HomeMy WebLinkAbout27842-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28203 Date: 02/08/02
THIS CERTIFIES that the building ADDITION
Location of Property: 260 FOUR WINDS CT SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 88 Block 6 Lot 13.39
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 23, 2001 pursuant to which
Building Permit No. 27842-Z dated OCTOBER 29, 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 TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JUNE CASTELNUOVO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
ori d Si ature
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. 27842 Z Date OCTOBER 29, 2001
Permission is hereby granted to:
JUNE CASTELNUOVO
56 BAKER HILL RD
GREAT NECK,NY 11023
for
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at 260 FOUR WINDS CT SOUTHOLD
County Tax Map No. 473889 Section 088 Block 0006 Lot No. 013 . 039
pursuant to application dated OCTOBER 23 , 2001 and approved by the
Building Inspector.
Fee $ 150 . 00
Zl)
Authorized Signature
ORIGINAL
Rev. 2/19/98
Form No.6 ,_ (� r17
7 r„
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL Q
765-1802 ;
APPLICATION FOR CERTIFICATE OF OCCUPANCY 13[-DG.C,:`L
TO4�JK 43.lTHO�D
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: mor Pre-existing Building: (check one)
Location of Property: '�.�nU `�``2- `-� �.�s c-
House No. Street 11aml
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section 0 `, - Block L Lot
Subdivision Filed Map. Lot: 3�
Permit No.`�y�`�Z Date of Permit. o a, Applicant: �V\ o�l
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: 1`�- (check one)
Fee Submitted: $ `J c' O
__ --\�j \"(3 V
C Applicant Signature
T7��1-1��1CL 7-1,WT !�T T T T
Applicant/ ✓ Date
Owners Naive: Reviewed:
Architect/ Date
Engineer: Submitted: 101-43101
SCTM #:
District: 1.000 SectJon: 131ock: Lot: — 1 D J
Project Subdivision n
Location: (007-_ Name:
Sin&Ie & separate Required
certification: (Yes/No) , �
Req. Req,
zoning 1)istriet (1.01 size: Actual: o 1 11,01 coverage �Proposed,
Req. i Req. Req,
(front Yard e,60 Proposed. (Side Yard Proposed: i (Rear Yard S D/ Proposed d /
Project Description:
AGENI,'=ERMITS Permit
REQUIRED FOR REVIEW N.A. INO YE Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
- Flood Plane Elevation??? ,�u�X � (��
Flood Zone:
�Otes:
3. a
STATE OF,NEW YORK )
) ss:
COUNTY OF SUFFOLK )
being duly sworn, deposes and says:
That deponent is over the age of 18 years and resides at
That on the day of dGx� C. , 2001 deponent arch itect/engineer,
licensed by the State of New York, hereby states that s/he accepts full
responsibility for the accompanying plans compliance with the New York State
Fire.Prevention i ing-Code (9 NYC Rr s lans pertain to property
located- CTM# 1000-
stree addre
Ar hi t/Engin
Sworn to before me this
/(,-day of 0 Combe-- , 2001. GRACE mcll us
PW*,Slate of Now Yank
No.01MC6049089
Qualified in Suffolk County
.� rkQ V�nC YVI a C4mMu&ft E*ms octio,
No ary Public g
Y)C-114-71
cc: Applicant
UILDI PT.
INSPECTION � �
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU ON
[ ] FRAMING INAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS:
DATE -9.2--INSPECTOR
M-saoz
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ j FRAMING FINAL
[ ] FIREPLACE & CFIIMNEY
REMARKS:
A/a--"74014, �e�.
DATE zLi�.i INSPECTOR_��
suiLDiNa DE".
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] move NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ) FIREPLACE 8 CHIMNEY
REMARKS:
v�� inn ,Las 92�?/lt /Lo+ca. �
C14L a
DATE a- m INSPECTOR
�ISLD INSPECTIOff-FXPOPT '- DATE -
a=�-�.�_....�r.-a=s=�-:=�-asica����==�__===�^�^�=_=�^•-m=��`��l\=.Ss�manaa==��acn�a
h•�>' -
MMATION ( 1 STY
IO
LiDATION (2ND) a
RMGH FRANK op o
PLUMBING
a-
INSULATION PER N. T.-'
�` sn
STATE ENERGY f
CODE• '
!
