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HomeMy WebLinkAbout30632-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31455 Date: 02/27/06 THIS CERTIFIES that the building ADDITION Location of Property: 820 GABRIELLA CT MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 8, 2004 pursuant to which Building Permit No. 30632-Z dated SEPTEMBER 13, 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 AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROGER & CHRISTINE FOSTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 Fla 2 7 APPLICATION FOR CERTIFICATE OF OCCUPANCY T� J 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: L 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$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 CCS Date. New Construction: Q Old or Pre-existing Building: (check one) Location of Property: O2Q GUbne Ha C '1 1-4 6(+f I-fU House No. StreetQ Hamlet Owner or Owners of Property: QUg � t C h f i S -h✓L P 9US '4eY Suffolk County Tax Map No 1000, Section 10 D Block 0 60 I Lot 00 -7 . y z Subdivision / Filed Map. Lot: �/ /n / Permit No. _ 30 (o32 -_Z- Date of Permit. 3 -� 1 Applicant: RQ rU Gr( r C h f ( S Ae _7k Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 25 VV 1 — // IL pphcant Signa re (D 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. 30632 Z Date SEPTEMBER 13 , 2004 Permission is hereby granted to: ROGER FOSTER MATTITUCK,NY 11952 for CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMLY DWELLING AS APPLIED FOR at premises located at 820 GABRIELLA CT MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007 . 025 pursuant to application dated SEPTEMBER 8, 2004 and approved by the Building Inspector to expire on MARCH 13 , 2006 . Fee $ 150 . 00 F.1 /or ire. — I Authorized Signature ORIGINAL Rev. 5/8/02 'rof SOOT�o6 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [FINAL A [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: to O �! DATE r ° �' INSPECTOR r �0�1 OF 5041y�6 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING P<FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: F DATE ��� �S INSPECTOR 'G� ►p 0 v 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: y� DATE INSPECTOR---- i ®u-�2 765.1802 BUILDING DEPT. INSPECTION [ ] F UND/�TION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: S ( 0 Co t.4 b t i DATE rb INSPECTOR . FIELD INSPECTION REPORT DATE COMMENTS W O., FOUNDATION(IST) ------------------------------------ FOUNDATION(2ND) z — o ROUGH FRAMING& PLUMBING _ INSULATION PER N.Y. 3 STATE ENERGY CODE _'}- 0 Oft FINAL t a ADDITIONAL COMMENTS Z h a z x v 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 —4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. 30 63,�?= Check Septic Form N.Y.S.D.E.C. Trustees Examined__,20OY4 Contact: Approved_ 9�/�_,20Qc24 Me to: Disapproved aic Phone: Expiration V1 20 04 Building APPLICATION FOR BUILDING PERMIT 1, '- -•,� � Date ��ly!l�P/ � 120 (J 1 ` 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 cornpleted 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, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) 320 Gabrlelfa C1 �affit�cy (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder �A1101 !�pUJnesu Name of owner of premises ��ocj e+' T U sJ►' (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 will be done: RZG 6ctbriellG Cf ,�-(GFftfUC./L House Number Street //��'(( G Hamlet �7 County Tax Map No. 1000 Section ( V p Block Q0� /�Lot v0 /" 02 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 b. Intended use and occupan 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Ct e C dC 4. Estimated Cost (Description) j, © ('7�p Fee ' (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 additions: Front Rear /8 . Depth Height Number of Stories ✓8. Dimensions of entire new construction: Front 2q Rear2 '-4 _Depth b I Height 2 ' (o " Number of Stories i /`� 5- 9. Size of lot: Front /So.