HomeMy WebLinkAbout39857-Z(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 39857 Date: 6/9/2015
Permission is hereby granted to:
RHX Corp
591-A Bicycle Path
Port Jefferson Sta. NY 11776
To: Relocation of an existing agricultural storage shed South Shed) as applied for per
planning approval.
At premises located at:
715 Sound Ave, Mattituck
SCTM # 473889
Sec/Block/Lot # 120.-1-4
Pursuant to application dated 5/29/2015
To expire on 12/8/2016.
Fees:
and approved by the Building Inspector.
FARM BUILDING - NEW
$150.00
CO -NEW CONSTRUCTION/ALTERATION/REPAIR $50.00
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Cn
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 #: 39857 Date: 6/9/2015
Permission is hereby granted to:
RHX Corp
591-A Bicycle Path
Port Jefferson Sta. NY 11776
To: Relocation of an existing agricultural storage shed South Shed) as applied for per
planning approval.
At premises located at:
715 Sound Ave, Mattituck
SCTM # 473889
Sec/Block/Lot # 120.-1-4
Pursuant to application dated 5/29/2015
To expire on 12/8/2016.
Fees:
and approved by the Building Inspector.
FARM BUILDING - NEW
$150.00
CO -NEW CONSTRUCTION/ALTERATION/REPAIR $50.00
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP
D � E W
2
A CYB! Dr. DEPT
TO!NN OF SOUTHOLD
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. Ficial 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
Date.
New Construction: Old or Pre,existing Building: /check one)
Location of Property: —715-
House
7/.jHouse No. Street Hamlet
Owner or Owners" of Property: ��� c b e 5 -VLAy
y
f r,�
Suffolk County Tax Map No 1000, Section t tX0 Block d Lot
Subdivision G.Filed Map. � Lot:.
Permit No. Z'T � ' 7 Date of Permit. fv (&,5 Applicant—
Health
pplicant'
Health Dept. Approval:
Underwriters Approval: t- I I I 16—
Planning
r5
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: V (check one)
Fee Submitted: $
Applicant Signature
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
roger. richertp_town.southold. ny. us
CERTIFICATE OF tLECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Harbes Farm
Address: 715 Sound Avenue City: Mattituck St: New York Zip: 11952
Building Permit#: 39857 Section: 120 Block: 1 Lot: 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: "AS BUILT' DBA: License No:
Residential
Commerical
New
Addition
Indoor
Outdoor
Renovation
Survey
X
Duplec Recpt
9
SITE DETAILS
Office Use Only
X Basement
X 1st Floor
2nd Floor
Attic
INVENTORY
Service Only
X Pool
Hot Tub
Garage
Service 1 ph
Heat
Duplec Recpt
9
Ceiling Fixtures
2
HID Fixtures
Service 3 ph
Hot Water
GFCI Recpt
Wall Fixtures
Smoke Detectors
Main Panel
A/C Condenser
Single Recpt
Recessed Fixtures
CO Detectors
Sub Panel
A/C Blower
Range Recpt
Fluorescent Fixture
Pumps
Transformer
Appliances
Dryer Recpt
Emergency Fixtures
Time Clocks
Disconnect
Switches
2
Twist Lock
1
Exit Fixtures
TVSSEl
Other Equipment:
"South Shed" 30A Power Supply, 1- Exhaust Fan
Notes:
Inspector Signature: Date: June 18, 2015
Electrical 81 Compliance Form.xls
aso
coulm,
TOWN, OF'SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
I FOUNDATION IST
]FOUNDATION 2ND
FRAMING/ STR APPING
FIREPLACE &CHIMNEY
FIRE RESISTANT CONSTRUCTION
ELECTRICAL (ROUGH)
CODE VIOLATION
ROUGH PLUMBING
INSULATION
FINAL
FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
ELECTRICAL (FINAL)
CAULKING
_. I DATE _INSPECTOR20
OF Sol," n
Sig
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION'
[ ]FOUNDATION IST
[ ]ROUGH PLUMBING
[ ] FOUNDATION 2ND
[ ]INSULATION
[ ]FRAMING /STRAPPING
FINAL
[ ] FIREPLACE & CNIMNEYKr7PiE
SAFETY INSPECTION
I ] FIRE RESISTANT CONSTRUCTION
[ ] FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH)
[ ]ELECTRICAL (FINAL)
[ ]CODE VIOLATION
[ ]CAULKING
"ar
MOM
IN5UL. ATION PER N. Y.
