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HomeMy WebLinkAbout32749-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33004 Date: 04/28/08 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 595 TUCKER LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 59 Block 11 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 23, 2007 pursuant to which Building Permit NO_ 32749-Z dated FEBRUARY 21, 2007 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 The CertlflCate is issued t0 DOUGLAS & MARLENE BUFKINS of the aforesaid building. (OWNER) SDFFOLR COIINTY DEPARTlBBTP OF RBALTH APPROVAI, ELECTRICAL NO. PLDFIIiERS CERTIFICATION DATED 2074649 04/17/08 04/23/08 GARY BUFKINS '~~~ Authorized Signature Rev. 1/81 ~ ~5- 3 ~ ~3 Form No. 6 w, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT _ ___ TOWN HALL ? 765-1802 ~ ~~ - ''' APPLICATION FOR CERTIFICATE OF OCCUPANCY `L /~ I ' ~ ~..._ This application must be filled in by typewriter or ink and submitted to the Building Depdrtme~t with the following: ~ i A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 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 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. ~ °) u' 1 New Construction: Old or Pre-existing Building: (check one) Location of Property: `J ~ ~i ~v C KP r S L ~ ~ P S av F h n~~ House No. Street Hamlet Owner or Owners of Property: ~ni i O ~~S an a l a r 1 P n e (~ a Y- K i l'i Suffolk County Tax Map No 1000, Section O 5 ~ Block b O ~ ~ Lot b~ Subdivision Filed Map. Lot: Permit No. ?~ 07 ~ y ~ Date of Permit. a I r3 l ~ U "7 Applicant: 170Uq ~ S t M rn t ~ e ~ ~ a u etc. ~ n5 Health Dept. Approval: Planning Board Approval: Request for: Fee Submitted: , Temporary Certificate e ~~.ot] Underwriters Approval: Final Certificate: V (check one) f~ App 'cant Sign re (~c.~~i~`I~ ~6~3~ooy 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) 3a?~9 PERMIT NO. 30 Z Date OCTOBER 14, 2004 Permission is hereby granted to: DOUGLAS & MARLENE BUFKINS 595 TUCKERS LANE SOUTHOLD,NY 11971 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 595 TUCKER LA SOUTHOLD County Tax Map No_ 473889 Section 059 Block 0011 Lot No. 004 pursuant to application dated OCTOBER 7, 2004 and approved by the Building Inspector to expire on Fee $ 921.00 ORIGINAL Rev. 5/8/02 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. 32749 Z Date FEBRUARY 21, 2007 Permission is hereby granted to: DOUGLAS & MARLENE BUFKINS 595 TUCKERS LANE SOUTHOLD,NY 11971 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS FOR. THIS PERMIT REPLACES 30702. at premises located at 595 TUCKER LA SOUTHOLD County Tax Map No. 473889 Section 059 Block 0011 Lot No. 004 pursuant to application dated FEBRUARY 23, 2007 and approved by the Building Inspector to expire on AUGUST 21, 2008. Fee $ 921.00 ORIGINAL Rev. 5/8/02 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by DOUGLAS BUSKINS DOUGLAS BUSKINS 595 TUCKERS LN. 595 TUCKERS LANE SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 Located at 595 TUCKERS LP.NE SOUTHOLD, NY 11971 Application Number: 2074649 Certificate Number: 2074649 