HomeMy WebLinkAbout32253-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 04/03/07
No: 2-32274
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 5915 GREAT
(HOUSE NO.)
County Tax Map No. 473889 Section 128
PECONIC BAY BLVD
(STREET)
Block 1 Lot 2
LAUREL
(HAMLET)
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JULY 21, 2006 pursuant to which
Building Permit NO. 32253-2
dated
JULY 31, 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 ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to ARTHUR & KAREN KINE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
03/19/07
ELECTRICAL CERTIFICATE NO.
3018547
03/09/07 ARTHUR KINE
PLUMBERS CERTIFICATION DATED
~or!:!!::::-
Rev. 1/81
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEl' ARTMENT
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:
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 buildings and "pre-existing" land uses:
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 Certiticate of Occupancy is
denied, the Building IllSpector shall state the reasons therefor in writing to the applicant.
"
. C. Fees
I. Cel1ificate 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 ofCel1iticate of Occupancy - $.25
4. Updated Cel1i1icate of Occupancy - $50.00
5. Temporary Cel1ificate of Occupancy - Residential $15.00, Commercial $15.00 )
Date. ...3 I..L :2...-/0 -:r
.
Location of Propel1y:
51 IS"
House No.
Old or Pre-existing Building: V (check one)
CrU-fr1 'Pl:'<P.v/c. GAY {JL-VO. L Dd-f jv6L-
Street I . , Hamlet
New Construction:
Owner or Owners of Propelty: ---Et fL-.-r 1+ Ii fl. (\J. J<:' " tV &
-t
Kit 1'-6,J
A. /I,'N6-
Lot (5 0 ~
Suffolk County Tax Map No 1000, Section
11,'1
,..
Block
VI
Subdivision
Filed Map.
Lot:
Date of Pennit. ~ /31/ (J (,
Permit No. 32.l..SJ
Applicant: It f'.. TlftLi. fJ I ,J. 1<11 (l.G.-J A. JG ',v iiZ-
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for:
Temporary Cerlificate
Final Celtificate:
(check one)
~ft~
pplicant Signature
Fee Submitted: $
&Q.~.J:?.::l. ~)
CIS -l 3:)./17 Lj
~
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.6 BY THIS CERTIFICATE OF COMPLIANCE THE I
.~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ ~
@l BUREAU OF ELECTRICITY ~
~ ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT l:K.g. - / - ~ ~
I Co"" ,""","","00 "f o",","mi~, ~"d by I
~ ~
~ KAREN KINE KAREN KINE ~
~ 5915 PECONIC BAY BLVD 5915 PECONIC BAY BLVD ~
~ LAUREL, NY 11948 LAUREL, NY 11948 ~
~ ~
~ Located at 5915 PECONIC BAY BLVD LAUREL, NY 11948 ~
~ 3018547 3018547 ~
~ Application Number: Certificate Number: ~
~ Section: Block: Lot: Building Permit: BDC: ns11 ~
~ 3 ':>~53 ~
~ ~I~~~~:~:~ daesv~es and wiring, described below, located i~/~~ufha;~~~~s~:i;tthe premises electrical system consisting of I
I First Floor, I
~ 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 19th Day of March, 2007. ~
~ Name OTY Rate Ratio!! Circuit ~ ~
Fi!l Miscellaneous ~
~ bedroom, bath and laundry ~
~ addition ~
~ Alarm and Emergency Equipment ~
~ Sensor 2 0 Smoke ~
F.!l Wiring and Devices ~
~ Outlet ] 0 0 Fixture ~
~ Fixture to 0 Incandescent ~
~ Outlet ] 6 0 General Purpose ~
~ Receptacle to 0 General Purpose ~
~ Switch 9 0 General Purpose ~
~ Receptacle ] 0 20 amp Laundry ~
~ Paddle Fan ] 0 ~
~ Receptacle ] 0 GFC! , ~
~ - ~
~ Defects previously reported, as items of non-compliance, have been corrected. A visual inspection made of the exposed eles!!"!iJa1 equip~ent in I
~ the premises indicated found no obvious unsatisfactory condition. :.. _ _ ~
~ ] of ] r _ ,F _ ~
~ r ~
~ 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
Soulhold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
3/r/c>7
Date:
Building Permit No. '3 2~3
Owner 1+ ~-ntcL" tJ".J.- J< A-U".) A-. J<, "tv f.-
(Please print)
Plumber: Ol,/tJu LA /2.---n-tUil-- rV,k!,',v,,:)
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1 %
lead.
