HomeMy WebLinkAbout34479-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-33611
Date: 03/30/09
THIS c~TIFIBS that the building ADDITION
Location of Property: 1650 BOISSEAU AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 55 Block 6 Lot 20
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 3, 2009 purs%uant to which
Building Pez~t NO. 34479-Z dated 95~RCH 6, 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 HANDICAP RAMP ADDITION TO AN EXISTING ONE FAMILY DWELLING AS AppLT~D FOR
The certificate is issued to ROY C & CAROL A TAPLIN
(OWNER)
of the aforesaid building.
So~OLKCOUNTYDEPANT~ENT OF }{F2%LTHAPPRO~AL
ELectRICAL CERTIFICATE NO.
I~L~ERS C~RTIFICATION DA'r~u
N/A
N/A
N?A
Rev. 1/81
TOWN.ALL F "/ 2009
765-1802 , i ",,~,l ~.j 2'009
I
APPLICATION FOR CERTIFICATE OF OCCUPANC~
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 Apprnval 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 frqm 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 topographic
features.
2. A properly completed application and consent to iuspeet 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 &Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction:
Location of Property:
House No.
Owner or Owners of Property: ~0 ~
Suffolk County Tax Map No 1000, Section
Subdivision
Old or Pre-existing Building:
St~et
Bl~k
Permit No. i~ 1-4 q "~ t~
Health Dept. Approval:
Date of Permit.
(check one)
Planning Board Approval:
Request for: Temporary Certificate '
Fee Submitted:$ ~tt ~
Hamlet
Lot
Filed Map. Lot:
Applicant: d ~ ~ /~, i~'/' ~f--~
Underwriters Approval:
Final Certificate: ~L~ (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. 34479 Z Date M3%RCH 6, 2009
Permission is hereby granted to:
ROY C & CAROL A TAPLIN
1610 BOISSEAU AVE
SOUTHOLD,NY 11971
for :
CONSTRUCT HANDICAP RAMPTO EXISTING SFD PER PLANS AS APPLIED FOR.
at premises located at 1650 BOISSEAU AVE SOUTHOLD
County Tax Map No. 473889 Section 055 Block 0006 Lot No. 020
pursuant to application dated MARCH 3, 2009 and approved by the
Building Inspector to expire on SEPTEMBER 6, 2010.
Fee $ 200.00
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 ~ it.O, 20C,~
Approved ~ 16,n,
20Oc~
Disapproved a/c
Expiration
,20
MAR - 3 2009
BLDG.
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.
Tmstees
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
Phone:
Building Inspector ~ C~ ~(~ )
ICATION FOR BUILDING PE~IT
INSTRUCTIONS
Date ,20
ely 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.
f. Every building permit shall expire if the work authorized has not commenced witl:fin 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 heroin described. The
:PutPhlio;:znte~ ig~:;;~tOo:: orCnPlpYreWn~tihse;lla~l~Cbaubill~l~deicneas~j, ibn~eC ictnigo~~~ons, and to admit
/ (Signature of applicant or name, ifa corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent a~rchi' tect~ngineer, general contractor, electrician, plumber or builder
Nameofownerofpremises f~OI~4Z':F '~"l--~)eLIlq
(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.
Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section
Subdivision
Block (o
Filed Map No.
Hamlet
Lot ~0
Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~x.~ ,,~ve'L-
b. Intended use and occupancy ~x~'3 t~ ~4-~,+t~
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work ~A~qDIC~,P
/ (Description)
4. Estimated Cost (~/1~4~-~ draoL¥ Fee
/ ' ' ,/. ' (To be paid on filing th~s ~n)
5. If dwelling, number of dwelling units Zq/aS Number of dwelling units on each floor
If garage, number of cars
!
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front ~2~l~G, Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front '~/L¢,~ ' ;' · R~ar
Depth Height. Number of Stories
8. Dimensions of entire new construction: Front 14.[g Rear
Height Number of Stories
9. Sizeoflot: Front Rear Depth
Depth'
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated ~- ~ O
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 __
14. Names of Owner of pl'emises ~ %Pt-~ Address Phone No.
Name of Architect .,J4k~t~;_~ 'J~ tc,~.4-e,4v--~ Address Phone No
Name of Contractor Address Phone No.
