HomeMy WebLinkAbout25383-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27046 Date: 04/19/00
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 55 FAY CT MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 123 Block 5 Lot 17
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 17, 1998 pursuant to which
Building Permit No. 25383-Z dated DECEMBER 7, 1998
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is RAISE EXISTING HOUSE & GARAGE, CONSTRUCT NEW FOUNDTIONS AND CONSTRUCT
AN ALTERATION & ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MICHAEL E & EDNA BEIRNE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-517944 03/10/00
PLUMBERS CERTIFICATION DATED N/A
Authorize ignature
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. 25383 Z Date DECEMBER 7, 1998
Permission is hereby granted to:
MICHAEL E & EDNA BEIRNE
186 VOORHIS AVE
ROCKVILLE CENTRE,NY 11570
for
RAISE EXISTING HOUSE & GARAGE, CONSTRUCT NEW FOUNDATIONS AND
CONSTRUCT AN ALTERATION/ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 55 FAY CT MATTITUCK
County Tax Map No. 473889 Section 123 Block 0005 Lot No. 017
pursuant to application dated AUGUST 17 1998 and approved by the
Building Inspector.
Fee $ 175 . 00
Above fee includes $100.00 Flood Permit
1
BuilUInspectording
h
ORIGINAL
Rev. 2/19/98
W
✓ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALI.
765-1802 Lj ` �
APPLICATION FOR CERTIFICATE OF OCCUPA_ T1 > bii; LJ
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval. from Health Dept. of water supply and sewerage-disposal(S-9 form) .
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
1B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1 . Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
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 Buildinsz - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . .x �w. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . Old OrPre-existingBuilding. . . . . . . . . . . . . . . . .
Location of Property. . .: `�r.-./LI,/ T. . ��. . . . . . . . . . . . . . . . . . . . . . . . . . 7 . . . . .
House No.
Street Hamlet
Onwer or Owners of Property.!:'�:�� G . /.7. . . . . . . . . . . . . . . . • • • • • • • • • .
County Tax Map No 1000, Section. .1�.J?. . . . . .Block. �r. . . . . .Lot. .el�?. . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filedd Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . � !. Date Of Permit. .�'?���.4 . . .Applicant.�l!�e. .'�'..f*lel -zf -
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .11 . . . . . .
Fee Submitted: Q . . . . . . . . . . . . . .
_4
(3�2'r% 5 776I APPLICANT
coa- C� ?0y6
o��S�FFot�-COG
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Town Hall,53095 Main Road Fax(516)765-1823
P.O. Box 1179 coo
Telephone(516)765-1802
Southold,New York 11971-0959
V1C!
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
MARCH 8, 2000
2ND NOTIFICATION
Michael & Edna Beirne
186 Voorhis Ave.
Rockville Center, N.Y. 11570
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
J XX No Underwriters Certificate on file.
XX The check is not on file. $25.00.
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 25383-Z *
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TwODW^ BUILDING DEPT.
( l
NOTE: Final elevation survey and elevation cert licate required
before a Certificate of Occupancy can be issued.
* IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A
CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. PLEASE APPLY FOR THE
C.O. SO THAT WE MAY CLEAR UP THIS MATTER.
o��S�FFOI,��oG
o -
N =
ip
Town Hall,53095 Main Roady�0 Fax(516)765-1823
P.O.Box 1179 1 Telephone(516)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT q
TOWN OF SOUTHOLD
August 6, 9
�►is
Ja es go �`�
14 ton r t {J a vj oo&
erh d, 1901 i -1
RE: 55 Fay Court, Mattituck, 100 -123-5-17 . Michael Bierne.
NOTE: Final elevation survey and elevation certificate required
before a Certificate of Occupancy can be issued.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
1- The check is (not on file. ) ;25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 25383-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
THE NEW YORK BOARD OF FIRE, UNDERWRITERS PAGE 1
1135189 BUREAU OF ELECTRICITY,
40 FULTON STREET, NEW YORK,NY 10038
f401ication No. on file L9745900/00 N 517944
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
EDNA BIERNE, 3760 CAMP MINEOLA ROAD, MATTITUCK, NY
in the following location; ❑ Basement ® 1st FL ❑ 2nd Fl. GAR/OUT, Section Block Lot
was examined on MARCH 07,20M and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENJ FLUORESCENTOTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
14 16 11 8 6 1 8.8 1 1.2
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
4 600
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO.OF CC COND. A.W.G• AWGA.W.G.
AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND, NO.OF HGLEG ' 044k; NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
PADDLE FAN F-1
G.F.C.I:-4
0 SELECTRIC
LECTRLIC.#4317-E � L
1IE DRIVE
KINGS PARK, NY, 11754-3303 GENERAL MANAGER
Per
This certificate must not be altered In any manner; return to the office of the Board if incorrect.Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -7.
