HomeMy WebLinkAbout46837-Z zr '
�OSCp Town of Southold 10/8/2021
y„'
.� P.O.Box 1179
C" z 53095 Main Rd
101yOl �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42409 Date: 10/8/2021
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1780 Jackson St,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.40-14.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/27/2011 pursuant to which Building Permit No. 46837 dated 9/16/2021
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:
"as built"accessory partment in exisitng accessoryygarage as applied for per ZBA Special Exception#6444 dated
2/16/2011. (744.3 square feet)
The certificate is issued to Goggins,William&Donna
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-11-0020 3/9/2012
ELECTRICAL CERTIFICATE NO. 46837 3/5/2012
PLUMBERS CERTIFICATION DATED
0 v
Au oriz ignature
%%3f fill TOWN OF SOUTHOLD
oy� BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
�� • �� SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 46837 Date: 9/16/2021
Permission is hereby granted to:
Goggins, William
PO BOX 65
Mattituck, NY 11952
To: as built" apartment in accessory garage per ZBA decision #6444. Replaces BP 39180.
At premises located at:
1780 Jackson St, New Suffolk
SCTM # 473889
Sec/Block/Lot# 117.-10-14.1
Pursuant to application dated 7/27/2011 and approved by the Building Inspector.
To expire on 3/18/2023.
Fees:
PERMIT RENEWAL $472.60
Total: $472.60
Building Inspector
SUf Lt TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
o SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 39180 Date: 9/15/2014
Permission is hereby granted to:
Goggins, William & Goggins, Donna
PO BOX 65
Mattituck, NY 11952
To: Replaces BP# 36652 "as built" apartment in accessory garage per ZBA decision #6444
At premises located at:
1780 Jackson St, New Suffolk
SCTM #473889
Sec/Block/Lot# 117.-10-14.1
Pursuant to application dated 9/15/2014 and approved by the Building Inspector.
To expire on 3/16/2016.
Fees:
PERMIT RENEWAL $397.60
Total: $397.60
Building Inspector
�s�FFucKc TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 36652 Date: 8/24/2011
Permission,is hereby granted to:
Goggins, William & Goggins, Donna
PO BOX 65
Mattituck, NY 11952
To: as built" apartment in accessory garage per ZBA decision #6444
At premises located at:
8755 New Suffolk Rd, New Suffolk
SCTM # 473889
Sec/Block/Lot# 117.-10-14.1
Pursuant to application dated 8/15/2011 and approved by the Building Inspector.
To expire on 2/22/2013.
Fees:
ALTERATION OF ACCESSORY BUILDINGS $795.20 !/Z
CO -ADDITIONS TO ACCESSORY BUILDINGS $50.00dPd
ALTERATION OF ACCESSORY BUILDINGS .$wuo
Total: $945.20
C10�
Building Inspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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.
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.If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. 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 Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. March 19, 2012
New Construction: X Old or Pre-existing Building: (check one)
Location of Property: 1780 Jackson Street New S»ffnl k
House No. Street Hamlet
Owner or Owners of Property:' William C. Goggins and Donna M. Goggins
Suffolk County Tax Map No 1000,Section 117.00 Block 10.00 Lot 014.001
Subdivision N/A Filed Map. Lot:
Permit No. 36652 DateofPermit. 8/24/11 Applicant: Same as-above
Health Dept.Approval: March 9, 2012 Underwriters Approval: March 5, 2012
Planning Board Approval: N/A
Request for: Temporary Certificate Final Certificate: X (check one)
J
Fee Submitted:$ 25.00
Applicant Signa
' pF SOVp�®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
G Q roger.riche rt(.5-town.southoId.nV.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: William Goggins
Address: 1780 Jackson Street City: New Suffolk St: NY Zip: 11956
Building Permit#: 44 IDB 3-1reil 366 Section: 117 Block 10 Lot 14.001
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 21 Ceiling Fixtures 2 - HID Fixtures
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 1 Smoke Detectors 2
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors 1
Sub Panel A/C Blower Range Recpt 1 Fluorescent Fixture Pumps
Transformer Appliances dw Dryer Recpt Emergency Fixtures Time Clocks
Disconnect F1 Switches 10 Twist Lock 11 Exit Fixtures 11 TVSS
Other Equipment garage 2nd floor, 4-paddle fans, 1-exhaust fan
Notes:
Inspector Signature: Date: March 52012
81-Cert Electrical Compliance Form As
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
I FOUNDATION I ST I ROUGH PLBG.
FOUNDATION 2ND 11 LATION
FRAMING/STRAPPING 1=
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
R
DATE INSPECTOR
Of SOUT,yOIo
'ycOUHi'1,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802 v
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
�
DATE / INSPECTOR A--
Q 3 apF so
how o�
* # -TOWN OF SOUTHOLD BUILDING DEPT.
courm '' 765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] -ROUGH PL13G.
' [
] ,FOUNDATION-2ND [ - ]�FINAI_ Af7
LATIOWCAULKING
[ ] FRAMING /STRAPPING [ lyU�l.'t'� p'�
( ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]
FIRE-RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
C
DATE �� INSPECTOR
CERTIFICATION
JAMES J. DEERKOSKI, P.E.
Deer Road
Mattituck, New York 11952
(631) 298-7116
License No.O725O2
September 16, 2021
Building Department of the Town of Southold
53095 Main Road
Southold, New York 11971
Re: William C. Goggins and Donna M. Goggins
Premises: 1780 Jackson Street, New Suffolk, New York
SCTM No. 1000-117.00-10.00-014.001
Accessory Garage Apartment
Building Permit Number 36652/39180
The undersigned has inspected the above referenced premises and
determined that all work was performed pursuant to, and in
accordance with, the New York St a e Fire Prevention and Building
Code at the time it was performed.
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m ; JAMES E SK1, P.E.
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SEP 21 2021
BUMDING DEI'T.
TOWN OF So ®LD
FIELD INSPEeTYON REPORT DATE COMMENTS
FOUNDATION(1ST)
FOUNDATION(2ND) �W4
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PLUMBING
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INSULATION PER N.Y. H
STATE ENERGY CODE
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ADDITIONAL COMMENTS
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1 JF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
#%DEPARTMENT Do you have or need the following,before applying?
1 HALL Board of Health
HOLD,NY 11971 4 sets of Building Plans
(631)765-1802 Planning Board approvalC: (631)765-9502 vZ Survey
utholdTown.NorthForLnet PERAHT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Q Flood Permit
/Examined v ,20 Storm-Water Assessment Form
Contact:
proved a� ,20 11 Mail to:
Disapproved a/c
Phone:
Expiration ya-,20 1,3
Buildmg Inspector
APPLICATION FOR BUILDING PERAHT-
Date July 27 2011
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.
(Signature of applicant or name,if a corporation)
P.O. Box 65
Mattituck, NY 11952
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Owner
Name of owner of premises William C. Goggins and Donna M. Goggins
(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:
1780 Jackson Street a/k/a 8755 Fifth Street New Suffolk
House Number Street Hamlet
County Tax Map No. 1000 Section 117 Block 10 Lot ' 14.1
Subdivision Filed Map`No: Lot.
f
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy two family dwelling and one family seasonal dwelling
b. Intended use and occupancy same as above with apartment above the garage
3. Nature of work(check which applicable):New Building Addition Alteration XXX
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost $8,000.06 Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each,floor ,
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
%. Dimensions of existing structures, if any: Front 4 Rear Depth
Height Number of Stories l
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 Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated R 40
12.Does proposed construction violate any zoning law, ordinance or regulation?YES XX NO
13. Will lot be re-graded?YES NO XX Will excess fill be removed from premises?YES NO xx
14.Names of Owner of premises same as above Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES XXX NO (but garage is not)
* 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.
