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HomeMy WebLinkAbout28378-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29390 Date: 04/24/03 THIS CERTIFIES that the building ADIITION Location of Property: 295 TERRY CT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 69 Block 3 ~t 6.1 SOUTHOLD Sukx~ivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 10, 2002 pursuant to which Building Permit No. 28378-Z dated MAY 10, 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 EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD H & CHERYL J KING (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF I~ALTHAPPROVAL ELEC~fRICAL CERTIFICATE NO. PLL~4BERS CERTIFICATION DATED N/A N/A N/A /u~hor ~ ed Signature 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 COMPLETION OF THE WORK AUTHORIZED) UNTIL FULL PEP~MIT NO. 28378 Z Date MAY 10, 2002 Permission is hereby granted to: EDWARD H & CHERYL J KING 295 TERRY CT SOUTHOLD,NY 11971 for : 336 SQUARE FOOT DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 295 TERRY CT SOUTH/PEC County Tax Map No. 473889 Section 069 Block 0003 Lot No. 006.001 pursuant to application dated MAY 10, 2002 and approved by the Building Inspector. Fee $ 150.00 dizei~ COPY Rev. 2/19/98 Form No. 6 TO'~N OF SOUTHOLD BUILDING DEPARTMENT T O '~,2N HALL 765-1802 2 / £008 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink aud submitted to the Building Department with the tbllowing: 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 tbrm). 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 aud 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 h~spector 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 Buildiug- $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 New Construction: ~ Old or Pre-existing Building: __ (check one) Location of Property: ~"5 /'~v, rz C/ House No. Street Hamlet Owner or Owners of Property: ~,_~,q/-~tgidd' / (_...~ff_~zr~ / ~ /Y'~-"°7 4Xc ~ ./ Suffolk County Tax Map No 1000, Section O(-.~ c~ Block .~ Lot Subdivision ~ ~c {/~ ~( ~-c,,~.9 ~. ,0'1,,9¢-~ FiledMap. Perm No. Health Dept. Approval: Lot: 7-r ~'~- '/-r- ~ ~',~ F , ~?- - Ii /// Date of Permit. D~/~c~/o r_L Applicant: Underwriters Approval: -- Plalming Board Approval: - Request for: Temporary Certificate Fee Submitted: $ Final Certificate: ~ (check one) App Fmadt Signature BUILDING PERMIT XAMINER CHECK lAST DATE ISSL ED: / /02 D, ATE REVIEWED: ~ / IO/02 DATE'SUBMITTED: ~' /~o/02 APPLICANT: Cr:z.~T> t C44~_.~c ~'_t~tc~r- SCTM~ DIST~CT: J,000, SECTION: ~ , BLOCK: ~ , LOT: ~.~ _ ST~ET ~D~SS: ~q~ ~e~M C= ~ CITY:~o~t~ PROJECT DESCR~TION~ ~~ ~ ~.~. ~. EST~ATED PROJECT COST~,2~ ~CHITECT / ENGINEER: ~/~ FAST T~CK? SINGLE & SEPA~TE CERTNqCATiON-REQUIRED? _~0 NOTES: LOTS40,0005F 100-24 Lot recognition (CREATED beh*rc June 30, 1983),UNDIRSIZEDLO1SFR()M JAN.1997 100 25 Me~ge~(AnonconRummgatanytimeafterT/1 ZO~G DISTraCT: ~C CONFO~G? V~ coy. COY ~Q. ~AR ~ PROP. ~ t - t WATER FRONT? ~ DESC~TION: ~ P~L ~:~ FLOOD ZOO: ~ S 5 ' UBDIVISION: ~-b ei?~-7}'3 t~ APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or~,,XBED #): TOWN SEPTIC RJ~CEIPT: Y o~) NEW YORK STATE DEC: t'~-DECgn/TS YES o~2:) SOUTHOLD TOWN TRUSTEES: YES o~ TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES or~ TOWN HISTORICAL pRE (SPLIA): YES or~ DTE: / / PERMIT #:RI0- NYS ENERGY: YES ORca: /61//~ / EGRESS (18 H min.? 4 sq total),a~~ VENT (SQ. Fr. x 4%) ,,C-;/,~z LIGHT (SQ. FT. BUILDING PERMITS OPEN/EXPIRED: BP,--9~ -Z / C/0 HAVE PRE CO'S: Y OR N BP -Z / C/0 Z- NOTES: " x 8%) FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF TOTAL: , ~ SF 1. ( SF)- ( SF)= SF X $ 2. (. SF)- ( SF)= SF X $ =$ =$ +$ INIT FEE +$ OTHER TOTAL FEE FEE +$ = $ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~/~~ ]ROUGH PLBG. [~LATION [~/] FINAL DATE INSPECTOR FOL~DATION (1ST) FO~ATION (2~) ROUGH F~M~G & PL~G ~S~ATION PER N. Y. STATE E~GY CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 BUILDING PERMIT APPLICATION CHECKLIST Do yon have or need the following, before applying' Board of Health 3 sets of Bthlding Plans ppmnirtg Board approval Survey Check Septic Form )~c~? N.Y.S.D.E.C. (~_ Trustees Examined " ,20 ~ Contact: Approved__ ,-fi /~, 20 c~ Mail Disapproved ac ~Ji . :'o~. } ~S~UCTIONS a. T~s application ~ST be cool,ely ~1~ ~ by ~e~t~ or ~ ~ ~d s~a~ m ~e B~ldmg ~pector wkh sets of plus, acc~ate p/or pl~ to s~e. Fee according to sched~e. b. Plot pl~ showing location of lot ~d ofb~ on pr~ses, relatio~p m adjo~g prexmses or public s~ems or areas, ~d watem'ays. c. The work covered by ~s apphcation my not be comenced before iss~ce ofB~&g Pe~r. d. Upon approval offs a~Heafio~ ~e B~I~ ~pector will issue a B~l&g P~t to ~e applic~t. Such a shall be kept on ~e pre~ses av~able for ~ecfion ~ou~out ~e work. e. No b~lding shall be oe~pi~ or used ~ whole or ~ p~ for ~y p~ose w~t so ev~ ~fiI the B~l&g ~spector issues a Cemficate of Occup~cy. f. Eve~ building p~t s~ ~ke if~e work auto,ed ~ not co~enced within 12 months a~er ~e date of issu~ce or has not been complet~ ~ 18 monks ~om su~ &re. ffno zo~g m~ts or o~er re~lations affecting the prope~y have been e~acted ~ ~e ~t~ ~e B~l~g ~e~or ~y au~ohze, ~ ~, ~e e~ension of the pe~mt for addition six months, Therea~, a n~ po~t sh~ be r~ed. ~PLICA~ON IS ~BY ~E to ~e B~g Dep~t for the iss~ce ora B~ldmg Pe~it pursuit to rile Building Zo~:e Ordinance of the To~ of Sou~ol~ S~o~ Co~, New Yor~ m~d o~ ~h~ble Laws, Or&n~ces or ke~lations, Gr the construction ofb~gs, ad~fions, or Mterafions or for removal or d~oHfion as here~ deschbed. The appiic~t a~ees to comply wi~ ~ a~Hcable laws, or~ces, b~l~g code, hous~g code, ~ relations, ~d to a~t aurhotzed inspectors on pre~ses ~d ~ bffil&g for necess~ ~pecfions. (Signature of apphcaat or name, ifa corporation) {'Mail~g address of applicant) State whether applicant is owner, lessee, agent, arekiteet, engineer, general contractor, electrician, plumber or builder (As on the tax roll or latest de~l) - applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Bu/lders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number co=ty No, iIiOO, O Se tion © 9 Subdivisimx_~OSSa - ~JCD~ MOqliq (Name) Block Hamlet Filed Map No.. State exist'ing usc !i~d occupancy ofprermses and Lntende4 use and o~enpancy of proposed c,o. ns~ruc'doI~: b. Intended use and occupancy Nature of work (4~eck which applicable): New Building Repair Removal Demolition Estimated Cost ~b~OO. OO If dwelling, nlll]l t) c'I' O:[' dwelling units If garage, number of cars Addition Other Work Fee Alteration (Description) (To bo paid on filing tiffs application) Number of dwelling units on each floor ,i If business, commercial or mixed occupancy, specify nature and extent of each type of use. DLmensions of' extsnng structures, if any: Front Height Number of Stodes Re. gff Dimensions of same structure with alterations or additions: Front Depth Height , ~.~L~__ Number of Stories Dkmensions of entire new construction: Front ~ It4' X~ I Rear Height Number of Stories Sizeoflot:Fron, ,_~i-~, ~'O Rear .Depth Rear Depth Date of Purchase Name of Former Owner Zone or use dish ici in xvhich premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YBS__ NO__ 1; Will lot be re-graded? YES NO Will excess fill be removed from premis~? YES__ NO 14. Names o£Owx~e~ or'premises Name of Architccl Name of Contractor Address phone No. Address Phone No Address Phone No. 15 a. Is this propen5 within 100 feet of a tidal wetland or a freshwater w~tland? *YES__NO ~ IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this propert5 wittm~ 300 feet of a tidal wetland? * YES NO ; iF YES, D.E.C. PERMITS MAY