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Home My WebLink About31632-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32231 THIS CERTIFIES that the building ALTERATION Date: 03/08/07 Location of Property: 4001 WELLS RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 1 Lot 9.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 7, 2005 pursuant to which Building Permit No. 31632-Z dated NOVEMBER 28, 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 INTERIOR ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to E.BROWNELL & KAREN B. JOHNSTON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2096805 08/01/06 PLUMBERS CERTIFICATION DATED 09/21/06 MATTITUCK PLUMB.& HEATING ut rized ISignature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD 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 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 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to 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. Ma&eH 7, 2-co7 New Construction: Old or Pre-existing Building: P� (check one) Location of Property: q001 WL /_/.S R o q b Pe e o/V / c House No. Street Hamlet Owner or Owners of Property: E. 15RO U)A/ELL S0 HA1S 77)Al AA/,O AACEN A5. �O Hill S77/stl Suffolk County Tax Map No 1000, Section g (p Block / Lot g Subdivision Filed Map. Lot: Permit No. .3 32— Z Date of Permit. 5 Applicant E.ToHA),57-VA1 F K e/v Z3 zrOHAls Tv Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 2- 5. 00 6"tc. )r9Yy co-F30u31 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. 31632 Z Date NOVEMBER 28, 2005 Permission is hereby granted to: BROWNELL JOHNSTON 4001 WELLS RD PECONIC,NY 11958 for : INTERIOR ALTERATION TO AN EXISTING 4 BEDROOM SINGLE FAMILY DWELLING AS at premises located at 4001 WELLS RD PECONIC County Tax Map No. 473889 Section 086 Block 0001 Lot No. 009.004 pursuant to application dated NOVEMBER 7, 2005 and approved by the Building Inspector to expire on MAY 28, 2007. Fee $ 150.00 Authorized Signature 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 REP ELECTRIC P.O. BOX 635 MATTITUCK, NY 11952, Located at 4001 WELLS RD. PECONIC, NY 11958 Application Number: 2096805 Section: Block: Lot: upon premises owned by �/ X &0��e-� BROWN JOHNSTON 4001 WELLS RD. PECONIC, NY 11958 Certificate Number: 2096805 Building Permit: 31632 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: Second Floor, finished 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 lst Day of August, 2006. Name OTY Rate Ratine Circuit Type Alarm and Emergency Equipment Sensor 1 0 Carbon Monoxide Sensor 1 0 Smoke Appliances and Accessories Exhaust Fan 1 0 F.H.P. Wiring and Devices Outlet 18 0 Fixture Fixture 18 0 Incandescent Outlet 17 0 General Purpose Receptacle 10 0 General Purpose Switch 8 0 General Purpose Dimmers 2 0 Paddle Fan 2 0 Receptacle 1 0 GFCI 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. • Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Building Permit No, ye BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION 31632- 2- Date: Owner: 090w1& -ll jtl/ fl v , 4{ooi 6Cf4,4-S P44V SEL • (Pt1_. (Please A, lV/ // / Plumber: a t k r�vmb;�2 k .- ."