Existing Detached Gargae with Certificat of Occupancy
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
N/A
18.Are there any covenants and restrictions with respect to this property? * YES NO XX
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
WilliamcC, Goggins being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
MHe is the Owner
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
27th day of July 2011
Notary&� ubllc,Stat®of N®w York Si ature Applicant
No.01V16029229,Suffolk County
ComrnisSion F`,nires Aug.9,_-2b/3
TOWN OF SOUTHOLD ® E C E V ILDfNG PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL MAY 17 2010 Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631)765-1802 Planning Board approval
FAX: 631 765-9502 BLDG.DEPT. e
( ) Sury
TOWN OF SOUTHOLD Y
Southolffown.NorthFork.net rZn1VU1 114U. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined ,20 Storm-Water Assessment Form
Contact:
Approved ,20 Mail to:
Disapproved a/c�G f �a�jp
i
Phone:
Expiration ,20
Building Inspector
APPLICATION FOR BUILDING PERAUT
Date May 17, 2010 ,
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.
(Signature of applicant or name,if a corporation)
P.O. Box 65
Mattituck, New York 11952
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Owner
Name of owner of premises William C, Goggins and Donna M. Goggins
(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:
1780 Jackson Street a/k/a 8755 Fifth Street New Suffolk
House Number Street Hamlet
County Tax Map No. 1000 Section 117 Block 10 Lot 14.1
Subdivision Filed Map No. Lot
'' � _. nom.,'- € � •.
�9..
2. State existing use and occupancy of premises and'intendedt 'use and occupancy-iof-proposed construction:
a. Existing use and occupancy two family duelling and one family(seasona dwel 1 ing
b. Intended use and occupancy same as Above.-w: th-. La aitment,-ab-o-v-(zj the garage
3. Nature of work(check which applicable): New Building Addition Alteration XXX
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost $8,000.00 Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of 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 Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated R 40
12. Does proposed construction violate any zoning law, ordinance or regulation?YES xx NO
13. Will lot be re-graded? YES NOxx Will excess fill be removed from premises?YES NO xx
14.Names of Owner of premises same as above Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YESxxx 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.
Existing Detached Garage with Certificate of Occupancy
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
N/A
18. Are there any covenants and restrictions with respect to this property? * YES NO XX
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF Suf f olk)
William C. Goggins being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the Owner
(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 setforth ' the application filed therewith.
Sworn to before me this
17th day of y 20 10 1
N8t5NPAI . PALMER Signature o Appli
Notary P lic,State of New York
No. 01 PA 069978, Suffolk County
Commission 9 .'aj�
�Ir
BOARD MEMBERS OF SUS Southold Town Hall
Leslie Kanes Weisman, Chairperson �� rypl0 53095 Main Road•P.O. Box 1179
Southold,NY 11971-0959
James Dinizio [ Office Location:
Gerard P. Goehringer G Q Town Annex/First Floor,Capital One Bank
George Horning 'gyp i0 54375 Main Road(at Youngs Avenue)
Ken Schneider Iy�QUNT`►,� Southold,NY 11971
http://southoldtown.northfork.net
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
fl
L, 7
Tel.(631)765-1809•Fax(631)765-9064 211
BLDG DEPT"
TOW �
N OF SOUTHOLD
FINDINGS,DELIBERATIONS AND DETERMINATION
MEETING OF FEBRUARY 16,2011
ZBA Application No.: 6444
Applicants/Owners: William C. Goggins and Donna M. Goggins SCTM#1000-117-10-14.1.
Property Location: 8755 New Suffolk Road(Fifth Street)(adj. to Great Peconic Bay)New Suffolk,NY
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 category of the State's List of
Actions,without further requirements under SEQRA.
SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the
Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of
Planning issued its reply dated January 11, 2011 stating that this application is considered a matter for local
determination as there appears to be no significant county-wide or inter-community impact.
The Zoning Board of Appeals held a public hearing on this application on Feb. 3,2011,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:
REQUEST MADE BY APPLICANT: The Applicant-Owner requests a Special Exception under Zoning
Code Section 280-13(B)(13)to establish an Accessory Apartment in existing accessory structure.
PROPERTY FACTS/DESCRIPTION: The subject property is 41,205 square feet with 100.10 feet along
Fifth St./Jackson St., 453.12 feet on the east property line, 75.01 feet on Great Peconic Bay and 453.84 feet
on the west property line. The property is improved with a single-family three-story residence, an accessory
two-story garage and an in-ground swimming pool as shown on the survey dated Sept. 1,2004 prepared by
Stanley J. Isaksen,Jr.The accessory structure has a CO of record dated Nov. 19, 2003 under Certificate of
Occupancy#Z-29852 confirming that the two-story accessory garage was built prior to January 1,2008.The
owner resides in the existing single-family dwelling as the owners' principal residence.
FINDINGS OF FACT:
In considering this application, the Board has reviewed the code requirements set forth pursuant to Article
III, Section 280-13(B)(13)to establish an Accessory Apartment in an Accessory Structure and finds that the
applicant complies with the requirements for the reasons noted below:
1. The Accessory Apartment unit is located on one floor in a portion of the second floor of an accessory
Page 2—February 16,2011
ZBA File#6444-Goggins
CTM- 1000-117-10-14 1
garage built in the year 2003 and has a CO dated November 19, 2003 with an area of 744.3 Sq. Ft., in
conformity with code requirements, as described and shown on the floor plan by MCH Design Services,
dated February 7,2011 and signed by James J. Deerkoski, PE.
2. The applicant herein, owns and resides at the property and will continue to occupy the single-family
dwelling as a principal residence while the Accessory Apartment is occupied in conformance with the code
requirements as set forth in Article III, Section 280-13(B)(13)(1-4). 3. The owners' plans comply with the
on-site parking requirements and provide for a total of three (3) parking spaces, two for the principal
dwelling and one for the Accessory Apartment,utilizing the existing driveway areas,as shown on the survey
dated Sept. 1, 2004 prepared by Stanley J. Isaksen,Jr.
4. The dwelling unit shall comply with the definition of same in §280-4 of the code and comply with the
code requirements as defined in Section 280-13(B)(13) of the Zoning Code. The owner confirms that the
accessory apartment shall not contain less than 450 sq. feet nor will the accessory apartment exceed 750
square feet of livable floor area, all on one floor with only one full bathroom. Only one accessory apartment
will be on the subject property.
5. The occupants of the accessory apartment will be a family member and the occupancy shall not exceed
the number of persons permitted. A notarized affidavit dated Dec. 22, 2010, signed by the applicant, states
that the Accessory Apartment will be occupied by the parents of Donna M. Goggins,the co-applicant.
The owner will comply with Section 280-13(D).
REASONS FOR BOARD ACTION DESCRIBED BELOW: 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:
1) The Accessory Apartment, as applied for, is reasonable in relation to the District in which is located,
adjacent use districts, and nearby adjacent residential uses.
2) This Accessory Apartment shall be in conjunction with the owner's residence and located in the
Accessory structure, and as proposed will not prevent the orderly and reasonable use of districts and
adjacent properties.
3) No evidence has been submitted to show that the safety, health, welfare, comfort, convenience, order of j
the Town would be adversely affected.
4)The special exception is authorized under the Zoning Code through the Zoning Board of Appeals as noted
herein, and issuance of a Certificate of Occupancy from the Building Inspector is required by code before an
Accessory Apartment may be occupied.
