HomeMy WebLinkAbout30041-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30703 Date: 01/21/05
THIS CERTIFIES that the building ADDITINS/ALTERATIONS
Location of Property: 2815 SIGSBEE RD LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 126 Block 6 Lot 3 .1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 26, 2004 pursuant to which
Building Permit No. 30041-Z dated JANUARY 27, 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 ADDITIONS & ALTERATIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to NANCY RODILOSSO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ 1189439 11/22/04
PLUMBERS CERTIFICATION DATED 01/10/05 MATTITUCK PLUMB.&HEATING
Aut orized 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. 30041 Z Date JANUARY 27, 2004
Permission is hereby granted to:
ELEANOR PEDERSEN
2815 SIGSBEE ROAD
MATTITUCK,NY 11952
for
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR PER ZBA DECISION 5443
at premises located at 2815 SIGSBEE RD LAUREL
County Tax Map No. 473889 Section 126 Block 0006 Lot No. 003 . 001
pursuant to application dated JANUARY 26, 2004 and approved by the
Building Inspector to expire on JULY 27, 2005 .
Fee $ 150 . 00
r' r
A
Authori I ked SIlqnature
ORIGINAL
Rev. 5/8/02
NOV 18 '04 03:5;_N�M bwiMA_u a .LL_V1 ,� ��• -_--
Norm No.6
TOWN OF SOUTHOLD
BUILDING AEPARTiV MMT
TOWN HALL �.,.
765-18022 (j
�
ppl?LICATION FOR CERTIFICATE OF OCCUPANCY
Thii application must be filled in by typewriter or ink and submitted to the Building Department with the following
A. For new building of new use: ro lines,streets,and unusual natural or
1. Final survey of property with accurate location of all buildings,property
topographic features. di sal(S-9 form)'
2. Final Approval from Health Dept. of water supply and m
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 Plarnuing Board Approvai of completed site plan requirements.
existing baildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-existing"land uses:
B. For es g streets,building and unusual natural or topographic
l. �Accurate survey of properh+showing all property UnGs,
features. hcant.If a Certificate of Occupancy is
2. A properly completed application and consent to inspect signed by the app
denied,the Building Inspector shall state the reasons therefor in writing to the applicant..
C. Fees Additions to dwelling$2.00,Alterations to dwelling$25.00,
1. Certificate of Occupancy-New dwelling.$25.00,
Swimming pool$25.00,Accessory building$25.00,Additions
ddi io to accessory building$25.00,Businesses$50.00.
2. Certificate of Occupancy on pre-existing Building
-00
3. Copy of Certificate of occupancy-$.250.00
4. Updated Certificate of Occupancy- Residential$15.00,Commercial$15.00
;. Temporary Certificate of Occupancy- /G�
Date.
_ Old or Pr:-existing Building:
(check one)
New Construction:
Hamlet
Location of Property l treat
House No. �-rnP�
Owner or Owners of Property: k BlacLot ,
_ )Q.4 �Q —
Suffolk County Tax Map No 1000,Section ( Lot: ( l 7 n
rn •Li���(Z� Filed Map. '
Subdivision Ok� 0 �/ T_
3O o '� t Z_Date of Permit• Applicant: —
Ye,tmit No. 71=0'(-0 W A)LTA'�-'
ilcalth Dept.Approval: Underwriters Approval
Planning Board Approval:
Request for: Temporary Certificate
Final Certificate: (check one)
Fee Submitted: S 6_,L6'
r--
Applicant Signature
C-
Tuwn Will !>�011ri Nl�lrl f100d i ` `' i "c I I nuc (S I r)) 7� •19'2
P. 0. [lox 1179 ` 1 ,I rI Ippll)nv (5i5) 7r� 10 1)
Snull ul 1, H9W Yotk 11971 '
OFFICE OF THE BUILDING INSPECTon
TOWN Or- SUUTI IOLU
C R T I P I C: A T 1 o tr
DAT F
Duild.ing Pernllt No . (b06`q1 Z
Owner !
( preaee pr. .[1it)
Plumber ,
plense prim:) --
I certify l.hat the solder used 111 the wzaer supply sy:; tQm
conteills loss than 2/ 10 of 11, lend .
