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Home My WebLink About31869-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32359 Date: OS/21/07 THIS CERTIFIES that the building ADDITION AND ALTERATION Location of Property: 8265 (HOUSE NO.) County Tax Map No. 473889 Section 59 SOUNDVIEW AVE (STREET) Block 6 SOUTHOLD (HAMLET) Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 2006 pursuant to which Building Permit No. 31869-Z dated MARCH 26, 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 EDWARD & DIANE DALEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 06-3454 07/25/06 PLUMBERS CERTIFICATION DATED 09/25/06 MATTITUCK PLUMBING & HEAT ~d~ Rev. 1/81 . AA~ \ ' --5\ " :-.'\ . l",i I I .i ", Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 r' APPLICATION FOR CERTIFICATE OF OCCUPANCY .- \ I , .--1 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 2/1 0 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 unllsualnatural 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 I. 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 ofCetiificate ofOcclIpancy - $.25 4. Updated Celiificatc ofOcclIpancy - $50.00 5. Temporary Cetiificate ofOcclIpancy - Residential $15.00, Commercial $1 5.00 Date. ~h/D7 , , New Construction: _"'__,m___, Old or Pre-existing Building: Location of Property __8 ;z./,r-----.S"o~v'.,,.) Ave.. House No. Street Owner or Owners of Property: hl'~ ~ F.d.OA..rc1 DA..It.l/ .___ ___ - / Suffolk County Tax Map No 1000, Section --a- . __'_,_ Block ./ _ (check one) S D",..:It... tel Hamlet Vl_ Inl ..17 Subdivision _~________ ___ Filcd Map. Lot Date ofPermitJ1~ 'o/' APPlicant:~.....l.-,_J:;...../y- . Underwriters Approval: Pennit No. 3/ B "q - L Health Dept. Approval: Planning Boord Approval. __ Request for: Temporar)- ('ertificate _____ Final Certificate: v (cheek onc) Fee Submitted: $ if cL.tz. 7;) 5~.3 (0'2: 3:23 5 ~ aA.." ~ Applicant Signat;;;~v- nastasi architects ,_~ 1 \ i,,'( I 7 7 April 16, 2007 i \_.'_~ ; I u~---1 Michael J. Verity Chief Building Inspector Town of South old 53095 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Daley Residenee 8265 Souodview Avenue Southold, NY 11971 Permit #31869Z Dear Mr. Verity, As Architect of record for the above referenced project, please be advised that the Sanitary Pressure Test was performed and the results were satisfactory in accordance with the requirements of all applicable state ordinances. If you have any questions regarding this information, or need any additional information, please do not hesitate to contact me. Sincerely, . - . - Nastasi Architects T 201.653.2577 F 201.653.2642 .".r;::=:':;'~ Q;:~;\':::DN1C.V'~"~ I .< ...\%.~ ",," ' ~;)" '!:,~~~~~i\-\qNY III ~'~ I.tr~~(~l(" ~~ .~ Ii --'/.'" "ill 7 11 'd ~ ~ ~ il....(I.., ~'^....: .*. I ""'J I! I \1" .-t:___ \~;~;~ q~ .. !-tf.: . "'......;,~ ~1~1~.....-:.I\...V '.,v.~ '-~~.1 ,,"~ "'~.(JF h(r~' 321 newark street, hoboken, nj 07030 tel: 201.653.2577 fax: 201.653.2642 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. 31869 Z Date MARCH 26, 2006 permission is hereby granted to: THOMAS & JEANETTE MEYER ~ \ ~ 8265 SOUNDVIEW AVE Q SOUTHOLD,NY 11971 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS PER DEC & TRUSTEE APPROVAL AS APPLIED FOR WITH FLOOD PERMIT at premises located at 8265 SOUNDVIEW AVE SOUTHOLD County Tax Map No. 473889 Section 059 Block 0006 Lot No. 017 pursuant to application dated MARCH 20, 2006 and approved by the Building Inspector to -~_. Fee $ 491.80 Au horized Signature ORIGINAL Rev. 5/8/02 Town HaU, 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: 010& Building Permit No. 3/ Bbq L Owner: i> ])(.i<-A.f.J ])/:...) ( (Please print) Plumber ,If) Jl kJ- PI v,nL~ ../I",-f..'-"J (Please Plint) :::> I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ., --{I- 1'6 . day of. / ;' 20 L/(", DENISE KING Notary Public, State of Naw York Registration #011<16041757 Qualified in Suffolk County My Commission Expires Mav 15. 2 ~ .1 Notary PUbliCc;.,/L~,L County " James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0195C Date April 30. 2007 THIS CERTIFIES that the second-story addition to the existing dwelling At 8265 Soundview Ave.. Southold, Suffolk County Tax Map # 59-6-17 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 10/4/05 pursuant to which Trustees Permit # 6230ADated 10/19/05 Was issued, and conforms to all ofthe requirements and conditions ofthe applicable provisions of law. The project for which this certificate is being issued is for a second-story addition to the existing dwelling. The certificate is issued to DIANE DALEY owner ofthe aforesaid property. ~5r~ Authorized Signature 3)<l~1.2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING M" FINAL 4.'f [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUC11ON [ ] FIRE RESISTANT PENETRATION ~~~ ~ --7 , DATE 3 --I b --0 7 . ~ ok.. h,_~ INSPECTOR /' /"'. 3) l ~ 9 ~ v TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING P<f'FINAL ~ FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ~ RE~s7d~~ ~ ~ ~ ~~t!- 0 ~ 'fX3"O I ~ vi- ~~.~~~ .~ fA- '~Jrt- < ~j ~ ~~ ~~ ffi,.~ ~ci, DATE 11-1.--46 INSPECTOR #r. ~ ~!~ . 3lybtZ- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST N'ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION 94' ~RAMIN~ I STRAPP~NG [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: IAt ~ 3 ~X9' fS ~ .Jr4 ~ fJ.