5)No adverse conditions were found after considering items listed under Sections 280-142 and 280-143 of
the Zoning Code.
6) Submission of a Certificate of Compliance or similar document will be necessary for issuance by the
Building Inspector certifying that the premises meet the requirements as defined in Chapter 280-4 and
conforms to Chapter 280-13(B)(13)of the Zoning Code for an Accessory Apartment use.
BOARD RESOLUTION: On motion by Member Goehringer, seconded by Member Dinizio, it was
RESOLVED,to
GRANT, a Special Exception for an Accessory Apartment, in the existing Accessory Structure, as applied
for, SUBJECT TO THE FOLLOWING CONDITIONS:
1. Owner shall occupy the single-family dwelling or the Accessory Apartment as their principal
residence.
2. Certificate of Occupancy shall be obtained from the Building Department before occupancy of
the Accessory Apartment, which is required, and pursuant to §280-13(B)(13)and 280-13(D) the
rental permit shall be renewed by the Building Department annually.
3. The owner shall install in any second floor accessory apartment a pull down emergency egress
chain ladder.
Page 3—February 16,2011
ZBA File#6444-Goggins
CTM: 1000-117-10-14.1
4. No Bed and Breakfast shall be permitted on the property, so long as the accessory apartment
exists;
5. The applicant must obtain SCDHS approval for water supply and sewage disposal.
That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued.
Any deviation from the variance given such as extensions, or demolitions which are not shown on the
applicant's diagrams or survey site maps, are not authorized under this application when involving
nonconformities under the zoning code. 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.
The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the
degree of nonconformity.
Vote of the Board: Ayes. Members Weisman (Chairperson), Dinizio, Goehringer (Absent was. Member Schneider) (Member
Horning by telephone, no voting right)This Resolution was duly adopted(3-0).
S
Leslie Kanes Weisman, Chairperson
Approved for filing /2011
MAP OF
JA CKSON S TREE T DESCRIBED PROPOERTY
SI TUATE
S 83' 48' 00" E 100.10' NEW SUFFOLK
TOWN OF SOUTHOLD
STONE SUFFOLK COUNTY, N.Y,
^
� IN
h SUf YED FOR WILLIAM C. GOGGINS
DONNA M. GOGGINS
`p N/F CROUCH
'TM 100.0-117-10-13
AREA= 29,695.4J7 SF I raj
. OR _ --
i , 'I 0.682 ACRES'
„ oM Lo 2��L
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a
W
m'
PROP,
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Z B�K NG AREA P.ROP' I M
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s 4.799,15,.•,•`,- _ pviNc 4` FD
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DECK W/RAIL
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CONC.PATIO 1MNf
AREA= 11,510.729 SF
OR
0.264ACRES
7 SURVEYED 21 OCTOBER, 2002
Llj
SCALE I"=40'
o rLOOD
Q) _ o,
FLOOD ZONE X,` �' ' NOTE: FLOOD ZONE X
::' d ''` FOR BOTH PARCELS
zz
EXCEPT AS SHOWN
FLOOD Zb MAP# 3610JC0501 G
MAY ,4, 1998
2.J' BULKHEAD '�E'•'���• '�/ '
PPROX. H.W.L.;THIS 94T
84-',`21'-
T'
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75.01
AREAS AND TAX MAP NUMBERS
AS SHOWN.
$ ; - ZONED R-40
ON SHALL RUN
GREA T PECONI .r'L_Y'A";� ONLYATO�THEINDICATED PERSON FORRWHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE SURVEYED BY
77TL£COMPANY, GOVERNMENTAL AGENCY,
• �'�'1, +��'�+,;�,;Y" LENDING INSTITUTION,IF LISTED HEREON, AND STANLEY J ISAKSEN, JR.
TO THE ASSIGNEES OF THE LENDING INS77TU77ON
- ' GUARANTEES ARE NOT TRANSFERABLE TO P.0. 80X 294
`r;4y-,`, ADDIRONAL INS77TU77LWS OR SUBSEOU£NT OWNERS NEW SUFFOLK NY 1195
h;
63 N 7,34'=58#5
UNAUTHORIZED ALTERA17ON OR ADDIRON TO THIS -
`•; SURVEY IS A VIOLATION OF SECTION 7209 OF
q THE NEW YORK STATE EDUCATION LAW LICENS LAND SU EYOR
GUARANTEED TO r;•-
1..:,•.$ NYS L{ . N0. 49?.7
WILLIAM C. GOGGINS ,4,, COPIES OF THIS SURVEY MAP NOT BEARING 4
DONNA M. GOGGINS J R`'';=wf te,E;Lr., THE LAND SURVEYORS EMBOSSED SEAL SHALL
COMMONWEALTH LAND TIRE INS.-0O3 NOT BE CONSIDERED TO BE A VALID TRUE
"" - COPY, 02R 1187
SURVEY OF PROPERTY
SITUATE
NEW SUFFOLK
DWELLING TOWN OF SOUTHOLD
USES PUBLIC WATER SUFFOLK COUNTY, NEW YORK
SWELLING S.C. TAX No. 1000-117-10-14.1
USES PUBLIC
WATER SCALE 1"=40'
APRIL 12, 2011
MAY 25, 2011 REVISED AS PER S C.D.O.H.S
x2598PUBLIC WATER IN AREA = 41,205 sq. ft.
STREET 0.945 ac.
JACKSON sT 1731
246 S 83°48'00"E SPE T
STONE ,O�'1 0'
MON
X
SUFFOLK COtI 'Ty DEPARTMENT OF 3 172
PERMIT FOR APPR VEA NSE VICES
AL OF CONS" r- NOTES
�UC ION t'QR A 1 ELEVATIONS ARE REFERENCED TO NGVD 1929 DATUM
N EXISTING ELEVATIONS ARE SHOWN THUS EL 180
O EXISTING CONTOUR LINES ARE SHOWN THUS-- - -EL 8— -
JUN 2 3 2011 �rcr 4`5 C G 2;HOLE ^ W 2 PROPOSED SEPTIC SYSTEM STRUCTURES
SSGr =
DATE3 PROPOSED FUTURE 50% FUTURE EXPANSION POOL
-----_.._ H REF, No.
U U J J ®PROPOSED 8' DIA X 12' DEEP LEACHING POOL
APPROVED J� L� 3
PROPOSED 1,000 GALLON SEPTIC TANK
FOR MAI 1 } p a W 3 THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
LTE R00}� y+' ^ ZD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
4
EXPIRES
MR Y M FLOOD ZONE INFORMATION TAKEN FROM
ARS FROM DATE Aly ^ FLOOD INSURANCE RATE MAP No 36103CO501 G
[,3 OV L O ZONE AE BASE FLOOD ELEVATIONS DETERMINED
Z U V7 ZONE X' AREAS OF 500-YEAR FLOOD, AREAS OF 100-YEAR FLOOD WITH AVERAGE
--I J DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN
LLjj m 1 SQUARE MILE, AND AREAS PROTECTED BY LEVEES FROM 100-YEAR FLOOD
Q 0_ CONC ZONE X AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN
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APARTMENN T ABOVE
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[�
4
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240 BRICKG 103'
IIIh� I AROUND POOL
x24 3 - o
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_ I�I
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-
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.w.R.
