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HomeMy WebLinkAbout50648-Z r TOWN OF SOUTHOLD BUILDING DEPARTMENT ' TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 50648 Date: 5/9/2024 Permission is hereby granted to: Finne, Helen 2670 Boisseau Ave Southold, NY 11971 To: legalize "as built"deck addition with pergola to existing single-family dwelling as applied for. Additional certification may be required. At premises located at: 2670 Boisseau Ave,Southold SCTM#473889 Sec/Block/Lot#55.-6-11 Pursuant to application dated 3/27/2024 and approved by the Building Inspector. To expire on 11/812025. Fees: AS BUILT-SINGLE FAMILY ADDITION/ALTERATION $788.00 CO-ADDITION TO DWELLING $100.00 Total: $888.00 Building Inspector TOWN OF SOUTHOLD-BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 Telephone(631)765-1802 Fax(631)765-9502 hups:H'yvvvNv.sout oldtowru Date Received PLICATE 1 _ or Office Use Only _ PERMIT NO. Building Inspector: Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owners Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: __.}DP-)yv\ CFL SCTM#1000- Project Address: iSS C V� V v—t-j v{ dun Ic L Phone#: Email: Mailing Address: 1-�1 C-2:'ou CONTACT PERSON: Name: - - Dvic-CAS Mailing Address: cl =L1j771v Pq'0 +t FrItt '' . Phone#: 31.-2-2 6_ Email: C S7V f C"r.�d1t�. DESIGN PROFESSIONAL INFORMATION: Name: =C7,C-- 4--- g Address: Mailing Phone#: ] - L ' Email: CONTRACTOR INFORMATION: Name: Mailing Address: i _ C t �t, v--o ' i t� Phone#: 3!— 2 -�V 33`3 ( Email: C P—/ -STZ)61 e t c DESCRIPTION OF PROPOSED CONSTRUCTION jai ew Structure ElAddition ❑Alterati ©Re air Demolition Estimated Cost of Project: ❑Other VC v✓ " $_ `La 1 Will the lot be re-graded? E]Yes�o Will excess fill be removed from premises? ❑Yes i PROPERTY INFORMATION Existing use of property: �,� Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes[]No IF YES,PROVIDE A COPY. aChecktlox After Reading_ The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by Chapter 236 of the Town Code.APPUCAMON 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,alterations or for removal or demoll lon 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(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal taw. Application Submitted By(print name): �c L Authorized Agent ❑Owner Signature of Applicant: Date: 03f2;, - STATE OF NEW YORK) p S:ll S COUNTY OF `)4p G 1 t�C. ) �Aw,Y4 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the A w=Ei (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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this p t 1Clay of 1X\ ,20 L 1 1 t ' 4 1 — N&Jry bli Notary Pobiic State or N w York Coun<,OT`Suffolk y ( 1` AU I �i REG#01 iv4U6090367 (Where the applicant is not the owner) Expires Aorq 4,20Al I, residing at tSiIV �— do hereby authorize ,�7u t<}-27 0,19LeC to apply on my behalf tot Town So Id Building Department for approval as described herein. .__ M � d wner's Signature Date oe*k G&-_ Print Owner's Name 2 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 ' Telephone(631)765-1802 Fax(631)765-9502 ttos:{"w vAv.southoldIgIA� BUILDING PERMIT APPLICATION INSTRUCTIONS&CHECKLIST • Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. • The work covered by this application,including land clearing/site work,may not be commenced before issuance of a building permit. • No building shall be occupied or used in whole or in part for any purpose whatsoever until the Building Inspector issues a Certificate of Occupancy. • Every building permit shall expire if the work authorized has not commenced within twelve(12) months after the date of issuance or has not been completed within eighteen(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 additional 6 month . Thereafter,a new permit shall be required. ALL APPLIC; ONS MUST BE SUBMITTED WITH THE FOLLOWING MATERIALS: zi "ing Permit Application:Complete,signed and notarized. A survey/site plan,drawn to scale at original size,showing the location of lot and of buildings on pre s,relationship to adjoining premises or public streets or areas and waterways. our(4)sets of plans bearing the signature and original seal of a NYS licensed professional engineer or ar ' ect illustrating compliance with the Building Codes of New York State. ontractor's proof of insurance and Suffolk County license: • Certificate of Workers`Compensation Insurance(C105.2 or U26.3)AND a Certificate of Disability