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HomeMy WebLinkAbout29967-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30682 Date: 01/11/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 255 ORIOLE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 15.26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 22, 2003 pursuant to which Building Permit No. 29967-Z dated DECEMBER 22, 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 NON-HABITABLE TWO CAR GARAGE AS APPLIED FOR PER ZBA #5580 DATED 10/21/04. CONSTRUCTION CERTIFIED BY LAWRENCE M. TUTHILL, ENGINEER. The certificate is issued to GORDON M & DIANE D TYRER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2032092 11/09/04 PLUMBERS CERTIFICATION DATED N/A Au horized ignature 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. 29967 Z Date DECEMBER 22 , 2003 Permission is hereby granted to: GORDON M & DIANE D TYRER 255 ORIOLE DRIVE SOUTHOLD,NY 11971 for CONSTRUCTION OF A NON-HABITABLE ACCESSORY GARAGE AS APPLIED FOR at premises located at 255 ORIOLE DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015 . 026 pursuant to application dated DECEMBER 22 , 2003 and approved by the Building Inspector to expire on JUNE 22 , 2005 . Fee $ 97 . 80 t oriz Signa e ORIGINAL Rev. 5/8/02 • FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802 AR 1 2 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink,and submitted =vw��to the Building Inspec- tor with the following;for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25 . 00 POOLS $25 . 00 ALTERATION $25 .00 1. Certificate of occupancy New Dwelling. $25.00, Accessory $ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy $ 5 . 00 , over 5 years $ 10 . 00 4.Vacant Land C.O. $ 20 . 00 1 � • 5.Updated C.O. $ 50 . 00 Date „N�A�C1•, .� . . . . .. . NewConstruction, x, Old orPre-existing Building . . . . . . Vacant Land . . . . . . . Location of Property . . .r�. .. . ,l. , , , , v V`� �.l•t _ __ . . . House No. Street Hamlet Owner or caner �� �� O s of Property . . . . . . . . . . . . . .I, , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . . SJR. . . . . . . Block . . . . . .� . . . . . . . Lot. .l. . .. .. .��o. . . • Subdivision . . ... .. . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. .Lot No. . . . . . . . . . Permit NoA .1, `0 Date of Permit �.�1 a. ?�.ApplicantQ4:K.�,1� ,1,,,�,e,r� , , '•1!\ � J Health Dept. Approval . . . . . . . . . . . .0A . . . . . . . .Labor Dept. Approval . . . . . . . . . . !�(A. . . . . . . , . Underwriters Approval . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . N,� . . . . . . . . . Request for Temporary Certificate . . . . . .N A: , , , , , , , , , ,Final Certificate . . . . . . .!. \. . . . . . . . . . . . Fee Submitted $ . . .�5 : .�G. . . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicable codes and regulations. C,D �Jt lP'6 Applicant . .2. . . �?��C1� s,r wc.•. . Rev.10.10-78 eLl J les_ ' �S11fF0�,�c RPEALS uth D. Oliva,a, ChiARD lrwoman RS ti`L��' O� Southold Town Hall 53095 Main Road Gerard P. Goehringer y z P.O. Box 1179 Lydia A. Tortora ? ^� Southold,NY 11971-0959 Vincent Orlando �l' !