HomeMy WebLinkAbout29517-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29589
Date: 07/24/03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1225 ARROWHEAD LA PECONIC
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 98 Block 3 Lot 8
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 24, 2003 pursuant to which
Building Permit No. 29517-Z dated JUNE 24, 2003
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 ACCESSORY ONE CAR GAP~GE IN REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to DAVID C & PATRICIA O'DAY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVi~L N/A
ELECTRICAL CERTIFICATE NO. 1148436 07/07/03
pLUMBERS CERTIFICATION D~rmu N/A
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. 29517 Z Date JUNE 24, 2003
Permission is hereby granted to:
DAVID C & PATRICIA O'DAY
1730 ROOSEVELT STREET
WAi~TAGH,NY 11793
for :
RENEWAL OF BUILDING PERMIT #27062 AS APPLIED FOR
at premises located at 1225 ARROWHEAD LA PECONIC
County Tax Map No. 473889 Section 098 Block 0003 Lot No. 008
pursuant to application dated JUNE 24, 2003 and approved by the
Building Inspector to expire on DECEMBER 24, 2004.
Fee $ 75.00
Authorized Signature
COPY
Rev. 5/8/02
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
PERMIT NO. 27062 Z
Date FEBRUARY 13, 2001
Permission is hereby granted to:
DAVID C O'DAY
1730 ROOSEVELT STREET
WANTAGH,NY 11793
for :
NEW CONSTRUCTION OF AN ACCESSORY GARAGE AS APPLIED FOR.
at premises located at 1225
County Tax Map No. 473889 Section 098
pursuant to application dated NOVEMBER
Building Inspector.
ARROWHEAD LA PECONIC
Block 0003 Lot No. 008
17, 2000 and approved by the
Fee $ 35.00
Signature
COPY
Rev. 2/19/98
Form No. 6
TOVCN 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:
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 Under~vriters.
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.
Bo
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. 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.
Fees
I. Certificate of Occupancy - New dwelling $2:5.00, Additions to dwelling $25.00, Alterations to dwelling $2:5.00,
Swimming pool $2:5.00, Accessory building $2:5.00, Additions to accessory building $2:5.00, Businesses
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy- $.25
4. Updated Certificate of Occupancy- $$0.00
:5. femporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.__ lqre
New Construction:
Location of Property:
House No.
Owner or Owners of Property: ~_~
Suffolk County Tax Map No 1000, Section __
Subdivision
Permit No.
Health Dept. Approval:
Plarming Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Old or Pre-existing Building: ~ (check one)
flr co o eot _ Lane Pecon; c
Street
o c,d PCL4 iCit:L
Block ~
Date of Permit.
Filed Map.
'.,~1 I~ JO t _Applicant:
oy_ llg. fg
