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HomeMy WebLinkAbout34200-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34535 Date: 09/02/10 T~IS CERTIFIES that the building ADDITION Location of Property: 160 RD24BLER RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 5 Lot 35 Subdivision Filed Map No. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 12, 2008 pursuant to which Building Permit No. 34200-Z dated OCTOBER 3, 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 TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. Ge certificate is issued to GEORGE AND NANCY ROSENFELD (OWNER) of the aforesaid building. S~LKC~)~ DEPAR~TOF~IF~%L~%qA~PRO~-~J~ N/A CERTIFICATE NO. 4027592 05/28/09 ~TIFICATION DA~D N/A Signature Rev. 1/81 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. 34200 Z Date OCTOBER 3, 2008 Permission is hereby granted to: GEORGE ROSENFELD 160 RAMBLER ROAD SOUTHOLD,NY 11971 for : 4.6'X16.6 SECOND STORY ADDITION, EXTENDING MASTER BEDROOM, APPROVE D BY TRUSTEES & DEC AS APPLIED FOR. at premises located at 160 RAMBLER RD SOUTHOLD County Tax Map No. 473889 Section 088 Block 0005 Lot No. 035 pursuant to application dated AUGUST 12, 200~by the Building Inspector to expire on APRIL Fee S 200.00 ~~1 / / Autho ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOIJTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CER'I1F~CATE OF occUPANCY -This application must b~ fillod in by typowrit~ or ink and axthmitted to tho Building D~artment with the following:. A. For new building or'new use: 1. Fintd ~ 0fp~oportY with accun~to location of all builcl~s, property lines~ s~ts, and unusual natural or Z 'Final Approval ~ I-leith Dept. of:wat~.~ty and ~awrago<liapusal (8-9 form). 3. Approval ofd~rioal installation from Board of Fire Uudervniters. 4. .qw0ra a~at .l~n~at l~om plumber ~ ilmt ti~ sold~ used m systom eont~m~ l~s than 2/10 of I ~ lead. 5. C, om inertial ............... ' .... bu/lding~ industrial Imildingi. multlpl~ r~id~n~ and sim1 [~d? ~ and instaliattons,a ~rtffioate of Cod~ Complia~eo from arohitoct or eagin~ reapona'blo for tho bui[din§. 6. Submit Phmning Boar~ Approval of completed sito plan req~-emonts: B. For exi~tiu~'buLIdlngs (prio~to Aprilg, 1957) n0n--eonforming.us~, o~'buildings and ,pre'existing'' landuses: 1. · A~ourat¢ rna'roy of prepe~y'~h0wing ali proporty line~, atr~et~, building and.unusual natural or topographic feature~. 2. Apr~periy c0mpl~tecl'apptloation and oon~e~t to in,oct zignod by the applicant. If a Certificate of Occupaneyis d~aied, tho Building/uspector shall state tho reaaona therefor in writing to the applicant. C. Fees · L Certificato of Occupancy - New dwelling $25.00, Additions'to dwe!Gn4~ $25.00, Alterations to dwelling $25.00, Swimming pOOl $25.00, A~sory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2~ Certificate of O~cupancy on pre-e .xisting Buildiag - $100.00 3. Copyof Certificate of Oeoupancy - $.25 4: Ul~datedCertificate of Occupancy- $50~00 5, Temporary Certificate of Occupan6y - Residential $15.00, CommerciaI$15.00 N~ Constmcti°n: . Old or Pre,-existing Building: ' : ' HoUSe No.. .Street Subdivision Filod Map. Permit No. ~ ~ O0 Dat¢ofPormit. Applicant: (check OhO) Hamlet H~alth Dept. Approval! · Planaing Board Approval: ,- Request for." Temporary Certificate Undetwrite~ Approval: Final Certificate: (check one Fee Submitted: $ 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 PLATINUM EAST ELECTRIC 1320 KENNEY'S RD SOUTHOLD, NY 11971, NANCY ROSENFELD 160 RAMBLER RD EXT SOUTHOLD, NY 11971 Located at 160 RAMBLER RD EXT SOUTHOLD, NY 11971 Application Number: 4027592 Certificate Number: 4027592 Section: Block: Lot: Building Permit: * BDC: ns11 Described as a Residential ..) L~ 4;~ ~) occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, 