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HomeMy WebLinkAbout34922-ZFORM NO. 4 TOWN OF SOD~fHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33920 Date: 08/24/09 THIS c~KTIFIES that the building DECK Location of Property: 739 OLD WOODS PATH (HOUSE NO.) County Tax ~p No. 473889 Section 87 Subdivision SOUTHOLD (STREET) {HAMLET) Block 1 Lot 23.6 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11, 2009 pursuant to which Building Permit NO. 34922-Z dated AUGUST 12, 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. The certificate is issued to ANITA M DILWORTH IRREV TR ( OWNER ) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL ~CT~ICAL c~KTIFICATH NO. PLDMSE~S c~KTIFICATION DA'r~D N/A N/A N/A ~/' uth i~z ed~ign&ture7~ut 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 w 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.g forml. 3. Approval o f electrical installation from Board of Fire Underwriters. 4. 5. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residances and similar buildings and installations, a certificate Of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. 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 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 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, Additiong to accessory building $25.00, Businesses $50.00. 2. 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 o f Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property:X/~ 'q'bq House No. Owner or Owners of Property:X 1~ N 1 -r Suffolk County Tax Map No 1000, Section Subdivision Old or Pre-existing Building: ~ (check one) Strut H~let ~ Block I Lot l ~, ~ Fil~ Map. ~t: Date ofPe~it. ~ X~ o~ Applic~t: ~T ~ T V Unde~fitem Approval: ~ Permit No. Health Dept. Approval: Planning Board Approval: .Request for: Temporary Certificate Fee Submitted: $ '~),,x.~ , Final Certificate: ~f. (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) PERi, IT NO. 34922 Z Date AUGUST 12, 2009 Permission is hereby granted to: ANITA M DILWORTH IRREV TR 739 OLD WOODS PATH SOUTHOLD,NY 11971 for : AS BUILT DECK ADDITON TO SFD PER APPROVED PLANS AS APPLIED FOR at premises located at 739 OLD WOODS PATH County Tax Map No. 473889 Section 087 Block pursuant to application dated AUGUST 11, 2009 Building Inspector to exloire on FEBRUARY 12, SOUTHOLD 0001 Lot NO. 023.006 and approved by the 2011. Fee $ 400.00 Authorized Signature ORIGINAL Rev. 5/8/02 Robert Barratt PE CEng FIMechE Eur Eng 4295 Vanston Road Cutchogue, NY 11935, USA Tel, 631 875 0275 Fax, 631 734 2730 robertbarratt~optonline, net August 23, 2009, Attention: Gary J. Fish, Building Inspector Southold Town Hall 53095 Main Road PO Box 1179 Southold, New York 11971 Delivered by hand Subject: Building Permit 34922 Z, 739 Old Woods Path, Southold, NY 11971 Gentlemen, Following a detailed inspection of the as-built deck at the subject residence, including an excavation of a footing, I certify that the structure as built meets the requirements of the NYS Residential Code dated 2007 Robert Barratt PE AUG 2 4 2009 BLDG. DEPT. TOWN OF SOUTHOLD TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [/~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: INSPECTION REPORT DATE ~o~o~ OST) ~o~u~r~o~ (2~) PL~G ~S~ON P~ ~. Y, STA~ R~R~ CODE , . TOWN OF'SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Approved Disapproved 12 BLDG, OEP[ TOWH O~ SOUTHOL0 -- 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: Mailto: ~. ~lO~*q'T"F Phone: ~3/-- ~-)b'~ -- O'2~/. ~' C) LT'- Building Inspector APPLICATION FOR BUILDING PERMIT Date ~uq~Js-r "!+k ,20Oq 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 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, 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, if a corporation) (Mailing address of applicant) applicant is owner, lessee, agent, architect~ general contractor, electrician, plumber or builder State whether Name of owner of premises /3,~ t -r.~ . Al. (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 County Tax Map No. 1000 Section ~;7 Block I Lot ~-~,. (o 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 -~'t,'~t:ft_& /:',~?--r~tt-,-f b. Intended use and occupancy 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 ;n~C- (Description) Fee 4-oc~ ~o (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. 7. Dimensions of existing structures, if any: Front ~'7 Rear Height_ 2~o Number of Stories Depth ~-~.. Dimensions of same structure with alterations or additions: Front Depth 4-~' Height 8. Dimensions of entire new construction: Front ~ 17_. Rear Height I, ~ Number of Stories ! 9. Size of lot: Front '~.¢.ca Rear '~q.o _Depth Rear ~'7 Number of Stories , '-'", :2_.~ ~!¢,!^ 10. Date of Purchase /°/el ~ Name of Former Owner 11. Zone or use 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 ~' Will excess fill be removed from premises? YES __ 14. Names of Owner of premises ~. ~o~ Address xo ~ ~ ~ Phone No. Name of Architect ~. g~ Address ~ ~¢~r Phone No Name of Contractor Address Phone No. NO ~ gar- 15 a. ls this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ~ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS~VlAY BE REQUIRED. v/ NO ~ '"--Z. 0/~A b. Is this property within 300, feet of a tidal wetland? * YES * 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. 