HomeMy WebLinkAbout34154-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33733
I~mte: 05/22/09
T~IS CERTIFIES that the building ALTERATION
Location of Property: 2595 WESTPHALIA RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~p NO. 473889 Section 114 Block 10 Lot 22
Su]~division FiledMap No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 10, 2008 pursuant to which
Building Permit No. 34154-Z dated SEPTEMBER 12, 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 BASEMENT ENTRANCE AMD BILCO DOOR ADDITION TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to JAMES R SR & SHARON L COX
( OWNER )
of the aforesaid building.
SI/FFOLK COI~Fl~f DEP~q~E/qT OF }~L~{ ~PRO~
EI~C'~RIC3%L c~KTIFIC3~ NO.
PLM~S CERTIFICATION DA'£~O
N/A
N/A
N/A
Rev. 1/81
~-~ ~ : J BUILDING. DEPARTMENT
J~ ) ..~ , TOWN HALL
~. 765-1802
BLD(] DEPI · · '
'l'o~t~ o'~ ~0tJIJ~0LO APPLI! ,ATION ]FOR CER'Jt'~ICATE OF OCCUPANCY
MAY 2 0 2009
~ applienfion must be filled in by typewriter or ink and submitted to the Building Department with the following:.
For new building or 'new use:
1. Final survey of prolxn~ with acenrato location of all buildings, property Fmcs; streets, and unusual natural or
topographic fcattues.
2. Final Approval from Henlth Dept. of water supply and sewerage-disposal (~-9 form).
3. Approval of ele~rieal installation fi'om Board of Fire Undcrwfitem.
4. Sworn statement from plumber c~ that the zoldor used in system contain.q le~ than 2/10 of 1 ~ lead.
5. Commeminl building, industrial building, multiple reaidencea and simitar buildings and installafious,, a eeffifimte
of Code Compliauee from architect or engineer respousible for the building.
6. Submit Pl~rnning Board Approval of completed site plan requix~mentz;
IL For existing'buildings (prior'to April 9, 1957) n0n-ennformlnguses, or buddings and "pre-existing" landuses:
1. Accurate sth-vey of property showing all property lines, street~, building and.unusual natural or topographic
features.
2. A properly completed application and consent to inspect 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 L 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 ac~Ssory building $25.00, Businesses $50.00.
2. Certificate of O~upancy On Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50~00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction: X Old or Pre-existing Building: (check one)
House No. ~ Street Hamlet
Suffolk County Tax Map No 1000, Section
Subdivision
I/'t Block I0 Lot ~)..
Filed Map. 'Lot:
Applicant:
Underwriters Approval:
Permit No. ,., ?Y/5~/
Health Dept. Approval:
Date of Permit.
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~/70/-~ff~_.~
Finai CertifiCate:
(check one)
Applicant'~ignature
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. 34154 Z
Date SEPTEMBER 12, 2008
Permission is hereby granted to:
JAMES R SR & SHARON L COX
PO BOX 353
MATTITUCK,NY 11952
for :
BASEMENT ENTRANCE AI~D BILCO DOORS PER SPECS AS APPLIED FOR.
at premises located at 2595 WESTPHALIA RD MATTITUCK
County Tax Map No. 473889 Section 114 Block 0010 Lot No. 022
pursuant to application dated SEPTEMBER 10, 2008 and approved by the
Building Inspector to expire on MARCH 12, 2010.
Fees 200.00
~~~el S~ure
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING ~/IlNAL
[ ]FIREPLACE & CHIMNEY [ ]\FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE -~- ~ 1 ~ ~ ~ INSPECTOR
FoIFNI)ATION (1ST)
FOUNDATION (gNP)
ROUG~ FR.kM[I/'4G &
L.NSroq~ATION PEP. N Y
STATE 'GNEgGS" CODE
DATE
ADDITIONAL COiVI/VIENTS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Disapproved a/c
Expiration
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
Surve~
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
Building Inspector
Phone:
APPLICATION FOR BUILDING PERMIT
Date ~ 0~.?_ //O":~ ,20 ~-
INSTRUCTIONS
'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 a~er 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, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
r ~> %nt o~name, ifa corporation)
~... . ~ / J(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises~a~_~ q ~r-X, ~
(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 LicenseNo.
