HomeMy WebLinkAbout11182-zFORM NO. 4
TOWN OF 5OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y,
Certificate Of Occupancy
No.Z. ~. J .5.5.0. .......... Date ....... ~a..vg.h..~. 9 ................. 19 ~.3.
THIS CERTIFIES that the building ................................................
Location of Property ..1.3. g.O ..... The Strand East Marion
County Tax Map No. 1000 Section ...0.39 ...... Block ...0.2. .......... Lot ...0.~..9 ...........
Subdivision...P.e.b..b .17 .B..e.a.c.h.. F.aF.m.s' ....... Filed Map No. 5.2.6.6....Lot No, . ] .2.1 .........
conforms substantially to the Application for Building Permit heretofore filed in tiffs office dated
· ..i~laT.. l 5 .......... , 19 8.1. pursuant to which Building Permit No..1. ~. J .8.2.. Z. ............
dated ....... ~l.u.n..e..1.1 .............. 19 .8 J., 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 .........
...... a..pr.z.v.a~. 9..on.e. r?.a.m..iCy..d..w.e.5.~.~ .n~.. .......................................
The certificate is issued to ..... .b.~O..Lp..o..., .~..~.~..~p.~.q~..~ ...................
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval . .3.3.-: S..0:-.53. t' .1.2./. 3. .0/.8.2. ~. ~.o.b..~ ....5 '.. y.t.~. 3:..a,
UNDERWRITERS CERTIFICATE NO ......... .N..5. ~( ~.3.8.0. ...............................
Building Inspector
Rev, 1/81
P
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTH'OLD, N. Y.
~�t
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N� 11182 Z Date /.........../
Permission is hereby granted to:
...��... .. :.s........��.. .. ...... : `......
OV
.... . .......��.. !:�:� ...........
to ...... .......... ...... ...... .............................................
of premises located at ......1.3. 6.`�:.........�Q•...'.A. .....�b"'' a:': �.... . ..............................................
.................,................................................................................................./....................................... ........
County Tax Map No.. �1000 Section ......... .��...o...... Block ..........' ..-..., Lot.No. ... ... ............
pursuant to application dated .......:.::....................... .....Q�l.....�. ., 19!?/., and approved by the
Building Inspector.
Fee $......f.,p...v....
S
........................................................... ....................
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Buiiding Depar~men~
Town Hall
SouthoM, N.¥, 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A, Th~s application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor ,,v~th the following; for new buildings or new use;
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or tooograehic features
2. Final approval of Heaith Dept, of water supp y and sewerage d sposa --(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Englneer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable,
B. For existing buildings (prior to April 1957}, Non-conforming uses, or buildines and "pre-existing"
land uses: ~
I. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworp statement of owner or previous owner as to use, occuoancy and condition of buildings.
3. Date of any housing code or safety inspection of buiidin§s or premises, or other pertinent informa-
tion required to prepare a certificate, /
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-exlszing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
New Budding '~
............. Old or Pre-existing Building(X) ......... =/Vacant Lend ......
Owner or Owners of Property .., ~qPTzZ,} / Ft, .~.X~//~4,/~ r?~ .........................
County Tax Map No. 1000 Section ~. ~) Block .........
...... ' ...... · ..... Lot...; ............
............... ¢ .~'.'; · . ,4 ...F~led Map No ........... Lot No..~.~: ~ ......
Health Dept. Approval ........................ Labor Dept. Approval ...................... ,..
Unde~r~ters Approval ............. , ........... Planning Board Approval ..................
Request for Temporary Certificate .................... Final Certificate ........ -
Fee ~ubm,tted S.. % ~- ~ IIWO ¢3 ~/
Construction on above described buHdu]q and per~ meets all apo~cabl~odes and regulations
/
10001?4 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
N 579380
THIS CERTIFIES THAT
only the electrical equipment as described ~e~w and interlaced by t~ applicant named on the able application number in the premises
was examlned on CJ~Ob~" 4, 1982
FIXTURE
OUTLETS
53
~ECEPTACLES
64
SWITCHES
FIXTURES
FLUORESCENT
44 3
DRYERS
~ 2nd FI. 3rd. ~, Section Block Lot
and found to be in compliance with the requirements of this Board.
