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HomeMy WebLinkAbout21837-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 8-23037 Date June 14, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1080 KIMBERLY LANE SOUTHOLD, NY House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 13 Lot 20.14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 29, 1993 pursuant to which Building Permit No. 21837-8 dated DECEMBER 14, 1993 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 TO CONSTRUCT A ONE FAMILY DWELLING WITH ATTACHED GARAGE AND DECK AS APPLIED FOR. The Certificate is issued to OVERLOOK COURT DEVELOPMENT CORP. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 93-SO-52 JUNE 1, 1994 UNDERWRITERS CERTIFICATE NO. N314467 MAY 19, 1994 PLUMBERS CERTIFICATION DATED BERTSAND PLUMBING & HEATING ---'4 k -/-X� Building Inspector Rev. 1/81 Form No. 6 _-- TOWN OF SOUTHOLD BUILDING DEPARTMENT HALLTMENT JUN y 1994 L 765-1802 BLDG.DEPT. TOWN OF VjML0L D APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 a 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .s:c ir: . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . Old Or Pre-existing /Building. . . . . . . . . . . . . . . . . Location of Property. . . 1 . . . . . . . . :`C :. . . . . . . . . . . . . 0U.fhp. �4 . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . .&h , , . %� . . . . . . . . . . . . . . . . . . . 7 Lot. . . .` 2U. !� County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . l.J? . . . . . . . . . . . . . � � h Subdivision. /. . . . . . . . . . . . . . . . 1 . . . . . . ?L)"/. . .Filed Map. . . '.' . . .Lot. . . . �.. . . . . . . . . . . . . . . Permit No. �:f.-3.'. .,�/.Date Of Permit. . . .��. . �"l.: l:'.Applicant. . . . .!�119.f' Health Dept. Approval. . . :�`.. . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . c '. . . . . . . . . . . . . . . . . . Ric ylggI . . . . . . . . . . . . . X-a3037 APPL ANT TEL. 765-1802 c�VEF�11i�C0 TOWN OF SOUTHOLD �c OFFICE OF BUILDItIG INSPECTOR c 1. rn P.O. BOX 1179 cr1 ,t�, c TOWN HALL SOUTHOLD, N.Y. 11971 f r ��✓�4 o�NPc p F C E R T I F I C A T I O N SOU�'o<p Date Building ,,�� Permit No. 02/&0037 z Owner 116 WI.IIG ,17f. T.P. Anler1eo� �� '''60-�a ' (please print) / PlumberPoSQi7GY �dmbii/Gwa fin6 (please print) I certify that the solder used in the water supply system contains less than 2/10 of l% lead. is sigature)(plum n Sworn to before me this c� day of Notary Public Notary Public, Count rb.>asla/s THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1155013 BUREAU OF ELECTRICITY 7 88 JOHN STREET. NEW YORK. NEW YORK 10038 Date MAY 19,1994 ApplirationNo.onfile 84161594/94 11 31.4467 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the oboce application number in the premises of MOHRING ENTERPRISE, 1080 KIMBERLY LANE�,rPOLE-14, SOUTHOLD, N.Y. in lhefollowing i(wationr ❑X Basement ❑X /st FL NJ 2nd P1. GAR/ATTIC/OUT .Section Dlork Lot was examined on MAY 10,1994 and found to he in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES $WITCHES INCANDESCENT OR FLUESCENT OTHER AMT. K W. AMT. K.w. AMi. Kw. prnI K W AMT. H P 52 52 39 52 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'►T TIME CLOCKS I BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS ILIAC R.W. OIL H.P. GAS N.P AMf NO. A.W.G. AMT. AMP. 4NT, AMPS. TRANS. AML H 0 NO.OF FEET AMr WAITS 4 — — 2 — 1 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. ITPE METER 1 R tW 1,E J`n' 3 H]W ]/AW �' CC.COND. A.w,G NO.OF HI-lEG A'W'EG NO Of NEUnAlS A W G EQUIP. PER AT OF CC COND Of HFLEG OF NEUTRAL 1 200 CB 1 X 1 2/0 1 2/0 OTHER APPARATUS. JACUZZI-1 MOTORSs1-5 H.P. ,1—F H.P. PANELBOARDSt2-1 CIR. 60 G.F.C.II-16 SMOKE DETECTOR:-1 390 OPERATING CORP. LIC.#268 1555 LOCUST AVE. BOHEMIA, NY, 11716 GENERAL MANAGER ,11 Pr� This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be i entified by their credentials. " -PROPER HE 0 m mom � 0b � •a41 - I TpwvOFG. DFpr _, POMP _ _ �►�, ` .. � �; _fir . ®MIAI'.'1�� - - WAI ' " /�� - �i►� • �M ROM (. Fi iJill, . i I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ INSULATION [ ] FRAMING [ I FINAL REMARKS: DATE INSPECTOR c?z�(?3 M-1802 BUILDING DEFT. 1 SPECTION [ FO DATION 1ST [ J ROUGH PLBG. ( J FOUNDATION 2ND [ J INSULATION [ ] FRAMING [ ] FINAL REMARKS: or DATE INSPECTO M-lW2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [kleFINAL REMARKS: Z�C c J DATE a INSPECTOR C 7/ - 765-1302 BUILDING DEPT. Feu, cloa`ro,i y I INSPECTION��. t.