HomeMy WebLinkAbout28862-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPkNCY
No: Z-29642 Date: 08/15/03
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 700 LAUREL CT LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 126 Block 13 Lot 4
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 27, 2002 pursuant to which
Building Permit No. 28862-Z dated DECEMBER 10, 2002
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 COVERED FRONT ENTRY, REAR BRICK PATIO
ATTACHED TWO CAR GARAGE AS APPLIED FOR.
The certificate is issued to JOSEPH G MANZI JR TRUST
(OWNER)
of the aforesaid building.
S~IF~DLK CO~ DEPART~4ENT OF ~{E~J~TH APPROVAL R10-02-0068
ELECTRICAL CERTIFICATE NO. 1127996
PLUMBERS CERTIFICATION D~r~u 08/04/03 WILLIAM SCHWAUB
07/24/03
07/21/03
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUII~DING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28862 Z
Date DECEMBER 10, 2002
Permission is hereby granted to:
JR JOSEPH G NLANZI
12 MONROE STREET
ROCKY POINT,NY 11778
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at 700 LAUREL CT
County Tax Map No. 473889 Section 126
pursuant to application dated NOVEMBER
Building Inspector to expire on JUNE
Fee $ 0.00
LAUREL
Block 0013 Lot No. 004
27, 2002 and approved by the
10, 2004.
Rev. 5/8/02
COPY
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 buildir
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property linea
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 buildi
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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a
Vpre-existingl~ 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 cdnsent to inspect signed by the applican
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 Qccupancy on Pre-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy -
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 .................
Location of Property ......
House No. Street Ha~et
Onwer or O~ers of Property ....... ~~ ~ .................................... ....
County T~ ~p No 1000, Section..~ ....... Block ............... Lot ...............
~v~o~. ~ ~.!, ~5~ ................ ~ ~a~,..~ ,0. ~o~... ~. ~ ..........
.... ........................
Health Dept. Approval ...... ~ ................. Underwriters Approval ...................
Planning Board Approval ....... ~ .............
Request for: TemporarY Certificate ........... Final Certicate,....~.....
JE:F'F'RE:Y T. BUTLE:R~ F~.E~.
20 OVE:RHILL RD,
SHORICHAM~ NE:W YORK 1178~
~31 '208-8850
August 19, 2003
Town of Southold
Building Department
Re: Proposed Residence
700 Laurel Court, Laurel, N.Y.
Permit # 28862Z
Dear Sirs:
Please omit the rear deck as proposed on the filed plans from this office as part of this
application. The applicant has chosen to provide steps to grade from the doors, according to
NYS code. In the future, ifa deck is being considered, a new plan will be submitted which
will comply with all zoning and building code requirements at that time.
Please call if you should have any additional concerns about this application.
Sincerely,
;tler,
Town ~ Fax (516) 765-1823
Halt, 53095 Main Road
P. O. Box 1179 Telephone (516) 765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
(please print)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
~'~' day of
Notary Public,
County
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - New YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
FULTON ELECTRIC INC. * MANZI HOMES, INC.
61 WINDSOR PLACE LOT 16 LAUREL LINKS(LAUREL TRA
CENTRAL ISLIP, NY 11722, LAUREL, NY 11948
Located at LOT 16 LAUREL LINKS(LAUREL TRA LAUREL, NY 11948
Application Number: 1127996 Certificate Number: 1127996
Section: 126 Block: 13 Lot: 4 Building Permit: BDC: NS11
28862-Z
Described as a Residential occupancy, wherein the premises electrical system consisting
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second Floor, Attached Garage, Outside, Attic,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 21st Day of July, 2003.
Name QTY Rate Rating Circuit Type
~ Alarm and Emergency Equipment
Sensor 1 0 Carbon Monoxide
Appliances and Accessories
~Air Conditioner 1 0 30.000 BTU
Air Conditioner 1 0 48.000 BTU
~ Air 1 0 60.000 BTU
Conditioner
Exhaust Fan 3 0 F.H.P.
