HomeMy WebLinkAbout26310-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26916
Date: 02/04/00
THIS CERTIFIES that the building
Location of Property: 29925 MAIN RD
(~ousE NO.}
County Tax Map No. 473889 Section 102
Subdivision Filed Map No. __
ADDITION
CUTCHOGUE
(STREET} (HAMLET)
Block 2 Lot 15
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 11, 2000 pursuant to which
Building Permit No. 26310-Z dated JANUARY 31, 2000
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 ONE FAMILY DWELLING AS APPLIED FOR
"AS BUILT"
The certificate is issued to MATTHEW C & DENISE M. GILLIES
(OWNER}
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
Authorized S~g~ure
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. 26310 Z
Date JANUARY 31~ 2000
Permission is hereby granted to:
MATTHEW C GILLIES
29925 MAIN ROAD
CUTCHOGUE~NY 11935
for :
"AS BUILT" DECK ADDITION ON THE REAR OF A SINGLE FAMILY DWELLING
AS APPLIED FOR.
at premises located at 29925,,MAIN RD
County Tax Map No. 473889 Sectig'n 102
pursuant to application dated/ JANUARY
Building Inspector.
Fee $ 75.00////
CUTCHOGUE
Block 0002 Lot No. 015
11, 2000 and approved by the
Authoriz ~
Rev. 2/19/98
ORIGINAL
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 submitted to the building
inspector 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 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 installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6.Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or bui.ld~g~ and
Vpre-exist-ing" land uses:
1. Accurate survey of property showing all property lines, streets, building
unusual natural or topographic features.
2. A properly completed application and a 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 $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2..Certificate of Occupancy on Pre-existing Buildinm - $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
vane ..... · .~. ~ .................
Co~stcuction ........... Old Or Pre~existing Building ....
nation of ii..]]].' .... ..
House No. Street Hamlet
h~wer or Owners of Property .... '. ~ ......................................
~onnty Tax Map No 1000, Sectien.. .Block... Lot ......................
~ubdivision .................................... Filed Map ............ Lot ......................
Of Permit Applicant · -
Date ................................
'ermit No .. ...........
Approval Underwriters Approval .........................
Iealth Dept ..........
?lanning Board Approval · ... -- -
le~uest for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ ............................ "
F I_~_L[~ 7~S PECT ION RE_PO__R_ .... _D_A_T_E ................................. CO~__I~__S ..................
FOUNDATION (2ND) II Il
m{
INSULATION PER N.Y. I~
CODE " {{
~--~LC, G. OEPT .... '
FORH HO, I
TOWN OF SOUTIIOIoD
BUILDING DE PAE'I34F. NT
'l'O~ a IIALL
SOUI'IIOL9, N.~. 1197 I
TEL: 765-1802
BOARD OF HEALTtl ............... v ~
/S 3 SETS OF PLANs ...............
URVEY ........................
HOTIPY:
a. 'ibis applicatio~ .usc be c~p]etely filled in by t~pewriCer or in ink oral ~i~[~t~ to
3 ~ts of p]~. acetate plot plan Co ~ale. F~ ac~rdl~ to ~ble,
b. PloC pl~ ~i~ l~tt~ of lot ~ of ~ildl~s ~ ~i~a, ~lati~dp to ~joJnt~ pr~i~a 6r ~flic
str~ts or areas, a~l 8ivt~ a ~tail~ ~:rtpe{o~ of layout of pro~rty ~m~ I~ dr~ ~ tl~
this uH)I
d. U~ a~al of fl, is a~ltcati~, tim l~ildl~ ]ns~ctor will is~ a ~ildi~ bmit to tim applie~t. ~<h
~it ~{all ~.kept ~ O~ ~3~s ~e{t~le fo~ tns~tt~ d~t tim ~rk.
e. ~ ~ilfli~ ~11 ~ ~pi~ or ~ in ~le or tn ~rC for ~ ~ ~mC~er ~il a
~.l~'a~ IS ~ }~ to tbe Ikdldi~ ~rt~nt for B~e issue of a ~ildi~ ~mit ~r~t to tie
~l~ti~s, for tie ~st~i~ of beildi~, ~lei~s or alter~ci~, or for r~al or ~litl~, as ~in
re~flaCi~s,~ Co ~ie ~rt~ in--tots o~ ~t~s aM tn ~ildt~ for
.........
~ o~ ~r o[ pr~i~s .................................................................... ' .......
