HomeMy WebLinkAbout33889-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPARCY
NO: Z-33738
Date: 05/27/09
THIS CERTIFIES that the building DECK
Location of Property: 13090 SOUNDVIEW AVE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map NO. 473889 Section 54 Block 3 Lot 14.4
subdivision
Filed Map No. Lot NO. __
SOUTHOLD
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 5, 2008 pursuant to which
Building Permit NO. 33889-Z dated MAY 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to ROBERTA ROSENBERG
(OWNER)
of the aforesaid building.
SuFfOLK COUN~f DEPARTMENT OF HEALTH APPRO%~AL
BLEC-rKICAL CERTIFICATE NO.
I~LU~ERS CERTIFICATION DATED
N/A
N/A
N/A
~tho~ i n&t%lre
Rev. 1/81
Form No. 6
TO~ OF SOUTHOLD
BUILDING DEPARTMENT
APPLICATION FOR CERTIFICATE OF OCCUPANCY I/~tN.A .
This application must be filled m' by typewriter or ink and submitted to the. Building Departm~nt.[wig the following:Dtt)G. DEPt.
A. For new building or new use: I.~ fOW~ OE S0UID0tO
1. Final survey of property with aeonrate location of all buildings, property lines, stx~, and unusual natm~l or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-dispesal (5-9 form).
3. Approval of electrical installation from Board of Firo Underwriters.
4. Sworn statement from plumber c~-~dfying that the solder used in system contains less than 2/10 of I% lead.
5. Commercial building, indushial building multiple reaidone~ and similar buildings and installations, a certificate
of Code Complianea fmTM arehite~t or ongin~er responsible for the building.
6. Submit Planning Board Approval of complated site plan requirements;
For existingbuildings (prior to April 9, 1957} non-conforming uses, o? 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 inapoct signed by th~ applicant. If a Certificate of Oocupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees 1. Certificate of Oocupancy - New dwelling $25.00, Additions to dwelllng $25.00, Aheratiuns to dwelling $25.00,
Swimming pool $25.00. Accessory building $25.00, Additions to aocessory building $25.00, Businesses $50.00.
2. Certificate of Occopancy on Pre-e;~iating Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy- $50.00
5, Temporary Certificate of Oceapaney - Residential $15.00, Commercial $15.00
Old or Pre-existing Building:
House No. S~t
New Construction:
Location of Property:
Owner or Owners of Property: //P~/3 Z"~/d- 7"-/4
Suffolk County Tax Map No I000, Section ._.~¥Z Block
(check one)
Hamlet
Lot
Subdivision
Permit No. ,..~3 ~'o°
Health Dept. Approval:
Date of Permit.
Fried Map, Lot:
Applicant: /~P'-~7'-~ /~-AJ,~'~:~"
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
3
Finai Certifieate:
(chock 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. 33889 Z Date MAY 12, 2008
Permission is hereby granted to:
ROBERTA ROSENBERG
13090 SOUNDVIEW AVE
SOUTHOLD,NY 11971
for :
"AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 054
pursuant to application dated MAY
Building Inspector to expire on NOVEMBER
13090 SOUNDVIEW AVE
SOUTHOLD
Block 0003 Lot No. 014.004
5, 2008 and approved bythe
12, 2009.
Fee $ 400.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
rchitectura£ ®esigns, ®. C.
&.O. ~o;c 2192, &atchogue, .oZ. 11772
q~e~ (516) 848-8232
q~mai[.' .~4~Design&ermitsO ao£ com
May 12, 2009
Town of Southold - Town Hall
Building Department - Inspectors
53095 Main Road
Southold, NY 11971
Re:
Rosenberg Residence
13090 Soundview Avenue
Southold, N.Y. 11971
Section: 54
Block: 3
Lot: 14.4
To Whom It May Concern,
Please be advised that the construction of the Y-0" deep footings for the front wood deck at the
above referenced property has been installed in accordance with and meets or exceeds the
minimum standards of the Residential Code of New York State.
If you have any questions or concerns, please contact me at (516) 848-8232. Thank you.
Sinc~y, I
Angela Mangels, R.A., A.I.A.
Licensed Registered Architect
, TOWN OF SOUTHOLD
April 4, 2009
NOt 'T'FI t=Ot K IDt AI TIN® $ ID I®N
PO Box 420 Mattituck NY 11952
Southold Town Building Department,
This letter is in reference to an existing as built deck for Mr. Bob Cavagna
residing at 13090 Soundview Ave. Southold NY, drawn by North Fork Drafting and
Design, job #104 on 9-18-07. The drawings reflect and existing 14'-5" x 4' deck attached
to the front of the residence. It is to the best of my knowledge that the preexisting deck is
and was built as illustrated in these drawings submitted by Mr. Cavagna.
North Fork Drafting and Design does not assume any liability for any misinformation on
the plans that is not accessible or visible on site.
John Rabkevich
FO~ATIO~ (1ST)
FO~DATION (2ND)
ROUGH F~G &
PL~G
LNS~ATION PER N. Y.
STATE ENERGY CODE
TOWN OF SOUTH~)LD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork.net
PERMIT NO.
Examined ~t,¥ , 20~
Approved t)/~\)/, 20 0~
Disapproved a/c
Expiration
BUILD1NG 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
Flood Permit
Storm-Water Assessment Form
Contact:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
Mail to:
Phone:
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 thxoughout 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 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.
(Mailing address of applicant) g/9'7/
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises /~/3~a-/dT-/-~ ~(gC>~-~A/zS',~--.~F~
(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
Hamlet
County Tax Map No. 1000 Section
Subdivision
Block
Lot //¢/. Z~
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 Addition Alteration x,/'''
Repair Removal Demolition Other Work
Estimated Cost ~'TdP~, tSvt59 Fee
If dwelling, number of dwelling units
If garage, number of cars
Number of dwelling units on each floor
(Description)
(To be paid on filing this application)
///,4
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
8. Dimensions of entire new construction: Front G,q
Height ['7 ' Number of Stories
9. Size of lot: Front /~dT' Rear
Dimensions of existing structures, if any: Front G ~?c ' Rear ~ ~ '
Height. ! 7 ' Number of Stories
Dimensions of same structure with alterations or additions: Front ~f~ '
Depth ,"~0 ' Height '7 ' Number of Stories
Rear
Depth
Depth ,.~O '
Rear
Depth ~-~, '7 '
10. Date of Purchase ,~/,4~d// ,~t~vt9 Name of Former Owner Cd~/2~-~'
11. Zone or use district in which premises are situated flo~.S~-~_)~--,~/7-/,,q t_
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO V/
13. Will lot be re-graded? YES NO /Will excess fill be removed from premises? YES NO V/
14. Names of Owner of premises 2q}~d/~ fl~e~/~E4~ Address/~o?o ~u~)v/E~J Phone No. (:,ff/'
Name of Architect Address Phone No
Name of Contractor Address 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.
18. Are there any covenants and restrictions with respect to this property? * YES__
· IF YES, PROVIDE A COPY.
NO V/
STATE OF NEW YORK)
ss:
COUNTY OF
)(" ~0 ¢& C3r-c~ [~O~q~--'~ ~q-~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc0
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
day of/~ O~ _ 200~
Not ublic Lo,mine
NO. 01LA6059257
Qua fled In Suffolk CoUflN
Commi~lon Expires- May
Signature of Applicant
TOWN OF SOUTHOLD PROPERTY IIECORD CARD ~:~¢~ ------
~-,nr'tr~)'~VNER ~'C~-~ K'I~(-C~ STREET ) ~ ' VIL~GE DIST. SUB. LOT
:ORMER OW~ERC~ ~ ~ ~O~C N E~6 / ACR.
~ L~k~ ~c {~ ( S W ~ TYPE OF BUILDING
ES~)~ S~S. VL. ~ FARM CO~. CB, MICS. Mkt. V~lue
~ND IMP. TOTAL DATE REMARKS :
/ /
ul~lo~ B~S~: mm,o+ ~on _ _ _._
liable FRONTAGE ON ~A~E~
'o~lond FRONTAGE ON ROAD
eodowl~nd DEPTH
~use Plot BULKH~D
)roi
54.-3-14.4 1/08
M, Bldg!5 7'
ExtensiOn~t'~
Extensio/n~
Extension
Porch
Breezeway
Garage
Patio
O.B.
Total
/o
Foundation
Basement
Ext. Walls
Fire Place
Type Roof
Recreation Room
'Dormer
/
Bath
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
inette
DR.
3R.
FIN. B
COLOR
M. Bldg--./~r
E. /.s,~
xtenslon '
Extension
,.,.,g
~ o
~ 0
2"X8" ACC LEDGER D ~ATE:_~/~
~ LAG BOLTED TO HOUSE 0 ~ ~ :-- - o
: , ~"X6" TOP DECKING ~ ~LLOW:k~ :,~S, ~TL~NS:
I }k ACC DJ ~ 16"0C ~Z eRA~[ PO STOOP v
GRADE
~( ACC GIRDER -- I I I I~ 0
~ , '- 2)2"X6" ~ ~ FOR PC.IJRED GC'~[CRETE
% ~ ~ ii ~ ] { . ROCGH- FRAMING & PLUMBING
= '~ ~ "X4" ACC POST ~ ~ f I 4, FINAL - CONC]~qU,¢T~ON MUST
0 ,~ ~ 8,, ~ Lj LJ BE COMPLETE i:,,q C.O.
I ~¢ ¢~ IN PC PIER ALL CONSTRLLII~;: SI4ALL MEET ~E
~ ~ g~ REQUIREMENTS OF ;HE CODES OF NEW 0
' .... '-' EXISTING ELEVATION ,o~,,~,*T~.,OT~*o,~,~[,o, Z
--~ DESIGN OR CONSTRUCTION ERRORS.
~ 4'
SECTION A A
~"= ~'-o" ~ OCCUPANCY'"
~,',
~ USE IS UNLAWFUL z
WITHOUT CERYlRCATE
OF OCCUPANCY o
0
~2"x8" ACC LEB6ER Lac BOLTE~ &LLCONST~Lm'Fk'~NS~ALL
EXISTING HOUSE I ~XlST~G HOUS~ % ~
PO STOOP ~ PO STOOP ~ ~
I , ,
' 5 I .0..
I 4"'X~" ACC POSt '
~4'-5" I IN 8" PC PIER~ (2) 2"X6" ACC ~ 0
~XISTI~G DECK ~AM ~XISII~G FOU~DAIIOr~ ~A~ ~:
'~ dO~ ~:
SHEET
NOTE:
THESE ARE AS BUILT DRAWINGS
DECK WAS CONSTRUCTED
PRE HIGH WIND CODE OF 200~ ·
HOMEOWNER CONFIRMS PRE EXISTENCE
] OF1
IN -F UC;FIO MA TE I L NOTE :
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