Sworn to before mcg tills
NoLmry Public,
rUELAN E V.BROVIN
Nifty
r k a*at Now York
NiL V
OAMW In W*G=dy
OoimniM m&Pkw Oct.19, dV D S—
� cO
SBY THIS CERTIFICATE OF COMPLIANCE THE S
5 NEW YORK BOARD OF FIRE 5
5 UNDERWRITERS 5
5 BU EAU OF ELECTRICITY
40 FULTS
5 STREET NEW YORK, NY 10038 c5
5 CERTIFIES THAT S
S 5
5 Upon the application of upon premises owned by
DOROSK5
S 5
5 I P O. BOXELEC.81INC NANCY 2815 SIG BETO
E RD 5
SCUTCHOGUE, N.Y. 11935, LAUREL, NY 11948 S
S 5 5 Located at 2815 SIGSBEE RD LAUREL, NY 11948 5
5
�j Application Number: 1189439 Certificate Number: 1189439 5
5 5
SSection: 126 Block: 6 Lot: 3.1 Building Permit: BDC: nsl1
5 S 5 Described as a Residential occupancy, wherein the premises electrical system consisting of
C electrical devices and wiring, described below, located in/on the premises at: 5
5SBasement,First Floor,Outside,Attic, c�
r5U A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed S
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
5 authority having jurisdiction, and found to be in compliance therewith on the 22n Day of 5
November,2004. 5
Name OTY Rate Rating Circuit Type 5
5 Alarm and Emergency Equipment
5 Sensor 1 0 Carbon Monoxide
SSensor 4 0 Smoke S
Appliances and Accessories
Dish Washer 1 0 1.2 KW C
5 Exhaust Fan 2 0 F.H.P. 5
C Furnace 2 0 Gas S
5 Electric Heater Unit 1 0 1.5 KW L5a
5 Air Conditioner 1 0 36.000 BTU 5
5 Panels C,
1 200 36 5
Wiring and Devices C,
5 Outlet 24 0 Fixture 5
5 Fixture 23 0 Incandescent 5
5 Fixture 1 0 Fluorescent 5
�5Outlet 49 0 General Purpose 5
Receptacle 27 0 General Purpose seal 5
5 Switch 18 0 General Purpose 55
5 S S Continued on Next Page 1 of 2 S
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ]
S S
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
S S
BUREAU OF ELECTRICITY 5
5 40 FULTON STREET — NEW YORK, NY 10038
5 CERTIFIES THAT 5
S 5
SUpon the application of upon premises owned by
5 5
`j DOROSKI ELEC. INC NANCY RODILOSSOP. c�
5 CUOOX 781 2815 OGUE, N.Y. 11935, LAUREL, NYE 9 8
TCH5
S 5
SLocated at 2815 SIGSBEE RD LAUREL, NY 11948 5
S5 S
Application Number: 1189439 Certificate Number: 1189439 5
S 5
SSection: 126 Block: 6 Lot: 3.1 Building Permit: BDC: ns11 5
5 5
SDescribed as a 5 Residentialoccupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at:
SSBasement,First Floor,Outside,Attic, cC
S�j A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed S
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
5 authority having jurisdiction, and found to be in compliance therewith on the 22n Day of November,2004. S
5 Name sTY Rate Ratine Circuit: T 5
5 Dimmers 11 0
Paddle Fan 5 0
Receptacle 8 0 GFCI S
Disconnect 1 0 60 amp Air Conditioner
5 Service
5 1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 cb
5 Meters: I S
5 5
S 5
5 5
5
5 S
5 5
5 seal
5 5
S 2 of 2 5
5
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 S
o ZLr3 1111
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET �� VILLAGE DIST. SUB LOT
®S �dl2e oc ,Cd vre
FORMER OWNEt�edersen, ciS ih'Ccs �I E ACR.
S W TYPE OF BUILDING
IES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
7/F .atrag i` !„ DArl1 tlr'dJ o
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3yo �
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NEW NORMAL BELOW AB E �(
FARM Acre Value Per Value
Acre 1�
Tillable 1
Tillable 2
riilable 3
Noodland
Swampland FRONTAGE ON WATER
3rushiand FRONTAGE ON ROAD
,tel
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BULKHEAD
f otal DOCK
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Zee)0 - TOWN OF SOUTHOLD PROPERTY RECORD CARD Q '
OWNER STREET VILLAGE DIST. SUB. rr LOT 7,4
&VI,2 fh r; t° �` / r �l J'AiE ' 141:96 3 4a u I-e "t !�/'- i► S d
FORMER OWNER N E ACR
S W TYPE OF BUILDING
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value _
Acre
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTH
BULKHEAD
Total DOCK
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FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: August 29, 2003
TO: Environment East A/C Peterson
PO Box 197
Peconic, NY 11958
Please take notice that your application dated August 28, 2003
For permit to construct additions and alteration to an existing single family dwelling at
Location of property: 2815 Sigsbee Road, Laurel,NY
County Tax Map No. 1000 - Section 126 Block 6 Lot 3_1
Is returned herewith and disapproved on the following grounds:
The proposed construction located on this non-conforming 14,157 square foot parcel, in the residential
R-40 District is not permitted pursuant to Article XXIV Section 100-242A which states;
"Nothing in this article shall be deemed to prevent the remodeling, reconstruction or
enlargement of a non-conforming building containing a conforming use, provided that such
action does not create any new non-conformance or increase the degree of non-conformance
with regard to the regulations pertaining to such buildings_"
The existing single family dwelling has a side yard setback of 5.2 feet, which will be maintained as a
result of the proposed construction.
