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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 @N II II II I II IJ Jl Jr, ' III LoFT D 00iP.- I1' ill¸ h (~) ' ,