SECTION A-PROPERTY OWNER INFORMATION for Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
Edna Beirne
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
176n Camp Min,-nla Rn;;(J
CITY STATE ZIP CODE
Mattituck NY 11959
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
1000-123-05-17
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use Comments section if necessary.)
Residential
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: I—I GPS(Type):
or ##.## ##°) 1_1 NAD 1927 L_I NAD 1983 I—I USGS Quad Map L_1 Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
Southold 360813 1 SUFFOLK I New York
B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX B7.FIRM PANEL B8.FLOOD B9.BASE FLOOD ELEVATION(S)
NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding)
36101CO482 G 05/04/ AE E
610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
1J FIS Profile 1.1_1 FIRM 1J Community Determined 1J Other(Describe):
611. Indicate the elevation datum used for the BFE in 139: 1 N I NGVD 1929 1J NAVD 1988 1J Other(Describe):
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 1J Yes J No
Designation Date:
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: 1JConstruction Drawings* 1JBuilding Under Construction* JFinished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed-see
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
C3. Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1430,V(with BFE),AR,AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3a-i below according to the building diagram specified in Item C2.State the datum used. If the datum is different from
the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion.
Datum Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? 1J Yes 1_1 No
❑ a)Top of bottom floor(including basement or enclosure) 1 n .1Z ft.(m) d
❑ b)Top of next higher floor _ft.(m)
Elc)Bottom of lowest horizontal structural member(V zones only) _ft.(m) o 0
❑ d)Attached garage(top of slab) _ft.(m) 11-0
El e)Lowest elevation of machinery and/or equipment WC
servicing the building n .g_ft.(m)
❑ f)Lowest adjacent grade(LAG) 6 . ft.(m) z'
❑ g)Highest adjacent grade(HAG) 6 -7 ft.(m) °m�'
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 8
❑ i)Total area of all permanent openings(flood vents)in C3h sq.in. (sq.cm)
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME LICENSE NUMBER
TITLE----President COMPANY NAME Peconic Surveyors , P.C.
ADDRESS CITY STATE ZIP CODE
P-0- BOX 909gn»thnl(9 01 NV 11A71
SIGNATURE DATE TELEPHONE
FEMA Form 8 - ,AUG 99 J SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use:
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Policy Number
CITY STATE ZIP CODE Company NAIC Number
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building owner.
COMMENTS
—I Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting
information for a LOMA or LOMR-F, Section C must be completed.
E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed–
see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.)
E2.The top of the bottom floor(including basement or enclosure)of the building is I-1_I ft.(m)I_I_lin.(cm) LI above or I—I below
(check one)the highest adjacent grade.
E3. For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is
ILILI ft.(m)I_I—lin.(cm)above the highest adjacent grade.
E4. For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance?I I Yes I No I Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or
community-issued BFE)or Zone AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B,C(or E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below.
G1. l—1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer,or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. l—1 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or
Zone AO.
G3. l—1 The following information(Items G4-G9)is provided for community floodplain management purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY
ISSUED
G7.This permit has been issued for: I I New Construction LI Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)of the building is: _ft.(m)Datum:
G9. BFE or(in Zone AO)depth of flooding at the building site is: _ft.(m)Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
Check here if attachments
FEMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS
Item G6. Date Certificate of Compliance Issued. Enter the date that the Certificate of Compliance or Occupancy or similar
written official documentation of as-built lowest floor elevation was issued by the community as evidence that all work
authorized by the floodplain development permit has been completed in accordance with the community's floodplain
management laws or ordinances.
Item G7. New Construction or Substantial Improvement. Check the applicable box. "Substantial Improvement"means any
reconstruction, rehabilitation, addition, or other improvement of a building, the cost of which equals or exceeds 50 percent
of the market value of the building before the start of construction of the improvement. The term includes buildings that
have incurred substantial damage,regardless of the actual repair work performed.
Item G8. As-built lowest floor elevation. Enter the elevation of the lowest floor(including basement)when the construction
of the building is completed and a final inspection has been made to confirm that the building is built in accordance with the
permit, the approved plans, and the community's floodplain management laws or ordinances. Indicate the elevation datum
used.
Item G9. BFE. Using the appropriate FIRM panel, FIS, or other data source, locate the property and enter the BFE (or base
flood depth)of the building site.Indicate the elevation datum used.
Enter your name, title, and telephone number, and the name of the community. Sign and enter the date in the appropriate
blanks.
