HomeMy WebLinkAbout24608-zFORM NO. 4
TOWN OF 8OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
8outhold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25520
Date: 02/05/98
THIS CERTIFIES that the building ADDITION
Location of Property: 4040 DEEP HOLE DR MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 115 Block 17 Lot 4
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 11, 1997 pursuant to which
Building Permit No. 24608-Z dated JANUARY 16, 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 SUN ROOM ADDITION ON EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to WILLIAM & JUDITH MACOMBER
(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
24608 Z
FORM NO.$
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y.
BUILDING PERMIT
{THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date ..,,.3~NJJ~.Y ........ .th ........................... 19.,~.8 ....
Permission Is hereby granted to:
....... I~ T LL.I,~i'~., ~... ME,...~,~cn~j~ Efi~ ..............................
....... AOAO,.,DEE~.,MOLE,.,D~ ........................................
....... ~A.T,~.I.~UC~ ~ ~.,.~,52 ......................................
to .....C~S~U~,.,A.,.S~N,..ROO~..AD~ ~.~ O~...ON..AN...E~.I S~.I.N~,.~E~K...A~DJ,~.I.ON..AS.
......... A~,R L,I ED,,,~ ~R ..............................................................................................................................
at premises I~ot~ at ................ ~Q~.Q.,...D~E~..~O~E,,.D~ ................................... ~.~.~U~K .........
Coun~Tax Map No. ,..,~.~.~. ..... Section ...~.~,~ ............. Block ....9~.Z ........ Lot No..99& ...............
p~rsuQnt to oppfloaflon d~ted .,,,~.~,~,~.~...~ ~ ......................... I g,.....~. ..... and opprov~ bythe
Building In~p~tor.
Fee 8 ........ ~.~.~. ~.9 .....
// ~,ldlng Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING D EP ARTME .~f
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BLDG. DEPT.
TOWN OF SOi/rHOLD_
This application must be filled in by typewriter OR ink and submitt'ed 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 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 there£or in writing to the applicant.
~. 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-existin~ Buildin~ - $100.00
3. Copy of Certificate of Occupancy - ~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $~Commercial $15.00
Date ......
Jew Construction../~/~-~.. Old Or Pre-existing Building .................
~ocation of Property..~..~....~....~.~l~...~J .............. .~C~,_ .........
House No. Street Hamlet
!~wer or Owilers of .....................
oun~y T~ Map No 1000, Section .... LL~ ..... ~lock .... I..q. ......... ~ot...~ ...............
ubdivision ............................... . ... . Filed Map ....... . ..... Lot ......................
ermit No ................ Date Of Permit ................ Applicant .............................
'ealth Dept Approval Underwriters Approval
'lanning Board Approval /
equest for: Temporary Certificate ........... Final Certicate ...........
ee Submitted: $ ..................
. ......
................
APPL ICA~f
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [~~i'~L~
[ ] FIREPLACE & CHIMNEY
DATE
3. Picture of uotk (cl~wk ~hich applicable): New lk~ilding .......... Addition .......... ration ..........
Repair ............ Remcr~al ............. l~mlition ............ Other l~ork
.~/~.~..~..~..~. ~ (Description)
4. Estimatexl Cost . . ./.) ..... ! ......... fee ..............................................
/
(to be paid on filing this application)
5. Ii d~lling, ~xJ~t~er of &,~lling ooits ..../. ....... ~ber o[ d~lling traits oo each floor ................
If garog% ~tmr of cars .. .....................................
6. If I~aainess, coauercial or mi~ed occ~rpasay~ specify nature and extent of ead~ type of uae ......................
7. Di,nensions of existing structures, if any: Froot .... ~.~.7. ....... Rear ....~.?. ....... Depth ....~....~. ...... ...
Ilei~t ......................... htnl~er o[ Storlee . ~..
............ 7......) 7
Dimensioos o[ sane strtmture .~ith alteration8 or additions.' Front ............... R~ar ..... .~. .......