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 1800-2399 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, addition, Attached Garage, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 17th Day of April, 2008. Name ~ Rate Ratine Circuit Tvoe Alarm and Emergency Equipment Sensor 2 0 Carbon Monoxide Sensor 6 0 Smoke Appliances and Accessories Exhaust Fan 3 0 F.H.P. Future Appliance Feedzr 1 0 20 Amps Furnace 1 0 Oil Wiring and Devices Outlet 67 0 Fixture Fixture 67 0 Incandescent Outlet 88 0 General Purpose Receptacle 49 0 General Purpose Switch 42 0 General Purpose Receptacle 2 0 20a Laundry Paddle Fan 3 0 Receptacle 6 0 GFCI Service seal 1 Phase 3 W Service Rating 200 Amperes Continued on Next Page 1 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 unJicated. O cPtPr~rJ~cP~.Pr.J~rJ~rJ~rJ~rJ~rJ~r.Pr~rJcPcPrJ~rJ~rJ~cPrJ~rJ~rJiJrJ~rJrJrJ~rJ~r.Pr~rJ~~Pr.PrJ~rJr~r1rJ@PrJcPrJr~rJ~rJ~rJ~r~r~rJr~cPcPrSrJ~r.J~r.Pr~rJ~cPrJ~rl~ O ~ J TE F OMPLIANCE THE c C C~ BY THIS CERTIFICA O C 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET - NEW YORK, NY 10038 5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 DOUGLAS BUSKINS DOUGLAS BUSKINS 5 595 TUCKERS LN. 595 TUCKERS LANE 5 ~~ SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 5 D~j r Located at 595 TUCKERS LANE SOUTHOLD, NY 11971 5 55 5 5 Application Number: 2074649 Certificate Number: 2074649 5 5 ns11 Buildin Permit BDC Bl k L t S ti C 5 5 g : : : o : ec on: oc r `7C. Described as a Residential 1800-2399 square ft. occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 Basement, First Floor, Second Floor, addition, Attached Garage, Outside, Attic, c to the extent detailed limit d to electrical devices and wirin A i l t i l t i l i ti f th 5 5 5 g e prem ses e ec r ca sys em, e v sua nspec on o was conducted in accordance with the requirements of the applicable code and/or standard herein 5 , promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the 17th Day of April, 2008. Name ~ Rate Ratine Circuit Tvoe r e-5 5 Service Disconne t 1 200 cb 57 Meters:l 5 5 5 5 5 5 5 5 5 5 5 5 l 5 sea 5 2 of 2 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location Indicated. 5 5 O r~r~r~~rn~r~ rs rJ@PcPcPcPcPcPrJ~r.PrJ'r1rJr~cPrP~Pc1r.PclrJ'rJ~rJ~cPrJ~r1rJ@PrJr~rJ'rlclrJr.n~PrJ'~PrJ~rJ~rJ~rJ~r~rJ~rJ~cPcJ~~Pr.PcPrJ@.PcP O Town Hall, 53095 Main Road P.O.. Box 1179 Southold, New York 11971-0959 =~o~OgUffO(,~coGy o ~ oy~ol ~ ~ao~ ~ • BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Fax (631) 765-9502 Telephone (631)765-1802 Date: ~ ~ 3 O Building Pennit No. ~J a ~ `-~ Owner: 17~~s t MA.1-I~t1~ ~uFiLinS (Please print) Plumber: you 1CC 5 F~U~I~ ~ YlS - CN1zy /3JT/~~~/ 5 (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~~-~~~ ~ ~~ o I' (Plumb s Signatwe) Sworn to before me this day of j' _, 20 ~~ ~/~ Notary Public, _~V~~_(i [bounty MELANIE V. BAONM Notry hbi4 8bY d Nwv Yak No. ~0017f2 Qn6Yod In 9~iAolt Cauaty J ~aa Q -~`"9 ~~ - 5' TOWN OF SOUTHOLD PROPERTY RECORD CARD M-~a OWNER STREET VILLAGE _ -,DIST. SUB. LOT ~ ou a . Ilene l~,rn e y ah r~ ~.~-;.~-~n ~~'' .s' ,.CFO ER WNE@T v~ pule ~uS JJ SCl7l o ~~'! ~ r.c)~ y~,, %'2:~~1z~.