HomeMy WebLinkAbout30342-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-30598 Date: 12/01/04
THIS CERTIFIES that the building ADDITION
Location of Property: 8985 MAIN RD EAST MARION
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 31 Block 3 Lot 17
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 20, 2004 pursuant to which
Building Permit No. 30342-Z dated MAY 20, 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 (BED & BREAKFAST) AS
APPLIED FOR.
The certificate is issued to SYLVIA M DALEY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
tho ized ignature
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. 30342 Z Date MAY 20, 2004
Permission is hereby granted to:
SYLVIA M DALEY
PO BOX 574
EAST MARION,NY 11939
for
DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING (BED AND
BREAKFAST) AS APPLIED FOR
at premises located at 8985 MAIN RD EAST MARION
County Tax Map No. 473889 Section 031 Block 0003 Lot No. 017
pursuant to application dated MAY 20, 2004 and approved by the
Building Inspector to expire on NOVEMBER 20, 2005 .
Fee $ 150 . 00
f :V %
ut o ized Signature
ORIGINAL
Rev. 5/8/02
Form No.6 '� 7
TOWN OF SOUTHOLD
Q ry}' BUILDING DEPARTMENT
TOWN HALL
765-1802
Tip ;;JL4
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
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%lead.
5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(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$15.00
Date71l�Q�
New Construction: 1 �011d or Pre-existing Building: �(check one)
Location of Property: 1`19-
House No. Street ` / Hamlet
Owner or Owners of Property: V«,
Suffolk County Tax Map No 1000, Section lock Lot
Subdivision Filed Map. Lot:
Permit No. � ` G.� Dite of Permit. f Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $atC
A licant Signature
co �3o�gg'
E V
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE � � INSPECTO
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUIDM DEPARTMENT Do you 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
FAX: (631) 765-9502 ( / Survey
www. northfork.net/Southotd/ PERMIT NO. �y�`( �� Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined. /—,20 _Y Contact:
Approved 7 V,20_ Mail to:
Disapproved a/c
Phone:
Expiration U ,201
B 'ldinvj In pe
sYPP ICATION FOR BUILDING PERMIT
_ _
Date March 26________, 20 04
s 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. 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 Scuthold, Suffolk County,New York,and other applicable Laws,Ordinances or
Regulations,for the construction of buildings, additions,or alterations or for Lvaldemolition asherein described.The
applicant agrees to comply with all applicable laws,ordinances,building codode, d regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signa Japplic or n cporation
8595 Cox Lane, Unit#7: Cutchoaue, New York 11935
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Applicant is the agent for the Owner.
Name of owner of premises Sylvia Daley
(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 w`111 be done:
8985 Main Road, East Marion New York
House Number Street Hamlet
County Tax Map No. 1000 Section 031 Block 3 Lot 17
Subdivision Filed Map No. Lot
(Name)
♦ s '�
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Residential Use
b. Intended use and occupancy,Residential Use
3. Nature of work(check which applicable): New Building Addition ✓ Alteration_ _
Repair_ Removal Demolition Other Work
4. Estimated Cost Fee (Description)
(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. N/A
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front_ AL Rear
Depth Height Number ofStones
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase July 1994 Name of Former Owner Pamela Randolph
11. Zone or use district in which premises are situated Hamlet Business
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13.Will lot be re-graded? YES NO. ✓ Will excess fill be removed from premises?YES NO
14.Names of Owner of premises Sylvia Dalev Address Main Rd, East Marion Phone No. 631.477.9400
Name of Architect Ross Perchik Address East Hampton. NY Phone No 631.324.6250
Name of Contractor Jason C. Leonard Address__Southold. NY Phone No. 631,765,191 0
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ✓
* 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:
COUNTY OF Suffolk )
rlh Land Planning Services, Inc. being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the agent for the owner
(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 t me this
day of cw 20
�5'—
/No6iy Public Sijna „ of Ap cant
LESLIE J. BAUER
Notary Public,State of New York
No.5018144,Suffolk County
Term Expires Sep.20, ;tA>5
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MAP OF PROPERTY
SUIS'VE YED FO e
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V'/^ J') r'
- x t
MARION,
Aw-*
'Al ,yo
Scale : 4v'� /" }
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p m � �.
NOTE-
REMOVE
j IL9IVDEVILLE 2 b" x 6'Eel'TDOOR ROM BELOW
o 4 X 4 RAIL POSTS
z NOTCH P05T AND ATTACH
r TO FLUSH GIRDER WITH
(2) 4" LAC BOLT5 (TYP) 36" HIGH DECK RAIL
RAIL DETAIL TO MATCH _
EXISTING 2nd STORY DECK
UPPER DECK
5/4 x 4 WOOD DECKING
a
USE 51MP50N J015T HANGER LU2b a, N
❑ _ AT ALL J015T/LEDGER AND ALL
J015T/61RDER GONNEGTION5.
SEE DETAIL
2 x 5 CONTINOU5 LEDGER
10" POURED CONCRETE 50NNE TUBE FOOTING ATTAGH LEDGER TO BOX WITH
TO REST ON UNDISTURBED 501L (TYPICAL) (2) 4" LAS BOLTS EVERY 16"
ANCHOR 6 x 6 P05T TO FOOTING WITH
SIMPSON P05T ANCHOR BASE - P5566 -J
SEE DETAIL (PACK.