�s,o�nw �wfipiv5 ova-+-- j [ ] FOUNDATION 1ST [ ] ROUGH PLBGM-/v /RCS FOUNDATION 2ND [ ] INSULATION Ls [ AMING [ ] FINAL REMARKS: lfiNgi� �i.CEcs7!j O�w� �' � t/e'ffiD�p� �/G�'/e/�/.dP - Pr. fiet%7 ✓oj3f�tG�o�sf EN��Y�-/Hd-s 'F/,c-r/ l� 6 --�� G,rish 3/0�k 73,e1d�-,rLti; DATE j INSPECTOR - -�`t �/ ,Y3 74- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ICTIROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL J REMARKS: _ _ S DATE INSPECTOR `n J&- V" O de al)d Land DeveloAer 323 Glen Coto kv11579 Sea CiiH, New (516) 671-0481 Curti - � i��,. June 7 , 1994 BLDG.DEFT. TOWN OF SOUTHOLD I Town of Southold Building Department Town Hall p•0 1179 NOW old, 11971 South Re: S.C.T.M.#1000-70-13-20 . 14 health Ref. #93-5�-`'2Lot #14 paradise By The Say' Dear Sir: lication for obtaining Enclosed, please find the appfor the above referenced the certificate of occupancy lot in Southold* lease feel free If you should have any questions, p to call. Thank you. Very truly Yours, i Richard Mohring'--- RM:sc'!'�'n Enclosures F1RErLa(:E5 ZI1-3I 6.7.2.4 A ventilating hood shall be installed above an 6.7.3.8 Exhaust ducts for Type 2 clothes ch yers shall [lace open-top broiler in a residence. a clearance of at least 6 in. (152 moil to combustible mate- rial. If such duct passes through a wall, flour, or partition 6-7.2.4.1 The hood shall be made with tight joints and shall constructed of combustible material, all such material in be constructed of copper with a thickness not less than 24 B the stall, floor or partition shall be cut away from the duct & S gage [0.0201 in. (0.533 ntm)] or galvanized steel with a a sufficient distance to provide a clearance of at least 6 in. thickness not less than 28 gage [0.016 in. (0.406 mnt)]. (152 mm) and die opening closed in mcorcbmce with 6-6.3.9. 6-7.2.4.2 A clearance of not less than hits in. (0.4 min) between the hood and the underside of combustible mate- Exception: Exhaust ducts fin Type 2 clothes dryers shall be per- rial or metal cabinets shall be presided. milted to be installed with reduced clearances In combustible mate- rial provided the combustible rnatemd is poneavd as desoihed in 6-7.2.4.3 The vertical clearance above the broiler to the 'fable 5-5(h). underside of combustible material or metal cabinet pro- tected by the hood shall he not less than 24 in. (610 mm). 6.7.3.9 When ducts pass through walls, floors, or parti- tions, the space around the duct shall be sealed with non- 6-7.2.4.4 The width and breadth of the hood shall be not combustible material. less than that of the open-top broiler unit. 6-7.3.10 Multiple installations of Type 1 and Type 2 6-7.2.4.5 The hood shall be centered over the unit. clothes dryers shall be made in a manner to prevent adverse operation due to back pressures that might be cre- 6-7.2.4.6 The hood shall be exhausted directly through ated in the exhaust. Common exhaust vents that pass an outside wall to the outside or connected to a suitable through floors of buildings requiring the in of ver- chimney flue used for no other purpose. The connecting tical openings shall be enclosed with approved walls having . duct shall conform to the following: a fire resistance rating of not less than I hr when such (a) Connecting ducts shall be made of galvanized steel chimneys are located in a building less than 4 stories in not less than 28 gage [0.016 in. (0.406 mm)]" height, and not less than 2 hr when such chintnevs are (b) A clearance of not less than 6 in. 1152 mm1 shall be located in a building 4 or more stories in height. prosided between the exhaust duct and unprotected com- 6-7.4 Equipment with Integral Vents. Gas utilization bustible material. appliances incorporating integral venting means shall be Exception: This clearance may be reduced tf the rnrnhhstahle considered properly vented when installed in accordance material is protected in accordance with Table 5-5jhl. with the terms of their listing. 6-7.3 Clothes Dryers. Chapter 7 Fireplaces 6-7.3.1 All ducts expelling lint shall be prmided with a lint collector. 7-1 Factory-Built Fireplaces. Factory-built fireplaces shall be listed and shall be installed in accordance with the Exception: It heir the dryer is so equipped. terms of listing. Hearth extensions shall be proricled in accordance with the manufacturer's instructions or shall be 6.7.3.2 For Type 1 gas-fired clothes dryer exhaust, see of masonic on noncombustible construction in accordance NFPA 54,,Vational Fuel Gas Code. with Section 7-3. 