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HomeMy WebLinkAbout23209-z 4 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-24537 Date JULY 31, 1996 THIS CERTIFIES that the building NEW DWELLING Location of Property 1025 GULL POND RD. GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 4 Lot 7.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 10, 1995 pursuant to which Building Permit No. 23209-Z dated JANUARY 4, 1995 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ie CONVERT EXISTING UTILITY STORAGE BUILDING TO ONE FAMILY DWELLING AS APPLIED FOR & AS PER ZBA #4290. The certificate is issued to HELEN RUTKOWSKI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-95-0142-MAR. 28, 1996 UNDERWRITERS CERTIFICATE NO. N-385306 - MAY 8, 1996 PLUMBERS CERTIFICATION DATED JULY 30, 1996-ARTHUR MALAUSSENA JR. Building Inspa for 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) o Date .. 1 ................. 19/..s .. NG 23209 Z Permission Is hereby granted t ® ..... . ... . ,.... -x .................... ......... ....................... wx . .to ., y�� ..can ......... . . .............. ....... .. .......... .01 ............ LGzGI.............................. Y...��? ... - ............................. at premises located at.....,./..0.. ./��.. ................................ ...........I.................. �( . .. .......... , .. . . ........ ................. .. . . .y County Tax Map No. 1 000 Section ...... - f-t. ... Block ......�............ Lot No. ../�.. G�............. pursuant to application dated ..................................1 19.. ., and approved by the Building Inspector. elo Fee /-00 ' ---- .............. ...... .. .... ............ ...................... ....... .... Building Inspector Rev. 6/30/80 r X30 Form No. 6 TOWN OF SOUTHOLD I. ^a gg nry ±±� hh 1yfY�1G f a i+ BUILDING DEPARTMENT :;�_ JUL J U 1��7 L_..r`S TOWN HALL 765-1802 BLDG.DEPT. p TO%AfN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 17 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 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 Building - $100.00 3. Copy of Certificate of Occupancy - .25c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $ .00, C mmer ial $15.00 Date New Construction. . . . . . . . . . . Old Or/yP e-e ti Buif' /�y� Location of Property. /�� , J/L1. . L� . . . . . . . x . . . . . . . . . House No. Gl Street Ha et Onwer or Owners of Property. SCLtf/. . .,/����?�J . �7 . . . . . .��.ff. . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . .Block. . . . . .Cf. . . . . . . .Lot. . . . Z cC . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . .: ... . . . ot. . . . . . .�t . . . Permit No. . . . . . a . . ..Date Of Permit. . . . . . . . . . . . . . . .Applicant . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Cerrt�icate. . .. . . . . . . . . Fee Submitted: $. . �. . . . . . Q tc SI 71 . . . . . - . . . .(. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . co a�yS3 APPLICANT p OG APPEALS BOARD MEMBE o "4 Southold Town Hall Gerard P. Goehringer, Chairman , t 53095 Main Road Serge Doyen, Jr. yy `g P.O. Box 1179 James Dinizio, Jr. �Oj �a0 ' Southold, New York 11971 Robert A. Villa Fax (516) 765-1823 Lydia A.Tortora Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD December 18, 1995 Mr. Donald Bracken, Jr. Brackenbuilt Homes, Inc. 1305 Jasmine Lane Southold, NY 11971 Re: Appl. No. 4353 - Helen Rutkowski (Variance) Dear Mr. Bracken: Please find enclosed a copy of the determination rendered by the Board of Appeals at our December Regular Meeting and filed today with the Town Clerk's Office concerning your variance application. A copy of this determination has also been furnished to the Southold Town Building Department pertaining to your pending building permit application request. However, it will be necessary for you to contact the Building Department (765-1802) to determine what other documentation is required to re-activate your building permit application. Also, due to the proximity of this project within 500 feet of a waterway, State or County Road, we have transmitted copies of our variance file to the Suffolk County Department of Planning for their determination as required under the County's Administrative Code. The County is expected to finalize its review and forwarded comments directly to the property owner within the next two weeks. If you have any questions, please feel free to call. Very truly yours, Linda Kowalski Enclosure Copies of Decision to: Building Department Suffolk County Department of Planning o��g�1FF0(,�co APPEALS BOARD MEMBERS C* y Southold Town Hall Gerard E Goehringer,Chairman 9 53095 Main Road Serge Doyen,Jr. y �� P.O. Box 1179 James Dinizio, Jr. �O( �0� Southold, New York 11971 Robert A. Villa Fax(516) 765-1823 Lydia A. Tortora Telephone (516) 765-1809 BOARD OF APPEALS ACTION OFF THEOBOAORD OFFLAPPEALS APPL. #4290. Applicant: HELEN RUTKOWSKI DATE OF ACTION: December 6, 1995 LOCATION OF PROPERTY: 1025 Gull Pond Lane, Greenport, NY COUNTY MAP DISTRICT 1000 SECTION 35 BLOCK 4, LOT 7.2 (& 28.16). BASIS OF APPEAL: November 