HomeMy WebLinkAbout40292-Z �Q���'��'�� Town of Southold 7/1/2016
,..,,'� � , P.O.Box 1179
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p � � � 53095 Main Rd
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� CERTIFICATE OF OCCUPANCY
No: 38374 Date: 7/1/2016
TI�IS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 4415 Camp Mineola Rd, Mattituck
SCTM#: 473889 SecBlock/Lot: 123.-5-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/12/2015 pursuant to which Building Permit No. 40292 dated 11/23/2015
was issued, and confortns to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR �
The certificate is issued to I.evi,David � '
of the aforesaid building.
SUFFOLK COUNTY I)EPARTlYIE1VT OF HEALTH APPROVAL �
ELECTRICAL CERTIFICATE NO. 40292 OS-31-2016
PLUIVIBERS CERTIFICATION DATEI➢ � 06-22-2016 G orge J. Berry Jr
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Autho ' d Signatur
���o�} TOWN OF SOUTHOLD
��,a`� �'�'�� . BUILDING DEPARTMENT
� - TOWN CLERK'S OFFICE
oy . o��� � SOUTHOLD, NY
�pl���� ' .
- 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#: 40292 Date: 11/23/2015
Permission is hereby granted to:
Willets, Adam �
4415 Camp Mineola Rd
� Mattituck, NY 11952 ,
To: Additions and alterations to an existing single family dwelling as applied for.per DEC
NJ letter with flood permit. �
At premises located at: _
, 4415 Camp Mineola Rd
SCTM # 473889 •
Sec/Block/Lot# 123.-5-22
Pursuant to application dated 11/12/2015 and approved by the Building Inspector.
To expire on 5/24/2017. '
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $411.20
CO -ADDITION TO DWELLING $50.00
Flood Permit $100.00
Total: $561.20
spector
` • � P
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 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. Commerctal building,industrial building,multiple residences and similar bui�dings 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 Apri19,1957)non-conforming uses,or buildings and"pre-existing"land uses:
1. Accurate survey of properiy 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 Buildmg Inspector shall state the r.easons 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 bui'lding$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.�9�/6� .
- New Construction: Old or Pre-existing Building: •� (check one)
" . Location of Property:��C� ���0�,���j�� �'J^ • /�� ���
' House No. Street � Hamlet�
Owner or Owners of Property: �G�/J//i � (� s��(��j �e(/� �
Suffolk County Tax iV1ap No 1000, Section �o�� Block � Lot ��� � .
Subdivision � ' 'Filed Map. � Lot: - .
`Permit No. �v Z"�?/ Date of Permit. Applicant: �
Health Dept.Approval: Underwriters Approval: -
Planning Board Approval: `
Request for: . Temporary Certificate � Final Certificate: (check one) �
Fee Submitted: $ dj� � � � ` �
' ' , ���`,��z�'
� � • , Applicant Signature ,
, � . , .
����pF SOVj��,�l
Town Ha1lAnnex � Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
�
soucnoia,NY 11971-0959 0l� �yo roqer.richert(a�town.southold.nv.us
COUNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIAIdCE
SITE LOCATION
IssuedTo: Levi (Wdlets)
Address: 4415 Camp Mineola Road City: Mattituck St: New York Zip: 11952
Building Permit# 40292 Section: 123 Block. 5 Lot: 22
WAS EXAMINED A[VD FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
cor,tra�tor: �BA: Paul Burns Electric �icense No: 3897-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat GAS Duplec Recpt 33 Ceding Fixtures 4 HID Fixtures
Service 3 ph Hot Water ELE GFCI Recpt 4 Wall Fixtures 18 Smoke Detectors 3
Main Panel A/C Condenser 2 Smgle Recpt Recessed Fixtures 20 CO Detectors
Sub Panel A/C Blower 2 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances DW Dryer Recpt 1-20 Emergency Fixtures Time Clocks
Disconnect Switches 36 Twist Lock Exit Fixtures TVSS
� ocne�Eq��pme�t: 1- Combination Smoke/ CO Detector, 5 ARC Fault Circuit Breakers,
1-Paddle Fan, 3-Exhaust Fans,6ft Multi Outlet Wire Mold
iNotes:
1
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�I, Inspector Signature: _ Date: May 31, 2016
iz Electrical 81 Comphance Form(2)xls
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� Town Hall,53095 Main Road � � �
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� Southold,Ne�v Yori.11971-09�9 �� `�� �
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� BUILDI�IG DEPARTMENT �G DE�•
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Date: o�-�
jBuilding Pernut 1Vo. . �� -/�
� Owner: ���� � t ��SJ�L r�" �.1�J� �
� {please print)
Plumber: �� �. _ ��cS1'� ��-
f (please print)
I certify that th.e solder used in fihe vvater supply system contains less than 2/l.0 of l.%
Iead. �
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� Sworn to before me this o�a'�� .
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Notary Public, Couniy Y r �� �
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� �o��OF SOUT,�,OIo
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� � . TOWN OF SOUTHOLD BUILDING�DEPT. � �
r� 765-1802
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- � l 1� 111SPECT N
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'�, [ ] FOUND N 1 ST
[ ROUGH PLUMBING
`, [ ] F DATION 2ND [ ] INSULATION
ft [ FRAMING / STRAPPING [ ] FINAL
;� [ ] FIREPLACE � CNIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETFiATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
� [ ] CODE VIOLATION [ ] CAU NG _ __
� REMARKS:
.
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- ATE � Il � �
D INSPECTOR
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. ��, o �o��OF SOUlyOlo -
p��/ (� '� �'� . -
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- �y�OUNiY,��
. TOWN OF SOUTNOLD BUILDING -DEP'1'.
" 76a-1802
� � 1111SPECTIO�N=
[ ] FOUNDATION iST [ ] ROUGH PLUMBIWG �
[ ] FOUNDATION 2ND [ ] INSULATION ,
[ ] FRAIVIING / STRAPPING [ ] FINAL �
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION "
[, ] ELECTRICAL (ROUGH) [�. ELECTRICAL (FIIdAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
�/�� � - �"�--�~��-�
DATE � l � INSPECTOR �- � - � �-
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���OUM`I,��
- � TOWN OF�SOUTHOL�D �UILDING DEPT.
765-1802 -
� 1 N�SPECTI ON
[ ] FOUNDATION 1 ST [ ] ROUGH PLIJMBING
[ ] FOUMDATION 2ND [ ] IN LATION ,
" [ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE �-CHIMNEY [ ] FIRE SAFETY INSPECTION
- [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
.
REMARKS:
` G/.
. DATE 0� �3 �� INSPECTOR ' '�''�
' Jun. 08o2016 09:49 AM Samuels & Steelman Archit 631 734 6407 PAGE. 1/ 1
` S A M U E L S & �
� T E E L M A N
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June 8, 201$ D ������
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Building Depa�tment , � � JUN � � 2016
Towrr Hall Annex �
Main road � �BtTILDIIV'G D�PT.
S�uthald, NY 11971 �OWY�11QF50UTHOLD
FAX 765,950� .
, Re: ; ACOS71N0 Ft�SiDENCE
, B1�#40121 -
� I hereby certify tha#the specified s#eel dowels were inserted between the existing and new
- foundation walls on this proje�t, structurally connecting them �s required, and that all other
provisiQns of the project-were accomplished as drawn. � ,
Thank you, -
,��o� N�W�
y����G s���.�,� .
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Tom Samuels, RA � �
nRi'I IITf c"fS
, l,1.i,MAIN RO�D
� " ( U I(,.I I(H�UI•,NI W Y(7R{< '11')f i
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�amuels and Steelman Architects
25235 Main Road, Cutchogue, NY 11935 .
634 734 6405
June 29, 2016
Building Department
Town Hall Annex
� Main Road
Southold, NY 11971
Re: ADDITIOWS AND RENOVATIONS TO LEVI RESIDENCE �
4415 Camp Mineola Drive �
Mattituck, NY 11952
BP�# 40292
Attached please find the amended ResCheck for the above reference project. During the
course of construction, some existing walls were opened and re-insulated. The attached
ResCheck takes account of that. Please note that the house passes, and is fully in
compliance with the energy usage portion of the NYS Building Code.
If complete, please prepare a Certificate of Occupancy for the project, and notify us of same. �
�
Thank you for your assistance,
o c c��a��
F �E� D
�'�P�� s G'Sq�1C,�� �UN Z 9 Za16
o� �< ,
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� ~ ��`� � BiJIL1DING DEPT.
T09VN OF SOUTHOLD
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ED P��'� �
Tom Samuels
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' T���� �������� �UILI�ING PERMIT APPLICATION CHECKLIST
BUILDII�TG DEPAIBTlb%�El�'�f Do you have or need the following,before applying?
TOWI��LY� Board of Health
��1[�,�gOI,D�T�Y �fl973� ' .� 4 sets of Building Plans
'��L: (631)76�-1�0� , Planning Board approval
�'+A�: (631) 765-9502 ' Survey
Soutlno9slTown.1l�TTortlnForl�.��t �]ER1�dY'T I�Oe a a.� Check
� Septic Form
N.Y.S.D.E.C.
. Trustees
Flood Permit
Examined 20 Storm-Water Assessment Form
�� �on�cg:
Approved / 2� Ma�l t°'
Disapproved a/c v�� ����
Phone: �� 4�'�✓�
Expiration � 2 ,2�� �
___---1 .
��f ,� � � � � � I �uilding Inspector
Q L, !
� �gLICA7CI�I�F����IIL�I�TG PE�IT . .
��OV � 2 20g� ��,
I�ate 20.L_
�� BLDG iIEPT
II�T�'I'R�JC'TIOI��
TC'1J�0� SO!!THGLD
-��Yti ca on . ST 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 adj oining 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.
�� •
(Signature of applicant or name,if a corpora.tion)
� ��/�i/,�rr�� ,�o � ���C�c��P,
(Mailing addre s of applicant)
Sta.te whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
�,�r.���,�e��'
Name of ovcmer of premises �G��� Q`.G'L�/���c��1�'��a,
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer _
(Name and title of corporate officer)
�uilders License No.
Plumbers License No. �
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done: �
- � �',
House Number S, eet' '� ,,, � i, Hamlet
. , , ,, ,
" � �'!� ���?�`'`'�•1�.. ._s`�'':_;�''^„�i` ` ��:../
County Tax Map No. 1000 Section �������'��`���°' ``�'=+B1'ook�'�;��°rJ'�{��'��"'_�; Lot ��
Subdivision � "V �,'F�iled 1VIa�1Vo. Lot
..,- f�
,. .� ......_��t���ii�i�,it,.��tii`i:'�c; '::�;vr�'<'ii�;�`1:
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ��%��,l,��p ` � � �
---� " r�' `� '
b. Intended use and occupancy �'G�i� �
3. Nature of work(check which applicable):New.Buildirig ` Add'ation 1� Alteration �
l�epair 1Zemoval I�emolition ' Other Work �
(Description)
4. Estimated Cost � `����Q� � 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. _ ��, '
7. Dimensions of e�sting�structures, if any: Front �� � � Rear ��e3 � I�epth 9r c� �
��
Height �� �-� N�arnber of Stories - �i,��
Dirnensions of same structure with alterations or additions: Front �''�i� Rear-�
Depfh �S/� Height aS�C�r�2P, Number of Stories ����,
a:��;�'y 4 f ;t��ji,!
