HomeMy WebLinkAbout29724-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
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No: Z-30047 Date: 02/25/04
THIS CERTIFIES that the building ADDITION
Location of Property: 2855 LAUREL TRAIL LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map.. No. 473889 Section. 125 Block Lot 24.9
Subdivision Filed Map No Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 8, 2003 pursuantto which
Building Permit. No. 29724-Z dated SEPTEMBER 10,. 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 REAR DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to JAMES & KAREN MOWDY
(OWNER)
of the aforesaid building.
{. .SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
�. ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
;
I, t sized Signature
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'Rev. 1/81
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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_ 29724 Z Date SEPTEMBER 10, 2003
Permission is hereby granted to :
JAMES & KAREN MOWDY
9 DOLPHIN WAY
RIVERHEAD,NY 11901
for
(' CONSTRUCTION OF A REAR DECK ADDITION TO AN UNDER-CONSTRUCTION SING
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4 LE FAMILY DWELLING AS APPLIED FOR
at premises located at 2855 LAUREL TRAIL LAUREL
County Tax Map No. 473889 Section 125 Block 0004 Lot No. 024 . 009
IC pursuant to application dated SEPTEMBER 8, 2003 and approve
it Building Inspector to expire on MARCH 10, 2005 .
I(
Fee $ 150 . 00
Auth ri Qd Sicaiature
ORIGINAL
Rev. 5/8/02
Form No.6 c 1
o TO"OFSOUTHOLD �j y
BUILDING DEPARTMENT \
TOWN HALL
765-1802 — r: 2 �l
L U 'S
APPLICATION FOR CERTIFICATE OF OCCUPANCY
F 016
This application must be filled in by typewriter or ink and submitted to the Building Departmentw ththe fallowing:
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A. For new building or new use; Tyyr F��T a t
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 ofFire Underwriters.
4. S`. 0r,: +'I i 1:,:. ru l fi r i'n1, a (: ,, I _•ii _that the solder used in system contains less than 2/10 of 1%lead.
5. ( oil ri!rirc!' !mi'diu+.. i;i.iI . I multiple residences and similar buildings and installations, a certificate
,','G-d,: ( ; ip i.n:;C fila:• WCh'io.•I 01 Crgneerresponsible for the building.
6. Sur r: p:nr uu,! lio;:id \pl :o%.:,i rI':,+ pletedsiteplanrequirements.
B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses:
I. 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.
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C. Fees //
1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25, O,
Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses $50.00.
2. Certificate of Occupancy on PrP-existing Building- $100.00
3. Copy of Certificate of Occup9ney-$.25
4. Updated Certificate of Occuncy- $50.00
5. Temporary Certificate of Ocpacupancy-Residential$15.00, Commercial$15.00
of Date. y
New Construction: Old or Pre-existing Building: (check one)
Location of Property: S (� t a �l L_ LQ(✓
House No. Street Hamlet
ti
Owner or Owners of Property: f'}f}•(�,'� �j�t r�c�v {�!Q�I� t''
Suffolk County Tax Map No 1000, Section l ys Block Lot
Subdivision Filed Map. Lot:
Permit No. 0� Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
' Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ �^
Applicant Sign e
C,)Lz�� 5.5
C0 `&300 ?
1D C1C3- Z�-�{= TOSlHOLD RORI`Y RECORD CARD
Fy 2; ,4 P I (
OWNER STREET - �G VILLAGE DIST SUR LOT
4�( gb}
— -
0-71
me u� LQ to r-e I ,(A f ! -Z- L-ourei Li n k�
ACR: REMARKS 111 z3( b.
TYPE OF BLD. Af
Laure 4 L1 rt�6 - L✓� PROP. ELAS
_ P # s81 neu, GveiltTr,
LAND IMP. TOTAL DATE
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FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
– BULKHEAD HOUSE/LOT
TOTAL
JAMES J. DEERKOSKI P.E.
260 Deer Drive
Mattituck,NY 11952
298-5506
To: Southold town Bld. Dept
Attn: Damon
Re: Mowdy Residence(Deck)
Mattituck,NY
To Whom A Nabby Gong :
Thig is the Climatic,&GeoWWbic Des4pCkiteria that has sheen,ogpest d. Any other
gltestm please feel free to call
CLIMATIC & GEOGRAPHIC:DESIGN CRITERIA.
GROU111' �fNIIO SEISMIC FROST WINTER ICESHIEED F
SNON(I ',. se, ADESIGN WEATHERING UNE TERMITE DECAY LESIGN UNDEFhYMENT N
LOADt! pH)1 jCASEGORY DEPTH TEMP. REQUIRED
dS
45 LB& 12A B SEVERE 3FT. MODERATE I SLIGHT TO . .. i1 NONE
TO.HEAVY MODERATE -
Sincerely,
James J E9 o 'P.E.
