HomeMy WebLinkAbout38057-Z ~y~q,~ Town of Southold Annex 9/26/2013
~ P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36530 Date: 9/26/2013
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 795 Laurelwood Dr, Laurel,
SCTM 473889 Sec/Block/Lot: 127.-7-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated
5/20/2013 pursuant to which Building Permit No. 38057 dated 5/29/2013
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:
alter existing attached to living space in an existing one family dwellin¢ as annlied for.
The certificate is issued to McKenzie IV, Alexander & McKenzie, Erica
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38057 8/1/13
PLUMBERS CERTIFICATION DATED
~ -
Aut ~ ature
TOWN OF SOUTHOLD
W BUILDING DEPARTMENT
~ ° TOWN CLERK'S OFFICE
'e ~tib' SOUTHOLD, NY
~i
e~ .
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 38057 Date: 5/29/2013
Permission is hereby granted to:
McKenzie IV, Alexander 8 McKenzie, Erica
795 Laurelwood Dr
Laurel, NY 11948
To: Conversion of an existin ara a attached to dwellin to livin s ace as a lied for.
9 9 9 l 9) 9 P pp
At premises located at:
795 Laurelwood Dr, Laurel
SCTM # 473889
Sec/Block/Lot # 127.-7-3
Pursuant to application dated 5/20/2013 and approved by the Building Inspector.
To expire on 11/28/2014.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $472.80
CO -ADDITION TO DWELLING $50.00
Total: $522.80
B Iding Inspector
orm N°. 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:
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:
1. 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
L 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 of Occupancy - $50.00
5. Temporary Certitcate of Occupancy -Residential $15.00, Commercial $15.00
Date._ 5~~~~~~
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 1 ~ ~ ~"';~-`u.~~.~ ~",.~e- ~r,,,, (~c t
House No. 1~ Street Hamlet
Owner or Owners of Property: ~ _1J \ L,~ ~Z, _
Suffolk County Tax Map No 1000, Section Block ~ Lot
Subdivision _ _ Filed Map. Lot:
Permit No. Dale of Permit. Applicant:
Health Dept. Approval: _ _ Underwriters Approval:
Planning Board Approval: ~
Request for: Temporary Certificate _ Final Certificate: V (check one)
Fee Submitted: $ ''jam
Applicant ignatu
'Og11FF0(K
Town Hall Annex Apr ~ Telephone (631) 765-1802
54375 Main Road ~ ? Fax (631) 765-9502
T
P.O. Box 1179 Wo ~ ~
Southold, NY 11971-0959 y4y01 * roaer.richertCn7a town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: McKenzie
Address: 795 Laurelwood Dr City: Laurel St: NY Zip: 11948
Building Permit 38057 Section: ~ 2] Block: 7 Lot: 3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Double Pole Electric Inc License No: 3913-me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X Pad
New Renovation X 2nd Floor Hd Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 8 Ceiling Fi#ures HID Fi#ures
Service 3 ph Hd W ater GFCI Recpt Wall Fi#ures Smoke Detectors
Main Pand A/C Condenser Single Recpt Recessed Fi#ures 6 CO Detectors
Sub Pand A/C Blower Range Recpt Fluorescent Fi#ure Pumps
Transformer Appliances Dryer Recpt Emergency Fi#ures Time Clocks
Disconnect Switches 4 Twist Lock Exit Fi#ures TVSS
Other Equipment:
Niles:
Inspector Signature: ~/~L Date: Aug 1 2013
Electrical Cert'rficate.xls
~ ~o,~,~~sar,"`~
TOWN OF SOUTFIOLD BUILDING DEPT.
765.1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INS ION
[ ]FRAMING /STRAPPING INAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (RO H) [ ]ELECTRICAL (FINAL)
REMARKS: ,
DATE INSPECTOR
o~,~pf SW/ry
Q ~ •`6
0~~~ ~
~ ~
TOWN OF SOUTNOLD 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:
U~~ - a
DATE ~ INSPECTOR`S i
o~aoF souryo
~ ~
"romm;~
TOWN OF SOUTFIOLD BUILDING DEPT.
765.1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] IN CATION
( ]FRAMING /STRAPPING [ FINAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
REMARKS:
DATE ~ ~ INSPECTOR
~O~ Q~.~Of 80U1y~
TOWN OF SOUTNOLD BUILDING DEPT.
765.1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ] RO GH PLBG.
