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HomeMy WebLinkAbout36287-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 12/13/2012 No: 36082 Date: 12/13/2012 Location of Property: SCTM #: 473889 Subdivision: THIS CERTIFIES that the building AS BUILT ALTERATION 1525 Bergen Ave, Mattitugk, Sec/Block/Lot: 112.-1-16.7 Filed Map No. conforms substantially to the Application for Building Permit heretofore Lot No. · ed in this officed dated 4/1/2011 pursuant to which Building Permit No. 36287 dated 4/1/2011 was issued, and conforms to all o£the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: "as built" finished basement in an existing one family dwelling as applied for. The certificate is issued to Laura Ann Figurny (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ! 2/10/96 36287 11/5/12  Plumbing & Heating ho~'~ature 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 #: 36287 Permission is hereby granted to: WALTER & LAURA ANN FIGURNY 1525 BERGEN AVENUE MATTITUCK, N.Y. 11952 Date: 4/1/2011 To: AS BUILT FINISHED BASEMENT AS APPLIED FOR.REPLACES EXPIRED BP # 34187 At premises located at: 1525 BERGEN AVE MATTITUCK, N.Y. 11952 SCTM # 473889 Sec/Block/Lot # 112.-1-16.7 Pursuant to application dated To expire on 10/112012. Fees: 4/1/2011 and approved by the Building Inspector. PERMIT RENEWAL CO - ADDITION TO DWELLING ELECTRIC $828.00 $50.00 $150.00 .... Iolo.l~ $1,028.00 ........ Building s r FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII2DING PEPJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34187 Z Date SEPTEMBER 25, 2008 Permission for : AS BUILT is hereby granted to: LAUP~A ANN FIGURNY 1525 BERGEN AVENUE MATTITUCK,NY 11952 FINISHED BASEMENT AS APPLIED FOR. at premises located at 1525 BERGEN AVE MATTITUCK County Tax Map No. 473889 Section 112 Block 0001 Lot No. 016.007 pursuant to application dated SEPTEMBER 24, 2008 and approved by the Building Inspector to expire on N3kRCH Fee $ 828.00 25, 2010. Sig ture COPY Rev. 5/8/02 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: I. 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 amhitect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all properly 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 I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swim~ning pool $50.00, Accessory building $50.00, Additions to accessory bnilding $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: House No. Owner or Owners of Property: Suffolk County Tax MapNo 1000, Section Subdivision Permit No. Health Dept. Approval: Old or Pre-existing Building: Street ____ Block ] Filed Map. Date of Permit. Applicant: Underwriters Approval: (check one) Hamlet Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~-0 420 ~.~ Final Certificate: (check one) Town Hall Annex 54375 Main Road P.O. Box 1179 Soulhold, NY 11971 0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 ro.qer, dchert~town.southold.ny, us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Laura Ann Figurny Address: 1525 Bergen Ave City: Mattituck St: NY Zip: 11952 Building Permit #: 34187 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as bully DBA: License No: SITE DETAILS Office Use Only Residential [~ Indoor ~ Basement ~ Service Only ~ Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ 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: finnish basement Ceiling Fixtures [~ HID Fixtures Wall Fixtures [~ Smoke Detectors Recessed Fixtures ~.~ CO Detectors Fluorescent Fixtur{ J[~ Pumps Emergency Fixture Time Clocks Exit Fixtures b_J TVSS Notes: Inspector Signature: Date: Nov 5 2012 81-Cert Electrical Compliance Form.xls Town Hall, 53095 M~in Road P. O. Box t ! 