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HomeMy WebLinkAbout33808-ZFORM NO. 4 TOWN OF SOLvTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33846 Rte: 07/23/09 T~IS ~TIFIES t~t the building PORCH ADDITION Location of Property: 645 JERNICK LA (HOUSE NO.) (STREET) County TaxMap No. 473889 Section 70 Block 3 subdivision Filed Map No. __ Lot 14 Lot No. SOUTHOLD (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 8, 2008 pursuant to which Building Permit No. 33808-Z dated APRIL 9, 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 COVERED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JAMES & MARIE KANDOR3k (OWNER) of the aforesaid building. SUF~0LK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL u~KTIFICATE NO. pLiErS c~KTIFICATION DA'r~3 N/A N/A N/A ~/'~ e/d Sing" at ure Rev. 1/81 TOWN OF 8OIJTHOLD BUILDING DEPARTMENT TOWN ltALL 765-1802 APPLICATION FOR CERTIFICATE OF O12 ri'his, application must be filled.in by typewriter or ink sad submitted to the Buil. ith For new building or'new use: 1.. Fiaat survey 0f prop{~ with accurate location of all buildings, property lines~;.streets, sad unusual natural or Z .'Final Approval from Health D~t. 0f~ mtpply and saawrag~-dispoaal.(g-9 form). Approval ofel~trieal installati°n fi'om Board of Fire Uad~vrit~s. 4. Swom atat .~n~nt from plumber cmtif3dag that the solder used in a3tamm ~o~tain~'~e~s man 2/10 of 1 ?A lead. 5. Comm~miaibuilding~ induatrtal buildln~' multlple ix~id~ne~ sad similar buit4i-~ sad installafiom, a ~ of Code Compliance fro~ ardu'to~t.or eagin~er re~pon~"ole for the building. 6. Submit planning Board Approval of onlnpleted site plall reqtfil~m~ll& B. For exisfing'buildings(pri0rtoAprilg, 1957J nOn-eonformingns~, oy.buHdingsand,pre-ex/sttng"landu~e~: 1. ' Aecurate stagey of proPertY showing ali propexty line~, stt~C~,.bui!ding sad .Unusual natural or topographic features. 2. ~ p~p~vly oomptotod'application and eonsant to inapect signed by ~ appticanL Ifa C~tificate of oecUPancy is denied, the Building Inspector shall state the reasons therefor ia writing to. the applicant. Fees L Cettificatcof Occupancy - New dwelliag $25.00, Additions to dwelllng $25.00, Alterations to dweBing $25.00, 'Swimming pool $25.00, Accessory buffding $25.00, Additions to accessory building $25.00, Businesses $50.00. 2~ CeRificate of Occupancy. On Pm-existing Building - $100.00 · 3. Copy. of Certificate ofOecupancy 2 $.25 4: Ul~dated'Certificat¢ of Occupancy - $50.00 5; Temporary C~ificat¢ of Occupancy - Residential $15.00, Commercial $15.00 New Cons~ucti°n: LOcation of Property: Date. Oid or Pre-existing Building: HoUSe No. $treet (check one) Hnmlet · . Suffolk Coonty Tax Map No 1.000, Section Stflxlivision Permit'No. ,~'~ ~ O ~-"L Date of Permit. Health Dept~ Approval: p -.Planning Board Approval: Request for:~ Temporary Certificate Fee Submitted: $ '7.~o mo k . .-not \ 4 Filed Map. 'Lot: AppliCant: J~ ~0~ Unde~ Ap~l: ~ [~" . .. Finai Certificate: check one) · ' L /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. 33808 Z Date APRIL 9, 2008 Permission is hereby granted to: for : JAMES KA_NDORA 645 JERNICK LA SOUTHOLD,N~I 11971 CONSTRUCTION OF A PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 070 pursuant to application dated APRIL Building Inspector to expire on OCTOBER 645 JER/qICK LA SOUTHOLD Block 0003 Lot No. 014 8, 2008 and approved by the 9, 2009. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INS~ULATION [ ]FRAMING / STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS:~j~ ~~. ~ DATE ~/f ~I(~ I INSPECTOR..