HomeMy WebLinkAbout27344-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27942 Date: 09/13/01
THIS CERTIFIES that the building ADDITION
Location of Property: 105 EAGLE NEST CT LAUREL
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 127 Block 9 Lot 11
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 16, 2001 pursuant to which
Building Permit No. 27344-Z dated JUNE 4, 2001
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 AS APPLIED FOR
The certificate is issued to LLOYD H REISENBERG & EDIE H
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
1,14
//Ahori ed 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. 27344 Z Date JUNE 4, 2001
Permission is hereby granted to:
LLOYD H REISENBERG
PO BOX 161
LAUREL,NY 11948
for
CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR
at premises located at 105 EAGLE NEST CT LAUREL
County Tax Map No. 473889 Section 127 Block 0009 Lot No. 011
pursuant to application dated MAY 16, 2001 and approved by the
Building Inspector.
Fee $ 150 . 00
Authorize Signatu e
ORIGINAL
Rev. 2/19/98
Form No. 6
Y TOWN OF SOUTHOLD
r
BUILDING DEPARTMENT
TOWN HALL _ SEP + -m
1
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 Buildiniz - $100.00
3. Copy of Certificate of Occupancy - .25j
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, C mm rcial $15.00
Date . . . . . . . . . . . . .y . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . .. . . . . . . Old Or Pre-existing Building. . . . . . . .
Location of Property. . . . l . . . .G.'�l.`��C . .�v r �. . . . .C ./ . . . . . ... . . . ti'ln£
. . . . . . . . . . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property. ��°:/, . . .�. . . . . .t:£( S CVvectt (r. . . . . . . . . . . . . . . . . . . . .
. . .
County Tax Map No 1000, Section. . . Z ?. . . . . .Block. . . . . . . . . . . . . . .Lot. . . . . / . . . . . . . . . . . . . . .
Subdivision. . ���::. . U�,F;•f. . . .f;S: S. . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . .
.
Permit No. .. ?/. yy . . . .Date Of Permit. . . . . . .Applicant. �y.J. . .
. . . . . . . . v
Health Dept. Approval. . . . . . . . . . . o . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . .
Fee Submitted: $, , , �5 0 U . . . . . . . . . . . . . . . . .
. . . . . . .y�. . . . . ) . . . . . . . . . . . . . . . . . . . . . .
APPLIC
BUILDING PERMIT REVIEW CHECK LIST
Applicant/ Date
Owners Name: Reviewed: QoJ
ArchitecU Date /
Engineer: Submitted:
SCTM fl:
District 1,000 Section: f� Block Lot:
Project ddivision
location / '�`� --- ame: �
Single &E separate Required
certification (Yes/No) _
Rcq � 0 3G Req. �jip7 — --
/.onuiC I)istnq. 11,ot size. -/ Amial. I (Lot coverage --- Proposed
r Rey Req �� Req. /I
(Front Yard Proposed: ( (Side Yard / Proposed: ) (Rear Yard Proposed
Project Description:
AGENCIi'.�'ERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees y
Town Zoning Board approval: ✓
Town Planning Board approval:
Flood Plane Elevation ???
Flood Zone: /
to •
M.iaoz
BUILDING DE".
PECTION
[ FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
;DATE� I� � � INSPECTOR �" '�
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN TION
[ ] FRAMING [ FINAL
[ ] FIRE
CE8NEY
ARK� ^
DATE �� INSPECTOR
BUILDING DEPT.
INSPECTION
[ J FOUNDATION IST [ ] ROUGH BG.
