HomeMy WebLinkAbout34408-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33543
Date: 02/13/09
THIS CERTIFIES that the building ADDITION
Location of Property: 700 TERRY LA SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 65 Block 1 Lot 12
subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 2, 2009 pursuant to which
Building Permit No. 34408-Z dated FEBRUARy 2, 2009
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 ONE FAMILY DWELLING AS APPLIED FOR.
· 91e certificate is issued to ~L~Ry 5L~/TNING
of the aforesaid building.
(OWNER)
SDFFO~K COUNT~ DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL C~KTIFICATE NO.
X~L~ERS C~U(TIFICATION DA'r~u3
N/A
N/A
N/A
Ah°rie/dS'gnature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
76~-1802
APPLICATION FOR CERTIFICATE OF OCCUP
FEB 2 2009
BLDG. DEPT.
aNCY TOWN OF SOUTHOLD
This application must be filled in by typewriter or ink and submitted to the Building Department with tho following:
For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unnsual 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 froro plumber certifying that tho solder nsed in system contain~ less than 2/10 of 1% lead.
5. Commergial 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 Planuing Board Approval of completed site plan requiremeats.
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 nateral or topographic
features.
2. A properly completed applicatiun and a conseat to inspect signed by the applicant. If a Certificate of Occopancy
is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
Co
Fees
1. Certificate of Occupancy - New dwelling $2f00, 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 Occopancy - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property: 700
Old or Pm-existing Building:
Terry Lane
Date.
X
February 2, 2009
(check one)'/~ ~ c ~ ~
Southold
House No. Street
Hamlet
Owner or Owners of Property: Mary Mannin~
Suffolk County Tax Map No 1000, Section 65
Hap of Subdivision Property of
Subdivision Jonathan T. 0verton
Health Dcpt, Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~, 0 0
Block 1
FfledMap.. 1055
Applicant:
Underwrimm Approval:
Lot 12
Lot:P/O 4 & Lot 5
Final Certificate: X (check one)
' '/~ i~ant Signature Ma~ Manning
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. 34408 Z
Date FEBRUARY 2, 2009
Permission is hereby granted to:
MARY MANNING
PO BOX 1763
SOUTHOLD,NY 11971
for :
CONSTRUCT DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED
FOR. THIS PERMIT REPLACES 22255.
at premises located at 700
County Tax Map No. 473889 Section 065
pursuant to application dated FEBRUARY
Building Inspector to expire on AUGUST
TERRY LA SOUTHOLD
Block 0001 Lot No. 012
2, 2009 and approved by the
2, 2010.
Fee $ 75.00
A~th~rized Signature
ORIGINAL
Rev. 5/8/02
F~RM NO.~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
{THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NO 2'2'2-55 Z
Permission Is hereby granted to:
P.O. EOX 1763
SOUTBOLD, ET 1197l
to CONSTRUCT A DECK ADDITION TO EXISTING ONE FAHIL¥ DI~ELLING AS APPLIED FOR.
at premises located at.......7p.O.....T~....R~T..~..~.:....S..O..u.?/.a..O.~.D. ........................................................................
CountyTax Map No. 1000 Section ........ §..5. ............. Block .............. ! ........... Lot No .............. !.2. ............
pursuant to application dated .......... ~.~....2..5..t ................................ 19...~ ......... and approved by the
Building Inspeoto~.
Rev. 6/30/80
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG~.
[[]]:ORAUMNiND~IsOTN
[]FIREPLACE&CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONS~__O~ _ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
INSPECTOR
765-t802
BUILDING DEPT.
INSPECTION
[]FOUNDATION 1ST [ ] ROUGH PLBG.
[]FOUNDATION 2ND [ ] INSULATION
[]FRAMING ~
REMARKS: ~
DATE / ,,~-P~INSPErrO~
B
785-~.802
DEPT.
FOUNDATION
[ ] FRAMING
IST [ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
REMARKS:
INSPECTOR
FOUNDATION { 1st}
FOUNDATION ( 2nd )
2.
ROUGH FRAME &
-PLUMBING
i~SULATION PER N.
STATE ENERGY
CODE
FI~AL
ADDITIONA'L COMMENTS:
BLDG· DEPT.
TOWN OF SOUTHOLD
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
~,~SURV£Y~ . . ._.~ .......
Examined ~...~.~ ....... TEL.: 765-1802
^ppro,.ed ... ¢~ ...... .. 19~..,¢' ~'/y~? '~.
Disapprovcd o/c .......................
APPLICATION FOR BUILDING PERMIT
' INSTRUCTIONS
a. This apl~lication must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with .~
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 sti'eets
or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appli-
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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall have been granted bY the Building Inspector.
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 author/zed inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
(Marling address of applicant) ..........
State whether applican't is_~----~ lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder.
N~rneofownerofpremises .~/~.I'~.~.. ~., ~(~.. t0 ~,~(~r~ ' '
t -- (as on the ~-a'~ roll or latest deed) ....
If applicant is a corporation, signature of duly authorized officer.
; (Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No ..........................
Electrician's License No.
Other Trade's License No.
1. Location of land on wliich proposed work will be done.
' .......... ...........
'
ltouse Number
County Tax Map No. lOOOScclion; : .... ~.~'- .... Block :...(( ' · Lot.?.4 .............
