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~