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HomeMy WebLinkAbout29029-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31050 Date: 07/06/05 Tills CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 1280 LESLIE RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 98 Block 1 Lot 4 S~bdivision FiledMap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 3, 2002 pursuant to which Building Permit No. 29029-Z dated DECEMBER 20, 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 & ALTEPQkTIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to TODD & SANDRA DELONG (OWNER) of the aforesaid building. SLYFFOI=KCO~DEPARTMENTOF~LTHAPPROVAL N/A Er.Rt-£KICJkL CERTIFICATE NO. 1199833 03/22/05 PLUMB~S CERTIFICATION DA~q~D 01/04/05 WILLIAM METCALF ~rize~ Rev. 1/81 BUILDING DEPARTMENT TOWN HALL 765-1802 : " APPLICATION FOR CERTIFICATE OF OCCUPANCY Tiffs application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final sup~'ey of property with accurate location of all buildings~ property lines~ streets~ and unusual tmtural or topograptfic 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 tbr the buikling. 6. Submit Plmming 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 si~m~ed by the applicant. If a Certificate of Occupancy is denied, the Building h~spector shall state the reasons therefor in writing to tire applicant. C. Fees I. 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 accessoD' 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. TemporaD' Certificate of Occupancy - Residential $15.00, Commercial $ l 5.00 New Construction: Old or Pre-existing Building: Location of Property: 1E 80 House No. Street Owner or Owners of Prove,y: Suffi)lk Cottnty Tax Map No 1000, Sectiou Subdivision Pe~t No. Z~O~7-~ Date of Pemait. ~ I Health Dept. Approval: Date. 7~/~5~ v/~ (check one) Hamlet Lot 0o4 Filed Map. Lot: Undem'riters Approval: Plmming Board Approval: Request for: TemporaD' Certificate Fee Submitted: $ 3/050 Final Certificate: 1~ Icheck one) -- Applicant Si~mmre~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STRE~-~ ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JIM SAGE ELEC. INC. P.O. BOX 38 GREENPORT, NY 11944-0038, TODD DELONG 1280 LESLIE RD CUTCHOGUE, NY 11935 Located at 1280 LESLIE RD CUTCHOGUE, NY 11935 Application Number: 1199833 Certificate Number: 1199833 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Res dent a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Outside, Attic, Name Alarm and Emergency Equipment Sensor Sensor Appliances and Aeeessories Exhaust Fan Wiriug and Devices Outlet Fixture Fixture Outlet Receptacle Switch Receptacle Receptacle Paddle Fan Dimmers Receptacle Service A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 22n Day of March, 2005. QTY Rate Ratin~ Circuit Type 2 0 Carbon Monoxide 5 0 Smoke 1 0 F.H.P. 20 0 Fixture 19 0 Incandescent I 0 Fluorescent 43 O General Purpose 25 0 General Purpose 27 0 General Purpose i 0 20 amp Laundry 1 0 30 amp Dx3'er 2 0 2 0 l 0 GFC[ seal Continued on Next Page I of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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 JIM SAGE ELEC. INC. TODD DELONG P.O. BOX 38 1280 LESLIE RD GREENPORT, NY 11944-0038, CUTCHOGUE, NY 11935 Located at 1280 LESLIE RD CUTCHOGUE, NY 11935 Application Number: 1199833 Certificate Number: 1199833 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Reside, hr a] occupancy, wherein the premises electrical system consisting of electrical devices and wiring, oescribed below, located in/on the premises at: Basement, First Floor, Second Floor, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the Day of 22n March, 2005. Name QTY Rathe Ratin~ Circuit T_LE~ I Phase 3W Service Ral:h~g 200 Amperes Sen'ice Disconnect: I 200 cb Meters: 1 seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. FROM : TTTTTTTTTT PHONE NO. ~ 5555555555 Jan. 04 2005 09:02PM Pi Fax (631) 765-9502 Telephone (631) 765- 1802 BUILDING DEPARTMENT TOWN OF $OUTHOLD CERTIFICA'I'ION Dalc: Building Permit No _ . .~._<~. C)~:~ (Please print) Pith= Od,'llia~ T ~e~/~c (Please print) I certify that the sold.st used in the water snpply systcm contains less thm~ 2/10 o£ lq/,, lead. 5 Sworn to before me this. 