HomeMy WebLinkAbout26812-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27984 Date: 10/01/01
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1350 COX NECK RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 113 Block 14 Lot 4
Subdivision Filed Map No. Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 27, 2000 pursuant to which
Building Permit No. 26812-Z dated OCTOBER 1, 2000
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 ACCESSORY ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to JACQUELINE & JOHN A KOPF
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
t
utho zed Signature
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27983 Date: 10/01/01
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1350 COX NECK RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 113 Block 14 Lot 4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 27, 2000 pursuant to which
Building Permit No. 26812-Z dated OCTOBER 1, 2000
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 NON-HABATIBLE ACCESSORY TWO CAR GARAGE AS APPLIED FOR.
The certificate is issued to JACQUELINE & JOHN A KOPF
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
c
oriz 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. 26812 Z Date OCTOBER 1, 2000
Permission is hereby granted to:
JACQUELINE ADAMS
1350 COX NECK ROAD
MATTITUCK,NY 11952
for .
CONSTRUCTION OF A NON-HABITABLE ACCESSORY GARAGE IN REQUIRED REAR
YARD AS APPLIED FOR. .S 1&)O &&r-IL
— q) I so." 030,;,p - 6Z.x c A .S q y g�/
at premises located at 1350 COX NECK RD MATTITUCK
County Tax Map No. 473889 Section 113 Block 0014 Lot No. 004
pursuant to application dated SEPTEMBER 27, 2000 and approved by the
Building Inspector.
Fee $ 35 . 00
Autho ed Sig ture
ORIGINAL
Rev. 2/19/98
Form No. 6
y 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; Building - $100.00
3. Copy of Certificate of Occupancy - :25V
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $115.00, Commercial $15.00
Date . . . . . . . :..P: . v (. . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . .. . Ol/d� Or Pre-existing Building .�1. . . . . .
Location of Property. . . .1 .( 1�� �. . .1 . ..�. a .�-. . .�
House No. Street t Hamlet
Onwer or Owners of Property.._.JaE.bq al ! 0 : .�. ?_., . . . . . .�. . . . . . . . . . . . . . . . . . . .
.
County Tax Map No 1000, Section. .1 .3 . . . . . .Block. . . . LY . . . . . . . .Lot. . . . . .. . . . . . . . . . . . . .
Subdivision. . . . . .'Q.�:. �.C1lC�. . -. . . . . . . . . . . .Filed Map. .tJf-1 . .Lot. . . . . . . .T. . . . . . . . .
�+' �
Permit N . . . . . .. . .Date Of Permit.4`? . 14V G�' . . .Applic.ant�.iQ�C ��l(r/..�ti-. : .,' '.�. "y•
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . ..Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . .. . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Sub tted: . a 6 • D 0
. . . . . . . . . . . . . .
APPLICANT . .
;z
M.180Z
BUILDING DEPT.
. INSPECTION
[ FOUNDATION IST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE 13 A9 INSPECTOR
s
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] F DATION 2ND [ ] INION
[ FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
z
17
DATE-4ooINSPECTOR
T65-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLB
[ ] FOUNDATION 2ND [ ] INS ION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS
DATE Q INSPECTOR
r
lELD JDATE COMMENTS
41
m �9l
1 . 3 T
H
FOUNDATION ( 1st)
c
E
FOUNDATION ( 2nd )
2.
z
o �
w
ROUGH FRAME & U�
•PLUMBING
3.
• H
INSULATION PER N . Y.
STATE ENERGY
CODE
a
4 .
FINAL
L. L
o
. x
ADDITIONAL COMMENTS : x �
s � on aro —
fi
� •O
• H V
.r
% x
• r
-j
C7
IV
BOARD OF 8E LTIi
' FORD' NO. W oW3 SETS OF NS •. . . .. . . . . .
M8
TOWN OF SOUTHOLD /SURVEY �� . . . . . . . . . . . . . . . . .
MAY 12 M8 BUIi.DING DSPARTMENT /ICIiECR . ... .. . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . .. . . . . . . . . . . . . . . . .