- ~ (\~A~ , ;J~-Ti-~ ~ ~ f- d- t-W;< r~~ I ~ ' C4-6k. ~~ ~ t9K +- ~. vv; , ' DATE '7 -;..) - 0 (, INSPEIfTOR ~ ~ .~~~~/_~4:- ~~, \ ~ an... ~ 317?:>r Z- 5T6 fJ ! vJoi:K ." TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND P(INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ ~ ~ ~-JY ~~~~. ;(- 0 ~ /rf~ K~A. / . c::::::-: 0 ~ \,AJ <1 )>6 III I 0(; NT/ /'II l-(t::: 5/1~c.] ~~1( / -7ChCt~~ ~,~~ , ~ aM-/ ~,t~41\~A. b-/b -~, . ~/J12 DATE INSPECTOR ~/'~ .-::r /lI~ ~~(;('A, c.r-, ~F~~~) ~ 311h/~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION p4:..FRAMING I ~TRAPPlNG [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS. ~ Ai~ _ ~r-- ~'7~- ~ -to- ~ t -- ~ at.ft- LL /7-0& DATE f -~ INSPECTOR "A ~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson MAR 20 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6230A Date of Receipt of Application: Oct.4, 2005 Applicant: Diane Daley SCTM#: 59-6-17 Project Location: 8265 Soundview Ave., Southold Date of Resolution/Issuance: October 19, 2005 Date of Expiration: October 19,2007 Reviewed by: Board of Trustees Project Description: Administrative Permit to convert the second-floor of the existing dwelling to living space, as per plans surveyed by John Ehlers last dated 8/16/05. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the South old Town Code. Special Conditions: Remove dock. Remove unpermitted fence at completion of project, at Final Inspection, before Certificate of Compliance is issued. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. blt..IIJ. ~'(). Albert J. Krupski, Jr., President Board of Trustees I DATE: .JJdy.25....2.0'01 ISSUED TO ........... ...:E~~~~~..{~....~~XJ,!:!l:.... .... .... .............................. ............ Aut1}orti!utton Pursuant to the provisions of Chapter 611i of tile Laws of the State of New Yorl. 1893; and Chapter 404 of the Uaws of the State of New Yod: 19~2; and tfI. SoUthoId Town Ortfinonce en. titled ."REGULATlNG AND THE PLACfNG OF OBS1J,UCnONS IN AND ON TOWN WATERS AND PUBUC LANQS and the REMOVAL OF SAND, GRAVEL. OR OTHER MATERIALS FROM LANDS UNDER. TOWN'WATERS;!!, and In ecc:ordan4e with the' Resolution of The BOard adopted at e meeting held on !...':!:IX.3?........ . ZP.P.l.. end In consideration of the SliM of $....ZOO'..OOi. ... paid by .. !.-.~x8:l:l1:l~f.\..J~~~~...Q1.l .9~half. .af. :I:HOMAS...J.....W;:y:ER-.........._..... . , . of ._.5.!:'Ul.thold.......................................................... N. Y. and S\II(~ to the T6I'mS and Conditions listed on tha reverse ~e hereof, W tof ~Kthold Town'Tl'IISfees authorhes and permi" fttG fGlowing: ~ si~\\~~ ~'ieim~teJfio~~c5f ~efo?tga~~ v!fJ'e 'fon~iAS;ol~~t J~' ..eoIi'; ~. excavttiot or ~ermancy of installation to be place4 in phragmite ~, :t.:rm:e feah an~ upla~d path wUl consist of wqod chips. No ~ g 0 p ragmltes - Just fgr the JiI,llth Dra\llo\ on ~ aU in accordance with the detailed specitlcatlons 8S ~n1i!'iRY ~ . tfIe originotlng appl'IC.t1on. . ~ where path will be -Elaced. i~ IN WITN~S WHEREOF, The said Board of lrvstGes ""re- by eellso. its Corporate .Se.l to be eff1ll6d, .nd tMq. presen" to be sllbwibed by a' Inlllortty of the saki BoInI as ot thls da'.. I . ~.A'7~? f ~~.. ~. ~'/.i~ I. ~ r Trrui", ~..;w"d"'4"~,,~.;::t~,r;~,J:I""~__.-~ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER 1-4738-03549/00001 FACILITY/PROGRAM NUMBER(S) o PERMIT Mm/-. EFFECTIVE DATE 8,2006 EXPIRATION DATE(S) b3 (, Under the Environmental Conservation Law February 7, 2011 TYPE OF PERMIT . New 0 Renewal 0 Modification 0 Permit to Construct o Article 15, Tille 5: Protection of Waters 0 6NYCRR 608: Water Quality Certification o Permit to Operate o Article 27, Titie 7; 6NYCRR 360: Solid Waste Management o Article 15, Tille 15: Water Supply o Article 17, Tilles 7, 8: SPDES o Article 27, Tille 9; 6NYCRR 373: Hazardous Waste Management o Article 15, Title 15: Water Transport o Article 15, Tille 15: Long Isiand Wells o Article 19: Air Pollution Control o Article 15, Tille 27: Wiid, Scenic and Recreational Rivers o Article 23, Titie 27: Mined Land Reclamation o Article 34: Coastal Erosion Management o Article 36: Floodplain Management . Article 24: Freshwater Wetlands o Article 25: Tidal Wetlands o Articles 1, 3, 17, 19,27,37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER Diane & Ed Dalev (201) 653-6610 ADDRESS OF PERMITTEE 916 Hudson Street, Hoboken, NJ 07030 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY Dalev orooertv, 8265 Soundview Avenue, South old COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southo1d DESCRIPTION OF AUTHORIZED ACTIVITY: Construct a second story addition for an existing single family dwelling. Construct a 4' x 80' wood walkway with a wood chip path. Revegetate the area with native plantings. All work must be done in accordance with the attached plan prepared by John Ehlers on 2/10106 and stamped NYSDEC aDoroved on March 8, 2006. " By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Region 1 Headquarters Ro er Evans MEP Bid . #40, SUNY, Ston AUTHORIZED SIG TUR~ Brook, NY 11790-2356 DATE March 8, 2006 Page 1 of 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compiiance or not in compiiance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits or actions naming