HomeMy WebLinkAbout34347-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33866
Date: 07/30/09
T~IS C~TIFIES that the building WINDOWS/DECK
Location of Property: 1020 NORTHFIELD LA
(HOUSE NO.) (STREET)
County Tax Nap No. 473889 Section 71 Block 1
subdivision
Filed t4ap No. Lot No.
SOUTHOLD
Lot 18
( HAMLET )
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 12, 2008 pursuant to which
Building Permit No. 34347-Z dated DECEMBER 15, 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" WINDOW REPLACEMENT, DECK ADDITION AND INTERIOR RENOVATIONS
(COSMETIC) TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to PAULA & ERIC NADELSTERN
(OWNER)
of the aforesaid building.
S~3FFOLKCO~DEPAR~TOF~kL~{AP~O~-AL N/A
EI~CI~{IC;%5 ¢~TIFICAI~ NO. 4019942 06/11/09
PL~S C~RTIFIC3%TION DA~q~D N/A
~/Zd~S'i ~na t u r e
Rev. 1/81
Form No. 6
TOWN OF SOUTiiOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OC(
~PANCY 8LOG. OEPI'.
1'OWN OF SOUTH0tD
This application must be fdled in by typevaite~ or ink and submitted to the BuiMing DepatUnent with the following: '
A. For new building or new use: 1. Finst survey of property with accurate location of all buildin4s, property lines; streets, and unusual natural or
topographic features.
2. Final Approval fi'om Health Dept. of.water supply and sewerage-disposal (S-9 form).
Approval o f electrical installation ~om Board of Fire Underwriters.
4. Sworn stat~nent from plumber c~lifying that the solder used ia system contain.n less than 2/10 of 1% lead.
5. Commercial building, indnstrial buildings, mullipl~ r~id~nc~ and simBar builds ~d ~lafio~, a ~ffifi~e
of Code Compliance from amhitect or engineer responsibl~ for the building.
6. Submit planning Board Approval of completed site plan r~qui~m~ts~
I~ F~rexis~ngbuildings(pri~rt~Apri~9~9~7)n~n~c~nf~r~nguses~buildingsand"pre~existing~~anduses:
1. Aeearate survey of property showing all propeily linea, stn~t~, building and.unusual natural or topographic
features.
2. A properly completed application and COnsent to inapeet 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 accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy o f Certificate of Occupancy - $.25
4. UpdatcdCertificate of Occupancy - $50.00
T~mporary Certificate of OcCupancy - Residential $15.00, Commercial $15.00
New Construction:
.Old or Pro-existing Building:
(cheek one)
Subdivision
H. ealth Dept. Appm~nl:
Filed Map.
,. i.. /~ Lot:
-' ' :
UnderWriters Approval' ~
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ c~)~
Finai Certificate: 1// (check one)
Signature'~
Jame~ F. King, President
Jill M' Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bo}) Ghosio, Jr.
Town Hall Annex
54375 Main Road
P.O: Box 1179
Southold, New York 11971-0959
Telephone (6~1) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
#0446C
Date: July 8, 2009
THIS CERTIFIES that the revair and rebuild of the existine elevated deck and covered
At 1020 Nonhfield L~_.n_e.,. S_outhol& New York
Suffolk County Tax Map # 71-1-18.
Conforms to the applications for a Trustees Permit heretofore filed in this office
Dated 12/29/08 pursuant to which Trustees Wetlaad Permit # 7022 Dated 1/21/09 was
issued and conforms to all of the requirements and conditions of the applicable provisions
of law, The project for which this certificate is being issued is
for the rcoair and,rebuild of thc cxistin~.~levatcd deck and covered area
The certificate is issued to ERIC & PAULA NADELSTERN owner of the
aforesaid property.
Authorized Signature
[]
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT ~/. _ / _ /'~
Upon the application of upon premises owned by
QC. ELECTRIC PAULA NADELSTERN
PO BOX 518 1020 NORTH FIELD LANE
LAUREL, NY 11948-0518, SOUTHOLD, NY 11971
Located at 1020 NORTH FIELD LANE SOUTHOLD, NY 11971 .~ /d/
Application Number: 4019942 Certificate Number: 4019942
Section: Block: Lot: Building Permit: * BDC: ns11
Residential
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Second Floor, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on thetlth Day of J..e, 2009.
