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HomeMy WebLinkAbout34095-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPANTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33583 Date: 03/06/09 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 3190 pARK AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 8 Lot 20.1 Subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 5, 2008 pursuant to which Building Permit No. 34095-Z dated AUGUST 7, 2008 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 ADDITION, INCLUDING SCREENED PORCH~ TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES & CAROL MIKELBAMK (OWNER) of the aforesaid building. S~FOLKC~DI~qTYDEPAR~OF}~%LTH~-PPROI~%L N/A EL~Oi'~ICJ%L ~KTIFICATH NO. 4013871 12/19/08 PL~ U~KTIFICJ%TION DA'rw~3 12/10/08 CUTCHOGUE EAST PLUMBING /~~hOriz~ Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This applicat~0n 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 aeaurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Apprnval 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwetling $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 Oecupancy 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: ~]~(~ Location of Property: House No. Owner or Owners of Property: [) tY¢l/~< Suffolk County Tax Map No 1000, Section Subdivision Permit No., ~/~)q5 Date of Permit. Health Dept. Approval: Old or Pre-existing Building: Street , / 2-~ Block Filed Map. ~,ot: , Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ C2~ 5.0© Final Certificate: (check one) (check one) ~c~ Appli~ani ~ignature OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by STEPHEN O'CONNORS 1195 SHIPS DR SOUTHHOLD NY 11971 JAMES & CAROL MIKELBANK 3190 PARK AVE MA'FrITUCK, NY 11952 Located at Application Number: 4013871 Section: Block: Residential Described as a 3190 PARK AVE MATTITUCK, NY 11952 Lot: electrical devices and wiring, described below, located in/on the premises at: First Floor, Certificate Number: 4013871 Building Permit: * BDC: ns11 occupancy, wherein the premises electrical system consisting of A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enfor¢~,r~ent and Ad~inis:tratiQ~ or other ...... l~te ~ecemoer, ~uua. authority having lunsd~chon, and found to be m comphance therew th on the Day of Name QTY Rate Rating Circuits Type AdditionalCharges kitchen renovation Appliances and Accessories Dish Washer Range Wiring And Devices Fixture Outlet Outlet Receptacle Receptacle Switch 1 0 1.2 KW 1 0 50 Amps 5 0 Incandescent 5 0 Fixture 8 0 Gen, Purpose 2 0 GFCI 5 0 Gan, Purpose 6 0 Gan, Purpose I of I seal This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIDING PEI~4IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34095 Z Date AUGUST 7, 2008 Permission is hereby granted to: JAMES & CAROL MIKELBANK 3190 PARK AVENUE MATTITUCK,NY 11952 for : COVERED FRONT PORCH & 8'X18' ONE STORY ADDITION & ALTERATION AS APPLIED FOR at pr~m~ses located at County Tax ~4ap No. 473889 Section 123 pursuant to application dated AUGUST Building Inspector to expire on FEBRUARY 3190 PARK AVE MATTITUCK Block 0008 Lot No. 020.001 5, 2008 and approved by the 7, 2010. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0407C Date: February 27, 2009 THIS CERTIFIES that the addition to the existing dwelling, framed covered porch and storm leaching pool for roof run-off At 3190 Park Avenue, Mattituck, New York Suffolk County Tax Map # 123-8-20.