HomeMy WebLinkAbout30141-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30383 Date: 08/27/04
THIS CERTIFIES that the building ADDITION
Location of Property: 50 SUNSET AVE bIATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 115 Block 3 Lot 8
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 8, 2004 pursuant to which
Building Permit No_ 30141-Z dated MARCH 8, 2004
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 HUB REALTY
(OWNER)
of the aforesaid building_
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ N/A
PLUMBERS CERTIFICATION DATED N/A
{ e
//Al"tho ized Signature
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)
PAPj41T So. 30141 Z Date MARCH 8, 2004
Permission is hereby granted to :
I DOYLE (HUB REALTY)
PO BOX 441
PORT JEFFERSON,NY 11777
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXIS^lING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at 50 SUNSET AVE MATTITUCK
County Tax Map No. 473889 Section 115 Block 0003 Lot No. 008
pursuant to application dated MARCH 8 , 2004 and approved by the
Building Inspector to expire on SEPTEMBER 8 , 2005 .
Fee $ 150 . 00
Authorized Signature
I
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN BALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY iq 2 { Ni}
This application must be filled in by typewriter or ink and submitted to the Building Departmen .with_thefo)iocs Wg��
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. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1°i6 lead.
5_ Commercial building,industrial building,multiple residences and similar buildings and installations, a certificate
of do e'Compliance from architect or engineer responsible for the building_
6. Submit Planning Board Approval of completed site plan requirements.
�B.��•or existing,buildings(prior to April 9, 1957)non-conforming uses, or buildings and"pre-existing" land uses:
����jj Accurate survey of property showing all property lines, streets,building and unusual natural or topographic
features_
2. Ai 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.
1' 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$15.00, Commercial$15.00
Date.
New Construction: Old or Pre-existing Building: (check one,
Location of Property. Z-29 SjurY xetAo
House No. gueet ° Hamlet
qQ
Owner or Owners of Property: ` /� /Z7�wr i r�3/w-A
Suffolk County Tax Map No 1000, Section //,A, Block /9 OTd 3 Lot p,F
Subdivision Filed Map. Lot: ~
Permit No. Date of Permit. O y Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for. Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ S�
7
Applicant SignaAVe
co �o3
BUIL--D-IIN-A.-JII' ML11 I y-CIl-EC-K LIST
Applicant J+ ' Date.
Owners Name: NuX Reviewed:
Architect/ Date
Engineer: \1. ; Submitted:
r
SCTM H:
District. 1000 Section: 15�191ock_ Lot �
Project _ n n nn _f ' Subdivision
Location: T (o to DyN1di.,r �C—c� A',_V l�-j�t Name.
Sinn&le S separate Required
cei ttfcauon: (Yest No). Al/A
{J��y6 Req. Req. �/7
ton ine Dfstriet:� Ildt size. .Actual: ���JJ 1 [Lot covcrage , L� 1'ru�:a.eT`"
Req Req./i( Req. L r J Req. - ref .�
IFra nt Yard 3- f� Prcposc& [Side Yard �J� Proposed: @ ] [Rear Yard �y I'rolwsed
�. ice`
Project Description:
AGENC 4NERMITS 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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765-1802
BUILDING DEPT.
NSPECTION
[ FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
d
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
a ,
!' REMARKS:
m
R
DATE �` INSPECTOR
e�
f
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
j [ ] FOUNDATION 2ND [ ]ZINAL
U NFRAMING [
[ ] FIREPLACE & CHIMNEY [ ) FIRE SAFETY INSPECTION
REMARK
p
f _ 1r,
I FF7( 11 V '
DATE ,d6 INSPECTOR '-� \
8
765.1802
BUILDING DEPT.
i
INSPECTION
i
s
1
fi
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
3
[ J FRAMING [ INAL
1.
[ J FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS.
