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HomeMy WebLinkAbout34616-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33665 Rte: 04/21/09 THIS t~KTIFIES that the building ADDITION Location of Property: 6305 HORTON LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 54 Block 7 Subdivision Filed Map No. Lot No. SOUTHOLD ( HAMLET ) Lot 18.8 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15, 2009 pursuant to which Building PeI~nit No. 34616-Z dated APRIL 17, 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHRISTOPHER A & HEIDEMARIE GRATTAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF }~LTH APPROVAL ELRt-rKICAL C~KTIFICATH NO. PLUMBERS CERTIFICATION DA'r~u N/A N/A Rev. 1/81 ROBERTO'BRIEN RE. CONSULTINr~ £N$1NEERIN~ S£RVI~ES 2074 MAIN ROAD. P.O. BOX 456. LAUREL. NY 11948 631-298-5252 April 17, 2009 APR 2 0 2009 BLDG. DEPT. TOWN OF SOUTHOLO Town of Southold Building Department As-built Deck Alterations at 6305 Horton's Lane Southold, NY 11971 To Whom It May Concern: I hereby certify that the concrete footing piers for the deck and stair at the above- captioned property have been constructed in full compliance with the New York State Building Code requirements. Very truly yours, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~SULATION [ ] FRAMING/STRAPPING [t,~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~--~ ~-- ~- INSPECTOR FIELD INSPECTION KEPORT t DAT~ COM~iENTS FO~DATION (lS~ ~ ~ ROUGHF~G& ~~ PL~G ~S~ATION PER N.Y. ~ STATE ENERGY CODE ~DITION~ CO~ENTS ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c 20. ~} ,20 Expiration Iolt 7 , 20/O 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. Trustees Contact: Mail to: Phone: Building Inspector  ICATION FOR BUILDING PERMIT Date Ull~ / INSTRUCTIONS sets of pla .'his apph'~. ~,~,. _ .o scale. Fee acl:o?dllnedg itu }cYhtZuel~.riter or in ink and submitted to the Building h~spector with4 b. Plot plan showing location o'f 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 within 12 months alSer 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, h°US~dmit authorized inspectors on premises and in building for necessary inspections. ~-- (Sign'-amrcW~pplicant or name, if a corporation) (Mail~g address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Plumbers License No. ElectriciansLicenseNo. 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 (Name) Han~letr Block 7 ., Lot 1o~.0~ Filed Map No. :.. , , Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed constmc, tion: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ..2 ~-.o 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work ~z~ (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. 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 Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front /a"~', ~' ? Rear /a""?. L ~ Depth 10. Date of Purchase ;/~5/e'/ Name of Former Owner ~, ~,,.r- ~ ~'.a.~J~,~z.4' 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES__ NO Rill excess fill be removed from premises? YES NO 14. Names ofQwoer Qf premises Address Phone No. Name of~-~it¢ct' /2o.~,~/'t--~ e.~'&z,~.~ ~'-~'. Address .~o ~¢ .~.~,...-.~o.~, Phone No Name of Contractor Address Z.,~.~,.~,. ~fij,. /'~'Phone 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 of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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 ) ~off~'/-/' ~ ' D'?///fl'.~ ~? /~". being duly sworn, deposes and says that (s)he is the applicant (Name of individual sighting 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 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 [~'~ dayof ~ 20 o*i Notary Public ANNA OARLINO Not~ry Public, State of New Yolk No, 01CA6018746 Corn ' Qualified in Suffolk County rmssion Expires January 19, 20 ~ L. _::~ ~ignature of Applicant Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: ~,C.T.M. ~. THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMI8810N OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL pLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK, Item Number:. (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) 1 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? Yes No ':0- ~'2 3 4 5 6 7 8 9 (This item will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impewious surfaces.) Does the Site Plan and/or Survey Show All Proposed Dminage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowl Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? Will this Application Requim Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surfaca? Is there a Natural Water Coume Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Veracal Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town ~ght-of-way?. Will this Project Require the Placement of Material. Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercoume? N NOTE: If Any Answer to~Q~lYs~ons One through Nine Is Answered with a Check Mark in the Eox, a Storm-Water, Grading, Drainage & Erosion Control Plan is Reqrdmd and Must be Submlttad for Review Prior to Issuance of Any Building Permitl EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agficaltuml Project? ~ Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requlredl __ __ STATE OF NEW YORK, ~.~,~ ~ COUNTY OF ~~ ............ SS ............... ... duty sworn, ' That I,. ... deposes mad says that he/she is the applicmat for Permit, (Name of individual signing Documeat) CONNIE D. BUNCH be/ e the .................... ............................................................... ...... (Owner. Contractor. Agent, Coeporate Officer, et~) C Qualifi~ in Suffolk Ceun,~ , , 0remiss' n Ex i ', / Owner and/or representative of the Owner of Owner s, and is duly author,zed to perform or ~ave peSr~o[rm~i(~el~/~l)~i~i~9/l~ 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 herewith. Sworn to before rne this; .................. !..5..~ ........... dayo~ ........................ 20~.(~ .......... S~ nature of h FORM - 06/07 ~BROBERT O'BRIEN P.E. CONSULTING ENGINEERING SERVICE,C; 2074 MAIN ROAD. P.O. BOX 4-56, LAUREL. NY 11948 Town of Southold Building Department April 15, 2009 APR ] 6 2009 BLDG. DEPT. TOWN OF SOUTHOLD Deck Repair at 6305 Horton's Lane Southold, NY 11971 To Whom It May Concern: Please find attached a revised survey of the above-captioned property, dated 4/14/09, by John Ehlers. It shows the following changes to the original March 24, 2009 survey. The south end of the rear deck has been reduced in size so that it now con- forms to the required 50-foot front yard setback. The tool shed has also been relocated for compliance with the required rear and side yard setbacks. (Note: The shed has a gross floor area of 96 sq. ft. and does not require a Certificate of Occupancy.) Att. Very truly yours, 5U~.VE'r'ED, MARC. H 24, 2OO<:t UPDATE~, AF:~.IL 14, 200q 5UF:FOLK C. OUNTT' TAX # I000 - E~- - -/ - 18./~ ADA~ A~ ~_.,~,~ L~$A A~LP_,MAI~ SOUTH BAY A~T/~ACT, NOTES, · MONUMENT FOUND Ar'co = .51~1~ 5. F. 6~PHIC ~ALE I"= ~' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. biO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\\Compaqserver~:n-o s\09\09-112.pro SURVF'r' OF: PROF'tER'T'~' TOI"'tN: 5OUTHOLO 5,UFFOLK ~'1'~, NY .5~RVEYEO, I,,IARC, H Io, 2coq ..~UFFOLK COuN'r¥ TAX # I000 - 54 - ~ - 18.8 NOTES,~ JOHN C. E~~AND~ 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\\Compaqservcr~ros\09\09-112.pro qi "ii ~ ~.~ ~ ~1 ~/~ ....... USE IS UNLA '~ ..... 4. F;/.',.L .... ~/"~'¢" ¢'~'" ¢'*~ "" WITHOUT CERT /ALL CO~b~h. r~ ~:-t. ¢d~El THE - · TO THE BEST OF MY KNOWLEDGE, BELIEF AND PROFESSIONAL JUDGMENT, THESE PLANS ARE IN COMPLIANCE WITH THE NEW YORK STATE BUILDING CODE. ,,,,,-E f/,..-.,,,, r I [O~AWING NUMBER