HomeMy WebLinkAbout32214-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 08/07/06
No: Z-31735
THIS CERTIFIES that the building AS BUILT DECK
Location of Property: 945
(HOUSE NO.)
County Tax Map No. 473889 Section 33
WESTWOOD LA
(STREET)
Block 2
GREENPORT
(HAMLET)
Lot 6
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JULY 14, 2006 pursuant to which
Building Permit NO. 32214-Z
dated
JULY 18, 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 TERRY BUBB GONZALEZ
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMEIIT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
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Form No.6
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
JUL 26
.i
. I
'OL-'2_J APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
L
Tr
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 Fire Underwriters,
4, Sworn statement from plumber certifying that the solder used in system contains less than 2/10 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 April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I, 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
ye c..L
'7/a6/o (n
New Construction: Old or Pre-existing Building: (check one)
Location of Property: q 1-!5 cs+wood
House No~
Owner or Owners of Property: ------- I err t C;; C9 ,,7.0. leG
Suffolk County Tax Map No 1000, Section 0 '3:"1 Block OC)O~ Lot
Date.
~()U. ~()I
Hamlet
00<0
Subdivision
Filed Map.
Lot:
Permit No,
Date of Permit
Applicant:
Underwriters Approval:
Health Dept Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
/
(check one)
Fee Submitted: $ ;;l.~ DO
~ ~ 1~
A9Signature 0 2r
~.h<:...' ;0 ') :3 2-
Co l. 3/1 '3-5
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.
32214 Z
Date JULY
18, 2006
permission is hereby granted to:
TERRY BUBB GONZALEZ
PO BOX 544
GREENPORT,NY 11944
for :
CONSTRUCTION OF AN AS-BUILT DECK ADDITION TO AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR
at premises located at
945 WESTWOOD LA
GREENPORT
County Tax Map No. 473889 Section 033
Block 0002
Lot No. 006
pursuant to application dated JULY 14, 2006 and approved by the
Building Inspector to expire on JANUARY 18, 2008.
Fee $
300.00
ORIGINAL
Rev. 5/8/02
.~
M-,2j
TOWN OF SOUTH OLD PROPERTY RECORD CARD
VilLAGE
DIST.
SUB.
, ~
E
/v / () Gawl-<4
ACR.
S
W
I
TYPE OF BUilDING
RES. d YO
LAND
SEAS.
Vl.
FARM
COMM. CB.
MICS.
Mkt. Value
IMP.
1/') ""-)... - _~ ' -+-' '" V;/~:'.. ;," ,..
;'(,.......a.., I,/V-!_t...- :'-fYf'('I"Y1'('{'~ _'L_J-
TOTAL
DATE
~ h<U..AJ-"'
frO
/00 9o,?)
//00
&0
5goo
~ $""ao ./
AGE
NEW
FARM
BUILDING CONDITION
NORMAL
BELOW
ABOVE
Acre
Value Per
Acre
Value
House Plot
... ....
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
J;< - /
.j-O I
Tillable
Woodland
Meadowland
Total
DOCK
-
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COLOR f<)lflr.<i'
TRIM W 1-1 1 ,. ,r
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.------ -.> FO~ I ,"~ 11/ ,/,.- -" f
M. Bldg. )-0 """,q ";' ~ :1' ,; !;&
Extension ]. y 'If Zy ~ 1-7 t.'" ~ /:1.. 'lL '!''7fJ~l-- ,
LJ$6 ,
Extension oz.d
!' )/ ~ -, I
Extension
, Foundation C13 Bath / Dinette
Porch 1./'08 -, II 2.~ .60 st.' Basement {'vL (.. Floors $v15 K.
,
Porch ,Ext. Walls We> 5!.-'~Y't.~ Interior Finish v)l1-iL {.2le] lR.
Breezeway Fire Place v~: S Heat H ~ DR.
Garage :Jlv z ~ , '-11<1"1- ./ lJ:ype Roof -r 1 st Floor
-.' I . ,J (. . S':.JiJ II" I..t 6 " 6t1f3,Ui. Rooms BR.
Patio /) :Y ki - .. i d ,/() <4- Recreation Room Rooms 2nd Floor FIN. B
,
O. B. Dormer ti~ Ot M<... Driveway
Total I 61/'j,"zl
,
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
To: Town of South old Building Dept.
