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HomeMy WebLinkAbout17835-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218506 Date OCTOBER 27, 1989 THIS CERTIFIES that the building ALTERATION Location of Property 495 GLENWOOD RD. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 137 Block OS Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 10, 1989 pursuant to which Building Permit No. 178352 dated FEB. 14, 1989 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 RENOVATE 2ND FLOOR OF EXISTING ONE FAMILY DWELLING. The certificate is issued to ROSE & JAMES McKILLOP (owner, XXXXXX~;}C:KXX}DSXXX) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. N/A UNDERWRITERS CERTIFICATE N0. N086647 AUG. 14 1989 PLUMBERS CERTIFICATION DATED MARK MAKOWSKI APRIL 3, 1989 ~ ~ , Building Inspector Rev. 1/81 rosaa xo. s TOWN Of SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHALD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ X17835 Z Dote ..`s~...~2~~-5~....~./..........., 19.~..t. Permission is hereby granted to: ~!~r*~ . . ,l......... ct premises located of . ~..1.4~'.........~~...t~!~kil`c?h1.:?j!4.... ~`"Q Counh~ Tox Map No. 1000 Sectiony....t..~~......... Block .....L°?~.........c~Lot No. J.~~ pursuant to application doted .....~:~~....l.o 19..•7.., and approved by the Bulidfng Inspector. Fee Building Inspector Rev. 6/30/80 Y ~ TOWN OF SOUTHOLD G y ~ ~',c.~- W~ ~t BUILDING DEPART2IENT / ~c TOWN HALL frS b~ BLDG. DEPT. OFSOUTHO SOUTIIOLD, NEW XORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY o~J~ DATE..~~~ 4~Q .J:... . NEW CONSTRUCTION ._.....OLD OR PRE-E%ISTING BUILDING.~l....oACANT LA!lIND..._.... ~ y~ Location of Property.~q:~....~~~,UWOO.I~._...!l,~_.......U~e.!;OIyUE... HOUSE NO. STREET HAMLL~T Ovner or Ovners of Property.~Ic9.~.4rra5yy~..~~J~._.~~G CC!;U_/~,,,,,,,,,,,,, County Taa Map No. 1000 Section !~.J.. Block d~. Lot .1~._.... Subdivision Filedt,(Ma`p/ ........Lot........,.( (~/J Permit No.~~ { ~~~_4:Date of PermiC .°Z/~C~d..~Applicant t~/~~?2~../:'!ost .~CFI'~L'~ Health Dep[. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate Pee Submitted: $ /(/~f~J /yAy/,~/, ~ APPLICANT. J~T'~:'t..r/~•-S:[•-.__.. ~ 38~z~ G G z/~Sa~ rev. 10/14/88 FORM NO, 6 ~ # TOWN OF SOUT110LD ~ ~ ; ~ '~'s' { BUILDING DEPARTMENT ~,v... TOWN NALT 765 - 1802 W»M Vie' b APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be~.,filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual gatural or topographic features. 2. Final approval of 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 solder used in system contains less than 2/10 of 1Z lead. 5. Commercial buildings, industrial buildings, multiple residences aad similar, buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Soard Approval of completed site plan requirements. For existing buildings (PFior to April 9, 1957, non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate survey of pro~erty showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the ' reasons therefor in vrCing to the applicant. 3, Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1_ An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of r~he entire lot prior to April 9, 1957 shall also accompany the application. If aiCertificate of Occupancy is denied, the Building Inspector shall state the reason therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25,00. Accessory building $25.00 Addition to Accessary buildings, $25.00 -'Businesses $50.00. Certificate of Occupancy on pre-existing dwelling - $lO0.D0. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificates of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial ~II rev, 10/14/88 TEL. 765-1802 oS~FFn~-col TO'OVN OF S(~'U~'IIO]L~ ,~a' ~ OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL O SOUTHOLD, N.Y. 11971 ~Ql ~~0 C E R T I F I C A T I O N Date Building PermitNo.~~,~ Owner~,vi~y d l~DSt / %~Oli//_~ (please fp~rint) Plumber /`/~xRG ~~'/C1~ou/J/li (please print) I certify that the solder used in the water supply system contains less than 2110 of 1~ lead. 6 Sworn to before me this day of C(.iu ~ ~ r,l _ -1/ ilk ~l~ 19~. _ I p~ ,C(No~/tary PJab,li/tcJ 11 Notary Public,__~~d~~~Y~/'~-_ -,County . ~ NEIEN K DE VDE NDiARY PUDLIC, State of New York Terra ExPares March 30 19 TEL. 765-1802 \o~pFFOIk TOtiVN OIL' SOUTIIOI.D ,Z ;v~ (3*^'S?;•i ~~.c OFPICL'• OP BUtLD[NG INSPECTOR =o ~t~ T P.O. BOY 728 ';r ' ~ ~ TONN HALL _ _ ~O ~ SOUTHOLD, N.Y. 11971 r\i ca,~ cum v~~, ~ISgo To 47hom his May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. /y/ An application for Certificate of Occupancy i ~ not on Lile. /Y/ No Underwriters Certificate on file. I The check is (outdated/not on ~ le_.) ~~1~~~.,~'Q'=` J / No tlcalth Dept. Approval on file. J / No final, inspection has been made. Plea~c contact our office on this matter. Thank you for your cooperation. f3ui]di.nq Permit tf ~ 1 ~ ~ Z Bu.ildinq Dept. No Plumber Solder Certificate on file. ( all permits involving plumbing being .issued after April 1,198h ) r'IcLD' I,:s:,EC:,u:~ l~~a:E q ;;ozKMGrtrs FOUtJDATION (1st) ~ ~ 0 C N FOUNDATI02d (2nd) _ _ _ ~ z. brI .yi o-.~i z0 ,C P,OUGH FRAME & G$4iL ldGlZ !r/~n~{/~ S"' r PLUMBING , ~ ~ ~ ZC G'P'I c~ ~ x 3. ems- cn I2dSULATION PER N. Y. ~b Lv STATE ENERGY L~ \ CODE ~ ~ ~ ~ry2 ~ a p ,~l d FINAL n o~ z ADDITIONAL COMMENTS: ~ rn ' x 'o ~ H 1 ~l 9 ~ H H .,pG) O ~ e ' Z [+7 Y H x v. m -c H rs ~ i%y3N ~tr _ r~,l i NEW YORK STATE ENEROY CONSERVATION CONSTRUCTION CODE ~~z: J. m ' PART 6 COMPLIANCE FORM ~ ° f rt ~ ~i THERMAL RATING METHOD ~ ~ ONE- AND TWO-FAMILY BUILDINGS a, ` ~ ~©.8l~,C~.tit~~~ ~3GB~i.~" ~".I~i x, BUILDING GROSS FLOOR AREA c~t,'~' ~ ~ -ADDRESS ~ C~l?~~. rp~~"~-; NUMBER OF STORIES ° ~ ~ ~ DEGREE OAYS ~ ~ ' _ . ~i 1a , " ~ CO ,®ARCHITECT OR ENGINEER ~ E I1J 6~ ~.L~JI~ ~ ! t t k, TELEPHONE P ~ ~ e ~ P ~4~~~~ s ~ ~ :3 ~ ~ ~ si/e5~~ PRE-QUALIFYING CONDITIONS ~I dFESS~O v ~ e-qualifying conditions for use of Part 6 have been met. ~ 3N'i ~y A::. i;.. t / V Yes No , . ` ~ TOTAL, THERMAL RATING . Iu, The total Thermal Rating for this building design is .The ~r~~r,~ t>" Worksheets that developed this Thermal Rating are attached. A~hermal ~ Rating of zero or greater indicates that the building envelope complies ~~~"y,._ with the Energy Code. ,~s~,~ .I ~~PRESCRIPTIVE REQUIREMENTS i~'F . INSULATION: 781'5.5 ~'s R Required Specified Element >„'I I, Vapor Barrier -where capable of Yes 11//~~~~ ~ ~ absorbing moisture 9~ t~i,~~ Continuity - at plate lines, sill Yes ` 1°.' lines and corners `1~°,G~ i ry~i 7~~~i~ fit' ~ ~a iSY. t' ~ ~ f p~ r ~ ~ i tgl~~ ~ v '4 ~ '~e>4' u g"°~ v,~ ~ q . ~ = AIR LEAKAGE: 7813.5 a` s - INFILTRATION RATE ~ ';~r a. ~E Element Required Specified ~ "r."