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Home My WebLink About34721-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33791 Ihate: 06/19/09 THIS u~KTIFIES that the building DECK ADDITION Location of Property: 11500 MAIN BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 5 Lot 2 Su~livision FiledMap No. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20, 2009 p%hrs%~a/lt to which Building Pe~t No. 34721-Z dated MAY 28, 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. · ~ne certificate is issued to JEFFERY S HODELL (OWNER) of the aforesaid building. SUFFOLK COUlqTYDEPART~TOF~%LTHAPPRO~LaJ~ ~-I-KIC~ c~KTIFICATE NO. PLIERS U~KTIFICATION DA'r~D N/A N/A N/A Rev. 1/81 Form No. 6 For new bui~din~ or new use: 1. Final s~uv~y of prc~ with ~ l~on of ~ b~. ~ ~ s~, ~d ~ni ~ or . t~ f~. . . ~ ~nnl ~ ~ H~ ~L of~ly ~d ~~.(S-9 fo~). 3. ~w~ ofel~ ~ ~m ~ ofF~ Und~. 4. Swoms~t~pl~~~e~h~~ ~10 oflO~l~ o~ ~ ~mp!~ t~ ~t~ or ~ ~b~ ~e 6. Su~t plsnni.~ Bo~.~l of ~ ~ p~ B. For existing'buildings (prior to April 9, 1957) nOn-cOnformlng.uses, or buildings and "pre-existing" land. u~es: 1. Aoourate survey of property showing all property.lines, street~,.bllildin~ and,unusual nalaual or Wpographic features. 2. A properly completed'applicaflo~i and consent to insp0ct signed by the applicant. If a Certificate of Occupancy.is denied, ~e 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~ SWilnmin~ POOl[ $25~00~ Acc, e, ssory building. $25.00, Additions to accessory building $25.00, BusinesSeS $50.00. 2~ Certificate of Occupancy°n Pre-~tillg~Building - $I00.00 3. Cop~ of Certificate of Oc~upangy ~$.2~5ff 4.' Updated Certificate of Occupancy -' $$0.00 5= T~mporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 N~v Construction: old or Pre-existing Building: ~ (check one)' L0cationofProperty: 1~00 ~l~ ~',J I ~oxJ House No. Street - Suffolk County Tax MapNo 1.000, Section ~ ~ Block Hamlet Subdivision Permit'No. ~,4---1 2. I Health D~pt. Approvall Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~% ~ff~ c '-)(,,,,b-q ) Date of Permit. Fflod Map. Underwriters Approval: FinaJ Certificate: (check one) Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34721 Z Date MAY 28, 2009 Permission is hereby granted to: JEFFERY S HODELL 11500 MAIN BAYVIEW ROAD SOUTHOLD,NY 11971 for : AS BUILT DECK ADDITON TO EXISTING SFD PER APPROVED PLANS AS APPLIED FOR. at premises located at 11500 MAIN BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 088 Block 0005 Lot No. 002 pursuant to application dated MAY 20, 2009 and approved by the Building Inspector to expire on NOVEMBER 28, 2010. Fee $ 400.00 Authorized 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 FIELD INSPECTION REPORT I DATE I COMMENTS FOUNDATION (2ND) ROUGH F~G & pL~G ~$~ATION PER N. Y. STATE E~RGY CODE ~DITION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9S02 SoutholdTown.NorthFork. net Disapproved n/c MAY 2 0 2009 BLDG. DEPI. TOWN OF SOUTHOLO BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Pla~s Planning Board approval Septic Foma Flood Permit Building lusp~ctor APPLICATION FOR BUILDING PERMIT Date P~ Iq~k .20 oC~ 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 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 propose what so ever until the Building Inspector £ 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 fzom such date. ffon zoning amendments or other regulations affecting the property have been enacted in thc interim, the Building Inspector may authorize, in writing, thc extension of the pomut for ~ addition six months. Thereafter, a new permit shall be required. Building Zone Ordinance of the Town of Soathuld, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition ss herein described. The applicant ag~es to comply with all applicable laws, ordinances, building code, housing code, and regulat/ons, and to admit (Signature of applicant or name, ifa coq)oration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general onntractor, electrician, plumber or builder Name of owner of premises ..J E- g: g-e_~2_'-/' ~c> Dtgt.