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HomeMy WebLinkAbout36921-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 6/29/2012 No: 35789 Date: 6/29/2012 Location of Property: SCTM #: 473889 THIS CERTIFIES that the building ADDITION/ALTERATION 1380 Bridge Ln, Cutchogue, Sec/Block/Lot: 85.-2-5 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore Lot No. filed in this officed dated 1/4/2012 pursuant to which Building Permit No. 36921 dated 1/11/2012 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: Additions & Alterations to a Single Family Dwelling (Great Room, Bedrooms, Baths, Laundry, and l_lnfini~hed Basement as applied for. The certificate is issued to Oman, Henry (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 6/15/12 36921 5/24/12 ,~. &t K Plumbing Aut/~l 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 #: 36921 Date: 111112012 Permission is hereby granted to: Oman, Henry 1380 Bridge Ln PO BOX 248 Cutchogue, NY 11935 To: Additions & Alterations to a Single Family Dwelling; Great Room, Bedrooms, Baths, Laundry, Porch, Unfinished Basement, as applied for. At premises located at: 1380 Bridge Ln, Cutchogue SCTM # 473889 Sec/Block/Lot # 85.-2-5 Pursuant to application dated To expireon 7/12/2013. Fees: 114/2012 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $1,004.00 $50.00 $1,054.00 Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 76.%1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must Dc 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. 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 requiremunts. 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 properiy 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 Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 $. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Old or Pre-existing Building: ./~ (check one) House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No t 000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Block ~ Lot Filed Map. Lot: Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ ~C) . f Final Certificate: (check one) Ap~lican SSl~n~atu'~e El' 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.n¥.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Henry Oman Address: 1380 Bridge Lane City: Cutchogue St: NY Zip: 11935 Building Permit #: 36921 Section: 85 Block: 2 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: License No: 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 r~lr~l[]~ HID Fixtures Wall Fixtures 151 Smoke Detectors Recessed Fixtures 1241 CO Detectors Fluorescent Fixtun~J~ Pumps Emergency Fixture Time Clocks Exit Fixtures L____J TVSS 1-combo smoke/co detector, 3-paddle fans, 2-heat lamps, 2-ARC fault circuit brks Notes: Inspector Signature: r~__~,~,_ ~_____~ Date: May 24 2012 81-Cert Electrical Compliance Form.xls Town HaH, P.O. Bo~ 1179 Somhold, New Yo~k 11~71-0~$~ Fax (631) Telephone (631~ 76~1802 8UELDING DI~A~TMI~qT TOWN OF CERTIFICATION ~uild~g Permit No. ~ ~ C~ '~ I ' I certify that the solder used in the water supply systg~ contains less thnn 2/10 of 1% lead. Sworn to before me ~ ~ ~ dayof~./l~V,~_.. , 20. I~"- Notary _-':hiblic, (Ph~mb~ S~) BONNIE J. DOROSKI Cotlll~j~ Public, State O( New York 1~o. 01D06095328, Su(folk ~Oo~ Term Expires July 7, 20 ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ F~OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE#ETRA110N [ ] ELECTRICAL (R~UGH) [ ] ELECTRICAL (FINAL) REMARKS: ~//'~~~. ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FOUNDATION 1ST /~ FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: iNSPECTOR '/~r;, ~ INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING/STRAPPING [ [ ]FIREPLACE & CHIMNEY [ [ ]RRE RESISTANT CONSTRUCTION [ q~LECTRICAL (ROUGH) REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (FINAL) DATE INSPECTOR~I TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [~ PLBG. [ ] ~U.~DATION 2ND [ ] INSULATION [~]¢FRAMING/STRAPPING [ ] FINA~ [ ] FIREPLACE & CHIMNEY [ ] ~AFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ P1~IRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR~~L~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY INSPECTION [ ]~J~H PLBG. [ ~,'J~ 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 ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT OONSTRU~rlON [ [ ] ELECTRICAL (ROUGH) REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ~LECTRICAL (FINAL) DATE ~~~----- I NSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INFLATION [ ] FRAMING/STRAPPING [~,,;/'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: _/~, ]/~/~ ~t~ -<~__~/?~tr~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] RO~fPLBG. [ ]~i~ULATION [~/~ FINAL [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ELECTRICAL (ROUGH) REMARKS: [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined 1~ [~ ,20 I~- Approved /-- fl 20 t9 Expiration Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contaet: to: Phone: ~.PPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS }'¢ ,20 I~ 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 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 [-~tfc~ ~1~ (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: House Number -S~reet Hamlet County Tax Map No. 1000 Section ~7~ Block c~ Subdivision Filed Map No. Lot ~ Lot 2. State existing, use and occupancy of premises and intend,e,d use and a. Existmg use and occupancy ~10~[¢, ~a.qAg4t44 b. Intended use and occupancy_ ~/ql/lxJ,~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars occupancy of proposed construction: Addition ~ Alteration Other WorkCaO0<¢-~ aaga,4e ~ ~c ~ (Des}eription) (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 ¢> 7' Rear ~7' Depth ~ Height ] 6'-q' ~/" Number of Stories Dimensions ~ga,me structure with alterations or additions: Front Rear Depth Height [ ,~*_ 6~" vl/~ Number of todes 8. Dimensions of entire new construction: Front Rear c~ ~'/ Depth Height I ~ z ~. Number of Stories 9. Si e of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO ~( 13. Will lot be re-graded? YES ~(~ NO Will excess fill be removed from premises? YES NO~ 14. Names of Owner of premises Name of Architect Name of Contractor Address ~,~ U~ Phone No. Address Phone No Address ~;U-~ la3 Phone 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{~E 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 ) (Name of individual si~gning contra&) above named, (S)He is the D(~ ~ )~A4/ (Contractor, Agent, Corporate Officer, etc.) being duly sworn, deposes and says that (s)he is the applicant CONNIE D. BUNCH Notary Public, State of New Yon~ No 01BUff185050 Qualified in Suffolk County ~ Commission Expires April 14, 2~ I'~-.._ 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 Notary Public ~t~licant Town of Southold : Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM $COi~ OF WORK - PROPOSED CON~FRUUI'ION fl'l~vi# ! W'Olh~ASSESS~ me Sc~e of W~k far Proposed Conseuca~) b. WhatistheTotalAme~LmldClem~lg ' (S:F./~) ~ (TNs~emwilllnc~eailnm-offcreatadbysim c~.simcaon ac~'Vk/7 CS.F. / *,=~) im~ surfaces.) PROYrl)K BP.,]~.