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HomeMy WebLinkAbout35328-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~d~TMENT Office of the Building Inspector Town Hall Southold, N.Y, CERTIFICATE OF OCCUPANCY No: Z-34212 I~te: 03/02/10 TNIS U~KTIFIES that the building "AS BUILT" ALTERATION Location of Property: 1495 MAIN BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) Co~ty Tax ~p No. 473889 Section 70 Block 8 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 6, 2010 pursuant to which Building Permit No. 35328-Z dated JANUARY 29, 2010 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 G]kRAGE ALTERED TO BEDROOM IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT." The certificate is issued to ANDREW G DUERWALD IV (OWNER) of the aforesaid building. S~/F~)LKCO~l~fDEPAR~1~TOF~2%L~APPRO~Y~%L N/A ELECll~IC3%L C1~TIFIC3~11~ NO. 12351 02/15/10 PLUMBERS ~TIFICATION DA'rED N/A A t~h~rize~ Signature Rev. 1/81 Form No. 6 TO~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN~ This application must be filled in by typewriter or ink and submitted to the Building Dep ~rtment with ~$[~.wing: lOWt'l OF SOIITHOI9 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 electribal 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. Ifa 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, Cormnercial $15.00 Date. ~','~.k% New Construction: Old or Pre-existing Building: Location of Property: q5 ('-[t;G~k'lifLLa"'~J~k]f- House No. Street Owner or Owners ofProperty: /~CI~CPix_; l~klq('k,k2(l [t~. Suffolk County Tax Map No 1000, Section ~ 070 Block Subdivision Filed Map. Permit No. '~5-'~ -_~ ~_ Health Dept. Approval: (cheek one) Hamlet Lot Lot: Date of Permit. (~J'(l~ ,~)q;J010Applicant: ~)lh(~,r~.~2 ~klO~{'COCt[ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $~ c~-~00 Final Certificate: ~' (check one) Applicant Signature S U F ~' 0 I K"I'~ B U R E A U ,, i 40 Nottingham Drive, Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Andrew Duerwald Certificate No.: 12351 Rough Tn Inspection Date: February 15,2010 Final Inspection Date: February 15,2010 Application No.: 12351 Building Permit No.: County Tax Hap No.: This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: Andrew Duerwald Site Location: 9S Clearview Ave West, Southold, NY 11971 Owner's Address (if different): ~ Residential F'~ Indoor Basement ~ Service L--i Shed Commercial i Outdoor I'~ First Floor ~ Pool [ ~jHottub New ~ Renovation ! i Second Floor Attic --' Garage ~ Addition I JSurvey Other: INVENTORY Single Phase Heat Duplex Recpt 6 Ceiling Fixture HID Fixtures Three Phase Hot Water GFC] Recpt Wall Fixture Smoke Main Panel AC Cond Single Recpt Recessed Fixture 6 CO Detect Sub Panel AC Blower R~nge Recpt Flourescent Pumps Transformer Appliances Dryer Recpt Emergency Time Clock Disconnect Switches 7 Twist Lock Exit Fixtures TVSS GFCI Breaker Heat Pump Electric Heat Pool Luminaire Exhaust Fan Other Equipment: 1-dimmer, 1-paddle fan The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Andrew Duerwald Inspected By: Roger Richert License No.: Homeowner Date Of Certificate: Feb 22,20t0 S~Jnature: 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. 35328 Z Date JANUARY 29, 2010 Permission is hereby granted to: for : "AS BUILT" ANDREW DUERWALD IV 95 CLEARVIEW AVENUE WEST SOUTHOLD,NY 11971 GARAGE CONVERSION TO A BEDROOM AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 070 pursuant to application dated JANUARY Building Inspector to expire on JULY 1495 MAIN BAYVIEW RD SOUTHOLD Block 0008 Lot No. 004 6, 2010 and approved by the 29, 2011. Fee $ 400.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [ ~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESIS~M~I~ONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS/: ~/, ~~ ~__~/~J ~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ L [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ SPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ~///0//~ INSPECTOR ~/~ e'~.