BE REQUIRED. Provide surve>. [,~ 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. ATE OF SS: )UNT¥ OF ) ~ h'~L¢1 t ~L<¢I 0¢-~ being dulyswom, deposes alldsay~that (s)he is the applicaI~.t (Name of indhqdt~al si,rating contract) above named, iS)He is the (~: &O/~~4~ (Conlractor, Agent, Corporate Officer, crc.) of said owner or owner s. and is duly author4zed to per.form or have performed the said werk and to make and file t&fis application; that all statements conlamed in this application are true to the best of bls lmowl~dge and holier} and that the work will be p~ rformed in the manne: set forth in the application filed therewith. Sworn to befbre me Gis otar3 Pdblic ' Signam~ of Applicant LINDA J. COOPER Notary Public, State of New York TeNo. 4~22563, Suffolk Ce~mty~ rm E,xp~ms December ~ ~, ~.~2{::ff~c¢-~ ~ .SUF_~OLK CO. HEALTH EPT. Af~'ROYAL I1., / ~~ ~. " ~:' ~ , T~ ~L~ ..... / ~ -' RODERICK VAN TUYL. P,C. ~ca~ ' = : ~ ~ I LICENSED LAND SURVEYORS gO ' " GREENER T NEW YORK CUSTOM VIEW CUSTOMER -- gATE 05/10/02 REF Deck02126 APPROVED AS NOTED NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ~1. FOUNDATION - TWO REQUIRED ...... FOR POURED CONCRETE ~'~ = 2. Re FRAMING & PLUMBING IUCTION MUST IN SHALL MEET OF THE N.Y. & ENERGY ;PONSIBLE FOR ERRORS / OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ~OUTE 25 ,;~::X~R i NY BEAM LAYOUT CUSTOMER -- DATE 05/10/02 REF Dectc02126 RBS ROUTE 25 GREENPORT NY 631-477-1038 1' 1/£'~ ]1' J] 1/~" REAM BEAM POST POST LABEL LENGTH COUNT SPACING A 23' 9" 4 7' 10" B 2;~' 9" 4 7' I0" Pos'[ spacing is r'neasL~red cen[er-[e-ceni:er. Depth of concrel:e footers --- 36 inches. PLAN VIEW CUSTOMER -o DATE 05/10/02 REF Deck02126 RBS ROUTE 25 QREENPORT NY 631-477-~038 LOAD AND SUPPORT: Your deck will support a 64 PSF live Icad. Posts have 36" below-ground post support. DECK AND POST HEIGHT: You selected o height of 30" from the top of decking to level ground. The top of the deck support posts will therefore be 19.25" 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 necessmy items. The suggested design is not a finished building plan. You are responsible rot 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 rot prope~ construction and use of materials in the structure. Be sure to follow the deck consfluction detail available from your store salesperson. PRICING LIST --- OTHER MATERIALS CUSTOMER: DATE: 05/10/02 SALESMAN # REF: 02126230.ZIP DESCRIPTION SKU QUANTITY PRICE TOTAL 16D GALV NAILS 8D GALV NAILS 1/2"X6" LAG SCREW 1/2" WASHER RTl2 TY DOWN JR 1/2"X6" CARRAGE BOLT 1/2" GALV NUT 1/2"X8" CARRAGE BOLT WA44 4X4 WET POST ANCHOR 6D GALV NAILS 8"X48" BUILDERS TUBE 80 LB GRAVEL MIX 50055 1 LBS 0.95 0.95 50049 6 LBS 0.95 5.70 861260L 24 EA 0.84 20.16 8612W 112 EA 0.15 16.80 40239 38 EA 0.23 8.74 861260C 28 EA 0.89 24.92 8612N 44 EA 0.18 7.92 861280C 16 EA 1.39 22.24 40264 8 EA 5.09 40.72 50045 1 LBS 0.95 0.95 22926 2 EA 5.60 11.20 2223 11 BAGS 3.75 41.25 TOTAL PRICE OF OTHER MATERIALS $ 201.55 PRICING LIST --- LUMBER CUSTOMER: DATE: 05/10/02 REF: 02126230.ZIP SALESMAN # WOOD TYPE DESCRIPTION SKU QUANTITY PRICE TOTAL CONST CEDAR 5/4X4X12 STK 654X04X12 88 EA CONST CEDAR 2X4X16 62X04X16 8 EA CONST CEDAR 1X6X8 61X06X08 6 EA CONST CEDAR 4X4X8 64X04X08 5 EA CONST CEDAR 4X4X16 64X04X16 1 EA CCA 2X12X20 702X12X20 1 EA CONST CEDAR 5/4X6X10 STK 654X06X10 4 EA CCA 2X12X16 702X12X16 1 EA CONST CEDAR 5/4X6X8 STK 654X06X08 4 EA CCA 2X10X12 702X10X12 12 EA CCA 2x10X14 702X10X14 19 EA CONST CEDAR 2X10X14 62X10X14 2 EA CONST CEDAR 2X10X12 62X10X12 4 EA CONST CEDAR 1X6X16 61X06X16 2 EA CCA 4X4X16 704X04X16 1 EA 7 08 13 12 8 40 19 39 39 97 34 97 8 90 24 99 7 12 15 10 18.29 39.59 33.89 16.80 14.25 623 04 104 96 50 40 96 95 39 97 34 97 35 6O 24 99 28 48 181 20 347 51 79 18 135 56 33 60 14 25 TOTAL PRICE OF LUMBER $ 1830.66