HomeMy WebLinkAbout45472-Z o�FF°t'ft' Town of Southold
12/30/2020
P.O.Box 1179
o 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41717 Date: 12/30/2020
THIS CERTIFIES that the building AS BUILT DECK
Location of Property: 605 Oriole Dr., Southold
SCTM#: 473889 Sec/Block/Lot: 55.-6-15.29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/6/2020 pursuant to which Building Permit No. 45472 dated 11/19/2020
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:
"as built"deck addition to existing single-family dwelling as applied for.
The certificate is issued to Johnson,Robert&Jill
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
neOf
TOWN OF SOUTHOLD
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#: 45472 Date: 11/19/2020
Permission is hereby granted to:
Johnson, Robert
605 Oriole Dr
Southold, NY 11971
To: legalize "as built" deck addition to existing single-family dwelling as applied for.
Additional certification may be required.
At premises located at:
605 Oriole Dr., Southold
SCTM #473889
Sec/Block/Lot# 55.-6-15.29
Pursuant to application dated 11/6/2020 and approved by the Building Inspector.
To expire on 5/21/2022.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $602.40
CO -ADDITION TO DWELLING $50.00
Total: $652.40
Buildin nspector
# # TOWN OF,-SOUTHOLD BUILDING DEPT.
`ycourm N 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROU PLBG.
[ ] FOUNDATION 2ND [ ] ULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE_& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE'RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [- ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
61*d-
6)
xyV\pvlv(�
DATE INSPECTOR
��pF SOUI -
�o�� yO�
# # TOWN OF SOUTHOLD BUILDING DEPT.
°`ycou►m,��'' 765-1802
. ,INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND- [ ] VSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ �] FINAL PS&
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION'
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE rvlv3 ZD-kD INSPECTOR
Richard M . Mato , Architect
DEC i 5 2020
TOWN OF SOUTHOLD
Building Department
54375 Main Road
Southold, New York 11971
December 15, 2020
RF: 605 Oriole Drive
Southold,N.Y. 11971
TM# 1000-55-6-15.29
To whom it may concern,
I have visibly inspected the above mentioned residence with regard to the
installation of the poured concrete deck footings. And to the best of my professional
ability the construction is in compliance with the applicable codes in affect at the time
of construction.
Should you have any questions regarding the enclosed,please feel free to
contact me.
Sincerely,
Richard Mato,AIA
RED ARC,
P.P. Box 2284
Aquebogue,NY 11931 sA04
186
Tel:(631)523-5879 q0
E-Mail: rmatoarchitect@gmail-com
FIELD INSPECTION REPORT DATE COMMENTS
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LINES, SEPTIC TANKS AND CESSPUULJ
SHOW HEREON ME FIELD OBSERVA-
3-I TIONS AND; OR, DATA OBTAINED FROM
OTHERS.
Unauthorized alteration or-addition to this document is a violation of Section 7209 SURVEY OF: �-r
of the New York State Education Law.
Certificationshisoeindicated hereon shall run only to the person for whom it is prepared h�q
and on his sled hereon,
the Title Company, neerGovernmental Agency and Lending /'✓I1Tr
Institution fisted hereon,and to the assignees of the lending institutions or subse-
quent owners., T
Copies of this document not'bearing the professional's inked seal'or embossed �U 1 �d�1N 0
seal shall not(o considered)avalidshow true copy: _ /. /
The offsets(or dimensions)shown hereon from structures to the property lines-are `�,,tv1 Ff /��-�+'t/•t
for a specdfc purpose and use and therefore are-not intended to guide the erectton,of
fences,retaining watls,pools,patios,planting areas,addition to buildings or any other
construction,
The existence of,nght of ways and/or easements of record,if any,not shown,are
not guaranteed rij
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�gUFFO(,�coGy TOWN OF SOUTHOLD-BUILDING DEPARTMENT
ao Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
`��f `.
1
PERMIT NO. � Building Inspector:
U \ N O V - G 2020 `--_.-
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an , r �»T ^,_j7,
Owner's Authorization form(Page 2)shall be completed.
Date: if Zo
OWNER(S)OF PROPERTY:
Name: ig a ® - - SCTM#1000-
Physical Address:
Phone o Email:
-- s33ZZ ---- _C v��,5 '__SS�� .,✓
Mailing Address:
CONTACT PERSON:
Name:--
- -
-� °l---®----.4-S-----01A)� ----
-- -me:
Mailing Address: °D _ • I l_-—
(D - - � -G� --�---------- _�— --— ----
Phone# N Cc �� Email:
DESIGN PROFESSIONAL INFORMATION:
Name: IG�I 1- - _ ._ APTd ,_/-�.1. A
Mailing Address:,
Phone#: Email: �t'af1'�a/ GI�1'f$��e/rN�42C... LD/Lj
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: 7Em!ajl:
DESCRIPTION OF PROPOSED CONSTRUCTION e
❑f w Struct re ❑Addition ❑Alteratio ❑Repair ❑Demolition Estimated Cost of Project:
Other -D4 Lk $
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Y s ❑No
LA J1
PROPERTY INFORMATION
Existing use of property: Intended use of property: )PX o-4,11
Zone or use district in which premises is situated: Are there any covenaWO
nd restrictions with respect to
- - --- - - - - - - - -- --- ------ - --- -
this property? ❑Yes IF YES, PROVIDE A COPY.
Check Box After Reading: The owner/contractot/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(pri Ad -1�XYJ ❑Authorized Agent /Owner
Signature of Applicant: Date: P� Ze
STATE OF NEW YORK)
S •
COUNTY OF )
7 being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the ������ J8I74�1
(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/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
day of /V ' , 201't
Notary Public
JAIMIE MCKEAVENEY
Notary Public,State of New'York
No.01MC6227657 PROPERTY OWNER AUTHORIZATION
Qualified in Suffolk County (Where the applicant is not the owner)
C;ornmission Expires ,F,6z1w-3
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
21'x10" NAILER-SECURE W/
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DATE: � B.P.,# � � �
FEE: 0�� BY , la'-6" W o
NOTIFY BUILDING DE'IRT AT
765-1802 8 AM TO 4 PM FOR THE ® �'
PLAN FOLLOWING INSPECTIONS: FOUN DAT 1®N PLAN
COMPLY WITH ALL CODES OF I. FOUNDATION - TWC REQUIRED
SCALE= y4" I'-O" FOR POURED C CNC RETE SCALE: yQ" I'-O" TERED
NEW YORK STATE & TOWN CODES 2. ROUGH - FRAMING : I DUMBING � s �9c
AS REQUIRED AND CONDITIONS OF 3. INSULATION OCCUPANCY OR �\GNARD
4. FINAL - CONS-RUCII1-N MUST USE IS UNLAWFUL 9
ARD dditi®n BE COMPLETE FOR - 0.ALL MEET THE WITHOUT CERTIFICATE A` D� By
r�r,r�
ALL CONSTRUCTION S CATS
Certification REQUIREMENTS OF THF CODES OF NEW b ,� �
Date:
STEES YORK STATE. NOT RESPONSIBLE FOR OF OCCUPANCY IhavingNo.:
Iu v c ner ��Be ����tAIl '��® DESIGN OR CONSTRUCTION ERRORS. 9��C�g 1861
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momOF SHEETS
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INSTALL "SIMPSON STRONG-TIE"
H-8 CLIPS V 32" O.C. W/5-10d(l%2"�) SIMPSON JOIST
NAILS THRU JOISTS AND GIRDER HANGERS Cm 16" O.G. x a
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(2)-2"x10" AC-0 GIRDER Q a
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LAGGED TO
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ACQ POST MAIN STRUCTURE
SIMPSON RETROFIT
POST BASE RPBZ
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( � Date:
Drawing No.:
04186"
OF SHEETS