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27656-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28090 Date: 11/29/01 THIS CERTIFIES that the building ADDITION Location of Property: 3420 NEW SUFFOLK AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 9 Lot 5.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 31, 2001 pursuant to which Building Permit No. 27656-Z dated SEPTEMBER 14, 2001 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL J & STACY A SHEPPARD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A t ori 76d Sig ature 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. 27656 Z Date SEPTEMBER 14, 2001 Permission is hereby granted to: MICHAEL J SHEPPARD 200 AIRWAY DR MATTITUCK,NY 11952 for CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR at premises located at 3420 NEW SUFFOLK AVE MATTITUCK County Tax Map No. 473889 Section 115 Block 0009 Lot No. 005 . 001 pursuant to application dated AUGUST 31, 2001 and approved by the Building Inspector. Fee $ 150 . 00 Authori d Sign ure ORIGINAL Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL .�..i..i 765-1802 O APPLICATION FOR CERTIFICATE OF OCCUPANC This application must be filled in by typewriter or ink and submitted to the Building Depa me nw no, u�1 A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1: Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. �Z 0( 0 New Construction: '✓ Old or Pre-existing Building: (check one) Location of Property: Z O IV r,w 5 U r f'"OC � 1q L � M C House No. Street Hamlet Owner or Owners of Property: M 19 C L Z S P /",04e/9✓z Suffolk County Tax Map No 1000, Section Block Q O O 9 Lot 00 5 - 001 Subdivision ` Filed Map. Lot: Permit No. Z 7 6O 5 Date of Permit. 0 / Applicant: /'1 (6 H 4 F L Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: Applicard Signa e STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) J�m J , being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at That on the 2-1 day of u 2001 deponent architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- t6— 9 —5 . , street address Archit Svm to before me t9is O r .DEEP day of �- , 2001. ` ' $.AA a rc: p"p D,r ,d BAJ, 0 {1 i N tary Irublic ya fir® cy�S�tiP`� XWH L OM ss�oe� �� SEERSum Cog cc: Applicant CDMMWN Expires Jan.31,UZZ03 TOWN OF SOUTHOLD PROPERTY RECORD CARD NNER STREET VILLAGE DIST. SUB. LOT t Mew 5'u aL.K vr. I A i� � 7'u 0. )RMER OWN R N EACR. 4w Su Fr,�K R v�' /-eAy -DR, latd - 1,- 4 -p S W TYPE OF BUILDING P PA9Kf8 �nitexhfi+ s �ia i. n/) SEAS. VL. G> FARM COMM. CB. MICS. Mkt. Value ✓l LAND IMP. TOTAL DATE REMARKS sl Nt� . x L gio(o L F1ID L" u - ✓�� : ' .ti ,/ // 3© l74 9/8/7(o 289 `�Z&' ?G P 2 9G r. b C�Cj S 5u 3t� s l O sp " /, o.ze,Y 1 i So o7no `i/too 3 o! ? ` ! ( 1 �@ _ P� L- PAC. GD o I/ 2 saa 5000 .s- a, Jo a7 - �.Iddt - �d'C�C u �#Ono,- ca liable FRONTAGE ON WATER 'oodland FRONTAGE ON ROAD �� ' " _ =.a ieadowland DEPTH ouse Plot BULKHEAD otal COLOR TRIM 7e. M. Bldg. Extension Extension Extension Foundation Bath Dinette Porch Basements(r Floors K. If`rch Ext. Walls U NAL Interior Finish LR. r Breezeway Fire Place �CS Heat oiL. DR. Garag a Type Roof Rooms 1st Floor BR. r � Patio Recreation Room Rooms 2nd Floor FIN. B G-&.