6-7.3.3 Type 2 clothes dryers shall be exhausted to the 7.1.1 Facture-built fireplaces shall be secured to tile floor outside air. or structural framing of the building in order to prevent 6-7.3.4 Provision For make-up air shall be provided for shifting. Type 2 clothes dryers,with a minimum free area of 1 sq in. 7-2 Masonry Fireplaces. (645.2 mm") for each 1000 Bin per hr (1055 kJ/hr) total input rating of the drver(s) installed. 7.2.1 Construction. 6-7.3.5 A clothes dryer exhaust shall not be connected -7-2.1.1 Fireplaces shall be constructed of solid masonry into any chimney connector, cent connector, chimney, or units or of reinforced portland or refractory cement con- sent. crete. Masonry fireplaces shall be supported on properly designed foundations of masonry or reinforced portland or 6-7.3.6 Ducts for exhausting clothes divers shall not be refractory cement concrete or on other noncombustible put together with sheet-metal screws or other fastening constructions having a fire resistance rating of not less than means that extend into the duct and would catch lint and 3 hr, provided such supports are adequate for the load. reduce the efficiency of the exhaust. 7.2.1.2 Where a lining of low-duty fireclay brick (ASTM 6-7.3.7 Exhaust ducts for Type 2 clothes cheers shall be C 27 fireclay brick),or the equivalent,at least 2 in. (51 rum) constructed of sheet metal or other noncontbustihle mate- thick laid in refractors mortar (ASTM C 199. ntediunt rial. Such ducts shall be of adequate strength to meet the dut'), or the equnalent, or Other approved lining is pro- conditions of service with minimum thicknesses equivalent tided, the total thickness of back and sides, including the to No. 24 galvanized steel gage. lining, shall be not less than 8 in. (203 tam). 1992 Edition 211-32 CHIMNEVS, FIREPLACES,VENTS,AND So]_IU FUEL-B URN]No;APPLIANCES 7.2.1.3 Where the lining described in 7-2.1.2 is not pro- The be sided, the thickness of back and sides shall be not less than and not tinclin d more than 45 degrees from erner surfaces of the smoke chamber shalti al,smooth 12 in. (305 mm). 7-2.1.6 Masonry fireplaces shall be provided with chim ig - des 4 Where the masonry supporting a fireplace is neys designed and constructed in accordance with the corbels are nd to support vertical Toads from the building and requirements for construction of masonry chimneys (See- used used to support beams or girders, corbeling tiou 3-2), or where permitted by the individual listing, shall be as describes] in 3-1.2 as recommended for masonry approved factory-built chimneys having approved adapters chimneys. The lintel spanning the fireplace shall be in accordance with the requirements for factory-built shim- designed and cmtstructed to safely support the additional ncys (Chapter 2). concentrated load transferred by the member. 7-2.2 Steel Fireplace Units. 7-2.1.5 Where it lining of low-duty fireday brick (ASTM C 27) or the equivalent, at least 2 in. (51 ntm) thick laid in 7-2.2.1 Steel fireplace units incorporating a firebox liner of reftacton mortar(A.STM C 199,medium duty),o-the equiv- not less than 1/4-in. (6.4-mm) thick steel and an air chamber alent, or other approved lining is provided, the total thick- shall be installed with masonry to provide a total thickness at ,less of the smoke chamber walls including the lining,shall be the back and sides of not less than 8 in. (203 mm), not less not less than 6 in. (152 turn). Where unlined, the smoke than 4 in. (102 mm)of which shall be solid masonry. chamber wall thickness shall be not less than 8 in. (203 mm). Exception: Listed firebox liners shall be installed in accordance The smoke chamber height shall not be greater than the loth the terms of the listing. inside width of the fireplace room opening. The smoke 7-2.2.2 Warm air ducts employed with steel fireplace chamber depth shall not be greater than the depth of the units of the circulating air type shall be constructed of fireplace fire chamber. metal or masonry. 45° IMax. ——— Top of smoke chamber; base of flue liner Smoke chamber 5 W ------------------ Fire box ---------- ---- —Base of chamber at damper opening (depends on fireplace design) yp Figure 7-2(a) Sectional view of fireplace showing smoke chamber. 1992 Edition FIREPLACES 211-33 1 in,Exterior 2 in.Interior 2in J J 11� 2 in. 1 0( 2 m. ,ryI 4in. ^r�11 /II e Figure 7-2(b) Fireplace clearance to combustible material. 