15, 1995 Building Inspector Action. PROVISIONS APPEALED FROM: (former 1975 zoning) RELIEF REQUESTED: To convert use of principal building from utility stor- age to single-family dwelling use, at variance from former Appeal Nos. 1954 and 2032 which required covenants to be filed in 1975 pertaining to a limitation for a single use of the property (in 1975 was for a large "house" boat moored at the bulkhead.) Property today is nonconforming in total lot area of .626+- acre. MOTION MADE BY: Gerard P. Goebringer SECONDED BY: James Dinizio Jr. ACTION/RESOLUTION ADOPTED: Granted conversion of use from accessory storage with boat mooring to a single-family residence - within the nonconforming footprint established in the existing storage building, without further reduction into the nonconforming yard setbacks (i.e. , bulkhead) . This variance is contingent upon owner receiving Suffolk County Health Department approval for cesspools (septic) system for conversion to a single-family dwelling use, and the agreement by applicant that a "house-type" boat will not be moored at the promises. REASONS/FINDINGS: Property has been used for mooring of an owner's former (house-type) boat which contained living/sleeping quarters, and the existing building was to be used strictly for storage and utilities relative to the use of the large boat moored at the premises. Full ownership of the premises has been conveyed to Helen Rutkowski, who has no intention of mooring a large boat with sleeping/living quarters. The zoning is R-40 Low-Density Residential, and a single-family residence on the land in lieu of a house boat at the bulkhead is a more appropriate land use. Owner prefers to re-build, alter and/or modify existing footprint of storage building as a single-family, two-story residence and all other necessary approvals through the County Health Department, NYS Department of Environmental Conservation, Building Department, etc. must be obtained as required by law before construction activities commence. VOTE OF TIIE BOARD: Ayes: Serge J. Doyen, Member James Dinizio, Jr. , Member Robert A. Villa, Member Lydia A. Tortora, Member Gerard P. Goehringer, Chairman-Member This resolution was unanimously adopted. Ci'l . � p�r;oose �'snowi»o ov/:Cmo f p � cesSp00/•'oma anen surveyed'o •Z- W b cont,ere mc-:;men, P i��'� ourYJ=shown �-' sM •`� N pescnptioc CFP y lines Go'O!'20'E r= ken {ran' "Ccn•.act o{So/e" , _ deS�YlGfiCn : i5 SC O�GCY fO any of yOC;'P .�VrV Pn a a`�"-` C. surve fite se.:rcin migh/ Y ii"t..,-�•_ � � Y ore t reveal- 4N eveal. �-1.yF-' -� ' wYaSY M _ LOT MAP OF PROF,5R7 Y 5/TLIATE2 /N TOWN OF SO!/THOLO _ �^ J VLLAGF OF Gid • 4 4440 ieR MAP OF FOPOHAM ACef,5 SFCT/ON 2 _ MAP N4 4605 ="✓ a om ) t� N.V.S.0 5 46505 J x� - c w C a a_ r �- �J��j�F=01.f;A--=- �J iiecr,crerK J L,'0 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T 1 ? I C A T I 0 Nom/ DATE: / 96 3u=_aIncl / No . 22j24`fi =:umner : krlK vQ /�/A/1}�SSFN� y '\ �` �e `3� _lease c=r=_ _Iez =`1e solder used _z --ie aac=_r surd_-,- s-"szam _cn_s'zs less =Zan 2, 10 2, umners S_gnature ) —cr- __ -e'_r= me = _s 1 - �:C aav ,_DA J ER Notary Public,State of Now yqg No.4822663,Suffoik County�1.n Term Expires December 31,19 FIELD :NS?ECTION RF,PORT DATE CO NTS "7—Villw7' 17 II I :9 it it 3 II � FOUNDATION ( IST) II FOUNDATION (2ND) --II — ii "� ROUGH FRAME S n � n PLUMBING I� II n t I I II a INSULATION PER N. Y. I —a STATE ENERGY a ii a CODE II II I II - II I II u n if FINAL �— I"I II n -_ ADDITIONAL Cole I ` - Z I > d 7 'd —3 � LICENSED PROFESSIONAL ENGINEERS NEW YORK NEW JERSEY Cronin and Condon Consulting Engineers 5050 Pequash Avenue (516)7347250 Cutchogue, New York 11935 FAX (516)734-7014 July 25, 1996 Mr. Donald Bracken Jr. President Backenbuilt Homers Inc. 1305 Jasmine Lane Southold, New York 11971 Dear Mr. Bracken. On July 21, 1996, at your request, an inspection of the building located at 1025 Gull Pond Road in East Marion, New York was conducted to evaluate the foundation and its ability to support the second story addition. The second story addition has been completed. The building was found to be constructed on a monolithic poured concrete foundation and inspection found it to be in acceptable condition. At the time of inspection, an area on the north side of the foundation was excavated to determine the width of the footings. The footing was measured at that location and was found to be in excess of 18 inches. The thickness of the slab was also measured at a hole that was drilled in the slab in the furnace room. The thickness at this location was found to be 11 inches. Reinforcement was also noted in the slab at this location. A load analysis was made based on the results of this inspection and the construction plans fo. the addition. The foundation was assumed to have 18 inch wide footings along its perimeter and the center areas were assumed to be 11 inches thick. The results of this analysis indicated that the second floor addition will increase the loads on the footings and soil a maximum of approximately 20%. This additional loading results in a total soil bearing load of approximately 1,650 pounds per square foot. Based on the results of this analysis, it is my professional opinion that the preexisting foundation and footings are capable of carrying the total weight of the building including the second floor addition. The addition was also found to conform with the requirements of the New York State energy code for additions as specified in section 7810.6. 