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29447-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29961 Date= 01/14/04 THIS CERTIFIES that the building ACCESSORY Location of Property= 1275 GOLD SPUR ST CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 95 Block 4 Lot 18.10 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 30, 2003 pursuant to which Building Permit No. 29447-Z dated MAY 30, 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 ACCESSORY DECK ADDITION TO AN EXISTING ABOVE GROUND SWIMMING POOL AS APPLIED FOR. The certificate is issued to THOMAS & DONNA HENNESSEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO, N/A PLUMBERS CERTIFICATION DATED N/A zw\> uth rized Signature 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. 29447 Z Date MAY 30, 2003 Permission is hereby granted to : THOMAS A HENNESSEY PO BOX 450 CUTCHOGUE,NY 11935 I for I CONSTRUCTION OF AN ACCESSORY DECK ADDITION TO AN EXISTING ABOVE GROUND SWIMMING POOL (PERMIT #29285Z) AS APPLIED FOR IN THE REQUIRED REAR YARD at premises located at 1275 GOLD SPUR ST CUTCHOGUE County Tax Map No. 473889 Section 095 Block 0004 Lot No. 018 . 010 pursuant to application dated MAY 30, 2003 and approved by the Building Inspector to expire on NOVEMBER 30, 2 Fee $ 131 . 70 Auized Signature tho77 ORIGINAL Rev. 5/8/02 Form No.6 + i CLC 3 2004 TOWN OF SOUTHOLD 9 c� 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 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 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, Commercial$15.00 Date. f ot2g1f t)° New Construction: Old or Pre-existing Building:g (check one) Location of Property: . d t �, LA,'_a House No. Street v Hamlet Owner or Owners of Property: `- W ou ii &KI4 61}ilz -nelwe656V Suffolk County Tax Map No 1000, Section �4 7 3 9 9 1 Cd 5 s Block Subdivisim Filed Map. Lot: PermitNo. el /, , t ` � � > Q s - Date of Permit. 3D/03 Applicant: pg{_,1fE,G�S �knrl S5 � Health Dept. Approval: Underwriters Approval: 1 Planning Board Approval: Request for: Temporary Certificate Final Certificate: t `'r (check one) Fee Submitted: $ Applicant Signature TOWN OF SOUTHOLD PROPERTY RECORD CARD )WNER STREET 7fj VILLAGE DIST. SUB: LOT�� , r ^ Z),4' .^!„� ORMER OWN9R N E A Cry�c-1 S W TYPE OF BUILDING "'�F':"..: L .,.,/.,..r�:•=°'. ''�s�'f=sem,. I - _ ,. .S. etil SEAS.. VL FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ✓5'J�'-2. So C'u.2- '�{'1'�- o a + /7'u O'tl Y �G .�a�z,a../iR `,.,`s yn' Y 5 Q - L1 4 a tvtC 4x:) Ren 1 60(n`Tj�v' �?j5Sm N0c 73 4fa Ea 3 � 1 I� �t � - ��1 t1 �^ �O �kB7�a`���f vd fc� illable FRONTAGE ON WATER /oodland FRONTAGE ON ROAD leadowl.and DEPTH louse Plot Q? 7 �tag�ea t531 '46 BULKHEAD otal COLOR �Yta TRIM -------------- ------------- -------- M. r l Bldg. 121, 2 - Ga 3�C7 W7(, — Exte cion _ �7ta` Ex ension A_(__ H#f Extension 7o Foundation C Bath 2 Dinette Porch 4o N Basement Floors K. Porch Ext. Walls Interior Finish LR. Breezeway Fire Place b Heat DR. Garage �Ca q-UN 4a r Type Roof Rooms 1st Floor BR. Patio 2 Recreation Room Rooms 2nd Floor 2n O. B. tet avGu o Ak,. _Atn QS.9 Dormer Driveway Total BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: El_ /03 APPLICANT: DATE SUBMITTED: SCTM# DISTRICT: 1,000, SECTION: , BLOCK: , LOT: Vc4 P© SUBDIVTSION:( k� dQ ¢ ADDRESS: Ccfb ' FRI L CITY: QZNt(y,.