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 2ath Day of Msy, Ze~). Nern~ QTY Rate Ratin~[ Circuits Tv~ Alarm and emergency equipment Sensor 1 0 Miscellaneous addition to bedroom Service Service Disconnect: 1 ServicelPhase3w Sewice Rating200Amperes Wiring And Devices Fixture 6 0 Outlet 6 0 Outlet 8 0 Paddle Fan I 0 Receptacle 7 0 Switch 3 0 0 Smoke 200 cb Low Voltage Fixture Ceo, Purpose Gen, Purpose Gen, Purpose 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 I ION [ ] 1ST [ ] DATION 2ND FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~~/7~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ~XJ~FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAICr PENETRATION REMARKS: ~, ,, ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~]~INSULATION [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ] ROUG/~.~'BG. [ ] ~,~I. ATION [/d~FI NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FInE RESISTANT PENETRATION REMARKS: //~ ,~Ec.~,~ ~ DATE ~ INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGI.I~PLBG. [ ] FOUNDATION 2ND [ ] IN~ATION [ ] FRAMING / STRAPPING [/,,/]"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTAHT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR FEELDLNSPECTIONREPORTI DATE ! cOMMENTS FOIJNDATION (1ST) _ ~ FOUNDATION (2ND) ROUGH F~G & PLI~G STATE ENERGY CODE ~DITION~ COUNTS -- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined } 0 ( 3 ,20 O~ Approved [~)/~ 200~ Disapproved a/c Expiration Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Boa~approval Survey Check Septic Form N.Y.S.D.E.C. J Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ,20D~ 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 shill 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 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,~ald.r~gul_ations, and to admit authorized inspectors on premises and in building for necessary inspections. //~,._, (~.~,,~'~-,. f s,- (Signa[u~e o~al~icant or name, ifa corporation) (Mailing {~ddress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~-O~ ~ N~C~ (As on the tax roll or latest deed) If applicant is a corporation, sigx~ature 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. Loc~tion of land on which proposed work will be done: House Number - ' ~gtr'eet Hamlet County Tax Map No. 1000 Section gg 'B10¢k ~)~'- Lot Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~0t.X.d-~- i~,Ol&lL~ ~:~'.l~'L~ [~-ILl~e" b. Intended use and occupancy ~_~t~. 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 2_~> [~'x Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (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 8. Dimensions ofe~tire new construction: Front /b - , Rear Height ["~' Number of Stories "~x-°' !7't-.,:~li*.-- ~M-t_.~(. 9. Size oflot: Front I~/* ~.,~. I e · Rear c~/~). ~ ~ Depth [ ~"-d~ f Rear Depth 10. Date of Purchase 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 v'"/Will excess fill be removed from premises? YES NO [/ 14. Names of Owner of premises Address Phone No. 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 O __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMIT~AY BE REQUIRED. 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 / · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF~U ~ [~.~)S: ~_~./~-.~ ,~¥[ ~'~ ~-~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the /4 (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. Sworn to before me this . ,,c~_' ~ I ~ day of ~ (d[.l.