HomeMy WebLinkAbout29402-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30140 Date: 04/16/04
THIS CERTIFIES. that the building ALTERATION
Location of Property: 570 SEABASTIANS COVE RD MATTITUCK
(HOUSE NO..) (STREET) (HAMLET);
County Tax. Map No. 473889 Section 100 Block 3 Lot 11.7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 30, 2003 pursuant to which
Building Permit No. 29402-Z dated MAY 21, 2003
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 ALTERATION TO A NON-HABITABLE BASEMENT IN AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to SUSAN HARMON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
;ELECTRICAL CERTIFICATE NO. 1164033 03/05/04
PLUMBERS CERTIFICATION DATED 04/12/04 MICHAEL HARMON
ut ori d
Signature
Rev. 1/81
dr ® mor•®—=-- r..
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. 29402 Z Date MAY 21, 2003
Permission is hereby granted to:
SUSAN HARMON
570 SEBASTIAN' S COVE
MATTIUTCK,NY 11952
for
ALTERATION TO A NON-HABITABLE BASEMENT AS APPLIED FOR
i
i
at premises located at 570 SEABASTIANS COVE RD MATTITUCK
County Tax Map No. 473889 Section 100 Block 0003 Lot No. 011 . 007
pursuant to application dated APRIL 30, 2003 and approved by the
Building Inspector to expire on NOVEMBER 21, 2004 .
Fee $ 150 . 00
7
8
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN BALL W
765-180i d 4 2 i1
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Dep4 with the following:
A. For new building or new use:
1, Final survey of property with accurate location of all buildings,property lines, streets,and unusual natural or
topographic features.
2. Final Approval from 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 the solder used in system contains Iess than 2/10 of 1%lead.
5. am,wciz7 bui7dbig,industrial building,multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing,buildings(prior to April,9,1957)non-conforming uses,or buildings and"pre-existing"land uses:
1. AccurateFsurvey of property showing all property lines, streets;building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25!J0,
Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25 /�
4. Updated Certificate of Occupancy- $50.01
ii 5. Temporary Certificate of Occupancy-Rei/adenfial$15.00,Commercial$15.00
f
i
't Date_ 411q10'-?
New Construction: Old or Pre-existing Building: ✓ (check one)
Location of Property: S�O (A1e_ CCC® J, Ck
House No. Street Hamlet
Owner or Owners of Property: S J.4 a n AV,,, m r
j Suffolk County Tax Map No 1000,Section Block Lot ti•7
I
Subdivision Filed Map. Lot:
Permit No. aft - Date of Permit. Applicant:
3 Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
t
i
Request for: Temporary Certificate Final Certificate: ✓ (check one)
Fee Submitted: $ 2S,oy _
�p Ci ���S Applicant Signature
Cz
Town Hall, 53095 Main Road H
.y. � Fax(631) 765-9502
P.O.Box 1179 Gy 0�'Z`. Telephone(631) 765-1802
..:Southold,New York 11971-0959al
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: q (Z )C y'
Building Permit No. 0'T`q 0 Z Z-
Owner: S�S 0Ly\. \ A 'r✓no v�
(Please print)
Plumber: , �✓11c5v�
/ fiiease print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Sworn to before me this a
day of�� 20b
SACLYKADM
¢uh1c,Stale of blew YO*
Na.Fi99?55
L"arTad m Suk;k =IZ'V
Notary Public, County CW,*,aionE:puess�a0.20_
5 BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDER\lll/RMER 5
rj BUREAU OF ELECTRICITY 5
Se 40 FULTON STREET — NEW YORK, NY 10038 5
7 CERTIFIES THAT
Upon the application of upon premises owned by 5
5 5
KENNETH F.SCHUHMANN SUSAN,&MICHAEL HARMON
P.O: BOX 1505 570 SE PAS-OAN8 COVE
RIVERHEAD,NY 11901, MAT I UCK, NY 111952
Locatedat570 SEBASTTANS COVE MATTITUCK; NY 11952 c�
5
Application Number: 1164033 CertificaWiNumber: 1164033
Section: Block: Lot: Building Permit. BDC NS11
e Described as a Residential occupancy,wherein the premises electrical system consisting of
�5 electrical devices and wiring, described below, located in/on the premises at:
Basement,
was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was 5
found to be in compliance therewith on the 5th Day of March,2004. �5
Name QTY Rate _ Ratine Circuit Type C
Alarm and Emergency Equipment
5 Sensor 1 0 Carbon Monoxide
Sensor 1 0 Smoke
55 Appliances and Accessories
7
Exhaust Fan 1 0 F.H.P.
�+ Wiring and Devices
7L' Receptacle 7 0 General Purpose L+
Switch. 8 0 General Purpose ?
Fixture 10 0 Incandescent
Dimmers 3 0
Receptacle 3 0 GFCI
seal
1 of 1
This certificate may not be,altered in any way and is validated only by the presence of a raised seal at the location indicated.
5
File No, 1503'.
WARREN A.SAMBACH,SR.
CONSULTING ENGINEERS-PLANNERS
7676 CCX LAN8- P.6,Box im r r erms��.�++��� j
CUTCIioGUt,NY 14535 �� � JUN 2 3 LUU,T
631— 15-gM4.7492 d
L _
'a o ;'N' O:.5 i iiOLD
June 19 2003
Building Department
Town. of Southold
53095 Main Road
Southold NY 11971.
Re: Michael & Susan Harmon
570 Sebastian Court
Mattituck NY 11952
Permit No: 294022
To Whom it May Concern:
Observation of the standing stater test of the plumbing Crater
piping and waste line conforms to Building Code of the New
York State. There were no leaks anyt4ere.
