HomeMy WebLinkAbout33776-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34544
Date: 09/03/10
THIS C~u(TIFIES that the building NEW DWELLING
Location of Property: 425 FOUR WINDS CT
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 88 Block 6
Subdivision
Filed Map No. Lot No.
SOUTHOLD
(HD~MLET)
Lot 13.35
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 19, 2008 purs,,a-t to which
Building Permit NO. 33776-Z dated MARCH 31, 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 WITH COVERED PORCH AND ATTACHED TWO CAN GARAGE AS
APPLIED FOR.
The certificate is issued to JAMES J & PATRICIA COSMADELIS
( OWN E R )
of the aforesaid building.
~uF~OLK C~)[]~FI~f DEP~/{T~T OF H]~LTH APP~O~L~L R10-05-0176
ELEt-rKICAL ~TIFICATH NO. 4014516
PL~ C~KTIFICATION I)A'r~ 06/02/10 JAMES COS~4/~DELIS
10/09/09
03/25/09
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 UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED}
PERMIT NO. 33776 Z Date StaRCH 31, 2008
Permission is hereby granted to:
JAMES COSMADELIS
PO BOX 481
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO
CAR GARAGE & COVR.~RD FRONT PORCH AS APPLIED FOR
at premises located at 425 FOUR WINDS CT
County Taxi,ap No. 473889 Section 088 Block
pursuant to application dated MARCH 19, 2008
Building Inspector to expire on SEPTEMBER 31,
SOUTHOLD
0006 Lot NO. 013.035
and approved by the
2009.
Fee $ 2,387.20
/ Authorized Signature
Rev. 5/8/02
ORIGINAL
Form NO. 6
BUILDING DEPARTMENT
765-1802 ~
APPLICATION FOR CERTIFICATE OF OCCUPAN(
This application must be filled in by typewriter or ink and submitted to thc Building Depat aaent with
A. For new building or new use: 1. Final aurvey of property with accurate loeafien of all buildings, pr~pet~y lines, at,ets, and unusual natm-al or
topographic features.
2. Final Approval fi-om Health Dept. of water ~.tpply and .newerag¢4isposal (S-9 form).
3. Approval of electrical installation fi'Om Board of Fire Under~ters.
4. Sworn statement from plumber ee~n4g that the ~older used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, muitipl¢ ~idenees and similar buildings and iustallatious, a certificate
of Code Compliance from architect or engineer respousibl¢ for the building.
6. Submit Planning Board Approval of completed site plan requi~meat&
For existing'buildings (prior to April 9, 1957) non-conforming us~, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all proper~y lines, street~, building and.unusual natural or topographic
features.
2. A properly completed application and consent to iuspect sig~aed 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 2 $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Resideatial $15.00, Commercial $ [5.00
Old or Pre-existing Building:
House No. Street Hamlet
New Construction:
Location of Property:
(check one)
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section ~) Block
Subdivision ~3ci'-k ~ ~ ~ ~3~/~..~ · Filod Map.
Permit No. ~'~-1 -I {o Date of Permit. ~ -'~l '-(~) Applicant:
Health Dept. Approval: /
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ O-.~ ~
Finai Certificate:
ElY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STRE~-~ ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
JAMES COSMADELIS
R.J. CORAZZINI ELECTRIC
320 RICHMOND LANE 425 FOUR WINDS CT
PECONIC, NY 11958, SOUTHOLD, NY 11971
Located at 425 FOUR WINDS CT SOUTHOLD, NY 11971
Number: Certificate Number: 4014516
Application
4014516
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:
Basement, First Floor, Second Floor, Attached Garage, Outside, Attic,
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 the2$th Day of March, 2009.
Name QTY Rathe Rating Circuits Type
Alarm and emergency equipment
Sensor 2 0 0 Carbon Monoxide
Sensor 8 0 0 Smoke
Appliances and Accessories
Dish Washer 1 0 1.2 KW
4 0 F.H.P
Exhaust
Fan
Oven 1 0 50 Amps
Motor I 0 1 H.P
Pump
Miscellaneous
1-gee thermal heat pump~vith 50a back up
Panels
1 100 13
Wiring And Devices
AFCI 3 0
Fixture 70 0 Incandescent
Outlet 70 0 Fixture
103 0 Gem Purpose
Outlet
Paddle Fan 2 0 seal
Continued on Next Page I 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
JAMES COSMADELIS
R.J. CORAZZINI ELECTRIC
320 RICHMOND LANE 425 FOUR WINDS CT
PECONIC, NY 11958, SOUTHOLD, NY 11971
Located at 425 FOUR WINDS CT SOUTHOLD, NY 11971
Number: Certificate Number: 4014516
Application
4014516
Section: Block: Building ns11
Lot:
Permit:
BDC:
Described as a occupancy, wherein the premises system consisting
Residential
electrical
of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second Floor, Attached Garage, Outside, Attic,
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 the25th Day of March, 2009.
