HomeMy WebLinkAbout40059-Z TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following, before applying?
TOWN HALL Board ofHealth
SOUTHOLD, NY 11971 4 sets,of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 ' Survey
SoutholdTown.NorthFork.net
PERMIT N S. 6 0 Check
I Septic Form
N.Y.S.D.E.C.
Trustees C.O.Application
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Storm-Water Assessment Form ___
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APPLICATION FIR BUILDING PERN -
Date A , Z ) . 20 IS
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue:a.Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in pail,for any Purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorizedhasnot 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 renulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
...77 •_.._.-----;--------
( nature of applicant or name,if a c rpoiation)
, . .
0k ‘\)1
•A• e A C
(Mailing address of applicant) )t 9Di
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
}-/,--- 5/2 r-,,? I--? 4 v- CG711--IKA c.,716 {-
__ ._
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Name of owner of premises
.57. P' ,----) - / '
72/ ..',/,-ye/ th 4/4 ,kur—,-6L)nr 1 11 r-o9
(As on the tax roll or latest d )
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.
I. Location of land on which proposed work will be done:
ei( 0 A,?,.)o-) -74
House Number Strect Hamlet
Cii , , .,, , , .,
County Tax Map No. 1000 Section I ti) ' ' '" '131cbk .4 5 Lot
I ., , 41 I
Subdivision Filed Map No. Lot
2. State existing use and ocCupancy of premises an' intended use and occupancy of propo ed construction:
a. Existing use and occupancy Ada p kt° A V
b. Intended use and occupancy
3. Nature of work (check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work Fa Srpe- v3, )P
(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. L'..)
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height ° Number of Stories
8. Dimensions of entire new constructiomfront Rear Depth
Height Number of Stories
9. 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 vriolate 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 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. Is 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 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 NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY OF)Leolir_D
rt-ty-i-s74,0 1 7Zekfir;--c., beingduly,srNo74, deposes and says that(s)he is the applicant
(Name of iiidividual signing conflict)above named,
(
(S)He is the S fpri,
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
.L -± day of at Ct.{ 45-t- 20
em..2.—
# Notary Pu gl c TRACEY L. DWYER Signature of Applicant
NOTARY PUBLIC.STATE OF NEW YORK
NO.010W. • I
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,22j .
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Depaitment 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
Date. /ift,y 7) f?C)I
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 4(19
,
liouse No. Hamlet
,c 4 id
Owner or Owners of Property: L41- )P '4>
Suffolk County Tax Map No 1000, Section (-
ti Block Lot O'
Subdivision Filed Map. Lot:
Permit No. Date of Permit Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
—' Applicant Signature
1
_ "°rteti+ tw Computer I', ; •
Atlantic Fire SprinklerII!I , ' C s
Box 1052 hrit �
Riverhead, NY 11901 &i7 ��,'
631-369-4074[. ........i ‘1:..1.C, '40,, '''Illoill * ,
r1
Job Name : Rising Sun Woodworking
Building
Location 4460 Depot Lane, Cutchogue, NY
System
Contract
Data Rie : Rising Sun Wo*• pricing 1 m 1
1i
Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087
Atlantic Fire Sprinkler Page 1
Rising Sun Woodworking Date 8-18-15
HYDRAULIC CALCULATIONS
for
Project name: Rising Sun Woodworking
Location: 4460 Depot Lane, Cutchogue, NY
Drawing no:
Date: 8-18-15
Design
Remote area number:
Remote a = location: Wo•• orking area
Occupancy classification: Ord. Hazard Grp 2
Density: .20-Gprn/SqFt
Area of application: 1500-SqFt
Coverage per sprinkler: 100-SqFt
T s - of sprinklers calculated: QR pendent
No. of sprinklers calculated: 15
In-rack demand: -GPM
Hose streams: 250-GPM
Total water requi • • (including hose St ms): 557.37-GPM @ 38.4949- Psi
Type of system: wet
Volume of dry or preaction system: -Gal
Water supply information
Date: 8-15-15
L. •tion: Nearest Hydrant Depot Ln
Source: SCWA
Na • of contractor: Atlantic Fire Sprinkler
Address: P.O. Box 1052/ /Riverhead, NY 11901
Phone number: 631-369-4074
Name of designer: CMR
Authority having jurisdiction: Southold Fire Marshal
Notes:(Include peaking information or grid. - • systems here.)
Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087
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Pressure / Flow Summary - STANDARD
Atlantic Fire Sprinkler Page 4
Rising Sun Woodworking Date 8-18-15
Node Elevation K-Fact Pt Pn Flow Density Area Press
No. Actual Actual R••.
DP01 15.0 5.6 12.76 na 20.0 0.2 100 7.0
EQ01 16.0 12.71 na
DP02 15.0 5.6 12.76 na 20.0 0.2 100 7.0
EQ02 16.0 13.1 na
1 16.0 K=K @ EQ01 12.97 na 20.2
2 16.0 K=K@ EQ02 13.1 na 20.0
3 16.0 K=K @ EQ02 13.58 na 20.36
4 16.0 15.08 na
5 16.0 15.11 na
6 16.0 15.21 na
7 2.0 28.79 na 250.0
SRC 0.0 38.49 na
8 16.0 K=K @ EQ02 14.18 na 20.8
9 16.0 K=K @ EQ02 14.32 na 20.91
10 16.0 K=K @ EQ01 13.0 na 20.22
11 16.0 K=K @ EQ02 13.13 na 20.02
12 16.0 K=K @ EQ02 13.6 na 20.38
13 16.0 K=K 0 EQ02 14.21 na 20.82
14 16.0 K=K @ EQ02 14.35 na 20.93
15 16.0 K=K @ EQ01 13.09 na 20.29
16 16.0 K=K @ EQ02 13.22 na 20.09
17 16.0 K=K @ EQ02 13.7 na 20.45
18 16.0 K=K @ EQ02 14.3 na 20.9
19 16.0 K=K @ EQ02 14.45 na 21.0
The maximum velocity is 8.78 and it occurs in the pipe between nodes 17 and 6
Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087
Final Calculations - Hazen-Williams
Atlantic Fire Sprinkler Page 5
Rising Sun Woodworking Date 8-18-15
Hyd. Qa Dia. Fitting Pipe Pt Pt
Ref. "C" or Ftng's Pe Pv ******* Notes ******
Point Qt Pf/Ft Eqv. Ln. Total Pt Pn
DP01 20.00 1.049 1E 2.0 1.000 12.755 K Factor=5.60
to 120.0 0.0 2.000 -0.433
EQ01 20.0 0.1300 0.0 3.000 0.390 Vel = 7.42
0.0
20.00 12.712 K Factor= 5.61
DP02 20.00 1.049 1T 5.0 1.000 12.755 K Factor=5.60
to 120.0 0.0 5.000 -0.433
EQ02 20.0 0.1302 0.0 6.000 0.781 Vel= 7.42
0.0
20.00 13.103 K Factor= 5.53
1 20.20 1.682 0.0 10.000 12.970 K Factor @ node EQ01
to 120.0 0.0 0.0 0.0
2 20.2 0.0133 0.0 10.000 0.133 Vel = 2.92
2 20.00 1.682 0.0 10.000 13.103 K Factor 0 node EQ02
to 120.0 0.0 0.0 0.0
3 40.2 0.0475 0.0 10.000 0.475 Vel = 5.80
3 20.36 1.682 1T 9.9 4.920 13.578 K Factor @ node EQ02
to 120.0 0.0 9.900 0.0
4 60.56 0.1013 0.0 14.820 1.502 Vel = 8.74
4 41.71 4.26 0.0 10.000 15.080
to 120.0 0.0 0.0 0.0
5 102.27 0.0029 0.0 10.000 0.029 Vel= 2.30
5 102.37 4.26 0.0 10.000 15.109
to 120.0 0.0 0.0 0.0
6 204.64 0.0105 0.0 10.000 0.105 Vel= 4.61
6 102.73 4.26 1T 26.334 106.410 15.214