� Rear / 70_3 /.b Depth 2 (o(o 10. Date of Purchase c6 g Name of Former Owner 11. Zone or use district in which premises are situated res ( 12. Does proposed construction violate any zoning law, ordinance or regulation?YES_NO v 13. Will lot be re-graded? YES_NO—Will excess fill be removed from premises? YES NO 14. Names of Owner of premises goger ro,5 -_/ Address S20 Gabrw/k 0'4hon�eN ZOl 8 Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO l/ * 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__LZ * 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 Srtr6ac -Ro G E,L Fo s 1-4 f2 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, 95He is the L' o N `fn,a O 2" (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 to before me this 1 30 day of G- 1 T 2000�l . tary Public /i�_ Signature of Applicant THOMAS J. McADAM NOTARY PUBLIC,State of New York No.52-7782825. Qual. in Suffolk Co. Commission Emires December 31, 2DO SCDHS Ref. No. = R10 - 97- 0036 • C, A 0 < �s P� SURVEY OF LOT 20 ® �`ro sR` 'EL IJAHS LANE ESTATES, SECT. 2 R . 2s.00• �� FLED OCT. 1996 FJLENO. 9912 AT MA TTI TUCK TOWN OF SOUTHOLO o� SUFFOLK COUNTY, NY Aq .S a� 1000 - 108 - 04 - P10 7.1 Scale: 1" = 40' DPc. 4, 1946 y3' Mar. 25. 1997 (foundation loc.) of �� June 4, 1997 ( Final 1 O. DO. 4p 01 dI' d i a° e 0 O 5 CERTIFIED TO �P Of NF \\ ROGER T. FOSTER, JR. S w t MFT// CHRISTINE L. FOSTER no NORTH FORK BANK AREA = 40,011 $C,ft. SUPERIOR 4BSTRACT ANY ALTERATKW OR ADOITION TO THS SURVEY /S A WOLArMN I am familiar with /he STANDARDS FOR APPROVAL The locations of wells and cesSpobfs OF SEC rION 7209 OF rME NEW rORM STATE EDUCAr10W LA 0, AND CONSTRUCROY OF SUBSURFACE SEWAGE shown hereon are from Held observations I 46`1V IC. NO. 49618 £xc£Pr AS PER sEcrlON 720¢SLIlol SOV L ALL CERTI�CATIbNf DISPOSAL SYS TEN$ FOR SINGLE FAMILY RESIDENCES and or from data obtained from others. HEREON ARE VALD FOR rMS'MAI AND COPIES MEREOF ONLY s and will abide b the conditions set forth /harein and on /he SADMAP OR COPES AFAR Mg APRESSED SUL Of Tl+f SURVEYOR ) PECONA. S .C. WHOSE SIGNATURE APPEARS M[REONt permit /o construct. (516) 761 - 5020 ADDITIONALLY TO COWLY MTM SAD LAI TM!' TERM 'ALTERED BY' P. O. BOX 909 MUST BE USED BY ANY APO ALL sUWEYMj U A Y ELEvATICNS ARE REFERENCED 1230 TRAVELER STREET OF ANOTHER SURVEYOR'S MAP. TERM$ Si/C7 AU 'MZSPECn AAO TO AN ASSUMED OATUK SOUTHOLD, MY. 1/971 wouGHr-To-DATE'ARE HOr N COAL Mr7I Th[LAI. 96-317 20 0I P. w. O p 1, OD I� O L (L o 4 w ti 7 � co - MIN. OF 3'FIT "[LING } O O Z ALL CONSTRUCTION SHALL CERTIFICATION OF EET THE REQUIREMENTS OF THE D: NAILING &CONNECTIONS CODES OF NEW YORK STATE. z REQUIRED. w 8 OCCUPANCY OR Z UNLAWFUL °o _- 24' - - - ---- WITHOUT CERTIFICATE ; o OF OCCUPANCY a CHECK-PLAN DaTe.APPROVED AS NOTED 2 //`� - - - - --- -- - �a B.P.i�c3o��76g3a� nom' z .1 / A I-,©II FEE: 16-0. BY: ,, 1�1 NOTIFY BUILDING DEPARTMENT AT �@f1Y8y� 765.1802 8 A TO 4 P FOR THE - FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED 4 " RETAIN STORM WATER RUNOFF- FOR POURED I 2. ROUGH - FRAMINGG &8 PL PLUMBING PURSUANT TO SECTION 45-IOC 3. INSULATION a 4 1 OF THE TOWN CODE. 4. FINAL COMPLETE CO.MUST SOF 10NR'y - 'p BE COMPLETE FOR C.O ALL CONSTRUCTION SHALL MEET THE V_ r REQUIREMENTS OF THE CODES OF NEW YORK STATE. ,NOT RESPONSIBLE FOR - DESIGN Ofi CONSTRUCTION ERRORS. r COMPLY WITH CHAPTER °46" FLOOD DAMAGE PREVENTION - - SOUTHOLD TOWN CODE. 2 on 011 aft SECTION --�-- -- T_ -- - 2"x E ILDGERBOLTED AGr.BOLTS -�HOUSE W/ IIS°CARRIAGG BOLTS j � g a w v 0'X B'ACO FJ I G-OC 20' BIG FOOT MIN OF 3'BELOW GRADE `" M B'SONO TUBE 4'X 4"Apo POST QO Z - CONNECTED OTUor TO B' - SONO TU9E PROVIDE SERIES USF NCONNECTOR SERIGS Z DECK FTGB) Q V' ---- .