Name QTY Rate Ratin; Circuits Twe
Receptacle 2 0 20a-laund~J Appliance
Receptacle 12 0 GFCI
Receptacle 60 0 Gen, Purpose
58 0 Gen. Purpose
Switch
seal
2 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.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (63 I) 765- ! 802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOI,O
CERTIFICATION
Building Permit No. ~-'~ q q (=~
Owner:
(Please prim)
Plumber:
(Please prat)
I certify that the solder used in the water supply system contains less than 2/10 of I°A
lead. ~
~' '. ~ers Signature)
Swom to before me this ~ ( Jeanne Sweet 8art0s
day of ~,~.&"~ , 20~LO~
Notary Public, 2~DC/( County,Al ~
NOTARY PUBUC, State of New York
No. 01BA6210083
Qualified in Suffolk County
Commission Expires August 10, 20
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
~' FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION [
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
~FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOU~ID~ION 2ND [ ] INSULATION
[~MING~ [ ]FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~'~~
DATE ~---~ °~
INSPECTOR~/~
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
DATE
REMARKS: _
- INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST ~J/ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[)~~ STRAPPING [ ]FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ]FIRE .ESISTAIiT PENETRATION
REMARKS: /~ff~ ff~~ff~-~
DATE ~ ~'' 7~' O ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING / STRAPPING [ ]FINAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RF. SISTANTCONSTRUCTION[N/~FIRE RESISTANT PENETRATION
DATE / 0--/-- 0 ~r _ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND i[/~INSULATION
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]RRE RESISTANT CONSTRUCTION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE /'o -/o -0 ~
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING ~,~FINAL
[ ] FIREPLACE&CHIMNEY [ ] FIRES~-~.,~'INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: . ' ' ~ ~ .~
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:__
INSPECTOR
DATE ~ - ~' l °
M~R-87-2~ ~6:~ FROM:CHRISll]PHER STRES~ A 631-722-i~
CHRISTOPHER R. STRESS, R.A.
ARCHITECTURE AND PLANNING
TO: 765c35~
P.1
P.O. BOX 821
JAMESPORT, NY 11947
PHOI~AX (631) 722-7865
mnbout~Oapt~irm net
22 Match 2008
Southold Town Building I~t
54375 Main Road
Southold, NY 11971
RE: James Cosmadelis
425 Four Winds Ct.
Southold, NY 11971
To Whom it may concern:
Please be advised that the plans submitted for the above referenced project will be revised as
discussed with the building department a~ foUows:
A full size door (2-8 x 6-g) will be added to the spare room on the second floor, Tl*,is is legated
where the plan says -bonus room and the entry will r~o long,:.' :.a a c:~r:~ ::r~:;:
t-his door will I~ hualated and have a fire rated surface on one side of it in accordance with code
:equh, ements.
Should you have any questions on the above, kindly contact this office.
83-87-2888 18:43 SOUTHOLD 8UILD~NG DEPT 16317659588 PAGE1
CHRISTOPHER R. STRESS, R.A.
ARCHITECTURE AND PLANNING
P.O. BOX 821
JAMESPORT, NY 11947
PHONE/FAX (631) 722-7865
runbout~tonline.net
Southold Town
Building Department
Main Road
Southold, NY
BLDG. DEPT.
TOWr,J OF SOUTHOLD
RE: Cosmadelis residence
425 Four Winds Ct.
Southold, NY 11971
Permit No. 33776Z
Building Inspector:
Please be advised that the blown in Insulation completed at the above referenced residence has
been completed in aceordanco with the mamffacturers specifications as noted on the attached
form. As such this is in aeeordence with eth requirements of the NYS Building Code and is
approved by this office.
Should you have any questions on thc above, attached or status of the project, kindly contact
this office directly.
ds
CC: Jim Cosmadelis
- CertainTeed
Builders Statement
OPTIMA® Fiber Glass
Blowing Insulation
for use in Blow-ln-Blankei® System
R-VALUE 1,000 SQ. FT. ~. FT. I~ BAG ~ P~'R ~ FI~. ~
{R)~ drm~,e: mm. lm~:(~ ~) r,a~ be ~..- m.n:(~.) ~.)