1 hope this letter satisfies your needs and if you have any additional questions please call me. Yours truly, (OF N i W y Imo' \� - 1 H - I I L don, P. - - �' `. i VA j Y-6 .. f^CfESS10`F� . FORM No.3 TOWN Or, SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date . . . . . . . . . . . . . . . . ..��. . . . . . . . . . . . . . . . .. 197 PLEASE TAKE NOTICE. U at your application dated X�a. . . . . . . . . . . . 19 ✓� �,s�/w_�/7 for permit to . . .� •/ / �. }.'r!`:'�' ly�jj' '�!•"�T�fi Location of Property . . .���L`7. . . . ./ Ffl=r .�r� O. . . . . . . . . . . . . . . . .5�!.. .. (J House No. Street amlet County 'rax Map No. 1000 Section . . . . . . . . . Block .S" . . . . . . . . . . ..Lot Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . . . . . is returned herewith and disapproved on lie following grounds . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Btikiding Inspector. Pv 1/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. W,97. . . . . . . Date . . . . . . . . . . . . . oPt. . . .2,3. . . . .. 19-75 THIS CERTIFIES that the building located at E/.S. Gull. Pond. Vane. . . . . . Street Map No. xxy . . . . . . . . Block No. .x:; . . . . .Lot No. . .xxx. . .Grep-nport . .N...Y. . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . . . July. 3M- 75. pursuant to which Building Permit No. . .51.1.4Z dated . . . . . . . . . . .duly. . . . j.Q ., 197,5. ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Bd Appeals) The certificate is issued to .lielAn .11utkows.ki.d. .atbetlex. .tiro . . • . .Gwraer.s . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval wept. . . 5. . .1.975. . .by. lig .YL.Ila. . . . . UNDERWRITERS CERTIFICATE No. .N. .246169. • • . Sept • - 4-7 — 147Y. • • • • • • • • • • . HOUSE NUMBER . . . . 1025. . . . . Street . . Gul.l• Pond. Zane. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector PECONIC SURVEYORS, P.C. P.O. Box 909 54655 Main Road Southold, N.Y. 11971 516-765-5020 FAX 516-765-1797 John T.Metzger,L.S. January 3 , 1996 To whom it may concern: Re: Property at Greenport , NY S .C .T.M 1000-35-04-7 . 2 This is to state that the elevation of the finished floor of the cottage at the above captioned property on Gull Pond Lane is 10. 00 feet in N.G.V. Datum. Please contact me if you have any questions . Thank you. _ Sincerely, {0 �J l L •�, ,ry /C+� ° "'';r �� n 'Jon T. Metz r, L. S . ` cO / Job truss Truss Type Qty y BRACKEN HT1 FLOOR 1 1 Gull Pond La.,Greenport NY Nassau Suffolk Lumber p.6.g 3.300 s May 26 1995 Mi7ek Industries,Inc, Wed Jan 10 10:38:59 1996 Page �8-i f�-�1 H ♦'''$I tF 4-81 11-� 1�6-{ i'r' 7=8 1 1�1 866! i 03A n @IF�,: 3x5 3x3 3x4 3x8 34 3x3 34 3x8 3x3 3x3 to 3x4 30 3x3 3x5 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 �1 to 11 it 11 11 1 11 1to 1 28 27 26 25 24 23 22 21 20 19 91 17 d 3x7 5z7 3x4 3x8 3x3 3x3 3X3 3x8 3x3 to 3x4 3x3 4x8 3x7 3x6 F.P.WfW S.P. CAUTION: Do not erect truss backwards 11.6-0 I 5-1-0 I 14-0-0 F 25-G-0 27-0-0 1-6-0 3.7-0 9-30 11.2-0 1-r10 Plate Offsets(Left,Top): [5:0.2-0,0-1.8],[9:0.2-0,0-1.8],[20:0.1-8,0-1-8],(23:0-6-0,0-1-8],[27:0.6-0,0-1-81,[28:0.2-8,0.1-81 LOADING(pat) SPACING 1-4-0 CSI DEFL (in) (loc) Udefl PLATES GRIP TCLL 30.0 Plates Increase 1.00 TC 0.44 Vert(LL) 0.45 23124 625 M20(20ga) 258!216 TCDL 10.0 Lumber increase 1.00 BC 0.75 Vert(TL) 0.68 23124 417 BCLL 0.0 Rep Stress Incr NO WB 0.43 Horz(7L) 0.07 16 n!a SCOL 5.0 Code TPI (Matrix) Min Length I LL dell=480 Weight:168 Obs) LUMBER BRACING TOP CHORD 4 X 2 SYP DSS TOP CHORD Sheathed or 6-0-0 on center pudin spacing, SOT CHORD 4 X 2 SYP DSS except and verticals. WEBS 4 X 2 SYP No.3 BOT CHORD Rigid ceiling directly applied,or 10-00-00 on center bracing. REACTIONS Obstsize) 18-99910-3-8,29-999/0-3-8 FORCES TOP CHORD 1-2--3,2-3-329,3-4-329,4-Ss-1216,5-6 -1654,6.7=-2692,7-8=-3351,8-9=-3630,9-10=-3660,10-11=-3298,11.12=-2783,12.13=-2783,13-14=-11 14.15-323, 15-16=323, 16.47-40 BOT CHORD 17.18-0.18-19=560,19-20=1879,20.21-2783,21-22-2783,22.23=3590,23-24=3660,2425=3582,2`-26=3101,26-27-2264,27-28=1654,28-29--7 1-29=-0 W EBS 2-29-398,3-29-93,4-29=-1094.4-28-888,5-28--715.5-27=477.6-27=465,&2r,-558,7-26=-532,7-2S-325,8-25---301,8-24=:62,9-24=-36,9-23- 10-23=88,1D-22=-381,11-22-657,11-21=-304,12-20=-324,13-20=1064,13-19=-903,14-19=812,14-18=-1095,15-18=-75,16.18=-391 NOTES 1)Required 2x6 strongbacks,on edge,spaced at 10 feet on center and fastened to each truss with 3-10d nails. Strongbacks to OF f .