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HomeMy WebLinkAbout38936-Z ��Q�g�1FFa(,y�oG� Town of Southold 9/21/2017 P.O.Box 1179 a c 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39235 Date: 9/21/2017 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 6810 Soundview Ave, Southold SCTM#: 473889 Sec/Block/Lot: 59.-8-6.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/5/2014 pursuant to which Building Permit No. 38936 dated 6/5/2014 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: one family dwelling with unfinished basement(bathroom only in basement)as applied for. The certificate is issued to Dougherty,William of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-12-0013 12-17-2013 ELECTRICAL CERTIFICATE NO. 37256 08-21-2013 PLUMBERS CERTIFICATION DATED 12-27-2013 William Dougherty Auffi6rized Si ature Q�gtlFFQL4r- TOWN OF SOUTHOLD �a �y BUILDING DEPARTMENT 2 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) Permit#: 38936 Date: 6/5/2014 Permission is hereby granted to: Dougherty, William 6810 Soundview Ave Southold, NY 11971 To: Construction of a New Single Family Dwelling;replaces expired BP#37256 At premises located at: 6810 Soundview Ave, Southold SCTM # 473889 Sec/Block/Lot# 59.-8-6.3 Pursuant to application dated 6/5/2014 and approved by the Building Inspector. To expire on 12/5/2015. Fees: PERMIT RENEWAL $436.40 Total: $436.40 Building Insp ®�svFEoc,r�oTOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o 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#: 37256 Date: 5/29/2012 Permission is hereby granted to: Dougherty, William 3925 North Rd Greenport, NY 11944 To: Construction of a New Single Family Dwelling; 'Open Layout' with Kitchen, Living Room, Dining Room & Bedroom areas, Bath, Wood Stove, Unfinished Basement, as applied for. At premises located at: 6810 Soundview Ave, Southold SCTM # 473889 Sec/Block/Lot# 59.-8-6:3 Pursuant to application dated 4/27/2012 and approved by the Building Inspector. To expire on 11/28/2013. Fees: CO -NEW DWELLING $50.00 SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $872.80 Total: $922.80 e Build, g Inspector Form No.6 TOWN OF SOUTHOLD. �� DEC 2 7 2013 BUILDING DEPARTMENT TOWN HALL L_ I 765-1802 BLDG DEPT TOP;1�i OF SOU FHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: & For new building or new use: 1. Final survey of property with accurate Iocation 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 2110 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- 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$15.00 Date. New Construction: Old or Pre-existing Building:' (check one) Location of Property: b 0 6 V-' V e W s'I VXO— 5 0 Lll + k O h j V\ @ t Housd No. Street ' Hamlet Owner or Owners of Property: r 1 VV\ y s r - 0 Suffolk County Tax Map No 1000,Section 1 ®� _Block Lot , Subdivision 9 a ° k, r� Vim. Q-&I, PLA dr}„ . S ,P Filed Map. Lot: Permit No. -3 -+ 7- 5 Date of Permit. 5- Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for- Temporary Certificate Final Certificate: ) check one' ( Fee Submitted:$ C1 c�0 Applicant Signature Town Hall Annex ®� ®�� Telephone(631)765-1802 54375 Main Road y Fax(631) 765-9502 P.O. Box 1179 Southold, NY 11971-0959 ®� ��®� roger.richertCaD-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: William Dougherty Address: 6810 Soundview Ave City:Southold St: NY Zip: 11971 Building Permit#. 356-Section• 59 Block. 