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
NY 11971
SOUTHOLD,
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined ,'20
Approved
Oisapproved / /7
Expiration ~r/' ,~/~', 20ff~
PE IT NO. d 5
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.
Cheek
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mailto: 130 ~.~3"k
Phone: ~'1 "~"~'
Buildirfg(n-~
APPLICATION
FOR
BUILDING
PERMIT
, ~q'~, Itt '~0~. Date 20__
, i INSTRUCTIONS
.__a._T'gi0'application IVl~,JS'T-bo~ompletely 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 coaunenccd 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 thc 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
prot-e--) hav. b~~n enacted .n Lh .... enm, t..e ~,ildin~, Inope~,or ..,a~ aum,,A~e, ~ ~,iti,~, the ~x,en~ion of th~ 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, qnd regulations, and to admit
anthorized inspectors on premises and in building for necessary inspections. ~ ~ //~
~gnatur of~licant or name, ifa corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises '~{hM~.~,~ ~._ ~:~i~-T~ICA~ CO~\~l_l'~c~_
(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.
Location of land on which proposed work will be_,done:
House Number Street
County Tax Map No. 1000 Section
Subdivision ~ I~,[ (.~ ~ L..~ ~AOO..~_ ~
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed consWaction:
a. Existing use and occupancy ~/~,C,.A~'~T L. L3'T'
b. Intended use and occupancy ~l~40-L.~. [::~1.,,/ ~2e'k~O~l~4f_~
3. Nature of work (check which applicable): New Building_ ~ Addition Alteration
Repair Removal Demolition Other Work
Estimated Cost ~M O O ~ ~ O Fee
If dwelling, number of dwelling units I
If garage, number of cars '2.,
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height. Number of Stories
Rear Depth
10. Date of Purchase q/[ ~/O ~"
11. Zone or use district in which premises are situated
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Dimensions of entire new construction: Front~k~-- -
Rear ~ - ~" Depth
Height .~,'a~ t Number of Stories
Size of lot: Front ~ ~. 0, q~ · Rear I ~..~ ,'1 '~
Name of Former Owner
Depth
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO )tx
13. Will lot be re-graded? YES NO ~ Will excess fill be removed from premises? YES__ N~O
14. Names of Owner ofpremi~es_"~ ~.~O~ddrcss_ ~'/~ ~ Sq.V~ P,,on ~ ..... ,, x~,,
Name of Architect ~-----~v~ t~z~ ,~.. d~e...4~ Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO _ _
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES__NO ~N
* 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 O1~4~ IL)
x_~ ,~ {'"~0 ,.%rll~C'~li~ being duly swom, deposes and says that (s)he is the applicant
(Name of individual 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 ihis 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 thi~
Notary/Public
~ature Of Applicant
Town of $outhold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.C.T.M. #:
THE FOLLOWING ACTION8 MAY REQUIRE THE SUBMISSION OF A
STORM-WATER~ GRADING; DRAINAGE AND EROSION CONTROL PLAN
CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application)
Yes No
1
2
3
4
5
6
7
8
9
Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site?
(This item will include all run-off created by site clearing and/or construction activities as well as all Site
Improvements and the permanent creation of impervious surfaces.)
Does the Site Plan and/or Survey Show Ail Proposed Drainage Structures Indicating Size & Location?
This Item shall include all Proposed Grade Changes an, d Slopes Controlling Surface Wated=lowl
Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural
Existing Grade Involving more than 200 Cubic Yards of Material within any Pamel?
Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of
Five Thousand (5,000) Square Feet of Ground Surface?
Is there a Natural Water Course Running through the Site?
Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach?
Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to
One Hundred (100') of Hchzontal Distance?
Will Driveways, Park. lng Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off
into and/or in the direction of a Town right-of-way?
Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of
any Item Within the Town Right-of-Way or Road Shoulder Area?
(This item will NOT include the Installation of Driveway Aprons.)
Will this Project Require Site Preparation wilhin the One Hundred (100) Year Floodplain of any Watemourse?
NOTE: tf Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading,
Drainage & Erosion Control P an s Requ red and Must be Submitted for Review Prior to Issuance of Any Building Permit!
EXEMPTION:
Does this project meet the minimum standards for classification as an Agricultural Project?
Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Required!
