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HomeMy WebLinkAbout32573-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32505 Date: 08/06/07 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1895 (HOUSE NO.) County Tax Map No. 473889 Section 87 MINNEHAHA BLVD (STREET) Block 3 SOUTHOLD (HAMLET) Lot 53 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore NOVEMBER 27, 2006 pursuant to which filed in this office dated Building Permit No. 32573-Z dated DECEMBER 15, 2006 was issuedl and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH COVERED PORCHES, COVERED BREEZEWAY, ATTACHED TWO CAR GARAGE AND SECOND FLOOR BALCONY AS APPLIED FOR. The certificate is issued to LARRY B & JOAN M KULICK (OWNER) of the aforesaid building. 07/12/07 SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-06-0053 07/25/07 ELECTRICAL CERTIFICATE NO. 126656 07/23/07 DENNIS FRANKS PLUMBERS CERTIFICATION DATED ~hO~ Rev. 1/81 ", ~\ JI! Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ru, (@,t.LWJ. . , ~ ',: :/ t' AUG ~7 2007 ! ! ~~tf.i-ti.e-~01l0w.Jllg;'~ APPLICATION FOR CERTIFICATE OF OCCUPANC This application must be filled in by typewriter or ink and submitted to the Bnilding Depart 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 2/1 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: l. 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 teasons 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. 7. 2. 7 - /J ,7 New Construction: Owner or Owners of Property: J"no>'l Old or Pre-existing Building: fl? ; 1?v1f' hI> 4 ~ f) /v r:/ . Street L ~",..'-/ IJ. Ko ~'r/'\ I I . Block 0 '3 - (check one) Location of Property: So u J..j, tr 1/ Hamlet Suffolk County Tax Map No 1000, Section f1? I<- f7 Lot ~'i - Subdivision Filed Map. Lot: PemlitNo. :7 J. 7? '52: Date of Pen nit i.2 -fJ-rJ,t" Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: / (check one) Fee Submitted: $ ,zJ., - Ci.o e5;J.5DS' Ctv \)-<1 &1 ~ III ~,f;<:~ Applicant Sic ature LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC. Application No.: Permit Number: 126656 325732 Lot: 053 670 MIDDLE COUNTRY ROAD ST. JAMES, NEW YORK 11780 (631) 265-3075 Fax (631) 265-6057 Owner: -Kulick Residence Address: '-1895 Minnehana Municipality: South old OwnerPhone Blvd. NY 'No. o o 2 3 o o o 1 1 o 6 o o o 3 4 67 o o 40A 30A 1 4 1 1 1 o o LOCATION OF WORK: ~PJ1'l!'he~ts New Residence Final 7/25/07 r{;'f'i(j(jitions OH 0 UG Ii'I Amp: 200 Block: 0003 Section 087 Agent: Address: Triangle EI!i'ctric: Post Office Box#61 Sl. James NY 11780 License#: trian Agent: ITEM SubFeeds: 'Timers: Transformers: IAc:EqOipment.Central: r~9J:qLliprnentWindow ;~otorsbyHP: o o o o 1 o o 1 o o CLII 30,20,20 0", o o o o ~SecpndFloo ~ Outside 0 ~ Phase: 1 Volts: 240 WiraTypa: AL Conductor 4/0 .# Meters: 1 Member I.AE/. 126656 Certificate Issued on: 7/25/2007 Issued to Address: Kulick Residence 1895 Minnehana Blvd. Southold NY Certificate No. Triangle Electric Post Office Box #61 St. James NY 11780 IAEI Certified Inspector Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 flli( :~; ;c~ \001 !~.,."c,- """"'~ tJ "l ' mww\il.UlGIr ,l.,' , il . 1WWJfII<ll1f~~"_ I BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: 7/:23/0'7 I I Buildipg Permit No. 3~5 73 2 Owner: KUl.-IC--I(. i-,<J'/('R. Y 1 JOA A.J (P1ease print) Plumber: PEA/NI,J rKA-"J-ts (Please print) lead. I certify that the solder used in the water supply system contains less than 2110 of I % ~~ ~ 33YCJ-~r , (Plumbers Signature) Sworn to before. me this 010#1 daYOf~, 2001 G~~ eT;:)-Jh / / Notary Public, County BEATRICE E. GAUO Notal}' Public, Stllte of NeweouYo!t No.01GA6090735,~ u.'" Term Expires April 21, 20' N ~ 2 ~ \1> ~ \:xl o ~ t-' tz1 -< \1> ';0 l::l ~~ ~ ~- ,0 \ O. \rT"I , ~ x\'" cl x\1 '_'1"1 \\ \ x\ FE 'E 2.6 SCDHS Ref. # R/ 0 - 06 - 0053 W ABU~JRT ROAD NB7'26'00"E STREET DIRT ROAD ASPHAL T 145.00' FE 1.0'E X: x eLF. , SPLIT RAIL NeE FE D.t'W z d ~ \ FE _ O.6'N :-' \' 1.4'W....'!. Z \ tJFR. ~ ~ ~. SHED o 8.3' ~z \ gs \\"-..3.1' .to> \ :E..;o.. ~ ,......0 o to> . ~:E. ~ ~ ~~ ~~ \, -u.' o ~J , 42.3' ... c '" 22.4-' FR. ~ GAR. u. r )> c: ::0 fT\ ::0 )> "'T\ ^ Z G) r )> Vl Vl 2 STORYUSE: FRAME: tlO (.oJlr.el.I';.? .6' m U_ 5.6' , . 85,7$' 4rLi<OQ- a<- ~J\r~b "''''''Ii -e,:;:r4ft"4 '"'<l' bOl?l ~~4/i>./) AREA~26,253 sa. FT. ANY AL TERA TlON OR ADD1770N TO THIS SURVEY IS A VIOLA TION OF SECTION 72090F THE NEW YORK STA TE EDUCA TlON LA W. EXCEPT AS PER SECTION 7209-SUBDIVlSION 2. ALL CERTIFICA TlONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAIO MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNA TURE APPEARS HEREON. . =MONUMENT .z '-.. o ~ Vl )> ::0 )> , I )> ~ Z \J) t-:l ~ j'o 10 U>. SURVEY OF PROPERTY AT LAUGHING WATER TOWN OF SOUTHOLD SUFFOLK COUNTY, N. 1": 1000-87-03-53 SCALE: l' 30' MARCH 13, 2006 APRIL 10, 2006 (TEST HOLE) MA Y 17, 2006 (ADDI770NAL) JUL Y 7, 2006 (AD0I770NS) OCTOBER 18, 2006 (REVISED HOUSE) DECEMBER 26, 2006 (2' CONTOURS) DECEMBER 27, 2006 (FIN. FLR.) FEBRUARY 8, 2007 (FOUNDA TION LOCA TlON) JUNE 12, -2007 (FINAL) . SUffOlK COUNTY DEPARTMENT OF HEALTH SERVICES APPROVAL OF CONSTRUCTED WORKS FOR JUL 12 ~OOf'LEFAMILYRESID~NCE Dale H.S. Ref. NO./( ! 0 . OG - ClJ 53 The .sewage disposal and water supply faciUUes at this location have been lnspoo\!ld and/or certified by this DepartmY'.1 or other agencies and found It) beS!llis!eclOljlFORAMAXIMUM F. BEDROOMS. V-Jailer J. Hilbert, Office of Wastewater Management P CONI (631) 765 P. O. BOX 909 1230 TRA VELER STREET SOUTHOLD, N. Y. 11971 06-130 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. 