HomeMy WebLinkAbout31811-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32201
Date: 02/15/07
THIS CERTIFIES that the building ADDITIONS/ALTERATIONS
Location of Property: 515
(HOUSE NO.)
County Tax Map No. 473889 Section 108
GABRIELLA CT
(STREET)
Block 4
MATTITUCK
(HAMLET)
Lot 7.41
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
FEBRUARY 27, 2006 pursuant to which
Building Permit No. 31811-Z
dated
FEBRUARY 27, 2006
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 & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to DEREK MCLEAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
2019310
11/03/06
PLUMBERS CERTIFICATION DATED
02/14/07 LI SUNRISE PLUMB.&HEATING
~'""~
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
FEB I 4
I j,_
APPLICATION FOR CERTIFICATE OF OCCUPANCY
- .
. ,
.M"-" :....-.-J
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 nse:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifYing that the solder used in system contains Jess than 2/] 0 of 1 % lead.
5. Commercial building, industria] 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 buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
]. 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 $]5.00, Commercial $15.00
Date. 2 -/~(-d 7
New Construction: Old or Pre-existing Building: t/
Location of Property: :;,-, j G <\ 10 r , e \ \ '\. ( T
House No. Street
Owner or Owners of Property:D e r (' k- (VI { L <?" ""
Suffolk County Tal' Map No 1000, Section / () g Block 0 0 c '-f
(check one)
/V\.,+!-i +C '<
Hamlet
Lot 007 O'i I
Subdivision
Permit No. 3, J B i I - r Date of Permit.
Fi]ed Map.
Applicant:
Lot:
Health Dept. Approval:
Plarming Board Approval:
Request for: Temporary Certificate
. ,- UJ
Fee Submitted: $ 2-.::>_
Underwriters Approval:
J (m~i
A"Ii!"'""",,"
Final Certificate:
6\~. ilg31
CD r 3ddOl
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.
31811 Z
Date FEBRUARY 27, 2006
Permission is hereby granted to:
DEREK MCLEAN
MATTITUCK,NY 11952
for :
ADDITIONS @ ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR. THIS PERMIT REPLACES 30104.
at premises located at
515 GABRIELLA CT
MATTITUCK
County Tax Map No. 473889 Section 108
Block 0004
Lot No. 007.041
pursuant to application dated FEBRUARY 27, 2006 and approved by the
Fee $
325.80
..
Building Inspector to expire on AUGUST
ORIGINAL
Rev. 5/8/02
ji< _ i-l - -.,
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I BY THIS CERTIFICATE OF COMPLIANCE THE I
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the applicatIOn of upon premises owned by ~
~ ~
~ DEREK MCLEAN DEREK MCLEAN ~
~ P.O. BOX 500 515 GABRIELLA COURT ~
~ MATTITUCK, NY 11952 MATTI TUCK, NY 11952 ~
~ Located at 515 GABRIELLA COURT MATTITUCK, NY 11952 ~
I Application Number: 2019310 Certificate Number: 2019310 I
I Section: Block: Lot: Building pe3tje> J I BDC: ns11 I
~ Described as a Residential 600-1 199 square ft. occupancy, wherein the premises electrical system consisting of ~
! electrical devices and wiring, described below, located m/on the premises at: "30 I fc:,{ f I
~ Basement, First Floor, addition, Attached Garage, Outside, Attic, T ~
~ A visual inspection of the premises electrical system, limited to electncal 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 November, 2006. ~
~ Name OTY Rate Rating: Circuit ~ ~
~ Alarm and Emergency Equipment ~
~ Sensor I 0 Carbon Monoxide ~
~ Sensor I 0 CarMon/Smoke ~
~ Generator Portable Connection 1 0 ~
~ Transfer Switch 1 0 30 amp ~
~ Appliances and Accessories ~
~ Air Conditioner I 0 36.000 BTU ~
~ Air Conditioner I 0 30.000 BTU ~
~ Wiring and Devices ~
~ Outlet 30 0 Fixture ~
~ Fixture 30 0 Incandescent ~