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 6/25/08 pursuant to which Trustees Permit # 6925 Dated 7/23/08 and was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the addition to thc existing dwelling, framed covered porch and storm leaching pool for roof mn-off The certificate is issued to JAMES & CAROL MIKELBANK owner of the aforesaid property. Authorized Signature 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~ FINAL / \ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [,/~SULATION [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRIJCTION REMARKS: [ ] FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION REMARKS: ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION INSPECTOR ~ ~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST ~FOUNDATION 2ND [ ] ROUGH PLBG. [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~lj[__,~_ _ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE : COM~IqTS FIt:~_LD ~ECTION REPORT DATE FOliATION (IST) FouNDATION (2ND) ROUGH' FRAMING & p E UqV[BI~N G I~SI?LATI©~N PER ~ 5:'. STATE ENERGY CODE .~DDITIONA.L C O1VIk'VIENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN .HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined Approved Disapproved PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the foil i , before applying? of Building Plans 5 ;;~ning Board approv~ Check ~' Septic Form ~ui~ldin g Inspector ,2007 APPLICATION FOR BUILDING PERMIT Oate7 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. 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 proper~ 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 ora 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 necessaD' inspections. ~,8~g n a ure (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises '-,.j/c~t97/:: '5 //~l/<t°~L ,q~<//).C... ~,D¢ ~_{)~ /L~ (As on the tax roll or latest deed) If applicatu 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. l. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision Hamlet Block c.~fi~ Lot g~ ~ [ Filed Map No. Lot °. Statq existing use and occupancy of premises and intended use and occupancy of proposed construction: ~. Existing use and occupancy ~?~ ,~.,q/97/ b. IntendeduseandoccupancyZ5 -'tx/O' ~.b ,~',,,~ ;,1~ · 7 ~t'2'ce¢~ iZ;>~; 3. Nature of work (check which applicable): New Building. Addition M,~ Alteration Repair ~Removal Demolition Other Work (Description) 4. Estimated Cost ~)2 ~:>O~ ~,oO Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Z.]/ Number of dwelling units on each floor .5'> 4)g.~.~: -5~ 7-O~c/ If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Rear ~/ Depth 7. Dimensions ofesisting sJmc~tkres, if any: Front -~/ Height /8 ',0 "/~"t'/~:'JNumber of Stories D~menslons' ' of same structure with alteration,~ or//additions: Front t~ / Rear Depth ~3- ~ Height.~..~ d Number of Stories 8. Dimensions of entire new construction: Front ~)/',/~ Rear Depth Height Number of Stories 9. Size oflot: Front J'q,~ Rear /L¢~ Depth 10. DateofPurchase [qq,~r.~ Name ofFormer Owner ~{..k~,~CX::~CX'~'~/~UIV--% ~, 11. Zone or use district in which premises are situated ,,~-- ~'t~O 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO / 13. Will lot be re-graded? YES NO l,~Will excess fill be removed from premises? YES/NO 14. Names of Owner of~remises,,~* ~/W~'Z~',~l~ddress~//~*t2 t~9,o/t'~- ~ ~'Phone No. egl't~ ~ Name of Architect,S' · l~O :r-/_at, A- Addres~ ~'-,~x~g,.,~ ~5~.--Phone No ..-J).~5°/~'- Name of Contractor Address Phone No. 15a. Is this property within 100feetofatidalwetlandorafreshwaterwetland?