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HomeMy WebLinkAbout34008-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33376 Date: 11/05/08 ~{IS CERTIFIES that the building DECK D~DDITION Location of Property: 2680 LAUREL AVE (HOUSE NO.) (STREET) (HAMLET) Co~ty Tax Map No. 473889 Section 56 Block 1 I~Dt 2.19 Subdivision Filed Map No. Lot No. SOUTHOLD conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17, 2008 pursuant to which Building Permit NO. 34008 Z dated JUNE 24, 2008 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 DJDDITION TO AM EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~ne certificate is issued to JAMES V & JANE M KASPER ( OWNER ) of the aforesaid building. SUFFOLK CO[~wi"fDEP~OF h~F2%L~{~PRO%rAL N/A ELEt-rKIC~%L CERTIFIC3%~ NO. 4007020 07/25/08 PLL~4BERS CERTIFIC3%TION DASD N/A Rev. 1/81 ~,LDG. DEPT. i_ .! WNO--W--~gZ~---°L'~-'''''-J. APPLICATION FOR CERTIFICATE OF OCCUPANCY Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 topograpbic 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 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 New Construction: / Old or Pre-existing Building: Location of Property: 2~ (~0 L~Ui~Z I~T'¥'~i/~/~: House No. Street Owner or Owners of Property: ",J~t/¥1~-.5 V. JOt~Orb Suftblk County Tax Map No 1000, Section 0 ~"/o Subdivision Date. Block Filed Map. (check one) Pot .-r't4oc IVV IIq7/ / Hamlet Lot: Per,nit No. _ ~/-/0 0 g Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Sub,nitted: $ DateofPer,nit. ~,/~f/O~ Applicant:X/'/~l/T)~'o Underwriters approval: Final Certificate: (check one) v Applicant SignatUre BY THIS CERTIFICATE OF COMPLIANCE THE ~ NEW YORK BOARD OF FIRE UNDERWRITERS E BUREAU Of ELECTRICITY re I 40 FULTON STREET ~ NEW YORK, NY 10038 re CERTIFIES THAT r~ Upon the application of upon premises owned by ~ Q.C. ELECTRIC JAMES CASPER E PO BOX 518 2680 LAUREL AVE ~ LAUREL, NY 11948-0518, SOUTHOLD, NY 11971 ~ Located at 2680 LAUREL AVE SOUTHOLD, NY 11971 ~ Application Number: 4007020 Certificate Number: 4007020 ~ Block: Lot: Building Permit: BDC: Section: ~ Residential whereto the electrical system consisting of premises Described as occupancy, re electrical devices and wiring, described below, located in/on the premises at: re Basement, Porch/Deck, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted ~n accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 25th Day of Jul),, 2008. Name OTY Rathe Rating Circuits Type AdditionalCharges sub panel in basement and recpticles on deck Panels I 60 2 Wiring And Devices Receptacle I 0 GFCl Receptacle 3 0 Gen, Purpose This certificate may not be altered ~n any way and is validated only by the presence of a raised seal at the location indicated. 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. 34008 Z Date JUNE 24, 2008 Permission is hereby granted to: JAMES V & JANE M KASPER 69-54 184TH ST FRESH MEADOWS,NY 11365 for : DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 2680 LAUREL AVE SOUTHOLD County Tax Map NO. 473889 Section 056 Block 0001 Lot No. 002.019 pursuant to application dated JUNE 17, 2008 and approved by the Building Inspector to expire on DECEMBER 24, 2009. Fee $ 200.00 Authorized Signature Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [ ~]~INAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~REMARKS: · ,, ~-- ~-~ INSPECTOR ~~//~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION /~FOUNDATION 1ST [ [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION REMARKS: ] ROUGH PLBG. [ ]INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION INSPECTOR DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE FOLrNI)ATION (1ST) FOErNDATION ROUGE FP--~(I~G & PILU~VI~IN G I~SLrLATION ]PER N. 5' STATE ENERGY CODE ADDITIONAL C O/VI/V~NTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Exmnined ~['~'4' 20 ~,~' Disapproved a/c Expiration PERMIT NO. 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 ~ Cheek ,~ Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: 'Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS I7 ,20 op 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 uray 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. Eveu 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 ma)' authorize, in writing, the extension of the pennit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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. Thc 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 necessau inspections. ~ (Signature of~ applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /~4- ~ .~ '~. ~//q ~ ~-5 ~_~ 5~ ~- (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 LicenseNo. Plumbers LicenseNo. Electricians License No. Other Traders License No. Location of land on which proposed work will be done: House Number Street ~.'