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Home My WebLink About21407-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22595 Date SEPTEMBER 16~ 1993 THIS CERTIFIES that the buildin~ NEW DWELLING Location of Property 30 HORTON AVE. & 100 SHIRLEY RD. MATTITUCK¢ N.Y. House No. Street Hamlet County TaX Map No. 1000 Section 141 Block 2 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 7, 1993 pursuant to which Building Permit No. 21407-Z dated MAY 14~ 1993 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDITH M. YOUNG (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH P~PROVAL 93-SO-07-SEPT. 2~ 1993 UNDERWRITERS CERTIFICATE NO. N-287984 - AUGUST 30~ 1993 PLUMBERS CERTIFICATION DATED SEPT. 13~ 1993-BERTSAND PLUMB & HEAT. INC. ~uilding Inspector Rev. 1/81 FO~,~ NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT CFHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-N? 21t07 Z Permission is hereby granted to,: . ~ ~ ~ , ~.~....~.~... ....... .~... ~~~~ ~:...?~,,...~..~.~. ................................... ..... ~.,~..~~.~.....:./.~/ . .~ o,~,,,,,,,~o,,,o, ........... ~.....~.~..~....~ ............... ./...~...~..~..~ County Tax Map No. I000 Section ....... ./...~/.. ...... Block ....... ~ ......... Lot No.......?.. ............... pursuant to application dated .... . .~../.~.. ..................................... , 19...~..., and approved by the Building Inspector. Fee $..~......'~...~ ~...~.~ Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N·Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF Instructions This application must be filled in typewriter OR ink, and submitted .= ~ to the Building In~P~i, tot with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unua4et natural or topographic features, 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal)· 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa. tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-exi~ini? land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual na~lral or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings, 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Oate .......................... / NewConsCruction .~.... O~d or Pre-existin§ 8ui~din§ ............ Vacant Land ............. Location of Property ......... .. .~.. . .? · . ...... House No. Street ~, Owner or Owners of Property ............................................. County Tax Map No. 1000 Section ... (?/./ ........ Block ... ~ ........ Lot...? ........... ,:~ Subdivision .~. ~ '.. .~-~.. ?.~.~...%~.'~/ Filed Map No Lot No Permit No ........... Date of Permit ·Applicant f~~. Health Dept. Approval . .?..~·~ ............... 07. Labor Dept. Approval ........................ Underwriters Approval ..................... Request for Temporary Certificate ............ Fee Submitted $ .......................... Construction on above described building~nd R,v. lo-10-78 Applica~/~ ·. ·Planning Board Approval ...................... ......... Final Certificate ...................... . OFFICI~ OF BUILDING IN,~E~OR P.O. BOX 728 TOWN HALL ,~OUTItOLD. N.Y. 11971 CERTIFICATION Date,,, September 1 3, i'9~93 Building Permit No.,,21407 :~Ow~or ~th Ynnq~ (please print) PI'~m~r Be~tsand Plumpinq (please print) &;He,ting, Inc. con:ain~ le~a :ban 2/10 of 1% loa~. ' ,]3th ~ay of September ~otary Public,.,, S~folk EILEEN M. ROACHE Notary Public, State of New Yo~ No. 4826942 ~alificct in Suffolk County C, ommi~sion ~xpires January Notary COunty THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY [~ 88 JOHN STREET, NEW YORK, NEW YORK 10038 Date g[i(,~US'i' ~(~ , [.q~!~ ApplicationNo. onfile ~5~'~/9~ ~ THIS CERTIFIES THAT o~y the electrzca] ~u~pment ~ ~scflbed be~w a~ mtr~uc~ by t~ ap~Jcant ~med on the a~ve ap~icatlon number in the prem~es of in the/ollowlng location; ~ Basement ~ Ist Fl. ~ 2nd FI. ~ ~"~"[ C ~{Jg~2~ t J 99~ Section Bilk Lot ~s examined on and found to be in compliance ~ith the NaEonal Elect~cal Code. RANGES SPECIAL REC'PT. TIME CLOCKS BE/ UNIT HEATERS MULTI*OUTLE' WATTS SERVICE DISCONNECT I NO. OF METER 1 100 CB l ' S AW.G OF CC COND 4 I C E NO OF HI4EG A. W, O NO. OF NEUTRALS, A, W. G. OF HI-LEG OF NEUTRAL G$NERAL MANAGER 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. UNDATION (1st) 'OUNDATION ¢2nd) ~UGH FRAHE & -PLUMBING .~SULATIO~; PER N. STATE ENERGY CODE FINAL ~DDITIONA'L 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND I ] INSULATION FRAMING 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]/I~0UGH PLBG. FOUNDATION 2ND*[/~ INSULATION [ ] FRAMING REMARKS: FINAL INSPECTOR BUILDING DEPT. INSPECTION FOUNDATION 1ST [ R~~OUGH PLBG. DATE 765-:1.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST II'ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~IJ~I=~MING [ ] FINAL DATE ~_~_~_INSP£CTOR I~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING REMARKS: [ ] ROUGH PLBG. 2ND [ ] INSULATION [ ] FINAL DATE INSPECTOR_ ~~/~/~/ 7GS.ZSOZ BUILDING DEPT. INSPECTION [ F~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ;ZND [ ] INSULATION FRAMING [ ] FINAL Riverside Homes, Inc. P. O. BOX 274 1159 West Mein Street Riverheed, N. Y. 11901 Phone: 516 - 727-3395 August 9, 1993 Building Department Town of Southold - Town Hall Main Street Southold, New York 11971 Gentlemen: 'u~.21- -- e~cl~se~dd With r~ard to the ~its issued by yo 407Z and 21478Z please find certification of trusses used on the(~~be used) jobsi~.~/ If you need further info~ation, please call. Meanwhile, we trust that these answer your questions. We a~l~ize for the discrepancy between the blueprints and what actually appeared on the job, but this was caus~ the fact that the lumber com~ny we were using went out of business, and we ~ not realize that you would need new info~ation. Sin e/rely, /~ AU$1 0 TOWN OF $O,,Jl~::~' LUMBER & SUPPLY &fUCORP. 700 VETERANS MEMORIAL HIGHWAY · SUITE 302 HAUPPAUGE, NY 11788 FAX (516) 724-4581 (516) 724-6025 East Isle Custc, m Builders 2'78 Jamaica ~venue .' '' '/ Medfc, rd~ New YE:,rk 11763 Jc, b :~kl. 183 c/c, H,':,rton 8. Shirley Aves. Mattituck. NY Re ~ Metal plate cc, nr]ector ~c,c',d truss.