In
k
51.1•
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NAILING SC14EDULE
JOINT DESCRIPTION NAIL NAIL NOTES
QTY. SPACING
JOIST TO::. 4-Ed COMMON PER TOE
SILL,TOP PLATE OR GIRDER JOIST NAIL
BRIDGING 2.8 COMMON EACH TOE
TO JOIST _ END NAIL
BLOCKING` 2-8d COMMON EACH TOE
TO JOIST END NAIL
BLOCKING TO; 3-16d COMMON EACH TOE
SILL OR TOP PLATE BLOCK -NAIL
LEDGER STRIP g.16dCOMMON EACH FACE
TO BEAM JOIST NAIL -
JOIST ON LEDGER 3.6d COMMON PER TOE
TO BEAM _ JOIST . NAIL
BANDJOIST
TQ JOIST 3.1, COMMON PER END
_ JOIST- NAIL
BAND JOIST TD.- 2-1Ud COMMON
SILL OR TOP PLATE FOOT TOE NAIL
'DECK
ANI)CQV RED PORCH NOTES:
theiwise noted,all frenling matertal`to be#1 ACQ pressure treated lumber:
,hangers and anchors to be galvinbed or stainless steel.
for deck joists to be bolted or anchored to each postor pier with washers and nuts.concrete piers shall be anchoredwith proper steel connectors anchorede with a minimum 112"dia x 7"long anchor bolt with washers and nuts.,: os:supporting.girders:shall be anchored toat2"x12"x12"thick concretefooting,
Use a minimum 1/2"dia x 7"long anchor bolt with washers and nuts.Footings Shall
be 4 It.below grade.
'�
4).Deck joists to have blocking at 8'0 o.c.. E���� _ n
6).A minimum of 10 Inch flashing shall be Installed between the building and ledger.
Ledger to be fastened to building with 112"dia.bolts with washers and nuts
at 16"o.c. e
6).Concrete piers shall be a minimum 6"abova grade. -
7).All joists to be supported with hangers and anchors.Each Joist shall Olaf)be anchored
togirder(s). -
BUILDING PERMIT E CHEC.KGIST
DATE REVIEWED: / /03
APPLICANT: DATE SUBMITTED: —1-103
SCTM#DISTRICT: 1000, SECTION: BLOCK: LOT: SUBDIVISION:
ADDRESS: CITY: ZONING DISTRICT: CONFORMING?
BUILDING PERNTITS OPEN/EXPIRED: PRE CO: Y OR N
BP -Z/610 Z INFO /BP Z/C/O Z INFO
BP -Z/C/0 Z- INFO /BP -Z/C/0 Z INFO
SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES:
LOTS'40,000SF-100-24.Lot recognitlom(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997100-25 Merger.(Anonconforming at anytime after
REQ. LOT SIZE: ACT. LOT SIZE: REQ. LOT COV. ACT. LOT COV.
REQ.FRONT PROP. FRONT REQ SIDE ACT. SIDS°
REQ. REAR PROP. REAR REQ. HEIGHT PROP. HEIGHT
PROJECT DESCRIPTION:
ESTIMATED PROJECT COST: ARCHITECT/ENGINEER:
WATER FRONT? DESCRIPTION: PANEL # FLOOD ZONE:
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): DTE:,/,/_ PERMTT#:
TOWN SEPTIC RECEIPT: Y or N
NEW YORK STATE DEC: Per;-DEC 9/1/75 YES or NO DTE: / / PERMIT #:
SOUTHOLD TOWN TRUSTEES: YES or NO DTE: _/�' PERMIT #:
r TOWN ZONING BOARD APPROVAL: YES or NO DTE: / /_ PERMIT #:
TOWN PLAN. BOARD APPROVAL: YES or NO DTE. / / PERMIT #:
TOWN HISTORICAL PRE (SPLIA): YES or NO
NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO
NOTES:
{
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: SF FEE FEE FEE
I. ( —SF)- _SF)= SFX $ =$ +$ +$ _$
2. ( SF)- ( SF)= SE X $ _$ +$ +$ _$
3. ( _SF)- ( SF)= SF X $—=S—+$—+$
_
FINAL TOT $
NEW YORK STATE CODE COMPLIANCE CIIIC T
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
Ground Snow Load:45 Wind Speed: IZOMPH Seismic Design Category:B,
Weathering: Severe Frost Depth:36"_Termite:M-H, Decay: S-M
Design Temp: 11 Ice Shield Underlay: YES i Flood Hazards:
StIOCCUPANCY CLASSIFICATION:
R
HEIGHT/FIRE AREA:
TM OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE
x
//FULL FRAMING DESIGN ELEMENTS: YIN
HEADERS: Y/N WALL STUDS:Y/N GIRDERS: WN
s CEILING JOISTS: Y/N FLOOR JOISTS: Y/N ROOF RAFTERS:YIN
LUMBER SPECIES AND GRADE:YIN''
A DESIGN LOAD CALCULATIONS: Y/N
t
€. LIVE: YIN DEAD: Y/N SNOW: Y/N SEISMIC:Y/N WIND: Y/N
WINDOW AND DOOR SCHEDULE:
E MISSLE TEST REQUIREMENTS: Y/N
r EGRESS 5.7 S.F.: Y/N
LIGHTS%: Y/N
VENT 4%: Y/N
✓NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N
PLUMBING RISER DIAGRAM: Y/N
CATION OF FME PROTECTION EQUIPMENT: Y/N
:/TRUSS DESIGN: Y/N
V'C RTIFICATION: Y/N
ENERGY CALLS: Y/N
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
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765-1802
BUILDING DEPT.
