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HomeMy WebLinkAbout34443-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33649 Date: 04/17/09 THIS t~K'rIFIES that the building ALTERATION Location of Property: 650 HEATH DR ORIENT (HOUSE NO.) (STREET) '(HAMLET) County Tax Map No. 473889 Section 13 Block 2 Lot 8.33 subdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 18, 2009 pursuant to which Building Permit NO. 34443'-Z dated FEBRUARY 20, 2009 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" FINISHED BASEMENT (NONHABITARLE FOR STORAGE ONLY) AS APPLIED FOR. 7~ne certificate is issued to MICHAEL A & MARy DIJORIO (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPART~gTOFHEALTHAPPROVAL N/A R~CrKICAL ~KTIFICATE NO. 4025747 04/02/09 PLIERS ~rIFICATION DA'£~m N/A A ~A/~natu re Rev. 1/81 AP] ' ~AP]1 ,ICATION FOR CERTIFICATE OF OCCUPANCY This application must be~fl-'e'e'e'e'e'e'e'~ )y typewriter or ink and submitted to the Building Department with the following: 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. Fired Approval from Health Dept. of ?vater supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber ceaifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commemial 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 requiremenm 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 andunusual 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. 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: House No. Street Owner or Owners of Property: ~/~{~,~'L d- ~ Suffolk County Tax Map No 1000, Section I-'~ Block (check one) Subdivision Permit N(~. ~t.~ Health Dept. Approval: Date of Permit. Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ '~Z--,'~ ~ Hamlet Filed Map. Lot: Underwriters Ap~v~ ~on~k on Final Certificate: k-~x e) ~~'~ant Signature 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 KC ANDERSON ELECTRIC PO BOX 16 MILLER PLACE, NY 11764-0016, MICHAEL & MARY DIJORIO 650 HEATH DR ORIENT, NY 11957 Located at Application Number: 4025747 Section: Block: 013 002 Described as a Residential 650 HEATH DR ORIENT, NY 11957 Lot: Certificate Number: 4025747 008.033 Building Permit: 3443 BDC: ns11 occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, 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 theZ.d Day of April, 2009. Name OTY Rate Miscellaneous supply 30a gfci power to self contained sauna Wiring And Devices Dimmer 3 0 Fixture 20 0 GFCI Circuit Breaker I 0 Outlet 20 0 Outlet 21 0 Receptacle 19 0 Switch 2 0 Rating Circuits Type 120V 30a Incandescent Fixture Gan, Purpose Gan, Purpose Gan, Purpose An as built visual inspection, oftbe delineated elcch-ical installation, determined that an obvious hazard is not present and the installation is believed to be in conformance with the apptlcable reference standard for the estimated period of construction oftbe premises wiring system I of I 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 OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] IN~H. ATION [~NAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENL=11~TION DATE 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. 34443 Z Date FEBRUARY 20, 2009 Permission is hereby granted to: MICHAEL A& MARY LIEBER DIJORIO 650 HEATH DRIVE ORIENT,NY 11957 for : AS BUILT FINISHED BASEMENT AS APPLIED FOR. at premises located at 650 HEATH DR County Tax Map No. 473889 Section 013 pursuant to application dated FEBRUARY Building Inspector to expire on AUGUST ORIENT Block 0002 Lot No. 008.033 18, 2009 and approved by the 20, 2010. Fee $ 488.00 Authorized Signature ORIGINAL Rev. 5/8/02 FIELD LNSPECTIONREPORT I DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ~DITION~ COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined ] ['go , 20 Disapproved a/c Expiration ~, I~X) ,20 i 0 FEB 18 BLDg. OEP/. TOWN OF SOUTHOLD 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. Tmstees Flood Permit Storm-Water Assessment Form Contact: ~l £/~ . '/ Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS z/f; 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 after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension 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 issu~Ince of a Building ,¢ermit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and ot~v,~pplica~ws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal o~de~n as ,h~rein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing~d regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Si'~a,.