Loading...
HomeMy WebLinkAbout28317-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28998 Date: 10/16/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 1725 VILLAGE LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 25 Block 3 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 8, 2002 pursuant to which Building Permit No. 28317-Z dated APRIL 23, 2002 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is NON-HABITABLE UNHEATED ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to TAZEWELL A & KATHLLEN E SMITH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 65655 09/11/02 PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28317 Z Date APRIL 23 , 2002 Permission is hereby granted to : TAZEWELL A SMITH 1725 VILLAGE LA ORIENT,NY 11957 for . CONSTRUCTION OF A NON-HABITABLE ACCY BUILDING IN THE REQUIRED REAR YARD AS APPLIED FOR FLOOD PMT INCLUDED at premises located at 1725 VILLAGE LA ORIENT County Tax Map No. 473889 Section 025 Block 0003 Lot No. 008 pursuant to application dated APRIL 8, 2002 and approved by the Building Inspector. Fee $ 2 01 .4 0 FId. i>,4. ,A�-1-T--J Authorized Signature COPY Rev. 2/19/98 • Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ;_ 2002 _.- 765-1802 ° APPLICATION FOR CERTIFICATE OF OCCUPANCY '` This application must be filled in by typewriter or ink and submitted to the Building Departmen with the following: 1 4, x A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets, an '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 I%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)hon-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$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool$25.00, Accessory building$25.00, Additions to accessory building$25.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00 Date. 10 I tc>16-2- New -2-- New Construction: ,j' Old or Pre-existing Building: (check one) Location of Property: 7 ,Z s V 1 L l ri _ I A Q , ( 11? t e e . House No. Street Hamlet Owner or Owners of Property: 1. , � 4 � Suffolk County Tax Map No 1000, Section 7 3` i Block D 2,_.!S7 Lot ppm Subdivision Filed Map. Lot: Permit No. Zed 31 Date of Permit.,51, 11 Applicant: .t, �_ — Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ -,2- �)'6 t� I g A, � C� `Oa'�p V1 Applicant Signature FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Iff9ortaft Read the iri*ucdm on paps 1.7. SECTION A-PROPERTY OWNER INFORMATION For Irmimrice Conpaw Use: BUILDING OWNER'S NAME Policy Number Kathy Smith BUILDING STREET ADDRESS(Including Apt,Unit,Suite,and/or Bldg.Na)OR P.O.ROUTE AND BOX NO. Company NAIC Number Vdiage Lane ► 31.D. . b CITY STATE ZIP CODE Orient, NY 11957 PROPERTY DESCRIPTION(Lo and Block Numbers,Tax Parcel Number,Legal Description,etc.) 1000.25.03.08 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,it necessary.) Residential LATITUDEILONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type):_ ( -W-##A%r or tqk rt####°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other._ SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION F55RIP COMMUNITY NAME&COMMUNITY NU 82 COUNTY NAME Tl§j.STATE Torn of Som#mold 360813 SmAfdk NY 84.MAP AND PALL B5 SUFFIX 137.FIRM PANE. B9.BASE FLOOD ELEVATION(S) NUMBER 86.FIRM INDEXDATE EFFECTIVEIREVISED DATE 88.FLOOD ZONE(S) (Zone AO,tee depth of kodrg) 36103C0068 G 0500498 05009/98 AE E.9 810.Indicate the solace of the Base Flood Elevation(BFE)data or base flood depth entered in 139. ❑FIS Profile ❑FIRM ❑Communitir Determined ❑Other(Dasafbe):— B11.Indicate the elevation datum used for the BFE in 69:®NGVD 1929 ❑NAVD 1986 ❑Other(Describe):____• B12.Is the building located Ina Coastal Barrier Reaaxces System(CBRS)area or Otherwise Piolected Area(OPA)70 Yes ®No D*pation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Ct.Bandag elevations are based on:❑Construction Drawings' ❑Bidding Under ConsbvcW ®Firilshed Conabuction 'A new Elevation Certificate will be mwW when constaic ion of the buildiing is ccimplele. CL,Building Diagcem Number].(Select the building diagram most similar to the bull ft for which fhis certificate is being completO-see pages 6 and 7. 0 no diagram accurately repeserrts the biking,provide a sketch or photograph.) C3.Elevations–Zones Al-X30,AE,AH,A(wih BFE),VE,V1 43D,V(with BFE),AR,ARIA,ARIAE,AR/A1-AM,APJAH,ARIAO Camptete hens C3.44 below arxodig to the building dragrarn specified in Item C2.State the datum used.9 the datum is Omit from the datum used for the BFE fn Section B,convert the datum to that used for the BFE.Show field measuennents and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate.to document the datum conversion. Datum_ ConveisioNComments Elevation reference mark used RM 10 Does the elevation mlarence mark used appear on the FIRM? ❑Yes ❑No OF N E o a)Top of bottom floor(including basement or enclosure) $. Qft(m) o b)Top of next higherfloor _—th(m) ��Q m, Mf rZ 1- • c)Bottom of lowest horizontal structural member(V zones only) 7.ft(m) •d)Attached Pap(I)Dpof bAs. o e Lowest elevation d machinery Yando servicing the lxri V(Describe in a Commends area) a r� .�• a O of)Lowestad)'acent(finislned)gade(LAG) Q•0L(m) Z o g)Highest adocent(fnisfned)grade('HAG) $• ift(m) SFO LAND o h)No.of permanent openings(flood vents)within 1 ft above adacent grade 2 o i)Total area of all permanent openings(flood vents)in C3.h asq.in.