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Home My WebLink About33984-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33722 Rte: 05/19/09 THIS U~a(TIFIES that the building DECK ADDITION Location of Property: 1050 SOUTH HARBOR RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 75 Block 3 Lot 14 Subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 2008 pursuant to which Building Permit No. 33984-Z dated JUNE 16, 2008 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. The certificate is issued to RONALD B SHELTON (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPARTMENTOFHEALTHAPPRO~rAL ELEC~i-KiCAL CERTIFICATE NO. PLUMBERS c~TIFICATION DA'£~D N/A N/A ized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN( This application must be filled in by typewriter or ink and submitted to the Building Depart A. For new building or new use: 1 Final survey of proport~ with accurate location of all buildings, property Fmcs, streets, and unusual natural or topographic featums~ Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system Contains less than 2/10 of 1% lead. $. Commercial building, industrial building, multiple ~sidences and similar buildings and installations, a certificate of Code Compliance froTM architect or engineer responsible for the building. 6. Submit Planning Boar~ Approval of completed site plan requircmems. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streetS, building and~unusual antural or topographic features. 2. A properly completed application and consent to ~t signed by th~ applicant. If a Cc~ificate 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 Prc-e[isting Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. Old or Prc-existing Building: X/ (check one) 8~t Hmlet House No. Owner or Owners of Property: ~'&oe,.kA Suffolk County Tax Map No 1000, Section Block 03 Lot Olq Subdivision Permit No. Filed Map. Lot: DateofPermit. (~-lh,-o% Applicant: ~t~x~ ~ ~\'~o~ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ Final Certificate: (check one) Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33984 Z Date JUNE 16, 2008 Permission is hereby granted to: RONALD SHELTON 1050 SOUTH HARBOR RD SOUTHOLD,NY 11971 for : DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 075 pursuant to application dated JUNE Building Inspector to expire on DECEMBER 1050 SOUTH HARBOR RD SOUTH/PEC Block 0003 Lot No. 014 5, 2008 and approved by the 16, 2009. Fee $ 200.00 { Auth6'ri~ed Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION ,~ FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FO/~IDATION 1ST [ ] ROUGH PLBG. ]~UNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS:~ /,.~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 ,NoSPECTION N 1ST [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION [ ] FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: DATE INSPECTOR TOWN OF SO ILDING DEPT. 765-1802 / NSPECTION [I/] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ "~ DATE INSPECTOR ECTIONREPORT iI DATE I COM]VfENTS FOD-NI)ATION (1ST) FOISXlDATION (2ND) ROUGH FRAMING & ['qSLrLATION PER N. Y. STATE ENERGY CODE ADDITIONAL CO/VlMlgNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ t t9 Examined Approved (* 1 ~, 20 Disapproved a/c Expiration 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 Date ~ O~ INSTRUCTIONS ,20 o& a. This application MUST be completely 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 within 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 now pemfit 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. State whether applicant is~wn~;~ lessee, Name of owner of premises (Signature of applicant or name. ifa corporation) ' AP'C, rZ£ N.Y (Mailing address of applicant) agent, architect, engineer, general contractor, electrician, plumber or builder (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. 