32573 Z Date DECEMBER 15, 2006 permission is hereby granted to: LARRY B & JOAN M KULICK 21 TORLEN COURT HAUPPAUGE,NY 11788 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED ACCY GARAGE WITH WRAP AROUND PORCH AS APPLIED FOR; FLOOD PMT INCLUDED at premises located at 1895 MINNEHAHA BLVD SOUTHOLD County Tax Map No. 473889 Section 087 Block 0003 Lot No. 053 pursuant to application dated NOVEMBER 27, 2006 and approved by the Building Inspector to expire on JUNE 15, 2008. Fee $ 1,274.80 ~WL I Authorized Signature ORIGINAL Rev. 5/8/02 3'd-S73;Z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ~ FINAL A-; [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION p~ ~ l46K. ~~)~ J-PDI/~\~., DATE 7,-~s~fJ7 INSPECTOR ~ ~ )';-573 ?- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION c:~ f- - DATE 7--11---07 [ ] ROUGH PLBG. [ ] INSULATION ~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~. ~ tuc- INSPECTOR . ~-; 3)-S73 Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: ;VJ ~~ " ' [ ] ROUGH PLBG. t>(INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~ < 0"'- ~,. . ])wL~ ~ .J ~ ~It- ::Jt;,~ .r ~ r ~ 1/1,. , DATE S ~ / - 0 7 INSPECTOR ~ ~ ""'~'-'-. - __ _ _ -- --_. -. ,_::;:~_..,.C'; 3!J-S73 z. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND u:><l-FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION rpq ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE 'f ~ J...S -0 7 INSPECTOR 4t-.~ 3 2-0 73~ ~l</~ ~!J STJl.4{J TOWN OF ~TH~L-D-BUIL~ DEPT. 765.1802 TION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] F~DATION 2ND [ ] INSULATION [vrFRAMINGc[STRAPPING') [ ] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ~J;;"b ~~ S17L4-P ~c. REMARKS: DATE J/~7 107 t I ~. INSPECTOR """,.",~,.-. 3;'J-S73 :Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ p<(FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ REMARKS: ~ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION '- Ca-tJ , ~~ ~~. DATE )-/7-()7 INSPECTOR ~:~ -~--'~""-",, ..... =..,....,.,>.. ..,....~> ~...- --- ----,,~._--. '. "~",--'"'; }~S73 "2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION fht. /tif; rM' FOUNDATION 1 ST [ ~ [ ] FOUNDATION 2ND [ CJ ;>}Jf] FRAMING I STRAPPING [ ~ [] FIREPLACE & CHIMNEY [ Jf [ ] FIRE RESISTANT CONSTRUCTION [ ~'^ LNLf~ I L 7'r'f-~ ~.J1J c1.J. tnL ~ .Jl4.Y Iv- - ~\ ~. ] ROUGH PLBG. ] INSULATION "E/<JI C ] FINAL . ] FIRE SAFETY INS ECTIO~ ] FIRE RESISTANT PEN JRATION FtM It l-f'-Pf- Dtf~ REMARKS: DATE A r ;V'~~~, INSPECTOR ~~ 1-(7~07 .. ) ... , " -';:". FIELD INSPECTION REPORT DATE I COMMENTS W (~. H~-o l~J- () A. .i . ~ ~r' --cr- /1-'1 ". (j ;:g FOUNDATION (IS ) ?1 \. AVOn! V 1'..'. t7, 0 ^ t A Y f0.-,'.J!l ,..,'L An A. .....J ~ _-flT~ It~ '. j L... ".~.~ h - ~A<,......r. -1,-. V >-3 _________~~_____~:'!..~ T-./ /,P../f;'l/.J\.p 'AftJ.,'A4,,;,f ~",At! 0 v ". _'- .AfA;(J fJ. .nJ\~ ~.'.A. -l.IJtl"'.~' "''''fJ?.lo . -'n, ~' .!::. . "'\ 'nil J~,u (jQO.~'Q''"T~ f";.)I1- (,.10//J1,G _ i;J FOUNDATION (2ND) / \l II' V ~ 3/'n /0 , IAJMl; l.,..,,;, /.2 II atf. ...R/Y. y _ /4f" "J Z .12::.'..' - .- ... f\.L.J' 1/. I/.J..,.." ~ ~~J//>)..~ oK C7~..JU.. , '" v z -~ <::>(\ -D rJJ v\ ~ t'l >-3 :5 !/f;J-~~ . ROUGH FRAMING & PLUMBING -. -7 .::> ::s (\, .s:-i':::Q..__~:f- L"p p "^ .4--- "{ ____ N ~jlJro ~JY-A 'J';;-J--;j;i' ,~. "-1 '}> A ~~ __~',IA A 'if~ f(.,1J-- c .1I.}t:-J! , ~ t'/ Afo t'l ~.. 1.0 N: ~O'~) if/ ~ ~ INSULATION PERN. Y. STATE ENERGY CODE FINAL 1--I7-1. / ,J:.-wz ~._.~ AT;rr~~. AU'. d-- An""". ~ A /J.j/,; .l'..J/j).V,7/ ,(/ M'I A/I I.A ~f. 'L, ~ I, ~oJl /\.011. \J.,~ r "v V T'" 7~;-:r -b7 1/. () I ,u 8fr' . / J\ ~ r:::) Ov 17. J d &~ p> ~j3 -011 1%J)P C\ -.", Jv {/~::/ ~ 1"FJu-t77 ,jtr u... C-.o!- f} . "" t~ . v ' - A ),-{ [J..f1 ~,j fJiv1V fU 1-J'--o1 ;(kl& Iff ~ N: ~ -- ,L MA' AI" ,f/. , AJ.-J,p ~ f.- >- r: ~o :E f~ r r { ADDITIONAL COMMENTS ., . (S"-t'l \ ~ v\ ~ \ >-3 00 ~z ~~ b~ f~ o~ o~ U\=-' . i 'TOWN OF SOUTHOLD BUILDING DEPARTMENT . TO}VN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ .. ~~ PERMIT NO. "32573 z=:. BUILDlN~~RMIT APPLICATION CHECKLIST Do\'~ have or need the following, before applying? Board of Health j. 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: 1-fS-: 20-Rf- ! #/); 20 01, Examined Approved Disapproved alc Mail to: Phone: '" Expiration h /6- ,20 Or" I ~ /~.L f Building Inspector " I::"~, " ,'2fJ\'" ~CN >, \ APPLICATION FOR BUILDING PERMIT . "~.,~I,_,~,.!,,___'.J Date ,20_ INSTRUCTIONS 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 oflot and o~quildings 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. 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 withirt 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 ~ 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) .;JI ~M/I/(J.-r:llAt.(.,IJ/l~vce ;(JP/t'78'g (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, phimberor builder ()W,veR.. Name of owner of premises d',p,f~y g 4ut::,e / Z;.v ~ J-t It; t. (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. . . I. Location of land on which proposed work will be done: 1&'9.5" )?JIAl,1/tWdl/lJ Bw~. House Number Street ~b IVy Hamlet /.4''''/ County Tax Map No. 1000 Section Subdivision 'fJ1 Block 0:3 Filed Map No. .(",_:''C, )tFtJY \tF;' Lot S.5 ',H , Lot ,\ , ,.".,...;J3 (Name) // '" - , 2. State existing use and occupancy oi'~\mises and intended use and occupan~f proposed construction: a. Existing use and occupancy ..l ,",0 //M1$ < . b. Intended use and occupancy &"'flJflY l?eslJ>Wt!.