� be attached to walls at their outer ends or restrained by other means. '( ` 2}Special hanger required to support concentrated loads. B -PN=` Off, T'f' LOAD CASE(S) 1)Lumber Increase-1.00,Plate Increase-=1.00 Uniform Loads Obs per ft) Vert:2.3=-53.3,3-4---53.3,4.5=-53.3,5-6=-53.3,6-7=-53.3,7.8=-53.3,8-9=-53.3,9-10=-53.3, 10.11=-53,3, 11-12=-53.3,12-13=-53.3,1314=-53.3,1415=-53.3,15-16=-53.3,17-18=-6.7,18.19=-6.7,'19-20=-6.7,20-21=-6.7, - 21-22=-6.7,22-23--6.7,23-24-6.7,24-25-Z.7,25-2r=-6.7,26-27=-6.7,27-28=-6.7,28-29=-6.7, 1-29=-6.7 Concentrated Loads(lbs) /j aA. 'l Vert:2--200.0,16=-200.0 OGTCA �✓ SFr A r ' Job Truss Truss TypeQty ply BRACKEN HT2 FLOOR 1 2 Gull Pond La„Greenport NY Nassau SuRolk Lumber 3.300 s May 26 1995 M17ek Industries,Inc. Wed Jan 10 10:3923 1996 Page 1 3x6 F.P. 3x5 3x3 3x4 3x8 34 3x3 3x3 3x8 3x3 3x4 1X3 3x5 3x3 3x3 3x5 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 41 1x3 1x3 11 m 1 91 28 27 26 25 24 23 22 21 20 19 17 d 3x7 5x7 3x4 3x8 3x3 3x3 3x3 3x8 3x4 1x3 3x4 3x3 18 3x7 3x6 F.P.W12x6 S 1-6x0 51-0 14-4-0 2550 27-0-0 1-6-0 3.7-0 9.3-0 11-2-0 1-6-0 Plate Offsets(LeR,Top): [4:0.1-8,0.1-8],[5:0.2-0,0.7-8],(9:0.2-0,0.1.8],[71:0-2-8,0-t•8],[13:0.3-0,0.1-8],[20:0-1-8,0.1-8],[22:0-1-8,0.1-8],[23:0-6-0,0.1-8], [27:0-6.0,D-1-8],[28:0-2-8,0-1-8] LOADING(psf) SPACING 14-0 CSI DEFL On) (loc) Udell PLATES GRIP TCLL 30.0 Plates Increase 1,00 TC 0.48 Vert(LL) 0.46 23124 618 M20(20ga) 258/216 TCDL 10.0 Lumber Increase 1.00 BC 0.76 Vert(TL) 0.69 23124 412 BCLL 0.0 Rep Stress lncr NO WB 0.43 Horz(TL) 0.07 18 Na BCDL 5.0 Code TPI (Matrix) Min Length/LL dell=480 Weight: 168(Ibs) LUMBER BRACING TOP CHORD 4 X 2 SYP DSS TOP CHORD Sheathed BOT CHORD 4 X 2 SYP DSS except end verticals. WEBS 4 X 2 SYP No.3 BOT CHORD Rigid ceiling directly applied,or 10-00-00 an center bracing. REACTIONS Obs/size) 18=1400/0.3-8,29-158&0-3-8 FORCES TOP CHORD 1.2--5,2-3-320,3-4-320,4-5--2681,56--3575,6-7--5265,7-8=-6543,8-9=-7442,9-10---7849,10-11--6495,11-12=-5188, 12-13--5188,13-14--2143, 14-15=306,15-16=306,16-17--21 BOT CHORD 17.18=-1,18-19=1094,19-20=3368,20-21-5188,21-22=5188,22-23=7329,23-24=7849,24-25=7088,2526=5982,26-27=4529,27-28=3575, 28-29=11337,1-29=-D WEBS 2-29--388,3-29=-101,4-29=-2057,428=1759,528=-1459,5-27=736,6-27=-1195,6-26=960,7-26=-933,7-25=730,8-25=-709,8-24=460,9-24=-484, 9-23--429,10.23=651,10-22-.1087,11-22=1669,11.21=-663,12-20=.636,13.20=2143,13.19=-1589,14-19=1367,14-18=-1737, 15-18=-68,16-18=•37 NOTES �� OF 1)Trusses to be fastened together to ad u unit a single . All loads to be distributed equally over the 2 plies. 2)Required 2x6 strongbacks,on edge,spaced at 10 feet on center and fastened to each truss with 3-10d nails. Strongbacks to p' S r4 B r be attached to walls at their outer ends or restrained by other means. 3)Special hanger required to support concentrated bads. l 4)CAUTION,Do not erect truss backwards. r LOAD CASE(S) m 1)Lumbar lncrease=1.00,Plata Increase=1.00 ,z Uniform Loads(lbs per R) Vert:2-3--53.3,3-4--53.3,4-5-53,3,5-6=-53.3,6-7=-53.3,7-8--53.3,B-9=-53.3,9�1 D=-53.3,10.11=-53.3, 11-12=-53.3,12-13=-53,3,13-14=-53.3,14-15=-53.3,15-16--53.3,17-18=-6.7,18.19=-6.7, 19-20=-6.7,20.21=-6,7, QA 0 py(g1�� aj 21-22--6.7,22-23=-6.7,23-24=-6.7,24-25=•6.7,2526--6.7,26-27--6.7,27.28=-6,7,28-29=-6.7,1.29=-6.7 �F Concentrated Loads Obs) Vert:2--200.0,5--330.0,9=-660.0,16-200.0 Job Truss Truss Type 72' Ply BRACKEN HT3 FLOOR 1 Gull Pond La.,Greenport NY Nassau Suffolk Lumber 3.300 s May 26 1995 MiTek Industries,Inc. Wed Jan 10 10:39:26 1996 Pag 1 1.3-8 1.3-0 42A 3x5 3x3 5x5 2x5 5x5 2 3 4 5 3x3 1x3 N r r Ir 9 7 6 3x5 1x3 3x3 8 5x7 4-9-S 13-0 33,8 0.3.8 Plate Offsets(Left,Top): [3:0-3-8,0-3.0) LOADING(psf) SPACING 1-4-0 CSI DEFL (in) Occ) I/detl PLATES GRIP TCLL 40.0 Plates Increase 1.00 TC 0.12 Vert(LL) 0.01 1 999 M20(20ga) 199/146 TCDL 10.0 Lumber Inaease 1.00 BC 0.04 Vert(TL) 0.01 9 999 BCLL 0.0 Rep Stress I= NO WS 0.09 Hom(fL) -0.00 5 nla BCDL 5.0 Code TPI (Matrix) Min Length/LL dell-480 Weight:32 Obs) LUMBER BRACING TOP CHORD 4 X 2 SPF 210OF 1.8E TOP CHORD Sheathed or 6.0-0 on center purlin spacing, BOT CHORD 4 X 2 SPF 210OF 1.8E except and verticals. WEBS 4 X 2 SYP No.3 BOT CHORD Rigid ceiling directly applied,or 10-00-00 on center bracing. REACTIONS Obs/size) 5=-1010-3-0,8=541/o-3-8 Max Uplift 5=-100oad case ll) FORCES TOP CHORD 1-9-2,1-2-351,2-3-352,3-4-96,4-5-88 BOT CHORD 6-7--88,7.8--88,8.9=-0 WEBS 5-6--108,4-6=41,3-7-36,3-8--319,2-8--115,1$-425 NOTES 1)Recommend 2x6 strongbacks,on edge,spaced at 10 feet on center and fastened to each truss with 3-10d nails. Strongbacks to be attached to Watts at their outer or restrained by other means. 