HomeMy WebLinkAbout31308-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31931
THIS CERTIFIES that the building
ADDITION
Date: 10/20/06
Location of Property: 1195 WILMARTH AVE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 41 Block 1 Lot 11.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 19, 2005 pursuant to which
Building Permit No. 31308-Z dated JULY 26, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MICHAEL & KRISTA QUILLIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED
Rev. 1/81
oriz
d
Si
nature
Rev. 1/81
p,.
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:
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
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. --`70/0-0s�
New Construction: V n Old or Pre-existing Building: n (check one)
Location of Property: /�`1 Alic l,4 {�`/'ti't /� t/Q, l ?6 e9l4—
House No.
�� Street / Hamlet
Owner or Owners of Property: /K(,6 it % ae(/ 71 /� 1 i 4411 i//lilt
Suffolk County Tax Map No 1000, Section _ Block Lot i�—
Subdivision _ Filed Map. Lot -
Permit No.
ot:PermitNo. Date of Permit. 2� Applicant:�l
Health Dept. Approval: _ Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 27' 00 A-4? �ek
Applicant Signature
Co�3r93/
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. 31308 Z Date JULY 26, 2005
Permission is hereby granted to:
M & K QUILLIN
1195 WILMARTH AVE
GREENPORT,NY 11944
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at 1195 WILMARTH AVE GREENPORT
County Tax Map No. 473889 Section 041 Block 0001 Lot No. 011.001
pursuant to application dated JULY 19, 2005 and approved by the
Building Inspector to expire on JANUARY 26, 2007.
Fee $ 150.00
'14
Authorized Signature
ORIGINAL
Rev. 5/8/02
c2e-i �'OF so
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND[;71N7,(L
ATIQNFRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
REMARKS:
12
DATE Zell 7 INSPECTOR
L
1
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PL
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE
IN
FIELD INSPECTION REPORT
DATE
COMMENTS •'
FOUNDATION (1ST)
--------------------------------------
FOUNDATION (2ND)
- -
z
—o
ROUGH FRAMING &
PLUMBING
- -
-- -- - --
?—
o r 7
FINAL
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined oZ� , 20 d S
Approved 20 O S
Disapproved a/c
Expiration I / "_ , 20L-)4
q96- 319v
BUILDING PERMIT APPLICATION CHECKLIST
PERMIT NO. 3/30&
Building Inspector
Ir
I �
JUL � 9 2005 APPLICATION FOR BUILDING PERMIT ; �_'
— - Date 7—/9— &Wr 20 0-�_
4� INSTRUCTIONS
D _1
Do you have or need the following, before applying'?
Board of Health
4 sets of Building Plans
Planning Board approval
Septic Form
N.Y.S.D.E.C.
Contact:
Mail to:
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.
E 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.
-;4& 7 "�
(Signature of applican(or name, if a corporation)
(Mailing address of applicant) 11t7yy
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises mickaepf ev--,At. &,%11?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.
Plumbers License No.
Electricians License Is
Other Trade's License No.
on
House Number Street
will be done:
County Tax Map No. 1000 Section 1i I Block
Hamlet
Lot
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 4
b. Intended use and
3. Nature of work (check which applicable): New Building Addition
Repair Removal Demolition Other Work
4. Estimated Cost
Fee
1-11 Alteration
(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.
r �
7. Dimensions of existing structures, if any: Front Rear 31g Depth
Height Number of Stories 2 -
Dimensions
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories.
8. Dimensions of entire new construction: Front Rear Depth
Height,// Number of Stories
24
9. Size of lot: Front 242.2S Rear 16 y 00 Depth
10. Date of Purchase H-10' 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
No. `l%7- 3986
Name of Architect Address Phone No
Name of Contractor Address
No.
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 5., f Fo lk )
M l Y fnf.z' I IT." being duly swom, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the p ,-f N c
(Contractor, Agent, Corporate Officer,
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
"J'" day ofj , IT 20 o;
Notary Public
John M. JudgBBge
NoTO J U6059a00 State of New Yodt
Qualified In Suffolk Countyy
Commission Expires May 29, 20 01
J
XYt 7
Signature7f Applicant
Oil
Appfir,antl
Date.
Owners Natiw...
Architect/
§UbmWed:
SCTM 6:
District: 1,000 secdow 4C' Block: LOI: tt"
llrojeclSubdivision
13 s-
Location: 1 Name:
Siqle &, separate Required
(Yo I No)
RcA.
zolliatDistrict— I.Ot 117-C: AmIal:
COY sfagt.
(I'Cofit 1'4trd VropoirA: (Side Yard Proposed: I
V— ol-
[Kc*rYsrd
Pfopscd
. . . 1 1 �6 r
Project Description-. -UZ -'Lmn
r
......... .
C ranit
REQUIRF,l) FOR RE VIEW N.A. O
YES
Suff-olk County Health Dept.'