~ rt.. Windows ,5 cfm/Tinear foot ' k. Sliding Glass Doors .5 cfm/square foot Swinging Doors 1,0 cfm/square foot « ",'a'?k. ' t. CAULKING. WEATHERSTRIPPING AND SEALANTS Location Required Specified . Irtr Exterior Joints -Windows Yes y~-s 'a Exterior Joints Daors Yes'-~7`~" Openings,at Walls -Roof/Ceiling Yes Y - ;~`P,~"° Openings at Wall Panels Yes ==~'~3 Utility Service Protectors Yes r ',;,~u °,,;;x~a ~ FIREPLACE ~ e.4 { k Element Required Specified ~ 5 ' '.~r'~3..y'+~. ~ Outside Combustion Air Yes Ni~ n h~ V 4 Infiltration Control: Yes ~ -._.L!! , Sk 20 cfm flue damper, or o-r//A~ ' non-combustible doors ~ rr a~'~ I l `I, f~; If 4 ~ 1 }~V. ~ ~ ~St{{F! Yr~Y~Y Ff " p34r~F , ~,~b. ~9w ' r 1 I`°- r 48 s~~µ t! q.2o_, ° rf it ' k- :r~ c ~ ~sg s r ~ z ~ i lI HVAC CONTROLS: T813.13 ~f~~'¢I~~ ;7a ~ E~`: , , r' E { ~i~:~ THERMOSTAT ,,.',~E, ~:i;l1s Iy~,O r. Type Required Range Specified tit~,~~r ~ ~ ~ Heating Only 45 - 75 degrees min, 9 8~ ~ Cooling Only 70 - 85 degrees min. ,[/lif e:~~~~ t£. ~ Heating and Cooling 45 - 85 degrees min. ,V/~/ 3 I ~ '~If, I~! w HUMIDISTAT tF~~.= ~l ~ ~ ~ Required Specified ~_~;-~!i Type Relative Humidity R, N. r ~ Iii r,_.. Add Moisture 307 maximum Remove Moisture 607 minimum ~~~Ef 'd ' ~ ; i'yj{i~ Y 'I "1.~..'' TEMPERATURE ZONING ~ ~,~j; 9~~~ S ~ ~ Type Required Specified vu*I~~ ~ °Ftn%,~,~ ~r ~ Thermostat Each System ~ x° ~t; ~ s i,~~~~ Thermostat Each Dwelling Unit ~ h, Shut-off Each Zone YES 3r~~~., ~ _ Shut-off Each Floor ~y/d+r ire.. ~ t' ~u,~~,~,I ~ ii 4c~" i CONTROL SETBACK ~,n4r: Y~ E: i I r~ Type ~ Required Specified ~`k"w;,~' py{,;. ' ~ Switch, or Clock, or Manual Yes />9~ x~'+ 3~ 9yp<.. i~ ' ~ t +LY,' ' j~ a. 'r ~$C 1 ,?3 x II A' 49 ~ ' 4~4 ~r t - fir. . n Ski .._._.na~............-v--r+ _ _ _ ~ ~ .t.~J~~,q 1~ ~ ~ ~ ~~i i ~ ~ ~ i~~ ~ ~ .,,,fit I~,. ~ .n,r~+I ~ ~ ~ ° s' HVAC EQUIPMENT PERFORMANCE REQUIREMENTS: 7813,23 #~tr i~ • ~ ~ ~v Minimum Specified Equipment Performance Performance ~~t~;' Gas Boiler 70Z AFUE ~ Gas Furnace 707 AFUE ~ Oil Boiler 757 AFUE - ~ ir~';,~1 Oil furnace 75% AFUE t ~ I+ ~ ~,~~4~~: Heat Pump -Air Source a Nigh temp (47 deg.) 2.6 COP lY~ Low temp (17 deg.) 1.8 COP ~ q ~ Cooling 8.5 SEER ~;~}I Heat Pump -Water Source 3.0 COP ~ ~ Cooling 6.5 SEER t=~~fi af.. Central Air Conditioner 9.5 SEER r~ i;°~_ : ~~t ~ hy M ?ZM1' 4! ~ MECHANICAL SYSTEM INSULATION: 7813.19 and 7813.20 { ct ; v Hydronic Low Temp. Required Thickness Specified ~1;~= Pi a Size at 1" = R4 - R4.6 Thickness .•~~~~;1 ~ ~ P r ^4~ 1" and less 3/4" 3/+~`" ;,t`~`.•'' ' 1 1 /4" to 2" 1 w r , ,;•,N,K~;~;t~ v" e ~.o Forced Air Required Specified t'r~ ~ Duct Temperature R-Value R-Value 4 T of 52.5 Deg. F, or less 3.5 (Min.) dl /f . , ` ~ I~ F ~ Q T of more than 52.5 Deg. F. ~T(Deg.F.)(sg. ft.) 'b ` I 15 btu hr ~~~=i~ ~yI ,=,r'~a, a,' i ~ zl ; s~~`i: i; w( .1 ~ eaC ! A.~ ' ~ ~ r ~~~a a 50 . h; q ~'i ~ y , ~ x ip ; w rpnq ~ t ^3 ,A Yn A Y~ WATER HEATERS: 7813.33 f&~ i 1 Specified ~ ~~"~h~ Minimum Energy Energy Factor `°i~.`~ Type Factar Required ,z _ _ , ~ q~ s~ 0013V _ t Electric Storage ' .93 Gas .60 - .0019V ~ ~ s'~`~,r,~~~ y~' - Oil . 54 - .0019V tip,? i . dip N~~~^ .t~;t; -1F ~~ggy4'''~~~y~y~y~1444Y`5k - ~ , ~ ~ pig}~~~~ cal`. COMBINATION SERVICE WATER HEATING/SPACE HEATING fry^~}y 5'r S ecified x~, ~1' Maximum Standby Loss P i,~,,yy i ~ - 13 3 pmd i• 400 + aaa' " ' , Ci~l V = I ~ xs~a~ ~~j ' ~ '~a 1 - CONSERVATION OF NOT WATER: 7813.38 ~ y: Maximum Specified a°°``' Fixture GPM GPM s n 3 Lavatories 3 ~r~,- r Showers ,,c~ ~ s = ELECTRiCAt POWER: 7813.52 ,~"w Yes No Ooes building comply with National Electric Code t 1, 5~q4 ~ r 7 ~ ~ f:X ~ Y~ 4~ , ~ n 51 E. 1v ~1:~ a~ \ r .a ~i. .4•:;.1;1 fz ii. R.: bt're..y'i 1 i (4~: N.