HomeMy WebLinkAbout25407-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26390 Date: 04/20/99
THIS CERTIFIES that the building ADDITION
Location of Property: 865 LEEWARD DR SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 79 Block 7 Lot 25
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 16, 1998 pursuant to which
Building Permit No. 25407-Z dated DECEMBER 14, 1998
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 14X40 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to VINCENT & KATHY ELLEN BENNI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspec r
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. 25407 Z Date DECEMBER 14, 1998
Permission is hereby granted to:
MICHAEL PISACANO
PO BOX 1931
SOUTHOLD,NY 11971
for
CONSTRUCTION OF A 14X40 DECK ADDITION AS APPLIED FOR.
at premises located at 865 LEEWARD DR SOUTHOLD
County Tax Map No. 473889 Section 079 Block 0007 Lot No. 025
pursuant to application dated SEPTEMBER 16 1998 and approved by the
Building Inspector.
Fee $ 75 . 00
Building nspecto
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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.
B. For existing buildings (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
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.
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 - - .25e,.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $$15.0c0�, Commercial $15.00
Date . . / . ./. ,%. . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
Location of Property. . .�� . . . . . . . ...cLA.. . .. . .`� r U . . . .
House No. Street Hamlet
Onwer or Owners of Property. . 1 . . . .. .. ..� . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . ./J. . . . . ..Block. . . .�7. . . . . . . . . . .Lot. .... . . . . . . . . . . . . . . . . . .
E
Subdivision. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . .... . . . . . . . . . . . . . .Underwriters Approval.. . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . .
Fee54bmitt $. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
fit
co x` 396 . . . . . . . . . .. .... . .:t'. . . . . . . . . . . . . . . . . .
APPLICANT
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]�FINAL
SULATION
FRAMING /�Jj [
[ ] FIREPLA 8 CHIMNEY
REMARKS
DATE � INSPECTOR
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH P
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: la(ir1.
,y
DATE INSPECTO
2� 7
76s-iso2
BUILDING DE".
INSPECTION
[ ] FOUNDATION IST [ XFINAL
LBG.
[ j FOUNDATION 2ND [ ON
[ ] FRAMING
[ ] FIREPLACE MNEY
REMARKS•
DATE � INSPECTOR
-47
70-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 CATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
R wAAARKS:
Y;6vz�
DATE INSPECT
00 ,4AO
ass-isox
BUILDING DEPT. .�"`�^
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING ��INAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS
DAT6r INSPECTOR
765-11102
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1�N�ATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:,
-------------
DATE-,��1( 7/99 INSPECTOR
` I
II
�I
IWAIII
lel
Wm-
OfrAL COMMENTS:
A �
YZI
of
i
r�-�nd MOMS J-I�W- ,/Wro—I I M/ Rd-
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY: �(l
CALL
Examined.:.. ..., 19.`. MAIL TO: . . . . . . . . . . . . . . . . . . . .
Approved..9�.. .. ...., 19.1 Permit No. .. .(.v 7 ...................................
Disapproveda/c .................................. ...................................
......................................................
Q (Building Inspector)
' ( APPLICATION FOR BUILDING PERMIT
Date. ( . . /`: . . . , 19
BLDG.DEPT, INSTRUCTIONS
TOWN
L F SOUTHOLD
a. 'Itis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w
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 mist be drawn on the diagram which is part of
this application.
Die work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector krill issue a Building Permit to the applicant. Such
permit shall be kept on the premises available for inspection throggbout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICAPICN 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 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._yildifor necessary pections. ................of applicant, or name, if a corporation)
...... ...................
(Mailing address of applicant)
State whether applicant is owner, les agent, architect, engineer, general contractor, electrician, plunber or builds
.....................Qw�?e: ...G... ( - ,.........................................................
Name of owner of premises .... ( C-:P e-`...�� 5 e CAVS" '.................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Nam and title of corporate officer)
BuildersLicense No. .........................
Pluibers License No. .........................
Electricians License No. .....................
Other Trade's License No. .................... _
I. Location of land on which proposed work will be done....�... .... . ...�'?m.... .......J... ..
.......................................................................................................................
House Number Street Hamlet
County Tax Map No. 1000 Section ....2.y....... Block ..�..?........ Lot . . ..........
Subdivision 5...... Filed Map No. ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .............................................................................
b. Intended use and occupancy .............................................................................
* i•,cta.�,ta,.r
3. Nature of work (check which applicable): New Building .......... Addition ....Alteration...........
Repair ............ Removal ............. Demolition ............ Other Work .1 ..
