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30023-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30502 Date: 10/19/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 1300 SOUND BEACH DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 1 Lot 37 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 13, 2004 pursuant to which Building Permit No. 30023-Z dated JANUARY 21, 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 ACCESSORY GARAGE IN THE FRONT YARD AS APPLIED FOR. The certificate is issued to CHRIS & JAMES MESKOURIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1207587 10/05/04 PLUMBERS CERTIFICATION DATED N/A u or d Si ature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. i BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30023 Z Date JANUARY 21, 2004 Permission is hereby granted to: CHRIS & JAMES MESKOURIS 127 BEVERLY RD DOUGLAS MANOR,NY 11362 for CONSTRUCTION OF AN ACCESSORY GARAGE IN THE FRONT YARD AS APPLIED FOR; FLOOD PMT INCLUDED at premises located at 1300 SOUND BEACH DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0001 Lot No. 037 pursuant to application dated JANUARY 13 , 2004 and approved by the Building Inspector to expire on JULY 21, 2005 . Fee $ 175 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 ti Form No.6 ` - TOWN OF SOUTHOLD i 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 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"JAI sing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unsual natural.or topographic features. 2. A properly completed application and consent to inspect signed by the apoliGaRCIf a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees J 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 Occu-&ncy 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. P�-314 New Construction: ✓ Old or Pre-existing Building: (check one) Location of Property: /,300 �Oa,l House No. Street Hamlet Owner or Owners of Property: c-,--/;x- Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. 0D Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: J (check one) Fee Submitted: $ �5 Appli t Signature Cdr 30-5 0 . 01/03/2004 16:17 631-298-8614 CHRISTINE D RIVERA PAGE 02 JEFFREY T. BUTLER, P. E. ZO OVERHILL RD. BHOREHAM, NEW YORK 1 17196 63 1 -ZDB-6650 U Emozo IMMORESSIONAL EN0INZ6M M<mnicm NATIONAL o001tTT OF P10tOrZGf•I0NAI. CNMINiiRO January 20,2004 Town of Southold Building Department Re: Meskouris Residence Sound Beach Drive Mattituck,New York SCTM# 1000-106-01-37 Dear Sirs: Please note the fol :►wing concerning this application: • The gafage floor slab shall be poured so that it is independent of the pile system suppc,,rting the structure. Please call if you should have any additional concerns about this application. dF NEW 5 ���� � * 9 * incerely, A x.irt • TOWN OF SOUTHOLD P-iOPERTY RECORD CARD 3S OWNER STREET '' VILLAGE DISTRICT SUB. LOT 3 9 �- X_da 4zo r� 5 ;4, ::!Zme5 FORMER OWNER N ACREAGE � 5� rt 5 f1r5• S W TYPE OF BUILDING RES: SEAS. j,.= VL. FARM COMM. I IND. I CB. I MISC. LAND IMP. TOTAL DATE REMARKS r� 3 © 0a _ r 1� es�C 3 G G - u�r� a rs z. �6 0 C�, Sf SO0 ys � d C0Oa0 S 13 9 N E NORMAL B ELOW//,, 72 �s'd4 Tillable 1 Tillable 2 Tillable. 3 Woodland Swampland Brush.land House Plot Tota r . ■■�iililliiil■iii■■■ ■ ■■iiiiiiiii■i■■■■■ g ■�iiil■i�iit■lillll■ ■lliliilliiilliiill� _ ,._ _ ■■■ir ill■■■■l■■ice■■■ _ - ■■ll�i7l�l■l■■■■111■■■ ■■■■�������■�!til■■■®® 1Np p� � �Y�V��IR��■'A r. TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT ACR. REMARKS TYPE OF BLD. PROP. CLASS LAND IMP. TOTAL DATE :� II FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL h sterfield Contractors & Engineers Since 1968 56 South Country Road •P.O.Box 1229 Inc. Westhampton Beach, New York 11978 phone:631-288-5100 - fax: 631-288-5161 www.chosterfisidassociatesinc.com E-mail:Info@chesterfieldassociatesinc.com April 28, 2004 To Whom It May Concern: This is to certify that the piles which