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HomeMy WebLinkAbout30994-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-30940 Date: 05/26/05 THIS CERTIFIES that the building ALTERATIONS Location of Property: 410 BROOK LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 5 Lot 16.5 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 8, 2005 pursuant to which Building Permit No. 30994-Z dated MARCH 8, 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 "AS BUILT" BASEMENT ALTERATIONS IN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT & CATHERINE CAPPA (OWNER) of the aforesaid building. SUFFOLK COUN'T'Y DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 97208H 04/04/05 PLUMBERS CERTIFICATION DATED 05/15/05 ROBERT CAPPA ut rize Signature Rev. 1/81 7E- S 2 S 74 Form No.6 TOW1N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL I -' 765-1802 1! 16 21`93 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Departttientwiff.tRe-follotvidg: 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 2i 10 of 1°o lead. 5. Commercial building, industrial building, multiple residences and sitttilar 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 I. Certificate of Occupancy -New dwelling$25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinttning pool $25.00, Accessory building$25.00, Additions to accessory building$25.00, Businesses $50.00. 2. Certificate of OccupancN on Pre-existing Building- $100.00 3. Copy of Certificate of Occupanc) - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial$15.00 Date. 5-1 ©S_ New Construction: Old or Pre-existing Building: (check one) Location of Property: bn t; 1!5n t-ITH�TO l.0 Aj— House No. Street C Hamlet Owner or Owners of Property: 4 CA Tk Ee#VE Suffolk County Tax Map No 1000, Section y�J3 ��_ Block Lot Subdivision Filed Map. Lot: Permit No. 3 d 9 q7— Date of Permit. 05—Applicant: QCp,8>_gT Health Dept. Approval: Underwriters Approval: Planning Board .Approval: Request for: Tentporar}Certificate_ Final Certificate: (check one) Fee Submitted: $ �c b �ar�s Applicant Si t re �.�. co -a: 3o9yo 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. 30994 Z Date MARCH 8 , 2005 Permission is hereby granted to: ROBERT & CATHERINE LAPPA 410 BROOK LA SOUTHOLD,NY 11971 for AS BUILT BASEMENT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. ADDITIONAL CERTIFICATION MAY BE REQUIRED. at premises located at 410 BROOK LA SOUTHOLD County Tax Map No. 473889 Section 079 Block 0005 Lot No. 016 . 005 pursuant to application dated MARCH 8 , 2005 and approved by the Building Inspector to expire on SEPTEMBER i Fee $ 300 . 00 XXXX,)I' Auth ri Signature ORIGINAL Rev. 5/8/02 111 11 MEN 111 11 Will I 111 11 Electrical Inspection Certificate Issue Date Electrical Inspection Service, Inc. Application 4/4/2005 375 Dunton Avenue 97208H East Patchogue, New York 11772 (631)286-6642 Issued To: Mr. Robert Cappa Street: 410 Brook Lane Village: Southold Zip: 11971 Town: Southold Section: Block: Lot: Contractor: Lic. # Was examined and found to be in compliance with the National Electrical Code. Commercial LJ NV Defects Pool LL 1st Floor 'X Indoor LX] Basement Hot Tub IX-1 Residential 1 Det. Garage Attic L 1 2nd Floor — Outdoor LL Addition X Survey Switches Receptacles Fixtures GF/ Heaters A/C Fans 11 20 11 4 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves i 1 20 1 30 Furnace Oil Gas Circulators Smoke Detector Bell Transformer 3 Meter Amps Phase UG/OH Jacuzzi Television CO Detector 1 Bldg. Permit: Other Equipment Survey of Existing Finished Basement Specialty Outlets /20 Circuit Hugo S. Surdi President Rough Inspection: Inspector: Final Inspection: 03131/2005 Inspector: John McMahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. W : Town Hall,53095 Main Road O Fax(631) 765-9502 P.O. Box 1179 A �� Telephone (631)765-1802 Southold, New York 119'1-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. 