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
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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
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