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HomeMy WebLinkAbout37377-Z8/14/2012 Town of Sonthold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 35873 Date: 8/14/2012 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 470 Robinson Ln, Peconic, SCTM #: 473889 Sec/Block/Lot: 98.-4-36 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/19/2012 pursuant to which Building Permit No. 37377 dated 7/19/2012 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: "As Built" Additions and Alterations to a Single Family Dwelling: Deck, Hot Tub, Family Room, Fireplace, Wet Bar, Laundry Room, Bath, as applied for. The certificate is issued to Stenson, Thomas & Aiden (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 8/1/12 37377 8/9/12 Auo .~edva Plumbing & Heating Town of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 8/14/2012 CERTIFICATE OF OCCUPANCY No: 35874 Date: 8/14/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: SHED 470 Robinson Ln, Peconic, Sec/Block/Lot: 98.-4-36 Filed Map No. conforms substantially to the Application for Building Pernfit heretofore 7/19/2012 pursuant to which Building Permit No. 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: 'As Built', Construction of an Accessory Building: Shed (Garage), 10 ft. X 16 ft., as applied for. Lot No. filed in this officed dated 37378 dated 7/19/2012 The certificate is issued to Stenson, Thomas & Aiden (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au Sig u3¢ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37377 Permission is hereby granted to: Stenson, Thomas & Stenson, Aiden 84 Kilbum Rd Garden City, NY 11530 Date: 7/19/2012 To: 'As Built', Additions & Alterations to a Single Family Dwelling; Deck, Hot Tub, Family Room, Fireplace, Wet Bar, Laundry Room, Bath, as applied for. At premises located at: 470 Robinson Ln, Peconic SCTM # 473889 Sec/Block/Lot # 98.-4-36 Pursuant to application dated To expireon 1/18/2014. Fees: 6/19/2012 and approved by the Building inspector. CO - ADDITION TO DWELLING SINGLE FAMILY DWELLING - ADDITION OR ALTERATION Total: $50.00 $2,022.40 $2,072.40 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37378 Date: 7/19/2012 Permission is hereby granted to: Stenson, Thomas & Stenson, Alden 84 Kilburn Rd Garden City, NY 11530 To: 'As Built', Construction of an Accessory Building; Shed (Garage), 10 ft. X 16 ft., as applied for. At premises located at: 470 Robinson Ln SCTM # 473889 Sec/Block/Lot # 98.-4-36 Pursuant to application dated To expire on 111812014. Fees: 7/19/2012 and approved by the Building Inspector. CO - ACCESSORY BUILDiNG ALTERATION OF ACCESSORY BUILDINGS Total: $50.00 $328.00 $378.00 Building Inspector TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OccUP,42qCy 'l'hie application must bo filled in by typewriter or ink and submitted to the Building Department w!th the follOwing: A, For new building or new use: 1. Final ~xvoy of property with accurate location o f all buildings, property lines, slxeets, and unusual natura} or · topographic featur6s. 2. Final Approval from Health Dgpt. of water supply and sewerage-disposal (S-9 form). 3, Approval of electrical installation from Board 0f Fire Underwriters. · 4. 'Sw. om statement from plumber certifying that the solder used in system contains less than 2/10 of t% lead. 5. Commie, iai building, industrial building, mtfltiple residences and similar buildings and installations, a certificate of Code Compliance'from architect or engineer responsible for the bnilding~ .6. Submit Planning Board Approval of completed site plan requirements. B, For existing buildings (prior to April 9, 1957} ~on-conforming useS, or buildings and "pre-existing" land uses." 1. Accurate survey of property showing all property lines,'stmets, building a~d unusufil nalurai or topographic features. 