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Home My WebLink About33080-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 06/20/08 No: Z-33114 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 875 (HOUSE NO.) County Tax Map No. 473889 Section 78 VICTORIA DR (STREET) Block 9 SOUTHOLD (HAMLET) Lot 58 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 25, 2007 pursuant to which Building Permit No. 33080-Z dated MAY 25, 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 AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT M & CHRISTINE KLIPSTEIN (OWNER) of the aforesaid building. N/A SUFFOLK COUlllTY DEPARTMKNT OF HEALTH APPROVAL 04/20/06 ELECTRICAL CERTIFICATE NO. 7023 PLUMBERS CERTIFICATION DATED 06/05/08 PERFECTION PLUMBING Rev. 1/81 ,- \V\l\', ) . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 . I 20 APPLICATION FOR CERTIFICATE OF OCCUP~) " ji-;--':';lD .-J .if )1 I -1 L This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a 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 6kir New construction~~ Date. 8" House No. Old or Pre-existing Building: \hck1~ 'Dr: Street (check one) Location of Property: SoiN11AU Hamlet Owner or Owners of Property: ~Dbe.r-f ~ ('J",~ /, r-e.. 7g K (ifJSfe,-V1 . I Lot 51 Suffolk County Tax Map No 1000, Section Block Subdivision R~~ dol') j{~; )kt<, Permit No. 3b08'O-z Date of Permit. 5'(:1.'5/ Dl Filed Map. Lot: Applicant: Rabtft... Ck,;;t)-( t::~~jV\ Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ dS ,0'0 ~ ~ :o~\\~ ~C '1 L-\ S"l \ Town Hall, 53095 Main Road P.o. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: ~!S!O'l Building Permit No. 3308'0 - Z Owner: RoWt",CAv1g!i-t ;(f:cwk,,,' (Please print) I Plumber: ~"rr~'h rx.., biYl) 'l )kql2Y'J (Please print) lead. I celiify that the solder used in the water supply system contains less than 2/1 0 of 1% Sworn (0 before me this ~ daYOf~_, 20--'lfL A j/,~>- (Plumbers Signalure) County 8COTl'DE SIMQllI '*"-Y PubUc, State of,. YlIIlc No, 5055298 QualIfted In SuIfoIc Colny J" O"...h..lm ExpIreI ~ 5, 2lWIL. Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street + Center Moriches, New York 1]934 + Tel: 631-878-3500 + Fax: 631-878-3764 Application: 7023 Date:4/20/06 Issued to: KIi pstein Address: 875 Victoria Dr Village: Southold Introduced By::Mazzoni Electric License#:3l525-ME was examined and approved up to the above date and was in compliance with the NEe Mc 1st RoorlID Re5identiallID Pool Del C?aage BaserrenllID 2nd floor Wlllt::IOal HeX Tub f>ddtion lID ..,.,," Switches Receptacles Fixtures G.F.1. Range Hood Smoke Detectors 33 36 30 8 Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon Range/Am ps Monoxide Furnace Oil Gas Heat Zones Whirlpool Bell Transformers Meter Amps Phase Motors ther Equipment: Addition Out Res .K=Af~ (]1ectrica/.'7=j>iAo_ &> 7}01::.6L- ~ This crrtificate must not be altered In any manner Permit#:31167 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. 33080 Z Date MAY 25, 2007 Permission is hereby granted to: ROBERT M KLIPSTEIN 875 VICTORIA DR SOUTHOLD,NY 11971 for : ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES 31167. at premises located at 875 VICTORIA DR SOUTHOLD County Tax Map No. 473889 Section 078 Block 0009 Lot No. 058 pursuant to application dated MAY 25, 2007 and approved by the Building Inspector to , 2008. Fee $ 342.30 ~ 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) c-s ~ [; t 0 PERMIT NO. ~67 Z Date MAY 26, 2005 ....... Permission is hereby granted to: ROBERT M KLIPSTEIN 875 VICTORIA DR SOUTHOLD,NY 11971 for : ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 875 VICTORIA DR SOUTHOLD County Tax Map No. 473889 Section 078 Block 0009 Lot No. 058 pursuant to application dated MAY 20, 2005 and approved by the Building Inspector to expire on NOVEMBER 26, 2006. Fee $ 342.30 1d..