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HomeMy WebLinkAbout28368-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29909 Date: 12/11/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 410 HUCKLEBERRY HILL RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 16 Lot 3.2 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 7, 2002 pursuant to which Building Pez~nit No. 28368-Z dated MAY 8, 2002 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 TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to AiqDREA TL~NG of the aforesaid building. (OWNER) SUFFOLK COUNTer DEPARTMENT OF ~EALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION Rev. 1/81 N/A 1183210 12/04/03 N/A FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28368 Z Date MAY 8, 2002 Permission is hereby granted to: ANDREA TUNG PO BOX 603 EAST MARION,NY 11939 for : CONSTRUCTION OF A 400 SQUARE FOOT ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 410 HUCKLEBERRY HILL RD EAST MARION County Tax Map No. 473889 Section 031 Block 0016 Lot No. 003.002 pt~rsuant to application datedMAY 7, 2002 and approved by the Building Inspector. Fee $ 75.00 COPY Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY I 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. Cmmrtemial 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. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: l. Accurate survey of property showing all property lines, streets, building and unusual 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 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 - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commemial $15.00 Date. Old or Pre-existing Building: New Construction: Location of Property: ~/fl fi/~/~U)~//{°~,2/fTf House No. / Street Owner or Owners of Property: fi~ d~'~ ~2C/'-/"-- ~ Suffolk County Tax Map No 1000, Section ~'~ ] Subdivision Permit No. ~b~ Health Dept. Approval: !/)0V'/ ~ Planning Board Approval: ~tj 0~ ~ Date of Permit. Request for: Temporary Certificate Fee Submitted: $ o~-q, ~ C (check one) Hamlet Block ] ~ Lot Filed Map. Lot: Applicant: ~9(J~ffC ~ Underwriters Approval:~2to%~ f/ Orl ..J, ~O~t Final Certificate: ~' (check one) A BY THIS CERTIFICATE OF COMPLIANCE THE i NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 ~ CERTIFIES THAT r~ Upon the application of upon premises owned by re- JIM SAGE ELEC. INC. ANDREA TUNG re_ P.O. BOX 38 410 HUCKLEBERRY HILL ROAD g- GREENPORT, NY 11944-0038, EAST MARION, NY 11939 ~ Located at 410 HUCKLEBERRY HILL ROAD EAST MARION NY 11939 ~ Application Number: 1183210 Certificate Number: 1183210 ~ Section: Block: Lot: Building Permit: BDC: ns11 ~_ Described as a Residential occupancy, wherein the premises electrical system consisting ~ electrical devices and wiring, described below, located in/on the premises at: ~ First Floor, garage, Detached Garage, Outside, ~ was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was ~ found to be in therewith the 4~ of December, 2003. compliance on Day ~ Name QTY Rate Rating Circuit Type Panels r~ 1 40 4 ~ Wiring and Devices re Receptacle 3 0 General Purpose ~ Switch 3 0 General Purpose  Fixture 4 0 Incandescent Receptacle 2 0 GFCI F~ seal g. 1 of 1 ~ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BUILDING PERMIT EXAMINER CHECK LiST APPLICANT NAME: 00&~120~~ SCTM# DISTRICT: 1,000 SECTION:~_~I BLOCK:{(:>_ LOT: ~).Z.2 PROJECT DESCRIPTION: (~0.~C~ ~ q(~ -.~'1..4C . ESTmATED PROJECT COST: ~~ ~CHITECT ~~ FAST T~CK? ~0 DATE REVIEWED: J'/8/02 DATE SUBMITTED:x.~./:~-/02 SINGLE & SEPARATE CERTIFICATION-REQUIRED? ~ NOTES: LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1. ZONING DISTRICT: Q- qO CONFORMING? REQ. LOT SIZE:~/O,°°° ACT. LOT SIZE:~r~Q. LOT COV. REQ. FRONT ~'r PROP. FRONTa~7_~Q SIDE REQ. REAR ~ '5"-' PROP. REAR WATER FRONT? PmEL #:/?