MASONRY CATCH 24,85' ,;
STEPSCYASIN
WOOD FRAME
EL ww RESIDENCE
EC MAIN FLOOR 225 n M
16 0 CERTIFIED TO
3 54 4' WILLIAM C. GOGGINS
N EVELDECK WyR4,LING EL EL 18 DONNA M. GOGGINS
EXISTING CONWALL I COMMONWEALTH LAND TITLE INSURANCE COMPANY
SEPTIC TANK 1 3, BLOCK PATIO MASONRY
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J
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cONCRErE ZONE X-100 EL 8
WALL CR O 'FLOOD (EL-8 3 bJFy�
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END FENCE 84'21 L4,8'W f.P��'tLl
YV ]5,01 � NYS Llc No 50467
c
APPROX HWL 22 JAN 07
or- j UNAUTHORIZED ALTERATION OR ADDITION Nathan Taft Corwin
`�Z O TO THIS SURVEY IS A VIOLATION OF
III
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW
rO o COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor
THE LAND SURVEYOR'S INKED SEAL OR
�O EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY
CERTIFICATIONS INDICATED HEREON SHALL RUN Successor TO Stanley J Isoksen, Jr L S
ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A Ingegno L S
IS PREPARED,AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans - Construction Layout
GREATTTS �1 �� LENDING INSTITUTION LISTED HEREON, AND
(Q II1-� IIID' /1q pl PECO � I C BAY TO THE ASSIGNEES of THE LENDING 4SFERNSTI- PHONE 63OCATED AT FOX MAILING
ADDRESS 7
,Illi\Bf 111��.Ll-1UIS ,Illi 1�YII IIF-K TUTION CERTIFICATIONS ARE NOT TRANSFERABLE
THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED A7 MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF 1586 Main Rood P 0 Box 16
ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947
RECEIVED
SURVEY OF PROPERTY
MAR Q 12012 SITUATE
DWELLING SUFE.CO.HEALTHSERVaCES a NEW SUFFOLK
TOWN OF SOUTHOLD
USES PUBLIC WATER ®FFCE®FWASTEAT'ER;�4�,Q"'' ; SUFFOLK COUNTY, NEW YORK
SWELLING S.C. TAX No. 1000-117-10-14.1
USES PUBLIC WATER
SCALE 1"=40'
APRIL 12, 2011
MAY 25, 2011 REVISED -AS PER S.C.D.O.H.S.
FEBRUARY 7, 2012 FINAL SURVEY FOR GARAGE/APARTMENT
PUBLIC WATER IN
J/� STREET AREA = 41,205 sq. ff.
I 1 C�S® �T S m 0.945 ac.
S 83'48'00"E 1 tl STREET
STONE 100.10)
MON.
a
rF
Op
M M NOTES:
U' $ 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
N EXISTING ELEVATIONS ARE SHOWN THUS:EL 18
I EX SMG CONTOUR LINES ARE SHOWN THUS:-•- -EL 6— - —
2. FLOOD ZONE INFORMATION TAKEN FROM:
W� FLOOD INSURANCE RATE MAP No. 36103CO501 G
= 1- ZONE AE: BASE FLOOD ELEVATIONS DETERMINED
j 3 ZONE X*: AREAS OF 500-YEAR FLOOD:AREAS OF 100-YEAR FLOOD WITH AVERAGE
DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN
I � Z U 1 SQUARE MILE:AND AREAS PROTECTED BY LEVEES FROM 100-YEAR FLOOD.
3 U W::j ZONE X• AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN.
p moa
� z w
n �
w M =
C' O
J� ID
3�
O a I CON
C
y MON.
W
I LEACHING SEPTIC SYSTEM TIE MEASUREMENTS
• °>
09 GARAGE GARAGE
D yROGo rn CORNER ❑A CORNER
I RDGMyO SEPTIC TANK 22.5' 20.5'
W c� SEG COVER
LEACHING POOL ,
m B BRICK WgLETANK q COVER 48 42.5
z I >>
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a Y 29.7' D:
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1►� BRICK 10.3' At�t�e�a�`®d � 1' `'y
I Np fCKINC �E .Ok��1"F� s�t .� ftif?'o irr P f�F7
� OU POOL Oa
3 3 0 1 .rtu
to
D,,, ,!� 0 9 2012 (/
0. END FENCE
a M 2�,A.:;�. .�lf•t. `•..�, _I./� Q p Z p
L150 ON LINE $ 2 g
j 20.0'
4.6'
W O i3 ,,..an 1i.fm..= iani'sli1.'o
S.B. CON
MONCE
.
PpBGF,(OPEN•GROUND llVEL) N 83.48'00"Vy1Jc:f�9x11'.9. ftN�i.1c;,�'i E°.�,Lr:.����y;'•-�,;__
MASONS CH 24.85 �ilsiC� GI�T*3:'rl`,'•1�1t4�'�.:'@�� :i .f7�;i, iei .. . C
RESIDE WOOD NEE
EL MAIN FLOOR `} i1�`, "
EL 22.s CERTIFIE�`7;b $S I�IP1i,u� ;'=.t ., ;c7
g 54.4'
LL1i . .GOG.GINS-
EL DONNA M. GOGGINS
°ELx W/Rounc EL I COMMONWEALTH LAND TITLE INSURANCE COMPANY
EXISTING Wq�C
SEPTIC TANK 1 3, D(DCK PATip Wuupagy w W
Q
Q �3
EXISTING - NB Z U
(3) LEACHING _ 0W m
POOLS EL 12
W L. oa
z w
0 3
_ EL 10 PREPARED IN ccORDANt'.E 17Hg MINIMUM
FLOOD - - .- - O BY�THE 1�EAL'S.� �PR�•AN}Dff ADOSHED
PTED
TED
ZONE X-500_ O FOR S CH.OSETITLEOBY THEi� 4K-sTA LAND
OU
Aid NEWpYQ fi
\ O
FLOOD ZONE X-100 EL 8
( I Id Ji
OZONE qE(F-_8) *-=-.
.-
EL 6 _
P/CKET F�,�3•
WOOD BULI(HEAD TOP EL -5.5
END FENCE N 84-2 1'48"W / ,�
75.01' � � A Y.S. Lim. No. 50467
APPROXC � i
HWL 22 JAN 07
mG 666 UNAUTHORIZED ALTERATION OR ADDITION Nathan Taft Corwin III
�y TO THIS SURVEY IS A VIOLATION OF
�p p� EEDDUCATION2LLAW 09 THE NEW YORK STATE
COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor
THE LAND 'S$a u SEAL OR
EMBOSSED SEAL SOHALL INKED NOTT BE CONSIDERED
TO BE A VAUD TRUE COPY.
CERTIFICATIONSINDICATED HEREON SHALL RUN Successor TO: Stanley J. Isaksen, Jr. L.S.
ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L S.
IS PREPARED,AND ON HIS BEHALF TO THE
TITLE COMPANY,GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans - Construction Layout
G R EA T PEC 0 NI C LENDING INSTITUTION LISTED HEREON,AND
Tl�� T TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 FOX (631)727- 727
lJ-( Y TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE
THE EXISTENCE NT 1586 Main Road P.O. Box 16
RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS
ANDEASEMENTS OF RECORD, IF James ortort, New York 11947, New York 11947 James
ANY,, NOT SHOWN ARE NOT GUARANTEED. P P
I
GOGGINS & PALUMBO
ATTORNEYS AND COUNSELORS AT LAW
P.O.Box 65
13235 Main Road
Mattituck,New York 11952
Phone: (631) 298-4200
Fax: (631) 298-4214 WILLIAM C.GOGGINS,ESQ.
ANTHONY H.PALUMBO,ESQ.
TRACY L.KARSCH,ESQ.
July 27, 2011 DONALD A.MATES,ESQ.
Of Counsel
DONNA M.PALMER
Building Department of the Town of Southold Paralegal
P.O. Box 1179
Southold, New York 11971
Attn: .
