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HomeMy WebLinkAbout34350-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33481 ~ate: 01/09/09 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 370 CRITTEN LA SOUTHOLD (HOUSE NO.) (STREET) (HANLET) Co%knty Tax ~p NO. 473889 Section 70 Block 12 Lot 14 Subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 16, 2008 pursuant to which Building Permit No. 34350-Z dated DECEMBER 16, 2008 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 ADDITION AND ALTERATION, INCLUDING PERGOLA AND GARAGE ALTERED TO LIVING SPACE, IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~ne certificate is issued to GEORGE H & LINDA M BISCHOFF (OWNER) of the aforesaid building. S~FFO~xKCO%~"fDEPAR~T~TOF}~LTH~PPR0%5%L N/A ELEC~TRIC3~L C~TIFIC3%TH NO. 07-0897 10/20/08 PL~S U~TIFICATION DATHD 01/08/09 GEORGE BISCHOFF Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ; Y: .......... This application must '~[1-e'ci ~n 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 (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 New Construction: Old or Pre-existing Building: Location of Property: House No. Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ F~--~'~ c~ Date of Permit. Date. i,d--S(check one) Block Filed Map. Hamlet Lot: Applicant: Underwriters Approval: Final Certificate: (check one) ~pplica~t Signatur~ Electrical Inspectors, Inc. 308 East Meadow Avenue East Meadow. NY 11554 Office: (516) 7944)400 (631)396-7474 Fax: (516) 794-5854 Website: www.electH calinspectors.com Email: info~electricalinspectors.com Mail To: East County Electric, Inc. William Oster/Bruce Oster PO Box 2620 Aqueboque, NY 11931 License#: 1005E Certificate Number: 0%0897 Municipaliiy: Southold. Town Of Inspector: 125 lssue Date: 10/20/2008~?~ Property Address: I I Bischoff ~j ~ 370 Crittens Lane~.~'"~ ? Southold, NY~ ELECTRICAL APPR O VAL,.C R TIFICA TE /! AREAS LISTED BELOW ARE APPR~~Y INSPECTION ^~a) Fom, r~ TO BE ~ COt~WL~CE wr~ ~,'~TION~U~ ELECTPaC CODE No visual defects were found for the elec~cal inspection prol~d~. No obv~unsafisfactory conditions were found in the areas herein below only. ~ Wall Sconces. 1- Residential Inspection ~ 1st Floor: Bathroom, Dining Room Bump Out. O~ee. Mud Roan. Library. 13- Duplex Receptacles, 3- GFI Receptacles. l~Swit~es. 6- Rtcessed Fixtures. 6- Incandescent Fixtures. 5- £xhaustFan.* /f ) / Rough 2/2/07 ~ Final 10/17/08 Richard M. Bivone President Philip F. Goehfing Chief Electrical Inspector Not valid unless signed by an / tv,/ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1,502 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Da(e: Building Permit No.-~(--{'-~--0"7 Owner: C~ IE~.~¢'.~r~'~::~.~Q.4 [~ (Please print) (Please prinl) iced. ify thai the solder used m tile water supply system COlttams less than 2/10 of 1% lead, ~woln to l>efo~e me fills I Lorraine LaRosa NOTARY PUBLIC, State of N~ York No. 01 LA6059257 Qualified In Suffolk CountY ~ Commission Expires May29,20 [[ 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. 34350 Z Date DECEMBER 16, 2008 Permission is hereby granted to: GEORGE H BISCHOFF 370 CRITTENS LANE SOUTHOLD,NY 11971 for : ADDITION & ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 32384. at premises located at County Tax Map No. 473889 Section 070 pursuant to application dated DECEMBER Building Inspector to ex~pire on Jr/NE 370 CRITTEN LA SOUTHOLD Block 0012 Lot No. 014 16, 2008 and approved by the 16, 2010. Fee $ 150.00 Authorized Signature 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 ~.~ THE WORK AUTHORIZED) PERMIT NO. ~84 Z Date SEPTEMBER 21, 2006 Permission is hereby granted to: ~.~ GEORGE H BISCHOFF 370 CRITTENS LANE SOUTHOLD,NY 11971 for : ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 070 pursuant to application dated JULY Building Inspector to expire on MARCH 370 CRITTEN LA SOUTHOLD Block 0012 Lot No. 014 18, 2006 and approved by the 21, 2008. Fee $ 150.00 /~D~ed Signature Rev. 5/8/02 ORIGINAL TOWN OF SO ILDING DEPTi 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING [ I~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION ] ] FIRE RESISTANT PENETRATION REMARKS: DATE ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRNION [ ] FIRE RESISTANT PENE'II~TION REMARKS: ~2'~'~2'~ ~ /~')'~ ~. .- DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESIST~ANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMAR~.'