~,~ ~ (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 Liennso 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 5],5~ Block .~ Lot ;Rooo Subdivision Filed Map No. Lot 2. State existing nse and occupancy of premises and intended use and occupancy of proposed construction: a. Existingnseandoccupaney ,~l ~ ca c_E. ~ ~L.~ t4~W~ ~ b. Intended usc and occupancy. 3. Nature of work (cheek which applicable): New Building Addition Alteration Repair Removal Demolition Other Work~:~l~E,- (Description) 4. Estimated Cost q~; [Oct'3 ( tqqt43 Fee '~ (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling unlts on each floor If garage, number of cars 6. If business, commereiai or mixed occupancy, specify nature and extent of each type of nse. 7. Dimensions of existing structures, if any: Front ~q ~ Rear Sci ~ Depth HeigM 2.~ ~ Number of Stories c)~ ~ Dimensions of same structure with alterations or additions: Front Depth 4- to~ Height '2. %~ 8. Dimensions of entire new construction: Front 2'2. Height I -I" Number of Stories c,~ E 9. Sizeoflot: From I 1%t Rear l I%t '~q Rear Number of Stodes o~ ~ Rear '~. ~- .Depth .Depth 10. DateofPurehase ltol ,aq4 NameofFormerOwner 11. Zone or usc 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 v/ Will excess fill be removed from premises? YES__ NO ~ 14. NamesofOwnerofpremises 4,~ObELL. Address ~----~,-.'rw~,~-~ PhoneNo. '-/,bS-- ~qc/-~ Name of Architect Address Phone No Name of ConS'actor Address Phone No. 15 & Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO v~ * 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 elevatlon 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 ~ · 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, (S)Heisthe ~C~,a r' (Contractor, .~_aeaLc Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and ~e this application; that all statements contained in this application arc mJe 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. Notary Public ~ ..No. 01~'06190696 Signatu~ of Applicant uualified n Suffolk County , Commission Exoires July 28, 20~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET /~,_~'~) ~]) VILI.AGE DIST, SUB. LOT ~::~ORM~R'qWNER~' ~ ~' N E ACR. RES. ~ S~S. VL FARM CO~. CB. MICS. Mkt. Value ... ~ND IMP, TOTAL DATE RE~RKS ~:. / N ~ NOR~L BELOW ABOVE FARM Acre Value Per Velue Ac re Tilleble FRONTAGE ON WATER Wo~lend FRONTAGE ON ROAD Me~dowland DEPTH House Pier BULKH~D Totel DOCK COLOR M. Bldg. Extension Extension Porch Breezeway Garage Patio Total Foundation Basement ;Ext. Walls ~Fire Place rype Roof Recreation Room ,Dormer Fdt~- 3oth Floors Interior. Finish Heat Rooms 1st Floor Rooms 2nd Floor Driveway ~ D~nette K. !cR. . DR. BR. FIN. B :Town_ of_ Southold Erosion, SedEmentation & Storm-Water Run-off ASSESSMENT FORM STORM-WATEI~ GRADING~ DRAINA,GE AND EROSION CONTROL pi au C~ ~r~.