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31302-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold. N.Y. CERTIFICATE OF OCCUPANCY No: Z-31640 Date: 06/27/06 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 1300 PARK (HOUSE NO.) County Tax Map No_ 473889 Section 15 Subdivision VIEW LA ORIENT (STREET) (HAMLET) Block 5 Lot 24.22 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6, 2005 pursuant to which Building Permit No. 31302-Z dated JULY 25, 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 ADDITION AND COVERED CONCRETE PATIO ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGE & DANA FITZPATRICK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2075207 05/26/06 PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A AAlhorized Signature Foran No. 6 9 TOWN OF SOUTHOLD 3 3 j 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 Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lilies, 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 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) nou-conforming uses, or buildings and "pre-existiug" 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning pool $25.00, Accessory building $25.00, Additions to accessory 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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date.. 7 06 New Construction: Old or Pre-existing Building 11 (check one) Location of Property: 30e PPC /_KV I Vic., 1)(2. C-:�' 9 t A(7- P 7 - House No. Street Hamlet Owner or Owners of Property: G ED 1°G C n/,ct %i -z 11A - .i e K Suffolk County Tax Map No 1000, Section o i S Block p o o S Lot o o a-j— Subdivision— j— Subdivision _ QK( c-tT" 9Y 110f S'e?t- Filed Map. . 6/l:6 Lot: (7 O _ Permit No. 3 ( 3oa Z Date of Permit. 7 o S Applicant: Health Dept. Approval: Nft Underwriters Approval: Plant -ling Board Approval: Request for: Temporary Certificate Final Certificate: !/ (check one) Fee Submitted: $ aS 0 0 C� -Z-2- 3 l toyo Qs c.'lo`i`1 i plicant Sign e FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. I:111N11�71�(c��ai:7ulYY (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31302 Z Date JULY 25, 2005 Permission is hereby granted to: GEORGE & DANA FITZPATRICK PO BOX 577 ORIENT,NY 11957 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1300 PARK VIEW LA ORIENT County Tax Map No. 473889 Section 015 Block 0005 Lot No. 024.022 pursuant to application dated JUNE 6, 2005 and approved by the Building Inspector to expire on Fee $ 150.00 ORIGINAL Rev. 5/8/02 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY Z� 2Z 40 FULTON STREET — NEW YORK, NY 10038 �5 S CERTIFIES THAT Upon the application of DANIEL WILCENSKI ELEC.CONTR. P. O. BOX 319 SOUTHOLD, NY 11971, Located at 1300 PARKVIEW LANE ORIENT, NY 11957 Application Number: 2075207 Section: Block: Lot: upon premises owned by MR FITZPATRICK 1300 PARKVIEW LANE ORIENT, NY 11957 Certificate Number: Building Permit: 31302 2075207 BDC: ns11 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, Porch/Deck, 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 26th Day of May, 2006. Name 4TY Rate Hating Circuit Type Miscellaneous family room & deck Wiring and Devices Outlet 10 0 General Purpose Receptacle 8 0 General Purpose Switch 3 0 General Purpose Receptacle 1 0 GFCI Paddle Fan 3 0 seal 1 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. 