2. A properly ~mpleted application and consent to inspect signedby the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. - C. Fee~ 1. Certificai:e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimmiag po01 $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00~ Ce[titleate of Occupancy on Pre-existing Building - $100.00 3. CopyofCertificateofOccupancy $.25 4. UpdatedCertificateofOccupancy- $50.00 5_ Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construct/on: Old or Pre--existing Building: Location of Property: ,~6' ,~a'£~.f~6/.~f~[ (cheek one) House No. Street ~uffolk .County Tax Map No1000, Section ',~' ~ulxiivisi~n Perm.itNo..-~ ~ ~'77 H~mlth l~pt. Approval: Planning Board Approval: RexlUeSt for: Temporary Certificate __ Foe Submi,ted: $ .~0. ~ Date of Permit. ~'/q- / ~_~ Hamlet Filed Map. Lot: Applic~me Undervaiter~ Approval: Final Certificate: _ (check one) /Applicant Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OccUP/U~ICy This application must be filled in by typewriter or ink and submitted to the Building Department with the follo~Ving: 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 D~pt. of water: supply and sewerage-disposal (S-9 form). 3.. Approval of electrical installation from Board 0fFire Underwriters. · 4. 'Sw. orn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commoroial 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) aon-eanfoyming useS, or buildings and "pre-existing" land uses'~ 1. Accurate survey of property showing all property lines, streets, building and unnsufil nalum] or topographic features. 2. A properly ~mpleted application and consent to inspect signedby the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ~ C. Fees 1. C.~rtiticate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50 00, Additions to accessory building $50.00, Businesses $50.00~. ~. Certificate of 0ccupancy on Pre~existing BuiMing - $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: House No. Street Own6r or Owners of rroperty: Suffolk C. o~nty Tax Map No 1000, Section '.~(~' Block Date. (check one) Hamlet ~ubdivisibn Filed Map. Dateofrermit. '~ ~ /q-/~ Applicant.:. Health D~L Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ..~C~_, Underwriters Approval: . , Fin-a~l Certificatel ~/~ (check one) ~A~pli~ant Signatm~ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ro.qer, richert~town.southold, ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Thomas Stenson Address: 470 Robinson Lane City: Peconic St: NY Zip: 11958 Building Permit #: 37377 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: MR Electric License No: 4404-e SITE DETAILS Office Use Only Residential ~ Indoor [~ Basement ~] Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplocRocpt U CeilingFixtures ~ HIDFixtureSr-----l~ Service 3 ph Hot Water GFCI Recpt Wail Fixtures Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixture LJ Pumps Transformer Appliances Dryer Recpt Emergency Fixtures~ I Time Clocks Disconnect Switches Twist Lock Exit Fixtures ~ TVSS Other Equipment: 1st floor family room, finnished basement, & hot tub, 1-exhaust fan GFCl protected disconnect for self contained hot tub Notes: Inspector Signature: Date: Aug 9 2012 81-Cert Electrical Compliance Form.xls ~ OY ,C]~RTII~ICA'F 10 ~ . 8worn M be~r~ me this TO'Q XYi &2¢~¥~ d~ ~O:OE TOWN OF SOUTHOLDL~JL--t~NG DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] I~.