�;Michael Verity, Chief Building Inspector
1._
Re: 1780 Jackson Street, New Suffolk, New York; William C. Goggins;
SCTM No. 1000-117.00-10.00-014.001
Dear Mr. Verity:
Enclosed please the following documents regarding the accessory apartment
above the garage:
1. Building Permit for accessory apartment above garage;
2. Zoning Board of Appeals Approval of Accessory Apartment
3. Health Department Permit Approval
4. Certificate of Occupancy for house;
5. four (4) sets of plans; and
6. Building Permit Application
If you have any questions please do not hesitate to contact the undersigned.
Vei`y truly ours,
William C. og
WCG/
08/15/2011 16:06 6312984214 GOGGINS PALUMBO PAGE 01102
GOGGINS AND PALUMBO
Attorneys and Counselors!'at Law
13235 Main Road, P.G. Box 65
Mattituck,Nov York I I1 2
TELEPHONE 631298-4200 FAX 631-298-4214
FACSMME TRANSMSSION COVER SgEET
i
FROM: William C. Goggins _ A.nthany H. Palumbo
Donna M.Palmer Elai46 T. Villano
TO:
FIRM:
�: ) � t FAX :2L
r
A'
RE� L WV
Total number of pages in this transmission including Dover sheet
IF YOU DO NOT RECEIVE ALL OF THE PAGES
- PLEASE CALL OUR OFFICE i�OMPTLY
.AT (631)298-4200
COIv WNTS:
'i
! 1
DOCUMENT'S ENCLOSED: G-
CQN')A
NOIM: The documents accomPAnyiog facsimile tmnsmisslm Contain,
conliidentiel and/or l pup prlvueged Informnti°n- The Informati6n is intended only for the use of
the indi ddaal or entity hammed on this tn"missiion sheet. �
I�
i'
GOGGINS & PALUMBO
ATTORNEYS AND COUNSELORS AT LAW
P.O. Box 65
13235 Main Road
Mattituck,New York 11952
Phone: (631)298-4200
Fax: (631) 298-4214
WILLIAM C.GOGGINS,ESQ.
ANTHONY H.PALUMBO,ESQ.
TRACY L.KARSCH,ESQ.
DONALD A.MATES,ESQ.
March 19, 2012 Of Counsel
DONNA M.PALMER
Paralegal
Building Department of the Town of Southold
P.O. Box 1179
Southold, New York 11971
Attn: Michael Verity, Chief Building Inspector
Re: 1780 Jackson Street, New Suffolk, New York; William C. Goggins;
SCTM No. 1000-117.00-10.00-014.001
Dear Mr. Verity:
We request the issuance of a certificate of occupancy for accessory
apartment above the garage. Enclosed please find:
1. Application for Certificate of Occupancy;
2. Health Department Approval; and
3. A check in the amount of$ 9.
00.
If you have any questions please do not hesitate to contact the undersigned.
V truly y urs,
William gins
WCG/
Southold Town Building Department
�SUFFo kc�a P.O.Box 1179
o Permit#: 36652
y� 54375 Main Road
o _ Southold,New York 11971 Permit Date: 8/24/2011
011 (631) 765-1802 Expiration Date: 2/22/2013
Parcel ID: 117.40-14.1
BUILDING PERMIT RENEWAL LETTER
Dated: 9/4/2014
Applicant: Goggins,William& Goggins, Donna
Location: 8755 New Suffolk Rd,New Suffolk
Work Description: RESIDENTIAL ACCESSORY APARTMENT
"as built"apartment in accessory garage per ZBA decision#6444
A FEE OF $397.60 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: Goggins,William&Goggins,Donna
Address: PO BOX 65
Mattituck,NY 11952
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold,New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department
�o�gSUFFQt�i . P.O.Box 1179
N N Permit#: 39180
3 y� 53095 Main Rd
co
o Southold,New York 11971 Permit Date: 9/15/2014
'✓.jj�l �ao� (631) 765-1802 Expiration Date: 3/16/2016
Parcel ID: 117.-10-14.1
BUILDING PERMIT RENEWAL LETTER
Dated: 11/14/2018
Applicant: Goggins, William& Goggins,Donna
Location: 1780 Jackson St,New Suffolk
Work Description: RESIDENTIAL ACCESSORY APARTMENT
Replaces BP#36652"as built"apartment in accessory garage per ZBA decision#6444
A FEE OF $397.60 IS REQUIRED TO RENEW TRIS BUILDING PERMIT.
Owner: Goggins,William&Goggins, Donna
Address: PO BOX 65
Mattituck,NY 11952
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold,New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
WILLIAM C. GOGGINS
Attorney at Law
13235 Main Road, P.O. Box 65
Mattituck, New York 11952
Phone: (631) 298-4818
Fax: (631) 298-4214
Email: gogginslaw@gmail.com
September 10, 2021
Southold Town Building Department
53095 Main Road, P.O. Box. 1179
Southold, New York. 11971
Re: William C. Goggins and Donna M. Goggins
Premises: 1780 Jackson Street, New Suffolk, New York
SCTM No.: 1000-117.000-10.00-014.001
Permit No. 39180
Dear Sir/Madam:
We ask that the expired permit number 39180 be renewed, and a certificate
of occupancy be issued.
Also, enclosed please find a blank check as and for the renewal fee and
certificate of occupancy fee.
Thank you.
V truly yours,
WILLIA C. GGINS
a WCG/dmp
llua3 ?
WILLIAM C. GOGGINS
Attorney at Law
13235 Main Road, P.O. Box 65
Mattituck, New York 11952
Phone: (631) 298-4818
Fax: (631) 298-4214 D MCEUVE n
Email: gogginslaw@gmail.com V
S E P " 1 2021
September 21, 2021 BUU DrNG DEPT.
TOWN OF SOU71TOLD
Southold Town Building Department
53095 Main Road, P.O. Box. 1179
Southold, New York. 11971
Re: William C. Goggins and Donna M. Goggins
Premises: 1780 Jackson Street, New Suffolk, New York
SCTM No.: 1000-117.000-10.00-014.001
Permit No. 39180
Dear Sir/Madam:
In connection with the above referenced matter, enclosed please find a
certification by James J. Deerkoski, Professional Engineer for the accessory
garage apartment.
It is our understanding that the final inspection is scheduled for October 6,
2021.
Thank you.
Very truly your ,
ao
WILLIAM . G GINS
WCG/dmp
1
<o
Town HallAnnex Telephone(631)765-1802
54375 Main Roadg Q
P.O.Box 1179 yr. az roger richertCa oyin SOU1110[�nV US
Southold,NY 11971-0959
BUR DING DEPARTMENT ,
TO"OF SOUTHOLD �
APPLICATION FOR ELECTRICAL INSPECTION
' I
REQUESTED BY: FRANK MINEO Dae:
• t2/29/2012
Company Name: FRANK MINEO ELECTRIC
Name:
License No.: ME 2729
Address:
ue New York 11942
Phone No.: 631-728-6406
JOBSITE INFORMATION: (*Indicates required information)
*Name: William Goggins
*Address: 1780 Jackson Street
*Cross Street: 5th Street
*Phone No.: 631-298-4200
Permit No.: 36652
Tax-Map District: 1000 Section: 117.00 Block: 10.00 Lot: 014.
