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HomeMy WebLinkAbout28618-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29590 Date: 07/24/03 T~IS CERTIFIES that the building ADDITION Location of Property: 1705 ACKERLY PD LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 69 Block 5 Lot 6 Subdivision Filed Map No. -- Lot No, -- conforms substantially to the Application for Building Permit heretofore filed in this office dated J~JLY 23, 2002 pursuant to which Building Permit No. 28618-Z dated AUGUST 1, 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. ~e certificate is issued to CH3LRLES W WRIGHT ( OWNER ) of the aforesaid building. SUFFOLK COU~FrY DEPARTMENT OF ~IEALT~ APPROVAL ELEt-r~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~r~u N/A N/A N/A Rev, 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES %INTIL PULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28618 Z Date AUGUST 1, 2002 Permission is hereby granted to: CHARLES W WRIGHT 1705 ACKERLY POND LANE SOUTHOLD,NY 11971 for : CONSTRUCTION OF A DECK ADDITION TO Al{ EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1705 ACKERLY PD LA SOUTH/PEC County Tax Map No. 473889 Section 069 Block 0005 Lot No. 006 pursuant to application dated JULY 23, 2002 and approved by the Building Inspector to expire on FEBRUARY 1, 2004. Fee $ 150.00 COPY Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ,~ ?~: · TOWN HALL 765-1802 APPLICATION EOR 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 Undelwvriters. 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: 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. Co Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinm6ng 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. q I Q//'~/0 ~ Hou)e"~NN~0.. 5 Owner or Owners of Property:_~ Suffolk County Tax Map No 1000, Section New Construction: Location of Property: Old or Pre-existing Building: __ ~./ (check one) Subdivision Permit No. ~)~:9 { ~ Health Dept. Approval: Planning Board Approval: Filed Map. Date of Permit. Applicant: Underwriters Approval: Final Certificate: Temporary Certificate Request for: Fee Submitted: Hamlet Lot Lot: (check one) M E I~ Y L a r C h K R A M i t e c t E R Mr. Gary Fish Southold Town Building Dept. Southold Town Hall PO Box 1179 Southold, NY 11971 June 24,2003 RE: Wright Residence Open Permit # 28618Z Dear Gary, As per your request, I am certifying that I inspected the footings and framing of the deck of the above mentioned project during construction and that they comply with the drawings and.t~e NYS Residential Building Code. The owner has installed a new handrail and guardrail, and J~1~epa~l~ the driveway, thus making the risers uniform height in accordance with the NYS Residential Building Code. Cc: Na.~cy~l~L~arlie Wright · ,: :,3 AR( 124 BROAD STREET G R EEN PORT, NY 11944 G 3 1- 4 7 7 -8 ? 3 6 631-477-8936 FAX Projecl Description: 2.~.~. ~,a4~_..i~__' Suffolk County Health'Dept. New York 8tale D. E. C. Town ZonSng Board. approval: Town Plamfing Board approval: Flood Plane Elevation ??? Flood Zone: 765-1802 BUILDING DEPT. INSPECTION [ ~FOUNDATION 1ST 'Z' [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN/SULATION [ ~FRAMING '~ [ ~INAL [ ] FIREPLACE & CHIMNEY REMARKS: /~ ~.~,~ ~ .,, ,, , '" //.b J, DATE INSPECTOR co~ ROUGH ~r,,A.iVII~ G & pILUlVlBING INSULA.TION PER N. Y, ,~I)DITION,~L COiV/IYIEN'I'S TOWN OF SOU~HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Examined .Approved Disapproved a/c 7/.Me, 20 k. xpiration 2~ / ,200~a_ PERMIT NO. BUILDING PERMIT APPLICATION CI51ECKLIST Do you have or need the following, betbre applying? Board of Health 3 sets of Building Plans planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Inspector ~!",, 57 !7 i ' 'i_ !APPLICATION FOR BUILDING PERMIT f,,~ ' 5' ': Date "//i ~1/ O '~--" , 20 I INSTRUCTIONS a. T~is a~[icati0n MUSTq~cgm.