The URL can be used to link to this page

Home My WebLink About37973-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 5/15/2013 CERTIFICATE OF OCCUPANCY No: 36240 Date: 5/15/2013 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ALTERATION 190 WICKHAM AVENUE MATTITUCK, Sec/Block/Lot: 140.-3-13 Filed Map No. conforms substantially to the Application for Building Permit heretofore 1/1/1900 pursuant to which Building Permit No. 37973 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tins certificate is issued is: interior alterations and garage alteration to an existing one family dwelling as applied for. Lot No. ~ed in this officed dated dated 4/25/2013 The certificate is issued to HOLLY GILBRIDE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 5/4/11 4025475 & 37973 9/16/09 & 5/14/13 /~lattituck Plumbing & Heating - 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 #: 37973 Permission is hereby granted to: HOLLY GILBRIDE P.O. BOX 1566 MATTITUCK, NY 11952-0902 Date: 4/25/2013 To: interior alterations to existing one family dwelling as applied for. Amended 4/26/11 for garage alteration. This permit replaces expired BP# 36316) At premises located at: 190 WlCKHAM AVENUE MATTITUCK SCTM # 473889 Sec/Block/Lot # 140.-3-13 Pursuant to application dated To expire on 4/26/2014. Fees: 1/1/1900 and approved by the Building Inspector. PERMIT RENEWAL CO - ALTERATION TO DWELLING Total: $150.00 $50.00 $200.00 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. 34401 Z Date JANUARY 23, 2009 Permission is hereby granted to: for : HOLLYE C GILBRIDE PO BOX 1566 MATTITUCK,NY 11952 INTERIOR ALTERATIONS TO EXISTING SFD AS APPLIED FOR. at premises located at 190 County Tax Map No. 473889 Section 140 pursuant to application dated JANUARY Building Inspector to expire on JULY WICKHAM AVE MATTITUCK Block 0003 Lot No. 013 22, 2009 and approved by the 23, 2010. Fee $ 200.00 Authorized Signature COPY Rev. 5/8/02 Form No. 6 TO~N 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 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, 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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No. Owner or Owners of Property: &(l Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Old or Pre-existing Building: (check one) Street Hamlet Block ~ Lot 13 Filed Map. Lot: Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) \~/ Applicant ~ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roc~er.richert(~town.southold, ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Gilbdde Address: 190 Wickham Ave City: Mattituck St: NY Zip: 11952 Building Permit #: 37973 Sectien: 1 40 Block: 3 Lot: 13 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Twin Fork Electric Inc License No: 3488-e SITE DETAILS Residential Commerical New Addition Service I ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Othe" Equipment: Office Use Only Indcor ~ Basement ~ Service Only ~ Outdcor 1st Floor Pool Renovation 2nd Floor Hot Tub Survey Attic Garage INVENTORY Hot Water GFCl Respt NC Condenser Single Recpt NC Blower Range Recpt Appliances Dryer Recpt Switches Twist Lock Ceiling Fixtures ~1.