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HomeMy WebLinkAbout28769-ZFORM NO. 4 T0~'~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30478 Date: 10/01/04 THIS CERTIFIES that the building ADDITION Location of Property: 1105 K~LEIGE'S CT EAST ~ARION (~OUSE K0.) (STREET) County Tax Map No. 473889 Section 22 Block 3 Lot 5_4 Subdivision Filed Map No. Lot No. tonforms substantially ~o the .Application for Building Permit heretofore filed in this office dated SEPTEMBER 19, 2002 p%Lrsuant to which Building Permit No. 28769-Z dated SEPTEMBER 23, 2002 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 A~DITION TO ~I EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~ne certificate is issued to M~IA THOMAS of the aforesaid building. (O~q~ER) SUFFOLK COUNT~ DEPARTMENT OF ~EALTH APPROVAL EI~CTILICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A NiA 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 UiqTIL FULL COMPLETION OF THE WORK AUTHORIZED) 28769 Z Date SEPTEMBER 23, 2002 Permission is hereby granted to: MARIA THOMAS 1105 ~AYLEIGH'S CT EAST MARION,NY 11939 for : DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1105 KAYLEIGH'S CT County Tax Map No. 473889 Section 022 Block pursuant to application dated SEPTEMBER 19, 2002 EAST MARION 0003 Lot No. 005.004 and approved by the Building Inspector to e3rpire on MARCH 23, 2004. ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD ' · TO~ ~L / ~,~",,," " ~PLICATION FOR CERT~ICATE OF OCC~ &~ ~ .. ~s 'appli~atin~ ~st be ~led M by ~ewriter or ~ ~d subt~ed For new b~d~g or new use: 1_ Fi~ ~ey ofpropeay ~4th acc~a~e location of all buildings, prope~ lin~, streets, ~d unus~l maim ar topo~pM~ fea~res, 2. FMM Approx~l ~om He~th DepL of water supply ~d sewe~ge~isposal (S-9 fo~). 3. ApprovM of elec~c~ ~lation ~om Bo~ of F~e Undesvfiters. 4. ~om statement fm~ pl~ber ceding that ~e solder ~ed in system con.ns less ~n 2/10 of 1% lead. Co~e~iat bMl~, in~sM~ b~lding, ~ldple ~side~ces ~d s~lar buil~gs ~d ~al~tions, a ce~ificate of Code c~mph'~ee from ~c~{tect or e~nee~ r~po~b~o~ ~e bMldi~. 6. Subndt Plmm~ng Board Approval For existing bu,ildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. A. ccttr~/t¢ sarvey of property showing all property lines, streets, building and unusual natural or topograptric featuces. 2. A properly completed application and couseut to i~pect signed by the applicant. If a Certificate of Occupancy is deaied, the Building Inspector shall' state the reasons therefor in writing to the applicant_ C. Fees t_ Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alteratians to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2_ Certificat~ of. Occupancy on Pre-existing Building - $100.00 ' ' 3:Copy of Certificate of Ocanpancy - $.25 4. UpdatedCerfifieateofOccupancy- $50.00 52 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ew Coustrucfion: Location of Property: Old or Pre-existing Building: House No. Street Owner or O~mers of Property:. ~k~ to[ g. I ~ ~T"lqo ~q __q Suffolk County Tax Map No 1000, Section Subdivision Health Dept. Approx(al: Planuing Board Approval: Request for: T~p0r~W ccn'tiflcate Fee Subrrdtibd: $ ' =~. ~o Date of Permit. (check one) Filed Map. Lot: Applicant: t~t/~ !tO '~",O$0~4tO~f Undcxw~ers Approval: Final Certificate: t,// (check one) ~licant Signature OWNER LAND IMP. TOTAL FRONTAGE ON WATER FRONTAGEONROAD DEPTH· BULKHEAD TILLABLE WOODLAND· MEADOWLAND HOUSE/LOT TOTAL Maria Thomas 110~ Kayleigh's ¢ou~r East Mm'ion, NY 119~9 (631) 477-3473 March 1, 2004 ToWn.of $~uthold ~_BuiMin~ Department 'Town Hdll i $outhold, New York, 11971 ~ef: Permit No. 28769 Z (Deck Addition) · Dear 5ir/Madam: I c~m hereby requesting o 6-month extension to the above permit which expires on March 23, 2004. The railing and the steps are yet to be 'completed. Your cooperation is greatly appreciated. Sincerely, // Maria Thomas BUILDING pER1MIT ExA-~ffl~R cHEcK LIST DATE SUBbiIITED: q , BLOCK: SLqBDD.'ISION: FAST T1L~CK?