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HomeMy WebLinkAbout37987-Z L.YL1•`! ~ypiF9[~, Town of Southold Annex 9/5/2013 ~ ~ P.O. Box 1179 54375 Main Road ~ } Southold, New York 11971 „rm„fi CERTIFICATE OF OCCUPANCY No: 36489 Date: 9/5/2013 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 1435 Ackerly Pd Ln, Southold, SCTM 473889 Sec/Block/Lot: 69.-5-7.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed iu this ofliced dated 4/16/2013 pursuant to which Building Permit No. 37987 dated 4/30/2013 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 an addition to an existing single family dwelling as applied for. The certificate is issued to Becker, Brian (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37987 6/17/13 & 8/29/13 PLUMBERS CERTIFICATION DATED r Autho Si ature ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ TOWN CLERK'S OFFICE 'm,~! ~ SOUTHOLD, NY >m 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 37987 Date: 4/30/2013 Permission is hereby granted to: Becker, Brian 1435 Ackerly Pond Ln _ Southold, NY 11971 To: construct an addition to an existing single family dwelling as applied for At premises located at: 1435 Ackerly Pd Ln, Southold SCTM # 473889 Sec/Block/Lot # 69.-5-7.3 Pursuant to application dated 4/16/2013_ and approved by the Building Inspector. To expire on 10/30/2014. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $462.00 CO -ADDITION TO DWELLING $50.00 Total: $512.00 Building Inspector /y ~r~ li" .r Fm m No. h TOWN OF SOUTHOLD 'fl l/" ~ ~,]t~ BUILDING DEPARTMENT lll~~~"' TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I . Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1 % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from 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 I. Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations [o 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. - / ' J New Construction: Old or Pre-existing Building- _ (check one) Location of Property: f7-~ ~ ~G lC~ 2.L y t~D,v Jl L ~ l/~C House No. Str~ Hamlet Owner or Owners of Property: L ~ C C ~ Suffolk County Tax Map No 1000, Section _ ~ j Block ~ Lot ~ .3 Subdivision _ Filed Map. _ Lot: q-- - Permi[ No. ~ / Date of Permit.y-3~~~Applicant:_ Health Dept. Approval: _ _ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certitcate: ~ (check one) ) t~ Fee Submitted: $ _[L~ - Applicant Si~nanue ~o~~pF SOUTyolo Town Hall Annex yy yy Telephone (631) 765- 1802 54375 Main Road T T Fax (631) 765-9502 P.o. sox 1179 ~ o roger.richert(a~town.southold.ny.us Southold, NY 1 1 97 1-0959 i ~~'~OOUNiV,N~ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Brian Becker Address: 1435 Ackerly Pond Ln City: Southold St: NY Zip: 11971 Building Permit#: 37987 Section: 69 Block: 5 Lot: 7.