HomeMy WebLinkAbout38857-Z f ,
fOt��o Town of Southold 5/20/2016
4 Gym , P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 33826 Date: 5/20/2016
THIS CERTIFIES that the building ALTERATION
Location of Property: 1700 Cedar Beach Rd,'Southold
SCTM#: 473889 Sec/Block/Lot: 89.-2-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit'heretofore filed in this office dated
4/29/2014 pursuant to which Building Permit No. 38857 dated 5/6/2014
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:
"in kind"replacement of windows in an existing dwelling as applied for
The certificate is issued to Belkin,Melanie
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATKNO.
PLUMBERS CERTIFICATION DATED
t e igiZtte
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
d .. 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#: 38857 Date: 5/6/2014
Permission is hereby granted to:
Belkin, Melanie
1700 Cedar Beach Rd
Southold, NY 11971
To: "in kind" replacement of windows in an existing dwelling as applied for
At premises located at:
1700 Cedar Beach Rd, Southold
SCTM # 473889
Sec/Block/Lot# 89.-2-4
Pursuant to application dated 4/29/2014 and approved by the Building Inspector.
To expire on 11/5/2015.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
Building Inspector
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. 4 , 12q .
t ,
New Construction: Old or Pre-existing Building: (check one)
Location of Property: I'Ro Omar L� &doid bv(2o
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block 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: (check one)
Fee Submitted: $
J
ApplibAt Signature
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TOWN
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ING DEPT.
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[ ] FOUNDATION 1ST [ /ROal PLUMBING
FOUNDATION 2NDLATION
FRAMING / STRAPPING [ L
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTMT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE �� ° INSPECTOR
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ROUGH FRANnNG& y
PLUMBING
INSULATION PEA N.Y.
STATE ENERGY CODE
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FINAL
...tl. ADDITIONAL COMNIElYTS, ... ,,
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL I , . I Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
www:northfork.net/Southold/ PERMIT NO. ji�� Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined ,20- Contact:
Approved ,20� Mail to:
Disapproved arc
Phone:
Expiration 20 15 L��V�%�—•-
�n
I �l E Building Inspector
APR �+ ?n14 APPLICATION FOR BUILDING PERMIT
131-HI DEPT - Date 4 - 22 , 20 14
TT,'�l OF SOUTOLD INSTRUCTIONS
a. This application MUST,be completely filled in by typewriter or in ink and submitted toithe Building Inspector with 4
sets of plans, accurate plot plan to scale.Fee according to schedule.' , .
b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection 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 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 sixemdnths..Thereafter,'a new permit shal'1 be required.
APPLICATION IS HEREBY MADE to,the.Building Department for the,issuance,of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold,•Suffolk County,New York, and other applicable Laws,Ordinances or
Regulations, for 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.
J U1VyUAL9t4=
l`,i p i na of hpplicant or name,if a corporation)
4 6. e CA (Mailing address bf applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
lT G1C APPROVED AS, NOTED
A Ike* DATE B P # YV_
Name of owner of premises IAPL&NM. J201LIKIN All ff
(As on the tax roll or la UILDING DL=P RTMENT Al
If applicant is a corporation,'signature of duly authorized officer 765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS'
(Name and title of corporate officer) 1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
Builders License No. 2 ROUGH-FRAMING,PLUMBING,
Plumbers License No. STRAPPING, ELECTRICAL& CAULKING
3 INSULATION
Electricians License No. 4 FINAL-CONSTRUCTION &ELECTRICAL
Other Trade's License No. MUST BE COMPLETE FOR C 0
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
1. Location of land on which proposed work will be done: YORK STATE NOT RESPONSIBLE FOR
I- t 06 CePAF, bF601+ fSP- :50()T*I OR CONSTRUCTION ERRORS
House Number Street H et
�. �� -
County Tax Map No. 1000 Section $9 Block of
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy K)61p jr–AkA1 LI-f P SS 1 Dj k)GE
b. Intended use and occupancy 't
3. Nature of work(check which applicable): New Building Addition Alteration_
Repair Removal Demolition Other Work N1)d1dQRI,A(P-
4. Estimated Cost p 14 ,.600 Fee (Description)
—� (To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front 46. q i Rear 46 - 611 Depth �I
Height Number of Stories
Dimensions of same structure with alterations or additions: Front 0Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front lob t Rear 100 1 Depth '260
10. Date of Purchase Name of Former 0 ' er
11. Zone or use district in which premises are situated b
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO
13. Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO
14. Names of Owner of premises •1`MI'GLANI? �I'� dA dress (100 G$pArR-B hon No. (� ' 7 65' 9
Name of Architect_UE 3L KRAMPA. Address_ID SOX &e)3 Phone No
-
Name of Contractor Address RFb R r Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES V7 NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE-REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF,YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale,with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OFK�ffv )
being duly,sworn, deposes and,says that(s)he is the applicant
(Name of indi 'dual signing contract)above named, CONNIE D. BUNCH
Notary Public,State of New York
(S)He is the nils fi'ed n Sutfo kk No.01 eun
(Contractor,Agent, Corporate Officer, etc.) Commission Expires April 14,2--
of
4,2_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
day of 01 J 20
Notary.Public Vlature of Applicant
A
Generated by REScheck-Web Software
f"'Oo," l oa nce Cep f;'ca Am
Project Betkiny
Energy Code: 2010 New York Energy Conservation
Location: Suffolk County, New York
ConstructieR Type: Single-family
Project Type: Alteration
Ciimate_2_oneC 4- (5750 HDD)-
Permit Date:
Permit Number:
Construction,Site: Owner/A9ent: Designer/Contractor:
Compliance: 13.1%Better Than Code Maximum UA: 145 Your UA: 126
The%Better or worse Than Code Index reflects how close to comolianre the house is based on rode 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. Gla2ing
Assembly or or Door UA
Perimeter U-Factor
Ceiling: Cathedral - --- --- --- -- ---
Exemption: Framing cavity not exposed.
