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Home My WebLink About29216-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31886 Date: 09/29/06 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 16640 MAIN ST (HOUSE NO.) County Tax Map No. 473889 Section 117 NEW SUFFOLK (STREET) (HAMLET) Block L- Lot 16.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 22, 2002 pursuant to which Building Permit No. 29216-Z dated MARCH 13, 2003 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 TWO STORY ADDITION, DECK ADDITION & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5219 DATED 1/9/03. The certificate is issued to JEREMY & JEAN GOELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1194852 06/03/04 PLUMBERS CERTIFICATION DATED 02/24/05 WILLIAM CREMER ~eE~- Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BillLDING DEPARTMENT TOWN HALL 765-1802 Po . ~ :l.;}.. '1 :~'~~i. \Z> ',,\ If..; \." i~N 21 . APPLICATION FOR CERTIFICATE OF OCCUP ANC~._ _~:",-~r~ This application must be filled in by typewriter or ink and submitted to the Building beparfment with the following; ..... A. For new building or new use: I. 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 2/10 of I % 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 bnildings and "pre-existing" land nses: I. 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, Swimming pool $25.00, Accessory buil~ing $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.~L~ 1 o~ / (check one) " New Construction: Location of Property: \Co V.-l 0 Old or Pre-existing Building: t-I\o-:,,", S-\-,,,-,,-\- Street ".kw s,,,.s ~'" \ \<-. Hamlet House No. Owner or Owners of Property: ::r <U <<-"<"'-, Goe\\ "'~ ~eo...'" (')(')12\\ Suffolk County Tax Map No 1000, Section '-I ~ ~ ~ ~ Block Lot Subdivision Permit No. 2-'11 \ " "fa: "Z. Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Filed Map. Applicant: Underwriters Approval: Lot: Final Certificate: -/--- (check one) r-...::'~,.2'"" JeP."","". Gc;c\\ (Js.L'l\ b~ \ CO -l; $1 ~sc. 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. 29216 Z Date MARCH 13, 2003 permission is hereby granted to: ARTHUR & RUTH VENTURA PO BOX 234 NEW SUFFOLK,NY 11956 for TWO STORY ADDITION, DECK ADDITION AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR AND AS PER ZBA 5219 (1/9/03) 16640 MAIN ST NEW SUFFOLK at premises located at County Tax Map No. 473889 Section 117 Block 0009 Lot No. 016.002 pursuant to application dated AUGUST 22, 2002 and approved by the Building Inspector to expire on SEPTEMBER 13, 2 Fee $ 402.30 \. ORIGINAL Rev. 5/8/02 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 ROSLAK ELECTRIC P.O. BOX 164 CUTCHOGUE. NY 11935-2453. A. VENTURA 16640 MAIN STREET NEW SUFFOLK, NY 11956 Located at 16640 MAIN STREET NEW SUFFOLK. NY 11956 Application Number: Certificate Number: 1194852 1194852 Block: Lot: Building Permit: BDC: n511 Described as a Residential occupancy. wherein the premises electrical system consisting of electrical devices and wiring, described below, located inIon 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 andlor 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 3rd Day of June, 2004. t!IlllC QJX ~ Rilini ldr&Yil ~ Alarm and Emergency Equipment Sensor Sensor Appliances and Accessories Dish Washer Exhaust Fan Air Conditioner Furnace Wlrlnl and Devices Outlet Fixture Outlet Receptacle Switch Paddle Fan Dimmers Disconnect Receptacle Receptacle 1 0 6 0 Carbon Monoxide Smoke 1 0 I 0 2 0 I 0 1.2 KW F.H.P. BTU Gas 24.000 Fixture Incandescent GeneralPurpose General Purpose