-z .~ ~.;« E/ .d • ~-a-~.-~~~,_.. ~~ 'ACR. Z z ' ?/'C~Q rd -~ S~"QU~'~°r $ - W ~ ~ TYPE OF BUILDING ~ - RES. ~~ ~ SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND - IMP_ TOTAL DATE REMARKS ~~< ~% tJ o°1 SO d ___} • ~_ l ;?-rte !' ~G,.o-f ~1~..,. .. ~.. , y-~-- .. _. _ S~n-U L _.y •:~-c.~ o~: D-J ~(o ~ ci-7 ' ,2~7 ~ L 1 G"= 8LP/p u N... b. A A ~- l~%. /'/.A: PR. (~ o o a o_ p d 7 ~ o /3 ~/7 d'3S'is~e~S3 e ~ ~TST.av e,e_T- c,~; Scti~a7~i~w~. /o -L 11 -~ /3-S~ lo`f-P~ fa ~u~fk`ins ~70~ oob AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value 5 Tillable FRONTAGE ON WATER Woodland '~' " FRONTAGE ON ROAD ~o o ~ "" ~ oc) Meadowland DEPTH , ye ~ House Plot. BULKHEAD _ Total DOCK ~l v`_ ,~ COLOR W ft-(E'9~ Vh E c c o 1J TRIM w,-i~tt s_ I > ~ ... 1 i w~ 1 ',r ~ -~~ . 1 3 M. Bldg. a 3 0 -_ t° 9 0 3, o o ,I a 9 0 3 E i xtens on / L = ~ f 3, o 0 3 a Extension Extension Foundation Lo ~ Bath / Dinette Porch 4 x ,~ y ~ ~ o i1 Basement J~ Floors ~~ K K. Porch Ext. Walls /,~J 607J S/J>• Interior Finish LL B LR. Breezeway Fire Piace Heat ~ S DR. Garage ~ ~ A R _ G ype Roof Rooms lst Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B 0. B. Dormer Drivewoy Total ~ 3 ~ yC ~-~ / ° /o _---~ .,Z 1 Z ~ N 67° 45'0" W 100.00' ORIGINAL SURVEY DRAWN BY: ROBERT A. KART, LIC. LAND SURVEYOR LIC. N0. 28725 09/15/1983 PROPERTY: 14'000 S.F . HOUSE (W/ ADDITION): 2430 S.F. DETATC HED GARAGE: 227 S.F. TOTAL LOT COVERAGE 187. N N 0 O 0 o ~~ ~; 0 O - --------- 20.3 ~: ~; ~~, ,, ~,.~ ~_ '~ J 12.2' ((~ 1 STY. FR. (~ ~I O; cDE GARAGE ~ z `- 12.2' ~ rv N 18.00' ` o cn 0 0 0 45 00' `r ~ . o N 12 .00' m 2ADDITION 1-1/2 STY. FR. EXISTING HOUSE O o o ~ O 45.00' 30.00' `V .:-- ~, S 67° 45'0" E 100.00' TUCKER'S LANE SURVEY SCALE: 1"=20' m ~i ~; TUCKER'S LANE i1E=150' CONC HON O O - rv O COVERED ENTRY W/GONG STEPS F- W K O u i a l' ~ . J0.6'- EXISITNG i 1/2 STORY RESIDENCE I z ~I W C C Y n I STORY (GARAGE) GARAGE ENTRY POURED CONCRETE FOUNDATION (EXTERIOR- ONLY) FRAME GAFAGE STOCKADE FENCE p00VE 9ROUN1 X22' P001 N/F 0"SULLNAN PERCENTAGE OF LOT COVERAGE: AREA OF EXISTING HOUSE = 861 SF. AREA OF ADDITION =1302 S. F. AREA OF EXIST. GARAGE = 223 S.F. AREA OF EXIST. GARAGE ATTACHED 70 HOUSE = 248 S. F. AP, EA OF ABOVE GRD POOL = 377 SF. TOTAL AREA OF ALL IMPROVEMEN7S 3011 S.F. OR 21.5% OF L07. GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE nRE COMPANY, GOVERNMEN iAL AGENCY, LENDING MSn7UTlON. IF LISTED HEREON, AND TO iHf ASSIGNEES OF THE LfNOING MSnNnON GUARANTEES ARE NOT TRANSFERABLE TO ADOr nONAL INSTI n/nONS OR SUBSEQUENT OWNERS uNAUTHORrzfD ALTERAnoN GR ADDmoN ro rHrs SURVEY IS A VIOLA nON OF SEC nON 1209 OF THE NfW YORK STATE EDUCA DON LAW COPIES OF THIS SURVEY MAP NOT BEARING 2 m SURVEYED: 75 DECEMBER 2004 SCALE 1"= 30' AREA = 14,000 S. F. OR 0.321 ACRES THE LAND SURVEYORS EMBOSSED SEAL SHALL SURVEY OF "OT Bf G°NB.