79 Seulhold, New York 11971 F~x (~16) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Plumber: ! contains less than 2/10 of certify that the solder used in the water supply system 1% lead. / (Plumbers ~ ' Sworn to before me this ./o,, da~ o~ _~ County TOWN OF SOUTHOLD BUILDING DEPT. 765-18O2 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) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING/STRAPPING [ ] FIREP~CE & CHIMNEY [ ] FIRE SAF~ INSPE~I~~ [ ] FIRE R"I~T ~~1~ [ ] FIRE RESI~A~ ~N~TION [ ] ELECTRICAL (ROUGH) [ ] ELE~RICAL (FILL) REMARKS: ~ .~_ N ~ ,~ ..... ~--:. /.~ N OF SOUTHOi,B-BtJt~DING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ [)/J/FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: /i FIZLD LN'SPECTION REPORT DATE COb~ff;NTS FO[~I)ATION (1ST) FOI. L~-D ATION (2ND) ROUGH F!rL~M32NG & pI_J~,I~ENG I/NSL'LATION PER N. ¥. STATE ENERGY CODE FINAL ADDITIONAL COM2VI-ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. Examined q le,~-~)7 20 (~)~ Approved <5:( ~o~ ,20 O~(3 Disapproved a/c Expiration C~ ,20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans ~ Planning, Bo,~ approval Survey I/ ~ Check ~ Septic Fom~ N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form ~ Contact: Phone: .2Z Lgg 5 9 / / Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .~'~c~)'. ,~.q ,20023 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 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 [o~poratiohJ (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 6~the tax r~ll 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. I. Loc,ationl~2.~ oflandk_2~r~}on which,/]v}~A)4~nroposed work will b~:.7%//,/,~c,,r/~ /lf~/ /./q~-. House Number ~ Street ' H~mlet County Tax Map No. 1000 Section lit Block i Subdivision Filed Map No. Lot Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~,~ ~-g~Z? b. Intendeduseand occupancy 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 Other Work Alteration~ (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 Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear 9. Size of lot: Front Rear _Depth 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 Names oe Owner Pnon,.o. Name ofArchitect,z?4~/~/ ,-~5~4;r/x?,I~Address2g~,)~'fj/',q,_~W. Phone Name of Contractor Address ,,~ 'q~/X'~P~hone 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 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 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 K · IF YES, PROVIDE A COPY. STATE OF NEW YpRK) COUNTY OPO~<~"~O ~-~S¢: /~'/~__~/~.~g ¢~7'~:~¢ being duly sworn, deposes and says that (s)he is the applicant (l~ame of individual signing coht~act~ above named, (S)He is the ' .(-e~ntractor, 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. Sw°'2~/bef°~.a~~ 200 ~) Notary Public ^ ..N~o..01~'~[i9~}'" ,u,. Signature of Applicant uua~ineo n Suffolk Count,/ Commission Expires July 28, 2~)/___~ Tow___ n Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FOI~M PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF .~ Item N u n]ber: 4 (NOTE: A Check Mark (.~') for each Question is Required for a Complete Application) Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or constmcti0n activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Strdctures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! · ' r jecl quire any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cub c Ya ds of Matedal within any Parcel? I l ~- / ~"7 STORM-WATERt GRADING, DRAINAGE AND EROSION CONTROL p[~hl Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YO~, Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5.000) Square Feet of Ground Sudace? Is thole a Natural Water Course Running through Ihe Site? Is (his Project within 0]e 7 useesjursdc onorw n One Hundred (l{0')feetofa Wellandor Beach? Will there be .'