8 Lot: 63 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Bobs Electrical Contracting License No: 694-e SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 150a Heat Duplec Recpt 11 Ceiling Fixtures 3 HID Fixtures Service 3 ph Hot Water gas GFCI Recpt 6 Wall Fixtures 2 Smoke Detectors 2 Main Panel 150a A/C Condenser Single Recpt 3 Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect 150a Switches 6 Twist Lock Exit Fixtures TVSS Other Equipment: 150a underground service, 1-combination smoke/co detector Notes: Inspector Signature: Date: Aug 21 2013 Electrical Certificate.xls Town Hall Annex �o�,so�r�ol - Telephone(63I)765-1802 54375 Main Road Fax(63 f)765-9502 P.O.Box 1179 G Southold,New York 11971-0959 �' couffm BUILDING DEPARTMENT - TOWN OF SOUTHOLD - CERTIFICATION Date: 1 -Z l l 13 Building Permit No. �f �-. L Owner: W 11 l 'v% b L" tim r (Please print) Plumber: a Y ✓-1 M 9 6 ka r -} (Please prin I certify that the solder used in the water supply system contains less than 2/10 0f I% lead. r� (Plumbers Signat Sworn to before me this L� day of 201 DANIELLE GRATHWOHL Notary Public,State of New York e, fi 0i GR62 8717 lkjQo W1lU Glualified in Suffolk ountyy Commission Expires ,20� E C E W E Notary Public, _A&- j 11 County DEC 2 7 2013 BLDG DEPT T01M'N OF SOUTHOLD r4f s 0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 E/ INSPECTION- FOUND!ATION-IST ROUGH PLI3G. FOUNDATION 2ND INSULATION FRAMING/STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: 2w. 0 I DAT INSPECTOR OE SOUT,�o� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Ltr� - DATE INSPECTOR rsE SO3 pr�olo • �o cOUMY,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] DOUGH'PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMIN STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINA r � REMARKS: 3 r,,A a DATE / INSPECTOR �o��OF SOpryolo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH){ [ ] ELECTRICAL (FINAL) REMARKS:�/kl , A)_7 DATE INSPECTOR OF SO!/jy�lo . �ycnurm,��' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT N [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION- FRAMING/STRAPPING NSULATION- FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPEC N [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE �� INSPECTOR hO��OF SOUIyo� TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [;'FINAL ROU PLBG. FOUNDATION2ND [ I ULATION FRAMING /STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRIC L (ROUGH) ] ELECTRICAL (FINAL) CJe REMARKS: a av A 4 1 �v DATE �� INSPECTOR `� OF SO(/ Tyolo N O i c0UM`1,N TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLRG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: rfZA DATE Zl / INSPECTOR t a ho��OF SOpl�olo ��'y00UM`1,0c� TOWN OP'SO.UTHOLD BUILDING DEPT. 765-1802 INSPECTION. — - I FOUNDATION IST [ ] ROUG LUMBING [ ] FOUNDATION-2ND [ ] 1 ULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: .=j _ C Zola DATE INSPECTOR OF SObryo� Irou TOWN OF SOUTHOLD BUILDING- DEPT. 765-1802 INSPECTI [ ] FOUNDATION 1 ST [ ]�RO GH PLUMBING [ ] FOUNDATION 2ND [ ] I SULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE-RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING EMARKS: r3 ) vr DATE - INSPECTOR 36- oF so�ryolo couMv,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO [ ] FOUNDATION IST [ ] RO H PLUMBING [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 4v AV ,0"_0�1U-1) ol L DATE. INSPECTOR SEP 2 7 M7 L B71I,DTG DEPT. J , WN OF S03TS0 . 110 , TO 1 ar s �:} ,tick, .=r` . Wb j:itic. „ .K, ,j 1) ,f ' _ . - - + .s•'E?" �3i'ai�fiR'-}�'{`tzl.i'i'��.'.0 �L s"t13. «: f('1( f'��� . ,+L, . ,.. � .� ,' A'ay FA GVV xv— LA pi wlsk ,9 KZ TAL •A=`�-vr�}i�.C:��� '4 g' as i� -' •��'' '. �,y_ _ _ c,..�.�y; - � ,1�� � ., ' .. ,r, ;�Q�+,x.a^�'�r.��•.�`+� 4t`'�'�•��T - �r'..- � .- �lw+. _ 'a,®�.� k - yk' ��''''} ,a' '1,., - � ,` � ' �? ( " 2„.> 't,'z �_ tz d«• j«d'r 1�- ...•�„�V%:d;#� .,,- tw"'i"'t NEW _i kb IL Uj s t0 .i*+�P �,/'' / '-�• ; - � -�1"F' `iL4,�-� ti1'it^ r'1" T'f r }..����,�..',-�`��.',.�'���.,�t .,a, sir A� ,• �j�� j Y,.1_'"„y.,'-9./��j:.. !��'4i `, - . „� .'� :: �.t�Y., rr' , . ,� ':l'�;�.;�^:�I-t:� (,�.�',' g�„�n� �` ;`=t'`; �' .h.;r:ie„� t�,►_)t+,,, 7-.,�-.�c, ,:3r,•..�U,r� '.� ', �_ DD , '+` ' V�,+.�e�� � y+'�",1y �`k'I, .,�� �'.L• ;.tv- ..f IF� 3• Yi , '1';'tL:••ciJ'�F`r` '!'l"liv�,�^`'\^�"(�D-P".,7,i,L�✓NisrFw�y`F�,�..r Li'w. '. - 1+til - ` L9 r- 7 FiV"DA3)av .- „?.�r '- J � ....... II II_ ill \ / ►�j Iia�'�j �i.