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Home My WebLink About24677-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26201 Date: 01/04/99 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 6105 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 10 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 27, 1998 pursuant to which Building Permit No. 24677-Z dated FEBRUARY 17, 1998 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 ROOFED PORCH AND SUNROOM ADDITION AND ALTERATIONS TO FIRST FLOOR AND SECOND STORY ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GERARD AGOGLIA AND WIFE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 473710 12/08/98 PLUMBERS CERTIFICATION DATED 12/14/98 STEVEN BURNS 1 u' ding Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTM9NT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date .....FEBRUARY.....17 24677 Z .......................... 19...98... Permission is hereby granted to: GERARD & WF AGOGLIA ....... . ........................................................................ ....... 2270 E 74 ST .. ............................................................I....................... BROOKLYN,NY 11234 .......................................................................................... to .....T9 CONSTRUCT A FIRST FLOOR PORCH & SUNROOM, FIRST FLOOR ....................................................................................................................................... ALTERATIONS AND TO CONSTRUCT A SECOND FLOOR ( BEDROOMS & BATH ) AS AP .........../..�. . ,............................................. . ................................................................................................. ,.. ...... ......................................................... ........................................ .................................................................................... . ................................................................ ......................... . ...................................................................................................................................... 6105 GREAT PECONIC BAY BLVD LAUREL atpremises located at............................................................................................................................... .......................................................................................................................I......................... ........... 473889 126 0010 025 County Tax Map No. .......................... Section ........................ Block ........................ Lot No. JANUARY 27 98 pursuant to application dated ....................................................... . 19. ........ , and approved by the Building Inspector. 15460 Fee $......................... ... . ....... ... . B ' ,ing Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING EPARTMENT TOWN DHALL Q a 765-1802 - 5 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 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 a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25 . 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .� y.I.� . . . . .. . . . . .. . .. . . . . . :w Construction. .. ..... .. Old Or Pre-exi ting Building.. . Jr/. . .(]. . .. .. . . . . -� wcation of Property..A �:,... . . . ... ... ...'�::t.. `.� .Q1 al:�?4. . . . .. . .M. . . . . . . . . . . . . House No. Street Hamlet �VkLover or Owners of Property..M€ .T.�Yui':�Z = 74 =.":`�• "'`�-• • • • • • ' ' ' ' ' ' ' ' . .j aunty Tax Map No 1000, Section. . ..Block. .. . . . . ... .Lot. . . na . . . . . . . . . . . . . � ibdivision. . . .C.,. . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. ... . . . . . . . . . . . . . . . . . . . /.:rmit No. . .