%~Jetely fined in by t~ewfiter or in ink ~d sub~tted to the Building Inspector with sets of pi~umte'pFot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on pre~ses, relationship to adjo~g pre~ses or public streets or areas, and wate~vays. c. The work covered by this application may not be cm~nenced befbrc issu~ce ofBuil~g Pe~it. d. Upon approval of this application, the Building Nspector will issue a Building Pe~t to ~e applicant. Such a pe~fit shall be k~t on the pre~Nscs available for inspection t~oughout the work. e. No building shall be occupied or t~sed in whole or in paa for any pu~ose what so ever ~til the Building Inspector ~ssues a Certificate of Occupancy. f. Eve~ building permit shall expire if thc work authorized has not con~cnccd wi~ 12 months akcr thc date of ~ssuance or has not been completed within I g months from such date. lfno zoning amendments or o~er regulations affecting the prope~y have been enacted in the imerim, the Building Nspector may authorize, in writing, ~e extension of thc pen~t fbr an addition s~ months. Thereafter, a new permit shall be required. ~PL~CATION IS HE.BY M~E to the Building Dep~tment for the issuance cfa Bufl&g Pe~t pursuant to thc Building ~ne Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Rc~latio~, for the const~c6on of buildings, additions, or alterations or for removal or d~olition as herein described. The applic~t a~ecs to comply with all applicable laws, ordinances, building code, housing code, ~d rc~lations, and to admit authoNzed inspectors on premises and m building for necessa~ inspections. ' ~ ~amre ofapplic~t or nme, ifa co~oration) (M~l~g ~ess of applicant) State whe~er applicant is owner, lessee, agent, ~chitect, engineer, general con.actor, elec~ci~, plumber or builder Nam¢ofownerofpmmises b,~,~,k~O'-{ 4- ~.~/k~{..~ ~NJl~-,,\~'Pf'i- (As on the tax roll or latest deed) I f applicant is a corporation, sigmature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location o__f land on~hich proposg._d work wilJ b,¢ done: _ {q-05 AoF. PoNB 00TtiOLb House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block 0% Filed~Map No. Lot ~:~ Lot 9 State existing use and occupancy of premises and intended use and occupancy of proposed_.~constructi0n: a. Existing use and occupancy J~'l ~f~L-F~. ~/~IL,¥ ~.~.e~klf_~'~ b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition 5. IFdwelling. number ofdwelling units If garage, number of cars Addition "-~" Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of usc. 7. Dimensions of'existing structures, if any: Front 4q' Rear 4 Height [ ~O' Number of Stories Dimensions of_.sarge structure with alterations or additions: Front 4q~ Depth ~ Height [(~9' Number of Stories 8. Dimensions of entire new construction: Front ~ '- (zT" Rear Depth Height Number of Stories Size oflot: Front i tq '51 , ' Rear /%iO l' Depth I ?) O 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated /~k- ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES Rear 4q~ .'2- NO J 13. Will lot be re-graded? YES l,,,~O Will excess t511 be removed from premises? YES ~ NO__ 14. Nantes of Owner of premises .Vk/~lo(~' Address i'Df051/k/.,~ D~ho~nne No. Nan~eofArcbitectB, K~M~',,~ Address kg~ g~.Ofi~D PhoneNo Name of Contractor ~A. ~.L}~d-..} _Address ' ' Phone No, '~2[--bO 15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet cfa tidal wetland?