HomeMy WebLinkAbout33602-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33557
Date: 02/20/09
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1725 BROADWATERS RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax biap No. 473889 Section 104 Block 11 I~3t 2
Subdivision Filed Map NO. __ Lot No. __
conforms substantially to the Application for Buildin9 Permit heretofore
filed in this office dated DECEMBER 27, 2007 pursuant to which
Building Permit No. 33602-z dated DECEMBER 27, 2007
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 NONHABITABLE ACCESSORY STORAGE BUILDING AS APPLIED FOR.
The certificate is issued to THOMAS W & CONSUELO G LUDLAM
( OWNER )
of the aforesaid building.
SLIFFOLK COUIFUY DEPA~R~4ENT OF H~%L~ APPROV~%L
ELEt-rKICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'r~3
N/A
N/A
N/A
Rev. 1/81
FEB 17 2009
BLDG. DEPT.
TOWN OF $OUTHOLD
Form No. 6
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
LICATION 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 prnperty showing all property lines, streets, building and unusual natural or topographic
£eatures.
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. .,~- /7-
New Construction: ~" Old or Pre-existing Building: (check one)
Location ofProperty: ] ~.~ ~ ,}~1C 0.6~1) II./'i~ ['J;{g ff ~'.Jj ~ ~' ~ ~ ~
House No. Street
Own o Own o rop y: ?'
Suffo~ Co~ty T~ Map No 1000, SectioSq F ~ Fff~/~~ Block ~//
Subdivision , Filed Map.
Pe~it No. ~ ~Ofl Date ofPe~t. I~'~07
Health Dept. Approval:
Hamlet
Lot
Lot:
Applicant: ~7~f~]~'5 ' ~f
Unde~hte~ Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~/, ~0 ~
Final Certificate: ~ (check one)
Applicant Signature
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. 33602 Z Date DECEMBER 27, 2007
Permission is hereby granted to:
THOMAS W LUDLAM
1725 BROADWATERS RD
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF A NON-HABITABLE ACCESSORY BUILDING AS APPLIED FOR.
THIS PERMIT REPLACES 31699.
at premises located at
County Tax Map No. 473889 Section 104
pursuant to application dated DECEMBER
Building Inspector to expire on JUNE
Fee $ 108.00
1725 BROADWATERS RD CUTCBOGUE
Block 0011 Lot No. 002
27, 2007 and approved by the
27, 2009.
Rev. /8/02
ORIGINAL
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. 3~9 Z Date DECEMBER 28, 2005
Permission is hereby granted to:
THOMAS W LUDL~34
14 FIREPLACE NECK ROAD
BROOKHAVEN,NY 11719
for :
CONSTRUCTION OF A NON-HABITABLE ACCESSORY BUILDING AS APPLIED FOR
at premises located at 1725
County Tax Map No. 473889 Section 104
pursuant to application dated DECEMBER
Building Inspector to expire on JUNE
Fee $ 81.00
BROABWATERS RD
Block
28, 2005
CUTCHOGUE
0011 Lot No. 002
and approved by the
28, 2007.
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING / STRAPPING ~FINAL
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]INSULATION
~'~ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
FIREPLACE & CHIMNEY
FIRE RESISTANT CONSTRUCTION
REMARKS:
INSPECTOR
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[. ~-~-~--"'-'~ ~] FOUNDATION 2ND [ ] INSULATION
[~ [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
~.~ ~ [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
~"RE)~MARKS: ~
DATE
INSPECTOR__~· ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
~)~FOUNDATION 1ST [ ] ROUGH PLBG.
~ ~ FOUNDATION 2ND ] INSULATION
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION n ~ ~ ~
REMARKS: A !v~_ -- /.~ ~_~_ ~,_ .,_//
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
DATE
INSPECTOR
FIELD INSPECTION REPORT ] DATE I COMMENTS
'-/ ,~,,..,,.&/~o__ /
..................................... ~ ~7 ~~~
~SULATION PER N. Y,
STATE ENERGY CODE
F~
~DITION~ COMMENTS
TOWN ~)F SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
~ 4 sets of Building Plans
Planning Board approval
FAX: (631) 765-9502 ~ Survey
www. northfork.net/So thold/ PERMIT NO. ~/~ ~ r~i "'x,4 Check
'7 ~ ~ Septic Form
/ ./- N.Y.S.D.E.C.
__ J----- Mail to:
./ // ' / / ) Phone:
ACATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
., 20
a. Thi~ 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.
fi 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.
(Signat~:e of appiicant~o~' name', if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises -'7~ort4~ ~:; ~-----~ag$,4~/o /
~ (As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which provosed work will be done:
House Number Street
Hamldt
County Tax Map No. 1000 Section
Subdivision
Block /t ,, Lot
Filed Map No. Lot
(Name)
State existing use and occupancy of premises and,~ntended use and occupancy of proposed
a. Existing use and occupancy /~ ~
b. Intended use and occupancy ~,/. T', /t -FY
Nature of work (check which applicable): New Building
Repair Removal Demolition
Estimated Cost ~ ~'~ ~,, o Fee
Addition
Other Work
If dwelling, number of dwelling units
If garage, number of cars 4/~
construction:
Alteration
(Description)
(To be paid on filing this application)