('~ 20 ~) 0~ ~//,,~~ -- d k._.../ Notary?u~lic [ N~'~ N~.l/;~it[b~ 1t~ ~(' S~ure of Applicant ~ _ O!l~ in Sllffolk Co.n~ ' Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0557C Date: July 19, 2010 THIS CERTIFIES that the construction of an addition to the existing dwelling; gutters to leaders to drywells; a 10' non-turf buffer to be maintained along the edge of the wetlands At 160 Rambler Road, Ext., Southold, New York Suffolk County Tax Map # 88-5-35 Conforms to the applications for a Trustees Permit heretofore f'ded in this office Dated 7/25/07 pursuant to which Trustees Wetland Permit # 6703 Dated 8/22/07 was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of an addition to the existing dwelling; gutters to leaders to drywells; a 10' non-turf buffer to be maintained along the edge of the wetlands The certificate is issued to GEORGE & NANCY ROSENFELD owner of the aforesaid property. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6703 DATE: AUGUST 22~ 2007 ISSUED TO: GEORGE & NANCY ROSENFELD PROPERTY ADDRESS: 160 RAMBLER ROAD~ EXT. SOUTHOLD SCTM# 88-5-35 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 22, 2007, and in consideration of application fee in the sum of $250.00 paid by Geor~;e & Nancy Rosenfeld and sul~ject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a 4.6'x16.5' addition to the existing dwelling covering the existing second-floor deck, with the condition of the installation of gutters and drywells to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, a line of staked hay bales to be installed prior to construction, a 10' non-turf buffer is installed, and as depicted on the survey prepared by Peconic Surveyors, P.C., last dated April 22, 2008 and received on April 23, 2008. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. I~EW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03754 PERMIT Under the Environmental Conservation Law (ECL) Permittee and Facility Information PermitIssuedTo: GEORGE & NANCY ROSENFELD 160RAMBLERRDEXT SOUTHOLD, NYl1971 Facility: ROSENFELD PROPERTY 160 RAMBLER RD EXT SOUTHOLD, NY 11971 Facility Application Contact: WILLIAM GORMAN PO BOX 1447 MATTITUCK, NY 11952 (631) 445-1461 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 717.874 NYTM-N: 4545.751 Latitude: 41°02'01.8'. Longitude: 72024'29.4'' Authorized Activity: Expand the single family dwelling by constructinga second story addition. All work shall be done according to the enclosed plan stamped "NYSDEC Approved." This parcel is located more than 100 feet from any NYSDEC regulated freshwater wetlands. Therefore, no permit is required under the Freshwater Wetlands Act (Article 24 of the Environmental Conservation Law.) Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-03754/00001 New Permit Effective Date: 8/7/2008 Expiration Date: 8/6/2013 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: GEORGE W HAMMARTH, Deputy Regional Permit Administrator Address: NYSDEC REGION 1 HEADQUARTERS /~5/f SUNY @ STONY BROOKISO CIRCLE RD STONY BROOK, NY 11790 -3409 Authorized Signature: ~ Page 1 of 5 Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: $.C.T.M. #: DIstrict aection Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 8TORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No 1 2 3 4 5 6 7 8 9 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all ran.off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage SIructures Indicating Size & Location? This Item shall include all proposed Grade Changes and S opes Con roll ng Surface WaterFIow! Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Exist ng Grade nvo v ng more than 200 Cubic Yards of Matedal within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trus ees jut sd c on or w h n One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred {100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year F oodp ain of any Watercourse? 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 Permit! EXEMPTION: Yes No Does this project meet the minimum standards for ctassification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requlredl -- -- (Name of individual signing Documenl) .