HomeMy WebLinkAbout37523-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
11/21/2012
CERTIFICATE OF OCCUPANCY
No: 36051 Date: 11/21/2012
THIS CERTIFIES that the building ALTERATION
Location of Property: 500 Center St, Mattituck,
SCTM #: 473889 Sec/Block/Lot: 123.-2-19
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
9/17/2012 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:
bathroom alteration in an existing one family dwelling as applied for.
Lot No.
filed in this officed dated
37523 dated 9/18/2012
The certificate is issued to
Smith, David & Smith, Victoria
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 11/1/12
37523 11/20/12
Long Island An. Labs
~ignatur~' '
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 #: 37523
Permission is hereby granted to:
To:
Date: 9/18/2012
Smith, David & Smith, Victoria
1981 Duncan Dr
Scotch Plains, NJ 07076
Alteration to a Single Family Dwelling;
Bathroom, as applied for.
At premises located at:
500 Center St
SCTM # 473889
Sec/Block/Lot # 123.-2-19
Pursuant to application dated
To expire on 3/20/2014.
Fees:
9/17/2012 and approved bythe Building Inspector.
SINGLE FAMILY DWELLiNG - ADDITION OR ALTERATION
CO - ALTERATION TO DWELLING
Total:
$236.40
$5O.OO
$286.40
Form N~. 6
TOWN OF ~OUTHOLD
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 completed site plan requirements.
B. For existing buildings ~prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unnsual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to 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:
Location of Property:
HonseNo.
Date.
Old or Pre-existing Building: ~
Street
(check one)
Hamlet
Owner or Owners of Property: '°L-~ j~.,O ~,i~
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~0 '
Lot
Filed Map.. Lot:
Applicant: ~ r~.'T~.V,>~ .'~
Underwriters Approval:
Final Certificate: ~ (check one)
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
roger, richert~town.southold, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: David Smith
Address: 500 CenterSt City: Mattituck St: NY Zip: 11952
Building Permit #: 37523 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential ~ ladoor ~ Basement ~ Service Only ~
Comrnerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~ Ceiling Fixtures ~~ HID Fixtures ~WallFixtures~ ~
Service 3 ph Hot Water GFCI Recpt Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixtur Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures[~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures [~ TVSS
Other Equipment: bathroom alteration, 1-exhaust fan
Notes:
Date: Nov 20 2012
81-Cert Electrical Compliance Form.xls
FAX-SJC-102-TDM
1115/2012
9:20:48 AM PAGE
Laboralory Report
5/007
F&x Ssrv~r
NYSDOH ELAP~ 13693
USEPA# NY01273
CTDOH~ PH-02S4
NJDEP# N¥012
PADEP# 6S-2943
Page 1 of 2
Smith, David
Smilh, David
500 Center Street
Mat6tuck NY, 11952
UAL# 2102909
November 01, 2012
Re: 500 Center Street Matfltuck, NY '11952
Dear Smith, David,
Enclosed please find Long Island Analytical Laboratories' analysis report(s) for sample(s) received on
October 29, 2012. The report was issued on November 01, 2012 for the following:
CLIENT ID ANALYSIS
2nd Bathroom Plumbing
Lead
Ii you have any questions or require further informalion, please call at your convenience, Long Island Analytical
Laboratories Inc. is a NELAP accrediled labomlory. All reported results meet the requiramenls of the NELAP
slandards unless noted. Report shall not be reproduced except in full without the written approval oi' the
laboratory. Results related only to items tested. Long Island Analylical Laboratories would like to thank you for
the opportunity to be of service to you.
