HomeMy WebLinkAbout43849-Z �Q�OSUFF�t'fcoG, Town of Southold 7/16/2019
P.O.Box 1179
N Tf 53095 Main Rd
qy� �a �sSouthold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 40503 Date: 7/16/2019
TMS CERTIFIES that the building DECK
Location of Property: 300 Bennetts Pond Ln, Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.-13-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/24/2019 pursuant to which Building Permit No. 43849 dated 6/11/2019
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:
DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Bailey,Edward&Sweda,Debra
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
tho ' ed g ature
Tx TOWN OF SOUTHOLD '
o�g�FFO(�-co
ed i BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
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#: 43849 Date: 6/11/2019
Permission is hereby granted to:
Bailey, Edward
300 Bennetts Pond Ln
Mattituck, NY 11952
To: construct deck addition to existing single-family dwelling as applied for.
At premises located at:
300 Bennetts Pond Ln, Mattituck
SCTM # 473889
Sec/Block/Lot# 113.-13-4
Pursuant to application dated 5/24/2019 and approved by the Building Inspector.
To expire on 12/10/2020.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $364.00
CO -ADDITION TO DWELLING $50.00
Total: $414.00
Buildin spector
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. 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) 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 Building: (check one) �
Location of Property:
House No. Street Hamlet
Owner or Owners of Property: ,[�Cc/ /�
Suffolk County Tax Map No 1000, Section / , Block Lot
Subdivision / 2 Filed Map. Lot:
Permit No. L{ / Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporarytificate Final Certificate: (check one)
Fee Submitted: $
App c nt Signatur
BOE 30(/Tyo
f # TOWN OF SOUTHOLD BUILDING DEPT.
`yco 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] UNDATION 2ND [ ] INSULATION
[ FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
V,)Ooyj>
4 �y 5t/,O-
DATE
INSPECTOR/wf��—1
A
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST) 00
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....................................
FOUNDATION (2ND) rro
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ROUGH FRAMING&
PLUMBING H
a
INSULATION PER N.Y-. y
STATE ENERGY CODE
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FINAL
ADDITION4L CO NTS
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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
Southoldtownny.gov PERMIT NO. U Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined `� I ,20 ll Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20A Mail to:
Disapproved a/c
Phone: 1'406'" -�
Expiration D '20
Building Inspector
PPLICATION FOR BUILDING PERMIT
DDate Z_ 20
MAY 2 4 2019 INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
771,'
sets of lans,` ekt plair
l to scale.Fee according to schedule.
RGU U&I-ation 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.
(Sign re of applica or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee agent, architect, engineer, general contractor, electrician, plumber or builder
,OCL ,6,e Au,,2 451L1,64- �0 G6AI724_�-_76,e
Name of owner of premises 4-4, 1d, A,E,6�jC�
(As A the tax roll or latest deed)
If lican Yc Vor ion, signature of duly authorized officer
( me and tit of corsporaie-`o�fic'er)
Builders License N iW -6:390; '
ir_•
Plumbers License No: .• ``" •1,
Electricians License No. "
Other Trade's License No.
1. Location of land OD which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section I J Block 13 Lot
1
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises aYid intended use and occupancy of proposed construction:
a. Existing use and occupancy &Ale
b. Intended use and occupancy
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Workj►7r�/�3�
(Description)
4. Estimated Cost,6� ® 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 Rear .n- -Depth
Height Number of Stories , ` ;�
9. Size of lot: Front Rear Depth e °� ` l
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 1/
13. Will lot be re-graded? YES NO /Will excess fill be removed from premises?YES NO t/
14.Names of Owner of premises?ALA�rZ Addres0iV, &A') Phone No,0/-a-77-3S,32
Name of Addres Ar--'&%wA(� R9. Phone No
Name of Contractor r Izlsl Address MoD &,yj, Pn-05 hone No.631-406-P ZS-3
L,E'1 16,,14W4T x.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale,with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO—,(�
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF SUFFol>!4)
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the 1ii4iE D. 8
(Contractor, Agent, Corporate Officer, etc.) Notary public,state
01 14—
No.OIBU6185W
is
s Suffolk County� �((���Q
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of said owner or owners, and is duly authorized to perform or have performed the PtbipPitt rdkVa�rde this application;
that all statements contained in this application are true to the best of his know � enan belief, and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
day of 20 1
( L GGrw
Notary Public Signatur of Applicant
IVScott A. Russell tZEC°Su�� �hCA�1�A�(G�)EI��lUE1��C'SUPERVISOR �SOUTHOLDTOWNHALL-P.O.Box 1179 � � Town of Southold
53095 Main Road-SOUTHOLD.NEW YORK 11971 O�
CMP-TER 236 - STORMWATER MANAGEMENT WORK SKEET
(TO BE COMPLETED BY THE APPLICANT)
DOES TMS PROJECT INVOLVE ANYOF THE FOLLOWING:
(CHECK ALL THAT APPLY)
Yes No
❑ 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
within any parcel or any contiguous area.
❑ C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑ D ite preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑ E, ite 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 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 Fenn to the Building Department wits your Building Permit Application.
S.C.T.M. 1000 Date
APPLICANT: (Property Owner,Deslgn�Pjrroofessional Agent,Contractor,Other) Dtstrlct
NAME 6Section Block Lo[
A /
e7 FOR BUILDING DEPARTMENT USE7ONLY—*v**
Contact Information
Reviewed By:
- - — — — — — — — —
Date
Property Address /Location of Construction Work: — — — — — — — — — — — — — — — — —
��r Approved for processing Building Permit.
El Stormwater Management Control Plan Not Required.
ElStormwater Management Control Plan is Required.
(Forlwai d to Engineering Department for Review)
FORM 4 SMCP-TOS MAY 2014
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SURVEYED FOR EDWARD BAILEY & DEBRA SWEDA
PROPERTY LOCATED AT MATTITUCK g,0 AD
LOT No. 10
MAP OT'S
FI EDFJUNEN 2T 1970:OND FILE NO: 5483 STpKALiA
TOWN OF SOUTHOLD fy
SUFFOLK COUNTY. NEW YORK
S.C.T.M. + 1000-113-13-4
AREA - 28.025 SF - 0.5434 AC
SCALE: V-30' �a
NOTESTHE EXISTENCE OF RIGHT OF WAYS. `j \
WETLANDS ANO/OR EASEMENTS OF RECORD �✓
1F ANY. NOT SHOWN ARE NOT GUARANTEED,
tSEXTION 7TE3 AI TEMHOW DR STATC TO THOS NLA L 16 n VIOLATION
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OR MItltSSW BEAL SWAN NOT OR COSIOERED TO BE A VAIO ME COPY.
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OHARAHHTEES CA CERTIFICATI@S OSICATED NFAEOtH OWL RW ONLY TO 1{,9
THE FATRS011 FOR 00 THE SUiVkY SO PWARFO.AND ON HIS BMW TO
THE TITLE COMPANY.OOYERHMFNTA AWW ANO LOM OBTMMON
LISTED HERMN,ANO To THE A981OHM OF THE LOM I SMIMON.
9uARANtv9 OR COIRFICAnONS AM NOT TRAISFOtABLE TO AmiSM
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EDWARD J. BAILEY
DEBRA J. SWEDA vOt 0
SUFFOLK COUNTY NATIONAL BANK �s 9
FIDELITY NATIONAL TITLE INS. CO. 0 1',pn apt SURVEYED BY:
BARYLSKI LAND SURVEYING
2320 MAIN ST. P.O. BOX 1302
1 NEWMAN VILLAGE CONDO.
BRIDGEHAMPTON, NEW YORK
(031-537-78441
23284 APRIL 17. 2015
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WIND LOAD PATH CONNECTION & CONSTRUCTION DETAIL DRAWINGS USE IS U 4LAWFUL
USE THE FOLLOWING USP METAL CONNECTORS OR APPROVED EQUALS FOR PROPER WIND RESISTANT CONSTRUCTION. 4" X 4" POST W/ 2" X 2" 2" X 8" ACO LEDGER BOLTED EXISTING HOUSE WITHOU CERTIFICAT -
FOLLOW MANUFACTURE'S RECOMMENDED INSTALLATION INSTRUCTIONS TO ACHIEVE MAXIMUM UPLIFT LOAD CAPACITY. BALUSTERS & CAP RAIL TO HOUSE FRAME WITH STRUCTURE TO REMAIN OF OCCUPAIC�Y
"LEDGERLOK" SCREWS @ 16" 0. ;
HANG D.J. FROM LEDGER WITH W 0-1 w o
SIMPSON LU28 CONNECTOR W C'3 z M
4" MAX. 1" X 10" RIM BOARDFLOOR HEIGHT �� Z w w n
CONTINUOUSLY AROUNDTX ' DECK BOARDS —'— — C7 a ra
4" MAX. 2" X 10" ACQ D.J. 16" O.C. W � P
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4" DIA. MAXIMUM M RETAIN STORM WATER RU dOFF o Z °
4" DIA. MAXIMUM PROV. H4
CONNECTOR GRADE PURSUANT TO CHAPTER 236 w U "
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GIRDER/HEADER o OF THE TOWN CODE.
2- 2" X 10" ACQ GIRDER—/ APPRO ED AS NOTED
z BOLTED THRU POST
12 POST/COLUM DATE: B.P.#
(0 Nnnnnnn ILL 4" X 4" ACQ POSTS ON FEE: 3 ,�� BY:1ON14 ?d'�
10" SONOTUBE W POURED °
/ NOTIFY BUILDING DEPARTMENT AT
CONCRETE FOOTING, FLARED a +s
765-1802 8 AM 70 4 PM FOR THE
20" X 8", 36„ BELOW GRADE W
FOLLOWING INSPECTIONS: y r
DECK/PORCH RAILING (TYPICAL ALL FOOTINGS)
1. FOUNDATION
FOR POURED-CONCRE CONCRETE
STAIR RAILING POST-TO-GIRDER/HEADER CONNECTION DECK SECTION 2. ROUGH - FRAMING & PLUMBING
1-112” SPACE
USE MIN. (2) 1/2" DIA. MV. BOLTS WITH WASHERS AND NUTS SCALE: " '-0" 3. INSULATION
� = 1
MINIMUM 4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
HANDRAILS
REQUIREMENTS OF THE CODES OF NEW
POST YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORCOMPLY WITH LL CODES OF
POST NEW YORK STAT & TOWN CODEcl
AS REQUIRED ANM CONDITIONS 0-
BALUSTERS RIM/DECK JOIS4 ° QV ,
qGOPEN BALUSTER ATTACHED TO WALL ° CONCRETE PIER
� T I I Ir+ OAR
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HANDRAIL CONNECTION PROVIDE 4" POURED CONCRETE ` EES
ALL HANDRAILS SHALL BE CONTINUOUS THE FULL LENGTH PAD UNDER STAIR STRINGERS;
OF THE STAIRS. HANDGRIP PORTION OF ALL HANDRAILS POST-TO-DECK CONNECTION VERIFY EXACT LOCATION IN FIELD 1'-4" 2- 2" X 10" ACQ GIRDER
SHALL NOT BE LESS THAN 1-1/4" NOR MORE THAN 2" IN _ _ 4" X 4" ACQ POSTS ON
CROSS SECTIONAL DIMENSION, OR THE SHAPE SHALL USE MIN. (2) 1/2" DIA. GALV. BOLTS WITH WASHERS AND NUTS DECK POST FTG. CONNECTION 10 SONOTUBE POURED
PROVIDE AN EQUIVALENT GRIPPING SURFACE LOCATION USP NUMBER DESCRIPTION APPLICATION _ % i CONCRETE FOOTING, PROVIDE 4" POURED CONCRETE
04 POST PAU44 OR WE44 POST / BEAM ANCHOR APPLY TO EACH FOOTING 1'-0" 36" BELOW GRADE PAD UNDER STAIR STRINGERS;
N (TYPICAL ALL FOOTINGS) VERIFY EXACT LOCATION IN FIELD
+4
FLASHING TUCKED UNDER
TOP PIECE OF SIDING AND o
LAPPED OVER FIRST CONTIN. s'-11" 5'-10" 7'-4 1/2"
STAIR TREAD PIECE OF SIDING BELOW
"LEDGERLOK" SCREWS o
DBL RIM BOARD
CONNECTED TO BLDG. 016" OC
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JOIST
UI � j
STRINGER
O m
FLOOR FRAMING 2x10 DECK JOIST x I -
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GIRDER a'-o" a'-o"— a'-o" 4'-4 112"—
_
BLOCKING JOIST HANGER I w U
STRINGER TO DECK/PORCH CONNECTION o V-0"
RIM JOIST
JOISTS OVER HEADER/GIRDER o 11 11
�x Jx6 DECK BOARDS (D } m
LOCATION USP NUMB DESCRIPTION APPLICATION
JOIST TO GIRDER/HEADER I RT10 ITYDOWN ANCHOR ICONNECT TO EACH JOIST DECK LEDGER CONNECTION =4 "
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M
3
X > Q
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2" X 10" ACQ LEDGER BOLTED r 0
TO HOUSE FRAME WITH 5" .
DECK & PORCH NOTES: 'HANDG ERLOKD.J. FROMREWS L DGR WITHO C
2. Unless otherwise noted, all framing material to be #1 ACQ pressure treated lumber. SIMPSON LU28 CONNECTOR
A I fasteners, hangers and anchors to be galvinized or stainless steel. I LLJ Z �-
2). Girders for deck joists to be bolted or anchored to each post or pier with washers and nuts. 10'-7" —3'-0" - O Z
Girders concrete piers shall be anchored with proper steel connectors anchored CLIMATIC & GEOGRAPHIC DESIGN CRITERIA DECK P LAN °-
into concrete with a minimum 1/2" dia x 7" long anchor bolt with washers and nuts.
GROUND WIND SEISMIC FROST WINTER ICESHIELD O— c:) N
3). Posts support' irders shall be anchored to a 12"x12"x12" thick concrete footing FLOOD „ -'
pp g I SNOW SPEED DESIGN WEATHERING LINE TERMITE DECAY DESIGN UNDERLAYMEN HAZARDS SCALE: = 1'-0" 0
Use a minimum 1 2" dia x 7" long anchor bolt with washers and nuts. Footings Shal LOAD (MPH) CATEGORY DEPTH TEMP. REQUIRED » I---
be 4 ft. below grade. cr� 0 0
20 LBS 140 B SEVERE 3 FT. MODERATE SLIGHT T 11 NA - ~ = z
4). Deck joists to have blocking at 8'0 o.c.. TO HEAVY MODERATE n W o
F
5). A minimum of 10 inch flashing shall be installed between the building and ledger. z UJ
Ledger to be fastened to building with 1/2" dia. bolts with washers and nuts
at 16" o.c. W z 0 vi
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6). Concrete piers shall be a minimum 6" above grade. m (n F
7). All joists to be supported with hangers and anchors. Each Joist shall also be anchored Q Li
to girder(s).
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