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HomeMy WebLinkAbout25965-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27026 Date: 04/06/00 THIS CERTIFIES that the building ADDITION Location of Property: 940 LAURELWOOD DR LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 127 Block 7 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9, 1999 pursuant to which Building Permit No. 25965-Z dated AUGUST 19, 1999 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. The certificate is issued to ROBERT J & LISA FOX (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Aut rized 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. 25965 Z Date AUGUST 19, 1999 Permission is hereby granted to: ROBERT J FOX & ANO. 940 LAURELWOOD DR LAUREL,NY 11948 for CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. at premises located at 940 LAURELWOOD DR LAUREL County Tax Map No. 473889 Section 127 Block 0007 Lot No. 008 pursuant to application dated JUNE 9 1999 and approved by the Building Inspector. Fee $ 75. 00 Authoriz ignaturr" ORIGINAL Rev. 2/19/98 I� WIV \/1' JVUlI1V 1.11 BILILDI NG DEPARTMIiN'I TOWN HALL 765-1802 APR - { APPLICATION FOR CERTIFICATE OF OCCUPANCY f, rat on must be filled in by typewriter OR ink and submitted to file buildir inspector with the following: for new building or new use: 1 . Final survey of property with accurate location of all buildings, property line:. 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 2110 of 17 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 building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $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 AP{ ( .6i. a?oo . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . '. . Old Or Pre-exi tin Building. . . . . . . . . . . . . . . . . Location of Property. . 970 4,4u9,6tLL_)*0a bR. LAQed_�„ _ House No. Street Hamlet Onwer or Owners of Property. .�f{LZSA. FOX . . ..f. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . „ County Tax Map No 1000, Section. . ./. . . . . . .Block. . . .! . . . . . . . . . . .Lot. . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No c 9 r . . . . . .Date Of Permit. . ” .-. Y. !. . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Cerrtti�ficate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLICANT 64e, S-72/� AP Ca 2:.2) 0a6 i Dc%o�C2 a9, /99 i V OGCT/�/OL}� iOGv�t( i jSGcrL bzN�, i�PfF2rtic�M r P0. // 7? //?71 I ' To G qRY F7sNe-R /�s PSR You R R�c�1uEs ��C-,�2� ,,,ver �► Y � K F-69 T#z F, VRC. =AtSPSC-rXOa fNn , 7-/q&- C. O. /,3u;_LrsinlCi P679/1r7- AA/ 67R/1rrAA/ E.�cz�rFg�s +2�Po� r � $TAT�-.NC� t7'f!E AryC/�2!}C-,Gr 3yS7'ENP GcsEt� FoR Tf� 5E CKs'nlC� , T'S SG.iPF2ex�MT, Z f,�AVG EnlcloSrZ1 Tffr �nlC-�zn(&E/Z $ �FPo2i' �1 F yvu '" Qut S avnl s PLEASE FEGG F2EE 70 C ZVls M E A CAZZ . � S_nICE/2aL>; ►?oi3E2 i J. FOK L� .Y --_ROBERT O'BRIEN P.E. CONSULTING ENGINEERING SERVICE= October 20, 1999 Mr. Robert Fox 940 Laurelwood Drive Laurel, New York 11948 940 Laurelwood Drive Laurel, New York 11948 Dear Mr. Fox: On October 19, 1999, 1 inspected the deck plank anchorage system for the new rear patio deck. Wood C.C.A. blocking has been nailed into the sides of the 2° x 10" floor joists, flush to the tops. 10d galvanized nails have been installed through pre-drilled holes in the sides of the blocking and penetrating the joists. A minimum of three 1 5/8" galvanized spiral screws are installed through the underside of the blocking at each plank/joist intersection point. The anchorage system is acceptable for the loading. Periodic maintenance may be needed, as the wood members shrink and check, due to natural drying and loss of moisture content. Additional screws should be added as needed. Very truly yours, Robert O'Brien P. E. Main Road, Laurel, N.Y. 1194B Tel. 516-298-5252 718-358-6800 N O O APPROVED AS ND DATE lsZ 9 R NpIN a5 CUSTOM VIEW CUSTOMER -- FEE: ...d..t_�7�� BY: DATE,O6/17699 RT Deck99168 NOTIFY SUIU NG DEPART NT T - 788.1802 8 AM TO ♦ PM FOR THE a FOLLOWING INSPECTIONS: =; = 1 FOUNDATION - TWO REOUIRED L FOR POURED CONCRETE r- oy 2. ROUGN - FRAMING & PLUMBING J N op & INSULAIION m <. FINAL - CONSTRUCTION MUST a BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET �r y THE REQUIREMENTS OF THE N.Y. CONSTRUCTION & ENERGY NOT RESPONSIBLE FOR a DW OR CONSTRUCTION ERRURS 0 Af 0 v _ get,,, � �d p�.r I m UGU #YNuf UK R85 tli' i' O 1093 PULASKI STREET USMY L. I t,iNLO ((616)R727-3660 . LTJ t T FIC'UT CERTIFICATE OF OCCUPANCY 0 .y N CUSTOM VIEW m CUSTOMER -- DATE 06/17/99 REF Deck9916B 0 � 1 N r ' a ' y N N y m r a . �Ig 0 a r ABS 1093 PULASKI STREET RIVERHEAD, NY 16161 727-3660 I9 0 0 U 07/27/99 06:59 0518 727 7818 COMMONWEALTH [b004. OUT LIST FOR LEVEL I RBS CUSTOMER -- 1093 PULASKI STREET DATE 06/17/99 REF Deck99108 RIVERHEAD. NY (516) 727-3650 rnl F F H ,i N A I. G G G G G G G G G G G R P M n LABEL LENGTH BEVELS LABEL LENGTH BEVELS A joist 14' F45 RQ L fascia 4' 3' F22 S22 B joist 15' 4` F45 RO L ledger 4' 1/2' F45 S45 C joist 2) 15' 6' M fascia 23' F22 S45 D joist 16' 4' FO R45 M ledger 22' 11 1/2' F45 SO E joist 17 e' FO R45 N fascia 26' F45' SO F jot3t t13) l0' Il 1/2' N ledger 25' 7 1/2' G joist <13) 14' 8' 0 ledger 17 9' H fascia 8, 112, FO S22 P cap 5151/2, H leolgar 7' Il' FO Sas P sedum 4' 7 1/2' I fawn 2' 11' F2i? S22 6 cap 23' 10' FO S45 I ledger 3' 3 1/2' F45 S45 0 section 7' G' J fo5cia 611/2, Fi?2 S45 R cap 1517 F45 SO J ledger 5' 11' F45 SO R sectim 7' 4' K fOxiG 13' F45 S,02 S cap 5' 11 1/2 K ledger 12' 10' FO S45 S section 5' 6' 07/27/99 07:00 '0516 727 7818 COMMONWEALTH 1x1005 BEAM LAYOUT FOR LEVEL I RBS CUSTOMER -- 1083 PULASKI STREET DATE 06/17/99 REF Deck96168 RIVERHEAD. MY (516) 727-3650 per, 8 4' u' C 22' z' 13' 9112' 1' 10' '7' BEAM BEAU POST POST- LABEL OSTLABEL LENGTH COUNT SPACING _ A 4' S" 2 2' 9 I/2' C 3' 5' 2 •'2' 3 I/2' D 25' 9" 6 8' Be E 21' 9" A 711. Post spacing is measured tenter-to-canter. Depth of concrete footers --- 36 inches. 07/27/99 07:00 00516 727 7818 COMMONWEALTH IM006 OUT LIST FOR LEVEL 2 RBS OUSTOMER -- 1093 PULASKI STREET DATE 06!17/99 REF Deck99168 RIVERHEAD. NY (516) 727-3650 G A JAI , AlA B C E D LABEL LENGTH 9GVELS LABEL LENGTH BEVELS A Joist (4) 9' 7 1/2' E Fascao 2' 10' F22 S22 H joist S' 10 1/2' F45 RO E lodger 2' 7 1/2' F45 S45 c Ledger 5' 7 U2' F Fasma 6' F22 SO 11 fnsan 6' FO S22 F 1ad08r T 111/2' F45 SO ]] lodger G' 1' FO S45 G lmdger T IO 1/2' — X1007 07/27/99 07:OY -" ' 516 727 7818 COMMONWEALTH BEAM LAYOUT FOR LEVEL 2 RBS CUSTOMER -- 1093 PULASKI STREET DATE 06/17199 REF Dsck99188 RIVERHEAD. NY (616) 727-3650 7' 10" A 1' 3 1/2' B 10 ]/2" BEAM BEAM POST POST LABEL LENGTH COUNT SPACING A 2' 6 r/2' 0 0 Post spacing is memsured canter-to-center. Depth of concrete factors — 36 inches. 07/27/99 07:01 '0516 727 7818 COMMONWEALTH Q008 PLAN VIEW FOR LEVEL I RBS CUSTOMER -- 1093 PULASKI STREET DATE 08/17/99 REF Deok98168 RIVERHEAD, NY (516) 727-3650 zG 6' 2 IF m � s 39 f' M _ F y 3' 23' LOAD AND SUPPORT: Your deck will support a 37 PSF live load. Posts have 36' below-ground post support. - --- DECK AND POST HEIGHT: You selected a height of 24` from the top of decking to level ground. The top.of the deck support pasts will therefore be 15.25' above ground level. Your salesperson can provide information for uneven or sloped ground. JOISTS: Set joists on ,fop of beams, 16` c, center. NOTE: The design may require knee braces and bridging between joists. Your materials list includes the necessary items_ The suggested design is not a finished building plan. You are responsible for all measurements being correct, for verifying that the design (and any substitutions or modifications that you make] maats 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 use of materials in the structure. Be sure to follow the deck construction detail available from your store salesperson. 