DATE INSPECTOR
r
765.1802
BUILDING DEPT.
r
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ) INS ION
s
[ ] FRAMING f prriNAL
�Ys
` [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
lk
REMARKS:
,
d
DATE � INSPECTOR
I'ii
FIELD INSOECTIONREPORT DATE COMMENTS
Cu ro
3axe
FOUNDATION(IST) —
----------- -- -- c
FOUNDATION(2ND) ----- �.m
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-- --- —————————— I
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FRAIV
ROUGH -NUBL G ------S —
PLU�LSLNG
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INSULATION PER N.Y. -- --- �
STATE ENERGY CODE -- --
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FINAL.
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LTLONAL COMMENTS
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TONIN OF50UTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING-DEPARTMENT Do von have or need the following,before applying'?
TOWN HALL
Board of Health
SOUTHOLD, NY 11971 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
F:CX: (631) 765-9502 Survey
www. nort'hfork.net/Southotd/ PERMIT NO. 30/�41_;_r-, Check
j Septic Form
J NX-S.D.E.C.
Trustees
Examined ,20 0(�_ Contact:
Approved,20_2_L Mail to:
j Disapproved a/c_ --
Phone: C.-..—"-11------
Expirariott ,20 OS �
Building Inspector ; MAR 8
APPLICATION FOR BUILDING PERMIT __ -_"" —"'" 3-- "-
DateS' d 20
INSTTRUCTIONS
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*o 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 par for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every 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 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
addition 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
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.
'Sig'nature of app)a ant or name,if a corporation)
N-86,- /0) YIL27-7
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
L
Name of owner of premises J�Z Rze&��ti i ra42!�C-& / amZl 1` d
'(As on the tax rolVr latest deed) �
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No._ � i, ( D /T
Plumbers License No-
Electricians License No.
Other Trade's License No.
1. Location of land on which reposed work will be done:
/��A��Q�D cr�kc�'rLl�t��� �ti ,
House Number Street Hamlet
County Tax Map No. 1000 Section _���3�� Block
Subdivision Filed Map No. -.- Lot -
f.
2. State'existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy k. 6-C e-.'4 r '0 r-e
b. Intended use and occupancy__L�g VI , ( � � Gee,,c
3. Nature of work (check which applicable): New Building Addition_DeC _Alteration
Repair Removal Demolition Other Work_—
(Description)
4. Estimated Cost �B p •—� Fee
(To be paid on filing this application)
1 5. If dwelling, number of dwelling units_ / Number of dwelling units on each floor
If garage, number of cars
I
6. If business, commercial or mixed occupancy, specify-nature and extent of each type of use.
7. Dirrienstons of extsting structures, if any: Front 3=- Rear3A ' Depth t/ ,
i Height / S� r! Number of Stories
1 Dimensions of same structure with alterations or additions: Front Rear
Depth 7,1 /
Height 1 5'?� Number of Stor(6s -
S. Dimensions of entree new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth /D
10. Date of Purchase / 4� 0 V Name of Former Owner d H Zz-
11_ Zone or use district in which premises are situated ��Slc���,.➢LizR
f12. Does proposed construction violate any zoning law, ordinance or regulation? YES__NO_ A�
13. Will lot be re-graded? YES__NO )(Will excess fill be removed from premises? YES_NO 1!
I0 o-&ax qV/
144 Names of Owner oipremises c Addresshr='[de- doh honeNo.
Natne of Architect e e � h P. •Address -5 v c( Phone No 7.6�-- q 3Sy
Name of Contractoi P/Alt lvezoe Address3 N_r hone No_ �'- VeO V
4,14d IK-// )eraa-e 1/7ya
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland" *YES NO X
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C_ PERMITS MAY BE REQUIRED_
b. Is this property within 300 feet of a tidal wetTai aO * YES NO
• 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 YORK)
SS:
COUNTY 046Q�ji'CliC
Wlq't-T-M W. �7, 7 CCS/3S being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the /J 4 -nkn e4-
(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.