Hamlet
Lot
Lot:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
BUILDING PERMIT EXAMINER CHECKLIST
APPLICANT:
SCTM# DISTRICT: 1,000, SECTION: _
ADDRESS: )22q
BLOCK: ~, LOT:
DATE REVIEWED: ~ /.2o/03
DATE SUBMITTED: ~/Iq[ /03
~ SUBDIVISION: ~,rc~eo~k Co~ta
CITY: ~:VOt~q,~ ZONING DISTRICT: __ CONFORMING? )k/~0
BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N
BP -Z / C/0 Z- INFO / BP
BP -Z / C/0 Z-____ 1NFO /
-Z / C/0 Z- , INFO
-Z / C/0 Z- , INFO
SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES:
LOTS 40,000SF -100-24. Lot r¢cognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Mcrger.(A nonconforming at any time after 7/I/83
REQ. LOT SIZE: " ACT. LOT SIZE:~_ REQ. LOT COV. ~>~ACT. LOT COV. ~
REQ. FRONT ~ __ PROP. FRONT ~" REQ SDE__/$/~I'~ ACT. SIDE ~
REQ. REAR__.~ PROP. REAR ~- REC~)~I~"E'~GHT PROP. HEIGHT
PROJECT DESCRIPTION:~ ~bb~o/~k[.'~ _Th ~ ,'1~'~
ESTIMATED PROJECT COST: ~,=_ ~NGINEER: ~'?W'lJt¢ ~i
WATER FRONT? /k/O DESCRIPTION: -- - PANEL # FLOOD ZONE:
~aS~FFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): __
~TO~VN SEPTIC RECEIPT: Y or N
NEW YORK STATE DEC: PRE-DECg/I/75 YES 0~'~
APPROVALS REQUIRED
DTE:
SOUTHOLD TOWN TRUSTEES: YES or~
TOWN ZONING BOARD APPROVAL: YES o~_____~
TOWN PLAN. BOARD APPROVAL: YES or~__a~
TOWN HISTORICAL PRE (SPLIA): YES or{~.~
/ / PERMIT #:
DTE: / / PERMIT #:
DTE: / / PERMIT #:
DTE: / / PERMIT #:
DTE: / / PERMIT #:
NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO
·
FEE STRUCTURE: FOUNDATION:
FIRST FLOOR:
SECOND FLOOR:
OTHER:
TOTAL:
1. ( SF)- ( SF)=
2. (_ .SF)- ( SF)=
3. (_ SF)- (~ SF)=
SF
SF
SF
SF INIT OTHER TOTAL
SF FEE FEE FEE
SF X $ =$ +$ +$ = $
SF X $ =$ +$ +$ = $
SF X $ =$ +$ +$ = $
FINAL TOTAL: $
BUILDING PERMIT REVIEW CHECK LIST
APPLICANT NAME:
SCTM#--- DISTRICT: 1,000 SECTION: ~ BLOCK: ._2 LOT:
DATE REVIEWED: / /2~/o/
DATE SUBMITTED: ,'/
PROJECT LOCATION AND TYPE OF PROPOSED WORK:
PROJECT DESCRIPTION: _ADD ,ALT,~R N/D: ~
STREET: /5Z-..2~' /"~,-o,a Z~-.tJ ~ ,~ CITY:
ARCHITECT / ENGINEER: '-,.~"OJ~.4 .~' 7~a,~,,m~
SiNGLE & SEPARATE CERTIFICATION-REQUIRED: YES c~'0~NOTES:
LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JIN.1997 100-25. Merger.(A nonconforming at any time after 7/1/83
SUBDIV. NAME:
FAST TRACK: YES o~--~-~
ZONING:
PERMIT ESTIMATE AMOUNT:_$ f~ OOo .00 PERMIT USE: EXISTING: ~'~"~¢ INTENDED:
ZONiNG DISTRICT(R40,"RS0, AC, CONFORMiNG: YES o~_.~ REQUIRED LOT SIZE:
/,..
WHERE ACTUAL LOT SIZE FROM?TaX CAPm ?/~ ,~/,~r ~-, ACTUAL LOT SIZE:
REQUIRED REQUIRED REQUIRED
FRONT: qO ' PROPOSED: ' SIDE YD: /.~ '/ $~ ' PROPOSED: __'/ ' REAR: .~'O ' PROPOSED:
LOT COVERAGE: ALLOWED: 20 % EXISTiNG:/4,,~O sf % NEW: _g,92~, sf
CORNER? YES OR ~ WAT ~ ~'RONT? YES o~-DESCRIPTION:
FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: ?~ FLOOD ZONE: ~<' ,
.SQFT.
SQFT.
