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HomeMy WebLinkAbout27371-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28168 Date: 01/14/02 THIS CERTIFIES that the building ADDITION Location of Property: 670 BREAKWATER RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 9 Lot 7.10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 25, 2001 pursuant to which Building Permit No. 27371-Z dated JUNE 8, 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 REAR DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PANTELIS SIRIODIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorize ignature 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. 27371 Z Date JUNE 8 , 2001 Permission is hereby granted to: PANTELIS SIRIODIS 148-16 9TH ST WHITESTONE,NY 11357 for REAR DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 670 BREAKWATER RD MATTITUCK County Tax Map No. 473889 Section 106 Block 0009 Lot No. 007 . 010 pursuant to application dated MAY 25, 2001 and approved by the Building Inspector. Fee $ 150 . 00 /5L Aut t9i zed Signature ORIGINAL Rev. 2/19/98 Form No.6 , TOWN OF SOUTHOLD BUILDING DEPARTMENTAN 14 TOWN HALL ZOOZ ,f 765-1802 - ­__Y____ TC?�: APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. New Construction: t111,1VA,2a Old or Pre-existing Building: (check one) Location of Property: B Q"4 ('0 A-V�_%?z Z b House No. `` Street Hamlet Owner or Owners of Property: ?A&)-T L\ K,ATi t�)A 'S�►2�t3�i S Suffolk County Tax Map No 1000, Section y7 S 8 S I Block b 7„ Lot Subdivision // Filed Map. Loth: Permit No. -73 7 Date of Permit, Applicant: ?gtV_4f1S J/✓1�0�/S Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitter $ -a Applicant Signature BUILDING DEPT. -.--,INSPECTION � [ FOUNDATION IST [ J ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ j FIREPLACE & CHIMNEY REMARKS: DATE O l � � INSPECTOR a�3 7f� suiLuINc DEPT. INSPECTION [ ] FOUNDATION IST [ j ROUGH PL66. [ ] FOUNDATION 2ND [ ] :NAL ULAT [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS:22 ti DATE INSPECTOR 3 71 suaoiNc DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING �i [ FINAL [ ] FIREPLACE 8 CHIMNEY REM KS. G�� DATE INSPECT 765-1802 BUILDING oar. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL66. [ ] FOUNDATION 2ND [ J INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE I f � INSPECTOR �c.:� FIELD INSPECTION REPORT DATE COMMENTS 1c H� FOUNDATION ( 1ST)' II I I FOUNDATION (2ND) ----- ------- jC' r � ` 1 n x � ROUGH FRAME & Ij PLUMBING INSULATION PER N. ! ' STATE ENERGY l CODE I Tj 4114 -1 r FINAL ] ADDITIONAL COMENTS: � Z, M r s H H H n °z � l � i TOWN OF SqUTHOLD BUILDING PERMIT APPLICATION CNECKLIST BUILDING DEPARTMENT Do you have or need toe following,before applying? TOWN BALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 765-1802 r� Survey PERMIT NO. c 1 Check Septic Form N.Y.S.D.E.C. Trustees Examined 120 Contact: Approved:_:Ll S 20A�— Mail to: Disapproved a/c Phone: Buildin Iri ector APPLICATION FOR BUILDING PERMIT S Date �7J 1200( TdWN DF�G�llt3tti 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 Occupancy is issued 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 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. 's I at 0(p (Signature of applicant or name,if a corporation) 4431t,4 to ff I Me f 113 (Mailing address of applicant) State whether applicant is owner, lessee, agent,,architect, engineer, general contractor, electrician,plumber or builder l�2 'C�t 28ndJ- Name of owner of premises P 1Te16 /,-Ab igN6 AA�Q 'O l A s1 N V-: , 46 to (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: — KW House Number Street Hamlet County Tax Map No. 1000 Section_ �G`� Block Subdivision Filed Map No. Lot (Name) 2. S,ate-existing use and occupancy of premises and intended use and occupancy of oposed construction:. a. Existing use and occupancy 1�, �L�'DZlf b. Intended use and occupancy. 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work ~7� (Description) 4. Estimated Cost Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units _Number of dwelling units on each floor l91 If garage, 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 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 Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase %ZnQQ Name of Former Owner -CR W-1:anL0 P G 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded PD Will excess fill be remoyedfrom premises: YES NO lk$-llo 1 � 14.Names of Owner of pr ses I ddress '' one No. y�' 2.Z Name of Architect A UELS Addres "hone No 6031- `Ad- -Z?.Z7 Name of Contractor Address one No. 