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HomeMy WebLinkAbout37207-Z sp "~~FFO(±`< Town of Southold Annex 8/5/2013 j~~o.9 P.O. Box 1179 ~ 54375 Main Road d'$©~.~ Soathold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36427 Date: 8/5/2013 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 752 Jennings Road, Southold, SCTM 473889 Sec/Block/Lot: 54.-6-19 Subdivision: Filed Map No. Lot No. conforms substantially tci the Application for Building Permit heretofore filed in this officed dated 5/7/2012 pursuant to which Building Permit No. 37207 dated 5/10/2012 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: alterations and additions, including two car age, to an existing one family dwellin¢ as applied for. The certificate is issued to White, William & Elaine (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37207 8/1/13 PLUMBERS CERTIFICATION DATED 8/1/13 George Berry, Jr. orized ignature S~~K TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ TOWN CLERK'S OFFICE 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 37207 Date: 5/10/2012 Permission is hereby granted to: White, William & Elaine PO BOX 250 Southold, NY 11971 To: Additions & Alterations to a Single Family Dwelling; 2 Car Garage, Mud Room, Kitchen, Basement, Unheated, Unfinished Storage Room, as applied for. -/~m~~ '{'V~' ~mi rvor~ 711`113. At premises located at: 752 Jennings Road, Southold SCTM # 473889 Sec/Block/Lot # 54.-6-19 Pursuant to application dated 5/7/2012 and approved by the Building Inspector. To expire on 11/9/2013. Fees: CO -ADDITION TO DWELLING $50.00 SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $960.80 Total: $1,010.80 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 oew building or new use: 1. Fina] 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 Boazd of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains Tess than 2/10 of 1 % lead. 5. Commercial building, industrial building, multiple residences and similaz buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Boazd Approval of completed site plan requirements. B. For existing buildings (prior to Apri19, 1957) non-conforming uses, or buildings and "pre-ezisfing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topogaphic 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 Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. Jr ~ /a- New Construction: Old or Pre-exlisting Building: ~ (check one) Location of Property: ~ 5a~~/i 1 r1 ~ 5 ~~c9cl'f h o ~d House No. Stree Hamlet Owner or Owners of Property: ~~)~j~// Suffolk County Tax Map No 1000, Section Block (O Lot !!_~~_a Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Boazd Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signat l~~^t7; ~oFFOCK Town Hall Annex ~~0~ CGG~, Telephone (631) 765-1802 54375 Main Road ~ o ~ Fax (631)765-9502 P.O. Box 1179 0 Southold, NY 11971-0959 ,~4j~ ~ ~y0~~?