HomeMy WebLinkAbout30272-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30280 Date: 07/01/04
THIS CERTIFIES that the building ALTERATIONS
Location of Property: 405 REEVE AVE MATTITUCK _
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 114 Block 9 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 28, 2004 pursuant to wbich
Building Permit No. 30272-Z dated APRIL 29, 2004
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 INTERIOR ALTERATIONS TO EXISTING SINCLE FAMILY DWELLING AS APPLIED
FOR "AS BUILT" .
The certificate is issued to BRENDA M SZCZOTKA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
RLEC^TRICAL CERTIFICATE NO_ 2005692 06/21/04
PLUMBERS CERTIFICATION DATED 06/29/04 THOMAS S. SZCZOTKA
P_LL Or Ed S 4 nature
/
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. 30272 Z Date APRIL 29, 2004
Permission is hereby granted to:
BRENDA M SZCZOTKA
PO BOX 1100
MATTITUCK,NY 11952
for
AS BUILT INTERIOR ALTERATIONS TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at 405 REEVE AVE MP_TTITUCK
County Tax Map No_ 473889 Section 114 Block 0009 Lot No. 007
pursuant to application dated APRIL 28, 2004 and approved by the
Building Inspector to expire on OCTOBER 29, 2005 _
Fee $ 300 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD
BUII.DING DEPARTbIENT
TOWN HALL
765-1902
.APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department__¢'I 1r rl e—fulluw—V
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 funs).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Swom statement from plumber certifying that the solder used in system contains less than 2/10 of 1°o 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. Subtttit Planning Buard 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:
L Accurate survey 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
L U..crtifrcate of Occupancy-New dwelling.$25 00, Additions to dwelling$2i 00_ .Alterations to dwelling$25 00,
Swimining pool$25.00,Accessory building$25.00,Additions to accessory building$25.00, Businesses$50.00.
2. Certificate of Occupancy on Pre-existinla 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. 'o� — J c)LI
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 44p5 �_7EEye AyE MA7Z.L_TUL.r_
House No. Street Hamlet
Owner or Owners of Property: _5V:k"D,&. 4,_-->Z-LFa6TK&
Suffolk County Tax Map No 1000. Section Block Lot
Subdivision liledMap. Lot: ,
Permit No 3nZ72—_ �t Date of Permit. Applicant: V L ,q
Health Dept. Approval: NA Undenvriters Approval:
Plamting Board Approval: N&
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
I �
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n. jC) SSl:s
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Town Hall.53095 Main Road O � � Fax(631)765-9502
P.O.Box 1179 yO! Telephone(631) 765-180'.
Southold, Nm fork 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:/y
Ruilding Permit No 3e) 7q
Owner: 9)'", SzczpN�
(Please print)
Phunber: i / tfc' Cy S. SzeZ�
(Please print)
I certify that the solder used in the seater supply system contains less than 2.10 of 1°o
lead.
(Plus Signature)
Swom to before me this t l
day of 20 O6G
Mfty wNo.36 Yah
741154
Notary Public,,a��,F,4-,� �C County �hisgi J
I `r Cr
a � � � u� aP�lSuaPJ�P�PJ�J�SuPSJa�J��PrJ�rJr��cPeP�cPefJ]7I] � C7
SBY THIS CERTIFICATE OF COMPLIANCE THE
15 NEW YORK BOARD OF FIRE UNDERWRITERS
I5 BUREAU OF ELECTRICITY
II 40 FULTON STREET — NEW YORK, NY 10038
5 CERTIFIES THAT
Upon the application of upon premises owned by
5 5
5 REP ELECTRIC PATRICIA JOHNSON 5
S P.O. BOX 635 56 REEVES AVE
MATTITUCK, NY 11952, MATTITUCK, NY 11952 r
5 Located at 405 REEVES AVE MATTITUCK, NY 11952
5 5
Application Number: 2005692 Certificate Number: 2005692 5
5 Section: Block: Lnt: Building Permit: BDC: ns11
I Described as a occupancy, wherein the premises electrical system consisting of C
C
electrical devices and wiring, described below, located Won the premises at:
DC7 Fust Floor,Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed I
herein, was conducted in accordance with the requirements of the applicable code and/or standard 5
e5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5
5 authority having jurisdiction, and found to be in curnpliance therewith on the 21sDay of lune,2004. 5
1 L+ Name OTY Rite Raring Circuit Type
5 Applianees and Accessories
5 Dish Washer I 0 1.2 KW
5 Wiring and Devices rrr+++
5 Outlet 12 0 Fixture
5 Fixture 12 0 Incaudcscent
Outlet 24 0 General Purpose
1 5 Receptacle 17 0 Genera)Purpose
Switch 10 0 General Purpose
Receptacle 3 0 GFCI
5 Paddle Fan 1 0
5 5
X15
' 5 5
5 sea/
I5 5
5 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.