~LD INSPECTION REPORT I DATE I COiV/I~ENTS FO~r~DATIO~ (~ST) FO~ATION (2~) , ROUGH ~G PL~G ~S~A~ON PER N. Y. STATE E~RGY CODE ~D~~ COmNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1502 FAX: (631) 765-9502 SoutholdTown. NorthFork.nct Examined //~ ~ , 20/0 Appro',.ed .¢3 ~ ,20 Disapproved a/c PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, betbre applying? Board of Health 4 sets of Building Plans Plmming Board approval Survey Check Septic Form N.Y.S.DE.C. Trustees Flood Permit Storm-Water Assessment Form .. Contact: Mailto: r~, ~)k)L~.b4 &L_~D Phone: ~IG--%~ } -- qL O~ Expiration ,.71/~.20 fi/ /~..~-~ ?~ 6 ~ ~-~:2- j~ ~C/~0 .(~,Q.) /Building Inspector ~-J~C'/}''-) ~-~,"~ ¥ ,ICAT ON UImNG P R IT ' ~ Date ,20 INSTRUCTIONS BLDG, DEPT. compl~ ely 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 belbre 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 Ibr 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 1S HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suftblk 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 tbr necessary inspections. (Signature of applicant or name, ifa cot-poration) (Mailing address of applicant) State whether applicant is owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Ot.~ Name of owner of premises ~/~ al(el^)(~ (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. Loca_.tio~n of land on wJ,5¢h proposed wqrk will be ~lon¢: House Number Street Hamlet County Tax Map No. 1000 Section o-/o Block ~ Lot Z!c Subdivision Filed Map No. Lot 2. Stat/eqexisting use and occupancy of premises and intended use and occupancy of proposed construction: a~ Existinguseandoccupancy %imqc6 ~,~,m'-I ¼~E - 'Z_ .~W'~,~,,4 s. b. Intended use and occupancy %~'t, kc cT gf',~,'~--'-/ ~"-~6 -- ~ ~rc~z,~ ~4 g 3. Nature of work (check ~vhich applicable): New Building Addition Alteration v/ Repair Removal Demolition Other Work Estimated Cost ~ 1 et3 © 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. Ir'business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height 2~ Number of Stories Rear ~ Depth Dimensions of same structure with alterations or additions: Front %o Rear Depth '2_ C Height ~o Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front [ c/ ~ Rear c} <, Depth It g -- log 10. Date of Purchase B/gZoc- I Name of Former Owner ~9._ q- Me_% fi (:z~ he-~L_ I 1. Zone or use district in which premises are situated ~Ec¢ ( /'~ eTr,.,T~ r~ ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO v/ 13. Will lot be re-graded? YES NO / Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address ¢1'~ CLL"O,',L~,C~} PhoneNo. %i~, -?-gi-- fl'~o'~ 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 propcrty 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 tbundation 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 v/ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF~~ 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 o~w~ers, and is duly authorized to perlbnn or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be perforated in the manner set forth in the application filed therewith. Sworn to before me this ~--2'-¢qr/ dayo~(7,v-x_kA0k)~<4 20 1~ , Notary Public Signature of Applicant oWnER . F~.I~ER LAND AGE NEW Tillable 1 Tillable 2 Tillable 3 woodland Swampland Brushland House Plot' Total TOWN OF SOUTHOLD P~OPERTY RECORD C, AKU qLLAGE DISTRICT SUB. S VL. TOTAL DATE REMARKS ACREAGE IE OF_BUJLPlNG -"~ [ MISC. ~-t. Mkt. Value i ' :~'~3'" NOrM, AL I BUILDING CONDiTIO~I BELOW ABOVE Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD //7,._~ ~ ~'~ BULKHEAD DOCK I tension ~erl$~orl --4 ezewo¥ I Bosement Ext. Walls Fire Pl<3ce Porch Porch ~ I~'~ ~LT/..