STATE ENEROY Cb)D:z
at - M -M
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SouthoidTow"n.North!F-ork.n"'et
Examined 20
Approved /-V
Disapproved a/c
Expiration 4 20
L
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
_-r Board,oftHealth
:4 sets of Building Plans
Planning Board approval
PF IT NO. Check
-.,SeptiqFqrrn
T N.Y.S.D.E.C.
Trustees
C.O. Application
Flood'Permit—
L= I Single & Separate
"Storm -Vater Asses'sme'nt Form
MAY 28 2015 -Contact:
, I"", ! LL�l �`, .,
"j" A b1
Phone: 63 f -X3 S776!; 7/.
Bu li—ding nsp e c-t®r
APRIOVED ASNOTO
AT
FEE-
AT1,QN FOR BUILDING PERMIT
DATE:— B.P
BY: Date Me=j 20/5
No BUILDING DEPARTMENT AT 1MiTRVf7IQNS
765 52
8 AM TO 4 PM FOR THE
lipli
pEa
p,ol3W,,,�ST be completely filled in,byttypeNyriter or in ink and submitted to the Building,lnspector with 4
e
sets of I t"pJot�n'-R'Da'tW(Feea"c"c�-o'r-di�n�'
P� g to schedule.
2 5 AWRNkl
b tkns w, Im-Mon of lot and of buildings on premises,, relationshlp to adjoining premises or public streets or
areas,
�tGe]Rva MIANIIING & PLUMBING
�N in it.
C, covered by this application may not be commenced before issuance of Building 3*d1 0 Inspector I—; ,fj 1" 1�Permit ! " hQ�,, . -, permit
it, eB ng will is;sue�*d Building ' to the applicant. Such'a p i
4 Fil (able for inspection throughout the work.
shall be'k PLILmnipowal
e akk1h Whbl6 6'r,inp'aftfbr�-a ` "purpose what so ever�urffil the Building Inspector'
ny
issues &C _ffo&�1114�LCLODGS OF NEW
tr_: I . -
. y�diW isN�tBb34iir(FOR-hp.wQrkAuthorizedhds not commenced within' months after the date of
vq§vr g)RetiR:4
issuanc Ri
g womp 0
Jst4WithRR&fiionths1,ftom such dat6..-If no zoning amendments or otheryegulations affecting the
prope ave een enacted in -the interim, the Building Inspector may authorize, in writing, the extension of the.permit fon an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to thepuilding,pepartment for,the issuance of a Buildin Permit pursuant to the
1Southold,
1 1, 1 1V 1 1 3.,- .";,; " '' Building t 9 -
Building Zone Ordinance of the Town of Southold, Suffolk County; New, York, and other applicable Laws, Ordinances or
�, 1 nty�i : , I . herein
Regulations, for the construction Of buildings, additions, or alterations.oi 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
i , I , 1. g,
authorized inspectors on premises and �in building for necessary inspections.'
OCCUPANCY OR"
is UNLAWFUL(Signature of applicant or name, if a corporation)
I ISE —
U
WHOUT CERT HGATT "
OF 002PANCY _.:'
(Mailing address of applicant)'
Ly U
State whether applicant is owney,,Iessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises E10, ot"?
(As on the tax toll or I te6AT9Ld)( ��,R!11TH'ALL. CODES OF
If applicant is a corporation, signature of duly authorized officer NEW YOPX STIP II- E &,TOWN CODES
(Narne"and title of corporate officer) AS REQUIRED MID CONDITIONS OF
Builders License No.
