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HomeMy WebLinkAbout37575-Z ~~~4. ~ Town of Southold Annex 7/15/2013 F' a P.O. Box 1179 = 54375 Main Road 'i3 ~ ~ Southold, New York 11971 * , ,~,,~rr...,, - _ _ _ CERTIFICATE OF OCCUPANCY No: 36398 Date: 7/15/2013 THIS CERTIFIES that the building ALTERATION Location of Property: 35 (aka 401) Atlantic Avenue, Greenport, SCTM 473889 Sec/Block/l.ot: 34.-3-56 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofiiced dated 5/22/2012 pursuant to which Building Permit No. 37575 dated 10/12/2012 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: interior alterations, includin¢ second floor bathroom, to an existing one family dwelling as applied for. The certificate is issued to Vescovi, Holly (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37575 5/21/13 PLUMBERS CERTIFICATION DATED 3/18/13 thony Martocchia Au o ' ed Sig ature~ <.,4 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ TOWN CLERK'S OFFICE SOUTHOLD, NY ~~1 # 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 37575 Date: 10/12/2012 Permission is hereby granted to: Vescovi, Holly 370 Rocky Point Road East Marion, NY 11939 To: Alterations to a Single Family Dwelling; Bathroom, Upgrading Electric and all Plumbing feed lines, as applied for. At premises located at: 35 Atlantic Ave, (#401), Greenport SCTM # 473889 Sec/Block/Lot # 34.-3-56 Pursuant to application dated .5/22/2012 and approved by the Building Inspector. To expire on 4/13/2014. Fees: CO -ALTERATION TO DWELLING $50.00 SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $217.20 Total: $267.20 P _ _ Building Inspector Form No. 6 TOWN OFSOUTHOLD BUILDING DEPARTMENT TOWN HALL 7~5-1802 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 nsty use: 1. Final survey of properly with acetirateiocation of all buildings, property lines, streets, and unusual natural or Eopogtapfric features. 2. Final Approval from Health Dept of water supply and sewerage-disposal (S-9 forrn).. 3. Approval of electrical installation from Board of Fite Underwriters. 4. -Sworn statement from plumber certifying that the solder used.in system contains less than 7110 of l % lead. . 5. Commex+cial building, industrial building, mu7tipie residences and similar buildings and installations, a certificate of Code Compliahce'Imm architect or engineer responsible for the building. 6. Subnut Planning Board Approval bf completed site plan requimanenis. B. For existing buildings (prior to Apri19, 1957] rion-conforming uses, or buildings acrd "Arc-existing" land uses: 1. Accurate survey o€ property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly cpmpleted application and consent to inspect signed by fhe applicant. If a Certificate of Occupancy is denied, the Btiitding inspector shall state the reasons therefor in writing to the applicant. C_ Fees 1. Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $SO.Off, Swimming pool X50.00, Accessory building $50A0, Additions to accessory building $50.00, Businesses $50.00. 2. Certifeate of Occupancy on Pre-existing building - $100.00 3. Copy of Certificate ofOccupancy - $:2S 4. Updated Certifrcate of Occupancy - $50.00 5. Temporary Gertificare of Occupancy -Residential $15.00, Commercial $15.00 Date. / D. - - / Z Vew Construction: Old or Pro-existing Building. (check onej :oeationoF)iroperty: yD~ ,~~~~lU}~fe ~y~rJV~ ~2E~"A11~(7~~ House No. Su+oet ' Hamlet ~avrter ar Owners of Property: _ t7 L y ~ ~J-Ly / ~ffolk County Tax Map No"1000, Section ~ I{ Block Lot CJ tnrbdjtvision Filed Map. Lot: ' 'ettnit 1Vo. 3 ~ S ~ Date of Permit ~ b - / a - / Applicant iealth Dept, Approval: Underwriters Approval: 'lanning Board Approval: request for. Temporary Certificate Final Certificate: ~ (check one)- ee Submitted $ ~j ~ Ap licant Sienature ~yJFFO(KCO Telephone (631) 765-1802 Town Hall Annex h~0 54375 Main Road ~ ? Fax (631) 765-9502 z P.O. Box 1179 G • Southold, NY 11971-0959 's-lyol ~ ~,~o! roger.richert@town.southold.nv.