Loading...
HomeMy WebLinkAbout30613-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30667 Date: 01/05/05 THIS CERTIFIES that the building REPAIRS Location of Property: 55 KNOLLWOOD LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 6 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 1, 2004 pursuant to which Building Permit No. 30613-Z dated SEPTEMBER 2, 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 REPAIRS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to AURELIE D STACK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ho r' ed S' nature Rev. 1/81 FORM NO. 3 ITOWN 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. 30613 Z Date SEPTEMBER 2 , 2004 Permission is hereby granted to : AURELIE D STACK 55 KNOLLWOOD LANE MATTITUCK,NY 11952 for DECK REPAIRS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 55 KNOLLWOOD LA MATTITUCK County Tax Map No. 473889 Section 107 Block 0006 Lot No. 012 pursuant to application dated SEPTEMBER 1 , 2004 and approved by the Building Inspector to expire on MARCH 2 , 2006 . Fee $ 150 . 00 t r ' d Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ^" 2 9 20 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewziter 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 L Certificate of Occupancy-New dwelling$25.00, Additions to dwelling$25.00, Alterations to dwelling 525.00, 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. 1?L/2 ( 1 A Y New Construction: Old or Pre-existing Building: (check one) flys Location of Property: 15S �O &L V O o-PT / T7 u G4-1 ./.V. L� P rtY� House No. Streetty Hamlet Owner or Owners of Property: /7`��JJ 4&z L. ( � .1J • ST19 C + Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. O (6 1 :3 Z -Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: Y (check one) Fee Submitted: $6 ;: 'kFplic - anf Signature — /Z TOWN OF SOUTHOLD PKOPERTY RECORD CARD OWNER STREET 5 VILLAGE DISTRICT SUB. LOT 19veFL1,C D, ST/a c K FORMER OWNER N E ACREAGE a Gse.r.+a,,,w. S W r ,,p /� TYPE OF BUILDING �FbS. SEAS. VL. FARM COMM. IND. I CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS Gp0 D. S7c,� J C c CC G' .2— O O [�,`�l:/ Sl 1171 F2- C c✓we �- ._/ " j l. l.. ✓ rs ,' , ; o Ia-393 r- rda s0 ��i•, �. AGE o o � B 1L=NDV4N NEW NORMAL BELOW ABOVE FRONTAGE ON 'V^WE-RnCle i i Farm Acre Value Per Acre Value FRONTAGE ON ROAD Y� Y GL 1 y2 r r Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland J Brush, !y ►r House Plot Total 4 4 • 4'P •/ ISI • ' ...�..�,. � I r ✓YY. I I 4 + I IIAll r: g, i 1 i M. Bldg. i 1 Foundation Bath - : f .1992 tB . / �. f Basement s• Floors - Yer Extensi �4x y . //J/ 3 `a Ext. Walls c Interior Finish Extension Fire Place / Heat Porch Roof Type Porch Rooms lst Floor Breeze 3 & Patio Rooms 2nd Floor Garage Driveway Dormer O. B. f1/7 765-1802 BUILDING DEPT. INSPECTION [ ..,�UNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ "RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ' �r REMARKS: DATE © / n INSPECTOR 3003-� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS! r� cJC DATE ff r' INSPECTOR 3 o6 l3 z 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING X FINAL [ ] FIREPLACE & CHIMNEY ([ ] FIRE SAFETY INSPECTION REMARKS: DATE r INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS �o FOUNDATION(IST) m ------------------------------------ W xe FOUNDATION(2ND) — c �9m z 0 Ui J1 ROUGH FRAMING& PLUMBING O r 0 0 x INSULATION PER N. Y. STATE ENERGY CODE FINN, ADDTITONAL COMMENTS -O Z m W X � y O � z x x b til 7 y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CRECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL SOUTHOLD,NY 11971 Board of Health TEL: (631) 765-1802 4 sets of Building Plans FAX: (631) 765-9502 `� Planning Board approval www. northfork.net/Southold/ PERMIT NO. �O b ' J r`i survey Check Septic Form N.Y.S.D.E.C. Examined 20 Trustees ����]]jj Contact: Approved ,20� Mail[o: Disapproved sic Expiration Phone: 20 B r g ector SEP 1 APPLTI ATION FOR BUILDING PERMIT rC'___.'