<-<-; , ~ Authorized Signature ORIGINAL Rev. 5/8/02 SITE SURVEY I SURVEY OF PROPERTY SITUATE: S.C. TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. TAX No. 1000-78-9-58 SCALE: 1" = 30' JANUARY 3, 2000 AREA = 14,968 SQ. FT. 0.34 AC. {:::/ (C t ~ Q)'X ~ ~'X INFORMATION TAKEN FROM SURVEY PREPARED BY JOHN C. EHLERS LAND SURVEYOR DATED JAN. 03, 2000 tv -?,g.sO .s;>, -?O" ~ CERTIFIED TO: ROBERT M. KLlPSTEIN CHRISTINE KLlPSTEIN STATE OF NEW YORK MORTGAGE AGENCY C/O BNY MORTGAGE CO. L.L.C. COMMONWEALTH LAND TITLE INSURANCE COMPANY . t.i... o ..l.. ~ !~t ~..l..<' O~p "-OS ~~~. SO~ Pi/~ o2J ~"t;f S tv -?.so 7,g, .so" ~ CI'.l~ ~m c;~ o ~ ~ ...J ~ 1 ~p~ u h ~! j~ ~ ~ ~ia 1l1"lJ:> f::, Of:: "L 'l..~o . 7/G", -?,>. 11-.0 '6'8 00 "l,s J::: "l7- /I...~ ~"l >-v. ~.s:", 7~IA. Y<t> "'v" 1...07- 'fI70 ,s -?.so 7,g, ~ C' .sO" J;v rO~ #Tl<q OJy/v~ 1...07- ~8 t.i... o ..l.. ,..; $0 lrJ pi g;0 o . S ~<(' PI ~8 s W 0:.: Z~ W>- O~ -z Cf) w a: z w I- Cf) a.. ...J ~ LLg O~ a..j <(0 ~cn ~ a . il ~ ~ . o ~ g ~~ il~ -< 8 ~ DWG. NAME: SITE PLA~" OWG, NO.: ASITE ~ OROoWINGSAS INSTl'W.AoEHTBOF 8ERYICE. ARETl€SOl...EP'flOF'WnYOFTl1E~_ NO ~0N8. Cl1oOIN<iE8. N<ltVORMOCllFIOATIONS ..............1II!~WITWOUT~~T1ON 1lV......~__~'N_ OR~1B8TRCTl..Y~BYLAW_ 3 t-t-t;]-l5 2,'),?_ 1'{,t' 2: ~ -j -~- TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 NSPECTION [ [ ] ROUGH PlBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: SpWLf AT J)JJ~ fJs. ~~lA-1~~ c-V ~,-~ DATE (0 W 3-H9:& ) ") 'I"" .! _..> j l .J TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 [ ] F DATION 1ST [ FOUNDATION 2ND [ [ ECTION ] FRAMING I STRAPPING [ ] FIREPLACE CHIMNEY [ [ ] ROUGH PlBG. [ ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION REMARKS: DATE to /119( f INSPECTOR ~c .,2.. ",.--'.l- ,~~..JL '_) L c.::. TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOU ATION 1ST [ [ ] ~ NDAT~[ .[ FRAMIN~~ [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION uJ.J^ (~-f:.,,-1 Cr(c . REMARKS: DATE (1117 j()J / [ INSPECTOR .... ~, r "--"')\{,\"i.._ c~- 3J1b7~ " ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST ~ ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION ~ ~RAMINGJ STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: F-~ If-- ~ f?-~ ~ Vk. DATE J -} -c?J INSPECTOR ~ ~ --,- - ~.2- J3c,Sr .2- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND p{ INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ~ ~ --j ~ ;e-- l:-~ ~ - J/~ ~~. DATE f....I;)---o~ INSPECTOR ~ ~ ".------ -~- -- -~ ,31 f67 &- 22{)vQ ../J~ 0 TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESI~ CONSTR~ [ R~MARK~ - ~ f . DATE if !t5f! 0 7 [ ] ROUGH PLBG. [ ] I~LATION l0'FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION 0L- ~-- t -- INSPECTOR -----..--~-~.~_.- . 2 sOJ>o7:: -..,., TOWN OF SOJlT.ftOtD~DING DEPT. C 76S.18V INSPE-CTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [~AL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON REMARKS: INSPECTOR , . FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL . DATE COMMENTS h./L/...IL r :~ #0'- T JJ~ ,.4~ /;jJ"._lt;;J I I rW 'Z. I.+.-.A /l/4...L . J."d v ~ .t:::: I L h-~ '"J,;(, --L'/ A ',,/ )( V L r) ~ . ['/ / 'f '/ A ~ 'ff I <{; /0, /':'/. /J~/f . . /_../-.. ~ Y~y /) I' ~"'" 't /At' 'i ~ ;f~ /1 v -+ . L/ J/ 6, //1 ...