HomeMy WebLinkAbout29841-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30044 Date: 02/24/04
THIS CERTIFIES that the building ADDITION
Location of Property: 845 SMITH RD PECONIC
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 98 Block 4 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 23, 2003 pursuant to which
Building Permit No. 29841-Z dated OCTOBER 24, 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 WITH HOT TUB TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to DORI A FLANAGAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
A t oriz d Sign ture
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. 29841 Z Date OCTOBER 24 , 2003
Permission is hereby granted to:
DORI A FLANAGAN
7 MERILLON AVE
GARDEN CITY,NY 11530
for
CONSTRUCTION OF A DECK ADDITION & HOT TUB TO AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR
at premises located at 845 SMITH RD PECONIC
County Tax Map No. 473889 Section 098 Block 0004 Lot No. 009
pursuant to application dated OCTOBER 23 , 2003 and approved by the
Building Inspector to expire on APRIL 24, 2005 .
Fee $ 300 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
FORM NO.6 - -- —
TOWN OF SOUTHOLD
Building Department
Town Hall �t� 9
Southold, N.Y. 11971
20
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions -- -
A. This application must be filled in typewriter OR ink, and submitted u`�to the Building Inspec-
tor with the following;for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building,
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use,occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25 . 00 POOLS $25 . 00ALTERATION $25 . 00
1. Certificate of occupancy New Dwelling .$25.00, Accessory $10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50 . 00
3. Copy of certificate of occupancy $ 5 .00, over 5 years $ 10 .00
4.Vacant Land C.O. $ 20 . 00 rr
5.Updated C.O. $ 50 .00 D e . . . . . . �t�Q.--/ . . .. . . .
NewConstruction. . . . . . Old orPre-existin Building
G� 9 9 • • • • • . . . . . . Vacant Lan/d�.. . . . . . . . . . . .
Location of Property .a !.�. . . . . . . hn. !?':�".? ,�� , , , , , V 4 cod ') "C-,
House No. .
Stree[ Hamlet
Owner or Owners of Property !?. . . . . �. . . . �.� j;�; !J, , , , , , , • . , , . • . • , . • . , . .
County Tax Map No, 1000 Section .�, (?4. . . . . . . . . . Block . . ,0��?, ,/, , . . . Lot. . . . . . , , , ,
Subdivision 2.141W-AA . . �Y, , C,� ,� , ,Filed Map No.��.�. , . , .Lot No. • •. . . f g
. . . . . .
Permit No. «.l. 8��. ate of Permit . . . . . . . . . .Applicant . V� �W-)E3�f&M)�_,�
Health Dept. Approval . . aJ.�. . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .
Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . .�l . . , • , . . . , , , ,
Request for Temporary Certificate . . . . . . . . . . . . . . . . . . .Final Certificate . . . . Gl. . . . . . . . . . . . . . . .
Fee Submitted $ . . . , . , . , .a , o
Construction on above described building andp it od d regulations.
Applicant
Rev.10-10-78 �L y
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oar
5 BY THIS CERTIFICATE OF COMPLIANCE THE
S NEW YORK BOARD OF FIRE UNDERWRITERS
5
5 BUREAU OF ELECTRICITY
5 40 FULTON STREET — NEW YORK, NY 10038
CERTIFIES THAT
' 5
Upon the application of upon premises owned by
5
5 DOROSKI ELEC. INC DORI FLANAGAN
5 P.O. BOX 781 845 SMITH RD
5 CUTCHOGUE, N.Y. 11935, PECONIC, NY 11958
5
Located at 845 SMITH RD PECONIC, NY 11958
5 Application Number: 1194762 Certificate Number: 1194762
5 Section: Block: Lot: Building Permit: BDC: ns11
5
Described as a Residential occupancy,wherein the premises electrical system consisting of
electrical devices and wiring,described below, located in/on the premises at:
Outside,Pool/Spa,Porch/Deck,
i was inspected in accordance with the National Electrical Code and the detail of the installation,as set forthbelow,was
found to be in compliance therewith on the 17th Day of February,2004.