[~ BY A DESIGN PROFESSIONAL IN THE STATE OF NEW ¥~- Item Number:. (NOT~: A Check Mark (~) for each Que~on is Required for a Complete Apptication) 9 W'dl this Project Retain Ail Storm-W~far Run-Off Generated by a Two (2') Inch Rainfall o~ Site? r~ (This item will include all mn-off craated by site cleadng and/or construction activities as well as all Site -- Improvements and the permanent creation of Imperious surfaces.) Oo~s the Site Plan and/or Survey Show All Proposed Drainage S~mctures Indies[lng Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WcterFIowl Will this Project Require any Land Filling, Grading or Exosva~lon where them is a change to the Natural Existing Grade Involving mom than 200 Cubic Yards of Matedal within any Parcel? Will this Application Require Land Disturbing A~WIties Encompassing an Area in Excess of r~ Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Coume Running through the Site? . r'~ 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 Fifieen (15) feet of Vertical Rise to One Hundred (100') of Hodzontsl Distance? [~j -- Will Driveways, Parking Areas or other Impervious Surfaces be S/spell to Direct Storm-Water Run~)ff r~ into and/or in the direction of a Town right-of-way? ~ -- W,I this Project Require the Placement of Material; Removal of Vegetation and/or the Construction of any Item W th n 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 F oodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark in the Bex, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submiffed for Review Prior to Issuance of Any Building Permlti EXEMPTION.' Ye~s N_.9.o Does Ihis 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 Requlredl -- -- STATE OF NEW YORK, ~ ,-~ ......... ss ~t I ...~..~.~..~~.... be~ duly sworn, de~ses ~d sa~ ~t h~she is fl~e app~t for Penni~ (Name ~ InflMdual s~nl~ D~men~) ~d ~at he/she is ~e .......................................... ~;~~;~;;.;~;;]~;~~ Owner ~or repr~en~five of ~e Owner of O~er's, ~d is duly au~ohzed to perfomi or have pe~ormed ~e s~d wo~ ~d to ~e ~d file ~is ~pplica~on; ~t ~1 smtemen~ con.ned in ~is ~ppli~on are ~e to ~e b~t of his ~owled~e ~d ~lief; ~d · at ~e work will be performed in ~e m~ner set ro~ in ~e application filed here~. Sworn to before me ~is; . ~ .~ VICKI~ j ~ ~ Qualifi~ in S~01k ~un~ ~ ~ (sig..~u,~ o~i~t) O~mmi~inn F~pi~ J,~,] 98, ?~ I~/ ~ FORM - 06/07 J IIS As-built deck DATE: SP ~ , ,~ie Pla~--- xJS~T q" :7: , L/' ~i F~7~NT ;'b:: ,~02,, ,S~<', ~':C' 4~;;:~ FO~ THE ....... ~, u~ T'VO REQUIRED RETAIN STORM wATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. FOR POURED CONCRETE ?. ROUGH - FRAMING & PLUMBING ]. INSULATION 4. FINAL - CONSTSUCTION MUST BE COMPLETE ~OR ,C..O. ALL CONSTR L~: S~L=~TH E REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Scale: 1/4in = lfl Notes Date of construction: 1994 approx Foundation: 8in dia 4ft Sona-tubes and cement Columns: 4in x 4in Doug Fir grade 2 or equivalent Girders: 2in x 8in Douglas Fir grade 2 or equivalent Joists: 2in x 8in Douglas Fir grade 2 or equivalent Floor boards 2in x 6in STK Cedar Joist to girder joint: Teco's used throughout Column to Girder joint: - . Floor fasteners: SS Nails Design Conditions Live Load 40psf Dead load 10psf Snow load 20psf Engineering design In accordance with accepted engineering practice and the NYS Residential code 2007 Floor Area House incl garage 1850 sq ft Pre-existing deck Total Fees Deck addition $200.00 Pre-existing fee $200.00 Total $400.00 352 sq fl (less than 500sq ft) 2202 sq ft ROB Robert 0 Barratt ~essiond En~neer 4295 Vanston Rd Cut~ogue NY 11935 Phone 631 875 0275 Fax 631 734 2730 11500 Main Bayview Road, SOUTHOLD, NY 11971 Jeffery Hodell, Owner As-built deck permit application These plans are an instrument of the service and are the property of the design professional whose seal is affLxed hereto. Infringements will be prosecuted to the fullest extent of the law. Contractor shall verify all field conditions and dimensions and be solely responsible for field fit. The design professional assumes no liability for omissions due to unknown or unforeseen field conditions and or additions based upon comments not formally acknowledged as revisions to these plans. REV NO DRAWN BY CHECKED SCALE