HomeMy WebLinkAbout38651-Z
" pl Town of Southold Annex 2/24/2014
yF
p P.O. Box 1179
$ 54375 Main Road
'z+9 Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36779 Date: 2/24/2014
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 850 Ruch Ln, Greenport,
SCTM 473889 Sec/Block/Lot: 52.-2-30
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
1/23/2014 pursuant to which Building Permit No. 38651 dated 1/29/2014
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:
"as built" interior alterations, including seasonal dwelling converted to year round dwelling and basement bathroom as
applied for.
The certificate is issued to Higgins, Caroline
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38651 2/7114
PLUMBERS CERTIFICATION DATED 2/5/14 Mattituck Plumb' g
Autho ed Signat e
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
® y 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 38651 Date: 1/29/2014
Permission is hereby granted to:
Higgins, Caroline
PO BOX 233
Southold, NY 11971
To: as built" interior alterations, including seasonal dwelling converted to year round
dwelling and basement bathroom, as applied for.
At premises located at:
850 Ruch Ln, Greenport
SCTM # 473889
Sec/Block/Lot # 52.-2-30
Pursuant to application dated 1/23/2014 and approved by the Building Inspector.
To expire on 7/31/2015.
Fees:
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $1,212.80
CO - ALTERATION TO DWELLING $50.00
EL $125.00
Total: $1,387.80
Buildin Inspect
Form No. 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:
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:
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
I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. 1-\-3-7-013
New Construction: Old or Pre-existing Building: _ (check one)
Location of Property: %So RyLy1 Loete_ Sail* hr) 1tl
House No. Street Hamlet
Owner or Owners of Property: C ax 0\ H ~G !m,$
Suffolk County Tax Map No 1000, Section 'L Block Z Lot 'A ID_
Subdivision Filed Map. Lot:
Permit No. _ Date of Permit. Applicant:_
Health Dept. Approval: Underwriters Approval: _
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Pee Submitted: $
Applicant Signature
pF SOpryolo
Town Hall Annex Telephone (631) 765-1802
54375 Main Road T T Fax (631) 765-9502
P.O. Box 1179 co 2
roper
Southold, NY 11971-0959 .richert(c~town.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Carol Higgins
Address: 850 Ruch Ln City: Greenport St: NY Zip: 11944
Building Permit#: 38651 Section: 52 Block: 2 Lot: 30
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat gas Duplec Recpt 16 Ceiling Fixtures 2 HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors 1
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 4 CO Detectors 1
Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances dw Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 12 Twist Lock Exit Fixtures TVSS
Other Equipment: AS BUILT-NO VISUAL DEFECTS, 1-exhaust fan, 1-paddle fan, 1-combination
smoke/co detector
Notes:
Inspector Signature: Date: Feb 7 2014
81-Cert Electrical Compliance Form.xls
• ~ ~~o~SUFFOC,~co~
• y i
'.•.c Hai, 53095 Main Road
P Box 1179 Fax (631) 765
tyif~O~ QQl• 7
Nc w' York 11971.0959 Tclcphont (6] 1
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BUILDINU•DEPARTMENT I
TOWN OF SOUTHOLD 2014
CERTIFICATION
Date:
Building Permit No. 38(p 61
0"'ner: CoLro C I 'AS
11(PleaWprnt) /
Plumber. -Rofy l.n,~
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 or 1%
lead.
(Plumbers Signature)
S~%orn to before me this 7
JI.V of lidlea,,4eN . 20
D[IJISE KING
Notary Pui !ic. State of New York
R r)'stratlon #01 K16041757
_ Qu!I(ied In Suffolk County ~l
• My Cnmi sion Expires May 1°, . 20 ~oiary Publi Counly
1 „5-I OF S0l/ly_
3 IIYY
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] I LATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL ( UGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE 3/ ` INSPECTOR
J ~~OF SO!/l
r^ Gv
TOWN OF SOUTHOLD BUILDING DEP .
1 765-1802
INSPECTION z 7~,
[ ] 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 INSPECTORS
JAMES J. DEERKOSKI P.E.
