HomeMy WebLinkAbout27012-ZFORM NO, 4
TOW~ OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No~ Z-20014 Date: 02/09/04
11{IS CERTIFIES that the building
ADDITION
Location of property: 43S WEST RD
(HOUSE NO.) (STREET)
Couxity Tax Map No. 473889 Section 110 Block 7
CUTCHOGUE
(P~ET)
Lot 11.3
Su~divlsion Filed Map No. Lot No.
conforms substantially no the Application for Building Permit heretofore
filed in this office dated NOVEMBER 9, 2000 p%Lrsuant to which
Building Permit No. 27012-Z dated JANUARY 12f 2001
was issued, and conforms to all of the requirements of the applicable
provismons of the law. The occupancy for which this certificate is issued
is ADDITION ~O AN EXISTING ACCESSORY GARAGE AS APPLIED FOR.
%~ne certificate is issued to MARSPIALL FROST
of the ~foresaid ~uilding.
(OWNER)
SUFFOLK CO~DEPDRtTMENT OF~ALTHAPPROVAL N/A
EI~EC~ICAL CERTIFICA~ NO. 63460C 03/05/03
PLUMBERS CERTIFICATION D~rmu
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
COMPLETION OF THE WORK AUTHORIZED)
UNTIL
FULL
PEPL~IT 'NO. 27012 Z Date JANUARY
12, 2001
Permission is hereby granted ~o:
MARSHALL FROST
LEBANON, NJ 08833
for :
CONSTRUCT AN ADDITION TO AN EXISTING ACCESSORY GARAGE AS APPLIED
FOR.
at premises located at 435
County Tax Map No. 473889 Section 110
pursuant to application dated NOVEMBER
Building Inspector.
WEST RD CUTCHOGUE
Block 0007 Lot No. 011.003
9, 2000 and approved by the
Fee $ 35.00
COPY
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled ia by typewriter or ink and submitted to the Building Deparanent with the following:
A. For nerw building or new use:
~. P~hl sur~ey o f p~:~)perty with accurate location~o f all 15Ul*-l'l~s, p~-o-pe~'l~nes, streets, and tmusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 £orm).
3. Approval of electrical/nstallatio~t from Board 0f Fire Underwriters.
4. S~vora sraremerrt fi:om plumber certifying that the solder used ha system contains less than 2/I 0 of 1% lead.
5. Commer¢ial~b~?ing, indmtrial b~ding, multiple residences and similar buildings and Lnstallations, a certificate
ofCode'~6mpii~r:e fron~ arch/teci or engirreer resp0nsSble for thee bmidhag.
6. Submit Planaing Board APProval ofcompleted site plan requirements.
uses, or buildings and pre-ex~sting land uses.
B. Forex · [[[glm[I l .gs (I}[' ' h~ ~pri19, 195T~non-c0Rfot'mmg ' ' ' "" " ·
1. A,','.[[, ..'., "~ .', ,-,' >",,[:,'~, ,l',,wing ali property lines, s~raers~buiLd/ng.and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed, by the applicant. If a C
denied the Build/ag Inspector shall state the reasons therefor in wriffmg to the applicm
C. Fees 1. Certificate o£ Oc?~ancy - New dwelling $25.00, Addit/ons to dwelling $25.00, A1ter~
Swimming pool $25.00. Accessory building $25.00. Additions to accessory building $
2. Certificate of'Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certfficate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residenti-al $15.00, Commercial $15.00
Date.
/
New Construction: Oki ,or Pre-exjs '~t~n. g B_ullding:t/ {check one)
LocationofPr0p&rt~i. ' /'~*~'~":: ~)e-~'¢'~ ~:CO~e~,~q-r.~f~ ~ /Or
House No. Street ~
OwnerorOwnersofLaroperty: ~/f~Pt.-t~ t c ~-~.
Suffolk Coanty Tax Map No 1000, Section [Xo Block ~7 Lol
Hamlet
Subdivision Filed Map. Lot:
Permit No. ~-"2F9 ~ 'Z -2~ Date of Permit.
Applicant:
Heal_th DepL Approval:
Planniag Bom'd Approvah
Request for: Temporary Certificate
Fee Submitted: $ ~"
U'gde~ters Approval:
Final Certificate:
~/ (check one)
Applicant Si~ature
Issue Date
3/5/2003
Electrical ins? ection Certificate
Electricallnspect[on Service, Inc.