Date: July 31, 2006
Re: Deck Certification
Terry Gonzalez
945 Westwood La.
Greenport, NY
Permit# 32214
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.
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INJJJLATION
[ ] FRAMING I STRAPPING [vrRNAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE
tlot
INSPECTOR
~..
.
FIELD INSPECTION REPORT DATE COMMENTS W
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FOUNDATION (1ST) -~
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'It
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FOUNDATION (2ND) . ~W
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ROUGH FRAMING & fl
PLUMBING .
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. 11
INSULATION PER N. Y.
STATE ENERGY CODE ~
I.
71.3 110 " ( ;C. . - ) ~ I'L A":" ( L:..A
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v....,,:. , ~. H":"- ) _. . Ak 4 U.
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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:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HA~L
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthold/
PERMIT NO. ,~~, 4 .:z.-
Examined
7
Approved
Disapproved ale
,20_
Mail to:
Phone:
Expiration
~dz-- ~ If \ '1'1 r
,,_' r
."-;: 'i.
~\.~ (" \ fl,r") ,APPLICATION FOR BUILDING PERMIT
\ J\)\.. \ . \
\' -"'./ Date ,20_
'. ./-"'.?f;":,'''> INSTRUCTIONS
a. Thi~~: 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 oflot 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 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.
(Mailing address f applicant)
IIQ'f
State whether applicant i~;n0lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises .-r; r r'il J3. Go 1"1 La.. \ eZ'.
(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 of land on which propQsed work will be done: +
915 t.Je:<.tt.I(J()d La...ne, ) G rpp npnr I
House Number Street
Hamlet
TZM JOllA:)
~~~~~
Bl~ck t aJ~~' Lot
fl ...llfJIiJ..... Lot
County Tax Map No. 1000 Section </ 13~ 'if '1
Subdivision
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed cons11uction:
a. Existinguseandoccupancy rtcty)p G,usfind :D~<:.-'C '
b. Intended use and occupancy 1-10 m e.,
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
,/
Alteration
(Description)
4. Estimated Cost
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. Ifbusiness, 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 'I{J IX-. Rear 'fa 1.:1:. .
Height Number of Stories
9. Size oflol: Front / ~5 -Ii. Rear---L" g,1) -p. Depth
10. Date of Purchase 'l It I /("'l
f I
Rear
Depth
d{) IJ.
Name of Former Owner
H, s. :5.
/50 ft.
kiJd ~ ve,ve.lopment-..Grt
II. 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 /
80'/.. 5+'!-
14. Names ofOw~er of premises terry bonza.la. Address c;reenport, /J Y
Name of ArchItect Address
Name of Contractor Address
~ 14-0.3
Phone No. t:, ~ ;
Phone No
Phone No.
411-19(,,~
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO V"
* 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)
COUNTY OF0Lt:t-.(oSK
I f".rr ir 'B Gf'I'-" ~ ('] 'e L being duly sworn, deposes and says that (s)he is the applicant
(Name individual signing contract) above named,
(S)He is the
bWhp.x
(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
~Of \)~ 20~
t#biAt:
Notary Pu1Jlic
'~(f~ >k~f.(r
i lure of Applican
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INLET POND ROAD , . , ,
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SURVEY OF
LOT 72
MAP OF
EASTERN SHORES
SECTION No. 2
FILE No. 4426 FILED AUGUST 10, 1965
SITUATED AT
GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-33-02-06
SCALE 1 "=20'
APRIL 10, 2006
.
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AREA = 18,750.00 sq. fl.
0.430 oc.
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, PREPARED IN ACCORDANCE WITH THE MINlIr.IUa,l
, STANDARDS FOR ffiLE SURVEYS AS ESTABLISHED
BY THE l.I.A..LS. A.ND 1>PP D AND ADOPTED
,. fOR SUCH USE BY THE N ORK STATE lAND
TITLE ASSOCIATK>N.