Swom to before me thi/sy�
J'-".. day of//r / evr A 20 0 9-r
Notary Public Signature f Applicant
s
JUDITH P. SPENCER
Notary Public,State of New York
No. 01SP4811814, Suffolk County
Commfsslon Expires September 30.20M
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APPR VED A;S NOTED . 1 - - L flT.dllt X� _E/GkI Oyer
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IL BY:
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3. INSULA?101 of?ll1S(eVU�AIN�9J�HAL4 I � 'feu Mlol,pt �
MET_THEREuuINEME T50FTHE , � n '
4, FINAL'• CONSTRUCTION
-MUST F �_ N_. �2ArJG�ur1roGT_ ' r{1
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COMPLETE!
C _D S OF NSW YORK. A�
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ALL OON 1ON SHALL MEET TFIE 1 '
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FEQ IREMENTS �F ThE CODES OF NEW I . _
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YORK STATE, NOT hSPUNS`IBL� F6R rlo7 _ 1`
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TYPICAL DECK WIND UPLIFT REQUIREMENTS
I - -- - HEADER GIRDER CONNECTIONS: USE THE FOLLOWING USP BRAND OR APPROVED EQUAL. GAI_VINIZCD
DECK HEADER UPLIF METAL CONNECTORS WITH. THE RECOMFNDED FASTNERS AND
SPAN SPAN lbs. INSTALLATION BY MANUFACTURE,
6' 10.40 PRODUCT DESCRIPTION UPLIF GALV. MINIMUM
B' I078 NUMBER lbs. FASTNER REQUIRED
20' 10' 2347 pBS44 4x4 1615 POST, (12) 16dCUM. NAIL
12' 2817 POST CAP BEAM, (12) 16d CUM, NAIL
6' 1859 -x4 POST (8) 16H COM. NAIL.
28 e' 2479 PB$E44 END POST CAP 1438 BEAM, (8) 16d CON NAIL
10' 3098 BEAM/GIR E , (2)5%8' BOLTS
IE' 3718 KC44' 4x4 COLUMN CAI 3265 POST/COLUMN: (2) 5/0' DIF. BOLTS
6' 2310 —
36' e' 3081 -
10' 3851 4x4 FOOLING/PIER: 5/8"KT ANCHOR QOLT
I2' 46pL PAU44 POST ANCHOR 2`40 '.POST/GIRDER, (12) 16d CUMMON NAILS
x4 W T POST ANCHOR
CBE44 COLUMN BASE 3565 Pq ST/GIRDERS (2) 1./2' DIA, DOLTS
UPLIFT CONNECTIONS FOR, KUB44 444 ' 5650 WET PDST' ANCHUR
-��
77]7_1 JOISTS-TO-GIRDER / HEADER COLUMN BASE POST/GIRDER, (2) 5/0' DIA. BOLTS
DECK CONNECTION MIN. Bd NAIL
SPAN CAPACITY REQUIRED 6,6
x POST, (12) 1.6d COM, NAIL
d PBS66 POST CAP 1815 BEAM:.(12) i6d COM, NAIL
,q l2' 427 Lbs. 46x6 POST: (8) 16d COM, NAIL
16' 526 Lbs, 5 PDSE66 END POST CAP 1438 BEAM, C8) 160 COM. NAIL
20' 626 lbs 5 - 6x6 BEAM/GIRDER, (2) 5/6' DOLTS
52
24' 726 lbs. G COLUMN CflP POST/COLUMNi (4) 5/8' DLA, DOLTS
25
KCC66
„T1=111111=III_III-III=111111;III-III=11 ,,,III_III-ITT _ 28' 826 lbs. 7
T YPIC/AL DECK 32' 927 lbs, B 6xG Fp0'IING/PIER, 5/8'x7' ANCHOR BOLT
N T.S. zn
36' 770 llos. 7 PAU66 'POST ANCHOR ,235.0 PAST/GiRDER� tt2) 166 COMMON NAILS
--- - 6x6 WET PAST ANCHOR
CDE66 COLUMN BASE 3578 ' POST/GIRDER, (2) 1/2' DIA, BOLTS
6r.6 WET POST ANCHOR
CC KLB66 COLUMN BASE 564P POST/GIRDER, (2) 5/9' AIA. BULTS
QF NFW TY-DOWN JOIST; (G)Qd COMMON NAILS °
"� RT10 ANCHOR 595 _HFADER/GIRDER, (6) Oct COMMON NAILS
ALT, RT20 TY-DOW 1105 JOISTI (9) 10x1-1/2 NAILS
ANCHOR HEADER/GIRDER, (4) 10d COMMON NAILS
r + 1,1
m 2 INSTALLATION NOTES:
1), ALL POSTS TO BE ANCHORED TO FOOTING OR PIER WITH POST ANCHOR
4"0. 05251 yL' 2). HEADER d GIRDER CONNECTIONS TO BE ATTACHED 'TO EACH POST WITH POST CAP
OFESSIQI`t`P 3). EACH JOIST TO BE ANCHOREB TQ- GIRDER OR HEADER WITH TY-DOWN STRAPS.
