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28238-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29347 Date: 04/08/03 THIS CERTIFIES that the building ADDITION (aka 1870 Gabriella Court ) Location of Property: 400 TABOR RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7 .32 Subdivision Filed Map No_ Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 2002 pursuant to which Building Permit No. 28238-Z dated APRIL 2, 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS J & LEAH SULLIVAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Autho ized Sign tura Rev. 1/81 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. 28238 Z Date APRIL 2 , 2002 Permission is hereby granted to : THOMAS J SULLIVAN 400 TABOR ROAD MATTITUCK,NY 11952 for CONSTRUCTION OF AN "AS BUILT" DECK ADDITION AS APPLIED FOR at premises located at 400 TABOR RD MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007 . 032 pursuant to application dated APRIL 2 , 2002 and approved by the Building Inspector. Fee $ 300 . 00 Aut i ed Signature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD r BUILDING DEPARTMENT TOWN HALL 765-1802 NPR 4 2003 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department�hthe following: J 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, Commercial $15.00 ..[ Date. l�l(J(93 New Construction: I Old or Pre-existing rBuilding: I (checkone) ( (' Location of Property: House No. ii Street Hamlet Owner or Owners of Property: ��nDry o S J 4 Lecy� �l`i Xi Suffolk County Tax Map No 1000, Section Lo6.VV Block G Y 06 Lot od q,Q 3 Z Subdivision Filed Map. 9 q Filed l 12— Lot: 2- n I Permit No. P1')V 3 8 Z- Date of Permit.-q/7- /6 L Applicant: I r td,,,t s A t jc,A Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �5, 2:: 19/3 � Lei-,z1p 0�/ p ' ant ignature BUILDING PERMIT EXAMINER CHECK LIST DATE ISSUED: _ 02 DATE REVIEWED: Y/Z /02 APPLICANT: DATf�SUBMITTED: -Y /2--/02 SCTM# DISTRICT: 1,000, SECTION: /O , BLOCK: h/ , LOT: .32 Eli ati STREET ADDRESS:jacTffic* e-Vo6 Seh&&* CITY: fAAMr1CX_ SUBDIVISION:Za a &&ALd PROJECT DESCRIPTION: "A5 BOILT� BECK ESTIMATED PROJECT COST: 3 q�o NZLITqf ITEFAST TRACK? _ �d SINGLE & SEPARATE CER"1'IFICATION-REQUIRED? No NO'T'ES: LOTS 40,000SF-100-24. Lot recognition.(CRE Al ED before.June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25 lei gcr.(A noncan formfne at any fnne after 711!833 ZONING DISTRICT: top CONFORMING? REQ. LOT SIZE:956,00'v ACT. LOT SIZE: REQ. LOT COV. 2o'T ACT. LOT COV. REQ. FRONT fo PROP. FRONT REQ SIDE .top ACT. SIDE - REQ. REAR LO PROP. REAR WATER FRON ? NO DESCRIPTION: PANEL #: FLOOD ZONE: X__, APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES ordBED #):_DTE:_/—/_ PERMIT #:RI0- TOWN SEPTIC RECEIPT: Y oul5p, NEW YORK STATE DEC: PRE-DEC 9/V75 YES o1J57 SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES or NYS ENERGY: YES ORt95?: EGRESS (18 H min.? 4 sq total) '`YVENT (SQ. FT. x 4%) �- LIGHT (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXP D: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/0 Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. ( SF)- (_ SF)= SF X $ _$ +$ +$ - s /rO'e l2 As 6U/<T 2. ( SF)- (_ SF)= SFX$ =$ +$ +$ _$ cff"74v 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING r FINAL [ ] FIREPLACE A CHIMNEY REMARKS: K' 1-4 DATE OS o INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE S CHIMNEY REMARKS: 9 Q 6,1 DATE 111eZa2 11e2INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS ro FOUNDATION (IST) W y ------------------------------------ FOUNDATION(2ND) c� sa° rfi z e 0 N ROUGH FRAMING& PLUMBING .3 x r INSULATION PER N.Y. STATE ENERGY CODE 1 � 6 141 FINAL Q � d U� ADDITIONAL COMMENTS S 1S oZ O ?G^ w ld Z m z ro y c - O z x l � x d ro y OWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST UILDING DEPARTMENT Do you have or need the following,before applying? OWN HALL Board of Health :)UTHOLD, NY 11971 3 sets of Building Plans EL: 765-1802Surve 2y PERMIT NO. ^902 J�� Check Septic Form N.Y.S.D,E.C. w 9 Trustees amined ` '20 Contact: ,proved '20 Mail to: sapproved a/c Phone: 17 f't? uilding ' - APS �+ ICATION FOR BUILDING PERMIT !• T ;, n. Date ' pr, 1 1 20 b Z INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 is 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 -as, 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 all 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 a Certificate of Occupancy issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the d1ding Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or ;gulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The plicant agrees to comply with all applicable laws, ordinances, building code, hous' code, and regulations, and to admit thorized inspectors on premises and in building for necessary inspection p.. (Signatur Lica or name,if a corporation) /870 0 NAc& J'Ixk- N� (Mailing address of applicant) tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder r,,e r � ( ` Line of owner of premises' 1 ',6 r`^A,S J • &0+V6a\ LeaS\ (as on the tax roll or latest deed) ipplica l� a corporation, signature of duly authorized officer (Name and title of corporate officer) ilders License No. � f �k J q q HT mbers License No. PIiI tG} ctricians License No. N 1 A er Trade's License No. K)fp,-Location of land on which proposed work will be done: n Lf V00 TCA, r" oad C A Il A $70 House Number Street / Hamlet �7 lounty Tax Map No. 1000 Section (�St OO Block 0�, 0 C Lot 00 1 ©3 Z 3ubdivision_MA�J O� �( ic��.�����S-{u-FeS, Filed Map No. Lot Z (Name) Sec�ict�n"Z T 2. State existing use and occupancy of premises and intended use occupancy of proposed construction: a. Existing use and occupancy ,S i nc� Fc,.A, �V WQkk'r4 \ b. Intended use and occupancy rS S�&' «lc-- (/0'PRC ( (o 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work )q} (nu;1 deck C�APou.3l $3 0 0 (Description) 4. Estimated Cost � 4 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 structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase 61Z4( 00 Name of Former Owner PCMTT£%yi -;ts' 11. Zone or use district in which premises are situated Sent ,NJ � 12. Does proposed construction violate any zoning law, ordinance or regulation: Na 13. Will lot be re-graded No Will excess fill be removed from premises: YES G) TS.n..ces G L eoh (bqo 6. 14. Names of Owner of premises Suttiva.