-.. 2�z'x e^ACO GIRDER 504TED TO r 4"X 4"FO5T N w - ' � PL,�I�1 E^QWt�JDA�"I©N � z w t t t - RI `- itp a i I n 't it � t v f a InIloll! N. 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E bux - - _ - A " aZM AIATGM(NI 1'MAX _ - Io 77 rOMT POST WRG�RAFAOFR ;i ME iZlInir CONoRETE FOOTBb e - qa/POROH RAILING " STi11R 1�AILINC� p �( @gmuxi E�prwEGTabN ua!�N�Rl+is!cu�tw.v.eoraev�nYlxrA4knrura,Nlrr§' I �� II' i I 1,UY#PACE � ; I x I G41 soar GIRDER/HEAD R 0�I L) uLU�T9iD NIMHEOIL W POST�COLUMN�, c6N°I " �ol 4PEN.BALkISTFR . �TCa WN.L o � I, �i I - AL6NANQItAI�IIMIM,I.OEGO7J1 NApTTJE INAI:L�NOtFt 'Ptd�l':T�'. cKc-cNNECTION 'OFTIEOAVA IWRI011pPORIN `OF ALL/LANMIMIJS - E1W.LNmBELME ,• NM N ' 111AJ1 7 7FMJT NGR!NNER, . fNIQ�dEeltfSMLfNMENeloN,4htNEelyiPE NIW.L UAENM+•G111rz�gA.allWaoLrswrmwsANONU+s' P 0 N Pa�wl°e °'E°N" eN�pawN°sc P�cE GIRDER/HEADER TO POST/(C94rlAAM 'ONEC11ON a o - Z _ RAWNO7tIOI�p11NoEN W IYIIND'W° CO ', YNildfNigNN . UNDISTURBED SOIL UY PlA811C 9�lE UIIIEi'll O i[OR�T aaL 0422 csoM 0 } .._ STAIR TREAD � Le�Dn:LEo ( REx�oveol ¢ Z ov OF o 0 POETA703UIM FR LOTION 11ATEANO PLUMB of t� RISA- BOARD FlLLASPFR IMNUFACNRES•INBTRUCTIONS 2 Q V ' FLOOR FRAMNG LJd6T3 I��� '- S'TRINGER ,n mllh11 n: Im ,I, nr I ALOCNNGFfNI _ JOATHANOER per'-1"nt,�anFQnaanmckNu¢CTI©N woeC�T9. , ly ' NTWuSTION PMJO@TPYO. • '� DISTURBED / POOR SOIL WS "IrplAw SCRIM ER TO -DECK/PORCH C NECTION GMY�LAYER OFCRUSHED STONE OR - - W%AN000MPACTBYNANO - _ IAY PLA6ITO MSE ONo ooMPAC1EO GRAVEL - LEASE FR'CONMU"ON TUBE MIO PLUMB GRADE TUBE FILL AS PER MANUFACTURES'INSTRUCTIONS JD B Im 'JOISTLU T_ vbap r ELaCNfxG COLIC PIER FQ TO �ING r-t z GFOOT SYSTEMS FOOTING FORM CODE THIS DESIGN r—, a ��WECTrpo�10CII OF 0 . WOOO,GpOE7L'" O�PMOITHEIN'/TiNTOFTNE000EANOTNE IMIENULOFFdgED're rl J 1' � r AT LONiT7NF.INA[J!MNWRAEMYANOEFFECIIVENE$S OFTNAT O Cc44�N7EE�� 14 wintwp" aTAEAFOOOEBHMRCE?,IATITANOMMNreTRATTONE FINDS THIS PRODUCT A4,�3'{'M' �A�T, AN9Tmµne Ca70mNAwnnoN SERVICE REPORT eLl-- ro , 4111, LL �. r, , : � :. + ..° •.',r t r .. �� ' SGH t7ULE �EpF MEw L j b _ WN r r + AM M f Fx0®OWPRGd BPAOMO HGTEb_ 9''lt,NOE TV�9.F. i 1 Y-- ; " 81W' DI} ' 1 A7 WAIM�N J TOE „ALJ'MW.AIgpiAA yMM'1AMJA.1(1 t t QRO NP lROEr. 2 bIICOMMON TOE tI, f S r iub/MRwALA ..MAT� 2� r lLMpOALpM T .N�,1 N'. z-3aooMMON � _ o]nEA-I 4 y�y TOr, ( ? °r •k4+Nr1teA11PM � ,: 1 as A54BB t¢D y ,PG.Ra: A Ff. MME EITOPTE a,tAACOMMON BL ( JJ , AMA MTO yA k I- "TO 9-iM COMMON F Q6S1„', v i LL 3'WAOt' "ISI i °MbWMa+IWtMFrnIlbA4umehllbegggr. wrµAoL rTh� M4 _ ��,x TOENAIL I t I BBkAAF 'IE WOT I I Applicant/ Date. Owners Name:. _ Revie\Ned: Architect/ Date Clu.t•! ngitteer: J4Submitted: SCTM #: �,,�� District: 1 00 Section: — I31ock: Project Subdivision Location: Name: t $in&le&separate Required certification: (Yes/hIQ) Req. Req. ' zoning 1>istrict: _ ILot size: Actual: _ I trot coverage Propas4 Req, Req. P Req- IFront Yard Sy Proposed:6-- [Side Yard Proposed:_�J6�J [Rear Yard (Gtr Proposed Project Description: � � _ AGENOWERMM Permi . $FQi IRFD FOR REVIEW NA-. NO YM NumbeS Suffolk County Health Dept. New York State. D. E:C. Town Trustees Town Zoning Board approval, Town Planning Board approval: . . 1. �. Flood Plane Elevation??? Flood Zone: ''`'