&lid t]lat he/she is the .................................. ~<~ ...................................................................................... {Owner. Contractor. Agent. Corporale O~llCerr etc) Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in Ihis application are true to the best of his knowledge and beliefi and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; r--- ................... /.~ ................. da,, of ..:~....~....~ ............... 20.¢.a1'/' ~~'~ - ~ ' ~~0~ (Sig~e{t~re of Applicant) FORM - 06/07 ~*~'~'k'_~,~.~...~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER /F/: ,,- ,, STREET/~' S VILLAGE W TYPE OF BUILDING LOT ,/~' RES.~I (~ SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Volue Ac re Tillable FRONTAGE ON WATER Woodland FRONTAGE ON RoAD Meadowland DEPTH House Plot BULKHEAD Total '~' '=~ --' ~ DOCK COLOR M. Bldg. Extension Extension Extension Breezeway Garage Patio Total i~ Basement ~Z'Walls Fire Place Type Roof Recreation Room Dormer Bath Floors Interior Fihish Heat Room~ Ist Floor Rooms 2nd Floor Driveway LR. DR. BR. FIN. B krchttect/Engiaeer ?roperty Address: Subdivision: ]u,i, lding Permits (Open/Expire.d): B?~bOc2-.Z / c/o IP'~'J~4(~ -Z / C/0 Z~_~.0-/_~'~, Info: ~_~ Z/ Estimated Cost:~ Zone: 1~. ~'~ C onformiag? ~ City:-.-~(Sk.k~ ~0 {d Pre COs? ~nfo: h o~a~L ~ v / 7 70~-z / c/0 z-/7boTE Info: 2)og , Info: BP -Z / C/0 Z- , Info: ~lngle & Separate Search Required? Y o~])Determination: 1EQ. LotSize: L~OOOO ACT. LotSize: /'1¢¢'4 IEQ. Front ACT. Front REQ Side ACT. Side 1EQ. Height ACT. Height~qr - / ?roject Description: /4, ¢ X Water fro nt?(/~Y'Y~r N? [fyes, wate,'lSody: l'anel# ]/D~/ lCloodZone/~'X~Bullchead/Bh'ffDistance: REQ. Lot Cov..~ 0°/0 ACT. Lot C0v. REQ. Rear PROP. Rear kDDITIONAL APPROVALS REQUI1LED o('~[ If yes, *Bed#: *Da~e: / / *Permit#: ~uffolk County Health: Y ~ If no, certificalion required: Y or N Received: ¥ or N By: N-YS DEC: eR[-D[C,/,nQor N- Date: ~'2/~'Pc'mi' 1,: 14'-['7~03'7Scl/oooo! or NJ Letter'- Notes: Trnstees(¢rN-Date: <~'/0~367 Pe,',,,i~ #: &7o3_o, NJketler Notes: .qouthold Southold Z~BA: ¥ o[('~[ Date: / / Permil Ii: _ _ Notes: Town Septic: Y or l' Southold Planning: Y or N - Date: / / l'ermil #: - Notes: l'own Landmark C of .A: ~ DTE: / / *NYS CODE ,.Compliance (page 2): Y or N ~tt~r'e: Calc~latqon: Foundation: SF First Floor: SI: Second Floor: SF Other: SF 2. ( Total: SF 1 ( ..... SF)- ( SF)- SF X $ -$ + initial Fee: $ + Additional Fee ( ): $ SF)- ( .... SF)- SF X $ =$ + Initial Fee: $ + Additional Fee ( ): $. TOTAL: $ NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC D~SIGN CRiTERIA: Weathering: Severe r..~" Frost Depth: 36" ~ Termite: M~H ~ecay: S-M ~ Design Temp: 1l -. k--~/ Ice Shield Underlay: Y~S (~'/_ Flood Hazards: USE/OCCUPANCY CLASSIFICATION: ~-, ~ - HEIGHT/FIRE AREA: 2 q d DESIGN CRITERIA: ENGINEERED~lg~-iV~_ FULL FR/AMING DESIGN ELEMENT$:~)/~N IlEAl)ERS: Y/N 'WALL STUDS: 'YFN (;[Itl)ERS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: 'Y/N [{OOF I[(AFTERS: Y/N LUMBER SPECIES AND GILADE: Y/N /~ DESIGN LOAD CALC[ ILATIONS: LiV~: Y/1N DEAD: h/N SNOW: Y/N SEISMIC: Y~ ~SffNl): 5'%~ WI]NDOW AEqD DO()R SCHED[FLE: M~SSLE '['EST RE,,%Um~;M Erq'rs :w/y~ EGRESS S.7~. F. :~N LIGHT 8%:~/N 5~NT 4%: ~N NA[L1NG/CONST~ION SCHEDULE2N ME~S OF EGRESS:~ PLUMBING [CISE[{ [ IA~.JI(2~5: Y/N LOCATION OF t~l]~l~i PR(-)TECTI()N L. [,k[ I ILNI Y,SN TRUSS DESIGN CERT~ICATION ~N ENERGY CAI,CS [5)/N TOTAL COMPLIENCE? Y/N (RETURN 'FO PAGE '1'o~ n Hall Annex 5137;3 Main Road P.O. 1½ox 117!) Somllold, NY 11971-0939 Tclel)holle ((;31) 7(JfdS02 Fax ((J31) 7 BI JILl)lNG I)EPAI~I'MENT TOWN OF SOUTHOLD August 19, 2010 George & Nancy Rosenfeld 69 Greene Stree NewYork, NY 10012 RE: 160 