260Deer Drive
Mattituck, NY 11952
(631) 774 7355
Date: February 23, 2014
To: Town of Southold Building Dept
Re: Higgins
850 Ruch Lane.
Southold, NY
To Whom It May Concern:
This letter certify that the Above mentioned dwelling was converted form a summer
cottage to a year round residence prior to 2003 and met all state and local codes at the
time of construction. Any questions I free to call.
cerely,
Jam s eerkoski P.E.
pF NEW Y
P~~ ) DEER~o
CO s~
* e Cr
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2
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OFE S10NP
FEB 2 7 2014
FDELD N RZ?M DATE CObIIV1$NTS C)J
v
FOUNDATION (1ST)
FOUNDATION (2ND)
' x
0
• ~n
C) CA
ROUGH FRAMING & IA
PLUMBING
O
IN TION PER N. Y.
$iJI.A
STATE ENERGY CODE
3
FINAL
ADDITIONAL commNTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following, before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 r : -.ry Survey
SoutholdTown.NorthFork.net PERMIT NO. 351 Check
Septic Form
• N.Y.S.D.E.C.
Trustees
Flood Permit
Examined , 20 Storm-Water Assessment Form
t Contact:
Approved Z -,20L41 Mail to:
Disapproved a/c
Phone:
Expiration 20-LY
21 2014
1p+arr5,-d-c- 1A PPLICATION FOR BUILDING PERMIT
Date 20 1 INSTRUCTIONS
c't
a. phis appliba e completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
curate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been cornotted:wifk*UW months from such date. If no zoning amendments or other regulations affecting the
p~bp~Ny'I6bo~13eWdttacted in the ihtorgtf; 4he BLildingdnsWtor may autihadze; in writing,rthe extension of the permit for an
additik gix inori$iV.'Th2reafter, a new permit shalti be required. •.Y. roo ..s i.
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.
(Signature of applicant or name, if a corporation)
Y'x\VLQ NjO-ma
Qc~ ~zS6. Ma~}t4-~cK. N`I 11457-
Mailing address of applicant)
Sta//tte~e whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
'Sfr.
Name of owner of premises
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:
93 8 so 7 , S&CNN \O.IsQ SOIAlr1o 1A
House Number Street , Hamlet
County Tax Map No. 1000, Section J~ZL_ Block 2 Lot -30
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy L?e Is n!R' S 1 Ae r\)-+
b. Intended use and occupancy C As - $,3.\w V- 2 $ \ C RV-\)-%'J
3. Nature of work (check which applicable): New Building Addition Alteration
-t
Repair Removal Demolition Other Work Ia5 qv.9 \ \!t ti tv i 1h5
(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.;"•Dimensionsof entireftclw-construction: Front Rear Depth Height Number of Stories
9. Size of lot: Front Rear Depth
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-Will excess fill be removed from premises? YES_NO
Coe \c~2ns Oh~yQ
14. Names of Owner of premises CC.SoVC'jAddressQo%f' 6 _N`f . 1052*one No. 41 Ar -JQ-j-789j
Name of Architect )tr. Deer Address Phone No -L005--71\G
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 Bt REQUIRED.
16. Provide survey, tp.wale', with>aceurate foundation plan and distances to property lines.
17. If elevatioti 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)
S: i
COUNTY OF l ` ` \
~A \ C-Nft" \ C~ 4 f1C~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the A S{~'C-
(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 before me this
3 day of ` 20 1cf
Z<4;;~ ,
Signature of A p icant
Nota Aublic H. TANDY 113
Notary Public, State Of New York
No. 01TA6086001
oualified In Suffolk County
Commission Expires 01/13/20 ~S
TOWN OF SOUTHOL® PROPERTY RECORD CARD
~yOWNER STREET VILLAGE DISTRICT SUB. LOT
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DORMER OWNER N E ACREAGE
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Scott A. Russell James A. Richter, R.A.
SUPERVISOR Mic4ae1_.M, CO11ins P.E.
SOUTHOLD TOWN HALL - P. O. Box 1179 16 QZ 53095 Main Rpod SOUTHOLD;!NEIW Y
Telephone (631) - 765 -1560 ,i N# j691}-765-9015-=
MICHAEL.COLLINS®TOWN.SOUTHOLD.NY.US 1 ~ JAMI4R~T~Ik~I'ER®1'OWN.SOUTHOLD.