11009 07/27/99 07:01 'xS16 727 7818 COMMONWEALTH PLAN VIEW FOR LEVEL 2 Ras CUSTOMER -- 1093 PULASKI STREET DATE 06/17/99 REF Deck99168 RIVERHEAD, NY (516) 727-3650 s m 0 N I� I SITE DESCRITPION: The decking is 17.5' above ground level, and hos no supporting posts. The ground is assumed to be level. Your deck will support a 106 PSF live load. Joists are to be placed on top of beams. 16" center to centro. NOTE The design may require knee braces and bridging between joists. Your materials fist includes the necessary items. The suggested design is not a finished building plop. You are responsible for all measurements being correct, for verifying that the design land any substitutions or modifications that you make) meets aft 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 use of materials in the structure. Be sure to follow the deck construction detail available from your salespersan. toV01 COMMONWEALTH F •.? 127/99- 516 727 7818 — — — — — — — — — 1r � 1 Commonwealthv "` gp{�NN �50UTHOLDD . DATE_ -24 7 PLEASE DELIVER THIS FAX TO: NAME: C0Mff1ANY: F ROM: AtZ61-L e!� PHONE: i 5 l 6 j 727-7764 Ct]1NINIONWE'A..LTHRIVERHEAD FAX: (516" 727-7818 NUMBS-R OF PAGES INCLUDING T};IS PAGE:w,1 D� t ! 'I hr i�ri<�ula nl tLi>�locunn:nr �+111 n�u hr :ant i�� nr,lii I r HIL 0)11211M) t1I dll1 ilnC:(11j J11 III h, .010 11 Rlat;. ' ;� L 7 i i i / r i N' ro'6�50:'✓ ::� 2SU.v'�1 t iVAP OF" PRUF'S: T / j� `—(��! $Cil� ] C: ::::.:.:1-:.0 SiATf WN 'J��J✓t// !�/�C7i--+i. C'!\'_.i:�:' ... ::inti RC\ / T Ov.r_ t+.M. -.;'1,' �?c`.-� �.:' �:sarr;-rr,?rrz•� fc -?i:e :.w^=:� T•:y F;rPr j � ! rf'r umberz e-e cnfs1 or%7,PGr � �9UR�'��Oqr' �.j':.�?'��• 7t RUO�'Y4lGKt%9riT✓y G. G. --'Icd ;.� �'c/.L`��.lk CDL/h f'y/:�/G,-a'c's � •l'�,7'%!n ti;' ]_�� j� �S !` �!% ,Vo. S9a Liccns�d Lcrnd. c,r ✓eycr-5 X57 765-11102 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ AlFINAL [ ] FIREPLACE A CHIMNEY REARKS: - -�/�r✓ ( . DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS Sc.� ---x--SSY'L--------------- Tx-_-_---If-----!___--x_____-____---_---------x=---x------- ----=x II II H FOUNDATION OST) Imii cOn FOUNDATION (2ND) II II —_-------- - -- -------------- — ------- 111 � II ROUGH FRAME & PLUMBING jj If Imo` It Jj Ij , INSULATION PER N. Y. if #------ij H h STATE ENERGY I1-- G CODE n I1 u � II p if if b II�jN � II jj y II j' II 'p FINAL II j aria=saax=aaxaxaxaxaxxaaal�xxxaaa��a==os=ax=xaxaaxaasaa=a=a==sxasaxxas=xx�amaxaaxxxaaaasa O ADDITIONAL COMMENTS: jt ---�-- -------------asss�=xaxxx--aaxaaxa�r=aax=aaaoa=aaaa=a=a=a=axa=va==a=sss= r to ~ �l ' O x r b H BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: Reviewed: Architect/ Date Engineer: Submitted: SCTM#: District: 1,0 0 Section: �-7 lock: Lot: <JQ Project9�0 Subdivision Location: 7 Name: � Single&separate Required certification: (' Req11/10, G� () �7 Req �D �c / Zoning District: [Lot size: Actual: ' [Lot coverage Proposed: 7j Req. Req. � Req. ♦ / [FrontYard �� Proposed: [Side Yard J Proposed: 1 [Rear Yard Sb Proposed: Project Description: 4:1;�" AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A./ NO YES Number Suffolk County Health Dept. v New York State D. E. C. Town Trustees Town Zoning approval:Board a roval: Town Planning Board approval: Flood Plagq Elevation ??? Flood Zone: Notes: BOARD OF HEALTH . .. . . . . . . . . . . . FORM NO. 1 3 SETS OF PLAN .✓. . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY .. . . .. . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHEC%#k.I Z)MC1 . . . . . . . . .. . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . ... . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: 5�q CALL . . . . . . . . . . . . .. . ... FwLalc 19.!./ MAIL TO• . . . . . . . . . . . .. ... . . c� iu�:. 199L Permit No. ................ ................................ .................................. ................................ rt'it (Building Inspector- 913 APPLICATION FOR BUILDING PERMIT BLDG.DEPT. 3�3 Date. . . . .. . . . . . . . . . .. 19. . . -r: ;OFSOUTHOID J INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspecto. 