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HomeMy WebLinkAbout29039-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y- CERTIFICATE OF OCCUPANCY NO: Z-30356 Date: 08/13/04 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 150 MOOSE TRAIL CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 4 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 19, 2002 pursuant to which Building Permit No. 29039-Z dated DECEMBER. 26, 2002 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancv for which this certificate is issued is ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONALD L ALLISON STARZEE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1135256 08/01/03 PLUMBERS CERTIFICATION DATED 10/31/03 ROBERT VPN ETTEN thorized Signature Rev. 1/81 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. 29039 Z Date DECEMBER 26, 2002 Permission is hereby granted to : DONALD & ALLISON STARZEE CUTCHOGUE,NY 11935 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 150 MOOSE TRAIL CUTCHOGUE County Tax Map No_ 473889 Section 103 Block 0004 Lot No. 009 pursuant to application dated DECEMBER 19 , 2002 and approved by the Building Inspector to expire on JUNE 26, 2004 . Fee $ 309 . 00 � -- Autho ' ze nature ORIGINAL Rev. 5/8/02 o u Form No.6 TOWN OF SOUTHOLD -_ BUILDING DEPARTDIENT TOWN HALL765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANT=Y._ This application must be filled in by typewriter or ink and submitted to the Building Department 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 forret). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains loss than 2/10 of 1%o lead. 6. Commercial building, 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. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application slid consent to iu;pect signed by the applicant. If a Certificare of OCcupuncy is denied, the Building Inspector Slrall state the reasons thereon in v riling to the applicant. C. Fees 1 Certificate of Occupnnc} - New dwelling S-)5.00, 1dJiticns to dwelling 52�.Ou)\I[erations to d1celling S_?ti.00, Swinuning pool S-5.00, Accessor:b-uildiug W5.O0, Additions tO accessop building $-5.00, BLl31neSSeS S50.00. 2. Certificate of Occupancy on$re-existing Building - $1100.0 i 3. Copy o€Certificate of Occupancy 4. Updated Certificate of Oa:up.utcy $iii.ilii =. Ten porar: Ccrtitica[e of Occupttne,, - P.egidertial ";lS OCi. Conintzrcial SL" Cii Date. I► 191C)3_ Nev; Construction: 'ya Old or Pre-existing Building: _ - (Check oat) r l Location of Property: I�© H Lj05e Tra l I C, 3 1 cV)na oe . Y�/ly-/ 1 I �f�p 35 House No. /Street Hamlet Owner or Owners of Property: ,1 Jin R p F 1 1 5Qp ��Q tr Ze T Suffolk County Tax Nlap No 1000, Section Block Lot Subdivision Filed Nlap. Lot: C f PermtNo: Date ofPzrmit.l } u"� Applicant_Do nv2 �p,l }))iSr� S�rzF� —- — 1 r� / Health Dept. Approval: / Underwriters Approval:Ce-A* , � � p� V/ Planning Board Approval. / Request for: Temporary Certificate Final Certificate: v (check one) Fee Submitted: $ ��0 L � 3-)3 - Applicant Signature 10)%UFFQ461, a Fax(631)?65-18:- Town Hall,53095 lvlairs Road V) Telephone (631) 765- P.0. Box 1179 Southold,New York 11911-0959 BUILDING DEPARTMENT - __-- ----- ------------- T-o N ® UTHOLD CERTIFICATION Date:_` / Building Permit No. _ � q O—N?