were installed at 1300 Sound Beach Drive, Mattituck, NY were driven to a minimum tip elevation of-10.0 MSL and a minimum load bearing of 15 tons per pile. Very truly yours, tenera E. Grube l Manager Sworn to before me this 28th y of April 2 otary PubltC JANET A.CURABA ry P b01 C tate of o York Qualified in Suffolk County Commission Expires July 1,20��0 New England Division: 123 West Shore Road•Westport Island, Maine 04578 • phone: 207-882-5400•fax: 207-882-9308 JEFFREY T. B UTLER9 P. E. 20 OVERHILL RD. SHOREHAM, NEW YORK 1 1 786 63 1 -208-8850 LICENSED PROFESSIONAL ENGINEER MEMBER NATIONAL SOCIETY OF PROFESSIONAL ENGINEERS May 2, 2004 Town of Southold Building Department Re: Meskooris Residence Permit# 30023Z Dear Sirs: Please note the following concerning this application: • I have inspected the breakaway walls pursuant to the building code and certify that the work conforms to the plans as filed with this application. Please call if you should have any additional concerns about this application. Sincerely, 'ice til Jef ler, P.E. Dunn Engineering Associates, P.C. Consulting Engineers 66 Main Street Westhampton Beach, N.Y. 11978 631-288-2480 631-288-2544 Fax May 6, 2004 Re: 1300 Sound Beach Drive Mattituck,New York To Whom I May Concern: We have reviewed the certification surrounding the driving of piles at the above referenced facility by Chesterfield Associates. The piles were installed utilizing an ICE Model 180 Diesel pile hammer operating at 7500 foot pounds of energy. Based on the information provided in Chesterfield's Certification that the piles were installed to a minimum tip elevation of—10 MSL and a minimum load bearing capacity of 15 tons per pile, this will provide adequate support under the requirements of the New York State Building Code. Sincer WILLIAM D. LIFFORD, P. Vice President OF Nt Sworn to before me �Q'�oAV < }O this 6th day of May, 2004 y �-�X 0 otary Public SUSAN A. CIUFFO Notary Public,State of New York No. 01 C16018929 ^+salified in Suffolk County WDL:Iam rn "xc'-cs Feb. 01, 2007 L204171 JEFFREY T. BUTLER, P. E. 20 OVERHILL RD. SHOREHAM, NEW YORK 1 1 7B6 631 -20B-BB50 LICENSED PROFESSIONAL ENGINEER MEMBER NATIONAL SOCIETY OF PROFESSIONAL ENGINEERS January 20, 2004 Town of Southold Building Department Re: Meskouris Residence Sound Beach Drive Mattituck, New York SCTM# 1000-106-01-37 Dear Sirs: Please note the following concerning this application: • The garage floor slab shall be poured so that it is independent of the pile system supporting the structure. Please call if you should have any additional concerns about this application. X incerely, flyx I J rev E. R IL--DI SL I-L Applicant/ Date, Owners Name: ( `� (� yy�ru.c c1�B' Reviewed: i 1 Architect/ Date Engineer: Submitted: SCTM #: f District: l,000 Section: Jn`, 131ock: _�_ Lot: '3 7— Project Subdivision Location: I_v cQ , r �� _ _ Name: Sin&te& separate Required / certification: (Yes/No) A Req. Req. Zoning District 949 J I,ot size: RVQ Actual: ) 3 J (tot coverage Prnlxi Req. Req. t ( Req. (front Yard Proposed:�] [Side Yard Proposed: ) [Rear Yard Proposed J Project Description: AC=ENS ERMITS Permit . REQUIRED FOR REVIEW N.A. ISO YES 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.: jt"- l4 T. TERRY P.O. n0x 1170 ')'OWN CLERK .. , fRcfi f r'� S�iulliiilil. Nc\\ 1 iirk 1 l ItECISAR OF V1TA1.STATIS"IICS li 1G� O� Fix (S I()l 765•1 R„l MARRIAOF OFFICI?R Tdcphonc (516) 765.11 RECORDS M/VWAGEMENT OI'FICEI2 Ol 1 FREEDOM OF INFORWT10N OFFICER OFFICE OF THE TOWN CLERIC TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993 : RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent. regulations of the Code of the Town of Southold: "Floodplain Development Permit Application” (FDP(93) ) , and "Certificate of Compliance for Development in Special Flood Hazard Area (C/C(93)) . BEG. G. TOWN OF SOUPIOLD Judith T . -ferry Southold Town Clerk August 25 , 1993 't APPLICATION PAGE I of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PER -MIT APPLICATION This form is to be filled out in duplicate. SECTION I• GENERAL PROVISIONS (APPLICANT to read and sien): L. No work may start until a permit is issued. 