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Home My WebLink About34757-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34123 Date: 12/09/09 THIS u~KTIFIES that the building ACCESSORY GARAGE Location of Property: 1870 JACOBS LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 79 Block 7 Subdivision Filed Map NO. __ Lot No. __ SOUTHOLD Lot 28 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 1, 2009 purs,,~-t to which Building Permit No. 34757-Z dated JUNE 8, 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 ACCESSORY ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to BETTY L FINLEY of the aforesaid building. ( OWNER ) SUFFOLK CO~I%w~yDEPAR~I~TOFHEALTHAPPROVAL N/A EL~-rKICAL C~K'rIFICATE NO. 11111 11/02/09 PLUMBERS CERTIFICATION DA'r~u3 N/A Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34122 Date: 12/09/09 THIS c~KTIFIES that the building ALTERATION/ADDITION Location of Property: 1870 JACOBS LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 79 Block 7 subdivision Filed Map No. __ Lot No. __ SOUTHOLD LOt 28 ( HAMLET ) conforms substantially to the Application for Building Permit heretofore filed in this office dated JI/NE 1, 2009 purs,,~nt to which Building Per, nit No. 34757-Z dated JUNE 8, 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 GARAGE TO LIVING SPACE ~ A~DDITIONS, INCLUDING FRONT COVERED ENTRY, TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~ne certificate is issued to BETTY L FINLEY of the aforesaid building. (OWNER) SUFFOLK COUNTY DBPARII4ENT OF HEALTH APPRO%rAL RT.Rt-£KICAL C~aTIFICATE NO. PLUMBERS u~aTIFICATION DA'r~D N/A 11111 11/02/09 11/11/09 BURTS RELI~tBLE INC /~/uth~ i z/ed S~gn&ture Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA This application must be filled in by typewriter or ink and submitted to the Building De '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 (8-9 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. Commemial 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: t. 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 Oeeupancy 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 New Construction: Old or Pre-existing Building: Location of Property: ~ ~ ~'~ I~ '~'~O ~ 5 House No. Street Owner or Owners of Property: ~', c'x Suffolk County Tax Map No 1000, Section "-I ~ Subdivision Permit No. ~4'~ ~-- Date of Permit. Health Dept. Approval: Block '~ Filed Map. Ioq Applicant: Underwriters Approval: Planning Board Approval: (check one) Hamlet Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) ig ata P OBo~ 1179 Fa, (516 7~,:3 OFFICE OF 'THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. "~ L~"~G"I (pl~as~ print) Plumber: v ' (plEase print) I certify that the solder used in the water supply system contains less than 2/10 cf 1% lead. (plumbers signature) Sworn to before me this \ /'~f~ day of A.)ov"f~:~o" 20OO1 Notary Public, ,~L)~-~% L'~. County B£BNADETTE L. TAPLIN NOTARY PUBLIC State of New York Residing i~ Suffolk CoLmt¥ + SUFFOLK BUREAUot ELECTRICAL 40 Nottingham Drive, Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No.: County Tax Map No.: G&S Electrical Contractor September lB ,2009 lllll Certificate No.: Final inspection Date: Building Permit No.: 11111 November2,2009 34757 This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: Betsy Finley Site Location: 1870 Jacobs Lane, $outhold, NY 11971 Owner's Address (if different): [] Residential [] Indoor [] Basement [] Service [] Shed [] Commercial ~] Outdoor [] First Floor [] Pool [] Hottub [] New [] Renovation [] Second Floor [] Attic [] Garage [] Addition [] Survey Other: INVENTORY Single Phase Heat Duplex Recpt 20 Ceiling Fixture 5 HID Fixtures Three Phase Hot Water GFCI Recpt 5 Wall Fixture 7 Smoke 2 Main Panel AC Cond 2-30a Single Recpt Recessed Fixture 5 CO Detect 1 Sub Panel 1-100 AC Blower Range Recpt Flourescent Pumps Transformer Appliances cook Dryer Recpt 1-30a Emergency Time Clock Disconnect Switches 20 Twist Lock Exit Fixtures TVSS GFCl Breaker Heat Pump Electric Heat Pool Luminaire Exhaust Fan 1 Other Equipment: 1-arc fault cb The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: G&S Electrical Contractor Inspected By: Roger Richert License No.: 578E & 31568-ME Date Of Certificate: Nov 04,2009 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. 