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Home My WebLink About30987-Z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall ��1 Southold, N.Y. .( BUILDING PERMIT ®� (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30987 Z Date MARCH 3 , 2005 Permission is hereby granted to: WILLIAM F & VIVIAN VELEZ 2060 HIGHLAND ROAD CUTCHOGUE,NY 11935 for ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 2060 HIGHLAND RD CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0008 Lot No. 028 pursuant to application dated FEBRUARY 11, 2005 and approved by the Building Inspector to expire on SEPTEMBER 3 , 2006 . Fee $ 319 . 20 Authorized Signature ORIGINAL Rev. 5/8/02 R FIELD INSPECTION REPORT DATE COMMENTS , dm .9 FOUNDATION(1ST) - -- 40 y -------------------------------------- Q FOUNDATION(2ND) O O d y ROUGH FRAMING& --- PLUMBING H Z G r INSULATION PER N.Y. -- - —-- — STATE ENERGY CODE -- --- on --------- FINAL ---- — G ADDITIONAL COMMENTS - ---- -- - - - - _ - - z (� m 3 a z x ' � x d UU.1 J.L NGJ .L- �1l\ I ` 1-1 l�L.�' w Ap -i , . Date.pc Owners Name:.� Reviewed:wed: a? � Architect/ Engineer: �-�1JP,r-c�c�� Submitted; SCTM #: f,) District: 1000 Section: ®a 131ock: Lot: �� Project , /J n � Subdivisio ' location: Jfl�C7 Lam(_ r Siglc& separate Required certification: (Yes f No) — Rey. �^�B,�. Rcy. %cluing Wslrict: 4— (Lo(sizc: _( O6rV Actual: . OUl (Lot coverage I Proposed ✓ Req / Req: �� i Req. / ✓ if-'[on(Yard Proposed: I (Side Yard �S Proposed: �� ' I [Rear Yard Proposed- Project Description: � •/ AGENCYAERMITS Permit REQUIRED FORREVIi✓W N.A. NO YES Number Suffolk County Health-Dept. Now York State D. E.C. Town Trustees ' Town Zoaing Board approval: Town Planning Board approval: _ Flood Plane Elevation??? Flood Zone: T r 41 t0h r •.3 n � a i. ENERGY CODE CALCULATIONS CHAPTER,5 SECTION 501 Detached One and Two Family Design Criteria 5750 Degree Days (For Non-Electric Heat) Zone 11B For: 4 le z Per: Peh 2 .6J7 2060 , le�,a C� c•!,0 Dated: DESIGN CODE . DESIGN - CODE SUBSYSTEM AREA CC T„ CCU_ UA UA Exterior Walls 0.14 71-A 0.09b V T P. 9 " Ceiling Roof 7 46 p,0 3 0.031 Z 2, �'° 2 3, 7s" Floor Over Unheated Space 0.05 2 2 Heated Slab On Grade 6.5 Unheated Slab On Grade 4.5 Basement Wall 0A Crawl Space Wall 0.06 NOTES: Construction shall comply with 502.1.1 moisture control and 502.1.4 air leakage Building Envelope Systems to meet requirements of Section 501 The mechanical systems and equipment including: HVAC Equipment,HVAC Systems,Duct Systems,Ventilation Systems and Insulation of Piping Systems to meet requirements of'Section 503 Service Water Heating Systems&Equipment to meet requirements of Section 504 Electrical&Lighting Systems&Equipment to meet requirements of Section 505 r HEIWV To the best of my knowledge, ° � LU L. belief, &professional judgement, . these are in lans compliance P � 1 vlth the code. ,; G ____�_✓ ",% f TOWN OF SOUTHOLD Ti. r BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPiA-RTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,�.NY 11971 FEB 9 I , 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 i Survey www.northfork.net/Southold/ PERMIT NO. ` �U ,/3y Check Septic Form N.Y.S.D.E.C. C' Trustees Examined i t� ,20',4 Contact: Approved 3,20D Mail to: Disapproved a/c ✓� C/ Phone: Expiration '20 Building Inspector 2�G� APPLICATION FOR BUILDING PERMIT - Date �( — ] ) 200-5 INSTRUCTIONS 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 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 after 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, 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 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. //If /p/� /) (J r, ✓ ,`� v (Signature of applicant or name,if a c oration) ;c ling address of applicant) State whether applicant is owner, lessee;agont, architect, engineer, general contracts' electrician,ember or builder Name of owner of premises //�/�r�l am //-e le Z (//(/I 4yy A, r (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: House Number Street Hamlet County Tax Map No. 1000 Section OR Block OCII .,Lot,a. Subdivision Filed Map No. ,`� (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy p,�'i_�J ' b. Intended use and occupancy_ 2.222 3. Nature of work(check which applicable): New Building Addition X— Alteration Repair ' Removal Demolition Other Work 4. Estimated Cost Fee -1� /S-6 , d 0 (Description) (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 2 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front _Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front 2l s Z Rear c 1 ,&_ 6 Z Depth /2'7. 7-7 10. Date of Purchase 1013 / 9 S Name of Former Owner & �� ^ �� i S 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 of premises VNl�4,u -+ VJ" 11 i 4 vk Address a0lo o (`P`( b(/ hone No. 3 V - 5- 7 f Name of Architectti �,u . �NN Mhnkddress_ �r-.e-e� 'o t Phone No--#7 7 Name of Contractor F:--ce Address yz., /c 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 'i L.C_ C A / / 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. Sworno before me this day of .2 nAG 20 t v Notary Ralic Signature of Applicant MELANIE DOROSKI NOTARY PUBLIC,State of New York No.01 D04634870 Qualified in Suffolk County Commission Expires September 30, (., �cvn v�s�a.r rurc:- ti€ 1 �( i�-'� � �=--fi.�� ,. •— _ , - ., tom; L01 MAP Or- SCALE LPN r '•�� `� w� ��•n..�. �:��--�;..''.aS,. � Gam' P.1 •7,,.-�, a f ..�.t•, .a.-t'a'.� f.�j� INt . .� fvN^ Q . C• v �A.-' � *w'• �s4:n r..# _ r { $ � 1 Q .Wa±fP5Y MO +�1t1pL.4:P.C. 4 � ERqiyANE} " +