1. Location of land on which proposed work will be done: House Number Street gDuTHDz.D Hamlet County Tax Map No. 1000 Subdivision (Name) Section /~,r] ~' Block Filed Map No. Lot Z~9/~/ Lot State existing use and occupancy of premises and intended use and occupancy of proposed construcl~ion: a. Existing use and occupancy ~>&~!/~:,k] 7"' b. Intended use and occupancy ~'~ ! f')~A/~- 3. Nature ofw/0rk (check which applicable): New Building Repair V/ Removal Demolition 4. 5. Estimated Cost If dwelling, number of dwelling units If garage, number of cars Addition Alteration, Other Workk C / /VEl,/ "~::5 (Description')' Fee (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 ~'~'0 ~ t Rear Depth Height ~', ~ ~ Number of Stories 2. Dimensions of same structure with alterations or additions: Front Depth fd~ / Height Number of Stories 8. Dimensions of entire new construction: Front ~41;, ~ ' Rear ~¢~/. ~ Depth Height 1/~, ~; Number of Stories / 9. Size of lot: Front /t~gt~-/-fi/ / Rear ///~,o ,~'?~,d / Depth ~gq, ~7 / 10. Date of Purchase ~"'~*q ~.9 Name of Former Owner Rear 11. Zone or use district in which premises are situated d~5--..ff//-'~'-"~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO J 13. Will lot be re-graded? YES NO JWill excess fill be removed from premises? YES NO 14. Names of Owner of premises~9A/ Ow/{/~'L'/"~ddres~},O~~'~¢/7./~.'~. Ph/o~e~. o. Name of Architect ~'~L.~'~'A[ cY/q/.//'~/r~ Address/...~I/,,q/-Z'.5',r'z~,O'~.D Pho~..19 Name of Contractor Address ~'6/~"~/-/~9~6,'~' Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO6~ * 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 I0 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY O~/-J,2~t~d~}/<= ~:>l:9,]q'~Z~> ~. 3~/~'-~]'-LO ]~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (~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 ~- ~ day of x.//ff/(~'-'' 20 (9 ~Y Notary Public Signature of Applicant SCTM # OWNER LAND IMP. ooo Zq0 0 TOWN OF SOUTHOLD PROPERTY RECORD CARD ACR. 4 ~) TYPE OF BLD. PROP. CLASS TOTAL DATE REMARKS ~ ~/, ~/~ -L FRONTAGE ON WATER BULKHEAD SUB. LOT HOUSE/LOT TOTAL COLOR TRIM 1 st 2nd -PC CB M Bldg, Foundation OTHER Bath Dinette Extension Basement CRAWL PARTU~L Floors Kit. Extension Finished B. Interior Finish L.R. Extension Fire Place Heat D.R Garage Ext. Walls BR. Porch Dormer Baths Deck/Patio Faro. Rm. Pool Foyer A.C. Laundry Library/ O.B. Study Dock Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCAT{ON: S.C.T.M. #: District Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION 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) Yes No 1 2 3 4 5 6 7 8 9 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (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 impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! 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 Matedal within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course 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 Ver[ical 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 right-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 Read 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 Watercourse? r-21 NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building PermiB EXEMPTION: Ye_._~s N.__~o Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl ~ -- STATE OF NEYV YORK, (Name of individual signing D~ment) CONNIE D. ~NCH Owner ~nd/or mprc~cn~Uv~ o~ dm Owner ~ Own~r s, ~d ~s d~ly a~dmn~d lo pcrfix'm or h~v~ p~fforn~d d~c s~d wor~ ~d to m~e ~d file this application; ~at ~1 statements contained in fids application arc mm to the best offs b~owledge ~d belief; ~d · at ~e work will be performed in ~e manner set for~ in ~e application flied herewith. Sxvorn to before me fids; ............. E.~ ..................... day of .......,J...O..~...~... ..................... Notary Public: t',/'-d (Sfgnature of Applicant) FORM - 06/07 N 79'35'50"E 209.40' DESCRIBED PROPERTY SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: RONALD B. SHELTON OENERAL NOTES CONSTRUCTION NOTES: FOUNDATION klOTr...S: FRAMING NOTES i. Urdm~ og..mva~e no{ed, d maf~ m~d '~ell, I~ Im~e m m~nlmem TI2' ~?