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HomeMy WebLinkAbout27958-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31149 Date: 09/06/05 THIS CERTIFIES that the building ADDITION Location of Property: 1090 LAURELWOOD DR LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 127 Block 7 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 11, 2001 pursuant to which Building Permit No. 27958-Z dated - DECEMBER 12, 2001 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD EARNED & WF. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1057926 02/03/04 PLUMBERS CERTIFICATION DATED 08/30/03 LEN REMPE, INC � t or/ ed 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. 27958 Z Date DECEMBER 12 , 2001 Permission is hereby granted to : RICHARD L & WF HARNED PO BOX 212 LAUREL,NY 11948 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1090 LAURELWOOD DR LAUREL County Tax Map No. 473889 Section 127 Block 0007 Lot No. 009 pursuant to application dated DECEMBER 11 , 2001 and approved by the Building Inspector. i Fee $ 150 . 00 Aignature ORIGINAL Rev. 2/19/98 I Form No.6 t� t TOXAXOF SOUTHOLD BUILDING DEPARTMENT TOWN BALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: L Final sun ey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. '_. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 forth). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2,10 of loo lead. >. C'onanercial building, industrial building, multiple residences and similar buildin«s and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planting 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. Accl-rate survey of property showing all property lines, streets, building and .inusual natural or topographic features. , properh coutpleted application and consent to inspect signed hq the applicant If a CCrtIflC:ne of WCupanCy is denied, the Building InSpector Shall State the reasonS therefor in «riling to the applicant. C. Fees L CCrIIfleatC oft)ccupancN - New dwelling $'_ .W!. .\ddittoas to dnclling $25.00, Alteration; to dwelling $2 .00, Swinuning pool $�:.ful, Accessory building $25mU, Additions to a"CS>orN building $2x.00, Businesses $50.00. _. Certificate of Occupancy on Pre-existing Building - S100.00 I. Copq of C CMI Kate Of Occupancy- $ d. t1pdaicdCcrtific:tteofOccupaucy - Icutpotan-Ccrtifcate ofOcCupa11C% - Residential $1�00I Conuuerci;tl $1>.ui1 Dale. Nct1 C'onsuucti„ri Ohl or Pic-existing Building: �/ (check one) Location of Property: //�7 001> House No. p Street p A IIantlet 0%�nenn (h. [ICE, of Pngtcrt}: ffC��/x� LgOL — Suffolk County Tax Nlap NO 1000, Section/a If y- Block Lot Subdivision L�//e66L1U++��00 E�r>, Filed Map. Ssy Lot: _ \ Permit No. �79 ?XDateofPermit.� /-O Applieant:�1C1W1*e(7 IVAA'(14F J Health Dept. Approval: Underwriters Approval: planning Board Approval: Request for: Temporar% Certificate_ Final Certificate: _ (check one) Fee Submitted: $ c�- 5 �o L (0 Applicant Signature 0 0 y : Town Hall,53095 Main Road We ' Fax(631) 765-9502 P.O. Box 1179 'y �� Telephone(631) 765-1802 Southold,New York 1.1971-0959 �O1 41 13UILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. Owner: PirIll e�> (Please print) Plumber: Z-eAl RFI M P (Please print) I certify that the solder used in the water supply system contains less than 2i 10 of 19 0 lead. (Plumbers Signature) Sworn to before me this a2�71� day of��4�x�a� 20 Notary Public, K County I(.VIOERNER, y F-P6c.Stale of Now York rlo 01WO5018069 .