the DEC and arising under article 78 of the New York Civil Practice laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, iands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is compiying with this permit and the ECL. Such representative may order the work suspended pursuant to ECl 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written appiication to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental Information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal appiication at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook, NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DEe PERMIT NUMBER 1-4738-03549/00001 PAGE 4 OF 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 (FRESHWATER WETLANDS) 1. If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and fiood capacity of the watercourse. No claim shall be made againslthe State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations 'undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 3. All necessary precautions shall be taken to preclude contamination of any wetland orwaterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 4. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 5. There shali be no unreasonable interference with navigation by the work herein authorized. 6. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 7. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302,303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 8. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 9. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. DEC PERMIT NUMBER PAGE 3 OF 4 1-4738-03549/00001 NEW YORK STATE DEPARlMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. Any work, disturbance, and or storage of construction materials shall be confined to within the limit of clearing and ground disturbance shown on the approved plan. 2. Any demolition debris, including excess construction materials and or excess excavated materials, shall be disposed of on an approved upland site more than 100 feet from any regulated freshwater wetland by the close of business on the day such material was generated. 3. Prior to commencement of any construction activities, a continuous row of straw bales shall be staked end to end downslope of any area of fill, grading or ground disturbance. The bales shall be maintained, repaired and replaced as often as necessary to ensure proper function, until all disturbed areas are permanently vegetated. Sediments trapped by the bales shall be removed to an approved upland location before the bales themselves are removed. 4. Straw bales shall be recessed two to four inches into the ground at all times. 5. All equipment and machinery shall be stored and safely contained greater than 100 feet landward of the regulated wetland or waterbody at the end of each work day. This will serve to avoid the inadvertent leakage of deleterious substances into the regulated area. Fuel or otheF chemical storage tanks shall be contained and located greater than 100 feet landward of the regulated wetland or waterbody at all times. If this requirement cannot be met by the permittee, then the storage areas must be designed to completely contain any and all potential leakage. Such a containment system must be approved by NYSDEC staff prior to placement of equipment, machinery or tank storage within 100 feet of the regulated wetland or waterbody. 6. All areas of soil disturbance resulting from this project shall be seeded with an appropriate perennial grass and mulched with straw immediately upon completion of the project, within two (2) days of final grading, or by the expiration date of this permit, whichever is first. Mulch shall be maintained until a suitable vegetative cover is established. If seeding is impractical due to the season, a temporary mulch shall be applied and final seeding shall be performed as soon as weather conditions favor germination and growth. 7. Suitable vegetative cover is defined as a minimum of85% area vegetatively covered and no unvegetated areas larger than one (1) square foot in size. 8. The area shown on approved plans shall be planted as follows with a mix of high bush blueberry, sweet pepper bush, and/or northern arrowwood 3' - 4' in height planted 6' on center. (species, density & survival rate) 9. The permittee shall incorporate the attached Covenant (or similar language) to the deed for the property where the project will be conducted and file it with the Clerk of Suffolk County within 30 days of the effective date of this permit. This deed covenant shall run with the land into perpetuity. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be submitted within 90 days of the effective date of this permit to: NYSDEC, Bureau of Habitat Regional Manager, SUNY Bldg. #40, Stony Brook, NY 11790-2356. DEe PERMIT NUMBER PAGE 2 OF 4 1-4738-03549/00001 nastasi architects February 16, 2007 Construction Code Official Southold Town Southold, NY 11971 Re: Daley Residence 826S Soundview Avenue Southold, NY 11971 Dear Construction Code official, As Architect of record for the above referenced project, please be advised that on numerous site visits and house inspection conducted with the General Contractor, George Fallica of Geo Construction, I have found that the framing for the residence, as well as all insulation installations, to be in accordance with the record drawings on file with your office and as prepared by my architectural studio. If you have any questions regarding this information, or need any additional information, please do not hesitate- to contact me. Sincerely, Ci,~ ... . -...0 nastasl architects T 201.6S3.267' F 201.653.2642 ~. ~ --'" ]21 nt"wclrk stret>t, hoboken, nj 07030 tel: 201.653.2577 fax: 201.653.2642 03/24/2008 14:01 FAX 2018532842 NASTASI ARCHITECTS III 00 1 /00 1 nastasl architects March 24, 2006 fi;-'~I, r i r i' ' \ \ MAR 2 A --~ r:~\ I\l J:p " ,..::,.: Construction Code Official Southold Town Southold, NY 11971 1C\\:' /',',1: '.' Re: Daley Residence 8265 Soundview Avenue Southold, NY 11971 Dear Construction Code official, As architect of record for the above referenced project, please be advised that It Is my understanding that the existing crawl space is built in accordance with aU applicable flood regulations having jurisdiction on the project. Constructed in 1999-2000, the crawl space was originally consuucted as a full basement and as a result of the flood regulations. the space was filled in to a higher elevation (crawl space) to comply with the elevation requirements of the Southold Town Construction Office. If you have any questions regarding this information, or need any addltlonallnforrnation, please do not h~sitate to contact me. ~~. J~ N~1. Architect - . ~ ~)1 newark street.. hobolcen, oj 1.')'030 tel: 201.6.53.2577 fax: 201.6Sl.2642 z 4-X1,-o rJ",r- I\b.J IL ~71...^".'4 1_-,,_. ~._1 r:/0P ..",,] -&e.-'ft....." 'J...J..' f)1t!;-h ' DA ~j V (S-,?3 -0 -- ~ -"^ ' 4 A\.-,. V ",jrJ~" /lIS _ f" '" (~.L J-.DA' U..4.. J7J,..)llJ~.... //" 1.1\ ~ AbA11l^ .ro. -LJ ~ ~crl., ~ ~V' ~ ,# ~A (~.d ~~.^-,-.),AJrzd-l::;;.. <A' ,9 R../f- r~' ^ _-I" d.;7..../ 6.-VhO Y AR...15 go, ( ()/~ v "Ij~ Z I .~. I' P- ~ tJf\ I Y"~ tv."..,-;z o~ ~ It'~ rI- ~ ,,;7"0 IAI ,711. PJ. n ~()/~ U. ~jIlA, '^~Ji1'(.., ~. ;~ -I~-~ Do /lct7 ~,vT7/(Jt{ ~ -"-!e:-'PT.n ~ ~ f1 ' U. T. v A.J1P /I i. Il ,'h , d.Nz.. A/J... W f,;; INSULATION PER N, ._.. VA 'oC' . ". "" STATE ENERGY CO ') """'- "'/'I bt.~ P--... R-Jr ~ ~ I ._,'/ " /"~-t/.......... ' g '-.;: Jf? 30' .J~tl-,,;[ tK.' 5'ro P Wt7..t'f\ " +'j? a-tX. RA- /./ /".1' f 6"........,,//' ~~ - ~ ^ "A.///t7"L f. _, fA If of J':fl L..a.. OK, ..........-y- ~'fj/. ~ ci-- '----r I\-/-obll AI n n.l , ~ 77\ -/-rr",. "U , .n. 'TTi..... " 1\0..11 'J.': " {i^ .. n..f, Tn.:.'^ D. - ... '.1> '\ 7 [5::. ^ n U_' 1; ::. rO,A 11 !:-,q ).M '.I. ."./ A. T;' [:\. ,J... - iJ-;,V t,,: ~ rJ7'V: J__~ I'r= .., H r, I A' , ..A! L ~/1 /J' v . ~ /A 4~' (.-J.Lt.- /.. '\ J:- ,'" 13-/fr4 7':: - _IJ r -:-" W" of( _ il, ~ ' d ~ I '7 ~ F'~/J\N~ ~ M'.~' ~v . .mDmoN~coMMENTS ",.y N f ~ .A ~ .A. e>/"f"~ ,/ // ~~c<r I . o~.~01t~t~l~ E, If ~ ~ Q . ~ >t- v -Dl"l ~~~ <l'- ~. '''''~ o - ..j ~ ~ z~i -",,'[ .b;~ ~~ ~ ~. FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (lSn FOUNDATION (2ND) ROUGH FRAMING & PLUMBING FIN~ '\. / ~ \fJ r 3 - -;-<..p e> J, tU,1.d", ~-Jfro'7 Jfj) ceAt, fi: 1/. ~ " (7 4 l)J"ll l"l ~~ -.S:\"" "" ~'-;Pd t:=~.", ~I v\.,\ '- TOWN OF SOUTHOLD mJILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 MAR 2 0 TEL: (631) 765-1802 FAX: (631) 765-9502 m. nnrthfn:z:"'nldJ (PERMIT NO Examined ,20_ Approved , 20~ Disapproved ale 5/8'61Z BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans .-/ Planning Board approval Survey /' Cheekdt 1,;10 '?, ~i'P';r~ .. _ C N~~t~~~ ~ J.f1/'~0365 - Contac : ,20#- Mail to: Expiration Phone: Id/- :15<; -9'7~3 APPLICATION FOR BUILDING PERMIT \, Date / ,20~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 se,:s 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 art.~s, and wateIWays. c. The work covered by this application may not be commenced before issuance of Building Permit. " d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an \ addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or molition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housi c , and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. iu.- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder /-RJ,~Q) C'cw ~(?(4>;ftIJ Name of owner of premises f' DLJ".~d ,J.-/) I~ 'DctL~i (As on the tax roll r latest deed) If app . t is a corporf~e of muthorized officer (Nam d title of corporate officer) Builders License No. .A 1 ~ 4f < Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on w\li.ch proposed work will be done: '1> ~<) 'jcU..:..J.V~ ~Ii ~ House Number Street ~JJ Hamlet County Tax Map No. 1000 Section Subdivision ~q Block'" ", ,,~,,~ Lot ~. ., I ~ Fil d>.4 :"". r~!ll'~Ilf.N.9.i-. .' ':OJ ... , "~;;"I.IIo. ~!,':~1~ 1\.)"~2.lrnn;:.n 1'7 Lot (Name) ~. . 2. State existing use and occupancy of prwises apd i l(nded use and occupancy of proposed construction: a. Existing use and occupancy /'\1. Ide ,... b. Intended use and occupancy 12~s I J e tV i( tI L 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ) q '" I rmv ( 5. If dwelling, number of dwelling units I If garage, number of cars J Addition OtherWork AD/) Alteration ~ J. rr.cI Fl..ao~ (Description) Fee (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. ~/;l f 7. Dimensions of existing structures, if any: Front f)'1 Heigh'tfP.o 3. f " Number of Stories ~ Dimensions Jf same structure with altera io s r additions: Front ~ r' Depth /<.) / Height' 0 Number of Stories 8. Dimensions of entirt;)1ew construction: Front 1-/3 I Rear 50 / Height :3 3 J ~ Number of Stories &-.