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Home My WebLink About30779-ZFORM NO. 4 TO~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30643 Date: 12/15/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 495 FARMVEU RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 121 Block 7 Lot 3 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 12, 2004 pulsuant to which Building Permit No. 30779-Z dated NOVEMBER 16, 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 SHED "AS BUILT" IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to DERRICK S & DEBORAH DOUBRAVA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~IEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLU~4BERS CERTIFICATION DA'£~ N/A N/A N/A JAuthori zed Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS PERMIT NO. BUILDING PEP34IT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 30779 Z Date NOVEMBER 16, 2004 Permission is hereby granted to: DERRICK S DOUBP~AVA MATTITUCK,NY 11952 for : "AS BUILT"CONSTRUCTION OF ACCESSORY SHED IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 121 pursuant to application dated NOVEMBER Building Inspector to expire on MAY 495 FARMYEU RD MATTITUCK Block 0007 Lot No. 003 12, 2004 and approved by the 16, 2006. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be fdled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new l. 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. C°mmercial building, industrial building, multiple residences and similar buildings and installations, a certifica of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land use~ 1. Accurate survey °f pr°perry showing all property lines, streets, building and unusual nsfural or topographic features. 2. A pr°perly c°mpleted application and consent to inspect signed by the applicant, if a Certificate of Occupancy i denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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, Commereial $:!'5.00 Bo Now Construction: Location of Property: House No. Owner or Owners of PropenT: Suffolk County Tax Map No 1000, Section Subdivision }-Ct Date. Old or Pre-existing Building: Street . (check one) ~l'arn!et Permit No. 13r~X o o, '~ 4~J Filed Map. Date of Permit. Applicant: Health Dept. Approval: Planning Board Approval: Request for: T~nporury Ceflificate Fee Submitted: $. .~ Undc~,niters Approval: ot: ,Oq Final Certificate: (check one) Applicant Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ]l// k , 20 Of Approved tt/ l (o ,20 Of Disapproved mc Expiration ,$7/6 ,20~ PERMIT NO. ~o 7 77-~-- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health ~4 sets of Building Plans Planning Board approval *~Survey a¥Check ~ 1~"~0 Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date II/tO./oq ,20__ a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. i~ 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 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 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. (Signature of applicant or name, ifa corporation) (Mailing address ofepplicant) · /o~3'~/J'~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises '~ O_f f,'c.k ~ ~ ~6]:)o rot }~ x~t. Xa_~r ct 4 < (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. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Ma~ No. 1000 Section ~ a~ Block 0O Lot 0 -5 Subdivision ~'qv, x ~z,~.'C~e',,b~ Filed Map No. Lot o~ c~ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intendeduseandoccupancy l:b_,'~'-o,a,,,c-, a,,(~-u ~2.o?~'6 0 3. Nature of work (check which applicable): New Building_ v'/ Addition Repair Removal Demolition Other Work 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Alteration Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front {_~ q ' Rear ~ t] , Depth Heigh[ Number of Stories ~ Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Rear Height Number of Stories .Depth 9. Size of lot: Front Rear Depth 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 v~ 13. Will lot be re-graded? YES 14. Names of Owner of premises Name of Architect Name of Contractor NO v~ Will excess fill be removed from premises? YES NO Address Phone No. ~ q ~-~ac/:5- 7 ] O~ Address Phone No 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. l 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) CO TY oW_ ,s: being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (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 this // / '7.,~ dayof /4~/L)- No{au Public Signature of Applicant PATRICIA CORWlN Notary Public, State of Ilew York No. 01C05017852 0 uarified in Suffolk Co~Jn~/· ~miss~on E~ms Sept 13, .......... >c.r , lC HEREON A~ FIELD OBSERVATIO~ ~ /~ ~D OR ~TA OBTAI~D FROM OT~ ~j~ CE~TIFIED ONLY TO: / ~ ~ I~?.~; ti.&v~N, DESTIN G. GR~ N.Y.S. LIC No. 50067 ~ R~KY ~INT, NEW YORK 11778 TAXI.D. No. ~O~ I~t~ o~- ~ ~ ~' PHONE(516) 821-~2 77? 7__ 765.1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ]ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION ] FRAMING ~FINAL ~'~-~ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: INSPECTOR_~ ~ FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAblING & PLUNIBING ~SULATION PER N. Y. STATE EN~GY CODE F~-~ EGRESS WINDOW SCHEDULE (NOT REffD FOR STORAGE ONLY FOR SLEEPING ROOMS) FIRSTFLl)DR REDI) CLEAR OPENING PROVIDED ANY BEDROOM ONLY 5.D It2 ~ 5~D It2 (N.A NOTE AT LEAST ONE WINDOW,PER BEDROOM MUST BE EGREGGABLE AS PER THE FOLLOWING. L MIN NET CLEAR OPENING WIDTH 2'~D". 2. MIN NET CLEAR DPENING HEIGHT 2'4". B. SILL HEIGHT Nm MORE THAN A'-A"/~BDVE FLQDR. A. GIN CL~R OPENING AREA 0~? It (H.D it 'AT GRADE FLOGR OPENINGS) SAFTEY GLASS REQUIREMENTS SAFTEY GLAZING RED'D AT FOllOWING LDCATIDNS: L ANY GLAZING IN ANY I~PE DE DDDR. 2. GLAZING IN ANY WALL ENCLDSING A TUB, GNDWER, SAUNA, DR STEAM RDDI4. * 3. ANY WINDOW WITHIN 2' DF A DuDe. * A. ANY INDIVIDUAL PAIN DF GLASS > 9 M W~RE BDITDM IS < 18" ABOVE ANY R. DDR WITHIN B' DF THE WINDOW. 