General Purpose 43 0 43 0 98 0 58 0 38 0 3 0 8 0 2 0 1 0 20 amp 1 0 30 amp Continued on Next Page 1 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. Air Conditioner Laundry Dryer seal $10.75 $8.60 $24.50 $14.50 $9.50 $6.00 $14.00 $0.50 $0.25 $1.75 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by ROSLAK ELECTRIC P.O. BOX 164 CUTCHOGUE, NY 11935-2453, A. VENTURA 16640 MAIN STREET NEW SUFFOLK, NY 11956 Located at 16640 MAIN STREET NEW SUFFOLK, NY 11956 Application Number: 1194852 Certificate Number: 1194852 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located inion the premises at: Basement, First Floor, Second Floor, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 3rd Day of June, 2004. ~ QIY B$ Bal.iD& Qr>.lIil :rm Receptacle 9 0 GFCI Service I Phase 3 W Service Raring 200 Amperes Service Disconnect: 1 200 cb Meters: 1 Invoice Total 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. , ~ Fax (516) 765-1623 Telephone (516) 785-1602 Town HlIIl. 53095 Main Road P.O. Box 1179 Southold. New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE: rcb~~1; zetJ'0 Building Permit No. ~ Owner: (}hF) I (please print) Plumber: -WIlhaM U7t1J1~r- (please print) I certify that the solaer used in the water supply system contains less than 2/10 of 1\ lead. 42.d-. Sworn to before me this dJ/i.::b <1ay of ~~;.( .J(/7)j- Notary Public, ~b County ELAINE T. VILLANO Notary Public, State of New York No. O~ ~"1602~?2~, Suffolk County _ Ce...- -,., ""'s Au' 9 ~ (. ,-".,)" ..:J,....., , ..-:,\'::;;c,: b. '(ZJ,lY u y J, J,...... " APPEALS BOARD MEMBERS Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 ZBA Fax (631) 765-9064 Telephone (631) 765-1809 http://southoldtown.northfork . net Lydia A. Tortora, Chairwoman Gerard P. Goehringer George Horning ___ _d_ _ Ruth D. Oliva - Vincent Orlando C-R 3" 1 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF JANUARY 9, 2003 Appl. No. 5219 - JEREMY and JEAN GOELL. Property Location: Main Street (New Suffolk Avenue), New Suffolk; 117-9-16.2. SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: Applicants' property is a comer lot fronting along the south side of Main Street (alk/a New Suffolk Avenue) and the west side of Fourth Street in New Suffolk. The lot consists of approximately 12,3200 sq. ft. of land area and contains an existing two-story frame dwelling and accessory garage, as shown on the October 26, 1999 survey prepared by Rampart Surveying, P.C. BASIS OF APPLICATION: Building Department's August 22, 2002 Notice of Disapproval, conceming proposed additions and alterations to an existing building with setbacks closer than 35 feet from each the front lot line and rear lot line. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on December 12, 2002, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: A Variance is requested under Section 100- 244B of the Zoning Code for a new addition to the existing dwelling with a 27.5 feet setback from the front property line. This new front construction is shown on the architect's July 25, 2002 site plan (Project No. 0226, Sheet 1), prepared by Boulevard Planning East, P.C. for a 16.5 feet by 7.6 feet porch addition. (The remaining section to the rear of the new front yard section, beyond the 35 ft. front yard minimum setback is also shown on the same site plan with two-story and one-story variables.) REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The neighborhood is primarily developed with older homes on small nonconforming lots, many with setbacks that do .- ), l .. . Page 2 - January 9. 