HomeMy WebLinkAbout34515-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z=33730
Rte: 05/22/09
THIS CERTIFIES that the building ALTERATION
Location of Property: 305 OLD SHIPYARD RD
(HOUSE NO.)
County TaxMap No. 473889 Section 64
subdivision
SOUTHOLD
(STREET) (HAMLET)
Block 5 Lot 4
Filed Map No. __ Lot NO. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 23, 2009 pursuant to which
Building Permit No. 34515-Z dated MJ~RCH 19, 2009
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 ALTER SECOND FLOOR TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
· ~ne certificate is issued to ROBERT F SPITZENBERG, JR
( OWNER )
of the aforesaid building.
S~FO]~ C~)[]l~l"f DEP2%R~l~T OF H]~ALTH APPRO~5~L R10-09-0018
ELEC'~RIC3%L C~TIFICATH NO. 4025645
PLIERS CERTIFICATION DA'£~U 05/10/09 JOE WHITECAVAGE
05/04/09
05/06/09
Rev. 1/81
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
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~vatc~ supply and sewerage-disposal (S~9 form).
3. Approval of electrical iustallation from Board o f Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2./10 of 1% lea&
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 Approyal of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-cenforming uses, or buildings and "pre-existing" land uses:
1: Accurate sttrvey 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 dwetling $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
Copy of Certificate of Oceupancy - $.25
Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property: ~
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. '
Date
of Permit.
Health Dept..Approval:
Old or Pre-existing Building:
(check one)
Hamlet
Planning Bgard Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~"'~'
Block O~e'' Lot
Filod Map.. Lot:
Applicant: .~'ff~-- ,~]~'"~?~.
Underwriters Approval:
Final Certificate: ,~ (check one)
Applica~ SigOature J '.
bF. - 3 -"/
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
G & S ELECTRICAL CONTR.
P.O. BOX 215
SOUTHOLD, NY 11971,
ROB SPITZENBERG
305 OLD SHIPYARD LANE
SOUTHOLD, NY 11971
Located at 305 OLD SHIPYARD LANE SOUTHOLD, NY 11971
Application Number: 4025645
Section: Block: Lot:
Described as a Residential
Certificate Number: 4025645
Building Permit:. _.__ BDC: ns11
occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Second Floor,
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 Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the6th
Name QTY Rat___~e
Alarm and emergency equipment
Sensor 1 0
Sensor I 0
Appliances and Accessories
Exhaust Fan I 0
Wiring And Devices
Dimmer 3 0
Fixture 9 0
Outlet 9 0
Outlet 23 0
Paddle Fan 2 0
Receptade 1 0
Receptacle 14 0
Switch 10 0
Day of May, 2009.
Rating Circuits Type
0 CarMon/Smoke
0 Smoke
F.H.P
120V
Fixture
Gen, Purpose
GFCI
Gen, Purpose
Gen, 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.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF SOLITHOLD
CERTIFICATION
Building Permit No.
Owner:
Plumber:
(Please print)
(Plebe pr~ty
Date:
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Swom to before me this ~ ~
day of.~t~.- , 20~ ~'
(Plumbers Sig~'ature)
//
Notary Public, ~ County
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. 34515 Z Date M_ARCH 19, 2009
Permission is hereby granted to:
ROBERT F JR SPITZENBERG
344 TERRY CT
SOUTHOLD,NY 11971
for :
ALTERATIONS (FINISHING SECOND FLOOR) OF EXISTING SFD PER APPROVED
PLANS AS APPLIED FOR.
at premises located at 305 OLD SHIPYARD RD SOUTHOLD
County Tax Map No. 473889 Section 064 Block 0005 Lot No. 004
pursuant to application dated FEBRUARY 23, 2009 and approved by the
Building Inspector to expire on SEPTEMBER 19, 2010.
