HomeMy WebLinkAbout36424-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
1/23/2013
CERTIFICATE OF OCCUPANCY
No: 36119
Date: 1/23/2013
THIS CERTIFIES that the building RESIDENTIAL NEW CONSTRUCTION
Location of Property: 415 Sound Rd, Greenport,
SCTM #: 473889 Sec/Block/Lot: 35.-1-4.5
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
5/17/2011 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 a New Single Family Dwelling:
Great Room, Kitchen, 3 Bedrooms, 2 1/2 Baths, Mud Room, Laundry,
2 Car Garage, Covered Stoop, Unfinished Basement, as applied for.
Lot No.
filed in this officed dated
36424 dated 8/1/2011
The certificate is issued to
Jester, Robert & Diane
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 1/11 / 13
R10-11-0009 1/15/13
36424 12/5/12
_~g Plumbing & Heating
/~h(~r~ed 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 #: 36424
Permission is hereby granted to:
Jester, Robert & Diane
314 Champlin Place
Greenport, NY 11944
Date: 8/1/2011
To:
Construct a New Single Family Dwelling;
Gmat Room, Kitchen, 3 Bedrooms, 2 1/2 Baths, Mud Room, Laundry,
2 Car Garage, Covered Stoop, Unfinished Basement, as applied for.
At premises located at:
415 Sound Rd, Greenport
SCTM # 473889
Sec/Block/Lot # 35.-1-4.5
Pursuant to application dated
To expire on 1/30/2013.
Fees:
5/17/2011
and approved by the Building Inspector.
CO - NEW DWELLING
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
Total:
$50.00
$t,791.60
$1,841.60
~4-04-'12 08:37 FBOH-e2sys FAX 6314565200 T-918 Pg~al/ag~l [-615
town sou'r o u
BUILDING DEPARTME~ J~ ~ t
APPLICATION FOR OERT1FICATE OF OeOUPAN~ ~ ~ p~
[ TO
TM, ',' qO ')F}~[D
Tfiis application must be filled in by typewriter or ink and submitted to the Building Depaament with the following:
A, For new building or new use; 1. Final survey of property with accurate location of all buildings, property lines, streets, and nnusual natural or
topographic features.
Final Approval from Healtfi DepL of water supply and sewerage-disposal ($-9 form).
3. Approval ofelecu-ica] installation fi-om Board of Fire Underwrite'rs.
4. Sworn statement fi'om plumber ee~ifying that the solder used in system eontalns less than 2/10 of I% lead.
5. Commercial building, industrial building, nmltiple residences and similar buildings and installations, a zm~Jficate
of Code Compliance fi'om architect or eugineer responsible for tfie building.
6 Submit Plam~ing Board Approval of completed slt¢ plan requirements.
I. 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 sign~ by the applicant. If a Certificate of Occupancy
denied, the Building Inspector shall state the re~ons therefor in writiag lo {l~e applicant.
C. Fees
Swimming pool $50.00~ Access~i'[.~g~TC.~O, Additions to accessory bnilding $50 00~ Bt s ~esses $50.00.
2. Certificate afOccupaacy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy- $.25
Updated Certificate of Occupancy- $50.00
5. Temporary Certificate orOccupaney - Residential $15.00, CommerciM $15.00
New Consr,'gc!ion: .V' Old or P,'e-existi'ng Building:
Location of P,'ope,'ty: ~115 -~(~J/74
House No. Street
Owner o,' Owners of Property: ~0~)~
Suffolk County T~x Map No I000, Section
Su~di~isio,',
Permit No.
Healtfi Dept. Approval:
Date of Permit.