~& z~ 7-lAd £4~ Hamlet County T~x Map No. 1000 Section ~ Block { Lot Subdivision/~.ua~/Sa/~ ff'~?wrc> ~'~cF/a~ ~_~ Filed Map No. c"'Y~'/ Lot ~5-- 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 occupancy · 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost'~ff~?/ 5~'°U 5. If dwelling, number of dwelling traits ~3,~ff_~ If garage, number of cars Fee Addition ////Alteration Other Work ~ ~e. (Description) (To be paid on filing this application) Num~eriof 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 tP ~ Rear Height / ~ ' Number of Stories Dimensions of same structure with alterations or additions: Front ~ ff Depth fS-~? Height / ~ ' Number of Stories .Depth Rear 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size or lot: Front / 5~'~z'- Rear / %~ Depth ~ 5~5~6~'~ dTJ2~ 10. Date of Purchase Name of Former Owner 11. Zone or use disthct in which premises are situated ~ ~ S L'~ l 2. Does proposed construction violate any zoning law, ordinance or regulation? YES NO C~ 13. Will lot be re-graded? YES__ NO /Will excess fill be removed from premises? YES v///NO-- 14. Names of Owner of premises /~a 5~'~',,q- Address Name of Architect 5~ 7~/; .~ .~ ~,,, Address Name of Contractor APd7~- ~ ~ ~ ~'~r~ Address PhoneNo. 765~ ~6'~? Phone No 7 ,( 7-- ~¢ > -2>-- Phone No. 15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES__NO * IF YES, SOUTHOLD TOWN TRUSTEES & DEC. PERMITS MAY BE/REQUIRED b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, DEC. 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 l 0 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions wHh respect to th s property. * YES NO · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY ~.x/4~z ~. ~/'ff. ~-'J'7-~ -f 4.' q' being duly sworn, deposes and says that (s)he is the applicant (Na~ne of individual signing contract) above named, (S).e 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_ /Y77/ day or dJ~:: -- 206~ff NorAny PUBLIC, N~w 'Fork No mr O S Ou~od - Suffolk Coun~ Comm. Expires ,July 31, .... -. VILLAGE DIST. SUB. LOT OWNER STREET "',',' AcR. , :t¢~ RmARKS~~Q· :- PROP. CLASS , I A t ' /~-'~':'~r''~- lb ~0 ~,o~p~ -~ :o~a7:'/~ j~/ FRONTAGE ON WATER TELLABLE FRONTAGE ON ROAD ~WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL COEOR M. Bldg. (~ ~' ~ /~E~ ~ :~ ~ ~ ~ ~ Foundation -.~_..~_~ Bath Dinette Iq ~ ~ ~ ~! - Basement ~RAWL Extension ~ ~[ / ~_ s~*s Floors ~D~ Kit. Extension Ext. Walls Interior Finish L.R. / X ~ ~ ?~ Fire Place ~f ~ Heat ~l~ e'a' xtensl¢ Patio Woodstove BR. Porch Dormer ~ B~ Deck Attic Breezeway Rooms 1st Floor Garage ~/ ~ ~ ::; ~3 /.~ ~:¢ Driveway Rooms2nd Floor O.B.. Pool FOUNDATION NOTES : All footings shall bear upon undisturbed soil having an assumed bearing capacity of 4,000 p.s.f. Bearing capacity of soil ss to be verified by the contractor prior to placement of footings. The Contractor is ts verify all field conditions prior to beginning of construction and is to report any and all discrepancies to the Architect immediately. 3. All construction must comply with all national, state and local codes, latest editions, 4. All concrete construction must conform to the American Concrete Institute's "BUILDING CODE REQUIREMENTS FOR REINFORCED CONCRETE" ACI - 3t8, latest edition. 5 The ultimale compressive strength of concrete at 28 days will be 3,000 p.s.i, 6. All post footings must have proper post anchors "Z-MAX" coated or stainless steel and be imbedded 1(]" (min.} into concrete footings or as per manufacturers specifications, < OCCUPANCY OR USE IS UNLAWFUL oWITHOUT CERTIFICATE F OCCU F'AN,,'3,Y ALL CONS~ ~'i,!C, TiON SHALL MEET THE RE,,,, :?;3/lENTS OFTHE CODES OF NLW 'FORK STATE. I RETAIN STORM, WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. APPROVED AS NOTED DATE: FEE' NOTIFY~BUILDING UEPARTMENT AT 765d802 8AM TO 4PM FORTHE FOLLOWING INSPECTrONS: 1. FOUNDATION - TWO REQUIRED FOR POURED 60NORETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL OONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE OOBES OF NEW YORK STATE· NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, HI iH WIND ZONE CONNECTOR SCHEDULE LOCATION MANUFACTURER/ MODEL # MATERIAL/FINISH PRODUCT DECK JOISTS TO SIMPSON STRONG-TIE MTS 12 tll GA METAL TWIST STRAPS DECK GIRDER Z~IAX COATED DECK GIRDER TO 2 - 5la" DIA. GALV. MACHINE POST BOLTS, NUTS & WASHER~ DECK POST TO SIMPSON STRONG-TIE PBS 6; t2 GA. BASE, t2 GA. STRAP, POST GARRETT A. STRANG architect 1230 TraveLer Street Southo~d N.Y. 11971 631'- 765- 5455 0 ELECTRICAL LEGEND I GAI::II::IETT A- STRANG architect 1230 Traveler Street Southold N.Y. 11971 631 - 7t55 k 5455 GENERAL NOTES: