HomeMy WebLinkAbout29882-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y_
CERTIFICATE OF OCCUPANCY
NO: Z-30366 Date= 08/16/04
THIS CERTIFIES that the building ADDITION
Location of Property= 1795 LAUREL TRAIL LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 125 Block 4 Lot 24.4
Subdivision Filed Map No_ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 13, 2003 pursuant to which
Building Permit No. 29882-Z dated NOVEMBER 21, 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 TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR-
The certificate is issued to ROBERT L KATHLEEN REYER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
c \
rite Signattare
Rev. 1/61
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. 29882 Z Date NOVEMBER 21 , 2003
Permission is hereby granted to :
ROBERT & KATHLEEN REYER
2095 RUTH ROAD
MATTITUCK,NY 13_952
for
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at 1795 LAUREL TRAIL LAUREL
County Tax Map No. 473889 Section 12S Block 0004 Lot No. 024 . 004
pursuant to application dated NOVEMBER 13 , 2003 and approved by the
Building Inspector to expire on MAY 21, 2005 .
Fee $ 150 . 00
lrl
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No.b
. TOWN OF SOUTHOLD
BUILDING DEPARTMENT --- — _---
TOWN HALL
765-1802120
- -
APPLICATION FOR CERTIFICATE OF OCCUPANCY'.: I
This application must be filled in by typewriter or ink and submitted to the Building Department with the follow Tiitg;
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. Swum 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-
i 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- $50.00
5. Temporary Certificate of Occupancy-Residential$L5.00, Commercial$15.00
Date.
New Construction: V" Old or Pre-existing Building: (check one)
Location of Property: ITT-)l 5 I_A1L1WL —/&y-r L �f1 U EL
House No. Street Hamlet
Owner or Owners of Property: V 't /C,A 1rCcC'j �y� -
Suffolk County Tax Map No 1000, Section ]�� Block &-Iry°� Lot Cal_ 4. oo
Subdivision Filed Map. Lot:
Permit No. �1tf��o7 —a Date of Permit- / a.i v3 Applicant: RE c� • t�a fc GHJ �e'
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate; ✓ (check one)
Fee Submitted: $ � c
Applicant SignatuW
Applicant/ Date.
Owners Nane: �� K Revie:ved:
Architect/ Date
Engineer: t/ Submitted: /(
SCTM N:
r L
District: 1,000 Section: I31ud.� _� Luca _
project /-7 ,�7 � ' X Subdivision
L.ocalioll w .�Y __ Name:
i
cerliSingle at separate Required
cer-ll
ficalion: (Yes _
R q. ' � Rcq.
]. �� /('
/�
ohne OisrncC fQ� I[.or size �Auwl' [IXt coverage -A) Propased
Rcq Rcq Req.
(Front Yard Proposed: (Side Yard _ Proposed' I [Rear Yard Prarw,ed' [
Project Description: 1
AGENCN'-PERMITS Permit .
REOUIRED FOR REVIEW N.A.. NO YES Number
Suffolk County Health Dept. T
New York State D. E. C. /
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation ???
Flood Zoae: 2 �PI VO
ote :
765-1802
BUILDING DEPT.
NSPECTION
[ FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
REMA S:
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DATEINSPECTOR
r
765-1802
BUILDING DEPT.
INSPECTION
[/] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS-
DATE INSPECTO
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r
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH BG.
[ ] F NDATION 2ND [ ] I LATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ✓�- -t %1C
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DATE r ��/ INSPECTOR
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FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION(IST) �P
--------------------------------------
FOUNDATION(2ND) 47
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INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
ADDPCION_kL COMMENTS
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TOWN OF SOUTHOLD . , i BUILDING PERN4IT APPLICATION CHECKLIST
BUILDING DEPARTMENTa ,ym� Do you have or need the following,before applying'
TOWN HALL �UtkT • _- Board of Health__
SOUTHOLDn-;
, NY 11971 -- - ----- j 3 sets of Building Pla _ _
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
wwvv. northfork.net/Southold/ PERMIT NO. �-i �b� -(5-- Check_
Septic Fonn
N-Y.S.D-E-C-_ _
Truatees_ _
Examined_ 20,�3 Contact:
Approved_ // .� ;70�= Mail to:
Disapproved a c_
Phone:_
Expiradon g-�-/ ,_10 Cis
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date 120
INSTRUCTIONS
a. This application MUST be completely tilled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of ps, accurate plot plan to scale. Fee according to schedule-
i. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
,r!- 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. Even'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 IS months from such date. If no zoning amendments or other regulations affecting the
property hate been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereaher, a ne,a permit shall be required- -- - -
APPLICATION IS HEREBY BLADE to the Building Department for the issuance of a Building Pernut 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-
(Simature of applicaldor name.if a corporation)
(Mailing address of applicant) // f
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises /W` a,3c,,P—i /� �E{✓ i y=G�
(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-
t. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section ja Block 0 Lot_ 2
Subdivision_ Filed Map No. —_Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .�
b. Intended use and occupancy 2)
3. Nature of work(check which applicable): New Building Addition ✓ Alteration
Repair Removal Demolition Other Work
s-� (Description)
4. Estimated Cost_ Fee_
(To be paid on filing this application)
5. If dkvelling, 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
Di ensions of same structure with alterations or additions: Front Rear
De th Height Number of Stories
S. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front � 3 Rear Depth l��
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction-,folate any zoning law, ordinance or regulation' YES_NOS
13. Will lot be re-graded? YES_NO X Will excess till be removed from premises" FES_NO,A2
14. Names of Owner of premises t �+��— Address Ll�L, .4 �App '-/1'Yt t e No.
Name of Architect Address TPhone No
Name of Contractor -Pap Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES N04
* IF YES, SOUTHOLD TOWN TRUSTEES & D_E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO-7t-
• 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 PORK)
SS:
COUNTY OF )
(�q-n+c er ,{ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the C/=-
(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 ZJZ,�C2 20 03
Notary Public Signature aApplicant
LINDA J.r-00PRF
Notary Public,State of New York
No.4E22583,Suffdk Cg,jnty
Tera^E'Xpiras LWZ--M yEr 3'i �
SURVEY OF PROPERTY
AT MATTITUCK
TOWN OF SO UTHOLD
r l n SUFFOLK COUNTY, NEW YORK
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LO' NUMBERS' REFER TO 'MAP ❑.F <631) 765 - X•.f�%3:1) 765-P79�
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NOTIFY
BUILDING DE ARTMENT AT
�_ 7655.180.180 2 6 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING w
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O. W
ALL CONSTRUCTION SHALL MEET