_..` :; Date — Z� 20 0� INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 Tn addition six months. Thereafter, a new permit shall be spector may authorize, in writing, the extension of the permit for an 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 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 zx (Signature of applicant of name,if a corporation) Po.3ga Gu�� ��t� I�►� (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder G6KER*L, cz T )ArTj)R, Name of owner of premises SQ1±W * AV1Q LES t-rA K (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. Z114 $ y Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: —59KAQU W00D LW M&TTLIL2c9aO I1952, House Number Street Hamlet County Tax Map No. 1000 Section 107 Block �p Lot /Z Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy H 0M E, 7 b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair ✓ Removal Demolition Other Work 4. Estimated Cost *,fJ00 0cl 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. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or add'itnns: Front Af 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 13. Will lot be re-graded? YES_NO Y Will excess fill be removed from premises? YES_NO t/ t�Pt�+fl'�t)dL 14. Names of Owner of premises a0t-N4 'S SCK Address`J5 W"W%W Phone No. AS- 615¢ Name of Architect Address Phone No Name of Contractor COLA "TW Address FO boY.M864WAYMMoneNo. 4T7- Dill 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 Co I I h R rat's e 4 being duty swom,deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (49)He is the CCa►tRACtrteR (Contractor, Agent,-eoTp0raMr0fflrM-,-eTCT 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 '1q*"- day of 202_t(_ L4— 0. W�-� --— —/��4 qtA--1 Notary Public Signature of ApjAicant EDYTHE V.MULL_N NOTARY PUBLIC, State of New Yo^k No. 4895193 Qualified v; ' ,"i lk Coumy t.ill:u r:b:.�r. `.:5,. 44x40:.1-V b7 �V j COMPLY WITH ALL CODES OF ALL CONSTRUCTION SHALL NEW YORK STATE &TOWN CODES MEET THE REQUIREMENTS OF THE AS REO IREDAND CONDITIONS OF CODES OF NEW YORK STATE. �j APR ED AS NOTED SOUTHOLDTOWNZBA DATE: B a3�c�Gy13� SOUTHOLD TOWN PLANNING BOARD FEE: By _ lAL3—_ SOUTHOLDTOWNTRUSTEES NOTA Y 2""" l- J' 41TMENT AT N.Y.S.DEC - 765-1802 8 AM TO 4 PM FOR THE _ FOLLOWING INSPECTIONS: - 1. FOUNDATION - TNO REQUIRED FOR POURED CONCRETE OCCUPANCY OR 2. ROUGH - FRAMING & PLUMBIPANC ING l�l,Ul- U 3. INSULATION USE IS UNLAWFUL 4. FINAL - CON„TRLICTION MUST ' ALL BE COMPLETE FOR C.O.CONSTRUCTION WITHOUT CERTIFICATE REQUIREMENTS O THE CODES NEW OF OCCUPANCY _ YORK STATE., NOT RESPONSIBLE FOR - DESIGN OR CONSIRUCTION ERRORS. - - I i i I I' rj 1 I - it I � rl I-. - r1I 1 � t • 1, � e -.. � 1 I tG G decFinp spndlcs o Avery y'" M i co - - - - v6�` rail S fe16' / / S+.•r ' _ � I '/L C4fYrdfC bo llJ - civ s17 mI I i n I � S� 14 Dolt —ALA , Z». ---- n 5 I 3 ra do ete e{,in h e P 1 C 2 Ce " C4FWT °c 2' , a /� o� stop RT- • IV—/' 6°l�yea - �' PAU r!6 r 'ice—."— _ _ - 5}RifS -- I I � . 2a1• - - �.! — / fi�ede i I � I ' I�UJ Sr 4%0 O o PasF u •a / � f I - -- 22..�-- ----- ,�/ �j ,� / -TOUNDA I �� IV /- Z A V - No 4,(- Woo_D �at/� F , _ - SGGI/t _A_ ' ' • Sem t - 01 -�"'�v4. „ Z � ..