34757 Z Date JUNE 8, 2009 Permission is hereby granted to: BETTY L FINLEY 10 W. 66TH ST NEW YORK,NY 10023 for : CONVERSION OF ATT'D GAR3~GE TO LIVING SPACE, SINGLE STORY ADDITION TO EXISTING SFD AS APPLIED FOR. CONSTRUCT DETACHED GARAGE. 2 CO'S REQ'D. at premises located at County Tax Map No. 473889 Section 079 pursuant to application dated JUNE Building Inspector to expire on DECEMBER 1870 JACOBS LA SOUTHOLD Block 0007 Lot No. 028 1, 2009 and approved by the 8, 2010. Fee $ 326.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION .~/FOUNDATION 1ST [ ] ROUGH PLBG. ~FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT/ION [ ] FOUNDATION 1ST [ ,,"] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PEI~,-, ~N [ ] F/OUNDATION 2NO [ ,,'] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [~RE RESISTANT CONSTRUCTION REMARKS: INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [. ] ROU~H'I~.-- [ ] FOUNDATION 2ND [,P'~INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ---, _ _ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~ULATION [ ] FRAMING / STRAPPING [/,/]' FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~'~ ..... :'~ ..............................K :~ ::~ FO~ATIO~ (2~) ~ ~ PL~G /, ~S~A~ON PER N. Y. STATE E~R~ CODE 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 Disapproved a/c Expiration BLDG. DEPT. TOWN Of: SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, be~re applying? Board of Health 4 sets of Building Plans Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trastees Flood Permit Storm-Water Assessment Form I Building Inspector APPLICATION FOR BUILDING PERMIT Date 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. Fec 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 haen enacted in the interim, the Building Inspector may authorize, in writing, the extension oftbe permit for an addition six months. Tbereaffer, a new permit shall be required. APPLICATION 1S 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 inapcctions. (Signature of applicant or name, ifa corporation) (Mailing add.ss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (As on thinx 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. Location of land on whichd~ropo,sed wqrk will be done: House Number Street County Tax Map No. 1000 Section Subdivision 7¢ Hamlet Block ? Lot Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancyofproposed construction: a. Existing use and occupancy ~,r~Slt (4t. 1'14,(.63 b. Intended use ana occupancy .~l%~g. 4~.4,~,~ r~'%tC~'4t.X~_ ~C/ ) 3. Natureofwork(checkwhichapplicable):NewBuilding r]q~,V~.,, Addition ,/~. Alteration Repair Removal Demolition c~ "Other Work 4. Estimated Cost ,~ tl6102~ 5. If dwelling, number of dwelling units If garage, number of cars Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 8. Dimensions of entire new con~tmction: Front //e/* ' Height /& - O ~,/- Number of Stor es 9. Sizeoflot:Fmnt 100C 0~ Rear c~-~t If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front ~7 Rear C g7 * Depth · /~' '~V- ' Height - ~ / :_~i '~ Number of Stones ~ D~mens~onsgf same structure with alteratio0s or additions: Front ~' - E ' Rear Depth .~ t_ ~, ~, Height /& ~ o° * "t/- Number of Stories ~;/; / i Depth z-~L00C 45" 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES__~NO__ Will excess fill be removed from premises? YES 14. NamesofOwnerofpremises~t'-~ ~n~_,m Address ,-~::x°OJ~9 ~z~ PhoneNo. NameofArehiteet~[ltA V~/~-~)~c4 )Address 1~4q~h;C.