Name QTY Vie_ Rating Circuit Twe
5 Miscellaneous
5 1-self contained hot tub
Wiring and Devices
Receptacle 1 0 20 amp Pool/Spa
GFCI Circuit Breaker 1 0 20 amp Pool/Spa
5
5
S
5
- 5
r
z
seal
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.
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Floors
Ext-J/
• Walls Interior Finish
Fire Place Heat.00 ` r
Porch Roof Type
Porch Rooms Ist Floor
eezeway x 2- Patio Rooms 2nd Floor
e Driveway Dormer �
B.
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
9� _
OWNER STREET Ll VILLAGE DISTRICT SUB. LOT
oRGna aa4 J .�� �a
I a44
.A ,
FORMER OWNER N E ACREAGE
J/
____ 2
S W TYPE OF BUILDING
RES. SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
a00 o 0 63—
6fiv 00 I3
j
AGE BUILDING CONDITION ')
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD x 3 S� a (� p
Tillable 1 BULKHEAD
Tillable 2 DOCK
Tillable 3
Woodland
Swampland
Brushgod. ,
House Plot
Total
Applicant/ Date.
Owners Natne: ��� Reviewed: �0
Architect/ Date
Engineer: int/, Submitted: o .1'
SCTM #:
District: I M0 Section: Block: _ Lot:
Project � nn - Subdivision
Location: `� /� t:�. _wY�-� — Name:
Sinplc& separate Required
certification: (Yes/No,
Req. /D Req. Q/5�7��
'Zoning Disvic4o (Lot size: '`lActual: l (Lot coverage Proposed<<�
Req.
Req. Req.
((ion(Yud 3s-", Proposed: t (Side Yard/Q4Z Proposed: ) (Rear Yard _ Proposed
Project Description: QA-4- IW_
AGENCWERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation???
Flood Zone:
Notes•
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T65-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION iST [ ] ROUGH PLBG.
[ DATION 2ND [ ] INSULATION
[ FRAMING [ - ] FINAL
[ ] FIREPLACE S CHIMNEY
REMARKS:
�3
DATE f� l INSPECTOR /�
suiwiNc DE".
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PL
[ ] FOUNDATION 2ND [ ] IN TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CFIIMNEY
REMARKS:
DATE INSPECTO
T65-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ON
[ ] FRAMING [ FINAL
[ ] FIREPLACE 8 CFIIMNEY
REMARKS:
-
DATE d INSPECTOR `�
FIELD.INSPECTIOI�REPORT D COI►�IlY�NTS
M
FOUNDATION(1ST
w
(� C
FOUNDATION MW)
z
H
'ROUGH FItAlmoNG& I I M
PLUMBING
n
INSULATION PEEL N.Y.
STATE ENMR G'Y CODE
1
FINAL
ADDITIONAL CO1S
o
2•
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4
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y
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECF f
BUILDING DEPARTMENT Do you have or need the following,before a, _,g?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 sets of Building Plans
TEL: 765-1802 Survey
PERMIT NO. 2 fl10- Check
Septic Form
NX'S.D.E.C.
Trustees
Examined ��?�,20 773 Contact:
Approved a Y ,20 tq 3 Mail to:
Disapproved a/c
Phone:
�. building Inspector
2 3 2003
1, APPLI ATION FOR BUILDING PERMIT
Date - Z , 2003,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 a Certificate of Occupancy
is issued by the Building Inspector.
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.