5 5
0 [P[PrJ�rJ@Pr�rJJ�PrJammi5alarJofflrJmmimr�rJ@PrJarPrl�r�J�rJ�rJJ�forPrJ�cP rJ�rJ7rJ�rJ�ePrJ7[PeerJrJ�eP�rJ@PcfePePefrfacPrSr�r�PrJ�ePr�r�rJ� El
RECORD CARD
E
"t,
.c� o � ��_ ' , TOWN OF SOUTHOLD PROPERTY REl�. .
OWNER STREET C VILLAGE DISTr-•- SUB. LOT
?d1�C! VVI SZCZt Ket e= �= vL �1 A �m i m i uc TT9 Dk`se.,A
FORMER OWNER N E/,, ACR:
II y
117-0 a
W TYPE-OF BUILDING
2f ot,U a w A'E u e AVESTORY-.
l r� s 7-ke linski I a lmF yew.
RES. ,n�A SEAS. VL. FARM COMM. CB. MICS, Mkt. Value
LAND IMP. TOTAL DATE REMARKS //
r� 3 �s' C,� c�/i n/7 "� li'�1�; I! ;,' a 7" , / p / (n1 ��hr!`.T!
6G r� 0 4. M L u1 a,v a� a�a' . �,rr e,�„T ro F� � r
T._
/a
LI aL 1z)-7-. N0 zVIC _
Tillable FRONTAGE ON WATER ' f
FRONTAGE ON ROAD T
Woodland f�7
Meadowland DEPTH
House Plot BULKHEAD
Total
y :` ,v h �� va,wrv. �ca xEd+erlNyy,, c'CV" Lx • •
n b.''.PS tl'4i,Xsk..Bf+ .br
.� . . ... .... ... I■■■
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■■■ ■ ■i1[IV i" ME i "ii
i=i ii ��oi �iiii i'■i i=i'■i'
■ ■■■■ ■ii iiiii�■'�■�ME iBreezeway
Garage
ii■''
Patio
Total
� ,.
Multi Spafl 1-Baamf2003Jnternational Residential Code(01 NDS)]Ver 6.00.1
By'Michael Hand,MOH;on_ 0.3-16-2004: 9:28:50 PM
Project -Location:,qD r Ute. k& &W_F_I�L-iL�r_;--�
Summary:.. -"
.4.5 IN Steel Flitch Plate x( 3 ) 1.75 IN x 11.875 IN x 16.5 FT 11.75, 2 OE G-P Lam-Georgia Pacific
Section Adequate By: 22.2% Controlling Factor. Section Modulus
Flitch beams must be bolted together to ensure that the individual parts act as a unit
See the National Design Specification for wood constructionfor--bol-capacities and
design spectftcations._
Center Span Deflections:
Dead Load: DLD-Cemei-- 0.14 IN
Live Load: LLD-Center- 0.28 IN=U702
Total Load: TLD-Center- 0.42 IN-U472
Center Span Left End Reactions(Support A):
Live Load: LL-Rxn-A= 4868 LB
Dead Load: DL-Rxn-A= 2369 LB
Total Load: TL-Rxn-A= 7237 LB
Bearing Length Required (Beam only, support capacity not checked): BL-A= 1.84 IN
Center Span Right End Reactions(Support B):
Live Load: LL-Rxn-B= 4868 LB
Dead Load: DL-Rxn-B= 2369 LB
Total Load: TL-Rxn-B= 7237 LB
Bearing Length Required (Beam only, support capacity not checked): BL-B= 1.84 IN
Beam Data:
Center Span Length: L2= 16.5 FT
Center Span Unbraced Lenqth-Top of Beam: Lu2-Top= 0.0 FT
Center Span Unbraced Length-Bottom of Beam: Lu2-Bottom= 0.0 FT
Live Load Deflect. Criteria: U 360
Total Load Deflect. Criteria: U 240
Center Span Loading:
Uniform Load:
Floor Live Load: FLL-2= 40.0 PSF
Floor Dead Load: FDL-2= 10.0 PSF
Floor Tributary Width Side One: Trib-1-2= 8.0 FT
Floor Tributary Width Side Two: Trib-2-2= 6.75 FT
Beam Self Weight: BSW- 40 PLF
Wall Load: Wall 2= 100 PLF
Total Live Load: wL-2= 590 PLF -
Total Dead Load: wD-2= 248 PLF
Total Load: wT-2- 877 PLF
Properties For. 1.75"2.0E G-P Lam-Georgia Pacific
Bendihq Stress: Fb= 2950 PSI
Shear•Stress: Fv= 285 PSI
Modulus of Elasticitv: E= 2000000 PSI
Stress Perpendicular to Grain: Fc_perp= 750 PSI
Properties For steel plate:
Yield Stress: Fy= 36 KSI
Modulus of Elasticity: E= 29000 KSI
Adjusted PropJrties
Fb'(Tension): Fb'= 2953 PSI
Adjustment Factors Cd=1.00 Cf=1.00
FV, Fv'= 285 PSI
Adjustment Factors: Cd=1.00
Flitch Design Requirements:
Modular Ratio(E-stl/F-wood): n= 14.5
Transformed Section Width: w-trans= 12.5 IN
Allowable Steel Bending stress: Fb-stl= 21600 PSI
Limited Bending Stress for Transformed section: Fb-stl-lim= 1490 PSI
Controlling Bending Stress for Wood Transform: Fb-cont= 1490 PSI
Plate Width to Thickness Ratio: (d/w-plate)= 23.75
Limiting Width to Thickness Ratio for Fv=.4`Fy: AWSL= 63.33
Allowable Steel Shear Stress: Fv-stl= 14400 PSI
Limited Shear Stress for Wood Transform: Fv-stl-lim= 993 PSI