~:_.LJnterior Finish ~Roof Type ~Roo~ 1st Floor J Rooms 2nd Flcor Dormer REScheck Software Version 4.0.1 Compliance Certificate Project Title: Garage to bedroom conversion RepoR Date: 01/24/10 Data fllename: C:\Program Files\Check\REScheck\95 Clearview Avenue Garage conversion.rck Enemy Code: Location: Construction Type: Heating Type: Glazing Area Percentage: Heating Degree Days: Construction Site: 95 Clearview Avenue West Southold, NY 11971 New York State Energy Conservation Construction Code Suffolk County, New York Detached 1 or 2 Family Non-Electric 5% 5756 Owner/Agent: Andrew Duerwald Owner 95 Clear~ew Avenue West Southold, NY 11971 631 255 1246 Designer/Contractor: Andrew Dcerwald Contractor Southold Southold, NY 11971 631 255 1246 Ceiling 1: Cathedral Ceiling (r~ attic): Wall 1: Woad Frame, 16" o.c.: Window 1: Vinyl Frame:Double Pane with Low-E: Wall 2: Wood Frame, 16" o.c.: Floor 1: Ali-Wood Joist/Truss:Over Outside Air: Boiler 1: Other (Except Gas-Fired Steam): 80 AFUE 209 30.0 0.0 7 90 19.0 0.0 5 14 0.330 5 183 12.0 0.0 16 209 35.0 0.0 6 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 meat 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 professiocel judgment, such plans or specifications are in compliance with this Code. Name - Title Signature Date ~' ~ ?! 71,3 BLDG. 9EPT, TOWN OF SOUTHOtD Garage to bedroom conversion Page I of 1 ~ ' - ~ Remove pre-existing garden shed ~ ~----w---r~ · ' "n- stoo~ c --~ ~ ' 5' I 1 ~ ~ Re-size pre.ex~stl g . ~ _ .=. dee~ /..~ ~'1~ :" ~ . Finish dimensions 6ft wide Dy oT[ ~ / . ~ ~ Plot Plan O~-~car garage to bedroom converemn ~ , ~. Scale lin = 30ft project information: Buildleg Code: Residential Code of New York State Permits in Place: Ce~tifmate of Occupancy for 2 bedroom one story dwelling and one car attached garage Covenants and restrictions: None Area Calculation Existing first floor (including garage) 1274 sq ff Total existing sq ft 1274 sq fl Addition -Garage conversion to third bedroom Total area 1274 sq ff Lot size 20908 sq fl Lot percent covered 6% Zoning Schedule No changes proposed Loading Dead load roof 18psf Dead lead floor 20psf Live loads 40psf Ground Snow icad: 45psf Earthquake Loads (ASCE/SEI 7.05) Category C, Status: Exempt Wind Load (ASCE/SEI 7.05) Basic wind Speed 120MPH Poured concrete footings 3000psi minimum compressive strength, air retained between 5-7% Wall footings, top of the footings to be 48in below grade, 16in x 8in with 2 x % rebar Pier footings16in x 8in x 8in concrete 4xl/2in Rebar OC 10in at right angles -- PL Akl --- .[ Concrete block walls, Wall 1 Foundation walls, 8in x 8in x 16in blocks, 1/2in Rebar OC 12 in both vertical All block voids filled with hand poured fine concrete mix Foundation walls finish min12in above grade Vapor barrier installed over foundation wall. Existing concrete garage floor: no change install lin foam insulation on existing floor void between foam and underside of sub-floor filled with FIG insulation approx R-35 Floor Base plate 2in x 16in installed with 1/2in lag bolts OC 12in Ledger boards 2 x 2in x 10in mounted off wall studs Fleer joists 2in x 10in OC 16in Tecoed off ledger boards Sub floor: 3/4in tongue and groove plywood Finish floor: carpet Wall t 2in x 6in studs OC 16in, 2in x 6 in sill plates, base plates and top plates, 2 x 3/4in plywood, vapor barrier and vinyl siding to match existing. R-19 fiber glass insulation between studs Rough opening for egress window and personal access doors: Under 2 x 2in x 8in headers. Sill plates to be anchored to foundation walls OC 6ff with pitch not to exceed 2ft at corners All nailed joints to be reinforced with Simpson s~le hurricane ties Garage doors to be removed to permit installation of egrass window minimum size 5.7sq ff Install two 30in interior privacy doors Roof and ceiling No changes BLDG. DEP[ RE PURSUANT TO CHA?T£R 25.5 OF THE TOWN CODE. ROB Robert 0 Barratt Professional Engineer 4295 Vanston Rd Cutchogue NY 11935 Phone 631 875 0275 Fax S31 734 2730 95 Clearview Ave West, SOUTHOLD, NY 11971 Andrew G. Duerwald IV Owner / Contractor Proposed re-modeling These plans are an instrument of the service and are the property of the design professional whose seal is affixed hereto. Infringements will be prosecuted to the fullest extent of the law. Contractor shall verify all field conditions and dimensions and be solely responsible for field fit. The design professional assumes no liability, for omissions due to unknown or unforeseen field conditions and or additions based upon comments not formally acknowledged as revisions to these plans. DWG NO REV NO DRAWN BY CHECKED SCALE I