-- bon o n cry c_ �,�. _ (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) s Sworn to before me this/ day ofi7\ , 206 Notary Public "�ounty JANET E.STAPLES Nctarf Public.Cin of NOW Yoh 1l,.5831947.Suffolk CmuAY Comusion EoTaii 131.2 Q []. nl nLrL3pL j'L3pL pLrprJM.:'Ilfar�frJ7 rrJ'J arJ�rJ�oP�PrJ�rJr�r�far�frJ�tPr 11 11J�cPfrJ�r2PLPLrJLrr3r3PLrr3 rJVfr PL I7 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU OF ELECTRICITY 5 rj 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT S CJ Upon the application of upon premises owned by 5 5 5 HUBBARD ELECTRIC DONALD STARZEY r5 178 HUBBARD AVENUE 150 MOOSE TRAIL 5 RIVERHEAD, NY 11901, CUTCHOQUE, NY 11935 7C�5 Located at 150 MOOSE TRAIL CUTCHOQUE, NY 11535 7c 7c Application Number: 1135256 Certificate Number: 1135256 Section: Block: Lot: Building Permit: BDC: NS11 5 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 Basement,First Floor,Outside, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 rj found to be in compliance therewith on the 1st Day of August, 2003. 5 5 Name OTY Rare Ratins Circuit Twe 5 alarm and Emergency Equipment 5 5 Sensor 1 0 Carbon Monoxide 5 Sensor 2 0 Smoke 5 5 appliances and Accessories 5 5 Exhaust Fan 2 0 F.H.P. -Hydro Nlassa;e T LLJ,Resideadal 5 Wiring and Devices 5 Receptacle 16 0 General Purpose 5 5 Switch 12 0 General Purpose 5 Fixture 10 0 Incandescent 7� 7 Dimmers 4 0 L� rrr5 Paddle Fan 2 0 GFCI Circuit Breaker 1 0 20 arup Appliance - Fixture 5 0 Fluorescent L+ 5 Receptacle 3 0 GFCI 5 seal 5 5 5 5 1 of I 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ff][1i21i] cdrJ�r�cPrJ��P�PrJarJrJ@PrJ�rJ�rJ@d d ddJ�rJ IrJrJrJrJr�EIR1121r1: 1: 1- -1- arJ'rJ'rJ'at0EIR[i: E1121111111111�rJ �iIcPEPEPEEPE- J'-Prpff . Penny Lumfer Phone: (631)298-8559 Mattituck Location Fax:(531)298-8561 re. job: STARZEE RESIDENCE I ADDITION January 16,2003 THE FOLLOWING REVISIONS ARE TO MADE TO ADDITION: 1). FOUNDATION: CRAWL SPACE TO BE CHANGED TO 8'TALL BASEMENT. OPENING TO BE MADE TO BE (MIN. 3')4'WIDE WITH 2-2x10 HEADERS ABOVE. 2). FIREPLACE: TO BE CHANGED TO A WOOD BURNING STOVE. CHIMNEY SIZE TO BE ADJUSTED ACCOMMODATE FLUE. 3): 1 -BAY WINDOW TO BE OMITTED IN LIVING ROOM FROM DESIGN. , 1 � F-Y REVISION .I AFeJ � ' 'rIa 2 z. .................... .... 'I .50` i _..... ..._....- . I / ................. ...... .. . I ,pVl�.. ,/,6 •PROVIDE 4.1Bx6 FOUNDATIUN VENTS l r BA6EMENTCRAWLSPALE'. / I T BE AOTUHIEN FOUNDATION w14"SLPB m 1151i1l9111E3dl1HlAlli1111AGd11FHFIIEH9111AE1111 I � � !1 El11H 11 Ills 181185611eaEee lsSa;lHSl n eaal�I Si / 9-4x10 FIR GIRDER A i 9'WIOEOPENING SABOMADE USE 2-h10 HEADERMS ABOVE / .. ... ..........I PROVIDE IE"IR4" / 4 " ...ACGESb. PENING ,. _........................................................................ ........ ...... __.,........_,_._.,.__.. _..._,-..................._..-i I i I I I / I1 ' I EXISTING FOUNDATION I I " / � I i I ' i I I I I I .. _. . . .. .........................................------.................................................-------------......................................................".__., FOUNDATION PLAN SCALE.1.4"•II-0 REVISIONS�LE VS—ILS' : . v. . � o p FIRE PLACE TO BE OMITTED l�1 Tr A 5'A' ib" TO SEREPLp.EDWRN J v " +� WOW BURNING gl 0114^ 1VAI IA- E'i" cN11NEYEREDEE pOJDBTETOCcoMM0ATE PIPE 9AW1a59B BSO 1aaL (EMI6TM0! 