HomeMy WebLinkAbout39931-ZTown of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
7/21/2015
No: 37670 Date: 7/21/2015
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1425 Paradise Point Rd, Southold
SCTM #: 473889
Subdivision:
See/Block/Lot: 81. -2-4
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/29/2015 pursuant to which Building Permit No. 39931 dated 7/9/2015
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 ALTERATION (HEAT ADDED TO AN UNHEATED ROOM) TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR
The certificate is issued to Heacock, Eric & Heacock, Caren
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Aut' ed Si ature
Permit #: 39931
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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)
Permission is hereby granted to:
Heacock, Eric & Heacock, Caren
1425 Paradise Pt Rd
Southold. NY 11971
Date: 7/9/2015
To: As built alteration (heated added to unheated room) as applied for.
At premises located at:
1425 Paradise Point Rd, Southold
SCTM # 473889
Sec/Block/Lot # 81.-2-4
Pursuant to application dated 6/29/2015 and approved by the Building Inspector.
To expire on 1/7/2017.
Fees:
AS BUILT - SINGLE FAMILY ADDITIOIV/ALTERATION
CO - ALTERATION TO DWELL XG
Total
Iding\jnspector
$400.00
$50.00
$450.00
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:
1. 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
1. 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. & L " � �F
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 14 a1151" ���, =F4_ 1� C6 Eli JQ � I t I :=f-/
House No. Street IHamlet
Owner or Owners of Property: L, -t- C MnA� AQC�O
Suffolk County Tax Map No 1000, Section Block o Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: X (check one)
Fee Submitted: $
Applicant Signature
r4f 3 0
cou
TOWN OF SOUTHOLD BUILDING- DEPT.
765-1802
INSPECTI M
]FOUNDATION IST
RO H PLUMBING.
FOUNDATION 2ND
SULATION
FRAMING/ STRAPPING
FINAL
FIREPLACE & CHIMNEY
FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION
FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH)
ELECTRICAL (FINAL)
CODE VIOLATION
CAULKING
REMARKS:
FIELD VW
FOUNDA dON (1ST)
�A
cor�rrs -"`
FOUNDA=I`t (2N73)
N
ILI,O
ROUGH FR. A, NSI, Cr &
PLUMBING
H
`-
iMiJLATIONPEA N>Y.
STATE EIqaisty CbDz
FINAL
e
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1502
FAX: (631) 765-9502
SoutholdTown.NorthF'ork.net
Examined , 20
Approved _,20
Disapproved a/c
Expiration
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board.of Health
4 sets -of Building Plans
Planning Board approval
Survey
PERMIT NO. ���d � � Check
i Septic Form
N.Y.S.D'.E.C,
Trustees
C.O. Application
Flood Permit
_ Single & Separate
Storm -Water Assessment Form
Contact:
Mn;l tn-
./ I
I� l JUN 2015
aI
3 �6
IT AT
INSTRUCTIONS,CTI0
„
"-I , . �Fi'T FOLLOWING INSf E1�lS:
OI )VD TION. - TW'D REQUIRED
a. Ilii plioaxion Mi 1ST hc completely filled in by typewriter or in.ink.and subllriit�t d o, ccku3ldirgl pector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule. Rt7UGH - FRAMING & PLUMBING
b. Plot plan showing location of lot and of buildings on premises, relationship.todjo�t agAp>iel lses or public streets or
areas, and waterways. rGNSTRU(, T ION MUST
c. The work covered by this application may not be commenced before issuance kIlt�u g1PP� rlr�_t.I_OR 0 p,
d. Upon approval of this application, the Building'Inspector will issue a Building'rrl�t091, Fi 14 t S;ucl? vp til HE
shall be kept on the premises available for inspection throughout the work. IRE Fnli,S OF TI -1E CODES OF NEW
.e. No building shall be occupied'obfused in Wliole-or in' 6A for any purpose what' erSun1 ilEthe�hnsp c� 'FOR
issues a Certificate of Occupancy. ICN OR RONSTRUCTION ERRORS.
f. Every building permit,shall expire if the work authorized:has not commenced w 7n 12 mont s after -the; date of
issuance or has not been completed within 18 months from such:date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector,may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE,to.thertB.uilding,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, O"r"dinances 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 re iilation�,, `and'to-admit
authorized inspectors on premises and in building for necessary inspections.' C
uCC&ANCY OR
UN
1 Y(Signature o� 1�ica�ntAor name if a�
coion)
®CC_ ^�����y (Mailmg,addr ss ofappli ant) .
State whet (applicant is owner, le�(ssee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of.premises
(As'on `the tax `roll or latest deed)
If applicant is a corporation, signature of duly authorized officer `
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of larpd on which proposed work will be done:
House Number Street Hamlet r
County Tax Map No -'1000 Section Block "o ,o,� Lot' I
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
b. Intended use and occupancy.