~LATION [ ]FRAMING/STRAPPING [r,/J FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~----~,~--~ s~,~ Cf'~--~-'-r~,_A, -//~ ~' / - / - / / 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING/STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [~ELECTRICAL (FINAL) REMARKS: DATE PROFESSIONAL ENGINEER 1725 HOBART ROAD / PO Box 616 SOUTHOLD, NEWYORK 11971 TEL:631.765.2954. FAX:631.614.3516 · e-mail:joseph~fischetti.com Southold Building Department Main Road Southold, NY 11971 Date: /2~Jah]~ ~ . Refe~''~ ;~nlc Mr. Gary Fish, Building Inspector, With regard to the above referenced building permit for the: Rear wood flamed deck I have inspected the framing and footings. To the best of my knowledge the deck has been constructed in accordance with the New York State Building Codes. Garage Finish and the basement finish I have inspected the flaming, insulation, and plumbing. To the best of my knowledge the construction is in accordance with New York State Building codes and the New York State Energy codes. Gara,qe Walls R-13 Ceiling R-26 Floor - R-11 Basement Walls R-11 PROFESSIONAL ENGINEER 1725 HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK 11971 TEL:631.765.2954. FAX:631.614.3516 · e-mail:joseph~fischetti.com Southold Building Department Main Road Southold, NY 11971 Date: Reference: 2~ J~y~2~O~2- 4/70 Robinson Lane, ~econic Q37377 Mr. Gary Fish, Building Inspector, With regard to the above referenced building permit for the detached wood framed shed, I have inspected the framing and the foundations. To the best of my knowledge the structure complies with New York State Building codes. L lO, ,'.' OF :~O,;!h'O[O J BOARD CERTIFIED STRUCTURAL ENGINEER TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL:. (631) 765-1802 ~ -' ~ ~ FAX. (631) 765-9502 ~ ~ 7 ~ '7'7 ~ SoutholdTown.NorthFork.net / PERMIT NO. -'~ ' '~ // ) Examined Approved 7-1 Disapproved Wc /'f'~'~LDING PERMIT APPLICATION CHEC~LIST~, you have or need the following, before applying? Board of Health 4 sets of Buildin~ Plans Expiration / --lT .20 [~'~ I I&IN 9 2012 / Bt. DG DEPT. L TOWN OF SOUIHO[D Building Inspector Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Phone: (~'./~) oP~ ~ -~__~,7 .~ APPLICATION FOR BUILDING PERMIT Date 'Z7~',~,$- /fi' ,20/=,7,. INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 se__tts of pla_ns, 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 issumlce 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 tile premises available fbr inspectiou thronghout 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 buildiug permit shall expire if the work authorized has not commenced withiu 12 months after the date of issuauce or has no! been completed within 18 months from such date. If ilo zoning amendments or other regulations affecting tile property have been enacted in lhe interim, the Building Inspector may authorize, in writing, tile extension of the permit for an additiou six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Depamnent 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 constrnction 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, aud to admit authorized inspectors on premises and in building for uecessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) b/ Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work wilt be done: House Number Street County Tgx Map No. 1000 Section Hamlet Block Lot - <_D24. ~ , _StOdivision Filed Map No. Lot 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. F;stimatedCost ~ !/_91 tO{5)t9" State existing use and occupancy of premises and intend~ use and occupancy of proposed construction: a. Existing useandoccupancy c.~'~d~t:~ /~,~q~z,?v//Td, V,,2 ~-'~,~2/' b. Intendeduseandoccupancy ~_,f'~J,'~'/F---~7~?//_,l/¢_ ~_~; ~.~-~./'~ I' Additioa M~ Alteration Other Work 5. If dwelling, number of dwelling units If garage, number of cars Fee (Description) (To be paid on filing this application) ,Number o~f:~l~elling units on each floor 6. ] f business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. S~ze of lot. Front Rear .Depth 10. Date of Purchase ~7~z,2'-:~6 d~S Name ofFormer Owner ,/'/o~r/~ r/~a't'o°,q 1 1. 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 t~ill excess fill be removed from premises? YES NO 14. NamesofOwnerofpremises dr~0tg,t- s.gnt~~od Address ~°~A~rzz¢'"{'~/~ PhoneNo Name of ArcNtect Address~'l~'~3hone No Name of Contractor /aat~'/ ~,ez~ Address/?