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: osA: Peconic Electric License No: 43457-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1sl Floor X Pool New Renovation 2nd Floor Hot Tub Addition X Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 11 Ceiling Fixtures 2 HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures 4 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 9 Twist Lock Exit Fixtures TVSS Other Equipment: 2-paddle fans Notes: Inspector Signature: ~o,w`pc~-per Date: Aug 29 2013 81-Cert Electrical Compliance Form.xls g~1FF0(K Town Hall Annex c0~ Telephone (631) 765-1802 54375 Main Road ~ ? Fax (631) 765-9502 P.O. Box 1179 G y~ ~ Off' roger.richertCa~town.southold.nv.us Southold, NY 11971-0959 'y~pl # ,~a BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Brian Becker Address: 1435 Ackerly Pond La City: Southold St: NY Zip: 11971 Building Permit#: 37987 Section: 69 Block: 5 Lot: 7.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: o13A: Peconic Electric License No: 43457-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 200a Heat Duplec Recpt Ceiling Fixtures HID FiMUres Service 3 ph Hot W ater GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect 200a Switches Twist Lock Exit Fixtures TVSS Other Equipment: serwce only--2008 underground service Notes: Inspector Signature: ~ Date: June 17 2013 Electrical Cert'rficate.zls ~~~~7 ~o~aoFSOUryo6 # 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) [ ] LECTRICAL F REMARKS: ~ DATE o~"~ INSPECTOR ~~~J y / ~~,OF SO(/l ti~ ~ ~ ~LbIMI'1;~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ] FOUN ION 1ST [ ]ROUGH PLBG. [ ] F NDATION 2ND [ ]INSULATION FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: a DATE ~ Z INSPECTOR ~~j ~ ~ ~ o~,aOF SOUt'y0 * TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] R H PLBG. [ ]FOUNDATION 2ND INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] ELECTRICA ) REMARKS: ~ DATE l INSPECTOR 1 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: DATE INSPECTOR ~ ~ ~ ~ .~j o3~,OF SOUI,y TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST ( ]ROUGH LBG. [ ]FOUNDATION 2ND [ ] I CATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION ( ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE ~ ~ INSPECTOR -~..-r: n o~,*OF 80(/r~ \ * ~ M 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: DATE ~ INSPECTOR FIELD IlVSPECP~ON AEY'~DAT D CO ~ ~ _ ~ troa FOUNDATION (1ST) ~ l7C l1J FOUNDATION (2ND) - z 0 y D~ ROUGH FRgNBNG & ~ PLUMBING ~ t~ INSULATION PER N. Y. `3 STATE ENERGY CODE . 6 , C FINAL ADDITIONAL CONIMENTS ~ i - ~ ~ V.i C.2 N ~ r `t~-~~ adL~ i` a'1 ~ 1 D'Cl L G. Z~ o~ c ~ z c TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Bealth SOUTAOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Boats approval FAX: (631) 765-9502 - ` ~ Survey Sou[holdTown.NorthFork.net PERMIT NO. ~ / / ~ Check____,____-____ Septic Forth N.Y.S.D.E.C. Tmatees Flood Permit Examined. _ _ //~r 20 / 3 Stonn-Water Assessment Form i Con[aM: t~ ,A~ t~~~ ~ Approved_________ _ ~~~t) 20 Mail to: 1 v Vy)q t/N Ia1Md Disapproved a/c Phone: Vba Expiration, 20~ , L Building Inspector APPLICATION FOR BUILDING PERMIT Date , 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 [o 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 Pertni[. d. Upon approval of this application, the Building Inspector will issue a Building Permit [o the applicant. Such a permit shall be kept oo the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues aCertificate ofOccupancy- f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 mondrs from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, [he Building Inspector may authorize, in writing, [he extension of [he permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE [o [he Building Depamnen[ for [he issuance of a Building Permit pursuant [o 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 m 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. (Signanrte ofapplicaat or name, ifa corpoation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder h n ~ r Name of owner of premises \ ~ v Q ~ ~ (As on the tax roll or latest deed) ~ ~ ~ M If applicant is a corporation, signature of duly authorized officer LV (Name and title of corporate officer) ELGG. C=?T. Builders Licenae No. Tv^ 0~ 'i~~~r' D Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on w ch proposed work ill b don iy 3~ ~o~ ~ id House Number Street Hamlet 2 County Tax Map No. 1000 Section~Block Lot 3 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premi~ and intend use and occupancy of roposed construction: a. Existing use and occupancy .~I n~ ~ 2, ~h ?~(il~l ~~/M ~Q SI ~A'll'1 . b. Intended use and occupancy SA- R.l~wl I h BY`~ 3. Native of work (check which applicable): New Building Addition~Altemtion Repair Removal Demolition Other Work (Description) 4. Estimated Cost ~~7 _p y~ 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 e~~a[[ch type of use. 7. Dimension~st of existing structures, if any: Front S - ~ a Rear 7.~ r' ~ " Depth ~ N Height r~(~ -/o t/- Number of Stories ~ 4 r ~ Dimensions of sa a structure with alterations or addition :Front tOJ Rear d 3 Depth ~{~-/O" Height v7'I'-(o" Number of Stories a~ 8. Dimensions of entire new construction: Front ~ ~ r- d Rear ~ ~ Depth ~ 4 Height //O t'r3 " Number of Stories , / 9. Size of lot: Front ~~30 l d~~ Rear o73a / Depth 7 / ~ /r ~ 10. Date of Purchase~L~Name of Former Owner 1 1. Zone or use district in which premises are situated pj0 12. Does proposed constmc[ion violate any zoning law, ordinance or regulation? YES NO~ 13. Will lot be re-graded? YES NOWill excess fill be removed from premises? YES_ NO 14. Names of Owner of premises 'F3F t:~~CN Address SO ? ~-d~c~ Phone No. Name of Architect CQDA~V\ Address ( IS. Phone No Name of Contractor 'I ~OgQ,-Y AddressPhone No. 15 a. Is [his property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY $F,-REQUIRED. b. Is this property within 300 feet of a tidal wetland? *YES_ NOXX * IF YES, D.E.C. PERMITS MAY BE REQUIRED. l0. Provide survey, to scale, with accurate foundation plan and distances to property lines. I Z If elevation at any point on property is at 10 fee[ or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO~ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY ~OF` ) _ _ _ _ '~-1Q,1~~, .