HomeMy WebLinkAbout29464-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29671 Date: 08/29/03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 772 INDIAN NECK LA PECONIC
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 86 Block 4 Lot 1.11
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 16, 2003 pursuant to which
Building Permit No. 29464-Z dated JUNE 6, 2003
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 ACCESSORY SHED IN REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to JAMES A & MURIEL ANDREWS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
'-4
//,/eed/ Signature
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. 29464 Z Date JUNE 6, 2003
Permission is hereby granted to:
JAMES A & MURIEL ANDREWS
PO BOX 227
PECONIC,NY 11958
for
CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AS
APPLIED FOR
at premises located at 772 INDIAN NECK LA PECONIC
County Tax Map No. 473889 Section 086 Block 0004 Lot No. 001 . 011
pursuant to application dated MAY 16, 2003 and approved by the
Building Inspector to expire on DECEMBER 6, 20
0
Fee $ 75 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No.6 I ��
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 t& 4Qwing: I
A. For new building or new use: _ -
1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natiWal 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:
L Accurate survey of property shoving 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,
Swimtuing 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 ol'Oecupancy - $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Conunercial$15.00
Date.New Construction: Old or Pre-existing Building:: // (check one)
Location of Property: _ � /1�1� GaH4 /elOit/C
House No. Street / Hamlet
Owner or Owners of Property: _—\Ja;eS -4A_{ �-_-_ /J _
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision _ _Filed Map._ _Lot:
Permit No. -Date ofPermit. Applicant:
Health Dept. Approval: _Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
C6 E J96 71
765-1802
BUILDING DEPT.
NSPECTION
[ FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE ////0 3 INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
DATED INSPECTOR
FIELD INSPECTION REPORT DATE COAZMUS
FOUNDATION(1ST) yh 'r a .
-----------------------------
C
FOUNDATION(2ND)
Im
O
ROUGH FRAMING& �
PLUMBING y
5
INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COMNIFSVTS
O
Z.
m
z
3
g�g
Y
y
O
x
tv
l �
to
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DIiPARTMENT 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 ) �� aSurvey
www. northfork.net/Southold/ PERMIT NO. c� Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined /V- _ 20 Contact:
Approved ! ,20 4 Mail to:
Disapproved a/c
Expiration 20
Building Inspector
6 �nnn
APPLICATION FOR BUILDING PERMIT
Date 20 s�
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.
IAPPLICATION 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)
D"J�aLy �c�r 4&,. !�4 ./A,
(Mailing address of appli t)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(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: D
77x2 1�� ^er- � 4,02 7ecc>nIC- i/9-V
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lot
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises d intended use and occupancy of proposed constr4ctton:
a. Existing use and occupancy m 1Z
b. Intended use and occupancy_J Z/ !p t�
3. Nature of work(check which applicable): New Building �T Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost 53C 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 /Z. Rear ��. Depth 2-9(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
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO,�'
13. Will lot be re-graded? YES_NO,>!r Will excess fill be removed from premises? YESNC NO-
14.
O`14. Names of Owner of premi es Address Phone No. 73Y—T7
Name of Architect Cref Address hone No 72;L--
Name of Contractor _Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES Ne�
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
xOat' j being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
/'?�rPf�
(S)He is the c4
(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.
Swo to before me this
y of 20 0��
tary blit ignature of Applicant
JOYCE M.WILKINS
Notary Public,State of New York
No,4952246Suffolk Courcy
7erM Expires June 12, �pO 3
SUFFOLK CO.HEALTH DEPT.APPROVAL
H.S. NO.
Cf
K4P NG.715q. -
z UNIG AlvliL5' LWELLINC-DidLY
c; z P1RES 1YJ Y -RS.FFR.OM-DATE QF_AP.PRD'lAL
Cvncn".��1
I. �
i 'Ir STATEMENT OF INTENT
` m THE WATER SUPPLY AND SEWAGE DISPOSAL
]iQ�r SYSTEMS FOR THIS RESIDENCE WILL
CC
CONFORM TO THE STAND RDS OF THE
SUFFOLK CO. EPT. LTH SERVICES.
F I ' v ` jp t (Sl A (CANT
- -� - "' - �� SUFFOLK COUNTY DEPT, OF HEALTH
riLivSP WA`/ SERVICES - FOR APPROVAL OF
CONSTRUCTION ONLY
DATE:—
K.