16ada14" a a:•: 1•SAY WINDOW ONITTO 9E OMITTED ti I N /fuP CJ 4418"nG' MASTER BEDROOM w b v IW1F�nf. ry NI 6.111'BEL.RED DANK ORIND d w 6 P � I � .w ala4�r;•�' � � EXISTING HOUSE i I 15T FLORILAYOUT TAT Sq.FT. 9GAL&V4�Ic' In O REVISION z z SCALE:118"114Y I-SAY WINDOW IIWTO ITHE OMITTEDREPL ` , -.: )f,f 8a"BID"ART GLA696TAT.WINDOW W 4� ' a 34B" W HEARTH WOOD.STOVE IfqMODEL: HEELSRNEcG I" SPECIFICATIONS: Z W : z FIRE PLACE TDDE DMInEO Width(IBUutlad Bua 11 supploth 26' O 0 .J.. Hugh llundUl flub 11 nuppllod)29" Depth e, uoll Iuppllo121 " Q =)MrumLog LbnglbWYU NIB-EGXWYFirearm CeoO )2.0 Dubin lael F (EhT2O) EL6tNS) Flub Evil B Dlnmb1er 46 dogma aril B-duo cNlar Q W Mal,Pon VBB Gpdonal Blower Hll Vas IL.j (q (� xG' le'- al4" Meblle Hama Oertlllatl Yee ❑ � 0 V Mubvb c.lddatloul Ya Q Atluel We1dh14Gn Iad, W _ CLEAAANCE6 Unproh letl Guiana ''t®I^ ®G — ia.7 y TOWN OF SOUTHOLD PROPERTY RECORD CARD - 4` /6 3WNER STREET VILLAGE DISTRICT SUB. LOT =ORMER OWNER N E ACREAGE p� V W� S W TYPE OF BUILDING 1 v� V l h c ? r 'z e—,» , eS. f SEAS. VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS fa/a /D"( �' J �w Beek o a pz. n e C' 600 5-00 > oL) e 4 U ®Ova race t T 4rj /Z 0 d y?db Z �J� ! /9 / 5 far , �ntq. [ fGodo /Z3Co SZc2�gf C c�/tea ��aG yaa -Lll Rq QR70- 1,C h4e f r w — 1'j=. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD `dd f:f a sere �y-dY ;� !liable 1 _oi L vuaer. g� liable 2 DOCK liable, 3 roodland vampland 'ush land ouse P* Dtal mil �— --- - — -- -- I _ - - A. Bldg. G ( ndotion ` - Bath / xtensio e_- Basement Floors 'f7� c7�,/ _ 13 C 38 ru_I _. d -- xtensionErt. Walls Interior Finish —xtension Fire Place Heat Porch Roof Type , - - Porch Rooms 1st Floor — — -- — reezeway Patio Rooms 2nd Floor forage f 3 G Driveway Dormer 13. Y Permit Number MECcheck Compliance Report Checked By/Date New York State Energy Conservation Construetion Code MECcheck Software Version 3.3 Release Ic Data filename: Untitled TFILE- STARZEE RESIDENCE COUNTY: Suffolk STATE:New York HDD: 5750 CONSTRUCTION TYPE: Detached 1 or 2 Family Iu 4 ' HEATING TYPE: Nan-Electric DATE: 12/05/02 s' DATE OF PLANS: 12/02 � ' COMPLLANCE:Passes Maximum UA= 143 Your Home= 123 14.0%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Cathedral Ceiling(no attic) 392 300 0.0 13 Ceiling 2:Flat Ceiling or Scissor Truss 325 30.0 00 11 Wall 1:Wood Frame, 16"o.c. 670 19.0 0.0 33 Window 1:Wood Frame.Double Pane with Low-E 82 0.280 23 Door 1: Glass 40 0280 11 Floor 1:All-Wood foist/Truss,Over Unconditioned Space 717 21.0 0.0 32 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted vdth 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 attesting that to the best of his/her knowledge,belief and p F sional judgmentsuch plans or specifications are re in compliance with this Code. Buildcr/Designer ` Date JZ— L) —c)Z MECcheck Inspection Checklist New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lc DATE: 12/05/02 TITLE: STARZEE RESIDENCE Bldg. Dept. Use I Ceilings: [ ] 1- Ceiling 1: Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: [ ] 2. Ceiling 2: Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: I Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Wood Frame,Double Pane with Low-E, U-factor: 0.280 For windows without labeled U-factors,describe features, #Panes_Frame Type Thermal Break? [ ]Yes [ ]No Comments: I Doors: [ ] L Door 1: Glass,U-factor: 0.280 #Panes_Frame Type Thermal Break? [ ] Yes [ ]No Comments: I Floors: [ ] 1. Floor 1: All-Wood Joist/Truss, Over Unconditioned Space,R-21.0 cavity insulation Comments: Air Leakage: [ ] Joints,penetrations, and all other such openings in the building envelope that are sources of air leakage must be scaled- Recessed ealedRecessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials. If non-IC rated,the fixture must be installed with a 3"clearance from insulation. I Vapor Retarder: [ ] 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. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building most be insulated to R-8. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-=4. [ ] Supply ducts in unconditioned spaces must be insulated to R-8_ [ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. I Duct Construction: [ ] 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 operating at less than 2 in. w_g_(500 Pa). [ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] I 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: [ ] I Separate electric meters are required for each dwelling unit. I Fireplaces: [ ] I 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 of_New fork State,the Residential Code ofXew Ibrk State or the Anew Fork City Building Code, as applicable. I Service Water Heating: [ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] I insulate circulating hot water pipes to the levels in Table 1. I Circulating Hat Water Systems: [ ] Insul2te circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ 1 All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105°F or chilled fluids below 55°F must be insulated to the I levels in Table 2. BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: /02 APPLICANT DATE�—_ �S tlfl�tc _ DATE SUBMITTED: ion , %02 SCTI\,I#DISTRICT: 1,000. SECTION: �bZ , BLOCK: s� , LOT.- STREET OT:STREET _-\_DDRESS: E - CITY:�11 �FSLBDB'ISION: ^ _ PROJECT DESCRIPTION: Am'sJ'Atz i ESTIMATED PROJECT COST_ARCHITEC 'ENGINES ���FAST TRACK? &,, SINGLE & SEPARATE CERTIFICATION-REQUIRED? go NOTES: _ LOTS 40,000SF-100 24.Lot recogni&n.(CREATED before June 30, 1993),UNDER-SIZE0 LOTS FROM J-A-N.1997 100-25.Mcrger.(A nonconforming at anytime after 7/1/83 ZONING DISTRIC �— CONFORMING? _ k(O REQ. LOT SIZE: ACT. LOT SIZE,?JAR�f REQ. LOT COV. ��V ACT. LOT COV. REQ_ FRONT cE PROP. FRONT --REQ SIDE ( ? _ACT. SIDE REQ- REARS PROP. REAR :/ REQ. HEIGHT PROP. HEIGHT WATER FRONT.? Aw DESCRIPTION: PANEL #: 14�_ FLOOD ZONE: 6 APPROVALS REQUIRED SUFFOLK COUNTY HEALTH D)�q: YES ot<C , (BED #):_DTE:—/_/ PER N11T #:R10- TOWN SEPTIC RECEIPT: Y or IV NEW YORK STATE DEC: PRE-DEC 911/75 YES orAg SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA)): YES or NYS ENERGY: S O NO ✓ �` - / / EGRESS (18 H � .- 4 sq total) TENT (SQ- FT. x 4%) LIGHT (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z_ HAVE PRE CO'S : Y OR N BP -Z/C/o Z_ NOTES: --- --_ - _ FEE STRUCTURE: FOUNDATION: lsg9 SF FIRST FLOOR: cl �� SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL r�av!l TOTAL: Q I�i S C7 SF FEE FEE FEE 1. ( ),fSF)- (®�� SF)= 63CJ SF X S t nO=S $l 2. ( SF)- ( SF)= SF X $ =$ +$ +$ =$ 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE D`/ o f a 3 INSPECTOR qo 3 IF+, 765-1802 BUILDING DEPT. NS ION FO ATION IST [ ] ROUGH PLBG. [ OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPHIMNEY REMARKS: DATE INSPECT '� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ /]---ROUGH PLBG. [ ] FO. NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLPJ,04 A CHIMNEY REMARKS DATE l' ®� INSPECTOR . M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 7U DATE a�-�- � INSPECTOR _ . 