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Home My WebLink About30493-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30923 Date: 05/19/05 THIS CERTIFIES that the building ALTERATIONS Location of Property: 1575 MINNEHAHA BLVD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 Block 3 Lot 51 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated .TUNE 23, 2004 pursuant to which Building Permit No. 30493-Z dated JULY 19, 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 ALTERATIONS TO CREATE AN ACCESSORY APARTMENT IN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER SPECIAL EXCEPTION OF ZBA #5244 DATED 1/23/03 . The certificate is issued to EILEEN GALLAGHER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2034067 03/18/05 PLUMBERS CERTIFICATION DATED 05/12/05 PECONIC PLUMBING&HEATING tho zed eignature Rev. 1/81 Form No.6 TON6'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL _ 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 11 12005 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: "'"' r:rn. 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 Planning 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 I. Certificate of Occupancy -New dwelling$25.00, Additions to dwelling $25.00, Alterations to dwelling $2-5.110, 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. 57/y/ /O 5 New Construction: _Old or Pre-existing Building: _(check one) Location of Property: P, 7s M(n7�yLe c lqv.� House No. Street Hamlet Owner or Owners of Property: _i l,52 /�Iq/14toH{ye_ Suffolk County Tax btap No 1000, Section_ Z Blocky 0 0 3 Lot Subdivision Filed bfap. Lot: _ Permit No. 3089 7 Date of Pemtit. ?�/gl"eY Applicant:_ Health Dept. Approval: Underwriters approval: Planning Board Approval Request for: Temporary Certificate_ Final Certificate: (check one) Fee Submitted: $ � I ? � App cant Signature c� � 3o9 )3 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. 30493 Z Date JULY 19, 2004 Permission is hereby granted to : EILEEN GALLAGHER 1575 MINNEHAHA BLVD SOUTHOLD,NY 11971 for ALTERATIONS TO AN EXISTING DWELLING CREATING AN ACCESSORY APARTMENT AS APPLIED FOR PER ZBA SPECIAL EXCEPTION. at premises located at 1575 MINNEHAHA BLVD SOUTHOLD County Tax Map No. 473889 Section 087 Block 0003 Lot No. 051 pursuant to application dated JUNE 23 , 2004 and approved by the Building Inspector to expire on JANUARY 19, 2006 . Fee $ 288 . 00 r- h rized Signatu e ORIGINAL Rev. 5/8/02 o ��I�n�rr�lss�n�l�n�nsrn`n�n��ns��rr��nu�t r�su��nnt rrs�nrnn�srr�l�rs�rs��n rsr��n�rrrsLn�rrrr�nL3pLr.ns o OW 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 r5 40 FULTON STREET — NEW YORK, NY 10038 C5 CERTIFIES THAT S C� Upon the application of upon premises owned by 9 5 5 5 ALAN HUBBARD ELEC. EILEEN GALLAGHER C5� P.O. BOX 2241 1715 MINNIHAHA BLVD. NJ5 5 126 CLOVER PLACE SOUTHOLD, NY 11971 5 5 AQUEBOGUE, NY 11931, 5 C5 Located at 1715 MINNIHAHA BLVD. SOUTHOLD, NY 11971 55 SApplication Number: 2034067 Certificate Number: 2034067 55 5 Section: Block: Lot: Building Permtt£ BDC: ns11 5 5 5 _330493 em con5 5 Described as a occupancy, wherein the premises elect a systsisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 First Floor, Second Floor, 5 5 A 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 5 authority having jurisdiction, and found to be in compliance therewith on the 55Day of 5' 18th March, 2005. 