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FOUNDATION (1st) FOUNDATION. ( 2nd ) 2. ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COM,~ENTS: FO~M NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ........................................................... 19...~.. ,.~..: 21891 'Z ~' Permission Is hereby grant_ed to: ,¢, ................... ~/~ ~o~,~-~,¢ -.....~:.../..~...~.~ ........................................ to ..../~......Z-z~,r~..... ~ .......... ~ ~....~ ........ ~ ....................................................... ~ ~ ~n.z.~ ~;~.~'~.~ /~ ............................ .,2./.f...4 ~ ~. ,~.,~ . . CountcTax Map No. ]000 Section .,...~..~...~.. ....... Book../.....~..~... ......... Lot No ..... .,~....~... ............. Building inspector, and approved by the ~l~pector Rev. 6/30180 / Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 19, 1996 Mr. Raymond Ferrick P.O Box 790 Mattituck, NY 11952 Re: Building Permit %21891-Z Premises: 11155 Route 25, Mattituck Suff. Co. Tax Map %1000-142-2-22 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of $outhold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. FEE $25.00 ~ .a.o ~ CERTIFICATE OF DETERMINATION The following Information Is required to assist the building inspector in determining if a site plan ia required. APPLICANT HOME ADDRE88 LANDOWNER ADDRE88 LOCATION OF 81TE PHONE # PHONE # H~mlet Tax Map # Zoning District Present Uae(e) Proposed Uae(s) Chapter , la there a site plan available? Yea ...... No N~ oa.~ o~,~..~> 8act. Block LOT ' Article Don't know Office Area Retail Area Industrial Area Storage Area Parking 8pacee Board of Health E~lreaa For Officel Uae Only Present Prol~osed 8F 8F RF SF 8F 8F 8F 8F Comments FOR: ENERGY. CODE REVIEW (non-electric) 7813 (Part 4) Table 4-1 DATE D: ENVELOPE COMPONENT U. VALUE R VALUE Exterior Wall 0.20 Roof/Ceiling 0.05 Floor 0.05 Foundation Wall Slab Edge Insulation Entrance Doors U.40 R-5.0 R-5.0 R-2.5 Ail HVAC Equipment to meet requirements of 7813.12 thru 7813.21 All HVAC Control Systems to meet requirements of 7813.13 All Duct Systems to meet requirements of 7813.19 All Ventilating Systems to meet requirements of 7813.16 All Piping Insulation to meet requirements of 7813.18 All Service Water Heating Systems and Equipment to meet requirements of 7813.32 All Electric and Lighting Systems to meet requirements of 7813.52 thru 7813.54 Air Infiltration of Envelope Systems to meet requirements of 7813.4 All Fireplaces to meet requirements of 7813.5 All Building Service Water Heating Systems and Equipment requirements of 7813.32 thru 7813.34 To the best of my knowledge,. belief, and professional judgement, these plans are in compliance with the code ENERGY CODE REVIEW (non-electric) 7813 (Part 4) Table 4-1 ~ /~ // Per DWGS DATE D: ENVELOPE COMPONENT Exterior Wall Roof/Ceiling Floor Foundation Wall Slab Edge Insulation Entrance Doors U. VALUE R VALUE 0.20 0.05 0.05 U.40 R-5.0 R-5.0 R-2.5 Ail HVAC Equipment to meet requirements of 7813.12 thru 7813.21 All HVAC Control Systems to meet requirements of 7813.13 All Duct systems to meet requirements of 7813.~9~ All Ventilating Systems to meet requirements oS 7813.16 All Piping Insulation to meet requirements of 7813.18 All Service Water Heating Systems and Equipment to meet requirements of 7813.32 All Electric and Lighting Systems to meet requirements of 7813.52 thru 7813.54 Air Infiltration of Envelope Systems to meet requirements of 7813.4 All Fireplaces to meet requirements of 7813.5 All Building Service Water Heating Systems and Equipment requirements of 7813.32 thru 7813.34 To the best of my knowledge,. belief, and professional judgementt these plans are in compliance with the code FEE $25.00 .ag, ~ CERTIFICATE OF DETERMINATION The following Information Is required to assist the building inspector in determining if e site plan la required. PHONE # PHONE# H~mlet Zoning District Present Use(s) Proposed Use(s) Sect. Block LOT Chapter , Article there a site plan available? Yea , No Don't know Office Area Retail Area Industrial Area Storage Area Parking 8paces Board of Health E~reas For Offical Use Only Present PrOPOSed 8F 8F 8F 8F' 8F SF Comments FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 · (Bu/din~ Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF 3 SETS OF PLA~tS .......... SURVEY ................... cllcc~ . ................... SEPTIC FOgtt .............. ..&S... ~IAIL TO.' Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 .