2003 Appl. No. 5219 - 1. Gooll 117-9-16.2 at New Suffolk not meet today's code requirements. Many of the lots in the neighborhood are developed with nonconforming setbacks, both in the front and rear yards. 2. The benefit sought by the applicant cannot be achieved by some other method feasible for the applicant to pursue other than a variance. The property is a small 12, 196 square foot corner lot. Applicant's single-family dwelling has an existing front yard setback of 27.5 feet instead of the required 35 feet. It will remain at 27.5 feet with the new construction. The applicant has an existing rear yard setback of 33.7 feet instead of the required 35 feet. With the new construction the rear yard setback will remain at 33.7 feet. 3. The variance granted herein is substantial in relation to the code requirement. However, it in not substantial in relation to the existing properties in the immediate neighborhood. Without a variance the applicant would be unable to remodel his home. 4. The alleged difficulty has been self-created because the code required setbacks were in place when the applicant purchased the property. 5. No evidence has been submitted to suggest that the relief granted will have an adverse impact on the physical or environmental conditions in the neighborhood. 6. Grant of the requested relief is the minimum necessary and adequate to enable the applicant to enjoy the benefit of a remodeled home while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law Section 267 -B, motion was offered by Member Oliva, seconded by Chairwoman Tortora, and duly carried, to: Approve the variance as applied for, and shown on the Architect's July 25, 2002 site plan (Project No. 0226, Sheet 1), prepared by Boulevard Planning East, P.C Vote of the Board: Ayes: Members Tortora (Chairwoman), Goehringer, Orlando and Oliva. (Member Horning of Fishers Island was absent.) This Resolution was duly adopted (4-0). ro ~, TOWN OF SOUTHOLD PWOPERTY RECORD CARD /1 ~ :2 /coo - STREET YO VILLAGE DISTRICT SUB. LOT , tv'(( HoY -S" ~ OWNER ~y.H1r...l1r V~V1ft.-{Y"cl ..t: FORMER OWNER )fl. \ J, E {(.["fe HW'"C z.. ~1d.1;1 /:"'1-' , . _. ~ >1 . y- il , ,. ?,,-., ."'- t i :3" r f" . J t'r';' e 'r- '"" ~. l.,. "j . '(f{ ;tV "- E ~ /.j-- ~ NMd.l:1 S Py ice. FARM ACREAGE Z8D TYPE OF BUILDING tES. 2& LAND SEAS. VL. COMM. IMP. TOTAL DATE REMARKS ;fat} 2..a:;; 0 /400 NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value 2/ FRONTAGE ON ROA dh tit/a.,;, J'h-.,ef: <1'2.?': I~ BULKHEAD \ 00' 01-1 4 J.t, ~. DOCK -illable 1 "illable 2 "illable 3 Voodland .wampland :rushland -- -- 10use Plot" "otal ~ I. Bldg. '<.tension <tension <tension -~--,_....- _. __J.-__ I );~1 t./vU.d-€ ;)##"1. ttY;t<'l '~4 (f , ~ , ~/;,t;.' ". ,I Ll{ 'i..?--i.o;:; fr?- <i S:;;r j.3 / oJ <f /; Foundation I /'ve.::----===--~-,-c:.tfi I"":~::"~'.,'./. 'Basement 1 ~ .A Q - - ' ._ ':~" I' -: __ , (,X' - .~'lc'o/l{;f.-(! Sfi (f.!.' I 5<1_~~t. Walls ./ f 'Ff1'.tl. ~ . ,IJ.;.-l" t.f b~-'k.- ~j&";;-" ! Fire Place -',_ ,:l:.;;o,tP'~ -t1;J:tC/RFJ /-~_~/ 0).O_~'C_u~_~ -#3 )7/1"< ~ I f3ll, L! f F r I . 5' J d c/, I Patio U.t It I, /. J7..J 6' f Driveway 'j"h..1 ~q'f3_1 , .,. I" I -. j , :1.60 i , 1 /01.. "'1-1 z.. --.. 3,11 I 1 I ",l.W Ii "'1.4...-154 I)" ".,y"/i /Irrr~' $. t 'I !"-r y 1 C C:::. ' Bath r::- I) L L I Floors , U J./t... ~7/' .1 Interior Finish i I Heat I Porch I Roof Type Porch Rooms 1 st Floor Rooms 2nd Floor I __I Y. F"lf ~ () I L If-<-!) , I I 'I ~I!'