(sq.cm) SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by taw to cer f(y elevation information. I cor*that the information in Sections A,B,and C on this car hkate represents my best Obts to interpret the date available. I understand that any false statement may be(uulshable by fine or Imprisonment under 18 U.S.Code,Section 1001. CERTIFIEKS NAME John T.Mefz9eu' LICENSE NUMBER 49618 TITLEPresident COMPANY NAME Pecormic Surveyors,P.C. ADDRESS CITY STATE ZIP CODE P.O.Bok 909 SaAhold, NY 11971 SIGNATURE DATE TELEPHONE �/� 10107002 (631)765fi1Y1A OCT-10-2002 03 :04 PM ORIENT COUNTRY :='FORE 631 323 2589 P. 01 E1ectricQ/ 1ns�ec�`V* n Certificate Bala Electrical Inspection Service, Inc. Annl/catlon e 09/11/2002 373 Dunton Avenue 65655 East Patchogue, New York 11772 (631)266.6642 Issued to: Taz and Kathy Smith Street: 1725 Village Lane Village: Orient Z/p:11957 Town.Southold Section: Block: Lot: Introduced by: LadenrannFiectrlcln^. Llt;# 4141-E mw exwn#wd a"d fmAd 1n bis in caffp//axe w ffi the Alditw/E/ecf ee/Cody M�.I 70 LI Commercial I. 1 NV Defects ❑Poo/ L%1lst Floor W11ndoor (—,1Basement 0 Hot Tub © Residential Eil Det. Garage 1 IAttic ©2nd Floor ROutdoorCl Addition I ]Survey Switches Receptacles Fixtures OF/ Heaters A/C Fans 13 19 9 2 Dishwasher Washer/Amp DryaoAmp Oven Range/Amp Garbage Disposal Furnace Oil Gas Circulator Smoke Detector Bell Transformer Meter Amps Phase UG/OH Telephone Television Carbon Monoxide 1 n Other Equipment: Building Permit# OCT-10-2002 03 :04 PM ORIENT COUNTRY ORE 631 323 2580 P. O2 Hugo S. Surdl President Rough Inspection: 07/30/2002 Inspector: Ed Scavelli Final Inspection: 08/10/2002 Inspector: Ed Scavelli This certiFlcate must not be altered In any manner.Inspectors may be identiFled by thelr credentials r* r APPLICATION PAGE I of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION l: GENERAL PROygSIONS (APPLICANT to read and sign): 1. No work may start until a permit is issued. 2. The permit may be revoked if any false statements are made herein_ 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to hilfill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. 1,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND ACCURATE. (APPLICANTS SfONATURE) DATE eyZ 04 SECTION 2: PROPOSED DEkLOPMENT (Tb be completed by APPLICANT) NAME _ ADDRESS TELEPHONE APPLICANT �- /.rzca rll A ,,�/ BUILDER /h 6&e/ QacGDe�s' (s•%e�f N� ENGINEER ✓11.9.P,4' � ��.ae%a �ArA� .�?c,���l�/1G' �O l�.r'`1.d3 G' V ��/93s' PROJECT LOCATION: • To avoid delay in processing the application, please provide enough information to easily 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 application showing the project location would be helpful. FDP(93) APPLICATION a _ PAGE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes) A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE —/ ll New Structure ❑ Residential (I-4 Family) ❑ Addition ❑ Residential (More than 4 Family) ❑ Alteration G�Non-residential (Floodproofmg? V Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demobtiou F ❑ Manufactured (Mobile) Home (In Mauu- ❑ Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Excep( for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements(Including Culvert Work) ❑ Road, Street ordge Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Sar System ❑ Other (Please Spec7y)- ' After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3: FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. Dated The Proposed Development: ❑ Is NQ1 located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is located in a floodway, FBFM Panel No. Dated ❑ See Section 4 for additional instructions. SIGNED DATE APPLICATION a PAGE 3 OF 4 SECTION 4 ADDITIONAL INFORMATION REQUIRED (To be completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: ❑ A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑ Development plans, drawn to scale, and spccification_s, including where applicable:details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the first floor, details of floodproofmg of utilities located below the first floor and details of enclosures below the first floor. Also ❑ Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofmg protection level (non-residential only) Ft. NGVD (MSL). For f qs floodpcoofcd structures, applicant must attach certification from registered engineer or architect. ❑ Certificati`o from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting�fhis fording mast also be submitted. ❑ Other: SECTION 5• PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR I have determined that the proposed activity. A. ❑ Is B. O Is not in conformance with provisions of Local Law , 19 . T'he permit is issued subject to the conditions attached to and made part of this permit. SIGNED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an appGcalion to the Local Administrator or may request a hearing from the Board of Appeals. APPLICATION a _ PAGE a OF a APPEALS: Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals Board Decisioo --- Approved? O Yes ❑ No Conditions SECTION G: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered professioual engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard Areas, bottom 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 FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7- COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? OYES ONO DATE BY DEFICIENCIES? ❑ YES ONO DATE BY DEFICIENCIES? OYES ONO SECTION 8• CERTIFICATE OF OMPLIAN E(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B � SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING ❑ EXISTING BUILDING ❑ VACA.N'T LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW #-7 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_1 AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C/C(93) FROM MdrkSckwartz,AIA-Architect PHONE NO. : 6317344185 Jul. 26 2002 01:00PM P1 Mark K Schwartz, AIA-Architect, PLLC r F.O.