HomeMy WebLinkAbout44059-Z WIXTZZ 1
�Q�gUFFD(,f Town of Southold 10/31/2019
P.O.Box 1179
cm
co
o • 4 53095 Main Rd
N,� dab Southold,New York 11971
tk
CERTIFICATE OF OCCUPANCY
No: 40821 Date: 10/31/2019
THIS CERTIFIES that the building ACCESSORY
Location of Property: 30 Tucker Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 63.-5-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/2/2019 pursuant to which Building Permit No. 44059 dated 8/12/2019
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:
ACCESSORY PERGOLA AS APPLIED FOR
The certificate is issued to Zukowski, Janet
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
utho ' S ature
o�SUFFut��oTOWN OF SOUTHOLD
�� Gy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
0
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#: 44059 Date: 8/12/2019
Permission is hereby granted to:
Zukowski, Janet
PO BOX 1616
Southold, NY 11971
To: construct an accesory pergola as applied for.
At premises located at:
30 Tucker Ln, Southold
SCTM # 473889
Sec/Block/Lot# 63.-5-7
Pursuant to application dated 8/2/2019 and approved by the Building Inspector.
To expire on 2/10/2021.
Fees:
r
ACCESSORY $167.20
O -ACCESSO DING $50.00
` To $217.20
a
Building nspector
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.
7 /Z
New Construction: Old or Pre-existing Building: (check one)
Location of Property: -T ter.G 4w e (2
House No. Street v Hamlet
Owner or Owners of Property: 64a aj6 p4, L
Suffolk County Tax Map No 1000, Section (o Block Lot 7
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: '/
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
1, 0 ,� /� , J kE aWresiding at 312 �ag
(Print property owner's name) (Mailing Address)
do hereby authorize i GG e
(Agent)
to apply on my behalf to the
Southold Building Department.
(Owner's Sign e) (Date)
Z ��51�
(Print Owner's Name)
�F SOblyo�
TOWN OF SOUTHOLD BUILDING DEPT.
• .ao
courm, 765-1802
INSPECTION
[ FOUNDATION 1 ST.r ^�S [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: _
c
DATE Cl INSPECTOR
OF SOUT
# # TOWN 'OF SOUTHOLD BUILDING DEPT.
-
courm, ' 765-1802
INSPECTION .
[ ] -FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION-2ND [. ] NSULA ION/C ULKING
[ ] FRAMING/STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY ['' ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE-RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) - - [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
RE RKS• fW&Mk tOA- Z
0
� DA
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMS S
6►w b
toll 39
FOUNDATION(IST)
H
------------------------------------
FOUNDATION(2ND) �
Ps
z
VWLo
�� � ✓ � C `?J
r H ul
ROUGH FRAMING&
PLUMBING
r
INSULATION PER N.Y.
STATE ENERGY CODE
ME
O --
FINAL
AV
ADDITIONAL COMMS TS
� o
a. z
m
O
® z
Y
H
x
d
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 qq /� �� � Survey
Southoldtownny.gov PERMIT NO. V Check
Septic Form
MYSDEC.
Trustees
C.O.Application
Flood Permit
Examined IZI 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20 Mail to:
Disapproved a/c Anrkre W Q-enne.c eh
Phone: (1231 010 2 _?b1J0
Expiration ` 120
J U L 019 APPLICATION FORDING DING PERMIT
AUG ® 2 2019
Date , 20
}Iq� D �G�DT E�{Pp I` �pT q� INSTRUCTIONS
rli til .N�u+r sO N T A,O�'�.tD R,J7, ,DMT�T DEE
a. This application MUST be cbilipltli'1ir' vriter 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.
9 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. _
i
?,(Signature f 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
Name of owner of premises e,6y,5f a _('K,„_ 4 24 K-o�s e
(As on the tax roll or latest deed)
If applicant is a corporation;,signature-of duly-authorized officer
(Name and title of c'oipoi=ate,,offi'cer)' .r
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:
�5o 7'k-C r� 1-4- Ste,7k e G 1-)
House Number Street /I Hamlet
County Tax Map No. 1000 Section l0� Block _Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy 10
3. Nature of work(check.which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost 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 strictures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Ir Number of Stories
S. Dimensions of entire new construction: Front �s��Rear Depth
Height Number of Stories
".j f
9. Size of lot: Front Rear Depth
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
13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
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 foundationplan 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 )
being duly sworn, deposebtybtltl( ) e is the applicant
(Name of individual signing contract) above named, Notary Public,State of New York
No.01 BU6185050
(S)He is the Oualified in Suffolk County
(Contractor,Agent, Corporate Officer, etc. 1ommRssion Exn res AW 14,
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.
worn to beforeme t 's
�'�day of 20
Notary Public Signature of Applicant
ti
Scott A. Russell °sup STOR'A�[�w.A\T)E)E�
SUPERVISOR a
MANAGEMENT
U
SOU BOLD TOWN HAIL-P.O.Box 1179 '6' , � Town of Southold
53095 Main Road-SOU HOLD,N W YORK 11971 O� y ,
CHAPTER 236 - SToRMWA,TER MANAGEMENT WORK SHEET
(TO BE COMPLETED BY THE APPLICANT)
DOES TkIIS PR INVOLVE ANy OF THE kOLI.OWING:
(CHECK ALL THAT APPLY)
Yes No
❑® A. Clearing, grubbing, grading or stripping of land which affectsmore
than 5,000 square feet of ground surface.
❑N B. Excavation or f illing 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. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
El® E. Site preparation within the one-hundred-year f loodplain 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! Cbapter 238 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 Cbeck List Form to the Building Department witn your Building rermit Application.
S.C.T.M. �`: 1000 Date
APPLICANT- erty Owner,Design Professional Agent,Contractor,Other)
District
68
7 i�A—Z
Sect,on Block Lot
A " FOR BUILDING DEPARTMENT USE ONLY"' ° Reviewed By:
-- - - - - - - - - - -
Date
Property Address /Location of Construction Work: _I_Approved for processing Building Permit.
Storm�vater Management Control Plan Not Required.
Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review)
FORM " SMCP-TOS MAY 2014
vuuvm vvuilty vert.v1
Labor Licensing&Consumer Affairs
HOME IMPROVEMENT LICENSE
Name
t MARTIN KELLY
Business Name °
CUTCHOCUE Clry GRAN!TE CORP
This certifies that the
bearer is duly licensed License Number H-54370
7 by the County of Suffolk
Issued: 11/07/2014
Commissioner Expires: 1110112020
. a
.F
C.
N
IA
ss -
sa. t
�� Sa..F.
W HITLOCK S�
33.97 ror, MAP OF PROPERTY {
f 1
'06'&. SURVEYED FOR
2 S',!o
F $ CATHRYN M. ERATH �
N _
w
N , SITuArit AT
>~ SOUTHOLD �
� (qty
SUFFOLK CO., N. Y.
41
SCALE : 40'- 1"
> to o �•?!0 1
N010 �>
GitIqN1Ta MONIJMIft4T
2,• v • = Mow PIPG
p0 60 GUARAwmaD To lmTER-c-ouc4TY Ti-rLs. 4U&RANTY
b� MOitre.Arri Co. As SuRV4sY1[a MAY 9, 1943.
el
104.5 h�� OTTo W. VAN -rulL. 4. Saw
N.66' 37't0"W•
till,
TUCKER LANE LtcgNsEO LAwa Su1ZVEVORS
6¢.51i is rc iGT� hi. Y. L
14-1
iy
Z�J5 ,.e
OR
..;oUPA
AWFUL
TO
E IS U
IFICAJ
�E
VVITHOUT EKI
F OCCU
0
0 1.
jp-
-xv
AS NIOTE
2 144, A
'AR-f M
E
PICTIONS',
T C)
W
ill
1 XITICRETE�'___
est
Pi ums' 'iNG
GUARO
RUCTION MUST
E FOR C.a.
J�
OF TRE C L 'N
od-WP - F01
LEkONSIBLrt --,LAN
i �
t
4 r
MAP OF PROPERTY
$URVEyE:0 FOR
GE P7. $ CATHRYN M . ERATH
SITUAT' g AT
SOUTHOLD
SUFFOLK C0 . 0 N . Y. '
SCALE :
r w tiZ 4 C3 �1 Q qi
IRT GR-COUNTY TITL9. (;U"Awry
;A4rc CO . AS SUPW4 1ifo MAY 9 , 1943.
T-rO W. VAN TU`tt. 4� So "
- v 4w-.� e-01-0-J.- R
� et3 �D LAND SU1-vEY0W-5
of
HTE
B.P.
Which End Cut See 3,00
DATEP2414
VR � BY: Which End Cut See 3.00
U -U�51 UaPARTiglal AT�IOT , u r_nR E Lathe
TO
i 65-18Q� 8 AM � IONS: $
OLLO\NING INSPc O REQUIRED
1. FOUNDATION - ` r a �
FOR POURED & PLUM E';,C
C NGRE - r
1lr
FRA( + ,�U ®� x 7114'Beam
2. ROUGH x eam
3• INSULATION UCTION MU 'T 412`x 1r Boom
CON ST FTI 4. FINAL - OR C.0 T 1g 5'x 14'Beam
BE COMPLEtE Si ALderb�rrr Beam
ALL CONSTRUCT'DN CCtU►9�dr ti\�S I ti'PERSON
THE t . 'tit t 0 '
REQU1REMrNTS�DT REI- Square Co�mns Steel Core i
YORK STATE. EPR R ' r 'm
CO 4STRUCTION 511rSO. 211rMa. 8 IA.
DESIGN O Ofa.
i 10' tA. 3
12'
12`So. 212'$Q.
3'SQ. r
4"SQ. r r a
Clearance PtamtweDA s
1 d�y =FlangeMount.
J 24A
r r
COMPLY WU s �
NEW YORK STATE & TOWN C®DES ,F UPANCY OR
AS REORED r r ��
columns an centerr S IUNLAWFUL
3. WITHOUT CE TOC T
_ �OIiIfN PLANNING BOARDD
S TEES �J OF OCCUPANCY
Paint Color
i Front Elevation
Ift to scw. -----�
Mote:rn"rfw%vo ooutw=LLCra cwmuftnenIMM.oDdrmrirp bomgrA$$Ptdt7ft,CUET eR8n"ARMffECT1COHiRA Free Stand4ng g
C"a"r •:ori: �t Seleaper3or►: DO Draw: I I
�' y ZV K®1e�S .1 pergolaBf6redC ararm 2.00
o.....en� [onlrac�r Ordrr#
R&.Oft 100or
Aapc",
A3 IT x 1114'Beam
x eam
411 Beam
4 5'x t
Beam 151
Center TyP. 8
IfUll
$�
LR
► ! i co4tmns on cerNar �
I ilrx5,1YJoist
x
1 12'x 11 1w Joist
jaw
I I
1
�''� columns on
� � 2 Paint Color
1 Plan View �
dote woftb(ft oOutlom=lobe"cmvmonmOra'..,aBd m�,� Free �tandir�g `a
tC" e�ptoved mb Sgrted QY L•ie BfWklf T C 0
Q�maSipumerpsi:
stJ, - )�C131AS Sr,1 Pergola ---LJ--
Br otmm .. c�+
&imi traces. ordertr Rev.tax moot .
01
me
G
Which End Cut See 3.00
Lathe a
�-Joist Bracket
112"x 7 114'Beam z
,t 4112"x 1 114 gam 1 1i2" 5 112'Joist
4112"x 12"Beam 1 112"x 7 114 oist
5"x 14"Beam 1 12'x 911 olst i i
Beam 1 V2 x 11 114"Joist
underlols 6 PERSOfd Joist
to grade-
Columr Height Square Columns Steel Core Ro d Colum s
' t 8
51®. 2112"Dia. i
�IG t i 10" A.
IT SQ. 4 Via. , 12"D a
12"SQ. 1 2112^SQ. Stra nt
3 SQ. , , -
Recesse 4"SQ.
TX pered s
Plain (Cor
Clearance
tt
is s if�nY Flange Mount.
r t r
L E
it - tt
a-
- 11 -
t 1
rt
columns on center
I ,
t .
3'-0"[361 J
tr
tt �
+ + o
2 Paint Color � _
0
1 Plan View L t;
Not to f,h nd�'�t'- rs��1'o 0.cas7zre.tfirr5,g•�tcr�rLram;�.••:,p rta:rn;t-.Y w at:rc�,p?vul r:r- t, ti C -TOM—arA'u ARCIITEC-rO -ACTOR,
Free Standing
- _
Praea
salesperson: Dare oraAn
Walpde Outdoors- Pergola ss-ch:
aBy.
& 49 Order Z. Ren Da:e• 2.0
2 c�
i r Iesman TemolateAva.Free Standing Sideh 27 A,^Cr"al:
Installation on Pads or Patios
Column typical. Azek Stabilizer Ring
Styrene formed
Base
finish Surface
Patlol6wne 4
,/,�'.
Packed i
•
Earth
1
® . •
+' • Ir Dia Hole
3000# Filled w!
Concrete ja • ment
Installation on pads or patios
Core drill or cut holes in pad or patio large enough for a digger to pass through
Dig holes 32"to 36" deep
Set with concrete to the top of holes and rest base of column on top of concrete or patio
r
j! Steer plate Bek out YOD i
Rush vrt ft lDox
--___--;;_-- _ op pipe at Top and
y ,bl pt5at Bottom only Oee Panel Moulding e
51R'
Top
_ 12'SS �
talar �'., _ -- ;'% 4° Threaded Rod '
�_-- ---- i 1313/4' U €
Pipe 314'Nut
—5,'}f4±— 611T 8' under plate f
I ( 3'OD
------ --- - Sch 40
Gaty pipe #
i
701!2' ------- t 1f71�—_Ir
�t 1tZ'
War
Box
1
i
j 1 5 uare Column&Core �
Immo ;
t S Bottom -
16' i 1i coyar
Y—
1
1
j � I
1 � j
`3
L-J
cmYrsp nfRa• 1OI°Q' Die Aram 117t5tN1I �
�p��511 e Squaw Columns&Cons for Kit Purgolaa p o„ Spo
4.00&�Kwet a
to RM {
M. S7aMa rq, 1 7 1