[ ] F NDATION 2ND [ INSULATION
FRAMING /STRAPPING [ ]FINAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (RO GH) [ ]ELECTRICAL (FINAL)
REMARKS: / ~ ~ o-~
DATE D~ ~8 t~ INSPECTOR . G~ r
~,~OF SOUL ~
„o
# ~
~p~
OWN OF SOUTFIOLD BUILDING DEPT. ~
I t~~ 765.1802 ~ G
l~ ~,V' dy o~~
1 NSPECTION~
[ ]FOUNDATION 1ST [ ]ROUGH PLBG. c(~
[ ]FOUNDATION 2ND [ ]INSULATION
S~,`~
[ ]FRAMING /STRAPPING [ ]FINAL
L~~' [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
'ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
REMARKS:
L-~ c-c. '-~G
DATE ~ Z7 ~ INSPECTOR ~
Robert James Higgins
Architect, AIA
50 Hidden Acres Path
Wading River, NY 11792
631-208-3351
Town of Southold
Building Department
July 25, 2013
RE: Garage Conversion into living space
795 laurelwoods Drive, Laurel NY
JNS Contracting, Wading River, NY
Attention Building Inspector:
I hereby approve the following;
I have reviewed the installation of the floor framing over the existing garage floor
and based on my knowledge, Professional judgment and belief, the construction of the
framing and insulation is in accordance with the drawings and the New York State
Building Code.
~(~,C^.d h~}L,
~
~ ~
~ ~ / f~ ~ _ _
I
OF ~~1ti~' I - -
Ro ert James Higgins, AIA
FIRLD ~ N REPORT DATE COMMENTS c.
~ro
FOUNDATION (1ST) ~
FOUNDATION (2ND) ~t=7
~O
4~Q
ROUGH FRAMIl~TG &
PLUIVIBING
~y
cam,
p7
INSULATION PER N. Y. ~ H
STATE ENERGY CODE
c'
FINAL
ADDITIONAL COMMENTS
G -CC . ~ O.
.o
z
m
~ ~
b
t+a
TOWN OF SOUTHOLD DUILDING 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 Doard approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
i - - Septic Form
1 1 I~ 1 N.Y.S.UF C.
S~$ I( _ ~ Fla
dPermit
Hxmnined ,20 _ X11 ~ Storm-Water ASSCSSment Form
II MAY 17 ~
Approved ~ 2(1 /3 Mail to'.
Uisapprovcd a/c _
l~
~ i l
ii i..~lp Phnnc
FxpiraGon .20 '
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date 7 , 20~
INSTRUCTIONS
a. This application MUST he 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 ro schedule.
h. Plot plan showing location of lo[ and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by [his application may not be commenced before issuance of building Permit.
d. Upon approval of this application, the Building Inspector will issue a Huilding Permit to the applicant Such a permit
shall he 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
issues a Certiticate of Occupancy.
f. [:very building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, [he 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 HERBBY MADI~: to [he Huilding Department for the issuance ofa Building Permit pursuant to [he
Building Lone Ordinance o(lhe'I'own ol'Soulhold, 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.
`~~S Gpn~er..L'r~~ L1_L...
(Signature of appl ieent or name a corporation)
Q p ~oX 3KS ur-r~.; ~tr~ R,~-cs a'I ~t~ 9~.
(Mailing address ofapplicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
G~~ l Lam.-~~sc -
Name of owner of premises ~,~.Cti ~~t`~G~G o~~.,tL
( on the tax ro I or latest decd)
hfgapplicant is a corporation, signature of duly out ~ d of -
U Z~ ZJ~t`7 ~ ~CML2^'~a..~.. ~ _
(Name and title of corpo ar
le officer)
Builders License No. ~~~pl -
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Locatio of land on which proposed work wit be done: 1
Ilousc Number Street Hamlet
County Tax Map No. 1000 Section _ ~ ~~Block~_Lot
Subdivision Piled Map No. I,ot
r- 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~,r.ylL
'~f'v.~y t~t,{~^¢-
b. Intended use and occupancy~y`s\...~ ~ ~r•^, \-(o(~~
3. Nature of work (check which applicable): New Building Addition__ Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost~_ayr.~pC, Fee__
(To be paid on filing this application)
5. Ifdwelling, 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: Eront_ 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 toe Front 1 Rear ~ 5 C7 Depth ~ Q }
10. Date of Purohasc Namc of former Owner
I L Zone or use district in which prcmiscs are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YF,S NO ?
13. Will lot be ro-gradcd? YF,S_ NO Will excess fill be removed from prcmiscs? YF,SNO~~
14. Names of Owner of rcmises~~ktn2 (t Address l9 S l-*-.U'~'~ Phone No. (.1I -wo3 _Ctc~~
Name of Architect r gyn. _Address Phone No L~l-a.oR-3'SCI
Name of Contractor S Co,.Tt~..ct.
t-v Address v kr Phone No. ~~l 1- Q 19-CZ-va
I S a. Is this property within 100 feet of a tidal wetland or a freshwater wetland'? *YHS NO ~
* IF YES, SOU'fHOLD TOWN TRUS"rEl?S & D.G.C. PERMITS MAY BE RR~QUIRED.
b. Is this property within 300 feet of a tidal wetland? *YES NO
* IF YES. U.G.C. PF,RMI"I'S MAY 131? RGQ(IIRED.
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 I'cet or below. must provide topographical data on survey.
IS. Are there any uwenants and restrictions with respect to this property? * YhS NO~
* IF YIiS, PROVIDE A COPY.
Sl'A"rG OP NEW YORK)
SS:
COUN"I'Y Of Can EAU
_ ~ JQ1i ( \~~"C p ~ _ _ treing dWy sworn. Deposes and says that (slhe is the applicant
(Name of individual signing contract) above named,
(S)I le is the ~ O(~ ~c-(.To ~ _
Contractor, Agent, Corporate 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;
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 cforc me this q~,/
da f 20~'~
JOHN A. fulAKl
ary_ eubiic, Stat
Notary Public NO, t)fMAt31ff4838 tgnalure of pplicant
Qu~llflrd in Suffolk Co ~
Commlaslon f3xpinlr 043 •20 ! S
Town of Southold
Town Hall Annex Telephone (631) 765-1802
54375 Main Road Fax (631) 765-9502
P.O. Box 1179 roger. richertCaltown.southold.ny.us
Southold NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: DATE: JUNE 24, 2013
COMPANY NAME: DOUBLE-POLE ELECTRIC INC
NAME: STEVE NEGRI
LICENSE NUMBER 3913-ME
ADDRESS P.O. BOX 130 NESCONSET NY 11767
PHONE # 361-6440 CELL # 672-0241
]OBSITE INFORMATION
NAME: McKEN2IE RESIDENCE
ADDRESS: 795 LAURELWOOD DRIVE
CROSS STREET: LAUREL NY 11948
PHONE NUMBER: 603-4082
PERMIT NUMBER: 38057
TAX MAP DISTRICT: Section: Block: Lot:
BRIEF DESCRIPTION OF WORK: GARAGE CONVERSION _
Is job ready for inspection: YES ~
Do you need a Temp Certificate: NO ~ ! ~ i
i~~ 13 ,iL.
- 20
II'' ~ JUL 1 i~--~ I
TEMP INFORMATION (if needed)
Service Size
New Service
Additional Information READY FOR ROUGH INSPECTION ~~`,~.5
,~~'L 0 J~
~0
- -
~ o _ ~ TOWN OF SOUTHOLD PROPERTY..RiCORD CARD ~
OWNER STREET' f ~ VILLAGE DIST. SUB. LOT
C iG ~ClGJf/GGOa,? //{"~U(; ~l1UiG/ ~vre/Lose( ~<l+
FORMER OWNER N E ACR.
002
mm~clEY S W TYPE OF BUILDING
RES. ~/o SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS / /
G~~ ~7=''~' Jrli?5~7/ ~~3~ 7~ ~a,Cz' /0/rioa G~'~'Pt~i' fo ~~cD~Yhatic~r~Gt,l' y
/ 5~o G / o ~/7G ' ~/~/I7 ;~P ~s"9 yZ i3 /off ~I~w / xi„ ~w~%/ ~~LS"oorr
cz 3voc~ - ~,~0u~' ~'/y ~'/i 7'8/~d -~.9<k COnS>`, u erw-~t~u~erCIICC~G-h~.,LC,.~ell
~ 6 0 ~,a o ~ o ,r/~'/7~ 9 ~ 08' V.#~ 3y~ p seco Qdd ~ flan t i nterJar ~i..l trr~.f~'~.-
asooo
Cn3c?c~ ~90o z s~ 8' i3
ogT IaSLynl4~- ~.~mrrland[,rfiu3~~ i11~kenue
i~o o z nC~ S 0 0
- 6 O
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot ~ Z /~o~ BULKHEAD
Total
Y~'•i~~_ all `~tll:• -
I. ~ °rgy .
'r
'COLOR ~ra-~ 'jArj TRIM ~jr/`i/ 7~P
! -
- - C - -
i
}„r, ~ S
_
- ~,~.x:a~.7F~ - -
127:7-3 4/09 y ~ '
7 a - ~ a
.S/;• r
tensaon 6 X 2 2 c X 2 0 3~ 7/ ,s ~
~3. .Per PIc~iS 8 30
~ ~/S ~ 2,00
~I[ X ~4 /off ~ 7 Foundation ` . Bath 3 Dinette
Porch ~ ~ r r~ X d .50 ~ Basement Floors /ra~ K.
