HomeMy WebLinkAbout36191-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
8/8/2011
CERTIFICATE OF OCCUPANCY
No: 35123
Date:
8/8/2011
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1095 AQUAVIEW AVE. E.MARION, N.Y. 11939,
SCTM #: 473889 Sec/Block/Lot: 21.-2-14
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
2/7/2011 pursuant to which Building Permit No.
Lot No.
filed in this ofilced dated
36191 dated 2/18/2011
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:
Alteration & Repairs to a Single Family Dwelling including windows, insulation, sheetrock, soffit & siding replacement.
The certificate is issued to
Palumbo, Albert & Palumbo, Donna
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36191 6/15/11
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36191
Date: 2/18/2011
Permission is hereby granted to:
Palumbo, Albert & Palumbo, Donna
261 Nassau Ave
Manhasset, NY 11030
To:
Alteration & Repairs to a Single Family Dwelling; windows, insulation, sheetrock, soffit
& siding replacement.
At premises located at:
1095 Aquaview Ave., East Marion, NY
SCTM # 473889
Sec/Block/Lot # 21.-2-14
Pursuant to application dated
To expire on 811912012.
Fees:
2/7/2011 and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
CO - ALTERATION TO DWELLING
Total:
$326.00
$50.00
$376.00
For~ No. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HAL1.
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworu statement from pluinber certifying that the solder used in systein 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.
Bo
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. If a 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 $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:
Location of Property:
Date. 2 - /<a/ -- /
/
~, Old or Pre-existing Building: (check one)
House No. Street
Owner or Owners of Prope~y: ~J~r ~ ~ I~
Sufl~lk County Tax Map No 1000, Section_ ~/ Block ~ Lot
Subdivision Lot:
Permit No. 3~/q/
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ 0~). ert>/t~
Filed Map.
Date ofPermit. Z - / ~"- // Applicant:
UnderwfitersApproval:
Final Certificate: ~
Hamlet
(check one)
Applicant Signature
'l'o;n~ llall AIIIICX
5 [375 Main Road
ILO. Box 117!t
Siitflhold, NY 11971-B959
Telephone (ti31 ) 765-18()2
l:;Lx (631) 765-!)502
ro.qor, dchert~town southold.ny.us
B1 llL1)ING DI~;PARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Al Palumbo
Address: 1095 Aquaview Ave City: East Marion St: NY Zip: 11939
Building Permit#: 36191 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Sontractor: DBA: Rocky Point Electric LicenseNo: 32644-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~] ServioeOnly ~
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 A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 2-paddle fans
Ceiling Fixtures ~
RWea2 'e ~ is):; r: '; t ° r e s k
Fluorescent Fixture ~.~
Emergency Fixtures~
Exit Fixtures L
HID Fixtures
Smoke Detectors
CO Detectors
Pumps
Time Clocks
TVSS
Notes:
Inspector Signature:
Date: June 15 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
~ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE ~[I iNSPECTOR~'--~_.~~'
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINA/I,/~
[ ] FIREPLACE & CHIMNEY [ ]~E SAFETY INSPECTION
[ ] FIRE RESISTANT CONS'TRUCTI~ [~ FIRE RESISTANT PF. NETRATION
REMARKS:__
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FIREREmTAN'r~UCT~ [
[ ] ROUGH PLBG.
~INSULATION
[ ] FINAL
] FIRE SAP,., 1' INSPECTION
] FIRE RESISTANT PENETRATION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING / STRAPPING
FIREPLACE & CHIMNEY
REMARKS:
DATE "~-- / ~ - I 1 INSPECTOR ~~~-
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [,,] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ~ ELECTRICAL (FINAL)
REMARKS:
DATE
INSPECTO~~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INS/JJL~TION
[ ~]~NAL
[ ] FIRE SAFETY INSPECTION
] RItE RESISTANT I~ENETRATK)N
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT OONSTRUOTION [
REMARKS:
DATE ~ INSPECTOR
Delfino Insulation III
119 Stephen Hands Path
East Hampton, New York l1937
Phone: 631-329-7181
Fax: 631-329-7159
Insulation Certificate
Job Location: 1095 Aquaview Drive
East Marion, NY 11939
QIOHi[~OS JO Ng01.
