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Home My WebLink About33524-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD~qTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33519 Date: 01/28/09 CERTIFIES t~at the building ALTERATIONS Location of Property: 1640 STILLWATER AVE (HOUSE NO.) County Tax ~4ap No. 473889 Section 103 subdivision CUTCHOGUE (STREET) (HAMLET) Block 7 Lot 10 Filed ~4ap No. Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 14, 2007 pursuant to which Building Permit No. 33524-Z dated NOVEMBER 14, 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 ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL DROBET of the aforesaid building. (OWNER) SUF~DLK CO[~Y DEPARTI~E~T OF ~L%L~{ APPRO~i~L N/A ELR~-r~IC~J~ ~E~TIFICATE NO. 2083024 12/15/05 PL~3MB~ CERTIFICATION DATED 01/07/09 K & K PLUMBING & HEAT Rev. 1/81 8LDG, D£PI'. __ TOWN OF SOUTHOt~PPLI£ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ?ION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (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. Colm'ner¢ial building, industriaI building, multiple residences and similar buildings and installations, a certificate of Code Compliance from arclfitect or engineer responsible for the building. 6 Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior Io April 9, 1957) non-conforming uses, or bnildings and "pre-existing" land uses: 1. Accurate survey ofpiope0, y showiog all property lines, streets, building and unusual natural or topographic features. 2. A propelly completed application and consent to inspect signed by the applicant. Ifa Celtificate of Occupaacy is denied, the Building Inspecto[ shall state the reasons Iherefor ni writing to the applicant. C. Fees I Certificate of Occopancy - New dwel ~g $25 00, Additioim to dwelling .525.00, Altei ations to dwelliog $25.00, Swilm~ling pool $25.00, Accessory building $25 00, Additions to accessoo, building $25.00, Businesses $5000 2 CeiXificate of Occupancy on Pre-existing Bnildmg $10000 3 Copy of Certificate of Occupancy - $.25 4 Updated CelXificate of Occupancy $5000 5. Temporary Cedificate of Occupancy - Residential $1500, Conm~eicial $t5.00 New Construption: Locatiou of Property: Date. Old or Pre-existing Building: (check one) Street House No. Owner or Owners of Property: __ Suffolk C6unty Tax Map No 1000, Section Subdivision PemlitN° ~X~2-.¢~. DaleofPem~,t Health Dept. Approval: Plain'ting Board Approval: Request for: Ternporary Certificate Fee Submitted: $ Hamlet · [O ,Z~ Block O("3~<:~"7 Lot Filed Map. Lot; Applicant: .~__~ (check one) Applicant Signature Final Ced. ificate: Undep, vriters Approval: 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 Q.C. ELECTRIC INC. MICHAEL DROBET P.O. BOX 518 1640 STILLWATER AVE LAUREL, NY 11948-0518, CUTCHOGUE, NY 11935 Located at 1640 STILLWATER AVE CUTCHOGUE, NY 11935 Application Number: 2083024 Certificate Number: 2083024 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Second Floor, bedroom, 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 15th Day of December, 2005. Name OTY Rate Ratin~ Circuit Type Alarm and Emergency Equipment Sensor 1 0 Carbon Monoxide Sensor 2 0 Smoke Wiring and Devices Outlet 6 0 Fixture Fixture 6 0 Incandescent Outlet 16 0 General Purpose Receptacle 11 0 General Purpose Switch 4 0 General Purpose Dimmers 6 0 Paddle Fan 1 0 Lighting track 3 0 Receptacle 2 0 GFCI seal This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Town HaH, $3095 Main Road P,O. Box 1179 Southold, New York 11971-0939 Fax (631) 7§5-9S02 Telephon~ (63 ].