Rambler Road, Southold TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: __ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. '~'~ A fee of $25.00. __ Final Health Department approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 34200-Z addition RAIN RUNOFF HSE. WITH AflDIT, IO~ DECK & STEPS ' 13~$ ,q. tl. A~PHAL T DNIV~A Y ~ 1~8 PROVIDE 3 D~YWELL~ 8'~ , 5',D~EP OR EQUAL LOT ~LOPE$ DO NOT EXCEED I0~ APR 2 3 2008 Southhold Town Board of Trustees /( / ? ' WETLANDS FLAG WETLANDS DELINEA T/ON BY R, FOX (SEA LEVEL. MAPPING OCT. 17, ~.007 / CERTIFIED TO ' FIRST AMERICAN TITLE INSURANCE COMPANY TITLE NO. 655SII61 r RHINEBECK SA rING BANK TERRAMARE ABSTRACT INC. R. ALICIA ,WHITAKER LOT NUMBERS REFER TO MAP OF TERRY WA TEF FILED DEC. 23, 1958 FILE 2901 IN THE OFFICE OF THE SUFFOLK COUNTY CLERK. AREA =~4,664 sq. fl. SUR VE Y OF PROPER T Y A T BA YVIEW TO WN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000-88-05-35 1" 30' SCALE, = NOV. 21, 1988 '" JUL Y 17, 2007(ADDIT.) AUG. 27, 2007(WETLANDS) OCT. ,.~1~ APRIL I?w ~008 (DRY#tELL) Ap,~I ~, 7008 (ADDITIOIV$) APPROVED BY - BOARD OF TRUSTEES ~~"~_ TOWN OF SOUTHOLD P. O. BOX ,909 1250 TRAVELER STREET , SOUTHOLD, N.Y. 11971. LO ~' = WETLANDS FLAG WETLANDS DELINEATION BY R. FOX (SEA LEVEL. MAPPING OCT. 17, 2007 CERTIFIED TO ' FIRST AMERICAN TITLE INSURANCE COMPANY TITLE NO. 635SII61 RHINEBECK SA rING BANK TERRAMARE ABSTRACT INC. R. ALICIA ,WHITAKER LOT NUMBERS REFER TO MAP OF TERRY WATERS FILED DEC. 23, 1958 FILE :ZgOI IN THE OFF/CE OF THE SUFFOLK COUNTY CLERK. LANDWARD EDGE OF TIDAL WETLANDS AS DELINEA TED BY PECON/C SURVEYORS SUR VE Y OF PROPER T Y A T BA YVIEW TO WN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000-88-05-35 SCALE; I'~30' NOV. 21, 1988 JUL Y 17, 2007(ADDIT.) AUG. 27, 2007(WETLANDS) OCT. ,Ww £007 ¢~/ETLAND$ BY R.FOX) APRIL I?, EO08 (DRYWELL) {631I 765 - 5020 F 1797 P. O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971. · 88- FLql Toxxn 1 tall AIII/¢× 51375 Main Road ILO. l$ox 1179 Southokl, Nh' 11!171 I~UIL1)IN(; I)EPAI/TMI:,NT TOWN OF SOUTHOLD July 13 2009 George & Nancy Rosenfeld 69 Greene Street NewYork, NY 10012 Building Permit: Tck, i>honc (631) Fax (d31) RE:160 Rambler Road, Southold TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00 Final Health Department approval. Plumbers solder certificate (all permits involving plumbing after 4/1/84.) Trustees Certificate of Compliance. Final Planning Board Approval. Final Fire Inspection from Fire Marshal. Final inspection from the Building Department. Final Landmark Preservation approval. 34200-Z addition REScheck Software Version 4.1.3 Compliance Certificate Project Title: Rosenfeld Report Date: 09~27~08 Data fllename: C:\Pregram Files\Check\REScheck\Rosenfeld.rck Energy Code: 2007 New York Energy Conservation Construction Code Location: Suffolk County, New York Consb'uction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: 20% Heating Degree Days: 5750 Construction Site: Owner/Agent: Rambler Rd Southold, NY DesignedContractor: s.,, ......... :::= ~ ~.--i.-i=f Compliance: 0.0% Better Than Code Maximum UA: 54 Your UA: 54 Ceiling 1: Cathedral Ceiling (no attic) Wall 1: Wood Frame, 16" o.c. Window 1: Wood Frame:Double Pane with Low-E Floor 1: Ali-Wood Joist/Truss:Over Outside Air Floor 2: Ail-Wood Joist/Truss:Over Unconditioned Space 208 30.0 0.0 7 296 15.0 0.0 18 58 0.340 20 52 30.0 0.0 2 156 19.0 0.0 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 be~designed to meet the 2007 New York Energy Conservation Construction Code requirements. When a Registered Design ProfessionN~ h~ stamped and signed this page, they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or ~Loe0i~cations are in compliance with this Code. Name-Title Sig~xe~ '5 Date! I Project Title: Rosenfeld