- Rear /03, g" Rear 50 I Depth? 5 Rear 50 ;L- rl I Depth ~ 9. Size oflo!: Front~1 10. Date of Purchase ' (/\ Depth '325'.1(, '. Name of Former Owner . . 11. Zone or use district in which premises are situated 12. no" propoood 00"""""" "i,I,'" ooy oo,i" 1=. ,,'inoooo " re1<"Iotioo? YES_NO ,,/ I 13. Will lot be re-graded? YES_ NOV Will excess fill be removed from premises? YES_ NO-#-~ , " Ibfx,l<itJ. _ I 14. Names of Owner of premises ~I'\''''''.,j i,/ 'thIN Address-.1!.4: J4()j~,jf Phone No. Oltl/ -/'s3 - (. t /7) Name of Architect ~}~~AddreSSlll~05~~honeNo tf(OI "B' ~r77 Name of Contractor S . II).. e',..CW,xt""Address ~ g k)l, l Phone No. ~ ~ j - o1ljS-cn~ '( 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 .s u He L) (~('~r-(' <1 e. II r:CL Llt C't\..., being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, Ccnlvl:U:. h.Y-- (Contractor, Agent, Corporate Officer, etc.) (S)He is the 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 knowledg an belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ,...- ~9~ ~f ~~uo~ (~ . 1-. Notary Public CARO.\. BESJg;YaIk NolI"~.71 CluIIIfiI!!' SUfl!6. Can\lliltIMI2:Ar:,-1 2lI01 ,I ~3} &)<7" -: ':........ , ~ ..... .' JlJ:':crsrnA..n Or- VlT^L ST^TlSllCS MflnnlAGE Qr-rtCEf1 IlECORlJS MANAGEMENT OITICEll mEEDOM OF INrONMTION OrrlCEn !"Ilwn flail. ."I.lOl/:\ t"'httl r.o. n..., 117Q Sllulhnltl. Nc\.....yur~ . FJX L') 1(11 7fl.'-11t "\ Tclcrh()(\c i.'\I(II1(I.C,~ . " J'tiP'lTH T. TERRY , tOW1'l CLEM OFfICE Of THE TOWN CLERK TOWN OF SOUTH OLD THIS 'S TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOlD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under We Flood Damage Prevent regulations ..1 OJ the Code of the Town of Southold: 7,pplication" [FDP(93)), and ('Certificate Special Flood Hazard Area [c"/C(93)]. "Floodplain Development Pe rmi t I i ~?fr Deve;/pmen t in of Compliance rQli1; 1,0;-,~~--~ I~~i .... .. ~-1 , ", I' ~, 6~\:i. Oc.?Y TO,^:~ OF SOLm IOLD r/"A~~ - ~hT.T~ Southold Town Clerk August 25, 1993 !- ", " ., ..' " APPUCA TION (/ r^GE I O( 4 TOWN OF SOUTHOLD fLOODPLAIN DE\'ELOPMENT PERMIT APPLICATION This form is to be lilled out in duplicate, ~ , SECTION 1: GENERAL PROVISIONS (APPUCMIT to read and sirn): L No work may start until a permit is issued, 2. The permit may be revoked if any frue statemeat< are made herein. 3. II revoked, all work must cease until permit is re-issued. 4. Developmellt shall oat be wed or occupied until a Certu.ClIle of Compuance is issued. 5. The pennit will expire if 0'0 work is commeaced within sO: moaths 01 issuance. 6. Appucant is hereby Wormed lhal other permits may be required to fulfilllocaJ, state and federal regulatory requiremeats. 7. Applicant hereby gives consent to tbe Local Administrator or his/ber representative to make reasonable . inspections required to verily compliance. . 8. 1, TIlE APPLICANT, CERTIFY TIIA TALL ST HEREIN AND IN A TIACHMEJ'ITS TO . THIS APPLICATION ARE, TO BES M OWLEDGE, TRUE AND ACCY~TE. (APPUCANT'SSIGNATURE) ..J-tY' DATE l3~1LO~ . NAME ADDRESS TELEPHONE APPLI BUILD ER ENGINEER PROJECT LOCATION: To avoid delay ia processin~ tbe ,ppUcllion, plcase provide enoug.b information 10 easily jdeotify the project location. Provide the street address, lot numbor or legal description (al1ach) and, outside urban areas, tbe dislancc to the nearest intersecting road or VlCU-kno\110 LllidroarK A sketch attached to t.hh applic.alion sbowing Ihe proje4:~~:;oWd bCS": ~ \) ~,u.) ~ 0<2-, ~ ",dJ --- --- --~~-- FDP( 93) '.' . \\. ;\ ;". .' APPL/CA TION I! PAGE10Fd DESCRIPTION OF WORK (Chtck all appuCJbic boxes) A STRUUURAL DEVELOPNENT ACTIVITY STRUCTURE TYPE o New Structure 8l Additioo o fJleralioo o Rdocation o Dtmolitioo' o Rtplacemtnl J!. ResidtntiaJ (1-4 FamUy) o RtsidtntiaJ (Nort tha.o 4 FamUy) o Non-rtsidtntiaJ (Floodproofl11g' 0 Yts) o COlDbintd USt (RtsidtotiaJ & CommercUl) o Manuf.clUnd (NobUt) HeIDt (In Ma.ou- faclurtd HOlDt Park?, 0 Yts) p EST[MATED COST OF PROJECT S B. OTHER DEVELOPMENT AcnVITIES: , ",..,-! o Fill 0 Mining 0 Drilling )Q.Gnding o Excavatioo (Exctpt for Structural DeveloplDent Cbtcked Above) o Watercourse Alleration (locludiog Drwging aod Channel Modifications) o Drainage [mprovemeots (locluding Culvert Work) o Roa;ij~ Street or Bridge Construction o Sutuvision (New or Expansion) o ~ilividual Water or S~wcr Syslcm o Otber (Please Specify) . } , , / After completing SECTION 2, APPUCANT should submit form to Loc.aJ AdmLnistraror (or review. SECT[ON); FLOODPLAIN DETERM[NATION rfo be com Dieted bv LOCAL ADM[NlSTRATORJ Tbc proposed dcvdopmcn{ i.s located 00 FIR1v{ Panel No. Dated The Proposed Devdopmeot: o Is ~ located in . Special Flood Hazard Area (Notify the applicant that the appUcatioo review is compltle and NO FLOODPlAIN DEVELOPMENT PERMlT [S REQUIRED). o Is 1000ted in a Sptcial Flood Hazard Area, FIRM LOn.e de.."lfPlation is rOO-Year Oood elevalion althe Slle ts: FL NOVD (MSL) o Unavailable o Tbe propo,~cd development is louted io a noodway. FE F'M P:UJcI No, Dated OSee Scclion ~ (or .ldctilional iOSlr\JClioo.,> SIC~fED DATE " t.