Instructions—Page 5
BUILDING DIAGRAMS
The following eight diagrams illustrate various types of buildings. Compare the features of the building being
certified with the features shown in the diagrams and select the diagram most applicable. Enter the diagram
number in Item C2 and the elevations in Items C3a-C3g.
In A zones, the floor elevation is taken at the top finished surface of the floor indicated; in V zones, the floor
elevation is taken at the bottom of the lowest horizontal structural member (see drawing in instructions for
Section Q.
DIAGRAM 1 DIAGRAM 2
All slab-on-grade single-and multiple-floor buildings All single-and multiple-floor buildings with basement
(other than split-level)and high-rise buildings,either (other than split-level)and high-rise buildings with
detached or row type(e.g.,townhouses);with or basement,either detached or row type(e.g.,
without attached garage. townhouses);with or without attached garage.
Distinguishing Feature—The bottom floor is at or above ground level Distinguishing Feature—The bottom floor(basement or underground
(grade)on at least one side.' garage)is below ground level(grade)on all sides. Buildings constructed
above crawl spaces that are below grade on all sides should also use this
diagram.'
b
a NEXT HIGHER i a
i FLOOR
NEXT HIGHER b
FLOOR
GRADE BOTTOM FLOOR
GRADE
BOTTOM FLOOR
(BASEMENT)
OS(determined by existing grade) 00
(determined by existing grade)
DIAGRAM 3 DIAGRAM 4
All split-level buildings that are slab-on-grade,either All split-level buildings(other than slab-on-grade),
detached or row type(e.g.,townhouses);with or either detached or row type(e.g.,townhouses);with or
without attached garage. without attached garage.
Distinguishing Feature—The bottom floor(excluding garage)is at or Distinguishing Feature—The bottom floor(basement or underground
above ground level(grade)on at least one side.* garage)is below ground level(grade)on all sides. Buildings constructed
above crawl spaces that are below grade on all sides should also use this
diagram.
a
HIGHER '
� b a
FLOORS � HIGHER
NEXT HIGHER GRADE FLOORS
FLOOR NEXT HIGHER b
RADE BOTTOM BOTTOM FLOOR FLOOR
LOOR BASEMENT
77
00(determined by existing grade) 00
(determined by existing grade)
* A floor that is below ground level(grade)on all sides is considered a basement even if the floor is used for living purposes,or as an office,
garage,workshop,etc.
Instructions—Page 6
I JUDITH T. TERRY ?l ,_
C; =. Town Halt, 53095 Alain Road
P.O. Rox 117()
TOWN CLERK
Southold, New fork 1 1()71
,
rzECIsrRAR OF VITAL STATISTICS .+j^ �� � � Fax (516) 765-1823
MARRIAGE OFFICER �j` ��� Telephone (5 16) 705-1801
RECORI)S MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE
SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993:
RESOLVED that the Town Board of the Town of Southold hereby adopts
two (2) new forms to be used under the Flood Damage Prevent regulations
of the Code of the Town of Southold: "Floodplain Development Permit
Application" [FDP(93) ] , and "Certificate of Compliance for Development in
Special Flood Hazard Area [C/C(93) ) .
5:.:.+,3. LEFT.
TOWN OF SOUTf4OLD
AJudith T. Terry
Southold Town Clerk
August 25, 1993
�5 3P) �
APPLICATION #_
PAGE 1 of 4
TOWN OF SOUTHOLD
FLOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be filled out in duplicate.
R
SECTION 1: GENERAL PROVISIONS (APPLICANT to read and sign):
1. No work may start until a permit is issued.
2 The permit may be revoked if any false statements are made herein.
3. If revoked, all work must cease until permit is re-issued.
4. Development shall not be used or occupied until a Certificate of Compliance is issued.
5. The permit will expire if no work is commenced within six months of issuance.
6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory
requirements.
7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable
inspections required to verify compliance.
8. I,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO
THIS APPLICATION ARE, TO THE BES OF Y KNE,TRUE AND ACCU
(APPLICANT'S SIGNATURE) VL DATE
SECTION 2: PROPOSED DEVELOPMENT (To be comQleted by APPLICANTI
NAMEDR TELEP NE
P CANT N! U 0V "I . EN .
�C. � t'Lrz_ 11fr s��sv rzn •�t•4rnrv� 7
BUILDER 1 us7o
ENGINEER
PROJECT LOCATION:
To avoid dela in processing the application, lease provide enough information to easily identify the project
Y P 8 PP P P Y �Y P 1
location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the
distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing
the project location would be helpful.