°fafD TG BE A VALrD TRNE DESCRIBED PROPERTY IOPY SITUATE SOUTHOLD, TOWN OF SWOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: DOUGLAS BUFKINS MARLENE BUFKINS TM~ 1000-059-11-004 100.00' STONE HON. N/F CLARN SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK. N. Y. 71956 631 -734-5835 i GUARANTEED T0: ----- -1 ---__ DouGLnS EuRKINS ICENS LA D RVEYOR n+ARLENE euEKINS / NYS Li No. 4 73 04R1374 3 ~~ ~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPINGFINAL ~ ~ [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCnON [ ]FIRE RESISTANT PENETRATION ~. REMARKS: D'~'~- ~S - o S ~~~~-- DATE ~~ INSPECTOR 3 2-7'~~ z TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: ~~ oc ~ DATE 'f - ~-~--o s- ~~ ~'! INSPECTOR " ° "~ `" ,moo to -- * ©'~ ~~ • TOWN OF SOUTHOLD BUILD G DEPT. /C-L.~,~ 765.1802 ~~~C,_~n _~ ~ - Y~ c.~,l INSPECTION ~~s [ ]FOUNDATION 1ST [ ]ROUGH PLBG. ~~~ [ ]FOUNDATION 2ND [ ]INSULATION ~) ~~~~'~"~J [ ]FRAMING /STRAPPING [ ~INAL ~~ I ~W~W,,~~~-~~/~~~ l~.~Crn, [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION~~~~~~ [ ]FIRE RESIST T CONSTRUCTION [ ]FIRE RESISTANT PENETRATION~~~ REMARK /(S ., ~_~ INSPECTOR 3~~~°~ a ~. 765.1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ OUGH PLBG. [ ]~DATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: DATE ~ J INSPECTOR_ D Z_ 765.1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ]FIREPLACE 8~ CHIMN REMA/l~RKS: ~~~ DATE ~~ ~ ~3 ~_ O~ [ ]ROUGH PLBG. [ ]INSULATION [ ]FINAL EY [ ]FIRE SAFETY INSPECTION ~~~ ~ ~ ,f A J/ _ ~ ~ 1 INSPECTOR ' i °~""'` ~a0f SOOTyo 0 31~1~~ cen '~' ,F TOWN OF SOUTFIOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROU PLBG. [ ]FOUNDATION 2ND [ NSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION --~ i-, ~. REMARKS: DATE ~~ Q INSPECTOR :... 3,~'~ ~k ~ _ ~-~ 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. ` [ ]~UNDATION 2ND ~~~ ~~ [~ ~ FRAMING ~~~ [ ]INSULATION [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION DATE ~ ~ INSPECTOR i~ r REMARKS: ~f~`~c '~``~~e ~~ ~ ~~~zZ ~ 3a~ 4 ~ re,~, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]~OUGH PLBG. [ ]FOUNDATION 2ND [,] INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION ~{-. DATE ~ f INSPECTOR 3a~~-~t ~ ,~~ 765.1802 BUILDING DEPT. 1 NSPECTION [ ] UNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: DATE ~'~ ~ INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS oz 3~0 _ ©I FOUNDATION (1ST .y ) - H u ------------------------------------ FOUNDATION (2ND) - -- C - ~ z ~~ ~~ ~y ~' ' ROUGH FRAMING & PLUMBING / ~ - ~-~''^^~~- ~ ~ + y .(,~.,. C , (h ~ L QQ.~ "Al~f.~! L ~ r ~ ~ ~®~ INSULATION PER N. Y. STATE ENERGY CODE y _ j,~, C ' C~ ~-~ti~~~o~~~ FINAL - ~~~ e (j ~ i,~ ~ , W ADDTTIONAL COMMENTS ~ 1 r~ ~ 2t, ' ~ O z 6m A k ro .. -- H .. O z x ---- ~ r y - x e -- ~ TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Boazd of Health SOUTHOLD, NY 11971 ~ ~.-~ ~ n ~ - 4 sets of Building Plans TEL: (631) 765-1802 _C Planning Boazd approval FAX: (631) 765-9502 _ Q^ ~ -v ~ :Survey www. northfork.net/Southold/ PERMIT NO. C~b`T~°G Check Septic Form N.Y.S.D.E.C. / ° ~ ~ y Tnutees Examined , 20 Contact: Approved (G , 20~i Mail to: Disapproved a/c Phone: 7~O.S' 3 g 7 ~ . Expiration 20 7 ~ APPLICATION FOR BUI( ERMIT i 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 of lot and of buildings on premises, relationship to adjoining premises or public