(Description)
4. Estimated Cost ... y..S................ fee ..............................................
(to be paid on filing this application)
5. If dwelling, miner of dwelling units ............ Nuber of dwelling units on each floor ................
Ifgarage, number 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 5. .... ... Rear ............... Depth .................
Height ......................... Dumber of Stories ....... ............
Dimensions of same structure with alterations or additions: Front ............... Rear ...............
Depth .................... Height .................... Number of Stories ...............
8. Dimensions of entire new construction: Front ................ Rear ............... Depth ..............
Height ......................... Number of Stories .....................
9. Size of lot: Front .................... Rear .................... Depth ....................
10. Date of Purchase ..................... Name of Former Owner ........................................
11. Zane or use district in which premises are situated ..............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ........................
13. Will lot be regraded ....V�J�?........... Will excess fill be removed from premises: YES ND
14. Names of Owner of premises ........................... Address .............................. 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 .......... NO ..........
*IF YES, S0l fH011D IUM MMMS PM4rT MAY BE MQUIR®.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or comer lot.
See frr`t-�KcH-(Fcl) use v-,e
•>t.C [c(Y (o CK) F-C) o'i G) -co Com, c� � 5 C)P�r/Z
.SrAlr OF NV, YORK,
OUIINIY (i['
being duly sworn, deposes aril says that he is tlne applicant
(Name of individual signing contract)
above named,
lieis the ......4:.D �. .L.: .......................................................................
(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 this
application; that all statements contained in this application are true to the best of his knowledge arid belief; and
that the work will be performed in the manner sal forth in the application filed therewith.
Sworn to re me this
.......f.�. ..day
... - C
Notary . . ....... /........ . ................
NoWY=8 of New Yat (Signature of Applicant)
NO-O9506
Qualin Suffolk 7 k Coy
Commssion Expres Dec.8, ( q il
f.
,9ia
Unauthorized alteration or addition
to this survey Is a violation of
Section 7209 of ft Ilam rent stat.
Education Carr.
Copies of ft atW WAP so bm q
o or
9n+b s*daaai�ttWmitkftd&4WMMW"
to be a rale low mW
GuaraeNaea
\ only b Mn p am forwh m
is a�affe«tw�wfart.nf.
titre cwn�arry, � ttffa
lending kuf g:l 1aM/hn.anaiM
3 Gt
to additional inatitutiam or sfltaayuem
owners.
y�I�tL �ggD LA#V 8
W� L /G u �YQO te'A
L
\I �
sv N °F HEi Y O
V
oZ--
WCL_
vi
r
y i
N 39`Z6' /97 Z7'_ o w�Z
L�'WANOo�v�,e/ �cq«�/,•=.5a
LA�uo�vetiEYo.2 I��9rE'-/�ov�� .e'9 111;VZ
BUILDING CONSTRUCTION NOTES CODE COMPLIANCE
1. Light Requirements:HIAMI apace axmpt kitchen.Pull ham n mi light
GENERAL: equal to 8%of floor area.
2. Ventilation Requirements:
1. All construction work shall comply with the New York State Building a. Habitable spam except Mucrons and bathrooms shall Mm natural
Construction Code and with the requirements do any governing departments, ventilation equal to 4%of floor ares,or maaanical mndeflon
as well as the requirements of authorities having Jurisdiction providing two(2)air changes per hour.
b. Kitchen&as above,or 150 dm machaniml mnWaaun
2. All work shall comply with the New York Stale Energy Code c Bathrooms as above,or 25 1 mechanical ventilator,
a. It shall be the contractors responsibility to Submit the size,design, d. All fans shall exhaust directly to exterior
and type of mechanical System which will be used in sufficient detail
3. Secondary f 18 and(Wordows)max shall a 4 square teal minimum she •minimum
as required by the and
as required
dimension d 18'and a maximum sig height of 42'above Mashed 1bar.
b Insulate all duds and piping as required by code.
C. All windows,door sills openings etc.shall be caulked and 4. Suinvags shall be 3e'wum minimum,T-8'dear
weatherstripped - _ -
CARPENTRY
3 Provide one smoke detector on each floor including basement. Provide
smoke detectors in all sleeping areas. All detectors to be directly wired to 1 Fuming Douglas Fir 02 or bettor
the electrical system of the home C QEW ai : *I cit^ -5a�Tr-KF.I.t Tl0.swr
2 Sill Plates to be 2xS Treated 4D year CCA with aW="alar
4. Engineer is not responsible for the supervision of construction. General !l
Contractor must verify all dimensions and conditions before construction of �t Provide double headers and Wmmen.at iW116oI opanNps,under al
fabrication Engineer not responsible for any changes without written prior oats m to 1 to lame. Rahrto plan.
approval 4. Provide bridging for all floor Jol=ts.
re,,A IL PE C I'I'(`. C OSE 5 Do not scale drawings. 5 Provide solid blocking under all bearing points
\ \- & The engineer shall be responsible of the content of these drawings only. He S. Openings to have(2)2'x70'Maden unless otherwise noted
shall not be held responsible for any materials,workmanship,mans or
\ / methods of construction The Engineer shall not be held responsible for the 7 Structural motel connectors as required for all flush structural bad carrying
design or installabon of materials and equipment:Electrical.plumbing, conditions.