*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 NO · IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to properly lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property. YES NO ~ * iF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF~ ~.~'/~ ~- ~- ~r-tq-r/qe'~/~] / ~e-[~,~ t~t//~..~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Ct/U-J/b/~5 ~ (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 ~'_'~? State'~f ~w York No. 30-4741154 Qualified in Nassau/$uffoJg Counties Commission Expires /~/~1/~ REScheck Software Version 4,1.4 Compliance Certificate Project Title: Proposed Addition Report Date: 07/28/08 Data filename: \\Hemules\jobs\MISC_JOBS\Misc Jobs 2008\080026 Mikelbank - Park Ave. Addition\energy2,rck Energy Code: 2007 New York Energy Conservation Location: Construction Type: Heating Type: Glazing Area Percentage: Heating Degree Days: Construction Code Suffolk County, New York Detached I or 2 Family Non-Electric 4% 5750 Construction Site: 3190 Park Avenue Mattituck, NY Permit Date: 7/28/08 Owner/Agent: Jim Mikelbank Designer/Contractor: Jeffrey Butler Jeffrey T. Butler, P.E., P.C. 206 Lincoln Street Riverhead, NY 11901 631-208-8850 Compliance: 20.9% Better Than Code Maximum UA: 43 Your UA: 34 Ceiling 2: Cathedral Ceiling (no attic) Wall 1: Wood Frame, 16" o.c. Window 1: Vinyl Frame:Double Pane with Low-E Dcor 1: Solid Floor 1: Ali-Wood Joist/Truss:Over Unconditioned Space Boiler 1: Other (Except Gas-Fired Steam) 84 AFUE 134 22.0 0.0 6 234 21.0 0.0 12 9 0.340 3 22 0.340 7 134 22.0 0.0 6 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 2007 New York Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. Name - Title/' · Date Project Notes: 134 sq. fl. addition (first floor) Project Title: Proposed Addition Reporl date: 07/28/08 Data filename: \\Hercules\jobs\MISC_JOBS\Misc Jobs 2008\080026 Mikelbank - Park Ave. Addition\energy2.rck Page I of 4 REScheck Software Version 4.1.4 Inspection Checklist Date: 07/28/08 Ceilings: ~1 Ceiling 2: Cathedral Ceiling (no attic), R-22.0 cavity insulation Comments: Above-Grade Walls: Wall 1: Wood Frame, 16" o.c., R-21.0 cavity insulation Comments: Windows: [] Window 1: Vinyl Frame:Double Pane with Low-E, U-factor: 0.340 For windows without laPeled U-factors, descdpe features: #Panes Frame Type Thermal Break? __ Yes Comments: No Doors: Door 1: Solid, U-factor: 0.340 Comments: Floors: I~1 Floor 1: All-Wood JoisVTruss:Over Unconditioned Space, R-22.0 cavity insulation Comments: Heating and Cooling Equipment: [] Boiler 1: Other (Except Gas-Fired Steam): 84 AFUE or higher Make and Model Number: Air Leakage: r-i Joints, penetrations, and all other such openings in the building envelope that are sources of air tsakage are sealed. I--I Recessed lights are 1) Type lC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-lC rated, fixtures are installed with a 3" clearance from insulation. Vapor Retarder: F-I Installed on the warm-in-winter side of all non-vented framed ceilings, walls, and floors, Materials Identification: I~1 Materials and equipment are installed in accordance with the manufacturer's installation instructions. I~1 Materials and equipment are identified so that compliance can be determined. I--I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided, r~l Insulation R-values, glazing U-factors, and heating equipment efficiency are clearly marked on the building plans or specifications. r-i Insulation is installed according to manufacturer's instructions, in substantial contact with the surface being