-''1'sd m Sultolk County .cn Expires Sept.20, 2gm6 O cn�r�J 7cnrJ�lrJ�l�lrJ�rU�IrJ�cP�I�lr��l�nrJrJ��lrJ��nrJ�r n�PrJ@Prlrnrr�l�l�l�lrJ�lrJI I�rJ !F PLPLPLpuPLLPLPLLrL3PLrRLPLPLL L3PLrJL o LSU BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 c� 5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 5 5 5 ALAN HUBBARD ELEC. DICK HARNED 5 5 P.O. BOX 2241 1090 LAUREL WOOD DR 5 5 126 CLOVER PLACE LAUREL, NY 11948 5 AQUEBOGUE, NY 11931, C5 Located at 1090 LAUREL WOOD DR LAUREL, NY 11948 Application Number: 1057928 Certificate Number: 1057928 5 5 Section: Block: Lot: Building Permit: BDC: NS11 �5 1� Described as a Residential occupancy, wherein the premises electrical system consisting of C 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 First Floor, Outside, 5 55 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 3rd Day of February, 2004. rrr5 5 Name QTY Rate Ranne Circuit Tv e 5 Wiring and Devices 5 5 Receptacle S 0 General Purpose 5 5 Snitch 3 0 General Purpose 5 5 Fixture 1 0 Incandescent 5 5 Paddle Fan l 0 5 5 Lighting track 32 0 FT 5 5 5 5 5 5 5 5 5 5 5 Sea, 5 1 of I 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. 5 5 5 v ��s� �s���sssfflr3p ��MOMMIRMMO��� ��� s�ss� v M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIHIMMNEY REMARKS: DATE �� INSPECTOR ` 765-1802 BUILDING DEPT. SPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE l INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE /e7)-ANSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] =ROULBG. FOUNDATION 2ND [ N --Sl [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: a DATE �� �� INSPECTOR M-lW2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A/CHIMNEY c REMARKS: /—iC�n.� d1� Gam' Go DATE �� INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] 7NSULATION H PLBG. [ ] FOUNDATION 2ND [ [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: r c DATE -INSPECTOR VIM IN^PECTION REPORT _13 COMMENTS cc=a=sr�cc__= x_— c=sc1'�.c =e=—x= c v=c_eeex ��xmm c=ve===xmx3iEaxx )L POMMATION ( 13T) �� /� /-✓ S cd-r [LM TION =T(2ND) ROUGE FRAME 6 _— PLUMBING INSULATION PER N. Y. t � STATE ENERGY c CODE r ©/ r FINAL i ADDXTIONAL S: 1 1 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: 765-1802 2� _� Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined /2 11 20 01 Contact: Approved Z 20Mail to:ofie-y'4ep Disapproved a/c yD, ?m a/a,, A),eF—L;M Phone: Building Inspector , AP LICATION FOR BUILDING PERMIT ' Date /110(/, ; �5 , 200L BLDG..DUT D INSTRUCTIONS ' N a. 25Tp [cation 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 a Certificate of Occupancy is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings,additions, or alterations or for 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. dl2ee �4, (Signature of applicant or name,if a corpor tion) FD 5", X )- ) '�l-- L.4rJlcEL , IV Y, l /c� ZF (Mail' g address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 6 uJlJ r k Name of owner of premises (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. 