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HomeMy WebLinkAbout29948-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31069 Date: 07/27/05 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 15955 MAIN RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 1 Lot 6 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 12, 2003 pursuant to which Building Permit No. 29948-Z dated DECEMBER 15, 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 ADDITIONS & ALTERATIONS TO EXISTING SINGLE FA24ILY DWELLING AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5263 DATED 1/23/03 . The certificate is issued to JOHN B & LAUREL KIRMISH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 6499 06/29/05 PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 srb - aso - � ' � 3 .t r4 Form No.6 _. TONi'N OF SOUTHOLD r 1 2 !! BUILDING DEPARTMENT r JUL I'r 20I ); TOWN HALL 765_1802 . ^ sT. U-,-HOLD AIpPLICATION FOR CERTIFICATE OF OCCUPANCY 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 form). 3. Approval of electrical installation front Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2;'l0 of I°b lead. 5. Commercial building, industrial building, multiple residences and sitnilar 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 and consent to inspect sigtted by the applicattt. If a C ei-tificate of Occupancy is denied, the Building htspector 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 dtt elling $25.00, ' Swimming pool $1_5.00, Accessory building$25.00, Additions to accessoiN,building$25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Cop}' of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Conunercial %15.00 Date. 7 2(o O,J New Construction: Old or Pre-existing Building: �/ (check one) Location of Property_ 13,16-5 /rIlalit/ (Z09D JAa�T�LK �`/ _ House No. Street Hamlet Owner or Owners of Property: f/�! LAU2EL K/ f/f y Suffolk County Tax Nlap No 1000, Sectiom173681 L!5 Block__.COO,/ Lot 0040 Subdivision Filed Map. _ Lot: _ Permit No. 44 Date of Pernut. /Z !(o Applicant: fQr i /614--y")"H Health Dept. Approval: _-.— _Underwriters Approval: _ Planning Board Approval. Request for: 'Fentporary Certificate _ Final Certificate: (check one) Fee Submitted: $ A plicant Signator ca - 31069 Nassau Suffol Electrical Inspections, Inc. 5A Carnal Street • Center Moriches,Nev,York 11934 • Tel: 631-878-3500 • Fax: 631-878-3764 Applicition: 6499 Date:6/2 05 Issued to: Kirmish Address: 1.5955 Main Rd talc By: Puccio E ectric Corp. License#:4806-E was exami red and approved up to th above date and was in compliance with the NEU Aid 1st Floor 1 Residential21 Pool Det Garage 2nd floor rdal Hat Tub Addition[D 7tr. Swith.es Receptacles FiXtL resSmoke G.F.I. Range Hood 13 21 Detectors 1 1 tt e Dishwasher W a s h e Amps Dryer/Amps Oven Carbon Range/Amps Monoxide 1 Furnace Oil GA Heat Zones Whirlpool Bell Transformers Metir Amps Phase Motors Other Equipment: Renova 'ons & Additions Bedroon Hall,Dinning Room,Foyer utsRes This certificate must not be altered Permit#: 29948-Z in any manner r ; APPEALS BOARD MEMBERS �OgOFFO(,��o Southold Town Hall Lydia A. Tortora, Chairwoman c 53095 Main Road Gerard P. Goehringer Do Oe P.O. Box 1179 George Horning O Southold, New York 11971-0959 Ruth D. Oliva ZBA Fax(631) 765-9064 Vincent Orlando Ol �a Telephone (631) 765-1809 hap., southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF JANUARY 23, 2003 Appl. No. 5263 - John and Laurel Kirmish. Property Location. 