(check one)
Hamlet
Block I Lo~
Filed Map1 Lot:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee ~) .OB
SL, b,,~iltech $ .~_~ O'~F
Final Certificate:
__ (check one)
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. NY 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
ro.qer, richert~town.southold, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Jester
Address: 415 Sound Rd City: Greenport St: NY Zip: 1194,~
Building Permit#: 36424 Section: 35 Block: 1 Lot:
WAS EXAMINED AND FOUND TO RE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: EHI Power and Lighting LicenseNo: 47636-me
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
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:
Ceiling Fixtures ~~[~ HID Fixtures
Wall Fixtures I 141 Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur(~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
2-combination smoke/co detectors, 2-exhaust fans, 5-paddle fans
2-GFCI circuit breakers, 5-ARC fault circuit breakers
Notes:
Inspector Signature:
Date: Dec 5 2012
81-Cert Electrical Compliance Form.xls
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
ro.qer, r chert~town.southold.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRIClAL COMPLIANCE
SITE LOCATION
Issued To: Jester
Address: 415 Sound Rd City: Greenport St: NY 7ip: 11944
Building Permit#: 36424 Section: 35 Block: I Lot: 4..~
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C-Cat Electric License No: 953-me
SITE DETAILS
office Use Only
Residential l~ Ind°°r ~ Basement [~ Service Only [~
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
Service 1 ph 120£
Service 3 ph
Main Panel ~
Sub Panel
Transfonmer
Disconnect J200~
Other Equipment:
INVENTORY
Hot Water GFCI Recpt
NC Condenser Single Recpt
NC Blower Range Recpt
Appliances Dryer Recpt
Switches Twist Lock
200a underground sewice
Ceiling Fixtures I~] HID Fixtures
Wall Fixtures ~ Smoke Detectors
Recessed Fixtures ~ CO Detectors
Fluorescent Fixture ~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures L~ TVSS
Notes:
Inspector Signature:
Date: Dec 5 2012
81-Cert Electdcel Compliance Form.xls
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York I 1971-0959
Telephone (631) 76571802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Owner:
(Please print)
Plumber: ,~t3 J~4J4,, . ~'-
(Plebe prat)
Date:
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Sworn to before me this
day ot~-"XoXC',x~c~_J-x~, 20 t~9
(Plumbe~ Signature)
CONNIE D. BUNCH
Notary Pubfic, State of New York
No. 01BU6185050
Qualified in Suffolk County
Commission Expires April 14,
Notary Public, ~c~.~ County
TOWN OF SOUTHOLD BUILDING DEPT.
~ 765-1802
//INSPECTION
[~ 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)
DATE ~,/~/-~//¢ INSPECTOR ,//~_~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]F~ATION 1ST
FOUNDATION 2ND
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMAR~~~~~~_
DATE
INSPECTOR~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
DATE
I NSPECTORj ~-~'~~
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ] FO~I~T~J~2N~ [ ] INSULATION
[ ~]~FRAMING / ~ []FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ~ [~.] ELECTRICAL (FINAL)
-
REMARKS:
765-1802
INSPECTION
[ ] FOUNDATION 1ST [~ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION [~FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE 7-6-/"~ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND [
[ ] FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
~ ELECTRICAL (ROUGH) [
REMARKS:
ROUGH PLBG.
INSULATION
FINAL
FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
ELECTRICAL (FINAL)
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ]
[ ] FOUNDATION 2ND ~INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: ~~ .~-?__r-~ ~,_ ,
DATE
INSPECTOR~
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU~U. LATION
[ ] FRAMING/STRAPPING [~mFINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION[ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (.FINAl.). -~
REMARKS./~~~
DATE~~--INSPECTOR~
TOWN OF SOUTHOLD BUILDING DEPT.
765-18O2
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) ~5L~CTRICAL (FINAL)
REMARKS:
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I/NS~LATION
[ ] FRAMING/STRAPPING [(/]' FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ~LECTRICAL (FINAL)
TOWN OF SOUTHOLD BUILDING DEPT.
TOWN OF SOUTHOLD
BUILDING DEPARTS~ENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. North Fork.net
Examined ~-- 1'%~- , 20 I/
Approved ~¢-~'~-~- , 20 I I
Expiration
PERMIT NO.
