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HomeMy WebLinkAbout29817-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29858 Date: 11/19/03 THIS CERTIFIES that the building ADDITION Location of Property: 215 KRAUS RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 5 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 16, 2003 pursuant to which Building Permit No. 29817-Z dated OCTOBER 16, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA #5356 DATED 7/24/03 . The certificate is issued to WILLIAM & JANE REED (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ut prized 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. 29817 Z Date OCTOBER 16 , 2003 Permission is hereby granted to: WILLIAM & JANE REED 215 KRAUS RD MATTITUCK,NY 11952 for CONSTRUCTION OF A REAR DECK ADDITION AS APPLIED FOR PER ZBA at premises located at 215 KRAUS RD MATTITUCK County Tax Map No. 473889 Section 122 Block 0005 Lot No. 007 pursuant to application dated OCTOBER 16, 2003 and approved by the Building Inspector to expire on APRIL 16, 2005 . Fee $ 150 . 00 7z/ t ut ori ed i COPY Rev. 5/8/02 y Form No.6 - - TOWN OFSOUTHOLD BUILDING DEPARTMENT q TONIN HALL I 765-1802 9 TPI APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2.10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planting Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "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 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 Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. New Construction: q Old or Pre-existing Building: (check one) Location of Property: /<./z/i U S QA, , /� 7-7—/ %y C k House No. Street /� Hamlet Owner or Owners of Property: t� I CU Aryl �. �H Nr A • �r l Suffolk County Tax Map No 1000, Section !a Block S Lot 7 Subdivision Filed Map. / Lot: \ Permit No. pq t C G d"(�l 7—Z Date of Permit. /D /(o Q3 Applicant: (mil c�qM /21r,1SU Health Dept. Approval: Underwriters Approval: Planning Board Approval: `/ Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ -,74--00 Ic So q 5 Applicant Signature UFFO( APPEALS BOARD MEMBERS SOS ��, Southold Town Hall Lydia A. Tortora, Chairwoman o y�c;, 53095 Main Road Gerard P. Goehringer y at P.O. Box 1179 George Horning O .F" Southold, New York 11971-0959 Ruth D. Oliva ZBA Fax (631) 765-9064 Vincent Orlando Ol �a4 Telephone (631) 765-1809 htrp:"southoldtown.north fork.net BOARD OF APPEALS TOWN OF SOUTHOLD August 27, 2003 l ` - I 5 Tm Mr. and Mrs. William Reed` t 215 Kraus Road - Mattituck, NY 11952 Re: Appl. No. 5356 —Variance for Deck Setback Dear Mr. and Mrs. Reed: Enclosed please find a copy of the findings and determination rendered at Zoning Board of Appeals Meeting held July 24, 2003. Please follow-up with the Building Department (765-1802) for the next step in this building-permit application process. When returning to the Building Department, you may want to furnish their office with another copy of the enclosed determination. Thank you. Very truly yours, /7�,ILrZeZ - Linda Kowalski Enclosure Copy of Decision also furnished today to: Building Department 1PEALS BOARD MEMBERS ��gUffO(,rrco �O (� Southold Town Hall Lydia A. Tortora, Chairwoman a 53095 Main Road Gerard P. Goehringer w 2 P.O. Box 1179 George Homing Southold, New York 11971-0959 � • `�' Ruth D. Oliva ZBA Fax (631) 765-9064 Vincent Orlando Ol �a Telephone (631) 765-1809 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF JULY 24, 2003 Appl. No. 5356—WILLIAM REED Property Location: 215 Kraus Road, Mattituck; Parcel 122-5-7. 