% TOTAL:/~;2~sf R- %
AGENCY PERMITS REQUIRED FOR REVIEW
INCLUDED IN APPliCATION
TOWN SPETIC PERMIT: YES or~~
SUFFOLK COUNTY HEALTH DEPT: YES or bJ_.0,} (BED #):__
NEW YORK STATE DEC: PRE-~EC 9/1/?S YES o~
SOUTHOLD TOWN TRUSTEES.~-~T~ YES or.~:z~'~xx
TOWN ZONING BOARD APPROVAL: YES o(L~,Q3
TOWNPLAN. BOARD APPROVAL: YES oNff~
NYS ENERGY: YES OR ~)
NOTES:
DTE: / / PERMIT #:RI0-
FEE STRUCTURE:
FOUNDATION: SF
FIRST FLOOR : 3 8 ,P. -- SF
SECOND FLR : SF
TOTAL: SF
SF)- ( _SF)= SF X $
=$
iNIT OTHER TOTAL
FEE FEE FEE
s. ~4.o9'5o' w. LOt ~
CAMPFIRE LANE
CERlTFIED TO'
DA VID C, O'OA Y
PA TRICIA M. O'DA Y
COMMONWEAL TH LAND TITLE INSURAN
c~
COMPANY
MERRILL LYNCH CREDIT CORP.
SURVEY OF
LOT 8 ,
"MAP OF ARROWHEAD CO VE"
~ .IUIVE~O, ~ MAPNO.
A T INDIAN NECK
TOWN OF SOUTHOI D
SUFFOLK COUNTY, N Y.
1000 - 98- 03- 08
Scale.. 1' = 40'
,April ~0, 1997
AREA = 23, 0~*1 sq. ft.
~r ~,u~ or ~ ~m ~ ~s u~ ~ ~ c~er
$OUTHOLD, N. Y. 11971
iS. LIC. NO. 49618
97- 153
765-1802
BUILDING DEPT.
[ INDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREP~A/~.~& CHIMNEY ~/
REMARKS. ~~~/~-~.~__----~
DATE
765-1~02
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ].~,~JLATION
[ ~.~ FINAL
[
REMARKS:
] FIREPLACE & CHIMNEY
DATE
INSPECTOR
FIELD INSPECTION REPORT DATE COI~IENTS
STA~ E~R~
CODE
FINAL
FORH NO. I
TO~H OP SOtFrHOLD
BUILDING DgPARTHENT
TOtm HALL
$OUTHOLD, M.Y. 11971
TEL: 765-1802
Disoriented alt ..........
BOARD OF HEALTH ..............
SURVEY ........................
CHECK .........................
SEPTIC FORH ...................
· RUS~ES '- .....
NOTIFY:
CALL ..................
HAIL TO: ..................
:~- - (Buildin8 Inspector)
APPLICATION FOR EUILUIHG PERItlT
Date 2C
a. llhi8 applicati~m ~mt be ~pletely filled in by tlq)e~riter or in i~k and an~itted to ~e I~dldi~ I~spector,
3 ~ets of plans, econ-ate plot pl~ ~ ~ale. F~ ~i~ to ~le.
b. ~ot pl~ ~ l~s~im of lot ~ of ~il~ m p~, ~lati~ip to ~joini~ p~s or ~lic
~is a~li~cim.
c. ~m ~ ~ ~ ~is a~li~ci~ ~ ~C ~ ~k,,~ ~fo~ isle of ~ildi~ Pemit.
d. ~ ~1 of ~ia ~liotim, ~ ~ildi~ l~tor idll im a ~ildt~ ~t to t~ ~li~t.
~t ~1 ~.~t ~ ~ ~ ~il~le for i~ttm ~t ~ ~.
e. ~ ~ildi~ ~11 ~ ~i~. ~ ~ in ~le ~ tn ~ ~r ~ ~ ~t~r ~til a ~nificate of
~ IS ~ ~ ~ ~ ~ildi~ ~ng for ~ is~ of a ~ildi~ ~t ~r~t to t~
~ldi~ ~ ~ of ~ ~ o~ ~ld, ~ffolk ~, ~ Yo~, ~ o~r a~li~le ~, ~i~s or
~ati~, ~ ~ ~ti~ of ~ildi~, ~itt~ or altera~i~, or ~ ~al or ~litt~, ~ ~in
&~i~. ~ ~i~g ~s W ~y ~& all ~li~le 1~, o~i~, ~i~ &, ~; &, ~
~i~e of
or nam, if a co~oratian)
......... .... ......~...~_....~.. ~. ........