7.2.3 Clearance. tible material properly supported and with no combustible material against the underside thereof, Wooden forms 7-2.3.1 All wood beams,joists, studs, and other combus- used during the construction of hearth and hearth exten- tible material shall have a clearance of not less than 2 in. sion shall be removed when the construction is completed. (51 mm) from the front faces and sides of masonry fire- places and not less than 4 in. (102 mm)from the back faces 7-3.2 Where the fireplace opening is less than 6 sq ft of masonry fireplaces. (0.56 m'), the hearth extension shall extend at least 16 in., (406 mm) in front of the facing material and at least 8 in. 7-2.3.2 Spaces between headers or trimmers of combusti- (203 mm) beyond each side of the fireplace opening. ble material and masonry fireplaces shall be firestopped with noncombustible material. The material used for fire- 7-3.3 Where the fireplace opening is 6 sq ft (0.56 m2) or stopping shall be galvanized steel not less than 26 gage larger, the hearth extension shall extend at least 20 in. [0.19 in. (0.483 mm)) in thickness or noncombustible sheet (508 mm)in front of the facing material,and at least 12 in. material not more than /2 in. (12.7 mm) thick. (305 mm)beyond each side of the fireplace opening. 7-2.3.3 Woodwork, such as wood trim and mantels, and other combustible material, shall not be placed withim6 in. 7.3.4 Where a fireplace is elevated above or overhangs a (152 mm) of a fireplace opening. Combustible material floor, the hearth extension shall also extend over the area above and projecting more than 11/2 in. (38 mm) from under the fireplace. a fireplace opening shall not be placed less than 12 in. (305 mm) from the top of the fireplace opening. 7.4 Accessories. Factory-built accessories for fireplaces include such devices as fireplace heater inserts, heat 7-2.4 Accessibility. For cleaning purposes, means shall exchangers circulating air or water,etc., that may alter the be provided for access to the venting area above and imme- combustion or heating characteristics of the fireplace. Such diately behind any movable damper valve plate in masonry accessories shall be listed and installed in accordance with fireplaces and steel fireplace units. the terms of their listing. 7.3 Hearth Extensions. Exception: Unlisted accessories that are acceptable to the author- ity having jurisdiction shall,be permitted to be installed as 7.3.1 Masonry fireplaces shall have hearth extensions of approved and in accordance with the manufacturer's installation brick, concrete, stone, tile, or other approved noncombus- instructions. 1992 Edition 211-34 CIIININL:YS,FIREPLACES,VENTS,AND SOLID FUEL-BURNING APPLIANCES Where trim projects ! more than 11/2 in.from facing Where trim projects \ I up to 11/2 in,from facing 12 in. / 6 in. y 6 in. Location of combustible fireplace trim 8 in. Figure 7-2(c) Fireplace clearance to combustible material. 7-5 Combustion Air Ducts. constructed of masonry, galvanized steel with a thickness not less than 26 gage (0.019 in. (0.483 mm)], or other 7-5.1 Where required by the authority having jurisdic- approved noncombustible material and shall be equipped tion, combustion air ducts shall be installed according to with a damper that is capable of being fully closed. this section. 7.5.3 Combustion air ducts that terminate outside the fire jchamber but within 6 in. of the fire chamber shall be Exception No. 1: Combustion air ducts for factory-built fire- designed and installed to prevent the direct envy of Flame, places shall be a listed component of the fireplace and shall be embers, or ashes from the fire chamber into the duct. ,. . installed according to the manufacturer's instructions. 7-5.4 Unlisted combustion air ducts shall be installed with Exception No. 2: Listed combustion air duct systems for masonry a minimum 1 in. (25 mm) clearance to combustibles for all fireplaces shall be installed according to the terms of their listing parts of the duct construction within 5 fir(1.5 m)of the duct and manufacturer's instructions. outlet. 7.5.5 The exterior inlet of the combustion air duct shall 7-5.2 Combustion air ducts shall extend as directly as be screened, practical from the outdoors (inlet) to a termination outside 7.5.6 Combustion air ducts shall not originate in an attic, the fire chamber (outlet). Combustion air ducts shall be basement, garage, or other interior space. 