HomeMy WebLinkAbout29991-Z FORM 170. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y_
CERTIFICATE OF OCCUPANCY
No: Z-3.0446 Date_ 09/20/04
THIS CERTIFIES that the building ADDITION
j Location of Property: 1985 AUGUST LA GF.EENPORT
I (HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 53 Block 4 Lot 44.24
Subdivision Filed Map No_ Lot No.
conforms substantialli• to the Application for Building Permit heretofore
filed in this office dated JANUARY Sr 2004 pursuant to which
Building Permit No_ 29991-Z dated JANUARY 6, 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 "AS BUILT" DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to CHRISTOPHER L DANIELLE GOLDEN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL DI/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
t}ior'zed S gnature
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)
PERMIT NO_ 29991 Z Date JANUARY 6, 2004
e
1
I
Permission is hereby granted to :
CHRISTOPHER GOLDEN
1985 AUGUST LA
GREENPORT,NY 11944
for
DECK ADDITION (AS BUILT) TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
at premises located at 1985 AUGUST LA GREENPORT
County Tax Map No. 473889 Section 053 Block 0004 Lot No. 044 . 024
pursuant to application dated JANUARY 5, 2004 and approved by the
Building Inspector to expire on JULY 6 , 2005 .
Fee $ 300 . 00
_nom
Authorized Signature
ORIGINAL
Rey. 5/8/02
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Form No.6 l ri
TORN OF SOUTHOLD
BUILDING DEPARTMENT
SEP 7 M
TOWN HALL _. .
765-1502
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This apphcatibn'must be-filled in by Rpewriter or ink and submitted to the Building Depaitmenf with the following:
A. For new building or new use:
1 L Final survey of properry with accurate location of all buildings,property lines, streets, and unusual natural or
i 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. Savor statement from plumber certifying that the solder used in system contains less than 110 of 1°n lead.
5. Comanzrcial building, hrdustrial building,multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect.or engineer responsible for the building.
6. Submit Plan li_Board Approval of completed site plan requirements.
B. For existing building (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.
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$15.000 �/
Date. /1VI -49
New Construction: X" Old or .Pre-existing Building: /J (check one)
Location of Property: 1 W h 4W 7 Ave Wlzz /Ol r
House No.
�' Street Hamlet
Owner or Owners of Property: (�/ai /94t//ar
Suffolk County Tax Map No 1000, Section Block 3 }� Lot
�11tt t 1 7 I
Subdivision_ �4 i I L _Filed Map. q{o !n Lot: 22—
Permit
ZPermit No. OZ Date of Permit. 1 y Applicant: �J� i GU l j(4
Health Dept.Approval: relliQ-- Underwriters Approval:
Planning Board Approval: lalt2t�(]
Request for: Temporary Certificate Final Certificate: � (check one)
Fee Submitted: $h 1 !
A licant Signature ature
PP
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNERE-
STAfftf cl 17 VILLA
DIST.
SUB. OT ;
,hrl5/Vp1-m r U 0 u Lol nc-'
ACR.
REMARKS
TYPE OF BLD.
CSS
40 -7/2(,Ior - L z o& 5,J.wrp b o A') G
LAND
P. TOTAL DATE
5,10o 7100 2 zea
J;>
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD
WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
TOTAL
(148 It
- N. -
. - wa, y « t� t� ` COLOR
`Vpil 5.
¢
AM
n �..�•- iei s' - r q
-5 Vii: •. -- .-, -^� .i:'�_:i- i'1 _ �:d'� 1 AL P,5
is ' . _ _ - '•' _ 5���;, I
--.;r zst rf r ,3 s • -� { � �. ''.`, y�i�; A �31k TRIM
� .urL'_�.k�. q..�t'i>[' .k$-s � J - --rcly •S�"T- c �----,}- ..�� r t
`MSW�fY.. •.. .-_ �._,..�.uN _..S d'�t4... .r.L...�'`BiAiSc.....R'.-r Y� '
-53-4-44:2.4__ 270I — -
M Bldg. X ICQ ? 410 Lf d Foundation C�7 Bath Dinette
;xt nsion -4 -k37 - a® L� ��' ��� Basement sine` Floors � � Kit.
