Loading...
HomeMy WebLinkAbout16797-zFORM NO. 4 TOM/q. OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southo~d, N.Y. CERTIFICATE OF OCCUPANCY No Z-18345 Date AUGUST 31, 1989 .... THIS CERTIFIES that the buildin9 Location of Property 3210 ~LLS ROAD House No. County Tax Map No. 1000 Section 086 Subdivision ONE FAMILY DWELLING PECONIC, N.Y. Street Hamlet .Block 1 Lot 10.2 Filed Map No. Lot No. conforms substantially to the Application for Building Perrait heretofore filed in this office dated MARCH 11, 1958 pursuant to which Building Permit No. 16797-Z dated Vd~RCH 11¢ 1988 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 ONE FAMILY D~ELLING WITH ATTACHED GARAGE AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-009128 - APRIL 19~ 1989 PLUMBERS CERTIFICATION DATED APRIL 27, 1989-JOHN R. MEHRMAN JOHN R. & NORMAJEAN MEHRMAN Rev. 1/81 Inspector TOWN OF Sou'rHOLD BUILDING DEPAR'rMtEN'r TOWN HALL SOU?HOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO - 16797/ Z ~,. .... ~..'. ............................................ , Permission is hereby granted tO: .9 ...gi.~. ................ ~,....?,,~.., ............................... . ....~,,d~..,..~/...,~.~ ........... y.7./3 ...... ...~....~. '....~.. '.~.....M., , . ~P' ~' ._ ,. '--,,.- _.,,!_//', / .~..~../..~./..~'- __ . . .. ........ ................................. ~, ,~,,,, ~=ed ~, ....~..~./..o......~;..~I~......~ .................................................................. o ../.o, ~-- County Tax Map No. 1000 Section ........... ~s~.. ..... Block .............. ~ ./..... Lot No ...................... pursuant to application dated '"i.~/~//PO/~'~'~j~ ............... , 19 ........ , and approved by the Building Inspector. Rev. 6/30/80 I~OB, M NO. ~ 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) 14911 Z Permission is hereb/granted to: ............ ........ .~.~..~.....~.~.....~ ..................... '~" '~~"""~';~":~ .~ ~, n.,' ~-.. ~(~ , , .r~o~ ~_ .-.ll_d~- - · ~.--~...~ I L)~ U ..~.....,~,~.~.....~ ............ L~,.~..~..._ .~~ ..................................................... ot premises lo, cited~ at ,..l~.~....l~. ...... . ..~....~......,~.,~...~.'~....~Z ....................... pursuant Building Inspector. Building Inspector Rev. 6/30/80 Ir'OB. BI NO, S 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? 1316t Z County Tax Mop No. 1000 Section .... ..(~..~...~. ....... Block .......... I ........... Lot No. C~ ,~-~ pursuant to application dated ......... ..~..~....~:....~:'.. .................. , 19.~].~..,- and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDINC DEPARTHENT TOWN HALL SOUTROLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCy NEW COHSTRUCTION -- ~...OLD OR PRE-EXISTING BUILDING ...... VACANT LAND Location of Property..~.'~ ........ ..~0.~5~.%~~ ........ .~.~ ............ ~OHSS ~o. STREET UA~L~Z Owner or Owners of Property.~p~..~.~e~.~.Q~.rfx.%.x~ .................. County Tax Hap No. 1000 Section ~. Block ..~ .... Lot' ..~.. Subdivision ....................... Permit No. ~ .......... Date of Permit Health Dept. Approval ./.~;~.~- ~V · Planuing Board Approval ................ Filed Map ........ Lot .......... Underwriters Approval ........... Request for Temporary,'Certificate ....... Final Certificate Fee Submitted' $ rev. 10/14/88 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. TEMPORARY CERTIFICATE OF OCCUPANCY No Z17967 Date APRIL 25, 1989 THIS CERTIFIES that the building Location of Property 3210 WELLS ROAD House No. County Tax Map No. 1000 Section 86 Subdivision ONE FAMILY DWELLING PECONIC Street Hamlet Block 01 Lot 10.2 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11~ 1988 pursuant to which Building Permit No. 16797Z dated MARCH 1t, 1988 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 ONE FAMILY DWELLING, ATTACHED GARAGE. REPLACES B.P. #14911Z The certificate is issued to JOHN R. MEHRMAN (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 14-SO-97 UNDERWRITERS CERTIFICATE NO. PENDING SLIP 3/27/89 PLUMBERS CERTIFICATION DATED PENDING Building Inspector Rev. 1/81 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 R~'JOJ~9~ BUREAU OF ELECTRICITY eS JOHN STREET, NEW YORK, NEW YORK 10038 O. te APRIL 19,1989 ,4ppli~ation~%~.onfile 49794287/87 ~ 009128 THIS CE~IFIE~ THAT ~y [~ e~t~ ~uipme~ ~ ~d~ ~w a~ intr~ by t~ ap~i~nt ~m~ on the ~ appllcat~o~ num~r in ~he p~m~ of JOHN R. EEHRMAN, 32i0 WELLS RD~ POLE ~22, PECONiC, N.Y. ~s ex. ml.~ on F~RC~ 27,19 8 9 and.found to be in compliance with the req,tirernentn of this Board. lot FIXTUI~ ~ [ t FIXTURES j RANGES ICOOKING DECKS ! OVENS ]DISH WASHERSi EXHAUST ~ANS OUTLETS ~EC~PTACLESt ~NITO4ES ~N~E~ Ft~E~E~ ~ OTHER ~Z ~ K W ~T. ~ K W ~ ~T J K w ~t- g W ~T' H p' 63 ~7 74 62 i ! 1 7.3 I t.2 10 ~ OTHER APPARATUS: MOTORS:i-i/3 H.P. PANELBOARDS:I-36 CIR. 200,1-5 CiR. 100 G.F.C.I:-14 SMOKE DETECTOR:-3 TRACK LIGHTING:-32 JOHN R. MEHRMAN 83 CIRCUIT RD. BELLPORT, NY, 11713 GENERAL MANAGER This certificate must not be altered in ony manner; return to the office of the Boord if incorrect. Inspectors may be identified by their credgntlals. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N,Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit NO. /~ 7q'77- Owner ~/~ (please prin~)/ ' (please print) I certify that the solder used contains less than 2/10 of 1% lead. in the water supply system ~ ~plumbe~'s signature) Sworn to before me ~his Notary ,ublic,,~---~ (~ County ELFF~4BETHANN.E~LL~ Term ~ir~ ~ 3L 1 ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NE~ YORK 765 - 1802 11971 APPLICATION FOR CEKTIFICATE OF OCCUPANCY HEW CONSTRUCTION ....... OLD OR Location of Property ..................................... HOHSE NO. STREET HAMLET O.ner or Owaers of Property..~n ¢.~. Coonty Tax ~ap No. 1000 Section Xk.. Block .aL .... Lot .15.'~ .... Subdivision ....................... Filed Map ........ Loc .......... Health Dept. Approval ..I.~ 23.O.~.~.~ ...... Underwriters Approval.~¢U.~.~.3. Plaanlng Board Approval ................ Requesc for Temporary Certificate ...~.... Final Certificate ................ Fee Submitted- APPLICANT ............ c o £ I' '7% 7 rev. 10114/88 ~' I E [,O [iL~;FECTION 1. t~ OU:J DA'r I Oil ( 1 s t', ) COi'I 'lkN r~ FOUIID A'I' IOfl ( 2nd ) ?LUMBING 3. 'IIlSUt, ATION IPER N. ~';T A'r E EI~ EP, G Y C,ODE AI)DITIO~IAL COMMENTS: 83 Circuit Road Bellpont, New YonK 11713 November 4, 1987 Town o~ Southold Building Department Town Hall Southold, New York Dear Sirs; I am writing to request a six month extension on my bui]din9 permit ~149tl Z. The location o~ the property is 3210 We]is Road in Peconic. ThanR-you for your attention in this matter-. Sincerely, .John R. ~ehrman BLDG. DEPT. 83 Circuit Road ~ 7',V~qOFSOUTHOLD Bellport, New Yorl( 11713 October 21, 19B5 Town of Southold Building Department Town Hall Southold, New York Dear Sirs: I am writing to request a six month extension on my building permit ~13164 Z. The location of the property is 3210 ~ells Road in Peconic. Than~-you for your attention in this matter. ~,, ~PPROVED AS NOTED IqOT[~ BUILDING ~PA~TMENT AT ~65-1802 9 AM TO 4 PM FOR TH[ FOLLOWING iNSPECTIONS: ~]. FOUNDATION - ~O REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & ~3. INSULATION 4. FINAL - CONSTRUCTION BE COMPL~E FOR C. O. 