Therefore the proposed construction is not permitted pursuant to Article III Section 100-244 which
states that non-conforming parcels measuring less than 20,000 square feet in total size, require a
minimum side yard setback of+/- 10 feet. Following the proposed construction, the dwelling will have
a side yard setback of 5.2 feet.
Total lot coverage following construction, will be+/- 12 percent.
Authoriied 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.
rD
p� OBOARD MEMBERS Southold Town Hall
Oliva,Chairwoman 4� y� 53095 Main Road
Gerard P.Goehringer 4 z P.O. Box 1.179
Lydia A.Tortora 0 Southold,NY 11971.-0959
Vincent OrlandoT' �! Tel. (631) 765-1809
James Dinizio,Jr. � r �� Fax(631)765-9064
http://southoldtown.northfoTk.nct
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF JANUARY 22,2004
Appl. No. 5443- PHIL AND NANCY RODILOSSO
Property Location: 2815 Sigsbee Road, Mattituck; Parcel 126-6-3.1.
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 applicant's 14,319 sq. ft. lot has 100 ft. frontage along the
east side of Sigsbee Road and 104.55 feet along the west side of a Private Road, in Mattituck. The
property is improved with an one-story stucco house and accessory stucco garage, as shown on the
September 26, 2003 survey prepared by John T. Metzger, L.S., revised December 19, 2003.
BASIS OF APPLICATION: Building Department's August 29, 2003 Notice of Disapproval, citing
Section 100-242A and 100-244, in its denial of a building permit application concerning alterations
and new addition at less than 10 feet on a single side yard.
FINDINGS OF FACT /
The Zoning Board of Appeals held a public hearing on this application on December 18, 2003, 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: Applicant wishes to construct an 24' x 24' rear addition to
the existing home, a portion of which will be 5.5 feet following the same side line of the house and
four (4') feet from the southeast corner of the proposed addition, as shown on September 26, 2003
survey, amended December 19, 2003 by Peconic Surveyors, P.C.
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 lot is 100 feet wide, and the house was built
off-center onto the southerly portion of the property. The south side of the house has a slight angle
which brings a portion of the proposed addition closer to the southerly side property line. The
applicant's house has existed in the present location for many years with a nonconforming side yard
of 5.5 feet, and the applicant wishes to place a 24' x 24' one-story addition at the rear of the house
P.andN. Rodilosso
maintaining the same side line of the house, resulting in a minimum four ft. setback from the
southerly line.
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 lot is small with a nonconforming size of
14,319.sq. ft. The dwelling has existed in its present nonconforming location, most of which is
located within the southerly half of the property, with 5.5 ft, side setback at its closest point. The
addition will be one-story and will be added at the rear of the dwelling.
3. The variance granted herein is substantial with a 60% reduction (or 6 feet)from the code required
side setback instead of the code requirement of 10 feet. The variance requested is for a minimum 4'
side yard, due to the angle of the southerly side line of the house, and 5.5 ft. setback at the opposite
comer where it attaches to the house.
4. The difficulty was self-created when the addition was planned in a location that does not conform
to the current Town Code requirements.
5. No evidence has been submitted to suggest that the variance in this area of small lots with similar
setbacks will have an adverse impact on the physical or environmental conditions in the
neighborhood. There is no sloping or depression in the land elevations, and there are no low areas
or environmentally sensitive wetlands on this site.
1;. Grant of the relief requested is the minimum action necessary and adequate to enable the
applicant to enjoy the benefit of an one-story addition, 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 Dinizio, seconded by
Chairwoman Oliva, and duly carried, to
GRANT the variance as applied for, as shown on the September 26, 2003 survey prepared
by John T. Metzger, L-S., revised December 19, 2003_
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 act! .