Wall:Wood Frame, 16in.o.c. ___ --_ ___
Exemption: Framing cavity not exposed.
Window:Wood Frame, 2 Pane w/Low-E 178 0.310 55
Window:Wood Frame,2 Pane w/Low-E 127 0.280 36
Door:Glass 112 0.310 35
Compliance Statement. The proposed building design described here is consistent with the building plans,specifications, and other
calculations<strbmitted witty the permit application.The proposed building has been designed to meet the 20IG 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 Signat r Date
Wyv k `Krow.W J�
4
Project Title: Belkin Report date: 04/21/14
Data filename: Pagel of 7
w Builder Copy-Ship To
Quote# 1070087 melanie belkin
4/29/2014
Eagle
wlmoowSnouRS 6;
an AndersenGompiny
FAX
Quote 1070087 Bid By
Job Tag
Company Job Site
JobPhone
FAX
Line Item Number UM Qty Base Price Extended Price Quote#
100 CSLDS2 EA 14 $51a 85 $7,20789 1070097
96V WP€-5Y yvlNP9vvs
1 WIDE UNIT,4 9/16"Wall,Pine,w/Nailfin, No Bnckmold, Frame Clear
Anodized(ACL), Sash Clear Anodized(ACL), Contemporary Glass Stop, i
SLIDER,CSLD-02,3',8",5/8',3',3",0,X0,EQUAL,BEIGE, 1 LOCK, I
ONE PULL, BRONZE,Anneal,Anneal, L=Low E(272), R=Low-E(272), M �?
DP POS 30, DP NEG 30, PREP FOR FULL SCREEN,
VMO Fram Erbrhr
r
Rough Opening T9 1/8"X 33 1/2'
- r
Page 1 of 3
(quote# 1070087 melame belkm
Line Item Number UM Qty Base Price Extended Price Quote#.
101 CSCREEN EA 14 $10395 $1,455.33 1070087
CONFIGURED SCREEN CLAD PRODUCT
CLAD SLIDER 02,3',8",5/8', 3',3",0,XO, EQUAL,FULL SCREEN
(STANDARD),ACL CLEAR ANODIZED FIBER MESH
Rough Opening 3'8 5/8"X 3'3"
4
Line Item Number UM Qty Base Price Extended Price Quote#
200 CPATS EA 2 $2,21876 $4,437 52 1070087
UAD GLIPIN G PATIO.QocaR
DOUBLE UNIT,4 9/16"Wall,Pine, w/Nailfin, No Bnckmold, Frame
Clear Anodized(ACL), Sash Clear Anodized(ACL), Contemporary Glass
Stop, p
N
Gliding Patio Door, AFS=T11 3/4"X 68",LS FIBERGLASS SILLrX C*
BEIGE SILL,STAINLESS STEEL,BLACK,Temp,Insulated Glass,Low-E
VktwB Pam rbr
Rough Opening 8'0 1/4"X 6'8 1/2"
Line Item Number UM Qty Base Price Extended Price Quote#
201 34304 EA 2 $118.94 $23787 1070087
34304 SCH/SCH GLDG"C"HDL
Page 2 of 3
Quote# 1070087 melanie belkin
Line Item Number UM Qty Base Price Extended Price Quote#
202 80736 EA 2 $2016 $40.32 1070087
80736 SCH GLIDING PATIO DR FOOTBOLT
Line Item Number UM Qty Base Price Extended Price Quote#
203 CSCREEN EA 2 $23356 $46713 1070087
CONFIGURED SCREEN CLAD PRODUCT
Gliding Patio Door, LS, AFS=7'113/4"X 68",ACL CLEAR
ANODIZED FIBER MESH
Rough Opening 7'113/4"X 6'8"
Selling Price $13,84606
Labor $0 00
Freight $000
Sales Tax $000
Total Quote $13,846.06
Disclaimer
Page 3 of 3