'ALL CON~RU~ION 5HALL ~E REOUIREMEN~S OF THE N.Y. ~ATE CON~R~tON & ENERGY CODES. NOT RESPONSIBLE FOR D~IGN OR CoN~RU~ION ERRORS, Sincerely, John R.,Hehrman 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION [~FRAMING []FINAL INSPECTOR /67,°7 7GS-ZS02 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ~/~SULATION FRAMING [ ] FINAL 76S-~02 BUILDING DEPT, INSPECTION REMARKS: FINAL INSPECTOR [ ] FRAMING FOUNDATION 1ST [//] RO~JGH PLBG. FOUNDATION ZN. []~L~g~iN/~JLA~ 76S.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION ~,ST [ ] ROUGH PI~BG. [//']/'FOUNDATION 2:ND [ ]INSULATION [ ] FRAMING FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST FOUNDATION ZND FRAMING REMARKS: ROUGH PLBG. INSULATION r~FINAL INSPECTOR~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 80]0899 BUREAU OF ELECTRICITY ~-- 85 JOHN STREET. NEW YORK. NBW YORK 10038 /~t. APR]is 19,1989 J~l~ti~No.~file 49794287/87 ~ 009128 ~1~ ~IPIE~ THAT ~, HE{iREA#, 3210 W{':hLS RI)., POLE I 22, P~:C(~C, N.Y, in t~/~ti~; ~ ~nt ~ I,~ Fl. ~ ~ FL GAR ,~*io. ~k ~ ezeml~ ~ HARCH ~7,1989 a~ fou~ to be ln com~iance with the requi~n~s ~ th~ ~d. I~11~11 RXTWWS OVENS OO~'~qS SWtTCHIS FL~SC~4T OTHEm 63 ~7 34 62 OIMMBIS ~%1~1 ~ONI4ICT S E R V I MOTORS: 1- 1/3 H.P. PANEl,,BOARDS:I:-36 C~. 200,1 5 CJIR. 300 G.F.C.I;-14 SMOKE DETECTOR :- 3 TRACK IJ. GHT [NC,: -' 32 600 ~ 2/0 JOHN }{. MEHRMAW {'I3 C1RCUIT RD. BE1,L, PORT, }4Y. 11713 office of the Board if incorrect. II Per. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL,: 765-1802 Examined..1{/1...0~...~..c~..., 19 Approved . .~..0~ .~.~..., 19~. Permit No../..~./.b. ~..~.. Disapproved a/c ..................................... Received ........... ,19... (Building 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 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 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. .~ 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 remogal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building cod/,/housing code, )ff~ regulations, and to admit authorized inspectors on premises and in building for necessary inspec~nyJ/7~/~//7//~4/// ~nature of applicant;j~)r name, if a corporation) L 9 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engmeer, general contractor, electrician, plumber or builder. ............ ........................................................................... Name of owner of premises . .d.~.~.~....~...~..~..~./~d'at/%/ ................... (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../4t...~..~.~4 .~. · Electrician's License No.// /~ (~ Other Trade's License No ...................... I. Location of land on which proposed work will be done. ~.].~..~..t.~..O~1~..~.~.. · .~...~..~.. '~' ./~. ..... -~..~. ......... ............................ ,g..0.,4..Z:? .................. .................... House Number Street Hamlet County Tax Map No. 1000 Section ..... ....... Block.../. ............. Lot~~.. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n:~ '3' t a. Existing use and occupancy ..... E~'~. [. ...................................................... ~ b. Intended use and occupancy ............................................ ~ J. Natureofwork (check which applicable): NewBuilding,~....' ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition~ .............. Other g/ork ............... i "- (Description) 4. Estimated Cost ~../.0..O(,d, ......................... Fee ...................................... ~" (to be paid on filing this application) 5. If dwelling, number of dwellinglunits ._.... / ........ Number of dwelling units on each floor ................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing stmctur6s, if any: Front.../~/.A~. ...... Rear .............. Depth ............ Height Numbar of Stories Dimensions of same structure w~th alterations or additions: Front ................. Rear .................. Depth ................... ~.. Height ...... : ............... Number of Stories · · · ~ v ...... 8. Dimensions of entire new construction: Front . ~.O. ......... Rear . 11. Zone or use district in which premises are situated ............. .'~ ....................................... 12. Does proposed constructio, n,~o~ate any zoning law, ordinance or regulation: ~.O. ........................... 13. Will lot be regraded ... d~.~. i ................... Will excess fill be removed from plq~mises: Yes (~ Name of Contractor .... .~.IiV.~.~$~ ............. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly al!' 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 comer lot. A STATE OF NEW Y)O~I~K, · · · ~(~a.m/~e ;~! .' .'~..//~~. .~. .~. · - .-~. ............... being duly sworn, deposes and says that he is the applicant / (Name ofindiviflual signing contract) abov~ named. (Contractor, agent, corporate officer, etc.) of said owner or ownem, ~d is duly authorized to perform or have perfomed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be perfomed in the m~ne set forth ~ the application filed therewith. Sworn to before me this ........ ~. ~ ..... ..~ .day ' ) [ X No.[ 476/93~/ j Com;~~'~'j~ (Signature of applic~t) · I ...JO/_~r,~..,/. "~/. (~.~t-~t~-?( ~.J' ~, SUFFOLK COUNTY DEPA~MENT OF : ~._)~;.,, ~ ~j. ~v/[A~ ~,~.,,~ SINGLE FAMILY D~LLING ONLY Th~ s~'a~ dis9o:;~ and w~t~r ~11~, ~. ,': l f~!~_~.,:~ "SG- ~t~) ~c~tio~ i~ve bean i~so~cted by this D~partment and/or - other.a~nc;~ ~nd found to be satisfac~ry. W~w~ ~ . - t ~ ~ ~, ~.Y. ~ .' ,~.~ .~, ~ , ,OWN~[~: . SUFF. cO. HEALTH DEPT. APPROVAL { H. $. NO.. ~ ~ U Y~. ~0~ . .oreo. the possibility ,x,sts t~t the m~nts of ~st~c~e~ ~/ er ~O~/C RODERICK VAN TUYL, P. C. ~ SUFF. CO. DEPT. OF HEALTH $I~RVIOI~i , STATEMENT Off I~NT 8INGLE F~ILY DWELLING ONLY O' ' DATE: ~ ~ ' DI~PO~L SY~EM~ FOR THI~ R;g{- [ /~' DgNC~ WILL CONFORM TO TH~ Examined . 'fl/: .......... 19 .~.ff~ Approved .~?/ ......... 19oC~.~. Permit No./~..?.~..7. Disapproved a/c ..................................... BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO.,1 SURVEY .......... TOWN OF SOUTHOLD CHECK ......... / BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY °,,OUTHOLD, N.¥. 11971 TEL.: 785-1802 CALL ................ MAIL TO: (Builflin~ ~pector) APPLICATION FOR BUILDING PERMIT Date .................. , 19... INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 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. APPLICATION IS HEREBY MADE to the Building Department for the issuance cfa Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Y6rk hnd' other, app!igable Laws Ordinances or Regulations, for the constructmn of buildings, additions or alteratmns, o~ fo~ removhl or d,emohtion, as hereto desert ed. The applicant agrees to comply with all applicable laws, ordinances, buflgiflg,~'od~; housing co_de, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe~ti~s~//~ (Signa~fim of app'lic~ttlt, or' name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... .C;.~ ??.,.rT ............................................................................... Name of owner of premises . ?.~.o..~...'~.: .~.,¢~?.~. ~ .~. ............................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No... T.</~:~.~..~.L.~,c~.<~..~ ..... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .... /~. ~.~./... ~ 0~.k....c~..£~.,~.~ .~.,~...¢v~ ......... ......... d. ............... , ............. House Number Street Hamlet County Tax Map No. 1000 Section ....C?.~...~ .......... Block / Lot. Z(? ~ ~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ .~. {: .