� Tel. (631) 765-1809 James Dinizio, Jr. Fax�►a� Fax(631) 765-9064 http://southoldtown.northfork.net 20M BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF OCTOBER 21, 2004 ZBA File No. 5580—GORDON and DIANE TYRER Property Location: 255 Oriole Drive, Southold; CTM 55-6-15.26. SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: The applicants' 27,355 sq. ft. parcel is improved with a two- story frame dwelling with deck, accessory swimming pool, gazebo, small shed, and accessory garage under construction (ref. Building Permit#29967-Z). BASIS OF APPLICATION: Building Department's April 2, 2004, Notice of Disapproval, citing Code Section 100-33 in its denial of a building permit application concerning a garage proposed partly in a side yard rather than the code-required rear yard. FINDINGS OF FACT The ZoningBoard_of Appeals held a Public hearing_on_thisaPPlication_on_SeDtember_14 20.04,and October 21, 2004, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: Applicants request a variance for the location of the as- built 24.5' x 24.5' frame garage, shown on the June 14, 2004 survey prepared by Young & Young. The garage is 12.9 feet from the easterly side property line, and a large portion of the garage is existing as built within a side yard next to the existing rear wood deck. The Code defines this portion of the yard between the deck and the side line as a side yard, and accessory buildings are permitted only in a rear yard. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of the relief requested will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The as-built garage measures 24.5 feet by 24.5 feet. The applicant was issued a building permit but the granting of the permit was based on an old survey, which did not show the addition of a new rear yard deck. The garage is not located behind the rear yard deck. The location of the deck according to the current code changes the rear yard • Pa ge 2—October 21,2004 ZBA File 5580 CTM Parcel 55-6-15.26 and makes the yard location of the garage partly in the side yard (and partly in the rear yard). The existence of the deck next to the garage does not affect the character of the neighborhood and the garage gives the appearance as being fully in the required rear yard. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The building permit was granted based on an incorrect map. The structure is already built. 3. The variance granted herein is not substantial. Part of the garage is in a required rear yard. 4. The difficulty was self-created when a map was incorrect and was missing information at the time of applying for a building permit for the new garage. 5. No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. 6. Grant of this relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a garage, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Orlando, seconded by Chairwoman Oliva, and duly carried, to GRANT the variance as applied for, as shown on the June 14, 2004 survey prepared by Young &Young, subject to the following: 1. The accessory garage shall not contain habitable or living areas. 2. The utility of electric and water spigot shall be permitted. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Oliv Chairwoman), Orlando, Goehringer, Tortora, and Dinizio. This Resolution was duly adopted (5-0 . _ 1& �n Ruth D. Oliva, Chairwoman 1�0/,,fq/04 Approved for Filing O r� cPrJ�cJ�cJ�r�tJ� cJ'c!'cJrJ'rJrJ�c.frJ�cJ�rJ�rJ�rJ�rJ�r1r.PcPcPcPrJ�rJ�cicPcPrJ�rJ�r�rJ�rJ�c.frJ'r1orJ�rJ�r�rJ�rJ�rJ�rJ�cJocPcPrJrJ�cJ� 0c 5 BY THIS CERTIFICATE OF COMPLIANCE THE S S NEW YORK BOARD OF FIRE UNDERWRITERS S 5 S 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET - NEW YORK, NY 10038 5 CERTIFIES THAT5 SS SUpon the application of upon premises owned by S S S SJIM SAGE ELEC. INC. GORDON TYRER 5 5 ORIOLEP.O. BOX 38 255 G EE PORT, NY 11944-0038, SOUTHO D, NY 11971 5 S S rSj Located at 255 ORIOLE DR SOUTHOLD. NY 11971 5 Application Number: 2032092 Certificate Number: 2032092 c� 5 Section: Block: Lot: Building Permit: BDC: ns11 5 5 5 Described as a occupancy, wherein the premises electrical system consisting o f 5 Selectrical devices and wiring, described below, located in/on the premises at: 5 5 First Floor,Detached Garage,Outside, 5 5 SA visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the 9th Day of November,2004. Name QTY Rate Bata Circuit: Tvae 5 Panels 5 5 1 60 6 5 SWiring and Devices S SOutlet 7 0 Fixture S cS Fixture 7 0 Incandescent 5 5 Outlet - 7 0 General Purpose 5 5 Receptacle 3 0 General Purpose 5 SSwitch 3 0 General Purpose S Cj Receptacle 3 0 GFCI �S 5 GFCI Circuit Breaker 1 0 20 amp General Purpose 5 5 S 5 5 5 c5 S seal 5 S S S 1 of 1 5 S 5 SThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. S S � cn�n cPcJrJ'� cnrJ�r�tJ'� cry rJc�ncJ�cP cJo cPcn�ncJ�cnrJcJt:nrJ�cn cncncJ�cn rJ'� D LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 AN (631) 477-1652 January 10, 2005 Mr. Michael J. Verity, Department Head Southold Town Building Department Main Road Southold, NY 11971 Re: Detached Garage Gordon Tyrer Residence 255 Oriele Drive Southold, NY 11971 Permit No. 299679 To Whom It May Concern: I have inspected the above mentioned detached garage with respect to the framing and strapping and note thatthe work was done in compliance with the New York State Building Code and the Southold Town Building Code. Sincerely, CL 1W / Lawrence M. Tuthill, P.E. / 4' r r Mo 2 t 032254-1 A9©FESS 101A. LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 17 L ' (631) 477-1652 December 16, 2004 Mr. Michael J. Verity, Department Head Southold Town Building Department Main Road Southold, NY 11971 Re: Detached Garage Gordon Tyrer Residence 255 Oriole Drive Southold, NY 11971 Permit No. 29967 9 To Whom It May Concern: I have inspected the above mentioned garage with respect to the framing and strapping and found that the work is in compliance with the New York State Building Code and the Southold Town Building Code. Sincerely, Of ALE . Lawrence M. Tuthill, P.E. s � J � r A`d�o 0322 -1 ��90FESSi�t�4�/ /45 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT � rc�on ISI b - VrC)c ( s )c ve S�- ACR. 2 S REMARKS TYPE OF BLD. ?/,a)�,- - PROP. CLASS Ct Mo, h;--L14&a &1 01,1S,",066 f 1//& o o de 14 LAND IMP. TOTAL DATEFY E Co-?