�`t` ZONING DISTRICT: CONFORMING? Mo BUILDING PERMITS OPEN/EXPIRED: BP 9 -z l ao z-a � INFO /BPaT 36:z/C/O Z- 2 2� , INFO / L c� BP -Z/ C/o Z- INFO /BP -Z/C/o Z- INFO PRE CO: Y OR N BP -Z/CIO Z- SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.19,,97 100-25.Merger.(A nonconforming at anytime after 7/1 REQ. LOT SIZE: ACT, LOT SIZE: REQ. LOT COV. Q, /F ACT. LOT COV. REQ. FRONT ,f'_PROP. FRONT__�REQ SIDE ACT. SIDE REQ. REAR 3-o PROP. REAR , p/ REQ. HEIGHT 1P�RJOP. HE HT PROJECT DESCRIPTION: ESTIMATED PROJECT COST: g> ARCHITEC cns`I� FAST TRACK WATER FRONT? DESCRIPTION: PANEL #: FLOOD ZONE: , COMPLIANCE: APPROVALS REOUIRED SUFFOLK COUNTY HEALT EPT: YES oreld'61(BED #): DTE: _/_/ PERMIT #: N �% TOWN SEPTIC RECEIPT: Y 6fW) NEW YORK STATE DEC: kRF-DEC9n175 YES o SOUTHOLD TOWN TRUSTEES: YES N TOWN ZONING BOARD APPROVAL: YES TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES o NEW YORK STATE CODE COMPLIANCE (SEE PAGE : YES o NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: % SF FEE FEE FEE 1. ( AV SF)- SF)= /VSF X 310 -s 5-(C +$ 2. (_SF)- ( SF)= SFX 3. ( SF)- SF)- SFX FINAL TOTAL: S all 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: t 6 r DATE Idii,11N INSPECTOR r FWLD INSPECTION REPORT DATE co A trorS S FOUNDATION(1ST) \ x --------------------_—_-- — G FOUNDATION(2ND) z 0 z ROUGH FRAMING& PLUMBING � V 1 INSULATION FERN,Y. C y STATE ENERGY CODE - X b 0 FINAL y ADDITIONAL COMMENTS R e. Z M © y O z m b r� TOWN OF SOUTIIOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey - www. northfork.net/Southold/ PERMIT NO.cX / 7 Check Septic Form_ N.Y.S.D.E.C. Trustees Examined 20 Contact: Approved 20 Mail to: Disapproved a/c P Phone: Expiration e✓ ,20� Qininector _ ._... Ai. ICATION FOR BUILDING PERMIT Date 120 INSTRUCTIONS a. T "Ilk tTST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, act ur tea 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 zoning amendments or other regulations affecting the property have been enacted in the interim, the Building 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, and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a 1�}ratiogn)) e S0 (— (Mailing (Mailing address pp scant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder 0 U�) )oe.r Name of owner of premises T o MFa � N J onSq��{ (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: [qb Qj&GCr 1Z `tare Cry hog u� House Number Street H et County Tax Map No. 1000 Section C)S Block Lot Subdivision Filed Map No. Lot (Name) 2. State existing u'se aidoccupancy 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 Alteration 