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HomeMy WebLinkAbout15495-zTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 6/6/2012 CERTIFICATE OF OCCUPANCY No: 18157 THIS CERTIFIES that the building Location of Property: Date: SINGLE FAMILY DWELLING 6/30/1989 Off East End Rd, Fishers Island, SCTM #: 473889 Sec/Block/Lot: 12.-2-6.9 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 11/14/1986 pursuant to which Building Permit No. 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 as applied for. NOTE: 6/6/12, this Certificate of Occupancy has been updated for correction of Suffolk County Tax Map Number and owners name only. Lot No. filed in this officed dated 15495 dated 11/14/1986 The certificate is issued to Dewey, Christopher (OW~qER) of the aforesaid building. SU~'I~'OLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 5/18/89 86-SO-204 6/27/89 N072451 5/24/89 .shers Island P~c~bing FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18157 Date JUNE 30, 1989 THIS CERTIFIES that the building. Location of Propert~ WILDERNESS POINT House No. County Tax Map No. 1000 Sectlon 012 Subdivision Filed Map No. ONE FAMILY DWELLING FISHERS ISLA/qD Street Hamlet Block 02 Lot 6.13 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 14r 1986 pursuant to which Building Permit No. 15495Z dated NOV. 15z 1986 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is lssued is ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MR. & MRS. RUSSFJJ, PLANITZER (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-204 JUNE 27z 1989 UNDERWRITERS CERTIFICATE NO. N072451 MAY 24~ 1989 PLUMBERS CERTIFICATION DATED FISHERS ISLAND PLUMBING 5/18/89 ~ulldlng Ins'pecto'r' J Rev. 1/81 i~ORM NO. J 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) N9 15495 Z Perm,ss~on ~s hereby granted to' .... a,.........~.~.h~ .... .~.~.~.~ ................ .~.~....~...,..:.~.,...~,...~.~...~ · '~' .""; 'z~, .' '73'"': '~' ot p~,i~s ~ocot~ o~ ......~..J~. ~..... ! M~'...~, ..?. ~.....~.~ .......... County Tax Map No 1000 Sect,on . ...~ )..;~/ . Block . ...~...~=. .... Lot No...~ ...... pursuant to apphcohon dated ~~~4~.. ~ ~ ..... , 19~.~., and approved by the 8u, ldlng Inspector. Building Inspector Rev 375 DUNTON AVENUE :: EAST PATCHOGUE, NY 11772 PHONE: (516) 286-6642 FAX: (516) 286-6683 DATE: 6-1'7-98 PHONE: 14_ MA I~K~T, ADDRE.~: ]~% RRTr~&N'PTNR ~IZ'TVR Spl i.i,I-I~T.T~ 1. R~PAIR LIGHT IN BASEMENT 2. STAPLE WIRES IN EASEMENT 3. REWIRE HOT WATER HEATER 4. FASTEN OUTLET BY WATER PUNP & CHANGE TO GFCI 5. CHANGE OPUTLET BY KITCHEN SINK TO GFCI 6. NEED LIGHT BY BACK SLIDING DOOR 7. CHANGE 2 OUTLETS IN GARAGE TO GFCI INSPECTOR: FRED KORTE MUST BE WE~OVED IN 10 DAYS BLDG. DEPT. TOWN OF SQUTHOLO ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN IIALL SOUTIIOLD, NEW YORK Y65 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ..~ .... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of shers Island Property .................. ~l.l.~q~E.~ .......... [1 ............. HOUSE NO. STREET DAHL~T Owner or Owners of County Tax Map No. Property..~E,.~.~,.~N~ ~lanit~er .. IO00 Section 0~2 Block 02 Lot Subdivision ....................... Filed Map ........ Lot .......... Permxt No.~5~95 ...... Date of Permit .ll:!~:~fi.Applicant &~.qq~q.ql~l.qqq~qRct], Health Dept. Approval {3~.SOr~.(~Of, ff~ .... Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Fimal Certificate ..