Best Regards,
Long Island Analytical Laboratories, Inc,
Michael Veraldi - Laboratory Director
110 Colin Drive · Holbrook, New York 11741
Phone (631) 472-3400 · Fax (631) 472-8505 · Email: LIAL@liaiinc.com
FA×-SJC-102-TDM 1115/2012 9:20:48 AM PAGE 61007 Fax Server
Paue 2 of 2
Client: Smith, David
Date (Time) Collecled: 10126/2012 20:00
Date (Time) Received: 10/29/2012 13:22
Matr x: So der
Clienl ID: 500 Cenler Street Matlituck, NY 11952
Sample ID: 2nd Bathroom Plumbin~l
Laboratory ID: 2102909-01
El_AP; #11693
Total Metals Analysis
Parameter
Dale Analyzed Method MRL Result Unite Flag
Lead
1013112012 I EPA6010 C I0'01 I <0.01 I
Preparation Me~hod: EPA 30508
Analytical Melhod: EPA6010 C
Date Prepared: 10/31/2012
Dale Analyzed: 1013112012
Data Quallfiers Key Reference:
MRL Minimum Reporling Limit
LONG
ISLAND
ANALYTICAL
LABORATORIES lNG.
110 Colin Driye · Holbrook. New York 11741
Phone (631) 472-3400 · Fax (631) 472-8505 · Emaih LIAL@lialinc.com
ANALYTIC:AL
~o~ATo~,.~ mc. 110 Colin Drive o Holbrook, New York 11741 · Phone (631) 472-3400 · Fax (631) 472-8505 · EmaJl: LIAL@llalinc.com
='-~::'" CHAIN d~ CUSTODY / REQUEST FOR ANALYSIS DOCUMENT
- ~ YES/NOE~ 2102909
!~.cc"r~" x~.~r ,.o.~:,r~--~--~,~2 ~ ~,~ i~lt~~:~
- . , ~ ~ ~ · o ~ -...~ ..,.~o~,..~.~.~ ~ ~oC
~ LOCATION
,.~0~.o ~n ~ ~ I ~o~,: I z"~ ~,~ ~l~;.,~
.. I I
10'
"- } I I
RELN~U~ DB ' , , ~ / ; ( ~-~C~I-I
~ 3~ ~I~ DArE /0~/~Rlmm NAME , . RECEIVED BY (SI~UR~ ~TE PRIN~O NAME
RELINOUIsH~D BY (sleNATuRE) DATE PRINTEO ~E REc~ BY ~~DIAN DATE/O ¢ ~;'~ 'PRINTED N~E
-'N.~ I~-NT ( YSDOH ELAP# 11693 UEEPA# NY01273 CTOOHi~ PH-02E4
TOWN OF SOUTHOLD BUILDING
76,.1.o
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND
FRAMING / STRAPPING
FIREPLACE & CHIMNEY
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [C:~ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTowmNorthFork. net
PERMIT NO.
Examined
Approved
Exp~a6on
f-lg ,20
5-a'° ,20
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
Cheek
Septic Form
N.Y.S,D,E.C.
Tmstess
Flood Permit
Storm-Water Assessment Form
Building Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date - 20~
~ This application MUST be completely filled in by typewriter or in ink and submitted to thc 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 bulldlngs on premises, relationship to adjoining p~emises or public streets or
areas, and waterways.
c. The work ~overed by ~ applicetlon may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inslx~tor 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 buildlng shall be oc, cupied or used in whole or in pa~t for any purpose what su ever onfil the Building ~r
issues a Certificat~ of Ocxupan~y.
f. Every building ponnit shall expi~ if the work authoriz~l has not cemmen~d within 12 months a~r the date of
issuance or has not b~m completed within 18 months from such dato. If no zoning amondmonts or other regulations affecting the
property have beon onac~M in the interim, the Building Inspo~tor may anthoriz~, in writing, the extension of the pecmit for an
addition six months. Thereafter, a new permit shall be rexluired.
APPLICATION 1S HEREBY MADE to the Building D~partment for the issuance of a Building Pea-mit pursuant to the
Buildin~ Zone Ordinance of the Town of Sonthold, Suffolk County, Now York, and other applicable Laws, Ordinances or
Regulations, for the censtru~don of bulldin~; additions, or alterations or for removal or demolition as he,in desoribed. The
applieAmt agl~a to cemply with all applicable laws, ordimmces, building node, housing code, and regulations, and to admit
anth c'ri?"a ;" .~P°~ ~[~r.,x_~'~eses and in building for necessary inapeOAons.
