HomeMy WebLinkAbout30460-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPA~RTMENT
Office of the Buildin9 Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP~NCY
No: Z-30400 Date: 09/04/04
T~IS CERTIFIES that the building ADDITION
Location of Property: 1825 WOODCLIFF DR
(HOUSE NO.) (STREET)
County Tax ~p NO. 473889 Section 107 Block 6
Subdivision
Filed Map No. Lot No. __
MATTITUCK
Lot 15
(}LAMLET)
conforms substantially to the .Application for Building Permit heretofore
filed in this office dated J~3/~E 25, 2004 ptErsuant to which
Building Permit No. 30460-Z dated JlYhrE 30, 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 EUGENE J & ELIZABETH A. HICKS
( OWNER )
of the aforesaid building.
~uFFOLKCOI3NT~ DEPARTMENT OF HEALT~-PPRO%~AL
ELEuT~ICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION D~£mu
N/A
~/A
N/A
Authorized Signature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES I/NTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~PERMIT~'NO. 30460 Z Date JUNE 30, 2004
Permission is'hereby granted to:
EUGENE J HICKS
1825 WOODCLIFF DR
MATTITUCK,NY 11952
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at 1825 WOODCLIFF DR MATTITUCK
County T~ Map NO. 473889 Section 107 Block 0006 Lot No. 015
pursuant to application dated JUNE 25, 2004 and approved by the
Building Inspector to exnpire on DECEMBER 30, 2005.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
OF
OCCUPANCY
Form No. 6
TOVVN OF SOUTHOLD
BUILDING DEPARTMENT
TO~VN HALL
765-1802
This application must be filled in by typewriter or ink and submitted to the Building Depmtment with the following:
For new building or new use:
1 Final survey of property with accurate location of all buildings, properB, lines, streets, and unusual natural or
topograplfic features.
2. Final Approval fi-om Health Dept. of water supply and sewerage-disposal (S-9 form)_
3. Approval of electficaI installation from Board of Fh-e Undem'dters.
4. Sworn statement from plumber certi~'ing that the solder used in system contains tess than 2/10 of 1% lead.
5. Commemial building, indu~trfi~tl building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Pl~nrfing Board Approval of completed site plan requirements.
For existing buildin~ (prior to A. prfl 9, 1957) non-conforming uses, or buildings and "pre-e~sting" laud 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 si=m~_ed by the applicant_ If a Certificate of Occupancy is
deniecL the Building Inspector shah state the reasons therefor in writing to the applicant.
C. Fees
I. Cm'dficate of Occupancy - New dwell/rig $25.00, Additions to dwelling $25.00, ,Mterations to dwelhi~g $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory buildmg $25.00, Businesses $50.00.
2_ Certificate of Occupancy on Pre-existing Bulldkug - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporal3' Cerbfiq~Ie of Occupancy -Residential $15.00, Commercial $15.00
Date_ .~.,- /31- OZ~
Old or Pre-existing Building:
House No. Street
T.
New Construction:
Location of Property:.
Owner or Owners of Property: ~__
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ~ ~5 0c¢.~ ~
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~
:3 o '-/oo
(check one)
-x-x v
Hamlet
Lot
Lot:
[ L.~'--} Block
Filed Nlap.
Date of Perrint. ~ - -'?:>(5-O%LAppticant:
Under~a'iters Approval:
Final Certificate:
(check one)
Applicant Signature
Owners Name: _
Architect/
SCTM it:
Dislrk:t: 1,000 Section: /D/7 Block:
Reviewed:
Date
t.ocado,,: / ~ ~ l~ Name:
Single & separale Required
/ .
Project Description: ~~ ~
AGENC~?ERMITS
REOUIRED FOR REVIEW
N-A. NO YES
Permit .
· Number
Suffolk County Health' Dept.
New York State. D. E: C.
Town Trustees '-"/
Town Zoning Board approval: '~"'
Town pDnnlng Board approval: J //
Flood Plane Elevation 277
Flood Zone:
NOtes:
Building Department,
Town of Southold
June 30, 2004
In reference to the application I submitted on June 25, for the
demolition of my existing deck and for a replacement-deck, I have
been confronted with problems in my attempts to plan and arrange
for the construction of 12"-diameter concrete piers. Could you
please consider 10"-diameter piers instead ?
Although not indicated on the sketches submitted, I have been
advised that after the fourteen holes are created with a power-
auger, that a 1" or 2" layer of crushed 3/8" gravel should be
inserted and firmly tamped. If the tamped gravel is combined
with a 10"-diameter pier, perhaps the load-bearing capacities
would be adequate.
When my father made the sketches, he went beyond the requirements
of a modest deck ("Old World Workmanship").
I ~ ~ ~..~.~. ~ Thank you for your consideration,
~ ~ ,,.'~ ' ~,'~ ;El~z~eth H~cks
Map 1000 ?~ ' ~ 1825 Woodcliff Drive
Section 107 Mattituck
Block 06
'.~ m ~u / ~lk ~n~
Lot I 5 631 -298-3235
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] RO/~GH PLBG.