/~/~'/ Number of dwelling units on
each
floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
· I
7. Dimensions of existing structures, if any: Front
Height. Number of Stories
Rear _Depth
Dimensions of same structure with alterations or additions: Front
Depth Height
8. Dimensions of entire new construction: Front ~ ¢
Height ! ~ ' Number of Stories
9. Size of lot: Front I ~/'~ Rear / ~ 7
10. Date of Purchase ,q.?. ~$ t ~o o.~ Name of Former Owner
11. Zone or use district in which premises are situated ~ ~ ~.
Number of St6'iies~
Rear
Rear ~g Depth
Depth
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 /X
14. Names of Owner ofpremises ~.g-ud)/~,~ Address C~tT'r ~te, 5,~e~ ehoneNo, rig/' 7- ?e- os'9
Name of Architect Address I Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet ora tidal wetland? * YES NO fi(
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO
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-~C~tO II, c)
'~/~0 ~ ~4 ~' Z ct d/~*~-X being duly swom, 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 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
oQO44~ dayof~c~[5~ 20
dry Public
BARBARA I. MOEBE$
Notary Public, State of New York
· No. 01M04759577
Qualified in Suffolk County
Term Expires j
Signature of~Apphcant ~
COMPLY WITH ALL CODES OF
NFW ""C ~'< STATE & TOWN CODES
AS ~r._ ~ ~ '~ ']' A~ '"') CONDITIONS OF
~~'~0~"mUSTEES
~ v.///'",,L"~'s'~
RETAIN STORM WATER RUNOFF
PURSUANT TO SECTION 4~10C
OF THE TOVa~ cODE.
APPR/0V~D AS NOTED ~%~
DATE. /~'~-'~/~'"B'P'#~g""q?..~ '
765-1802 8AM 70 ~:~M FOR THE
FOLLOWING INSPECT~ONS:
1. FOUNDATION ' TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSU~TION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.C.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTiFiCATE
CCUPANCY
OF 0
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
CERTIFICATION OF
NAILING & CONNECTIONS
REQUIRED.
UNDERWRITERS CERTIFICATE
FLOODZON~
COMPLY WITH C~APTI(:R "46" -
FLOOD DAMAGE PREVENTION
SOuTHOLD TOWN CODE.
SUP~VE¥ OF= LOT 28-/
AMENI2EO MAP A OF:
FILEI~ ALJ~UST 16, IC~22 HAP No. I~
SITblATtE: NASSAU POINT
TOINN.. ~UTHOLI~
~UFFOLK COUNT~, N'f'
SURVEYED 0~-24-0~'
UPDATE ~ TOPO ADDED 06-2~-2005
PROPOSED SHED ~ P,IALK I0-2'~-200,~
288
NASSAU POINT
N
E
SUFFOLK OOUNTT TAX #
1000-104-11-2
~'~'~ TO:
\
- _. - X ;**c_- ',
NOTES,
· I'dONUHENT FOUND
0 PIPE FOUND
ELEVATIONS P.~FEP. ENCE SUFFOLK COUN~T~ TOPO HAPS
A~.EA = 64,415 S.F. or 1.48 AC. RES TO TIE LINE
®F~APHIC SCALE I"= 50'
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.Z:\pros\03\03-219.pro
G=ENE ,,5,L NOTE,5
CONSTRUCTION NOTES:
FOUNDATION NOTES:
FRAMING NOTES
WIND FRAMING NOTES
DECK AND COVERED PORCH NOTES:
PLUMBING NOTES
HVAC SYSTEM NOTES
ELECTRICAL NOTES:
NAILING SCHEDULE
ROOF FRAMING:
NAIL NAiL NOTES
JOINT DE$CRIPTIO[~ QTY. ~PACING
WALL FRAMING:
JOINT OESCRIPTION NAIL NAIL NOTES
QTY. SPACING
TOP PLATE TO ~ - 16d COMMONPER FACE NAIL
FLOOR FRAMING:
NAIL NAIL NOTES
JOINT DESCRIPTION QTY, SPACING
JOIST TO: PER TOE
BILL, TC~ PLATE OR GIRDER 4 - 8d COMMON JOIST NAJL
BRIDGING EACH TOE
TO JOIST 2 - 8d COMMON END NAIL
BLCCKING 2 - 8d COMMON EACH TOE
TO JOIST END NAIL
BLOCKING TO; EACH TOE
~OOF SHEATI- lING:
CEILING SHEATHING:
WALL SHEATHING:
FLOOR SH~THING:
NOTES:
t=LAN CONTENT~=
CLIMATIC & GEOGRAPHIC DESIGN CRITERIA
GROUND WIND ~I~MICI. FROST '~INTER ICESHIELD
ROOF SHEATHING REQUIREMENTS FOR WIND LOADS:
NOTES
WALL SHEATHING REQUIREMENTS FOR WIND LOADS:
SHEATHING LOCATION HA~L SPACING NAIL SPACING AT INTERMEDIATE
AT PANEL EDGES SUPPORTS IN 3~IE PANEL FIELD
~NTERIOR ZONE 8d COMMON ~ 6' O.C. Sd COMMON ~ 12" O.C.
4' EDGE ZONE 8d C~MON ~ 6' O.C. 8d COMMON ~ 12" O.C. ~EE NOTES: 1, 3
SEE NOTES: I (BOTH FIELDS)
NOTE: 2 FOR PANEL FIELD
THESE NOTES ARE ONLY TO BE REFERRED TO IF MENTIONED IN SCHEDULE NOTES ONLY.
NOTE:
CONTRACTOR TO f~ROVIDE SOIL TEST TO VERIFY
EXISTING CONDITIONS. MINIMUM 3000~ CAPACITY.
WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS
II
SF-.CTi ON 'I'HF~OUG FI 'MAII':,I -DOOR
.~.%ECTIOJ'>I THI~OUGI-t .l:>O01~. OPE. I~TJ~Ca
_,IF RONT E
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