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Home My WebLink About28944-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29707 Date: 09/11/03 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 1495 HIGHLAND RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 102 Block 8 Lot 5 Subdivision Filed Map No. -- Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 25, 2002 purs%umnt to which Building Permit No. 28944-Z dated NOVEMBER 25, 2002 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 ADDITIONS & ALTERATIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PHILIP M & JILL T KENT (OWNER) of the aforesaid building. SUFFOLK COUI~I~fDEPARTMENTOFH~m-LTHAPPRO~-AL N/A ELECTRICAL CERTIFICATE NO. 1125784 08/08/03 PLUMBERS U~TIFICATION DA'r~3 08/12/03 JACK GISMONDI //or~ed ~ gnature 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. 28944 Z Date NOVEMBER 25, 2002 Permission is hereby granted to: PHILIP M & JILL T KENT 1495 HIGHLAND RD CUTCHOGUE,NY 11935 for : ADDITIONS AND ALTERATIONS TO A-N EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1495 HIGHLAND RD CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0008 Lot No. 005 pursuant to application dated NOVEMBER 25, 2002 and approved by the Building Inspector to expire on MAY Fee $ 228.00 25, 200--4. COPY 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 Departm0Q_t.with the following: 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 Cmnpliance from architect or engineer responsible for the building. 6. Submit Plmming Board Approval of completed site plan requirements. 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 writiog to the applicant. Co I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Temporary Certificate of Occupancy - Residential $15.00 Cormnercial $15.00 / t , ' ~Date'~ New Construction: Old or Pre-existing Building: i~ (check one) ' Street Owner or Owners of Property: ?~i[i~'~Ti[I Suffolk County Tax Map No 1000, Section /0~'9~ Block Subdivision~/'~/'q?~ ~Sfa~.~ FiledMap. ~,-~C,~7 _ Permit No. . Date of Permit. Swirnming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $I00.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Health Dept. Approval: Ilamlet Underwriters Approval: Lot__ Lot:__ Planning Board Approval: Request for: Temporary Certificate __ Fee Submitted: $ ¢o -2:: g q'?o ? Final Certificate: (check one) ~p~l~an~l~ature 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 DANIEL WILCENSKI ELEC.CONTR. P. O. BOX 319 SOUTHOLD, NY 11971, [.i3c:ated at Application Number: 1125784 Sectk)n: Block: Described as a Residential 1495 HIGHLAND ROAD CUTCHOQUE, NY 11935 Lot: * PHILIP KENT 1495 HIGHLAND ROAD CUTCHOQUE, NY 11935 Certificate Number: 1125784 Building Permit: BDC: NS11 occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Outside, was inspected in accordance with the National found to be in compliance therewith on the SS Name Alarm and Emergency Equipment Appliances and Accessories Exhaust Fan Dish Washer Air Conditioner Wiring and Devices Receptacle Switch Fixtm:e Receptacle Dimmers Receptacle Paddle Fan Receptacle Electrical Code and the detail of the installation, as set forth below, was Day of August, 2003. QTY Rate Rating Circuit Type 1 0 Carbon Monoxide 1 0 F.H.P. 1 0 1.2 KW 1 0 24.000 BTU 23 0 24 0 35 0 2 0 2 0 1 0 1 0 5 0 20 amp 40 amp General Purpose General Purpose Incandescent Laundry Range GFCI l of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated, Town Ha1.53095 Ma{n Road P.O. Box ~17g $o~hoJd, New Yon 11971 F=x (516) 765-'1823 ~ Telephone (516) 765-1802 .: OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C ~E R T I F I C A T X O,N Building Permit No. 0w~er: Plumber: I certify that ~he solder used in the water supply system contains lees than 2/10 of 1% lead. Sworn to before me this ./~, day of .3u-'-7 . _..-z. ~ .... Notary Public, ~--~-~- ._. County TOW< ; ',"~ ~ ....j MECcheck Compliance Report New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release I c Data tilename: Untitled TITLE: Kent Residence addition Permit Number Checked By/Date COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric DATE: 11/22/02 DATE OF PLANS: November 2002 PROJECT INFORMATION: Kent residence addition Highland Blvd. Southold, N.Y. COMPANY iNFORMATION: Leaden Construction Cutchogue, N.Y. COMPLIANCE: Passes Maximum UA ~- 118 Your Home = 101 14.4% Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 370 30.0 0.0 Wall 1: Wood Frame, 16" o.c. 693 19.0 0.0 Window 1: Wood Frame, Double Pane with Low-E 95 Door 1: Glass 42 Floor 1: All-Wood Joist/Truss, Over Unconditioned Space 370 30.0 0.0 Furnace 1: Forced Hot Air, 78 AFUE 13 33 0.320 30 0.320 13 12 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this pag~,.tla~ are attesting that to the best of his/her MECcheck Inspection Checklist New York State Energy Conservation Construction Code MECchecI{ Software Version 3.3 Release lc DATE: 11/22/02 TITLE: Kent Residence addition Bldg. Dept. Use Ceilings: [ ] I. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: Windows: [ ] 1. Window h Wood Frame, Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, describe features: # Panes__ Frame Type_ Thermal Break.'? [ ] Yes [ ] No Comments: Doors: 1. Door 1: Glass, U-factor: 0.320 # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Floors: [ ] 1. Floor 1: Ali-Wood Joist/Truss, Over Unconditioned Space, R-30.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1: Forced Hot Air, 78 AFUE or higher Make and Model Number Air Leakage: [ J Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating I equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in unconditioned attics or outside the building must be insulated to R-8. Return duets in unconditioned attics or outside the building most be insulated to R-4. Supply ducts in unconditioned spaces must be insulated to R-8. Return ducts in unconditioned spaces (except basements) must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Duet tape is not permitted. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. Cooling duets with exterior insulation must be covered with a vapor retarder. Air filters are required in the return air system. The HVAC system must provide a means for balancing air and water systems. Temperature Controls: Each dwelling unit has at [esat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: Separate electric meters are required for each dwelling unit. Fireplaces: Fireplaces must be installed with tight fitting non-combustible fireplace doors. Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State, the Residential Code of New York State or the New York City Building Code, as applicable, Service Water Heating: Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part ora circulating system. Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: I-IVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thicl~ness for Circulating Hot Water Pipes. Insulation Thickness in lnehes by Pipe Sizes Heated Water Non-Circulating Runouts J'emperature (F) Up to 1_" ~p to 1.25" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Circulating Mains and Runouts 1.5" to 2.0" Over 2" Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in lnches by Pipe Sizes Piping Sys!em T~_s Range ( F)_ 2" Runouts 1" and Less !.25" to 2" 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 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) BUILDING PERMIT EXAMINER CHECK LIST APPLICANT:~ SCTM# DISTRICT: 1,000, SECTION: STREET ADDRESS: ~x'~6 1L~"~ CITY: PROJECT DESCRIPTION: ~fl/~2~ ~,,~_~p,d/ ESTIMATED PROJECT COST:~~_e~R:UHII _~ ENGINEER: SINGLE & SEPARATE CERTIFICATION-REQUIRED ~ NOTES: ~/,~ DATE REVIEWED: II /Z,~'/02 DATE SUBMITTED: I~[_]/2~_/02 SUBDIVISION: FAST TRACK LOTS 40,000SF -100-24. I.ot recognition.(CREATED before June 30, 1983). UNDERSIZED LOTS FROM JAN. 1997 100-25 Melger. A noncoMbrming at any t/me alter 7/1/83 ZONING DISTRICT: __~) _ CONFORMING? REQ. LOT S1ZE: tt'o,ooc,,) ACT. LOT SIZE: ,~O, oz;SREQ. LOT COV. ACT. LOT COV. ')-,z"eD __ REQ. FRONT ~ PROP. FRONT / REQ SDE ['~'/~- ACT. SIDE J REQ. REAR 3-~') PROP. REAR ,.---- REQ. HEIGHT PROP. HEIGHT WATER FRONT? A/o DESCRIPTION: - PANEL #: ~(_Q' FLOOD ZONE.'__~-7~,, COMPLIANCE:_ -~- APPROVALS REQUIRED SUFFOLK COUNTY HEALTH ~F~T: YES or ~.~ED #): TOWN SEPTIC RECEIPT: Y o~__~ NEW YORK STATE DEC: eue-~ecwuvs YES or ~ SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES on TOWN PLAN. BOARD APPROVAL: YES of TOWN HISTORICAL PRE (SPL1A): YES o NYS ENERGY:Q OR NO : -p it-/, q~c, EGRESS (18 H mm.? 4 sq total). .----- VENT (SQ. FT. x 4%)_ BUILDING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z- HAVE PRE CO'S: Y OR N BP -Z / C/0 Z- NOTES: DTE: / / PERMIT #:R10- LIGHT (SQ. FT. x 8%). FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: S'- SF SF SF SF !!!O SF SF)- ( ~)"~ SF)=q,~:~)~SF X $. t.