2 The permit may be revoked if any false statements are made herein_ 3. If revoked, all work must cease until permit is re=issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. S. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. L THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTO W _ THIS APPLICATION ARE,TO TH OF MY LEDGE,TRUE AND .ACCURATE.TE. .j (APPLICANTS SIGNATURE) DATE i SECTION 2• PROPOSED DEVELOPMENT (To be completed by APPLICANTI 1 _ NAME ADDRESS TELEPHONE A.PPLICANf�ES,t'oy�lS /3ad ��•.r a7�L,�s. �� BUILDER ENGINEER t -PROJECT LOCATION: • To avoid delay in processing the application, please provide enough information to easily identify the project location- Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. 0o S v.val FDP(93) APPLICATION PAGE 2OF4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ,ACTIVITY STRUCTURE TYPE O New Structure ❑ Residential (1-4 Family) ❑ Addition O Residential (More than 4 Family) III/Alteration O Non-residential (Floodproofmg? O Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) O DemoGtioo' P O Manufactured (Mobile) Home (In Manu- ❑ Replacement factured Home Park?. O Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVITIES O Fill O Mining O Drilling R1 rading O Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) O Drainage Improvements (Including Culvert Work) O Road. Street or Bridge Construction ❑ Subdivision (New or Expansion) O Individual Water or Sewer System ❑ Other (Please Specify) After completing SECTION 2, APPLICANT' should submit form to Local Administrator for review. SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADNfIMSTRATOPQ The proposed development is located on FIRM Pancl No. . Dated The Proposed Development- 0 Is NQI located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ is located in a Special Flood Hazard Arca. FIRM zone designation is 1170-Year flood elevation at the site is:" Ft. NGVD (MSL) O Uaavadablc O The proposed development is located in a (loodway. FBFM Pancl No, Da(cd 0 See Scction 4 (or additional instructions. SIGNED DATE - APPLICATION 4 PAGE 3 OF 4 SECTION 4 ADDITIONAL, INFORMATION REQUIRED To be completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: ❑ A site plan showing the location of all casting structures, water bodies, adjaceot roads, lot dimensions and proposed development. O Development plans,drawn to scale, and specifications,including where applicable: details for anchoring structures, proposed elevation of lowest floor(including basement), types of water resistant materials used below the first floor, details of floodproofwg of utilities located below the first floor and details of enclosures below the first floor. Also ❑Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). O plaps showing the extent of watercourse relocation and/or landform alterations. O Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofmg protection level (non-residential only) Ft:NGVD (MSL). For j floodproofed structures, applicant must attach certification from registered engineer or architect. O Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other. SECTION 5 PERMIT DETERMINATION fTo be completed by LQ AL ADMINISTRATOR) I have determined that the proposed activity. A_ ❑ Is B.O Is not in conformance with provisions of Local Law , 19_. The permit is issued subject to the conditions attached to and made part of this permit. SIGNED DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated (cc. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an appticanon to the Local Administrator or may request a bearing from the Board of Appeals. c i APPLICATION W PAGE 4OF4 APPEALS: Appealed to Board of Appeals? O Yes ❑ No Hearing dale: Appeals Board Decision --- Approved? O Yes O No Conditions SECTION 6• AS-DUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued) The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual(As-Built) Elevation of the top of the lowest floor, including basement an Coastal Hitch Hazard Areas bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGW (MSL). J L Actual (As-Built) Elevation of floodproofmg protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? O YES O NO DATE BY DEFICIENCIES? O YES O NO DATE BY DEFICIENCIES? O YES O NO SECTION 8• CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B ' SAMPLE i CERTIFICATE OF COMPLIANCE / for Development in a Special Flood Hazard Area •` TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: 0 NEW BUILDING O EXISTING BUILDING O VACANT LAND -' i� THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19 SIGNED: DATED: B. CO;APLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_1 AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: CIC (93) 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ]' [ � ORAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ) FIRE SAFETY INSPECTION REMAijKS: /Z DATE l OINSPECTOR �pOZ� � yrs-saox suaoiNa DE". INSPECTION [ ] FOUNDATION iST [ 7to UGH PLBG. [ ] FOUNDATION 2ND [ LATION [ ] FRAMING [ FINAL [ ] FIREPLACE S CHIMNEY REMARKS: DATE $ � b _INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS e FOUNDATION(1ST) -------------------------------------- FOUNDATION -----------------------------------FOUNDATION(2ND) --- - - - _ ROUGH FRAMING& - -- -- - --- - - -- - -- n PLUMBING --- --- - -- - - r'o- INSULATION PER N.Y. - y STATE ENERGY CODE FINAL - -- - ADDITIONAL COMMENTS .(, 2. O - Z lz� - QJ b z b TOWN OF SOLTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMEN! T ± Do you have or need the following,befog,applying? TOWN HALL .IAN IS 20 Board of Health SOUTHOLD,NY 11971 a 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 . '}... - ' Survey www. northfork.net/Southold/ PERMIT NO 3Do,,�-3;e�- Check Septic Form N.Y.S.D.E.C. Trustees Examined !fly ,200� Contact: Approved 1-/ ,20 0Mail to: Disapproved a/c Phone: Expiration ,20� Building Inspector APPLICATION FOR BUILDING PERMIT Date_ ;�— 1 , 20� 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 Building Permit to the applicant. Such a permit shat'fie kept on the premises available for inspection throughout the work. 1 e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. 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. 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 admit authorized inspectors on premises and in building for necessary inspections. �Z (Signature of WIplicant or name,if a corpor tion) Zc.c,e (M ' ing address of a icant) State whether applicant is owner, lessee, agent, architect, engineer;g.reral contractor, electrician, plumber or builder Name of owner of premises 14.4 T (As on tfie 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. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: \ 30`' Soc.,I >� r�-r House Number Street Hamlet County TaxMa No. 1000 Section �O Block /- C' / Lot Subdivision k'JJ a — Filed Map No. Lot -37 (Name) 2. State existing use and occupancy of premises and intended use�andpccupa4cyof proposed construction: a. Existing use and occupancy 15'.- b. Intended use and occupancy 3. Nature of work(check which applicable): New Building ' Addition Alteration Repair Removal Demolition Other Work 6 (Description) 4. Estimated Cost a9' odo Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front /S� Rear / S� Depth .2 i Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front "7 S� Rear ? 'r Depth / 7/_ 7 b 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO P� 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO�/� 14. Names of Owner of premises -.Address Phone No. Name of Architect 04dyress Phone No Name of Contractor `--Address 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. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE 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) COUNTY OF 0 's X"/'�-' �� " being duly sworn, deposes and says that(s)he is the applicant (Name of individual sigfiing contract)above named, (S)He is the ere I c-, 14- (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 t efore me this day of 20 . r e-i �--` otary Public Signature of Applicant Claire L. Glew Notary Public, State of New York No.OIGL4879505 Qualified in Suffolk County Commission Expires Dec. 8,2.0.0 n V ►Q \O s t i 00� i O � ly \ \ EXI5TIN6 FRAME HOU5E \ ONE GAR ARA6E EXI5TIN6 CONCRETE \ DRIVEWAY10, p� 011 t�OF NEW .) I , a r 51 TE PLAN 20 10 O 2P' 40 60 .50 100 GRAPHIC 56ALE 1" 20'-0" MI5r---V t2OO4_JO55/040003 SI'D'E FLAN PROP05ED CARACE , BVMER., P.E. 50UND BEACH DRIVE MATTITUCK, NY P.O. BOX 634 1000-106-01-3-1 5t46REHAM, NEH YORK TEL.: 631.821.8850 F b31.&21325-7 COUNTY OF SUFFOLK TORN OF 5OUTHOLD GENERAL NOTES SLAB NOTES 1. All work shall be performed in accordance with all state, 1. Omitted municipal,local zoning and budding codes and ordinances 2 Omitted having jurisdiction and best standards of construction 3. Ommed 12 practice. 4 Omitted D The American Institute Architects Conditions shall apply 5. Omitted s LO all wade performed on this this project 6 o Concrete Floor Slab, 3000d Test with e x 6"il10 mesh and vapor harrier 2X I0 RIDGE 2. The Contractor shall verify all conditions at the site. Any 7 Pour 18"x 1 B"monolithic haunch at perimeter 2XB RAFTERS 8. Omitted IR" CDX 90EATHIN discrepancies must be brought to the attention of the Engineer g. Omitted 15e FELT prior to commencement of construction. The Contractor shall be 10, Omitted ASPHALT ROOF 5HINGLE6 responsible for Corrections not reported once he has started work 11 Omitted (MATCH EXISTING ON DWELLING) except for hi den lob conditions.. 12.Pour no concrete on frozen ground or in freezing weather CONT RIDGE VENT ontractoCall 3. Call guarantee to the Owner that all materials and 13.Omitted equipment Incorporated In the work will be new, and that all work N.See pile notes attached will be of good quality,free from faults and defects for a period MATERIAL NOTES of one yew from the dale of the final Certificate of Occupancy. 6" X 12" OCA GIRDER (" X 1" GGA GIRDER 4.The Engineer shall not be responsible for the construction means, Roof Construction -�- methods,techniques,sequences or procedures, or for the safety Asphalt Roof Shingles,30 year Architectural 2x4 OCA SILL 2-5/9" GALVANIZED precautions and programs in connection with the work,and he Match existing roof on dwelling PROVIDE BREAKAWAY WALLSOARRAGE BOLTS shall not be responsible for the contractors failure to carry out 15a Felt Paper IN ACCORDANCE WITH FEMA 10" TIMBER PILE the work In accordance with the construction documents. The 112"CDx Plywood Sheathing TECH BULLETIN a-95 /FIA-TB-91 Engineer shall not be responsible for the acts or omissions by 2x10 Ridge as noted BFE /•a) the contractor. No changes shall be made In the documents 2x8 Roof Rafters @ 16"O.0 as noted VT CDH SHEATHING - g 2xB Coding Joists @ 16"0.0 iTN D EWRAP GARAGE - and/or the building as designed vnthoul the expressed written MATCH EXISTING SIDINGNG ON DWELLING consent of the Engineer. Wall Construction, 2X4 BREAKAWAY WALL 5.The contractor and all subcontractors shall maintain continuous Match existing fascia on dwelling 10 PSI MIN, 20 PSI MAX Insurance coverage including statutory policies (Worker Match existing overhang on dwelling 4" P.G. SLAB Compensation,etc.)and general liability in an mount not 3A"A/C soffits, pain) z less that$5 million and automobile liability and damage Cont screened vent PITCH GRADE _ - o coverage not less than$2 million. The Engineer shall be Aluminum gutters and leaders AWAY FROM TION Ib" x 18" MONOLITHIC HAUNCH PILE CONNECTION DETAIL (NTS) N a named insured on any and all policies Match existing siding T vek Housewra