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Home My WebLink About16939-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18858 Date MARCH 5, 1990 THIS CERTIFIES that the building. Location of Property 630 TARPON DRIVE House No. County Tax Map No. 1000 Section 057 Subdivision SOUTHOLD SHORES ONE FAMILY DWELLING Street Block 001 Filed Map No. 3853 SOUTHOLD Lot 007 Lot No. 39 Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 18, 1988 pursuant to which Building Permit No. 16939Z dated MAY 6~ 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 WITH ATTACHED DECKS & GARAGE. The certificate is issued to GAIL & GEORGE STARI<IE (owner,)~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-237 FEB. 26, 1990 UNDERWRITERS CERTIFICATE NO. N086333 AUG. 10~ 1989 PLUMBERS CERTIFICATION DATED ROGER CULLEN GARDINERS BAY PLUMBING 3/5/90 Building ~'~Y Inspector Rev. 1/81 lrOR~ NO. B 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) N_* 1 6~9 z Permission is hereby granted to: .........................., ~~;~.~ ............. , ,o...~~~. ...... ,~....~.~....~~......~~~ ,~__~,~....~.~ ....... ~....:,~.~;....~ .................................... at premises located at ...... ~..~...~..,~,~ ~ _ ~, _/---~'"'~'~"~' ..................................................... County Tax Map No. 1000 Section ........ ..~.....~.. ..... Block ............... ../..... Lot No .............. ..~...~..... pursuant to application dated ........................................................ , 19 ........ , and approved by the 13uilding Inspector. Fee Rev. 6/30/80 TOWN OF SOUTUOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APFLICATION FOR CERTIFICATE OF OCCUPANCY Permit Health Planning DATE ~7~X ZZ~ /7fo NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property ~3(.9 . .?-~_~,~.~?~z~. ~ ~O~ HOUSE NO. STREET HAMLET Owner or Owners of Property...~:~~ ........................ ~'7 County Tax Map No. I000 Section .~... Block '~.~ .... Lot' .~ ....... ..................... - . -.~or.. J7 ..... Cf x ........ No ..... 7 Date of Permit . J~<A~...Applicant ~. /g. ~/~~ Dept. Approval .................. Underwriters Approval .............. Board Approval ................ Request for Temporary Certificate ....... Fee Submitted- $ ~..~'. ~ Final Certificate APPLICANT ........... · ...... - rev. 10/14/88 FORM NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN tlALL 765 ~ 1802 ..... APPLICATION FOR ~ERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This appllcatlou be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: i. Final survey of property with accurate location of all buildings, property lines, 2. streets, and unusual inatnral or topographic features. , Final approval of ~e~lth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of eleetrzcal installation from Board of Fire Underwriters. 4. Sworn statement from ~plumber certifying that solder used in system contains less than 2/10 of Ig lead.; 5.Commercial buildings,[ industrial buildings, multiple residences and similar. · b~ildings and install~tlons, a Certificate of code compliance from the Architect or Engineer responsible for the buil~ing. 6. Submit Planning Board]Approval of completed site plan requirements. B. For existing buildings (~rior to April 9, 1957~ non-conforming uses, or buildings and "pre-existing" land ~ses: I. Accurate survey of property showing all property lines, Streets, buildings and unusual natural or topographic features. 