BLDG.DEPT. SOUTHOLD, N.Y. 11971
OF TES.: 765-1802 NOTIFY: J
� v
bbt CAiL �Q: Q.1.
�.�5
. .
Examined .....A;., 1919 �fJ� MAMAILI'enhhiC No. ......•............TO: . . . . . . . . . . . . . . . . . . . .
Approv .. . . .................
. .,
Disapp a/c ................................... ................................... .
......................................................
..••(llthilding•ins. •tor)..
APPi.ICATION FOR BUILDING PERMIT
Date. . .<I . 3a . . . . . . . . 199.6.
INSTRUCTIONS
a. 'Ibis application must be completely filled in by typewriter or in ink and stdmitted to due Wilding Tnapec:tor wi
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
h. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or ptdhlic
streets or areas, and giving a detailed description of layout of property must be drawn an the diagram which is pert of
this application.
c. 'Ihe work covered by this application may not be commenced before issuance of Wilding Permit.
d. Upon approval of this application, the iluilding inspector wilt issue a Building Permit to the applicant. Such
permit shall be,kept on die premises available for inspection throi>gimt 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 die Building Inspector. �.
APPi.IMION IS HEREBY MM to the Wilding Department for the issuance of a Wilding Permit pursuant to the
Wilding Zone Ordinance of the loan 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 a78ig
ing for ssary i tions.
.<..Y ......
reof applicant, or name, if a co ation)
so ���
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumther or Wilde
r................................................... .........,.......................................
Name of owner of premises ..c--.► ' e.��.�.�...Adam. .................................................
(as oWthe tax roll or latest deed)
if splhlicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
Builders License No. .........................
Plumbers License No. .........................
Electricians i.icense No. .....................
Other Trade's License No. ....................
1. location of land on whidh proposed work will be done..............................................................
..!.3 0.....Lox...nue- ....Ra....A l��4... D.. 4 .t..!q S.a...........
house Number Street iladet
County Tax Map No. 1000 Section ..I A.'�) ....... Block .... ........ Lot .... ......►...
Subdivision .... ��r:'Y.l�................ Filed Map No. . ... ilot ....J..........
(Name)
2. State existing use and occupancy of premises and intended
intended use and occupancy of proposed constnhction,
a. Existing use and occupancy ......4.TW V ..::.....' J.\4................................
b. Intended use and occupancy ....... .rl .� ,sJ:Y"�.�Y. ...............:.........
I. Nature of cork (crack wliidh applicable): New Building ........,. Addition .........r' Alteration ..........
Repair ............ Removal ............. Demolition , ........... Other Work .. ,.
(DescIt I pt ion)
.� �.oQ.......... fee ................... •...: ...
4. l:stu�mhtecl Cost .....
jjjr�:, ;;• �•� f;�
(Co be paid on fil Ing this .-
5. If cirelling, rxad*r of dwelling tants ............ timber of diel1ing units on each floor ................
Ifgarage, hxii6er of care .......C�l............................
6. lf. Ixrsictess, commercial or mlxecf occupancy, specify nature and extent of e�� 3adi type of use.......................
7. Dim um mons of existing structures, If any: Front....7.3...... Rear ..•4.>�2........ Depth .. ,+?.........
Ikeiglht M,tix:r of Stories ......a.............
Dimensions of sane structure with alterations or additions: Front ............... Rear ...............
Depth .................... lieight .................... tinter of Stories ...............
z' a Co.8. Diuiensions of entire new construction: front .....3.�....... Rear ... ........... Deptli ...C2 C '.....
Ikeigltt ........!< .............. Utilmr of Stories ...1................. Q
9. Size of lot: Front ....j ,. 0.1....... Rear .....• Depth ..•...v....... ./
10. Dare of Purcrase ....5.I.ae........ Nare of loaner Owner .IRi wie- !e5.....
11. Zaie or use district in shieh premises are situated ...J-R6 'AAA-', .................................
12. Does proposed construction violate any znning law, ordinance or regulation: .....V..............•
136 Will lot be regraded .................... Will excess ill removed from promises: YES
1 `
Iii. Nares of Owner of premises�4GGI rn Ac Iresa \. � ?X.�'Q� ;;,,, Nione No PAS ,�J,S.C{
Name of Architect .................................... Address .................:............ Phone No. .............