Yes No
STATE OF NEW YORK,
COUNTY ~F ..,,~U..~..../.~.t,/~'. ............... SS . ANT01NETTE LO P-,/k,eClO
(Name o~ i~dividual signing Domment)
~d fl~at fie/she is fl~c ..... ~/~ ...................................................
(Owner, Contractor, Agenl, Co.orate ~cer,
Ouner and/or represcnmUve ot fl~e Owner ot Owners, ~d ~s duly aufl~onzed to pe~{orm or have performed tim saidw~k ~u~ to
m~e ~ file ~s a[>plica~on; flint ~1 smtemen[s coomned in ~s application ~e ~e to fl~e best oils ~owledge ~d beliefi
· ~t ~e ~ork mil be performed in fl~e manner set forth in ~e application filed heretic.
............... ........................... ..............
.......................... .........
~0~ - O~/O~
SEP - 2 2OO9
BLDG. DEPT.
TOWN OF SOUTHOLD
EFFECTIVE IMMEDIATELY
All applications for all construction
must be accompanied by licen;se and
~nsurance information. In the event
that you have not chosen your
contractor, you must provide the
above information prior to
construction.
Thank you.
LOT~NUMBERS ARE REFERENCED TO MAP
OF ' ANGEL SHORES FILED IN THE OFFICE
OF THE SUFFOLK COUNTY CLERK AS MAP
NUMBER 9 FP9
AREA = 37,444 SCl. ft
ANY AL TERA TION OR ADDITION TO THIS SURVEy IS A VIOLA TION
OF SECTION ?209 OF' THE NEtF YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION F209 - SUBDIVISION p. ALL CERTFICA TIONS
tie'EON ARE VALID FOR THiS MAP AND COPIES THEREOF ONLY F
SAID MAP OR COP~E$ BEAR THE IMPRESSED ~EAL OF THE SURVEYOR
WHO~ SIGNATURE APPEARS HEREON.
ADDITIONALLY TO COMPLY WITH SAID LAW TERM ' ALTERED BY '
MU~T BE' U~-D BY ANY AND ALL SURVEYORS UTILIZIN~ A COPY
,F ANOTHER SURVEYOR'S MAP. TE
I om fomlllor wilh the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
Rod will obl#e bI the conditions set Iorfh therein Rod on the
permll to construct.
The Iocotions of wells ond cesspools
shown hereon ore from field observotioos
Dod or tro'm doto obloined from others.
DWELLING (public #ater)
~ ~ 138.81,~m
N. 8l'59'00' E.
meter ~
sERVICE.
' ~s'e.~"~r
3o \
/
/
ELEVATIONS ARE REFERENCED TO AN
4SSUMED DA TUM.
/
LOT ~
\
SURVEY OF PROPERTY
A T BA YVIEW
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 88 - 06 - 13.35
Scale: 1" = 40'
Ju_~_ly29, 2005~
[
/
SUFFOLK cOUNTY DEPARTM~' OF HEALTH SERVICF, S
PEP-d%{~ FOR APPROVAL O~ CO'SoTR,:C-i ~ON , Od. A
I ~N~LE FAb~L;' p~'SIDENCE ONbY
EXPIRE~ ~E ~ARS FROM DA~ OF APPROVAL
I
/004
SOUTHOLD, N. Y. 1197/
05- 90:
RAiN RUNOFF COMPUTATIONS
HSE- 2894 SO.FT.
2894 ~ 0.17 ~ I = 492
AREA OF PROPERTY WITH
SLOPES GREATER THAN
'0
P~IDE 2 DRYWELLS
6' DEEP OR EOUIVALENT
LOT ~$ ARE REFERENCED TO MAP
OF ' ANGEL SHORES FILED IN THE OFFICE
OF THE SUFFOLK COUNTY CLERK AS MAP
NUMBER 9729
AREA = 37,444 sq. ft.
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7~09 - SUBDIVISION 2. ALL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ON~ Y F
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF' THE SURVEYOR
WHOS~ SIGNATURE APPEARS HEREON.
ADDITIONALLY TO COMPLY WITH 8AID LAW T~RM ' ALTERED BY
MU~T BE U~ED BY ANY AND ALL SURVEYORS UTILIZIN~ A COPY
~ ANDTHEW SURVEYOR'S MAP. T~
I am familiar wllh the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEI~IS FOR SINGLE FAMILY RESIDENCES
and will abide by Ihe conditions sel forlh therein mhd on lhe
permit lo consfrucl..