8. I�imensions of entire new construction: Front /�/Q. Rear /��c, I�epth� ` r %�
Height /�/,�, �luanber of Stories , �(OQ, .
9. Size of lot:Front �,3 e� � I�ear J��l�I�� I�epth ��I�e �� � I
10. Date of I'urchase c�l�6�~ Name of�'ormer Owner
11.Zone or use district in which premises are situated - ��j �
12.I�oes proposed construction violate any zoning law, ordinance or regulation?YES NO t/
13. Will lot be re-graded?YES NO y Will excess fi11 be removed from premises?I'ES NO� ,
` 7�,�7� 9��.�
14.Names of Owner of remises (/,f Address /V���. 'I�� Phone No.
Name of Archatect ' Address ��r _cFi�rea�� Phone No 7�tC ��OS �
Name of Contractor Address �—Phone No�— '
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ✓ IVO
* IF YES, SOU'I'�iOL,I�TO�T+IN TR�JS7['EES �i]�.E.C.PERMITyS 1VIAY BE REQUIRED.
b.Is this property within 300 feet of a tidal wetland? * YES {� IVO '
* IF YES, I�.E.C. PERIVIITS 1VtA,Y BE 1�EQUIREI�.
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 properiy? * YES . 1V0 �/ ,
�` IF YES,PIZOVIDE A COPY.
STATE OF NEW XORK) '
SS:
COUNTY OF ��� � ' .
��ti,t� C��C�„GYL�,.,� s�being duly swom,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(��ti�1S i�l� '� - a''/�'YYif � �/ �
(Contractor,Agent, Corpora�O e tc.)1���� - , ._ ____ -
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 a11 statements contained in this ap�lication 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.
Swom to before me this ,
J ath day of �(�1Y1�121r 20_� , ..
• CEY L. DWY
Notary Pu ic NOTARY PUBLIC,STATE OF NEW YOR Signature of Applicant
� NO.01 DW6306900
� QUALIFIED IN SUFFOLK COUNTY - -
COMMISSION EXPIRES JUNE 30,2Q1� ,
� iVEVli YOR9C STATE DEPAFtI'IVIENT �F EN�/IRONI�ENTA►L CONSER!/�4TION
Division of Environmentai Permits,Region 1
SUNY Ca�Stony Brook,50 Circle Road,Stony Brook,NY 11790
P:(631)4440365 I F.(631)444-0360 , �
www.dec.ny.gov '
TIDAL WETLAND LETTER OF NON-JURISDICTION
October 28, 2015
David &Jessica Levi �
68 Jane Street Apt 2E
New York, NY 10014 ,
Re: UPA#1-4738-04380/00004
Owner— David & Jessica Levi
Facility—4415 Camp Mineola Drive SCTM#1000-123-5-22
' Mattituck (Great Peconic Bay)'
,
Dear David & Jessica Levi:
Based on the information you have submitted, the Department of Environmental Conservation
. has determined that the referenced property located landward of a bulkhead greater than 100
feet in length and constructed prior to 8/20/77, as evidenced on Tidal Wetlands'Map#708-538
and shown on the survey prepared by John C. Ehlers dated 9/15/15, is beyond Tidal Wetlands
Act (Article 25)jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land�Use
Regulations (6NYCRR Part 661) no permit is required. ,
Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward
of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your �
responsibility to ensure that all precautions are taken to prevent any sedimentation or �
disturbance within Article 25 jurisdiction which may result from your project. Such precautions
may include maintaining adequate work area between the jurisdictional boundary and your
project (i.e. a 15' wide construction area) or erecting a temporary fence, barrier, or hale bay
berm.
Please note that this letter does not relieve you of the responsibility of obtaining any necessary
� permits or approvals from other agencies or local municipalities. �
Since�ely, � -
. ,/' G��� ' � .
' � . Laura Scovazzo
, , Deputy Permit Administrator
cc: T. Samuels/Samuels & Steelman Ar�hitects � � ,
BOH-TW
File
NENVYORK pepartmentof
STATE OF
OPPO0.TUNIfY Environmental
Conservation
Scott A. l�ussell
,���su���� �'7C'�0>]E�.I��l[��VA\']C']E][�.
s��ERvaso� � � I�v1[A\�A\�G�]E��l[]El�'7C'
SOITTHOLD TOWN HALL-P.O.Box 1179 v" �
53095MainRoad-SOUTHOLD,NEWYORK 11971 � Tow� of�'outhold
�o� ���
CI�APTEIZ 236 - STORN1yVATER 1VIA1\TAGElVIENT�VORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
I '��lE� 'IC�3[d5 �1E3��lE�Ci[' �1�r�OlL�IE A�� fllF '1['�-�lE ��lL]L�O�TNI[i��:
� Yes No (CHECTi ALL THAT APPLYI
� ❑� A. Clearing, grubbing, grading or stripping of land which affects more
� than 5,000 square feet of ground surface. �
❑[�B. Excavation or filling involving more than 200 cubic yards of material �
� � within any parcel or any contiguous area. �
❑� C, Site preparation on slopes which exceed 10 feet vertical rise to I
❑� 100 feet of horizontal distance. ► �
D. Site preparation within 100 feet of wetlands, beach, bluff or coastal �
❑� erosion hazard area. �
E. Site preparation within the one-hundred-year floodplain as depicted
❑[� on FIRM Map of any watercourse.
F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was i-eceived by the Town and the proposal includes
in-kind replacement of impervious surf aces.
� If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Nwnber! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT (Propertv Owner,Desi�n Piofess�onal,Agent,ConUactor,Other) S.C.T.Nt. *: 1000 �!9 Date
Dbtnct �� �f .� ,�
nAti,E ��d��ds G. �,��l�s � 12� � ��"
�rn�,c� Section Block Lot
'�,�,��
�3�"' l.��o� �*�*FOft BUILDWG DEPARTiV1ENT USE ONLY***'" I
� Contact Infoimation !
(Te epharc humbrc�
� � Revie���ed By:
— — — — — — — — — — — — — — — —
Property Address /Locat�on of Construction Work: _ _ _ _ _ _ _ Date_ _ � _ _.� _ _
� � r � Approved for processing Building Permit
� �� �� ��L� �� Stoimcvater Management Control Plan Not Requited. �
, 1 ��2 Stormwater Management Control Plan is Required.
� � (For�vard to Enguieermg Department for Re��iew) �
FORM # SMCP-TOS MAY 2014
„�
n -
�o��OF S��jly�`o ;
,
Town Halt Annex � � Telephone(631)765-1802
54375 Main iioad y � (631)765`95Q2y .
P.O.Box 1179 . � • er ro er.richert #flWt1.S0Uu�0[Q.n ,llS
Southold,NY 1197i-0959
� �
����4UNt`I���
, BUILDI�iG DEPARTMENT �
z�ow�v oF sov�rAo�
APPLICATlON FQR ELECTRICAL 1NSPECTI4N
� . ,
, . , . . _ ., , � , , � ,
- REQUES�'ED BY: ,3ab ,av�✓�s Date: z g �� t
Compa�y Name: �ac,� uu rn Cl�c.'�,��cc.( c�,r�s �..
Name: � ��� d d�. �u rn� . _ �_
Li�ense No.: M� �
Address: .�o � �pG � -- . - 3
' Phone Na.: � /� 3 G s - 73�' � i-
JOBSITE INF{?RMATION: {*Indicates:requi�-ed in#ormation) �
*Name: � I
�acv�G,( cn�t)�4SS i�CGc �G��/d�
'�/a1C�C�FeSS: 4�3 G� �'�.,n,�,r� �e'n�e le� 2tf , .�.,., . �—
*Cr�oss Stree#: ���w J��m f� ' ” ;
*P�one No.. ' �-- "". ' j
�
Permit No.: yoZg Z
Tax�Map District: 'lOOQ S�c�io�: g���k: �ot. -
*BRIEF DESCRiPTiON OF WORK(Please Print Eteariy) � . _ �
w�r�. l�o�.s�a. , �s�"� � G�-t' • -
tPiease Circie All �'hat Appiy)
/��
*Is job ready for inspection: YE / NO Rough in Final ( \ �
'��]o you need a Temp Certifcate; . � �
. YES! NO �
Tern Information !f�needed ' � � � �
P � � �� � �
*Service Size: 1 Phase 3Phase 100 950 20Q 300 350 400 0#her
/-� �
�'Nevu Service: Re-connect Underground Number of Me#ers Change of Service Overhead ?�j �� .
Additionai Informafion: PAYMENT DUE WiTH aPPUCATION
. � , � � ��
� �, �,
�o
82-Reques#for lnspection Form n � �
r a �
� �
�
,t .
�
�ea-�a .
, APPLICATiON #_
PAGE 1 of 4 ,
TOWN OF SOUTHOLD
I'LOODPLAIN DEVELOPMENT P�RMI'T APPLICATION
This form is to be fiiled out in duplicate.
-�
SECTION 1• GENERAL PRO�'ISIONS (APPLICANT to read and sienl:
1. No work may stari until a permit is issucd.
2. Thc permit may be revoked i[any falsc statemcnts arc madc hcrcin.
3. If revokcd, all work must cease un[il pesmit is re-issucd.
4. Development shall aot be used or occupied until a Certificate of Comp(iance is issued_
5. The permit will expire if no work is commenccd within six months of issuance.
6. Applicant is hereby infarmod that other permi�s may be required to fulfill local,state and federal regulatory
requuements.
7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable
� inspections required to verify compliance.
8. I,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND LN ATTACHMENTS TO
_ THIS APPLICATION ARE, TO THE BEST OF MY KNO�'VLEDGE, TRUE AND ACCURATE.