[ ]FOUNDATION 2ND [ ]/~SULATION
[ ]FRAMING [v~!FINAL ~) ~ P-
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
INSPECTOR ~~~-~ ~
FOUNDATION (1ST) ~"
STA~ ENERGY CODE
OF SOUT OLD'
BUILDING DEP.~RTMENT
T O~,VN HA.LL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631)765-9502
~v. nortlffork, net/Southold/
Disapproved mc
PERMIT NO.
BUILDING' P~RIMIT TriPLICATION CHECKLIST
Do you have or need the following, before applfmg?
Board of Healflx
'""~4 sets of Building Plans
Plmmiag Board approval
~ Storey_
Check
SeptifE9~
N.Y.S.D-E C.
Trustees
Contact:
Mail to:
Phone:
Expiration /~/3 0 ;20 t~
-'~--- - ¢ i ~i Building Inspector
~: 5~] l~ Z [ ~ AF~LICATIONFORBUmD~GPEmlIT
; ~' -~ ~ Date ~ ~ 20
~ ~STRUCTIONS
a. This application N'~ST be completely fi~ed M by ~dpewfiter or M ~ and sub~tted m ~he Bulling ~spector wi~ 3
sets o~plans, acc~a~¢ plot plum scale. Fce accor~ng to schedule.
b. Plot plan showMg iocatioa of lot m~d ofbMl~ngs o~ pre, es, relationsMp to ad~0~ng pre~ses or public streets or
c. ~e work covered by th~ application may not be co~enced before iss~ce of Bu~d~g Pe~t.
d. Upo= approval of tMs appficafio~, t~e B~lding Mspecmr will is~e a BMlding P¢n~t to the appEc~t. Such a
shall be kept on the pre~ses available tot Msp¢ctioa r~ou~out tee woik.
e. No building sh~ be occupied or used in whole or m p~ ;~xy p~osc what so ever ~mJ the Bu~ding Mspector
issues a Ce~ificate of Occupancy.
f. Eyed~ building pemt shall expire if the work authored has not co~enced wkhn 12 mont~ aker d~e date of
iss~ce or has not been completed wffi~ 18 mont~ ~om such date. If hq zodng amendments or other re~lations affect~xg the
prope~; have been e~cted ~ the intern, the Bml~g ~spector ~y autho~ze, ~_ w~Sting, ;he k.ue~mion of the pen~t for an
addition_six movX~. Th~cafle~; a new pemSI shah be req~ed.
' ~LiCATION IS HE'BY M~E to the Bu~ding Dep~ment ~br the issr~xce ora Buil~g Pemt purs~nt to the
Building Zone Ord~ce of the Town of Southold, Suffo~ Co~D~, New York, ~d other apphcable kaws, Ordin~ces or
Re~lations, for the co~tmction of buildings, ad~tions, or akerations or for removal or demolkion as herein described. The
apphcant a~ees to comply with ail applicable laws, ordinances, bt~l&g code, hous~g code, ~d re~lations, ~d m
authored inspectors on presses and ~ bffilding for necessaD, ~sp~fions.
(Siguature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plmnber or builder
ovo,ncx'-
Nameofownerofpremises LU~. C O'-. ~Ck--5 C~d ~q't~n~ra
(As on the tax roll or latest deed)
If applicant is a corporation, si~mmre of duly authorized ofiScer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
I ~&5 b~oedcl i,ccC T)C-i~-C
House Number SU-eet
CountyTax Map No. 1000 Section
Subdivision
2.. gtate, extstmg nse and o~:cupancy of premtses a~cr-m-~nded use dud occupancy ot ,proposer constmctto~: a. Existing use and occupanay
b. Intended use and occupancy
3. Nature of ~vork (check which, ~pplicable): New Building
Repair Remov'al Demolition
4.
5.
Addition
Estimated Cost ~
I'f dwelling, number of dwelling units
If garage, number of cars
Alteration
Other Work
(Description)
Fee i~ i-3--~
(To be paid on filing th/s application)
Number of dwelling units on each floor
6. If busineSs, commercial Ch- mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if an3': Front
Height Number of Stories
Rear .Depth
Dimensions of same structure with alterations or additions: Front .: .... .,: Rear
Depth. Height Number of Stories ""
8. Dimensions of entize new construction: Front
Height Number of Stories
9. Size of lot: Front q~l Rear ~'.~'
t0. Date of Purchase ii- tg- ?O Name of Former Owner
Rear .Depth
Depth
11. Zone or use district in which premises are situated ~e_51 Ct ~ lq 'q 6L.[
12. Does proposed construction violate any zoning law, ordinance or regulatiun? YES__
7
/
?
13_ 'Will lot be re-graded? YES NO ",/Will excess fill be removed fi:om premises? YES NO V
14. Names of Owner of premises F-Aia&~'~d4~ }~Cr~ Address/~,/5' tooc~'i~-l>~PhoneNo_
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 wetlmxd? *YES NO
* iF YES, SOUTHOLD TO~X~nq TRUSTEES & D.E.C. PERMITS IvlAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Pro~dde 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~
~-.&/ ~;2/J~W,~ ~/(~ A4~ being dui3' sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above name4, .
(Sine is the
(Corm'actor, 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 f'fie tiffs 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.
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