Mane of Contractor .................... Address ...............................Phone No. .............
15. Is this property within 300 feet,of a tidal wetland? * YES 0........
*IF YES. SWnK1D 1UJN 31MIEES PIUMIT M&Y BL RG(X)IRM).
PI.OT DIAGRAMi
Locate clearly and distinctly all buildings, wlhether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and block rudber or description according to deed, and slaw street nares antl indicate
%Anther interior or corner lot.
SI'AII: (llz NN Y(XW,,
(IUlIN1Y (ll'
\- In
...hairy; duly sworn, deposes arxl says Utat he is the appl.ictntt
(t4�he
oft
f liviclual signing contract) .'
ab(Ne ima ed,
Ileis tire ............. .` ' ............................................................. .......
(Contractor, agent;corporate officer, etc.)
of said awrxer or owners, aril is duly authorized to per.fonn or linve performed lite said work six] to make and file this
1114h1 iratioo; that all statements contained in this applicatioo are true to the best of his luxxdedge aril W1ief; aril
that the work will In perfon ed in the nttunter set forth in Lire application filed therewith.
.9 orn to before me Utis
......�.�`�day of !1 x:.......19.19 g..
Notary Publicc... . ...... .
Sil;tvtt a of A1>pAcmt .•.'••
HELENE D.HORNE
Not..ry Public,State of New York
No.4951364
Qualified in Suffolk County 95p,
Commission Expires May, 19 L4-
r`L ,'j-• _I •
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---r 12 6 -4 a -0 1'-4 e'-D 6'-4' 12' _
J 4v 7)--II 214
2.8
b
1/2" DIA. x 12• IJP 16R M
ANCHOR BOLT
b
LOCATIONS (TYP.) b „x 3 i/,” CIA,
io 2'-0"x2'-0"x HANDRAIL
�/� r7' STEEL COLUMN
12" THICK 1'-4"x8" CONC. FOOTING 1p 2x4 '
-5" GONG, PAD _� ( /�y���Y�y�✓�.7 "
3 1/2" DIA. '� 8" GONG, FOUNDATION WALL S ,/w 1 2.8
STL, COL.
5'-4
DETAIL — COLUMN
CJ
4" RERJF. CONC.
UNEXCAVATED � SCALE: I" = 1'-0"
4" GRAVEL BASE �{ SLAB ON S
T-6"x2'-6"x GRAVEL BASE n STAIR
5" THICK ( OPENING
b f colvc. Pan y �,
N b
NOTE
PROVIDE
} 1/2" DIA 2x4 HAND-
345 STL COL. No a b RAIL AROLND
�Sn 0 GARAGE �' 1;• b OPENING
REF ELEV. �' ~ Z c' n
fn 0'-0" TOP �� m s CROSS- 3'-0" 3 TREADS
OF WALL NOTCH FOUNDATION B" �o c. BRIDGING _
FOR DOORS ABOVE I m¢ m a ®10"
If
3'-O" 9 112"
TRUSS-
JOISTS
76" O,C.