~ts 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl/- ~tion. c. The work covered by this application may not be c~)mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit m/l be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pan for any purpose whatever until a Certificate of Occupancy tall 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 ailding Zone Ordinance of the Town of Southo/d, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ~e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to :.mit authorized inspectors on premises and in building for necessary inspectio . .......... ........... AMERICAN EXTERIORS (Signature of applicant, or name, if a corporation) Box 667 MATTITIJCK, NY 11952 (516) 298 46~5 .......................................... ' (Mailing address of applicant) .... ate whether applicant is owner, lessee, agent, architect, engineer, general contract_?, electrician, plumber or builder~ ~me of owner of premises (as on the t.w.x roil or latesr deed) ,applicant is a corporation, signature of duly authorized officer. ...... i~/;~e' ;~ti ii'tie' ;f ................... corporate officer) Builder's License No .......... ~.. .......... lumber s Lmense No ................. Electric an% License No. (~,,~,~. ..... O£her Trade's License No ...................... Location of land on which proposed work will be d'one.. ~%~o'e."I'bl ,~p.v...~.. ~. n.~.l.~.w-t' 'f-~L.t ~'~ ;zsT. ....................................... ............................................. ................ IIouse Nmn bet Street Hamlet County T.x glap No. 1000 Section l~.%.0© B~ock O..Z..C?.O Lot ............ .0.~..Z-..0. O.~ Subdivision. L o.. o o ............................... Filed Map No. (Name) ............ ~tate existing use and occupancy O£premises and intended use and occupancy of proposed construction: · Existing use and occupancy .'~..~-k .~.S ~..e-~..~ '. Intended use and '~ Pc ~'~ ~ occupancy ............ 3. Nature of work (check which apblicable). New Bu Id ng , . Repa/r ....... , ~ ........ Addition ,~X ......... \Iteration ,~. ........ ....... Remoyal ............... Demolition .............. Other},\Vqrk ............... 4. Estimated Cost .. (~.~..l~pO°7-~. (Description) ' of dwelling (to be paid on filing this application) 5. If dwelling, number nits ............... Number of dwelling units on each floor. · lfgarage, numberofcars ......... ... . . 6. If business, commercial or mixed otC,panty specify natu ~ ~,~ ............ Dnnenszons et extstlngstructures fair. Fro t ,. ..... of each ripe of nsc ................. .................. Rear ........... Depth ............ ''' Height ............... Numl. fir of Stories .. ~ ....... ,. . .... Dimensions of Same structure ...................................... wit alterations or additions: Front Depth .................... I' Holt, hi ............ ' ................ Rear ................. 8. Dimensions of entire new constm~fion:'Front ' ' ......... Number et'Stones ..,... , ~ ~elght ............... Numl)~r of Stories j ... Rear .............. ~. D~pth .............. 9. Size of lot: Front .................. .................... Rear . ' ....... ~ ............. I0. Date of Purchase ...... · ............... Depth ....... l I. Zone or Use district ;- w~,:~h -f,f '. ...... . ........ ~ Name of Fenner Owner . ' ..... 12. woes proposed Construct on viol, ~ ..... ' .................................... I3. Wil et be re-reded : ,.~u uny zoning law, ordinance or regt lation. ' ...... 14. Name of Owner of pr~nises ~>~.~.' k' .~.' '~.r,~,~.'~,-'.'),vIII excess fill be removed from premises: Yes Name of Contractor .,K't'O~JF .~q~.$..'te'~r'~- . Address ................... Phone No .............. F ~ o_-=~mzu may De required. · "' .' i PLOT DIAGRAM Locate ~!early and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lin~s. Give street and block number or descriptioh according to deed, and show street names and indicate whether ~nterior or comer lot. 'ATE OF NEW Y,O,R,I~ , ~ e of individual signing c~ntract) being duly sworn, deposes m~d says that he is the applicant / I "' i (Contractor, agent, corporate officer, etc.) .... .aid OWner or owners, and is duly authorized t~ perform or have performed the said Work and to make and file this lication; that all statements contained }n this application are true to the best of bis knowledge and belief; and that the k w/Il be perfo~ed in the manner set f~rtb in the application filed therewith. '~ to before me this ' or ..... ...... ~ tg~ (Signature ora ljcant , . Term ~pir~ May 3, PP ) UNDERWR TERS CERTIF CATE :- , If copper tubing is used for Water distributing system; piping shell be, of types _K or L only . PLUMBING AU. PLUMBING WASTE & WATER LINER NEED ~STING BEFORE COVERING ,PLUMBER CER flFICATION ON LEA~ CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED,IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of I% LEAD. O~CUPANCY OR USE iS UN~WFUL W~rHOUT CERTF~CATE OF OCCUPANCY \ APPROVED AS NOTED, -. NOTIFY BUILblNG DEPARTMENT AT 765-1802 9 AM ~ 4 PM FOR THE FOLLOWING INSPE~IONS: I FOUNDATION - ~0 REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING , ,~. INSU~TIQN 4, FINAL - CONSTRUCTION MUST BE COMPLETE'FOR ALL CON~RUC~ON SHALL ME~ THE REQUIREMENTS"OF THE N.Y. ~TE CONS~U~ON & ENERGY "=g. N~ RES~NSIB~ FOR ' OR CON~U~ON ERRORS 'i(t J~ 118199,1 II l Vt. re.4 ~- '( L-F F~