.aq44Q6D49WN1 Z9A
Plumbers License No. 8OUT1H01P) TOM PLANNING BOARD
Electricians License No. 0,0- --E7 , —i-,
Other Trade's License No. S
NLY
1. Location of land on which proposed work will be done:
House 'Number Street Hamlet
Cog
County Tax Map No. 1000 Section Lot
f
Subdivision Filed Map No. Lot
2. 'State existing use and-occupancy=of premises and intended use and occupancy of proposed construction:
a. Existing use and'oc''cupaticy®®�pp�®���®. tp�°vy��.\ ®� P00% ArS C6%j 2gA]PQe�X0et S..
I a , `. ,.',.Y',ir. .I t�®1(y •aV®® ����i rT• I' a. ..,
b. Intended use and_occupancy wv-s&
3. Nature of work (check whidh`applicable): New ilding ' Addition Alterai�
Repair Removal_, 'L' Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid -on, filing this application)
5. If dwelling; number of dwelling= units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or -mixed occupancy, specify nature and extent of each type of use. . ".,��ro�-
7. Dimensions of existing 'structures; if any: Front Rear_ - 17 Depth 00
Height �' 9Number of Stories
Dimensions of same structure with alterations. or --additions:- Front - CI.V".d Rear _
Depth Height Number of Stories
� � a ` ®®x!_0..3.. Pa Ql
8. im sions of entire new construction. Front " _ `Rear ®' Depth �®
Height ° �Number of Stories
9. Size of lot: Front Rear
10. Date of Purchase, -Name•ofFormer'Owner' ` ''°_; ";
11. Zone'or use'district'in'wh ch premises a`re``situated"'' Wim¢. "'';' i+ `'=®' A®®�
'ta!' '-::•,'.I; ..�yg,:: .::"ri ''tri"'' re:✓:itf.,xiC4;;; `•+5.� .l:''
12. Does proposed construcrion violate `any' zoning law,. ordinance or regulation?'ES , NO
r! .r+. i' ay.:7,F..t t: i?l:.,P..S
..P•iCS! `sg:d 3".' r., -x t: i. ., :5.:" _'e,:...'i N)? ";.i' 7 ', ', •
13. Will lot be.re-graded? YES NO! Wilhexcesslfil.be removed,from.,premises? YES ; :I: NO
14. Names of-Owner-of'premises. Address=7-, Rhone No.-
Name•ofArchitect. : ,.; I.:;;.,_: Address :r" "' :F;I-;Phone:No-
me�+4of Co tr for �,�' �' ®'•� 'w >Address) 7 61A ®t' 1 "''� �:'-Phorie No: '
4�0 IS
15 a. Is this property'within -100' feet 6fariid'aI"wetland'or a�'freshN a'ter wetland? -*YES "` ' `NO '
* IF YES, SOUTHOLDITT6WN'T*kVSTLES &'`Df E:C`: PERMITS -MA' Y'BE` QUIRED:" `
b. Is this ,propeity'within'30,0 feet of a tidal 'wetland?�*`IYES{ NO
* IF YES, D.E.C�: PERMITS 1VIAY BE'RB`QUIRED:`
16. Provide survey, to scale, with accurate foundation plan and distances to property lines. '
17. If elevation atany Point on property is at 10 feet or below, must provide topographical. data on,s'urveY. �.
.
18. Are there any covenants and xstrictions .with respect to this property?
* IF YES, PROVIDE A COPY.
STATE'OF NEW YORK)
SS:
COUN'rY OF
-being duly -s orn,-deposes and°says-that`(s)he is the applicant,
(Name of individual signing contract)` ab`o've named,,
r%..