(/r _ being duly sworn, deposes and says [hat (s)he is the applicant (Name of individual ~grvng con act)'(a~bove named, (S)He is the V ~ Sl~j~~-L'? (Contractor, Agent, orporale Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; [hat all statements contained in [his application are [rue [o [he best of his knowledge and belief; and that the work will be performed in the manner se[ forth in the application filed [herewith. t Swo to before me thi I ~ \ ' , day of 20 \Uc TOTH ry 196 Notary Pub is QU8 in Sllfolk Count / Signe ure of A 1 a t Commission Expires July 28 ?~i . (lJ1 Tmm HaU Mnac Tdcplio~ (63U 765-1802 54375Mau+ltoatl a - as, 9 P.O. Box 1179 , r; ~ ~ ~ r~ Southold. D17(1197109.19 ~ L~ '"l G7 oa _ Lill ~f ~ I:1:1:1?JJIII BLJII.DINO DEPAIC1'J' U ' TQ~N111:OF SQ[TI~HOY~ BLDG. DEPT. AP~CtCA~I©N FAR E~~.EC~~t~d.:11~3PEC TD's~n~ G~ sourHOLo ' REQUESTED BY: i W R I CAN T Dater y z Company Name: EG°D~v/ ~ LECT Name: M E license No.: 9/ 3 •S 7 - ~9 E" Address: _ . ~o~e /3 0!/TTt . _ Phone No.: / , 1d0 ~ t : / 'F•4X °a~''f9- y6/L JO$SITE INFORMATIaM: (`I[ldit~t~sregccahotTr~afian) "Name: l~ll~ C"C 'Address: 3 C~C~ G oN,d ~ RIr~E" `Cross Street: wf~ 'Phone No.: ~p / ,-d 76~ 5// a~ Permit No.: c=1-A~-~ ~l FS Tax Map DistricX: ~ 100tr 3actton: $Inck: S Lot: 7, ~ 'BRIEF DESCRIPTION OF 11J?pRK ('Please Pont Clearly) ~~d ~.vb • v~~rr ~/Iau,~~D cP~~?rC~ 70 ,.1x7 (Please Circle pll7hat Aaply~ ' 'Is Job readyfor inspedlon- NO Rough In Finaf *Do you need a Temp CerHfticate: YES / ' O Tomp Ittfonnadon J "'SeNkae Size: 1 Phase 3Phase 100 150 300 350 AQ0 Other 'New Service: Re-connect ;Underground Number of Metal's of Sorvioe Overhead Additional informatbn: PAY~~ SUE WITFIAPPUCATION - a~ ~ 8N2equest rar Inepec~on FGrnY ~a b l ?3 Town halt Annex Telephone (~fi3y(1)~.7~GrQr1Q80E 54375 Main Road ~tK76ff16herllC~i$OUtl101d.nY.US P.O. Box 1179 Southold, NT 11971-0939 Z,s. b~ s-r'3; suunl~tcn>;rnaz~+rr c. X3650 ~o`vx of st~vn APPUCA710N FoR E~cT~ I~s~i`cTioN REQUESTED BY: ~ C vt. W !1l C~ ~t"~ Date: ~ I ~ Company Name: ~ C o nJ i C 'CTT'?l i t Name: ~ License No : y S `1 - F aaaress: z~`~ou ( N av . ~ 6 Phone No.: (,3 1 ' 2 S Y- (o b5'-fs' JOBSITE INFORMATION: ("Indica~ruiric~a#~on) 'Name: t EcaCc~ `Address: 1 ~t 3 S c~ r ~N L,q • ~ ~...,a v `Cross Street: `Phone No.: $ ~ - ~ S = ~ / q~ Permit No.: 37~t Tax Map District: 10Q~ Win: dc: Let: 'BRIEF DESCRIPTfON f)F V1t~RiQ{Please Print Clearly) FS.Sa Sq ~ r~/JQt i ia~ (Please Circle All That Apply A ~ /L , 1 O `Is job ready for inspectiort: YES NO Rough In Final `Do you need a Temp Certi~ate: 1'ES Nps' Temp Informatton (If rle~eidadJ `Service Size: 1 Phase 9Phase 1U0 150 200 300 350 400 Other 'New Service: Re-connect Underground Number of Meters Change of Service Ovefiead Additional Information: PAYMENT SUE {INtTFI APPLICATION t`!~$f t N4.1_ s - S'C'*(t eft CE- V ~ A r0 ~OtJE ND ~ t^iA~C. NS lotJ . l- g2-Requestforlnspection Fonn .o~ - ~ ~ ~~v' ~ ~ ~ _ - _ ~ _ ~ _j, TOWN OF SOUTHOLD PROPERTY RECORD CARD p OWNER STREET ~ VILLAGE DIST. SUB. LOT ACR. I REMARKS i ~ ~ ~ " /J -L 11~ 2~_- ~-l4ir~~ ~f7 .a L,?~~ c ~Zl c,~ 7 TYPE OF BLD. ~~1/7~1 J ff' ~~fP~) .~('~'"P ~ a~ r/l - ";s' ~a~ `l ~ ~ C n~ Jv,~~ll'~ ~ l.v/~~~xr PROP.CLAS LAND IMP. TOTAL DATE ~ ~ ~7i~j~ ~ a_ ~ G / I G~ 2 2 n,«,~ ~ 1 ~ 9op 71 O fl 2 5 9(0 2'Z C ? 