HomeMy WebLinkAbout29552-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29894 Date: 12/09/03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1305 BAYVIEW AVE MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 106 Block 6 Lot 20 .4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 30, 2003 pursuant to which
Building Permit No. 29552-Z dated JULY 3, 2003
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ACCESSORY SHED (CONSTRUCTION CERTIFIED BY ENGINEER) WITH HOT TUB AS
APPLIED FOR.
The certificate is issued to GERALD GOEHRINGER L WF
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ 1182977 12/02/03
PLUMBERS CERTIFICATION DATED N/A
A th ized Signature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 29552 Z Date JULY 3 , 2003
Permission is hereby granted to :
GERALD & WF GOEHRINGER
1305 BAYVIEW AVE
MATTITUCK,NY 11952
for
CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED YARD AS APPLIED
FOR
at premises located at 1305 BAYVIEW AVE MATTITUCK
County Tax Map No. 473889 Section 106 Block 0006 Lot No. 020 . 004
pursuant to application dated JUNE 30, 2003 and approved by the
Building Inspector to expire on JANUARY 3 , 2005 .
Fee $ 75 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
FormNo.6 -Mtt """' 97
T TOWN OF SOUTHOLD
BUILDING DEPARTMENT
_. TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
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 I%lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect k..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 sm aey of property showing all property lines, streets, building and unusual natural or topographic
features. "
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$25.00, Additions to dwelling$25.00, Alterations to dwelling$25.00,
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- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00
Date. ; 7 3
New Construction: Old or Pre-existing Building: (check one)
Location of Property: /&//z,/—� /L '-2�9 ,_,7 Z /L
House No. Street Hamlet
Owner or Owners of Property: "fXC( /��2L1?L IG /21/L,G�I i�
Suffolk County Tax Map No 1000, Section AI Block Lot zeq �—
Subdivision Filed Map. Lot:
Permit No. Z—Z Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: J�(check one)
Fee Submitted: $
Applicant Si ature
o ��Ln���L3[I9Us�rnnss�n�1111,1s1111 ! 1 RM 1 QI'. :! 2 EIr!l 1 Ell E3 I �o
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
S
NEW YORK BOARD OF FIRE UNDERWRITERS 5
r5j BUREAU OF ELECTRICITY e5
S40 FULTON STREET — NEW YORK, NY 10038
�7 CERTIFIES THAT
Upon the application of upon premises owned by CSCD
[�J GERARD GOEHRINGER GERARD GOEHRINGER
fj P. O. BOX 812 P. O. BOX 812 5
5 MATTITUCK, NY 11952 MATTITUCK, NY 11952 5
r5 5
r5 Located at 1305 BAYVIEW AVE MATTITUCK, NY 11952 5
15 Application Number: 1182977 Certificate Number: 1182977 C�
�r5 Section: Block: Lot: Building Permit: BDC: ns11 �5
Described as a Residential occupancy,wherein the premises electrical system consisting ofc�
electrical devices and wiring, described below, located in/on the premises at: �5
5 Outside, 5
5 SSwas inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was S
found to be in compliance therewith on the 2nd Day of December,2003. 5
�] Name 2Y Rate Rating Circuit Type
'j Miscellaneous
5 1-self contained spa
C5 Wiring and Devices 5
• C Disconnect 1 0 50 amp Appliance
5 GFCI Circuit Breaker 1 0 50 amp 5
5 5
5 5
5 5
5 5
5 5
55 seal 55
I� I of I
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
DrJ�tJarPrJlrJrJ�cPrJarPcPrJ�rPr�rJrJ@PrJ�rJ@:1 gpLPLLPLrL3pLpLrJpLrJ@PrJpr.PrJmo fartcPrJarJm Pffl0 0RI MM r 0rd3 M5550���
File No: 6202
r
WARREN A.SAMBACH,SR.
CONSULTING ENGINEERS PLANNERS � n7
7675 COX LANE - P.O.BOX 1033 -
CUTCHOGUE,NY11935
631— (51*V34-7492
November 25 2003
Building Department
Town of Southold
Town Hall
53095 Main Road
Southold NY 11971
Re: Gerard Goehringer
1305 Bay View Road
Mattituck NY 11952
SCTM: 473889-105-0.060020. 004
To Whom it May Concern:
Site observation for the construction of a shed building
conform to approved plans by the Town of Southold and
the residential Code of New York State.
The seven (71011 ) foot Hot Tub Item Semppy Spa installation
complies with Appendix G, Section AG 104 , 104 . 1 and 104 . 2
of the residential Code of New York State. The cover for
the Hot Tub conforms with ASTM F 1346 -91 as listed in
Section AG 107 of the residential Code of New York State.
The location of the Shed conforms to the Town of Southold
Zoning Code.