~1 76~-1802 BUILDING DEPARTIVlEI~F TOWN OF CERTIFICATION Building Pvmdt No. Owner, Date: Iiq/o -p I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this dayof ~c.~,~ .. ,~20 LYNDA M BOHN NOTARY PUBLIC, State of New York NO, 01BO6020932, Suffolk County Term Expires March 8, Notary Public, County FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 33524 Z Date NOVEMBER 14, 2007 Permission is hereby granted to: for : MICHAEL DROBET P.O. BOX 545 MATTITUCK,NY 11952 ALTERATIONS TO AN EXISTING DWELLING AS APPLIED FOR. REPLACES BP # 31460 at premises located at 1640 County Tax Map No. 473889 Section 103 pursuant to application dated NOVEMBER Building Inspector to expire on MAY STILLWATER AVE CUTCHOGUE Block 0007 Lot No. 010 14, 2007 and approved by the 14, 2009. Fee $ 200.00 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 OF THE WORK AUTHORIZED) PERMIT NO. 31460 Z Date SEPTEMBER 21, 2005 Permission is hereby granted to: MICHAEL DROBET MATTITUCK,NY 11952 for : ALTEP~ATIONS TO AN EXISTING DWELLING AS APPLIED FOR at premises located at 1640 STILLWATER AVE County Tax Map No. 473889 Section 103 Block pursuant to application dated SEPTEMBER 15, 2005 CUTCHOGUE 0007 Lot No. 010 and approved by the Building Inspector to expire on MARCH 21, 2007. Fees 150.00 ~ / Authoriz~d Sig~ Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ 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. Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved _, 20__ Mail to: Disapproved a/c_ · ,,~,--~ ........ ;f Ii 2 APPLICATION FIj~R BUILDING PERMIT % ~ ~, ~,,:Q~ INSTRUCTIONS a. ~is application MUST be completely filled in by t~ewriter or in i~ ~d submitted to the Build~g ~spector with 4 sets of plus, acc~ate plot plan to scale. Fee according to schedule. b. Plot pl~ showing location of lot ~d of buildings on premises, relationship to adjoining premises or public sweets or areas, and wate~ays. c. ~e work covered by this application may not be commenced before issuance of Buil~ng Pemt. d. Upon approval oft~s application, the Building ~spector will issue a Building Pe~it to the applicant. Such a pemt shall be kept on the premises available for inspection t~oughout the work. e. No bulling shall be occupied or used in whole or in pan for any pu¢ose what so ever ~til the Building ~spector issues a Ce~ificate of Occup~cy. 5 Eve~ b~l~ng pe~it shall expire if the work authorized has not co~enced within 12 months a~er ~e date of issuance or has not been completed within 18 months from such date, If no zoning mendments or other regulations ~fect~g the property have been enacted in the ~tefim, the Building kspector may authorize, in writing, the extension of~e p~t for addition six months. Therea~er, a new pemit shall be required. ~PLICATION IS ~BY M~E to the Building Depa~ment for the issu~ce of a Buil~g Pe~it p~su~t to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and o~er applicable Laws, Ord~ces or Re~lations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applic~t a~ees to comply with all applicable laws, ordinances, buil~ng code, housing code, ~d r~lations, ~d to, it authorized ~spectors on premises ~d in building for necessa~ inspections. ~ (~amre of applicant or nme, if a co~orafion) (Mailing afl,ess of applier) ,20 O~' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofowncrofprernises ]1/},6~¢ / (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) /O3 Block 7 Filed Map No. Lot I 0 Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work 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 Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories -~ ~ 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Sizeoflot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ - 4 12. Does proposed construction violate any zoning laxv, ordinance or regulation? YES NO I3. Will lot be re-graded? YES__ NO X Will excess fill be removed from premises? YES __ NO 14. Names of Owner ofpremises/llt,~l~$ / ~gt'~l~t'~ Address 1~0 ~J,,/J~,aJrr" Phone No. NameofArchitect~10~ t~l~nm#~ W~r~S~ Address)~'~$- l~tn tqd PhoneNo Name of Contractor Address Phone No. 15 a. Is this property within 100 feet ora 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 ~ * 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 OF ) ~ ~ ~:~" ~ L'¢' 4~ ¢~" ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the tl~l~. C¢o~nt r a~ct ( a or, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perfom~ 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 ofh/s knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me th~xs TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE 8, CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION ~FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: DATE //'''- / ~* ~ ~' INSPECTOR FIELD INSPECTION REPORT i DATE i COMMENTS FOUNDATION (1ST) FOVN~ATION (~ND~ .............. ' ROUGH FRAMING & PLUMBING INSULATION PER N.Y. -- STATE ENERGY CODE FINAL ADDITIONAL COMMENTS Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoRware Version 3.6 Release 1 ' Data filename: QSJES WORKXJES - WORK 2005\0537 - Drobet Residence\0537 - Energy Calcs.rck PROJECT TITLE: Drobet - Interior Alteration COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric WINDOW / WALL RATIO: 0.03 DATE: 08/30/05 DATE OF PLANS: 8-30-05 PROJECT DESCRIPTION: Interior Alteration of Existing Space DESIGNER/CONTRACTOR: Boulevard Planning East COMPLIANCE: Passes Maximum UA - 99 Your Home UA = 91 8.1% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling I: Cathedral Ceiling (no attic) Wall 1: Wood Frame, 16" o.c. Window 1: ~/ood Frame:Double Pane with Low-E Floor 1: Ali-Wood JoisffTruss:Over Unconditioned Space 484 0.0 19.0 23 484 0.0 13.0 45 16 0.130 2 484 0.0 19.0 21 COMPLIANCE STATEMENT: The plans, specifications. desi Professional has stamped and ,~ professional judgment, such Builder/Designer___ building ~lication. The proposed systems have been When a Registered Design and Date REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSofiware Version 3.6 Release 1 DATE: 08/30/05 PROJECT TITLE: Drobet - Interior Alteration Bldg. Dept. Use ( ] [ ] [ ] [ ] [ I [ ] [ I [ ] ( ] [ I [ I [ l [ ] Ceilings: 1. Ceiling I: Cathedral Ceiling (no aRic), R-19.0 continuous insulation Comments: Above-Grade Walls: 1. Wall I: Wood Frame, 16" o.c., R-13.0 continuous insulation Comments: Windows: I. Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.130 For windows without labeled U-factors, describe features: # Panes Frame Type. Thermal Break? [ ] Yes [ Comments: ] No Floors: 1. Floor I: All-Wood Joist/Truss:Over Unconditioned Space, R- 19.0 continuous insulation Comments: Air Leakage: 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 IC 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 fi.om insulation. Vapor Retarder: Required on the warm-in-winter side of all non-vented framed ceilings, walls, 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 clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in unconditioned attics or outside the building must be insulated to R-8. Return ducts in unconditioned attics or outside the building must be insulated to R-4. [ ] [ ] [ ] [ ] [ I [ l [ 1 [ ] [ ] [ ] 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 U L 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). 