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HomeMy WebLinkAbout37472-Z 1 rsr=...>r ~,~~ppi~ Town of Southold Annex 7/16/2013 trap P P.O. Box 1179 54375 Main Road ~ ~,ta Southold, New York 11971 't 1., CERTIFICATE OF OCCUPANCY No: 36399 Date: 7/16/2013 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 2245 LITTLE PEC BAY LA, SOUTHOLD, SCTM 473889 Sec/Block/Lot: 90.-1-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/12/2010 pursuant to which Building Permit No. 37472 dated 8/27/2012 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 includin¢ finished basement covered front porch and rear deck addition to an existing one family dwelling as applied for. The certificate is issued to THOMAS & MARGARET PROKOP (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37472 1/29/13 PLUMBERS CERTIFICATION DATED 7/11/13 tchogue East Plumbing ~ _ Au o ed~S gnatu e TOWN OF SOUTHOLD ,rf WFwtA' ~r`,~ BUILDING DEPARTMENT ~ ~ TOWN CLERK'S OFFICE SOUTHOLD, NY ~~i 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 37472 Date: 8/27/2012 Permission is hereby granted to: THOMAS & MARGARET PROKOP_ 2245 LITTLE PECONIC BAY LANE SOUTHOLD, NY 11971 To: ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER DEC & TRUSTEES.REPLACES EXP. BP # 35387 At premises located at: 2245 LITTLE PECONIC BAY LANE SCTM # 473889 Sec/Block/Lot # 90.-1-16 Pursuant to application dated 3/12/2010 and approved by the Building Inspector. To expire on 2/27/2014. Fees: PERMIT RENEWAL $92.25 Total: $92.25 Building Inspector FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35387 Z Date MARCH 12, 2010 Permission is hereby granted to: THOMAS & MARGARET PROKOP 2245 LITTLE PECONICBAY LA SOUTHOLD,NY 11971 for ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER DEC & TRUSTEES.REPLACES EXP. BP # 31597 at premises located at 2245 LITTLE PECONIC BAY LA SOUTHOLD County Tax Map No. 473889 Section 090 Block 0001 Lot No. 016 pursuant to application dated MARCH 12, 2010 and approved by the Building Inspector to expire on SEPTEMBER 12, 2011. Fee $ 184.50 Au orized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall 1! Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31597 Z Date NOVEMBER 14, 2005 Permission is hereby granted to: THOMAS & WF PROKOP 2245 LITTLE PECONICBAY LA SOUTHOLD,NY 11971 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER DEC AND TRUSTEES at premises located at 2245 LITTLE PECONIC BAY LA SOUTHOLD County Tax Map No. 473889 Section 090 Block 0001 Lot No. 016 pursuant to application dated NOVEMBER 9, 2005 and approved by the Building Inspector to expire on MAY 14, 2007. Fee $ 184.50 i C Aut ri d ignature ORIGINAL Rev. 5/8/02 ~5'-~-0 l ~ fmm Nn. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval ofelectrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1 % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from. architect or engineer responsible for the building. 6. Submit'Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: l . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent [o 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, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $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 ofOccupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00ry Date. ~ 2 U 9 3 New Construction: Old or Pre-existing Building: (check one) Location ofProperty:X 22`~J ~~~e ~ecrn~ic! ~jr~`j I-Yt ~,~.',a(~ House No. ~^Street Hamlet Owner or Owners ofProperty:_y ~hdMr}5 r J \~~Z~p~ f ~Kokalp Suffolk County Tax Map No 1000, Section JQ Block Lot r ~ Subdivision Filed Map. Lot: Permit No. -~-`--r-.