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Home My WebLink About35731-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 6/20/2011 No: 35002 Date: 6/20/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ALTERATION 1470 Hobart Rd, Southold, Sec/Block/Lot: 64.-3-2.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/12/2010 pursuant to which Building Permit No. 35731 dated 7/23/2010 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: garage conversion to living space in an existing one family dwelling as applied for. The certificate is issued to Rich III, James & Rich, Leslie (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 2/1/11 35731 4/4/11 FOP~M 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. 35731 Z Date JULY 23, 2010 Permission is hereby granted to: for : INTERIOR ALTERATION JAMES RICH 1470 HOBART RD SOUTHOLD,NY 11971 (GAR3kGE CONVERSION) TO HABITABLE SPACE at premises located at County Tax Map No. 473889 Section 064 pursuant to application dated JULY Building Inspector to expire on JANUARY 1470 HOBART RD SOUTHOLD Block 0003 Lot No. 002.001 12, 2010 a/id approved by the 23, 2012. Fee $ 200.00 Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA JUN !3 2011 BLDG. DEPT. NCY TOWN OF SOUTHOLO This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, p[operty lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwr/ters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/t0 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 PI.arming 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 ofOccupaucy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 $15.00 New Construction: Old or Pre-existing Building: Location ofyropeny: l'-f~o _ ~o ~f~ House No. Street Owner or Owners oferoperty: ,J~C~'l,~k~$ ~-~, Suffolk County Tax Map No 1000, Section ~ '~ Subdivision Permit No. ~o ..h' q 'b I Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: $ ,~0 Date. _(check one) o,.,A4, old Block 0 3 Lot Filed Map. Lot: Applicant: Underwriters Approval: ~ fL5 ] ~-o~0 Final Certificate: ~ (check oue) "'"~ighat~re - Hamlet P.(). Box 117!t Tclcl)ho~ltt (ti31 ) Fax (IISI) ro.qer, dchert~town.southo d ny us BITII])ING 1 ) I.~PA I~,TM I.SNT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRIClAL COMPLIANCE SITE LOCATION ssued To: Rich Address: 1470 Hobart Rd City: Southold St: NY Zip: 11971 Building Permit#: 35731 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Jim Sage Electric License No: 3635-6 SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel A/C Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures ~ HID Fixtures [] Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures ~ CO Detectors Fluorescent Fixture ~,~ Pumps Emergency Fixtures~ Time Clocks Exit Fixtures [~ TVSS 1-smake/co detector combo, 1-exhaust fan, l-paddle fan, replace 100a panel Notes: Inspector Signature: Date: April 4 2011 81-Cert Electrical Compliance Form Town Hati, 53095 M~,n Roau P. O, Box ',' 179 Southoid, New 'fork !~97! OFFICE OF 'I'VE BUiLDiNG 1NSPE, CTOR TOWN OF SOUTHOLD CERTIFICATION Owner: C~ R,/'~ I~ ~]CH (please print) ?lumDer: please prlnt) i certify that the .solder used in %he waner supply system contains less than 2/10 of 1% lead. Sworn day of before me this ~0 I/ NOTARY PUBLIC - 81'ATE OF NEW YORK NO. 01HY818gegS QUALIFIED IN SUFFOLK TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] INSULATION ] FINAL [ ] F/QUNDATION 2ND [ [[/lj~ FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SA~-,- ~,( INSPECTION [ 1 ~E ~__~~ [ ] ~E ~SST~T ~ET~TW REMARKS= /'-~(~ ,~~ -/-'~ ~ INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTI0 N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/,']"INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT/ION [ ] FOUNDATION 1ST [/,,,']"ROUGH PLBG. [ ]pUNDATION 2ND [ ]INSULATION [~1~ FRAMING / STRAPPING [ ] FINAL FIREPLACE&CHIMNEY [ ] FIRE SA,-,- i ~' INSPECTION ] FIlE RESIST. ANT C0NSlRUC110N [ ] FIRE RE~S'rANT PENETRATI0N REMARKS.