WORK AREA
ITEM INSTALLED TO CODE
Fire caulking to code
2x4 Exterior walls
Sound deaden interior walls
2x6 Open flat ceilings
Nuflex Fire Caulk
3" closed cell spray foam = R-18.6
R-11 Kraft faced insulation
R-19 Kraft faced insulation
Customer: Guido Brothers
PO Box 702
Rocky Point, NY
11778
Proposal #: 18515
Date Completed:
Delfino Insulation IIF~~~~-
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork. net
Expiration (~"- / ~ ,20 1____~
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.
Trustees
Flood Permit
Storm-Water Assessment Form
Building Inspector
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
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 issuance ora Building Permit pursuant to thc
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, anflnregulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
o~,/'C/,~'~ '~ atur~f~app licant-- ~r-~,-- -- or name, ifa corporation)
(Mailin~ address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner ofpremiscs //~--.-' 7~
(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. Location of land on which proposed work will be done:
County Tax Map No. 1000 Section
Subdivision
Hamlet
Block 02. Lot / ~
Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ,~/~ 7~-~mq~ /6~w-~
b. Intended use and occupancy ~/~ -/~;~ /'~:~7~2~/~L~
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
Fee
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 ~ g / Rear o~g / Depth
Height
Number of Stories
9. Size of lot: Front
10. Date of Purchase
Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth ~ (.3 t Height /~. ~1 o- /
Dimensions of entire new construction: Front A//,~'~ Rear
Height Number of Stotles
5-0 } ear 5g Depth a*o- ·
/ Y f B Name orFormer Owner ~rX/~7~,/~)r-j~-r-/~
Rear
/
.Depth
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 ~Will excess fill be removed from premises? YES NO
14. Names of Owner of premises 17aJl7 tn leo Address g~J~P~55~''~ Phone No. %IZ ~-t~0-q~- 2.0"/o
Name of Architect ~0B6(~ ~>O~o m Address q~- 7~&~
Name of Co~tractor . P¢ldress Phone No.
15 a. Is this property ~ith]-n 100 feet of a tidal wetland or a freshwater wetland? . * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMIT~MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES ~/ NO
* IP 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__
· IF YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
SS:
COUNTY OF )
~J~ {~t~7~ r'- ~ ~ ~.,w,~'~9 being duly swam, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the ~t~t/~
(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.
Swam to b~l~re me this f ~ ~
[Kaay of 20
Notatw~Public
KHA'LIO M. CHAUDHARY
Notary Public, State of New York
No. 01Ct 16t 64382
Qua!i¢iad i~ Su[iolk County
Signature of Applicant
87/26/2811 14:58 6314770973 FAIRWEATHER BROWN PAGE 82
RESc~eck S, oftware Version 4.4.1
Compliance Certificate
Project Title: Palumb0 revi
Energy Code: 20t0 New
Location: Suffolk
ConetKictlon Type;
PmJeGt Type:
Heating Degree Days: 5750
Climate Zone,. 4
Construction Site:
10~5 AquavMw Ave
Ea~ Marion,, NY 11939
Compliance; 12.1% Betw' Than Code
ed
fork Energy Cor~ervatton
on Code
;nty, New YMk
I or 2 Family
Iteration
OwnerlAge~t:
Albe~t Pllumba
2t6 NI~#u Ave
Mlt~ holler, NY
212-924-2070
alpaium~o~apee<~rily~en~lt ,~m
Maximum UA: ~S Your UA: ~3
Designer/Contractor:
lain FaiImmather
Faim~r Design Aa~odatel
205 Bay Ave
Gmefl~rt, NY 1t~44
631-477-~752
flxlaiIm]~M~onliflai, net
Exemption: Framing cav~tv nol exlx~
Wa# 1; Wo<xl Frame, 18' oc.
Window 1; Wool Fraime:Dou~e Papal wi
18.5
Projai~ TRIal: Pailumbo invited
C)~t~ fileneme; C;~](~umanta and Seffi~ i~my Mltin\M¥ [;)o~amentatRESCflec~e~elumbo 2010.rck
Repeal date: 08/02/t
Page1
552 0.0 27
.ow-E 7'0 0.320 22
40 0,340 14
Ilti~ed Smu;e 426 t9,0 0.0 20
)cling de.In ~cribe~ hem 18 eenestent wl~.~] .J~_l~Jlicllr~ m, ~o~'
07/26/2011 i4:50 6314770973 FAIRWEATHER BROWN RAGE 03
FRESct ack Software Version 4.44
: Inslection Checklist
[] Ceiling 1: Flat C(llllflg or ~ciiBor True I
Exemption: Framing cavity not expo~ KI
Above~..-~ade WaBs:
r-I Wall 1: Wood Frame, ~16' o.~., R-18.!
