HomeMy WebLinkAbout33446-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-3292l Date: 03/11/08
THIS CERTIFIES that the building ADDITIONS & ALTERATIONS
Location of Property: 440
(HOUSE NO.)
County Tax Map No. 473889 Section 139
FREEMAN ROAD
(STREET)
Block L-
MATTITUCK
(HAMLET)
Lot 40
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
OCTOBER 15, 2007 pursuant to which
Building Permit No. 33446-Z
dated
OCTOBER 16, 2007
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 AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5591 DATED 11/4/2004.
The certificate is issued to JEROME E. & DEBORAH ZUHOSKI
(OWNER)
of the aforesaid building.
SUFFOLK COtDl"1'Y DEPARTMEI!IT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE Il1O.
2043044
09/16/08
PLUMBERS CERTIFICATION DATED
N/A
~"'~
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY';
N' PI. I I
.-;--~r;:\~~
.,
\', "~I
~
\ \:1
.
, '
Tlus application must be filled in by typewriter or ink and subntitted to the Building Departmet1!,~he'[ollowi~g:'
.\P\R \ \
L-.
j:-\
\
:"~
A, FOI' ucw building or new use:
I. FlI1al survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. FlI1al Approval from Health Dep!. of water supply and sewerage-disposal (S-9 fonn).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Swam statement from plumber certifying that the solder used in system contains less than 2/10 of I % lead,
5. Conunercial building, industrial building, multiple residences and sintilar buildings and installations, a certificate
of Code Compliance froni. architect or engineer responsible for the buildiug.
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 signed by the applicant. Ifa Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in wIiting to the applicant.
C. Fees
I. CertifIcate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swinuning pool $25.00, Accessory building $25.00, Additions to accessOl'y building $25.00, Businesses $50.00.
2. CeIiificate of Occupancy on Pre-existing Building - $100.00
3 Cop)' ofCerlificate of Occupancy . $.25
4 Updated Certificate Qf Occupancy - $50.00
) fGlnpol",)' Celi,ficate ofOceupanc)' - Residential $15.00, Commelclal $1' 00
Date
_--J_Lq / () y
Old or Pre. existing Building: __.L_
J:R -e em CLN t2ci
Street
E. (+-) Jeb".,<lAu.
. (check one)
New Construction.
Location of Propeliy:
J./4{)
ffia.+h rfcy: t:AHar:!:Y /775"./1..
.11.. _-lQl-fO,sK'-____
_L_ Lot -fu
House No.
---
Owner or Owners of Property: -::J eRINYl6
Sun~JJk Cuunty Ta\ Iv1a]1 No 1000, SectiOll ----1M.
Block
Subcll \\Sl(llj
Filed Map _,_ _ Lot
---
.. Appltcanl_.d~~()me.- _ ,k~
Permit No 33 '-I'I/Q - 'J;;. DateofPe1111il__,
-~--_..._.... --
Ild. il-o.s1Cj
Health Depl f\pPloval
Undenvnters Approval _____________ .
PlanJllllg Board Approval
Fee SubmItted $
d5~
Fiml Certificate ._, ~__ (check one)
Request for
Temporar)' Certificate
~nu_z~~/r.
(/ Applicant Sign Ire
~.1Y\'-)
~3~\;),\
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.
33446 Z
Date OCTOBER
16, 2007
permission is hereby granted to:
JEROME E. & DEBORAH ZUHOSKI
440 FREEMAN RD
MATTITUCK,NY 11952
for :
ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5591. (REPLACES BP #30815Z)
at premises located at
440 FREEMAN AVE
MATTITUCK
County Tax Map No. 473889 Section 139
pursuant to application dated OCTOBER
Block 0003
Lot No. 040
15, 2007 and approved by the
Building Inspector to expire on APRIL
Fee $
150.00
ORIGINAL
Rev. 5/8/02
APPEALS BOARD MEMBERS
Ruth D. Oliva, Chairwoman
Gerard P. Goehringer
Lydia A. Tortora
Vincent Orlando
James Dinizio, Jr.
.;.
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971-0959
. Tel. (631) 765-1809
Fax (631) 765-9064
http://southoldtown.northfork. net
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF NOVEMBER 4, 2004
ZBA Ref. 5591 - JEROME AND DEBORAH ZUHOSKI
Property Location: 440 Freeman Avenue, Mattituck; CTM 139-3-40.
