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HomeMy WebLinkAbout28706-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29397 Date: 04/29/03 THIS CERTIFIES that the building ADDITIONS Location of Property: 1305 BAYVIEW AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 6 Lot 20 .4 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 9, 2002 pursuant to which Building Permit No. 28706-Z dated AUGUST 28, 2002 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 TWO STORY ADDITION WITH GARAGE UNDER AND RAISED DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GERALD GOEHRINGER L WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1100279 04/14/03 PLUMBERS CERTIFICATION DATED N/A 2 4;;t 99,91-��Ve 4� Authorized SiclKature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28706 Z Date AUGUST 28, 2002 Permission is hereby granted to: GERALD & WF GOEHRINGER 1305 BAYVIEW AVE MATTITUCK,NY 11952 for CONSTRUCTION OF A TWO STORY ADDITION WITH GARAGE UNDER AS APPLIED FOR at premises located at 1305 BAYVIEW AVE MATTITUCK County Tax Map No. 473889 Section 106 Block 0006 Lot No. X00-2-. pursuant to application dated AUGUST 1, 2002 and approved by the Building Inspector to expire on FEBRUARY 28, 2004 . Fee $ 330 . 60 Auth z S1 nature COPY Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD 7 'r � 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: Z&) (— House No. Street ukrilet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block 'p Lour—�aD Subdivision Filed Map. Lot: Permit No. Z, Date of Permit. 1 UL Applicant: Health Dept. Approval: --' Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: (/ (check one) Fee Submitted: $ (-O:�-n L � Applicant Signature O �IrJrJrJcnr ncncncn�ncnrPcnrJ`nr nrJrJtncnr ncn�ncnrJ drJ�rJ�rJrJ�rJ�rJrJrJ�rJrJrJrJ�rJ�rJrJrJ�rJrJrJ'r1rJrJrJ�rJ�rJrJ�r rrJr3r�r��l�l�IrJrJrJcn c0 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 SBUREAU OF ELECTRICITY 5 rj 40 FULTON STREET — NEW YORK, NY 10038 55 CERTIFIES THAT S Upon the application of upon premises owned by 5 5 GERARD GOEHIRNGER GERARD GOEHRINGER 5 rj P.O. BOX 812 1305 BAYVIEW AVE. MATTITUCK NY 11952 MATTITUCK, NY 11952 5 f�+ Located at 1305 BAYVIEW AVE. MATTITUCK, NY 11952 C� Application Number: 1100279 Certificate Number: 1100279 S 5 Section: 106 Block: 6 Lot: 16.2 Building Permit: BDC: NS11 5 5 N-e� L. --#� ,s ao.q 5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 First Floor, Second Floor,Attached Garage,Outside, 5 S 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 fj found to be in compliance therewith on the 14th Day of April,2003. 5 5 5 Name OTY Rate Rating Circuit Type 5 Wiring and Devices 5 Receptacle 14 0 General Purpose 5 5 Switch 10 0 Incandescent 5 Fixture 6 0 Incandescent 5 5 Receptacle 2 0 GFCI 5 5 5 5 5 5 5 5 5 5 seal C 5 1 of I 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. D rJ@PrP�PrJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJL311 arJ@@PcPrJ:rJ�rJ�r:11 11:J�rJ�rJ�rJrHEMErJEME1r1.101 01 o File No: 6202 WARREN A.SAMBACH,SR. CONSULTING ENGINEERS PLANNERS 7675 COX LANE P O.BOX 1033 - CUTCHOGUE,NV 