0 t R ors me" aw r (rs c
(Signature of applicant or name,if a corporation)
� . �� l�7 etc N� r rR�•
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
64' ryF-_NFCQNMPAC7p (2_
Name of owner of premises P->Q fZ( f7"ANAG-AN'
(as on the tax roll or latest deed)
a i s r e 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. Locafon of land on which proposed work will be done:
House Number Street HamletMr�MtL1E � �JoN
pp ��Bfl3v�ff!.sill
County Tax Map No. 1000 Section D Block r..::..r�• .�T
Subdivision 1Nt>(At,3 NECtL J!AR-iC Filed Map No. ;5!5/ Lot /
(Name)
2 ;existing use and occupancy of premises and intended use and occupancy of proposed construction:
Existing use and occupancy S I nl G l.>✓ FA-mid pwa_urJ rs
b. Intended use and occupancy �(IJ G(. �' t t,`� t� y�-AN G W% �-rUQ� D p-
3. Nature of work(check which applicable):New Building Addition V" Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost � U 0 r Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units A Number of dwelling units on each floor &J A-
lf garage, number of cars KJ A-
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. A-
I u kU 1 it
7. Dimensions of existing structures, if any: Front E_DTO Rear '5d _b Depth 'b
Height So- 4 Number of Stories ( 2
Dimensions of same structure with alterations or additions: Front 5D -b ( Rear
Depth `�F3 ,b Height Number of Stories t �2
t' t it
8. Dimensions of entire new construction: Front 28-( Rear f8 2 Depth 1 "6
Height _Js'_b`r _± __Number of Stories N A.
9. Size of lot: Front (DO Rear I DD Depth 133
10. Date of Purchase Name of Former Owner Rt)3 E R7t � • �°`tAQAN
11. Zone or use district in which premises are situated —
12. Does proposed construction violate any zoning law, ordinance or regulation: N a
13. Will lot be re-graded N D Will excess fill be removed from premises: YES NO
14. Names of Owner of premises,` k F•t1k Address g4,5 sS M*RP- Phone No. -734—C676
Name of Architect Address Phone No
Name of Contractor eAS'T 1 NC - Address fD t6j] PECp!�(C- Phone No. 7034- YA Z4--
15. Is thisp�1'ro within 100 feet of a tidal wetland? *YES NO I
P
• IF YES, SOUTHOLD TOWN TRUSTEES 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_ �
TCom- U 2 being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the ('no
(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 tq before me this
day of AAV 20
Wt• ,.
Public Signature of Applicant
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PROJECT NAME :FLANAGAN RESIDENCE T. NO WINDOWS OR DOORS IN THIS PROJECT
845 SMITH ROAD ,PECONIC 8. LOAD PATHS
1. USE&OCCUPANCY: SINGLE FAMILY DETACHED WILL BE AS DESCRIBED ON C SECTION.
2. HEIGHT OF NEW ONSTRUCTION: 5'-0' 9. NAILING SCHEDULE:
SQ.FT.OF NEW CONSTRUCTION: 333.50 SQ.FT. JOIST TO SILL OR GIRDER-3-8D OR TECO AS
3. TYPE OF CONSTRUCTION: WOOD FRAME DESCRIBED ON SECTION
4. DESIGN CRITERIA-PRESCRIPTIVE DESIGN AS PER BUILT UP HEADERS 16D @ 16.O.C. EA. SIDE
AF&PA D FRAME CONSTRUCTION MANUAL WIND LOAD CONNECTIONS
5. FRAMING ELEMENTS AS SPECIFIED ON PLANS AS DESCRIBED ON SECTION
LUMBER SPECIES: - r
#1 S.YELLOW PINE(ACQ)IN CONTACT W/GRADE 10. MEANS OF EGRESS: THIS STRUCTURE WILL
5/4 X 6 CLEAR CEDAR DECKING CONFORM TO EGRESS REQUIREMENTS AS
6. DESIGN LOAD CALCULATIONS DETAILED IN SECTION R310 AND EGRESS TO
MINIMUM UNIFORMLY DISTRIBUTED LIVE LOADS HABITABLE SPACE DOES NOT APPLY AS THIS IS
(IN POUNDS PER SQUARE FT.) AN EXTERIOR DECK.
