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Home My WebLink About34758-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33899 Rte: 08/17/09 THIS c~KTIFIES that the building DECK ADDITION Location of Property: 60 WATER TERR3%CE SOUTHOLD (HOUSE NO.) (STREET) (HD~4LET) County Tax ~p NO. 473889 Section 88 Block 6 LOt 13.30 Subdivision FiledMap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 29, 2009 pursuant to which Building Pez~ait No. 34758-Z dated JLrNE 8, 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 RICHARD J SIMEK (OWNER) of the aforesaid building. S~FOI,K C~)~ DEPAR~)~T OF }~LTH A~PRO~-AL ~.Rt-£KIC2%L C~KTIFIC3~ NO. PL~ CERTIFICATION DA'r~u N/A N/A N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION 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 locatian 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 certifying that the solder used in system contains less than 2/10 of 1% lead. 5, Commeroial building, industrial building, multiple residenea~ and similar buildings and installations, a certificate Of Code Compliance from architect or engineer responsible for the 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 o f Property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect 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 Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $ 5.00, Additions to accessory building $25.00, Businesses ~50.00. Certificate of Occupancy on Pre-existing 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: Location of Property: Owner or Owner~ of Property: Suffolk County Tax Map No 1000, Section Subdivision '-Z) q ~ ~C~' Permit No. ~ ~' ~ Date of Permit. Health Dept. Approval: f~ Planning Board Approval: .Request for: Temporary Certificate Fee Submitted: $ T~,.~, O0 c Date. Old or Pre-existing Building: ~t/ House No. Street (check one) ,5'0 v Hamlet B:ock k Lot Filed Map. Lot: Applicant:-~0 Ileq/~ (ZIt~/'~41,qO~'~ Underwriters Approval: ., Final Certificate: %// . (check one) ApiO{cant Signature~~' ' f '- ' ' - ~'~ 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. 34758 Z Date JUNE 8, 2009 Permission is hereby granted to: RICHARD J SIMEK 60 WATER TERRACE SOUTHOLD,NY 11971 for : REAR DECK ADDITION TO EXISTING SFD PER APPROVED PLANS AS APPLIED FOR. at premises located at 60 WATER TERRACE SOUTHOLD County Tax Map No. 473889 Section 088 Block 0006 Lot No. 013.030 pursuant to application dated MAY 29, 2009 and approved by the Building Inspector to expire on DECEMBER 8, 2010. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO [ ] FOUNDATION 1ST [ ] ROUGI [ ] FOUNDATION 2ND [ ] I/I ILATION [ ] FRAMING / STRAPPING [ I F ~L [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~/~--~r/~ ~ DATE ~ INSPECTOR COMMENTS lqii;LD INSPECTION RE,ORr DATE [ ~ , FO~ATION / ' - - pL~G ~$~A~ON P~ N. Y. STATE E~R~ CODE ~1o ~ ~ ~ ~D~ION~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,glY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ~; ,20 ~ Approved ? /'~ ,20 ~ 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 Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: [ ... , Phone: Expiration / ?; I~ ,20 l{-f-- '~"' , ~ ~--~'--~"~ X/X I// Building Inspector I~ I Date~ ., 20. ~pletely filledinby typew=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 wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such a pemfit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu~ose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Eve~ building pe~it shall expire if the work authorized has not commenced within 12 months aRer the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the prope~y have been enacted in the interim, the Building hspector may authorize, in writing, the extension of the pe~it for an addition six months. Thereafter, a new pe~it shall be required. ~PLICATION IS HEREBY M~E to the Building Depa~ment for the issuance of a Building Pe~it 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 necessau inspections. ~ (~amre 6f applicant or name, if a co~oration) (Mailing address of applican~ 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) License No. ,~e/~tg?'- ~ Builders Plumbers License No. Electricians License No. Other Trade's License No. Location qfland on w.,~_ 'ch l~roposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision~4~ O,~, / Lot Z?. ?z9 Lot ,~ ?2 2. State existing use and occupancy of premises and intended use and occupancy of proposed coI~struction: a. Existing use and occupancy b. Intended use and occupancy ().e,-, 4 ~'"'~ /'''~'2 .--<'/c; ~ Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost g~,/-~,'/rY %5,- If dwelling, number of dwelling units [f garage, number of cars Fee Addition/'7~'~ ~,,4:> Alteration Other Work (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 Rear Height_ Number of Stories [~.-. Dimensions of same structure with alterations or additions: Front .~ !;~! Depth Height Number ¢[St0ries Dimensions of entire new construction: Front /rP ' Height Number of Stories 9. Sizeoflot: Front //7, 77 Rear Rear /~' L Depth Depth ,~.F.;rT, ~ ct Depth Rear 10. Date of Purchase Name of Former Owner 1 I. Zone or use district in which premises are situated arJfdc,_ .~.,. , 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 5d-3 13. Wi!! lot be re-graded? YES 14. Names of Owner of premises {f~¢ Name of Architect Name of Contractor 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 ~?Will excess fill be removed from premises? YES NO Address Phone No. Address Phone No Address ~hone No .t~_7/ 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 ~O · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) (NerVe ~f individua~ signing contract) above named, (S)He is the ~7/.. ~. ~, (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 th~s-, 20 Notary Public ' Tow n o f Southold Erosion, Sedimentat,on & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A \(~O O ,,~C~ ~ /~-~ L) STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL ,pL~u District Section Block L~ CbKTIPIED BY A DESIGN PROFESSIONAL IN ~E STATE OF N~ YO~ Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Apptication) Yes No 1 2 3 4. 5 6 7 8 9 Will this Project Retain All Storm-Waler Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all mn-off created by site cleadng and/or construction activities as well as air Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Slmctures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowl Will this Project Require any Land Filling, Grading or Excavation where them is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material wilhin any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or wilhin One Hundred (1 Off) feet of a We and or Beach? Will Ihere be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise IQ One Hundred (100') of Ho~zontal Distance? Will Driveways, Parking Areas or other Impervious Sun'aces be Sloped to Direct Storm-Water Run-Off into and/or in the direc on ora Town right-of-way? Will this Project Require the Placement of Matedall Removal of Vegetation and/or the Construction of 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 wilh a Check Mark in the Box, a Storm.Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permitl EXEMPTIONt Does this project meet the minimum standards for classification as an AgdcuRural Project? Note: If You Answered Yes to this Question, a Storm-Water, Gradthg, Drathage & Erosion Control Plan is NOT Requiredl Yes No STATE OF NEW YORK, C-~ O~U~TY OF ff.a' ..~..~.<. .......................... ss //"-I (Name of individual si~ng Dccdment) P~NflIE D BUNCH ..... ~ .................................................................................. No:Ol~l~O ....................... (Owner. Con~aaor. Agenl. Co~ate O~. etc.) Oual~ in ~lk ~ ~ - , · . C0m issi~ ir~ ' 14,2{ O~ner an~or represent.ye of~e Owner of Owners, ~d is duly au~onzed to perfon,, or ~ve pe~rme~e sm~d to m~e ~d file this application; ~at ~1 smtemen~ confined in ~is application are ~e to ~e best of his ~owledge ~d belief; ~d · at ~e work will be perforated in ~e m~ner set fo~ in ~e application filed herewi~. Sworn to before me ~his; ............................................. r .-m.--~-~ ......................... ~o....~. Nobary Public: ......~..~.~.~'.....~....~,,~ .................. (Signalure of Applicant) FORM - 06/07 OWNER STREET ~:D ~.~ VILLAGE DIST· SUB. LOT mCR. ,'"7 I REMARKS TYPE OF BLD. "~ LAND TOTAL DATE ~ ~'~"~'"" ~ '-'"' < ' / · FRONTAGE ON WATER TILLABLE FRONTAGE ON'ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL 88-6-13.30 1/02 ~,':.~" l( ~ 23 ~ ~z~ Iix? Basement s,~e Floors Kit. I _l Extension Ext. Walls ~l Interior Finish L.R ~ Ex~i°n ~,~ ~ ~¢ ~0 FirePlace ~t Heat ~ D'R' [~ Patio Woodstove BR. ~ Porch Dormer ~ ~ D~k I Z ~ I~= 2/¢ ,~ ~¢ Attic Breezeway Rooms 1st Fmoor Garage ~ ~ ~7 = ~7 /' ~ ?~? Driveway Rooms 2nd Floor Pool JUN-01-~09 16:P0 From:FROM KEUIN CANTWELL 651 744 3385 To:631?G5~70P P.I~i ~,no~uo~n (631)744-$$60 THI,~ CERTIFICATE 18 IESUED A8 A MATTER OF INFORMATION ONLY AND GQNFBR8 NO RIOHTS UPON THE CERTIFICATE KEVIN J CANTWELL HOLDER, THIS CERYIFICATI~, DOES NOT AMEND. EXTEND OR FARM FAMILY CASUALTY INS CO, ALTER THE COVERAGE AFFORDED_BY THE POLIClEE BELOW. 59~16 ROUTE 25A COMPAN ES AFFORDINe COVERAGE MILLER PLACE, NY 11764 ¢Ci.^,~, FARM FAMILY CASUALTY INSURANCE COMPANY A RODNEY T. QUARTY a DBA TOM QUARTY CARPENTRY COiF^NY PO BOX 1649 C SOUTHOLD, NY 11971 D 'rH~ IE TO CERTIFY THAT TH~ POLICIES OF INSURANCE ~I~T~D 8~LOW HAVE BEEN IS~D TO TNB INSURED NAMED ABOVE FOR THE POLICY INDICATED, NO~ITH~ANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ~ a,~=.~ unmu~ 315~12~1 11108/08 11t08/09 ~=.~.~T~ ~ 600,000 / ..,cove., ~.,u~ ~_,~.~?~ .... , 100,00 CARPENTRY MAIN STRE~ ~ BAYS W~l~a .OTIC~ TO THO O~TIFIQATO HOL~R NAMED TO THE LOFT, O~-~W-N E~=~ ........ ~T-R'E ET ~ ~ --~/IL~,GE D I S-T~' SUB. LOT ACR. ,W~ REMARKS TYPE OF eLD. LAND ~MP. TOTAL DATE ~ ~ / ~ t !~eo ~!~ q~o ~ 3/',/~ _ .......... FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL 88-6-13.30 1/02 i~B~'c'c~ ~.~O~/ ~ tOSS. ~/:5,u~?3 ~?~ Foundation ~ Bath Z Dinette Exten~n /~ ~ ~5 ~ ~ I1~? Basement s~.. Floors Kit. Extension Ext. Walls ~1~ Interior Finish L.R. Ex~ion ~ ~ J4 ~ Z~ Z,~ 70 FirePlace y~' Heat ~ D'R' Patio Woodstove BR. Porch Dormer ~ Deck (Z ~ t ~ ~ ~/~ , Z(' ~ Attic / Breezeway Rooms 1st Floor Garage ~ Y ~7 = ~7 1, ~ ~¢~ Driveway Rooms 2nd Floor Pool LOT AREA = 31077 Sq. Ft. Z NOTE: MAXIMUM CLEARING OF LOT 15 LIMITED TO 58%. LOT NUMBER I LO R=25.00'___ - ~J L=34.16' WATER TERRACE $. 