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 cate90ry 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 applicants' property has frontage along two streets:
101.91 feet along Conklin Road to the east, and 150 feet along Freeman Avenue to the north. The
property is improved with a two-story, frame dwelling and accessory swimming pool. The existing
residence has a front yard setback at 19.4' setback, and eight feet from the existing 7.5' x 5'
masonry stoop.
BASIS OF APPLICATION: Building Department's August 6, 2004 Notice of Disapproval, citing
Sections 100-242A and 100-244 in its denial of a building permit to construct additions with
alterations to the existing dwelling, with an increase in the degree of nonconformance at less than 35
feet from the front lot line.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on October 21,2004 at 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: The applicant wishes to construct a 20 ft. x 24'1" addition
with minor variables on the west side at 21'4" from the northerly front line and 7'6" wide x 5' deep
roof over masonry stoop at 8 ft. from the front line, as shown on the August 2004 site plan and July
2004 elevation diagri3ms prepared by Charles M. Thomas, Architect (date stamped Sept. 17, 2004
by the ZBA).
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 variance will not produce an undesirable change in the character of the
neighborhood or a detriment to nearby properties. The proposed new addition will have a greater
front yard setback of 21.4 feet than the existing 19.4 ft. setback of the dwelling. A new roof as
Page 2 - November 4, 2004
ZBA Ref, 5591 - J. and D. Zuhoski
elM Id: 139-3-40
'.
.
proposed over the existing masonry stoop does not change the existing 8 ft. setback at the entrance.
The applicants' property has frontage on two streets, and the requested relief is similar to other
setbacks in the neighborhood.
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 applicants plan to attach the addition to the
existing dwelling which already has a nonconforming setback of 19.4 feet (and 8 ft.) at its closest
points. Without a variance, the applicants would be unable to attach the addition to the existing
dwelling, and lack of the addition would deprive the applicants' family of needed additional living
space.
3. The variance granted herein is substantial to the code requirement but provides a greater
setback than the setback of the existing dwelling.
4. The difficulty has been self-created.
5. No evidence has been submitted to suggest that a variance in this residential community will
have an adverse impact on the physical or environmental conditions in the neighborhood.
6. Grant of the requested relief is the minimum action necessary and adequate to enable the
applicant to enjoy the benefit of an addition, 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 Tortora, seconded by
Member Goehringer, and duly carried, to
GRANT the variance as applied for, as shown on the July 2004 elevation diagrams and
August 2004 site plan prepared by Charles M. Thomas, Architect date stamped September
17,2004.
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 Oliva (Chairwoman), Goehringer, Tortora Orlando, and Dinizio.
This Resolution was duly adopted (5-0>1 . . .fJ ~ Q _
\J.p-e_~ U It>
Ruth D. Oliva, Chairwoman 11/29/04
Approved for Filing
o
~I!I
I BY THIS CERTIFICATE OF COMPLIANCE THE I
I NEW YORK BOARD OF FIRE UNDERWRITERS I
_ BUREAU OF ELECTRICITY _
_ 40 FULTON STREET - NEW YORK, NY 10038 _
_ CERTIFIES THAT _
I Upon the application of upon premises owned by I
- -
_ PUMILLO ELEC. JERRY ZUHOSKI _
_ P.O. BOX 323 440 FREEMAN AVENUE _
_ LAUREL, N.Y. 11948, MATTITUCK, NY 11952 _
~ Located at 440 FREEMAN AVENUE MATTITUCK, NY 11952 _
~ -
_ Application Number: 2049044 Certificate Number: 2049044 ~
I Section: Block: Lot: Building Permit: BDC: ns11 I
III Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of III
I electrical devices and wiring, described below, located in/on the premises at: I
I ~-~~~~~ ~
III A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~
~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~
III promulgated by the State of New York, Department of State Code Enforcement and Administration, or other III
~ authority having jurisdiction, and found to be in compliance therewith on the 16th Day of ~
ii!I September, 2005. ii!I
~ Name OTY Rate Ratin. Circuit D:3 ~
III Alarm and Emergency Equipment ii!I
~ Sensor I 0 Carbon Monoxide _
~ Sensor 2 0 Smoke ~
~~ -
_ Wiring and Devices 100 16 _
~ Outlet 7 0 Fixture III
; Fixture 7 0 Incandescent ~
_ Outlet 22 0 General Purpose _
~ Receptacle 18 0 General Purpose ~
_ Switch 9 0 General Purpose _
III Paddle Fan 2 0 III
~ Receptacle I 0 GFCI ~
~ Service ~
~ I Phase 3W Service Rating 200 Amperes ~
III Service Disconnect 200 cb III
I Meters: I seal I
~ Continued on Next Page I of 2 I
I ThiS certificate may not be altered In any way and IS validated only by the presence of a raised seal at the location indicated. I
~ ~
1!Iillffi! ~il!Jillffi!1!I
~
~
~
~
~
~
~
~
~
~
~
~
I Located at
~ Application Number: 2049044
I Section:
~
~
~ Basement, First Floor, Second Floor, Outside,
g A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
mI herein, was conducted in accordance with the requirements of the applicable code andlor standard
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
m! authority having jurisdiction, and found to be in compliance therewith on the 16th Day of
m! September, 2005.