~ Furnace 1 0 Gas
~ Future Appliance Feeder 2 0 20
Amps
Wiring and Devices
Receptacle 81 0 General
Purpose
Switch 44 0 General Purpose
Fixture 81 0 Incandescent
Dimmers 29 0
Receptacle 1 0 20 amp Laundry ~
Fixture 1 0 Fluorescent
seal
Receptacle 8 0 GFCI
Service
Continued on Next Page 1 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD Of FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
FULTON ELECTRIC INC. * MANZi HOMES1 INC.
61 WINDSOR PLACE LOT 16 LAUREL LINKS(LAUREL TRA
CENTRAL ISLIP, NY 11722, LAUREL, NY 11948
Located at LOT 16 LAUREL LINKS(LAUREL TRA LAUREL, NY 11948
Application Number: 1127996 Certificate Number: 1127996
Section: 126 Block: 13 Lot: 4 Building Permit: BDC: NS11
28862-Z
Described as a Residendal occupancy, wherein the premises electrical system consisting
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second Floor, Attached Garage, Outside, Attic,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 21st Day of July, 2003.
Name QTY Rate Rating Circuit Type
1 Phase 3W Service Rating 300 Amperes
Service Disconnect: 2 150 cb
Meters: 1
seal
2 of 2
This certificate raay not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
Permit Number
MECcheck Compliance Report Checked By/Date
New York State Energy Conservation Construction Code
MECcheck Sol'ware Version 3.3 Release lc
Data filename: C:~Documents and Setfings~JEFF~DesktopWIanziL2002_JOBS\020085~lot16 laurel links-CLIFFORD
\CLIFFORD.cck
TITLE: PROPOSED CLIFFORD/WILKNESS RESIDENCE
COUNTY: Suffolk
STATE: New York
HDD: 5750
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATiNG TYPE: Non-Electric
DATE: 11/27/02
DATE OF PLANS: NOVEMBER 2002
PROJECT INFORMATION:
LOT #16
LAUREL LINKS
COMPLIANCE: Passes
Maximum UA = 885
Your Home = 834
5.8% Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 1422 19.0 0.0
Ceiling 2: Cathedral Ceiling (no attic) 320 19.0 0.0
Ceiling 3: Cathedral Ceiling (no attic) 378 19.0 0.0
Wall 1: Wood Frame, 16" o.c. 5230 13.0 0.0
Window 1: Vinyl Frame, Double Pane with Low-E 730
Door 1: Solid 21
Door 2: Glass 21
Floor I: All-Wood Joist/Truss, Over Unconditioned Space 2120 19.0 0.0
Boiler 1: Other (Exept Gas-Fired Steam), 84 AFUE
73
17
20
366
0.340 248
0.240 5
0.240 5
I00
COMPLIANCE STATEMENT: The proposed building represented in this document is consi~,tedgl~k t. he building
and other calculations submitted with this permit application. The pr~c~?~ ~t.~y?~¢~ns' ~h~ve been
plans,
specifications,
designed to meet ~e New York State Ener~ Conservation Construction Code require~B~X~gistered
Design Professional has stamped and signed this page, they ~e anesting ~at to ~e bes~~wlCdge, belief,
and professional jude~nt such plus or specifications are in compliance wi~ this C~d~ q' ~ ~ ·
MECcheck Inspection Checklist
New York State Energy Conservation Construction Code
MECcheck Sofiware Version 3.3 Release lc
DATE: 11/27/02
TITLE: PROPOSED CLIFFORD/WILKNESS RESIDENCE
Bldg.
Dept.
Use
[ ]
[ ]
[ I
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
Ceilings:
1. Ceiling 1: Flat Ceiling or Scissor Tress, R-19.0 cavity insulation
Comments:
2. Ceiling 2: Cathedral Ceiling (no attic), R-19.0 cavity insulation
Comments:
3. Ceiling 3: Cathedral Ceiling (no attic), R-19.0 cavity insulation
Comments:
Above-Grade Walls:
1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation
Comments:
Windows:
1. Window 1: Vinyl Frame, Double Pane with Low-E, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [
Comments:
] No
Doors:
1. Door 1: Solid, U-factor: 0.240
Comments:
Door 2: Glass, U-factor: 0.240
# Panes Frame Type
Comments:
Thermal Break? [ ] Yes [ ] No
Floors:
1. Floor 1: All-Wood JoislJTruss, Over Unconditioned Space, R-19.0 cavity insulation
Comments:
Heating and Cooling Equipment:
1. Boiler 1: Other (Exept Gas-Fired Steam), 84 AFUE or higher
Make and Model Number
Air Leakage:
Joints, penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly
with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors.
