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Home My WebLink About29352-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29767 Date: 10/09/03 THIS ~TIFIES that the building ADDITION Location of Property: 3485 MINNEHAHA BLVD SOUTHOLD (HOUSE NO.) (STREET) (KAMLET) County Tax Map No. 473889 Section 87 Block 3 Lot 11 subdivision Filed Map No. LOt No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 2, 2003 pursuant to which Building Permit NO. 29352-Z dated MAY 2, 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 DECK AArD PARTIAL TRELLIS ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FP3LNK & SHAWN NATALE (OWNER) of the aforesaid building. S[/FFOLK CODNT"f DBPART~T OF ~TH APPRO~-AL N/A ELEC~rKICAL c~RTIFICATE NO. N/A PLUMBERS CERTIFICATION DAT~U3 Rev. 1/81 N/A Authorized Signatu~ 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) PEP~MIT NO. 29352 Z Date MAY 2, 2003 Permission is hereby granted to: CONSTRUCTION CORP BMA 225 STEWART AVENUE BETHPAGE,NY 11714 for CONSTRUCTION OF A DECK AND PARTIAL TRELLIS ADDITION AS APPLIED FOR at premises located at 3485 MINNEHAHA BLVD County Tax Map No. 473889 Section 087 Block pursuant to application dated MAY 2, 2003 SOUTHOLD 0003 Lot No. 011 and approved by the Building Inspector to expire on NOVEMBER 2, ~. Fee $ 150.00 ~/Au~r ~/~L~~~ W/ Rev. 5/8/02 COPY TOW so oI o Form No. 6 · B~D~G DEP~T~NT _ 9 765-1802 APPLICATION FOR CERTIFICATE OF This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or uew 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 I[ealth Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement fi-om plumber certifying that the solder used in system contains less than 2/10 of 19/0 lead. 5. CommcrcJal building, industrial buildi~g, ~nultiple residences and similar buildings and installations~ a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plmming Board Approval of completed site plan requirements. For existing buildiugs (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 nnusual natural or topographic features. 2. A propex ly completed application and consent to iuspcct signed by the applicant. Ifa Cc~2ificale of Occupancy is denied, thc Building Inspector shall slate thc ~casons therefor in wz iting to the applicant. Fees 1 CeFAficate of Occupancy - New dwelling $25.00, Additions to dwclliug $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Acccssoiy building $2500, Additions to accessoiy building $25.00, Businesses $50.00. 2. Certificate of Occupancy ou Pre-existiog Building - $100.00 3 Copy of Ceaificate of Occupancy - $.25 4 Updated Ce~lificiVc of Occupancy $50.00 New Construction: Location of Property: Suffolk County Tax Map No 1000, Section Subdivision VermitNo. ~9 53~ ~ DateofPermit, Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ (check one) Hamlet Block 6000~ Filed Map. Applicant: Underwriters Approval: Lot Lot: Final Certificate: (check one) ~Signature BUILDING PERMIT EXAMINER CHECK LIST APPLICANT: ~ff/)l) (~a/t~aeT'~O0 ~/qT-ff~/) SCTM# DISTRICT: 1,000, SECTION: ~ ~ DATE REVIEWED: ~,~' / ¢~/03 DATE SUBMITTED: ~.,~__/~ /03 BLOCK: ~ LOT: II _ SUBDIVISION: CITY:~ZON1NG DISTRICT: ____ CONFORMING? BUILDING PERMITS OPEN/EXPIRED: BPoe_ tOS'-Z / c/o z-~L, ~NFO~._ / BP BP -Z / C/0 Z- __, INFO / BP PRE CO: Y OR N BP -Z / C/0 Z- SINGLE & SEPARATE CERTIFICATION-REQUIRED -Z / C/0 Z- , INFO -Z / C/O Z- , INFO NOTES: LOTS 40,000SF -100-24 Lot recognition.