~ aRflman~[8 a corragio, ~3~re o~ duly ~)~I o[~ice~
(~ .~ title of co.rate officer) OCCUPANCY OR
{e6-1~l t AM TO 4 PM
USE 1S UNLAWFUL
~ iNg~
................... WITHOUT CERTiFIC T[ L FOUNDATION
OF
OCCUPANCY
........... ......
· ROUGH * FR~G &
& FINAl. . CONSTRUCTION MUST
- ~ , BE C~ETE FOR C.O.
' ~.~ ,';~ of ]~ ~ ~dch ~1 ~r~ ~ll ~ ~ ............... _ ~E R~OI~' ~F THE N;Y. *
STATE COHST.UCTmH
................................................................................ ~L~'
t~ ~r St~t ~~ ~. ~D~I ONSTRUCTION.. ERRORS
~. State exis~ing u~ a~ ~y ~ prances ~ inte~ ~e ~ ~ o~ p~
. . e t'~~ ...............
a. ~sti~ t~ a~ ~y ...~. ~. ................................ : .............
'-'"'"'~Y~ ~o ~a ,DLt~uq Y~ATO~
~.~ .8 enu~ emiqx~
IlL
II.
12.
13.
14.
15.
, · ................... M~eration ..........
/
0
locate clearly awJ dial:lately a]
fro. prof,,arty ltr~a. Gilas al:mi: end
PI.OT DIAGllAH.
1 I.'uil(lintla, ulmtlmr exist:ina or proposed, and Indicate all aeC-track dimena'iona
. {~'L,, o o - , 0/'T~-,-oO- 0
Ta~M JJAH~ ~OITOUfJT~!,IOO ,! lA j
~Oq, .ajaleHOqa:oa rot4 .~.:'moO ~. . '
ti,at th~ ~rk will la ~r~l t. tim ~,amer ~t ~orth ia the a~l. tcatkm
~ r~ Lo Im~ore m thle ~ l
NOTARY PUBHC. St kte of ~
1~ E~p rea Jul ~ 8, ~
NOTIFY BU LD
766-18(}2 O AM ,
FOLLX)WINo INSPECTIONE. ,
1,'FOUNDATION, ;-TWO REQUIREO
- FORPOUREDCONCRETE '
E. ROUGH,
3. INSULATION
4. FINAL: CONSTRUC~I~ON
BE COMPLETE FOR,C~O,, , ,
~il- CONETBUCT OH SH,~.LL MEET~
THE REQUIREMENTS OF THE: N.Y.
STATE CONSTRUCTION &r ENERGY'
ES/ NOT RESPON6 BLE
,, ' , OCCUPANCY OR
' U~E IS
TYPICAL LEACHING M'~'IN
PO0 L
PARKING CRITERIA
3 THERAPIST
4 STALLS/THERAPIST
PROVIDED 12STALLS
' DRAINAGE
PAVEMENT -PO~O
~o,o,~/4oo
34,~0 sq~fl.
506 '/42.B; 12: V.F.
PROVIDE - E L.P~ B'¢ x lB' Deep
?5(9.7 = B VF. ~ROV/DE B L,.P.s 4'¢ 5' Deep
f ~GHTING SCHEDULE
~ SHIELDED FL OODS HP5
~ = PROPOSED ELEVATION
CONTOURS AND ELEVATIONS ARE REFERENCED TO
AN ASSUMED DA TUM.
GARAGE & PORTIONS OF BLDG. TO. BE REMOVED NOT
SHORN HEREON.
= TRAFFIC DIRECTION
"FLOR DIR~-TION
M/N/MUM REOUIREMENTS FOR P.4 VED
PARKING AREAS
AREA = 10,498 sq. ft
or 0.241A cres
ANY AL ERATiON OR ADDITiON TO THIS $U~V£Y ~S A VIOLATION
SEPTIC TANK
' Povemen/
VARIES
4' min.
Cut
\ 405.1701- I
~ I -/fern 403.15- I I/2'blnder
/] 403. J/ 5 liB" bqse
/ Item 17304.1011-A O.B.E.
/ Edge of :Frovel Lone
92.9 CROSSECTION ENTRY
?
~ N.Y.S.D.O.T. CASE NO.
TEST HOLE
%
r.05' ~
KEY MAP
·cale.. I" = 600'
SA NI TAR Y- DESIGN
ALLOWABLE SANITARY FLOI¢ (DENSITY)
GROUNDICA TER MANAGEMENT ZONE, I¥
ALLOWABLE FLOR OF SITE GO0 gpd. locre
600 gpd. * 0,241 acre = 144.6 gpd,
SEJCAGE DISPOSAL SYSTEM DESIGN CALCULAT/ONS
USE ~ NON-MEDICAL OFFICE AREA = ~B95 Sq, fl.