(APPLICANT'S SIGNATURE)�Y uVw�✓�-�1 ° DATE �
SECTION 2• PROPOSED DEVELOPMENT (To be completed bv APPLICAiv'�
NAME AD D R ESS TELEPHONE
(� nA' �j,,¢ .�/ bP
APPLICANI'�� 1 OG�I►'W�LI,�GI , [i P �• � �C/
BUILDER
ENGINEER
�
PROJECT LOCA'I70N:
, To avoid dclay in processing thc application, plcase provide enough information to casily identify the project
location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the
distance to the nearest intersecting road or well-known landmark. A sketch attached to this applica[ion showing
thc project loca[ion would be hclpful. ��
- � � ti `�,co(.� i�r�v� � C�.e�.t eco�i� ' SC �' - �-o�"���
FDP(93)
�� APPLICATIOt� �
� PAGE20F4
DESCRIPTION OF WORK (Check all appGcabic boxes)•
A. STRUCTURAL DEVELOPMENT ,
ACTIVTTY STRUCTURE TYPE
❑ N w Struc[ure �Residential (1-4 Family)
�dition O Residential (Morc than 4 Family)
Alteration ❑ Non-residential (FloodprooFmg? � Yes)
❑ Reloca[ion ❑ Combined Usc (Residen[ial & Commeraal)
O Demoli[ion ❑ Manufactured (Mobilc) Home (In Manu-
❑ Replac�ment factured Home Park? ❑ Ycs)
ESTIMATED COST OF PROJECT S �aO`�•
B. O"I'HER DEVELOPMENT ACTIVIT'IES:
O Fill O Mining O Drilling O Grading
❑ Excavation (Ezcept for S[ructural Development Checked Above)
❑ Wa[ercourse Alteration (Including Dredging and Channel Modilications)
O Drainage Improvements (Including Culvert Work)
O Road, Street or Bridge Construction
❑ Subdivision (New or Expansion) .
O Individual Water or Sewer System
� Other (Please Specify)
After completing SECTION 2,APPLICANI' should submit form to L.ocal Administrator for review.
' SEC'TION 3 FLOODPLAIN DET'ERMINATION (To be comnleted bv LOCAL ADMINISTRATOR)
_ The proposed development is located on FIRM Panel No. , Datcd
The Proposed Developmen[:
O Is �IQT located in a Special Flood Hazard Area (Notify ehe appGcant that the application
� review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED).
O Is located in a Spedai Flood Hazard Area.
FIRM zone designation is
100-Ycar Qood cicvation at lhc sitc is: Ft. NGVD (MSL)
❑ Unavailable
❑ The proposed devclopment is located in a floodway.
FBFM Pancl No. Dated
❑ Scc Scction 4 for addi[ional instructions.
SIGNED DATE
t , APPLICATION #
� PAGE 3 OF 4
SECTION 4• ADDITIONAL INFOFZMATIOT�I REOUiRED (To he comnleted bv LOCAL ADMiNISTRATOR�
The appGcan[ must submit lhe documents checiced below be[ore [be applicalion can be processed:
❑ A site plan showing the location of all existing struciures, water bodies, adjacent roads, lo(
dimensions and proposed developmen[.
❑Devclopment plans,drawn to scale, and spccifica[ions, including where applicable:details for
anchoring s[ructures, proposed elevation of lowest (loor (induding basemen[), types of water
resistant materials used below the first floor, details of floodprooFing of utiIities located below
[he Cust floor and details of cnclosures below the first floor.
ALso, - -
❑ Subdivision or other developmcnt plans (If the subdivision or othcr development excceds 50
lots or 5 acses, whichever u the lesser, [he applicant must provide 100-year flood elevations
if thcy are not otherwisc available).
❑ Plans showing the cxten[ of wa[ercourse relocatiou and/or landform alterations.
❑ Top of new I"ill elevation Ft. NGVD (MSL).
❑ Floodproofing protection level (non-residencial only) Ft. NGuD (MSL). For
floodprooCed structures, applicant must attach certification from registered cngineer or
architect.
0 Cercification from a regis[ered en�ineer tha[ the proposed activiry in a regulatory floodway
will not result in an increase in the height oE the 100-year flood. A copy of all da[a and
calculations supporting this finding must also be submi[ted.
❑ Other:
SECTION 5• PERMIT DETERMINATION (To be completcd bv LOCAL ADMINISTRATORI
F
I have determined that the proposed activity: A. O Is
, B. O Is not
in conformance with provisions of Local Law # , 19 . The permit is issued subjec[ to the conditions
attachod to and made pazt of this permit. �
SIGNED , DATE
If BOX A is checked, the L.ocal Administrator may issue a Development Permit upon payment of desi�ated
fee.
If BO� B is checked, (he Local Adminisirator will providc a written summary oC defciencics. Applicant may
revise and resubmi( an appGcaeion lo the Loca( Administrator or may request a hearing from the Board of
Appeals.
.Y
� �
, APPLICATfON #
PAGE 4 OF 4
APPF�IS Appealed co Board of Appeals7 ❑ Yes O No
Hearing date:
Appeals Board Decisio❑ --- Approved? ❑ Yes ❑ No
Conditions
SECI"ION 6• AS-BUTLT ELEVATIONS (To be submitted bv APPLICANT before Certificate of Compliance
is issued
The following information must be provided for projcct structures. This sec[io❑ must be completed by a
registered professional engineer or a Gcensed land surveyor (or attach a certification to [his application).
Complete 1 or 2 below.
1. Actual (As-Buil[) Elevation of the top of the lowest flooc, including basement (in Coasta! Hi�h Hazard
Areas, bo[tom of lowest structural member of the lowest floor, excluding-piling and columns) is:
FT. NGVD (MSL).
2. " Actual (As-Built) Elevation of floodprooFmg protection is FI'. NGVD (1viSL).
NOTE: Any work performed prior to submittal of the above informa[ion is a[ the risk of the Applicanl.
SECTIOIV 7• COMPLIANCE ACI'ION (To be com�leted bv LOCAL ADMINISTRAT R
The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of Che project to
ensure compliance with the communit}�s local law for flood damage prevention.
INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
- DATE BY DEFICIENCIES? O YES ❑ NO
SECTION 8: CERTIFICATE O�COMPLIANCE(To be comnleted bv LOCAL ADM14INISTRATO�
. Certiticatc oC Compliance issued: DATE: BY:
,1 _ —
,
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U.S.DEPAFC�MENT OF HOMELAND SECURITY �LE1/ATION CERTI�ICATE OMB N0. 1660-0008
� FFDERAL EfNER6ENCY MANAGEMEN7 AGEIVCY Expiration Date: July 31, 2015
f�auwcl;IooJ In,urance Yiug�am (MPORTAN7:Follow the IhsttucL'ons oh pages 1-9,
•SECTtOW A-PROPERTY IN�ORMATIOPI FOR INSURANCE COMPANY U5E
A1. Bwidmg Owners Name qdam Wiliets Policy Number•
A2. f3widin Street Address{includin Api.,Uhit,Suite,and/or f31dg.No.)or PO.Route and Eiox 1Vo. Company NAIC Numt�er:
4d�15 Cam Mineola f�oad
c�cy Mattituck State NY ZIP code 11952
A3. ProPe�ty�esr,nphon(I ot and Rinr,k Niambers,Tax Parcei Numher,Legal Descriptlon,etr..)
Suffolk County Tax Lot No. 1000-123-5-22
A4. Bwiding Use(e.g. Residential,Non-Residential,Addiuon.Accessory.ete.} Residential
A5, Latitudc/Long�iudc.lat. 40 5R'4A" Long. 72 31'35" , tlonzontal Datum: ❑NAb 1�J27 ❑NAO 1�83
A6. Attach at least 2 photographs oi the building�f the Certificate is being used to obta�r,flced insurance ,
A7. Btuldin�Dia�ram Number R
A8. For a building Hnth a crawls�ace or enclosure(s): A9.For a buiiding wrth an attached garage:
a) Square footage of crawlspace or enclosure(s) �75 sq ft a) Square footage of attached garage sq ft
b} Number uf perrnanehl doud opernngs tn the ctawispace � h) Numher of permanent flood opemn�s m the attached garage
or encl4sure(s)within 1.0 ioot abeve ad�acerit grade within 1..�foot ahove ad�acent grade
r) Total net arPa of finnd on�nings m AR b � sq In c) Total nck area of flood upenmgs in A9.b sy m
d) Engineered flood openin�s? ❑Yes ❑No d) Engineered fleod openmgs? 0 Yes ❑No
SE�i'ION B-FLOOD INSURANCE RATE iVIAP(FIf�Ni} INFORMI�TIOPI `
B1. NFIP Commumty Name&Community Number B2.County Name 83.State
Town of Southold Suffolk NY
B4. Map/Panei Number B5.Suffix 86 FIRM lndex Date B7.FIRM Panel Effect�ve/ 88.Fiood Zone(s} B9.Iiase Flood Elevat�on(s)(Zone
Rewsed Date AO,use base flood depth)
36103C0482H H 09l25/2009 09/25l2009 AE,VE 6, 8
' 81U Ihdicate the source of 1lie Base Flo��d Elevatiun(8FE)data ur base tlood dep[h entered m Ilem 89:
❑FIS Profile �FIRM ❑Cammuniry Determined ❑OtherjSource.
B]9.Indicate elevaUon datian used`or 8FE�n Item F39• �N�VO 1929 �NAVD 1988 ❑Qther/Source:
�12.Is the building located in a Coastal Barrier Resourr,es System(C8R5)area or Otherwise protected Area(OPA)? ❑Yes ❑No
Uesignation Date: / / ❑CBRS ❑OPA '
SECTION C-BUILDIN�ELEVATIQPd INFORM�TIOP!(SURVEY REQUIF2ED)
C], Rwiding elevai�ons are has.=d on: ❑Construr,tion Drawings* ❑Ruildmg Under ConsVur.Yion* �Finished ConstrucUon
xA new Clcvation Ccrtihcate wdl bc required wi�en constructian of thc rudding is completc.
C2. Elevalions-`Lones A1-A30,AC,AI i,A iwith OFE),VE,V1-V30.V(with OFC),AR,�iR/A.AR/AC,AR/A1-A30,AR/AI I,ARJAO.Complete Items
C2.a-fi below accordtng lo the L�uildmg diagram specified in Item A7.In Puerto Rico only,enter meters_ -
Benchmark Utihzed� VerUcal Oatum:
Indicate elevation datum used for thc elevat�ons in items a)th�ough h)below. ❑NGVO 1�J29 �NAVD 1988 ❑Other/Source:
Datum used for bwldirig elevauons nwst be the same as that used for the BFE. Cneck the measurement used.
a) fap of bo[tom ttoor(mcludutg hasement,crawlspace,or enclosure floor) 6 . � �feet ❑me[ers
b) Top of Che neXt higher fioor 8 , 7 �fPe�
❑me[ers
c) C�ottom of the lowest horizontal structural meriber(V Zones cnly) . ❑feet ❑meters
d) A!tached garage{tup o(slab) ,
❑feet ❑tneters
e) Lowes[elevatt�n of machinary or equipment servicing the building � . 0 �feet ❑meters
(Descnbe type of equipment and IocaGon in Comments)
f) Lowest adjacent(Gnished)grade neM to buddin�(LAG) 6 , 6 �feet ❑meters
g) H�ghes!adjacehi(finishedj grade nexl to budding(HAG) 7 . � �feet ❑ineters
h) Lowest ad�acent grade at lowest elevat�on of deck or stairs.�ncludii:g 7 , 3 �feet ❑meters
structurai support
SECTtON D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certificat�on is to be si�ned and sealed by a land surveyoi,eng��eer,or architect airthorized by law to certify elevation
informaUon.J certify that the informaUon on this Cenrficate represents my besi efforis io mterpret tbe daia available. 7. �
1 undersiand[hat any fal.se statement may be punisha6le 6y frne or imprisonment under 18 U.S.Code,Section 1001. �� N�� �
❑Check here�f coniments are prowded on back of form, Were la[�tude and longrtude m Sectwn A provided by a •C,�'�G Ehf/,�. o
❑Check here�f attachrnents. hcensed land surveyor� �Yes ❑No ��k°'�'r '��'�,�
CerUhers Name � �
License Number
z ,*
JOhn C.Ehlers LS 50202 � •n ,<' y
Trtle Company Name �a „ +.� �
Land Surve or John C.Ehlers Land Surveyor � . ¢
Address City State ZIP Code �C� �i� �'�
6 East Main Street Riverhead NY 11901 �%Z 50202 �5
Signature Date Telephone �����,�{�y���'1��
L{,.� 07/23/ZQ15 631 369-8288 �
FEMA Furm� Crt}33(Revised 1/12) See reverse side(or c�nUnuaUon. Replaces ell previous editinns.