% r. MEMO,, , � r.i illllD :: . Philip J.Savoy,P.E.,ME,CSTB#473 Box 115 Westminster,Vermont 05158 Mechanical,Structural,11VAC Consulting Phone/fax(802)722-9789 Email:savoyeng@hotmail.com Savoy Engineering June 23, 2016 To: Bill Dougherty Sound View Ave Southhold, NY 11971 From: Philip Savoy Savoy Engineering Re: Foundation Drain and Foundation Insulation Certification, First Day Cottage I have reviewed the plans and photographs of the work completed to build a drain and insulate the foundation on the referenced property. This construction meets New York State Building Codes. I have enclosed a copy off the plans with my stamp. Please contact me anytime with questions. Philip J. Savoy, P.E. y�Q���p J. I� MM D m � eu� z JUN 2 N��,o,9 oe�755"' 3 2016 D o�EsstoN* BUILDING DEPT. TOWN OF sOUTHOLD Philip J.Savvy,P.E.,ME,CS-I'8#1473 Box Ili Westminster,Vermont 05158 Mechanical,Structural,HVAC Consulting Phonclfax(802)722-9789 Email:sav`oycng@)hotmail.com Savvy Engineering September 6, 2017 To: Bill Dougherty OD SEP - 7 2017 6810 Soundview Ave BTJMDING DEPT. Southhold, NY 11971 TOWN OF S®U.D®LD Front: Philip Savoy Savoy Engineering Re: Plumbing Certification, First Day Cottage 1 have reviewed the plaits and photographs of the work completed for plumbing on the referenced property. Work meets NYS code for the plans that were submitted Please contact me anytime with questions. Philip J avoy, ul to C1 -• - � � int •-r5,irr+":- t7 'E8S�4� f/ WIN INSUL.ATION PER N.Y. , PLUMBING r STATE ENERGY CODE _ '�r WE i In ,An Wr�ADDITIONAL. COMMENTS C , 11 IN a %SLSI .,el v : - ',� .1� il_ /f'ri�� '� • ✓ I! /, .� timill �/� _ - TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDrING 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 Survey ✓ SoutholdTown.NorthFork.net PERMIT NO. Check ✓ _ Septic Form �(���• _ N.Y.S D.E.C. _` (Q Trustees C.O.Application ✓ ` Flood Permit �_ Examined ,20 1 Single& Separate Storm-Water Assessment Form Contact: kAl""i Vann 00 ' cd 'Aar Approved � '20 �� Mail to: I q 7, N o r t" C Gt. Difttrproved-a/c L1 p� Phone: Expiration 0 ,20_13 /W311 174 — 5Vg(P ® E v E W E Building Inspector (�0 31� ?oL—)4/Z APR 2 7 2012 PLICATION FOR BUILDING PERMIT BLDG DEPT Date ✓1 PC-% I C , 20 t Z TOWN OF SOUTHOLD 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 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 six months. Thereafter, a new permit shall 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. (Signature of applicant or name, if a orporation) e 6 Ur,_Gv,p®rr t--jay 11 ( el Li (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ivj o k ` '^" °u r M (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. (o Other Trade's License No. 1. Location of land on which propos'e&wo'rk�will be dofle: 6 10 S O Ll,V\. (f) V ti k5-w, ' �' v '' ',S ,o..w Ar V _ 1 House Number Street Hamlet County Tax Map No. 1000 Section S� Block Lot 3 Subdivision 0 Oros lc . Filed Map No. Lot �aaC+ if, B 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 S CA G c 3. Nature of work(check which applicable): New Building ✓ Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost '1 a C) o ° Fee 9)� 3 1 O , Uy (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. Dimensions of entire new construction: Front `I n 1=P-Iz + Rear L1 O rG u Depth Z o ►9- ►S T Height P pp-ro -/� , 1 b C39T Number of Stories ® VN E 9. Size of lot: Front 7_ 11 ,31 ' Rear 3o (3 - 0q Depth 1 • �- 9 10. Date of Purchase 1 Z 2 3 L l 1 Name of Former Owner 0 c cos L,'% PA rl N a rS LA` 11. Zone or use district in which premises are situated _ o 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ✓ 1 �. Will lot be re-graded? YES NO ✓ Will excess fill be removed from premises? YES NO 3 `( Z k-4- l- j 14. Names of Owner of premisesy►r�r l Address 6- P T, N Y I i q 44 Phone No.