Subdivision .................
(Name) Filed Map No ............... Lot ...............
2; State existiug use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing Use and occupancy
~. '.,ended use and occupanc,, ..
· 3.Nature of work (check which apPlicable): New Buildin'g .... i ..... Add't' 'J ........
~ mn .......... Alteration .....
Repair .............. Removal ............ .. Demolition .... ; ......... Other Work. ~.~.~.~..
%.o. oo., '"
4. Estimated Cost . Oe, (Description)
(to be paid on filing this application)
5. If dwelling, number of dwelling units
· If garage, number of cars ............... Number of dwelling units ou each floor .....
6. If business, commercial or mixed occupancy, spec fy naturg and extent of .....
..... r ~, eac Lty,~pe~ usc
7. Dunenmons o! exlstmg structures if any' Front ~7. t of ............. ! ......
t ............... ~ ..... ~. ........ ,~ear ... Ze'-~ ....... Depth ~
Heigh umber of Stories ............ - -.
Dimensions of shme structur,, with alterations or additions: Front .... ~ ................................
Depth. '... · ................ Rear .......
8. · .............. Height ..........
....... ,.. Number of Stories ......... '.. 2. ........
Dimensions of entire new construction: Front .............. ; ............
~eight ............... Num,,ber of Stories ...... Rear . Depth ............
9. ~izeoflot:Front ...... '7..,,,~. .......... ~.. Rearll ii~-'~i'ii~i~iii~i'~;[l~' ?,~.'f
I0. · ..
Date of Purchase .................... . ......... Name of Former Owner ............... j ..
11. Zone or u~e district in which premises are situated.
12. Does proposed construction violate any zoning law, ' ............
ordinance or regulation: ..... ' ....... ' ...................
13. Will 10t be regraded ..... ....
.... - ............... Will excess fill be removed from premises: Yes No
14. Name of Owner of premises ............... , ....Address ............ Phone No ......... :...
Name of Architect ....... . ........ · ....Address ~ i~i ~ iPhone No. . '.
Name of Contractor ...
.......................... Address ............ ; ......Phone No ........ ' .
15.' ~ this property within 300 feet o£ a tidal ~etland? *Yes ........ No ....... ' ......
· If yes,'Southold Town Trustees Permit may be required. ''
.... PLOT DIAGRAM
Locate clearly and distinctly all bulldogs, Whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
* 802 9 ~M ~ 4 PM FOR T~
~* FOU~DAT~O~ . ~O REOUIRED
FO~ POURED CONc~E .
2. ROUGH. FRAMING & PLUM~ING
4. m~L . CONSTrUCTioN
BE COMPLETE FOR C.O. MUST
ALL 'CONSTRU~iON SHALL ME~
THE REQUIREMEN~ OF THE N.~
STATE CONSTRU~oN & ENERGY
CODES. N~ RESPONsIB~ FOR
DESIGN OR C~STRU~ioN ERRORS
iTATE OF NEW YORK --I~ :~.
:ouN-ry OF ..... ¢¢. .... s.s
·
/(Name of individual signi~'~o~tract)
bore n~med.
being duly sworn, depose~ and says that he is the applicant
is the..',.... .....................
. (Contractor, agent, corporate officer, etc.) ..... ............
said Owner or owners, and is duly auttlorized to perform or have performed the said work and to make and file this
~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
ork will be performed in the manner set forth in the application filed therewith. '
~'om to before me this
................ (ay of. .... .J
'- 7/ ............. ~: ~==~.. County
I. ,J~ ' ' - ..... ..........
~ ~y 31, 19
,.~-~,~_ '~.~ ~ /'/z_TOWN OF SOUTHOLD PR'OPERTY~ RECORD~cARD¥; ~?' "'
OWNER
VILLAGE
W
DISTRICT ,SUB..~,
TYPE OF BUILDING
· ~
:. RES.
~ · LAND
IMP.
VL
TOTAL
FARM
DATE
MISC. Est. Mkt. Value
AGE BUILDING CONDITIOh
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Form Acre Value Per Acre Value FRONTAGE ON ROAD
, Tillable 1
Tillable 2
,.'Tillable 3
Woodland
Swampland
iBmshlond .
,House Plot
BULKHEAD
DOCK
Extension /~ ~ 9 ~, Basement yp Floors
Porch ~
Porch ~Roo~ 1st Flor
Breezeway Patio Rooms 2nd Flor
Garage ~0~= ff~° 50o ~o
.~ ~. OCCUPANCY OR
~ ~ USE IS UNLAWFUL
Wi,~HOUT CERTIFICATE
~" I~E OCCUPANCY
£0 39vd I~689~IZ 6§:60
Top ~i~e~9~f~B:r~,Deck
13' 8" 8' 3"
OCCUPAi'~CY OR
gS~ ~S
~¥~T~OUT
OF OCCUPANCY
Your deck is 2' 6" high
The deck is designed for a 40 PSF live load.
DECK
LIVING AREA
T
2 x 6 x 14tt Joists
16" O.C.
6 x 12 Girders /
4x8
Girders
DECK
DECK
27'5
BLDG. DEPI
TOWN OF SOUTHOLD
2 x 8 x 14ft Joists
16" O.C.