REQUIREMENTS OF THE CODES OF N1 W
YORK STATE. NOT RESPONSIBLE F V
DESIGN OR CONSTRUCTION ERROF k Ij
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WIND RESISTANT CONSTRUCTION CONNECTORSa
CONNECTION LOCATION PART NUMBER NOTES O w 0 O
4x4 POST TO FOOTING ANO O PAU44 OR WE44 PAU44: USE w/ MIN. I/2" DIA, x T" ANCHOR BOLT
6x6 POST TO FOOTING ANCHOR PAU66 OR III PAU66: USE w/ MIN, 1/2" DIA, x Y' ANCHOR EOLT
DECK 4 PORCH CONSTRUCTION DETAILS 4 WIND LOAD PATH CONNECTION DETAILS 4x4 POST TO GIRDER/HEADER PB544 / PBSE44 / KC44 USE ONE TYPE FOR EACH POST
6x6 POST TO GIRDER/HEADER PB566 / PBSE66 / KC66 USE ONE TY FOR EACH POST W J
STAT 5TRINGER CONNECTION TMU26 OR MPAI USE ON EACH ST INCE z of r
JOIST TO HEADER TYDOWN RTI5 UW USE FOR EACH RAFTER z
USE THE FOLLOWING OR APPROVED USP METAL CONNECTORS FOR PROPER WIND RESISTANT CONSTRUCTION. J Y
FOLLOW MANUFACTURE'S RECOMENDED INSTALLATION INSTRUCTIONS TO ACHIEVE MAXIMUM UPLIFT LOAD CAPACITY. Y Uj W U
STAIR TREAD— / ❑ H~—,
GIRDER/HEADER W Q
RIM aoaRD �
POST-p NAILING SCHEDULE
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POST/COLUMN—p srRINGER--gip FLOOR FRAMING:
RIM/DECK JOIST JOINT DESCRIPTION NAIL NAIL NOTES
QTY SPACING
JOIST TOPER TOE m
STRINGER TO DECK/PORCH CONNECTION SILL,TOP PLATE OR GIRDER 4-aa COMMON JOIST NAIL o
GIRDER/HEADER TO POST/COLUMN CONNECTION BRIDGING 2-eaCOMMON EACH TGE
RI JOINT END NAIL
BLOCKING2-Bit COMMON EACH TOE .p
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POST TO DECK/PORCH CONNECTION TO JOIST END NAIL CY.1
BLOCKING TO EACH TOE
3-i6d COMMON
SILL OR TOP PLATE BLOCK NAIL H N N
LEDGER STRIPEACH FACE F m
TO BEAM 3-tfid COMMON JOIST NAIL Qea
JOIST ON LEDGER 3-ed COMMON PER TOE p(
TO BEAM JOIST NAIL Q
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BAND 3-16d COMMON PER END
TO JOIST
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TO JOIST JOIST NAIL O K
BAND JOIST TO PER Q O
GIRD£R/HEADESILL OR TOP PLATE R \ 2-16dCOMMON FOOT O TOENAIL 3 de
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POST/GOLUMN JOIST— DECK NOTES: Z
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POST/COLUMN e 1).Unless otherwlse noted,all framing material to be#1 ACO pressure treated lumber
All fasteners,hangens and anchors to be galvinized or stainless steel.
2) Girders for dec6joisls to be bolted or anchored to each pastor per with washers and nuts
Girders on concrete piers shall be anchored with proper steel connectors anchored
GIRDER/HEADER Into concrete with a minimum 112"ala x T'long anchor boll with washers and nuts,
3).Posts supporting girders shall be anchored to a 12'NI2"x12"thick concrete footing
/ Use a minimum 112"dla x P"long anchor bolt with washers and nuts FOohngs Shall
he3ft belowgrade.
4) Dark lolsts to have blacking at 8'0 o c
ER/HEADER CONNECTIONIR
TO GD
GIRDER/HEADER TO POST/COLUMN CONNECTION GIRDER/HEADER TO POST/COLUMN CONNECTION JOISTs) gmito be of10 ned[a flashing shall be Installed with wnteaballding and ledger
Ledger[o bo fastened to building with 112"die bolts with washers and nuts
at 16"oc wo
6).Concrete piers shall be a minimum 6"above grade ]�
]) All joists to he supported with hangers and anchans Each Joist shall also be anchored L��••111 L!-.0
to girders) U
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GIRDER
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POST / t�1 ,L�y'�i�„ p-° WE
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GIRDER/HEADER—
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CONCRETE PIER 12 xl2 xl2" CONCRETE FOOTING
WOOD JOIST- CLIMATIC & GEOGRAPHIC DES ` r RITERIA x
GRODND WIND SEISMIC FROST INTER ICESHIELD FLOOD
.V SNOW SPEED DESIGN WEATHERING LINE TERMITE DECAY EGIGN DNDERLAVMENT HA2ARDN
POST TO FOOTING CONNECTION LOAD (MPH) CATEGORY DEPTH EMP. REQUIRED A '
MODERATE SLIGHT TO W
JOIST FRAMING FLUSH WITH GIRDER/HEADER as Les. 120 B SEVERE 3FT. 11 NONE -
TO HEAVY MODERATE
GIRDER TO CONCRETE PIER CONNECTION
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