HomeMy WebLinkAbout26715-z FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y. 0 / Cie ' 311/QX
Xgranted
UILDING PERMIT
T BE KEPT ON THE PREMISES UNTIL FULL
ON OF THE WORK AUTHORIZED)
PERMDate AUG T 11 2000
PermissioNO LM
50 INDIAN NDCK LA
PECONIC,N)V11 8
for
NEW CONSTRUCTION OF AN ADD ION TO AN EXISTI ONE FAMILY DWELLING
AS APPLIED FOR.
at premises loc ed at 50 INDIAN NECK LA PECONIC
County Tax Ma No. 473889 Section 086 Block 0004 Lot No. 001. 003
pursuant to application dated JULY 7, 2000 and approved by the
Building I Spector.
Fee $ 149 .20
I
Authorized Signature
ORIGINAL
Rev. 2/19/98
'IT:LD INSPECTION REPORT DATE COMMENTS___
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CNSULATION PER N. Y.
STATE ENERGY
CODE II u
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FINAL II
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ADDITIONAL COMMENTS:
30
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SUFF, 'K -:O.HEALTH DEPT,APPROVAL,-
H.
STATEMENT OF INTENT
THE WATERSUPPLY AND SEWAGE DISPOSAL
- _ SYSTEMS FOR THIS .RESIDENCE WILL
_
(Ili1 - .� i� ,. - ' CONFORM TO THE STANDARDS OF THE
�,�_ +�.. - SUFFOLK CO. DEPT. OF HEALTH SERVICES.
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CA
APPLICANT
SUFFOLK. COUNTY DEPT. OF HEALTH pp
i SERVICES FOR APPROVAL- OF
_,c_Y.<,i � - CONSTRUCTION ONLY -
j �' 1.�' f �p O' �' I DATE:
j� 3. 0 �} i,� ,,.\.P'' Q - — i�:T'`1 �.✓� ` 'SJ(.t�l l,.i__1�.'.' r_.i`•/ H.S REF. NO
1
APPROVED:
SUFFOLK CO TAX MAP DESIGNATION
,. I _ �,I .• \` QIST SECT BLOCK PCL
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1 OWNERSArD� DRESS
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LICENSED.
FORS V
E`''... F A •:1
GREENpORT ,NEW YORK',
ENERGY CODE CALCULATIONS ggt&t
(For Non-Electric '11eat) Design Criteria G , UUU Degree'.Dn}'s
/O.A. JOOV I .A. 72'e
FOR: c- PER: Penh y
C urr �-tC)6 (Jf,
DATED:
DESIGN 'IMEMMEL REMARKS
AREA "U" RA'Z'ING
ExLerlut: Wetlls (Opaque) 1) OO15f= , o15�
Glazing �a �}(p 5F . 32 - /�`�zeM�tuC•EG �a t✓
Doors -23
C'ell.ingi Ruof• (Upaque)
Skylights
Floor
Fopndation Walls /
Slab Insulat'lon
TOTAL lD
Notes :
Ilulldlny Envelope Sysfemn to uteet• requirements of 7015 .2
11VAC Equipement to meet requirements of• 7015 . 11
HVAC Systems to meet requirements of 7015 . 3:2
Duct Systems to nteeL requirements of- 7015. 13
Ventilations Systems to meet requirements of 7015 . 14
Insulation of Piping Systems to uteeL requirements of 7U15 . 15
Service Water Heating Systems & Equipment to meet requirement's of •1U15 . 214
Electrical & Lighc.ing Systems & Equipment to uteel• requirements of 7u15- 31 .
'1'o the best of my knowledge, OF NElN
belief, & professional �C'i�d F. ANo�y0,Q
j:c'.gent^_ttL, these plans are itt
compliance whit the code . co
x Cr��OA
. 0
9®SSS
(/28160
BUILDING PERMIT REVIEW CHECK LIST
Applicant) nnI l ��W Date
Owners Name: K K ' (WMQ_f� Reviewed: 0//00
Architect/ 1 Date r�
Engineer: no,� � S� Submitted: l
SCTM #:
District: 1,000 Section: Block: Lot: ' /+
Project p � Subdivisi �//
Location: �Y �'n � N2� _ 2C Lll—C, Name:
Single& separate Required
certification: (Yes/No) O
Rcq
�S F [ ot coverage �lonurg District. ( ot sizeActual. 43i4o Ca Proposed
9 ,�,�/ G
[F ; Req. ♦ Req.
(Front Yard �� Proposed: S� ] (Side Yard Proposed:— ZI ] [Rear Yard 66/ Proposed
6 +6o7-ri Foe.-T
S ieO.'r
Project Description: ",Q
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept.
New York State D. E. C. ✓
Town Trustees ✓
Town Zoning Board approval:
Town Planning Board approval: ✓
Flood Plane Elevation ???
Flood Zone: Ica
Notes:
Afe.4 /22/SF
&$GSf 7 - ao it
149-2-0