~ ............. Fee Submitted: $25.00 ............... , 0 rev. 10/14/88 OUNDATION (1st) OUNDATION ( 2nd ) OUGH FRAME & PLUMBING NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIOn[AL COMMENTS: PLANS I~8 on shelf 7 August, 1979 New York State Energy Conservation Construction Code Information Checklist For Part 4 - Building Design by Component Performance Approach Building Address Owner's Name II. III. BUILDING TYPE (Mark the appropriate box): ao Detached one or two family dwelling Multi-family, three stories or less. Multi-family, four stories or more. Other Industrial Addition to existing building Renovation of existing building Exempt (Et01.6c) ENERGY SYSTEM a. Heating only b. Heating and cooling DESIGN DATA a. Outdoor design conditions Heating degree days Winter design dry bulb temp. Summer design dry bulb temp. b. Indoor design conditions (Table 2-1) (Table 2-2) (Table 2-2) ~v~ (1) Winter (design dry bulb 72°F) Code Value Submitted Design Humidification .......... 30% Max. Mechanical ventilation ........ yes--no (2) Summer (design dry bulb 78°F) Code Value Submitted Design humidification .......... 60% Min. Mechanical ventilation ......... yes,/no *It is not generally necessary to complete this entire checklist for renovations or additions. New York State Energy Offi IV. c. at heating = Indoor Winter Dry Bulb ~°F - Outdoor Winter Dry BulbZ~OF = ~ o d. at cooling = Indoor Summer Dry Bulb TB°F - Outdoor Summer Dry Bulb~__~F: /~ o e. Air transport factor for all air HVAC system (>4.0) ~ BUILDING ENVELOPE DATA (See Tables 4-1 & 4-2) Proposed Code Area Value Requirement a. Walls, overall assembly Ap : ~Uo: 1. Opaque wall (framing and cavity) Aw: ~-~w: 2. Glazing Ag : //~ Ug: ,~-/ Ug: ' 3. Window % of overall wall area : /~ 4. Doors Ad: /~m Pd: b. Basement walls 1. Opaque basement walls, above grade**Aw: 2. Basement walls, below grade (to 24") c. Roof/ceiling, overall assembly Ao: ~Uo : ~. Opaque roof (framing & cavity) A~= 2. Glazing (skylights, if any) Ag = Ug = ~q: d. Floor, overall assembly 1. Floors over unconditioned spaces Af = ~Uf: ~Uf = ,~ 2. Floors exposed to ambient conditions Af: 3. Unheated slab edge Ri : /v~//~ R~ = 4. Heated slab edge R~ : /v'/~- ~ : **Insulation may be omitted from floors over upconditioned spaces when basement walls are insulated. New York State Energy Office HEAT LOSS CALCULATIONS MAXIMUM ALLOWABLE BUILDING ENVELOPE HEAT LOSS (using actual building areas and Code U-values) Uo x Ao x a t = Q OVERALL FRAMED WALLS ,~Zx OPAQUE ABOVE GRADE BASEMENT WALLS .08 x ROOF/CEILING ,~x ~F~x ~- = /~ ?~ FLOOR ~o~ x BTU/hr TOTAL = /~/~/~ BTU/hr ALTERNATE BUILDING ENVELOPE HEAT LOSS (using actual building areas and U-val ues) Uo x Ao x at = Q ~/Tx ~Ox ~ = ~ ?~ ,m~x ~?mx ~ -- / /~'-~ **OVERALL FRAMED WALLS OPAQUE ABOVE GRADE BASEMENT WALLS ROOF/CEILING FLOOR TOTAL proposed Total Alternate Building Envelope Heat Loss shall not exceed Maximum Allowable Build- ing Envelope Heat Loss. (Note that this Envelope Heat Loss is used only to describe the thermal properties of the envelope, and is insufficient to size mechanical equip- ment) **For residential buildings, use glazing percentages (of overall framed walls) as given below when developing the Alternate Building Heat Loss if actual glazing percentage is less. One and two family dwellings 24% Other residential, three stories or less 33% Other residential over three s:ories 42% New York State Energy Office (a) (b) AIR LEAKAGE (E402.4) Infiltration Rate -4- Windows Res. sliding glass doors Res. swinging doors Nonresidential doors Code Value Specified (if different) Entrance doors (type) Vestibule 0.5 cfm/linear foot 0.5 cfm/square foot 1.0 cfm/square foot 11.0 cfm/lin, ft. revolving. (c) Caulking and sealants Exterior joints and openings Between wall and foundation Between wall and roof Between wall panels Weatherstripping of openings (d) Fireplace Outside combustion air Infiltration Loss self closing 20 cfm flue damper or noncombustible doors VII. COOLING PERFORMANCE (E402.3 b) YES [--[ NO VIII. a. We39ht of wall construction ~ b. Temperature difference factor (EQ 4-2) ~7 c. Solar factor for OTTV calculation 130 d. Shading coefficient o~ e. Thermal transfer value not exceeding 34.3 ~! lbs/SF TDEQ BTU/hr SF SC QTTV; BTU/hr SF MECHANICAL EQUIPMENT PERFORMANCE (E403.13) a. Gas/Oil heating equipment efficiency (75% min.) b. Electric HVAC: Cooling (Table 4-8) c. Heatpump (Table 4-7) d. Electric water chiller (Table 4-9) e. Electric compressor/condensing unit (Table 4-10) f. Heat operated cooling equipment (Table 4-10a) 7, ~ COP /¢/~ COP cop COP COP New York State Energy Office IX:.' MECHA~IZCAL SYSTEM CONTROLS (E403.3) a. Thermostat Heating only 45° - Cooling only 70° - Heating and Cooling 45° - 75° min. range 85° min. range 85° min. range V b. Temperature Zoning YES NO MECHANICAL SYSTEM INSULATION Thermostat for each zone/system Thermostat for each dwelling unit (2 family or less) Means to restrict input to each zone or floor Thermostat readily accessible ~'~ Ventilation dampers at envelope r-~ Ventilation volume control Economizer cycle Y¢/~ [-~ (E403.9, 10) Only if At (difference in duct air or pipe temp. a. Duct insulation Thick b. Heating/cooling pipe insulation ~/~Thick and ambient temp.) : 15° or more. / in. R ~ in. R XI. PLUMBING SYSTEM (E404.0) a. Domestic water heater (to meet ASHRAE 90-75 Standard) Electric Gas 0~t b. Pipe Insulation Ri = A//w(~ c. Controls {for commercial application) Y¢/~ YES Automatic temperature control Turn-off switch/valve Circulator system turn-off d. Combination Service Water Heating/Space Heating Boilers Maximum allowable standby loss (see E404.3) Proposed equipment standby loss e. Water Conservation Public restroom lavatories Flow Rate Temp. ~(not required for one and two fam)ly residential) Btu/hr gpm oF New York State Energy Office XII. XIII. *a. Electrical Distribution (E405.2) Does electrical distribution design conform to the National Electric Code? YES v/ NO ¢ a. Power factor or equipment list enclosed b. Voltage drop calculation enclosed c. Light switching plan enclosed d. Separate metering for each dwelling unit Lighting Power Budget (E405.3) (not required for one or two family residential.) Calculation procedure E405.3 (a) Sum interior load for each space watts Exterior load (maximum 2% of interior load) watts Allowable Power Budget watts b. Simplified calculation procedure E 405.3 (b) Sum interior load for each space Exterior load (maximum 2% of interior load) watts Allowable Power Budget watts c. Actual connected lighting load (must be less than or equal to Allowable Power Budqet). watts *Lighting Power Budget may be determined by use of either the Calculation procedur~ E405.3 (a) or the Simplified calculation procedure E405.3 (b). New York State Energy Office *' ' THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~E ~ 1075012 BUREAU OF ELECTRICITY E5 JOHN STREET, NEW YORK, NEW YORK ]0038 ~{AY 24, 1989 45265887/87 }4 0724~1 Date Appllca~ion No. on file THIS CERTIFIES THAT only tim d~ctrled ~qu~om~nt t~ d~scrib~d bdo~ and int~ by th~ ~ldlcant nammt on th~ abo~ ~oldicatioR nurab~r in the premiss of R{ISSEI, L FLANITZER, PRIVATE ROAD, FISHERS ISI~AND, N.Y. inthefollowln~loc~J~;OA~jmment,~n, ,,,~v~-- [] IstFI. [] 2nd FI. ]FL/GAR/OUT Section Block Lot was examined On and found to be in compliance with the requirements of this Board. SERVICE DISCONNECT S E R V I C E OT~ER A~mARATUS: PANELBOhRDS: 1-35 CIR. G.F.C.I:-15 225,J-40 CIR. 225,1-25 (;IR. 400 GADA CONTRACTOR DRAWER - B FISHERS ISLAND, NY, 06390 LtC.