1992 Edition jp 3. Nature of work (check which applicable): New Building . . . . . . . Addition . . . . . . . . . . Alteration . . . .11. . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other 4. Estimated Cost . . . . . . . (Des / .7G (j(jU �. . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling,number of dwelling unit . . . . , � . . . . , , , . 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 t . . . . . YPeofuse . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . . . . . Numb r f tones . . . . . . . . . �� 1/ . . . . . . . . . . ,$ . . . . . . . . . . . . . . . 8. Dimensions f entire new construction: Front . �` . . . . . Rear ? . . . .r.. . . . . . . Depth . y6i Height . . y -. . . 2. . . . . . . . . . . . .� . Number of Stories . . . . . . . . . . 3 ? : . . . . . . . . . . . . . 9. Size of lot: Front . . 1'. :. . . . (, . Rear . . .�,� % lv .., • , , . . . Depth a`/q�,. 10. Date of Purchase . . . d5, . . . . . . • • • • • • • •�• • • • . . . . . . . . Name of Former Owner 11. . . . . . . . . . . Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . .12. . . . . . . . . . . . . . . . . . . . . . . Does proposed construction�vs late any zoning law, ordinance or regulation: G 13, Will lot be regraded . . . . Will excess fill be removed from premises: Yes 14. Name of Owner of prc�is �1lA. �??a; L c , , . . Address . ? G�?�, e • 6r, Phone No. Name of Architect .✓✓t.0 riP. (� A"4c( . , , , , , , .Address �S!G��' uu !?fir , , , , Phone No.W6, Name of Contractor . 1j7?1N �re«plZi fvs r7�� Address . ,3,a23 /ear Ccv�t} , phone No. 15. Is this property withir 300 fe/et of a tidal wetland? * No. _ *If yes, Southold Town Trustees Permit may be required. . . • . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. , p STATE OF NE ORK, COUNTY OF-. . . . . . . . . . . . . . S.S • • • • • • • • • •.• • • • •' �4 ��O �o����V* . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . . . . . . . . . . . . . . . . . . . . / .. . . ./c. . .P/'. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...: . . .`. . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc-. 7 )f said owner or owners, and is duly authorized to perform or have performed the,said'work'�hd,'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. ;worn to before me this. . . . . . . . . . . . . . . . . .day of. . ( •� Pub�/"". . ...�. . . . .. 19 . Jotary Public, .! �' County NON" ysUpSAA 4EF.OONGERO . . . . . . . . . . . . . . . . . . . . . &10,state of Nmyo* N .6616118 (Signature of applicant) Nacesu 0,,W a198 EXWi Au6.30,JW .� 1 }y ✓ BOARD OF HEALTH FORM NO. 1 3 SETS OP,� PLANS . : : : : : . �9 TOWN OF SOUTHOLD SURVEY . . . . . . . . �� BUILDING DEPARTMENT CHECK . - . .�/ . . . . . . . 111 ,..� .a. -•„ TOWN HALL SEPTIC FORCI ✓ Blf�l�. O SOUTHOLD, N.Y. 11971 70WN OF SgUTt10L, TEL.: 765-1802 NOTIFY ; t�y.�j a CALL �P. 1. . • • . • • • . . Examined .�' ✓, , , , , , , , ,, 190 PSAIL TO : • Approved . . . . . . ., 1(0�.IIjPermit No. ,-:?1e0 �* . . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . .!. . . . . . . . . . . . . . . . . . . . uildi nspector). APPLICATION FOR BUILDING PERMIT Date ./. lU!J ?y . . . . . . . .. 19y � INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building]Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Townli of Southold, Suffolk County, New York, and other applicable Laws,Ordinances or Regulations, for the construction of buildings, additions or alterations, or for r al or demolition, a erein described. The applicant agrees to comply with all applicable taws, ordinances, buiIdin o , h si d , a egula ' ns, and to p premises and in building for necessary inspe io . . . . . . . admit authorized inspectors on remise (Sig ature/ofa pplican , or n/a/ ' , if`a ccorporation)� 31213 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . X&.,/CA/. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . U /Z�H G ��42iS�LS (as on the tax roll or latest deed) If applicant i corporation, signature of duly �riz o -cer. (Name and t e of corporal ���jj� t officer) / Builder's License No. . . . . . . . Plumber's License No. . . 7 Electrician's License No. S_ Other Trade's License No. . . , . . . . . . . . . . . . . . / Jf 1. Location of land on which proposed work will be done. ' �✓Z House Number Street Hamlet r J Count Tax Ma No. 1000 Section ?v °�� Y p Block . � . . . . . . . . . . . . . Lot . . . . . . . Subdivision . , kc ,W( �.. .fti�. �, Filed Map No. ' � � . . . . . Lot . . .