streets or azeas, aad 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. £ Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. r('~gna a otur f ap tcant or name, if a corporation) (Mailing address of applicant) ((rR~ State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder O ~y~1i~l~ Name of owner of premises I~r~2~g~ a(- rnc,-l~~~iC~ ~,~i1~r'~ %~_ (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. G. ~ {~' S`l~id~ Plumbers License No. U1~iy' Electricians License No. CJ v Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) t: ii: lOgF;. Block au+~ qaY, ~:,;§)~,JNd~~.U~;3,ot_ _ File~~irot r.. t>e~ti~~~u: Lot tanac ~witanu:~ 2. State existing use and occupancy of premises and intended use and occupat a. Existing use and occupancy~j % 2~1e {Qlyi,~/ f74r c (/r of proposed construction: b. Intended use and occupancy 7~ r~r)Gl ~OG,v `~(~ _ - .. ,.~~ll~ 3. Nature of work (check which applicable): New Building Addition~~Alteration Repair Removal Demolition Other Work 4. Estimated 5. If dwelling, number of dwelling units If garage, number of cars Fee (Description) (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. Dimensions of existing structures, if any: Front Reaz Depth Height Number of Stories u--~ Dimensions of same structure with alterations or additions: Front F Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises aze situated 12. Does proposed construction vio/late any zoning law, ordinance or regulation? YES_ NO 13. Will lot be re-graded? YES !/ NO_Will excess fill be removed from premises? YES_ NO 14. Names of Owner of premises ~~~'~ Address / ~h 7cC,Rlrs L9-~e Phone No. ~5-1173 '~ Name of Architect ,(lecr/r~s/r~ Address t'!'1 °7(?". Phone No Name of Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO // * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? *YES N01~ * IF YES, D.E.C. PERMITS MAYBE 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 O ~Cf~ ~~~~ft,UC S ~ ~l,l_-~Kl ~5 being duly sworn, deposes and says that (s)he is the applicant (Name o dividual signing contract) above named, (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 aze 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 thi day of 20 d Not blic ~~ ~ ~ Mxk Caam~ 2001 !~~~ SiT'gnatu a of Applicant N 67° 45'0" W 100.00' ORIGINAL SURVEY DRAWN BY: ROBERT A. KART, LIC. LAND SURVEYOR LIC. N0. 28725 09/15/1983 PROPERn: 14'000 S.F. HOUSE (W/ ADDITION): 2430 S.F. DETATC HED GARAGE: 227 S.F. ., TOTAL LOT COVERAGE: 187 ~; Q 12.2' C°~ O; CO 1 STY. FR- CO /~ V J ~y V; M GARAGE M W W N ~' ~ 12.2' IV N N 18.00' cn o ~ o ° ° o 45 00' - ~ o . ~ N 12 .00' m .~ o ~ Q z sn. FR. ADDITION 1-1/2 STY. FR. 0 ~ O O O ~ E%ISTING HOUSE O 45.00' 30.00' `V 20 .3' ;4. 7 :- "a~ co Sri; r~! r~; S 67° 45'0" E 100.00' TUCKER'S LANE ~~ SURVEY SCALE: 1"=20' ~~~~\ 1 U JAMES J. DEERKOSKI, P.E. 260 Deer Drive Matti[uck, N.Y. 11952 (631)298-7116 To: Town of Southold Re: Doug Buffkins 595 Tucker Lane Southold, NY 11971 To whom it May Concern: This letter certifies that the existing septic system at the above mentioned properly is sufficient enough to carry the new loads put upon it by the proposed addition. Any questions please feel free to call. 