__1~ HID Fixtures Wall Fixtures , 21 Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixture Pumps Emergency Fixtures Time Clocks Exit Fixtures I I TVSS Inspector Signature: Date: May 14 2013 Elect rical_Certificate,xls BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT o, Upon the application of upon premises owned by ?,/ } COMPASS ELECTRICAL 315 CLUBHOUSE CT CORAM, NY 11727, HOLLYE GILBRIDE 190 WICKHAM AVE MA~FITUCK, NY 11952 Located at Application Number: 4025475 Section: Block: Described as a Residential 190 WICKHAM AVE MATTITUCK, NY 11952 Lot: Certificate Number: 4025475 Building Permit: 34401 BDC: ns11 occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on thet6th Day of Name ~ Rathe RatinA Appliances and Accessories Exhaust Fan I 0 Miscellaneous kitchen and laundry renovation Wiring And Devices Dimmer 2 0 120V Fixture 8 0 Fixture 9 0 Outlet 10 0 Outlet 17 0 Receptacle 1 0 20a laundry Receptacle 3 0 Receptacle 8 0 Switch 6 0 Circuits September, 2009. Type F,H.P Low Voltage Incandescent Gen, Purpose Fixture Appliance GFCI Gen, Purpose Gen, Purpose seal This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BLDG· DEPT. TOWN OF SOUTFfOLD BUILDINO'DEPARTMENT TOWN OF' 8OU'THOLD Fax(63!) 765 ~5 Telephone (63 I; ac3 CERTIFICATION Da~e: I certify that the solder used in the water supply system coma/ns less than S,., Orx lO before me this 'xo~ary Public;~'~ County / DENISE KING Notary puolic, State of New york Registration #01KI6041757 Qualified in Suffolk County My Commission Expires May 15, 2 o/f , TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND STRAPPING ] FIREPLACE & CHIMNEY ]ROUGH PLBG. INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEk=i.ATION DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH P~~ [ ] FOUNDATION 2ND [//]~I~ISULATION []FRAMING/STRAPPING []FINAL []FIREPLACE&CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT ~C~I~UCTION [,~/ /1 / FIRE RESISTANT PENEI'RATION REMARKS: ~ ~ J~J~' DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 tNSPECTION [~I:OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ,/~< ~~ ~/~U DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FO~ATION 1 ST []ROUGH PLBG. [ ]/~I~JNDATION 2ND []INSULATION [~J FRAMING/STRAPPING []FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ~,~ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING/STRAPPING INSPECTION [ ]~UGH PLBG. [~/]~ INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ]FI~E SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [vxJ FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROU~GH) [ ] ELECTRICAL (FINAL) INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. IN 765-1802 [ ] FOUNDATION 1ST [ ] ROU .~. [ ] FOUNDATION 2ND [ ] [ ] FRAMING/STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~. ~/',~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING/STRAPPING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~ ELECTRICAL (FINAL) REMARKS: DATE iNSPECTOR~--~?~- FIELD INSPECTION REPORT i DATE COMMENTS FOUNDATION (IST) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS TO~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ,20.__ Approved ,20 Disapproved a/c Expiration ,20___ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: '7~ ~" Building Inspector APPLICATION FOR BUILDING PERMIT Date I/~Q] , 2006~ INSTRUCTIONS completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections.//~ ( igna~r'" name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ]'/O]}q,~ (As on the tax roll or latest deed) If a~icant ½~a corporation, sigi~re o. f duly authorized officer (Name and title of corporate officer) Builders License No. (9 Plumbers License No. oq Electricians License No. Other Trades License No. 1. Loc,qtion of land on which proposed work will be done: House Number Street Hamlet CountyTax Map No. 1000 Section Subdivision Block ~ Filed Map No. Lot [3 Lot State existing use and occupancy of premisesand d--i~}tend~l:?e/'"'~ ~4,~an~tt//c/]°ccupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost ~9/ 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear Depth Height_ Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Str Dimensions of entire new construction: Front Height Number of Stories Rear Size of lot: Front Rear Depth 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__ NO__ 13. Will lot be re-graded? YES __ 14. Names of Owner of premises/t~//ff~--- Cf ess Name of Architect Address Name of Contractor I~o,.~ }/)qc:~I'~'ZO Address~P ~o~ '~ 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 Will excess fill be removed from premises? YES NO__ Phone No. Phone No Phone No.'7'~o NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNT,~ OF ) //f~ 0)O ~/~(--~ being duly sworn, deposes and says that (s)he is the applicant ~'Name of individual signing contract).3bove 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 tree 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 ~ c~ day of --.~ 20 O '~ · Notary Public Stat8 of N~ Yod~ Notary Pubhc No. 015'~190696 _ Opalified in Suffolk County commmlofl Expires July 28,20 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ,20 Approved Disapproved a,'c · 20 Expiration .20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need file ibllowing, betbre applying? Board of Health ~4 sets of Building Plans r-~ . t _.../,47 Planning Board approval PERMIT NO. Check Septic Form Flood Permit ~ Storm-Water Assessment Form MAR 30 ?01, BLDG. DEPT. TOWN OF SOUTHOLD Building Inspector 'PLICATION FOR BUILDING PERMIT-- -.~q~OtfOJ'l Date Orr,'/ INSTRUCTIONS ,20 II 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 tbr 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 aftk:cting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (~ / ~ t,~ (Signature o' app,/or name, l' a corporat'on) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~l~{/~e_ Q. ~, (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 Hanqlet County Tax Map No. 1000 Section Subdivision ~I ~ 1/'40. oc) Block 0~. 0(~) Filed Map No. Lot 01~- OOO Lot 2. State existing use and occupancy of premises and intend~ use and occ,upancy, of proposed construction: a. Existing use and occupancy ~5. tel~(e, qt~, 1,4 t~ ul~.[{,~ b. Intended use and occupancy ~'~'r~0, lc_, ~--,'13u dt~[t~O 3. Nature of work (check which applicable): New Building. Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost (.J, rl~r/o~ v~ 5. If dwelling, number of dwelling units If garage, number of cars J Fee (To be paid on filing this application) Nurnber of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~o, ,r'o. ~ , Dimensions of existing stru~ures, ii any: Front /~' Rear /,~' /tJ~ .Depth l ~<~' ~/ '! Height a- [2 ' Number of Stories Dimensions of same structure w th a terat ons or additions: Front Depth 20' ]0" Height:12' Number of Stories 8. Dimensions of entire new construction: Front Rear _Depth Height Number of Stories 9. Size of lot: Front ~0' Rear GO' Depth 10. Date of Purchase~0~/. /~¢? Name of Former Owner I 1. Zone or use district in which premises are situated ~ l.