5 S 172
FDP(93)
APPLICATION
PAGE 2OF4
DESCRIPTION OF WORK (Check all applicable boxes):
A. STRUCTURAL DEVELOPMENT
ACTIVITY STRUCTURE TYPE
❑ New Structure ❑ Residential (1-4 Family)
❑ Addition ❑ Residential (More than 4 Family)
❑ Alteration ❑ Non-residential (Floodproofmg? ❑ Yes)
❑ Relocation ❑ Combined Use (Residential & Commercial)
❑ Demolition ❑ Manufactured (Mobile) Home (In Manu-
0 Replacement factured Home Park? ❑ Yes)
ESTIMATED COST OF PROJECT S
B. OTHER DEVELOPMENT ACTIVITIES:
❑ Fill ❑ Mining ❑ Drilling ❑ Grading
❑ Excavation (Except for Structural Development Checked Above)
❑ Watercourse Alteration (Including Dredging and Channel Modifications)
❑ Drainage Improvements (Including Culvert Work)
❑ Road, Street or Bridge Construction
❑ Subdivision (New or Expansion)
❑ Individual Water or Sewer System
❑ Other (Please Specify)
After completing SECTION 2, APPLICANT should submit form to Local Administrator for review.
SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR)
The proposed development is located on FIRM Panel No. Dated
The Proposed Development:
❑ Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application
review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED).
❑ Is located in a Special Flood Hazard Area.
FIRM zone designation is
100-Year flood elevation at the site is: Ft. NGVD (MSL)
❑ Unavailable
❑ The proposed development is located in a floodway.
FBFM Panel No. Dated
❑ See Section 4 for additional instructions.
SIGNED DATE
APPLICATION #
PAGE 3 OF 4
SECTION 4• ADDITIONAL INFORMATION REOUIRED (To he completed by LOCAL ADMINISTRATOR)
The applicant must submit the documents checked below before the application can be processed:
❑ A site plan showing the location of all existing structures, water bodies, adjacent roads, lot
dimensions and proposed development.
❑Development plans,drawn to scale,and specifications,including where applicable:details for
anchoring structures, proposed elevation of lowest floor(including basement),types of water
resistant materials used below the first floor,details of floodproofing of utilities located below
the first floor and details of enclosures below the first floor.
Also
❑Subdivision or other development plans (If the subdivision or other development exceeds 50
lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations
if they are not otherwise available).
❑ Plans showing the extent of watercourse relocation and/or landform alterations.
❑ Top of new fill elevation Ft. NGVD (MSL).
❑ Floodproofing protection level (non-residential only) Ft. NGVD (MSL). For
floodproofed structures, applicant must attach certification from registered engineer or
architect.
❑ Certification from a registered engineer that the proposed activity in a regulatory floodway
will not result in any increase in the height of the 100-year flood. A copy of all data and
calculations supporting this finding must also be submitted.
❑ Other:
SECTION 5• PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR
I have determined that the proposed activity. A. ❑ Is
B. ❑ Is not
in conformance with provisions of Local Law # , 19 . The permit is issued subject to the conditions
attached to and made part of this permit.
SIGNED , DATE
If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated
fee.
If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may
revise and resubmit an application to the Local Administrator or may request a hearing from the Board of
Appeals.
APPLICATION #
PAGE 4OF4
APPEALS: Appealed to Board of Appeals? ❑ Yes ❑ No
Hearing date:
Appeals Board Decision --- Approved? ❑ Yes ❑ No
Conditions
SECTION 6: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance
is issued)
The following information must be provided for project structures. This section must be completed by a
registered professional engineer or a licensed land surveyor (or attach a certification to this application).
Complete 1 or 2 below.
1. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard
Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is:
FT. NGVD (MSL).
2. Actual (As-Built) Elevation of floodproofmg protection is FT. NGVD (MSL).
NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant.
SECTION 7: COMPLIANCE ACTION (To be comvleted by LOCAL ADMINISTRATOR)
The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to
ensure compliance with the community's local law for flood damage prevention.
INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
SECTION 8: CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR)
Certificate of Compliance issued: DATE: BY:
Attachment B
SAMPLE
CERTIFICATE OF COMPLIANCE
for Development in a Special Flood Hazard Area
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA
(OWNER MUST RETAIN THIS CERTIFICATE)
PREMISES LOCATED AT: PERMIT NO.
PERMIT DATE
OWNERS NAME AND ADDRESS: CHECK ONE:
❑ NEW BUILDING
❑ EXISTING BUILDING
❑ VACANT LAND
THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW:
A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 19_
SIGNED: DATED:
B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # ,
DATED
SIGNED: DATED:
C/C(93)
LICENSED PROFESSIONAL ENGINEERS
NEW YORK
NEW JERSEY
Cronin and Condon Consulting Engineers
1755 Sigsbee Road Phone:516-734-7250
Mattituck,New York 11952 Fax :516-734-7014
November 16, 1998
Southold Building Department
Main Street
Southold, New York 11971
Re: Beime Property
360 Camp Mineola, Mattituck
SCTM#123-5-17
Dear Mr. Verity:
Please include this letter as part of the Permit Application.
