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HomeMy WebLinkAbout31946-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31549 Date: 05/02/06 THIS CERTIFIES that the building DECK ADDITION Location of Property: 735 PARK (HOUSE NO.) County Tax Map No. 473889 Section 70 WAY (STREET) Block 11 SOUTHOLD (HAMLET) Lot 14 Subdivision Filed Map No. Lot No. conforms substantia.lly to the Application for Building Permit heretofore filed in this office dated APRIL 26, 2006 pursuant to which Building Permit No. 31946-Z dated APRIL 28, 2006 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 SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KENNETH & MARGARET HAGERMAN (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~/4~~ Authorized 19nature Rev. 1/81 28 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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: I. 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 Ere Underwriters. 4. Sworn statement from plumber certifYing that the solder used in system contains less than 2/1 0 of I % 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 Apri19, 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 Date. 4/2B/Cii New Construction: . Old or Pre-existing Building: (check one) Location of Property: 735 PARK W'\Y House No. fUrJHIJ), H.Y. Street Hamlet Owner or Owners of Property: KENNETH " I!fARGARET IlllAGERMAN Suffolk County Tax Map No 1000, Section 70 Block II Lot 14 Subdivision Filed Map.. Lot: Pennit No. 31946-Z Date of Pelmit._ 4/28/0~ Applicant:~ HAGERMA_. Health Dept. Approval: _~_ _.__. Undenvriters Approval: Planning Board Approval: '~_____.__.._ Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 25.00 I!fARGARET HAGERMAN Applicant Signature ~~ 70016' C.O?:.3iS'fl FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PER/,UT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31946 Z Date APRIL 28, 2006 Permission is hereby gra.nted to: KENNETH & WF HAGERMAN PO BOX 1176 SOUTHOLD,NY 11971 for "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 735 PARK WAY SOUTHOLD County Tax Map No. 47388~ Section 070 Block 0011 Lot No. 014 pursuant to application dated APRIL 26, 2006 and approved by the Building Inspector to expire on OCTOBER 28, 2007. Fee $ 300.00 u~(~ / Authorized Signature ORIGINAL Rev. 5/8/02 d-1~f9-7- k-en. 3 \ 9 d..- \ TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PlBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION (" -#;2.~d dJ'L ~' ~~V-.~\c{l ~ .~, , 12. ~7/J. DATE i.f'-17-/)~ INSPECTOR ~ ~ 0(1:l31~tt~i- ~.AJlI~~~ M mlf/J-t)()(, Date: April 26, 2006 JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 To: Town of Southold Building Dept. Re: Deck Certification Hegerman 735 Parkway Southold, NY 11971 ! .. To Whom It May Concern: After a deck framing! footing inspection at the above mentioned pre built deck, it is deemed that the deck is constructed as per plans submitted, and met all the state and local codes at the time of construction. Any questions feel free to call. FIELD INSPECTION REPORT DATE COMMENTS V.I -"" -t)to; FOUNDATION (1ST) -r:~ ~::l I'U"" ------------------------------------ 'O~ FOUNDATION (2ND) ~ ..JZ \lJO \no ROUGH FRAMING & ~~ PLUMBING j . ~~ ~1 t'" INSULATION PER N. Y. \~m ~.., STATE ENERGY CODE - .~ "-C . 41.JC/rI. .~nJJ Fn.4-'1. ~ ~-#-.:... J n. ~_ 1l.P'A..ILJJi'.