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HomeMy WebLinkAbout31656-ZFORM NO. 4 TOWN OF SOUTtIOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31376 Date: 01/06/06 T~IS CERTIFIES that the buildin9 ADDITION Location of Property: 190 EASTWOOD DR EXT CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 103 Block 14 Lot 8 Sut~division FiledMap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 5, 2005 pursuant to which Building Permit No. 31656-Z dated DECEMBER 6, 2005 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BARBARA A CARLSEN ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~ALTH APPROVAL ELRC~rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DAT~3 N/A N/A N/A Authorized Signature Rev. 1/81 ~ Form No. 6 ~ ./ ,~' ! TOV~N OF SOUTHOLD LIO,'~ BUILDING DEPARTMENT ~'M ~ ' APPLICATION FOR CERTIFICATE OF OCC~CY T~s application must be filled in by t~ewfiter or i~ ~d submitted to the Building Depa~nt A. For new building or new use: 1. Final s~ey ofprope~y with accurate location of all buildings, prope~y lines, streets, and ~us~l mt~al 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. 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, Additious 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. // ~ /iP~ New Construction: t~ Old or Pre-existing Building: (check one) Locationoferoperty: /% ~.c540J00C~ O'L' ~'.X:+' C House No. Street Hamlet Owner or Owners ofProperty: d-/[ ~"%/~r~4CJP]4qt'//F~x[ ~",ecu4-o~ Suffolk County Tax Map No 1000, Section Block Lot Subdivision Permit No. Health Dept. Approval: Date of Permit. Filed Map. Applicant: Underwriters Approval: Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: I--~'"~(check one) FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N,Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31656 Z Date DECEMBER 6, 2005 Permission is hereby granted to: BARBARA A CARLSEN PO BOX 543 CUTCHOGUE,NY 11935 for : "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 190 EASTWOOD DR EXT CUTCHOGUE County Tax Map No. 473889 Section 103 Block 0014 Lot No. 008 pursuant to application dated DECEMBER 5, 2005 and approved by the Building Inspector to expire on JUNE 6, 2007. Fee $ 300.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING FINAL .~~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [/~' FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE /~'~ / ~/~ b,~ INSPECTOR 473889 103.-14-8 NUMBER# DATE 9103 3/22/77 0/00/00 0/00/00 0/00/00 0/00/00 0/00/00 0/00/00 0/00/00 0/00/00 0/00/00 TYPE PERMIT OWNER: MACMILLIAN, BARBARA A. USE/DESCRIPTION B.P-#9103Z BLD. NEW PVT. DWEL Fl=More F7=Permit Detail F8=Co Detail F9=Preco F12=New Swis/Parcel F3=Exit PERMIT # NO. STREET HAMLET OWNER EXPIRATION ~,~-& -o'7 HEAl, TH DEPT. TOWN OF S~U*~IOLD BUILDING I~P~RTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ,20 ~93 Approved .'.2-//0 ,20 ~ Disapproved a/c PERMIT NO. ,~,/~,b'~- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date ~ c~ C~ ,200 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 ttu'oughout 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 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, a,,nd to admit authorized inspectors on premises and in building for necessary inspections. ( 'g pp ' o ame, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises d {~,,fir"'=a3 (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 LicenseNo. Electricians License No. Other Trade'sLicenseNo. Location of land on which vroposed work will be done: House Number Street County Tax Map No. 1000 Subdivision (Name) Section