HomeMy WebLinkAbout35799-ZFORM NO. 4
TOWN OF SOUTHOLD
!/ BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34601 Date: 10/07/10
THIS CERTIFIES that the building HANDICAP RAMP
Location of ~roperty: 1635 SMITH RD PECONIC
{WOUSE NO.) (STREET) (HD~4LET)
County Tax Map NO. 473889 Section 98 Block 4 Lot 17
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 19, 2010 pursuant to which
Building Per,air No. 35799-Z dated AUGUST 25, 2010
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 ~ICAP RAMP ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to BARBARA J DITTMAN
(OWNER)
of the aforesaid building.
SuFfOLK COI~TI~fDEPARTMENTOFHEA~THAPPRO%rAL
~.RCTRICAL C~KTIFICATE NO.
PLUmBErS c~KTIFICATION DA'r~u
N/A
N/A
N/A
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35799 Z Date AUGUST 25, 2010
Permission is hereby granted to:
R DITTMAN
1635 SMITH ROAD
PECONIC,NY 11958
for :
CONSTRUCTION OF A HANDICAP R3LMP ADDITION AS APPLIED FOR
at premises located at 1635 SMITH RD PECONIC
County Tax Map NO. 473889 Section 098 Block 0004 Lot No. 017
pursuant to application dated AUGUST 19, 2010 and approved by the
Building Inspector to expire on FEBRUARY 25, 2012.
Fee $ 200.00
Signature
ORIGINAL
Rev. 5/8/02
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. 35799 Z Date AUGUST 25, 2010
Permission is hereby granted to:
R DITTMAN
1635 SMITH ROAD
PECONIC,NY 11958
for :
CONSTRUCTION OF A HANDICAP RAMP ADDITION AS APPLIED FOR
at premises located at 1635 SMITH RD PECONIC
County Tax Map No. 473889 Section 098 Block 0004 Lot No. 017
pursuant to application dated AUGUST 19, 2010 and approved by the
Building Inspector to expire on FEBRUARY 25, 2012.
Fee $ 200.00
Signature
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of dompleted 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Temporary Certificate of3~ccupancy - Residential $15.00, Commercial $15.00
x// Date. 4- Zq~
New Construction: "~ Old or Pre-existing Building: (check one)
Location of Property: /~.~ ~ t, x4 / F-/~/ (rff~
House No. Street
OwnerorOwners ofUrope~y: /~/~[~ ~ ~6~ ~ ,rr~ ~
Suit~lk County Tax Map No 1000, Section cf~ Block ~
Subdivision Filed Map.
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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.
Permit No. ,_~,..q"' 7q 7
Health Dept. Approval:
Hamlet
Date of Permit.
Lot / 7
Lot:
~'/~ 4¢0 Applicant: /~t~tg/h2,~
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~'
Final Certificate:
(check one)
Applicant Signature
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
,//INSPECTION
~,']~FOUNDATION 1ST [ ]ROUGH PLBG.
FOUNDATION 2ND [ ]INSULATION
FRAMING / STRAPPING [ ]FINAL
FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]RRERESBT~U~TF~IEmATIO#
[ ] FIRERESlST~#TCO#Sl~UC110#
REMARKS:
DATE
INSPECTOR~
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[[]] ;OURA~::~IsON 2NTRAi~DNG [[ ~ATION
[ ]FIREPLACE & CHIMNEY [ ] FIRE SA~, ~ INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]ARRE RESISTANT PENETRATION
RENIARKS. ~ ~ .~_~
INSPECTION
DATE
INSPECTOR_~~~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
TOWN OF SOUTHOLD
BUILDING DEPARTMI
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFor
{.net
Expiration
ALE; 1 cj
2010
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
4 sets of Building Plans
Planning Board approval
Surve~
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to: /~/')c")
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date /O /'~q~$'~' ,20 tO
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 lbr 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 at~er 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 au{l~orize~ in wi'iting, 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 Btiildi~g 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~ture of al~icant or name, ifa corporation)
///ors
(Mailing address of applicant)
State whether applicant i~ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
7,Az K~ot-~ : d?,~e6AIfA' .~
Nameofownerofpremises ~e,~-~ : I~A,e~ea4 -~t~n,~ a.,,.~ Rtolt,qa~
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000
--Subdivision
Section
Block Zp,
Filed Map No.