~.q~g~- ..................................................... b. Intendeduseandoccupancy .~ d.n.~.j.o~ .~. .,~,d~ :~ ~'.~-I1~ .~ ture of work (check which appiicable): New Building . ~ .' ..... Addition .......... Alteration .......... pair .............. Removal .............. Demolition ............ Other Work ............... . (D ip~ti ) 4. Estimated Cost ....... .~..~ ~..rt)'Z.? ........................ Fee ...................................... · (to be paid on filing this application) 5. If dwelling, number of dwelling u~its .... ./ .......... Number o,qdwelling units on each floor ................ If garage, number of cars ...... 6. If business commercial or mixed occupancy 's~pecif~nature and extent of each type of use .................... 7. Dimensions of existing structures,! if any: Front.. &/.,~ ......... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions'of same structure with alterations or additions: Front ................. Rear .................. Depth ..................... ]. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front .... 6~.... ..... Rear ... (>.9 ......... Depth . .~ .7. ?. ....... Height ...q,n~ ......... Numb:er of Stories ....... ./~_ .............................................. 9. Size of lot: Front ...... /~c. Tf.i .......... Rear ...... /.6X..~.7 ........ Depth .'.&?fl2 ff...,,Y?? ............ 10. Date of Purchase .... .cr.//&//.g. oM ·... ............ Name of Former Owner .... ._v.% .~.....B??.~.~.(~. ......... 11. Zone or use district in which premises are situated .......... .A. ......................................... Does proposed construction violate any zoning law, ordinance or regulation: ...~.. c.?. ........................ 13.12. Will lot be regraded ....... ./~,(~ .................. Will excess fill be removed from premises} Yes Name of Contractor ...C~..cC..n~. :~ ......... Address .... : .............. Phone No .............. 15. Is this property located w~thin 300 feet of a tidal wetland? *Yes ..... /'No ..... · If yes, Southold Town Trus!tees Permit maybe required. - i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimenmons from property lines. Give street and block n~mber or description according to deed, and show street names and indicate whether interior or corner lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY A~RO~DASNO~D NOTIFY B[flLDII~G DEPARJ'I~I~NT AT ~65~1802 ~ AM TO 4 PM ~R ~E FOLLOWING INSPECTIONS: FOUN~A'f!OM ~VO R~XIUIRED FOR POU~,O ROUGH 4. FINAL CO~gY'[~[~C"fK)N MUST ALL COM~T(:~OC'[*Oh~ gHALL ~EET STATE OF NEW YORK, S.S COUNTY OF ................. ~ ............ ~ .................................... being duly sworn, deposes and says that he is the applicant (Name of individual ' " mgmng contract) above named. He is the . . .C.~X~.w?.,~<.. ....... , .................................................................. i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; 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 manner set forth in the application filed therewith. Sworn to before me this .............. // ...... , .day of. .... 79¢~ .... , 19 ff~. " HELEN & I)E VOE i' ... NOTARY PUBLIC, Stale of New YoLk ......................... . Ne,370787B, Suffolk County~'~] applicant) ~e~m ~pires M~rch 30, AREA INSULATION SUBSYSTEM CODE ALLOWABLE DESIGN ~UBSYSTEM FT~ "R" VALUE "U" VALUE "U"OR R BTUH BTU" EXTERIOR WALL (GROSS) EXTERIOR WAlL (OPAQUE) TOTAL DOORS (TO UNHEATED SPACES) FLOORS (OVER AMBIENT CONDITIONS) HEATED BASEMENT WALLS (TOP TO GRADE) HEATED BASEMENT WALLS (DOWN 24" FROM GRADE) , HEATED SLABS (DOWN 24" FROM TOP OF SLAB) UNHEATED SLABS (DOWN 24" FROM TOP OF SLAB) PERCENT DOOR AREA DESIGN INSIDE WINTER TEMP, DESIGN OUTSIDE WINTER TEMP. DESIGN DEGREE DAYS MAXIMUM ALLOWABLE BTUH TOTAL DESIGN