%%9-13 Mom(631)734-4185 Culchogue.New Yvrk 11935 Fax:(611)736-4185 FAX TRANSMITTAL Date: July 26,2002 To: Southold Building Department Attn:John Boufis _- V, Fax number: 765-9502 ;__` i Phone number: 765-1802 From Mark Schwartz Re: Snaith Barn/Shed 1725 Village Lane Orient,New York SCrM#1000-25-03-08 Pages: 1 (including cover sheet) A� Comments: a�4 ,�sy`W SC'� N iy The as-built Attic floor framing is as follows: s 0 2"x 10"floor joists at 16" on center • 2 rows of 5/4"x 4"cross bridging,glued and nailed +meq 0223g a�Y • e/V T&G plywood subfloor,glued and nailed ' ��'ore"N6 This framing was installed in lieu of the framing shown an the permit plan. I had discussed this change with Mike Zuhoski prior to construction,but just did not get the revised plan/letter to you office. I certify this framing is appropriate for attic use, The Owners would like to amend the plans to include propane baseboard heat with R-19 batt insulation in the walls and ceilings. This Barn will be used for a work shop and storage. Please call this office if you have questions or require any additional information. smith3.dm —' Mark K. Schwartz, AIA—Architect, PLLC • P.O.Box 9133 Phone:(631)734-4185 Cu"ogue,New York 11935 Fax:(631)734-4185 FAX TRANSMITTAL EBLDG.DEPT. o v 27MDate: July 26,2002 To: Southold Building Departrnent LRH Attn:john Boufis Fax number: 765-9502 Phone number: 765-1802 From: Mark Schwartz Re: Smith Barn/Shed 1725 Village Lane Orient, New York SCTM#1000-25-03-08 Pages: 1 (including cover sheet) Comments: b The as-built Attic floor framing is as follows: • 2" x 10"floor joists at 16" on center • 2 rows of 5/4" x 4" cross bridging,glued and nailed ��4r v2233 • 3�4" T&G plywood subfloor,glued and nailed This framing was installed in lieu of the framing shown on the permit plan. I had discussed this change with Mike Zuhoski prior to construction,but just did not get the revised plan/letter to you office. I certify this framing is appropriate for attic use. The Owners would like to amend the plans to include propane baseboard heat with R-19 batt insulation in the walls and ceilings. This Barn will be used for a work shop and storage. Please call this office if you have questions or require any additional informatiorL S=W.doc o�,�'guFFO(�-C O c� Gybe Fax (516) 765-1823 H x Town Hall, 53095 Main Road Telephone (516) 765-1800 O P.O.Box 1179 Southold,New York 11971 SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION TO: Southold Town Building Department FROM: Southold Town Landmark Preservation Comm. —John Greene DATE: March 20, 2002 RE: 1725 Village Lane, Orient SPLIA#: OR-98 Tax Map E: 25-3-8 The Landmark Preservation Commission has reviewed the submitted plans for the construction of an ancillary building on the above mentioned property. The Commission endorses such plans. Thank you. C [ n �'' �; MAR 2 N 2002 t,; o��g�FFO(,�cOG co y4 Fax (516)765-1823 H Z Town Hall,53095 Main Road Telephone(516)765-1800 O P.O.Box 1179 *-4 �aSouthold,New York 11971 SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION TO: Southold Town Building Dept. FROM: Southold Landmark Preservation Comm. —Herb Adler DATE: April 23, 2002 RE: 1725 Village Lane, Orient SPLIA#: OR-98 Tax map #25-3-8 The Landmark Preservation Commission ans reviewed the re-submitted plans for the construction of an ancillary building on the above mentioned property. The Commission endorses such plans. 2002 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET i a VILLAGE DIST. SUB. .. ,. z lel ' �OR�MEf� 0�2+� ►1� � E� ACR. /"I e crhP S 5, �� S W TYPE OF BUILDING 2ES. �� SEAS. VL. FARM COMM. CB. SC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 01) 1 ,90 029 9�- ���c rlccea cr{ Q dor f 9-3-97 11150 " /9 a t �—L. $� — r S�OCL 700 S©o � e SSOc� z Iz 9 9! ozAP �530 - ! s 119'/0- 2- - hti� , r AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON.ROAD " House Plot DEPTH ®. .m. BULKHEAD DOCK Total F; OMEN g1jo shim'�■■■■■■■■■■■■■■■■ - ■■■■■■RIVER ON &OMENS ' OM■EOOIi ---i■■■■■MEMO ■■■■■ ■■■■■■■=■■■■1■■EO■OMEMO ■■■■■■ ■O■M■■■■DJ■■IRS■■■■■■■■■■■■ ■■■■■■■■r�r�■■f c■■■■■�■n■■E■■■■ ■■■■■■■ �L �'!�!■■■■■ ■■■■■■IN ■■■ IS MEN NNIMISMIECUMS■■■■ Interior Finish w Mark K Schwartz, AIA—Architect, PLLC P.O.Box 933 Phone:(631)734-4185 :•.