- it h;f). 7LLl ,)C'>I LA CJ1f. . 'II . ,/".1 ? /aJ( I' / ,f!,JPI I I. %UJ'/ // "/ V' Z pOp ...J U'\ en ..., L1ll .i'"l ('\ ..., d ~. ;:p "0 l'~ t" i'"l ..., " n., uJ 11 (fM.'Lor ~ dLn~^-. d -/- ~-,.J ~ . .u _ ~ :;J: '1 'I(~AU r.) J. 7,.. .Ij lI!;.,. U -J..--L"--1~ 0 ('~fL' 'Of\< ,,-fA - <.._ iA.;,\'>'.I/r~~', '7h~ {) ~) ('(bilL ro..L .) U { d.... ~~--'" ijif,. 1\ ,~J ',~l' ,... r'b..11t' t.'M--4"v '~Avl €. -r~' (~,J-' \J:- 7b ~ ?'/~ L.. . 7'., l..i.wi\ r.;;, ~T~1 .L A L. . ....... 'it:...~ - . 'J --<. y;"1 / V1'-~ / tJ 1// / & /J _,.I, 'f-JJu. roT: h ADDffiONAL COMMENTS / / {)/,("'~ n A, /J,..d ML_ It!..c II V Ie :J.-~ 1/ ~ r/" A... f"7,,, Il A ". .A .'V...J --/ } r =;(;'" , , ~ A // J.Y'LJ l '27'-- 7C \ ~ Nto - :IE 2..~ ;:0 ~ =i'"l ~ ~ -~ !~( 10003 o 1"Z C> c.a == .., i'"l -~ ..., -p== I:l i'"l ~ ~ TOWN OF SOUTHOLD BUlL}>IN~DEP ARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSouthoId/ ]3oJO BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: PERMITNO:- ],/r.- 7~ Examined ~ 20 .oJ '20 9> '- Approved Disapproved alc Mail to: It fJ-r.r ' 20.2k- f Phone: Expiration '~ / C. A--- Building Inspector r-:I : /- 11 Ift~ 1..-..... '-':"~ll: j "; II ...;c; ! 0 ,'S ~jl' Date \l1~ \g'* , L_. J INSTRUCTIONS L~~1~ be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to Iscale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be conunenced 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 conunenced 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 ofthe 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. APPLICATION FOR BUILDING PERMIT , 20...DS.... 3aDI-I ~\~(::':P (Signature of applicant or name, if a cOrPoration) cpo. 'E:vX'S'o) Nl}TT\TllC'J\.! (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~~\0- - Name of owner of premises 'R0\':JE,g.\ ~ C-+l e. \&TI\0E \<.l--l'P6Tt: I D . (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: &76 VIC.roe.l1t De...Iln:;. House Number Street ~n-\OLD Hamlet County Tax Map No. 1000 Section Subdivision 7.g Block Filed Map No. 9 Lot,~ . I" .' Lot .1 (Name) .. . 2. State existing use and occupancy of premises and intended use and occupancy of proP9sed construction: a. Existing use and occupancy '1" ~ ~.uMA.~ \.0 \, n .\*'0(\ ~ 0 r:I ri ('.Q..NI S M'I ~ . b. Intended use and occupancy 'h\.i\A~~ui~ \0\ OUn.C'1... ~ d ,). (l(L.l(' erM) ~ 3. Nature of work (check which applicable): New Building Addition)o Alteration)o Repair Removal Demolition )>0. Other Work . (Description) 4. Estimated Cost 65, aoo -' Fee (To be paid on filing this application) Number of dwelling units on each floor II~' d. - v<ts\i:"'1J' 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 5. If dwelling, number of dwelling units If garage, number of cars J. en IC 7. Dimensions of existing structures, if any: Front /1 I Height 1(-,' 101' Number of Stories Rear 71/' Depth it/'S" Dimensions of same structure with alterations or additions: Front 77 / Depth f)/J. '6 ~I Height lro'/O" Number of Stories Rear 7 7 / . 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot; Front /00' Rear /00' Depth 1'19.e;g'. 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated ~ -40. 12. Does proposed construction violate 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~ 1lOl!>GI"\'< C.\-\~bTl~ Ei75 V\(!..\~1't ~R\bt- . 14. Names of Owner of premises Ku'P!',=IO. Address ?-on''-''OII)J ~:-{, Phone No. Name of Architect "F12.l'\1O~ ~M!.o Address P.o~o~q~\.IlI-TI\"ft'd'hone No G?