Prior to the start of any construction, the Owner shall have the existing deck, which is currently
located between the house and garage, removed in its entirety.
I believe this brings the entire permit application to conformance with Southold requirements.
Please call this office if you have questions or require additional information. My direct line is
765-1798.
Sincerely,
Mark K. Schwartz, AIA-Architect
'U
-__j
Beimel.doc
- - -- - - -- - - -- - -- - --- - - - - - - - - - - -- - - - - - --
14�j Prov -4 t998
1 BLDG.DEPT.
TOWN OF SOUTHOLD ';r'
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X65.1802
BUILDING DEPT.
/....MSPECTION
/FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
( ] FIREPLACE & CHIMNEY
REMARKS:
� w
DATE IN8PECT0
t
suauiNa DEP'r.
INSPECTION
[ ] FOU DATION IST [ ] ROUGH PLBG.
[ ] UNDATION 2ND [ ] INSULATION i
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
R MARKS:/ A1/�Ynv/-07
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DATE a117 INSPECTOR /
� A
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO GH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ':::r �(�n�,1
AI
DATE INSPECTOR
suauINc DE".
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ]
FRAMING 14 FINAL
REMARKS
DATE �' IN8PECT0
1 �
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BOARD OF HEALTH
FORM NO. 1 3 SETS OF PLANS . . . . .
TOWNOF SOUTIIOLD SURVEY .. .. .. I . . . . . . . . . . . . . . . . .
_,. BUILDING DEPAW114ENT CHECK ... .. . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORK . . . . . . . . . . . . . . . . . . .
`.. -�•- SOUTHOLD, N.Y. 1 197
TEL: 765-1802 NOTIFY:
CAi.L .2. -4:7.x.
i xanined.... ......... 19i� MAIL TO: .
�.v}�-»ti�sy.
AI�{)rcovc�cl......!.-1....... 19.!!. Penni(: No. .t.E. 1.�.^.s,!,.. ........
Disapproved a/c ...................................
........................................?CATION
ding Inspector)AP FOR BUILDING PEItHIT
•Date. . i�.
INSTRUCTIONS
a. 'Ibis application must be canpletely filled in by typewriter or in ink and sulsaitted to the lluil.ding inspector wi
3 sets of plans,, accurate plot plan to scale. Fee according to sdiedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or pxd)lic
streets or areas, and giving a detailed description of layout of property must be drawn an the diagram J.11d, is part of
this 8pplic8ti0n.
c. 'Ihe work covered by this application may not be conmenced before issuance of Building Permit.
d. Upon approval of this application, the building Inspector wilt issue a Building Permit to the applicant. Scale
permit shall be.kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in wile or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by die iididing Inspector.
APPIACKPI(N IS I1CRLif' Y kWX to the Iluilding Department for die issuance of a liuilding 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 congly with all applicable laws, ordinances, building code, housing code, and
regulations,,mid to admit authorized inspectors on premises and in build �fornecea, inspections.(StureOfapplicant, or•nane,.if•a•corporation)
•
(Mailing address of applicant)
State whether applicant is owner, lessee agent, architect, engineer,'general contractor, electrician, pludner or Imilde
.......G.a.. /.... t-"J41:..................... .... ..........................
Name of owner of premises .... t .N.I....8..Q.I.r.n..-.e,...............................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly autl*rized officer.
.........................................................
(Nave and title of corporate officer)
Builders License No. ...C�.�. l .J..
Pluibers License No. .........................
Electricians i.icense No. ..................... \
Other Trade's License No. ....................
I. i4xaGon oflarKL on which propo work ill be clone............ . ............................................
.............'�.............. . .. . .. . .. ...................... I. .���.��. ..........:....
fl.
Ilouse Nuaber treet• �gHanlet•
County Tax Map No. 1000 Section ... _. 2 lil.ock ....ti-1.......... iot .. 7�t:..�, ....
Subdivision ...................................... Filed Map No. ..........,..... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Fkisting use and occupancy .............................................................I................
b. Intended use and occupancy .............................................................................
!. K►ture of work (d*&wiiid% applicable)( New Wilding ........_ Addition .......... Alteration
Itelwir ............ Removal ............. 13trnoliticn ........... Other Work ............. ........
n � (i>escription)
4. Estiuente(1 Cost ..O` :f............. fee .. ...... .................................
(to be paid on filing this application)
5. if (>,relling, txsdner of dwelling tnnIts ............ tkoher of. &%elling (units o► each floor
Ifgarage, ►xmber of cars ......................................