JAN 2 2 2014
Office of the Engineer
Town of Southold
Tr -~o
STORMWATER MANAGEMENT CONTROL PLAN REVIEW COVER SHEET
(TO BE COMPLETED BY THE APPLICANT)
PLEASE NOTE: All Contact & Project Information Requested by this FORM is Nessary for a Complete Application.
APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) PROPERTY OWNER: (If Different from Applicant)
NAME: CAROL N1661!,N$ NAME:
ADDRESS: 850 RUC14 LANf~ ADDRESS:
$ovtltot.n oy l lai I
Telephone Number: q14 393 7843 Telephone Number:
Completed Applications can be picked up at the Engineering Department after being notified by the Department, or;
it can be Mailed to the Applicant with the submission of a Self Addressed 8.5' x 11" Envelope & Appropriate Postage.
DATE: I - L 2 - I g Property Address / Location of Construction Work:
SCTM*: 1000 $2 2 3a
District Section Block Lot
Required Documents for Stormwater Review:
Copy of Complete Building Permit Application.
Stormwater tlanagement Control Plan. (2 Sets)
Note: SMCP's are required whenever Grading or Excavations exceed 5,000 S.F, when New Impervious Surfaces are
created, and/or when existing Roof Systems, Driveways, Patios or other Impervious Surfaces are Re-Surfaced.
De Minimis Projects will NOT be Subject to the Submission of a SMCP During the Stormwater Review I
Note: These Projects would be Limited to Interior Renovations, Replacement of exterior Doors & Windows, Deck Construction
with Loose Fit Decking, Installation and/or Modification of Mechanical Systems or other similar Work.
A Complete Description of the Scope of Work Proposed under the Building Permit Application.
A Completed Stormwater Review Checklist. If No or NA are Indicated, Justification is Required.
FORE ING DEPARTMENT USE ONLY
Reviewed By: 4od Date: Z Z - ~y
APPr ved:
Additional Information Required:
ALL I NTt!?e- t0IL WOR Un715 No ORAL P&6 r6a i,&eD
FORM x SMCP - TOS JAN 2014
ook CHAPTER 236
STORMWATER MANAGEMENT CONTROL PLAN CHECK LIST
y~ z DATE: )-z Z ^ 14 APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other)
oho yy S C T M 1000 Z 2 3a NAME: CNRoL A(e.6&WS
1 T Telephone Number: g I j 3U 7913
District Section Block Lot
S M C P - Plan Requirements: The applicant must provide a Complete Explanation and/or validation of all Information Required by this Checklist if it has not been provided!
1. A Site Plan drawn to scale Not Less that 60' to the inch MUST If You answered No or NA to any Item, Please Provide Justification Here!
show all of the following items: YE NO NA If you need additional room for explanations, Please Provide additional Paper.
a. Location & Description of Property Boundaries "
b. Total Site Acreage. xf~ M11
( ~G
c. Existing - Natural & Man Made Features within 500 L.F.
of the Site Boundary as required by § 236-17(Cx2).
d. Test Hole Data Indicating Soil Characteristics & Depth to Ground Water.
e. Limits of Clearing & Area of Proposed Land Disturbance.
f. Existing & Proposed Contours of the Site (Minimum Z Interval)
g. Location of all existing & proposed structures, roads,
driveways, sidewalks, drainage improvements & utilities.
It. Spot Grades & Finish Floor Elevations for all existing &
proposed structures. b
1. Location of proposed Swimming Pool and discharge ring.
j. Location of proposed Soil Stockpile Area(s).
k. Location of proposed Construction Entrance/Staging Area (s). w ci 46A Lm
1. Location of proposed concrete washout area(s).
M. Location of all proposed erosion & sediment control measures.
2. Stormwater Management Control Plan must include Calculations showing Z-
that the stormwater improvements are sized to capture, store, and infiltrate
on-site the run-off from all impervious surfaces generated by a two (21 inch
rainfall / storm event.
3. Details & Sectional Drawings for stormwater practices are required for approval.
Items requiring details shall include but not be limited to:
a. Erosion & Sediment Controls.
b. Construction Entrance & Site Access.
c. Inlet Drainage Structures (e.g. catch basins, trench drains, etc.)
d. Leaching Structures (e.g. infiltration basins, swales, etc.)
FORM , SWCP Check List - TOS JAN 2014
i
UF SQ~Ty
Town Hall Amex
ll t Telephone (631) 765-1802
54375 Main Road oad 502
P.O. Box 1179 G, Q _%ger.riche rtti~town soul10501% nV us pG~
Southold, NY 119714959 0 • ~wv~~ i ~ .