5. GLAZING IN WALLS OF INDDDR POOLS, HHT TUBS. SPAS WITHIN 5' DF 'file WATER. * G. GLAZING IN STAIRWAYS Q LANDINGS WITHIN 3' HORIZONTALLY OF A WALKING SURFACE. * · THE REDUIHREMENT DDESNGT APPLY IF THE Bo'ri'DM EDGE DF THE GLASS IS MORE'DIAN GG" ABOVE THE FLOOR. L CODE ANALYSIS l)CCUPANCY: REFERENCE STANDARDS: RESIDENTAL CORE DF NEW YORK STATE WDDD FHANE CONSTRUCT[ON MANUAL. AF 6 PA CLIMATE ZONE lib DEGREE DAYS 575D DESIGNLI)ADS: FLOOR RDDF BASICWiNDSPEAB UPLIFT DEADLUADS AO PSF AHPSF(GROUNDGNDWLDA 12DMPH 18PSF IDPSF DEFLECTIRN LIMITS: RAFTERS W/ND FIN. CEILING ATrACHED FtDDRS I/lSD I/3GD FASTENER SCHEDULE FOR STRUCTUAL MEMBERS DISCRIFrlON DF BUILDING ELEMENTS # AND TYPE DF FASTENER SPACING DF FASTENERS JOIST TD SILL DR GIRDER, TOE NAIL 3-8d SOLE PLATE TD JOIST DR BLOCKING. FACE NAIL lcd lO" D.C. TDP TD SDLE PLATE TD STUD. END NAIL 2-16d STUD TO TOE PLATE, END NAIL 3-Od or 2-16d DDUBLE STUDS. FACE NAIL IDd 2A" O.C. DOUBLE TOP PLATES, FACE NAIL IOd 24" D.C. SOLE PLATE TU JHIST DR BLOCKING AT 3-1Gal lO" BRACED WALL PANELS DOUBLE TOP PLATES. MIN AH" OFFREF GF ENDB4Gd JmNTS, FACE NAIL IN LAPPED AREA BLDCKIN6 BETWEEN JOISTS DR RAFTERS 3-HA TH TOP PLATE, TOE NAIL RIM JOIST TO TDP PLATE, TRE NAIL Dd 6" D.C. TRP PLATES. LAP AT CORNERS AGO INTENSECTIDNS. FACENAIL 2-1Od BUILT UP HEADER, 2 PIECES WITH I/2" SPACER lcd 16" D.C. ALONG EACH EDGE CDNTINDUG HEADER TU STUD, 2 PIECES lcd 16" D.C. ALONG EACH EDGE CEIUNG JOISTS TO PLATE, TOE NAIL 3~8d CDSTINDUS HEADER TU STUD, TOE NAIL A-Od CEILING JOISTS LAPS DYER PAITUTIHGS, FACE NAIL 3-1Od CEILING JOISTS, PARALLEL RAFTERS. FACE NAIL 34Od RAFTER TU PLATE, TOE NAIL 2-lCd BUiLD-UP CORNER S11JDG IUd 24" n.C. NAIL EACH LAYER AS FOLLOWS: 32" GUiLT-UP GIRDERS AND BEAMS, 2" LUMBER LAYERS IRA AT TOP AND BDT[OM Atto STAGGERED, 2 NAILS AT ENDS AND AT EACH SPLICE RDDF RAFTERS TU RIDGE. VALLY DR HIP RAFTERS: TOE NAIL A-lGd FACE NAIL 34Od RAFTER TIES RAFTERS. FACE NAIL 3-Od 5.D It WOOD STRUCTURAL PANELS, SUBFLDDR, ROOF AND WALL SHEATHING Ti) FRAMING, AND PARTICLEBDARD WALL SHEATHING TI] FRAMING DESCRIPTION DF SPACING DF FASTENERS (IN INCHES) DESCRIPTION DF FASTENER BUILDING MATERIALS EDGES INTERMEDIATE SUPPORTS 5/IG" - I/2" 6d CDNMDN NAIL (SUBFLODR WALL) G" D.C. G" D.C. * 5/lO" - I/2" 8d COMMON NAIL (GOOF) G" D.C. G" D.C. * 19/82" - I" 8d COMMON NAIL G" D.C. G" D.C. * · Ad CFDN ATrACHMENT DF ROOF SHEATHING TO GABLE WALLS FASTENER SCHEDULE FOR STRUCTUAL MEMBERS GROUND WIND SEISMIC SUBJECT TO DAMAGE FROM WINTER ICE SHIELDFLDDD SNOW SPEED DESIGN WEA11t- FROST TERMITE DECAY DESIGN UNDERLAY- HAZARDS LOAD (MPG) CATEGDRY ERIN6 LINE DETRH TEMP. MENT RED'D MODERATE LIGHT 45 PSF 12G N/A PER SEVERE 3"O" TD TO Iff R 3012.2. HEAVY MODERATE ROOF TIE-DOWN NOTE U2D MPG BASIC WIND SPEED) WIND UPLIFTPRESRURE FOR THIS LOCATION IS LESS THAN 2D PSF AS ESTABLISHED IN TABLE 3D2.2.(2) ADJUSTED F PER TABLE 3D2.2 (3), THEREFORE RAFTERS TIF~ AND CDNTINDUS LOAD PATH T ASPHALT RDDF SHINGLE NOTE L ASPHALT SHINGLES SHALL HAVE SELF-REAL STRIPS DR BE JNTEREDCKING. AND COMPLY WffH ASIM D-225 DB D-BAN2 2. FASTENERS FDR ASPHALT SHINGLES SHALL BE GALVANIZED STEEL, STAINLESS, MINIMUM 12 GUAGE SHANKED WITH A NINIMDM 3/B"rl HEAD DR I? GAUGE BY I-3/R" 6ALV. STAPLES, MATERIALS G SHEATHING. 