HomeMy WebLinkAbout29393-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-30006
Date: 02/06/04
THIS CERTIFIESthat the building ALTERATION
Location Of Property: 3010 KEWNYS RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No~ 473889 Section 59 Block 2 Lot 4
subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this Office dated JUNE 13, 2003 pursuant to which
Building Permit No. 29393-Z dated JI/NE 13, 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 PORCH ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to WILLIAM H MCCASLIN & ORS
(OWNER)
of the aforesaid building.
SOFFOLK COL~gTY DEPARTMENT OF ~ALTH APPRO%rAL N/A
ELECTRICAL CERTIFICATE NO. 1152797 01/29/04
PLUMBERS CERTIFICATION D~£~3 N/A
Rev. 1/81
A/horiz~d
Signature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES %INTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PEP~4IT NO. 29393 Z Date JLrNE 13, 2003
Permission is hereby granted to:
W MCCASLIN & ORS
121 WYANDANCH AVE
BABYLON,NY 11702
for :
PORCH ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR
at premises located at 3010 KENNYS RD SOUTHOLD
County Tax Map No. 473889 Section 059 Block 0002 Lot No. 004
pursuant to application dated JUNE 13, 2003 and approved by the
Building Inspector to expire on DECEMBER 13, 2004.
Fee $ 150.00
Authorized Signamure
ORIGINAL
Rev. 5/s/02
Form ? Io~ 6
TOV~ ~L~LL
765-1802
AP~L~4TION .~OR C~IIF![CAIE OF OCCL~,~~'~O..
Thru apphcaHon m~t be filled m by.t~e~ter or mk ~d mk mated to the
A. For new bMlding or new use:
1, Fin~ s~ey of prop~y wifla aec~ate k~cat,on of ~.1 ~uiktings, propeay line:s, s~eets, and umtsual nat~a[ or
topo~hic rent.es.
2. EMal AppmvM fm HeMth Dept. ofwatCr ,~pply and a'ewer~;e-d~posal (S~9 fora),
3. A~rov~ 6f o}eet~M infO,on ~ ]~a.d of Fir~ Unde~iters.
4. S~,~t~mmt from p~mber ~i$~g ~h at the sohl<' used ia s~st~ c~ntainMess-th<.2~.0, of 1% lead.
5 Co~-b~d~n~ i~d~ir[aI ~t~fi~ m dtip~ ~e .iden~s ~ nd si~ ~tdhgs ~d install~i};¢;~
o~ Co~ ¢omphmee ~om m'ehit~t or ~rt~ ~:~sible tot t~, bMt~ng.
6. ~5~ P~'Board Approval of eo~¢k't ~ si~e plan, r~emmts.
For existing buildings (prior to April 9, 1957} non-c0n rotating 'asea, or b~ild:in~ a~d"'pre-exisfing' land uses:
1. Acmimte sUrVey 0 f p}operty showing all p:rcpcrty Ih~e s, streets, b*Slding ahd unusg~l ~n~tural o.r topographic
features. -
2. A properly completed ~pplicadon and cons ent to in,4p :m si~ed by the applicant. If a Certificate of Occupancy ~s
d~a~ied; the Building h~,ector ~hall state lhe reasom; ~herefor in writing to th,: applicant,
C. Fees ~ ,,~erfifieat~ofOeeuoanc'~ - New dwellin~ $25 00 A i itions o dwelling $25 ,~0 Alterations to dwelling $25 00
S,wkrnming pool $25.00, Acc~so~ buildkt8 $25,00 /~d~tio~ to acces$o~uil~g $25.00. Businesses $50.00.
2. ~ifimte of O~pane7 on Pre-existinl~ B~.il~ng - S1 ~.00
3. C~:bfC~ficate of~cup~cy - $.25' ,
4. Up'ted Ceffificate of~eup=cy - $50,C0
Tempo~ Ce~fimte ofOccup~cy- R,~sidmti~ $1 L0O. Co~erci~
N~ Const~o< Old or Pre-elJs~ Biff]ding:~ ~ , (ch<k. one} ,~
Ho~e No. ~ Stre~ Ha~
Subdivision
HealthDepL.~ppmv~h
Plaaning Board Approval: __
Request for: Temporary Certificate
FLIIaL Certificate . /~_ (check one)
oo
Fee Submitted~ $ ~L ....~...:_ ~'~
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORk BOARD Of FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORk, NY 30038
CERTIFIES THAT
Upon the application of upon premises owned by
PAUL R. BURNS WILLIAM MCCASLIN
P,O. BOX '1061 3010 KENNEYS RD.