-oq 5 o soo F, Il 03 Out-,-% I 000 5 Sao lho'j 14 q k 0 QO C) S --2,00 (o 300 AZ )4 04 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL oYm■1mm,P67tli' m mm I�I��Peei moloommom i ME MEN ■p��Npep����N�l� p■■ MMSMSMMOOMEMM EEM- Foundation Basement Ext. Walls Fire Place Woodstove Rooms 1st Floor Driveway I Rooms 2nd Floor q�NY1� l ■A �NNY� IV V L6ee TOWN OF SOUTHOLD PROPERTY RECORD CARD L -- OWNER STREET 2-S,5 VILLAGE DIST. SUB. LOT ACR. REMARKS TYPE OF BLD. Lc cl PROP. CLASS "2 -I erbOC tAnC) I -,-7 in 1.:zflt& 9;--L lloo3p,,8 q- L2 de 14 C4 0, LAND IMP. TOTAL DATE ' I I k ' "4'* 7 -2-clll-,31:43�cin CD-f, 57 40?q.5at p ,,F50 0 n 000 530o 4 Ict FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: April 2, 2004 TO: R&R Home Improvements A/C Tyrer PO Box 555 Greenport,NY 11944 Please take notice that your application dated April 22, 2004 For an under construction accessory garage at Location of property: 255 Oriole Drive, Southold County Tax Map No. 1000 - Section 55 Block 6 Lot 15.26 Is returned herewith and disapproved on the following grounds: The applicant was issued a permit on December 22, 2003 (#29967Z) to construct an accessory garage in the required rear yard based on a survey dated November 18 survey, from Howard W. Young. Following the proposed construction, on this non-conforming 27,355 square foot lot in the R-40 District it was discovered that the accessory garage was mistakenly located in the side yard, which is not permitted pursuant to Article III, Section 100-33,which states, "In the Agricultural-Conservation District and Low-Density Residential R-80, R-120, R-200, and R-400 Districts accessory buildings and structures or other accessory uses shall be located in the required rear Authorized Signature Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Z.B.A. BUILDING PERMIT EXAMINER CHECKLIST DATE REVIEWED: /2/22403 APPLICANT: DATE SUBMITTED: /2 /i9 /03 SCTM#DISTRICT: 1,000, SECTION: �� ,BLOCK: �, LOT:��26 SUBDIVISION: i pm, f ADDRESS: 0,- cclc CITY: So o QS_ ZONING DISTRICT: CONFORMING? /.»' BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N BP -Z/C/0 Z- , INFO /BP -Z/C/0 Z- , INFO BP -Z/C/0 Z- , INFO /BP -Z/C/0 Z- , INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time 7/1/83; REQ. LOT SIZE: ACT. LOT SIZE:a ; Q. LOT COV. 6767. ACT. LOT COV. REQ. FRONT PROP. FRONT �%Q SIDE ACT. SIDE REQ. REAR 7 PROP. REAR / REQ. REIGHT PROP. HEIGHT PROJECT DESCRIPTION: C-r— ESTIMATED PROJECT COST: ARCHITECT L C� WATERFRONT? i V DESCRIPTION: PANEL # FLOOD ZONE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or fjt , ED#): DTE: _/_/_ PERMIT#: TOWN SEPTIC RECEIPT: Y ort[7) NEW YORK STATE DEC: Pm-DEc 9/1/75 YES 6iz&D DTE: PERMIT#: SOUTHOLD TOWN TRUSTEES: YES orav DTE__/_/_ PERMIT#: TOWN ZONING BOARD APPROVAL: YES or-W DTE: PERMIT#: TOWN PLAN. BOARD APPROVAL: YES or DTE_ /_/_ PERMIT#: TOWN HISTORICAL PRE (SPLIA): YES or O NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2):�or NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: 1 SF FEE FEE FEE $� g-v 1. ( �?�i SF)_ j o v SF)=_71�_5F X$-'?o _$ 22 +$ 2 S +$ _ $ 7 2. ( SF)- ( SF)= SFX$ =$ +$ +$ = $ 3. ( SF)- ( SF)= SF X $ =$ +$ +$ =$ FINAL TOTAL: $ 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: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N 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:Y/N DESIGN LOAD CALCULATIONS: Y/N LIVE:Y/N DEAD:Y/N SNOW:Y/N SEISMIC:Y/N WIND:Y/N WINDOW AND DOOR SCHEDULE: MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION I ST - • ] FOUNDATION r rULATION FRAMING r4',j'--'FINAL FIREPLACE & CHIMNEY FIRE SAFETY • / /,o? Alf '� �%La. `�s... ��= !- -� I tom!