HomeMy WebLinkAbout29777-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPA~RTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29829
Date: 11/13/03
THIS CERTIFIES that the building
ADDITION
Location of Property: 6145 BRIDGE LA
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 84 Block 1 Lot 6.11
CUTCHOGUE
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 2, 2003 pursuant to which
Building Permit No. 29777-Z dated OCTOBER 2, 2003
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 EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
·"ne certificate is issued to R3LNDY & DIANE SMITH
(OWNER)
of the aforesaid building.
SI/FFOLK COUIffY DEPARTMENT OF HEALTH i%PPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION Dkr~u
N/A
N/A
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. 29777 Z
Date OCTOBER 2, 2003
Permission is hereby granted to:
R3kNDY & DIANE SMITH
6145 BRIDGE LANE
CUTCHOGUE,N~f 11935
for :
CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 084
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
Fee $ 150.00
6145 BRIDGE LA CUTCHOGUE
Block 0001 Lot No. 006.011
2, 2003 and approved by the
2, 2005.
~ture
COPY
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 ail buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (Sr.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.
g B d App pi it'e pi ' .°
6. Submit Plannin oar roval of corn eted s an 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 line's, streets, building and tmusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building hrspector shall state the reasons therefor in writing to the applicant.
C. Fees t 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- $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15,00, Comanercial $15.00
New Construction:
Location of Property: __
House No.
Owner or Owners of Property: ']'~ / O, Vl~
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. _ ~ t~"7-7 Date of Permit.
Health Dept. Approval:
Plarming Board Approval:
Request for: Temporary Certificate
Old or Pre-existing Building:
&
C-)Street
'
(check one)
~J
Block 0 ~q
Filed Map.
0~pplicant:
Unde~hters Approval:
Ham/et
Lot t:Lt~_ }
Lot:
Final Certificate: I~ (check one)
Fee Submitted: $ ~Q~i ~'~
Applicant Signature
7~s-z~oz
BUILDINQ DEPT.
INSPECTION
[/~FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[]FIREPLACE&CHIMNEY
DATE
~777~-
7G5.1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
ROUGH PLBG.
FINAL
[
REMARKS:
] FIREPLACE & CHIMNEY
DATE
/
INSPECTOR
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HkLL -
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined
Approved
Disapproved a/c
Expiation
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
3 sets of Building Plans
planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mailto:
Building Ing'tSector
- - APPLICATION FOR BUILDING PERMIT
/' ' ,~ ~ ?(}~% ' ~ Date ,2019 ~
\ S~-_,~ L o ~- ........ - , ~, t INSTRUCTIONS "II- --
a. ~Ph/s appti~i~a M05~bft~letely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets ofplan~, aceu~l?~ to scale. Fee according to schedule.
b. pithy.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 the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Brtilding Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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, m~d regulations, and to admit
author/zed inspectors on premises and in building for nece. ssary inspections. C' ~
(bxifl~mre of applicant or name, ifa corporation)
(Mailing adafess of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plurnbe~ or builder
Name of owner o£ premises '~"~ g~ ~ "-~'~ 0c~.eJ~ SPr~ , "~
(As on the tax roll or latest deed
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
3uilders License No.
)lumbers License No.
~lectricians License No.
)ther Trade's License No.
· Location of land on which proposed work will b. gdone:
House Number St~et
County Tax Map No. 1000 Section ~ l,~ Block_
Subdivision
(Name)
Hamlet
Filed Map No. v~
Lot ·
Lot
State existing use and occupancy o,f premises and intenj~ed use and occupancy of proposed construction:
a. Existing use and occupanc3 ~,,31¢ 4-'a~
b. Intended use and occupancy ~ c V~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4.
5.
Estimated Cost ~0 0~_
If dwelling, number of dwelling units
If garage; number of cars
Addition ~(~ Alteration
Other Work
Fee
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
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
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear .Depth
9. Size of lot: Front Rear Depth
Rear
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? YES__ NO
13. Will lot be re-graded? YES
14. Names of Owner of premises
Name of Architect
Name of Contractor
NO__Will excess fill be removed from premises? YES
Address Phone No.
Address Phone No
Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__
* IF YES, SOUTHOLD TOWN TRUSTEES & D:E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO
NO
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 sur~,ey.
STATE OF NEW YORK)
SS:
COUNTY OF )
'~0. rv~ ~, ,~ lq~ ~.3~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate 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.
Swol:;a to before me this I] ~
~ ' ~ Notary Public
LYNDA M. BOHN
NO'I~RY PUBLIC, State of New York
No. 01 B06020932
Qualified in Suffolk County
Term Expires March 8, 20~__.~
LL
Z
J
Uniformly Loaded Floor Beam[ 2003 International Buildin~ Code (01 NDS) ] Ver: 6.00
By: Joseph Fischetti, PE, PreSessional Engineers on: 10-01-2003: 5:28:44 PM
Proiect: Randy Smith - Location: Beam Design for Deck
Summary:
( 2 ) 1.5 IN x 7.25 IN x 6.0 FT / #2 - Southern Pine - Dry Use
Section Adequate By: 31.2% Controllin~l Factor: Section Modulus / Depth Required 6.33 In
* Laminations are to be fully connected to provide uniform transfer of loads to all members
Deflections:
Dead Load:
Live Load:
Total Load:
Reactions (Each End):
Live Load:
Dead Load:
Total Load:
Bearing Length Required (Beam only, support capacity not checked):
Beam Data:
Span:
Unbraced Length-Top of Beam:
Live Load Deflect. Criteria:
Total Load Deflect. Criteria:
Floor Loadin~l:
Floor Live Load-Side One:
Floor Dead Load-Side One:
Tributary Width-Side One:
Floor Live Load-Side Two:
Floor Dead Load-Side Two:
Tributary Width-Side Two:
Live Load Duration Factor:
Wall Load:
Beam Loadin~l:
Beam Total Live Load:
Beam Self Wei~lht:
Beam Total Dead Load:
Total Maximum Load:
Properties For: #2- Southern Pine
Bendin~ Stress:
Shear Stress:
Modulus of Elasticity:
Stress Perpendicular to Grain:
Adjusted Properties
Fb' (Tension):
Adjustment Factors: Cd=1.00 Cf=l
Adiustment Factors: Cd=l.00
Design Requirements:
Contrellin~l Moment:
3.0 ft from left support
Critical moment created by combining all dead and live loads.
Controllinq Shear:
At a distance d from support.
Critical shear created by combining all dead and live loads.
Comparisons With ReGuired Sections:
Section Modulus (Moment):
Area (Shear):
Moment of Inertia (Deflection):
DLD=
LLD=
TLD=
LL-Rxn=
DL-Rxn=
TL-Rxn=
BL=
L~
Lu=
L/
L/
LLI=
DLI=
TVVI=
LL2=
DL2=
TW2=
Cd=
WALL=
wL=
BSW=
wD=
wT=
Fb=
Fy=
E=
Fc_perp=
Fb'=
U~
Sreq=
S=
Areq=
A=
Iraq=
I=
0.02
0.06
0.09
960
376
1336
0.79
6.0
0.0
36O
240
40.0
15.0
4.0
40.0
15.0
4.0
1.00
0
32O
5
125
445
1200
175
1600000
565
1200
175
2O04
1069
20.04
26.28
9.16
21.75
29.16
95.27
IN =L/1176
IN =L/845
LB
LB
LB
IN
FT
PSF
PSF
FT
PSF
PSF
FT
PLF
PLF
PLF
PLF
PLF
PSI
PSI
PSI
PSI
PSI
PSI
FT-LB
LB
IN3
IN3
IN2
IN2
IN4
IN4