SANITARY (GPD. I BB95 x .06 = 157.7 gpd.
SEWAGE DISPOSAL SYSTEM DESIGN
SEPTIC TANK
REQUIRED 2 DAYS FLO~ 15T. 7 * B = 27B. 4 gpd.
PROVIDE, MINIMUM 900 ge/ SEPTIC TANK
LEACHING POOLS
REOUIRED 158 gp~ .~1.5 gpd./sq, fl. = 9~ sq, fI.
PROVIDE' ZOO sq, ft. side
8'¢ L.P. 12' deep
NOTE'
SUBSURFACE SEtCAGE DISPOSAL
SYSTEM DESIGN
JOSEPH FISCHETTI~ P.E.
HOBART ROAD
SOUTHOLD~ N, Y, 11971
(5161 765 - 2954
BUILDING AREA EX/STING
1~26 sq. fl.
WITH ADDITION
= 2294.5 sq. fl.
LOT COVERAGE = 9%
LANDSCAPE = 40%
ZONING DISTRICT~. HB
APPLICANT '
RICHARD SAETTA
64~55 MAN ROAD
GREENPOR~ ~ ~ 11944
SA UNDRA
· ~rborv~f
joAN~E
/ ~' STATE
~ DEPT. OF
J SiTE P~N APPROVAL
SITE PLAN
PERRY PHYSICAL THERAPY
A T SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 63 - 04 -
Scale:· I" = 20'
June 22, 1999
P.O.
I~$0
SOUTHOLD~ N.Y.
LIC. NO. 49618
~.C,
STREET
1197/
93 - 216
RECTANGULAR
SEPTIC TANK
Exis~ng Pavemen/
VARIES
4' min.
/Saw Cut
I I/2"top
i/em 403.13- I I/2"fll#der
MY.S.
D.O.T.
CASE
NO,
THERAPIST
STALLS/THERAPIST
PROVIDED 12STALLS
DRA INA GE
PA VEMENT 2020 sq.//.
f~O, OF 1400 sa, fl.
3420 sq. fl.
I ~ 0.17 ~,581 = ' cu. ll.
506 142.2 = 12 V.F.
7518.7 = 9 VF. PROVIDE 2 ~.P.s 4'0 5' Deep
~.IGHTING SCHEDULE
~,. SHIELDED FL OODS HP5
~ ELEVATION
PROPOSED
CONTOURS AND ELEVATIONS ARE REFERENCED TO
AN ASSUMED DA TUM.
1,5'
17'
05'
r ~rlx~rvd
w''~'' jO FFiI, iF_..' I',/I.
NIOIF w,c.~'~
GARAGE & PORTIONS OF BLDG. TO. BE REMOVED NOT
SHOWN HEREON.
TRAFFIC DIRECTION
BUILDING AREA EX/STING
= 1426 sq. fl.
W/TH ADD/T/ON
= 2294.5 sq. fA
AREA = 10,498 sq. ft ~ APPLICANT,
or 0.241Acres
ANY ALTERATION OR ADD/T/ON TO THIS SURVEY IS A VIOLATION
RICHARD SAETTA
64355 BAIN ROAD
GREENPORT~ N. Y, 11944
SAUNDRA
KEY MAP
scale: I"= 600'
SA NI TAR Y- DESIGN
ALLOWABLE SANITARY FLOW 1DENSITY)
GROUNDWATER MANAGEMENT ZONE' IV
ALLOWABLE FLOW FOR SINGLE AND SEPARATE
LOT = 300 GPD
SEWAGE DISPOSAL SYSTEM DESIGN CALCULATIONS
USE 'MEDICAL ARTS OFFICE AREA = 2295 Sq. tl.
SANITARY (GPD,) 2295 ~ .I = 229.5 gpd
SEWAGE DISPOSAL SYSTEM DESIGN
SEPTIC TANK
REQUIRED 2 DAYS FLOW 229,5 ~ 2 = 459.0 gpd
PROVIDE, M/N/MUM 900 gal SEPTIC TANK
LEACHING POOLS
PROVIDE 300 sq.H. side wall
8'¢ L.P. 12' deep
APPROVED BY
PLANtqNG ~OAP, D
TOWN OF
SITE PLAN
PERRY PHYSICAL THERAPY
A T SOUTHOLD
SUFFOLK COUNTY, N Y
1000 - 63- 04 -
Scale:. 1" = 20'
June 22, 1999
NOTE,
SUBSURFACE SEWAGE DISPOSAL
SYSTEM DESIGN
BY, JOSEPH FISCHETTI, P.E.