-7- ACT. LOT COV. ACT. SIDE ?/[~ DESCRIPTION: ~ ~ FLOODZO~: ~ , ~ APPROVALS REQUIRED SUFFOLK COUNTY HEALTH D?~T: YES o~BED #): _ DTE: TOWN SEPTIC RECEIPT: Y NEW YORK STATE DEC: PRE-DEC 9/1/75 YES od '~ [00 / SOUTHOLD TOWN TRUSTEES: YES o~'J~ TOWN ZONING BOARD APPROVAL: YES ori~ TOWN PLAN. BOARD APPROVAL: YES TOWN HISTORICAL PRE (SPLIA): YES ~ / / PERMIT #:RI0- l NYS ENERGY: YES OR NO : EGRESS (18 H min.? 4 sq total) ~/~'- VENT (SQ. FT. k 4%) _A//'~-LIGHT (SQ. BUILDING PERMITS OPEN/EXP~,ED: BP -Z / C/0 Z- , HAVE PRE CO'S: Y OR N BP -Z / C/0 Z- , NOTES: FT. x 8%) FEE STRUCTURE: roT(At/ex> SF)-( FOUNDATION: SF FIRST FLOOR : SF SECOND FLR: SF INIT TOTAL: SF FEE OTHER TOTAL FEE FEE .SF)=_ SF X $ =$ +$ +$ = $ ~ 765-1802 BUILDING DEPT. INSPECTION [ ~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [,]~U~ FRA:iDNA~ION 2ND [[ ]] IF~::~ATION [ ] FIREPLACE/~/(~HIMNEY' REMARKS. ~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ].~IJLATION [ ] FRAMING [/~'~FINAL [ ] FIREPLACE & CHIMN~// DATE FII~LD INSPECTION REPORT FOI~rNDATION (1ST) FOU'NII, ATION (2NB) ROUG~I FI~4~WII2~G & P L LrNFB L.N G 12NSULATION PER N. Y. STATE E,.NrERG'k' CODE FINAL ADDITIONAL COIVI2M~_aX~S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765~1802 FAX: (631) 765-9502 Approved Disapproved a/c BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval PERMIT N Check Septic Form N.Y.S.D.E.C. Trustees Contact: ?rector ~ APPLICATION FOR BUILDING PERMIT ~ Date --J 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 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 zon/ng amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the perm/t 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, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant ~ name, ifa corporation) (Mailing addr~ess~f:ap~lieant) c/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder /~ ~/2/ff -~'~fif~['As on the tax roll or latest deed) Name of owner of premises If applicant is a corporation, signature of duly authorized officer (~orporate officer) Builders License No. Plumbers License No. Electricians License No._ Other Trade's License No. 1. Location oflaqd on which p[qposed y~ork will be drone. _ /-/5/1 House Number ~ s~et County Tax Map No. 1000 Section ~[ Block J{2 Lot Subdivision Filed Map No. Lot (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 l~-/JO}Ct4/('q ~£0~ 3. Nature of work (check which applicable): New Building t~/ Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost 7~//3} .-~'()// ~/-/ Fee 5. If dwelling, number of dwelling units If garage, number of cars ,~ (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height 8. Dimensions ore, tire ne~v construction: Front Height 1,2/-~ bhlCtb~ Number of Stories ,/ 9. Sizeoflot: Front /~'] Rear ]/5 Rear Number of Stories Rear c~£.'~~'-- Depth,~/ ~ 10. Date of Purchase ~7 3/?/~] Name of Former Owner 11. Zone or use district in which premises are situated Dept 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO __ 13. Will lot be re-graded? YES ~ NO ~Wil1 excess fill be removed from premises? YES 14. NamesofOwnerofpremises/~ti/~' 7~-~ Address jv~ Name of Architect -~/~ff" 7~O ~ Address Name of Contractor ~ t Address NO Phone No. bYi ~'7 7 '/O[d Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~9 * 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. 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 ) .1..~ C; /t?, 1~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual ~sign~g contract) above named, (S)He is the __~./, 'Tbr?/~ (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 tkis application are tree 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 1.~ J (} Nota{y Public JOYCE M. WILKINS N~ ~P~u~bl.,i~.