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Home My WebLink About36916-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 3/28/2012 No: 35509 Date: 3/28/2012 Location of Property: SCTM #: 473889 Subdivision: THIS CERTIFIES that the building I080 Old Shipyard Rd, Southold, Sec/Block/Lot: 64.-4-24 Filed Map No. conforms substantially to the Application for Building Permit heretofore 1/3/2012 pursuant to which Building Permit No. 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: construct 2nd floor bathroom dormer addition, kitchen renovation & window replacement as applied for RESIDENTIAL ALTERATION Lot No. filed in this ofllced dated 36916 dated 1/10/2012 The certificate is issued to Haase, Lisa (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 3/19/12 36916 3/23/12 George Berry, Jr. Signature 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 #: 36916 Date: 1/10/2012 Permission is hereby granted to: Haase, Lisa 480 Ruch Ln Southold, NY 11971 To: construct 2nd floor bathroom dormer addition, kitchen renovation & window replacement as applied for At premises located at: 1080 Old Shipyard Rd SCTM # 473889 Sec/Block/Lot # 64.-4-24 Pursuant to application dated To expire on 711112013. Fees: 1/3/2012 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $256.80 $50.00 $306.80 Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 tmusual 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. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 19~7) 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Cartificate 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. I' .~. I~-- Old or Pre-existing Building: /~ (check one) House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Block ¢ Lot Filed Map. Lot: Applicant: Underwriters Approval: PermitNo. ~/~ !~ Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: $ ~-_ ~-; , Final Certificate: (check one) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY I 1971-0959 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: George Haase Address: 1080 Old Shipyard La City: Southold St: NY Zip: 11971 Building Permit #: 36916 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: DBA: Paul Burns Elec LicenseNo: 3897-e SITE DETAILS Office Use Only Residential I~ Infl°°r t~ 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 NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: 1-exhaust fan, 2-combination smoke/co detectors Ceiling Fixtures r~lr~l~ HID Fixtures Wall Fixtures Ill Smoke Detectors Recessed Fixtures Ill CO Detectors Fluorescent Fixtures~] Pumps Emergency Fixture Time Clocks Exit Fixtures L_~ TVSS Notes: inspector Signature: Date: March 23 2012 81-Cert Electrical Compliance Form.xls Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0950 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOLrl~OLD CERTIFICATION Building Permit bio. ~ (~' ~ I ~ (please prim) -- (please prinO lead. I certify that the solder usod in the water supply system contains losa than 2/10 of 1% Sworn to before me this Nota Public, lA County VICKI L. LOPER York Notap/Public, State d New No. 01LO6070081 ~Jalified in Suflol ,M~n~ t'~, CommisSion Exlpires ~,.I ~.1 ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] 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 FOUNDATION 1ST [/~I'O~PLBG. F~D~AT4ON 2ND [ ] INSULATION ~'*']"F~ING/ST~NG I ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) I ] ELECTRICAL (FINAL} REMARK~S:_ ~ ~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]/~UGH PLBG. [ ] FOUNDATION 2ND ["]'INSULATION [ ] FRAMING/STRAPPING I ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTAI¢I' CONSTRUCTION [ ] FIRE RESISTANT PENE'llMTION [ ] ELECTRICAL ("OUG~H) [ ] ELECTR~.L~FINALI REMARKS: DATE , ,~/~///~7-~ / / INSPECTOR. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING ROUGH PLBG. INSULATION ~FINAL [ ] FIREPLACE & CHIMNEY I ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL} REMARKS: /~ DATE '~ -- / ~'~ / ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined Approved Disapproved a/c , Expiration /{/, 20 J N ? B,, r pT 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 Storm-Water Assessment Form Contact: Mailto: ~-~ It~¢~ ~{/~ Phone: L Building Inspector ?PLICATION FOR BUILDING PERMIT INSTRUCTIONS Date [- ~ ,20 ~3~ fletely 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 fi.om 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, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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 propose~d work, will be done: House Number Street Hamlet County Tax Map No. 1000 Section ~ c~ Block ~ LOtLoff Subdivision Filed Map No. 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost [ 9,025~ 5. If dwelling, number of dwelling units If garage, number of cars State existing use and occupancy of premises and inte~nded use and occupancy of proposed construction: a. Existing use and occupancy ~q~l~ 4-~mlL4q b. Intended use and occupancy ~1 ~.4. Addition Alteration Other Work /L&O t/0i~ctOto,$ 4 (Descfiption)~gttlOd~ Fee (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 ?~O'- '~" Rear ~ 5~ Depth Height ~ I'- I 0 ~ Number of Stories [. ~ Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size oflot: Front 7/!'2' 1~(~2~..Rear ~' Depth 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 )~ Will excess fill be removed from premises? YES__ 14. Names of Owner of premises Name of Architect Name of Contractor Address ~;,Ot~0L4~ Phone No. Address ~4L44~_.. ~L. Phone No Address ~:oO'~4t~t/l"d Phone No. NO 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO/~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B~QUIRED. 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 ) ~, )~[qubI ~'~l/u~/~ ( being duly sworn, deposes and says that (s)he is the applicant (Name of individual sib~ming contract) above named, CONNIE D. BUNCH (S)He is the l~g SI~__/(' Nota~No.PUbtic'01BUO1St~taS~50 ~ New York (Contractor, Agent, Corporate Officer, etc.) Commlaalon Ex~l~ ,a4~ll 14, ~ ~ 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 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 therewith. Sworn to before me this day of (~/~ GL6LtA~ 201~ Notary Public [_ S~ture of A~plicant Town Hall Annex .~375 bhin Road P.O. Box 1179 Southold, ~ 11971-0(JSg (631) 765-1802 roaer.~~.n¥~t.m BUIII~G Di/~ TOWN OF SOUTHOLI) APPLICATION FOR ELECTRICAL INSPECTION BY: Name: No..' JOBSITE INFORMATION: (*Indicates required information) *Name: ~:,,,-,_o~.~ /.,('~.~,..~- *Address: *Cross Street: *Phone No.: Permit No.: , ~ ?l~, Tax.Map District: 1000 Section: ~ ~ Block: L~ *BRIEF DESCRIPTION OF WORK (Please Print Clearly) Lot: ' (Please Circle All That Apply) *Is job ready for inspection: *Do-you need a Temp Certificate: Tomp Information (If needed} *Sen,~e Size: 1 Phase 3Phase *New Service: Re-connect Additienal Information: ~ I NO YES I NO 100 150 200 300 350 400 Underground Number of Mete~ Change of Se~ice PAyMENT DUE WI'FH APPLICATION 82~'equest for Inspection Form Final Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 March 16, 2012 Lisa Haase 1040 Old Shipyard Rd Southold, NY 11971 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: __ Application for Certificate of Occupancy. (Enclosed) v/ Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00 Final Health Department Approval. ~('~ lumbers Solder Certificate. (All permits involving plumbing after 411184) Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 369'16- Addition/Alterations REScheck Software Version 4.4.2 Compliance Certificate Project Title: Haase Residence Energy Coda: 2010 New York Energy Conservation Construction Code Location: Suffolk County, New York Construction Type: Single Family Glazing Area Percentage: 8% Heating Degree Days: 5750 Climate Zone: 4 Construction Site: Old Shipyard Lane Southoid, NY Owner/Agent: Compliance: 2.3% Batter Than Code Maximum UA: 221 Your UA: 216 DesignedContractor: Nancy Dwyer Design Consulting, Inc. Southold, NY Floor 1: All-Wood Joist/Truss:Over Unconditioned Space Wall 1: Wood Frame, 16" o.c. Window 1: Vinyl Frame:Double Pane with Low-E Door 1: Solid Wall 2: Wood Frame. 16" o.c. Ceiling 1: Flat Ceiling or Scissor Truss 725 19.0 0.0 34 1265 11.0 0.0 101 105 0.300 32 20 0.200 4 106 15.0 0.0 8 725 19.0 0.0 37 Compliance Statement: The proposed building design described here is co~'/~istent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building~lC~s J~een designed t~ meet the 2010 New York Energy Conservation Construction Code requirements in REScheck Version 4.4.2 and to com~iJ ~,~h the r~dat~V~ require/merits listed in the REScheck inspection Ch~ck,,st. . I1/I, II/// I ('. Name- Title ' - ! - I~a~ '' - ~' ' "/ ! Dat~ / ! Project Title: Haase Residence Report date: 12/07/11 Data filename: Untitied.rck Page 1 of 4 STREET ADDRESS; 1040 OLD SHIPYARD LANE LOT NUNBERS REFER TO "SUBDIVISION NAP OF FOUNDERS ESTATES' FILED IN THE SUFFOLK COUNTY CLERK'S OFF[CE ON NAY 10, I927 AS FILE NO, 834, SURVEY OF PROPERTY A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 1000-64-04-24 SCALE: 1"=20' MARCH 13, 2002 AREA=Ii,227 S,F. m=MONUNENT CERTIFIED TO, LAURA ~ YOUNG NORTH FORK BANK SOUTH BAY ABSTRACT INC. /~/'~:~J~N.Y,S, LIC, NO. 49618 /P/ECONIC ~U~,/Y)EYORS~ P,C, (631) 765 - 5020 FAX~(631) 765 1797 P, 0, BOX 909 1230 TRAVELER STREET I SOUTHOLD, N,Y, "~" [02-~0 IflAA E R,E I DENCE ELECTRICAL INSPECTION REQUIRED PLUMBER CERTIRCA T/ON ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY S YS TEM CA NNOT EXCEED 2/10 OF 1% LEAD, PLUMBING ALL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING OCCUPANC'¥' OR USE IS UNLAWFUL WITHOUT CERTIRCATE OF OOC', T',"'d%:Y 7~5~ $~1~2 88A~M T~[~044 ~ F F 0 N F~~E 44 F~N6L g0~8~¢~ ~TRiC~ ~B~O~B~B[N~THE CODES OF N~' ~RTE'.~OT,~ E SPO NS]BLE FOR DESIGN OR CONSTRUCTION ERROR8 F~ONT ELEVATION 5CALE: ¼"= ILO'' BUILDING DEPARTMENT CRITERIA GARAGE ~ 5UNPOI~CH TO I~EMAIN A5 ~DqSTING RIGHT .~IDE ELEVATION Z t. LI _~ AGE. m'm'mmmm mmm (NRW CONSTRU~ION , m m ' m m m j ~m_ m , BACK ELEVATION o~ ~r L~2U~L - -~ ~ J . LU~ ~ Z ~ LEFT 51DE ELEVATION HALL EXISTING SECOND FLO0~ NEW CONSTP-,,UCTION ~ EXISTING BfiDR.OOM NO CHANGE I [1 TO I~FMAIN ~D(ISTIN G A%[IC IJNE OF EXIDTING EXJBTING BEDROOM NO CHANGE l[ WALL LEGEND: WALL TO REMAIN WALL TO DE R~MOVED SECOND FLOOR PLAN 5CALE: 41"= ILO'' PAGE: 2" X 4" STUD FP4~ME EXTERIOR -- WALL ~ I G" O.C., R- 13 INSULATION TO REMAIN 3J BATH HALL STAIRWELL EXISTING FIRST FLOOR ARZA TO REMAIN, NO CHANGE BUILDING SECTION "A" r,, iLO,, BCALE: Z = 8. Sill Plate to Foundation Aflchoraoe: Sill plat:~ 5hall b8 anchored to 5h~ foundation wlLh anchor bol~s hawn~ ~ rain, bol~ dlam~r of 5/~" and 3" x 3" x DE.DIGN LOAD CALCULATIONB MINIMUM UNIPO~JvlLY DISTRIBUTED LIVE LOADS ~TERIOR BALCONIES GO DECK5 40 ATTIC5 WITHOUT STORAGE 30 ATTICS WITH 5TORIAGE 40 ROOMS (OTHER THAN BLEEPING ROOMS) 40 BLEEPING ROOMS 30 CRITERIA FOR CALCULATION OF DEAD LOAD ACTUAL WEIGHTS OF MATERIALS REFERENCED TO A,I.A. ARCfIITECTU RAL GRAPHIC STANDARDS SNOW CLIMATIC AND GEOGRA?iIIC DESIGN CRIT~R. IA FROST LIN~ DEPTH 3'-0" D~CAY 5LIGHT TO MODERATE C/INTER DESIGN T~MP. J IC~ SHIELD UNDER- AS PER MANUFACTU~RS LOOD HAZARDS TABLE R301 .G . I _ ~LLOWABLE DEFL~CTION OF STRUCTURAL MEMEDER5 STRUCTURAL MEMBER kLLOWABLE DEFLECTION Z PAGE' 4