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HomeMy WebLinkAbout33683-ZFORM NO. 4 TOWN OF SOLVfHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34480 Date: 07/28/10 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Pr~erty: 600 HARBOR LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County T~ ~ap No. 473889 Section 97 Bl~k 6 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 12, 2008 pursuant to which Building Permit No. 33683-Z dated FEBRUARy 12, 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 ALTERATIONS AND ADDITIONS, INCLUDING DECK AND COVERED DECK, TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HENRY & CAMILLE RIENECKER ( OWNER ) of the aforesaid building. COUNTY DEPART~NT OF }~ALTH APPROVAL N/A BI~C~rKICAL ~KTIFICAT~ NO. 1050797 05/06/02 PLD~ERS C~KTIFICATION DA'rw~3 10/17/09 HENRY RIENECKER 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-34481 I~ate: 07/28/10 THIS CERTIFIES that the building SWIMMING POOL WITH DECK Location of Property: 600 HARBOR LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) Cowry Tax ~ap No. 473889 Section 97 Block 6 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 12, 2008 pursuant to which Building Peru~it No. 33683-Z dated FEBRUARY 12, 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 A~OVE GROUND SWIMMING POOL WITH DECK SURROUND ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HENRY & CAMILLE RIENECKER ( OWNER ) of the aforesaid building. ~UFFOLKCO[~I'YDEPARTMENTOFIIEALTHAPPROVAL N/A gLgC1]{I~ Um{TIFICATE NO. 33683 07/21/10 PLIghtERS C~TIFICA?ION DA'r~U N/A f~u~nature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES U/qTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27397 Z Date JUNE 13, 2001 Permission is hereby granted to: HENRY RIENECKER PO BOX 704 CUTCHOGUE,NY 11935 for : ADDITION AND ALTERTION TO AN EXISTING SINGLE FAMILY DWELLING WITH I4~DROLI[D SWIMMING POOL AS APPLIED FOR. TWO CO'S WILL BE REQUIRED at premises located at 600 HARBOR LA CoLmnty Tax Map No. 473889 Section 097 pursuant to application dated FEBRUARY Building Inspector. CUTCHOGUE Block 0006 Lot No. 016 13, 2001 and approved by the Fee $ 929.60 Signature ORIGINAL Rev. 2/19/98 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEP/LRTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33683 Z Date FEBRUARY 12, 2008 Permission is hereby granted to: HENRY & CAMILLE RIENECKER 600 HARBOR LANE CUTCHOGUE,NY 11935 for : ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING WITH SWIMMING POOL. TWO C/O'S REQUIRED.REPLACES BP# 27397 at premises located at 600 HARBOR LA CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0006 Lot No. 016 pursuant to application dated FEBRUARY 12, 2008~and approved~jby the Building Inspector to expire on AUGUST /~'~,<2009.~/~---~/t //J/ Fee $ 929.60 ~ /~? ~'forized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of ail 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 ofelecttical 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 reqmrements. 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. 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 t Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, 3. 4. 5. Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 // Old or Pre-existing Building: ~/ Street {~ ~ 7 Block Filed Map. Date of Permit. ],2/a/,I/O ~ Applicant: Underwriters Approval: New Construction: Location of Property: House No. Owner Or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ ~ (fl~ ~ C~ (check one) Hamlet ~ f Lot C;7/~ )C Lot: ~' ! / (check one) Applic~t Signature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 1OO38 CERTIFIES THAT Upon the application of upon premises owned by C-CAT CO. 9280 SOUND AVE. MATTITUCK, NY 11952, HANK RIHNECKOK JR 600 HARBOR LANE CUTCHOGUE, NY 11935 Located at 600 HARBOR LANE CUTCHOGUE, NY 11935 Application Number:. 