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 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 ora circulating 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/offheater switch and require a cover unless over 20% oftbe heating energy is from non-depletable 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 1: Mlnimum lnsulation Thickness for Circulating Hot Water Pipe~ Insulation Thickness in Inches bv Pine Sizes Heated Water -' ' Circulatine Mains and Runouts Temnerature ( F~ U~> to I" Ut~ to 1.25" 1.5" to 2,0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0,5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches bv Pipe Sizes ~lt]~]-~l~l~- Ran~e(F~ 2" Runouts ~ ~ Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1,5 Low Temperature 120-200 0.5 1.0 1,0 Steam Condensate (for feed water) Any 1.0 1.0 1.5 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 and Brine Below 40 1.0 1.0 1.5 2.0 1.5 2.0 1.0 1.5 NOTES TO FIELD (Building Department Use Only) FORM NO. 4 T0%~'~ OF SOUTHOLD BUILDING DEPD=RTME~ Office of the Buildin9 Inspector Town Hall Souuhold, N.Y. INFORMATION CERTIFICATE OF OCCUPANCY No: Z-30511 Date: 10/21/04 THIS CERTIFIES that the builc~ng NEW DWELLING Location of Property: 1640 STILLWATER AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 103 Block 7 CUTCHOGUE iBAMLET) Lot 10 subdivision Filed Map No. __ ~ot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 21, 2002 pursuant to which Building petit No. 28705-Z clated AUGUST 26, 2002 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 SRTGLE FAMILY DWELLING WITH ATTACHED GAP~.GE AS APPLIED FOR. The certificate is issued to MICHAEL DROBET of the aforesaid building. S~FFOLKCOUNT~DEPARTME~T OF ]~EALTHAPPROVAL 410-020-0058 EnRL-~-gI~AL CERTIFICATH NO. pLI~4BE/~S ~TIFIC~%TION DAT~ 09/08/04 1110270 09/16/04 M~%RK BAXTER Rev. 1/81 TOWN OF SOUTHOLD PROPERTY RE.RD CARD ~OWNER ~TREET / ~ ~ O VI~GE DI~., SUB. ~ ~/~ S W ~PE OF B IILDING Tillable FRONTAGE ON ~ATER W~land FRONTAGE ON ROAD / ~ ~eW ~ H~se Plot' BULKH~D T~al MtCHAEL DROBET CUTCHOGU£ o,.., ~ ' INTERIOR N..~ ~d. ~..OL,~ ~,~LO~ ALLTERATIONS ~ 'FO THE ' ~ : ~ , , ~,, DROBET ~ ' :1 ~' " ~" ~~ '~SIDENCE ~, ' ~ ~ CUTCHOG~, , , , ~a~ ~ ~ ~ ~ :~ I --r , , ~ DATH~OOh FEE'~ BY' ~ ' NO~fF~ BUILDING DEPARTMENT AT 765-1802 8AM TO 4PM FORTHE -- -- FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED ~ ~ FOR POURED CONCRET~ ~4,-~~ 2. ROUGH - FRAMING & PLUMBING 3. INSU~TiON _ ~ 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ' ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW ~EO f YORK STATE, NOT RESPONSIBLE FOR BESIGN OR CONSTRUCTION ERRORS. % OCCUPANCYOR COMPLY WITH ALL CODES OF uN~WFUL NEW YORK STATE & TOWN CODES USE iS ' WITHOUT CERTIFICATE AS RE~U~ED AND CONDITIONS OF PLUMBER oE~TIFIO~fl~ ~ N.Y& ~ < ¢ ON LEAD coNTENT ~F~E CERTIFICATE OF ~CUPANCY sOLOSa USED ~N w~u FLOOD ZONE SUPPLY sYSTEM GA~OT COMPLY WITH CHAPTE~-4~ ' ,Q~ 8OUTHO~D TOWN {ME~ THE REQUIREMENTS OF THE } ' CODES OF NEW YORK STATE. PLUMBING, ALL PLUMBING W~TE BOU~EVA~ P~A~O EAST, TEEING BEFORE CO~RING &ROHIT[OTS [NG~EERS O+ ~ ~, r ~ t~ ROOF & WATER LINES MEED P.C. I I I MNDE~WR~RSCER~IFIO'~m~ 3~645 ~ ROAD CUTCHOG~, N.Y. 11935 BEQUlR~ H~] ,.~ ~ I~ Telephone Fax * ,~-,-- ~ I~1 ~,~.2u~y[~. 631-734-2011 631-734-2276 I Interact: ~w.bl~dplan.com ~ ~ ~ ~o~.~ o~ so~v~ ~ka~me ~ ~:c. ~ k ~ c~k~* DATE: 8-30-05 ~" PI..UMB~G SCI IEMATIC *"' ~ sc~: as ~OTa~ ~--% ~2/ C~D: S.S. PROJECT ~ER SHEET ~ER ., , 0537 A-1