HomeMy WebLinkAbout28412-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29574
Date: 07/15/03
THIS CERTIFIES that the building ADDITION
Location of Property: 1135 NORTH SEA DR ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 15 Block 5 Lot 29
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 22, 2002 pursuant to which
Building Permit No. 28412-Z dated MAY 23, 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.
CONSTRUCTION CERTIFIED BY ENGINEER.
· ~ne certificate is issued to LOP~NA THOMAS
of the aforesaid building.
(OWNER)
SUFFOLK COUNTer DEPARTMENT OF HEALTH APPROVAL
ELBt-rKICAL CERTIFICATH NO.
PLUMBERS CERTIFICATION DA'£~R3
Rev. 1/81
N/A
N/A
N/A
.
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
28412 Z Date MAY 23, 2002
Permission is
hereby granted to:
L THOMAS (E. KABILLIO)
1135 NO SEA DR
ORIENT,NY 11957
for :
CONSTRUCTION OF A 12X26 DECK ADDITION TO ~ EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at pre,Limes located at 1135 NORTH SEA DR ORIENT
County Tax Map No. 473889 Section 015 Block 0005 Lot No. 029
pursuant to application dated MAY 22, 2002 and approved by the
Building Inspector to expire on NOVEMBER 23, 2003.
Fee $ 150.00
Authorized Signature
COPY
Rev. 5/8/02
y':;~kZ, - Form No. 6
L ~'~'TIONFORCERTIFICATEOFOCCUPANCY
This pp ' ' y ypewri er or i~ a unitted to the ~uilding ueparunem wita the ~lIowlng:
A. For new building or new use: 1. Final su~ey of propeay with accurate location of all buildings, prope:y lines, streets, and unusual natural or
topographic ~katures.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 ibm0.
3. Approval of electrical installation from Board of Fire Unde~riters.
4. Sworn statement from plumber ceaifying that ihe solder used in system contains less than 2/10 of 1% lead.
Co:ercial building, industrial building, multiple residences and similar buildings and installations, a ce~ificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planniog Board Approval of completed site plan requirements.
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 i, atural 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. 6/20/03
New Construction: deer Old or Pre-existing Building:
LocationofProperty: 1135 North Sea Drive
(check one)
Orient
Street Hamlet
House No.
Owner or Owners of Property: Lorna Thomas
Suffolk County Tax Map No 1000, Section 15
Subdivision Orient-By-the-Sea
Permit No. 28412
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
Request for: Temporary Certificate
Fee Submitted: $ ~ ~- /'
Block 5 Lot 2 9
Filed Map. 3444 Lot: 84
__ Applicant:
Underwriters Approval:
Final Certificate: / (check one)
Applicant Signature
07/15/2003 18:23 6317278833 CHUCKTHONAS PAGE
CHARLES M. THOMAS, ILA.
P.O. Box 877
Jamesport, New York 11947
(516) 727-$950
July 15th, 2003 ': ~' ' ~ ~2
Town of Southold
Building Dep~u~u~sent
Attention: Building Inspector: John Boufis
R,e; ~ermit # 28843: Smith Renna~ New Home
Dear John:
Please be advised that thc revised updated energy calculations for this project include the garage
and basement areas.
These calculation show thc entire building envelope conforms to thc Town of Southold energy
code.
Very truly yours,
Charles M. Thomas
Architect
MARIE ONGIONI
CARMELA L. BORRELLI
ONGIONI & BORRELLI
ATTORNEYS AT LAW
300 PANTIGO PLACE, SUITE 115
EAST HAMPTON, NEW YORK 11937
TEL. {631) 324-5209 · FAX (631) 324-7521
BOBBI C. STERNHEIM,
Of Counsel
June 20, 2003
Building Department
Town of Southold
P. O. Box 1179
Southold, NY 11971
Re: Building Permit #28412 - 1135 North Sea Drive, Orient, NY (Lorna Thomas)
Dear Sir/Madam:
Enclosed herewith is the application for a Certificate of Occupancy for a deck
which was constructed on the above premises under permit #28412, together with our
check in the amount of $25.00.
Please issue a C/O for this deck at your earliest convenience and forward it to me
as soon as possible.
Thank you for your assistance in this matter.
Very truly yours,
npd
encs.
Condon Engineering, P.C.
New York State Licensed Professional Engineer
1755 Sigsbee Road
Mattituck, New York 11952
July 14, 2003
Mr. John Boufis
Building Inspector
Southold Town Building Department
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971
,
Subject: Permit ~r28412 - 1135 North Sea Ddve, Orient New York
631-298-1986
Fax 631-298-2651
Dear Mr. Boufis:
On July 14th 2003 I conducted an inspection of the deck installed along the rear side of 1135
North Sea Ddve in Odent New York. Inspection of the underlying structure found it have a ledger
board installed and the ledger board was found to be secured to the building wall and underlying
dm joist with lag bolts. Overall the deck was found to be built in accordance with the New York
State Building Code.
Inspection also found a sliding door to be installed in the building wall at the deck. Inspection
found a header to be installed above the door. The builder indicated that he installed a double
2x10 header over the door opening. Based on this information and observations at the site, the
door is installed in accordance with the New York State Building Code.