(S)He,,is.the'-
(Con actor, 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. Y
Sworn to before me this
—29'40c' day of Ol. 2015
f TRACEY L. DWYER '
Notary;publo, NOTARY PUBLIC, STATE OF NEW YORK Signature of Applicant
NO.01®W6306900
QUALIFIED IN SUFFOLK COUNTY--'--.--'
COMMISSION EXPIRES JUNE 30, 2g
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
(z(63.j 2
wn
roger.richertsouid
ny us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: �j 01�r q,k Date:
Company Name:
License No.:
Address:
Phone -No.:
JOBSITE INFORMATfON: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No_:
Permit No.: J
Tax -Map District: - 1000 Section: -?,.0 Block: I
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
ti -wase Uircle All That Apply)
*Is job ready for inspection:
*Da -you need a Temp Certificate:
Temp Information (if needed)
*Service Size: 1 Phase 3Phase
*New Service: Re -connect Undl
Additional Information: I
.82 -Request for Inspection Form
YES/ NO.
YES / NO
100 150 200
rid-' Numb'erW Meters I
Rough In
350 400 Other
of Service Overhead
KATION
- � r
GDA�k '��)�ec�
�1
C) l
- o i• C v
N Z
CONT. RIDGE VENT - OPTIONAL
ASPHALT SHINGLES I/2° PLYWO. GUSSET EA d U
112" _PLYWD. FASTENED w/. 8d NAILS SIDE OF RAFTER FASTEN w/. Q W
12 6° O.C. -EDGE SPACING t 12 (10) IQ": 5/8" CROWN STAPLES �
11° O.G. FIELD SPACING i.� - -
1x4 RAFTERS FASTEN EA COLLAR TIE w/.
ib° O.C.l6l 12d RING SWANK NAILS
s - - - -
ul
TOP OF WALL m
1x4 DBL. TOP PLATE 18 GA WURRICANE TIE �
Ix4 FASCIA FASTENER BY SIMP50N Q
WRAPPED w/. ALUM. 6° MODEL °R R
2x4 COLLAR TIE
SOFFIT 16° O.C. MAX BY OTHERS W
®
2x4 STUD WALL a 16° O.0 T
Q Q
DURA -TEMP FIR
T -1 -II SIDING OR
OR VINYL SIDING
2x4 PLATE
d' Q
Z
5/8" PLYWD. FASTENED w/.
8d NAILS 9 12" O.C. -EDGE SPACING
t 24" O.C. FIELD SPACING OVER
22.75"
h FIN. FLR
2x4 FLOOR JOISTS s 12' OC.Fl
U� C�
P.T. 4x4
_
FOUNDATION BEAMS
U)
22.75 ° 34.25° 34.25." '-
o
0
1 SECTIONCD
,Q, 2 SCALE: 3/8"- I'-0"
Z m Z
w-
GENERAL NOTES:
Z) n }
O Q O Z
0 U
J
I. DRIP EDGE AT ALL ROOF EDGES FOR LEAK -FREE
(q L
QUALITY FINISW
0 Z 0 0
?.OVERHANG FLUSH ON.GABLES
O Q.0
3. FINISWED SOFFIT ON ALL. BUILDINGS
L
Q
Y N
I Go
J vvv�
GENERAL NOTES: FLOOR PLAN
1. WDW. d DOOR SIZES i TYPE MAY VARY
UPON OWNERS REQUEST
2. ROOF DESIGN: 30 PSF SNOW LOAD
FLOOR FRMG -. 50 PSF TOTAL LOAD
WIND SPEED: W MPH
IMPORTANT NOTE REGARDS CODES:
THE STRUCTURE IS A NON-PUBLIC GARDEN SHED.
REFER TO LOCAL CODE FOR FURTHER CLASSIFICATION.
OWNER MUST CONTACT LOCAL MUNICIPALITY AND ANY OTHER
GOVERNING AGENCY HAVING JURISDICTION OVER THE PROJECT.
THE DESIGN OF STRUCTURE OF THE BUILDING MAY HAVE TO BE
MODIFIED TO CONFORM TO LOCAL REGULATIONS. THE STRUCTURE
IS DESIGNED TO SUPPORT THE LOADS INDICATED ON THESE
DRAWINGS.
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TOWN OF SOUTHOLD BUILDING DEPT.
7654 802
DATT E. INSPECTOR.-