HomeMy WebLinkAbout31226-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-31384 Date: 01/11/06
THIS CERTIFIES that the building ACCESSORY SHED
Location of Property: 630 NOKOMIS RD SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 78 Block 3 Lot 19.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 22, 2005 pursuant to which
Building Permit No. 31226-Z dated JUNE 24, 2005
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ACCESSORY SHED IN THE REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to JOHN A & CYNTHIA SWISKEY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ N/A
PLUMBERS CERTIFICATION DATED N/A
///Utr
eds ignature
Rev. 1/81
Form No.6
i
TOWN OF SOUTHOLD
BUILDING DEPARTMENT lam. ( 1
TOWN HALL
765-1802
1
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 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 propertyshowing 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: _�_/ Old or Pre-existing Building: (check one)
Location of Property: (
House No. Street Hamlet
Owner or Owners of Property: .AAD
Suffolk Countv Tax Map No 1000, Section 1'j? Block 1�_�– 1 Cj , 7 Lot �C{ , 7
Subdivision Filed Map. Lot:
Permit No. 3 Date of Permit.__ __ _ Applicant:
Health Dept. Approval: _ _ — _ Underwriters Approval:
Planning Board Approval: _^
Request for: Temporary Certificate _ Final Certificate: ✓ (check one)
Fee Submitted: $
Applicant Signature
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. 31226 Z Date JUNE 24 , 2005
Permission is hereby granted to :
JOHN A SWISKEY
630 NOKOMIS ROAD
SOUTHOLD,NY 11971
for
ACCESSORY SHED IN THE REQUIRED REAR YARD AS APPLIED FOR
at premises located at 630 NOKOMIS RD SOUTHOLD
County Tax Map No. 473889 Section 078 Block 0003 Lot No. 019 . 002
pursuant to application dated JUNE 22 , 2005 and approved by the
Building Inspector to expire on DECEMBER 24 , 2006 .
Fee $ 75 . 00
� uthorizedSignature
ORIGINAL
Rev. 5/8/02
FIELD INSPECTION REPORT DATE COMMENTS
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ]
FRAMING / STRAPPING [ FINAL J_S
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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DATE v�' INSPECTOR
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before ap ving°
TORN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 PlanningBo approval
FAX: (631) 765-9502 Survey
wivw. northfork.net/Southold/ PERMIT NO. 31 ��o Check-w ,�7 rS
Septic Form
N.Y.S.D.E.C.
Trusties
Examined—_ _ `J ,20 Contact:
Approved ,20a Mail to:
Disapproved a'z�
Phone:16 - -7QLI
Expiration
L Building Inspector
f` .i 2 2 2005
i t1lJ f LICATION FOR BUILDING PERMIT
Ll—oLD0. CETT
rQwt Or _tMl J Date 200S
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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.
�. 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 b 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 IS months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector nray authorize, in writing, the extension of the permit for an
addition six months.Thereafter, a new,permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold. Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
(030IvflKo1 tl5 (2il., -urHoLbl til.`(. Rq-T(
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
n(L net'
Name of owner of premises h n ri4 ;a-
(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:
fo_� 1JAK�Mt��o_ Sown-lou"J 1,l-Y.
House Number Street t Hamlet t
r, .I vAATOH
County Tax Map No. 1000 Section 7� 9 Block � ��" . [o 9�o AN
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 Srn2r-,-T
3. Nature of work (check which applicable): New Building lP Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost3�ppp Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front 10 Rear Depth I
Height to Number of Stories 1
9. Size of lot: Front Rear I B'.14 Depth 22U, (on
10. Date of Purchase to I q� Name of Former Owner 6; PS
11. Zone or use district in which premises are situated�'o S;c6 n A-j
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES_NO_fa_Will excess fill be removed from premises? YES NO�
14. Names of Owner of premises, t6Aq CY&rntt a S„,#Address Oo Al wem,s R,3, a?YdPhone No. -7(,S - ;,y o'4
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NOS
* 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 )
being duly swom, 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.
Swo to be ore me thi
day of 2
Notary Public �� Signature of Applicant
LYNOA M BOHN
NOW,WPUBUC,2tg tof New Coyotrrk-
No
Tann E*ma March S.20Q$
RETAIN STORM WATER RUNOFF
0 SECTI 45-1 OC
OCCUPANCY OR OF THE TOWN CODE.