ATE:H.S.REF.NO.:
4 Q APPROVED'.
_
r
�'�/ SUFFOLK CO.TAX MAP DE ATION:
DIST. SECT. BLOCK PCL.
- r7l Lo
L OWNERS ADDRESS.
O,OJX 2;7
i
i �i I IUB MA,- OP '_-'20r'E,4 'o
cOJe✓1 `Fo 1
K.1 t.• IF i 3' 1� DEED'. HOLE
, .)A`
TEST HOLE
'. y�bsdY nx
W
yn'vn Gusmtw�
SEAL
�- AIeEFs'5.;. i>.F. Akrti'v"EE:: vg�RU: l'AF,_;GMC JeFGK�q`Ya°st
1111 q_MONti^:E,'•.f f � 'G r;' E"nl_.RtAhl�c�.`"nW,— 5po c
P�S�.S�C�.'�¢k'C,Yav^`�C='�.i f�p Vol
+� t
VAN1`�1 f g
LICENSED LAND SURVEYORS :i FjtgNO'�
GREE14PORY NEW YORK
0 F Ff cj;;-
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEWYCHK 6 Al z.
EGRESS WINDOW SCHEDULE FASTENER SCHEDULE FOR STRUCTUAL MEMBERS ASPHALT ROOF SHINGLE NOTE
(NOT RELIT FOR STORAGE ONLY FOR SLEEPING ROOMS)
FIRST FLOOR REWD CLEAR OPENING PROVIDED INSCRIPTION OF BUILDING ELEMENTS #AND TYPE OF FASTENER SPACING OF FASTENERS I ASPHALT SHINGLES SHALL HAVE SELF-SEAL STRIPS OR HE INTERLOCKING,AND COMPLY WITH ASIM 0-225 OR 0-3462
ANY BEDROOM ONLY 5.0 ht >5.0 ft'(N.A.) JOIST TO S14 OR GIRDER,TOE NAIL 3-8d 2. FASTENERS FOR ASPHALT SHINGLES SHALL HE GALVANIZED STEEL,STAINLESS,ALUMINUM,OR COPPER ROOFING NAILS OR GALVANIZED STAPLES
SOLE PLATE TO JOIST OR BLOCKING,FACE NAIL 16d 16"OT MINIMUM 17 GRADE SHANKED WITH A MINIMUM 3/8"0 HEAD OR 17 GAUGE BY 1-3/8"GALV.STAPLES,OF LENGTH TO PENETRATE THROUGH THE ROOFING
MATERIALS 9 SHEATHING.
TOP TO SOLE PLATE TO STUD.END NAIL 2-I6d 3. ASPHALT SHINGLES SHALL HAVE AT LEAST THE MINIMUM NUMBER OF FASTENERS REOHIREO BY MANUFACTURER.
STUD TO TOE PLATE.END NAIL 3-11d ar 2-16d 4. FOR NORMAL APHEATION,ASPHALT SHINGLES SHALL BE SECURED TO THE ROOF WITH NOT LESS THAN 4 FASTENERS
DOUBLE STUDS.FACE NAIL Od 24"D.C. PER STRIP SHINGLE DR 2 FASTENERS PER INDIVIDUAL SHINGLE.
DOUBLE TOP PLATES,FACE NAIL [Oil 24"O C 5. ASPHALT STRIP SHINGLES SHALL HAVE HAVE A MINIMUM OF 6 FASTENERS PER SHINGLE WHERE EAVE IS HIGHER THAN 20 FEET
SOLE PLATE TO JOIST OR BLOCKING ATOR HIGHER ABOVE GRADE OR THE BASIC WIND SPEED IS GREATER THEN 120 MILES PER HOUR
BRACED WALL PANELS 3-IGd 16"D.C.
NOTE:AT LEAST ONE WINOOW PER BEDROOM MUST BE COMPLY WITH A
EGRESSABLE AS PER THE FOLLOWING. DOUBLE TOP PLATES,MIN 48"OFFSET OF END B-16d N
JOINTS.FACE NAIL IN LAPPED AREA
AS REQUIRED AND CONDITIONS
MIN NET CLEAR OPENING WIDTH 2'-e". STANDARD FEATURES
2. MIN NET CLEAR OPENING HEIGHT 2'-4" BLOCKING BETWEEN JOISTS OR RAFTERS VJ 1A SC! TN-LDTOWN ZBA
3. SILL HEIGHT NOT MORE THAN 4'-4"ABOVE FLOOR TO TDP PLATE,TOE NAIL 3-86
4 MIN CLE�R OPENING AREA 5.7 It 2RIM JOIST TO TOP PLATE.TOE NAIL Bit G11 DC Al A SOUN1!)Ii��'lbU10 Year guarantee
(5.0 h T GRADE FLOOR OPENINGS) �- NY.S�DEC asphalt self-sealing shingles - '/e' C.D.X. 2"x 4" Double gusseted roof
TOP PLATES,LAP AT CORNERS AND 4" Overhan trusses for unmatched
2-10d In your choice of 6 colors Plywood roof strength 24" D.C.
