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HomeMy WebLinkAbout31504-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32784 Date: 12/13/07 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 35260 MAIN RD (HOUSE NO.) County Tax Map NO. 473889 Section 97 (STREET) Block 2 CUTCHOGUE (HAMLET) Lot 4 SUbdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 19, 2005 pursuant to which Building Permit No. 31504-Z dated SEPTEMBER 22, 2005 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITIONS AND ALTERATIONS, INCLUDING COVERED FRONT ENTRY, TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to OSCAR SECAIDA & DORA RODRIGUEZ (OWNER) of the aforesaid building. SUFFOLK COUI!ITY DEPAR'DmI!IIT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE 1110. 2087090 07/27/06 09/20/06 CUTCHOGUE EAST PLUMBING PLUMBERS CERTIFICATIOliI DATED ~.~ Rev. 1/81 Form No.6 TOWN OF 80UTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 o APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1 % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 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 of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 /}... 10'3/0'7 Date. New Construction: Old or Pre-existing Building: yO) {' uk/-lo 'JU<- (t"voJ ( check one) /Y1~I~ R.d House No. Street Owner or Owners of Property: () s r tI or ~ e.. elf I ~q Suffolk County Tax Map No 1000, Section li l' '6 ~ i Location of Property: 2.)z."0 tJy ({q 3 S- Hamlet ~()J'r I~U Lot O'OV Block J>or~ o (!)O '2.. Subdivision Filed Map. Lot: Permit No.:if- 31 50Lf 1.. Date ofpermit.j - '2 'Z. - 05 Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ .J..C .., Co 2 3~~ ~ C- 7 '3::) L3 Underwriters Approval: Final Certificate: (check one) eJ5 CAr St-cq :c/q Applicant Signature Town Hall, 53095 Main Road P. O. Box \ 179 SoulhOId. New Vorl< 11971 Fax (5\6) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLO C E R T I FIe A T ION DATE: ~ }Z6}6~ Building Permit No. 3150Y Owner: Sc:c..CI. i J a... (please print) Plumber: ::Iill.(.~ G 'C;MOtJ\ C \Jtc~0"e IS. p- A I "'-G (please print) I certify that the Bolder used in the water supply system contains less than 2/10 of 1% lead. .-, . . / " / ,( '. ',' ,. / ~7'/ ./ /,'/'" l' ) , , '... ~ ----r~~ers ~natur-~) / Sworn to before me this .3 day of vd- /,J.iY1:ro 0 Notary Public, .5\--t91? tV County ~rf'L- MElANIE V. BROWN NoIIry PtAlIc. SI8Ie 01 tWit York NIl. 4GOI712 Quallled In QdIoIl CciuIIIy Cernmlsslon Expires Oct. 19o<~ I!I~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Fixture ~ ~ ~ ~ ~ ~ I I!I tFr:! tFr:! ~~~~~I!I BY "HIS CERTIFICATE OF COMPLIANCE THE 3/50Y I NEW YORK BOARD OF FIRE UNDERWRITERS I BUREAU OF ELECTRICITY ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~~~~I!I CERTIFIES THAT Upon the application of upon premises owned by DOROSKI ELEC. INC P.O. BOX 781 CUTCHOGUE, N.Y. 11935, OSKER SECAIDA 35260 MAIN ROAD CUTCHOGUE, NY 11935 35260 MAIN ROAD CUTCHOGUE, NY 11935 2087090 Certificate Number: 2087090 Block: Lot: Building Permit: ,e- /1 ?