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HomeMy WebLinkAbout40468-Z TOWN OF SOUTHOLD ' BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL • 6 , .. Board of,Health SOUTHOLD,NY 11971 4 sets,of Building Plans , .. TEL: (631)765-1802 Planning Board approval FAX: (631)765-9502 , ,, Survey ' SoutholdTown.NorthFork.net PERMIT NO. 0 I 6 Check Septic Form_ 6, N.Y.S.D.E., Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Contact:Storm-Water Assessment Form /i( 6 Approved ,20 , ,, i Mail to: jj J ' ,,,;kid lir ri Disapproved a/c (---- Phone, 7 3 4--4-4 fY__. .„„, •,,,, Expirati 41.74—(q---'20-- ,71—' ., Buildi t r.T. tar F IB 12 ?o[6 APPLICATION FOR BUILDING PER.T. — , . Date C22. iLl f & 20 INSTRI Jle'Ll()N8 a.This application MUST be completely filled in by'tyIrpewtiter.Or iiiinicand.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 premisemelationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may ito6tbe cominenced,before issuance 9f,Builcliw&Permit. d.Upon approval of this application,the Bui ding Inspector will issue a Building Permit to the applicant.Such a permit shall be kept an the premises available for inspection throughout tIA work. , .. e,No building shall be occupied Er used in Whole oi-hi part far any purpose whit so ever until the Building Inspector issues a Certificate of Occupancy. I'.Every building permit shall expire if the work autholdie'd'hits net Oommenced within 12 months after the date of issuance or has not been completed within 18 months from suchxlitte:6If no zoning amendmentsor other regulations affecting the property have been enacted in the-interim,the Building InspectbiCingy authorize,in writing,the extension of the permit for an addition six months,Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADEto..the6,Builditt&Pep. ent for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town,pf Southola,,Suff0 Cli:''INeW l>flOilk,-and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or artrerilops'07,4-9,removal or demolition as herein described.The applicant agrees to comply with all applicable laws,'ordinance's,buildirigiOde;ihousing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) (Mailffig.address of applicant) , .. State whether applicant is owner, lessee,agen',architect,e ineer,general contractor,electrician,plumber or builder _ ___ 17 .... Name of owner of premises 4- 1,J0Kr--As-5 . (As'on the tax roll.or latest deed) If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) 113uilders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Local'on of landiff which pro eosed work will be done: i -- House Number Street Hamlet County Tax Map No. 1000 Section 13 (.9 Block 0 1 Lot_2,_4-'' . e-- Subdivision Filed Map No. Lot 2. State existing use and occupancy of premIgs and intended use and occupancy of proposed construction: a. Existing use and Occupancy >lit g N b. Intended use and occupancy SAA'? --- 3. Nature of work(check which applicable):New Building Addition A Iteration Repair Removal " 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 cat's' 6. if business,commercial or mixed occupancy,specify nature and extent of each type of use. s ri-'11-rd 7. Dimensns ioo I existing structures,if any: Front Rear Depth HE21c11-it Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height , , ..