15955 Main Road, Mattituck; Parcel 1000-115-1-6 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: The applicant's 30,250 sq. ft. parcel is located on the north side of Main Road (S.R. 25) in Mattituck, and is improved with a 1-1/2 story frame house with wooden deck, and accessory swimming pool in the rear yard, as shown on the survey dated July 3, 1990, updated June 21, 2002, prepared by John Metzger, L.S. BASIS OF APPLICATION: Code Section 100-244B, based on the Building Department's October 24, 2002 Notice of Disapproval denying a permit to construct additions to an existing single family dwelling at less than 15 feet on a single side yard setback, and less than 35 feet for total side setbacks. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on January 16, 2003, which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: Applicants proposed a 8'x12' one-story addition, 8' open porch addition, and 8'x14' one-story addition as shown on the plot plan prepared by Donald G. Feiler, Architect dated 10/18/02. The proposed setbacks of the new construction are shown at 11.7' from the west side and 20.7' from the east side, at the closest points. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of the area variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The applicant's house is in an area of homes that are larger two-story houses along State Highway Route 25. The existing 11'6" (11.5 ft.) side yard setback on the west side will remain the same and the east side ' Page 2—January 23, 2003 Appl. No. 5263—John Kirmisch 115-1-6 at Mattituck will be setback at a minimum of 20.7 ft. The additions are minor in nature without producing a visual impact to nearby properties. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The lot is particularly narrow and long, which leaves the side yards without room for expansion, unless this variance is granted. 3. The variance granted herein is not substantial. The proposed setbacks of the additions is minimal with a reduction of 2'11" from the code required 35 ft. side yard total. 4. The difficulty was self-created because the property was purchased with the limited side yard areas. 5. There is no evidence that the grant of the variance will have an adverse effect or impact on physical or environmental conditions in the neighborhood or district. The west side will require a modest variance, and the proposed addition will not extend beyond the existing driveway. The adjacent property also has a driveway separation between the two buildings. 6. Grant of the requested variance is the minimum action ne:essary and adequate to enable the applicant to enjoy the benefit of additions, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Orlando, seconded by Member Goehringer, and duly carried to GRANT the Variance as applied for and shown on the plan prepared by Donald G. Feiler, Architect, dated 10-18-02. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Tortora (Chairwoman), Goehringer, Oliva, and Orlando. (Member Homing of Fishers Island was absent.) This Resol adopted (4-0). Lydil A. Tortora, Chairwoman —Approved for Filing 31 y /03 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. 29948 Z Date DECEMBER 15, 2003 Permission is hereby granted to : JOHN B & LAUREL KIRMISH 15955 MAIN ROAD MATTITUCK,NY 11952 for ALTERATIONS & ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER ZBA DECISION 45263 at premises located at 15955 MAIN RD MATTITUCK County Tax Map No. 473889 Section 115 Block 0001 Lot No. 006 pursuant to application dated DECEMBER 12 , 2003 and approved by the Building Inspector to expire on JUNE 15, 2005 . Fee $ 150 . 