•.. �� Cutchogue,New York 11935 Fax:(631)734-4185 FAX TRANSMITTAL Date: July 30,2002 To: Southold Building Department Attn:John Boufis Fax number: 765-9502 Phone number: 765-1802 From: Mark Schwartz Re: Smith Barn/Shed 1725 Village Lane Orient, New York SCTM#1000-25-03-08 Pages: 3 (including cover sheet) Comments: The revised plans will be hand delivered to your office later today. Enclosed please find Design Values and Span sheet as requested. I also had Warren Sambach,PE complete load calculations for this 2" x 10" attic floor system. His conclusion is that this floor (with 1200 psi lumber)is good for 74#per square foot. Please call this office if you have questions or require any additional information SnutM.doc 258 Design Values for Visually Graded Structural Lumber Df f s� DESIGN VALUES FOR VISUALLY GRADED STRUCTURAL LUMBER—DESIGN VALUES LISTED FOR NORMAL LOADING CONDITIo DESIGN VALUES IN POUNDS PER SQUARE INCH EXTREME FIBER IN BENDING"F," TENSION COMPRESSION COMPRESSION MODULUS SINGLE- REPETITIVE- PARALLEL HORIZONTAL PERPENDICULAR PARALLEL OF GRAD. (` SPECIES AND SIZE MEMBER MEMBER TO GRAIN SHEAR TO GRAIN TO GRAIN ELASTICITY RULE$ COMMERCIAL GRADE CLASSIFICATION USES USES "F," "Fv" "F�," "F�" •'E" AGEN BALSAM FIR(Surfaced dry or surfaced green.Used at 19%.max.m.c.) Select Structural 2"to 4" 1750 2000 1000 70 305 1350 1,500,000 .. No. I thick 1450 1700 850 70 305 1050 1,500,000 ,'1{ No.2 2"to 4" 1200 1400 700 70 305 850 1,300,000 ' .` No.3 wide 675 775 400 70 305 525 1,200,000 Appearance 1450 1700 850 70 305 1250 1,500,000 4.`( Stud 675 775 400 70 305 525 1,200,000 Construction - 2"to 4" 875 1000 525 70 305 - 950 1,200,000 NELMA'` Standard thick 500 575 275 70 305 775 1,200,000 NHPMa Utility 4"wide 225 275 125 70 305 525 1,200,000 (see notes 1 through 6,. Select Structural 2"to 4" 1500 1700 1000 70 305 1200 1,500,000 8 through No. 1 thick 1250 1450850 70 305 1050 1,500,000 13,and 19) No.2 5"and 1050 1200 m 550 70 305 900 1,300,000 No.3 wider 600700 Y 325 70 305 575 1,200,000 Appearance 1250 1450 850 70 305 1250 1,500,000 Stud 600 700 325 70 305 575 1,200,000 CALIFORNIA REDWOOD(Surfaced dry or surfaced green.Used at 19%max.m.c.) Select Decking, Decking 1850 2150 — — — — 1,400,000 RIs Close grain 2"thick (see notes Select Decking 6"and 1450 1700 — — — — 1,100,000 1,2,9,and Commercial Decking wider 1200 1350 — — I — — 1,000,000 10) DOUGLAS FIR-LARCH(Surfaced dry or surfaced green.Used at 19%max.m.c.) Dense Select Structural 2"to 4". 1850 2800 1100 :95 95 730 1850 1,900,000 Select Structural thick 2100 2400 95095 625 1600 1,800,000 Dense No. 1 2"to 4" 2050 2400 775 730 1450 1,900,000 No. I wide 1750 2050 67595 625 1250 1,800,000 Dense No.2 1700 1950 100095 730 1150 1,700,000 No,2 1450 1650 85095 IgN o. 92b W75 62 600 1,500,000 Appearance 1750 2050 1050 95 625 1500 1,800,000 WCLIB Stud 800 _ 925 475 95 625 1 600 1,500,000 WWPA Construction 2"to 4" 1050 1200 625 95 625 1150 1,500,000 (see notes 1 through 6, Standard - thick 600 675 350 95 625 925 1,500,000 Utility 4"wide 275 325 175 95 625 600 1,500,000 8 through 13,and 19) Dense Select Structural 2"to 4" 2100 2400 1400 55 730 1650 1,900,000 Select Structural thick 1800 2050 1200 95 625 1400 1,800,000 Dense No.1 5"and 1600 2050 1200 95 730 1450 1,900,000 No.1 wider 1500 1750 m 1000 95 625 1250 1,800,000 Dense No.2 1450 1700 0 775 95 730 1250 1,700,000 1250 1490 65n 95 in III 7nn (L_ o. N 'S ,000 Appearance 1500 1750 1000 95 625 1500 1,800,000 Stud 725 850 375 95 625 675 1,500,000 _ Dense Select Structural Beams and 1900 — 1100 85 730 1300 1,700,000 Select Structural Stringers 1600 — 950 85 625 1100 1,600,000 Dense No. 1 1550 — 775 85 730 1100 1,700,000 No. 1 1300 — 675 85 625 925 1,600,000 Dense Select Structural Posts and 1750 — 1150 85 730 1350 1,700,005 wct.IB Select Structural Timbers 1500 — 1000 85 625 1150 1,600,000 (see notes 1 Dense No. 1 1400 — 950 85 730 1200 1,700,000 through 6, No.1 1200 — 825 85 625 1000 1,600,000. Bthroug 13,an1d 13) Select Dex Decking 1750 2000 — — 625 — 1,800,000 Commercial Dex 1450 1650 — — 625 — 1,700,000 _ Dense Select Structural Beams and 1900 — 1255 85 730 1300 1,700,000 Select Structural Stringers 1600 — 1050 85 625 1100 1,600,000 Dense No. 1 1550 — 1050 85 730 1100 1,700,000 No. 1 1350 -- 900 85 625 925_ 1,600,000 Dense Select Structural Posts and 1750 — 1150 85 730 1350 1,700,000 wwFA Select Structural Timbers 1500 — 1000 85 625 1150 1,600,000 (see notes' Dense No. 1 1400 — 950 85 730 1200 1,700,000 through No. 1 1200 — 825 1 85 625 1000 1,600,000 13,and 15) Selected Decking Decking — 2000 — — — — 1,800,000 Commercial Decking — 1650 — — — — 1,700,000 Selected Decking Decking — 2150 (Surfaced at 15%max,m.c.and 1,900,000 Commercial Decking — 1800 used at 15%max.m.c.) — 1,700,000 ENGELMANN SPRUCE—ALPINE FIR(ENGELMANN SPRUCE—LODGEPOLE PINE)ISurfaced dry or surfaced green.Used at 19%max.m.c.) Select Structural 2"to 4" 1350 1550 625 70 320 950 1,300.000 No. 1 thick 1150 1350 450 70 320 750 1,300,000 No.2 2"to 4" 950 1100 550 70 320 600 1.100.060 WwPA (see notes 1 No.3 wide 575 600 300 70 320 375 1,000,000 Appearance 1150 1350 675 70 320 900 1,300,000 13r'ugh Stud 525 600 300 70 320 375 1,000,000 Construction 2"to 4" 700 800 400 70 320 675 1,000,000 Standard I thick 375 450 225 70 320 550 1,000,000 Utility 4"wide 175 200 100 70 320 375 1,000,000 r < " 1:4,.e camrm W:en on Oren d,v welsh:ar wood.oe¢ent. National Forest Products Association;Washington,D.C. 6737 Floor Joists: 30 and 40 Ib Live Load 271 )ESIGN CRITERIA >TRENGTH: Live load of 30 psf plus dead load of 10 Isf determines the required fiber