~ DATE ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [R ~ MAFI~R KS :RESIST~ANI' FENE'rRA110N TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 'IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I/NSULATION [ ] FRAMING / STRAPPING [~'~] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANI' PENETRATION [ ] ELECTRICAL (~)UGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE~INSPECTOR~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~ULATION [ ] FRAMING / STRAPPING [//~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIR[R[Sb'TA.TCO.S'[R_ ~10. [ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined 7 - ~' P'~, 20 /O Approved 7 '~- ~n...~ 20 fO Expiration / ~ Q~3 ,20 t/~9 PERMIT NO. BUILDING PER~IT APPLICATION CHECKLIST Do you hav~ 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. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Building Inspector Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20/ 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 atter 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, housin&code, andt regulations, and to admit authorized inspectors on premises and in building for necessary inspections. //~ KC,'g-IC~ [~%"~C.t4~l~ C.~*'$? t ,ac_ /~(S~ ~a-tur/o~o ff ~ ~orn~ ' f(Sig pp ' ame, if a corporation) " (Mailing address of applicant) Iq ¥'.'1 {'ilO' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~'t~xc4 ~-)x. ~tk '~'~, .ff__..K^,cj fi. i~,~..~ , Lesh ' E (A~n the tax roll or latest deed)' ' If ap~icant is a corpDraticm,~/l~ature of duly authorized officer ~/ (Name and title of coxCl~'~e officer) Builders LicenseNo. "~ 2-$ ~t~. ~.~ 5'a~l~ C~,~,,b Plumbers License No. - ~tO~)'-- ~o ,~ ~,c,I Electricians License No. '"'SG~' ~' ' Jl~" Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision ~.let ~t 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy ,~ [ ,*J~ l'¢_ [~,'t~ , l'] /~.e-~ t~'~c ~' b. Intended use and occupancy ,~! ~Jt !-~ ! 3. Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost :~5'-o,o a ~ Fee If dwelling, number of dwelling units If garage, number of cars Addition Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor [ If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~,7'- /'~ct~ ,o~-~, Dimensions of existing structures, if any: Front (~ ~. Height ]' ~" Number of Stories Rear (. 6 - g - Depth Dimensions of same structure with alterations or additions: Front Depth 3 ~ ;~.~' Height Dimensions of entire new construction: Front Height t ~7' (~ ,& Size of lot: Front [0 o 10. Date of Purchase I t4(z'(l.e$OC Rear ! .f~ Number of Stories / Number of Stories /Orr,- Nme ofFom~ O~er 11. Zone or use district in which premises are situated ~. c~ tO 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 13. Will lot be re-graded? YES NO ~'~ill excess fill be removed fro,m premises? YES__ 14. Names of Owner of prernises~,~ bf. ~mk ~ ;'Address Phone No. Name of ArchitectJ't~,t,, ll,,J~ ],'roLo C.,t,.-,'~ Address Phone No(~,~l- Name of Contractor I~ ctt~f-, (t~,,4 Address~,o - ~t-I 5~ l-[~-~ Phone No 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 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) SS: COUNTY OF ~4-~ ) (Name of individual signing contract) (S)He is the (Contractor, Agent, Corporate Officer, etc.) being duly sworn, deposes and says that (s)he is the applicant above named, 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 to{4~ dayof -3"~.1 ~ 20[O ~_~ ' TAMMI $. GRA'rrAN 4,~ .