1 Repair Removal Demolition Other Work'jj e-Lk. Arooyad. `innl A (Description) 4. Estimated Cost 02,'- &60�(D Fee it "� (To be paid on filing this 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 Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 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 NO_,�//Will excess fill be removed from premises? YES NO 14. Names of Owner of premises ,,QeS5,�',-AddrcsstqD Q1� S�cld�e.I6u�PhoneNo. tri Name of ArchitectIJIN31r I--Ortaber --Add ressNo*ARakl-tajti c.I,- Phone No9.le- 55q Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet 6f 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 ) Dtt d^A� ($C rJJ�e�SQL 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. Sworn to before me this day of 20 0 7� 6TUNot Public P Signature Applicants JOYCE M.WILKINS Notary Public,State of Newyork No.4952246,Suffolk County Term Expires June 12,a;{?d3 �GA2 &oljnw' Opt"Ifi UCG/C ' _ z Y o a APPROVED AS NOTED W Do Do DATE'SAR 3 B.P.It�y,�LWf'I # � BY,_1�r�LS� ? as z NiBUILDING D TMENT AT WIND RESISTANT CONSTRUCTION CONNECTORS R J w 3 765.1602 SAM TO 4 PM FOR THE o uVi o 0 FOLLOWINGINSPECTIONS: CONNECTION LOCATION PART NUMBER NOTES 1. FOUNDATION - TWO REQUIRED 4x4 POST TO FOOTING ANCHOR PAL144 OR WE44 PAU44: USE W/ MIN. 1/2" DIA. x T" ANCHOR BOLT FOR POURED CONCRETE 6x6 POST TO FOOTING ANCHOR PAU66 OR W 66 PAU66: USE W/ MIN, 1/2" DIA, x Y' ANCHOR BOLT 2. ROUGH - FRyApM�ING 6 PL MSI G W DECK # POR�M1s14u4411DI�STF O DETAILS E WIND LOAD PATH CONNECTION DETAILS 4x4 OST TO GIRDER/HEADER PB544 / EFEI / K044 USE ON T E FOR EACH POST U I. FINAL - CONSTRUCTION MUST E _NE.S�' IZ g >_BE COMPLETE FOR C.O. &TAI GER STRINGER CONNECTION TMU26 OR MPAI USE ON EACH ST INz ALL CONSTRUCTION SHALL MEET THE 0 W JOIST TO HEADER TYDOWN RT15 USE EACH RAFTER FOR EACRAFTER J REQUIREMENTS OF E CODES OF NEW 1n W YORK STATE. N NSIBLE FOR USE THE FOLLOWING OR APPROVED 05P METAL CONNECTORS FOR PROPER WIND RESISTANT CONSTRUCTION. Y W Q FOLLOW MANUFACTURES RECOMENDED INSTALLATION INSTRUCTIONS TO ACHIEVE MAXIMUM UPLIFT LOAD CAPACITY. jy DESIGN OR 00 S R RRORS. U Q Ur STAIR TREAD W >- /A O GIRDER/HEADER W HALL COD RIM BOARD In p � COMPLY &TOWN C S POST NAILING SCHEDULE z o U ORK T o NDITIO F Z POST/GOLUMAS RE IR N STRINGER �-0 FLOOR FRAMING: LL p DLDTDWN .'^ JOINT DESCRIPTION NAIL NAIL NOTES = w Mrr RIM/DECK JOIST -E o QTY. SPACING pfM0LDT0WNPLANNI BO GIST O PER TOE 'O ES STRINGER TO DECK/PORCH CONNECTION SILL,TOPPLATEOR GIrzoerz A-ad COMMON JOIST NAIL m GIRDER/HEADER TO ST/C WiMT>r VI BRIDGING EACH TOE GTION TOJOIST 2-9d COMMON END NAIL N.VS.DEC LOCKING TO JOIST END NAIL y n EACH TOE POST TO DECKIPORCH CONNECTION TO COMMON m BLOCKING TO EACH TOE U ae � SILL OR TOP PLATE 3-16d COMMON BLOCK NAIL 00 F- N N LEDGER STRIP EACH FACE F- TOBEAM 3-16d COMMON JOIST NAIL ~ m ry ALL CONSTRU S a to JOIST ON LEDGER PER TOE MEET THER R OF THE TOBEAM 3-6d COMMON JOIST NAIL COD K STATE. BAND JOIST PER END LL TO JOIST 