�/, , . . . . . . . . lRV 74 t Awe) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . .! W2//! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CFZo tom rc Irs rumen+- A YV1rW ROAD R��'� ° 8 " �vm NORTH 129.62' N 05°37'40" W �Q'y 20.36 N 05° 97' 20" W r� 0 LINK FENCE o s �Zm °,H IN EASEMENT W n C F o.N N on mm �o 3u, Ha to rzl� tD ya4 C a (bj _ v n N I n TymF � U, 00 Qa W $n N J 10 _ a o : S j8 N'e• »mob � " 1, A e•oo o ti c � 15g.1 ors°a °i o ; `a to o d G] a K�M �$» 'o coC C o •�a� : 5 sl� ii •a ti � i°� IY76` C N ,b• 3 " � A �� iocb n � 11010 � onb \a f s nnm a C� l9 �iy -� o W (pII wCp � � �p O m O!" ^ O s 0 rC m� 0 A I C a A O I c go sit�C n y 'ti z ;t 0 yy w { C U rn o rm d cz I m M n1.,N10Jt"3fI � IS CO m Fz o JO Z I- ti �f� z gY F QJ �c b 01 1 HLL �4 tO Q � � C °�0 vJ z 0 0 � O � Zo o s ro �> i LL 4 :t 6 a ~ Ojl� 1 aQo o p hoQIa Z W `fpm O II �LL > \ Z^ W ~ � ^ ^ tl a z o�o2J V w• ^�lA L ♦'A \ 1�► vJ O _ EN'6J L yam oo� ~ `o � 0 p�+ ° aSa " �y0� pooh CQggzi cz a°a 1` ao 1 ,"44 c°i � aat o "Ol zyt u� o ` .fr -- L S, •/71; N � � N N � 0 Q•8E � (°j (T) 61k a Q 0Q'l p O I I \B O O Q aya2 a O c m uj I WW Z _ a �� I I yU W O �o QW _ h to CI -n XW e a N p� tn• pN \� CA) ���� "�1N3tY3Stl3 NIVN7 mk W Z W Q •NY+ its ,'# o� a 3ON3,d W��w {� 4 — W ,8E'OL M ..Ot �L6 °90 N �vdj M 'lot,LS°90N .L9'Bll mm� ad08 M31AA d 9 H18ON of JZJ Nu w°° goo a ROAD IvRTH BA yVIEW p 129.62' N 05°37'40" W `^ 0„ yy 20.38' - N 05° 97' 2 �t o LI FfNCENK Np film rr �W CHAIN EASEME T� --1 ` - 0� Wn � N 5 a A e yoab b N " 0, ba m 45, N T zt m� c o � S H 22 OWN I m mm 3aNtb 0 o In N e /� y?N o- a � � ; N I I p 11 Cb 4 l vN O�Y•� .I p 2E. (q Coo too<. fo✓oa�a ftpn m `\ ra ro 1rs0.82' N 1 c X . to'' cb W `O r•'.? O ''� N1 O � .. 'M � o 'o' 153�1 a �, N 6ERLY M m Y Q " � fi9g.y4 � 3PH v y vans S1a O � � �yO `} 0 � . tj � n 1 0ok-t � � � ` 1rtl < pO ..._..._ moo - °po 1 yy� �b ook y d N»'f y •n O 1O O m o 00 00 1 y *d C3 •� 0 2 Zr- -1 cao rn ti m O ict y i yOR �` d P ,�aFZ �f m Ck LL �' 1 hOpO ti QWI �a�y 1 Lu Ism, � 2atlQ h e Esei cn IA- . $Cl ' Eby Q v � � � 14� m U G�Oe 0104 m I q 9� F, °` c ea0 f' � C ° v,`0 a $ ,tC�4t W tiW �. U�; o� °o NOt \ 3 � I h �= d, Nsy if •!fr Z 45/ V P m a LSE � V y II ���--_L•1� �^ � odoy � b b p m bi Lai �O I I �(ii • � � I I I �I I /.. w QO ` I a• p p� O In ySo oe a� W o� a � 37N3! �1N3n3S�3 Mru� ,�—., l�W J !7 ,86'ot F 58'6LL w' �,M "010,16,90N HOIv 2Po ti /r� JI/� �OVO YWI U - \ lilll G Z�y a r a U � �n�77 , �;T W, Z_ 'R n, M V -In V -A, AI ........... r "4_ PZ� �,)CCUPANCY PLUMBER CERTIFIC,'A ION U RE LEAD CONTEN. T BEFO USE ON NCY OF OCCUPA W1-flj,30UT CERTIFIC CERTIFICATE ATER ANC ED INW OF OCCUPANC SOLDER US TEM CANNOT SUPPLY SYS E CEED 2110 OF 1%LEAD. X t _k , q D 'NOTUD %EEID . A SS If copper tubing is used t�,Jl ROMET 0JRE COVERWO t1M for water distributing BE 1ESIONG system;piping shall be MG DE, '01t �EE, of typesiff !:.a An X ��e AO�I*T-AAk4s -t Tf,)'4 PM FOR THE 9 A� i FOL- 41 FC)UNDADOut RF- 0 N CIR F T E or, --min UGH - FRA 4 j"f PNG & PLLqARMNG 2, R 0,, N 31 JNSULfNTION'x -1. 17 4� Flp,�AL .- C0NS_TR1,JCT*N IVIUST BE COMM-ETE FOR G-0. r_T1()r,! SHALL MEET ALL CONSTRU OF THE NIX ENTS 7 THE REQUIREM ---- CONSTRUC-T sTATE ION & ENERGY ONSIBLE FOR CODES. NOT RESP ON ERRORS DESM 08 CONSTRUCTI Z T _4 UNDERWRITERS CERTIFICATE REWRED k i,,&A. 121 t ---- --- . ... . _4 - -7 ri 4- 4 >4 v 4 L 4, W DO NOT PROCEED w IT-4 FWMr,P _J UNTIL QO SURVEY OF WATIcA FOUNDATION MCA-,ION LF HAS BEEN APPROVED 11_1dt0t.V__1 a `�,O. 210 a tin shev*t door enclosures, *Lldlmg doots, and sidelit— kit tafter*t* shell have a wissiansm c*"ttollive strength of 21.50 p"I at Is adjacent to entry deata to be t*mpazad at safety glass. days, with 00torlals contotminq to the t4cmq'MiZ44 AST" Standards. 17, Anchor belts Ito he provids.�d for sit foundation sills. zolto 11 All tonsttuction Is to adhorre to olkaodos havi"r 1121, v 120, max. 101-0" Irv" cornets 29. All bathrooms shall be mechAmically ventllilte�d a's per section a So$-3.3 of �1. Too-rin4s Witt be poured stlffly� Ha1mch tootlAgs are to be ..... the N.T.A. Building Code and the *.I.$. 1norgy tarlot. Coosar4*tIo" Conattuction coda. 'ths %.y.S. Juildinig Code. Vents shall extend thzu the roof to 0% plumIsinq vock Is to be In accordAften with the flombloq C446 of the v.nt*4 Integrally with' slo4o. If- craos; btidgiftV9 to be Provided In all floor span% at intervals not excetdir & fast. bridging It* be I* x� 3N, solid wood, or metal. 