HomeMy WebLinkAbout28263-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29400 Date: 04/29/03
THIS CERTIFIES that the building ADDITION
Location of Property: 1320 KING ST ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Nap No_ 473889 Section 26 Block 2 Lot 48
Subdivision Filed Map No_ Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 5, 2002 pursuant to which
Building Permit No. 28263-Z dated APRIL 12, 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.
The certificate is issued to ROBERT P ALLER & ANO.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
CTZ2�i IN
G
Authorized Signatur
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. 28263 Z Date APRIL 12 , 2002
Permission is hereby granted to:
ROBERT P ALLER
131 ADAM RD
MASSAPEQUA,NY 11758
for
DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at 1320 KING ST ORIENT
County Tax Map No. 473889 Section 026 Block 0002 Lot No. 048
pursuant to application dated APRIL 5, 2002 and approved by the
Building Inspector.
Fee $ 150 . 00 `
Authorized Signa
COPY
Rev. 2/19/98
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT C/
TOWN HALL 3rd
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
i
This application must be filled in by typewriter or ink and submitted to the Building Department with the flhZwwj�yg
A. For new survey
P new use:
with
6 property y Lid unusual natural or
1. Final surve of property with accurate location of all buildings, ro ert lines, stree -J
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 2
Date. 2�
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 1320 11,11yr- Y/ d�� ✓
House No. Street Hamlet
/�
Owner or Owners of Property: /� d y
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision n p Filed Map. Lot:
G O
Permit No. 2_� 3 Z Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: _
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ � e?_
y�U
10 YX7J_ Applicant Signature
BUILDING PERMIT EXAMINER CHECK LIST
DATE ISSUED: /02
/� DATE REVIEWED: �/$/02
APPLICANT: oBETtT DATE-SUBMITTED: <l / S /02
SCTM# DISTRICT: 100, SECTION: _26__, BLOCK: �, LOT:
STREET ADDRESS: I!�& CITY: ��,�,T SUBDIVISION: Esc
PROJECT DESCRIPTION7_1)Er� ALt�=sz:oQ
ESTIMATED PROJECT COST: � -4 k ARCHITECT /ENGINEER: )a/A FAST TRACK? No
SINGLE & SEPARATE CERTIFICATION-REQUIRED? NO NOTES: —
LO'rS 40,000SF-100-24.Lot recognition(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25-Mei ger_(A nonconforming at any time atter 7/1/8.
ZONING DISTRICT: R-80 CONFORMING? No
REQ. LOT SIZE:J!5i�-,04;0 ACT. LOT SIZE:yH 98/ REQ. LOT COV. 262 ACT. LOT COV. 6�
REQ. FRONT s o PROP. FRONT REQ SIDE _S! ACT. SIDE
REQ. REAR S PROP. REAR �•®
WATER FRONT? i✓o DESCRIPTION: —
PANEL #: e�'Jg FLOOD ZONE:/_,
APPROVALSREOUIRED
SUFFOLK COUNTY HEALTH DEPT: YES or OO (BED #):_DTE:_/_/— PERMIT#:RI0-
TOWN SEPTIC RECEIPT: Y or 6%
NEW YORK STATE DEC: Pax-DEc 9/1/75 YES or 02
SOUTHOLD TOWN TRUSTEES: YES or�
TOWN ZONING BOARD APPROVAL: YES or Fv
TOWN PLAN. BOARD APPROVAL: YES or
TOWN HISTORICAL PRE (SPLIA): YES o
NYS ENERGY: YES OR® : N�4
EGRESS (18 H min.? 4 sq total) VENT(SQ. FT. x 4%) r + LIGHT (SQ. FT. x 8%) °
BUILDING PERMITS OPEN/EXP D: BP -Z/ C/0 Z- s'_7o S i1 v4z ,rye.
HAVE PRE CO'S : Y OR N BP -Z/C/o Z-
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: of SF FEE FEE FEE
1. ( A3( SF)- ( SF)= SF X $ _$ +$ +$ = S /fa
2. ( SF)- ( SF)= SF X $ _$ +$ +$ _$
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST XROUG
FOUNDATION 2ND TION
FRAMING
[ ] FIREP CE & HIMNEY
REMARKS: Ph
DATE INSPECT
765-1802
UILDING DEPT.
/OUNDATIO!N
PECTION
[ IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY /
REMARKS: 0.1
jSe9Z��INSPECTOR
DATE
FIELD INSPECTION REPORT DATE COMMENTS
�y
7
FOUNDATION (IST) y
u
----------------------------------
b�
FOUNDATION(2ND) '
yt=
L
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ROUGH FRAMING& 5 r
y
PLUMBING
5
INSULATION PER N.Y. l "
STATE ENERGY CODE 1
FINAL
r
ADDITIONAL COMMENTS
- O
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BtnDING
TOWNH-A-LL PARTNIINT —-- Do you have or need the following;before apply
SOIITHOLD,NY 11971 Board ofHealth
TEL: 765-1802 , Sur.Ve
r.Ve o#Bmldix�gPlans
PERMff No. -7-S,;? a.--7- `
Check
Septic F°
N.Y,s.D E C.