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. 29029 Z Date DECEMBER 20, 2002 Permission is hereby granted to: TODD & SANDRA DELONG 1280 LESLIE ROAD CUTCHOGUE,NY 11935 for : ADDITIONS AND ALTERATIONS TO AN EXISTINGSINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 098 pursuant to application dated DECEMBER Building Inspector to expire on JUNE 1280 LESLIE RD CUTCBOGUE Block 0001 Lot No. 004 3, 2002 and approved by the 20, 2004. Fee $ 226.50 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING ~J~FINAL /~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE iNSPECTOR~ ~~-'-- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ~t~U~H PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ~I~I~AMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING RO~H PLBG. ,~"~INSULATION FINAL ] FIREPLACE & CHIMNEY ! / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE / '"'/a ~ 0_.~ INSPECTOR i:Mark K. Schwartz, AIA -Architect, PLLC P.O. Box 93,3 Phone: (63l) 734 - 4185 Cutrhogue, New York 11935 Fax: (631) 734 - 4185 ~~~'~ ~ I~ ~ ~ '~- ~ ~i~ FAX TRANSMITTAL "' ~ ~ecember 26 2003 ~.', ','?,~. ~, ~ · To: ~u~old B~g ~pm~mnt A~: D~on Fax numar: 765-9502 ~one nm~r: 7~-1802 From: Mark ~wa~z Re: DeLong House 1~0 ~s~e Road Cut~o~e, New York Pemit $ 2~9 Pages: 1 (~clu~g cover sh~0 Co~ents: I ~ve renewed ~e r~f ~g over ~e g~age ~d ~e ~e stopp~g as ~que~ed. ~is work ~en was complet~ as per code r~ukemen~ ~ place when ~e pe~t was issued. Plea~ c~ ~s office ff you have quesfiom or requke addi~ ~o~on. FROM : rlarkSchwartz,RIR-Rrchitect PHONE NO. : 6317344185 I>ec. 19 2002 02:30PM P1 P.O. Box 933 Cu-'hogan, N~w Yo~k H%~.5 Mark K. Schwartz, AIA - Architect, PLLC 7'~4 - 41 ~L5 734 - 4185 To: FAX T RANSIVlITTAL December 19, 2002 Southold Building Depa~ unent A~n: Damon Rallis Fax number: 765-9502 Phone number: 765-1802 From: Mark Schwartz DeLon~r House 1280 ~ Road Cutchogue, New York 1 (including cover sheet) Comments: The septic syst~n at the aforementioned premises is a stavd~rd two pool system (8~ diameter rings) that is proper working condition and has recently ~ pumped out. I hereby ~tlfy that thc opacity is adequate and ~ working service of this system will not be advev'~.ly affected by the proposed addition of one bedroom to this xesidence (fxom 3 bedrooms to four). Please call this office if you have questiov~s ox require additicmal inforn'mtion. TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER ISTRE~ / Z'~'C) v,,U~GE DIST.SU~. LOT ..~ FORMER OWJ~IER -'/ N E ACR. I /,~'/ ~,~eS ~r~ ~ ~.V}5~ W ~PE/OF BUILDING RES~,~ I~ND IMP. ~//oo VL. I FARM TOTAL DATE <,'7, ~d ,,, ~1, h ? ,t,~1~ FRONTAGE ON WATER Tillable ' Woodland Meadowland House Plot 'FRONTAGE ON ROAD , BULKHEAD Total M. Bldg. Extension Extension Extension Porch Porch Breezeway Garage Total z¥' Foundation Basement ~t. Walls Fire Place Both Floors TRIM Interior Finish Heat Type Roof Rooms 1st Floor Recreation Room Rooms 2nd Floor Dormer Driveway Permit Number MECcheck Compliance Report 2000 IECC MECcheck Software Version 3.3 Release lc Data filename: C:\Program Files\Check\MECcheck'Z)eLong House.cck TITLE: DeLong House Checked By/Date CITY: Riverhead STATE: New York HDD: 533l CONSTRUCTION TYPE: Single Family DATE: 12/06/02 DATE OF PLANS: 11-11-02 PROJECT INFORMATION: Todd and Sandy DeLong 1280 Leslie Road Cutchogue, New York COMPANY INFORMATION: Mark K. Schwartz, AIA - Architect, PLLC P.O. Box 933 Cutchogue, New York 11935 COMPLIANCE: Passes Maximum UA - 466 Your Home ~ 384 17.6% 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 1200 38.0 0.0 Wall 1: Wood Frame, 16" o.c. 1467 13.0 0.0 Wall 2: Wood Frame, 16" o.c. 1224 38.0 0.0 Window l: Wood Frame, Double Pane 244 Door 1: Glass 101 Floor 1: All-Wood Joist/Truss, Over Unconditioned Space 1287 19.0 0.0 0.320 0.500 36 120 39 78 51 60 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has Version 3.3 Release lc and to comply with the been designed to meet the 2000 IECC requirements mandatory requirements listed,i~ the MECcheck Builder/Designer c)(5 n,.