>b07 BDC: ns11 Described as a Residential 1200-1799 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 27th Day of July, 2006. Name OTY Rate Ratin. Circuit ~ Alarm and Emergency Equipment Sensor Sensor Appliances and Accessories Exhaust Fan Dish Washer Furnace Pump Motor Air Conditioner Wiring and Devices Outlet I 0 8 0 Carbon Monoxide Smoke 2 0 I 0 1 0 I 0 I 0 1.2 F.H.P. KW Gas F.H.P. BTU I 60.000 26 0 26 0 77 0 48 0 37 0 2 0 2 0 5 0 Fixture Incandescent General Purpose General Purpose General Purpose Laundry Dryer Outlet Receptacle Switch Receptacle Receptacle Paddle Fan 20 amp 30 amp seal Continued on Next Page I of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~ IID.IID ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I IID~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ . lID . BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by DOROSKI ELEC. INC P.O. BOX 781 CUTCHOGUE, N.Y. 11935, OSKER SECAIDA 35260 MAIN ROAD CUTCHOGUE, NY 11935 35260 MAIN ROAD CUTCHOGUE, NY 11935 2087090 2087090 Certificate Number: Block: Lot: Building Permit: ns11 BDC: Described as a Residential 1200-1799 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 27th Day of July, 2006, Name OTY Rate Ratin. Circuit IYM Disconnect I 0 60 amp Air Conditioner Receptacle 8 0 GFCI Service I Phase 3W Service Rating 200 Amperes Service Disconnect: Meters: 1 200 cb (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated, 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. 31504 Z Date SEPTEMBER 22, 2005 permission is hereby granted to: OSCAR SECAIDA 35260 MAIN ROAD CUTCHOGUE,NY 11935 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER WITHOUT FRONT PORCH ADDITION at premises located at 35260 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0002 Lot No. 004 pursuant to application dated SEPTEMBER 19, 2005 and approved by the Building Inspector to expire on MARCH 22, 2007. Fee $ 471.00 .~-- ORIGINAL Rev. 5/8/02 - - _3~, _ _ -32.0' _ _ __ - - NOTE: ... FRONT PORCH OPTIONAL IF NOT USING. SETBACK IS 38' ~ ~. ~ ~ ~ ; .i , , ,"--~', " "ElElIIOGIIfI'IIC : " , ._______________________________________._.1, : \..:., /' \,~ ,/-- "Xv ~__,' --... ..xu ,>~-9 / (h) '~--' \ ,<. ~f' .,;Q f/ t'cY f \ /' ~\'7 ,~ 1 I ~I N 1 I 47.7' 2 STY. FRM. HSE ... ro. 5.. 47.7' I ""I ~I lI'l ....1 ....1 N 50037'27" W 208.54' SITE PLAN SCALE: 1" = 20'-0' GAAAGE 5 H E D SUFFOLK COUNTY TAX MAP DATA: 1000-097-2-4 PROPERlY AREA: 11270S.F. LOT COVERAGE (14.4%): HOUSE: 98SS.F. FRONT PORCH: 124S.F. REAR PORCH: 20 S.F. EXIS11NG GARAGE: 360 S.F. EXISTING SHED: 128S.F. PG. 1 ADDITION I AJ...TEfCATION MAIN ~OAD, CUTCI-IOGUE, NY 5CALE Jul~ 11, 2005 JD/MI-I ]AMES]. DEERKOSKI, P.E. 260 Deer Drivc Mattituck, N.Y. 11952 (631) 298-7116 To: Town of Southold Re: Septic Survey Oscar Secaida 35260 Main Rd. Cutchouge, NY 11935 To Whom It May Concern: This letter certifies that a septic survey was perfornled on the above mentioned property, and the existing systcm is in good working condition, and is more than sufficient to carry the new demands put upon it by the proposed addition. Any questions please feel free to call. 5 3/C:;OL! 1'1 --;} ~'-/ JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 To: Town of South old Building Dept. MAR2a i j ....." c ,- 'T-..../ ~. ~:urriOLD i ., Date: March 27,2006 Re: Insulation Inspection Oscar Main Rd Cutchogue, NY 11935 Permit#31504 To Whom It May Concern: After an Insulation inspection was preformed on the above property, it is deemed that all Insulation was installed correctly, and meets all building codes. Any other questions se call. e J. Deerkoski StrappinglFraminglPlumbing Inspection Oscar Main Rd. Cutchogue, NY 11935 Permit# 31504Z Date: January 30,2006 T 0: Town of Southold Re: To Whom It May Concern: JAMESJ. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 AN 3 0 - This letter certifies that all wind strapping on the above mentioned project is in tact, and meets all state and local building codes. A FraminglPlumbing Inspection was also Performed on this Structure, and all framing and Plumbing was done correctly and also meets all state and local building codes. A pressure test was also performed on the waste/water plumbing systems. Any questions please feel free to call. JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 To: Town of Southold Building Dept. Re: Framing/Strapping Inspection Main Rd. Cutchouge, NY Permit#31504z To Whom It May Concern: -.--.---,-, . ; I" C \ I 'r ~ I;".' 1 .-~ .'. I I~N I 2 After a Framing, Strapping inspection was preformed on the above property, it is deemed that all work performed was completed to plans and meets all state and local codes. Any other questions please call. '! Ii " } )50 If :2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRucnON REMARKS: [ ] ROUGH PLBG. [ ] INSULATION rP<t FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION rJ ~. ~O/( ~~~~ l!-~ r t1l ht7.-.~ DATE __ INSPECTOR ~ 315"0 If-:z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUC'nON [ ] ROUGH PLBG. [ ] INSULATION O(FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ? 4- L4- ~f\ ~ E~~, .A9~cl J ~~ L 1-- ().J $: ~T,o<J-f~ C- '1 ~ -6-.J:.L cJ. -to- ~'~ _ DATE /1~/~>07 INSPECTOR ~~ 315t)~ :z- TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [~FOUNDATION 1 ST [] ROUGH PlBG. [)<{ FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: /~ i-- ~ ~ ~t2~ ~ bk-xo- ~, /!Leo.( ~.~: A DATE !I~+,-oS INSPECTOR~~ 3/>dtf z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION . I [ ] FRAMING/STRAPPING 1Kf'FINAL ~ ~> [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: M --f<s- ~ ~1J.1J/ ~~, F~~<~ ./1".e~ F~~ / (o-} -(), DATE INSPECTOR ~ ~ .- , FIELD INSPECTION REPORT DATE } }_I L rva J _V I v COMMENTS A/ ~ \- J7\ ./ ./ IJ-l"ll - t"l ~~ ..J:."'l .. (/ FOUNDATION (1ST) , I J-lf,. of ...... 7 ; A /.- .J ~fL..L1IP' V ~ OK i-L --// J ~/J ,." 'L-- ~~ 0~ FOUNDATION (2ND) ROUGH FRAMING & PLUMBING <' " ''':-0 ""j' '~.:" '.~_ ""~'__ _' . .,~"~;t,~ ~~~~c~~"-. ffi -=30 - '5: A j' . ~ nl'l. ~' ( /tAO 0. oU 1<:-1-'1---\ 'x -/ ./ 1_/, / /.,v_ "'.7 - __,,- <::,,/'!,/ tp __":T ., I V ..::....',';:h:.~::?""(~~"':'.,,,.,' ~ ~..t,.jf.., ,.._._~,.",~....N.>J . " : All;':; ~:-'9~~' t"\ 00 "7 ~ :l '''''---7 ~o~ "'l ,/"-'. L C/ -,~~ .,. '\ INSULATION PER N. Y. STATE ENERGY CODE / (/)~ '---., . "- /J.()IJ~ .-\ / ~ ~ ,.. t"l "'l ~ u~r 1':0 -1-1/0 0. - L JI.flc),l, oJt/~ 'I; ~ F/~ 01 1/' L f11 ~-, ~ 'DJ.r .I, y-J~ 1,,- ~ AJ' E 0 A -~ f-_ _11 'I..N.ii.N1LfCJ. ~ iT.... A '7 JIVt :11. I,<YDk I /J ciA :...~ ~0 ADDITIONAL COMMENTS )~ -J~ oS- &~. rc:: ~I fi-'," ,~~ Ih^ 1.;1 , Ok ~( I-}?-{)~ #Q~ \J.. ,/!-E. cv\:t. I)..g,', 7(;.-. '~ -+,,~ ' o~.n; k~ 3-')%-ofo Y nbA'f--,H fL g 'ACY "Ie 7/-..4 f'fi R.o_'d. 1-31)_ _0(, ~ L ~F /10 ~ hA A - V,l' L"... d- JtY'A ", f?;U \A_~A N- I, '; ~7J;;; A/'L ~ {)p\~~tljV , V b IV 0 __ ~ 1/'1....1-0 .If ~ AOA':J.. jJ,J .o--:l A. g. A" JJ n J V. }-.-.. O' _ 0" . ~ rM I.. J.JL'JIn.d ~ .P'.. JJ --->. ~ -~ -..! .... f FINAL w~ ~~ 'l./"'l . - 5~ ------.. .---. := l"l -zJ: -;! ::PO t"l "Il ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. 3/{;,7Y! ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health // 4 sets of Buildin Plans / Planning B d approval Survey Check Septic Form NY.S.D.E.C. Trustees Contact: m R Ie1 n\, \\1 ~ Q r .1$- ~L''---''--'I' ': II. I .j " ,.