~es for the above. referenced project have been manufactu~'ed by Nassau Suffolk Lumber & SLtpp)y Cc, rp.6Woc, d Truss Divis:i. on in accordance w~th the 'l"ollowinq; Truss F.I. at[= Instztute Quality Standard Mitek IndLtstY ies er'lc ineered truss desic~ns~ attaclned. :i.f any additic, nal in'Formation F'lease feel free t;c, call is required. Divisi,::,~ Mr} aqler 5~'7 bc:,r](~ I{larld Aver]u~2 Medfo¥'d. New York 1~ ....76,z,~ Serving Our Customers For Over 60 Years 8RA/VCH SALEE OFF/CEE SM ~THTOWN ROSLYN LOCUST VALLEY 265-1000 821-7676 676-2220 CT F20 F20 F20 F20 F20 F20 ~ F20 F20 F~O F20 F20 F~O F~O F~O F~O F~O F21 F22 F21 ~ F22 F21 pJ~ ~ F22 ' F21 ~ ~ F22 F21 ~ F22 2-F20G F20 F20 I F20 12-8 -J' 8-8 ]' J t. 8-10 ,, GENERAL FLOOR TRUSS DATA SHEET THESE NOTES ARE IN ADDITION TO THE NOTES THAT APPEAR ON EACH OF THE INDIVIDUAL TRUSS DRAWINGS FURNISH A COPY OF THIS SHEET TO THE ERECTION CONTRACTOR. I. Tbe f°ll°wing trusses were designed/reviewed by MiTek Industries INC. based upon information pruvided by the specilied truss fabricator. All information on the truss drawings should be reviewed by the overall building designer/engineer to insure that proper building codes and project requirements have been complied with before fabrication. 2. Design is based substantially on PCT-80 and NbS standards in effect at the date of the drawing. 3. Erection, Handling, Safety Precautions, Temporary or permanent Bracing of trusses are not the responsibility of the Truss Designer, Metal Connector Plate Manufacturer or the Truss Manufacturer and therefore are not a part of these engineering drawings. Trusses are designed as individual components. Ail 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 ufthe complete structure. Adequate Tempormy Bracing is the sole responsibility o~the truss erector. Competent professional advice should always be obtaine~d relative to truss bracing, erection requirements, and connecrious. See HIB-gL 4. The top chord shall be laterally supported with properly attached sheathing, unless noted othenvise. 5. Continuous cross (lxYs) or horizontal (2x6 strongbacks on edge) bridging is required at 8'-0" to 10'-0" m~ximum intervals. See HIB-91 for proper nailing. 6 ~ Denotes continuous lateral bracing designed by others. ?. Provisions for adequate drainage should be met on all trusses with any top chord slopes less than a 1/12. 8. Plates are 20-ga. applied on both faces, centered and oriented so that the second plate dimensiou is parallel to the truss chord, unless noted otbenvise. ~ The drilling of holes, notching, cutting or removing any cross sectional area of any truss member, tmlcss noted otherwise, ,,viii VOID this drawing. 0. Floor trusses are designed to support tile listed uniform loads only. Floor trusses are not designed to support concentrated loads from tile roof or any other tributary system unless noted. I. Truss to bcaring connection to be designed by others. 2..Trusses should be inspected prior to and after erection to ensure 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. 