11935 631-]'S.M)734-7492 December 18 2002 Building Department Town of Southold Town Hall 53095 Main Road Southold NY 11971 Re: Gerard Goehringer P.O. Box 812 Bayview Avenue Mattituck NY 11952 SCTM: 1000 Section: tO5 Block: 6 Lot: -2fr.2 To Whom it May Concern: Installation of collar beams consisting of 2-211;1101'spaced at 64" is of sufficient strength. Framing for pull down stairway conforms to standard practice. Sincerely, yp Warren A. Sambach Sr. P.E. was: s jj A. - '�4iT1116a File No: 6202 WARREN A.SAMBACR,SR. CONSULTING ENGINEERS PLANNERS 7675 COX LANE - P.O.BOX 1033 1 2!!Q2 CUTCHOGUE,NY 11935 6 3 1-gm)734-7492 September 30 2002 Building Department Town of Southn] d Town Hall 59035 Main Road Southold NY 11971 Re: Gerard Goehringer P.O. Box. 812 Bayview Avenue Mattituck NY 11952 SCTM: 1000 Section: 106 Block: 6 Lot: 26 . 2 / To Whom it May Concern: Be advised that 3"x10"-16"0/C will sustain the second floor? loading and 3"x12"-24"O/C will also sustain the second floor loading for a span of 22 ' with fs=1450 psi . Sincerely, a'Vic.J -, Warren A. SamEbbaach Sr. P.E. A. `t! �4'ttA16� Fil-- No: 6202 WARREN A.SAMBACH,SR. CONSULTING ENGINEERS PLANNERS 7675 COX LANE P.O.BOX 1033 CUTCHOGUE,NY 11935 ($11i!734-7492 January 13 2002 Zs706 Building Separtment Town of Southold Town Hall 53095 Main Road Southold NY 11971 Re: Gerard Goehringer P.O. Box 812 Bayview Avenue Mattituck NY 11952 )4"-L iia J h4 SCTM: 1000 Section: 105 Block: 6 Lot: 7fsz p / To Whom it May Concern: Y Installation of collar beams consisting of 2-2"x10" spaced at 64" conforms to NYSBuilding Code. Framing for pull down stairway also conforms to NYS Building Code. Sincerely, � OO- � Warren A. Sambach Sr. P. E. was: s cc: GG esm-% File No: 0202 WARREN A.SAMBACH,SR. 7 CONSULTING ENGINEERS-PLANNERS 7675 COX LANE - P.O.BOX 1033 CUTCHOGUE,NY 11935 631- X5414 734-7492 April 16 2003 Building Department Town of Southold Town Hall 53095 Main Road Southold NY 11971 Re: Gerard Goehringer P. O. Box 912 Bayview Avenue Mattituck NY 11952 SCTM: 1000 Section: 105 Block: 6 Lot: 16 . 27 To Whom it May Concern: Inspection of the above alteration-extension framing system conforms to the revised approved plans and conforms to the New York State Building Code. Sincerely, 4� it )A Warren A. Sambach Sr. P.E. Consulting Engineer was: s 0jr File ^!o: 6202 WARREN A.SAMBACH,SR. 2 J q I,m S CONSULTING ENGINEERPLANNERS 7675 COX LANE - P.O.BOX 1033 CUTCHOGUE,NY 11935 631- X94IM734J492 April 22 2003 Building Department Town of Southold 53095 Main Road Southold NY 11971 Re: Gerard Goehringer P. O. Box 812 Bayview Avenue Matti uck Y 11952 SCTMct1000 NSection: 105 Block: 6 Lot: 16 . 