Lot ! 7
Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ,~",5'&.~ cCA/C&'-
b. Intended use and occupancy /~/,~eJO('~'' (/dO C~tq'h'(~') ,
3. Nature of work (check which applicable): New Building Addition
Repair Removal Demolition Other Work
4. Estimated Cost ~ .,~'~. ~ o Fee ~ 2 eve. r,o
5. If dwelling, number of dwelling units [
If 9arage,. number of cars
Alteration
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commbrci~[1 or mixed occupancy, specify nature and extent of each type of use. ~
7. Dimensions of existing structures, if any: Front .~C-~ / Rear
Height. 2. / t Number of Stories
Dimensions of same structure with alterations or additions: Front z,,o o-p,/~c.¢ E' Rear .~ /
Depth /uf~ CL..p't't.~'~" Height ~oo ~,4r, t-,oa:~ Number of Stories ~,~,~'
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size of lot: Front / Oo ! Rear 72 /
Rear Depth
Depth /0,5-/
10. Date of Purchase
t ,'x rr-o'7 ~5~'~ ·
/11. Zone or use district in which premises are situated
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 __
Address [~:~fa'~,rYl~ ~ Phone No.
14. Names of Owner of premises
Name of Architect Address Phone No
Name of Contractor Oto~ 8'~ Address Phone No.
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 v/
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 1'0 feet or below, must provide topographical data on survey. '
18. Are there any covenants and restrictions with respect to this property? * YES__ NO V/
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF
/~r~'~tq~/'~ 3) ~7~"~t~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this --
Notary Public ONotary ~u[~l~i;~S,..t~e,.,~ot~N.,ew York Signature of Applicant
Commission Expires Sept. 29,
,* - 777
BUILDING PERMIT EXAMINER CHECKLIST
Architect/Engineer:
SCTM# iooo-
Property Address:
*Date Submitted:
Owner:
Date Reviewed:
Estimated Cost: -f-5~-~,
Subdivision: '-- Zone: ~
Conforming?
~-~'/~'~ /~r City: P--P-~- PreCOs?
Building Permits (Open/Expired): BP ----'-- ~Z / C/0 Z- ~, Info:
BP__ -Z / C/0 Z-__., Info: BP -Z / C/0 Z-
Single & Separate Search Required? Y o~)Determination:
REQ. Lot Size: ACT. Lot Size:
REQ. Front ACT. Front REQ Side ACT. Side
REQ. Height ACT. Height R~.~, ~,~. Slb~5
Project Description:
Waterfront? Y o~.~
If yes, water body:
---'-'- BP__-Z / C/0 Z- , Info:
__, Info: BP__ -Z / C/0 Z- , Info:
REQ. Lot Cov. __ ACT: LOt Cov. __
REQ. Rear PROP. Rear
Panel# -- Flood Zone: '-- Bulkhead/Bluff Distance: ~
ADDITIONAL APPROVALS REQUIRED
Suffolk County Health: Y or(¢~- If yes, ~Bed#: *Date: / / *Permit//:
- If no, certification required: Y or N Received: Y or N By:
NYS DEC: PRE-DEC9/1/75 Y 0~_~- Date:
Southold Trustees: Y or~ Date:
Southold ZBA: Y or~- Date: /
Southold Planning: Y 0~- Date: /__ __
Town Landmark C of A: Y o~DTE: __ __
/ / Permit #:
/ Permit #:
Permit #:
/ Permit #:
/ /
Town Septic: Y o~LJ
or NJ Letter - Notes:
or NJ Letter - Notes:
- Notes:
- Notes:
*NYS CODE Compliance (page 2)~r N
Notes:
Fee Structure:
Foundation:
First Floor:
Second Floor:
Other:
Total:
Calculation:
SF 1.(
SF
SF
SF 2.(
SF
SF)- (
SF)- (
SF)= SF X $ ?$
+ Initial Fee: $
+ Additional Fee ( ): $.
SF)= SF X $__=$
+ Initial Fee: $
+ Additional Fee ( ): $.
TOTAL:$ ~-~0 , o~'
NEW YORK STATE CODE COMPLIANCE CHECIELIST
CL/MATIC/GEOGRAPHIC DESIGN CRITERIA: o
. Grolmd Snow Load: ~0
Weathering: Severe __ .-Frost Depth: 36" __
D~sign Temp: 11 __ 'Ice Shield Underlay: YES .
USE/OCCUPANCY CLASSIFICATION:
· HEIGI:IT/FIRE AREA: .
