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HomeMy WebLinkAbout29757-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30677 THIS CERTIFIES that the building ADDITION Location of Property: 4875 NASSAU POINT RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 111 Block 9 Subdivision Date: 01/10/05 CUTCHOGUE (HAMLET) Lot 10 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 12, 2003 pursuant to which Building Permit No. 29757-Z dated SEPTEMBER 23, 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 COVERED PORCH ADDITION WITH DECK ABOVE AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SELIM & JUDITH SAMAAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1192780 01/03/05 PLUMBERS CERTIFICATION DATED 12/05/04 MATTITUCK PLUMBING & HEAT zed Signature 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. 29757 Z Date SEPTEMBER 23, 2003 Permission is hereby granted to: SELIM & JUDITH SAMAAN 80 ETON ROAD GARDEN CITY,NY 11530 for : ADDITIONVALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 4875 NASSAU POINT RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0009 Lot No. 010 pursuant to application dated SEPTEMBER 12, 2003 and approved by the Building Inspector to expire on Fee $ 150.00 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT r .`� TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCYf1 r 1 4 2004 A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 buildin 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 an '-'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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 ' 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... /A.1 ./..V�_Jl 101q* . New Construction........ Old Or Pre-existing Building ...... X. ...... Location of Property...,ga,5 ... .aS�q�....�� a�n ....� ......�e�:LC,Y10 House No. -I Street Hamlet Onwer or Owners of Property. .vu :C..�����....�:G.Q. .................. County Tax Map No 1000, Section.. .`........BlocR......... Lot ................ Subdivision....................................Filed Map ............ Lot ................... Permit No.. .k�.J�..�....Date Of Permit. .�.�...Applicant.�1"A L, Yne!(... Health Dept. Approval..........................Underwriters Approval...................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate.�....... Fee Submitted: $.... . a:�........................ , ....... ..AX .L . 1 0-) APPLICANT I l .. 1 I , u Town Will. 5.10M Main nood P. U. I7nx 1 179 Souliwld. flew Yolk. 11971 11`c (SIr,) 7r, �•19'1;1 rvIap wnq (5 16) 7r, I01)2 OFFICE OF THE BUILDING INSPECTUn TOWN Of' SUUTI (OLD !✓ R T Z F z C n' l' 1 0 ;r - / 1 Wo—t( nui1d.1ny Permit No. _L 7. (please pr1nt) plumber! 06414VJ Rorn'.r +r .�o.T�n (plenee prim;) I certify Lhat the solder uued In the railer. Supply sy!;tQm contnins loss than 2/10 of 1P lend, _ _I(n'I Ilnlf R nq G J ynn 1.ii rr?) - sworn to before mcg Lois b d iy o C Notary PUblic, SVWpVt---- c;c.,1111ty a y P ANIS V. Bof N NaYry �i1G sW. Nrw Yc. No. 4OW12' OWN N 9u11oMc County / Cmnbft E*w Ori. ?9. � S BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT Upon the application of JAMES MURRAY P.O. BOX 305 LAUREL, NY 11948, Located at 4875 NASSAU POINT RD CUTCHOGUE, NY 11935 Application Number: 1192780 Section: Block: Lot: upon premises owned by SELIM SAMAAN 4875 NASSAU POINT RD CUTCHOGUE, NY 11935 Certificate Number: 1192780 Building Permit: 29757 BDC: nsl1 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located Won the premises at: First Floor, Second Floor, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 3rd Day of January, 