Depth ...... ~..Q .......... }le~ght .................... l~aimr of Stories ...............
8. Di,ensions of eetlre new construction: Front ................ Rear ............... Depth ..............
llei0~t ................... .. .. .. lxluutmr of Stories .....................
9.si~ o~ ~ot: t~oot ...... ./~.d~ ........ Rear .... ./.~..~ ......... ~p~h ..... /.~. ........
lq
10. Oate of Purdmse ..................... ~ of Foraer O~er ........................................
I I. Zoee or uee district in ~hld~ pranlsas are sltx~at~l ......... ~. :.. .
12. Does proposed coostnetion vidlaLe any zooing Isa*, ordinance or regulation: ........................
~/ill lot be regraded .................... I/~l},exc~as fill be removed ~rc~ premiees; YES
~ o~ ^r~,it,~t..~..~./.../.,..~..~'. .......... ~.,~ .. ~..~..~ .............. ~ ~ ...............
15. Is this property withln 300 feet of a tidal, wetland? ~ ~1~ ..1 ....... lqO ..........
*IF YIn, 801/Iliad 113[~ lllOffll~q PEII~IFI' HkY 1~ ~RI~.
PI.OT DIAGRAH
l~cate clearly ~nd distinctly all buildings, ~e~lmr existing or proposed, and indicate all se~-back din~nsions
frm~ property lines, gi~e stt~et and block nttaaber or description according to deed, and ~J~o~ street hanes mo! indicate
xdmther interinr or corner lot,
ff, ron~, deposes and .says that he is the appl levant
~lle ia the ......................... .~..L~x~Xf7 ...............................................................
((kmtractur, ngent~ corporate officer, etc.)
of said o~a~er or o~.rs, and is duty authgf]zed Lo perform or havre parfora~d the said work and to make ar~l file this
al~)llcatitm; that ail statanants contaln~kl in tills appl, ication are tn~e to the best of his knowledge m~,l bdlief~ atxl
that the ~rk will be perfon~l in the ,~mner set forth ia the a[rplicatioo filed there~i~J~.
,q~x)rn to Ix~fore ne this
.................. day~.
($ig~f~fre nf ^ppticsat)
FORN NO. I
TOI/N OF SOUTIIOLD
BUILDING DEPARTI~ENT
TOWN HALL
SOUTltOLD, N.Y. 11971
t t:;LCG },~ ' [i TEl,: 765- 1802
l~ni~ ~ , 19.
APPLICATION FOR BUILDINg
BOARD OF HEALTH ,..~ ...........
3 SETS OF PLANS ......... ......
SURVEY ........................
CIIECK .........................
SEPTIC PORH ...................
NOT~Y:tC, Jtttt~'~
HAll. TO: ....................
a. 'lhis application ntmt be
3 sets of plans, accurate plot plap to scale. Fee according to schedule.
b. Plot plan sl~ing locati°n of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of laycut o[ property nnat be drmm on the diagram ~hidl is pert oi
this ap4flication.
c. lhe work co.red by this applicatioa raay not be coaneneed before issuance of Iloilding Perm. it.
d. UlXm approval of tilis npp~icatlon, the Building Inspector will isaac a Building Pemit to tile applicant.
pemlt ~Jall be kep~ on tim pre'ecs available ~or inspection throu~mt the work.
e. No building shall be eccu~iad or tread in ~dmle or in part for any pat-pose ;~aataver xmtil a Certificate of
,Occupancy shall have been granted py tim Building Inspector.
APPLICATICIq IS ~ HAUE toI the ~dlding llepartnent for the issuance of a Poilding Pemlt puranant to the
· Ikdlding ?~ne Ordinaries o~ ti~ To~ o~ ~yathold, 8u[iolk County, New York, .aM other applicable La~s, Ordlcances'or '
Re~datlons, for tim construction of buildings, additions or alterations, or for removal or demolition, as berein
descril~l, qtm applicant agrees tb couply with all applicable la~s, ordioneces, building code, housing codej and
re,clarions, m~l to adlnit onthori~ ~1 inspectors on premises and in building ~or p~-~essery inspect~9~s.