6. If. Ix►aitness, commercial or mimf occtgnancy, specify nature and extent of each type of use..........
7. Dimensions of existing structures, if any: Dont................. Clear ............... t)eptlt .................•
ri
lluight ......................... politer of Stories ..........
13inensiona of same stnicture with alterations or 'additions: Front ............... Clear
Depth .................... ileigint .................... Rnfner of Stories ..............................
S. Dhi enaiota of entire new construction: Dont ................ hear ............... Ileptl► ..............
neilo►t ......................... Umber of Stories .....................
9. Size of lot,. Front .................... Rear .................... Depth ....................
I(I. Mite of Purdiase ..................... Name of Fortner (a.mer ................................... .... .
If. Zone or use district In %hid% premises are situated ............................. ................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...H.Q...............
B. will lot be regraded .......4*.'.4.Q........ Will excess fill be removed from premises: YES ND
M. Nana of Owner of prenisea ..,t� ,iQ.�►.�,.?y��.t.::�S. Address .. 4�N.��?.�l�i.r/t.�Fi�a. ':�tf►a�ie No. .0`�-9 .7Foa'
Mame of Ardnitect -^Gf.ST�,:�4':RJ�l:�T.�;�r;•,... Address P.V. Ac.l.pC..... Throne No. r. `/B!�?
Nome of Contractor .. G�.::�sc.J��r.�r�R:�.^.:..... Address ,� .�t �.K.K4 .Mone No.
IS. Is this property within 300 feet,of a tidal wetland? * YES 6........
*IF YLS, S(XMM D 'MOWN MMMS PL off MAY BE M. AIIRM' .
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and Indicate all set-back dimensions
front property linea. Give street and block nudner or description according to (Iced, and allow street nares arxl irxlirate
ndiether interior or corner lot.
SI' M U? M;! Y(XtK,
•••• •°`•= v :��`• •••• ..beinll duly sw)rn, (lelx)ses atxl says that he is the applicant:
(Nrrote of itxlividual signing contract)
alxwe fumed, -.--��- ••--��
lieis the .....cq s`..).XA-9. 1:R.V-.................................................................
(Contractor, agent;corporate officer., etc.)
of said owner or owners, rnxi is duly authorized to per.fonn or have performed the said work atxl to ninke arxl file this;
algnlicatioiq that all statements contained in this al><nlicaticxn are true to the best of his ktxywledge arxl IM'Hef; aml
that the work Will be performed in the nonner set forth in Lhe nppl.icaticm filed therewith.
yworn to before me this cc�rr
......L?.........da of .. .......19..(.Y..
Notary Public
•
... ........... .......
UUU ( C,natire of Applicant)
JOYCE M.WILKINS
Notary Public,State of New York
No.4952246,Suffolk Cou
Term Expires June 12,1
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/ SURVEY OF PROPERTY
��•oa•' 5a-°0• :w A T MA T TI T UC.
-.-�, 20 4 ,6' �, Ca TOWN OF SOUTHOLD
SUFFOLK CQ UNT Y, NEW W YORK
1000-- 123-05-17
R R.
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tL DECEMBER 22, 1998
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RSR stockade fence
o.r. : &pKt rail fence
p.+'s
x x x s uA9e fence
R R 5�•� a _ awmanent
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so
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AM Aw 5941M �• ,�. /7o�A . LIC NO. 49618
ANY ALTERATION 00 AMMON TO THIS SURVEY 1S A VIOLATION
OF SECTION 7209 (F THE NEW YORK STATE EDUCATION LAW.
NICM�WYOPt* C.
ExCEPr AS PER S Ci_ON 7209-StODIWSION 2. ALL CERTIFICATIONS t 1 76� 20
M rOb AR1E VALID F4R TMS WP AND COPIES THE'RE'OF OILY IF P. ` QX
SAID MAP OR wP#t-S WAR TH£ *#pF?tssED SEAL OF TME SLIRwYpR 72 V&��V�.... T
WHOSE SIGNATI,11f APP'ARS HEREON, SOU 1971 V�"�31
r
NEw ZONE X
ZONE X
AIRWAY DR ZONE
o X
LUPTON POINT Rp , G
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o ZONE X
\Capp
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MATTITUCK
AIRPORT oo ZONE X
v fy
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ZONE X
BUNGALOW
Town of Southold
m
360813
O
SS
CENTER
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KRAUS RD 9�
PSE
zom X
o ZONE X
Z s;' ppPK
ZONE X
n ZONE X
COASTAL BASE FLOOD ELEVATIONS
'pD
APPLY ONLY LANDWARD OF 0.0 NGV
� p
R
ZONE X
ZONE
AE
(EL 8)
t 5 -
z ROCHELLE
PL
ZONE
X
ys
ZONE
Town of Southold
`
AE COASTAL BASE FLOOD ELEVATIONS 360813
(EL 8) APPLY ONLY LANDWARD OF 0.0 NGVD
BUILDING PERMIT REVIEW CHECK LIST
Application Name: - F—Of"R "/
fAN ENS IVKAOTIV4 17PS164
Architect/Engineer: MARK SC Ft W gRtL R,o. Fou Wiw#o►�fL "Rk r N 54m8/}C
SCTM #: District: 1.000 Section: Block: S Lot: 17
Subdivision Name: p
Req. Req.