(�,311 4-1-+ ZZ y �3� u �� "'° Name of Architecty-u Cs 1r d&a' �a �k A �0 Address '�AOI`Phone No ������� Name of Contractor S%A v-� ,A s c,,j sr. 0 T 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 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. « o 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 OFSc&P;(k ) too r I;,/hw. 1"k 0 �k W3 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the W V\ it r ' (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. ROBERT A MAZZAFERRO NOTARY PUBLIC-STATE OF NEW YORK Sworn tbefore me this NO.01MA6207376 day of 20 `� COMMISSION EXPIOUALIFIED IN RES JUNE 1OLK 0UNTY 5 20.E Notary Signature of Applicant Town of South-old: Erosion, Sedimentation 8t: Storm-Nater Run-off A SSESSMEirIT FORM PROPERTY LOCATION: S.C-T.M.$: t THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 3 STORM-WATteR,GRADING,DRAINAGE AND EROSION NTROL PLAN e CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK SCOPE OF WORK - PROPOSED CONSMUMON ITEM# /WORKASSESMN'!' Yes No a. What Is the Total Area of the Project Panels? W711his — (Include Total Area of all Parcels located tnldtikt Z . 12 lg G Project Retain AD Storm-Wafer Rtut•Of1 the Scope of work for Proposed Construction) Generaled by a Two(n"RainIM on Site? b. What is the Total Area of Land Clearing is F/ ') clearing i corlse aq 1`110-offWcreated by site ❑ and/or Ground t?L�tirba'nce for the proposed g angor activla es as wet as all construction actrYl't)R 3,000 S F Site Improvements and the permanent creation of (�r . ) tmpervioussutidces.) PROME BRIER PROJ=DESCRUYhON r-me Add6onal P,q-asireeded) 2 Does the she Plan and/or survey Shaw AD Proposed Dralnege Sbftm Indicating Size 3 Location?This ftem-shall include all Proposed Grade Changes and - t r\• GS , V_ eA W,, p Slopes Controlling Surface Water Flow. 3 Does the Site Plan andfor Survey describe the erosion 5 L_J i ;-A � and sediment control practices that will be used to control bite erosion and storm water discharges. This (� S ✓a ( _ —0 0 item must be maintained throughout the Entire SConstruction Period. A S3 f 4 Will the$Project Require any Land Filling,Grading or Excavation where there is a change to the Natural / Existing Grade Involving more than 200 Cubic Yards V 1 of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand � �/ (5,000 S.F.)Square Feet of'Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(1 0(r)feet of a Welland or t Submission of a SWPPP is required for an Construction activities involving soil Beach? _ ff disturbances of one(1)or more acres;including disturbances of less than one acre that Will there be Site I are part of a larger common plan that will ultimately disturb one or more acres or land; 7 preparation on Existing Grade Slopes i induding Construction activities involving soil disturbances of less than one(1)acre where which Exceed Fifteen(15)feet of vertical Rise to V/ the DEC has determined that a SPDES permit is required for storm water discharges. One Hundred(100')of Horizontal Distance? F] (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious for Storm water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storrt-WWater Run-Oft El J 1.The SwPPP shall be prepared prior to the submiltal of the Not.The hot Shap be into and/or in the direction of a Town right-of-way? ' submitted to the Deparbr�ent prior to the commencement of rnrutrucDon aetiew. 2 The SWPPP shat describe the erosion and sediment control practices and where J Will this Project Require the Placement of Material, required,post—construction storm water management practices that will be used and/or Removal of vegetation and/or the Construction of any wnstruded t0 reduce tha pollutants in storm water��e0 and tO assure compliance v nib ilia terms and conditions of this permit In addAbn,the SWPPPshal Item Within the Town Right c)fWay or Road Shoulder — t Iden*potential sources of pollution which may reasonably be expected to affect the Area?mit nem wm mor lrxiude the Imptia m of mlveway AR.W4 i 3.An W storm water dbre the s. NOTE lrAny Answer to Questiops Orin through Nine b Answered with a Check Mark I 3.AR SWPPPs that require Bre best-construction storm water management practice In a Box and the construction sib dMutbanee b between 3,000 S.F.S 1 Aare In area, component shall be prepared by a qualified Design Professional Licensed in New York a storm-Water,caad;n%Drainage fl Erosion Control Plan Is Required by the Town of that b krwMedgeatW(i in the principles and practices of Storm Water Management SOuft)d and Must be Submitted for Review Prior to Issuance of Any BuNing Perynk (NOTE- A Check Mad,(J)andbr Amwer for each question 6 Required fa a Complete Apprxa6m) 1 -S1A1E OF NEW YORK, COUN'I'YOF..J.. . , atI,.... !11, A W1 1�t01st Y1. .