EGRESS WINDOW SCHEDULE ROVED AS NOTED
FASTENER SCHEDULE FOR STRUCTUAL MEMBERS ASPHALT ROOF SHINGLE NWFTHOUT CERTIFICATEDATE: a.P.# 3i�ac rr
(NOT REDO FOR STORAGE ONLY FOR SLEEPING ROOMS) =EE
FIRST FLOOR REWO CLEAR OPENING PROVIDED DISCRIPTION OF BUILDING ELEMENTS #AND TYPE DF FASTENER SPACING OF FASTENERS I. ASPHALT SHINGLES SHALL HAVE SELF-SEAL STRIPS OR BE INTERLOCKING,AND COMPLY WITH AST -22 0 [3462 NOT FY E !.IDIIIG 0Yr (TMP( ENT AT
765-1802 1 AM TO L PM FOR THE
ANY BEDROOM ONLY 50 It, >5.0 ftp(N.A.) JOIST TO SILL OR GIRDER,TOE NAIL 3-8d 2. FASTENERS FOR ASPHALT SHINGLES SHALL BE GALVANIZED STEEL,STAINLESS,ALUMINUM,OR COPPER ROOFING NAILS OR GALVANIZED STAPLES. FOLLOWING INSPECTIONS
SOLE PLATE TO JOIST OR BLOCKING,FACE NAIL 16d 16"D.C. MINIMUM 12 GUAGE SHARED WITH A MINIMUM 3/8"0 HEAD OR 17 GAUGE BY 1-3/8"GALV.STAPLES.OF LENGTH TO PENETRATE THROUGH THE RODFIN60UND ION - TWO REQUIRED
TOP TO SOLE PLATE TO STUD,END NAIL NET MATERIALS 6 SHEATHING FOR POURED CONCRETE
3. ASPHALT SHINGLES SHALL HAVE AT LEAST THE MINIMUM NUMBER OF FASTENERS REGOIRED BY MANUFACTURER. 2. ROUGH FRAMING & PLUMBING
STUD TO TOE PLATE.ENO NAIL 3-8d or 2-16d 3. INSULA ON
4. FOR NORMAL APLICATION,ASPHALT SHINGLES SHALL BE SECURED TO THE ROOF WITH NOT LESS THAN 4 FASTENERS 4. FINAL - CONSTRUCTION MUST
DOUBLE STUDS.FACE NAIL ITT 24"0 C PER STRIP SHINGLE OR 2 FASTENERS PER INDIVIDUAL SHINGLE. BE CO LETE FOR C.O.
DOUBLE TOP PLATES.FACE NAIL FT 24"0 C. 5 ASPHALT STRIP SHINGLES SHALL HAVE HAVE A MINIMUM OF 6 FASTENERS PER SHINGLE WHERE LAVE IS HIGHER THAN 20 FEET ALL CONS RUCTION SHALL MEET THE
REQUIRE NTS OF THE CODES OF NEW
SOLE PLATE TO JOIST OR BLOCKING AT 3-16d fi"O.C. OR HIGHER ABOVE GRADE OR THE BASIC WIND SPEED IS GREATER THEN 120 MILES PER HOUR. YORK STA E. NOT RESPONSIBLE FOR
BRACED WALL PANELS CONSTRUCTION ERRORS.