~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition x Addition Other Work Alteration (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor / 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. :!" ,t~ I Depth .., ,;) .. 7. Dimensions of existing structures, if any: Front :i::" Height II:::>' Number of Stories .:J.....{ , -+ I Rear - .J..j \ ,rar Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front ,.:t 5:3 I Height :t ~o ' Number of Stories 9. Size oflot: Front 1:. I bb. $ Rear 14 S Rear !: .53' ~ -l- v" Depth - "2,"2>'2,. 2.\$' Depth VA i!.P 10. Date of Purchase NOl:>. l"l<\ <.. Name of Former Owner 11. Zone or use district in which premises are situated Kc:s U:>4.J-rt t:J L 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO ~ 13. Will lot bere-graded? YES /NO_ Will excess fill be removed from premises? YES~NO~ Phone No. Phone No Phone No. C1?Q . q.s'"~ I CJ/'1- ..212.q qZg. 0110 14. Names of Owner of premises SlJmG Name of Architect WI. Lb,"",1-I Name of Contractor lI",erIL/,..I"~~Ub Address Address.>1TcGl:<..EuCoT ~"'fP Address 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-==f"- * 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~) u.sz..Rlf B. Kw..td::... , being d)lly sworn, 4ep<!sesandsaY~i4at (s)he is the applicant (Name of individual signing contract) above named, ;s1He is the ~p~ aul'~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn ~<j(before me this J). day of NM~r 20~ ~.. NOTARY PUBLlC.STATE OF NEW YORK # 02MI6129938 " QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JULY 05, 20 Of. ~~ .. '. .... . ,:~ " " ignature of Applicant Town Hail, 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 July 27, 2007 Larry & Joan Kulick 21 Torlen Court Hauppauge, NY 11788 RE: 1895 Minnehaha Blvd, Southold TO WHOM IT MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the following reasons: ~ "'" ~ An application for Certificate of Occupancy is not one file. (Enclosed) No Electrical Underwriters Certificate on file. The check is (not on file) $25.00 Final Health Department approval not on file. No final inspection has been completed. No Plumber Solder Certificate on file. (All permits involving plumbing issued after 4/1/84) Certificate of Compliance from the Trustees. Final Planning Board approval Final Fire Inspection from Fire Marshal. BUILDING PERMIT: 32573-Z new dwelling SOUTH OLD TOWN BUILDING DEPT. .... Permit # Permit Date RES check Software Version 3.7 Release 1 b Compliance Certificate Project Title: KULICK RESIDENCE Report Date: 11/10/06 Energy Code: New York State Energy Conservation Construction Code Suffolk County, New York Detached 1 or 2 Family Non-Electric 20% 5750 Location: Construction Type: Heating Type: Glazing Area Percentage: Heating Degree Days: Construction Site: 1895 MINNEHAHA BOULEVARD SOUTHOLD, NY 11971 Owner/Agent: LARRY KULICK 1895 MINNEHAHA BOULEVARD SOUTHOLD, NY 11971 Designer/Contractor: MICHAEL LOGAN MTL 27 TORLEN COURT HAUPPAUGE, NY 11788 Compliance Passes Maximum UA 564 Your Home UA 498 --> 11.7% Better Than Code (UA) Assembly ...... . ~ -.: - - .' .. . - . ~", 0.340 0.340 51 15 129 77 128 98 Ceiling 1 : Flat Ceiling Of Scissor Truss: Ceiling 2: Cathedral Ceiling (no attic): Wall 1 : Wood Frame, 16" D.C.: Window 1: Vinyl Frame:Double Pane with Low-E: Door 1: Glass: Floor 1: All-Wood JoistfTruss:Over Unconditioned Space: Air Conditioner 1: Electric Central Air: 13 SEER Boiler 1: Other (Except Gas-Fired Steam): 80 AFUE 1743 481 3042 227 376 2224 39.9 31.8 24.8 0.0 0.0 0.0 20.7 0.0 statement of Compliance: The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy ConselVation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code, Company Name Builder/Designer ~.~. .,.6 . . ._~A -, . KULICK RESIDENCE Page 1 014 . ,.., <' REScheck Software Version 3.7 Release 1 b Inspection Checklist Date: 11/10/06 Ceilings: o Ceiling 1: Flat Ceiling or Scissor Truss, R-39.9 cavity insulation Comments: o Ceiling 2: Cathedral Ceiling (no attic), R-31.8 cavity insulation Comments: Above-Grade Walls: o Wall 1: Wood Frame, 16" a.c., R-24.8 cavity insulation Comments: Windows: o Window 1: Vinyl Frame:Double Pane with Low-E, U-factor: 0.340 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _No Comments: Doors: o Door 1: Glass, U-Iactor: 0,340 Comments: Floors: o Floor 1: All-Wood JoistfTruss:Over Unconditioned Space, R-20.7 cavity insulation Comments: Heating and Cooling Equipment: o Air Conditioner 1: Electric Central Air: 13 SEER or higher Make and Model Number: o Boiler 1: Other (Except Gas-Fired Steam): 80 AFUE or higher Make and Model Number: Air Leakage: o Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. o Recessed lights must be 1) Type Ie rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-Ie rated, the :fixture must be installed with a 3" clearance from insulation. Vapor Retarder: o Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: o Materials and equipment must be installed in accordance with the manufacturer's installation instructions. o Materials and equipment must be identified so that compliance can be determined. o Manufacturer manuals for all installed heating and cooling equipment andservice water heating equipment must be provided. o Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: o Supply ducts in unconditioned attics or outside the building must be insulated to R-8. KULICK RESiDENCE Page 2 014 . . ,... o Return ducts in unconditioned attics or outside the building must be insulated to R-4. o Supply ducts in unconditioned spaces must be insulated to R-8. o Return ducts.in unconditioned spaces (except basements) must be insulated to R- o Return ducts in unconditioned spaces (except basements) must be insulated to R-2. . Insulation is not required on return ducts in basements. Duct Construction: o All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 181 B. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pal. o The HV AC system must provide a means for balancing air and water systems. Temperature Controls: o Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: o Separate electric meters are required for each dwelling unit. Fireplaces: o Fireplaces must be installed with tight fitting non-combustible fireplace doors. o Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction proVisions of the Building Code of New York State, the ResidentiaJ Code of New York State or the New York City Building Code, as applicable. Service Water Heating: o Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. o Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: o Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: o All heated swimming pools must have an on/off heater switch and require.a cover unless over 20% of the heating energy is from non-depletable Sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: o HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. KULICK RESIDENCE Page 3 014 + ..."',1"'" -,/ Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness In Inches by Pipe Sizes Heated Water Temperature ("F) Up to 1" Up to 1.25" 1.S"to2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Non..clrculating Runouts Circulating Mains and Runouts Table 2: Minimum Insulation Thickness for HVAC Pipes Piping System Types Heating Systems Low Pressure/Temperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant and Brine Insulation Thickness in Inches by Pipe Sizes 2" Runouts 1 n and Less 1.25" to 2.0" 2.5" 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 Fluid Temp. RangeCF) 201-250 120-200 Any 40-55 Below 40 NOTES TO FIELD: (Building Department Use Oniy) Page 4 of 4 KULICK RESIDENCE N DWELLING PUBLIC WA TER I "p. /oe. lIf1j(..rlr;>W LIT RAIL FENCE , . Top. MON "--- 9.9 (MON O,,:J" HJGH) '_ c::..r~~E~~ i~~E~D" -r"~_,; SURVEY OF PRrrJPER/!f'M'i i A T LA UGHIN(JD6 iWrA-Tmlll: 58 TO WN OF SQU'l1JJl)blJr:.fI.VICES SUFFOLK COtJfN~TW:TF: ~lGrfi 1000-87-03-53 SCALE: 1'-30' MARCH 13, 2006 APRIL 10, 2006 (fest hole) NJo.y /7 wotu 1=01-;(,0/)0/1) U/;;;!,.!"- ~006 (dddl~ions) 6L 12.05' W ABUN;,IRT ROAD N87"26'OO"[ / ~ ASPHAL T 1-- . STREEt DIRT ROAD TEST HOLE 3/7/06 ~ Z Z ~ ~ l:Il o 8 t"'l <. > ~ z '-- o -U ~ iE 0 r r ~)> ?) l'1 C r ::0 r fT1 ~z::o "t> G) )> --\ ~ l'1 ^ :\) Z. G) r )>- (f) (f) Iff ~ O.B'N , 1.4'W 6/. /2.2 zz ~ %~J 'J~,:\ ci ci \1 Abandorunent of. existing sanitary system must be in 0,0, \ ~ ~ ~ mfonnance with departmeJ requirement Submit ~ ~ r rv0 ~ ,.. \\\ :mPleted f",,,, WWM-Q as proof. ~~ ~ to,;E X I ocJ - .H ~ . G ~ ,,/ L \::.--------1.J ~ ~~ ~ ~ i~\ "' ~ _ prnF ~ V~"'; x\"" ~ ~ ".I~ /' .~: !7~ I> \ \" x ~ , ~ II ,.J f: ~ .., po /, " /3 ~,\ \ \~ ~, n ~ ~,' I ~"' u, ,~o~~,.~ I'R.'\~ srlO 9''7~t~>''_t~e;r:::~~~'-''/ t.\ \ \~ - 0 I.f' I? -, \ x\ ~. , ~.' I.?' .,; ill ~ 0.'" 1Vr --1 6'-,' , ;>,f: I,,, @ --~~ e,/; \ ~I \ \~6'E ~t!l iO,p) 'I ~ MON '<:.Sr ___ ~ 61. 7.5 HOlE' ~ ~ ~8 ~ -.............: ~;:: Z.ON~ N{e/ '0...)'/ .~. ~ ~ J!l1{J"rr ~~ / CU' /V ~ t 01. r)~c- '- ~ ""''Dr Of. '" > Iv'?;O. _ ,vc-h-.. '0>,- V;?, - "". / OONJy 145,00' ~,t" x- x . C.LF. z '-- o '-- ~ (f) ~ )> -u c m 0 r::: ~ () l'1 r ~r::: 1> Z -; G) l'1 :\) SUFFOLK COUNTY DEPARTMENT Of' HEALTH ~ PERMIT FOR ApPROVAL OF CONSTRUCTION FoIlA ~I GLE FAl.ULY RESIDE:NCEONLY _ DATE 1 06 H.S. REF, No. O~f){;- OOJ ApPRO EO . IOF EXPIRES THR E YEARS FR r- 86.7$' I )> ~ Z Vl HSE. FIN, FLR. la El.I0 PROPOSED GRAIlE E:/..,8 (E 7.2 'I ~ " MIN 'y 3' SAND 2" COLlAR . I I IE. 6..9 1250 SEPTIC TANK Gal. fE 6. IE. 6.2 GROUNCl W.4.TER- I E:/.., /,61 DARK BROWN $NC)Y LOAM OL ..v.1q.N; ~Q4Q4 PROPOSED SEWAGE DISPOSAL SYSTEM 6 POOLS WITH CLEAN SAND 3' COLlAR- 1250 GAt. PRECAST CONCRETE SEPTIC TANK-BOTTOM OF LEACHING POOLS TO BE 2' ABOVE GROUND WA TER 1.5' BROWN Sl...TY SAND ..sIrI WA. TEfl IN BROWN FIE SAM) SF SEPTIC SYSTEM CROSS SECTION BROWN CLA YEY SAIl} sc --6.4' _ _ 7' WA. TEfl IN BROWN CLA. YEY SAN:J $C ~_ 5' AREA=26,253 sa. Fr. DJr, PUs. <:Z:::~G' <:/c ""00 11'4 l'r "" 'OR 6~, "-'/r-....; "".q"" ..90lj~ f?4.Ji>.o a.5.6' 0lJl../l}- ~ EXCAVATrON INSPECTION REQUIRED FOR SANITARY SYSTEM BY HEALTH DEPARTMENt 618 13' BY McDONALD GEOSCIENCE. ~ ..toe- C-f' <"'.$'+ ANY AL TERA T10N OR ADD1770N TO THIS SURVEY IS A \o10LA T10N OF SECTION 72090F THE NEW YORK STA TE EDUCA T10N LA W. EXCEPT AS PER SECTION 7209-SUBD/VISION 2. ALL CERTIFICA T10NS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNA TURE APPEARS HEREON. '\ '--- -"1J..lw-^,> - ---.. .=MONUMENT .......... ~. / . E""i'f).J C,fJ.> ('0 bc ftllecJ../() or re"?ove"'- @J:: Pr'op. r=/-:-Y::::t..-r,ol)~ ELEVA TlONS ARE REFERENCED TO NGVD, .I FlooD ZONES hZ6)J] FIt<N. 3&/03 C o/c;,,& G 130 - ~. .l;W19J/ '.' . N DW~LLlNG PUBLIC WA TL:R .L 12.05' , W ABU~IRT ROAD \ N87"26'o.O.E el/l.O n IV: DEe 28 2008 e110,7 z "- a ~ / , / flY " / I. I \ -iolll X. . \J C II> 0 r r =E ~ n '" AI r. r i'ii =E Z'AI l> (;) )> r;\ ~ :>J ^ Z G) r )> Vl Vl TEST HOLE 311/06 ~ ~ !a > ~ tx:I o ~ <:: ~ t:l 8- - 6'$, /s' f'i'~ DARt( BROWN SAN;y LOAM.OL 1.5' BROWN 51.. TY $,4H{) .Ell -- 5' BROWN CLA YEY SAN; sc --6.4' _ -7' WA TER '" BROWN CLA YEY SAND sc Jt)-.iV.tV'.e / 7:1'444 WA TE:R '" BROWN FIE SAMJ sP 13' BY McDONALD GEOSCIENCE. '" DJr,s . Pu Z.