Fxa=itd #/z 20? S
Contact:.
_4pproved_ y�t 20 2-
Nail to:
Disapproved do
Bhane:jlA,V �/SCNF.F 323-3�6R
n , y
APR 5 2002 :
APPLICATION FOR BUILDING PERMY
I
Date 4,onzl X002
INSTRUCTIONS
a. This application MUST be completely Mod in by%Vwri#er or in ink and sabm 4cd 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 ofbmldmgs ongramscs, to
areas, and waterways. ttlationship' 40mingpreermses or public streets c
c. The work covered by this apphoafm=7110t be oo ed'b4ze,issuance ofbnidiag Permit
d.Upon approval of t]is application,the
shall be kept on the premises available fore s$ttild>ng Per to the applicant. Such a perm
e: No building shall be occupied or used in the work
is issued by the oo�tp whole or for any purpose what so ever until a Cer iS.cate of Occupy
Building Inspector,
APPLICATION IS BBREBY MADE to tho Building D
cparmimit for Building Zone Ordinance of the Towii of IhG issua�e of a Building Permit pursuant to the
Southold,SUM&County,Ncty York,and other
Regulations, for the construction of aPplrcable Laws, Ordinances or
additions,or ahzsations or for removal or demolition,as herein described The
applicant agrees to comply with all applrcabje laws,ordLorwas,building 004�"�,,nS,,,�code,and
authorized inspactors,onpre�ees and "F > and to adm t
8�n omarymg>echom
(S�gmgmv adappkctmr or mm=,if a corporation)
3(3785 /L1 Cc iii JZoa�( Or�P 1`
(Markup addtow of applicant)
State whether applicant isowner,lessee,'agent, arclIIte<x engineer,general ogpttactpr, electrician,plumber or builder
Name ofo;�,nerofPremises 0?erf .���Pr �ar»e G✓vinc�ein
(as on the talc roll or latest deed)
If applicant is a corporation, sigpattae of day MidwEiyed officer
(Name and title of corporate of a—ow
Builders License No. 2f±56 if
Plumbers License No.
Electricians License No.
Other Trade's License No:
1. Location of land on which proposed work wM be done:
1320 k/n�/r ' Si Oql"
House Number StreetHMMW
County Tax Map No. 1000 section Block 2 Lot �8
Subdivision F71edl�sp'No. Lof -
2. state existing we and;oocy
ofrmisw anditnblenctedwe and O=Pwcyofmposel mom
a. Existing use and oomPlItROY s//?
b. Irttendad we and ocx�paaay
Addition KCG Alteration
3. Natm e of work.(check which 0,pplicable):New Bm'1din8L. --
Dcmolition Other Wo=k
Repair Removal�-- (Description)
T Fee
4. Estimated Cost > (to be paid on application)
filing this
if dwelling number of dwelling Number of dwelling units on each floor
if garage, number of cars
6. if business, commercial or mixed,occupancy, specifyand extent of each:type of use.
if Front___ Rear S 37
Dimensions of existing structures, �
Height /A Number of Stories 2 - —
Dim nsions of same strudure with aker2ti9ns or additions: Front' 8 J Rear
Depth
Heigfrt f9 Number of Stories 2
8. Dimensions of ev&t new constmotion:Front AS d daV�Rear Aepth
Height q Number of Stories
o. size of Int: Front '�5/ Rear �� / $
10. Date of Purchase 2 o/ —Name ofFormex Det=I-C4RE IfAN
11. Zone or use district in-v&lch poses are situated
12. Does proposed con&ncdon violate any zoning law,ordinance orregulation: In
13. Will lot be re-gmded /Y O • Wi11 excess fli be removed.from premises: YES NO
14. Names of Owner of px anises . . o _,t d/�c✓ ddtrs3 /32 0k/n O�e t" Phone N0. 32 7
Name.of Architect Address Phone No
Name of Contractor a �.P i F<ci e✓ Addtrss PA7AS Pla, /7r Pmt/Phone No: 323 8G�
15. Is this property withru 100 feet of a tidal wetland? *YES NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMIT'S MAY BE REQUIRED
16. Provide survey,to Scale, with accurate foundation pian and distances to property lines.
17. if elevation at aaypoinf on property is at 10 feet of below;const provide topographical data.'on survey,
>TATE OF NEW YORP
SS:
'OUINTYOF
L. r sc i w being duly aw mn,deposes a2id am that(s)he is the applicant
(Name of individual signing contact)above named,
)He is the Lon�haclo.i
(Contmaim,Agent, CoVorate macer,�)
said owner or owners,and is duly authorized to perform or have pad rood the said work and to make and file this application;
t all statements co=txa ned in this application are tree to the best ofhis knowledge and belief,and that the work wi ll be
formed in the manner set frnth in the application filed t navv tti.