~ ~ N~ y~ e~ ~sr~Ju~ 1~ ~ Sigt,~a(ure of Applicant $' Sa'OO,oo. u. ~ ' / SURVEY FOR GARAGE FOUNDATION L OCA TION A T EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000 - 31- 16 - 3.2 SCALE.. 1"= 40' JUL Y 24, 2002 / Sepf. 2002 (revisions) 01 Ib OF SECTION ?eO~ O~ TNE N~W Y. ~O~ STATE ~A T~ ~ ~ V~ F~ ~ ~ ~ ~$ ~ ~Y F S. LIC. NO. 49~8 5-17 97 ~ ~ ~s.~. ~ ~ ' ~c~ ' ~ ~f ~)8( ~ STREET [~7-/~ S~T~LD, N.Y. 11971 02- 258 ~, 3~.00~00, ~ N/O/~ W~N~c ANY ALTERATION OR A~TJ~N TO ~ ~RVEY IS A V~A T~ ~T A~ ~ ~CT~ ~ - ~ E. ALL ~~ ~T~LY TO C~Y ~TH ~ LA~ T~ ' AL~ BY ' MUST ~E ~ BY ~Y AND ,41.1. ~URVEYOt~ UT~N~ A COPY 8ROO~IT ~ TO-~(~TE ARE I*IOT ,W ~ ~TH THE LAW. SURVEY FOR GARAGE FOUNDATION L OCA TION A T EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. ~000 - 31- ~6 - 3.2 SCALE: 1" = 30' JUL Y 24, 2002 SepL 6, 2002 (rev/sion) /7 __. ' y~%,o PECONJC SUm rYOR$~ P.C. (631) 765 5020 FAX (63/) 765 - 1797 P. O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 ) NO. 49618 02- 258 ANY ALTERATION OR AOD~TION TO TI'~IS SURVEY IS A VIOLA TK~I OF SECT/ON 7;~09 OF THE N~W YOI~K STATE ~UCA TION LA~. EX.PT AS P~ ~CT~ ~09 ' ~VIS~ E, ALL ~R~AT~ ~ON A~ VAL~ F~ T~ ~ A~ C~ T~ ~ Y F SAD ~P ~ C~S ~ ~ ~S~ S~L ~ T~ S~VEY~ ADDITIONALLY TO COMPLY WITH ~ LAW TERM *ALTERED BY ' MUST 8E USED BY ANY AND ALL SURVEYORS UTILIZIN6 A COPY OF ANOTHER SURVE~"OR'$ MAP. T'E~MS SUC~ ° INSPECTED ' AND · BROUC~I"IT - TO - J~TE " A~'E NOT IN COMPL~AICCE FILTH THE LAW. SURVEY FOR GARAGE FOUNDATION L OCA TION A T EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 31- 16 - 32 SCALE' 1"= 30' JUL Y 24, 2002 PECONIC SU~ (631) 765- P. O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N, Y. 11971 49618 '65 - I797 O2- 258 AT. -'- ' : ' " '9,','.'.., _o LICENSED LAN"~ SURVEYORS GREENPO, R T: NEW YORK SUFFOLK CO. HEALTH DEPT. SYSTEMS WfLL CONFORM THE SUFFOLK CO. DEPT. -OF HEALTH SERVICES, APPLICANT ' Ir SUFFOLK COUNT~ OF SERVICES -- FOR ' APPROVAL' OF CONSTRUCT tON ONLY DATE: H, S. REF.'NO.: APPROVED: SUFFOLK CO. TAX DIST, SECT, '-'F,-P*I ,,. i ~ j DEED:. 20',WIDE GARAGES1 BE COMP~E ~OR ~ ALL CONSTRUCTIOM gH~L ME~ THE REGUIREMENTI OF THE N,~ STATE CONSTRUCTION & ENERG~ CODES. NOT RESPONSIBLE FOR 4./]2 ~OO~ PITCH OCCUPANCY OR USEIS UNLA~FUL WiTHOUT CERTIFICaTE OF OCCUPANCY UNDERWRITERS CERTIFICATE REQUIR£a MINI~MU~_ RAFTER SIZE A~N_D SPACING - DEAD i 20' WIDTH {10' RAFTER I 22' WIDTH (11' RAFTER LIVE LOADi 30 40 15 2x6~ 16"OC. ~. 2x8@ OC 24" 7 2 x 8 @ 24"O.C , 2x8@16"OC 40 · 15 2 x8 ~24"0 C. .... ~ ~ 2x8~ 60C 45 ~ 15 I 2x8@ 16"0.C - ' ~ t & 2x8@16"OC Shaded area indicates designed load value -- Use # 2 S P F of bett~r Lumber Specifications ~ ........... For Rafters: E= 1,4xl0k6psi @L/240 - o oo ol-] ~2" ~. J ~ ~ F~ I . m I , T~I~~ ~ m ~m 114" ~ 1/4" ~)" -6' 20'~' 20'.-0" ~P~ Fo' ~2 ELEVATION 5OALE: I/4" = 20'-.0" 4/12 ROOF PITC, H 12 ELEVATION 5C. ALE~ 114" -- I'-0" 4/12 R, O0~ PIT(.,H Ix(::, ~AKE ~A~D DOORS AND ~INDO~",_~ T"r'PIGAL 12" LAP 5IDIN® ?HO~dh: k~/10" EXPO~ 5IDIN® ®~ADE CxgMPO~ITION SHIN~L[~ 1×2 F~I~Z~ ~ T I'fflC,AL RleHT ~IDE ELEVATION SCALE: l/4" : I'-0" O~TIONAL 2'~' x ~'8' ®~ADE 4,/12 ~ PITGH IllTH OPTIONAL F~I~L I~ TYF:~,.AJ_ L~-I=T ~1~ I~LL~/ATION OPTION/N. 2x4xlO'-O" 4D" O,C-. DETAIL ~ F:~2q~OJT 5TUD~ 0 I,~" O.O 1.2 ~PLIC.E ~,ALL 1 lES ~/~' 2x4 PL'KP~OD i/4" 4/12 TO C)ETAIL 12 FRONT FR.~HIN~ ELEVATION 20'*O' INII~ 4/i2 ~ PITCH I~?" Or_.,. REAR I=RAt-IIN~, ELEVATION ~,ALE: V4" = c-o" 20'o0' P',II[::~ ALL C~P'TH 4/1:2 ROOF: PITCH 2x~ R 113:'C7~ F:EEFE~ TO [2ETAIL FO~ COP-NEE O {b" O.O. F~OiM 2x4 RIC~T ~l~E! I::R~ad~llN~:, FLEVATION I/4" = I'-0" 20'-O' HIDE 20' DEPTH OPTIC:~ 4,/12 ~ PITC~ I~IITH I& O.C. [.EFT ¢-~11:2E FI~AHIN~ ELEVATION SCALE: I/4' -- I'-O" 20'-O' 1'~III2E 20' 1:2EPTH OI:~'ION 4/12 ROOf= PITCH 2-2x& HEADER D,E~IN STUD E~'PACINE~ 16" O.d.,. FROM CORNER 2x4 DTU~ o lO" O.C,.