2005. Name OTTY Rate Ratin¢ Circuit Type Alarm and Emergency Equipment Sensor 2 0 Carbon Monoxide Appliances and Accessories Exhaust Fan 1 0 F.H.P. Wiring and Devices Outlet 40 0 Fixture Fixture 40 0 Incandescent Outlet 37 0 General Purpose Receptacle 17 0 General Purpose Switch 25 0 General Purpose Dimmers 2 0 Receptacle 1 0 20 amp Laundry Receptacle 5 0 GFCI seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. TOWN OF SOUTH.OLD PROPERTY RECORD CARD OWNER STREET-lr`' �, VILLAGE DISTRICT SUB. LOT 024 V De-lono f 4" CSV IC6 (pe FORMER OWNER N E ACREAGE avi�7fj)f,,� S W TYPE OF BUILDING y :ES. i, I VL. I FARM COMM. I IND. I CB. I MISC. LAND IMP. TOTAL DATE REMARKS o O. 6I . �s`` f 7 0 Doc A.- Sgtyygo 4 S'o 0 /Z 300 10L10 1q, L3421�50 - L 1) - 34gloon j4 - a nmctan GE fl BUILDING NDITION �f GZ3 (7 JeV 13 b NEW NORMAL BELOW ABOVEAf Farm Acre Value Per Acre Value)t;-A illable 1 - p 1p r'�LID I r2.��%ol p •illable 2 "illable. 3 Vood l a:nd wampland rushland louse Plc otaI --i E 14...1^+rP I Zi COLOR TRIM M. Bldg.4 4 : 9� S So L�� Foundation C B Bath Dinette r Ex ension % _ L� g 3 , gZ Basement CRAWL Floors Kit. _ 5E nsion ��jc 3 Z c Sip Ext. Walls %A%il ^o Interior Finish L. R. s -t Extension 2,I{ s Zo y 3S o r� Fire Place S Heat i' D. R. .,rRy Foye /0 �( � $ = / � o Z,Sa �O Woodstove BR. 0 orch �4 x 37 = SSS /.00 �� $ Dormer Fin. B. l;ou 3 n S yS . 570 23 Attic — Breezeway Rooms 1st Floor Garage g - Driveway Rooms 2nd Floor X.2 Z t o 2-1 O.B.- Po 1 - SURVEY OF LOT z9 �" ll 3 PROPERTY x l AT NA SSA U PO/NT >- TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. N ,g• 361 20"'�` 3� , 100009 09 - 10 Scale 1 000,ot LOT a V May 5, 1989 W� Z- % �``` 4ul CL g \L 4 J LOT E9D { Lor fYUlARA7P8 REREF TSE ofFAce of TW SUFFOLK CO(A rrr ci �� Ni I.9? FAE Pnpaed fn eeo-d nee wfth the A*domm eandarde /or HNA eevver� a eeteOp�Md i 67,000 s . ft. a tn. uw.t s end proved and edooted ; 4 %a cosh eeeOr n,. Aiow r"k sate Lnw (TO TIE LINE) Tlth Anoe/et. LOT 31 Tom' V 7 ef/� iiE ar a •v�� �'•'1+ s b 1� w Z �% x s a azi S. 96• 20" W CERTIF/ED TO. AMERICAN T/TLf JNSURANCE COMPANY CHASE MANHATTAN BANK SELIM SAMAAN atr oa�%xrr JUDITH SAMAAN z pb 348.001 LOT E9D { Lor fYUlARA7P8 REREF TSE ofFAce of TW SUFFOLK CO(A rrr ci �� Ni I.9? FAE Pnpaed fn eeo-d nee wfth the A*domm eandarde /or HNA eevver� a eeteOp�Md i 67,000 s . ft. a tn. uw.t s end proved and edooted ; 4 %a cosh eeeOr n,. Aiow r"k sate Lnw (TO TIE LINE) Tlth Anoe/et. Albert J. Krupski, President James King, Vice -President Artie Foster Ken Poliwoda Peggy A. Dickerson September 24, 2002 Mr. & Mrs. Selim Samaan 80 Eton Rd. Garden City, NY 11530 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: 4875 Nassau Point Rd., Cutchogue SCTM#111-9-10 Dear Mr. & Mrs. Samaan: Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 The Southold Town Board of Trustees reviewed the survey dated May 5, 1989 and determined the proposed addition on the landward side of the dwelling to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code. However, any activity within 100' of a Wetland line would require permits from this office. This determination is not a, determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:Ims N I r" RoAV GpRp LLAT ae ad" E �� a• 7 a 0 o �.,.u•« aiw.ei i ,t SUR VE Y OF PROPERTY A T NASSAU POINT CL TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - n1 - 09 - 10 5 Scale 1" 40' ! tayo, gzbo-1119, 99 s, AWN SAWAN •w�b �avMnr �t1A Nw ,Hirt �, LIC. M kr aM�!w�.l+In r ��weleie WMM� AREA : 87,000 dq.ft. rM ►ui• T7rlww a da» tW CONT" LINES ARE Rff£RENCED ro P. OO M Lpw Nyy Tt' FsVE EASTERN TOWNS r01s06AAphc gd "APS W V.P.t WIN . 