Vote of the Board: Ayes: Members Oliva ( Irwo an O o, Dinlzio. (Member Goehringer
abstained, Member Tortora was absent du o i es tion was duly adopted (3-0).
vin t Or d , ice Chairman 1 4
Approved for Filing /
BUILDING PERMIT EXAMINER CHECKLIST
DATE REVIEWED: -L/A3103
APPLICANT: ]`-�!2.,b a� ,G 1j�,.N DATE SUBMITTED: 1 1-4/03
SCTM#DISTRICT: 1,000, SECTION: 12-6 , BLOCK: C , LOT: 3, 1 SUBDIVISION:PA. ` v"f L
ADDRESS: �, w T-
Zs15�_ a �, r CITY: L c, ,�c ZONING DISTRICT:I�-SIO CONFORMING?
BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N
BP 1 I- -Z/C/0 Z-�, INFO A-Lt� /BP -Z/C/0 Z- , INFO
BP -Z/C/0 Z- , INFO /BP -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 any time after 7/
REQ. LOT SIZE: - 1-!L ACT. LOT SIZE:1�, I s3 REQ. LOT COV. �°�� ACT. LOT COV. ✓ny
REQ. FRONT 3> PROP. FRONT REQ SIDE 14 1 2 ACT. SIDE
REQ. REAR_ PROP. REAR / REQ. flEIGHT PROP. HEIGHT
PROJECT DESCRIPTION: Abh�JAJ. 5
ESTIMATED PROJECT COST: lL ARCHITECT2Zj �: .a_ .. ,=
WATERFRONT? ./0 DESCRIPTION: PANEL # FLOOD ZONE:
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH D PT: YES o�BED#): DTE: / / PERMIT#:
TOWN SEPTIC RECEIPT: Y o� _——
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES DTE: /_/_ PERMIT#:
SOUTHOLD TOWN TRUSTEES: YES or DTE:—_/_/_ PERMIT#:
TOWN ZONING BOARD APPROVAL: YES o /' DTE:_/_/_ PERMIT#:
TOWN PLAN. BOARD APPROVAL: YES o , DTE _/_/_ PERMIT#:
TOWN HISTORICAL PRE (SPLIA): YES or
NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): ES NO
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: SF FEE FEE FEE
1. v SF)- (--SF)= SFX $ =$ +$ +V _$
2. (- --SF)- (_SF)= SF X $ =$ +$ +$ =$
3. (--SF)- ( SF)= SF X $ =$ -+$—+$—=$
FINAL TOTAL: $ l re
NEW YORK STATE CODE COMPLIANCE CHECKLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
Ground Snow Load:45 Wind Speed: 120 PH Seismic Design Category:B
Weathering: Severe Frost Depth: ' Termite:M-H Decay: S-M
Design Temp: 11 Ice Shield Underlay:YES Flood Hazards:
USE/OCCUPANCY CLASSIFICATION: -I00'
HEIGHT/FIRE AREA: ✓
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEEREDAK : kii r C M
FULL FRAMING DESIGN ELEMENTSO�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`9N
LIVE: Y/N DEAD:Y/N SNOW:Y/N SEISMIC:Y/N WIND:Y/N
WINDOW AND DOOR SCHEDULE:
l
MISSLE TEST REQUIREMENTS: Y/N �1/
EGRESS 5.7 S.F.&N i
LIGHT 8%Z,/N
VENT 4%;'/N
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS:O N
PLUMBING RISER DIAGRAM:OIN
LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
CERTIFICATION�9Y/N
ENERGY CALC6/N
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
T65-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
l
REMARKS:
DATE 1413 O INSPECTOR-
00
BUILDING DEPT.
INSPECTION
[ ] FOUNpAcT10N iST [ ] ROUGH PLBG.
[ y�FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
2
DATE Z' �� 0 INSPECTOR M�
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ OUGN PLBG.
[ ] F NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
( ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE B INSPECTOR ^�
3-661K/Z�--
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU
[ j FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE � �3 INSPECTOR "`^�
FIELD INSPECTION REPORT DME COMMENTS
3 �b
FOUNDATION(1ST) -- - --- -- ---- ^� H
------------------------------------ --- -- - - - --
FOUNDATION(2ND) - ---- - -- - --- - -- - -- -- -
- - 9✓ O
- - -
` H
ROUGH FRAMING& ---- --- --_ y
PLUMBING -
Q>
- - Y
t"
INSULATION PER N.Y. -------- ---------- -- -- — ---- .___..--- y
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
O
J �
d o
I y
d
b
'OWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
'UILDING DEP�A LENT Do you have or need the following,before applying?
'OWN HALL Board of Health
-OUTHOLD,NY 11971 3 sets of Building Plans
'EL: 765-1802 Survey
PERMIT NO. U� Check
Septic Form
N.Y.S.D.E.C.