~ hh
BUILDING DEPARTMENT
TOWN OF SOUTHOLD i
APPLICATION FOR ELECTRICAL INSPECTION N
REQUESTED BY: Date:
Company Name: I_.
Name: ('i~c.2iL rlS I
License No.: ~y
Address: klv O~Z4
Phone No.: - 39 3 - 6 9 3
JOBSITE INFORMATION: (*Indicates required information)
'Name: _~[AR1) u1 dQ 14 C pw5c,
-
'Address: 1,60 _ l 1 h L /1i h( Q ld A2, "2
~ I
'Cross Street: <"'ftl AA
`Phone No.: QI U 3a 93
Permit No.: g L ~l
Tax-Map District: 1000 Section: Z Block: Z Lot; 3
'BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
Is job ready for inspection: YES ! NO. Rough In Final
`Do you need a Temp Certificate: YES ! NO
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
~ll
.82=Request for Inspection Form -
C~(J Generated by REScheck-Web Software
Compliance Certificate
Project
Energy Code: 2010 New York Energy Conservation
Location: Suffolk County, New York
Construction Type: Single-family
Project Type: Alteration
Climate Zone: 4 (5750 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
'Compliance: Passes
Compliance: 3.3%Better Than Code Maximum UA: 272 Your UA: 263
The % Better or Worse Than Code Index reflects how close to compliance the house is based on code tradeoff rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Assembly Gross Area Cavity Cont Glazing
or R-Valt;e or Door UA
Floor: All-Wood joist/Truss Over Uncond. Space 1,063 30.0 0.0 0.033 35
Wall: Wood Frame, 161n. o.c. 1,500 13.0 0.0 0.082 103
Window: Wood Frame, 2 Pane w/ Low-E 209 0.300 63
Door: Glass 21 0.300 6
Door: Solid 20 0.280 6
Ceiling: Cathedral 331 21.0 0.0 0.048 16
Ceiling: Flat or Scissor Truss 732 21.0 0.0 0.047 34
Compliance Statement: The proposed building design desc d here is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The prop a uilding has been designed to meet the 2010 New York Energy
Conservation Construction Code requirements in REScheck Version .5.0 and to comply with the mandatory requirements listed in
the REScheck Inspection Checklist.
$ER-"1tb3Ytf~ ~ ~ ~ ~l
Name - Title of NEW Y Signature° Date
yDEED~o? *
Q cr
W
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ON 0 072yO
p~OFESs\
Project Title: Report date: 12/30/13
Data filename: Pagel of 7
C~(J Generated by REScheck-Web Software
Compliance Certificate
Project
Energy Code: 2010 New York Energy Conservation
Location: Suffolk County, New York
Construction Type: Single-family
Project Type: Alteration
Climate Zone: 4 (5750 HDO)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
Compliance Passes
Compliance: 3.3% Better Than Code Maximum UA: 272 Your UA: 263
The % Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Gross Area Cavity Cont. Glazing
.Door UA
Floor: All-Wood joist/Truss Over Uncond, Space 1,063 30.0 0.0 0.033 35
Wall: Wood Frame, 161n, o.c. 1,500 13.0 0.0 0.082 103
Window: Wood Frame, 2 Pane w/ Low-E 209 0.300 63
Door: Glass 21 0.300 6
Door: Solid 20 0.280 6
Ceiling: Cathedral 331 21.0 0.0 0.048 16
Ceiling: Flat or Scissor Truss 732 21.0 0.0 0.047 34
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 building has been designed to meet the 2010 New York Energy
Conservation Construction Code requirements in REScheck Version 5.5.0 and to comply with the mandatory requirements listed in
the REScheck Inspection Checklist.