~-~t£,cF ,qv'g. Phone No.~$ 15 a. Is this property within 100 feet ora 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 ora 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 property lines. 1 7. ]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 ith respect to this property. YES NO J * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COl ]NTY OF · '~/~or~/r/5 tS~ C~r£~-~lv/ 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 ~r owners, and is duly authorized to perform or have per£o~'ilte_d the said work and to make and file this application; that all statements contained in this application are tru~&q~~~ belief; and that the work will be perfbm~eQ in the manner set leah i 1 the applicatio Sworn to before me this day of ~ 20 Si=nature oCpplicant O Town of Southold - Chapter 236 - Stormwater Management SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) · i.-,:, / ............................................ z ............................................ ............................................. Wilt this Project Oistur~ five (5) or More Acres at ~ a. Does the Applicant have a Quali~ lnsp~tor On ~ S afl To Conduct ~e ~uired Imp~ons ? Yes No Inspections will ~ur and ~ What Peg~ of ~me ? Yes No c. O~s ~e 8WPPP Adequa/e~ ldm~ AIl Tem~ ~ d. Does ~e 8WPPP Ad~uately Iden~ a Cmplele ~ Project Phasin~ Plan ? Yes No e. Does the SWPPP Indtmte Addigmal Site 8~dic ~ ~ s~.,~. ~ ~tol ~m a..d Wa~,~V: ~. TMO~ ~e~ld} Used, ~m~i~.-.I Of Intent and 5WPPP A~epta~ Fo~ br Re~ ~ by~e T-- of S~ld ? Yes No ~/~ ~'Aq~ OF NEW YORK, ~ ~_. I I. coumT OF ....~.~.lK~ !..~ ............. SS , a ~*~-~} ......... ~ng d~Y sworn, de~s ~d ~ys ~at h~she is ~e applic~t for ping ~d ~at hffshe is ~e "' ~ ........................................... ~;/~;~'~i;~;;Ei ................................................................ ~er ~or representative of ~e ~er or O~ers, ~d is duly au~omed m~e ~d ftc ~s application; ~at ~1 smtemen~ con.ned in ~s appli~fion ~e me m ~e b~t of~s ~o~edge ~d ~li~; ~d · at ~e work mil ~ ~ffo~ed in ~e m~ncr set fo~ h ~e appfimfion filed here~. Sworn to ~fore me ~s; ................... f.~ ........... ~day of~ ~_. , 20/~ P Assessment FORM: 03-12 Commission Explre~ ..,~,~...~,:~ o'gd I ~ DI~ ~ 01~ ~gOtT~OTJ) TOWN OF SOUTHOLD PROPERTY RECORD CARD VNER ~P.M E R OWNER/vi. VL. STREET ~ARM VILLAGE W DISTRICT SUB. ACREA(~E / TYPE OF BUILDING COMM. I IND. I CB. MISC. LOT Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS AGE NEW Farm able 1 able 2 able 3 odland ~mpland ~shland ase Plot NOP~MAL BELOW ABOVE FRONTAGE ON WATER Acre Value Per Acre Value FRONTAGE ON ROAD BULKHEAD BUILDING CONDITION DOCK 98.-4-36 3/10 Foundation M. Bldg. ~ Both ~/ i Basement ?~ Floors Extension /Cl,~__z .,, ~ g.~/_.z.~_~__~>?..~ .¢` ~ ~.- y/_q_/~: Ext Walls Interior Finish Extension · Extension Fire Place ............ __- ....... __.- ...... ~ ]--,__- ...... ' Type .... /~z' ~__~ ,>' /~ .~./,~_~,~ -- Porch _Roof : ~ - Porch ~ooms 1st Floor ~, , ~ ~ Patio Rooms 2nd Floor ~4 K!lbu~.Road TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: ~ \ ,,~..~- ' __ Application for Certificate of Occupancy. (Enclosed) A fee of $50.00 Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __Trustees Certificate of Compliance. (Town Trustees # 765-1892) __Final Planning Board Approval. (Planning # 765-'1938) __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. __ Final inspection by Building Dept. BUILDING PERMIT: 37377 & 37378 BUILDING PERMIT EXAMINER CHECKLIST Applicant: ~-~ ~ SCTM# 1000 -- ~ ~' -- ~L ~ Subdivision: ~ Prgperty Address: ~7C ~~ ~ CiW: ~Date Submitted: ~ -[?-[~7~ Date Reviewed: Estimated Cost:-~g/O ~- Zone: g,'~-/-O Conforming?__ ~ Pre COs? Building Permits (Open/Expired): BP BP -Z / CiO Z-__., Info: -Z / C/0 Z-.