3)3oa-2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING [ FINAL I D I [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTIOp REMARKS: DATE �� INSPECTOR " TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INS LATION [ ] FRAMING/ STRAPPING[ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE �� �` INSPECTOR 765.1802 BUILDING DEPT. SPECTION [ VI FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION DATE F 1 CHRISTOPHER R. STRESS, A.I.A. ARCHITECTURE AND PLANNING Southold Building Department Town Hall Rte. 25 Southold, NY Dear Sirs/Madam , P.O. BOX 821 JAMESPORT, NY 11947 PHONE/FAX(631)722-7865 23 October 2005 RE : Fitzpatrick Residence Addition Orient Point Southold Permit # 31302 Please be advised that this office has had a recent inspection of the above noted project. As such we note that the following work has been completed : • Framing • Strapping • Interior fireplace • Insulation in walls, ceiling, and roof framing areas We note that to the best of our knowledge this work is in accordance with the requirements of the current building codes and therefore approved by this office. Should you have any question on the above, our endorsement or the work completed, kindly contact this office ..+ H. Christopher Stkk ,13 NYS License ,A �-ga c2s CC: George Fitzpatrick iM G T. m FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) --------------------------------- -------------------------------------- FOUNDATION FOUNDATION (2ND) -- z H ROUGH FRAMING & PLUMBING .3 - - - - - INSULATION PER N. Y. y _ STATE ENERGY CODE -- - - ll o 06 FINAL ADDITIONAL COMMENTS -� i� GY PIS- -- 0 - - z •m -- Dt y d TOWN OF SOUTHOLD 1'., BUILDING DEPARTMENT TOWN BALL i fL SOUTHOLD, NY 11971 TEL: (631) 765-1802 L FAX: (631) 765-9502 nwty. northfork.neUSouthold/ %xantiaed 1i� 20 Approved 20_ Disapproved a/c Expiration 20_ "—� BUILDING PERMIT APPLICATION CHECKLIST l Q ,�� J1 i Do you have or need the following, before applying'? V l+• I Board of Health i 4 sets of Building Plans 8,0'' DFP7 3 Planning Board approval Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ea 60 S-7-7 Phone: S16 `.3dd- /8 Building Inspector APPLICATION FOR BUILDING PERMIT Date 20 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 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. 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 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. IS $nature pplicant or namo, if a corporation) (Mailing address of appl ci ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises C--eo vt 4. ct D , v a i✓ +1L 't (As on the tax roll or latest If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No._ Do 19 — 14 Plumbers Liconse No. 3 zk-s / — P Electricians License No,_—'£7 Z3 — Other Trade's License No. 1. Location of land on which proposed work will be done: / A90 90 Ocv, pU 4dve_ House Number Street County Tax Map No. 1000 Subdivision ORicw'1- 5 tS ,Y No.G / I o _Lot Irl o 10 30vd 9NIl nSN00Ja 641ZGL6IE9I ZS:EI 5002/9I/E0 03/16/2005 13:52 16319792179 DFCONSULTING PAGE 02 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Qt_ hre . d r �a a �/e a t ✓ ci b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition i-- - Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost A 9 t y po o. o o 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 a.- 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front S 9. Rear S9.A Depth ;1- a- .3 Height Number of Stories -4— Dimensions L Dimensions of same structure with alterations or additions: Front 76.x" Rear 76,e Depth 3 4--3 Height Number of Stories ^z 8. Dimensions of entire new construction: Front 1-70 1 Rear 77 Depth 2 Height Number of Stories / 9. Size of lot: Front 0111 P Rear L S, 1 Depth l ? 