{296E Per. This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by theh'~g~dentials. COPY FOR BUILDING DEPARTMENT. THI,~ !~F CERTIFICATE MUST NOT BE ALTERED IN ANY MANliER. THIS CERTIFIES THAT RXTUIE RXTURES DRYERS FURNAC MOTORS [7 TOi/EL DRYER 140 t/ATTS-1 AIR HANDLERS-5, 400AMP CB SERV DISC-1 33 KW E~tERG.GEN.-1 400AMP A~TO T~SF.SW.-] ?.2Kg STE~ UNIT-l, 5 TON A/C UNIT-2 C.T. CABIN~:-I F~DERS:i-4 ~ I BAS~ENT TO 3~D FLOR FEEDERS:l-4 ~ 1 BASEHENT TO BASEHENT MOTORS:I-i.50 H.P.,I-.50 H.P. Continued on Page RANGES SI~CIAL REC'PT jC~l~ DECKS j OVENS I IX~H WASHERS TIME CLOCKS BELL UNIT HEATBES MULTI-OUTLET NO, OF CC. COND. A. W, G. NO. Of HI-LEG 5O0 EXHAUST FANS 3~T' F DIMMERS [ 7" WA.S A' W' O' Hi. LEG This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLI) OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTHOLD, N Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Swo~r~to before.~e this Notary Public ~/L- County umbe~nature ) Notary Publ ~/ T=rm £Xltl~l 12~J1/OO Examined . Approved ~O on¢.a-~a. ~, D~sapproved a/c 'FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,S-OUTHOLD, N.Y, 11971 TEL.. 765-1803 ,19~, , 19 I~ Permit No I Recezved ........... ,19.. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ~nk and submitted to the lJudding Inspector, w~th 3 sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showing locataon of lot and of braidings on premises, relationship to adjoining premises or pubhc streets or areas, and giving a detmled descriptmn of layout of property must be drawn on the dmgram which is part of this apph- cation. c. The work covered by tbas apphcatton may not be commenced before issuance of Budding Pernut. fl Upon approval of this apphcatlon, the Bmldmg Inspector will issued a Budding Permit to the apphcant. Such permit shall be kept on the premises available for inspection throughout the work e. No budding shall be occupzed or used m whple or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Budding Inspector..k APPLICATION IS HEREBY MADE to the Bml~mg Department for the issuance of a Bmldmg Permit pursuant to the Bml&ng Zone Ordinance of the Town of Southold/~inffolk County, New York, and other apphcable Laws, Ordmances or Regulatmns, for the construction of buddings, additions or alterations, or for removal or demohtton, as herem described The applicant agrees to comply with all apphcable laws, ordinances, budding code, housing code, and regulations, and to admit authorized inspectors on premises and in build/rig for necessar~ instoectlons~., (~Slgnature of apphcant, or name, if a corporatmn) ...... (Mailing address of applicant) State whet. b~ applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder · .. . . - . ............... (as on the tax roll or latest deed) Builder's License No Plumber's License No. Electrician's L~cense No f apphcant is a corporation, signature of duly authorized officer Other Trade's License No.. Locahon of land on which proposed work will be done louse Num bet Street 'ounty Tax Map No 1000 Section /2 ~ 0 ub&vislon Hamlet Block ~ ~· C.