1050797 Ceffificate Number: 1050797 Section: Block: Lot: Building P~Z~-~ BDC: NS11 Described as a Residential occupancy, wherein the premises e~ectrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, Outside, Attic, 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 Name AddifionatCharges LIC NUMBER # 953-E Alarm and Emergency Equipment Sensor Wiring and Devices Outlet Receptacle Switch Fixture Fixture Dimmers Paddle Fan Receptacle 6th Day of May, 2002. OTY Rate Ratin~ Circuit Tvoe 8 Smoke 16 40 34 11 5 1 4 4 600 Fixture General Purpose General Purpose Incandescent Fluorescent 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. l'o~n 1 lall Annex 5t375 Main Road F'.O. Box [179 .S(ndhold, NY 11!)71-09,59 Tek'phone (631) 765-1802 Fax ((331) 765-9502 ro~er.richert~town southold.ny, us IH IlLI)IN(; I)I']%I/TMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: H Rienecky Jr, Address: 600 Harbor Lane City: Cutchogue St: NY Zip: 11935 Building Permit #: 33683 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Dave Cheshire DBA: C-Cat co License No: 953-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage Service 1 ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: INVENTORY Hot Water GFCI Recpt NC Condenser Single Recpt NC Blower Range Recpt Appliances Dryer Recpt Switches Twist Lock Ceiling Fixtures ~] HID Fixtures Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures ~ CO Detectors Fluorescent Fixtur{~ Pumps Emergency Fixture Time Clocks Exit Fixtures ~ TVSS above ground pool, bonding, 1 1.5hp motor, 1 GFCI recpticle Notes: Inspector Signature: Date: july 21 2010 81-Cert Electrical Compliance Form Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. Owner: Plumber: /(Please/ print~ /(Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this / ~ ~ dayof (Qgj/'~_~t~ , 20 Notary Public, ~{2~/}(- County (Plu~t~ers ~Signature) 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION 1ST [,~ ROUGH PLBG. [ ],~JNDATION 2ND [ ] INSULATION [/,,~ FRAMING [ ] FINAL FIREPLACE & CHIMNEY DAT£~~~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] RO~J~LBG. [ ,~/INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~'~~~-- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] IN/SULATION [ ~FINAL DATE ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~fULATION [ ] FRAMING / STRAPPING [j~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN, ETR~, TION ~REMARKS: ,..~/// ~ ~ I N S P EC TO R///~_~/-,/~'/~' Datc: To: JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 August 26, 2009 Town of Southold Building Dept. Re: Deck Riencckcr 600 Harbor La. Cutchogue, NY Pemfit # 33683~ To Whom It May Concern: This letter certifies that the installation of the deck at the above mentioned location has been built in confom~ance with the New York State Building Code and is construOed 1o the specifications of thc submitted plans. Any questions feel free Io call. ely },xx~be~koski P.E. FOUNDATION {lst) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITION~ COMMENTS: IV~J31 VZ~ ~VI~IJJ. VId~ BUILDING DEPARTMENT TOWN H, ALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined Approved Disapproved a/c tJUII.