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Details to follow- Count will be furnished at time of inspegtion
(Please Circle All That Apply)
Is job ready for inspection: YES NO Rough In Final
*Doi you need a Temp Certificate: YES
Temp Information(If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
Survey requested for completed construction
82-Request for Inspectlon Fonn
r
NOTE:2 HOUR FIRE WALL NOTE:MIN.5.7 SF EGRESS REQUIRED NOTE:SMOKE AND Co DETECTORS F7 I
PER CODE TO SEPERATE PER CODE.WINDOW TO BE TO BE INSTALLED AS REQUIRED
Design No. U301 APARTMENT FROM STORAGE TW3046 OR CW245(TO MATCH BY CODE
CLOSE TO EX.OPENING SIZE)
November 17, 2010
Bearing Wall Rating — 2 HR. U 1 1
Design Services
Finish Rating — 66 Min. ,
------------------------------------- ----- --r --- ----------------------------- -
Load Restricted for Canadian Applications — See Guide 13XUV7 L '
' � R
www.mchdesignservices,com
r, .......�.�...-- 16 O.C. 16" O'C' O phone:
6 298-2250
BEDROOM re-mail:
- ; STORAGE CLOSET 121_2" 7'-Bvz, michaei@mchdesignselvices.com
j ------------------------- ---------- ---------------------- s - - ---------------- ---------- A --------------------- ---
BATH
f
- 2 a SITTING ROOM
2 4" ■
rn
(D 2 s ' 1 �fP STORAGE
003
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1.NAILHEADS-EXPOSED OR COVERED WITH JOINT COMPOUND. 4D.GYPSUM BOARD*-AS AN ALTERNATE TO ITEM 4-5/8 IN.THICK APPLIED EITHER
HORIZONTALLY OR VERTICALLY.INNER LAYERS FASTENED TO FRAMING WITH 1-1/41N. f
2.JOINTS-EXPOSED JOINTS COVERED WITH JOINT COMPOUND AND PAPER TAPE.JOINT STORAGE `
ilTCHEI
LONG TYPE W COARSE THREAD GYPSUM PANEL STEEL SCREWS SPACED A MAX 8 IN.OC,COMPOUND AND PAPER TAPE MAY BE OMITTED WHEN SQUARE EDGE BOARDS ARE USED. WITH LAST SRCREW 1 IN.FROM EDGE OF BOARD.OUTER LAYERS FASTENED TO FRAMING ,;,
AS AN ALTERNATE NOM 3/32 IN.THICK GYPSUM VENEER PLASTER MAY BE APPLIED TO
' WITH 1-7/81N.LONG TYPE W COARSE THREAD GYPSUM PANEL STEEL SCREWS SPACED A M
THE ENTIRE SURFACE OF CLASSIFIED VENEER BASEBOARD WITH THE JOINTS REINFORCED LIVING ROOM ___-- -__--
MAX 8 IN.OC,WITH LAST SCREW 1 IN.FROM EDGE OF BOARD.WHEN USED IN WIDTHS -------------* }-- --- ---------------------------------
WITH PAPER TAPE. °0 - r-------------
OTHER THAN 48 IN.,GYPSUM BOARD TO BE INSTALLED HORIZONTALLY.ALL JOINTS IN
3.NAILS-6D CEMENT COATED NAILS 1-7/8 IN.LONG,0.0915 IN.SHANK DIAM,1/4 IN. FACE LAYERS STAGGERED WITH JOINTS IN BASE LAYERS.101 NTS OF EACH BASE LAYER O O
DIAM HEADS,AND 8D CEMENT COATED NAILS 2-3/8 IN.LONG,0.113 IN.SHANK DIAM,9/32 OFFSET WITH JOINTS OF BASE LAYER ON OPPOSITE SIDE.
IN.DIAM HEADS.
AMERICAN GYPSUM CO-TYPES AGX 1,AG-C. p
4.GYPSUM BOARD-*-5/81N.THICK,TWO LAYERS APPLIED EITHER HORIZONTALLY OR
VERTICALLY.INNER LAYER ATTACHED TO STUDS WITH THE 1-7/8 IN.NAILS SPACED 6 IN.
4E.GYPSUM BOARD*-(AS AN ALTERNATE TO ITEMS 4 THROUGH 4D)-5/8 IN.THICK,4 FT.
OC.OUTER LAYER ATTACHED TO STUDS OVER INNER LAYER WITH THE 2-3/8 IN.LONG WIDE,PAPER SURFACED APPLIED VERTICALLY AND SECURED AS DESCRIBED IN ITEM 4. ,
NAILS SPACED 8 IN.OC.VERTICAL JOINTS LOCATED OVER STUDS.ALL JOINTS IN FACE TEMPLE-INLAND-TYPE X COMFORTGUARD SOUND DEADENING GYPSUM BOARD. -------------------------------------------
--
LAYERS STAGGERED WITH JOINTS IN BASE LAYERS.JOINTS OF EACH BASE LAYER OFFSET
WITH JOINTS OF BASE LAYER ON OPPOSITE SIDE. 4F.GYPSUM BOARD*-(AS AN ALTERNATE TO ITEM 4)-NOT TO BE USED WITH ITEM 6.5/8
WHEN USED IN WIDTHS OTHER THAN 48 IN.,GYPSUM BOARD TO BE INSTALLED IN.THICK,4 FT.WIDE,PAPER SURFACED,APPLIED VERTICALLY AND SECURED AS
HORIZONTALLY.
DESCRIBED IN ITEM 4.
WHEN STEEL FRAMING MEMBERS*(ITEM 6)ARE USED,BASE LAYER ATTACHED TO NATIONAL GYPSUM CO-SOUNDBREAK XP TYPE X GYPSUM BOARD
FURRING CHANNELS WITH 1 IN.LONG TYPE S BUGLE-HEAD STEEL SCREWS SPACED MAX 24 4G.WALL AND PARTITION FACINGS AND ACCESSORIES*-(AS AN ALTERNATE TO ITEMS 4
IN.OC;FACE LAYER ATTACHED WITH 1-5/8 IN.LONG TYPE S BUGLE-HEAD STEEL SCREWS THROUGH 4F)-NOMINAL 5/8 IN,THICK,4 FT WIDE PANELS,APPLIED VERTICALLY AND
SPACED MAX 12 IN.OC. SECURED AS DESCRIBED IN ITEM 4.