Plumbers LicenseNo.
Electricians License No.
Other Trade's License No.
1. Location of land on which vropose_d work. will be done~
House Number Street
County Tax Map No. 1000 Section
Subdivision
Hamlet
Block ~ O Lot
Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
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
5. If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work
Fee
(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
Dimensions of entire new construction: Front
Height Number of Stories
Rear Depth
Size of lot: Front Rear Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which prmnises are situated
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 ofOwner ofpremis& ¢ ~ ~ Address ~&~q~t'-)e~P[u~ ~P%neNo.~'
Name of Architect ~ Address Phone No
Name of Contractor~7~ /'(_~,,d~ Address/D/~ ~ ~ Phone No.(~ )
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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 X~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO X.
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 NO )c
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
ss:
COUNTY OF
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
GONNI£ I).
Notary Public. State of New York
(S)He is the No. 018U6185050
(Contractor, Agent, Corporate Officer, etc.) , Qualified n Suffolk County ,
.omrr, ssion [xoires April 14, 20 / ~-
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 tree 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
] 0 ~ day of.~e?~.t,-,J~-~ 20 00°
·
Notary Public
Signature of Applicant
/~,~- u¥-?o-az TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET ~', '~ '_m VILI-AGE DIST, SUB. LOT
FORMER OWNER N~ ~.~.~ E AC~.
~ES. ~¢ S~S. V~ FARM COMM. CB. MISC. Mkt. Velue
AGE BUILDING CONDITION '
N~ NOR~L BELOW ABOVE
FARM Acre Value Per Value
'ilb~le 2
'illo~l~ 3
wompl~d FRONTAGE ON WATER
rushlond FRONTAGE ON ROAD
louse Plot DEPTH
BULKH~D
at DOCK
M. Bldg.
Extension
Extension
Extension
Porch
Breezeway
Garage
Patio
O. B.
Total
//~LOR [
[Foundation C ~ Bath / Dinette
! 3asement
Ext. Walls
Fire Place
Type Roof
Recreation Roorr
Dormer
Driveway
Floors ~_ ~', K.
Interior Finish LR.
Heat
Rooms !st Floor
Rooms 2nd Floor
.,.¢"--.¢5
~L~L, CONST ~!: ,:I kJN SHAL,
/~E£'.' ~,4E REQU,RE~¢iENTS OF EH
CODES OF NEW YORK STAT
RETAIN STORM WATER
PURSUANT TO CHAPTER
OF THE TOWN CODE,
'CCUPANCY OR
USE IS UNLAWFUL
Y!THOUT CERTIFICATE
' ' ,'u,,,UPANCY
~ COMPLY'W,~'~-
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE. ~.'~
APPRQVED AS NOTED
FEE: ~.~P~i'~J ,...~.)-~y: __..~/~ -
NOTIFY BUILDII4G :)~:::;FT:¢ENT AT
765-1802 8AM iO *-:¢ FOR THE
FOLLOWING INSPECT!~NS:
1. FOUNDATIOf4 ' T'.',O REQUIRED
FOR POUREu CO'C~E'i'E
2. ROUGH - FRAMII'J~ & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE --~'r~ C.O.
ALL CONSTRUOTION SHALL MEET THE
REQUIREMENTS OF THE OODES OF NEW
YORK STATE, NOT RESPO&N~IBLE FOR
DESIGN OR CONSTRU%'~IIT, I ERRORS.
arming The Basement Areaway
ase~nent areaways can be constructed by the foundation contractor as part of the foundation or can be supplied
prefabricated concrete casting from an authorized Bilco dealen The following is an overview for each of these
Site-B fih Areaway'
Site-built areaways can be constructed at the same time as
the house foundation utilizing the same type of footings and
construction. Site built areaways require wooden steps to also
be built on site. Step construction can be simplified by using
Bilco stair stringers.
