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HomeMy WebLinkAbout28572-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29762 Date: 10/09/03 THIS CERTIFIES that the building ADDITION Location of Property: 2890 KERWIN BLVD GREENPORT (HOUSE NO.) {STREET} (HAJ4LET) County Tax Map NO. 473889 Section 53 Block 4 Lot 44.11 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 17, 2002 pu3csuallt to which Building Permit No. 28572-Z dated JULY 17, 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. The certificate is issued to FRED of the aforesaid building. K. & DOROTHEA T. SALZBERG (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELE~-£K~CAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A FORM NO. 3 TOWN OF SOUTH©LD BUILDING DEPARTMENT Town~Kai~ Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PEP~MIT NO. 28572 Z Date JULY 17, 2002 Permission is hereby granted to: FRED SALZBERG 2890 KERWIN BLVD GREENPORT,NY 11944 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 2890 County Tax Map No. 473889 Section 053 Block pursuant to application dated JULY 17, 2002 Building Inspector to expire on JANUARY 17, KERWIN BLVD Fee $ 150.00 GREENPORT ~ 0004 Lot No. 044,.011 and approved by the 2004 . -'_h~o i~ S ign~t ure COPY Rev. 5/8/02 Form No. 6 TOWN OF $OUTHOLD 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 electricaI installation frorn 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. Comnrercial building, industrial building, multiple residences and similar buildings and installations a certificate of Code Compliance from architect or engineer responsible for tim building. 6. Submit Plmming Board Approval ofco~npleted site plan requirelnents. For existing buildings (prior to April 9, 1957) uon-conforming uses, or buildings and "pre-existin~" land uses: l. Accurate survey of property showing all property lines, streets, bnilding and dnusual natural or topographic features. 2. A properls, completed application and cunseat to inspect signed by the applicant. Ifa Ccttificale of Occupancy is denied, thc Building Inspector shall state Ihe ~easons tiler efot in writing 1o the applicant. C. Fees 1 Ce~tificate of Occupm~cy - Nexv dwelling $25.00, Additions to dwelling $25.00, Alterations to dxvelling $25.00, gwintm0~g pool $25.00, Accessow I>uilding $25.00, Additions to accessory building $25.00, Bt~sinesses $50.00. 2. Cedificate ofOccupancy on Pre-existing Building $100.00 3 Copy of Certificate of Occupancy - $.25 4 Updated Certificate o~'Occup;mcy ~ $50.00 5 TelnpOr;ttv Ce~tific::l~e of Occupancy-Residential $1500, Commercial $I5.00 f ~ New Oonst~ction: ' / Old or Ple~existing Building: (check one) Honse No Street) Suffolk Couuty Tax Map No 1000, Section Block Lot Subdivision Permit No.~2 cg¢..5"70~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Filed Map. Date of Permit. -~/~) ~Tc~Applicant:~j~{5:~ Underwriters Approval: IIamlet Lot: Final Certificate: t//'"/' (check one) 765-~.802 BUILDING DEPT. NSPECTION [ 1ST [ ] ROUGHPLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH. PLBG. [[ ]]:OR~NMiDNA~ION 2ND [[ .] ~Ni~NA:ATION [ ] FIREPLACE & CHIM~=~ ~REM RKS:~~__2:~~__/'* ) - DATE _~ ~-~1NSPE~ INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/] ~J~JmlON [ ] FRAMING [/~]~=INAL [ ] REMARKS: FI]ELD INSPECTION REPORT FOUNDATION (1ST) DATE FOUNDATION (2ND) COleMaN'rS ROLIG~t[ FR-42VL~NG & PLUNIBING INSIYLATION PER N. Y, STAT~ E~EI~.GY CODE ADDITIONAL COMIVI]i2',~ TOWN CE SOUTHOLD BUILDING DEFARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form  N.Y.S.D.E.C. [__ Trustees Examined. ,20_ Contact: Approved. ?~/~____,20 ~ Mail to: Disapproved a/c , o ~ ~ . ~57 5/: APPLICATION FOR BUILDING PE~IT ~ ~s application MUST be completely filled sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of bullrings on pre~ses, relationsNp to adjoimg pre~ses or public areas, and wate~ays. c. The work covered by this application ~y not be ~m~enced before issu~oe of Buil&g Pe~t. d. Upon approval of this application, the Buil~g Nspector will issue a Bdlding shall be k~t on the prendses available for inspection t~oughout the work. e. No building shall be occupied or used in whole or in p~ for any p~ose what so ever ~til thc Building Inspector issues a Ce~iflcate of Occupancy, L Eve~ building pe~t shall expire if the work au~onzed has not con.ced wi~ 12 mon~ a~er the date of issuance or has not been completed witNn 18 months Eom such date. If no zo~g ~en~ents or other re~lafions affecting the prope~y have been enacted in the interim, the Building ~spector may au~o~ze, in w~ting, addition six months. Thereafter, a new pe~t shall be required. ~PLICATION IS HE.BY M~E to the Bulling Dep~ment for the iss~ce of a BdldNg Pe~t pursuant to the Building Zone Ordi~nce of the Town of Sou~old, Suffolk Co~ty, New York, ~d other appli~ble Laws, Ordinances o~ Re~lations, for the construction of buildings, additions, or alterations or for removal or demolition as h~ein described. The applicant a~ees to comply with all applicable laws, ordinm~ccs, building code, ho~ing cod~d relations, and to admit authorized Nspectors on premises and in building for neoess~ inspections./ (Si~e of applio~t or (Mai~g ~d&ess of applicant) State whe~ applicm~t is owner, lessee, agent, mchitect, engineer, general contractor, elee~ci~ plumber or builder ~Nameofownerofpremises q~/~&~-~A~_, ) ~C'~t:~:=/-) ~ c.