Fee $ 200.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING / STRAPPING
FIREPLACE & CHIMNEY
FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[~FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
DATE 5--~ ~-~ ~ INSPECTOR ~-,~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [~NSULATION
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
~ STRAPPING [ ]
FINAL
[]FIREPLACE&CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENEll~TION
REMARKS: ~ ~ ~ ~lx~.~
DATE "~"~"~-~ INSPECTOR~' ~
TOWN OF SOUTHOLD BUILDING DEPT,
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTAI~I' CONSTRUCTION ~]/FIRE RESISTANT PENETRATION
REMARKS:
DATE
FIELD INSPECTION REPORT I DATE I COMMENTS
FOUNDATION (1ST) /7~
FOUNDATION (2ND)
PLU~G
~S~ATION PER N.Y. ~
F~
~DITION~ CO~ENTS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined /~[06,20 ~C\
Approved <_/~i \~ ' 20 ~(~
Disapproved
Expiration
PERMIT NO.
Building Inspector
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
ontact:
Phone:
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS Date
,20 0¢
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
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.
(Signa(ure ~or name, if a corporation)
I (Mailing address of apPliCant)t
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises __~1 ~'-~ '~-,~.
(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. t,
Electricians License No. '~
Other Trade's License No. t,
1. Location of land on which proposed wo,rk will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
Block ~
Filed Map No.
Lot
Lot
State existing use and occupancy of premises and intended use and occupa,ncy of proposed construction:
a. Existing use and occupancy _~L6- ~/~.t4
/ -
b. Intended use and occupancy _~l/q~".
Nature of work (check which applicable): New Building_ Addition Alteration
Repair Removal Demolition Other Work ~t 'a/t~t~//j/tl .2-~F'/~
~ ~ (Description)
Estimated Cost /~[~ '~f~[~ ~J ~ ~ ;~e~ ~'~
fl l~[ ............ ~n[( 1 (To be prod on fihng tNs appbcatton)
If dwelling, nmber of dwelling units i~ lit Number of d~ ~its on each floor
Ifgarage, number of cars t ~I ~ E~ ~]] ~g~
If business, commercial or mixed occ p~c~'~xten of each t~e of use.
tmens~ons of extst~ng structures, ~f ~y: Front 66 ~ ~ Depth J~
Height ~t Number of Stories ~
Dimensions of same structure with alterations or additions: Front .~'/Lc-
Depth Height. Number of Stories
Rear
Dimensions of entire new construction: Front ,~A~/~"
Height Number of Stories
-9. Sizeoflot: Front
10. Date of Purchase
'1 /
1 I. Zone or use district in which premises are situated
Rear _Depth
Rear ~" Depth
Name of Former Owner ~~t~~//~Jt/8~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO /
13. Will lot be re-graded? YES__ NO// Will excess fill be removed from premises? YES__ NO
14. Names of Owner of premises ~'. ~5~ t~ AddressZ~t]/~ ~ .-~aTl/°4hone No. K'I6,, qr/O.
Name of Architect Address t ! 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
* 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.
NO //
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.
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
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
CONNIE b. bul~lUh
Notary Public. State of New Yor~
(S)He is the No 01BU6185050
(Contractor, Agent, Corporate Officer, etc.) Commission Expires Apr 14, ~/0~ ),
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-
Notary Public
2005
~( ~/' ' Signature of~ppli~qt
Generated by REScheck-Web Software
Compliance Certificate
Project Title: Spitzenberg Residence
Energy Code: 2007 New York Energy Conservation
Construction Code
Location: Suffolk County, New York
Construction Type: Detached I ~ 2 Family
Heating Type: Non-Electric
Glazing Ama Percentage: 't 0%
Heating Degree Days: 5750
Cer~truction Site: Owner/Agent:
Oki Shipyard Drive Robert Spitzanbetg
Southc~l, New York Southold, New York
Ce~plisnne: 1.3% B~ter l~an Code
Maximum UA: 76 Your UA: 75
Designer/Contractor:
Jim Rich
Southold, New York
Ceiling Sloped: Flat or Scissor Truss
Ceiling Flat: Fist or Scissor Truss
Wall: Wood Frame, 16in. o.c.
Windows: Vinyl Frame, Double Pane
Wall: Wood Frame, 16in. o.c.
Wall: Wood Frame, 16in. o.c.
Windows: Wood Fmrne, 2 Pane WI Low-E
378 19.0 0.0 19
263 30.0 0.0 9
267 13.0 0.0 20
29 0.280 8
65 13.0 0.0 5
127 t3.0 0.0 9
17 0.280 5
37re proposed building represented in this document is consistent with the building plans, specifications, and other calculetJons submitted
with this permit application. The proposed systems have peen designed to meet the 2007 New york Energy Cor-,=,ervatiou Construction
Code requimrnents. When a Registered Design Professional has stamped, and signed this pa~, tt}e? are attesting that to the best of his/her
knowledge, belief, and pmfesstonal judgment, such plans (x speciflcatJo~,~r/p in con~olia~;e with this
Name - Title , / S~atura 7 Date
/
/
Project Notes:
331is ex~W~netldn is based on upgrading from concli~3ns depicted on plane stamped ~13/~. Upgrades must include use of R30 insulation
Project Title: Spitzer~eng Residence
Data fllename:
Report ciete: 03/12/09
Pegel of 4
Generated by REScheck. Web Software
Inspection Checklist
Date: 03/12/09
Ceilings:
r"l Ceiling Sloped: Flat or Sdeaor Truss, R-19.0 cavity insulation
I-I Ceiling Flat: Flat or Scissor Truss, R-30.0 cavity insulation
Comments:
Above-Grade Walla:
[] Wall: Wood Frame, 16in. o.c., R-13.0 cavity insulation
Wall: Wood Frame, 16in. o.c., R-13.0 cavity insulation
Comments:
[] Wall: Wood Frame, 16in. o.c., R-13.0 cavity insutation
Comments:
Windows:
[] Windows: Vinyl Frame, Double Pane, U-faetoc 0.280
For windows without labeled U-faetors, describe features:
#Panea Frame Type Thermal Break?
Yes __ No
Windows: Wood Frame, 2 Pans w/Low-E, U-factor: 0.280
For windows without labeled U-factors, deacdbe faatums:
#Panea Frame Type Thermal Break?
Yea No
Air Leakage:
Joints, penetrations, and all other such openthgs in the building envelope that are sources of air leakage are sealed.
Recessed lights are 1 ) Type lC rated, or 2} iestalled inside an appropriate air-tight assembly with a 0.5" clearance from combustible
mafafials. If non-lC rated, flxturea are installed with a 3" clearance from insulation.
Vapor Retarder:
[] Installed on the warm-in-winter side of all n<]n-vented flamed ceilings, walls, and floors.
Matarlal~ Identification:
[] Matedals and equipment are installed in accordance with the manufacturer's instaltstino instructions.
[-1 Materials and equipment are ldantifled so that compliance can be deteffnined.
r-I Manufacturer manuals for all Installed beating and cooling equipment and ean'ico water heating equipment have been provided.
Insulation R-values and glazing U-factors are oieedy mad(ed on the building plans or specitfcations.
[] Insulation is installed according to manufactors~'s instructions, in substantial contact with the surface being insulated, and In a manner
that achievea the rated R-value without comprea~ng the insulaiton.
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 R-4.
r-I Supply ducts in unconditioned spaces are insulated to at least R-8.
[] Retum ducts in unconditioned spaces (except basements) are insulated to R-2. Insulation is not required on return ducts in basements.
Duct Construction:
Project '~tle: Spitzenberg Residence Report date: 03/12109
Data filename: Page 2 of 4
[] All joints, seams, and connections am securely fastened with we~ds, gaskets, mastics (adhesives), mas~c-plus-embedded -fat)fi c, or
tapes. Tapes and mastics ars rated UL 181A or UL 181B.