The stack goes up into a closet on the first floor and connects
to an existing stack going through the roof.
Sincerely,
X . L-
Warren A. Sambach Sr. P.E.
was•S
cc: Harmon
Permit fiU
R30 �3
REScheek Compliance Certificate Checked By/Date
New York State Energy,Conservaton Construction Code
REScheckSoflware Version 3.5 Release 1c
Data Mcname: C:Trogram Files\Check\REScheek\harinon2.rck
TITLE.Harmon Cellar
COUNTY. Suffolk V
STATE:New York
HDD:5.750
CO1STRCICTION TYPE:Detached l or 2 Family
HEa�JNGTYPE:Non-Electric
DATE:04/26103
DTB'OF PLANS: April 3, 2003
PROJECT INFORMATION:
' Michael&Susan Harmon
57b Sebastian's Cove
Mhttituck, NY 11952
COMPANY INFORMATION:
Michael&Susan Harmon
5'70 Sebastian's Cove
Nlattituck,NY 11952
NOTES:
All work performed by the homeowner.
COMPLIANCE:Passes
Maximum UA=483
Yoair Nome UA=437
9.5%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Vahre R-Value U-Factor UA
Ceiling 2: Cathedral Ceiling(no attic) 268 19.0 17.0 7
Skylight 1: Vinyl Frame:Double Pane 4 0.490 2
Ceiling 3:Flat Ceiling or Scissor Truss 144 19.0 17.0 4
Skylight 2:Vinyl Frame:Double Pane 4 0.490 2
Wall 1:Wood Frame, 16"o.c. 895 14.0 13.0 32
Window 6: Vinyl Frame:Double Pane 9 0.490 4
Window 7:Vinyl Frame:Double Pane 6 0.490 3
Window 8:Vinyl Frame:Double Pane 5 0.490 2
Window 9:Vinyl Frame:Double Pane 40 0.490 20
Window 30: Vicryl Frame:Double Pane 54 0.490 26
Window 31:Vinyl Frame:Double Pane 6 0.490 3
Window 31 copy 1: Vinyl Frame:Double Pane 6 0.490 3
s
Window 31 copy 2:VinylFrame:Double Pane 6 0.490 3
Window 31 copy 3:Vinyl Frarne:Double Pane 6 0.490 3
Window 35: Vinyl Frame:Double Pane 6 0.490 3
Window 8 copy 1:Vinyl Frame:Double Pane 5 0.490 2
Window 33: Vinyl Frame:Double Pane 2 0.490 1
Window 33 copy 1: Vinyl Frame:Double Pane 2 0.490 1
Window 35copy,l Vinyl FramezllnublePane S W 0.490 3
Window 33 copy 2:Vinyl FrameDouble Pane 2 0.490 1
Window 33 copy 3: Vinyl Frame:Double Pane 2 0.490 1
Door 4: Glass 56 0.490 27
Wall 2:Wood Frame, 16"o.c. 300 14.0 13.0 11
Window 15,Vinyl Frame:Double Pane 27 0,490 13
Window 16:Vinyl Frame:Double Pane 45 0.490 22
Window 17; Vinyl Frame:Double Pane 1 0.490 0
Walla Wood Frame, 16"o•c. 1008 14.0 13.0 33
Window 19:Vinyl Frame:Double Pane 9 0.490 4
Window 20:Vinyl Frame:Double Pane 9 0.490 4
Window 21:Vinyl Frame:Double Pane ---20 --- 0.490 10
Window 22: Vinyl Frame'DAnble Pane 12 0.490 6
Window 23;Vinyl Frame:Double Pane 10 0.490 5
Window 24: Vinyl FmTne:Double Pane 10 0.490 5
Window 25: Vinyl Frame:Double Pane 2 0.490 1
Window 26:Vinyl Frame:Dcuble Pane 2 0.490 1
Window 28: Vinyl Frame:Double Pane 5 0.490 2
Window 29:Vinyl Frame;Double Pane 5 0.490 2
Window 37:Vinyl Frame:Double Pane 5 0.490 2
Window 37 copy 1: Vinyl Frame:Double Pane 5 0.490 2
Window 37: Vinyl Frame'Double Pane 10 0.490 5
Window 37 copy l: Vinyl Frame:Double Pane 10 0.490 5
Window 39: Vinyl Fra=Double Pane 21 0.490 10
Window 40: Vinyl;Frame:Double Pane 8 0.490 4
Window 40 copy 1: Vinyl Frame:Double Pane 8 0.490 4
Window 42: Vinyl Frame:Double Pane 7 0.490 3
Door 6c Glass 56 0.490 27
Door 7:Glass 64 0.490 31
Door 8: Solid 21 0.200 4
Walt 4: Solid Concrete or Masonry:Interior Insulation 280 19.0 17.0 8
Window 4: Wood Frame:Double Pane 3 0.500 2
Window 4 copy 1:Wood Frame-Double Pane 3 0.500 2
Basement Wall 1: Solid Concrete or Masonry 280 19.0 17.0 7
Wall height:7.0'
Depth below grade: 5.0'
Insulation depth: 7.0'
Window 1: Vinyl Frame:Double Pane with Low-E 2 0.490 1
Window 1 copy 1:Vinyl Frame:Double Pane with Low-E 2 0.490 1
Door 3: Solid 17 0.300 5
Basement Wall 2: Solid Concrete or Masonry 392 14.0 13.0 13
Wall height: 7.0`
Depth below grade: 3.5'
Insulation depth: 7.0'
Window 1 copy 2: Vinyl Fmme:Double Pane with Low-E 2 0.490 1
Door 1: Solid 20 0.300 6
Door 1 copy 1: Solid 20 0.300 6
Basement Wall 2 copy I: Solid Concrete or Masonry 392 14.0 13.0 15
Wall height: 7.0'
Depth below grade: 3.5'
Insulation depth:7.0'
Floor 1: Slab-On-Grade:Unheated 40 0.037 1
Boiler 1: Other(Except Gas-Fired Steam),85 AFUE
Air Conditioner 1:Electric Central Air, 14 SEER
Air Conditioner 2:Electric Central Air, 14 SEER
COMPLIANCE STATEMENT; The proposed building represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the
New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and
-- -signed this page;they are a4estingthat to thebestof his/her knowledge,belief and professional judgment;such-plans or
specifications aze in com liaace.1wiith this-Code.
Builder/Designer
A.
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoltware Version 3.5 Release lc
_._DATE: 04/26/03
TITLE:Harmon
Bldg.
Dept. j
Use
I
Ceilings:
] ( L Ceiling 2:Cathedral Ceiling(no attic),R-19.0 cavity+R-17,0 continuous insulation
Comments:laundry Room Ceiling
( ] 2. Ceiling 3:Flat Ceiling or Scissor Truss,R-19.0 cavity+R-17.0 continuous insolation
Comment&Kitchen Ceiling
Above-Grade Walls•
[ ] ( 1. Wall L Wood,Frame, 16"o.c.,R-14.0 cavity+R-13.0 continuous insulation
j Comwents:t4l7loor
[ ] j 2. Wall 2: Wood Frame, 16"o.c.,R-14.0 cavity+R-13.0 continuous insulation
j Commcnts,Muddle Floor laundry Room
] ( 3. Walla Wood Frame, 16"o.c.,R-14.0 cavity+R-13.0 continuous insulation
j Comments:Main Floor
[ ] j 4. Wa1t4:Solid Concrete or Masonry1merior Insulation,
R49 0ca ly;+R-17,0 continuous insulation
Comments:West Basement Wall.Recorded as regularwall because it is mostly above grade
Basement Walls:
] j 1. Basement WWI 1: Solid Concrete or Masonry,7.0'ht/5.0'bgl7.0'insul,
j R-19.0 cavity+R-17.0 continuous insulation
j Comments:East Basement Wall
j Exterior incitation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in below grade.
[ ] j 2. Basement%112. Solid Concrete or Masonry, 7.0'ht/3,5'bg/7.0'msul,
R-14.0 cavity+R-13.0 continuous insulation
Comments:North Basement Wall,
j Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
j covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
[ ] j 3. Basement Wall 2 copy 1: Solid Concrete or Masonry,7.0'ht/3.5'bg/7.0'inul,
j R-14.0 cavity+R-13.0 continuous insulation
j Comments: South Basement Wall
Exter]or insulation must have a rigid,opaque,weather-resistant protective covering that
j covers the=expnsei('above-grade)insulation and extends at least 6 in.below grade.
Windows:
[ ] 1, Window 6:VinylFmme:Double Pane,U-factor: 0.490
For windows without labeled U-factors,describe features:
#(Panes Frame Type Thermal Break?( ]Yes [ ]No
Comments,North Facing Window(Master Bedroom)
[ ] 1 2. Window 7:Vinyl Frame:Double Pane,U-factor:0.490
For windows without labeled U-factors, describe features:
#Panes Frame Type Thermal Break? [ ] Yes[ ]No
j Comments:South Facing Window(Small Bedroom)
[ ] 1 3. Window 8:Vinyl Frame:Double Pane,U-factor:0.490
I For Windows without labeled U-factors, describe features:
#Panes Frame Type Thermal Break? [ ]Yes ( ] No
Comments:West Facing Hallway Window
{ ] ' ( 4: Window 9.:Muyl F-ame Double Pane[U factor::0.490
J For windows without labeled U-factors,describe features:
#Panes_Frame Type Thermal Break?[ ]Yes [ ]No
Comments:Master Bathroom Window
] { 5. Window 30: Vinyl Frame:Dcuble Pane,TJ-factor:0.490
For windows without labeled U factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Coinments:Balcony Window
[ ] 6. Window 31: VinytTrame:Double Pane,U-factor:0.490
For windows withoutlabeled U-factors,describe features:
#Panes_Frame Type Thermal Break?[ ]Yes[ ]No
Comments: North FaciWindow(Small-Hedrooml -
[ ) 7. Window 31 oapy 1: Vinyl Frame:Double Pane,U-factor.0.490
J For windows without labeled U-factors,describe:features:
#Panes Frame Type Thermal Break?[, ]Yes [ ]No
[ Comments:North,Facing:Window(Small Bedroom)
[ ] 8. Window 31 copy 2: Vi
myl Frame:Double Pane,U•factor:0.490
For windows without labeled U-factors,describe features:
#Panes_Frame Type Thermal'Break?[ ]Yes [ ] No
Comments: Nbifh Facing Window(Small Bedroom)
[ ) 9. Window 31 copy 3:Vuryl FrameDouble Pane,U-factor:0.490
For windows without labeled U-factors,describe features:
9-Panes_Frame Type ThennalBreak?[ ]Yes[ ]No
Comments:North,Facing Window(Small4edroom)
[ ] 10. Window 35: Vinyl Frame:Double Pane,U-factor.0.490
For windows without labeled U-factors,describe features:
#'Panes_Frame Type Thermal Break?[ ]Yes[ ]No
Comments: Frame,
Facing,Window(Small Bedroom)
[ ] 11. Window 8 copy 1:Vinyl Frame:Double Pane,U-factor: 0.490
For windows without labeled U-factors, describe features:
#Panes_Frame Type Thermal Break?[ ] Yes[ ]No
Comments: West Facmg Hallway Window
( ] 12. Window 33:Vinyl Frarr c:Doubie Pane,U-factor: 0.490
For windows without.labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ )Yes[ ]No
Comments: West Facing Window(Master Bedroom)
[ ] 13. Window 33 copy 1:Vinyl Frame:Double Pane,U-factor:0.490