�.L .�. 7 .Date Of Permit. 2% �.�.7.J. • 9. .Applicant. . . . . . . . . . . . . .'�'��1 !alth Dept. Approval. . . . . . . .. . . . . . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . _anning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . :quest for: Temporary Certificate. . . . . . . . . . . Final dab 1 Certicate. . . . :e Submitted: $. . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . 2G S 7l . . . . . . . . . . . . . . S (&I o��g�FFO(�c O c� Gy1 y Town Hall,53095 Main Road t Fax(516)765-1823 . P.O.Box 1179 y O�� Telephone(516)765-1802 Southold,New York 11971 �ol BUILDING DEPARTMENT TOWN OF SOUTHOLD December 8, 1998 Diane Herold P.O. Box 884 Westhampton Beach, NY 11978 RE: Mr. & Mrs . Agoglia, 6105 Gt. Peconic Bay B1vd.Ct. Laurel . To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. '` 'r� XX The check is (not on file. )$25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 24677-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FULA-C TEL. 765-1 s02 TOWN OF SOUT110b,D 1.::''• :'c OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL O� SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date Building Permit Owner (please print) Plu. .:er '5/ PuPoy U /?,Oys (please print) I certify that the solder used in the water supply 1 system contains less than 2/10 of 1% ' lead. (plumber ' s signature) Sworn to before me this , -'- Aday of Dec-e-vn Le \. 19-gs , - Notary Publjo tlotary Public, SU-Ko\ K County Joanne Fagan Notary Public, Suffolk Count,, NY#01 FA4991777 Commission Exp.2-1 O&W T65.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ]�ROGR PLBG. [ ] FO ATION 2ND [ INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 1;7-d y8 INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE � INSPECTOR )q� 77a 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] Ff�UNDATION 2ND [ ] INSULATION [l/] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: 12t�n-K�O �'Li '2 tea... DATE �i 13P9 INSPECTOR CI -77 T65-1802 BUILDING DEFT. '�'NSPECTION [ OUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY R KSa 42G� uc�c3—P DATE INSPECTO �-Jj T65-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ INAL [ ] FIREPLACE & C111MNEY REMARKS: ✓ �' ��. �`�` DATE %� � INSPECTOR 7t7- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: �. DATE / ( INSPECTOR r -"I 765- DING DE INS CTI O [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �� ✓��`G l��s� /%Q APex—o< DATE INSPECTOR ��r ✓��,-,,�; l ram- �' � 1 7 7j&, 765-1802 BUILDING DEFT. INSPECTION [ j FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: �O DATE lL d G INSPECTOR ` .� THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000413 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Ddle f "' `DEuEPiBER 08,1598 Application No. on file 16551598/98 N 473710 91 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of F. AGOGLIA, 6105 FECONIC BAY BLVD. , POLE#NYT 48, LAUREL, NY in the following location; 0 Basement 0 Ist Fl. ® 2nd Fl. ATTIC/OUT Section Block Lot was examined on DECEMBER 03,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 29 42 43 29 1 1.2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS !!1!! OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 2 F 1 20 3 600 SERVICE DISCONNECT NO.OF S E _R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 7 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL 1 150 CB 1 X 1 1 1 1 OTHER APPARATUS: PADDLE FANS-F-6 G.F.C.I:-7 SMOKE DETECTOR:-8 ALEF.r'M G. HUBBARD LIC.#304-E �, LER BOX 222 AQUEBOGUE L.I. , NY, 11931 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if Incorrect. Inspectors may be Identified by their credentials. 