3 7 500 3 D3 FRONTAGE ON WATER TILLABLE I' ' FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND I~~ BULKHEAD HOUSE/LOT ~ f ~ TOTAL ~ t,.e z M1 ' ~~c~~_ • I• ~ + ~ - - i 3 z 69: 5-7.3 4/11 Z M. Bj 2?,'((2(,e = 'S9~ ~~S ~.~~Q Foundation ° Bath Dinette - ~ Ext_e ion ~ ~ x.Z ~ y u0 5, ~ a2„~ Basement s Ae ~ Floors Kit. I/ - Extension Ext. Walls V ~ W~ ~ Ch ~ Interior Finish C .(2., L.R. Extension (Q X8 = ~ S g s_°_ t2 ~ Fire Place t }ca Heat a~~ iF+~J~v~; D.R. Patio Woodstove BR. bx 9 - 2~f $b Dormer ti t V.h ~5 : I j5 1rj ~ SO ~/2 bo ~ Deck Attic ~ Rooms ist Floor i2 /-frUGyy' ~ ` ~b Garage ~ 2 Y. , t?S SSC~ Driveway Rooms 2nd Floor 3SE a -t ~ 'S-~ O.B. 2 PR e + 1 bot,, pG' w(om~..r• i, ~Ni 1.r Pool qo o>> .,.~~i.u~g~, ~i Q fo Q~ Outlook - scottboger(a~hotmail.com Page 1 of 1 F ~=~~dF,, Eduardo ~ . ~cofu,, - Inbox 22 Junk z ' 1 attachment Drafts 31 ? ~ ~ ~ ~ Se Il l ~4 Deleted 95 ~ New fol~I - r,. Quick views ~ ~eei Yrnm my IF'honr U J~ https://bay167.mail.live.com/default.aspx?id=64855 6/29/20 13 Outlook - scottboger cr,hotmail.com Page l of l ~~e io ~ateyones ~r,i~, S11h~2Ct) = FOICIf'I ~ duardo i~i~ lnbox 16 i' r Junk z - , 1 attachment Drafts 1 ~ . Sent ,k.: a `i,c ~ Deleted 95 ~ ~ ~ ` ' ! „ A ~ C~ui~k vicw~ ~ - i ~ ~ ~f ~ r ~ . - - < y i ~ - . c~, 3 https://bay 167.mail.live.com/mai 1/ 6/29/2013 Outlook - scottboger@hotmaiLcom Page 1 of 1 ~__~~cl, !f•~,~ ~ S~Ibiect) Eduardo rO~dt'I ~ Eduardo I~~i~ Inbox 21 Junk 2 k? II 1 attachment Drafts 31 Sent Deleted 95 .Y ~,,~.J folder ` - ~f'I~J • f ~.>I_iick views '1. ~ti 4 ~ ` ~ ~ ~ •~-tip `ice https://bay167.mail.live.com/default.aspx?id=64855 6/29/2013 ~o~~pF SO(/Tholo Town Hall Annex yy Telephone (631) 765-1802 54375 Main Road ~ T Fax (631) 765-9502 P.O. Box 1179 Southold, NY 1 1 97 1-0959 ~ ~~y00UNT1,~~ BUILDING DEPARTMENT TOWN OF SOUTHOLD August 16, 2013 Brian Becker 1435 Ackerly Pond Ln Southold, NY 11971 TO WHOM IT MAY CONCERN: The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: lication for Certificate of Occupancy. (Enclosed) ectrical Underwriters Certificate. (contact your electrician) A fee of $50.00. Final Health Department Approval. PlUmberS SOlder Certlf Cate. (All permits involving plumbing after 4/1184) Trustees Certificate of Compliance. (Town Trustees a ass-iasz) Final Planning Board Approval. (Planning # ~s5-~s38) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37987 -Residential Addition ~ N _ BiFFOLK COU ? f pEVARTF~JiT OF ~tfALTti SERVICES ~'9~l ~O~ P~ s FOR APB t'VA- of CONSTRUCTION ONLY ~ ~ e F~ `90. R10-94-0102 ~Cs~~~/~~~/- \r,~- O Q / c t`S DATE --_..liS. REF. NO. ~ 6'. g°FAO ~QI-V / so F !0 `ko ~ /`ice FQ~d"~ >s. O APPROVED - ._w~'~ ~P~~ ~2S2` u tNll"~ ~ 'h ~`O~~ ~~,htk~ ` N j a NMM ~ir~14~~~. ~~~~,,,~r. ZyQ)9 9• < ~ ~ ~ ~P~i O V ~ \ , o yJ ~ o ~ SURVEY OF- _ 4 y~~..~ . t~~ ~ --P ~ „PURITAN FARMS„ s ~ ~ ' ~ €,,,si / FEE NO.95.~8, FirED Y ~9, 1994 a° }~2;", ` `a` a A T SOUTHOLD r R~X ~ .~;J ~_~~~a?