;xamined .� 7 20 �� Trustees
Contact:
approved 1 20 Mail to:
)isapproved a/c_
Phone:
Building Inspecf&,-
__
APPLICATION FOR BUILDING PERMIT
IAN 2 6X04 Date v&P rL6 , 2004-
INSTRUCTIONS
004-INSTRUCTIONS
r
a;_Th�i li� `N1US Abe 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,building code,housing code,and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
�t�v�R,oN tvtp� (NO-
(Signature of applicant or name,if a corporation)
-PO 12> 0X _ e l ?EZZnl(e N- of
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
w&"0-- Cof, TVAC-Tn P
Name of owner of premises `PAk((- e$, N 6n" F-0 p t DOSS 0,
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
FeTEF- Q"Mu erJ B U Ike 11 Resl
(Name and title of corporate officer)
Builders License No. }
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which pro osed work will be done:
1-815- C-Se> MA�TT�T�cl4
House Number Street Hamlet -�
County Tax Map No. 1000 Section E Z(O Block Lot r
Subdivision M,6JTa-UC44pAR4-- PROPP Fil d Map No. Sol Lot t15- I0-7A
(Name)
a. Existing use and occupancy �5 J+3G l.7,-
b. Intended use and occupancy_____al I ASC t,!(E� rA-M t>LAJ ELLIt'216 VJA D cm oii'
3. Nature of work(check which applicable): New Building Addition ✓ Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Op O Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units N A Number of dwelling units on each floor 1�
If garage, number of cars t�,7A
6. If business,,commercial or mixed occupancy, specify nature and extent of each type of use. /Q A
7. Dimensions of exilstingi�structures, if any: Front 5� "b 1Rear 51� 'b� Depth 3 "
Height 20 Number of Stories
Dimensions of same structure with alterations o5r,�3dditions: Front 0 Rear
Depth (r,U -6 Height 201-0 Number of Stories
8. Dimensions of entire new construction: Front , \ti,P�L Rear _+'-O" Dep4
Height 0-C)" Number of Stories
c i 1•
9. Size of lot: Front ( OD . U Rear l b dk•SS Depth I A-0 ,32
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated k --
12. Does proposed construction violate any zoning law, ordinance or regulation: fe-OVAL
A' E- gip'
13. Will lot be re-graded a Will excess fill be removed from premises: YES
ti v�cl 6 �L- Zg 2R$ -8 331.
14.Names of Owner of premises_ RaDk a Address kS S tC O�Phone No.
Name of Architect Address Phone No
Name of Contractor n1V • Xr. tN Address j!O15-0X 100 Phone No. `Z3 4—' .4 Z
'Pt�Ntc,
15. Is this property within 100 feet of a tidal wetland? *YES NO ✓
• 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)
SS:
COUNTY OFSUFOL-(>
F4ET1=-S_ being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the -0�� `j'� FL—
(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
02� day of 20 Q
r
NotaryPublic Signature of Applicant
LYNDA M.BOHN
NOTARY PUBLIC,State of New York
No.01606020932
Oualified in Suffolk County
Term Expires March 8,20(Y
N
SURVEY OF PROPERTY
AT LAUREL
TOWN OF SO UTHOLD
vD, SUFFOLK COUNTY, N. Y.
Y $L o2'.
1000-126-06-3.1
1C 8A a1
SEPTEMBER 26, 2003
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0601 E L 0 T NUMBERS REFER TO "AMENDED MAP OF MA TTI TUCK
PARK PROPERTIES, INC. " FILED IN THE SUFFOLK COUNTY
CLERK'S OFFICE AS MAP NO. 801.
FL OOD ZONE X
MAP # 36103CO481 G �f NEW,,
AREA=14,319 SQ. FT.
' A N. LIC. NO. 49618
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION C /C _ OR C.
■ =MONUMENT OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW.
` , ,
EXCEPT AS PER SECTION 7209-BUBO/VISION 2. ALL CERTIFICATIONS (6 �` 6 �- 0 F 631) 765-1797
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.0. !, 09 %
SAID MAP•OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 ?i IKP$RS� EET
WHOSE SIGNATURE APPEARS HEREON. SOUTHOL , 11971 03-�50
PROJECT NAME : RODILOSSO RESIDENCE 6. CONTINUED FROM PREVIOUS PAGE... 10 MEANS OF EGRESS: THIS STRUCTURE WILL
PROJECT LOCATION: 2815 SIGSBEE RD. MATTITUCK EXPOSURE & UPLIFT CATAGORY IS "C" - CONFORM TO EGRESS REQUIREMENTS AS
1. USE &OCCUPANCY: SINGLE FAMILY DETACHED URBAN AND SUBURBAN AREAS. DETAILED IN SECTION R310 AND EGRESS
2. HEIGHT OF NEW CONSTRUCTION: 18'-0"+l- 7. SEE ATTACHED WINDOW & DOOR SCHEDULE IS NOTED ON ATTACHED FLOOR PLANS.
SQ. FT. OF NEW CONSTRUCTION: 8. LOAD PATHS FROM ROOF TO FOUNDATION 11. PLUMBING RISER DIAGRAM
3.. TYPE OF CONSTRUCTION: WOOD FRAME /MASONRY WILL BE AS DESCRIBED ON SECTION.