SOUTHOLD, NY 11971-0932, SOUTHOLD NY 11971
Located at 3010 KENNEYS RD. SOUTHOLD, NY 11971
Number: 1152797 Certificate Number: 1152797
Application
Section: Block: Lot: Building Permit: 29393Z BI)C: NS11
Described as a Residential occupancy, wherein the premises electrical system consisting
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Outside, Porch/Deck,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 29th Day of Jm~uary, 2004.
QTY Rate Rafin~; Circuit Type
Name
Wiring and Devices
Receptacle 6 0 General Purpose
Switch 5 0 General Purpose
Fixture 3 0 lLncandescent
Receptac~.e 1 0 GFCI
seal
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
John C. Ehlers, Land Surveyor
6 East Main Street. Riverhea~. NY 11904
(631)369-8288 Phone
(631)369-8287 Fax ~.
June 10, 2003
Mr. Ma~hew McCeslin
319 Bedfo~ Ave
Brooklyn. NY 11211
RE: 1000-59-2-4
Dear Mr. McCaslin.
After a careful review of the ~IFIP map we determined that the subject 9arcel referenced above
appears as part of the Zone AE elevation 11. This office has performed field survey work necessary to
determine that the finished floor elevation of the house situate thereon is elevation 15.9'. Further to this
information, the surrounding grade was found to be elevation 11'+. These elevations were,referenced
to a USGS benchmark tied to NGVD 1929 datum.
Should you require further information, please do not hesitate to contact this offi(~.
Sincerely,
John C. fihl~e~
Land Surveyor
Applicant/ ~vMJ ]Vkc~ ~,~/~ ~
Owners Name: -
Architect/
Engineer: ~o,3~ ' ~
SCT~4 ~: 6~ ~
Districl 1,000 Section Block Lot:
Date
Reviewed:
Date
Submitted:
Project Description:
AGENC'i*r~ERMITS
REOUIRED FOR REVIEW
Subdivision
Name
N.A.
Proposed: 5 [Rear Yard
NO YES
permit
Number
Suffolk County Health Dept.
New York State D.E. C_
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation ???
Flood Zone:
Notes:
NEW YORK STATE CODE COMPLIANCE CHECKLIST
USE/OCCUPANCY CLASSWICATION:
HEIGHT/FIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED PRESCRIPTIVE
FU~L FRAMING DESIGN ELEMENTS:
HEADERS: Y/N /'WALL STUDS: Y/N
GIRDERS: Y/N CEILING JOISTS: Y/N
FLOOR JOISTS: Y/N RQOF RAFTERS: Y/N
LUMBER SPECIES AND GRADE:
DESIGN LOAD CALCULATIONS: Y/N
SHOULD INCLUDE LIVE, DEAD, SNOW. SEISMIC AND '~VII;D (12NCLUDING UPLIFT AND EXPOSURE)
/"
WINDOW AND DOOR SCHEDULE: -'
MISSLE TEST REQUIREMENTS'/~N
EGRESS, LIGHT, VENT: Y/N
LOAD PATHS: Y/N
ROOF TO FOUNDATION
NAILING/CONSTRUCTION SCHEDULE: Y/N //
MEANS OF EGRESS: Y/N
/
LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
CERTII~ICATION: Y/N
ENERGY CALCS: Y/N
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
(_ .,./" CYOR
"~ILAWFUL
F CERTIFICATE
Or ~,~ b JPANC¥
APPROV£DASNOTED
FEE: /"~ BY:~
NOTIFY BUILDING DEPARTMENT AT
765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4, FINAL - CONSTRUCTION MUST
BE ~LETE FOR C.O.
ALL CON RUCT~O. SNALL ~'mE
R~,~ .~Ts OF~-~CODF. SO~"~
~ $i 'J 'ONSIBL
ALL CONSTRUCTION SHALL ~: ~ EIoN~ONBIBLEERRoR&FOR
MEET THE REQUIREMENTS OF THE i
CODES OF NEW YORK STATE.
'~ ADD NEW2X4 {~ 16"0.0. ~
~ aOE W,,~U.S UNHEATED PORCH
EXISTING ,NCLO~I~) PORCH ~1
ADD NEW W]NDOWS AND DOOR ~
/"~ 4 X4 POST8 TYP.
.... ]~ ~ ,, ~,
3"1/2"-... 3'1/2". 4'
McCASLIN RESIDENCE
PLAN
4.30.03
REVISED 5.1Z03
10'-4 3~4' 10'-5 114'
MC CASLIN RESIDENCE
PORCH ELEVATION-
4.15.03
ENVIRONMENT EAST INC.