'd James J. D~loskl~P.E. \`,. c t- ~ , ~t~ \\ \ _ s 11`x\, V,~"~ N N cn 0 O 0 o ~! ~: 0 O ------------------- 20.3' , ~: r-~ ~~ ~ ` ~.4; ~. a. w? ~~ ~:; '~ ~\ ;'- \~ EF Fem. Yr i s l f ~d~,~ N 67° 45'0" W 100.00' ORIGINAL SURVEY DRAWN BY: ROBERT A. KART, LIC. LAND SURVEYOR LIC. N0. 28725 D9/15/1983 PROPERTY: 14000 S.F. HOUSE (W/ ADDITION): 2430 S.F. DETATC HED GARAGE: 227 S.F. TOTAL LOT COVERAGE: 1B% 12.2' CO 1 STY. FR. CO ARA E ~~ O. 00 G G pp z ~ 12.2' ~ rv N 18.00' o v, 0 0 0 00' 45 -- ~ ~ . o N 12 .00' ~' -P 2ADDITION 1-i/2 STY. FR. EXISTING HOUSE o O o ~ O 45.00' 30.00' `v -. - ~, ~i ~; S 67° 45'0" E 100.00' TUCKER'S LANE SURVEY SCALE: 1"=20' Permit Number RESC/neck Compliance Certificate Checked Bc/Date New York State Energy Conservation Construction Code REScheckSoficare Version ?.6 Release 1 Data filename: C:\Program Files\Check\REScheck\BUFkINS.rck PROJECT TITLE: ADDITION COUNTY: Suffolk STATE: Ne« York HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Fanol~ HEATING TYPE: Non-Electric WINDOW /WALL RATIO: 0.1? DATE: U8/31/0a DATE OF PLANS: 08/200 PROJECT DESCRIPTION: BUFKINS RESIDENCE 595 TUCKER'S LA. SOUTHOLD.NY COMPLIANCE: Passes Maximum UA = ? 1R Yoiv Home UA = ?07 3.5"/" getter Than Code (UA) Gross Glazing Area or Cap ib Cont. or Door PEIlO11:ICf R-Value R_Value U_Fac[or IIA Ceiling 1: Fla[ Ceiling or Scissor Tmss 1200 21.0 0.0 56 Wall 1: Wood Frame. 16" o.c. 880 13.0 OA 60 Window 1: Wood Frame:Double Pane ~~ith Lour-E 23 0330 R Window 2: Wood Frame:Double Pane kith Lmc-E 86 0.?50 ?U Door 1: Solid 21 0.180 3 Doot 2: Solid 19 Q280 5 Wa(12: Wood Frame, 1C," o.c. R80 13.(1 0.0 (,2 Window ?: Wood Frame:Double Pace kith Low-E 28 0.330 9 Windo" a: Wood Franre Double Pane kith Lo«-E 56 0.350 20 Door 3: Glass 3~1 0.370 1? Floor 1: All-Wood Joist/Tross:ther Unrntufitioned Space 1200 30.0 0.0 ~0 COMPLIANCE STATEMENT: The proposed Molding represented in this document is rnnsistent with the Molding plain, specifications, and other calculations submitted with this permit application. The proposed satenvs hay a been designed to meet the Ne~c York State Energy Consen anon Construction Cade reepiirements. 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 judgme ~ lans or specifications are in compliance with this Cade. BuildedDesigner Date ~ ., z ~ ~~ REScheck Inspection Checklist New York State Energy Conservafion Construction Code REScheckSoftware Version 3.6 Release 1 DATE: 08/31/04 PROJECT TITLE: ADDITION Bldg Dept Use ~ Ceilings: [ 1 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-21.0 cavity insulation I Comments: I ~ Above-Grade Walls: [ ] ~ L Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation I Comments: [ 1 2. Wa112: Wood Frame, 16" o.c., R-13.0 cavity insulation ~ Comments: I ~ Windows: [ ] ~ 1. Window 1: Wood Fmme:Double Pane with Low-E, U-factor. 