~Nlndow~:
[] Window 1; Wood Fr~m~e;Oouble Par~
For windov~ without ~beled U-factor
PPimea Fram~ Type
Commentl:
Doors:
Comment~:
FIoM in~uMtion i~ inltalled kn pennan,
Air Leakage:
[] JOInte (inclUding ~lm Jolet j~nee
~otKcel of lit leakage &re
E] Wood,bumina fil~pll~a have
FI ReceiL-d Iigh)- in the bulldlng
At Sealing and In~ullUon:
ACH M 33.5 pit OR 2) ~he followin
(a) AJr bamem and thermal barrier
(b) CMiinO/alllc: Air barrier in any
(c) Above-~rldl wIIlI; Inlul~io¢l
{=) Plumb~n~ ~ wiring: IniU~l~#'
Pr~)e¢! TiUe; p~umbo revi~ld
Data fllenmne: C:~Documarttl arid
cavity Inlulallo~
with Low-£. U,,.fKbxt 0.320
Thermal Bre~k? -- Yei No
conta~t with the underaide of the aut~oo~ deeJd~g.
,, altlc aceet~ opanlngl, pene~rlbonl, arid all other luch opefllnga In l~e bulldfng envelope that Ire
;et~ ~ and ouM~r e~ombuatton air.
~ ~11 or ~ling ~ng.
inlU~lUOn inltall~Cion comp#aa by ~qther 1) i poal rough-In blowm' dom reit re~u~ of ~ then 7
iteml have iri/l~:
In~tal~e~ on oue~de M ~r-parrnel~e ine~lat~ l~d bm~ki or joint~ in the al~ baff~ I~a ~Md o~
tnatalled In iubi¼nlial r~onla~ and ~llnuoua ~ignrmmt ~ the building envetem air ba~ler
RepOt I: 08/02/11
07/26/2011 14:50 6314770973 FAIRWE~THER BROWN PAGE 04
(g) ShowmAub o~ exterior well'.
~UltrOOmS:
Sunrcom· that are thermally
Ikyllght U-f~or of 0.75. ~ wi~
M~=~rer ~n~lt ~ all
Du;t I~ulIII~:
Du;t C~lt~on lnd
UL t81~ and =m l~d ~
Duct ~ht~ te~ ~ ~n ~
(2) ~ne~on ~1 lee~e
0~ tnchee wg.
(3) Ro~ln total ~ ~t wl~
(4) ~n ~1 ~ ~ wl~
He~ ~nd C~I~ Equlpmen
~di~al r~ui~nb ~
Far .y.~me ~ng mul~e ~1
Clrcul~Ung ~e H~ W~r
H~ng an~ C~llng Piping Ms
8~mlng P~ls:
Heat~ ~mming ~ h~e · ~
Project Title; Palumbo mvllecl
Date llleneme: C;~Document~ =nd Seffin
~ frmn the I~iklir~g envelol)e have a nmxlmum fene~tmtio~ U-fegt, or of 0.~ and the maximum
owl ·nd doorl ~p~mtlng the Bunmem f~om c~di~oned Bpeoe meet ~ building thermal envelape
iIIiUon:
ed in ·cc~3~d·nce with the mlnuf~cluror'l irml~blion inelrtmtion$.
k' hlmdte~, fllt~ boxel, end b~lding ~e~ u~
~etl~ m ~ a~ ~um ~m$. T~. m~l~. and ~ am r~ ~ 18 lA or
~ to ~e du~ ~n~u~n. ~
~1 du~ hi~ · m~t lap Of
my polyurethane foam,
lust conneotion exi·te, meohen~',el f~ ~n ~ eq~l~ ~d ~ ~a e~o~ ~ ~
~ ~g~dl~l ~n~ and ~ ~ d~s ~atl~ ~t ~ ~n 2 In. w,g. (~ Pa).
h~ w,g,
: ~lzlng:
ng un~ ~a~ hal Wn ~i~ ~mo~t~ ~1~ ~ 2~ IECC C~el
fiction:
e 105 degree· F or rJlilled fluid~ below 55 degree· P ·re i~Jlated t~ R-3.
heater ·witch.
or LPG have an etectromc pllo~ light.