mI Name OTY Rate Ratin. Circuit ~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
E!Iii!ffi!ffi!I~p:iI~~1!I
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
~
;
~
~
~
~
~
~
~
;
~
~
;
~
~
~I!I
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
PUMILLO ELEC.
P.O. BOX 323
LAUREL, N.Y. 11948,
JERRY ZUHOSKI
440 FREEMAN AVENUE
MATTITUCK, NY 11952
440 FREEMAN AVENUE MATTITUCK, NY 11952
Certificate Number:
2049044
Block:
Building Permit:
BDC: ns11
Lot:
Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described lJelow, located inion the premises at:
seal
2 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. .
I!I i1!Iii!Iii!
33 ~Lfb z..
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
REMARKS:
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [)<i FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRIJCnON [ ] FIRE RESISTANT PENETRATION
~~(}Y\-~l
F~ ~~ ~ 7)*,
E~ ~/'~
~~ JLat--' c{~
DATE
3 -- If- -- " 'l
INSPECTOR ~ ~
~ 'if S-b
765.1802
BUILDING DEPT.
SPECTION
[ FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE '1/ t. /iJ 0- INSPECTDR ~
30 z I~ ~
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
WOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: . J..~ -(~
k Ole.
DATE If -11_t)~
INSPECTOR * ~
~1/
~o '0 \
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [a.1FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
~~~~
REMARKS:
c; ~t?
DATE
D~ )~/o(,
/ .
INSPECTOR "}"Yt<c.j~~
;jj
30 'lIS' 7-
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] . FOUNDATIO . 2ND ~] INSULATION
.P<f- FRAMING . ~ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ;I~t<..A, ~'- ~;Y-~
~ !rtJ-A-~ ~. /(j.-R.0L ~
ok-'t~~ ~ .~~~
~~~ . ~
~~ I.L-.~ ~~~_07&J_,
/ (/
DATE5--/7 --05 INSPECTOR ~ ~
3 0 F IS 2-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND ~ INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
J><T FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS, J!:tut d oX: ~ ~ c?
~~
l.4, ~- /3 IJ .Ie-I .W ~ K-/3
S'J3 X-IS ~ rr.A.e tA- ok;
R./I. ~
~ ~ 'rf-
~ ~~ ~~1If.7~
DATE 7 ~~ --0 INSPECTOR ~~
aL(
,
33lf'f~z-
TOWN OF SOUTH OLD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
Pc{ FINAL ~:
[ ] FIRE SAFETY INSPECTION
[ ] RAE RESISTANT PENETRAnON
REMARKS:
fl/o 0 ;r' -t:: ;I;; tJ1 E:
&,,07ty
DATE J-r-! 3- () r
.
INSPECTOR ~~
? 3 'iLf 10 ;2-
TOWN OF SOUTH OLD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
(Xl FINAL
[ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT PENETRATION
REMARKS:
) ~
v *-PL-
:J-- ;;-~ ~ 0 0
DATE INSPECTOR'
OHARLES M. THOMAS,
PO Box B77
.JAMESPORT, NY 1 1947
OFFICE (637) 727-7993
FAX (637) 727-8033
R.A.