^. " ":', Number of Stories — 8. Dimensions of entire new construction:Front, ,,., .,i);IL:- , : ,Rdai- . Depth Height Number of Stories 6, 9. Size of lot:Front /Rear )..,. d ,Depth 10.Date of Purchase - Name of Forrner Owner 11.Zone or use district in which premises are situated'`' 'I .4 a 12.Does proposed construction violate any zoning Taw„ordinance or regitlation?YES NO )( . . . 13. Will lot be re-graded?YES_ NO Will excess filfbe4trio1'ted front premises?YES:X NO LY. 14.Names of Owner of premises f'F.,4 i\141P:74e, ,Address :,i„ , . Phone No, 3,5,3 +6, -5s 4- ?— Name of Architect c H4 r,:r___, :,A.ciai.eis ,..., , ,.:,,,„.. .. , ' Phone No S 1F---4-I 75- Name of Contractor ° „,4i„ Addreas- , ,,,i.- ',', i '. , Phone No. 15 a. Is this property within 100 feet of a tidal wetlandltonal:ifreshwater:wetland?i*TYES NO * IF YES, SOUTHOLD TOWN TRUSTEES S.:ii:;, ,.13,'PEWII-Ig'IMA.ti,BEXQUIRED. b. Is this property within 300 feet of a tidal Wetlirid? *^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 IK/ * IF YES,PROVIDE A COPY. STATE OF NEW YORK) , r, SS: COUNTY OF ,cC f-i'...)4- ?' , rz_,_,, being,qui,y,sw;om;clep-Oses and says that(s)he is the applicant --(Name of individual signing contract)above named, ° ^ (S)I-le is the A cc r (Contractor,Agent,Co orme Offi er,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 tbijs. ,, _12- day of i--&,64x-t- 1 20 /7 ____-- -, , of _ __ i otary Public MARY L.S l..LEC,1 , Signature of,.pplicant Notary Pub6c,Siete o:l N iu No 01 S'149E0t7„..,5 S itioac uounty. cluar&fied in L ,,Ju 2%Z6 / Commission Ere -ii -, Town Hall Annex ••. Telephone(631-1802 54375 Main Road Fax(631)734-9502 ' �' P_O. Box 1179 .." Southold, NY 11971-0959 * .q ,° r tilli BUILDING DEPARTMENT NOTICE OF UTILIZATION OF TRUSS TYRE CONSTRUCTION., PRE-ENGINEERED WOOD CONSTRUCTION AND1OR TIMBER CONSTRUCTION Date: Pa I i Owner:. At„J.K.3 12,4",- � � W : ' :„„ ' , Location of Property_ 7� ��� � � ,d Please take notice that the (cheek a6 '' '.line): , New residential structure ', ,-;,,-...i..,..-',', Addition to existing'residential structure . . Rehabilitation to:ane isting.residential structure . to be constructed )s pG ” t , � � .:w or� performedr� ref nce above will Utilize at theY�u ` (check applicable pp ble Ione). Truss type construction" .. Pre-engineeredad: r ct dT . ” .w Timber construction (T in the following location(s) (check applicable line): Floor framing, including;gEr 4er5.:and=L atns(F)_ Roof framing(R) . - .t.. . - - . - •Y Floor and roof 1"rammg F ., Signature: Name (person submitting this fo ): i c- 1a,_„,, t- - Capacity (check applicable line): Owner Owner representative TrussResRegl5.docx Effective 1/1/2015 S.C.T.M.