375 Dunton Avenue
East Patchogue, NewYork 11772
(631)286-6642
Application
63460C
Issued To:
Street:
Village:
Section:
Marshall Frost
285 West Rd
Cutchogue
Zip: 11935 Town: Southold
Block: Lot:
Contractor: Modern Electric East Inc. (L) Lic. # 4253-E
Was examined and found to be in compliance with the National Electrical Code.
~ Commercial [] NVDefects [] Pool [] lstFIoor [] Indoor [] I~asement E~ HotTub
[] Residential [] Der. Garage [] Attic [] 2nd Floor [] Outdoor ~ Addition [-- Survey
Switches Receptacles
12 6
Dishwasher Washer/Amps
1 2O
Furnace Oil Gas
Meter Amps Phase UG/OH
'1 200 1 [] /
Bldg. Permit:
Other Equipment
Fixtures GFI Heaters A/C Fans
21 3
Dryer/Amps Oven Range/Amps Microwaves
1 30
Circulators Smoke Detector Bell Transformer
Jacuzzi Television CO Detector.
1-SINGLE DEDICATED RECEPTACLE
1-JACUZZ GF
HugO S. Surdi
President
Rough Inspection: 06104/2002
Inspector: Ed Scavelli
Final [nspecti0n: 03/04/2003
Inspector: Ed ScavellJ
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
, . ,~p, ~,~
TOWN OF SOUTHOLD~ PROPERTY RECORD CARD
OWNER .... STREET ~ '
~ ~IL~GE DiST, s~. LOT
FORMER OWNER N E C~ ~ ACR.
: S W TYPE OF BUILD NG
~S. ~ ~ ~ s~s. VL ~ ~A~ CO~. C~. ~C~. ~t. V~u~
~ND IMP. TOTAL DATE REMARKS
rilbble FRONTAGE ON WATER
~o~lend FRONTAGE ON ROAD
~ead°wl°nd DEPTH ~ V
~ouse Plot BULKH~D
Fotel
'OWNER
FORMER OWNER
LAND
/';zoo
NEW
SEAS.
NORMAL
__~..~
RECORD CARD
VILLAGE DISTRICT SUB. LOT
OF
STREET
VL. FARM
TOTAL DATE
BELOW .
0 hl
Tillable 2
Tillable 3
Woodland
Swnmplond
~rushlond
House Plot
Foundation PC r
CB bo~ ~/ Bath
FULL
~;7 S~A.C"~'WL F'u fl Floors
Ext. Walls ~,p~_ Interior Finish
Fire Place ~/Z:5 Heat
Dormer
Woodstove
7.q..q q
Attic
Rooms 1st Floor
Driveway Rooms 2nd Floor
Qinette
Kit,
L.R.
Fin. B
M. Bldg.
Extension
E~tension
Extension
FoundaHon
Basement
Ext. Walls
Fire Place
Porch
Bath
Floors
~ ~ntedor Finish
Hea~
Porch Rooms 1st Floor
Patio Rooms 2nd Floor
Garage
Driveway
Frost
Christenson &
· Associates
Consulting Engineers, Planner
January 17. 2003
Town of Southold
Buiidi~qg Department
SoutEold., NY 11971
Re:
Garage Addition
110-7-11.3
435 W'est Road
Cutchogue, NY 11935
Frost House\L030117A
The contractor who ~)erformed the work on the above referenced addition to the garage at 435
West Road, Cutchogue, NY, modified the proposed roof framing from that shown on the onginal
application for a Building Permit. I have reviewed the modified framing and find that it complies
will all Code requirements of the State of New York.
Attached please find two (2) signed and sealed cop~es of the applicable drawing revised to
reflect the "As-Built" condition.
If you require additional information, please contact me.
Very~l~'. you rs,
NY P.E. #54850
w/encl.
2121 Rt. 22 West · Bound Brook, New Jersey 08805 · (7321 563-9444
Engineers@ FCAConsultants.com
Inst~
Sister _~"X6" R~'ters
Existin9 R~¢tems
2"X4" Soldier Studs
~o
2"X6" Joists on 16" Centers
SECTIBN A-A
2~'X8~' Roo~ RcCters
Dn 24" Centers
Instc/~
Sistem 2"X6" R~Ftens
Existing Rc~ters
2"X4" Soldier Studs
to
2"X6" Joists on 24" Centeps
SECTIDN 3-B
_~"X8" Roo£ Rc~ters
Dn 24" Centers
JA~I 2 I ?~
L .............