-'\~c;R. ilhlCl Name of Contractor Address 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_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 ~) <~ ~1~12::[> being duly sworn, deposes and says that {s)he is the applicant (Name of individual signing contract) above named, {S)He is the nf3Prt.J . (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 me 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. -' 20 -D5- I ~ MELANIE DOROSKl NOTARY PUBLIC. State of NewYortc No. 01004634B70 Oualified in Suffolk County r Commission Expires September 30. d:!)~ -y ARCH - ITECNOLOGIES ARaIITI!CI'llII PLANNING 00IIS1R1JCI1ON SIlRVICIlS 13405Moin......-. NcwYed; 110m 631.2\lll.1129 tal: 631.291.1128 May 20,2005 Southold Town Building Department Southold, NY Re: Mr. & Mrs. Robert & Christine Klipstein 875 Victoria Drive Southold, NY 11971 S.C.T.M # 1000-78-9-58 To Whom It May Concern: Per requirements by New York State Residential Construction Code we certify that the design criteria is done per prescriptive design. All of the load calculations and structural plans comply with all of New York Construction Code based on (AF&PA) for One-Family Dwelling to the best of our knowledge. Ce: Klipstein File ;\ RC H ITECNOLOGIES AIlCIImlCIUJlJl PLANNING COIlS11llICl1llN SBIlVICBS l3405___ NowYad; 11m 631.2!lll.1129 fu: 631.2!lll.1128 \~N '2.1 January 26, 2006 Southold Town Building Dept. P.O. Box 1179 Southold, N.Y. 11971 Re: Mr. & Mrs. Bob & Christine Klipstein 875 Victoria Drive Southold, N.Y. 11971 B.P. # 311672 To Whom It May Concern: According to our energy calculations using R-19 in exterior walls of the addition meets or exceeds the energy requirements of New York state energy code. If you have any additional questions please feel free to call our office at 631-298-1129. ARCIDTI!Cl1JRIl PLANNING 00NS'IR\JCl1DN SIlRVICES 1340:5_-'_ NowYod< 11952 631.298.1129 fa: 631.298.11211 , ::> " <:::-- ," ," P.O. Box 93 --:::> 3,0''003 ) f"^- ~ ARCH ITECNOLOGIES i,-;"~-~--, r::l~" I" IIi I',: ~~...,\ Ii l;~[--' . _'-.2 1:,'1 I ! <.;,-p - ,I 'lIVlC I u ; Llu" c.WJ L-,---J PtOG. C::PT. T \V;,,~ F SCLi-:-HOLO August 30, 2005 Southold Town Building Dept. Southold, N,Y, Re: Mr. & Mrs. Bob & Christine Klipstein 875 Victoria Drive Southold, N.Y. 11971 To Whom It May Concern: The following changes were made to the drawing: ~ a. Exterior bilco door entrance down to basement has been removed. "-\ Permit Number REScheck Compliance Certificate Checked BylDate New York State Energy Conservation Construction Code REScheckSoftware Version 3.6 Release I Data filename: C:lProgram Files\Check\REScheckIKLlPSTEIN.rck PROJECT TITLE: KLIPSTEIN RESIDENCE COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric WINDOW /WALLRATIO: 0.11 DATE: 05/19/05 DATE OF PLANS: 5.20.05 PROJECT DESCRIPTION: CONSTRUCTION OF NEW FIRST FLOOR ADDITION AND FOUNDATION BENEATH. j DESIGNER/CONTRACTOR: FRANK NOTARO, RA. ARCHITECNOLOGIES P.O. BOX 93 13405 MAIN RD. MATTITUCK, NY 11971 PROJECT NOTES: 'GROUND SNOW LOAD - 45 PSF 'EXPOSURE CATEGORY B *120 MPH WlND SPEED 'SEISMIC DESIGN CATEGORY - B 'WEATHERING - SEVERE 'WINTER DESIGN TEMP. - ZONE IIB- II DEG. 