The locations o! we/is and cesspools
shown hereon ore from field observations
and or fror~ data obtained from others.
sURvEY OF PROPERTY
A T BA YVIEW
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N K
1000-88- 06- 13.35
Scale.. 1" = 40'
July 29, 2005
SEP. T. 12, ZOOS(certification)
FF-.8. 2,7,
MA Y 8, 2008 (F'OUNDA TION)
/
/
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ELEVATIONS ARE REFERENCED TO AN
ASSUMED DA TUM.
CERTIFIED TO,
JAMES & PA TRICIA COSMADELIS
INDYMAC BANK FSB
LAND AMERICA COMMONWEAL TH
TITLE COMPANY
_iV/. 49618
/
~5 - 1797
· o5- 20;
RAIN RUNOFF COMPUTATIONS
HSE- 289~t SO. FT.
P09~t ~ O J7 ~ I ' ~792 ce. fl.
AREA OF PROPERTY I~ITH
SL OPES, o GREA TEA THAN 1~
P~IDE ~ DRYWELL~ E'P
6' DEEP OR EOUIVRLENT
LOT NUMBERS ARE REFERENCED TO MAP
OF ' ANC~-L SHORES FILED IN THE OFFICE
OF THE SUFFOLK COUNTY CLERK AS MAP
NUMBER 97'29
o? "~.9
%.
AREA = 37,444 sq. ft.
ANY AL TERA TION OR ADDITION TO THIS SURVEy IS A VIOLA T/ON
OF SECT/ON 7~09 OF THE NEI¢ YORK STATE EDUCATION LAF.
EXCEPT AS PER SECTION 7~09 - SUBDIVISION 2. ALL CERTIF/CATIONS
~REON ARE VAL~ F~ T~S MAP AND C~S T~E~ ~ Y ~
SA~ ~P OR C~S BEAR T~ ~PRESSED SEAL ~ T~ ~YOR
A~TI~ALLY TO C~LY ~ ~ LAW T~M ' AL~ BY '
~T ~ U~ BY ANY A~ ALL ~Y~S UT[IZ~ A ~Y
~T~ ~Y~'~ MAP. ~
I om Iota/I/or with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEF/AGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
nod will obide by the conditions se/ forth /herein ond on the
perm/l to consirucI.
The /ocotioos of wells ond cesspools
shown hereon ore from Iie/d observotioos
ond or frdm doto obtoined from o/hers.
~or C~
DWELF-ING Ipubllc #aterl
N. 81'59'00' E.
\
75' } '
/
38.81'
ELEVATIONS ARE REFERENCED TO AN
,4SSUMED DA TUM.
/ /
/
/
SURVEY OF PROPERTY
A T BA YVIEW
TO WN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 88 - 06 - ~3.35
Scale: I"= 40'
July 29, '2005
SEPT. 12, 2005(cerlificotlon)
CERTIFIED TO ~
JAMES"& PA TRICIA COSMADELIS
INDYMAC BANK FSB
LAND AMERICA COMMON~YEAL TH
TITLE COMPANY
/PECONIG ~EYORS, ~-0
(631) 765 - 5020 FAX (631) 765 - 1797
P. O. BOX 909
1230 TRAVELER STREET
SOUTHOLD, N.Y. 11971
· 05- 202.
RAH RUNOFF COMPUTAUONS
HSE- 2894 SO, FT.
2894 ~ 0.17 ~ I = 492 cu.O.
AREA OF PROPERTY HIITM
SLOPES GREATER THAN
=0
492/42.2 = 12 VF
PROVIDE 2 DRYWELLS 8'~
6' DEEP OR EOUIVALENT
I am lomlllor wllh the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will abide by the conditions sel forlh therein and on the
permit to construct.
The locations of wells one cesspools
shown hereon ore from field observations
and or from dola obtained from offlers.
D. wELLING (public #ater)
138.81'~
SER!,qCE.
SCDHS ReL RIO-05-O176
/
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LOT ~ ' /
I
/
SURVEY OF PROPERTY
A T BA YVIEW
TOWN OF. SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 88 - 06 - 13.35
Scale: 1" = 40'
July 29, 2005
SEPT. 12, 2005(certificotion)
27,
MA Y 8, 2008 (FOUNDATION)
DEC. 8,2008 FINAL
SEPT. Z, 2009 (ADDITJ
CERTIFIED TO ,
JAMES & PA TRICIA COSMADELIS
INDYMAC BANK FSB
LAND AMERICA COMMONWEAL TH
TITLE COMPANY
LOT NUMBERS ARE REFERENCED TO MAP
OF ' ANGEL SHORES FILED IN THE OFFICE
OF THE SUFFOLK COUNTY CLERK AS MAP
AREA = 3~ 4 4 sq. ft.