5 5 Name (OTY Rate RatM Circuit Type L+ 5 alarm and Emergency Equipment 5 Sensor 1 0 Carbon Monoxide 5 5 5 Appliances and accessories 5 Range 1 0 50 Amps 5 Exhaust Fan 1 0 F.H.P. Wiring and Devices 5 5 5 Receptacle 17 0 General Purpose 5 Switch 17 0 General Purpose 5 Fixture 11 0 Incandescent Paddle Fan 2 0 5 5 Receptacle 3 0 GFCI 5 5 5 5 seal 5 5 5 5 l of I 5 This certificate may not be altered in anyway and is validated only by the presence of a raised seal at the location indicated. rj 5 5 a 111111 111111 C�� UFFO( t-- 1 :iLS BOARD MEMBERS Southold Town Hall Lydia A. Tortora, Chairwoman c 53095 Main Road Gerard P. Goehringer W T P.O. Box 1179 George Horning O .F Southold, New York 11971-0959 Ruth D. Oliva ZBA Fax(631) 765-9064 Vincent Orlando Oj �a Telephone (631) 765-1809 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION REGULAR MEETING OF JANUARY 23, 2003 Appl. No. 5244— EILEEN GALLAGHER Street & Locality: 1575 Minnehaha Boulevard, Southold 1000-87-3-51 Date of Public Hearing: January 16, 2003. 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. The Zoning Board of Appeals held a public hearing on this application on January 16, 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: REQUEST MADE BY APPLICANT: The Applicant-Owner is requesting a Special Exception pursuant to Article III, Section 100-31B, sub-section 13 of the Zoning Code, to establish an Accessory Apartment within the existing principal building, the applicant's dwelling. The existing single-family dwelling has a Certificate of Occupancy of record noted as #Z-22267 dated 4-16- 93 for preexisting construction prior to April 9, 1957. PROPERTY FACTS/DESCRIPTION: This property is 14,682 sq. ft. in area with 100.95 ft. frontage along Minnehaha Boulevard, and lot depth of 150 ft. along the south property line. The property is improved with a one-story, single-family dwelling, owned and occupied by the applicant, Eileen Gallagher as her residence. New construction is under way for additions and a second-floor alterations, and three-car garage, referenced in the Building Permit issued November 1, 2001 under#27859-z. The December 19, 2001 survey shows the dwelling at 39.5 feet from the front property line, 13 feet from the north side line, 17.5 feet from the south line. FINDINGS OF FACT In considering this application, the Board has reviewed the code requirements set forth pursuant to Article III, Section 100-31B(13) to establish an Accessory Apartment and finds that the applicant complies with the requirements for the reasons noted below: 1. The Accessory Apartment is proposed with a livable area of 726 sq. ft. in the principal building, over the garage. The Apartment unit will not exceed 40% of the existing dwelling livable floor area. 2. Eileen Gallagher, the applicant herein, is shown as the owner in a Deed dated 11/12/99 at Liber 12012 page 535. Ms. Gallagher will continue to occupy the dwelling as her principal Page 2—January 23, 2003 a#V SE#5244— Eileen Gallagher L/i v Accessory Apartment/1 000-87-3-51 residence. 3. The applicant's plans comply with the on-site parking requirements and provide for a total of three (3) parking spaces, two for the principal use and one for the Accessory Apartment, utilizing the garage and existing driveway areas. 4. The applicant complies with the requirements of a dwelling unit as defined in Section 100-13 of the Zoning Code. The existing livable first floor is 1225 sq. ft., and 1982 sq. ft. on the second floor (garage and decks not included). The apartment will be 725 sq. ft. 5. The plans indicate that exterior entry to the Accessory Apartment of the existing one-family dwelling will retain the existing appearance of a one-family dwelling. REASONS FOR BOARD ACTION, DESCRIBED BELOW: Based on the testimony, documentation, and other evidence, the Zoning Board determined the following Findings of Fact to be true and relevant: 1) The Accessory Apartment, as applied for, is reasonable in relation to the District in which is located, adjacent use districts, and nearby and adjacent residential uses. 2) The Special Exception use is accessory to the principal use and will not prevent the orderly and reasonable use of adjacent properties. 