0.330 ~ For windows without labeled U-factors, describe features: #Panes_ Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: [ ] 2. Window 2: Wood Frame:Double Pane with Low-E, U-factor 0.350 ~ For windows without labeled U-factors, describe features: ~ #Panes_ Frame Type Thermal Break? [ ]Yes [ ] No I Comments: [ ] ( 3. Window 3: Wood Fmme:Double Pane with Low-E, U-factor: 0.330 For windows without labeled U-factors, describe features: #Panes_ Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: [ ] ~ 4. Window 4: Wood Frame:Double Pane with Low-E, U-factor: 0.350 For windows without labeled U-factors, describe features: ~ #Panes_ Frame Type Thermal Break? [ ]Yes [ ] No I Comments: I I Doors: [ ] 1. Door 1: Solid, U-factor: 0.180 I Comments: [ 1 2. Door 2: Solid, U-factor: 0.280 ~ Comments: [ ] 3. Door 3: Glass, U-factor: 0.370 I Comments: ~ Floors: [ ] ~ 1. Floor 1: All-Wood Joist/Truss:Over Unconditioned Space, R-30.0 cav ity insulation I Comments: AirI.eakage: Joints, penetrations, and all other such openings in [he building envelope that are sources 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 from combustible materials. If non-IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Ideotitication: Materials and equipment must be installed in accordance with [he manufacturer's installation inswctions Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. DuM Insulation: Supply ducts in unconditioned attics or outside the building must be insulated [o 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 (except basements) must be insulated to R- Return ducts in unconditioned spaces (except 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 securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated iJL 181 A or UL 181B. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at Tess than 2 in. w.g. (500 Pa). The I-IVAC system must provide a means for balancing air and water systems. Temperature Controls: Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of [he largest zone. Electric Systems: Separate electric meters are required for each dwelling unit. Fireplaces: Fireplaces must be installed with tight fitting non-combustible fireplace doors. Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code ojNew York State ,the Residential Code ojNew York State or the New York City Budding 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 [he levels in Table 1. ~ Circulating Hot Water Systems: Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from nondepletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the levels in Table 2. Table !: Minimum Insulation 77iicknrss jor Circulating Hot Water Piprs. Heated Water Non-Cirrnlatitlg RLnonts t'~rc~ tattni nnamc ana xuuouts Temoerat>!re t Fl IIo to 1" Uo to 1.25" t.5" [0 2A" Ocer 2" 170-180 0.5 1.0 1.5 2.0 110-160 0.5 0.5 LO 1.5 100-130 (1.5 QS 0.5 l0 Table Z: Minimum Insulation 77ticknrss jor HVAC Piprs. Flnid Temp. lnc~~lation Thickness 'n nches b5 Pi i~ c Pioin ystem Tcoes Ranee ! F1 J" Ranoats 1"~~c 1.25" to 2" 51,. ' to;„ Heafing Systems Lon Pressure/Temperahtre 201-250 1.0 15 1.5 2.0 Lou' Temperahire 120-200 0.5 1.0 1.0 1.5 Steatu Condensate (for feed aa[er) Am 1 (1 1.0 1 S 2.0 Cooling Systems Chilled Water, Refrigerant ~0-55 0.5 0.5 0.75 1.0 and Brine Beloit a0 LO 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Otily)