~. ~ 80~y Public State of New Yolk V.,'1_ ~,~. Nn nlhRCd421 Il Qualified in Suffolk County., // Signature Notary Public Cmnmission Expires March 13, Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ~ ~e/cfl~n B~OCk ~:~ ~ot ~ STORM'WATEN, GRADING, DRAINAGE AND EROSION COl~rrRoL PLAN District CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT ] Yes No a. What is the Total Ama of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within (~) Generated by a Two (2") Inch Rainfall on Site9 the Scope of Work for Proposed Construction) · b. What is the Total Area of Land Cleadng (S.F. I Ac~s) (This item will include all mn-off created by site cleating and/or construction activities as well as all -- and/or Ground Disturbance for the proposed (~) Site Improvements and the permanent creation of construction activity? impervious surfaces.) (s.F.,,~,..t 2 Does the Site Plan and/or Survey Show AIl Proposed PROV-zD[ BR]EY PRO. I?~C'T DE,~CR1F]AON (r'.,,,ue Additk)ns~ Pages a~ Needed) Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and I ~,~-'-~---~C {rD ~ ~Xl~,~x]'~T-t~,t,.i..,q Slopes Controlling Surface Water Flow, (_~j[;;~ ~XCc,.~,T oC° g- 3 Does the Site Plan and/or Survey describe the erosionr'~ ~ and sediment control practices that will be used to ' · control site erosion ~nd storm water discharges. This ~j L~j I~.--~ {t~ I ~ X"~ ' O ~ *DOo~.. item must be maintained throughout the Entim I , Construction Pedod. L' z..r~o~,.~ /v~ ,'~_'p,~ 4 Will this Project Require any Land Filling, Gradingor Excavation where there is a change to the Natural "~)d> C, yE - ~ (.~O~..[(,. ~, ~ Existing Grade lnvolving moro than 200 Cubic Yards l~ ~ ~- ~' ¢L..[. o ~ of Uatedal within any Parcel? 5 Will this Application Require Land Disturbing Activities ~ Encompassing an Area in Excess of Five Thousand V (5,000 S F ) Square Feet of Ground Surface? -- 6 Is there a Natural Water Course Running thmugh the [2 ~,//// Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred (1 Off) feet of a Wetland or Submission of a SWPPP is required for all Construction activities invo;ving soil Beach? disturbances of one (1) or more acres; including disturbances of less than one acre that 7Will there be Site preparation on Existing Grade Slopes are part of a larger comrr~n plan that will ultimately disturb one or more acres of land; which Exceed Fifteen (15) feet of Vertical Rise to ~ V including Construction activities involving soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance?I--I -- the DEC has determined that a SPDES permit is required for storm water discharges. STATE OF NEW YORK, < ~Cr F~ COUNTY OF .....D...~....:.'.'.'~....I.[*-~, ................ SS 'n~at I ....... being duly sworn, deposes and says tha he/she is the applicant for Pc,nit, A~d that he/she is the ......................... ~.~...C..~ ~ ,c--- Owner and/or representative of the Owner or Ovmers, 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 arc true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ................ I...O....'~... ............. '; ...... day. of .......~vfl.~... 1NitMi.S: ~i~tTA~0.1. ~ Notary Public: ............ ..~...."~..'.......~.. :... ~ ~:bl¢~ilSat~l~.~[ 1.11~.....1~ ....~..F--:~..........~...i.2....~....~ .................... o,,,,?_ ,2 . // s . tureo, FORM - 06/10 Tm, m l-hll Anm~ P.O. Bax 1179 SoeO~id. NY ! lgTl-OO~g Tckphonc (6~1) 76,%1802 BUILDING 'l'OWl~ OF SOU'I1-IOLD APPLICATJON FOR ELECTRICAL INSPECTION REQUESTED BY: Dompany Name: Name: License No.: ~ddress: Phone No.: JIM SAGE ELECTRIC, INC. P.O. BOX 38 GREENPORT, NEW YORK 11944-0038 Date: JOBSITE INFORMATION: (*Indicates required information) · St ,e : pC ' ,,, · P~it ~.: ~ Tax Map Distd~ .... 