~ roger.richert(ciltownsouthold nv us f rrq~6?v BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: White Address: 752 Jennings Rd City: Southold St: NY Zip: 11971 Building Permit 37207 Section: 54 Block: 6 Lot: 19 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: T Best Electric Inc License No: 49446-rne SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pod New Renovation 2nd Floor Hot Tub Addition X Survey Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt 17 Ceiling Fixtures 6 HID Fixtures Service 3 ph Hot W ater GFCI Recpt 5 Wall Fixtures 6 Smoke Detectors 4 Main Panel A/C Condenser Single Recpt 1 Recessed Fixures 11 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt 1-30 Emergency Fixures Time Clocks Disconnect Switches 17 Twist Lock Exit Fixtures TVSS otner Eguipment: 2_paddle fans,5-ARC fault circuit breakers Notes: Inspector Signature: ~-~,rrt Date: Aug 1 2013 Electrical Certificate.xls o~o~,r ,1 cOGy~ s Town Hall, 53095 Main Road Q ~ Fax (631) 765-9502 P.O. Box 1179 'y • OAP Telephone (631) 765-1802 Southold, New York 11971-0959 -7~'~ ~ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Dale: o ~ ~ Building Permit No. ~ ~ ~ U / IIh -{I- Owner: 1 ~ ~ (~LYI 0.110 ~I CL 111~,N I ll l -f~~ (please print) Plumber: ~ eo role 5 ~ ` ~ ~ 2" (please print I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. VICKI 1. IOPER Notary Pi,Gli~ State of 'b~.w YoAc No. 01 i6qurr' Oualii~eu ~ L' lumbers Signature) CIIMIilfioli Expires oZ-1G-I Sworn tonbefore me this / 2? 5/ S f" day of " y i 20~ Notary Public, ~~ounty ~ h°~~,oe saaTyO6 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 NSPECTION [ FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE ~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] E CTRI L) REMARKS: ~ c v DATE ~ ? Y INSPECTOR ~ #~,~,OF SOUI~o* TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ I~NDATION 1ST [ ]ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENE7ppTION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~ G DATE ~ INSPECTOR -~~~7~ * ~oFSO~lyo# TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FQUNDATION 2ND [ ]INSULATION [ /FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~ ~ G?,~ DATE lL ~ Zi INSPECTOR~~ '``1 77 J ~ L- ~ ~osq~'~F SOUIyo`o f®* TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] ELECTRf L) .i REMARKS: ' U ~i ~ ,J DATE ~ INSPECTOR ~.~,OF SOUlyo6 ~7~ z < <,l~-~s ~ a, 'r' ~ 1J / Z U I ~'r000N1'1,~ ~ 7j C i f v ~ t / C,~ TOWN OF SOUTHOLD BUILDING DEPT. N , ~ ~ 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~ _ U DATE l ~ INSPECTOR z`'`~~ o~,~,Of SOUTyo 3~~~~~~. TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROU BG. [ ]FOUNDATION 2ND [ NSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) ~~)7,,[ ] ELECTRI INAL) REMARKS: f ~G~~"/ ~ DATE / ~ ~ INSPECTOR ~ /"y.~, `y ~ ~ ~~U~ ~ ~~~~,Of SO4Tyo~ ~~bUNI'1; TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] RO H PLBG. [ ]FOUNDATION 2ND [ ] SULATION [ ]FRAMING /STRAPPING ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECT L (ROUGH) [ ]~-ELECTRICAL (FINAL REMARKS: r- ~ f r .,J ~i7~ DATE C ( INSPECTOR > ~o~,~pf SOUTy~6 CCC....