Sincerel/y�,
Ca" "lR'
Warren A. Sambach Sr. . P.E.
was : s
cc: GG
A.
MQ
/ 4 TOW OF SOUTHOLD PROPERTY "CORD CARD
OWNER STREET %; VILLAGE DIST. SUB. LOT r
—p 77�� S` a w 2
-lite 17 /, Ot lP/NGF 1Jl�yVlf uJ, 7)Riv ' ��/aGhL aad cl
"'r :1 K IaCR `5 L', S P
FORMER OWNER N E ACR.
S W TYPE OF BUILDING
�O1LIi r'✓ i , � , � i 'I�L.Jaf1
ES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
t f�
1 p 52,
' /wC• �No L 83/i
/? 7 / U/�c. -(/, . ✓ r" f'o�i D.t TiaLANO /2,oCp I et
1/92S 7,p ///;,r/77 l LZ, �P, �' .s%.7F " � v�i, 11 w. �.--�� /�ZO.Ooo }�\✓ -
%00 f a �'7� 1. Sfuin+n:,. Ise , GC, ��COeo �1d{•J �V d—
n Z ohSfr reenhau , .C. � ✓N}/c
< ��,- � / �-. :G.. / '�- +�".° ��%�a ��l' /1 9� 1 - ria/ '� /, -,� ✓ C. �2- d o �a � II��--`t
rr
"30 Co3ov � two
t0
�3ov
.-
illoble FRONTAGE ON WATER
/oodland FRONTAGE ON ROAD
eadowland DEPTH
Ouse Plot BULKHEAD
3tal
■■■■■■■ ... ..
■■■■■■■■N■■■■■■■■■■■ ■■■■■■
. ■■■■■■■■■■■■■■■■■ ■■■■■ ■■■■■
y t, ■■■t■t■��■■N■■■■■�■■■t■■ ■■■
■■■_■■■■■■■■■■■ ■■■■■■■■■■■
■■■ ■■■■■■MMIN ■■■■■■■■■■■■■■
ESIM INEE E01MEMMMEEMEES
iii
- ■■■■■■■■■■■■■■■■■■■■■■■■N■■
Foundation :.
__ lace
ecreation Room
a TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET VILLAGE DIST. ! SUB. LOT
G. �s'de�?Y'i h C Y l� %E U✓ �i /G /� 7"-7'1 7,C, Z P-5 G
FORMER OWNER
E AC 7
1 R. - C
�'` ��22 S (� f/�� W TYPE OF BUILDING
G UYCr, / Z�t � C41✓ areV * ��aUh7r. yi
RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
17c, 0 ' ����7 �0 �i��oat3 %o /� Clala�a�, o Cotr /9- 2_o- 2,/_ 2-i� -p 39
�^ / . L _
SnL D z,000 o- a PARcrts D.CATAL/aNa To [� GorNRw E 4WF
7�7
a G
I
Tillable ! FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD 0 o �
Meadowland DEPTH S�
House Plot BULKHEAD
Total
COLOR TRIM
FH-
i
X7.53
a��3
M. Bldg.
Extension '
I Extension
! Extension
t
Foundation Both Dinette
Porch Basement Floors K.
Porch Ext. Walls Interior Finish LR.
1 Breezeway Fire Place Heat DR.
Garage Type Roof Rooms Ist Floor BR.
Patio Recreation Room Rooms 2nd Floor FIN. B r
I 1
O. B. Dormer Driveway
Total
• T-��T—D��T-�:
Applicant/ Date.
Owners Name: 'Reviewed: 3
Architect/ a Date
Crigitteer: . . ' `✓. c,Gr.i Submitted:
SCTM M
District: 1.000 Section: l0 fe 131ock: 6 Lot:vb. ,,
Projectr3D � Subdivision
Location: ! rtli. At
_ Name:
Sigle & separate Required )/�
certification: (Yes t No) /"
Req. Req.zoning,1)istrigl� _ 11.0t size: A mial:
jam. ll.ol coverage 4�# G(Nrop<is�'�e� j
R ro Rey, / ' p Req.
(►=ons Yard Pro J [Side Yard -�- Proposed: J [Rear Yard �_ Proposed
Project Description: -c1
AENCWERIKITS erm't
REQUIRED FOR RE,VIEW NO YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval: T77—�"---
Flood Plane Elevation???