=i~-~-- Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning BoardApproval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Apple ~ gnahlre Tl~'~+~ ~FFO(,~ Town Hall Annex ~pp~ c~~ ~ Telephone (631) 765-1802 54375 Main Road ~ ? ~ Fax (631) 765-9502 P.O. Box 1179 G • ~4, Southold, NY 11971-0959 y~~l # ~aaty`" roger.richertCa)townsouthold.rrv.us `"'>r>rrsiart~' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Tam Prokop Address: 2245 Little Peconic Bay Lane City: Southold St: NY Zip: 11971 Building Permit#: 37472 Section: 9Q Block: 1 Lot: 16 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pod New Renovation 2nd Floor X Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 7 Ceiling Fixtures 5 HID Fixtures Service 3 ph Hd W aler GFCI Recpt Wall FiMUres 1 Smoke Detectors Main Panel AIC Condenser Single Recpt Recessed Fixures 6 CO Detectors Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixures Time Clocks Disconnect Switches 8 Twist Lack Exit Fixures TVSS other Equipment: entry way, and top floor loft. Notes: Inspector Signature: ~,tc ~c* Date: Jan 29 2013 Electrical Certificate.xls Ao~aOE S0I/Tyo~o Town Halt Annex ~ ~ Telephone (S31) 7b5-1802 54375 Main Road Fax (G31) 765-95112 P.O. Box 1179 ~ Southold, Ncw York 1 197 1-0959 Q~~ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. f /~j~ ~ J~ ~ Owner: 4 ~ I`~~ (Please print) ( , ~aGI~ ~r7V4td-~1 ~Cv~GGt~(,~e ~ ~ 11n~ Plumber. (Pleaselease p~ 2 ~ 7 ~ - 1 certify that the solder used in the water supplysystem contains less than 2110 of 1°!0 lead. l (Plumbers Signature) Sworn to before me this ~ ~ day of 20~ Cow ~ ~ ~w~~\ CONNIE D. BUNCH Notary Public, State of New York Notary Public,~Vi~~CountY No. of Bust s5oso d;p!laiitied in Suffolk County - Commission Expires April 14, 2~ ~o~~,OF 80(/j~6 ~®f TOWN OF SOUTHOLD BUILDING DEPT. ~G~, 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) ~]-ELECTRICAL (FINAL) REMARKS: rLc2 S,,~L-rY G~ DATE 1 ~ INSPECTOR hod 06 TOWN OF SOUTIiOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST ( ]ROUGH G. [ ]FOUNDATION 2ND [ ] IN ATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ] ELECTRIC~ROUGH) [ ]ELECTRICAL (FINAL) REM S: ~ I`~ _ Z c DATE INSPECTOR ho~,~oe souryO6 31 ~9 ~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION ~~OUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: / ~°'~I ~i v".-' ' t'a' D r DATE s~~ ~o ~ INSPECTOR ~ 1 ~ 9 7 ~o~~,aF soaryo~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE ~ CNIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: o ~ DATE INSPECTOR r / \ TOWN OF UTNOLD BUILDING PT. 765.1802 i N [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INS TION [ ]FRAMING /STRAPPING [ INAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION ( ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE 3 INSPECTOR JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 ~ 4 (631)298-7116 ' ^ "J To: Town of Southold Building Dept. Date: September 13, 2006 Re: Insulation Inspection Prokop 2245 Little Peconic Bay La. Southold, NY 11901 Permit#31597 To Whom It May Concern: After an Insulation inspection was performed on the above property, it is deemed that all Insulation was installed correctly, and meets all building codes. Any other questions please call. ©F ~ y ~ DEEq~O Qr~ incerely r y tY n w Z ~ ~~OA'~'O. p725 ~ an~e~ J. Deerkoski 9pFES ~ . FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) ` p~~3 y T ~ 1 1p ~~--v- ~=a C FOUNDATION (2ND) - - - - - ~ s z 0 ~ - ROUGH FRAMING & PLUMBING - n - - r INSULATION PER N. Y. ~ "'3 STATE ENERGY CODE - -I l t+` l _ _ ~ i G t FINAL ~ ITI AL COMMEN U O - 9-f~ e /1R.~ Eft ne . _o~- Z - - C - - ~r r~~rt_- c-z~- ~ ~K `r~~ _ ~ ~ - p ~ \o (o- a - z - c. '~S x ~ ~ y ~ - x [yi7 - - 'b _ ~r TOWN OF SOUTH~~ t = - BUILDING YIiRNI1T AYPLICA'170N C1-IECKI,IST BUILDING DEPAR NT Ib you hate or need the following. beforo applying' TOWN HALL ~ Board of Bealm_ SOUTHOLD, NY 119`Zh ~'S ~ 4 sets ol'Building Plans_ TEL: (fi31)765-18112: ~ Planning Board approval FAX: (631) 765-9502: ~ Survey www. northfork.net/So~~thohlT,`,'- PERMIT NO.