HomeMy WebLinkAbout40349-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
V SOUTHOLD, NY
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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#: 40349 Date: 12/15/2015
Permission is hereby granted to:
Williamson, Russell
10885 Great Peconic Bay Blvd
Mattituck, NY 11952
To: construct a handicap ramp as applied for.
No I
N oT bK I t
At premises located at:
11325 Great Peconic Bay Blvd
SCTM # 473889
Sec/Block/Lot# 144.-3-19
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 6/15/2017.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00
CO -ADDITION TO DWELLING $50.00
T tal: $250.00
Building Inspector
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 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, 1057) non-conforming uses,or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines,streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date.
New Construction.. Old or Pre-existing Buil g: (check one)
Location of Property: I �jZs G� e IC p Vd
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House No. Street Hamlet
Owner or Owners of Property: �(S�6 J(�L l f M'�"
Suffolk County Tax Map No 1000, Section 7 Block `� Lot
Subdivision Filed Map. Lot:
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Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: y/
Request for: Temporary Certificate Final Certificate: (check one)
07)
Fee Submitted $ LAJ
Applicant Signature
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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 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N Y.S.D E.0
4 Trustees
C.O.Application
Flood Permit
Examined 20 Single& Separate
Storm-Water Assessment Form
S Contact:
Approved ,20 > to.
Disapproved.a/c
Phone: li3/
Expiration 20
1�. (1,7
I '1) Building Inspector
F_
� 2015 J APPLICATION FOR BUILDING PERMIT
'�.� DEC 1
I�
__ I Date , 20
V ''FP T I INSTRUCTIONS
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a. This application MUST be completely filled in by typewriter or in ink,and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a-Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in 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 corporation)
(Mailing.address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
.z/ l�iJ� ��iA��ISOi✓ f
Name of owner of premises ,
(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. Locati ori on which proposed work will be done:
House Number Street ;� Cv`�V31S 1C}3TAi d,..i�aF�uHaml'e`t
- "� G0�?UEa�iJLf i 0 GVl F �
_. - -''. '`. ••._.. _ , /.'p., '�'t'�iiQ�?iJO��tJ2 Vii Gar, �p:,�U.
County Tax Map No. 1000 Section (•v`1 e��BlockjQ; �3t��`� ,��r`�''
"� Lot' I�
����SIJFFQ S'��'�� 1KIMMA\�l ]E]R,
Scott A. Russell
SUPERVISORo I��1[A\NA(G►]EN[]ENT
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SOUTHOLD TOWN HALL-P.O.Box 1179 0
53095 Main Road-SOUTH OLD,NEW YORK 11971 - Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
Ye5 No (CHECK ALL THAT APPLY
❑ ' A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑�. Excavation or filling involving more than 200 cubic yards of material
t within any parcel or any contiguous area.
❑Erc. Site preparation on slopes which exceed 10 feet vertical rise to
❑d100 feet of horizontal distance.
. Site preparation within 100 feet of wetlands, beach, bluff or coastal
[:10/ erosion hazard area.
E . SiteP reparation within the one-hundred-year floodplain as depicted
on FIRM--Map- of any watercowse:-
❑ 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 received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
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 Number! 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. (Property Owner,Design Professional,Agent.Contractor,Other) S.C.T:M. 1000 Date
Dutricr
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NAME. `�LFFi� /. f�7'I54A/ 'Ll� — _Y� -
tv„o Section-_ Block Lot
*:. :` F0R. BUILDING D[^PA R"hNIE�_f USE 0N LY
Contact Information:
'I'rlr�lgx.�'�nMi
Reviewed By-
- - - - - - - —_— - — — - - - - - — Date:
Property Address / Location of Construction Work
[:��SEP'Prnf('w`ate_r
— — - - — - - - - — —
// _ d for processing Building Permit
Management Control Plan Not Required
S _ ❑ Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM " SMU - TOS MAY 20M
TABLE 3.1
MINIMUM UNIFORMLY NAILING SCHEDULE �
DISTUBUTED LIVE LOADS NUMBER OF
DESCRIPTION OF BUILDING ELEMENTS NAIL SPACING }
(IN POUNDS PER SQUARE FOOT) COMMON NAILS
WIND UPLIFT DE51USE LIVE LOAD ROOF FRAMING
WOOD FRAME CONSTRUCTION MANUAL EXTERIOR BALGONIE5 60
Lu FOR ONE d TWO FAMILY DWELLIN65 (2001 EDITION) DECKS 40 RAFTER TO TOP PLATE (TOE NAILED) 3_gd PER RAFTER
~ -SECTION 3.22.3 WALL ASSEMBLY TO FOUNDATION PA55ENGER VEHICLE 67ARA6E5 50 GEILIN6 J015T TO TOP PLATE (TOE-NAILED) 3-8d PER JO15T
-TABLE 3.25 9 3.55 GEILIN6 J015T TO PARALLEL RAFTER (FACE-NAILED) 6-Ibd EACH LAP
lJ -SECTION 3.2.3.1 HOLDDOWNS ATTICS WITHOUT STORAGE 10
-TABLE� 3.15A-5,3.16 GEILIN6 JO15T LAP5 OVER PARTITION (FACE-NAILED) 6-16d EACH LAP ATTICS WITH STORAGE 20
-SECTION 3.2.5.4 HEADER AND/OR GIRDER TO STUD
-TABLE 3.5 ROOMS OTHER THAN SLEEPING ROOMS 40 COLLAR TIE TO RAFTER(PAGE-NAILED) 2-I0d PER TIE
-SECTION 3.22.1 ROOF A55EM13LY TO WALL A55EMBLY Z BLOCKING TO RAFTER (TOE-NAILED) 2-8d EACH END
-TABLE 3.3 SLEEPING ROOMS 30
W -SECTION 3.2.5.1 RID6E STRAPS 5TAIR5 40 F- RIM BOARD TO RAFTER(END-NAILED) 2-Ibd EACH END
z -TABLE 3.4 (SUBNOTE 3) GUARDRAILS AND HANDRAILS 200 WALL FRAMING
LL
43
TABLE R301.2(1) � TOP PLATE TO TOP PLATE (FACE-NAILED) 2-16d I PER FOOT
CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA TOP PLATE5 AT INTER5ECTION5 (FAGS-NAILED) 4-16d JOINT5 - EACH SIDE °
STUD TO 5TUD (FACE-NAILED) 2-Ibd 24" O.G. o° ci
GROUND WIND SEISMIC SUBJECT TO DAMAGE FROM WINTER ICE SHIELD �J SNOW DESIGN FROST LINE DESIGN NDERLAY ME F pS Z HEADER TO HEADER (FACE-NAILED) 16d 16" o.c.ALONG ED6E5 ° Lu
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Q LOAD SPEED(MPH) CATEGORY WEATHERING DEPTH TERMITE DECAY TEMP REQUIRED HAZAR -1 TOP PLATE OR BOTTOM PLATE TO STUD (END-NAILED) 2-I6d PER 2" x 4" STUD o o Z
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W20 psf 110 B 5EVERE 3 FEETTO MODERATE II REQUIRED - � 3-Ibd PER 2' x 6' 5TUD o ° ° ' ° 0 4 O
Q TABLE R402.2 Q 4-I6d PER 2" x 8' STUD ° ' ° O
tu
Lu MINIMUM SPECIFIED COMPRESSIVE STRENGTH OF CONCRETE � BOTTOM PLATE TO FLOOR JOIST, BANDJOI5T, EWJ015T OR BLOGKI% 2-Ibd '� PER FOOT
MINIMUM SPECIFIED COMPRESSIVE STRENGTH (F'cf (FACE-NAILED) Simpson Strong-Tie H4 "SIMP50NII LU J015T HANGER
TYPE OR LOCATIONS OF CONCRETE CONSTRUCTION WEATHERING POTENTIAL b < FLOOR FRAMING EAGH FLOOR J015T AT "SIMPSON" Hl TIE DOWN p q
ff NEGLIGIBLE MODERATE SEVERE 1L NEW GANTS "SIMPSON" AC POST BEAM CONN. z N
TOP PLATE OR GIRDER(TOE-NAILED) 4-Sd PER JOI5T
� J015T TO SILL, z
z BA5EMENT WALLS,FOUNDATIONS AND OTHER CONCRETE NOT c
Lu 2,500 2,500 2,500 z U
EXPOSED TO THE WEATHER F- BRIDGING TO JOIST (TOE-NAILED) 2-8d EACH END O --Iz
< 4,kf BLOGKIN6 TO J015T (TOE-NAILED) 2-8d EACH END J =
BASEMENT 5LAB5 AND INTERIOR 5LAB5 ON 6RADE,EXCEPT 2,500 2500 2,500 ` jjj O
6ARAC-E FLOOR 5LA65 z BLOGKING TO SILL OR TOP PLATE (TOE-NAILED) 3-16d EACH BLOCK }
W LEDGER 5TRIP TO BEAM (FACE-NAILED) 3-16d EACH J015T Q Q- ul
_..1 BA5EMENT WALLS,FOUNDATION WALLS,EXTERIOR WALLS AND 2,500 3000 d 3,000 d � N U �
LLI
OTHER VERTICAL CONCRETE WORK EXP05ED TO WEATHER O J015T ON LEDGER TO BEAM (TOE-NAILED) 3-8d PER J015T • tz w =
1— II.L BAND J015T TO J015T (END-NAILED) 3-I(od PER J015T
PORGHE5,CARPORT 5LAB5 AND 5TEP5 EXP05ED TO THE 2,500 3p00 de 3,500
WEATHER,AND 6ARA6E FLOOR 5LA55 BAND J015T TO SILL OR TOP PLATE(TOE-NAILED) 2-16d I PER FOOT °
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A.AT 28 DAYS P51. ZX ROOF SHEATHING • , '
B.SEE TABLE R301.2(I)FOR WEATHERIN6 POTENTIAL. Y o Q
G.CONCRETE IN THESE LOGATION5 THAT MAY BE 5MXGT TO FREEZING AND THAWING DURING CONSTRUCTION SHALL BE AIR-ENTRAINED CONCRETE IN 5TRIJGTURAL PANEL5 Sd 6" EDGE / 12" FIELD
ACCORDANCE WITH FOOTNOTE D.
D.CONCRETE SHALL BE AIR ENTRAINED.TOTAL AIR CONTENT(PERCENT BY VOLUME OF CONCRETE)SHALL NOT BE LESS THAN 5 PERCENT OR MORE THAN Z DIAGONAL BOARD 5HEATHING p
7 PERCENT. Q ..
E.SEE SECTION R4022 FOR,MINIMUM GEMENT CONTENT. I"xb" or 1"x8" 2-8>d PER SUPPORT 00
v I"xl0' or WIDER 3-bd PER SUPPORT "SIMPSON" HUS BEAM HANGER Lu
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CEILING SHEATHING "SIMPSON" NUC O 0 � of 0)Z GYPSUM WALLBOARD 5d COOLERS l" EDGE/ 10" FIELD z W c/) 0
(3 WALLMMKING _
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STRUCTURAL PANELS Sd b" E06E / 12" FIELD Q ~ _ cil
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T FIBERBOARD PANEL5 nnnV/// Z
fib" I bd 3" EDGE /6N FIELD v, U)
tL �2 8d 3 E06E /6 FIELD (n N W
0 6YP5UM WALLBOARD 5d GOOLER5 7" EDGE / 10" FIELD . I
0 HARDBOARD Bd 6" EDGE / 12" FIELD U °
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PARTICLEBOARD PANELS Sd b" EDGE/ 12" FIELD I I 2"MINIMUM ° J �
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Cj DIAGONAL BOARD SHEATHING y n ��� SIDECOVER
I"xb' or I"x8" 2-9>d PER SUPPORT '
z I"x10" or WIDER 3-8d PER SUPPORT 115IMPSON11 A5E44 P05T ANCHORLu
vFLOORSHEATHING
5TRUGTURAL PANEL5
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-A I" OR LE55 8d b" EDGE / 12" FIELD )' �-
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< GREATER THAN I" IOd 6" EDGE /6" FIELD ss�0
I— DIAGONAL BOARD SHEATHING
I"xb" or I"x8" 2-8d PER 5UPPORT "SIMPSON" CCQ46 POST - BEAM ANCHOR
I"xlO" or WIDER 3-8d PER SUPPORT
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