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HomeMy WebLinkAbout28763-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29684 Date: 09/04/03 THIS CERTIFIES that the building ADDITION Location of Property: 1500 PINE NECK RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 9 Lot 1 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 19, 2002 pursuant to which Building Permit No. 28763-Z dated SEPTEMBER 20, 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 WILLIAM E & THERESA M PARK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A '4 q //U�< ize 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 UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28763 Z Date SEPTEMBER 20, 2002 Permission is hereby granted to: WILLIAM E JR PARK 1500 PINE NECK RD SOUTHOLD,NY 11971 for DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1500 PINE NECK RD SOUTHOLD County Tax Map No. 473889 Section 070 Block 0009 Lot No. 001 pursuant to application dated SEPTEMBER 19, 2002 and approved by the Building Inspector to expire on MARCH 20, 2004 . Fee $ 150 . 00 u ized gigndture COPY Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submntted to the Building Department with the following: A. 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 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 insfallation.s, 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: L Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2, A properly crnnplctecl application quid consent to inspect signed by the applicant. If a Certificate of Occupancy is denied. the Building Inspector shall stale the reasons therefor in writing to the applicant. C. Fees 1 Certificate of Occupancy - New dkt ening $25.00, Additions to dwelling `625.007 Alterations to dwelling $25,00, Swimming pool $25.00, Accessory building $,25.00, Additions to accessorybuilding $25.00, Businesses $50.00. 2. Certificate of Occupanc} on Pre-exisline Building- $100.00 3_ Copy of Certificate of Occupancy - $_25 4_ Updated Ccttiharfc of Occupancy- .$50.00 5- frtnl>or:tn' UcrtifiealcofOccupancy - Rcsidenlial $15_(10, Commercial $I 00 tate q 6, f o3 New Construction: V, oldot Pre-existing Building (check one) Location of Property: 15-Oo k?;r,o Al. , _ --- House No. Street IIamlet Owner or Owners of Property: _�OVl e Suffolk County Tax Map No 1000, Section X73 $ Qq l0_Block 9 Lot _ Subdivision Filed Map. Lot: Permit No.� Y 74-, 6 - Date of Permit. /r - 02o - p X- Applicant Health Dept. Approval Underwriters Approval: Planning Board Approval: Request for: Temporary Cerlificate _Final Certificate: _� (check one) Fee Submitted: $ vo Lure Applicant Signature o)oi o sF,.. PANE NECK MOAD S " '°"E SURVEY OF PROPER T Y AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NY. 1000 - 70 - 09 - 01 S ' Aug. 11, 1988 93t to CERTIFIED TO, SOUTHOLD E. PARIN6SK, BANK THERESA E. PABX, Jr. P THERESA PARK ARX e')VOII I j trxw �. ;u ; +CCC et tO 8, <. ti FQ- �'".c O _ LIC. NO. 99666 Prpparal N aaeerdwaa W! M+gNMwm S. P.C. - rhndard�ler UIN+uw)a N alMO d L1A1.3. rN vpNar+/aM Noy l+! TH7�Aeexbtby rk./N� Pent Slal� Lan! A tl .. OU N.Y. 11971 88 - 512 1 I f �noc�.y aN�a�Jd I � 0 S kI i IN it +l6A At x 1 1 BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: [0 APPLICANT: JIi� � �_ y___ _ DATF, SLBMITTED:4-/LN SCTM4DISTRICT: I.0, SECTION ?-.�_, BLOCK: C� , LOT: __ STREET ADDRESS: _Sova __ CITY: _�� � =_ SUBDIVISION PROJECI'DESCRIPTION: is c l,,t r ESTIMATED PROJECT COST: `F �r ARCHITECT/ E Sa...� FAST TRACK? h/ SINGLE & SEPARATE CERTIFICATION-REQUIRED? K NOTES: __ LOTS 40,000SF-100-24. I�it recognition.(CREATED before June 30, 1983),UNDERSIZED ILJTS FROM JAN.I997 100-25.Merger.(A n0neonf0mting at any time aRe ZONING DISTRICT: *?'yO _ CONI'OR ltd REQ. LOT SIZE: 40,000 AC"I. LOT SIZE:9403_$REQ. LOT COV_ 070 AC'I. LOTCOV. _ REQ. FRONT_-�� PROP. FRONT / REQ SIDE /�r 3f'_ACT. SIDE_-;;-/ S01:70_! REQ. REAR -OW' S cl PROP. REAR g REQ. HEIGHT____PROP. HEIGHT WATER FRON � o DESCRIPTION: PANEL #: FLOOD ZONE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH ]�PT: YES or 603ED #):,DTE:—/—/-- PERMIT #:R10- TOWN SEPTIC RECEIPT: Y or& NEW YORK STATE DEC: PRE•DEC9w75 YES ob SOUTHOLD TOWN TRUSTEES: YES ocizOj TOWN ZONING BOARD APPROVAL: YES o�IIj TOWN PLAN. BOARD APPROVAL: YES 095M TOWN HISTORICAL PRE (SPLIA): YES O' NYS ENERGY: YES OREli') O�01�� EGRESS (18 H min.? 4 sq total) VENT(SQ. FT. x 4%) " LIGHT (SQ. F. 8%) BUILDINGPERMITSOPEN/ED: BP >2X Z Z -Z/C10 Z-1zq 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: --�rZ� SF FEE FEE FEE 