4. DESIGN CRITERIA- PRESCRIPTIVE DESIGN AS PER 9. NAILING SCHEDULE: FMF
AF&PA WOOD FRAME CONSTRUCTION MANUAL JOIST TO SILL OR GIRDER- 3 -8D uw wa p
5. FRAMING ELEMENTS AS SPECIFIED ON PLANS TOP PLATE TO STUD 2 - 16D FROM "" oloym
LUMBER SPECIES: BUILT UP HEADERS 16D a016" O.C. EA. SIDE
#2 OR BETTER DOUGLAS FIR FOR FRAMING MEMBERS CEIL. JOISTS TO PLATE 3 - 813
#1 S.YELLOW PINE (ACQ) IN'CONTACT W/GRADE HEADER TO STUD 4 - 813 1OT''"" syslEm
1/2" CDX PLYWD. ROOF &WALL SHEATHING CEIL. JOISTS TO RAFTERS 3 - 1013
1/2" PLY SUBFL. &3/4"PLYWD. UNDERLAYMENT RAFTER TO PLATE 2 - 16D
SIDING AS SPECIFIED ON PLANS ROOF RAFTERS TO RIDGE,VALLEY OR
DECKING AS SPECIFIED ON PLANS
6. DESIGN LOAD CALCULATIONS HIP RAFTERS 4 - 16D 12. LOCATIONS OF FIRE ALARMS ARE NOTED ON
MINIMUM UNIFORMLY DISTRIBUTED LIVE LOADS COLLAR TIES TO RAFTERS 3 - 813 ATTACHED PLANS.
(IN POUNDS PER SQUARE FT.) 1/2" PLYWD ROOF SHEATH. 6 -8D (12 FIELD)
13. TRUSS CERTIFICATIONS ARE ATTA-CHETY-
EXTERIOR BALCONIES 60 1/2" PLYWD FLOOR SHEATH 6 - 6D (12 FIELD) IF REQUIRED.
DECKS 40
ATTICS WITHOUT STORAGE o 1/2" PLYWD WALL SHEATH 6 - 6D (12 FIELD) 14. ENERGY CODE CALCULATIONS ARE DONE
ATTICS WITH STORAGE 20 WIND LOAD CONNECTIONSH FTW SEE ATTACHE
-
ROOMS (OTHER THAN SLEEPING ROOMS) 40 RAFTER TO WALL CONNECTORS WILL BE NOTE THAT ALL DESIGN ELEMENTS AND LOAD PATH
SLEEPING ROOMS 30 "SIMPSON STRONG TIE MODEL # H8" W/ CALCULATIONS ARE BASED ON INFORMATION CONTAINED
STAIRS 40 IN THE AMERICAN FOREST AND PAPER ASSOCIATION
GUARDRAILS &HANDRAILS 200 10-10D X 1-1/2" FASTENERS OR EQUAL. WOOD FRAME CONSTRUCTION MANUAL FOR ONE AND TWO
CRITERIA FOR CALCULATION OF DEAD LOAD WILL BE WALL PLATES WILL BE ANCHORED TO WALL FAMILY DWELLINGS.
ACTUAL WEIGHTS OF MATERIALS REFERENCED TO FRAMING AND WALL FRAMING WILL BE ANCHORED
A.I.A.ARCHITECTURAL GRAPHIC STANDARDS. TO BAND JOIST BY CONTINUOUS 1/2" PLYWD.
SNOW LOAD IS CALCULATED AS 30 LBS PER SQ. FT. SHEATHING NAILED IN ACCORDANCE WITH NAILING
SEISMIC CONSIDERATIONS: SCHEDULE.
THIS STRUCTURE WILL CONFORM TO CODE SECTION SILL SECURED TO FOUNDATION W/ 1/2" X 7"
R301.2.2.3 IN THAT ANCHORED STONE AND MASONRY ANCHOR BOLTS MIN, 6-0" O.C. AND 12" MIN.