5 • ST a/. z-9 10. Date of Purchase_ 41' 0 L ,---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 from.premises? YES i, NO 14. Names of Owner of premises Address Phone No. Name of Afchitect 'Gh r,''T± r S'tr- r Jr Address '! Plione No 9 —7i6S Name of Contractor ah ri's top6cr M• Cegde. Address P'a•$04 i 036 Phone No. `73'Y- ss.rPf CLLTGkMGI-Ir .v./. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YE3 NO ✓ * IF YES, D.E.C. PERMITS MAY BE REQUIRED, 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on proj%rty is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) / SS: COUNTY OF�(6DI ) �QF K 2 �,' tz PG i i elr being duly sworn, deposes and says that (s)he is the applicant (Name of individual sigwng contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to male and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewitb. 71n4::: 20�� Notary Publip As 1A$WWWYWk i - t98%�a fkntntiss i ,:;,,csa eo.:'3,t��o� 171 Signa of Applicant JUL-22-2005 06:53 FROM: CHRISTOPHER STRESS R 631-722-7865 TO:7659502 REScheck Compliance Certificate New York State Energy Conservation Construction Code REScheckSottware Version 3.5 Release le Data filename: CAProgram Files\Check\REScheck\Fitzpatrickrescheck.rck PROJECT TITLE: Fitzpatrick Residence additions COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non -Electric DATE: 07/22/05 DATE OF PLANS: 2004 PROJECT DESCRIPTION: george Fitzpatrick 1300 Park Veiw Lane Orient Point, NY DESIGNER/CONTRACTOR Leaden Construction Company Southold , NY COMPLIANCE: Passes Maximum UA = 117 Your Home UA- 101 13.7% Better Than Code (UA) Gross Area or Perimeter Ceiling 1: Cathedral Ceiling (no attic) 408 Wall 1: Wood Frame, 16' o.c. 675 Window 1: Wood Frame:Double Pane with Low -E 80 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 374 Furnace 1: Forced Hot Air, 78 AFUE Air Conditioner 1: Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed specifications, and other calculationsJ=bmiNew York StateEne servatio signed this page, ay are a g specifications ar in oompli with Permit Number Checked By/Date P.2/5 ed in this document is consistent with the building plans, pplication. The proposed systems have been designed to meet the fs' When a Registered Design Professional has stamped and ,-1* ge, belief, and professional judgment, such plans or Date 0 Glazing Cavity Cont. or Door R -Value R -Value U -Factor UA 19.0 0.0 21 19.0 0.0 36 0.320 26 19.0 0.0 I8 P.2/5 ed in this document is consistent with the building plans, pplication. The proposed systems have been designed to meet the fs' When a Registered Design Professional has stamped and ,-1* ge, belief, and professional judgment, such plans or Date 0 JUL-22-2005 06:53 FROM:CHRISTOPHER STRESS A 631-722-7865 70:7659502 P.3/5 REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheekSoflware Version 3.5 Release le DATE: 07/22/05 PROJECT TITLE: Fitzpatrick Residence additions Bldg. Dept. Use [ 1 [ ] I1111111 Ceilings: I. Ceiling 1: Cathedral Ceiling (no attic), R-19.0 cavity insulation Comments: Above -Grade Walls: 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: Windows: 1. Window I: 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: Floors: 1. Floor]: All -Wood Joist(Truss:Over Unconditioned Space, R-19.0 cavity insulation Comments: Heating and Cooling Equipment: 1. Furnace L Forced Hot Air, 78 AFUE or higher Make and Model Number 2. Air Conditioner 1: Electric Central Air, 10 SEER or higher Make and Model Number 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 -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 roust 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 1.1 -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. JUL-22-2005 06:54 FROM:CHRISTOPHER STRESS R 631-722-7865 TO:7659502 Insulation is not required on return ducts in basements. I Duct Construction: [ ] I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embodded-fabric, or tapes.. Duct tape is not permitted. Exception: Continuously welded and locking -type longitudinal joints and seams on ducts I operating at loss than 2 in. w.g. (500 Pe). [ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] I Air filters are required in the return air system. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space I temperature set point of the largest zone. I Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. I Fireplaces: [ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] I Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction I provisions of the Building Code of New York State, the Residential Code of New York Stare or I the New York City Building Code, as applicable. I Service Water Heating: [ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the I water heater has an integral heat trap or is part of a circulating system. [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: ( ] I Insulate circulating hot water pipes to the levels in Table I. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 200/0 I of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105 IF or chilled fluids below 55 IF must be insulated to the I levels in Table 2. P.4/5 JLL-22-2005 06:54 FROM:CHRISTOPI-ER STRESS A 631-722-7665 TO:7659502 Table 1: Minimum Insulation Thickness for Circulating Hof Water Pipes. Table 2: Minimum insulaflon Thickness for HVAC Plpes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Pinina Svstem Types Range 2" Runouts 1" and Less .25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant, and Brine 201-250 1.0 Insulation Thickness in Inches bvPlpe Sizes Heated Water Non -Circulating Runouts maculating Mains and Runouts Temperature (F) U_ to o I" Up to 1.25" 1.5" to 2.0" Over 2" 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 Table 2: Minimum insulaflon Thickness for HVAC Plpes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Pinina Svstem Types Range 2" Runouts 1" and Less .25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant, and Brine 201-250 1.0 1.5 1.5 2.0 120-200 0.5 1.0 1.0 1.5 Any 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 Below 40 1.0 1.0 LS 1.5 NOTES TO FIELD ;(Building Department Use Only) P.5/5 ago. ww ldQOy.��OWN OF SOUTHOLD PROPERTY RECORD CARD ,-J� M -/2 TOWN R z 4 1l� S 3O( VILLAGE DIST.1 SUB. LOT#17 O.(tMlR OWN E r i Jap IQ S [ S n-tDnpa vV 0 6 hC N S E W A !/ 7 e C71a h 'a TYPE OF BUILDING RES. Ato SEAS. r VL. j FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 1 1 y ✓ r 1h o Q ✓ I - Jir 5 O Fa �' $k7/ i - 1 -The e r emQlls nv G GLO o1' vq j� I feor� l5� PAfL 3100 i8 zoo./S '' / O�L IZD$7 / —%)rf Il5 /d SG�1�rn�i 7yb✓K�S 1 :2� tao0 5�0 loo d 2,0.a,00l — Z - ,eon o - LIz Orient fa afi'�c�3/51, Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH G2hd e House Plot BULKHEAD Total ed n� �7 / Q�r Z�j/ BUILDING PERMIT EXAMINER CHECKLIST DATE REVIEWED: APPLICANT:: DATE SUBMITTED: SCTM# DISTRICT: 1,000, SECTION: AT , BLOCK: fig , LOT iUBDrVISION: /e" Ay ADDRESS: � j(Ul ( CITY: 01u�VP ZONING DISTRICT:CONFORMING?1el_ 9 BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N BP -Z / C/0 Z- , INFO / BP -Z / C/0 Z- , INFO BP -Z / C/0 Z- , INFO / BP -Z / C/0 Z- , INFO SINGLE & SEPARATE CERTIFICATION -REQUIRED NOTES: LOTS 40,0008F-100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1 REQ. LOT SIZE: ACT. LOT SIZE:REQ. LOT COV. c) ACT. LOT COV. REQ. FRONT 