3) This accessory use will not prevent orderly and reasonable uses proposed or existing in adjacent use districts. 4) No evidence has been submitted to show that the safety, health, welfare, comfort, convenience, order of the Town would be adversely affected. 5) This zoning use is authorized by the Zoning Code through the Board of Appeals, as noted herein, and a Certificate for Occupancy from the Building Inspector is a code requirement before an Accessory Apartment may be occupied. 6) No adverse conditions were found after considering items listed under Section 100-263 and 100-264 of the Zoning Code. 7) A Certificate of Compliance or similar document will be necessary for issuance by the Building Inspector certifying that the premises conforms to Ch. 100 of Zoning for an Accessory Apartment use. RESOLUTION: On motion by Member Goehringer, seconded by Member Orlando, it was Paged j3 31/ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ( f " ' r Ak-Qr- L DATE 1 `� INSPECTOR ` 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ✓J FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ' L/ DATE �f INSPECTOR i -30(,r- ?3a7 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I NSTION [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE �� INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH P BG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE CHIMNEY [ ] FIRE SAFETY INSPECTION i MARKS: 7 dv c� DATE 3 10 INSPECTOR TOWN OF SOUTHOLD PROPERTY REC RD CARD OWNER STREET 15 VILLAGE DISTRICT SUB. LOT 6, f Galla her FORMER OWNER F i IPJz✓l SL N - E e336GEi �' � c{ l a S W TYP OF BUILDING h 6/1 4 C.�u l s� La •cl 3 ZES. �b SEAS. VL. FAM COMM. I IND. I CB. t MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS -2 V r, 3 ?G01 Zi 3 Cr <,.s 6-j L Z 9 LaG �09�v 4 ® 7 (o ql- L1135 1�9- q la�uRr �a AGE BUILDING CONDITION e; G' NEW NORMAL BELOW ABOVE FRONTAGE ON WATER c Farm Acre Value Per Acre Value FRONTAGE ON ROAD ' Tillable 1 BULKHEAD -illable 2 DOCK liable 3 (p --L 7 703- is #4b 4D has-laui Voodland o: Iwampland l! ! QQ -L/ao( 535- �t5-rm� CuSTti�- N irushland / J douse PlotI( !/� ® � 7g"6 �f l clr�( -otal •✓ r� 4 ti� 1 T'! 1 I � � 87-3-51 9/02 67d s7 (f X JC 3 Foundation j Bath Extensi Z ent ��y"f Floors xtenio '14 x 4 �3 xt. Walls , Interior Finish Extension re Place \ Heat 12 X ?gyp-= a427 3. SD ! / ' Porch 1 Roof Type cfCS X i 2 T Porc ° K'J Rooms 1st Floor LIQr roe, Breezeway -' 14 Patio Rooms 2nd Floor N 6k. Ga ar ge V3 1 J Driveway I Dormer - 03 �bY, 4o I I�"T 57 a3-- � ' Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.6 Release 1 Data filename: apartment.rck PROJECT TITLE: Gallagher Apartment COUNTY: Suffolk STATE:New York ■� HDD: 5750 A 8 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE:Non-Electric WINDOW i WALL RATIO: 0.17 - -- DATE: 07107!04 DATE OF PLANS: 6-22-04 COMPLIANCE: Passes Maximum UA= I l8 Your Home UA= 117 0.8%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door PerimeterR ValueR Value U-Factor Ceiling: Flat Ceiling or Scissor Truss 675 30.0 0.0 24 Front wall: Wood Frame, 16" o.c. 203 19.0 0.0 11 Window 1: Vinyl Frame:Double Pane 22 0.500 11 Rear wall: Wood Frame, 16" o.c. 203 19.0 0.0 11 Window 2:Vinyl Frame:Double Pane 22 0.500 11 side wall: Wood Frame, 16" o.c. 109 19.0 0.0 4 Window 3: Vinyl Frame:Double Pane 45 0.500 23 Floor: All-Wood Joist'Truss:Over Unconditioned Space 675 30.0 0.0 22 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 to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stak1ped and signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgme t, such pl or specifications are in compliance with this Code. BuildedDesigner Date REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSofhvare Version 3.6 Release 1 DATE: 07;07/04 PROJECT TITLE: Gallagher Apartment Bldg. Dept. Use I Ceilings: [ ] L Ceiling: Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: I Above-Grade Walis: [ ] L Front wall: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: [ ] 2. Rear wall: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: [ ] 3. side wall: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Vinyl Frame:Double Pane, U-factor: 0.500 For windows without labeled U-factors, describe features: #Panes_Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ] 2. Window 2: Vinyl Frame:Double Pane, U-factor: 0.500 For windows without labeled U-factors,describe features: #Panes_Frame Type Thermal Break? [ ] Yes [ ] No Comments: [ ] 3. Window 3: Vinyl Frame:Double Pane, U-factor: 0.500 For windows without labeled U-factors,describe features: #Panes_Frame Type Thermal Break? [ ] Yes [ ] No Comments: I Floors: [ ] L Floor: All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated, or 2)installed inside an appropriate air-tight assembly with a OS" clearance from combustible materials. If non-IC rated,the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls,and floors. I Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-8. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-4. [ ] Supply ducts in unconditioned spaces must be insulated to R-8. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R- [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2.. Insulation is not required on return ducts in basements. I Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives), mastic-plus-embedded-fabric,or tapes. Tapes and mastics must be rated UL 181A or UL 181B. Exception.Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). [ ] The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. I Electric Systems: [ ] Separate electric meters are required for each dwelling unit. I Fireplaces: [ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State ,the Residential Code of New fork State or the New York Chy Building Code ,as applicable. I Service Water Heating: [ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] All heated swimming pools must have an on;'off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the levels in Table 2. Table 1. Minimum Insulation Thickness for Circulating Kot Rater Pipes Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Rung=s Circulatine Mains and Runouts Ternnerature( F) Unto V IJn to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 OS 0.5 1.0 Table 2. Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Ranee( F) T'Rests 1"and Less 1.25"to 2" 2.5" to 4„ Heating Systems Low Pressure/Temperature 201-250 LO 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below40 LO 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) ^y ------------------------------------ D C FOUNDATION(2ND) cn �n ROUGH FRAMING& PLUMBING G �r INSULATION PER N.Y. a STATE ENERGY CODE 3 t' 9 jo JL FINAL ADDITIO AL COMMENTS m , g z z n b = sz x x v 1 OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST DING DEPARTMENT Do you have or need the following,before applying? TOX'I'N HALL Board of Health_- ___ SOUTHOLD, NY 11971 3 ser of/Brd g Plan, TEL: (631) 765-1802 Planninapproval_ FAX: (631) 765-9502 Survey__ wivw. northfork.net/Southold/ PERMIT NO. Check __ Septic ___ _ Trustees------- Examined rustees _ — _Examined204,,,,,,,,!�4l Contact: Approved ,20 V-f Ntail to: -- Disapproved ac,_ _ _p Phone:_W� ._ 1p_5 V Ep _� � . 