\ .-n'8I1111l1:' ~'l\ UU~~_ .::_J!..i BLCG ;"'F ('1. TOW: : (;f S(il-'I-i-tOLD -<: ,20~ ,20_ Examined Approved Disapproved alc Mail to: Expiration Phone(o~f- 731.{- 70 J. S ~ o~ APPLICATION FOR BUILDING PERMIT Date ~-r (tq ,200') 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 of lot and of buildings on premises, relationship to adjoining premises or public streets or an..,s, and waterways. .. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval ofthis application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in l.vriting, the extension of the permit f01 an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. . rJ \ \{)r (signaturl of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder C)WNI~R. . Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. S~t-f- Plumbers License No. .6 'is;q /11/ Electricians License No. .Q 9 4f \ - E Other Trade's License No. 1. Location ofland on which pr,,2Posed work will be done: 357 r;o mll'-"; M rIA-clfoCj/l' House Number . Street '1"'v r 11 fj' J r::: Hamlet County Tax Map No. 1000 Section Subdivision q7 Block bl Filed Map No. Lot ":"fl.''f';'' , "." .~t Ij. '.., ~~ ,,1,,;..1 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy () j.J t1 f ~ V\tc (~ ,J) Lu.Q Ii ~'J- b. Intended use and occupancy 0)..> e 1M l ( 1) LvQ..-t II Addition Other Work Alteration 3. Nature of work (check which applicable): New Building Repair Removal Demolition ~'5 0-0 4. Estimated Cost I 0 I a Fee (Description) . 5. If dwelling, number of dwelling units J If garage, number of cars rJD (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. , I 7. Dimensionsofex,istin~structures,ifany:Front 20.1 Rear 2.0./ Height '2- ~,., 1 D ' Number of Stories <).. , Dimensions of same structure with alterations or a~ditions: Front . '20 . "1 Depth~ 1.1 ' . Height"L 4 / 10 ' Number of Stories , , 11 Depth ~J ~ j '3b -~ , ~" ~ct ~7 2-.. 8. Dimensions of entire new construction: Front Height Number of Stories Qln. c' Rear d '.Z' 9. Size oflot: Front v'""' -:; ,10 10. Date ofPurchase---Y-J \ ~ Rear Depth , Depth I QO,(J . Name of Former Owner 11. Zone or use district in which premises are situated _~ -es( at ~ IL \- \. ~ 12. Doffi pro"",'" oo_cti= ~oM' m:rng J,w, nnli=re ~ regnbtinn? YES _ NO ./ 13. Will lot be re-graded? YES_ NO Will excess fill be removed from premises? YES_ NO_ 14. Names of Owner of premises D5:Car ArldressjSZ. (p{) ",IIi! f!~eNo. ~sl "fgi{ f6CS- Name of Architect ::::I~m€ S D~-...<o'7~ddress 2.bo ~f)!2..,.LPhone No .4-3' L.-9'b '11 lb Name of Contractor 1 liD (1/ !J (1'.:;'3 Address 'S5 :t 'PIe /l.t:I-t Phone No. 103 ( '3 b1 '-((33 r-I", ltrS tv'! IIfol ./ 15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO..L- * 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 '!fA; IC~' o "C {j. ( <:;e c (j i oL~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me ~ Iii cU}~;;~. Notary Publi . PENNY BEO~LNew Yor\l ..ry~b1cl\i'~9317 ... '1"...,y) ~ In SUf!olk Cuun"oL-O [) / eammiSsiOlI Elqlires Sept. zg, - ()S La.. r S'e..c Q, d-e, Signature of Applicant TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET :352bD <i,~ /(0 ad o.'~ IffJQ <I S If, tAl J()(U<; FARM /000 - 9 OWNER C)s.ua.~ v.J $DC.Ki tES. ,,:I I () LAND SEAS. VL. IMP. TOTAL 3()(J .LMO .;.9DO 3100 .$-0(; 00 7 t)(J ~ oD. ;:2. (co 0 'ht- /'-f- VILLAGE DIST. SUB. LOT - "C, J 1..1.