� (Please print) lead. Fax (631)765-9502 Telephone (631) 765-1802 .may, ti5��-i7S8 I certify that the solder used in the water supply system contains less than 2/10 of 1% i Sworn to before me this i day of 20E. BRO NOTARY HNSTON, .r a New York ....... IU41w reo. 1, 210� • Notary Public, wh v"c- County z Lawrence M. Tuthill Professional Engineer P.O. Box 162 Greenport, New York 11944 631-477-1652 May 22, 2006 Mr. Michael J. Verity, Department Head Southold Town Building Department Main Road Southold, New York 11971 RE: Brownell Johnston Residence Richmond Creek Farm Wells Road Southold, New York Permit # 31632 To Whom It May Concern: I L._ icer) Please be advised that the new headers at the job referenced above have been changed to 2" x 10" headers, and are sufficient for the load requirements. I have also completed the insulation inspection for this job. All insulation is installed and meets the requirements of the New York State Building Code and the Southold Town Building Code. Sincerely, ',--�awrence Tuthill Pi- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING/ STRAPPING [ ] FIREPLACE A CHIMNEY [ ] ROUGH PLBG. [ ] NATION ( FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR/- i 3z, TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ OUCH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ING /STRAPPING [ ] FINAL [ ] FIREPLACE 8f..,CHIMNEY [ ] FIREtAFM INSPECTION KS: S. C v DATE T �1� B INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) -------------------------------------- 1 e 1 W � FOUNDATION (2ND) z ROUGH FRAMING & PLUMBING Y14,5-1[c ZaL o s' ►3 INSULATION PER N. Y. STATE ENERGY CODE y FINAL ADDITIONAL COMMENTS 0 y� C7 O Z z m � ro� O o � z x y x �x ro y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT 2005 Do you have or need the following, before applying? TOWN HALL L Board of Health SOUTHOLD NY 11971 i 4 sets of Building Plans TEL: (631) 765-1802 �' .:_ t ' -- - "!I--J Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Examined IlArl 200'f Approved LfAq , 20 aS Disapproved a/c Expiration, 20n2 B ilding Inspector Trustees Contact: Mail to:_ Phone: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS -9-170 Date AIO✓6N,566. l , 20 0f 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. 1 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..nd regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (�)tgna t applicant or name, it a corvanon) qo / c-� S /Gush (Mailing address of applicant) State whether applicant i66;) owner, l ssee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. _ Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 5'00/ 4.1C C. S' Qp. R/C6,41 0 p CArjr House Number Street County Tax Map No. 1000 Se Subdivision 1141 6 % ) (Name) Hamlet 006 Block 0/ 'Lot 9 - L/ P/ 4 Q Filed Map No. /„ 74 1., Lot / i /fit rr(M't er7 C%`f C� lLHS S� /�l�X/ Z- 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Si*V-e'/o f9 nrir-% i2�S�OC.c c� b. Intended use and occupancy .%wo6&4 fiwhr4-7 Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work fj,wfAo�,,,ie IWOW.9-, cLa!'l (Description) 4. Estimated Cost Zp, 611,11 Fee (To be paid on filing this application) If dwelling, number of dwelling units % Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth _ Height Number of Stories -2 eAWA.5 e Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 2-- AV Clfifx�/i,r 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories L ,t v CkoAlelc 9. Size of lot: Front G6/� Rear Depth 10. Date of Purchase ACG • ` % "1 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_ NO X 14. Names of Owner of Name of Architect Address Phone No. Name of Contractor Address Phone No. 