~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 i NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN ATION [ ] FRAMING /STRAPPING [ ~ INAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRlICT10N [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: r DATE INSPECTOR \ ~o~y,OF SO~T,~o6 ~~Z r~~ TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]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: ~ Z`~~- ° t~ DATE ~ ~ 3 INSPECTOR CB:LD t't DAT3C CDA21V1~D1'fS. ' 0 ~ roy FOIINbA~'ION (1ST ~ ~ FOUiVDATIpN (2ND) vy O Y . p L ~ ~ . ~xoUCa4v~ & ~ PLUi1~ING ly3 dC. INSIII.AITON PEItLV. 5'. STATE ENERGY CODE ~ G CJ FINAL - c~ ADDITIONAL COMNl1';NTS G.Ir~sn ~ 11~- 6 S I /3 `duck ~ _ ~z ~z ~ . . . ~ e TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Boazd of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 ~ / ~ d 7 Survey SoutholdTowu.NorthFork.net PE Check D Septic Form N.Y.S.D.E.C. Trustees 9 MAY - 7 2012 Flood Permit Examined I , 20'~ Storm-Water Assessment Form / BLDG. DEPT. Contact: Approved I Q , 20 / °2 _ TOWN OF SOl1THOlD Mail to: ~ n ~ ~lWt/GN Phone: ~~O ~ /F ~a 7 Expiration I I - 9 , 20 ~3 ~ Building Inspector APPLICATION FOR BUILDING PERMIT Date ~a. , 20~ 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, accwate 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 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 ~esi~kC,++{' Name of owner of premises ~?i I 1 ~ y~ ~I~ I (As on the tax roll or latest deed) If applicant is a corporation, signatwe 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 p5oposed work wil bedqne: X52- ~l~M~vtinaS ~Ac! ~oy-}'yam House Number Street Hamlet County Tax Map No. 1000 Section~Block V' Lot~~ . Subdivision 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 Si Vl~i ~P -~a ut,It (iL~ YI1 Si el-e~t~c~ b. Intended use and occupancy Sal dl~ w/ 4~~}a_.G~~( ~,G1 YGi.F,(.~ 3. Nature of work (check which applicable): New Building Addition~Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost ~~s0~ Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ~s - ~ Rear - U Depth T ~ r Height o2 ~ D " fLNumber of Stories ~ i i Dimensions of same structure with alterations or additions: Front ~ `f Rear Depth `f 3' Height a~lo Number of Stories d 8. Dimensions of entire new construction: Front .3~ ~ D Rear o77 ~ y Depth ~5 ~ /O Height oZ(o `-7 Number of Stories o? i / 9. Size of lot: Front ~S`~ Rear ~ ~ Depth ~??O ~ 0. 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~WiII excess fill be removed from premises? YES_ NO~ 14. Names of Owner of premises LO h t -)~L- Address ~o Phone No. Name of Architect l'.rcwL I h Address Phone No Name of Contractor Address 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 MAYBE 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 `O-F ) t~-r~L1 U,~ ~V I,? being duly sworn, deposes and says that (s)he is the applicant (Name of indi dual sign g contract) above named, CONNIE D. BUNCH Notery Public, State d New York (S)He is the SJ O,((~/ _ No. 01806185050 (Contractor, Age Corporate Officer, etc.) " rSaAelk Ceur~lr-~~- Commission Expires April 14, 2_ 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. Svy~nitp before me this L-Yrl day of 20 ~ ~ ' ~ u~ Notary Public Signa ofAppl ant Town of Southold -Chapter 236 - Stormwater Management °~y~ SWPPP -Storm Water Pollution Prevention Plan Assessment Form GFIVERAI. IIVFORMA ON: (All Requested Information is Required for a Complete Application) MPUCIINr NMIE: Ox,w -Aeee -Cwltrecbr Otlwl tprele Dre) ProPN'QMIER QIDNbrantmn Applln~ ~ I ~..c a.