INSPECTION
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[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION'2ND [ I INSULATION
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I l FRAMING [ FINAL
] FIREPLACE S CHIMNEY
REMARKS:
el
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DATE INSPECTOR
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FIELD INSPECTI}'N REPORT DATE
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FOUNDATION(]LST) f S
F
FOUNDATION O
z
6
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ROUGH FRAMING&
PLUMBING `3
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ZNSIILA-n N]PER ER N.Y. „3
STATE ENERGY CODE
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FINAL
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ADDITIONAL COMMENTS o
TOWN OF SOUTHOLD BUILDING PERMIT APPL1CAT10X-C13JjCKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN$A.LL Board of Health
3OUTHOLD,NY 11971 3 sets of Building Plans
CEL: (631)'765-1802 Planning Board approval
FAX: (631) 765-9302 t Sny
Www. northforLnet/Sonthold/ PERMIT NO. t' Check
Septic Form
r N.Y.S.D.E.0 Trustees
:xanuned I SD 20 3 Contact:
tpproved 10 20__^_ Mail to:_
��II
)isapproved a/c 6 ')fir-(-I��'
Phone: 3 �.J6:Z - �
:xpiration_ 3. ,210.G
Building Spector t i iE — 8 03
m
APPLICATION FOR BUILDING PI RMI ,
Date 20
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and,submitted to the Building Inspector with 3
ets 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
reas, 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
hall 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
^sues a Certificate of Occupancy.,
£ Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
,suance or has not been completed within 18 months from,such date.If no zoning amendments or other regulationsaffecting the
roperty have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an
ddition 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
3uildmg 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
pplicant agrees to comply with all applicable laws, ordinances,building code,housing code,and regulations,and to admit
uthorized inspectors,on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
')tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
lame of owner of premises s cPr e X12 t 4
(As on the tax roll or late t deed)
f applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
3uilders T.icPneP Nn Z l 7y ) f
e .. .a
1 State existing use and occ_aspanty of premises and intended use and occupancy of proposed con' struth'oas
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work,(check which applicable):.New Building Addition Alteration
RepaiY 1 Removal Demolition Other Work
(Description)
4. Estimated Cost (�D Poo Fee
(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.
i7. 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
j 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
1 13. Will lot be re-graded? YES_NO Will excess fill be removed from premises?YES_NO
i 14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
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 MAYBE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMI'T'S 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 �% n
being duly swom, deposes and says that(s)he is the applicant
(N o individual signing c tr ct)above named,
(S)He is the
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'AJ'xF_5 S"OWUY
KAREN MOWp
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EIRST AMEI,'ICAN 77T1 E !NSURANC£_ _ y
COMf'At4V OF N'-W YORK � rn t
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OFFICC
DATE: �� BP.q r zLi
FSE: BY I
'10TIFY BUILDING DEP4RTMENT AT�--
765-1802 8 AM TO 4 PM FOR THE
i
FOLLOWING INSPECTIONS:
I' 1. FOUNDATION - TWO REQUIRED
EXISTING HOUSE FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
--------- 3. INSULATION
- -" - 4. FINAL - CONSTRUCTION MUST
„ _______ _- _____________________
BE COMPLETE FOR C.O.
CONSTRUCTIONALL MEET TRff
2X0 LEDGER
REQUIREMENTSOF THE CODES NE .1
YORK STATE. NOT RESPONSIBLE POP /
DESIGN OR CONSTRUCTION ERRORSZ011R FLOOD ZONE
,1 COMPLY WITH CHAPTER °46"
-_ _- FLOOD DAMAGE PREVENTION
_ - _ 1, _ _ O I �� SOUTHOLD TOW
___ _______-_ __________________________ COMPLY WITH ALL CODES D TOWN CODE.
NEW YORK STATE & TOWN d ES
4X10 EDGER __ _ _" AS RE UIRED AND CONDITIQ OF
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____
A A SOUTHOLDTOWNZSA
EL7 ====LII ====== == 2X8 LEDGER NNM===g
SOUTHOLDTOWNP AARD
10'-I" 0'-I" o - SOUTHOLDTOWN TRUSTE S
a 811 8n a N.Y.S.DEC
----- IlL CONSTRUCTION SHALL
n O A M F THE REQUIREMENTS OF THE
°o OCCUPANCY ORIDES OF NEW YORK STATE.
4-6" USE IS UNLAWFUL
° WITHOUT CERTIFICATE;
x
8" 8" zr-6" 8" j OF OCCUPANCY
_______ _ 3D12dffG
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ELEVATION
SCALE 1/4" = 1'O" DECK September 04, 2003
MOWDY RESIDENCE
LAUREL LINKS
MATTITUCK, NY