0-0 PROP. FRONT REQ SIDE /g 36 ACT. SIDE REQ. REAR PROP. REAR- REQ. HEIGHT PROP. HEIGHT PROJECT DESCRIPTION:%%jam( ESTIMATED PROJECT COST: q�1� QCT/ENGINEER: (ale WATERFRONT? __X6 DESCkIPTION: # FLOOD ZONE:O APPROVALS REQUIRED SUFFOLK COUNTY HEALTH D PT: YES or O, ED #): DTE: _/ / PERMIT #: TOWN SEPTIC RECEIPT: Y or%u NEW YORK STATE DEC: PRE -DEC YES of SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOAR,r"APPROVAL : YES or TOWN PLAN. BOARD APPROV�/L: YES o TOWN HISTORICAL��PRE (SPLJA): YES NEW YORK STATEOD - COMPLIANCE NOTES': DTE: // PERMIT #: DTE _// PERMIT # DTE: / % PERMIT #: _ DTE / / PERMIT #: PAGE 2Y YES hr NO FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT TOTAL: ��,� SF FEE 1.(.(%3 SF)- ( SF)= SFX $- _$ +$ . +$ 2.( SF)- (SF)= SFX $ _$ +$ +$ 3. ( SF)- (SF)= OTHER TOTAL FEE FEE _$ SFX $ =$ +$ +$ = $ FINAL TOTAL: $ /6 NEW YORK STATE CODE COMPLIANCE CHECKLIST' CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: 45 Wind Speed: 12OMPH Seismic Design Category: B Weathering: Severe Frost Depth: 36" Termite: M -H Decay: S -M Design Temp: 11 Ice Shield Underlay: YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: Y/N WALL STUDS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N LUMBER SPECIES AND GRADE: Y/N DESIGN LOAD CALCULATIONS: Y/N GIRDERS: Y/N ROOF RAFTERS: Y/N LIVE: Y/N DEAD: Y/N SNOW: Y/N SEISMIC: Y/N WIND: Y/N WINDOW ANI OQR SCHEDULE: MIS " hkE VT ST REQUIREMENTS: Y/N w �. SS 5.7 S.F.: Y/N TAT sHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALLS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) E W a LOT f68 N 88'26'00" E 50.25' LOT >70 j,OT 167 L 165.19. oPo5 g9 �R -) f4ID ,r + *0- J J LP W STAKE eel nyVilli'- r• '._�'` PA ��"�C�T/L to. Od I' • s • K��:: �) Ito ' R UNAUTHORIZED ALTERATION OR ADDITION TO TMS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY AMP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR A EIMM SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY CERTIFICATIONS IDK'.ATED HEREON $HALL RUM ONLY TO THE PERSON FOR WHOM THE SURVEY LS PREPARED. AND ON HIS 804ALF TO THE TITLE COMPANY. GDVE#1WEN11AL AGENCY AND LENDING INSTITUTION LISTED HOEON. AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERDFICATIO NS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. SURVEY OF LOT 170 MAP OF ORIENT BY THE SEA SECTION THREE FILE No. 6160 FILED OCTOBER 16, 1974 SITUATED AT ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-15-05-24.22 SCALE 1 "=30' MARCH 21, 2004 AREA = 41,923 sq. ft. 0.962 ac. PREPARED M ACCORDANCE WtHl THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE LI.AL.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND Nathan Taft Corwin M Land Surveyor 992 Roanoke Avenue Riverhead, New York 11901 PHONE & FAX (631)369-5473 ComPLY WITH ALL CODES OF , NEW YORK STATE & TOWN CODES OCCUPANCY OR UNDERWRITERS CERTIFICATE) APP V SIS NOTED AS RE I ED AND CONDITIONS OF 9EOUIRED' DATE: �� SSA SOUTHOLD TOWN ZBA USE IS, UNLAWFUL SOUTHOLDTOWN PLANNING SOAAD WITHOUT CERTIFICATE FE : I y SOUTHOLDTOWNTRUSTEES 1 . N FV BUILDING DEPARTMENT AT OF OCCUPANCY 7 5-1802 8 AM TO 4 PM FOR THE N9 S, DEC . FOLLOWING INSPECTIONS: _ f. FOUNDATION - TWO REQUIRED I .- - FOR POURED CONCRETE RETAIN STORM WATER RUNOFF FLOOD ZONE - 2. ROUGH -'FRAMING $ RLUMBING. ti a. INSULATION PURSUANT TO SECTION 45-10C COMPLY WITH CHAPTER "46" - C FINAL,- CONSTRUCTION MUST OF THE TOWN CODE. FLOOD DAMAGE PREVENTION BE COMPLETE FOR C.O. SOUTHOLD TOW ,ALL' CONSTRUCTION SHALL MEET THE N CODE. a�= ''REQUIREMENTS OFTHECODESOFNEW' 9.1�' '1'QR�C STATE., NOT RESPONSIBLE FOR DS61ON OR CONSTRUCTION ERRORS. CERTIFICATION OF NAILING & OONNECTIONS I REQUIRED. I� p�xuaysT cw.uhc4 - „' ' '14nf OF 96OF ONkP+7.