- ~ lU1r..o L/ 1.:)J,:lo~. b. v FINAL . ADDITIONAL COMMENTS {... I~~ 1 0 :E - z r - " <:> ~ I:;~ OI)~ "'-.., l;:>_ . ".:lO Z .. := ~ .., := t::! to; "" ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ ,1/~1~=c: 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: PERMIT NO. Examined Approved Disapproved alc Mail to: Expiration 10/ l--f,20~ 1 Phone: I~/--" ( Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ~A/f Date ~ 20 C1 b ,~ 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 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 South old, 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~J~ ~ (Si~atur~~a:::; if a corporation) 'j) 0 '60>C 11 7 (;, ~_SOCl"{../'ei.L i>, Iv't..; 1/97/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder c!J w IJ ctU. . Name of owner of premises (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. I. Location ofland on which proposed work will be done: 73;) ?fJ-1UL w 4-<-] House Number Street County Tax Map No. 1000 Section Subdivision '7() S(Ju..'f0411 "-0 113MllAW AI'IIIT~amlet tldf W'9~ to ..,.ttJ;': ~;II',1iJ1l'UoII Dl".~~)~' '.~,. i 1'0'1 ~9CZ\;,n"'".',,' >' FileduMat1Nb. IV 'f I {q.,/ (Name) Lot / c..f. Lot 2. State existing use and occupancy of premises and intended use and occupa cy of proposed construction: a. Existing use and occupancy J I r y. ceIL _____ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition~~_ Addition Other Work Alteration ~ '-. '" ~--I -.. //;,I/;v,) u.., '- (Descnption) 4. Estimated Cost 4 roOD Fee 5. If dwelling, number of dwelling units If garage, number of cars (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 ;/If: /1' Rear Height Number of Stories 2(; , ' Depth -:a 1'6 7 ' Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth I a. Date of Purchase /48'7 , . Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO X- 13. Will lot be re-graded? YES_ NOt- Will excess fill be removed from premises? YES__ NO-----k.. 14. Names of Owner of premises i!C1i'1IV~ rll1~n;Vl;;;ress )5S-iZ: ytlJci I( Phone No.7 6':,~ ~o L :1- Name of Architect Address --..J Phone No Name of Contractor :).e~ Address Phone No. 15 a. Is this property within 10.0. feet of a tidal wetland or a freshwater wetland? *YES ~ NO X- * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQtJIRED. b. Is this property within 30.0. feet of a tidal wetland? * YES ~ NO )Z. * IF YES, D.E.e. 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 ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 d LO day of Apr', \ F-AD~ Notary PublIc 20~ <~~tt,;;ek~ ______ ' SignatunVof Applicant ....-:!w.. r1 0uII1filId in Suffolk Commission Expires JanuIlY~1D _ ... RIGHT ELEVATION SCALE: 1/4" = 1'-0" LEFT ELEVATION SCALE: 1/4" = 1'-0" '. ( PREBUILT PRIOR 2003 ) ~ 3lCjftp?; REAR ELEVATION SCALE: 1/4" = 1'-0" 4" D N 2Xg PT DJ @lh"OC '" -' - 2Xg PT '.~ LEDGER " '. .~ 2 - 2XI0 PT rL.GIRDER 2-2XgPT GIRDER 4X4 PT POSTS ANCHORED IN 12"XI2"XI2" CONC. rTGS. . ..' 0, .; . .'17 . .' .' '.. .~ SECTION A-A SCALE: 1/4" = 1'-0" '. ..' 0, .; , '. ..' PG. 1 HAGERMAN 735 PARKWAY, SOUTHOLD, NY SCALE April 24, 2006 1/4" - 1'0" JDMH . b I '" " . , , ' , ' : 2Xg PT LEDGER " : FASTENED TO HOUSE " , W/2 - 1/~" DIA. BOLTS ' : WI WASHERS @ 32" O.C. " , ' , ' , ' , ' , ' , ' , ' , ' , , 6' 2" ' 6' ' ~- 1 -2" b'-2" I +, .1,: f -r,' I I I r - -, r -'-, I &1- - - - - -:-D--l-- - -+-- - - - ~I - - - - .! B!I . _" .__" 2-2XgPTGIRDER ~_" ' " I - ~ - -+ ~ : 4X'" PT POST / , ANCHORED IN " 12"X12"X12" , CONC. FTG. " (TYPICAL) , , , , , , , , ' 5'-6" I / !.or 5'7'" 5'-6" I .~L, f, f f " , g.~-_=_-_=_~ _ _:_~:_2.x!~~! ~:}iI~~~'bl_ _ :_~---=-LB,i l______~~<;> FOUNDATION PLAN SCALE: 1/4" = 1'-0' b , .. b I .. } } g'-O" 17'-0" ~'-O" 21'-0" FLOOR PLAN SCALE: 1/4" = 1'-0' ( PREBUILT PRIOR 2003 ) PG. 2 HAGERMAN 735 PARKWAY, SOUTHOLD, NY April 24, 2006 SCALE 1/4" = 1'0" JDMH ~ " ---,--- --_/ -~ "- ~, \ \ ,.~ \ :n'\ \\t .... \ <l \ 't \ \' '- . ' , tOilE. 13L7!'-----'--- S./3-0!j:/ ,--/ ,>/l,,_,-/,-/'/T.) C" /0/' .' I <c< !1 ! L'i l'~ / '- ~ ,<, , \lI " \:::> \-;.~ ~~(S' ,;. " .x.. ' ,) -:., ~ '>\l>"" -<< \ "" ----- \" , \ ~ hQi , '\Ii . ~/ 0\'/ ..-;:,------- - I".... \ ,,-, , -'J> , .) 0' , \ \ ,//' ~~ ,- \~ \- \ ' \~ .IS" , ~ 1i~ , '~ / 0)~ (7'/'" " / / / ir? i ~ ~,~~ ,v('" 0 ';7) -",:, 'f,/!i, ' LJ "<\' \ ' ('J 0 ~./7 \ ,1'- "'- ,'J I'l''{ ." \. \ V\ ,- C) '\ c~~ , ! 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