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Home My WebLink About35422-Z Town of Southold Annex 8/27/2013 P.O. Box 1179 54375 Main Road 'i~ ~ Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36459 Date: 8/27/2013 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 670 Gabriella Court, Mattituck, SCTM 473889 Sec/Block/Lot: 108.-4-7.24 Subdivision: Ftiled Map No. Lot No. conforms substantially to the Application for Building Permit heretofore 51ed in this olSced dated 3/15/2010 pursuant to which Building Permit No. 35422 dated 3/30/2010 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: alterations and additions, includine covered uorch and attached two car saraee as applied for. The certiScate is issued to Thomas & Jennifer Riley (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 35467 5/16/13 PLUMBERS CERTIFICATION DATED 2/8/12 Thomas Riley A rite Signet re 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. 35422 Z Date MARCH 30, 2010 Permission is hereby granted to: THOMAS J RILEY MATTITUCK,NY 11952 for ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 670 GABRIELLA CT MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007.024 pursuant to application dated MARCH 15, 2010 and approved by the Building Inspector to expire on SEPTEMBER 30, 2011. Fee $ 410.40 1 -''e~i~ Autho ized 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 byilding or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriter's. 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. For existing buildings (prior to Apri19, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all properly 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 tlierefor in writing to the applicant. C. Fees I . Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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((~ n Date. F1~.~ 0 LU~~ New Construction: r Old or Pre-existing Building: (check one) Location of Property: l_s~,b`( ~E 0. c~VV+ ~GL'tTl ~/G ~ ~ House Nom Street Hamlet Owner or Owners of Property: ~1~)p~'Yt(1 ~ ~ ~~Q r~ p~ ~ ~ Suffolk County Tax Map No 1000, Section Block Lot , Subdivision tt II Flied INap. Lot: Permit No. 3 S -I~ Date of Permit. Applicant: ? }1 plY~G1,S ~ Se n r, , ~ ~ ~ \ ~ e Health Dept. Approval Underwriters Approval: Planning Board Approval Request for: Temporary Certificate Final Certificate: / (check one) Fee Submitted: $ J ~ ~ ~~"~l~a ~ Qi_~~,`, ~ Int., a, I ~ I I \ Applicant Signature 9 Telephone (631) 765-1802 Town Hall Annex 54375 Main Road Fax (631) 765-9502 P.O. Box 1179 * Southold, NY 11971-0959 * roger richertCciltownsouthold.nv.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SRE LOCATION Issued To: Riley! LW Address: 2260 Skunk L.n Gty: Cutchogue St: NY Tip: 11935 uryd~ permgq; 35487 Section: 97 Bock: 3 Lot: 15.