Controllinq Allowable Shear Stress for Wood Transform: Fv-cont= 285 PSI
Percentage of Load Carried by Steel Plate: Steel%= 58.0 %
Design Requirements:
Controlling Moment: M= 29852 FT-LB
8.25 Ft from left support of span 2(Center Span)
Critical moment created by combining all dead loads and live loads on span(s)2
Controlling Shear V= 7237 LB
At right support of span 2(Center Span)
Critical shear created by combining all dead loads and live loads on span(s)2
Comparison With Required Sections(Equivalent Transformed Section):
Secbon Modulus(Moment): Sreq= 240.47 IN3
S-trans= 293.78 IN3
Area(Shear): Areq= 38.09 IN2
Page 2
W 590 Plf 248 PH 40 Plf 877 Plf
a �
Multi-Span Floor Beam[2003 International Residential Code(01 NDS))Ver: 6.00.1
By: Michael Hand , MCH on: 03-16-2004
Project: -Location:
Summary:
0.5 IN Steel Flitch Plate x 13 ) 1.75 IN x 11.875 IN x 16.5 FT 1 1.75"2.0E G-P Lam-Georgia Pacific
Section Adequate By:22.2% Controlling Factor. Section Modulus
SHEAR, MOMENT,AND DEFLECTION DIAGRAMS
Load combination shown: Controlling Shear/Moment/Deflection Diagrams
8000 ^ 7237 lbs @ Oft
4000
Shear
(lbs) 0
1}000
-8000 -7231 We @ 16 It
30000 — - s 8 it
15000
Moment
(ft-Ib) 0
I I
-15000
-30000
-0.3
I
-0.15
Deflection I
(In) 0
I
0.15
0.3 — . in @8.2 ft
Center Span = 16.5 ft
Controlling Load Cases:
Shear Critical shear created by combining all dead loads and live loads on span(s)2
Moment: Critical moment created by combining all dead loads and live loads on span(s)2
Deflection: Critical deflection created by live loads only on span(s)2
LOADING DIAGRAM
f W
A B
Center Span =16.5 ft
Reactions
Live Load Dead Load Total Load Uplift Load
A 4868 Lb 2369 Lb 7237 Lb 1580 Lb
B 4868 Lb 2369 Lb 7237 Lb 1580 Lb
Center Span
Uniform Loading
Live Load Dead Load Self Weight Total Load
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE INSPECTOR
i
FIELD INSPECTION REPORT DATE
COMMENTS -
FOUNDATION(1ST) — - ---- ------ --- J
� a
---------------------------------- --- — --- ----
FOUNDATION(2ND) — — -- --- - - -- n
i �
ROUGH FRAMING
a
PLI71tiIRING
-- ---- a
n
INSULATION PER N.Y- -- -- - - -- "�
STATE ENERGY CODE --------
FIN-Al
-----_FINAL
e
-- -- — ------- —
1�
ADDMONAL COMMENTS }N}
4°
(v
- _ J
z
m
— - - - -- -- - - z
0
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iscro
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT -1CW0 Do you have or need the following,before applying^
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Buildine Plans
TEL: (631) 765-1802 Planning Board approcat
FAIL: (631) 765-9502 M 2 S 2004 Survey
wivvr.nortlifork.net/Sbtitkotd/ PERMIT NO. '7��,� Check_
Septic Form
__".---------`--- N.Y.S.D.E.C.
Trustees
Examined 20jaK Contact:
Mail to: � �z
Disapproved aic —�
Phone:
Expiration 10�
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date 4- Z,6 , ?0ef-(
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 tot 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 Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall he occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy. i
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months.Thereafter, a new permit shall be required. I
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 or demolition as herein described.The
applicant agrees to comply with all applicable laws, ordinances,building code, housing code, and regulations, and to adurit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
(Dlailiug address of applicant)
State whether applicant is owner, lesse Qgent, chitect engineer, general contractor, electrician, plumber or builder
Name of owner of premises&&�
(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.