~~ .f, ; ~ . `i f`; `I • SUMMARY OF TOTAL THERMAL RATING ~ If the Total Thermal Rating is zero (O) or greater, the proposed ~~~;i~ design for the building envelope complies with the Energy Code. . tt~u' ~.~:~a, c' a.. THERMAL TABLE AREA U-VALUE RATING USED ~ A,~ ROOF/CEILING ~G:~.' D.033 ~ ~ r ~ ~ _ i i,, s;~ B. NET WALLS ~ 0 ~..I i ~ _ > C. GLAZING Window ~3~J ~2/ln 3 Ii ~f Window Skylights 10-3 };„~;1 Dl. FLOORS ~.r 0.049 ~ `'~',~I ~Y. JX`~1... ~~h ' D2, BASEMENT/CELLAR WALLS Ex ; Feet Wall Perimeter h ~x' ~ Exposure Above Grade Feet "r'~+;{ Wall U-Value Depth of Wall U-Value ~ lathes Below Grade ~ 4`" ~zef;ti`'1 D3. SLAB INSULATION ; Slab Perimeter Feet ~ - Xr Insulation R-Value . E, INFILTRATION CONTROL , ,Conditioned Floor Area Sq. Ft. N%~ ~rqq~~~ K bt 7: F. SOUTH FACING GLAZING a" t, ~~t South Glass/Total Glass Percent G1. AreajGross Wall Area Percent Conditioned Floor Area Sq; Ft, ~t? .~,a, E, h3,,:! TOTAL THERMAL RATING ,:,,y~, t' • t~F~ ` ~$wi ti' fb , ~ .E ~~~>R,. ..~ti'~ ~ 1 s 4 ~sy~ it. 1 a~• E, INFILTRATION CONTROL Obtain Thermal Ratings from Table 6-8 yF~,tcR or 6-7E depending upon heating type. ;f, Ifi the building does not meet the following conditions, enter NA (Nct Applicable) for Thermal Rating, y ~.ik Y~rt, YES NO t;4`?j ~F ;~1~''~ All windows have an air leakage rate of 0.35 cfm ~w~.• or Tess per linear foot of operable sash crack; r~'~~s~: r:, All net wall areas have an infiltration barrier; and ~ ~`TY: A heat recovery ventilator, which tran<..fers heat between the outgoing airstream and the airstream entering from the outside, is installed. y~' I~~~~ i Conditioned Floor Area: /Y~ .5,,~i (Shall not include Square Ft. herma~ 1 Rating basement/cellar floor area) ~r,'-.~~ r'.:~fiiti~~~l ,xi~~;~ F. SOUTH FACING GLAZING Obtain Thermal Ratings from Table 6-9 or 6-8E depending upon heating type. ~M If the building does not meet the following conditions, X~~}, j~, enter NA (Not Applicable) for Thermal Rating. fart YES NO ,,sy .w ~ The building is no less than 1,250 square feet in iixx'' conditioned floor area; ~k At least 45 percent of all glazing faces within `°'4 30 degrees of true south; ''~~1 . ~ ~ All glazed areas in buildings are no more than ,>~vy~~ U(glazing) = 0.58; t~ ; ' ~ ~T South facing glazed areas are free of any site obstructions during the heating seasom and F, rm ~I ~ ~ rvr°~~'~ 3 6~ d~. An area of four-inch thick concrete or masonry i is exposed to direct sunlight from south facing ~~y' glazing. The area of this concrete or masonry 1~`' shall be no less than three times the area of south facing glazing. `1";?~ j 1~4, Conditioned "~~~r South Glass/Total Glass: 7 Floor Area: S uar~ Ft, mfg; (See Above) 'Glass Area/Gross Wall Area: 2 /~j~ ,ut~~" ° Thermal Rating 'a2 A~~ ~ ti t Fit .n i ~ ~ 44 ~~f.'t t i'uv ~p~~id~ ~ is ~iJ ii y ~ i F hh hx ~ n' ~~k i n~' i t# DIRECTIONS: For each component of the proposed building design enter the , design information requested such as Areas, "U" or "R" Values, i~~ Additignal lines are provided for designs with more than one component construction type, Obtain thermal ratings for each item by consulting the appropriate Tables, ,;A~t` ,3 A, ROOF/CEILING Obtain Thermal Ratings from Table 6-1 6-2, 6-lE or 6-2E depending upon egree t.. days and heating type, ~ ~3 Area: ~ 9 ~z ,SD.~ U-value: ~,CJ33 ~ , s~' ~ _ ~ Square Ft. ~ hermaT 1 Rating ,3, > Area: __J.~ U-Value: ~.G~.37 ~ / ' , Square Ft. thermal Rating ;~x' fs' `F C~r~,.~. B, NET WALLS Obtain Thermal Ratings from Tabl~ or '``P' 6-lE depending upon heating type. ,yy `~s -`~i~s Area: U-Value: ~t~a/~ ' ~ Square Ft, Thermal Rating ' Area: G~~~ U-Value: _ ~ ~ ~ ~7t. ~ ~ ~ Square ft, Thermal Rating Note: Net Wall Area =Gross Wall Area minus Basement/Cellar Walls, Glazing Areas and Door Areas, A,. ~ k ~t . ~ A ' C, GLAZING Obtain Thermal Ratings from Tabl~or 6-3E depending upon heating type. WINDOWS ~ +v .a,- Area of Glazing: U-Value: ~3p Yv. Square Ft, Thermal Rating • < A, ~ ~ Area of Glazing: loS U-Value: SKYLIGHTS Square Ft, Thermal Rating :fr, . 1;, ~ Area of Glazing: ~ U-Value: 'lo ~ ~ Square Ft. Thermal Rating trb.:b ± ~5.4,. S+ rv~ • +n 42 '6 irv' jC f..~ l ' ~ ~i~ i~ ;a . ~~r;~{~~~I' ti , i - ~tii } b ~ " a~' ~ a Dl. FLOORS Obtain Thermal Ratings from Table 6-1 6-lE or 6-AE depending upon degree ays a and heating type. ` ,4 +4. 'Floor Area: C/CO~ U-Value: DOgT ~ I~ Sq: Ft. Thermal Rating x~h~a. E ~ ~ D2. BASEMENT/CELLAR WALLS Obtain Thermal Ratings from Table 6-4, 6-5, 6-6 or 6-5E depending upon degree days i.;', and heating tYPe• Wall Perimeter: 'r,: ~i+ Linear Feet _ Exposure Above Grade: feet -i i g I U-Value of Wall: Depth of Wall U-Value ~ ,,/d Below Grade: /G'/~ 4 Inches Thermal Rating ~r-t~.~ ~ ~ . Note: Use the above grade U-Value of the wall, The Thermal ~~n'' Rating Tables fiave been designed to take into account the ~ ~f insulating effect of the earth. " r~ . , ~ l R~ a ;I ~ i., 4 ; D3. SLAB INSULATION Obtain Thermal Ratings from Table 6-7 j~(~ ? or 6-6E depending upon heating type. ,r},,,. Slab Perimeter: Linear Feet `F~ u,. t:` ~-=K u r ' Insulation R-Value: /v ~ 3 herma~ 1 Rating l a' . y; r j( 1 ' r~ t ti;') ~ a ~ i „i a, ~ ~ 43 ~ ;ii ~ ~ ~kj y::;;r , k~=~~~ NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE f PART 6 WORKSHEET ' ~ HERMAL RATING METHOD ~ b~:: ,~p~ AND TWO-FAMILY BUILDINGS I ~s,,, ~ ; . ~ ~ g40 ~•ypU„~ ~ , =;t.',, . " U ,~e"° ~~~~~L~il~WG~~/~/~ GROSS FLOOR AREA ~~~~1~ w,~~~~ ~ ~ ~ NUMBER OF STORIES r;4; ~ ~~~3~ DEGREE DAYS ~e. ,;z,~, , CO ~~RCHITECT OR ENGINEER , r : ~ N ~o ~~?U. ~.~X~v ~ .y ;~-y w TELEPHONE at.; ~a,~ -t. y`rv ~9 , L O P~ ~ ding does not meet the following pre-qualifying i ons, Part 6 of the Energy Code may not be used. «l~a r YES NO i a5. .is,~,~~ , ~ '''-s ~ Building is one- or two-family residential. ; - - .N4.l,',J.;. , Building is detached. .x J - 'r; - Y Building is less than 5,000 gross square feet. _ Building is three stories or less in height. ~ _ Entrance doors have a storm door or certified U value of .40 or less. _ Glazing area/gross wall area is equal to or less than: 247> if 5,000 degree days nzi. 237 if 6,000 degree days 207< if 7,000 degree days 18~ if 8,000 degree days : , 16~ if 9,000 degree days ilij.' _ ~ '~'s- If all of the above conditions are not met, either PART 3, `'~.i PART 4 or~PAR7 5 of the Energy Code must be used. °n~.° al Ct~. y ) 1 ROBERT H. WHELAN, P.E. i CONSULTING ENGINEERS s?~~~, s~.~ ~ ~ BY__~ DATE 32 CHAPEL PLACE HEET NO. ~ OF , , - NORTM BABYLON, N.Y, 11703 ~ttr„,. DHKD, BY DAT (6 7 61 2024362 OB NO. SUBJECT s ~ a _ ~ ~ 6 ~'F' - - _ c~ 1 ~ , ~ ! ~ ~ '~~ra~~`s i I - - ~ ,~o, - - ~ ~ - - ( 1 _ _ - 1 i - ~ _ _ - - _ 4 - 0 ~ r~ I I _ _ _ ~ ~,d~>~ - ~ i II ~ i~ ti~iI_~~ - - - ~ r9. ~`f I I I I ~ 1- _ _ - - - - - - - ~ ~o = j ~ 0~ t, ~ i i i I i ~ ~~'s~ , i + 1 ! ,rte - - ~ I s - ~ ~ i i i -i.... _ - ~ { - - ~ ~ i ' ' ~ I ( ~ I _ - ~ - ~5 - - - o _ _ _ _ _ F - - - ~ Z1 ~ ;30 - I ~ I - - ~ _ ~ .~O! ..34- ~ ~ 4. _ ~ 1~ ~ ~ ~ ~ _ fit{ , I ~ ~ - - ~ P~ o i ~ ~';5 ! ~ ~ • - ~ ~ - - _ I ~ I ~ 7 ! ~3~_ i ! j L _ _ ~ T / V - _ _ _ i.. ~ s ~ _ _ _ _ _ I! Y• f} i~o I fl f__ i,, fl,~ J - - - - 14 s -I:- _ _ _ fie...- ! _ _ - ~~t ill s ° ~ ROBERT H. WHELAN, P.E. CONSULTING ENGINEERS BY , DATE~t7/ 32 CHAPEL P4ACE HEET NO. ~ OF s'If ' NORTH BABYLON, N.Y; 11709 ~ ~ ~.CHKD. BY DATE (siel 2a22as2 g p ~~~m ~ ~ sue~ECT G iG ~ P4~4Y°~, ~aa:~N ~ .,~w+" C' fit, . C.1 t ~ f~ yg '9' L&!~}~~~ _ _ _ ~ ~ 1 e~ + s~. . w i l I ~ ~ ~ ,Lj ~ s - - - - i 11 ~ I ~ ~ S, ~t~~ ~ti ~i ~ ~ - - - - z ~ _ _ _ _ _ ~ Y //,NN,,~ , " - 4 ~ - ~ ~ - - -,~z ~ i r, _ ~ - - - i-~ ~ t _ __z ~ ~~o i I_ . ~ - - - ~ I I - ~ ~ - - - ~ ~ II , 1 I - - - I ~ i 1 , - - i ~ - I ~ _ - _ _ _ ~ 3 t - ~ ~ ( ~ i. - ~ ~ ~ ~ ~ ~ - - - ~ ~ j - - - - - - w I ~ ~ _ - - ' ~ I I ~ C 1.~ 11~ , - - - ~ ~ ~1 a . r - - ~ - - ~ - ~ > - ~ ~ ~v ~ - _ f i _f t f , ~ , ~ ~ ROBERT H. WHELAN, P.E. =s~~''~ CONSULTING ENGINEERS ~ BY DATE >~~~~y~~.~,~t~~~ 32 CHAPEL PLACE EET NO. ~OF 'E~`~'- NORTH BABYLON, N.Y. 11703 A >OHKD. BY DAT / (51612422352 8. N , ~ SUBJECT d~~~ ";m.v , _ ~ ~ ~ ~ ~ d - - y~ - d~ ;~~~.r' ~ ~ t ~ f~ ~~s , ~ ,1 r~ ,~s `Z (J ~G y- . ~ ~ 65 a ~1 ~ ~ ~ - _ f - ' - _ ~ s ~ ~ r- .le. _ f' ~ ~ i _ ~ _ I / ~ - - - - - _ _ _ ~ f ~ x v ! z. - - - - - ~ qlo ~ ti ~h~~~~ / N - rvs C _ _ i J g - I t dxS i~ _ _ _ - . Ij I - 1.. _ _ _ _ ~y I. ~ ~ ~ I ( - _ _ 1 f~ p ~ I ~ _ - - - - - ' r - - i- i - ~ - i ~ I. , - - ~ rho , ; I ~ ~ ® ~ H <; ~ i/ Od ~ i ~ _ _ ® ''s ~ - - - - ~ - D ~ f . ~ - - ~ , v. ~ ~ ~ _ ~ ~i-__ 1 - 1 f f i _ _ ~ . ~ ~ _ _ - - ~ ~ .J~l , ~ ~1 ~ ~ - - _ - - - ~ a ~f ~ i. ~ -L -L- : ~ _ _ _ _ _ . _ ; l__ ~_~I _1 i ' ' ROBERT H. WHELAN, P.E. < ~/J ~ CONSULTING ENGINEEFS ~ BY,~~~~ DATE Z~~f 32 CHAPEL PLACE SH T NO. ~OF , ; NORTH BABY49N, N.Y. 11703 CiHKD. BY DATE 15761 za2~2352 O, ~ t ' ~ ~ SUBJECT rx ji h.- wd~~~ i .y _ - - - - _ - - - ~ ~ ~ r .Ct/l ~ ~ dz - ~ e ~ ~ i _ ~ y, _ J t _ _ _ i .l ~ ~ - - ~ ~ ~z - I- ~ ~ s ~ ~ - ` ~ - - - ~i - - . I ~ f ? ~ - i - - ~ ~ ~ ~ , . l` : I ~ - ~ _ _ ~ - - ~ o,~~ i ~ ~ 9 ~ ~ ~ 1 ~ f r C - - f r% i 1 _ u f - I - ~ _ _ i ~ - - a-- - _ . _ - - , _ ~ t ~ _ _ ~ - , Y t' , ~ ~ 4 . s ~ " jyM J F~ ~ _ ~ ~ ~ j ~ e ~ " - - - - - - - - - I ~ ~ ~ ~ ~ ~ ~ ~ - - - ~ ~ ~ f _ 1 I , _ ~ , a r - - - - _ I r~i ~~m~, ~ u - - ~x ~ _ j- - ~ ~ 1 E ,;.E. ROBERT H. WHELAN, P.E. _ CONSULTING ENGINEERS ' BY-_%~L~~ DATE~~~ 32 CHAPEL PLACE SH NO.~OF NORTH BABYLON, N.Y. 11703 ' - CHKD. BY DATE tt~~ (51512422352 OB t~,,,~' SUBJECT ~~l G~../~!'~y~r~'~ ,~®"'a"'~ c j~'F R ~ ~A'~ ~ 1~ 3 p,~ , i a. ~ ii,,. „_,w U .~-c',~ac _ _ ~ / d T"!-, i ~ I i I ~ , e - - - - - - r ~ ~~I , ~ . 1_ I - ~ , ~ I ~ - - - - - F ~ a_ 1 ~ 1 ~ - - - - - - - ~ ~ ~ ~ ~ I ~ ~ ~ . - ~ ~ j I r I ! ~ ~ k ~ ~ _ _ ~ ~ f , , ~ ~ _ _ ; I ~ , , ; r. i~~' ~ r - i r ~ ~ e ~ _ _ I q ~ _ - _ r L ~ ~ i I - ..,ir ~ ~ ~ - - - Y= ~ ~~i ~ - ~ ~ - - - - - - - ~ ~ I ~ ,k~"~, ~ _ ~ . , , ~ . ~ , _ rF ~ ~ - - ~ ~ ~ ~ ~ ~ ~ - ~ ~ I / 1 I I - - - I f ~.....I.._ _ ~ ~ ~ L_l_.