~ PhoneNo Name of Contractor- q'-. ('5.1'9.. 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 NO 7 * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, witl3p3c, cu, rate founcl~tion 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 · IF YES, PROVIDE A COPY. STATE OF NEW YORK) (Name of i~dividual sil~ning (S)He is the being duly sworn, deposes and says that (s)he is the applicant contract) above named, (Contracto~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 mc this ' dayof.....~" ...-~.--J.~ 20. Oc~ Notary Public Notary Public, State of New YoA [ Sign~e of Appiio~ ^ ..N.0. 01105190696 '--' ~ uua~ified n Suffolk County u0rnmission Fxoires July 28, REScheck Software Version 4.2.1 Compliance Certificate Project Title: Finley Energy Code: 2007 New York Energy Conservation Construction Code Location: Suffolk County, New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: 14% Heating Degree Days: 5750 Construction Site: 1870 Jacobs La Southold, NY Owner/Agent: Compliance: 7.8% Better Than Code Maximum UA: 173 Your UA: 160 Designer/Contractor: Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" oc, Window 1: Wood Frame:Double Pane with Low-E Door 1: Glass Floor 1: Ali-Wood Joist/Truss:Over Unconditioned Space 720 300 0.0 25 918 150 0.0 61 61 0310 19 63 0340 21 720 19.0 00 34 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 ed and signed this page, they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or speci are in compliance with this Cede Name- Title Signatur"~'~'~ X DSo Project Title: Finley Report date: 05~28/09 Data filename: Untitled.rck Page 1 of 4 REScheck Software Version 4.2,1 Inspection Checklist Ceilings: [] Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: Above-Grade Walls: [] Wall 1: Wood Frame, 16" c.c. R-15.0 cavity insulation Comments: Windows: [] Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0310 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? Comments: Yes No Doors: [] Door 1: Glass, U-factor: 0.340 Comments: Floors: Floor 1: All-Wood Joist/Truss:Over Unconditioned Space, R-19,0 cavity insulation Comments: Air Leakage: [] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed, [] Recessed lights are 1) Type lC rated, or 2) installed inside an appropriate air-tight assembly with a 05" clearance from combustible materials, If non-lC rated, fixtures are installed with a 3" clearance from insulation Vapor Retarder: [] Installed on the warm-in-winter side of all non vented framed ceilings, walls, and floors. Materials Identification: [] Materials and equipment are installed in accordance with the manufacturer's installation instructions [] Materials and equipment are identified so that compliance can be determined Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided [] Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. [] 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 R-4 [] 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: [] 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 wg. (500 Pa) [] The HVAC system provides a means for balancing air and water systems Project Title: Finley Report date: 05~28/09 Data fllename: Untitled.rck Page 2 of 4 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: [] Fireplaces are installed with tight fitting 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 Bu#ding 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: [] Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: [] All heated swimming pools have an on/off heater switch and a cover unless ever 20% of the heating energy is from nomdepletable 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: Finley Reporl date: 05/28/09 Data filenarne: Unflfled.