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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. o 0 43 0J 0 (3 E~ o o ~ 0 0 .0- , 9 d ~. 0 0 0)~0 0 ~M 0 o M Om~ 0 ~3~0~4J 0 (D .4J -' ,.Q :~ 0 :~ m:~ ,nO -,-~ ~-~ 03 0 0 ~) o~-~ -.g .1 ,; i'