2 � �a¢ a� To Whom it May Concern: Inspection of the two story addition and deck was made on April 9, 2003 and construction is complete and conforms to the New York State Building Code and the Town Code. All constructicxl conforms to revised plans as submitted. Sincerely, Warren A. SampZaj, Gr - P _ E_ wa s cc: Goehringer A. e&M41di File No: 6202 WARREN A.SAMBACH,SR. _. CONSULTING ENGINEERS PLANNERS Ex 1Z 2002 7675 COX LANE P.O.BOX 1033 CUTCHOGUE,NY 11935 6 3 1-3571B)734-7492 L-77 December 18 2002 Building Department Town of Southold A2 ` Town Hall �� /(•tj! 53095 Main Road Southold NY 11971 Re: Gerard Goehringer P.O. Box 812 Bayview Avenue Mattituck NY 11952 SCTM: 1000 Section: t65 Block: 6 Lot: -2b-2 To Whom it May Concern: Installation of collar beams consisting of 2-211x101'spaced at 64" is of sufficient strength. Framing for pull down stairway conforms to standard practice . Sincerely, Warren A. Sambach Sr. P.E. was: s A A. s File No: 6202 WARREN A.SAMBACH,SR. CONSULTING ENGINEERS- PLANNERS --- -- 7675 COX LANE - P.O.BOX 1033 �(1 CUTCHOGUE,NY 11935 631- MM*734-7492 J April 18 2003 Building Department Town of Southold Town Hall 53095 Main Road Southold NY 11971 Re: Gerard Goehringer P.O. Box 812 Bayview Avenue Mattituck NY 11952 SCTM: 1000 Section: 105 Block: 6 Lot: 16 . 2 N �a" To Whom it May Concern: Inspection of the framing construction of the addition and deck was made on April 9, 2003 and meets and exceeds the New York State Building Code and the Town Code. All construction conforms to revised plans as submitted. Sincerely, �r .�6, ALVL� A2---- Warren A. Sambach Sr. P.E. was:s cc: Goehringer �b Zvi yr ok�ME��d` Permit Number MECcheck Compliance Report Checked By/Date New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lc Data filename:C:\.Shared\Energy Code Calculations\Untitled.cck TITLE:GERARD GENRINGER t COUNTY: Suffolk STATE:New York HDD: 5750 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:08/27/02 DATE OF PLANS:071502 PROJECT INFORMATION: GERARD GENRINGER BAYVIEW AVENUE MATTITUCK,NY. 11952 COMPANY INFORMATION: WARREN SAMBACH CONSULTING ENGINEER P.O.BOX 1033 COX LANE CUTCHOGUE,NY. 11935 NOTES: ALL WINDOWS TO BE ANDERSEN HP. OR EQUAL COMPLIANCE:Passes Maximum UA=215 Your Home=208 3.3%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value -Value U-Factor UA Ceiling 3:Cathedral Ceiling(no attic) 484 19.0 0.0 24 Skylight I:Wood Frame,Double Pane with Low-E 19 0.440 8 Wall 1:Wood Frame, 16"o.c. 1376 13.0 0.0 97 Window 1:Wood Frame,Double Pane with Low-E 155 0.340 53 Door I:Glass 33 0.310 10 Floor 3:All-Wood Joist/Truss,Over Unconditioned Space 484 30.0 0.0 16 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief;and rofessionall jju�dgme�nt,such plans or specifications are in compliance with this Code. Builder/Desig-- Date � A. . f11trt MECcheck Inspection Checklist New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release I DATE: 08/27/02 TITLE: GERARD GENRINGER Bldg. I Dept. Use I I Ceilings: [ ] 1. Ceiling 3: Cathedral Ceiling(no attic),R-19.0 cavity insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: I Windows: [ ] I 1. Window 1: Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: I #Panes_Frame Type Thermal Break?[ ]Yes[ ]No I Comments: I Skylights: [ ] 1 1. Skylight 1: Wood Frame,Double Pane with Low-E,U-factor:0.440 For skylights without labeled U-fictors,describe features: I #Panes Frame Type Thermal Break?