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 20" Over 2" Temperature (°F) 170-180 0.5 1 0 1.5 2 0 140-169 0.5 05 1 0 1.5 100-139 0.5 05 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Fluid Temp Piping System Types Range(OF) Insulation Thickness in Inches by Pipe Sizes 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 20 Low Temperature 120-200 05 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 05 05 0.75 1 0 Brine Below 40 1 0 1 0 1.5 1,5 NOTES TO FIELD: (Building Department Use Only) Project Title: Finley Report date: 05/28/09 Data filename: Untitled.rck Page 4 of 4 TOWN OF SOUTHOLD PROPERTY ,.RE~ORD CARD OWNER. STREET /~:~/-"/~..~ VILLAGE DIST. SUB. LOT.~/q FRONTAGE O~ W^~ E~ BULKHEAD TRIM. · 79-7-28 02/02 PoJch Breezeway Patio Foundation Basement Ext. Walls Fire Place Type Roof J lnterior Finish Heat Rooms 1st Floor Rooms 2nd Floor Dinette Recreation Room ~)o~r Driveway LR. BR. FIN. B COLOR ~ .,~ 7" ~' ,'~ ~ ,C. · TRIM . Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C,T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ETORM-WATER~ GRADING; DRAINAGE AND EROSION CONTROL pI.~N C~=~ iPiED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (4) for each Question is Required for a Complete Application) Yes No 1 2 3 4 5 9 6 7 8 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 all Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowI 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 Matedal within any Pamel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is Ihem 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? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vedical Rise to One Hundred (100') of Horizontal Distance? 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? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Ama? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mad,( in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Perm/fi EXEMPTION: 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 Required! Yes No That I ....... ...,~.,...~, ,.}L~,iZ~,.,.],~'i~ ......................... being duly sworn, de'poses and says d~at be/she is d~e applicant for Pen]lic And that be/sbe is the .............................. ,~_. .................................................................................................... ( Ow ~e'r, Contractor, Agenl, Corporate Officer, etc.) 0,~ ncr and/or representative of dm Owner of Owner s, and s duly author zed to per[orrn or have performed the said work and to make and file this application; that all statements contained in this application are tree to the best of his kl~owledge and belief; and that the work will be performed in d~e manner set forth in dm application filed herewith. Sworn to before me this; '~ day of ....... ..~.,..~',.~ ........... gO...,O. ~ Notary Public: ...~...',~..c-~...'~0~ ................................................................. FORM - 06/07 Qualified in Suffolk County .~ C0mmi~$i0~ Expires July 28, 2'0 ~___.''~' SURVE' D OR:- LOCATED AT LOT /~ MAP OF ~/~ ¢¢.4~;~ SCALE 1"= ~' SUFFOLK CO. TAX MAP DATA:- DIST./00~ , SEC.-~-o~ BLK, ~.~ LOT ~. o~ OF~ETS F~,O,i~ STl~t,,KZ'l'Ult'l;4 TO ~ELATIVE bOgNr; ON SURVEY, ,ARE S,PECIFIC USE .~OIJl. E, NO1' C~ OTH~ SII~LICTUI~& DRAWN BY /'~'~% , SUFFOLK COUNTY N.Y. , CO. CLK. NO. 17 FILE NO, SURVEYED,4~',~/,y' ~9. 19q~ BY RAMPART SURVEYING P,C, P/O BOX 340 EAST MORICHES, L.I., N.Y. 11940 = I SURVEY OF PROPERTy A T BA YVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000- 79-07-2B SCALE: 1'--40' NOV. 27, 2009 IFINAL SURVEY~ AREA = 40~825 sq.fl. L ANY ALTERATION OR ADOtTION TO TI-IlS SUR~,I~Y IS A VIOLATION OF SECTIQ~I 7209OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION ~. ALL CERTIFICATIONS HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR Cia°lES BEAR THE IMPRESSED ..~EAL OF THE SURVEYOR WHOSE S/GNA TURE APPEARS HEREON. · = MONUMENT ®- PIPE .mc~./c ~~ (631) 765~ P.O. BOX 9~ 1230 TRA VELE'R- 5?'REEL $OUTHOLD, N.Y. 11971 i ~10. 