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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25622 Date: 04/01/98 THIS CERTIFIES that the building ADDITION Location of Property: 30 CHESTNUT RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 59 Block 3 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 1996 pursuant to which Building Permit No. 23699-Z dated SEPTEMBER 25, 1996 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 ADDITION TO EXISTING ONE FAMILY DWELLING WITH GARAGE IN CELLAR AS APPLIED FOR. The certificate is issued to JOHN E FUNKE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-059057 03/12/98 PLUMBERS CERTIFICATION DATED N/A B lding Inspector Rev. 1/81 FORD[ NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 2 3 6 9 9 Z Date .......SfZt her..25�........................ 19..96 • a Permission is hereby granted to: John Funke ................................................................................ Boa 107 ................................................................................ Southold, N.Y. 11971 ................................................................................ to ....CONSTRUCT AN ADDITION TO EXISTING ONE FAMILY DWELLING WITH GARAGE ............................................................................................................................................ IN CELLAR AS APPLIED FOR. ................................................................................................................................................................ at premises located at .....30,CHESTNUT RD. & 2350 KENNYS RD. SOUTHOLD, N.Y. ............................................................................................................. ................................................................................ ................................................................................ JOHN FUNKS A HAZEL JEFFCOAT FUND ................................................................................................................................................................. County Tax Map No. 1000 Section ........59............ Block .......3............ Lot No. ........10............ pursuant to application dated .......September..16s....................... 19...96., and approved by the Building Inspector. Fee $....... REPLACES BP #22328—Z ................ ....... .. ..... ......... ................................. it ng Inspector Rev. 6/30/80 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) O 22328 Z Date................SEPTEMBER..................I..16'.................., 19..94..... _ Permission Is hereby granted to: JOHN FUNKE ....I.......................................................I.......................... 30 CHESTNUT RD. & 2350 KENNY'S RD. .......................................................................................... BOX..107 SOUTHOLD.NY 11971 .................. to CONSTRUCT AN ADDITION TO EXISTING ONE FAMILY DWELLING WITH GARAGE IN CELLAR. ........................................................................................................................................... .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. at premises located at.......30„CHESTNUT ROAD & 2350 KENNYS ROAD, SOUTHOLD NY ................................................... ................................................................................................................................................................ County Tax Map No. 1000 Section .........59............ Block............. ........... Lot No. ..........10...I....I....I pursuant to application dated ........AUGUST„25,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 19..94........., and approved by the Building Inspector. Fee$.;-43 . .. . .. t,:. ............................... Building Inspector Rev. 6/30/80 to L FEB s. 996 �VveOFUG.DFSOUr HOi 0 __ Iii Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .-S�.!•3al•�,�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Budding. . . . . . . . . . . . . . . KZ- Location of Property. .-3S�®.. . . . . . .. . . nlw(�s . . .�'® . . . . . . . . . out . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . ..Block. . . .3. . . . . . . . . . .Lot. . . A19. . . . . . . . . . . . . . . . Subdivision . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lolt,. . . . . . . . . . . . . . . . . . . . . . Permit No.d:7 . t . . . .Date Of Permit. .C�!.5' . . . . . .Applicant. ':` v�� . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. \l'. . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . �5.. . . . . . . . . . . . . . . . . �, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLI COCo013.. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8061786 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date MARCH 12,1998 Application No. on file 12263396/96 H 059057 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JOHN & HAZEL FUNKS, CHESTNUT STREET, SOUTHOLD, NY in the following location; ® Basement Ek 1st Fl. ❑ 2nd Fl. GAR/ATTIC/OUT Section Block Lot was examined on MARCH 06,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. I K.W. AMT. I K.W. AMT. K.W. AMT. I K.W. AMT. H.P. 18 26 34 18 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT.1 TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS n S 2 F SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. n AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 9 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: PANELBOARDS:1-12 CIR. 125 G.F.C.I:-3 SMOKE DETECTOR:-6 JOHN FUNKI L CHESTNUT STREET SOUTHOLD, NY, 11952 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. a � 3 .02 � suauiNa DE". INSPECTI N [ ] FOUNDATION 1ST OUCH Pl.BG. [ ] FOUNDATION 2ND [ ] INSULATION [ 7 GAMING [ J FINAL REMARKS: DATE � �( INSP)ECT 023�� 763-1802 BUILDING DEPT. INSPECTION [l/rFl NDATION 1ST [ ) ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL R KS• DATE 101191194INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ 4-0-1--NAL [ ] FIREPLACE & C IMNEY REMARKS: tri 3 i. � U . DATE �J .3U IN8PECTOR%?4-� L� rss-iesz BUILDING DE". INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION FRAMING [ J FINAL REMARKS: DATE �� INSPECTOR ' BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND PO INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMARKS: DATE INSPECTO MIR • , ISI �w� s s � l i moi" QOARO OF IiEALTH . . FORM NO. 1 ] SETS OF PLANS . • • • • - - 1 URVEY - • • - - ti TOWN OFSOUTHOLD /� • - - - • - - - • • - • . . . . 5 / a BUILDING DEPARTMENT CHECK • • - • - - TOWN BALL SEPTIC FORK _ _ - . . • - , • • - SOUTHOLD, N.Y. 11971 - - p (� TEL.. 765.1802 is o i I F'f Examined CALL � y: .:.w. . . . . • 19 // . .� J_-.��_3�•/ , . . . . + 11A I L TO : Approved . . . �.5 . . . . . .I 1# "Permit No. • . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � ' ( ui g Inspector) . • . APPLICATION FOR BUILDING PERMIT Date . . . : � �?. 19 INSTRUCTIONS a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app 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 perm 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 Occupant 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of-buildings, additions or alterations, or for removal or demolition, as herein describec The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t sdmit authorized inspectors on premises and in building for necessary inspections. (Signature of applic , or name, if a corporation)- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder . . . . . . . . . . . . . . . . . . . . ��! L . j'�. . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . ... ... . . . . . . . . . . . . . . . . ... . . . . . Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. •'' .• • . (Name and title of corporate officer) Builder's License No. f` . Plumber's License No. . . . . . .' , , , , , , Electrician's License No. 'o Other Trade's License No. ! , , , 1. Location of land on which proposed work will be done. ; , , , • , • • • , . A3 , House Number Street . . . . . . . . . . . . . . 1:5-oni tr?.Lk Hamlet •• • . . - . . . . . . . . . . . County Tax Map No. 1000 Section .�5 '�. , C C . . . . . . . . . . . . Block . . . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. Lot (Name) . . . . . . . . . . . . . . . . . . . . : . . . . . . . . '• State existing use and occupancy of premises and intended use and occupancy ' p Y of proposed construction: a. Existing use and occupancy . . . . .S�d 1= Com , , • • . . • - - b. Intended use lDiv�� _ {' . . . . . . . . . . . . and occupancy . . . r; , , , , , , , , , , , , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applica ' • `� Repair , , , , , . , - , , - ble): New Building . . , , , . . . . _ Addition '` . . . . . Removal :fid on �Uteration • • • • • • • -- - •- -- Ucmoiition Other Work • • � � - 4. Estimated Cost . . 3.0.1 t, �' (Description) . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . r�g units _ (to be paid on filing this application) 5. If dwelling,number of dwcl}i If garage, number of cars . . , N ' ' ' ' ' Number of dwcllirrg units on each floor .. .45 . . . 6. If business, commercial or mixed • . . • • • • . . . 7. Dirn occupancy, specifynature and ex ensions of existing tcrtt of.eacl� type of use . . . . b structures, if any: Front . J. ' Height . . . . . . . . Number Rear . . . . . . . . . Depth ��'• : . . . . . . . . Dimensions of Stories . .E`jNr . • . . . . • • • . . . . . of same stricture with alterations or add' • ' ' ' ' ' ' ' ' ' ' ns: Front �(� .y. .,. , �, Depth . . :i.8�. . . . . . . . . . • . Height . . . . . . . . . . . Rehr . . ' . . . . . . . 8. Dimensions of entire new constructio n: Front ' ' ' ' ' . • Number of Stories .CC77L`! Height . . .:3 . . . . . . Numbber of Stories © 40 . . . . . . . . . Rear . . �. . . . . . . . . . Depth .�°.L.7. , , . . . . . 9. Size of lot: Front .l.q9 6 q • . . . . . . 10. Date of Purchase . . . .l Rear fa2�. , , , , , , , , , • - Depth �.3.Q J 81. . . Name of F . . 11. Zone or use district in which r ormer Owner � '�, ,tom . • ' ' ' ' premises are situated , _ 12. Does proposed construction violate any zoninglaw, o . . . . . . . • . . ' ' ' ' ' ' ' ' ' ' ' ' . ' • . 13. Will lot be regraded ordinance or regulation: lib, , , , , , , , , , , , , , , 14. Name of Owner of premises .� h �,,rlt • • ' ' ' ' Will excess fill be removed from premises: es ' . . Nc Name of Architect ,L,.r�.:?�N�r� -�- -���i •Address S,d, k, �n..�5.6W . , , Phone No.'Zh`� .7 . , . . . Name of Contractor .�41: Address . . . . . . . . . . . . . . . . . . . Phone No. . [��fc-rte .�^ski ; . . . . . . . Address • • - . . . . . . 15. Is this property within 300 feet of a tidal wetland?. . . . . . . . . . . . . . . . . . . Phone No. ' *If yes, Southold Town Trustees Permit may be *Yes. " ".' • No. X.. . . . .... . . . . . . . . . • . . . required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or set- ack dimensions from property lines. Give street and block number or description according o deed,la d show show eet-indicatelnamesa and indicate whethc interior or corner lot. TATE OF NEW YORK, -OUNTY OF . . . . . . . . . . . . . . . S.S . . . . . . . . . . . . t. c. being dulyP says (Name of individual signing contract) sworn deposes and ys that he is the applicant cove named. • lip eisthe . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contractor, agent, corporate officer, etc.) . . . . . . . ... .I. . . . ' ' ' ' ' ' ' ' said owner or owners, and is duly authorized to perform or have perfor-rned the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the -)rk will be performed in the manner set forth in the application filed therewith. •orn to before me this • . . . . . . .. .`rC .day of. . . . . . . . 19 .�. Mary Public, '. .'; " -- • • . . . County JOYCE M.WILKINS Notary Public,Sate of Now York g v No.4952248,SAM Term Expires June 12,i"!. (Sig ature•of applicant) • '-s -s' � '.' _-.r • i'4:��:~i`t�'�•t'•'•.��.'i.�Yr�i. r--. 'r;�,� �.j t l• til., •t�:.- �.�s�T.rK r'(�'!r(/.�'�t •� � ,�• .t. y _ -�: •1��1-+t1il!'•�i••: l.••• ;5�.s '4 r•.;r: 1�•.• ...e.... .`.+ /• p� •� �• �..:,�'�•'; :�': ')• o. 3 •:r•.�I. ;+ � .+'...� �..•�••`�� • J'T_ -1• �<, I••' L{ � '•i' "� �lw ,�•••^�• �I1. ^i_':�Y ,".+.r" • ~ _ ti�i'• �•,. }�q�r i•' .' . •t1�. ~, _ ' ..� .�yt .r�.7• t/�•rs..f � j• ;�. ..�•',+ �^tr-.i}.'`'•v!•. 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ENERGY CODE CALCULATIONS (For Non-Electric Heat) Design Criteria 6 ,000 Degree' Days �^ O.A. 10°F I.A. 770°F FOR: PER: )Oenm1"'i"It DATED: '7131�y SUBSYSTEM AREA DESIGN THERMEL U RATING REMARKS Exterior Walls (Opaque) Z b 4 , 047 t 1/3 Glazing 7 % p 13 Doors ` , �l Z3 Ceiling/Roof (Opaque) 7 7� S Skylights % Floor Foundation Walls Slab Insulation TOTAL 7 7 Notes: Building Envelope Systems to meet requirements of 7815. 2 HVAC Equipement to meet requirements of 7815. 11 HVAC Systems to meet requirements of 7815. 12 Duct Systems to meet requirements of 7815. 13 Ventilations Systems to meet requirements of 7815. 14 Insulation of Piping Systems to meet requirements of 7815. 15 Service Water Heating Systems & Equipment to meet requirements of 7815. 21 Electrical & Lighting Systems & Equipment to meet requirements of 7815. 31 To the best of my knowledge, � <�;a belief, & professional judgement, these plans are in F �R [ compliance with the code. 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