INTERSECTIONS, all four sides eliminates sheathing 9 e°
SAFTEY GLASS REDWEEMENTS
SAFTEY GLAZING REU'0 AT FOLLOWING LOCATIONS: BUILT UP HEADER 2 PIECES WITH 1/2"SPACER 16d 16"D.0 ALONG EACH EDGE sidewall streaking from
-� �-�=
CONTINDUS HEADER TO STUD.2 PIECES Ed 16"D.0 ALONG EACH EDGE wat r runoff ��' Galy.
I. ANY GLAZING IN ANY TYPE OF 0008 Hurricane Finished soffits for
CEILING JOISTS TO PLATE.TOE NAIL 3-8d �� beauty and weather
2. GLAZING IN ANY WALL ENCLOSING A TUB.SHOWER. NE _ Clips (Typ J tightness
SAUNA,OR STEAM ROOM.* CONTINOUS HEADER TO STUD.TOE NAIL 4-8d
3 ANY WINDOW WITHIN T OF A DOOR * IA E PREVENT
6"
CEILING JOISTS LAPS OVER PARTITIONS.FACE NAIL 3-IOd FLOO DA AGE PREVENT -
4. ANY INDIVIDUAL PAIN OF GLASS>9 h WHERII CEILING JOISTS.PARALLEL RAFTERS,FACE NAIL 3-10d L TOWN CODE.
BOTIDM IS<IS"ABOVE ANY FLOOR WITHIN 3'
OF THE WINDOW. RAFTER TO PLATE,TOE NAIL 2-16d
S. GLAZING IN WALLS OF INDOOR POOLS,HOT TUBS, BUILD-UP CORNER STUDS IN 24"O.C. End Vents
Maintenance Free both ends
SPAS WITHIN 5'OF THE WATER.* NAIL EACH LAYER AS FOULppWS:22"OC aluminum drip provide proper
6. GLAZING IN STAIRWAYS 6 LANDINGS WITHIN 3' BUILT-UP GIRDERS AND BEAMS,2"LUMBER LAYERS 10d AT TOP AND BOTTOM ANgSTAGGERED edge or painted ventilation
HORIZONTALLY OF A WALKING SURFACE.* 2 NAILS AT ENDS AND ATEACH SPLICE wood corners
* THE REUW9REM ENT 00ESNOT APPLY IF THE BUTTOM ROOF RAFTERS TO RIDGE,VALLY 0R HIP RAFTERS -
2 Aluminum Jalousie
TOE NAIL 4-16d
i EDGE OF THE GLASS IS MORE THAN GO"ABOVE THE FLOOR. windows with screens USE S U
FACE NAIL 3-I6d & shutters, or choose WIT OU CE: Full 2x4
RAFTER TIES RAFTERS,FACE NAIL 3-Sd 5.0 ft optional windows. f'I walls ted stud
CODE ANALYSIS WOOD STRUCTURAL PANELS,SUBFLOOR,ROOF AND WALL SHEATHING TO FRAMING,AND Custom placement at OF CC PANCY 66Vz' walls
no additional charge.
Galy.
PARTICLEBOARD WALL SHEATHING TO FRAMING Reinforced,Double Doors Hurricane
OCCUPANCY: Latex/acrylic exterior paint painted on both sides Clips (Typ.)
DESCRIPTION OF DESCRIPTION OF FASTENER SPACING OF FASTENERS(IN�NCHES) in your choice of 13 colors with 2x4 framing plaT sxon fall
REFERENCE STANDARDS: BUILDING MATERIALS EDGES INTERMEDIATE SUPPORTS or clear-sealed PRESSURE TREATED B C. PRESSURE TREATED four sides
RESIDENTAL CODE OF NEW YORK STATE 5/16"-1/2" Gd COMMON NAIL(SU (FLOOR WALL) G"O.C. B"D.C.* - ' .9) 5 ply plywood floor, secured 2x4 floor joists 16" O C.