3. Trusses with ribbon details on the end(s) should have the end vertical connecled to the truss by placing a 1.5x3.0 20 ga. plate on each face as shown in the following detail, or use an equivalent nailed connection. 1.5 X 3.0 PLATE~~ ..MiTek Industries, /nc. 14. Trusses requiring splice joints labeled: (( plate size #1) £p.w/( plale size t12) s.p. WAB) should use thc followiog detail as a guide. "'-., I I "., #~J ~ =~(<f'<Version 6.0>>>> ........... [ 115282 ] ............ <<<<NASSAU-SUFFOLK>>>>=== uus~omer : 1183 Project #: EASTISLE Truss ID : F20 Wed Jul 21 18:31:23 1993 __~pan : 24-0 ~u@n~t¥ : ~0 ................... ezgnc : ]-4 REA~IONS - SIZE APPROVED FOR MITEK INDUSTRIES INC. 1=-1045 3.~ I0~1~ 6 oF I0 14=-1045 3.50 Top chord splicest9-10=3X6 F.P. 8ot~. chord splicestZ3-Z4=3X6 F.P.W/2X6 S.P. LEFT BE~IHG:3.~ HEIGHT:~6 gPAN:24-8 ~I~H? BEA~IHG:3.5 · TOP 6-7=0.652 TOP CHORD:4X2 No.2 19 SP TOP 40 10 BOTT 19-20=0.932 BOT CHORD:4X2 No. ID 19 SP BOTT 0 5 ................... DEFL.@19=0.72< L/360 WEBS :4X2 No.3 19 SP ~7~77-~-~-~7~==~=~=~7~== ........................................... SPACING : 19.2 in. o. c. REPETITIVE STRESSES USED NO. OF MEMBERS = 1 P~TES ARE MITEK-M20 HOLDI~-2~,Z16 MANUFA~UREO PROM ASTH A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN) P~TES ~ST 8E INSTALLED ON EACH FACE OF OOINT,SY~ETRIGALLY(EXCEPT AS SHO~N)DESIGN CONFORMS WITH NDS DESIGN SPECS, 80CA-NDS 91 TH[S DSGN IS FOR TRU~ FABRI~TION ONLY. FOR PEE~NENT & T~RY 8RACING(~ICH IS ALWAYS REQD)CONSULT BL~ ARCHITE~ OR ENGINEER PROVIDE CONTINUOUS HORIZONTAL 8R[~[NG AT SPACIN~ NOI lO EXCEE~ 10' 0.C. USING 2X6 STRONG BACKS A~ACHED TO EACH TRU~ W/ 3 1Od NAILS AND RESTRAINED AT EACH END. LUMBE'~ & SUP~Y CORP. TRUSS SALES D~V. L, I. Ave., Medford, ~4.Y. 11763 (516) 289-6900 ~==<<'<<Version 5.7>>>> ....... ====[ 115294 ]====== ...... <<<<NASSAU-SUFFOLK>>>>=== Customer : 1183 EASTISLE Project #: Wed Jul 21 19:28:40 1993 ~ Truss ID : F20G REA~IO~ -SIZE 1=-2~2 3.~ 17=-2888 3.~ Top chord sp] ices: 12-13=3x6 F.P., 5-6=3x6 F.P. 8ott. cho~d spltces:18-19=3x6 F.P.,26-27=3x6 F.P. PLATE OFFSETS (X=LEFT): [ilO=l. 5], [J14=2], [J19--4], [j21 =4], [j22=3, 5], LEFT BEfiEIHG:3.5 HEIGHT:16 SPflM:24-8 RIGHT REtiRING:3.5 ~ L D TOP 7-8=0.812 TOP CHORD 4X2 NO.2 19 SP TOP 40 10 BOTT 22-23=0.803 BOT CHORD 4X2 SS 19 SP BOTT 0 5 DEFL.@22=0.78< L/360 WEBS 4X2 No.3 19 SP ================================================================================ STR.INC.: LUMB = 1.00 PLATE,= 1.00 SPACING : 19.2 in. o. c. REPETITIVE STRESSES NOT USED DOUBLE TOP CHORD FROM JOINT 2 TO 16 DOUBLE BOTTOM CHORD FROM JOINT 17 TO 1 DOUBLE WEBS: 8-23,1~-21 LOADING STRESS INCREASE LOADING pANEL(PLF) / JOINTS(LBS) LUMBER PLATE TYPE 1 1.00 1.00 UNIFORM 2-16= 80 17~ 1= 8 CONCENTRATED 8= 1925 ll= 1375 ** 2 MEMBERS CONNECTED TOGETHER ** ; ; PLATES ARE HITEK-M20 HOLD~NG-2~8,2~6 HANUFACTURED FROH ASTN A 446 GRD A GALVANIZED STEEL(EXCEP~ AS~H(~N)~ ':, ' PLATES F~JST BE INSTALLED ON EACH FACE OF JOINT, SY~dETRICALLY(EXCEPT AS SHO~N)DESIGN CONFORF~ H~TH NDS OESIGN SPECS, BOCA-NBS 9~ TH~S OSC-~ IS FOR TRUSS FABRICATI~4 ONLY.FOR PERI~J4ENT & TEMPORARY DRACING(WrffCH IS ALHAYS REQD)CONSULT 8LOG ARCHITECT OR ENGINEER PROVIDE CONTINUOUS HORIZONTAL 8RIDGING AT SPACINGS NOT TO EXCEED 10' O.C. USING 2X6 STRONG BAC~S ATTACHED TO ~ACH TRUSS W/ 3 ~Od NAILS AND RESTRAINED AT EACH END. LUMBE'~, & SUPPLY CORP. TRUSS F,/',,l ES DIV. L.I. Arm., Me~or~, N.Y. 1176~ (516) 2~9-6~00 ===<<~:(Version 5.7>>>> ........... [ 115296 ] ............ <<<<NASSAU-SUFFOLK>>>>=== Customer : 1183 Wed Jul 21 19:29:06 1993 Project #: EASTISLE Truss ID : F21 Qu.an.t.ity : 5 Span : Top 12-2 , BDt 11-10 Melgn~ · 1-4 1=-515 3.50 8=-515 4.00 u., LEFT BEABIXG:3.5 HEIGHT:16 SPAN:Il-lB RIGHT BEARING:4 LOADING (PSF) L D TOP 6-7=0.289 TOP CHORD:4X2 No.2 19 SP TOP 40 10 BOTT 12-13=0.314 BOT CHORD:4X2 No.2 19 SP BOTT! 0 5 ....................... ~EFL.@12=0.05< L/360 WEBS :4X2 No.3 19 SP REPETITIVE STRESSES USED NO. OF MEMBERS = 1 P~TES ARE MITEK-~O ~LDING-2~,216 ~NUFACTURED FR~ AS~ A 446 GRD A ~LVANIZED STEEL(EXCEPT AS SH~N) P~TES MST BE INSTALLED ON EA~ FACE OF JOI~,SNI~qETRICALL¥(EXCEPT AS SHOWN)DESI~ ~NFORMS WITH NDS DESI~ SPE~, BOCA-NDS 91 THIS OS~ IS FOR TRU~ FABRICATI~ ONLY.FOR PEPJ, tANENT & TEM~RY BRACING(~I~ IS ALWAYS REQD)~NSULT BL~ ARCHITECT OR ENGINEER PROVIDE ~NTINUOUS HORIZONTAL BRI~ING AT SPACIN~ NOT TO EXCEED 10' O.C. USING 2X6 STRONG BACKS A~A~EO TO EACH TRU~ W/ 3 1Od NAILS AND REST~INEO AT EACH ENO. LUMItI~ & SUPPLY CORP. TRUSS SALES DIV. (516) 289.6900 ==~<~c<Version 5.7>>>> ...... =====[ 115297 ]============<<<<NASSAU-SUFFOLK>>>>=== <ustomer : 1183 Wed Jul 21 19:29:17 1993 Project #: EASTISLE Truss ID : F22 Quantity : 5 Span : Top 8-10 , Bot 8-6 Height : 1-4 R~ZO~S-S~ZE /0~1~ Io ~= lO 1=-368 3.50 7=-368 4,00 LEFT BEflBING:3.5 HEIGHT:16 SPflN:8-6 BIGHT BEflBING:4 LOADING (PSF) MAX STRESSES MINIMUM GRADE OF LUMBER L D TOP 5-6=0.221 TOP CHORD 4X2 No.2 19 SP TOP 40 10 BOTT 11-12=0.224 BOT CHORD 4X2 NO.2 19 SP BOTT, 0 5 DEFL.@11=0.02< L/360 WEBS 4X2 NO.3 19 SP STR.INC.: LUMB = 1.00 PLATE = 1.00 SPACING : 19.2 in. o. c. REPETITIVE STRESSES USED NO. OF MEMBERS = 1 P~TESAREMITEK-~O ~LDING-2~.216HAhtJFACTUREDFAOHAS~ A446GRDA ~LVANIZEDSTEEL(EXCEPTASSHO~N) P~TES ~ST BE INSTALLED ~ £A~ FA~ OF ~O[NT.SYt"HETR[CALLY(EXCEPT AS SH~N)DES~ ~NFOR~ N[~ ND$ DES[~ SPE~, BOCA-NDS 91 ~ZSOSGN[SFORTRU~ FABR[~T[~ ~LY. FO~PERMANENT& TEH~RYBRAC[NG(~[~ ZSALNAYS REQD)CONSULT BL~ AR~ZTECTORE~[NEER PR~]DE ~NTINUOUS ~RZZ~TAL BR[~[~ AT SPACINGS NOT TO EXCEED 10' O.C. USING 2X6 STRONG ~CKS A~A~ED TO EACH TRU~ N/ 3 1Od NA[LS ~D RESTS[NED AT EA~ END. LUMI~ER & SUPPLY COR'P. TRUSS SA[ES DIV. L.I. Ave., Medford, N.Y. 11763 ,, (~6) ?~-~900 =~=~(%(Version 5.7>>>>===== ...... [ 115295 ]=== ......... <<4<NASSAU-SUFFOLK>>>>=== Customer : 1183 Wed Jul 21 19:28:50 1993 Pro3ect #: EASTISLE Truss ID : F20H _ . _ _ ~ Ouantit¥ ! 1 ~pan . ~-o-u . ~eight . 1-1 ================================================================================ TOP CHORD ~ CHORO ~E~ R~A~IONS- S~ZE ;0~7~ ~ o~ I0 1-2---264 8-9= 2255 3-1=-2748 2-3= 0 9-10= 4395 3-11= 1358 3-4=-3332 10-11= 4395 4-11=-1339 4-5=-4400 11-1= 2255 4-10= 7 5-6=-3332 · 5-10= 7 6-7= O' 5-9=-1339 7-8=-264 6-9= 1358 6-8=-2748 1=-1842 3.50 8=-1842 3.50 3x8 3x3 3x3 3x3 3x3 . 