3oG9 q Z Owner: 46'el5i2T � C,*TtlkQe kC GqA/ O QF� (Please print) Plumber: dC_p& ( 4 bed (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1 lead. (Plu Signature) Sworn to before me this�S day of 4 V, 20 �Y T-- BRIAN J. HUGHES Notary Public, State of New Yorg No. 02HU4863487 Qualified in Suffolk County 6 G 1 Commission Expires June 2, NotaryPublic. �� �f ounty Mark K. Schwartz, AIA —Architect, PLLC P.O.Box 933 Phone:(631)734-4185 Cutchogue,New York 11935 Fax:(631)734-2110 May 10, 2005 Southold Town Building Department Main Road Southold, New York 11971 Re: Cappa House 410 Brook Lane Southold, New York (SCTM# 1000-79-05-16.5) To Whom This May Concern: I have been back to the aforementioned site to inspect the existing plumbing in the basement areas. The Owner has completed a pressure test for the piping and waste lines and has submitted the Plumbers Solder Certificate. I hereby certify, to the best of my knowledge, all plumbing work has been completed and meets or exceeds NYS code requirements. Please call this office if you have any questions or require additional information. Very truly yours, � l Mark Schwartz Cappall.doc 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION J REMARKS: K DATE YY INSPECTO TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL BoardofHealth SOUTHOLD,NY 11971 4 acts of Building Plana �L TEL:(631)765-1802 Plamrmg Board approval FAX:(631)765-9502 `�^ J Survey www.northforknettSouthold/ PERMIT NO. JCJ .r Ch Septic Form N.Y.S.D.E.C. Trustees Examined .20 Contact: /�i Appmved ,20 Mailto: /YIdleK ch—d�? Tz Disappmved ac GD/Sd'X 9 33 Gp6q-ZgV'-.nc. Phone: 73d— Q Expiration 20 Building Inspector =B 9 APPLICATION FOR BUILDING PERMIT Date O 6 ,20 - 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 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. t 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 IB 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 regulatio to admit authorized inspectors on premises and in building for necessary inspections. (Signatu e a plical rn te,ifa corporation) (Mailing address of appiicsm) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises&6Erc c4/ iFie/4/E 6Ap'W'+ ` (A�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 Trades License No. 1. Location of land o which roposed work will be done: ¢10 8208; LSE 6v o2 House Number Street q Hamlet County Tar Map No. 1000 Section / Block 0 S Lot / G Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premi s and intended use and occupancy of proposed construction: a. Existing use and occupancy 11)Ci .E r-4-y/L y b. Intended use and occupancy J 111q r 3. Nature of work(check which applicable):New Building Addition Alteration l^ Repair Removal Demolition Other Work��},f- (j U/(' (Description) 4. Estimated Cost 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 oc`cuppancy,specify nature and extent of each type of use. 7. Dimensions of existing structures,if any Fmnt � 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:FromRear Depth 10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated 0 4- 12. 12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO 13.Will lot be re-graded?YES_NOXWill excess fill be removed from premises?YES_NO 14.Names of Owner of premises �rT Address /Sl�W" Phone No. 7 G S' 2 S--7 f- Nam of Architect rf&K Y I'C ddress Phone No - Name of Contractor Address Phone No. 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?'YESNO •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 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: CO�JOF )nom GG /,�L JCI/W / � being duly swum,deposes and says that(s)he is the applicant (Name of individu signing contract), (S)He is the (Con tor,A ,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 We 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. Sworp.Fo before me this `I day of Notary Public Signature of Aicant LYNDA M BOHN NOTARY PUBLIC,state of New York NO.01B08020932,Suffolk County Term Expires March 8,20-ta FIELD INSPECTION REPORT DATE COMMENTS Ul �o 7m7�� FOUNDATION (1ST) - — - --- - - �u -------------------------------------- - - - -- -- FOUNDATION (2ND) z O y ROUGH FRAMING& PLUMBING — — a r INSULATION PER N. Y. -- -- - ----- -_-- --- '� STATE ENERGY"CODE FINAI. � /r -ice• >oov� oyc CQ - --- G ADDITIONAL COMMENTS ]� O d m rt m oc% �O z x Z m 0 m �o UNDERWRITERS CERTIFICATE COMPLY WITH ALL CODES OF REQUIRED NEW YORK STATE & TOWN CODES AND CONDITIONS OF AS PF' PLVI N REVISIONS: S01 THOLC TIL'JI ON LEAD CONTENT BEFORE APPROVED AS NOTED NNmc BOARD CEF LIFICATE OFOCCUPANCV DATE: 8 J5 B.P.it 209947- SOJTHOLD TOWN TRUSTEES SJL DER USED IN WATER __II'�nn SUPPLVSYSTEM CANNOT FEE: 0 0� BY.