Zoning District:$ [Lot size: Actual: 33 6 SF ] [Lot coverage Proposed: ]
Req. t Req. Req. i
[Front Yard ,�Proposed:� [Side Yazd �� Proposed: 1 [Rear Yard � Proposed: ]
Project Description: #4DOtTIQV/,4LJt RAfIOJV 5)'7GL£ FAM I.4 Dwe ZI " (1RI6e 96ose (;ARAG�
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept.
New York State D. E. C. I
Town Trustees Dto [ l5 6- 16-rvo CIv R(�O lCit
Town Zoning Board approval: _
Town Planning Board approval: _
Flood Plane Elevation ??? �
Flood Zone: ��•8>
Notes:
ALL MCK 5 iO RE m OV 6 D AS i��P., MIRK sc kwf?-7Z, RA.
L est ef. 04Tc p ►f/j qq g
PROVIDE OPENINGS FOR If copper tubing Is used
EMERGENCY ESCAPE AS
for water distributing
REQUIRED BY PART. 714 OF
system;
fshall be
N.Y. STATE BUILDING CODE. tvaes K K oor r L only
PLUMBING
UNDERWRITERS CERTIFICATE ALL PLUMBING WASTE
REQUIRED 9 WATER LINES NEED
TESTING BEFORE COVERING
PROVIDE SMOKE-DETECTING
ALARM DEVICES pROVIDE ANTI-SCALD AND/0R
AS TO PART.721.1 THERMAL SHOCK PREVENTING
N.Y.S BUILDING CODE. DEVICES AS TO PART 902.6(K)
N.Y.STATE BUILDING CODE.
PLUMRE�ONRENTBE ORE
�E TIFA ATE OF OCCUPANCY
SOLDER USED IN WATER
SUPPLY SYSTEM I CANNOT
EXCEED 210 OF
I
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ALL 6x ISTI tiv nuc ks Ta e✓
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✓�LU � T'1r'ir>Ir.� - i � II f;L-Qvlks=u prow rNl�uuctil �I�EA(1�) ' 12. 4 SF
°asEFL�w TNi- ov 11 a wl i � , _ ',r Z4 SF
iN ` I
rPRz* /n As NOTED
OTED
7 93'0
r 1 DATE: �- �- B.P.Dq
3 r, _
�e RSA tZ r�9 / -� — -- — FEE: g _
I ' -- ., - - -
NOTIFY )n'/] DEPARTMENT AT
_--�- 786.18( " ,An FO 4 PM FOR THE
FOLLONIP./9 IIbBPECT10NFb
--'—\ _ � - -- - ' - , FOOR er' I` JCONCRETE STWO IRED OCCUPANCY OR
2. HOU(St
2�1' 1-r 4. FNA(J I� a;AMINO & /UMIISING USE IS UNLAWFUL
DESTRUCTION MUST WITHOUT CERTIFICATE
�. — - --
SEC(; .TE F
OIIO.O.
I S
ALL C01"L �;IJCTION SHALL MEET OF OCCUPANCY -
- - THE RHONSTR CTI OF THE N 'i
- - - - STATE CONSTRUCTION 6 ENERri
CODES. NOT RESPONSIBLE P'"� +
(• DESIGN OR CONSTRUCTION ERRUrr.,
O
OVENI
CON1bN_
` zd i` �JhS� 1r�G N�(+JL.kYLs 3(?Q- CAip Mir) [FoL /I 9aR�
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BUILDING CONSTRUCTION NOTES CODE COMPLIANCE
1. Light Requirements:Habitable$pace except kitchens shall bays natural light
GENERAL: equal to 8%of Mor area.
1. All construction work shall comply with the New York State Building 2. Ventlistlen Requirements:
Construction Code and with the requirements do any governing deparbnents, a. Habitable apace except kitchens and bethmans shall haw natural
as well as the requirements of authorities having Jurisdiction. ""Motion equal to 4%of floor area,or mechanical ventilation
Providing two(2)ale changes par hour.