~DI.N~ Y~iqVlll A?FLIEATION CHPLCI~LI5 Do you Mve or need ~e follo~g, before applying Bo~d of He~ 3 sets of Buil~g Plans S~ey ~ Check~ ~ Septic Fo~ N.Y.S.D.E.C. Trustees Contsct: Mail to: ~ ~nspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date /~ ~ ,20o ! a. This application MUST be completely filled in by ~ypewriter or in ink and submitted to the Building Inspector with3 sets of plans, accurate plot plan to scale, Fee according to sd/eduie, b. Plot plan showing lo~ation of lot and of buildingt~ .o..n'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 Ir~ctor 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 eccupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan is issued by the Build!ng Inspector, APPLICATION IS HEREBY MADE to the Buildi~. g.D. ep,, tment 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 c'onstruction of buildings, additions, or'altexations or for removal or demolitign as herein described. The applicant agrees to colnply with all applicable laws, ordinandes, .building code, housing code, an/8 regulations, and to admit 'uth°rized insPect°rs °n premises and in building f°r nec .e'~...... mspecti°ns'" ~ ~ · .. (Signature~6f applicant or name, if a coq~oration) . '. (Mailing a~dress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name o f owner o f p~'emises ~f~ ~...'-/' (as ~n the tax roll or latest deed) If applicant is a corporation, signature of duly authori~i~d officer (Name and title of corporate officer) Builders License No. Plumbers License lqo. Electricians License No. Other Trade's License No. 1. Location of land og which proposed work will be done: Z z-,o "." ,' House Number Street CountyTax Map No. 1000 Section Subdivision (Name) Hamlet ~' ') .' Block ~' Filed Map No. Lot .. o,,,~ ~^,~,,,~ u~ ~u u~up~cy ol premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~ / .~-~-o~.~' ~.~.~ '/~ ~. b. Intended use and occupancy ~ 5~mx;f h:~.4v~ /q-oos~ 0--'/77/- 5'o,,v ~-c,z~.,Oe..,etc ~/7~:~,' Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ')fit C~O. ~ Fee if dwelling, number of dwelling units If garage, number of cars / Addition ~ Alteration Other Work "D~'~..~ ( t~ e-~,O~ (Descfiption)~ (to be paid on filing this application) Number of dwelling units on each floor ! Dimensions of existing structures, if any: Front '2~ Rear Height. / ~ Number of Stories / ,. If business, commercial or mixed occupancy, specify nature and extent of each type of use. '~ ~' Depth Dimensions of same structure with alterations or additions: Front ! Depth ¢'o'"' Height. 2-- ~ :. Dimensions of entire new construction: Front ? ¢' ! Height ~. Sizeoflot: Front 0. Date of Purchase Rear Number of Stories / Rear Number of Stories Rear /J'"~ Depth .. C//~ r/ Name of Former Owner 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded A) O Will excess flit be removed from premises: YES 4. Names of Owner ofpremise'$ff~.,q~t ~e-,o, vo~e~u.- Address Name of Architect ~ ~ ce,,~ 5~,o ro~.p- Address ~'o 7'r~,o~ ¥ L ~'~ ~ ~2x._ Phone No Name of C0ntractor ~ -~J~r~ ~o~sr~,~-r/qo Addrcss~'o.o~k,*. 5. Is this property within 100 feet of a tidal wetland? *YES NO · 1~ YES, $OUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUnKED 6. Provide sun, ey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: :OU'NT¥ OF.Sven,,4 ) /p~. c--~/~--~ ~- ~../.c e.-['U _ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ¢)He is the /~¢ &~,,,a (Contractor, Agent, Corporate Officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the ~aid work and to make and file this application; ~at all statements contained in this application are true to the best of his knowledge and belief; and that the work will be :rformed in the manner set forth in the application filed therewith. of Applicant ~ TOWN OF SOUTHOLD PROPERTY~R~CORD CARD OWNER STRE VILLAGE DIST. SUB. LOT ACR. ~(/'~ ~'~ - ~' ~H S W TYPE OF BUILDING RES.~/~ S~S. VL. ~ FARM COMM. CB. 'MlCS. JMkt. Value ~N D IMP. TOTAL DATE RE~RKS Tillable FRONTAGE ON WATER / Wo~land FRONTAGE ON ROAD Meadowla~d DEPTH ~V House Plot BULKH~D Jota I COLOR TRIM '- Extension ._Extension Porch -o.