20n -- Building Inspector 2 3 SM APPLICATION FOR BUILDING PERMIT Date—&/d ' 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 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. �p� ---"4 ,(Signature of apj6hcant or name, if, c rpora n) (Mailine address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder — N e),2- Name of owner of premises )ZNameofownerofpremises t�e9.0 - (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 whic p oposW workwill be done: 1 M t wry m r 13e- s House Number Street C" Hamlet County Tax Map No. 1000 Section a -7 __Block 3 _Lot Subdivision_ Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Qiu 2 e� trd qx� c� 3. Nature of work(check which applicable): New Building__ Addition Alteration_ Repair_ Removal Demolition__ Other Work Q.a - (Description) 4. Estimated Cost_ �1 /��u -2 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units I Number of dwelling units on each floor I If garage, number of cars oZ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Ream Depth 3 al Height Number of Stories a Dimensions of same structure with alterations or additions: Front N I f�- ARe r Depth Height Number of Stories 8. Dimensions of entire new construction: Front Ar Rear Depth Height Number of Stories 9. Size of lot: Front I Rear / y 4'.7 Depth 10. Date of Purchase 7 IC13 Name of Former Owner 11. Zone or use district in which premises are situated "-'t) 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO s 13. Will lot be re-graded? YES_ NO P"Will excess fill be removed from premises? YES_NO 14. Names of Owner of premises E(�4! f$ HSP(_ Address (�� &,&t ,aFsud�r.tPhone 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 / * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YESNO * 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 // ) �i1 12�e f CJ'Fi/I& being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thi =�day of 20_fM Notgtl.-DA blit N �ignature of plicant NOTARY PLLYYUNNBLIC, State of New York No.01806020932 Qualified in Suffolk Count,,Y� Term Expires March 8, 20=-1 SURVEY OF DESCRIBED PROPERTY SaUA LAUGHINGTEWATERS N/F GIFFORD SOUTHOLD, TOWN OF SOUTHOLD N 87'38'40E 148.77' FD SUFFOLK COUNTY, N.Y. Pcn 2-RAIL E _ FD CM SURVEYED FOR: EILEEN GALLAGHER CM to GUARANTEED T0: Z ASPHALT �0 EILEEN GALIAGHER DRIVEWAY rn 0 0 z w TM# 1000-087-03-5 o it FD FD SLATE N CM N Z cm PATIO Z STRUCTURE TO P.4 r b. 13.8' _ 251 48'8 i N/F PALASCIANO n 3 24.0' 4.0' 4 D ze.2' 3a.a' `1 HOUSE UNDERVEL TO P.L. W 3—CARCONSTRUCTION p 2nd O GARAGE C c 1 N 9.0' r U.C. m � 3.5' SURVEYED: 19 DECEMBER 2001 > 29.3' 5.9• 1.3' O SCALE 1'= 20' 70 218' CONC. Q AREA = 14,6OOR S.F . z2.1' .337 ACRES FD 0o FD c6 CM u CM 150.00 SURVEYED BY STANLEY J. ISAKSEN, JR. GUAPAffW MCA70 e E N MU " S 87'26 00"W P.O. BOX 294 CV.Y ro HE PE7 a 201 s � Arm oN MS&*�"`70 IW 0"'' WABUN STREET G NEW SUFFOLK. N.Y. ""`""�A"r' 4D 'r AM 631-7 4-5835 r isrm nw To TW AOMEM aF ne LUVW ASPHALT EUF��oWZxs LmVT ae=ALIL M7M OR AWTM ro nas SURY£r s A WOLATM of WCRON 7209 n' ENSE LAND SURVEYOR nr AEV vow SrA1E MrATM LAW. NYS Lic. No. 49273 01C1095 OWES CF WIS SWWY MAP NOT BFARA'o SM suu NOr aE COYSCOWD ro BE A VAUD 1RLE COPY. 2 9 2004 I EXISTING 3" VENT ROOF WINDOW5 NOTE5 LAVv c A13 I I I I NEN APARTMENT - ;��U T4 2.. _ l EXISTING EXI IN& EXISTING DNJ 51111 K D/W I _ I I EXISTING KITCHEN EXI5TIN6 DRAIN TO EXISTING TRAP ' AND SANITARY _ 5YSTEM PLUMBING NOTES I ALL PENETRATIONS THROWH WALL5, FLOORS, GEILIN55, ROOFS, AND FOUNDATION TO BE SEALED AND FLA51-1ED AS REQUIRED TO PROVIDE PeATHERTI6HT SEAL 2 ALL CONSTRUCTION SHALL CERTIFICATION OF MEET THE REQUIREMENTS OF THE NAILING & CONNECTIONS CODES OF NEW YORK STATE. REQUIRED. UNDERWRITERS CERTIFICATE` REQUIRED 6ENERAL NOTES: COMPLY WITH ALL CODES OF I. All work to comply Nlth the latest building and energy code requirements for New York APP OV D AS NTED NEW YORK STATE &TOWN CODES State, the Town of Southold and any other authorities having Jurisdiction p L AS REQUIRED AND CONDITIONS OF 2. All work to comply with the Prescriptive Design Criteria as set forth in the American DATE: B.P.k{� I 2-S) SOUT tDMMZBA Forest and Paper Asso ion). Wood Frame Construction Manual for One and Twa Family FEE: BY: Dwellings (High Wind Edition). NOT Y BUILDING DEPAR ENT AT 0 SOUTQDTMPIANNINGB0Ai6 3. 