[ ] FOUNDATION 2ND [ ] 1 CATION
[ ] FRAMING � FINAL
[ ] FIREPLACE & CHIMNE
REMAR
DATE 14! INSPECT
FITL
___--
D INSPECTION REPORT DATE COMMENTS _____
---- �.---.� -- ---- ------- -----aa—aa�s
aea ma--a-----------------I�x ===x—.��.�.—c—.�------=======a===—=----
in n C�
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FOUNDATION ( 1ST)
I� lI I
II j ca
FOUNDATION (2ND) I -
II N
I
ROUGH FRAME &
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PLUMBING
II II
I I �
3x�
INSULATION PER N. Y. $ H
STATE ENERGY !i u
CODE
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FINAL q
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ADDITIONAL C
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1 V W 1`I Vr JV U 1 nVLL bUIL,1ANU PLxM11 A1J?UCA 1 i0N LHECKLiS
BUILDING DEPARTMENT Do you have or need the following,before applying
TOWN HALL i�t':; MAY 16 200
1, i .. Board of Health
SOUTHOLD, NY 11971 L3 sets of Building Plans
TEL: 765-1802 ,L 2 Surve
Y
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined ,20 �� Contact:
Approve ,20 G/ Mail to:
Disapprov a/c
Phone:
Building In ector
APPLICATION FOR BUILDING PERMIT
Date s �t' , 20 d 1
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 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 waterways.
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 a 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 any purpose what-so-ever until a Certificate of Occupan
is issued by the Building Inspectork \
PLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Buildi 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 building for necessary inspections.
(Si tune of app icant or name,if a corporation)
Sox 16l eAi,c-d A -Y //9y`
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect,engineer, general contractor, electrician, plumber or builder
Name of owner of premises dyl� /1� 4 31,c(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 land on which proposed work will be done:
S le /--F,l'/ �•/ L� vf�//t C ` {�G.:- ti x •r r j w
Ri
House Number Street Hamlet .
X47
County Tax Map No. 1000 Section Block
SubdivisionbirN VtF w £ST/a S Filed Map No. Lot
(Name)
?. State existing use and occupancy of premises an intended use and occupancy of proposed construction:
a. Existing use and occupancy /
b. Intended use and occupancy As An/ 0 VT 1) 0 0 Irz t C G<
3. Nature of work (check which applicable): New Building Addition ✓ Alteration
Repair Removal Demolition Other Work
' (Description)
1. Estimated Cost t3_ 00 . D 0 Fee Z/.IU. 0 D
(to be paid on filing this application)
If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
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
Dimensions of entire new construction: Front Rear ,3 O Depth �6
Height 3( f Number of Stories
Size of lot: Front Rear Depth
0. Date of Purchase Name of Former Owner
1. Zone or use district in which premises are situated
2. Does proposed construction violate any zoning law, ordinance or regulation:
3. Will lot be re-graded ,/fl Will excess fill be removed from premises: YES
4. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
5. Is this property within 100 feet of a tidal wetland? *YES NO (,
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
TATE OF NEW YORK)
SS:
:OUNTY OFJeIk�
Z/()W/ -7/. RF15 2 V- G being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
3)He is the
(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 application;
iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
�!rformed in the manner set forth in the application filed therewith.
wom to before me this
day of n 20 61
Notary Pub
LYNDA M.B��N Signature of Applicant
NOTARY PUBLIC,State of New York
No. 01808020932
Qualified In Suflollt County
Term Expires:Mamb 8.20 j
SURVEY OR PROPERTY
A T LA URRL
TO WN OR SO UTHOLD
SUFFOLK COUNTY N. Y.
� a5�° f0B0--lltT—�--ff
si'eD�
L
IV V 2, 1999.( hss. U/C 1
g��61
e�.
omitior with the STANDARDS FOR APPROVAL
ONSTRUCTION OF SUBSURFACE SEWAGE
;AL SYSTEMS FOR SINGLE FAMILY RESIDENCES
II abide by the conditigns set forth therein —1
the permit to construct. P.
fie'' •� °/ /6
:otions of wells and cesspools
hereon ore from field observations
data obtained from others
tubers refer to '*Golden View Estotes"
the Suffolk County Clerk's Office on
30. 1904 as File No 7770
>ns ore referenced to on assumed datum
rvk
VA \C d
CERTIFIED TO .��' \\ 1 ,� • �
Uoyd H. Relsenberg \
Edle H. Reisenberg \ y
Fidelity National Title Insurance Company of New York \ IT
py
IJP
��oF NEWk ,
!'� 1\10��T, METIC O�P,f.