~ o Bath Floors Foundation Basement Ext. Walls Fire Place Type Roof Dormer Dinette Interior Finish LR. I Heat I~v~ FSL5 DR. { Rooms 1st Floor BR. Rooms 2nd Floor Driveway Recreation Room FIN. - Total Town Hall Anmx 54375 Main Road P.O. Box 1179 Soufl~old, N Y 1 ! 971-0959 BUILDING DEPARTMENT TO~JVN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: *Name: ~j[~ *Address: ( 0(~ *Cross Street: *Phone No.: Permit No.: (*Indicates required information) i,to.. o¢I 1.2/ Tax Map District: 1000 Section: Block: /.~ Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *is job ready for inspection: *Do you need a Temp Certificate: ~NO YES / NO Rough In ~ Temp Information (If needed} *Service Size: 1 Phase *New Service: Re-connect Additional Information: 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form 3Phase 100 Underground Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD February 17, 2005 Henry Rienecker 600 Harbor Lane Cutchogue, NY 11935 Dear Mr. Rienecker: RE: Building Permit #27397, issued June 13, 2001 Please be advised that the above referenced Building Permit expired on June 13, 2003. The fee to renew your permit is $929.60 (check or money order). We look forward to your immediate response. Respectfully, Southold Town Building Dept. Michael J. Verity Chief Building Inspector Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York ! 1971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 16th, 2006 Henry Rienecker 600 Harbor Lane Cutchogue, NY 11935 RE: 600 Harbor Ln. SCTM # 097 0006 016 Dear Mr. Rienecker, Please be advised that your Building Permit # 27397 issued June 13th, 2001 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $929.60 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILD1NG DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York 11971-0959 Fax (631) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 12th, 2007 Herrrey Rienecker 600 Harbor Lane Cutchogue, N.Y. 11935 RE: 600 Harbor Ln. (in-ground pool alterations/addition) SCTM: 97 6 16 2~v° NOTICE Dear Mr. Rienecker, Please be advised that your Building Permit #27397 issued June 13th, 2001 expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $929.60 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILD1NG DEPT. Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (63 l) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD January 22nd, 2008 Henry & Camille Rienecker 600 Harbor Lane Cutchogue, N.Y. 11935 FINAL NOTICE RE: 600 Harbor Ln. (Addition/Alteration-In-Ground Pool) SCTM # 97.-6-16 Dear Mr. & Mrs. Rienecker, Please be advised that your Building Permit # 27397 issued June 13th, 2001 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $929.60 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 September 28, 2009 Henry Rienecker 600 Harbor Lane Cutchogue, NY 11935 BUILDING DEPARTMENT TOWN OF' SOUTI-IOLD TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate:~' /"'~-4~ ~ ~ ~ $50.00 ~_A fee of Final Health Department approval. ~_~ Plumbers solder certificate (all permits involving plumbing after 4/1/84.) Trustees Certificate of Compliance. Final Planning Board Approval. Final Fire Inspection from Fire Marshal. Final inspection from the Building Department. Final Landmark Preservation approval. Building Permit: 33683-Z swimming pool and addition Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (63 I) 765-1802 Fax (631 ) 765-9502 October 20, 2009 Henry Rienecker 600 Harbor Lane Cutchogue, NY 11935 TO WHOM IT MAY CONCERN: BUILDING DEPARTMENT TOWN OF SOUTHOLD The following items are needed to complete your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. ~ FOR S*~IMI~IlNG I}OO~ A fee of $25.00 Final Health Department approval. Plumbers solder certificate (all permits involving plumbing after 4/1/84.) Trustees Certificate of Compliance. Final Planning Board Approval. Final Fire Inspection from Fire Marshal. Final inspection from the Building Department. Final Landmark Preservation approval. Building Permit: 33683-Z for swimming pool part of permit APPLICANT NAME: BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: ~ //3 ~ DATE SUBMITTED: .