~ ~ ~ ~ ~ ~ Tabplq,e Fete: Teb ! Fare: ~ i E-ws. W 2 Qd .GO E-sbs: ~l YIIYLC BnefDearrpeon al'Cooe4armnA~igLtmpased 3amo<.1 BDlPe, SaT 8.C,LM.ak 7e0D SmLaliafiou BMPe, PnBeaSDODe aed/orSequeDw ofcm.aurlim Amvity I.. awu w 'S,T ~w°"°°bem.~nywswm) ' Name dep0egor esdlarCenbet Pbraen DrpanWbfor bedsswdetlw~deWPPP. f TWpha,aik Fax: Dnn~,,~~Y'~'''!!__f_O/j ~-'w __".~°_r_=_~!-------- E_We; __~C Y6eSl__________________________________ i _ j NeeedPweair Rwp,nsNa br YnErNMlaeB WYNrr~wed FioelmemtrW ReeYae i. _ dmsa. _ ____________m__________ Tabplbrfi Faa lF E-¦W: Tabl AreadAl + rom a..dtem ceing ~aa~ PmiaG PemaY° ~ / andlor Cyaed Dleaellerae (eF.lAay {aF~ - Proieeteyutbn: d End ' (Mtldpabd) Q ~ Deb: I ~-ataWmOf~ WiN tlrh Prejct Dbturbe the (5) or More Aeres at Q MyOne Tine During ifrs P/oposed DwsbpnrrR9 Yes a. DDes the Appllmnt have a Oiiafled InvpacSOr On Q Q Sfefi To Condud the Required iwpectone 7 Yes No b. Does the SWPPP Indicate Hav Frequently the Site Q Dats1e~~Ord~~^~bMw~dw.r~uodb...dbrw.mndc Inspediom wB occur and for What Period of 71me T Yes ~ j.. e. Does theswPPPadequafelyidemtlyntrempDrary Q p - - - - anNorPermanentShcShbaNzaYOnNlsasisesT Yes No _ ~_~r_-_'__________________..___..__.__... i~ d. Does the SWPPP Adequately Identfy a Complete Q Q ~ Protect Phasig Plan 1 Yes No saea d w+remoar: sn(~ tmbd, inpelnet-) ~ e. Does the SWPPP hMfmte Addltla>al ~fe Specir~c i Predkes that WAI be Utlllzed b Prated Water a,atliy T Yes NOo f. ties the Appicent Submttleda COnpkEsd DEC Nalice Of Intent and SWPPP Acceplante Form for Review ~ ~ TyPa d eMa~bd w'tp't't'' ~°k' my, Fona, 6eun4 rv.re.re.was.rd_> by dre Town d Soutidd T Yes No i _____..______._______CONNIED~UNCH--..__...__,___.__ I S1'A7'F OF NFW YORK, ~ COLJNPY OF SS No. 01 BU6185050 I ~ ~ QuaNfied In Suffolk County 77rat f . ...............~.4.1.Y~.~ I.~ W~........_..... being duly sworn, deposes and se~antcghr2gefnnf. (Name of MMB~ elg~ting ) And that he/she is the L~L.~~ 4~(j'4-Q~V................................._............................_....................... (Oeror, hrtlcr AgeN. CarywobOMOer. eke) Owner and/or repreaenfative of the Owner or Owners, and is duly authoived ro perfomt or have performed the said work and to make and file this application; that all statements contained in this application are hue to the best of his knowledge and belief; and ~ that the work will be performed in the mannPF set forth in the application fled herewith. Sworn to before me this; - day of NotatyRtblic :..............!~:`.-p...~~~...7.:.,.2}........... ( dAgicelp) SWPPP AssessmeNit FORM: 0312 i TON'° Iinll ~ ~ Telephone (631) 7651802 54375 Mai¢ Road Fax (63 5p~ P.O. Rox t179 _ f'•OA~Cf.ttdleft~[OWnI80U IOItl.nV US Soutlwld. NY 11971-0959 ~/y~~,,,~ ~ l "W1111 ~ i BUII.DING DEPAR'IA~NT , TOWN OF 130UTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: O M Q~ S I Date: ~ 3 Company Name: e, S 1 L ~ TC' ( =(t, ~I Name: ~T~6 ca. S S QeST License No.: W ~ y t{ ~ _ Address: 39 N ew I r1.5 5% . Cen..Ter M~~~IC~es NYi193y Phone No.: (o I- i3 3 3- 3 3 JOBSITE INFORMATION: (*Indiptes