'"',
May 5, 2006
Building Department
Town of Southold
53905 Main Road
Southold, N.Y. 11971
Re: Inspection to Zuhoski Residence
Freeman Avenue
Mattituck, NY 11952
SCTM# 1000-139-3-40
Dear Building Department,
This letter shall serve to certify that the steel post has been permanently attached to the
above referenced residence. The basement ceiling insulation is R-19 and the walls have R-13
insulation, which conforms to code.
I, Charles M. Thomas, the architect for the above referenced residence certify that the
strapping over the rear door overhang conforms to code.
Please call the office with any questions or concerns at (631) 727-7993. Thank you.
Very truly yours,
Charles M. Thomas, RA
30f; )---
r r;\ ~ ~ ~\, Ii \.\7 1fQi\
C),l -'-'""-\q~HARLES M. THOMAS.
ilIJL "( 2005 \l...J~ Po Box 877
-'. J \
~~::,j._i"::':6~ .JAMES(:~,~T;2~;:9~ 1 947
(/531) 727-8033 FAX
R.A.
,
i
:
\
July 7, 2005
Town of South old
Building Department
PO Box 1179
Southold, NY 11971
Re: Zuhoski Residence
Freeman Ave
Mattituck, NY
SCTM# 1000-139-3-40
To Whom It May Concern:
This letter is to certify that the R-l3 insulation installed at the above referenced residence
meets all NYS Building Requirements. Please call the office with any questions or concerns at
(631)727-7993. Thank you.
...c2
5:-n--ls:>> t-A - ~ ,. Jt= -<J... ~ -'" ~~. ~ ~
an ... .00 ~~ /I/ff/f "{/l,,h -'/j A-h-
I~ ~",~.M. '~'^ /)/Jkh A,..~..I4jl"lJ'
~..A : ..J ,,01 J2L ~ r 0 / 'n_ J fi/~ I ~
ROU~~J=~G& ~ _~ ~ ,^ ..." ~ ^ vA -.... ./--;;z <;s; ~
)II~ ;- .L ~ _ ~ .f},_ 'AI:) '7 _A":J <: '/J,
1- to -0 - F;"" _.II: __ .. ~ OV K" . .LA' ~' ~ffT ~ e-
7-'-()~ ~7"J::~'tJ g I',b 0 ~ ~
OI'h hi, _I. t:c-- fo..P~"^ ~ ~
v . 7r u - ~. Z;;;' _ , . <,. /J ~ "'':.... .." JJ _ O~P' ~
/riYL - fill AU - ~ /' I/~ '~. ~
~ oI--~:,:"~,/,~,+,., -1&\.~1t
~~ -'l '-'1.. ltu. > Y! _ ~, '" _~~;;~ ~
~^-IJ.;~ ~/l?g~7'l _1/ . v ^ .t-)~/_~::!! \
'-' -' -'37B )~-/S -~ Y.p
1-7-b~ oK ~ -~ -/1. ~ ~
~1~/?:: tJ~-'V~~--~~~-
1~-;fJ-"" r b.: ,7 ,';f;f""A . I ~ .
~';;/- ",-_, fl /J.~? ~ ~//
:?-I.f---4It- ./7', -'0 - ;~'" '.};II, .0
~ ~. Ca... tJ k , t: n. ...., ';-, 'cYi/: 1\ 0 ~rJ
, -'--"'lil7
FIELD INSPECTION REPORT
FOUNDATION (1ST)
.-----------------------------------
FOUNDATION (2ND)
~.,
.
. '.,
INSULATIONPERN. Y.
STATE ENERGY CODE
FINAL
,--'1--4~ ~ 'f!?
. .
tJ ~/;,r'" /,," ~
T ,
1-----
--~-
-~_.
:'..
--
..
~'--------.'-
~
c;?//;J:Jb
( !
lib.) ~
I( ;g~
~~
_1\ ::l ~
I) "" l1"
Ie.t.