~ 0 ~ j 5 E) ~ Check - Septic Form _ ~ V.Y.S.D.E C _ 'frustees_ Examined / Lll ('ontacl Approved `''rt,a/.20 Mail to: Disapproved a/c / ~ _ _ _ _ 1'honc _ Fspiration , 2U n actor - APPLICATION FOR BUILDING PERMIT , Date 2(1 INSTRUCTIONS a. This application MI1ST be atmpletely tilled in by typewriter or in ink and submitted to the Building Inspector with 3 sets oCplans, accurate plot plan Io scale. Pea according to schedule. h. Plot plait showing location oClol and of buildings on premises. relationship to adjoining premises or public streets or areas, and wet sways. c. 'Ihe work covered by this application may nut be commentced before issuance of Building PCrtlllt. d. C'pon approval of this application, the Building Inspector will issue a Building Pemtit 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 [he Building Inspector issu s a Certiticatc oCOccupancy. f. Even.' building permit shall expire if the work authorized has not commenced within I2 months aNer the date of issuance or has riot been completed within I8 months liom such dale. ICno zoning amendments or other regulations affecting ute pn>porry have been enacted in tfie interim, the Building Inspector may authooze, in writing, the extension of the permit for an addition six months. "!'hereafter, a new permit shall be reyuirul. APPLICATION IS lIEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane Ordinance of the Town of Southold. Suffolk County, New York, and other applicable Laws, Ordinances or Regulations-, Cor the construction of buildings, additions, or alterations or Ibr removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing cudeseti regulations, and to admit authorized inspectors on premises and in building Cor rwcessara inspections -~"-s' ~+~(Signature oC appn(1licant or name, d'a corporation) / ~c~K/~{/2 . J0~~1oi-o, ALL/ //9 (Mailing addreaa of applieanq State whether applicant is owner, lesscx, agent, aro/hitect, engineer, general contractor, electrician, plumlw or builder r, 7'V ,fl H /TC cr /~GC,~ T Name of owner of premises ~l/D/7PSd //.dQ 6A 2E> ~OKaf (As on the tax roll or latest deed) If applicant is a corporation, signature of duh autho%ed officer (Name and title of cmpomle olTicer) Builders License No. ,U' L Plumbers I,iccnse No. P,Lectricians License No. Otku-r Trade's LiceBtse No. 1. Location of land on wht`/~ propos work will be done C~ ~2'fS c~T[E E~o.v~c ~,ay ~[v~ J~?r7~~> House Number Strcet Hamlet County 'frix Map No. 1000 Section 9d Block Lot ~/o Subdivision Fil~rl Map No. I,o[ (Name) 2. State existing use and occupancy of premises and intended use and occtrQwicy of proposed construction: a. Existing use and xcupancy b. Intended use and occupwtoy 3. Nattve of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost ~~S°~ o ° ° _ Fee (To be paid on filing this application) 5. If dwelling, nwnbc:r of dwelling wuts Nwnber of dwelling units on each floor If garage, number of cars 6. If business, conunercial or mixed occupancy, specify nature and extent of each type of use. 7. Dvensions of exisfng stmctures, if any: Front 5-~ Rear 5E Depth `f ~ Height 2~ Number of Storied Dimensions ^F same structure with'afterations or additions: Front Rear S8 Depth 60 Height 28 Number of Stories 2-~ g. llimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot Front !G 7 Rcw ~OB9S l~pth u 2aP~ 7a S- Ziy 38 10. Date of Ptuchase Nante of Former Owner 1 I. 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 frol~l premises? YES_ NO_ ] 4. Names of Owner of premises fPo.c~i~P Address So.i r'ro<-o phone No. Name of Architect ~K a <?G Address°BiYr>• Sa~rra-u _ phone No 96 J' = d"y~ S T 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~PvIAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland?' YES NO_ " IF YES, D.E.C. PERMI'PS MAY BE REQUIRED. i 6. Provide survey, to scale, with accurate foundation plan and distances to properly lines. 