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF, ''// PA 7 �jl �j�b� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the ©LU (Contractor,Agent, Co orate 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 and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 3 day of?2�2 ±.., 20 o I Saul NotaffPu is Signature of Applicant ANN R970 NOTARY PUBBUC,�State2 ft Park Qualified in Nassau Cant a, Comnussron Expires 1anury 2; o o j SURVEY OF PROPERTi' N SITUATE: MATT I TUGK TOWN: SOUTHOLD W E SUFFOLK GOUNTY, NY SURVEYED 04-05-00 CJ SUFFOLK GOUNTY TAX # 1000 - 106 - g - 7.1 CERTIFIED TO: PANTELI5 SIRIODIS KATINA 51RIOD15 UNITED GENERAL TITLE IN5URANGE GOMPANY Land now or Formerly of: ^gQ Jacob Theodore d ^ De5Plna Theodore 'c 00 S86004'00"E r _ _ 320.12' t; Fonc°alor�W er ° l I m Land now or g �^ formarli of: - li ae 1111 0"1 Ralph 2arl V11- Oergen Jr. Helen Berger 1 �y rwlr. b x.2, r Land now or formerly of: En Mi lton carne d O Joan d. Carney �o 00 n f� ,: , � iY � . • Cao o N86004'0011w 264.44' Land now or formerly of: (� Robert Neison, Jr. Stacey M. Nelson 2 ��A t NOTES: t • MONUMENT W O PIPE t - - AREA = 45,g27 SF OR 1.01 AGRE5 t rp r d.- r co t � � a 0 z Mill �o Q'a of N� OLAND S� ,,,,T,.•, JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202 GR�hPHIG SCALE I"= 40' RIVERHEAD,N.Y. 11901 — ----- ---- 369-8288 Fax 369-8287 REF.–TIGER\PROS\20-142 1 34066 LEGEND & SPECIFICATIONS; R E v I s I o N s NO. D E S C R I P T I O N DATE '7777 77 **9; WALL ��'(a'' 2° 4eak�p . _ Y - tJ!F4d5U1+Y.1 I �P SIN { LUMBER SPECIFICATIONS: All lumber to be used for the new raised deck; railing; Lattice& stairs shall be pressured treated (no.2 common) -4 Grade. LUMBER SIZES: v I BEAMS: 211x 12" JOISTS: 211x " 4 POSTS: 4"x 4" ' ti Ierr LEDGER: 2" x 12" 16 IJP d1 I?' �s DECKING: 2"x 4„ LATTICE: Diamond,pattern u u I STAIR STINGERS: 2" x IO" N I STAIR RISERS: 2" x 8" (7.2" high) fV L'�Ya) — AX4I_. - - I aY STAIR TRENDS: 2" x 12"(11.5" wide) 17CLK RAILING TOP CAPS: 2" x 8" ----- ^� RAILINGS: x RAILING POSTS: 4" x 4" NAILS; FASTERNERS&BOLTS: All nails, metal fasteners; anchor post; lag bolts and etc. _ f Shall be galvanized. T blot 7L,iyf� FOOTINGS• - . !�,)�+N 'gvfA _ ql 1. All new deck footings shall be poured in place concrete SIR LB2t21' P�� �1yy ,�, p0wo IAt�(.I. IFYf► *vi GAPaP-.Id3Fer tiat"'T�o All stair psi) ng x ad x 3'- 6"(h). I"I A�P� ,� __. 2. All stair stinger pads shall be poured in place concrete z. s -'w '^ (3,000 psi). �s'lzR>rlPl'51 ,IHGBMg5 4 0 Y/ I Fatvaf . �Ea1.1/i. `IP '(D PrEMaIN - ' r _ s ' GENERAL NOTES:' 1. The existing concrete patio& steps shall remain. As fired. (� ' 101^bt 10'tiall 101-s�'" / FV-IContractor shall trench holes for new deck footings w,, r. wi,6r, L) I 2. Contractor t""'�; otor shall provide all necessary deck floor joist Bridging as required per code. D A T E N� 3. Contractor Cross existing shallfloor joist where joist Doncre a stepsW 4. Contractor's cost shall include all labor& materials LI G; (/4)14 [_i-0l - A n To complete the installation of the new raised deck. G.Y11� % i T E 0 3 0 v AS OCCUPANCY 0R APPg oI BRaNOTED ��3�/ � USEIS UNLAWFUL NOTIFY BUILDING DEP R7M TAT „M ITHOUTpCERTIFICATE FOLLOW NG INSPEO IOIVM FOR THE OF ®CCUI !l�"� � t FOR POURED CONCRETE REQUIRED 2. ROUGH - FRAMING & PLUMBI'`IL 3. INSULATION 4, FINAL - CONSTFlUCTION 11R, BE COMPLETE FOR C O. ALL CONSTRUCTION SHALL WE THE REQUIREMENTS OF THE M Y I.- STATE CONSTRUCTION & ENERGY I J--4L4 I II P�1T -I (�� �I CODES. NOT RESPONSIBLE FOR 1 11 DESIGN OR CONSTRUCTION ERRORS i L i L L- i i t_a I- l yt y(14P� ` (l ) b tillFtE rfi� Ih�SN� DWG. TITLE, N c w r-s� �Qr� nEk PROJECT TITLE, A" *TAP *TAP P* ' F77- ATTONIS DESIGN ASSOCIATES, INC. I� I 24 OLD NORTHPORT ROAD '2� IM�11 �AIU�y KINGS PARK NEW YORK, 11754 s " 1 (631)544-4220 I - I PAX(631)544-6553 I y� 11X�11 ,y_„�/1,1'. DATE JOB NO. 1=-1 I ✓n/, L.ad� +Cfdd - ate-� I SCALE DRAWING NO. Vw,a�.�z aIza t}Iw A----1I- 2 Pei �l-tga13 FAC / At, NO-(00 L _ �_ i OWN. BY CKD. BV IIS !r I 77777 �T .- — _ � ItFnl. 11-�.l.i ' T^� f� i ' T'I ''il SHEET NO. y OF 1 Ham RGK, 7,9" lQ I-#