'
EX,PT AS PER ~CT~ 7g09 - S~Vl~ g. ALL C~T~S
~ A~ VAL~ F~ ~S MAP A~ C~S ~
SA~MAP~ ~C~S~ARs~AR T~ES~D ~AL ~ T~ ~Y~
A~TI~ALL Y TO C~L Y W;TH SA~ LAW ~M ' ALTE~ BY ' ELEVATIONS ARE REFERENCED TO AN % 1230P~TRA ~09VELER~~S~T
~$T ~ U~ BY ANY A~ ALL ~Y~ UT[IZ~ A C~Y ~SSUMED DA TUM. SOUTHOLD, N.Y. 11971
· 05 - 20;
N
cERVICES
RAH RUNOFF COMPUTA~ONS
HSE- 2894 SO, FT.
2894 x 0.17 ~ I = 492 cu. fl.
AREA OF PROPERTY WITH
SLOPES GREATER THAN I%
=0
492142. E = 12 VF
PROVIDE ~ DRYWELLS $'~
6' DEEP OR EOUIVALENT
I om /om/lief with the STANDARDS FOR APPROVAL
AND CONSTRUqTION OF SUBSURFACE SEIFAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIStaNCES
ond will ob/de by the conE/lions set forlh therein end on
SCDHS Ret. RIO-05-O176
LOT NUMBERS ARE REFERENCED TO MAP
OF' ' ANGEL SHORES FILED IN THE OFFICE
OF THE SUFFOLK COUNTY CLERK AS MAP
AREA = 37,444 sq. ft.
permit to construct.
9" ~o~.,o,. o~ .e,, .,~ .,, '"'" "~"~,, '":' '7 ~.~-~ ' .. VEY OF PROPERTY
snown hereon ere from finn obs~wEon~
end or f~om dalo oMoine8 from
' t "?'~-'~ ~.." .... ""~-~:L SU~OLK COUNT~ N K
' -- ' ::;:::.:: ~'~-'.'~7~ I1~ - ~ - 06 - 13.35
LOT ~ ,,.,,~o,,~ July 29, 2005
D. WELLING i'publfc woler)
~ ~ 138.81'~
N. 81'59'00~ E. ~
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION
OF ~.CTION ?209 OF' THE REW YORK STATE EDUCATION LAW.
EXCEPT AS PER ~.CTION ?209 ~ SUBDIVISION g. ALL CERT~ICA TION$
hE-R~ON ARE VALID FOR THIS MAP AND COPIES TtvtER~OF ~ Y F
SAID MAP OR COPIES ~AR TRE IMPRESSED ~AL OF' TRE ~URV~YOR
~{MOSE ~IGNA 7~RP .~ff~EARS HEREON.
ADDITIONALLY TO COMPLY WITH SAID LAW TERM ° AL TERED 8Y ·
MUST ~E USeD AY ANY AND ALL ~URVEYOR$ UTILIZING A COPY
ELEVATIONS ARE REFERENCED TO AN
ASSUMED DA TUM.
/
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SEPT. 12, BOO5(cerlificdion/
~ ~ t. -~1,
MA Y 8~ 2008 (FOUNDATION]
DEC. 8~2005 FINAL
SEPT. Z, 2009 (ADDITJ
CERTIFIED TO '
JAMES & PA TRICIA COSMADELI$
INDYMAC BANK FSB
LAND AMERICA COMMONWEAL TH
TITLE COMPANY
/00.'
· 05 - 20;
54,375 Main Road
P.O. Box 1179
$outhold, NY 119714)959
Telephone ((;31) 76,5-1802
F~Lx (631) 763-9502
B1 ;ILDIN(; I)EPARTMENT
TOWN OF SOUTHOLD
June 9, 2010
James Cosmadelis
425 Four Winds Court
Southold, NY 11971
NOTE: Please provide the. in,~ormation the Building Inspector requested on 9129/08 & 10/10/08.
(Copies enclosed)
TO WHOM IT MAY CONCERN:
T..~ollowing items are needed to complete your Certificate of Occupancy:
'~' Application of Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
~A fee of $25.00.
~ Final Health De~.ment approval
.........