~ Outlet 41 0 General Purpose ~
~ Receptacle 28 0 General Purpose ~
~ Switch 14 0 General Purpose ~
~ Dimmers 4 0 ~
~ Paddle Fan 2 0 ~
~ Receptacle 4 0 GFCI seal ~
~ Disconnect 2 0 60 amp Air Conditioner ~
~ Continued on Next Page 1 of 2 ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
m.@1
@I.@1
I BY THIS CERTIFICATE OF COMPLIANCE THE I
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ DEREK MCLEAN DEREK MCLEAN ~
~ P.O. BOX 500 515 GABRIELLA COURT ~
~ MATTITUCK, NY 11952 MATTITUCK, NY 11952 i
~ Located at 515 GABRIELLA COURT MATTITUCK, NY 11952 ~
~ ~
~ Application Number: 2019310 Certificate Number: 2019310 ~
~ Section: Block: Lot: Building Permit: BDC: ns11 ~
~ ~
~ Described as a Residential 600-1199 square ft. occupancy, wherein the premises electrical system consisting of ~
i electrical devices and wiring, described below, located in/on the premises at: ~
~ Basement, First Floor, addition, Attached Garage, 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 November, 2006. ~
ml Name OTY Rate RatinQ Circuit ~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~ ~
~ ~
~ 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. ;
@I~.@1
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: 2 - I <{ - il 1
Building Permit No. :3 1 1? 1 1 ?
Owner:YE~~K vnc~ y\'1 (Le<-"
(Please print)
Plumber: ~~ ~ tJ~ II S'V('H"~ f" ~\l~\6 {,dt~*",~ lut,
. \,Please print)
lead.
I celiify that the solder used in the water supply system contains less than 2/10 of 1%
Swom to before me this 3
day of ~W\, 200")..
~~~
mbers Signature)
c~ /2~
Notary Public, S r:;JC. tk
County
Chris R. Fragnito
Notary Public, State of New York
No.01FR6087068
Qualified in Suffolk County
Commission Expires February 10, 2007
To: Town of South old
Re: McLane
Gabriella Ct.
Mattituck, NY 11952
To whom it May Concern:
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631)298-7116
This letter states that the strapping from roof rafter to roof rafter over the ridge is in tact
and, meets all state and local building codes. Any questions please feel free to call.
'"
Sincerel\ "'.'..
~. ".'-...,
James J. Deerkoski P.E.. \ \
"
\
"
\
"~,- , .
\
,
\
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
To: Town of Southold Building Dept.
Re: Derrick McLane
Gabrella Ct.
Mattituck, NY 11952
To whom it May Concern:
This letter certifies that all wind strapping on the Above mentioned project is in tact, and
meets all state and local building codes. Any questions please feel free to call.
\
~y
~..
31tl( ;2-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING M FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~ ~-~..
F~ ~ <~e~
~pL~ ~
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~~C#O ~~
DATE ) I '-3- "c, INSPECTOR ~ Pdf4-
30 It) 3 jz
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE INSP
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765.1802
BUILDING DEPT.
INSPECTION
[ ~ATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~;:l r
DATE f( It; V-
I (
INSPECTOR
3'0 J 0 3-i3s
ee['\"3I~I\
765.1802
BUILDING DEPT.
INSPECTION
[ ] F9UfWATION 1 ST [
[ ~OUNDATION 2ND [
[ ] FRAMING [
[ ] FIREPLACE & CHIMNEY [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
REMARKS:
r
DATE
INSPECTOR
~
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~MJ~ J 3/8' II
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [
_ [] ~UNDATION 2ND [
5~~y{ FRAMING [
I [ ] FIREPLACE & CHIMNEY [
REMARKS: WIAJI>
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
, .
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DATE
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INSPECTOR
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765.1802
BUILDING DEPT.