~
COMMENTS
/. ~ 'f: ~ rJ-k. ~ I"~r-'
AAhnC. J,. A, 1../
/ "'/ /,t
. (
-IlL ~ (5;/--
Ilf-I/-o --:J.-d /I
f/
-~J
-/// '
~"'#tI
ADDITIONAL COMMENTS
~
h
ht ~
to; ;J:l
~
+
la
Jell ~ .N: J
v
--.. Off/I r....-lC
.L.7 1"..
A .#:-.. ~.-G~e. r<:--' )
C/ ,
..
~-I:
-
-
-1l"
~-
g~
2
=:
-- ~~
---t:;
------ ~;
.---- l'l
...
~
PERMIT NO. :~'616:Z
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets ofBuilding Plans . ./'
Planning Board approval
Survey ,/
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoIdI
Examined
Approved
Disapproved 'ale
J.2/1- .
I~~ .
"0 ~ Ii
I
,20L
,20-i-
'1/'
Expiration _.<-
~~~
,20 0'
~.--~_.~
'- '/' ,APPLICATION FOR BUILDING PERMIT
L c)" ,'~; ~,. J Date '( \83
--~':'2b.W INSTRUCTIONS
, 20 0 Lj.
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location oflot 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
sha. e 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
iss a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
.ace or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
. ,,6perty 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 Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance ofthe 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
al-ltborizedinspeclQrs.on premises and in building for necessary inspections.
r; e \"
,1 '" -'
::
('\"o.x- \f'~ N. --r\)CNG'S ~A.
(Signature of applicant or name, if a corporation)
I '
L L....,
_--TG\_~~_~,_~_
I
I
,__)1",2__1
~ nD)( 'b"'-' ~'tJi>~>t \0~
(Mailing address of applicant) \ \Q~\
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
k'r-.\~ .
Name of owner of premises ~i:'Drn.\'o, Lu~t)-;:,\( '\
(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.
I. Location of land on which proposed work will be done:
~O F~'f'('O\('\ -A'Je-
House Number Street
~\oA+t -h )QL.
Hamlet
County Tax Map No. 1000 Section
Subdivision
L:>, <;
Block
Filed Map No.
3
i,(>{.' ...~
'''11.0(\'"1
, . '.
m,L'
(Name)
2. State existing use and occupancy 0
a. Existing use and occupancy
ises and intended use and occupancy of proposed construction:
b. Intended use and occupanc~\C\I?~\-\G- \ \A~\\\,,~
3. Nature of work (check which applicable): New Building Addition /
Repair Removal Demolition Other Work
Alteration
(Description)
4. Estimated Cost cYDD, DcD
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6, Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front .~ \
Height 3D . Number of Stories a?
=......'
Rear ~
\
Depth a')L.o. \
Dimensions of same structure with alterations or additions: Front ~D \ _ ,! :; ~~~r '50'
Depth,{l1.9. \ . ) ';>U . \ Height ~~. Number of Stories ~
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
,
9. Size oflot: Front \ ~O
Rear \ '50 . 't>~
Depth ~ CYS. Zq
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ./
13. Will lot be re-graded? YES ~ NO_Will excess fill be removed from premises? YES_NO ./
14. Names of Owner ofpremise~\'\71l~\J
Name of Architect<:ro.'C\P?-, \-\.\ho-lO:":->
Name of Contractor
Address~~.\..",'L 110.<:'>.';1
Address-:n~~ \'Al\,"1
Address
Phone No. c?CI'iS . ~D<j<, \
Phone NOI;n.~
Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _ NO ~
* IF YES, SOUTIIOLD 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.
'~~,:. ~
',,"'. v
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 ~Hvll+
~~~ ~\La.>-I being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signit\g contract) above named,
(S)He is the ~
~ ~..~ ~.,,",D~ ~.A
(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 ofms and belief; and that the work will be
performed in the manner set forth in the application filed therewi
Sworn to before m~
of J4 20!:!!i-
~
Notary Public
~~llIIIl
11I.4922202
QlIlIIId in SUl/DIII COlII!IJ
c-.lsslal flpiIIJ~_
\
Signature of Applic
>H./~
- 1/.1
TOWN OF SOUTHOLD ..PROPERTY RECORD CARD
r Ziosk I. 'Y wi)
FORMER OWNER N
SEAS.
IMP.
