HomeMy WebLinkAbout26348-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-26956 Date: 02/29/00
THIS CERTIFIES that the building ACCESSORY
Location of Property: 31605 CR 48 PECONIC
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 74 Block 1 Lot 23
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 4, 2000 pursuant to which
Building Permit No. 26348-Z dated FEBRUARY 14, 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 CARPORT ADDITION TO EXISTING ACCESSORY GARAGE AS APPLIED FOR
"AS BUILT"
The certificate is issued to SAUL & JANET MILLMAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Au oriz d 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. 26348 Z Date FEBRUARY 14, 2000
Permission is hereby granted to:
SAUL & JANET MILLMAN
31605 MIDDLE RD
PECONIC,NY 11958
for
CONSTRUCTION OF AN ACCESSORY CARPORT AS APPLIED FOR "AS BUILT. "
at premises located at 31605 CR 48 PECONIC
County Tax Map No. 473889 Section 074 Block 0001 Lot No. 023
pursuant to application dated FEBRUARY 4, 2000 and approved by the
Building Inspector.
Fee $ 35 . 00
Authori d Signa re
ORIGINAL
Rev. 2/19/98
BUILDING DEPARTMEW1
TOWN HALL,
FEB 17 M !l.. 765-18o2
BL. tj.DE„r i APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the buildin
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 buildi
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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a
"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 a consent to inspect signed by the applican
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory lsuilding $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 - .25V
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . . . . . . . . . . . D. . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . .X. . . . . . . . . . .
Location of Property. . .. .....,\605 Q0-r`- �o re . ASS . . . . . . . . . . . . . . . . . . E. . : . . . . . . . .
House No. Street Hamlet
A.
Onwer or Owners of Property. . . . S . . .. . . .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . .�4 . . . . . . .Block. . . . . . . . . . . . . . .Lot. . .7- . . . . . . . . . . .
R
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . .
Permit No. . . . �. . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . .
..QIP, NIA
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . .
PlanningBoard Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
r
I APPLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
8078938 BUREAU OF ELECTRIC,ITW,.,
40 FULTON STREET, NEW YORK,4V 1.0039
MARCH 02,2000 1957600Y0�"' H 067253
Date Application No. on file -, "
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant nerired oiPtke'ab6Pe application number is in the premises of
ADELE COSENZO, 1195 NAKOMIS ROAD, SOUTHOLD, NY
in the following locations• El Basement KI 1st Fl. 1:1 2nd Fl. GAR/OUT �, - Section Block Lot
was examined on FEESRUARY 25,2000 and found to be in compliance with the National Electrical Code.,
FIXTURERECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT]FLUORESCENT I OTHER I AMT. I K.W. I AMT K.W. AMT. K.W. AMT. F K.W.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.I TIM€,CLOCK{', BELL UNIT"HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. ,AMT. AMP. AMT:' AMPS. TRANS,. AMT.' H.P. NO.OF FEET AMT. WATis
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO.OF CC COND. A WG A.W.G. AWG.
AMT. AMP. TYPE EQUIP. 1 R 2W 1 e JW 3 0 JW 3 0 4W PER 0 OF C0.CONQ. NO.OF NI-LEG OF HI-LFG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
SURVEY ENTIRE PREMISES-1
*NO VISUAL DEFECTS: "An electrical
survey has been made of the exposed
electrical equipment in the
premises indicated. " "No obvious
unsatisfactory condition was found.
L L
DAVID WORTHINGTON OLSEN
P. 0. BOX 706 GENERAL MANAGER
CUTCHOGUE, NY, 11935
Per
This certificate must not be altered In any manner; return to the office of the Board If Incorrect.Inspectors may be identified by their credentials,
COPY FOR BUILDING DEPARTMENT. THIS, COPY -0F CERTIFIQATE MY NOT,
GE ALTERED IN ANY MANNER ._ . -
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING [ ] NAL
[ ] FIREPLACE & CHIMNEY
REMARKS: l Z�
DATE INSPECTO
i
SAIJ� MILL /�AN
3�l�oS C 2. 48
PEcor��c, tiLi-�. << gSs
SUFFOLK COUNTY TALC
A RI'A: 48,98? S57,FT.
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FR. i-1 .56
Z53, S
MIDDLE ROAD C. 2. 48
GIELLA, EDITH PRE-CO
31605 Middle Rd. ax4-0* 9 C.O. Z4944
Peconic , New York 12/12/72
�EG ra+ ft doe GD zv9v�� "�tg f7Z `tb C, lM (Ta (aJ to `
)ATION ( IST) IIIA
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)ATION (2ND) "
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PLUMBING u
II ii 111
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LATION PER N. Y. II
TATE ENERGY it
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FINAL
ADDITIONAL COMMENTS:
1
Hb
z
FEB I ���� .! BOARD OF HEALTH . . . . . . . . . . . . . . .