(Signature of apphcanJ~ Or Dame, if a corporation)
(Hailing add,ss of apphcant)
INSTRUCTIONS
zonpletely filled in by typewriter or in ink ned anbnittad to the E~dlding Inspector wis
State ~etber applicant is o~er,
.............. ....
· ...........
(ha on the tax roll or latest deed)
I~ applicant is a onrparation, si~ature of duly antl~rlzed officer.
(Hame and title of corporate officer)
Plurabers l.lcarme Ko. I
Electricians License No ..... i ............... . .
lessee, agent, architect, engineer,' geeeral contractor, electrie'~an, pltsd)er or builder
NOTU:Y Illl~llllll '
FO~ ~
'~ r'OUNII/WIOII · ~ IIIOLiiIII~I~
Fon ~oon~ ~
~ ~OU(3H. 'FItAI~IO & ISl41M~ll~O
3 iNSULATION
Otber Trade's License No .... I ............... r 'qNAL - CONS?RUCTION MUST
{ :OMPLETE FOR C.O.
I. Location of laed on ~nch proposed work,ill be done ........................ ?. .... .~*'YN~;~I~OTIOA' ~H'ALL' fvlEl~?
.......................................................... ,.. ~ .&. .~.~
..... ..... ..... :... ..... ,
(~)
2. State exlsti~ m a~ m~ ~ o[ ~mtma ~ i m aM ~ of pr°~
a. F~isti~ tm ~ ~a~ ............. ~ .............. ; ...............................
~. ~t~ ~ ~ ~cu~ ....... ~~.. ...... · ............
12'
~iifrl~ ~YJfI~M ~.t
U~DERWRITER$CERTIFICAT£
REQUIRED
F't~O~l~ 5t14~OOM I~0~ JI,R1H
4040 ~ ~ I~, MAffI&L"E Il,Y, 119~2.
~,I~OOM 15 A 2~0 PA110 I~OONt
I, OJgfOf¢6~ .ro IhSILAf¢ ~)a5111~ ~
1'0 C.Q~,
2, OJfl~OOP I~V¢, POt~ p¥ 011f~,
5. (6)4. I/4" ~ P,/9',1~5 e I~'
[XlSIIHG STRUCiUR[-
FASIENERS
(6? OTHERS)
(BY O[IIERS)
INSIDE
~/~2 7/8' TH~(. WALL PA~IEL
GABLE A1TACHMENT
~£~£ ~ER~-~
.~ ~/8' ~tt~ -
UN~ ~[D[H ~ LENG1~ .
SILL
,~ERIES 230 PATIO ROOM CROSS SECTION DETAILS
(BY OTIIERS) :~
2 3/ 6' OR 4 1/16' TriCK .:
(usc 4 ,/~'
GUITER EOR 4 1/4'
ROOt pANELS) .
EXISTm~ STR~JCIURE~ (BY OTHERS)
RIDOE
NOTE:
'A' FOR SANOTONE.
~- C~UU(IHG 1/2 8~
(~ OTIICRS)
-2 7/8° 1ILK. WALL pANEL
TYPICAL REG. & HEAVY H-CHANNEL
~'~1/2' TEK SCREWS
(STAC(;ERO)
· 90' CORNER
CO~IllHU£S OOWN I0
COVER ENO OF GUIIER
SCREWS ~OR 4 I/,1'
ROOI'
· ~ PNd[L
NOTE:
~_~ONT EAVE & ROOF CONNECTIQ.N.
EAVE FASCIA ON GABLE
pIVOT EAV[
pivOT
ALTERNATE EAVE EXTRUSIONS.