stress value. )EFLECTION: For 30 psf live load. Limited to span n inches divided by 360. cLOOR JOISTS-30 LB LIVE LOAD ALL ROOMS USED FOR SLEEPING AREAS AND ATTIC FLOORS ,,,,,,______,,,,,���,,,,,,.. we 111111���� 11 1 101ST(IN.) MODULUS OF ELASTICITY,E,IN 1,000,000 PSI SIZE SPACING 0.5 0.6 0.7 0.8 0.9 1.0 1.1 1.2 1.3 1.4 !S 1.6 1 1.7 1 1.8 1.9 12 8-0 8-6 8-11 9-4 9-9 10-1 10-5 10-9 11-0 11-3 11=7 11-10 12-0 12-3 12-6 510 570 640 700 '750 810 860 910 960 1010 1060 1100 1150 1200 1240 2 x 6 16 7-3 7-9 8-2 8-6 8-10 9-2 9-6 9-9 10-0 10-3 10-6 10-9 10-11 11-2 11-4 560 630 700 770 830 890 950 1000 1060 1110 1160 1220 1270 1320 1360 24 6-4 6-9 7-1 7-5 7-9 8-0 8-3 8-6 8-9 8-11 9-2 9-4 9-7 9-9 9-11 640 720 800 880 950 1020 1080 1150 1210 1270 1330 1390 1450 1510 1560 12 10-7 11-3 11-10 12-4 12-10 13-4 13-9 14.2 14-6- 14-11 15-3 15-7 15-10 16-2 16.6 510 570 640 700 750 810 860 910 960 1010 1060 1100 1150 1200 1240 2 x 6 16 9-7 10-2 10-9 11-13 11-8 12-1 12-6 12-10 13-2 13-6 13-10 14-2 14-5 14-8 15-0 560 630 700 770 830 890 950 1000 1060 1110 1160- 1220 1270 1 1320 1360 24 8-5 8-11 9-4 9-10 10-2 10-7 10-11 11-3 11-6 11-10 12-1 12-4 12-7 12-10 13-1 640 720 800 880 950 1020 1080 1150 1210 1270 1330 7390 1450 1510 1560 12 13-6 14-4 15-1 15-9 16-5 17-0 17-6 18-0 18-6 19-0 - 19-10 20-3 20-8 21-0 510 570 640 700' 750 810 860 910 960 1010 1060 1100 1150 1200 1240_ x 1 16 12-3 13-0 13$ 14-4 14-11 15-5 15.11 16-5 16-10 17-3 17-8 18-0 18-5 18-9 19.1 560 630 700 770 830 890 950 1000 1060 1110 1160 1220 1270 1320 1360 - --- 24 10- 11-4 -- 11-11 12-6 13-0 13-6 13-11 14-4 14-$ 15-1 15-5 75-9 16-1 16-5 16-8 640 720 800 880 950 1020 1 1080 1150 1210 1270 1390 1450 1510 1560 12 16-5 17-5 18-4 19-2 19-11 20-8 21-4 21-11 22-6 23-1 23-7 24-2 24-8 25-1 25-7 510 570 640 700 750 810 860 1 910 960 1010 1060 1100 1150 1200 1240 2 x 12 16 14-11 15-10 16-8 17-5 18-1 18-9 19-4 19.11 20-6 21-0 21-6 21-11 22-5 22-10 23-3 560 630 700 770 830 890 950 1000 1060 1110 1160 1220 1270 1320 1360 13-0 13-10 14-7 15-2 15-10 16-5 16-11 17-5 17-11 18-4 18-9 19-2 19-7 19-11 20-3 24 640 720 800 880 950 1020 1080 1150 1210 1270 1330 1390 1450 1510 1560 NOTE:The required extreme fiber stress in bending,Fe,in psi is shown below each span. DESIGN CRITERIA STRENGTH: Live load of 40 psf plus dead load of 10 /) /�h !fr psf determines the required fiber stress value. (�(/V Il DEFLECTION: For 40 psf live load. Limited to span in inches divided by 360. FLOOR JOISTS-40 Ls LIVE LOAD ALL ROOMS EXCEPT THOSE USED FOR SLEEPING AREAS AND ATTIC FLOORS JOIST(IN.) MODULUS OF ELASTICITY,E,IN 1,000,000 PSP SIZE SPACING 0.5 0.6 1 0.7 _0.6 1 0,9 1 1.0 1.1 ' 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 ]24 7-3 7-9 8-2 8-6 8-10 9-2 9-6 9-9 10-0 10-3 10.6 '10-9 10-11 11-2 11-4 520 590 660 720 780 830 890 940 990 1040 1090 1140 1190 1230 1280 2 x 66-7 7-0 7-5 7-9 6-0 8-4 8-7 8-10 9-1 9.4 9-6 9-9 9-11 10-2 1114 580 650 720 790 860 920 980 1040 1090 1150 1200 1250 1310 1360 1410 5-9 6-26-6 69 7-0 7-3 7-6 7-9 7.11 8-2 8-4 8-6 8-8 8-10 9660 750 830 900 980 1050 1120 1190 1250 .1310 1380 1440 1500 1550 1610 9-7 10-2 10-9 11-3 11-8 12-1 12-6 12-10 13.2 13-6 13-10 14-2 14-5 14-8 15-0 520 590 E60 720 780 830 890 940 990 1040 7090kl 40 1190 1230 1260 2 x 8 18 8-9 9-3 9-9 10-2 10-7 11 0 11-4 11-8 12-0 12-3 12-7 10 13-1 13 4 13-7 560 650 720 790 850 920 980 1040 7090 1150 120050 1310 7360 1x10 24 7-7 8-1 8-6 8-11 9-3 9-7 9-11 10-2 10.6 10-9 11-03 11-5 11-8 11-11 660 750 830 900 980 1050 1120 1190 1250 1310 138040 ( 1500 1550 1610 12 12-3 13-0 13-8 14-4 14-11 15-5 15-11 16-5 16.10 17-3 17-8 0 18-5 18-919-1 520 590 6c"0 720 780 830 8CO 940 990 1040 1090401190 1230 1280 2x10 16 11-1 11-10 12-5 13-0 13-6 14-U 14-6 14-11 15-3 15-B .16-055 1 16-9 17-0 17-4 580 650 720 790 850 920 980 1040 1090 1150 1200 1250 1 1310 1360 1410 24 9-9 10.4 10.10 11-4 11-10 12-3 12-8 13-0 13-4 13-8 14-0 14-4 14-7 14-11 15.2 660 750 1 830 900 980 1050 1120 1190 1250 1310 1 1380 1440 1500 1550 1610 12 14-11 15.10 16-8 17-5 18-1 18-9 19-4 19-11 20-6 21-0 21-6 21-11 22-5 22-10 23-3 520 590 660 720 780 830 690 940 990 1040 1090 1140 1190 1230 1280 2x12 16 113-6 144 15-2 15-10 16-5 17-0 17-7 18-1 18-7 19-1 19-6 19-11 I 20-4 20-9 21-1 580 650 720 790 660 920 980 1040 1090 1150 1200 1250 1310 1360 1410 24 it-10 12-7 13-3 13-10 74-4 14-11 15-4 15-10 76-3 76-8 i7-0 17-5 17-9 18-1 18-5 660 750 830 900 980 1050 1120 1190 1250 1310 1380 1440 1500 1550 1610 NOTE:The required extreme fiber stress in bending,Fo,in psi is shown below each span. National Forest Produc!n Associa';on;Washington,D.C. FROM MarkSchwartz,AIA-Architect PHONE NO. 6317344185 May. 29 2002 03.'51PM P1 24iMark K. Schwartz, AZA— Architect, PLLC _ P.O.Box 933 Phone:(631)7,14.4165 % Cubchopue,New Yo& 11935 Fax:(631)734-4165 FAX TRt NSMITTAL Date: May 29,2002 L"11 MAY 29 To: Southold Budding Department ALn �">'---� Attn:John Boufis „.^',o`.