If you have any questions regarding this letter please call me on 631-298-1986.
ti
~ROVED AS NOTL:D
FEI5 i.~0.~'~ 6Y:
~~._~ ,Z_.~.-~/,,<~ ~-~ ~~1~$.1803 . AM TO 4 PM FOR THE
~ ~/,:~_,~_/_~,.~.~ FOLLOWINGIN.~PECTtONS:
/'1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
Box 667
MATTITUCK, NY 11952
(516) 298-4625
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
2. ROUGH - FRAMING & PLUMBING
3, INSULATION
4, FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C,O,
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y,
STATE CONSTRUCTION & ENERGY
CODES, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
t~qY-~6-2~' 15:~ ?RO~I:C~NIHITI ? $111~145 ~31 7~ ~g02
Owners Nmne:
Architect/
Engineer:
SCTM #:
Dis~ric~ LO00 Section /~- 13lock 5- Lot ~
Dalc
Reviewed:
Da{¢
Submitted
I.ocadon
11 3 ~)~ /t. zlo, ~ _~..t, _~)_~d~7~ _ _ Subdivision-
Single & scpata[c Rca JtreO
ceo i fi~zat ion ~_¢S / No t.~J o
Project Description:
REOUIRED FOR REVIEW
Pertait
YES Number
Suffolk County Health Dept.
/
New York State D. E. C.
Town Trustees
Town Zorling Board. approval:
Town Planning Board approval: --
Flood plane Elevation 777
Flood Zone:
/ax
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [, ]//~SULATION
[ ] FRAMING [/,/] FINAL
[ ] FIREPI,A~&CHIMNEY
DATE
vn~) tNSV~CZm~ v~ro}~
FO~DATiON (1ST)
FOUndATION (2ND)
PLL~G
~S~ATION PER N. Y.
STATE E~RGY CODE
TOWN OF SOUTHOLr
BUILDING DEPARTNE
TOW~N HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
PERMIT NO.
Examined
.~_pproved
Disapproved
.3f'~, 20 o_~
Expkafion tt/~.~ ,20._q2_~
BUILDING PERMIT APPLIC-A:TIO~N CHECKLIST
Do you l~ve orne~ the following, before applying?
Board of I-Iealth
3 s~t~ of Building Plans
p!~n~ing Board approval
Sm'w'y.
Septic Form
N.Y.S.D.EC.
Contact:.
.Pho : bS.?o 5-/
APPLICATION FOR BUILDING PERM1T
Date 3"/ / ,20o2-
INSTRUCTIONS
a. Tkis application MUST bc 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 buil,qin~ on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The w~ck covered by this application may not be commeazced before issuance of Building permzt.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a pexmit
s/mil be kept on the prem/ses available for inapeetion throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever umil the Binlding Inspector
issues a Certificate of Occupancy,
f. Every bu/lding permit shall ox:pire fftl~ work amherized has not commemced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning am~nd~mcnte or other regulations affecting the
property have been enacted in the interkn, the Buildin~ Inspector may authorize, in writing, thc extension of the permit for an
addition slx months. Thereafter, a n~v l:~u~it shall be r~iuired.
APPLICATION IS ~ ~Y MADE to the Building Depaxlxmmt for the issna~c~ ora Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk Coumy, New York, and.o~er applicable Laws, Ordinances or
Regulations, for the construction of building, additions, or alterations or for removal or de~aolifi, on as herein described. The
applicant agrees to comply with all applicable lawz, ordinance, building code, hous~g c.~xle, and regulations, and to admit
~uthor~zed inspectors on premises and ia building for n~cessary inspections.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(As
I£ applicant is a corporation, signatm'e of duly authorized officer
(Name and tide of corporate officer)
Builders 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 Street
County Tax Map No. 1000 Section /,~ Block
Subdivision
Hmnl~
File~l Map No. ~':ff ~
2. State existing USe 'and occupancy of premises and intended use and occupancy o~proposed construction:
b. Intended use and occalpancy ~ c.)d /[ g' dl
3. Nature of work (check which applicable): New Building
Repair RemOval Demo[iff.on
4. Estimated Cost ffS)/~/t.) ~
5: If dwelling, nmnber of dwalling units
If garage, number of cars
Addiff.on ~ Alteration
Other Work
(Descdption)
(To be paid on filing this application)
Number ofdwe111ng units on each floor
6. Ifbnsiness¢commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing strum, ifanlc. Front
Height Number of Stories
Real*
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stories
Rear
8. Dimensions of entire new comazucfien: From
Height Number of Stories
Rear Depth
9. Size of lot: From Rear
10. Date of Purchase
Name of Former Owner
1 1. Zone or use district in which prem~nes m'e situated
12. Does proposed construction violate any zoning law, ordimmc~ or i~mlation? YES NO
13. Will lot be re-graded? YE8 ~ NO VWill excess fall be removed from premises? YES__
14. Names of Owner ofpremlses. Address
Name of Architect ~ - AddreS~
Name of Contractor ,~-tt~v?{'/~Z/$ 7'~'~" Addr~s
Phone No.
Phone No
Phone No.
15 a. Is this property within 100 feet of a ff.dai wetland or a freshwater wetland? *YES
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE REQUIRED.
b. Is this property w/thin 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAYBE REQUIRED.
NO
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.)
OF ~ ~5/~
COUNTY
(Name of individual signing contract) above nm'ned, ,
(S)He is the _fO~
(Col~tn~'tor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have pexformed 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 of //~/~ 20~_.~-.~
c"'Nbt~/y Public