- MECcheck Inspection Checklist 2000 IECC MECcheck SoRware Version 3.3 Release lc DATE: 12/06/02 TITLE: DeLong House Bldg. Dept. Use [ I [ ] [ ] [ ] [ ] [ ] [ l [ ] [ ] [ ] [ ] [ ] [ ] Ceilings: I. Ceiling 1: Flat Ceiling or Scissor Truss, R-38.0 cavity insulation Comments: Above-Grade Walls: I. Wall 1: Wood Frame, 16" o.c., R- 13.0 cavity insulation Comments: 2. Wall 2: Wood Frame, 16" o.c., R-38.0 cavity insulation Comments: Windows: 1. Window l: Wood Frame, Double Pane, U-factor: 0.320 For windows without labeled U-factors, describe features: # Panes Frame Type Thermal Break? [ Comments: ]Yes[ ]No I. Door 1: Glass, U-factor: 0.500 # Panes Frame Type Comments: Thermal Break? [ ] Yes [ l No Floors: 1. Floor 1: All-Wood Joist/Truss, Over Unconditioned Space, R-19.0 cavity insulation 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 I) Type IC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-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 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~faeturs must be clearly marked on the building plans or specifications. Duct Insulation: Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. 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 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: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut offthe heating and/or cooling input to each zone or floor shall be provided. 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 ordoffheater switch and require a cover tmless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Pipiug Insulation: [IVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the levels in Table 2. Table I: Minimum Insulation Thicltness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Ranouts Temperature (F) Up to I" 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 Pinin~ System Types Range (F) 2" Ranouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 Low Temperature 120-200 0.5 1.0 Steam Condensate (for feed water) Any 1.0 1.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 and Brine Below 40 1.0 1.0 1.5 2.0 1.0 1.5 1.5 2.0 0.75 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL SOUTH. OLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 w~wv. nor thfork.net/Southold/ Disapproved ac / - · 20 PERMIT NO. 2q{~ ~- ~..~---~ · 20 ~- Expiration ,20 '~Building ~l'nspector Board of Health 3 sets of Building Plans Planning Board approval Sutwey Check Septic Form__ N.Y.S.D.E.C. Trustees Contact: Mail to: APPLICATION FOR BUILDING PER31IT 3 e.'~J~ Date /,~aO - ~ ,20 0,2 INSTRUCTIONS a~cation MUST'i~pletely 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 ma5' 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. EyeD' building permit shall expire if the work authorized has not conunenced within 12 months after the date of issuance or has not been completed within l 8 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 penmt for an addition six months. Thereafter, a new permit shall be required. Pd?PLICATION 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 tbr 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 prenfises and in building tbr necessary inspections.\ It~ ~%~ ~-~n~tu~e of applicant or n~e, tfa corporation) (Mailing address of appli~a~t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises '-~-'.er:~A ~ "~or'xckt-o ~'~e_./J3~-'-o, (As on the 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 Trade's License No. 1. Location of land oil which proposed work will be done: House Number Street Hamlet (J County Tax IVlap No. 1000 Section Subdivision (Name) Block O ! Filed Map No. Lot Lot ,:,4 CERTfFIED TO: COMMONWEALTH TITLE No. RH-95-1192 BRIDGEHAMPTON NATIONAL BANK TODD DeLONG SANDRA DeLONG LAND TITLE INSURANCE COMPANY SUFFOLK S.C. TAX SURVEY OF LOT 9 MAP OF BAY HOMES FILE No. 5723 FILED JUNE 2, 1972 ~q[TUA TED A T PECONIC TOWN OF SOUl-HOLD COUNTY, NEW YORK No. 1000-98-01-04 SCALE 1"=50' JULY 15, 199,_3 N 52'53'30" E / ,, mN. I \ 4,? ~ 26.3' 39.4' ROAD 135.00' · ~ AREA = 46,670.87 sq. ft. 1.071 ac. COPIES OF ]HIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR THE EXISTANCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. 0 0 o4 Z S 53°29'00'' 1 41.23' Joseph A. Ingegno Land Surveyor PHONE i516)727-2090 Fax (516)722 5093 N.Y.S. Lic. I4o. 49668 93-22~