1. (-SF)- (---- _SF)= SFX2. ( SF)- ( SF)= SF X 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE a ©.3 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 0 DATE 03 INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION(1ST) -------------------------- C y FOUNDATION(2ND) ROUGH FRAMING& H PLUMBING H INSULATION PER N.Y. STATE ENERGY CODE f/ Af 00, FINAL B O .,ADDITIONAL COMMENTS O Z m X H ` x E� y x d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING.DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT N0. i Check / Septic Form 2a N.Y.S.D.E.C. Trustees ExaminedOt 20 Z Contact: / Approved Z° ,20 '2-- Mailto:A i 4je Disapproved a/c .17 $O OWA boAnaC1U i__ c4 Phone: 773L/—/( 60 6R?l Expiration 7 ` ,20 Bui _ . APPLICATION FOR BUILDING PERMIT Date 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit, shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York,and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. Signature of-applicant or name,if a corporation) ,2?YO,0ItiGgvpww � 4:V. / --L Oviailinj address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises aliLLiam E 6'4ek TR Ti7E/?"oqgmfi! (As on the tax roll or latest deed) If applicant is a corporation signature of duly authorized officer :2 G P 5,2 t3„ti/a�s (Name and fit-]e of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section 70 Block O Lot O/ Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of-premises and intended use and occupancy of proposed construction: a. Existing use and occupancy CJ,V2 A'04/-4e b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 0 r°c-It (Description) 4. Estimated Cost d:0 000 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories S. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_ 13. Will lot be re-graded? YES_NO ems( Will excess fill be removed from premises? YES_NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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) SS: COUNTY OF ) (Name of individual signing contract) above named,being duly sworn, deposes and says that (s)he is the applicant S)He is the (Contractor, Agent, Corporate Officer, etc.) ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; 'iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erfomned in the manner set forth in the application filed therewith. wo t before methis y of 200.2— Notary WA M.BOHN Si re of Applicant NOTARY PUBLIC,State of New York No.07606020932 Qualified in Suffolk County., Term ExnirAs N^arch 8, 20(&_', 34'-2Y2' 0 0 31Y4• '-2�' 2312 22 2i2' �2 2i2 c' 2 2i2 B72 9�4 - 3�4•�-2�' 3y4• . 9� z O m � 4x4 CCA POST oi-- ® ®� ON o . 12" DIA. x 36" CONCRETE SONA TUBE wrm N Q 2 200 CCA GIRDER C2) 2x10 CCA GIRDER �_. (2) 2x10 CCA GIRDER �"} 2 2x10 CCA GIRDER - -tom — / / W W UU �Q� N / / J 1 J U O/G� M. V I- `° 1O G�'PC� U 1�1 O O % 2x8 CCA HOUSE BEAM N ,ti+ GP N� 34X1• x 3B" f' S'-2�2' / �? >- i 4x4 CCA POST A31 FWG 80611 53" x 42" RO / m ^ O w/ 2x2 CCA LEDGER ,A� ON FLASHED & BOLTED TO HOUSE 4 ,� TW2B32 m (2) 2x8 HDR (2) 1$'i� x 9Xs" LVL HDR CW235 v _ _ _ _ - - - - CR DIA. x 36' wl CONCRETE SONA TUBE � FSI n Qz w N N �-y� W O m Q mw0 N O � O PI � JO mak' EXISTING BEDROOM 52 32 DINING ROOM KITCHEN Ip um CONVERTED TO 26se u , Nm 4� BATHROOM & LAUNDRY m� o'er. ` !�1 W ' m O N m w 31/4' N v Q N t o a ¢ 31/2' m cn o �� x 3'-4'— a nVI wo 2x6-16" °c CCA 3 0 FOUNDATION PLAN =� m N EXISTING BEDROOM n TO REMAIN m :>r N r I �r� m W � o NEW 3068 113" x 58" RO • N / 6 o � p U40 DOOR > — TW2046-DHP41046-20 U) p E" w EXISTING BEDROOM x �O a TO REMAIN w dr � x6 CEDAR CAP (CHAMFERED EDGE)2x4 CEDAR SUBRAIL PROVIDE HANDRAIL 2x2 CEDAR BALUSTERS AS REQUIRED BY I 44 CEDAR POSTS 67X1' x 58" RO NYS CODE. OCC'UP/�NCY OR NOTE: 2x4 CEDAR BASE RAIL 6" DECKING (VERIFY WITH OWNER) TW2846-2 FIRST FLOOR PLAN ISE IS II�IL/��F�� VERIFY DIMENSIONS PRIOR 2x6-16" °c CCA JOISTS (--1x8 CEDAR SKIRT BOARD W►THOUTppCEpRATIFIyCATE _ To coNsnzucnoN 2x8 CCA HOUSE BEAM (2) 2.10 CCA GIRDER OF oyy�r„ CI PgOJECf 40: w/ 2x2 CCA LEDGER 1810-2002 FLASHED & BOLTED TO HOUSE x4 CCA POSTonAwN ar: APP OVEaP*NOTeCCMA 6 12' DIA. x 36" DA y CHECKED �: CONCRETE SONA TUBE FEE 71�� � BY: NOTIFY BUILDING DEPARTMENT AT 765.1802 9 AM TO 4 PM FOR THE OB-27-02 FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED scar: 1�4" = 1:-0" FOR POURED CONCRETE 1 2" = 1'—O" 2 ROUGH - FRAMING & PLUMBING & INSULATION 4. FINAL - CONSTRUCTION MUST SECTION BE COMPLETE FOR C.O. DECK CROSS SECTION ALL CONSTRUCTION SHALL MEET THEE CONSTRUCTION N THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS FLOOR - PLAN 1 of 1