~(/t:f, -~~I'~-'h!)vt -;--1 I I , I , I I I I 'J- ~ CJ-! t, Z- 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I)<(!INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: F~ lA,() ~ l-L 0 -It- , rtAL- ~ . rJ-;::>~~. .. / ~~ ~~~ ~ A- ~pL-~,~~ DATE ;;...~ ~-o ~ INSPECTOR ~ ~ .~... -:"j eJ-Cj J-( & &- 765-1802 BUILDING DEn. NSPECTION [ FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL REMARKS: J.. sr c DATE (f I (r~3 { l INSPECTOR ~ ;lVIh' 765-1802 BUILDING DEPT. INSPECTION [ [ ] ROUGH PLBG. [ [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS:, -~ DATE ~tl3 ~ ~ ~ z &:2 I~ ~ ~I U !E III :!A. iIlcn Z - z 0 - s .... :::>> c (I) z z - - I&. ~ ~ ~ ~ ~ I w ~ i ~. J~ ~ \i) Boulevard Planning East, PC. Arch ilecls . Engineers. Construction Management Internet: www.blvdplan.com 32645 Main Road Culchogue, N.Y. 11935 PHONE: 631.734.2011 March 1, 2004 Soulhold Building Department Town Hall 53095 Main Road Southold, N.Y. 11971 - 0959 R_A~ \ """,--~ Re: Goell Residence, c/o 41h Street & Main, New Suffolk, New York --- To Whom It May Concern, This letter is being written in response to your request for verification of the footings and foundations in this residence. All of these items have been field inspected by our office on numerous occasions. We hereby certify that all installations are according to approved plans. I f you have any further questions, please feel free to call me at any time. Boulevard Planning East, PC. Architects. Engineers. Construction Management Internet: www.blvdplan.com 32645 Main Road Cutchogue, N.Y. 11935 PHONE: 631.734.2011 . ..., Southold Building Department Town Hall 53095 Main Road Southold, N.Y. 11971 - 0959 rT"-r;---4' . -. -r! .-.- -~ -,- I.. c'."" '," : , ~I " ' I '{ '.' \ .'! MA!L,~2i~n~ \ :! l__ I . March 11,2003 Re: Proposed Renovations & Additions, c/o 4th Street & Main, New Suffolk, New York To Whom It May Concern, This letter is to certify that the existing sanitary system for the above residence is suitable for the needs of the existing residence, and will adequately handle any extra capacity that will come from the proposed renovations and additions to the house. If you have any further questions, please feel free to call me at any time. '""', Boulevard Planning East, PC. Architects. Engineers. Construction Management Internet: www.blvdplan.com 32645 Main Road Cutchogue, N.Y. 11935 PHONE: 631.734.2011 March 24, 2004 Southold Building Department Town Hall 53095 Main Road Southold, N.Y. 11971 - 0959 Re: Goell Residence, do 4tb Street & Main, New Suffolk, New York Permit # 29216 Attn: Gary Fish Dear Gary, I This letter is being written in response to your request for verification as of your inspection of 2/20/04, we hereby certifY the following: I. The chimney has been blocked as per your request. 2. All fire-stops on stairs is complete and in conformance with code and good practice. 3. Metal plates have been installed at rear wall where 3" pipe goes through plate as requested. 4. All ceilings have been fire stopped at the required 20 ft. horizontal measurement as requested. 5. All insulation has been installed in conformity with the New York State Residential Code, and the filed building plans. All of these items have been field inspected by our office on numerous occasions. We hereby certify that all installations are according to approved plans. If you have any further questions, please feel free to call me at any time. MAR 25 31M , " f; :" L~_.JQ~('~'-~-~~-'.._o ,,~, n ,--~'-:'---~-". Boulevard Planning PC. Architects. Engineers. Construction Management www.blvdplan.com 32645 Main Road Cutchogue, N.Y. 11935 Phone: 631.734.201\ Fax: 631.734.2276 September 25, 2006 Southold Building Department Town Hall 53095 Main Road Southold, N.Y. 11971 - 0959 ~2.1 0\0 .,! "\~~ ., ~ =,.