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Home My WebLink About37530-Z f Town of Southold Annex 8/15/2013 ~ P.O. Box 1179 54375 Main Road } Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36449 Date: 8/15/2013 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 700 Leeton Dr, Southold, SCTM 473889 Sec/Block/Lot: 59.-1-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/28/2012 pursuant to which Building Permit No. 37530 dated 9/20/2012 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: construct a 2nd story above an existing attached gara¢e as annlied for. The certificate is issued to Fatimi, Zafar Uh &Fatimi, I{hem (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-12-0050 8/5/13 ELECTRICAL CERTIFICATE NO. 37530 5/22/13 PLUMBERS CERTIFICATION DATED 5/24/13 C hogue East Plumbing Au o e igna re TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ p 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 37530 Date: 9/20/2012 Permission is hereby granted to: Fatimi, Zafar Uh &Fatimi, Khem 53 S Howells Pt Rd Bellport, NY 11713 To: construct a 2nd story above an existing attached garage as applied for At premises located at: 700 Leeton Dr, Southold SCTM # 473889 Sec/Block/Lot # 59: 1-6 Pursuant to application dated 8/28/2012 _ and approved by the Building Inspector. To expire on 3/22/2014. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $521.60 CO -ADDITION TO DWELLING $50.00 Total: $571.60 J Building Inspector cU,~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~D TOWN HALL `(w 765-1802 _ ~/2r(l f/ APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with [he following: A. For new building or new use: l . Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from 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: 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 signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy -New dwelling $50.00, Additions [o 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 of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. 22 - / Z New Cons[metion: Old `orDPre-existing Buildi/ng: (check one) Location of Property: ~Q pZ -71sv, A lA~e,~G ~.~G/~,E,.1/__ House No. Street Hamlet Owner or Owners of Property: ~ 9~a~ LYta.C Suffolk County Tax Map No 1000, Section ~ Block ~ Lot ro Subdivision Filed Map. Lot: Permit No. ~j 7 53~ Date of Permit 9' ZZ- / Applicant Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Tem~p~or~ary~Cye(rt~ificate Final Certificate: (check one) Fee Submitted: $ _f~ ' ' / _ _ ~ Applicant Signat Town Hall Annex ~~prg>rffUlA'~o~ Telephone (631) 765-1802 54375 Main Road ~ ~ w Fax (631) 765-9502 P.O. Box 1179 G z • Southold, NY 11971-0959 'jam! * '1a0! rower.richertCa~townsouthold.nv.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Dr Khem Fatimi Address: 700 Leeton Drive City: Southold St: NY Zip: 11971 Building Permit 37530 Section: rj9 Block: 1 Lot: 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: G&S Electric License No: 578-e 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 Attic X Garage X INVENTORY Service 1 ph Heal Duplec Recpt 16 Ceiling Fixtures 3 HID Fixtures Service 3 ph Hd Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors 3 Main Pand A/C Condenser Single Recpt Recessed Fixures CO Detectors Sub Pand 1 A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 13 Twist Lock Exk FiMUres TVSS Otner Equipmem: 2nd floor addition to gars e, 1-exhaust fan, 3-paddle fans Notes: Inspector Signature: ~,Lc Date: May 22 2013 Electrical Certificate.xls ~o~~QF SO(/ryo~ Town Hall Annex ~ ~ Telephone (631) 765-1$02 54375 Main Road ~ Fax (631) 765-9502 P.fJ. Boz L I79 - G ~ - - Southold, New York t 1971-0959 ~ _ ~'Y~bUNfh~` ~ ~ ~ ~ ~ o~~ ~ BUILDING bBPARTMENT ~AY 2 ~ TOWN OF SOUTHOLD FLOG Df.PT. TP~e.u P~ ~~"IHOID - CERTIFICATIQN Date: ~ 2CI. l ~J Building Permit No. ~ ~ Owner: (Please print) 1,,'V _ 2 g 72~ Plumber: .J~-'t- ~ IS {~~1 ~U~G~~ ~ (Please print) J I certify that the solder used in the water supply system contains less than 2/10 of 1 %a lead. (Plumbers Signature) Swom to before me this day of~, 20_~ ~ Notary Public, V County Notary Pubik:, State M New York No.O1BU6185050 Qualified in Sulfdk County Commission Expires April 14, 2~ 3~ ~ o~~'OF SO!