(#\IG' ~.(/c IJ'. . A-"",,,,, ~ r.:-t';> Oc.. , ..../~ "'<1."" AREA-26,253 sa. Fr. <:""1" <$-.s-+ . ANY AL TfRA TlON OR AODITION TO THIS SURVEY IS A VIOLA TlON OF SECTION 72D90F THE NEW YORK STA TE EDUCA TlON LA W. EXCEPT AS PER SECTION 7209-SUBDIV/SION 2. ALL CERTlF7CA TlONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE' SURVEYOR WHOSE SIGNA TURE APPEARS HEREON. "' -':o.s- I .' . ----..... . I E~/6{;1;"3. c,p.s lobe ftlled-I'! or r efl'Joye oJ- @]~ Prop. €Ievd-r.oll> ELEVATIONS ARE REFERENCED TO NGVD. 0,,0 ZONeS r1Z6JJ/ F/t<N .3<:OI03co/(.,,(;. G ~ eo. " , , ! .~~ , ~. A _ I",~ ASPHALT i- $TREEro. DIRT_ROAD. I' , / ""4, 1 5.0.0 / I.e 'X'- ~ I' "Uf. i j , TOf'.I,NJN,. 9.$: . (MON O~ ~ .\ /r .~ I I . ( ( , j'; I,' "" '/i-://Ji/' Ci~r ~: fpl'oJ> . /e! 12.9 II 41.n l~ '~. ~. 10 . ..~~ ~ /(p5 ~ .~ i ~ "h e" \"\:l X\ ,o.P 5 ~ ~ ':'\ . f/i~ (r;;;~;.' \1) '\\ -f;Uo..h \.~ '\ f/,6/ x"" c 0 ~\', Y . \p, (). ':c.J,j(, ,.- '" 'x . --'\ XI F< 'E 2.6 ~~8 !l\ ~ '" ,. ~ :C' ,. ~ -< .6>Olrl .e~4./?./) " . '\ ~ '" ST/(. '--.. ~~ .=MONUMENT r---J ?, ).~ '1') SURVEY OF PROPERTY AT LAUGHING WATER TOWN OF SOUTHOLD SUFFOLK COUNTY, N. 1': 1000-87-03-53 SCALE: 1'-30' MARCH 13, 2006 APRIL 10, 2006 (test hotel MGLY '/7 z.oo;:./~oL;t 'o/JoAJ JUU' 7, 2006 (~dd'~lons) ) 0<-1, /'f" 1fi7b.t at-e"'''eel" h.!.e 002"- Z':',eboc; (Z'<o.-!ovrJ) Dec. 27, 2DO'" { hA fIr) '.,'~ z d "- ~ Vl ~ )> \) C II> 0 C. =E () '" r ~c. l>"Z. --\(;) '" AI ,HSE. 14.t F/N. FLR.'El: /4,C, r :r. )> ~ Z l/) PROPOSED aclADE EL.IO El..9 '1 ~ "- '1' 3' SAND Z' COLLAR ~I I " (.E.7.2 ~ ~"I<', IE, B.9 1250 Ga/. SEPTIC TANK I .L ,.61 6. ~-/;E. 6.2 l-V ~ 7'" <0 01. GROUNll WATER.. PROPOSED SEWAGE DISPOSAL SYSTEM 6 POOLS . WITH CLEAN S"liflD3' COLLAR- 1250 GAt.. PRECAST CONCRETE SEPTIC TANK-BOTTOM OF LEACHING POOLS TO BE 2' ABOVE GROUND WATER SEPTIC SYSTEM CROSS SECTION .S.L1C. NO. 49618 .C. '(631) 765-1797 06-130 N. Y. \ , ,',,'" . ','l' , , ." , '. . " .1", ' '325~3 . '-,' ' , '." , -~' . . , , . '., . '. Mlc.HAEL"T~' LOGAN. J' ", ".... ,."" " .~~<<;~Dir~~1f '.. '. ..> ..," ,. " '"''''.''' '.., -~~.. ,-.- - . ", iW : ~~ ;) jru1 .' BLDC;. DEPT. TQWN OF $.r1UTHOU) ',' ',' " JUlyV'1, .".,',' ",'. ,', "" , . " ,',' ,'. ' ,. ,- ' . , ''. ,,' ~ '.' , , "I .' , '\ \ " i', ., ;: . "'0 , '" ,,' " ',1 :. I' .',", ,"', ". ". \ ",\ . ',To\Vll, of South!>ld Building DepMtrnent " . 53095 R6ljtti 25 " '. ,. . P:O,.BoxJI79 . ., ,.' '. , 'Southold"NewYork 11971 . ~,.' , -- '" . :, " " '," -.- .,,' 1 ~, , . , ". , '>' ~,',' ,'., ,> ',' " ,,' ',', " '",-" ,,'._,,' ", :' '.', , " "'," . . ,Re: The Kuli~kR,tisiderice; 1895:M:inne\1a4a Boulev~d;Southold, NY 11971. ' " " ,> ;:'" - )1, ," .' ",' "'-.,',: .,', - ,.', . : "", { ,..:.', '" ... ,: ' ,'. . ".. ", A"~ : ,., ,,',:. ,.\. ,-' '- ' , ~ . ,lamwrWng,~s letterinordert~doc~ent severalievisi~n~ thllt we're mad~ onthea~o(rei. '., . referenced project during the constructIon of the residence. The first change involved using ..Ii pre-manuf'acturedfireplace inseri:ln lieu of a traditional iTIasonry fireplace.)haye at4lch~d " o . a'detail of the fIreplace framing for yoUr records. Tbesecond,change involve<fthe'. , . ,'. ' . .. . . inst3.Jliition ofa combination ofHalldi-Foam@ closed-cell polyurethane foam and'{}m(i:dian. .' Fiber@assInsulationtO cn;atea, state.,of-them insulation system, IIi lIeu or the: Rl9 '..","', .". . fiberglass batt insulatlonorigimilly' specified; a combi.lli}tlon of an 1-l/2incb: layer of " ",' spiiyedonHandi-Eoam@ (R,vaIueof 6-7 perinch). WaS applied insi~eihe waHcavity prior. . .'. "'.; . 1:0 the instaiJaiion of a Guardiankraft-facedt1bergliss batt (R13). This system provides a, ,.,. . , total value of atlelfst R23, exceeding plap~hich was specified: The final change involved " the construction of a wood framed stair andlan,dingbutsid~ ofBathI:oom No." 2 in place of " . '. ....th,e powed cOhcretesWr. and.landingdetailed inthe original plans. ]:<;ffclosed.are,tJle !letails " , of the framed .stl!ir and landing, ' . . ' . , ,.'.C,. ,- .,If you shouldnee!i anyadditioimI information pleasecorit3()t me. . > ., ' , ',,' ",' " ,"" ',' " " _, 0' , ' ."" ~, ~' > ' " ' ;,.\ " , . ", ' . . 'Sip.cerely, . ..~~. "MiCha~1 T. LOgan,RA', ~ . .' , '. MICHAEL T. LOGAN ARClllTECT ,., '" ',' ,', , . " ' -J" . , ,. ",' ( -". h.'" , l.'" , 27 TORlENCOURT; 'HAUPpAUGE, NY 11788 '. (631) 979: 2129 ' ....". , ','~.' , , ',",' TRIPLE HALL INSULATED FLUE PIPE INSTALLED AS PER MANUFACTURERS SPECIFICATIONS FACTORY-BUILT FIREPLACES SHALL 6E LISTED AND LA6ELED AND INSTALLED IN ACCORDANCE HITH THE CONDITIONS OF THE L1STINe. FACTORY-6UILT FIREPLACES SHALL 6E TESTED IN ACCORDANCE HITH UL 121 PRE-FAB FIRE PLACE AS SELECTED 2" MIN. AIRSPACE TO COMBUSTIBLE FRAMING NON-COMBUSTIBLE MATERIAL -F~iHEARTH EARTH EXTENSIONS OF APPROVED FAC.TORY-BUILT. FIREPLAc.ES SHALL BE INSTALLED eLASS FIREPLAc.E IN Ac.c.ORDANc.E HITH tHE LIST/Ne QF THE FIREPLAc.E. ENc.LOSURE DOORS THE HEARTH EXTENSION SHALL 6EREADIL Y DISTIN0UISHABLE FROM THE SURROUNDINe FLOOR AREA \ OFJREPLAGE DETAIL SGALE, 5/4" = 1'-0" ilD) ~ (~f-li-W [I lufJ~12~W BLD\~. DEPT. T WN QJ'$."!JI!:'-QljJ------.1 ,I " 3:J. 513 ~,'" t, ." I '~- . i' > .,.......,.. ~ , . "J'l:fp.tTH T. TERRY , to Wl'I CLEM /UCG/STNJl or VlTi\J. STi\llSllCS MAnnIAOF. OfTICI:::n IlECORUS MANAGEMENT OIT/CEI1 rREEDoM of /NrORMi\llON OrrlCER T<lwn /1,,11. .