HomeMy WebLinkAbout28653-ZFORM NO. 4
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29342
Date: 04/03/03
THIS CE~TIFIBS that the building ~DDITION
Location of Property: 235 Q56 CALEB'S WAY GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 40 .1 Block 1 Lot 56
Sul~ivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 23, 2002 pursuant to which
Building Pe~it No. 28653-Z dated AUGUST 13, 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 CONDOMINIUM UNIT AS APPLIED FOR.
The certificate is issued to STANLEY K & ANN T KEMPNER
(OWNER)
of the aforesaid building.
SUFFOLK COUITI"f DEPARTMENT OF HEALTH APPROVAL
BLEC-rKICAL C~RTIFICATE NO.
PLUMBERS CERTIFICATION DA'£KU
Rev. 1/81
N/A
N/A
N/A
Authorfzed SignOre
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28653 Z Date AUGUST 13, 2002
Permission is hereby granted to:
STANLEY K & ANN T KEMPNER
PO BOX 1718
SOUTHOLD,NY 11971
for :
DECK ADDITION TO AN EXISTING CONDO UNIT AS APPLIED FOR
at premises located at 235 Q56 CALEB'S WAY
County Tax Map No. 473889 Section 040.001 Block
pursuant to application dated JULY 23, 2002
GREENPORT
0001 Lot No. 056
and approved by the
Building Inspector to expire on FEBRUARY 13~, 2004./
Fee S 200.00 ~Aut~~e/.
Rev. 5/8/02
COPY
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:
l. 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 fi`om 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) hon-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 - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
Old or Pre-existing Building:
House No. Street
Owner or Owners of Property: ~TIgNI.~' ~ ~nrl
SuffolkCountyTaxMapNo 1000, Section ~.~.t~. o~l ._
Date.
Subdivision
Permit No. 2.-~b$~, "~-
Health Dept. Approval:
~2. oo2.~
(check one),
Hamlet
Block o to I Lot
Filed Map. Lot:
Date of Permit. ~//~ ·
Underwriters Approval:
Applicant:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ __ .~. ~', ~"
Final Certificate: J (check one)
PLANNING BOARD MEMBERS
BENNETT ORLOWSKI, JR.
Chairman
WILLIAM J. CREMERS
KENNETH L. EDWARDS
GEORGE RITCHIE LATHAM, JR.
RICHARD CAGGIANO
P.O. Box 1179
Town Hall, 53095 State Route 25
Southold, New York 11971-0959
Telephone (631) 765-1938
Fax (631) 765-3136
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
MEMORANDUM
To:
From:
Re:
Damon Rallis, Building Permits Examiner
Scott Hughes, Senior Environmental Planner~..
Pheasant Run Deck Extension
Caleb's Way, Greenport
SCTM: '1000-40.1-1-56
Date: 6 August 2002
At the August 5th work-session, I had discussed the matter with the Town
Planning Board. it was agreed that as long as the decks do not encroach on
setbacks and are within the total lot coverage parameters there is no site plan
review and approval needed. However, in the future if a deck requires a
variance from the ZBA, site plan approval will then be required.
76~-~.802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
FRAMING
] FIREPLACE & CHIMNEY
[~ FINAL
DATE //,,~///~ ~
INSPECTOR~
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROU/~LBG.
[ /] !//N,~ULATION
/~[ ~ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
FO~DATION (1ST)
FO~DATION (2ND)
ROUGH F~G &
PLUMB~G
~S~ATION PER N. Y.
STATE ENERGY CODE
TOWN OF-SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-11t0:1
FAX: (631) 765-9502
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board
3 ~ of Buila~g
· plying Board approval
Examined ~1~ ,20 ~, Contlwt:
Approved 4.~[ .... 20~ /~ ~ Mail t°:.
Disapproved a/c__ ___
~S~U~ONS D~
sets of pi~s, acc~ate plot p~ to ~e. F~
b. Plot p[~ show~ l~on of lot ~ of~Ain~ on'~. re. on.hip W ~Oinlag p~*s or pubhc sW~ts or
~e~, ~d wat~ays.
c. The w~k covered by ~ ~fion ~y not be coo,m~ b&~ ~ 0fB~di~g P~*.