00 / L Authorized Signature ORIGINAL Rev. 5/8/02 z 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:- DATE EMARKS:DATE /L5- INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FODATION 2ND [ ] INSULATION ING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: C DATE INSPECTOR ^�^� 765-1802 BUILDING DEPT. INSPECTION [ 1,5FOUNbATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE G INSPECTOR 765-1802 BUILDING DEPT. SPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 77) DATE Wt INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND [lel INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY FIRE] FIRE SA�FEETY INSPECTION REMARKS: 1���>� / S DATE © � C INSPECTOR TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. JL au r� %= p JF4 ER OWNER u-f koSk '4 W N C E ACREAGE 1 1 YC �lA' r• v� X ! •'r iH , H,::or+ok S W TYPE OF BUILDING RES.0�/o SEAS. VL. FARM COMM. I IND. CB. I MISC. J LAND IMP. TOTAL DATE REMARKS ^' 176 7 d 7/i2,17 6 _R/Z Fee X872 7z �C w 11 l0. ,; � � Q 1 ? �:- 1 rix— JQ4er - t2u�ck4\d fir { It NEW NORMAL BLOW ABOVE�J 0 _ ' 1 -,1 D L #_S L . / tea i o0 Farm Acre Value Per Acre Value/ nJ't� 3 IwfWYV a � Tillable 1 (J U cp Tillable 2 Till a e 3 l— - Wcodiand Swampland Brushland ^ -- House Plot – Total I — ;I a M. Bldg- Foundation t Bath Extension SX 3 .2 o Basement /4 v Floors d Extension Ext. Walls ' lr� Interior Finish S�• Q�, Extension Fire PlaceAC2 1W Heat �(/- So t 3 Porch Attic IeL ✓ / z2 Porch Rooms 1st Floor I r7 soPatio Rooms 2nd Floor Fano '%r ldxly = �zy 2Z las y 1O5 Garag 91 fly N 0 � 7e'c4,.f'C. — O. B. u 0 �b 0 - _ f J J I` N ,\ 1 \VI � 11 ✓. .iJ� a�✓Lf 1) 1111 r _, 1\ ti 9,• i�nJeJ � �tE nn IL z _W I -- -----mss/S"ROAD (S.R. 25) o MAIN OF CERTIFIED TO. PROPERTY �,i'OPE f�'r T Y 0. HARTFORD FUNDING, L 1 D (� 7 a ®'� ( ROBERT RUTKOSKI � MARK YN RUTKOSKI A ? MATTITUCK �JVi N OF ;OUTHOLD SUFF0--' h,` Cr)UNTY, N. Y. 01 - 06 NF/ 50" ( r !'mpwou n :cau " ei! a i.lii'i ND2S. ILIC NO 48616 -fro mmanun: �' , cs �f.indrlda �u� lilrN at'vnvu rr oNfNtllitlhoJ I A ����� �- Lj :htliiA.r.:3 :U14 IU:JCNd JlYfI aAO fbd PECtO '§u•1 T�Q .c IU! !I[G'li::sir iV �.hb9W DUflu $fJMbL7EI iaPOMAIN - I SOUTHOLD, N.Y. 11D71 90 - 237 APPEALS BOARD MEMBERSgOFFO(,(c �(� Southold Town Hall Lydia A. Tortora, Chairwoman 53095 Main Road Gerard P. Goehringer y Z P.O. Box 1179 George Horning Oy �� Southold, New York 11971-0959 Ruth D. OlivaO ZBA Fax(631) 765-9064 Vincent Orlando Telephone (631) 765-1809 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD March 7, 2003 51J " , >0� � ,171ac� Donald G. Feiler, Architect P. O. Box 1692 Mattituck, NY 11952 RE: Application #5263 Variance Name: Kirmish Dearr. r: Enclosed please find a copy of the Board's determination regarding the above- noted application for a zoning variance. Please be sure :u follow-up with the Building Department for the next step in the zoning review and application process. Before commencing construction activities, a bi d1ding permit and possibly other agency approvals are necessary. An extra copy of this determination should be made available (if requested) at the Building Department when submitting final drawings and any other required documentation. This will assist their office during final reviews. Thank you. Very truly yours, LK:pq C da o Enc. Cc: delivered to: Building Department Custom Carpentry By:John 1.Kirmish Jr. lu 15955 Main Rd. ♦ Mattituck.NY 11952♦ Phone(631)296-1956/(516)250-1183 June 02. 2005 To:Southold Town Building Dept. Town Hall,Southold NY From: John B. Kirmish Jr. 15955 Main road Mattituck, NY 11952 To Whom it may Concern, In regards to permit #29948 issued on 12/15/03.We are requesting the opportunity to extend our permit.This permit is due to expire on 6/15/05.We understand that a maximum 6 month extension is allowed.Please notify us at(516)250-1183 if this information is incorrect.We anticipate completion within 2 months. Thankyou, John B. Kirmish Jr. FM,TI.JNSrFCnONREPORT DAU coh5wa S FOUNDATION(1ST) o-- C FOUNDATION QNTD) z .ROUGH BRA?dXKG& PLUbZBWG y ol Zr7B(7I.ATTON YE8 N.Y. STATB ENE&GY CODE L y illillillillilllll�11111111111 Will T Fir7s7 J � ADDITIONAL Co as W . O 2 m z d M . e TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, 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 Surrey wivw. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined / /� ,20 O_3 Contac[: Approveda t_, 20 Mail to: Disapproved a,c Phone:_ Expiration �S,20 .tet Building Inspector ' l 2 7f1f1� { APPLICATION FOR BUILDING PERMIT _. A Date la— 20k,�— INSTRUCTIONS a. This application MUST be completely tilled in by typewriter u.'.n 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 atter 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, -- new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. l�-cam 4gnatur�applican oration) 15956fYluitnRCJ)1 0fH7ACk , " 1lg6;2- (Mailing address of appli ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises11 fl 111 Y YYUg11 �J f . (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 159 5 ma,10 Rt ear,(_ ff)0d+ tU0K- House Number Street Hamlet County Tax Map No. 1000 Section— j Block (_Lot U (0 Subdivision _ _Filed Map No. Lot (Name) 2. State existing use and occupancy of prfr ises and intended use and occupancy of proposed constnXtion: a. Existing use and occupancy rli -S irU 0-a j b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition L/ Alteration Repair Removal Demolition Other Work `l (Description) 4. Estimated Cost 1 V Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units _ Number of dwelling units on each floor If garage, number of cars — 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. - 7. Dimensions of existing structures, if any: Front a ''d t Rear 36'6' Depth Height_ 931 + « - Number of Stories 1 -SiON Dimensions of same structure with alterations or additions: Front �q'q 16 t Rear Depth 13'6' Height ,?a + or - Number of Stories Sir,rcl —T 8. Dimensions of entire new construction: Front '/.� Rear { 'ta ' Depth eQSS �a Height a a ' 1- o r - Number of Stories 64t,N 9. Size of lot: Front -7--1 - 3 ;)- Rear -7,�-. 1 Depth 10. Date of Purchase 2 Lj u c l Name of Former Owner R L17-k DS K 1 11. Zone or use district in which premises are situated res akb l`k 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO 'J Will excess fill be removed from premises? YES NO J hrl 6.Ktrrn�sh 14. Names of Owner of premises � Addressi59`� (Y10.ir1Rd��a�I�ioneNo�(o-St)d9�-19�P Name of Architect nbn Ee i ler Addressfb gx Ito4d,,)Mc iyc$Phone No 9q R-5LI S3 Name of Contractor n w NPS Address 0, (i, VP, 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 BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE 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�(ayC ) Q 1 1 /-r eH 194 , J being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this 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 D day of �EL'�Gt�E�20� i tary Public Signature of Applicant z BUILDI Applicant/ Date. Owners Naive: Reviewed: Architect/ Date Engineer: Z� Submitted: / 3 SCTM #: District: 1.000 Section: 115— Block: / Lot: Project �l n� Subdivision Location: Min Name: Single&. separate Required certification: Yes/No) _ Req. Req. Zoning District: (Lot size: �� d-0—V Actual: 3v,a'J—D I (Lot covcraJ;a<"u I'ropriscd��I Req. ! Req. L� �� , Req. r (I=ron(Pard Proposed: (Side Yar <ProJ (Rear Yard _ Proposed Project Description: AGENCUERMITS Permit . REQUIRED FOR REVIEW N.A./ NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees ----- Town Zoning Board approval: Town Planning Board approval: T Flood Plane Elevation??? Flood Zone: Pb NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: 45 Wind Speed: 120MPH --seismic Design Category: B Weathering: Severe Frost Depth: 36" ___,Termite:M-H ----Decay: S-M Design Temp: 11 ✓ Ice Shield Underlay YES Flood Hazards:— USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGIN CRIPT E FULL FRAMING DESIGN ELEMENTS: Y/N j HEADERS: Y/N WALL STUDS: Y/N GIRDERS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N ROOF RAFTERS: Y/N LUMBER SPECIES AND GRADE: Y/N DESIGN LOAD CALCULATIONS: Y/N LIVE: Y/N DEAD: YIN SNOW: Y/N SEISMIC: Y/N WIND: Y/N WINDOW AND DOOR SCHEDULE: MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N % MEANS OF EGRESS: Y/N ./ PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) BUILDING PERMIT EXAMINER CHECKLIST DATE REVIEWED: T /01 APPLICANT: DATE SUBMITTED: —/—/03 SCTM#DISTRICT: 1,000, SECTION: , BLOCK: , LOT: SUBDIVISION: ADDRESS: CITY: ZONING DISTRICT: CONFORMING? BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N BP -Z/C/0 Z- , INFO /BP -Z/C/0 Z- , INFO BP -Z/C/0 Z- ' INFO /BP -Z/C/0 Z- , INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 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: ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: WATER FRONT? DESCRIPTION: PA'dEL # FLOOD ZONE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): DTE: / _/ PERMIT #: TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or NO DTE: / / PERMIT #: SOUTHOLD TOWN TRUSTEES: YES or NO DTE / / PERMIT #: TOWN ZONING BOARD APPROVAL: YES or NO _ DTE: / / PERMIT #: TOWN PLAN. BOARD APPROVAL: YES or NO DTE: / / PERMIT #: TOWN HISTORICAL PRE (SPLIA): YES or NO NEW PORI{STATE CODE COAIPLIANCE (SEE PAGE 2): YES or NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1• ( SF)- ( SF)= SF X $ =$ +$ +$ _ $ 2. (—SF)- (—SF)– SF X $ =$ +$ +$ = $ 3. ( __SF)- ( SF)= SFX $ =$ +$ +$ = $ FINAL TOTAL: $ w • Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release 1 Data filename: Untitled.rck TITLE:Kirmish Residence COUNTY: Suffolk STATE:New York HDD: 5750 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 10/21/03 DATE OF PLANS: 10/22/03 COMPANY INFORMATION: Donald G.Feller-Architect COMPLIANCE: Passes Maximum UA-86 Your Home UA=84 2.3%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling I:Flat Ceiling or Scissor Truss 235 30.0 0.0 8 Wall 1:Wood Frame, 16" o.c. 398 21.0 0.0 15 Window 1: Wood Frame:Double Pane with Low-E 112 0.330 37 Door 1: Solid 21 0.190 4 Wall 2: Wood Frame, 16"o.c. 135 15.0 0.0 10 Floor 1: All-Wood JoiSVlruss:Over Unconditioned Space 235 210 0.0 10 Boiler 1: Other(Except Gas-Fired Steam), 80 AFUE 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 attesting that to the best of his/her knowledge,belief,and professional judgment, such plans or specifications are in compl with this Code. Builder/Designer - 1�'" Date BUILDING USE RNN&pM -] - A � ,5 BUILDING MEA Ll . FT BUILDESIGN CRITEREICHTIA 10 FT NFa-.I I:L �-lrll 'f�ilzi�i ,� r.- W u �" `j' Qu�`, g„ � ,-D, APPROVEDAS PJCTF'J RIA TION S •G p TYPE OF CONSTRUCTION FP,V GNHGND pN nin z I • '} -"--- GROUND SNO W UI LNIE LOAD pPp pru�" j y. DEAD LOAD t 1 - _ _ 7 , GATE. /1 !J ,j B.P 11 ?q MNOSPEEDseismic 120 ph T•+'� I 4'O• $` PC. OUW rX.TI OnJ NSLL stC1- -` E"OSPEEO a mPn -- p&•11 NOTIFY BUILDING DEP°ARTMc — _ Mc P-9 — I �' Fc. � �I FCE: /fD. c ExROBUkE CATEGORY B -� -= I Yr/ �„� WEATHERING I(o' xP� �`rW� FROBT UNE DEPTN �.n T - -NT AT TERMITE MoewuFlenwl ""TE WB ht.ip . ""TER DESIGN DRY BULB TEMP. 1 iDpgw f 765-1802 8AM TO 4. N fOF THE EI �0 2 FOLLOWING INSrECTION,�, uI aMM a In wpaamw wnn aw BullSirp CMF ' �Y ori "`�: ' FOR POURW CONC EEOU� _C ( aµPA�w F��wn FooW awdMtm 10 4 t� 131, �1 .�yowy Am•- T_ —_= r`- — - -j - -�--- �-�� �- 2. ROUGH • FRAMING I '"^" S 3. INSULATION Wi N O W„ N p Y F a co ��- - i, I : I N 4. FINN, , CONSTRUCTION MJSTSM� ' -------- , -- - T I. .\ J o 1, ALL CONSTRUCTION OFN SHALL MEET THE NEW p, ��iq wwY.anm I�N�I �n.n wu BGREBe wmolna KK ppr PIwF MBI oo - j R310 Oft n n N an NSw .Inlwwn Floor F41*owlM1*mm 9 Q rwwr.nMlN.a a.mbn RS03, .BBrwN.,awlnB Arw glman Ywr B% 434' a I NIr,4 Mw alxalrN Aaa uw, o J IST baSEME�-t YORK STATE. NOT RESPONSIBLE FOR a GlandoWMliBpoMdbn.MB pA,ppvigy'n SU BW pM IWnp CopF pfNw Vwk 1 DESIGN OR CONSTRUCTION ERRORS. B'FN' Swum 1B1axid 011,10 -v OF nl'm'wm�=^'! 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