�.} .... i i ( � ) •being duty sworn,deposes and says that he/she is the applicant for Permit, Name of Indrvrdual 'nil t P� � And that he/she is the ........»0 L✓Yt•�»r•»». (owner,eontrador,Agent.Corporate officer,eta) � Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to i make and file this application;that all statements con 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 herewith. Sworn to before me this; day of../ �..._...............,20.4. < Notary Public: .... .,n ,w _..... ............ .�•` t (Signature of Appfirdnlr r�)/t VI i FORM - 06/'10 f ROBERT A MAZZAFERRO NOTARY PUBLIC-STATE OF NEW YORK NO.01 MA6207376 QUALIFIED IN SUFFOLK COUNTY l3 COMMISSION EXPIRES JUNE 15,20 Town Hall Annex J ( Telephone(63I)765-1802 54375 Main Road P.O.Box 1179 OLx(631)76ou ol .n .us Southold,NI119X-0959 % O . BUILDING DEPARTMENT TOWN OF SOUMoLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: �D b 12 � ;�, VL h d .�L � I S Date: Company Name: �S .mac,4ir CA Galil�Fr�lGf7� Gb Name: K o bo,(-+ 2 k4 V6 d f.1 a- S License No.: C_ 6 Address: i to 8 IZ 1,v lEr S 1 4ez- 1411-09 F Lvqn d Er-s i t Phone No.: ( '3 1 g 0 - 2 q 2 JOBSITE INFORMATION: (*Indicates required information) *Name: V%/ l 1 va VVI b'J O u --l� C- *Address: (o $ i o S p Ci" v 8 v 1 e w A v g *Cross Street: A *Phone No.: � 3i - oz - 3 912 Permit No.: Z T 6 Tax-Map District: 1000 Section: 5-q _ Block: 8 Lot: 3 0 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) . Nj Q G &--% S vc4�av, Vv'\ 8 Z/\,G�n ovvc) S'-ery i ca I e -Wow. Rz 6 - L,V\ 2 �/ o h o v SSZ {Please Gircie All That Apply) *Is job ready for inspection: YES / NO Rough In Final *Do-you need a Temp Certificate: YES / NO Ternp Information I - ed) o *Service Size: 1 Phas 3Phase 100 150200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82z-Request for Inspection Form a SOUry®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 April 15, 2016 BUILDING DEPARTMENT TOWN OF SOUTHOLD William Dougherty of 6810 Soundview Ave Southold NY 11971 n, 5r TO WHOM IT MAY CONCERN: �� �9�l�'�• The Following Items(if Checked)Are Needed To Complete Your Certificatjig y: NOTE: Certification from architect or en ineer re uired for insulation er ed 11/09/2012. Also need certification for foundation drain and foundation iner dated 02/06/2016 does not state it was done per uilding Code) Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT - 38936— New Dwelling GRADING PLANPrc) FF 25 4' APPRO� olvi* ,� OFA ° -� E�EL.,,.S' SURVEY OF PROPERTY , • f!N/SY£D QQAOE EL 2J• T TOWN OF SOU 21 '070 THOLD 222 rAwr 21.Y 2/.S' a lv i/ ` p�•/7•��/•�p�// p� ��Qy ply /�•/��/�"r�pY /7��/� �g•�� 1 � �PUBUCWP UFFOLK®lJd2\ V®V1• d Yj N. d . L�17.9 EL 15.5' POOL PROPOSED SEPTIC SYSTEM m q L 1000-59-08-6.3 (fJ LEACHING POOL 12' DEEP WITH 3' CLEAN e•DIAMEMR -7(30!2-1'Fj0 E \ SCALE.- SAND COLLAR. REMOVE MA7ERIAL DOWN � \ �`�� S� p7C11IjLl,' 1 =50' TO SAND SW AND BACKFILL WITH CLEAN SAND. cwN M \0 �A�/y �s FEBRUARY 6, 2012 [1] 1,000 GALLON sEPnC TANk. (SAND SW) ¢ -1e \o a'' FEB. 24, 2012 (revision) TO BE BUILT TO SUFFOLk COUNTY DEPARTMENT OF HEALTH SERVICES SPECIFICATIONS. �o ti SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT FOR APPROVAL OF CONSTRUCTION FOR A �ANDs � 6a \\ \ ys. 0, SINGLE FAMILY RisIDEIvCE ONLY 7957 HOL9 DA7.�, � j®C1 '� \ �ti° �.� � MAR 2 6 0 h��ooNALo cEdsc/r7vcE a ® �y��gg�1 �� p0o °°� 2 12 os/►s/o> ``,, �q r ti°'i GATE 6}. (fEI . PCO. J(J—J,�—�1r� l3 e1.23' BROWN CLAYEY SAND SC vC S � yeq `�o<\ G AU, �� ` � APPROVED 4 LN REDDISH BROWN CLAY CH � 3 �/ "b.'0�\v ti�o\ \�,�y O- / v t FOR MAXI ra C:� c 11' <L i 5 ti �� F..F�xfi�.