(~iling address of ~plicant)
~tate Mmtber applicant is .~ner, l.es~e, a~ant, architect, engineer, general co~tractor, electrician, phnber or boild~
.,, .............. ...................................................................................
~-_ of ~ of ~ ...~.~.¥~d. ...... /.a .... ~. ................................................
(as cn fhe tax roll or latest deed)
If ap~lic~t is a corporatien, signature of ~ly a~fl~orized officer.
(Nm~ aed title of corporate officer)
Electricians Li ~-,~e NO ......................
Otber Tr~'s License No .....................
I. l~'-atian of land m ~dflch ~topoaed ~ vi11 be done ..............................................................
...... ........ ............. .... ..............................
lkn~e lq~ber Street D~let
c,.~ ,~,,,, No. ,ooo s~ti.....~ ...... ~l~ .... .~ ......... ~ot...e~. .......
,U,d~a*oa .~trx~.....k..~.~ ..... ~.~.~.~. ..... ,,i,ed,~ No..~.~..~. .... ,~t ..~. .........
2. StaCe.exlatin~ use and Gccupat~y of premises and inter,led use and ~o~cupancy of proposed cmstructian:
a. .... .... ..... ......................
. _ ~ ....... r~.z~ ...... c.~..~/.~ .....t~:...l~.~ ........................
(Descript ion ~' xd
4. Estimated Cost . .~. .......... LG.t~...~..C~.. fee ............................................
(to ~ ~id ~ fili~ this a~li~ti~)
5. l~ ~lli~. ~,t~r of ~lli~ ,mits . ~... ,~r o~ ~lllng ~its ~ e~, fl~r ..~/~ ......
~ptl .................. ~i~,e .................... ~r of Stories ...............
IO ~te of ~rdmm ~ of Four ~r . .
l I. ~ or ~ district in ddd~ p~i~s a~ $1~t~ ....... ~.~ .................................................
13. ~111 lot ~ ~ ...~ ........... ~ill ,~ fill ~
PLOT DIAGRAH
I~cate clearly and distinctly all buildings, ta~eLl~r existing or proposed, and i~licate all set-back dimensions
[,u:~ prol~rty lieea. Give street ~nd block r~her or de~eriptlon ~:eording to deed, ~d sJ~x¢ street frames ~d indicate
~hetlmr interior or corner lot.
rrKiE OF M,~
~I]NI'I' OF ../:.'.. ,). ~. ~ ..........
....... · J~-~. ........... :-/-~...?.?.~..~- ................. Imi~ duly ~ro, ~po~s ami ~ys
~,- of i~ivi~l si~ing c~tract)
..................... ..............................................................
(C~Cr~tor, ~ne, cor~ra~e officer, etc.)
~ ~id ~r or ~rn, a~ is ~ly ~tl~ri~ eo ~rfom or h~ {mrfo~ tl~ ~id ~ md to ~ a~ file this
~llcntlon; that nil ~tat~nt~ c~ta[~ in this a~licati~ a~ trim to fl~ ~st of his ~1~
[mt t~ ~ viii I~.~r~{~ iu tim m~mr mt forth in H~e a~llenti~ fil~ tlm~H~.
...........k Od.d .............
:~ T~ Expires June 23, ~
IGg. SG'
50"
54.
I 5TORY
FP-.AME
, HOUSE
&O. Fo'
172. 23'
5 &4° 09' 50" W
CAMPFIRE LANE
~ AND ZONING DATA
.ONING PJ~QUIPq~M~NT~ R.40 - ,~Xi~TiNG CONOITiON~ PI(OPO~I!IDC, oN~TPJJ~flON
~ v~ ~ ~, 53, 3 ~, 5~: 3 ~L
~~ IS~. 25, 5 ~, 25.:5~.,.
