HomeMy WebLinkAbout28425-ZFO~M NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Ihspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29250
Date: 02/06/03
THIS CERTIFIES that the building ADDITION
Location of Property: 3715 SOUTH HARBOR RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 78 Block 3 Lot 66
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 16, 2002 pursuant to which
Building Permit No. 28425-Z dated MAY 29, 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 ADDITION TO A/~ EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
·"ne certificate is issued to JUDY BRODERICK
of the aforesaid building.
( OWNB R )
SUFFOLK CODlqTY DEPART%WEI~T OF }{ED25TH A~PROVAL
ELEC~RICAL CERTIFICATE NO.
PLU~4BERS CERTIFICATION DATED
Rev. 1/81
N/A
3217
N/A
01/10/03
Authoriz~ed Signat~e
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIT~ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28425 Z Date MAY 29, 2002
Permission is hereby granted to:
JUDY BRODERICK
3715 SOUTH HARBOR ROAD
SOUTHOLD,NY 11971
for :
ADDITION D~ND ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at 3715 SOUTH HARBOR RD SOUTHOLD
County Tax Map No. 473889 Section 078 Block 0003 Lot No. 066
pursuant to application dated MAY 16, 2002 and approved by the
Building Inspector to expire on NOVEMBER 29, 2003.
Fee S 150.00 < .~~
Rev. 5/8/02
COPY
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:
Ao
Bo
For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees 1. Certificate of Occupancy - New dwelling $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
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
Date.
Old or Pre-existing Building:
(check one)
House No.
Owner orOwnersofProperty: ~ (_~
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ~--~ ~), ~
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~.$, o o
Date of Permit.
Street
Block
Filed Map.
Applicant:
Underwriters Approval:
Hamlet
Lot:
Final Certificate: (check one)
Applicant Signature
Nassau Suffolk Electrical Inspections, Inc.
5A Canal Street · Center Moriches, New York 11934 * Tel: 631-878-3500 · Fax: 631-878-3764
Application 3217 Date: 1/10/03
Issued to: Brodrick
Address:. 35-85 South Harbor Rd
Village: Southold Zip: 11971
Introduced By: Avey Electric
License#: 5120-E
was examined and found to be in compliance with the National Electrical Code
Attic 1st Roo-I~l I:;~idenlJal I-ffi Pool De~. ~
Switches Receptacles Fixtures G.FI. Microwave Whirlpool
2 7 5
Oven Carbon
Fans Dishwasher Washer/Amps Dryer/Amps Range/Amps Monoxide
Furnace Oil Gas Heat Zones Smoke Bell
Detectors Transformers
1
Meter Amps Phase Motors
OtherEquipm14X 15 Extension
Out,Res
Permit:
28425-Z
This certificate must not be altered
in any manner
Fax (516) 765-1823
Telephone (516) 765-1800
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
SOUTHOLD TOWN
LANDMARK PRESERVATION COMMISSION
], :'.1 "TO': . .rS~uthcld Town Building Department.
FROM: Southold Town Landmark Preservation Commission- Herb Adler
DATE: May 28, 2002
RE:
Broderick Residence
3715 South Harbor Rd., Southold
Tax Map #78-3-66
SPLIA No. SD-96
The Landmark Preservation Commission has reviewed the addition of a
new bedroom to this house and endorses such plans,
BUILDING PERMIT EXAMINER CHECK LIST
APPLICANT: Q' 5 'c~,
SCTM# DISTRICT: 1,000, SECTION:_ '2~,~ , BLOCK: ~_~, LOT:
STREET ADDRESS:~'5)-/~' ,~.~t/'atZ~:kdg_ ~ .~_, .CITY:
PROJECT DESCRIPTION: /(2hi/7'7'~9/V/
ESTIMATED PROJECT COST:~..,a')E
!
DATE ISSUED: / /02
DATE REVIEWED: ~'-//~/02
DAT~;~UBMITTED: ~/]~/02
SUBDIVISION:
FAST TRACK? ,4/0
SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES:
LOTS 40,000SF -100-24. Ix~t recognition(CREATED belb~c JtH/e 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25 Merger (A uoncon/~brming at any time aftcr 7/1/I~
ZON1NG DISTRICT:
REQ. LOT SIZE:Z/o/~va
REQ. FRONT .~)
REQ. REAR_ . ~
CONFOR NO? !/e%
ACT. LOT SIZE:/-/37~3,~ REQ. LOT COV. oZo'~ ACT. LOT COV.
PROP. FRONT ~/ REQ SIDE 15"/~}~.~' ACT. SDE
PROP. REAR ~
WATER FRONT?
PANEL #: ~
J,/6) DESCRIPTION:
FLOOD ZONE: X ,
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES o~ED #):
TOWN SEPTIC RECEIPT: Y oQ
NEW YORK STATE DEC: PUe-uec 9/1/75 YES or 1~)
SOUTHOLD TOWN TRUSTEES: YES or ~}
TOWN ZONING BOARD APPROVAL: YES or l~
TOWN PLAN'. BOARD APPROVAL:
TOWN HISTORICAL PRE (SPLIA):
NYS ENERGY:(~ OR {~'-: 0
EGRESS (18 H min.? 4 sq total) v'
DTE: / / PERMIT #:RI 0-
YES or ~
10 or NO
VENT (SQ. FT. x 4%).
~,- LIGHT (SQ. FT. x 8%). /
BUILDING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z- ,
HAVE PRE CO'S: Y OR N BP -Z / C/0 Z-
NOTES: ./°3~' ~"
FEE STRUCTURE: FOUNDATION:
FIRST FLOOR:
SECOND FLOOR:
OTHER:
TOTAL: _
SF
SF
SF
SF
SF
1. (_ SF)- ( __SF): SF X
2. ( SF)- (____ SF)= SF X $ =$
INIT OTHER
FEE FEE
+$ +$
+$ +$
TOTAL
FEE
=$
765-1~02
BUILDING DEPT.
INSPECTION
[~J ~DATION 1ST [ ] ROUGH PLBG.
[ ~ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE ~ INSPECTOR ~.~~"~
765-1802
BUILDING DEPT.
[ ] INSULATION
[ ] FINAL
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
765-],802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG,
[ ]~JNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
FIREPLACE & CHIMNEY
DATE
INSPECTOR
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] F/~OUNDATION 2ND [ ] INSULATION
[ ,/'J FRAMING
[ ] FINAL
[ ] FIREPLACE &/~IMNEY
REMARKS. ___~~~- ~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ~U~ PLBG.
[ ] FOUNDATION 2NO [,~]~INSULATION
[ ]FRAMING [ ]FINAL
[ ] FIREPLACE~HIMNEY
765-180:)
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ .] RO/UGH/PLBG.
[ ] FOUNDATION2ND [//]"INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREP~AC(E~& CHIMNEY
REMARKS. ~
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ~ ~I~ATION
[ ] FRAMING [/~FINAL
[ ] FIREPLACE & CHIMNEY
RE
FOUNDATION (1ST)
FOUNq)ATION (2ND)
DATE
COIVIMI!Iq~
ROUGH FI~WII~qG &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FkNAL
ADDITIONAL COM~gIENTS
BULLDOG DEPAR~
TOWN HaLLL
sotrr~oL& NY
Tlr, l,: 765-1802
Approved ,20.__
MAY
P~I~IIT
' .mmX~cno~s.
2~
~mensions of ~ ~ ~ a~a~ or ~d~e: F~m' . ~ Rear
Depth
Number of Stories
R~r ,. s", Doptk ,¥
Height
9.. Sg~e of lot:
1 1. Zone or
Swom to before me thi~ ]' ,: , ·
too 0 . ' '
LYNDA M. BOHN
Qualified In Suffolk
Term ~plr~ M~ ~
S 02'~-2'30"E 139.78'
$ 00'$1'4-8'E x 159.78'
area being u~ed by x
NOW OR FO~IE~LY WENCHELL
MON.
asphalt
pavement
,35.00' j ~ _
UON.
N 01'02'4.0"E 134.85'
SOUTH HARBOR ROAD
CERTIFIED ONLY TO:
N.Y. LIC. No. 048992
HAROLD F. TRANCHON JR. PENN. LIC. No. 2115-E
JOB No. 02-14.6 FILE No. 791F
SURVEYED FOR THOMAS &: JUDY BRODERICK
SITUATED AT SOUTHOLD
TOWN OF SOUTHOLD - SUFFOLK COUNTY N.Y.
SCALE 1" = 40' DATE 4-19-2002
FILED MAP No. DATE
TAX MAP No. (REF ONLY)1000--78--3-66 DISK 500
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
1866 WADING RNER-MANOR RD. WADING RIVER,
NEW YORK, 11792
631-929-4.695
UNDERWRITERS CERTIFICATE
REQUIRED
- ~X~CN
T.O. FIRDT ELR.
FP--.ONT ELEVATI ON
SCALE: l/4" = I'-O"
GL05. 2-2"~ ' HC~R.(_.,LO.~.
e=,5,"
GENERAL NOTES
EXISTINg,
PORTION OF
FLOO . F%AN
AppITION LIVIN~ AREA 25D SdL FT.
SCALE: I/4" = I'-0"
7
VENT
VENT
P--.E A ELE /ATION
SCALE: t/4-"= ILO'`
I~OUNOATION HALL ON
ONGRETE POOT[N~
EXISTIN¢
6RAPtL I~ SPACE
L
FOUNPATION PLAN
SCALE: l/4" : ILO''
HALL CONSTRUCTION'
GONSTRUGTI ON
N,T,% 8i~R'5'r' CONSERVATION CONDT~t~TION CODE NOTED - MA~SH I, Iqql
SCALE~ I/4" ILO"
TYPICAL ROOF CONSTRUCTION
SECTION
SCALE: I/4" = ILOTM
PROVIDE Sf, AOKE-DETECTING
ALARM DEVICES
AS TO PART. 721.1
N.Y.S BUILDING CODE.
SCALE: N.T.S
SIE)E ELEVATIOW
SCALE: 1/4" : I'-0"
PROVIDE OPENINGS FOR
EMERGENCY ESCAPE AS
REQUIRED ~,1 PART. 714 OF
N.Y. STATE BUILDING CODE,
APPROVED AS NOTED _~ ',,
DATI~, ~ Z~. Z ,.~ ·
NOTIFY BUILDING DEPARTMENT AT
765-1802 S AM TO 4 PM FOR THE
FOLLOWING INSPE~IONS:
1. FOUNDATION - TWO REQUIRED
FO~ POU~ED CONCH~
ROUGH - FRAMING & PLUMBIN~
· FINAL - CONSTRUCTION
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENT~ OF THE N,Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUC~ ~RORS
F=XIBTIN¢
EXI'3TIN® FIRST ELR.
SUMMARY OF TOTAL THERMAL RATIN~
IF 'n~ TorN. 'r~ERHN- ~,A'nl~ 15 ~ (o) OR
Ti.E Ei, E=R~¢ C,O~
q ~-----------'4N- TABLE
A. HALL ASSEHBLY
B. ROOF/CEILINE,
EJJDTor~A_ ~ RATINEi f-~ E~'IION
O. FLOOR ASSEMBLY
TOT~ T~ ~TI~
+ 110 O.K.
OCCUPANCY
USE IS
~HT. No.
OF:_ I
F-~ONT ~L~V'ATION
~CALE. I/4" =
~ENEP. AL NOT~6
-/
AI~I~ITION LIVINg, AREA 25,3 SQ. FT.
SCALE I/4" I '-0"
FLO0~7 ~LAN
5 cwR,Aipp.
ON
SCALE: I/4" = I'-0"
SII~E ELE¥'ATION
SCALE: I/4" = I'-0"
ELEVATION
SCALE; l/4" r-o"
4"X4" CeA
1
II '1 ¢~A~OEOR I BON~ HITH
, I
~ EXISTIN~
ON PLAN
SCALE. I/4" I '-0"
N T 5 ENEROY CONCERVATION CONETRECTION LODE NOT~5 - HAP-CH I, Iqql
PART 6-7915 BUII-DINO DESIGN BY THERHA~_ P, ATIN6 METHOD
2 DESIGN VALUE5 6~OO DECREE DAY5
3 NINDON AND DOOR HA~FAOJREP-5 5HALL CERTIF'" THAT THEIR PRODUCT5 HEET
iqlNIPIJH U VALUE5 INDICATED AND AIR INFILTP-ATION RATF~ A5 PER 60DE
4 FIREPLACE 5klALL BE ECJIPPEP HITH I'HE FOLLOP41NO
-DAHPER HITH AIR LEAKA,54= OF 20 C.F.H, HAXIHdH AT 0.3 INCHES NATER OAUOR
-DANPER COP'BOBTION AIR VENI-5 NITH TOTAL CAPACI~f OF B{:TNEEN 150 C FH
TO 200 CFM LOOAfED IN HEAR~ O~ AT 51DE5 OF FI~J3OX, DAMPER EHA_L Bi=
CAPABLE OF BEINB PJLLT CLOSED
TYPICAL ROOF CONSTRUCTION
TYPICAL !4ALL CONSTRUCTI
TYPICAL FLO0t
CONSTRUCTION
iON I-- ' ~
HIN®
EXI~TINO ~
w. Ao~ --~-2"xlo" ~I~O~R N~ EXISTINO ~
SCALE: I/4" = I'-0"
/FLIT E TAIL
SCALE: N.T.S
~ARY' OF TOTAL THERHAL RATINO
~ TABL~
U-VAJJJE RATINtD ~
A. HALL
51JIDTOTAL ~ ~11~ FOR ~TION A (AI+A2+AS) ~
B. RDOF/C, EILIN¢ ASDEMBL¥
~:~IDTOTAL ~,,L~,iAL RATIN~ FOR ~TION Et (~1~2) ~
O. FLOOR ASSEMBLY
TOTAL THERMAL P-.ATIN(~
+ I'fO O.K.
,,",ill
V
< ~ -
SHT. No
OF I