I AY 16 2011
BLDG. DEPt
TOWN OF SOUTHOLD
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
....,Board of Health
"~'4 sets of Building Plans
Planuing Board approval
~,,$urvey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Pe~it
StonmWater Assessment Form
Contacl:
Mail to: D,
Building Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date
,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 promises 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 tbr inspection throughout the work.
e. No building shall be occupied or used in whole or in part lbr 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 zoniug 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 lbr 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, Suftblk 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 a&nit
authorized inspectors on premises and in building for necessary inspections.
(Signature ofapp , ifa corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises ~x¢b~VJt W. ~ ~)(~¢(., G. 7e...S3tC'(''
(As on the tax roll or latest deed)
If applicant is a corporatiou, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. &6 - q' ~,~ ~ "2
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
N"/
House Number Street ' k * Hamlet
B,q qt~
County Tax Map No. 1000 Section 3g Block I Lot q, ~'
Subdivision Filed Map No. Lot
State existing use and occupancy of premises and intended use and occupancy of proposed conskuction:
a. Existing use and occupancy
b. Intended use and occupancy ~",,S~,cke, r',L(,
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
Addition
Other Work
Alteration
(Description)
Fee
(To be paid on filing this application)
Number of dwelling units on each floor
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
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 ~o k' '~ ¢~ Rear ~k,q-e_q,,~ Depth
Height Iq ~C~,e~ Number of Stories
9. Size of lot: Front ~-~-I -~'~ Depth
10. Date of Purchase /4/ ~q/tO
11. Zone or use district in which premises are situated ~$'~.C~&i'~.'~ \
Rear [ .~0
Name of Former Owner
Rear
14. Names of Owner of premises
Name of Architect
Name of Contractor
I2. Does proposed construction violate any zoning law, ordinance or regulation? YES NO k/'
13. Will lot be re-graded? YES NO ~//Will excess fill be removed from premises? YES NO
Address3tUl ~l,r~\(r~[~l, f~FLPhone No. a'T'I_-
Address t,6. Eo~( G~&~o~,'ihg/A Phone No -.-/~ _~T-~-
Address q x~)' ' Phone q"l'l- (5~'q q
No.
15 a. ls this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __ NO V'/
* 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 fnundation plan and distances to property lines.
17. It' 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
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named, OONNIE D. BUNCH
Notary Pub~, ~tate of New York
NO. 01BU6185050
(S)He is the Qu_-.!...'~'d-- !~ --e'?ra-~ C. aunlv
(Contractor, Agent, Corporate Officer, etc.) Commi~81o~ Dq~lr~ POfl114,'2.~2J~.~
of said owner or owners, and is duly authorized to pertbrm 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
pertbnned in the manner set tbrth in the application filed therewith.
Sworn to,before me this
]~'~ dayof ~ 201/
Notary Public
Signature o~pplicant
Town of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.C.T.M. ~* THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
'~(~ I ~, ~ STORM-WATERf GRADING, DRAINAGE AND EROSION CONTROL PLAN
D~-~ct s.cuo. Stuck LCt CERTIFIED BY A DESIGN FROFESSIONAL IN THE STATE OF NEW YORK.
SCOPE OY WORK - PROPOSED CONSTRUc.'I'ION l'l'[a'Vl# / WORK ASSESSMENT [ Yes No
a. What is the Total Ama of the Project Parcels? I Will this Project Retain AJI Storm-Water Run-Oft
(Include Total Ama of all Pameis located within Generated by a Two (2") Inch Rainfall on Site?
the Scope of Work for Propesed Construction) (This itam will include all run-off created by site ~/ F~I
b. What is the Total Area of Land Cleadng (S.F./Ac~s) clearing and/or construction activities as well as all
and/or Ground Disturbance for the proposed Site Improveruenta and the permanent craafice of
construction activity? impervious surfaces.)
(s.F.,,~,.) 2 Does the Site Plan and/or Survey Show Ali Proposed
PRO~IZ)E BIU]~; PROJECT D~C?J]~ON ~ ~ ~"N""~d) Drainage Structures Indicating Size & Location? This
Item shall include all Proposed Grade Changes and --
~ ~.~C[ I'~ ~\ 0t {~nl ~ S'~ ~' ~"/ Slopes Controlting Surface Watar Flow.