2. A properly completed ~pplieation, a consent to inspect signed by the applican~ and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, ]957. . If a Certificate of O~cupaney is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing cdde or safety inspection of buildings or premises, or other pertinent ~nformat~onlrequ[red to prepare a certificate. C. For Vacant Laud'Certificate of Occupancy: I. An application for vadant laud Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership ofithe entire lbt prior to April 9, 1957 shall also accompany the application. If ~ Certificate of Occupancy is denied, the Building Inspector shall state the reasoqs therefor in writlug to the applicant. D. ' FEES: 1- CERTIFICATE OF OCC~UPANCY - New Dwelling $25.00, Additions to Dwelling $2~.00, Alteration to Dweliling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accesslory buildings, $25.00 - Businesses $50.00. 2. Certificate of OccUpancy on pre-existing dwelling - $100.00. 3. Copy of Certiflcat~ of Occupancy - ~.00 - over 5 years - ~. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certlflcat~ of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial er. lO/14/88 THE NEW YORK BOARD OF FIRE UNDERWRITERS J [}0~')'Jf//[ BUREAU OF ELECTRICITY JOHN STREET. NEW YORK, NEW YORK 1OO3B Date Applicntlon No, on file ' THIS CERTIFIES THAT only the elec[rtcal ~uipme~t ~ ~scribed below a~ int~ by the ap~icant ~med on the a~e application number in the premises of in thefollowinglocatlon; ~ B.sement ~ I~t Fl. ~ 2nd FL ~ / ) }T Section Bilk Lot ~s e~amined on ~llt~Y 2'/ , '[ 9 }~-) and found to be in compflance u, ilh the req~ re nenls qf this Board. FIXTURE SWITCHES OUTLETS DRYERS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS FANS SYSTEMS E R V I C E A w o NO. OF ~r-LEG A.W. CL i~A GENERAL JgAI~.GER This certlflc.te must not be ~ltered in any manner; return to the office of the Board if incorrect. Inspectors may be idenhfied by )h'~r credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY k6AHNER. 7 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 Date I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 3- day of °~7~Z~:~ ,' Publ±c,. ~,~]C.- County Notary plu~mber's signature Notary Public OUNDATION ( ls t) OUNDATION (2nd) 0UGH FRAME & -PLUMBING ~SULATION PER N. Y. STATE ENERGY CODE FINAL TIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~.ATION FRAMING ~ [/~"~1NAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [//~ RO GH PLBG. FOUNDATION 2ND [ ] I LATION FRAMING [ ] FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]~ROUGH PLBG. FOUNDATION 2ND /INSULATION [ ] FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZND [ ] INSULATION [ ] FINAL FRAMING REMARKS: INSPECTOR 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: ~:~ 765-t802 BUILDING DEPT, INSPECTION [ '~FOUNDATION 1ST ~ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL INSPECTOR _'~V NEXUS pantechnology for human development 202 old ridgefield rd. wilton, ct. 06897 (203) 762-9752 April 29, 1988 To: Building Department Town of Southold Southold, N.Yo 11971 Re: Energy Calculations Mr. & Mrs. George Starkie Southold N.Y. 11971 Dear Sir: Enclosed please find the "Summary Sheet for The New York State Energy Conservation Construction Code Part 4 Building Design by Component Performance Approach" As demonstrated by the calculations, the proposed residence will comply with this section. If you have any questions or require additional information,please do not hesitate to contact our office. Submitted by, .awrence R. .lman, P.E. For "Nexus Engineering" N.Y. P.E. ~ 46097 * ..... NEXUS ..... * Engineering Associates 202 Old Ridgefield Road Wilton, Ct. 06897 (203)762-9752 SUMMARY SHEET FOR NEW YORK ENERGY CALCULATIONS Prepared for : Deck House, Inc., Actonf Mass. Customer : Mr. & Mrs. George Starkie Location : Southold New York 11971 Inside Design Temperature : 68 Degrees F Outside Design Temperature : 0 Degrees F April 29, 1988 A. "U" Values for Envelope Subsystems System Area Actu.al Component sq. ft. "U" Walls Frame 376.65 .145 Cavity 2134.35 .059 2511.00 U x A 54.61 125.93 180.54 U(avg) = 180.54 = .0719 U(allowable) = .08 2511.00 Glass Double Glazed 553 .31 171.43 Sliding Doors 234 .235 54.99 Doors 42 .51 