insulated, and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: Supply ducts in unconditioned attics or outside the building are insulated to at least R-8. Return ducts in unconditioned attics or outside the building are insulated to at least F3 Supply ducts in unconditioned spaces are insulated to at least R-8. Return ducts in unconditioned spaces (except basements) are insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: Project Title: Proposed Addition Report date: 07/28/08 Data filename: \\Hercules\jobs\MISC_JOBS\Misc Jobs 2008\080026 Mikelbank - Park Ave. Addition\energy2.rck Page 2 of 4 All joints, seams, and connections are securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics are rated UL 181A or UL 181B. Exceptions: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa), [] The HVAC system provides a means for balancing air and water systems, Temperature Controls: [] Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [] Separate electric meters exist for each dwelling unit. Fireplaces: [~1 Fireplaces are installed with tight tilting non-combustible fireplace doors, Fireplaces have 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 York State or the New York City Building Code, as applicable. Service Water Heating: Water heaters with vertical pipe risers 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, [] Circulating hot water pipes are insulated to the levels in Table 1. Circulating Hot Water Systems: I~1 Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: I--i All heated swimming pools have an on/off heater switch and a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps have a time clock. Heating and Cooling Piping insulation: ~1 HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Project Title: Proposed Addition Report date: 07/28/08 Data fllename: \\Hercules\jobs\MISC JOBS\Misc Jobs 2008\080026 Mikelbank - Park Ave, Addition\energy2.rck Page 3 of 4 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Up to 1" Up to 1.25" 1.5" to 2.0" Over 2" Temperature (°F) 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Insulation Thickness in Inches by Pipe Sizes Fluid Temp. Piping System Types Range(OF) 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 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 and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD: (Building Department Use Only) Project Titie: Proposed Addition Report date: 07/28/08 Data filenarne: \\Hercules~jobs\MISC_JOBS\Misc Jobs 2008\080026 Mikelbank - Park Ave. Addition\energy2.rck Page 4 of 4 TOWN OF SOUTHOLD PROPERTY RE(:ORD CARD N/b,~_~ OWNER STREET~'~ / ~- ¢' ~o~'OWN~ ~ ~ ~c~. L ~ S~S. Vb FARM 3OMM. CB. MISC. Mkt. Value ~ND IMP. TOTAL DATE REMARKS AGE BUILDING coNDITION tillable 2 ~rushland ~~% ~ ~ONTAGE ON ROAD DEPTH ffouse~PIot~ ~ ~~ BULKH~D COLOR TRiM i '7~ , ,. ~. ~ Bath C, ~ Both ~/~ ~ Dinette /.,,r,,.,~/~' Interior Finish .R. ~ ~/d Rooms 1st Floor BR. ~,oom Rooms 2nd Floor FIN. B. COLOR TRIM M. Bldg. Extension Extension Porch Porch Garage Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room Dormer ri way Patio Total Bath Floors Interior Finish Heat Rooms Ist Floor Rooms 2nd Floor BR. FIN. B. ¥ COLOR TRI,M Bath Floors nterior Finish Heat Rooms 1st Floor Dinette DR. BR. New York State Department of Environmental Conservation Division of Environmental permlt~ Building 40 - SUNY, Stony Brook, New York 11790-2356 Telephone ($t6) 444-0365 Fucslmlis (516) 444-0360 October 15, 1998 LE'I'rER OF NON JURISDICTION-TIDAL WETLANDS James & Carol Mikelbank RE: 