\ JtI~:; I.',.,,, r.o. no. IIN $ lllJlhllId . Nc\..... Yur~ , Fox IS /il/ 7o,<'IR"> T t: Icrhonc (:;, (q 7(,5~. OFFICE OF THE TOWN CLERIC TOWN OF SOUTHOLD THIS IS 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 5outhold hereby adopts two (2) new forms to be used under tHe Flood Damage Prevent regulations .J 0; the Code of the Town of. Southold: /lpplication" [FDP(93)). and /Certificate Special Flood Hazard Area (C/C(93)]. "Floodplain De",elopmen,t Permit i } of Compliance ,?!/r oevei!pmen t in / ~/ fQli~ \0; !~-:-- . ~i : ;_,' '1 BW-J. OC:?T TOW;, OF SOlJil JaLD l d,,~~~ ~hT.T~ Southold Town CleI"k August 25, 1993 ~ . .... " " ~... , ., APPLICATION Ii r^GE I of ~ TOWN OF SOUTHOLD fLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be 1Illed out in duplicate. ~ , SECTION I: GENERAL PROVlSIONS (APPUCA.HT 10 rcad and 5;1m): L No work may start uoW a porro it is issued. . 2. The permit may ~ revoked if any false statements arc made herein. 3. tf revoked, all work must cease uotil permit is re-issued. 4. Development shall not ~ used or occupied until a Certill",,!e of Compliance is issued. 5. The permit will expire if ;;-0 work is commenced witllin six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill loc>l, ,tate and federal regulatory requirements. 7. Applicant hereby gives coosent to the Local Administrator or his/ber representative 10 make reasonable . tospectiODS required to verify oomplhnce. . B. 1, THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN A TTACHME.NTS TO _ THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND ACCURATE, ; (APPUCANT'SSIGNATURE)07~~4'/ ___ DA~ /.z~~ .' !! / //SECTION 1: PROPOSED DE:YELOel-hEi'IT (T').Se comole[cd by APPLlCANl1 , NAME ADDRESS TELEPHONE AFPUCAKT BUILDER ENGINEER PROJECT LOCATION: To avoid delay in p~in~ tbe appuGation, please provide enough information to easily identify the firoje~l locatioll. Provide the street address, lot number or IegcaJ description (.rtam) and, outside urban areas, tbe distance 10 the nearest intefSectin~ road or wcU.knowu liiidrnarl A ,kelch allachod 10 iJill appliCJltion ,bowing the project location would be belpfuL FDP(93 ) I't, \. , ;~ > '.' , , APPUCA TION ,:' PAGE10Fd DESCRIPTION OF WORK (Chtd all appUcoble boxes): A <;TRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE o New Structure o Addiuoo o AlltralioD o RtlocatioD o DemoUtioo o Rtplaumtol o Residtotial (1-4 FamUy) o Residential (More than 4 FamUy) o NOD-rtsidtotial (Floodproonngl 0 Yts) o Combintd Use (Rcsidtoual & CommerciaJ) ~ 0 Manufacturtd (MobUt) Homt (10 Manu- [aelurd Home Park? 0 Ycs) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT AcnVITIES: "; , , j o Fill 0 Mining 0 Drilling 0 Grodin g o Excavation (Exetpt for Structural Developmeot Cbecked Above) o Wattrcourse AlteratioD (Iocludiag Dredging aad Chwnd Modifications) o Drainage Improvements (Iocluding Culvert Work) o Roa~)~ Street or Bridge Construction o SU~visio[J (New or Expausioo) o ~dual Water or Sewer Sys(cm o Otbcr (Please Specify) , j! Afler completing SECTION 2, APPUCANT shouJd .submit form to Loc.aJ Adrni.n.i.slrator for rcv1cw_ SEeTION); FLOODPLAIN DETERMINATION eTo be com Dieted by LOCAL ADM1Nl$TRATOR) T~c proposed development ls lo-c:ated on FIFJy{ Panel No_ , Dated The Proposcd Development: o Is lli2I locatd in , SpcclaJ Flood Hazard Area (Notify tht appUcant that the application review" complete a.nd NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). o ls located iD a Special Flood Hazard Area. FIRM LOne designation i..s tOO-You Oood cltntioo at the siLe is: FL. NOVD (MSL) o Unavailable o Tbc propo.scd development is IOC1llcd \0 a Ooodway. FBFM Panel No. Dated OSee Scclion ~ ror addilional -IOSlflJClioos. SICN"ED DATE . . ~ . '--. . ;1 " AFPUCA TION >i' PAGE) OF'4 SECTION~: ADDITIONAL rNFOICMATION REOUIRED (To he comnkled bv LOCAL ADM1NISTRATORj The applicanl musl submit the documwts checked below bdore tbe application can be processed: o A.sile plan sbowing the location or aJl existing structurcs, watcr bodies, adj~ccDt roads, 101 dimensions and proposed development. o Development plans, drawn 10 scale, and speciocatifJll5, including wbere applkable: <:Ietalls for ancboring structures, proposed elevation of lowest noor (including basement), types of water resistant materials used below Ibe Clrst noor, details of noodprooflflg of uLililies located below !.be Hrst noor and delails of enclosures below tbe Hrst nnnr. Also, o Subdivision or otber development plans (If tbe subdivision or otber developmeDt exceeds 50 lols Or 5 acres, wbicbever is tbe lesser, Lbe applicant must provide lQ()..ye.... Good elevations if they arc not otberwise available). o PI:l.9S showing the extcot of watercourse relocatioD and/or landform alterations. o Top of new fill elevation Fl. NGYD (MSL). o Floodproofmg protedion level (non-residential ooly)Ft: NOVO (MSL). For Oondproofed structures, ;lppUcaot must attacb certification from r"gistered eDgineer or hi I .' _ arc led., j '/,' o Certlf1calion [rom a~regis(cred engineer tbat thc proposed acti0.t( in a regulalory fioQdway will ool rc.sutlln.!!.!lY increase in the height of the l00~year flood. A copy of all data and t.alcu1ations supporli.ng_ this nnding must also be submit-ted. o Other. SECTION 5: PERMIT DETERMINATICJI'/ ITo be comDlcted by LO,;AL ADMINrSTRATOR) I bave determined that tbe proposed activity: A. 0 Is B.O Is not in conformance with promior>< of Local Law '" . 