518" T-1-11 Fir Siding or choose with ring shank nails PRESSURE TREATED 4x4
WOOOFRAMECONSTRUCTIONMANUAL.AF6PA 5/16"-1/2" SdCOMMONNAIL(ROOF) 6"D.0 6"OC * Optional Horizontal Wood Siding Jacks & headers in all door foundation beams
CLIMATE ZONE IIB19/32"-I" 8d COMMON NAIL G"H6"D C * or Vinyl Siding framing to meet all State and
DEGREE DAYS 5750
4d CFOR ATTACHMENT OF ROOF SHEATHING TO GABLE WALLS
LOADS:
FLOOR 4O PSF NOTE: STIED IS TO BE TIED DOWN TO 6" x 6" x T DEEP PRESSURE TREATED TIMBER FOOTINGS AT ALL CORNERS OF
FLOOR SHED UTILIZING GALV. SIMPSON STRONG-TIE CLIPS ATTACHED TO TOP OF FOOTINGS &PERIMETER TIMBER
BASF 45 PSF(GROUND SNOW LOAD)
BASIC WINO SPEED 4"R#—1.20 rI,DpF FASTENER SCHEDULE FOR STRUCTUAL MEMBERS SUPPORT TIMBERS. DETAILS APPLY TO ALL SHEDS UP TO 12 FT. WIDE BY 40 FT. LONG
UPLIFT IS PSF CERTIFICATION OF
DEAD LOADS 10 PSE GROUND WIND SEISMIC SUBJECT TO DAMAGE FROM WINTER ICE SUED FLOOD NAILING & CONNECTIONS
SNOW SPEED DESIGN WEATH- FROST TERMITE DECAY DESIGN UNDERUD- HAZARDS REQUIRED. LONG ISLAND SHEDS
DEFLECTION LIMITS; LOAD (MPH) CATEGORY [RING LINE DETPH TEMP. MENT REDO APP96YIED AS NOTED
N/A PER MODERATE LIGHT / NORTH FORK WOOD DESIGNS
RAFTERS W/NO FIN,CEILING ATTACHED I/IBO 45 PSF 110 SEVERE 3'-0" TO TO Ila DATE: v 3 e P #
FLOORS 1/360 R 301.2.2 HEAVY MODERATE SOUTHOLD & RIVERHEAD, NEW YORK
FEE D`i
NOTIF BUILDING _FPARTMENT AT tE or Ne
1BAN TO 4PM FOR THE
FOLLOWING
W
FOLLOWW ING INSPECTIONS: Py s KA c o E.S. KALOGERAS, P.E
1. FOUNDATION - TWO REQUIRED -PR
FOR POURED CL ;RETEv,,MU&nq, �9`E`ywaeiry
' 2. ROUGH - FRAMING 8 PLUMBING � x 1
3. INSULATION M //
UNION SQUARE,]2]UNION AVENUE,RIVERHEAD NEW YORK,11901
4. FINAL - F i-, t o, rTION MUST N`"o o O;rb Wr
5� 9E CJMF��� JACO 4p1 2 TEL (631)]22-0040 FAX (631)7224004
O ALL CONSTRUCTION SHALL MEET THE P\sloNA,EEmail LkalogerasQmsn camREQUIREMENTS Of THE CODES OF NEW
WIND UPLIFTPRESSUREFOR THIS LOCATION ISLESS TH INTABLE3022(2)ADJUSTEDFORHEIGHTANDEXPOSURE. YORK STATE, Not FtSPONSIBLE FOR INTELLECTUAL PROPERTY OF E.S.KALOGERAS,P.E., CONSULTING ENGINEER-UNAUTHORIZED ALTERATION OR ADDITION TO
PER TABLE 392.2(3),THEREFORE RAFTERS TIES AND CONTINUE LOAD PATH TO TRANSMIT UPLIFT FORCES NOT REOHIREDASPER SICTIONR3021.I DESIGN OR CONSTRUCTION ERRORS. THIS DRAWING AND RELATIED DOCUMENTS ISAVIOLA DON OFSEC.7209OFTHE NY.S.EDUCATION LAW
Design By: Date: Scale: Deg. No:
Paul F. Sigismondi May 1, 2003 No Scale A
Sheet Title: H
New York State Code Details For Up to 12-ft Wide Factory Manufactured Storage Sheds 1 at 1