N6w York State. D. R. C.
Town Tn*,Wm
Town Zoau Board approval:
Town -planning Board approval:
Flood -Platte, Blevation
Flood Zorto-4
TOWN OF SOUTHOLD
PROPERTY
RECORD CARD
vwrvtK
STREET l
VILLAGE
DIST. SUB. LOT a $
`C ��r�s Ia M Qu► (I I n
r,^�� r����,: �,.1 .
Q, , _ f
FORMER O NEgg,,Bayhu
N
E 4
�tC(5 LfvSbS�►�I�t✓ E S
LDD
1 ne A. 5Maussrter S✓
S
W
TYPE OF BUILDING,
} A
1
R•�
SEAS.
VL.
FARM
COMM. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
7.
ALLzt
—211
�Tr
1100
Soso
i op
2 z«04-
-/1—soh x
77 ' //�
1z25� z6JI- �ll7S �v ?6,• �l r5 x/590
II Ido -L 12357 1 j2 9.86
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Value
Acre
FRONTAGE ON WATER
Tillable
Woodland
FRONTAGE ON ROAD
Meadowland
DEPTH
!.
House Plot
BULKHEAD
\
Total
DOCK
COLOR
TRIM
I I
I
I
i
I I
M. Bldg.
Extension
i
Extension
_I
Extension
Foundation
Bath
Dinette;
i
Porch
Basement
Floors
K.
Porch
Ext. Walls
Interior Finish
j LR.
Breezeway
Fire Place
Heat
DR.
Garage
Type Roof
Rooms 1st Floor
BR.
Patio
Recreation Room
( Rooms 2nd Floor
{ FIN. B
D• B.
Dormer
Driveway
Tollio
I
SOUTHOLD PROPERTY RECORD
OWNER
STREET
VILLAGE
DIST.1 SUB. LOT a ��
7
O ER OW
>�
ER
use r
N
E
ACR.
Xi
r ..
S
W
TYPE OF BUILDING
RES.
SEAS.
VL.
FARM
COMM. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
�
ati
.�
���
v .�;', •
z � —L ii8+✓� g7- taus � � s
-;S
-
JOG
cc 7
'
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
Meadowland
DEPTH
^: f
House Plot
BULKHEAD
Total
DOCK
'
VAND (
USE THE FOLLOUNG OR APPROVED USP METAL CONNECTORS FOR PROPER WIND RESISTANT CONSTRUCTION. FOLLOW MANUFACTURE'S
EH'?
4' MAX.
DECK/PORCH RAILING
P05 -TO-DECK CONNECTION
USE MIN. (2) IZ DIA. GALLA. BMTS WIT1R WASHERS AND nuts
DECK & PORCH (VOTES:
tJO r agrwwdee V d aY handng as ibila is be it A06 Prow" tre"d kovtw.
tmtew%twtgweandw*ftatobe ersimirkassled.
Gk*m for look 00 b be ballad or and aW b Asch Pad or Ow with washers and nuts.
dersan om anis Oars *W be ar0wad wO Wow *W conmemrs owhorad
t mnaft wigs a "**nen tit' ft x T Wq anchw ball wig wm wm arw m6s.
Facts sedge sAoiN be anGhaaad to a l x(2507 Mick Darr ba ft
LadRYltan W. die x T"andtor bolt *0 waaws and mac. FoaWo Shag
at IM a.a..
). Carwete OWS shy be a mk*rAMn 6' abaft grade.
K A6)ok* to be suMoAad wM hangers arml arichm. Each Joist WW also be w4liored
r �bder{R).
m
mit'i"ll p
l
NAH.MDULE
tNSTALLATION INSTRUCTiCKS TO ACHIEVE MAMMUM UPLIFT LOAD
UNDIS.TUR@ED SOIL
w
CLIMATIC & GEOGRAPHIC DESIGN CRITERIA
C*-xmo -_
1 FR� ESM Nh to ,Poon
� sAiflW �!i'EEn DESIGN WEATHERWG
UM
dE TERMRE � DECAY DEBtGrI lYe?EaAYMENT 4HA7JWfia
LOAD (MPH) CATEGORY DEPTH- I Tk3Ap REG{all�,i
I 45Lft 1 120 1 B 1 MERE 3Ff. Mo6EA4TE 9fJGrtF To V 11 � .. Now
.TOHEAVY MooEaATE
0"
Ate— txrs�/n
-,IT _1
4 a� pu3
L-'� bo 11s
0
/S - o
I
— Pj � c s c,N
�(•
a( -
r,
fG,•<jQ.-2•Z'+fo' jrCA C �' G,.Or. z-i•afa /+ D (yY�e /?Or
W - Lr.B.ackt/ LLB 4Y " � - 1 -' •I�.g. sck�/ Ltd CUPANCY 0R
—LFL5
I ----USE IS UNLAWFUL SCQ�t qS J dwf+
`"�` b�°`�s '1A°` I . /z sohal-iwlTHOUTCERTIFICATE
l2 0 So,,o4.6e u< 8�f' l6'' Sf., a $lotr F��
r a foo
2.,< /Z OF OCCUPANCY
I —
=� RETAIN STORM WATER RUNOFF
�_r~-_r LO__A-A PURSUANT TO SECTION 45100
0' —S f a ? 10 N- 13 � OF THE TOWN CODE.