Materials Identification:
Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
Materials and equipment must be identified so that compliance can be determined.
Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
Insulation R-values, glazing U-factors, and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
Supply ducts in unconditioned attics or outside the building must be insulated to R-8.
Return ducts in unconditioned attics or outside the building must be insulated to R-4.
Supply ducts in unconditioned spaces must be insulated to R-8.
Remm ducts in unconditioned spaces (except basements) must be insulated to R-2.
Insulation is not required on return ducts in basements.
Duct Construction:
All joints, seams, and connections must bc securely fastened with welds, gaskets, mastics
(adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted.
Exception: Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in. w.g. (500 Pa).
Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
Cooling ducts with exterior insulation must be covered with a vapor retarder.
Air filters are required in the return air system.
The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
Electric Systems:
Separate electric meters are required for each dwelling unit.
Fireplaces:
Fireplaces must be installed with tight fitting non-combustible fireplace doors.
Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction
provisions of the Building Code of New York State, the Residential Code of New York State or
the New York City Building Code, as applicable.
Service Water Heating:
Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system.
Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
All heated swimming pools must have an on/offheater switch and require a cover unless over 20%
of the heating energy is from non~depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
HVAC piping conveying fluids above 105 °F or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
Table 1: Minimum Insulation Thickness for Circulating Hot ~Fater Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts
Temperature (F) Up to 1" Up to 1.25"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Circulating Mains and Runouts
1.5" to 2.0" Over 2"
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range { F) 2" Runouts 1" and Less 1.25" to 2"_ 2.5" to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hail, 53095 Main Road
P.O. Box 1179
S0uthold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nort h£ork.net
OFFICE OF THE TOWN CLERK
SOUTHOLO W~S~WO~"I~)R-LT~II~I~OI~)SAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2929 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MANZI HOMES INC
Address 1: PO BOX 702
City St Zip ROCKY POINT .NY 11778
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-02-0068
Name Of Owner
Mailing Address I
MANZI HOMES INC
PO BOX 702
City St Zip
Property Address 1
ROCKY POINT NY 11778
700 LAUREL COURT
City St Zip
Tax Map No. section
Cross Street
Building Permit Number Cross Reference:
LAUREL NY 119~8
126.00 block 12 lot LL000
LAUREL TRAIL
Issue Date~ 10/30/02
Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
BUILDING PERMIT EXAMINER CHECK LIST
APPLICANT:
DATE REVIEWED: t2 Ilo /02
DATE SUBMITTED:ii /25/02
SCTM# DISTRICT: 1,000, SECTION: I2ff, _, BLOCK: I~ , LOT:
STREET ADDRESS: 'COD (_POff_t:TL_ C_.,'5- - CITY: OOWiT1WLCL- _ SUBDIVISION:
PROJECT DESCRIPTION:
ESTIMATED PROJECT COST:
SINGLE & SEPARATE CERTIFICATION-REQUIRED? ,A~ NOTES: ~
LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, I983), UNDERSIZED LOTS FROM JAN.1997 100-25 Merger (A nonconfomfing at any t/me aftcr 7/1/83
ZONING DISTRICT: ~qO CONFORMING? s_bO
REQ. LOT SIZE: .40,0O0 ACT. LOT SIZE:2q,6,21 REQ. LOT COV. c>,hO~c> ACT. LOT COY.