pump~ ·re Ixeeent,
rq~' ~ er ~ the water ~ur~e For poo~ heard over gO degrees F (32 dagreee C) the cover he· ·
Report date: 08/02/11
Page 3 of 4
07/2G/2011 14:50 631477097:
NOTES TO FIELD: (Building
Project Title: Palumbe revi~d
FAIR~gEATHER BROWN
PAGE 05
Report date: 08/0~I 1
Page 4 ot'4
~% of rne heating energy ia from ~Vae-reeovemd energy m' eOlar energy
~pe in pemmnen~ Irmalied lighting flxtume can be categorized ~ one of t~e following:
~ge > 15 ar~l <= 40
~,age ~' 40
1 energy ~Jpplled from ~he le.'vlc~ to a bulk:ling e~all Irlclu~l~ au[orrlatlO Oont~ol$ capable of abutting
nt te~tl~rM1Jnl la above ~0 ¢legreea F, b) no pmeipifa~on it f~ling, ~ld o) the ould~x~ lem~er~4'~e
loft oo~t~ol ia alao permi#ed ~o e~lti~ requirement
O~ or In ~he el~cal diea'ibutlon panel II~ng the pe~lomlnent In~ula~on R-velmm; win~ow
me-condRion4ng and water heating e~aPmanL The ~tificale d~l n~ cover or olal~,~4 the
eli~oonne~ label or other/equirad labatt.
L~a Only)
05×10/2011 12:00 F,L[
Product Design
Product Use
Recommended Product Applications
· Walls AJnvented AEk;S *Ceilings
· Floom .Vented A~cs .Pipir~
· UnVented Crawl Spa:es .Vented Crawl 6paces -Four~clattens
· Concrete Slabs -Ducts ,T~nks
,(~old Storage .Freezers .Coolers
Recommended Processing Parameters
/Ambiant"remPerature: 150-t 20 F
Proces~ng Desig.rmtJon: Foan34.0K CC
Equipment Dynamic 1,000 - 1,400 psi '
Pressure: .
Preheat 125 - 135 ~ F
Temperature (52 - 57~ C)
~ose Heat 125 - 135 ° F
Temperature (52 - 57~ C)
Drum Temperature: 85 - 85" F
Storage (18 - 30° C)
Foam Br~d for FL200{3
cc ESR-26Z~
physical Properties
Properflee Test Method/ Value
Requirements
Aged "R~ Value; ASTM C-518 6 per ~ch
Cca~press~ve ASTM D-1621 25-30 psi
O '
COre ensity;. AS'TM D-1622 2.0-2.3 lbs Jif3
Closed Ceil AE~TM D-2.856 >90%
Content:
TenSile Strength: ~ ASTM D-1623 40-48 psi
15 minimum _
Water Vapor ASTM E-96 1_98 paras {~ 1'
]Yansmission {~ 2.5 max
74'F, perm inch
~$ional ASTM D-2126 4%
Stability: 28 1.5% max by
days at 160'F. volume change
'I00%RH
~und ~,STM 1~-90-85/ 38
Transmission Co~ E413
Efficient Sound
Transmissio~ LosS
in dB
Credential s/Certifications
Foam-LOK CC Is a Class I formul,~tlon, ~s set forth unde~
Underwriters Laboratories (UL 723, ASTM E84), and possess
the flammability ctlaracterisfics shown:
~,STM Class I Class II Clas~ I~!
Method E84 ' ....
Rama <'~5 ~75 Non Rated
~pread ~o~"~LOK CC see ,
Smoke .';450 $450 ~ Non Ra~d
Development
BUILDING PERMIT EXAMINER CHECKLIST
Applicant:
SCTM# 1000-- l;kl ~ ~ -- I bL Subdivision:
Property Address: /~?~- ~
*Date Submitted:
Owner:
Date Reviewed: ~- 17 - II
Estimated Cost:
Zone: '~'-~ Conformiag?_
City: ~r-'~'a~/~ Pre COs?
Building Permits (Open/Expired): BP__-Z / C/0 Z- , Info:
BP __ -Z / C/0 Z- , Info: BP __ -Z / C/0 Z- , Info:
Single & Separate Search Required? Y o~_~ Determination:
REQ. Lot Size: ACT. Lot Size:
REQ. Front ACT. Front REQ Side ACT. Side
REQ. Height ACT. Heigh[
BP__-Z / C/0 Z- , Info:
BP -Z/C/0 Z- ,Info:
REQ. Lot Cov. __
REQ. Rear__
AcT
ACT: Lot Cov.