1-4738-02039100001 3190 Park Avenue Mikelbank Property Mattituck, NY 11952 Park Avenue, Mattituck SCTM #1000-123-08-20 Dear Applicant: Based on the information you have submitted, the New York State Depe~lrnent of Environmental Conservation has determined that the property landward of the functional bulkhead greater than 100 ft. in length, constructed prior to August 20, 1977 on the south side and landward of a pm- existing impewious medway greater than 1 O0 ft. in length on the north side as shown on 'Fa:Iai Wetlands Map #708-538 is beyond the jurisdiction of Article 25 Tidal Wetlands. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wotlands ACt. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetiands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation ~ other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necassary permits or approvals from other agencies. Vmy truly yours, Permit Administrator MMR cc: T. Ludlow BMHP File BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6925 DATE: JULY 23~ 2008 ISSUED TO: JAMES & CAROL MIKELBANK PROPERTY ADDRESS: 3190 PARK AVE.~ MATTITUCK SCTM#123-8-20.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 23, 2008 in consideration of application fee in the sum of $250.00.paid by James & Carol Mikelbank and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct an addition to the existing dwelling, framed covered porch and storm leaching pool for roof run-off, and as depicted on the plan prepared by Jeffrey T. Butler dated June 16, 2008. IN WITNESS WHEREOF, the said Board of Trastees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: District Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OFA STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL pLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No I Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? 111is Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! 3 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? 5 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to ['~ One Hundred (100') of Horizontal Distance? 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? 8 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of r-~ any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Arty Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control P an s Requ red and Must be Submitted for Review Prior to Issuance of Any Building Permit! EXEMPTION: Ye__s N~o Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl ~ STATE OF NEU' YORK, '-Z' r ('" k/ _ courq'; ........... ss (Name of individual signing Document) CONNIE O. BUNCH Nota~ Public State of New York And d~at he/sbe is the ..C.~ /~..~. ~ N0.01~6185050 / ' /o*& Z * ' ;/ ' " ; ' " ' " '; ; ............................... H ............... , r gert, Corp ere Officer, etc.) 60remission Expires April 14, ~'0~ Owner and/or representative of'the C)wner of O~er's, and is du]~ aud~or[zed to perform or have ped~rmed fl~e $~dd w'ork and to make and file this application; tllat all statements contained ill this application are true to the best of his lmowledge and beliet} and that rile work will be performed in the manner set forth in the application filed herewith. Sworn to before tne this; ................... .............. da,. .......... o. ,mub.c- FORM - 06/07 Page 1 of I https://webmai~.~ptimum.net/attacMmage~~5.jpg?sid=&mb~x=~NB~X&charset=escaped... 9/27/2008 Page 1 of I https://webmai~.~ptimum.ne~/attach/~mage~4.jpg?sid=&mb~x=~NB~X&charset=escaped... 9/27/2008 Page 1 of 1 https://webmai~.