REQ. FRONT y-~ PROP. FRONT 3"-Z- REQ SIDE_ 2 Y-'/? ? ACT. S1DEc>.-m~//t~Z¢;I
REQ. REAR 2 ~ PROP. REAR t~g' REQ. HEIGHT PROP. I~E~IGHT
WATER FRONT? A/O DESCRIPTION: ----'--'
PANEL #: FLOOD ZONE:~,
APPROVALS REQUIRED
SUFFOLK COUNTY HEAL/T~ DEPT: ~ or NO, (BED #): ~/~_ DTE'~ ~/~ PERMIT ~:R10-
TO~ SEPTIC ~CE~T:~r N ~
NEW YO~ STATE DEC: v~-n~c 9/1/7s YES or~
SOUTHOLD TO~ TRUSTEES: YES o~
TO~ ZO~G BO~ ~PROV~: YES o~
TO~ PL~. BO~ APPROVe: YES or~
TO~HISTO~C~P~ (SPL~): YESor~
NYS ENERGY~R NO : ~-r-D~ ~
EGRESS (18 H min.? 4 sq total) ~VENT (SQ. FT. x 4%)
BUILDING PERMITS OPEN/EXPIRED: BP
HAVE PRE CO'S: Y OR N BP
NOTES:
-Z / C/0 Z-
-Z / C/0 Z-
LIGHT (SQ. FT. x 8%).
FEE STRUCTURE: FOUNDATION: $..~OI ~ SF
FIRST FLOOR: .~ q%0 SF
SECOND FLOOR: } ? q ~.. SF
OTHER: SF
TOTAL: SF
1. ( SF)- ( SF)= SF X $__
2. ( SF)- ( SF)= SF X $
INIT OTHER
FEE FEE
=$ +$ +$
=$ +$ +$
TOTAL
FEE
Permit Number
MECcheck Compliance Report Checked By/Date
New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lc
Data filename: C:~Documents and SettingsXJEPF~Desktop'uManziX2002_JOBS\020085-1ot16_laurel links-CLIFFORD
\CLIFFORD.cck
TITLE: PROPOSED CLIFFORD/WILKNESS RESIDENCE
COUNTY: Suffolk -
STATE: New York
HDD: 5750
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE: Non-Electric
DATE: 11/27/02
DATE OF PLANS: NOVEMBER 2002
PROJECT INFORMATION:
LOT #16
LAUREL LINKS
COMPLIANCE: Passes
Maximum UA -- 885
Your Home = 834
5.8% Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 1422 19.0 0.0
Ceiling 2: Cathedral Ceiling (no attic) 320 19.0 0.0
Ceiling 3: Cathedral Ceiling (no attic) 378 19.0 0.0
Wall 1: Wood Frame, 16" o.c. 5230 13.0 0.0
Window 1: Vinyl Frame, Double Pane with Low-E 730
Door 1: Solid 21
Door 2: Glass 21
Floor 1: All-Wood Joist/Truss, Over Unconditioned Space 2120 19.0 0.0
Boiler 1: Other (Exept Gas-Fired Steam), 84 AFUE
73
17
20
366
0.340 248
0.240 5
0.240 5
100
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans, specifications, and other calculations submitted with this permit application. The proposed systems have been
designed to meet the New York State Energy Conservation Construction
Design Professional has stamped and signed this page, they are attesting that to
and professional judgment, such plans or specifications are in compliance with this
Builder/Designer~~
, belief,
0734~>% ~' f
MECcheck Inspection Checklist
New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release I c
DATE: 11/27/02
TITLE: PROPOSED CLIFFORD/WILKNESS RESIDENCE
Bldg.
Dept.
Use
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
Ceilings:
1. Ceiling 1: Flat Ceiling or Scissor Truss, R-19.0 cavity insulation
Comments:
2. Ceiling 2: Cathedral Ceiling (no attic), R-19.0 cavity insulation
Comments:
3. Ceiling 3: Cathedral Ceiling (no attic), R-19.0 cavity insulation
Comments:
Above-Grade Walls:
1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation
Comments:
Windows:
1. Window 1: Vinyl Frame, Double Pane with Low-E, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes Frame Type. Thermal Break? [ ] Yes [
Comments:
] No
1. Door 1: Solid, U-factor: 0.240
Cormnents:
Door 2: Glass, U-factor: 0.240
# Panes Frame Type.
Comments:
Thermal Break? [ ] Yes [ ] No
Floors:
1. Floor I: Ali-Wood Joisffrruss, Over Unconditioned Space, R-19.0 cavity insulation
Comments:
Heating and Cooling Equipment:
1. Boiler 1: Other (Exept Gas-Fired Steam), 84 AFUE or higher
Make and Model Number
Air Leakage:
Joints, penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly
with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors.