# DISTRICT 1000 SECTION 136 BLOCK 1 LOT 2412 , 141000XI142 12500 A C § AM ;11 111'ti — 11 E 1 p4 „1- 011 ,...41 -... ' ' '7,,, .......... , 2„,,,r. ."— , I . c'gi l''''' „,. cal ' ''' 7, it ;-,„ \ -'" 1 -.,%-,..,•E 1 ;4- 1 g M \ '3 - \7 '''''' — — I , ,, .1 rt '. Id ''' IX BS l',./. Ig ''.C4'.''',,:. 'S (/) g .9' I\; ,., ''''''''ll''' — '''' ' M, r— K--`', —— , ',7' •1 ' ' gi . ,,. — -- ,.- 1/ 4# %Z 0 0010/ \ \\ • ' . :" Z \ 4 ,,0, / . / {, „.7,,,,..4 / r 40 / \ L' 14'1/ /4g1,\ 4710>' /44''':1111>1/0 ''''',/ ,\ \,,:,(1'''' ,././ / / \ z 4..,,,/ , ,c,.\\•.--D / 4, \ , / / \ l ,,,c' ,,-- ..‹,,, ,,/ ,.,- ,--"-- , z',, z „, I l':, :•_______:.qi!, , ;115111 'SEP 10 2019 LA AREA:51,325.10 50 51 or 1.18 ACRES 0/01044 0/000 tRYARTNORID AL.,.CR ADOITION rto MS SURVEY IS A MAME art SEVEN IRO Or MR NEW ROW STAIR EIERAIRREIAR CLIRIER Or EIS 31./8/XY rt.rtor MAIM le giXOSSMIX'S.W.S5E/SEM wag rt..cartsertrtrto ra art A VAUD MIR COPE RIJARAN RIES NENORIER/REM awl rturt ONLY TO ve PERSEVI Mk WOE nr.WARE IS IIPEPARIR MO ON!ER BORA,IV IRE IMF CORPABE GOVISAVAINIPS Aa.14/ENO LIME.IMSEERBON LS.SIERETE 04/0 TO fir ASTICNERS OF Mr MO.IIIRRI4001.GRAIANIERR MX NOT 0(11/0,4 Igiti nuft9rag,?;1 re==.1,,nAcrwag.r..7.-wwgrAroasIrds raumvx,To.rs 410,1010 SISRMACE STRERAIRER RECORDED 40401r001000 ARE/IT OlIAAARRIREO MESS PERSICALII swan art INEI PREARRE:AR rt.Nor or SISER-E mt..LOTS 02-92.2 99-110 NIL. 21321101 TO:ANDREA 52409:1022.,.._ i 011 on EUGENE HEIGHTS 55.2001/1 29, 1928 00.050 010020 00(913/490/J3 102..0S0911/OLD KeNNETH II WOYCHUIC LAND SWRITYTNG.PILO 1 N'v,rra 02-02-25 0026010 COUNTY,NEW YORK Protoselouel Land Survving.d Doak. 14.09E SURVEY&1.13C.roummrz.02/25/15 4.,..eir AA 44,..,,.„1/ ..0.,ligg 1.53 ttvgluxu.Idags 1022 11.93I PIM 0311,..... 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A1111,, zn1- q I r/ril,,,,IIP' 1'111111 s__.. immummumilimammommommommmmEmmummu• lommimmiammommommumminiummEmmommehmaNN -4- IIIIHIIIIMIIIIIIIIHIIIIMIIIIIIIMIIMIIMIMIMIIIIIIIIIMMIMIIIIIIIMMMIMMIIMMIII I 1111111111111•11111111111111111111111111111111111111111111111111111111111111 1 1111111111111MIMM mommommommusammomommoommummommommammon mingunempoimmmummummommmommommammommamom , .. . . - . . .. . . • :.. . . . . . . . .. . . .. . . ... .. . . . .. . . . . . . . . _ ,--- REAR ELEVATION FRONT ELEVATION SCALE: 1/4" = 1' SCALE: 1/4" = 1' 4 p o , 4.) SC:MI 06 —( - 6,, Li, 0 E,_1 cn p— Pw f4 (..) c.,) -tc - - - - - - — - — - - - — - I INbibb. 71111111ff,d Aligilligillk, 41111118 [111 11111,1216•. 