21.42 Skylights 19.4 .59 11.45 Concrete Walls (above grade) 176 .106 18.66 3535.40 458.49 U (actual) = 458.49 = .1297 3535.40 U (allowable) = .17 Allowable Roof .08 2057 Actual ~UI! .046 94.62 Floor (overhang) .08 173 (over unheated) .08 534 .047 8.13 .047 25.10 * ..... NEXUS ..... * Engineering Associates 202 Old Ridgefield Road Wilton, Ct. 06897 (203)762-9752 April 29, 1988 B. Heat Loss From Infiltration Allowable Infiltration Rates : Windows = .5 cfm/lin.ft./cyack Sliding Glass Doors = .5 cfm/sq.ft, area Swinging Doors = 1.00 cfm/sq.ft, area Actual Infiltration Rates : Windows = .18 cfm/lin.ft./crack = 10.8 cfh. Sliding Glass Doors = .14 cfm/sq.ft. = 8.4 cfh Swinging Doors = .80 cfm/sq.ft, area = 48 cfh Note : Infiltration rates cited above are as per manufacturer's standards; Casement Windows are custom made by De~k House, Sliding Glass Doors manufactured by North American Man. Comp Infiltration rate for weatherstripped swinging door from ASHRAE Handbook of Fundamentals. Actual Heat Loss in BTU/hr. Method of Calculation : Crack Method Formula : H = .018 L V (ti-to) H = Heat Loss in BTU/hr. .018 = .24 x .075 (.24 is specific heat of air in BTU/pound; .075 is density of air in pounds per cu. ft.) L = Length of all cracks in lineal ft. V = Volume of air infiltration per foot of crack per hour (as per ASHRAE Handbook) ti = inside design air temperature to = outside design air temperature Infiltration from Casement Windows : Q = (.018)(270)(10.8)(68) = 3569.18 BTU/hr. Infiltration from Sliding Glass Doors : Q = (.018)(234)(8.4)(68) = 2405.89 BTU/hr. Infiltration from Swinging Doors : Q = (.018)(42)(48)(68) = 2467.58 BTU/hr. * ..... NEXUS ..... * Engineering Associates 202 Old Ridgefield Road Wilton, Ct. 06897 (203)762-9752 April 29, 1988 C. Heat Loss in BTU/hr. from Exterior Facades Q = u (actual) x A (area) x (change temp.) Walls : Q = (.1297)(3535.40)(68) = 31181 BTU/hr. Roof : Q = (.046)(2057)(68) = 6434 BTU/hr. Floor : Q = (.047)(707)(68) = 2260 BTU/hr. Infiltration : (from Section B) = 8443 BTU/hr. TOTAL = 48318 BTU/hr. Furnace at 85% Eff. = 56844.71 BTU/hr. Use 57000.00 BTU/hr. Recommended furnace size based on calculations in Section C. Min. Firing Rate of .75 gal./hr, with a gross rating of 105000 BTU/hr. NEXUS * pantechnology for human development 202 old ridgefield rd. wilton, ct, 06897 (203) 762-9752 February 8, 1988 To : Building Department Southold, N.Y. 11971 Re : Energy Calculations M~. & N~rs. George ~tarkie residence Siuthold, N.Y.11971 Dear Sir Enclosed please find the Part 6 Worksheet of the New York State Energy Conservation Construction Code prepared for the proposed Starkie residence. As demonstrated by the worksheet calculations, the proposed residence will comply with the Total Thermal Rating of the Energy Code, effective April 1, 1987. If you have any questions or require additional information, please do not hesitate to contact our office. Submittpd by ~ "Nexus Engineering" NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE PART 6 WORKSHEET~ THERMAL RATING METHOD ONE- AND TWO-FAMILY BUILDINGS BUILDING lVi~. ADDRESS Southold N.Y. ,11971 CONTRACTOR, ARCHITECT OR ENGINEER & l~s. George Star~i~ROSS FLOOR AREA 3941 .... NUMBER OF STORIES 2 .... DEGREE DAYS_ 6000 (Suffolk) Nexus En~ineerin~ Associates 202 Old Ri~gefield Rd. Wilton, Ct O6897 Lawrenqe R. Gilman~ P.E, TELEPHONE (~0"}) 762-9752 If the building does not meat the following pre-qualifying conditions, Part 6 of the Energy Code may not be used. YES NO Building is one- or two-family residential. Building is detached. Building is less than 5,000 gross square fe~t. · Building is three stories or less'~n height. 'Entrance doors have a storm door or certified U value of .40 or less. X Glazing area/gross wall area is equal to or less than: 24% if 5,000 degree days ** 23% if 6,000'degree days ** 20% if 7,000 degree days 18% if 8,000 degree days 16% if 9,000 degree days If all of the above conditions are not met, either PART 3, PART 4 or PART 5 of the'Energy Code must be used. DIRECTIONS: For each component of the pro~ose~ building design enter the design information, requested such as Areas, "U" or "R" Values. Additional lines are provided for' designs with more than one component construction type. Obtain thermal ratings for each item by consulting the appropriate Tables. A. ROOF/CEILING Obtain Thermal Ratings from Table 6-1, 6-2, 6-1E or 6-2E depending upon degree days and heating type. Area: 205? U-Value: .0285 Square FL. Area: Square Ft. 1 +42 ~mal RaLing U--Value: Thermal Rating B. NET WALLS Area: Square Area: - Square Ft. Obtain Thermal Ratings from Table 6-1 or 6-1E depending upon he~ting type. U-Value: .06be_ ~i~erm~l Rating U-Value: -_ Th;-rmal Rating Note: Net Wall Area = Gross Wall Area minus Basement/Cellar Walls, Glazing Areas and Door Areas. C. GLAZING Obtain Thermal Ratings from Table 6-3 or 6-3E depending upon heating type. WINDOWS , . 234 Area of Glazing. Square Ft. U-Value: ,50 *45 Thermal Rating Area of Glazing: 553 U-Value: .235. +93 ,Square Ft. Thermal S~¥LIGH~S Rating Area of Glazing: 19 U-Value: -19 Thermal Rating D1. FLOORS Floor Area: 70? Sq. Ft. Obtain Thermal Ratings from Table 6-1, 6-1E or 6-4E depending upon degree days and heating type. U-Value-' .04 +6 Thermal Rating D2. BASEMENT/CELLAR WALLS Obtain Thermal Ratings from Table 6-4, 6-5, 6-6 or 6-5E depending upon degree days and heating type. Wall Perimeter: 176 Linear Feet Exposure Above Grade: $ Feet U-Value of Wall: .lo6 48" +15 Inches Thermal Rating Depth o¢ Wall U-Value Below Grade: Note: Use the above grade U-Value of the wall. The Thermal Rating Tables have been designed to take into account the insulating effect of the earth. D3. SLAB INSULATION Slab Perimeter: Insulation R-Value: Obtain Thermal Ratings from Table 6-7 or 6-6E depending upon heating type. Linear Feet Thermal Rating E. INFILTRATION GONTROL Obtain Thermal Ratings from Table 6-8 or 6-7E depending upon heating type. If the building does not meet t~e following conditions, enter NA (Not Applicable) for Thermal Rating. YES NO Conditioned Floor Area: (Shall not include basement/cellar flogr area) All windows have an air leakage rate of 0.35 cfm or less per linear foot of operable sash crack; All net wall areas have an infiltration barrier; and A heat recovery ventilator, which tran-~fers heat between the outgoing airstream and the airstream entering from the o~tside, is installed. Square Ft.' ~-~[e'rmal Rat ing F. SOUTH FACING GLAZING Obtain Thermal Ratings from Tabl~ 6-9 or 6-8E depending upon heating type. If the building does not meet the following conditions, enter NA (Not Applicable) for Thermal Rating. YES NO The building is no less than 1,250 square feet in conditioned floor area; At least 45 percent of all glazing faces within 30 degrees o¢ true south; AI~ glazed areas in buildings are no.more than U(glazing) : 0.58; South f~cing glazed' areas are free of any site obstructions during the heating season; and An amea of four-inch thick concrete or masonry is exposed to direct sunlight from south facing glazing. The area of'this concrete or masonry s~Ell be no less than three~ ~imes-the area of south facing glazing~ Conditioned South Glass/Total Glass: ~6 % Floor Area: ~ Square Ft. Glass Area/Gross Wall Area: 22'8%(See Above) N/A ~hermal Rating SUMMARY OF TOTAL THERMAL RATING tf the Total Thermal Rating is zero (0) or greater, the proposed design for the building envelope complies with the Energy Code. THERMAL TABLE AREA U-VALUE RATING USED A. ROOF/CEILING 2057 .0285 +42 6-1 B. NET WALLS 2511 ,064~ -52 6-1 C. GLAZING Window 234 .30 +45 6-3 Window ~ '~'- ~ Skylights ~ .