Report date: 09/27/08 Data fllename: C:\Pregram Files\Check\REScheck\Rosenfeld.rck Page 1 of 4 REScheck Software Version 4.1.3 Inspection Checklist Date: 09/27/08 Ceilings: [] Ceiling 1: Cathedral Ceiling (no attic), R-30.0 cavity insulation Comments: Above-Grade Walls: [] Wall 1: Wood Frame, 16" c.c., R-15.0 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? __ Yes Comments: No Floors: [] Floor 1: All-Wood Joist/Truss:Over Outside Air, R-30.0 cavity insulation Comments: Floor 2: All-Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation Comments: Air Leakage: I~ 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) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible matedais. If non-lC rated, fixtures am installed with a 3" clearance from insulation. Vapor Retarder: I~ Installed on the warm-in-wintsr side of all non-vented framed ceilings, walls, and Materials Identification: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Materials and equipment are identified so that compliance can 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 sun'ace 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. Retum 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, Project Title: Rosenfeld Report date: 09/27~08 Data filename: C:\Program Files\Check\REScheck\Rosenfeld,rck Page 2 of 4 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: [] Separate electric meters exist for each dwelling unit, Fireplaces: [] Fireplaces are installed with tight tiffing non-combustible fireplace doom. [] 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 York City Building Code, as applicable. Service Water Heating: [] Water heaters with vertical pipe dsers have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part 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 peols 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 dock. Heating and Cooling Piping Insulation: [] HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Project Title: Rosenfeld Report date: 09/27/08 Data fllename: C:\Program Files\Check\REScheck\Rosenfeld.rek Page 3 of 4 · Table 1:Minimumlnsulation ThicknessforCirculatingHotWaterPipes 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 Fluid Temp. Insulation Thickness in Inches by Pipe Sizes 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 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 Bdne Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD: (Building Department Use Only) Project Title: Rosenfeld Report date: 09/27/08 Data filename: C:\Program Files\Check\REScheck~Rosenfeld.rck Page 4 of 4 oo zo .Y¢7 COMPLY WITH CHAPTER "46" FLOQ9"OAMAGE PREVENTION SOUTHOLD TOWN CODE. , "r~ -'-'C' SHALL ALLCONS ~ ....... ;4 MEET THE REQUIREi'a~=NTS OF THE CODES OF NEW YORK STATE. CERTIFICATION OF NAILING & CONNECTIONS R EQLIIR.,~ED~j RETAIN STORM WATER RUNOI PURSUANT TO CHAPTER 236 OF THE TOWN CODE. /F~NOT I~ROCFt. ED WITH MIN~ UNTJ'(. SL~VE~ COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQU~SL 7 ,:ND CONDITIONS OF , 801~401~ TO~/N r L~NNING BOARD ~./r~ SOt.,'~OI.BTO~USTEE8 N.Y,S. DEC oCCUPANCY OR OF C~' EX[STING BEDROOM BEDROOM EXISTING OVER EXISTING DECK EXTEND BEDROOM :l NEW 1 3/4" x i1 7/8" [ LVL RIDGE ICE & SNOW SHIELD ' REMOVE EXISTLNG WALLS i[ BEDROOM SIMPSON LUS26 JOIST HANGER NEW - ROOF R-15 FIBERGLASS EXISTING PORCH SIMPSON H2.5 JOISTS TO GIRDER EXISTIlqG 4x4's I/ ' GENERAL CONSTRUCTION NOTES 1. The infon~ation on this set of construuton documents is to relate basic design ~tent and framing details. They are intended as a construction aid, not a substitute faor generally accepted geed budding practice and compliance with current New York state building codes. The general contractor is responsible for providing standard construuton details and procedures to ensure a professtonstly