�N4✓'� li f ' ALL CON TRUCTION SHALL MEET THE R OUIREMENTS OF THE CODES OF NEW YORK STATE. _nO--..... I : a G Q . ' 20 V6IL4D ' (dsSF. tzoaa (ot -NoT~ W4191NO VAX, --Ta' Rte+ NH TausnNr-:.' 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All plumbing lot* oviform t6 County end Low[ health dop rItment requlrsmon". , 3. All elacMaal w Pk to a ferm to LI Isend Wdatemiten n ootanrats. ' 4 Cordrocter shell vert en i lomrg4mo tout co ditions (n Ihi t4N polarIP tr, bit YWONa . and notify frohltalt OF' . .ae(I!e}. err 5 wrlttah lmnrwlsnea iekgpwatdMtew so@""as NNW WW vote demdlthall + tahl propldint ~,imdl sails drawings. 6. '(9ra dlahkaStdr45,Ir MNled of dI eheryao b Nr dseiS'K Thesrehlteat to set rnparrlble,fei,4hrr�aa4 witlreut aWlf40tIM Mope, kl lfrbTrilrr T. Ther 1Melle}lolf of d nrNrkW evil Pwluets shell llriat ell anwafaelunrs rs,prirsmet" . 5, Fravida lmseb send sar'bsn nem Ide detoere :" perW Strife eedse.' i p. Piaf.bAoatod fli�plaas end fluoo shall be UL apprmged . 10. PA46M arshlteet Is net responsible for supervision. hrpeeren er NNMetratlen of thle project mass; uprated In writing. ' Qi:�6hl IDAt15r _ A"" other than sl"Plmg reams 40 PA.t. 111+ Lood Slesplrg touts � 30 P.Sd..Ivo Lood ' pxlarlor buloanles 60 P.S.F. lira Lead Dem 40 P.S.F. lir. Lood Attics without stamps 101 Uri Lead ' Attiq wirh.tfprvte 201 Um Load FOMDAI 1. Conruts, Is be 5000 PI mddnarm an 2 tom/s.f. *oil boon ng aapaoHy. Verify "I bearing aOact T In flee. . 2. 16• wdo k W' dap peed eonmto foatir g l wlth e 1 LT w 5 V44 Iwyloek to naive an 5- i Mued awerote foundation wen.kEhn. febl.ab iI d (,y. hrvo 664T,,I Dompproof a Marler of feim I thin pall with trowelled on Nestle to grad.. I. Ag lumber for flowing shall be Douglas fir 002. 114or, Medea and flew joists ohall hoe a banding strap of'b50 pa.l. . . t. All lredors.ts be (2) r is I Oradiis otherwise NOW, • . 0.'Slaehali palet leedaad beatng partition leads 444lit►y, to fvandsflem. Add now black plea t aiwsary 4 Double ft me orwmd an openings. wlw parallel partlNans d urdep bath tubs. 5 'Tea• ssarwdkmimin ubmw of an fkwh strus"No lrod,orryin9 eandlNaw. 6: till omlerlw desk fteltdM When be "A. treated. ' 7 Sridging.N he aHlyr,rlklfor Y K b' situ bridplet err IS IN, a.so lhfdglig at 5' ex. ,, 5 Intariar 1,aHrg swi4 N' Ser ►behad at 4• K ' 9 . /r.limbs,.,ldge Mata wises eelljodrd.colnngo are lire. N.fricsrr elle sit reften whwe peN,odrd wllinq tie uses. 'ID. AV fa14h-pW",L.VA,'4 WA t sen n ryr by,wt MlW w+!d.pi.fs,md hats send bleak" Own 11. An frenpng hadoR shown an thus plaru, ales. otherwise "mood. Is •5lrrpsen Strm,pTla•. I All aomslrwrllan shag he Yr accordance with the roquins r ants of the NV Stale &logy Caraervatmw Caeelrmetlon Coda, the letoot edition at the Hme the perwit Is apprmed. -i.Wlnk4ws ad all glee.-li�5 moa, . Ertaiar dW1 and doer! to gmsp4 - u'i10 mem. . 1 4 All,Hwtrwctats shpnbmsdjustmble 45-15deg.f. for wmblMlen haNrysnd wohng thermeavi!'r the fangs igs owl W .4&&S al".11' "I n' It inti be the tespo siblbty of the wirtmeltw to s"hnst the els, dealt" and type of machardcal I' -- eysterrw whleh will be used In suffleferf datdl s It I*Mmd by the building Department. i 4 All f Iraplaws an to 6 prodded, with a doalpw fweutill eambu tlen dr. IM -m e.fiLflus te hem tight, ratted 4aw"r - tam. air leakage 20 s.f.m. 7. Will %I' service temparetwe awrreb then be set at (40 deg.f, mai. 5- All kratarrs err",.heron shall be equipped with desless to IImH hot water flow to a awalN of J g p.m. i 40 p.s... proton.. 