PpccKC G Ext. woos ~shj,(+ , r.,a Interior Finish ~ LR.
Breezeway Fire Place ~ Heat G ~ NW DR.
Garage ~ / ~(2 2 c ~T/6 L ~ i' y Z . Type Roof Roams 1st Floor R.
~ at..
Patio Recreation Room Rooms 2nd Floor FIN. B
O. B. 'QE+ ~ ~ Dormer Driveway
Total
z
7/6z 3/~
r.rt
iocxnex ~ef ~tiis ..u <ess~vrus s«o.r'.rt~aon
•+e
.wov n[w
O"s[swnpxa +xo oL nsw °m wuxran [Rar crxErs
Q ~`~~O
~ rot wrtf surlcr Lxe ff=wtt
n-s~~ov=srsr[xs r°x .wn nnrxxc
W r.cl GOYIOIIM r0 rxL i[41D410t W [xf LtliL0.L <OUITV OLIYRIY:
O. KLUn L[Y Vi<LL
APPIICaN7 _ _
S. ADDRESS _ _ _ _ TEL _
\ ~ T_ ~ WIIOY Op~!!t ®Qd~ Dl~llll~!
' V \ ~
_ ~ ar<1llG 7j f918 0, n. ars. 7- y
]h° BErap ei eoaael apA NNL• L1(fpp=]
\ * f°e 113 t1°• fer tLi• lo0atlpu h~?o Dppp
lnipfOtpd 4] Lh10 AppOitYOBt •nd ]OYpd
rt tp LN /Ot 17
\ HL']1pM
i
"a
s e9 ~
N ~1
W
.L~-
T
.N••
}
I t ~ Q~p
~
m
~ ~p of 7 pg sa.fr. ~
LM
Arm:43 6 wN x.+~ zgaAe 6
£ jr,...
~s f rp-
4
. ~
8
~ _ nJi 5~•~ioly. Lot 8
\
~ ~
\ _ `~L
°[g
o.
RC
~~~~P
~ NONUAAEM
JVIGV/9/ON AffPFKID/N rMEQ/FIOL
Ar rNE GLERR OFdf/FFQLK COf/Nry ON
MAY /7 /d7/ ASF/LEAP. 6d9d
7NERE ARE AA7 OLfELG /N6S MTM] /OO' -
Q'< rM9 P/iY.IpERTY OTNER T/MN T/A79E
dNONDV NEREON. NAG
WATER SERV/OE-PR/VA/E WELL ~GO
P
xfx'xr°^~ rouNO m rouna
JAAL llSLlfd loll ri Rp` Al. n..l. OI.r P.'!. ,r ,".Rh
AL/D. %Id71 xL[)LM N r0~!Nr~~ ~
,nv..n w rovY.-.
~av ty, ~ _ SUMEY FUF.
~ ,roo~~ ~ OAV/O C. COMMtINOERBEUZABE7i/MCOAUMANOE77
s LOT NO. 7
« RLAURELWOOD EST4TES"
~"'s5B99 h8 I-; LAUREL -.rrw...i~ =LU
tf/ iP! 1I ;,r..%. r _ n/E nS2E dL/ARAN2E A9.
' °LLrtfwtttt°~ f. 'St~UTHCYO ~sauL>rnLCSawNac]~eNR
- O
- _ ~ _ ~ / SO r NOV /5,/977 77-R/9
* J1- 020*3 ~Z~ X0/3
BUILDING PERMIT EXAMINER CHECKLIST Date Submitted. /Or;fB7 Date Reviewed:-/_/OS7t77
Applicant: ~)I~S
Cp1J~~T1~ 7- Owner: IyO~~IE
rc ? t/Engineer: ~i~~l^-~ g Estimated Cost:
SCTM# 1000-.__~'~- r- Subdivision: -~-Zone: ~ Conforming?
Property Address: ~9~GfP///~1.l.C,i~J/) City: ~~~~Z Pre COs?
Building Permits (Open/Expired): BP -Z / Go Z- Info: BP -Z / GO Z- ,Info: -
BP -Z / C/0 Z- ,Info: BP -Z / C/0 Z- nfo: BP -Z / GO Z- ,Info:
Single & Separate Search Required? Y ~ De rt?ination:
REQ. Lot Size: ACT. Lot Size: REQ. Lot Cov. ACT. Lot Cov.
REQ. Front ACT. Front REQ Side CT. Side REQ. Rear PROP. Rear
REQ. Height ACT. Height
Project Description: i/~G/~`Fi~ U~,LS/0.~~ 7~G ~wiu-~ f/, -
Waterfront? Y or ?