~. ~4~__Y Fir WIND FRAMING NOTES )~ RIBGE-TO'RAFTER A~EMBLY: NAILING SCHEDULE ROOF FRAMING: WALL FRAMING: PLAN :GNTENTS: OCCUPANCY CLASSIFICATION R3 RESIDENTIAL BUILDING USE DWELLING ~UiLDIN G HEIGHT r0TAL SO, FT, OF CONSTHUCTION PRESCRIP'R'~E AS pER N.Y.S. RESIDENTIAL CONSTRUCTION COC,E ANO DESIGN CRITERIA 1995 SaC HIGH WIND EDITION, WOOD FRAME CONSTRUCTION MANUAL FRAMING ELEMENTS AS PER FLOOR PLANS. CROSS SECTION AND GENERAL NOTES EXT. BALCONIES 60 BECKS 40 ATTICS w/o STORAGE 10 ATTICS w/ STORAGE 20 DESIGN LOA0 CALCULATIONS ROOF (GROUND SNOW LOAD) 45 (LDzD I.OADS PSF) ROOMS (OTHER THAN SLEEPING) 40 ROOMS (SLEEPING) 30 STAIRS 40 GAUEDRA~LS {'ANY DIRECTION) 200 EXTIOSU RE CATAGORY -- LOAD PATH SEE CONSTHUCTION ANDWIND PATH CONNECTION (ROOF FOUNDATION) [)~TAIL PA(:'E & GENERAL NOTE PAGE NAiUNG SCHEDULE SEE GENERAL NOTE PAGE EGRESS SEE FLOOR PLANS AND WINDOW SCHEDULE FIRE PROTECTION ~;M'1 (SMOKE ~ CO2 DETECTORS~ SEE CLOOR PLANS TRUSS DESIGN N/A - STANDARD STICK FRAME CONSTRUCTION ENERGY CALCULATIONS RE,CHECK 3.5 RELEASE I ___ CLIMATIC & GEOGRAPHIC DESIGN CRITERIA 9), CA3H~/~fR~L CEILING ~,Sg~B411LY: , _=_ ............ ~ I ~=,~,~m a'el~e~ ~m~=~..~...,".~-'~, I ROOF SHEATHING REQUIREMENTS FOR WIND LOADS: DECK AND COVERED PORCH NOTES: I 4,~=,~==E=,~ I.~=~o.c.I , ~Nee O.C. EAcH TO~ PE~ TO~ -~*ND,~TO: ~.IedOOMMON FOOT S~NOI~:I ~'T'RUCT~JRAL PANEL ~:[ WFDM. ~c CEILING SHEATHING: NNL ' NAIL N WALL SHEATHING: FLOOR SHE) THING: PLUMBING NOTES ~ If ~WJistudm. pl~ or ~ am c~t aut dufeg Ir~tM~mff~l fm any ,PNn'~, _ .rM~. ,~wrk* HVAC SYSTEM NOTES NOTE~S WALL SHEATHING REQUIREMENTS FOR WIND LOADS: NOTES T.~S..O~S ~ ONL;"rO., .E~'~o'ro ~ .~mo.= IN ~.~u~ ~0VED AS NOTED 2).T~ t2 ~ o,~ .~ ~ ~ ~ ~ ~ ~ Y:~ G~.~r~m~l~l~~ BUILDING DEPARTMENT AT ~ m~~ TO 4PM FOR THE ~ Fm~.~ ~ FOLLOWING INSPECTIONS: OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQLrlRE?:ENTS OF THE CODE8 OF NEW r ORK STATE. 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE, ELECTRICAL NOTES. DECK ,& PORCH .CONSTRUCTION RAFTE~ RIDGE GIRDER TYPICAL R~DGE, GIRDER/HEADER POST/COLUMN LEDGE RAFTER 'fO RAFIER $1T4'ApPING GIRDER/HEADER TO POST/COLUMN CONNECTION POST/COLL GIRDER/HEADER TO POST/COLUMN CONNECTION GIRDER CONCRETE 12"x12"x12" GIRDER TO CONCRETE PIER CONNECTION DETAILS ~ rW, JND LOAD :PATti RAFTER HEADER R,AFT~R ,,TO ~I_.L. ~ONN~c-,2qON ALTERNATIVE RAFTER TO POST RIM/DECK POST TO DECK/PORCH OONNECTION GIRDER POST CONNEQTION, DETAILS, , ,, HEADER CONNECTION STAIR TR,EA~~ R,M STRINGER TO DECK/PORCH CONNECTION JOI.~ GIRDER/HEADER GIRDER/HEADER TO POST/COLUMN CONNECTION POSTT~ CONCRETE FO0 POST TO FOOTING CONNECTION ¢OIST TO GIRDER/HEADER CONNECTION JOIST FRAMING FLUSH WITH GIRDER/HEADER WIND ;TANT CONSTRU,CTI,ON CON-NE~ CONNECTION LOCATION PART NUMBER. 4x4 POST TO FOOTING ANCHOR PAU44 OR WE,~4 PAU¢4: USE w,:/ ~IIN. '~/2~ DIA. 6x6 POST TO FOOliNG 'AI~CHOR pAUC§, OR WE66 PAU~6: USE w,/MIN; ~72~ DIA; x,7" ANCH~ 4x4 POST TO GIRDER/HEADER PBS~? / PBSE44 /KC4~ LI~E ONE ~'YI~E F~R EACH 6x6 POSt TO GIRDER/HEADER PBS66 / PBSE66 /KC66 USE ONE"TYPE FOR EACH POST POST/COLUMN TO GIRDER/HEADER LSTA12 OR'LSTA24 Lr~£ ('~ FOR EACH POST/COI.I~M s~AiE Smt~GER ,CONNEc~iON' ' TMU2S OR MPA~ . USE ON [ACH sTRING[R . . RAFTER/JOIST TO HEADER TYDOWN RTl5 gEE F~R g~H RAFTER TO L£QgER BOARD TMU26 OR MPA1 [~SE ON EACH RAFTER. MPA~ ,USE ONLY I/~HERE TI~U26 CAN NOT BE: USE ]HE FOLLO~NG OR t ~NB RESISTANT CON$~UC~ION, FOLLOW MANUFAC~URE'S RECOM[NDED j~iSTN~LA~ION INS~iU(~R~N$. TO A~HIEV~ MA~IMU'M UPUFT LOAD CAPACITY. NAILING SCHEDULE PORCH NOTES: :j CLIMATIC &GEOGRAPHIC DESIGN CRITERIA J ___~_~,.~'.~--~.~ t Eileen 5ant;_o?_ · Reeident, ial Deeigner ~51-7~4-"-~'2'794 · Cu~hog ue, ~NY Elteen 5aflt, ora· F.,eei&ent, ial DeeNjner 63~t-754,2794-. Cu~hoeue. rNy 1725 Hobart, Road. 13outho d, NY 11971 't f