Materials Identification:
[ ]
[ ]
£ )
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ J
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
Materials and equipment must be identified so that compliance can be determined.
Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
Insulation R-values, glazing U-factors, and healing equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
Supply ducts in unconditioned attics or outside the building must be insulated to R-8.
Return ducts in unconditioned attics or outside the building must be insulated to R-4.
Supply ducts in unconditioned spaces must be insulated to R-8.
Return ducts in unconditioned spaces (except basements) must be insulated to R-2.
Insulation is not required on return ducts in basements.
Duct Construction:
All joints, sean~s, and connections must be securely fastened with welds, gaskets, mastics
(adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted.
Exception: Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in. w.g. (500 Pa).
Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
Cooling ducts with exterior insulation must be covered with a vapor retarder.
Air filters are required in the re~-n air system.
The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
Electric Systems:
Separate electric meters are required for each dwelling unit.
Fireplaces:
Fireplaces must be installed with tight fitting non-combustible fireplace doors.
Fireplaces must be provided with a source of combnstion air, as required by the Fireplace construction
provisions of the BuiMing Code of New York State, the Residential Code of New York State or
the New York City Building Code, as' applicable.
Service Water Heating:
Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system.
Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
All heated swimming pools must have an ordoff heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the
levels in Table 2,
Table 1: Minimum Insulation Thickness for Circulating Hot I~ater Pipe&
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Cimulating Runouts
Temperature (F) Up to 1" Up to 1.25"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 ' 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Circulating Mains and Runouts
1.5" to 2.0" Over 2"
Table 2: Minimum Insulation Thickness for HE4C Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range (F) 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refrigerant, 40-55 0.5 0,5 0.75 1.0
and Brine Below 40 1.0 1,0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
765-1802
BUILDING DEPT.
[ ~,/FOUNDATION 1ST [ ] PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
INSPECTOR
BUILDING DEPT.
INSPECTION
] F/J~UNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] CHIMNEY
DATE
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ -~t~OUGH PLBG.
[ I F/~UNDATION2ND [ ]INSULATION
~/~ FI ~] FINAL
[/.~MING [
[ ~J FIREPLACE & CHIMNEY
DATE
INSPECTOR
765-1~02
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ]~GH PLBG.
[/,/"] INSULATION
FRAMING
FINAL
FIREPLACE & CHIMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING
[ ] ROUGH PLBG.
[ ]INSULATION
[ ~FINAL
] FIREPLACE & CHIMNEY
REMARKS:
DATE
INSPECTOR
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1502
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined ,20
Approved~ 20
Disapproved aJc
Exph-ation d/O -- , 20/
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the follo~vi~g, b~fore applying?
Board of Health
3 sets of Building Phms
pD--i-g Board approval
Survey
Che~k
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Phone: rTi~LI - / O-.~9
APPLICATION FOR BU]I,DING PERMIT
Dae
INSTRUCTIONS
,200~
a. Tla/s application MUST be completely filled m 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 pubhc 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 pea'mit
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 affec~ng the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit fei' an
addition six months. Thereafter, a new penrdt shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance cfa Building Permit pllrSnant to the
Buildkng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicabl~ Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein deseribed. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing coda,~ and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections. // ~ /
(Signature of applicant or na/~ff a corporation)
0V/ailing ~dd'~ss of applicant)
State whether applicant is oxvner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
If applicant is a corporation, signature of duly authorized officer
(As on the tax roll or latest de~l)
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section ~ ~ (~ Block ['"~
Subdivision Filed Map No.
(Name)
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~_j&LC~-~ ]&~r)(
b. Intended use and occupancy.