NOTE AT LEAST ONE WINDOW PER BEDROOM MUST BE
EGRESSABLE AS PER THE FOLLOWING. DOUBLE TOP PLATES,MIN 48"OFFSET OF END 8-Ifid
JOINTS,FACE NAIL IN LAPPED AREA
I. MIN NET CLEAR OPENING WIDTH 2'-O° STANDARD FEATURES ALL C "'
� �TRUCTIC'! ""^' L
2 MIN NET CLEAR OPENING HEIGHT T-11". BLOCKING BETWEEN JOISTS OR RAFTERS 3-Rd MEET )UIREMLIVI13 '
3. SILL HEIGHT NOT MORE THAN 4'-4"ABOVE FLOOR. TO IDP PLATE.TOE NAIL NEW YORK STATE.
4. MIN CLEIR OPENING AREA 5.7 ft . 2 RIM JOIST TO TOP PLATE,TOE NAIL 8d Ell D.C.
(5 0 ft T GRADE FLOOR OPENINGS) 225 Ib. 20 Year guarantee
TOP PLATES.LAP AT CORNERS AND asphalt self-sealing shingles Y2' C.D.X. 2"x 4" . Double gusseted roof
INTERSECTIONS,FACENAIL 2-1111 4" Overhang on in your choice of 6 colors Plywood roof trusses for unmatched
SAFTEY GLASS REDDIREMENTS all four sides eliminates sheathing strength @ 24" O.c.
BUILT UP HEADER,2 PIECES WITH 1/2'SPACER Bid I6"HC ALONG EACH EDGE sidewall streaking from
SAFTEY GLAZING RED'D AT FOLLOWING LOCATIONS: R
wet r runoff
CONTINOUS HEADER TO STUD.2 PIECES HIT 16"D.C.ALONG EACH EDGE
I. ANY GLAZING IN ANY TYPE OF DOOR. `- Galy. Finished soffits for
2. GLAZING IN ANY WALL ENCLOSING A TUB,SHOWER, CEILING JOISTS TO PLATE,TOE NAIL 3-Rd \�_ Hurricane beauty and weather
( ry
SAUNA.OR STEAM ROOM.* CDNTINOUS HEADER TO STUD.TOE NAIL 4-Rd - - ` Clips EvetightnessJoist yp.)
3. ANY WINDOW WITHIN 2'OF A DOOR.* CEILING JOISTS LAPS OVER PARTITIONS,FACE NAIL 3-IDd
4 ANY INDIVIDUAL PAIN OF GLASS>9 It WHERk
BOTTOMS<IB"ABOVE ANY FLOOR WITHIN 3'
CEILING JOISTS,PARALLEL RAFTERS,FACE NAIL VITT
OF THE WINDOW. RAFTER TO PLATE,TOE NAIL 2-16d
5. GLAZING IN WALLS OF INDOOR POOLS.HOTTUBS, BUILT-up CORNER STUDS IOd 24"91. End Vents
SPAS WITHIN TDF THE WATER.* Maintenance Free both ends
B. GLAZING IN STAIRWAYS 6 LANDINGS WITHIN 3' NAIL EACH LAYER AS FOLLOWS.32"D.C. aluminum drip provide proper
BUILT-UP GIRDERS AND BEAMS,2"LUMBER LAYERS IOd AT TOP AND BOTTOM AND STAGGERED. edge or painted ventilation
HORIZONTALLY OF A WALKING SURFACE.* 2 NAILS AT ENDS ANT AT EACH SPLICE wood comers
* THE RE0019REMENT DOESNOT APPLY IF THE BOTTOM ROOF RAFTERS TO RIDGE,VALLY OR HIP RAFTERS.
EDGE OF THE GLASS IS MORE THAN 6D"ABOVE THE FLOOR. TOE NAIL 4-I6d 2 Aluminum Jalousie
windows with screens
FACE NAIL 3-I6d & shutters, or choose Full 2x4
RAFTER TIES RAFTERS,FACE NAIL 3-Bd 5.0 ft optional windows. Kiln dried stud
CODE ANALYSIS WOOD STRUCTURAL PANELS,SUBFLOOR,ROOF AND WALL SHEATHING TO FRAMING,AND Custom placement 68'/z" watts
no additional chargea Galv.
PARTICLEBOARD WALL SHEATHING TO FRAMING Reinforced Double Doors Hurricane
OCCUPANCY: Latex/ac lic exterior paint painted on both sides Clips (Typ.)
DESCRIPTION OF DESCRIPTION OF FASTENER SPACING OF FASTENERS(IN INCHES) in your choice of 13 clors with 2x4 framing Full 2x4 sill
REFERENCE STANDARDS: BUILDING MATERIALS EDGES INTERMEDIATE SUPPORTS or clear-sealed plates on all
PRESSURE TREATED B.C. PRESSURE TREATED four sides
RESIDENTAL CODE OF NEW YORK STATE 5/16"-1/2" 6d COMMON NAIL(SUBFLOOR WALL) G"0 C G"O.C.* 5 ply plywood floor, secured 2x4 Noor joists 16" O.C.