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 20,642 sq. ft. parcel is located on the north side of Kraus Road in Mattituck. The property is improved with a one-story frame dwelling situated 69.5 feet from the southerly front lot line and 21.6 feet from the easterly side lot line as shown on the John C. Ehlers survey dated 8-10-98. Although the survey does not clearly state the setback to the rear lot line, the applicants note that the proposed 12' x 30' deck addition will be 30+- feet from the rear line at its closest point, using the applicant's measurement of 45+- feet from the northeast comer of the house. BASIS OF APPLICATION: Building Department's April 14, 2003 Notice of Disapproval, citing Section 100-244B, in its denial of a building permit to construct a deck addition to the existing dwelling at less than 40 feet from the rear lot line. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on July 24, 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 a deck addition at the rear of the dwelling with a setback of 30+- feet from the rear property line. The deck will be 16" off the ground, and the backyard will continue to be screened with 5' evergreens. The rear of the property is bordered by 30' high pine trees, and the lot to the north is heavily wooded. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: .,49/e 2 —July 24, 2003 pl. No. 5356 —William Reed '.'122-5-7 at Mattituck J' 1. Grant of the alterative relief will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The applicant seeks to construct a 30 foot by 12 foot deck attached to the rear of the existing single-family dwelling, located on a nonconforming 20,642 sq. ft. parcel. The new deck is proposed 33+- feet from the north property line and greater than 21 feet to the easterly side line. The proposed setbacks are similar to setbacks of the houses existing in the neighboring area. The property's rear lot line is adjacent to a wooded parcel of approximately 1.8 acre in size, that is now, or was formerly owned by Peters, and accessed from Camp Mineola Road, a nearby private road. 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 location of the deck is reasonably placed, centered behind the dwelling and closely aligned to the rear line at the northwest (rear) section of the house. The dwelling is situated closer to the rear line than the front line, which limits the available rear yard area for a deck or other building purpose. Without a variance, the applicant would be able to build a deck with only 5 foot in depth, which is not large enough for use by the family when entertaining out-of-doors. 3. The relief granted herein is substantial because the requested rear yard setback is a seven (7) ft. reduction of the code-required minimum of 40 feet. All other distances are shown by applicant to be in conformity with the code's minimum requirements. 4. The difficulty for the applicant is self-created, since the applicant acquired the house and property in 1999, when the existing rear yard setback was the same as in the current Town Code, and is now proposing to reduce the conforming setback of the house with a new deck addition. 5. There is no evidence that the grant of the relief requested will have an adverse effect or impact on physical or environmental conditions in the neighborhood or district. No changes in the existing grading of this property will be needed in the construction of the proposed deck. There are no wetlands, or environmentally sensitive areas, on the property. 6. The relief offered to the applicant is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a rear yard deck, 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 Oliva, seconded by Member Orlando, and duly carried, to Page 3 —July 24, 2003 Appl. No. 5356 —William Reed • 122-5-7 at Mattituck GRANT the variance for a 12' x 30' deck addition, as shown on applicant's sketch noted on the John C. Ehlers survey dated 8-10-98, with the Condition that the deck shall not be enlarged beyond the proposed plan. 