Benefits Compensation Insurance(DB120.1) • Certificate of Liability Insurance "Note:�nal,ees will be ca'culate by�_ Budd ng_=eDari "ent usigng m e fee Schedule. Fees=ma's€be collected after the perm it is written * ADDITIONAL DOCUMENTATION MAY BE REQUIRED AS IDENTIFIED BELOW: ❑Suffolk County Department of Health Services Approval(original copy) ❑Approval of the Zoning Board of Appeals,Planning Board,and/or Historic Preservation Commission (if applicable) ❑Electrical Permit Application(FILED SEPERATELY):Electrician must have an active license with Suffolk County ❑Flood Plain Development Permit Application(if applicable) ❑Southold Town Trustees Permits may be required:If any work will be done within 100'of a tidal or fresh water wetland. ❑NYS D.E.C.Permits may be required:If any work will be done within 300'of a tidal wetland or 100'of a fresh water wetland ❑1 copy of ComCheck f ResCheck(if applicable) ❑1 copy of Manual 1,Manual D and Manual S(if applicable) ❑Utilization of truss/pre-engineered wood/timber construction form(if applicable) ❑Single and separate title search(if applicable) ❑Curb cut permit(NYS or Suffolk County form 29F)(if applicable) ❑Original signed Owners Authorization:if applicant is other than owner. 3 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 Telephone(631)765-1802 Fax(631)765-9502 https:,'-vv--.,xv.southoldto-,vnnv.aov INSPECTION&CERTIFICATE OF OCCUPANCY INFORMATION It is the responsibility of the applicant,owner,or contractor to request inspections from the Building Department.Construction must be completed and certificate of occupancy must be obtained within eighteen (18)months,or the permit may need to be renewed.Building permits shall be visibly displayed at the work site and shall remain visible until the authorized work has been completed. Work shall remain accessible and exposed until inspected and accepted by the Building Inspector.The permit holder shall notify the Building Inspector when any element of work described below is ready for inspection. The following elements of the construction process shall be inspected,where applicable: • Footing reinforcement or pier excavation prior to pour; • Footing keyway with foundation wall reinforcement; • Foundation before backfill; • Foundation damp proofing; • Framing,tie down/strapping and plumbing; • Underground plumbing; • Perimeter insulation; • Rough electric; • Insulation and caulking; • Solid fuel-burning heating appliances,chimneys,flues or gas vents; • Energy Code compliance;and • A final inspection after all work authorized by the building permit has been completed. After all necessary inspections are completed additional documents,including but not limited to the following, may be required: • Suffolk County Health Department Approval—original copy • Plumbers Affidavit • Miscellaneous Certifications as requested by Plans Examiners or Inspectors The Certificate of Occupancy will be issued after all of the required documents are submitted to this office.No building may be used or occupied in whole or in part,until a Certificate of Occupancy shall have been issued by the Building Inspector. The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. The person responsible for this site must call in for all inspections listed above. Contact the Town of Southold Building Department at(631)765-1802 to schedule your inspections.Please have your building permit number ready. 4 DATE lMRrTD07YYYY A !RID10 CERTIFICATE OF LIABILITY INSURANCE 12/051M 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: SPECIALIZED INSURANCE&SERVICES aHONE I FAX AtC,Hal, 204 RTE.112 E-A'L ASHLEY@SPECIALIZEDINSURANCE.COM PATCHOGUE,NY 11772 NAICO Auto-Home-Business-cycle-etc. INSU -S AFFORDItdt3 COVERAGE INSURER A:ATLANTIC CASUALTY INSURANCE CO 42846 INSURED INSURER B ANTS HOME IMPROVEMENT LLC WSURER c: I 1549 MAIN RD INSURERD: RIVERHEAD,NY 11901 INSNRERE: INSURER F- COVERAGES CERTIFICATE NUMBER. REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR€ POLICY EFF POLICY F.5[P 7 LSR TYPE OF INSURANCE IADDWED. POLiCYNUMBER M - MMtD ] LIMITS ' COMMERCIAL GENERAL LIABILITY I44 .1288000944-1 11/OS/2023 11/08/2024'EACH OCCURRENCE $ 1,000,0D0 A Y N CLAIMS-MADE E OCCUR ( agVt-SES CEa aM-uss� $ 140,000 ! j NED EXP IA,,on,person) $ 5.000 ;PERSONAL&ADV INJURY 3 1,000,000 GEN_'L AGGREGATE LIMIT APPLIES PER: I GENERALAGGREGATE $ 2,000,000 X '?RO` `PRODUCTS-COMPIOP AGG S POLICY a..ECT LOC OTHER. $ I AUTOMOBILE LIABILITY j j COMBINED S€NGLE Li41tT `$ Ea aden; ANY AUTO i i90DtLY INJURY(Pef pefsanJ $ OWNED SCHEDULED BODILY INJURY{Per accident} $ AUTOS ONLY AUTOS E - ]HIRED NON-OWNED I I I cRTi'DAMAGE $ AUTOS ONLY AUTOS ONLY j i - -- 1 $ UMBRELLA LIAR `OCCUR ' E EACH OCCURRENCE $ EXCESS LIAR 1 1 CIAIMS-MADE 1 3 AGGREGATE $ I DED I RETENTIONS # $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY Y I H I [! 