~ Lot .~=c~.?· Filed Map No . Lot ate existing use and occupancy of premises and intended use and occupancy of proposed construction Existing use and occupancy 0 ~ ' Intended use and occupancy -~AS~AI ~t~ ~ ................... i0 I1 3. Nature of work (check which applicable) New Budding . ~'~ .... Addition ...... Alteration ..... Repatr ..... Removal .. . Demolition ....... Other Work .......... (Description) 4. Est~anated Cost ~ 7-~'~'~ 0~.0:. Fee " (to be paid on f'fling this apphcatlon) 5. If dwelling, number of dwelling units ....... Number of dwelling units on each floor ............. If garage, number of cars ~,-- ........................... 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use ............ 7 Dimensions of existing structures, if any Front ........ Rear ........ Depth ..... Height ..... Number of Stones .............. D~rnenslons of same structure with alterations or additions Front ....... Rear ......... Depth . . Height Dimensions of entre new constructmn Front Height . ~ ~' .... Number of Stones Size of lot Front · Numbe~: Cf ~tofies .................. .~'.'" .. Rear . i~'3. ..... Depth .. ~Z- . . Rear .......... Depth ................ Date of Purchase ........ ~Name of F, ormer Owner .................. Zone or use district in which premises are situated t¥~ ~. ,,~, .,, .......... 1 2 Does proposed construction violate any zoning law, ordinance or regulation .~J¢.. 13. W~i1 lot be regraded .. ~/o.. ~ ..... Will ex_9_cess fill b~removed from premises' Yes ~ 14. NameofOwnerof.l=emlses'~°t~./[.l'"/.~t.~7.~?'.. Address-~!£g&~/.'~B. .PhoneNo.7~c':7..~.'~~ .-'~ Name of Archltect"~.~i2F.., ~, [~ ~'~,,~M . AddressJ~-,~5/~C~.~-o.~1/'-. Phone No~.' ~/~. - /?~b Name of Contractor,~ a0~C4~%~ (_ ~r~l~l.~-l~,-~t~ Address ~t,~gvc,21 7..¢/~1~111 PhoneNo '7ocI:' .?2'~/ PLOT DIAGRAM Locate clearly and d~stinctly all buddings, whether existing or proposed, and ~ndlcate all set-back danenslons from property hnes. G~ve street and block number or descnption according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW COUNTY OF..: ,,jq~:.,..,i/Zm' S S .., ~ .~ ~ .. being duly sworn, deposes ~d says that he xs the apphcant (Name of ~nd~wdual s~mg contract) above named ~ He lsthe...G~g& t ~W&~{TO~ ..... (Con,actor, agent, corporate officer, etc.) of smd owner or owne~, ~d apphcatmn; that ~ statements contmed m th~s apphcat~on are tree to the best of his ~owledge and behef, ~d that the work wall be perfomed m the m~ner set forth m the apphcat~on filed therewith. Sworn to befo~ ~ ~is ..... .... .. Nota~eubhc, .... ~f~ ....... County ~~~ .................. ........ ~ ' ~i8 ~ Ooa~,v ~ ig ture o applicant) N~ ~h~ ~ts O~ New York ~ff~e~tfl Su~lk County SUFFOLK COUNTY DEPARTMENT OF HEALTH FOR APPROVAL? CONSTRUCTION OF Single Fa~ly Reslde~e Only APP~OW~ c%<~-. £XPIRES IWO Y£ARS .F.RI~M~.,DATE OF APPROVAL, ' I~USSEL.L F__. F'LA, KIIT F--.L1TI I F. FLAI,.IITZF'I7--- FI~HE~5 ISLA. MD ~ ~CALE: I"= 100 F'E ,) 'x ? 1' If ~PI~ tuMng II umed for w~ter distributing ~/~tern~ pip/no shall be of types .K. Or L OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE,,, OF OCCUPANCY c , ,"L Y SYSFEM CANNOF Z:., .,£~--D 2/10~' 1% LEAD. PLA, h( II J,4OCi~ FOff... I'dcL,'~ HR.S, F..qSSF] L ?LA,I'4FFZ-E~ 2-11 wEST- Gl 5TF-~E:T N~W x/OP--F-.-, NE-W yO~K... Io02-3 ~ASEt'46N"~ A~P C~F.,DLIMP FLDOf:'~_ PLaN '1 -W LJ N'F-× C^VAT ~'P T~r ~cr i~res~ve iii Joiet8~ % / W © 1 I. I I CLq E s'- lo" II \ \ \ OAk- ~Tr~IP FL~. 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