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HomeMy WebLinkAbout34244-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33493 Date: 01/20/09 T~IS CERTIFIES that the building RECONSTRUCTION I~cation of Prope~¥: 34800 CR 48 PECONIC (HOUSE NO.) (STREET) (HAMLET) ColL~ty T~ap NO. 473889 Section 75 Block 1 Lot 1.1 Su~divislon Filed ~ap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 16, 2008 pursuant to which Building Permit No. 34244-Z dated OCTOBER 20, 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 RECONSTRUCTION OF AN EXISTING PORCH AS APPLIED FOR. The certificate is issued to SCOTT KRUK of the aforesaid building. (OWNER) SOFFOLK COLR~I~f DEPART~EN~ OF ~F~%Lqlq APPRO~L%L EI~ECT%~ICAL C~TIFICA~ NO. PLIghtERS CERTIFICATION DASD N/A N/A N/A Rev. 1/81 Form No. 6 TOWCq OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCI[ This application must be filled in by typewriter or ink and submitted to the Building BLDG. DEPI. )epartmexl~i01i Ao 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/I 0 of 1% lead. 5. Commemial 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. 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, street s, 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. Co New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~-~q ek~ Date of Permit. 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 $$0.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $S0.00 $. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. [/]~/(9 C~ J Old or Pre-existing Building: (check one) Cou,qb Pecc, iL Street Hamlet Health Dept. Approval: Block I Lot Filed Map. Lot: Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~z~. Final Certificate: /'-~' (check one) Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~]ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34244 Z Date OCTOBER 20, 2008 Permission is hereby granted to: SCOTT KRUK 125 ALDRICH LA LAUREL,NY 11948 for : RECONSTRUCTION OF EXISTING FRONT PORCH AS APPLIED FOR. at premises located at 34800 CR 48 County Tax Map No. 473889 Section 075 pursuant to application dated OCTOBER SOUTH/PEC Block 0001 Lot No. 001.001 16, 2008 ax/d approved by the Building Inspector to expire on APRIL /~,201~,~~ Fee $ 200.00 //~ ~~ ! / ~ ~ized'Sig~re ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34198 Z Date OCTOBER 2, 2008 Permission is hereby granted to: SCOTT KRUK 125 ALDRICH LA LAUREL,NY 11948 for : DEMOLITION OF A PORCH FLOOR AS APPLIED FOR at premises located at 34800 CR 48 County Tax Map No. 473889 Section 075 pursuant to application dated OCTOBER Building Inspector to exq~ire on APRIL SOUTH/PEC Block 0001 Lot No. 001.001 1, 2008 and approved by the 2, 2010. Fee $ 70.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c 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_ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Stom~-Water Assessment Fom~ Contact: it/ Expiration q[ D~,20 ~ ~ .... ~'""~'~ re ~xt Building Inspector ~ ~]fca-.~ - _.,,, /t ~ ~ APPLICATION FOR BUILDING PERMIT ~ Date ~C P. i 20 O E ~ ~p~ ..., ~. I INSTRUCTIONS ..... L-az-T~s~plication 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. £ 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. (Signature of applicant or name, if a corporation) ,~1 ! .....'~i~ r'ru)M e,,fi (Mailing address of applicant) ME- ~UF :' :'~ OF THE State whether applicant is owner, lessee, ag~at~a~ch~tehff./tmgj?~r~gg~..al contracto[,~el~e~ckn~i,.