~ptimum.ne~/attach/~mage~~6.jpg?sid=&mb~x=~NB~X&charset=escaped... 9/27/2008 SITE 20 I0 0 PLAN 2O 40 6O % % 80 ABBP. EVIATIONS MIN. MIN. ~' MIN, ID4 ~J=T. TION - p~p. 5liaBLE FAMILY (1~'~2 EXISTIN¢ CITE AF~-A, !EXIgTII~ ~E~TX~' ~ELLAR \, .GTORM, LEAC, HIN~ POOL (~ID) ~ALE, N.T.5. ~'c~ x 4' EPP. DEPTH LEAE, HIH~ f=C~L TO EXGEPT I~DOP F~UHOPP P~M LEADER5 ~ ~I IERS, ~N~TOR TO LOCA~ ~ISTI~ I, HAINTAIN A 20' ~PARATION ~DN P~P~DO 2, HAINTAIN A I0~ 5EPA~TION BET~EN ~P~ED DTO~ D~IN~E AND ~TER ~E~IGE L{~. LINE / SYMBOL LE®ENO PROF~RT~ LINE -- I A LO~ATION HAP SINGLE FAMILY RESIDENCE SITUATED AT MATIITUCK TOWN OF SOUTHOLD SUFFOLK COUNIY, NEW YORK S.C.T.M.~, 1000-125-08-20 BASED ON ORIGINAL SURVEY. BY: LOUIS W. TREUMAN, JR. P.O. SOX 229 SELDEN, NY TEL: (651) 698-~29 OWNER: dAMES & CAROL MIKELBANK (631) 298-5745 POSTAL DISTRICT: MATTITUCK SCHOOL DISTRICT: MAITITUCK FIRE DISTRICT: MATFITUCK ELECTRIAL SERVICE: LIPA WATER SERVICE: SCWA ZONING DISTRICT: R-4O USE: SINGLE FAMILY RESIDENCE SITE iS IN GROUNDWATER MANAGEMENT ZONE ZONING INFORMATION: RESIDENCE 'R-40' ZONE 100-244 NON-CONFORMING LOT LOT AREA: +25,220 SQ.FT. (.58 AC.) PRINCIPLE REQUIREMENTS LOT COVERAGE: REQUIREMENT: 20~, MAX (5,044.02 SQ.FT.) EXISTING: 6.63~, (1,672 SO.FT.) PROPOSED: 7.16~ I~ONT YARD SETBACK: REQUIREMENT: 40' EXISTING: 57.8' PROPOSED: N/C ;IDE YARD SETBACK: REQUIREMENT: 15' MIN EXISTING: 18.76' PROPOSED: N/C TOTAL SIDE YARD SETBACKS: REQUIREMENT: ,~5' MIN. EXISTING: 57.96' PROPOSED: N/C REAR YARD SETBACKS: REQUIREMENT: 50' MIN EXISTING: 108.46' PROPOSED: N/C (1,6o6 SQ.fr.) MIN // ~0TM CALL US TOLL FREE 1-800-g62-7962 .~ NY InduJtrlal c~de rule 753 requires no 0 TAE~LE R3OI,~, MINIMUM Roof LIVE LOAO5 IN POUNDS..FORCE =ER 8QLIARE FOOT OF HORIZONTAL p~OJECTION. ~OOF 6LOPE ~oo ~ :~ESIGN CRITERIA WIND 6EI6MIC *THE6E PLAN6 ARE INCOMPLETE UJITHOUT DETAIL ~HEET6 (ADDENDUM TO IDRALLIIN~ 6ET)* WEATHERING PRO~'T TERMI,TE LINE WINTER DESIGN TEHP ICE ~HIELD UNDERLAYHENT I~E~IRED FLOOO LI*E D~ ROOF U.L,~ H~R~ I LO~ I LO~ I UJALL SHEATHING ~UCTION LOAD U6F./ OCCUPANCY HEIGHT CLA$61FICATION FIRE AREA FIRs'r FLOOR · TYPE OF CON6 TRUC, TION TYPE V 2OO'I NEiJJ T'ORK 6TATE iC, OOEI New York. Eulkdlr~ E~Laf,~ Co~e, 2001 T~fSLE R~OI.5, MINIMUM UNIFORMLY DI~TRII~U!TED LOAD~ (P61) FRONT ELEVATION LEFT ~IDE ELEVATION APPKOVED AS NOTED NOTiFy 13 UIL DIN~ DESIGN OR CONSTRUCTION ERRORS, RETAIN STORM WATER RUNOFF PURSUANT TO CH~TER OF THE TOWN CODE, CERTIFIC/~ T~CH OF NAILING & COhJN['O liONS REQUIRED. ALL Cr ,"" · ' h, ,LL MEET THE h:: ' OF THE cODES OF I~;,~ ~,-', ,,, oTATE. U~ ' ,, OF OCCur- ~, ENGINEEr, JEt=FRET T. I oF F:, WIND-BORNE DEBRIS PROTECTION FOR WOOD STRUCTURAL PANEL FOR WALL OPENING PROTECTION OF120 MPH 3-SECOND WIND GUSTS ( MAXIMUM MEAN ROOF HEIGHT: 35') SHUTTER ASSEMBLY N.T.$, FOR PANEL SPANS: 0 < 4'0 WIDE SPAN 23/32" APA SPAN-RATED 48124 SHEATHING GRADE PLYWOOD (OVERLAP AROUND OPENINGS 4") ASSEMBLY: AI-I'ACHING STRUCTURAL PANEL: FASTEN TO BUILDING w/ #10x3" (wi WASHERS) GALVINIZED OR STAINLESS STEEL WOOD SCREW I~ J6" D.C. ALTERNATIVE FASTNER FOR SHUI'FER TO BUILDING: #10 TEE NUTS ATTACHED TO BLDG. w/#10x1-1/2 ( WI WASHERS MACHINE BOLT @ 12" D.C. Id'" I I II II II It II II II II II II II II II tI II II EXleTIN~ CE~-J-AR II FOUNDATION PLAN , BF'ACE 7' 10" L_L ..... ~' 8' 10" UJALL LEGEND EXISTIN~ CHU FOUNDATION p~OPOSED 8" IIJIDE P,O, FOUNDATION tUALL ON I~" LU~E X S" DEEP P,C, FOOTIN~ FOUNDATION (3000 ir! :".,,' :; "" :'" -'".,.' :; "" t! ATTIC I~EE DETAIL E~NEET FOR [ HIgH UJIND CONNECTIONI [ ~E~UIREHENT$ u