< <_1.-- - _1. __l 1_..~__C 7~~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ } ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMfNG [ FINAL REMARKS: _~T DATE ~ ~ INSPECTOR d~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION ~RAMING [ ]FINAL REIVIARKS ~ _ ~ ~2~f~' L^7 ~ ..c-c ~ ~a~.~ DATE (~//~/r~'~ .....INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T f ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION l FRAMING [ ]FINAL REMARKS: -z-- ~ DATE ~ INSPECTOR ti~ ~ ~~f v ~ ~T~ ~ ass-iso2 BUILDING DEPT. ~wsPECTroN [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO ATION 2ND [ ]INSULATION [~'`j FRAMtNGp~ [ ]FINAL /~j~ ~ ~ REIIAARKS: ~f<L j~.~ ._._.Ct adL~ DATE ~2~ INSPECTOII'=? TWE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE: 1 ~30t1660"F: • i g BUREAU OR ELECTRICITY AUGUST 14, 19895 JOHN STREET. NEW YORK, NFrW. YORK 10038 N 085647 Date Application No. on file uL966Z89/S9 THIS CERTIFIES THAT only tha elactrieal equlpwtent a dsacrikad ftekno and introduced 6y the applicant named on the o6ooa application numher in the promlaoa of ROSB NcKILLOP, 10 B GLENWOOD RD „ CUTCHOGUE, N.Y. in ekejollouinA locof~;~ ~ ent ~ 1At F(. ~ Ynd Fl. Section Block Lot uw examined un and found to 6e in compliance with the reyuiremente of thu Board. gKTURE ACIES NYITCNK pXTUEK RANOES COOKING DECK; OVENS DNiH WASNERS EXHAUST FANS OUTiRTS INGNDESCENi FLUGIIESCENT OTHER NAT. W. AMT. N. W. AMT. R.W. AMT. K. W. AMT. N. P. 29 45 23 29 1 i,2 6 P tHrrEES IUENAC! MOTORS gITURE ArgtANU ruDRRS fMX9At RECFT TIME CIOCK3 R[tt UNITNUiNS MULTFOUTIET DIhIMERS AMT. K. W. dl H. P. GAS H. I. NAT. NO. A. W. G. AMT. AM1. AMT. AMTS. TRANS. :AMT. M. P. ~OF gE1T AMT. WATTS 2 F SNVK! Oq~NHE(.T NO.OF 5 E R V 1 C E AMT. AAV. IYPE 1 / tW 1 F SW 7 6 3W 7 R AV ~RCrCOND. OF CC CG~ D. ~ H4lEG NO. GF NEUIMIS ~ • W l 1 100 CB 1 X 1 OTHER ANARATUSc PANELBOARDS:1-23 CIR. 100 G.F.C,I:-2 SMOKE DSTECTOR:-1 TRACK LIGHTING:-8 _ it JAMES A. NORAN LIC../E2391 3945 MAIN ROAD PECONIC, NY, 11958 MANAeBt Per e.~ This carfificap ~ not ha oltarad in a mamlar; Murn to tM ofBp of the Board if imorrsN. Impactors m ba idaatifisd their altdnlfiok. OR BUILDI DEPARTMENT. THIS C CERTIFICATE MUSE NOT BE ALTERED IN ANY MANNBR. H ~ . BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 7 SURVEY ............f TOWN OFSOUTHOLD CHECK Y BUILDING DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11971 NOT I PY l , TEL.: 765-1802 CALL Examined ~~k•?~. 1.`•, 19p~q.1. MAIL T0: Approved ~~+!~.1~ 190..1. Penni[ No.. ~ ' Q Disapproved a/c ~D FEB 1 Q1989 .4 a'`."~ BLDG. DpPT. (Building Inspector) TOWN OF SOUTHOLD APPLICATION FOR BUILDING PERMIT Date . 15~~' INSTRUCTIONS a. Tltis application must be completely filled in 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 public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 permit shall be kept on ttte 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 Occupancy 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 the " Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ' The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i~ectio '~//'yl,,/, (Sig~>1~ire oPapplicant, or name, if cur orauon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. N E ~ c ' Name of owner of premises 1~n1 ~.J...9t..1.1 d.~S.~ 1. 