requi~^relId inforrnation) *Name: l~ Y L_ \ Te ~ e s 1 U e ~C ~ `Address: ~ S ~ ~ /L ll i ~L S C~.. • u o L p QJ y I ~ 9 l *Cross Street: ~ -r In ~ *Phone No.: 1rj j <o Q~ I S 17 ~ 7 i Permit No.: 3 ~ ao ~ Tax Map District: 1000 Section: Block: Lot `BRIEF DESCRIPTION OF WORK (Please Print Clearly) ('b~ t1 w ~ Ced ~d d I Te, F"c~.. IK, ~ cep M ~ ~ cv ~ G- f~ ~c>_, ~ (Please Circle Ali That Apply) *is job ready for inspection: NO h In Final ~ *Do you need a Temp Certificate: YES ~ I Temp Information (If needed) `Service S¢e: 1 Phase 3Phase 100 150 200 300 350 .400 Other `New Service: Re-connect Urxlerground Number of Meters Change of Service Overhead Additional Informaiion: PAYMENT DUE WITH APPLICATION 1 82=Request fw Inspection Form ~ ~ ~ I ~ I Ya`~'xzz~z . ~O ~pF SO(/T~o ,,r Town Hall Annex ~yy~ ~yy Telephone (631) 765-1802 54375 Main Road T T ~ Fax (631) 765-9502 N.O. Box 1179 G ~ Southold, NY 1 1 97 1-0959 ~ ~ ~~~OUNTI BUILDING DEPARTMENT TOWN OF SOUTHOLD July 31, 2013 William & Elaine White PO Box 250 Southold, NY 11971 Re: 752 Jennings Rd., Southold TO WHOM IT MAY CONCERN: The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: - _ Application for Certificate of Occupancy. (Enc o Electrical Underwriters Certificate. (contact your electric\ A fee of $50.00. Final Health Department Approval. Plumbers Solder Certificate. (Ali permits invowing pmmbing after avaa) Trustees Certificate of Compliance. (rows trustees # ass-tasz) Final Planning Board Approval. (Planning # ass-1s3a) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37207 -Addition/Alterations B.P ~ 3~ao7 BUILDING PERMIT EXAMINER CHECKLIST }Date Submitted: -5~7~~~Date Reviewed: ~ ~~~°Z Applicant: Owner: r*a~elri#eedEngineer• /-q Estimated Cost: ~ S ~ SCTM# 1000 - -~~-rl ~ Subdivision: p ~ Zone: tt--,,~~ ~~~~pConforming? Property Address: 7sa~ City: ~.~~~n~,~~~"~•`~ Pre COs? Building Permits (OpenlExpired): BP -Z / GO Z- ,Info: BP -Z l GO Z- ,Info: BP -Z / GO Z- ,Info: BP -Z / C/0 Z- ,Info: BP -Z / C/0 Z- ,Info: Single & Separate Search Required? Y o~1 Determination: STORM W~rER RttN c F,F REQ. Lot Size: ACT. Lot Size: REQ. Lot Cov. do°7o ACT: Lot Cov. REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear PROP. Rear REQQ. Heigh ACT. Height ftEat, BOTH SIDES x A GT Project Descri tion:~ ~ ~ , ~ y ~ °2 M ~ Waterfront? Y or ~ Ifyes, water body: Pa~el# I od Zone: Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED pLgNS (y~~ SIGNeD, SEALED ~ SuRVE oR SITE PLAN Suffolk County Health: Y or~ If yes, *Bed#: _ *Date: *Permit#: Town Septic: Y• N - If uo, certification required: Y or N Received: Y or N By: NYS DEC: ea~nec vnns Y or~ Date: Permit or NJ Letter -Notes: Southold Trustees: Y of I~ - llate: Permit or NJ Letter -Notes: _ Southold ZBA: Y ot~- Date: Permit -Notes: Southold Planning: Y o~ Date: Permit -Notes: Town Landmark C of A: Y o>~DTE: / / *NYS CODE Compliance (page 2): Y or N GoNTRPrCTOB l1ctN5E_DISA~?LITy LIABILITy_W°~k~`tENS CoMPENS.4T/On/~ Notes: Fee Structure: Calculation: - Foundation: SF 19 ° ~ X 7 ~0 0 ~ g0 First Floor: 0 °1 SF + britial Fee: fJ a , O rJ Second Floor: ~ SF + Additional Fee $ Other: SF SF X $ , Total: SF + Initial Fee: $ + Additional Fee $ C of o FEES ~ .5~. °O A 5 BUILT FEE -a-- TOTAL: $ / ~ o ~ d 0 NEW PORK STATE CODE COMPLIANCE CHECI~I,IST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Grountl Snow Load: 20 Wind Speed:. 