EXTERIOR BALCONIES 60 11 THERE IS NO PLUMBING PLANNED IN THIS ALTERATION
DECKS 40
STAIRS 40 12THERE ARE NO FIRE ALARMS REQUIRED FOR THIS
GUARDRAILS&HANDRAILS 200 STRUCTURE
CRITERIA FOR CALCULATION OF DEAD LOAD WILL BE
ACTUAL WEIGHTS OF MATERIALS REFERENCED TO 13 THERE ARE NO TRUSSES PLANNED FOR THIS
A.I.A.ARCHITECTURAL GRAPHIC STANDARDS. STRUCTURE. Y
SNOW LOAD IS CALCULATED AS 30 LBS PER SQ.FT. 14. NO ENERGY CODE CALCUALTIONS ARE INCLUDED AS
SEISMIC CONSIDERATIONS: THIS IS AN UNHEATED STRUCTURE(DECK)
THIS STRUCTURE WILL CONFORM TO CODE SECTION
R301.2.2.3 IN THAT ANCHORED STONE AND MASONRY NOTE THAT ALL DESIGN ELEMENTS AND LOAD PATH
VENEER SHALL BE LIMITED TO THE FIRST STORY& CALCULATIONS ARE BASED ON INFORMATION CONTAINED
NOT EXCEED 5'IN THICKNESS. IN THE AMERICAN FOREST AND PAPER ASSOCIATION
THIS STRUCTURE WILL CONFORM TO CODE SECTION WOOD FRAME CONSTRUCTION MANUAL FOR ONE ARD TWO
8301.2.2.4 IN THAT AVERAGE DEAD LOADS WILL NOT FAMILY DWELLINGS.
EXCEED 15 PSF ROOFS&CEILINGS
10 PSF FLOORS:,*
15 PSF WOOD FRAME WALLS
THIS DWELLING IS LOCATED IN DESIGN CATAGORY'C'
SO IS EXCEMPT FROM FURTHER REQUIREMENTS OF
THE SEISMIC CODE.
FLANAGAN-
EXPOSURE&UPLIFT CATAGORY IS"C"- DECK EXTENSION
URBAN AND SUBURBAN AREAS.
ENVIRONMENT EAST INC.
9.21 .03
W
co
RAILINGS & BENCHES
TO MATCH EXISTING C�
z
its
2 - 2X10 CCA GIRDER 5'10" X6'8" X34" cp
4 X 4 CCA POST HOT TUB 2 X 8 a@ 16" O.C. JOISTS =S
1/2" CARRIAGE BOLT TECO TO 2 X 10 LEDGER, -
2X8
ED ER2X8 c@ 16" O.C. JOISTS BOLTED TO HOUSE FRAMING
TECO TO 2 X 8 HEADE",
MASONRY FTG. TO Rikr
�r
3'-0" BELOW GRADE A
SECTION # 1
'
J
UPAN
CY OR .
IS UNLAWFUL \\XPPROVED AS NOTED
DATE: �° 3 B.P.#
HOUT CERTIFICATE FEE:, M)- - BY: ��—
OCCUPANCY NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
UNDERWRITERS CERTIFICATE 1• FOUNDATION - TWO REOUIRED
FOR POURED CONCRETE
REQUIRED 2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST .
BE COMPLETE FOR C.O. � h
ALL CONSTRUCTION SHALL ALL CONSTRUCTION SHALL MEET THE Vt41--�` iy
MEET THE REO! '' MENTS OF THE REOUIREMENTS OF THE CODES OF NEW
CODES OF ; _Vv YORK STATE. YORK STATE. NOT RESPONSIBLE FOR
DESIGN.M CONSTRUCTION ERRORS.
CER' , IFIC;r ' '()N OF
NAILING & CC:'NNECTIONS
Mit DC REQUIRED.
0
EXISTING HOUSE - NO CHANGES
FLANAGAN
N DECK. EXISTING DECK DECK PLAN
9.27.03 1/4" =1'-0"
.. o. ENVIRONMENT EAST INC.
DESIGN #5
_� _ , 10.21.03 s'-3
I
t
2 2XIQ CCA.GIRDER t . r'�-i-_1
I rJ •� 1
HOT TUB W/SAFErTY 1 ao - t f 1
m COVER THAT CO'H ASAAPLI 1 ; - N I 9 X 8' 1 3
WRTM F 1348
1
EXIST. 18",OCr
REQUIREMENTS IBENCH
1 O L - _ - -
EXI_ DECK _ 2X10
1 NfiW DECK TECO�!
1 - BENGH '18'ABOVE DE EXISTM STEPS t
t _ t
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