0~ . ` (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 . . Plumber's License No. !?1!3:T.TI .t' ~ p~l~Ir,.C/ ~ Electrician's License No . Other Trade's License No . . 1. Location of land on which proposed work will be done. ' ~ G`~;Nor/,og17..~1.~............~.~!~C'1Yd9UZ`_ ,df House Number Street. ~ • ~ • ~ ~ ~ " " " / Hai let County Tax Map No. 1000 Suction J.~ BPock , , , , , , , , , , Lot ~S , Subdivision Filed 61ap No. Lot . (Name) State existing use and occu ,~nc of remises and intended use and occu p' y p panty of proposed construction: a. Existing use and occupancy ..,,j.J.r~J.~.L~... •~A1~ ~.~1..... , ~o /7J• b. Intended use and occupancy ..e~. ~'l11C/./.~: • ~ rn• ~ ~ y.....~U,('J~ i 3, Nature of work (check which Inapplicable): New Building Addition Alteration R~.... . Repair Removal , . , Demolition Other 1Vork . (Description) 4. Estimated Cost ©~1? r : . Fee , , . ' (to be paid on tiling this application) 5, If dtvellin;, number of dwelling units Number of dwelling units on each floor , , , , , , , , , , , , , If garage, number of cars ~ . . . 6. If busin`~SS, commercial or miffed occupancy, specify net ryyGG ft~d extent of each t ape 9f t~se . 7. Dimensj ras ofiyxis,Gtls structu'Ycs, if any: Front . ql, `,~,(p ,Rear , Depth . , Height r kd~: ° j.~T,.~~::~'. ;.i, . Nuimber of Stories : , ~i... • . s . Dimensions of same strftpture with alterations or additions: Front e~ Y'.. ~ , Rear ~ , , , , , , , , , . iDepth : . . .Height , , Number of Stories . ' 8, iDimensions'~ entire fie~v.COns;truction: Front . Rear , , Depth , , , , , , , , , , . Hei;11S,..,,. ~ F.jNu4nber of Stories , , , , , , , , , , , 9. Size of~lgt; Y ~ ? , , Rear , pS E~ pp~~ toG , ~b15. C . ~!'dif~~Depth l ..r'1 10. Date of Purchase' 3. j . . . ......Name of Former Owner , . , , . 1 I. Zong or use district in which premises are situated . . . . 12. Does proposed construction viplate any zoning law, ordinance or regulation: ,N.6 . . 13. Will lot be regraded .Will excess fil be removed from premises: Yes N 14. Name of Owner of premises ~~Qa,/.JI~¢5 ,??t4~~~!~~' Address .~°`fl~ ~R4~!~. U:~Phone No.3.1,1ejlo i. ;03 Name of ArchitcctC?C~!5"1't~.Uf,}}(~~tj,~/f..~, }5~/ , , , Address~faO/e/1~E~:~'~'..... Phone N~°.,,{<.•'.~..7~",:~~" Name of Contractor . ~I AJ~ 1.7s-~.C~.. , .....Address PQ.~b~:: ,7. , ...Phone No. ~.,5.~,~"~,7.~.. IS.Is tyhis ro ert located within X100 feet of a tidal wetland? *YES....NO.... P P Y *If es Southold Town Trustees Permit may be required. ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and bloc)4 number or description according to deed, and show street names and indicate whetht;r interior or corner lot. i Ii i~ ~1 II STATE OF ivEW YORK, S S COUNTY OF i S Y P Y pp' (Name of individual signil • ~ • bcin dui sworn, de oses and sa s that he is the a Leant . • . • • , ~ aig contract) about named. He is the I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly autirorizcd to perform or have performed the said work and to make and file this application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the work will be performed in the mannenset forth in the application Glcd therewith. Sworn to 6cfore me this Notary Public, ....~~0~:<::..i,lV.lz.t!~:.... County C HELEN K OE VOE ~ ~~~~%~y~~ ' " " ' NOTARYPUBLIO,StateofNewYerk (Signs re of aPPlicant) No.47078'7R,SuffolkCounix"io Teem Expires March 30, 9 I