120MPH Seismic Design Category: B Weathering: Severe Frost Depth: 36" _ Termite: M-H Decay: S-M Design Temp: 11 Ice Shield Underlay: YES ~ Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIILE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCItIPTIVE FULL FRAMING DESIGN ELEMENTS: Y1N HEADERS: Y/N WALL STUDS: Y/N GIRDERS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N ROOF RAFTERS: Y/N LUMBER SPECIES AND GRADE: Y/N , WINDOW AND llOOR SCHEDULE: MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF F'IItE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN. Y/N CERTIFICATION: Y/N ENERGY CALCS:'1' N ~RESCHECK~ j o/ D O'K TOTAL COMPLIANCE? Y/N (RETURN TO PAGE ONE) r N/F STR/CKLAND a~ i 3 3 ~ . ~ ~ N 46• za' 20' E l~las• N/F KRAUS ! 42 44 N ~ 48 46 52 5D 54 \ f N/F J1 56 BARKLEY 58 VACANT \ f I~ N/F KELLER { W VACANT ~ s?E=y~R ° P~P.Y~ J j ~ 2 2..-• . Y'' q•!' t,-' / :7.: VEIL ; w 'CE.tAQ EMT ~ 4B 1~(+7-0 2 I-. _ ~ _3 _ h .l~ ~ r. j. 2 SPY 3 90 40 K'Opp i Iaa• a° _ 6~ roam tOT 1 1 - _ f si>~alns e I smao / , vao° sR.~ I ~ ~ OAK. RIDCE ~ NlLLS 56 r I 1 ~ ~ AT ad ~ ~ SOUTHOLD 54 m 3555 ~ ~ ~A,r M FILED APR. 30, 1962 z ' S0 . .f j ~ I so' ~ ~ ` / ~ I ~ 50 i \ a ~ _ 9), 4B 'h w TANK h cE sao~. ~ caa i y 1 / ~ r ~ Z j ~ • o g ~ ~ : 4a• zs' oo• w ~ ~ s~ nE= 15.0.00' JENNINGS ~ ROAD ASPHALT RD. (PRIVATE) i J `ro_ VACANT I~ 3osca~~ P. ro .aaart 2aoo FINAL ttousE,w£ct, saNlzaRr c - 29 JULY 99 LOCATE' PbUREO CONC FOUN A REScheck Software Version 4.4.3 Compliance Certificate Project Title: White Residence Energy Code: 2010 New York Energy Conservation Construction Code Location: Suffolk Courtly, New York Construction Type: Single Family Glazing Area Percentage: 7°/p Heating Degree Days: 5750 Climate Zone: 4 Construction Site: Owner/Agent: Designer/ConVactor: Jennings Road Nancy Dwyer Design Consuking, Inc. Southold, NY Southold, NY Compliance: 28.2% Better Than Code Maximum UA: 202 Your UA: 145 The % Better a Worse Than Cade intlex reflects how Gose to compliance the house is besetl on cotle bade-oH rules. II DOES NOT pmvitle an esHmale of ariergy use a mst rele0ve b a mrirxnn~de home. • ° Floor 1: All-Wood Joist/Truss:Over Uncondi0oned Space 822 30.0 0.0 27 Wall 1: Wood Frame, 16" o.c. 1150 19.0 0.0 65 Window 1: Vinyl Frame:Double Pane with Low-E 75 0.320 24 Ceiling 1: Flat Ceiling or Scissor Truss 822 30.0 0.0 29 Compliance Statement: The proposed building design described here is censi ant with the building plans, specifications, and other calculations submitted with the permit application. The proposed building ha een designed to meet the 2010 New York Energy Conservation Construction Code requirements in REScheck Version 4.4.3 and to cempl mand ry requirements listed in the REScheck Inspection Checklist. Sohn ('„r~rr,h P~ • ~ Name -Title at Date J ~wfx~r~ r ~ r ~ir ~~b oaert~ ~~sstaA?~" Project Title: White Residence Report date: 05/07/12 Data filename: Untitled.rck Page 1 of 4