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Haly Viscovi Address: 35 (401) Atlantic Ave City: Greenport St: NY Zip: 11944 Building Permit 37575 Section: 34 Block: 3 Lot: 56 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE ` Contractor: home owner DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 25 Ceiling Fixures 7 HID Fixures Service 3 ph Hot W ater GFCI Recpt 4 Wall Fixtures 4 Smoke Detectors 4 Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 1 Range Recpt 1-40 Fluorescent Fixture Pumps Transformer Appliances dw Dryer Recpt 1-30 Emergency Fixtures Time Clocks Disconnect Switches 21 Twist Lock Exit Fixtures TVSS other Equipment: new 100a service panel, 3-combination smoke / co detectors, 1-exhaust fan Notes: Inspector Signature: ~ (~'=-~e~b Date: May 21 2013 Electrical Certificate.xls - ~o~~,pF SO(/Tyola Town Hall Annex ~ ~ Telephone (531)765-1802 54375 Main Road Fax (dal) 765-9503 - P:O. Box 1 l79 G Southold, New York 11971-0959'`p~~/y~ °VUI111, BUIL.DIIdG DEPARTMENT ~ ~ ~ ~ ~ TOWN OF SOi]'P1iOLD D JUL - 3 BLDG. -DEPT. T04MNCFSOUMOID -CERTIFICATION- Date: ~ O/ Building Permit No. ~ ~ 5 owner: ~o1Lc~ Ve carz<~ (Please print) Plumbe~RJ~ " ! ~~A~I~O/L W~ r'~C~/ • %q (Please pr t) I certify that the solder used in the water supply system contains less than 2/ 10 0~ 1 °l° lead- (Plumbers Signature) Sworn to before me this day of ~~j~~ 201_ _ .fX STEPHANIT ROORIGUEZ NotaryPublio, S'~d~~C County ~yq~~q,~lbdtNwYork po.OfllOp~lt1Y 3 7 s~~ o~~oF~,~ TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 INSPECT [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ )ELECTRICAL (R9UGN) [ ] ELECTR~ AL (FINAL) REMARK : ~ ~ ~a~ t- ~~Y~ ~ tf ; ~ DATE `Z y INSPECTOR l ~ ~o~.~,OF SO(/l~ / / ~~UNiI, TOWN OF SOUTNOLD BUILDING DEPT. !I~ 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 (ROUGFI? [ ]ELECTRICAL (FINAL) REMARKS: ~Y~",sue --~tsC -G2~~ ly~ (~~c DATE ~ v ~ v INSPECTOR I 3 ~~7~ o~v,OF 80pT~¢o TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] RO PLBG. [ ]FOUNDATION 2ND ( INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] ELECTRICAL FINAL) EMARKS: l%~~ L f '1„// ~G1' G DATE ~ INSPECTOR ~ 7~s~~- 0~~,0480UT,y~_ #~YO# TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ] FIR~.SAfETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ v~ FIR/E RESISTANT PENETRATION [ ]ELECTRICAL (ROUGHS [ J ELECTRICAL (FINAL) REMARKS: DATE ~ INSPECTO 7S, 5 ~ ho~,~oF souryo6 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUG G. [ ]FOUNDATION 2ND [ ] I CATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~ LA C~ cJ DATE -S ~ INSPECTOR O~,~pF SOUTy~ +~e 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) REMARKS: ~ DATE ~ ~ 3 INSPECTOR' ~ * ~OF SObryo# 3 TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] I UL [ ]FRAMING /STRAPPING [ FIN L [ ]FIREPLACE & CHIMNEY [ ]FIRE TY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: Na ~~ff DATE ~ 3 INSPECTOR ~'~~1 ~ o~,p0f SOUTyy6 ~ 7~ ~ ~ TOWN Of SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN CATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] ELECTR~FINAL) REMARKS: ~`"`~'2• O~ / INSPECTOR ` "'"'~i DATE 3~ v/~ ~O~,~OF SW/l~6 / TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INS ATION [ ]FRAMING /STRAPPING [ INAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~ ~-~P~ /i. / 3 \ DATE INSPECTOR 3~ ~2 ~o~~,oF sour,,~6 f~# ~r,~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] I [ ]FRAMING /STRAPPING [ FIN L (,j' ~ [ ]FIREPLACE & CHIMNEY [ ]FIR SAF INSPECTION ( ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION ( ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: C DATE ,3 INSPECTOR FIELD ~ N AEPOAT DATE COMlVVI$NNT3 ~ ro 'v ~ FOUND,KITON (1ST) ~ ~ st 1 C FOUNDATION (2ND) ~ z 0 /L/ iZ ROUGH FRe*t14T[NG & y PLUMBING / ?7 L „ ,o/ ~ "/s~ ~ O ~ Cq H INSUIYATION PF,12 N. I'. STATE ENffitGY COpE ~ i i /3 ~ JhJ ~ G. FINAL ~ ADDITIONAL COIVIlVIIiNTS 1 la. It ISO.- 11.~G ~a U~ yea - G" - C~~r~ u' `Z~ a i~- ~t~c _ r~; ~t 1 , to ~ iS ~ ~ "7 b~ cl l ~ z ` m Cd ~ ~ ~ • W ~b t=a TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL. Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 7 ~7 r Survey SoutholdTown.NorthFork.net PERMIT NO. ~ /'S / J Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined / , 20~a-- Single & Separate Storm-Water Assessment Form n Contact: Approved / Q '0`_ , 20~ Mail to: n'__~; . ~o Expu~ation Building Inspector APPLICATION FOR BUILDING PERMIT Date ~a-"J,~ ~ ~'i'~ , 20~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, 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 he 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 ]2 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. (Sign ure of applicant or name, if a corporation) p 3'JD Rocku~#oin~ nA. Fit3~C ~ciarvt (Mailing address of applicant) i 1439 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~h Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: ~o( /~-Flan-Fic. Aye. C,ceenoa~~ 1'S~. l\q34 House Number Street ~ Hamlet County Tax Map No. 1000 Section 3 Block 3 Lot .~~p Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occu ancy of proposed construction: a. Existing use and occupancy fti.r1 or ~ ~~~~L+~ ~ r b. Intended use and occupancy- 3. Nature of work (check which applicable): New Building Addition Alteration Repair C/~~gt>,7ggDemolition Other Work (Description) 4. Estimated Cost Fee _ (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front ~ (U Rear ! / O Depth (~'f" Z- 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 Wi11 excess fill be removed from premises? YES NO ' ~o( hf(aKfic Luc 14. Names of Owner of premises V Address Phone No. Name of Architect Address ~ Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? * YES NO~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS 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 accuratefoundation plan and distances to property lines. 17. If elevation at.any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. CONNIE D. BUNCH STATE OF NEW YORK) Notery Public, State of New York S S: No. Ot BUi3165050 Oualifled in Suffolk County COUNTY OF ) Commission Expires April i4, 2D~. o ~ 2S V t being duly sworn, deposes and says that (s)he is the applicant (Name f individual signing contract) above named, (S)He is the ~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or leave performed the said work and to make and ti le this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thisp day of 1 t' `mo't 20 Notary Public Signature of Applicant Town of Southold -Chapter 236 - Stormwater Management ~f ,~'f SWPPP -Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) APPUTANT NAM Oxnx-Agent-Con~~syy~~M-Contxofr or Othw tDhcN Ormi Property OWNER: (C DID•nnt than ApplluM) ' f~. VPSCO Tebplrorrotl: 3 _ 2 - ©7 Fa. M: TNephon•fi Faafi it E -MaY: E -Mail: ! PnparQi Atlarear. Brief naKCripooa of Conunlcdon A<evuy, Prnopaaed Soucmral BbiPa, Sao? ! J ~ ~a~' SblaaiutipD BMPs, PmFct Snipe and/rn Sequorce of Comtrw:tion Auivity B.FT.M.M: 1000 am,la ~ BbrA ~ It`'uMe Aatltlma Peparm NeetW) Nmas of Contractor andlu Caraxl Panen ReapauiLkfar lnpbmentaeon dSWPPP: _ft~~?O ?!