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
Fee
Addition Alteration
Other Work
(Description)
(To be paid on filing this application)
5. If dwelling, number of dwelling units [ Number of dwelling units on each floor
If garage, number of cars ~)
6. Iftmsiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing strum, if any: From
Height Number of Stories
Rear
.Depth
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stories
8. Dimensions of entire new constmction: Front ~'~3'~': Rear
Height Number of Stories
9. Size of lot: Front ~'/~ ~' ~ Rear ~ (:> ~ ~ t ~ Depth
Depth
Rear
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
14. Names of Owner of~r~m~c ~ses.~41?,q-zt' ~r~ e.~ ~'~ Address O. O (?=.o~ ~3 ~, ~-. q ~'Phone No.
Name of Architect c~ctCT~,-~¥ I er-- Address ~'0 ~o~ 61¢( $~el"~Phone No
Name of Contractor fi)'3 (kra-t:~ [n~)..~- I ~ ¢ Address 0 ~ x~~Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property withln 300 feet of a tidal wetland? * YES _ NO__ .~...-~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
N(~
NO
16. Provide survey, to scale, with accm~te foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
'/~ fO~'~ e//lO ~--f ~>~'-'~e~/C being duly sworn, deposes and says that (s)he is the applicartt
(Name of individual si~ing contract) above named,
(Co~traetor, 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 know/edge and belief; and that the work will be
perforlaled ill the mann_er set forth in the application filed therewith.
Sw~ to before me this,_,.
. W){'~_ day of . ~ 20 O ~
~ 7 Notary lh/blic t
LINDAj
otary Publ c, ~tet~ of I~w y~ .
No. 4~22r,~-, ,, ,, .. ork
lgnature of Appf
LA
(~FFICE WASTEWAT~-[
Tee~
Hole
TEST HOLE
FROMRLEDI~AP
-4' I LOAM
SAND &~
GRAVEL
-18'
AREA: 29,522 S.F. = 0.675AC.
ELEVAtiONS ARE IN N.G.V.D. DATUM.
NO SURFACE WATER EVIDENT I4¢rHIN 300 FEE..
ADJACENT DWELLINGS TO BE SERVED BY PUBUC WATER.
26.0
LOT 17
VACANT
LOT 15
VACANT
LOT ,,,
VACANT
OPEN SPACE
(P~CEL
· PREPARED FOR:
MANZI HO~4ES, INC.
.
JO~No: FJ7Z~- 1~
MAPiNO, 10712 ~
RLED~;Nov. 25, 2001
REVISIONS:
license no. 050149
PLOT P~N .OF
LOT 16
MAP OF
~UREL LINKS
SITUATE AT
~ UREL
TOWN OF SOUTHOLD
SUFFOLK COUNt, NEW YORK
SCAL~' 1 ~60' DATE: MARCH 1 I, 2002
E.C.[M. DIS[ 1000 SEC. 12~ BLK. 1~ LOTO04
~ ~ ~ P,~
BURTON
LoT<s) ,6 BEHRENDT
LOCATION: MATTITUCK ENGINEERS
TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK ARCHITECTS
SURVEYORS
SCALE: I" = 40.00' FILE NO: 0';'--399--1 6 FAX 475--0561
,.%
%
b'
Elevations refer to N.G.V.D.
This parcel is subject to any easements of record.
Septic system and water line location by contractor.
ANY AL7 ERATION OR ADDITION TO THIS SURYEY IS A VIOLATION OF SECTION 7209
OF THE NEW YORK STATE EDUCATION LAW.COPIES OF THIS SURVEY MAP NOT
BEARINO THE LAIRD SURVEYOR'S ORIGINAL SIGNATURE AND INKED OR EMBOSSED
SEAL SHALL NOT BE CONSIDERED A VALID TRUE COPY.
Map of Lot 16
"Map of Laurel Links"
Filed: November 23, 2001, Map Number 10712
Situated at Mattituck
Town of Southold, Suffolk County, New York
District 1000 Section 126 Block 13 Lot 4
Lot Area: 29,522 Square Feet
ANTHO~ AB~HZ~ R.L.S.
~GISTE~D LA~ S~VEYOR
12 Mo~oe Street
Rocky Point, New York 11778
(631) 209-0676
FINAL S~Y: July 10, 2003
Scale: 1:~:' :W:o. LL16