ELEVATION GERTIFICATE,page�
IMPORTANT:In these spaces,copy the correspoading inPormation from Section A. FOR INSURANCE COMPANY USE
13udding Street Address{includmg Apt.,Unrt,5wte,and/ar Bidg.No.)oi FO Route and Box No. Pc,hcy Numbcr
4415 Cam Mineola Road
C�ty Slate LIP Code Cornpany NAIC Numher
Mattituck NY 11952 ,
SECTION D—SURVEYOFd,ENGINEER,OR ARCHITECT CERTIFlCATIOP! (COPI�'INUEO)
Copy both s�des of this Elevation Certihcate for(1)communi?y otficlai,(2j insurance agent/company,and(3)bullding owner.
r,ornments Lowest utilities servicing the building are AC units on the west side of house at grade.
SignaFure � �a�e Q 7 ` � , 2c� �-
�,�^� � l
SECTIOPJ —BE11L[AING ELEVAYIOP! (N�ORMATION (�URVEY �i4T RE�UIRED)FOR ZONE AO AND ZO(dE�1{WITHOUT BFE)
For Zones AO a�d A(+rntftout BFE),complete Items E1—[5.itthe Certificate is intended to support a LOMA or IOMR•F request,complete Sections A,B,and C.
For tiems Ei—E4,use natural grade.�f availahle.Check the measurement used.In Puerto Rico only,enter meters.
E1.Provid�elevation informatien for ihe following and cheok the appropriate boxes to show whether the elevation�s ahove or 6elow the highest ad�acent
gYade(HAG)and the Inwest ad�acen[grade(LAG).
a}Top oi bottom floor{including basement,crawlspace,or enclosure)is . ❑feet ❑meters ❑above or ❑below ttie HAG.
h)Top of bottom floor(including basement,crawispace,or enclosure)is . ❑feet ❑meters ❑abo�e or ❑below the IAG.
C2.For Eiudding Diagrams fi—;l with permanent flood openings provided in Section A items 8 and/or 9(see pages 8—�J of Instructions),
the next higher floor(elevation C2.4 in the diagrams)of the buddmg is . ❑feet ❑meters ❑above or ❑below the HAG.
E3.Attached garage(top of slab)is . ❑feet ❑meters ❑abave or ❑below the HAG.
E4.lop o(piat(orm af ntachineiy and/or equi�tner�L setvianig the build�ng is , ❑feet ❑meters ❑a�ove or ❑below the HAG.
Eb.Lone AO o�ily.�f no flood Jepth nwli6et is avadable,is ltie top ut iFie bo[tom floor elevated ui accordence wilh lhe con�nwmty's floodplain rnanagemenl
aidinance?Q Yes ❑No ❑Unknown.The lo�al official musi certify this informauon in Seciion G.
SECTION F—PROPERTY OWNER(�R OWHER'�REPRESENTATIVE) CERTIFICATI�N
The property owner or owner's authorrzed represe�itat�ve who completes Sect�ons A,�,and C for Zone A(without a fEMA-issued or cammunrty-issucd OfE)or
Zone AO must stgn here.The statements in 5ecYions A,f3,and E are correct to the 4est of my knowledge,
Property Owner oi Owner's Authorrzed Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑Check here if attachments.
SECTION G—COMMLlNITY tNFORMATIOPJ (OPTIONALj
The local orticial who is authonzed by law or ordmance to adimrnsterthe communRy's floodplain mana�ement ordinanr.e can complete Sections A,8.C(or F),and
G of this Eievation Certificate.Complete the appficable itern(s)and sign below.Check the measurement used in items 68—G10.in Puerto Rir,o only,enter me[ers.
Gl ❑ The in(ormation in Section C was taken from other documentaUon that has been signed and sealed by a I�censed surveyor.eng�neer,or architect
who is author,zed hy law to cert�fy elevation information.(Indicate the source and date of the elevaUon data in the Comments area below.)
G2. ❑ A community ofhcial completed Section E for a budding located in ZonA A(wrthout a FEMA-issued or community-issued BFE)or 2one AO.
G3. ❑ The following mformation(Items G4—G10)is prowded for community floodplairi mariagement purposes.
G4. Permtt Number G5.Date Permit Issued G6.Date Certificate Ot Compliance/Occupancy Issued
G7. This permit has been issued for: ❑New Construction 0 SubstanUal Improveinent
G8. Flevalion of as-bmit lawest floor(including basement)vf the budding• . �feet ❑meters flatum
G9. (3FE or(m Zone AO)depth of floodmg at the btniding sits: . ❑feet ❑meters Datum
G10.Commumty:s dasign flood elevation. . ❑feet ❑metets flatum
Local Ofticial's Name Tlile
Cc�rrimunity Name Telaphone
SignaWre Uale
Camments
❑ChPck here if attachments.
fEMA form OSfr433(Revised 7/t21 Replaces all prevlous editions_
ELEVATION CERTiFICATE, page 4 BUILDING PHOTOGRAPHS
Contir�uat�on Pzge
IMPORTANT:in these spaces,copy the corTesponding intormation hom Section A. FOR INSURANCE CUMPANY l.ISE
Bu�idmg SUeet.Address(mclud ng Apt.,Uni:,s'wte,anGjor tild�. No.)ar(�,Houte and�<ox No. Poiicy Numh=r
4415 Camp Mineola Road
�%�ty .S'l�te ZI��ode Sornpany NAIC�um1�r��.
Mattituck NY 11952
if sut,mitting more piiotographs than wil(fi',on the ereced!ng page.affix the additional photographs below. Identify all photographs with:
Gate!aken; "Front View and 'Rear View"; an,7,if requ�red,"'Right S�Ue View' and 'Left 5ide v ew."Wnen applica�le, phOtO�r�ph�n�us?
show the foundat�on w�th representative examples of the flood open�ngs or vents,�s ind cated ir Section AR.
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E�_EVA7401V CERTIFICATE, page 3 BUILD{NG PHOTOGRAPHS
See Instruct.ons tor ttert� A6.
IMPORTANT:In tfiese spaces,copy the corresponding infiormatian hom Sectioo A. FOR INSURANCE[;OMPAPJY USE
ButldihK SL cet Address(iriclu:ling Apt.,Urir.,Suite,an��i or[31wg.N•.�.)or F?�,koute and�ox No. Poi�c;Numbrr:
4415 Camp Mineola Road
--___
Citq St:�e ilf'i;od.=. Cempany Nfi.IC Nun�brr:
Mattituck NY 11952
ii usi�g tne Elevat�an Certificate io obtain NFIP flood insurance.�(tix at ieast 2 b��ilding photographs t�elow accordmg t�the insrruCtions
f�r Item AG. itlentify all photogfaphs w,th date t.aken; "Front V��w" and "Rear View"; and, rf r��qu�retl; ..Right S�de View and "I_eh
Side V�e�.�."Wt�en applicabl�, photogra�hs must show;he foundation with representabve examples of tiie flocd openings or vents, as
�ndicated in Seetion A8. if SubmRting mo�e photUgraphs:nan 4vil!fit on [his page, use the Cpnt�nuaUon Pag�.
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,
'
S A M U E L S & �
S T E E L M A N
. . . . . . . .
November 9, 2015
Southold Building Department
Town Hall Annex
Main Road
Southold, NY 11971
Re: RENOVATIONS TO THE LEVI RESIDENCE
4415 Camp Mineola Drive
Nlattituck, NY 11952
SCTM # 1000-123-05-��� �
Attached, please find the following:
1. Building PermitApplication �/
2. Stormwater Management Work Sheet � /
3. Floodplain Development Permit Application✓
4. (4) sets stamped CONSTRUCTION DOCUMENTS
5. DEC NJR ,,�
6. ResCheck �
7. Check for $250
8. Certificate of Occupancy Application
The project includes the expansion of the second floor over the existing first floor. The
addition complies with the Zoning Code. The Trustees have reviewed project and
determined it does not require their permit. The DEC has issued a Letter of Non-
Jurisdiction, included. The existing three bedroom residence will remain three
bedrooms; no permit from the SCDHS is therefore required. There is no ground
disturbance proposed, and the roof area shall not be increased. There is existing storm
water retention via downspouts and drywells, which will not change, nor need to be
expanded.
Please review all materials, call with any questions, and issue a BUILDING PERMIT at
your earliest convenience.
Sincerely,
�/�,�"�, .
Tom Samuels �
ARCHITECTS
25235 MAIN ROAD
CUTCHOGUE,NEW YORK 11935
(631)734-6405
FAX(631)734-6407
. •
S A M U E L S & �
S T E E L �I A N
. . . . . . . .
November 23, 2015
Southold Building Department ,�,,�;�, �-, - _ _
Town Hall Annex ��;��'� '�� ,~ .
Main Road 1,1f,��f_ ``---ti�� � , --.,J
Southold, NY 11971 i l,' � , ~---_ '��� 7%
r ' ?(i ��� 2� 2015 �' �``
Re: RENOVATIONS TO THE LEVI RESIDENCE �/ 1� ���,i
4415 Camp Mineola Drive � � ,�-,—;_ f�
Mattituck, NY 11952 � - -- _.___�:;,``;_ ' ��� �� �
SCTM # 1000-123-05-��- �
�_
Attn: Damon Rallis
Attached, please find the ELEVATION CERTIFICATE for the above referenced project,
which indicates that the first inhabited floor, at 8.7' above NAVD, exceeds the minimum
required flood elevation of 8'. It also shows that the AC units on the west side of the
house are located at 7.0 feet, which is below the lowest required level. If needs be,
these units can be raised to the required 8.0 feet.
On the other hand, I can hereby certify that the specified work is non-substantial. The
project proposes to add approximately 108 square feet to the second floor (FEMA
compliant) and to renovate the bathrooms. The total cost for this work will be far less
than half the value of the existing 1,660 square foot structure.