~2~d, gT~t~-~-~ (As on the tax roll or latest deed) If applicant is a corporation, signature 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 of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision /~/4&/4:CY~/~g/~;.¢ (Name) Hamlet mock _ Filed Map No. Lot ~/~ State existing use and occupancy of premises and ,ip4ended us~e and occupancy of proposed construction: b. Intended use and occupancy / Repair Removal Demolition Other Work 5. Ir dwdting, number of dwelling units if garage, number of cars Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor commercial or mixed occupancy, specify nature and extent of each type of use. Dm~cnsions ot'existing structures, if any: Front Height Number of Stories __Rear __Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear Dimensions of entire new construction: Front Height Number of Stories Rear _Depth 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner. ~ l 1. Zone or use district in which premises are situated _ z _ _~,~ _ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES ~13. Will lot be re-~aded? YES__ .14. Names (~f Owner of premises Name of Architect __ NoA"'" NO ~"'Will excess fill be removed from premises? YES__ NO~// · ~z~.~:~,~6 Address ~,~r~-~t~:*) ~.?' Phone No. ff 37-p'77-er 7 35, Address Phone Nc) amc of Contractor ,x~-~F,e:: ~'! 6~ $ Address Phone Noi~1%c77{-'~ 7 ~ ~15 a Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO? 5'ES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. Is this property within 300 feet of a tidal wetland? * YES NO TES. D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 1 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. /STAFF OF NEW YORK) SS: f Name of individual signing contract) above named, (Contractor, Agent, Corporate Officer, etc.) being duly sworn, deposes and says that (s)he is the applicTM of sa icl o~t ncr or owners, and is duly authorized to perform or have performed the said work and to make and file tl~is application; that X1 s~ itements contained in this application are true to the best of his knowledge and belief; and that the work Will be pet fbrmed m Ire manner set forth in the application filed therewith. JOYCE M. WlLKINS Notary Public, State of New Yo{k No. 4952246, Suffolk County Term Expires June 12, ~-0 .,¢~ ~: ,'~,JG-g TAt ~ D N~: 1 :)D0 §3-0,~-44.11 KERWIN BLVD [ 50' ] ,,:,~,.,~.~,~,~ ,,~.n.~,,.,w~,~.. ~,~,~.~::~,4,., ~O AUGUST ACRES SECTION LAND SURVEYOR 73 ~'coatawn F{oa~ R~ky ~in~. ~, Y 11778 51B~ -~2 CU$;OM ViEW ~Uc,~MER -- FRED ~A:-E 07/16/02 SALZBERG REF Deck02197 OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFIC~T£ APPRQVED AS NOTED h lOfl~ BUIBING DEPARTMENT AT '-~ ~ 76~18029AM TO 4 PM FOR THE ~ ~ ~INGINSPEC~ONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING --_ ~. INSULATION DN MUST ALL THE REQU STATE CODES: NOT RESl SHALL MEET OF THE N.Y. )N & ENERGY )NSIBLE FOR ,11 ROUTE 25 GREENPCRT NY E3~-477-i338 PLAN VIEW CUSTOMER -- FRED SALZBERG DATE 07/IG/02 REF Deck02197 RBS ROUTE 25 GREENPORT NY 63P4'77-1038 t6' 6' ~' 8¢ 4' 2' 6" 3' LOAD AND SUPPORT: Your dec[ will support a 67 PSF live load. Posts hsve 36" below-grou¢d post support. DECK AND POST HEIGHT: You selected a height of 24" from the top of decl:in9 to level 9roun{J. The top of the deck support posts will therefore be 13,25" shove ground level. Your sslesperson can provide information for uneven or sloped ground JOISTS: Set joists on top of beams. 16" center to center. NOTE: The design may require knee braces and bridging between joists. Your materials list inclqdes the necessary items, The suggested design is not a finished building plan. You are responsible l~or all measurements being correct, for verifying that the design land any substitutians or modificatJon~ 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 usel of materials in the structure. Be sure to follow the deck construction detail available from your store salesperson. BEA~ LA¥OU? CUSTOMER -- FRED SALZBERG DATE 07/~6/02 REF Deck02197 R~S ROUTE 25 GREENPORT NY 631-477-~038 1~' 5" BEAM BEAM POST POST LABEL LENGTH COUNT SPACING A 28' I0 112" 5 B 2' 9 112" 2 Posl: spacing ~s measured De@Ih of poet-in-concrete feo[e~s --- 38 iDche8. '7' N I/2" 2' 4,"