to 120.0 2E 26.334 97.436 9.063 * Fixed loss=3
7 307.37 0.0222 1B 15.8 203.846 4.517 Vel = 6.92
1Fsp 0.0
1S 28.968
7 250.00 6.16 1 E 20.084 171.200 28.794 Qa=250
to 140.0 1Zii 0.0 20.084 8.110 * Fixed loss =7.243
SRC 557.37 0.0083 0.0 191.284 1.591 Vel = 6.00
0.0
557.37 38.495 K Factor= 89.83
8 20.80 1.682 0.0 10.000 14.178 K Factor @ node EQ02
to 120.0 0.0 0.0 0.0
9 20.8 0.0140 0.0 10.000 0.140 Vel = 3.00
9 20.91 1.682 1T 9.9 5.080 14.318 K Factor @ node EQ02
to 120.0 0.0 9.900 0.0
4 41.71 0.0509 0.0 14.980 0.762 Vel= 6.02
0.0
41.71 15.080 K Factor= 10.74
10 20.22 1.682 0.0 10.000 12.995 K Factor @ node EQ01
to 120.0 0.0 0.0 0.0
11 20.22 0.0133 0.0 10.000 0.133 Vel = 2.92
11 20.02 1.682 0.0 10.000 13.128 K Factor @ node EQ02
to 120.0 0.0 0.0 0.0
12 40.24 0.0476 0.0 10.000 0.476 Vel = 5.81
Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087
Final Calculations - Hazen-Williams
Atlantic Fire Sprinkler Page 6
Rising Sun Woodworking Date 8-18-15
Hyd. Qa Dia. Fitting Pipe Pt Pt
Ref. "C" or Ftng's Pe Pv *** *"* Notes ******
Point Qt Pf/Ft Eqv, Ln. Total Pf Pn
12 20.38 1.682 1T 9.9 4.920 13.604 K Factor @ node EQ02
to 120.0 0.0 9.900 0.0
5 60.62 0.1016 0.0 14.820 1.505 Vel = 8.75
0.0
60.62 15.109 K Factor= 15.60
13 20.82 1.682 0.0 10.000 14.205 K Factor @ node EQ02
to 120.0 0.0 0.0 0.0
14 20.82 0.0141 0.0 10.000 0.141 Vel = 3.01
14 20.93 1.682 1T 9.9 5.080 14.346 K Factor @ node EQ02
to 120.0 0.0 9.900 0.0
5 41.75 0.0509 0.0 14.980 0.763 Vel= 6.03
0.0
41.75 15.109 K Factor= 10.74
15 20.29 1.682 0.0 10.000 13.086 K Factor @ node EQ01
to 120.0 0.0 0.0 0.0
16 20.29 0.0134 0.0 10.000 0.134 Vel= 2.93
-
16 20.09 1.682 0.0 10.000 13.220 K Factor @ node EQ02
to 120.0 0.0 0.0 0.0
17 40.38 0.0479 0.0 10.000 0.479 Vel= 5.83
17 20.45 1.682 1T 9.9 4.920 13.699 K Factor @ node EQ02
to 120.0 0.0 9.900 0.0
6 60.83 0.1022 0.0 14.820 1.515 Vel= 8.78
0.0
60.83 15.214 K Factor= 15.60
18 20.90 1.682 0.0 10.000 14.304 K Factor @ node EQ02
to 120.0 0.0 0.0 0.0
19 20.9 0.0142 0.0 10.000 0.142 Vel= 3.02
19 21.00 1.682 1T 9.9 5.080 14.446 K Factor @ node EQ02
to 120.0 0.0 9.900 0.0
6 41.9 0.0513 0.0 14.980 0.768 Vel= 6.05
0.0
41.90 15.214 K Factor= 10.74
Computer Programs by Hydratec Inc. Route 111 Windh. N.H. USA 03087