-- �r �� �f Dormer Driveway Total M-1802 BUILDING DEPT. PECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE � O INSPECTOR ,l M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: 6yo 1"' DATE �l _INSPECTOR �� FIELD INSPECTION REPORT DATECOMMENTS az saCssssaa==ax=a=ascxsx=x-_- _ - - --�=�===arra==axaas =a=xsxs aa=xas=a----saasas FOUNDATION ( 1 ST) FQUNDATION (2ND) - ROUGH FRAME PLUMBING INSULATION PER N. Y. STATE ENERGY + CODE FINAL Wk ADDITIONAL COMMENTS: 1 r i TOWN OF SOU HOLD BUILDING PEW APPUCAT1ON CHECK BUl ZING DBPARTMENT Do yop ins ocaaodtl�e£oltawiaig,bofose spp TOWN BALL h3o®d od'Bo SOUTHOLD,NY 11971 sem ------ TEL. 76 -1802 pVIIT NO. ���� , �► i�o.u� Appo . / T�aataa Z�....L vad20&/_ ,4 Maty: Disappmavod a/c ' • Ph�;,�,�2 � z F � iri t LJ AUG "001 iLD ..,. . Il�TEFIRU ITONS a.This application MUST be co=pc*MW Ju,by typawrltar or m ink and sabm ted to the Building Inspector Vt sets app,accurate plot pl=to scale.Bee accarding.to schedule, b.Plot plan,slwwfng loci of lot and ofbuildiap oatp=.*Cs,= sb�P to 4oioin8p=93es orpublic strect areas,and wabwwM. ;* o.The work covered by this appy may not be oomm�before issaan,ee ofBailding Parte d.Upon approval of this alVlieation,the Bufldidg l;ts tow WM issue a BuOft Pamit to to appWliCV= Such a paa shall be kept(m thopmmises availablo for inspectionfi=q hroutthe wc&- a No bmlding shall be oovopdod or used in whole or caput for any purpose WhO40-overua "a Ca dficatc of Occq is issued by flea Bufldiag hspeotor, APPLmAnoNTS Hl3ItBBy wDBto theBu Dep=b=nt.fortheissuanoo ofaBuildtngPe®tpmsuantto tl Badding Zone Oxdb=oe of*o Tawe of SoUW4,S ollc County,Now Yo*,and o&w applioaMe 1=4 Ordiaaacoes er Regulations,for the oanstuctioa of buRdbiA addi#ions,or a4mudona or for removal oar d=olitim as he rcia.descai)o&The applicant agraw to y with aU aaftable Iswa, ,buflft co(*bousbg ooc*and nplations,and to admit. iaspx�an3�pig and is building for aeoessas3►lmspeaticros. ' � � ifsc�poaatiom. 62 CO - br r (meg wwreA of ) Stato whether applicant is lessee,age4 ffi cct,eng moan,,general contractort elerkicaan,plumbw or rbml& Name of owner of premises2tQQ e� l ! (as.on,the tax roll or latest deed) If applicant is a corporation,sib.of My authorized officer (Naw and We,of corporate officer) Builders Licaose No. N�1'y O A Phu W=Lacause,No. Eloctidcsans License No. Other Trade's Licensb No. 1. Location of laud on, be done: o Bose Number stet Couaiy Tax Map N0. 1000 Section �� 5 Block # 1:at Subdivisions :, Mod Mg (Nan) , . : vsetdaxoes and�et�ndewse oap ' . state eai��tmg, vse�m�dotxnpastay CSti'L2 b.. . we=do=P=C3' Bundle¢ Addition C Alton Nature of work(&adk�di�II�e):New -------mer Wor$ Rept R Demolition PaKdPtion) D Fee hcatiosl) . Estimated (to be mid on film$this a� l f o f� Nnmbcr of dwolliag units on each floor if garage, number of cars Ifb iaess,c==cj or ocv=Y,spe(_*nalme,and exben-t of eaahtype ofvse. lc if Fmnt Rear Depth ions Dimensof existing strnc if.Number of Stories Height Dimensions of same structum v tCi aitetations or nddioom Front ' Rear Height Plumber of Stories Dimensions of entire neer eonstt WOW Front Rear Depth Height Number of ftri�s Size of lot:Frnflct Rent Pth }Date of P mrl�ase• Name of Former Owner �* 1.Zone or use disbietinwbichpramises aro :.Does ptoposed constra qn violate any zoning '�fiance or regulaxtoa' c.W'tli lot be re-graded Will ac IM be removed$am preiaisew :YES NO �S No. aq��� 3 k Names of Owner of premises li Name of Architect Addxe9s Phone No No. Name of Conttnctor Address' Phone �.U tbis property w 100 