J 00
~O
11
(p0r0
AGE
NEW
'FAR
60
') y-" .:)
~.......6~
3JOD
'ftHJ
NORMAL
Acre
Tillable 1
Tillable 2
rillable 3
, Noodland
iwamplond
lrushland
-louse Plot
--
rota I
VL.
TOTAL
S
VILLAGE DIST SUB. ~+/I
~~, vk
E ACR.
,
W ~
'Y
FARM COMM. CB. MISC. Mkt. Value
DATE REMARKS
3 StY {)
.3 ...{"2;)c)
3r6(J
39&~
.5"-
BUILDING CONDITION
BELOW
Value Per
Acre
v
Ii
ABOVE
Value
(L ~ .b \O~\d.
~~~-~
1.,;'->
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
'.. ~tc'--..~ iii "
-4..-.
_._=--?-~Q-.-
-.-.....--...
,~--
DOCK
~
. '.,,#:":;~>
.....'
.,;.~.,
~":\.l\""""r.>-""~I ,.'
II '.'
'" '~--1~
. .
,,~"
'o-
r
~ '
,.iI);<;';:;I,,>
.".t.,.;,'-:
. :-~,
/'~ J
COLOR
~
-~
./ ',.' /.//.rr'l:' "-'"
, -~i-.!~'
,
, .,-"CJ<,.
~.6-P.
'-;{ .~
"
....
\ I>
TRIM
,'I
IA /t I f
1\
, c
. 1 f-
. r--'
.1.'
~ 1
.'
,
.
12
I-
'2- ..".
",
I....
D'
_ "j;, --
~, --:'<~
M. Bldg. -;,6'l30 ~ 7 f-t' S 1~-9nn Foundation c...p Bath / 1/>-- Dinette
Extension ! Bosement FUll Floors OP1-t::: 7- (';I1'..:p ,
. 51 r- ~ J:::- LR.
Extension Ext. Walls Wd'Sh, Interior Finish -
Extension Fire Place ;VvI Heat 011 f?w DR1 '((]
lJ",.. II' / t l( 'L -g:: 33(, ,;..5 yLj Type Roof Rooms 1 st Floor LI- BR.
Porch Recreation Roon Rooms 2nd Floo I,L FIN. B.
Porch Dormer (i:) ~ ';J.tJ~'1~ -
!
Breezeway Driveway
Garoge
Patio LJt. c;./k..t', ,,~L- . ~ ,
O. B. """",f I .so
~::>
Toto I '/ ~3;t- v
,
.., ,
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release Ic
Data filename: C:IProgram FileslChecklRESchecklZuhoskLrck
TITLE: ZUHOSKI RESIDENCE
COUNTY: Suffolk
STATE: New York
HDD: 5750
CONSTRUCTION TYPE: Detached I or 2 Family
HEA TlNO TYPE: Non-Electric
DATE: 07/23/04
DATE OF PLANS: JULY 2004
PROJECT INFORMATION:
PROPOSED ADDITION
COMPANY INFORMATION:
CHARLES M. THOMAS
ARCHITECT
COMPLIANCE: Passes
Maximum UA = 565
Your Home UA ~ 357
36.8% Better Than Code (UA)
Ceiling I: Flat Ceiling or Scissor Truss
Wall I: Wood Frame. 16" o.c.
Window I: Wood Frame:Double Pane
Door I: 0 lass
Floor I: All-Wood Joist!Truss:Over Unconditioned Space
Boiler I: Other (Except Gas-Fired Steam). 84 AFUE
Oross o lazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
482 30.0 0.0 17
3856 15.0 0.0 290
54 0.280 15
36 0.340 12
482 19.0 0.0 23
'~Lli Icler"Designer
Dale'] J a3hLJ
sIgned thIs page, they a
srt.'cifications are in co
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release Ie
DA TE: 07/23/04
TITLE: ZUHOSKI RESIDENCE
Bldg.
Dept.