2)CAUTION,Do not erect truss backwards. LOAD CASE(S) P't� 01 "W;k 1)Lumber Increase-1.00,Plata Increase-1.00 �, _yrj f'' Bn• �� Uniform Loads Obs per R) pjT� N Vert:1-2=-66.7,2-3=-66.7,3,41-66.7,4-5--66.7,6-7=-6.7,7-8=-6.7,8-9=-6.7 Concentrated Loads Obs) Vert:1--200.0 n "v INN ,CRS DbT91A. V SSl Joh Truss Truss Type Qty Ply BRACKEN HT4 FLOOR 2 I Gull Pond La.,Greenport NY Nassau Suffolk Lumber 3.300 s May 26 1995 MiTek Industries,Inc. Wed Jan 10 10:39:30 1996 Page' x 1-3-0 i 1-10-0 1-3.8 I 54 3X1 1X3 1x3 3X3 3X_1 3K1 3x6 1 34 2 3 4 5 6 7 8 'r 3x3 41 - 14 13 12 11 9 I� 3x3 313 3X3 34 3x5 10 4x6 of:ip 11.5-0 12-11-0 43.8 11-1.8 1.60 LOADING(psf) SPACING 1-4-0 CSI DEFL (in) (loo) Udell PLATES GRIP TCLL 40.0 Plates Increase 1.00 TC 0.15 Vert(LL) 0.03 11/12 999 M20(20ga) 1991146 TCDL 10.0 Lumber Increase 1.00 5C 0.13 Vert(TL) 0.05 11/12 999 BCLL 0,0 Rep Stress Incr NO WS 0.18 Horz( Q 0.00 10 n/a BCDL 510 Code TPI (Matrix) Min Length!LL deft-480 Weight:64(lbs) LUMBER BRACING TOP CHORD 4 X 2 SPF 210OF 1.8E TOP CHORD Sheathed or 6-0.0 on center purlin spacing, BOT CHORD 4 X 2 SPF 21 DOF 1.8E except end verticals. WEBS 4 X 2 SYP Nc.3 BOT CHORD Rigid ceiling directly applied,or 10-00-00 on center bracing. REACTIONS Obs/size) 1=361!0.3-0,10+745/63-8 FORCES TOP CHORD 1-2=358,2-3--855,34--861,45=-865,5-6-476,6-7-349,7-8349,8-9=0 BOT CHORD 9-10-0,1G-11-176.11-12-755.12-13-865,13-14-700 WEBS 1.14461,2-14-445,2-13-210,3-13--106,4-12-82,5.12-140,5-11=-364,6-11-390,6-10--651,7-10--99,8-1D-422 NOTES 1)Recommend 2x6 strongbacks,on edge,spaced at 10 feet on center and fastened to each truss with 3-10d nails. Strongbacks to be attached to walls at their outer on, or restrained by other means. 2)Special hanger required to support concentrated loads. 3)CAUTION,Do not erect truss backwards, LOAD CASE(S) .\, OF 6`!'c;'�' 1)Lumber Increase-1.00,Plate Increase-1.00 Uniform Loads Obs per it) y�,4�rcS Vert:1-2--66.7,23=-66.7,3-0--66.7,4-5--66.7,5-6=-66.7,6-7-66.7,7-8-66.7.&tD=-6.7, 10-11=-6.7, 11.12=-6.7,12-13--6.7,13.14--6.7 Concentrated Loads Obs) Vart:8--200.0 (j ��11� do 06 Al 'D9 ESS P�' Job Truu Truss Type Qty PIy BRACKEN HT10 FINK 6 1 Gull Pond La.,Greenport NY Nassau Suffolk Lumber 3.300 s May 26 1995 Mi7ek Industries,Inc. Wed Jan 10 10-3-90-61-996P.9. l 5-&12 12-0.0 1834 1 24.0-0 1 5-&12 6,34 634 5-8-12 4x4= 3 5.00F12 1x4 1x4 Q 2 4 3x4 s 3x4 7I 3x4% 3x4 rte` B 7 6 4x7 11 3x4= 3x4= 3x4= 4x7 11 7-9-13 F 16-23 1 24-0.0 i 7.9-13 84_5 7.9-13 Plate Offsets(X,Y): [1:0-0-Q.0-1-0[,15:0-1-6.0-t j LOADING(psf) SPACING 2-0-0 CSI DEFL (n) (loc) Vdefl PLATES GRIP TOLL 30.0 Plates Increase 1.15 TC 0.43 Vert(LL) 0.14 8P 999 M20(20ga) 199/146 TCDL 10.0 Lumber Increase 1.15 BC 0.40 Vert(TL) 0.23 8/7 999 BCLL 0.0 Rep Stress Incr YES WS 0.22 Horz(TL) 0.05 5 n1a BCDL 10.0 Code TPI Min Length!LL dell-240 Weight:84(Ibs) LUMBER BRACING TOP CHORD 2 X 4 SPF 210OF 1.8E TOP CHORD Sheathed or 4-2-15 on center pudin spacing. BOT CHORD 2 X 4 SPF 210OF 1.8E BOT CHORD 6-7:6-3-0.5-6:&-3-0,1-8:6-3-0,7-8:6-3-0. WEBS 2 X 4 SPF Stud SLIDER Left 2 X 4 No.2 SYP 3-10-1,Right 2 X 4 No.2 SYP 3-10-1 REACTIONS (Ibs1s'ize) 11 1 8 510-3.6,51 1 8 510-3-8 Max Horz 1--260oad case 2) Max Uplift 1-4620oad case 4),5--46.2Qoad case 4) FORCES TOP CHORD 1-2--1914,2-3--1657,3-4=-1657,4-5--1914 BOT CHORD 5-6-1696,6-7-1239,7-8-1239,1-8-1896 WEBS 2-8-279.3.8=482,3-6=482,4-6--279 NOTES 1)This truss has been designed for the wind loads generated by 90.0 m.p.h.winds at 25.0 feet above ground level,using 7.0 p,s.f.top chord dead load and 5.0 p.s.f bottom chord dead load,0.0 miles from hurricane oceanline,on a category I enclosed .(�. 0& NE(y y building,of dimensions 45.0 by 24.0 with exposure D(ASCE 7-93). Lumber Increase= 1.33,Plate Increase= 1.33.Both .r\Q' 1l4 B end verticals are exposed. 6JS 2)SIMPSON H2.5 connectors recommended to connect truss to bearing walls due to uplift as follows:Two each connectors at joint(s)1,S. _r LOAD CASE(S) Standard fr G y c % vO 061 4i Joh Truss Truss Type T61111 Ply BRACKEN HT11 FINK 1 Gulf Pond La„Greenport NY Nassau Suffolk Lumber 3.300 s May 26 1995 MiTek Industries,Inc. Wed Jan 10 10;39:13 1996 PagE 5-5-12 1 11.9-0 1 1&0.4 1 23-6-0 2�q-0 030 55.12 6-3-4 6.3.4 5-512 0.3-0 44= 4 5.0012 4x4 4x4 a g 3 5 1.5x4 I 1.5x4 ii TI 2 6 rS� ` \ 10 9 8 3x4- \ 3x4= 3x4= 3x4= 3x4= Engineered anchorage of Engineered anchorage of truss to bearing by others truss to bearing by others -Or�3-0 7tr13 1 1511.3 23-6-0 23-to 0-30 7.6-13 8-45 7-6-13 &3.0 LOADING(ps0 SPACING 2.0-0 CSI DEFL (in) (loo) Iden PLATES GRIP TOLL 30.0 Plates Increase 1.15 TC 0.41 Vert(LL) 0.14 1019 999 M20(20ga) 1991146 TCDL 10.0 Lumber Increase 1.15 BC 0.39 Vert(TL) 0.23 1019 999 BCLL 0.0 Rep Stress I= YES WS 0.72 Horz(TL) 0.04 7 rda BCOL 10.0 Code TPI Min Length 1 LL den=240 Weight:86(Ibs) LUMBER BRACING TOP CHORD 2 X 4 SPF 210OF 1.8E TOP CHORD Sheathed or 4.8-15 on center Pullin spacing, BOT CHORD 2 X 4 SPF 210OF 1.8E except end verticals. WEBS 2 X 4 SPF Stud BOT CHORD 8.9:6-3-0,7-8:6-3-0,1-10:6-3-0.910;6-3-0. WEBS 1 Row at midpt 1-3,5-7 REACTIONS Qbs731ze) 1-1160/0-1-13(input: 0.1-8),7:116NO-1.13(input: 0-1-6) Max Horz 1-7200oad case 3) Max Uplift 1•-4530oad case 4),7-153Qoad case 4) FORCES TOP CHORD 1-2-211,2-3-0,3-4--1573,4-5-1573,5-6y-0,6-T-21 I BOT CHORD 7.81596,8-9-1186,910=1186,1-10=1596 WEBS 1-3=-1820,3-10=-242,4-1D=•441,4-8=441,5.8=-242,5.7=-1820 NOTES 1)This truss has been designed for the wind bads generated by 90.0 m.p.h.winds at 25.0 feet above ground level,using 7.0 p.s.f.top chord dead load and 5.0 p.s.f b� chord dead load,0.0 miles from hurricane oceanline,on a category I enclosed building,of dimensions 45.0 by 24.0 with exposure O(ASCE 7-93). Lumber Increas: 1.33,Plate Increase- 1.33.Both end verticals are exposed. 