feet of a tid$t wetland? *YES NO • IF YES,SOUTWID TOWNTRUSTEES PERMUS MAYBE AEQUMED i.Provide=rVey,to sols,with ac=ate fouuda donp1m and d?stanCes to lmapaW Imes. 7.If elevation at any point on"eity is at 10 feet or below,must provide topograpbical data on snr<'e3'• CATE OF NERC YORK) SS: �UN'I'Y OF,__� • being daly swoon;deposes and says that(s)he is the applicant (Name , individual sisnih cosrttact)above named, is the ' of nee (Conttractcr,Agenrt Corporate Officer,etc) 'said owner or own=,;,and is duly audwdzed to perfoan or bave pc&med the said work and to maks acid file this application;. at ga stets ems,is this applic atten are tine to the best of his knowledge aad beliefi and that the work wM be ifimmed is the mm3ner set f &in the gVRcadon'Sled*=v& wom to befte me•bis �_day of Notary lie S' lid ELIZABETH A SrATHIS NOTARY PUBLIC.State of New York No.01�ST�res JSuffolk ne 6 201zY STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at 2,(-<D That on the 2-1 day of 2001 deponent architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- street address ao�) oLi cu)a,U Dir . T �\Sx 1��- , Archit e SVVom to before me this day of p`- , 2001. zA q ?NYtary ublic d p�y'0. ;17��� JOSirpFf A DMKM a�OFESPub S�a� N(LI& SuffoNcCour Commission Expires tan,31,19 cc: Applicant BUILDING- PER T REVIEW C14L�C 1N- LI--1 Applicant/ Date Owners Name: Reviewed.- �� D Architect/ Date 3 a Engineer: Submitted: / SCTM #: 51, / District: 1,000 Section: &5_..(31ock: Lot: S J Project Subdivision location: y�'o � � ���.iQ�ame: Single & separate Required /yJ certification: (Yes/No) Rey. S� ��� Rcq. Zoning District: (I,ol size: Aclual. J (Lot coverageG?ruposcd Rey4�5 Rcq. ��� r ��+ Req. C (►' —� / ' 73? / rant Pard ,%Proposed' (Side Yard ✓✓ Proposed: ! J [Rear Yard Proposed . J3 Project Description: AGENCSVERMITS Permit REQUIRED FOR REVIEW N.A./ NO YES Number Suffolk County Health Dept. v New York State D. E. C. Town Trustees � - Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: to • N SURVEY OF PROPERTY 51 TUATE: MATTI TUCK TOI OF 5OUTHOLD 5UFFOLK COUNTY, NY S SURVEYED 12-10-C,8 AMENDED 12-10-C,9, 03-28-00, 09-25-00, 10-22-00,04-01-01 New Suffolk Avenue LOG. DWY 06-14-01 110. 5.G.0.1-1.5. REF# RIO-GG-0251 16, SUFFOLK COUNTY TAX # 1000 - 115 - Q - 5.1 CERTIFIED TO: STAGY A. 5HEPPARD WELL O MICHAEL J. 5HEPPARD COMMONWEALTH LAND TITLE C i INSURANCE COMPANY r BNY MORTGAGE COMPANY LLC, — X995, 6, a r - o NOTES: W C m � � 20.a' Cy n `O^6 ■ MONUMENT Q =a r✓jti� �v5 0 e, ________________ AREA = 52,415 SF OR 1.20 AGRE5 P� N 0��� ---Seo ----------- ---- - GeIve - -----3' ------ dr ►T{ O ----------- 41.0' VtJ �••t Is as O (J nO O METAL j 1— BUILDING O G. . �52. /� ' ` `O� �';'-: 'Unwtnor lzatl•l iteration la or addition to a survey yv�a CO d ••p btarinv•ilcen,ea 09. ,urrayor S,1. 1s \ - t violation at,ectfaWe YorksStatevEducation uk.' Land n - �, I"d copies fro•the oofq shay thfa survey Ow •erke0.1th•n m'igf nal of the o he valid or'9 f stapetl zeal znall be conafderetl to Oa valid trW }(� A copies' J or 1 or l� 'Certifications intlfcato hereon zogni/y toot ens J. T�r� 1 I�/�rl� O ^t ,urrty Yes prepacttl in or Land Surveys kits the ax- ing Parker i 1 1 I_ �n lstCode York State oci tion Survey9 aopptetl ��/`� Land the fbk York Said certifications of prof run only lC Lantl t the r, Saio cartlf tcaf sunt snail run only and on his behalf totion