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE DBa Platinum East Electric Inc ucerlse No: 34091-me SITE DETAILS or5ce use tidy Resklential X Indorx X Basement Service Only Canmerical Outdoor 1st Fk:or X Pod New Renovatbn 2nd Floor x Hot Tub Addidan Survey Attic Garage INVEN70RY Service 1 Ph Hest Duplec Recpt 8 Gelling FbQures 5 HID Ff#ures Servk:e 3 Ph Hot Water GFCI Reept 1 W aR Fidures 1 Smoke Detectors FAakt Panel AIC CorWanser Skgle Recpt Recessed Fhdures 5 CO Detectors 2 Sufi Panel AIC Bkrver Range Recpt Fluorescent Ft#ure Pumps Trenstomrer Appliances Dryer Recpt Ernergatcy Fbdures Time Cocks Disconnect Switches 9 Twist lock Erdt FWuras TVSS otherEquipntent: 1-paddle fan - Notes: Inspector Signature: ~y~ Date: May 16 2013 Electrical Cerlificate.:ds ~o~pf SObryo~ Town Hall Annex Telephone (63I) 765-1$02 54375 Main Road ~ ~ - Fax (63l) 769-9.402 - - P.O. Box 1179 Southold New York 11971-0959 BUII.DIIVG UEPARTMBNT TOWN OF SOUTHOLD CERTIFICATION Date: I -.Pj~ O Z O f 2 Building Permit No. ~ SLI Owner: ! ! 1 f~(~l S ~ Q ~`l ~ ~..r_ IG ~ ~ t 11(-Please pri/nt) rr J Plumber: ~d~?-Q ~C 1 l~ (Please print) I certify that the solder used in the water supply system contains less than 2/ 10 of 1 °!e lead. bars S' Sworn to before me this~`~ day of ~-e~ouM_ , 20 1~ ~CONNIE D. BUNCH Note PuWb, State of New York No. 01 BU61 a50fio QueNfled In Suffolk Cc Commission E~irea April f 4 ~.b~ 1 Notary Public--~17 County ho~.~Of sW T Yo TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTROC11011 [ ] FSIE RESISTANT PENETRATION REMARKS: DATE ~ ~ INSPECTOR ~~~~L~ o~~,~~,~ TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FO ATION 1ST [ ]ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FIRE R~TANi [ ]FIRE RESISTANT PEIiETRATION REMARKS: DATE ~ ~ INSPECTOR o~~,Of tOUl~ ~ ~S ~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ] FE1E SAFETY INSPECTION [ ] FEIE RESISTANT CONS7AUCT10N [ ]FIRE RESISTANT PENETRATION ELECTRN;AL (ROUGH) [ ] ELEC7'RICAI. REMARKS: O~ DATE ~ ~ ~d INSPECTOR ` L__ - ~ S ~y~-~- ~o~,~~~~ ~~f TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECT N [ ]FOUNDATION i ST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMING ~ STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ] F¦IE SAFETY INSPECTION [ l FSIE RfffiISTAIIT CONSTRUC'iION [ ] FNE RFSISTANi PENEf AA710N REMARKS: ~ ,0~ ~ ~ - ~ / / DATE l r ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECT N [ ]FOUNDATION 1ST [ O N PLBG. [ ]FOUNDATION 2ND NSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ l FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPElCTION [ l ~ CIS rAtfT collsrnucnon [ ] ~ AE$1$TAIR PENE7A1?TION REMARKS: ~ / ~ ~ DATEr~ ~Q INSPECTOR `/~~~/1/1 vy. ar c ~®(/~'~(//w~//[/j~~/A~R (/'~.yy//~yy~_~~ TOWN OF SOU ILDING DEPTr ass-isoa`/~~ INS ION [ ]FOUNDATION i ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN TION [ ] FRAMING I STRAPPING [ FINAL [ ] FIREPLACE ~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FOIE IsESISTAMT consTRUCTIOII [ ] FaIE RESISTANT PENETMTION [ ]ELECTRICAL (ROUGH) [ )ELECTRICAL (FINAL) REMARKS: /~K- • ~ DATE ~ ~ l~ INSPECTOR FIELD ON REPORT DATE COMMENTS U} U'` h7 FOUNDATION (IS1) ~ ~x r~> ~ FOUNDATION (2ND) ~ ~ ~ z o C7 ROUGH FRAMING & PLUMBING ~ /y ~x INSULATION PER N. Y. STATE ENERGY CODE n FINAL ADDITIONAL COMMENTS ~ ~I ~ ~z m <s~ b O z z~ d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying'? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined , 20 S[ortn-Water Assessment Form Contact: Approved , 20 Mail to: Disapproved a/c Phone: ~ ~0 3 - 2 Z Expiration , 20 a pp ~ Building Inspector D V CATION FOR BUILDING PERMIT NIAR ~ 5 2010 Date 3 - 1, j , 20 / O INSTRUCTIONS BLDG. DEPT. a. T is ap lic DtDcompletely 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 part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new 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, if a corporation) (Mailing address of applicant) State wh/e~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder l tC.UI.DiF~C_ pp Name of owner of premises ~ f/OA./ l~, t le y (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 wh' h proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Block ~ Lot Subdivision Filed Map No. Lot Z. State existing use and occupancy of prem sand inter ed use and cupancy of proposed construction: a. Existing use and occupancy J/ may/' 1 + P.r/~r ~ b. Intended use and occupancy ~~,Q,,,,p 3. Nature of work (check which applicable): New Building Addition ~ Alteration _ Repair Removal Demolition Other Work ~ (Description) 4. Estimated Cost O8Q , Fee _ / (To be paid on filing this application) 5. If dwelling, number of dwelling units 1 Number of dwelling units on each floor If garage, number of cars Z 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~ ` I 7. Dimensions of existing structures, if any: Front ~ Rear Depth Zit Height Z~{` Number of Stories r Dimensions of same structure with alterations 1 additions: Front Rear Depth Height 2 ~ Number of Stories ' i H. Dimensions of en~ire new construction: Front ~ Rear Y~ Depth 7~ Height Z/ Number of Stories ~4 I. Size of lot: Front ~ ~Q r Rear ~ ~0 • ~ ~ r Depth ~ G t7 f 10. Date of Purchase Name of Eormer Owner ~C~d h?t 4~~2.rtia~?~ I I .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 till be removed from premises? YES~NO I4. Names of Owner of remise~~ ~ c ~t~~ Address ~~~Phone No. ~ 3L Name of Architect $,v/~tuz Address ,d ~~_~~>Aa~l~Phone No BS ~ Name of Contractor Hr..~~n~,rr 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 * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate fow~dation plan and distances to property lines. 17. If elevation at any point on property is at I 0 feet or below, must provide topographical data on survey. 