/r~ f TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIQN [ ] FOU DATION 1ST [ ]ROUGH PLBG. ~ [ ] F UNDATIO [ ]INSULATION [ FRAMIN STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ J FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] EL ) REMARKS: ~ DATE ~ J~ INSPECTO *~o~* TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 -INSPECTION [ ] FO DATION 1ST [ ]ROUGH PLBG. [ ] UNDATION 2ND [ ]INSULATION [ FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] AL (FINAL) REMARKS: DATE f L ~ INSPECTOR - _ soury~ f~f HMO tL~~' TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION i ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRIIC710N [ ]FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE l5~ INSPECTOR _ ~~S ~ ~ * ~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECT ON [ ]FOUNDATION i ST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: '~-i" i , ~ L / / f DATE / 3 INSPECTOR , ~ ~r~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] H PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL )ROUGH) [ ] ELECTRNAL (FINAL) REMARKS: --'s-rte"/ DATE ~ INSPECTOR ` Z _ ~o~,~oF sourr,~6 /l~~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION ( ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ELECTRICAL (FINAL) REMARKS: ~ L~Lt~ - d« DATE ~ ~ ~ INSPECTOR 4'- _ _ / \ 3Q ~ o~.~OF SO4t~ ~.r TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] SULATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~ DATE ~ ~ 1 / INSPECTOR _ -~9 _ _ _ _ _ _ _ _ _ 0~,~,OF SO(/T~ TOWN OF SOUTMOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN ON [ ]FRAMING /STRAPPING [ I L [ ]FIREPLACE & CHIMNEY [ ] FI E AFETY I G~FIQ 1~~ [ ]FIRE RESISTANT CONSTRUCTION [ ] FI T PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE ! ~ INSPECTOR t.)'d `e cas ~rti T DAT$ ~ ae N'~D~ ,Y ~v tDA-'~O'Id (1STl -s ~p,~pP1(2ND) ~ ~ A c l J- ~ ~ ~ & cs7 gpU ~~~~lG ~ t' ~s~Ti,~°~~ cove STA'~ ~ ~ ~t '1 F , ~~s NTS ~ o p,DDI'fIO~AI+ CflNIM~' C.1 2 A c ~ ~l c' i~ wt N ..AWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLLS'I BUILDING DEPARTMENT Do ou 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 y z ~ Survey SoutholdTown.NorthFork.net PERMIT NO. ~,r~c-~ Check \Septic Form ~iV.Y.S.D.E.C.~ ~ITrustees ~C.O. Application Flood Permit Examined ~ , 20 l~ \ Single & Separate Storm-Water Assessment Form Contact: Approved ~ , 20 Mail toss `3, Sr]J T(f ( N) 1 Disapproved a/cam-___ P j Rte// l~j €LL UR l fly y//7~ Phone: C7 ~ ~ - ~ g~ ~ ~ 7~/~~ Expiration 20~ ~ Building Inspector APPLICATION FOR BUILDING PERMIT Date ~ , 20J~__ 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 tlu~oughout the work. e. No building shall be occupied or used in whole or in part for airy 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 afrer the date of issuance or has not been completed within 18 marths 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'he 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 ~C (Signature of applic~jnt r name, if a corporation) S3 S )}or.