~ ~ "~ (~,c(~ ~ / 3 Does the Site Plan and/or Survey descdbe the erosion
and sediment centrol practices that will be used to V
control site erosion and storm water discharges. This --
item must be ruaintained thrcughout the Entire
Construction Period.
4 Wiil this Project Require any Land Filling, Grading or
Excavation where them is a change to the Natural
Existing Grade Involving more than 200 Cubic Yards
of Matedal within any Parcel?
5 Will this Application R(~luire Land Disturbing Activities r'~
Encompassing an Area in Excess of Five Thousand
(5,000 S.F.) Square Feet of Ground Surface?
6 ~s there a Natural Water Course Running through the
Site? Is this Project within the Trustees jurisdiction
General DEC SWPPP Requirements: or within One Hundred (100') feet of a Wetland or
Subm~slon of a SWPPP b rnguir~l for all Construclk)n actMties involving ~oil Beach?
disturbances of one (1) or more acres; including disturbances of less than one acre that 7Will there be Site preparation on Existing Grade Stopes
are part of a isrger common plan that will ultimately disturb one or mom acres of land; which Exceed Fifteen (15} feet of Vertical Rise to I
including Consl~cben activities invo;ving soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance3
the DEC has determined that a SPDES permit is required for storm water discharges. '
SWPPP's Shall meet the Mtelmum Requirements of the SPDES General Penni~ 8 Will Driveways, Parking Areas or other Impervious
for Sform Water Discharges from Construction activity - Permit No, GP-0-t0-0gt.) Surfaces be Sloped to Direct Storm-Water Run-Off V
1. 'the SWPPP shall be prepared prior th the submittul of the NOL 'l~e NOI sha~l be into and/or in the direction of a Town right-of-way?
STATEOFNEWYORK, ~' p r'-h ~.. Notary Publlc. Stateof NewYork
COUNT~ OF .~.~-.~ ........ SS NO. 01BU6185(]50
Qualified in Suffolk Comity ,.,
That I ................................................................................ being duly sworn, deposes angsa~%~ee/s~eXP~Jsr~e~aPpnl}li~c~ah; or~e~t,
Owner and/or representative of the 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 ~a'ue to the best of his knowledge and belief; and
that the work will be performed in the manner set forth in the application filed herewith.
Sworn to before me this;
FORM - 06/10
Town Hall Annex
54375 Main Road
P.O. Box i 179
Southold, NY 11971-0959
Telephone (631) 765-1802
REQUESTED BY:
Company Name:
Name:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
Date:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
(*Indicates required information)
1000 Section: .~" Block:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information (If needed]
YES / NO
/NO
Rough In Final
*Service Size: ~ 3Phase__... 100
*New Service: ~ .
Re-connec Undergmun~
Additional Information:
150 ~ 300 350 400 Other
Number of Mete~) Change of Service Overhead
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-09.59
BUH ~I~G DEPARTMENT
TOWN OF SOUTHOLI~
APPLICATION FOR ELECTRICAL INSPECTION
ro.qer, dche~ ~
REQUESTED BY: [")t o,v~, * ~,~ c~
3ompany Name:
Address:
No.:
Date:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street
*Phone No.:
Permit No.:
Tax.Map District:
1000 Section: ~ Block:
Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(P!ease Circle All That Apply)
*Is job ready for inspectiOn:
*Doyou need a Temp Certificate:
YE____S / NO Rough In
YES / NO
Final
Temp Information (If. needed]
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
~New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additienal Information: PAYMENT DUE WITH APPLICATION
82~equest for Inspection Form
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF 8OUTHOLD
January 15, 2013
Robert & Diane Jester
314 Champlin Place
Greenport, NY 11944
Re: 415 Sound Rd, Greenport
TO WHOM IT MAY CONCERN:
The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy:
__ Application for Certificate of Occupancy. (Enclosed)
__ Electrical Underwriters Certificate. (contact your electrician)
~Fi fnea~ ~feSa~i'0D0;partment Approval. ~t~ t/~'v//~:~ (~
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.