,
UNAUTHORtZED ALTERATION OR AOOmON
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 Of THE NEW YORK STATE
EDUCATION LAW
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAl OR
EMBOSSED SEAL SHAll NOT BE CONSIDERED
TO BE A VAUD TRUE COPY
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS ~ TO THE
TITLE COMPANY. G<M:RhUENTAl AGENCY AND
lENOtNG INSTlTVT10N lISTED HEREON. AND
TO THE ASSIGNEES Of THE LENDING INSTI-
TUTION. CERTlFlCATIONS ARE NOT TRANSFERABLE,
's. Lie No. 49668
Ingegno
rveyor
Title Surveys - Subdivisions - Site Plans - Construction Layout
PHONE (631)727-2090
Fax (631)727-1727
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED.
OFFICES LOCATED AT
322 ROANOKE AVENUE
RIVERHEAD. New York 11901
MAlUNG ADDRESS
P.O. Box 1931
Riverheod. New York 11901-0965
- 26~107
REAR ELEVATION
SCALE: 1/4" = 1'-0"
LEFT ELEVATION
SCALE: 1/4" 1'-0"
'C8
ALL CONSTRUCTION SHALL
MEg6~~ ~~~~~~r:z~T~~~.HE
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOUTHCLD TOWN Z8A
SOUTHOLD TOWN PLANNiNG BOARD
SOUTHOLD TOWN TRUSTEES
N V,S, DEe
,JEfED AS NOTED
DATE: 'It; 'I. B,P. ,c3;l.;Jl'Il
FEE: BY: TrJP/2
NOTIFY BUilDING DEPARTMENT AT
765-1802 8AM TO 4PM FOR THE
FOllOWING INSPECTIONS:
1. F
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
All CONSTRUCTION SHAll MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
OCCUPA CY OR
USE IS U LAWFUL
WITHOUT ERTIFICATE
ANCY
UNDERWRITERS CERTIFIC TE
REQUIRED
RIGHT ELEVATION
SCALE: 1/4" = 1'-0"
FLOOD ZONE y
COMPLY WITH CHAPTER "46'"
FLOOD DAMAGE PREVENTION
SOUTHOLD TOWN CODE.
PG, 1
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PREBUILT PRIOR 2003
DECK
GONZALEZ RESIDENCE
SCALE JDMH
July 12, 2006 1/4" = 1'0"
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CONC, FTG. III
3' BELOW GRADE
(TYPICAL)
5'-5"
<(!--mm1
5'-5"
5'-'"
5'-5"
5'-5"
5'-b"
2Xb PT LEDGER BD.
FASTENED TO BLDG.
5'-5"
5'-5"
5'-5"
5'-5"
5'-5"
5'-5"
r --,
- - - - - +s-:- - - - - --+-0-:- - - - -:-0+- - - - - -:-a-+ - - - - - +e r - - - - --+n:
'n' .__.2-2XbPTGIRDER.u' 'n' .__. 'u'
5'-5"
5'-5"
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5'-5"
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~ 4X-4 PT POST ~ _ _ ~ ~ _ _ ~ ~ _ _ ~ 2 - 2Xb PT GIRDER~ _ _ ~ ~ _ _ t
w/12"X12"X12"
CONC. FTG.1ll
3' BELOW GRADE
(TYPICAL)
5'-5" 5'-b" 5'-5" 5'-5"
J
30'-0"
5'-5"
-~t----~-~----+~~2XbnGIRDfR~t----~8~----1~-
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FOUNDATION PLAN
SCALE: 1/4" - 1'-0'
1'-0"
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1'-0"
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PREBUILT PRIOR 2003
DECK
GONZALEZ RESIDENCE
PG.
2
July 12, 2006
SCALE
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JDMH
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DECKING
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8'-0"
11'-0"
40'-0"
FLOOR PLAN
SCALE: 1/4" = 1'-0'
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GONZALEZ RESIDENCE
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2XG PRESSURE TREATED OJ" @lG"OC
2 - 2XG PT
''C>~'\] ''C>~'\] 'J''\] 'J''\]
SECTION A-A
SCALE: 1/2" = 1'-0"
12"X12"
CONC. FTG.
( PREBUILT PRIOR 2003 )
PG. 4
EXISTING
2XG PT
LEDGER
4,
4
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DECK
GONZALEZ RESIDENCE
SCALE
July 12, 2006 1/4" = 1'0"
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