19 The ~rmit is issued subject 10 tbe conditions a.Uached to and made part or this. permit. - ~ SIGNED , DATE II BOX A i, chcc~td, tbe Local Administrator may issue a Developmcnt Permit UpOD payment of d'csignated ree. . If BOX B is checked, tbe Local Administrator wiJl provide. writteo summary of dcGciencics, Applicant may reVise and rcsubml( an application to \he Local -Administralor or may request a bC3ring (rom (be Board or AppeaJs, S--'. ., . t -. . . , .' " '., APrLlCA TION # PAGE~OF~ APPEALS: Apptaled to Board of Appeals? 0 Yes 0 No Htartng date: Appeals BUill J Dl;.1.~;ol.J --- AppllJv<..-J7 0 y...j 0 tIn Cooclilions SECTION 6: AS.BUILT ELEVATIONS fTo be submilled bv APPLICANT before Certificate of Cornoliancc is issued) The foUowiog information must be provided for project slructrncs. This section must be compleled qy a registered professional engineer or a licensed land surveyor (or attach a certification to tltis application). Complete 1 or 1 below. 1. Actual (As-Built) Elevation of the lop of the lowesl [Joor, iocluding basement (in Coast.' Hi~h Hn"rd Areas. bottom of lowest structural member of the lowest [Joor, excluding piling and columns) is: FT. NOVD (MSL). 2. . " Actual (As-Built) Elevation of fJoodprooftng protectioo is Fr. NGVD (MSL). N7 A11y work performed prior to' sUbrnitt:/l~f the above lnformalion is a(tbe r~?~f the A:!"'~L SECTtON 7: COMPLlANCE ACIlON rfo be comolcled bv LOCAL ADMINISTRATOR) The LOCAL ADMlNISTRATOR will complete litis section as applicable based 00 iillpeoioD or Lhe project to ensure compliance with the community's locaJ law for Oaod damage pre-vention, INSP'ECIlONS: DATE DATE DATE DEFlCfENOES? 0 YES 0 NO DEFlCIENCfES? 0 YES 0 NO DEFlCIENOES? 0 YES 0 NO BY BY BY SECTION 8: CERTIFICATE OF COMPLlANCErfo be comolcted bv LOCAL ADMINISTRATOR) Certificatt of Compliance ls.sucd: DATE: BY: ~ 't "'; , # J~ , ., .. " , " Attac\1.:ment B / j -. " j 8AHP;GE CERTlr~CATE fF COKPLIANCE ~/ . ~/ for Developm~nt in a special Flood Hazard ~rea c' :!"~ ~ J.t II I , , I .1 ~ ". ~.I"+ . " . " " , TOWN OF SOUTHOLD ., .. CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT [M A SPECIAL FLOOD HAZARD AREA t~USI.'-l1E-W\ TN THIS r:ERTIFICATE) PERMIT NO, PERMIT DATE PREMISES LOCATED AT: CHECK ONE: o NEW BUILDING o EXISTING' BUfLDING o VACANT' LAND OWNERS NAME AND ADDRESS: ) j " j / j /1 THE LOCAL ADMINISTRATOR [S TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIJ7IED WITH TIlE REQU1REMENTS OF LOQ\L LAW # ,19 SIGNED: - DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH TIlE REQUIREMENTS OF LOCAL LAW # ,19_, AS MODIFIED BY VARIANCE # DATED SIGNED: ) DATED: C I C (93) GENERAL NOTES FOR WOOD-FRAMED STAIR AND LANDING I. PROVIDE TWO (2) 8" DIAMETER SONOTUBE POURED CONCRETE FOOTINGS AT STAIR LANDING. FOOTING TO EXTEND BELOW GRADE A MINIMUM OF 36 INCHES. 2. ALL STRUCTURAL FRAMING LUMBER TO BE "WOLMANIZED". 3. PROVIDE 2" X 6" LEDGER LAGGED INTO HOUSE FRAMING. 4. PROVIDE 2" X 6" DECK JOIST @16' O.C. ATTATCHED USING METAL JOIST HANGERS. 5. ALL WOOD DECKING TO BE 514" x 6" MAHOGANY DECKING, 6. ALL CONSTRUCTION SHALL CONFORM TO THE NEW YORK STATE BUILDING CONSTRUCTION CODE. 7. ALL WOOD RAILINGS SHALL BE CONSTRUCTED TO WITHSTAND A LATERAL IMPACT AT THE TOP OF 50 POUNDS PER SQUARE FOOT (LINEAR LOAD) AS PER THE NEW YORK STATE RESIDENTIAL CODE. 'LEDGER CONNECTION TO WOOD-FRAMED WALL Wall stud Flashing Is tucked Urldernealhsiding and bent over top edge 01 ledger board. LATTICE PANEL INSTALLATION OPTIONS 4x4post 4 X 4 post ~" X 1" cleat screwed to post 2" buglehead screw \ Chamfered edge ~" quarter-round molding nailed to post "'- Lattice panel 3" buglehead screw ! Lattice panel ~" quarter-round molding 2 x 3 rabbeted frame fastened to post l" -dia. drainage channel drilled through bottom of channel and bottom rail Lattice panel / Channel molding FRAMING DETAILS FOR STAIRWAY .1 2 x 4 top rail "6" 6': DOUBLE 2" x 6" GIRDER (FLUSH) 2 x'4bottom rail 4 x 4 newel post screwed to stair stringer and to riser 2 x 4 cleat anchoted to concrete Poured-concrete pad ~ 'il /' a."J ..'II k :<\ '. ~';: ..fJ j,~ , ~Q IP ~ v '7' " l v' <l-i>' ::'l~ Q-~ "" ~ ,jJ' , I ~~v ~o' 0"'> ~~ '0V ~ '6" r,I",')lP <,' / 13,A"'\1-I r 'Iv C--~" uO';~L.(;:. ::tJC(... c.d:2,t>&"R F/.-JsH -V'~, (, r1A~D<'uY 'D;;.&j(,';'; ~'l.y. t-rI:>t::[.'t. l-Aa(.\) \0 r./-OJ~ C N -,,- o ~ Z Z l!c.1 ~ ~ ~ ~ < > ~ . \ FE "O.6'N \ 1.4'W . 'Z'Z ~~ ~ 00 ~~ ~... cici 00 . . ~\, 0)>\ fT1()~ B~ '-')> G~ ~~ i~ ~r 0.' ~J , 'Z "- o '::;, r )> C ::0 fT1 ::0 )> ~ Z. G'l r )> Vl Vl AREA-26,253 SO. FT. / t~ ~/ ~& W ABUN;"RT ROAD NB7'2S'OO"E A~H:J ~L1T RAIL STREET DIRT ROAD 145.00' FE 1.0'C x- X' C.LF. C! FE D./'W ... " "'. CoNCRETE oN ,..,.,. INDA 11 rvv _. EI- 13.1 FND"" TOP 22.0 ~~ ~ ~. o ~~ ~ '\ X\", Cl x';l, 20.1' \ ~'''; \~ \ X\ rr 'E 2.6 'Z d "- " Vl )> ::0 )> r I )> ~ 'Z Vl '" m '0. '" m '0. '" "" '" '" \n. '-,,-' o c;ONCRETEN FoUNDA110'3.7" 5.5 TOP FNDT/'l:.;c' - b,.' 70.S" ~z.o' a a a a 0 NS o a TE COLtJM CDNeRE " ~. ~ ~ ... <0 01. ANY AL TERA TlON OR ADDtnON TO THIS SURVEY IS A \l70LA TlON OF SECTION 72090F THE NEW YORK STA TE EDUCA TlON LA W. . EXCEPT AS PER SECTION 7209-SUBD!\I7SION 2. ALL CERTlRCA TlONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNA TURE APPEARS HEREON. .=MONUMENT 3;;'513 I'-<- SURVEY OF PROPERTY AT LAUGHING WATER TOWN OF SOUTHOLD SUFFOLK COUNTY, N. y: 1000-87-03-53 SCALE: 1"-30' MARCH 13, 2006 APRIL 10, 2006 (TEST HOLE) MA Y 17, 2006 (ADDtnONAL) JUL Y 7, 2006 (ADDtnONS) OCTOBER 18, 2006 (REVISED HOUSE) DECEMBER 26, 2006 (2' CONTOURS) DECEMBER 27, 2006 (FIN. FLR.) FEBRUARY 8, 2007 (FOUNDA TlON LOCA nON) --- -~-- - - ---~~- . -~-~.~, ".