Use
Ceilings:
]. Ceiling I: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
Above-Grade Walls:
[] I. Wall I: Wood Frame, ] 6" O.c., R-15.0 cavity insulation
Comments;
Windows:
[J I. Window I: Wood Frame:Double Pane, U-factor: 0.280
For windows without labeled U-factors, describe features:
# Panes_ Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
Doors:
[J I. Door I: Glass, U.factor: 0.340
Comments:
Floors:
[] I. Floor I: All-Wood Joist/Truss:Over Unconditioned Space, R-] 9.0 cavity insulation
Comments:
Heating and Cooling Equipment:
[] I. Boiler I: Other (Except Gas-Fired Steam), 84 AFUE or higher
Make and Model Number
Air Leakage:
Joints, penetrations. and all other such openings in the building envelope that are sources of air
leakage must be sealed.
Recessed lights must be I) Type IC rated, or 2) installed inside an appropriate air-tight assembly
with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
Required on the wann-in-winter side of all non-vented framed ceilings, walls, and floors.
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 detennined.
Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment !nllst be provided.
Insulation R-values. glazing U-factors. and heating equipmcnt efficiency must be clearly marked on
lhc building plans or specifications.
Uuct Insulation:
SU[1ply ducts in unconuitioned attics or outside the building !nust bc insulated to R-8.
I 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.
I Return ducts in unconditioned spaces (except basements) must be insulated to R-2.
I Insulation is not required on return ducts in basements.
I
I Duct Construction:
I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics
I (adhesives), mastic-plus-em bedded-fabric, or tapes. Duct tape is not pennitted.
I Exception: Continuously welded and locking-type longitudinal joints and seams on ducts
1 operating at less than 2 in. w.g. (500 Pal.
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 HV AC system must provide a means for balancing air and water systems.
I
1 Temperature Controls:
[ 1 I Each dwelling unit has at lesat one thelmostat capable of automatically adjusting the space
I temperature set point of the largest zone.
I
1 Electric Systems:
[ ] I Separate electric meters are required for each dwelling unit.
I
1 Fireplaces:
I Fireplaces must be installed with tight fitting non-combustible fireplace doors.
I Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction
I provisions of the Building Code of New York State, the Residential Code of New York State or
I the New York City Building Code, as applicable.
I
I Service Water Heating:
I 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 heat trap or is part of a circulating system.
I Insulate circulating hot water pipes to the levels in Table I.
I
I Circulating Hot Water Systems:
I Insulate circulating hot water pipes to the levels in Table I.
I
I Swimming Pools:
[ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
I of the heating energy is from non-depletable sources. Pool pumps require a time clock.
I
I Heating and Cooling Piping Insulation:
I HV AC piping conveying fluids above 105 "F or chilled fluids below 55 "F must be insulated to the
I levels in Table 2.
. r~lhfe '.: Minimum Insulation T"ick"es.~for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Non-Circulating Runouts Circulating Mains and Runouts
Up to I" Up to 1.25" 1.5" to 2.0" Over 2"
0.5 1.0 1.5 2.0
0.5 0.5 1.0 1.5
0.5 0.5 0.5 1.0
Heated Water
Temperature ( F)
170-180
140-160
100-]30
Table 2: Minimum Insulation Thickness/or HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range ( F) 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4"
Heating Systems
Low Pressure/Temperature
Low Temperature
Steam Condensate (for feed water)
Cooling Systems
Chilled Water. Refrigerant,
and Brine
201-250 1.0 1.5 1.5 2.0
120-200 0.5 1.0 1.0 1.5
Any 1.0 1.0 1.5 2.0
40-55 0.5 0.5 0.75 1.0
Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
T~ Of SOUTHOLCC
SUFFOLK COUNTY. NE~ YORK
S.C.T.M. # 1000-13"1-3-40
I
\if- \0
~,...~,...~
f'~'e
\
\
SUBDIVISION MAP fOR
~I PROPERTY
SITUATED AT
MATIlT\JC,K
BASED ON ORI6iNAL SURVEY BV
VANTUYL P. RODERICK
LAND SURVEYOR
~
~~~ J
').h~ C"
.,. ~ I~
1:-
~ ~~
\if- \\ ~
~
~~~G~ /
~/~
~?Ib
J{
..
\if- \').
I
100
1" - '1I1f1"
.,
t ~
J-I
\) I
. I
.... .
X-I
1Sl":
J}\)
bioi
~ G I
\if-~
S) ]I 1r JE
l~
20 10' 0
0ilAJIIIlC sc,t.1 ·
PLAN
I ~ I
>> 40 eo
,
10