3x8 LEFT BF~RtHG:3.5 HEICHT:I3 i~P~,H:9-8-8 BIGHT BEARING:3.5 LOADING (PSF) MAX STRESSES MINIMUM GRADE OF LUMBER L D TOP 5-6=1 .000 TOP CHORD:4X2 No. ID 19 SP TOP 40 10 BOTT 9-10=0.775 BDT CHORD:4X2 No. ID 19 SP BOTT. 0 5 DEFL.@10=0.14< L/360 WEBS :4X2 No.3 19 SP ================================================================================ STR.INC.: LUMB = 1.00 PLATE = 1.00 SPACING : 12.0 in. o. c. REPETITIVE STRESSES NOT USED NO. OF MEMBERS = 1 LOADING STRESS INCREASE LOADING PANEL(PLFi / ,JOINTS(LBS) LUHBER pLATE TYPE 1 1.00 1.00 UNIFOI~M 2- 7= 385 8- 1= 5 PLATES ARE MITEK-M20 HOLDINC--258,216 MANUFACTURED FROH ASTM A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN) PLATES MUST 8E INSTALLED ON EACH FACE OF JOINT, SYFf4ETRICALLY(EXCEPT AS SHOWN)DESIGN CONFOEHS WITH NDG DESIGN SPECS, BOCA-PCT 93 THIS O~GN IS FOR TRUSS FABRICATION ONLY.FOR PEP~MANENT & TEMPORARY BRACING(WHICH IS ALWAYS REQD)CONSULT BLDG ARCHITECT OR ENGINEER PROVIOE CONTINUOUS HORIZONTAL BRIDGING AT SPACINGS NOT TO EXCEED 10' O.C. USING 2X6 STRONG BACKS ATTACHED TO EACH TRUSS W/ 3 lOd NAILS AND RESTRAINED AT EACH END. LU/vt~ER & SUPPLY TRUSS SALES DIV. Ave., Medford, H.Y. ] 1763 .(516) 289-6900 10. Il. 12. 13. 14. Nature of work (check which applicable): New Building..........x ~ Addition .......... Alteration Repair Removal Demolition ' Other Work (Description) Est/mated Cost ~. .~ d);~fi. ~ Fee... ~.~. ,.,~. " (to be paid on filing this application) If dwelling, number of dwelling units ....... .3 ....... Number of dwelling units on each floor ................ If garage, number of cars ................................................................. ,If business, commercial or mixed occupancy, specify nature and extent of each type of use .............. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............ Height ............... Number of Stories ................. D'nnensions of same structure with alterations or additions: Front Rear .... Depth ...................... Height ...................... Number of Stories ................... Dimensions of entire new construction: Front... 42.' ......... Rear ....42.'.. Depth .2.4: H~ght 1~' Number of Stories 2~ Size of lot: Front .. 3.72,..~9.'. Rear ±rr~ 142.59' 202.80' ................................ Depth .......... ; ......... Date of Purchase ,..3./.1Z/.3.7. ................... Name of Former Owner .G??.r.~?. H. torten Zone or use district in which premises are situated ................................................... Does proposed construction violate any zoning law, ordinance or regulation: . mo .................. ;: . ...... Will lot be regraded Xes ...... Will excess fill be removed from premises: ' Yes No Name of Owner of pr~ni~ds ~.(~h. ?'i .Y.°.u.'n.~ i i i i i i Address... ................. Phone No .......... Name of Architect .Richard .Wando].Q~k], ........ Address R~verhead, t'~ . . Phone No 727-3395 ...... Name of Contractor ~i~te~ic~ .