5,16:1 F Plumbers License No. L Electricians License No. S L Other Trade's License No. 5 � 1. Location of land on which proposed work will be done: /0(?D PX, 4' AL)leL- House Number Street Hamlet' .t County Tax Map No. 1000 Section/J-7— 7- 7 Block W. ` Lot ' Subdivision 45T5 . Filed MapNo. .S'S�s' Lot (Name) 2. State existing use and occupancy of premises and intended use and oc y o roposed construction: a. Existing use and occupancy F b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition k-' Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Od 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 exist' structures, if any: Front S'y. 7 �r Rear 5'G/• 7 7 Depth 3Y5 FT Height P,G 7r Number of Stories 15L Dimensions of same structure with alterations or additions: Front 3 y FT. Retir sy 7 F7 Depth S J5,7 Height 16 FT Number of Stories 8. Dimensions of entire new construction: Front -5-21-7 J-T Rear I;�`- Depth Height Number of Stories i 9. Size of lot: Front /Sb Rear l5c9 F7, Depth 10. Date of Purchase /-.21?-7/-/ Name of Former Owner -k4.Q f,Y/JI/ W"S4 L l CK j 11. Zone or use district in which premises are situated 9 Fc;-1 V E✓(/ 7- AI-- 12. Does proposed construction violate any zoning law, ordinance or regulation: /A/e9 13. Will lot be re-graded A/ Will excess fill be removed from premises: YES GD PA 14. Names of Owner of premises lt�/�XNi�b )//491 Address/)-AURGG V, o e No. Name of Architect AAWX45AICE AA , TkT1-JW Address a0?9.4 ;;W-��/. ` , Phone No Y77- Name of Contractor 5�L F Address/ 9y,PE�Gi IV y Phone No. �/`8���{f O 15. Is this property within 100 feet of a tidal wetland? *YES NO e IF YES, SOUTHOLD TOWN TRUSTEES 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 ) JPW-7�9V f-)ARA/ 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 tq before me this �`�day of 20 O Notary Public Signature of Applicant PATRICIA A.CLARK Notary Public.State of New Vont No.5711005 oustified in Suffolk County Commission Expires September 30.�_ TOWN OF SOUTHOLD PROPERTY AEGORD CARD OWNER STREET /+li VILLAGE DIST. ! SUB. LOT �rcH RA LES 1119,fNec v = La e-I vi VA fwle zacc re-L L o , FORMER OWNER N E ACR. S 1 0. I /l_ 1 J S W TYPE OF BUILDING /,r / C. rc ---- — � REE. SEAS. VL. I FARM I COMM. CB. MICS. Mkt. Value LAN' D imp. —� TOTAL DATE REMARKS ✓ G ' �, / °2 /q 7 V W-c 3 /ZZ 7V /�3¢' it F L j-.27^, xr 9 3 3/ z 73 t v F✓ T a,,.., Z c.: /6o foo 7P00 / /S I��''7/'". •_y ,xl � ,/c �')yc:-. : -.uta c � v�%��/va — boo ©a 4ffoo 2 26 2a o3 /,2 I Tillable FRONTAGE ON WATER Noodland FRONTAGE ON ROAD ,Aeadowkr4 DEPTH iouse Plot BULKHEAD .tel DLOR /✓ �,> A4 7 TRIM U 13 Z 'Mrs 53 o>t v 3 127-7-9 3/03 ter{Yfi a„ - M. Bldg. 2 0 ' Extension /fry FST Externion 2- Extension Extension Foundation j Both Z Dinette Poich / Z- 70 ;7J Basement FH�� Floors OAK K. 'ye Interior Finish s' LR. Porch Ext. Walls � Breezeway Place D Heat �� �a W DR. Type Roof h t Rooms 1 st Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B p, B. Dormer Driveway TQjQI _ -79-69 IWO ' .A h DWELLINGS CW ELLS} r r I v 1,' , sti , MAP OF LAUREL xPAf21G r NZ Uf ,Ixf t r A � � ``` 5t'hSf1E. 5.E'J'0'1'S0"E. rT iS•d4 ,� p4t ,I�y.,ff2*, L,��.r , r -01 RICO ryr W 'Z lEtt',�1'�i+177 SO' FPI' 'i $Nb-.OF Ol O. i ;OK k 4 : 1, toNSLt. L5` c� IN !> 5` r fiOo 11 ' ,,, b t•x }` Q W A O 0 r y T x 14 A 1"� '.It I SD•O� O W � �ttiit � jI .hit w qo w ^ 144Q LIJ e rAa aA O Q CESSPOOL '.Df N OT m N w td Cc ki '_42'__ !SEPT.TK. y •� n x F.. �� I f yk r . '1� S i ; �I •�q �;..