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal.Demolition Other Work
4. Estimated Cost Fee d,�,(P.tcription)
(To be paid on tiling 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
Height Number of Stories
Rear
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Depth
Rear
8. Dimensions of entire new 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 iii 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
14. Names. of Owner of premises . Address. f :,° 'Phone No. _
Name of Architect Addre§s Phone No _
Name of ContractorAddress Phone No.
15 a. Is this propertywithin 100 feet of a tidal wetland & a`fteshwater wetland?- *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES• & D.E.C. PERMITS MAYBE REQUIRED.
b. Is this property within 300 feet 'of •a tidal wetland?" * YES NO
MI
* IF YES, D.E.C. PERTS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property}lines. s rr.n
17. If elevation at any point on property is at 10 feet or below, must provide topographical data. 'ori survey.
18. Are there any covenants, and: restrictions with respect to this property? * YES a .,NO '
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
being, du sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or 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
r
QqF• day of O 20 ) 5
D NCH
Notary Public Notary Pubft ftte of Now yor* Signature of Applicant
No. ®1i 9 -
OuaMsd on &Mdk minty
Qv'og44Dwdoelan Expims April 14, �_o
Nf
a" _, tScI/°:= ck Soft
�st�.�� e Version ..itj3y`I �i5,
Certificate
compliance
Project HEACOCK RESIDENCE
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:
24
Permit Number:
336 15.0
Construction Site: Owner/Agent:
Designer/Contractor:
o[ plum
Compliance: 3.8% Better Than Code Maximum UA: 133 Your UA: 128
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.
Wall 1: Wood Frame, 16" D.C.
16
Window 1: Wood Frame:Double Pane
165
Door 1: Solid
19
Door 2: Glass
33
Ceiling 1: Cathedral Ceiling
336 22.0
Skylight 1: Wood Frame:Double Pane
24
Floor 1: All -Wood Joist/Truss:Over Unconditioned Space
336 15.0
0.0 0.077
16
0.300
50
0.400
8
0.300
10
0.0 0.046
14
0.450
11
0.0 0.057
19
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 Ve so�4,6.0and o comply with the mandatory requirements listed in
the REScheck Inspection ChecLklisstt. �9 u
®����/ — I i nature Date
Name - Title g
OF NEII✓'�•v
CH A,R<F
O �r
. k
,STEREO ARO����
Project Title: HEACOCK RESIDENCE Report date: 06/26/15
Data filename: C:\Documents and Settings\Robert Fleming\Desktop\CHURCH\caren\HEACOCK Pagel of 6
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REScheck Software Version 4® o®
Inspection Checklist
Energy Code: 2010 New York Energy Conservation Construction Code
Requirements: 0.0% were addressed directly in the REScheck software
Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Sec !on
=
Pie'-Inspection,/Plan Review,
Pisses Verified
value
Pie@a9 Verified,
Value
C®assplles?
C®rne�nents/Assumptl®ns"
�c RegJD-
103.2 Construction drawings and
„
❑Complies
[PR1]1 documentation sufficiently
❑Does Not
V demonstrates energy code
E]Not Observable
compliance for the building
:° -
Applicable
envelope.
P
(>
103.2, Construction drawings and
❑Complies
403.7 documentation sufficiently
_
❑Does Not
[PR3]1 demonstrates energy code
—]Not Observable
j compliance for lighting and
❑Not Applicable
mechanical systems. Systems
serving multiple dwelling units
must demonstrate compliance
with the commercial code.
t
403.6`
Heating and cooling equipment is Heating: Heating: ❑Complies
[PR2]2
sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not
I on loads per ACCA Manual J or Cooling: Cooling: ❑Not Observable
!other approved methods. Btu/hr
Btu/hr ❑Not Applicable
Additional Comments/Assumptions:
1 High Impact (Tier 1) 2 Medium Impact (Tier 2) 3 1 Low Impact (Tier 3)
Project Title: HEACOCK RESIDENCE Report date: 06/26/15
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2010 New
e York
Energy
Fodndation inspection
Complies?
Comments/Assumptions
303:2.1
Exposed foundation insulation
❑Complies
[FO11]2
protection.
❑Does Not
ko
❑Not Observable
❑Not Applicable
403.8
' Snow melt controls.
❑Complies
[F012]2
❑Does Not
�j
❑Not Observable
°
❑Not Applicable
Additional Comments/Assumptions:
111 High Impact (Tier 1) 1,2 1 Medium Impact (Tier 2) 1 3 1 Low Impact (Tier 3)
Project Title: HEACOCK RESIDENCE Report date: 06/26/15
Data filename: C:\Documents and Settings\Robert Fie ming\Desktop\CHURCH\cares\HEACOCK Page 3 of 6
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SecticmPlans
# Framing / Rough-In lnspeetion.
Verified • Field •Verified -
Value Value "
Complies? = . Comments/AssumptionsU
& Req.ID
402.4.4 E Fenestration that is not site built
=❑Complies
[FR20]1 ( is listed and labeled as meeting
❑Does Not
+AAMA/WDMA/CSA 101P.S.2/A440
:
❑Not Observable
or has infiltration rates per NFRC
❑Not Applicable
400 that do not exceed code,
limits. I'
407.4.5 i IC-rated recessed lighting fixtures
❑.Complies '
[FR16]? sealed at housing/interior finish
❑Does Not
:v and labeled to indicate &It;= 2.0
❑Not Observable
cfm leakage at 75 Pa.
I.
I❑Not
Applicable
403.2.2 All joints and seams of air ducts,
44.
t4,
❑Complies
❑Does Not
[FR1311 air handlers, filter boxes, and
i;`' a
+ building cavities used as return
. , ,P " _ ,
tr,
[]Not Observable
ducts are sealed.
❑Not Applicable
403.2.3, ;Building cavities are not used as
�,
❑Complies
[]Does Not
[FR15]3 ;ducts or plenums.
[]Not Observable
❑Not Applicable
403.3
HVAC piping conveying .fluids R- R- ❑Complies
[FR17]2above
105'OF or chilled fluids ❑Does Not
below 55 °F are insulated to R-3. []Not Observable
❑Not Applicable
403.4,
!Circulating service hot water R- R- ❑Complies
❑Does Not
[FR1R12
pipes are insulated to R-2.
t
❑Not Observable
❑Not Applicable
403.5
Automatic or gravity dampers are .Y'❑Complies
[FR19]z
{ installed on all outdoor air
❑Does Not
intakes and exhausts.
❑Not Observable
IONotApolicable
Additional Comments/Assumptions:
11 High Impact (Tier 1) 12'1 Medium Impact (Tier 2) 13 1 Low Impact (Tier 3)
Project Title: HEACOCK RESIDENCE Report date: 06/26/15
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2010N.�w
York
Insulation Inspection
Cornp1l65?
corninents/Assumptions
Energy
303:1
JAII installed insulation labeled or ❑Complies
UN13]2
installed R-values provided. ❑Does Not
❑Not Observable
5 []Not Applicable
i
Additional Comments/Assumptions:
11 High Impact (Tier 1) - 2 1 Medium Impact (Tier 2) 3 1 Low Impact (Tier 3)
Project Title: HEACOCK RESIDENCE Report date: 06/26/15
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Section
#
Final Inspection Provisiooas
flans Verified
Value
Field Verified
Value.,
Cornplies?
Cornroaents/A,sumptions
&-Req.ID
402.4.2, j Building envelope tightness ACH 50 = ACH 50 = ❑Complies
402.4.2.1 verified by blower door test result []Does Not
[FI17]1 of <7 ACH at 50 Pa. This ❑Not Observable
j requirement may instead be met
❑Not Applicable
via visual inspection, in which
case verification may need to
occur during Insulation
Inspection.
403.2.2 Duct tightness via post- cfm cfm ❑Complies
[FI4]1 construction with maximum ❑Does Not
leakage of 8 cfm to outdoors, or ❑Not Observable
12 cfm across systems. For
❑Not Applicable
rough-in tests, verification may
need to occur during Framing
Inspection, with maximum
leakage of 6 cfm across systems
and 4 cfm without air handier.
403.1.1 °
;Programmable thermostats
-
i❑Complies
[FI9]z
installed on forced air furnaces.
❑Does Not
`•.
❑Not Observable
❑Not Applicable
403.1.2
Heat pump thermostat installed
, ' "
❑Complies
[FI10]2 '
ion heat pumps.
❑Does Not
1
[]Not Observable
❑Not Applicable
403.4
Circulating service hot water
❑Complies
[FI11]2
Isystems have automatic or
❑Does Not
.
accessible manual controls.
❑Not Observable
I❑Not Applicable
401.3
Compliance certificate posted.
`
❑Complies
[FI7]2
I
❑Does Not
�j
'ONot Observable -
i
i❑Not Applicable
,303.3 Manufacturer manuals for❑Complies
[FI18]3 mechanical and water heating
ID Does Not
19) equipment have been provided.
=
j❑Not Observable
.'
s-
'.I❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact (Tier 1) 12 1 Medium Impact (Tier 2) 3 1 Low Impact (Tier 3)
Project Title: HEACOCK RESIDENCE Report date: 06/26/15
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