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O I I N : . . lc— FW I I aU SF I I I ' " N • tO : zW I I x t- M 0 3/ I I x I �' . o'•, R W REPLACE EX.STAIR I o I I _ • �'o ' ADJUST OPENING AS REQ.PER CODE N MIN.6'-8"CLEARANCE- U o - / 9'-81/2" NEW(2)7-1/4 ML w/EX.6X6 GIRDER �;� 1"4rn cN a /..0 . ;... r, — \ N EX.14"X14" v 4; in Z ti WOOD POST e� O o `\ j _� w A' \ —� N • \ 0 ts M \ \N INSULATE EXTERIOR WALLS w/ — I I R19 FIBERGLASS INSULATION I e INSULATE EXTERIOR WALLS w/ PROVIDE 18"CLEARANCE AROUND In a .'0 CEILING TO BE INSULATED w/ N) a R33 POLY SPRAY FOAM INS. WOOD BURNING STOVE FOR FLOOR N N R19 FIBERGLASS INSULATION N \__ FLOOR TO BE INSULATED w/ PAD(NON-FLAMMABLE)PER CODE. R7 FOAM INSULATION STOVE TO BE 38"MIN.CLEARANCE w/1"AIR SPACE(TPP.) • BETWEEN SLEEPERS FROM ALL WALLS. r. c t— M •. I I I CD _ I 1 NEW WOOD BURNING STOVE R (..J 4 4 1 "ROVIDE INSULAT EXTERIOR GRAD •ROVIDE INSULAT:,,EXTERIOR GRAD QI BOORS w/WEATHER RIPPING(MN.U28) DOORS w/WEATHER,TRIPPING(MIN.U28) �l-1 P4 \ \ ,, I ISI I , \ \ o / 12'-11 /2" / 8'-7" / 4'-8" / w Q 26'-21/2" O N CA / 26'—21 '' �, CA 2ND. FLOOR PLAN ....., W (., SCALE: 1/4" = 1' 1ST. FLOOR PLAN EREScheck Software Version 4.6.1 SCALE: 1/4" = 1' fet Compliance Certificate Project Energy Code: 2010 New'fork Energy Conservation iOcatiarc: 'Suffolk County,New Tork Construction Type: Single-family Project Type Alteration Crenate Zone: 4 Permit Dar. Permit Number. Construction Site: Owner/Agent: gner,`Cantractar: KAHKER Wok Scorerte Architect 275 OAKS-MEET P.0 lint 533 C1 TC7iO613E,NY Cur hogue,pit 11535 Cd W Z C31-734,41115 micsairchitectttiostonlinewet W <_Nr. ...-,:,,„•,:i ,77,77.779—,;,•„•,-,,•77717,',77-77:77,7,7,,2�•vktarr..e:O.frl4 Betteriltare Cede•.,<v ,•�}Gaxirr+urn tFA✓✓�u••.-•tare tlA.e. .. (1) "i v C Tho.MM...Moot Tlum rod*d..1 oOw,how ay.irremornmearir h.".-ir i..*d seas...dr_F ease Y 0 a earn Not[.moria a.sst,6.n.t of 054.gr ass„�e,tt.o....+wanvs.c.d,hent. Envelope Assemblies 0 4 x x; y"` T T it's..�T .� 11tk'.rls .fi, r . 7: ;:va (qac „ > yF NN. U Floor It 5Lnb-Om-0radeNrated 300 7.0 1.025 102 Insedxxin depth:0.1' Waft 1:Wood Forme,16'a.c. 503 33 0 0.0 0.047 27 Window 1,Wood Fn no,Double Paseo Mid,1.mrE 27 0.320 5 Window 2,Wood Forane:Da ble Pane with loom-S 5 0.300 2 _ Door 1:Solid 21 0320 7 < : p ”'A R"�. _ u 00 2:Solid 150 0380 46 I Wen 2:Wood Forme.IC-or. 365 15.0 0.0 0.060 15 Cr" tN S 0s, '''NN Window 3:Wood FmmeVeruble Parse with low-E 12 0300 4 V ' +J Door�3:Solid 18 0280 5 1 r7 t el d+"1 Pi,/� 4,'✓ iCefirng 1:Cathedral C elli p 628 15.0 0.0 0.052 33 Ct;.. r..�.,, .1 Ia' " DRAWN: MH/MS C pf once Statement'The bu3ding design,described hers is stent wit,the bung plans,specifications,one/other Z Lam':`, ` " I•I ism... . P;4 fi SCALE: 1/4"--F-0" calculations submitted with Cf,e permit applirmtion.The proposed loutding has been elesigned to meet the 2010 new York Energy • IC, a t 6» .:a Conxrvetion C nm rtoi Code requirements in RESrir_.-k Version 4.6.1 mei to carom lv with the nerd elements ksted iis �l .�. n 1� �3 .{g. 5'5M. JOB#: P. otomy new 9� - «.+ the P.FSctfedr Inspection Checkfa2 � ,_4,L-7;r:':,''.:,•-::.c.:;••.--'. - ,,,p game-Tae Sgnaa a irate �� +11. °. February 11,2016 4 1; . 7` Ci223• 33t�Vzz SHEET NUMBER: ,... „,,.. Project-ate: Reporcdate- 02/11/16 i ...,2 y Data filename:C_IllserslDrafting StatasrtfJocurnen&5PESchecklPFANNER-2 rck Page 1 of 2