� :}..} _E Ye-ARS FROM CTAT OF , PPROVA BROWN SANDY CLAY CL '�''g/ / < 22' BROWN CLAYEY SANLOT 3 D SC / 0 \G �.' \00.T \ WATER IN BROWN CLAYEY SAND SC WATER IN BROWN F1NE TO COARSE SAND SW Ar LOT 2 \�G/ 145' / `i� LP. ST. 8%y1ti I0'MIN. v���\ s. ��0• Elevations Refer to The Five Easterh Towns Topogrdphic Maps.(NGVL)) '90 ® � Lot No.s refer to Minor Subdivision for Doroski Family Limited Partnership" Filed In The Suffolk County Clerks Office Feb.20,2007, File No. 11497 , 5 I am familiar with the STANDARDS FOR APPROVAL s�P� AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL BYSTEMS FOR SINGLE FAM/LY RESIDENCES ,�O ���°� and will abide by the conditions set forth therein and on the .p`� Dc � F permit to construct. C��j� The location of wells and cesspools shown hereon are from field observations and or from data obtained from others. -J ANY ALTERATION OR ADDITION TO THIS SURVEY /S A VIOLATION Q�:, � •�:� , � OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF NO. 49618 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR P CON/C RI�E�Yd C. WHOSE SIGNATURE APPEARS HEREON. � (631) 765-5020 FAX (631) 765-1797 • NOTE.•"LANDWARD EDGE OF FRESHWATER WETLANDS AS DELINEATED = P.O. BOX 909 BY CHARLES BOWMAN (LAND USE) NOV2003 & FEB. 2004 TESTHOLE (e1.23') ���" —� ���® �• �'�' L 1230 TRAVELER STREET o = WETLAND FLAGS (FROM FILED MAP) _ ®r 2.12 ACrea �� SOUTHOLD, N. Y. 11971 11--245 GRADING PLAN ��SEprc) fF �' 4' AWROWFD N��No �^TMIN,50 of .� � ' SURVEY VEE OF PROPERTY ll o G I A T SO UTHOLD AN/94ID Q4ADE�EL 2J' � ��T � ! s`"��, V:5A.46 l t �jO `C: /.E VIEW � 7 , �/�y T/y 25' cE �,� /.E /.6 T p�1 ,r L �� 6 TO WN 6/F SOV THOLD 2?.2 ruVr 7r.Y Y eot�n�Wo .10 Y Wpm IN ST`E`M t 1-7 g E 5 �°'� '11 POM3.32 �. PROPOSED SEPTIC SYSTEM EL 3.5' CL E`11 5' » 2� \\ \ y 1000-59-08-6. S1 LEACHING POOL 12'DEEP WITH X CLEAN a'DIAMEM ° rJ� �v�vv T q• ANd COLLAR. REMOVE MATERIAL DOWNyD �7g 21t \` \\�� sc� n71i11LE:� 1 =50 TO SAND SW AND BACKFILL WITH CLEAN SAND. a cANvn o, \ \o \ `9S FEBRUARY 6, 2012 01 1,000 GALLON SEPTIC TANk. (SAND SW) ° i s '\\ s• 4 FEB. 24, 2012 (revision) TO BE BUIL T TO SUFFOLk COUNTY DEPARTMENT OF i 1 \\ F %4 HEALTH SERVICES SPECIMCATIONS. \ \ s ;yo 7gs7 H©LE DA-rA ti°.V p McDONALD GEdSC/ENCE DAT1Q W4 2J- 0511810t < U, BROWN CLAYEY SAND SC �� / I I 2�•\ GP ny�� �° ' ,�R�u>;w�I 2' REDDISH BROWN CLAY CH ��� ��/ I �.�. O' \yti�\ 11' ���, ® (ESC ���� b(2. WPI? BROWN SANDY CLAY CL o I > 20 BROWN CLAYEY SAND SC g LOT / \\ c`5, y� Row mock CLf*rY 2 . 22' i a ' / \'\00. —,4.D WATER 1N BROWN CLAYEY SAND SC WATER IN BROWN FINE TO COAIPSE SAND SW g LOT 2 45' j' LP. s �� 00 'ti Elevations Defer to The Five Eastern Towns Topogrdphic Maps.(NGVd) �Nx\ Lot No.s refer to ''Minor Subdivision for Doroski Family Limited Partnership" ti,A ; ® Filed in The Suffolk County Clerks Office Fdb.20,2007, File No. 11497 I am familiar with the STANDARDS FOR APPROVAL 0 ��p ` �hL"r�rY AND CONSIRUCRON OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. c� \, of wells and cesspools shown hereon are The location of from field observations and or from data obtained from others. u LAa'��Vs ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS �--� N. Y.S LIC. NO. 49618 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAIL) MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR P CONIC RVE•YORS, P,C. WHOSE SIGNATURE APPEARS HEREON. (631) 765-5020 FAX (631) 765-1797 R NOTA'"LANDWARD EDGE OF FRESHWATER WETLANDS AS DELINEATED TESTHOLE e1.23' A `'a4=9,x.320 8Tq. Ft. P.O. 909 BY CHARLES BOWMAN (LAND USE) NOV.2003 & FEB. 2004 ( ) 1230 TR TRAVELER STREET A A = WETLAND FLAGS (FROM FILED MAP) ' ®z" 2.12 Acres SOUTHOLD, N. Y. 11971 11-045 ; GRADING PLAN S.C.D.H.S. REF. R10-12-0013 N �: ono) FF.FL 20' PiPF�M OWfc� YID y�1H1N 15� cti i �p..11.5� �O SURVEY OF PROPERTY bF j„ N�(NO ar�!