~ant or name, if a corporation) (Mailing address of applicant) State whether,~p~licant 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. Lo cati~f3and on wT~l~ ~ed v~.~rpill House Number Street County Tax Map No. 1000 Section Subdivision be done: *'"?.. , f c 64/d Hamlet Block Z Lot Filed Map No. Lot State existing use and occupancy of premisesjln~Lintended 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 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. 10. Date of Purchase ~q3~/ Dimensions of existing structures, if any: Front Rear Depth ight He_ Number of Stories Dimensions of same structure with alterations or additions: Front Depth. Height Number of StOr e~ Dimensions of entire new construction: Front Rear Height Number of Stories Size of lot: Front Rear .Depth Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zo~aing law, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES NO /Will excess fill be removed from premises? YES NO ~/ 14. Names of Owner of premises -3'5,_\6~7_ ~ Address Name of Architect Address Name of Contractor Address 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 B~EQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO '~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Phone No. Phone No Phone No. 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 o~rvey. 18. Are there any covenants and restrictions with respect to this property? * YES NO / · IF YES, PROVIDE A COPY. STATE OF Ne~ Y_O/RK) COUNTY O F~'-~' '~ ~3J~ (~./9 ~ ~ ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual si~ing contract) above,ed, (S)Heis the ~- / C~ ~~ (Co~ A~ent, Co.orate Officer, etc.) of said owner or owners, ~d is duly authorized to peffo~ or have peffo~ed t~e said work and to make and file this application; that all statements contained in this application are tree to the best of his ~owle~ge and ~lief; and that the work will be perfo~ed in the ma~er set forth in the application filed therewith. Sworn to before me this ~ /~ dayof ~ 20~ Nota, Public of Applicant ~mmissi0n ~ir~ lulv 28, 2~ :Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: $.C.T.M. #: ~ THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ,~ '~-' ~'~) rl~, '''~,**' '~ .=STORM'WATER, GRAD NG, DRAINAGE_ . AND~SION CONTROL District Section Block Lot (;~1~, Ir/ED BY A DESIGN P~ur~aSION~At'IN THE STA~E OF NEW YOIIK. tt,mN,rape . N .............- ....................... . Will this Project Retain All Storm-Water Run-Off Generated by a Two (2) Inch Ra'~o. fall on Site? (This Item will include all run-off created by site clearing and/or construction activiti~ -- L~ Iraprovementa and the permanent creation of irapewicas surfaces.) Does the Site Plan and/or Survey Show Ail Proposed Drainage Structures Indica0ng Size & Location? rIII This Item shall include all Proposed Grade Changes and Slopes Conlrolling Surface WaterFIowl Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feel of Ground Surface? 1 2 5 Is there a Natural Water Coume Rune ng through the site? r'~ is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetrand or Beach? 6 Will there be Site preparation on Existiug Grade Slopes which Exceed Fitieen (15) feel of Vertical Rise to r~ one Hundred (100') of Hedzontal Distance?. 