MASTER ~1~ }ROOPI ,I COVERED RF. AI'~ DECK-. FOYE~ ~I~TIN'~ DININ~ AI~EA II FII~ST FLOOR PLAN EXISTING LIMING AREA · 1~,'12 E,~.FT. PROPOSED ADDITION · INTEt~CONNECT pEI~ CODE ~CARtSON ~ONOXIDE D~ECT~ ONE P~ PLOOR L~IlND 15EDROOH E~ISTING i$1TTING ROOM EXI~TINE~ tO~' ~. ~L,Vr~ --I -- EXI~TIN~ · I=ORCpt O~ITTED E×I~TIN~ EXI~TIN~ ADDITION ~ITTIN~ C~WL ~ACE P~OP. C~L ~pAcE SECTION A-A VINYL 81DIN~ el'lATCH a~DE ~ITTIN~ 2X4 WALL TO ~AIN pfaOPO$ED 3X~ WALL " '"' 3 O? COOLER NAIL~, AT 2"X4" BLOCK NAILED TO CEILING JOIE, T FOUNDATION CLEARANCE FROM 5LOPE~ " FIGURE R40~,I.'I,1 NOTCHING AND BORED HOLE LIMITATION~ FOR INTERIOR NONE~EARING WALL.% (WFCM 1~5~ .%!5C HIGH WIND EDITION, 3.3.10) Tile PLATE WIDTH~ TOP pLATF. S I. TO EDGE NOTCHING AND ESORED HOLE LIMITATION5 FOP-. EXTERIOR WALL.% AND BEARING WALL,.% (WFCM 1555 ~!5C HIGH WIND EDITION, 3.3.1o) TOF TOP PLATE FRAMING TO ACCOMMODATE PIPING E*ECTIOH GAE~,LE ENDWALL E-~,RACING FIGURE TOP PLATE~ TOP PLATE OR RAFT'='Re FLOOR ~RACING AT END ESA¥$ (WFCM FIGURE 3.~10) ~oA~ , pL.~TE- ENDWALL, tSALLOON FRAMING. PREFERRED METHOD [UALL /LAP JOIST ~, IN, MIN, INTERMEDIATE 15EARIN~ WALL BOTTOM pL.4TE ~' ++ JOleT PLATFORM FRAMING TYPICAL WALL, FLOOR AND ROOF FRAMING (a) OLITelDE CORNER DETAIL ('i~.1 INE~IDE COI~HER DETAIL EXTERIOR CORNER Ft~AMING TYPICAL FRAMING AND UPLIFT CONNECTION5 FOR OPENING.% WALt, LAYATORIF..~' 6HO~JER WATER CLO6ET UJATE~ GLOSET*~ FIGURE MINIMUM FIXTURE CLEARANCE5 JEFFRE"I' T, E~LITLER, P.~, PA E. 4oF5 120 MILE PER HOUR ZONE = NAILIN~ 8C. HEDULE CrAt~LE 3,.I, I/JFCM WIGW ~JIND EDITION) JOINT DESCRIPTION I HUNt'ER OF NAILS NAIL OPACING ROOF FRAMING WALL FRAMING NOTE 1.2) FL~OR FRAMING ROOF SHEATHING CEILING SHEATHING WALL. ~HEATHING FLOOR SHEATHING CTAI~LE 3.11 WFCM HiGH WIND E~:gITION) WALL SHEATHING ATTACHMENT REQUIREMENT6 FOR WIND LOADS 020 MPH 3-SECOND GLUT · IOO M~H FASTEST-MILE IUIND E~EED ~ER TAI~LE ETRUCTURAL SHEATHING MAXIM[JM NAIL 6PACINC~ 6HEATNING LOCATION STUD SPACING OR pANEL 61DING FOR ~d COMMON NAIL~ (6~ NOTE D /iNCHES, O.C.) (SEE NOTE 3) (INCH., D.C.) The design of this s~.ualum Is based upon the presndptlve approach using the Wood Frame ConstruCtion Manual, High Wind Edition (WFCM) published by The Amedcon Forest and paper Association, (200t) Non-ntrudural elements am bes~ upon The New York State Reald edg_al Code-J_amlary 2001 For the CIl~U~-~nd GsogmpMent Design Cfltafla, see Table R301.2(1) on cover shoaL NI non-engineered lumber th b~e Dougtss Fir t¢2 or better Wlpo Llmlta0ans-Santlon R301.2.t Decign Criteda-Sention R301.2.1.1 (Bee Table R301.2.1.2 for Wind-Borne Debfll prolaMlan Fastening Schedule Far Wcodl sfluctural Panels) Dead Load-Santlco R301,0 LIve Lcod-Se~lon R301,4 Light end Von~llatlon. Eecllon I~gO3 Minimum Room Areas-So,om R304 Calling Nelght-~ectlon R~05 Saaltatlon-$ec§on R300 Toilet Bath and Shower Spanem~e~on R307 Glazlng-Secttsn R308 Garages and Carpart~Sanflam R309 Emergency Escape and Rcoo~m Openings-So.on R310 toe Pmtsallon (Section R 905.2.7.1) Undedaymont In High wind (Sent[on R 905,2.7,2) Flashing (Section R 005.2.8) Chlmncy's end FIreapace~Chaplar 10 Energy Efficlency-Chaplar 1~, see attached repaff Mechanical-Chapter 12 General Mechanical Systems-Chapter 13 HeaSng and Cooling Equlpmont-Chaptar 14 Exhaust syetems-Chpolar 15 Duct Systems-Chapter t6 Cembuctlon Air-Chapter 17 Chimneys and Vents-Chapter ~8 Plumblng-partVII E · ;HAIL SpAorNG AT PANEL EDGES (IN,) ~A~LE 3.21~, WFCM NIGH WIND EDITION-2OOI) SILL ATE TO FOUNDATION ANCHOR t~OLT CONNECTIONS RESISTING LATERAL t 6NEAR LOADI~ " MAXIMUM ANCHOR MAXIMUM ANCHOR 5OTTOM PLATE TO, FOUNDATION FOUNDATION ~OLT SPACING (IN.) t~.OLT SPACING (IN..) ~SOLT CONNECTION REStSTING SUPPORTING (I/2" ANCHOR ISOLT$) (ETS" ANCHOR E~OLTS) LATE~L AND SHEAR LOADE~ I-S STORY ~0 4S H'-2.