REV. 5.12.03
DAN WAL~H
PHONE NO. : 718 384 8775
Apr. 03 200~ iO:17AM P1
PROJECT NAME: MC CASLIN
PROJECT LOCATION: 3010 KENNEY'S RD.
1. USE & OCCUPANCY: SINGLE FAMILY DETACHED
2. HEIGHT OF NEW CONSTRUCTION: N.A.
SQ. FT. OF NEW CONSTRUCTION: N.A.
3. TYPE OF CONSTRUCTION: WOOD FRAME
4. ~S[GN CRITERIA; PRESCRIPTIVE DESIGN AS PER
AF&PA WOOD F~E CONSTRUCT]ON MANUAL
5. :FP'AMING ELEMENTS AS SPECIFIED ON PLANS
LUMBER ~ECIES:
· GLAS FIR FOR FRAMING MEMBERS
~H S. ~ PINE (ACQ) IN CONTACT W/GRADE
6.
M1NIMUM"UNI~MLY DISTRIBUTED LIVE LOADS
' iJN' o'bRD-S PE-R-§'(~0A~ E"F~':~ ........
EXTERIOR BALCONIES 60
DECKS 40
ATTICS WITHOUT STORAGE 10
ATTICS ~ STORAGE 20
RoOMs (OTHER THAN SLEEPING ROOMS) 40
sLEEPING ROOMS 30
STAIRS 40
GUARDRAILS & HANDRAILS 200
CR~RIA FOR CALCULATION'OF DEAD LOAD WILL BE
ACTUAL WEIGHTS OF MATERIALS REFERENCED TO
A;I.A~ ARCHITECTURAL GRAPHIC STANDARDS.
SNOW LOAD IS CALCULATED AS 30 LBS PER SQ. FT.
SEISMIC CONSIDERATIONS:
~FORM TO CODE SECTION
R30 ~1.2.2.3 IN THAT ANCHORED STONE AND MASONRY
VEN:EER S~H/~ ~,BE LIMITED TO THE FIRST STORY &
NO~iEXCEED 5' IN THICKNESS.
TH~ sTRUCTURE WILL CONFORM TO CODE SECTION
R30~i.2.2.4 tN THAT AVERAGE DEAD LOADS WILL NOT
EXCEED ~15 PSF ROOFS & CEILINGS
l0 PSF FLOORS
15PSF WOOD FRAME WALLS ,
THIS DWELLING :IS LOCATED IN DESIGN CATAGORY C'
SO 1S EXCEMPT FROM FURTHER REQUIREMENTS OF
THE SEISMIC CODE.
EXPOSURE & UPLIFT CATAGORY IS "C" -
URBAN AND SUBURBAN AREAS.
7. SEE ATTACHED WINDOW & DoOR $C;PII~DULE::
8. THE REPLACEMENT WINDOWS WILL NOT
ALTER THE EXISTING LOAD PATH.
9. NAILING SCHEDULE:
JOIST TO SILL OR GIRDER - 3 -8D
TOP PLATE TO STUD 2 - 16D
BUILT UP HEADERS 16D @ 16" C.C. EA. SIDE
CEIL. JOISTS TO PLATE 3 ~ 8D
HEADER TO STUD 4 - 8D
CEIL. JOISTS TO RAFTERS 3- 10D
RAFTER TO PLATE 2- 16D
ROOF RAFTERS TO RIDGE,VALLEY OR
HIP RAFTERS 4 - 16D
COLLAR TIES TO RAFTERS 3 - 8D
1/2" PLYWD ROOF SHEATH. 6 -8D (12 FIELD)
1/2" PLYWD FLOOR SHEATH 6 - 6D (12 FIELD)
1/2" PLYWD WALL SHEATH 6 - 6D (12 FIELD)
WiND LOAD CONNECTIONS
PLATE TO EA. STUD CONNECTORS WILL BE
"SIMPSON STRONG TIE MODEL #RPS4" W/
8-8D X 1-1/2" FASTENERS OR EQUAL.
EA. STUD SECURED TO BAND JOIST W/
"SIMPSON STRONG TIE MODEL # MTS16"W/
14 10D X 1-1/2" FASTENERS OR EQUAL.
10.THE REPLACEMENT WINDOWS ON THE
UNHEATED UNINHABITABLE PORCH WILL
NOT IMPACT THE EXIST. EGRESS IN THE
RESIDENCE.
11 THERE IS NO PLUMBING PLANNED
12. THE REPLACEMENT WINDOWS ON THE
UNHEATED UNIHABITABLE PORCH WILL NOT
IMPACT THE EXIST. FIRE SAFETY EQUIPMENT
13 THERE IS NO TRUSS CERT. REQ. FOR
REPLACEMENT WINDOWS.