RANGES OVENS DISH WASHERS EXHAUST FANS
SYSTEMS
E
OTHER APPARATUS
1-G.F.L
1-Smoke Detector
1-4.5 gl4.1tot Water P~_ater
1-20 K.W. gl~. ~e
1-10 ~ D~sal
~a~ ~ 64'-O 16 lites
E
R V I C
A W G NO OF HI LEG
OF CC COND
4/O
AWG
41o
325 W~llow Poi~g
~Thms certmflcate must not be altered in any manner; return to the office of the Board d incorrect Inspectors may be mdentffied b the r r
COPY FOR BUILDING DEPARTMENT. THIS cOPY OF
~ IN ANY MANNER. ,
'1': ~
FOUNDATION ( ls t )
FOUNDATION
2.
(2nd)
ROUGH FRAME &
FLUMBING
INSULATION FERN.
STATE ENERGY
qODE
FINAL
ADDITIONAL
//
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y, 11971
TEL.: 76[;-1802
Examined ........... /./), 19 . .~
At~proved ~./. ...............
· . .......... ? /,f, l%..~.Pcrmit No / / / ~i"': ,~
Disapproved a/c ...... ~ ..................
....
(Bmldmo inspector)
APPLICATION FOR BUILDING PERMIT
Application No ................
INSTRUCTIONS
a. This application must be completely filledqn by typewriter or in ink and submitted in triplicate to the Buildi
Inspactor, 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 stre~
or areas, and giwng a detailed description of layout of property must be drawn on the diagram which is part of this apg
cation.
c. The work covered by this applicatmn may not be commenced before issuance of Building Permit.
d. Upon approval of this apphcation, the Building Inspector will issue a Building Permit to the applicant. Such porn
shall be kept on the premises avat!abl¢ 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 Occupan
shall have been granted by the Building Inspector.
APPLICATION IS ttEREBY MADE to the Building Department for the issnance of a Building Permit pursuant to t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of braidings, additions or alterations, o.r~or remov,a~ or~emolition, as herein describr
The applicant agrees to comply with all apphdable Ia .~s, ordinances, bt. fffdi.ng.co;de/Ja6u~flg code, and regulations, and
admit amhonzed inspectors on premises and m bmldmgs for necessary/ns~ct~:~i's//f/~/ ~'flF~lgtw'£~3' ~c~,.,, ~D'
' ' - ..................... 1 ................ :../..
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, a.rchitect, engineer, general contractor, electrician, plumber or build,
Name of owner of premises .................... ~.. · .
.D. ........................................
(as on the tax roll or-latest deed)
If app/l~t is ~,ffJ~,~on, si~ature of duly authorized officer.
/ (...1 (Name and title of corporate officer)
Builder's License No..~.t .~..& 0.'7....{. ?~.~./.~.4... q
Plumber's License No... ~"~..~.~..0.,...~. ,. ..........
Electrician's License No ........... ............
Other Trade's License No ......................
1, Location of la.nd_.o~n~.'chich proposed work will be done ................................................
sr , c_J ................
House Num bet Street Hamlet
County Tax Map No__lO00 Section .. P .3.e. ......... Block ....~ ............ ~ot... ~ .~ ..........
........... .~ ......... ~. LO[ ..... ~. .....
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ................... . .
. ntended use and occnpancy ........................................................ :
J.
i.
:operty lines. Give street and block n'umber or
,terior or corner lot.
Nature of work (check which applicable): New Builam~ .. dition .......... Alteration ..........
Repair .......... :~. Remov, al .............. Demolition .... ~... ........ Other"Nork ......... .~.
c// . · e:tr4P , ._., (Description)
· /
(to be paid on f'fling this application)
' /,
If dwelling, number of dwelling units .............. Number of dwelling units on each floor ................
If garage', number of cars ............ ~.2~ .........................................................
If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ..................... ,~,'/' ~',t .............