}de preparation on Existing Grade Slopes which Exceed Fifteer~ 115) feet of Vertical Rise lo One Hundred 0100') of Horizontal Distance? Will Driveways. Parking Areas or other Inlpervious Sudaces Pe Sloped lo E)kecl ol~ 4 v'ato RLnO into and/or in the direction of a Town dght-of way? Will thi:~ Pr )jeol Require Ihe Placement of Material. Removal Gl Vegelation andR)r the Gonstraclion of any Ilem VVithin tho Town Right-of-Way or Road Shoulder Area? (This item will NOT include lhe Installation of Driveway Aprons) Will this Project Require Site Preparation within the One Hundred 0100) Year Flot.dplain of any Walercourse? NOTE: if Any Answer to Questions One through Nine is Answered withaCheck Mark in tile BOX, aStorm.Water, Grading, Drainage & Eros ion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! EXEMPTION: Ye~s Does this project meet the minimum standards or c assification as an Agricultural Project? Note: If You Answered Yes to this Question, aStorm-Water, Grading, Drainage&ErosionControiPlanisNOTRequired! ('0~ NTY OI ~,~ And hc,/qw O~*r[~Cl and/o~ lel)resell aU m&e ;md file this applicaSon; d~at MI statements contained ia fl~is applica~on a~e rote to the best of his h~owledge ~(1 belief; m~d dial d~e work will be perforated m fl~e m~ner set ford~ in ~e applicadon filed he~ewid~, Sworn to before n~e ................... ........... ................ ........................ L ~~ ,~ (Signature of ~pli~nt, ............ FORM - 06/07 ~ISSI~ ~pi~ ,July 28, 2~1~ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 ro.qe r. rich er t ~,t~w(~!s) o7 uCu~5o(~(~, n y. u s BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Date: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: *Name: *Ad d re s s': *Cross Street: *Phone No.: Permit No.: (*Indicates required information) Tax Map District: 1000 Section: I I ~ *BRIEF DESCRIPTION OF WORK (Please Print Clearly) Block: Lot: (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: YES / NO Rough In YES / NO 3Phase 100 150 200 300 350 Underground Number of Meters Change of Service PAYMENT DUE WITH APPLICATION 400 Other Overhead" 82-Request for Inspection Form -' TO~ OF 80UW~OLI) APPLICATION FOR ELECTRICAL I,NSPECT!ON -. i~.~me:', ~ ~ ~.~~ C~c~ ' .".~ [. J. OBSI:TE INFORMATION: (*Indicates required information) *Address: · *Cross Street: *Phone No.: · P{mmflt No.: · ~ ooo secti°n: 'BRIEF DESCRIPTION OF WORK (Please P~int c{e. ady) -( ready for .inspeo~. n: ~ you n=cd- Temp ~nform~on (if needecl) - *Servl~ $~e:' · *New 8ervioe: Re-conneot Additional Information: t00 Underground YE.S I NO 150 . 200 300: · 350 400 Olher Number ef Metem Change 6f Sewioe Overhead PAYMENT DUE WITH' APPLICATION P~]~]~;x 1179 TO~/H Southold, New York I 1971-0959 Location of Complaint: Property Own< File # FORM Telephone (631 ) 765-1802 Fax (631 ) 765-9502 NATU : Optional: Complainant: ~& By Phone __ Nail __In Person Address ~10~ ~c~'~ ~,1.~ ~_~t, C~O~' ~.tq_o k Phone: Report Taken By: (~q. Date: Date Re~erred to Code [nforcement: CODE ENFORCEMENT REPORT Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 December 14*h, 2010 BUILDING DEPARTMENT TOWN OF SOUTI-IOLD FIRST NOTICE Laura Ann Figurny 1525 Bergen Avenue Mottituck, N.Y. 11952 RE: 1525 Bergen Ave. {AS-BLT BASEMENT} SCTM: #1000-112.-1-16.7 To Whom It May Concern: Please be advised that your Building Permit # 34187 issued September 25th, 2008 has expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy must be issued before use of the structure. To renew your Building Permit, please submit a fee o~828.00; a~:h~that time, we can schedule an inspection by one of our Building Insi)~eet~/ If you have any questions, please call us at 765-1802. Respectfully, SOUTHOLD TOWN BU]:LDING DEPT. 54~7,5 M~ti~ P.O. l~}ox S~llth~[d, NY I 1!)71-0~,~!) January 25th 2011 BI IIi,DIN(; I)EI',~kRTMI~"~NT TOIAFN OF SOUTHOLD FTNAL NOT~CE Wolter&LouroAnn Figurny 1525 Bergen Avenue Mottituck, N.Y. 11952 RE: 1525 Bergen Ave. (AS-BLT BASEMENT) SCTM: #1000-112.