finished, structurally sound, and weatherproof completed product 2. General Contractor to coordinate ali sub cor~actors, scheduling of work, and ~farauton between trades. S. The general confl-actsr is responsible for ensuting that all work and constnJction meets or exceeds cuffent federal, state, and local codes, ordinances and regulations, ~tc. These codes are to be considered as part of the specifications for this building and should be adhered to even ifithey are in vadance with the plan. 4. Dimensions shall take precedent over scale drawings (do not scale drawings). B. The designer has not been engaged for consbuuton supervision and assumes no responsibility for construction ceordinattng ~ these plans, nor responsibitity for construuton means, methods, techniques, sequences, or procedures, or for safety precautions and programs in connection with the work. There are no warranties for a specific use expressed or implied in the use of these plans. B. Refer to floor plans, extebor elevations, and window schedule for types and sizes of · vindows. Ail windows to be Andersen high per.fiance quatity or approved equal. Door and window headers to align unless othem~ise noted. S. General contractor to consult and coordinate with the owner and the plans for all built in items such as bookcases, shelving, pantry, closets, etc. 10. Provide hard.red smoke detectors, with battery backup, on all floors and in each bedroom, verh~ with local code requirements as per Seuton R317, New York State Residential Coneduuton Code. thstall carbon monoxide detectors as per code. GENERAL FOUNDATION NOTES 1. Genera] contractor to review plans, elevations, and detsJIs to determine intended heights of finished floor(s) above typical grade. 2. All footings to rest on undistsdoed soil. 3. Provide %" expansion joint matetial between all concrete slabs and abutting Concrete on 4" sand or gravel fill minimum, with 6x6 - 10/10 wire mesh reinforcing. Interior slabs th be placed on 6 mil. stabilized polyethylene vapor barrier. , E. Provide crawl space ventilation per local code requirements. B. General contractor to install cop-r-tsx (or copper) sheet metal termde shields between ail wood surfaces that are exposed to concrete or masonry surfaces. 7. Dampproof exterior of foundation with a bituminous coating as per code and soil cond~ons. GENERALFLOORPLANNOTES 1. Dimensions shall take precedent over scale drawngs (do not scale drawings). 2. Ail intedor walls to be covered with W' gypsum board with metal comer reinfoming. Tape, float, and sand (3 coats). 3. Walls common to garage and house to have a layer of 5/§", fire rated gypsum board at garage side with 5'-0" return on adjacent wails and ceiting. Manufactured lumber requires 2 tsyers of 5/8", fire rated gypsum board. 4. All bath and toilet area walls and ceilings adjacent to wet areas to have water resistant gypsum board, or wall tile set on wonderboard or equal DESIGN LOAD CALCULATIONS MINIMUM UNIFORMLY DISTRIBUTED LIVE LOADS (]bsf) EXTERIOR BALCONIES DECKS 4(] ATTICS WITHOUT STORAGE 30 ATTICS WITH STORAGE 40 ROOMS (OTHER THAN SLEEPING ROOMS) 40 SLEEPING ROOMS 30 CRITERIA FOR CALCULATION OF DEAD LOAD ~ACTUAL WEIGHTS OF MATERIALS REFERENCED TO A.I.A. ~.RCHITECTURAL GRAPHIC STANDARDS SNOW IGROUND SNOV~' LOAD 145lbs- SEISMIC IDESIGN CATEGORY IB WIND tE .O m ATEGORY GENERAL FRAMING NOTES 1. Ail walls, 2x4 and 2x6, to be stud grade or better 16" o/c. All other flaming mstetial to be ~2 douglas fir or better. 2. All wood flaming in contact with concrete or masonry to be pressure treated. 3. Provide double floor joists under all walls parallel to floor joist span direction unless othenalse specified. 4. Provide x~racing or solid blocking at a maximum of 8'-0" o/c for all dimensional lumber floor joista. 