�V A VES? R- 631.45, �°,�, A T SOUTHOLD LE ► viy ro2zx rw TOWN OF SOUTHOLD ,,136.7i CSO uNY (� uC WI► 1N StREI`17 21�. tER '17.9 E1-11.5 �� PROPOSED SEPTIC SYSTEM b _ �s —TC- ,21,5o�E �W�IV ; y � SUFFOLK COUNTY,,;.-N. Y. [1]LEACHING POOL 12'DEEP WITH 3'CLEAN r m N79 \� 1000-J�9-0�-6.3 SAND COLLAR. REMOVE MA7ERIAL DOW MW TO SAND SW AND BACKFILL *77H CLEAN SAND. &emm } MEQ \�o. �� SCALE: 1'--50 [1J 1,000 GALLON SEP= TANK. l a- —1e' �/ ! \� � so, FEBRUARY 6, 2012 ` \ 7i' FEBRUARY 24, 2012 (REVISION) TO BE BUILT TO SUFFOLK COUNTY DEPARTMENT OF © 1� I� ; , \ �' ° OCTOBER 3, 2013 (FINAL) HEAL 774 SERVICES SPECIE/CATIONS / _ { j \\ �y Oct. 28, 2013 (revision) I ,Q O RECEIVED 7957 HOL9 DATA \'.. •ti°"�' �� �0�� OCT 1`��13 AWONALO G,EOS1a0NCE ,� e%23' 2' BROWN CLAYEY SAND SC �� �, i l �i,�o\ \ c�� J SUFE.CO.HEALTH SERVICES p y- ;A0 OFFICE OF WASTEWATER MGT: REDDISH BROWN CLAY CH 0c9i ���/ I� } 2$' \, •'L� \7if •?O' , 11' -BROWN SANDY CLAY a � -- LOT 3 ti \\ <\ 20'� �_� BROWN LYAYEY SAND SC I \\ �\\'G E WATER IN BROWN CLAYEY SAND SC DEC 2 7 2013 e%-16' WA7ER IN BROWN RNE TO COARSE SAND SW LOT 2 �P• BLDG DEPT TOWN OF SOUTHOLD cr � UND���• ? I�yS•T•a� zn►+�K k °� O® SUFFOLK C;OU�:TV TstPA�. �r L• ;y .y0 RTO-d;�7 OF HEALTH c Elevations Refer to The Five Eastern Towns Topographic Maps.(NGVD) '�O '+� 5f` ARPRC)'"IALOF-CONSTRUCT FOR � FR. H, A SINGLE FAfv.iL y RESIDEMM 92 40 8 Cate DEC 1 12013 Lot No.s refer to "Minor Subdivision for Doroski Family Limited Partnership" H-S-Pee fvo.�0- 2-, f Filed in The Suffolk County Clerks Office Feb.20,2007, File No. 11497 ��S � ? Tt,v vraf�adiz;p0u)NW vabr .� �s dnspscte�andfer ft"bawium at bra:' •o. Era aabsf'ad FC)R A �(yZ h�� lam familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE j �� � ['/��84�� ➢ s _ � DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ��p ��c • Offf ®1 and will abide by the conditions set forth therein and on the +� tea@ "t •.= •.;4n ' permit to construct. Q'� cf � The location of wells and cesspools shown hereon are from field observations and or from data obtained from others. t Q' = Z, � I ti� ,SCP' � •• '�^ . � ANY ALTERATION OR ADDITION TO THIS SURVEY /S A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CER70CATIONS 3r,�' HEREON ARE VALID FOR THIS MAP AND COPIES 7HEREOF ONLY /F / Uvo, LIC. NO. 49618 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ECON/C EYDRS, •P.C. WHOSE SIGNATURE APPEARS HEREON. E (631) 765-5020 FAX (631) 765-1797 NOTE:"LANDWARD EDGE OF FRESHWATER WETLANDS AS DELINEATEDI Ft P.O. BOX 909 BY CHARLES BOWMAN (LAND USE) NOV2003 & FEB. 2004 TESTHOLE (el.23) AREA=92320 s Sq • ° = WETLAND FLAGS (FROM FILED MAP) or 2.12 Acres 1230 TRAVELER STREET SOUTHOLD, N. Y. 11971 11-245 10 "REScheck-Software Version 4.4.1 E E VW ' Compliance Gertificat MAY,' - 7 2012 BLDG DEPT Project Title:A New Home for Bill Dougherty TOWN OF SOUTHOLD Energy Code: 2010 New York Energy Conservation Construction Code Location: Suffolk County,New York Construction Type:, Detached 1 or 2 Family, Glazing Area Percentage: 3.1% Heating Degree Days: 5750 Climate Zone: 4 Construction Site: Owner/Agent: Designer/Contractor:. ' Soundview Avenue FirstDay Cottage Southold,NY 11971 PO Box 711 Walpole,NY 03608 'Compliance:0.3%Better Than Code Maximum UA:309 Your UA:308 , The%Better or Worse Than Code index reflects how Gose 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 Gross - Assembly Area or - Ceding 1:Cathedral Ceilirig'(no atfic) 856 0.0 19.5- 40 Wall 1:Solid Concrete or Masonry:No Insulation 167 0.0 19.5 5 Window 7:Vinyl Frame,Double Pane with Low-E 33' 0.300 ' 10 Door 3:Glass' 20 0.300 6 . Wall 2:Wood Frame,16"O.C. 297 0.0 19.5 8 Window 1:Vinyl Frame:Double Pane with Low-E 65' 0.300 20 Door 1:Solid 40 0200 8 Wall13:Wood Frame,16"o.c.' 297 0.0 19.5 8 Window 3:Vinyl Frame:Double Pane with Low-E 65 0.300 20 Door 2:Glass 40. 