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HomeMy WebLinkAbout28545-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29321 Date: 03/19/03 THIS CERTIFIES that the building ADDITION I~)catlon of Property: 4410 OLD NORTH RD SOUTHOLD (HOUSE NO.) (STREET) (H~24LET) County Tax Map No. 473889 Section 55 Block 2 Lot 8.10 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 5, 2002 pursuant to which Building Permit No. 28545-Z dated JULY 11, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. T~e certificate is issued to STEPHEN BERTSCHI & VIRGINIA GILMORE (OWNER) of the aforesaid building. SUFFOLK COUNT~ DEPARTMENT OF ~RALTH APPROVAL EL~C~rKICAL CERTIFICATE NO. PL~3R~BHRS CERTIFICATION Rev. 1/81 N/A N/A N/A Authorize~ Sig~tu~e FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PEP~MIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28545 Z Date JULY 11, 2002 Permission is hereby granted to: for : CONSTRUCTION OF A 320 STEPHEN BERTSCHI 1675 CEDARFEILDS DR GREENPORT,NY 11944 SQUARE FOOT DECK ADDITION AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 055 pursuant to application dated JULY Building Inspector to expire on JANUARY 4410 OLD NORTH RD SOUTHOLD Block 0002 Lot No. 008.010 5, 2002 and approved by the 11, 2004. Fee $ 150.00 Authorized Signature COPY Rev. 5/8/02 Form No. 6 TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN ItALL 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 $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, Connnercial $15.00 New Construction: ~ Old or Pre-existing Building: Location of Property:House~//'//LTNo. ~vZ~2> ~/~'~t~ ~o1> ~ Owner or Owners o f Property:, 517-~.J~//t-%4, _~, ,~' ~...(,d~/' Suffolk County Tax Map No 1000, Section .~-~-~ Block Subdivision Permit No. 2oD~<'~_'~5~ Health Dept. Approval: Date of Permit. Date. (ch ck~on: Hamlet Lot Filed Map. Lot: Applicant: .~?~/~%~/ 3~C',~,~ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 2 ~'~ Final Certificate: )~- (check one) .':'" ~ -~pplican/t~igna~ure BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: O / // /0 DATE SUBMITTED: ~ /~- /0 APPLICANT: SCTM# DISTRICT: 1,000, SECTION: STREET ADDRESS: 'q~/O PROJECT DES CRIPTION ~vor- ESTIMATED PROJECT COST: ,.~ , BLOCK: ,~ , LOT: CITY: C,~or'~ t..~ SUBDIVISION: ARCHITECT/ENGINEER: FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? ~-' NOTES: LOTS 40,000SF -100 24 Lot t¢cognition.(CREATED before June 30, 1983), UNDERSIZED I OTS FROM JAN.1997 100-25 Merger (A nonconforming at any time after 7,' ZONING DISTRICT: ,~ CONFORMiNG? REQ. LOT SIZE:c~OrlSU:~ ACT. LOT SIZE:~.PSA REQ. LOT COV. ~ ACT. LOT COV. REQ. FRONT ~o PROP. FRONT ~' REQ SIDE ,-,.)~/e45"-'ACT. SII)E REQ. REAR '-2).%'- PROP. REAR ., REQCHEIGHT -' PROP. HEIGHT WATER FRONT? PANEL #: SUFFOLK COUNTY HEALTH D~F~T: YES orO(BED #):__ TOWN SEPTIC RECEIPT: Y of(N J NEW YORK STATE DEC: PRE-~EC 9/1175 YES oL4~) SOUTHOLD TOWN TRUSTEES: YES or(~ TOWN ZONING BOARD APPROVAL: YES orR TOWN PLAN. BOARD APPROVAL: YES orR TOWN HISTORICAL PRE (SPLIA): YES or~O~/. NYS ENERGY: YES OR~Q): EGRESS (18 H min.? 4 sq total) ~ VENT (SQ. FT. x 4%) BUILDING PERMITS OPEN/EXPIRED: BP HAVE PRE CO'S: Y OR N BP NOTES: /fro DESCRIPTION: FLOOD ZONE: x~ , ~_~ APPROVALS REQUIRED DTE: / / PERMIT #:RI0- ~-- LIGHT (SQ. FT. x 8%). -Z / C/0 Z- .,. -Z / C/0 Z- ~_ FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF TOTAL: , ~ SF 1. ( ,~O SF)- (. _SF)= SFX$ 2.( SF)- (~SF)= SFX$__ =$ +$ 1NIT FEE +$ OTHER TOTAL FEE ~ FE~F~ =$ +$ +$ =$ BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] ROUGHPLBG. [ ] FOUNDATION 2ND [ ] INSU~I.~ION [ ] FRAMING [/~]-'I=INAL [ ] FIREPLACE & CHIMNEy DATE ~~SPE 765-1802 BUILDING DEPT. NSPECTION [ 1ST [ ] ROUGHPLBG. [~ DN 2ND [ ] INSULATION [ [ ] FINAL [ ] FIREP~& CHIMNEY DATE ///~ ~ INSPECT~ ~Tl~,l,r~ ]~qSI'ECTION RF~PORT DATE FOUNDATION (1ST) FOUIffDATION (gr',lD) ROUGE[ lrKA_MING & PLUMBING ]2NSUi.,.4.TION PER N. ¥. STATE E,BVE~GY CODE FINAL ADDITIONAL CO~ TOWiq OF'SOUTHOLD BUILDING DEPARTMENT TOWN II, ALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Examined Approved__ Disapproved a/c __, 20 2, ,20 ~ Expiration BUILDING PERMIT APPLICATIO~ CHECKLIST Building In ~ector Do you have or need the following, betbre applying? Board of Health 3 sets of Building Plans planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date ?AJ .20 ~_...../ INSTRUCTIONS / a. Tins application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 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 strccl~ or areas, and waterways. c. The work covered by this application may not be commenced before issumlce of Building Permit. d. Upon approval of this application, the Building h~spector 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 witinn 12 months after the date of issum~ce or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecIing 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 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. / ,,~ignature 9f~,p~li~'ant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises .~-~..-~,~.~-~..,/ __~. ~',,~C,~7'.,~./' /,/~,~z~_/,g_/.,~ (A~ on the tax roll or J, ai'est 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. Location of land on which proposed w_ork will be done: House Number Street Hamlet CountyTax Map No. 1000 Section Subdivision (Name) Block ,~ 2- Filed Map No. Lot j9. / 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 Natnre of work (check which applicable): New Building Addition Repair Removal Demolition Other Work Estimated Cost Fee It' dwelling, number of dwelling units If garage, number of cars Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dilnensions of entire new construction: Front Height Number of Stories Rear Depth c). 5i×c of lot: Front Rear _Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Docs 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 N amc of Architect Name of Contractor Address Phone No. Address Phone No 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 eta tidal wetland? * YES __ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. / 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If' elevation at any point on property is at l 0 feet or below, must provide topographical data on survey. STATE OF NEW YORK) COLINTY O.F~2: Iv -- --~-~_.r~..~,,~, (7- ~'~"~'"'~"~/' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 applicatiou; lhat nll statements contained in this application are tree to the best of his knowledge and belief; and that the work will be pert'(mned in the manner set forth in the application filed therewith. Sv, orn t~) before me this/'~ /1 ~ , day' of [,~t~ 20~3~.~_-- Not~ Public L~DA M. BOHN NOTARY PUBLIC, ~ate ~ N~ ~ffi No. 01 BO6020932 Qualified in Suffolk CounN Term Expires March 8, 20~ A T SOUTHOLD ~ ........... ~ TOT~N OF SOUTHOLD SUFFOLK COUNTY, NEI¢ YORK 1000-55-02-8.10 SCALE: 1"=50' [:'L'B 2i. ~001 MARCH 27~ 2001 ( cer/ificofion Moy lB, 2001 (revision) 0C7. 14, ZOO/ (prop. h$o. ) April II, BOO2 (/oundotlon) TEST BORING B~own Silty Loom OL Brown Loomy with ;0% F~ne lo C£-R T/F/ED TO, STEPHEN BER TSCHI VIRGINIA M. Ch-MORE COMMONWEAL TH LAND TITLE INSURANCE COMPANY BANK OF SMITHTOWN 315.00' Z P N/D/F CAREY (VACANT) CUSTOM VIEW CUSTOMER -- STEVE BERTSCHIE DATE 07/10/02 REF Deck02191 OCCUPANCYOR USEIS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPAN~ APPROVEDASNO~ ,~ NOYIFY BUILDING ~~_? 765-1802 9 AM TO 4 PM FOR THE ...... FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCR~ Z ROUGH - FRAMING & P~MBIN~ I INSU~TION & FINAL - CONSTRUC~ ~ BE ~MP~E ~ ~ ALL CONS~TION ~H~ MEET REQUIREM~TI ~ ~E N.Y. l ENERG~ NOT RE~PO~IBLE F~ PENNY LUMBER MAIN ROAD GREENPORT, NY (631) 477-0400 PLAN VIEW CUSTOMER -- STEVE BERTSCH~t' DATE 07/10/02 REF Deck02191 PENNY LUMBER MAIN ROAD GREENPORT, NY (631) A77-0400 LOAD AND SUPPORT: Your deck will support a 44 PSF live load. Posts have 48" below-ground post support. DECK AND POST HEIGHT: You selected a height of 24" from the top of decking to level ground. The top of the deck support posts will therefore be 15.25" above ground level. Your salesperson can provide information for uneven or sloped ground. JOISTS: Set joists on top of beams, 16" center to center. NOTE: The design may require knee braces and bridging between joists. Your materials list includes the necessary items. The suggested design is not a finished building plan. You are responsible for all measurements being correct, for verifying that the design (and any substitutions or modifications that you make} meets all local building codes and requirements. To verify that the suggested design, and any substitutions or modifications, is consistent with conditions at the construction site, review the design with your architect. Also consult your architect for proper construction and use of materials in the structure. Be sure to follow the deck construction detail available from your store salesperson. STRESS A~ALYSIS CUSTOMER: STEVE DATE: 07/10/02 SALESMAN # BERTSCHIJ~ DESIGN: DECK02191 REF: 02191071.ZIP MEMBER STRESS FACTOR COMPOSITE TYPE SIZE FACTOR LOAD LOAD 3OISTS 2X8 DEFLECTION 293 PSF 16IN BENDING 243 PSF SHEAR 174 PSF COMPRESSION 279 PSF 174 PSF BEAMS 2-2x10 BOLTS 1/2IN POSTS 4X4 DEFLECTION 104 PSF BENDING 59 PSF SHEAR 54 PSF COMPRESSION 274 PSF 54 PSF SHEAR 1452 PSF 1452 PSF STABILITY 327 PSF 327 PSF TOTAL LOAD 54 PSF DEAD LOAD 10 PSF LIVE LOAD 44 PSF STRINGER 2X12 DEFLECTION 659 PSF BENDING 417 PSF SHEAR 241 PSF COMPRESSION 867 PSF TOTAL LOAD 241 PSF DEAD LOAD 10 PSF LIVE LOAD 231 PSF