{-~[(7y? _~,~(CI~,,,~.~{QE./~ICf _ _~L"'.l¢LE _F~m/Ly_..Di~ELLiN_I~__!~!/_~ _ Atldraas: yy ~L TalaPlrmmfi Fsslk Fr/~G`~.~Q.__~/l_~ ~T.fl gvPa~@~..~.~,. _/_'ll..__.____' I E-Mss: _lllCdN_,L),~ OF_I~~L~PJ!-L6_..[Fo_,2-_.._SL.1~J_^?G A~+D___ ~ (GEPG,geEi2t~?T i Named Panora ReaponalElebinabllslbnBMPinbrena otEreabn Contr~lPnctloe: -~O~~~C _-/~2'/.~ ~~i'^ ld~1SllN~ ~ - rm: Jell-'FZ-J a7[~F~_f~Y!!-`L~__~'f'F~_f-'-~N~---- ~ T•I•plwrofi Far k. SoL~__S,7L~LC~I~zl9~Ia~--`,,.TOa.C3.l~~S--___ ~,r ! E-Mall: Al~CrES _1LG~FV i_ / ~ G ToblArea olM TolelArea of lsntl CbYilg +SUbV ' Prolxt Perteb: anryor Ground Disbrbance: (B.F. fAOa) (9.G.I.eu) Pmleet DureNon: Sbrt End (Antldpated) / 7 Oeb: Dale: i W.ae.,a Wenavaro+l WIII this Project Dkturbe fire or Mora Acres et Q Airy One Time Durilg ilia Proposed Davelopmerd7 Yes No ' a YEa: Plpc•Arnrrarih•FOllowingl a. Does the Applicant have a Qualified Inspector On Slatf To Conduct the Requhed Irlspedbns 7 Yes No b. Does the SWPPP Indicate Haw Frequently the Site Q ~ Lktth• NAMEII a rN•erlptlon dell Pobneslty Impaobd Wabrtrodiea avdbr Wetlantle: Inspectlore will Occur and for What Pedod of Thee 7 Yea No _ _ c. Does the SWPPP Adequately Wentify All Temporary antlfor Permanent SON Siabalizatbn Measures? Yes No ~ d. Does the SWPPP Adequately Ident7y a Complete ~ ~ _ Project Phasing Plan ? Yes No gbb~ or Impxbd wat•rbotly (og iNOL ywta}LfalM, Imwina~ ~~I e. Does the SWPPP Indicate AddNonel Site Specific ~ ~ ~ Pmdices that WIII De Utllized to Protect Water QuNiry 7 Yes No _ _ J?o J_~_ _ ' f. Figs the Applicant SuDmiaed a ComDletetl DEC Notlce {yp• of trnpaeled Webrbody'. [ea. Lake, Creek, gay, Pond, Sound, Frnhwrlerwetlna...) Of Intent and SWPPP Acceptanrs Fonn for Review ~ d n 'i Dy the Town of SoutllWd 7 Yes No _ _ 4~~K STA1'F. OF NF.W YORK, I COUNTY OF SS 't'hat I . being duly swam, deposes and says that he/she is the applicant for Permit, (Name d mabidml eig~nd DOCYnmrlt) And thazhe/she is the [Owner, contractor. Agme, Cmpmata ONcer, ate) 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 hue to the best of his knowledge and belief; and that the work will be perfornred in the manner set forth in the application filed herewith. _ Sworn to before me this; da of , 20..... ~ Y ~j Notary f'ublic .............................:.......:YN... ekae of Appiranq ~ SWPPP Assessment FORM: 03-12 ~o~~~f S()UjyQ~o Town Hal! Annex 1~t l~f Telephone (631) 765-1802 54375 Main Road (fi31) 7G4.g502 - P.O. Box 1179 + ~ rogecrichert c(~- o`wn.$OUtnOltl.nV.uS - Sonthold, IdY 11971-0959 Q~~/y~~,,~ "WTI l~ 1317IIDING DEd'ARTMEN'I' Town o» souTxo><.n APPLICATION FOR ELECTRICAL INSPECTION ' REQUESTED BY: ~ ~ ~S Cs~ ~ f ~ Date: 'Z- - IZ .Company Name: Name: License No.: Address: 370 '(`oG}e~ ~ ~ _ Phone No.: ~ - ~ ~ (o - 3 0 ~ - o`~ S JOBSITE INFORMATION: (*Ind.icates required information) *Name: o ~ 2s Co 'Address: ~ a ~ 'c ~ *Cross Street: ~ *Phone No.: rod i - 7~? - 30~i o ~ E, I - a'T(o - O'7 X43 Permit No.: 'Z ~ ~5 TaX Map District: 1000 Section: ~ y' Biock: ~ Lot: *BRIEF DESCRIPTION OF WORK (Please-P-Hint-Cle^ariy) ~~~la~e fll ,.,~~se. ~ u~ a ~~c~-e ~ (please Circle AN 'that Apply) *Is job ready for inspection: ESQ NO Rough In Final *Do ya.l need a Temp Certificate: YES ! NO - Temp Information (If needed) *Senrice Size: 1 Phase 3Phase 100 150 200 300 350 400 Other "NeW Senrlce: Re-c~nnecC Underground Number of Meten; Change ai Service Overhead Additional Information: PAYMENT DUE WITH APnnPLICATION f=L~ ~~i' ~ I ~0 ez-rteq~r rw l~~pe~l;on FoRn l a' - I l 3a a T T+OWN Cff SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT FQFt~v1ER OW ER ~ ~ 1 E 'J ACR. S W TYPE OF BUlLDkNG tES. ~ SEAS- VL. FARM CO,V~,41. C8. MiCS. ,Mkt. Value LAND IMF. TOTAL DATE REMARKS d~/.C.