Dbnensions of same strdcture with alterations or additkoas: Front .... ,~. .....,. ..... Rear . ~ .~ ''~' '"~' ' .......
Depth ...... 5.~. ........... i. Height: .... ~.~,~-J. ........... Number of Stones ........
· ' · t ,~ .'r/. (., ' ~ ..... ' .......
Dimensions of.ent re new constru.ct~on: Front ~.~.~...~... Rear ...... ~... Depth ...~. ! .........
. p
Height ........... Num er of Stones ........................
Size of lot: Front ...... .ri ~... .......... Rear ......... i ........
Date of Purchase ........ ~ .... i ............... '.. Name of Former Owner ..........................
Zone or use district in which preraises are situated .....................................................
Does proposed construction violate any zoning law, ordinance or regulation: .. ...............................
Will lot be regraded ............................. Will excess fill be remowed from nremises: Yes ' No
Nme of Owner of premises Q~'~r I'0~-~../.V! d..~..Cqt {.. Address~.. }..~.d.e.c/.~..~.~[. ~'./J~.T.r~9.~,~one No ............ ': .
Nmne of Architect..L~. l;e, tV( ~. J. ~. ( .~. ~.,? ..... Address ................... Phone No .............
Name of Contractor . ~aq.-~r...~q[-~..w e~' ....... Addrcss~..( ~'.n.%Pt .~.~.~ (~W, Phone No..rY...~. ?. (~..'.~-." .
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
description according to deed, and show street names and indicate whether
TATE OF NEW 'f'~ RK.~
' ' ' ' '~' '/~i,~': ~~~cO~---~'~'Cx'''' ' ' being duly swOrn, deposes and says that he is the applicant
JS the ........................................
. ~ (Contractor, agent, corporate o.fleer, etc.)
said owner or ownem, ~d is duly anthoHzed to perform or have~perfonned the s~id work aud to m~e and file ~is
pplication; that ail statements contained h this application are true ..to th~ best of his ~mwledge and b~hef, ~d that the
'ork will be performed in the m~nel set forth in the application filed~therewith.
worn to before me this ,~,
NOTARY PUBklC~t~f N~w York ~ ~/ ~uf~ of applicant)
,, ~ Ho. 52-8t25850, Suffolk C~[~ ~
I SUFFOLK CO. HEALTH DEPT. APPROVAL
(i222 H. S. NO.
0 ae,ail,`� s � F,p:__ N� rip u ��� C�i4�Ofel��fi5 13AY � 2ctJsPruCJ'1o�c.�+,
Z . c.; �=•...�;, i�h�•T QF 1-iE�l.T�i �f Cs•E4,2���1/�tZS �.�y 1(�r�v`e.
� r I r I• I'} F'1.��.
t IV� ((01 5
`� S_37•►g•28r.E j Tb_ - 1' 12 PIq 9.2
STATEMENT OF INTENT
T a THE WATER SUPPLY AND SEWAGE DISPOSAL
0 �2' ry
�i,
D
ql I i ` , Q SYSTEMS FOR THIS RESIDENCE WILL
ii I s P tV S CONFORM T THE STAN ARDS OF THE
SUFFOLK EP OF H SERVICES.
a j I ) i `Ijcjar. (11 ICA'NT
o � N L 9'ia" �__�. SUFFOLK COUNTY . DEPT. OF HEALTH
r ; :a, � I�s.92 .
�
SERVICES - F-OR APPROVA F� d
CONSTRUCTION ONLY
r N O r W DATE: 5 — --
Z
H. S. REF. NO.: sue`
v ! 1�,Z�� APPROVED:
SUFFOLK CO. TAX MAP DESIGNATION:
DIST. SECT. BLOCK PCL.
t000 050 2 69
OWNERS ADDRESS:
'I
IYrAP Or-= Pl2U '�C� "Y 21 seventy Oct.
5Ut21��Y�C? FOB At bee-hsorr, N.Y. t 1507
11 UC-2,124- y
AT - --- ^- DEED: L. rglA P.