rtheatitl[coup nY. k•rn-n- 11 [al agency and lending institution listed hereon. ane to the assignees of the lentling institution. Certifica- tions are not transferable to additional institution. JOHN C. EHLERS LAND SURVEYOR GRAPHIC, 5GALE 1"=40' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 RIVERHEAD,N.Y. 11901 REF A\Hp serverkl\PROSV8-263FN.pro 369-8288 Fax 369-828'1 �5 CUSTOMVIE CUSTOMER -- SHEPPARD RESIDENCE Z DATE 07/30/01 REF Deck01211 ; OF NE S.DE�,4 m uj r� i i APPR oA - e.a dx) NOTIFY BUILDING DEPA MFNT A 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUN-DATION - TWO REQUIRED 1 FOR i',IURED CONCRETE 2 R- g--H - FRAMING & PLUMBING OCCUPANCY OR 4 FINAL - CONSTRUCTION MUST USE IS UNLAY L IBE COMPLETE FOR C.O. PENNY LUMBER ALL CONSTRUCTION SHALL MEET WITHMOUT CERTIFICATE Box 1440 THE REQUIREMENTS OF THE NX M STATE CONSTRUCTION & ENERGY OF OCCUPANCY 1633111) 2298 98 - 8559 NY !CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS a - PLAN VIEW PENNY LUMBER CUSTOMER -- SHEPPARD RESIDENCE PO BOX 1440 DATE 07/30/01 REF Deck01211 MATTUTCK, NY (631) 298 - 8559 32' I ----- ---- -- ------ - ----------- 20, I LOAD AND SUPPORT: Your deck will support a 46 PSF live load. Posts have 48" below-ground post support. DECK AND POST HEIGHT: You selected a height of 24" from the top of decking to level ground. The top of the deck support posts will therefore be 13.25" above ground level. Your salesperson can provide information for uneven or sloped ground. JOISTS: Set joists on top of beams, 12" center to center. NOTE: The design may require knee braces and bridging between joists. Your materials list includes the necessary items. The suggested design is not a finished building plan. You are responsible for all measurements being correct, for verifying that the design (and any substitutions or modifications that you make) meets all local building codes and requirements. To verify that the suggested design, and any substitutions or modifications, is consistent with conditions at the construction site, review the design with your architect- Also consult your architect for proper constructipn- and u of materials in the structure. Be sure to follow the deck construction detail available from your store salesperson. 7 �S< STRESS ANALYSIS CUSTOMER: SHEPPARD RESIDENCE DATE: 07/30/01 DESIGN: DECK01211 REF: SALESMAN # ------------------------------------------------------- MEMBER STRESS FACTOR COMPOSITE TYPE SIZE FACTOR LOAD LOAD ------------------------------------------------------- JOISTS 2X8 DEFLECTION 108 PSF 12IN BENDING 114 PSF SHEAR 138 PSF COMPRESSION 186 PSF 108 PSF BEAMS 2-2X10 DEFLECTION 150 PSF BENDING 73 PSF SHEAR 57 PSF COMPRESSION 291 PSF 57 PSF BOLTS 1/2IN SHEAR 1444 PSF 1444 PSF POSTS 4X4 STABILITY 326 PSF 326 PSF ----------------------------------- TOTAL LOAD 57 PSF DEAD LOAD 10 PSF LIVE LOAD 47 PSF ------------------------------------------------------- STRINGER 2X12 DEFLECTION 648 PSF BENDING 410 PSF SHEAR 237 PSF COMPRESSION 853 PSF ----------------------------------- TOTAL LOAD 237 PSF DEAD LOAD 10 PSF LIVE LOAD 227 PSF ------------------------------------------------------- STRINGER 2X12 DEFLECTION 906 PSF BENDING 577 PSF SHEAR 333 PSF COMPRESSION 1198 PSF ----------------------------------- TOTAL LOAD 333 PSF r DEAD LOAD 10 PSFti y LIVE LOAD 323 PSF -------------------------------------------------------