(.+J-d' . ,.~y~ ? ~ g o o s d o 3 o ~ S 7~ ~S~ ,dl,- ,3,? aao Y a -isot- T6 k F- ~ k. i• I AGE BUILDING CONDtTlON JEW NORMAL ; BELOW ABOVE AR,rA Acre ~ Value Per Vcfue Acre [Fable ~ ~ FRONTAGE ON WATER oodlond t FRONTAGE ON ROAD 6 ~ ~ e ; ~ , =adowland DEPTH use Ptot BULKHEAD iw v a DOGK _ _ - COLOR _ L~f Y e ~ TR[hl wc2 d _ .l i t~! p I_ _ : ~ I , 3 I 1 1 ! 4 t3 3 8 i I ~ y ~ I 3 ' ' ~ i ~ _ ~,I , _F - i ~ , 1 I //i /s i Exfensfan ~ ` ' I ~ x S. So t ' t Extension r ~ 1 ' ' j i ~ _ n I I Extension j - a l . 1 ~ t 1 e ~ 9 Foundation Yt Both ~ Dinette , Peveh ~ ~ , 'Basement Floors ~ K. _ x'~! . l * ~ Oct List =-a Porch ~ Fxt, Wa([s Fnterior Finish LR. { G . c~t L)t Breezeway ~ _----r_ ;Fire Pkace Heat f~ f,~,. `DR. Garage j ~ r ~ _ ~ 9 So i ~ a .Type Roof Rooms ist Floor BR. i Patio ~ i Recreation Rcom Rooms 2nd Floor FIN. 8 O. B. ~ Dormer Driveway ~fofat 1 , ~ r z,. ~o BUILDING PERMIT E~XQAQM~INER CHECKLIST Date Submitte~d.:/,l~~o~ Gate Reviewed: ~..~1(-102 Applicant: ~ov`~, - Owner: / t Architect/Engineer: Estimated Cost: SCTM# 1000 - 3 ~ - -3 - S~ Subdivision: Zone: Conforming? Property Address: ~ City:~~>~ Pre COs? Building Permits (Open/Expired): BP -z / Go z- ,Info: BP -z / GO z- ,Info: BP -Z / GO Z- ,Info: BP -Z / C/0 Z- ,Info: BP -Z l GO Z- Info: _ Single & Separate Search Required? Y o>~etermination: SToRMW/1.T~R RuNaF.F REQ. Lot Size: ACT. Lot Size: REQ. Lot Cov. d o °jc ACT: Lot Cov. REQ. Front ACT. Front RBQ Side ACT. Side REQ. Rear ' PROP. Rear REQ. Height . 3$~ ACT. Height REat. BoTN SIDES ACT Project Descripti n: ~ a- Waterfront? Y o p,,,~(_ Q~ If yes, water body: Panel# Flood Zone: Bulkhead/Btu f Distance: ADDITIONAL APPROVALSREOUIRED QLgNS(y~~ SIGNED,SENLED_S4RVEY oR SITE PLAN_ Suffolk County Health: Y o N If yes, *Bed#: _ *Date: *Permit#: Town Septic: Y- N - If no, certification required: Y or N Received: Y or N By: NYS DEC: ~e-nec vnns Y or/T!/- Date: Permit or NJ Letter -Notes: Southold Trustees: Y or~--~Date: Permit or NJ Letter -Notes: Southold ZBA: Y or~I -Date: Permit -Notes: Southold Plauning: Y ~ Date: Permit -Notes: Town Landmark C of A: Y o I~~DTE: *NYS CODE compliance (page 2): Y or N CoNTR1FcT~oR llctNSE AISABILITY_LIRBIc.ITY w°~kM~NS Co~MP~NS.4TlON~ Notes• ~.ee~ /le.p,, ..tom ' ~2„--r~° 1!.1~~ D-~~D~.~.a~c . Fee Structure: Calculation: l~ Foundation: SF X $ ~ ~ ~ • First Floor: SF + Initial Fee: $ b o. b0 Second Floor: SF + Additional Fee $ Other: _ SF SF X $ , Total: SF + Initial Fee: $ µ + Additional Fee $ C of O FEES ~1 S~~OD A 5 BUILT FEE TOTAL: $ 7r NEW PORK STATE CODE COMPLIANCE CHECIZI,IST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Gropnd Snow Load: 20 ~ Wind Speed:. 