� h r P'+ 1 �N A O TA ..32.0'-�. I 7,j A,. % d� -_�1rY- S ES e► "� k � alt}0+ l 0 �T1T r *� ',!r y�H°f �M', .5�• .(as•.36) N' ��•1 T 3'.�L.� � ^y STK. I M1` �� '� • �' k11AT ` y - ,� s . � WEIL S a+i r �-��# . • ,�: .�- �A. N.23.09•50'W. 110 00 Mp.MPE ci7r) LAURELWOOD DRIV E �' `° Y fpm YACAPd'f " DWELL CWELL^} �� a T `�.,,xn,;t FINAL SURVEY 8- 12-77 SUFF•C,�(;K COUNTY THE WATER SUPPLY G SEWAGE NAME 6&AR"�ME�tol .NE:AL7H DISPOSAL FOR THIS RESIDENCE SERVTCES "P6ii.APPROVAL WILL CONFORM TO THE STAND- ADDRESS QF�CQNSTRl1dTioA ONLY ARDS OF THE SUFFOLK COUNTY •'HSREF, NO. DEPT. OF HEALTH SERVICES �PRl3VED1Y 'T TELEPHONE ' ' JOB NO. 77- 30 3 FILE NO. LAURELWOOD ESTS4 'YNE 01'FSETS I- ''111MENST H E', SHALL.RUN INDICATED HEREON _.. SSTNp1161T1 ES TO THE M THE',E'-' SHALL INN ONLY UR THE PERSON - ?LiNESTURES R THE IFIL OR. FOR MIDN THE SURVEY IS PRE- SURVEYED FOR f1NEi.ARE.FOR A,SPECIFIC OR• PARED, AND MP XIS BrHMGOVERN TO N. ',P�.4E AND USE AND, CLIME THE TITLE CCkNn t UNG IMEN ARE;nOT.Jff FEOilO OGIDE iNE Tu ,, Iiq ANn IFDI, D TO LOT NUMBER 21 E'RECTIDNOF rCn('E9,; PETAININO TUr.DN LIST, HE^FOY. AND TO WALLS,.. POOLS. PATIp$. P11NTINR i As �•.[rY OF rHE LENDING MAP OF LAURELW GOOD ESTATES AREA$.)'ABDITION'-TOBLIILDIN33 Ir.Sn ronnY. GUARANTEES ARE ARM I OTHER CONSTRUCTION. 'BUILDINGS no, TRWS,FRA9I E TO ADDITIONAL INSTITI(TIONS OR SUBSEQUENT SITUATED AT LAUREL +ul01UTHogITSD -ALTERATION ' OR OWNERS. cc. ADQITiON TO THIS' SURVEY- IS A ' VIOLATwn OF SECTION 72D9 OF CoPIEs OF THIS SURVEY MAP NOT TOWN OF SOUTHOLD- SUFFOLK COUNTY N.Y. ^.: THE H/ANEW YORK STATE.EDUCATION BEARING THE LAND SURVEYOR'S - INKED SEAL OR EMBOSSED SEAL SCALE I- 50' DATE 6- 17-1977 SHALL NOT BE CONSIDERED TO BE A "LID TRUE COPY. FILED MAP NO. 5595 DATE 5- 17- 1977 GVARANTEED " ONLY TO: BOOK NO. LOOSE LEAF PAGE rRJ:V,,ERHEVIAD'illi f64iS BANK - HAROLD F. TRANCHON JR. PC.. tfjE fIYLi , OVA 4 MTEE CO. LAND SURVEYOR wsa �)y� SUCCESSOR TO WILLIAM G. MEIER NORTH COUNTRY ROAD- WADING RIVER NEW YORK 1170z� S JR PENN! LIC%N O211A'4e (516)929-'469.'5 AL$ 4`7y3%3626 �.t - - - - _ > 1 211 El 71 l� Iro , I � F ,t pF I _ - � ��-' Fl-�✓/Stl o � I h�'dCnH"T' �$! I-^�'°, �,. c4.��( F r t,� \• 4�i� ,. �vl �flTe : A WiOtC bLI Til Mq. A$JCrlS@'S^JI NIGH WW-1•4WK I.TGE &LAV5 'Ole rpQ' .41 f� '•ter/ / .J _j f . DETECTING 1 1 a 11 PROVIDE SMOKE- I i ALARM DEVICES YRRSCCRt�FJCASE J 0 TO V RC , S R i 1 A CODE. UNDE RE4U N.Y.S BUILDING 1. 1 occuP�r�cy on OSE IS UOLpF� wo 1-1 OF OCCUPANC E r.,ovJ, _ 4 Intl hl- �- I I 032254-1 bra I � -- I I � Fl{I��L� I � : k•�„�-'� �� �r_ _. 1 - _- �A�fE551DN�� � - L I, ;'!NDA ION - TWO TNRIk111116011110 —7- 9 'j u.F',uH - FRAMING A LLIM1111111111 _-__---_..�."__.,._--..._..- "'-tom'�'•' :]- -.,' •`."'�'_"'••__......., - ! _ _ ,` -,} : - - NSULATION 4.6 r ,NAL - CONSTRINS am I , ` ;HE COMP A. L LETE FOR CAL - ` i I - " • _ CONSTRUCTION SNATL� :! REQUIREMENTS OF TNI M.l PROVIDE OPENINGS OR --- — - STATE CONSTRUCTION`Ti INIRM EMERGENCY ESCAPE AS ,'ODES. NOT RESPONSIILI IN REQUIRED orSIGN OR CONSTRUCTION SIIIOI� BY PART. 714 OF ODE.2i N.Y. STATE BUILDING Cn u , �2a o %W1.7I c� - - - - L4 T F 1 ; i 11 4.' C- IVWX L*/L 121 Cl`. i+Y 4 I I v ) r �d p I/2 ' Gra; FLYWvar� �2HWP"Iw4i e � i I ' - - ---- - 1 I 2 ti GUn�t 1G1 Joie I LI �' �G �iY ) Maw C) �(vb � Ire z "� I� P> Y�y L ' � o V � - � O�� (.iE�-F='Ohl E"S✓i�� Grii-? Ot� i.,�g� .,�'/ " " i 4 r, J ® 1 cs"enr�.' t \.,\ yell Gl'PSV� f�,O SRC , a' 4.._ MV - . __._.