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Home My WebLink About34055-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33672 ILate: 04/27/09 THIS CERTIFIES that the building ALTERATION Location of Property: 725 JACOBS LA SOUTHOLD (HOUSE NO.) (STREET) (HA~MLET) County Tax Map No. 473889 Section 88 Block 1 Lot 1.3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 2, 2008 purs,,~nt to which Building Permit No. 34055-Z dated JULY 11, 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 "AS BUILT" BASEMENT ALTEP~ATION AS APPLIED FOR. The certificate is issued to WILLIAM E & MELISSA DOLAN (OWNER) of the aforesaid building. S~FOLK CO[~qTYDEPART~qTOF}~ALTHAPPRO%5~L N/A ELEC'~RICAL C~RTIFICA~ NO. 8781 03/15/09 PLUMBERS ~TIFICATION DA'rKu N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP3 This application must be filled in by typewriter or ink and submitted to the Building D APR 2 4 2009 ;partmcnt For new building or new use: 1. Final survey of property with accurate tocation of all buildiags, 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 installatiun from Board o f Fire Underwriters. 4. Sworn statement fi~m 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. 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. 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: r-~% '~(~0~::~ House No. Street Owner or Owners of Property: '~)0~\\'~ Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~L~{~3~o~(D Health Dept. Approval: (check one) Block ~)OO'\ Filed Map. Hamlet DateofPermit. r~{[ [!hc.O/_ Applicant: ~"C~t~'~ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Applicant Signature Nassau Suffolk Electrical InspectionS,Inc. P.O. Box 549, Aquebogue, New York + 11931 Tel: 631-591-3097 Fax: 631-591-3098 Application: 8781 Date: 3/15/09 Issued to: Dolan Address: 725 Jacobs Lane Introduced By: First Class electric Village: Southold License#: 34075-ME Residential [] Commercial The following was examii~ed and approved up to the above date and found to bein compliance with the NEC: Attic Ist Floor 2"d Floor 3rd Floor Garage Conversion Basement [] Hot Tub Addition Detached'Garage Pool Switches Receptacle Fixtures G,F.h Dimmers Smoke Detectors ~ 22 23 2 9 2 Fans Dishwasher Washer/Amps Dryyr/Amps Oven Range/Amps Carbon Monoxide I-Exhaust Bath 2 Furnace Oil Gas Heat Zones Whirlpool Exit Signs Rough Insp. II Final Insp. Meter Amps Phase Motors 7/u 0/08 II 3/15/00 Other Equipment: Finished Basement This Certificate must not be altered in any manner FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PEIL~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34055 Z Date JULY 11, 2008 Permission is hereby granted to: for : "AS BUILT" WILLIAM DOLAN 725 JACOBS LA/qE SOUTHOLD,NY 11971 BASEMENT ALTERATION AS APPLIED FOR at premises located at 725 JACOBS LA County Tax Map No. 473889 Section 088 pursuant to application dated JULY Building Inspector to expire on JANUARY SOUTHOLD Block 0001 Lot No. 001.003 2, 2008 and approved by the 11, 2010. Fee $ 400.00 [ ' Authorized Signature COPY Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD~ NY ~1971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined ?/ti , 20 0g Approved 7/[1 , 20~ Disapproved a/c Expiration i } [ [ , 20 [0 PERMIT NO. BUILD1NG PERMIT APPLICATION CHECKLIST Do you have or need the follow/in2~2 before applying'? BoardofHealth O lr' ~/ 4 sets of Building Plans W' Planni~n~.o'ard approval Survey ._ Check L,/ Septic Form N.Y.S.D.E.C. Trustees pi'/~ , Flood Perm/~ /X.//~ Storm-Water AssesSment Form/V/fl Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 Oo a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or 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 a~er the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or tbr 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 fbr necessary inspections. (Signature of applicant or name, if a corporation) 7,25- (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 CountyTax M. ap No. 10Q0 Section._, Subdivision '~N__O 0._~-fo',a_ld 15;~ Block 0 // Lot /' ~-~ Filed Map No. /~; 5"W/.ff_~ Lot / 2. State existing use and occupancy of premises and ~ended use and occupancy of proposed construction: a. Existing use and occupancy ~,"~a,~'/~ IL-'q~P~ ' , b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Repair Removal Estimated Cost if dwelling, number of dwelling units If garage, number of cars Demolition Fee Addition , Alter~ion Otl~er Work ~-~,~L/LC~.Z Og (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 Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front / ~-O '~ Rear /~O" Depth .