((REATED belbre June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25 Merger (A nonconfarm/ng at any time after 7/1/~ REQ. LOT SIZE: ACT. LOT SIZE: ~_~,) REQ. LOT COVi ~,~ACT. LOT COV. ~j~_ ~t~/' REQ. FRONT ~ PROP. FRONT ~ REQ SIDE--ACT. ~DE~ REQ. REAR - t...~"- PROP. REAR ~ REQ. illEIGHT ~ PROP. HEIGIG~ ~ PROJECTDESCRIPTION:~'-~ ,t.g &ix Y0 ~O,~,b, t*/~~ '"]-W~ ____ '~'ESTmATEa PRO~ECT COS~I~. ARCmTE~R: I ~m~.~- ___EAST T~CK_N ~ WATER FRONT? ~4~ , DESCPdYTION: -- PANEL #: ~ FLOOD ZONE: 2(' COMPLLANCE: / APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or Q(BED #): __ DTE: / TOWN SEPTIC RECEIPT: Y NEW YORK STATE DEC: PRE-D~/I/75 YES or SOUTItOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES or~ TOWN PLAN. BOARD APPROVAL: YES or{~,~ TOWN' HISTORICAL PRE (SPLIA): YES or~.~ NEW YORK STATE CODE COMPLI3~NCE (SEE PAC~~r NO NOTES: x>4aLe ' PERMIT #: FEE STRUCTURE: FOUNDATION: __~L/~/ SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF TOTAL: SF 1. (. SF)- (. SF)= SFX$ SF X $___ SFX$ 2. ( SF)- (__ SF)= 3. ( ___SF)- ( SF): =$ =$ :$ INIT OTHER TOTAL FEE FEE FEE +$ +$ : $ .... +$ +$ = $ +$ +$ = $ FINAL TOTAL: $ [~ NEW YORK STATE CODE COMPLIANCE CHECKLIST ~'~E/OCCUPANCY CLASSIFICATION: ~IGHT/F1RE AREA: TYPL~F CONSTRUCTION: Z IGN CRITERIA: ENGINEERED/~Eg~'~ L FRAMING DESIGN ELEMENTS: HEADERS.'~/N WALL STUDS O/N GIRDERS: (~/N CEILING JOISTS: FLOOR JOISTS:/~ ROOF RAFTERS: {~/N LUMBER SPECIES AND GRADE~/N ~ESIGN LOAD CALCULATIONS(.~ SHOULD INCLUDE LIVE, DEAD, SNOW, SEISMIC AND WIND (INCLUDING UPLIFT AND EXPOSURE) x/WINDOW AND DOOR SCHEDULE: MISSLE TEST REQUIREMENTS: Y/N /q ~OAD ~AO~R~HSS 7'yLI/NGHT' VENT: Y/N '~ 7 TO FOUNDATION ~%ING~STRUCTION SCHEDULF~ / ~U1vI~SER DIAGRAM: Y/N /9//O L~'ION OF FIRE PROTECTION EQUIPMENT: Y/N T~SS DESIGN: Y/N _ ] ~NERGY CALCS: Y/N ~,/'/~' TOTAL COMPLIEN~ (RETURN TO PAGE ONE) BUILDING DEPT. INSPECTION [~/~NDATION 1ST [ ] ROUGH PLBG. ~" ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP/L-A'O~ & CHIMNEY DATE ~_~~~- I.~PE~~ 765-1802 BUILDING DEPT. INSPECTION [ ~FOUNDATION 1ST [ ] ROUGH PLBG. [ ~FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REM~ DATE ~/Q ~/~,.~ INSPECTOR 765-1802 BUILDING DEPT. INS [ ] 1ST [ ] ROUGH PLBG. [ ] 2ND [ ] INSULATION [( ~' [ ] FINAL [ ] FIREPLACE ~/~HIMNEY ~ R EM,~RK S.~ ~~~~~~z:b L ~~*'' INSPECT~ BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH P~ FOUNDATION 2ND [ . ] I~SULATION FRAMING ['~'] FINAL FIREPLACE & CHIMNEY REMARKS:~~ ~ DATE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALls. - SOUTHOLD, NY '11971 TEL: (631) 765-1802 FAX: (631) 765-9502 vw, vw. northfork.net/Southold/ Expiration ~ ~ ~, 20~ BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the tbllowit2gcbefo~*e applying'? Board of Health 3 sets of Building Plans plarmmg Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Buildi~fll~p~ _ APR 3 0 