TEST HOLE STAMP
TOWN OF SoUTHOLo, N.Y X VAT�OH imp c 1 WORM Olt ADDITIM
��TN7�,5HE0
€CTION 7109 OF THE NEW YOMC STATE
4DUCATION LAW
COPIES OF THIS SURVEY go HOT•IIBARING
THE LAND SURVEYOR'S IWM SEAL OR
EMBOSSED SEAL SHALL NOT Ef COWJD'UD
TO IE A VALID TRUE COPY.
GUARANTEES INDICATED HEREON SHALL RUN
6104- ONLY TO THE PERSON FOR WHOM THE WRVEY,
IS TITLE PREPARED,AND OV HIS BEHALF TO
Scale � JC Q,= I" TITLE COMPANY,GOVERNMENTAL AGENCY AND
LENDING*wITUTION LISTED HEW","0
A recr= 2 7, 919 5q'.f f. TO THE ASSIGNEES OF THE LENDING DG,TI
1 � TUTION.GUARANTEES ARE NOT TIU NWP U§6EQABLE
TO ADDITIONAL INSTRUTIONS OR 5L1i5EOUENT
•WNERS.
mor��
• SEAL
nlafe: [ :f rcutrrbers shown refer RODERIC,K VAN TUYL, P.0 r
-l-o-Mao o f Pebble 5-earck Fart s,„ /Z. ^-
filec( in 4he :5Uffolk Co. Clerk's LICENSED.LAND SURV YORS
office as Map No, ,rc,2G6. GREENPORT NEW YORK
Mefi l4and.um from . '. .
t
BUILDING INSPECTORS OFFICE
TOWN OF SOUTHOLD
TowN HALL, SOUTHOLD, N. Y. 11971
765-1802
1-1110,
740
O&A '
NEXUS
pant.echnology for human development
12 godfrey place, wilton, conn.
(203) 762-9752
May 129 1981
To: Whom It May Concern
Re : Proposed Darold Murray Residence
Deck House Model 7185
Plans dated: 11/11/80
Plans Revised: 1/14/81
Enclosed please find additional information pertaining to the
proposed Murray residence. Should you.have any questions or
require additional information, please do not hesitate to con-
tact our office.
Submitted by,
Lawr ce R. Gilman, .E.
Nexus Engineering Associates
NEXUS — *
pan technology for human development
12 godfrey place, wilton, conn.
(203) 762-9752
May 12, 1981
To : Whom It May Concern
Re: Proposed Darold Murray Residence
Deck House Model 7185
Plans dated: 11/11/80
Revised: 1 /14/81
Addendum to New York State Energy Conservation Summary Sheets
1 ) The calculated "Uo" values for the building systems are as
follow:
Wall Uo = .19
Floor Exposed to Ambient Uo = .039
Floor Over Unheated Uo = .05
Roof Uo = .046
Basement Walls Below Grade Uo = .07
2) The percentage of glazing to-total wall area is 21%.
3) The calculated Total Heat Loss for the residence is 499906.2 BTU/hr.
4) Note: Calculations and Code requirements for 69000 degree day area
apply; with Outsige Design Temperature of 100
and Inside Design
Temperature of 72 .
Notes of Structural Features
1 ) The live load for roof-and floor areas is 40 lb./sq.ft.
2) The cavity floor is composed of a 2 x 8 floor system which will
not exceed 1611 on center.
*- NEXUS ,- *
pant.echnology for human development
12 godfrey place, wilton, conn.
(203) 762 - 9752
April 15, 1981
Mr. Art Fox
White Birch Road
Shelter Island, NY 11964
Re : Proposed Stewart Residence
Southold, NY
Dear Mr. Fox:
Enclosed please find the Summary Sheet for New York State Energy
Conservation Calculations prepared for the Stewart residence. The
calculations were prepared in accordance with the New York State
Energy Conservation Construction Code (October 1978) and demonstrate
that the proposed residence will comply with the New York State
Energy Code.
Submitted by,
Law ence R. Gilman, P.E.
Nexus Engineering Associates
'Z
pantechnology for human development
1.62" godfrey place, Wilton, Conn.
(.29D3) 762-9752
d/15/81 Ste�rart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .cont4d.