For windows without labeled U-factors,describe features:
#Panes_Frame Type Thermal Break?[ ]Yes[ ]No
Comments: West Facing Window(Master Bedroom)
[ ] 14. Window 35 copy 1: Vinyl Frame:Double Pane,U-factor:0.490
For wnndows without labeled U-factors,describe features:
#Panes_Frame Type Thermal Break?[ ]Yes [ ] No
Comments: West Facing Window(Small Bedroom)
[ ] 15. Window 33 copy 2: Vinyl Frame:Double Pane,U-factor:0.490
For windows without labeled U-factors,describe features:
#Panes_Frame Type Thermal Break?[ ]Yes[ ] No
Comments: West Facing Window(Master Bedroom)
[ ] 16. Window 33 copy 3: Vinyl Frame:Double Pane,U-factor:0.490
For windows without labeled U-factors,descnbe features:
#Panes_Frame Type Thermal Break?( ]Yes [ ]No
Comments: West Facing Window(Master Bedroom)
] 17. Window 15: Vinyl Frame:Double Pane,U-factor: 0.490
For windows without labeled U-factors,describe features:
#Panes_Frame Type Thermal Break? [ ]Yes [ ] No
Comments:
[ ] 18- Window 16: Vinyl Frame:Double Pane,U-factor: 0.490
For windows without labeled U-factors, describe features:
4 Panes_Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ]' J 19. Window 17:Vinyl Frame;DoublePane,U-factor:0.490
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
I Comments:Triangular Decorative Window
[ ] J 20, Window 19:Vinyl Frame:Double Pane,U-factor;9.4.49_--______.--
For windows-without labeled U-factors,describe features:
#-Panes Frame Type. Thermal Breast? [ ]Yes [ ]No
} Comments:North Facing Dining Room Window
[ ] 21. Window 20:VinylFrame:DoublePane,U-factor:0.490
For windows without labeled U-factors,describe features:
#"Panes_Frame Type Thermal Break?f ]Yes [ ]Na
Comments:North Facing Dining Room Window
[ ] I 22. Window 21: Vinyl FrardeDouble Pane,U-factor:0.490
I
For windows withoutlabeled U factor`s,describe features:
#,Panes_Frame Type Thermal Break?1 ]Yes [ ]No
J Comments:NofthFacing Dining Room Window
[ ] I 23. Window 22:Vriayl FrerueDouble Pane,U-factor:0.490
For windows without labeled U factors,describe features:
I #Panes,Frame Type:. Thermal Break?{ ]Yes [ ]No
I Comments: Fast FaciiigOining Room Window
{ j I 24, Window 23: Vinyl Frame:Double Pane,U factor: 0.490
For windows writhont.labeled U-factors,describe features:
#Panes Frame Type_Thermal Break?[ ]Yes[ ]No
Comments'Sough Vacing Living Room Window
[ ] I 25. Window 24:Vinyl Frame;Double Pane,U factor. 0.490
For windows without labeled U-factors,describe features:
#Panes_Frame Type, Thermal Break?[ ] Yes [ ]No
Comments: South FacurgLivingRoo a Window
[ ] I 26. Window 25: Vinyl Frarut�:Double Pane,U factor:0.490
I For windows withoutlabeled U-factors,descrmbe features:
#Pares_Frame Typo: Thermal Break?[ ]Yes [ ]No
Comments:Sautfi Factimg Living Room Window
[ ] 27. Window 26: VmkylFram;:Doubie Pane,U-factor:0.490
For windows wtdwut labeled U-factors, describe features:
#Panes_Frame Tnes Thermal Break?{ ]Yes [ ] No
Comments: South F"acing;Living Room Window
[ ] I 28. Window 28: Vinyl Frame;Double Pane,U-factor:0.490
For windows without labeled U-factors,describe features:
#Panes_Frame Type. Thermal Break? [ ] Yes [ ]No
me
Comnts: South Facing:Kitchen Window
[ ] FrameiDouble Pane,U-factor: 0.490
29. Window 29: Vinyl
For windows without labeled U-factors,describe features:
I #Panes`France Type Thermal Break?[ ]Yes [ ]No
Comments: South Facing Kitchen Window
[ j 1 30. Window 37: Vnyl Frame:Double,Pane,U-factor:0.490
For windows without labeled U-factors,describe features:
#Panes_Frame Type;; Thermal Break? [ ] Yes [ ]No
Comments: West Facinglkitchen Window
[ ] I 31. Window 37 copy 1:V41 Frame:Double Pane,U factor:0.490
For windows without la�'Oled U-factors,describe features:
#Panes_Frame Type.. Thermal Break?[ ]Yes [ ]No
Comments:West facingKitchen Window
] 32. Window 37: Vinyl Franie.,Double Pane,13-factor:0.490
For windows without labeled U-factors, describe features;
I #Panes Frame Types Thermal Break?f ]Yes [ ]No
Comments;North Facing Living Room Window
[ ] I 33. Window 37 copy 1: Vi4l Frame:Double Pane,U-factor: 0.490
[ For windows withpnt labeled U-factors,describe features:
#Panes_Frame Type Thermal Break?[ ]Yes [ ]No
Comments:North Facing Living Rooiu Window
{ l{ 34. Window 39:Vinyl Frame:Double Pane,13;lsaetor: 0.490
] For windows.without labeled U-factors,describe feaures;. .. ...