APPLICATION FOR BUILDING PERMIT i Date / , ,20C~B .... , j 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 adjoixfing premises or publi~ 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 perm/t 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 m~til the Building IOspector issues a Certificate of Occupancy. f. Every build/rig 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 aI'fecting 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 khall be required. APPLICATION IS HERJEBY MADE to the Building Department for the issuance of a Building Permit pursu~mt 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 describ0d. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on prerrfises and in building for necessary inspections. ( ' a~e~ot~ or'ha me, if a cor¢oration) (Mailing address o£ applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises .~,~/1/'_~/' /1//~% k~' , (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. 1. Location of land on which proposed work willbe done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block ~ Filed Map No. Lot Lot a. Existing use and occupancy z~i[361/t7 ~,l,i,i ex/ I~g6il2g:l,-IDi~ b. Intended use and occupancy ~oiYJ61A~ ~tik-/ ]gt~3il~l,-~g 3. Nature of work (check which applicable)~ New Building_ Addition Repair Removal Demolition Other Work State existin~ use and occupancy of premises and intended use and occupancy of proposed construction: 4. Estimated Cost ~:-N<~,,~'-~_ X{~ _~,~M~' Fee 5. If dwelling, number of dwelling units If garage, number of cars Alteration (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 use. 7. Dimensions of 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 , 9. Size of lot: Front 10. Date of Purchase--~'/~ 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories Rear ~d2, .Depth iq4 .go' 12¢, Name of Former Owner ~o/'~o a*,,,7~t~c?-7'/o,~' ,2 11. Zone or use district in which premises are situated ~ - :ZO 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ,3( 13. Will lot be re-graded? YES NO }( Will excess fill be removed from premises? YES __ NO__ 14. Names of Owner of premises ~r 1~ /1/~.~l-,e. Name of Architect Name of Contractor Address Address Address Phone No. ~'$/~~/'i3'~-'/3 3 ,-~ Phone No Phone No. 15 a. Is this property within 100 feet of a 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 of a tidal wetland? * YES__ NO * IF YES, D.E.C. PERMITS MAY BE 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 belo;v, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) fi~/~A//~ /~ ~ ~ being duly sworn, deposes and'says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the O (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 th~s application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work ,~iI1 be performed in the manner set forth in the application filed therewith. Sworn to before me this ~'p? r'~6,,~ day of ~ /,~.,, 20 ~ J5 ' J N6tary P~lic t -- ~ Sig~atqje~f Applicant LINDA J. COOPE~I Notary Public, State of New York No. 48~2563, Su,fo~k Cr. un.y , SL)RVE'I' OF: 51TUAT~: .