d. Upon appro~ of~ ~o~ ~e B~;ng ~r ~ ~s~ a ~ P~t m ~e appHc~t. Such a p~t
sh~ be k~t on the pr~s~ a~le for ~on
issues a Ce~/ficate of Occupy,
f. Eve~ bdl&g p~t ~ ~ ff ~ w0~ ~o~ ~ ~t ~ ~th~ 12 m ~ ~e &re of
iss~ce or ~s not be~ co~l~ ~hi~ 18 mOCha ~m ~ ~c. ~no ~nlnE ~Am~tq or o~ re~!Dto~ ~g ~e
prope~ ~ve been ~ ~ ~ ~ ~o
~PLICA~ON B ~Y ~B m ~ B.ila~ ~ for~ ~m ora B~g Prat p~s~t m ~e
B~l&g Zone ~di~cc of ~c To~ of So~ol~ ~o~ ~, New Yo~ ~.o~ ~le ~ws, ~Al~ances or
Relations, for ~e co~ of~ai~
applic~t a~ees to co~ly ~ ~ ~le h~ o~~, ~I~nE ~ ~ ~ ~ ~fla~o~, ~ to aSmit
auto'ed ~spectom ~ W~ ~ b~a~g f~ ~'-~me,~~~~ffa eo~on)
State whether applicant is owner, lessee, agent, arc, hiteot, ~gincx:r, gen{mfl contra~r, electrician, plumber or builder
(.~ oa th, tax mil'or later do*d)
If applicant is a corporation, signature of duly authorized officer
(Nme and title of co. orate officer)
Builders License No.
Plmnbers License No.
Elec~rid~ License No.
Other Trade's License No.
1. Location ofJa. nd on which proposed work will be done:
House Number SIJ~t
Cotmty Tax Map No. 10/X) Section
Subdivision
moa 4o. 1.-I
Filed Map No. Lot
State existing use and oCCUpancy ofpremlnes and intended'use and occupancy of proposed construction:
a. Existing use and occupancy ~ ! D~/OCt~
b. Imtend(xl use and oocllt~oy
Nature of work (check which applicable):
Repair _ . Removal Demolition
If dwelllngo number of dwellinE units
If garage, number of cam
F~
Addition Alteration_
Other Work
(Description)
(To be paid on filing this application)
l~nber of dwelling unita on each floor
If business~ commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions Of existing stmcttmm, fi`any: Front
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimenmous of entare neW construction. From
Height Number of Stories
Rear
Rear Depth
9. Size of lot: Front Rear Dopth
10. Date of Pm:chase
Name of Former Owner
11. Zone or use district in which premlnea m'e ~ittmted
12. Does proposed construction vi(~lste any zoffing law, ordimmce or.regnlstion? YES __ NO__
13. Will lot be re-graded? YES NO ~Will excess fifl be removed flmn premises? YES__
. Names of Owner ofpremises~id3L~"r' ~l[l~a~R~ Address 1~,0. I'l!~ Set~.otl}
Name of Architect Address ,
Name of Contractor. Address
15 a. IS this proDerty within 100 fl~v~ of R t~daJ- wcq;Iand or a fr~water wetland? *YES__
* 12F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PER_MI~ MAY ]BE R~LrlRED.
b. Is this property within 300 f~ ora tidal wetland? * YES NO t,~
* 1~ YES, D.E.C. PERMITS MAY BE REQUIRED.
NO
Phone No. h3l- l[~;-g~.73
Phone No
Phone No.
NO
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on iJtOl~Ry is at 10 feet or below, mm provide topographical data on survey.
STATE OF NEW' YORK)
SS:
COUNTY OF )
~T~ML~ }~,. [4~lmW~:~. beingdnlyswom, deposesandsaysthat(s)heistheapplica.nt
OW
o s~d o~ or o~s, ~d ~ ~y ~ to p~ ~ ~ve p~ ~ ~d w~ ~d to make ~d file ~s apphcafion;
~t ~ stm~mm eon~ ~ ~ ~ ~e ~e m Se ~ of~ ~owl~e ~d b~ ~d ~t ~e work w~l be
/3 .~yof ~ 200Q
~ J~E M. ~LKINS ' . :
N~RW Public, State of New
~o 4952246, Suffolk County,
PLAN VIEW FOR LEVEL I
CUSTOMER -- 56 CALEBS WAY #2
DATE 06/14/02 REF Deck02165
PENNY LUMBER
MAIN ROAD
GREENPORT, NY
(631) 477-0400
14'
LOAD AND SUPPORT: Your deck will support a 134 P~ live load. Posts have 48" below-ground
post support.
DECK AND POST HEIGHT: You selected a height of 18.5' from the top of decking to level ground.
The top of the deck support posts will thorefore be 9.75" 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 ~ 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 c~orrect, for verifying that the design {and any substitutions or modifications
that you make) meets ~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 lrom your store salesperson.