APPROVED AS NOTED
DATE: '/~'/~'/ S.E # ~ ?~L
FEE: .~1 B¥:.~--
NOTIFY BUILDING DEPARTMENT AT
765-1R02 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
FOUNDATION - T~VO REQUIRED
FOR POURED CONCRETE
2 ROUGH - FRAMIP;G & PLUMBING
3 INSULATION
FINAL - CONSTRUCTION MLJST
BE COMPLETE FOR C 0
ALL CONSTRIJCTION SHALL fiAEET
THE REQUIREMENTS OF T!-I~] ',1Y
OCCUPAI~,ICY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
UNDERWRITERS CERTIFICATE
REQUIRED
DO NOT PROCEED WITH
FRAMING UNTIL SURVEY
OF FOUNDATION LOCATION
HAS BEEN APPROVED.
ADDITIONS
& ALTERATIONS
TO THE
O' DAY
RESIDENCE
ARROWHEAD LANE
PECONIC, N.Y.
S.C.T.M. # 1000-98-03-08
REVISIONS DATE;
JOHN E. STUMPF, RA., PC.
ARCHITECTS ENGINEERS
44 COI:L~GE PLACE
ROCKVII,I,]~ CENTRE, N.Y. 11570
GARDEN C1TY,N.Y, ROCK'V. iI,LE CENTRE
516-538-7048 516-766-3433
SOUTHOLD, N,Y. FAX NUMBER
5t6-29§-0088 516-536-4090
Internet: www. blvdplan,eom
.~,,01,~.,.~. ~ ~o,~ ,..~,.~,.. ,.~. ~
' 'PROJECT NuMBER SHEET NUMBER
2036' 1
3~ T~M TO MATCH
TYPICAL HURRICANE CLIP DETAIL
N.T;6.
CLIP NAILED
TO ~FTEt~ 4 PLA, TE
TOP PLATE5
NEW 1/2" PLYWOOD 5HEATHING
TEP-.MITE SHIELD
DILL 5EALEIt
~ FINLDHED FLR~
ELE¥. +~'-o"
-- (2) 2x4 .40 PP-.~DDUPd~ TP-.TD. WD. DILL
PLATE ANCHOP~D TO CONC, FNDN.
WALL W/ I/2" DIA. A,B, ¢ ~,'~" O~C, MINIMUM
I 2" EMDEDMENT (NOT MOR~ THAN
EA WAY FP. OM
GxGx I O/I 0 W.W.M. OVER,
G MIL, ~OLY~THY[.ENE
VA?OR, DARP-J [P-,
FLOOR PLAN
R, OOP - COLO~ TO
'ERFECTION"
5MINGLE5 WI,pAINTED
CORNE~. DOARD5 -
COLOR, BY OWflEE
LEFT SIDE ELEVATION
GENERAL NOTES
GRAVEL
FILL
&" P.I P. CONC PNDN. WALL OVER
5"D x 1'-4" CONT. CONC. PTG.
TYPICAL GARAGE FOUNDATION DETAIL
- , "~ ..... '' "'/ ~ FOUNDATION WALL CONSTRUCTION
BUILDING SECTION
NEW
GARAGE
AT THE
O'DAY
RESIDENCE
ARROWHEAD LANE
CUTCHOGUE, N.Y.
REVISIONS
DATE;
FOR CONDTKUCTION
I 1-30-99
BOULEVARD
PLANNING EAST, P.C.
ARCHITECTS ENGINEERS
3~64fi MAIN ROAD
CUTCti0GUE, N.Y~ 11985
Telephone Fax
631-734-2011 516-536-4090
Internet: www,blvdplan.com
2036',