18. Arc there any covenants and restrictions with respect to this property? *YES NO * IF YES, PROVIDE A COPY. STATF. OF NEW YORK) SS: / /~~~5 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)1lc is the CONNIE 0. BUNCH ~LU ivrr.C,~1O~77QGi~L~/ Notary Public~State of New York (Contractor, Agent, Corporate Officer, etc.) IVo~1so6~i8505" Qualified in.Suffolk County 1 CommissemExpiresAprill4, 0~__ 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 mre to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application tiled therewith. Sworn to Before me thi~(~ h day of I \ l~'~ ~i 20~_ ~ A~ ~ ~ Notary Public Signature of Applicant Town of Southold ~ Erosion, Sedimentation 8t Storm Water Ran~ff ASSESSMENT FORM Ylts' y PrtOPERTY t.OCATgN: s.O.LN.t. it11L POLLONIN6 A6'1f10Nt NAY RIL4l1 Z1i6~tUBIN6810N OF A 1~~~' ~ Number: (NOTE: A CMck Mark (.i/) for eadt Qu~tlan is Rpuked for a Complete Appacatlon) Yes No ~ vnn tnis Project Relaln Aa stem,-water Rurr-OIf oerrerebd by a Two (2•) Inch RaMdeN m SIb9 - (TMa xertr wW ktalude eN nm•otr «eated by slb ~q artdla aoratrtwtlott eatlvitlee as watt as all She Inprovemertb and the pemtenent areauon of krpervlous stafecec.) '2 Does the Site Plen and/or Survey 3ttow All Proposed Drdrrage Strtrotuas Indbetlng Blze & Locatlon7 - rnb tlern shell include ea Proposed Orede t2tertges and Slopes Con6oAYig surface WeterFbwl - g - wla tlra Project Require arty ~etrd Flelre. Grading or Fxeavatlon where there le a drartge b the Natural Existing Grade irnolvkq more than 200 Cublo Yards d Metedel vrNltYt ary Parcel? 4 wm iMe Apppcalftxi ftequke land Dfakabing AotWHks Erroompasskg an Area m Fxcess of FWe 7ipusmd (8.000) 8quere Feet d Orotad 8ra(aoe7 5 Is there a Nalra'el Water Course Rraairrg.OSOtrph the Ske7 ~ - Is this Prejerx wltldn the Trustees Judadbdon a wlgtkt One Hurtdad (log') tad d a Wetland a Beach? s Wpl there lie Sae praperetlan on Existng Grade Soper vAich Fxoeed Fitleen (15) feet of Vertlcal Rise to ? One Hundred (100'f of Hodzartbl Diatance7 ~'''1~ 7 WIII Driveways, Padcktg Areas or otl»r.Irtpervious Surfaces be Sloped o Dkect Somr-Water Rrrn•OB kdo and/or in the dkectlon of a Town dgMof-weyY $ Will tlds Project RegrYre Ore Placement of Meledel, Removal d Vegelaton endlor the Cons6uctlon of a. - any Item Within the Town Right-of-Way ar Road ShaAderAr~T (Thb Item wlll NOT trrcluM the Insbllatlon of Drlvew.y Aprons.) 9 Wtll tlda Project Rpulre Slte Preparetlon wahin Me One Hundred (700) Year Foodplao of erry Weorcaase? ? NOTE: N Arty Answer b Qrrostlons One through Nlns b Answered wtlh a Chadc Mat1c In tlw Box, a 8torm•Water, Grading, Drainage J4 Plosion t.adrol Plan b Raqufrod and Must M Strbrtritled for Rwtavv Prior to Isstaures of Arty Building Pemtltl/' Yq No E>f~MPT10N: _ - f ibes INs project meal the minimum standards far desN~llon m an AgdcWlural Project? -L' ; Nob: N You Arrswarad Yq to thla qusstlon, a 8tam•Wsbr, Oradlrrp, Dralnsga d Eroalon.Control Plan b NOT Rpuhedl STATE OF NEW Y01tK, S ~,~y~ COUNf~TY OF /UJ.....T`~."' SS 'Ibat I . .............e~,~Ft9l'~.,,1,ET.~w....................... being duly awom, deposes and says thathe/she is the applicant for Permit, (NrnadYMivWud sla,Mp ooamsa) CONNIE D. BUNCH Notary Publ' State of New YorN And that he/she is the Q(N~FiQ Q.