[ ] Yes[ ]No Comments: I I Doors: [ ] 1 1. Door I:Glass,U-factor:0.310 1 #Panes_Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Floors: [ ] I 1. Floor 3:All-Wood Joist/Truss,Over Unconditioned Space,R-30.0 cavity insulation Comments: I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air 1 leakage must be sealed. [ ] I Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly 1 with a 0.5"clearance from combustible materials. If non-IC rated,the fixture must be installed with a I 3"clearance from insulation. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufi Curer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values and glazing U-fidors must be clearly marked on the building plans or specifications. I I Duct Insulation: [ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-8. [ ] I Return ducts in unconditioned attics or outside the building must be insulated to R4. [ ] I Supply ducts in unconditioned spaces must be insulated to R-8. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. I I Duct Construction: [ ] I All joints,seams,and connections must be securely listened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in,w.g. (500 Pa). [ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] I Air filters are required in the return air system. [ J I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ j I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. I Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. I Fireplaces: [ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] I Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code ofNew York State,the Residential Code of New York State or the New York City Building Code,as applicable. I Service Water Heating: [ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Circulating HM Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. I I Swimming Pools: [ ] I All heated swimming pools must have an on/offheater switch and require a cover unless over 200/9 I of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105°F or chilled fluids below 55 OF must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for CYrculadng Hot Rater Pipes. Insulation Thicdrness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimutr Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thiclmess in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40.55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) 1Wl BUILDING DEPT. i I INSPECTION [ FO DATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION i [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR -AL M-lU2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ✓ INSULATION [ l FRAMING [ ] FINAL [ ) FIREPLACE A CHIMNEY REMARKS: -/-- ,,-' 1 � 7 � Ili DATE INSPECTOR 1 �3P#28�06�- M-102 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ J ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [�] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE // tea- INSPECTOR _� l FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) -------------------------------------- FOUNDATION (2ND) --- - --- ' z O y ROUGH FRAMING& PLUMBING - INSULATION PER N.Y. STATE ENERGY CODE FINAL J ADDITIONAL COMMENTS �f r 'I ' iYwan ro O y - — d - b y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDIN't DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey PERMIT NO, a 8706 Check Septic Form N.Y.S.D.E.C. �t Trustees Examined ofmg ,20 2 Contact: Approved 20 Mail to: Disapproved a/c Phone: Expiration2 2 - ,20 uildin pector Lill f AUG � 2002 ;!