PROP. Rear
Proje,c, D?cription:, ~ ~-' ~ -~ ~ ~/~'~ ~
- 6z
Waterfront~o~' N?.
If yes, water body: L,~7-, ~'~ 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: eRE-VEC 9aris Y or(~- Date:
Southold Trustees: Y or 0- Date:
Southold ZBA: Y orfi- Date: / /
Southold Planning: Y or(~- Date: /__
Town Landmark C of A: Y o&TE: __ __ __
/ / Permit#:
/ Permit #:
Permit #:
/ Permit #:
/ /
Notes:
Town
Septic: Y
or NJ Letter - Notes:
or NJ Letter - Notes:
- Notes:
- Notes:
*NYS CODE Compliance (page 2): Y or N
Fee Structure:
Foundation:
First Floor:
Second Floor:
Other:
Total:
SF
SF
SF
SF
Calculation:
3/s- x $, ¢,":, 1 oo
+ Initial Fee: $ ,7--0 o , o o
+ Additiongl Fee ( ): $
SF X $
+ Initial Fee: $
+ Additional Fee ( ): $
TOTAL: $ 3 9-~, O 0
NEW YORK STATE CODE COMPLIANCE CHECKLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
.Ground Snow Load: 20
Weathering: Severe __ Frost Depth: 36" __
Design Temp: 11 -. · Ice Shield Underlay: YES .
USE/OCCUPANCY CLASSIFICATION:
HEIGHT/FIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/pREscRIPTIVE
FULL FRAMING DESIGN ELEMENTS: Y/N
ItEADERS: Y/N WALL sTUDS: YfN
CEILING JOISTS: Y/rq FLOOR JOISTS: ¥/N
LU1YIBER SPECIES AND GRADE: ¥/N
Wind Speed: 120MPH__ Seismic Design Category~ B .
Termite: M-H' Decay: S-IV[
Flood Hazai'ds:
GLRI)ERS:
ROOF ILaAWI'ERS:
WINDOW AND DOOR SCHEDULE:
· MISSLE TEST REQUIREMEblTS: Y/N
EGRESS 5.7 S.F.: Y/N
LIGHT 8%: Y/N
5rENT 4%:
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRJESS: Y/N
PLUMBING RISER DIAGP._AM: Y/N
LOCATION OF F[IVE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
CERT~ICATION: Y/N
ENERGY CALCS
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
t
TITLE No.
~.~C.Z~,C..~: /" = ~3o'+-
MEASUREMENT ~N U.S. STANDARD
6u/:Foc county TAX M, ,r
I EXISTENCE OF RIGHT OF WAYS'AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED.
THE
THE DIMENSIONS SHOWN HEREON, FROM THE STRUCTURES TO THE PROPERTY UNE, ARE FOR A SPECIFIC PURPOSE ONLY. THEY ARE
NOT INTENDED TO BE USED FOR TI'IE ERECTION OF PENCES, STRUCTURES OR ANY OTHER IMPROVEMENT.
UNAUTHORIZED ALTERATION OR
ADDITION TO A SURVEY MAP BEARING
A LICENSED LAND SURVEYOR'S SEAL
IS A VIOLATION OF SECTION 7209, SUB-
DIVISION 2, OF THE NEW YORK STATE
EDUCATION LAW.
KULHA. -E Xt[ '& PLAN
WESTCHESTER OFFICE: ' kIAtU~DDRES8
POUND RIDGE, NY P,Q. ;5OX.~75
LONG ISLAND OFFICE: i"5 WESTC~--~'ER AVE.
LONG BEACH, NY P0~N[~ }iiDGE, NY 10576
TELEPHONE: 800-54i-512.4
FAX: 800-242-4955 ~
ONLY COPIES FROM THE ORIGINAL
OF THIS SURVEY MARKED WITH AN
ORIGINAL OF THE LAND SURVEY-
OR'S EMBOSSED SEAL SHALL BE
CONSIDERED TO BE VALID TRUE
COPIES.
GUARANTEES INDICATED HEREON SHALL RUN ONLY TO
THE PERSON FOR WHOM THE SURVEY IS PREPARED,
AND ON HIS BEHALF TO THE TITLE COMPANY,
GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE
LENDING INSTITUTION.