1*71 89-; CL 1 � SS i CERMAW ro, AAI To" Ttri MfSURANCE COWANY t CkA MSA BARK 1Et AWN SAWAN •w�b �avMnr �t1A Nw ,Hirt �, LIC. M kr aM�!w�.l+In r ��weleie WMM� AREA : 87,000 dq.ft. rM ►ui• T7rlww a da» tW CONT" LINES ARE Rff£RENCED ro P. OO M Lpw Nyy Tt' FsVE EASTERN TOWNS r01s06AAphc gd "APS W V.P.t WIN . 1*71 89-; v a.a/L ii A V 1 iJi%11111 iLt&AAA I ZIL'I JJi\ APPLICANT: SCTM# DISTRICT: 1,000, SECTION: 111 , BLOCK: q, LOT: DATE RE v M VYED: -L—/ l /U. DATE SUBMITTED: _ fLja /9�- SUBDIVISION: a.,� Ai ADDRESS: 1415 /dug", ®/ X/CITY: (1� —ZONING DISTRICT: A CONFORMING? LY BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N BP -Z / C/0 Z- , INFO / BP BP -Z / C/0 Z- , INFO / BP -Z / C/0 Z- , INFO -Z / C/0 Z- , INFO SINGLE & SEPARATE CERTIFICATION -REQUIRED NOTES: LOTS 40,000SF -100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN. 1997 100-25. Merger.(A nonconforming at anytime aft( REQ. LOT SIZE: ACT. LOT SIZE: 5 REQ. LOT COV. ACT. LOT COV. d REQ. FRONT ;5-d PROP. FRONT RE SIDE ACT. SIDE REQ. REAR -----V PROP. REAR ,� REQ. H i (!HT PROP. HEIGHT PROJECT DESCRIPTION: ESTIMATED PROJECT COST:tW-A���NGINEER: s k WATER FRONT? DESCRIPTION: LaRF )moi✓/c e)OPANEL # APPROVALS REQUIRED FLOOD ZONE/X SUFFOLK COUNTY HEALTHD + T: Y s o(BED 11): DTE: / / PERMIT #: TOWN SEPTIC RECEIPT: Y oiN AD t kt NEW YORI{ STATE DEC: PRE -DEC 9/1/75 Y S Ol�Nj-} EiI%), DTE: / / PERMIT #: SOUTHOLD TOWN TRUSTEES: O -K DTE /O?HERMIT #: TOWN ZONING BOARD APPROVAL: YESo DTE: // PERMIT #: TOWN PLAN. BOARD APPROVAL: YES o DTE / / PERMIT #: TOWN HISTORICAL PRF, (SPLIA): YES - NO NEW YORK STATE CODE COAIPLIANCE (SEE PAGE YYE or NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: _ �'�->� SF SECOND FLOOR: t Z u SF OTHER: TOTAL: I. 6G SF)- ( SF)= 2. (__-.-____SF)- (_SF)= SF G SF SFX $ =$ +$ SFX $ =$ +$ INIT OTHER TOTAL FEE FEE FEE $ --- =$ 3 • (_SF)- (_SF)= SF X FINAL TOTA( NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHI DESIGN CRITERIA: Ground Snow Load: 45 Wind Speed: 120MPI Weathering: Severe Frost Depth: 36" -V—/ Ter 'te; Seismic Design Category: B V l=� Decay: S -M ✓ Design Temp: 11 Ice Shield Underlay: YES Flood Hazards: - USE/OCCUPANCY CLASSIFICATION: 4 HEIGHT/FIRE AREA: * TYPE OF CONSTRUCTION: _�- DESIGN CRITERIA: ENG FULL FRAMING DESIGN HEADERS: Y/N 'MALL STUDS: Y/N GIRDERS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N ROOF RAFTERS: Y/N LUMBER SPECIES AND GRADE: Y/N j DESIGN LOAD CALCULATIONS#/N LIVE: Y/N ` DEAD: Y/N SNOW: Y/N SEISMIC: Y/N WIND: YIN WINDW AND DOOR SCHEDULE: f ., MISSLE TEST REQUIREMENTS: Y/N SHOW eAN�t_ Dt3 (Cev it EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N AILING/CONSTRUCTION SCHEDULE: Y/N 6 �� MEANS OF EGRES'/N PLUMBING RISER DIAGRAM: Y/O P)" LOCATION OF FIRE PROTECTION EQUIPMENT('/N TRUSS DESIGN: Y/19 N bi CERTIFICATION: Wo 44 - ENERGY CALCSG/N V1 TOTAL COMPLIENCE? Y/N (RETURN TO PA E ONE) q1 M-1802 BUILDING DEPT. SPECTION [ ]FOUNDATION 1$T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY DATE OWM 3 INSPECTOR 29�s7�- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION ,tel 4 DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST . [ ]FOUNDATION 2ND S�QIa [�FRAMING ] FIREPLACE A CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE ' jlqJ02) INSPECTOR I 1 .1 1;/ M-1802 BUILDING DEPT. INSPECTION [ ] FOUN TION 1ST [ ]ROUGH PLBG. [ ] F NDATION 2ND [ ]INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY DATE 1 1 d1A 7" INSPECTOR -�7- M-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION IST [ ] RO PLBG. [ ] FOUNDATION 2ND ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTIO".-� [ ]FOUNDATION IST [ ROUOFI PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE )"I 10 I 0 V -INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION IST [ OUGFI PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY DATE INSPECTOR ?(,r772 -- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE A PIIMNEY REMARKS: DATE � RoucN Esc. [ ]INSULATION [ ]FINAL INSPECTOR c c 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ]1 ATION [' FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE INSPECTOR -Zt-" Z � p�/�����iiirr��: ��� TOWNQFO,UTHOLD BUILDING PERMIT APPLICA TIONR CHECKLIST BUILDIAG DEPARTMENT Do you have or need the following, before applying ? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: 7654802 PERMIT NO. QM6 Survey Check Septic Form N.Y.S.D.E.C. Trustees Examined %Lvi 20 4. Contact: Approved 20 3 '' ,'. Mail to: Disapproved a/c z Phone. —'-13ulld'13ispr APPLICATION FOR BUILDING PERMIT. 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 part for any purpose what -so -ever until a Certificate of Occupancy is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department,for the issuance 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, buildi,.%1 code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insp6ctiow- . (Signature of applicant or name, if a corporation) (Mailing addreWof applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises wt C (as on the tax roll or latest deed) If ap lic t i a co ratio signature of duly authoriz officer — 'I (Name and title of corporate officer) Builders License No. Plumbers License No.a-itLl Electricians License No. Other Trade's License No. IN n House Number Street Hamlet County Tax Map No. 1000 Section Block___p Q Lot Subdivision Filed Map No. Lot (Name) >.. State existing use and occupancy of premises a. Existing use and occupancy _ j b. Intended use and occupancy and occupancy of proposed canstrncdon 3. Nature of work (check which applicable): New n 4— Repair Removal Demolition Other Work (Description) 1. 5. Estimated Cost / 4J(, 0O Fee (to be paid on filing this application) If dwelling, number of dwelling units r Number of dwelling units on each floor If garage, number of cars / 5. If business, commercial or mixed occupancy, specify nature and extent of each type of use. P, P, 7. Dimensions of existing structures, if any: Front - 0 Rear Lia Depth Height '� o` Number of Stories ,Z Dimensions of same structure with alterations or additions: Front . S� wi Rear Depth _ -_Height Number of Stories. 8. Dimensions of entire n construction: Front Rear Depth 91 Height '2o Number of Stories �.. 9. Size of lot: Front Rear A Oo Depth 3 .� � - 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: bb 13. Will lot be re -graded .00 Will excess fill be removed from premises: YES G O 14. Names of Owner of Name of Architect _ Name of Contractor No 3 r No. -24 aA 15. Is this property within 100 feet of a tidal wetland? *YES NO ?O • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) S; COUNTY OF� n P being duly sworn deposes and says that she 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 /oL day of /}C! G 2003 No Public LINDA J. COOPER Notary Public, State of New York nW Term E>cW�,. D. ber 31..uWW 4 4t At" Signature of Applicant po "r F 2.oM L1 -.y P B�E'To 'sr- UNoS2- LT�TION Ale,pVE REo�EJ�PowT �oAO �=12ST F L-00(<-, S"o15T L_A`(OUT S-ri"(, aregL osse" TO R.Pa.M4i,J R.ENIO�� EY�STIYd(.1— (-OUi�I `OATtON WALK NEW 3�L C�STl-%OI.UM IJ P, C. FOOT1n1 C.1 E' N°4 2ECiP2 E►e4{ I vvlY 3" c 'E2 (w - 150T BOT TO M \400 3�'2 ¢ 6TH. cow rv�n %$0�4! TQP�^•�61T�C+nI EX rEro Fool tnl [,i EXIST. 