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, a setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Orlando (Chairman Pro Tem), Homing, and Oliva. (Absent were Chairwoman Tortora and Member Goehringer.) This Resolution was duly adopted (3-0). Lydia A ortora, Chairwoman —Approved for Filing UGC.. �.JI b_ Pkm 02 SURVEY OF PROPERTY SITUATE. MATTITVK TOWN OF 5on4oLP SUFFOLK GOUNTY, W SLPPOLIO 0OIN T TAX MAP IpQp_I]2-5-1 . OgtTIFI®Ta PATRIOK&)4RVaST 0RYSTAL K.ILL.UM ANT, INO. Aro{•ETR o TM.0 RL%IpM1Ge CaoAKY y • /"/ /"(� O S Le Y .bOsdeopi v.W. V Lc.k, art .S20-e 131.00, T x _ fit) »a , yI LU 1f1 ur br r77•x—x- 171.94, Qli I i I '65Q-372 +W H 1 137.04' Kraus Road 1 7 � _Tyr NOTM 0 RPE FOL#V � HWCC AO.lC� C_CT AW. •3 024 X OR 0.41 AS aS LARD r.l. Lm. M. wa02 GRAPHIC S,-ALE 11- 30, 66 C. C9TR ET R vENE.0 x.r. 11901 389-li.. te• 380_Bi9) C[IIKMCE . 98421] 765.1802 BUILDING DEPT. SPECTION [ FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ j FINAL ( ] FIREPLACE & CHIMNEY REMARKS: " C fLr DATE © D INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 442 DATE 13 /63-INSPECTOR co MUD INSYECTIONMORT DATE � FOUNDATION(IST). " C m FOUNDATION(2ND) z O a TZ) a ROUGH FRAMII!TG& � PLU14MONG x �1 WSULATTON PER N.Y. STATE ENMWY CODE J FINAL ADDITIONAL COMIYIENTS O Z m R I t7 t� F TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying.` TOWN HALL Board of health- -___— SOUTHOLD, NY 11971 3 sets of Building Plans_ TEL: (631) 765-1802 Planning Board appmcal_ FAX: (631) 765-9502 I Sur`'ey www. nortlifork. et/Southold/ PERMIT NO.-t { Check — — Septic Pone N.ti'.S.D.F.C. Examined to , 203 untuer' - --- ---- _ 6 t Approved--_— ' 20 Mail to -- _ Disapproved a c -- ---- -- - Phony. _ --- Expiration_ Bui i i or APPLICATION FOR BUILDING PERMI.1' INSTRUCTIONS Datc 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 belore issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Penuit 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 e%ei 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 atter the date of issuance or has not been completed within 18 months front 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 renioNal 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 promises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (Niailing address ofapplicant) I1 d. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /l Cl %LL/,'}/p yVA t('t._ __— (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 land on which proposed work will be done: of/.J1 /CRAy-C ler - - /19x1///%C_")c1 /c - ----- House Number Street Hanmlet County Tax Map No. 1000 Section 1C.-2,X Block__ 0 ✓ Lot Subdivision Filed Map (Name) 2. State existing use and occupancy of premises and intended use and occu ancy of proposed construction: a. Existing use and occupancy CAI FAM I Ly R_Iyfr7-1!r___ b. Intended use and occupancy /2h'CLtfr.,q 3. Nature of work(check which applicable): New Building_ __Addition Alteration id lei Removal Demolition ier Work_ (Description) 4. Estimated Cost s [7p f7 , Fee `�//S 0 _ ___ (To be paid on tiling 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 Stories Dimensions of same structure with alterations or additions: Front _Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 3O Rear. C1 _Depth Height Number of Stories 9. Size of lot: Front .,370 ,0 4 Rear nnDepth � _ 10. Date of Purchase UA-a 199 Name of Former Owner ir"A ULIC G u 0"QU i 51-m- CrRy rTat 11. Zone or use district in which premises are situated /YJ 77—/ TOC 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO-X- 13. Will lot be re-graded? YES_NO�Will excess fill be removed from premises? YES`NO 14. Names of Owner of premises Address Phone No. Name of Architect 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 _ )t'-- • 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: cCOUNTY )4 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the )%et (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 applicatiot 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. Swo�n�t to�bcefore me this — i--se—dayof QCyL 20 03 ' Not PubIicSignature of Applicant LINDA J.COOPER Notary Public,State of New York No.4822583,Suffolk County Tern Expires December 51,9ajc, P, flr:' � S e• No.Q961E4 UMi5 or- aCtt;,riQ0 2VAV• <aoF CIO w*� l �t -WALL or- 4-lvv,;,E , 'xd G�bA�z �bP�Prtl. 41 � i - I 4"xdd arca. PGS _ 0 WWXGu CeVA1Z IFCe(Qk 2''xla9c.zPcsdvvb k(plo'G, 2-2`X SuGGA ra1R�i� 60Al2D, NPO Le 12 Q PoVL \9 IV Dox, 'TC-6,0' %7k. :TMtJC - —bcltitlN(� l W Nu . �•. 