AMERICAN GYPSUM CO-TYPES AGX-1,AG-C,AGX-11. SERIOUS MATERIALS INC-TYPES QUIETROCK ES,QUIETROCK 527. 2ND. FLOOR PLAN 744.3 SQ, FT,
BEIJING NEW BUILDING MATERIALS PUBLIC 4H.GYPSUM BOARD*-(AS AN ALTERNATE TO ITEM 4)-NOT TO BE USED WITH ITEM 6.5/8 — �_ W
LTD CO-TYPE DBX-1. IN.THICK,4 FT.WIDE,PAPER SURFACED,APPLIED VERTICALLY AND SECURED AS SCALE. 1/4�� — 1 0
DESCRIBED IN ITEM 4. v
CERTAINTEED GYPSUM INC-TYPES 1,FRPC,EGRG,GLASROC,PROROC TYPE C OR PROROC
TYPE X. CERTAINTEED GYPSUM INC-TYPE SILENTFX Z Z
CERTAINTEED GYPSUM CANADA INC-PROROC TYPE C,PROROC TYPE X,PROROC TYPE 5.MOLDED PLASTIC*-NOT SHOWN,OPTIONAL-SOLID VINYL SIDING MECHANICALLY Y} W
ABUSE-RESISTANT. SECURED OVER THE OUTER LAYER TO FRAMING MEMBERS IN ACCORDANCE WITH '
MANUFACTURER'S RECOMMENDED INSTALLATION DETAILS. ,� ene ra`�d by RF_S ch ccT,, Wcb Software
CANADIAN GYPSUM COMPANY-TYPES PIR,C,IP-AR,IP-X1,IP-X2,IPC-AR,SCX,SHX,WRC, 6 J.V`
WRX. ALSIDE,DIV OF ASSOCIATED MATERIALSe /� 1�•rT-1 W
Vr1 1�+ a
GEORGIA-PACIFIC GYPSUM L L C TYPES 5,6,9,C,DAP,DD,DA,DAPC,DGG,DS,GPFS6. INC Compliance Certificate
W � O
LAFARGE NORTH AMERICA INC-TYPES LGFC-C,LGFC2,LGFC2A,LGFC6,LGFC6A.,LGFC-
rT
C/A,LGFC-WD. GENTEK BUILDING PRODUCTS LTD 1
P4 44
VYTEC CORP �g4 �I
NATIONAL GYPSUM CO-TYPES FSK,FSK-C,FSK-G,FSW,FSW-3,FSW-5,FSW-6,FSW-C,FSW- cz W
G,FSMR-C. NEBRASKA PLASTICS INC �I CA
NATIONAL GYPSUM CO-RIYADH,SAUDIARABIA-TYPE FR,OR WR, 6.STEEL FRAMING MEMBERS-(OPTIONAL,NOT SHOWN)*-FURRING CHANNELS AND Energy Cade: 2910 NeW YCTk Energy Conservatian Z
Ccrosfruafion Code
PABCO BUILDING PRODUCTS L L C,DBA L�t13n: Suffolk County.ttew Fork
RESILIENT SOUND ISOLATION CLIP AS DESCRIBED BELOW: � I-"'I w
�
A.FURRING CHANNELS-FORMED OF NO.25 MSG GALV STEEL.2-3/8 IN.WIDE BY 7/8 IN. Camelru*bri T)Fe- Detached I of 2 Pamity j P0, 14 0
PABCO GYPSUM-TYPE C,PG-2,PG-3,PG-3W,PG-4,PG-S,PG-5W,PG-SWS,PG-9,PG-11 OR Pmject TyPE- A�dditio�nlAlteration
DEEP,SPACED 24 IN.OC PERPENDICULAR TO STUDS.CHANNELS SECURED TO STUDS AS � � 3">�ROOF VENT APPROVED AS NOTED PG-C, Butldl,. oieft*)an: BII�i��`.erient2tion uns ecMect
DESCRIBED IN ITEM B.ENDS OF ADJOINING CHANNELS ARE OVERLAPPED 6 IN.AND TIED He3trg Degree�: 5750
PANEL REY S A-TYPES PRC,PRX,RHX,NDX,ETX TOGETHER WITH DOUBLE STRAND OF NO.18 SWG GALV STEEL WIRE NEAR EACH END OF Clhc3te Zone: 4h� J�� O
OVERLAP.AS AN ALTERNATE,ENDS OF ADJOINING CHANNELS MAY BE OVERLAPPED 6 IN. DATE.—�/ « B.P.#'—"""""
AND SECURED TOGETHER WITH TWO SELF-TAPPING#6 FRAMING SCREWS,MIN.7/16 IN. Cans",ruction_"Pe: 09"ner't t't: Destner!C<r'.ra&.ar:
LONG AT AT THE MIDPOINT OF THE OVERLAP,WITH ONE SCREW ON EACH FLANGE OF THE S 3 FEE' / 5Y
CHANNEL.WALLBOARD ATTACHED TO FURRING CHANNELS AS DESCRIBED IN ITEM 4° FICTM STI C 1 1/4 011/4 11/2 t4�{iFy BUILDING ULr'��j►1'. '� '
SIAM GYPSUM INDUSTRY SARABURI CO LTD-TYPE EX-1 FF1'tt -� 1 1/4 1 1/4 ro r".� T® A,
B.STEEL FRAMING MEMBERS*-RESILIENT SOUND ISOLATION CLIP USED TO ATTACH TES
TEMPLE-INLAND-TYPE TG-C,TYPE X,VENEER PLASTER BASE-TYPE X,WATER RATED-TYPE SINK LAV. LAV.FURRING CHANNELS(ITEM 6A)TO STUDS.CLIPS SPACED 48 IN,OC.,AND SECURED TO W W.C. ,. . ar✓ 111"%�
X,SHEATHING TYPE X,SOFFIT-TYPE X,GREENGLASS TYPE X. '�°+F +. .,f...;,,`¢ ; SHO ER 3 ' + �' h*k !
STUDS WITH NO.8 X 2-1/2 IN.COARSE DRYWALL SCREW THROUGH THE CENTER _... _ ......._....-.._ ___ . .._. - IF.A.I. k
„ OR ATH
UNITED STATES GYPSUM CO-TYPES AR,C,FRX-G,IP-AR,IP-X3,IP-X2,IPC-AR,SCX,SHX, GROMMET.FURRING CHANNELS ARE FRICTION FITTED INTO CLIPS. COTr.a.ce:0.5%B�iiarThan Cada t6t.VrrlL"n Uk 182 Your UA:101
WRC,WRX,USGX. TM#A ftow ivftm brie Ledo P4*n ialkte hew tkAr b tot$#"6m hNm M tilt+!on emk trrr_'"I ft*l
PAC INTERNATIONAL INC-TYPE RSIC-1. It bon WW(re-Ah to rwirsx M#"*W U"of call Writtvrr O t 11/2
USG MEXICO S A DE C V-TYPES AR,C,IP-AR,IP-X1,IP-X2,IPC-AR,SCX,SHX,WRC,WRX. * C 0 3 � r+_ ty?!{ s •n� `'�"
7.WALL AND PARTITION FACINGS AND ACCESSORIES -(OPTIONAL,NOT SHOWN)- ; , " ( 3 2 1 114 1 1/4 � s�{;
4A.GYPSUM BOARD*-(AS AN ALTERNATE TO ITEM 4)-NOM 3/4 IN.THICK,INSTALLED AS NOMINAL 1/2 IN.THICK,4 FT WIDE PANELS,FOR OPTIONAL USE AS AN ADDITIONAL LAYER °��' f "� t1' �U C.O. NiTrillpf-
DESCRIBED IN ITEM 4. ON ONE OR BOTH SIDES OF THE ASSEMBLY.PANELS ATTACHED IN ACCORDANCE WITH
MANUFACTURERS RECOMMENDATIONS.WHEN THE QR-510 PANEL IS INSTALLED
CANADIAN GYPSUM COMPANY-TYPES AR,IP-AR. BETWEEN THE WOOD FRAMING AND THE UL CLASSIFIED GYPSUM BOARD,THE REQUIRED Fld)orA'1A"l'0.".d J.116 =s Over Uroor+d.Spade 744 2a.D D.D 2E+
UNITED STATES GYPSUM CO-TYPES AR,IP-AR. UL CLASSIFIED GYPSUM BOARD LAYER(S)IS/ARE TO BE INSTALLED AS INDICATED AS TO Ce*lrg:Fla'.Cr S:" sm TrUs5 559a D.D 21