5. Floor consflaction: %" tongue and groove plywood subfloor. Finished matedal b be applied over subfloor. Glue and screw plywood decking to floor joists. 6. Ail window and door headem to be minimum (2) 2xl O unless otherwise specified. All intetior headers to be (2) 2xl 0 unless otherwise spe(ti~ed. 7. Provide foil solid blocldng under all bearing walls. 8. All beams to have adequate bearing at each end or as specified. 9. All flush beam and joist intersections to have galvanized hangers. 10. Typical ex[odor watis and roof to be sheathed with %" exterior grade plywood or 7/16" OSB plywood, group 1, APA rated. Plywood to span over all plates and headers. safety requirements. safety requirements. NEW CODE 1. A continuous Icad path between footings, foundations walls, floors, studs and roof flaming shall be provided. 2. Approved connectors, anchors and other fastening devices not included in the Standard Building Code, Tabts 2306.1 shall be installed in accordance wife manufacturer's recommendations. 3. Metal plates, connectors, screws, bolts, and nails exposed directly to the weather or subject to salt corrosion in costal areas, shati be stainless steel or hot dipped galvanized. 4. Where windows and doors interrupt wood structural panel sheathing and siding, flaming anchors or connecthm shall be provided at the top and bottom of cdppte studs, header studs, and at least one stud at each side of opening 5. Ridge straps shall be attached ts each pair of opposing raEers except where cuter ties of 1 x6 or 2x4 lumber is located in upper third of attic space and attach to each pair of raEers. 6. Uplift connectors shall be provided at each rafter bearing. 7. Floor to floor hold.owns to be provided evePJ 48, and every 16" w~hin 4' of extedor 8 Sill Plate te Foundation Anchorage: Sill plate shall be anchored to the foundation with anchor bo]ts having a min. bolt diameter of 5/8" and 3" x 3" x 1/8" washers. A minimum of one anchor boti shstl be provided w~in 6 to 12 inches of each end of each plate. Anchor bolts shall have a minimum embedment of 7 inches in concrete/ masonry foundations. Anchor bolts shal; be tecated within 12 inches of comers and at spacing not exceeding 4 feet on center. THESE NOTES ARE GENERAL CONSTRUCITON NOTES. THEY ARE NOT SPECIFICALLY WRITTEN FOR THIS PLAN. THEY ARE TO BE CONSIDERED AS GENERAL GUIDELINES ONLY AND SHOULD BE DISCUSSED W1TH YOUR GENERAL CONTRACTOR BEFORE CONSTRUCTION BEGINS. TABLE 3'1' INCLUOINO 3'5 AND 3'g L 199S SBC HiGH WIND EDIT]ON WOOD FRAME CONSTRUCTION MANUAL JOINT DESCRIPTION ! NAIL QUALITY NAiL SPACING .... ~ ........... 3 lsd pER 2X6 STUD B~ND ~OI~W~ SL[L ~R TO'P F~ .... '~.~ h~l~E~ --. ~-1~ ..... PER FOOT [T. NBLE 3.7 i, . P,~- 1~_~BPAaNG 16' CC : ~ 12 2[ 2 36 311; 5 1' 14 ~1; 4 11 5:1; 3 9 7:1: 3 5 6 al; 3 4 12:1: 3 3 ~ d995 SBC HIGH WIND EDITION WOOD IFRAME CONSTRUCTION MANUAL 'RAFTER SPACING 16" OIC i ~(] mph FASTESTWINDSP~ED ROOF ROOF NUMBER PITCH SPAN (ft) OF NAILS 4:12 12 3 16 4 2(] 5 24 6 28 7 32 8 36 16 4 20 4 24 5 32 7 36 7 32 s 32 '- --Bi CLIN~TIC AND GEOGRAPHIC DESIGN CRITERIA WEAllqERING SEVERE FROST LINE DEPII-I 3'~" SOUTHOLD BUILDING DI~ARTME~rr CRITERIA 1 DCCUPANCY CLASSIFICAllON R~ RESIDENTIAL - SECllON 310 BUILDING CODE N.Y.S. USE DWELLING UNIT - SECT[ON 310 - 310.2 2 HEIGHT TOTAL', 24'-4" FIRE AREA (so I 3 ~fPE OF CONSTRUCllON WOOD FRAME CONSTRUCllON 4 DESIGN CRllEPJA PRESCPJPTIVE DESIGN - 1995 HIGH WIND EDIllON WFCM fi FRAMING ELEMENTS SEE FLOOR PLANS AND SECI1ONS 6 DESIGN LOAD CALCULAllONS SEE PG 6 & 7 i 7 ~flNDOW AND DOOR SCHEDULE SEE PG 9 I 8 LOAD PA31q SEE PG 6 & 7 I g NAIENG SCHEDULE SEE PG 8 i 10i EGRESS SEE PG g 111 PLUMBING RISER DIAGP.~M N/A ~ 12) 9RE PROTECTION N/A ~ i3~ ~USS DESIGN DRAWINGS N/A 14; ENERGY CALCULAllONS SEE ATTACHED P o 9 ~ o · ~ ~ o o