Final inspection by Building Dept
BUILDING PERMIT: 36424 - New Single Family Dwelling
BUILDING PERMIT EXAMINER CHECKLIST
Applicant:
*Date Submitted: '~ /~ -/[ Date Reviewed:
,
~: ~n~.a~-~-~_ _ . Estimated Cost:
SCTM#1000-- 9--K'-- ~ ,,., /~rS- SubdwlSlOa: fi/~-~d{- Zone: ~ Coaforming?~0.
Property Address: ~/~ ~ ~, Ci~: ~ Pre COs? ~0_
~mlding PermRs (Open/Exp~ed): BP ~ -Z / ~0 ~ ' , Info: ~ BP~-Z / ~0 ~ , Info:
BP -Z / C/0 Z- , Info: BP ~-Z / ~0 ~ , ~fo: BP~ -Z / ~0 Z-~, Info:
8ingle & Separate Search Required? Y o~etermination: '
~Q. ~t Size: ~00o ACT. ~t Size: ~lq~6~7~q.~tCov.~°~tCov.
~Q. Front ~ ACT. Front ~ ~Q Side /~ ACT. Side '~ ~Q. ~e~ P~oP.
~Q Height ~ ACT. Height o~ g~ ~51~5 ~ ~CT ~,7
Ify~, water body: ~ Pane- ' 1~ Flood ~ne: ~ ~ Bul~ea~BluffDistance:
ADDITIONAL APPROVALS REQUIRED
Suffolk County Health Y~r N-If yes, ;Bed#: ~/c *Date: ~/~$/]/ *Permit#: ~-I0-~1 "o2~c] Town Septic'~ - If no, certification required: Y or N Received: Y or N By:
NYS DEC: I~U~-DeC 9/UTS Y or~- Date:
Southold Trustees: Y or~- Date: /
Southold ZBA: Y o~- Date: / /__
Southold Planning: Y o~- Date: /__
Town Landmark C of A: Y o~DTE: __
/ / · Permit ti:
/ Permit #:
Permit #:
/ Permit ti:
/ /
or NJ Lettei' - Notes:
or NJ Letter - Notes:
- Notes:
- Notes:
*NYS CODE Compliance (page 2)~_~r N
Fee Structure:
Foundation: J (~,~ SF
First Floor: ,~3 aTM SF
Second Floor: SF
Other: ~ SF
Total: 3~7~ SF
Calculation:
+InitialFee:$ ~0t ~O
+ Additiongl Fee ( ): $
SF X $ =$
+ Initial Fee: $
+ Additional Fee ( ): $
TOTAL: $ 1,7
.6o
REScheck Software Version 4.4.0
Compliance Certificate
Project Title: Jester Residence
Energy Code: 2009 IECC
Location: Suffolk County, New York
Construction Type: Single Family
Glazing Area Percentage: 83%
Heating Degree Days: 5999
Climate Zone: 4
Construction Site:
Sound Road
Greenport, NY 11944
OwneflAgent:
Robert & Diane Jester
Compliance: 3.3% Better Than Code Maximum UA: 2tl Your UA: 204
Designer/Contractor:
Nancy Dwyer Design Consulting, inc.
Southotd, NY
Floor 1: All-Wood Joist/Tress:Over Unconditioned Space
Ceiling 1: Flat Ceiling or Scissor Truss
Window 1: Vinyl Frame:Double Pane with Low-E
Door 1: Solid
Door 2: Glass
1610 19.0 0.0 76
1610 30.0 0.0 56
180 0.310 56
42 0.180 8
25 0.310 8
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 buildin~ed to meet the 2009 IECC requirements in
RE~checkV~rsi~n4~4~andt~c~mp~ywtlhth~rnandat~/roquir~in~eR~check~nspecti~nCheck~ist~
Name- Title
Project Title: Jester Residence Report date: 05/25/11
REScheck Software Version 4.4.0
Inspection Checklist
Ceilings:
[] Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
Windows:
[] Window 1: Vinyl Frame:Double Pane with Low-E, U-tactor: 0.310
For windows without labeled U-factors, describe features:
#Panes Frame Type Thermal Break?