Flood Zone: zal. ,L x
Notes:
NEW YORK STATE CODE COMPLIANCE CHECKLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
Ground Snow Load: 45_ Wind Speed: 120MPH` Seismic Design Category: B
Weathering: Severe Frost Depth: 36"_Termite: M-H_Decay: S-M
/ Design Temp: 11 Ice Shield Underlay: YES_ Flood Hazards:
UI' USE/OCCUPANCYCLASSIFICAT`I N:
HEIGHT/FIRE AREA: -
TYPE OF CONSTRUCTION: Wim„Q
DESIGN CRITERIA: ENGINEERE SCRIPTIVE
FULL FRAMING DESIGN ELEME Y
hEADERS: Y/N WALL STUDS: Y/N GIRDERS: Y/N
CEILING JOISTS: Y/N FLOOR JOISTS:Y/N ROOF RAFTERS: Y/N
LUMBER SPECIES AND GRADE: YIN
DESIGN LOAD CALCULATIONS: Y/N
LIVE: Y/N DEAD: Y/N SNOW: Y/N SEISMIC: Y/N WIND: Y/N
WINDOW AND DOOR SCHEDULE: ll
MISSLE TEST REQUIREMENT�rY�1V
EGRESS 5.7 S.F.: Y04/
LIGHT 8
VENT 40/ Y/N
NAILING/CONSTRUCTION SCHEDULI6- iA
MEANS OF EGRESS: Y/N N1A-
PLUMBING RISER DIAGRAM: Y/N
LOCATION OF FIRE PROTECTION EQUIPMENT: Y/,�/ {�
TRUSS DESIGN: Y/N /✓/� <<
CERTIFICATION: Y/N
ENERGY CALCS: Y/N
TOTAL COMPLIENCE? Y//NN (RETURN TO PAGE ONE)
FIELD INSPECTION REPORT DATE COMMENTS
9 riM
FOUNDATION(IST)
n C
FOUNDATION(ZND) ucn
Cil
_ O
t
ROUGR FRAMING&
PLUA30UNG - `3
L
INSULATION PER N.Y.
y
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
1� 0
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TOWN Q"tT SOI1'1'HOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,bofore applying S
TOWN HALL Board ofllealth
SOUTHOLD,NY 11971 3 sate of Building Plana
TEL: 765-1802 Survey
PERMIT NO. 0 .52 Check
Septio Form
N.Y.S.D.E.C.
Trustees
Examined 713 ,2003 Contact:
Approved V 3 .20 03 Mail to:
Disapproved a/c
E-YA l' D S Phone:
Building Inspector
JUN 3 0 2003 APPLICATION FOR BUILDING PERMIT.
�.
To}�, .i
Date, 20 d,?
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to scale.Fee according to schedule.
b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas, and waterways,
c. The work covered by this application may not be commenced before issuance of Building Permit
d.Upon approval of this application,the Building Inspector will issue a Budding Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work
e.No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Oeeupaw
is issued 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 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 as herein described, The
applicant agrees to comply with all applicable laws, ordinances,building code,h mg code to admit
authorized inspectors on premises and in building for necessary'inspections,
(Signature of app or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises f � ?✓J � Y% ; r r�J`!
as on the tax r .or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No,
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on hich propos w k will be done:
0 � �
House Number Street Hamlet
County Tax Map No. 1000 Section /00' Block li Lot_ �Q• f`
Subdivision Filed Map No. Lot
(Name)
;. State existing use and occupancy ofpremises and intended use and occupancy of proposed consfrtictio :
a. Existing use and occupancy
b. Intended use aad eccupaac o l
Nature of work(check which applicable):New Buildeme Addition Alteration
Repair Removal Demolition Other Work
0 _ (Description)
1. Estimated Cost Fee
(to be paid on filing this application)
i. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars
5. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures,if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories.
R. Dimensions of entire new construction: Front /2- • Rear / 2-' Depth
Height Number of Stories c,
9. Size of lot: Front---Z.1 2. SL?i Rear /3� �/ . Depth Z VZ
10. Date of Purchased' Name of Former Owner. d>a-W-11
11.Zone or use district in which premises are situated
12.Does proposed construction violate any zoning law, ordinance or regulation: IVO
13. Will lot be re- Will excess fill be removed from premises: YES E .
14.Names of Owner of premises i Address O,L i / Phone No. /jam
Name of Architect Address _ Phone No
Name of Contractor Address Phone No.
15. Is this property within 100 feet of a tidal wetland? *YES NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MA REQUIRED
16. Provide survey,to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
STATE OF NEW YORK)
SS;
CO OF,S�7
Dbeing duly sworn; deposes and says that(s)he is the applicant
(Name of individual
signing contract pove—naihed
(S)He is the
(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
_day of
V L20
1�->-
Notary Public
Signature
MELANIE V.BR-'.,""'I
Notary Pubic,Bata of New Ywk
No.4W12 --_-
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APPROVED AS NOTED
Z ',�'�� J�J/iv /f� /✓/2..r DATE: 7 3 B.P.i 211 ii e
FEE:— BY:
/ 5
/LG !r_�� uti 11 �i G � �/�,' ✓ / �/, t/, l 'r�"fi �.': oLS��L /�jJf l�� %C£1` dG IFY BUILDING DEPAF-MENT AT
'-4V. AM TO 4 PM FOR THE
SPECT
11-e 1.- ---,-- - t.rP1. FOUNDATION - TWOREQUIRED POURED CONCRETE
H-1RAMING 8 PLUMBING
3. INSULATION
/ ,!,F 4.,✓ jam Yrs` f /oS✓GAJ �� / % 4. FINAL • CONSTRUCTION MUST
y �� `� __ _ �� %✓�f l r PLETE FOR C.O.
