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Home My WebLink About30908-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-30928 Date: 05/19/05 T~IS CERTIFIES t~at the building WINDOW REPLACEMENT Location of Property: 185 STANLEY RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 8 Lot 18 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 18~ 2005 pursuant to which Building Pez~nlt No. 30908-Z dated JANIIARY 21, 2005 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 REPLACEMENT IN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. ·"ne certificate is issued to RICHARD & CHRISTINE RIVERA ( OWNER ) of the aforesaid building. SUFFOLK COIINT"f DEPARTMENT OF ItF~kLT~ APPROVAL ELECTRICAL CERTIFICATE NO. PLI~MBERS CERTIFICATION N/A N/A N/A ~i z e~ Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLI( ATION FOR ( ERFII~ICATE OF OCCt PANC~ This application must be filled in by typexxTitcr or ink and submilted to the Building Department with the 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 featttres. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 lorno. 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/i0 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 ;witing to the applicant. C. t. 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 Oocupancy 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 Old or Pre-existing Building: 'St~et New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health D~pt. Approval: Plam~ing Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,,/~ b Block Date of Permit. Date. ---~/~V ~¢ ~'~ (check one) / Hamlet Lot Filed Map. /.,~//0 ,~ Applicant: Underwriters Approval Lot: Final Certificate: ~ (check one) Applicant Sig~ture 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) PERbIIT NO. 30908 Z Date JANUARY 21, 2005 Permission is hereby granted to: RICHARD RIVEP~A 250 SOUND BEACH DR MATTITUCK,NY 11952 for : WINDOW REPLACEMENT ONLY AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 106 Block pursuant to application dated JANUARY 18, 2005 Building Inspector to expire on JULY 21, 2006. Fee $ 150.00 185 STANLEY RD MATTITUCK 0008 Lot No. 018 and approved by the ORIGINAL Rev. 5/8/02 JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattimck, N.Y. 119,59 (631) 298-7116 23 To: q'om~ of Southold Re: Window Rct)laccmcnt CDR Mattituck Inc. 18,5 Stmfley Rd. Mattituck, NY 119,52 Pemfit# 30908Z To \~q~oxn It May Concern: This letter certifies that fire windows that were replaced at thc above mentioned residence lllCct all Egl'eSs, Encrg.~, and \~. md codes, along with all state and local eodcs. No structural changes wcrc made in tiffs install. Al'~y questions please feel free to call ~nccrcly \ Jmne s J.. ~,,,~ski P.E.. Hurricane & Security Protection "The Difference is Clear" ClearShield® has passed the tough, new building codes and has earned the new Dade County Product Control Approval. '94-0531-05 Why ClearShield? Affordable & Attractive Avoid Soaring Insurance Deductibles · Solid Protection · Rust Proof · Allows in Natural Light · Durable · Easy to Install · Non-Claustrophobic · Carries a 100%Factory Replacement Warrant)' Clearly Better...Clearly Revolutionary ClearShield~ uses tough space age material, U.S. Patent '5,457,921. ClearShield* is heavy duty, lightweight, and is ultraviolet light stabilized. ClearShield* has passed the new Dade County hurricane windload and impact test and has exceeded that requirement by over 100% in cer- tified laboratory testing. Because it is transparent there is no claustrophobic feeling when the system is in place. Authorized ClearShield® Dealer Penny Lane Construction Co., Inc. P.O. Box 454 Water Mill, N.Y. 1197{3 (631) 287.5065 Lightweight, space-age material Easy to install and affordable CLEAR Hurricane & Security Protection Call Your ClearShield® Dealer for Your Free No Obligation Estimate. Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release 1 Data filename: C:~Butler Engineering FileskJobs~MISC_JOBSXmisc jobs 2004\Stanley Road-Rivera\energy.rck COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric DATE: 01/04/05 DATE OF PLANS: 1/14/05 PROJECT INFORMATION: Basement Conversion Plan For: 185 Stanley Road Mattitock, New York COMPLIANCE: Passes Maximttm UA = 293 Your Home UA = 280 4.4% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Window l: Vinyl Frame:DoubIe Pane with Low-E Door 1: Glass Floor I: Slab-On-Grade:Unheated 1036 30.0 0.0 36 1650 15.0 0.0 117 110 O.34O 37 22 O.340 7 1036 0.080 83 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 signed this page, they are attesting that to the best of his/her knowledge, belief, and professional specifications ar; in ~c~mpliance with this Code. Builder/Desig~r~'-4d._~ .,) Date ~/~ Design Prof~ed and REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release I DATE: 01/04/05 Bldg. Dept. Use [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ I [ ) [ ] [ ] 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-15.0 cavity insulation Comments: Windows: 1. Window 1: Vinyl Frame:Double Pane with Low-E, U-factor: 0.340 For windows without labeled U-factors, describe features: # Panes Frame Type~ Thermal Break? [ ] Yes [ Comments: ] No 1. Door 1: Glass, U-factor: 0.340 Comments: Floors: 1. Floor l: Slab-On-Grade:Un~eated, U-factor: 0.080 Documentation must be submitted verifying the overall assembly U-factor. The U-factor must be developed in accordance with accepted engineering practice. Comments: Air Leakage: 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. If non-lC rated, the fLxture must be installed with a 3" clearance from insulation. Vapor Retarder: Required on the warm-in-winter side of all nor~-vented framed ceilings, walls, and floors. Materials Identification: Materials and equipment must be installed in accordance with the manufacturer's installation instructions. Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and setwice water heating 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 ducts in unconditioned attics or outside the building must 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. Duct 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 ducts with exterior insulation mast 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 lesat 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 consU'uction provisions of the Building Code of New York State , the Residential Code of New York State or the New York Ci0' 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 integra[ heat trap or is part of a 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/off heater 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: HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the levels in Table 2. Table l: Minimum lnsulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Temperature (F) Up to 1" Up 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 Inches by Pipe Sizes Piping System Types Range (F) 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systetus Low Pressure.rremperamre 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) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMAR,~K~_: _.~~ ~~-~ ~ DATE -~---~'-~-~ O_~-- INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ]FOUNDATION 1ST [ ]ROUGH PLBG. ]FOUNDATION 2ND I ]INSULATION ] FRAMING / STRAPPING ~ FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE ~ r~._..~-~ O_.~ INSPECTOR~'~--'~' 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING ~)~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FR~OIING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT .~ ] ~ TOWN HALL SOUTHOLD, NY 11971 d TEL: (631) 765-1802 ._ FAX: (631) 765-9502 w~'w. northfork.net/Southold/ PERbIIT NO. Examined ,20 Approved 20__ Disapproved ac Expiration .20 3o o 2 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the tbl[owing, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact~ .0 Mail re4 - ~ Pbone:.ff7~-O~0c/?o2...'} J'~ Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely 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 watem'ays. 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 haxe been enacted in the Lnterim, 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 ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Count>', 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 author/zed inspectors on premises and in building for necessary inspections. /~ailing address.,o/f~pplicant ) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plmnber or builder Name of owner of premises OX4, ~-e~ (As on the tax roll or latest deed) If appFF-4trlt is a corporation, signature of dukv authorized officer (N~ ame and title of co'rporate ~t~cer' ) - Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work ' House Number Street r County Tax Map No. 1000 Subdivision (Name) Section Hat'let Block g Filed Map No. State existing use and occupancy of premises and intended use and occupancy or, proposed construction: a. Existing use and occupancy ~'~ ~ rd~ ..4_~,~_~.c5.. b. Intended useand occupancy Nature of work,,(r, heek which applicable): New Building Repair W' Removal Demolition / Addition Other Work Estimated Cost 7 a v ' Fee If dwelling, number of dwelling units If garage, number of cars Alteration (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 t?pe of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth_ Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. 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 fill be removed fi.om premises? YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal xvetland or a freshwater wetland? *YES__ * 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. NO 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 ) (9 t", '£'~,, C,/--~--/g~' being duly sworn, deposes and says that (s)he is the applicant (Name of individual sigrd'ng contract) above named, (S)Heis the (Contractor, Agent, Corporate ~ql~licer, 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 knowledge and belief: and that the work will be performed in the manner set forth in the application filed therewith. Swlo~o. to before me this, ff ,LiII'-_ da, y of N(~)Public MB..ANE 00R0$KI #0TNW PUBLIC, State of No. 01D04634B70 0uallfie~l in Suffolk County 20 0(, Si~,~ffre of Applicant