Comments:
Doors:
[] Door 1: Solid, U-factor: 0,180
Comments:
Yes__No
[] Door 2: Glass, U-factor: 0.310
Comments:
Floors:
[] Floor 1: Ail-Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation
Comments:
Floor insulation is installed in permanent contact with the underside of the subfloor decking.
Air Leakage:
[] Joints (including dm joist junctions), attic access openings, panetratioos, and all other such openings in the building envelope that are
sources of air leakage are sealed ~ caulk, gaskated, weathersthpped er otherwise sealad with an air ban~er material, suitable film or
solid material.
[] Air barrier and sealing exists on common walls between dwelling units, on exterior walls behind tubs/showers, and in openings between
window/door jambs and framing.
[] Recessed lights in the building thermal envelope are 1 ) type lC rated and ASTM E283 labeled and 2) sealed with a gasket er caulk
between the housing and the interior wall or coiling covering.
[] Access doors separating conditioned from unconditioned space are weather-stripped and insulated (without insolation compression or
damage) ~3 at least the level of insulation on the surrounding surfaces. Where loose fill insulation exists, a baffle or retainer is installed
to maintain insulation application.
[] Wood-buming fireplaces have gasketed doors and outdoor combustion air.
Air Sealing and Insulation:
[] Building envelope air fightness and insulation installation complies by either 1) a pest rough-in blower door test result of less than 7
ACH at 33.5 psf OR 2) the following items have been satisfied:
(a) Air barriers and thermal barrier: Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or
repaired.
(b) Ceiling/attic: Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed.
(c) Above~rade walls: Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier.
(d) Floors: Air barr~r is installed at any exposed edge of insolation.
(e) Plumbing and wiring: Insulation is placed between outside and pipes. Batt insulation is cut to fit around wiring and plumbing, or
sprayed/blown insulation extends behind piping and wiring.
(f) Coreere, headers, narrow framing cavities, and tim joists are insulated.
(g) Shower/tub on exeter wall: Insulation exists between showers/tubs and exterior wall.
Sunrooms:
[] Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum
skylight U-factor of 0.75. Now windows and doors separating the sunreom from conditioned space meet the building thermal envelope
requirements.
Project Title: Jester Residence Report date: 05/25/11
Data filename: Unfifled.rck Page 2 of 4
Materials Identification and Installation:
Materials and equipment am installed in accordance with the manufacturer's installation instructions.
Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value.
Materials and equipment are identified so that compliance can be determined.
Manufestumr manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
[] Insulation R-values and gta,~ng U-factom are deady marked on the building plans or specifications.
Duct Insulation;
Supply ducts in attics am insulated to a minimum of R-8. All other ducts in unconditioned spaces or outside the building envelope am
insulated to at least R-6.
Duct Construction and Testing:
[] Building flaming cavities are not used as supply ducts.
[] All joints and seams of air ducts, air handlem, ~b~' boxes, and building cavities used as retum ducts am substantially airtight by means
of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Tapes, mastics, and fasfonem am rated UL 181A or
UL 181B and ara labeled according to the duct construction. Metal duct connections with equipment and/or fittings ara mechanically
fastened. Crimp joints for round metal ducts have a contact lap of at least 1 112 inches and are fastened with a minimum of three
equally spaced sheet-metal screws.
Exceptions:
Joint and seams covered with spray polyurethane foam.
Where a partially inaccessible duct connection exists, mechanical fastanem can be equally spaced on the exposed portion of the
joint so as to prevent a hinge effect.
Continuously welded and locking-type longitudinal joldts and seams on ducts operating at less than 2 in. w.g. (500 Pa).
[] Duct tightness test has been pen~ormed and meats one of the following test criteria:
(1) Postnonstruction leakage to outdcom test: Less than or equal to 8 cfm per 100 fl2 of conditioned floor area.