~/.(~:i1.~.,~..............................'QU9 ~iedli~n' ~purtiv {~;~Ca...1 f~••"~^•QO1~'atrogOBr•e1c> Commission Expires April l4, 0 Ownv andJor representative of the Owner of Owners, and is duly authorized to perform or have petfomted the said work and to make wd fde this appGatioa; that a6 statements contained in this application are hue to the best of his knowledge and belieF, sad that the work will be pctFormed in the manner set forth in the application filed herewith. Sworn to before me this; 1~ ...........L.~. day of .1 ~..~r~...`~ . 4A.~.~ / Notary Public:.... . ~ FORM - 06/07 ~yoF sorry ~1 ,moo ~ Town Hall Mnex * # Telephone (631) 765-1802 ~e.o.sox 17~9d ~ roger.richertt~t'ow(r~i~sto6u`~fio~~d.nv.us Southold, NY 11971-0959 ~~,/y~~,,.~ "r/tJlll ~ ~ BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTfON REQUESTED BY: Date: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates/r^equired information) *Name: ~ p^m f ~¢•n n t t~v ~ ~ ~ ~2~-1 *Address: (w~0 Gw,br:~_~(~ ~a..~-h *Cross Street: ~,.}.4 ~ {-j, ~ i~ *Phone No.: 631 2G iZ• 703 2 Permit No.: S 22 Tax Map District: 1000 Section: 1 oQ Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) t~iJYl A a ~ / Li v~.c P.ovw. , _ (Please Circle All That Apply) *Is job ready for inspection: YES / NO Rough In Finaf *Do you need a Temp Certificate: YES / NO Temp Information (if needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION ~ & ~ ~~~-1,1v , 82-Request for Inspection Form IbOb-lO $ - ~}-7, TOWN OF SOUTHOLD PROPERTY RECORD CARQ OWNER STREET VILLAGE DIST. SUB. _ LOT jG~ 't0 E ~ ~ 7~ Q `'Ocl~l' i t~ftC~C q ~ s l.ct E ACR. REMARK3 ~ J g~ f.~ ~ Z . Z L 98- 43 9Y' f~ b5 ~t i 3bc17 TYPE OF 9L0. 20 + za a7-LEISl~ 801-~~,• ~ F ~-?~v ar z~oo$o PROP. CLA ~ uo~oNan}~c~ ,~r~-I ~ 4 q7 -8~ a o -c r,e- r~ .~w t; LAND IPAP. TOTAL DATE ~ ~ c'~ c - ~ ~ ~ , S S' sP~E ~a3ea deck add Fti~r, w 3?, / So 0 900 3iwo y _ roa Z oo Goo a ~ - - _ - FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND gUZKMEAD HOUSE/LOT TOTAL - - - 7~w G~.71i~ 3 y,11~8 n ~ - M. Bldg. ~ g 3~ y, a~ 37yy Foundation ~ e PL Bath Dinette v S1AI!$V ~N Extension P ~ - 936 Basement ~ ~ Floors Kit. Extension Ext. Walls Interior Finish 1. R. Extension Fire Place Heat p, R. Patio _ Wo~stove BR. Porcts Dormer yz RR~ Fin. B. i Deck y gb~/5'~ ,Soy ,j.f 1Zfo Attic Breezeway Rooms 1st Floor Garage Driveway Rooms 2nd Floor 0.9.. c.., 000 5 r fo 3. Pool Covr~t4tr/Risaf 6R GR+nrr ~i°~4P~ar..,.~b ,~xuu.~ ~'e rp; 39-s~o j'r/ - u irb mop- .3600 L 9By B. P, # 3r ~ a-~.- BUILDING PERMIT EXAMINER CHECKLIST *Date Submitted: 3'-~5 =/O Date Reviewed: 3 ^•2s /o Applicant: 7-1-{oMft-S 02 / L E Y Owner: CSC ~ C'e'p g- 70,30 ngineer:G ~/T Estimated Cost: °Oo." SCTM# 1000- ~ p 7~ ~T' Subd~i~ 7 I ~ ~ Zone: /q ~ Conforming? NO • Property Address: ~ 70 City: ~~L Pre COs? ~o Building Permits(Open/Expired): BP~°`~Z/GOZ-}S~~Info: ND Bpdb'3y~_Z/G~y~P33/,Info: BP -Z / GO Z- ,Info: BP -Z / GO Z- Info: BP -Z / GO Z- ,Info: _ Single & Separate Search Required? Y or~N,Deterfh natlion: REQ. Lot Size: ° ° ° ACT. Lot Size: • 902 "I d ~ ~ g ~ REg. Lot Cov. '~'O ACT: Lot Cov. < 7 °Jo REQ. Front ~ o ACT. Front S -RE Side ~ ACT. Side 2-$, REQ. Reaz 9S PROP. Reaz c~ REQ. Height . 