Sworn to before me this {
day of U,;w--J.. , 20 tJ 7-
~~;//J
Notary Public, V~~ & aC-1 ' County
GEORGE MAVIWcIs
'~/If
MY COMlIlllSlON EJlIIIN!I
5/1/2010
O1MAel_
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.
32253 Z
Date JULY
31, 2006
permission is hereby granted to:
ARTHUR & KAREN KINE
6 MADISON LANE APT 2-0
CARLE PLACE,NY 11514
for :
ALTERATION & ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
at premises located at
5915 GREAT PECONIC BAY BLVD
LAUREL
County Tax Map No. 473889 Section 128
Block 0001
Lot No. 002
pursuant to application dated JULY 21, 2006 and approved by the
Building Inspector to expire on JANUARY 31, 2008.
Fee $
150.00
~~
I Authorized Signature
ORIGINAL
Rev. 5/8/02
-.
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} :?-'J-S 3 :z-.
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
t><Z FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
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DATE 3 -iJ--a 1
INSPECTOR
~~~
- ---~--~- ----- -----------~--~----="-- -----...... -
3 Ct-d--S 3 L
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST
] FOUNDATION 2ND
] FRAMING I STRAPPING
] FIREPLACE & CHIMNEY
] FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
P<[FINAL ;&;
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:
~~ ~~~ *-
i
~~/
.3 ~~~ 07
DATE
INSPECTOR
~~
:52-253 c--
TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING ] FINAL
[ ] FIREPLACE & CHIMNEY ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT ~UCTION [ ] FIRE RES~STANT PENETRATION
REMARKS: _<J;.J ~f\:r7;J de
T2Y GNI5/L-
DATE
INSPECTOR
-------
3 J-';- S 3 "?-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
o ~RAMING I STIlAP~Q
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
f\ ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
~
---tP4
DATE ,~- ~7- t) "
INSPECTOR ~~
3~J-S37
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[,X] FRAMING I STRAPPING [ ] FINAL
.
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE /I~? -010
INSPECTOR ~ ~
3r~S3Z
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
M FOUNDATION 1 ST [
[,lXi FOUNDATION 2ND [
[ ] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
REMARKS:
~O.
d:t--eJ--
-4-
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
~
/0-10 -(),
DATE
INSPECTOR ~ ~
.
FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
FOUNDATION (2ND)
. .
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE El'I'ERGY CODE
FINAL
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OWNER
TOWN OF SOUTHOLD I>>lfOPERTY RECORD CARD
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STREET L (~ ,'::.,
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(~..{ \ \Jeer-.,n ".G.t)):, '~"(:'
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DISTRICT =--
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TOTAL
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TYPE OF BUILDING
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I MISe.
I Est, Mkt, Value
VL.
FARM
COMMl
DATE
REMARKS
<J t!d "f6 r:1.e.~r:l (..R-e~;(4.ll/a<f
300
00
t.- 000
1/' P (j
'-3 V ()
35 tltl
L 78''IR
AGE
NEW
NORMAL
BUILDING CONDITION
BELOW
Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD /6"X..2..S 0 (!, I .
BULKHEAD
DOCK
f 2-::; o-v
Tillable 1
Tillable 2
Ti liable. 3
Woodland
II
<Of.,f~ -
Swampland
Brushland
,I
House Plot
Total
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M. Bldg. !!JI. Foundation
Extension Basement
Extension Ext. Walls
Extension Fire Place
33)1./0; 330 1/
Breezeway Patio
Garage J"1J ;;"70 Driveway
O. B.
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Rooms 1 st Floor
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Dormer
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTH OLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SoutholdJ
PERMIT NO.
1-2-.:2S"36
BUILDING PERMIT APPLICA nON CHECKLIST
Do you have or need the following, before applying?