__ , •_ '— - ._. SLI U ��Ty E7�RRi � �xQ )'9,I!c i Co1O4 ..M _ �,� - r<', R�Git'� iA.l•�e+6.> or.) F'`^+:7(�'�j �x� r rzali ` 1r z:ou t d tit 01 14 x S P[., }rt��'G 1� k ^(I f f to -� 4 - - . , '� • s MG I - 0322541 �U O . P9�FESSIONP�4. '; �y LL , a �..5 I�J 1 ,9.n — 1 P05 � zz` i' lot tsR > Saro p � � � -•- I roi , RI�Tr ` i u i 1 tTT kV' 2,.' ?', •Fro � °IJ G.�.J" �J- 2� - !1 t �GE NEW Y 2 C_ � r � w. 2 0022541 �aV - 'ipWOFESS1011 _ a -T _ �a IY� 0 w ldat t- tr Y' Y (D :a Yl CL he `L ilJr ° gel LV14 IIK ---- - S - - — — z ,T, rt, i , 4 J E t,7 c cc NEW IM1'�'I �+ �4 W i M - V F� 03245/4 p9OFESSIGO ° a J3NIiRGY CODE CALCULATIONS (For Non-Electric lleat) Design Criteria G , 000 Degree'.Days O.A. 10°C I .A. 70°P i'Olt! _/. ct ,v T S � R,ch�. ( �1ri�� � YLII• 10cnh1 4-, DATED: DESIGN 'L'nERMEL REMARKS AREA "U" RA'Z'ING c,xlerioi: Walls (Opaque) L2? b + y`f -�/- Doors Ceii.iuy/Root (Opaque) 3 f1 o s SlcyliyliLs {. B. B 2-u 3 S I Geese 1 L"loor , L'oundation Walls �F O Slab Insulation �2. �2. io TOTAL f No Les : Uuilcliny Envelope SysL-ems to meet requirements of 7015 . 2 HVAC Equi.pement to meet requiremenL•s of 7015 . 11 11VAC Systems to meet- requirements of 7915 - r2 Duct Systems to meeL- requiremeilLs of 7015 . 13 Ven Lila Lions Systems to meeL requiremeuLs of 7015 . 14 InsulaL•ion of Piping Systems to meet requir-emenLs of 7015 . 15 Service Water Heating SysL-ems & Equipment to meeL- requiremenLs of 7015 . 21 Ii.lecL•rical & Lighting Systems & Equipment to Meet requirements of 701.5 . 31 pF NfW Y0 '1'o the best of my knowledge, belief, & professional 5 y judyemenL- , these lilans arc In . Q compliance wiL•li the code. , W u, yJ'F 032254-1� �$V P90FESS10NP /��J) BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: 41 /ZZ /01 .DATE SUBMITTED: iL/ii/01 APPLICANT NAME:'de�pav,= wa SCTM# DISTRICT: 1,000 SECTION: /21 BLOCK: LOT:_ Lnr. alk"o STREET:1(Z90 �22/yi�- CITY:_by4rL SUBDIV. NAME: fsi�wX:S PROJECT DESCRIPTION: >� 4DDmdti ARCHITECT/ENGINEEIi�t, FAST TRACK? t/o SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES: LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED DOTS FROM JAN.1997 100-25.Merger.(A nonconforming at anytime atter 7/1/8: ZONING DISTRICT: e-tt0 CONFORMING? .yo REQ. LOT SIZE: ' ACT. LOT SIZE:6 'O REQ. LOT COV. 11 ACT. LOT COV. 6`, REQ. FRONT---/-- PROP. FRONT,--W REQ SIDE__ /��' ACT. SIDLr=.� ' ar REQ. REAR f PROP. REAR + /BT' ve sem csr3 WATERFRONT? A'° DESCRIPTION: PANEL #: FLOOD ZONE:, -� AGENCY PERMITS REQUIRED FOR REVIEW APP ALS RE UIRED: SUFFOLK COUNTY HEALTH DEPT: YES o O (BED#):_DTE:—/_/ PERMTI'#:R10- NEW YORK STATE DEC: PRE-DEc 9n75 YES SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES or NYS ENERGY: 14�6NO : +�- EGRESS (18 H min.? 4 sq total) ✓ VENT(SQ. FT. x 4%) ✓ LIGHT(SQ. FT. x 8%) BUILDING PERMITS OP /EXPIRED: BPq551 -Z/C/0 Z- jq3e N4- - HAVE PRE CO'S : Y O BP -Z/C/o Z- NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR : yto SF SECOND FLR : SF INIT OTHER TOTAL TOTAL: 9'� SF FEE FEE FEE OT /{fv SF)- ( SF)= --- SF X$,---=$$` +$ ��i +$ $ Ix-,q