( ACR. o ~lOO TYPE OF BUILDING COMM. CB. Mkt. Value MISe. DATE -; 'fIt 7;... lI': Fi fa' :Fw p :fe ,.t rI NORMAL BELOW BUILDING CONDITION ABOVE AGE NEW FARM Acre Value Per Acre rillable 1 rillable 2 'jllable 3 '1aodland ;wampland lrushland -louse Plot -- 'otal Value FRONTAGE ON WATER FRONTAGE ON ROAD f2.,;..;'1, e. 1;,0---0 ~ ""'-1'.( DEPTH /80 ~fr{'/4(/eH 8(: ) BULKHEAD DOCK 1; r 'Idg. lsian ,sion 1sian 1 1 !zeway ge o '. , ,Y.'; /), , k ~:: u' '-/ ";t, ~ /., X Z ~ .------' ~ .~~;; li,) !./Ji~.~~~ ~:;., "'.. Y/!i<. k J.. -;... 1 I' ...,<",'.;~. "-,,- \, '" >~~ \ ;,',c~ '~\.)~~~~~~~~~~;;~ ~~:-.,;~~ .1"'25 'J" !r l c . i , : COLOR I +-- I , ' c;./~ J.J ,( 1 TRIM ! rei ! i 4LCJO -, .l 0 ,f " Foundation asement ":'.ft-'~ /5 --{...; ~.~ ~- t/ ) 3.u () ~ -- -J':< of,. =~t. Walls ., , ?~9 - " ~ .~ ype Roof ..., ,. ). Fire Place L ';./J Ig~/: // ,''' !. ~ " ~ I.~ ;2.. i3fi'lcl<. Bath / Dinette - -:;, y I Floors I') / i-/:::. K. Interior Finish IV ~l I~ D LR. AS 23 No Heat Vl' :- DR. ITA B... Rooms 1 st Floor BR. Rooms 2nd Floor FIN. B. , Recreation Room -4.-7/- '.11'> pormer I S~. 1/7 ' ~<g5 ,- n '!.-I" Driveway ../ . ~ V "") (-~ .-' " SM "lL l-- (Cf. IN1" (I>, 14 "-- . :-;--~-G;-. ~. I ~ '~ '0 ~ 1 '~~~ r;: I ! '.< ! il I. 5 2005 " ~! f) ~n"JI Permit Number RFScheck Compliance Certificate Checked ByIDate New York State Energy Conservation Construction Code REScheck Soiware Version 3.6 Release 2 Data filename: C:\Program FileslChecklREScheck\MAIN RD CUTCHOGUE.rck PROJECT TITLE: addition! alterations COUNTY: SuJDlk ST ATE: New YOlk HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric WINDOW / WALL RATIO: 0.16 DATE: 10/04/05 DATE OF PLANS: 07/2005 PROJECT DESCRIPTION: MAIN ROAD CUTCHOGUE,NY COMPLIANCE: Passes Maximum UA = 358 Your Home UA = 350 2.2% Better Than Code (VA) Ceiling I: Flat Ceiling or Scissor Truss Wall I: Wood Frame, 16" o.c. Window I: Wood Frame:Double Pane with Low-E Window 2: Wood Frame:Double Pane with Low-E Window 3: Wood Frame:Double Pane with Low-E Door I: Solid Wall 2: Wood Frame, 16" o.c. Window 4: Wood Frame:Double Pane with Low-E Floor I: All-Wood Joist/Truss:Ov... Unconditioned Space Gross Area or Perimeter Glazing or Door U-F actor .llA Cavity Cont. R-Value R-Value 985 1093 181 5 12 41 1093 150 985 0.0 0.0 34 70 63 2 4 14 77 53 33 30.0 13.0 0.350 0.300 0.330 0.350 13.0 0.0 0.350 30.0 0.0 COMPLIANCE ST ATEMENT: 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 CooseIVation Construction Code requirements. When a Registered Design Prorssional has stamped and signed this page, they are attesting that to the best of his /her knowledge, beli~ and prorssional judgment, such plans or specifications are in compliance with this Code. Builder/Designer -.:::r- ~~ ~~ Dale to 1 I./} CJ~ RFScheck Inspection Checklist New York State Energy Conservation Construction Code REScheck Solware Version 3.6 Release 2 DATE: 10/04/05 PROJECT TITLE: addition! alterations Bldg. Dept. Use Ceilings: [] I. Ceiling I: Flat Ceiling or Scissor Tmss, R-30.0 cavity insulation Comments: Above-Grade Walls: I. Wall I: Wood Frame, 16" o.C., R-13.0 cavity insulation Comments: 2. Wall 2: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: Windows: [] I. Window I: Wood Frame:Double Pane with Low-E, U-flctor. 0.350 For windows without labeled U-flctors, describe i:atures: # Panes_ Frame Type Thermal Break? [ ] Yes [ ] No Comments: [] 2. Window 2: Wood Frame:Double Pane with Low-E, U-flctor. 