\ heating,ventilation,air conditioning or any system not Specifically contained
% in these drawings. e. Structural connectors for flush lad bearing girders,Mears,etc.shall
be
be Simpson-'Over The TOD'Type or Equal.
7 Electric construction is to conform to the National Elactrial Code, Now York CONCRETE I FOUNDATION
State Building Code,and ULCo.
1. Strength 3,000 PSI N 28 day ASTM C-94 ready mix concrete ,
- 1 8. Plumbing is to conform to the County and local Math department
_ i Is,tl.b 11ECICIp1C� li �p requirements and NYS Code. 2 All feelings.foundations etc.shall raft on undisturbed son
tJcr-(- NGFPIc, AUF TO CbF_ I:�T
g. LIMITATION OF PROFESSIONAL LIABILITY 3. Soil bearing apadry snal14,0D0 PSI Contractor shall conduct sell test m
By acceptance and use of these plans the owner/bulkier I agent agrees to limit verify paring capacity prior to construction and report any discrepancy to
the liability of East End Draffing&Design,and gxir drofismen due to neglect. Engineer.
ads of error,such that the total aggregate liability of East End Drafting& 4. Footings shall be 36'below finished grey mliu mum.
Design,and there draftsmen shall not exceed Has total fee for services rendared
on this project. 5. NI foolkpa,foundations Mao be formed.
I DN �I
Y-nIS-I,IA((q-- DOUSE
I
tri 2><2 RA�uc�r�s
IF319 �1tD �/y" hF
—
_ \ — `f F�HI� ��
"� UJ 7rw ccF y12cep Focc p w� 31 %L yAur. cnes'_,r+c,e
r - i T- TI
-
,r
It
II Fes. ( 1 a ) .p,..z w3..C_b �, ,1 LI'(F.� ---- 11
J
G.d to CcH Iln OC. LJ �0�,� g41C�T1n1<-,
Id It")
7 I
m tlll is. u '
Ile I Zfro Ccn ,.m
tg — P APPROV . f C
� DATE.�BNrY ��7
C._A t'o��
111 ^- "rT-SL FEE: BY
NOTIFY BUILDING DEPAR N AT
F765-1802 9 OLLOWING INSPECTIONS.
M4PFOR THE
- _ - 1 FOR POUREDNCON RETE REQUIRED
it N OTI YItl1,S=I i� Ih 1�� i' E—tA� � 0116L 20 OC
2 ROUGH - FRAMING & PLUMBING
_ _ 3 INSULATION
I� yn2 Hoose_ 1 ul 4. FINAL - CONSTRUCTION MUST
I ) i �„
'"--"^ '-"""' ----- Aim( Hc�L'- (3a.S BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
Ex ls�l IC) . Horr E THE REQUIREMENTS OF THE N.Y
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
,F _DD J F'I (TYP)�I A:- m-I R✓�f'F DESIGN OR CONSTRUCTION ERRORS
I IL. I a_
_--- OCCU°A,MY OR
USE Ira' IMILAWFUL
WITHOUT N TIFICA!E
OF OCCUPAil"'C If
IYPI�/ � _CIIkr� P �=PT CI- - -CiI- �_" � r_�
— - o„ — —
y»r_HCP-1,1 TLk 4.. ')
1
II -n
" -_ -- - VR.O POKED dFCK, A�AiTIDnI
EAST MICHAEL h� ISP,CA D KESIDt�iC��
END4
SCALE. /A
`'� NC-11 APPROVED 6Y DRAWN BY
D1�tAFTING & DESIGN DATE L ,_I
I FLOOR PLAM FRAItiINy .h I,:C (-h:y 'pCAMI
TYPICFlt-
5130 MAIN BAVVIEW ROAD. SOUTNOLD NY 11971 C / (;FlIL CQO =E-TON
p1nTE: VEK,rV FY ALL PIIti Cnlnl rny` ahit� (',oNbIpD1�IS
(516)165.1&60 DRAWING NUMBER
Ip58 - 1 of 1