~ --$ '-~ 2. ( SF)- ( SF)= SF X $ +$ +$ INIT OTHER TOTAL FEE ~ 765-1802 BUILDING DEPT. INSPECTION ~FoUNDATION ¶ST [ I ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION ] FRAMING [ ]FINAL ] FIREPLACE & CHIMNEY INSPECTOR 765-X802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL FIREPLACE & CHIMNEY, BUILDING DEPT. DAT£'~~///~~ INSPE~ 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ]R/QUGH PLBG. ./ FOUNDATION 2ND [c,~ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY INSPECTOR BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I/~ISULATION FRAMING [ "'] FINAL FIREPLACE & CHIMNEY //~a<-,~ ~ - DATE INSPECTOR TOWN OF SOCJTI;IOLD BUILDING DEPARTMENT TOWN HALL P,O,~ 1lTq SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved afc Expiration PERMIT NO. C>~r~C~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the [qllow~n~ ~. before applying? Board of Health 3 sets of Building Plans Plannir~g Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in in~, and submitted to the Building Inspector with 3 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 penmt. 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 Pcxmit pursuant to the Build;rog 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. !~o~or name, ifa corporation) Vt&iailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder N neofownero r mises h;6' Il T. (As on the tax roll or latest deed) If applicant is a corporation, signature of duly author/zed officer (Name and title of corporate officer) Builders License No. ~0 q q- Plumbers License No. Electricians License No. Other Trade's License No. L~)t~a~ ° f,1 ,and ~?~hich Pr°l~osed viork .will be done: House N~ ' Skeet ~ County Tax M~ No. 1000 Section, / 0 ~ Block Subdi~sion ~q~[ggd ~q~ ~ (Nme) Hamlet ~:~ Lot '~ Filed Map No. ~"? Lot ~ 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost I~ /[l~j Otto r~ ~ Fee 5. ']f dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. ff~business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 7~ ~' Rear 7~ / Height._ Number of Stories [ State existing use and occupancy of pren~es, and intended use and occupangy of proposed construction: a. Exisi~gu'~eandoccupancy ~rIda~Onc-. wail,/ b. Intended use and oecupancy F~ (.,,~ t~oO/l/b ~/,~7,P/ ~ ~/4~--~.A'/,5 Addition V/ Alteration Other Work (Description) Dimensions of same structure with alterations or additions: Front Depth _z~ z~/ Height Dimensions of entire new construction: Front ,2~ ~' Height Number of Stories ~00~ (To be paid on filing this application) Depth 9. Size of lot: Front 10. Date of Purchase 7~ Rear 7~' / Number of Stories [ Rear ~' .Depth /~.'~" / Rear fl-a~O z .Depth Name of Former Owner ll. Zone or use district in which premises are situated 5¢~1,o0l ~[5'~-, ~o~'~,-- ]~[~FI'h,'t6P---- 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES t'/' NO Will excess fill be removed from premises? YES t//NO 14. Names of Owner ofpr_ernis.esP~i~74~[l.,~ed4~ Address [qf3--~l}~mg~/ Phone No. Name of Architect (~P[5 P0tf~p 5~.F~.ffS Address fitLfleX~t I ,~t~$¢a~hone No '12;2- NameofContractor GhdsO~ke~ Ze.~[a4 Address ~t~.~X lO% &dd&~honeNo. 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 Bb~/REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES NO * 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 OF~ ' ~; [;~ ~i~nn~ , being duly sworn, deposes and says that (s)he is the applicant (Name of individual si~ '., contract) above nameo, (Co't(tn~ct~:, 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 this application are true to the best of his kmowledge mad belief; mad that the work will be performed in the manner set forth in the application filed therewith. No. 4B47'/~. Bulloli(I ~S ~atu~ o f Applicant J SUR~,;~ . : J PHILIP M. KENT ~ JILL T, t~NT , ' I LOT NO. ~rHIGH~ANDEST, J SUFFOL~ ~g~TY,'NEW ~RK aO. ,I J ~ ~Um~R~ 'ArLTE~ATI~ 0R ADDItlO~ I SuRVjf ~.A ~l~'~0g ~I~c~ON ?iDS ~ aE PHILIP M. KENT , J NEWY~K $TATE'E~,A~I~'LAW ,JILL T ~NT J WCO~I~'~I~,~EY NO~'~AR~ THE LAND ' T ' / suRvE~NS I~0~AL ~RE~eOS~Ep SEAL SHALL 8U~LK COUNTY NA IONAL ~NK / ~? ek ~o~i6k~-~b~ A VA~,O ~UE C~V CH CAGO TITLE INSURANCE COMPANY ~ " A R TH~'~ ~ ~H~M THE SU~Et S PREPAREO HEALTH D~ARTMENT-D TA FOR APPR~L ~ C~ST UC T J ~N~:~:mS ~'~ TITLE :~Y, '~t~ ~RS~p~-~AL SYS~M~THISR~ DE~ ~ ' A ES S~WN R~E N ~ M _ ~ l~s. / PU~S~ A"~ A~[ NOT ~o ~ USEO to / J//;i: ~ ~1 ika~ -- ~/~l'lkl~ ~OS~NDER A~E , .,, ' J T:,U. UI'~ ~ T~UI~O RIVE~AD, NEW ~RK