* YES__ NO ~ * 1F YES. D.E.C. PERMITS MAY BE REQUIRED. NO 16. Proxide 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. ST,VFE OF NEW YORK) C()Li NTY O~ ~l~--; [~Y ~' -- K~{,~ being duly sworn, deposes aad says that (s)he is the applic~t (Name of individual sing contract) above named, (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 tree to the best of his knowledge and belief: and that the work will be performed in the mariner set forth in the application filed therewith. Sworn to befbre me this ,'~ ,, c~'2~ ctav of ~ 20(3 C/Notary Public LYNDA M. BOHN NOTARY PUBLIC, State of New York No. 01 BO6020932 Qualified in Suffolk County Term Expires fdarch 8, 20_~_~ ~_.~nature of Applicant P,.EGP,^DE A5 ~QUI~D FOR NEW DECK LAYOUT VATION GARAGE CONDEN~ NEW WOOD DECK, ~ +3'- I 0 31E," EXIST. ?0ST TO ~ RcEMAIN LINE OF E NEW P.E. TIE PLANTER. 0.00 5TONE ¢ R.I5 ER.5 UP R.L=FAINING WALL TO DE R~EMOVED 4EW 5TONE PATIO NEW RR. TIE R~I'AINING WALL PLAN APPROVED AS NOTED r ~IOTIF¥ gUILDING OEPAR?~E#? &? I'~qu~/ I 765-1802 9 AM TO 4 PM FOR ?HI HOP-,SE COERAL FENCE MICHAEL ¢ PAMELA HUNT N4Go27'OO"W FO' ~ m~,rk~f' ;NSPECTIONS: 1, , ~ 'Cid - TWO REQUIRED t ,, ,~11 [IONCRETE ~. [ ' "- FRAMING & PLUMBINQ & FINAL - CON~TRUCTIO~ BE COMPLETE FOR C.O. ~LL CONSTRUCTION SNAL[ ~E~ THE REQUIREMENTS OF THE N.~ ~TATE CONSTRUCTION & ENERGY ~ODES. NOT R~SPONSIBLE FOR ~SIGN OR CONSTRUCTION E~OR~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UND~WRITERS CERTIFICATE 131.01' J ~- -- ~ r- -- r- T ~ 5TR.INGER..TY1=. 2-2x I 0 ~TR.INGER.,TYP. 4x4 CCA POST ON 2'-O"x2'-O"x ILO'` PC PTG, lYF. ACI~F, LY POND LANE (DOWI~EY LAN~) lt~UIRED N POST FOUNDATION PLAN 51TE PLAN L_J L_ R.R. TI~ PLANTER. '- 2xG CCA 5TR, IN GER`,TYP. DRAWING LIST LOCATION MAP LEGEND ABBREVIATION SYMBOL DESCP-J FTION SYMBOL DE~CPJ PTION ~ At DE~. DeFa~men~ INSUL InsJmbt~. Insulabn~. bsubbon FK Ya~r A~Hff~U~L D~N~ 5E~ION 5~DOL ~ ' D~R NUMBEA V.C. ~C brushed ~mlJ~ g~. DTL g~ml tNT, In~nor QU~. Quahty  5E~ION NUMDE~ A.L~. ~ovchmsh~ Flor ~A. ~ gJam~r ~W I 5~E FL., FOUNDATION PL., P~N, ~. 07~Z J 5HE~ NUMBER AIA ~n~n I~bt~ of ~chl~ DIAG. gJa~onal L ~n~th ~ ~fn~cra~r ~ PARTITION ~ ~E~ ~cn~n Jn5[]~ of Electn~l En~lnccm DIM.. DIMEN D~m~ns~On ~V.  :~ATmON 5~L ~ LUM. Alummnum D~ds) Uncar ~ECH. ~dh~t¢¢ E~C. dc~rm~l MA~L Ma~l ~T~ ~T~ ~ D~L~UM~ ~&~ ~NM ~?m~m~or 1~stm~Ma~nat ~WC ~l~rmc~a~r~r MIN M~mm~m T?~, T~l~h~n~ ~ OHE~ NUMDE& KOUGH WOOD ~LOC~NG ~, ~o~rd ~ ~haust MI~. M~ellan~5 TM ~K Th~n~ 5~' I ~ OG¢ 05 ~G~ IXI 5E~ION) D~, bl~k ~1~1, ~sbn~ MI L Mc~l ~ T~r21 BM, beam ~y ~Fos~ N No~h ~OOD DL~NG b.U. ~ ~[h¢~ NN. hmsh NEC Nabo~l DOl. bOLero FL.. ff~ Flor N:MA Nabonal tl~ri~l Manufa~m?5 ~5~ I V~ Vine C~mo~m~ Tile ~ COLUMN UNE D IU. bnbsh I hcr~l Uni~ N. F~t NJ. C. Not In Cofl[~ct V~T, V~&~c~I ' ~Y POND C~. Cablne~ FF. hrc~r~ NO Numar V,I ,~, V~n~ m y Documen~5~s~a~e~l ~ameAWn~hA~GHT LOCATION P~N I dF~ , FINISH ~OD CEA.CLG Ccramtc~dm~ FNX'I G. ~bn~r~ :uAN'[ ~. CFM Cubic ~ Ycr Min~ GA. Gau~c O~ ~craH D~m~nslon ~ Wl~h ~ FLOOD (~E ~ CL.. L Cen~rhne G~. Gallon U.C. Up Conic W~r ~1~ O~EE CH~ * N~ ~GHT ~ ~ E~ATION MA~ CL. CI~c~ GALV. Galvam~ OO CLK. Clear GU General Contra~r Fur FOden5 KCr GUblC ~ ~ Wi~hn~l[ ' CONC. Coacr~ HB H~ ~b~ FH. ZONING 22,4G~ ~ ~ EQUIPME~ NUMBER ~ISTING W~ CON I. ~n~lflUOU5 H,M. ~ollow M~I FL, ~ fflasbc GUV'G C~m~ HU~Z, Honzon~l P~D Ylum~nq ~OE ~ M~ ~UE~NG ~ ~ ~ISlON ~L DEMOUSH WA~ ~UG] Ky] g8a~r~UblC V¢~ HW~K ~o~H°Urwa~ YL~UFNL gU [N Cubic Inch LB. Insd¢ Um~ FOL 9UEV~K ENGINEE~NG QUEUE. ~ ~ ~N~ ~ INSULTED W~ CU ~ Cubic Yard IN. I~h ffbr Founds per g Uc~h INCL. Inc ud~ nc udm~ Fbi Founds ~r b~uare Inch DBL Double INFO, Info,abort ~g.