120MPH _ Seismic Design Category: B Weathering: Severe Frost Depth: 36" Termite: M-H Decay: S-M Design Temp: 11 Ice Shield Underlay: YES ~ Flood Haeards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIlZE AREA: TYPE OF CONSTRUCTION: DESIGN CRTIERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y1N HEADERS: Y/N WALL STUDS: Y/N GIRDERS: Y/N CEILING JOISTS: YM FLOOR JOISTS: Y/N ROOF RATTERS: Y/N LUMBER SPECIES AND GRADE: Y/N WINDOW AND DOOR SCHEDULE: NIBBLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N + LIGHT 8%: Y/N TENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF FRZE PROTECTION EQUII'MENT: Y/N TRUSS DESIGN. Y/N CERTIFICATION: Y/N ENERGY CALCS~ Y/N ~RESCHECK~ TOTAL COMPLIANCE? Y/N (RETURN TO PAGE ONE) so~~ Town Hall Annex yy~~~ Telephone (631) 765-1802 54375 Main Road T ~ Fax (631)765-9502 P.O. Box 1179 Southold, NY 11971-0959 ~ ~ oly~DUN1V N~ BUILDING DEPARTMENT TOWN OF SOUTHOLD June 25, 2013 Holly Vescovi 370 Rocky Point Rd East Marion, NY 11939 Re: 35 Atlantic Ave, 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) A fee of $50.00. /Final Health Department Approval. ~ I ~\3 ? Plumbers Solder Certificate. (All permits involving plumping after alvsa) Trustees Certificate of Compliance. (Town trustees # CBS-issz) Final Planning Board Approval. (Planning # 765-1g3a) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37575 -Alterations REScheck Software Version 4.4.4 Compliance Certificate Project Title: Greerlport Residence ~Oy Corte: mi0 Nets Mork ~9y Cstlrflssrva6on Location: Suffolk County, New York ConsWCtion Type: Single Family Project Type: New Construction Orientation: Unspeei}ied Conditioned Flocr Area: 1,335 R2 Glaang Area Perceraage: 12% Heating Degree Days: 5750 Climate Zone: 4 Permit Date: Corx6trction Site: Owrtar/Agartt: OlesigneriCor>lraetor: 401 AtYrrtic Avemre JWn Conddr Greenport, NY Condon Engineering, P.C. 1755 Sgsbee Road Mattituck, NY 11952 631-298-1986 Compliance: 3.OX Oat[ar Than Code Maximum UA: 336 Your UA: 3ffi The % Bafler a Wale TNn Catle Intlex reflects how cbse m comgiarns the hares rs basetl on ootle iretleoR rules. It ODES NOT pmvitla en eetimata of erwrpy use «mM relative m e minimumartle hone. Envelope Assemblies . a.. Ceiling 1: Flat Ceiling or Sdssor Truss 1,335 19.0 2.0 61 Floor 1: M-Wood Joisi/Truss:Ower Uncorzfitioned Space 1,335 15.0 2.0 68 WaB 1: Wood Frarrle. 16" o_c 511 15.0 3.0 29 OrieMSaon: R~ stile Window 1: Vnyl Frame:DouWe Pane with low-E 40 0.400 16 SHGC: 0.30 Orientation: Right side llya~ 2: Wood Frame, 16" o.c. 523 t5.0 3.0 27 Orientaliar: Lea side vthfldow 2: trryl Frarre:Da61e Pare w#h 1_ow-E ss aAOO 22 sHGC: 0.30 Orientation: Left side Door 1: Solid 18 0.400 7 Orientation: llmspedfied Wall 3: Wood Frame, 16" o.c. 434 15.0 3.0 21 Orientation: Front Window 3: Vary) Franle:Dwble Pane with Low-E 76 0.400 ~ SHGC: 0.00 Onentaton: Front Door 2: Glass 27 0.260 5 SHGC: 0.00 Orientation: Front Project Title: Greenport Residence Report date: 1221 /12 Data filename: C:\Condon Engineering\STRUCTURAL\Makoid-McLoughlin\Vescovi.rck Page 1 of 7 . Wall 4: Wood Frame, 16" o.c. 468 15.0 3.0 26 Oderdation: Back lnfedorrr 4: VeyA Franre:Oouble Pane wiri Law-E 38 0.100 14 SHGC: 0.00 Orientation: Unspecified. Compliance Statement: The proposed buikfkg design desatbed here is consistent with the building plans, specifica8ons, and other calwlasons submitted wNh the permit applicaUOn. The proposed building has been designed to meet the 2010 New York Energy Conserwatlon Construction Code regrirenreris in RESdrerIr Yersim 4.4.4 and m mmply w!r the nadesuy re¢i fate RESnlrerJr MraVedioe gradrliet. John J. Condon. P.E_ /L Z/ Z Name-Tab Dais Peoject Title: Grearpor[ Residence Report tiara: 12/21/12 Data filerrarrte: C:1Cadon EnginaerirglSTRUCTURAL1Makdd-Md.oer~lin\Veaoovi.rck Page 2 ~ 7 REScheck Software Version 4.4.4 Inspection Checklist Requirements: 0.0% were addressed directly in the REScheck software Text in the'Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a Dods tequverrfent will be met and haw that is documented, or that an ex~ptiorf is 6eirg chimed. Where cornPtiance is Remized in a separate table, a refererfce to that table rs provided. 