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,.