�1 � PLICATION FOR BUILDING PERMIT �----� Date7/9 , 20� INSTRUCTIONS 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 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,housin egulatio to admit authorized inspectors on premises and in building for necessary inspections. r' (Signature of applicant or name,if a corporation) z ailing address of applicant) State whether applicant 4 'Issee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 6eeZ d (As on the tax roll or latest dee 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 CountyTax Map No 1000 Section Block cy G Lot /2", Z-- Subdivision 1� �{JP &Zz Filed Map No. 41 Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constriction: a. Existing use and occupancy b. Intended use and occupancy 000"v�a ON/ /�/✓ 3. Nature of work(check which applicable): New Building Additiony Alteration_ Repair Removal Demolition Other Work (Description) 4. Estimated Cost / Fee �14—cC (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 L#An Oiw /Gs/!i 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front p Rear V&9 Depth_2 7 Height j jhirgf Number of Stories "Z Dimensions of same structure with alterations or additions: Front G 2- Rear G 2. Depth 2 7 A±Q/z,V ' Height "' Number of Stories ! ��- 8. Dimensions of entire new constriction: Front Z _2— Rear '2- Z- Depth 2C-) Height Ir, Number of Stories / -74 9. Size of lot: Front Z Z O Rear C/o Deptb ZS7 10. Date of Purchase /g7 ? Name of FormerOwner �wQ 11. Zone or use district in which premises are situated 12 / 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 C—` 14. Names of Owner of premises 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 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 /Y�O-RK) CO TY OF ldf�f'S r / being duly sworn, deposes and says that (s)he is the applicant '(Name of individual signing contract) a e named, (*He is the Du/1AIC7 / (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 TQ TK da o L 20 O L� Notary Public Signature of Ap ant ROBERT E. REICH Notary Pu6it State of New York No.01RES017781,Suffolk Cmrnty Term Expka January 91-2-003 it 2 ri y io Go 12 13 14 I I c- 1 I1 . , 7V, bei IfI 19 2i) 23 it 21 I II 22 : 24 /X//1/S� (// 7�' ,y il /3 // CiI�U%ivic k ��(�✓��'�1r'i.��v7� lL/ ' _ J . , ,' o.:t✓�b y 1a C� o, Uhdl�l4 �i�� i 36, Aw", �.�5 �1PRRFM1,y d4 �✓� a" �w New i Lam . 0 ' X46 rs���� i (� �� \ �� �LJC�i��/fLpa2JOJJf"f d.tJ 4r r'1i i 04 10a PL / G�6 ./1-�/}id Fi�it 3�,��, �rr�-rs y'n � --- - - - - -- L- Q��� .