INSPECT
N
[ ] FOU [
[ ] F UNDATION 2ND [] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREP~,CHIMN~Y [ ] FIRE SAFETY INSPECTION
REMARKS: f:f~ TO J--.-1 ~/
DATE
INSPECTOR
4
30(03 ~~:~~
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ~GH PLBG.
[. ] ~DATION 2ND [] INSULATION
[~RAMING [ I FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
U - -
REMARKS:'
~
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DATE
INSPECTOR "
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765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [~UGH PLBG.
[ ] JOUNDATION 2ND [] INSULATION
[v1 FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~~ ~\......l'':''j
t:"r<<f\-CA- O.t,
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DATE
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INSPECTOR C flJ'lA. ( ~,:-
3-&103 Z;-. ~J\j;,,"\J-([1 3/'i II
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [] R~H PLBG.
[ ] FOUNDATION 2ND [~SULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: k~ c(C--
joG~-
DATE ({)/10 Y INSPECTOR
-,
FIELD INSPECTION REPORT! DATE
~ ,.to V L:i.
/1 /
FOUNDATION (1ST)
,
------------------------------------ ~
fhv/b..
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FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
1-.
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COMMENTS
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SCDHS REF. NO., R70 - 97 - 0034
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SURVEY OF
LOT' 17
"ELlJAHS LANE EsrA rEs, SECT. 2
FILED OCT. 8, 7996 FILE NO. 9912
A T MA TTlTUCK
TO WN Of SOUTHOLD
SUFFOLK COUNTY,N Y.
1000 - 708 - 04 - 7.41
Scale: 1" :: 40'
Dec. 4, 1996
A VG. 12" 1997 (foundation )
J1JNE 23, 7998 (final)
NOV. 14, 2005
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AREA = 43,646 sq.ft.
CERTIFIED TO'
DEREK McLEAN
THE BRIOGEHAMPTON NA TIONAL BANK
SUPERIOR ABSTRACT CORPORATION
FIOCLttY NA TlONAL TItLE \""SURA~ -
COMPANY OF NEW YORK
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ANY AL T':R.A -:-iON OR AOOtTlOH TO THS SURVeY IS A 1J; TiCN
or SeC TION 7Z09 OF THE NC1f YOF1. S T.A Te E:DUC.A T/ON L w,
eXCEPT AS PER SeCTiON 7Z0!1,SUblXVISION 2. ALL CCRT 'AnONS
HeREON ARe VALD FOIt ~ AID COP~S THeREOF on. Y F
SAID .\lAP OR COPIES BEAR TH€ /lJPRESSEJ) S","L OF THE SURVeYOR
WHOSe SIGNA ru~ AP~.AlfS HEREON.
ADOIT/ONALL Y TO c(.1ofl. Y WITH ~D LA" THE TE:RU 'AL TeRffJ 8 yo
/.lUST Se USe,; 8Y ANY .AID ALL SlA'V€YORS Un./~ A Cr;;['Y
OF ANOTHER S/.JRY€YOfrS ~ TERU$ sua AS '~CTffJ AHO
'SROUGHT- TO-DA Teo ARF: NO r II COWlI.AI'/CE WITH TH€ LA il",
..ell
o
I am familiar with Ih~ S7AN:JARDS FOA t,PPRO,lAL
AND CONSTRUCT/Ot{ (1~ SUBSURFACE ~E"WAGl
DISPOSAL SYSTEMS FOR SINGLE FAM/L ~' F?ESlilENCES
an<! will abid~ by .fh~ condillans sel forth lite "in ',ad an Ihe
permit 10 cans~uc~
,
Tit"! localions of wells and cesspools _
shor'n hereon 01 e f; J/n field observotions
amf or from dolo obtained from others,
49618
eUVA T/O/'IS ARe RUCR€NCffJ
TO AN AS~<J/.I€D DA ruM.