GUARANTEES ARE NOT TRANSFERABLE TO ADDI-
TIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
SECTION I BLOCK
GUARANTEED TO
(gJ~u~,h~C~ Co. oF
ALBE.~T
DATE
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COUNTY
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RIGHT ANGLE TO blOUSe, ~I~ ,~;,' ' ~ z O H~D CAblN~, RESISTANT UNIT5 (bEE P~N5 POK
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I ~ ~P ~ ~zY y '~,- ~ CONTINUOUS I"X 4" PAbCIA SUPPORTED
EXISTING BYBL~KINGA5 N~C¢55ARY ~ EAST MARION, NY
PLAN
~IDTING FLOORING TO BE 5AND~D N~ HA~OI~ SHINGLE INBIVIDUAL ~ RENOVATION
5CAL~r U4'',= H O" DIRSCTION OF A LIO~NSED J D~AIL SECTION
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REScheck Software Version 4.0.1
Compliance Certificate
Project Title: Palumbo Residence
Report Date: 02/04/11
Data filename: C:\Program Files\Check\REScheck\Palumbo.rck
Energy Code: New York State Energy Conservation
Construction Code
Location: Suffolk County, New York
Construction Type: Detached 1 or 2 Family
Heating Type: Non-Electric
Glazing Area Percentage: 20%
Heating Degree Days: 5750
Construction Site: Owner/Agent: Designer/Contractor:
1095 Aquaview Ave Albert Palumbo Ian Fairweather
East Marion, NV 261 Nassau Avenue Fairweather Design Associates, Inc
Manhasset, NY w/ Robert I Brown, Architect, P.C.
212-924-2070 205 Bay Avenue
alpalumbo@apsecurityconsult.com Greenport, NY 11944
477-9752
fbdainc~optonline.net
1~ 1
• r
• • •
Ceiling 1: Flat Ceiling or Scissor Truss: 426 22.0 0.0 19
Wall 1: Wood Frame, 16" o.c.: 240 19.0 0.0 11
Window 1: Wood Frame:Double Pane with Low-E: 20 0.320 6
Door 1: Glass: 40 0.340 14
Wall 2: Wood Frame, i6" o.c.: 312 21.0 0.0 15
Window 2: Wood Frame:Double Pane with Low-E: 50 0.320 16
Floor 1: All-Wood JoistlTruss:Over Unconditioned Space: 426 19.0 0.0 20
The proposed building represented in this document is consistent with the building plans, specifcations, and other calculations submittetl
with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction
Cotle requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best of
hislher knowletlge, belief, antl professional judgment, such plans or ~pegi cations ere in oomRliance with this Code.
f_.-._
_ ~
~f ~il'Z['h%as t
Name-Title Si afore Dat
~1
Palumbo Residence Page 1 of 4
REScheck Software Version 4.0.1
Inspection Checklist
Date: 02/04/11
Ceilings:
? Ceiling 1: Flat Ceiling or Scissor Truss, R-22.0 cavity insulation
Comments:
Above-Grade Walls:
? Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
? Wall 2: Wood Frame, 16" o.c., R-21.0 cavity insulation
Comments:
Windows:
Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.320
For windows without labeled U-factors, describe features:
#Panes _ Frame Type Thermal Break? _ Yes No
Comments:
? Window 2: Wood Frame:Double Pane with Low-E, U-factor: 0.320
For windows without labeled U-factors, describe features:
#Panes _ Frame Type Thermal Break? -Yes _ No
Comments:
Doors:
? Door 1: Glass, U-factor: 0.340
Comments:
Floors:
? Floor 1: All-Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation
Comments:
Air Leakage:
~ Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed.
~ Recessed lights are 1) Type IC rated, or 2) installetl inside an appropriate air-tight assembly with a 0.5" clearance from
wmbustible materials. If non-IC rated, fixtures are installed with a 3" clearance from insulation.
Vapor Retarder:
~ Installed on the warm-in-winter side of all non-vented framed ceilings, walls, and Floors.
Materials Identification:
~ Matedals and equipment are installed in accerdance with the manufacturers installation instructions.
~ Materials and equipment are identifed sc that compliance can be determined.
~ Manufacturer manuals for all installed heating and wolfing equipment and service water heating equipment have been provided.
~ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications.
~ Insulation is installed awordirg to manufacturers instructions, in substantial contact with [he surtace being insulated, and in a
manner that achieves the rated R-value without compressing the insulation.