~UTHOLD TOINN: Ex~.JTHOLD .SUFF,, OLK OOUN~, NT SURVEYEO 05-[5-02 FOUNDATION LOC.. 04-30-02 FINAL 0-1-06-02, SEPTIC. LOC. 0~-1~-02 SUFFOLK-. COUNTY. TAX ~ tO00-,~-/-~'-II SUFFOLK COUNTY' ~EPT. OF HEALTH SE~VIC,E~ ~EF. ~ RIO - OI - 014~ C,EF~TIFIED TO: BI'dA C,ONSTF~UC.TION N W ~'"¢--- E+ S NOTES: · MONUMENT FOUN~ At~.EA = 1124"/ SF OR 0.26 ACRES ®t~.APHIC SCALE 1"=20' JOHN C. EHLE~S L~D SURVEYOR 6 EAST ~ S~ET N.Y.S. LIC. NO. 50202 ~, N.Y. 11901 369-8288 F~ 369-8287 ~FA~p sc~e~ROS~02-137.pm ' yW ' "OOOURANCYOR i · ,, . , , COMPL ITHALLCODESOF' ' , ' NEW yORK STATE & TOWN CODES i~TE:~,~ E(~UI,R r' ~ ~ ~ USE IS UNLAWFUL .... ' , ' ' , ASR EDANDCONDITIONSOF. . ,.. m, . ' : ' ' : r ,~ ~/~ / O~ TO~zBA: m ' :: ,," WjTHOUT CERTiFICATE ~'------. ~ ~ ~ ALL ~NSTRUCTION SHALb~ COMPLY WITH ~HAPTER 46" ' a, IN~ ~ ' 4, F~. '~'~ ME~ THE REQUIREMENTSOF THE FLeD DAMAGE PREVENTION ~E ~'~, ~ C.O. ' CODES ~ NEW YORK STATE: , -- SOUTHOLD TOWN,, CODE. ~$UIR$~ ~~ ' ' , YORK ,STATE. ~T R~E FOB ' ' '2" CAF ~'.'glSTI NG MOUSE The dllJgnsr frei ~ been engaged for con~ super, vision and mmum no ,~,po~m~ for ~on ooordtnlflng w~th m plens, oar ml~oooaiblltty for ~n~u~on me~ me~s] ~q~N, se~Jence~, or p~, or ~ ~ I~ u~ ~,~ I~11~ in ~ uae M ~ ~l~. B, Re~f ~ ~ p~, ~ eMrO, a~ ~d~ ~ ~ ~p~ and ~ ~ ~. All ~ ~ ~ ~n high ~n~ quall~ or ~ ~. _GENERAL FOUNDATION NOTE~; h~ ~s) s~ t~picol g~. GENERAl_ F~L~_OR PL~d~ NOTES I. Dlrnenlion~ shall take precedent over soale drawings (do not ~ dra~ngs), T~e, ~, Bna ~aed (3 ~). LOAD CALCULAT 3NS UNIFOmdLY D~S'~IBUTED LNE LOA~ (~ DEC~ 4C S~EP~ RO~S ,J GENERA~ FRAMING NOTES~ 1. Ni ..a111~,2~4 and 2x6, to be itu~ grade or t~r 16. o/c. Ali othai, flamln~ mltlhal ~ ~ ~ dougl~ ~ror ~r. ~r fl~r jol~. 7116" OSB p~, group 1, APA ~. P~ ~ span o~ ~l,pl~ a~ hea~m. GENE~ PLUMBING NO~S /NEW CODE_ I Adapted from St~ndsrd for Htmimme RelIIMnI Relldential Conslm~on; sS'rD 10'gg 1. A continuous load path between footings, foundations Walls, ~1 ~ds and roof 5. Ridl~ S~aps shall Pe a~ed to ea~ p~ir of apposi~ mRerl ax~ef~ where {~M~r el~h ptate. Anc~ bolla shall have a minimum imf~mirtt M 7 IMchel in ~nc~eta/ I THESE NOTES ABE GENERAL CON~TRUCII~. NpTES. THEY ARE NOT ' '-?"-~ ~ ~iDEUNES ~Ly ~O S~ B~ Di~8~O ~ y~R , ~ ~L CQ~TOR BEFORE C~UCT~ ~e~NS. ,, .~ ~ iFRAME CONS'tRUCI ON MANUAL ROO~ ROOF NUMBER p~'CH, ,SPAN,lin OFNNL$, RAFTER ~USP LSTA2 ~ - //~)RAFTER/RIDG E/RAFTER W~TH c~ RAFTER USP LBr~21 USP LSS!t179 ~_,¢, 1 RAFTER/RIDGE/RAFTER w~o cr SIUO -~ HEADER/STUD HEADER/JACK 2ND. FLOOR, WALL STUD R/~FTER USP RTl6 TOP PLATE USP S,~TH4 WALL STUD PJRIDGEJRAF IER WITH CT ' FLOOR FO FLOOR STUD/PLATE/SILL STUDIPbATE. ANCHOR BOLTS POSTANCHOR FOR DECKS POST ANCHOR FOR COVERED PORCHES USP PRODUCT NUMBEIq LSTA 21 LSTA 21 + LSSR179 RT20 RTIB SP~H4 RT3 LSTAI~ KLi=TA MSTA36 or RS16-R MP6F PAU SERIES CBE SERIES SUBFLOOR'~'-.~ USPKLFTA ~--'-- 1 ST. FLOOR TOP PLATES FLOOR WALL STUD _ FLOOR TO FLOOR 1ST. FLOOR WALL STUD;- 1ST, FLOOR PLATE USP MSYA36 OR RS16-R RIM BOARD FOUNDATION WALL 1ST 1ST. FLOOR PLATE SUBFLOOR RIM BOARD DOUBLE SILL PLATE USP MP6F FOUNDATION WALL STUD/PLATE PLATE/SILL Post .... I~,C. FOOTINO ~ POST ANCHOR ro~ coverlet: ,'~)rC)iES POST USPP _POST ANCHORS C~>-oo -4'