0 2 5 4N= ILD .a •o. 2oF2 a Y OR USE IS UNLAWFUL µ12!Act ED AS NOTED WITHOUT CERTIFICAT 1b CW-44c .DATE:Ac) ' 1 B.P. # (�� nF`M FEE: 5�� BY �Cy-N, Y KA PPANCY NOTIFY BUILDING C �AHTMENT AT c 7851802 8 A TO 4 .'M FOR THE R - Lo - 1. FOUND ION - TWO REQUIRED FOR PO RED CQNC 1�z L(64,0k, 31 IN LAT 74. AL - ONS UCTION MgS1Fvu BE C LETE FOR C.O. ALL CO RUCTION SHALL MEET THE REQUIR6Q1 NTS OF THE CODES OF NEW YORK SE. NOT RESPONSIBLE FOR DESIGN �pONST B@LB WW*0PQRS. -, — a eer—ixrt�Y -- N �x Q - N E1C6r 1nt712 COMPLY WITH CHAPTER "46" FLOODOAMAGE PREVENTION SOUTHOLD TOWN CODE. ALL CONSTRUCTION SHALL COMPLY WITH ALL CODES OF MEET THE REQUIREMENTS OF THE - W Y S & OWN CODES CODES OF NEW YORK STATE. CF tIS OF " S0_-�O �'�'NNPLANNING BOA f� SOUTHOLD TOWN TRUSTEES ��.� w. �r B�►I R EE.D goPasxion N.Y.S.DEC a 15 V�A*+1�4vck , A AW-tl , zc�3 SCALE Noc s� Lop .0 "WMCT aoLV. KHM lA N Zl�`� 1ACION No[�� "Mom OESCR4faF1 Isa FhSTNRiREU"R£D m 4X4 PO97:{12)1 Sd COLA.FV& a �. Au Pdii3 So �e �r �� �ar*� To FounA,r� ' Pas" POW LAP tsis led COM.NA4. N W 1Ttt Aa- c-tle'¢. 4X4 PCBT:WF 16d COM.MW d POK44 END AM",CM 1430 9EAAk )16d COY.WL u Z-. "ewm lb 4w I IfG14 COLUO4 CAP 9286 BF.woRtom M Wr DOLTS � wdTl� Twt�d -'.£stieAPy. P08i7COltJhRA )3f8'OtABaLTs s S. tAK-+t wiser -m Pse haw-lo�eraa -ta4M FOiDiR1B ER5feSf7•ANGHOR8 �v� ->v- �t oco� �T � t+ Tie- Ly PA Pmr+lWU%Xt 7I4. 01.7 PasTMMDER t i5dCUMtMOl4 cuTrPtp6., x4t-3T COL714 t:CA BIOSE 3585 POlT+GIE]P 1 1A7 HO 8t71T5 A"-Oke 60 --TD A far L.CtTEQ t7oi`c¢o WET Pow A7-Dlk 19M44 COLUMN BASE 900 POSTAOOR-(2)SW DN.BOLTS Bre POST: ti 2)i6d C A NAL ! m4ca t,leR ' ••• Po ' KtYV,i: '�sl ied.Mi.nt 'iaAe• �. . PO6i:$)16d COAL MALL PWM Em Pcorcip 1460 OLM& led CM No& 8A BFAM148�xp. M 6A'mous K« MUM GP SAS P4fiTDC0a-J,MiVt (A)54!m%8l"TG *6 FOOTWIME79 PAU40 PAST AWGHOR 23" POSTI 12116d COMMON RMS w dL� INET POST AWc"m f AF CUM ahm 3TfD POsuYi Ek M!R OK BM-M W i l ae NrET Post-ANCHDR ^ t K COLLUM SA6'E ° POBTf[36tl�ER C2IFirarOvous N L 7Y-[OWN ms ,106':(6)W COLOM NAAS Aw"OR �R0 :1 BdCOhfYfCN4NAtt_5 � ` °�y v /� f1IdK7wf1 i JOIST:4A}1Qr�-1l2NAIkS �OresMlr' . 1 .. APICIIOR R: )'.BdGOM1YK1N10Ak5 T A BUILDING PERMIT EXAMINER CHECKLIST DATE REVIEWED: �0 /x/03 APPLICANT: DATE SUBMITTED: _lb/_L(_/03 SCTM#DISTRICT: 1,000, SECTION: . BLOCK: ;5 , LOT: -74- SUBDIVISION:11,21 , ADDRESS: ()`7, CITY: m4-�zL ZONING DISTRICT: — CONFORMING? >, A 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 /B -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 7/1/83) REQ. LOT SIZE: dd6 ACT. LOT SIZE REQ. LOT COV. �� ACT. LOT COV. REQ. FRONT PROP. FRONT REQ SIDE s�? ACT. SIDE,� REQ. REAR PROP. REAR 36 REQ. HEIGHT PROP. HEIGHT PROJECT DESCRIPTION: ESTIMATED PROJECT COST: ARCHITECT GINE : -r-7,7-vi r6 L WATER FRONT? Wd DESCRIPTION: ANEL # FLOOD ZONE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH D PT: YES or IiO (BED#): DTE: _/_/_ PERMIT#: TOWN SEPTIC RECEIPT: Y o(N) NEW YORK STATE DEC: P"-DEC 9/1/75 YES or DTE: PERMIT#: SOUTHOLD TOWN TRUSTEES: YES or DTE_ / / PERMIT#: TOWN ZONING BOARD APPROVAL. or NO / DTE: :2: / 3 PERMIT#: .5 3--)Z TOWN PLAN. BOARD APPROVAL: lt§oro DTE:_/_/_ PERMIT#: TOWN HISTORICAL PRE (SPLIA): YES orf� NEW YORK STATE CODE COMPLIANCE (SEEPAGE 2):( r NO NOTES: FEE STRUCTURE: FOUNDATION: --SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. ( SF)- ( SF)= SFX $ =$ +$ +$ =$ 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)