14. THE REPLACEMENT WINDOWS ARE IN AN
UNHEATED, UNIHABITABLE PORCH SO
THERE IS NO ENERGY CODE REQUIREMENTS
NOTE THAT ALL DESIGN ELEMENTS AND LOAD PATH
CALCU ~TIONS A_~J~:BASED ON INFORMATION CONTAINED
IN THE lOAN~EsT AND PAPER AsSOCIATIoN
WOOD E C RUcTION'MANuAL FOR ONE AND ~qVO
FAMILY Dw~'NGs. OR~ CONTAINED IN: AISC MANUAL
OF STEEL,CONsTRUcTION - ASD
514~
765.1802
BUILDING DEPT.
I N SPECT ION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]~DATION 2ND [ ]INSULATION
[~'J/FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR~-~/~,~/*
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
ROUGH PLBG.
/]~SULATION
FINAL
[ ] FIREPLACE & CHIMNEY
/?
DATE
FOUND_4.TION (21'~) " ·
. , ., ~. 7/: ..
~o~ ~ &
~T~ ~Y CODE
~D~ON~ CO~S ' :
,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALE ; ~ ~
SOUTHOLD, NY 11971
TEL: 765-1802
E ed , 20
Approved ,,., d,. ~//-~_ , 20/) ~
Disapproved a/c
PERMIT NO.
q'3q 3 ¢
BUILD1NG PERMIT APPLICATION CHECKLIST
Do yon have or need the following, before applying ?
Board of Health
3 sets ofllni'lding'Plans
Survey_
Check
Septic Form
N.Y.S.D.E.C.
Tmstees
Contact:
Mail to:
Phone:
,200
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets ofplans, accurate plot plan to scale. Fee aeeording to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationstfip 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 Building Permit to the applicant. Such a permit
shah be kept on the prermses available for inspection throughout the work.
e. No building shall be occupied or used ha whole or in par~ for any purpose what-so-ever until a Certificate of Occupancy
is issued by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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 or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to adrrdt
authorized inspectors on prerrdses and in building for necessary inspections.
kSignature of applicant or name. ff 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 P~/k-~+{~3
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. 5~ ~ ~4 I
Pkanbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section ~ ~[
Subdivision
(Name)
Hamlet
Block ~ Lot · ~
Filed Map No. Lot
State existing use and occupancy of premises, and intended use and occupancy of proposed construction:
a. Existing use and occupancy ,.~f~C~_. ~'Pt cn{ c.'-~
b. lntended use and o~cupancy ,~t rO ~ ut5 ~'~.~ t'~ l t~'~ ~t~3 ~t..s.~tO ~
Nature of ~vork (check which applicable): New Building_
Repair ~ Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars pJ, A,,
Fee
Addition Alteration
OtherWork l~xTxt_~ ~d~v3 vo~0c~oua3
~ ~ ~escfi~fion~
(to be paid on filing this application)
Numb~ of dwelling units on each floor Pt. ~-
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. /,j
7. Dimensions ofexis.tin~tmcmres, if any: Front '2.4 ~-00" Rear ~.~_t-o ~'
He~gh'( I~ -O Number of Stones [ \/"~-~' Depth
9. Sizeoflot: Front
10. Date of Purchase
Dimensions of same structure with alterations or additions: Front
Depth ~-o~ ~,,~ &- Height ~'¢-,~ ~ Number of Stories
Dimensions of entire new construction: Front /,J. Ac' -A~g KC'Oeeart''t9 t ~;~0 ~ £'
Height Number of Stories
fl ~ O _Rear ~¢ ¢, 3 (z~ Depth
Name of Former Owner
~ Rear
Depth
l 1. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation:
/,30
13. Will lot be re-graded
Will excess fill be removed from premises: YES
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address ~O / O ¢~to~.fPhoneNo'
Address Phone No
Address ~-o. ~q7 Cmcon~Phone No.
W._~-?4 7/4.
15. Is this property within 100 feet of a tidal wetland? *YES NO
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation a~ any poin~ on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNT~ OF
~>~'~ ~.~D~q} ~_~ tq being duly sworn, deposes and says that (s)he is the applicant
(Name of ind/v[dual sign/ng contract) above named.
(S)He is the C~c)t~5-c~/~G.-('z~ f~
~ 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 mariner set forth in the application filed therewith.
Sworn to before/Fne~s
Notary~ublic' ~ -
Oualif~ i~uffolk CounW
Te~ ~pires May 31