0.300 For windows without labeled U-flctors, describe i:atures: # Panes_ Frame Type Thermal Break? [ ] Yes [ ] No Comments: [] 3. Window 3: Wood Frame:Double Pane with Low-E, U-flctor. 0.330 For windows without labeled U-flctors, describe i:atures: # Panes_ Frame Type Thermal Break? [ ] Yes [ ] No Comments: [] 4. Window 4: Wood Frame:Double Pane with Low-E, U-flctor. 0.350 For windows without labeled U-flctors, describe i:atures: # Panes_ Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: [] I. Door I: Solid, U-flctor. 0.350 Comments: Floors: [] I. Floor I: All-Wood JoistlTruss:Over Unconditioned Space, R-30.0 cavity insulation Comments: Air Leakage: [] Joints, penetrations, and all other such openings in the building envelope that are soun:es of air leakage must be sealed. Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance fiom combustible materials. !fnon-IC rated, the fixture must be installed with a 3" clearance fom insulation. Vapor Retarder: [] Required on the warm-in-winter side of all non-vented Jimned ceilings, walls, and lIoors. Materials Identification: [] Materials and equipment must be installed in aooordance with the manuflcturer's installation instroctions. [] Materials and equipment must be identified so that compliance can be determiued. [] Manuicturer manuals Dr all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-flctors must be clearly marked on the building plans or specifications. Duct Insulation: ] Supply ducts in unconditioned attics or outside the building must be insulated to R-8. ] Return ducts in unconditioned attics or outside the building must be insulated to R-4. ] Supply ducts in unconditioned spaces must be insulated to R-8. ] Return ducts in unconditioned spaces (ex""Pt basements) must be insulated to R- ] Return ducts in unconditioned spaces (ex""Pt basements) must be insulated to R-2.. Insulation is not required on return ducts in basements. Duct Construction: [] All joints, seams, and connections must be seroreJy Estened with welds, gaskets, mastics (adhesives), mastic-plus-<2llbedded-iIbric, or tapes. Tapes and mastics must be rated UL 181A or UL l81B. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). [] The HV AC system must provide a means Dr balancing air and water systems. Temperature Contruls: [] Each dwelling uuit has at lesat one thermostat capable of automatically adjusting the space temperature sct point of the largest zone. Electric Systems: [] Separate electric meters are required Dr each dwelling uuit. Fireplaces: ] Fireplaces must be installed with tight fitting non-wmbustible fireplace doors. ] Fireplaces must be provided with a source of combustion air, as required by the Fireplace constroction provisions ofthe Building Code of New York State, the Residential Code of New York State or the New York City Building Code, as applicable. Service Water Heating: Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ Insulate circulating hot water pipes to the levels in Table 1. Cin:ulating Hot Water Systems: [] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [] All heated swimming pools must have an on/o1rheater switch and require a cover unless over 20% of the heating energy is rom non-<lepletable sources. Pool pumps require a time clock. Heating and Cooling PipIng Insulation: [] HV AC piping conveying ftuids above 105 "F or chilled ftuids below 55 "F must be insulated to the levels in Table 2.