Name - Title Signature Date
Project Title: Report date: 12/30/13
Data filename: Page 1 of 7
C~(J Generated by REScheck-Web Software
Compliance Certificate
Project
Energy Code: 2010 New York Energy Conservation
Location: Suffolk County, New York
Construction Type: Single-family
Project Type: Alteration
Climate Zone: 4 (5750 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
Compliance: Passes
Compliance: 3.3% Better Than Code Maximum UA: 272 Your UA: 263
The % Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Gross Area Cavity Cont Glazing
Assembly meter R R-Valt'e or Door UA
Floor: All-Wood Joist/Truss Over Uncond. Space 1,063 30.0 0.0 0.033 35
Wall: Wood Frame, 16in. o.c. 1,500 13.0 0.0 0.082 103
Window: Wood Frame, 2 Pane w/ Law-E 209 0.300 63
Door: Glass 21 0.300 6
Door: Solid 20 0.280 6
Ceiling: Cathedral 331 21.0 0.0 0.048 16
Ceiling: Flat or Scissor Truss 732 21.0 0.0 0.047 34
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 building has been designed to meet the 2010 New York Energy
Conservation Construction Code requirements in REScheck Version 5.5.0 and to comply with the mandatory requirements listed in
the REScheck Inspection Checklist.
Name - Title Signature Date
Project Title: Report date: 12/30/13
Data filename: Page 1 of 7
C~J( Generated by REScheck-Web Software
Compliance Certificate
Project
Energy Code: 2010 New York Energy Conservation
Location: Suffolk County, New York
Construction Type: Single-family
Project Type: Alteration
Climate Zone: 4 (5750 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
Compliance: Passes
Compliance: 3.3% Better Than Code Maximum UA: 272 Your UA: 263
The % Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cast relative to a minimum-code home.
Envelope Assemblies
Gross Area Cavity Cont. Glazing-----]
meter U-Factor
Floor: All-Wood joist/Truss Over Uncond. Space 1,063 30.0 0.0 0.033 35
Wall: Wood Frame, 16in. D.C. 1,500 13.0 0.0 0.082 103
Window: Wood Frame, 2 Pane w/ Low-E 209 0.300 63
Door: Glass 21 0.300 6
Door: Solid 20 0.280 6
Ceiling: Cathedral 331 21.0 0.0 0.048 16
Ceiling: Flat or Scissor Truss 732 21.0 0.0 0.047 34
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 building has been designed to meet the 2010 New York Energy
Conservation Construction Code requirements in REScheck Version 5.5.0 and to comply with the mandatory requirements listed in
the REScheck Inspection Checklist.
Name - Title Signature Date
Project Title: Report date: 12/30/13
Data filename: Page 1 of 7
NSURVEY OF PROPERTY
o "o AT ARSHAMOMOQUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000-52-02-30
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SUFFOLK COUNTY NATIONAL BANK ~'lr T ME
ADVOCATES ABSTRACT, INC.
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ANY ALTERA770N OR AO017I01V TO THIS SURVEY IS A V10LA77DN CONIC YORS, P. C.
~y d OF SECTION 72090E THE NEW YORK STA 7E EDUCAT70N LAW. (631) 765-5020 FAX (631) 765-1797
AREA=7~6V 1 SO. F7. EXCEPT AS PER SEC77CN 7209-SUBOMSION 2. ALL CER77F7CA770NS
~QS HEREON ARE VALID FOR THIS MAP AND COPIES ]HEREOF ONLY IF P. 0. BOX 909
TO TIE LINE SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET
WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971 13-292
AP~PR( APPROVt D IS I''l~f)pTMPLUMBING
DATES: ,II T DATE: -LILL D, P.Al I PLUMBING WASTE
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NOTIFY BUI 765-1802 8 N Ai NOTIFY BUIL~ING_L'tiNTN_ENT_ AT_________________ - , H I n 'I 765-1832 8 AM TO 4 PM FOR THE M L
FOLLOWING II FOLLOWING INSPECTIONS: M I 1
1. FOUNDATIC 1. FOUNDATION - TWO REQUIRED Design Services
FOR POUR FOR POURED CONCRETE
2. ROUGH - f 2. ROUGH - FRAMING & PLUMBING
3. INSULATI01 3. INSULATION
4. FINAL - CC 4. FINAL - CONSTRUCTION MUST www.mchdesionsemices.com
RE COMPL ALL CONSTRI BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE phone:
REQUIREMENTS OF THE CODES OF NEW (631)298-2250
DECK REQUIREMENT YORK STATE. YORK STATE. NOT RESPONSIBLE FOR e-mail:
DESIGN OR DESIGN OR CONSTRUCTION ERRORS. michael@mchdesignservices.com
PLUMBER CERTIFIQAT,ION
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