-,-,J!-:-::-~ 1 l.'; , -- Re: GoelI Residence, Permit # 29216-Z \ \ To Whom It May Concern, I hereby certify to the Department of Buildings of the Town of South old that I have inspected the above locations; I have supervised the preparation of the building plans as per State Education Laws; and I have determined to the best of my professional knowledge and belief that the rough plumbing, and pressure test were installed and conducted in conformity, with the filed building plans, the New York Residential Building Code, and generally approved construction practices. ,. FlELDINSl'ECTION Ri!:PORT FOUNDATION (1ST) ~--------_.._- FOUNDATION (2ND) ROUGH FRAMING & PLUMBING . lNSULATIONPERN. Y. STATE ENERGY CODE FINAL - ~ -' '~..... '-. /~~ /t/-. AJ /_~~O~~ ~) ::-" U~ / / 1.1... J J~J /H:-:--ii:lf '="", A 7: c. ..ri -tNf,-" // 1 --v- / , /' r.; ~ <- / /'\' /7 "/ ///2:f ,'7~\....L 1. ~" . -"~--' . 77 ...-/" '. '/ ( ;'J,!? . /<Y-/h ~/ ~ /_~ a... 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ADDmONAL COMMEN'l'S . . /(-11 "ZJl1t;. )-l.J-O<./- ("^~,'JI"'I. p~, . _ V 'r1' .. . . . -,." -... . '" TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 BUILDING PERMIT APPLICATION CHECKLIST: Do you have or need the following, before applying?: ,20 200 PERMIT Board of Health? 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. 6'25 // ---. Examined 3 !.r D 1 -. gJU~ n W ~ m L '.~ --,.. I, 2002 111 , :U":LA:~~o~_~~~ I ",'",' . ."0 "' - ).1 , I 7(.;'{/I, fj; ~IC:UTHo 0 APPLICATION F R 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 3 sets <i'plans, accurate plot plan to sale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or are~s, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 re tions, and to admit authorized inspectors on premises and in building for necessary inspections. - /1/9 F;"lIldf1!1"e, ~J~" 44 JAI);//530 (Mailing address ofapplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /!,ci -lee; .f 7e/'~mv ; / 7~11 6oeJ/ (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. I. Locatian .of land an which prapased wark will be dane: 16740 fJ~"", 5'Jl',11f jJve... Hause Number Street ./ lJeU/ 5.,1',1;,/)) Hamlet Caunty Tax Map Na. 1000 Sectian / J 7 Subdivisian Black q Filed Map Na. Lat /6, t) 1/.2.. Lot (Name) 2. State existing use and .occupancy .of premises and intended use and .occupancy .of prapased canstructian: a. Existing use and .occupancy S;n7/~ F",wlIf 1<~61;/'MC~ b. Intendeduseandaccupancy 7tn?/~ FIifYl?ljY ;P1!'1>tt,(-ence 3. Nature afwark (check which applicable): New Building Additian X Alteratian Repair Remaval Demalitian Other Wark 4. Estimated Cast t /5 t? OCJt7 5. If dwelling, number .of dwelling units / If garage, number .of cars (Descriptian) Fee (ta be paid an filing this applicatian) Number .of dwelling units an each flaar tv / /J 7. Dimensians .of existing structures, if any: Front ;t. II, 4- Height .!: :3 0 Number .of Staries ~ Rear ~4, 4 /v' /JJ Depth 32 6. Ifbusiness, cammercial .or mixed .occupancy, specifY nature and extent .of each type .of use. Dimensians .of same structure with alteratians .or additians: Frant 4- 1.7, 4- Depth 3 q , J Height ~ 30 Number .of Staries Rear 40,4- .2.. 8. Dimensians .of entire new canstructian: Frant Height Number .of Staries Rear Depth 10. Date .of Purchase j2ff,2. 4/1.72- Depth 100. 