2)SIMPSON H2.5 connectors recommended to connect truss to bearing walls due to uplift as follows:Two each connectors at joint(s)1,7. 3)Required bearing size at joint(s)1,7 greater than Input bearing size. �4 OF j •w LOAD CASE(S) Standard g'�P .ys N• BCS rQ n O n c� tip✓° �F.S GENERAL FLOOR TRUSS DATA SHEET THESE NOTES ARE INADDITION TO THE NOTES THAT APPEAR ON EACH OF THE INDIVIDUAL TRUSS DRAWINGS. FURNISH A COPY OF THIS SHEET TO THE ERECTION CONTRACTOR The following trusses were designee/reviewed by MiTek Industries, Inc, based on information provided by specified truss fabricator. All information on the truss drawings should be reviewed by the overall building designer/engineer to insure proper building codes and project requirements have been complied with before fabrication. Design is based sLstant`-ally on TPI and NDS standards in effect on the date specified on the drawing. Erection, Handling, Safety Precautions, Temporary or Pe rsanent Bracing of trusses are not the responsibility of the Truss Designer, Metal Connector Plate Manufacturer or the Truss Manufacturer and therefore are net a part of these engineered drawings. Trusses are designed as individual components. All lateral bracing specified on these truss drawings is intended to provide Lateral restraint for individual truss members only. The design, amount and proper installation of additional permanent bracing is the sole responsibility of the designer of the complete structure. Adequate temporary bracing is the sole responsibility of the truss erector. Competent professional advice should always be obtained relative to truss bracing, erection requirements and connections. See HIB-91. The top chord shall be laterally supported with properly attached sheathing, unless noted otherwise. Continuous cross (1x31 or horizontal (2x6 strongbacks on edge) bridging is required at 8'-0" to 10'-0" maximum intervals. See HIB-91. for proper nailing. ® Denotes location of coatinucus lateral bracing designed by others. Provisions for adequate drainage should be met on all trusses with any top chords slopes less than a 1/12. All connector plates are 20-ga. M20 plates applied on both faces, centered and oriented so that the second plate dimension is parallel to the truss chord, unless noted otherwise. All connector plates must be manufactured by MiTek Industries, Inc. or its auxiliaries: Gang-Nail, Hydro-Air, or Panel Clip Connector Plate Code Approvals: BOCA 86-93, 85-75,91-28; HUD/FHA TCB 17.08; ICBG 1591, 1329, 4922; SBCC7 87206,86217,9190; WISC/DILhR 810040-N, 930013-N, 910080-N. The drilling of holes, notching, cutting or removing any cross sectional area of any truss member, unless noted otherwise, will VOID the drawing. Floor trusses are designed to sup?ort the listed uniform loads only. Floor trusses are not designed to support concentrated loads from the roof or any other tributary system unless noted. Truss to bearing connection to be designed by others. Trusses should be inspected prior to and after erection to insure their structural integrity. Trusses should be inspected for plate embedment, damage to the lumber (cracks, breaks, crushing, etc.), bow, variation from plumb etc. . For a full list of guidelines see HIB-91 and QST-86. A11 gable type (non-structural) trusses are to have all vertical studs exceeding 8'-0" in height L-braced to provide lateral restraint. In addition, all these type trusses ace not designed for wind exposure to the gable face, unless noted otherwise. Trusses with ribbon details on the end(s) Trusses requiring splice joints labeled: should have the end vertical connected to the ( (plate size3l) f.p.w/(plate size82)s.p. W/B truss by placing a lx3 20-ga. plate on each should use the following detail as a guide. face as shown in the following detail, or use 0� ur an equivilent nailed connection. ,�� rbcs 1.0 i RATE f" Q �I n Ll W _ (P �O 1 ,z FQ tiO 065�'�. � A� JMJ MiTek Industries, Inc. Dwg.# m11a96 FaN mot-aol-iozo93 GENERAL ROOF TRUSS DATA SHEET THESE MOTES ARE IN ADDITION TO THE NOTES THAT APPEAR ON EACH OF THE INDIVIDUAL TRUSS DRAWINGS. FURNISH A COPY OF THIS SHEET TO THE ERECTION CONTR-kCTOR. The following trusses were designed/reviewed by HiTek Industries, Inc. based on information provided by specified LrCsa fabricator. All information or. the truss drawings should be reviewed by the overall building designer/engineer to insure , roper building codes and project requirements have been ccmnlied with before fabrication. Design is based substantially on TPI and NDS standards in effect on the dated specified on the drawing. Erection, Handling, safety Precautions, Temporary or Per. rant Bracing of trusses are not the responsibility of the Truss Designer, Mecal Connector Plate Manufacturer or the Truss Manufacturer and therefore are not a part of these engineered drawings. Trusses are designed as individual components. All lateral bracing specified on these truss drawings is intended to provide lateral restraint for individual truss members only. The design, amount and proper installation of additional permanent bracing is the sole