Board of Healtlt
3 sets of Building Plans v
Planning Board approval
Survey V
Check V
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Examined
-f/J ;
Approved
Disapproved ale
,2oof
20o~
'-
,,\
,
,
:',
~UL
/ Building Inspector
Mail to: 'OIA/Je K6tZOl..D. o.((P,fA I/EeT
66'l8M uJ(.:..s71-1 AmP"1olJ IOEACH
h Alf:W '/0 (LIt \ lQ 7 B
Pone:
CG'31 ) Z68 -So'iq
Expiration
;/ j/,20~
'I
".1'\ 21
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APPLICATION FOR BUILDING PERMIT
Date .::t:.. tII e
!en
I T('"
1--_-
INSTRUCTIONS
'-10
, 20 0'
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 of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, 'Id 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 South old, 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, housi code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections. a ~
.
I
(/J mll."\)l50fJ '-AJJe Jl..P7' Z-o
cfl.a/,:;. ~LA6', A~) VolL/c.. 11.<)/4
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
f) l1J /J?IL
,.;.
Name of owner of premises A.R./HUfL !<.l/Je A,JIU I(AV:~l A. K/lI~
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
-IFf>.
(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:
<:; q IS PFCOVIC. E'JP8 p.,()UU:: UT.\" In)
House Number Street
LAIJQ..6L
Hamlet
County Tax Map No. 1000 Section
Subdivision AJPo..
(Name)
17..8
Block 0 I
Filed Map No.
Lot OOz..
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy sltJ6L€ - FA-miLl' OWtE:.L UiJG /GA.\l!l.GE
b. Intended use and occupancy \Lf-€>UICD BtE:.ollnOl>\ /P,A7J.( f(lEp.,.Q El\H1Uf rn ,'ikil "01 t'Il~US/OAJ.S
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~c). Oe'''
.
Addition ><
Other Work
Alteration
(Description)
Fee
5. If dwelling, number of dwelling units l"1IJe
If garage, number of cars -r..v{)
(To be paid on filing this application)
Number of dwelling units on each floor >>p..
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. AfA
7. Dimensions of existing structures, if any: Front '30. z. Rear '33.2
Height \ 7 . :5 Number of Stories ('lo/f
Depth J..f3
Dimensions of same structure with alterations or additions: Front 33. z. Rear 33. 'Z-
Depth S-fq.3 Height /7. .:; Number of Stories rH ,e:.
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
1'5.0
Rear 75. (')
Depth "2...50.0
Kft~tJ Pt, k/rJG /.::4"",,./0. k):./Vitc-r, '1,:JfL.J..
, K',' , .r.
I;' fJG e..rr S. it I t/ p.C.$ ~ Ae- . \
10. Date of Purchase
(fIll J Cl3
Name of Former Owner
II. Zone or use district in which premises are situated
R - .I/o
.
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO--x-
13. Will lot be re-graded? YES_ NO--K..- Will excess fill be removed from premises? YES_NO~
AU.'i/W(L 8 " /IlM>lSOtJ LAiJtir Mrz-o
14. Names of Owner of premises iLAnbIJ I':' o.J,o Address('lln,r-\>I1li';:. IN \1<;1(,1 Phone No. 5/11>- "l.-q<(- /pC; '13
Name of Architect 'V I A<>6 1-I.61tOL.O Address"f>~..l%.~ho"e. 8l. c u Phone No lD "!. / - z.BB -SOl( 9
Name of Contractor ~ ,"rUler<- Address'jl'S"IoJH,'reGtI4e :,PhoneNo.'31_:t.qt~3d':V
I .nJ~fU:s, Pit I lit
'-"T~ '-,rJ'f 1I1~1
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.e. PERMITS MAYBE 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 7l~ )
fW--rr.IJ;L ~ ):::'4-t/.-(}# K~t;" being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing 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 make and file this application;
that all statements contained in this application are true to the best of his knowledi and belief; and that the work will be
performed in the manner set forth in the application filed therewith. ark A~drew Lonergan
Notary Public. State of New York
No 01 L06019061
Qualified in Suffolk County.;;' '"2..-
.;01, mission Expires Fabruary 2, 4& T
~
GUARANTEES INDICATED HERE ON SHALL RUN
ONLY TO TffE PERSON FOR WHOM THE SURVEY
IS PREPARED. AND ON HIS BEHALF TO THE
T1TLE COMPANY, GOVERNMENTAL AGENCY.