(2) Postcons~uction total leakage test (including air handler enclosure): Less than or equal to 12 cfm par 1(30 fi2 pressure differentia; of
0.1 inches w.g.
(3) Rough-in total leakage test with air handler installed: Less than or equal to 6 cfm per 100 fi2 of conditioned floor area when tested at
a pressure differential of 0.1 inches w.g.
(4) Rough-in total leakage test without air handler installed: Less than or equal to 4 cfm par 100 ft2 of conditioned floor area.
Heating and Cooling Equipment Sizing:
[] Additional requirements for equipment sizing are included by an inspection for compliance with the Intemationel Residential Code.
[] For systems serving murdple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial
Building Mechanical and/or Service Water Heating (Sections 503 and 504),
Circulating Service Hot Water Systems:
~1 Circulating service hot water pipes are insulated to R-2.
[] Circulating service hot water systems include an automatic or accessible manual switch to tam off the circulating pump when the
system is not in uso.
Heating and Cooling Piping Insulation:
[] HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3,
Swimming Pools:
[] Heated swimming pools have an on/off beater switch.
Pool heatem operating on natural gas or LPG have an electronic pilot light.
[]Timer switches on pool heaters and pumps are present.
Exceptions:
Where public health standards require continuous pump operation.
Where pumps operate within solar- and/or waste-heat-recovery systems.
[] Heated swimming pools have a cover on or at the water surface. For pools heated over 90 degrees F (32 degrees C) the cover has a
minimum insulation value of R-12.
Exceptions:
Covem are not required when 60% of the heating energy is from site-recovered energy or sctar energy source.
Lighting Requirements:
[]A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the fctlowing:
(a) Compact fluorescent
Project Title: Jester Residence Report date: 05/25/11
Data filenarca: Untitled.rck Page 3 of 4
(b) T-8 or smaller diameter linear fluorescent
(c) 40 lumens per watt for lamp wattage <= 15
(d) 50 lumens per watt for lamp wattage > 15 and <= 40
(e) 60 lumens per watt for lamp wattage > 40
Other Requirements:
Snow- and ice~nelting systems with energy supplied Eom the service to a building shall include automatic controls capable of shutting
off the system when a) the pavement temperafom is above 50 degrees F, b) no precipitation is falling, and c) the outdoor temperature is
above 40 degrees F (a manual shutoff control is also permitted to satisfy requirement 'c').
Certificate:
A permanent cmlificata is provided on or in the electrical distribution panel listing the predominant insulation R-values; window
U-factom; type and efficiency of spece-conditionieg and water heating equipment. The certificate does not cover or obstrect the visibility
of the circuit direct~ label, service disconnect lapel or other required labels.
NOTES TO FIELD: (Building Department Use Only)
Project Title: Jester Residence Report date: 05/25/1
Data filename: Untitied.rck Page 4 of 4
]~ 2009 IECC Energy
Efficiency Certificate
Ceiling I Roof 30.00
Wall 0.00
Floor / Foundation 19.00
Ductwork (unconditioned spaces):
Window 0.31
Door 0.18
Heating System:
Cooling System:
Water Heater:
Name:
Comments:
NA
Date:
SURVt-=¥ED: APRIL 14. 2010
FOUNDATION LOC,. SEPT. 2-1, 2011
~F~OLK 60UN~ TAX ~
I000- ~5- I - 4.5
NOTE5:
Arec~ : 28,1q2 5. F.
Areo = 0.64-12 Acres
OR.APHIC 5GALE I"= 40'
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MAIN ItOAD (NOR"III P. OAD)
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S, LIC. NO. 50202
RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287
REF.-C:\Users~John~ropbox\ 10\10-125 FI)AT. LOC..pro
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51..~VEY'ED: APRIL 14. 2OIO
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ROBB~T W. ~STER
LAWYERS '~'~'~'LE ~NSURA~C~ COR~D~/ON
SOU7~ BAY ABSTRACT,
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MAR 2
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JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287
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SURYE¥ OF LOT 5
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JAN 2 2 2013
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JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287
REF.-C:\Users~JohnU)ropbox\l 0\10-125 FINALpro
J E,STEI I E,_51DENCE
RETAIN STORM WATER RUNOFF
PURSUANT TO CNAPTEI~ 236
OF THE TOWN CODE.