STREET
1/9n
07-2~~98 revision
- "
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, 96 - 317
17
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
BUILDING PERMIT APPLICATION CHECKLIST
~~~4, 'zp\D2
PERMIT NO.;:)g I ~~
/) J 3 / ("; / J Do you have or need the following, before applying?
1=-oJ\€'I./v'l:O Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Examined
~/r
'~ flf
/
Approved
Disapproved alc
,20~
20 z..-.-
'-
Expiration
,20_
Mail to:(3-0. ~ 07C' .<; 11 0
y~ ?n~~~~.7i.~ "fS~
Phone: .;) 9-8-- J () 2.. (:)
r~l~ ~ n WI t~ rnJ
In I . 111111
('i ~~...~ I~I
LT"'''' . :,.1)
APPLICATION FOR BUILDING PERMIT
Date S.. 7 -
,20~
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location oflot 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 ofthis 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.
APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or aiterations 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.
)1 f/h. 'L
(Signature of applicant or name, if a corporation)
t>.0 ~~~ S'1lc 1101" ij:-t..;,L,wr IlPSl
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~ e. v -( Ie k::' wt l' L -< "I.......
(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 ofland on whichyroposed work will be done:
.51)' (Qcdor<{\..,~ c:-r
House Number Street
Hamlet
County Tax Map No. \000 Section I 0 8
Subdivision
Block i{
Filed Map No.
Lot 7 . Lj I
Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy S f-i> r~ '\ c..
b. Intended use and occupancy '"E, e J. 1"1), c""" > Q '" J 10", -! L.. n, c, ........
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration
4. Estimated Cost
IS:()~<;;)
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
Depth
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
2.
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
~6'1
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated S, '" '} I e. 0"",, e ~; ~)
1-1 C.""~ 5
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO L
13. Will lot bere-graded? YES_NO--y'- Will excess fill be removed from premises? YES_ NO_
Address f>.<>. ~".d"'~ ..,..t- i1trl Phone No. & :?I- .1.f1" l H <:l
Address Phone No
Address Phone No.
14. Names of Owner ofpremises"'b uti:: "" rL, ~-
Name of Architect
Name of Contractor
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? * YES_NO ~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF SUF Fo<t<. )
De-If. e K- k. /l1~ I...e 4 tJ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(ethe
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are 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 therewith.
Sworn to before me this
7 day of
200;2..
,
)) /I )1vt . c:
Signature of Applicant
M8.lNDA L TOPPING
Nolary PublIc. SllH 01 New YOlk
Sulfolk CoIIllY - No. 4708364
Commission ExpIres May 3 I, .) 00,3
. .
.
Pennit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release Id
Data filename: C:lProgram FileslChecklRESchecklDERICK MCLAlN.rck
PROJECT TITLE: ADDITION
COUNTY: Suffolk
STATE: New York
HDD: 5750
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE: Non-Electric
DATE: 02/02/04
DATE OF PLANS: 0212004
PROJECT DESCRIPTION:
515 GABRIELLA CT.
MATTITUCK, NY
COMPLIANCE: Passes
Maximum UA = 142
Your Home UA = 134
5.6% Better Than Code (UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value V-Factor VA
568 21.0 0.0 27
540 19.0 0.0 25
41 0.350 14
87 0.310 27
232 19.0 0.0 12
29 0.340 10
568 30.0 0.0 19
Ceiling I: Flat Ceiling or Scissor Truss
Wall I: Wood Frame, 16" o.c.
Window I: Wood Frame:Double Pane with Low-E
Door 1: Glass
Wall 2: Wood Frame, 16" o.c.
Window 2: Wood Frame:Double Pane with Low-E
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications, and other calculations submitted with this pennit 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 a that to the best of his/her knowledge, belief, and professiOnal judgment, such plans or
specifications are in . anc this Code.
BuilderlDesigner
Date 2 - '" - o\..j
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release Id
DATE: 02/02/04
PROJECT TITLE: ADDITION
Bldg.