&.~~ DATE ~ INSPECTOR ~~~'/~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ~SULATION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENEll~TION REMARKS: DATE ~"'li~i~~ INSPECTOR /~ ~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-t802 INSPEC?ION [ ] FOUNDATION 1ST [,~J~ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMAi:IK"..~~~ _~_~ /L,,~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION ~FRAMING / STRAPPING [ ]FINAL [ ] ~IREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSIRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ~'~ FOUNDATION 1ST [ [ ]FOUNDATION 2ND [ [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION ] ROUGH PLBG. ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~]~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: INSPECTOR /? FIELD INSP~'CTION REPORT D~TE COMMENTS ..................... ~ ~: ~~ FINAL ~DITION~ CO~ENTS TOWN OF SOU~TH~)LD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ¢/1~( , 20. Approved ~ ~::,~/, 20 Ok '/ Disapproved a/c Expiration PERMIT NO. 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: Mail to: Phone: / Building Inspector !Ij[ I 8 ~{o APPLICATION FOR BUILDING PERMIT - [ Date ., 20 "' i 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 adjdining 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 within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning axnendments 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 author/zed inspectors on premises and in building for necessary inspections. (Signature o~pli'cant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Subdivision (Name) Section Hamlet .~~ '~'~-- L°tLot 2. State existing use and occupancy of premises and intended use and occupancy of proposed constru~t~>n: a. Existing use and occupancy ~X.x-MjK-Xb-~ b. Intended use and occupancy_ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~i:lc2~x:>~ 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (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. 7. Dimensions of existing structures, if any: Front Rear ~ '~2q_. Depth Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height_ Number of Stories Rear 8. Dimensions of entire new construction: Front Rear Height Number of Stories ( 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner Depth 11. Zone or use district in which premises are situated 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 "~ 14. NamesofOwnerofpremises ~\%e._O~,r~'-- Address'b~:> P._*~t't~,~.% PhoneNo. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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 '1~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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~ 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 th. is application; that all statements contained in this application are tree 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. TOWN OF SOUTHOLD BUILDING.DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ,20 % ,20 Expiration ~ ,20 t5 F PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Tmstees Contact: Building Inspector Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date ,20 · _.j INSTRUCTIONS a. This abp~6~fion MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 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 counnenced 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, thc Building Inspector may authorize, in writing, the extension of the permit fbr 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. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 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. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block 1 '~ Filed Map No. Lot Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existl~ng use and occupancy CPb,4tr---- ~ct3-~kt--"~ ~ (,,o~k.L.(l~2N b. Intended use and occupancy ~ ("-'~--~C~c~ Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost Addition Alteration Other Work ~:~.-~::~ ~ 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. 