> , .... ',' , . ,I I APPLICATION >'I PAGEJOF~ - SECTION 4: ADDITIONAL INFORMATION REOUIRED (To he comnlcted bv LOCAL ADMINISTRATORj The appucant must submit the documenls checked below before Ibe appucH;on can be processed: o A sile plan showing tbe location of all crisLlng struc(urcs, water bodies, adj~cCD{ roads, 101 dimensioll5 and proposed development. o Development plans, drawn 10 SClte, and specifiCll4:JrtS, iodudio~ wbere applicable: details for ancboring structures, proposed elevalion of lowest Ooor (induding base meat), types of water resistant materials used below tbe rust noor, delw of Cloodproorwg oCulililies localed below the HrSl Ooor and details of eoclosures below Ibe rlfSl OOOL Also, o Subdivision or otber development plans (If tbe subdivision or other development exceeds 50 101S or 5 acres, wbicbever is tbe lesser, the applicant !!llill provide lOO-year Oood e1evatio;\S if they are not otberwise available). o Plaos showing Ihe extent of watercourse relocation wd/or Iwdform alterations. o Top of new HIJ elevation Ft. NGVU (MSL). o FloodprooHng protection level (non,residential only) Ft: NOVO (MSL), For Ooodproofed stnJctures. ;~ppijcant musl attacb certification from r~gistered engineer or Lo / ' _ arcwlec1.' I ,1'- o Certification [rom a-r:gislc.red engineer thaI the proposed acti~{? in a regulatory fioodway will 001 result in.~ increase in the height of the loo-year nood. A copy of all data aDd calculations supporling tllis rlllding must also be submitted. o Otber. SECTION 5: PERMIT DETERMINATION ITo be comDlcted by LO<':AL ADMINISTRATOR) I have determined tbaltbe proposed activity: A. 0 Ls B.O I, nol in conformance with provisions of Local uw t , 19 The permit is issued subject to Ihe conditions attached 10 and made part of this pennit. - SIGNED ,DATE If BOX A is chcc~cd, (be LocaJ Administrator m~y ISHJC a Dcycloprl1cot PCmlil upon payment of desig:na(cd fee. If ~OX B is checked, tbe Local AdmirUSlralor wiJl provide ~ '#filleD summar)' of dcrlcicncic.s. Applicant may reVIse and resubmit all appljc.ation 10 the Local Administralor or may request a bearing from tbe Board or Appeals .....t '" " APrLlCA TION ~ PAGE 4 OF , APPEALS Appealed to Board of Appeal,? 0 Yel 0 ~Io Hearillg dale: Appeals Bua. d D(..\"~;ou --- ApPl VVl..d? 0 Y (.~ 0 ~'e Cooclitlons SE:CTJON 6: A.,).DlJILT ELE:VATlONS fTo be submilled bv APPLICANT before Certificate of Comoliancc is issued) The foUowiog informatioD must be provided (or project structures.. This !>CctiOD must be completed qy a regislered profession.l engineer or a ticeDSed land surveyor (or .ttach a cerlilicauon to lhis application). Complete 1 or 2 below. L Actual (As-Built) Elevation or the top or the lowest C1oor, including basement (in <Aastal Hi2h Hat.3'rd Areas. bottom of lowest structural member of the lowest C1oor, excluding pil1ng and columns) is: FT. NGVO (MSL). L . " Actual (As-Bu~t) Elevation of C100dproofwg protectioD is FL NGVD (MSL). I " . ". j i ) ._1 NOY: Any war. performed prior to SUbmitlj'bf the above informatioD is al tbe ris~/)f the APj':c.aol. / ) ,_.. SECTION 7: COMP[,IANCE AcnON rro be comoleted bv LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete tbi5 section as applicable based on inspectioD of the project to ensure compliance ...nlh the community's locaJ law for fiood damage prevention. INSPEcnONS: DATE DATE DATE BY BY BY DEFlCfENOES? 0 YES 0 NO DEFICIENCIES? 0 YES 0 NO DEFlCIENOES? 0 YES 0 NO SECTION 8: CERTIFICATE OF COMPLlANCErro be comnleted bv LOCAL ADMII'HSTRATOR) Cerlilicate of Compliance issued: DATE: BY: " " , '. . , .' " A.ttachment B / / ; 8A.MP/GE CERTIfiCA.TE fF COKPLIANCE , /' for Development in a special Flood f1azard Are~ -'. '. '., II /. ! I,. j{ , , ", .' '. , TOWN OF SOUTHOLD .. CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT [N A SPECIAL FLOOD HAZARD AREA (G-Wf>IER MTlST RETA IN THIS C:ERTIFICATE) , PERMIT NO, PERMIT DATE PREMISES LOCATED AT: CHECK ONE: o NEW BUILDING o EXISTING BUILDING o VACANT LAND OWNERS NAME AND ADDRESS: ) -, i / j / ( / /) / TIlE LOCAL ADMINISTRATOR [S TO COMPLETE A, OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIfIED WITH THE REQUIREMENTS OF LOCAL LAW # .19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WIlli TIlE REQUIREMENTS OF LOCAL LAW # .19_. AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: C I C (93) 00/21/2000 OO:~O ,AX 2010~o2042 N~~I^~! ^K~H!lt~l~ 19JVU.!/UUO Penni! # Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title; Daley Residence Report Oats: 03121106 Data filename: G:\200510513oDaloy\REScheckldaloy.rck Enotgy Codo: New York Slate Energy Conservation Construction Cod. Suffolk County. N_ York Deteched 1 or 2 Family Non-EIoctrtc 22% 5750 Location: ConotrucUon Type: Healing Type: Glazing Area Pert8ntago: Heating Degreo Pays: Construction Sjte: Pennit Oate: oct 4. 