5 � I COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. j- - MIram✓ IN A LAW, III , '!f�%=�� "� --�s�� / ✓L� PM WAR, = MR "MA i ' %i, 1 /NA F ,go G- - �sr --- *off �. oall � / O\0 it ,My. loi r, �b •O��' • ,f✓" ► Ifs J5t ' �n s� \ o ,k o 01 _ 5 _.- . AP P 0 ED AS NOTED ,��,° DATE: G Z B.P.# S FEE: v �'BY: NOTIFY-TuILbII4G DEPA N 765-1802 9 AM TO 4 PM FOR 7H5 �0 G FOLLOWING INSPECTIONS: .1.- FOUNDATION - TWO REQUIRED FOR POURED CONCRETE _ 2 ROUGH - FRAMING N PLUMBING 3. INSULATION 4. FINAL = CONSTRUCTION MUST' SURVEY FOR BE COMPLETE FOR C.O. FLORENCE FITZPATRICK ALL CONSTRUCTION SHALL MEET M G THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY TOWN OF SOUTHOLD CODFS. NOT RESPONSIBLE FOR SUFF. CO., N.Y .DES /6-it/6r coNSTRUCTION ERRORS GUARANTEED TO: SCALE: I11=401 SOUTHOLD SAVINGS BANK NOTE: MAY 26, 1964 SECURITY TITLE a GUARANTY CO. •= MONUMENT �0. PROFESSIDMQll/ENGINEER AND LAND SURVEYOR, N.Y.S. LIC. NO. 12845 RIVERHEAD, N.Y. BOAIRD OF HEALTH . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . .". . . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . BUILDING DEPARTMENT CIIECK . . . . . . _ _ _ . . . . . . . TOWN HALL SEPTIC. FOR&I . . . . . . . . . I . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 N 0T I FY Examined . . . . . . . . 19 ,, t1A I L TO : Approved . V•�' / . ., 19/v Permit No. . . ..! .� /. . . y. gy. . . . . . . . . . Disapproved a/c . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MDUC I Ltk? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J Q (BrI ldirrg Inspecto APPLICATION FOR BUILDING PERMIT JAIL 2 Date .1.7. . . . ., 19 Q 8 BLDG.oEp7. INSTRUCTIONS rows OF sotj-rh®� a. This application 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 giving a detailed description of layout of.property must be drawn on the diagram which is part of this appli- :ation. 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 issued a Building Pen-nit to the applicant. Such 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 whatever until a Certificate of Occupancy ;hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New, York, and other applicable Laws, Ordinances or 2egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. :Che applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary ins ctions. -, 1 , ! ) , . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) Pc) L SEi�( ttK!` HArRP.7Q�) P?EI1C4. . 1lg7.8 . . . . . (Mailing address of applicant) 'State whether applicant is owner, lessee, agent, 'architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . R�::'N.1,7C C7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . ED AS NO?ED Name of owner of prernises . .fLQ(.ZEpC_4� pp? Cf A(F()F6L4 N gP.1M ,Z 77-0 (as on the tax roll or latest d e 2 _2 B� 'f applicant is a corporation,.signahire of duly authorized officer. F61- BUILDINGNOW DAM ENT T it//k. . . . . . . . . . . . . . . . . . . . . . ?MMl • AM TO 4 NM FOR THE (Name and title of corporate officer) FOL1~11ECT10N5. 1• SON • r NO KWIRED Build !onOONM er's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Z *lWMBING & INSLAM" Plumber's License No. 4. FINAL • CONS'TALlMN MUST BE COMPLETE FOR C.O. Electrician's License No. ALL CONSTRUCTION SHALL. MEET THE REQUIREMENTS OF THE N.Y. Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . STATE CONSTRUCTION A ENERGY CODES. NOT RESPONSIBLE FOR Location of land on which proposed work will be done. . . . , . , DESIGN OR CONd rIUCTiON ERRORS .!,r . . . . . . . . . . . . . . . �y. . . 6ca . . . . . . . . . . AutzE.4 . . . . . . . . . . . . . . . . ... . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . .IZeP . . . . . . . . . . Block . . . . . . . . . . . . . . Lot . Z—}`�. . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . .QUA. . . . Filed Map No. . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . 5( G LE , • �rvt t� a G.JJltttr ti9:f�qq� a . . . . . . . . . . b. Intended use and occupancy . .V�ta:ST. .r4o.oAL. .FORiCi-( . F\N'.?. Sva 2oUty� , i1�7oaF{��',�'� � . . . . . . . S ECU iv'o Fzoo[L -e,&-1C>IZOO VAS AND -3. Nature of work (check which applicable): New Building. . . . . . . . . . . Addition . .X. . . . . . Alteration . . . . ... . . . . Repair . . . . . . . . . . . . . . Removal . . . . .. . . . . . . . . . Demolition . Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . . . . . .75.QQD. . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . . .00C-�. . . . . . . . . Number of dwelling units on each floor . -- . , , • . , , • ,_, Ifgarage, number of cars . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If bt_;iness, commercial or mixed occupancy, specify nature and extent of each type of use . . . --. . . . , ..• . • • - 7. Dimensions of existing structures, if any: Front'. . 3�.o l. . . . . . . . hear . . . . . . . Depth . .1I.Z.t I • • • , • • - Height . . . . . 1.5 . . . . . .. . Number of Stories . . . . . . . . . . .ONE . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . 38°! . . . . . . . . . Rear . . . i . . . . . . . . . . . Height . . . . . .Z`i!. 7.4X) , Depth . . . . .. .'�l�l�• . . . . . . . . gl . . . . . . . . . . .Number of Stories . . . . . . . . . . . . . . . . 8. Dimensions of entire new constriction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . .75 . . Rear . . .7.5 . . . . . . . . . . . . . . . . Depth . Z.50. 10. Date of Purchase . . . . . . . . . . . . . . . . . . . ... . . . ... . . . Name of Former Owner i c32Ent� . :F/7Z PA-rK�.QL. . . . . . 11. Zone or use district in which premises are situated . . . . .F,:,i/o . . • . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . .A/. . . . . . . . .t....,:. . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . tio. . Will excess fill be removed from premises: Yes 14. Name of Owner of premises . . .a k AG4�4i.A . . Address uZO �As-r 7�( sr . . �fwciGc.Y.�.t .0 . . . . . . No. Naive of Architect �1A ,.NG. .KCRQImo. . . . . . . . . . . Address &7y.88.4.W146VY.l1�7e. Phone No: 7-£38. y�( . . . Name of Contractor H O, �P.ek•. . . . . . . . . . Address P4?qX 13p?�.4:uTq: w"`''ESP'None'No. :r iaz 15. Is this property within 300 feet of a tidal wetland? *Yes. . . . . . . . No. >:. . . . . . *If yes, Southold Town Trustees Permit .may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. Ui • 15` ' i 8, A DoFED POQcN I z V �' Iq�Dl7t0t� 3 U)' cJI _ W 1 i a �.431'�P��,� _�1e57_Et OOR t 2 �� CO • +.+'o :i.h`{i tL w _ .. GARAGE -sEcouo [= p .........v.�....n..�'dS v:4'G.'J.r.:ays.ko6LN.��'4/ __ .�^• V/ 7A1'F�'i6'' '7tW ' u ;�- 1�3��*i :�-�� + '��3'� i� —(J�13�11_VO--1A1-- -pqg; ICY,� ' •r ��- —A1L�L_REN_E J•—FR..AN CIGE— • :OUNTY'OF�09 '� �l �l8" . . . . . . . . . being duly sworn, deposes and says thatshe is the applicant k �. rla,- . . . . . . . ... •:'... (N ice`oflin`ti`iviUU611t;n,H'Tcontract bove`na'i3''cddi, 5 "I".Jaa",a��"�:� ,Ne is't}ie°`"tsosa &`€C,i A' 'p la "a ce' ?'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this �)plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the -ork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . . . . .1� . . . . . . . . .day of. :.:TQu?Uptc Y. . . . . . . . . .. 19 9T otary Public, `: . . . . . . . t. . .$Q%k County . DEBORAH BARRY e : . .N.