17. If elevation at wry point on property is at ]0 fce[ or below, must provide topographical data on survey. ~ SPATE OF NEW YORK) ~ ((II SS: COUN/NTY OP`r~`~A'.~_ _r_~) _ (o AC 2t 7j /•J ~ -1 T2~a .~G _ bung duly sworn, deposes and says that (s)he is the appticatn (Name of individual signing ewuract) abov//z named, q (S)He is the /vk CM rrc ~r /`1GFNT (Contractor, Agent, Corporate tficer, ato.) of said owner or owners, and is duly authorized to perfixm or have performed the said work end to make end file this application; that all statements contained itt this application are tNC to the best of his knowledge and belief; attd that the work will be pertbrmed in the manner sat forth in the application fihxl therewith. Swgg((n~~ to belbre me this 7TH day of No?areE~e yp07 Notary Pubhc Signature of Applicant ~af~are ®frenp NOTARY PUBLIC, New York No. 4730095 ~.~ualified -Suffolk County omm. Expires July 31, ~OUk' ~ - ,gin . .,~;'~l~? a ~ s I F I r ~ ~g Board Of Southold -Town Trustees °._k SOUTHOLD, NEW YORK ~ ~ t,~ PERMIT NO. ~0~ DATE:...Sept._ 24,._.2003 I, . L ~ ISSUEb TO THOMAS & PEGGYPROI~Qp ~ s ~ ~ .~u#I~nri~tttinn e Y Pursuant to the provisions of Chapter 615 of the Laws of I the State of New York, 1893; and Chapter 404 of the Laws of the "i ^ State of New York 1952; and the Southold Town Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS , IN AND ON TOWN WATERS AND PUBLIC LANDS end fhe ;4 REMOVAL OF SAND, GRAYEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;'..': and in accordance with the " Resolution of The Board adopted at a meeting held on .Sept..._ZQfh ~ 200.3..:.., and in consideration of the sum of ;..~o.09..__.._.. paid by ~ Gaz're.tt_.A .Strang. Architect on behalf-of -Thongs-&"•t'eggy Prokop Southold N. Y. and. subject to the of ' Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: x Wetland Permit for an elevated rear addition and moving the 6 shed 90 feet from the wetlands as per plans dated 9/25/03 `l : per Garrett A. Strang Architect. . ~ all in accordance with the detailed specifications as presented in -the originating application. ` IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these Presents to be subscribed by a majority of the said Board at of this defie. i' ~ ~ ~ \ z ~ ~ S~FFOC,~~o r= N ~ - ~ ~ - 1~ ~ ~ col y~ rusteer Y" r,.. F i C 1 xR'^^ ~ ~ ~ C 1 ~ TERMS and GOND(TIONS ' Thomas C Pegg~~ Prokop `~~~V The Pamittee ~i~g az 2245 Little Peconic Bay, Southold, bI, y, as pur of the coasideradoa for the issuance of the Permit dots tutdetstand aad ptesm'be to the fol- lowing: 1: Thaz the said Board ~ Trustees aad the Town of Southold ate released from nay aad all damages, oc claims far damages, of wits arising directly ar indirady as a rexult of nay op~r- atioa pedomed purstunt to this pexmiy and the saki Permiaee will, at his or ha own etq><asq defend nay and all suds suits initiated by third parries, aad the sold Pemtittce assumes fall liability with respect thereto, m the omplete e5cdusioa of the Board of Trustees of die Town of Southold 2. That this Permit is valid for a period of 24 mos. which b coasideled to be the estimated time required to complete the work involved, but'should wamnt, request for an e:teasioa may be made to the Board at a late date. 3. That this Permit should be retained indefinitely, of as long u the said Permian wishes to maintain the sttuarue oriprojext involved, to provide evideaoe to anyone ooacetned that anth- ocizadon was originally obtained. 4. That the wodc involved will be subject to du inspection and approval of the Boatel or its agwts, aad non-aompliaooe with. the provisions of the otiginafiag applicadon, may be txuse for revocadoa of this Pemut by resoludoa of the said Board. 5. That there will be ao unteasooable iaterfereaa with navigation as a rexult of the work herein audsoriud. 