HomeMy WebLinkAbout29656-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30612 Date: 12/08/04
THIS CERTIFIES that the building ADDITION
Location of Property: 4270 ALDRICH LA MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No_ 473869 Section 120 Block 3 Lot 8.36
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 15, 2003 pursuant to which
Building Permit No. 29656-Z dated AUGUST 18, 2003
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 REAR DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to ROBERT & MONICA KULL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
tky riz d Sigriature
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. 29656 Z Date AUGUST 18 , 2003
Permission is hereby granted to :
LEAH TRINGALI
4270 ALDRICH LANE
LAUREL,NY 11948
for
CONSTRUCTION OF A REAR DECK ADDITION AS APPLIED FOR
at premises located at 4270 ALDRICH LA MATTITUCK
County Tax Map No. 473889 Section 120 Block 0003 Lot No. 008 . 036
pursuant to application dated AUGUST 15, 2003 and approved by the
Building Inspector to expire on FEBRUARY 21 , 2005 .
Fee $ 150 . 00
i
uthoriz d Signature
ORIGINAL
Rev. 5/8/02
Form No.6
• TOWN OF SOUTHOLD
BUILDING DEPARTMENT DEC _ 12M
+ TOWN HALL
765-1802
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
J 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
/ Date. // —a 7- L/
New Construction: //JJ V—7!,V Old or Pre-existing Building: -0 (check one)
Location of Property: _( / 4 /Q C, C 4 /A V
House No. Street / Hamlet
Owner or Owners of Property: &64T + /Yj O rl,,'C +
Suffolk County Tax Map No 1000, Section I dD Block ® 3 Lot 5. 36
Subdivision Filed Map. Lot:
Permit No.a24 5�( Z Date of Permit. k--1V-0 3 Applicant: ` 4 e/ k,
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 0 D
�wG' -
? L 2 U Applicant Signature
Ctj 30612
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b-0-0 C) - IZo - ? -$ .J � TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET Z 70 VILLAGE DIST. SUB. LOT i
Ndfick LC roc N1rl- >
ACR. REMARKS
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TYPE OF BLD.
i
YY� /i r fC PROP. CLASS I—
�(/1lV SSC?LI0 5 a LIQ Irq/c:f 7_ L
LAND IMP. TOTAL DATE C -,L _C Mer � $ � X175 Dor?
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FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD OOD N 7 pU
DEPTH MEADO14AND
BULKHEAD HOUSE/LOT D
TOTAL 1 �
BUILDING PERMIT EXAMINER CHECKLIST
DATE REVIEWED: '( /z ' /03
APPLICANT..Q�,,, ; Z DATE SUBMITTED: - / is-/03
SCTM# DISTRICT: 1,000, SECTION: 12o BLOCK: _�__, LOT: Ir.3s SUBDIVISION:
ADDRESS: yLqpkb(2(C4 CITY: U„Tn-rW„ ZONING DISTRICT: � CONFORMING? '�O
BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N
BP -Z i C/0 Z- , INFO _1 BP -Z i 00 Z- , INFO
BP -Z; C/0 Z- , INFO _/ BP -Z/ C/0 Z- INFO_
SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES:
LATS 40,000SF-100-24 Lot recognition(CREATED before June 10, 1953),LIN DERS[ZED LOTS FROM JAN.1997 100-25.Nterger.(A nonconforming at any nme after 71
REQ, LOT SIZE: ACT. LOT sIZE:3y,64o REQ. LOT COV. -)0 ACT LOT COV.
REQ. FRONT_ y1 _ PROP. FRONT REQ SIDE 3r ACT. SIDE i
REQ. REAR Tv _ PROP. REAR _REQ. HEIGHT PROP. HEIGHT
PROJECT DESCRIPTION: '�ZA fi Qtc(c AJJ a ,+r ftitD Z*&
ESTiNIA'TED PROJECT COST: ARCHITECT/eE�'ji-)r-uz,"i _
WATER FRONT? No DESCRIPTION: PANEL # y9' 1 FLOOD ZONE:,.(
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH T: YES of 19BED #): DTE: _ PERNIIT #:
TOWN SEPTIC RECEIPT: Y o�
NEW PORK STATE DEC: PRE-DE( 9 fns YESI(-) —
NEWYORKSTATE
DTE: PERK-IIT #:
SOUT14OLD TOWN TRUSTEES: YES DTE. _ PERNIIT #:
TOWN ZONING BOARD APPROVAL: YES _ DTE: PERNIIT #:
TOWN PLAN. BOARD APPROVAL: YESor DTF: PERNIIT P.