4 FORM NO. 1 3 SETS OF PLANS
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
`l`� BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
- -w TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
Examined.
� 20xCALL . . . . . . . . . . . .
. . . . . .
... . . . MAIL TO . . . . . . . . . . . . .
. .. . . . .rrO � ZApprwed. Pet No.� y0 � ,
..............ff....qq................
Disapproveda/c .................................. v..........
......................................................
(Building I tor)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi
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 giving a detailed description of layout of property must be drawn on the diagram which is part of
this application.
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
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 arty purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
AFPLICM N Is HERBY MATE 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 buildingfor necessaW inspections.
..... —r�.-� f'd'FK--%..........
(Signature of appl cant, or name, if a corporation)
...................................................
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
........................................................................................................................
Nacre of owner of premises ......S.ylw} ;.!�. ..... ....................................
(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 lard on which proposed work will be done..............................................................
.................CJ.l Wil.. `� .................................`� 4� c'q4-l1 ..p.�'..Y./......
House Number Street r Hamlet
Coumty Tax Map No. 10(X1 Section .....Q V -... Block ......1......... lot ..�..t........
Subdivision ...................................... Filed Map No. ............... lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed,constiuction:
a. Existing use and occupancy ... v.ilT7?.V�r y C `%5�.....................I.......................
b. Intended use and occupancy ........ s Ai?.....—Mi. .............I.........................
n .
U1K
. ... .. Opp )cable!: New Building .......... Addition ...........Alteration...:`....
1. IR�:epair .. h.... 11:1 Removal ...` ........ Demolition ............ Other Work .......,�.....�.................... .
(Description)
h. Estimated Cost ....., ....d O.�L....... fee ..............................:. ........
•� 4.�..
(to be paid on filing this application)
i, If dwelling, nudger of dwelling units ............ NLrber of dwelling units on each floor ................
Ifgarage, [weber of cars ......................................
If business, eomrercial or mixed!occupancy, specify nature and extent of each type of use......................
'. Dimensions of existing structures, if any: Front................ Rear ...........,... Depth ....7............
lleig4t .........................', !lumber of Stories ......................
Dimensions of sane structure with alterations or additions: Front ............... Rear ...............
Depth .................... Height .................... dumber of Stories ...............
i, Dimensions of entire new construFtion: Front ................ Rear ............... Depth ..............
height ..........................',Nmber of Stories ..................... Q
.....�..F 4...IIS ....... Rear ..,�. a.......... Depth ..JjJR............
Size of lot: LYrbnL �r-..., r,•�
0. Date of Purchase `J�...... Name of Former
1. Tone or use district in which premises are situated ..............................................................
2. Does proposed construction violate any zoning law, ordinance or regulation: ....K t?...............
3. Will lot be regraded .................... Will excess fill be removed from premises: YES NO
4. Nares of Owner of premises .....';...................... Address .....,........................ Rare No. ..............
Nameof Architect ..............'...................... Address ..............,...:..........'. Pane No.
..............
Nameof Contractor .............'...................... Address ...............................Kane No.
5. Is this property within 300 feetlof a tidal wetland? * YES .......... Na .Y.......
*IF YES, SOI711m mm TFI1S ms PEI irT MAY BE .wgnF1m.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
iron property lines. Give street and block dumber or description according to deed, and show street names and indicate
nether interior or corner lot.
PYIr OF N,-,W YORK,
SS
3I1NIY OF ....sJ�.4r..ke•U.�.�r--
u �1�t' e !` ...........being duly sworn, deposes and says that he is the Opp]�.R...S.r............
Phase of individual signing contract)
bove named,
isLhe .............. /.1.\1=."(-+.—.• .........................................
.........................
(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
pplicatirnh; that all statements c(mtajned in this application are true to the best of his knowledge and belief; and
hat the work will be performed in the''manner set forth in the application filed therewith.
worn to before me this
!i
.......'4'?.........day of
Notary PublicK-` GI�X
...........
HELENE D.HQRNE �........ ....... .......... .....�_,
AS
Notary Public,State of Now York igna re of pplicant)
No.4961364
Qualified in Suffolk Counly
Commission Expires M, y 22,6600/
()CCUPANCY OR
USE IS UNLAWFUL
\"''JITHOUT CERTIFICA .-
APPROVED AS NOTED
OF OCCUPANCY
DATE: C)-q -DO B ff
FEE :- 'Z BY.