~'*"_ ' ~~--! (Mailing a~ldr ess of "pplicant)
'~. er applicant is, ~wner, lessee, ~gent, architect, engineer, general contractor, elcotrieion, plumber or buildor
Nameofownerofpremises '!2'~o,/¥r-~ .~ ~-,~v-xT'.wk
(As on the tax roll or latest deed)
(Name and ~itlc of corpor~qcer)
Builders Liconse No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
~oo C. ~ t~-'rl~ ~,,
House Number Street
Hamlet
County Tax Map No. 1000 Section I ~ Block 0 ~ Lot I ~
Subdivision Filed Map No. Lot
2. State existing use and oocupancy of promises and intended nse and oocupancy of pro~ oon~on:
o. Existing use and occupancy ~"N,~.t~.g..g.,t~/~
b. Intended use and occupancy '"~',~s g5 ~.,L.. t I~d ~
3. Nature of work (check which applicable): New Building_
Repair Removal Demolition
4. Estimated Cost ~.., 00/3. ot~ Fee
5. If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, eommemial or mixed occupancy, specify onture and ex, tent of each type of use.
7. D~mens~ons ofex~st~ng stmcturos, if any: Front~.~Rear ~- ~ t_ }, ~ ss Depth ~,_.?. ~,.~, ~ t
Height i.'g t Number of St~
Dimensions of same structure with alterations or additions: Front
Depth ~,J J C.~ Height
8. Dimensions of entire new construction: Front
Height Id/K, Number of Stodes
9. Size oflot: Front ~'n,~ .~ Reer._~_L~- ~
10. Date of Purchase~Name of Former Owner
11. Zone or use district in which promises am 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__ NO __
14. Names of Owner of premises Address Phone No.
Name of Architect
Name of Contra~or 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 ~
* 1F YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with a~curate 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.
A~ there any covenants and restriction
*'LF YES, PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY OF..~Ct4'/~/~s:
~)~I~, flt-A~ P.I~ being duly sworn, deposes and says that (s)be is tbe applicant
(Name of individual signing eontrafft) above n~aed,
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have perfomaed the said work and to make and file this application;
that all statemenls eontainsd in this application are true to the best of his knowledge and belief; and that the work will be
performed in the rammer set forth in the application filed ti~rewith.
2o 12-
Not~ ~
CONSENT TO INSPECTION
Owner(s) Name(s)
., the undersigned, do(es) hereby state:
That the undersigns.ed (is) (are) the o .wrier(s) oftl3e~premisos, in the Town of
Southold, located at ~ 0 0 C¢ k ~-e ~ ,~¢ e'~f~
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section [~.-q> , Block 0~ Z- , Lot [ c~
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office4for the Ifollowing:
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated:
(Print Name)
(Signature)
(Print Name)
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax (631 ) 765-9502
October 9, 2012
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
David Smith
1981 Duncan Dr
Scotch Plains, NJ 07076
Re: 500 Center St., Matfituck
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (contact your electrician)
A fee of $50.00.
I~incHI-h:=cd h r'h:=nc~r+n'l=nfAnnrr,,,,t~t~ i,l~,m~t~,~,fi~,~e~,(~ll ~llrmits 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.
BUILDING PERMIT: 37523 - Bathroom Alteration
FAX-SJC-102-TDM 11/5/2012 9:20:48 AM PAGE 2/007 Fax Server
FAX COVER SHEET
Date:
November 5, 2012
From:
David J. Smith
500 Center Street
Mattituck, NY 11952
908-723-6062 (mobile)
To:
Building Department
54375 Main Road
P.O. Box 1171
Southold, NY 11971
Phone: 631-765-1802
Fax: 631-765-9502
Pages:
Six (6)including cover
FAX-SJC-102-TDM 11/5/2012 9:20:48 AM PAGE 3/007 Fax Server
November 5, 2012
David J. Smith
500 Center Street
Mattituck, NY 11952
908-723-6062 (mobile)
Building Department
54375 Main Road
P,O. Box 1171
Southold, NY 11971
Phone: 631-765-1802
Fax: 631-765-9502
Re: Permit #37523 Plumber/Solder Certificate
Dear Sir or Madam:
Please find attached Long Island Analytical Laboratories' analysis report for lead content associated with
the solder used in the water supply system of the new bathroom alteration. The test results show that
the solder contains less than 0.01% lead (the minimum reporting limit) which, therefore, complies with
applicable building codes.