3-16d COMMON JOIST NAIL Q GIRDER/HEADER — SILL OR TOP PLATE 2-16d COMAND JOIST TO MON FOOT TOENAIL a 0 rc Y GIRDER/HEADER r Z m m O N POST/COLUMN D ✓/ JOIST DECK NOTES: z M OMP 1) Unless otherwise noted,all hotels,materiel to be#1 ACO pressure treated lumber. P Y ITH CHq- POST/COLUMN Q All fasteners,hangers and anchors m be gelvinizetl or stainless steel 00 DA AGE TER "46" S UT OL TOWN 2) Girders for deck)olsls to be bolted or anchored to each post or pier with washers and nuts WN CODE. GIRDER/HEADER Girders on concrete piers shall be anchored with proper steel connectors anchored Into concrete with a minimum ill"Ole x P'long anchor bolt whh washers and nuts. 3) Posts supporting girders shall he anchored to a 12"x12"x12"thick concrete footing Use a minimum ill"dle x 7"long anchor boll with washers and nuts Footings Shall be h It below grade 4) fleck joists to have blocking at 6'0 o c A ' GIRDER/HEADER TO POST/COLUMN CONNECTION GIRDER/HEADER TO POST/COLUMN CONNECTION JOIST TO GIRDER/HEADER CONNECTION W 5).A minimum of 10 in on flashing shall be Installed between the building and ledger Ledger to be fastened to building with 1/2"US bolts with washers and nuts 6) Concrete peers shall be a minimum 6"above grade F. 7).All joists to be supported with hangers and anchors Each Joist shall also be anchored to girders) W U GIRDER I••� z :c POST O� O WOOD JOIST CONCRETE PIER GIRDER/HEADER -0 w " - 12uxI2"x12" CONCRETE FOOTING WOOD JOIST CLIMATIC & GEOGRAPHIC DESIGN CRITERIA C". GROUNDWIND SEISMIC FROST WINTER IOESH IELD FLOOD SNOW SPEED DESIGN WEATHERING LINE TERMITE DEGAV DESIGN UNDERLAVMENT HAZARDS POST TO FOOTING CONNECTION LOAD (MPH) CATEGORY DEPTH TEMP. REQUIRED ODERATE SLIGHT TO JOIST FRAMING FLUSH WITH GIRDER/HEADER 45 LBS. 120 B SEVERE 3FT. TO HEAW MODERATE 11 NONE GIRDER TO CONCRETE PIER CONNECTION •GOOF NEby YO .�P )_DEPq 9 s W 0 OM O a O r p 6 w f i V N N EXISTING DECKm - _ z z w v a U . W J } QWZ -- - - - - - -- - - Fn 0 LLT W - Yw 27,-0" 27-0" - - - -- - - - __ - - W >- U) O W O 2 7._0„ 6._6., 6, �„ 7,_0., 7,_0., 15._0., 5.-0,. __ _ - - W 1 F Z IT- _ W T .. . - - - - . . .. - _ . - - 2 TrP +.+ PT CONCRFTF FOOTING -- - - - --- - - - - - - - ___ m _ _ O I _ _ m Z m z N 4"- oll /� (�) 2. 0 T GIRDER 5'-0" S-0" N - - - - - - - - - w ' I W POOL POOL W I EXISTING a � - - HOUSE ` w 7'—o N iw�r''l W LL wr -- a a Z U � Y V N C5 N . CD C7 N QI 3 u o u0 0 0 W U Wgr owz CYj w FRONT RIGHT ELEVATION W w coo 0 0 x J U W F— W W 7 ZC) U Z � W 2 m 0 Y � U F N T F N N F 717 'Cr LL REAR LEFT o >- z Z m O N Z NI Q'm SN d- T HIGH " G 3° 3. mJ6 / P,AILIPIG I U] Yx9 GJ W N p (2) ^_`(1D GIRDEP V HOl16E + ixa �G6T j�� LuZ I PpOL POOL W 0 U) oQ fq W 5 E 4 J e x N N Q 4 TION 0 SURVEY DRAWN BY RODRICK VAN TUVL, P C \\ LICENSED LAND SURVEYOR GREENPORT, NY SE-F NEW yo 33,E r gqP DEEq� APRIL 19,1995 (ORIGINAL MAP) SEPT. 6,1995 & OCT 4,1995 (AMMENDED) 1— W SURVEY DATED NOV. 17,1995 M .�; SCALE:59'= 1" aoT a � AREA 41,592 SF wN Q a