NOTIFY BUILDING DEPA ENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
c, 1 FOUNDATION - TWO REQUIRED
�? FOR POURED CONCRETE
2- ROUGH - FRAMING t9 PLUMBING
3. INSULATION
4 FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES NOT RESPONSIBLE FOR
9"6" 4" DESIGN OR CONSTRUCTION ERRORS
N
0
2X8 WITH 2X2 CONI LEDGER ,p
2X6 RAFTERS w
W 1/2" CORRUGATED STEEL DECKING
p
PROPOSED 12" RND X 42" DEEP o
POURED CONCRETE PIER PROPOSED z „�°
WITH 6X6 CGA POST
ANCHCARPORT O
OR TO FTG. u
(7YPICAU wl ,�$
0 2-2x6 B.O.GIRDER
�ry 3 Z
h EXISTING GARAGE PROPOSED m
CARPORT EX�JNG L
6"X 6'LLA POST GARAGE g
� ANCHOR 10 FTG.
2x6 g 24" Dc.
I m
PROPOSED 12' RND X 42" DEEP
POURED CONCRETE PIER
WITH 6X6 CCA POET
ANCHOR TO FTG.
IT' AL)
I
PARTIAL SECTION
LUa
w "Q
PLAN VIEW GENERAL NOTES.
1 All work shall be performed in accordance with all state, municipal, local zoning and building codes rA
and ordilnances having jurisdiction and best standards of construction practice. The American
Institute of Architects Conditions shall apply to all work performed on this project. Cf) cv
2 The Contractor shall verify all conditions at the site. Any discrepancies must be brought to the cQ
attention of the Engineer prior to commencement of construction The Contractor shall be �0
responsible for corrections not reported once he has started work except for hidden lob Conditions X
3 Contractor shall guarantee to the Owner that all materials and equipment Incorporated in the work will (3 Z
be new, and that all work will be of good quality,free from faults and defects for a period of one year LUm
from the date of the final Certificate of Occupancy 0
4- The Engineer shall not be responsible for the construction means, methods, techniques, sequences
or procedures, or for the safety precautions and programs in connection with the work, and he shall LL 0-
notbe responsible for the contractors failure to carry out the work in accordance with the construction JL
documents. The Engineer shall not be responsible for the acts or omissions by the Contractor No
changes shall be made In the documents and/or the building as designed without the expressed ---�
written consent of the Engineer.
5 The contractor and all subcontractors shall maintain continuous Insurance coverage Including
statutory policies(Worker Compensation, etc.)and general liability in an mount not less that$5 EN I EER:
million and automobile liability and damage coverage not less than$2 million The Engmeer shall be
a named insured on any and all policies �0F NEW y0
6. All wood in contact with Concrete or masonry to be Wolmanized or pressure creosoted �P
T B
7 All electrical work to be in accordance to the rules and regulations of the NX B F.0 and a N Y B F U
Certificate is to be presented to the Owner at the completion of the job
3 Do not scale drawings Use figure dimensions only
FOUNDATION NOTES.
1 12"diameter x 42"deep p c. footing, 3000#Test
2 Provide galvanized post anchor(6x6) N 'OBOE St�NP��A
3 Assumed sod S
bearing capacity, 2 ton per square foot, subject to inspection and verification, - pt 5
4 All footings to be carried down to undisturbed sod. f JEFFREY T.BUTLER,P.E.
5 No footing shall be set higher or lower than a 30 degree angle from any other footing a L v mi
6. Pour no concrete on frozen ground or in freezing weather u- C)
MATERIAL NOTES L_ O
Roof Construction: _
1 1/2" Corrugated steel decking
2x8 with 2x2 cont ledger
2x6 Roof Rafters® 24' O.0 C) HU N u_ m
O m
Wall Construction a- Z v' Z -
6"x 6" cca posts W dD T- O $
2-2x6 built up girder 'Q _g .a Q 'o 1
Hurricane clips at each Roof Rafter U N W O °
FRAMING NOT C� W U O
1. Provide fire stopping in all walls as per N.Y.S. Code Z
2. Rafter heel cuts shall not exceed 4" O 4 Q
3 Where joists are notched to headers so as to reduce beam depth, use bridle irons or metal connectors J rr1 Y
4 All floor joists, rafters and ceiling beams to be Hem fir number two or better construction grade with a —1 X O
minimum fb = 1200 p.s.i. Q u_
5 All beams and girders shall have 2"bearing min.
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