1 765-12 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FIN ATION FRAMING [ [ ] FIREPLACE A CHIMNEY REMARKS: 1 DATE k INSPECTOR FULD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) y 1 # FOUNDATION(2ND) m z 0 - K H ROUGH FRAMING& � H PLUMBING INSUI.ATTON PER N.Y. STATE ENERGY CODE TTc Q FINAL ADDITIONAL COMMENTS l I c � m - O H O x d e� TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING I9EPARTI<'IENT Do you have or need The followung,before applying' TOWN HALL Board of Health SOUTHOLD. NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 ) Survey — vcivw. northfork.net/Southold/ PERMIT NO. Check — — Septic Form —_ N.Y.S.D.E.0__ II Trustees__ Examined_ !Z 20 'Z1 Contact: Approved_ -20 Z_ plait to: Disapproved a'c ``1111117777TT � Phone: Expiration , 20 i Building Inspector -- " ' APITICATION FOR BUILDING PERNUT �r6 Date . 20 ------ — INSTRUCTIONS a. This application MUST be completely filled in be 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 prernises,relationship to adjoining premises or public streets or areas, and watem ays. 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 eN-er 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 19 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 pennit for an addition six months. Thereafter, a new permit shall be required. .-\PPLICATION IS HEREBY NL-\DE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold. Suffolk County,New York and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises arid in building for necessary inspections. (Signature of applicant or name,if a corporation) 15y moose 1 ra I , Cy-±c�drU2 JJ (Nlailing.address•of applic �t State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name oforcner of premises �-)On nm (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and t�it'lrae oI' 'corporate officer) Builders License No. Plumbers License No. _ Electricians License No._ L-�70 G — — Other Trade's License No- t. Location of land on which prop1 osed n grk will be done: \ 5c� �'l00�2 �c�,.\_R Gy�chyc� y2 , ��-( 111 35 House Number Street Hamlet County Tax Map No. 1000 Section O3 . Block_ Lot _ Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended Ke and occupancy of propos,d construction: a. Existing use and occupancy 5-t r1 \e )f1n m b. Intended use and occupancy S Cox Y e_ 3. Nature of work(check which applicable): New Building Addition W Alteration Repair Removal Demolition Other Work (Description) 0 Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units_ Number of dwelling units on each floor a- If garage, number of cars 2 If business, commercial or mixed occupancy, specify nature and extent of each type of use. 1 r 7. Dimensions of existing structures, if any: Front 55 0 Rear 55 Depth d 0 O Height) Number of Stories Dimensions of same structure,with_alterations or additions: Front c5 5 Depth 41(n D' Height ) 2( I Number of Stories 1 8. Dime�ns of entire new construction: Front J�I I O Rear I 1 Depth eight ) Number of Stories 1 9. Size of lot: Front 100fPQ�Rear 1 by4k;' Depth C� 1 \�1 TTee1f 10. Date of Purchase Name of Former Owner \\ f L t' A a 11. Zone or use district in which premises are situated C-e5,• AerA i C'4 1 12. Does proposed construction violate any zoning lace, ordinance or regulation? YES_NO X, L'. Will lot be re-graded? YES NOS{ Vill excess fill be removed from premises? YES_NO k -Don P.1,9 C a . oP C.r�cha 14. Names of Owner of premises q\�C5onM.