7 Will Ddveways, Parking Areas or other Impervious Sun<aces be Sloped to Direct Storm-Water Run-Off into and/or in the dfrection of a Town right-of-way? 8 W/il this Project Require the Placement of Matedal; Removal of Vegetation and/or the Construction of any Item Wtihin the Town Right-of-Way or Road Shoulder Ama? (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? r~ NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Permlif EXEMPTION! Yes Does this project meet the minimum standards for classification as an Agdcutiural Project? N__No/ Note: If You Answered Yes to this Question, a Storm-Water Grading, Drainage & Erosion Control Plan is NOT Required! -- ~ COUNTX 07.~. ................................... SS (Name of individua[ signing Document / · And / ( ~Owner. Co~lracto~, Agen{. Cor~{e Offil~el~Mc.) ............. : ........................... O,~ner and/or representative of the Owner of Owner s, and is duly authorized to pe~orm or have perfomxed the said work and to make and file this application; that all statements contained in this application are tru)~,to the best afl!is knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewi~h~ .~ ........ Sworn to before me this; ..................... ................ Notary Public: i 71' ~ ~40; 01T06190696 FORM - 06~07 Commission Expires July 28, 21} I FE8-18-2009 04:53 FROM: T0:7659502 P.1 REScheck Software Version 4.2.0 Compliance Certificate Project Title: FINISHED BASEMENT Energy Code; 2007 New Yorl{ Energy Conse~atlon CanstrucUon Code Location: Suffolk County, New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric C4azing Area Percentage: H~ng [~gme Days: 5750 Conal~sctJon Site: 650 Honlth Street OHent. NY Designer/Contractor: Robert HIggins Robed Higglns Archictect 631-208-335t Compliance: 8.5% Better'nten Cede I~axlmum UA: 165 Your UA: 151 Wall 1: W(x)d Fm~ne, 16' g.c. Window t: Wood FmmerOoubte Pane wilfl Low-E Door 1: Sorld Ceiling t: Flat Ceiling or Sc~ser Truss 1~80 13.O 0.O 8~ 20 0.580 12 20 0.420 8 910 19.0 0.0 46 The proposed building represented in this document Is COnSistent with the buitcling ptar~, spec~ica6one, and othe; c,e)culalJofls sul~nittedd with this permit applicalion. The proposed systems have been designed to men1 Ihe 2007 New York Energy Con~ewatlon Consb'uct[on Code requirements. When e Registered Design Professional has stamped and signed 01is page, they are attesting that to the beat of his/her knowledge, belief, and professional judgment, such ptar~ or speciflcalJens am in compliance with this Code. Name- T~de $~na~m Dam 04:55 ~ROM: T0:765950~ P.~ Separate elec~c meters exist for each o'wetlin~j unit, Fireplaces: n Fireplaces are insteBed wi~h tight ~iUlag eon-co~oustible fireplace doors. Firel)bceS have a source of combustion air, as required by the Fireplace construction provisions of Ihe Building Cede of New York Slate. the Re~identlal Code of New York State or the New York C~y Bu/k~ng Code, as applicable. Service Water Heating: 0 Waler heaters with vertical plpe risers have a heat trap on bo~l Ifle thtet and o~t unl~ the wa~r h~r h~ an int~ml ~et ~aP °r is pert of a clrcule§ng s~stem. n Circulaling hot water pipes a~e insulated to Ihe levels la Table 1. Circulating Hot Water Systems: [] Cl~letlag lint wale, pipes am ;~uleted t~ ~he levels in Table 1. Swimming Pools: NI heated s~immln9 PO~S have an o~foff heete~ s'~itch eeq e ester un'ess °var 20% °f ~'e heatb~g e~er~J¥ is Im~ r~'dePlemble sources. Pool pumps have a lime ~ock. Heating and Cooling Piping Insulation: HVAC plpthg cenveyinfi fluic]s above 105 degrees F or chilled fluids below 55 degrees F er~ in~t~ ~ ~ le~s In Ta~e 2. FE~-18-888g 84:54 FROM: TO:76SgS02 REScheck Software Version 4.2.0 Inspection Checklist Callings: Ceiling 1: Flat Ceiling or 8cissm' Truss, R-19.0 covily insulatlco Cornments: Above-Grada Walls: Wall 1: Wood Fmrne, 16' o.c., R-13.0 cavity insulation Comments: Window 1: Weed Frame:Double Pane with Low-E. U-factor: 0.580 For windows without labeled U-fectom, describe features: #Panes Frame Type ,, Thermal nrea~<?