FINAx. ? _ (�
. A
CA
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2DITIONAL CMMTS: 3
• W
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTN JEIW� Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY�1 (� 3 sets of Building Plans
TEL: 765-1802 7Survey
ua
nj 218 20ff NO. o(7,F�{ — Check
Septic Form
SLOG.DEPT. N.Y.S.D.E.C.
JVrf O Trustees
Examined o a Contact:
Approved 10 ,2001 Mail to:
Disapproved a/c
Phone:
�(
Building Der-
APPLICATION FOR BUILDING PERMIT
Date , 20
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,hou ' g code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
OCCUPANCY OR
USE IS UNLAWFUL (Signature of applicant or name,if a corption)
WITHOUT CERT FICWE '��
OF OCCUPANCY
(Mailing a d&ess'of applicant)
State whether applicant is ner ssee, agent, architect, engineer, general contrac
t ag Wwwwr or builder
0 AT It. 01 '? �
/ NOTIFY BUILDING ENT AT
Name of owner of premises ` un-� Lis < rVQVQ785.1802 9 AN = 4 'M p-0R THE
(as on the tax roll or latERI NG INSPIG,TOft
1. FOUNDATION • TWO REQUIRED
If applic at' n, signature of duly authorized officer FOR POUREDCONI'S I
2. ROUGH • FUN" i PLUMBING
& INSULATION
(Name and title of corporate officer) 4 FINAL . CONSTIIUCTION MUST
of COMPLETE FOR C.0.
Builders License No. ALL CONSTRUCTION SHALL MEET
THE REciUIREMENTS OF THE N.Y.
Plumbers License No. STATE CONSTRUCTION d ENERGY
CODES. NOT RESPONSIBLE FOR
Electricians License No. 098"OR CONSTRUCTION ERRORS
Other Trade's License No.
1. Location of land on which proposed work wi 1 be done.
House Number Street h Hamlet
County Tax Ma No. 1000 S f on �� Block Q�p M Loot- .�9' '
Subdivision Filed Map No. 7o2 7 Lot �,317
(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
3. Nature of work(check which applicable): New Building Addition teration
Repair Removal Demolition Other Work r
a(Description)
4. Estimated Cost- „0ON , �^' Fee r ,rte .•.r
(to be paid on filing dies application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
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 Ae-Oc- WRear-3 t-&0 Depth
Height J Number of Stories
9. Size of lot: Front ` Rear 1 Depth •�"�l
10. Date of Purchase Name of Former Owner
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 Will excess fill be removed from premises: YES
14. Names of Owner of premiss Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone 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 tb property lines.
17. If elevatiojgff qTjqf
6perty is at 10 feet or below,must provide topographical data on survey.
STATE Or ME w I 1TA0
COUNT'!
d. y being duly sworn, deposes and says that(s)he is the applicant
(N jW WI �,4 t)above named,
STUH
(S)He is he
TZUM Agent, Corporate Officer, etc.)
.0.3 Rol 3 T3jgmo3 38
of said oWh-e br?d*h&s i to perform or have performed the said work and to make and file this application;
that all statemett ctfiQt�� are true to the best of his knowledge and belief; and that the work will be
performed in the nn�sTa �Q, 1� tion filed therewith.
Sworn to bef re me this" ' � ��
day of 200 I
Not blic Signature of Applicant
DONNA FIRENZE
Notary Public,State of New York
No.485585,County Of Suffolk
Commission Expires Sept.30.Ifts..