LO
I II-
141 --
21'-0'
SOUTH ELEVATIBN
SCALE~ 1"=4'
S s~er B"XS" RcCters
Existin9 Rc~ters
a~X4'' Soldier Studs
2"X8" Joists on ~34~ Centers
Bolt to existin9 Joists
SECTION
..... a'XS" RooC RcFteps
On a4" Centems
Inst~/l
Sistem 2"X8" RcFtems
Existin9 RcFtems
2"X4" Soldier Studs
to
,8 Roof
On 24~ Centers
2"X8" Joists on 2~" Centers
Bolt to existin9 Joists
SECTION B-B SCALE~ 1'~=4'
Remove Existing Roof Shingles
Insto,[t New Roof Entire Go, r-o, ge
~--M~tch £xistlng -rim
New
Garage Doom--~
6~ Comcmete Slab
M~tch Existing Elevation
1~X6w Fccic
Ext, P(ywd Soffit
Mctch Existin9
2~X4~ Studs
--~n 16' Centers
1/2 CD-X Shecthing
Shingtes to
M~tch Existln§
~lock Fnd, ~tL
M~tch Hr, to Exist,
%,X_Concpete
Footing
C~NSTRUCTION. PLAN
SCALE: 1~=4'
Appi i can ~
Architect/
]{nginccr- _ ..................................
l)is~r~c~ 1,000 Sccmm
13lock
Dam
Reviewed
cemficalion _( Y es / Nb
Rcq
[S~dc Yard
{Rear Yard
Project Description:
A GENC'it'~t?ERM !TS
REOUIRED FOR REVIEW
Suffolk County Health Dept.
New York State D.E.C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
FIood Plane Elevation ???
Flood Zone:
Notes:
NO
_YES
Permit
Number
765-1802
BUILDING DEPT.
INSPECTION
[ F~OUNDATION 1ST [
FOUNDATION 2ND [
FRAMING [
FIREPLACE & CHIMNEY
] ROUGH PLBG.
] INSULATION
] FINAL
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]~.DATIO. 2ND [ ]~ULATIO.
[ ~RAMiNG [ ~ FINAL
[ ] FIREPlACE&CHIMNEY
REMAFIK~S. ~ * ~
INSPEOTOR
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] IN.~T~ION
[ } FRAMING [ ~NAL
[ ] FIREPLACE & CHIMNEY
R[MARKS: ~ ~
DATE:
INSPECTOR
FOUBIDAT:ON (JST)'
II
FOUNDATION
ROUG~I FRAME &
PLUMBING
INSULATION PER N. Y.
-FORH NO. !
TOWN OF SOUTHOLD
EU][LDING DEPAgTPiENT
TOWN HALL
SOUTNOLD, N.Y. ] 197 I
TEL: 765- 1802
Disapproved a/c ..................................
}~; APPLICATION FOR ~U~DING PE~Ir
~?[~ ~0V - ~ ~0~0 ~,~ ................. ~o ....
.......... INSTRUCTIONS
~cs of pl~, ~a[e plot pl~ ~o ~ale. F~ ~rdi~ ~ ~le.
b. Plo~ pl~ ~ la~i~ of lo~ a of ~ild~s ~ pr~s, rela~iaip to Mjoiuig pr~s or ~lic
s~raa or ~ea, a givi~ a ~ail~ ~ripci~ of lay~C of pro~ ~r ~ dr~ ~ ~ di~ ~i~ is ~r~ of
ais
c. '~ ~ ~r~ by ~i~ a~lia~im my ~ ~ ~ ~fore isae of ~ildi~ ~n~.
d. U~ a~al of ~is a~lia~im, ~ ~ildig ~ctor ~11 i~a a ~ilding Pe~t
~ ~] ~ ~pc ~ ~ ~s ~ail~le for i~i~ tbrSt ae ~rk.
a. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~r~ far g g ~t~r mtil a ~r{ifiate of
~m~ ~11 Mve ~n gr~C~ by ~ ~Idi~ I~tar.
aI~I~ I~ ~Y }l to t~ ~ildig ~nt for ~e isae of a ~ildi~g Pe~c
~i].di~ ~ Ordi~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~er a~li~le ~s, ~di~s or
a~la~i~, for a~ ~tx~i~ of ~ildi~, ~i~i~ or al~era~i~, or for r~al or ~ti~ia,
&~ri~. ~ appli~ ~s ~o ~ly ~ ~1 a~li~le 1~, ordms, hildi~
..............................
~Si~e of a~li~t, or ~, if a ~ration)
.~.l~ .~.~... ~.~ ~{~ ~q m.. ~g~{ .......