WORD FRAME CONSTRUCTION MANUAL,AF 6 PA5/8" T-1-11 Fir Sidin Hor cnoose with ring shank nails PRESSURE TREATED 4x4
5/16"-1/2" 8d COMMON NAIL(ROOF) G"O C. 6"D.C.* Optional orizontal ood Siding Jacks & headers in all door foundation beams
DEGREE DAYS 5750 g framing to meet all State and
4d CFOR ATTACHMENT OF ROOF SHEATHING TO GABLE WALLS —
DESIGN LOADS: NOTE: SHED IS TO BE TIED DOWN TO GALVANIZED STEEL "IRON ROOT" DOUBLE HEAD , DOUBLE HELIX EARTH
FLOOR 49 PSF ANCHORS AT ALL CORNERS OF FOUR CORNERS, AS MANUFACTURED BY TIE DOWN ENGINEERING OF ATLANTA,
ROOF 45 PSF(GROUND SNOW LOAD)
BASIC WIND SPEED 120 MPH FASTENER SCHEDULE FOR STRUCTUAL MEMBERS GEORGIA, ATTACHED TO BOTTOM OF FOOTINGS & PERIMETER TIMBER SUPPORT TIMBERS. DETAILS APPLY TO ALL
UPLIFT 18 PSF SHEDS UP TO 12 FT. WIDE BY 40 FT. LONG.
DEAD LOADS 10 PSF GROUND WIND SEISMIC SUBJECT TO DAMAGE FROM WINTER ICE SHIELD FLODD
SNOW SPEED DESIGN WEATH- FROST TERMITE MAY DESIGN UNDERLAY- HAZARDS LONG ISLAND SHEDS
LOAD (MPH) CATEGORY EKING LINE DETPH TEMP. MENTREO'D
DEFLECTION LIMITS: MODERATE LIGHT NORTH FORK WOOD DESIGNS
RAFTERS W/NO FIN.CEILING ATTACHED I/IBT 45 PSF 12U
N/A PER SEVERE 3'-0" TD TO Do
FLOORS I/3GU R 301.2.2 HEAVY MODERATE SOUTHOLD & RIVERHEAD, NEW YORK
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<P E.S. KALOGERAS, P.E
* P (X iiF,'Vis,{ „ C�d�NdtGGLtm 0 0
_ UNION SQUARE,)2](INION AVENUE,RIVERHEAD NEW YORK,11001
AinF, ti TEL (631)T22d040 FAX'(631)>22-0004
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E-mailLkelDgeras(a2msn.wm
D'`F85 Al F-N
INTELLECTU OFES.KALOGERAS,P.E.,CONSULTING ENGINEER-UNAUTHORIZED ALTERATION OR ADDITION TO
- THIS DRAWING AND RELATED DOCUMENTS IS AVIOLATION OF SEC 7209 OF THE MYS.EDUCATION LAW
Design By: Date: Scale: Deg. No:
Paul F. Sigismondi January 12, 2004 No Scale A
Sheet Title: H
New York State Code Details For Up to 12-ft Wide Factory Manufactured Storage Sheds t or 1
4W:C
Applicant/ Date. t
Owners Native:,. —_ - Reviewed: PMAS
Architect)
�'-
SCTM #:
District: 1.000 Sec(ion: ..131ocl:: Lol:
Project Subdivision
Location: �� 3� L�'�t.f''�uYK-� — _ Name:
Sigk 8-, separate Required
ccrttfi�atioa: (Yes f No) _
Rcq Rcy. 72-4
!_aHing i�islrict: (Lot size: At va Il os cuvcrase12Aihciscd
Rcy. Rcgf ( Roq. T
(firoal1'wd Proposed: I- (Side Yard Proposed: (RcarYard' _, I'rohoscd
Project Description:
d.GFKC'ld.fKR TS e i
"QUUMED FOR REVIEW N.A. NO YES NumUr
Suffolk County Health-Dept.
Now York State. D. E:C.
Town Trustees
Town Zoning Board approval:
Town planning Board approval:
Flood.Plaae Elevation V?
Flood Zone; --
, . .