--'--" n \,r. ~ '1 FEB 127 06-130 Permit # Permit Date REScheck Software Version 3.7 Release 1b Compliance Certificate Project Title: KULICK RESIDENCE Report Date: 11/10/06 Location: Construction Type: Heating Type: Glazing Area Percentage: Heating Degree Days: New York State. Energy Conservation Construction Code Suffolk County, New York Detached 1 or 2 Family Non-Electric 20% 5750 Energy Code: Construction Site: 1895 MINNEHAHA BOULEY ARD SOUTHOLD, NY 11971 Owner/Agent: LARRY KULICK 1895 MINNEHAHA BOULEVARD SOUTHOLD, NY 11971 Designer/Contractor: MICHAEL LOGAN MTL 27 TORLEN COURT HAUPPAUGE, NY 11788 Compliance. Passes MaXimum UA 564 Your Home UA 498 --> 11.7% Better Than Code (UA) Assembly ...... .. ~ -.... .. . - . .. . - . ~... Ceiling 1: Flat Ceiling or Scissor Truss: Cailing 2: Cathedral Cailing (no attic): Wall 1: Wood Frame, 16"0.c.: Window 1: Vinyl Frame:Double Pane with Low-E: Door 1: Glass: Floor 1: All-Wood JoistlTruss:Over Unconditioned Space: Air Conditioner 1: Electric Central Air: 13 SEER Boiler 1: Other (Except Gas.Fired Steam): 80 AFUE 1743 39.9 0.0 51 481 31.8 0.0 15 3042 24.8 0.0 129 227 0.340 77 376 0.340 128 2224 20.7 0.0 98 Statement of Compliance: The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit 'application. The proposed syst~ms have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that tethe best of his/her knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. Mk"~AELa"J --4 tJ Builder/Designer ~-r:.~~II,APa\l11icr Company Name I'~~'-~ Date /~...,,~O'~~ <-~.. "vr:";j", t~i:1~~~ .~. .r /' . . ?i Page 1 014 KUliCK RESIDENCE REScheck Software Version 3.7 Release 1 b Inspection Checklist Date: 11/10/06 Ceilings: o Ceiling 1: Flat Ceiling or Scissor Truss, R~39.9 cavity insulation Comments: o Ceiling 2: Cathedral Ceiling (no attic), R-31.8 cavity insulation Comments: Above-Grade Walls: o Wall 1 : Wood Frame, 16" O.c., R-24.8 cavity insulation Comments: Windows: o Window 1: Vinyl Frame:Double Pane with Low-E, U-faclor: 0.340 For windows without labeled U,:"factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: Doors: o Door 1: Glass, U-faclor. 0.340 Comments: Floors: o Floor 1: All-Wood JoistlTruss:Over Unconditioned Space, R-20.7 cavity insulation Comments: Heating and Cooling Equipment: o Air Conditioner 1: Electric Central Air: 13 SeER or higher Make and Model Number: o Boiler 1: Other (Except Gas-Fired Steam): 80 AFUE or higher Make and Model Number: Air Leakage: o Joints, penetrations, and all other such openings in the building envelope that are50urces of air leakage must be sealed. o Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tightassemblywith a 0.5" clearance from combustible materials. If non-IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: o Required on the warm-in-winter side of all non-vented framed ceilings. walls, and floors. Materials Identification: o Materials and equipment must be installed in accordance with the manufacturer's installation instructions. o Materials and equipment mustbe identified so that compliance can be determined. o Manufacturer manuals for all ,installed heating and cooling equipment and service water heating equipment must be provided. o Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: o Supply ducts in unconditioned attics or outside the building must be insulated to R-B. KULICK RESIDENCE Page 2 of4 o Return ducts in unconditioned attics or outside the building must be insulated to R-4. D. Supply ducts in unconditioned spaces must be insulated to R-8. D. Return ducts in. unconditioned spaces (except basements) must be insulated to R- o Retum ducts in unconditioned spaces (except basements) must be insulated to R-2. . Insulation is not required on return ducts in basements: Duct Construction: o All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181Aor UL 1818. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pal. o The HV AC system must provide a means for balancing air and water systems. Temperature Controls: o Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set paint of the largest zone. Electric .Systems: o Separate electric meters are required for each dwelling unit. Fireplaces: o Fireplaces must be installed with tight fitting non-combustible fireplace doors. o Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State, the Residential Code of New York state or the New York City Building Code, as applicable. Service Water Heating: o Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. o Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: o Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: o All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: o HVAC piping conveying fluids above 105.degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. KULICK RESIDENCE Page 3 of 4 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Heated Water Temperature (OF) Up 10 10 Up to 1.25" 1.5"102.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140c169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Non-Circulating Runouts Circulating Mains and Runouts Table 2: Minimum Insulation Thickness for HVAC Pipes Piping System Types Heating Systems Low PressurelTemperature Low Temperature steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant and Brine Fluid Temp. Range("F) Insulation Thickness in Inches by Pipe Sizes 2" Runouts 1" and Less 1.25" to 2.0" 2.5"to4n 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 c250 120-200 Any 40-55 Below 40 NOTES TO FIELD: (Building Department Use Only) KULICK RESiDENCE Page 4 of 4