~ NO 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will Jot be re-graded? YES NO l/Will excess fill be removed ti'om premises? YES NO ~ 14. Names of Owner of premises ~O[1~..~ C, ~9~ }[~e~Address~.0.?¢0'f/50(~ ~k, Pa~,,~ Phone No. (.0~{- 1~ C~,L/L/,& / Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. ls this property within 300 feet of a tidal wetland? * YES NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate tbundation 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/~rvey. 18. Are there any covenants and restrictions with respect to this property'? * YES NO s/ · 1F YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF_~o~ ) ~lL~I[k'kO,~ ~ 4~/~O¢I'~ being duly swom, deposes and says that (s)he is the applicant (Name of-individual signing contract) above named, OONNIE D. BUNOH (S)He is the (~(,.,O ¢~ ~--- ~ No. 01BU6185050 (Contractor, Agent, Corporate Officer, etc.) Otmllfa~l In Suffolk Oounht _ Commission Ex,tree Ap~tl 14, ~ ~ of said owner or oxvners, and is duly authorized to pertbnn or have perfo~ed 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 perlbnned in the manner set forth in the application filed therewith. Sworv,4fl~ betbre me this ~ day of ~ Iq'-~--~ 20 / [ Notary Public 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 /O~) JS~e~tl~ 21oc~ ~ r"~ . STORId-WATER, GRADING,~ DRAINAGE AND EROSION CONTROL PLAN o~l~ct Lo~ (,ik. ~r~=u BY A RESIGN PROFESSIONAL IN THE STATE OF NEW YORK* SCOPE OF WORK - PROPOSED CONSTRUL;HON l'l'i~l# / WORKASSF_~SI~_MT [ Yes No (Include Tofal Ama of all Parcels Iocatad wtihin 1 Generatad by a Two (2") Inch Rainfall on Site? , Ihe Scope of Work for Proposed Construction) b. What is Ihe Tofal Area of Land Cleating (S.F. / (This Item wtll Include all run-off created by site cleadng and/or construction activities as well as all and/or Ground Disturbance for the proposed ~) Site Improvements and the pafmanent creatkm of construction activily? impervious surfaces.) (s.F.,,~,.) 2 Does the Site Plan and/or Survey Show All Pmpesed PROVIDE BRI~r PROJECT DESCRIPTION (pm.Adc ~ Page~ as I~ Drainage Structures ledicaflng Size & Location? This Item shall include all Proposed Grade Changes and ~ I ~1~ V~-O~ ~L~ I~..~-,~ i~.. ~..(~f¥~ S-~'~ ~j-~) ~-~-~ Slopes Contmltlng Surface Wator Flow. C) '(:' 1 - C/~ILI o~O ~3. et_e 3 Does the Site Plan and/or Sun/ey describe the erosion r~ and sediment control practices that will be used to '~ ~ - control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Pedod. 4 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 Yalds~[ __ of Matedal within any Parcel? S Will this APPlicatlon Require Land Disturbing Activities r~1 Encompassing an Area in Excess of Five Thousand (5.000 S.F.) Square Feet of Ground Surface? -- 6 Is there a Natural Water C°urse Running thr°ugh the [ ~--~--'1 Site? Is this Project within the Trustees jurisdiction Beneral DEC SW~pp Re¢lUlr~ents: or within One Hundred (100') ~,et of a Wetland or -- disturbances of ~le (1) ~¢ more acres; including disturbances of less than one acre that 7Wtll there be Site preparation on Existing Grade Slopes ~ Bm putt of a lan;er cc~lmon plan that will ultimatuly disturb one or more acres Of land; which Exceed Fifteen (15) fest of Vertical Rise to i includi~J CcnstmcSon actbilies Involving soil disturbances of Isss than one (1) acre where One Hundred (100') of HoHzontsl Distance? ~ -- STATE OF NEW YORK, ~:~ ~ Il,, No. 01BU61~060 COUNTY OF ............ ~ ......................... SS - Qua,fled In Suffolk Ooumy ,, uommi~lon Exp~ree April 14, ~ - That I, ....~..( [ .~....~m..........~:....'........~...{... L~...v....~......~.. being duly sworn, deposes and says that he/she is the applicant for permit, And that he/she is the ..................... ~...~.. ~...~ .......... (o,,~. c~o; 'Q'~;,. ~i~'5~i~;.*;t~i .................................................. Owner and/or representative of the Ova)er or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that ail statements contained in this application arc linc to the best of his knowledge and belief; and that thc work will be performed in the manner set forth in thc application filed herewith. ............... ~.--~. ............ .<.... dayl of ....J~...~....~... ............... ~20..~.( Notary Public: .....~..~......~...~......~..~.~ ......................... FORM - 06/10 Town Hall Annex · 5437.5 Ma~n ~ ' P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) ro,qer, richertd, t~w(6n3!s) o7 u~5o(~ .ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: Date: ,....~- ,,l,.Y~ JOBSITE INFORMATION: (*Indicates required information) *Name: *AddressTM. *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) Block: Lot: (Please Circle Ali 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: ~NO YES / NO Final 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION ~ c- B.P. ~ BUILDING PERMIT EXAMINER CHECKLIST Applicant: /L/~, ~ Owner: //~0~ SCTM~ ~000-- 1~ _ ~ Property Address: J ~ ~ Subdivision: *Date Submitted: .z7 -~ o ~{ I Date Reviewed: ~ Estimated Cost: Zone: E--~ Conforming? City: ,/~~ Pre COs? Building Permits (Open/Expired): BP -z / c/0 z- , Info: BP__-Z / C/0 Z- , Info: BP __ -Z / C/0 Z- , Info: BP __ -Z / C/0 Z- , Info: BP__-Z / C/0 Z-__, Info: Single & Separate Search Requ~or N Determination: ~ ~oo .l~~: gJ~:9 ~///ACT. lCotSize: Si ¢ REQ. LotCov.°'caO ACT: Lot Cov. [mSQ. Fro~t~_2~ ACT. Vront/~Q Side /o ^CT. Side o/C m~Q. Re~; ~-~- PROP. Rear Waterfront? Y or N? ] ~ If yes, water body: Panel# __ Flood Zone: __ Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y or N - If yes, *Bed#: __ *Date: / / *Permit#: - If no, certification required: Y or N Received: Y or N By: Town Septic: Y or N NYS DEC: ?RE-DEcg/I/T5 Y or N - Date: / / Permit #: or NJ Letter - Notes: Southold Trustees: Y or N - Date: / / Permit #: or NJ Letter - Notes: Southold ZBA: Y or N- Date: / / Permit #: -Notes: Southold Planning: Y or N - Date: /__/__ Permit #: -Notes: Town Landmark C orcA: Y~or N DTE: / ./ *NYS CODE Compliance (page 2~ Y or N ~ Fee ~ructure: Calculation: Foundation: First Floor: Second Floor: Other: Total: SF ~,. ~7 s~ SF SF SF ).s~ x $,~to =, I 03, (,0 + Initial Fee: $~ + Additional Fee ( ): $ SF X $ =$ + Initial Fee: $ ~---~¢,dd~tional Fee ( __ ): $ - ~ NEW YORK STATE CODE COMPLIANCE CHECICLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: · Ground Snow Load: ~0 · Wind Speed; I20MPH__ Seismic Design Category." B . Weathering: Severe.