO/DER USED IN WATER .......... ii,. ........ ii. '-~--:=---~- ~ ...... ~ SUPPLY SYSTEM CANNOT ..... I ......... a ~---- -:. ~::: ::: .......... EXCEED 2/~0 of ~% LEAD. .... ~ ~ ........ ~ ............. ' --'- i __ _ --- ....... , PLUMBING ~ :. ....... AII RI~JMBING WA~ ' ~ .......... & ~TER UNES NEED , PROPOSE~ ! EXIBTING I [ I ( [ ~c I > I I UNDERWRITERS CERTIFICATE I , , , , ' I----+ .................. ................. .~ ......................................... ', ', = , 0 , , ~.~' ?rOV~¢£ SgO~E'B£1£C'~IflG ~- ........................................................................................ ~ ............................................................................... ~- .......... ~ ~I.~R~ ~£~/ICE$ /~S TO PART. 72L! RIGNT , IIDE ELEVATION LEFT 511DE ELEVATION ........_.._pA =E --------: , ' i