Name QTY Rathe Rating ~ircuits Type
Alarm and emergency equipment
Sensor 2 0 0 Carbon Monoxide
Sensor 5 0 0 Smoke
Appliances and Accessories
Dish Washer 1 0 1.2 KW
Exhaust Fan 2 0 F.H.P
Hydro Massage Tub (Therapeutic) 1 0
Miscellaneous
renavate 2 bathrooms and kitchen, with
some additions throughout the house &
deck
Wiring And Devices
Dimmer 9 0 120 V
Fixture 15 0 Low Voltage
Fixture 24 0 Incandescent
GFCl Circuit Breaker 2 0
Outlet 17 0 Gen, Purpose
Outlet 39 0 Fixture
Paddle Fan 2 0 seal
Continued on Ncxt Page 1 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
Q.C. ELECTRIC PAULA NADELSTERN
PO BOX 518 1020 NORTH FIELD LANE
LAUREL, NY 11948-0518, SOUTHOLD, NY 11971
Located at 1020 NORTH FIELD LANE SOUTHOLD, NY 11971
Application Number: 4019942 Certificate Number: 4019942
Section: Block: Lot: Building Permit:. BDC: ns11
Described as a Residential wherein the premises electrical system consisting of
occupancy,
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Second Floor, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on thellth Day of J..e, 2oo%
Name QTY Rate Ratin[ Circuits Tvoe
Receptacle 6 0 GFCI
Receptacle 8 0 Gen, Purpose
Switch 7 0 Gert, Purpose
seal
2 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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. 34347 Z Date DECEMBER 15, 2008
Permission is hereby granted to:
for :
AS BUILT WINDOW REPLACEMENT AS APPLIED FOR.
at premises located at 1020 NORTHFIELD LA SOUTHOLD
County Tax Map No. 473889 Section 071 Block 0001 Lot No. 018
pursuant to application dated DECEMBER 12, 2008 and approved by the
Building Inspector to expire
on JUNE ._.l.5-,--2010~.~_
Fee $ 400.00
=tmo ed signat' __
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUG~PLBG.
[ ] FOUNDATION 2ND [ ] I~JLATION
[ ] FRAMING / STRAPPING [ i/i/FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REM~
DATE
INSPECTOR ///~7 ~/~..
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
i INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
R..EMARKS. /-"Bst~"-'"~ .~.-' ~ /~ ~/~
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FO~IJNDATION 2ND [ ]INSULATION
[~] FRAMING / STRAPPING [ ]FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork.net
BUILD1NG I~ERMIT 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.
Examined I tq I ~ 20ff~Sz/ Storm-Water Assessment Form
~~ ~ ' )} / Phone:
tL ,, I/ t ' , :0
t ~Da DEPT. l
~wH ~ ~O'~ O ] ~STRUCTIONS
~ ~is application MUST be completely filled in by ~pe~iter or in i~ ~d submiRed to the Building lns~ctor with 4
sets of pl~s, accurate plot pl~ to scale. Fee according to schedule.
b. Plot pl~ showing location of lot and of buildin~ on premises, relationship to adjoining premises or public s~eets or
~em, ~d w~e~ays.
c. ~e work cove~d by ~s applicmion may not ~ commenced ~fo~ iss~ce of Building P~it.
d. Upon app~v~ offs application, ~e B~lding Im~ctor will issue a Build~g Pe~it to ~e appli~t. Such a pe~it
s~ll be kept on ~e premises available for insp~tion t~ou~out the work.
e. No building sh~l be occupied or used in whole or in p~ for ~y pu~ose what so ever ~til the Building Ins~ctor
issues a Ce~ifica~ of ~cup~cy.
f. Eve~ build~g ~it sh~l expire if the work a~od~d h~ not commenc~ ~in 12 monks a~r ~e ~e of
iss~ce or h~ not ~n compl~ wi~in 18 mon~ ~om such ~. If~ ~n~g ~en~ents or other reg~miom ~6ng ~e
prope~ have b~n ena~ ~ ~e ~tedm, ~e B~ld~g Insp~r may autho6~, ~ ~tin~ ~e e~emion of~e pe~it for
~dition six mont~. ~ereaffer, a new ~it shall be required.
APPLICATION IS HE.BY ~DE to ~e Building Dep~ent for the iss~ce of a Building Pe~it puget to the
Building Zone Ordi~ce of ~e Town of Sou~old, Suffo~ Co~, New York, ~d o~er applicable Laws, ~i~ces or
Regulations, for the tone.ion of building, ~ditiom, or ~tem~om or for ~mov~ or d~oli6on m he~ d~c6~d. ~e
applic~t ~es to comply with ~1 ~plicable laws, ordin~ces, b~ld~g code, ho~g ~e, ~d regul~om, ~d ~ a~it
authored ins~cto~ on premises ~d in building for n~es~ ins~6ons.
(Signature of applicant or name, ifa corporation)
(Mailing address of applican0
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~l~'l~. ~ ~UC~
(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 p, roposed _work will be done:
House Number Street
Block
Filed Map No.
County Tax Map No. lO00 Section '7( Lot Ic~
Subdivision Lot
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
State existing use and occupancy of promises, and intenldgd use and occupa~ncy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
Addition
Other Work
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Alteration /~
(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
Height. Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Depth. Height.
8. Dimensions of entire new construction: Front
Height
9. Size of lot: Front c2~ ~O
10. Date of Purchase
Number of Stories
Rear i.