Please review, call with any questions, and issue a BUILDING PERMIT at your earliest
convenience.
Sincerely,
��pF NEIN y�
��CQ'�p,g G SqMG�'�-
�'g �'O � °� �`N �
'�F�� �18350=` �,��
S R`r
.
Tom Samuels, RA
ARCHITECTS
25235 MAIN ROAD
CUTCHOGUE,NEW YORK 11935
(631)734-6405
FAX(631)734-6407
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� REScheck Software i/ersion 4.f.0
Compliance Cer°tificate
Project Renovations and Addition to Levi Residence
Energy Code: 2010 New York Energy Conservation
Location: 9uffolk County, New York
Construction Type: Single-family
Project Type: Addition
Climate Zone: 4 (5750 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
4415 Camp Mineola Drive David and Jessica Levi , Tom Samuels
Mattituck, NY 11952 68 Jane Street Samuels&Steelman Architects
Apt.2E 25235 Main Road
New York, NY 10014 Cutchogue, NY 11935
708 275 9465 631 734 6405
davidelevi@gmail.com tom@samuelsandsteelman.com
. . . .�- .
Compliance: 22.2%Better Than Code Maximum UA: 27 Your UA: 21
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relatroe to a minimum-code home.
Envelope Assemblies .
. .
.
� . . . . �
- - �
Ceiling 1: Flat Ceiling or ScissorTruss 108 30.0 3.5 0.031 3
Wall 1: Wood Frame, 16"o.c. 36 19.0 2.5 0.051 2
Wall 2: Wood Frame, 16"o.c. 107 19.0 2.5 0.051 4
Window 1:Wood Frame:Double Pane with Low-E 18 0.290 5
Window 2:Wood Frame:Double Pane with L'ow-E 18 0.290 5
Wall 3: Wood Frame, 16" o.c. 36 19.0 2.5 0.051 2
Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2010 New York Energy
Conservation Construction Code requirements in REScheck Version 4.6.0 and to comply with the mandatory requirements listed in
�RES ck Inspection Chec list. �
� d G' }-�� �� S
Name- i le Signature Dat
Project Notes:
Minor addition to existing second floor, over existing first floor.
Project Title: Renovations and Addition to Levi Residence Report date: 11/03/15
Data filename: \\NAS\share\Office files\Common Documents\ACTIVE PROJECTS\Levi\ResCheck.rck Page 1 of 1
y� t�EScheck Softv�are 'Versior� 4.6.0
Compliance Certificate
Project Renovations and Addition to Levi Residence
Energy Code: 2010 New York E'nergy Conservation
Location: SufFolk County. New►York
Construction Type: Single-family 1
Project Type: Addition
Climate 2one: 4 (5750 HDD)
Permit Date:
Permit Number: �
Construction Site: Owner/Agent: Designer/Contractor:
4415 Camp Mineola Drive David and Jessica Levi Tom Samuels
Mattituck,NY 11952� 68 Jane Street Samuels&Steelman Architects
Apt.2E 25235 Main Road
New York, NY 10014 Cutchogue,NY 11935
708 275 9465 631 734 6405
davidelevi@gmail.com tom@samuelsandsteelman.com
:N'�.v� i','.��xn .F. rr„,apt,rv� _ ,,t;r a.4.,_,. "� r�,%��.,r,'n;'� 'h.'�:t; xjr:",_,�P�..�� _
� o po �,o.� p „° "`��'nrc�.,�` ` ,A,. s<2`x"' i:4.F`y SF,,�"PAc�,. . .3�-;'�^ a�t:" „ y;�• - �'"e �.q�,g;'
.� , 'p; � j�'"°.C��aK �Prt,
Compliance: 21.3%Better Than Code Maximum UA: 80 Your UA: 63
The%Better or WorseThan Code Index reflects how close to compliance the house is based on cade trade�off rules.
It DOES NOT provide an estimate of energy use or cost relative to a mmimum,cade home.
Envelope Assemblies
.
• - . . ..
Ceiling 1: Flat Ceiling or Scissor Truss 108 30.0 3.5 0.031 3
1Nall 1:Wood Frame,16"o.c. 36 19.0 2.5 0.051 2
Wall 2:Wood Frame, 16"o.c. 107 19.0 2.5 0.051 4
Window 1:Wood Frame:Double Pane with Low-E 18 0.290 5
Window 2:Wood Frame:Double Pane with Low-E 18 0.290 5
Wall 3:Wood Frame, 16"o.c. � 36 19.0 2.5 0.051 2
Wall 4:Wood Frame,16"o.c. 88 15.0 2.5 0.063 6
Wall 5: Wood Frame,16"o.c. 120 15.0 2.5 0.063 8
�Wall 6:Wood Frame, 16"o.c. 160 15.0 2.5 0.063 10
Wall 7:Wood Frame, 16"o.c. 184 15.0 2.5 0.063 12
Wall 8:Wood Frame,16"o.c. 96 15,0 2.5 0.063 6
� •
Project Title: Renovations and Addition to Levi Residence Report date: D6J29/16
Data filename: �\NAS\share\Office files\Common Documents\ACTIVE PROJECTS\Levi\ResCheck.rck , Page 1 of 2
«
� '
Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2010 New York Energy
Conservation Construction Code requirements in REScheck Version 4.6:0 and to comply with the mandatory requirement listed in
the REScheck Inspection C ecklist.
`��Q N�l.�c� l� • V1q,s,t P.�,�',�,L�� ��f.E�r'�,[-e�d . � 24 !�
Name-Title ' Signature D e
Project Notes:
Minor addition to existing second floor, over existing first floor.
�
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Project Title: Renovations and Addition to Levi Residence Report date: 06/29/16
Data filename: \\NAS\share\�Fce files\Common Documents\ACTIVE PROJECTS\Levi\ResCheck.rck Page 2 of 2
I
LOT COVERAGE TABLE � '�
S I TE �RE� TOT�L: S,q I� sf
SCTM # 1000-123-5-��
51 TE P�RE� Ui�L�ND �ROM
TID�L W�TL�1�lD BOUNDP�RY: 8,q1�7 sf (IOOgb) PROPERTY: 4415 CAMP MINEOLA DRIVE
MATTITUCK, NY 11952
OWNER: DAVID & JESSICA LEVI
WETL�NDS: O 5f (O`Yo) 68 JANE STREET, APT 2E
NEW YORK, NY 10014
STRUGTURES �XISTING P�RG�NT�G� �'ROi�OS�D i�ERGENT�G� TEL. # 708 275 9465
HOUS�: S�14 sf �t.8% 8�14 sf q.8%
SH�D: 104 sf (.I�� 104 sf I.I�% SITE: 8,917 SF = 0.2047 AC
D�GKS: I,051 sf I I.�q� ,051 sf I I.��� AREA
TOT�L: 2,02� sf 22.�5% 2,02� sf 22.-1�� W �
ZONING: R-80 = Z
~ �
FLOOD: AE EL6 O Y
�� ZONE � _
pjOVN� SURVEYOR: JOHN C. EHLERS (n �-
" N"�� 6 EAST MAIN STREET � �
�'�j�'� ��'CL�` RIVERHEAD, NY 11901 O ` Q
�.1� PROPOS�D 2nd �LR NYS LIC. #50202
� � ��� �1�1�ITION 01�R �X15TING D�GK WITH �
¢� DATED: 07-23-15 ~
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� �.�. .�..,,_.,T.. S�� - �,,,r ,��.,.';u4.�ARu PROJECT NO:
.,,. . „, _.^ 1515
, -- N�_�,e..__.,�, '�_.. .� ,. :;�..� DRAWN BY:
SCALE: 1" = 10' - 0" __,� ;....�__ . ._ .. �
UT
c��T�F�CAEFo�E CHECKED BY: TS
pL.�T��E� TENT B : f.���.��E������ C��i DATE:
GY
LEA� ��N D���PAN
�N TE �F ' ��:;�_ 11/12/15
��RTiF�cA IN �ATER Fw��_��- �� ��LAl��FL�L
S��pER USE� ��OT SCALE:
P�� SYSTEM ��{EAD• `����'�s����� ���i 1����,��E 1" = 10' - p,�
EXCEED �1��� �� Qv�;�,s���'��;� SHEET TITLE:
p��`'4pyRlq,�' x `�� ,.��. ��ri� (A�/}��'� L
19 CSS!'':�4a'��A �a,���%i .����.,.«s�u. V V
fh�,�. m. , s�} .��� �.X�,.pr,�..���.�.�_ � S I T E
�.. . , '�: , t�...., . � �"� '�a "���y
6`i,.��Sr�'A,��t �'-.1r„x,. y,,,.�z:,.`dPi'"wvy�.pfO���
. 4�. . . �� .� _..a��:_��,, �°s PLAN
��.;�,a�It �s� ��. ,. ,,,.,�,..�-a.�
13.o-.Cad'4' z tl�m•<y.� �kw?W1��b� i,vy":.d'uY...,
r=��,6 �,,.0 Ca ;'�..,`,.� , .
_,,.i....z....�i,:.d�,�a,9$.F'.,X,15.,,..