-1-16.7 Dear Mr. & Nkrs. Figurny, Please be advised that your Building Permit # 34187 issued September 25th, 2008 has expired. According to the Code of the Town of Southold, o Certificot of Occupancy must be issued before use of the structure. To renew your Building Permit, please submit o fee of $828.00; at that time, we con schedule on inspection by one of our Building Inspectors. you hove any questions, please coil us at 765-1802. Respectfully, 50UTHOLD TOWN BU]:LDtN6 DEPT. Southold Town Building Department 54375 Main Road Southold, New York 11971 (631) 765-1802 Parcel lD: 112.-1-16.7 Permit #: 34187 Permit Date: 9/25/2008 Expiration Date: 3/25/2010 Applicant: Location: Work Description: Dated: 3/23/2011 WALTER & LAURA ANN FIGURNY 1525 BERGEN AVE MATTITUCK, N.Y. 11952 AS BUILT ADDITION AS BUILT FINISHED BASEMENT AS APPLIED FOR. A FEE OF $828.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT, THANK YOU. Owner: Address: WALTER & LAURA ANN FIGURNY 1525 BERGEN AVENUE MATTITUCK, N.Y. 11952 Your BUILDING PERMIT #34187 has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy as required by Southold Town code. Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector." Therefore, you have ten days from the receipt fo this letter to submit a check made out to the Town of Southold in the amount of $ to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m. Respectfully Yours, Michael Verity: Chief Building Inspector Southold Building Department cc: Damon Rallis Zoning Inspector Town Hall Annex 54375 Main Road P.O, Box 1179 Southold. NY I 1971-0959 Telephone (631) 765-1802 Fax (63 I) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 28, 2012 Laura Ann Figurny 1525 Bergen Ave Mattituck, NY 11952 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 4/1/84) __ 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. Final inspection by Building Dept, BUILDING PERMIT: 36287 - "As Built" Finished Basement ;CTM# 1(!00 [(~ - [ //ap :~ Subdivision: . Zone: _ Conformiag7 .... ~ropcrty Address: (?it3': ...... Pre COs? luilding pcrmils (Open/Expired): BI' -Z / C/0 Z- , inlb: _ 141' . 2[/C~0 2;- , infk>: IP_ _ -Z/Cq) Z- _,Info: BP ~__ -Z/C/0Z- ,hllb: BP Z/C/0Z- ,Info: llngle & Separate Search Required? Y or N Delerminafion: ~Q. Lot Size: ACT, Lot Size: ....... REQ. Lot Cox', ACT. Lot C0v. ~Q. Fiont . _ ACT. Front ........ I~Q Side ....... ACT. Side _ REQ. Rear__ _ PROP. Rear ~- ~Q. Height_ __ACT, Height , -;- - ~ ~aterflonl?YorN? fyes,~alerbody: _ Panel# llulMlead'Blu ff Distance: kDDITI{)NAL APPP, OVAI ~S REQIJIILEI) II uo, ce~ tificalion required: ~S I)E( 7: rl,,~, D1( 9'175 ¥ <)1~ DalC: / / I'el mil NJ goulhold '1~ uslees: T (~1 IO}'al{ : / / Pc~ mil ~outhold Z.B&: h' o Dale: / ' Permit /~: ~outhold Planning: Y o(~-Date: / / ._ Permit#: Notes: town landmark C of A: Y o~)TE: / / *NYS CODE (o n)liance (page 2): Y o~ N / ( alculation: First Flvo~ ~1 Second Fl~il: S}~ Other: $I~ Total: SI: ~ ,,\dditional Fee ( ): $ TOTAL: $ NEW YOP, I( STATE CODE COMPLIANCE CIIECKL1ST CLIMaTIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Lead: 45 Weathering: Severe Design Temp: 11 __ Frost Depth: 36" ___ lee Shield Underlay: YES __ USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRLICT[ON: DESIGN CItlTE[LLA: ENG1NEERED/PRESCI'[[PTIVE FI JI~/, FRAMING DESIGN ELEMENTS: Y~N ItEADERS: Y/N YVALL STUDS: Y/IN CELLING JOISTS: YflN IrLOOR JOISTS: LUB{BEP. SPECIES AND (;lCaDlg: Y/N DES IGN LL)AD CA [ J('~t ILAT[ONS: Li\rF;: 5(/Iq DIL/~D: \VN SNO\V: Y/N WINDOW f~qD /)()O1< ~;CIqEI)[fLE M1SSI ,E TEST REQUIREMIgNTS: Y/N EGRESS 5.7 S.F.: Y/N I,IGHT8%: Y/N VENT 4%: NAILfNG/CONSTRUCT[ON SCHEDULI<: Y/N MEANS C)F E(H<ISSS [ ()~ iATIGiq O[: ~Ii<l] I'7~()TFC'I'IOi'~ I~(.)! lI]q,flF1TI ENEIt(]Y CALCS [Oq Al, (.()MPI,II;N Y.,N (RILTURS '10 Wind Speed: 120MPH __ Seismic Design Category: Termite: M-}t .... Decay: S-M ..... Flood Hazards: (]; I I~. 