HOBART ROAD
SOUTHOLD, N, Y, 11971
(5lB) 765 2954
NO TE'
NO WELLS WITHIN 150' OF PROPERTY
BOUNDARIES DETERMINED FROM FIELD SURVE r
BY PECONIC SURVEYORS DATED JUNE 18, 1993
AREA COMPUTED FROM SURVEY BOUNDARIES
SUFFOLK COIJNTY DEPAI~TM~NT OF HEALTH SERVICES
APPROVED FOR CONSTRUCTION ONLY
H.S. REF NO. ~/~ -~ '~?~/~ FLOW ~(~! ~
This approval is granted for the construction al the sanitary
disposal and water supply facilities pumuant to Articles VB and
7 of the Suffolk Coun[y Sanitary Code and is not an expressed
nor implied approval to discharge from or occupy the ;
structure(s) shown. THiS APPROVAL EXPIRES THREE (3)
~.(~Y ,EARS 17FROM 1999THE~ DATE,¢ELOW. ,~,,~~ ,,,,-] . --
L/'
(516
P.O,
1230 TRAVELER
SOUTHOLD, iV, Y,
LIC. NO. 49618
STREET
11971
93 - 216
N
POOL
PARKING CRITERIA
3 THERAPIST
4 STALLS/THERAPIST
PROVIDED 12STALLS
DRA INA GE
pAVEMENT BO20 sq. ft,
~o,o~ 14oo ~.R.
$420 sg. fl.
I x O. IZ x,581 = . : cu. ff,
506 142.2 = lB: V.F.
PROVIDE- g L.Pa 8'¢ x 12' Deep
75/8.7 = 9 VF. t~ROVIDE B L,.P.s 4'¢ 5' Deep
fIGHTING SCHEDULE
~ SHIELDED FLOODS HP5
~ -- PROPOSED ELEVATION
CONTOURS AND ELEVATIONS ARE REFERENCED TO
AN ASSUMED DA TUM.
GARAGE & PORTIONS OF BLDG. TO. BE REMOVED NOT
SHOWN HEREON.
= TRAFFIC DIRECTION
FLOW DIRECTION
M/N/MUM REOU/REMENTS FOR PA VED
PARKING AREAS
AREA = 10,498 sq. ft.
or O. 241Acres
,?
REC TANGUL A R
SEPTIC TANK
ANY AL TERA TION OR ADDITION TO THIS SURVEY I$ A VIOLA TION
OF SECTION 7209 OF THE NEW YORK $T~ATE EDUCATION LAW,
EXCEPT AS PER SECTION 7~09 - SUBDIVI$10N E. ALL CERTIFICATIONS
HEREON ARE VALID FOR TH~S MAP AND COPIES THEREOF ONLY Il=
SCDHS
Ref.
92.98'
# C10-99 0010
PavemenI
VARIES
4' min.
TEST HOLE
-ilem 403.13- I I/2"b/nder
405.11 5 I/2" base
/lam / 7304.1011-A O.B.E.
Edge of Travel Lane
CROSSECTION ENTRY
~ N.Y.S, D.O.T. CASE NO.
loom OL
Brown IDem
17'
HU1'1'¢~
t~.
jo~NNE'
1~0IF v~c~"~
CERTIFIED TO,
SAUNDRA PERRY J
BRIDGEHAMPTON NA T/ON, AL BANK
FIDELIT NATIONAL TITLE INSURANfE COMPANY
BUILDING AREA EXISTING
= 142S sq, fl.
WITH ADDITION
= 22.94.5 sq. fl.
LOT COVERAGE = 9~
LANDSCAPE = 40%
ZONING D/STRICT, HB
APPLICANT'
~CHARD SAETTA
64355 MA~ ROAD
GREENPOR~ ~ ~ 11944
SITE PLAN
SAUNDRA ?ERRY PHYSICAL THERAPY!