~- //_4 /o~ SCTM#--- DISTRICT: 1,000 SECTION: el,7 BLOCK: ~ LOT: PROJECT LOCATION, STREET: too /~,.- ARCHITECT / ENGINEER: CITY: SUBD1V. NAME: FAST TRACK: YES o~(~ SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES oD NOTES: ZONING: PERMIT ESTIM~e AMOUNT: $ ~>.~ K, .00 YES _..~ ZONING DISTRICT: R40(.~O[ AC, - CONFOR/VlING: REQUIRED LOT SIZE: /ihO~ . SQF, WTIERE ACTUAL LOT SIZE FRO~uiRE~ ACTUAL LOT SIZE: ff~j~g SO REQUIRED /~ D REQUIRED FRONT:~*O ' PROPOSED: 4-~ ' SIDE YD:~o '/ 't~ ' PROPOSED: .2~' '/ ~. ' REAR: ~ ' PROPOSED:,/.,~:~: LOT COVg-'RAGE: ALLOWED:Jo % EXIS~G: sf % NEVi sf % TOTAL:~-{~ sf_ CORNER? YES ox....>.~ WAT ER FRONT? YES o DESCRIPTION: LOTS 40,000SF --100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger. (A nonconforming at any time after July 1, 1983.) PROJECT DESCRIPTION: ~,a~, ACC OR N/D: AGENCY PERMITS REQUIRED FOR REVIEW TOWN SPETIC PERMIT: YES or~[l~ SUFFOLK COUNTY HEALTH DEPT: YES or~,..~ (BED #):__ NEW YORK STATE DEC: PRE~DEC 9/1/75 YES orO SOUTHOLD TOWN TRUSTEES--¥~ YES orl~ TOWN ZONING BOARD APPROVAL: YES °r~.~) TOWN PLAN. BOARD APPROVAL: YES or~ FLOOD COMPLIA~ICE ZONE: PRE-F[R~M 3/18/80 PANEL #: NYS ENERGS('.' YF~'"'m~ OR NO : x// EGRESS: VENT: NOTF,,S: ,"'"'" -- -- DTE: / / PERMIT #:R10- FLOOD ZONE: LIGHT: FEE STRUCTURE: FOUNDATION: ,---- SF FIRST FLOOR : .2. l ~ SF SECOND FLR : ! ;,~_~ SF INIT OTHER TOTAL ~l'~E: ~e~ ~t 54 SF FEE FEE FEE TOT(-~I~ SF)-( ~r-~'o .SF)=.,i~ SFX$.-.2O =$'~I~3 ,.,~'-- +$ f =* I~NLRGY CODE CALCULATIONS (For Non-Electric lleat} ~ DESIGN 'I'HEI~EL REMARKS SUBSYSTEM AREA "U" ~TING 220 '°S *~ Exterioc ~al.L~ (Opaque) ~vL .o~ *~ Design Criteria G,O00 Degree'Days O.A. LOaF i.A. Glazing ceiling/R(3of (Opaque) Skylights % Floor [:ou~dat-on Walls Slab Insulation Z.O .qo - B ,76z . 05' 0 TOTAL l]uildl::g Envelope Systems to meet requirements of 7815.2 HVAC Equipement to meet require:uents of 7815.11 HVAC Systems ko meet requirements of 7815.r2 Duct Systems to mee~ requiremehts of 7815.13 Ventilations Systems ko meet requirements of 7815.14 insulation of Piping Systems to meet requirements of 7~15.15 Service Water Heating Systems & Equipment to meet requirements of 7015.21 Electrical & Lighting Syskems & Equipment to meet requirements of 70].5.3[ To the best of my knowledge, belief, & professional judgement, the~e plans are in compliance with the code. APPROVED AS NOTED O AT~ :~ B.R # ~'~:~-~.~-~~- NOTIFY BUILDING DEPARTMENT AT 765 1802 9 AM TO 4 PM FOR THE FOLLOWING iNSPECTIONS: FOUNDATION - I~/VO REQUIRED FOR POURED CONCRETE ROUGH * FRAMIiN'G & PLUMBING 3 INSULATION 4 F~NAL - CONSTRUCTION MUST GF COMPLETE FOR C,O, A!L CONSTRUCTION SHALL MEET TFE REQUIREMENTS OF THE N.Y. S~r~TE CONSTRUCTION & ENERGY C~'ES NOT RESPONSIBLE FOR DLG(GN OR CONSTRUCTION ERRORS pRO¥1DEDPENINGS FOR EMERGENCY ESCAPEAS REQUIRED BYPAITT. 7140F N.T STATEBUILDiNGCODE' If eopper tubinl ~)r water distributing wstem; piping shall be of types K or L only PROVIDE SMOKE-DETECTfNG RATED SEPARATION . ~.?~:J~;~. ".Y. STATE BUILDI.~ C~E~ A~RM D~ICES PA~. 717.3 (f) (]) O~ "'""""'~"'"" ~"~ , pLU~ER CERTIFI ~ERMAL SHOCK pREVENTING CERTIFICA~ OF OC~P~ DEVICES AS TO PA~. 902.6(K) SOLD~RIUSE~/~A~ 'IMMEDIATELY' O~CopANC¥ OR USE IS UNLAWFUL :tTHOUT CERTiFiCATE i,~- O~UPANCY I / 0 L fJ ' LJv' COLd ~ k~ I ,, ,.-Z~~' ,',~'~ . ~,:¢~ ~ ~ ~ I~ LvL . i m ' -. ~ .... * .............. .~ ilk .' ~ 'I .4 , , : , ~ ~ I II '? "IMMEDIATELY'