LENDING INSTITUTION, 1F USTED HEREON. AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION
GUARANTEES ARE NOT TRANSFERABLE TO
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
LAUREL LINKS COUNTRY CLUB
FM#10712
N 46'48'20"E 75.00'
FD FD
CM CM
UNA UTHORIZED ALTERA TION OR ADDlTION TO THIS
SURlIEr 1S A VIOLA TION OF SECTION 7209 OF
THE NEW YORK STATE EDUCAT10N J.A.W.
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COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VALID TRUE
COPY.
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GARAGE
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PROPOSED ADDITION
1.7'
END E-RA1L FENCE
0.2' EAST OF PL
10.3'
TO BE DEMOLISHED
3. l'
1.3'
l.4xl.4
CHIMNEY 1 STORY
RESIDENCE
1.5' I
'" CONG. &: BRICK I
<( STOOP, CONC. >.
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"'LL
ZO "
FD " F END FENCE FD
CM C 0.9' EAST . CM
S 46'4820 W 75.00 100'-
PECONIC BAY BLVD.
SURVEYED: 14 OCTOBER 2003
TM# 1000-128-01-002
SURVEY OF
DESCRIBED PROPERTY
SCALE 1 "= 30'
SITUATE
LAUREL, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
AREA = 18,750 S. F.
OR
0.430 ACRES
SURVEYED FOR: ARTHUR KINE
KAREN A. KINE SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. BOX 294
NEW SUfFOLK. NY
631-73 -5 35
03R1267
GUARANTEED TO:
ARTHUR KINE
KAREN A. KINE
COMMONWEALTH LAND TITLE INS. CO.
FAMILY HOME FINANCE
1. 22 JUNE 06 SHOW PROPOSED ADD/TONS/DELETIONS.
Permit #
Permit Date
RES check Software Version 3.7.3
Compliance Certificate
Project Title: Kiine Additions/Renovation
Report Date: 07/21106
Data filename: UntitJed.n:k
Energy Coda:
New York S_ Energy Conservation
Construction Code
Suffolk County, New York
Detached 1 or 2 Family
Non-Electr1c
6%
5750
Location:
Construction Type:
Heetlng Type:
Glazing Area Percentage:
Heating Degree Days:
Construction Site:
5915 Peconic Bay Boulevard
Laurel. NY 11948
Owner/Agent:
Karen and Art Kine
5915 Peconlc Bay Bouleverd
Laurel, NY 11948
Designer/Contractor.
Diane Herokt
Diane Herold. Architect
P.O. Box 884
Westhampton 8eaeh, NY 11978
631-288-5049
COlrplldnce Passes \laXlrllur1' U,\ 103 ~ 2U. Home UA 90 n> 12.6% Better Than Code (UA)
,
Assembly
..... .
.: . ~ .. . .. .. .. .. . ~. ..
Calling 1: Flat CeDing Of Scissor Truss:
Ceiling 2: Flat Cenlng Of ScIssor Truss:
Wall 1: Wood Frame. 16" o.c.:
Window 1: Wood Frame:Oouble Pane:
Door 1: Solid:
Floor 1: A1~Wood JolsllTruss:Over Unconditioned Space:
322
105
540
33
20
414
30.0
19.0
13.0
0.0
0.0
0.0
0.330
0.210
II
5
40
II
4
19
19.0
0.0
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 Slate Energy Conservation
Construction Code requirements. When a Registered Design Professional has stamped and signed this page. they are attesting that
to the best of hls/her knowtedge. belief. and professional judgment, such plans or specifications are in compliance with this Code.
-n I ~ IJ{. \.{ tf1.oU>
BuilderlOesigner
"C( t.llJ6 H.EitoI"l:--. j:\llrU l-rEC7
.
Company Name
\rJ/ '{ 'Z.l . 'Z.~t;
Date
Kline AdditionsJRenovation
Pege I of 1