~ -i[-~--- ~ D1. FLOORS 707 .04 +~ 6-1 D2. BASEMENT/CELLAR WALLS Wall Perimeter 176 Feet Exposure Above Grade 1 -- Feet Wall U-Value. .lO~- Depth of Wall U-Value Below Grade!. 48 Inches D3. SLAB INSULATION Slab Perimeter Insulation R-Value E. INFILTRATION CONTROL Conditioned Floor Area SOUTN FACING GLAZING South Glass/Total Glass Gl. Area/GroEs ~a]l Area Conditioq~d Floor Area "' +15 Feet ... Sq. Ft. N./A Percent Percent Sq. Ft. TOTAL THERMAL RATING ,+130 TOg~N OF £OUTIIOI,D Ol:tqCl£ OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL SOUTIIOLD, N.Y. 11971 November 27, 1989 TEL. 765-18O2 George & Gail Starkie 29' Walnut Street Smithtown, New York 11787 To Whom This May Concern, Ple are unable r.o complete your Certificate of Occupancy because .of the following,,re,asons. ~ //~/~O--~/_~/ An application for Certificate of Occupancy · . _/ is l~ot on file. (ENCLOSED) . ... O.k/, /_--_-/~I.o Underwriters Co.r~ificate on f~le. ~_~.,f;.~-Jq6.----fl~_f//the cbc'ok i'.;(~l~n~,not on file.)$25.00 No Health Dept. Approval on file. /-~/ No final inspection has been made. Please centact ()ur office on this matter. Thank you for your cooperation. lhiil(ling PermJ. t t! I 6 9 3 9 Z Building Dept. ***/~Ho Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FORM NO. 3 TOWN OF SOUTHOLD BIJI LDING DEPARTMENT TOWN CLERK'S OFFICE SOUTiIOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ ........... PL.I-;ASE TAKE NOTICE that your application dated ~<..~/~ ............ 19 ~. Location of Property ~[,,~d~ ..... '. ~. County Tax Map No. I000 Section . .' ..... ~.~.~.. Block ..... ~.Z ..... Lot ..... ~ .~ ..... Subdivision .................. Filed Map No ................. Lot No .................. RV 1/80 BOARD OF HEALTH ...-..~-. 3 SETS O~F~j~LANS 'FORM NO. I SURVEYs. :% ....... TOWN OF SOUTHOLD CHECK~"~'/"~(~'Z .... ,/-' BUILDING DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY B.¢O.~O.~ TEL.: 765-1802 CALL ...... Examined ~ 19~~ MAIL TO: ........... , ... , Approved ./~/~ ......... 19r~Pe~it No./~ ~ ~J[ ,,t ~ (Building Inspector) [~l F[~ ' 8~~8 APPLICATION FOR BUILDING PERMIT BLDC. DF?T. TOWN OF SOUTHO[ 0 INSTRUCTIONS I"' ~ 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 b~ occupied or used in whole or in part for any purpose whatever until a Certificat~ 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 Reguiations, for the construction of buildings, additions or aiterations, 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 inspe.~tions. --. i , . ..... ..... (Signature of'applicant, or name, if a corporation) ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... ~..~.~.,~'.~ .~.....~.~./.~..~..-~./.~7../.. ~.~./.~.. ~..r~,~..-~./~''. ...................... (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 LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work ,viii be done: .. Z.e ~. ~ ~. ~. ~..~.. ~/f.. ~ff~(P .... House Number Street Hamlet County Tax Map No. I000 Section .... ~f~ ~f¢ ..... Block .. ~4.qff ......... Lot...~ .~ff~f~ ..... Subdivision.. ~(~& (~..~(f~ ~ ............. Filed Map No... ~ ~ ~-~ ..... Lot .. ~ ~.~ ........ (Name) 2. State exisHng use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... ~T~f~... ~.~ ............................................ b. Intended use and occupancy .......... ~?~.. ~.'~.'ff~...~ ......................... 3. Nature of work (check which applicable): New Building .......... Addition ' Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... i (Description) 4. Estimated Cost ........ c~,9,~, ~ Fee ' ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... .~./.~'.d].'. .... Number of dwelling units on each floor ................ If garage, number of cars .... i ............................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. D,mensmns of exmnng structures, ff any: Front /,X~,~- . Rear Depth Height ............... Number of Stories ' Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ................... i' · · Height ............ ; ......... Number of Stories ...................... Dimensions of entire new construction Front ..... ?...&..' ..... Rear ...~.~'.: ........ Depth . ....'~. / ........ Height ~ '~ 'g-'~ Nu~nber of Stories 9. Size of lot: Front ..... /po ' ............ Rear ..... ./.-g. ~...' ........... Depth ..../.Y?..~ .............. 10. Date of Purchase .... ~. ,~.~.~7 ?'z.../f."..~ ......... Name of Former Owner .../5-?..~..o. ~. ~.~. :~....~.~.~f.~.. 1 1. Zone.or use district in which p~e~ dses are situated .... 7~.~.~..W...o.,,y ' "1 ...................... ~ ...... ~ ............ 12. Does proposed construction vlg,,a ~ any zoning law, ordinance or regulation: ............... ... ............... 13. Will lot be regraded ........ i.., .~7.~ .............. Will excess fill be removed from premises: ~'~' No 14. Name of Owner of premises .i.~..'~qe- A~.'~..'~.~- Address z~,~,~,~r ~Y, .PhoneNo. ~..~.°.';q?. g.2 ... Name of Architect . . .~..~.6 .~.l/.-/.~/¥.~ /,~c. Address ............... :.. Name of Contractor ,~/~ z' ~' ....... ~ ................. Address .... : .............. Phone No ................ 15. Is this property locatedI ~£thin 300 feet of a tidal wetland? *Yesi ..... No ...~.. · If yes, Southold Town Triustees Permit maybe required. '- I 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. S TA rE O F NEW~ YOff,]<,/2 ff S S COUN~F,Y OF~.~..__/'.'~ /(Name of individual signing ~ontract) abow~ named. He is the ....... ~-. ., ..................................................... [ (C~ractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to m~e and file this application; that ail statements conialned h this application am true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~ffer set forth in the application filed therewith. Sworn to before me this .... .... ............. $ota~ mublic,~d~ ~~f ~ .......' .... County / / / . ......... : ,.. , : N~ ~blt~ S~te o~ New zorz ---- ~ · ' .' ~etdtng In Suffolk Co~nW ~ i Official ED $2-019~ffi .~ / ,~ (Signature of applicant) F TARPON · .~_UFFOLK COUNTY AI£Pl/ YOt~I< /'/65"-~Z : 3o"~ . /25. 00' TARPON ILS. 0 Et. ~.7 ~ EL. G.o G~OR~£ ¢ ~t}IL STARKI£ If coppetr tubing Is used for w~tter distributing systemi; piping lhall I~ ot ~/pmS ~ PLUMBER CERTIFICATION ON LEA D CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. 765-1802 G AM TO 4 PM FOR TNE FOLLOWING 1. FOUNDATION . ~ REOUIREO FOR ~URED CONCR~ 2. ROUGH - ~AMING & 3. INSU~ON 4. FINAL . CONS~U~ON MUST 8E COMPL~E FOR CO. ALL CONS~U~ON '$~ THE REQUIR~E~, ~ ~;N.~ ' STATE CON~I~UcTioN & E~IIlI$y. ,. DESION OR~U~N~-,,: f r d 'l ~ 07 HOL~ I 1TTT 1gHP p.,J I . I ' I I I I I ~ L_~LI HOUSI~; INC, / - i) .... o Lo_]' _ _ _ NoTg-: ~L4... PI CCU~C,~L ~'o ~.w. (1~:;¢~,~ ,~ w~3 I Z Z foP oF (55 f , ~ f. ll-l~'¢tL~ 1 ',.¢ m'¢¢¢ ~t.. Il DECK HousE,: C .No i WALL 0 PANELS) ' l/ ,/ F r r FoR STRUCTURA'L COMPO"E"TS , :~ COHPONENTS ~AFE~RD ~]NG : ~/16 APA RA~ FLO~ .& ROOF ~EATH]NG ' ~]OR ~LCO~ DECKING SYP,. ~. 2 & BETTER f-~300~ CCA,. &O,TREATED ',, GL~ZJN~ ALL D~L PANE INSULATI~5 UITH LOU-E COAT1N6; ,,R=3, '. ROOF 'FOIL FACING ON ]NSU~T]~ RO~N~. (L~ SLOPE METHOD) CLASS A ASPHALT SHINGLES, 280 LB~ 'STD, ~25 LB. OPT. ,,,' RECEPTACLE OUTLETS "' LIGHTING OUTLETS ~L O~,, ~lOV~ [flCA~ESCENT, ~ALL/~ZLZNG HOU~ ~ D~, 110Y, SPLIT ~]RED ~ ~NC~ESCENT, PULL CHAIN ~1 ~, 110V, FLOOR MOUNTED ~ ]N~ND., HRZ ~G UALL LZ~T )l ~, 110V, WEA~ERPROOF ~ INCA~., VAT ~ WALL LIGHT ~), ~, ~OV, GROU~ FAULT PROTECTED ~ INCAND,, ~JST~R~F LI~ H[~E~LANEOUS OUTLETS " ~ FL~., ~6 L]~HT]N~ COVE .~) T~ST~T ~ FLUOr, 'PRISMATZC', 2 SIOED ~: O~ STOL ~SH BUTTON ~ FLUOr, H~ & EGG~ATE O]FFUSER ~ ~ ~ ~-~AY ~eOH 3 LOCATIONS) ~e ~. ~ ; RAIL IRAIL _ ~ , ~lllg I ~ : T~ RISERS TOTAL RTSE TRE~ NZDTH',I~.;, ~PE 'LEH~H m NO. NOTICE TO BUILDER SIDING: COVERAG[ ,, . COV~A~ ~UL ~Y~T~LA~ ] TO A[L~ F~ ~SOL~I~ ~ ~