7. Dimensions of existing structures, if any: Front 60-~ Rear ~9(p~ Depth Height I~x Number of Stories \ Rear Dimensions of same structure with alterations or additions: Front Depth Height Number o~ries, 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth Depth 9. Size of lot: Front Rear 10. Date of Purchase NleX.,/ ~}C:O~- Name of Former Owner 11. Zone or use district in which premises are situated 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 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No 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 ~o * 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 l 0 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF (--~("~ (4 ~ ~'-~ 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 tree 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. FORM NO. 3 NOTICE OF DISAPPROVAL DATE: April 1, 2003 TO: Affairs of the House Inc. A/C (Bishoff) PO Box 293 Southold, NY 11971 Please take notice that your application dated April 1, 2003 For permit to construct an addition to an existing single family dwelling at Location of property: 370 Crittens Lane, Southold, NY County Tax Map No. 1000 - Section 70 Block 1_~2 Lot 14 Is returned herewith and disapproved on the following grounds: The proposed addition to an existing single-family dwelling, located on a conforming 42,863 square foot parcel in the R-40 zone, is not permitted pursuant to Article IliA, 100-30A.3, which states, "No building or premises shall be used and no building or part thereof shall be erected or altered in the Low-Density Residential R-40 District unless the same conforms to the requirements of the Bulk Schedule and of the Parking Schedule, with the same force and effect as if such regulations were set forth herein in full." Tot a~llowin~truction, Bulk schedule requires a minimum single side yard setback of 15. According to the plans, applicant proposes an addition +/- 12 feet from the side yard line. will be +/- 5 percent. Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Z.B.A. Permit # Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: Bischoff Residence Report Date: 07/11/06 Data filename: C:\Program Files\Check\REScheck\Bischoff. rck Energy Code: Location: Construction Type: Heating Type: Glazing Area Percentage: Heating Degree Days: Construction Site: 370 Cdttens Avenue Southold, NY 11971 New York State Energy Conservation Construction Code Suffolk County, New York Detached t or 2 Family Non-Electric 15% 5750 Owner/Agent: George Bischoff DesignedContractor: Ceiling 1: Cathedral Ceiling (no attic): Skylight 1: Wood Frame:Double Pane with Low-E: Ceiling 2: Flat Ceiling or Scissor Truss: Ceiling 3: Flat Ceiling or Scissor Truss: Wall 1: Wood Frame, 16" o.c.: Window 1: Wood Frame:Double Pane with Low-E: Door 1: Glass: Wall 2: Wood Frame, 16" o.c.: Window 2: Wood Frame:Double Pane with Low-E: Door 2: Solid: Floor 1: Ali-Wood Joist/Truss:Over Unconditioned Space: Floor 2: Ali-Wood Joist/Truss:Over Unconditioned Space: Boiler 1: Other (Except Gas-Fired Steam): 80 AFUE 310 22.0 0.0 14 6 0.560 3 98 30.0 0.0 3 495 30.0 0.0 17 545 15.0 0.0 34 46 0.340 16 58 0.330 19 591 19.0 0.0 29 63 0.340 21 53 0.330 17 353 22.0 0.0 15 495 22.0 0.0 21 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 Conservation 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 thi{~ Code. - '~ Iv / // B~lder/Deslgner Company Name Date Bischoff Residence Page I of 4 REScheck Software Version 3.7.3 Inspection Checklist Date: 07/11/06 Ceilings: ~1 Ceiling 1: Cathedral Ceiling (no attic), R-22.0 cavity insulation Comments: Ceiling 2: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: [] Ceiling 3: Fiat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: Above-Grade Walls: Wall 1: Wood Frame, 16" c.c., R-15.0 cavity insulation Comments: Wall 2: Wood Frame, 16" c.c., R-19.0 cavity insulation Comments: Windows: [] Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.340 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? Comments: Yes No [] Window 2: Wood Frame:Double Pane with Low-E, U-factor: 0,340 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? Comments: Yes__No Skylights: [] Skylight 1: Wood Frame:Double Pane with Low-E, U-factor: 0.560 #Panes Frame Type Thermal Break? Comments: Yes__No Doors: [] Door 1: Glass, U-factor: 0.330 Comments: [] Door 2: Solid, U-factor: 0.330 Comments: Floors: [] Floor 1: Ali-Wood JoisfJTruss:Over Unconditioned Space, R-22.0 cavity insulation Comments: [] Floor 2: Ali-Wood Joist/Truss:Over Unconditioned Space, R-22.0 cavity insulation Comments: Heating and Cooling Equipment: [] Boiler 1: Other (Except Gas-Fired Steam): 80 AFUE or higher Make and Model Number: Ai?