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Home My WebLink About26647-Z 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) PERMIT NO. 26647 Z Date JULY 13 00 fi Permission is hereby granted to: JO ANN RIZZO PO BOX 696 GREENPORT NY 11944 for NEW CONSTRUCTION OF A ONE FAMILY DWEL NG WITH THREE BEDROOM FRONT ELEVATED DECK & NO REAR DECK OR GA GE AS APPLIED FOR. at premises located at 50 MAPLE RD SOUTHOLD County Tax Map No. 473889 ction 054 Block 0009 Lot No. 020 pursuant to application ated APRIL 27, 2000 and approved by the Building Inspector. Fee $ 657 . 0 Authors ed Signature i ORIGINAL Rev. 2/19/98 FIELD-INSPECTION-REPORT_ ATE _________________________________________ i 4 .w ---�I-POOP-- ---------POOP-- -----------------------POOP-- ..c - ------ POOP 1 FOUNDATION ( IST) it---- --ii_-----POOP-- ------POOP--POOP-POOP-- ----POOP--------- I I II __ -II-------------- ----POOP------POOP--- ----------- I� II II ----------------------POOP--- C POOP- cn �„ FOUNDATION (2ND) it II ----POOP-- -----_______�________ __ u a it ROUGii FRAMEu __—__JI --- V rr n PLUMBING u II II H I�I CrJ INSULATION PER N. Y. u x y STATE ENERGY i-----ij CODE I - 1j li 11 II q y n� II jj if VA FINAL __=________________ ADDITIONAL COMMENTS: ---------POOP-- Lj 0 H i H z r I s b • `� 1 ------POOP-- -POOP-- i f } Zk ENERGY CODE CALCULATIONS (For Non-Electric Heat) -For: P<Zi�A�� P_Es� �t-t= Per: c)-Ao 1:'�-A�,j t* '-1So Dated-c---)(o -%,�o- acv Design Criteria: 6,000 Degree Days - O.A. 10 Degrees Fahrenheit LA. 70 Degrees Fahrenheit SUBSYSTEM AREA DESIGN THERMAL REMARKS - "U" RATING Exterior Walls 1"16 .0-77 Glazing 37 .'3 Z - 7 v H►.L-Xx� NP c2t'zA,4r. Doors Ceiling(Flat) r-1C)7 -�uf3 0 -2� �,.�s��AT• Ceiling(Cathedral) Skylights t �i 3L, - `� Ati ��LS� moi'ool LA L Floor 1 y`;o .033 -e17 Foundation Walls Slab Insulation TOTAL: la Notes* Building Envelope Systems to meet requirements of 7815.2 HVAC Equipment to meet requirements of 7815.11 JUL 1 0 2000 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 tweet requirements of 7815.21 Electrical&Lighting Systems to meet requirements of 7815.31 To the best of my knowledge, belief,&professional judgment, d? � .e these plans are in compliance with the code. - Signed: bated-- t �rs►�dt d SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT FOR APPROVAL,.OF CONSTRUCTION FOR A SINGLE FAMILY RESIDENCE ONLY DATE ' - rRE 0)`' f APPROVED FOR MAXIMUM OF*B R MS EXPIRES THREE YEARS FROM DATE OF APPROVAL 'CAVATION INSPECTION REQUIRED FOR SANITARY SYSTEM By M DEA .� ._. .. . . w�« CD -T'l (Q o N �. I T r \ F�J T 9�•f%oLa �1 m -- /.6r��D 1.A V� Bim•✓NCG9!'EY -— 43 O O O "s�r "ivy �p N g W V OO /J�C�,ds�w6x✓E.vcF /S/oT�i CCry r�oL .lyssa'.(.Lcc• Ot!/tl:c'F .�u-e✓EY.s-oe• ./c��x'�;y'J�r�.y7c�,�y ,4•vrscwr yC/Lf�srs��u��,ri' ,vo•�vRv�.e /V 111171 -`�� j BOARD OF HEALTH . . . . . . . . . . . . ' FORM NO. 1 3 SETS OF PLANS �. . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . • . • • . • • . . . • . . I TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL I Y 20.06 MAIL TO: � . � . . . . . . . . . Approved.�...........2,0 . Permit No. O. (P..Z..7 Lc.I�L' �l- F...IY .'Iq3�, Disapproveda/c .................................. .................................... ...................................................... ............. (Building•Inspector) APPLICATION FOR BUILDING PERMIT /`� ,,�,�, J 20.CQ. y Date. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wii 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shoring 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 application. 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 permit 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. Occupancy shall have been granted by the Building Inspector. APPLICATICN 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 Canty, 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 inspections. , .... :.�. ............ (S' t e of applican ,.or name, if a .orporation) (Mailing address of applicant) State whether applicant is owner,, lessee, agent, architect, engineer, general contractor, electrician, plirfier or buildei ��1jj ..............................................�.............................. Name of owner of premisesC1 C�1��1�„_ ,cl.......t.1./„,C, A...