Excapt/ona:
Continuously welded and Iooidng-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 spaca temperature set point of the largest zone.
Electric Systems:
[] Separate electric maters exist for each chilling unit.
Fireplaces:
r-1 Flreplacss am installed with tight fltlfag non-combcsdble flmplaco doors.
Firsp~aees have a eeurcs ~f combust~3n air~ as requlred by the F~mp~acs cocstmc~a3n pr~vis~uns ~f b.3e Bu~d~n~ C~de ~f New Y~rk
State, ~ Rasiden~ial Code of New York State or the New York City Building Code, as applicable.
~ervlce Water Heating:
FI-I Water heaters with veracal pipe fiasrs heve a heat trap un both the inlet and outlat unleas the water heater has an integra~ hast trap or
is per: of a circulating system.
[] Circulating hot water pipes am insulated to the hr/as in Table 1.
Circulating Hot Water Systems:
FI-I Circulating hot water pipes am insulated to the levels in Table 1.
Swimming Pools:
[] Ail heated swimming pools have an on/off heater switdn and a cover unless over 20% of the heating ens~gy is flora non-depletable
sources. Pool pumps have a time dock.
Heating and Cooling Piping Insulation:
F1 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: Spitzenberg Residence Report date: 03/12109
Data filename: Page 3 of 4
Table I: Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness In Inches by Pipe Sizes
Non-Circulating Runouts ClrculM~ng Malfle and Runouts
Heated Water Up to 1 · Up to 1,25' 1.5' to 2,0' Over 2·
Temperature (°F)
170-100 0.5 1.0 1.5 2.0
140-150 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
Insula~lo~ Thicknese In Inche~ by Pipe Sizes
Fluid Temp.
Piping System Types Range(OF) 2" Runeuts 1" and Le~s 1.25· to 2.0" 2.5' to 4·
Low PmsauredTemperatum 201-250 1.0 t .5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Ceadeneate (for feed water) Any 1.0 1.0 1.5 2.0
Cooling 8ysteme
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 Title: Spltzenberg Residence Repor~ date: 03/12109
Data filename: Page 4 of 4
_of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FOR.','
PROPERTY LOCATION: S.C.T. NI. #:
District Section Block
THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
8TORM-WA¥~ GRADING~ DRAINA,GE AND EROSION CONTROL PLAN
CERTIFIED BY A DESIGN PRGF~S~iONAL IN THE STATE OF NEW YORK
Item Number:. (NOTE: A Check Ma~ (~) for each Question is Required for a Complete Application)
Yes No
t Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site?
(This Item will include all mn-off created by site clearing and/or construction activities as well as afl Site
Improvements and the permanent creation of imporvious surfaces.)
2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures IndicaUng Size & Location?
This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowi
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 Ma erie within any Pamel?
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 Coume Running through the Site?
Is lhis Project within the Trustees jurisdiction or within One Hundred (100') feet of a We and or Beach?
6 oneWill thereHundredbe Site(100')preparati°nof Horizontal°n ExistingDistance?Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise ID
7 Wtil Driveways, Parking Areas or other impervious Surfaces be Sloped Io Direct SIorm-Watsr Run.Off
into and/or in the direct on of a Town right-of-way?
8 Will this Project Require the Placement of Material; Removal of Vege[ation and/or the Construction of
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 Hundmd (100) Year Floodplain of any Watercourse? [2 __//
NOTE: If Any Answer to QuesUons One through Nine is Answered with a Check Mark in the Bex, a Storm-Water,
Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building
EXEMPTIONt
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 NEW YORK, ._~
COUNTY OF .......... ..~..~ ............. SS
That 1, .~'~._~......~ff.~'~..~.~ ..................... being duly sworn, deposes and says that he/she is the applicant for Penni,
(Name of individual signing Document)
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 per£ormed in the manner set forth in the application filed herewith,
Sworn to before me this;
.............. ............... ..........