Dep!.
Use
Ceilings:
[] 1. Ceiling I: Flat Ceiling or Scissor Tross, R-21.0 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:
Windows:
[] 1. Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.350
For windows without labeled U-factors, describe features:
# Panes_ Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[] 2. Window 2: Wood Frame:Double Pane with Low-E, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes_ Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
Doors:
[] 1. Door 1: Glass, U-factor: 0.310
Comments:
Floors:
[] 1. Floor I: All-Wood JoistlTross:Over Unconditioned Space, R-30.0 cavity insulation
Comments:
Air Leakage:
Joints, penetrations, and all other such opeuings 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 manufactnrer's installation instructions.
[] Materials and equipment must be identified so that compliance can be detennined.
[] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
Insn1ation R-values and glazing U-factors must be clearly marked on the building plans or specifications.
Duct Insulation:
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
] I Supply ducts in unconditioned attics or outside the building must be insulated to R-8.
] I Return ducts in unconditioned attics or outside the building must be insulated to R-4.
] I Supply ducts in unconditioned spaces must be insulated to R-8.
] I Return ducts in unconditioned spaces (except basements) must be insulated to R-2.
I Insulation is not required on return ducts in basements.
I
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] I
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Duct Constroction:
All joints, seams, and connections must be securely fastened with welds, gaskets, mastics
(adbesives), rnastic-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 Pal.
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 ( Fl
170-180
140-160
100-130
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Non-Circnlating Runonts Circnlating Mains and Rnnonts
UI> to 1" UI> 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 Insu/otion Thicknessfor HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Pilling System Types Range (Fl 2" Rnnouts 1" and Less 1.25" to 2" 2.5" to 4"
Heating Systems
Low Pressurelfemperature
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 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
VILLAGE
DIST_
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REMARKS
PROP_ C~ Z. / [)
TOTAL DATE
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FRONTAGE ON WATER
TILLABLE
FRONTAGE ON ROAD
WOODLAND
DEPTH
MEADOWLAND
BULKHEAD
HOUSE/LOT
TOTAL
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PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
ERTlFICATE OF OCCUPANCY
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
X'CEED 2/10 of 1% LEAD.
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PROVIDE ANTI-SCALD AND/OR
THERMAL SHOCK PREVENTING
DEVICES AS TO PART. 902.6(K)
N.Y. STATE BUILDING CODE.,
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PLUMBING
ALL PLUMBING WASTE
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TESTING BEFORE COVERING
OCCUPANCY OR
USE IS UNlA~-iflil
WITHOUT CERTlFIC;iTE
OF OCCUPANCY
UNDERWRITERS CERTIFICATE
REQUIRED
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for water distributing
system; piping shall b9
of types K or L onlv
UNDERWRITERS CERTIFICATE
REQUIRED
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WING INSPECTIONS:
UNDATION . TWO E
R POURED CONCRETE
UGH _ FRAMING" INO
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR CoO.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE NoY.
STATE CONSTRUCTION' ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
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AREA:: 49,646 sq. ft. ,
AUG 11 1998 I
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OepL Of Health Serv' I
Office Of Wastewater r:f;';~: I
SCDH$ REF. NO., R70 - 97 - 0034
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SURVEY OF
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IIELIJAHS LANf ESTA T($, SECT. 2
FLED OCT. ~.,. Me NO. 9911
AT MA TTITUCK
TOWN OF. SOUTHOLD
SUFFOLK COUNT~N. y.
1000 - 708 - 64 - PIO 7.1
Scale: 1" ::: 40'
Dec. 4) 1996
AUG. 12,.1997 (foundalion )
JUtE 28, _ (fintJ/)
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SUFF()LK COUNTY DEPARTMENT 01' HllAI..TH SERVI~
APPROV Al; O'.CONSTrUICTtn WORKS FOR .:
"SING!.lt FAMILV KlWIIlENi:$
Dote AllG 1 9 J.9iA. u.s, Rl!f. N", " I (l - t ;/- .3
CCRTFED T()I
DtREK IiM:L.~AN
THE ~T()IrI NAT'lCWAL I1ANK
stJf'ER!J>IIt M$tRACT ~ TION
FW!1lI1.J1'Y ,."". T1t:JHAL TfTt.E. NSutMNCt
CCMf'ANY OF ,... YORK ' .
