HomeMy WebLinkAbout29168-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29578 Date: 07/17/03
THIS CERTIFIES that the building ALTERATION
Location of Property: 320 BAY AVE MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 143 Block 3 Lot 34.2
Subdivision Filed Map No. Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 14, 2003 pursuant to which
Building Permit No. 29168-Z dated FEBRUARY 28, 2003
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 WINDOW ALTERATION IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to WEJ ASSOCIATES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
--eo�4 y- 24��
tho zed Signature
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. 29168 Z Date FEBRUARY 28 , 2003
Permission is hereby granted to :
WES ASSOCIATES
PO BOX 1429
MATTITUCK,NY 11952
for
REPLACEMENT OF WINDOWS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at 320 BAY AVE MATT/LAUREL
County Tax Map No. 473889 Section 143 Block 0003 Lot No. 034 . 002
pursuant to application dated FEBRUARY 14 , 2003 and approved by the
Building Inspector to expire on AUGUST 28 , 2004 .
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOIID
BUILDING DEPARTM N'C
TOWN HALL _
765-1802 JUL 1 6 2003
APPLICATION FOR CERTIFICATE OF OCCUPANCY
i
This application must be filled in by typewriter or ink and submitted to the Building Department withlhe following:
A. For new building 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 Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. 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- $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00
Date. 71 15/O 3
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 3�o p o y Av.`
House No. nn treet Hamlet
Owner or Owners of Property: W 1= 3 H 5 9 o c-, /�o-"T—S
Suffolk County Tax Map No 1000, Section 473$fs5 1 Y3 Block DDO 3 Lot 03`t - 0(3'2-
Subdivision
0O'2-
Subdivision Filed Map. Lot: /
Penuit No. ;2°( /(LB Z Date of Permit. 2 2$ 03 Applicant: W I, :S /7//5soc�:w 5
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $_ �, o G+
i `�3� Applicant , ignature
k
DONALD G, FEILER • ARCHITECT
11725Main Rd-Box 1692•Mattituck,NV 11952•631 2985453•Fax 298 138EFebruary 12, 2003 FEB 14 2a
Mr. Michael Verity
Town of Southold Building Department
Town Hall, Main Road, Southold, NY
Re: WEJ Associates
Proposed Window Replacements at Existing Residence
320 Bay Avenue, Mattituck, New York
Dear Mr. Verity:
Attached are specifications for window replacements for the above mentioned
project. Certainteed Thermaflect/Argon/Low-Conductance Spacer Double-Hung
window units are to be used throughout, with total unit U-value of 0.31.
The Energy Conservation Construction Code of New York State chapter 502.2.5
Prescriptive path for additions and window replacements, Table 502.2.5 requires
a maximum fenestration U-factor of 0.4.
Maximum required = 0.4 > 0.31 (provided), therefore this product is in compliance
with this code.
Don Feiler
c;tD OG AR.�?.y/�.nn
sT 015856 �
9TE Of NEW v04
FROM FAX N0. Mar. 13 2003 02:40PM P2
Devon 05ars exce�lenf :'[ rarrvecE perforrr,ance.
(,rams Typo 'Total IJWLU-Vatuee" Center Daylight UV Solas Gll®SgClyy of ,
Do,,14 radar Platen Canarnl AnoLot of Glass Transmte 9laek" liras Gain dl"([3®31Ce tC�379a.
HaiU-Value' farce' Coa l"'It' p
Standard Double-Pane IN �"f"'(ow-em is3iviey glass
is routed with a miornacopitally
AA SIzc 0.48 0.51 U.51 0.64 0.44 0.49 62 43% 0,55 didst metallic layCr that allows
,
visible light
BB Size 0.49 0.51 0.51 0.45 0,45 u Puts through
while blushing ultltraviolet and
'l liermallea"/Argon/Low-Conductance Spacer, inisarvd solar malty uu4 reflect-
ing away long-Wave room-side
AA Size 0.31 0.32 0.29 029 0.29 0.25 71 a.G, 87% 0.33 heat energy.Different types of
BB Size 030 0.31 0.29 0.28 0.28 Low"G"matin~.offer varying
.. .. .. _ level"of pedormancc for such
of I ttsc task..
'Uwolva can ca mmpaxed to&-Valu by ch'iding t by 'Lowpductanca wdimr u a,l In three tea%was Ttatisars ■V-Val~ ;The rata of heat flow
the U-vdue(raus."U-hive ce 05 equalrun W.aiuc a2) Swizzle'&LL through a glazing system;the
116rW In scrosdesa,with NPgC 100.Dole epplicabla for 'C=W of gWe Uvehm astppl ed by stars ttmlufrtctntprt. Lwar the value,the better the
dtmbl3 pans Wulamtg ureasu lis;tither daudcarengtli
aiea with a 172"afrapan ur ainzla-tbutgtfs;law with 9/16.. 'Ctl=Ltiou porformed ural:the LAwrena:Bestiality 1narLtting quality.
air span. LabOrliarlJt Vhndow 4.1 mtnpulan program and a 3141 ■Dayligfst 7Wts riftax c
Sneulating unit Measures tho amount of viable
Wlndlsw;tyle AA Size BH Slav - •Based UV on traumiudan Gem 300 us 360 tun.
Doubt-l-iwtg s6^x 6V �a'x yX� light that is trammttrsd through
Slider 6P'x 3F' 70"x d8" Haat Gal.Co"fadoAl iiUCC)foo a 36".w"doubly thea glue.