'ICE SHIELD UNDERLA YMENT REQ'D. PROJECT NOTES: -R-3 SINGLE FAMILY RESIDENCE -HT. - 17'-0" FROM GRADE TO RIDGE -AM. FOREST AND PAPER ASSOC. (AF&PA) WOOD FRAME CONSTRUCTION -SITE PLAN -DEMO. PLAN -FOUND. PLAN -FIRST FL. PLAN -EXT. ELEV. -BLDG. SEC. -ENERGY CALC. -PLUMBING RISER DIAGRAM -FIRST FL. FRAMING PLAN COMPLIANCE; Passes Maximum UA = 379 Your Home UA ~ 230 39.3% Better Than Code (VA) Ceiling I; Flat Ceiling or Scissor Truss Ceiling 2; Calhedral Ceiling (no attic) Wall I: Wood Frame, 16" O.c. Window I; Vinyl Frame:Double Pane wilh Low-E Window 2; Vinyl Frame:Double Pane wilh Low-E Window 3: Vinyl Frame;Double Pane wilh Low-E Window 4: Vinyl Frame;Double Pane wilh Low-E Window 5: Vinyl Frame;Double Pane with Low-E Window 6; Vinyl Frame:Double Pane wilh Low-E Window 7: Vinyl Frame:Double Pane with Low-E Window 8; Vinyl Frame;Double Pane wilh Low-E Window 9: Vinyl Frame;Double Pane with Low-E Window 10: Vinyl Frame:Double Pane wilh Low-E Window II: Vinyl Frame;Double Pane with Low-E Door I: Solid Door 2: Solid Floor I: All-Wood Joist/Truss;Over Unconditioned Space Boiler I; Olher (Except Gas-Fired Steam), 80 AFUE Gross Area or Cavity ConI. Perimeter R-Value R~Value Glazing or Door lJ-Factor !lA 945 937 1816 11 10 10 15 15 23 23 23 23 19 21 20 20 1882 38.0 38.0 19.0 10.0 10.0 10.0 22 20 66 4 4 4 5 5 8 8 8 8 7 7 7 7 40 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent wilh lhe building plans, specifications, and other calculations submitted wilh lhis permit application. The proposed systems have been designed to meet lhe New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed lhis page, lhey are attesting lhat to lhe best of his/her knowledge, belief, and professional judgment, such plans or specifications are in compliance wilh lhis Code. Builder/Designer 0.350 0.350 0.350 0.350 0.350 0.350 0.350 0.350 0.350 0.350 0.350 0.350 0.350 38.0 10.0 Date REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.6 Release I DATE: 05/19/05 PROJECT TITLE: KLIPSTEIN RESIDENCE Bldg. Dept. Use Ceilings: [] 1. Ceiling I: Flat Ceiling or Scissor Truss, R-38.0 cavity + R-IO.O continuous insulation Comments: [] 2. Ceiling 2: Cathedral Ceiling (no attic), R-38.0 cavity + R-IO.O continuous insulation Conunents: Above-Grade Walls: [] 1. Wall I: Wood Frame, 16" o.c., R-19.0 cavity + R-IO.O continuous insulation Comments: Windows: [] 1. Window I: Vinyl 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 Comments: [] 2. Window 2: Vinyl 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 Comments: [] 3. Window 3: Vinyl 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 Comments: [] 4. Window 4: Vinyl 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 Comments: [] 5. Window 5: Vinyl 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 Comments: [] 6. Window 6: Vinyl 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 Comments: [] 7. Window 7: Vinyl Frame:Double Pane with Low-E, U-factor: 0.350 For windows without labeled U-factors, describe features: I # Panes_Frame Type Thermal Break? [ ] Yes [ ] No I Comments: [ ] I 8. Window 8: Vinyl Frame:Double Pane with Low-E, V-fuctor: 0.350 I For windows without labeled V-factors, describe features: I # Panes_Frame Type Thermal Break? [ ] Yes [ ] No I Comments: [ ] I 9. Window 9: Vinyl Frame:Double Pane with Low-E, V-factor: 0.350 I For windows without labeled V-factors, describe features: I # Panes_Frame Type Thermal Break? [ ] Yes [ ] No I Comments: [ ] I 10. Window 10: Vinyl Frame:Double Pane with Low-E, V-factor: 0.350 I For windows without labeled V-factors, describe features: I # Panes_Frame Type Thermal Break? [ ] Yes [ ] No I Comments: [ ] I II. Window II: Vinyl Frame:Double Pane with Low-E, V-factor: 0.350 I For windows without labeled V-factors, describe features: I # Panes_Frame Type Thermal Break? [ ] Yes [ ] No I Comments: I I Doors: I I. Door I: Solid, V-factor: 0.350 I Comments: I 2. Door 2: Solid, V-factor: 0.350 I Comments: I I Floors: [ ] I I. Floor 1: All-Wood JoistlTruss:Over Vnconditioned Space, I R-38.0 cavity + R-JO.O continuous insulation I Comments: I I Heating and Cooling Equipment: [ ] I I. Boiler I: Other (Except Gas-Fired Steam), 80 AFUE or higher I Make and Model Number I I Air Leakage: I Joints, penetrations, and all other such openings in the building envelope that are sources of air I leakage must be sealed. I Recessed lights must be I) Type IC rated, or 2) installed inside an appropriate air-tight assembly I with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a I 3" clearance from insulation. I I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. I I Materials Identification: [ I Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ I Materials and equipment must be identified so that compliance can be determined. [ I Manufucturer manuals for all installed heating and cooling equipment and service water heating I equipment must be provided. I Insulation R-values and glazing V-factors must be clearly marked on the building plans or specifications. I I Dnct 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 (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 UL 181A or UL 181B. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). [] Tbe HV AC 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 the 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 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 I. Circulating Hot Water Systems: [] Insulate circulating hot water pipes to the levels in Table I. Swimming Pools: [] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% ofthe heating energy is from non-depletable sources. Pool pumps require a time clock. Heating aud Cooliug Piping Insulation: [] HV AC piping conveying fluids above 105 "F or chilled fluids below 55 "F must be insulated to the levels in Table 2. Table1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches hv Pine Sizes Noo-Circulating Runouts Circulating Mains and Ronouts I In to 1" Un to 1 25" J 5" to 2 0" Over 2" 0.5 1.0 1.5 2.0 0.5 0.5 1.0 1.5 ~ ~ ~ I~ Heated Water Temoeratllre ( F) 170-180 140-160 100-130 Table 2: Minimum Insulation Thicknessfor HVAC Pipes. Fluid Temp. Insulation Thickness in Inches bv Pine Sizes Pining System Tvnes Range (F) 2" Runouts ]" and Less 1 25" to 2" 2 5" to 4" Heating Systems Low PressurelT emperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant, and Brine 201-250 1.0 1.5 1.5 2.0 120-200 0.5 1.0 1.0 1.5 Any 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) ,.. "'~ - __ I . , ,--:,..... --. ./ TOWN OF SOUTHOLD P~OPERTY RECORD CARD 6 ,Zt",,-,,' IV! - 'I RES, S ~ peJ'c ACREAGE 3'-1- t' . F BUILDING R IJ /Vcr f{ OWNER STREET VILLAGE DISTRICT SUB. LOT r' /I ()... SEAS. IMP. VL. C e Y'e. FARM LAND TOTAL DATE COMM. REMARKS I MISe. I Est. Mkt. Value -f.. J7;;J 00 _ __&66 (p<.'(.; LjI()O 606 Y()() AGE ~ NEW NORMAL BELOW Farm Acre Value Per Acre Value FRONTAGE ON ROAD BULKHEAD DOCK .,() Tillable 1 nllable 2 nllable 3 vVoodland :;wampland 3 rush land ~. .' :-louse Plot Total Foundation Bath I Basement I Floors tI, (j.J 0 0 Ext. Walls v Interior Finish Sh," 110"1( Fire Place Heat f ~. A,~ ,)..j i Parch ' Roof Type Parch Rooms 1 st Floor Patio ( . Rooms 2nd Floor I,d D 'I ;> tJ Driveway Dormer / :.~". _.'.n'. Extension Dee Ie, '/.../ (.;;. ls-, i Breezeway ! Garage ~p d ' 1../80 O. B. --"", i , , ! t i , , ! , t n ,. , , , I ! 1 " ' I I 11- !..l , ! I ./ S.;. ~i ~ ' ~ .....L' .nl..", It G A '- rI I,~ I- X {, , ,oj( be' f1' .~ I...~tr 1:+ b<; 0 l-.& ~ i, - " I t; , I , I . ' ; II. < 1J 1 . ,~~ i , I I +, :L.3, , I i , i " ri , , , I : , , , , , I , i I i- I , , I ! I I I I I I I I I I I II I , I , r , >.;,. ~. ()