1000 S~flon: ~ ~ B~: ~ *BRIEF DESCRIPTION OF WORK (Please Print Clearly) Lot: 3, I (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed} *Service Size: 1 Phase Additional Information: YES I NO Rough In Final YES / NO 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Servi~e Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspe~ion F~fm Tonn [ fall Mmcx 5~37.5 Main I/cad P.O. Box [ 17!} 'l't'l,~'ph~mt' (631) 76.'3-1802 Fax (631) 7ti34).502 BI ~ILI)IN(; 1)I';PAIITM'r~NT TOWN OF SOUTHOLD November 29, 2010 James H Rich III & Ors. 1470 Hobart Road Southold, NY 11971 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy Application of Certificate of Occupancy. (Enclosed) __ Electrical Underwriters Certificat~ <'/4, -// A fee of $50.00. __ 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: 35731-Z alter garage to living space VCNER TOWN OF SOUTHOLD PE~PERTY RECORD CARD O~ER O~ER, IMP. N S VL TOTAL FARM VILLAGE W COMM. . CB, MICS, ,1£~ n liable :~dland ;adowland ~.l~e Plot fa1 SUB. TYPE OF BUILDING 1 LOT DATE REMARKS DEPTH BULKHEAD FRONTAGE ON WATER FRONTAGE ON ROAD :ORMER oWNER Ti[[Qbie 1 Tiltabte 3 Woodlan6 S,,vempland Brushtand House pl~l' IMP. NORMAL Acre YL TOTAL FARM DATE BELOW Value Acre Volue ILl_AGE W coMM. CB. MISC. RE~ARKS SUB. LOT ACR. TYPE OF BUILDING FRONTAGE ON WATER FRONTAGE ON ROAD I Toter VL SlUg. I ~ ~' $ ~ - ~ ~ 'd'''~'~ ~5~,.~a . Foundation ~ension~ ~ ~ /~ ~' Ex~on ~tension ~ ~ Fire Place T~e Roof Porch Bath ;ioors Interior Finish Heot Rooms I st Floor Rooms 2nd Floo~ · Bree_~way ~orage Potio Total J Dinette[ sr. ~.~ ~ ~--~ / BUILDING PERMIT EXAMINER CHECKLIST Applicant: f/~o~ ~ scm# lo00- 6 z Property Address: *Date Submitted: ~-/~-/~ Date Reviewed: Subdivision: Zone: Conforming? _ City:/~ ~- Pre COs? ~ Building Permits (Open/Expired): BP __-Z / C/0 Z-__, Info: BP __ -Z / C/0 Z- , Info: BP -Z / C/0 Z- Single & Separate Search Required? Y o{~ Determination: · 1LEQ. Lot Size: ACT. Lot Size: REQ. Front ACT. Front REQ Side ACT. Side REQ. Height ACT. Height Project Description: ~,~i~_ _; Waterfront?~_~r N? ~"'~ ~ If yes, water body: ~-~ ~ BP__-Z / C/0 Z-__., Info: ,Info: BP -Z / C/0 Z-__ Info:__ REQ. Lot Cov. __ REQ. Rear__ ACT: Lot Cov. PROP. Rear Panel# Flood Zone: Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y or~)- If yes, ~Bed#: *Date: / / *Permit#: - If no, certification required: Y or N Received: Y or N By: NYS DEC: PRE-DEC9/I/75 ¥' O~/~- Date: Southold Trustees: Y o~_~- Date: / __ Southold ZBA: Y o~- Date: / Southold Planning: Y o~ Date: /__ Town Landmark C of A: Y o~TE: Town Septic: Y or N / / Permit #: / Permit #: Permit #: / Permit #: / / or NJ Letter - Notes: or NJ Letter - Notes: - Notes: - Notes: *NYS CODE Compliance (page 2)~r N Notes: Fee Structure: Calculation: Foundation: SF 1. ( SF)- ( First Floor: SF Second Floor: SF Other: SF 2. ( SF)- ( Total: SF SF)= SF X $ =$ + Initial Fee: $ + Additional Fee ( ): $ SF)= SF X $ + Initial Fee: $ + Additional Fee ( ): $ TOTAL:$ ~-00,00 NEW YORK STATE CODE COMPLIANCE CHECICLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: .Ground Snow Load: ~0 ~ Wind Speed; 120MPH 0~. S~lsmlc Design Category." B Weathering: Severe ~ .'FL°st Depth: 36" °/~( Termite: M-H' a~' Decay: S-M /~/*, .. Design Temp: 11 ot~ -Ice Shield Underlay: YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: · HEIGI:IT/FIRE AREA: . .. TYPE OF CONSTRUCTION: ~0~._ ffr.