i Provide 0 all p aluminum termite shields over fibrous V i a insulation at all perimeter sills 112"COX sheathing 2x4 Studs @ 24"O.0 with 2x4 CCA sill with termite shield and sill seal (breakaway) 12 G 14" 7.All wood in contact with concrete or masonry to be Womanized 2x4 CCA sill to concrete slab according to FEMA Tech Bulletin 9-99(20 psi breakaway) 2x4 Studs @ 16"O C with 2x4 shoe and double 2x4 plate(non-breakaway) e or pressure creosoted B. A single station smoke detector alarm device shall be installed in each bedroom, on all floors and shall be all interconnected per code. FRAMING NOTES 9. All bathrooms without operable windows to be mechanically ventilated 1 All headers 202 unless noted. r as per New York State Cade. 2. All comers are solid 10. Heating to be designed to provide 70 degrees F.with outdoor 3, Double jacks over 48"spans 4, Double lfiresoists under nall all walls 1pas per SECTION A-A ;g designed air-temperature of 0 degrees F. and 15 MPH wind a 11. All electiifcal work to be in accordance to the rules and 5 Provide/Ire stopping in all walla tie per N Y 5 Code 6. Rafter heel cuts shall not exceed 4". S,IP' 4 n I l u 0 regulations of the N.Y.B.F.U,and a N.Y.B.F.U. certificate is 7 Where joists are notched to headers so as to reduce beam depth,use bridle Irons or metal connectionsN - to be presented to the Owner at the completion of the lab 8, All floor joists,rafters and ceding beams to he Hem fir number two or better construction grade with a minimum in= 1200 ps.i, 12. Plumbing Installation to comply with State and Local codes 8. All 2x4 and 2x6 pardon walla to be Doug fir number two or better construction grade with a minimum to= 1200 p s 1 Q and the sewage disposal system to meet Health Department standards. 9 All beams and girders shall have 2"bearing min 11'4" 3'0" 13.Do not scale drawings. Use figure dimensions only. 14. All work to conform to the rules and regulations of the New York I C O Energy Conservation Construction Code. All glazed area to be double io glazed and all exterior doors to have insulated cores r 15 The Insulation protection as Indicated an these plans exceeds a z I ' the Code's minimum standards. u O 16 These drawings and specifications are instruments of service and u, shall remain the property of the Engineer whether the project forIn which they are made Is executed or not. They may not be used - _ - - - - - - O� W on any other project except by written authorization of the Engineer 12 - - - -- - - _ --- - -- iO'yI L d OUTLJNE OF GARAGE 17 Provide breakaway construction between all existing structures 5� - - -- _ - _ - I p, d p a - BLAB BELOW x and all proposed additions 6 o 0- PILE NOTES W 1. Piles to be southern yellow pine pressure treated - CCA .6 retention timber piles with 10" or 12"bull and _ _ - X 25'or 30'long, in accordance with ASTM 0 25 standards, - -- - - _ - - _ _ _ - _ = See plan for sae and location. -- - - - - __ _ �- 10 TIMBER PILE Q LL 2. Piles are to be installed under the supervision of a _ - - - A GIRDER _ P05E1 GARAGE _ licensed Professional Engineer who will be responsible - -_ _- _ - _ _ _ - _ f PRO CCA GIRDER 6" kT T cG 1 2x4 CGA slit W W 1 9 P for maintaining pile logs.All piles are to be driven a - - - - _ _ -- - - _ BOLT TO PILE WITH 2-5/E" BOL O PILE WITH 2-5/a" PROVIDE BREAKAWAY WALLS minimum of 10'into ground water and to the minimum _ - --_ _ _ _ _ - _ _ - - _ - _ GALVANIZED C�RR AGE �--GALV AN¢ED GARRAGE ACCORDANCE WITH FEMA bearing capacity specified on the plan.All bearing - - _ _ _ - - _ BOLTS, SEE DE AIL BOLTS, SEE DETAIL TECH BU 9-99 ,FI4-TB-9J N . capacity is to be as measured by the"Engineanng --- --- _ _ - -_____ __ _ __ - . - - - _ - -- - - - - - cDk eHEATWIOU6EWRNG oq News"formula. The Professional Engineer is to - I I rn O - 2Xa R.R. LL/2 SEK HOUSEWRAP provide Be fled pile s and certification o9 - - -- -- - _ - _ - -- - --- _ - _ - - - - - / 16„ D.C. o MATCH Ex15TING SIDING