29. Ali interior walla, and ceilings to be finished utth 1120 gypsom board, C, Widl, al Code. slectzical work Is to be In *cc6rdwoca with 1:146 Mattolmal 11. Install a 4 oil poly*thylono vapor bartitr onder all slabs %2nder 111ving alectricol Code and th**local rules onst regulations, of the; 44� soord of fitit 4111419 t*vod and spacklod tat palntlng,� 11. Nailing to be) so Per the recommended "ailing schedule of the M.Y�3. Code 12. Magnets Prot I action In to be mode for cold V*athor conctrt" and tmso"re y TM41 FittstOPOU49 to bo Provided as Pat tootten 5-402-5.3. 30. Inter lot floor finishes 0all be as Indit3ted a" Vlan3, 2. be not *Cal* slrowinqo. rollov silmossolons only. IK40att any d&SCraptoclay work, to Protect concrete and va*onry fx0fo treating. to tho argshitoct prior to Comses"Cinq Vork" 20). Wall sheathirAq ahall be either of the followings 31. exterior voll, finish to be an noted on plans. A .................. 3M PC Y-04 3. The architect asn4meo no t*sPonsibility for construction means, mathads, D- All r0"Ottuctl0vt luftbalv 10 be 900-FIr, 12 or h*tt". 'The 01"Intum Fb to be bi 1120 naiii-baiiwe fiberboard 32. %notatl .*IJ Aluminuso flaahlogs whatever vood abuts cnnctetft (Vatcheg# 1130 psi tot 12 and 1400 psi for 12. for #I. utility lu,.%bat &Ay qv etc.) St 0 cricket, and roof *no wall mod other location$ vhctt toOnIquoss, **que"eto or proc*duroso at lot safety Ptocautl*mi and programs in ItI114#4 tat blocking, C*tting, and stils and plate" only. 4APA or equal graded) plywood. Joint- as tewlited. C�naottlan with tho.noct. 214 Rent Shestislail to be 1/2", Standard P,&,tJC* dletataa� CaUJk exterior Stbtlooring, tl.o be litl*, JAPA tic equal 9cadtd) Plywood. 4. ;'loptoductlan of those plans, In ori farm, without tive written content a( V*S14P l*o4inga, are #0 10110VA per Wq.ft, Bubtloact" t,.* be toun" and grooved at blocked an *,it unsupported odges. the 49thitict In Prohibited. Those plans way net be (Iletl tor constructia" Purposes In any building department, wttlratst the architect*' written Location LI,v* Dead Zatlect. Limit 22. aloble all studs on openingo over 3 ft., triple studs on aq*o1njj over 9 Storm water tunoff is to flow away from ail sides of the authorlsotloW and/or $*aI. Any non of these plans fac any putpose, other than ��. 'Volibl* Joint= under all partitions parallel to then and tist haadec3 and foundation and garage arta. Storm water is, not permitted to let Floor Wiss l0lbs L/3fe flow onto abUtting property, Cause erosion; daisaqe adjoining that sp*01flosily authorized by the architect, Is Illegal, and may subinet the I user $hotoot to the poyawnt of full commissions. 2nd FlearteleopIng 301be 1011341 L/340 00 ty Ir 4stsum*4 at a minissam of 40#0 111* pat sq. ft. 5. Soil boozing a stot*qe ai extorlor VAtlas 9- overall 5000 dogsMse days. U, $000 degree days el pas: 0 a be encountered at tooting level tootlnqx art to Attic (storagel 201be 31ba W20 r Attic (Iva areas) I 161b. Sibs tW240 23. Iftsuslatloo to be on follow"I Minloun property should clay ot not to be b) Calling- roots IF-." t*4a*iqft*d. Root(with fin coill 301bo IsIbs, U/2 40 c) Fla"'s ovtr qffh*ata4 bIsemental U- .05, I allow) d) ftelmoitot Inoolatioa under *lobe to be 241 vidot R-10� S. so footing to t�l rest on fill at organic $oil, but most be care led to Routine fln --*ill 301bis ?the L/ito 4) rIb*tq1I&R1R mill **site ander all exterlat� Pas:titlon 61113 t-or sl*b SCALE 1-4V U,� DAT undisturbed soil or vochanicaily compacted xou as d**c_-xiuo4 above. (anovi balldimoo. 0, All of the miavv at* In coatationce with the M.Y.S. lto*tqy Coda. �e,— q- 15. All steel colneass, flitch plates and loose liftielo, to be manufactured in r�� Slab# Shall rest on to ssinto t wcCorUnto with AST" otandaitsto and Inotallod in accardAncs with Atic '$toward*. OR N ICK11-, Am at clean *and or wavwx or tultobli% --Peter lal Vhlch abo,41 be 00114IT coiwpact*4 004 t4opois M vind"Vu* to WAndorao" WIqh P*rzortmnce, U-.33 or approvLd tqumi. 3114,4nj It. W*401jaq to be 240 Aspeolt sh:nqlos. Roll toofinq AP VD.e iMUM�Sry not to X-T- P fIll at *her door* 'Ini styllt#a to hove a In. i-,13, All Windo", skylitt-t Vn4 sUdi"Z; t to -bo IQ I,b,, doluble covvrxq,��, Aa"ai,,t *ft*"4�ieo to be 4�oora to ftenk,t I't an' , uIrtmeata, af ".la. 19neggy Cad fls4timt have Wrest On 4n arr�a of fill, *$%to soil, but: te'd I I" 4"ovu*fdow, evi t voil "t � I AW" d4sCrIb*d above. oltehat "dog 4 W U,� two "uAb*Z 5 voInforcing rosisi'sasy be platoal In the lower 'Vart of the I*oting 25. T1ttPlAr:** shiall be pro,-fabricated units, mopufoctuced to casstply with the X.T.S. 9ft*s:q? code, and shell boar t.'