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/pREscRIPT/VE
FULL FPokM~G DESIGN ELEMENTS~I ,
HEADERS: Y/N WALL sTUDs: YfN
CEILING JOISTS: YfN FLOOR JOISTS: Y/iq
LU1YIBER SPECIES AND GRADE: Y/N
Wind Speed; 120MPH __ Seismic Design Category."
Termite: M~H i Decay: S-M
Flood Hazai'ds:
GL1LDERS: YfN
ROOF ILalZTERS: Y/N
WI2qDOW AND DOOR SCHEDULE: ,/~r//4
· MISSLE TEST REQUIREMENTS: Y/N
EGRESS 5.7 S.F.: Y/N
LIGHT 8%: YIN
1qgNT 4%: ¥/N
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N
PLUMBING RISER DIAGRAM: Y/N
LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
CERTIFICATION: Y/N
ENERGY CALCS: Y/N
TOTAL COMPLIENCE?~/N (RETURN TO PAGE ONE)
Town of Southold
~ Erosion, Sedimentation & S,torm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
/~?~'~ I~ e!l~ /Lot'7 STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN
olstz~ct $~cllon Ct-"I~TII'IED BY A DESIGN PROF~E~ioNAL IN THE STATE OF NEW YORK.
SCOPE OFWORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT [ Yes No
a, Whet is the Total Area o! the Pwiect Pamels?
(include Total Area of all Parcels located within ,,=,,. '~ Will this Project Retain All Storm-Water Ru~¥Off
the Scope of Work for Proposed Conslructien)7~/*''5'~. ~r Generated by a Two (2") Inch Ra~all on Site?
b. What is the Total Area of Land Clearing (sJ="~) clearing(This Item will include all mr>off oreetad by siteand/or construction actlvi~es as well as a#
and/or Ground Disturbance for the proposed ~,,,..~-_..~ ~,~ Site Improvements and the pelmanent creation of
constmctien a clivi~--"~ Impervious surfaces.)
(sJ=. / ~)
PRO'VII)E B]L]~' PROj'~C~ DESCE]]~[ON ~a~u~ 2 Does the Sita Plan and/or Survey Show AII Propasad /
Drainage Slmcturas Indicating Size & Location? This
Item shall include all Proposed Grade Changes and.~
///~:~'..~/Z~.. '7'~'~rel~,~--/~' Slopas Controlling Surface Water Flow. /~
and sediment control practices that will be u~{~ to 1"~
contnd site erosion and storm water discharge. 'r~lS
7~ f/~o~l~fl ~--~/w~-l~t~::~o~ itemmustbemaintalnedthroughoutthbEnflmco~st~citon Period. ~
°~/ffo ,~ s~ 4Will this Project Require any Land Filling, Grading or
Excavaiton where there is a change to the Natural
Existing Grade InvoMng more than 200 Cubic Yards~L~ __V
of Mateital within any Parcei?
5 Will this ApplicaUon Require Land Disturbing Activities
Encompassing an Area in Excess of Five Thousand %/
(5,000 S.F.) Square Feet of Ground Surface?
6 Is there a Natural Water Course Running through the ~ __
Site? Is this Project within the Trustees jurisdiction
U
General DEC SWPPP Refluiremento: or within One Hundred (100~) feet of a Wetland or
Submission of a SWPpp is required for all Construction activities involving soil Beach?
dletu~a~ca~ of oi3e (1) or mace acres; iaaludthg distu~oe nce$ of lass than one ec~e that 7 Wili' there be Site preparation on Existing Grade Slopes
are part of a la~ger common plan teat will ulflmataly disturb one cr more acres of land; which Exceed Fifteen (15) feet of Vertical Rise to
lecluding Coastrucllo~ activities ir~alving soil disturbances of less than one (1) ec~e where One Hundred (100') of Horizontal Distance?
the DEC has determined that a SPDES permit is required for storm water discharges.