/Jyy, (/ A�L�TRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
�� � �L� ✓Oi B� �Xry J .✓ice / yrs DEEM ORCONSTE. NOT
REUCPONSIBLE FOR
TIICIN ERRORS.
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✓ _ ALL CONSTRUCTION SHALL CERTIFICATION$ OCCUPANCY OR
/� l �;;.•,� �/C,/t j �,'�r / °,� > MEET THE REQUIREMENTS OF RMLING & CONNECTIONS
CODES OF NEW YORK STATE. REQUIRED. USE IS UNLAWFUL
-3, yn p 1.s m� w ova j r ui� W)TVQU� TJFICATE
t�pav t�6sv1,G JALSe>c�cztov me �,.� ov.r��a7,Dw �p,ud �.,r,McOF OCCUPANCY
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sable 3.1 Nailing Schedule
Jail Dmcnpton Numberof Nath Nail Spacing
�•LY'v'N 'tin] Y .G 4' - -
Rafter to Top Plate (Toe-wiled) (ace Table 3 3A) per after
Ceiling Jost to Top Plate (roe-wiled) (sie Table 33A) per Jost
Caling Jost to Parallel Rafter(Face mtdad) (sae Table 3 T) each lap
Ceiling last laps ova Paddiona (Face-muled) (see Table 3 7) each lap
Colla Tieto Rafter (Face nailed) (see Table 3 4) Per tie
Blocking to Raga(Toe-naded) 2-8d each ad
Rim Board to Rafter(End-wiled) 2-16d each end
110
Top Plate b Top Plate (Fare-nusled) 2-161P per foot
Top Plates at Interactions (Face-nailed) 4-161 Jousts-rach side
Stud to Stud (Face-wiled) 2-16d 24"o c
Header to Header(Face-wiled) l6d 16"o c along edges
Topor Botom Plate to Stud (End-nailed) 2-16d per 2x4 stud
3.161 per 20 stud
4-164 per 2.2 stud
Bogan Nate to Floor)ohbt,Ban4cwk EndJohs orBlordang (Fa¢•audasn 216113 per foot
- • t, '.c': •tN - 11AAiWJa rvi f NL . IGS.
Joist ate or Girder (Tw-amid) 4-8d is
Bndgmgtolorat (1'ae-n 2 each end
Blocking o Jan(Too-naded) -gd each and
Blocking as Sill m Top Plate(roe-0®kid) 3-16d each block
Ledger Slip to Beam(Facewiled) 3-i6d eachpist
Joist on Ledger to Beam ffeeatml patois
Band foist to Joist 3-16d Jors
B h or Top Plafe(roeiialed) 246d'
los!GLIATinifn
Stiucsunl Panels 8d (sae Table 3 8)
Diagonal Boal Sheathing
1"x6"or 1"x8" 2"8d per support
I%10'or Wider 3-8d per support
CBQ]NIJ StiA?!1R'la
G 7"edge/10"field
WAIL SHBATONa
Stnaxurat Pands 8d (sec Table 3 9)
Fiberboard Pnhh
7/16" 6d 3"edge/6"tied
25/32 8d 3"edge 16"field
Gyps=Wallboard 5d coolers 7"edge/10"field
Hdrdboard 8d (see Table 3 9)
Particleboard Panels 8d (see Tattle 3 9)
Diagund Bond Sheathing
1"x6"or 1"xg" 2-81 per support
I"x10"or wida 3-8d pa suppon
FLOOR SHEATHIND
Stru:Bwrd
ess - 6"edge/12"field
than I" rod 6"edge/6"field
Diaghe shmga 1" support
or wider 3-8d
Mining reyu,ranet,am lx&ed on wall sheahmg nailed 6"ops ter 4 the panel edge If wall shcathng n wiled 3"on-cemer at the panel edge
to obtain higher shear capaunes,m ng mqutreneats for structural mentees shill be doubled,or altermte animators,such as them plates,
shall be used lo maintain the load path
When"If sheathing is cormnuous ova connected numbers,the tabloid member of nails Dull be permitted to be reduced to I-16d w1 per
fold
A
AMERICAN WGODCOUNCIL
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