Picture 4e"x 48' 46'x73- hvryt turd ir.emu+darta wirls NMC 100,Solar Hut Cahn ■LiV Blnaks Mewurr,+the
cascclav We 4W 3c'x(iV cool"' v"evclow by style,gid ring ry=n%and pee enre of
M•daut0unt of dttmagirtg ultraviolet
or x 24" a(r'x 4T ;tide.AP Don.windows with the 7lsasmatl. . ;loans light that is blocked from b
$yawn,hon,a SHGC i«.dwt.40. ei^S
tran6minnl through the Blau.
0 Solar Hcat Gain Coeffuirck
1 The amotmt of duper solar
radiation that mV tiu'ough the
Slaw into d>t Roma as hear.This
xmallv the nienbea the boner
the glazing at preventing seta
hent gain
Sevh10 the Earth.Eaviag Your Maley.
Devon windows with the
ThermeHede abating system
meet the 54QfGy STAN'guide-
lines For thymol efficiency in
III climate regions.
CertainTeed Lyle
(Quality made certain.Satisfaction guaranteed."
aeb urn.a o.nei.ie.$o�rweun
"'�+� ....,...--..,..�....... .. AMI MWsate•
.�T Tr DT�T
Applicant/ Date.
Owners Name: WC—TReviewed: WX1103
Architect/ Date
Engineer: bdY-x Submitted: 41810-3 _
SCTM #:
District: 1 000 Section: 131ock: 3 Lot:
Project Subdivision
Location: 3 wt -- — Name:
Sin&le & separate Required
certification: (Yes/No)
Rey. Req.
Zoning DistricCzNao (IA(size: _ I a. I ILot coverage Proposed 1
Req. Req. Req.
[I=ron(Yard Proposed: J [Side Yard Proposed: ) [Rear Yard Proposed I
Project Description: aA �Oc-r-�
AGENC'SMERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept.
New York State D. E. C. -
Town Trustees
Town Zoning Board approval:
Town Planning pp Board approval:
Flood Plane Elevation???
Flood Zone:
Notes,--
A�6
40
Kao/ 3
�l6�7
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE 7110 iQ INSPECTOR
FIELD INSFECTION REPORT DATE COMMENTS
ro
FOUNDATION(IST)
ac
----------------- — _---- A
FOUNDATION(2ND) -
2
O
ROUGH FRAMING&
PLUMBING
INSULATTON FERN.Y. 3
STATE ENERGY CODE
C A
FINAL
ADDITIONAL COMMENTS
i
O
L
x
\ d
TOWN QF' SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 sets of Building Plans IV Iq
TEL: (631) 765-1802 Planning Board approval
FAX: (631)765-9502 !Survey NU
www. northfork.net/Southold/ PERMIT NO. X9/6 rS % Check #150,OU
Septic Form
N.Y.S.D.E.C.
Trustees
Examined__ w1lik1200-3 Contact:
Approved 200-3 Mail to:
Disapproved a/c
Phone:
Expiration , 20 nnnn
f(�
'Building Inspector
F-- - - --
APPLICATION FOR BUILDING PERMIT
FEB 1 4 2a Date 1 3 20 0 3
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to scall;.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 BEREBY 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. j
OCCUPANCY OR
USE IS U N LAWS F U L (Signature o ap for name,if a corporation)
WITHOUT�C+ERTIF/I.CATE (Ya c )Ox rY2y
OF OCCUPANCY (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, elei L4XMilder
DA 99FEE
/Gz.S
(vnc
r NOTIFY BUILDING DEPARTMENT AT
Name of owner of premises 785-1802 9 AM TO 4 PM FOR THE
(As on the tax roll or latest de &)LLOWING INSPECTIONS:
If micl is a c r stgna of July authorized officer 1. FOUNDATION - TV;0 A<:.: •-_
FOR POURED CONCHETE
E ' 2 ROUGH - FRAMING & PLUMBING
(Name t e-of corporate officer) 3. INSULATION
4 FINAL - CONSTRUCTION MUST
Builders License No. ( Z - r l 0-7 BE COMPLETE FOR C.O.
Plumbers License No. ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
Electricians License No. STATE CONSTRUCTION & ENERGY
Other Trade's License No. CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
1. Location of land on which proposed work will be done:
ay
House Number Stfeet Hamlet
County Tax Map No. 1000 Section LY-735;3 ) Block I {3 . ' 3-3 Y• v Lot= "
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises andint ded
a. Existing use and occupancy � „4 use and occupancy of proposed construction:
t ,L
b. Intended use and occupancy &"t.
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work f A ' ; ,day,
hem- PI • ( esc tion)
4. Estimated Cost 10.Fm c� Fee
(To be paid on filing this application)
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 Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase /0 S Name of Former Owner Crn<•. + u�_�,�� W• �<4 gra
11. Zone or use district in which premises are situated Y, mal 2_L
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO t.-'
13. Will lot be re-graded? YES_NO I/Will excess fill be removed from premisse/s?/ YES_NO
14. Names of Owner of premises W 5 Pr 5�z.�J"Address F 1,11.1 Phone No.
Name of Architect 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 l`
* 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)
COUNTY OF u FFP L V_ ,
being duly sworn, 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 atthorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in tt�e application filed therewith.
Sworn to before me this
Q t dayof SAroua2y '1 200-3
F
Notary Public Signature of Applicant
SARANi
Neta P York
ryNo.01
Term E uresJu In u/folk_(�ynly
xpiree June 3.