-�-'�� ,� �'• DATE i • —� — 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION r REMARKS:'Z^« r DATE - INSPECT_24ea"let t .6dzg=:6, 00, � O 7a 765-1802 BUILDING DEPT. INSPECTION [Vf.--FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION RE RKS:�� 'K DATE �� -�� 6 INSPECTOR__� 0!� �� WIWI 1 Y' [ I id' I ;r1 1 _ !t; / ilo IA moo • i - � • 1 - . d 11 (� • e�- A i Joni Will - , --- - - . TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the follo�cring,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www.northfork.net/Southold/ PERMIT NO. 6 Check Septic Form N.Y.S.D.E.C. Trustees Examined l L g i,20 3 Contact: Approved 2-Z— ,20 Mail to: Disapproved a/c Phone: Expiration 4 v z 20 Building 4s0ector I. DEC 4 9 0 APPLICATION FOR BUILDING PERMIT FLDG. CREPT. TOVIN OF S uTHO o Date , 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 shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in parte 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,if a corporation) 0• 13-, i L I (Mailing address oKf applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises LAS 0 r" Jo (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. 1. Location of and on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Black Lot b Subdivision Fil& %Tap No. Lot (Name) 2. State existing use and occupancy of premises and ' tended uselad oc upanc f proposed construction: a. Existing use and occupancy �+� ,fin"�"I {11°!' b. Intended use and occupancy = A c c t S.S /V 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work , cc 1-1 ( escription) 4. Estimated Cost_ D U V 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 Rear Depth Height Number of Stn,ries Dimensions of same structure with alterations or additions: Front ear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front ! b Rear 1 0'0 Depth 2 7, 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 13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO 14. Names of Owner of premises ��� /�' {r Address 0-7 el IVY Phone No. " 3 j 7.� Name of Architect Address 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) SS: COUNTY OF )y-� e-, I/7 b ' duly sworn,deposes and says that(s)he is the applicant ame of individual signing contract)above named (S)He is the Ay +n I (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 /9 day of 2005 Notary Public Signature of Applicant LINDA J.('0-1rr:R Notary Public,State of NPw York �nV 20 MAIN �- S.C, DEFT. OF i V1ATt=_ � HEALTH S!:ft�'iL" pR1V Fs E � --� 207•i7, pR101-E 5.82o-5420 1 € r k Ln 1 GP• IN1�•N.ar. r _ _ tT a FRAME. m ' O- N HOUSE j4. A ` 13.1 IS•9_ .A r 1 0 I 4 ��� � ,• 'l t 22 Q ' Z 24 un Lot 5 1 Z %-0123`` f A� ° 4s •. 1 1`11 -oVG'tlnN EASEMENT IN COD OH��.. �D , ,Q 1� \ V� 1 / ItN 1 1 00.,28 It 78°16 O1W �O1 29 t SURVEY FOR SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES GORDON TYRER & DIANE TYRE. SINGLE FAMILY DWELLING ONLY LOT NO.25, °HIGHPOINT MEADOWS,SECTION TWODATE. NOV. I8,1992 OAT H.S.REF.NG. � � AT SOUTHOLD SCALE, C-40' TOWN OF SOUTHOLD NO 92-0988 The sewage disposal and water supply facil•Ities for this SUFFOLK COUNTY, NEW `FORK location(lave been inspected by this Department and/or ot1 i s and found to be satislacwry• r10N 7208 OF THE THIS CERTIFIED TO: WYUTM0111ZE0 ALTERATION OltNoolTiow TO GORDON TYRER SUPV[r