c `. A'. "� ' "�" SHEET NO:
�2". . . ... ,f�v... ,., . t i� ', - , . 5^' . rr.'�
AGENCY APPROVALS
-
.,
1I�If� D-BORNE DEBRIS PRO1'EC1'101� FOR OPENIiVGS sTfi�UGTUfi��L i��Yl�l�l BY ST��� M�i��SG�, ��
�Ofi� l�I�LL Ofi��i�I NG i�i�OT�GT I ON O�!20 Mi�+� �-S�GOND Y�l I 1�D GUSTS I 88-0� W�ST MO1�T�UK +�I C�t�W�Y, �1�M�''T01� ��YS, 1�Y I I�f 46
( M,�XI MUM M���l i�00� �t�I G+�T: ���, 51MPSON LSTA - 20 GA6E I- �OI`l� �CJ�I �2� ��CJO
RID6E 5'iRA�P - ALL ROOP R,4�TER5
USE/OCCUPANCY
, � � 2 x 6 TIE � EAGI-1 R,4PTER
INVIEWOFSTRAP. CLASSIFICATION DESIG � CRITEF�I/01:
r � �
� � � . " IG� �I��n U,.���..,�,-�� S I�IC�L� ��1�I LY i��S I���lT I�L
S H U TT E R A S S E i�iii B LY I � � r�auir•z�� - 24 PROM ED6E DE51 GN I N A�GGORD�NGE W I TH �MERI G?�N
N.-r.s. ,a'� � � , � �O�EST PRODUGTS WOOD FRA�M�
FOR PaNEL SPA�NS: o < 4�o win� sPa� i � \ GONSTRUGTION M�NU,4L FOR I + 2 FP�MILY HOUSE
23/32" (3/4") AP?� SPAN-R,4TED 48/24 SHEATHING GRADE PLYWOOD � � � HEIGHT PR�SGi?IPTI\/� METHOD
, I HU RIGANE GL�IU9E O� ���-O�� M�X I MU1� W
(OV�RLAP ,4ROUND OPENINGS 4") I 1 � GROUND SNOW LO�D - 45 PS�. �
,455�MBLY: �.� I siMPsoH t�a
.4TTAGHING STRUGTURAL P,4NEL: FASTEN TO BUILDING w/ °I � FIRST LE1l�L - 40 PS�. L.L. = Z
#l O x 3" (w/ l N A�S H E R S) G A L Y I N I Z E D O R S T A�I N L E 5 5 S T E E L � � LIYING �RE,45 - 4 0 P S�. L.L. � ••
WOOD SGREW � I6" O.G. SIMPSOH H2 HURRIGANE B�DROOMS - �O PS�. L.L. O U
�LTERNATIVE FASTENER FOR SHUTTER TO BUILDING: � I � , GLIP NAILED. PROM �
#10 TEE NUTS ,4TTA�GHED TO BLDG. w/ #IOxI-I/2 ( W/ YV�5HER5) ( � RAPTER TO STUD. - FIRE AREA WIND SPEED - I20 M�'H
MAGHINE BOLT � I2" o.G. ��-� � �8d w��s�`c�er�in 5E I 5M I G DE51 GN G�T�GORY - 8 ~ �
� \ i i��SID�1�G�: X 1NEA�TH�RING - SE�/ERE � —
APA RATED PLYWOOD TO n � ~
\ s � I a ' EXTEND TO TOP OF TOP PROVID� Sd GOMMON �ROST L I N� D�PTH - 36 O �
� � PLATE. NAILS � 4" O.G. AT ,,,',
� � I 5#EATHIN6�D6E OP ALL � E R M I T E - M O D�R�T� T O H E�1 l Y — �
.�� i TYPE OF CONSTRUCTION DEG�Y - SLIGHT � �
. � � I GE SH I�LD UND�fiZL�YMENT R�G2U I RED - Y�S � W
i,�i- 4 GO�1��NT I ON�L L I Gf�T ���M� Y�IOOI� � >
i ii ' GO�1STi�UGTION Q 0
ii
iii,,- i .- . .
��� ��' LTIPLE SEGTION ASSEMBLY: � J
� �I � I/4" THIGK SOLTS � 2' OG (n O
, ,, , � GEfVEI�AL NOTES z w
.- � :- � z
AND �QU I PMENT SH,4LL BE I N 13. SEYV�GE D I SPOS�L SYSTEM AND FRESH W,4TER SUPPLY O —
��'� ��' I °� I. aLL WOR1G M�TERIAL, � �
� I � � � � AGGORD�4NGE WITH THE NEW YORK ST,4TE UNIFORM SHALL BE DESIGNED P�ND BUILT IN �GGORDANGE �
� � � � � BUILDING GODE, AND Tf-f� NEW YORK ST�4TE ENERGY WITH THE SUFFOLK GOUNTY DEP?�RTMENT OF HEALTH.
I ' IPLYWOOD SH�ATHIN6 GONSERVATION GODE, �+.ND LOGAL �4UTHORITIES. a � a
� � , I � � � � �� � � 'TO OVER LAP BOX 14. TH15 STRUGTUR� HE45 BEEN DE5IGNED IN �
� - - � 18EAM - TOP + BOTTOM. 2. �4LL GONGRETE SHALL BE STONE P�GGREGATE WITH �4 �GGORDANGE WITH TH� NEW YORK ST,4TE ENERGY �
°�� � � I �' �� MINIMUM 28 D�Y STRENGTH OF 3000 PSI GONSERYATION GODE. O a
� I 'SIMPSON MST2? V
� � � � � i� V2�� WID� - 20 6A6E 3. ALL LUMSER SHALL 8E GRADE ST�MPED DOUGL?�5 FIR- 15. ENGINEER TO B� NOTIFIED IN WRITING OF ALL � �
I � ,� � � �� I � � I � 1METAL STRAP �48" oc. LARGH STRUGTURAL GRADE #2 OR BETTER. W r
GHANGES PRIOR TO �4ND DURING GONSTRUGTION.
°� I °'' �°�" �°�� 4. PRO�/IDE DOUBLE HE�DERS ,4ND TRIMMERS aT ALL I6. ELEGTRIG�L AND MEGHANIG�L GOMPONENTS TO SE d'
/� �/� DESIGNED AND SPEGIFIED BY OTHERS. � �
S H U TT E R /F1S S E 1111 LY I I � � � � � � DOUBLE TOP ST�IR AND FLOOR OPENINGS, P05T5 fi�ND P,4RALLEL
N.T.S. 1 � � � I � � 2 x 6 �I6" O.G. QL'°`� P�RTITIONS, EXGEPT AS NOTED ON DRAWING.
s'ru�s I�. �4LL STRUGTUR,4L STEEL TO BE �STM �436 WITH ONE
5. SRIDGING TO BE PROYIDED FOR A�LL JOISTS AND
I �� � ,� I � , GO?�T EPDXY P,41NT. ALL F�STENERS TO BE A�STM
FOR PANEL SPAN5:4� oR WIDER 5P�'N � �' I� I°� � � �LooR BEAMS. SPAGING NOT TO EXGEED 8.0 FT. �-325 BOLTS, 3/4�� nIA�M�TER.
23/32" AP,4 SPAN-R�hTED 48/24 SHE�THING GRADE PLYWOOD
� � ( � 6. ALL DIMEN510N5 AND GRA�DE GONDITIONS TO BE 18. GONTRAGTOR SHA�LL OBTAIN �LL PERMITS AND
� INSURANGE NEGESSARY TO PROTEGT THE ENGIN�ER
(OYERL/�P AROUND OPENINGS 4") � � � � WRAP + NAIL STRAP VERIFIED BY GONTR�GTOR(5) PRIOR TO ST}�RT OF A,ND OWNER.
2x4 5TRONG-BAGKS � 24" OG � -' � - AROUNI7 SILL PLATE GONSTRUGTION �4ND ORDERING OP M�TERI,4L5. THIS
I j� I� � aT ANGHOR BOLT 4 - 8d NAILS FOUND,4TION HAS BEEN DESIGNED FOR �h SOIL la. DO NOT BAGKFILL AGAINST FOUNDATION WALLS
�SSEMBLY: � � SIN�fP50N M5T2'i BEARING G,hPAGITY OF TWO (2) T5F �ND GRA�DES UNTIL FLOOR SYSTEM INST�4LL/�TION IS GOMPLETE.
I �/2" WIDE - 20 GA6E LESS TH�N 59�. GONTRA�GTOR SH?�LL V�RIFY THP�T
I). PRE,455EMBLE PLYWOOD TO 2x4'S: # lOx3" (w/ WA5HER5) GALVINIZ�1� OR � � 1�ETAL 5TRAP �48" o�. TH�SE GONDITIONS ARE MET. �LL FILL BENEA�TH 20. PROVIDE GARBON MONOXIDE ,4LA�RMS ON E�GH LEVEL
ST�INLE55 STEEL WOOD SGREW � 12" O.G. - I,�' GONGR�TE SLABS TO B� GpMPAGTED TO q59b AND IN 8A5EMENT ( IF APPLIGASLE ). POSITION NE�hR
2). �TTAGHING STRUGTUR�4L PANEL: �?�STEN TO BUILDING w/ , ,.;M1.t..i,...` . 1�IL SHEATHIN6 TO SILL PLATE
#lOx3" (w/ lN�SHERS) G�LV�NIZED OR STAINLE55 STEEL ,.: .�;�..;. � �ILS � 4" o.G. REL�TI� DENSITY. ENTRY FROM HOUS� TO ATTAGHED GARAGE �R�A. otS Z • o
WOOD SGREW � I6" O.G. •.. �r�,�`''
�:,�:n;r+���'�: � e— et
ALTERN�TIYE F�45TENER FOR SHUTTER TO BUILDING: 2 - � �BaR :.,:::•!���;�•� 2 x 6 SILL PLA�TE �• �LL HE?�DERS 6.0 FT IN L�NGTH AND OVER TO BE 2�• SMOKE DETEGTORS REQUIRED IN E�GH BEDROOM ,hND y Q rn`°
` AGQ TREAT�D. SUPPORTED BY DOUBLE UPRIGHTS, Q.O FT AND OYER ON EAGH LE1/EL OF DWELLING AS REQUIRED BY r^
�:'e6,�,r,-':•.�:r 1�
#10 TEE NUTS ,4TTAGHED TO BLDG. w�/ #IOxI-I/2 ( W/ WaSHERS) -•�.� � �•�t� Y
'•�•;:Y�` ���_` BY TRIPLE UPRIGHTS. ALL HEADERS TO BE 1`��w YORK STr4TE BUILDING GODE. J � �"
. >:� :.,.
• a � "'
M A�G H I N E B O L T � 1 2" O.G. s�e �out�tDAriox �w�. '••��itir�°,T;; c� o tO
FOR DE516N. ���X�''�::�'ti� 5/�" x ��° �.a. �48° oc. MINIMUM OP 2-2x8 OR ?�S SHOWN ON DR,4WING. 22, ANY /�LTERA�TION, REP�IR, A�DDITION OR GONI/ERS�ION TO v� }x
.•:;.y;:,;}•;�, W J •W Z �Q
z:�•;-•.:�.•�-�?: w/'�NDER WASHER. 8. PROI(IDE �IRESTOPPING ?.T �LL L�VEL �N �XISTING nWELLING REQUIRING �4 SUILDING PERMIT �- W"-
��.�:::.:�;... � =a z
V�INDOVVS - GLAZ�D OPE� Ii�G ::::.'i:�;�:t:li;
PENETR�TIONS N O W R E Q UIRES TH�4T ?�LL SLEEPING ROOMS IN THE � w .c��
Q. PROVIDE F L�S H I N G �T A�L L R O O F B R E?.K S, HOUSE B� UPGRADED WITH HAR17 WIRED � Q N�o
P R O T E G T I O N I S R E Q U I R E t 7 �O R A L L GLP.ZED �tREAS. G H I M N E Y S, S K Y L I G H T S, E X T E R I O R D O O R S, W I N D O W S I N T E R G O N N E G T E D S M O K� A L A R M S. � W • c�.i=o
IN AGGORD�NGE WITH LA�RGE MISSILE TEST OF A�ND DEGKS ETG.. Q � � � �
ASTM E Iqqb AND OF ASTM I886.
GONTRAGTOR M?�Y U5E WOOD STRUGTURAL P�4N�L5 23. THE NYS GODES AL50 �4PPLY TO AGGESSORY
IN LIEU O� THE ABOVE MENTIONED WI�lDOWS.