VENEER SHALL BE LIMITED TO THE FIRST STORY& FROM EA. CORNER. PROVIDE BOLT PLATES
NOT EXCEED 5" IN THICKNESS. AT EACH NUT.
THIS STRUCTURE WILL CONFORM TO CODE SECTION
R301.2.2,4 IN THAT AVERAGE DEAD LOADS WILL NOT
EXCEED 15PSF ROOFS&CEILINGS RODILOSSO RESIDENCE
10 PSF FLOORS
15 PSF WOOD FRAME WALLS ENVIRONMENT EAST INC
THIS DWELLING IS LOCATED IN DESIGN CATAGORY'C'
SO IS EXCEMPT FROM FURTHER REQUIREMENTS OF 1 2.1 8.03
THE SEISMIC CODE.
'�srN�d
WINDOW SCHEDULE EGRESS WI SID ENERGY LIGHT & VENTILATION 1/20 PLY.
CLEAR SQ. FT. SO. FT. D.P. STORM U SQ.FT. SQ.FT. % #8-1SC s
NUMBER LOCATION ROUGH OPENING OPENING OPENING UNIT RATING SHUTTER VALUE ROOM VENT c@12"
CW14 BATHROOM 2'5"X 4'-01/2" -5/16"X43-11W 6.8 9.5 40 SEE DETAIL#1 .29 86 6.8 8% O.C.
CW24 BEDROOM 47 XV-01/2" -5/16"X43-1180 6.8 18.8 40 SEE DETAIL#2 .29 304 13.5 DE7�AIL#1
CW14 BEDROOM 2'5"XC-01/2" -5/16"X43-118" 6.8 9.5 40 SEE DETAIL#1 .29 6.8 1/2" PLY.
-1/2"
CW14 BEDROOM 2'5"X 4'-01/2" -5/16"X43-1180 6.8 9.5 40 SEE DETAIL#1 .29 " 6.8 #8SCREWS
FWG6068 BEDROOM 6'-0"X g$" 22-1/8"X 75- 8" 11.58 32.71 45 SEE DETAIL#3 .33 " 14.72 X12"
O.C.
iI 1 1BEDROOM 304 41.82 13.7°6 pETAIL#2
NOTE: WE INTEND TO INSTALL WIND RATED WINDOWS THAT MEET CODE RODILOSSO RESIDENCE 2 SHEETS 1i2"
REQUIREMENTS IF THEY ARE AVAILABLE AT THAT TIME. IF THEY ARE PLY -OVERLAP
NOT AVAILABLE WE WILL PROVIDE STORM SHUTTERS AS DETAILED. 12"&SCREW W/
2 X 4 BATTENS
2-1/2"#8 SCREWS
12"O.C.
DETAIL#3
r BILCO � I
74-7 X 4'-0112' 2'4.7 4 0112' VENT I — — L _ VENT
2 X 12 HEADER 2 X 12 HEADER — — — — — — — —
4 a
EGRESS I IA — — — — — — — — — — — — — —
ct ci I I I I
rb I a l I I
NEW BEDROOM
co
XC4 I I I I
N x x N
N N �
1&'X Ir MASONRY FTGS.
7 STEEL COLS.
2 X 10 RIDGE I I r 2-2X12 GIRDER
I L J L J I I e7i
11/16 '-8 11/16' '-8 11/16
idl N I I
�O
VANITY O
►§ I I - I 1
NEW CLOSET NEW BATHROOM �o x
N
I I i I
'-8 1/2 3 0'-1 1/2 HN
I i I I
s TUB I
j L -
- - - - - - - - - - - - - J
4
onsTtNO BATH. RODILOSSO RESIDENCE RODILOSSO RESIDENCE
FLOOR PLAN/ADDITION FOUNDATION PLAN
1W■1'-W 12.15.09 114'■1'-W 12.1&03
ENVIRONMENT EAST INC. ENVIRONMENT EAST INC.