2EY3n2 O.r, ro*LI E1=111 El(IST,NG� - II'J V-Tr2ESS I i APPROVED AS NOT® DATE: FEE:— BN NOTIFY BUILDING DEPARTMENF AT 755.1802 EAM TO 4 P FOR THE FOLLOWING S16PECT0Nk 1. FOUNDATION - TWO 14E000 FOR POURED CONCRETE 2. ROUGH - FRAMING i PLINNINO 3, INSULATION 4. FINAL - CONSTRUCTION WJBT "8E COMPLETE FOR C -0 - ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OFT14ECODBOFWW YORK STATE. NOT RESPONSKE FOR DESIGN OR CONSTRUCTION ERIIOR6• OCCUPANCY OR 11SE IS UNLAWFUL 0f _-SCUP PO{h1Y LovoS F 2oM .�i3tiv C 3 Rerl�oJE ExisT�titq I vv4M1-L AFDOT wC�� •nl�� `--- FiN W.>LLS TO fiJPPO �? S TEP/a c2�F•f n0�2 t -I c c��'rJ w/c�v_or c �\ 6 U N T-� AT I O hJ L. A bel v;;,y'".; prto aosEo co���nv-rI OIJ . � EXisT tN (,� eo Ue.e �:,nTiorJ COMPLY WITH ALL CODES OI NEW YORK STATE & TOWN COD AS REQUIRED AND CONDITIONS J liy_ SWIHOLTOWN /�/� souTHaOTowNRARANNNGI SOUTHOLD TOWN TRUSTEES ✓� N.Y.S. DEC ROOD ZONE COMPLY WITH CHAPTER "46" FLOOO-DAMAGE PREVENTION SOUTHOLD TOWN CODE. CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. ALL CONSTRUCTION SHALL MEET THE' REQUIREMENTS OF THE CODES OF NEW YORK STATE. REQUIRED Don Bouchard Design 14 Jackson Ave East Quogue, NY 11942 (631)653-6535 DATF, TUNE 2_oo3 SCALP: `%4 -1'-ori FPJN r>p.T lb tnl G FiR�T6L..002.. fy l-eti S T. y� 6VTTRE46 I M 6E.iM POCKET ----- - B�TN P,f GOJu p4T'�Otii 1 I ti `--- FiN W.>LLS TO fiJPPO �? S TEP/a c2�F•f n0�2 t -I c c��'rJ w/c�v_or c �\ 6 U N T-� AT I O hJ L. A bel v;;,y'".; prto aosEo co���nv-rI OIJ . � EXisT tN (,� eo Ue.e �:,nTiorJ COMPLY WITH ALL CODES OI NEW YORK STATE & TOWN COD AS REQUIRED AND CONDITIONS J liy_ SWIHOLTOWN /�/� souTHaOTowNRARANNNGI SOUTHOLD TOWN TRUSTEES ✓� N.Y.S. DEC ROOD ZONE COMPLY WITH CHAPTER "46" FLOOO-DAMAGE PREVENTION SOUTHOLD TOWN CODE. CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. ALL CONSTRUCTION SHALL MEET THE' REQUIREMENTS OF THE CODES OF NEW YORK STATE. REQUIRED Don Bouchard Design 14 Jackson Ave East Quogue, NY 11942 (631)653-6535 DATF, TUNE 2_oo3 SCALP: `%4 -1'-ori FPJN r>p.T lb tnl G FiR�T6L..002.. fy l-eti S y� 6VTTRE46 1 I ti n 1 1 � 4 � �, �wEV4 —D20P Po2t,H L6U'rT2�, r05 I ��, G°rn Pact 45f I A. FOOM gwTON 4° F20M TOP 'm �I 54N0 oG HOUSF FO VN :�AT'�OI-•1 il• n I Q"UE STON @, iso rr_c. rl ov21Z t4" T,4 F. C_ £t_Ae, vJ, �ttV to/�o w vU.rul. S U P O 2T 5TA12L P 60 o ----F- -�------- Po RLN FyASCt Z1�71�2. `--- FiN W.>LLS TO fiJPPO �? S TEP/a c2�F•f n0�2 t -I c c��'rJ w/c�v_or c �\ 6 U N T-� AT I O hJ L. A bel v;;,y'".; prto aosEo co���nv-rI OIJ . � EXisT tN (,� eo Ue.e �:,nTiorJ COMPLY WITH ALL CODES OI NEW YORK STATE & TOWN COD AS REQUIRED AND CONDITIONS J liy_ SWIHOLTOWN /�/� souTHaOTowNRARANNNGI SOUTHOLD TOWN TRUSTEES ✓� N.Y.S. DEC ROOD ZONE COMPLY WITH CHAPTER "46" FLOOO-DAMAGE PREVENTION SOUTHOLD TOWN CODE. CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. ALL CONSTRUCTION SHALL MEET THE' REQUIREMENTS OF THE CODES OF NEW YORK STATE. REQUIRED Don Bouchard Design 14 Jackson Ave East Quogue, NY 11942 (631)653-6535 DATF, TUNE 2_oo3 SCALP: `%4 -1'-ori FPJN r>p.T lb tnl G FiR�T6L..002.. fy l-eti S R Cro`� Pofz C." a II I I 4?] N I N.Glz _ILooM a F I,�_ q REYv O ! XN I 1 OP6uluGI RaMOY� :N � gre.OR.Q01`1 a W l rr.sTtNc, ----- ' M,a I, arAlq. u I I I En_ FJ.ISTIN Ii j 3%2, ST...L' L.I VIIV Cl:.00ly) New ARt��{ WAY PosT Cal z POC —v � (.TYrIf.A4 i 1uT'(c, I LIM– i3)2X PPLTS '� �px POSTS ' �RIFY 1 3�-4° 26-E-SPt(; 1 o Q W L Vow/�2 POnY! I _ 6Tl. G�- F1.1T6r1 u _ M4 �•! cpPGN, A60vE) Ilr l7rc- ig. t4 I fC �6 GU ST_OM 600 R- �E