-,x~_ DESIGN CR/TEIGA: ENGINEERED/pREscRIPTiVE FULL FRA. MING DESIGN ELEMENTS:~N HEADERS: Y/N WALL sTUDs: Y/N CE/LING JOISTS: YFN FLOOR JOISTS: Y/N LUIVIBER SPECIES AND GILAJDE: Y,rN GLRDERS: Y/N /3 ROOF ILAJZTERS: {yin WINDOW AND DOOR SCHEDULE: .MISSLE TEST REQUIREMENTS:~N EGRESS 5.'7 S.F.: Y/N LIGHT 8¥0: Y/N XrENT 4%: NAILING/CONSTRUCTION SCHEDULE~/N MEANS OF EGRESS:~)/N PLUMBING RISER DIAGRAM& LOCATION OF FIILE PROTECTION EQUI]?MENT: YFN TRUSS DESIGN: Y0 CERT~ICATION: Y/N ENERGY CALCS TOTAL COMPLIENCE? N (RETURN TO PAGE ONE) Generated by REScheck-Web Software Compliance Certificate Project Title: Rich Garage to Art Studio Energy Code: 2007 New York Energy Conservation Conetructlon Code Location: Suffolk County, New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: Heating Degree Days: 5750 Construction Site: Hobart Road Southold, New York Owner/Agent: Leslie Rich Hobart Road Southold, New York Designer/Contractor: Jim Rich South~3ld, New york 631 506 2671 Compliance: Maximum UA: 85 Your UA: 75 Ceiling: Cathedral Wall: Wood Frame, 16in. o.c. Window: Wood Frame, 2 Pane w/Low-E Floor: All-Wood Joist/Truss Over Uncond. Space 419 19.0 0.0 22 415 15.0 0.0 31 14 0.280 4 392 19.0 0.0 18 'rna proposed building represented in this document is consistent with the building plans, spocifications, end 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 staml~and signed this page, they are attesting that to the pest of his/her knowh~dge, belief, and professiooal judgment, such plans or spocificetJ~,~e in ce~li~} ce with this Code. Project Title: Rich Garage to Art Studio Report date: 07/08/10 Data fifename: Page I of 4 Generated by REScheck-Web Software Inspection Checklist Callings: Ceiling: Cathedral1 R-19.0 cavity insulation Comments: Above-Grade Walls: [] Wall: Wood Frame, 16in. o.c., R-15.0 cavity insulation Comments: Windows: [] Window: Wood Frame, 2 Pane w/Low-E. U-factor: 0.280 For windows without labeled U-fac~rs, describe features: #Panes Frame Typo Thermal Break? Comments: Yes No Floors: [] Floor: Ali-Wood Joist/Truss Over Uncond. Space, R-19.0 cavity insulation Comments: [] [] Air Leakage: Joints, ponetmtions, and all other such openings in the building envelobe 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 metarials. If non*lC rated, fixtures are installed with a 3" ciearanca from insulation. Vapor Retarder:. [] Installed oo the warm-in-winter side of all non-vented framed cai~ings, watls, and floors. MataHals Identification and Installation: [] Materials and equipment are installed in accordance with the manufactura~a installation instructions. [] insulation is instalted in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. [] Matadals 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. Duct Insulation: [] Supply ducts in unconditioneq attica or outside the building are insulated to at lee~t 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 rnaatica are rated UL 181A or UL 181B. Exceptions: Continuously welded and locking-typo 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. T®mpersturs Controls: [] Each dwelling unit has at least one thermostat capable of automatically adjusting the space ternperatura set point of the largest zone. Electric Systems: Project Title: Rich Garage to Art Studio Report date: 07/08/10 Data filenarne: Page 2 of 4 [] Separate electric meters exist for each dwelling unit. Fireplaces: ~1 Fireplaces are installed with tight fitting non.combustible fireplace doors. I-I Fireplaces have a source of combustion air, as required by the Finepiace 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 pert of a circulating system. Circulating Hot Water Systems: C1 Circulating hot water pipes are insulated to the levels in Table 1. 