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
[ Comments; North Facing Living Room Window
[ ] 35. Window 40:Vinyl Frame:Double Pane,U-factor:0.490
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:North,FacingBedroom Window
{ ] 36. Window 40 copy 1:Vinyl Frame:Double Pane,U-factor: 0.490
For windows without labeled U-factors,describe features:
{ #.panes_Frame Type Thermal Break? [ ]Yes[ ] No
Comments:NorthFacing Bedroom Window
[ ] E 3T Window 42: VinylFrame:DoublePane,U-f'actor.0.490 _
For windows without labeled U-factors;descrnbe'features--
C #Paues,__Fra=Type Thermal Break?[ ]Yes I ] No
Comments:EastFacing Bathroom Window
] { 38. Window 4:Wood Frame:Double Pane,U-factor:0.500
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:Front Basement Window
I 7 39. Window 4 copy 1:Wood Frame:Double Pane,U-factor:0.500
For windows without labeled U-factors,describe features:
#Panes_Frame Type Thermal Break?[ ]Yes[ ] No
Cominents Front Basement Window
[ ] 40. Window I: Vinyl Frame:Double Pane with Low-E,U-factor:0.490
For windows without labeled U-factors,describe features:
#Panes_Frame Type Thermal Break? [ l Yes[ ] No
Comments: Small South Basemen Window
[ ] 41. Window 1 copy 1: Vinyl Frame:Double Pane with Low-E;U-factor: 0.490
For windows without labeled U-factors;describe features:
#Panes_Frame Type Thermal Break?[ ]Yes [ ] No
Comments: Small South Basement Window
[ ] 42. Window I copy 2:Vinyl Frame.-Double Pane with Low-E,U-factor: 0.490
For windows without labeled U-tactors,describe features:
[ #Panes_Frame Type Thermal Break?[ j Yes[ ]No
Comments: Small North Basement Window
Skylights:
[ ] L Skylight l: Vinyl Frame:Double Pane,U-factor:0.490
For skylights without labeled 13factors,describe features:
#Panes_Frame Type Thermal Break?{ ]Yes [ ]No
Comments:Laundry Room Skylight
[ ] 2. Skylight 2: Vinyl Frame:Double Pane,U-factor:0.490
For skylights without labeled U factors,describe features:
#Panes_Frame Type Thermal Break?[ ]Yes [ j No
Comments:Kitchen Skylight
Doors:
{ ] 1. Door 4: Glass,U-factor: 0.490
I Comments:Balcony Door
{ ] 2. Door 6: Glass,U-factor:0.490
Comments:North Facing Deck Entrance
[ ] 3. Door 7: Glass,U-factor;0.490
Comments: North Facing Deck Entrance
l [ 4. Door 8: Solid,U-factor:0.200
Comments:Front Entrance
[ ] 5. Door 3:Solid,U-factor: 0.300
I Comments: Interior Basement Door
[ ] �, 6. Door 1: Solid,U-factor:0,300
Comments:Exterior Basement Door
7. Door 1 copy da Solid,U-factor:0.300
Comments:Exterior Basement Door
Floors:
[ ] I 1. Floor 1:Slab-On-Crade:Unheated,U-factor:0.037
Documentation must be submitted,verifying the overall assembly U factor.
The 15factor mustbe developed in accordance with accepted engineering practice.
I Comments:Slab Floor Adjacent to Front of Basement
I
Heating and Cooling Equipment:
[ ] 1. Boiler h Other(Except Gas-Fired Steam),85 AFUE or higher
Make and Model Number
[ ] I 2. Air Conditioner 1:Electric Central Air, 14 SEER or higher
Make andModel Number
] I 3. Air Conditioner 2:Electric Central Air,14 SEED or higher
{ M*c andMotleI Number
j
I Air Leakage,
} I Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage sms� ust be sealed.
[ ) I Recesseq Tights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
( with a 0.5"clearance from combustible materials.If rcon-IC rated,the fixture must be installed with a
3"clearance from insulation.
Vapor Retarder:
[ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors..
I
{ Materials Identification:
{ Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials and equipment must be identified so that compliance can be determined
[ ] { Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] I Insulation R-values,glazing U-factors, and heating and cooling equipment efficiency must be clearly
(
marked on the building plans or specifications.
Duct Insulation:
[ ] { Supply ducts in unconditioned attics or outside the building must be insulated to R-8.
[ ] [ Return ducts in unconditioned attics or outside the building must be insulated to R-4.
[ ] I Supply ducts in unconditioned spaces must be insulated to R-8.
( ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
I
{ Duet Construction:
[ ] I All joints, seams,and connections must be securely fastened with welds,gaskets, mastics
(adhesives), mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operatingat less than 2 in. w.g. (500 Pa).
[ ] {
Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ) { Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] Air filters are required in the return air system.
[ ) I The HVAC system must provide a means for balancing air and water systems.
I
Temperature Controls:
[ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
I
Electric Systems
[ ] Separate electric meters are required for each dwelling unit.
{
{ Fireplaces:
[ "] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction
provisions of the Building Code ofNew, York State,the Residential Code ofNew York State or
the New York City Building Code,as applicable.
{ Service Water Heating:
Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
I water heater has an integral beat trap or is part of a circulating system.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
� Circulating Hot Water-Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1,
Swimming Pools:
] All treated swimming pools must have an on/off heater switch and require a cover unless over 20%
f
of the heating energy is from non-depletabte sources. Pool pumps require.a time clock.
Heating and Cooling Piping Insulation:
[ ] I HVAC piping conveying fluids above 105 T or chilled fluids below 55 T must be insulated to the
levels in Table 2.