NO
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet cfa tidal wetland? * YES__ NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
'A
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__
· IF YES, PROVIDE A COPY.
NO ~
STATE OF NEW YORK)
COUNTY OF.~4~S)S:
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named, CONNIE D. BUNCH
Notapj Public, State of New York
(S)He is the .... N.B. 9.1B~U$.I.~..0..50 L
(Contractor, Agent, Corporate Officer, etc.) Comm'~[~'ir~il l~*,'~01_oh
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,~/I ~
~ ?,_,~ day of ~/i'[.~._. C_:/~ 20 ~ 07
Notary Public
~ig'~'atur~ of Appelant
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING fi~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
3 ~t~-~ ,NSPECTOR__~? ~
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:
INSPECTOR
DATE
FIELD ENSPECTION REPORT I DATE [ COMMENTS
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH F~G &
PL~G
STATE ENERGY CODE
~DITION~ COMMENTS
TOWN OF SOUTHOLD I~ROPERTY RECORD CARD
OWNER
RES. ~Z/~) s~As. VL
IMP. [ TOTAL DATE
LAN D
BUILDING CONDITION
AGE
NEW
Farm
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
NORMAL
Acre
S'- ' ..~ W ' ~
-/ ! r FARM ~OMM. I IND. CB.
REMARKS /~'~-~ ~ g~
BELOW ABOVE FRONTAGE ON WATER
Value FRONTAGE ON ROAD
BULKH~D
D~K
Value Per Acre
Brushland
House Plot
Total
T_ SUB. LOT
ACRE~,GE I
, TYPE OF BUILDING ' '~ ' ·
MISC.
J Est. Mkt. Value
c~ lb'-)
?~' '~ I J Fo ndation
M. Bldg. ! ~ z~ ~r ~ '
Extension / Z K ' ~ = / ~ V ~ ( ~ ~ ~ ment ?:~, 1/ Floors
Extension Ext. Walls :~/_~ Interior Finish
Extensio. Fire Place ~ Heat
¢ K ~ : ~ ~ - / ~ ~ ~ ~ Porch Roof Type
r Porch Roo~ 1st Floor
Breezeway Patio Rooms 2nd Floor
Garage Driveway Dormer
3 Nature of work (check which applicable): New Build,ng .................. ,~dd~tlon /~ Alterahon
Repalr .................. Removal .................. Demolition .................Other Work (Describe) ...........................
4. Estimated Cost ....... x~£.¢..o.~. ......................................... Fee ....................................................................................
(to be pa~d on filing this application)
5 Jf dwelJing, number of dweJhng units ................. ~ ......... Number of dwelling umts on each floor .........................
If garage, number of cars .........................................................................................................................................
6. If bus,ness, commercial or m~xed occupancy, specify nature and extent of each type of use ........................
7 D~mensions of existing structures, if any: Front .......... (.~.c:.~. ......... Rear ........ ~/.~.~. ................. Depth ......~..9~.~ .......
Height ....... /.z-.f .......... Number of Stones ........ /. .................................................................................................
Dimensions of same structure with alterations or addmons: Front ........... ~../.?.:. ................. Rear ..... ~'~.: ........
Depth ....... ~..~...' .................. Height ....J.k .................... Number of Stones ........ ./. ....................
8 Dimensions of enttre new construction: Front ........... ./,.,,~,.~ ................. Rear ............ ./..~.,~ ......... Depth./,,,~...,f. .......
Height ....... ~..~...r...... Number of Stories ........... ,/. ..........................................................
9. Size of lot: Front ..............~...~..~. ...... Rear ..... ~2~'..~. .................... Depth . .~..~..~/. ...............
10. Date of Purchase ................. ..~'..~...U~'.. ......................... Name of Former Ow,er ....~../.'~..r..~./~...~"~?../.~../~.. ...............
i I Zone or use district in which premises are situated ...... ~.¢,FZ/~,,~..~./....-:..4~.~/:.!:.: ............................. : ...............
12 Does proposed construction violate any zomng law, ord nonce or regulahonP ../~.~ ......................................
13. Name of Owner of premises ..~'.~.~.'~ ~.~../...~....f~.c ........ Address .~/x~.~.~.~-L......~.c/~.....~..~ Phone No.