__, Info: BP__-Z / C/0 Z-__ Single & Separate Search Required? Y or N Determination REQ. Lot Size: t~02 0 0 o ACT. Lot Size: ' , Info: BP __ -Z / C/O Z.- Info: __ BP -Z / C/O Z- Info: _ REQ. Lot Coy. ,lo% ACT: Lot Coy. __ REQ. Front rico ACT. Front REQ Side /.5' ACT. Side REQ. Rear _5-0 PROP. Rear __ ~t--q" ~0..~ L.T~ _ACT. Height RI~, $o?H $1D,[.5 -~-g-./tC.T. Waterf/'~nt? Y or N? pj If yes, water body: ~ . _ Panel// ADDITIONAL APPROVALS R~QUIRED '~t-n ~l $ ( ~r) Sl~n~D, ~sl..~ vt'kSu~V~Y ~ rx Suffolk County Health: Y or N - If yes, *Bed//: __ *Date: / / *Permit#: Town Septic: YI~ - If no, certification required: Y or N Received: Y or N By: NYS DEC: el~-v~¢ 9a/TS Y or(~- Date: / / Permit #: ' · or NJ Letter - Notes: Southold Trustees: Y or0- Date: / Permit #: or NJ Letter - Notes: Southold ZBA: Y o~.~)- Date: __/ Permit #: - Notes: Southold Plauning: Y o~[ Date: / / Permit #: - Notes: Town Landmark C of A: Y o~?DTE: / / *NYS CODE ~_ompliance (page 2): Y or N , -- · Fee Structure: Calculation: ) go3 ', l°/xl6' Foundation: SF First Floor: /.~a9~.~' SF Second Floor: SF Other: SF Total: ~o~ SF . . + hlitial Fee: $, Add~honal Fee (~): + Initial Fee: Additional Fee (~): NEW YORK STATE CODE COMPLIANCE CHECKLIST C¢IMATIC/GEOGKAPHIC D~SIGN CRITERIA: Grounll Snow Load: ~0 Weathering: Severe __ .Frost Depth: 36" __ Design Temp: 11 Ice Shield Underlay: YES . USE/OCCUPANCY CLASSIFICATION: HEIGIZlT/FII~E AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: Y/N WALL sTUDs: Y/N CEILING JOISTS: YfN FLOOR JOISTS: ¥/N LIJIM[BER SPECIES AND GRADE: Y/N Wind Speedl 120MPH__ SelsmieDeslgn Category~ Termite: M-H' Decay: · Flood Hazards: GII/DERS: ROOF 12AITFERS: YfN WEqDOW AND DOOR SCHEDULE: · MISSLE TEST REQUIREMENTS: EGRESS 5.'7 S.F.: Y/N LIGHT 8%: Y/N XrENT 4%: NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: YfN PLUMBiNG RiSER DIAGRA1,A: YfN LOCATION OF FIIEE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERT~ICATION: Y/N ENERGY CALCS: Y/N (R~SCH~CK) TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) LOT II ~OrE: LOT NUIqBE._~.~ S~-~..__w~ P.£FER TO ~AP OF '~--'Q3NIC ~A'~'OA~45' FILED ~1~ 5Frp3L~ REAR ELEVATION RIGHT ELEVATION 7-©" FOUNDATZON P~N NTS II .... ~.~,;,~ ..... FRONT ELEVATION RIGHT ELEVATION I D ~ , ' t 2X* ~UD WALL ~' q ~' ~z'ab CONC ~ , I ~ q~[~ S~LE: 1/4" = 1'-0" ~o'-o" ~ N~ FLOOR P~N I ~~~ ~ FOUNDATION P~N ~ ='---~ ~ DETACHED ~ ~ 2XE FI @16"Oc DRAWN BY: JF/MH ' ~ ~ June 14, 2012 ~ ~ SCALE: NTS ¢~q Ct} FINISHED GARAGE ~~ SHEET.._.. NO , SCALE: 1/4" = 1'-0" c~NVe.W.~c/o,¢/ ( ,~ GARAGE 13'-9Y/' 5'-1 Y2" UNFINISHED BASEMENT 4'-OY/' 18'-3~//' BASEMENT PLAN SCALE: 1/4" = 1'-0" nnnn nnnn nnnn FRONT ELEVATION SCALE: 1/4" = 1'-0" # # # # # It H (21 2XB ACQ GIP, DER CROSS SECTION SCALE: 1/4" = ILO'' 10'-O" FLOOR PLAN S,CALE: 1/4" = 1'-0" DETACHED GARAGE RIGHT ELEVATION SCALE: 1/4" = 1LO'' 21'-4" FOUNDATION PLAN SCALE: 1/4"= 1'-0" COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS ,~OLD TOWN ZBA/,..~.'''~''''~ '~/"/. - SO~'I~/~L~NNING BOARD /'//////.~ ~TOWNT~ FINISHED GARAGE SCALE: 1/4" = 1'-0" DRAWN BY: JF/MH 3uly 17, 2012 APPROVED AS NOTED NOTIFY BUrLDING D~AT ~-~0~ ~ ~ ~o~ ~ ~G$ m o~m NO:I FOLLO~NG INSPECTFON~ L FOUNDATIQN _ TWO RE~ FOR POURED CONCRET, 2 ROUGH-FRA~NG P.UMBNS STRAPPING ELECTRICAL & ~A_,~miNO 3 iNSHL &TION 4 FtNAL- CONSTRUCTION & E~ECTRiCAL ~UST 8E COMPLETE F~ ALL CONdiTION SHALL MEET ~E REQUIREMENTS OF THE CODES OF NEW YOPKSTA]E NOTnESPON~r_I _ GARAGE 6'-10" I ¥ UNFINISHED BASEMENT 4'-0%" 13'-9Y~" MEDIA ROOM 18'-3Y~" PLAY ROOM 14'-8" BASEMENT PLAN SCALE: 1/4" = 11-0" H H N H H H FRONT EL,:E,:V~TON RIGHT ELEVATION CROSS SECTION SCALE: 1/4" = 1'-0" (21 2X6IH~,DeR 10'-0" FLOOR PLAN SCALE: 1/4" = 1'-0" -- . {2) 2XS. ACQ 61RDER 10'-0" FOUNDATION PLAN SCALE: 1/4" = 1'-0" DETACHED GARAGE ':3~3¥'-7'7 + FINISHED GARAGE SCALE: 1/4" = 1'-0" DRAWN BY: flF/MH .luly 24, 2012 SCALE: NTS SHEET NO:I