F
Tabio I: Minimum Insulation Thieknessfor Circulating Hot Water Pipes.
insulation Thickness in Inches b�Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) Up to 11, Up to 1.25" 1.5"to 2.0" Over 2"
_..170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HYACPipe&
Fluid Temp: Insulation'f1Hclaiess in Inches by Pipe Sizes
Piping System Types Range 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201250 1.0 1.5 1,5 10
LowTemperature 120200 0.5 1.0 1.0 1.5
Stearn Condensate(for feed water) Any 1.0 LO L5 2.0
Cooling systems
Cb lled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1-0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
✓� : OWN OF" SOUTHOLD PROPERTY ° REC-000 CARD
OWNER '` : <.- STREI7 22 =i VILLAGE DIST. SUB. - LOT
1 8yy
j—C ;1'l _ - - - - - —
df
FORMER OWNER i N w E ACR.
t- 1Crt`C(4''', i.a5: S _ W TYPE OF BUILDING
RES. l SEAS VL; FARM COMM. CB, MICS. Mkt. Value
LAND, IMP: TOTAL -DATE REMARKS
° u oir¢{;1�d/rn� . •-` Flai
P/e cu Nuri f ,.-- [d(' °",• B qo, �7 _Z2
C
Q 14-2_- -LIQ 3 a- � Gt
onr1 - 3 '�7 oc�
E Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadaa land = DEPTH
House Plat` _� ` i S�2 . Sa BULKHEAD
Total
w`
r r
a
Z,44 I
jru
,k
Iq
7 ST
M. Bldg. f.� 3X92 Foundation Ca Bath Dinette
.5 *.{. FULL
��vvxtfeXiokn L Sas Ica= ' e 3 f 37S Basement CRAWL Floors Kit.
Extens�n �� 10 Ext. Wails Interior Finish L.R.
Stnension � ti e , 135- oo p Fire Place Heat D.R,
h -
Patio Woodstove BR.
Porchr s < ! 9 SO Dormer Fin. B.
Deck hF2 Attic —
Breezeway
Rooms 1st Floor
' Garage 2 1 � o = P '0 Driveway Rooms 2nd Floor
O.B. (
Pool 1
°
BUILDM PERMIT EXAMAER CHiECK LST
DATE REVIEWED: �/&03
APPLICANT: vtc DATE SUBMITTED: X136103
SCTM# 0 � ('"
DISTRICT: 11000, SECTION: BLOCK'. J ,LOT: SUBDIVISION
ADDRESS:�7C) CoieCITY: M0Akbq L.,ZONINGDISTRICT: CONFORMING?
BUILDING PERMITS OPEN/EXPIRED:
BP Z/C/0 Z- INFO /BP -Z/C/0 Z- INFO
BP -Z/ C/0 Z- , INFO /BP -Z/C/0 Z , INFO
PRE CO: YOR N BP -Z/C/o Z-
SINGLE & SEPARATE CERTIFICATION-REdUTRED NOTES:
' LOTS 40;000SF-100-24 Lunt recognition.(CREATED before June 30,19$3),UNDERSIZED LOTS ROM JAN.1997 100-25:Kv ger.(A uoneonforming at any time after 7/1/£
' REQ.LOT SIZE: ACT. LOT SIZE. REQ. LOT COV. ACT,LOT COV.
REQ, FRONT PROP. FRONT REQ SIDE ACT. SIDE
REQ. REAR PROP. REAR REQ. HEIGHT PROP.HEIGHT
PROJECT DESCRIPTION: k?1�
ESTIMATED PROJECT COS 6 J'—: ARCHITECT,/F�R: G FAST TRACK
i WATER FRONT? A10 DESCRIPTION:
I PANEL #: FLOOD ZONE: —X�—, COMPLIANCE:
s APPROVALS REQUIRED
k SUFFOLK COUNTY HEALTH DEPT: YES or (BED #): _DTE: _/ / PERMIT#:
TOWN SEPTIC RECEIPT:.Y oN
c NEW YORK STATE DEC: PR&DEC 9/1/75 YES or
j SOUTHOLD TOWN TRUSTEES: YES o
TOWN ZONING BOARD APPROVAL: YES 0 -
TOWN PLAN. BOARD APPROVAL: YES or
j TOWN HISTORICAL PRE (SPLIA): YES or '
NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO
NOTES:
k
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF MT OTHER TOTAL
TOTAL: SF FEE FEE FEE
1. ( SF)- (SF)= SF X$—=$—+s—+$—_
$
2. ( SF)- ( SF)= SFX$ =$ +$ +$ _ $
3. ( SF)- ( SF)= SFX
FINAL TOTAL: $
s
- NEW YORK STATE CODE COMPLIANCE CHECKLIST
,USE/OCCUPANCY CLASSIFICATION:
/HEIGHT/FIRE AREA:
``TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE
`) FULL FRAMING DESIGN ELEMENTS:
HEADERS:Y/N WALL STUDS: Y/N
GIRDERS: Y!N CEILING JOISTS: Y/N
FLOOR JOISTS: Y/N ROOF RAFTERS:YIN
LUMBER SPECIES AND GRADE:Y/N
DESIGN LOAD CALCULATIONS: Y/N
ISHOULD INCLUDE LraE DEAD,SNOW,SEISMIC AND WIND(INCLUDING UPLIFT AND EXPOSURE)
WINDOW AND DOOR SCHEDULE:
MISSLE TEST REQUIREMENTS; Y/N N ��
EGRESS, LIGHT, VENT: Y/N
LOAD PATHS: Y/N
ROOF TO FOUNDATION N��
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N nJ
'I PLUMBING RISER DIAGRAM:,9N J
LOCATION OF FIRE PROTECTION EQUIPMENT: Y/'t
TRUSS DESIGN: Y/
CERTIFICATION: Yfo
/
ENERGY CALCS:6)/N ✓
r
'1
{
TOTAL COMPLIENCE? Y/N(RETURN TO PAGE ONE)
I
Ij
{
ilNG
B DEPT.