~, ~p~u~¢~b~er~o,,r builder Name of owner of premises ~Co/F ~rUL FEE: tZ,. BY: (As on the tax roll or lates¢~, If applic~t is a co~oration, silage of duly authorized officer F: . ,, (Name and title of corporate officer) OC ICY Builders License No. : gE I f:, i_ TAW FUL I :" ' ~ _':- CL) 2. ROUGH - FEAMi;qG & PLUMBING 3. INSULATION Plumbers License No. 4. FINAL - CONSTRUCTION MUST Electricians LicenseNo. v'/ITnuu, OERTIFICAT g![ ']']' ' , :.';::'T THE Other Trade's LicenseNo. (F OCCUPANCY '?, '. '~': ;: : r :~ ~ FOR 1. Location of land on which proposed work will be done: ~ESIGN OR CONS i i ~UO'RON ERRORS. House Number Street County Tax Map No. 1000 Section Subdivision HamlflETAIN STORM WATER RUNOFF PURSUANT TO CHAP/ER 236 Block 0 / Filed Map No. -" '[,'o~'~'~'''' State existing use and occupancy of premises and intende~use and occupancy of proposed construction: a. Existing use and occupancy ~,,ttl~/< ~L~,~,t,i~¢/ b. Intended use and occupancy ~,tqS[-e_ 3~/t~4t~ 3. Nature of work (check which applicable): New Building Repair ~ Removal Demolition X Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) (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 ,..~. ~ ' Rear Height Number of Stories Dimensions of same structure with alterations or additions: Front ,.TO. 3, . Depth 7' ~7 / Height. Number of Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Sizeoflot: Front c:Q ~-O ' Rear C/RE7 ' Depth ,.5'-t/~. c>qo° _Depth Rear i Depth ~ . 10. Date of Purchase 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 .X Will excess fill be removed from premises? YES 14. Names ofOwnerofpremises ~7:'co)t'/ }~'ru[~ Address NameofArchitect %)t~ ]'~x~k-o~/,~t' Address Name of Contractor ~/~ax~,~ k-teacuP-- Address Phone No. Phone No Phone No. __NO 7~7- ~v 5 5-0 15 a. Is this property within 100 feet eta tidal wetland or a freshwater wetland? *YES __NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BI~_,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. 18. Are there any covenants and restrictions with respect to this property? * YES __ NO-~z' · iF YES, PROVIDE A COPY. STATE OF NEW YORK) ss: COUNTY OF ) /K.]c4~q/~ ~ /,~/X2/~/r being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH (S)He is the /'~ 5&t't- / Notap] Pub ic, Sta~_ o~ New Yo~ ~'(~ontractor, Agent, Corporate Officer, etc.) Quai[~[~YS~l~ k.Oolll~_ ~-x Commission Expires Apn114, zo.J.~ of said owner or owners, and is duly authorized to pertbrm or have performed the said work and to make and file this application; that all statements contained in this application are tree 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 ffaf" day of Notary Public, % Sign~!'~.~e of Appli~nt TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION ~FINAL ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE FltiLD IiNSPECTION REPORT FOUNDATION (1ST) FO[ 7NDATION (2ND) ROUGH Fi~.~¥1J~G & PLI~EBENG iNSLq~ATION PER N. Y. STATE ENERGY CODE DATE COlVlIVlENTS FINAL ADDITIONAL COM]VIENTS . ,To wn of Southold Erosion, Sedimentation & Storm.Water Run-off ASSESSMFNT FORM PROPERTY LO C~TIO N: S.C,T,M, #: 2 3 4 5 6 7 8 9 /'~¢'~ 70 O/ /./ (NOTE: A Check Mark (~) for each Queslion is Required for a Complete Application) Will (h{s Project Relain All Storm~Wa(er Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site Does the Si{e Plan and/or Survey Show All Proposed Drainage Structures Indicaling Size & Location? This Item shall include all Proposed Grade Changes and Slopes Conlrolling Surface WaterFIow! Wilt this Project Require any Land Filling, Grading or Excavation where there is a change to lhe Natural E×isling Grade Involving more than 200 Cubic Yards of Matedal within any Parcel? THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF/~ STORM-WATER~ GRADINGf DRAINAGE AND EROSION ~~ CERTIFIED BY A DESIGN FP~OFE$SIONAL IN THE STAT~. Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five 1 housand (5,000) Square Feet et Ground Sudace? Is there a Hatu~al Water Course Running through the Site? Is this Project wifiHn lbo ] rustees jurisdidion or within Oma Hundred (100') feet of a Wetland or Beach? Will glare [se Sde preparalion on Existing Grade Slopes which Exceed Fifteen (15) teat o1Vedical Rise One Hundred (100') o1 Borizontar DJslance? Wdl Dri\'e,~a~s, Parking Areas or other Impervious Sudaces be Sloped lo Direct Slocm-gv'ater Run-Oft Will this F rojecl I-(e,luire lbo PlacemerU el Malarial, Removal of Vegetalion and/or the Construction of any Itt, I~i VYithi~ file Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installatior, of Driveway Aprons.) Yes No Will thi; Projecl Require Site PIopa[afion within lhe One Hundred (100) Year Floodplaiu of ~ny Watefc©nrse? NOTE: If Any ARswel to Quesfioi~s One through Nine is Answered with a Check Mark in the Box, a S(orm*Water, Grading, Drainage & Erosion ControI Plan is Required and Must beSubmi~edforReviewPriortolssuanceofAnyBu d ng PermitI EXEMPTION: Does Ibis project meet the minimum standards for classification as an Agdcullural Project? Note: If You Answered Yes tolhis Question, aStormoWater, Gradlng, Dralnage&ErosionControiPl~nisNOTRequired! Y e~s STATE OF NEW YORK, _ ~, CONNED BUNCH Notary PuNi~,-S~lle ~f N~ ~ OWlI61' and/oF rel)resenbl~ve of die OwBer of Owller's, a~d is duly aufl~orized to perfoHn or bare performed the smd work m~d to m~e ~rt file tbis apl)licadon; d~at MI statements conmined in this applicaSon are ~e to ~e best of his ~owledge ~d beliefi a~d that tim work will be performed m tim m~ner set forfl~ in ~e application filed herewith, Sworn to before me this; I ......... a,,o .......... Nobry Public: .... f~ ............ ~ ................. FORM - 06107 S.C. T/.X ,, ARE,~ : e~ sq. fi. . F _ COb& ~iqY, SURVEY OF PROPERTY SITUATED AT PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No, 1000-75--01-1.1 SCALE I"=40' JULY 12, 2003 Nathan Taft Corwin III Land Surveyor 992 Roanoke Avenue Riverheod, New York 11901 PHONE & FAX (B~l)$B9-5473 SI<RUE KRU K PORCH EXISTING I0" dia. ~XIETING BRICK PACED POUI~D CONCP. ETE ENTRY 5TEP5 TO ~EMAIN PORCH " X 4" FIR FLOOI~,~OARD5 NOTE: RECONSTRUCT D(15T[NG POP.CH, IN LIK, E ¢ IN FJND, WITH MATERIALD TO MATCtfl OCC ~ USE IS UNLAWFUL-"' FOP. Chi LAYOUT WITHOUT CERTIFICATE -',, = i,-o,, UF O~ANCY SCALE: 4 APPFt,OVED AS NOTED 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPEOTrONS: I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CORSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUOTION ERRORS. cERTIFIOATION OF NAILING & coNNECTIONS REQUIRED. flETAIN sTOR~I wATER RtJ~O~F PURSUANT TO CHAPTER 236 OF THE TOWN CODE. ,,~El: CONSTRUCTION ~HALL M Ei,~"i', TH E R EOUiF Z~ FLO0¢. HEIGNT ~" X 4" FIP-, FLOORING _~L~2 P' × I0" ACQ RJM ~J .... "LEDGeRLOK" 5C~ ~ J G" 0,C4 ~ ~ -- PORCH SECTION ~ ~ ~ - SCALE: ~ = ~ISTING CONC~ STOOP / WiTH B~ICR FACE TO ~MAIN ~XIST~NG FOUNDATION z~d- TO ~MAIN FOOTING ¢ F~ME LAYOUT SCALE: ~": ILO'' WIND LOAD ?ATH CONNECTION AND CQNSTP.,UCTION DETAIL OP.,AWING5 GIRD~ht~ADERI ~N I-- UNPI$TURBEDLAY P~STIC Brae BI ~CTLY ON$oiL (O~6ANtC5 BIGFOOT 5YDTEMD FOOTING FORM DECK* PORCH NOTES: NAILING SCHEDULE ........... 1/2"~laXT"lon~a~hor~B~,~ll~she~an~¢ub¢ CLIMATIC ¢ GEOG~PHIC DESIGN C~ITERIA ~1~¢ ~ ¢dCOMMON '