-, NAILING SCHEDULE — TABLE 3.1, INCLUc_1 3.3 ANO 3.9 1995 SBC HIGH W IND EDITION WOOD FRAME CONSTRUCTION MANUAL I DESIGN LOAD CALCULATIONS JdNtb�schlpt[DN �NAIL QUALITY WAIL e ROOF FRAMING _ MINIMUM UNIFORMLY DISTRIBUTED WE LOADS (Ibsq RAFTER TO TOP PLATE _TOE NAILED _ e'-D"WALL:3-8d PER RAFTER EXTERIOR BALCONIES 60 ___ 10'-0"WALL:4-8d PERRAFTER DECKS 40 CEILING JOIST 7D TOP PLATE TOE NAILED _- 8'-0"WALL 3 a PER JOIST 10'-0"WALL:"d PER JOIST ATTICS WITHOUT STORAGE 30 CEILING JOISTTO PARALLEL RAPIER -FACE NAILED SEE TABLE 3.] EACH LAP CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA ATTICS WITH STORAGE 40 CEILING JOIST LAPS OVER PARTITIONS FACE NAILED SEE TABLE 3.7 EACH LAP ROOMS(OTHER THAN SLEEPING ROOMS) 40 WEATHERING SEVERE COLLAR TIE TO RAFTER FACE NAILED _ _SEE TABLE 3.4 PER TIE SLEEPING ROOMS 30 FROST LINE DEPTH 3-0" BLOCKING TO RAFTER TOE NAILED 2-8d EACH END TERMITE MODERATE TO HEAVY RIM BOARD TO RAFTER ENU NAFLEN _ 2-16d EACH END CRITERIA FOR CALCULATION OF DEAD LOAD DECAY SLIGHT TO MODERATE WALL FRAMING _ ACTUAL WEIGHTS OF MATERIALS REFERENCED TO A.I.A. WINTER DESIGN TEMP. 11 TOP PLATE TO TOP PLATE _FACE NAILED 2-16d ' PER FOOT ARCHITECTURAL GRAPHIC STANDARDS ICE SHIELD UNDER- AS PER MANUFACTURER'S TOP PLATES AT INTERSECTIONS FACE NAILED 4-16d JOINTS-EACH SIDE LAYMENTREQUIRED � SPECIFICA71ONSISTATE CODE STUD TO STUD FACE NAILED 2-16d za^o/c SNOW IFLOOD HAZARDS HEADER TO HEADER _FACE NAILED_ _ 16d 16"O/C ALONG EDGES GROUND SNOW LOAD 45 Ibs. TOP OR BOTTOM PLATE TO STUD ENO NAILED 2-16d PER 2X4 STUD 3-16d PER 2X6 STUD 416d PER 2X8 STUD SEISMIC BOTTOM PLATE TO FLOOR JOIST, _ -- DESIGNCATEGORY 1B BANDJOIST,END JOIST,OR BLOCKING _FACE NAILED 2-16d '- PERFOOT WIND FLOOR FRAMING WIND SPEED 120 fir JOISTTO SILL,TOP PLATE,OR GIRDER TOE NAILED 4-8d PER JOIST Ph BRIDGING TO JOIST TOE NAILED _ 2-8d _EACH END E�OSURE CATEGORY a BLOCKING TO JOIST TOE NAILED 24d EACH END BLOCKING m SILL ORTOP PLATE _TOE NAILED ___ 3-1Bd EACH BLOCK FA LEDGER STRIP TO BEAM CE NAFLED- 3-16d EACH JOIST JOIST ON LEDGER TO BEAM TOE NAILED 3Ad PER JOIST __ --- BAND JOISTTO JOIST END NAILED 3-16d _PER JOIST BAND JOISTTO SILL OR TOP PLATE TOE NAILED 2-16d PER FOOT ROOF SHEATHING _ STRUCTURAL PANELS T PERIMETER EDGE ZONE-19'0/C-6"AT PANEL EDGES AND AT INTERMEDIATE SUPPORTS IN THE ad PANEL FIELD - A INTERIOR MEDIATE SUPPOOIC-RTS TSI PANEL EDGES AND 17' ed ATINTERMEDIATE SUPPORTS IN TIE PANEL FIELD FOR ROOF SHEATHING WITHIN VZ'OF THE PERIMETER EDGE OF THE ROOF, INCLUDING 4'-0"ON EACH SIDE OFTHE ROOF PEAK,THE 4'41" PERIMETER EDGE ZONE ATTACHMENT REQUIREMENTS SHALL BE USED. CEILING SHEATHING _ GYPSUM WALLBOARD 5d COOLERS T'EDGE/10•'FIELD WALL SHEATHING _ STRUCTURAL PANELS Btl 4'EDGE ZONE-16"O/C-6"AT PANEL EDGES AND 12" AT INTERMEDIATE SUPPORTS IN THE PANEL FIELD Q ad INTERIOR ZONE-16"O/C-6"AT PANEL EDGES AND IV AWTE DECK & PORCH NOTES. FIBERBOARD PANELS ]/16" 6d 3'TEDGE/46"FELOSUPPORTS IN THE PANEL FIELD 1). Unless otherwise noted, all framing material to be#1 ACQ pressure treated lumber. z5/3z' fid 3"EDGE 16"FIELD GYPSUM WALLBOARD 5d COOLERS 7"EDGE/i6"FIELD All fasteners, hangers and anchors to be galvanized or stainless steel. ad 4'EDGE ZONE-16"OIC-6"AT PANEL EDGES AND 12" HARDBOARD AT INTERMEDIATE SUPPORTS IN THE PANEL FIELD 2). Girders for deck joists to be bolted or anchored to each post or pier with washers and nuts. ad INTERIOR ZONE-16"O/C-6"AT PANEL EDGES AND 12' Girders on Concrete piers shall be anchored with proper Meet Conn ecit"s anchored __ _ AT INTERMEDIATE SUPPORTS IN THE PANEL FIELD into concrete with a minimum 1/2"die x 7"long anchor bot with washers and nuts. FLOOR SHEATHING STRUC11JFW PANELS-1"OR LESS 8d 6"EDGE/12"FIELD 3). Posts supporting girders shall be anchored lo a 12"x12"x12"thick concrete fooling. -__-_- _ Use a minimum 1/2"die x T long anchor bot with washers and nuts. Footings Shall be 4 fL below grade. 4). Deck joists to have blocking at 8'0 D.C.. 5).A minimum of 10 inch flashing shall be installed between the building and ledger. Ledger to be fastened to building wi0h 1/2"die. bolts with washers and nuts at 16"o.c. 6). Concrete piers shall be a minimum 6"above grade. 7).All joists to be supported with hangers and anchors. Each Joist shall also be anchored to glider(s). , 47 C(, s /�7 tl ' :-uJ