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HomeMy WebLinkAbout37861-Z ��guFFQt,��Q Town of Southold Annex 3/25/2013 �o aye P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36178 Date: 3/25/2013 THIS CERTIFIES that the building ALTERATION Location of Property: 110 Selah Ln,Mattituck, SCTM#: 473889 Sec/Block/Lot: 106.-9-4.8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/26/2013 pursuant to which Building Permit No. 37861 dated 3/12/2013 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: - HEAT ADDED TO EXISTING SUNROOM IN A SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Ariosto,Irene (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Autho ed Signat re o�SUFEot,rco TOWN OF SOUTHOLD �a �y BUILDING DEPARTMENT y TOWN CLERK'S OFFICE oy • o� SOUTHOLD, NY col � ya 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#: 37861 Date: 3/12/2013 Permission is hereby granted to: Ariosto, Irene 110 Selah Ln Mattituck, NY 119522014 To: install heat in an existing sunroom as applied for At premises located at: 110 Selah Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 106.-9-4.8 Pursuant to application dated 2/26/2013 and approved by the Building Inspector. To expire on 9/11/2014. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector Form No.6 . TOWWN OFSOUTHOLD 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 I% 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 is 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- $100.00 3. Copy of Certificate of Occupancy 7$.25 - 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 /Date. New Construction: Old or Pre-existing Building:✓ (check one) L Location of Property: J//f �/i L � LJ3—/2r13 !99 -N House No_ Street Hamlet Owner or Owners of Property: AIC— Suffolk County Tax Map No 1000,Section 4ZZ_4 kFi� Block Lot, Subdivision Filed Map. Lot: Permit No_ Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted:$ 'o�' Applicant Signature SO�Tyo� �ycoutm N TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Oe �� �- DATE 12-2Z-16'>' INSPECTOR / � FIELD INSPECTXON REPORT DATE COMMENTS FOUNDATION(1ST) e� ......................... rrww FOUNDATION(ZND) ® z rA ROUGH FRAMING& '� y PLUMBING Q Lk INSUL•ATION PER N.Y. H STATE ENERGY CODE oel FINAL ADDITIONAL COMMENTS �n c� b(o 31 13 U z . m S o t�z J TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUII,DIING 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 Cis FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT-NO. �°�� � Checks "J Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined 20 Single& Separate Storm-Water Assessment Form Contact: Approved /};20 f 3 Mail to: Disapproved a/c Phone: — I }�S�I tl p�l E 0_ FEE 2 6 2013 Building Inspector BLDG.DEPT. APPLICATION FOR BUILDING PERMIT TOWN OF SOUTHOLD Date 20 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 corporation) gg,`of',a p11 Fai11) i §t � t Y17L�t7Ali7a State whether applicant is owner; lessee;agent„, aichifect, engineer, general c�DvAi�tc�.���4iqtf; p'1u alder FEE: a2j- —BY_' r NOTIFY B I DI C,, r;` ANT 765-1802 8 AN1 TO A FOR THE Name of owner of premises /I:r,45M4C 7 J4fe1e)L ✓CI FOLLOWING INSPECT" ___ (As on the tax roll or late9t �U�1DATION-T'�,`,, ,_,.� If applicant is a corporation, signature of duly authorized officer FOR POURED C&,. .E;E 2. ROUGH-FRAMING.Phi CAULKING STRAPPING, ELEC-, -- (Name and title of corporate officer) 3• INSULATION Builders License No. 4. FINAL-CONSTRUCTION, Px ELECTRICAL Plumbers License No. MUST BE COMPLETE FOB'C.O. Electricians License No. ALL CONSTRUCTION S"",LL MEET THE REQUIREMENTS OF TI F-- CODES OF NEW Other Trade's License No. YORK STATE. NOT RE`P�)NSIBLE FOR DESIGN OR CONSTRUC 1 iON ERRORS. 1. Location of land on which proposed work will be done: J/o SEZ-gy- L AiE �h/�TiTdc�C , � Y �'� House Number Street Hamlet County Tax Map No. 1000 Section /oI Brock 9 Lot y 8 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 ffII pn� lI b. Intended use and occupancy G� A CLALd— 40 -p_ "I<6 CA' ro©M 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (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: Fronts~ Fealr "� Depth Height Number of Stories 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 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 14. Names of Owner of premises Address Phone No. Name of Architect Address _Phone No 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 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. 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 OFSvv6r-V)A_) In/Vy-,. t75 being diilysworn, 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 therewa-MuE V.ibiziwAl P9ai�iy'Pdbk+Air of NOW Yed� Sworn to before me th�'s- No.4=712 vt lv day of 20 �.� d 1a 9t�fok Couayr Notary Public Signature of Applicalt Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattituck, New York 11952 Fax 631-298-2651 condonengineering.com February 25, 2013 CMs. Irene Ariosto 110 Selah Lane Mattituck, New York 11952 Dear Ms.Ariosto: As requested,the attached is the energy calculation for the addition along the rear side of your building. The calculation is based on the energy code in effect at the time of the addition in 1999. If you have any questions please call me at 298-1986. Yours truly, on, P.E. Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattituck,New York 11952 Fax 631-298-2651 condonengineering.com March 11, 2013' C E U U i Ms. Pat Conklin MAR 1 2 2013 Southold Town Building Department Town Hall Annex 54375 route 25 BLDG.DEPT. P.O. Box 1179 TOWN OF SOL•?NOLv � Southold, New York 11971 Dear Ms. Conklin: The energy calculations for the addition off the rear wall of the Ariosto building in Mattituck was based on plans provided to me by Ms.Ariosto and inspection at the residence, which found insulation to be installed in the floor and walls. The presence of insulation in the walls was determined by removing one of the electrical receptacle covers and probing the interior wall areas along side of the electrical box and by visual observation of the areas below the floor,which were visible from the exterior. The energy calculations were based on the code approved method at the time the addition was constructed. If you have any questions please call me at 298-1986. Yours truly, �onE. SUMMARY OF TOTAL THERMAL RATING If the total thermal rating below is zero or greater,the envelope portion of the building is in compliance with the Energy Code. A.WALL ASSEMBLY AREA U VALUE TABLE USED THERMAL RATING A I Net Walls AW 2�'1' _ Uw A, UW. — A2 Glazing Ag Ug s�_Z4gj •%/ _ Ag Ug A3 Doors Ad Ud Ad Ud Subtotal Thermal Rating for Section A(AI+A2+A3): B. ROOF/CEILING ASSEMBLY P B I Roof/Ceiling A,_ / U, ©,5 A, U, 132 Skylights A. Ug iX Subtotal Thermal Rating for Section B (B 1+62): C. ENTER DATA AS APPLICABLE (Either C I,C2,or C3) C I Floor A,� U, C2 Foundation Wall Wall Perimeter ft. Above Grade Exposure ft. Insulation Depth ❑24" ❑49' ❑84" EJ Footing U, Perimeter R-Value C3 Slab Edge Insulation Subtotal Thermal Rating for Section C (C I+C2+C3)c Q D. TOTAL THERMAL RATING(A+B+C)..................................................:.