o.)oe_I Hamlet Block Iq Filed Map No. Lot State existing use and occupancy of premises and in,tended use and occupancy of proposed con~l[uc~on: a. Existing use and occupancy / ~,,3~, ,I3 W)~d~O//;,ff_~ 1 b. Intended use and occupancy ['~ tv C ~,- 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~/~'~/ ~"C3C), /)D Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition ~ Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front '[' ~ Rear ~ Height Number of Stories 9. Size of lot: Front 1'2D~'- Rear 1 "23 ~'- Depth }~"~ Depth Rear 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 Will excess fill be removed from premises? YES NO 14. Names of Owner of premises (°t~,a'~ /k4/qc'Qm [//C.~'~/ _ .0~t, ~x / t,, Address 2(0/'d,-~rbc~.-Jv({ Phone No. </55/ '2745,' Name of Architect 9 Address ,/4 ,~,q ntt'45 drOrd Phone No Name of Contractor Address fly I //'7 q/~ PhoneNo. 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 ) C.[gx~: clx /Q~ ~ C-' JQ]q ~//G- J being duly sworn, deposes and says that (s)he is the applicant ~Name of i~tividual signing contract) above named, (S)He is the DCtJ r~' ~"~ (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; :t hewa~ooa~l trn~i~ie~on~r;~tmSmlatO~ ~;dt ~on;~i iSna tPhP~ iaCp~ tpil~ c~;j~roent firul;~ot lt~he; et:weiStth~ f hi s kn o w i~/~ a ;~ ~~kw~ 5' day°fnr'~/(~~lv'&~'~(' 20C~ //~ ~(~/'~ ,_~k BONNIE J. DORO~KI Not~ Public, Stste Of New York No. 01D06095328, Suffol_k~.~ouflt~ Term Expires July 7, 20 ~ ,) [J REAR ELEVATION SCALE: t/~" = 1'-0" OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED 765-1~S2 8~M TO ~-~u FOR THE FOLi ~" "'~ ' S: FO~q POURED 2. ROU~¢H "' 3. INSULATION 4. FINAL - CCN~E~/C-.7, N MOST BE COMPLETE ~ ,F CO. ALL CONSTRUST~CN SHALL MEET THE REQUIREMENT5 CF TH~ CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN O~ CONSTRUCTION ERRORS. AL. CONSTRUCTION SHAE['-' MEL:f THE REQUIREMENTS OF THE _ _ CO_DES OF NEW YORK STATE. ........................ [ J REOl~m'r;;, LEFT ELEVATION SCALE: 1/4" = 1'-0" RIGHT ELEVAT!ON SCALE: 1/4".= 1'-0' 1'5<:2 EASTI. UOOD DI~I',/E EXT., CUTGNOG'UE,'!~_ .. EXISTING / ~ 2X8 LEDGER CONNECTED TO HOUSE W/2 - 1/2" DIA. \, GALV, BOLTS W/WASH~ ' -1 ~ 1-2X8AC0 / / ' -1 ~ 1-2X8ACQ 22'-0" 2X8 LEDGER CONNECTED TO HOUSE W/2 - 1/2" DIA. GALV, BOLTS W! WASHERS 4X4 ACQ POST W/ /12"x12"x12" CONC. ' ~-" 6'-6" ~ N ~ 1-2X8ACQ FOUNDATION PLAN SCALE: 1/4": 1'-0' (REAR) DECK I~0 E,ASTLUOOD DF21V'E EXT., CUTCNOGUE, N"¥' iDac.mimer' 04. 900~, i/4, ., i'0, J ,JP-hiN EX~ST~NG / 2X8 LEDGER CONNECTED TO HOUSE W/2 - :1./2" DIA. GALV. BOLTS W/WASHERS./"' ~ ~ ~ 1-2XSACO / 2X8 ACJ~ 2×8 ACQ ~, 13'-0' t 2X8 LEDGER CONNEC'I~:D TO HOUSE W/2 ~ 1/2" D~A. GALV. BOLTS W/WASHERS 4X4 ACC~ POST W/ ~l _ 12"X12"X12" CONC. FOOTING CrYP.) 2 - 2x8 A_CI~ 1 - 2X8 ACQ FOUNDATION PLAN SCALE: 1/4": 1'-0' (REAR) I:)EC.K I,O EA~TLUOOD Pf~lYE EXT., CUT CNO~UE, NY' EXISTING (REAR) DECK 5/4X6 AJ~Q DECKING 9'-0" / 22'-0" FLOOR PLAN SCALE: 1/4": 1'-0' 13'-0" / / DECK-. I,OEA~TLUOOD ID,I¥'E EXT.. CUTCNO~UE, NY II -- RAILING · 5~4X.6 D.EC .KIN.G 2X8 ACQ GIRDER 2X8 ACQ D] @16"OC 2 - 2X8 AC~ GIRDER 4X4 ACQ POST SECTION A-A SCALE: 1/2" = 1'-0" II II 2X8 LEDGER CONNECTED TO HOUSE W/2 - 1/2" DIA. GALV. BOLTS W/WASHERS EXISTING CONCRETE FOOTING DECK I,O EASTUJOOD DRIYE EXT., CUT CNO~UE, NY II, ce.tuber 04, 2OO, lethal/4,,- I'O" [OD-MN WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS DECK/PORCHIFmGERCONNECTION CONC. PIER FOOTING DECK & PORCH NOTES: CLIMATIC & GEOGRAPHIC DESIGN CRITERIA ---~'---1- -71 NAJUNG SCHEDULE I~JO E~,~,TUJOOD IDRIVE EXT., CUT CNO~,UE, Nh"