Number of Stories
Rear c~ c~0~ Depth
Name of Former Owner Lq L{~
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO_~
Rear
.Depth
13. Will lot be re-graded? YES__ NO__Will excess fill be removed from premises? YES__
14. Names &Owner of p.reraises ~:~c-~4/lr~ Address Phone No.
NameofA~ ~-J~,Aa~ ~'~Lc2c~fA/ Address PhoneNo
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. PERMIT'~fMAY BE REQUIRED.
b. Is this property within 300 feet ora tidal wetland? * YES / '"NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
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 r~
· 1F YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
~tt'~/-~/~ t/~- being duly sworn, deposes and says that (s)he is the applicant
(Name~f individual signing contract) above named,
(S)He is the t_ ~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 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.
Swqrn~.to before me this
mo~ ~ouc No. 01T0619~96
Qualified in S~k ~u~ ~ ~
Commission ~pim July 28, 2~
S~gnature of Apphcant
· 8 '
Al ..=:~ ~ I 0 ' '- !
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- -----~ '~ C,~.,','.+.,!~~:
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-- ] '/ ' MAP OF PROPERTY
-,' : ' 'l'o~N OF' ~OUT~OLD~ 1'4.
SURVEY OF PROPERTY
51TUATE:
TOI'qN,
SUFFOLK C, CK, INTY, I,~
.'SUR~, Dec. 24,
FOOTIN~ LO.(-.,. FEE] 2"I,
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JOHN C. EHI~ERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.-\\Compaqserver~pros~08\08-201jpg.pro
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REQUIREMENTS OFTHE CODESOFNEW
pESIGN OR OONSTRUOTION ERROR&
ALL OONSTRUOTION 8HALL
MEET THE REQUIREMENTS OF THE
CODE8 OF NEW k Unl'( STATE.
OOCUPANOY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
~ ~ OF OCCUPANCY
:~,~, ALL N~W WINDOW5 ~ DOO~5
,, ~ . O~ENINGS, WITH ~ISTING
EXISTING ~IRST FLOO~ LAYOUT
D~IDTiNG WINDOW
WELL TO REMAIN
~XIBTING BEDROOM
WINDOW AND DOOP-. SCHEDULE
* NOTE:
ALL NEW WINDOW5 ¢ DOOR5
INDTALLED WITHIN EXIDTING
O?ENING5, WITH EXISTING
HEADER5 ABOVE P-.EMAINING
ALTI---RNATIVE POP-. OPENING PROTECTION
I
TABLE I GO9. I .4
EXISTING LOWER LEVEL (PARTIAL LAYOUT)
±" I '-0"
5CALE: 4 =
___d,~
FAGE:
2
/ ~ / U&: T~DEMA~ ~ILING 5~TEM
/ ~ ~ ~ / OR APPROVED ~QUAL
~o
2' TO ~MAIN x ~ } ~ m I z
PROPOSED DECK LAYOUT .,,x, -,
SCALE:
PROVI U 2 X g ACQ DJ
~ISTING HOU$E *linER LOCATION5 II
TO
~MAiN
I PROVID~ 51MSPON
HANG~ AT ALL JOI~T~/
CONTINUOUSLY A'OUND ,
N~ POST5 ~PICAL ALL A~) L.
FOOTING ¢ P~MEP~N ~5 "W*', '
WIND LOAD PATH CONNECTION AND CONETP-,.UCTION DETAIL DP,,AWING5
USE THE FOLLOWING UDP METAL CONNECTOR~ OR APPROVED EQUAL5 FOR PROPER WIND RESlDTANT CONDTRUCTION, FOLLOW MANUFACTIJRE~D RECOMMENDED INSTALLATION INDTRUCTIONS TO ACHIEVE MAXIMUM UPLIFT LOAD CAPACITY.
MAX
STAIR RAIUNG
MINIMUM
HANDRAIL CONNECTION
DECI~/POI~CH RAILING
PODT TO-DECK CONNECTION
POST-TO-GIRDER/H ~,DER CONNECTION
UDE MIN, (2) I/2" DIA, GALV DOLTS WITid ~VA~hlER5 AND NUTS
CON CR~'E FCOTIN
GIRDER/HEADER. TO POST/COLUMN CONNECTION
LOCATION UDP NUMBER DEDCRIPTION
APPLICATION
CON ClaPT E PIED,
HEADER/GIRDE~TO PODT CONNECTION
DFDCD,IPTION APPLICATION
STRINGER TO DECK/PORCH CONNECTION
WOOD JOIST
TO ALLOW POP-, ~111~1 N,%AG E
POST TO GIRDER/HEADER CONNECTION
LAG BOLT5
RIM JOICT
BLOCKING
LOCATION
DECK/PORCH LEDGER CONNECTION
SPLICED JOISTS OVER HEADER/GIRDER
UNDISTURBED SOIL
LAY PLASTIC DAEE DIRECTLY ON
DISTU~ED / FOORSOIL
CONC, PIER FOOTING
DECK 4~ PORCH NOTES:
CLIMATIC ¢ GEOGRAPHIC DESIGN CP-.ITERIA
NAILING SCHEDULE
Z f-,.
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PAGE:
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