'( SWPPI~s Shall meet the Minimum Requlremant~ of Iha SPDES General Pem~ll 8 Will Driveways. Parking Areas or other Impervious
far Sfolm Water Discharges from C~$lmctlon aellv!t~ - Permit No. GP-~I~-0~I.) Surfaces be Sloped to Direct Storm-Water RUll-Olf
t. The SWPPP shall be prepared prior to the suhma~l of tOe NOI. The NOI shall hainto and/er in the direction of a Town right-of-way?
submitted tO the Debar~nent pilot to the commencement o! ¢onslmc~on
2. The SWPPP shall dsscriba Iha ero~:m and sediment canted pmoficee aral whare 9Will this Pmjast Require the Placernent of Material.
requhad' mst'c~aalmcll°n st~ water management Pratt;cee teat wa ba used a~for Rem°val °f Vegetati0n aed/or the C°nstruction ~ anY
cons~ed to reduce the polutm~ In storm water disshe~ges and to a~sum Item Within the Town Right-of-Way or Road Shoulder
compliance v41h tim tom~s and condigns ~ this pennll. In addition, the SWPPP shall Area? {Th~ ~ v~ eo'r ~c~ud* me ~n.r.~.~,, ~ ~ A~r~}
identify parental sources of pollution whlcJt may neasoaably be expected to affect the
COLT~ O~ ...~...~...~....~..L:..~.....; ......... SS
And that he/she is thc C> ~..,~..,~,,,-~,
Owner and/or reprcscntaavc of the Owner or Owners, ~nd is duly anthofiz~d to p~rfonn or have peal'armed thc sa~d work and to
make and fl]= thJs application; that all statements cont3~ncd ~n this application =~ true to thc I~st ot'~s lu~owl¢d~c zncl I~]ic~, and
t~at thc work w~Jl ~ peri'armed in thc manner set forth ~n thc application £1]¢d herewith.
Sworn to b=£orc mc th~s; __
FORM - 06110
Qualif~l in Suffolk County --.~ I /
Commission Expires Sept. 29, ~ ' m
q
"X ..... ~ ,~ ' ~ "
I'"" #'~ ~ ~
Satbara .J. Dillm~n
1635 Smith Road
Peconic, NY 11~ ~
FRAMING SKETCH
nominal dimensions shown
I '- 6.Oft ---' I
6" exterior wall ] 36" doorway
N
~ = 2 x 6 treated (i.e., CCA)
~,,- = 2 x 6 CCA resting on platform
~ = existing door sill (protruding)
[] = 4 x 4 CCA post under joists
footed 3 ft deep; cemented
,= 4 x 4 CCA footed post in corner
i--I= 3 x 3 cedar post [maybe 4 x 4]
bolted to rim-jo~st
6.0 ft
dimension includes
decking overhang
6" exterior wall
scale: 3/8 "= Ift
FRAMING SKETCH
nominal dimensions shown
I ~ 6.Oft ......
slope of < .3% to la~ling
N
6.Oft
6" extedor wall 36" doorway 6" extedor wall
APPROVED AS NOTED
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TVVO REQUIRED
FOR POURED CONCRETE
2 ROUGH- FRAMING, PLUMBING,
STRAPPING, ELECTRICAL & CAULKING
3, INSULATION
4 FINAL- CONSTRUCTION & ELECTRICAL
MUST BE COMPETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
scale: 1/4" = 1 ft
= 2 x 6 treated (i.e., CCA)
~ = existing door sill (protruding)
· = 4 x 4 cedar post resting di~%-tly on
pm-existing (footed) slab
· = 4 x 4 cedar post; footings correspond
& are 3 ff d~ep cemented
[] = 4 x 4 cedar post ungrounded
COb!PLY wr;-H ALL ,~.,~,DES OF
NEW YORK STAT;,_:& TOWN CODES
COl,If :,.~v .
AS REQUIRED~,.!D ' -,,T -,' 'e O~
SOU ' '
/ / ~'/ ~' '-'/
EXISTING CONDITION(S)
1635 Smith Rd
N
2" thick BLUESTONE slabs *
[slightly above grade on West side]
6+" below door sill, and
footed wth blocks & cement 4 depth
8" ex~dor ~waJ I
* these 4 slabs ere not crushed stone and
cement, but solid pieces of rock each
scale: 1/4" = 1 ft
DETAILS' DESCRIPTIONS
1635 Smith Rd
· Guard railing design:
~ ~ 5/4 x 6 eased edges
ha.drai-- O R _ 4×4post
South side ramp ~J ~ [exterior side]
Decking: 5/4 x 6" cedar throughout
overhangs framing members buy some 3/4+"
on all exposed exterior edges
HARDEN all cdtical end-grain cedar pcs
Maybe a 2nd 1 x 4 cedar runner
for appearance 24" off deck
Landing objectdve: a 3' 6" x 3' stone slab,
or cement, or CCA 2 x 6's framed fiat
BUILDING PERMIT EXAMINgR CHECKLIST
Applicant: .~--~~ ~
Architect/Engineer:
scm# ooo-
Property Address:
*Date Submitted: ~"-I~ ~[0 Date Reviewed: ~-"%'-[~
Owner: /~-~ ~
Estimated Cost:
Subdivision: Zone:
Conforming? ~---'"-
~ ~, City: P~ Pre COs?