C-O4UMI,tl. OM � X6.4Lop ��P91NT lgA��rj FROM AQgVE LTe,OLE ZX 10 , F, 7. A60vF– dLUESTONE Po ac.t-I o�r_R -oeX4 PT POSTS S5 RzAP TO STONE 13%66w tt-1 r1T GL A80vr• P,917,4,00— W2AP � f3`i H 6 E CvL L4 TOTe.L..) Eat. - 7tl NLw wA�.L_S —••�• "� �j f�.x LSTiw�c�w��tg a ExIST1NL wiuup��/ TV R„Lnn�.l� 446 e 0 14 Nt" +t i r��,V /! a � a . J e 1„ DOD Sone and 1DcAp IA Jaclmn Aye Emt Quogw, NY 11942 (631)653=6535 " �9A2E; 1'7♦ruyg-coos, SCALY": rT i11��iiU TITLEI Ft'RMG'T" F�aaR„ J .,,� s; J 7,6> S:IZ_ E: YI6 TIr.I G� t 5.6.12 E_v. 16Y I N G� R10c'Ie.. l pviE2 Pp 2t,-1 ROp�- CEJOSri�lci) i , �' �E %ISrnJ c1 I TE24 ACR. Ex ST I. e_, 1 oozNle2\ n +s.s:,z T5.5-nz_ (_ Ex15T Ir lC, -b I I' III 'I lili'I� ;I ' E%Tr4o bOWEW ROD=,-'RIoo�B, To N E w Cd,Utti-E. M IJ.T� rl THIE. PTLed -Q'1 CCt iv - i v I n EPoM R_veeE2 11 SJbP 00M E, zoo 0v4 P_'/4• —_ SIGY4.I GIST PLYv-'AOD ;�: "r_ N j 3.`x 45'�L° F=6Q IL�na.G 6G I F,LO DCZFIKLN�rJG� ('moi GRIM Nfc�( -- -- — — - —_ I� �� ji � � 1' 21oc1 E. t`_ 7- �I' 1 7' I 1 1 J 1 OF Z. I PGRG rl RGDG I CB QLDW� I -- EPDM 2uB�ak_ 3/4' PAY waDo 1 I P�TG,H =Gm_ II R oa G C EX15T1vG�) u I ' 11� CEo42 POST E2A,L �� 7—i 14w_Ii Pe — CPA, rA +En) 'jog Don Bouchard Design 14 Jackson Avc Ent Qnngoa, NY 11942 (631)-653.6335 A E1 7-uh E. tool SCALE lam F2©or- p 1_ A. P+4 5 ��2 k4��H Pow E26EAM HEADER OVER PLAY0. TECO IN RR, TO FAGL� O=aFaN 72�P�E 2.R. UNOE2 FLAT RDOG 21Dc�ES � 3LDcnTi0lNs _,71 wnq —.1. roSTS 6TRAP Ta PORCH QEcow �. 1•.INTS. L A15 ova PE4 GO�JE J C� PLA t�I - 14•�r-yfi C�12 oEi2, _. •P4� 2.00 F R.AM IN cl TO qiy N41LE0 STR�aPEO PF -2 NYS RES IpEN TI AL GDPF,. • SHEaTH FLAT moo GS w 1TH 3%4° —r It . SH EgTH A�-�- PiTGH E. C? fLOo F$ 0 Don Bouchard Design 14JUkwnAw rmt QwS+P. NY 11442 (631)653-6535 SCALL Tyur+G 2bo3 SCAL %T°}1110It T1TLE• (�LAt� ,_... I' t, so ■Mlelon inN v Alt- EXT ER•O2 T2i N� TO Bt GEPvR �Pq.4:.iYE(J�---� PLATE. HT- T.a.O- 0Y _— f[I Oc•E 4gL4TIgN t, so ■Mlelon inN v Alt- EXT ER•O2 T2i N� TO Bt GEPvR �Pq.4:.iYE(J�---� PLATE. HT- T.a.O- 0Y _— f[I Oc•E 4gL4TIgN { kAA� P�TGH J ERI?"( pU RIN Lt GON ST Qy OT10N f�' S a ttSS �E' (3)zX4o ��„znE2 1' ID�� Po�Y GOt,UMN BY— N9}41 ro w2iaP+X+ ' ..I P.T. PosTs, STRAP PO LTs PE2 GopE. l 4u TN. PI.L. lalAg W� �I L C.e Xfc {4P WW. N1 I'.. �PRLHV4 1 „ I wail. P06I TED -� TH. P.C. FOVN DaTIgN .-G GOIV TIN VO✓5 P.L. iOp"rIN L� r EL-EVaA,'rt4)ri 4 µEw R.PPG — NiW 3Tn.,a:•��1 F -ow S R- n'4�s .�-ACEMOYA 1 'E•tISTINL1 E.%TR4,f3i0 -rx,orP s2D eLUELtAi+iE TCRRaGa i 5ra125 4: Et3'YRY , -SWTENC1 CYIgT.,NGf FHJIJL ,E•(, W.G.L. THvu % R1•I ft Gk ROo R. F•'// 9 Ror. E-1�-p, NI, RJ OQ ER RpOF OV ER. 3/+„-r G1 PIY woo Gf P1TGH POR RUN -ORF T-71 Ir `- ILS%9� WS 4P I / .. `Vgalr,( RALCONom( GLoAR ALI CLN MENT ' A41G•N W/ LAVYEI2, -at {„ PLOq R.} F :S. {F.X ISTIN(.1� ,r, L-I� Rai- 2aLK+n+1 [TEAL FUTcH PLAr6- E.X 1bTINL) ' F I R li.E1AG.q ZXgg tf•°P-G. OA� ON E:'TWaLLgE F'AtlYiNLI++-Y4 EYILt lNG7 W% IN 04•iiR4 AR 12"P.C. h S�e.T loci F L1.T 2boIF 210C-,�5 1-L*Y JVE2 bM TO CxlrirvJ L� R6DP MaTcl-I F"TGv� µEW CE%'r E,Z,,02 • EHIN GILES To MAT Ch1 L+,x,$r,NG7 • 15 Lo. TaR'- PAPaR. • ��%GOX P'L'+wODP • ZX(. �. L(w "'O.(„ STUD Wt+�L • 2-(4 • 1/2" N %YV ROOG L,PN ST R,.JCTlOIJ (P,TLH E? ROOFS • Ri4Pl-I ,A L.T SHIN C.ILE.S TD MATO EYtSTlH4t • 9D L13. TaYz F=APE, 2. • ,`2i Go% t�LY wOAD • 2x 10 � $„X E ry£. Ito ��O•C. • '+.NSU• -AT&. F'E2 G Ilp I 1 lltWP i3 holwoq�kvn H et QwgoaW H%2 (691}653.6635 Tut" E- zjokos M3rrr� I Framing Connection Fasteners riptions, Nailing requirements, ei notes D3 MSTA36 A35F D2 D5 Framing Connection Fasteners : J_ _- 411 Fasteners types refer to Simpson Strong Tie Connectors _..