Duct Insulation:
~ Supply duMS in unconditioned attics or outside the building are insulated to R-6.
Palumbo Residence Page 2 of 4
~ Return ducts in unconditioned attics or outside the building are insulated to R-4.
~ Supply ducts in unconditioned spaces are insulated to 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 severely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric,
or tapes. Tapes and mastics are rated UL 181A or UL 1618.
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 far balancing air and water systems.
Temperature Controls:
~ Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set point of the largest
zone.
Electric Systems:
~ Separate electric meters exist for each dwelling unit.
Fireplaces:
~ Fireplaces are installed with tight fitting non-wmbustible freplace doors.
~ Fireplaces have a source of wmbustion air, as required by the Fireplace construction provisions of the Builtling Cade of New York
State, the Residential Code o/New York State or the New York City Builtling Code, as applicable.
Service Water Heating:
~ Water healers with vertical pipe risers have a heat trap on both the inlet and outlet unless the water heater has an integral heat
trap or is part of a circulating system.
~ Cimulating 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 healed swimming pools have an on/off heater switch and a cover unless over 20°h of the heating energy is from non-depletable
sources. Pool pumps have a time clock.
Heating and Cooling Plping Insulation:
HVAC piping conveying fluids above 105 degrees F or chilled Fluids below 55 degrees F are insulated to the levels in Table 2.
Palumbo Residence Page 3 of 4
r
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Non-Circulating Runouts Circulating Mains and Runouts
Heated Water Up to 1" Up to 1 25" 1.5" to 2.0" Over 2"
Temperature (°F)
170-180 0.5 1.0 1.5 2.0
140-169 0.5 0.5 1.0 1.5
100-139 0.5 0.5 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(°F) 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4"
Heating Systems
Low PressurelTemperature 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
Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD: (Building Department Use Only)
Palumbo Residence ~ Page 4 of 4
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MEASUREMENT IN U.S. STANDARD THE EXISTENCE OF RIGHT OF WAY&ANO/OR EASEM~M'S OF RECORD, IF ANY, NOT SHOWNARE NOT GUARANTEED.
THE DIMENSIONS SHOWN HEREON, FROM THE STRUCTURES TO THE PROPERTY LINE, ARE FOR A SPECIFIC PURPOSE ONLY. THEY ARE
NOT INTENDED TO BE USED FOR THEERECTION OF FENCES, STRUCTURES OR ANY OTHER IMPROVEMENT-
UNAUTHORIZED ALTERATION OR ONLY COPIES FROM THE ORIGINAL GUARANTEES INDICATED HEREON SHALL RUN ONLY TO
ADDITION TO ASURVEY MAP BEARING OF THIS SURVEY MARKED WITH AN THE PERSON FOR WHOM THE SURVEY IS PREPARED,
AND ON HIS BEHALF TO THE TITLE COMPANY,
A LICENSED LAND SURVEYOR'S SEAL ORIGINAL OF THE LAND SURVEY- GOVERNMENTAL AGENCY AND LENDING INSTITUTION
ISAVIOLATION OF SECTION 7209, SUB• OR'S EMBOSSED SEAL SHALL BE LISTED HEREON, AND TO THE ASSIGNEES OF THE
DIVISION 2, OF THE NEW YORK STATE CONSIDERED TO BE VALID TRUE LENDING INSTITUTION.
EDUCATION LAW. COPIES. GUARANTEES ARE NOT TRANSFERABLE TO ADDI-
TIONALINSTITUTIONSORSUBSEOUEN70WNERS.
KULHA;K & ,~Lt~N SECTION BLOCK /2.0~ 97
LAND SURVEYORS, ~'.C.. GUARANTEED TO
~ (~E.L./T ErasT MAR/oN
.r---•' F y NATIONAL TITLE
~ ~ (NSul~ANCE Co- oF• N. y. SUf"FOLK
WESTCHESTER OFFICE: "EMAiLING i!?YS~ (ZESIDENT•IAI.. FIRST, INC. COUNTY
POUND RIDGE, NY - P.Q. BOX
:>8 -
t ONG ISLAND OFFICE 79 WEBTCFK3TER AVE
LONG BEACH, NY POUND HiUGE, NY 10578 .IOB NO.
TELEPHONE: 800.541.51 j4 ALBE.ET /~ALU/+1.60 oJ•7. 49 7~2
FAX: 800-242.4955 DONNA FGC•UMBO