Building Permits (Open/Expired): BP .---"-- -Z / CI0 Z- -- ~ Info:
BP __-Z / CI0 Z-__, Info: BP __-Z / C/0 Z- .
Single & Separate Search Required? Y o~Determination:
REQ. Lot Size: ACT, Lot Size:
REQ. Front ACT. Front REQ Side ACT. Side
REQ. Height. ACT. Height. ~a~. ~o~ Slb~5
Project Description:
,
Waterfront? Y o
If yes, water body:_
'"-'-- BP__-Z / CI0 Z- , Info:
,Info: BP__-Z / C/0 Z- ,Info:_
REQ. Lot Cov. __ ACT: Lot C~v.
REQ. Rear PROP. Rear
A~T.
Panel// --.Flood Zone: '~ .Bulkhead/Bluff Distance: ~
ADDITIONAL APPROVALS REQUIRED
Suffolk County Health: Y or~- If yes, ?Bed#: __ *Date: / / _*Permit#:
- If no, certification required: Y or N Received: Y or N By:
N-YS DEC: PRE-DECg/I/TS Y o~)~)- Date:
Southold Trustees: Y 0r(~ Date: /
Southold ZBA: Y ore- Date: / /
Southold Planning: Y O&- Date: :~/
Town Landmark C of A: Y oi~DTE:
Town Septic: Y o~
/ Permit #:
/ Permit #:
Permit #:
/ Permit #:
/ /
or NJ Letter - Notes:
or NJ Letter - Notes:
- Notes:
- Notes:
*NYS CODE Compliance (page 2)(~or N
Notes:
Fee Structure: Calculation:
Foundation: SF 1. ( SF)- (
First Floor: SF
Second Floor: SF
Other: SF 2. ( SF)- (
Total: SF
.SF)= SF x $ :$
+ Initial Fee: $
+ Additional Fee ( ): $.
SF)= SF X $ =$
+ Initial Fee: $
+ Additional Fee ( ): $
TOTAL:
FRAMING SKETCH
nominal dimensions shovm
76~1~ 8~TO4 ~ FOR THE
FO~O~G I~PEC~ONS:
1. FO~TI~ - ~ REQUIRED
FOR ~URED C~CRE~
2l ROU~ ' ~, ~U~,
ST~PPI~G, ~L~C~ICAL & CAULKING
FINAL - OO~U~TI~ & ELECTRICAL
M~T ~ ~ F~ CO.
REQUIREMENT8 ~ THE CODES OF NEW
N
12' downward
6" exte~or wall
610fl
scale: 1/4" = 1 ft
'-' = 2 x 6 treated (i.e., CCA)
m = existing door sill (profftlding)
· = 4 x 4 cedar post resang directly on
pre-e~sflng (footed) slab
· = 4 x 4 cedar post; footings con~espond
& am 3 ff deep cemented
[] = 4 x 4 cedar post ungrounded
COL!PLY ?'!"TH ALL CODES OF
NEW' YORK STt~ ,l~: & TOWN CODES
AS REQUIRED AND C~OND!~
r SOU~T
/
SC J~-D~_~ '~ ',~ BOARD
EXISTING CONDITION(S)
1635 Smith Rd
N
I 36" doo~ay
2" thick BLUESTONE slabs *
[slightly above grade on West side]
6+" below door sill, and > ,
footed with blocks & cement 4 depth
6" e~e[~or wall
* these 4 slabs am not crushed stone end
cement, but solid pieces of rock each
scale: 1/4" = 1 ft
DETAILS' DESCRIPTIONS
1635 Smith Rd
· Guard railing design:
~ ~_ 5/4 x 6 eased edges
handrail ~ 4 x 4 post
South side ramp L~I J [exterior side]
· Decking: 5/4 x 6" cedar throughout
overhangs framing members buy some 3/4+"
on all exposed extedor edges
· HARDEN all cdtical end-grain cedar pcs
· Maybe a 2nd 1 x 4 cedar runner
for appearance 24" off deck
· Lending objectrive: a 3' 6" x 3' stone slab,
or cement, or CCA 2 x 6's framed fiat