I can provide the original laboratory report if needed. Please let me know. Otherwise, I kindly request
that a certificate of occupancy be forwarded to me at the address above.
Thank you for your assistance with this matter. If there are any questions, please don't hesitate to
contact me.
Best Regards,
David J. Smith
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
November 7, 2012
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
David Smith
1981 Duncan Dr
Scotch Plains, NJ 07076
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
~.Application for Certificate of Occupancy. (Enclosed)
t~ Electrical Underwriters Certificate. (contact your electrician)
)
A fee of $50.00.
__ Final Health Department Approval.
__ Plumbers Solder Certificate. (All permits involving plumbing after 4/1184)
__ Trustees Certificate of Compliance. (Town Trustees # 765-'1892)
__ Final Planning Board Approval. (Planning # 765-1938)
__ Final Fire Inspection from Fire Marshall.
__ Final Landmark Preservation approval.
BUILDING PERMIT: 37523- Bathroom Alteration
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765~ 1802
· . .,,~ (631) 765-'~50.~
ro.qer, ncnert(,w,[own.southoFd.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTIaIOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Date:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: ~) ~u',v~
)
*Cross Street: ~"~c~-~t-~c~) t-~ ~
*Phone No.: ~ (og
Permit No.: ~ ~
Tax Map District: 1000 Section: ' /~ Block:
Lot:
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information (If needed]
*Service Size: 1 Phase
*New Service: Re-connect
Additional Information:
3Phase 100
Underground
YES / NO Rough In
YES / NO
Final
150 200 300 350 400 Other
Number of Meters Change of Service Overhead
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
/'ooo-/~,~-,Z-:;~/ T~IIIlN OF SOUTHOLD PROPERTY REC:ORD CARD
OWN~ ~1 ~u~.
F~R~R OWNER ~ - ' E ACR. J
5 W
~L,,i~ L. ~K[~ ~ '~U~M- Je~~LL ~ E.
LOT
TYPE OF BUILDING
RE$.~t D SEAS. !VL FARM COMM. CB. MISC. Mkt. Value ,
LAND IMP, TOTAL DATE REMARKS
NEW
FARM
Tillable 1
Tillable 2
Tillable 3
NORMAL
Acre
BELOW
Value Per
Acre
ABOVE
Value
/
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
~House Plot DEPTH
BULKHEAD
Total
DOCK
123.-2-19 10/10
xtens~°g~t ? X /-3
Extension
Extension
Porch ,.~ ~ ~'~ 7:
Porch
Breeze~vay
Garage
Patio
Total
Basement
Ext. Wails
Fire Place
Type Roof
Recreation Room
Driveway
F,,I/
Bath
Floors
Interior Finish
'lear
Rooms ]st Floor
Rooms 2nd Floor
inette
LR,
DR.
BR.
FIN. B.
Z/~: S'-~
- '700
SCTM# 1000 -- /~9'-~-- o~- -- I c/ Subdivision:
Property Address: ~br-~ ~ ~ .)~C,
~Date Submitted: P~- ~L--/°2-Date Reviewed:
Estimated Cost:--w'O~ o O,
Zone: Conforming?
City: re COs?
oO
Building Permits (Open/Expired): BP __ -Z / C/0 Z- ~'- , Info:
BP -Z / C/0 Z- , Info: BP __-Z / C/0
Single & Separate Search Required? Y o& Determination:
REQ. Lot Size:
ACT. Lot Size:
~ BP -Z / C/0 25 , Info:
Info: BP. -Z / C/0 Z-__, Info:
~ $ To g t~,~/4,TC-R. RttNa,6.~
REQ. Lot Coy. o~o~ ACT: Lot Coy. __
REQ. Front__ ACT. Front
REQ. Height '~-~ ~
REQ Side ACT. Side REQ. Rear__ PROP. Rear
ACT. H~ight R~. $o'r8 ${beS_.._._.A CT
lfy~,water body: ~ PanelO ~ Flood Zone: ~ BUl~ead/BluffDistance:
Suffolk County Health: Y ~- If yes, ~Bed,: . *Date: [ / *Permit: Town Septic:
~ - If no, eertificatmn required: Y or N Received: Y or N By:
NYS DEC: PRF~DEC9/I/T5 Y O~_~ Date: / / Permit #:
Southold Trustees: Y o(~Date: / / Pernfit #:
Southold ZBA: Y o(~- Date: / / Permit #:
Southoid Planning: Y o~ Date: :'/ /~ Permit ~:
Town Landmark C of A: Y o~DTE: / /
Notes:
or NJ Letter - Notes:
or NJ Letter - Notes:
- Notes:
- Notes:
*NY8 CODE ~?mpliance (page 2): Y or N
,~M[ol~kr~I~N~ Co/4PE!,V,-.C/I-T'IOA/ ,
Fee Structure:
Foundation: SF
First Floor: ~//
SF
Second Floor: SF
Other: SF
Total: 'd// SF
Calculation:
C oFo
+ Initial Fee:
+ Addition~tl Fee ( ):
SF X $,
+ Initial Fee:
+ Additional Fee ( ):
_5'-0, 0 0
O, oo,o0
NEW YORK STATE CODE COMPLIANCE CHECI(J.,IST
C~IMATIC/GEOG1LAPHIC DESIGN CRITERIA:
· Grounfl Snow Load:
Weathering: Severe .-Frost Depth: 36"__
Design Temp: 11 · Ice Shield Underlay: YES __
USE/OCCUPANCY CLASSIFICATION:
HEIGt:IT/FIRE AREA: ,
TYPE OF CONSTRUCTION:
DESIGN CRITEILIA: ENGINEERED/pREscILI~TIVE
FULL FRAMING DESIGN ELEMENTS: Y/N
HEADERS: ¥/N WALL STLrDs:
CEILING JOISTS: YfN FLOOR JOISTS: Y/IN
LUI~BER SPECIES AND GRADE: ¥/N
Wind Speed: 120MPH__ Seismic Design Category." B
Termite: M-H Decay: S-M_
F[o0d Hazai*ds:
GLRDERS: Y/N
ROOF RAFTERS: ¥/N
WD,IDOW AND DOOR SCHEDULE:
· MISSLE TEST REQUIREh{ENTS: Y/N
EGRESS 5.7 S.F.: Y/N
LIGHT 8%:
'~rENT 4 %: Y/lq
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N
PLUMBING RISER DIAG1LAivI~N
LOCATION OF FITAE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
CERTIFICATION: Y/N
ENERGY CALCS: Y/N
TOTAL COMPLIENCE? YIN (~TU~ TO rAGE ONE)
09/30/2009 09;03 F.~L~ 6314772164
CENTER
STREEt'
~ENPORT?~SD
s- es-4pso' ~.
AREA -~23,300. sq. ft.
· suRVEY FOR
GORDON HAAS
A T MA TTITUCK
TOtlVN OF $OU TttOLD
· SUFFOLK COUNTY, N Y.
I000 - ~$ - 02 - ~
Scel~ I" = 40'
Oct. 4, 1996
~]002
CL.
ELECTRICAL
INSPECTION REQh"~RED
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED~
APPROVED AS NOTED
NOTIFY BUILDING DEPARTMENT AT
765-1802 8AM TO 4PM FOR THE
FOLLOWING iNSPECTIONS:
t FOUNDATION - TWO NEQUIREB
FOR POURED CONCFiETE
2.. ROUGH - FRAMING A PLUMBING
3, ~NSULATION
4, FINAL - CONSTRUCTION MUST
BE COMPLETE FOB C O,
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORN STATE, NOT RESPONS~LE FOR
DESIGN OR CONSTRUCTION ERRORS,
EXCEED 2/10 OF 1% LEAD. .~.C .q'~ I"-'1.: i I-lO
PLUMBING
C~ING-BEFO~E cO~ERING
SOUNDVIEW ENGINEERING
?L LIh-"IIBING
LIN EM,C~",,/AT~' F)
Z-dx '~-~-
I~1 /NN
'1/42= I' - []
SOUNDVIEW ENS[NEERtNG P.C.
%.C_TI'-4.
AL-TERAqq BN: I'qEW B.,~"I'I, I