3~ ACT. Height~_ ~~cQ~~~ ",~y;,Q,~ ~S- ,y ~-i- ' JO Prot D ~ cription: ~~c~,.ar~' o`~ ~'NZ, a ~.e~D,-.t ~?.~+.e~ Jte-~,.~ ~ o'- Waterfront? Y o If yes, water body: Panel# Flood Zone: Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y o~ If yes, *Bed#: _ *Date: *Permit#: Town Septic: Y o>~ - If no, certification required: Y or N Received: Y or N By: NYS DEC: PRE-DEC 9/1/75 Y OC~ Date: Permit or NJ Letter -Notes: Southold~I rustees: 1f or N(~ Date: Permit or NJ Letter -Notes: Southold ZBA: Y o>~ Date: Permit -Notes: Southold Planning: Y o~I Dante: Permit -Notes: Town Landmark C of A: Y otrN/DTE:o/p_/_ *NYS CODE Compliance (page 2) Y>ir N Notes: - W~C/e~u.-_~ °7,'... ~iY~..~ ~-c`R ~ L/ Fee Structure: Calculation: ' Foundation: ~ SF 1. ( SF)- ~SF)= SF X $ a"O C, ~ First Floor: f 3 7/o SF + Initial Fee: $ Second Floor: o SF + Additional Fee $ Other: SF 2. LSF)- (SF)= SF X $ Total: / 3 7G SF + initial Fee: $ 8- O ~'f o + Additional Fee $ . TOTAL: $ ~ ~ I ~ NEW YORK STATE CODE COMPLIANCE CHECI{I,IST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: / Ground Snow Load: 2pr~ Wind Speed:. 120MPH_V Selsml?sign Category: B ~ Weathering: Severe V -Frost Depth: 36" ~ Termite: M-H Decay: S-M ~ Design Temp: 11 Iee Shield Underlay: YES ~ Flood Hazards: USE/OCCUPANCY CLASSIFICATION: 1 J~9r't l i--~ J~ w~c6-~'-//1J 6 HEIGHT/FIRE AREA: ~`3 f ~ O.~ TYPE OF CONSTRUCTION: ~ al \ DESIGN CRITERIA: ENGINEERE 4C'RTPTTt~ FULL FRAMING DESIGN ELEMENTS ~ O~ HEADERS: Y/N WALL STUDS: Y/N GIRDERS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N ROO ~ RS: Y/N LUMBER SPECIES AND GRADE: Y/N . ~3~' ~i WWDOW AND llOOR SCHEDULE: ~ n / NIBBLE TEST REQUIREMENTS: Y/N ~°~MI ~ O' EGRESS 5.7 S.F.: Y/N o ~ / iQ-~; LIGHT 8%: Y/N GUS l ~ VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: ~ -r~, f _ / 2 MEANS OF EGRESS ~/N i ° ~ g/ 5 ~b PLUMBING RISER DIAGIZAM`~N LOCATION OF FIRE PROTECTION EQUIPMENT~V ~ ~'6 X , `f TRUSS DESIGN. Y~Q p~ CERTIFICATION Y V~ 01`( D , `~t~ ENERGY CALCS~V /f `l ~ ~ TOTAL COMPLIENCE7 Y/N (RETURN TO PAGE ONE) 37 s a~-S r ~S i ~~,/A, ~b ~ ~ol~ - y t- - ~o-T ---C _~__Q~~-~-- - - - f o~~pF SOUI'yo Town Hall Mnex y~ ~ Telephone (631) 765-1802 54375 Main Road ~ Fax (631) 765-9502 P.O. Box 1179 H ~ Southold, NY l 1971-0959 ~ ~'~OOUNTI,~ BUILDING DEPARTMENT TOWN OF 90UTHOLD February 10, 2012 C'.