3
JOB No. 00-08 TAX I.D. No 1000-88-06-13.39
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SEPTIC LOCATIONS 4
0"3E ��rs000,
CORNER A CORNER B
SEPTIC 27 20'
LP1 3T 19
i LP2 3T 31'
LP3 24' 30'
I
i
j N 0 F WELI e 9., -T' R,VICE j
LINES, �t.:.f 1 ..a `�i. ±...� f711Lf `Ly�ItOOLS
SHOWN H(-.'.RE-0N ARE FIELD OBSERVA- \,ot3`'
TIONS AND OR DATA OBTAINED FROM
OTHERS.
i
I
FILE MAP NO.9727 8/23/95
Unauthorized alteration or addition to this document is a violation of Section 7208 I
of the Now York state Education Law. SURVEY OF: LOT 37
Certifications indicated hereshall run only to the person fur wham it is prepared
and on his behalf to the Title Company.GovernmentalAgency and Lending j
Institutions listed hent,and to the asspnees of the Lending Institution or MAP OF ANGEL SHORES '
subsequent ow r ers.
Copies of this document not beanrtg,the professional's inked seal or embossed
N seal shall not be conskWed a valid true copy. BAYVi EW, TOWN OF SOUTHOLD i
i-- YO The onsets[ or dimensions I shown hereon from structures to the property lines are
,�Q' +j► for a specific.purpose and'use and therefore are not intended to guide the erection of SUFFOLK COUNTY, NEW YORK
s �, fences,retairtfng ,pools,patios,planting areas,addition to buildings,or any other
construction.
The e>ostence of rrdra or ways and/or easements of record,if any,not Shawn are ! SURVEY DATE 9/29/00 SCALE: 1 =
y:.i t0
z CERTIFIED ONLY TO:
O ENSE bYJi F J JUNE CASTELNUOVO DESTIN G. GRAF
.a9 LAND SURVEYOR
FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK73 WomAwm
NORTH STAR TITLE AGENCY TITLE No.712-S-00762 Road
I Rocky Point,New York,11778
51"21-3"2
By DESTIN G.GRAF N.Y.S. LIC NO. 50067
Existing Structure
Existing Structure
4-1
-- Existin Doors- O
3''0„
Existing Window —6,011 TYP.LEDGER BOARD
6'Oft *2X8 CCH treated Southern Yellow Pine#2 a4
*
1/2"Lag bolts 24"OC
A
TYPE DECK SUPPORT PER&POST � i��
*12"X36"concrete pier 5'6"
*Metal post support embeaded in pier Dar H eti
*4x4"CCH treated Southern Yellow Pine#2 post i
v o
a
o � doo
— --T
4/ 1'5- /8" -T' -1/ -7'5-[/8' 5-1 4" > Z N
5,0"
TYP.DECK FRAMING AND PLANKING b
Yellow Pine#2 16"OC \ ,.) p .-
2X8 CCA treated Southern d 13'01, o
*5/4x6"CCA treated deck planks 8 4-1/2" y +;
v bCG o d
o I �
UC-4yW
X
5-611
,6„ N
---- 0'
1'6" rJ
tM
--38'4-3/4"— - - -- — -------—
O
Notes: N
o
*All lumber 40r CCA treated SYP#2 except planks Railing spindle
y p p CCB hand rail O
*All top planks 5/4x6" CCA treated premium grade SYP 4x4"CCH railing post 5"K 3-1/2" /,---7111-3/4" - y pry C=
All fasteners hot dip or electro galvinized , y, _ -
*Concrete to be 30001b min. /
2'7-1/2" 2'1-1/2" G
*Metal joist hangers shall be used to attach joists to ledger board
*Ledger board to be bolted to existing structure using 1/2"lag bolt4 ` o
*New deck structure to approximately match existing front deck inr 2,11a/2" Doable 2 2x10"Beam 3" ~
*Railings to be installed around entire deck and along all stairs `�o �a �� 2x8"CCA joist 3/B"bolts p ca
Grade CA Z5/4x6"CCH planks Typ 4x4"CCA post 'b *.A
w
3'0" *Attached to pier w/metal bracket
*Fastened to beam w/metal plates ,r
X.--- NW ..q
1.4
KT y PW
Rear Yard Deck Plan Section A-A a �,
Scale: 3/16"-1'-0" Scale: 3/16"-1'-0"