�-vv�� i a �STIRE� :WT -L-F] _71 OCCUPANCYAFF/ce — USE IS UNLAWFUL WITHOUT CERTIFICATE G E N E R A L N O T E S �, OF OCCUPANCY A 1 . ALL CONTRACTORS TO VISIT JOB SITE AND CHECK WHERE CONSTRUCTION IS TO HE AP R ED AS NOTED INSTALLED AND HE RESPONSIBLE FOR SAMME. DATE' AS 06� 2 . ALL CONSTRUCTION WORE SHALL COMPLY WITH THE NEW YORE STATE BUILDING CONSTRUCTION CODE AND WITH THE REQUIREMENTS OF ANY GOVERNING DEPARTMENTS S '� BY: AS WELL AS THE REQUIREMENTS OF AUTHORITITES HAVING JURISDICTION. NISO SIC OTIFY B DING DEPART T T 4 . ALL WORK SHALL COMPLY WWITH THE NEW YORE STATE ENERGY CODE. FOLLOW5. 2 9 TO 4rPAf'FQWr4' ' 3yo A. IT SHALL HE THE CONTRACTOR'S RESPONSIBILITY TO SUBMIT THE DESIGN, SIZE, FOLLOWING IN ECTIO'( ' 1. FOUNDATION - TWO QUIRE D 48r AND TYPS OF MECHANICAL SYSTEMS WHICH WILL BE USE IN EWIFICIENT DETAIL AS / - 70. REQUIRED BY THE BUILDING DEPARTMENT. FOUGH - FRAMING ET <\ B. INSULATE ALL DUCTS AND PIPING AS REQUIRED BY CODE. 2. ROUGH • FpgMING 6� UMBING ' 3 INSULATION k � C. ALL WINDOWS, DOOR SILLS, OIRNINGS ETC, SHALL BVE CAULKED ANDWEATHER 4 FINAL • CONSTRUCTIO MUST �1 STRIPPED. BE COMPLETE FOR C.O. / q ALL CONSTRUCTION SHALL EET ' 5. PROVIDE ONE SMOKE DETECTOR ON EACH FLOOR, INCLUDING BASEMENT GARAGE. ALL THE REQUIREMENTS OF T14 N.Y. `-w DETECTTORS ARE TO BE DIRECTLY WIRED TO THE ELECTRICAL SYSTEM OF THE BOMB. STATE CONSTRUCTION 6 ENE GY '9 6. ENGINEER IS NOT RESPONSIBLE FOR THE SUPERVISION OP CON CODES, NOT RESPONSIBSTRUCTION. GENERAL S DESIGN q CONSTRUCTION pO S LE `C3 CONTRACTOR MUST VERIFY ALL DIMENSIONS AND CONDITIONS BEFORE CONSTRUCTION OEp '�� /� � �2' / T y OR FABRICATION. ENGINEER IS NOT RESPONSIBLE FOR ANY CHANGES WITHOUT WRITTEN PRIOR APPROVAL. PROVIDE % HR. FIRE Q8 " / 7. THE ENGINEER SHALL BE RESPONSIBLE FOR THE CONTENTS OF THESE DRAWINGS ONLY. RATED SEPARATION TO HE SHALL NOT BE HELD RESPONSIBLE FOR ANY MATERIALS, WORKNNSHIP, MEANS OR PART. 717.3 (f) (1) OF METHODS OF CONSTRUCTION. TRE ENGINEER SHALL NOT BE HELD RESPONSIBLE. FOR THE N.Y. STATE BUILDING CODE. DESIGN OR INSTALLATION OF MATERIALS AND EQUIPMENT. BLECRICAL, HEATING, VENTILATION, AIR CONDITIONING OR ANY OTHER SYSTEM NOT SPECIFICALLY li 'fwS702y ` CONTAINED IN THESE DRAWINGS. / 8- ELECTRICAL CONSTRUCTION IS TO CONFORM TO THE NATIONAL ELECTRIC COD, UNDERWRITERS CERTIFICATE I F kP�IP REQUIRED \ NEW YORK STATE CODE, AND LIPA. 9. PROVIDE DOUBLE JOISTS UNDER ALL PARTITION WALLS UNLESS OTHEERWISE NOTED. j/ 10 SILL PLATES ARE TO BE 2" x 6^ TREATED 40 YEAR CCA WITH SILL SEALER. til / II . 2" x 4"-16" OC EXTERIOR WALLS. 2" x 4"-16" OC INTERIOR WALLS. LENS®�® CTO �L / 12. ALL WALL STUDS ARE TO BE #2 OR BETTER DOUGLAS PIR. ./�� / ALL OTHER FRAMING MEMBERS AS ORAADEVI�iS PART. "� A / ARE TO BE #2 OII BETTER DOUGLAS PIR. N'yS BUILDING CODE. / 13- PROVIDE/ SID BLOCKING HAVE (2) _3/4 BENEATH ALL 14 . OPENINGSTOLYLBRARING PUNLESS OTHERWTSEE NOTED. d b V 15. 3/4^ CD1C SOBPLOOR. Ii^ CDS ROOF SHBATING (S) PLY. OSB EXTERIOR WALL SHHATiNG. R' 5CTM- IDOd 17. PROVIE FIRfi BLOCKING ON (IN) ALL WALLS AS IIEQOIRE➢. BEET- 106 'p 18. ALL CONCRETE TO BE 3000 PSI @ 28 DAY ASTM C-94 READY MIX CONCRETE. FSLK - "T J 19. ALL FOOTINGS, FOUNDATIONS, ETC. SHALL REST ON UNDISTURBED SOIL. 20. FOOTINGS SHALL BE 36" BELOW FINISHED GRADE-MININUM ON zoHE48JIO�'1II ` 4000 PSI- ALL FOOTINGS, FOUNDATIONS TO BE FORMED. UNDISTURBED SOIL �b7 p' 41/ ,\ °Pr)!rIEIE OPENINGS FOR FSC(SCY ESCAPE AS ` y y '4r{g£IT (tP P1ART. 714 OF � Q^ @.'i,T E 91111-DING CODE. 5N £ [ T T Frd I; FLclOvs P L O T P L A N i SCALE: 1"=30' PLOT F,i MATTITLI�k- F1'>' l �iy" n 0 Ai;X 1033 CCt% ",s1dr CU7CHkXUE,N '1 Y1W6 ;rib-7S4-4M�: 4EsmII0 F_t!t'D r,"! ti - ,=�� DA7c: crllrc-� d�aw� roar 5,GACF: Ile I!v VN(i N9 OF- 2; TOW Ph s 170- IMT11t a Zt7 XRi"AMM 11"M ri�" 1 4 1 .r xear1 Sm ,}0 V'i' 7 4 FlizZ wis'ni4oI P�*F— cv�z4lmo 17- ib -70 4 In - F tz2e5,7 E, YLA t-J '2 9V 1 4--- Feo/UT- PL51/A714'" A ------------ AHr iEN A. SAMBACH rCI'43\)LTING ENGINEERS PL A tj F r, BOX M3 COX LANE ------ CUTCHOOVE,NY 11M 518-734-7492 1 ?"r , av VW CHY-P SQ DA7tf jv� ll'ilf fD2(72 \ '211rPJ'' FAP6E BF,Ah TAK PRp�� - "vm ASP61ALr wrvr - _ ...._ 2-2^X4" 'J, ' I I I1 ny I 2.X44-It','4'�lG '/'Lx PLV N/DGyO SHTfre-i- � i w(15 IH6 ST L^IY .d{IM6LE ok. 5IDI44 _„ I 1 t01�1T r I vx0 PMC 'V'4" ilY Sub pAoC " i I 10 —_ 2°K 4'-1w'W `cvvlh vbc I'bi Stn(_T hi- " /.- 1G°. G 4'610 WALL-- IV ALL , i~E N NTi210 Flµrs z x y JII— � ' VP - 7/161'056EYT1,�.RIge- /'211WlR17F- iNT6� I --- SiplNta MNrCx-r &xI57it uYt°& i`JCbx I I i I' I � i I Ti� •I � � �.K-I'h IHSD�A?Ipl.4 a � :�' I �I : ;! �� �� __ ( ' t- �. -- - ! 2,IK 6" CCA Pl k7E fy.,,.�. - 1¢Eao Yi E. 6D SI�d �cmd- -- S" eroU W/ DOW WPrLL 6I(@2Y OTHF=it� e e1✓w6 , I _...—,.....- I - - - GghIGtZF:'IE fLCh7r✓ ,J�!r'rN W/ 4116 Lf-44 rc. -r 1014 PrAP-. ELlEVA T 10t-4 E L_ E.V/.LT10 IV-Sr(,' Tl OW Hs�4'�Y1>ti�l k^V��RUE:. bt-F4TTrTI! CfG NY 1198'2.- �c�,,� WARREN A.SAM13ACH A CONS,ILTING ENGINEERS P-4. DOX. 163&COX LANE CUTCHOGUE, NY 119W 518-734.74p2 y �R, CW0 ?'Vl -�vv - REVS: dAv D 5q, SE- DATE' OHI-02- JOb N'a' l UX4 9 ..,�,,.�.,...e. ....�..r.,........�».. . S-',lL0 it4". ILO" RW4 N(°; .�5 a?- i. N , Y 'u 7p 1 n 1, Y•",trv, 'f'y I, @, k.Mi .1 . - v 'k ..L4' 'T a {';r :,v. ..N. :¢'Y:.': V' n;'4 <�- Ii. �, YkiaiY , sui A s1w,Vi•Y6+°V I.+ . rm rf . v I l 5Vv- TMh n I .,� iik .1• II � S n .vh4 r, . e,iiywl., r, <.; . - w' ' ., - ti .y' lcp ;.'� 71�Ey7'��Ni�ll eyr j +1 ia'"�,." I�Er , ; f• � { � , r r ; P , rfl 1 tr,; cr IID i< `ti ky.; lc rr Irt�3 yx rbx c ,x �• , :- ` � R �r .rlf4 '�`�{ 1.� ;4r ��'�, A !+ Yl r F mJ�t,[� y v�y1 t 3vp Ir �r�[ �V .'r , fir,CON' CTOIRRNT31 _ �+ o $ ,. i I k � h 1Jkrtk Nt aR�€ � �G, a rA.7 ITT ° Nilit, / AL? ;CNNCN �T1li9c�rrQN .ciil�tg M#17h TldpiPltMgk 'p 1r'r a 4l) CORSTR l NI, COOK a�iR9p " 4Mlh.J nA y, k as tT+t 118 r ". Amt 4. r F .RLL wv�, vunfai"n'� �w'l,fa' � 11 ..'- IT Ir BRA.' 1ft Comi, '-T, ' ANN 'L"I'P,R'or moral,�,-SYS' +EIpO $ REOvx]tEp BL telt 9eIbDTmm; DEp B. IWSDLlITE ALL. bt)'cTR 11Bf -P1$IIG #RgDx BT CODA ` i C. ALL WINDOWS. DOOR, Sx"o, o#RNINIas ETC; 9 'SHALL BYE OAIiLR'ED ' DETTPMOYrDRSC" ONE SN4;E .an DCTO$ ON" SACH FLO©N. I!N':Yito-Too BRiF ` 147 o�s ASCE TO BE''DI TL2 1(IRED' TO TNR EI 2r3G B, BNGIAEER IS NPT;RX i1BIBlr`d' FOIL T"$ SUPWIBION OF xCTR Coisrao,, 'Ro1TIBN PT k w 9 CONTRACTOR ROST y"iry =ALL, DSNNNSIONS AMCPMiNxTxots / - OR FABRICATION, E"GIWEaR IS NOT RESPONVOR " PRIOR APPROAAI.. 