__ ·Frost Depth: 36"__ Design Temp: 11 __ ·Iee Shield Underlay: YES . USE/OCCUPANCY CLASSIFICATION: ' HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/pREscRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: ¥/N WALL sTUDS: CEILING JOISTS: Y/N FLOOR JOISTS: Yf~l LUI~BER SPECIES AND GRADE: Y/N Termite: M~H ' Decay: Flood Hazsi'ds: GIR_DERS: Y/N ROOF IL6_FTERS: Y/lq WD,FDOW AND DOOR SCHEDULE: .MISSLE TEST REQUIRENIENTS: YIN EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N XrENT 4%: NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLLrMBING P,2SER DIAGRAM: Y/N LOCATION OF NITRE PROTECTION;EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) N1AP OF Pr2OPEI~TY SUI2V EYE D 70[2 I'4ATTt TUCV_. 'mOWN 0F 5O;jTHOLD, ArC EA: 89Zg. s. F, i::~t~EH 1 51=.5 iN FLOOD ZONE C. '1 ALL P~.~.'.~ ~. ~- & WATER LINi::b TESTING BEFORE COVERING t ' ~ c~ o .... ,., I SOLDER USED iN WATER ~ ~ .......... ,,,.~ ~n:,~o~,~ · SUPPLYSYSTEMG4NNCT · UN ' .~l~ TERS CERTIFICATE '~! -' ~ " % REQUIRED ' DONALD G. FELLER · ARCHITECT 11725 Main Road * P.O. Box 1692 · Mattifuck, N.Y. 11952 7B.~o'~O SURVEY OF PROPERTY SITUATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-140-03-15 SCALE 1"=20' JANUARY 2, 2015 AREA = 8,942 sq. ff. 0.205 ac. !!.i _. dAN 22 2013 Nathan Taft Corwin III EDUCATION LAW. COPIES 0~' THIS SUR~f MAP NOT BEARING 1¥1E LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICA~D HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BE~ TO THE TITLE COMPANY, GOVERNMENTAL AGE'ICY AND LENDING INSTITUTION USTED HE~EON, AND TO 'i3'lE ASSIGNEES OF ~'1£ LENDING INS'n- TUI1ON. CERTIFICA11ONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Land Surveyor Successor To: Stanley J. Isaksen, Jr. L.S. Joseph A. Ingegno LS. 77tle Surveys -- Subdivisions - Site Plans -- Construction Loyou~ PHONE (651)727-2090 Fax (631)727-1727 OFTTCES LOCAT£D AT MAIUNG ADDRESS 1586 Main Road P.0, Box 16 damesport. New York 11947 Jamesport, New York 11947 , 0,' [. ~ 76'30 3 DoI~OTI'IY A. ~ % '0 Oo COPIES OF ]HIS SURVEY MAP NOT BEARING 3HE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SI'~N.L NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIF]CA3]ONS INDICATED HEREON SHN_L RUN ONLY TO ]HE PERSON FOR WHOM ]HE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, C-OVERNMENTAL AGENCY AND LENDING INSTmJ33ON MS, ED HEREON, AND TO THE ~SSIGNEES OF ]HE LENDING INS~- TUTION. CERq]FICATIONS ARE NOT ~ANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. SURVEY OF PROPERTY SITUATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-140-03-13 SCALE 1"=20' JANUARY 2, 2015 JANUARY 18, 201.3 FOUNDATION LOCATION AREA = 8,942 sq. ff. 0.205 ac. JAN 2 3 20!3 Nathan Taft Corwin III Land Surveyor Successor To: Stanley J. Isaksen, Jr. LS, Joseph A. Ingegno ES. ~tle Surveys -- Subdivisions -- Site Plans -- Construction Lo. your PHONE (6.31)727-2090 Fax (651)727-1727 OFFICES LOCATED AT MAIUNG ADDRESS 1586 Main Ro~d P.O. Box 16 Jumesport, New York 11947 Jomesport, New York 11947 RIGHT ELEVATION SCALE: 1/8"= 1'-0" LEFT ELEVATION SCALE: 1/8": 1'-0" FRONT 1'-0" ? / REAR SCALE: 1/8 .~.,~. Pc,. ] 04, 2010 ~c~-~.~EE ~ __ 10"dia. CONC. PIER 24"X24"X12' FTG, 3' BELOW GRADE 2X6 ACQ LEDGER J 2×R AC.