TOWN HISTORICAL PRI: (SPLIA): VFS CODE CONIPLIANCE (SEE PAG 2): �S r NO
NOTES:
FEE STRl_CTLTRE: FOCJNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: SF FEE FEE
1. ( k6SF)- ( SF)= SFX
2. (— -_SF)- (_ SF)=_ SFX -
3.
FINAL TOTAL
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THE LOCATION OF WELLS, SEPTIC
TANKS AND CESSPOOLS SHOWN
HEREON AR` FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
Ft,Cd MAP b6o F>
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CERTIFIED ONLY TO: DES vN 0.ORA''� rDESTIN G. GRAF
G.Uw.6h F} "1"•ft•e7c Po� ✓tM,c4 R. \ LAND SURVEYOR
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DESTIN G.GRAF N.Y.S.LICNo.50087 goclsr POINT,r+Ew YORK l,:�a
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TAX I.D.No. r�ACv `4 PHONE 151818213ia2
1,�0- ILD- 03 - &i
}-20 -`(. (� TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER _ STREET Z�(� VILLAGE DIST. SUB. - LOT L' I
ACR. r G> ( REMARKS
TYPE OF BLD.
�'�.✓ �"W1' •�' r �/ C�'�'%r; i Vic 'i : . � _ I I ,
rr is • PROP. CLASS r �6
Q. �iny SS0 0t ,S � L�7 g ;g �7- � I %!-i 1 ' qo- - I m P� sx-
LAND IMP. TOTAL DATE
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FRONTAGE ON WATER TILLABLE
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Extension X �� s 9 v So 5� Ext. Walls U/ Np� Interior Finish L.R.
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Patio Woodstove BR. y
Pgh 17,4$ _ 1 3G ZG �,D Dormer Fin. B. —
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Breezeway Rooms 1st Floor
Garage Z-x 2- y gy / Z t 0�— Driveway Rooms 2nd Floor
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765-1802
BUILDING DEPT.
INSPECTION
[ UNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREP & CHIMNEY
REMARKS:
DATE IZ a r3 INSPECT
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
ZZ
DATE INSPECTOR
PlELD INSPECTION REPORT DA
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FOUNDATION(1ST)
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FOUNDATION(2ND)
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STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING 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
ww-w. northfork.net/Southold/ PERMIT NO. '.2 Y'/ Check
Septic Form
N.Y.S.D.E.C.
p- Trustees
Examined y 20� Contact:
Approved L ,203_ Mail to:
Disapproved a/c
Phone: l p
Expiration ,20�
Building Inspector
APPLICATION FOR BUILDING PERMIT /
Date ` 20 03
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 NL•1DE 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.
(Signature of applicant or name, if a corporation)
" /
y ��cJ /��Jr•���� aie,lr'Ck'
(Mailing address of applicant) �—
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises rio J,Q,--t J—• )Z' -L-
(As
L(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 Licens o.
Electricians ' ense No.
Other Tra s License No.
1. Location of land on which proposed work will be done:
k� �-'z7C� 'b ) d` Lh
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lot
Subdivision Filed Map No. Lot
(Name)
Orr G$
0
COMPLY WITH ALL CODES OF o =
NEW YORK STATE & TOWN CODES N
AS REQUIRED AND CONDITIONS OF APPROVED AS NOTED
SOUTHOLDTOWN ZBA DATE: 4 81� .; B.P.s — 56t z a m
SOUTHOLDTOWN PLANNING BOARD FEE: By:
SOUTHOLD TOWN TRUSTEES NOTIF BUILDING DEFA,� '4ENT AT a a
N.Y.S.DEC 788.1802 8AM TO 4PM -OR THE o 0 0
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
EXISTING HOUSE OCCUPANCY OR 2.ROU TIOFRAMING 8 PLUMBING
USE IS UNLAWFUL + BE COMPLETE FOORTIONO MUST V a }
WITHOUT CERTIFICATE ALL CONSTRUCTION
TS OF SHALL MEETES OF HE W JCT- Y
OF OCCUPANCY YORK STATE. NOT RESPONSIBLE FOR U 5) 01 L)
- - - - - - - - - - - - - - - - - - DESIGN OR CONSTRUCTION ERRORS. W W0 F
L] of Q —
ALL CONSTRUCTION SHALL FLOOD ZONE N Y
MEET THE REOUIPFN-' "'F THE COMPLY WITH CHAPTER"46
- - -- -- - - CODES OF NC':: _- ='' 'E. FLOOD DAMAGE PREVENTION
- - - -- -- -- - - - - - - -- - -- -- - -- - - - -- - - SOUTHOLD TOWN CODE.