b I b 2x4 0 16" O.C. �
0, 0 of m
OVERHEAD DOOR W/ C
(2)2,12 ABOVE
(2)2x4 a of
L fgAf{B�OV�J(E1{J -�
.- _- - - O a
J 2)2x12 ABOVE _ _ _] II
•_q .. 3' 2.. I I... Y-9" 10._6., _- - - ,2' 10' 6" ,/2• - _ _ DON -
,( ,k! 30x30 WIN
8" " 2'-10" 11._6,. - 11'-6 -� ` 5' - - SILL A.F.F. J
3'_2" 4,-4° i0._3, ._}, 10._3.. 1._i, _
32'-O"
32'-0
-- 1 3/4" 1
WOOD DOOR
FOUNDATION PLAN �
Al'PNovEDASNOTED (Le
\ PLAN — GROUND FLOOR -( PARTIAL PLAN — LOFT �) DETAIL — STAIR
Al SCALE: 1/4" = V-0 SCALE 1/4" = 1---0"
oATe A� SCALE. 1/4" = 1'-0" Al BCALE i/2" = 1'-0''
7 '
G"I � e.R•
N p p@� p J g �r�y UND RITERS CERTIFICATE FEE:_ 35- (lb !W
J�,.s!4y(>�f�AN61 �1'R REQUIRED ���AM EC� MYI FPRO OR THE
fOIlAWN70 NgFEO110N8:
USE
�+ 1yR4J' I FOUNDATION • TWO REQUIRED DO NOT PROCEED WITH
'"" y ,,S uN�+C�p"TFUL CONCRETE
t. FOR�FRAMIN & PLUMBING FRAMING UNTIL SURVEY
'�w'd7 SHOUT CERTIFICATE 4. FINAN�L .CONSTRUCTION MUST OF FOUNDATION LOCATION
ROOF SHINGLES
� '' 9 ALL CONSTBE RUCTION SHALL MEET HAS BEEN APPROVED. ON 15N FELT
1',',F�LJPA' ""'Y THE REQUIREMENTS OF THE NY. / 4 WOOD SHEATHING
STATE CONSTRUCTION ENERGY
CODES. NOT RESPONSIBLE FOR /;/2 LYW'0 iD
9
DESIGN OR CONSTRUCTION ERRORS TRUSS-
METAL P.00F VENTS / / JOIST
® i6" ox
1x6 RAKE
12 TREADS ® 10" = 10'-0" 3'-0"
METAL DRIP EDGE TRUSS-JOIS
'7' FLASHING EDGE BLOCKING
(2)2x4 PLATE 3/4" PLYWOOD
GROOVED SIDING �� 1.8 FASCIA /
SOLID BLOCKING
12 /� 1x4 SOFFIT 2.10 HEADER
2x2,15 PLATE LL
9 ROOF SHINGLES r 2e4 TREATED ^
1/2" DIA, x �\ LL VN/
m 1'-2" ANCHOR O
-� BOLT (SEE PLAN O '^
FOR LO)CA710N5) n � cc T,
0'-0" (REF. ELEV. 2x4 LEDGER T-
® (3)2x12 FROM
• • ES WALL TO COLUMN
VARI
2"--q• 9 1/2" TRUSS-,101ST U
_ _ _ ••`�qs •s N O
Z
I x8 FASCIA , -- — LL 11
1.4 WIND �4" ESH LL..
BRACE - CONCRETE
SLAB � �./
NOTCH ` _ _ 4" GRAVEL /O� �1
INTO STUDS 1x4 WIND x 8" GONG. FOUND- 2x1_ CARRIAGE /1'� J�
RT. @ LEFT 1x4 WIND b v
SIDES BRACE + ATION WALL 2x6
2TREAD
LEDGER �{ U
NOTCH `l
INTO STUDS + 2,10 HEADER O
INTO STUDS - - GRADE
\ CORNER REAR SIDE o GONG. FOOTING 1^
1x4 PEAR SIDE • a 2e10 BLOCN;ING
BOARDS
FIN. i _ 2xa it N (3)2x10 LANDING 0 "
GRADE ' / CONT. ,r JOISTS r
�r;o J �, �• h: 3, 4 SL
LANDING
— _ — _ _ _ _ — — — — — — -- — — — — — — — — -- — — —
oa
nELEVATION — RIGHT SIDE ,ELEVATION — FRONT SIDE 6 SECTION
,GALE; 114:' _ ,,_G- A, = i� DETAIL — STAIR
�� LEFT SIDE SIMILAR �� REAR E SIDESIMILARWITHOUT DOORS Aja SCALE: 3/4" = 1'-U' Aj SCALE 1/2" = 1'-0"
Al