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~9/~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES 14. Names of Owner of premises [--~O I tT(h Address Name of Architect M~,l~r 1~CO¥ £P-~ Address Name of Contractor ~ O3ta-/~t?----- Address NO ~( Will excess fill be removed from premises? YES NO ~¥ ~O odC~ ~ & Phone No. PhoneNo -'/O~--- tF~a6~'7 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 R~UIRED. 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO J · IF YES, PROVIDE A COPY. STATE OF NEW YORK) Lf g t'2') ~) I__ld[ffk.) 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 mmmer set forth in the application filed therewith. Sworn to before me this 2~c) day of ~'~ I (,~ot~ry Public TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [X FINAL / \ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] I~TION [ ~'"FI NAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION [ ] FIRE RESISTANT CONSTRUCTION R E MARK .~f/~,~/~,~ //'~/'~.~-d/7/ ~/'/~ DATE INSPECTOR~'' · 'F~CTION REPORT FOUNDATION (1ST) DAT]~ C OrC2~IZNTS FOUNDATION (2ND) ROUG~ FRA3/fl~G & STATE ENERGY CODE ADDITIONAL C O1VI/V~NTS REScheck Software Version 4.1.4 Compliance Certificate Project Title: Dolan Report Date: 06/22/08 Data filename: C:\Check\REScheck\dolan.rck Energy Code: Location: Construction Type: Heating Type: Non-Electric Glazing Area Percentage: 12% Heating Degree Days: 5750 Construction Site: 725 Jacobs La Southold, NY 2007 New York Energy Conservation Construction Code Suffolk County, New York Detached I or 2 Family Owner/Agent: DesignedContractor: Compliance: 33.9% Better Than Code Maximum UA: 109 Your UA: 72 Basement Wall 1: Solid Concrete or Masonry Wall height: 8,0' Depth below grade: 7,0' Insulation depth: 8.0' Window 1: Wood Frame:Single Pane Door 1: Solid 1104 13,0 0.0 64 3 0.400 1 21 0.350 7 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 2007 New York 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 specificat~nce with this Code, Name-'~l'~e Project Title: Oolan Report date: 06/22/08 Data filename: C:\Check\REScheck\dolan.rck Page I of 4 REScheck Software Version 4.1.4 Inspection Checklist Date: 06/22/08 Basement Walls: [] Basement Wall 1: Solid Concrete or Masonry, 8.0' ht / 7.0' bg / 8~0' insul, R-13~0 cavity insulation Comments: Windows: Window 1: Wood Frame:Single Pane, U-factor: 0.400 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? Comments: Yes No Doors: [] Door 1: Solid, U-factor: 0.350 Comments: Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed. Recessed lights are 1) Type lC rated, or 2) instarled inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-lC rated, fixtures are installed with a 3" clearance from insulation. Vapor Retarder: [] Installed on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: [] Matedals and equipment are installed in accordance with the manufacturer's installation instructions [] Materials and equipment are identified so that compliance con be determined, [] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. [] Insulation R-values and glazing U-factors are cleady marked on the building plans or specifications. [] Insulation is installed according to manufacturer's instructions, in substantial contact with the surface being insulated, and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: [] Supply ducts in unconditioned attics or outside the building are insulated to at least R-8. Return ducts in unconditioned attics or outside the building are insulated to at least R-4. [] Supply ducts in unconditioned spaces are insulated to at least R*8. Return ducts in unconditioned spaces (except basements) are insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: [] All joints, seams, and connections are securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics are rated UL 181A or UL 181B. Exceptions: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). [] The HVAC system provides a means for balancing air and water systems. Temperature Controls: [] Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set point of the largest