responsibility of the designer of the complete structure. Ade.ruate temporary bracing is the sole responsibility of the truss erector. Competent professional advice should always be obtained relative to truss bracing, erection requirements and connections. See HIB-91. The top chord shall be laterally supported with properly attached sheathing, unless noted otherwise. The bottom chord shall be laterally supported with properly attached continuous lateral bracing at 101-0" maximum intervals, unless noted otherwise. (moi Denotes location of continuous lateral bracing designed by ethers. Provisions for adequate drainage should be met on all trusses with any top chords slopes less than a 1/12. AIL connector plates are 20-ga. MZO plates applied on both `--aces, centered and ocieated so that the second place dimension is parallel to the truss chord, unless rated otherwise. Al! connector plates must be manufactured by MiTek Industries, Inc. or its auxiliaries: Gang-Nail, Hydro-Air, or Panel Clip Connector Plate Code Approvals: BOCA 86-93, 85-75,91-28; HUD/FHA TC8 17.08; IC8O 1591, 1329, 4922; SBCCI 87206,96217,9190; WISC/DILHR 890040-N, 930013-N, 910080-N. The drilling of holes, notching, cutting or removing any cross sectional area of any truss member, unless noted otherwise, will VOID the drawing. The effect of lateral thrust (force) and horizontal movement on the supports of scissors type trusses is not a consideration of this design. The designer and/or builder of the structure must give due consideration to the lateral thrust and horizontal movement created by scissors trusses in the design and construction of adequate truss supports. Neither the truss designer, metal plate manufacturer nor the truss fabricator assumes any responsibility for the design and construction of the truss supports. Professional advice should be obtained relative the strength, construct-,or. and design of the truss supports. Truss to bearing connection to be designed by others. Trusses should be inspected prior to and after erection to insure their structural integrity. Trusses should be inspected for plate embedment, damage to the lumber (cracks, breaks, crushing, etc.), bow, variation from plumb etc.. For a full list of guidelines see HIB-91 and QST-86. All gable type (non-structural) trusses are to have all vertical studs exceeding V-0- in height L-braced to provide lateral restraint. In addition, all these type trusses are nor designed for wind exposure to the gable face, unless noted otherwise. Trusses requiring the usage of a cap (piggyback) truss are to be field spliced together where the base truss meets the cap truss with 2x4x48"32 scabs on one face only and fastened with 6-I0D nails each half, unless noted otherwise on the individual truss drawing. There is a minim= of two scabs required for each truss-cap combination. �� OF —rip y�P ES Bp y0. �� ►ii�O m r A NIiT&Industries, Inc. Dw;.# Qatvi". A � spm[ .mos-ooz-iozoss FE' A M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ J ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 71NAL LATION ( J FRAMING [ [ ] FIREPLACE & CHIMNEY �f REMARKS: 61 DATE 71JLYo INSPECTOR T 765.1802 BUILDING DEPT, INSPECTION [ J FOUNDATION 1ST [ --lit�OUGH PL BG. [ J FOUNDATION 2ND [ J INSULATION C J FRAMING [ J FINAL REMARKS; DATE /` INSPErO THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Application No.on file 'f.-WAS,<7G.. '4 xl THIS CERTIFIES THAT only the electrical equipment ws described below and introduced by the applicant named on the ahoy appliestion number in the premises of HELEN RTTTF-',N.iftl, 60%7ri GM-i, rom LANE, GRE;ENPOFT", N.Y. in thefollowinA location; ❑ Basement FT Ist FL ©r Ynd Fl. 9-)ITT Section Black Lot was examined on AFP i L .Z 1„ 19dcc and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS !4CAMXsCENT f-WORESC€NT I CM,HER 1 AkT. 1 K.w. j AM). i K.W. ANT, I K.w j AMT f K.w AMr. X.P. F DRYERS FURNACE MOTORS FUTURE AMBIANCE FEEDERS SPEOALNC'PT TIME CLOCKS BELL UNITMEATERS MULTI-OUTLET DIMMERS A.w.G. AMT, AMP. AMT. AMPs. TRANS. MAT, N.P. SYSTEMS AMT. WAlls NO.OF FEET i_ $ c SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. rypE METER1 X tW 1,I 9W l H]W T/Aw NO.OF CC COND. A.w O. NO.OF"IAEG A.W.G. Na.Cx NFUrRAIs A.W G. EQUIP. PER D OF CC.C D. OF NHEG OF NEUTRAL OTHER APPARATUS: ULTOFS"14 FT-}' 1 ll_P- _ - P el. Z . j`i da 8CV ( - 4 E�NuT,GDAk6 : l-t. ;�T a3 � . "- G-F.C.:I: -1 CHOKE DETEC."ATL l LL SPUDS ELECTRIC SERVICE LIC.#192E 175 Jar.r7T. ECI? 36!5, GENERAL MANAGER ST. JAMES, NY, 11780 •s 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. Ko �pnW r-h w►.c. x 9x /7 a. n OF- Al Q F-N0 FSR - 64 !Tu/ Pa N D LANE o cc x QR /Oxll + i wm .moi X 7 HO xo-£ M ` p .as3 ShrHrNIN& y$ ac R- �9rdr E1VEiUINJ FLan� fN i 3iy NE4✓ CXisnN& ARFA EX15TIN & AREA 'tom I ' e 5 j a � V`? 1 ) • L. 1157.1N (� .t - xisr,N « fix, s 7 N6 �� �• ht ,y Y5' f jam / m iaJ � This map has been made for t� A purpose c�'snawiing bu%/ding 8 , II � cesspool !o;ot:en surveyed fo .