E) pecbmmended Furnace Size :
Use .75 gallon/hour with- ratings of: 106,250 BTU/hr. Input
85 ,000 BTU/hr. Output
Assume 75% efficiency, Requires 70,201 .36 BTU/hr.,
u) Electrical lighting and Power design Data do not apply for }
single family--.residential units. ,`
�. Cps Attachment "A"
Pon2echnoiogy f®r hurnon development
12. godfray pl-ace, Wilton, Cogan._ .
762-970-2 .
( 20.31
"R" 'Values _of "Insulating Materials : .(Dec'- House)
ROOF: : interior surface .61.
2¢11 lam. decking 4.17 w a 1
15# felt 718
. 2" :-rigid insulation 16.00
asphalt shingles .L4-
exterior. surface
(15 mph wind) .17
Total ;� �r 21:57�7 U= :o46
Note : 'For each additional inch of Thermax, the "R" value
Will increase by 8.0. (U=1/R) With 3" or 4" of. Thermax, a
-layer of z"' plywood- is needed for nailing, adding an ;
add i ticna1. R .63- to the overall roof system.
WALLS air surface .outside...
115 mph wind) .17
Lit oi d •
.63
='erglas in 13.41
deaduair .space •87
drywal 843
Inside air. surface., . .68
Total "R', - 16.:75 U= .059
FLOOR exterior, surface 17
-DECK: '- 21L lam. - ,decking. 4.17 '
(Overhang) i plywood •-63
inside air. surface-: , . .61 `
. ,
=
Total R 5. 8 U- : .1?9 .
'(37
Note : Oak flooring will add R:!�"71; carpet with pad
and 3/8". plywobd .underlayment will add. R=1.70.
MISC. Double glazing R=1.67 U= .60 .
: ( :2 3/16 sheets: with
t air space)
Triple glazing R=2.13 U= !47
1,011
poured concrete _ R=2.7 U= .37
MSP (mahogany sandwich R=16.7 U= .06
panel)
MGP (ma:ho any gypsy R=T5.9 U= .063
ane if
lit rigid. insulation �. e. R= 4 :0 . U 2.5
Per .2.. ) 2 _ .
1,� = 40 U= . .
a - foil-faced urethane S
R .
--
p antechnalogy for human development
12 god Frey place, W i l ton, Conn.
(.2.03) 762- 9752
41/15/81 Stewart . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .cont ' d.
B) Heat Toss Through Infiltration
Method .of Calculation : Crack Method
Formula: H. = .018 L V (ti-to)
H = Heat loss (Btu/hr. )
.018 = .24 x .075 ( .24 is specific heat of air in
Btu/pound; .Q75 is density of air in -oourds/cu.ft. )
L = length of cracks (lineal feet)
V. = Volume of air infiltration per _root per hour.
ti = Inside Design Temperature
to = Outside Design Temperature
Infiltration from Windows: (and sliding glass doors)
H = .018(2'81 .5)(24)( 62) = 7 ,539.7 Btu/hr.
Infiltration from Doors :
FI = .018(40) (55)(62} = 2 ,455 .2 Btu/hr.
Total Heat .Loss from Infiltration : 9,0�94.a Etu/hr.
C) Heat loss Through Exterior Tacades
Malls : Q = ( .22) (2226.38)'(62 ) = 30, 367.82 Btu/hr.
Roof: Q = ( .046) ( 1617 .54)(62) 4, 613.22 Btu/hr.
Overha.ng : . Q = ( .05 ) (229 .38) ( 62) = 711 .08 Btu/hr.
Edge Slab:�--. Q (174.1 ).(.40). = 69 964..00 Btu/hr..
Infiltration : Q = (from above) 9 , 994...90 Btu/hr.
Total Feat loss = 521651 .Q2 Btu./hr.
D) Insula.ting Materials - "R" 7.ralues
For insulating values of Deck Mouse Materials, see Attachments .
Factor includes loss downward through edge of slab. As per ASHRAE
Handbook of Fundamentals 1977_, Loss = 40 BTU/hr. per. lineal ft.
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