ON DWELLING fg 2X R R. 0 16" O.G. 16" .G. P P qe Ile beano ca sat to the architect or design II�1�III 2xa G"� } engineer upon Completion of pile Installation. ' - 16' x a' OHD - - _ - - - - - - - I 2X4 BREAKAWAY WALL 3. All piles are to be cut off at design height - - ISI - - _ io Psi MIN, zo P51 MAX �""' O LU o5 4. rade be - J _�_ _ _ __ _ - _ - _ _ _ _-. - _ _ VERIFY NEIGH OF PILES 4. Grade beams are to he poured as shown on plan and - --- - - - - T TOP .'FINISHED m Z m - - in accordance with the ACI code,the New York State - - - _ - _ - - _ - - SL "10'0" W Q Building Code and prevailing local codes and standards, __ - . - _ __- --- - --- - - - I IW n" i 0. Concrete is to be 3000 psi min. 28 day strength and steel _ _ - - __ 0 O reinforcement is to have a working stress of 20,D00 psi. - - - _- - - --_ - _ GRADE I U.- 5. All piling handling, selling, and driving shall conform to __ _ _ __ __ the N.V.S. Department of Transportation Code requirements, L J _ Damaged ions of the d be repaired r. removed as per FRONT ELEVATION RIGHT ELEVATION instructions of the design engineer. 6. Piles shall be driven to within 3"of the design locations PILE PLAN Piles out of tolerance shall require remedial action as per FLOOR PLAN ENGINEER: the design engineer. AREA 345 SQ. FT, 7 All pile and deck hardware shall be hot dipped galvanized OF NEW in accordance with ASTM Al 53 Any damaged areas shall be tiE W y0 repaired to the satisfaction of the resident architect All 1F Qfey T B11. steel connectors shall be grade 2 or equal * ► 8. All timber girders and braces shall be CCA treated s for ground contact use as per AWPA standardsW ► 9. Use galvanized nails for all exposed areas c" _ 13'4" u" ,- g 10 Please be advised that this pile foundation has been - _ - - - _. - ,_ -- -- .-- _ _._ v 0 - 0 w designed for all required environmental loads with the existing - __ - - - _ sail level of approximately+6.0 MSL.Any loss of soil below _ - _ - - -- 2 _ this elevation will be detrimental to the stability of the pile - _ SSjONPIaaA 10" DIAMETER JEFFREY T. 1 11 group. If the soil elevation falls below this pmol, remedial -- z - - - __ �. _� _-_- - - _ ,-_ - - - - - - O.�' -` Q M JEFFREY T. BUTL@R, P.E. action will be required The addition of sod above this -= --- -----_ --- -- - --- -- - - - _ _ - - - -_WoOPILE, ___ ______ - O elevation will not harm the performance of the foundation. '- - - -- - - -- 11.All sled to receive hot dipped galvanizing or primer and final coat of protective paint equal to: metalate r paint -__ - _ - _ -- - "- : _ __ - -- __ - - - - -- - - - 0 3 system by Sherwm/Willems. _ - - - ,= - - _� --_ _ - " _ - - - _ - _ - -- _ _ V O 12.Location of pile foundation or property is not the -'-- - __ - - - -- _ - -=- -- - ., -- _- _ - - - - - PROPOSEp GARAGE LU r o responsibility of the design engineer All setback lines and pile locations to be located and staked by others - prior to construction. - - - - - - - - - - -- - - - - -- - - -- - - -- S' B" < O Q Q $ T � OCCUPANCY OR LU c� - a o USE IS UNLAWFUL N - - - - W � Q > - s A A CAT � o 0 - - - - - - q A 1N ° 1B" X la" P C HAUNCH O /( A f� Y P o z -1 x \V/ ` WITHOUT CERTIFICATE -_ OF OCCUPANG LU u Adm ALL CONSTRUCTION SHALL w V u p a e -- - - GRADE _ '- ' �--------- ---: EMS'' `P THE APPROVED AS NOTED z a MEET THE REOUIR cC - - _ ------------------------------------------I � CCCES OF NEW r vr;;, ,i FATE. DATE 112,115-1 B.P.#.3OoaO m LEFT ELEVATION REAR ELEVATION FEE f7s. BY N'. EJILJ"13 DEPARTMENT AT z 7E- '-'2 SAV -0 4P FOR THE i F ._ 'INS INSPECTIONS: � c lu4" 1 = '•'�ATION - TWO REQUIRED -'OURED CONCRETE L DROP HAUNCH AT OPENING n ', - FRAMING & PLUMBING - �Y�A�yyii��T1 �r r� f '.11Or: J 1'1111YAJ,uV h�1HJ� -.�Y �. OMPLENET FORTION C.O.MUST SLAB PLAN COSON""Isi q'146z8"c )NSTRUCTION SHALL MEET THI PAGE : AGE FLEL'-)( qNi" JIIC<11. .JIREMENTS OFTHECODESO11 SCSO rH, ::4 ,H STATE. NOT RESPONSIBLE FO L .SIGN OR CONSTRUCTION ERRORSt