~ili~ ~eas of
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORM .................. .
'I'RUST~S ................... .. .
NOTIFY:
CALL ~... o ~ .... ./~ ...
~ St3k, .
'MAIL TO:.~...! ....
...............
State wbether applicant ia c~ner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~
Na~ of owl~r of premises .~..~./i~ff ./~?'~ ~'"'~'7'"' .........................................
(as c~ fi~e tax mi1 or latest deed)
If applicant is a corporation, signature of d~ly enthorized officer.
and title of corporate officer)
Plmbers License 1{o ..........................
glectricians License No ......................
Other Trm~e's License No .....................
]. Location of land on ~a~ch proposed ~ork will be done ..............................................................
q.~.s- ..~zx.~'~ .~..o..,t.~. de r~/~.~.~.~ ...................................
tkause Nt~berStreet H~mlet
c~ ~ No. !~ s~io~ .... ./../f ....... El~ ...Z:.. .......... ~ot ...g?.'.~ .......
~ubdivision ...................................... Filed Map No ................ Lot ...............
(~)
State existing use end occupancy of premises and intended use and occupancy of proposed construction:
s. ~,i~ ~ ~ se~ ..../..~..:...d~.~.<eC ......................................................
,, neco , .................................................. . . .
~. ~. Nz~tnre of ~k (check ~dch applicable): New ~dlding .......... f~dltion..........// Alteration
~i~ ............m~al .............~utio~ ...... . ..... ot~r Wo~ .~.~.'~-'.~..~z.~..~.~ ........
~st i~t~ ~.~.~. .............. f~ ..............................................
(to ~ ~id ~ filing this
If ~lli~, ~N~r of ~11i~ ~mlts ............ I~r of ~llimg ~its ~ ead~ ~r ................
6. If ~i~ss, ~mial or ~ ~, ~ci~ ~ture ~ ~tent of ead~ ~ of u~ ......................
7. Oi~nsi~s of ~sti~ st~s, if ~: ~t ................ ~ar ............... ~pth .................
t~i~t ......................... ~r of Stories ... ~ ......... ~ .......
~im~i~ of m stx~e ~th alterati~s or ~itions: ~t ...... ~ ...... ~ar
~ t .. Z&~.i' ............
~pth ...~ ............... ~i~t .. ~r of Stories ./. .....
8. 8i~nsi~ of entire ~ ~st~ti~: ~t .... ~f. ...... ~ar ...~ ........ ~p~
}~i~t ..... ~.~.~. ~ ......... ~r of Stories .... f ................
ot: ...... ......... ....
,0. m~, o~ ~a~ ..Z~fm ............ ~ o~ ~o~ ~ ~,~.~/l.~.~ ........
I I. ~ or ~ district in ~i~ p~i~s a~ si~t~ ..............................................................
12. ~s ~ ~t~ti~ violate a~ ~ing 1~, o~i~e or re,latin: . .~ ..................
13. Will 10t ~ ~ ...~ ............ W~ess fill ~ r~ ~'~i~s:
~ o~ ~dL~ .................................... ~ress .............................. ~ ~ ..... ~...
PLOT DI AG~M
I~ate clearly ~ dlsti~tl7 all ~ildl~s, ~r ~isti~ or p~, ~ i~i~te all ~t-~ d~nsi~s
~ ~r~ li~s. Gi~ st~t ~ bl~ ~r or ~rlpti~ ~co~ing to ~, a~ ~ strut ~s ~] i~icate
~mr interior or ~r lot.
2
~ ,~ ..~ ~. .........
(~ o[ i~ivi~ s[~ing c~tract)
Ih is the ....................................................................
(~tractor, ~nt, cor~rate of Eicer, etc.)
of ~d ~r ~ ~rS, a~ is ~1~ ~tho~iz~ to ~rfo~ or h~ ~r[o~ ~e ~id ~ taxi to ~ke ar~ fi~e this
a~llcati~; ~at all stat~nts c~tai~ in ~is ~llcati~ are t~ to ~e ~st
that t~ ~rk will I~ ~rfo~l in the ~r ~t forth in the a~l.{cati~ fil~ t~
,..<~31gnat~ire of ^gg i.cant)
SU~¥E¥ OF P~OPEf~T'r~
SITUATE: CUTCHO¢UP_.
TOWN OF: SOUTHOLO
SUFFOLK COUNTY, NY
~U~OL~ ~OUN~ TAX MA~
GRAPHTC SCALE 1"= 30'
0 30 60 90
REFERENCE # 97-010i