�s "-''. Fax number: 76.5-9502 Phone number: 765-1802 From Mark Schwartz Re: Smith Barn/Shed 1725 Village Lane Orient,New York SCTM#1000-254)3.08 Pages: 1 (including cover sheet) Comments: The"footings'for the monolithic slab at the aforementioned property shall be 16"wide x 16" deep with rebar and slab as shown on plans. Please call with any questions you may Leve. �- Qe O e s ; s Y 02123 4 o� s�iaza« U_ 1 L-R I N � n T-`7L 1��f T'T-1�L B I Tr` t y T�rJL J__'% r -- Applicant/ Date Owners Name: f W 5Reviewed: I� aO O( Architect/ Date Gngineer: — g ��- Submitted: / 0/ SCTM #: Q District: 1.000 Section: 62-5— Block: 3 Lot: e Project , / I Subdivision Location: t'c ,,A Name: Single& separate Required , 9 cerltfication: (Yes/No) N0 , Req. Req. Zoning District: Ilot size: _ Acuial: I (Lo(coverage 1'-olxiscd_TI Req. /L Rte, (f=ront Pard Popo 1 (Side Yard T Proposed: J [Rear Yard Proposed' I Project Description: AGEN4,UERMM Permit �ZUIRED FOR REVIEW N.A. jYQ YES NuMber Suffolk County Health Dept, New York State D. E. C. f Town Trustees Town Zoning Board approval: ' Town Planning Board approval: Flood Plane Elevation??? C� Flood Zone: L �� Noes: L"C1tiC ,w� Q� 1 uY d-tg/. 40 -6=eT Insp,ction and Certification Form for Windstorm Coverage Eligibility PCL C' N° NEW YORK PROPERTY INSURANCE UNOERWRITING*ASSOCIATION 100 WILLIAM STREET.NEW YORK,NEW YORK 10038 I (Rarer to NYPIUA Certification Guidelines for Windstorm Coverage Eligibility before completing this form.) LOCATION OF-ROPEPTv 12�� � ��q 5 � g37 '1 CITY / [� BLOCK LOT Or��h1 fV ovc, 3 U APPLICANT INSURED Ta,Ze1vej1 s r�A DATE BUILT / OCCUPANCY NUMBER OF / Os oweumg. STORIES (p v Commemal) e h� CONSTRUCTION APPROX DIMENSIONS ,Frame.Mast,^I Fre aeS,sl,p I 00 G -¢M e LENGTH 7 FT WIDTH FT I HEIGHT 2— o FT OTHER STRUCTURES MAJOR EXTENSIONS AND MODIFICATIONS A*4 dl i,G PT. -..ONFORMS TO DOES...1 INSPECTION G IDELINES CONFORMDETERMINE 1. SITE: First floor elevation is above Base Flood elevation and shoreline is stable.Bulkheads are sound and free of serious erosion. t , s :/ Comments I `/°� E 2. FOUNDATIONS: For buildings on pilings:type.number.and condition are appropriate and in sound condition. Connections to beams are in accord with acceptable practice and in sound condition. N JA Comments For buildings supported on posts or piers:posts or piers are of adequate size and in sound condition.Connections to beams are In accord with acceptable practice and in sound condition. I I Comments. Foundation walls are sound and free of serious cracks and spalling.Reinforcing is not exposed or corroded.Beam anchorage Is adquate and in sound condition. Comments _ Breakaway walls are appropnately dee!4r.Fd and protective barriers are in good and serviceable condition I Comments 3. FLOOR BEAMS: Material,size.spacing and condition are satisfactory.Splices are appropriately made and located. Attachment to to ndation is adequate and condition of CCID noctis is free from serious corrosion or ther deterioration. / Commenisle� �CI/' sle6M �r.Yl1�2yf� ✓ 4. JOISTS: Material,size,spacing and condition are satisfactory.Type and manner of connection to beams are in accord / with acceptable practice.Type,size and spacing of cross-bridging are appropriate. ✓ t;ommeni5 r/OJT 5. SUBFLOORING: Type,fastening method and connection are adequate and in sound condition. I/ Comments 6. WALL STUDS AND PLATING: Type,size.spacing and grade of materials are appropriate.Connection to plates are in accord with acceptable practice.Studs are plumb and free of serious deterioration. Comments. 7, WALL SHEATHING: Type,thickness and grade are satisfactory.Nail weight,length and spacing on edges and studs are appropriate.Sheathing is nailed to floor joists and headers. Comments 8. WINDOWS AND SIDING: Type of window and glazinare satisfactory.Condition is sound,glazed areas and support dimensions are not excessive. Comments g L,/ pl. 0%j a Siding and other cladding are firmly attached anddiin good condition. 1r Al) Comments �eN �Y V ' �� t 9. EXTERIOR DOORS: Type.fit and condition are adequate.Hardware is free of serious corrosion and serviceable. Comments NEW YORK PROPERTY INSURANCE UNDERWRITING ASSOCIATION INSPECTION FORM (Cont.) INSPECTION 10. ROOF STRUCTURE: Type.size.spacing and condition of rafters are in accord with acceptable practice.Type. I / spacing and condition of rafter connections to walls are in accord with acceptable practice. r/ Comments Size.location and condition of collar beams are satisfactory.Peak board size and condition are adequate. Comments I Length of eave overhang Is acceptable.Length of rafter overhang Is acceptable. / Comments Size,spacing,manner of attachment to wall and condition of ceiling joists are acceptable. Comments V 11. ROOF SHEATHING: The type.grade.thickness and condition are adequate and the type.spacing and manner of fastening is In accord with acceptable practice. T/ Comments. 1 12. ROOF COVERING: The type.method of attachment and condition of roof covering are appropriate and in accord with / acceptable practices. Comments. I 13. VENTS.VENTILATORS AND OTHER APPENDAGES: Gable vents are of reasonable size,adequately framed and / securely attached.Ventilators are securely attached and in good condition. ✓ Comments. Chimneys are stable and in good condition. Comments: Gutters and leaders are securely attached and in good condition. Comments 14. DECKS,PORCHES,EXTERIOR STAIRS: Design,sizes of members.and methods of attachment io building are T adequate. The condition of such constructions Including underpinning and attachment to building Is sound. V Comments. 