~ctrL L t I"7 ~CJ~, +gc=GL~dItT rV YJ/~ R (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder U ~ NtR Name of owner of premises r A TI IY~ ! Ztk1} /4tQ. (As on the tax roll or latest deed) If applicant is a corporap~, 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 o{f land on whJ'~h proJ~osed wo k will be done: /J/ '7~i0 L~ '~a nJ ~I t/ ~ ~8c1 rl-fd L -1~ 'V ~ / House Number Street p Hamlet County Tax Map No. 1000 Section 7j~~~' ~ Block S' 1 Lot ~ - Subdivision Filed Man No. Lot 1 2. State existing use and occupancy of preJJ~~ises and intended use and occupancy of proposed construction: a. Existing use and occupancy K~5 t ~ ~I l~ b. Intended use and occupancy 1~ ~ S 1 -I~ C/y % ! ~ L 3. Nature of work (check which applicable): New Building Addition ~ Alteration Repair Removal Demolition 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 Rear Depth 10. Date of Purchase I, IanUn ~ 9~_Name of Former Owner ~ o t ~C I~1/¢~? 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO~ 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO -q p 14. Names of Owner of premises ZAFAR J-A7iM ~ Address Phone No. 63 1-a( Ci Name of Architectl~/~ k /jS5 ociR ~ S Address So6~~,~Phone No - 67 60 Name of Contractor F3D b I~ ~ 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 accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public, State of New York (S)He is the No. 016U6185050 (Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14, 2Q of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swore J~p before me thi -#i7 day of 20~ ~r Q ~ ~ ~ u ~J~'~ Notary Public Signature of App scant uF, New York State Department of Environmental Conservation. Buildin~~6Stt~Y1St~~~rook, New York 11790-235$ , Thomas C. Jorling Commissioner Zafar Farimi Date: June 28, 1993 Leeton Drive Mattituck, NY ge; I-4738-00789/00001-0 SCTM 1000-059-1-6 Dear Mr Farimi, Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: Placement of fill or other activities landward of the existing, functional concrete sea wall is not within NYSDEC jurisdiction for TIdal Wetlands (Article 25) Therefore, in accordance with the current Tidal Wetlands Land Dse Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of tidal ::ey;.a.*:ds "i~3i^tio^al bour:3a ~ a' without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very s, George Hammarth Deputy Regional Permit Administrator cc: M.H.P. hO~~pF SOpTyv~ Town Hall Annez # ~ Telephone (63l) 765-1802 59375 Main Road ~~,~..gg p22 P.O. Box 1179 G Q roger.richertt~Own SOIJthOld-ny-us Southold, NY 11971-0959 ~ o~~co~ BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: L ~ G ~ `1 /C /,A nJ Date: 3 Company Name: S C i L. Name: %o U A ~tnt ~ cc.o License No.: Address: .p , ~o x a-t ~ .Sou?~so co Phone No.: 6 ! L J08SITE INFORMATION: (*Indicates required information) *Name: ~/t l~i~/~I~ ~ATihP/ *Cross Street: '~EwnJ y *Phone No-: 6 7(e.S- Y / _ Permit No.: ? 7.t' 3 O Tax Map District: 1000 Section:- !7G~- Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) a cn+o S ?an 4~ Af7D / ?a GAl`~GE (Please Circle All That Apply) *Is job ready for inspection: YES NO Rough (n Finai *Do you need a Temp Certifrcate: YES "U 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 Additional Information: PAYMENT DUE WITH APPLICATION C E ~ X02 Fnp n~T' Qo 02 ,,t) ~L E~ W ~'Zi _T3 ~2+D ~c.Lo ysF ~ o Cr ~a~l 82-Request for Inspection Form t" l e ho~~pF SOUryolo Town Hall Annex y Telephone (631) 765-1802 54375 Main Road T ~ Fax (631) 765-9502 P.O. Box 1179 Southold, NY 1 1 97 1-0959 ~ ~ ~Iy~DUNTV June 7, 2013 BUILDING DEPARTMENT TOWN OF SOUTHOLD Zafar Uh Fatimi 53 S Howells Pt Rd Bellport, NY 11713 Re: 700 Leeton Dr, Southold 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) fee of $50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits Involving plumbing after 4/1/84) Trustees Certificate of Compliance. (town trustees # ass-~as2) Final Planning Board Approval. (Planning # ~s5-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37530 - 2"d Story Addition above existing Attached Garage ;~~,J , ~ TO OF SOUTHOLD COPERTY RECORD CARD E' , , _ C~NER .FEET VILLAGE DISTRICT SUB. LOT r ~ J / FORMER OWNER N E „r ~ ACREAGOE _ ~ 1 ~ ~ g W o ~ ~ / TYPE OF~BUILDING T- i ,~c ~.,G-+~s.e.. ~L..B.