.1ttiftcation thersof. bonded to ptoo'eriy Supported 'footin,46 at Wells ft either side, for Mx4ftum span av" fill of ftt. Thin way be dont, in Ilea at *w�th*nlcal: cosspoiction. 1140144104" Ila"1 ad I O&WIN _ i « f t gg 2 i , Q 3 i 1 4 i ------------- L] L El El L L-j L s jePWO �� t. ;X's ,,.. rt _... , " `d g ".g <Y^a� .: � <`....v +c yr` a ,pg�" e , 4 .n�,ti .Vk."' _.- _. _:.._: ... ... r,.�'s'ANixa�•M �'tt w3�-.. Crt„ - • . .... ,.. .... . t. wT . .. s`1�7q^,° �� \ 1172 dw,, _ SCALE 11 REVISIONS a DATE * ; • « E"i I , - DATE x: • _ . ,. • �« TITLE - a� - Ar 9 , - rw h" aw Aft i .a .+.. ' « a a o Y x, a a 3 • +fie '"' r '+ate -. --"7>+.. *s.:, ., ;,. ,. .. ._._ {•i! __ _._. �_. } , Ow Oz- Mv LLLI ~_ -- 11j, L:j EE:L Y • : I y F y x }-� •M ....,s_- ........�_.+..._.,rr—.r T, t , ,':#^ `4 #• 'tx a ° a .F C #t {_ L . , { � # {t ,,,Fp � �. S � ,3, t zj t, t, � � f. „3 it It it µ _ — ---- ___.....— '— ` �' 'i � � �4 �1' � ` ::.' ==di�� .3�� .}s ,, i a:•`, # �6 'Y a�£ �. 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'• SC LE DATE P < „:- .. .. u. ,. ,, ,. •: ,,,<: .., a.:. ,, .�11 .,<,a... .,., , „:.. .-e ..:,4. to ,.:.syt- Y .b,s{'+.., dti e. ♦ c., � ... �, ,.- r i', �:: ..' .',.,-.: :.... :r .;.. . ..:-.A l .,.,.r......•' •'_ i,. '^�3M fY, 1,,,.. p .,_,, r., -..u' ,,, s ,?: ,. - ,=x4 ::,... r w S,..,w�,,. ,•-@ ,..' cs .?..t+, .,.,... �, a, _ +F DATE ,., .. rz.:.ter .. ,.:.. n;e;, •.�{, C caa , �, • .,`.Ts'�"',„v':"-;r,.••� _ 7DT NHS. „ . , _,. - �„» `=x .- :���s `,, � _mar• �^ �,.h�a� -�:� -� m �„W; '.,� . , k • WAR NO c&fir `ru S 41 '{ - F t i15,47 fix. r 1 a .,u �”' ♦i-" r a ? ` z .fin ;�- zt fAj 7T I �+R�lc I , -fl3 4 _ i __. � � rl' � � � `�'� li•�U' `T�f-' ram'' ( ;� -,J : / t - I , ra I_.._ __..4 ' .f I , lac 41 1 r r r r # 3 # s I r 3 -777w_. j x Nt r b i , a i x I , r a ; , : sr _ t n , r p --* - �7 • '`' '.1 REVISIONS By A`s n.a� •tl0• :.: .,`. ! J !`E }yu 4/Xt , .,', .i OATS g 3 .,............. , , A4 AP'V O '•t4,7. #' �r ".:. ':; ems: ^" 40, • NO, , , ra ,. w •- TITLE ,. r� , ION W ,x fir, R N» 4 Ay F KeW, York StatA -0_424ti8t Ion Component Performance VeM I go Temperature inside 72 outside IS at ,15 MPH wind ntqr*i evayn Soon No W Total 14411 Ax6a ?,"Al 4 %jC> Aq Total glass Art* 44,4 CIL r Ad A Totall doot Arej 4�O Aw * Area of opaqe wall 0 AO Aq Ad ug 11 value of al&,�Rs a j;, truest of window Area Ag �z 'o 6-el 46 ;Al�u :W� 5vlf � 6 1 outside Air Film e A 5,1'MWW�L��, v 4— Ir Siding Z, 0.62 znsulation Ztuds, 2- x A-- 1"' Ido Alt Film & So V0, R Total with Stud 7 A Total with vatt Gj U Weighted avttage V-values reflect that tX Imt I on Is wooe �of the Wo I I 4;e ro ftsming,, 90% Includes batt Insul atlon 5 ac. uavg j �Ml- 4- V over all udl 4ko _-n C/ X 11,71 W 1-49 ell C v Inside Air Film 41;4 A* Insulation 1/2* gypsum Roazd 45 joist Z& -side -Top "W 'TAW R Total joist Ll Total qatt R 'N' 73 of celilng construction is %06164 .a at + eW 651 -c, 4 41141 Finish Floor TOO Alt Film r9l�14 .71 A, Sub Flooz V*4' for rV IL- K Insulation lk Joist nw 130ttom Alt FIla 'Z4 MA-1, 14 a 4—ilv-SON ---T X6, -7'% Of floor construction to be wood joist# lnqludao satt Insulation J Vav9 + will k` 1AA )L I Mew, ,0�1"7, �T -&1 4 % JM L pmkz�z$ OWN V 4r -NU -,7- 7 �7' SUMMARY OF TOTAL THERMAL RATING o q. If the Total Thermal Rating is zerol(0) or greater, the proposed design for the building envelope complies with the Energy Code. '44 ;;�A 1k THE RMAL TABLE 4 AREA RAT I�G U VALUE OSED 4 X A, K0-F/CEIL1t.1G I�zo 6,:,C., Z,I -4, % '4 ,goo F1, -7 tffl WALLS "41i 4- au �v `7Z x F 44 C, 471,11G 7 r) 44+ N, Window ­r�--��,:-----�-------- Pl, T I F LO-ORS T r 9 IRI* ID?. 9A�EMENT/CELLAR WALLS Val 1 Perimeter Feet Ziposure Above Grade feet N) WrIl U-Value A Depth of Wall U-Value Below Grade inches 03. SLAB INSULATION Slab Perimeter F eet 1 4", 72 -ulation R-Value Ins E. INFILTRATION CONTROL *04 41 'A Condit,toned Floor Area Sq. F t. N !w F., SOUTH �ACIW GL A Z I NG Percent South Giass/Total Glass n Sq. F t. Gl, Area"Gross Wall Area Percent Candits ned Floor Area TOTAL. THERMAL RATING 5CALC �A if Revisioms sy DATE DATE Al 6WN li-i4 3 �: �21 AP'vD- TITUE NO. 7, W z �4,