__ Yes Comments: Doors: Door 1: Soi;d. U4~ctor: 0.420 Comments: No Air Leakage: 0 Joints, penetrations, and ali other such openings in the building envelope that ere sources of air leakage are sealed. i'-1 Recessed lights ara 1 ) Type lC stool, or 2) installed inside an appropdete ak-tight assembly with a 0.5' clearance from combustible matedals, ff non-lC rated, fixtures are insta~lnd with a S' clearance from insula~on. Vapor Retarder: ~nstallad art the wann-~.~wl~taf Side o~ all hen-vented fzamed ceilings, waits, and floes. Materials Identification: [~ Mstedois and equipment ara installed in accordance with the manufacturers installation instmcf~o ns. [] Matedals and equipment am Identified so that com~ianee can be detun, ninnd. I-1 Manufacturer manuals fo~ al iestal]ed heating and cooling equipment and ea~lce water heating equipment have been provided. t-~ ins~utattcm R.vakse~, and gtaztug LLtoctors e~ze clearly ma~ed on the bulidk'&g ptane or specffinstlx3ns, i--I Insulation is instal]ed aucording to ma nufectum~'s tnslmc~ons, in substantial contact with the surface being insulated, and in a manner that achieves ~ rated R-value without compressing the insulation. Duct Insulation: I-I Supply ducts in unconditioned at, cs or outside the building ~e insulated to at ieeat R-8. Return duCtS tn unconditioned at, cs or outside the building am insulated to at least R-4. I-I Supply ducts in uncondi~ened spaces am insututnd tu at least R-8. i-I Return ducts in uncondi§oned spaces (except basements) are insulatud to R-2. Insulation is not required on return ducts in basements. Duct Construction: D All joints, seams, and ceenectiens am seemly laidened with welds, gaskets, mastics (adhesives), mast, s-plus-em bedded-fabric, er tapes. Tapes and meal, s am rated UL 181A or UL 181B. Exceptions: Continuously welded and locking-type longitudinal joinls and seams on ducts operatlag at less than 2 in. w.g, (500 Pa), r'"l The HVAC system provides a means for balancing ak end water systems. Temperature Controls: r-1 E:.ach dwoiting uni~ has at least ~ne thermos;tat capable of automatically a~tmflng the space temperature set point ~' the ts~jest Electric Systems; FEE~-10-2~9 0'q*:Sq FEOFI: T0:?65950E~ P.'~ Table I: Minimum Insulation Thickness for Circulating Hot Water PipeS Thickness In Inches t~y Pipe Sizes Circulating Mains and Runout~ Heated Water Up to 1' Up to 1.25' 1,5' te 2.0" Over 2' Temperatere ('F) t70-180 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 t.0 Table 2: Minimum Insulation Thickness for HVAC PipeS Insulation Thtclmess In Inches by Pipe Sl~es Ruid Tempi 2' Runouts t' and Less 1.25' to 2,0' 2.5' to4" Plpteg System Types Rang~'F) Heating Systems Low Pressure/Temperature 201-250 1 .o t .5 1.5 2,0 Low Tempemtute 120-2~0 0.5 1.0 1.0 1.5 Steam Cotldensate (for feed water) Any t.0 1.0 1.5 2.0 Cooling Systems Chilled Water. Refrigerant and 40-55 0.5 0.5 0.75 1.0 Bdne Below 40 1.0 t .0 1.5 1.5 tlOTE$ TO REt.O: (Building Deparlment Use Onty) -5'7. ~..O'~ SURVEY OF PROPERTY AT ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 OI3 02 833 SCALE I"= 40' OCT. 8, 19 87 MARCH 17~ ~005 AREA · 40,235 SQ. FT. OR 0.92:5 AC. 87 -.8J7 RETAIN STORM WATER RUNOFF OF THE TOWN CODE. I -- ~:c~ ~ r .... ; ,, o..~ --, PLUMBER CERTIFI( i TION v'- ' '., ROOM , ~4-- , ,, ©N LEAD CONTENT , ' ' *xistln~ ~Ird*r CERTIFICATE OF OC( , <box out ~/~ b~ -r-4'~~ 'i SOLDER USED IN , : .. =o, _SUJ~_PLYSYSTEM¢, 2'.o" i~,.0,, ~! FLOOR ~ucEL 2/10 OF ~ ~ -9 -- '¢' OCCUPANC :/CAT; L ~ 765-1802 8 AM 1. FOU~DATION - vO ~ EQU[nED U~DERWRffERS OERTIRCA~ FOR POURED REQUIRED 2. ROUGH - FRAk'.iNG & 3. INSULATION . 4. FINAL - CONSTRUCT~( N MUST ~ BE COMPLETE FOR C 9. ~T-IO" ~ ~LL MEET THE REQUIREMENTS OF THE CODES OF NEW Ffr~lock~ ~hal[ D~ ~rcvlCs~ a[ all con¢eal~ w~rtlcal amc DESIGN OR CONSTRUCTION ERRORS