- 7asteners shall be installed in accordance with all local and state codes 6-ad%111.2"tojoist 12-10d z 1 112" —12-10d Dlaaram D1 D2 _ D3 - Connection location _ Fastener model _ Foundation to PT mud sill _ 'Anchor bolts shall beset between 4" and 1.2" from corners and 6" from any sell Mud sill to box beam A35F _ Box beam to plate to stud wall (first floor)- _ MTS16 _ First Floor Top plate to box beam A35F Stud wall to Stud wall (crossing box beam) MSTA36 _ (Spec may change depending on size of floor joists verity with Architect) (Sp9 Hipto double top plate ]HCP___ - _ - Nailing reauf gments - - _ 18" anchor bolt 5 6'-0" D.C. Max _ plate seam 12-8d x 1 1/2" 14-1 Did x I 1/2" 12-8d x 1 1/2"_ 14-10d 6-10dx 11/2" to rafters---- . 6-10d x 1 112 toplate D4 - Rafter connection to double top plate H10-2 6-10d to rafters - _ 6plate -1 Od to _ -- H10 single rafter - -- - _ - --- - - -� 88 x lora ors 88dx11/2topla_te_- b5 _ _ D6 Rafter to Rafter _ _ _ Girder to Floor Joists (2)_A35 MTS12 12 Bd x 7 112' 14-1 Odx 1 112 D7 _ _ __ DB _ _ _ 09 _ - _ - Post to Girder verify connectors— with architect for other post sizes Stud wall to Girder (flush floor framing) Floor joist to Girder_ Floor Joist to box beam over girder _ -__ _- - - -__ Stud wall to Box beam _ _ Floor joist to Girder (2) AC4 (4_x4 posts) _ _ _ LSTA18 12-16d beam _ 6-16d post x 1 112" _ _12-10d sized perjoist size _ A35 ve_rify with Architect 6- Bd x 1 112" tojoist __-- - _ LTS12 6-ad%111.2"tojoist 12-10d z 1 112" —12-10d _ x 1 112" II4LTS12 _ SNOW Connections - ------ for items not show In diagrams----- - Mud sill to stud__stud - -- - -Ll__ Weatherinis 5-8d sill Termite° Headers to Jack studs_ - _ I STA -21 _4-8d 14 10d x 1 Cr," All rwnntaQlons not listeduirin fasteners shell tie verified with the architect. LOAD 4 Sr PsE i D6 Q o F0 ° il 0° o ° AC4o/ r D7 TABIC R301.2(1) RI IMATIC AND GE00RAPHIC DESIGN CRITERIA D9 GROUND! Wind SEISMIC DESIGN SPJECT TO DAMAGE FROM'' 2 Winter Design Ice shield underlay - ment Flood R- Frost line R. For Compliance with the ' ._.__.. SNOW SPEEDe (mph) CATEGORY9 Weatherinis depthb Termite° Decayd Tempf required hazardsh LOAD 4 Sr PsE 120 MGHT Building Address: $E.VERE Sit."MoeEROTE DEc' Y jlteaeiTTO MapERRTE II YES ,TFY Dwt ll:.. Package#, q Roof Nailing Pattern Nailing zones for roof sheathing In 120 -MPH peals gust wind zone • Use %u"CDX roof sheathing • Fasten with 8D common galvanized nail 4 s Residential a O. R_ Prescriptive Package Worksheet R- I R. For Compliance with the ' ._.__.. Slab Floor ❑ Heated ❑ unHealed ;. (D 2002 New York State EnergyConservationConstruction Code R- Builder Name: II F,, ----------------------------------- __________________________________4)--i 9'?-Loa 't �og Builder Address: ins Q Building Address: C4)-- Nnasa } G.} o N Description: ,TFY Dwt ll:.. Package#, q ._.__U___.. ___L U.i Submitted By: Dcn 6wX Dea y„ Phone#: CG 3116534S4S I -177 I r('pie'di'''r�`',w:'YyiL'G`,11�yl;', 8" o.c. 12" o.c. 3" o c. 4" o.C. 4" O.C. 6" O.0 :�° O.C. 3 O.0 Buildine Design Notes: 1. All designs are based upon a single family residence R-3, Two story limit per town code, Type 5 construction 2. All construction shall be wood frame and conform to the New York State Residential Building Code. 3. The design contains prescriptive design elements. All elements have been designed and shall be constructed in accordance with the New York State Residential Building Code and WFCM. 4. All framing lumber shall be No. 1 Douglas Fir, dimension and lengths as per plan dated June 2003. Engineered lumber shall be as specified on the plans dated June 2003. 