Plumbers Solder Gertificate. (A~its involving plumbing a~r 4/1/84)
~ate of Compl'ian~.~
__ Final Planning Board approval.
__ Final Fire Inspection from Fire Marshal.
__ Final Inspection from the Building Dept.
__ Final Landmark Preservation approval.
Building Permit: 33776-Z New Dwelling
REScheck S. oftware Version 4.0.1
Comphance Certificate
Project Title: Cosmadelis Residence
Report Date: 02/25/08
Data ~ename: C:\Program Files\Check\REScheck\Cosmadelis Residence.rck
Energy Code: New York State Energy Conservation
Construction Code
Location: Suffolk County, New York
Construction Type: Detached '1 or 2 Family
Heating Type: Non-Electric
Glazing Area Percentage:
Heating Degree Days: 5750
Construction Site:
Owner/Agent:
Mr. and Mrs. Cosmadelis
425 Four Winds Court
Southold, NY
Designer/Contractor:
Christopher Stress, RA
PO Box 821
Jamesport, NY 11947
mnbout~optonline.net
10
Ceiling 1: Flat Ceiling or Scissor Truss:
Wall 1: Wood Frame, 16" o.c.:
Window 1: Wood Frame:Double Pane with Low-E:
Door 1: Glass:
Floor 1: Ali-Wood JoistJTruss;Over Unconditioned Space:
Furnace 1: Forced Hot Air: 78 AFUE
Air Conditioner 1: Electdc Central Air: 13 SEER
1644 30.0 0.0 58
3294 19.0 0.0 179
270 0.320 86
42 0.250 11
1644 30.0 O.0 54
with this permit application. The proposed systems have bee,la'designed to~ll~t .~l~;ork.~e Energy Conse~ation Cons~ion
Code requirements. When a Regis~md Design Pmfe~iona~ has stpmpe~a~~a, a~esfing ~at to ~e best of
Cosmadelis Residence Page I of 4
REScheck Software Version 4.0.1
Inspection Checklist
Date: 02/25/08
Ceilings:
~1 Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
Above-Grade Walls:
[] Wall 1: Wood Frame116' o.c., R-19.0 cavity insulation
Comments:
Windows:
~1 Window 1; Wood Frame:Double Pane with Low-E, U-factor: 0.320
For windows withou~ labeled U-factors, describe features;
#Panes Frame Type Therrna~ Rreak?
Comments:
Yes __ No
Doom:
[] Door 1: Glad, U-factor: 0.250
Comme~s:
Floors:
Floor 1: Ali-Wood Joist/Truss:Over Unconditioned Space, R-30.0 cavity insulation
Comments:
Heating and Cooling Equipment:
Furnace 1: Forced Hot.Nc 78 AFUE or higher
Make and Model Number:
Air Conditioner 1: Electdc Central Air: 13 SEER 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 are sealed.
[] Recessed lights are 1) Type lC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5' clearance from
combustible materials, if non-lC rated, fixtures are insteiled with a 3" clearance fn~m insulation.
Vapor Retarder:
[] Installed on the warm-in-winter side of all non-vented f~amed ceilings, walls, and floors.
Materials Identification:
[] Materials and equipment are installed in accordance with the manufacturer's installation instructions.
[] Materials and equipment are identified so that compliance can be determined.
[] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
[] Insulation R-valuea and glazing U-factors are clearly marked on the building plans or specifications.
[] Insulation is installed according to manufacturer's instructions, in substential contact with the surface being insulated, and in a
manner that achieves the rated R-value without compressing the insulation,
Duct Insulation:
[] Suppry ducts in unconditioned a{tics or outside the building are insulated to R-8.
Cosrnadelis Residence Page 2 of 4
[] Return ducts in unconditioned attics or outside the building are insulated to R-4.
[] Supply ducts in unconditioned spaces ara insulated to
[] Retum ducts in unconditioned spaces (except basements) are insulated to R-2. Insulafiort is not required on tatum ducts in
basements.
Duct Construction:
[] Alt joints, seams, and connections are securely fastened with welds, gaskets, mastics (adhesives), rcasti~plus-embedded-fabric,
or tapes. Tapes and mastics am rated UL 181A or UL 181 B.
Exceptions:
Continuously welded and Iocking-typa longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa).
[] The HVAC system provides a means for balancing air and water systems.