\ Address N"Auct,ttl r Phone No. 2-CE�3 ' Z clok Name of Architect G-b rck ASsdcih:L P. Address 1500 Lo L-- K1 6v2 Phone No 56 3 ' 5/43 O O Name of Contractor Mkt eco Cans }cuc(i on Address {{ 'dun S�crr Phone No. SY9— '/2( U 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan 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. STATE OF NEW YORK) SS: COUNTY OFSl1�U�kj _Mdv. o s� . SU i being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the z Y� (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day oft of ublic � igna a of pplicant 71 ftVI�i•I bdN York • ��J� 1fs138� (1) 2x8 BOLTED AT 16" O.C. W/ GALV. CONNECTORS OUTLINE OF _ _ 2 DECK ABOVE 2x6 DECK JETS. 0161, OL. \�\ SII X11 i i m Ax ryI \\ N 1 [1] �( 2x4 FLAT y DIAGONAL A-I BRACES l rr nG Ulfl SECURED TO (2) 2x8 / / JOISTS OF - I I \\ - 1•_422�---3.6.__ . IL 4" CONC. PAD - - FOR STAIR STRINGER ATTACHMENT . . : .r. ;. 1'-4q' 1,_64" 3 1• L. 2.-6 - I" -��. 6.-II. 3'-114 .. 3- 4 4 &2 T-II" T-4" 2 Seal: q' i iV�g Tpy/ I tin! Li711'17 Q FOUNDATION PLAN 2 DECK PLAN v • aw A- 1 O 2' 4' 8' s? aI� SCALE: 1/4" = P-m" GENERAL NOTES: SCALE I. CONTRACTOR TO VERIFY ALL CONDITIONS AND DIMENSIONS AT THE SITE PRIOR TO COMMENCING CONSTRUCTION. Z, j REVISION 15-11-02 2, ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE N.Y.S. UNIFORM FIRE PREVENTION AND BUILDING CODE. WARD ASSOCIATES 3. DO NOT SCALE DRAWINGS. WRITTEN DIMENSIONS SUPERSEDE SCALED DIMENSIONS. Landscape Architects, 538'14'50"E 160.92' 4. CONTRACTOR SHALL DO ALL PATCHING REQUIRED DUE TO NEW WORK AND / OR Architects, Engineers _____________—__—- REMOVAL OF EXISTING. ALL PATCHING SHALL MATCH AND MEET FLUSH WITH EXISTING CONSTRUCTION UNLESS NOTED OTHERWISE. - 5/4"x6 1500 Lakeland Avenue �� 5. AROMA£ GALVANIZED FRAMING CONNECTORS FOR ALL BUTT STRUCTURAL CONNECTIONS „( Bohemia, N.Y. 11716 I AND GALVANIZED HURRICANE TIES AT ALL TOP PLATE/TRUSS OR RAFTER CONNECTIONS. (631) �� I� 6. WOOD MATERIAL: SOUTHERN PINE 02 STRUCTURAL GRADE II50 Fb (BASE) OR BETTER I\m" T. CONCRETE SHALL ACHIEVE A 28-DAY COMPRESSIVE STRENGTH OF 3000 F-51 MINIMUM. QS West Main Street BAA Little Falls, New York 13365 BALUSTRADE m I 1 RAILING 8. CONCRETE PIERS AND PLATFORM SHALL BEAR ON UNDISTURBED SOIL WITH A BEARING (315) 823-4384 m 1 ,. CAPACITY OF AT LEAST 2 TONS PER SQUARE FOOT. FOOTINGS SHALL HAVE A MINIMUM �9 COVER OF 3'-0" BELOW ADJOINING GRADE. Project title: 1 4x4 CCA- POST BEYOND X5/4"x6 5/4"x6 DECK PLANKING SULLIVAN I RESIDENCE --— o6- DOUBLE �� DECK BLOCKING - 4x4 CCA. (2) 2x6/2x8 GIRDER ADDITION AT P05T Al POST I I O LOCATIONS "•` 4�\ GALV. STRAP _ lYl CONNECTOR SEALANT 0 EACH POST PROPOSED Q JOINT ALL - MATTITUCK, NY DECK I AROUND (TYPJ drawing title: I FIN. GRADE •°� I I DECK PLANS, 2 STORY GA AND ELEVATION FRAME RES. N I I w I,n I I i I 9 Im I I I LL zlI I I I MIY 12"0 CONC. .o w I v '�'6 FOOTING drawn by: checked by: 'L/W Fvo (-) 0'-01. p-M- L-M-�- E l .,gym L - -�- - L DECK FL ELEV. o- R=1957.49'__ _ (-) I'-I'iz ' - _ - date: Scale: o -----L=139.94' DECK FL. ELEV. -uv FIN. GRADE 2/27/02 AS NOTED CxABRIELLA COURT m drawing number: II III: I I I I I I N I II III III III u' SECTIONPLOT PLAN 4 Lt-1 LI t�II LtI �II LIIII SUBDIVISION: 0 5' 30' 0 2' II IIIII A- 1 Q{ 1 MAP OF ELIJAH'S LANE ESTATES TON 2, FILED MAP No. 9912, LOT No. TI SCALE: 1" = I'-0" 3 DECK ELEVATION TAX MAP NUMBER: SECTION 108, BLOCK 4, LOT 132 FROM j 0 2' 4' 8' ANYTHING PON ANY RAWING AND/OR THE N A- 1 ACCOMPANYING SPECIFICATION. UNLESS IT s IS UNDER THE DIRECTION OF A LICENSED u PROFESSIONAL. WHERE SUCH ALTERATIONS w ' "SCALE: 1/a = 1 -0" o ARE MADE THE LICENSED PROFESSIONAL MUST SIGN, SEAL, DATE AND DESCRIBE THE 0 FULL EXTENT OF THE ALTERATION ON THE DRAWING AND/OR IN THE SPECIFICATION. ref. no.: 0000.00