2010 New Plans Verified Field Verified York Pre-InspectionlPlan Review value Value Complies9 CommentslAssumptions Ener _ 103.2 Constructor drawings and ?Complies [PRt]' docpn,enranan auRxJentry ?D°as Not comwy daner» ooda Nor ot>sarvaae N cbni Dance for the buiklin wwel W~ 9 oPe~ ?Nd Appligble 103.2, Construction drawings and ?Complies 403.7 documentation suilirJently ?Does Not Comply [PR3]' demonstrates energy code ?NO[ Observade N. compliance for ngfraog and ?Not Applicable madtanical systems. Systems sanrirg multiple dwe9eg udts most demonstrate compliance with the commercial code. 403.6 Reefing and coding epuipment is Heating: Heating: ?Canplies LPR~F sited per ACCA Manual 5 based an BtWhr Btrtrtx_ ?Does Nd Compy I krads per ACCA Manual J a other Coding: Coding: ?Nd Observade approved mathotls. 131u1hr ?Nd Applicable Addkional CommeMs/Atssumptions: t Hill Impact (Tier 1) 2 Medium Impact (Tier 2) 3 LAw Impact (Ter 3) project Tie: Cxaerper; Residence Report date: t2l11/12 Data filename: C:\Condon Engineering\STRUCTURAL\Makoid-McLaughlin\Vescovi.rok Page 3 of 7 2010 New YoAc Foundatlon Inspee0on Complies? ComnwmslAssumptbns Ener 3032.1 L.~osed foundatbn inwlafion ?Comdies [FO11]' proteotlon. ?DOes Not Comply ~ ?Not Observable ?NOt AppttcaMe 403.8 Snow matt contrds. ?Conplies ~FO12p ?Does Not ComdY ?Not Observable ?Not Applipble AddiHomF 1 ~ MnPatl (felt 1) 2 MetYUn Yrpect (tier 2j 3 Lax impact (Tier 3) PfojectTrtle: GreenportResidence Report date: 12!27/72 L)~a fYenarae: C:\Condon FigiriaeruglSTRl1CTURAL1Makoid~l~Ad_algtJin\Vesmvi.rrk Page 4 of 7 2010 New Plans Verified Field Verified York Framing /Rough-In InspeWon Value Value Complies? CommerrWASSUmpdons Ener 4024.4 Fenm that is not s~ 6riN is ~Cary4e~ 1 [FR20]' ksted and labeled as meeting ?DOes Not Comply d, AAMANVDMAICSA tO1l1.S.2/A440 or ?Not Observable has infiltraflon rates per NFRC 400 ?Not Applicable that do not exceed code limits. 402.4.5 ICtated recessed lighting tortures ?Corrplies 1FR16']r sealed at hausingfinteriorfirvish and ?Does Not Comply N labeled to krdicate &B;= 2.0 dm ?NW Observable l ktakage at 75 Pa. APPfir~ble 403.2.1 Supply duds in attics are insulated [o R-_ R- ?Complies [FR12]' R$. All other duds in unwnditioned R_ R_ ?DOes Not Comply y, spaces or ortfside the budding ?Not O~~ emekrpe are insulated to R$. Not ?Not Applicable applicable fl all systems are ductless. 40322 AB jmis and seams of ai drxis, a'r ?Car4kes [FR13]' handlers, filler boxes, arM budding ?Does No[ Comply cavities used as return duds are ?Not Observable sealed. ?No[ Applirable 403.2.3 Buildmg cavities are nor used es ducts ?COrrpilies ]FR15]3 or plenums. ?Does Not Comply ?Not Observabe ?Not AppdcaMe 403.3 FiVAC piping conveying fluids above R-_ R- ?Complies [FR17J~ 105 °F or chilled fluids below 55 °F ?Does Not Comply b, are insulated to R3. ?Not Observable ?Not Applicable 103.1 Ciradelkrg service hot water pipes ere R- R-_ ?Corryrlies (FR79]r 'ursrdatad to R-2 ?Does Not Cortrply ?Not Observable ?Not Applicable 403.5 Automatic or gravity dampers are ?Compl'res [FR19]~ installed on all outdoor ak intakes and ?DOes Not Canply exhausts. ?Not Observable ?Not Applcable Addkional Comments/Assumptions: 1 High Impact (Tier 1) 2 Medium Impact (tier 2) 3 l.ow Impact (Tier 3) Project Title: Greenport Residence Repoli date: 12121/12 Date filename: C:\Coreton EngineeringlSTRUCTURALU~Aalcoid-MCLax,)hNnlVescovi.n~c Page 5 of 7 2010 New York Insulatlon Inspection CompllesT Commerde!?ssumpdons E 303.1 AR irrefalled insulatlon labeled or ?Complles pN13p installed