a A VIOLATION Of SCC wElt WORK STATE EDUCATION LNCDIANE NE Chie OI ISUresu of Wast I, 8ifagement wCOPIES OF THIS SURVEY NOT GEARING TAE LAND NORTH FOR R SURVEYOR'S INKEO SEAL ORENVOSSED SEAL SMALL CHICAGO T NY S NOT IC CONE 10CNLD TO I[A VALID TRUE COPY .GUARANTEES INIq TUTED HEREON SMALL RUN CO p4LYED 10 THE PERSON FOR MHOM THE SURVEY IS PREPAR AND ON HIS IEHAiF TO THE TITLE COMPANY,GOVERN- HEALTH DEPARTMENT-DATA FOR APPROVWL TO CONSTRUCT ENTAL AGENCY THE ASS IMG INSTITUTION NST TTN[OL[F�ISTI D PROA. LOT 13.26 Mt11fON, .NEAREST WATER ING 6AI I a SECT*SOURCE '�1L-OLD" a TE�►UBL�C— .ISYITUTION GUARANTEES� ARE N0T TIUNS►ERAILE R SVP CO.TAX MAP DMT IQOO i0 AOOITIONAL INSTITVTIONf OR SUBSEQUENT OTHER[ AR[ MD DWLLLIIII/ WITHIN 100 FEET 0► TIBS►RO►CRNT OWNERS OTHER THAN THOSE fNOWN N[RCOM R DISTANCES SHOWER HEREON FROM PROPERTY UMDS 4 M THE WATER SUPPLY AND SEWAIE OISPOIAL SYSTEM FOR THIS EPI TMEN TO EXISTING STRUCTURES ARE FOR A SPECIFIC WILL CgIPORM TO TN[STANDARDS Of TNC SUFFOLK COUNTY DEPARTMENT PURPOSE AND AF.E 1401 To BE USED TO ESTASLISK LAND 0►HEALTH $MICU. PROPERTY LINES OR foot THE ERECTION O► FENCES APPLICANT. T)IL YOUNG a YOUNG RRI ERHEEAD,,NEW YORK "mess � O�q, '�►�o ALDEN W.YOUNG,PROFESSIONAL ENGINEER NOTE( D IN 1SUBDIVISION OFFICE OF THE SUFFOLK COUNTY ON MAR.9, 990 AS FILE NO,8 1. OF AND LAND SURVEYOR N.Y.S.LICENSE N0,12845 HOWARD W.YOUNG, LAND SURVEYOR a 6 z STAKEN.Y.S.LICENSE N0.45893 u R TK LOCATOI OF W4LPBl,f[fTIC TANIfrfT1B CLfvDcuKPI SHOWN NQI[ON i ME PADA FIELD aeKWRT10NS AND OR DATA OBTNN[D FROM OTHERS BRANDIS A SONS INC. FLOOD ZONE_ COMPLY WITH CHAPTER"46" CERTIFICATION OF FLOOD DAMAGE PREVENTION SOUTHOLD TOWN CODE. NAILING & CONNECTIONS � REQ s�E�, `�" ro APP VEDAS AS N t `' .. -_..i Tr;( _/ 2 3 DATE: l U B.P.# w FEE: BY NOTIFY BUILDING D,P.-PARTh ENT 765-1802 8 AM TO 4 PM �n _.�. A r ifs �+� t_��°e'` �s � FOLLOWING INSPECTIONS: �� tr�F- rt _ _.�. . Ma� er 1. FOUNDATION - TWO REO IRED Pe FOR POURED CONCRE;Ea- 2. ROUGH - FRAMING & PL MBIN 'Vw ��f r4 fC M 3. INSULATION '"- sh► � n a � ¢tt (cc �. 4. FINAL - CONSTRUCTION IUST. ._. y BE COMPLETE FOR C.O. j r4ax < ALL-CONSTRUCTION SHALL MEET Y REQUIRE ENTS OF THECOd ___.r _r_ _ __ _.. __------- YORK ST,T E l i DESIGN SFIb�I ";� ,� �.# ct.t,flee C'l� �{ � ;v Ull/ U o 2 S� i 3� Olr _._�. ra BleC * myf, ALL CONSTR-U&T-U,NS — _ l MEEM REQUIREMENTS OF HEi 2` 4 £ #`,r OBE�fflt=lt�11 YORK "tAT s 7 tsi '' ._ ._�r► ertc �r�.�Gtr r� s , P r l = A j�1.n {�. H _ �-' �r cr►�'h �Ott S s e 'so/o o" CdcvjjbNu d P4 - -- NEIN Yn cT &.TOJI�II - F t AS RE U. N� to �- ,^ SOl�.HOLD TOWN ZBA - OC vU PA iAllY 1 R SGLT70LD TOWN PLANNING BOARD - -- USE-IS U N L,<•`.lJ r-UL SOUTHOL D TOWN TRUSTEES _ WITHOUT Cb-,i�FICATE - - N .�.D �Notn�a�, _OF-OCCUPANCY_- - - _ ■ ■■ ■■■■■■■■ ■■■■■■■■■■ �'.�■■ ! !�!�■■■■■■■■■■■■ ■r ■ - - s:■ _ �� moos mE■E■E■= Ell o ■�mmmmmmmmmm■m EME■E■■E■■E■m ■■■■■m■■■■■■■■■■MEN■■■■■■■N!'�%�/■ ova comm■mmmm■mm ■■mom■ ME Eon ■■■■■■■■/s�/ _ ME IN■E N■■■tea%'�/ mm■mm■■■���■mmmmm mom pi lml mil m■■m■■�■�■■m■i■m I■i - . 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OF GREENPORT, NEW YORK 11944 EMON (516) 477-1255 CHECKED BY DATE SCALE ■■mm■■m■■m■■EENE■E■EEEEm■■EEENMI■■ ■■■■■■■■■■■■■ ■■■■ ■■■■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■ ■■■■ ■■■ ■■■■■MMM■ EM■MMMMl M■M■MMMMMMMMMMMM�■■ ■■■: m. ■■■ ■■ :�1:� �..