~ I~O..ll~'T DF.~'Iu~I'ION ~"~'e~a,~.....~ 2 Dees the Site Plan arldl~' Survey Show AJI Propo~d ~l~--:t'~)7 '~0 ~lOl~ /-~/~- 3 (x~mm~em~n~nd~t~rm~'d~charges.a~s~d~memmn~prac~thatw~beu~edt~D~es~te~iteP~anand/~r~u~yeyd~::r~be*een~ei~n~ 4 wil this Project ~ afly Land Filling, ~ or E~tlng Grade Involvi~] mom Ihan 200 Cubic yards 5 W~ this ApPlication Requ~ Land DIstuCoing Actlvi~es D ~ Enc~ an A/aa in F. xce~ ~f F;ve 'l~lousarld (5,000 $.F.) Square Fee~ of Ground Sur/ece? 6 Is them a Natural We~' Coume Running through the wfllch E~ Fifteen (15)~eet °~ veflical Rise t~ 1- l~e SWPI~ shall be IX~emd IXtOr lo Ihe ~,~,;G.~ oHhe NOL The NOi ih~ be Jr~o and/or ~ the d~ecllorl of 8 Town i;~,1.~/? om',aaum~ m reduce me petlulams In at0m~ water dl~hae~ md to ammm Removal of VegetafJon and/re' Ihe Com~uc~on of any ~omP~aoe w~ me t~nm and ~,.;~k~s el mia pmmlL In ad,an, the 8Wt. Pp shall Item V-T,; -', Ihe Toum Right-of.Way or Road Shoulder- STATE OF NT_~M? ¥OR~ Notary Public, State of New York COU'N3~ 0]7 .................................. SS No. 01BU6185050 . / ~ . Qualified in Suffolk County Ti-.at ! .~..~ CLI ~ ~11~ ~Jl,'~'~__ .... C .ommis~. ion Expires ~q:}ri 14,2/")/'/ ............. i~'a'~'~'" .......... ocms ~tuy sworn, gepor~ aa~ says m= he/~: is th~ appii~t~Ir'~t, .......................... ......... And ~at he/she ~s die ____e~-~. .~,~ c~,~,~ ~Tag~ ................................................ Owner ami/or represental~,e of Ibc C)w~er or Owners, a~ L~ dtdy aufl~orizcd to perform or ha~e performed lhe saki work and to make amd file t~s appUca~oa; Ihat ail smmmems conta~ed in Iflis applicadoa are line to fl~e best ot'l~s k~owlcc[ge and belief; a~d Ii, at t~e work. w~ll be peffon'ned in die mam~ set forth ~n fl~e appUca~on fi]ed herewid~. .................. ~'" 'i ............. a~7 ot~:~.~.~ ......... ~.0..L~- ...... ........................ . ........... 3 6 I BUILDING PERMIT EXAMINER CHECKLIST *DateSubmitted: I - 3-l~- · I -I o-I~. Date Reviewed: Applicant: nrchitect/F~i.~e[. /4~ ~ /~ ~ Estimated Cost: SCTM# 1000 -- ~'.5'-_ 09.- _ ..~ Subdivision: r Property ^ddress: /. yO Building Permits (Open/Expired): BP__-Z / C/O Z-__, Info: BP__-Z / C/0 Z- , Info: BP__-Z / C/0 Z- , Info: Single & Separate Search Required? Y o N~)Determination: REQ. Lot Size: ACT. Lot Size: Zone: Conforming? City: ~ Pre COs? BP__-Z / C/0 Z- , Info: BP__ -Z / C/0 Z- , Info: REQ. Lot Coy. ~0~o ACT: Lot Cov. REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear REQ._Hoi, g, ht..3,.q't ACT. Height R~.~, ~'cH $1b~5 /I CT Waterfront? Y or~}?. CT ~' ' If yes, water body: '--~"--= PROP. Rear Panel# '---'-- Flood Zone: '"---Bulkhead/BluffDistance: ~ ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y or - If yes, *Bed#: __*Date: / / *Permit#: Town Septic: Y- N - If no, certification required: Y or N Received: Y or N By: NYS DEC: eR~n~c~nn~ Y org- Date: / / Permit #: Southold Trustees: Y or~- Date: / / Permit #: Permit #: Permit #: / t II~t~IL I rY Southold ZBA: Y o~- Date: / / Southold Planning: Y o&- Date: / / Town Landmark C of A: Y o~DTE: / Notes: or NJ Letter - Notes: or NJ Letter - Notes: - Notes: - Notes: *NYS CODE ~_ompliance (page 2): Y or N Vi/ol~.lsT.,~fEld;S CO~PEi'~V'$~rTIO,4/' , .Fee Structure: Foundation: ~ V-5~ SF First Floor: __j~_~_~_SF Second Floor: SF Other: SF Total: ~ / 0 SF Calculation: c o~: o ~% $.5-0, oo + Initial Fee: $ + Additional Fee ( ): $ SF X $, =$ + Initial Fee: $ + Additional Fee ( ): $ 9--00,00 TOTAL: $ I 00 t'iL, OO NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: . Grountl Snow Load: ~0 Weathering: Severe__ Frost Depth: 36"__ Design Temp: 11 ' Ice Shield Underlay: YE8 __ USE/OCCUPANCY CLASSIFICATION: · HEIGIZtT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCIL1PTIVE FULL FP.2AMING DESIGN ELEMENTS: Y/N HEADERS: ¥/N WALL STUDS: CEILING JOISTS: ¥/N FLOOR JOISTS: ¥/N LUI~BER SPECIES AND G]R~I)E: Y/N Wind Speed: 120MPH__ Seismic Design Category: B Termite: M~H Decay: S-M Flood Hazai'ds: GLRD ERS: Y/N ROOF IL&FTERS: WINDOW AND DOOR SCHEDULE: · MISSLE TEST ILEQUIREB'IENTS: Y/N EGRESS 5.7 S.F.: Y/lq LIGHT 8%: Y/N '~rENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING PdSER DIAGRAM: Y/N LOCATION OF FIILE PROTECTION EQUI3?MENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS:0/N (Re$¢}lfiCff0 ~-o l0 TO r^L CO V IEr CE? TO e^OE Town Hall Annex 54,375 Main Road P.O. Box 1179 Southold. NY 11971-09,59 Telephone (6~1) 765-1802 ro.qe r. dche r t ~ow(~s)o~ uru~(~, nv. us BUILDING DF, PARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Date: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: *Name: *Address~. *Cross Street: *Phone No.: Permit No.: ~/ Tax Map District: (*Indicates required information) 1000 Section: ,~'~' Block: 2_ Lot: ._5': *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information(If needed} *Service Size: I Phase *New Service: Re-connect Additional Information: YES / NO Rough In YES / NO Final 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form DIGRE&OEIO MAP OF PROPERTY SURVEYED FOR HENI2Y OMAN · SITUATE AT CUTCNOGUE Nt~W D P-.,"r'W[~ LL 8'-0" f~ X 4'-0" deep ROOF: RUNOI=P CALCULATIONS: Roof area -- 1625 sq.f'c x . I ~;7 x 7.5: 2265 ~lallons REQUIRED - (2) 8'-0" X 4'-0" RING5 -or- EQUIVALENT Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765- ! 802 Fax (631) 765-9502 June 11, 2012 Henry Oman PO Box 248 Cutchogue, NY 11935 Re: 1380 Bridge Lane BUILDING DEPARTMENT TOWN OFSOUTHOLD TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: __ Application for Certificate of Occupancy. (Enclosed) __ Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00. __ Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) __ 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: 36921 - Addition/Alterations Town Hail Annex 543'75 Main Road p.O. Box I 1'79 Southoid, NY 11971-0959 BUILDING DEPARTMENT TOWN OF sOUTItOI~D Telephone (631) 765-i$02 ., Fax (63 I) '765-9502 June 11,2012 Henry Oman PO Box 248 Cutchogue, NY 11935 Re: 1380 Bridge Lane TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of OccupanCy: ApPlication for Certificate of Occupancy. (Enclosed} ------- Electrical underwriters Certificate. (contact your electrician) A fee of $50.00. ------ Final Health Department Approval. ,-,o4, ~v///Plumbers Solder Certificate. (All permits involving plumbing after ~--o ~ ~ Trustees Certificate of Compliance. (ToW~ Trustees # 765-1892) ~ Final Planning Board Approval (Planning # 765-1938) ~ Final Fire inspection from Fire Marshall. ~ Final Landmark Preservation approval. B~ILDING pERMiT: 36921 - Addition/Alterations