7~ Name .of Farmer Owner Afl .t tv Ii., If - 4-(;7 lien .)trr<'t 9. Size aflal: Frant Rear J,22.,~ II. Zane .or use district in which premises are situated 12. Daes prapased canstructian vialate any zaning law, .ordinance .or regulatian: Ye-.5 13. Willlat be re-graded /I/o Will excess fill be remaved fram premises: YES i!!!J' 14. N!imes .of Owner .of premises 'Jert:W1Y 6()9 / / Name .of Architect 81wA 1'/4 nAI/1,/ &~ ~-r- Name afCantractar Address Address /Yl" IYI Address Phane Naj<f,R - 5~2S ,qel,h~~haneNa 73tf-t:J.OIJ Phane Na. '-'1 IS. Is this praperty within 300 feet .of a tidal wetland? "YES NO X · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Pravide survey, indicate scape .of project, ta scale, with distances ta praperty lines. 17. Ifelevatian at any paint an praperty is at 10 feet .or belaw, must provide tapagraphical data an survey. STATE OF NEW YORK) SS: COUNTY OF Ala5.lia" ) I?o~ er f l-e hher ~ being duly swem, deposes and says that (s)he is th,,-applicant (Name .of individual signing centract) abeve named, (S)He is the /)tfen f (Centracter, Agent, Cerperate Officer, etc.) .of said .owner .or .owners, and is duly autherized te perferm .or have perfermed the said werk and te make and file this applicatien; that all statements centained in this plicatien e true te the best .of his knewledge and belief; and that.the werk will be perfermed in the anner set ~ h i Icatien filed therewith. 20 - ... A- "" ... - "" ... .... "" o .... SURVEYeD FOR:- ,4 Rpll./2 4' R dTH LOCATED AT A/Jqd SUFFotJL. LOT /:5 oesf2?IIi!l:D MAP OF AS lSHoWU SCALE 1"-00' SUFFOLK CO. TAX MAP DATA:- DIST. /.000 , SEC. 1/7,00 BLK 09,00 LOT o/Ii>,oe>e VE.UTUe.4 U A- '" ..J ~. ...,:.z:... . , '. ~ ;CIMTFNIf&1?: o . . :.........(~ 11'~.~~--~ .' "'Ii' ~ ~7~" it . .~--/ ~;'JhlM& ~ 1Fk.~J.'e-.' ~ /A/71=6/r/TY A857.eACrC;;;RP0-e47/OA./ : i?7z..r 1<.4 99/o,eS o '" ... . ... i It) H !.t , TOWN OF 5cvp/btD , CO, eLK. NO. MAIJ ..5a~' Za'Oo~.e 5-r: /.?.3.2o _IS. Fi>. ~ ~ YI r-: . ~ 1tI ~ ~ "I fj .~ ~ '\). ~ . ~ ~ . \) ~ '" '~ t~ 2 . , 0df1' 0-." " . . ~ . ~ .it-l.A..- -' - -'. 'Ii,... I J.,/8o'.?d'OO.W /o/. <141 . /,s" ~,a.Tf, . ) Z.t:>H~(6 "." '( eJ ~~ FILE NO, 14.59~ '''"': ."'.---" TOWN' OF SOUTHOLD PROPERTY RECORD CARD STREET L{ 0 VILLAGE DISTRICT SUB. LOT , 11~J. /CO() - OWNER 'j'(J6 o I 4-0 () . E - f FORMER OWNER MI Jr E k..rf-e ~OW(-c 2... ~ < do f NMd. I~l Strf e r S py ice. FARM ""' - '" ,,1. . ,..+-e.t.:.., I'k 't.- W V 1,,1'.../'00/' .;;'lo 1\\ tV(( HOY "S .., lES. 2& SEAS. VL. COMM. LAND IMP. TOTAL DATE REMARKS NEW NORMAL. e7 BUILDING CONDITION BELOW ABOVE AGE Farm Acre Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROA {)A t1-t4 1;/ J'ft..fe f:~. ,r I~ BULKHEAD \00' 01'1 -4 ~ 'Sf. DOCK "iIIable 1 'jllable 2 'jllable 3 Voodland .wampland ;rushland C ----.. ..--.. -- louse Plat, 'otal -.. ."._-~_.,-~:'-,~"":."-- iJuh1 ,~ ' ~. U"k'( ~ittl'; : i i i I ! ! ; I ! A" I' I' . ,i .,. I/.Vf:..;~r::' 1'1 ' "' -" ' ;! '. '..-- j /. I I.'~! 1'3 " ! , I., I\! l- ~'1 f ! 1 I I ' , ! I X Iii 1 I,!! r rIJ,lir".)...,I.... I! 511'1, I"V I sty i .-.', '1 i ",", :! I!' -+-G/~ i Q' ~,! ~ ' '''I It JC, I I .It ,~~ ! I Y , .., f'-r y 'Iv \-...... I rvf-~Ari ;.".r".'r-I Ii-I" : / '')II/! i, 1\' i, ~ i : I, ]-t 1/ 17('- f! I I \ 2i.~, ! I ! i' 1/ I,' I \ Iii J! I I i II I I I .., I I , 1/ i, I""''''!, ! I' \ .. ,Z I ' I v I I'(V I I I I I I \ : f~ ;: '\ ' r I'~'Y 0.. I d ),J (r/_ --..... ! ,\v1f- \ ! II I' a..~)..s-4 f).- A/,;1, /.1/'-4'/ \. Bldg. ~ '{(If ~ 7h~O B. <tension ,tension <tension , Patio Driveway r IO?... "'1-1 %. - 0"'01 I C (3 I Bath r- iJ L L Floors 1/(, 0,. a;. Interior Finish I"~ ..~ ~)"'I . I Heat . i ,,) ,I,.;' L.t J',Lg[J,'>~ Porch I Roof Type /f... ~ Porch Rooms 1 st Floor Rooms 2nd Floor Dormer -- IL " ,.._.,...,'...._~.,,' . , ... Permit Number REScheck Compliance Certificate New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release I Data filename: C:\Jobn E. SturnpfRA Pc\0226 - Goell Energy Calcs.rck Checked BylDate c~-;::~- . I, , I' . '---=1 TITLE: Goell Residence rtt) 2 :) 'JIm i :__J COUNTY: Suffolk STATE: New York HOD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric DATE: 02119/03 DATE OF PLANS: Jan 31, 2003 PROJECT INFORMATION: Goell Residence Main Street New Suffolk, N.Y. COMPANY INFORMATION: Boulevard Planning East P.C. 32645 Main Road Cutchogue, N. Y. 11935 COMPLIANCE: Passes Maximum UA ~ 184 Your Home UA = 102 44.6% Better Than Code (UA) Ceiling I: Flat Ceiling or Scissor Truss Wall I: Wood Frame, 16" O.c. Window I: Wood Frame:Double Pane with Low-E Wall 2: Wood Frame, 16" o.c. Basement Wall I: Insulated Concrete Forms Wall height: 8.0' Depth below grade: 7.5' Insulation depth: 8.0' Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor ~ 485 22.0 0.0 22 485 19.0 0.0 20 ISO 0.130 20 485 19.0 0.0 29 485 40.0 11 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, belief, and professional judgment, such plans or . ", oft 0 o~' specI catIons are m co BuilderlDesigner ,),;C,""~"";if;\.~~~_~__...w._IW__. ,~l ":!ji5U j. ~:j . ;" tj" ,,~ .Jj~{. ;{ "J ! ' ~. REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release I DATE: 02/19/03 TITLE: Goell Residence Bldg. Dept. Vse Ceilings: [] I. Ceiling I: Flat Ceiling or Scissor Truss, R-22.0 cavity insulation Comments: Above-Grade Walls: 1. Wall I: Wood Frame, 16" O.c., R-19.0 cavity insulation Comments: 2. Wall 2: Wood Frame, 16" O.c., R-19.0 cavity insulation Comments: Basement Walls: [] 1. Basement Wall I: Insulated Concrete Forms, 8.0' ht/7.5' bg/8.0' insul, R-40.0 assembly R-value Documentation must be submitted verifying the overall assembly R-value. The R-value must be developed in accordance with accepted engineering practice. Comments: Exterior insulation must have a rigid, opaque, weather-resistant protective covering that covers the exposed (above-grade) insulation and extends at least 6 in. below grade. Windows: [] I. Window I: Wood Frame:Double Pane with Low-E, V-factor: 0.130 For windows without labeled V-factors, describe features: # Panes_Frame Type Thermal Break? [ ] Yes [ ] No 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 V-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 must be covered with a vapor retarder. ] Air filters are required in the return air system. ] The HV AC 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 construction provisions of the 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 I. Circulating Hot Water Systems: [] Insulate circulating hot water pipes to the levels in Table I. 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: [] HV AC piping conveying fluids above 105 "F or chilled fluids below 55 "F must be insulated to the levels in Table 2. . Heated Water Temperature (F) 170-180 140-160 100-130 Table I: Minimum Insulation Thickness/or Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Up to I" Up to 1.25" 1.5" to 2.0" Over 2" 0.5 1.0 1.5 2.0 0.5 0.5 1.0 1.5 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness/or HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range (F) 2" Runouts I" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressurerremperature Low Temperature Stearn 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 1.5 1.5 NOTES TO FIELD (Building Department Use Only)