(3 m ~_ 16"0C :EXISTIN( 8" PC WALL 16"X8" FTG. 3' BELOW GRADI~ EXISTING GARAGE RE-BUILD 7'-6" 8'-0" LEDGER BOARD TO BE FASTENDED TO BUILDING WITH TIMBERLOK® SELF-COUNTERSINKING SCREWS BY OLYMPIC MANUFACTURING (2 SCREWS @ 32" O.C.) FOUNDATION PLAN SCALE: 1/4" = 1'-0' #4 REBAR @12"OC AND AT FOOTING ADE)ITION~, P~' 2 November 2010 SC,~LE (SEE JE) 2X8 RR @16"OC :ISTIN~ /-~ / // .,/' // / /EXISTING HOUSE/ 12'-1" 6'-0¼" 6'-0¼" RE-USE EX. OPENINGS EXISTING GARAGE (RE-BUILD) 9' CEILING HT, 2x~ ,7' PLT. HT. 2X8 ~~ ~-~ ..... ::,__...~,~.., 6'-2¼" 1ST. FLOOR PLAN ~,DDITION~, 04, 2010 (SEE WIND-BORNE DEBRIS PROTECTION FOR WOOD STRU~I'I~RAk PANEL ~ ~ ~ ~ A~ ~ ~D' {~ ~ ~ J~'J'*,I~'~s ~D T~ ~'1'4 ~ N.Y.s. ~ ASPHALT ROOFING ~ P~E~ ~ ~ ~ ~ ~ ~D ~YTO ~ ~ ~ N~ ~ ~ ~ ~ ~ ~ ~D ~ ~T ~N~ ~ ~ ~ ~ 30~ FELT UNDER~Y ~/ H~C~~. 1/2"SHEATHING ~/ / 12 ~~ ~/ ~BE BOLTED TO ~ ~ ~_ ~ EACH ~FTER ~-~ 2xs cJ ~c ~ EXISTING (2) 2x8 GIRDER 4X4 POST ~ CONTINUE TO CONC. PIER 3' HIGH RAILING SECTION B-B SCALE: 1/4" = 1'-0" SPLICE INTO EX. RAFTERS 12 4 ASPHALT ROOFING 30~ FELT UNDERLAY t/2" SHEATHING INSTALL 5~8" TYPE-X FIRE RATED SHEETROCK ON WALLS & CEILING AS REQU RED BY CODE 2)(6 ACQ PLA1 TERMITE SHIELO SILL SEAL SIDING TO MATCH EXISTING wi UNDERLAY 2X4 STUD WALL @te"oc 4" CONC. SLAB, REINFORCED OVER COMPACTED SOIL, PITCH 1/8":12" TOWARDS OH DR. 8" PC WALL REPLACE EX. 16"X8' CONC. FTG. (2) #5 REBAR SECTION A-A SCALE: 1/4" = 1'-0" DRY WELLS TO BE 10' MIN. AWAY FROM HOUSE b-TORN WATER RUNOFF: ROOF AREA: 766 SQ. FI', AT 100% RUNOFF AT 2" RAIN PER HOUR: 128 CU, FT. PROVIDE: (2) 8' DIA. X2' DEEP DRYWELlc; (1) REAR, (1) FRONT TO CAPTURE RAiN FROM GUITER5 INov,~ml~mr 04, 2010 WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS SIDE WALL FLA6NIN~ AID~ITIONA AND ALTERATION6 P~' ~ Nov~.lb~r 04, 2OIO ~C'~L~$1EE JD WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS CLIMATIC & GEOGRAPHIC DESIGN CRITERIA DECK AND COVERED PORCH NOTES: NAIUNG SCHEDULE ROOF FR,a lING: DECK FRAMING: F~. ~;~ Nov,~mb~r 0,4, 2OIO SCAL~,EE JD .ENE AL NOTE5 CONSTRUCTION NOTES: FOUNDATION NOTES~ FRAMING NOTES WIND FRAMING NOTES DECK AND COVERED PORCH NOTES; PLUMBING NOTES HVAC SYSTEM NOTES ELECTRICAL NOTES: NAILING SCHEDULE ROOF FRAMING: CEILING SHEATHING: WALL SHEATHING: FLOOR SHEATHING: PLaN (;ONTENT~ CLIMATIC & GEOGRAPHIC DESIGN CRITERIA ROOF SHEATHING REQUIREMENTS FOR WIND LOADS: WALL SHEATHING REQUIREMENTS FOR WIND LOADS: NOTE: CONTRACTOR TO PROVIDE SOIL TEST TO VERIFY EXISTING CONDITIONS. MINIMUM 3000# CAPACITY. ,..~, -.*,. . :;:~. ADDITIONA AND ,TERATIONS RIGHT ELEVATION SCALE: 1/8": 1'-0" FRONT ELEVATION SCALE: 1/8" = 1'-0" LEFT ~ELE~V __TION ',JAR 2 6 2013 REAR SCALE: 1/8"= 1'-0' AI:::)I:::)ITION,~, ~,ND ~,LT~ ~0"dia. CONC. PIER 24"X24"X 12" FTG 3' BELOW GRADE 2X6 ACQ LEDGER (ISTING HOUSE/ 16'-0" 10'-0" 8" CONC. BLK. WALL ~ VERT. REBAR @ 48" OC 16"X8" FTG. 3' BELOW GRADE EXISTING GARAGE RE-BUILD LEDGER BOARD TO BE FASTENDED TO BUILDING WITH TIMBERLOK® SELF-COUNTERSINKING SCREWS BY OLYMPIC MANUFACTURING (2 SCREWS @ 32" O.C.) REBAR @12"OC AND AT FOOTING 4'-2¼" 9'-3" 3'-2W' 16'-8" 21'-11½" FOUNDATION PLAN SCALE: 1/4" = 1'-0' P~' 2 A~E)ITIONA ~,NE) ~,LT! Januar~l 13, 2013, (SEE J~ 16'-0" 10'-0" RE-USE EX, OPENINGS LU (TYPICAL) 2X8 RR @16"OC /EXISTING HOUSE/ EXISTING GARAGE (RE-BUILD) 9' CEILING HT. 2X6 e.J 2X8 RR @16"OC 2X~ STUD WALL 7 PLT HT (2) 2X10 HEADER 9'-0" 8'-6" 16'-4" 1ST. FLOOR PLAN SCALE: 1/4" = 1'-0' ,~DDITION~