8'IPTr'E,. FPS' AM 7- TBR ENGINEER SHALL HE R'RSpUxBxBLE FOR THE - t r ; HE SHALL NOT 6R -H� RESPONSIBLE FOR ANY .N►C RR "ALS ', ffids n1 NRS 4 +fir `! !i w,.tTo, a '�' . IALS, p08A W -- - _ ' METHODS OF dONSTN "TION:. THR KNGINENN '$B Ba' HELD R1MYfP !'@ _ 3 lit, rirat - b DESIGN OR INSTATZATIPW OF NATBRIALS AND � 57orzv "q, z — _ VENTILATION, AIR CI�WDITIP�{ING' OR ANS O'('HaRSYSTEM Fa �Csp I T,X ! I aLle 9' N - _ -CONTAINED IN THESE DRAWIMG6. -' - ry I `i Qg'�I rnrt� sr'r�u sWV ttil 8. ELECTRICAL CONSTRUCTION IS TO CONFORM TO TBR' NATIONAL ELECTRIC OOD. ' � NEW YORK STATE CORN„ AND LIPA. - -. ' - 2e'a' •1 n� 9.,. PROVIDE DOUBLE JOISTS UNDER ALL PANTITION WALLS UNLESS OTHRERNSSE ' SILL PLATES ARE_ TO BE. 2' x .g" N,O+xEB: / S+BTND 40 SEAR OCA NITS SILL_B$11L'Y6l. o N 11. 2• x 4•-16" OC NRTERIOR NALLS. INT Z+' 1[• 4"-16• tOCN$IOR 'NAT,Lg `, . cg �� 12. ALL WALL .STUDS ARE To BE 42 oR "BETTER DOUGLAS FIR. ALL OT"$R' ING ' 8,'. r ARE .TO BE 4k2 OR BETTER DOUGL.1$ .FIII. - 13- PROVIDE. SOLID BLOCKING '85NUTV ALL BEARING POINT. 4 ,q 19. OPENINGS TO HAVE (2). 1-.3�4+;qk" LVL HEADERS, r " 11- 3/r4" CDZ SCHOLOOH. • UNLESS OTHRR*rSRR NOTND, J }r . CIl1C RPOP 'SRHATING (5) PLY. SCT 1000 J \bi / 17. 7116• OSB EXTERIOR WALL SHRATING. t 17. PHOVIE,FIRS BLOCKING ON (IH) ALL WALLS AS REQUIRED. 106 O / Jam/ 18- ALL CONCRETE TO BE 3000 PSI 0 28 DAY ASTM C-94 READY NIX CONCRETE. (3 LK - r -� / P 19. ALL FOOTINGS', FOUNDATIONS, ETC. SNAIL. AS oW . BNDISTDRBRD EO'ZLETE. _ " 20 9000IP3I.SRS BE 35" BELOW FINISHED' GRADS-NININON on CNDISTURBED-SOIL " ZOWE,� R.-4G "' L FOOTINGS, FOUNDATIONS To BE FORNED. J SGNF nUL E �r S 14tET 7 I TL. I �� Prot ptHtil - rJc>-i'I�s 3 "� � L � yA71ONrj _ S�i.Y, C�N P L O T P L A N SCALE: 1 "=30' PLOT PL-AN -- N&')Tr5 6EP-Ae9 LiOEf4OfNa r 5AYVI E W A41E.W OC uVAR EN r vt+CF C GINS rLTINO ENGINEEM I s P.O. BOX 1093 COX LANE 4 , CUTCHODUE.NY919M 510.734-74M �/0 d t7AJAl'6"v+ �G - 12ic`l5l b4-�Sb� - - �PiIAIlWi► � CrF�D 6Y: :iR . il uwv W° 4- 3 ..., .,.. ..mr •, rr�' . .r x ..FTM ;i��r 'p hV �IR �r.ry {� t.+ �..kN A4 � N'�d'� I I:I i. . ,.• ,� I. . _ 1_ . .'��; 'r .tll _ ':�14' 'r'J}. 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CC.dS UlTIN3 ENG§NEER9 p:+ P C BOX 703:3 CSR IRNA CUTCHOGUE,NY 14833 54&784-7492 6ECOND' L �.,. , 5 �4.'iv' Dkl'R'rail, 2 '9= 9 . - Y I f V n - i L �� �11 —' 1 j 2"r � aiG".sMG :`✓7M.?7YMEt�nb � +T+f' — ' m 444w� "aR 5ltsf4+i w Li r � du i � .. I f .t. 17,X.F•,:pWa1!° ?� _ ' PFF(Tv,"*r 6oSN S'tn,66- of - 4UG11Tr 6R14 W1=�'ioo r -L.S* IrT 1 I f e n ✓ :lO FF ' ' „ ..� ,, ' w� ...,'.+ ' m .,.w„-..=cn«�-A^.- c* rl, Ssr�{..', . � i I l 1 .. P.P'� W`G+'.',.•f��{Y S�B,�,gs71iGFCx1{+. ' '�+ rplp +_ ...,..w+,s.-I"+m"..” „u---'f i......>++m-C _�' 4' „ -. i n I I _-___'—_.— �,r i ( , � .r` ,_._.....--i•.�. �+r-.- 'r,'.LA^;w,_.r,.,--�yj1"�in ., `.p�.I vtlot� vrr.�.�v'^�Y 1 erwAl2;. r_ L v `rrg i ea s; I IF FF crn•;. El E-VA,"rj0N-S.5CY F ;'s k J\A.A'fTfTl ay- NY tiq - WARFEN A.8AM&" r1'l1„ CONS O.TINO ENGNOM p P.G. ElbX 1WO COX CANE I e,l h rJ - CUTCHOGUE.NY 11M . Al16-734-749K Y� r M DATt '�Fl;'- . ��� fv@� MI`s 'r.� f�i . ;.r,.•rypnr '.: t ��., . 7 7 7 ,