49618 765-179 7 ~J-144 NANCY DWYER BETTY FINLEY DP. AWING: SITE PLAN DESIGN CON5ULTING, INC. PROPOSED GAUGE CONVERSION 1870JACO~ mNZ 5CALX : 1/32"= I'-0" 50UTHOLD', NEW YORK I I' 971 $ NEW D~ACHED GAUGE 5OUTHOLD, N~ YOR~ DATE G.I OD G3 I-TG5-SGG7 ~v : N D~ N:EW CONSTP. UCTION ~) ~ ...... z DO NOT PROCEED FRAMING U~IL SURLY OF FOUNDATION L~ATION ' PEONT ELEVATION HAS BEEN APP~OVED; OCCUPANCY OR NE~ CONSTRUCTION ~ 5~CALE~ ~"=~'-0" USE IS UNLAWFUL " WITHOUT CERTIFICAT E,~i~ ~:'~-~-J'~ RETAIN STORM WATER RUNOF , ~ ~[L~ ~ ~E~I]8 f~]. - . _ PURSUANT TO CHAPTER 236 ~UILDING D~PARTMfiNT CRITERIA ~ I~~~ J [&~J- l_ L: 2 H~IGHT TOTALI I ~' 0" +/ ' ~L 3 TYP~ o~ CONSTRUCTION WOOD P~ME CON5T~UCTION I RIGHT 51DE ELEVATION ,, %UMBINGRISE*DIAG~M PAGE3 , PAGEr BUILDING DEPARTMENT CRITERIA OCCUPANCY CLADSIEICAT[ON R-3 RESIDENTIAL SECTION 3 J O BUI~LDING CODE NEW CONSTP-.UCTION NEW CON~TRUCTIO REAR ELEVATION I'~ = I ' 0" SCALE: z~ BACK RIGHT ELEVATION h, _ I LO" 6CALE: E A~PHALT R`OOF SHINGLE TO MATCH E)(ISTING OVER`~" CDX FLYWOOD SHEATHING SIMPSON H7 CON NECTO~ DIMENSIONS TO D(15TING ~ 2" × 4" STUD WALL 2 2'~×G''ACQS OVE~. TE¢,IM ITE SHELLS OVER. SILL S~AI4 PROVIDE SrMPSON CS2O W/ LPT4 CONNECTORS ~" SIAM ~TER` ANCHOR BOLTS tM/7" MtN. DEPTH ~] 4/5" O.C, W/MIN. 3'~3'~? WASHER` ~ PLATE BEDP~OOM AT EACH C,J INSULATION aL'' GYPSUM BOAR`D'N, C~WL SPACE -- 4~' POURED CONCRETE 5LAB ON COMPACTED FILL 51~IFSON CS20 BUILDING SECTION "A" CLIMATIC AND GEOGRA?HIC D.F~51GN CRITERIA WEATHERING 5EVEI~E FROST LINE DEl:TH 3'-0" TERMITE MODEP~AT~ TO HEAVY DECAY SLIGHT TO MODERATE WINTE~ DEDIGN TEMP. I I iCE SHIELD UNDEI~.- LAYMENT ,~ZQ U IP-ZD FLOOD HAZARDS AS PEK M~NUFACTURER`~5 SPECIFICATIONS / STATE CODE DESIGN LOAD CALCULATIONS TABLE P--.3O I .G I ALLOWABLE DEFLECTION OF STR.UCTU RAL MEMESER~ BTRUCTUI~AL M~MBER ALLO~ABLE DEfLeCTION PAGE: 2 KITCHEN & BATHS LAUNDRY BATH D.W. W.M. 8LOPE" 1/4" PER FOOT PITCH TO ROOF ATTIC FIRST FLOOR SASEMENT TO SUFFOLK COUNTY DEPT OF HEALTH ~PPROVED SE'C~R LINE PLUMBING P-.15EP-. DIAGEAM NOT TO 5CALE OUTLINE OF EXISTING CANTIELEVER. I PROVIDE 51MPDON PHD5 HOLDDOWN (T'r~ 2) ANCHOJ~D AT ALL CO~.NERD EXISTING BA~fiM~NT PI~.OVIDE ACC~5 rNTO NEW CiRAWL 5PACE 14~,, X 7¼,, LVL PLUSH T~'~'' FOUNDATION WALL LEGEND: I~4JDTING FOUNDATION WALL ¢ FOOTING5 TO REMAIN - -- D(IDTING WALLTO - BE REMOVED ALIGN FOUNDATION PLAN DCALE: ~'= I' 0" k-~ PAGE. 3 ~rSTING WINDOW~ TO [SE ~:MOV~D: CLOSE IN WALL OPENING $ MATCH FINIDHE5 CI4 DINING ROOM KITCHEN 4" X 4" PODT5 TC DEA~. ON D(IDTING FOUNDATION WALL BELOW CJ4 BEDROOM 2- :~" STEEL FLITCH ?LAT~5, FLUSH WITH ~APTEI~5 IN LOCATION OF FDfI~TING WALL BEING R~MOVED NEW GREAT ROOM CATHEDP. AL PlA OUT D(IDTING ,'~AhZEP,,5 W/ 2X4 TO ACCOMODATE NEW INSULATION THICKRE, S5 " ~ ENTRY ~ AZEK, BEA ILING r ll FLOOR PLAN i. iLO. SCALE: z~ = WAtLL LEGEND: [~XISTING WALL TO REMAIN ~(IDTING WALLTO BE ALTERNATIVE FOl~ OPENING PROTECTION PAGE- 4 E~ISTiNG RJDGE TO P~MArN ALIGN RIDGE ~c. FO I~ZMAIN ROOF PLAN SCALE: ~"= iLO,, 5 ZLLL _ LLLIJJLLLLL ~ Il FRONT ELEVATION LEffT SIDE ELEVATION SCALE: ¼"= ILO" SCALE: ¼,,= ILO'' P~OVIDE SIMPSON G520 ~ PFGH 5mB TOWAm5 COMPAreD FI~ WITH WWM ~X~/ JOXtO U N ~CAVATED --HOLDDOWN CWf'. 2) ~ I ' NEW GA~G~ WALL L[GEND: ';'~ I I q'I e" POUND CONC~EFOUNDATION WALL~TH eq d 2"X 4"W/ A-13 INSmATION Z GAUGE 6LAB ABOVE J'-4" x 6" d, FOXING ~ - 5HEATHING, FOUNDATION FLAN FLOOR ~LAN <~d~ GENERAL NOTED: NAILI~ 5CIIDDULE no in~erve~lm0 sw~tch~s, on all floors an~ In ~acb b~droom. Verl~ ~h Io~1 coa~ PLUMDI NG $ HVAC NOT~D: ~,~s,,~ zo ~o~r TO~ N~,~ a-a~ ~c,, ~Nn ~OUNDATION NOTED: to all Na~ Y°rk 5~ bullame coho5 $ ~a~ requirements LEDGER 51'~IP TO Bd~ FACE NAILED SI~a EACH JOIST -- ~ I P~MING NOTED: ~ ~ ........... ~,,~/c ~"~r~N~N~ ~"Ar ~'r~.=~'go.,~ of cripple ~tud~, header studs, and ak feast one ~ud at each side o~ op~nmg, Z Z ~ ~ "~%~",~~ WI ND REDIDTANT CONDTRUCTION CONNECTO~ collar 8,85 of I xG o¢ 2x4 lumber ,s located ,n upper eh,rd of a~,c 5pa~ and