2005 OWner/Agent: Des~ner/COnIr8Clor: Gt"!11pfl.onco Passes M;J)(lrnulll UA 243 YI)l,.:f Horr-" u^ 225 :.7.4"/<1' BeHer Than Cada (UA)..:::.. .' AS31,;rntJly ..... Cellln!;t 1. '';::;,Oledral Ceiling (00 attic): Skylight 1: Wood Framil;Oouble P.tine with Low-E: Wall 1 : Wood ~rame, 1611 D.C.: Window 1: Wood Frame;Double Pane with Low-E: Window 2; Wood Frame:Double Pane with ~ow-E: Ooer 1: Glass: " Floor 1: Ali-WoOd Joi.VTruss;Over OIrtside Air: Roar 2: AII-Wood JolstlTruss;OVer OUtsido Air: Furnace 1: Forc.od HOI Air. 85 AFUE Air Conditioner 1: Electric Central Air: 10 SEER 1821 18 1210 212 37 19 533 80 19.0 0.0 61 0.280 5 0.0 57 0.280 59 0.280 10 0.280 5 0,0 25 0.0 3 30.0 19,0 30.0 The proposed buikling represented In this document u; CXH16i.tent with the building plans, specifications. and other calculations submltladwith this permit appliC8tion. The proposed systems haw bun doalgned tc m..t the New York state .Energy COf'\$8fVation Construcllon Code rQQuiremctnts. When. Registered Oe$ign Professional has stampod and ~Igned thi& page, they are attesting thfit to the best of hlslher knowledge. bejief, and profeEi6ionel j. \(lgment. such plans Dr specifications are In compll;;&r\CQ with Ltm. CodQ. ~ .. _ lti- Bvil eslgn&r ~ '-'''-'''!.l .... .... '1 Company Name ~nea- ~.ZI.o" Dale Project Notes: Pnilvlouldy IMiIved project information: Di""" And I;dward Daley 8266 Sound VieW Avenue Soultlold. NY 11U71 NasUUH ArchitP.cb J21 NOWArk Street Hobokon, NJ 070:10 . .", l'. .' .. ~ Ii ,:.: ' ' (. ~ '! 03/21/2006 09:03 FAX 2016532642 NASTASI ARCHITECTS Iti 00 1 nastasi architec:ts ~__ A _ C S I MIL IE T II .4\_.tt S MIS S ION To: Southold Building Department From: John Nastasi Re: Daley Residence 8265 Soundview Ave. Southold N.Y. Date: March 21, 2005 0$ Pages including this cover Attached please find the revised New York State Energy Code Compliance Worksheet for your review. Sincerely, John f;. )A- " . John Nastasi n a s t a s i . r chi t. c ts 321 n.....k .treot, hoboken, nl 07030 tel, 201.653.2577 f." 201.653.2642 03/21/2006 08:59 FAX 2016532642 NASTASI ARCHITECTS ~ 003/005 V1 REScheck Software Version 3.7.3 Inspection Checklist Dal..: 03/21/06 Ceilings; [J Ceiling 1: Cathedral Ceiling (no aWe). R-30.0 cavity insulation Comments: AboveoGrade Wall" o Wall 1: Wood frame. 16" o.c.. R-19.0 caVity insulation Comments; WIndows; U Window '1; Wood Frame:Double Pane wilhLow-E, U~factor: 0.280 Forwlnd(\W6 wifho~t labeled U-factofS, describe features; #Panss_ FraTe Type Therml'll Break? _ Yes _ No Comments: ----.-M ., [J WIndow 2: Wood Frame;DDuble Pane wi'" Low-E, U-faotor; 0280 For windows withour labQled U-fiIctono, deeoribe features; #Panes _ Frame Type Thennal.Break? '- YePil ~ No Comments: I Skylights, o Skylight', Wood Frame;Oouble Pane wi'" Low-E. U-t.ctor: 0.280 1tPanes _ Frame Type _,. 1'l1erm81 Break? _ Yes _ No Commonts: _',. , Doors: U Door 1, GI.... U-IaelDr; 0.280 Comments: Floors: Cl Floor 1; All-Wood JolsllTr'uslii:OverOutside Air, R-19.0 cavity insulation Comments: Q Floor 2: A1IMWood Jolsrrrru$S:Over Ol,ltside Air, R-30.0 cavity insulation Comments: Heating and Cooling Equipment: L.J Furnace 1: Forced HOI Air: 85 AFUE Dr higher Make and Model Number: U Air ConditionClr 1: EIQC1ric CQntrcil Air: 10 SEER or higher Make (ind Model Number: _, Air Leakage: U Joints, p~metr3~ions. and ~II othet such openinqs in the building envelope [h~[ arQ $Owt:YJ:j or air leilk""Q& must be ~eRled. o R{:~sSQd lights must b.!: 1) Type Ie rated. or 2) inclCIllad irl~jue.n llIpproprilltE!: air-tiuht assembly wilh a O.5u clearance from combustible nli."reril'lI$.lr non..le lC.llHd.the fi:dure must bl'! il1~'llllf.!d with a 3"clc~r~II1Cu In.'If" inl:iuICJlion. Vapor Retorclc,: 03/21/2008 09:03 FAX 2018532842 NASTASI ARCHITECTS 14!1 002 "'- Permlt# Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: Daley Residence Report Date: 03121106 Cala filename: G:I200610613-Daloy\RES,*,,,,,kldaley.rck Energy Cod.: New York State Energy Conservation ConelfllClion Code Suffolk County, New York Detac:hed 1 or 2 Femily Non-l:leC:lric 22% 5150 location; Construction Type: Heating Typo: Glazing Area Porcenlage: Headng Degree pays; Construction Sit8: Permit Dale: 0!14. 2005 Ownar/Agent: De.~ner/ContraClOr: ~tlm!lhaJJ';e"J:lasse.s M:;:!;tJmlJn1 U^ 24-3 Your) tomu UA. :225 ~~:'1,4!t/" Bener' Tnan Cods (UA) . > As.s.embly ..... Ceiling 1: Cathed,aj Ceiling (no anic): Skylight 1 : Wood Frame:Double Pona with Low-E: Wall 1; Wood Frame. 18" O.C.: Window 1: Wood Frame:Double Pane with Low.E: Window 2: Wood F"ram.:Oouble Pane with Low.E: Door 1: Glass: t. Floor 1: All-Wood JolstITn.Jsti:Owr Outside Air: Roor 2: All-Wood JoistITruss:Qver OUIslde Air: Fumace 1: Forced Hot Air: 85 AFUE Air Conclltloner 1: Elecbic Cenb-al Air: 1 0 SE~ 1621 18 1210 212 37 19 533 80 19.0 0.0 61 0.280 5 0.0 57 0.260 59 0.280 10 0.280 6 0.0 26 0.0 3 30.0 19.0 30.0 The proposed building represemed In thIs documant is con&istent with the building plans. specifications. and other calculations submitted with this pormlt appliCiillon. Ths proposed systems have been doslgned to meet the New York. stAte Energy Conservation Conliitruction ,':ode requirements. Whon a Reglsl8red Oe6ign Professional has stamped and signed this page. they are attesfing that to the best of i1lslhQr knowledg., belief, and professional Judgmenl. $uch plans or specificfltions are in compliance with this Code. ~ .. .....- -...-4F _B~liI esigner - ~ ~~ ~Ite's:r.. '?. ec .0," Company Name Date Project NC'ie.~: Pr6\1iously saved project information: Diana R'nd Edward Daley 8265Souncl View AVQllln:l Southold. NY ~ 1971 Niiu:bu;l ArchitElFts 321 NQw:lrk Street Hoboken. NJ 07030 :'}', . ..' .;.;" ~.. i;:l: " :'( ...'.,. 03/21/2008 09:04 FAX 2018532842 NASTASI ARCHITECTS ~003 REScheck Software Version 3.7.3 Inspection Checklist Date: 03/21/06 Celllnga: o CelUng 1: Cathedral Coiling (no attic), R-30.0 cavity Insuiation Comments; Above-Grade wans: U Ws1l1: Wood Frame. 