ELEVA T'/f)N$ Aile flQ'ElfeKCiJ
to JoN AS-.'UIEt1 OA ~
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10m IO(T!Hlar wifh flf. S7ANlJoARO$ ~ APPROVAL
AND CONSTRUCT/Oil OF SU$SURFACC S{WAGr
DISPOSAL SYSrEM$ FOR SINGLE FAUlL Y RESlilENCES
atJd win abid4 bl1h4 candt'llans nl forth Iherein and on fh4
",rmil /0 CQtlllruct.
rh", locolions of wells and cessp9als . .
shorn hereon 0'4 fl1ItJ lfeld ab$4rvlJlfons
o",f or from dafa abloin,d fram alMrs.
AllY AL T~ ~ OR AMTKM'I.. 'HI..
or s~c TION 1:t(ffl CF TIC. .
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"ELlJAHS LANE ESTA rEs, SECT. 2
. FLED ocr. ~ ISH f4E NO. 9912
A T MA TTlTUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY,N Y.
1000 - 108 - 04 - rwJ ;111 (,If /
Scale: 1" = 40'
Dec. 4, 1996
AUG. 12,.1997 (foundalion )
.JUNE 23, 11198 (fin8/ J
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CERTIFED TO<
.......--...... . _._-">.~.._'- ..-.....,...
\-"-'S;iFFOLK-;;OUNT'. DEP,\R1'MENT OF HS/H~i SERVlCE,
I "'Pi'ROV4LO'CONs'r"~'CTWWf?r,j(;; FOR
A :;.ING1.! Vi.MiL\' td;;~'Dl'..~~'^-X
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DEREK frlcLEAN
THE ~TON NA TlCNAL BANK
st.IPERIOR ABSTRACT COIfPORA noN
F'DELIfy NA TIOHAL TITLE fNStJRANCE
COItIPANY OF NEW YORK \ .
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ELEV A TI()NJI ARt; REFI!ROICCD
TO AN As..."lJlIED OA ~
-ti
. 0
/ am familiar willt lit. S1ANDARDS FOR APPROVAL
AND CONSTRUCTiON OF SUBSURFACE SEWAGr
DISPOSAL SYSTEMS FOR SINGLE FA MIL Y RESII iENCES
tHfd will obid. by Ih. condll!onl ,.1 forllt lherein and 0(1 Ih.
pttrmil /0 conllruc I. .
ANY AL TutA -;"tON OR MJelTIOIf TII THS SUlfYlY. ~ 1$' A WJLA T10N
or SECTION nO' OF Tt<<~~ S T~ liNeA :c LA.L_.._
EXCt:1'T AS PER SEC,*"" Z..lLL' ~r~
HEREON V"L~ FOIt' . cOhES Y
SA/{) M1-n cons <<AM ':ssm SE.4~n. o:M'vtYOR
/IIHO$E $IIJHA TU!l' Ah'EMt ' .
AOOm~aY TO C(~'f .,111 ~ ~.iN'''''TE/lQ /JY'
WST ~ /J'f AllY ..,. ALL V A cCl"r
OF ANO StMVIYOIf'S""'" TVfW A. rEV AND
'SfIQIJGH;-ro-OAFr AIfE NOr." CCl'Wl. 1'H LA".
07-2~-911 ro'fftlon
. "
"
TI"' locaNo'" of well, and cesspools .
shorn hereon ar~ ".Jm field obserllalionl .
a"~ o( from dala ablaln.d from olh.".
N.Y.
96 - 317
17
.,