1) li;l¢ $: 5r/N [2. (t O I; I. A J? I'E ILS; Certifications indicated hereon signify that this plot of the property depicted hereon was made in accordance with the existing Code of Practice for Land Sun,~yors adopted by the New Yak Stale ~iotion of Professional Land Surveyors. This certihcatio,n is only br the lands depicted hereon and is not certification of title, zoning or fi'eedom of encumbrances. Said cer~ficattons shall run only to the per~ons and/or entilJes listed he~eon and are not transfembb to additional persons, entities ex' subsequent owners. LAND NOW OR FORMERLY JOSEPH WANAT -- N 67'10'40" E ,,:344.24.' -- LOT 2 LOT 5 3s.s ?_ LOT . . 7 _r //// ' APPROVAL OF CONSTRUCTED WORKS FOR ~ O A SINCLE FAMILY RESIDENCE ~te,~I Ir O I '~r)l"l13' H,S, Ref. No, ~ I : ~,~c~.e~ ~nd~C. ce.~i~d, by t~,~ D~p;;.'t~ ~.~2.0r o~er agendas ~ found to NOTE: \S 67.10'40" W EXIST/NG SANITARY ~ WATER · OOAT, ONS OR I BERGEN AVENUE 'v]~wv: su~ver © 2008 BBV PC :; :; ..~1~_ Bclrrelt Tax/v~ap: DIS,lCT ,000 SECTION, ,2 BLOCK I I.OT 3~.7 Bonacci & ~p of:. BERGEN HOU. OW Unouth~zedalteratio~oraddi~ionlo~hissurmy~sa'ao- · · Van Weele, PC ~o~on~o~0~a~ks~u~ CivilEngineers 175A Commerce Drive MapLot: 3 MapBIock: -- Surveyors Hauppauge, NY 11788 / ~ 631.435.1111 File Date: DEC. 18, 1992 File No.: 9300 County: SUFFOLK Planners ~ 631.435.1022 ',,vww.bbvpc,com Situate: ~I~TIJTUCK, TO~/N OF ~OUTHOLD Certified to: Title No.: Date By Revbion I 10/18/9~ DT DWELUNG LOCATION COMPLETE 2/19/08 PR UPDATE SURVEY C/~pies of this su~ey map not bearing the land LAURA A. FIGURNY 7/17/08 PR SEPTIC SYSTEM DIMENSIONS surveyor's embossed sed ar~ signature shall not 8/6/08 D.W. DIMENSIONS TO 'WEII be considered to be o hue and ',~ld copy Sun, epdby: -- D,.,,%d~br: MJD Chec. hedby: GJB Project No.: 930948 Date: OCTOBER 18,, 1993 Scale: ! · [] 50' REScheck Software Version 4.2.0 Compliance Certificate Project Title: Figurny Residence Energy Code: 2007 New York Energy Conservation Construction Type: Heating Type: Glazing Area Percentage: Heating Degree Days: Construction Site: 1525 Bergen Avenue Mattituck, NY 11952 Construction Code Suffolk County, New York Detached I or 2 Family Non-Electric 2% 5750 Owner/Agent: Laura Fingumy Compliance: 4.0% Better Than Code Maximum UA: 202 Your UA: 194 Designer/Contractor: Ceiling 2: Flat Ceiling or Scissor Truss Wall 1: Solid Concrete or Masons:Interior Insulation Window 1: Wood Frame:Double Pane with Low-E Door 1: Solid Boiler 1: Other (Except Gas-Fired Steam) 85 AFUE 1385 15.0 0.0 86 1088 11,0 0.0 96 20 0.320 6 20 0.320 6 The with this Code knowledge, t in this document is consistent with the building plans, specifications, and other calculations submitted systems have been designed to meet the 2007 New York Energy Conservation Construction Professional has stamped and signed this page, they are attesting that to the best of his/her Name - '~ Signature Date Project Title: Figumy Residence Repor~ date: 09/24/08 Data filename: J:\MISCJOBS\Misc Jobs 2008\080031 Figurny - 1525 Bergen Ave\FIGURNY.rck Page I of 4 REScheck Software Version 4.2.0 Inspection Checklist Ceilings: Ceiling 2: Flat Ceiling or Scissor Truss, R-15.0 cavity insulation Comments: Above-Grade Walls: Wall 1: Solid Concrete or Masonry:Interior Insulation, R-11.0 cavity insulation Comments: Windows: I~1 Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, descdbe features: #Panes Frame Type Thermal Break? Comments: Yes No Doors: Door 1: Solid, U-factor: 0.320 Comments: Heating and Cooling Equipment: Boiler 1: Other (Except Gas-Fired Steam): 85 AFUE or higher Make and Model Number: Air Leakage: ~1 Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage are sea,ed. Recessed lights are 1) Type lC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible matedals. If