0.300 12 Wall 4:Wood Frame,16"o.c. 152 0.0 19.5 5 Window 2:Vinyl Frame:Double Pane with Low-E 22, 0.300 7' Wall 5:Wood Frame,16"o.c. 152 0.0 19.5 3 Window 4:Vinyl Frame:Double Pane with Low-E 49 0.300 15 Window 8:Vinyl Frame:Double Pane with Low-E 16 0.300 5 Window 9:Vinyl Frame:Double Pane with Low-E 9 0.300 3 Basement 1:Solid Concrete or Masonry 327 13.0 0.0 17 Wali height 8.5' ; Depth-below grade:8.0' Insulation depth:8.0' Window 6:Vinyl Frame,Double Pane with Low-E 18 0.300 6 Basement 2:Solid Concrete or Masonry 327 13.0 0.0' 18- Wall height:8.5' Depth below grade:8.0' Insulation depth:8.0' Basement 3:Solid Concrete or Masonry 167 13.0 0.0 91 Wail height:8.5" Depth below grade:8.0' Insulation depth:8.0' Window 5:Vinyl Frame,Double Pane with Low-E 5'- 0.300' 1 Floor 1:Slab-On-Grade:Unheated' 124 13.0 82 Insulation depth:4.0' Project Title:A,New Home for Bill Dougherty RY µReport date:04/17/12 Data filename:C•\Users\Alex\Documents\MECEXPESS\CLIENT WORK 2012\APRIL\FIRST DAY\Dougherty.rck Page 1 of 5, 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 4.4.1 and to comply with the mandatory.requirements listed in the REScheck Inspection Checklist. r' Name-Title r Signature Date Project Notes: REScheck prepared by: MECexpress LLC 111 Old Kingdom Road Wilton,Connecticut 06897 Project Title:A New Home for BIII Dougherty Report date:04/17/12 Data filename:C:1UsersXNexODocumentslMECEXPESSICLIENT WORK 201ZAPRILIFIRST DAYIDougherty.rck Page 2 of 5 }i±r fav REScheck Software Version 4.4.1 Compliance Certificate Project Title: A New Home for Bill Dougherty Energy Code- 2010 New York Energy Conservation Construction Code Location: Suffolk County,New York Construction Type: Detached 1 or 2 Family Glazing Area Percentage: 31% Heating Degree Days- 5750 Climate Zone: 4 Construction Site: Owner/Agent: Designer/Contractor: Soundview Avenue FirstDay Cottage Southold,NY 11971 PO Box 711 Walpole,NY 03608 • • . • •' Compliance:0.3%Better Than Code Maximum UA:309 Your UA-308 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-coda home. AssemblyGross Cavity Cont. Glazing LI A or or D•• Perimeter 1.1-Factor Ceiling 1:Cathedral Ceiling(no attic) 856 0.0 19.5 40 Wall 1:Solid Concrete or Masonry:No Insulation 167 0.0 19.5 5 Window 7:Vinyl Frame,Double Pane with Low-E 33 0.300 10 Door 3•Glass 20 0.300 6 Wall 2:Wood Frame,16"o.c. 297 0.0 19.5 8 Window 1:Vinyl Frame:Double Pane with Low-E 65 0.300 20 Door 1:Solid 40 0.200 8 Wall 3:Wood Frame,16"o.c. 297 0.0 19.5 8 Window 3:Vinyl Frame:Double Pane with Low-E 65 0.300 20 Door 2 Glass 40 0.300 12 Wall 4:Wood Frame,16"o.c. 152 0.0 19.5 5 Window 2:Vinyl Frame:Double Pane with Low-E 22 0.300 7 Wall 5:Wood Frame,16"o.c. 152 0.0 19.5 3 Window 4:Vinyl Frame:Double Pane with Low-E 49 0.300 15 Window 8:Vinyl Frame:Double Pane with Low-E 16 0.300 5 Window 9:Vinyl Frame:Double Pane with Low-E 9 0.300 - 3 Basement 1:Solid Concrete or Masonry 327 13.0, 0.0 17 Wall height:8.5' Depth below grade:8.0' Insulation depth:8 0' Window 6:Vinyl Frame,Double Pane with Low-E 18 0.300 6 Basement 2:'Solid Concrete or Masonry 327 130 0.0 18 Wall height:8.5' Depth below grade:8.0' Insulation depth:8.0' Basement 3.Solid Concrete or Masonry 167 13.0 0.0 9 Wall height:8.5' Depth below grade:8.0' Insulation depth:8.0' Window 5:Vinyl Frame,Double Pane with Low-E 5 0.300 1 Floor 1:Slab-On-Grade:Unheated 124 13.0 82 Insulation depth:4.0' Project Title:A Ne �b a for Bill Dougherty Report date:04/17/12 Data filename:C•\ se lex\Documents\MECEXPESS\CLIENT WORK 2012\APRIL\FIRST DAY\Dougherty.rck Page 1 of 5 JUN 2 3 2016 OWN OF .TSOUTHOLD 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 4.4.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Notes. REScheck prepared by: MECexpress LLC 111 Old Kingdom Road Wilton,Connecticut 06897 Project Title:A New Home for Bill Dougherty Report date."04/17/12-- Data filename'C:\UsersWex\Documents\MECEXPESS\CLI ENT WORK 20121APRUFIRST DAY\Dougherty.rc t ! Page 2 of 5 xa®s NT, r r�fir.^• f �, g i O �� • '��,�"��:.,,r Yea�-�..• - te S IAIKU a E • IV � r , S i 1 14 x r r fib` •• �, On 3,6 •f1 } v r 5 46 4y.. 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