~ ~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ~' FOUNDATION ¶ST ] FOUNDATION 2ND ] FRAMING / STRAPPING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] .FIRE RESISTANT PENETRATION REMARKS: /~ ~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUND~'IoN'~ 1ST [ ] ROUGH PLBG. [ ] FO/,UNDATION 2ND [ ] INSULATION [ ~/FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: .~'~.~'~'-"*'"'~ ~ ~.~-/~ ~ DATE I L INSPECTOR FP, rI.DIiNSPECTIONREI'ORTI DATE ] COlVI:MENTS FO[~DATION (2ND) - ROUGH F~N~G & [NSL~ATION PER N. Y. STATE ENERGY CODE ~DITION~ CO~S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. north fork.net/Southold/ Examined ¥/~ . 20~ Approved .~/~ ,2q~ ~ Disapproved a/c PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Bo~t~approval Survey Cbeck,-~T-~ Septic Form N.Y.S.D.E.C. Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT Date /~.~ ~ ~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets or, 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 afier 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 exlension of the permit for an addition six months. Thernafier, 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. /(Signature of applicant or name, ifa corporation) (Mailing address o¥ applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name ofownerofpremises --~,~L~ ~ IM.~,~.,Ix ~,q~, (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Buildem 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 Subdivision (Name) Section ~7~O Block ~ Filed Map No. Lot Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~a.~ b. Intended use and occupancy ~,,e.x.~ ~e>~- ez>~ot,,~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. EsfimatedCost '~b~:>e>o, a>~ 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, commemial or mixed occupancy, specify nature and extent of each type of use- 7. Dimensions of existing structures, if any: Front e~ ~, ~ Rear Height ~ IG. (,,' Number of Stories I Dimensions of same structure with alterations or additions: Front Depth ~. ~}q .~,t Height 8. Dimensions of entire new construction: Front ~ 2~.~ Rear Height ~ I q' o' Number of Stories Depth ~r~, g Rear Number of Stories ., .Depth =l'.Lt /<5. 9. Size oflot: Front ~"7~,7~t' Rear t~/~, 10. Date of Purehase ~:f/~ Name of Former Owner .~4-~c:, 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO K~ 13. Will lot be re-graded? YES NO ~-~ Will excess fill be removed from premises? YES NO 14. NamesofOwnerofpremises~. l~a~l~a./~ Address(~/<~.~O~c~ c~. PhoneNo. '~-~ Name of Architect ~nt.~.~r' ~T'~,~da. Address 17~t~o 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 ofatidal wetland? * YES__ NO 2<- * 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. STATE OF NEW YORK) SS: COUNTY OF ) ,...J~.M.~e> ]~t~/,., Oo ~ being duly sworn, deposes and r~yS that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ ~ ~ t~. (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 ail 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 . I b-r day of t2t~r. L~ 20 0~ Notary Public ignature of Applicant STEPHANIE SHERWOOD Notary Public, State of New ¥o~ No. 01SH4971047 Qualified in Suffolk County Commission EXpires August 20, ~ of Southold Erosion, Sedimentation ~, S-~or~ ~ ASSE88MENT FORM PROPERTY LOCATION: $.C,T.M, #; THE FOLLOWING ACTIONS MAY REQUIRE THE SUEMI881ON CFA STORM-WATER, O~G, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFE8810HAL IN THE STATE OF NEW YORK. Ite,_.~m I~gmber: (NOTE: A Check Mark (,~) Ior each Oueslion ts Required for a Complete Application) Will this Project Retain All Slolm-Watel Run-Off Generated by a Two (2') Inch Rainfall on Sde? ~ r'~ (This item will include all run-off created by site clearing and/or construction activities as well as aH Site -- Improvements and the permanent creation of impervious surfaces,) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indlca[ing Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! -- Will this Ptojecf Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more Ihan 200 Cubic Yards of Matedal wi h n any Pamel9 __ Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface?L~ Is there a Natural Water Course Running through the Site? Is this Project wi{hin the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on ExisEng Grade SIopes which Exceed Fifteen (15} feet of Vedioal Rise to One Hundred (100') of Horizontal Dislance? Will Driveways, Parking Areas or other Impervious Sur[aces be Sloped to Direct Storm-Water Run*Off r~ into and/or in the direction of a Town dghEof-way? any Item Within Ihe Town Right of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) V'Vill this Project Require Site Pfep;~ratfor~ v, iUqn the One Hundred 100) Year Floodp a n of any Wa e co Yes No NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion ControI Plan is Required and Must be Suhmitled for Review Prior to lssuance of AnyBu ring PemHtf EXEMPTION: Yes No Note: If You Answered Yes ~o this Questio~, a Storm*Water, Grading, Drainage & Erosion Control plan is NOT Required[ make and filc this applicalion; daal a suite ~ enB contaJncd m otis application a~e ux~e to the best of iris knowledge and belie[ m~d dial dm wo~k will be pc~fuuned in dm rE;l/hi/el set IOHi~ m the application filed here~45~h ........ ~1~,~ ,%,, ~ o¢,..........,. ~.. L ~,.., Notate, Public: .... M~LANIE nnRn~l FORM. 06/07 NOTARY PrjBuc, State of NewYo~ Commission =xp~res September 30,~/~ 9 LOT AREA=25,207 SQ. FT. WELLS AVENUE LOT NUMBER S 20'56'00"E 142.22' FD MON LLJ © O.ON .~_ O.ON~ 0.4'E MON 12. STY;, 26.3' 1FRSTY DWELL 27.4' asphalt driveway SET STK 45.5'- 44.4; SET 14B.70' FID MON 0 O0 CERTIFIED ONLY TO: J N.Y. LIC. No. 048992 HAROLD F. TRANCHON JR. PENN. LIC. No. 2115-E JOB No. 08-39 FILE No. HARVEST HOMES ESTATES SURVEYED FOR JAMES KANDORA LOT NUMBER 20 MAP OF HARVEST HOMES ESTATES SITUATED AT SOUTHOLD TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y. SCALE 1" = 30' DATE 2-27-2008 FILED MAP No. 6379 DATE 7-18-1969 TAX MAP No. (REF ONLY) 1000-70-3-14 DISK 2008 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR P.O. BOX 616 18,66 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 6,31-929-4695 CONSENT TO INSPECTION Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) a(~L~) the owner(s) of the premises in the Town of Southold, located at which is shown and designated on the Suffolk County'Tax Map as District 1000, Section 'Q ~5> , Block That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: / (Signature) C~ (Print Name) (Print Name) f 0~ /f DATEr FOUNDATION NOTES : 1, A~~f~~Ungssha~~bearuponundIsturbedsoi~havblganassumedbeadngcapaoity~f4~~~~p~s~f~ Beeringoapacgy of soil is to be verified by the contractor prior to placement of fooUngs. 2. All concrete construction must conform to the American Concrete Inshtute's "BUILDING CODE REQUIREMENTS FOR REINFORCED CONCRETE" ACI - 318, latest edition. 