6. That dxn shall be no iaterferexice widt the right of the public to pass aad tepus doog the badz between high and low water taazks. 7. That if future operations of the Town of Southold require rite. removal and/or alte;ndoos is rite kcxtioa of the wodc he:rdn swthorced, of if, in the opinion ~ the Boatel of Trustees, the. work shall cause uateasoaable obstruaron to free navigation, the said Permian will be requirod, upon, due notice, to remove or alter this work or projett herein orated without tapeases to tLe Tows of Southold 8. Thaz the said Board will be notified by the Permittee of dx twaaplexlan.of She work aeuh- . orized 9. That the Permittee will obtain all other permia aad coaseatt drat may be required mP' plemeatal ro this permit which taay be mbjezt to revoke upon failure to obtain same. Albert J. Krupski, President ~~~F SOl/Ty~ Town Hall James King, Vice-President ~O l~ 53095 Route 25 Artie Foster ~ i. P.O. Box 1179 Ken Poliwoda T Southold, New York 11971-0959 Peggy A. Dickerson G ~ O ~ Telephone (631) 765-1892 ~~.j'COU~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 24, 2005 Garrett A. Strang, Architect P.O. Box 1412 Southold, NY 11971 RE: THOMAS & PEGGY PROKOP 2245 LITTLE PECONIC BAY LANE, SOUTHOLD SCTM#90-1-16 Dear Mr. Strang: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 24, 2005: RESOLVED that the Southold Town Board of Trustees grants aOne-Year Extension to Permit #5805 as issued on September 24, 2003. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:Ims James F. King, President ~QF S~Ury Town Hall Annex Bob Ghosio, Jr., Vice-President 0~ O 54375 Main Road ~ ~ P.O. Box 1179 Dave Bergen l~f # Southold, New York 11971-0959 John Bredemeyer H 4 Telephone (631) 765-1892 Michael J. Domino O ~ i~ Fax (631) 765-6641 ~'~OOUNi'l,~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0850C Date: Mav 2, 2013 THIS CERTIFIES that the elevated rear addition and moving of shed from wetlands At 2245 Little Peconic Bay Lane. Southold, New York Suffolk County Tax Map # 90-1-16 Conforms to the application for a Trustees Permit heretofore filed in this office Dated Au>;ust 22, 2003 pursuant to which Trustees Wetland Permit #5805 Dated September 24, 2003, was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the elevated rear addition and moving_of shed from wetlands. The certificate is issued to THOMAS & PEGGY PROKOP owners of the aforesaid property. uthorized Signature ' NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-03253100001 ~ January 15, 2004 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the.Environmental Conservation Law January 15, 2009 TYPE OF PERMIT ~ New ? Renewal ? Modification ? Permit to ConsVUCt ? Permit to Operate ? Article 15, Title 5: Protection of Waters ? Article 17, Titles 7, 8: SPDES ? Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management ? Article 15, Title 15: Water Supply ? Article 19: Air Pollution Control ? Article 34: Coastal Erosion G Article 15, Title 15: Water Transport ? Article 23, Title 27: Mined Land Management Reclamation C Article 15, Title 15: Long Island Wells ? Article 36: Floodplain Management ? Article 24: Freshwater Wetlands ? Article 15, Title 27: Wild, Scenic and ? Articles 1, 3, 17, 19, 27, 37; 6NYCRR Recreational Rivers ¦ Article 25: Tidal Wetlands 380: Radiation Control ? 6NYCRR 608: Water Qual~dy Certification ? Article 27, Title 7; 6NYCRR 360: ' Solid Waste Management PERMIT ISSUED TO TELEPHONE NUMBER Thomas and Pe Proko 631 765-5455 ADDRESS OF PERMITTEE 2245 Little Peconic Ba Boulevard, Southold, NY 11971 CONTACT PERSON FOR PERMIT7E0 WORK TELEPHONE NUMBER Garrett A. Stran , P.O. Box 1412, Southold, NY 11971 631 765-5455 NAME AND ADDRESS OF PROJECT/FACILITY Proko ro ert , 2245 Little Peconic Ba Boulevard, Southold, NY 11971 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold West Lake DESCRIPTION OF AUTHORIZED ACTIVITY: Remove 45' x 20' concrete patio. Construct front porch and entryway, 12' x 14' shed, and 180 sq. ft. deck addition. All work must be done in accordance with the attached plan prepared by Garrett A. Strang last revised November 19, 2003 and stamped approved by NYSDEC on January 15, 2004. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions (see page 4+) included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Region 1 Headquarters Geor e W. Hammarth SLA Bld . #40, SUNY, Ston Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE Page 1 of 4 .P/ ~ Janua 15, 2004 ' NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 2. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 3. The storage of construction equipment and materials shall be confined to within the existing driveway. 4. Necessary erosion control measures i.e., haybales, silt fencing, etc. are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good condition until thick vegetative cover is established. 5. Roof runoff must be directed to drywells a minimum of 75 linear feet landward of the most landward edge of the tidal wetland boundary, and must be installed a minimum of 2 feet above seasonal high groundwater. 6. This permit does not authorize any alteration, expansion or replacement of existing septic systems. 7. The area from which the existing concrete patio is to be removed shall be planted with non-fertilizer dependent shrubs and/or grasses. DEC PERMIT NUMBER PAGE 2 of 4 1-4738-0325310000'1 NEW VORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's undertaking of activities or operation and maintenance of the facility or facilities authorized by the permit in compliance or non compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent acts. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Depart- ment representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HW MF), majorAir Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. oEC PERMIT NuMeER PAGE 3 OF 4 1-4738-03253/00001 ' NEW VORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) 1. If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation It shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Carps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. 4. A!I necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a watenay or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to tyre State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove aft or any portion of the uncompleted structure or fll and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 8. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 9. At least 48 hour's prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by Garrett A. Strang last revised November 19, 2003. DEC PERMIT NUMBER PAGE 4 OF 4 t -4738-03253/00001 ~O~~pF SO~ryOlo Town Hall Annex Telephone (631) 765-1802 54375 Main Road ~ ~ Fax (631) 765-9502 P.O. Box 1179 Southold, NY 1 1 97 1-0959 ~ ~ o~yCOU~,a~ BUILDING DEPARTMENT TOWN OF SOUTHOLD July 9, 2013 Thomas & Margaret Prokop n 2245 Little Peconic Bay Lane Southold, NY 11971 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) A fee of $50.00. Inal Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) Trustees Certificate of Compliance. (Town Trustees # ass-issz) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37472 -Addition/Alterations LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 ~ ~ Mn,.. December 3, 2006 Mr. Michael J. Verity, Department Head Southold Town Building Department Main Road Southold, NY 11971 Re: Residence Mr. Thomas Prokop 2245 Little Peconic Bay Lane Southold, NY 11971 Permit # 31597 To Whom It May Concern: I have inspected the above mentioned residence with reference to the metal strapping and framing and found both are in accordance with the New York State Building Department and the Southold Town Building Department Code. Sincerely, i~ j / 1J ~ ~~pF NEW Ya9 Lawrence M. Tuthill, P.E. ? vy~~~~G~ rU '9-Y a g r ¢ w Ca ~ 'v 2J' 032254- r,~~ ~9~FESSI6N'~/ ~o~~OF SOUryolo Town Hall Annex Telephone (631) 765-1802 54375 Main Road ~ ~ Fax (631) 765-9502 P.O. Box 1179 Southold, New York 1 197 1-0959 ~ ~~'YOOUNTI BUILDING DEPARTMENT TOWN OF SOUTHOLD March 24th, 2009 FIRST NOTICE Thomas & Peggy Prokop 2245 Litt/e Peconic Bay Lane Southold, N. Y. 11971 RE' 2245 Litt/e Peconic Bay La. (Addition A/terations) SCTM: #1000-90.