om to before me
_day o i 1 .20 02Z'
otary Public Signature drfApglicant
ROB SCOTT,JR,
Notary PuState of Now York
Qualii in Suffolk County
OISC4726089
Term fres May 31, 2,
SITUATE: ORIENT N
TOM-. SOUTHOLD W �' V/ E
SUFFOLK COUNTY, W �
SURVEYED 05-II-01 XW(G
AMENDED 05-24-01
SUFFOLK GOUNTY TAX # / S$00521-40
1000 - 26 - 2 - 48 i
GERTIFIED TO: 1
ROBERT P. ALLER ,
BARNETT 5. WEIN5TEIN �O
I NDY MAG BANK
FIDELITY NATIONAL TITLE IN5URANGE
GOMPANY OF NEW YORK A
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"W 7364
$7$ �R�Y OF SRT ;x �>b�.2— A m
MAP
OF OR NGES r
WI�Lp N NpVy� FFzP »
NOTES: FILED 10/0'
0/4/4RR�E NoA9SM5, INC. BURKE D�1�uR Lothom r �a F sy'
C C tro N>..Y,k o.s h•>e_iote.+c t
Forrnerl ofine� fin toes 5o4c>tt_o[c
MONUMENT FOUND y Dougloss
s,ue arzm»s co(^u?Nm-rq:.s+xis .,s>-ear�9 �
O PIPE FOUND
aGe L^cYJ'tc n G:v'
AREA = 24,881 SF OR 0.57 ACRES JOHN C. Ed HLEi RS LAND SURVEYOR ;
6 EAST MAIN STREET N.Y.S.LIC.NO.50202
GRAPHIC 5GALE 1"= 30' 1
RIVERHEAD,N.Y. 11901
REF.—\\H server\d\PROS\01-191. ro
369-8288 Fax 369-8287 P P
OCCUPANCY OR
USE IS UNLAWFUL
CUSTOM view WITHOUT CERTIFICATE APPROVEDAg
CUSTOMER -- OF OCCUPANCY DATE ! G S�
7Q7F 04/10/02 REF redo B.P.# a
FEE BY:—we_
NOTIFY BUILDING DEPARTMENT AT
765.1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
/ FOR POURED CONCRETE
NXJR
ill, /� �I ROUGH - FRAMING & PLUMBING
k9�INSULATION
V L CONSTRUCTION MUST
EFOR C.O.
ON SHALL MEET
F THE NX
ENERGY
NDIBLE FOR
ERRORS
e
&)3mr'AlaR Ras
ROUTE 25
BAXAE>� t✓EIhST�>A✓ GREENPORT NY
631-47'-4038
-wco✓►5frucfl�rr c ory w d P rPT0reJ*
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BEAM LAYOUT i RBS
CUSTOMER "' ROUTE 25
DATE 04/10/02 R�F redo GREENPORT NY
631-477-1038
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BEAM BEAM ' POST POST
LABEL LENGTF COUNT SPACING
A 23' 9' 4 7' 10'
B 23' 9' 4 7' 10"
Post spacing is measur d tenter-to-center.
Depth of poet-in-concre a footers --- 36 inches.
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CUT LIST RBS
CUSTOMER -- ROUTE 25
DATE 04/10/02 AEF redo GREENPORT NY
631-477-1038
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�1 A A AI A• A A A A Aj
Ai A A A A A A
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LABEL LEN�TH BEVELS LABEL LENGTH BEVELS
A forst (t7) 13' C ledger 23' 9°
R fascia i4' F45 S45 B fascia 14' F45 S45
B ledger 131811 ➢ ledger 13' 6"
C fascto c4' F45 S45 E foscta 24' F45 745
E ledger
23' 9"
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W ABSVI
PLAN E
CUSTOMER -- ROUTE 25
DATE 04/10/02 REF redo GREENPORT NY
631-477-1038
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24'
Ok
g 14' 14'
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�I 24'
LOAD AND SUPPORT: Your deck will support a 64 PSF live load. Posts hav+ 3 "" below-ground
post support. t�X�Pec/r wi/R Jas<asrAah f° i�B awe pw Ao B x 36~14,o
6ti.-w 7 . .,44
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 13.25" above ground level. Your salesperson 11
can provide information for uneven or sloped ground.
JOISTS: Set joists on top of beams, 16' center to center. N
NOTE: The design may require knee braces and bridging between joists. Your materials list includes b
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 land 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.
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