~ Thomas & Jennifer Riley G~ 670 Gabriella Ct ~ ' ~ 3 1 S Mattituck, NY 11952 ~03~ TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: /Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after anisa) Trustees Certificate of Compliance. (Town trustees #7ft5-~asz) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. -Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 35422 -Addition V REScheck Software Version 4.3.0 Compliance Certificate Project Title: Proposed Addition Energy Code: 2007 New York Energy Conservation Construction Code Location: Sutiolk County, New York ConsWCtion Type: Detached 1 or 2 Family Heating Type: Non-ElecMc Glazing Area Percentage: 10% Heating Degree Days: 5750 Construction Site: Owner/Agent: Designer/Contractor: Gabriella Court NY Jeffrey Butler, P.E. Mattitudc, NY 206 Lincoln Sfreet Permit Date: 3/10 Riverhead, NY 11902 631-208-8850 Compliance: Maximum UA: 201 Your UA: 167 Ceiling 2: Flal Ceiling or Scissor Truss 828 30.0 0.0 22 Ceiling 3: Cathedral Ceiling (no attic) 76 30.0 0.0 3 Wall 1: Wood Frame, 16" o.c. 1056 15.0 0.0 71 Window 1: Vinyl Frame, Double Pane with Low-E 110 0.340 37 Door 1: Solid 21 0.220 5 Floor 1: PJI-Wood Jolst/Trvss:Over Unconditioned Space 704 30.0 0.0 23 Boiler 2: 84 AFUE The proposed building represented in this document is consistent with the building plans, speaficeflons, and other calculations submitted with this permit application. The proposed systems have been designed to meet the 2007 New York Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and eeE'11Sf~e, they are attesting that to the best of hisRier knowled e, belief, and professional judgment, such plans or speciflcation a in complia (with this Code. ~ ~ ~i~ . / 3 Name -Title / Signatu Da e e Project Notes: C Qf NE~/~j Addition and garage ~~Q~~CPEY T. @UT~F9O~'~ r ~ d w Z 2~F0 03493 t``'C~ A9pFES SIONP\, Project Title: Proposed AddiBon Report date: 03111/10 Data filename: J:UAISC_JOBS\Misc Jobs 2010\100018 Dunne -Gabriella Court\energy.cck.rok Page 1 of 4 s ~ ~~r T7MELLIN6' 'C~ H.I,W~5 LANE ESTATES U m 0 5ecnoN oNE a ui Q'' vACANr a LOT O ~ p X LL ~ ,I ~Qm R . 2S O, ~q~y Ew5nr1~ 'j' m L ° 39.27' ~ wELL OF NEW ~~P~y T. T ~,p~ _n ~ LOT O * ' w I 1~ ti~ xs, LOT AREA = 40,140.615F. ~ 2 ~ hrl° ~ EXIST (0.9216 AW k c,L ~ ~ SF 07349 P EX SAN. SYS. T ~p VRD pROFESS~~N REMAIN EXIST STOOP .a++ar T. amat P!. ~~-s To BE Rr'~vti PROP05ED 51TE PLAN: 51TUATE AT: ROOM MATT171K.K KY. Jo i aq. TOWN OF 50Uf1i0LD y0. _ SUFFOLK GOUN(Y, NEW YORK p; EX A.~PFIALT ~ = dF 5GTM NO.: 1000-106-04-P/0 7J ~O r ~ Q 9 vRVwY TO eE ~b E r ° m REMIORK~ aa~ PROP YAG/WT AREA OF 51TE~ 40140b15F.(0.9216AGJ N.G. ~ ~ F SAWGUT, _~Q FAMILY RL10P1 PROP TO ;~o_ PROP05ED LOT 18 51TE RAN B/~ ON ORI6INN. SURVEY BY. MEET EXIST 2 GAR PEGgiIG SURVEYORS, Pd.. ~ ~ ~ 6ARA6E PA. BOX 909 1230 TRAVELER 5T 50UTFIOLD, NY 11971 A ~ ~ 4 T~O~ ..~9 ~ PHONE: (516)165-5020 ~ ~ ~ ~ REMAIN PROP05ED 9Ff A ~Id E:~~I ~ ~ ~ ~ D V~ T y'~jY1 S~ Lei tl~ yA,GAN>~ ~'p 5~°1~~° SAFE DIG ~ ~ o S S I T~ Before You Dig, Drill Or Blast! P,4GE CALL US TOLL FREE 1~OQ682-7682 NY industrial code nee 753 requiros no Isss Bean lv+o worlan6 days notks, but not 30 15 O 30 60 90 moro then ten days notlcs GRAPHIC SCALE I" = 30'-O" ~ ~ of I