-1-16 Dear Mr. cf Mrs Prokop, Please be advised that your Building Permit # 31597 issued November 14,2005 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit, p/ease submit a fee of $184.50: at that time we con schedu/e an inspection by one of our Building Inspector's If you have any questions, p/ease toll us of 765-1802. Respectful/y, SOUTHOLD TOWN BUILDING DEPT ~o~~pF SOUTy~Io Town Hall Annex ~ i Telephone (631) 765-1803 54375 Main Road Fax (63 765-9502 P. o. sox 1179 ~ ~ ~O Southold, New York 11971-09_59 ~ ~'yCOUNi'(,Nc~ BUILDING DEPARTMENT TOWN OF SOUTHOLD FINAL NOTICE February lbth 2010 Thomas & Peggy Prokop 2245 Little Peconic Bay Lane Southold, N.Y. 11971 RE: 2245 Little Peconic Bay La. (AOOirxoN/n~TEannoNS) SCTM: # 1000-90.-1-ib To Whom It May Concern: Please be advised that your Building Permit # 315 7 issued November 14th, 2005 and has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit please submit a fee of $184.50: nt that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 7b5-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT ~5b5 ~ 022 O~~y '2OQq 202 ,T. Southold Town Building Department P.O. Box 1179 Permit 35387 54375 Main Road ~ Southold, New York 11971 Permit Date: 3/12/2010 ~ 631 765-1802 ( ) Expiration Date: 9/12/2011 ~n,,'~ Parcel ID: 90.-1-16 s3IR~•f BUILDING PERMIT RENEWAL LETTER Dated: 8/3/2012 Applicant: THOMAS & MARGARET PROKOP Location: 2245 LITTLE PECONIC BAY LANE Work Description: ADDITION/ALTERATION ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER DEC & TRUSTEES.REPLACES EXP. BP # 31597 A FEE OF $92.25 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: THOMAS & MARGARET PROKOP Address: 2245 LITTLE PECONIC BAY LANE SOUTHOLD, NY 11971 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or suthoriz ¦ • • ¦ Complete kerns 1, 2, and 3. Also complete h Signature item 4 if Restricted Delivery is desired. ~ ~~'t ¦ Print your name and address on the reverse Addressee so that we Can return the card to you. eceived by (Printed C. Delivery ¦ Attach this card to the back of the mailpiece, fib ~ or on the front if space permits. D. Is delivery address d' from N 1. Article Addressed to: 3 lS9~I If YES, enter delivery d~ below: GS ~'.,~'..Q,rl~ $ Pew PrZ.o~'vp as ~ a ys P~~~ ~y-~~-e 3. Service Type / ~ . ~ ? Certified Mail ? Ezprasa Mall (r~ ? Registered ? Return Receipt for Merchantlise ? Insured Mail ? C.O.D. THANK YOU, 4. Restricted Delivery! (Extra Fee) ? vex 2. Article Number (Frensrer Irom service label) SOUTHOLD TOWN BUILDIN( PS Form 3811, February 2004 Domestic Ratum Receipt 102595-02-M-1540 n % Uf o~Q S BI. `~T ~ \ ` ~Oj 25~~" ~9 O ~ F ~y o jOjQ~ s ~i y'3 y 0. V z ~ I i a. a. ~ . ~9T B ro O i cui n9 ro 3o.y. ;Lb~ a . 0/ ? N M r~ ~ c ~a -t Gam. /Jfy V 4i ~ r ~ ~ i ?B ~i10. o pu G y O V M c.~.er/ VI Po~ 4 _ _ 50.7 ro 0 ~ ~ ~0 ~ ~ y ~ 3jo V L M ~ ~ GI ~f P aQ~ 4 ~ x~ ` ~ O N. O s~~s~ Z ~ t o w~ N f~ / f~ [P ~ ~'O^~p o Or 'V ~ t/~ rr g ~ ~ ~ m F 3g FsT !q~ I ~ F~ ` O,Q O Sl~9RVEY OF PROPERT Y A T SOUTHOLD TOWN OF SOUTHOLD WETLANDS BOUNDARY DELINEATED BY SUFFOLK COUNTY, N. Y. DON METZGER (PECONIC SURVEYORS, P.C.J - ~ _ _ ~ 9/25/03 Scale: 1.30' FLODD ZONES FROM FIRM JUI 25, 2003 36/03C0l67 G May 4, 1998 Y OCT. 2, 2003 r ~HSav , mrt cr ren~ret s pow IATE01 ~ LOT NUMBERS ARE REFERENCED TO ~ I 'MAP OF CEDAR BEACH PARK" FILED IN THE OFFICE OF THE SUFFOLK COUNTY ^ CLERK ON DEC. 20, /927 AS MAP NO. 90 I ` OF Nf AREA . 