$ CLIP6 · I~," -- LJS,E ~.~...1 NAILe, AT EACH ~.TUD GENERAL NOTES: 1. All work shall be performed In ancordance with all slate, municipal, tocal zaalng and building codes and o~linahcea having Judsdl~on and beat standards of cormtru~Jon pm~ce.. The Amebean In~tllala of AmhltantJ Conditions Ihal[ apply to all work perforated on this project. 2 The Con rector shall verify all condRiona at the slla.~_ Any dts~'eponales mu~t be brought la the attengan of the Engineer prior fo commencement af construction. The Contra~or shall be UPLIFT - CONTINUOUS PATH CONNECTORS UgE E/MPSON ETRONG-TIE CONNECTORS FOLLOW PRODUCT SELECTION GUIDE AND INETALLATION MANUAL FOR NIGH WIND RESISTANT CONSTRUCTION CATALOG C4-1W02 ANCHOR BOLTS IN FOUNDATION USE: SSTB20 WITH BEARING pLATE, SEE FOUNDATION NOTES FOR SPACING SILL PLATE TO RIM JOIST USE: LTP4 16" O.C, AT EXTERIOR PERIMETER AND GARAGE/HOUSE COMMON WALL aSP CONNECTOR AT 18" O.D. USE 4 8d NAILS AT EACH END RIM JOIET TO STUD CONNECTION USE: MT3 12, 16" D.C. USE 4 8¢1 NAILS AT EACH END FLOOR TO FLOOR CONNECTION UEE: UEE 4 8d HALLE AT EACH END FOR DANTILEVER CONDrrlON USE MTSO2, ~" D.C. USE 4 8d NAILS AT EACH END RAFTER TO ETdD CONNECTION UEE: MTE 12, EACH ROOF RAFTER UEE 0 16d NAIL8 AT EACH END RAFTER TO RIDGE TO RAFTER CONNEDTION USE; C820 USE 8-8d NAtLS IN EADH END AT EACH ROOF RAFTER DECK POST ~0 CONCRETE CONNECTION USE: pBS44A FOR EACH POST - USE 14 - 16d NAILS DECK POET TO GIRDER CONNECTION USE: pC44 FOR EACH POET GIRDER TO DECK JOIST CONNECTION UEE~ MT8t2 ~ EACH JOIST PORCH POET TO DECK UEE: 2-AC4 -USE t4-10d NAILS PORCH POST TO GIRDER USE: 2-AC4 UEE t4-1Sd NAILS PORCH ROOF RAFTER TO GIRDER USE: MTE 12AT EACH ROOF RAFTER (TAEsLE 5.10 W~:~M NIGH WIND EDITION) ROOF SHEATHING ATTACHMENT REQUIREMENTS, FOR ~IND LOAD6 (120 MPH 3-~ECOND GUST · IgC' MPN FAfTEST-MILE WIND EPEED 6NEATHING LOCATION STUD 6PACING STRUCTURAL 6HEATWING MAXIMUM NAIL 6PACING $1mp~on S~.rong-Tle CSI~, I~"COILED STRAP - I~," O.C, LLq, E .4--~Cl NAII..~ -- AT EACH 6TLID, WRAP nNDER SILL ~LATE MIN o'VE~LAIP 16 12" 6ILL PLATE TO RIM JOIST AND RIM JOI6T TO STUD CONNECTION C$1S 1~4" COILED STRAP WIN MIN 12" OMEf~L.~P AT EACH STUD, ALLOWS HOLDDOWN INSTALLATION FLOOR TO FLOOR CONNECTIONS- CANTILEVER CONDITION I 3/4" MINIMUM EDGE DI~'~ANCE -e, lmpmon ~,tron~-Tle COILED ~T~AP AT EACH ROOF RAFTE~ USE S-I~d NAiL~ AT EACH END 5TLID TO ROOF RAFTER CONNECTION $1mp~n SU'ong-TIe C$1a. 1¼" COILED STRAP I~a" O.C. WEE 4~ NAIL~ AT EACH ~TUD MIN OVERLAP 16 21" FLOOR TO FLOOR CONNECTION5 HOLDJ2OWN (PHDB) ~,LOCKING AT 24" O.C. ALLOWS HOLDDOUJN INSTALLATION COMMON NAIL~ AT I0" STUD CONNECTED TO TRANSFER SHEAR HOLD DOUJN tERACKET,% AT 6HEAR I~ALL CORNER[6, AND UJINDOUJ AND DOOR OPENIN~.~ (FLOOR TO FLOOR 4 FLOOR TO FOUNDATION=UJFCM FIGURE 3.Sa 4 61mpaon 6tron~-Tla U210 2~, AT EACH RAFTEf~ 4-10~ x I I/2" NOTE= ~ x u- II J~ T. ~UTLER. P.E. PA E: 5oF5 $lm~ecm AC,4 ~ ATTACH LEDGE~ To Ff~AMING le AT E~ ~ MEM~ER WITH 2-1/2" X $" LAG SEE PI.-Ai -- ~ tEOLT$ AT la" ON C~T~  61m~so~ ~o~-Tle U~lO ~e AT ~H CEILIN~ ~IET , 4-10~ x I I/=" -- ~lmpeon ~-TIm a a~ . ~ U210 ~Xe ' 2" MINIM AT ~CH DECK/PORCH ~IeT 6ID~OV~ 4-10d x I 1/2" Simeon 6~-TIe TYPICAL pO~CH/DECK SST~3S ~ITH B~ AT t =OST ~OTIN~ LEDG~ CONNECTION5 ANCHOR ~OLT DETAIL RIDGE TENSION-STRAP DETAIL