=- concrete mc�:;meraFound F shown. Descr'ptlor C7'property lines Z� �6e°op 2p-E ken f'roi Ccn'.act 01'5a/e" de5�rtp'rcn e 15 SLiJeci'-/0 qny i ID_ stgremenr of facto Lrounyo v C, 4- survey search might 1 S boo' �v tu Fl p� e s 6o°54' 3o"w LOT /2 j MAP OF PROPE,PTY p ccw _F "` S/TUATED IN TOWN OF SO -11MO n o � � VILLAGE OF GREENPORT MAP OF FOlePI AM ACRES o u TVA SECTION 2 ' AlAp NO 4605 TTTJJJ F. MwJ , TT, N)!S.G 5 �f65o5 p 9/ 75 171 � I RW_5 mop hos been, mcde for-the purpose 0,10 .sho Writg bUl%dii-�9 0 cessPoOI IOCofrvra surveyed to concrete MOnumentsAbund 00 shown• 0/'2pM�- Descr 1p' tion of property /Ines aken from "Controct or- Sole" de5cr-I tion �- G It is sub,/•ecf tv any Gstatement o{' fact a bociran'ory --Uroey orad rlt* search might reveal. rn ti9 �J.yr �� t�iPCQbC U 0 ~n X01 N l0 be.o r. Cesspovls :w o n � 1 ,"yho` _S GO° 54' 30" W ,t M c 20, L OT 12 an. o # r MAP OF A-'WopeRry + S/TUATED /M A a�'i ri F t�c. OWN 014=* SOUTiNOGO �;tF;:.._-. ''" N 1-4 P4 VILLAGE OF G� ENf�O�l' 1.4 o r N S. u7 0 P. MAP OF FORONAM A ORES P N ` SECTIOII� 2 F,1 . y. En ,d co 4 4- � MAP N9 44;05 _. ..__ a K•� N rn `- A 6A ,4 4A .)/S.L•5• �ro5o5 BOARD OF HEALTH . . . . . . . FORM NO. 1 3 SETS OF PLASS . . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . SOUTHOLD, N.Y. 11971 I TEL.: 765-1802 VOTIFY !.� . . . CALL . . . Examined . . . . . . . . . . . . . . cL7 19 9.s" MAIL TO : Approved . . lT , 15'y Permit No. .3 / . . . . . . . . . . . . . . . . . Disapproved a/c . . l�/�0� . .� . . . . . . . . . . (B ' ding c pector) APPLICATION FOR BUILDING PERMIT A 4 Date . . /1. . . /. . . . . . . ., 19 . 9 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wits 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 stre: or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apt cation. c. Tire work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such pern shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for nece ry insp tions (Signature of applicant,or name, ' a corporation) � s� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .M7, (Mailing address of applican State whether pplicant is ow er, 1 see, a en architect, engineer, general contractor, electrician, plumber or builde . . . . . . . . . . �� . . . Name of owner of premises . . J. . . .l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . I. Location of land on which propr�ol work will be done, �u � . . . . . . . . .lf.9Y�/. . . . . . Rouse Number Street /2G;tila ilet . County Tax Map No. 1000 Section . . . . . . . . . . Block . . ./4./. . . . . . . . . . . . Lot . ./. . . . . . . . . . . . . . . Subdivision .A 'mss rred Map No. . . . Lot . . . . . . . (Name) 2. State existing use and occupancy of prep c and inten ed use and o upa ey of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . /. .. . . . . . .. . ., mYi:nTt3N. . . . . . . . . . . . . . . . . fvti$i[k.40 .Cl ,i[ Ru�IKi%3 m1ar 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . Repair . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . .(Descr. . . . . . . . . . . . J � � � 00; iption) 4. Estimated Cost . . . . ./. . . . � pFee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . .! . . . . . . . . . Number of dwelling units on each floor . � . . . . . . . . . . . . . . Ifgarage, number ofcars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type ofPse . . . . . �y f 7. Dimensions of existing structures, if any: Front . . y.� .�-.4. . . . Rear . .�. r- !.'. . . . . Depth . GX. y . . . . . . . . Height . . . .,l.5. f? . . . . Number of Stories . /'_';21. . . . . . . . . . . . .�.. .�.,.. . . . . . . . . . . . . . . . . .A' . Dimensions of same structure with alterations or ad itions: Front . . .ot .7.-.Q. . . . . . Rear . .o(. . �. . . . . . . . . Depth . 4f-.I1. . . . . . . . . . . . . Height . . U.-7.0 . . . . . . . . . . . . Number of Stories . . .Z . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . �.�:.A. . . Rear . . . �.lf.-0. : : : : Depth .d. . `.�. . . . . . . Height . . .Cl (T. . . . . . Nupber of Stories . . . . . . . .; . 1 , ' ' • . . . . . . . . . . . 9. Size of lot: Front . . . .�!f 0., : . . . . . . . . �. � — . . . . . . . . . Depth a�7? Rear , , 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: / . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . . : . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . 15. Is this property within 300 feet of a tidal wetland? *Yes. . . . . . . . No. . . . . . . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. SC/0 °k 8i : :., 47 E;-k' 1UR-tiNk— Or ip : 3N":mTP;F .T °i K 3e,r ; i,, f'a"3:uyTrw,ti;.'(fCaiti VAI,i V,�F T PFOUIR€ IENTS OF THE f 1 V e,,7E ."'ONSTRUCT=ON 3: E"SIL"'?_Y i-1 <$ NOT RFSPONSIKE FCR �fs?i Ods t:O=r1STRUCTtOtr;EtiRn-;: STATE OF NEW Y?.�K S'S COUNTY] F �. . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named../� fieisthe . . .(2, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 / . . . . . . . . . .15 . . . . . o a/. . . . . .. 194. Notary Public. . . . . . . . . . . . . . . . . . . County ROBERT 1. SCOTT.' NOTARY PUBLIC.St a of N.Y. . . . . . . . . . . . . . . . .J. . . . . . . . . . No.4725089.Su elk CouMr}}y (Si nature of applicant) Term Expires M y 31, 19—TJQ