Extension Y, u ' -Z Ext. Walls Interior Finish lP L.R.
Extension Fire Place 2S Heat D.R.
Patio Woodstove BR.
Porch 0 (0 X C37 2L� -2.2= 2m9 ,STS l00 Dormer Fin. B.
Deck -�3�til�; `« ( ZSZ Z '7 Attic
Breezeway Rooms 1st Floor
GarageZt 'xZl1{ t ( v�5 Driveway Rooms 2nd Floor
O.B., 45"-867 1z a
Pool
B U4 LD I-NG-PAST-RMENLC4 Cxx-L-�
Applicant/ Dale
Owners Name: lee Reviewed:
Architect/ Date
Engineer: Submi(ted:Els
SCTM N:
District: 1000 Section: 3 Chock. Loc
Project g v Subdivision
Location 1/ 0 v -t-2ve _ Name:_ _
SimiIc ,Y separate Rcgwred
certification: (Yes/Nol
Req. Req. - -
I(mingDismcc IIA(52L. ACWal. I [Lut coverage Ihu�n�scJ
Req. Req. Req —
[[`ron(Yard Proposed: I (Side Yard / Proposed- I [Rear Yard Proposed I
Project Description: 0", CY .
AGENCUERMITS Permit
REQUIRED FOR REVIEW N.A.. NO YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approve:::
Town Planning Board aprtoval:
Flood Plane Elevation???
Flood Zone: x
ote
I
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUG LBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: G
1 ",
D
DATE ® INSPECTOR `'
FIELD INS*- CTION REPORT DATE COAINIENTS
� m
FOUNDATION(1ST) p
------------------------------------
FOUNDATION(2ND)
T-
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ROUGH FR-"IING&
PLUMBING
_y
3
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INSULATION PER N.Y.
STATE ENERGY CODE
Z
FINAL.
43
ADDITION_YL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATIONHECKLLST
II
BU .DING DEPARTMENT Do you have or need the following,b ore applying''
TOWN HALL Board of Health
SOUTHOLD, NY 11971 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval _
FAX: (631,) 765-9502 Survey
wK-w. northfork.net/Soittholcl/ PERMIT NO. � �P �� Check�F—
_ SepticForm
N.Y.S_D.E.C_
Trustees
Examined , 2029y Contact:
Approved i 20 0 Mail to:
Disapproved a'c
Phone. If 77�O
Expiration_ ,201L, Z
s 7l r. •f _ - uilding Inspector
5 � -
AN � ,
i. APPLICATION F'i'?R BUILDING PERMIT
FLC.3. V�FF- 1 Date 7 ?0 0-0-'f�
:� �:-�^;-r r ✓/Q/� �iyCY .
INSTRUCTIONS
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 to 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 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 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 1W\DE 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.
( igna a of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engitiec ;-ggneral contractor, electrician, plumber or builder
Name of owner of premises �is Q.g�iF��E /4 orm
(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.
1. Location of land on which proposed work will be done:
AGC 64/6 T I.4N E e5 Pew AOL T
House Number Street Hamlet
County Tax Map Nype 1000 Section S3 Block �1 . . Lot
Subdivision N46w T 4LIRIFS Filed Map No. ' Q/0. 2 Lot
(Name) )
2. State e ;ting use and occupancy of premises and intended}p�se and occupancy of proposed construction:
a Existing use and occupancy �( Ce AaV e:0 V
b. Intended use and occupancy
3. Nature of work(check-which applicable): New Building Addition_ x Alteration
Repair Removal Demolition Other Work
if (Description)
4. Estimated Cost 1§0D.0o Fee
(To be paid on filing this application)
5. If dwelling, 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
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8_ Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12_ Does proposed construction violate any zoning law, ordinance or regulation? YES_NO—X
13. Will lot be re-graded? YES_N04Will.excess/fill be removed from premises? YES NO
e."'4^f /98S
14_Names of Owner of premises Qa
* oleI16 b Add_-ess , sic W.Jprr Phone No. f/79•P72�C
Name of Architect M.0 /&,OCIAr eS dre-ss�{ro 11MM4 AVE Phone No 63/- 563-YX(3
Name of Contractor Address Phone No.