4T TUTF - R ANY PROPRIETORIPARTNERtEXECUTiVE t E.L.EACH ACCIDENT $ OFFICEEUMEMeER EXCLUDED? �i N i A I } (Mandatory In NH) , E.L.DISEASE-EA EMPLOYE $ _ if describe unde D SCRIPTION OF OrPERATION betax s I ( EL.DISEASE•POLICY LIMIT'$ DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached K more space Is requires l DRY WALL OR WALLBOARD INSTALLATION,PAINTING-INTERIOR BUILDINGS OR STRUCTURESG CERTIFICATE HOLDER IS ADDITIONAL INSURED AS PER WRITTEN CONTRACT OR AGREEMENT CERTIFICATE HOLDER CANCELLATION SOUTHOLD TOWN BUILDING DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 54375 NY-25 54375 -2 LD,NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS, SOUTAUTHORIZED REPRESENTATIVE� ©1988-2015 A ORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD S S — -II- - IT — TT — 71 f — IT — -1 - - I- - IT- - TF — - - F — IT - - _ - - -TI_ —IF - - FF I I II II II II II II II II II II II II II Il II - II II I { II II II II II tl II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II It II II II II II II II II II II tl II II it II II II II II II II II II II II II II II II Il II II II II II II II II II II I 1 II II II II II II II II II II II II II II fl II II p I II II II II II II II II II II II II II 11 II II II � 1 II II II II II II II II II II II II II II II II II l i I I I I I I I I I I I I I I I I I I I I I I I I I I 2-2X8" BEAMS 2X6" DECK JOISTS II II 11 16" O.C. II II II II II II II II II II II II POURED 10„ DIA COLUMNS I I I I I I I I I I I I I I I I I I I I I I I I I I I I I ON 12 X 24 X 24 CONC. FTNGS N I I1 II II II 11 II II II II II II II II II I II II I I 3'-0" BELOW GRADE � I II II II II !I I ! II II II II II II II II I II II I II-= nEE n I I - - I I ! I fl II 11 II II II II II II II If II II II II II � I II II II II II II II II II II II II II II II II II p--t P41 I = 41= 4I I I= =1 f I = 11 N °R IZ ,, =-; —_ - — — - - — — - - - — T = — JI_ - - IL - - - - - -�I- - - � _ — = — I � h��a 10 9 1/2 d , _ . 10 - 411 Ul 12X24X48 CONC. PAD AT BASE OF STAIR 241 _ 011 1=oundation & Framing 1 /411 = 11.011 • Adam Gelb No. Description Date g JUFoundation and Framin Plan h FISCI lUtti ) r 2670 Boisseau Ave Professional Engineer Project number 31724 0Southold, NYA 0 Date 3-19-2024 1725 Hobart Road Drawn by Author o Southold , NY 11971 Deck and Pergola " = 1_ 11 Checked by Checker Scale 1/4 1 0 N co 1 1X6" TREX ENHANCED LINE DECKING/ BLIND FASTENERS INSTALLED TO MANU. SPECS i 3'-0" DECK RAILING DESIGN T.B.D. 10 1 _ i Ll DN w M � - PERGOLA ABOVE 13' - 7" 2X8 RAFTERS 16 O.C. ON 2-2X8" BEAMS SUPPORTED BY 6X6" COLUMNS AT EA. END 10' - 0" 4' - 0" 10' - 0" D ecklei 1 A - 1 -�0 11 Adam Gelb No. Description Date JOSE) ph ' Deck Plan 2670 Boisseau Ave `o• Professional En gineer Southold NY Project number 31724 0 Date 3-19-2024 Al d. 1725 Hobart Road N Drawn by Author o Southold , NY 11971 Deck and Pergola „ _ ,_ „ Checked by Checker Scale 1/4 1 0 N co 2X8" ACQ PERGOLA RAFTERS 16" O.C. LEDGER BOARD FASTENED TO 3/8" GALV. CARRIAGE HOUSE RIM JOIST/TIMBER TECH LEDGER SCREWS, 12" O.C. BOLTS @ EA. COLUMN SIMPSON LUS6 TIE @ EA. RAFTER SIMPSON HURRICANE TIE @ EA. RAFTER rJt �, r / Y f A t 6X6 ACQ COLUMN o r i RAILING TO CODE SIMPSON LSU6 JOIST HANGERS AT EA. JOIST 2X6" LEDGER BOARD FASTENED TO HOUSE RIM JOIST/ TREX ENHANCED LINE DECKING TIMBER TECH LEDGER SCREWS, STAGGERED, 12" O.C. 12X24X48" POURED CONC. 111 Deck Q1 PAD till 2X6" ACQ DECK JOISTS 16" O.C. 0 - 0 2-2X8" ACQ DECK BEAMS/SIMPSON POST CAPS - o 6X6" ACQ POSTS/ SIMPSON POST � BASE SET ON 10" DIA POURED Ile I CONC. PIERS AND FOOTINGS d , - - Grade v - 4 , 8� `" � `� . a �; T.O. Footin I J 10" DIA POURED CONC. PIER ON _ _ ' _ - _ ,_ , . • . ; I ,- 41 - 811 12X24X24 POURED CONC.FTNG &Section 1 1 /211 = 1 1-011 Adam Gelb No. Description Date � JOSE) h Fischetil' , FE Section M 2670 Boisseau Ave Project number 31724 0 Professional Engineer Southold, NY �2 1725 Hobart Road Date 3-19-2024 Drawn by Author o Southold , NY 11971 Deck and Pergola Checked by checker scare 1 /2" = 1 '-0" N CO