9. All IMtarlej oapolr of absorbing maisture oian be praf.etall by a raper berr er lasted M the winter worm side s, :nsuleNan. 10. Imulatle" stall be hr Maned In Sirrrar'that primitive for csn"nuity of Insulation at plate lines, bard joists and comwro. 11. HVAC coaling squlpmod shot be Med In occwdawe with table 44 of the Ewrgy Cede; mho SEA (officiwey) shall be so apaelfled M tables 4-8.4.9,arrd 4-10 of the energy Codo. 12. Lqulate all pipes and dada as pus wile. 1S, Cembwtlen egaymnm for apace heathy and red IN Waiting when have 4 mlNm om combustion of 79% and shall have th rdbY losses less than the ode specified nrrd mma basad an actual opnpmsmr els. 14, Thorned t,,,,9tiw we veloas shed not be grerow. than the rekws labrleted in table 5.1 of the Energy Code. - ' S�HITt•cTs 6'!'ATCMEti:. . Archifeaf dtahs that te the 6W of Sly knowledge, belief and professional judgernt the the pion end speeifineatlaoa awrtdod in thaw drawings comply with "w W Efate Emoryy Conservation - CoimrvetmonCode. Refer to MEC Cheek Comileam Repot filed to part of tha building pemrdt oppllmtlen.attnehsd-to thew Cwetrvattan Dammsewis. . - _ Arabiteef. CLIMATIC AND ff.OMAhdC rDZIUGNCMERIAI , mound SuaanLood 45. PSF Wkndapead (MPH) I ) O MPH Selomlp Didgn Category r .Suffolk I Wutharing Severe proathris Depth ra• Termites , Moderup to kav, Darcy Sllght'to nodoeh Winter wo#0.�yamp plead 1,161 Wind Ruud If f44rT�'tIP.�(e . r ], y $i66ir+4111,'dh f, IQcI r 1 K� , ©fo.�gro�5c6odoGe,t�►lta4N+t_�®r.1,fgYtboo rs I .TC T6 k MOM 1F ti e/ bANtl srwma� � a>.� • ; vr.vy; tlah>S Ir i"6.6. Ilellasa(�Lw�,,k*y, -' •, , � � T41,i!Lalr lnita All4urlO kil,(l0ov( 111'17441 6HL�ATHINC+t' S /H'L*17UL d+tr{+,kr1j 4'Oa, l.6TN"21 e.—asaat-s rrrse#a—rrSiaYii i IT pv [H .tj i l(95 � I4rled'�j PIs•v�/1172. cofrlT)Nuu.'(�gi • e LPAO PATHFVII RIDGaf* Ta Fo,.+Nt]nTrcvh+ , . ' ALI '.1 ail r m.:YW vP' WrA 6,t.% e�K1` wen 'Tit' tb,6. ��.crrl�ara �;u�xHrrw;.c MPna n a�LI bA � ALL C%^JNWu7N4., PI 151y, 11OK"ILAN Avo.IN171GAT1!{ .:hlSmr/¢,;... .t w SIMPgoN"e,To.nw�Tlrrn slikl l,(. SUr4 Wiwl(,jo''bv !/ ' KOd sell ljrkr `o i'z 6oX Gor+)N1r.GTIaNS. ',' G,LA -1 NGs i�IzvT f147N __- -- ,_, - NoT WIIII &yR.NF or --I � Svabfrl� 3s-ac.r 1.ONp. 011, to, ► �„ 2�NE Z 16%e 2 F4R+L17 (Pi:G.G.'. 11.aG1L•> '' l7r"D.4.. 'F-WAIP-L IT IV" IV � I4rled'�j PIs•v�/1172. cofrlT)Nuu.'(�gi • e LPAO PATHFVII RIDGaf* Ta Fo,.+Nt]nTrcvh+ , . ' ALI '.1 ail r m.:YW vP' WrA 6,t.% e�K1` wen 'Tit' tb,6. ��.crrl�ara �;u�xHrrw;.c MPna n a�LI bA � ALL C%^JNWu7N4., PI 151y, 11OK"ILAN Avo.IN171GAT1!{ .:hlSmr/¢,;... .t w SIMPgoN"e,To.nw�Tlrrn slikl l,(. SUr4 Wiwl(,jo''bv !/ ' KOd sell ljrkr `o i'z 6oX Gor+)N1r.GTIaNS. ',' G,LA -1 NGs i�IzvT f147N __- -- ,_, - NoT WIIII &yR.NF or --I � Svabfrl� 3s-ac.r rIfWIW' �' 117-1 Gbrc' f -IUM GI?N-1 PF° $>m fop' Pads EVILY( Wltlgi7Wi PAN L+rn : tNAL,I Pith. . 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Fr1g•@w-G417 TP r��.tT '"tkllKr CnL•}a+'ir�.•19 a` 1�nM11jG+1 L••f+1•�lp.�rw, �t Wlthl.rhrwPM"FPFMWJNR@� n►('11"joolrlim,IrUo7 IiP1F1 U.►tt1�Z''. as %1r iLf4� i6rrlm/I''' j!II;i�+Tf(tlr<N:QF.AAWL .i'iOff$li`i'�.A IV-PAI"I r iAT kI mw uANrarp j"l: N MAN4,IAig ►�t�fINC7'fWO.,K°4!pt.'" M-4L41,NL,tS, I'�'►5 � �I , ti lCn tl 111 tI F -P low r Ik asw S cMtl fw4_bdp. "OIL QTAwt 14.Tp Judi Iz"tScwll,(�i;oar>' Viw yrAI Cx,Tldt7 4 r5urr{; ae11A*I 440 t*T'614 of Sfclrfp Non 1. M616 of ;''bet I'd?s of(or 440L.64w/w Td 451a,1M,ii,ob her OfAc4.•A,6,7a GH4L'4T WwFa+Nwij.lc.a,rn w.��'"'f'"•Y' �tl , r a f s - r r W mill V a Z' 1W. E'r'r 41%Kox; L �'wo. F,►bM GnreNR,Rrc / i �J� X IIT- r. I dhtY rp lkiJ. r .