�■■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MEN■MINMEM■■ ■■■■■■■■ ■■■ M■■■■■■■■MEMO ■■■■■ ■■EEi�■!■■■■!��■■■�■■■■■■■■■ !■■■■ ■■■■ ■■SDE■■■■■■■■■■■■■■■■■■ MMMMI■■■IMMM■■ ■■ MER MEMO■ ■!■ ■■■NIHEIMM ■ME■ ■ E MEE EO■■■E■■M■ M�i■r■EW�■ SESSION E ■■■ ■■ ■■ = MEMO ■■■■MIL■ ■M . -��' ■ a ■■■Minim■■■■E■EM ■■■■■ MMEi■!�!�lMIl�1■,■■MMM■ ■■MMI■■tIEEE■� ■E■MME■ ■MMMM ■M MEMM �%�!�!1!�!��MEEEEME ■ MMMEI■■■lMMEE��M■M■■■■■EE■■■ �,E/�!M■!NM■IMM■ MEM■1■■■■■MM.■■■■■■■E M �r��■IMAIM"Mb 00, 1111 ,N■M■AMM M■■MI■■■1■■■MMOM _ OEM NEWS ■mom 2- 1r �Ml�■M "As ■m a plawl% MM■MMM ■ III■■■!■MAIM■ ����� ■ ��a����►j � �i��■���►� ■� M•11.■I■M�■M■■MMEMO 1■■ME ■`i� 11■M■M MEE■I■■�lEEE�EEE■■■■ME■EEE ��1�■NOME I,�, _ ■ MIIMVAN a ■�I■■oE■■■■■■mini ■ 1 I■ SII/ ' !■ ■■■IElwm0 I E IlIM 0 MEN ■■■■■■EEEEEEEEE r v Ears - _ . .0: ■ E■EEM■MM■■m E 11 ,. . 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GREENPORT, NEW YORK 11944 EMEMON 0 1104 so Nil (516) 477-1255 CHECKED BY DATE EEMill■■■ESOMME■E■■■E■■EEEE SCALE i , Qh. _� r � ►� DIs l��ssvt' Des, s� Sh,�'eH P,.�ss�►� Make ; pp 4lhr o fni4S' /fir«+ VI/�.,� �.Pr Zvh. a- S,Le X03 2 6v 53 / �f 2S.o 2Y l ' d 5 2 .53-8 VIVP �r4 e z p , >: 0322 'OLLI FFS Ei(r)VIA4P _ � 1 E • i• J F P k , i i NAILING SCHEDULE ' TA13LE 3.1,INCLUDING 3.3 AND 3.9 1995 SSC HIGH WIND EDITION WOOD FRAME CONSTRUCTION MANUAL JOINT D)E;SCRIPTION NAIL QUALITY NAIL SPACING ROOF FRAMING RAF ER TO TDP PLPFTE TOE NAILED 8'-0"WALL:3-6d PER RAFTER CEILING JOIST TO TDP PLATE 1��WALL: -8d PER RAFTER • TOE NAILED 8'-0"WALL-3-Sd PER JOIST CEILING JOIST TO PiARALLEL'RAD F7ER FACE NA 10'-0"WALL: PER JOIST SEE TABLE 3.7 7 EACH LAP CEILING JOIST LMS OVER PARTfWNS FACE NAILED SEE TABLE 3.7 EACH LAP COLLAR 11E 70 RAFTER FACE dALED SEE TABLE 3.4' PER TIE BLOCKING TO RAFTER TOE NAILED 2-8d EACH END RIM BOARD TO RAFTER END NAILED 2-16d EACH END WALL FRAMING TOP PLATE TO TOP PLATE FACE NAILED 2-16d ` PER FOOT TOP PLATES AT INTERSECTIONS FACE NAILED 4-16d JOINTS-EACH SIDE STUD TO SMD FACE NAILED 216d 24"O/C HEADER'f10 HEADER FACE NAILED .16d • 18"O/C ALONG EDGES TOP OR BOTTOM PLATE TO STUD• END NAILED 216d PER 2X4 STUD 3-164 PER 2M STUD BOTTOM.PLATE TO FLOOR JOIST; 4-16d PER 2X8 STUD BANDJOIST,END JOIST,OR BLOCKING I FACE NAILED 2-16d ' PER FOOT FLOOR FRAMING JOIST TO SILL,TOP PLATE.OR GIRDER TOE NAILED 4-8d PER JOIST BRIDGING TO JOIST TOE NAILED 2-Bd EACH END BLOCKING TO JOIST TOE NAILED 2-8d EACH END ' BLOCKING lO SILL OR TDP PLATE TOE NAILED 3-16d EACH BLOCK LEDGER STRIP TO BEAM FACE NAILED 346d EACH JOIST JOIST ON LEDGER TO BEAM TOE NAILED 3-8d PER JOIST BAND JOISTT'O JOIST END NAILED 3-16d PER JOIST BAND JOISTTO SILL OR TOP PLATE TOE NAILED 2-16d PER FOOT ROOF SHEATHING STRUCTURAL PANELS V PERIMETER EDGE ZONE-18"O/C-6"AT PANEL EDGES AND AT INTERMEDIATE SUPPORTS W THE 8d PANEL FIELD INTERIOR ZONE-18"O/C-Ir AT PANEL EDGES AND 12" 8d AT INTERMEDIATE SUPPORTS W THE PANEL FIELD FOR ROOF SHEATHING WITHIN 4'-0"OF E PEPJMETER EDGE OF THE ROOF,INCLUDING 4`-0"ON EACH SIDE OF THE ROOF PEAK,-!HE 4'-0" PERIMETER EDGE ZONE ATTACHMENT REQUIREMENTS SHALL BE USED. CEILING SHEATHING GYPSUM WALLBOARD 5d COOLERS 7"EDGE/.10"FIELD WALL.SHEATHING STRUCTURAL PANELS 8d V EDGE ZONE-16"OIC-6"AT PANEL EDGES