The URL can be used to link to this page

Home My WebLink About34711-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33916 Date: 08/24/09 THIS u~KTIFIES that the building DECK ADDITION Location of Property: 1630 THERESA DR (HOUSE NO.) (STREET) County Tax Map NO. 473889 Section 115 Block 14 Subdivision Filed Map No. Lot NO. MATTITUCK Lot 3 ( HAMLET ) conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 2009 pursuant to which Building Permit No. 34711-Z dated MAY 26, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KENNETH & LINDA M MCISAAC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPAR~I~ENT OF HEALTH APPROVAL ELECTRICAL ~KTIFICATH NO. PL~I~BERS u~a'rIFICATION DA'r~U3 N/A N/A N/A Rev. 1/81 AUG 1 9 20O9 3LDG. DEPT. TdWN OF SOUTHOLD APP Form No. 6 TOWN oF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 LICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of Water supply and sewerage.disposal (S.9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber ccrtifying that thc solder used in system contains less than 2/10 of 1% iead. $. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for thc building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957} non-conforming uses, or 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 inspect signed bythe applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. 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-ex/sting Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: LoeationofProperty: [ (z~ fl~ ~--/ff~-0q~-%.,q ~ House No. Street Owner or Owners of Property: /LC c ~-'~ r~ ,d c- Suffolk County Tax Map No 1000, Section I { ~ Subdivision Date of Permit. (check one) Hamlet Block C~ 0 r ~ Lot Filed Map. Lot: Underwriters Approval: Permit No. '~ ~ '7 [ Health Dept. Approval: Planning Board Approval: .Request for: Temporary Certificate Fee Submitted: $ ~ ~ od Final Certificate: ~.~ (check 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. 34711 Z Date MAY 26, 2009 Permission is hereby granted to: K & L MCISAAC 1630 THERESA DR MATTITUCK,NY 11952 for : DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at 1630 THERESA DR MATTITUCK County Ta~ Map No. 473889 Section 115 Block 0014 Lot No. 003 pursuant to application dated MAY 13, 2009 and approved by the Building Inspector to expire on NOVEMBER 26, 2010. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION REMARKS: ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE ~-/?-- o 7 INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 [/~ FOU N !ATiNoNSisTP E C] RTo~G?pLNBG' ] INSULATION [ ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION [ ] FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRE RESISTANT CONSTRUCTION REMARKS: DATE INSPECTOR FIELD HqSPECTION REPORT ~O~AT~ON (2ND) ROUGH F~G & PL~G ~S~ATION PER N. Y. STATE E~RGY CODE· e, ~DITION~ CO~ENTS TOWN OF-SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ' -~7~)~ , 20 ~}? Approved ~ffff4_o , 20 0 ~ Disapproved a/c Expiration // (/~ ~ ,20 /O BLDG. D£PI. TOWN OF SOUTHOLD PERMIT NO. BUILDING 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.EC. Trustees Flood Permit nn-Water Assessment Form Mail to: ehone:~fO ( Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date 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 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 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, Suflblk 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 oCplicant or name, if a corporation) (Marling 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. Location of land on which proposed work will be done: House Number Street Hamlet 3 County Tax Map No. 1000 Section / / J'~ Block ! ~/ Lot 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 5~a;6'C~ 1~,4~41~--r pto~-c -- ~2 b. Intended use and occupancy 5,;w6ci-/z,g/tilt-'l {,4~t. xt5- o~. /PfoeL-~- 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost 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, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height. ! 5- ' Number of Stories Rear 7,:9' Depth Number of Stor Rear / 6 ~ l~epth ~4 Depth ~OOoO Dimensions of same structure with alterations or additions: Front Depth 5-? ' Height ! ~ ¢ Dimensions of entire new construction: Front Height (9'" Number of Stories Size of lot: Front /OO ,, ~ Rear 10. DateofPurchase I(,[/Io /~oOq Name of Fonner Owner W{C/-~&..45 ~/l~T~X~-r,2 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X 13. Will lot be re-graded? YES __ NO /- Will excess fill be removed from premises? YES__ NO 14. Names of Owner of premises K~,,,~-rb~ ~tc-~-$,~Address ~,~ct<.,~.V. Phone No. N~eofArchitect ~ %c~{~A~V~ ~ooress~we, oo~ ~ PhoneNo Name of Contractor ~ ~ ~ ~. Address Phone No. 