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STAIRS SIZE TO BE
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29'-10"
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WIND RESISTANT CONSTRUCTION CONNECTORS � asm
CONNECTION LOCATION PART NUMBER NOTES J <
4x4 POST TO FOOTING ANCHOR PAU44 OR W 44 AILI USE w/ MIN, 1/2" DIA. x T" ANCHOR BOLT < ¢ <
6x6 POST TO FOOTING ANCHOR PAU66 OR WE66 FAL.166, USE w/ MIN. 1/2" DIA, x T ANCHOR BOT D w
DECK E PORCH CONSTRUCTION DETAILS a WIND LOAD PATH CONNECTION DETAILS 4x4 POST TO GIRD /HEADER PB544 / PBSE44 / KC44 USE ONE TYPE FOR EACH POST
Gx& POST TO SROER/HrAOIEP P6866, / RIBSEQ9, KCO& 1,1517 ONE TYPE FOR FAC-H POST
STAIR STRINGER CONNECTION TMU26 OR MPAI U5E ON EACH 5TRINGER
JOIST TO HEFAIDER TYDOWN RTI5 USR FOR EACH RAFTER W Q
USE THE FOLLOWING OR APPROVED OSP METAL CONNECTORS FOR PROPER WIND RESISTANT CONSTRUCTION. U J z
FOLLOW MANUFACTURES RECOMENI INSTALLATION INSTRUCTIONS TO ACHIEVE MAXIMUM UPLIFr LOAD CAPACITY. Z =
STAIR TREAD Y p U Y
GIRDER/HEADER U �-) E j
POST RIM BOARD Q I.—
POST-0
POST/COLUMN NAILING SCHEDULE
STRINGER FLOOR FRAMING J CD Q
RIM/DECK JOIST -0 o DINT DESCRIPTION QNATIL
SPACING NOTES
Y
aIATTO 4-6aCOMMON PER TOE
STRINGER TO DECK/PORCH CONNECTION
SILL,TOP PLATE OR GIRDER JOIST NAIL
GfRDER/HEADER TO POST/COLUMN CONNECTION BRIDGING 2-6dGDMMGN EACH TOE
TO JOIST END NAIL ID
BLOCKINGEACH TOE 0
POST TO DEMPORCH CONNECTION TO JOIST 2-fid COMMON END NAIL
BLOCKING TO: 3-16d COMMON EACH TOE
SILL OR TOP PLATE BLOCK NAIL mp
LEDGER STRIP EACH FACE Y �
TO BEAM 3-i6tl COMMON JOIST NAIL Vj m
JOIST ON LEDGERPER TOE
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TO BEAM JOIST NAIL k m '
BAND JOIST PER END F M
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GIRDER/HEADER BAND JOIST TO 2-16d COMMON PER TOENAIL li
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GIRDER/HEADER 0 �z o o
POST/COLUMN = w
JOIST DECK NOTES: con
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POST/COLUMN All Unlessotherwlse and
to be goldaltober s ACD pressure treated lumber D N
All fasteners,hangers and anchors to be galvinizad or stainless steel z
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2) Girders for deck joists to be bolted or anchored to each post or pier with washers and nuts. �
GIRDER/HEADER Girders on concrete piers shall be anchored with proper steel conclusions anchored
Into concrele with a minlmum 112"die x 7"long anchor boll with washers and nuts.
3) Pasts supporting girders shall be anchored to a l2'k12"x12"thick concrete calling
Use a minimum 112"dlax7"long anchor bolt with washers and nuts Footba Shall
be 3 ft below grade
4) Deck folds 10 have blocking at 6'0 o c
GIRDER/HEADER TO POST/COLUMN CONNECTION GIRDER/HEADER TO POST/COLUMN CONNECTION JOIST TO GIRDER/HEADER CONNECTION s) A minimum of m Inch flashing shall be Installed between the building and ledger
Ledger to be fastened to building with 112"dia bolls with washers and nuts
.116"o c ICU
6).Concrete piers shall be a minimum 6"above grade
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Y) All joists to be supported with hangers and anchors Each Joist shall also be anchored NR
to girders) IW'I
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GIRDER
C7
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WOOD JOIST 0
CONCRETE PIER 12"xl2"x12" CONCRETE FOOTING " , GIRDER/HEADER w
WOOD JOIST CLIMATIC & GEOGRAPHIC DESIGN CRITERIA
GROUND WIND SEISMIC FROST WINTER ICESHIELD FLOOD
SNOW SPEED DESIGN WEATHERING LINE TERMITE DECAY DESIGN UNDERLAYMENT HAZARDS x
POST TO FOOTING CONNECTION LOAD (MPH) CATEGORY DEPTH TEMP. REQUIRED
JOIST FRAMING FLUSH WITH GIRDER/HEADER 46 LBS. 120 B SEVERE 3FT. MO HEAVY ODERATE MODERA E 11 NONE - ICU'
GIRDER TO CONCRETE PIER CONNECTION W
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