JOIST HANGERS TO BE ATTACHED TO A PT LEDGER 006RD THAT IS TO BE BOLTED TO BLDG.
NEWCO CHIMNEY TRADITION INC.
Professional Chimney Sweep, Jeff Tarantino, Pres.
293 Wheeler Road • Hauppauge, NY 11788
(631) 582-5200
NASSAU r SUFFOLK
• �t�Cc S ��e O r�� hu � akln ei
NASSAU H0707110000
SUFFOLK 15,185-HI
'00 &
Name J _A C e-) b -f /
Address 47 Lk
Town KMLA
FWI
Cross Street xt i-, S• /11dff 41�kc
3 UM
Map b -Date l'-d"I
Horne Phone CT E, sE t
Work Phone ( )
rearm DAMPER air 4% /Cold air
rises falls
tR>iTR
FlRMKK—e Cold-air
cc register
ASH MWm Joist � /
Hot-air reg
SAFETY CONDITION CHECKLIST
CONDITION ,
REPORT
•Fireplace Chimney Sweeping.......................1) Duct i
2) .
........................................................................3)
.................................. .............. ......................
4) Draft regulator ?
•Gas Heat ChimneySweeping in smoke pipe `< Filter
•Oil Burner Chimney Sweeping Chimney/ I '
•Boiler Sweeping........................................:... .
•Wood/Coal Stove Sweeping......................... Cleanout Blower
•Chimney Rain Cap-Burner.......................... door
•Chimney Rain Cap-Fireplace...................... Furnace
•Air Ducts........................................................
•Dryer Ducts............................... ...................
•Masonry Restoration(Flue Tile).................... L y-
•Chimney Sealed with Silicone Spray............ y
•Pointing/Crown Repair..................................
•Gutter Cleaning.............................................
•Nest Removal................................................
•Animal Removal............................................
•Clean Our Door........................:.................... -/
•Ash Dump..................................................... / T C (4 7" e
On eac �i(
•Obstruction.................................................... ri /3
•New Damper Installed................................... v V/�r � i� w
•Roof Cement.................................................
•Caulking..................................a..................... /Y1 G(s c,le-5
•Vent Cap( )—ea...................................... j(
•Chimfex Fire Extinguishers...........................
•Ionized Smoke Alarms..................................
•Inspection......................................................
•Glass Doors..................................................
•Soot&Creosote Remover............................
•Brick Cleaner.................................................
•Creosote Removal........................... ............
•Smoke Pipe Installed.. .V�.n...... 5.
."Sao.
•Chimney Relined with stainless steel............
•Service Call...................................................
•Power Washing .......................................:.... '
�at• /•a Subtotal cS0O'
��.( � Tax L.1 i�2S
JTotal
CHECK# ti4 7 y U
NE T SERVICING RECOMMENDED ZutronNer Signature
In of
season year