6G. and all subcontractors are to be licensed to work In the State of New York and 765-1882 8AM TO 4PA FOR THE U A $OU1HOlDTOWNTRUSTEES the Town of Southold. G.G. to present certlflOates of Insurance for Workman's - I- Compensation, Disablllty, and Liablllty ($1,000,000 mini prior to start of work Plumbing, FOLLOWING INSPECTIONS: N A H.V.A.G., and electrical contractors may file separate applications for permits, If required. - - V 1. FOUNDATION - TWO REQUIRED �� NTS' ' 4. Contractor shall secure all utilities, including electric, phone / telecommunlcatlons, cable, - pmanFOR POURED CONCRETE water, and sewer, before commencing work, and conduct construction with due care to2. ROUGH - FRAMING & PLUMBING avoid damage to all installations to remaln. - - - -mEXI5TIN6 1 900 YOUPNGS AVE. 3. INSULATION FLOOD ZONE 5. Contractor shall provide adequate Nieather protection for the building and Its contents - - -4. FINAL - CONSTRUCTION MUST N/A during the course OF the work -� EXISTING STO AGE SOUTHOLD , NEW YORK 11971 BE COMPLETE FOR CO. COMPLY WITH CHAPTER"46„ 6. Contractor shall provide adequate protection for all fixtures and finishes to remaln _ALL CONSTRUCTION SHALL MEET THE FLOOD DAMAGE PREVENTION and conduct construction with due care to avoid damage to all areas to remaln. - - _ (631 ) 765-3928 (917)&74-3986 7. All dimensions are to face of wood studs, unless otherwise noted. DA ARCHITECTURE 2004 REQUIREMENTS OF RESPODESOF NEW SOUTHOLO TOWN CODE. _ _YORK STATE. NOT RESPONSIBLE FOO 8. Contractor shall not scale drawings. The contractor shall verify all dimensions In field _ J I , DESIGN OR CONSTRUCTION ERRORS. and notify the Architect of any dlscreparI prior to commencing work. - - - 2 / SCO120 of Work: % o PLUMBER CERTIFICATION OCCUPANCY OR P = i Finish exl5tln area above tiara e for new Second Floor Apartment - no new 3 ON LEAD CONTENT BEFORE USE IS UNLAWFUL g g P __ CERTIFICATE OF OCCUPANCY "shell" work - 2" x e" ® I6° OC. x NEW E3 O a 16" O.c 2'-b" -__e-1--- _ 10 OPEN TO BELOW SOLDER USED IN WATER WITHOUT CERTIFICATE MEGcheck / REScheck Compliance Report. s SUPPLY SYSTEM CANNOT OF OCCUPANCY IL- Compliance: passes EXCEED 2110 OF1%LEAD- O Maximum AF. = 121 NEW NEW 2 O Your Home = 117 IN AREA KIT'ET E I PLUMBING 3.3% better than code ALL PLUMBING WASTE _ - &WATER LINES NEED - - 51NK m m I TESTING BEFORE COVERING LUMBER NOTES: / I. Design and constructlon shall comply with the latest editions of the Wood Frame Construction Manual (High Wind Edition), National Forest Products Association, American Institute of Timber Construction, - I American Plywood Asscclotions Manuals, American Forest Ii Paper Association, and the American Wood - - - A,- 0 �1I I EXISTING MEG ANIGAL Council. _ _ TTT 1 p 0 I / 2. All plywood shall comply with US Product Standard P51 (Douglas Fir, Larch, or Southern Pine) _ _ O 3. Unless otherwise noted, all structural lumber to be #1 Douglas Fir or #1 Southern Pine and shall be free of any defects which may affect Its structural Integrity. I O 4. All lumber to comply wlth P5 20 "American Softwood Lumber Standard" and with oppllcable grading - - - O 1 2 rules of Inspectlon agencies certified by American Lumber Standards Gommlttee'5 Board of Review. L - 5 contractor to comply with manufacture's Installatlon and application recommendations for all - engineered lumber (i.e. microlam, TJI, etc) _ _ _ , - 6. Contractor shall provide all accessories which are not Called out on the plans, such as Joist - - - - _ O NEW _ I P r anchors,Joist hangers, framing anchors, post bases and caps, Steel straps, etc., as required for the - - - -�- EDROOM ry completion of the project. - - - x 7. All Joist / beam, header / beam, and beam / beam connections to be Installed with hangers