�ru2addressl5ornoggi2k•1, Phon'ONo. (D31 --]3y-e0&a 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 X " IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED- b. Is this property within 300 feet of a tidal wetland? * YES NO �( * IF YES, D.E.C. PERMITS MAY BE REQUIRED. -7X 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 sun ey. STATE OF N17W YORK) COUNTY OF� being duly sR orn. deposes and sans that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the 2Q (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duty authorized to perform or have performed the+d work and to make and file this application; that all statements contained in this application are true to the best of his kaon ledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. SiN opiAo before me thi v of 20 UZ_ otan,Public Si_, e of, rcant NOTARY PUB C S Atte of New York NO. 01 80 6 020932 Oualified in Suffolk Coun Term Expires March 8, 20 1 0 0 0 AP RO DASNOTED 34,_6„ ��. 2 T.6 yB.P.*` �I(] N oi. 22'-6" 6'-0" 7-0" M71; .UILDING DEPART z Z 765.1802 9 AM TO 4 PM FOR THE ¢ F a - FOLLOWING INSPECTIONS: o o Q < 1. FOUNDATION - TWO REQUIRED o -- --- ----- _____� -------, '------------------- o FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING & INSULATION __________________________' ___ 4 FINAL - CONSTRUCTION MUST Z W ' UCTIO C.O. LU BE COMPLETE - PROVIDE 4-16x8 FOUNDATION VENTS i ALL COO gUC710N SHALL MEET THE I � IY MENTS OF THE N.Y. Q Q ST EC ST CTION &'ENERGY Of F C D N T A PONSIBUt ,FOR LU z OE I6N NET CTIOWERRORS H Z a w Z J O 6-71/2" 6-71/2" _ 8'-B" 6'-71/2" 6'-71/2" ,, •�� � +_ J o PL _ ------------------------- f -- -------_—___ _ E _ y_ a rl s ` __________- e3'-'-_______=____ ------------------__________i-- Q 11) 11V Tr ? - - 3-2x10 FIR GIRDER ;lb Lc 111 O 5A BING ALL PLUMBING WASTE V m =' &WATER LINES NEED 7 ao TE971I,1, RP Mtr-COVERING r m m - PROVIDE 18N24" PROVIDE SMOKE-DETECTING LL ACCESS OPENING ALARM DEVICES Y ----------------------------------------------------------------------- ______________________________________________________ AS TO PART. 721.1 a o j N.Y.S BUILDING CODE. c r I --------------------------------------------------------------------- ----------------------------------------------------------------------, x w m � m p N Z If cor)ppr*I.Ibing is used ; m for 6�,tvibuting D'sDin'g skull be UNDERWRITERS CERTIFICATE I 12Ei�'IIRCU PROVIDE ANTI-SCALD AND/OR THERMALSHOCK PREVENTING DEVICES AS TO PART.902.6(K) w IN N.Y. STATE BUILDING CODE. z EXISTING FOUNDATION w u PROVIDE OPENINGS FOR C7 EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF O N.Y. STATE BUILDING CODE. O w R!' ll)CERTIFICATE �w u O �.f a np1 GCY ORV�' UNLAWFUL �+ --------------------------------- �aA!Y CERTIFICATE CII: OCCUPANCY ------------------------------------------------------------------------------------------------------------------------------------------------------------------------- FOUNDATION PLAN PO NOT PROCEED WITH SCAL�e 114" - v-0' 1 f 4MING UNTIL SURVEY Iq 01 FOUNDATION LOCATION HAS BEEN APPROVED. o wr Q a 0 N N 0 W a x M 1 u 0 N � d 34'-6" — u > 22'-6„ 5, 6„ 7W- z T-0" 10'-01/2" 6-01/4" 11'-111/4" 3'4" o U m ❑ ° n 0 (o) 4" C/) w N/L2442 WL 2442 3 -CW135-15 30-CW135-15 - Z W \r (EXISTING) (EXISTING) (EXISTING) - - _{ 15,_2„ 18'-J 3/4" a W < z HZaui QC � � i 2x8 CJ a� 16" OC �.... ..;=�;�.