15. UTILITIES: Water line and sewer line attachments and supports are satisfactory. I Comments Equipment for heating and cooling;,nd;cr cooking,electrical transformers.service panels and meters are securely fastened and supported. V/—I Comments. CERTIFICATION I hereby certify that I am an Architect or Engineer registered in the State of New York and that I have inspected the structure described above and have found that except for the conditions noted below,it complies with New York Property Insurance Underwriting Association Certification Guidelines for Windstorm Coverage Eligibility. That hrbv,�C6 !S i� e.eCC/�c+r CoAd 7joh cayfx lvc,n�e.hrl 4// /� / / i S ib C r160D/ ��rh aTn� i�o3 6ce4 F'/cvdfd/ iv, �1r / S' ?� ljurv,�gSG w� c. c1 4 ISO yGGt 57or M 7—Xeo/.� fjvr � svr,fli✓�in� -f4" `jou16 -,yc S 0�et c 0 h rS 30b/J Yar S f h eh ru� rr eh / C 01I- Ch �r t—a � A o 1 y /ox u e-tl/�Cf 11 IJ /f C.la W-wc.'�Ijt,Gs ro'gc,� 7A� rS, C 11�a k oh `/ ,fLrlov.l 411 A crit4.JG SIGNATURE �— TITLE C FIRM DATE NEW YORK STATE- REGISTRATION TATE RSURVEv COST ESTIMATE OF REGISTRATION NUMBER n q r� J IMPROVEMENT L G J G COST t 0 9a NEW YORK PROPERTY INSURANCE UNDERWRITING ASSOCIATION INSPECTION FORM (Cont.) INSPECTION 10. ROOF STRUCTURE: Type size. spacing and condition of rafters are in accord with acceptable practice. Type. I / spacing and condition of rafter connections to walls are in accord with acceptable practice. t/ Comments Sze.location and condition of collar oeams are satisfactory Peak board size and condition are adequate. Comments Length of gave overhang is acceptable. Length of rafter overhang is acceptable. • I commerts Size.spacing, manner of attachment to wall and condition of ceding joists are acceptable. j I V Comments �' 11. ROOF SHEATHING: The type grade.thickness and condition are adequate and the type, spacing and manner of i j fastenings in accord with acceptable practice l/ Comme�s j I 12. ROOF COVERING: The type.method of attachment and condition of roof covering are appropriate and in accord with acceptable practices Comments i 13. VENTS,VENTILATORS AND OTHER APPENDAGES: Gable vents are of reasonable size,adequately framed and secure !y attached.Ventilators are securely attached and in good condition. Comments. Chimneys are stable and in good condition. ✓/ Comments Gutters and leaders are securely attached and in good condition. Comments I `� 14. DECKS,PORCHES, EXTERIOR STAIRS: Design,sizes of members.and methods of attachment to budding are TI y! adequate The condition of such constructions including underpinning and attachment to building is sound. i Commen s 15. UTILITIES: Water line and sewer line attachments and supports are satisfactory. i l;Cmme"!5 Egwpmerit for heating and cooling„nd ^r cooking.electrical transformers.service panels and meters are.securely Y— 'asiened ani Scpportei. l i Comments I I i CERTIFICATION I nereey certify that I am an Architect or Engineer registered in the State of New York and that I have inspected the structure described above and have found that except !or the conditions noted below.it complies with New York Property Insurance Underwriting Association Certification Guidelines for Windstorm Coverage Eligibility. %yct �h� bvr �e„ts yf i� e.cCc//c+� Cohd+�joh R>•1 �crn>tcrhrs/ Gil /7 4r, f/Oo� /4�/h Gn.! `iQ3 VPC4 /ood/d /h •�ht �.3� `j urviL rySG 4J hic.y C✓ GI s !3u /V S/o. !n �ov1t Gyc 9 ood cuh / /vh -roe j, G S 300 Ydr s yh /h Copt rrth GY Jr Ch y d f u cCTh G✓ �./ JJ J 1l / / P�t. ,s ,-uc.7Vy.Ct ro'ec./ 7/rL �r C �d�. oh `� ,SCrlo�1 4rrnA s GaaTURE TITLE DATE C ,lo� fchcc rM �� �1� J120 �5' �' `E�+vCRK STATE =E6,STRATiON NUnieER 7 .L 2 r� SURVEY COST ESTIMATE OF J J C/ /�D IMPROVEMENT �09A CERTIFICATE OF COMPLIANCE POLICY NO. (SEW YORK PROPERTY NEW YORK PROPERTY ELIGIBILITY 19 Insurance undenvrltmgAssociation REQUIREMENTS FOR WINDSTORM COVERAGE PROPERTY LOCATION 1725�� �/. // p ,( c), 4e MUNICIPALITY BLOCK LOT Al BUILDING OWNER J 4zec—� e, (C^, �y DATE BUILT OCCUPANCY NUMBER (Dwelling, STORIES l Commercial) ) CONSTRUCTION (Frame, APPROX. DIMENSIONS: Masonry,Fire ResisJtive) -7�, h v 0 /r - h7 G LENGTH FT. WIDTH FT. HEIGHT d FT OTHER STRUCTURES MAJOR EXTENSIONS AND MODIFICATIONS I hereby certify that l am an Architect or Engineer registered in the State of New York and that l have inspected the structure described above and have found that except for the conditions noted below, it complies with 1 )New York Property Insurance and Underwriting Association Rules of Eliibility for Wind Storm Coverage. / A71{ f�f b V;60//yl f /5 /b e-ect lle 1/ C OA , ?v� ?..) d' M c;h G.ntW Very 4sr/l T /s /xl �hC ��ov f �c/o an A hof beet ! �ov tf,3 f /h ��ir d 3c `jurricchG 4✓k'64 fvc3 4 46 7r'j- f,,M e► 5��7/or i>tf - t ovSc aYc rA fog e�d/T�°� %fit Sr TC / of G✓�+ C roti .tom � Gr I4�� / .DA �c ` ac, h o7Rel torr/y CIV-W, 'fisc/ c". 'T�iCSG s{io���rel p o:le,/ 4e p, .w fr oh ch), Ser/00j lia d M� SIGNATURE � TITLE FI DATE r�47 ch c.e /Vf �j�f h r 6 � 312. 0 /f NEW YORK STATE SURVEY COST ESTIMATE OF IMPROVEMENT COST REGISTRATION NUMBER --- 765-1802 BUILDING DEPT. NSPECTION [ ] F NDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY RE ARKS:: DATE INSPECT INSPECT C l7IL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUND ON IST [ ] ROUGH PLBG. ( ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY c REMARKS: 42 0-0 DATE �lQ J INSPECT l- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ 4 FINAL [ ] FIREPLACE.& CHIMNEY REMARKS: DATE ` /7 INSPECT FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) Gem Zah-�. 1 ------------------------------------ cin FOUNDATION(2ND) tee:. y, o ROUGH FRAMING& 00 H PLUMBING x los INSULATION PER N.Y. y STATE ENERGY CODE FINAL ADDMONAL CONDIENTS a� gay- r' d 7/ 0 z m G � ro U O O z x x d ro TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans ✓ TEL: 765-1802 Survey PERMIT NO. Check ✓ Septic Form N.Y.S.D.E.C. Trustees Examined 2 _ Contact: Approved j '20 0 DL- Mail to:'%4-zewC& -5mi7H Disapproved a/c f /77S k,414ye 14nr Q.Qie,.T/V 1,#.r7 trQ�,1 �I C7 Phone: 631-3,zz-21 AVK S8 !� � Buildtn�s tj o- APC PLICATION FOR BUILDING PERMIT Date /,2 —/7— 20p Tc?wr��F s >url�otp INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale.Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupancy is issued by the Building Inspector, 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. ture of applicant or name,if a corporation) 11745� 1`44V,5C LA..� '(Mailing address of applic t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or.builder O�UNE.� Name of owner of premises �ew e,4,1 o9 ama✓ 10�1ee.✓ r. S;w* (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No, 1. Location of land on which proposed work will be done: /7.ZSf V,(/42(r 40k yc O�ic vi House Number Street Hamlet County Tax Map No. 1000 Section Block ,9 Lot 8 Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,tom !y b. Intended use and occupancy GCT,l�Xy stti�1i�e — %too"CicC 3. Nature of work (check which applicable): New Building ✓ Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost s 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 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 construction: Front A; Rear /G I Depth 1� ' Height 24tA " Number of Stories / -4loFi 9. Size of lot: Front �`� Rear /0�.�/ Depth 1.35,0 + A37AJ ' 10. Date of Purchase S ?Name of Former Owner /yl.¢.�lc� Jfi.9.✓.rf� 11. Zone or use district in which premises are situated /�j ` 12. Does proposed construction violate any zoning law, ordinance or regulationY�po�y s�Dvsi✓e�<�� 13. Will lot be re-graded /0 Will excess fill be removed from premises: YES NO Tsea�u<,i.r- 14. Names of Owner of premises ,e*m4ce, e. J,w R Address 6W'wa de-le,c atom Phone No. oIJI- 313 niz 7/ Name.of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO ✓ • IF YES, SOUTHOLD TOWN TRUSTEES 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. STATE OF NEW YORK) SS: COUNTY OF AZt—Lu ) I S ! '�� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are 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 s a of Notary Public ignature of Applicant Nicholas E Ulrich Notary Public, State of New York No. 30-4814101 Qualified in Nassau County Commission Expires March 80G4— F1 000 zoty E AE (e/ 9- SvRVeY Ai,Tenfo 137 /2M 910/03 C bolo8 G Jc>",► T HE-r2r,F�✓ eleva'41oo7s axe referenceCt fo NYS Glc. No 4- IV.C..V. D. i to • :`''"�D .. _ ',, iii. N^. ;96�• LAND SUEZ IIN �T.P-ez2 E--•- /l7oq Enol• •cO. 8•f�.�- IN •moo • z Jro.rs- � � N �. e� e`• fn�/r e%� w Z iz4. e, N ✓' - .L yED Ara vU y ll1VqAy 9b� p� o0 30• 4 � r � i 9 �a 3 69 6 P� C eo�G Mees .:-;r 3/ -fLG .9u.P✓EYt"oe•/l�Art'�,C�=C�'/S�/!it/.9/�.�IN .4MX,�1/✓ i'Y•LLs�.4NGa�� L�A�S/O .Ni1RH�lt�' LDGAT/dV�at�.Fic-T r.,.,�.eF eavr.'t'� .V,Y AUX-~ G'u�.�vrFao ya �l9,rril�c:��f/!-v�.y0�a�C.sie�o r�•zc�.�rir�+,vee�ev t-aV.t'Gb.T.�x./1-qv/1�'/v�b-2s n3-06 rJ w i I ', 111 II o as 941 WN 0 5 I aroc �, � ti e I � I III jj I i — SjQKAGE G_1�G 4N. r I , r`�T—'—r-- -- -!� Irla 4ur _arr fI ' _ 1 -rte-r-T -- -- - - -- - - - - - T-i I I - ' Lj - - 'e1aX Cn� I I N 7SO / - - I war•- - ' -- --- - -_- T'Tt - T Irl II't_1 - __. - _ ., Till �" - - _ -. X11 - VP-�.�" _ .—._ _ .—. - __. I -0 nl nl 2•_V, 1->'7 Z, MlChst,q+. .d I �CILC - $lL ,�rl - 7r— GI/L Z- z . 8 8 - J-00 0 �°rpR-aN - -fin r6'Fii -5!- 4- 2r .__. — �. I I r �I I �s rmrm) ��o � --__ �L. ;- . eq `^a"bFI➢L - - - _ - - -- - d E --- v J �f i nip�.ul inc - lk r ,4 � NOTED - - ROVED AS OT D ATE' OyB•P# OTIFY BUILDING DEPARTMENT AT TO �10NGINSPECTONS: FOR THE P GGGII11177777��� - - _- - _— - - - I ' !I --_ _ �q' i I �0 S1NE uCA✓h77a'-b I' cd, ) DATION • TWO REGUIRE^ nfr `I OURED CONCRETE -- j -- - - '3.0 H • FRAMING & PLUMBING 1 N nF C MPLETE FOR C O.CONSTRUCTMUST -- '_--. T14cMl - REQUIREMENTS UIREME TS OF THE N.Y. . - rr -� '+LITE CONSTRUCTION & ENERGY I n NOT RESPONSIBLE FOR _° OR CONSTRUCTION ERRORS ^IGNI 1121--'-" --- - UN ER� YTERS CERTIFICATE �-_- --- -- -- -- -- --- - -- -- --�- - REQUIRED U4 � - ;y1E �z Crxp.) bfc'T�-1 �l E�/A ON A' eaN /ua.vr� 24' N 3 rr 4 3 4r --- -�se I q-IT � - - V4,"-- 1�0 - - r ,UNQ (O n"1 If Cf1h-�. COOMP YOWITMCHAPTERn46» f1` I rR 87902 FLOOD DAMAGE PREVENTION - j SOWHOLD' TOWN CODE. \/I L.�AC�� 4 Ns= 1 qrt.l, CV `Ho6 � Ulf 1�3y' 1 1 (�f I TfTTIFT � t 'r" N 7- -- -- 51T_ LTYJ • -'� 6� ZZZa .d"us 1 71 if e � g al 1 I LI iu f 7-2-r 15 ! - 2.2n Pi. . --.— '3 Z Silt ,j -- - i lip - - 3ek_(�,a T' \4kh +� _W42111 I _ - ¢ '—r- 4--- --2- maw, — 1"-i � I I r ' �..�Y..��-YI"f '. Q N Al - -© IY I � C.0 ;° �.'CfZ = ii1 _2, . 2 w2„ .wsc "7 = `l � 1� Uayh a I [ T PL 1. 22i- 2 ? � 5 114 i� ?t� L.� t1 +� oaiPl { �C�C1jE �1 #__�� ?5f1tHl° !�ACIPN-br,5cioA ire d1lS • 43