Name of Architect ...................................................Address ......................................... Phone No ............
Name of Contractor ................................................... Address ....................................... Phone No .............
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and md~cate all set-back dimensions fro
property hnes. Give street and block number or descnphon according to deed, and shaw street names and indlca
whether interior or corner lat. i,
COUNTY OF .............................. ~' ' '
................................................. bo,ng du, wor,, d ses a,d soy ,ho,
(Nome of 4nd~wdua] s~gnmg appl~cahon)
above named He is the ......................................................................................................................................................
(~ntractor, agent, co~orate officer, etc.)
of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and f~
this application; that all statements contained
tha~ the work will be performed m the manner ~t fa~h m the application fil~ therewith
Swam to be~ me this --
................... ,.,..
day o ...........................................
-.
...... ......
S~RINGER
2x6 STRINGER
2x6 S1RJNGER
4x4 TREATED WOOD POST ON
GALVANI~D POST ANCHOR ON 8'
DIAMe I bl~ 3.000 PAl CONCRETE
FOOT1NG. I'YPICAL
2x6 STRINGER
2x6 STRINGER
2x6 STRINGER
LJ.
2x6 S'I'R~NGER
Z
LLI
OCCUPAL!CY OR
.~,,- ~,~ UNL,~.:,.i/FUL
WITHOUT CERTIFICAT
OF OCCUPANCY
,.-,,, , EU:;_~i : ~TF'2NT AT
.~ '' FOR THE
~, BEQUiRED
4. r :t,L- C.~,F ~ qT!ON MUST
E~ g;~iPLET2 ~,~ C.O.
ALL ....
..,~ ..... u,~ SHALL MEET THE
REO '~_,,,~,~o~': ~ OFTHE CODESOFNEW
YOr-,~ SFATE.,,_,'~ RESPONSIBLE FOR
O~,od OR CONSTRUCTION ERRORS,
FOUNDATION
PLAN
Scale: 1/4" = 1'- O" ~
NEW CONCRETE I I~.SONRY
SIDEWALK - EXTEND TO EXISTING
ASPHALT DRIVEWAY
NEW R.ATFORM
2x6 TREATED WOOD DECKJNG
NEW HANDfCAP RAMP
2x6 TREA'fED WOOD DECKING
L
PLAN
?
VIEW
Scale: 1/4" = 1'- O"
A2
I
2 x 6 TOP RNL
2x4 SKIRT
~ 4 x 4 TREATED WOOD POST
~_ 2x4 SKIRT
~', 2x6 TREATED WOOD DECKING
~' 3ff DIN, IETER C_=N.VANIZ~ mROUGH BOLTS.
'fYPICAI AT EACH JOIST I STRINGER CONNECTION.
TYPICALRAIL SECTION
Scale: 1/2" = 1'- 0" ~'~ '~
o~.~
$1DEWAIK-EX~ENDTOEXlSTING ~ ~ ~ ----'------'~q ~-
"---~'* ELEVATION "C"
Scale: 1/4"= 1'-0" A3
EXISTING RESIDENCE TO REMAIN
2 x 6 TOP RAIL
4 x 4 TREATED WOOD POST
2 x 6 STRINGER / GIRDER
GALVANIZED POST ANCHOR
II .Jl, l
II
GRADE
GRADE
CROSS SECTION "A"
Scale: 3/8" = 1'- 0"
2-2x6 STRINGER/GIRDER-PROVIDE
3/8" DIAMETER GALVANIZED THROUGH BOLT.
TYPICAL AT EACH JOIST / STRINGER CONNECTION.
4 x 4 TREATED WOOD POST
ON GALVANIZED POST
ANCHOR
8" DIAMETER CONCRETE
FOOTING. TYPICAL
8" DIAMETER CONCRETE
FOOTING; TYPICAL
NOTE:
SEE TYPICAL RAIL SEDTION DETAIL
ON DRAWING "A-3" FOR ADDITIONAL
NOTES.
PROVIDE CONTINUOUS TREATED
WOOD BLOCKING AS REQUIRED TO
SUPPORT DECKING ABOVE
EXISTING MASONRY PORCH
TO REMAIN IN PLACE.
CROSS SECTION "B"
Scale: 3/8' = 1'- O"
A4