�10�G� . . . . . . . . . . . . . . . . .State of New York (Signature of applicant) �e ,937773 S�tftDlk County Tenn Expires tjber 23,19 g q a; NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE PART 6 WORKSHEET THERMAL RATING METHOD ONE- AND TWO-FAMILY BUILDINGS BUILDING AciOULA /(Jo6L77_l-1_ GROSS FLOOR AREA 7LZ.9 ADDRESS NUMBER OF STORIES 7EE20 DEGREE DAYS 6000 CONTRACTOR, ARCHITECT 'OR ENGINEER 21NV6 14. A-t" IXr--c,-r (3mc 88Y W&S-1HA n.P7yeJ 6EACM NV 076 TELEPHONE -- -�16 � 7-88-509 If the building does not meet the following pre—qualifying conditions, Paft 6 of the Energy Code may not be used. YES NO Building is one— or two—family residential . _ Building is detached. Building is less than 5,000 gross square feet. Building is three stories or less in height. Entrance doors have a storm door or certified U value of .40 or less. Glazing area/gross wall area is equal to or less than: 24% if 5,000 degree days y 23% if' 6,000 degree days 20% if 7,000 degree days 18% if 8,000 degree days 16% if 9,000 degree days If all of the above conditions are not met, either PART 3, PART 4 or PART 5 of the Energy Code must be used. 41 DIRECTIONS: For each component of the proposed building design enter the design information requested such as Areas, "U" or "R" Values. Additional lines are provided for designs with more than one component construction type. Obtain thermal ratings for each item by consulting the appropriate Tables. A. ROOF/CEILING Obtain Thermal Ratings from Table 6-1 , 6-2, 6-1E or 6-2E depending upon degree days and heating type. Area: `151.o U—Value: Square Ft. Thermal Rating Area: U--Value: Square Ft. Thermal Rating I B. NET WALLS Obtain Thermal Ratings from Table 6-1 or 6-1E depending upon heating type. Area: 8 15-1• U—Value: 0.06 } l i Square Ft. Thermal Rating .1 Area: U—Value: Square Ft. Thermal Rating Note: Net Wall Area = Gross Wall Area minus Basement/Cellar Walls, Glazing Areas and Door Areas. I ' C. GLAZING Obtain Thermal Ratings from Table 6-3 or 6-3E depending upon heating type. I � 1 I WINDOWS i ( Area of Glazing: `1z•1 U-Value: 0.31 - ►3 Square Ft. Thermal Rating I � Area of Glazing: U-Value: Square Ft. Thermal Rating SKYLIGHTS Area of Glazing: U-Value: Square Ft. Thermal Rating II 42 D1 . FLOORS Obtain Thermal Ratings from Table 6-1 , 6-1E or 6-4E depending upon degree days and heating type. o Floor Area: U-Value: .1/PC sGpA C.E� 7� Sq. Ft. Thermal Rating D2. BASEMENT/CELLAR WALLS Obtain Thermal Ratings from Table 6-4, 6-5, 6-6 or 6-5E depending upon degree days and heating type. Wall Perimeter: Linear Feet Exposure Above Grade: Feet U-Value of Wall : Depth of Wall U-Value ' Below Grade: AlAr Inches Thermal Rating Note: Use Vie above grade U-Value of the wall. The Thermal Rating Tables have been designed to take into account the insulating effect of the earth. I i 1 D3. SLAB INSULATION Obtain Thermal Ratings from Table .6-7 or 6-6E depending upon heating type. Slab Perimeter: Linear Feet Insulation R-Value: AIA Thermal Rating 43 4 c 7 is E. INFILTRATION CONTROL Obtain Thermal Ratings from Table 6-8 or 6-7E depending upon heating type. ! ' If the building does not meet the following conditions, enter NA (Not Applicable) for Thermal Rating. t YES NO i _ All windows have an air leakage rate of 0.35 cfm or less per linear foot of operable sash crack; _ All net wall areas have an infiltration barrier; and _ A heat recovery ventilator, which transfers heat between the outgoing airstream and the airstream entering from the outside, is installed. I Conditioned Floor Area: i Thermal Rating (Shall not include Square Ft. basement/cellar floor area) I 4' I;! F. SOUTH FACING GLAZING Obtain Thermal Ratings from Table 6-9 or 6-8E depending upon heating type. If the building does not meet the following conditions, enter NA (Not Applicable) for Thermal Rating. YES NO _ The building is no less than 1,250 square feet in conditioned floor area; _ At least 45 percent of all glazing faces within 30 degrees of true south; _ All glazed areas in buildings are no more than U(glazing) = 0. 