~__~e~a~e: Bischoff Residence Page 2 of 4 [] Joints, penetrations, and all other such openings in the building envelope that are soumes of air leakage must be sealed. [] Recessed lights must be 1 ) Type lC rated, or 2) installed inside an appropriate air-tight assembly with a 0,5" clearance from combustible materials. If non-lC 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, wails, and floors. Materials Identification: [] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [] 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 cieady marked on the building plans or specifications. Duct Insulation: [] Supply ducts in unconditioned attics or outside the building must be insulated to R-8. I~ Return ducts in unconditioned attics or outside the building must be insulated to R-4. I~ Supply ducts in unconditioned spaces must be insulated to [] 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 tacking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). [] The HVAC 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 tiffing 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 veffical 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 cimulating system, [] insulate circulating hot water pipes to the 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 non~epletable sources. Pool pumps require a time clock, Heating and Cooling Piping Insulation: [] HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. Bischoff Residence Page 3 of 4 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature (°F) Up to 1" Up to 1.25" 1.5" to 2.0" 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 Table 2: Minimum Insulation Thickness for HVAC Pipes Insulation Thickness in Inches by Pipe Sizes Fluid Temp. Piping System Types Range(°F) 2" Runouts 1" and Less 1.25" to 2.0'* 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1,0 1,0 1,5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD: (Building Department Use Only) Bischoff Residence Page 4 of 4 /oo,)_ ?~J-/z-/¥TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER ~ES..~/m, LAND Tillable SEAS. IMP. STREET VL. TOTAL 9_ oo FARM DATE VILLAGE E W COMM. IND. [ CB. DISTRICT SUB. TYPE OF BLJILDING MISC. 2 0,1Z '7 / JEst. Mkt. Value Swampland Brushland Ho~s6 Plot Total ~" · FRONTAGE ON ROAD / ~-',~, ~. ,F,F;, ,' (~L~,--g'~" Tillable 2 Tillable 3 Woodland AGE BUILDING CONDITIOF NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value M. Bldg ;: ~ , Foundation ?~, Extension · , ,~ ; ; ~, · Basement : ,.~ Extension Ext. Walls ,., Extension Fire Place Porch! rmh Floors Interior Finish Heat Roof Type Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Garage ! "'~ '~: '~ / ~ Dormer Linda and George Bischoff 370 Crittens Lane Southold, New York 11971 765-6378 home 872-1462 cell 19 September 2006 Attention: Patty Southold Town Hall Southold, New York 11971 Dear Patty: As per our conversation, I had the plans noted as you advised, noting the exterior walls at the mud room. Upon receipt of the permit, we will only proceed with the garage to den conversion, pergola, bumping out the rear wall not to exceed the pool and the mud room.., and nothing more. Thank you for your time. George Bischoff ISut~vE¥ OF E~T 2B HAP OF: 50UTHP~IO00 FILtEO NOv'. 24, ICIS~ AS # 21,41 51TUATtE: f:X3UTHOLO TOIAIN: ~::)UTHOLD 5UI=FOLK COUNT'C, SURVE"dE~ StJFFOL~-. C, OUNTY' TAX ~ IOOO - 70 - 12 - 1,4 GF_,ORGH H. B~SC~O~F LINDA MAR~ B~SC~OFF Lot # 24 N NOTES: · MONUMENT AREA = 44,1M SF OR I.OI ACRES ®P-.APHtC SCALE I"= 40' Lot # 22 Lot # 23 ¸'3 JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\kHp server\d~PROS\03-153.pro ¸:3 ~ , GH - FRAMING & PLUMBING * ~.. c' ~ ~,, ._ ~ ~L~uc ,~ SHALL 4. ~. CO~S~UC*~ON MUST - ~ '~ "~ '~ M-~ T~'REQU RE ,:NTS OFTHE BE COMPLETE FOR C.O ~ . . ~U~R~UENTS OF TH~ CODES OF NEW I~ ''l ~ /~ '~ '~ -i~/ ~- I~ ~ ~hDESIGN OR CONSTRUCTION t I[ ~ ', / I ' Ct ~ TIFICATE 3F ~CUPANCY ~. ~1 Ii~ ~ ,, ~ ,LPPLYSY~,TEMCANNOT -..-i %: "' ' ~,~, ~ t'~ff ......... --z~ ...... f -"~ ........ ~--- ;~ 5 ~ '~ ~- ~'. - ~~ ~ ' FOUNDATION NOT S: ,.~ o~ AL~ C0~S' TOP O~ ~O~TIO~ W~LL TO BE $" ~I~IM~M ~BOV~ G~DE AS p~R ~ODE DAMPROOF EXTERIO~ OF ~UNDATION W~LL TO ~UNDATtON WALL TO B,E 8. THICK pOUnD ~ONCRETE o~ ~ ~-x~ CO~T~VOVS ~0~ CO~C~ , ' ' ' A~L CONCRETE SHALL HAVE A MIN IM~ OF 3~00 ~1 ~TING , PLAN ~ " ~:'~ ,.,' " ...... 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