APPROVED AS NOTED
NOTIFy BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS.
FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2 ROUGH- FBAMING, PLUMBING,
STRAPPING ELECTRICAL &~
3. INSULATION
4, PtNAL - CONSTRUCTION & ELECTRICAl
MUST BE COMPLETE FOR C.C.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
FKONT ELEVATION
SCALE: ¼"= ILO"
BUILDING DEFAI~TMENT CRITERIA
OCCUPANCY CLA551PrCAT[ON ~, 3 RESIDENTIAL - 5~CTION 3 I 0 BUILDING CODE N,Y.5,
US~ DWELLING UNIT - SECTION 3 J 0 - 3 1 0.2
~P?OCEED WffH
~i~ ~.~.~, OCCUPANCY OR
WITHOUT CERTIFICATE
OF OCCUPANCY
COMPLY WITH ALL CODES OF
NEW YORK STATE 8, TOWN CODES
AS REQU
LEFT 51DE ELEVATION
ELECTRICAL
INSPECTION REQUIRED
PLUMBING
~N~__~_~,._~j~__ _~_ _£~_ --~
CE~ RTII-"I~IT'E~F OC~,UpA, ~y
' SUF~,L. Y~Y~TEM.,CANNOT
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PAGE:
I
RIGHT 51DE ELI_--VATION
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SCALE: ~"= I'-O"
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PAGE:
2
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o
2"× JO" C.J
THP-,U TO ?OUNDATION
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NAILING SCHEDULE J J
TABLE ~ J , NCLUDING 3 3 AND ~ ~ J J
JOINT DESCKIPTION J NAIL QUALI~ NAIL 5PACING
~ ~AMIN~
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I
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"NOTE: CONCI~TE DHALL DE
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AT D(rERIOR WALL
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CLIMATIC AND GEOGRAPHIC DE51GN CRITERIA
TABLE R30 1 .g I
ALLOWADLE DEFLECTION OF STRUCTURAL MEMRI~ER5
STRUCTURAL MEMBER ALLOWABLE DEFLECTION
_z
PAGE:
FASCIA ¢ VENTED DOPRT;
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WIND le. EDI,DTANT CONDTI~.UCTION CONNECTOPx5
CONNECTION LOCATION: PART NUMBER; NOTED:
IRIDGE-TO- RA~TER5 C520 (¢ 21" APPLY TO EACH PArR OF RAPTER5
RAFFER-TO WALL HZ APPLY TO EACH RAPTER
P~.PTER TO-PlATE H6 or H2.5 APPLYTO EACH I~AFTER
PI~,TE~O-WA~L 5TUD C520 ~ 16" APPLY TO EACH WALL 5TUD
2ND. FLOOP-. WALL-TO-IDT, FLOOR WALL L~TA or C520 @ 3G" APPLY TO D~.CH WALL 5TUD
HZADER.-TO-JACK DTUD C520 @ 12" APPLY TO EACH JACK 5TUB
CRI?PL~ 5TUD-TO-HEADER H3 APPLY TO EACH CRIPPLE DTUD
5HEAR/C/ALL HOLDDOWN ANCHOR. 55TB I G APPLY TO EACH 51D~ALL END
CONSTRUCTION DETAIL5 ¢ WIND LOAD PATH CONNECTION DETAIL5
(TYPICAL DOTH ENDS)
//
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PAGE:
7
GENERAL NOTEB:
ELECTRICAL NOTEB:
i
POU
NDATION
NOTES:
FLO0~ P~N NOTES: I ] I ~ =
ALTERNATIVE FOP-. OPENING PROTECTION
Y~tk I ~o9. I .4
I ~ I
B~ED ON A M~IMUM WiND 5P~D (~ 5=COND GUDT) O~ ] ~O MPH AND M~N ROOF
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