58°01'20" E. 117.97' Z - STY. DWELL. ~9.o' N. 58°01'20" W. 161.97' LOT NUMBER 29 CESSPOOL, SEPTIC TANK and WATER SERVICE LOCATIONS ARE BY OTHERS. 8-13-8001 FINAL SURVEY 5-21-200J . FOUNDATION LOCATION GUARANTEED ONLY ¢./F ,"'Fi X~F. TRANCHON ) NO. 04899:) JOB NO. 00-354 SURVEYED FOR LOT NUMBER 28 MAP OF ANGEL SHORES FILE NO. ANGEL SHORES SITUATED AT BAYVIEW TOWN OF 50UTHOLD, SUFFOLK COUNTY, NEW YORK SCALE 1" = 50' DATE 10-5-2000 FILED MAP NO. 9729 DATE 8-23-1995 TAX MAP NO. 1000-88-6-15,30 (REF. ONLY) DISK 19,:3 HAROLD F. TRANCHON JR.P.C. LAND SURVEYOR 1866 WADING RIVER-'MANOR RD. WADING RIVER, NEW YORK, 11792 516'929'4695 4" × 4" PODT W/ 2" × 2" ~DALUDTER5 '~ CAP RAIL; RAILING 5YDTEM TO MATCH ~XIDTING DECK, AREA 'DECK DECK F941DTING E~IDTING DECK BOARDD 5TRUCTU RE TO REMAIN PATCH ]N NEW DECK,lNG ANY AIr'AD AFEECTED BY CONDTP. U CTION DECK LAYOUT SCALE: 4 = I 51MEK DECK OUTLINE OF DECKA~,OVE; -- PROVIDE RIM DOARD CONTINUOUSLY AROUND TO MATCH (TYPICAL ~OTH NEW) POURED CONCIRETE FOOTING EDGE OF EXI5TING DECK TO REMAIN FLOOR HEIGHT FOOTING ¢- FRAME PLAN h, __ I LO" SCALE: ~ ALL CONSTFIIJOTION SHALL MEET THE REQUIREMENTs OF THE CODEs OF NEW YOF,'K STATE. ~415TING 2" × 6" D.J. .~" × G" VERANDA DECKJNG OCCUPANCY OR ~ ~FE IS UNLAWFUL V,' fi-lOUT CERTIFICATE ~ ';OCCUPANCY NEW 2" X 8~' ACQ D.J. I G'" O.C. 2- 2")4 BRING NEW D.J. TO APP~O),ED ~!S NOTED _ 765-1802 8AM TO qPM FOR THE FOLLOWING JNSPEOTIONS' 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL -OONSTRUCTiON MUST 4" × 4" POGT w/ 2" X 2" BE COMPLETE FOR C,O, DALUSTE~ ¢ CAP RAiL CONSTRUCTION SHALL MEET THE RAILJNG SYSTEM TO I~J1REMENTS OF THE CODES OF NEW ~XIGTING DECKAREAYORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. RIM DOAI~ CONTINUOUSLY AROUND TO MATCH E~ISTING -- PROV, RTJ 2 CONNECTOR CONNECTOR. b" 60NOTUDE W/POURED CONCRETE FOOTING RETAIN STORM WATER RUNOFF PURsuANT TO CHAPTER 236 OF THE TOWN CODE. DECK SECTION SCALE: ~,1 = II 0I' PAGE: BALUBTERB ¢ CAP RAIL; RAILING BYBTEM TO MATCH DECK DECK ~ DECK LAYOUT &CALE: ~"= ILO" 51MEK DECK, OUTLINE DP DECKABOVE; -- PROVIDE I~IM BOARD CONTINUOUBLY AROUND TO MATCH BXIDTING EDGE DP DfiCKTO REMAIN 2" X J 0" ACC FJqBTING DECK 5TRUCTURE - , GIRDER.5, JO]BTB TO REMAIN FOOTING 4~ ffP-,AME PLAN h, = I ' 0" SCALE: ~ - FLOOR HEIGHT DqBTING 2"× B" D,J, 4" X 4" POST W/2"X 2" 2- 2" × JO" ACQ GII~DER ,rl~ PROM, RTl2 CONNECTOP-, CON C P~'TE FOCr-ING DECK, SECTION J" I '-0" SCALE: 4 : [120 ~E z~, Zzc;~ PAGE WIND LOAD PATH CONNECTION AND CONSTP-.UCTIQN DETAIL DP-,AWING5 USE THE FOLLOWING USP M~TAL CONNECTOR*~ OR. APPROVED EQUAL~ FOR PROPER WIND I~-FSlSTANT CONSTRUCTION. FOLLOW MANLIFACTL)F~J~'S RECOMMENDED INSTALL&TION INSTR.UDTION5 TO ACHIEVE MAXIMUM UPLIFT LOAD CAFACITY'. STAIR RAILING '4" DIA MAXIMUM 4" MAX 4" DIA MAKIMUM HANDRAIL CONNECTION STRINGER TO DECK/PORCH CONNECTION POST TO DECK CONNECTION use MIN. (2) 1/2" DIA. GALV BOLTS WITH WA¢HE~ AND NUTS PODT/COLUMN POST-TO GIRDER/H~J~,DER. CONNECTION JOlDr SPLICED JOIST~ OVER HEADER/GIRDER LOCATION PO5T-TO GIRDER/HEADER CONNECTION U5E MIN (2) I/2" DIA. GALV. DOLT5 WITH WADNEP.~ AND NUT5 GIRDER/HEADER TO POST/COLUMN CONNECTION DECK/PORCH LFDG~R CONNECTION BLOCKING DECK, ?ODT PTG. CONNECTION HEADER/GIRDER-TO PQDT CONNECTION APPLICATION UN DIDTURDED SOIL LAY ?LADTIC BADE DIRECTLY ON DIDTURDED / POORDOIL_ CQNC. ?II& FOOTING DECK ¢ PORCH NOTES: CLIMATIC ,¢ GEOGP-,APHIC DESIGN CRITERIA NAILING SCHEDULE ?AGE: 2