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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