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 A0 * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. A-IV- 7 311—SWO 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. .41k, STATE OF NEW YORK) SS: COUNTY OF U f C,%rh✓AA'ft( / being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the QVL)K� (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. Im20 W� � �Ll Not blic MELANIE DOROSIO NOTARY PUBLIC, State of NowY01k No. 01D04634870 Qualified in Suit olkCoumyd/ Commission Expires September 30, ignature of plicant 9 nOvy 0 jo(j v51L1nG P eco \c Lot 2 LANDWARD LIMIT OF TIDAL WETLANDS AS DETERMINED By YOUNG k YOUNG WELLS zZ�, -4n Z N S34'55'31"E 55.35' N34'55'31"W 55.35'l 1 5'31 "E_ 52.]' Lot i N 3 ' m n C -PROPOSED 4' x 250' Lr RAISED CATWALK IV r 4A 232. PR( TIE LINE ALONG HIN APPROXIMATE H.W.M. PR FL( o - =,MET .- sr•revMND RICHMOND CREEK ENERGY CODE CALCULATIONS CHAPTER,5 SECTION 501 Detached One and Two Family (For Non -Electric Heat) For: well gr./ Pe,e °, , 2") .��'-t R „H Design Criteria 5750 Degree Days Zone 11B Per: X/ JD - Ye Dated: 61 A o SUBSYSTEM AREA DESIGN "U" CODE. "U" DESIGN UA CODE UA Exterior Walls 2 y 0. Al 97 0.14 / a. 41L S 7,3 6 Ceiling Roof Sl r{ 0.03 0.031 /6. 971 17, Floor Over Unheated Space 0.05 Heated Slab On Grade 6.5 Unheated Slab On Grade 4.5 Basement Wall 0.1 Crawl Space Wall 0.06 Y, .3 Y io le.BLf NOTES. Construction shall comply with 502. 1.1 moisture control and 502.1.4 air leakage Building Envelope Systems to meet requirements of Section 501 The mechanical systems and equipment including: HVAC Equipment, HVAC Systems, Duet Systems, Ventilation Systems and Insulation of Piping Systems to meet requirements of Section 503 Service Water Heating Systems & Equipment to meet requirements of Section 504 Electrical & Lighting Systems & Equipment to meet requirements of Section 505 t 11 To the best of my knowledge,' / belief, & professional judgement, these plans are in compliance gip, c322S,4 i with the code. °"Essig"� 0 S CONSTRUCT SHELVING W/ 2" X 4" STUDS 4 1/2-1 PLYWOOD m - - 2 1'-2"— - - _ ' 4 4' — VENT NEW INTERIOR _ BATHROOM - — ,Y.II NEW BATH 4 Fr class BLocl; 1 UNFINISHED ATTIC sry wfR sew TO REMAIN FLOOR PLAN SCALE: 1/4" = P-0" IINUFRHFARI STORPbE EXISTING FRAME TO REMAIN oSET 5'-0" KNEE WALL L z0z of -mm � 0 oR 0 — 1 W �O N —2 Reese, IJGHT 3 �s r cTRIc F£cErtICAL T 5.TCH IH lu"alou Nox NN 9 0L 3 2-1 3/4" H 9 I fL/2" LVL FLUSH HEADERBID ¢m wTRcO OIMMfR 5W11TCH PROV. USP FACE -FXI5TINGUPPER WINDOW` MOUNT CONNECTOR REPLACED W/ F ME 2-4X FRAME 2" X 4" \ UD LIG STUD LIGHT WELL AS ACCESS TO WINDOW v zase�aase— N 2- 1 3/4"X 9 112" L L Fwnzvo FLUSH HEADER ECO" EXISTING C.J. 3' T NEW FLUSH HEADER NEW FAMILY ROOM 9'-0" C.H. 448 5Q.FT. 8 25% UGHT 4.3% VENT 8' NEW LI➢ORING, CASINGS 'Q —+ AND TN'M TO MATC11 UUZ IXISiING I[OUSE FINI51ICs N z0� c ® N- 5'-0" KNEE WALL PROV. R- 15 INSULATION (TYP. FRONT B BACK) C WINDOW AND DOOR SCHEDULE ALL WINDOWS TO BE ANDERSEN HIGH PERFORMANCE OR APPROVED EQUAL CALCULATIONS FOR WINDOWS BASED UPON EXPOSURE B COEFFICIENT 1.0 WITH 120 mph BASIC WIND SPEED AS PER TABLE R 3012 (2) NEW YORK STATE BUILDING