If yes, water body: ne Flood Zone: u Bluff Distance:
ADDITIONAL APPROVALS REQUIRED
Suffolk County Health: Y or N - If yes, *Bed#: *Date: *Permit#: Town Septic: Y or 1
- If no, certification required: Y or N Receiv : Y or N By:
NYS DEC: eR~nEC vnns Y or N -Date: ! / Permit or NJ Letter -Notes:
Southold Trustees: Y or N -Date: / / Permit r NJ Letter -Notes:
Southold ZBA: Y or N -Date: / / Permit -Notes:
Southold Plauuing: Y or N -Date: Permit # -Notes:
Town Landmark C of A: Y or N DTE: *NYS CODE Compliance (page 2): Y or N
Notes: /(J~ps SET
Fee Structure: Calculation: /
Foundation: SF 1. ( SF)- ~SF)= f~ SF X $ •`~y
First Floor: SF + Initial Fee:
Second Floor: SF + Additional Fee L_~: $
Other: SF 2. ( SF)- (SF)= SF X $
Total: ~ SF + Initial Fee: $
+ Additional Fee $
TOTAL:$~=
NEW PORK STATE CODE COMPLIANCE CHECIZI,IST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
Ground Snow Load: 45 Wind Speed: 120MPH _ Selsmlc Design Category: B
Weathering;: Severe Frost Depth: 36" Termite: M-H Decay: S-M '
• Design Tettkp: 11 Ice Shield Underlay: YES ~ Flood Haaards:
USE/OCC:UPANCY CLASSIFICATION: •
• HEIGHT~FIILE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE
FULL FRAMING DESIGN ELEMENTS: Y/N
READERS: Y/N WALL STLfDS: Y/N GIRDERS: Y/N
CEILING JOISTS: Y/N FLOOR JOISTS: Y/N ROOF RAFTERS: Y/IV
LUMBER:iPECIES AND GRADE: Y/N ,
DESIGN 1LOAD CALCULATIONS: Y/N
LIVE: Y/N DEAD: Y(N SNOW: Y(N SEISMIC: YM WIND: Y/N
WINDOP/ AND DOOR SCHEDULE:
M[SSLE TEST REQUIREMENTS: Y/N
EGRESS 5.7 S.F.: Y/N +
LIGHT 8%: Y/N
~~13NT 4%: Y/N
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N
PLUMBING RISER DIAGRAM: Y/N
LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
CERTIFICATION: Y/N
ENERGY' CALLS: Y/N
TOTAL COMPLIANCE? Y/N (RETURN TO PAGE ONE)
REScheck Software Version 4.4.E
' Compliance Certificate
Project Title: garage conversion to living space
Energy Code: 2010 New York Energy Conservation
Location: Suffolk County, New York
Construction Type: Single Family
Project Type: Addition
Conditioned Floor Area: 0 tt2
Heating Degree Days: 5750
Climate Zone: 4
Permit Date:
Construction Si[e: Owner/Agent: Designer/Contractor.
7951aurelwood dr jns consUacfing Robert Higgins
laurel, NY wading river, NY Robed Higgins Architect
50 Hidden Acres path
Wading River, NY 11792
631-20&3351
rarchibob@aol.com
~~~al:'
Compliance: 7.8% Better Than Code Maximum UA: 102 Your UA: 94
The % Better or Worse Than Cotle Index reFlects how Gose to mmplianoe the hoiee rs based on code tmtleaR rules.
It DOES NOT pmvitle an eslirrete or energy use w mst relative fo a minimumcotle bane.
Envelope Assemblies
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 487 49.0 0.0 10
Wall 1: Woad Frame, 16" o.c. 624 15.0 0.0 44
Window 1: Woad Frame:Double Pane with Law-E 29 0.340 10
SHGC: 0.00
Door 1: Solid 20 0.250 5
Ceiling 1: Flat Ceiling or Scissor Tmss 487 19.0 0.0 25
Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed buiktirg has been designed to meet the 2010 New York Energy Conservation Construction Code
requirernenls in RESche~c{k~VCersion 4.4.4 and to comply wi8t the mandatory re nfs li~led in the~R,ESchedr Inspection Checklist. I
~~~'~"Af--~T~~3 ~C1~L7~'c~ ~ ~rl~~ 1~3
Name - TI a Signature Date
Project Title: garage conversion to living space Report 05/15/13
Data filename: C:\UsersWdminlDocuments\COPY D 1104\adddans\20131795 laurelwood dr JNS\energy.rck Page 1 of 1