H O L D D O W N + S H E A R C O N N E C T I O N �o. DO NOT SG�LE DR�4W I NGS. STRUGTURE DES I GN. N � . ��
P�NELS TO BE PREGUT TO �IT 01(ER WINDOWS WITH II. ARGHIT�GT NOR ENGINEER 15 NOT RE5PON51BLE 24. GARAGE DOORS TO BE R�4TED FOR 120 MPH. WIND LOAD
HA�RDW,4RE PROVIDED. FASTENERS TO BE DESIGNED TO CRITICAL LOAD PATH
�4LIGN WITH WINDOW J�GK POSTS , HEp.DER + SILL PL�TE. FOR THE INSPEGTION OR SUPERVISION OF
P�NELS TO BE M�4INTAIN�D ON SITE. 5H,4LL G01�IPLY W/NYS�G GHP�PT�R #2304.�.G THIS GONSTRUGTION PROJEGT, FEDERAL, ST,4TE
L�4BEL LOG�.TIONS ON E?�GH P,4NEL.
AND LOGA�L ZON I NG �4ND BU I LD I NG GODE GOMPL I ANGE
SH�4LL BE THE R�SPONSIBILITY OF THE
GONTR,4GTOR.
�,��}F NFVv y�
�P c. s �,�.�-
�O a����`�,��y`p A�'�c�
� A �Ypl�. � �
fVAILI �IG SCHEDULE FRA�ING NOTES ��A � ����� ;����� � �
�, 1 4�r.���
�:, �, �r";
. Gs=f�si,�:;':r
..............s.,.....�...........................
T�KEN FROM 2001 EDITION WOOD �RAME GONSTRUGTION M�NUA�L, �MERIG�N FOREST I. ALL �R,4MING LUMBER SH/�LL BE GR,4DE STAMPED 10. PLYWOOD SHE?.THING TO BE N,41LED WITH 8 d � 4" • : '�C;g35�-�` '�'�
� PAPER ASSOGIATION DOUGL�45 �IR-LP�RGH STRUGTURP�L GRADE No. 2 OR "
BETTER. o.c. EXTERIOR EDGES AND 6 d � 12" o.c. �" '�� ' �s ` ��
o INTERMEDIATE. `� ' �`��� ' ���°�
SIZED FOR GOMMON NA�ILS; GONTAGT ARGHITEGT FOR BOX NAIL 51ZE5 " ' �
2. ALL SHEATHING TO BE APA RATED, EXPOSURE I, 5/8" PROJECT NO:
h R,4FTER/TOP PL?�TE 3-Sd (TO� N?.ILED) MIN. THIGKNE55 OR AS NOTED. II. �4LL INTERIOR �ND EXTERIOR FINISHES, FLA�SHING 1506
AND W�4TERPROOF I NG SH�4LL BE BY �RGH I TEGT.
o ��o � GEILING JOIST/TOP PL?�TE 3-Sd (TOE NaILED) 3. �1LL SUBFLOORI�NG TO BE �4PA R,4TED STURD-I-FLOOR, •
GEILING J015T/P�RA�LLEL RP.FTER �-Ibd (F,4GE NAILED) EXP05URE I, 3/4 MIN. THIGKNE�S. ALL EDGES OF 12. �4LL ROOF R/�FTERS 5H�4LL BE ATTAGHED TO THE PL,4TE UT
GEILING JOIST Lp.PS OV�R PA�RTITION �-I bd (FAGE NP�ILED) PLYWOOD TO SE 5ET ON 50LID BLOGKING. GLUE �.ND �4ND STUD WITH GALYANIZ�D HURRIGANE TYPE
GOLLAR TIE/R/�FTER 2-Sd (ea. end I-I/4" strap) N�41L PLYWOOD SUBFLOOR TO FLOOR JOISTS. GONNEGTORS BY "TEGO" OR ?�PPROVED EQU�L. FOR CHECKED BY:
6ABLE ROOPS BLOGKING/R�FTER 2-Sd (TOE NP�ILED) � �� TIMBER PILE FOUND,4TION5, PROVIDE HURRIGAhIE TCS
4. ALL HE�DERS 6-O AND OYER SHA�LL BE SUPPORTED ATE:
o �lo RIM BOP�RD/R�FTER 2-Ibd (END N,41L�D) GLIPS AT �LL PERIMETER JOIST TO GIRDER
TOP PL�4TE/TOP PLATE 2-Ibd (F�GE N�ILED) WITH DOUBLE UPRIGHTS, q'-O" AND OVER WITH GONNEGTIONS. 11/12/15
TRIPLE UPRIGHTS. �LL HE?rDERS SH�LL BE A�
o TOP PLATE A�T INTERSEGTIONS 4-Ibd (FA�GED N?�ILED) MINIMUM O� 2-2X8 OR �5 SHOWN ON DR�WING. 13. �LL PRE-ENGINEERED LUMBER SHALL BE GEORGIA
" STUD/STUD 2-Ibd (P?�GE NAILED) '
h HE�4DER/HEADER Ibd (FAGE N�.ILED) 5. SOLID BLOGKING SH�LL BE PR01/IDED FOR ,4LL JOISTS PAGIFIG GPI SERIES WOOD-I-BE�4M5 aND L�/L
TOP or BOTTOM PLATE/STUD 2-Ibd (END NAILED) �ND � FLOOR BEAMS �5 PER N.Y.S. GODE OR ,45 NOTED PRODUGTS OR EQUAL. �LL JOISTS, GIRDERS �ND SHEET TITLE:
0 0 � 8-O O.G. MIN. PROVIDE � SPaGE FOR �41R
�o < O �45 BOTTOM PLATE/FLOOR .1015T 2-Ibd (�AGE N�ILED) HEADERS SHALL HAVE BE�RING STI�FENERS INSTaLLED
JOIST/SILL, TOP PL�4T� or GIRDER 4-8d (TO� N,41LED) GIRGULATION IN ROOFS. AS PER MANUF�GTURERS REGOMMENDATIONS. WEB
° y g STRUCTURAL
BRIDGING/JOIST 2-8d (TOE N�ILED) 6. DOUBLE FR,AMING AROUND �4LL OPENINGS ( sk II hts, STIFPENERS 5H�4LL BE REG2UIRED �T ALL LOaD �ND
h stafrs etc. ) OR AS NOTED ON DRAWINGS.
6�1.� Fzoo�s BLOGKING/J015T 2-8d (TOE NAIL�D) BE�RING POINTS AT A� MINIMUM. ,4 SINGLE I 3/4"
BLOGKING/SILL orTOP PL�TE 3-Ibd (TOE NP�ILED) LVL RIM JOIST SHALL BE REQUIRED ?�T FLOOR NOTES &
0 0 "I. DOUBLE UP FRA�MING UNDER ALL POSTS aND PARALLEL
0 0 lo < o �45 LEDGER STRIPBEaM 3-Ibd (FAGE NAILED) PERIMETERS. H?�NDLING, STORA�GE, AND EREGTION OF
lo < o �3o JOIST ON LEDGER/B��4M 3-8d (TOE NA.ILED) P,4RTITIONS OR AS NOTED ON DRA�WINGS. GOMPON�NTS SH,4LL BE AS PER MANUF?,GTURERS DETAILS
PROVIDE 8d GOMMON NAILS � 4' o.G. BAND .1015T/JOIST 3-Ibd (END N�ILED) 8. ALL FLUSH WOOD GONN�GTIONS SHALL BE FASTENED REGOMMENDA�TIONS.
AT HI6H PRESSIJRE ZONE — 6" o.G. BAND J015T/SILL or TOP PL/�TE 2-Ibd (TOE N,41LED) WITH RATED GALYANIZED M�TAL GONNEGTORS BY
HIP ROOPS AT INTERIOR PORTIONS O� ROOP - TYP. PLYWOOD ROOF DEGKING Sd �4" O.G. EDGES, �8" O.G. FIELD �� �� 14. ?�LL MULTIPLE LVL PRODUGTS TO H��/E 2 ROWS OF I/�" DI�.
lo� O �3o O TEGO OR �4PPR0\/ED EQU�L.
STRIP SH�ATHING Sd (ONE/RAFTEi�
G,hL1/ANIZED MAGHINE BOLTS � 12" O.G.. SHEET N0:
PROVIDE Sd NAILS � 4" O.G. AT PERIME'f'�R INTERIOR PLYWOOD WALL SHE�THING Sd �4�� O.G. EDGES, �8'�'�O.G. FIELD 9. N,4ILING SGH�DULE SHALL SE AS PER THE N.Y.S.
- PORrIOHS o� PAt�Ls IH HI6++ �5su� Zot�t�s. PLYWOOD SUBFLOOR DEGKING Sd �6 O.G. EDGES, �12 O.G. FIELD SUILDING GODE AS A MINIMUM. ALL 2X6 STUDS 15. THIS DR,�WING IS �4N INSTRUMENT PREP?�RED TO
xo-re � a = 4 �T. IN ALL GAr-vE5 SHALL REGE11/E 5-IOD NAILS �hT SILL AND PLATE. F,4GILIT�TE GONSTRUGTION AND 5Hr4LL NOT BE
CO�VIPONENT A►ND CLADDING PRESSURE ZONES
A�LL EXTERIOR NAILS SHALL B� Gr4L�/ANIZED. GONSTRUED A5 � GONTRA�GT BETWEEN BUILDER �ND
OWNER.
EXISTING TREL1L15 TO REM?�IN.