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. Swimming Pools: [] Ail heated swimming pools have an on/off heater switch and a cover un{eas over 20% of the heating energy fs Eom non-depletable sources. Pool pumps have a time dock. Project Title: Rich Garage to Art Studio Report date: 07/08/10 Data filename: Page 3 of 4 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Inaulatlon Thlckne~ in Inehea by Pipe Sizes Non-Circulating Runoute Circulating Mains and Runoute 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 0.5 1,0 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 Temperatura 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 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD: (Building Department Use Only) Project Title: Rich Garage to Art Studio Report date: 07/08/10 Data fllename: Page 4 of 4 SURVEY OF PROPERTY SITUA TED A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-64-0..5-2.1 SCALE 1'=20' DECEMBER 12, 2006 AREA = 19,391.12 sq. ft. (TO BULKHFJ~D) 0.445 ac. CERTIFIED TO: JAMES H. RICH, III RESIDING AT 105 HARBOUR DRIVE, UNIT 110, STAMFORD, CT 06902 CRAIG B. RICH RESIDING AT 2 COLBY LANE, PORT WASHINGTON, NY 11050 LESLIE E. RICH RESIDING AT 37 QUINCY PLACE, HOLLISTON, MA 01746 AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN AR/ NOT GUARANTEED, Josep.l~ A. Ingegno Land Surveyor PHONE (651)727-2090 Fox (631)727-1727 26-41~ BASEMENT PLUMBING RIDER DIAGP-J~M NOT TO SCALE L APPROVEDAS NOTED COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED A:RD--COND;T;ONS OF DATE '~"'27~/~ B P. FEE~2 ~ '-'~y~-~ 755-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION- ~O REQUIRED FOR POURED CONCRETE 2 ROUGH-F~MING, PLU~BING~ STRAPPING, ELECTRICAL & CAULKING 3 INSU~TION MUST BE COMPLETE FOR C . ~' ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF 1~,1 YORK STATE, NOT RESPONSIBLE FOR '~ I' ~ DESIGN OR CONSTRUCTION ERRORS r. PLUMBING ~ ALL PLUMBING WASTE ~ IE~c~k~'~ & WATER LINES NEED ~s TESTING BEFORE COVERING .. ~.~'-'r~o~" ~. -. , -- UNDERWflI'ER$CEffi'IF~'IE REQUIRED PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE (1 ..~[ ~1 i~11t1~"'~..1'* I1' ER IF, CAT OFOCCU A~ Y .... SU~PL Y SYSTEM C~NNOT .... ?.?-T?I-CATION O1~ EXCEED2/IOOF¥%L, EAD OOCUPANCY OR "~"' '-~'"~' "' FINAL- CONSTRUCTION & ELECTRICAL REQUIREMENTS OF THE CODES OF NEW USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE, GENERAL NOTES: FOUNDATION NOTFS: PLUMBING ~ HVAC NOTES: )EBIGN LOAD CALCULATION5 MINIMUM UNIFORMLY DISTRIBUTED LIVE LOADS (Ib~f) [~(TERIOR. BALCONIES GO ELECTRICAL NOTES: FRAMING NOTES: FLOOR PLAN NOTES: CLIMATIC AND GEOGRAPHIC DESIGN CR. ITER. IA WRATH ER'lNG ~EVERE PR.OBT LINE DEPTH TERMITE MODE~eATE TO H~AVY DECAY SLIGHT TO MODERATE WINTER. DESIGN TEMP I I ICE 5HtELD UNDER.- AS PEP~ MANUEACTUR~R.'S LAYMENT P~QUIRED 3PECIFICATION5 / STATE CODE FLOOD HAZARDS TABLE R`30 I .G ALLOWADLE DEPLECTION OP 5TRDCTURAL MEMEDER~ .BTR. UCTUR,AL MEMBER` ~LLOWABLE DEFLECTION WINDOW AND DOOR SCHEDULE J ALTERNATIVE FOR OPENING PROTECTION WOOD STRUCTUR.AL PANELS WITH A MINIMUM THICK.NESS OP 7/J G' AND MAXIMUM PANEL ,~PAN OP ~*-0" 5HALL BE PERMITTED FOP. OPENING PR.OTECTION IN ON AND TWO STOR.Y BUILDINGS, PANEL~ SHALL BE PRECUT TO COVER. GLAZED OPENINGS WFFH ATTACHMENT HAR.DWAP-E PR'OVIDED. REFER. TO SECTION 1609.l .4 AND I gOf.G,5 AND TABLE I GO9, I .4) TABLE I GO0. I .4 WINDSOR.NE DEDR'IS PROTECTION PA,~TENING SCHEDULE FOR. WOOD STR'UCTUP~',L PANELS FASTENER. SPACING (INCHES) PANEL SPAN < 2'- 2"-0" < PANEL 4'-0" < PANEL GLO" < PANEL FASTENEP, TYPE 0" SPAN < 4'-0" SPAN < GLO" SPAN <