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
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/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