Ii
II
NEW ROOF ON ADDITION (BEYOND)
24'-0" NEW ADDITION
R j
EXISTIIS HOUS D MING H E Cw24
MLCo
i NEW CRAWL8PACE
t i i
rA - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - - J
RODILOSSO RESIDENCE RODILOSSO RESIDENCE
WEST (FRONT) ELEVATION SOUTH (SIDE) ELEVATION
8.29.03 1/4" = 1'-0" 8.29.03 1/4w = 1'-0"
REV. 12.18.03 REV. 12.18.03
STIM�
21'-6"ADDITION
24'-0"ADDITION
000
EMS1114117 USE
(D
-P,
CW14 CW14
W-W SUD DOOR
i'
I
II �
EXISTING
I HOUSE
- - - - - - - - - - - - _ _ _ _ _ _ _ _
JL J -1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - J
RODILOSSO RESIDENCE RODILOSSO RESIDENCE
EAST ELEVATION (BACK) NORTH ELEVATION
1/411 = 1 '0" 9.2.03 9.2.02 1/4" = 1 '-0"
ASPHALT/FIBERGLASS SHINGLES
ROOFING FELT
1/2" CDX PLYWOOD SHEATHING
2 X 8 16" O.C. ROOF RAFTERS
H-3 HURRICANE TIES AT EACH
RAFTER/PLATE CONNECTION
2 X 8 @ 16" O.C. CEILING JOISTS
R-21 BATT INSULATION
4
SOLID BLOCKING
VENTED SOFFIT
SIDING
TYVEX
1/2" CDX PLYWOOD
2 X 4 @ 16" O.C. STUDS
R-19 BATT INSULATION
1/2" SHEETROCK AT INTERIORS
3/4" PLYWOOD UNDERLAYMENT
1/2" PLYWOOD SUBFLOOR
2 X 10 @ 16" FLOOR JOISTS
R-21 BATT INSULATION
u
2 X 6 CCA SILLS
1/2" ANCHOR BOLTS @ 6'-0"
MIN. Q.C.
TERMITE SHIELD
d 8" X 4'-0" MASONRY FOUNDATION WALL
16" X 8" MASONRY FTG.
a a 2" SLAB @ CRAWLSPACE
d
WATERPROOF COATING @ FOUNDATION
VENT CRAWLSPACE AS PER PLANS
RODILOSSO RESIDENCE
SECTION / ADDITION
1/2" = 1'-0" 12.18.03
ENVIRONMENT EAST INC.
OFF/--i!�r
-ERTIFICATE
REQUIRED
COMPLY WITH ALL CODES OF
APPROVED AS NOTED NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
DATE: I y B.P.i �i n TowN 5j`7- -3
FEE: BY. SOUTHOLD I OWN PLANNING BOARD
NOTIFY BUILDING 'DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE SOUTHOLD TOWN TRUSTEES
FOLLOWING INSPECTIONS: V N.Y.S.DEC
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION ALL ON
4. FINAL - CONSTRUCTION MUST MEET THE REGIS - jr 'HE
BE COMPLETE FOR C.O. CODES OF NEW YORK STATE,
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. PLUMBING
ALL PLUMBING WASTE
&WATER LINES NEED
OC"'U PAN TESTING BEFORE COVERING
CY OR
USE IS UNLAWFUL ICATION OF
WITHOUT CERTIFICATE CNG &
NAILING & CONNECTIONS
OF OCCUPANCY REQUIRED.
PLUMBER CERTIFICATION FLOOD ZONE--4--t/-1-
ON LEAD CONTENT BEFORE FLOOC�DAMAGE PREVENY WITH CHAPTE TION
CERTIFICATE OF OCCUPANCY SOUTHOLD TOWN CODE.
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 240 OF 1% LEAD.
DO NOT PROCEED WITH
FRAMING UNTIL SURVEY
OF FOS BEENILOCATIONON
HAS APPROVED
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
RES check Software Version 3.5 Release la
Data filename: Untitled.rck
TITLE: RODILOSSO ADDITION
COUNTY: Suffolk
STATE:New York
HDD: 5750
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE: 12/19/03
DATE OF PLANS:DECEMBER 19,2003
PROJECT INFORMATION:
BEDROOM AND BATHROOM ADDITION
COMPANY INFORMATION:
ENVIRONMENT EAST INC
COMPLIANCE:Passes
Maximum UA= 123
Your Home UA=98
20.3%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 482 21.0 0.0 23
Wall 1: Wood Frame, 16" o.c. 664 19.0 0.0 36
Window 1: Metal Frame:Double Pane with Low-E 7 0.290 2
Window 2: Metal Frame:Double Pane with Low-E 14 0.290 4
Window 3:
Metal Frame with Thermal Break:Double Pane with Low-E 7 0.290 2
Window 4:
Metal Frame with Thermal Break:Double Pane with Low-E 7 0.290 2
Window 5:Wood Frame:Double Pane with Low-E 24 0.330 8
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 482 21.0 0.0 21
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application. The proposed systems have been designed
New York State Energy Conservation Construction Code requirements. When a Registered Design Professional ha w..
signed this page,they are attesting that to the best of his/her knowledge,belief, and professional judgment,such pi� �
specifications are in compliance with this Code.
Builder/Designer jjw� Date 1241-o7