/o · SINGLE & SEPARATE CERTnelCATION-REQUIRED? ff NOTES: LOTS 40,000£F -100 24 Lot rec~gnition.?CPaEATED befc, r~ June 3,3, lgS3'h UNDEP-~IZBD [OT~ FROM JAzN.1997 ~,30 25 f',[~rger.(A non,:onfamdnz at any tirr, e :he ZONIiqG DISTRiCT: KEQ. LOT SIZE: REQ. FRONT REQ. REAR C O}qTOPd~IING ? .&CT. LOT S~E:~g? ~Q. LOT COV. ~ ACT. [0T COX . PROP. FRONT / _~Q SInE ~/~ ACT, S~E PROP. ~.~ ~' ~Q. ~.IGHT PROP. HE~OHT WATER FRON~? DESCRIPTION: ~ PANEL #: ~'":/ FLOOD ZONE: X~ , . ROV tS SUFFOLK CO~TY HE~T~T: YES or~(BED S): DTE: ./ / TO~ SEPTIC ~CE.~T: Y o~ ~V YO~ STATE DEC: ~rc s,'L, Ts ~[ES of~ ~ SOUTHOLD TOS5~ TRUSTEES: r ~ ES or~ TOB~ PL~. BOz~ ~PROV.~: 5~S o~ TO~TO~C~P~ (SPL~): 5mS or~ ~S E~RGY: ~.S OR NO : /~/q BG~SS (18 H min.? 4 sq to~I) ~/~ I~NT (SQ. FT. x 4%) B~D~G PB~S OPEN. enD: BP -Z / C/0 Z- ~ P~ CO'S: Y ORN BP -Z / C/0 Z- NOTES: PERMIT fi:RI0- · 4//,~--LIGHT (SQ. FT. x FEE STRUCTURE: FOUNDATION: 1. ( SF)- 2. ( .SF)- SF FIRST FLOOR. SE SECOND FLOOR: SF OTHER: SF DWI' TOT.KL: fl~3 SF FEE SF): SF X $__=$ +$ SF)= SF X $ =$ +$ +5 OTHER TOTAL × ( $, ) +$ 76S-1802 BUILDING DEPT. I SPECTION [ F NDATION 1ST [ ] ROUGH PLBG. [ ~FOU::~;II:: 2ND ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE~ & CHIMNEY DATE 765-1802 BUILDING DEPT. [ ! ID 1ST [ ] ROUGHPLBG. [ ~' ID 2ND [ ]INSULATION [ ~ 'I: [ ] FINAL [ ] FIREPLACE&C~IMNEY REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSU~.A-T~N FRAMING [/..,~q NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ DATE INSPECTOR FO~DATION (2~) ~S~ATION P~N. Y. STATE E~GY CODE Examined Approved Disapproved TOWN'oF S0'U~HOLD BUILDING. DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 w~wv. northfork, neffSouthold/ Expiration PERMIT NO. L// BUILDING PE 'RM~T APPLICAT~ION C4-IECKLIST Do yon have er need the folio,wing, before applying? Board of Health ~3 sets of Building Plans planning Bo~rd approval S ep~ic Form Trustees Contact: Building Inspector 'PLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a_ This application MUST be completely filled in by t)l~ewriter or in ~ and submitted to the Building Inspector with 3 sets of plmas, 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 ~treets or areas, and watem, ays. c. The work covered by this application ma5' not be commenced before iss~m-ce of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant_ Such a pm-mit 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 antit the Building Inspector issues a Certificate of Occupancy. f_ Every building permit shall expire if the work authorized has not commenced within 12 months al~er 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 intm-im, 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 IvlADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the To'am of Southold; Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construct'mn of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, build'rog code, housing code, and regulations, and to aamlt authorized inspectors on premises and in building for necessary inspectinns. (~namre of applicant or n~me, if a corporation) cr. (Mailing address of fipplicmat) State whether applicant is o~mer, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ]-4',,~r~/~ 7~/40~t ~3' (As on the tax roll or latest deed) If applicant is a corporation, signature of duly author/zed 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: //o 'a ,cz- / House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block Filed Map No. Lot Lot 2. S~t~ ex~stmg use and occupancy ofprem~ses and intended use and occupancy of proposed con/~rt~ctten. a. Existing use and ~ccupancy ~C~K ypcn.D b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. · Kepair Removal Demolition 4. Estimated Cost $ ~OOC>. ~ 5. If dwelling, number of &velllng units If garage, number of cars Addition. ~ Alteration- Other Work Fce ~(Description) (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbdsiness'c°mmercial°rmixed°ecupancy'specifyn,,atureandextent°feachtype°fuse'/J 7. D~mens~onsofex~st~ngstmctures,~fany Front /'J~,k . Rear Depth Height. Number of Stories~ Dimensions of same structure with alterations or additions: Front Depth Height. 