~ T SOUTHOLD
SUFOLK COUN'TY, N Y
1(00 - 63 - 04 -
~ale~ =
1" 20'
ane 22, 1999
KEY MAP
CT. 18,1999 [( rav~ I
scale: 1"= 600'
SA NI TAR Y' DESIGN
ALLOWABLE SANITARY FLOW (DENSITY)
GROUNDWATER MANAGEMENT ZONE, IV
ALLQWABLE FLOW FOR SINGLE AND SEPARATE
LOT = ~00 GPD
SEWAGE DISPOSAL SYSTEM DESIGN CALCULATtONS
USE 'MEDICAL ARTS OFFICE AREA = 2295 Sq. IL
SANITARY (GPD.) B~95 x .I = 229.5 gpd
SEWAGE DISPOSAL SYSTEM DESIGN
SEPTIC TANK
REQUIRED 2 DAYS FLOW 229.5 "2 = 459.0 gp~
PROVIDE' M/N/MUM ~00 go/ SEPTIC TANK
LEACHING POOLS
REOUIRED~ 229,5 ~ 1.5g¢pdlsq, fl. = 153.0 sq. R.
PROVIDE' 300 sq. fl. side wall
8'¢ L.P, lB' deep
NO TE,
SUBSURFACE SEWAGE DISPOSAL
SYSTEM DESIGN
JOSEPH FISCHETTI~ P.E,
HOBART ROAD
SOUTHOLD, N.Y. 11971
NO TE~
NO WELLS WITHIN 150' OF PROPERTY
BOUNDARIES DETERMINED FROM FIELD SURVE :
BY PECONIC SURVEYORS DATED JUNE 18~ 1993
AREA COMPUTED FROM SURVEY BOUNDARIES
SOUTHOLD,
93 - 216
(~) SAIINDRA PI~RRY
PRIYATE OI?I,'ICI~ ?10'-6" X 16'-6"
ILINE OF 8' CIELING
WALL
BATIU2OOM
4' 6" X T-9"
CODE AND CONSTRUCTION NOTES
USE CLASSIFICATION - C 1 BUSINESS
CONSTRUCTION TYPE - 5b WOOD FRAME
FIRE ItAZARD RATING - LOW HAZARD
HEIGHT & FIRE AREA - TYPE 5b 2 STORIES 2,250 SQ. FT TOTAL 2 FLOORS
FIRE RESISTANCE RATINGS,
WALLS & CEILINGS - [/2" TYPE X FIRE CODE SHEETROCK 3/4 I-1~ RATING
DOORS - B-LABEL 1-1/2 I-IF, RATING
MXNIMUM CEILING HEIGHT- 8'
ALL EXIT DOORS TO SWING OUT
EXIT STAIRS - 44" WIDE
BOILER ROOM - 5/8" TYPE X FIRE CODE SHEETROCK I IqR. RATING
INSTALL FIRE STOPPING IN ALL WALLS
LAVATORY FACILITY FOR A MAXIMUM OF FOUR EMPLOYEES
SECOND FLOOR;
ONE EXIT PERMITTED WITH EGRESS WINDOWS
ADA COMPLIANCE- ALTERATIONS TO EXISTING BUILDINGS OF
C i OCCUPANCY BUILDINGS WITH LESS THAN 3,000 SQ. FT PER FLOOR &
WHERE ALL FUNCTIONS OF THE IN ACCESSIBLE FLOOR APE PROVIDED ON
THE FIRST ACCES, SIBLE FLOOR.- VERTICAL ACCESSIBILITY IS NOT
REQUTRED.
Ir Ij i~
UINDRA DI~RRY Ol,'l~lC
CONSIILTATION RM. ,'
TH[iRAP¥ RM.
16' 4Y' g 15'-6"
BU$1NI~S$
10'-6" X 10'-0"
ALL ROCK TO BE I/2"× HNLE&80TIII~RWISI~ NOTED
5'-9' X 5' o"
W mNC
..............*
U
· ~ LAHND~.y
5' 8" x 12~0"
] RECESSED FIRE EXTINGUISHER CABINET
[] WATER COOLER ELKAY EH~A-8
STAINLESS STEEL
EX[RCI~,SI~ RM.
34'-9! X 21'-6"
¢/INDOW SCHEDULE
TYPE ROUGH OP6. MFTR. CAT.* REMARKS
DOOR.' SCHEDULE -- -
TYPE SIZE MFTR. : CAT, NO. FRAME REMARKS
~o
T- RICHARDSAEXTAI, ' ,
f~O/'~l 11~,~ General Contractor
SAUNDRA PERRY PHYSICAL THERAPY
No.DRAWING I REV.~