2~?0.5 t¢ h fo ns fns ~ r °1 ~ U g1~~ N rc.~r09 °E ~ U°LAND AREA . 17,998 s4 ft ~ / 4 ANY ALTERATION OR ADDITION TO THIS SURVEY /S A VIOLATION Q~ OF SECTION 7209 OF TFE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209 -SUBDIVISION 2. ALL CERTiI~ICATIONS 4 HEREON ARE VALD FOR TM5 MAP AND COPES THEREOF ONLY ~ J I( ~ ~ SAp NAP OR COfiES BEAR THE M/°RESSED SEAL OF THE SURVEYOR / N MNOSE SIGNATURE APPEARS hEREOM ADDITIONALLY TO COMPLY W/TH SAD LAW TERM 'ALTERED BY ' CONICS RVEYORS, P. C. MUST BE USED Br ANY AAD ALL SURVEYORS uTK2NWG A cOPY (63(1 765 - 5020 FAX (6311 765 - 1797 OF ANOTHER SURVEYOR'S MAP. TERMS SUCH ' MISPECTED "AND P. O. BOX 909 BROUGHT - TO - DATf "ARE NOT M/ COMPLIANCE M7TH THE LAW. 1230 TRAVELER STREET SOUTHOLD, N. Y. 11971 03--203 T yv U~ ~ • ~ "'O/e o ~ F o a,~~ P~ h \ 91 9 r o- v e 4 ~ f 3 R.R. fie ~ ih ~a,ti 9>p- t?rhin9 ~ ~ i 2 309" ~~h ~'r .o p / N y ~ L c '`nq 4 4 6.6 . /Jf a 4i ~T O ~.o r ~ ti h iB o n p, d ~ O ~ m ~ er/ ~ y ~ 2 ' ' 1 Po ~ q~ c~4 ~ ~u ~ O ' h Q \ rTl t ~ 6j2520- ~ Q ~ a u°c : r%dI N ~ ~ ~ Yomp 0 2/g h U , F 3e. ~ ST I I o ~F x'90 SURVEY OF PROPERT Y A T SOUTHOLD TOWN OF SOUTHOLD WETLANDS BOUNDARY DELINEATED BY SUFFOLK COUNTY, N Y. DON METZGER (PECONIC SURVEYORS, P.C.I rQQQ - 90 - - 16 9/25/03 Scale: 1= 30' FL ODD ZONES FROM FIRM July 25, 2003 3 6/03001 6 7 G May 4, 1998 OCT. 2, 2003 r n~I , meE c~ wen~uns ~ Low IYATER / ELEVATIONS ARE REFERENCED TO N.G. V.D. /,io,.. is, ZOOS (e%vc. f.a(e s LOT NUMBERS ARE REFERENCED TO 'MAP OF CEDAR BEACH PARK" FILED IN THE OFFICE OF THE SUFFOLK COUNTY _ _ CLERK ON DEC. 20, 1927 AS MAP NO. 90 - ; AREA = 21,205 sq. ft to tie line ,1 r'' UPLAND AREA . 17,998 sq. ft. ~ 8 gP~~4F MEW YO y ~~T. METlC 'P,f ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION ~ - _ > >O -a"~' t~`,p OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209 -SUBDIVISION 2. ALL CERTIFICATIONS ~ ~ ' ~ 7k ' e, HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY lF - ° SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR N Y.S. LIC. NO. 496/8 WHOSE SIGNATURE APPEARS HEREON. ~ _ ADO1T10NALLY TO COMPLY WITH SAID LAW TERM `ALTERED BY V , P. C. MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY AX (6311 765 - 1797 OF ANOTHER SURVEYOR'S MAP. TERMS SUCH `INSPECTED `AND P ` BROUGHT - TO -DATE "ARE NOT IN COMPLIANCE WITH THE LAW. I23O R STREET SOUTHOLD, N. Y. 11971 03--203 Permit # Permit Date R~ iefleck 5aftware Versian 3.7 Release 1a Compliance Certificate Project Title: Alterations and Additions to Prokop Residence Report Date: 17/16/05 Energy Code: New York State Energy Conservation Construction Code Location: Suffolk County, New York Consvuction Type: Detached 1 or 2 Pamily - Heating Type: Non-Electric Glazing Area Percentage: 5% Heating Degree Days: 5750 Construction Site: Owner/Agent: Designer/Contractor: 2245 Little Peconic Bay Blvd. Thomas and Margaret Prokop Garrett Strang Southold, NY 11971 Garnett A. Strang, Architect Garrett A. Strang, Architect 1230 Traveler St., P.O.Box 1412 1230 Traveler Street, P.O.Box 1412 Southold, NY 11971 Southold, NY 11971 631-765-5455 631-765-5455 archtect~quixnet.net amhtectQquixnet.net Ceiling 1: Flat Ceiling or Scissor Truss: 563 38.0 0.0 17 Wall 1: Wood Frame, 16" o.c.: 920 21.0 0.0 47 Window 1: Wood Frame:Double Pane with Low-E: 45 0.390 18 Daor 1: Solid: 59 0.330 19 Basement Wall 1: Solid Concrete or Masonry: 230 11.0 0.0 16 Statement o/Compliance: The proposed building represented in this document is wnsistent with the building plans, specifcations, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or specifications are in complia with t is Code. AA L Builderl esigner Company Name Date . QF~~RETT A STR2cf 9 C s 015244 JgTE'OF NEW y~0 Alterations and Additions to Prokop Residence Page 1 of 1