S Cale
i
I
Z
i
It
N
9 APPROVED AS NOTED
J DATE: r B.P. i
_
EEE: BY:
NOTIFY BUILDING DEPARTMENT AT
i..
76= 1802 8 AM -O 4 PM FOR THE
cn '!NG INSPE.;TIC)NS:
t. FOJrtDATION - TY,.. K !J!RED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
ALL QONSTRuc; i I�,V SHAI
i
3. INSULATION
4. FINAL • CONSTRUCTION MUSE71i�REQUIR;_
.'�NrS J
BE COMPLETE FOR C.O.
MEET THE
CODES OF N W r ORK STAT -
ALL CONSTRUCTION SHALL
F THE CODES OF NEW
$ y
CERTIFICATION OF
DESIGN 04tONSTRUMM ERRORS'
NAILING & CONNECTIONS
REQUIRED.
I
— Pj � c s c,N
�(•
a( -
r,
fG,•<jQ.-2•Z'+fo' jrCA C �' G,.Or. z-i•afa /+ D (yY�e /?Or
W - Lr.B.ackt/ LLB 4Y " � - 1 -' •I�.g. sck�/ Ltd CUPANCY 0R
—LFL5
I ----USE IS UNLAWFUL SCQ�t qS J dwf+
`"�` b�°`�s '1A°` I . /z sohal-iwlTHOUTCERTIFICATE
l2 0 So,,o4.6e u< 8�f' l6'' Sf., a $lotr F��
r a foo
2.,< /Z OF OCCUPANCY
I —
=� RETAIN STORM WATER RUNOFF
�_r~-_r LO__A-A PURSUANT TO SECTION 45100
0' —S f a ? 10 N- 13 � OF THE TOWN CODE.
S Cale
WIND LOAD PATH CONNECTION AND CONSTRUCT# N DETAIL DRAWINGS
INGS
USE THE FOLLOWING OR APPROVED USP METAL CONNECTORS FOR PROPER WIND RESISTANT CONSTRUCTION. FOLLOW MANUFACTURE'S RECOMMENDED INSTALLATION INSTRUCTIOWS TO ACHIEVE MAXIMUM UPLIFT LOAD CAP
us:!
DECK/PORCH RAILING
RIM/DECK
POST -TO -DECD CONNECTION
USE NRI. (2) 17 DIA. GALV. BOLTS WITH WASHERS AND NUTS
DECK & PORCH NOTES: j
LWw I*Wwb Nora id *oft ma4Nd* b be 01 AM premia ko@W kor4w. i
Mxmnsre, twwm end wghm 1e be gwwimd or de@dsea Wool.
Gk*m fet 08* M* b im boW or arwhwW b each pod or p w oft mshm end nWs.
dm aR mnaw* *m shM be wxhomd mft p10pSdf 6194 wmoc10tb ardwed
=webs wM a n**wrn 1IT dta x r brg andw boo wMt1 wodwxs arse ruse.
PadaVMws stW be wvho ad lDa 12*x12'xl7 f & owwrs a boferp. I
}Q�INRIMIMRURtw do It r irk af0w 60N wllb wash r8 and mos. FoGtW Shd
7 M j
ecTrjeids iA Ik1Ye bklddng at im ". f
b1 Rpao bdgw-
Cmx Mo pWa"be s mb*mm 6' above grade-
Ail1aW b be sdpportad wN+ 1l Mm and wichm. Each .loi t Woo be NXIlDred
f7C'�'FY`x s -i �r'-�'l$'Tv.ee-fir■
Y'fileal8mi `� asrf�®
UNUSTURBED SOIL
3701 -Mol
Nb' f
y� a -•.r �.f os r- q
CLIMATIC & GEOGRAPHIC DESIGN CRITERIA
_ .._ --
GRDUtU! VaNDYlEATNERa1Cf
9Etstxc -- FRD6T T NRPrTER ICID ROOD
SNDW SPEED DESIGN
( . LINE TERMITE DECAY ; DESM INiDEVI AI�NT' 1 HPANVS
�'.. ODERAY KjawT�
LOAD (MPH) CATEGORY DEPT14 TEMP R
46 LB& � 120 I . _ B 1 SEVERE 3 F . A TO
E AVY OOEIT 70 E� 11 NONE t I
�,of NEiyY
SRP ENCE GOg'f'
W
� v W
ti x
Fo e322w-1 �`t /
FESSiflN►�I
/11chS�/ cd ),/?%