The table shown will help you determine the size to build the
basement areaway. Select areaway location and determine height
of grade above the finished basement tlooc Find grade height in
the first column of the table shown and determine the inside
dimensions of areaway foundation, Bilco Door size (extension
if required), and Stair Stringers.
Stair Stringer Installation
Nail steel Stair Stringers to
areaway sidewalls.
66"
6T' - 74" 74"
86"
83" - 91" 95 %"
92" - 99" 104"
35" - 41" 43"
52" - 58" 60"
59" - 66" 68"
76"
75" - 82" 84"
923/4"
101'
l're-Fabric~,?4~ Area?ay
PermEntr - The Complete B ement
Available through a ne~ork of specially trained and authorized dealers, the PermEnt~ basement
access system consists of a precast concrete smi~ell topped with a Bilco Basement Door~elivered
and installed on-site in just a few hours.
Available in seven standard configurations, the durable PermEntry access system includes the
to[lowing features:
· Bilco Basement Door · Watertight areaway foundation seal
- One piece precast concrete areaway construction · Professional insmfiation by an
- Concrete thoroughly vibrated for maximum densi~ authorized dealer
Door Sizing FOO~NG P~ CASING ~
TO GRADE HEIG~ LENGTH
Cut wooden treads to
required length and slide
them into s~inger sbts.
DOOR (D)
WIDTH HEIGHT
511/z'' 52"
511/z-
55'~'' 22"
551,~,,
55~,~'' 22"
58" 22"
58" 22"
the spaces prowded a~d
Width Length Height
W1~4": L1~2" =
H1 =
V¢2 = L2 =
-- ---- Length with Extension Panel
Width Length ~xt 6" ExI 12" E×! 18" Ext 24': HeJ§ht
47" 58" X X X X 30"
51" 64" X X X X 22"
55''(~ 72" ¢8" 84" 90" 96" ~) 19-1/2"
51" 43-1/4" )~ X X X 52"
For additional
Size SI .
/ °n'darien plates can be used to reduce lhe inside width of areaways wider than 55,.
; v,,o o~ more exlensions can be mouded together for ar eaway lengths greater than 96"
eyed kook kil; Enjoy g~e convenience of IocMng and unlocking your Bitco basemenl door from the oddde. Install a Bilco keyed ent~ lock and save
,' ~nside The BJlco keyed enhy loci( is designed for inslallalion in less lhan 30 minutes.
h~tJrldatJol] Plates: Bilco Foundalion t~lales
Model Length Widlll Heighl
FP5 84" 5" %3/4"
FP8 84" 8" 1-3/4"
FP11 84" 11" 1-3/4"
Stair Stringers: Bilco slair slringers ale an economical way to add a staircase to any
oxislin9 basemenl aleaway, Constructed of 14-gauge galvanized sled, they will give you the
same lading service as youl Bilco Dooh Installation is easy, simply nail tile stringers lo the
areaway sidewalls, cut wood treads to required lenglh
(wood nol supplied wilh striagers), and slip them into
place To delermine 1he Stair Stringers required, mea-
sure the height of grade above the finished basement
flool (H) and Lenglh (L) of your areaway opeaing, Soled
the pi ope( Stair Stingers from the table below.
L
tq Selecl must be at lead # of
Slat(Stringer runofslairstringers) treads
32"-39" SL 34-5/8" 4
48"-55" O 51-3/8" 6
56"-64" B 59-3/4" 7
65"-72" C 68-1/8" 8
Nolo: Size E Stair Stringer Extensions are available
increase the stringe~ length by 3-treads.
For additional information
ask for Bilco N-150
brochure or contact Bilco.
' ~ ~' The Bilco Company, P.O. Box 1203, New Haven, CT 06505
etter Zivit g asements® Phone:(203)g34-6363 Fax:(203)9314365
Websile: ~.bilco.com