FASTENER TYPE AND SPACING,EXCEPT THAT THE REQUIRED FASTENER LENGTH SHALL BE Ce31rg:Celedtal 154 30.0 0.0 5 4 _
USG MEXICO 5 A DE C V-TYPES AR,IP-AR. INCREASED BY A MINIMUM OF 1/2 IN.NOT EVALUATED OR INTENDED AS A SUBSTITUTE
%1m.9:%foodFrame.1E1i_ox. 335 13.D 0.0 23 4-C.! TOAPROVED
4B.GYPSUM BOARD*-(AS AN ALTERNATE TO ITEMS 4 AND 4A)-5/81N.THICK,2 FT WIDE, FOR THE REQUIRED LAYER(S)OF UL CLASSIFIED GYPSUM BOARD. or!a ilallan:Freri HOUSE
TONGUE AND GROOVE EDGE,APPLIED HORIZONTALLY AS THE OUTER LAYER TO ONE SIDE SERIOUS MATERIALS INC-TYPE QUIETROCK QR-510. VAaCI:%Ir ME131 Force,2 Pane W Lv.tLE 55 0.30D 17 SLOPE" 1/4" PER FOOT PITCH TO DRAIN TRAP SEPTIC SYSTEM
OF THE ASSEMBLY.SECURED AS DESCRIBED IN ITEM 4.JOINT COVERING(ITEM 2)NOT Sl}�. µ0,r0
REQUIRED. 8.CEMENTITIOUS BACKER UNITS*-(OPTIONAL ITEM NOT SHOWN-FOR USE ON FACE OF 2 Ore"11 .I"an:Frcr"
CANADIAN GYPSUM COMPANY-TYPE SHX HR SYSTEMS WITH ALL STANDARD ITEMS REQUIRED)-1/2 IN.,5/8 IN.,3/4 IN.OR 1 IN. %Va.1:VfDod Frame.1EP1_O.C. 172 0.0 0.0 34 PL UMBERS CERTIFIGIA Fiu;W
THICK,MIN.321N.WIDE.-APPLIED VERTICALLY WITH VERTICAL JOINTS CENTERED OVER 'l"n'f;V-r'`:XV PLUMBING SCHEMATIC ON LEAD CONTENT BEFORE
UNITED STATES GYPSUM CO-TYPE SHX STUDS.FACE LAYER FASTENED OVER GYPSUM BOARD TO STUDS AND RUNNERS WITH %'And"41:hWal Frame. Pane 1�ft Lo'.gtE 3D 0.30D S? CERTIFICATE OF OCCUPANCY
CEMENT BOARD SCREWS OF ADEQUATE LENGTH TO PENETRATE STUD BY A MINIMUM OF ,t„R13--020 _
USG MEXICO S A DE C V-TYPE SHX 3/8 IN.FOR STEEL FRAMING MEMBERS,AND A MINIMUM OF 3/4 IN.FOR WOOD FRAMING 0r!1e*rtlan:F(',;t''t SIL%e SOLDER USED IN K i'TER
4C.GYPSUM BOARD*-(AS AN ALTERNATE TO ITEMS 4,4A OR 48-NOT SHOWN)FOR MEMBERS SPACED A MAX OF 8 IN,OC. wai:%'food Flame,1 E19_ox. 335 13.C' 0.0 26 / � ."' ''
DIRECT APPLICATION TO STUDS ONLY-FOR USE ON ONE OR BOTH SIDES OFTHE WALL AS 0,1e ItAlan:Fant SUPPLY S?�TF_r�r C, l. .J r
THE BASE LAYER OR ONE OR BOTH SIDES OF THE WALL AS THE FACE LAYER.NOM 5/8 IN. NATIONAL GYPSUM CO-TYPE PERMABASE "` * a o • o ���€ `q;, ° "' a` ;. EXCEED 2/10 Gr- i is L.;.:° ��.
%A1d,"irNW31Fr3me,2PaneunLmv-E 22 0.30D 7 �(
THICK LEAD BACKED GYPSUM PANELS WITH BEVELED,SQUARE OR TAPERED EDGES, $Msu D_30 _ PL 1. MBING
APPLIED VERTICALLY.VERTICAL JOINTS CENTERED OVER STUDS AND STAGGERED MIN 1 w " " ! '� �' I I� t+ r I
4}..e"tbtl�n.I?arl< =L.: j I ; :.:..1 ►.1 n! ALL DRAWN BY M H
�° P,_>_� LUIv!B,NG��/ASTE
STUD CAVITY ON OPPOSITE SIDES OF STUDS.WALLBOARD SECURED TO STUDS WITH 1-5/8 %Val:%+toad Frzre,1EI -ex. 172 13.D 0.C. 14 r a, - 1+ ;r;' - � �� � p-
IN.LONG TYPE W COARSE THREAD GYPSUM PANEL STEEL SCREWS SPACED 8 IN.OC AT " ( I j'; h &WA1 ER OR LINE r N)VED
PERIMETER AND IN THE FIELD WHEN APPLIED AS THE BASE LAYER.WHEN APPLIED AS THE CT'�7l.311..n L 51e "` ° ' '' '` ' ° �' TESTING B�'FOFu';���1 ERi�i�
FACE LAYER SCREW LENGTH TO BE INCFEASED TO 2-1/2 IN.LEAD BATTEN STRIPS
I`•,i i,. �.,, ,� ,,... . . . _ - J U lY 26, 2011
REQUIRED BEHIND VERTICAL JOINTS OFLEAD BACKED GYPSUM WALLBOARD AND Corrp�arce Sfaferre!;L Tie lx0opmac!t4qrny dEElg't deeCr2�Eti hire fs cc.Elsbent Y.r't1 the tr ll:lrg p�3ars,sper°-whorls,a'Id ct`iF ELECTRICAL
OPTIONAL AT REMAINING STUD LOCATIONS.LEAD BATTEN STRIPS,MIN 1-1/2 IN.WIDE, Calmlr..SP.IE Sutmittlel 411th'tt'e pent ap¢11%abon.The p mposed tT-dl.lg has teen de5.!gred'f:meet the 2010 New Ya"t Er_ergyr CcnEenral.lan
MAX 10 FT LONG WITH A MAX THICKNESS OF 0.125 IN.PLACED ON THE FACE OF STUDS ccnEt ov.-l4ns cme regji e'r:er:s Cr RE•:.n*-,f:7Neb and t^comply'r,n the rr3rd3tory regjJ eTeits rEted,Cr the IRES CN.n.Ins-pece."on INSPECT ION REQUIRED
AND ATTACHED TO THE STUD WITH TWD 1 IN.LONG TYPE 5-12 PAN HEAD STEEL SCREWS, Checklist. SCALE. 1/41I
= 1 -0
ONE AT THE TOP OF THE STRIP AND ONE AT THE BOTTOM OF THE STRIP.LEAD DISCS OR
TABS MAY BE USED IN LIEU OF OR IN ACDITION TO THE LEAD BATTEN STRIPS OR
OPTIONAL AT OTHER LOCATIONS,MAX 3/4 IN.DIAM BY MAX 0.125 IN.THICK LEAD DISCS
COMPRESSION FITTED OR ADHERED OVER STEEL SCREW HEADS OR MAX 1/2 IN.BY 1-1/4 l�aT�-T"� ,�'gradJ�e Die ' SHEET N O.
IN.BY MAX 0.125 IN.THICK LEAD TABS PLACED ON GYPSUM BOARDS UNDERNEATH SCREW
LOCATIONS PRIOR TO THE INSTALLATIOY OF THE SCREWS.LEAD BATTEN STRIPS TO HAVE Pro ect NeYes.
A PURITY OF 99.9%MEETING THE FEDEFAL SPECIFICATION QQ-L-201F,GRADE"C". AS BUILT
f fi�
FASTENERS FOR FACE LAYER GYPSUM PANELS(ITEMS 4,4A OR 48)WHEN INSTALLED OVER
LEAD BACKED BOARD TO BE MIN 2-1/2 IN.TYPE 5-12 BUGLE HEAD STEEL SCREWS SPACED
AS DESCRIBED IN ITEM 4.
Project Ttlle- P►?p+L'tt d3te!:t:2lC m I
Data reiaTe: Par- i of a