�„ �;1� WO MASTER BEDROOM zzQ OD Z \ � 2ac3nals° oc ° F-: °d 0 Z o 0, 5-1/4"SEL RED o Q Q N p OAK FLOORING 3 LL m 5'-0" W �\ N s•-1 u" 6„ z z N rynZ q W r Q ah JYA � 6 - W 1 ` 2z8 RRR�dI. m o0 Y m x w m � z m } C T N Z M m Y W F EXISTING HOUSE _ w C C j w Moms4 x 1 ST FLOOR LAYOUT 9GALE 1/4" = '-O" a O 717 SQ. FT. IN W a a O N l( L F S Lo II M - N `r � a a > � m z C a O Q �n ❑ ❑ I W O_ N F Q H W U) � z H z w � 0 Q CIO w0 ZJ OF Z J OD WINDOWS I DOORS: O Q O ANDERSEN HIGH-REFORMANCE UNITS "EXISTING" UNITS TO BE RELOCATED CHIMNEY HEIGHT TO H 06 FROM HOUSE EXT PART OF ADDITION MEET N Y S. CODE Q z _ HEIGHT REQUIREMENT Q CITY.: CAT. NO.: ROUGH OPENING: UNIT S.F.: CLEAR OPENING SF.: U-VALUE: NOTES: Q Q 2x10 FIR 1 NL2032 2'2-118"x 3'S-114" 7.34 2.60 0.28 DBL HUNG s RIDGE TYPICAL ASPHALT ROOF. 0 4 NL2442 2'6-118"x4'5-114" 10.96 4.17 0.28 DBL HUNG ARCH. ROOFING 2x8 COLLAR TIE 48"OC 15#FELT r 1 I I / 1/2"4-PLY FIR SHEATHING tO 2 30-CW135-15 50-3/4"x3-6-13/16" 15.41 1.8 D.28 CASEMENT BAY 1 Y 2x8 RR@16" CC j 1 FWH6068AP 6'O"x 6'8" 39 34 3358 0 28 FRENCH DOOR 2x8 16" OC l 1 �� RT-7 TYDOWN EA RAFTER R30INSULATION— ~ "�,' 112" DRYWALL TAPED &FINISHED i iF 1 ¢ M i n'n l 1 n i l Vir(rr'1 1 '11 n lu ui I < < 1 CEILING JOIST PITCH X ry TO MATCH ROOF PITCH - TYPICAL EXT. WALL. LL VINYL SIDING TO MATCH HOUSE y. o © �� TYVEK VAPOR BARRIER W ENERGY CALCULATIONS: - - "? 112" COX SHEATHING 3 0 LOCATION: TOTAL SF.: INSULATION: NOTES: - 2x6 WALL STUDS R 16" OC n 2-2xiD FIR HEADERS = w m FLOOR AREA 717 R4�'Qz\ R19 INSULATION ~ z TYPICAL FLOOR. 1l2" DRYWALL TAPED&FINISHED O z EXTERIOR WALLS 870 R19 FINISHED FLOOR 3l4"T&G SUB FLOOR SILL CEILING 392 R30 LIVING ROOM - 2x10 FJ @ 16"DO 2x6 PT PLATE i; R211NSULATIDN TERMITE SHIELD CEILING 325 R30 BEDIBATH 1 Il 1)1 �I �1 l 1 �1 �I 11 11 1 f 1 1 I ! 1 1, I I l i SILLGASKET / 3-2x1O FIR GIRDER 112" ANCHOR BOLTS- OOORS 40 0.28 U-VALUE OVER 50%GLAZING '� 6'0 O.C. &wll 1'0 OF EACH i CORNER xlDWINDOWS 82 0.28 U-VALUE = – __ _ – __ TYPICAL CRAWL SPACE: DBUNDER FJ \ IIF–III=11=111=III=J1=I"- =111i III=III=III=III=III=/ II=III=III=III�II=III .8" CONCRETE BLOCK PARTITION 111111 IIIIIIIIIIII IIIIIII'llll lll_ 9 "-lllalll=III=III- WATERPROOFED EXT WALL - III��THII-10- =11-II dIL==III ,2"CONCRETE SLAB III=III-III- ' III-III= GENERAL NOTES 'IL��III i — � IIL=IINIE � ALL PLUMBING &ELECTRICAL AS PER N Y.S AND LOCAL CODE _ W C! SECTION A-A z SCALE: 1/4" = 1-0 W V z � o 0 w o x a LL 0 wM a I 0 N m 0 0 d) 2 l0 u E E v M S r � Y � C9 61 Z Z m O � Z W ON f' REPLACE ROOFING ON HOUSE TO MATCH ADDITION la- ❑ ( > LL, C/) Jz F z < _ J Q O w O O_ Q � U Q Z _ Q Q ® m O Y n U m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ F ' M REAR ELEVATION a Y Q O K y x w m Z o0 Z m ® 0F�� w � � - - - - - - - - - - - - - - - - RIGHT ELEVATION- - _ -_ - Li - 0 LEFT ELEVATION � _ _ _ _ _ � x a a w �Q a