` , ,~a59~ TOWN OF SOUTHOLD a ' ' °o- ~ ! cERrIF(ED roe SUFFOLK COUNT Y, N Y. O ~u'~ sI ~ / ` ~ KA/REN M.BBECKER SCale Y~ = BO' ~ ~ SL/FFOLK COUNTY NATIONAL BANK T I P ~ ATGEh1C ~ YORK MORTGAGE OC ! , r7, 1994 Of NE{y ANY ALTERAT/OVJ aR ADDl770N TO rxrs suRVeY /S A vra,annrr g ~ 2.~oa© .AR CFA 2.5093 Acres ~~Ao~ ME>r yo~~ OF SECTIOAf T209 ~ T1iE hL~W YDRK STATE EDUCATpN LAW ~F 4• ~ a , r~ `o EXCEPT AS PER SECTAO/V 7209-SL~BlXY1StOAi 2 ALL CERTAFICA~77QM5 '~6. P r U 'E',. 3,aa ~ ~ FLEREDN ARE VALID FDW TFIS MAP AliD COPS ThEREOF OAICY d°' '?a 5• ~ ~ w, SAID MAP OR COPdES BEAR T}E' SEAL QF TFE SVRV£YOR 1? APPEARS + om /a~ ra~g(ar the STA/~ARDS FOR APPROVAL - ~ 4 ADDtrroNaccY To cauPtY rnrrr saro LAW rME TERM ALTD4ED BY• q~9 AND CO! ONSr TN~U OF SUBSCIRFACE SEWAGE j,:: c, N.Y.S. UC. NO. 496(8 Musr eB cu~D BY Ann Ano ALt stRVEYgts tm[ A COPY D(SPOSA 3AL S~~EMS FOR Sl1JGLE FAMKY RESHJENCES OF ANOTtfJ;! SURVEYORS MAP. TERMS SiJC7/~/ AS 9VSPE'CTED• AI19D and wlH c (Qbia3c bIr the cond/lions sal lorlh thereln and on the YORS, P.C. 79ROUQ'1T-TO~ATE' ARE Jtl®T BY CQAIPLL4NCE N9TN Tim LAW. _ permit to to cor,sf*vcf. ( 20 P. O. 909 MAIN RDAD ELEVAT70NS ARE REFERENCED TO AN ASSUMED DATUAL ~ SOUTHOLD, N. Y. 11971 94-311 REScheck Software Version 4.4.4 Compliance Certificate Project Title: Becker Residence Energy Code: 2070 New York Energy Conservation Location: Suffolk County, New York Construction Type: Single Family Project Type: Addition Conditioned Floor Area: 0 ft2 Heating Degree Days: 5750 Climate Zone: 4 Permit Date: Construction Site: Owner/Agent: Designer/Contractor: Ackedy Pond Lane Nancy Dwyer Design Consulting, Inc. Southold, NY Southold, NY . Compliance: 3.7X OeHer Than Code Maximum UA: 566 Your UA: 547 The °6 aetlx or Worse Than Catle N,dez,eflecfs haw dose b cu,riplanro Cie house a tasad an mtle hetleoll nles h DOES NOT pmritla an estimate d energy usa ar ma[ rdetiee b a mmmm,mmde home. Envelope Assemblies . Wall 1: Wood Frame, 16' o.c. 736 19.0 0.0 34 Window 1: Vinyl Frame:Double Pane with Low-E 134 ) 0.320 43 SHGC: 0.00 Door 1: Glass 38 0.310 12 SHGC: 0.00 Ceiling 1: Flat Ceiling or Scissor Truss 580 30.0 0.0 20 Floor 1: Slab-On-Grade:Unheated 580 7.2 438 Insulation depth: 2.4' Compliance Statement: The proposed building design described here is consisten ith the building plans, specifcations, and other celculations submitted with the permit application. The proposed building has been designed t the 2010 Ne York Energy Conservation Construction Code requirements in REScheck Version 4.4.4 and to comply with the mandatory re is list t ESche Inspection Checklist. ~~ohr-~ L'. ~roN.n ~T ~E ~ 4• ~9•r~ Name-Title Si ature Date QF NEW ~ OPNEgc~'~.~'~ 9~q ~ 1 I ~ ~,o ~5822~ 4.~~~/ ~`~~ES S ~ nr~ p%,- Project Title: Becker Residence Report date: 04/17/13 Data filename: Untitled.rck Page 1 of 6 REScheck Software Version 4.4.4 Inspection Checklist Requirements: 0.0% were addressed directly in the REScheck software Teat in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being daimed. Where compliance is itemized in a separate table, a reference to that table is provided. 