FORM - 06/07
N
SURVEY OF PROPERTY
A T SOUTHOLD
TO,tN O? SOUTHOLD
SUFFOLK COUNTY, iV. Y.
1000-64-05-04
SCALE' I '=gO'
FEBRUARY 19, 2009
o
· =MONUMENT
AREA=13,500 SO. FT.
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION
OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNATURE APPEARS HEREON.
LOT NUMBERS REFER TO "MAP SHOWING ALTERATION
AND ADDITION TO FOUNDER ESTATES" FILED IN THE
SUFFOLK COUNTY CLERK'S OFFICE ON MARCH 25, 19J5
AS FILE NO. 1178.
SOUTHOLD, N. Y.
LIC. NO. 49618
P.C.
X (631) 765-1797
STREET I
11971 09-105
N
oO~,~
· =MONUMENT
24'
.~$xo~ ~o- ~>o~o ®
AREA=13,500 SO. FT.
ANY ALTERAtiON OR ADDItiON TO THIS SURVEY IS A ~10LAtiON
OF SECtiON 72090F THE NEW YORK STATE EDUCAtiON LAW.
EXCEPT AS PER SECtiON 7209-SUBDIVISION 2, ALL CERtiFICATIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SA(D MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
F/HOSE SIGNATURE APPEARS HEREON.
%?°
SURVEY OF PROPERTY
A T SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000-64-05-04
SCALE' i'--20'
FEBRUARY 19, 2009
MARCH 17, 2009 (BOll INFO)
LOT NUMBERS REFER TO "MAP SHOWING ALTERATION
AND ADD/T/ON TO FOUNDER ESTATES" FILED IN THE
SUFFOLK COUNTY CLERK'S OFF/CE ON MARCH 25, 1935
AS FILE NO. 117B.
~ '~/C. No. 49618
{p~X (631,) 765-1797
'1~o~ STREET 09 1n~
sourHOLa N. ~ .gX~ -- uu
.J.
~ ALL ~LUMBIN~-
~ & WA~MBIN'G WASTE
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOLDER USED IN WATER
SUPPLY sYSTEM CANNOT
EXCEED ~I0 OF ~% LEAD~
ALL CONSTRUCTION SHALL
MEET THE REQUIREMEhITS OF THE
CODES OF NEVI YORK STATE,
CERTIFICATION OF
NAILING & CONNECTIONS
REQY!R~.E.P,
UNDERWRITERS CERT F CAT~
REQUIRED
OCCUPANCYOR
USEIS UNLAWFUL
WITHOUTCERTIFICATE
OFOCCUPANCY
APPROVED AS NOTED ./
NOTIFY EUILD]NG DEPARTMENT AT
765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMDNG
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE
DESIGN OR CONSTRUCTION
~- ='~= 3
GENEP-.AL NOTES:
FOUNDATION NOTED:
PLUMBING ~ HVAC NOTFS:
CLIMATIC AND GEOGRA?HIC DE.SIGN CR. ITERIA
ELECTRICAL NOTES:
Ff~JNMI NG NOTE~:
FLOOR PLAN NOTES:
PLUME ING
NOT TO SCALE
ROOF
ATTIC
SECOND FLOOR
FIRST FLOOR
BASEMENT
4"0 ROOF VENT
LEI
]ATH
C 0 II -- __~ ,,
KITC~HENIB[/BA'BAT~
SINK,,'
SLOPE" 1/4" PER FOOT PITCH TO DRAIN
f .I EI DIAGP-,AM
DESIGN LOAD CALCULATIONS
MINIMUM UNIFO~.MLY DISTRIBUTED LIVE LOADS
ID~IGN CAT~GORY I
TABLE R30 I .G
ALLOWABLE DEPLECTION OF STRUCTURAL M[MEDER-5
STRUCTURAL MEMBER ~LLOWABLE DEELECTION