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 REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO ~, * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO )eX 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 STATE OF NEW YORK) SS: COUNTY OF 5~'F~'o~ g' ) ~<(F3 tt.~tt.//WT74 ~ t.j~_ q .,4 d C' 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, 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 pertbrmed in the manner set forth in the application filed therewith. Sworn to before me this ,~ day of f/~( Notary Public 20 oq' VICKI TOTH N~.,a~v P.l~l~, ~ Of New York ' No. 01T06190696 Quslifiod in Suffolk County Commission Emires/utv Signature of Applicant TOWN OF SO-171'HOLD PROPERTY RECORD CARD ,"/ :O-EM-[[ 'OWNER N E ACR. / S W TYPE O~ BUILDING ES. _,, O S~S. VL, FA~ C~M. CB, MISC. Mkt. Value ~ND IMP. TOTAL DATE RE~RK5 /,tr~.~p /~t~ c%~,r~-,,f~,l,/, ,~,~/ cl..il ,~,~, ,~,, ~. ~UILDIN~ CONDITION ~ NOR~L BELOW ABOVE .~ ~ ~ :ARM Acm Value Per Value ) IIobl~ 2 liable 3 : o~land ~amp~ FRONTAGE ON WA~R ushla~ FRONTAGE ON ROAD , ~se Plat DE~H ,~ ~ / BUSHED Bath Walls Int~rlor'Finish :ire Place Hea~' Driveway Rooms ~st Floor Rooms 2nd Floor tnspoe%e;8 ¥'-t:;:~: 3¢ ,: // :'row__ n o_ f Southold Erosion, Sed,mentat,on & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING~ DRAINAGE AND EROSION CONTROL EL~,~ CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number. (NOTE: A Check Mark (~) for each QuesUon is Requfred for a Complete Application} ~/~ Yes No (This item will include all mn-off created by site cleadng and/or constmcUon activities as well as all Site Improvements and the permanent creaUon of impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage S~ructures Indicating S ze & Location? r-"l This Ilem shall Include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowl -- 3 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural L~J r~ ~l Existing Grade Involving more than 200 Cubic Yards of Ma ede within any Parcel? 4 Will this Application Require Land Disturbing ActiviUes Encompassing an Area in Excess of Five Thousand (5,000) Square Fee of Ground Surface? 5 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 We and or Beach? L,~ -- 6 oneWill thereHundredbe Site(100,)preparatiOnof Hodzontal°n ExistingDistance?Grade Slopes which Exceed FUteen (15) feet of Vertical Rise to r~ _t/../- 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run*Off into and/or in the d recUon of a Town right-of-way? ~ __ 8 Will this Project Require the Placement of Matedal, Removal of Vegetation and/or the ConstrucUon of r~ any Item Within 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 Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Sox, a Storm-Watar, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! EXEMPTION: Ye~s N~o Does this project meet the minimum standards for classificatioe as an Agdcutiural Project? Note: If You Answered Yes to this Question, a Storm.Water, Greding, Drathage & Erosion Control Plan is NOT Requlmdl STATE OF NEW YORK, ThatI, ~ .~..d.~/.'~. ~.. ~ c..~_.~..~. ~.~ . ..... - ................................................ being duly sworn, deposes and says dlat he/she is die applicant for Permit, (Name of individual signing Document) And that he/she is the ....... ~. ~ ~.~ ~ (Owner, Con Facto , Agenl, Coq3ora~e Offmer, etc) Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have performed the said work and to mai~e 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 perforated in the manner set forth in the application filed herewith. Sworn to before me this; ~um,~ NO 01~I~6190696 . (Signature of n.~ifii~d n Suffolk ~0umy.. ~ ~ FORM - 06/07 Core'is-siOn Fxm:)ires lUV 78 7,., DECKING MAX. 8-1/4" RISE 2X6 ACQ w/FLASHING 2X8 ACQ GIRDER --HlflllJ DIA. 2ONC. :~IER EXISTING <~ ......... 2X6 ACQ LEDGER BD LEDGER BOARD TO BE FASTENDED ' w/ FLASHING J TO BUILDING '~UITH TIMBERLOK® J SELF-COUNTERSINKING ECRE~(/S = I BY OLYMPIC ~NUFACTURING ~J (2 SCR~S ~ 32" O.C.) ~J 8" DIA. CONC. PIER / 3' BELO~ G~DE ~P.) : ~ (2) 2X8 ACQ GIRDER (2) 2X8 ACQ GIRDER '~EATHER RESI~rlVE BARRIER ' -- (CHECK LOCAL BUILDING CODE FOR REQUIREMENTS) O~ WALL SHEATHING PLUS GRACE VYCOR.-- DECK PROTECTOR DATE:.?./. _....~ F'. ~.~,q-,-i ,:~- ',' S;-;,,(i ........ THE AL!. ut; LEDGER I~J;~'~E'UENTS L;'F THE C:;.3E;; OF NEW YORK STATE. ~,:0~ ~,;::,: '-.,,~ ,ut: FOR BESlGN OR CONSTRUCTION ~nORS. GRACE VYCOR DECK PROTECTOR SELF-ADHERED FLASHING EXISTING PROPOSED DECK 5/4X6 DECKING 16'-0" FLOOR PLAN SCALE: 1/4" = 1'-0' I (FRONT) (FRONT) A-1 ~X/IND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRA~0(/INGS