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 wetland? * 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:
'I COUNTI'O
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the 00jec:w
(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
.5 1. day--)Df /A 00S
�
Notary Public Public Signature of Applicant
BABETTE CORNINE
Notary Public, State Of New York _
No.01CO5792600
Qualified In Suffolk County
Commission Expires // 540 uJD/�
r
v
O 2x6 BOLTED
AT 16" O.G. W/ 4x4 GGA. POSTS (U 2x10 BOLTED AT 16" O.O.
`'/e" BOLTS (TTP. OF 4) W/ sie" BOLTS (STAGCsERED) II I 3j4"x5 7416- HORIZ-
(STAGGERED)
W/ GALV. CONNECTORS (BOTH SIDES)
W/ GALV. AT EACH JOIST
v I 'I
2 a Y-2-b I
CONNECTORS - -- -
_ 2x10 . 2x10 ___ - -__ - - _ — __ - - - - _ _ _
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2x1_0
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_-
W/ GALV. b'!-, 12.. B'-4 " 12.. IIA" l_4 �� 6 6 b 6' 2
12'd CONC. II N - _- -_ - - _ - _ - - - 5!4"xb '
3 3. � .. 2x10-OOTING - -- __ - - -- - --
-- -- - -_ __ _- - - - _ _CEDAR - - _-
- - __ - - _DECKING_
CONNECTOR -
4 12'1 8-43' 1211 II3, g�-4" 8,_411
- 1 - - -- __ -_- '' - - - -- — --- - ---- - - - ---- SBO(:
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EXIST
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2x12 2x12 - - - - --- - - --PL NIERS- - - - - -- - --- ��s
ry 2x10 = - I --_—_— 2%0
---2x10 -
-
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EXTEND EXIST.
12" 8-43..@ ' 12" 8'_4.. g.-4" 4'-I " y.. STEP 3 T\ oFSNII
A_I
IO'_y3" 22'_113°
3 9'_13" 4 93_9
A-I
43'-44"
DECK PLAN m 2' 4' 8' WARD ASSOCIATES
F0JNDAT90N PLAN 0 2' 4' s' 2
q q Landscape Architects,
A- SCALE: I/4" = I'-0" 1— ArchBects, Engineers
CsENERAL NOTES: SCALE: v4" = r-m"
venue
I. CONTRACTOR TO VERIFY ALL CONDITIONS AND DIMENSIONS AT THE SITE PRIOR TO COMMENCING CONSTRUCTION. 1500 BohemLakelia,
DEI. 11716
� -
__N49.53'10"E 130f1eDlla, N.Y. 11716
I -�-_� 145.4_0' 5/4 2. ALL WOE SHALL BE DONE IN ACCORDANCE WITH THE N.Y.S. RESIDENTIAL BUILDING CODE. (631) 563-4800
I - _ "x6
TAPERED CUT. 3. DO NOT SCALE DRAWINGS. WRITTEN DIMENSIONS SUPERSEDE SCALED DIMENSIONS.CAUK AND 45 West MAID 51Teet
NAIL LTO EXIST- 4. CONTRACTOR SHALL DO ALL PATCHING REQUIRED DUE TO NEW WORK AND / OR REMOVAL OF Il ALL Little Falls,New York 13365
PATCHING SHALL MATCH AND MEET FLUSH WITH EXISTING CONSTRUCTION (UNLESS NOTED OTHERWISE (315) 823-4384
SOI I 5. PROVIDE GALVANIZED FRAMING CONNECTORS FOR ALL BUTT STRUCTURAL CONNECTIONS AND GALVANIZED
II1
II' W/ 1/ HURRICANE TIES AT ALL GIRDER TO JOIST CONNECTIONS.
1x6 ," x 1/z" project title:
�I III RECESS (BOTH
0 'I'1I SIDES) 6. WOOD MATERIAL: SOUTHERN PINE 02 STRUCTURAL GRADE, Fb= 1150 PSI (BASE) OR BETTER
T. CONCRETE SHALL ACHIEVE A 28-DAY COMPRESSIVE STRENGTH OF 3500 PSI MINIMUM.
I ,,I 4x4 C.C.A.