CODE MUST HAVE DP UPGRADE KIT. E MEETS NY STATE EGRESS REQUIREMENTS FOR HABITABLE SPACE CUSTOM GRILLES - SEE ELEVATIONS WALL OPENINGS INCLUDING WINDOWS AND DOORS SHALL BE PROTECTED WITH REMOVEABLE 5/8" WOOD STRUCTURAL PANELS WITH MAXIMUM OF 8'-0"SPAN FASTENERS FOR SPANS UPTO 6'-0" SHALL BE 21/2-#8 WOOD SCREWS AT 16" O/C. FASTENERS FOR SPANS UP TO B'-O'SHALL BE 21/2"-#8 AT IT O/C TABLE3012.1.2 ALL NARROLINE WINDOWS MUST USE 12" HEIGHT SILL STOP (OR STOOL) AND THE ADDITION OF A 12" X 3/4" DP UPGRADE SILL STOP (SILL STOPS TOTAL A 1 -14 - HEIGHT AND REQUIRE THE INSTALLATION OFA SPECIAL SASH LIFT INCLUDED WITH DP UPGRADE SILL STOP KIT) ALL UNITS MUST MEET OR EXCEED THE MINIMUM DESIGN PRESSURE REQUIRED, ANY MULLED UNITS MUST MEET OR EXCEED 1.5 TIMES THE DESIGN PRESSURE REQUIRED AND MUST TRANSFER LOADS TO THE ROUGH OPENING SUBSTRATE, ALL EXTERIOR GLAZING MUST MEET ASTM E 1996 TEST REQUIREMENTS AS PER NEW YORK STATE RESIDENTIAL CONSTRUCTION CODE. REFER TO SECTION R 160914 FOR ALTERNATIVE OPENING PROTECTION ELECTRIC SCHEDULE (-C1 Reese, IJGHT cy r cTRIc F£cErtICAL T 5.TCH IH lu"alou Nox GFI GROUNOTINIERUPTION 3 3- WAY S CH wTRcO OIMMfR 5W11TCH 3- 2" X 4" STUD POSTS fIYP END BRIG.) CARRY POST THRU WALL BELOW TO FOUNDATION Nw....'FAT P6 Ei`UryPTU L FRONT UNDERNEATH 3TOP.AGE EXISTING MAU ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF TI CODES OF NEW YORK STATE. STRUCTURAL WOOD PANELS FOR WIND-BORNE DEBRIS PROTECTION .11N. CERTIFICATION OF NAILING & CONNECTIONS �— THICK OLTS@I2 ASSEMBLY 114" REOU PFD. THICK BOLTS ®2OC PLUMBING ALL PLUMBING WASTE d WATERLINES NEED TESTING BEFORE COVERING #LUMBER CERTIFICATIGN LEAD CONTENT BEFOI 1'E lFICATEOF ()CCUPANI,Y OLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1 % LEAD. APPROVED AS NOTED DATE: S.F.# 9/b 3-2 s6uTTER AssEMely FEE: Zl� BY- P� SO FOR PANEL SPAN9:0 <4'-0'WIOE SPAN NOTIFY BUILDING DEF' U; MENT AT TADLE 1"1 77865-�1/8�0�2�IT�18 AIIMIepTCO^'T4 PM I -OR THE 23132' APA SPANFATEO 4W 24 SHEATHING GRADE PLYWOOD(OVER[AP'AROUNDOPEM'Nw� 'T USE AC GRADE WI 2 COATS EXTERIOR PAIW 2 SIDES. 41. FOUNDh I ION - TWO REQUIRED LIBEL ACCORDING TO LOCATION FOR POURED CONCRETE 2�y. RI�OIcUI1G�HT -�(1F��RAMING 8 PLUMBING ASSEMBLY S'(Jh&WAER9F& ATTACHING STRUCTURAL PANEL FASTEN TO BUILDING w1 A82 LVITR U, OR TI STAINLESS STEEL WOOD SCREW ®tfi''OG 11 BETTER 4. FINAL - CONSTHU�:TION MUST ALTERNATIVE FASTNER FOR SHUTTER TO BUILDING BE COMPLETE rOF C.O. N10 TEE NUTS ATTACHED TO BLOG.wI#10x11't'(WIWASHERhpUp(k1c�riQpbpff�,I❑LRp�V�A&/z�ptdTLSHALL MEET THE WHERE SCREW$ ATTACH TO MASONRY OR M1MBONR1 STUCCO; T1ET5Fb4`BETitTLM;H®E CODES OF NEW UTILIZING VIBRATION RESISTANT ANCHORS MAIMING A MINIM BUI DU*TE-4WCRFMNSIBLE FOR SHUMR ASSEMBLY DESIGN OR CONSTRUCTION ERRORS. N.T.S. FOR PANEL SPANS: V -OR WIDER SPAN SPECIFICATIONS ATIONS AND ASSEMBLY IDENTICAL TOO c 4',[P SPAN. MSIRONOCCUPANCY OR 2r4 STftGBACKS ®N' OC ASSEMBLY USE IS UNLAWFUL 1) PREASSEMBLE PLYWOOD TO 2x4'9 # 1Dx3' (wI WASHER$LGALIBLJIZE[LOB9y11MLS�B�Tt�yF [CAT E MODREASSEW®12"OC W�� II HH/TINT\\UU II !VV'lIL..ILl11 IrN�ERwR wiEol�Io�hl OF OCCUPANCY kDU 2 s 2005 L ur nnn 7(1NR aV X COMPLY WITHCHAFItr1 w FLOOD DAMAGE PREVENTION SOUI TOWN CODE. I • 0 INTERIOR SECTION SCALE: 114" = I ' -O" w U z w 0 Fno LU ° z` - O U7 z O r/ z DLUm0 C)0Xpw �Uz U m �f Z�OU Z N�� w ry o w J cJ_ PAGE: N