A KXOUT 61PPE61RDER
51y"
AND ATTACH COLUMNS TO GIRDER
WITH SIMPSON POST GAP - AG6
NOTE:
n MOVE EXI5TIN6 WINDOW
= \, TO WITHIN 2'-0" OF EXISTING
2 x 0 DECK JOISTS 0 16' OL
-�, /II HOUSE CORNER. (2'-0" MIN)
TO CENTERLINE OF (3) 2 x 0 FLUSH GIRDER
b
(2) 2 x 0'5 FLUSH Q
LINE OF UPPER DECK _ — — _ _ 27f" 3'-9 1/4"
— — — — — — — — — — —— —
Footin Second Floor Plan
Plan "
Zl Deck Framing Plan
Scale: l/2"=1'-0" (`�,
S c a l e: 1/2"=1'-0" �J Scale: 1/2"=1'-0"
1 Al 0' ED AS NOTED� OCCUPANCY OR
❑ DATE:'j7'° B.P.gs1"�, i USE IS UNLAWFUL
P e Bv:=2K4THOUT CERTIFICA
PARNO- a2B81AM JTOD4 PM T OR THEENT OF OCCUPANCY
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
36" HIGH RAIL TO MATCH EXISTING _ -
-- 2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4 x 4 P05T(TYPICAL) 4. FINAL - CONSTRUCTION MUST
NOTE DECK RAIL DETAIL BE COMPLETE FOR C,O.
TO MATCH EXISTING ALL CONSTRUCTION SHALL MEET THE
<1I REQUIREMENTS OF THE CODES OF NEWYORK STATE.
BLE FOR
5/4 x 4 DECKING — — — DESIGN ORCO STRUCTIONSIERRORS.
FIN15HED FLOOR ==L
m -- - - - - '- - - - - - - - (3) 2 x FLUSH GIRDER ----
TOP OF DECK PACK OUT GIRDER TO 56"
_ 2 X g DECK JOISTS ® 16" 0.0. _ AND ATTACH GOLUMN5 TO GIRDER COMPLY WITH ALL CODES OF
ATH SIMP50N P05T GAP - AG6 NEW YORK STATE & TOWN CODES
51MP50N LU20 AT ALL JOI5T5 (2) 5" LAS BOLTS AS REQUIRED AND CONDITIONS OF
z 1I 2 x 0 DECK LEDGER
(2) 4" LAG BOLT5 EVERY 16" 6 x 6 P05T SOUTHOLD TOWN ZBA
y SOUTHOLD TOWN PLANNING BOARD
SOUTHOLD TOWNTRUSTEES
N.Y.S.DEC
I
J y FLOOD ZONE
COMPLY WITH CHAPTER 6"
{i FLOOD'DAMAGE PREVE TION
ti SOUTHOLD TOWN CODE.
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE:
'u LE CODES OF NEW YORK STATE;
L__J
Proposed New Deck Addition for:
Quintessentials
10" POURED GONCRETE 5ONNE TUBE FOOTING TO REST ON UNDISTURBED SOIL (TYPICAL)
_ ANCHOR b x 6 P05T TO FOOTING WITH East N12IlOn" NOW 1'OLk
SIMPSON POST ANCHOR BASE - PB566
SEE DETAIL Dale:
Deck Plans n1 nmxau _
FEN%
a- Scale: 1/2„ = l�-O" �.`" - e 0 t i o n •• ETHP5 " S z Scale: l/2"= I'-0" Rear Elevational ._Side Elevation E ( ( )( 4 ) -- — Sca1e: 1/2 P-0" DrawnBy: J.B.M.Sc a l e: l/2"=1'A" — Q m- Checked By: ':,?l�'•• " of?1�br;,�o¢``c.
L---L L___J L---L '''OiFOFNE.�1S0"
L---L Sheet: A3 anlumnlna+�
SIMPSON P05T GAP AG6
ATTACH (2) TO WOOD 61RDER
16, FASTEN TO 61RDER WITH (12) 16d NAILS
FASTEN TO P05T WITH (8) 16d NAILS
ALLOWABLE UPLIFT: 1450 DF/SP
Post to Girder Detail
Not to Scale
°
Joist to Girder/Ledger Detail
Not to Scala
SIMPSON FLUSH JOIST HANGER LU25
ATTAGH AT ALL JOIST/ LEDGER AND
ALL J0I5T GIRDER FLUSH GONNEGTIONS
FASTEN TO 61RDEP 8 LEDGER W (8) 16d NAILS
5IMP50N POST ANCHOR PB566 FASTEN TO EAGH JOIST w/ (6) 16d NAILS
EMBED (I) IN EACH GONGRETE PIER ALLOWABLE UPLIFT: 1115 OF/SP
FASTEN TO POST WITH (14) I6d NAILS
° o ALLOWABLE UPLIFT: 5160 DF/SP
0 0
o � o
0
i
oa
Proposed New Deck Addition for:
Quintessentials
East Marion, New York
High Wind Details `%0mnuuuny,
�1 Post to Footing Detail Not to Scale °`yCSE ill P�n'0*'. os-Ma -oa
Not1.Scala
i-t
Drawn By: J.B.M. ` }�
it[
-'yam."P^. OI91t6•'O��
Checked By: %,,F F•• vl{��
Sheet: A4
°j� �
pmmEM�t�n