5. All designs were calculated using the following: Live load 30psf bedrooms 40psf all other moms Dead load 40psf GroundSnov✓load 45psf Seismic Zone `B" Exposure Category `B" 20 MPH wind zone (3 second gusts) 6. /z" thick structural plywood panels shall be supplied to cover each new glazed J/ in the event of hurricane force winds. The panels shall be fastened to the wall framing using 2 %z" #6 screws at 16" o.c. for panels with spans less than 4'. For panels greater than 4', see Table 1609.1.4 from the New York State Residential Building Code. 7. A continuous load path shall be established from the roof framing to the foundation. All connections shall be executed in compliance with the New York State Residential Building Code. (See attached details for Specifications) 8. All Nailing Connection shall be executed in compliance with the New York State Residential Building Code. See the attached diagram for roof sheathing nailing. See the attached schedule for nailing based upon prescriptive design. 9. The current residence contains 4 bedrooms and no new bedrooms shall be included in this application. 10. No plumbing shall be added as apart of this application 11. Smoke detectors and Carbon Monoxide detectors shall be installed as per the New York State Building Code and Per the Suffolk County Department of Health Services. 12. No Trusses shall be used in the proposed design 13. The proposed additions shall be in compliance with the New York State Energy Conservation Code. See the attached Prescriptive design method for compliance. 14. All proposed additions shall conform to Section 8303 (Light, Ventilation, and Heating) of the New York State Residential Code. Glazing Area 100X $O 4-00 = 20 % Glaring Area Gross Wall Ama Proposed Glaarg Area R -Value Descrition Cnmmente Pro end R -Value Residential cl. R -fie a O. R_ Prescriptive Package Worksheet R- FlocrOwrOutside Ah R. For Compliance with the ' R- O Slab Floor ❑ Heated ❑ unHealed R- N A 2002 New York State EnergyConservationConstruction Code R- Builder Name: II F,, M(ioer Censi-r ucTion Date: 9'?-Loa 't �og Builder Address: ins vv,,rc Ea l Drr+e. (-a ru N 1g4a Building Address: 4a7s, Nnasa } G.} o N Description: ,TFY Dwt ll:.. Package#, q Zone# IIB Submitted By: Dcn 6wX Dea y„ Phone#: CG 3116534S4S Glazing Area 100X $O 4-00 = 20 % Glaring Area Gross Wall Ama Proposed Glaarg Area R -Value Descrition Cnmmente Pro end R -Value Ce0 ft -30;O :c cl. R -fie a wall R_ Fluor Over unconditioned Spam R- FlocrOwrOutside Ah R. Basement Wall R- O Slab Floor ❑ Heated ❑ unHealed R- N A Cmw13 ace Wall R- - U.Factor Saturation Cemmenb I Protected UfacI Glazing u- .35 Door Fr..i 0... Exon } ra I I T� 2e M Madmum Glaring Area Table_ Package_ Minimum R -Value R- 3 g R- I R- t R- - R. W R- - R- - McXimum I4Facror U -.3S U. 0.35 U - Equipment Efficiency (This section may be left blank if Normal is selected on the fight) Heating AFUENSPF X.,�� Normal Elficamcy Make&Model Number c Hgh Heating Coding SEER ❑ Hgh Cooling EfficiencyMake B Model Number ❑ High Heating&Coormg Statement of Compliance: The proposed building design represented in Nese document is consistent with the building plans, specifications, and other u$culationswbmMedMhtMpeanftapoiwhon The proposed bulling has been designed to meet the requirements of the Nmv York Slate Energy Canemlcin Cana 'CoAde ne/ e//7,/ askareasigner Company Name Dale NYS Department of State - Code Enhoarad Don Bouchard Design 14 Jackson Ave East Quogue, NY 11942 (631)653-6535 DATE! s E r* T- 2-003 SCALE: tl pATq SHEET