BTUH * Insulation may be omitted over unheated spaces when foundation walls are insulated as required by code. ENERGY CONSERVATION SPECIFICATIONS (DESIGN BY ACC£PTABLE PRACTICE) GLAZING Maximum glass area sh~ll not exceed 23% of the total exterior wall area. All operable windows must be weatherstripped. All windows must be double glazed or provided with storm sash. DOORS All exterior doors opening on unheated areas must be insulated and weather- stripped or be accompanied by a weatherstripped storm door. AIR LEAKAGE a, Window & Door Infiltration Windows Swinging door Slidin§ glass doors (25 mph wind) 0.5 cfm maximum per linear foot of sash crack 1.0 cfm maximum per sq.ft, of door area 0.5 cfm maximum per sq.ft, of door area b. Exterior joints and cracks around windows, doors, openings between walls and roofs, walls and foundations, penetrations, etc. shall be caulked, gasketed, weatherstripped or otherwise sealed. c. Residential fireplaces shall have losses with damper closed not to exceed 20 cfm. Fireplaces shall be provided with dampered outside combustion air vent each side or in hearth wi th a total capacity of 150-200 cfm, and a maximum leakage rate of 20 cfm when closed. MECHANICAL SYSTEM CONTROL a. Thermostat shall be provided for each dwelling unit or separate HVAC system. A readily accessible manual or automatic means to partially restrict or shut- off heating and cooling to each zone or story shall be providsd. Wh~re used for heating, thermostat shall be capable of being set from 45 t~ 7§~; ~or heating and cooling, it shall be capable of being set between 45 TM to 85 F. * MECHANICAL SYSTEM INSULATION a. Air handling duct system All ducts, plenums and enclosures in unheated basements shall be insulated with duct insulation having an R value not less than R:5. b. Piping, Heating system (120° - 200° F) Runouts up to 2" dia. 1/2" (R-4 per inch or greater) 1" or less in diam. 3/4" (R-4 per inch or greater) * In one and two family dwellings which have insulated walls in basement/cella~ and unventilated crawl spaces, insulation in those spaces may be exempt. ENERGY CONSERVATION SPECIFICATIONS - Cont'd HEATING EQUIPMENT PERFORMANCE Combustion efficiency of gas and oil comfort heating equipment shall be no less than 75% at maximum rated output. SERVICE WATER HEATING All Class One oil fired water heater~ shall have a minimum combustion efficiency of 80%; gas water heaters shall have a recovery efficiency of 75%. All heaters shall not exceed allowable standby losses. Water temperature settings shall not exceed 140°F maximum. F~ bL / ,4-I ,,5 ~3) c FULL CELL~ P. 3' ~_X~kl~ 6L~D ~1 ¢ MIL T L * u'~Ex.d'Av~~ F ;r, I'¢I 4-J~ v~ ~ T 4i~ ~H&~ "ALTERATION OF THIS M~.HT, EXCEPT BY ~ p?,~,£~:~',~H;i E~,, Sill IU.£G/',I" I[ copper tubing is used [or water distributing system; piping shall be o~ t~pes ~ or ~ o~ SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED (2/10 of 1% LEAD. , PLUMBER CERTIFICATION' ON LEAD CONTENT BEFORE' CERTIFICATE OF OCCUPANCY OCCU, ^ Y I]R (iF OCCPJ?, N ¥ NOTIFY BUILDING DEPARTMENT 765-]802 9 AM TO 4 PM FOR FOLLOWING INSPECTIONg: ]. FOUNDATION - TWO FOR POURED CONCRetE 2 ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CON'STRUCTIQN MUST BE COMPLFTF FOR C O ALL CONSTRUCTIONF SFIALL MEET THE REQUIREMENTS OF THE N. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR ~ESIGN OR CONSTRUCTION ERRORS '4, II ~AT~ , 0 'Z x ~ o IGLI4,£, L LO 0 ~,. p L~,N 1 'l ~ ~ U T b-~ F- L F v A T ~ 0 J JOT FL~ ~ - ELEV~TI~N~ 4 '- I U~JPlU~G~E~ ,~.TT I4- II IHI ~HEr~ II - L~I _ "AI.TEHATION OF THIS I~fqU-, w ~- s T ~ ~ ~ v ~ T ' o ~ ~I~.~T,~CEPTBYAEICENSED ~sI' = r. o~' ILLEG/.L" e~TT uPy re ~L~ "ALT:RATION OF THIS ?~JLJ2;gNAL ENGINEER IS ILLEGAL"