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 c 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. SLv 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 awry purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 Canty, New York, and other applicable Laws, Ordinancesor 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 i tions. ....... ..... ... ..................... (Signatapp ure oflicant or name, if a corporation. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bui Alinxr...................L--..........(................�.........y........................--••-...............--•-- Nam of owner of premises 4Y Er:F..�.'..r RY:..�+:r'.�:..!';1 L:.!T.• e(.�C/ 0-• X).......................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. .........�/4.......... Plumbers License No. ...........�:............ l+ ElectriciansLicense No. ..................... Other Trade's License No. 1. Location of land on which proposed work will be dam...g4Q..1..L1..VfeI.�,OLX)CA... t(e ........!ef........ ... .... ..................................................................................................................... House Number Streethamlet Canty Tax Map No. 100`0 Section ......P1...... Block .....q......... Lot ....$.......... Subdivision ... .u�211.+)pQ... $. U., 'S Filed Map No. ..43 J. ... Int .�°�......... (Name) .... ....... 2. State existing use and occupancy of sea and igtended use and occupancy of proposed constriction: a. Existing use and occupancy ..... J:ln:Id.:, ..�.Kf. JL�-�L?1G.�-........... ,,.s: r ...iT iO�1'M-it. `fl............ t.L{< >inoY WetA uo = .4!: ?U9 YHATON b. Intended use and occupancy .................................................... ........... r.A : . w3 '$h{;y`aK.l aN]IU,.v'i v 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration { ... Repair ............ Removal ............. Demolition ............ Other Work ...�i7 (Description) 4. Estimated Cost ....` .aaS00: ........ Fee .............................................. (to be paid on filing this application) 5. If dwelling, numimr of dwelling units ............ Lumber of dwelling units on each floor ................ Ifgarage, renumber 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 .............. 8. Dimensions of entire new construction: Front ..—7L�L:...... Rear ......t SL'.... Depth ....::`.tS'...... height ��'.. ... N.nber of Stories � .-_.... ......... ....(............ ... pp t 9. Size of lot: hunt ......)LLJ) ........ Rear ......1:LQ'........ Depth ....2,IC/ . •I a ........... � n 10. Date of Porcrose ..................... Name of Former Owner ........1-%R 11. Zone or use district in which premises are situated ............................./................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ...AQ................. Y 13. Will lot be regraded ........[Y .r._...... rWill excess fill be removed from premises: YES 14. Names of Owner of premises H�r'�.iGQVLC}. �.3�':........ Address C&J.Q.11 dvkvI..�y....... Phone No.�- Name of Architect .................................... Address .............................. Phone No. ........... Name of Contractor ................................... Address ............................—Phone No. ........ 15. Is this property within 300 feet of a tidal wetland? * YES .......... ND ..�..�..... *IF YES, SOD7IIID TOWN TRDSIFLS PM41T M4Y BE MQHRM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frau property lines. Give street and block amber or description according to deed, and show street nares and indicate whether interior r lo STA-U-3, OF NSW Y(W,((��,, k ....... ..4,,..!i/.` .........................being duly swum, deposes and says that he is the applicant (Name of individual signing contract) above named, Ileis the .......0 Wn LA................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work aryl to make and file this application that all statanents contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to fore me this �J t qq Notary (Signature of Applicant)— LYNDA M.13o"m NOTARY PUSUC,State of Now York 140.01806020832 Qualified in Suffolk Com Term Expires March S,20