2010 New Plans Vetiflad Pleld Verified York Pre-InspeetlonlPlan Review Valus Value Complies? Commerrla/Assumptlons Ener 103.2 ConsWCtion drawings and ?Complies [PR1p documenla0on suficienUy - ?Dces Not Comply tr. demkmstrates energy code ?Not Observable compliance for the building envelope. ?Not Applicable 103.2, Conshuction drawings and ?Complies 403.7 documentation sufficiently ?Does Not Comply [PR3]' demonstrates energy code ?Not Observable N. compliance for lighting and ?Not Applirable mechanical systems. Systems serving multiple dwelling units must demonstrate kxxnpliance with the commerdal code. 403.6 Heating and cooling equipment is Headng: Heating: ?Complies [PR2]~ sized per ACCA Manual 5 based on Btulhr Btulhr ?Dces Not Comply U, bads per ACCA Manual J a other Coding: ?Not Observable approved methods. BtuMr &ulhr ?Not Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) 2 Medium Impact (Tier 2) 3 Low Impact (Tier 3) Projed Title: Becker Residence Report date: 04/17/13 Data filename: Untitled.rdk Page 2 of 6 2010 New Yodr Foundation Inspection CompliesT Comments/Aswmptions Ene 303.2.1 Exposed foundation insulation ?Complies [FO11]T protection. ?Dces Not Comply U, ?NOt Observade ?Not Applicade 403.8 Snow melt controls. ?Complies [FO12]~ ?Does No[ Comply ?Not Observable ?NOt Applicade Additional Comments/Assumptions: 1 ~ High Impact (Tier 1) Medium Impact (tier 2) 3 Low Impact (Tier 3) Project Title: Becker Residence Report date: 04/17/13 Data filename: Untitled.rck Page 3 of 6 2010 New plans Verified Field Yerified York framing I Roughan Inspection Yalus Value CompliesT CommentslAsaumptions Ene _ 402.4.4 Fenestration that is not site built is ?Compl(es [FR20]' listed and labeled as meeting - ?Does Not Comply v, AAMANJDMAICSA 101/LS.2IA440 a : ?Not Observable has infiltration rates per NFRC 400 - ?Not Applicable that do not exceed code limits. _ 402.4.5 IC-rated recessed lighting fizhrres- ?Complies (FR16]~ sealed at housing/interior finish and - ?Does Not Comply U/ labeled to indicate &tr;= 2.0 dm ?NOt Observable - leakage at 75 Pa ?Not Applicable 403.2.1 Suppty duds in attics are insulated to R- R- ?Complies [FR12]' R-0. All other duds in unconditioned R_ R- ?Does Not Comply spaces or outside the building ?Not Observable envelope are insulated to Rti. Noi ?NOt Applicable applicable if all systems are ductless. _ 403.2.2 All joints and seams of air duds, air ?Complies [FR13]' handlers, filter boxes, and building ?Does Nd Comply cavities used as return ducts are ?Not Observable sealed. ?Not Applicable 403.2.3 Building cavities are not used as duds ?Complies [FR15J' a plenums. ?Dces Not Comply u• ?Nd Observable ?Not Applicable 403.3 HVAC piping conveying fluids above R- R- ?Complies [FR17'j' 105 °F or chilled fluids bebw 55 °F ?Does Nd Comply U, are insulated to R-3. ?Not Observable ?Noi Appdirable 403.4 Circulatirg service hot water pipes are R-_ R- ?Complies [FRiB]~ insulated to R-2. ?Does Not Compy ?Not Observable ?Not Applicable 403.5 Automatic or gravay dampers are ?Camplies [FR19]~ installed on ail outdoor air intakes and ?Does Nd Comply exhausts. ?Not Observable ?NOt Applicable Additional Comments/Assumptions: Irt High Impact (Ter 1) 2 Medium Impact (Tier 2) 3 Low Impact (Ter 3) Project Title: Bedter Residence Report date: 04/17/13 Data filename: Untitled.rdt Page 4 of 6 2010 New York Insulation Inspection Complies? CommentslASSUmpiions Ene 303.1 All installed insulation labeled or ?Complies [IN13]~ installed R-values provided. ?lMes Not Comply ?Not Observable ?NOt Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) 2 Medium Impact (Tier 2) _ „ _ Low Impact (Tier 3) Project Title: Becker Residence Report date: 04/17/13 Data filename: Untitled.rck Page 5 of 6 2070 New Plans Verified Field Verified York Final Inspection Provisions Valw Value CompliesT Commems/Assumptions En 402.4.2, Building envebpe tightness verified ACH 50 = ACH 50 = ?Complies 402.4.2.1 by blower door test result of 81t;7 ACH ?Does Not Comply [FIt7]' at 50 Pa. This requirement may ?Not Olucwable instead be met via visual inspection, Applicebbl in which case verfication may need to occur during Insulation Inspection. 402.4.3 Wood-burning fireplaces have ?Complies [FI8]z gasketed doors and outdoor ?Does Not Comply combustion air. ?Not Observable ?Not Applicable 403.2.2 Duct tightness via post-censWdion cfm ckn ?Complies [FI4]' witlr maximum leakage of 8 ckn to ?lMes Not Comply u outdoors, a 12 rAn across systems. ?Not Oluervable For rough-in tests, verification may ?Not Applicable need to occur during Framing Inspection, with maximum leakage of 6 cfrn across systems and 4 cfin without air handler. 403.1.1 Programmable themrosfafs installed ?Complies [FI9]z on forced air furnaces. ?Does Not Comply dJ ?Not Observable ?Not Applicable 403.1.2 Heat pump themxutat installed on ?Complies [FNO]r heat pumps. ?Dces Not Comply J ?Not Observable -?Not Applicable 403.4 Circulating service hot water systems ?Canplies [FI11]~ have autanatic or accessible manual ?Does Not Comply controls. _ : ?NOt Observable _ ?Not Applicable 403.9.1 Readily accessible swkch on heaters ?Complies [FI12j3 for swimming pods. ?DOes Not Compy ~j ?Not Observable ?Not Applicable 403.9.2 Timer switches on pool heaters and ?Complies [FI19J3 pumps are present. ?Does Not Comply vi ?Not Observable ?Not Applicable 403.9.3 Heated swimming pods have a cover. ?Complies [FI20]3 Covers on pools heated over 90 °F ?Does Not Comply are insulated to R-12. ?Not Observable ?Nat Applicable _ 401.3 Compliance certificate posted. ?Complies [FI7}~ ?Does Not Comply ?Not Observable ?Not Applicable 303.3 Manufacturer manuals for mechanical ?Complies [FI18]a and water heating equipment have - ?Dces Not Comply U~ been provided. ?Not Observable ?Not Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) _ Medium Impact (Tier 2) 3 Low Impact (Tier 3) ~ Project Title: Becker Residence Report date: 04/17/13 Data filename: Untitled.rdt Page 6 of 6 2010 New York Energy Conservation Construction Code Energy Efficiency Certificate Wall 79.00 Floor 7.20 Ceiling /Roof 30.00 Ductwork (unconditioned spaces): Window 0.32 Door 0.31 Heating System: Cooling System: Water Heater: Name: Date: Comments: