HomeMy WebLinkAbout36689-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
1/31/2012
CERTIFICATE OF OCCUPANCY
No: 35422
Date: 1/31/2012
Location of Property:
SCTM #: 473889
Subdivision:
THIS CERTIFIES that the building RESIDENTIAL ADDITION
430 Stillwater Ave, Cutchogue,
Sec/Block/Lot: 103.-7-3
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/8/2011 pursuant to which Building Permit No. 36689 dated 9/14/2011
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:
addition and covered porch addition to an existing one family dwelling as applied for.
The certificate is issued to
Klauer, Konrad & Krasilovsky, Gwen
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36689 1/30/12
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 #: 36689
Date: 9/14/2011
Permission is hereby granted to:
Klauer, Konrad & Krasilovsky, Gwen
430 Stillwater Ave
Cutchogue, NY 11935
To:
construct an addition to an existing single family dwelling as applied for
At premises located at:
430 Stillwater Ave, Cutchogue
SCTM # 473889
Sec/Block/Lot # 103.-7-3
Pursuant to application dated
To expire on 3/15/2013.
Fees:
9/8/2011
and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $301.20
CO - ADDITION TO DWELLING $50.00
Total: $351.20
Building Inspector
TOWN OF SOUTItOLD
BUILDING DEPARTMENT
TOWN HALL
765-180Z
APPLICATION FOR CERTIFICATE OF occUPANcy
Thi* 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 Appr°val from Health Dept~ of water supply and sewerage.disposal (S_9 form).
3.. Approval ofelcclrical installation from Board 0fFire Undenvriters.
4. 8worn statement from plum~ certifying that the solder used ia system contains less than 2/10 of 1% lead..
5. Commercial building, industrial building, m~tiple residences and similar buildings and installations, a co~tifieat~
of Code Compliance from architect or engineer responsible for the building.
6, Submit planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:·
1. Accurate survey of property ah.owing all property line~, streets, building and unusufil natumi or topographic
features.
2. A properly completed app[icati0n 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,
· Swimmi~ag po91 $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.
,, Old or Pm-existing Building: [//
House/No.
Streei
Bl~k
(check one)
Filed Map.
. Applicant:
Hamlet
Lot Oa 7'
Health Dept. Approval: I'~/4-
Planning Board Approval: ~ {~_
.:request for: Temporary Certificate
zee Submitted: $ lO~'~ . ~
Underwriter~ Approval:
Final Certificate:
(check one)
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
ro.qer, richert~,town.southold.ny, us
BUILDING DEPARTMENT
TOWN OF' SOUTI-IOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Klaver / Krasilovsky
Address: 430 Stillwater Ave City: Cutchogue St: NY Zip: 11035
Building Permit #: 36689 Section: 103 Block: 7 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Roslak Electric Inc LicenseNo: 3677-me
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
Servicelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCl 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: 1-paddle fan, 1-combination heat lamp / exhaust fan
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures 121 Smoke Detectors
Recessed FixturesR CO Detectors
Fluorescent Fixture~.~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures ~ TVSS
Notes:
Inspector Signature:
Date: '~(,~¢_~C~L~'Cx~ ~/ ~/o~
81-Cert Electrical Compliance Form.xls
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
] FRAMING/STRAPPING
] FIREPLACE & CHIMNEY
[ ] INSULATION
['] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE
INSPECTOR~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]~IJNDATION 1ST [ ] ROUGH PLBG.
[/~FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRB RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] F~NDATION 2ND [ ] INSULATION
[//] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: /~<'~~ ~"q--
DATE
INSPECTOR~~/~,
~/.~ ~ 765-1802
INSPECTION
.~ [,~] FOUNDATION 1ST [ ]ROUGH PLBG.
"~/ ~
/ [ ] FOUNDATION 2ND [ ]INSULATION
[ ] F~ING/ST~NG [ ] FINAL
[ ]FIREP~CE & CHIMN~ [ ] FIRE SAF~ INk. ION
[ ]RRE R~ ~~ION [ ] FIRE R~ ~N~
~LECTRICAL (ROUGH) [ ] ELE~AL (FI~)
REMARKS:
DATE
INSPECTOR~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]/~IGH PLBG.
[//]' INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[]FOUNDATION 1ST
[]FOUNDATION 2ND
[]FRAMING / STRAPPING
[]FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (RO.?~,) [ ] ELECTR~ICAL (FINAL)
REMA ~ ~ ~-~
DATE ~ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ] ROUGH PLBG.
[ ] IN/SUL'~ON
[),']/'FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS.-
DATE ~/~7~---- INSPECTOR ~~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING/STRAPPING [
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
[ ] ELECTRICAL (ROUGH)
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
[)~ ELECTRICAL (FINAL)
DATE _~( ~
INSPECTOR ~__~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOW;¢ fIALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork. net
Examined t~/¢ .20 /[
Approved ~/~, 20 fi/
Disapproved a/c
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey_
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Single & Separate
Storm-Water Assessment Form
Contact:
Mail to:
Expiration
~"~ ~/~/V~// -- Bnilding Inspector
~T ~ ~npletely filled in by typewriter or in ink and submitted to the Buildiag Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildi?gs on premises, relationship to a4ioining premises or public streets or
areas, arid 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 pa~ for any purpose what so ever nnti] the Building Inspector
issues a Ce~ificate of Occupancy.
h Every building permit shall e~pire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months fi'om such date. If no zoning amendments or other regulations affecting the
property haye been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addilio~ six months. Thereafter, a new permit shall be required.
APPLiCATiON IS HEREBY MADE to the Building Depamnent lbr the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southo[d, Sufiblk County, New York, and olher applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or fbr removal or demolition as herein described. The
applicant agrees to comply wifl~ all applicable la~s, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.~]
(Signature of ap~i~am~rporation)
(Hailing address (~f applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises V--o'e4z4tO ~t,~-'t'V-- ( ~ ~.~,o W~ht~'j t t,-e',r5 w{
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized ofricer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No. Ch~y\
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
Hamlet
Lot Om ~
County Tax Map No. 1000 Section ~,o ~ Block o "'4
Subdivision IFte_,e4~- rSecLt_ Filed Map No. Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction:'
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost go
5. If dwelling, number of dwelling units
If garage, number of cars .'z_
Addition ~ Alteration
Other Work
Fee
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specit? nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear
Height Number of Stories ~
.Depth
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear _Depth
9. Size of lot: Front lO~t Rear \o,~~ Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated ~ c t o
12. Does proposed construction violate any zoniug laxv, ordinance or regulation? YES NO
13. Will lot be re-graded? YES__ NO I,,/Will excess fill be removed from premises? YES
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address t'tJo J'O,m~'Vr~, PhoneNo.
Address Phone No
Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a fi'eshwater wetland? *YES __NO ~
* 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 lbundation 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 ACOPY.
STATE OF NEW YORK)
SS:
COUNTY OF ,~t,~:a,~ )
0o Ot[ ~C5' I~. e. 6,~-~0 being duly sworn, deposes and says that (s)he is the applicaut
(Name of individual signing contract) above uamed,
CONNIE D. BUNCH
(S)He is the ~ O~.X~L&'r-."p~2_ Notary Pub#o, 81~_? York
(Contractor, Agent, Corporate Officer. etc.) NO. 011~U~'l~mmu
'Qualified In Suffo~ County ~_, I x
Commission Expires April 14, 2',J ~
of said owuer or owners, and is duly authorized to perfbrm 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 kuowledge aud belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before: me this ~
~'/x~ day of ,~,d'~':~'c~x~q~ 20 ~$
Nota~ Public
Sign~t-~r~licant
Town of Southold
.Erosion, Sedimentation & Storm-Water Run-off ASS_;$SMENT FOR~"
F'kOPt:.l r LOCATIOH: S.C.T~L ~ THE FO~WiNG A~ MAY =~l~ ~E $;~.~N OF A
C~ ~.
~Ong ~de I~l~ ~ ~n ~ CU~c Ya~s
of Ma/e~M ~in ~y Pa~~
q~tl
~c ~ file ~ app~on ~t ~ sm~B ~n~cd ~ ~ appfi~fi°n ~ ~e ~ ~c ~t of~ ~o~cd~ ~ ~ ~d
· at ~c ~rk'~ ~ ~ffo~ed in ~e m~ ~t b~ ~ ~c appfi~fion filed ~.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax (631 ) 765-9502
Januaw23,2012
BUILDING DEPARTMENT
TOWN OFSOUTHOLD
Konrad Klauer
430 Stillwater Ave
Cutchogue, NY 11935
TO WHOM IT MAY CONCERN:
The Following Item(s) Are Needed To Complete Your Certificate of Occupancy:
__ Application for Certificate of Occupancy. (Enclosed)
({~Electrical Underwriters Certificate.
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 Marshall. - Bob Fisher
__ Final Landmark Preservation approval.
BUILDING PERMIT: 36689- Addition
BUILDING DI~PARTM F31T
AP~LICATIO~ F'OR I::LECT~ICAL INSPECTION
*Address:
'Cross Street
*Phone No,:
Petmit No, :
Tax Map
.IOI~ITE INFORMATION: (*indicates required information}
Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Pleaae Clmle All That
*t~ l~b .~d¥ f~
*Do you need a Temp Certificate:
YES/.~
T~mp t~ormM~n {,~ ~
*Service Size: I Phase
*New ~: R~
3Phase 100 150 200 300 350 400 Other
Underground Number of Mmem Change of SenSe Oved~md
2010-2136
STILLWATER AVENUE
45' 14' 50" E 100.00
ONE STORY ~ ~
F~E~ ~
OWING
I
Z
1.0 W
MONUMENT
FOUND
TAX LOT 3
~ N 4,3' 34' 20" W
TAX LOT 30
100.00' ~.~
TAX
LOT
51
FENCE
FOUND
TAX LOT 29
110.00'
TAX LOT 52.1
SCTM 1000-i 03.00-07.00-005.000
NOTES:
1. THIS SURVEY HAS BEEN PREPARED IN CONJUNCTION Wn'H A CONVEYANCE.
2. SURVEY HAS BEEN BASED ON TAX MAP, DEED DESCRIPTIONS,
FILED MAP AND FIELD MEASUREMENTS MADE ON THE DATE SHOWN,
.3. NOTE THAT UNRECORDED DOCUMENTS OR PAROL AGREEMENTS NOT IN EVIDENCE
MAY AFFECT ANALYSIS SHOWN HEREON,
4. UNDERGROUND STRUCTURES OR OTHER FEATURES NOT V~SIBLE TO SURVEYOR
THAT MAY INDICATE EASEMENT OR OTHER RIGHTS MAY NOT BE SHOWN.
SURVEY OF PROPERTY
SITUATE AT
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
CERTIFIED ONLY TO:
KONRAD KLAUER AND GWEN KRASILOVSKY
AMBASSADOR ABSTRACT LLC (AMB10-71643S)
WESTCOR LAND TITLE INSURANCE COMPANY
CHASE MANHATTAN BANK
SURVEYED DECEMBER 8, 2010
DORANNE E. TAY, L.S.
DiviS LAND SURVEYING COMPANY
P.O. BOX 410
MASTIC, N.Y. 11950
TEL. (516) 660 - 9489
SCALE 1" = 30'
REScheck Software Version 4.4.1
Compliance Certificate
Project Title: Klaur
Energy Code; 2010 New York Energy Conservation
Location:
Construction Type:
Glazing Area Percentage:
Heating Degree Days:
Climate Zone:
Construction Code
Suffolk County, New York
Detached 1 or 2 Family
10%
5750
4
Construction Site:
Cutchogue, NY
OwnedAgent:
Compliance: 5.6% Better Than Code Maximum UA: 54 Your UA: 51
The % Better or Worse Than Code i[3dex reflects how close [o compliance the houSe is based on code trade-off rules
It DOES NOT provide an estimate of energy use or cost relative to & minimum-code home
Designer/Contractor:
Ceiling 1: Flat Ceiling or Scissor Truss
Wall 1: Wood Frame, 16" o.c.
Window 1: Wood Frame:Double Pane with Low-E
Floor 1: Ali-Wood Joist/Truss:Over Unconditioned Space
185 19.0 0.0 9
320 15.0 0.0 22
32 0.340 11
185 19.0 0.0 9
Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The prol~s,e~ building has been designed to meet the 2010 New York Energy Conservation
cC~en;tkr~sCtt, ion Code requirements in R EScheck Version 4,4, ~ano~;~omply with the mandatory requirements listed in the REScheck Inspection
Project Title: Klaur Report date: 08/31/11
Data filename: C:\Documents and Settings\jdeerkoski\My Documents\REScheck\klaur.rck Page 1 of 3
\1.e' o-C.
OCCUPANCY OR
USE IS UNLAWFUL
~!,,!T "' ,"' "-'-
APPROVED AS NO~ED
NOTIFY BUILDING DF!~ ~/IF":' ,~T
765-1802 8 A~,: 70 ~ FM FOk file
FOLLOW'~;G tN%PECTK)NS ~
FOR P~ dRED Ct.,N. E
ST~AFPi:,. ELEC'c (; ~CA~LKING
3. INSULATk~N
MUSTBE COMP E'E F 3~ C C
ALL CONSTRUCTION SHALL ME~ T THE
REQUIREMENTS OF THE CqDES
YORK STATE NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
EEZA!t~ STORM WATER BUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
ELECTRICAL
INSPECTION REQUIRED
BAY CREEK BUILDERS
D. W. Mcgahan
P.O. Box 602
CUTCHOGUE, NEW YORK ].1935
(516) 734-6270
SHEET NO
CALCULATED BY_
CHECKEDBY.
SCALE
OF
DATE
DATE
BAY CREEK BUILDERS
D. W. Mcphan
P.O. Box 602
CUTCHOGUE, NEW YORK 11935
(516) 734-6270
SHEET NO
CALCULATED BY_
CHECKED BY
SCALE
OF
DATE
DATE
GENERAL NOTES
CONSTRUCTION NOTES:
FOUNDATION NOTES:
FRAMING NOTES
WIND FRAMING NOTES
DECKAND COVERED PORCHNOTES:
PLUMBING NOTES
HVAC SYSTEM NOTES
ELECTRICAL NOTES:
NAILING SCHEDULE
WALL FRAMING:
FLOOR FRAMING:
ROOF SHE/ ,TFlNG:
CEILING SHEATHING:
W/~&L SHEATHING:
FLOOR SHEATHING:
NOTES:
PLAN CONTENTS:
CLIMATIC & GEOGRAPHIC DESIGN CRITERIA
ROOF SHEATHING REQUIREMENTS FOR WIND LOADS:
NOTES
WALL SHEATHING REQUIREMENTS FOR WIND LOADS:
CONTRACTOR TO PROVIDE SOIL TEST TO VERIFY
EXISTING CONDmONS. MINIMUM 3000~ CAPACITY.
WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS