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