-t-G.d,ti.,..Ua~ ~-f.~t(r- - l !~R CO d-0 /P ``e~-t~ ~-'1 (1 1(l.~_ ~'ES. SEtCS. ` VL. FARM COMwI. fI~D. ~ CB. MISC. LAND IMP. TOTAL DATE REMARKS ~l D C' ~ S,eLe /~~7/"~'oao. ~~P°~~slP~~9~.et~GU•.yG~,`D j,.._.~ t1~ 3 70 0 ~ S a u o o /6 i~ aC~.~ iG 1.~-d.,~4 ~ a~~ ~ GEJ~- sa B LDINaG COZDITION ~e use b ~ 3 N~E~N NORMAL_ ~ BELOW ABOVE Farm Acre Value Per Acre Value ~./I~~1e,R d _ C o ~T~. Tillable 1 _ - ~ ~ Ca .2~ ~ 3 F; 75 / ~ Tillable 2 tr-<a0 ~/~`T~~, ~ Tillable 3 Wcodland 1- Swampland o Brushland m ~ !1 House Plot j Tota I .c„„d,~ ~d o o ~ ~ J ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STRE/ET ~~~--tj ~ VILLrAGE,,,r DIST. SUB. LOT . ~ i fi kir e e Y e h/ R(?c !J the l ~ ~ esc. FORMER OWNER N ~ Qzr ~ E ~ ~ AC~ Q..' S W TYPE OF BUILDING -D LY P.~V ei? LR. Si4Cn-~e/e8. A` RES./~ SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 3700 .~d S" "n °2~.? ~ a zG a 3' ,!e . - u(,. - o / ~Y ~+,w.. , +w 3 0 0 6360 I6 6Od ~ ~ /F~ v 3(} 8 ~ - ~.Q~ d - JZ~ S. ~9V h. ~w~-(o-.r /~.f iro;~1 ~~i ' ,3 700 S2o0 0 2 z-r o .267 ~LSec ~ e~'' _ e$ t 'y / /-,tg # O -~Cfer o dh t~c~l~G 7'i ! z - N'p 5/S 9a -,BP7hao~a8 - cohs~ ~Ca e R~-;'Eion - ~ I uc~c~ 3 # ~ Zlo ~ 11.5 - ~ so Tillable FRONTAGE ON WATER ~7s- ~ ~ ' = 3 7.~~ Woodland FRONTAGE ON ROAD Meadowland DEPTH oi.~ Plot BULKHEAD 2J ~Totol , i 1 ~ - ~Z ~ _ ' 1 'a G~G,`fe F , I ~ L _ ~ I ~ I 59.-1-6 12/11 J i ~ i M. Bldg. a~f ~ S ~ t 7 L I Foundation !i_ Bath / - r Extension 3><a3 = G9 i Basement ~ loo /'iR Extension y0 L 9 r 8 D 3~''!' ~ ~ Ext. Walls i Inter or Finish S ~A NK Extension i< E Z ~ - Fire Place Heafi _ _ F:% zoo/ 7x~Z y 8 Porch Attic _ _ - Porch Roams 1st Floor a-'Z S~$ lZ7~O 2~/ I Patio _ _ Rooms 2nd Floor Garage X 30 = ~ ~ ~0 Driveway O. B. ~~ee k.r~ ~ - n /k" Ic ~ REScheck Software Version 4.4.3 Compliance Certificate Project Title: Fatimi Residence Energy Code: 2010 New York Energy Conservation Construction Code Location: Suffolk County, New York Construction Type: $Inggle Family Project Type: Atldition/Alteration Heating Degree Days: 5750 Climate Zone: 4 Construction Site: Owner/Agent: Designer/Contractor: 700 Leeton Drive Zafar Fatimi Brett Kehl Southold, NY 11971 700 Leeton Drive DAK. Assoc LLC Southold, NY 11971 PO. Box 1675 631-286-8740 Southold, NY 11971 CompFanoe: 19.7% Better Than Code Maximum UA: 203 Your UA: 163 The % Better « Woree Than Cade iMez reflects hmv dose ro conplWnca Me house u based an code Uadeafl mks. It DOES NOT provide an estimele of energy use «me[ rela4ve to a minimummde home. ~a• Ceiling 1: Flat Ceiling or Scissor Truss 781 30.0 0.0 a 27 Wall 1: Wood Frame, 16" o.c. 1176 19.0 0.0 60 Window 1: Wood Frame:Double Pane with Low-E 153 0.290 44 Door 1: Solid 20 0.300 6 Floor 1: All-Wood Joistrfruss:Over Unconditionetl Space 781 30.0 0.0 26 CompNance Statement: The proposed building design described here is consistent with the building plans, spedfications, and other calculations submitted wiM the permit application. The pro building has been designed to meet the 2010 New York Energy Conservation Construction Code requirements in REScheck Version 4.4. to comply with the mandatory requirements listed in the REScheck Inspection Checklist. ~ ~j ~U-rr>~S ~ J~ 212 B ~"1 l l7 Name - Titfe Signature Dat "(k~ Nt W Q ~~.aE~q~o9,F + r w) r .+pA p yyOq' qo~ ~P Project Title: Fatimi Residence Report date: 09/14/12 Data filename: C:\Progrem Files\My Documents\REScheck\Myers\Myers\Fatimi.rck Page 1 of 4