��fi�. !J...i�� ..�tA.N�Tf,�1nu'%►1... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......Nx iw............................................. (Name and title of corporate officer) Builders Lim No. Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No.. .................... 1. Location of land on which proposed work will be done.............................................................. •• House Number Street Hamlet County Tax Map No. 1000 Section ..... Block ... ........ Lot . ......... Subdivision ...................................... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....V.�. t�.tl��C:....1.. .... a •, ..n 3r�r��,+nM • f,4.. .+�..•.... 11 .Aa .A;i ol�l........ b. Intended use and occupancy ... ��. �•:: ....:/ 4f M1.I.�. .... +.1�1 Y .:1... .... 3. Nature of work (check which applicable): New Building .... Addition .......... Alteration Repair ............ Removal ............. DOM0lition ............ Other Work ............... a:>.J�N :................. (�,-� (Description) 4. Estimated Cost .l �....... fee .............................................. (to be paid on filing this application) 5. If (Lielling, number of dwell `in`g em1its ....I ....... Number of dwelling units on each floor ................ If garage, number of cars ._l�l�_►�i�............................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use....o,.kr. 7. Dimensions of existing structures, if any: Front..!)I l�....... Rear ............... Depth ................., Height ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear Depth .................... Height ............. .... Number of Stories ....................r.......... ... 8. Dimensions of entire new construction: Front ..)0.... ... Rear .3.o Depth � Height ..a ................. Nnber of Stories ....Y... ............. ......... 1.� 9. Size of lot: Front ..��.l .1........... Rear ... .0 .......... Depth ...130... .. 10. Date of Purchase U�Zl: �r rt Owner--,TP. !j.+j... ... Name of ��rer1I11 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: ..J/ ...................;D) ................ 13. Will lot be regraded ... 0............. Will excess fill be removed from premises: YES Lj 5T60 14. Names of Owner of premi se40&- hl..9L7-AQ-.�.{-�.^1 �r(;t AddressPhone No. 31.3 1 �� ^ /� ' 1 Nave of Architect As:t:� r ......... Address vRIIti►-r N `l I'a Contractor Phone No. Name of Con -;-. .. Address .............. ..............Phone No. ............. 15. is this property within 300 feet of '.tidal wetland? * YES .......... NO .. ,.,. .• .. . *IF YES, SOUIl1rtD KININ IMSMS PERMIT MAY BE MJUIRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. SrA1T OF N;I Yo w, SS ODIINIT OF......................... rr ..........being duly deposes and sworn, po says that he is the applicant (Name of individual signing contract) above ruined, Ileis the ... � .)......4N ......................................................... (Contractor, 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 appl.icatimi; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the marnier set forth in the application filed therewith. Sworn to before me this ....... ......day of .. .,..... =20.00.. Notary Public .. ............... ..... MONIOUE M. MASCUNANA S" 8M of Appliean Notary Public, State of New York No. 01 MA6003807 Qualified in Suffolk County ,Commission Expires March 08,� � BUILDING PERMIT REVIEW CHECK LIST Applicant/ /� _ Date Owners Name: Reviewed: AlYLIU Architect/ Date Engineer: �3T o� -ri.�► Submitted: 9 /210 0 SCTM #: District: 1.000 Section: CS4 Block: 05 Lot: 2,0 ProjectSubdivision Location: 2-50 IA-1 4101-z )�o.►-o -S�17-Wczo Name: Sin&le&separate uue ,r� 1 certification: Y s /vd a` As-rt �- Req. Req. Zoning District: � � [Lot size: 46 X-Sr Actual: OOs [Lot coverage 20 0O Proposed.'w 9'�Ial Req. i / Req• �� / Req- [Front Yard 3J� Proposed: [Side Yard Proposed: Is/SS [Rear Yard ,3.5 Propo d: 'ice Project Description: U•�' Ic.�s,.�1'i�� 6"" cc AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. ✓ R/d-99-��2/*� New York State D. E. C. Town Trustees Town Zoning Board approval: -� Town Planning Board approval: ✓ Flood Plane Elevation??? Flood Zone: ps► L/� -�X Notes: ,r"n,) c � < "- ,Jo,�,- 7-0 l_ re- s7 1Z005F ��GSf �50 LF 2—q F K _ 2 0 �2