anchored - _ ry 14 1 on main member supporting minor member `1/ 8. All post / beam and post / anchor connections to have 1/2" (min) bolt through connections with open - - - holes 9/Ib". L1. Notches and Boring ® jolsts and rafters. Notches in the top or bottom edge of solld-sawn joists shall not be located in the middle one-third of the joist span. Notches In the outer thirds of the span shall not exceed one-sixth of the joist depth. Where notches are made at the supports, they shall not exceed one-fourth the joist depth. Holes are limited in diameter to one-third the joist depth and the edge of the hole shall not be closer than 2 Inches to the top or bottom edge of the joist. _ +l,� 10. Notches and Boring ® studs. Any stud In an exterior wall or bearing partition may be cut or notched to a depth not exceeding 25 percent of Its width. Studs In non bearing portltlons may be ( V notched to a depth not to exceed 40 percent of a single stud width. Any stud may be bored or drilled, provided that the diameter of the resulting hole Is no greater than 40 percent of the stud A SECOND FLOOR PLAN I Ory / width, the edge of the hole Is no closer than 5/8" to the edge of the stud, and the hole 15 not located ,A` Z$G In the same 5ectlon as a cut or notch. A stud may be bored to a diameter not exceeding 60 percent 1/4•=1'-0" O of Its width, provided that such studs located In exterior walls or bearing partitions are doubled and � 3 1 0 that not more than two successive studs are bored. - 11. Provide hreblocking as required ® the following: a. all floor and telling levels b. Interconnections between concealed vertical and horizontal spacesit (i.e. soffits, drop ceilings, and cove ce=ilings) c. all penetrations (i.e. vents, pipes, and ducts) through ceiling and floor level Cl. chimneys, fireplaces, and flues EXISTING L (� 12. Provide wall bracing as required: PATIO a. first floor - located ® each and of Noll and at least. every 25 feet on center but not less than 16% of braced wall GONSTRUGTION LEGEND ^ QU 7 b. Second floor - located ® each and of wall and at least every 25 feet on =.L L center but not less than 30% of braced wall Ex15TIN6 CONSTRUCTION TO REMAIN 13. All dimensions are to face of wood studs or outside edge of concrete face unless otherwlse noted. I - EXISTING CONSTRUCTION TO BE REMOVED ` 12. Any unlabeled headers to be (2) 2" x 10 J TRUC 13. Provide 2" x No. blocking at all joist and rafter locations ® 8'-0" O.G. maximum DN _ NEW CONSTRUCTION _Lt ]� O 14. At all notches greater than 50 percent of late width, provide 1 1/2" Hldth, Ib o. metal tie across ^ Exl '6 O TINT INTERIOR PARTITIONS To BE 2" x 4 9 P P P 9 g ° NO. STUDS ® 16" o.c. � and to each side of the notch w/ (8) 16d nolle each side ___(2) 14" TJ PRO 230 _ W/ 5/b" PID, GIP, BD. BOTH 51PE-5 w•! +-+ U V UP 1. L�ITHE V I f-NE NEW DOOR x� mJO WINDOW 5GHEDULE a z I O cONs RucnoN NOTE nN NO. MODEL # TYPE ROUGH OPENIN6 (W x H) REMARKS C 5 SMOKE DETECTOR �� 5 � WASHOf� DRYERO CARBON MONOXIDE DETECTOR DRAWING: A GWI45 CASEMENT 2'-4 7/8" x 4'-5 3/8" EGRESS WINDOW W/ 511-1- HINGE CONTROL ry APPLY CHECK RAIL To MATCH DH WINDONS 10'-10" 10'-s" I12 GONSTRUGTION NOTES CONSTRUCTION PLANS - - REVISED WINDoN5 NOTES: UNLESS ALL OTHERWISE NOTED. ON ENTRY ALL DIMENSIONS ARE TO FADE OF WOOD STUDS ALL CLOSETS TO HAVE A M. POLE AND SHELF ® bb" AFF. ALL UNLABELED HEADERS TO BSCALE: (2) 2" x 10" Jl./lL I. UNLESS OTHERWISE NOTED, ALL WINDOW5 AND DOORS ARE EXISTING TO REMAIN EXISTIN6 ALL AREAS ARE EX15TIN6 To REMAIN - PATCH TO MATCH 2. WINDOWS AND 6LA55 DOORS TO BE LOW-E -16H PERFORMANCE WINDOWS MANUFACTURED BY GARAGE 5TAIPEXISTIN6 B ALL AREAS INHERE DEMO TAKES PLACE II e r " ANDERSEN WINDOW CORP A ALL STAIRS, BALCONIES, AND LAN BALL To HAVE HANDRAIL T/4 -O ® 36" A.F.F. (BOTH SIDES) AND BALUSTERS (OPEN END) 