1S.o.c.,A.-19.0 cavity insuladon Comments: Windows: U Window 1 : Wood Frame;Oouble Pane with Low-E, U-fllclor. 0.280 For windows without labeled U-f-dctors, describe features: IIPanes _ Fra'Pe Type _ Thermal Break? _ Ve. _ No Comrngnts: o Wlnd~2~ Wood Ffilme:Oouble Pano whh Low-E., U-fliilctor. 0.280 FDr windows without labelQd U-f.actOrli, describe feah.tres; ",Penes.~ Frame Type Thennal Break? _ Ye5 _ No Comments: I SkYlilt' $: o 510:1'09/'. . Wood Frame;Ooubl. Pane will> L.ow-E, U-lactor: O.~80 #Pant:s __ Frame Type Thermal Break? _ValO _ No Comments: , Doors: o Coor 1: Glass, U.factor: 0.280 Comments; FloD": U. Floor 1: Ail-Wood JolstITruss;Over Outside Air, R-19.0 cavity insulation Comments: U Floor 2: All-Wood JoisVTruss:Ovor Outside Air, R-30.Q cavity insulation Comments: Heilting :and Coaling Equipment: CJ Furnace 1: Forced HC:ll Air: 85 AFUE Dr higher Make and Model Number: U Air Conditioi .er 1: Electric Contral Air: 10 SEER or higher Make and Modol Number: Air l.eefc'o"c: o Joints. pcnctrmlons. C1I1U .i::lll other !=iUch openings in the building Emvolope thCll are SOIJT'CeS of Air leakage must be sealed, U R8C6t1l".d light51 mU$t be 1) Type Ie I,QlGd. ", 2) ifllililHlld insici. an ftpprnprifttft air-riohr llIfl6embly whh DO,S" clooroncc: fU';,lIr'l combus1ibla n'latf;fri3te. If non Ie r~ootJ. lhe Iixture must be installen with" 3" cle3rol'lcc from i"Soulot(on. V3por Retarder: I.J r~C'..1l'i'l:id ':,~'l ~r'~; .',;:l-'m.j,-,. ,vi"";"'f :Ilir::& <~f <):1 "IC~ '-~dn'"".' II ~'lr:Hd :.,\';1':-:".. '.'.';;,I'~., :"lIirl "I)(V~ 1",.I'.;,.;...i",. . ,"," 03/21/2006 09:04 FAX 2016532642 NASTASI ARCHITECTS il!I004 Malerial& Identification: U Material.s and equipment mU$t bti installed in elccordancewlth the llIanufacturer's installation instrUctions. o Materials and equipment must be identified so that compliance CAn be detennined. o ManufaclurE:tr manUolils for all installQd heating and cooling equipment and $aNa water heating equipmenl must be pfovided. U Im;uI8tionR-values. glazing U-f;actOl1l. end heating oqulprnent trfficiency must be clearly marked On the building plal'1$ or specifications. Duct Insulation: CI Supply duel< in ulll".onditioned attics 01 oulI;ide the building muSl b. in.ula.,d to R-8. U Retum ducts in unconditioned attics or outsk.la the building must be insulatod to R-4. o Supply duclH in unconditioned spaces mUll be Insulated to R-8. lJ Return ducts In unconditioned epac:ea (OXCOpl bDMments) lTluet be inaukned to R- U Return ducts in unconditioned spaces (except basomenUi) m,:!st be insulated to R-2. . In,uletion is not NqIJired on retum ducts In baSQflMtntJi. Duct Construc:tlon: U All )iJints, seams. and connections must be securely faswned with welds. gaskets. mas!lClii (adhesives), ma.llc-plu....mb.dded-fabfle. Otlaptlli. Tap.. and mastics must be r.otod UL 181A or Ul181B. E"".pUor', ConllnuOlJ.ly welded ond locldng-type longitudinal joints ond ....... on duots operating all... lhan 2 in. W.g. (500 Pal. o The HVAC system must.provide a means for balancing air and water systems. , T.mporal..... Contrvl"i I o Each dwelling unil has at !esat one lh.rmoatat capabl. of automatically adju.ling the .pace temparalU.. s., point of the largest zone. EI.ctrlc System" o Separal.e Qlectric meters are required for each dwemng unit. Flrep~i~'-": U Fire~ ~-:,.'s must be installed 'with tight fitting non<ombu$tlble flr8place doors. CI Flrepl~..."s i nwol be provided with a source of combu&lIan Bfr, 85 requk'ed by me FITQplace com.1ruc:tion provisions of the Building Coo. of'.\Isw York State, 'the R(J&ldQn~/Code of New York State or tho New York City Building Code, 8S applicable. Service Water H.atlnll: D Water heaters with vertlc;al pipe risors mUSl have a heat trap on both the inlet and outlel unla5ti the wl!Iter heater h8~ an integral heat trap or is part of. clrculallng Sly.tam. o Insulate circulating hot watar pipes to the levels In Table 1. Circulating Hot Wilter Systema: U Insulate circulating hot water plpos (0 lhe leve'. in Table 1. Swlmnllng Pools: o AJI healed swimming pools must hQ'vQ an On/oU heater switch and require a coven unlelOs over 20% of the heating energy Ii from non.odepletsble 8ources. Pool pUrllJ.l5 rlIqulre i1 tlm& clock. Heatin~ and Cooling Piping Insulation: o HVAC piping conveyIng nulds above 105 dQgr"Q~ F urchilled "uids below 55degrElEls F "lUst be in!'iulated to the levels in Table 2. 03/21/2006 09:04 FAX 2016532642 NASTASI ARCHITECTS 1tJ005 Table 1: Mlnim~m Jnsularion Thickness for Cirr:u"ting Hot Walef Pipes I~sulatlon Thickness in In~mel by Pip. SI%e& Non-Cir~~la1in9 Runouts Circ::ulating Mains and,!!,unouts. Healed W....r Tomperatur. ("F) 17().lBO 14ll-169 100-139 Up to '" u~ 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 Thlckn8S& for HVAC Pipes Piping System Types Heating Systems Low ProssureJTamperature Low TemperaliJra SfElam Condensate (for foQd wilter) Cooling Systema Chilled Water, Ref,lg&rant and Brine FluId Temp. Range("F) Insulation ~hlckn..s in Inches by PIP...Slze. 2" Runouts 1" and Le:ii15 1.25"'02,0- 2.S" to 4- 1.0 1.5 1.5 2.0 0.5 1.0 1.0 1.5 1.0 1.0 1.5 2,0 0.5 0.5 0.75 1.0 1.0 1.0 1.5 1.5 201-250 12ll-200 Any 40-55 Below 40 NOTES TO FIELD, (Building De!l"rlment u.. Only) l -,.".~. :'1'" ,