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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