REScheck Software Version 4.4.2 Compliance Certificate Project Title: Oman Residence Energy Code: 2010 New York Energy Conservation Location: Construction Type: Project Type: Heating Degree Days: Climate Zone: Construction Code Suffolk County, New York Single Family Addition/Alteration 5750 4 Construction Site: 1380 Bridge Lane Cutchegue, NY 11935 Owner/Agent: Compliance: 1.3% Better Than Code Maximum UA: 227 Your UA: 224 Designer/Contractor: Nancy Dwyer Design Consulting, Inc. Southold, NY Floor 1: Ali-Wood Joist/Truss:Over Unconditioned Space Wall 1: Wood Frame, 16" o.c. Window 1: Vinyl Frame:Double Pane with Low-E Door 1: Glass Ceiling 1: Flat Ceiling or Scissor Truss 1304 19.0 0.0 61 1087 15.0 0.0 73 93 0.320 30 46 0.310 14 1304 30.0 0.0 46 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2010 New York Energy Conservation Construction Code requirements in REScheck Version 4.4.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name - Title Signature Date Project Title: Oman Residence Report date: 01/03/12 Data filename: Untitled.rck Page I of 4 ~2010 New York Energy Conservation Construction Code Certificate Ceiling I Roof 30.00 Wall 15.00 Floor / Foundation 19.00 Ductwork (unconditioned spaces): Window 0.32 Door 0.31 NA Heating System: Cooling System: Water Heater: Name: Date: Comments: OMAN DENCE FRONT ELEVATION PLUMBING ALL PLUMBING WASTE & WATER UN,ES NEED TESTING BEFORE COVERING ELECTRICAL INSPECTION REQUIRED DRIVEWAY 51DE ELEVATION PLUMBER CERTIFICATION )N LEAD CONTENT BEFORE ',ERTIFICATE OF OCCUPANCY 3OLDER USED IN WA TER ,jUPPL Y SYSTEM CANNOT EXCEED 2/10 OF I% LL~A[1 OCCUPANCYOR USEIS UNLAWFUL WITHOUT CERTIF!CATE OF OCCUPAN? COiVPL J WrTH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED ANt:~ONBt ..... ..., OF SOU'~TOWN ZBA / ' ~"T' ~o~,.~.s~ RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. BUILDING DE?ARTMENT CRITERIA PAGE: GENERAL NOTES: POUNDATION NOTES: FRAMING NOTES: FLOOR PLAN NOTES: PLUMBING ¢ HVAC NOTES: ELECTRICAL NOTES: PATIO 51DE ELEVATION BACK ELEVATION tO> z8 © PAGE. 2 I INTO C~WL ~PAC~ j ' ~~ ~ L J L~, ~MOVE AND UNDE~JN 2' 5~10N5 AT A TIME 0 [rJlr I~lll X ~'~TING FOUNDATION ~ ~ ~ ~O~ ffOUNDATIQN PLAN 3 ~ISTING DINING ROOM G~AT ROOM ~Z L~ ~LOOR PLAN z 0~ PAGE. 4 PLUME~ING IEI.SEP-. DIAGRAM NOT TO SCALE ASPHALT P-OOEING TO MATCH EXISTING WITH I 5# PELT ICE ¢ WEATHER SHEILD EXISTING ROOff STRUCTURE TO REMAIN EXISTING RfDG~ // \ / / / / / ./ / / / / / / / / TO I~EMAIN "q % % '% P-.O01= PLAN SCALE- ¼"= I' 0" PAGE. 5 Ji ~ WINDO~ ~ ~E~OR ~0~ ~ICAL ALL A~ h~, ~ ~ ~MAIN, UNCHANGED ~ gEo NEW [~A~EM~NT ~, 3 ½" LALLY COLUMN BURIED fOUNDATION WALL W/ ~) ~z poonNr¢ D~Pm 2 #4 P~BAR~ IN rOOTING ~ I I Zu o 'NOTE: CONC~EDHALL~E ~ ~ SCALE; ~"= IuO" ~ ~ CklMA/IC A~D GEOG~IC ~U~IG~ CRIT~I~I ~ ~ ~NBJ[)I,~TT¢~JOIST ENDNAILEB 316~ 'EE)OI~T DESIGN LOAD CALCULATION& ~ m WALLS~[AI~I~O &TRUCTURAL MEMDER ALLOWADL[ D~ffLECTION ~ ~ CLIMATIC AND GEOGRAPHIC DFSIGN CRITEP-.IA ALTER. NATIVE POP-. OPENING PP. OTECTION TADLE IG09.1.4 klNDOWAND DOOR SCHEDULE W2 W3 W4 D2 TW21046 TW2032 TW21032 AW31 TO DE DL~T~RMINED TILT WASH TILT WASH TILT WASH AWNING 2.47 4.2 3.5D 6.42 1.4 5.20 22.DJ 5O 25.9 4 23.2 30 7 30 2 30 i 35 2 4O 2 3068 DOOR CONSTRUCTION DRTAIL~ ¢ W1ND LOAD PATH CONNECTION D~TAIL~ WIND RRSISTANT CONSTRUCTION CONNECTOR~ CONNECTION LC~ATION APPLY TO ZACH WAIL 5[UD Ridge strap* shall be attached to each par of opposing rafters except where PAGE 7