INSPECTION
[ ] FOUNDATION IST [ OUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ }
FIREPLACE & CHIMNEY
REMARKS:
DATE oT INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ROUGH PLBG.
] FODATION 21MD [ ] INSULATION:
[
FRAMING [ ] FINAL
[ ]' FIREPLACE & CHIMNEY
REMARKS: Y/
G
DATE 7 /0 INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROU LBG.,
FOUNDATION 2ND' [ NSULATION
] FRAMING [ ] FINAL
] FIREPLACE & CHIMNEY
i
REMARKS;.1-2
W
j
DATE 0 INSPECTOR
I i
i
I
765-1802
BUILDING DEPT.
INSPECTION
i [ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ = N,ATIOFRAMING [
j [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
i
REMARKS:
DATE INSPECTOR
WLD INSPECTION REPORT DATE CONIlYlENTS
Cro21
S
FOUNDATION(1ST)
--------------------------
G
FOUNDATION(2ND)
- z
J f
' Ip~
4
ROUGH FRAMING& i H
PLUMBING X`
nl i
ir
INSULATION PER N.Y. q
STATE ENERGY CODE.
tl
j
j FINAL
i
i
ADDITIONAL COMMENTS
5 0
m
I
a
TO*IN OF SOUTHOLD BUILDING PERMIT APPLICATI CHECKLIST'
BUILDIN6 EPARTMENT Do you have or need the following,before applying?
TOWN HALL ' Board ofH€uth w
SOUTHOLD,NX 11971 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631)765-9502 Survey
www. northfork.net/Southold/ PERMIT NO. tP-94®O� Check
Septic Foira
p( 3 Trustees
Examined �5' 'L' 20 Contact:
Approved l ,20_-3_ Mail to:
Disapproved a/c
Phone:
Expiration 1l Zt=, ,20. .
! �
uildi
w nn 1APPLICATION FOR BUILDING PERMIT
� ? �i qq
L Date �.0 2003
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 waterways.
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 a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months.Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the�Bu iding 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 of
Regulations,for the construction'of buildings, additions,or alterations or for removal or demolition as herein described. The
applicant agrees to cornplywith all applicable laws, ordinances,building code,housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
ml(rAigl sv�-,Jn /Venom
(Signature,of applicant or name,if a corporation)
5 7e, W q S 411 S
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
le-
afie of owner of premises fvs-40 �er,d®' �1r,04i'1
(As on the tax roll or latest deed)
f applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
uilders License No.
lumbersLicense No.
lectricians License No.
ther Trade's License No.
Locatio of land on wh'ch roposed work will e one:
House Number' Street Hamlet
County Tax Map No. 1000 Section /00Block � 3 Lo-t:=� //<
Subdivision Filed Map No. Lot
(Name)
�. State"existing use nd o iipancy of ses and intended use and occupancy of proposed construetiori .
a. Existing use and occupancy MAMA# *'f-b bulpospP
b. Intended use and occupancy A"s 2f
3. Nature ofwork(check which applicable):New Building Addition AlterationcV/1",
Repair Removal Demolition Other Work
ry,- vol (Description)
4. Estimated Cost .D Fee
(Tobe paid on filing this application)'
5. If dwelling, number of dwelling�u�nits�I+ ,Number of dwelling units on each floor IA
If garage, number of cars �1A
i
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ffi
7. Dimensions of existing structures;if any: Front Rear Depth
r 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 Rear Depth
Height . Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Ownerp
11. Zone or use district in which premises are situated
12. Does proposed construction violate anyzoning law, ordinance or regulation?YES NO
13.Will lot be re-graded? YES NO V Will excess fill be removed from premisees
/ ? YES_NO_
14. Names of Owner of premises Miy- alddressS/ �7bJ�Wt)f6yePhone No. fS -/V/Y
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY Bl>REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO '
* IF YES, D.E.C. PERMITS MAYBE REQUIRED.
16. Provide survey,to scale;with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY
,OF )
t'WQ� /� /IIO✓� being duly swom, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the o&- ,9n�
(Contractor,Agent, Cdfporate 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 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--V/7) 200 3 �\ /
Notary P4blic S\ignat�ureofApplicant
1.1 DA J.CoOPES
Mata€pr Publto'State of Now York
3tio.X222563,Suffolk Crant` ,26o ,e;,
}� 9"ow, -
TO V),lli
Rb�lG bllHCx �iF+�a � If
4T5
V '
m,
r� U-, ea
1 yr N
f
N
T
EXISTIN.f i .
% 79,77.
.aro .r./•i -�, ire n.r C.,, %i
� STE cO pcaes 4
To or FcvwYro Mr+�
F
u Lc f L- A N
'- -- - - __ EXIST)LIy' G0Nc2f7L` FO UN DA71Grl WAI-L -'
5'ro�A�E
91.6 AL T- la
o.i
I
M / �' r ' \ 11 � •L=v r Fu A'll`_,
? tm 0 L rJ
�. ak5 AJlr
"5 1
10'w _ _ e� �mr r3?
1. FINISH UACMYr u9N- NM31TAl"of_e, I i
co4po m S TO ftll STAN O Al'2 V
17E.5 celo lv 4..
2. PARTITIONS TO BE 2"X4" WOOD STUD NIT^ ,
J
GYPSUM BOARD BOTH SIDES.
