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HomeMy WebLinkAbout34020-ZFORM NO. 4 TOW/q OF SOUTHOLD BUILDING DEPARTP~NT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33779 Date: 06/17/09 THIS C~U~TIFIES that the building DECK Location of Property: 2580 DUCK POND RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 83 Block 2 Subdivision Filed Map No. Lot No. CUTCHOGUE (HAMLET) Lot 19.13 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 20, 2008 pursuant to which Building Pe~quit No. 34020-Z dated JUNE 27, 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 VINCENT C & ANNE D ALEXANDER ( OWNER ) of the aforesaid building. SUFFOLK COUNTYDBPARTMENTOFHEALTHAPPROVAL R~t-£~ICAL C~KTIFICATENO. PLIERS u~KTIFICATION DA'i'~U N/A Rev. 1/81 . Ferm Ho. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTI]rICATE OF OCCUP~ JUN, 1 2 2OO9 BLDG. DEPT. TOWN OF $OUTNOLO This. application must be filled in by typevniter or ink and submitted to thc BuiMing Deparlment with the following: For new building or'new use: 1. Final m~rvey Of property with accurate location of all buildh~gs, propet~ line~; stree~ and unusual natural or 2. Final Approval fi'om Health DepL ofwatersupplyand ~eavemge4iS~sal (S-9 form). 3. Approval of electrical i~mtallation from Board of Fire Undorwrite~. 4. Sworn statement from plumber eerfifyi~ that the ~older u~d in ~tstem cont~in~ less than 2/10 of ] ~ 1~ 5. Commercial building, industrial building.multiple t~sideoce~ and similar buildings and ~lafio~,a ~fi~ of Code Compliance from amhitect or engim~r res~nsible for the building. 6. 8ubmit pJ~nning Board Approval of completed.site plan requirem~ts: B. For existing buildings (prior to April 9, 1957) n0n-eonform]ng .us~, or buildings and "pre=existing' landu~es: 1. Accurate survey of property showing all property line~, stn.'et~, buili:Ling and.unusual natural or topographic features. 2. A properly completed appticatioR and conaont to impcct signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reason~ therefor in writing t~ the applicant. C. Fees L Certificate of Occupancy - New dwelling $25.00, Additions to dwelllng $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 Pre-existing Building - $100.00 3. Copy of Certificate ofOccupaney - $.25 Updated Certificate of Occupancy- $50~00 5, Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. New ConstructiOn: Old or Pre-existing Building: Location of Property: ~'$~g~ ~),r..~ /~'~ ~ House No. Street Owner or OWnemofProp~rty: [/,'rl~ttt4~ C~ -. Suffolk County Tax Map No }000, Section ,/ (check one) Block ~ Hamlet Subdivision permit No.~,~t'~0~ -~. Health D~pt. Approval: Filed Map. 'Lot: DateofPermit. ~/,)- ~/~ r Applicant: tq'/~g~) Underwriters Approval: Planning Board Approval: Request ['or: Temporary Certificate Finai CertifiCate: J (check one) Fe~ Submitted: $ / Applicant Sffgnature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEP~R~4ENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PEP, MIT NO. 34020 Z Date JITNE 27, 2008 Permission is hereby granted to: for : ANNE D. ALEX/LNDER 75 HILLCREST AVENUE M_ANHASSET,NY 11030 DECK ~DITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 2580 DUCK POND RD CUTCHOGUE County Tax Map No. 473889 Section 083 Block 0002 Lot No. 019.013 pursuant to application dated JUNE 20, 2008 and approved by the FeeSBUilding Inspector200.00to expireon DECEMBER 27, ~J1O9 ~ // COPY Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING [~x~FINAL /~ [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY [ [ ] ROUGH PLBG. [ [ ] INSULATION I ~/FINAL [ [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG.  [ ] INSULATION [ ] FINAL ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ~/~FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ REMARKS: ~_~~_~~ [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION INSPECTOR ROUG~ F~G & hNS~A--ION PER N. Y. STATE BNERGY CODE ~DI~ON~ CO~TS ~ m TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined Approved Disapproved a/c Expiration BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? rF~RMIT NO. ~ ['~ ~/~C~)''~ Check Board of Health 4 sets of Building Plans Planning Bo at~f.,oroval Survey Septic Form N.Y.S.D.E.C. Trustees ¢~,~..~, Flood Permit /' ,20 - Storm-Water Assessment Form ~/~' ~ K '~ '~~' ~ Contact: /t.~ ! ,20~. Mailto: ~ I ~hone:~/*7~/~- Bu~ng Ins e~tor ~ APPLICATION FOR BUILDING PER3~...~.~ Date ~/Z~/' 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 promises, relationship to adjoining promises 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 pan 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 Depamnent 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. ~,~~ F__. /(Signature of applicant or name, if a corporation) (Mailing 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) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. u / // Location of land on which proposed work will be done: House Number Street (~ ~ .//~ Hamlet Lot ]/c:~. ,/~ County Tax Map No. 1000 Section ~ -~ Block ~ Subdivision 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 ~,~. ~ /~.~ ~ / ¢ ,/ ~,.~c./o ~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost J ~/ '5~'q~) Fee Addition Other Work ////Alteration (Description) If dwelling, number of dwelling units If garage, number of cars (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: From ~' ) J Rear ~' 5J Depth Height / ~ Number of Stories ~',,~' ~.~ Dimensions of same structure with alterations or additions: Front -~ ~ Rear Depth , ~"'-'~ Height 8. Dimensions of entire new construction: Front Height Number of Stodes 9. Size of lot: Front /~ffJ Rear 10. Date of Purchase Name of Former Owner Number of Stories ,~' -~ Rear .Depth Depth ~ j Jr9 11. Zone or use district in which premises are situated /q ~ 12. Does proposed const~ction violate any ~,~ng law, ordinance or regulation? YES. NO v/// 13. Will lot be re-graded ? YES NO t/Will excess fill be removed from premises? YES o///NNO 14. Names of O~vner of premises ,d c,~/,*,v4-f/t~ Address Name of Architect ,'~ 7~,,¢~'.,, q- Address Name of Contractor ~ Address 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 RF/QUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO o/' * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 7~Phone No..5~/~/-~?- I ~ /-~ ~ Phone No. NO 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 tJ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY ~ ~ ~/&~ ~. ~'7',~ A/t~.~ being duly sworn, deposes and says that (s)he is the applicant (Na~ne of individual signing contract) above named, (S).e 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, / ?;~H day of Jd'~C 20 ag Barbc-~a A. ~g ,.~ Coma Ez;; ~ ~ Julv 31 ~o S~gnature of Apphcant . ~ i.~'I'OWN~ OF SOUTHOLD PROPERTY RECORD CARD /LOOO-~f? :~-~. -1% OWNER STREET ~'~._,~-,~ c~, ~,~ VILLAGE DIST. SUB. LOT R~. ~ 2 S~S. V~ ~ FARM CO~. CB. MICS. Mkt. Value t ~ IMP. TOTAL DATE R~RKS ~11~1~ FRONTAGE ON WATER ~l~d YRONTAGE ON ROAD M~ DEPTH H~ PI~ BULKH~D T~I 83-2-19.13 02/02 x~ension ~ q : ~ ( B~men~ ~ Floors xtension 2~ ~.3o ~ ~0~ Fire Place ~ Heat orch S %~ = ~ 7 , ~ ~ Pool A~ic ~eck Patio Rooms 1~ Floor ~ ~ ~ ,~ 7 ~0 Driv~y Rooms 2nd Floor 5Lff'I-OI_K c, ot~'i'"r', NY .TOI"IN C, E]'ILF~S LA,ND SURVEYOR FOUNDATION, NOTES : All footings shall bear upon undisturbed soil having an assumed bearing capacity of 4,000 p.s.f. Beating capacity of soil is to be verified by the contractor prior to placement of footings, 2. The Contractor is to verify all field conditions p~ior to beginning of construction and is to report any and all discrepancies to the Architect immediately. 3 All construction must comply with all national, state and lo'cai codes, ;atast e~litions. 4. All concrete construction must conform to the American Concrete Institute's "BUILDING CODE REQUIREMENTS FOR REINFORCED CONCRETE" ACl - 318, latest edition· 5. The ultimate compressive strength of corrcrete at 28 days will be 3,000 p.s.L 6. All post footings must have proper post anchors "Z-MAX" coated or stainless steel and be imbedded 10" (min.) into concrete footings or as per manufacturers specifications· OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY OOD ZOO_ COMPLY WiTH CHAPTER "46" FLOOD ~AMAGE pREVENTION sOUTHOLO TOWN,CODE. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE, COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND COkhD!TIONS OF ~ [ I .. SOUTHOLDTO'CZ~A ~ 8uL" , ?',*,,ti 5_ANNiNG BOARD AP ~PR0yE~D AS NOTED B.P, # NOTIFY BUILDING DEPARTMENT AT 765-1802 BAM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH · FRAMING & PLUMBING 3. INSULATION 4. EJNAL - CONSTRUCTION MUST BB COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF N~ YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. RETAIN STORM WA'I~R RUNOFF PURSUANT TO CHAPTER 238 OF THE TOWN CODE, .> HIGH WIN~ ZONE CONNECTOR SCHEDULE LOCATION I MANUFACTURER/ MODEL # i MATERIAL/FINISH PRODUCT DECK JOISTS TO SIMPSON STRONG-TIE MTS 12 ~ 16 GA METAL TINIST STRAPS DECK GIRDER J Z-MAX COATED DECK GIRDER TO j 2 - 5/$" DIA. GALV. MACHINE POST! BOLTS, NUTS & WASHERS ~ECK POST TO SIMPSON STRONG-TiE PBS 66 i 12 GA. BASE, 12 GA. STRAP, POST ..~O~NC. FOOTING i BASE, STAINLESS STEEL SST30~0 _ 015244 I: ARRET'r A' STRANG architect 1230 Traveler Street Southold N.Y. 11971 631-,765-5455 GENERAL NOTES: ELECTRICAL LI=~ND EXTERIOR WEATHERPROOF LOW.V~LTAGE RECESSED STEP LIGHT FIXTURE. FINAL QUANTITy, LOCATIONS. STYLE AND GARF:IETT A. STRANG architect 1230 Traveter Street Southold N.Y. 11971 ~631 - 765 - 5455