V�RIPY SEGURE ATTAGHMENT TO
NEW/EXISTING Y^IALL W
�1.. �
— — — — — — — — — � Z
, — — — — — � — — — — — — — — �
� � O �
� �X I STI NG �i�O�IT PORGH � I— �
22 4�� i �XISTING DEGK, TRELLIS � R,41�ING I �
— '- " 10 4" — O' — — — I TO REMA�IN I � �
N�W ADDITION TO S�GOND FLOOR. � 7I I I
1(ERI�Y 51ZE OF �XISTING �RP.MING � \ � I - I C
BELOW AND Pi�OP�R B�ARING � 3 10* 41 * � �9 EXISTING D�GK � OUTDOOR SHOWVER EXISTING EXISTING I O �
GONDITIONS. FRAME N�W WALLS TO � ,. , , ; , , w/�NGLOSUR� TO REM�41N EXISTING �� G
MATGH �XISTII�IG. SHORE EXISTING � � ��� ����� �� � � �
ROOP UNTIL INSTALLaTION O� N�W \/
� �� � � \ i'� twin \ twi ; Q W
STRUGTURE. R�MO�/E EXISTING WALL I � , � � � I _ �o ;
���,� cv 1�lTR o�+ � � �
� �;�. � , � , �, � �. Mu� i�ooM � ��� O : p _
'� ���� � � r� o xisT. ; �
I� , / � � PROPOSED DDITION /I �. NEW WOOD �LOOR �
� �, � DO . PP�TGH
I \ � � � \ ,� �� �/ ���x� 05TS ��� / I % __ , GUT EXISTING BATHROOM l�5 REQ D. �OR Q
^ , � �INISH�S ] EXIST. �, 1^l OUT. OVID� TILE �LOOR ON
NE LAY PR
NEW HIP RP�PTERS �,/" � �' \i \� „ � � REMOVE EXISTING GASING � NOTiGH IN MUD B,hS� � WALL �INISH�S P�R INTERIOR
I %. _ % ` %` - -_ x - . - 2 P �O�Z - �T;� _._ .- �- �_ -- l--`—� WP�LL �OR LARGER GLOS�T. PRcJVIDE ' 3 �LR. JOIST � B�T M�G�• � ELE�/ATIONS AND SPEGS. � J
----- -- - ----
; ----�-------- ----- --L----------------1 -<; --- -------, �---�--�_�_--
�� PROPOS�D N�W ADDITION TO EXISTING
- R�SII�ENG� w/ROO�ING AND SIDING TO W
MATGH EXISTING = Z
' � � �
� O �
� U
�
v♦ ~
�XISTING R�SID�NG�, �"'�
�XISTING RESIDENG�, �-
w/PORGHES AND RAILINGS w/PORGH�S AND RAILINGS � �""'
TO REMA�IN TO R�M�41N �� O Q
� c
� n
Q W
■ ❑ ■ ❑ >
EX ING DC ING E I TI G E I I G w1�4'ow GTM�NG AT NEW � �
TW2436 TW2436 TW2436 TW2436 Q �
PROVID� �LASHING BEHIND 80TTOM O� Q
�DG� O� N�W SIDING � OVER TOP � J
�DG� O� �XISTING SIDING
/ H D W O I � W
— — — — — — — — — — — — — — — — — — — — — — — — —
— — O Z
� C
� G
Q �.
�
, EXISTING EXISTIN ■ � Q
EXISTING EX NG O V
EXISTING R�5IDENGE, � �
EXI G w/PORGHES AND R,4ILINGS �
TO REMAIN W �,
1.6. �'
�I ` � � �
SCALE: 1/4" = 1' -0" SCALE: '1/4" = 1' -0"
otf z•
c/) Q• �' �
M �
� �Q
� �
C� M
J � � � �
�❑0 � � � �
❑�❑ w �• FZWQ
a Z u.
� W• c=i � ui �
a N � q
PROPOSED N�W �DDITIDN TO EXISTING PROPOS�D N�W ADDITION TO EXISTING L W• N x° �
RESID�NGE w/ROO�ING AND 51DING TO R�SIDENG� w/ROOPING ANi� SIDING TO � M
MATGH EXISTING MATGH EXISTING Q H• � �
q �
fn N•
�XISTING RESIDENGE,
w/PORGHES AND RAILIUGS
TO R�MAIN
EXI ING CW135 CW135 5��4" Pl(G GASING AT NEW EXISTING �/4x4" P�(G GASING AT NEW '�P�GoF �'��vy�
WINDOW (TYPJ WINDOWS (TYP.) �'��5��'�' S'�tijG�i-
� � ��
TW34410* TW34410* ,��_ �- �;a;^.�,�;r�N
� i����'����� �"'_
�r�-�
�.�`:;�s�7:��
NEW D P Y O IDING ENSUi� SEGURE ATTP�GHMENT O� � ,� ��'=-�'�
AT A / F+ D W OWS FXISTING TRELLIS TO WALL '�<w`� �j<�350-� ,� a�: �.
- - - - - - - - - - - - - - - - - - - - - � _.... ;. .. �r�;�'��-'�-
PROJECT NO:
1515
DRAWN BY:
FXISTING RESID�NG�, TS
EXISTING EXISTING w/PORGHES AND RAILINGS CHECKED BY:
TO REMAIN EXISTING EXISTIN EXISTING
DATE:
11/12/15
SCALE:
- - - - - --- - - - - - - - -- - - -- - - -- - - - - - -- - - - - -
114" = 1' - 0"
SHEET TITLE:
BUILDING
ELEVATIONS
- �� �����lo � � o �� � � � ����I � �
SCALE: 1/4" = 1' -0" SCALE: 1/4" = 1' -0" SHEET NO:
�
BIDDING � PER�iIIITS
GERAMIG TIL� FLOORING ON
GONGi�ETE SL�S. PR01�ID� �LU�H WOOD GO�E PER SP�GS.
.��_��2�� STONE THRESHOLDS �ND TRI M
PR01/ID� GER�MIG TILE
ON GEMEI�TIOUS B,4GKER
BO�RD
- �
� - ---- -
� - ---
— o p HW � V V
� � - �i �\ �i W �
P�I NT�D GYP. � � Z
� j ^� EXIST• // \\ � SD. �INISH � MIi�ROR �DH�RED T = F— �,
� � �t.. � � � W,4LL w/TYP. G�51 NG � �
�i � � 1 ' , _ � � � � TO M,�TGH W I NDOWS c(� � V
� � _ (q. 2� ; o �� �� -rowE� ��� � I—
�
_ � � � � S�L�GTION 8Y �� � �
.3"' � OWNER —
, r � �
- --}- ! ;�_ � � - 0 Q
�
� _ �. `� ,'� �o�� V�NITY BY � � � — �
GU5T0 �RAMELE55 S W � � / OWNER �OR �� F— � ..
ENGLO URE. H�RDW,4i�E N �� �� INST,hLL UNDER � �� �� � � W
SELEG ION BY OWN�R - � � GONTRAGT � Q �
� , , , , a o
_ � , ,
4" � J
4'-5" 2�-�y2�� � �
ELEVATIO�I ELE�/ATIOiV ELEVAT'10�1 ELEVATION � � z
1 2 3 q, O —
WOOD G01�� PER SP�GS. F— �
� PROVID� GUSTOM SHOWE�:
8�5� W/ G�RP�M I G �R�MEL�SS SH4WER ENGLOSURE w/H I NGES � Q � �
SCALE: 1/2"=1'-0" TILE �IN15H. Pi�OYID� TILE ON SHOW�R WP�LLS H�4RDW�R� PER OWNE� � Q
OR GEMENTIOUS B�GKER B0,4RD, W/ O
3'-5�2" 4�-!%2�� R�GESS�D NIGHE. PR01�117E 5L?�� STONE V
PRO�IDE GER?�MIG TILE ON GEMENTIOUS � �
SILLS �ND J?�MBS. BA�GK�R BO�RD W �
� �
-- - ----- -------- --- --- et
G�Rr4MIG TIL� FLOORING ON -- - - - - -
GONGRET� 5LA8. i�ROV I D� �LUSH �
STONE THR�SHOLDS �hND TRI M o0o m
o �
� MIRROR �-- �� ��
,�DHERED TO ; � / N(��
� I � P,41NTE1� GYP. W,�LL w/TYP. � �/ G�,�. �
, _ 5 _ BD. �INISH G�51NG TO m � �� m
p M,4TGH � �
��" - -� 8 C � -� wiNDows � - � �
_ 7 = � o - �
O Q � r °� z'
� � � �
'� � 0 �_ ..,� 48" 1��N I TY BY � � _ v� a� M �
SA�TH TUB. S�E �
0 o OWN�R �OR \\ dJ ' -� �' ° � "
� SPEG I�I G,4T1 ONS � � o � � o I N5T,4LL UND�R � m � w � ~ ° � =
i GONTRAGT �� � = a Z �
! � � � � 5 EG I F(G?�T ONS � = W� a M � �
� � �
� W• N2M
� �
Q I "• U �
��_0�� ��_3�� ��_,4��
� ��
5 ELEVATION 6 ELEVA�ION 7 ELEVATION ELEVATIOIV
8
SCALE: 1/2"=1'-0"
�'-���
PROVID� GER�MIG TILE
WOOD GO�� P�R SPEGS. ON G�M�NTIOUS B�GK�R -
�pF NEI�yY
_ ��_��� ��_3�� ��_��� BO�RD ���'e^�`. S,��G�'�
c\v �o �'� �
m �,� F `
� - 7AY ~ '�1�r �'.�.,,,, ..�� N A
- - 5��,!
------- - - - - - �.��.�� T C
P�INTED GYP. �? � �
�18350�1 V
_ o00 000 � �D. �I N I SH ` �r_ ��AR�,,��,°
O O , , �,i�,; �
� ' '���� -�. ;�
= p _ I1 ; �� � 1515
11
� 1_ � - M I RROR �DHERED TO � � i \� .
� � 9 ` � `� W�hLL w/TYP. G,451NG � � I G�S. TCS
`�(11 = m TO M�TGH WINDOWS j 1� '� � .
�
— '�, � 0 - - � 1 1 4" D�E P N IG H�S, ��
�
I 1 �PPROX. 24" SC�., ' 11/12/15
-� - - ,4L I GN�D w/TI L�
� � P�TT�RN, w/STONE 1/2" = 1'-0"
0 1 I SHEL� � J�MBS �I
� � ,�;� ;� �` �� 0 �- -� 1 / .
GUSTOM �RAMELES SHOINER '� �`>'r x�,
ENGLOSUR�. HA� WARE � ,;;���'�; ' � tl /
SELEGTION BY O �R � � � u��`���xx �
� j.'�':yi� /X %� < � � `'' Q � � I'II
�, � � ��� � � � �lOT�S:
S�� PLUM�I NC�, �L�GT�I G,
� � ',, � �?' �X �� '� BATHS
'o,, ��,�, .� >
° %�� � ,x�� G�RAM I G T I LE, �1�D I NTER I O�
�`�'� "��?' SHaW�R H��t� ��' F I N I SH�S SEGT I ON5 I N
�%` xx �BOY� �LOOR 60 \/P�NITY SY OWNER
�
�-, �, �OR INST,4LL UNDER SP�G I�I G�TI ON5 �Oiz M�TEfi�I�L5
., .
9 E L EVAT I O N GONTR,4GT � o E L EV�►T I O IV � � E L EVAT I O N � OTH�fi� I N�Ofi�M�TI ON
o,, .
�,o
PR01lIDE GUSTOM SHOWER �,45E W/ GER�MIG
TIL� FINISH. PRO�/ID� TILE ON SHOWER W�LLS
OR G�M�NTIOUS B�GfG�R BOARD, W/ REGESSED
SCALE: 1/2"=1'-0" NIGHE. PROYID� SL,4B STONE 51L1-S ?�ND JAMBS.
BIDDING � PER�VIITS
i i
� EX I STI NG �RONT i�Oi�GH � _ }.
� � Z
� �X15TING MAIN ELEGTRIG PAN�L TO ~ �
� :` EXISTING FIXTUR� � �MAIN O �
I ' V
! � �.
, �
, F-
.t.V �, � —
g� twin twtn \ � F–
GU�ST GU ST 5/n MUD ROOM '; O Q
B�Di�00M B�D OOM . ,, 1. ; � C
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/ ��� ; EXIST. � .,
,� � j MEGH. Q W
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BIDDIf�G & PERiViITS