58; 4II _ South facing glazed areas are free of any site obstructions during the heating season; and ; i An area of four—inch thick concrete or masonry is exposed to direct sunlight from south facing glazing. The area of this concrete or masonry shall be no less than three times the area of south facing glazing. Conditioned I South Glass/Total Glass: Floor Area: Square Ft. (See Above) Glass Area/Gross Wall Area: Thermal Rating 44 is SUMMARY OF TOTAL THERMAL RATING seco,.� Fes. If the Total Thermal Rating is zero (0) or greater, the proposed design for the building envelope complies with the Energy Code. THERMAL TABLE AREA U—VALUE RATING USED A. ROOF/CEILING 751.0 0. 05 0 (0-3 B. NET WALLS P,97.1 0. 0c, 4-1 6- 1 C. . GLAZING Window '1 Z. 1 0.3 1 - l3 4- 1 Window Skylights i D1 . FLOORS 00" 1kEATeo SPA CG � D2. BASEMENT/CELLAR WALLS Wall Perimeter Feet Exposure Above Grade Feet Wall U—Value Depth of Wall U—Value i Below Grade Inches ,A D3. SLAB INSULATION Slab Perimeter Feet Insulation R—Value i i E. INFILTRATION CONTROL Conditioned Floor Area Sq. Ft. AA i F. SOUTH FACING GLAZING i South Glass/Total Glass Percent G1 . Area, Gross Wall Area Percent Conditioned Floor Area Sq. Ft. _ TOTAL THERMAL RATING (p 0 I I 45 jkG,oGILIA /t-CC)6-t✓7LEL 1L6-S(,`b6NCF 6.N6RGY CIAL"LA ICAM U- uatUG OV C�c�D>~ /c,OE:lLihG 0-00Is-(IL.uc,-7L0Ai DLytst,o a SUO.FAC.4- BLS M.PIA W 4&Jtl) O. (7 '(-ke,ejLGtVis5 SkLA)BLC- (LooF/U 6 ®. qq Is A Fci--( plec--IL- o.06 `(`tY PL�IwoO'ri SFt�YKLIJ6 O.(a3 IN�ibE Sv[[f ACG �5"l/� AJVA 0'�'� [ht [ cobs-taocr[oo R..6S[.s fAiiCC- �) b[rtst oe sc�rtF�cE (Ls o.(7 U L APi t- S t`t>10 9 R- l 3 ( 13 S UL�F4't l�l� I ab 0. 105Lbd SUa-,FAcb ( .SZ'/[L ALIL) -zb-7AL 1L6-S[.s-''h AXC G3 I .3 r DIANE HEROLD, ARCHITECT i P.O. Box 884 Westhampton Beach, New York 11978 March 9, 1998 Building Department Town Of Southold 53095 Main Road Southold, New York 11971 RE: Agoglia building permit Gentlemen: As requested by your office, I have filed an a for construction or alteration permit for septicltanklon or cesspool with the Town Clerk ' s office regarding the above property. Depending upon existing conditions of the system, it will either be upgraded or replaced. Sincerely, Diane Herold enc. 1 VILLE,TOWN CLERK RECEIPT 68530 ELIZABETHT wn of Southold J�-� 192-41 Southold,New York 11971 DATE O Phone: 16-765-1800 $ �� ,G RECEIVED OF: FOR: I �9� ❑CASH p, BY: L PROVIDE OPENINGS FOR EMERGENCY ESCAPEAS REQUIRED RYPART- 714 OF N,~ STATE BUILDING CODE, PROVIDE SMOKE-DETECTING ALARM DEVICES AS TO PART. 721.1 N.Y.S BUILDING CODE. 'i If COpper tubing is used for water distributing system; Piping shall be of types~ UNDERWRITERS CERTIFICATE REQUIREO PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CEFll'IFICA1-E OF OCCUPANCY SO/DER USED IN WATER SUPPLY SYSTEM CANfVOT EXCEED 2/10 of I% LEAD. DO NOT PROCEED WITH FRAMING UNTIL SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED. PROVIDE OPENINGS FOR EMERGENCY ~SCAPE AS REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. PROVIDE ANTI-SCALD AND/OR THERMAL SHOCK PREVENTING DEVICES AS TO PART. 902.G(K) N,Y. STATE BUILDING CODE. PLUMBING ALL PLUMBING WASTE "' & WATER LINES NEED TESTING BEFORE COVERING PROVIDE SMOKE-DETECTING ALARM DEVICES AS TO PART. 721.! N.Y.S RUILDING CODE. qL/o'% APRROYED AS NOTED. I*-- NOTIFY BUILDINO O~ 7S5-1e02 · AM TO 4 I~l FOR THE FOU3~/~N~ 1 FOUNDATION. ?WO #EOUlI~D 3. INSU~ 4. FINAL . CON~U~JO~ MU~T -- -- - SE COMPL.E'I~ FOR C.O. ALL CONSTRUCTION ~P. ALL MEET '~'~*'~ STATE CONSTRUCTION · ENERGY DESIGN OE CONSTRUCTION ERRORS UNDERWRITERS CERTIFICATE REQUIRED 'F__X. :~1'~/4G (4~I~'-LL5 ii, iLO CF_Q.%tOI,3 P', - I'~ ' d : t' ',J i 0*' o / 4