2"X4• WOOD STQn.R N/ GYPRD!! BOARD 2"v4". lloMU/e a .y,�__,� • S� FIfYt aN
AGAINST CONCRETE FODNDATIOII'NALLtS.
- ^ _
3. SA NItTAE? DRAINAGE TO GD TO EXIST,IN4 _ -- - -
sx"IO TAM AND LEA6! WG "WA. rr , ex��PlNt�. stl&f.
4.. OLUDERS'OAM, troWgM. AND AWIC90.M M ---T
ki0lL/E2 QIO1M S ' 10 sM1 TCN RS -- - Flµ�sN prYSE tt�rJ r
b; '1'0" F�v+it }rS. fewwx:rwl SA,.'MM4Mk r, I_ ' , ''" �'°" lSii G7�-iiHC. It USI�iJ Hk1YGNO"
I qn- �� �pp0.EN A
Ay� E,pm J V JR FSH•S�Ila'N C 1
a
RREN
_ A,wmeAcm
?LAO c- a6 '� - GfM15 SLTINti ENGINEERS
+7' .�/ P-0- 1032 COX LANE iS110 W/
_ SCA[.r.; V4.1� 1`-O' 41ArE srelEGiJTLNCKaNE,raV 1 1W
.'ki4S Ne 1�o� o-z.za_cs
¢wo�.1•�_03 �!; na,,:Vn� Iha.a- a�,w
i Qcv: b3- 14-03
APPROVED AS NOTED COMPLY WITH ALL BODES OF W. TIFICATE
E>Y* DATE: 512115 B.P'.• a�4W-JE ATC & TOWN CODES 1
NEW v( qu cT hLOWn-
�^ t' 7PR AS REQUIRED AND CONDITIONS OF
_� _r..._�. FEE: 150 BY:
Nlq
4u/ ,?
NOTIFY BUILDING DEPARTMENT AT SDUhN71.DTOWN28A ',. ._"'- I a.
7019M 8 A TO 4 P FOR THE "!{? PLUM¢LH
FOLLOWING INSPECTIONS: SOUTHOLDTOWNPLANNINGBOAAp t e .
1. FOUNDATION - TWOREGUIRED L!A SOUTHOLDTOWNTRUSTEES ON LEADCONTENT
FOR POURED CONCRETE / q. CER TIFICA TE OF OCCUPA NC Y
Td pomp' Ice �hlo:'� 2. ROUGH - FRAMING 8 PLUMBING . N.Y.S.DEC
3. INSULATION SOLDER USED IN WATER .
- N-(L ; 4. FINAL - CONSTRUCTION MIST
SUPPLY SYSTEM CANNOT
BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL F
FLU Ob I N d 5 F e T1 V F I EXCEED 2/10 OF 1%LEAD.
ALL CONSTRUCTION SHALL MEET THE MEET THE REQUIREMENTS OFTHE W
AT,5 REQUIREMENTS OFTHECODESOFNEW CODES OF NEW YORK STATE. o ,
_ YORK STATE. NOT RESPONSIBLE FOR CJ '-
DESIGN OR CONSTRoCTION ERRORS
FLOOD SFr
PLUMBING 7Mp NIA `"°Y v
ALL PLUMBING WASTE COMPLY WI N _ { pp ctac4ls „ +
&WATER LINES NEED FLOOD DAMH,,F _,, _ 46" I C + Y
-STING BEFORE COWERING SOUTHOLD TOWN CO�ENTNN
OCCUPANCY OR
USE IS UNLAWFUL
I
Tio WITHOUT CERTIFICATE w '
OF OCCUPANCY
it
3' �� �XISTIN6 -,.. .,.l.�•. h., r.-!'.
To SSG gE(V1[LO
F PLL.- A 14 1
N
� NTD
WA'-L -
57a�4�E
f
fALA
' - ; 1' •9n b` 2�r� .....e.....`^- -___�—+ 1 ,'I- �I .• v1° '.FI,nSr+rU
I PjAILLt'YL -
k7ALL 057AII-
_._.4 or
H I
�.-. FINISH nGhF^1eVY UQN- NA3ITA P.��At. I �
to"Fz W5 'FO RSL[-- 4TAr10 4P-0
VIES CAw nvtt,
2. PARTITIORS TO BE 2"x4" WOOD STD.D NIT.^' -
k", GYPSDM BOARD BOTH SIDES. - - -
2x7i4x NODO STS N/%- GYPSUM BOARD -� f. 2'tv '1_ N < t 7 ' S2_�INISI-I
AGAINST CONCRETE PODNDA'1�SOk;'=1lXLLS. - 'J
9.. $a NITA4Y' DE11TrNAOE, TO GO 110 REISTMG
- A' eu:o7,iu,r�wlun_rrw
S$PTIC TARE AND-Laconia POOLS.
9. PLdONEWJM LIGHTING AND BASEAQARD F4 4t SN 1545GtnCrlT
DuplAk oftiYGNTs, AND SNITmo. - .
5. '+'sr" {`.LR'O¢ Tb GemLIN.t4' Ik►n'.Ew1^AF._ .�.. . -„ , �, - tilteid''rT,CE:"y SGSAaI HWr2W10nI
.�-�.• °'- .r-.nvr:;-. - + +I /rye
yQ�,POFESSIO/yq( Y !T10 -1g4S-TI xFN CYW -I
`s�ppp0 A Sgye F2
i rA4 TTITUU
_ WARREENA.8A&Mck
r A h-I - µ`: x CANE'R.TWG ENGINEERS
P.O. Dox 903.9 COX LANE
- SCA:-�: 1 4rt� ISO• _._--..
Al lwt o�a"'�F CiUTCHWUE:NY 'fism
� ^�ava;~f 31E•TS4-TAp2
owl