~lo.m.e.s.,.. I.n.q.. ..... Address i~(v.'e.'r.'h.'e.'a.'d."i ~.' ii. i. Phone Zi PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property line~. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. ~ STATE OF NEW YORK, COUNTY OF. ,SUFFOLK .... ..... S.S ......... £~. ODRDQ~ ........... ' .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the.. PRESIDE~. of. RIVERSIDE. ~O~IES,. II~IC,, .bUi]~0~U ............................................ (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 (Signature of 'FORM NO. 1 TOWN OF $OUTHOLD i, i BUILDING DEPARTMENT ~ i TOWN HALL HAY ?199,' , , ~OUTHOLD, N.Y. 11971 "~,' ,! TEL.: 765-1603 Exain~ine~,~:;:,:,',:';,.,;..., 9 Disapproved a/c .......... ; .. . (~jlding~spector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... Date ' ' 19 a. This application must be cqmpletely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location Iof lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed desqnptton of layout of property must be drawn on the diagram which is part of this appli- cation, i c. The Work covered by this a~plication may not be commenced before issuance of' Building Permit. d. Upon approval of this appl!cation, the Building Inspector will issued a Building Permit to the appl/cant Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until ~ Certificate of Occupancy 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 .the Building Zone Ordinance of the Tgwn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulati.o. ns, for the construction .of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with al/applicable laws, ordinances, buJJding code, housing code, and regulations, and to admit authorized inspcctors on pre~nises and in building for necessary inspections. RIVERSIDE HOMES, INC. (Signature of applicant, or name, if a corporation) ./ PO Box 274, Riverhead, New York 11901, / (Mailing address of applicant)' State whether applicant is owner;, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. builder/.ag .e .nt Name of qwner o/premises .. Edith kvi.. Young ...................................... /[ / i (as on the tax roil or latest deed) If appl'C'~nt i~corporadn, signature of duly authorized officer. / /~e an~d title of co, orate officer) // / S. Gro don, President v l~ilder's License No ...... humber's License No... 3.4g.7P ................. Electrician's. License No.. 2~fi~.7E ................ Other Trade's License No.. i ................... 1. Location of land on which prdposed work will be done. ~:.C. Bp/c.~.o.n..~y.e..a.n.d..S.hj..r.l.ey..R.d.,. ~.a.~g.~.t:.u.c.k ........ House Number ,i Street Hamlet County Tax Map No. 1000 SeCtion ....... 1.{1. ...... Block ..... 2. ............ Lot....9 ............... Subdivision ctea 'cr~hed..[ar. ager.~.y. Filed Map No Lot ~ (Name) 2. State e.xisting use and occupaqcy of premises and intended use and occupancy of proposed construction: a. Existlng use and occupancyi ............................. .. ..... .. . , ........................ Intended use and occupancy ¢onq~rLactzo. n' of szn. gie ...................... .$ BBB i