R-values provided. ?Does Not Comply ?Not Observable ~ APPT~ AddllfOnd Commarits//tssrnrrplforrc: 1 FFgn Mpact (Tier 1) 2 Meditrrn Mpaet (Tier 2) 3 Low hnPect (Tier 3) Project Title: Greenport Residence Report date: 12/21/12 Data filename: C:\Condon Engineering\STRUCTURALUNakoid-McLoughlin\Vescovi.rck Page 6 of 7 2010 New Plans Verged Field Veriried York Final Inspection Provistons Value Value Complies? CommentslAssumpdons En 102.42, Btelding envelope ver~erl ACH 50 = ACH 50 = ?Cornplies _ 402.4.2.1 try bknver door Bast resrM d 811:7 ACH ?Dces Not Comply [FI17]r at 50 Pa. This requirement may ?NO[ Observable u. instead be met via visual inspection, ?Not Applicable in which case redficatlon may need to occur dudng Insulation Inspection. ~ 402.4.3 Wood-burning fireplaces have ?Complies ~ (F~ gaskeBed doss and outdoor ?Does Not Compy combrsticn ek. ?Not Obserrelde ?NOt Applicable 403.2.2 Due tightrres via postconshuction _ dm _ cfrn ?COmplies [F14]r with marimum lealmge of 8 drn to ?Does Not Comply outdoors, or 12 ctrn across systems. N v ? of Observabe Fw rough-in tests. verificafion may Applicable need to agar dyeing Framing Inspection. wdtr rtrardrrrrrrrr leakafle of 6 dm across systems and 4 cfrn without air handler. 403.1.1 Programmable themnostats installed ?Complies [F19]r on forced air lumecas. ?Doas Not Comply v.. ?Nd Observable ?Not Applicable _ 403.1.2 Heat pump thermostat installed on ?Complies [FI70)z heat pumps. ?Does Not Comply ?Not Observable ?Not Applicable 4IXiA Circulating service hd water systems ?Conrplie5 (F111)s here auromatic or accessible manual ?Does Not Comply V~ controls. ?Nd gbservable ?Not Applicable Readily accessible swkch on heaters ?Complies [F112]~ for swimming pools. ?Does Not Comply w~ ?Not Observable _ ?Not Applicable 403.92 Taney switdres on pod heaters and ~ ~ ?Cartyties [F119]3 pumps are present. ?Does Not Comply ?NOt Observable ?NOt Applicable 403.9.3 Heated swimming pods have a cover. ?Cortrplies [F120]s Covers an pools heated over 90 °F ?Does Not Comply v are irrsdefed m R-12. Observable ?Nd APPIiwMe 401.3 Compliance certificate posted. ?Complies [Fl7]~ ?Does Not Comply yJ ?NOt Observabe ?Not Applicable 303.3 Manufar9urer manuals far mechanical ?Cortgrlies [Fi18f arW wager heetirrg equgrrnent bare ?Does Not Comply d, been Provided. ?Not Observable ?NOI Applicable Additional Comments/ASSUmptions: 1 High Impact (Tier 1) 2 Medium Impact (Tier 2) 3 Low Impact (Tier 3) Project Title: Greenport Residence Report 12/21/12 Data filename: C:\Condon Ergineering\STRUCTURALVvlakad-McLoughlin\Vescovi.rck Page i of 7 _ _ _ S-Z~i- (2 ~ Q~~ alb -~1.~~.~~~~ CON?PLY WITH ALL CODES OF APPROVED ~:S NC°iED NEW YORK STAT`t & TOWN CODES q AS REQUIRED D~TE: a-B.P.;S 37s7s NOTIFY BUIIDiFJC: :ii:~S?RTP,?cNT AT SOUTHOL vVNPLANNiNGBOARD 765-1802 8AM TO ~Pf,1 FOR THE 50U' LDTOW TEES FOLLOWING INSPFCT'vNS: ~I. FOUNDATION -TWO REOUIRED .S; DEC FOR POURED CONCP,ETE. 2. ROUGFI - FRAMIIV;; & PLUP4f31NG 3. ItdSUi.A710N Pf.UMBERCERT~FICATION 4. FINAL - COA:':rRi_u;TION MUST OIV LEA®CONTENT BEFORE sE COM?LI_ ~ ' C ; ~.o. CEATtFLCATEOFODCUPANCY ALL CONSTRUCTION SHF~LL MEET THE REOUiREMENTS OF THE CUDES OF NEW SOLQER USED IN WATER YORK STATE. PlGT P~EEPONSIBLE FOR SUPPLYSYSTEA4'CANNOT DESIGN OR CONSTRUCTION ERRORS. EXCEED 2J10 OF 1 % LEAD. pLUMk3kNG ELECTRICAL ALL PLtN~NG WASTE gWA7ERLINESNEED IYdSPECTIUkV REQUIRED BESTING BEFORE COVERING ~ ~ CIo~~.'~ ~ ~ ~ kl ~ 5~e~e 'l_ 3 . ~ W 2~z I 7 _ _ •q~ i i _i 3 f ~ .I o ' y .a o f~~ ~ ~~'I _ _ ~i,~~ U ~3 ; - iU flCT -1 2D12 ~~,esr F~-oa,e s LLDG. UEPf. { ~ rnf~'~-~ C r I ~ ~ ra~aunrso~~~rHOio K~~~~