AND 12" AT INTERMEDIATE SUPPORTS IN THE PANEL FIELD 6d INTERIOR ZONE-18"O/C-6"AT PANEL EDGES AND 12" DI FIBERBOARD PANELS AT INTERME3"EDGE 16"FIELD ATE SUPPORTS IN THE PANEL FIELD 7/16" 6d 25132" 8d 3"EDGE/8`FIELD GYPSUM ALLBOARD 5d COOLERS 7"EDGE/10"FOLD HARDBOARD 8d V EDGE ZDNE-18"O/C-8"AT PANEL EDGES AND 12" AT INTERMEDIATE SUPPORTS IN THE PANEL FIELD 8d INTERIORZONE-16"O/C-Ir AT PANEL EDGES AND 12' AT INTERMEDIATE SUPPOR'T'S W THE PANEL FIELD FLOOR SHEATHING STMut;TURA PANELS-1"OR LESS 8d 6"EDGE/12"FOLD TABLE 3.4' 1 TABLE 3.7 1995 SBC HK3H WIND EDITION.WOOD 1995 SBC HIGH WIND EDIITON WOOD FRAME FRAME CONSTRUCTION MANUAL CONSTRUCTION MANUAL RAPIER SPACING 16"OIC, RAFTER SPACING 16"O/C 120 mph FASTEST WINDSPEED ROOF PITCH ROOF SPAN RAF ROOF NUMBER 12 20 28 36 PITCH SPAN(ft) OF NAILS 3'12 5 8 11 14 4:12 124.12 4 6 8 11 3 5-12 3 -5-7-9. 16 4 7:12 3 4 5 20 5 612 3 3 24 6 9. 4 5 28 7 . 12:12 3 3 3 4 32 8 36 5:12 12 3 • 16 4 20 4 24 5 286 3236 7 CIF Mfjy� 6:12 12 12 3 16 3 g tiNGE �, 20 24 28 5 :ae 32 6 ' 36 "7 G 032254-l' 7:12-1212 12 2 16 3 fESSIQNA 20 4. 24 4 I 28 5 - 32 6 36 6 STRUCTURAL WOOD PANELS FOR WIND-BORNE DEBRIS PROTECTION FOR WALL OPENING PROTECTION OF12O MPH 3-SECOND WND GUSTS (MAXIMUM MEAN ROOF HEIGHT:35') MULTIPLE SECTION ASSEMBLY: 1/4" THICK BOLTS Q TOC ': il : it • . . I �<- . • . ' . . . jI III iI \` �.���� ce I I°r it SHUTTER AS O>EMBkY FOR•PANRL SPANS-'0X.47-6WIDE SPAN. ' TAB•L�'1rsra9.�.4 ' 23/32"'.0A SPAN-RATED 4.8/24 SHEATHING GRADE PLYWOOD(OVERLAP AROUND OPENINGS 4") USE AC GRADE'W/2 COATS'Exr-EkIOR PAINT 2 SIDES,4 EDGES. LABEL ACCORbING TO.LOCATION. ASSEMBLY: ATTACHING:STRUCTUKIAL PANEL: FASTEN TO BUILDING wl#8x3"(w/WASHERS)GALVINIZED OR 'STAINLESS STEEL WOOD SCREW Q 16"O.C. OR BETTER ALTERNATIVE FASTNER FOR SHUTTER TO BUILDING: #107ES NUTS ATTACHED TO BLDG.w/#10x 1 Y2"(WI WASHERS)MACHINE BOLT Q 12"b.C. WHERE SCREWS ATTACH TO MASONRY OR MASONRY STUCCO,THEY SHALL BE ATTACHED " UTILIZING VIBRATION RESISTANT ANCHORS HAIVING A MINIMUM WITHDRAWL CAPACITY OF 490 lbs. SHUTTER AUEIVIBLY .1'OR PA NSL SPANS:4'-0"OR VER SPAM SPECIFICATIONS AND""'ASSEMBLY-IDENTICAL TO 0<4'-0"SPAN. NOTE ADDITIONS; 2x4 STRONG-'BACKS(�,24"OC ASSEMBLY. 1)..PREASSEMHLE PLYW00D TO'2x4'S:# 10x3"(w/WASHERS)GALVINIZED OR STAINLESS STEEL WOOD SCREW @ 12"0.C. �UljOpD SP"SL.A,Wm A MINIMUM THICKNESS OF 7JI!r AND WAMMUM PANEL SPAN Of 13'-d', ttiHAll B5 PEAFiIITT@Di4 OPBNINO PwrscTIOH IN ON AND TWO STORY BULDIN49. PANELS j$HAl1 AL PRRGU.T.1DtCOVER 0tN1B,AHD TABLEp gPEHIHO8 WITH ATTACHMEHT.HARDWARE PROVIDED. kf!a F$R T'0 RELRItJH It%>! 1 AND1i7�_PJ .. .,_..._.. .._.___..._.._-_. TAKE-1609.1.4 WIN MORNE'DEBRIS PAOTECTON PA&TENINO'SON O tri FOP WOOD STRUCTURALPANELG rA5TEMER SPACINO QNCH 9 of PANEL SPAN< <O"'E PANEL 40<PANEL d0' <PAN EL lr FAS.TENrm TYPE " 3K1" SPAN<*0' SPAN<9•17' $PAN<0-0" 92.' 00 WObD.SCREWB 1Rj 19 1$ a r .1/2'-#8*QODSCREWS 1e 1e IA 12 •A,. 1HIS TABLE 18.8ASE�ON A LIAXIMLIM WIND SPEED i3$EL OND OUS17 OF 13O MPH AND MEAN ROOF HE1614 0F`3310�OR A._ _.,..._. .. 1 _ _. FSSIp�P ;B.• FASI�NERS SHALL BE INGTA 5,I)AT OPPOSING ENDS QP TH6 WOOD.8TRUCTUgAL PANitL L�, 6' WHERE SCREWS ARE ATTACHED TO N4SON RY OR MASONRY!STUCCO THEY SHALL_©E �r n �1TTACHEtl U IilpM10 VIBFLAITON RESISTFINTANC HbRS HAVINd A MINIAAUIY�WITHDRAUJL 1,