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
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F, VRC. =AtSPSC-rXOa fNn , 7-/q&- C. O. /,3u;_LrsinlCi P679/1r7-
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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>;
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--_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
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i' O 1093 PULASKI STREET
USMY L. I t,iNLO ((616)R727-3660
. LTJ t T FIC'UT CERTIFICATE
OF OCCUPANCY
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CUSTOM VIEW m
CUSTOMER --
DATE 06/17/99 REF Deck9916B
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1093 PULASKI STREET
RIVERHEAD, NY
16161 727-3660
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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
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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
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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
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INSULATION PER N. Y. if
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STATE ENERGY I1--
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ADDITIONAL COMMENTS: jt
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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