Plumbers License No. NA
Electricians License No. &A
Other Trade's License No.
1. Location of lan.0 on which proposed work will be done:
/105 AVE- JO-T-(-T-70(--�
House Number Street Hamlet
CounryTax Map No. 1000 Section—J[4-1310-1- I�} Lot
Subdivision Filed Mao No. Lot
(Name)
2, Stafe existing use and occupancy of premises and intended use and occupancy of proposed construction_
a. Existing use and occupancy Fft:->i P 1✓„1r_�F_
b. Intended use and occupancy F-4�5d-0PP JCdL
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cos Fee
Fee
(To be paid on filing this application)
i_ If dwelling, number of dwelling units_ Number of dwelling units on each floor l
If garage, number of cars W-Ir-
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. �—
7. Dimensions of e ting structures, if any: Front Q Rear Xj A Depth )U&
Heights Number of Stories
Dimensions of s me structure with alterations or additions: Front L Rear 11L
Depth ML Height AI& Number of Stories
8. Dimensions of entire new construction- Front k1A Rear_tJA _Depth �14
Height NA Number off Stories
-, * e of lot: Front Rear Depth
.h- ,; to of Purchase �J — 7-6 '� Name of Former Owner kA-NZCT'A
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO k
13. Will lot be re-graded? YES_NO //Will excess fill :`removed from premises? YES_N 0
aures of Owner of premises±aww �Z 18 Y7, hone No.
Name of Architectl�_ Address) �� hone No
Name of Contractor C Address It Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN-TRUSTEES &D_E.C_ PERMrrs MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YESI NO_
* IF YES, D_E.C. PERMITS MAY BE REQUIRED_
16. Provide sun•ey,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 NEVv YORK)
r
COUNTY O �' ,,
b being duly sworn, deposes and says that(s)he is the applicant
(Name of indiviidualsigning contract) above named,
(S)He is the 114&-"
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to u.ake 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 mauner set forth in the application filed therewith.
Swo t fore me this
/ Notary Public
i re f plicanl
Claire L. Glew
Notary Public, State of New York
No.01GL4879505
Qualified in Suffolk county
commission Expires Dec.B. O
I
LIVING RoorT
_ml
5.4DER CON`NUES TC HEADER OONTINUFE TO
STAIR WCLL WALL 'dl/ EXTERIOR UALL W/
❑/ 2X0 GIRDm' ❑/ D<0 GIRDER s
STEEL COLUMN FOR STEEL COLUMN FOR
POINT LCAD POINT LOAD
aFAM DETAIL
WALL REMOVED , REPLAGEG
W/ O' -3/4)111 7/0 INL
W/ 2> /2" STEEL rUrGH =LATES
KITCHEN
1
S)
(' J) nATH
i
n OR
J - - $W E PS 0 0LAWFlUI'L.
WALL Rmlo�ED + ALL CONSTRUCTION SHALL tw L I I OUT cwl� K kT.
REPLACF-D W/ ISI
r2/ 2x12 W/ v2" STEEI MEET THE REQUIREMENTS OF THE (OF OCCUPANCY
FLITCH PLATE _ -- CODES OF NEW YORK STATE.
a APPROVED AS NOTED
NOOK I I DATE:�J_d� QAfp.# -30,;"
BEAM DETAIL
FEE: 3�. BY:,�e ,d,0 .
NOTIFY BUILDING DEPaRTMENT AT
UNDERWRITERS CERTIFICATE 765-IOM 8 A TO 4 P FOR THE
REQUIRED FOLLOWING INSPECTIONS:
�C�' "�" .9 �� '%� �'}`^ ',�, `'>e-� r➢+� 1. FOUNDATION • TWO REQUIRED
A; r} P FOR POURED CONCRETE
2. ROUGH • FRAMING 8 PLUMBING
3. INSULATION
\ co` NAL • CONSTRUCTION MUST
IEiEDRD B1`I
OOM ANE-) AI30VE) Dz`'p2 ?.h'` CERTIFICATION� MPLETE FOR C.O.
HEADERS MEET 4ULL/IODI_ REQUIREMENTS \FESS NAILING & CONNECSTRUCTION SHALL MEET THE
FOR R00I 15 AGOVE
REQUIRED. REQUIREMENTS OFT ESPO ES SIBLE NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS,
ALTERATION 405 REEVE AVE., MATTITLICK _
PAGE SCALE 1/4° I�O�� DRAwN er n. HAnln
OF 7 ozAwauflOPTONLINE NEf
T-larch Vo, 2004 r6su sea-2250