3. HARDWARE - NINDOW5 TO HAVE WHITE PULLS AND LOCKS; SLIDING b HINGED DOOR HANDLES TO HAVE WHITE FINISHES ALL BATHROOM 5ADDLE5 TO BE MARBLE 4. $GREENS - ALL OPERABLE UNITS To HAVE INSECT SCREENS, ALL SLIDING DOORS To HAVE 2 INSTALL R-Iq BATTINSULATIONx6" XAND s/6° GYP. BD ON INTERIOR ISSUE' INSECT SCREENS FACE L EXISTING 2" x 6" EXTERIOR STUDS 6 q'• 3 INSTALL R-30 BATT INSULATION AND 15TI GYP. BD. S INTERIOR 6/22/04 BLDG. DEPT. 5. G.G. TO VERIFY ALL ROUGH OPENINGS Wd WINDOW MANUFACTURER PRIOR TO ORDERING, � 12 FACE of NEIN cE1uN6 JClSrs AND Ex1sn N6 RAFTERS FRAMING AND INSTALLATION REMOVE EXISTING RAFTERS AND SHORE UP As REQUIRED SUBMISSION b. PROVIDE ALL JAMB 4 SILL EXTENSIONS AS REQUIRED - G.G. TO VERIFY 51ZES REQUIRED RELOCATE EXISTING SELF CLOSING DOOR TO 2ND FLOOR AND 7. ALL WINDOWS AND EXTERIOR DOORS TO HAVE 5/8" PLYWOOD REMOVABLE "HURRICANE PANELS" INSTALL WHERE SHOWN OREMOVE EXISTING STAIR AND REORIENT AS SHOWN. OUT NEW ED A NU #10 WD. SCREWS ® 12" O.G. ANCHORED TO EXTERIOR SFIEATHIN6 AS REQUIRED BY GODS OPENING AS REQUIRED AND FILL EXISTING HOLE WHERE STAIR Q RChx HAS BEEN REMOVED 0 G4 T NEW O INSTALL NEW cEILINe JOISTS F 51J13FLOORIN6 ABOVE COVERED GOVERED ENTRY a O REPLACE EX15TINC DH CENTER WINDOW W/ NEW CASEMENT. DOOR 5GHEDULE O PORCH MODIFY P AS REGUIRED FOR PLACEMENT 7 NEW CEILING HEIGHT TO BE q'-6" INSTALL EXHAUST FAN AS REQUIRED N NO. SIZE HARDWARE REMARKS 2" x B" 0 1&" Or VERIFY INSTALLATION OF R-30 BATT INSULATION IN GARAGE 9j, 0278 JOQ CEILIN6 AND INSTALL / MODIFY AS REGUIRED To ACHIEVE ® Ib' FQ O.G. THERMAL RATING F NE 2'-15" x 6'-8" POCKET POCKET DOOR 12 INSTALL NEW 4" x 6" POSTS 2 2'-O" x 6'-b" PA55,A6E 3 2'-0" x 6'-8" PRIVf4CY DRAWING NO. [ ❑ ❑-� - 4 (2) 2'-4" x 6-5" PA55A6E B FIRST FLOOR PLAN 1/4•=r-0" A- 02 BLDG DEPT OF BUILDING PERMIT EXAMINER CHECKLIST DATE REVIEWED: / /03 APPLICANT: /PA4 e. fV ._-- DATE SUBMITTED: 6/1�3/Jrq SCTM#DISTRICT: 1,000, SECTION: BLOCK: _, LOT:S�_SUBDIVISION: ADDRESS: .r4 (Ar`If itinA CITY: 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 vp NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LATS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7i REQ. LOT SIZE: ACT. LOT SIZE: "gam Q. LOT CQV. �' ACT. LOT COV. REQ. FRONT PROP. FRONT RE ACT. SIDE REQ. REAR PROP. REAR REQ. HEIGHT PROP. HEIGHT PROJECT DESCRIPTION: 11kr -L� ESTIMATED PROJECT COST: , CHITE /ENGINEER: A�Ae l WATERFRONT? DESCRIPTION: �- PANEL # ( FLOOD ZONE: L APPROVALS REQUIRED SUFFOLK COUNTY HEALTH T: YES or e(BED #): DTE: /_/_ PERMIT#: TOWN SEPTIC RECEIPT: Y o9) NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or DTE: /_/_ PERMIT#: SOUTHOLD TOWN TRUSTEES: YES or DTE _/_/ PERMIT#: TOWN ZONING BOARD APPROVAI . �' S or C DTEI_/ / PERMIT#: TOWN PLAN. BOARD APPROVAL: YES or DTA: / / PERMIT . TOWN HISTORICAL (SPLIA): YES or NEW YORK ST E CODE COMPLI CE (SEE PAGE 2 : YES r NO NOTES: � e FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: 3 v SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. ��SF)- ( 'y SF)=0SF X $ =$ M +$ 70 +$ =$ c9n 2. (--SF)- A SF)= SF X $ =$ +$ +$ =$ 3. ( SF)- (_ SF)= SF X $ =$ +$ +$ = $ FINAL TOTAL: $ p� NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:>11. 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 4/ FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: Y/N WALL ST S:Y/N GIRDF'.RS: Y/N CEILING JOISTS: Y/N FLOO GISTS:Y/N ROOF RAFTERS:Y/N LUMBER SPECIES AND GRADE:Y DESIGN LOAD CALCULATIONS: Y/N LIVE: Y/N DEAD:Y/N SNOW:Y� SEISMIC:Y/N WIND: Y/N WINDOW AND DOOR SCHEDULE: Jf MISSLE TEST REQUIREMEN S: Y/N l EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SC HED E: Y/N EANS OF EGRESS: Y/N P UMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTE TION EQUIPMENT: YIN TRUSS DESIGN: Y/N CERTIFICATION: Y/N �NERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)