non-lC rated, fixtures are ins~lled with a 3" clearance from insulation. Vapor Retarder: I~1 Installed on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials identification: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values, glazing U-factors, and heating equipment efficiency are cleady marked on the building plans or specifications. insulation is installed according to manufacturer's instructions, in substantial contact with the surface being insulated, and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: Supply ducts in unconditioned attics or outside the building are insulated to at least R-8. Return ducts in unconditioned attics or outside the building are insulated to at least R-4. Supply ducts in unconditioned spaces are insulated to at least R-8. Return ducts in unconditioned spaces (except basements) are insulated to R-2. Insulation is not required on retum ducts in basements, Duct Construction: All joints, seams, and connections are securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics are rated UL 181A or UL 181B. Exceptions: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa) I~1 The HVAC system provides a means for balancing air and water systems. Project Title: Figumy Residence Report date: 09/24/08 Data filename: J:~MISC_JOBS\Misc Jobs 2008\080031 Figurny - 1525 Bergen Ave\FIGURNY.rck Page 2 of 4 Temperature Controls: I~ 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; ~1 Fireplaces are installed with tight fitting non-combustible fireplace doors. [] Fireplaces have a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State, the Residential Code of New York State or the New York City Building Cede, as applicable. Service Water Heating: Water heaters 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, I~1 Circulating 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 heated swimming pools have an on/off heater switch and a cover unless over 20% of the heating energy is from non~lepletab~e sources. Pool pumps have a time dock. Heating and Cooling Piping Insulation: FI HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Project Title: Figumy Residence Report date: 09/24/08 Data fllename: J:\MISC JOBS\Misc Jobs 2008\080031 Figurny - 1525 Bergen Ave\FIGURNY.rck Page 3 of 4 · ' 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 Piping System Types Insulation Thickness in Inches by Pipe Sizes Fluid Temp. Range(OF) 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.9 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) Project Title: Figurny Residence Report date: 09/24/08 Data filename: J:\MISC JOBS\Misc Jobs 2008\080031 Figurny - 1525 Bergen Ave\FIGURNY.rck Page 4 of 4 UNEXOAVATED EXlSTllCD T-O'BEAH HT. 2&'-D" GL. UNEXCAVATED pOUREO CONCREI~ Foo'nNG FOUNDA'110N 'SC, ALE, I/4": I'-0" 0 2 4 & OIL TANK OIL TANK FLOOR .UNEXGAVATED TP. ANSFER 5HITCH pANEL EEI~IIRER LIGHT - 4~.20 S~ FT..' PROMDEO UQ'IT - 13, SQ. FI'. RSQUIRED VE)/T - ~5.,31~ SQ. FT. PROMDED VI~T - 16 SQ. FT. PROMDE #ECI.IANIC~L 'e'ERTILA'~ON -0,35 NR CHANGES PER HOUR IN 3N£ ROOM SEE PROPOSED NR EXCHAN~ BY APRILNR 5'I"t E OLS: 0 CARBON HONOXIDE DE'r~GTOR COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIREU AND CONDITIONS OF ~OUTHOLD TOWN Z al' ...... $01.rfHOLO TOWN PL~NNII'I~ BOARO SOUTJ~OLD TOCvi4, dUSTEES 'GGUPANCY . US UN [tJtUl. APPROVED AS it01'ED 765-1802 BAM TO ,IPB FOR TNE FOLLOWING INSPECTIONS: 1. FOUNDATION "TWO REQUIRED FOR POURED CONCRETE 2. ROUGH ' FRAMING & FLUBBING 3. INSULATION 4. FINAL - CONSTRUCTION BUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. CERTIFICATION OF NAILING & coNNECTiONS REQUIRED, COOES OF NEW YORK STATE. PLUMBE~t CERTIFIOA ?/O,',t ON LEAD CONT~ENT BEF c.! ~,~ CERTIFICATE OF OCCUPA;'? ;Y SOLDER USED IN W/ATSR SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1% LEAD. .~,REQUIREO