� _ N.Y.S.DEC EXCEED 2/10 OF 1%LEAD. NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FO _ FOLLOWING INSPECTIONS. PLUMBING 12'-4" 1. FOUNDATION - TWO REQUIIIEIM ALL PLUMBING WASTE FOR POURED CONCRETE LO'.VE n *r &WATER LINES NEED , 2. ROUGH - FRAMING & PLUM G FLI/OU N TESTING BEFORE COVERING 3. INSULATION COMPLY WITH CHAPTER 4. FINAL - CONSTRUCTION MILST MILSFLOOD DAMAGE PREVENTION - BE COMPLETE FOR CO. CONSTRUCTION SHALL E THE SQUTHOLD TOWN CODE. ALLOCCUPANCY OR c REQUIREMENTS OF THE CODE 3 C FNEW USE IS UNLAWFUL YORK STATE. NOT RESPONSI L FOR �� _ J DESIGN OR CONSTRUCTION ER ORS. ALL CONSTRUCTION SHALL WITHOUT CERTIFICATE MEET THE REQUIREMENTS OF THE CODES OF NEW YORKSTATE. OF OCCUPANCY � Pa s 18'-6 1/2' Y-71/2" UP x U c a STIRS. \ (p'-3"CEtuNG) a STRG. \ (7-4"CEILING) Z \\ -AIRDua- J ls-ss/3z' UNFINISHED AREA \ UP a (G'-6"HEIGHT) z o Q o ° ® 0 U- �\ o (T-3"CHUNG) J � � a a 8'-93/4" 12'-11" 5'-8 STORAGE - BATH (ST CEILING) O \ U rI H I d W UNFINISHED AREA 4¢ =""s � C'. IN S(: a O c r (GARAGE ABOVE) i�RF. _TS a �� N (V OS • mSE, T, >.I L.qT 11 q yo ' ra FOUNDATION PLAN ITI F, SCALE: 1/4" = 1'-0" DRAWN: MH/ME SCALE: 1/1ye" P MF ]OB R: ------___---_ _ DATE 82/87/85 SLOPE"lr4-PER FOOT PITCH TO DRAIN T"' _ SHEET NUMBER' PLUMBING SCHEMATIC _ A- 1 — utc i �I MAR 8 2006 DEI Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheck Sofiware Version 3.6 Release la Data filename: Untitled.rck COUNTY: Suflk STATE:New York HDD: 5750 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric WINDOW /WALL RATIO: 0.01 DATE: 04/25/05 L° t DATE OF PLANS: 04/2005 1N SC PROJECT DESCRIPTION: CAPPA HOUSE 410 BROOK LANE SOUTHOLD,NY , 7 u COMPLIANCE: Passes Maximum UA= 170 Your Home UA= 150 11.8%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door e ' ete Value R­Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 996 19.0 0.1 50 Wall 3: Wood Frame, 16" o.c. 1109 13.0 0.0 88 Window 1: Metal Frame with Thermal Break:Single Pane 10 0.500 5 Door l: Solid 21 0.350 7 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 page, they are attesting that to the best ofhis/her knowledge, belies; and professional judgment, such plans or specifications are in co/mpliance/w�ith this Code. Builder/Designer_�L�'f�6�---CZ._ Date s REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheck Software Version 3.6 Release la DATE: 04/25/05 Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-19.0 cavity+R-0.1 continuous insulation Comments: Above-Grade Walls: [ ] 1. Wall 3: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Metal Frame with Thermal Break:Single Pane,U-factor: 0.500 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: Doors: [ ] 1. Door 1: Solid, U-factor: 0.350 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. Ifnon-IC rated, the fixture must be installed with a 3"clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side ofall non vented framed ceilings, walls, and goofs. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manuficturces installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service 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 R4. [ ] Supply ducts in unconditioned spaces must be insulated to R-8. [ ] Return ducts in unconditioned spaces (except basements)must be insulated to R- [ ] Return ducts in unconditioned spaces (except basements)must be insulated to R-2.. Insulation is not required on return ducts in basements. Duct.Construction: [ ] I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics must berated UL 181A or UL 181B. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). [ ] 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 fiir each dwelling unit. Fireplaces: [ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] Fireplaces must be provided with a source ofcombustion air, as required by the Fireplace construction provisions ofthe 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 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/offheater switch and require a cover unless over 20% ofthe hearing energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 T or chilled$uids below 55 T must be insulated to the levels in Table 2.