Ix4 POST GOLDEN
II, BEYOND S. CONCRETE PIERS AND PLATFORM SHALL BEAR ON UNDISTURBED SOIL WITH A BEARING CAPACITY OF AT LEAST 2 RESIDENCE
ADD H2.5 GALV. JOIST TIES TONS PER SQUARE FOOT. (VERIFIED BY SOIL TEST) FOOTINGS SHALL HAVE A MINIMUM COVER OF 3'-0" BELOW
AT EA. JOIST GIRDER CONNECTION ADJOINING GRADE.
1 I (ALTERNATE AS SHOWN) ALL CONSTRUCTION SHALL DECK
(p l
2x2 AT E5" 1 EET THE REQUIREMENTS OF THE
O.C. CONT. AT Iil1 I� i
CODES OF NEW YORK STATE. ADDITION
ALL RAILING
SECTIONS _ 1 I, 514"X& DECK PLANKING
�i II, 111
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I I� � iill
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BLOCKING CERTIFICAT;pNOF GREENPORT, NY
BL + - _
PROPOSED I m ' + _ - rr
BOLTS + +
2x10 DECK JOIST 0 16" OC - �E 2 NS drawing title:
I pinll INC ,e caNN��rI��
DECK I DIA. L ,� - - -- -_I - 1
T" APPROVED AS dNr�,�}�/�-�yTTED
- - - BLOCKING l2x12i' ' (2) 2x10 GIRDER o ATE. 3 BP p� DECK PLANS,
W/ (2) /e' DIA. BOLTS
lljEE: - BY:� AND ELEVATION
IIiJ, j SEALANT ISI P SO.C.A.
BI JOINT ALL j I .,65-1802B R1AMINTOD4 PM FOR THE
9 2 STORY AROUND 1
0I GAR I_ I.OFOUNIDATION NG INSPECTIONS
ETWORETE RED
ml FRAME RES. I� ITYPJ i' FOR POURED CONCRETE FLOOD
NE
FIN. GRADE r L��U ZONE
. ROUGH - FRAMING & PLUMBING COMPLY WITH CHAF' FR "46°
INSULZ m l . FINALATBONSTRUCTION MUST FLOOD DAMAGE ❑REVi` NTION
I li SOUTHOLD TOWN BODE.
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
I
REQUIREMENT$
drawn by: checked by:
STATE. NOT RESPONSIBLE FOR
YORK
DESIGN OR CONSTRUCTION ERRORS. D.M. L.M.F.
date: scale:
9ele 1224.o', AS NOTED
I � i
0 m ( drawing number:
I
I �
COMPLY WITH ALL DES OF
EW YORK STATE CODES
DECK FL ELEV.
3ie" S QUIRE NDC ITjO OF
12"9 CONG. TT
DECK FL ELEV. - - FIN. ((��
FooTING I _ _ I' GRADE F�TO Z$A
Sr `
L.4N� GALV.
CONNECTOR CONC. ,,; ,u J ___ SOUiHOLDTOWN PLANNING BOARD
FOOTING (TYP-) ;,i SOUTHOLDTOWNTRUSTfES
lT- �'J III I ' I III II I I III cork.
L J JJ LIJ LIJ LIJ LIJ OCCUfrANCY OR SATE W PROHIBITS ANY PERSON FROM ALTERING
SS IT
5 PLOT PLAN 3 SECTION 0 2' ANYTHING ON THIS DRAWING ANDNLE THE
USE IS UNLAWFUL ACCOMPANYING
ER YTHE DIRECTION OF AULICENSED
4 D E C K E L E VAT I O N 0 2' 4' WITHOUT
IT RTI FI/+A FESSIONAL. WHERE SUCH ALTERATIONS
TAX MAP NUMBER: 0 lJ 1 VC I V/1 E MADE THE LICENSED PROFESSIONAL
A— SCALE: I" I'-0" MUST SIGN, SEAL, DATE AND DESCRIBE THE
COUNTY TAX MAP NO. 1000 /� g9f�CCUPANCY FULL EXTENT OF THE ALTERATION ON THE
SECTION 53, BLOCK 4, LOT 4424 A- 1 SCALE: 1/4" = 1'-0" DRAWING AND/OR IN THE SPECIFICATION.
SUBDIVISION: AUGUST ACRES SCALE: P - 30'-0"
FILED MAP NO. 9107, LOT 22
ref. no.: 233? c0