8. Dimensions ofentirenew'construction: Front ~*2-1 Rear Height ~Z! Number of Stories /~/,O 9. Size of iht: Front I~'O / Rear ]~; _Depth Number of Stories Rear Depth lO. Date of rohase &X>* of Fore,er O, er 11. Zone or use district in which premises are situated ! 12. Does proposed construction xdolate any zoning law; ordinance or re~,malation? YES__ NO ~ 13. Will lot be re-graded? YES__ NO//Will excess fill be removed from premises? YES 11ol- I<Pr¥CE/~ '$ ~-. !4. Names of Owner of premises Np, tz¢8 -[]~4tk~ Address E~t- ~t~to,at ~/ Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. NO z/77 15 a. Is tiffs property within 100 feet ufa tidal wetland or a freshwater wetland? *YES__ * 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_ NO 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 OF ) /~t~'/~it ~-~ being duly swonk deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or o~mers, a~d is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained i~ this application are true to the best of his lmowledge and belief; and that the work will be performed in the mamaer set forth in the application fried therewith. Swo~n to before me this// ~-~fON~ day ~)f ,--~M~r. ~_ 200~ JOYCE M. WILKINS Nota~ Publlo, Stata of New Yerk No. 4952246, Suffolk Counly Term Expires June 12,~.0 PLAN CUSTOMER -- GENERIC CUSTOMER DATE 09/19/02 REF D~ck02262 RBS ROUTE 25 GREENPORT NY 63]-A77-1038 LOAD AND SUPPORT: Your deck will support o Gzt PSF live Icad. Posts have 3G" below-ground post support. DECK AND POST HEIGHT: You selected a height of 24" from the lop of decking to level ground. The top of [he deck support posts will therefore be 13.25" above ground level. 'Four salesperson can provide information far uneven or sloped, ground. JOISTS: Set joists on top el beams, 16" center to center. NOTE: The design may require knee braces and bri~lging be[ween joists. Your materials list includes the necessary items. The suggested design is not a finished building plan. You are responsible for all measurements being corrode, for verifying thor. the design land ~ny subs[i[ufions or modificaEons [h~ you mo~e) meals ~1 local building codes ond ~equirements. To verify [het the suggested d~sign. ~nd any substitutions or modi~cotions, is consis[en[ with conditions ~[ the construction si[e, review the design with your archi[ecL Aisc consult your ~rchi[ec[ {or proper cons[ruction and use of materials in the structure. Be sure to follow the deck construct[on detail available from your store salesperson. OUT LIST CUSTOMER -- GENERIC CUSTO~,'~ER DATE 09/15702 REF Deck02262 LABEL LENGTH BEVELS LABEL LENGTH BEVELS I jo;st 13' 6' :,' c~,u 5' ]Ct' F~'~' S~. O P¢~d,] 6' F3~ ~22 b c~p 5' ~1 1,'~' F~E S2~ RBS ROUTE 25 GREENPORT NY ~;31-4'7'7-1038 E]EAM LA',"£,U T CUSTOMER -- GEt]ERIC CUSTOMER DATE 09119/02 REF De¢lr02262 RBS ROUTE 25 GREENPORT NY 831-477-1038 11' 3' 4'E l./,z',' BEAi'v1 SEAM POST POST LABEL LENL~T{4 C,OUNT A '5' 4" 2 B $' 4 I/2" 2 O ~' 4. [12" '* D 2? 3" 5 E ~1' 7 I;'2' 2 F 4' I U2" 2 Oep;Ih of p~s[-in-,:oncrete f~o,%~rs --- 3S inches-. i' Il 112" 5' 5' 5'6" il' 4" :-3' I0" o 0 © o SOb6~wl$/° Lot 7 WELL subd\mS~° Lo~. 6 ,, · ~loodS ,, B\qhpomt N MAIN ROAD, (N.Y.S. RTE. 25) Young Sc Young, Land Su?veyoYs 400 Ost?ande~ Avenue, .t~iverhead New York 11301 63~27_2303 · Alden' ~. Youny, P:~...& Z,S. (1308-1934) AREA = 42,.679 SQ. FT. I SUBDIVISION MAP "HICHPOINT WOODS" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JULY 25, 1997 AS FILE NO. 10035. SURVEYOR'S CERTIFICATION '1 WE HEREBY CERTIFY TO MtARIA THDIVlAB, nHASE IwIANHAI-rAN BANK & ~'-~l¥11vlnNWEALTH LAND TITLE: INSURANI~E COMPANY THAT ~IS SURVEY WAS PREPARED IN ACCORDANCE ~TH ~E CODE OF PRA~R LAND SURVEYS ADOPTED BY'~E NEW YORK .~~ ~ OF PROFESSlONA~ LAND SURVEYORS. . .~ ~ ~.'.. . . SURVEY FOR MARIA THOMAS' LOT 7 "HIGHP01NT WOODS" At Eost Marion, Town of Southold Suffolk.County, New York County Tax Map Olstri:t 1000 Section 22 Block 03 Lot 5,4- MAP PREPARED AUG. i3, 2001 SCALE 1" = 50' JOB NO. 2001-0290 DWO, 2001_0290:finel FS