2. All work shall comply with the New York State Energy Code b. Kitchen,as above,or 150 efm mechanical ventilation
C. Bathmoms as above,or 26 chat mechanical ventlation
a. It shall be the contractor's responsibility to submit the aim,design, d. All fans shall exhaust directly to exterior
and type of mechanical systems which will be used in sufficient detail
as required by the Building Department. 3. Secondary ExW(Windows)shall be 4 square feet minimum with a minimum
b. Insulate all ducts and piping as required by code. dimension of Ill'and a maximum Sill height of 42'above finished floor.
C. All windows,door sills openings etc, shall be caulked and
weathembiipped 4. Stairwells shall be 36'width minimum,2'-0'clear
/ 3. Provide one smoke detector on each Poor including/ basement. Provide CARPENTRY
tdirectly smoke detectors in all sleeping areas. All detectors to be wired l0 1 Framing Ham Fir N2 ar better
the electrical system of the home
4. Engineer is not responsible for the supervision of mnsb2 Sill Plates to be 2x6,Trcated0 year CCA with Bill sealeruction. General I
Contractor must verify all responsible
and any
changes
before constructionritteof
_ 3. Provide double headers and boomers at all stair and floor openings,under all
fabrication. Engineer not res onaihle for an Chao es without"rattan prier posts and partitions running parallel to same. Refer to plan.
app9 p y 9 5. Do not scale drawings 4. Provide bridging for all floor joists,
5 Provide olid blocking under all bearing points
_ ----- \ it 1 _- - -- -- -- - - -- S. The engineer shall be responsible of the content of these drawings only. He
- - -
shell not be held responsible for any materials,workmanship,means or 8' Openings o have O 2'.10'headers unless otherwise noted
methods of construction. The Engineer shall not be held responsibib for the TStructural mataI
___- design or installation of materials and equipment Electrical,plumbing, eninvmnnectar$as required for all nosh structural load carrying
conditions
heatin, ventilation, air conditioning or any system not specifically contained
n thea drawings B Structural Metal
r connectors for flush a 9 era,headers,etc.shall
OveThe Top-Type or Equal.
bearing
-_- - - --" --- ---�-- - � - _ 7 Electric canstrucban is to conform to the National Electrical Code, New York
be Ird
\\ -- State Building Code, and LILCO. CONCRETE/FOUNDATION
-----'--- _ —_ -- � - T--- __ --
- - - B Plumbing is to confm[a the County and local health department i. Strength m2,500 PSI at 28 day ASTM C-94 reedy mIx canato
TEFF
r - - DLA,
II zIC ( - - requirements and NVS Code.', �•'. 7 I� IT - - � ,L I ty� �� 2 NI footing$toundaticna etc shall rest on undi$Nrbed call.
3. Soil bearing eapaeiN shall 4,000 PSI. Contractor shall conduct oil lest to
9 By accepltance ad use�S„ONAL ns thel O mer/builder/agent agrees to limit verity beating capacity prior to construction and report any discrepancy to
JL—�_ ��Ithe liability of East End Drafting a Design,and their dralbmen due to neglect, En (neer.
g
IIacts of error, such that the total aggregate liability P/Eaet Ed Dramng 8
�- ---- I - �J - - - _ - Design, and Nero draftsmen shall not exceed the total fee for services rendered 4. Fooling,shall be 36'below Mlshed grade minimum
__ _ _ _ - ._- -- ____ .-_ on this project.
4
- _ -- - _ --- _-- - - --- _ --- -- - - �� - 5. All footings,foundations shall be formed.
SOTfN CLEVN7I BAR— O�C11Lli� i/k or `
' I
.
HIT
L R i t l t VAiIt�I�_
l
PROPOSED AL'rmuti ION I ADDITION
' 'I ft'1'l1E
""FESS/p4,, EAST BEIRNE RESIDENCE -
- y' SCALE: Ic/'
END I/OAPPROVED DY
- x DATE'
w- p DRAFTING & DESIGN F(_E4/ATOMS (A, nTrL; -C
s QVIE Vr r-,Fr ALL pIr�'IF,cl�r,i_-
s13e BLAIN BArnew ROAD a so1mlDLu NY ug�l
(Sltf)7gSiBb2 DRnwllr+c NUMBER
enrxxuu narxrsasr ,.o ,evn za.re i
TV130'12
ti
0�
Z'-O•,2'-0" alp-O` COKt( I to �. `L4' 59L r� PLAN
_ _
2�<Tw I)Nrec 3FAEINy x. — -- - — - - — — --I
j_[ F—-------
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