Temperature Controls:
[] Each dwelling unit has at teast one thermostat capable of automatically adjustfng the space temparatum set point of the largest
Electric Systems:
[] Separate electric meters exist for each dwelling unit
Fireplaces:
[] Fireplaces am installed wffh tight fitting noo-oombustible fireplace doom.
[] Firep~aces ha~e a soores ~f c~mbusti~n air~ es requirep by ~he Fimpiace canstruc~n pm~lsioos ~f the Bui~ding C~de ~f New Y~rk
State, the Residential Code of New York Stats or the New York Ci~ Building Code, es applicable.
Service Wa~r Heating:
[] Water heaters with vertical pipe risers have a heat trap on both the inlet and out;et unless the water heater has an integral heat
hap or is part of a c~rcalating system.
[] Circulating hot water pipes are insulated to the levbls in Table 1.
Circulating Hot Water Systems:
[] Circulating hot water pipes are insulated to the tsve~s in Table 1
Swimming Pools:
[] All heated swimming pools have an on/off heater switch and a cover units over 20% of the heating energy is from non-depieteble
sources. Pool pumps have a time clock.
Heating and Cooling Piping Insulation:
[] HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F am iesuiated to the levels in Table 2.
Cosmadelis
Residence
Page 3 of 4
Table f: Minimum Insulation Thickness for Circulating Hot Water Pipes
insulation Th'mknsss In Inche$ by Pipe Sizes
Non-Circuinting Runouts Circulating Mains and Runouts
Hea{ed Water Up to 1' Up to 1.25' 1.5" to 2.0' Ove~ 2"
Tempereture (°F)
170-180 0.5 1.0 1.5 2,0
140-169 0,5 0.5 1.0 1,5
100-139 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes
Insulation Thickness tn Inches by Pipe Sizes
Fluid Temp.
Piping System Types Raage(OF) 2' Runouts 1" and Less 1,25' to 2.0' 2.5' to 4"
Heating Systems
Low Pressure/Temperature 201~250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0,5 t ,0 1.0 1.5
Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0
Chilled Water, Refrigerant and 40-55 0.5 0.5 0.75 1.0
Bdne Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD: (Building Department Use Only)
Cosmadelis Residence Page 4 of 4
FOUNDATION I)LAN sc,,,iz,/4..--,.-o- ~ ~
: I I
II
~: ~ ~ II
~ I
-, ~ ~ ~o" ~' ~1
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, -4
5 -' o" -' - - ~"~-'- °'~- '-- i DO NOT PROCEED WiTH
~o ' ~ H~ BEEN APPROVED.
WITHOUT qE~TIFICATE
OF OCCU ~P,~,Y OF THE TOWN CODE
ON LEAD CONTENT BEFORE
,CERTIFICA TE OF OGCUPANGY
SOLDER USED IN WATER
SUPPL Y S~ % ~ LA'¢ CANNOT
.... APPROVED AS ,~DTED
%W'Sp Fc~4b7 ~HALL FEE' ~
~ ;. NOTIFY~BU[LD[NG DEPARTMENT AT
MEETTH IR'-bI=NTSOFTHE765-1so~ 8AM TO
CODB FOLLOWING ff'~SPECT,IOdS:
4.FIN&- CONSERUCT[ON MUST
BE COMPLETE FOR C.O,
. ALL CONSTRUCTION SHALL MEET TRE
'0! ~mUiREME~TS OFTN~COU~SOFNEW
)R -'YORK STATE, NOT RESPONSIBLE FOR
USE IS UN /FUL~jDESIGN OR CONSTRUCTION ERRORS.
, ~ RETAI~ STORM WATER RUNOFF
PURSUANT T0 CHAPTER 236
FLUWt~?N'~
ALL PLUM~ih.~ - ~,STE:
& WATER LINES ,b. ED
TESTING BEFORE CO JERING.
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LEFT SIDE ELEVATION
SCALE 1/4"= 1 '--0"
COSMADELIS RESIDENCE
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COSMADELIS
REAR ELEVATION
:DAP. ~H PP.E~iON5 .........
SIDE ELEVATION 1,4"=1'-0"
COSMAD~LtS I~DEi~2E
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SI-Z. EL _ 17.0 LOCA-I'ION
P_. ~,S~O1~ 40~(g 4.-I NA°~'TER, i~R ~LO~/FtALL. [3A'T H
SO¢6 $'- 2-~Y, 4-'- q'' MA00'rF-R Po.P,.
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f~- ~v~cq wln~vv, Pan~b ~hall b~ pr~-~ ~ ~r ~I~
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