3. The ugimate compressive strenglh of eoncrete al 28 days will be 3,000 4. All sonotube post footings m usl have proper post anchors of type 3t6 stainless sleel by Sim pson Strong Tie and be installed In accordance wtth manufacturers specifications, .I [, NOTE: EVERY ROOF FRAMING MEMBER MUST HAVE A HIGH WIND RESISTANT MECHANICAL CONNECTION MADE TO THE SUPPORTING TOP PLATE OR GIRDER AS PER CODE. CONNECTORS MUST BE GALVANIZED OR STAINLESS STEEL AS MANUFACTURED BY "SIMPSON STRONG TIE" SIZED AND INSTALLED IN ACCORDANCE WiTH MANUFACTURERS SPECIFICATIONS. LEGEND EXISTING WORK .. ~-_-_-~_-~ TO BE REMOVED EXISTING WORK _ / / TO REMAIN NEW WORK TO BE INSTALLED J- ' ~-- T'A.I fao rI JERN I,(;K 'REQUIRED NOTED 4 5 6 ALL CONSTRUCTION SHALl_ MEET THE REQUIREMENTF El T HE CODES OF NEW YORK STAI'E. OH USE i.,, '¥FUL WITHOLh OF OCC.. ;' GENERAL NOTES: Contractors wprk is to conform to all local ordinances aRd NYS Building and Energy Conservation Code, latest edition(s). Contractor(s) shall verify all field conditions and dimensions and will be responsible for same Any discrepancies shall be reported to the Owner and Architect immediately. Contractor(s) will cooperate wHh all other trades and wiH complete work [n accordance with best standards. and practices. All dimensions are nominal and take precedence over scale. AIl abbyevlallons are standard, All Items of work on the drawings are new, unless otherwise noted. Proprietary names idehtifying items of work are used solely to prescribe standards of constr[Jctlon, Itdms of equal quality may be submitted to the Architect for consideration unless noted otherwise. All wood f~ame construction shall conform to the American Forest & Paper Association '~WOOD FRAME CONSTRUCTION MANUAL" 1995 SBC - HIGH WIND, latest edition. All high wind resistant structural metal connections shown on tile drawings, or required by c~de from the roof to the foundabon are to be manufactured by "SIMPSON Strong-Tie" and be "Z-Max" coated. Coni~ectors which are near, on or below grade must be fabricated of type 316 stainless steel. All wood framing members shall have an allowable extreme fiber stress equal to or greater than struotural grade Douglas Fir: Fb = 875 psi Fy = 95 psi E = 1,600~000 psi All ACQ treated wood framing members shall have an allowable extreme fiber stre~s equal to or greater than structural grade Southern Yellow Pine: Fb = 875 psi Fv: 85 psi E -- 1~400.000 appUcab[e codes. otherwise directed by the Owner, Deck stair stringers to be 2 x 12 ACQ s~w tooth to accommodate treads, All treads to be 5/~ x 4 material as selected by Owner. Provide 3L0" high min. railings and guards as required and as shown on the drawings, HIGH WIND ZONE CONNECTOR SCHEDULE LOCATION MANUFACTURER/ MODEL # MATERIAL/FINISH PRODUCT RAFTER TO SIMPSON STRONG.TIE LSTA21 20 GA METAL STRAP TiE RAFTER (~ RIDGE Z-MAX COATED RAFTER TO TOP SIMPSON STRONG-TIE HTS t6 14 GA METAL TWIST STRAPS OF GIRDER Z-MAX COATED ROOF GIRDER TO 2 - 112" DiA. GALV, MACHINE 6x6 POSTPOST __ BOLTS, NUTS & WASHERS DECK JOISTS TO SIMPSON STRONG-TIE MTS 12 16 GA METAL TWIST ST~AP~ DECK GIRDER Z-MAX COATED DECK GIRDER TO 2 -5f8" DIA, GALV. MACHINE POST BOLTS, NUTS & WASHERS DECK POST TO SIMPSON STRONG-TIE PBS 66 12 GA, BASE, 12 GA. STRAP, CONC, FOOTING POST BASE, STAINLESS STEEL RAFTER TO GIRDER (toe nailed) t0" SPACING, 8' WALL HEIGHT NAIL SPACING COLLAR TIE TO RAFTER (face nailed) BLOCKING TO RAFTER (toe nailed) NAILING SCHEDULE JOINT DESCRIPTION I NUMBER OF NAILS ROOF FRAMING 3- Bd 2-8d RIM BOARD TO RAFTER iend nailedI PER RAFTER PER TIE EACH END EACH END EACH END tPERJOIST EACH END EACH BLOCK PERJOIST PERJOIST JOIST TO GIRDER (toe nailed) BLOCKING TO JOIST Ilea nailed1 BLOCKING TO GIRDER (toe nailed) BAND JOIST TO JO~ST (end nailed) BAND JOIST TO GIRDER (toe nalled~ 2- 16d ROOF SHEATHING FLOOR FRAMING 4-Sd 2-Sd STRUCTURAL PANELS' Sd 4' PERIMETER EDGE ZONE - RAFTERS '16"olc 8d INTERIOR ZONE - RAFTERS 12"olc 6 ~J.EDGEI6 IN FIEL ! 8 (~ EDGEI12 tN FIELD a Pcb i e ~~~~%c,,:~ 1230 Traveler Street Southold NmY. 11971 0.~sc*~~4/¢~ "~'~ ""*~'"~A- "~ [ ~ 63.1 - 765 - 5455 ..*w..~ ~