zone Electric Systems: [q Separate electric meters exist for each dwelling unit, Fireplaces: Project Title: Dolan Report date: 06/22/08 Data filename: C:\Check\REScheck\dolan.rck Page 2 of 4 [] Fireplaces are installed with tight fitting non-combustible fireplace doors. [] Fireplaces have 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 Yofl' City Building Code, as applicable. Service Water Heating: Water heaters with vertical pipe risers have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is par[ of a circulating system. Circulating hot water pipes are insulated to the levels in Table 1. Circulating Hot Water Systems: Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: All heated swimming pools have an on/off heater switch and a cover unless over 20% of the heating energy is from non~epletable sources. Pool pumps have a time clock. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids be[ow 55 degrees F are insulated to the levels in Table 2~ Project Title: Dolan Data fllename: C:\Check\REScheck\dolan.rck Page 3 of 4 Table I : Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Up to 1" Up to 1.25" 1.5" to 2~0" Over 2" Temperature (°F) 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 Table 2: Minimum Insulation Thickness for HVAC Pipes Insulation Thickness in Inches by Pipe Sizes Fluid Temp. Piping System Types Range(OF) 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 15 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant and 40-55 0.5 0.5 075 1.0 Brine Below 40 1.0 1.0 1,5 1,5 NOTES TO FIELD: (Building Department Use Only) Project Title: Dolan Report date: 06/22/08 Data filename: C:\Check\REScheck~dolan.rck Page 4 of 4 -:" OF SOUTHOLD PROPERTY RECORD /~ ~ - J~£-/-/. a CARD OWNER FORMER OWNER VILLAGE RES. Z/O SEAS. LAND IMP. Tillable Woodland Meadowland House Plot Total STREET, -7 2 9 TOTAL J DATE COMM, CB. MICS, Mkt. Value REMARKS DIST. SUB. LOT / TYPE OF BUILDING F _.~. FR~TAGE ON WATER ~ILOR ~ TRIM 08-1-1.3 2/04 Extension Extension Extension 4000 Porch ~ Breezeway Garage O. Bo Foundation Basement Ext. Walls Fire Place ~0 , Bath Floors Interior Finish Heat Type Roof Rooms 1st Floor Recreation Room Rooms 2nd Floor Dormer Driveway BR. Total TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER LAND IMP. STREET 7C~" VILLAGE ACR./ , 00 I REMARKS ,VPEOFBLD. PROP. CLASS TOTAL 79 ~0 DATE FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD HOUSE/LOT TOTAL TILLABLE WOODLAND MEADOWLAND I .D~T.1 SUB. LOT COLOR TRIM M. Bldg. Foundation CB Fin. B. Bath Dinette FULL COMBO Extension Basement CRAWL PARTIAL Floors Kit. SL~8 Extension Ext. Walls Interior Finish L.R. Extension Fire Place Heat D.R. Patio Woodstove BR. Porch Dormer E~aths Deck Dock Fam. Rm. A.C. Garage Pool ~o~(~ 1 I I SURVEY OF LOT 1 MAP OF DEERFIELD FARM SITUATED AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-88-01-1,$ SCALE 1"= 40' APRIL 10, 2001 AREA = 45,650.00 sq. ft. 1.002 ac:. SAFE HARBOR TITLE IN$URANCE COidPANY WF..~TER I~IANK WILUAbl DOLAN III M£LI~ DOLAN Land Surveyor MECHANICAL5 [NDTALLED AD PEI~ MANUFACTURJ~P-, -- 5PECIFICATJON5 P.-t3 INDULATION IN WALL5 AROUND UTfLmE5 "NOTE; ?P. OVIDE M~CItANICAL VENTrLATION 5YDTEM ~¢ LIGHTING FOUNDATrON WALL LEGEND: 2" × 4" ACQ STUDS 2" X 4" STUD PR&ME PAP~TITION; UDE ACQ ON ALL AREAD AGAINST CONCRETE ELECTP--.ICAL LEGEND 0 P-,ECEDDED H,H, LOW VOLTAGE DOLAN R, 5ID NC OCCUPANCY OR UTrLIT[~5 r~ ~ , ~, ~"~,~'LY~OOD SUSFLOOY. ON WFT DAP,. I~- i 5 INSULATION WITH CE[LIF~G THP-,UOUGHT ~XISTING COLUMN5 LWRAPPED ~ FINISHED EXISTING 2D r 7 DAEEM~NT ~ N DADE[DOAF~D HEATING ALONG EXT~ro~. WALL USE IS UNLAWFUL DAEE~OABB HEATING ALONG EXTE P-,lO P-, WALL WITHOUT CERTIFICATE OF OCCUPANCY DATE BY: NOTIFY BUILDING ~T 765-1802 8AM TO 4F',4 FOR THE ~XHAUDT CAN DUCT~D TO OUTSIDE FOR FOUR[ r) 2,ROUGH - 3.INSULATION 4,FINAL - CON: PLUMBER CERT/FICA TIGA ON LEAD CONTE/v7 SEF~(,!~',~IREMENTS PEt~TIFICA TE 0/-- 00C SOLDER USED/N WATER SUPPL Y SYSTEM C~NNOT EXCEED 2/10 OF 1% LEAD. EXIETrNG ALL MEET THE REQUll PLUMBING AI~L PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING '~0 REQUIRED ~NCqETE 2, PLUMBING SHALL THE CODES OF NEW RESPONSIBLE FOR ~UCTION ERRORS. i AT E, jJ ROOF J SECONDFLOOR FOUNDATION PLAN 5CALE: ~II = ILOII FIRST FLOOR BASEMENT ]O SLOPE" 1/4" PER FOOT PITCH TO DRAIN PLUMBING RISEP-. DIAG,,,~ NOT TO 5CAL~ z~ UJ~- PAGE-