3. ASPHALT SHINGLES SHALL HAVE AT LEAST THE MINIMUM NUMBER DF FASTENERS REQUIRED BY MANUFACTURER. A. FOR NORMAL APUCATIDN. ASPHALT SHINGLES SHALL BE SECURED TU TOE RDDF WITH NOT LESS THAN A FASTENERS PER STRIP SHINGLE DR 2 FASTENERS PER INDIVIDUAL SHINGLE. 5. ASPHALT STRIP SHINGLES SHALL HAVE HAVE A MINIMUM DF G FASTENERS PER SHINGLE WHERE EAVE IS HIGHER TUAN 2D FEET DR HIGHER ABOVE GRADE DR THE BASIC WIND SPEED IS GREATER THEN 120 MILES PER HDUH. CERTIFICATION OF NAILING & CONNECTIONS /'"7 [,~REQUIRED. ALL CONSTRUCTION SHALL ME~' THE REQUIREMENTS OF THE CODES OF NEW YORK STATE, OCCUPANCY OR E IS UNLAWFUL W rHOUT CERTIFICATE y PA C CER F CA REQUIRED FOIINDATJON ;WO REQUIRED ROUGH - FRA.,,I,JG & PLUMBING STANDARD FEATURES 4. FINAL - CONST,'rICTION MUST BE COMPLETE , OR C.O. ALL CONSTRUCTION SHALL MEE~- ~ REQUIREMENTS 0: THE CODES OF NE 4" Overhang on all four sides eliminates sidewall s~reaking from r runoff 225 lb, 20 Year guarantee asphaD self-sealing shingles in your choice of 6 colors W' C.D.X. Plywood roof sheathing YORK STATE. NO RESPONSIBLE FO DESIGN OR CONSI'RUCT~N ERROR~ 2" x 4". Double gusseted roof trusses for unmatched strength ~ 24" o.c. Finished soffits for Hurricane beauty and weather tightness Maintenance Free aluminum drip edge or painted wood corners End Vents both ends provide proper ventilation 2 Aluminum Jalousie windows with screens & shutters, or choose optional windows. Custom placement et no additional charge. Latex/acrylic extedor in your choice of 13 colors or clear-sealed 5/8" T1-11 Fir Siding or cn~ose Optional Horizontal Wood Siding or Vinyl Siding Reinforced Double Doors painted on bsth sides with 2x4 framing PRESSURE TREATED B.C, 5 ply plywood floor, secured with ring shank nails Jacks & headers in all door framing to meet all State and PRESSURE TREATED 2x4 Door joists 16" O.C. Full 2x4 KGn dried stud walls" Hurricane Clips (Typ.) Full 2x4 sill plates on all tour sides PRESSURE TREATED 4x4 foundation beams NOTE: SHED IS TO BE TIED DOWN TO GALVANIZED STEEL IRON ROOT DOUBLE HEAD, DOUBLE HELIX EARTH ANCHORS AT ALL CORNE~S 0, F FOUR CORNERS, AS MAZ4UFACTURED BY TIE DOWN ENGINEERING OF ATLANTA, GEORGIA ATTACHED TO BO~TO]~I OF FOOTINGS& PEI~tIMETER TIMBER SUPPORT TIMBERS. DETAILS APPLY TO ALL SHEDS UP TO 12 FT. WIDE BY 40 FT. LONG. LONG ISLAND SHEDS NORTH FORK WOOD DESIGNS SOUTHOLD & R1VERHEAD, NEW YORK B E.G. KALOGERAS, P.E UNION SQUARE, 727 UNION AVENUE, RIVERHE~ NEW YORK, 11901 iNTELLECTUAL PROPERTY OF E S KALOGERAS, P E, CONSULTING ENGINEER ~ UNAUTHORIZED ALTERATION OR ADD/T/ON TO THIS DRAWING AND RELATED DOCUMENTS IS A VIOL4 TION OF SEC. 7209 OF THE N.Y.S. EDUCATION LAW Design By: DaLe: Scale: Dwg. No: Paul F. Sigismondi June 2, 2003 No Scale A New York State Code Details For Up to 12-1t Wide Facto~J Manufactured Storage Sheds ~ of i