AREA = 40,388 sq. ft
N. S. LIC, NO. 49618
00
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION 1 i OAC C 516 Vpj
C.
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. +
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NOTIFY BUILDING DEPA NT T —
765.1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2 ROUGH - FRAMING & PLUMBING J
& INSULATION
4, FINAL - CONSTRUCTION
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHAL EET
THE REQUIREMENTS OF E NX
STATE CONSTRUCTION NERDY
CODES. NOT RESPON LE FOR
DESIGN OR CONSTRUCT ERRORS
a
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
a
OF OCCUPANCY
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FROM DINOS MEDY ZERVOS FAX N0. : 631 477 3588 May. 13 2091 08:1-VM P1
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PLAN VIEW PENNY LUMBER
CUSTOMER -- LLYOD RIZENBURG MAIN ROAD
DATE 05/11/01 REF Deck01131 GREENPORT. NY
(631) 477-0400
30'
19' �• 7• p•
in
v
LOAD AND SUPPORT: Your deck will support 51 PS live load. Posts have 48" below-ground
post support.
DECK AND POST HEIGHT: You selected a height 36` from the top of decking to level ground
The top of the deck support posts will therefore be .26 above ground leveL Your salesperson
can provide information for uneven or sloped ground.
JOISTS: Set joists on top of beams, 16' center to 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) moots 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.
STRESS*ANALYSIS
CUSTOMER: LLYOD RIZENBURG
DATE: 05/11/01 DESIGN: DECK01131 REF: 01131083.ZIP
SALESMAN # THOMAS BERKHAN
-----------------
MEMBER STRESS FACTOR COMPOSITE
TYPE SIZE FACTOR LOAD LOAD
-------------------------------------------------------
JOISTS 2X10 DEFLECTION 84 PSF
161N BENDING 86 PSF
SHEAR 103 PSF
COMPRESSION 140 PSF 84 PSF
BEAMS 2-2X10 DEFLECTION 179 PSF
BENDING 84 PSF
SHEAR 62 PSF
COMPRESSION 218 PSF 62 PSF
BOLTS 1/21N SHEAR 1540 PSF 1540 PSF
POSTS 4X4 STABILITY 345 PSF 345 PSF
-----------------------------------
TOTAL LOAD 62 PSF
DEAD LOAD 10 PSF
LIVE LOAD 52 PSF
BEAM LAYOUT PENNY LUMBER
CUSTOMER -- LLYOD RIZENBURG MAIN ROAD
DATE 05/11/01 REF Deck01131 GREENPORT, NY
16311 477-0400
14' 1/2'
I' ll 1/2'
BEAM BEAM POST POST
LABEL LENGTH COUNT SPACING
A 29' 10 1/2" 5 7' 4 3/4"
Post spacing is measured center-to-center.
Depth of post-in-concrete footers --- 48 inches.
CUT LIST PENNY LUMBER
CUSTOMER -- LLYOD RIZENBURG MAIN ROAD
DATE 05/11/01 REF Deck01131 GREENPORT. NY
(631) 477-0400
K
A A A A
LABEL LENGTH BEVELS LABEL LENGTH BEVELS
A joist (14) 15' 8 1/4' G fascia 30' F45 S45
B joist 14' T FO R45 G ledger 29' 10 1/2'
C joist (5) 13' 8 1/4' H fascia 16' F45 S45
D joist 13' 10' FO R45 H ledger 15' 7' FO S45
E joist 15' 2' FO 'R45 I ledger 2' 9' F45 S45
F fasc;a 16' FO S45 J ledger 7' 4 1/4' F45 S45
F ledger 15' 8 1/4' K ledger 2' 11 1/2' F45 S45
L ledger 18' 10 3/4" F45 SO