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 ) ,~,t'g~,-' g~l~,~.'r'~ being drily sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor~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. Signature of Applicant Mrs. Anita M. Dilworth 739 Old Wood Path Southold, NY 11971-1854 August 7th, 2009 Subject: SCTM# 1000-087-00-01-023-006, 739 Old Wood Path, Southold NY 11971 To whom it may concern, My husband and I purchased the subject property and the deed was recorded on 4/27/99 in the Suffolk County records deed book/page 11960/980. My husband is now deceased. Regarding any actions associated with granting building dept approval to legalize the pre- existing deck constructed since the issue of the current Certificate of Occupancy, I hereby appoint to act as my agent and engineer: Mr Robert Barratt PE 4295 Vanston Road, Cutchogue, NY 11935 Tel 631 875 0275 Fax 631 734 2730 Thank you in advance for your cooperation, Anita M. Dilworth Town of Southold Erosion, Sedmmentation & Storm.Water Run-off ASSESSMENT FORM PROFERTY LOCATION: $.C.T.I&~ THE F~L~HG. A~ON8 ~Y REQUI~ THE 8U~ISSION OF A ~ ~ O~ BY A D~ P~OF~SI0~ ~ ~E STA~ OFN~ It~t Number:. 1 2 3 4 5 6 7 9 (NOTE: A Gl~:;k Ma~ (~) for enctl C~e~ Is I~d for a ComplMe Appli~Uon) Will ~ projeot Reteln ~1 Storm*Water Run-Off Generated lay a Two (2') Inch Rainfall on ~e? (This Item will-include all run-off crente~ by site ~le.adng endfor const~cflon activt~ as well as all Site Imp~emente and ~e permanent ~ea~en.of Imperious su~acas.) Oens the Site P~en and/a[ Survey Show Ail Prol~ Drainage $~ Indicating ~ & Losation? This Item shall include all propce~ Grade Changes and Slopes Co.rolling Surface Wate~Clowi Wtil this pruJe~:t Require any Land Filling, Grading or Excavation where them is a change to the Natural Existing Grade Involving more than 200 Cubk~ Yards of Matedal within any Parcel? Will this Appiicetice Require Lend Dlstud:~ng Ac~lvittes Enoumpassing an Area in Excess of Five Thousand (5,000] Square Feet of Ground ,Surface? Is there a Natural Water Course Rm',rflng through theSlte? Is this project wilhln the Trustees judediofion Or within One Hundred (100') feet of a Wetland or Beach? Witl there be Site preparation on Existing Grade Slopes ~ich Exceed Fifteen (tS) feet of VeFdcal Rise to 0' One Hundred (10) of Horizontal Distance? ~itl Driveways, Parking Areas or other Imperious Surfaces be Sloped t0 Direct Stetro-Water Run-Off into and/or in the direction of a Town fight-of-way? Will this Project Require the placement of Material; Removal of Vegetation and/or the Construction of any Item Within the Town FUght-of-Way or Road Shoulder Area? . O'his item will HOT Include the installation of Driveway'Aprons.) Will this Project Require Site Preparatiori within the One Hundred (100) Year EIoodptain of any Watercourse? NOTE: If Any Answer to Questions One through Nine Is Answered with 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 Peretitl -- -- Yes No EXEM pTION~' Does, this project meet the minimum standards fo~ ctusslfisat!on as an Agrio~Jftural Project? Note: If You Answered Yesto this Question, a Storm-Water, Gra~ng, Drainage & Erosion Control Plan Is NOT Requimdl -- STATE OF NEW YOEK. COUNTY OF ..-...~...¥..E.~.~..~.--.~-- ............. SS FEat I, .....~.'~,.~T........~..~,~l~.~['.T. .................... . being duly sworn, deposes and sa)~ that he/she is the applicant for Permit, And that he/she is the ........... ~ .................................................... ::~'"' .............................................................................................. Owner and/or representative of the Owner of Owner's, and is duly authorized m perform or have performed the said work and to make and file this appfication; that all statemen~ coritained in this application are true m the best of his knowledge and beliefi and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me tl~s; ~'7 ...Fl -day of : ~-~ ....... P~O..??. .... . ........ ............. l'~otary ruouc: ......................................................................... NO. 01T06190696 (Signature of Applicant) FORM - 06107 / MAP OF NUNiVAKOMA WA TER$ AT SOU THOLD FM/Y 6088 FILED JUL Y 9. ~968 ~04' 239. 46 N/F (VACANT.) / ~v/F JOHtVSON Notes Date of construction: 2000 approx Foundation: Sin dia 4ft Sona-tubes and cement , ~"'~' '-~u~' ~,,>o'r ~<~E.~ ~,~'~ Columns: 4in x 4~ Doug Fir grade 2 or equivalent ~ ~" ~" ~o~ ~, CERTIFICATION OF m/ NAILING & CONNECTIONS Girders: 2in x 8in Douglas Fir grade 2 or ~uivalent . ~ . . ~ ~ Jolts: 2in x 8in Douglas Fir grade 2 or equivalent ~ I REQUIRED. Floor ~ards 2in x 6in STK C~ar or equivalent Jolt to girder joint: Teco's used throughout Column to Girder joint: ~ in bol~ '_ ~ . . Flor fasteners: SS ] ~ ~ ]~ ~ien Conditions , ~ ' Live ~ad 40psf ~ ~ ~ Dead load lOpsf ~ ~ ~ ~ ~ ~ Snow icad 20psi ~ ~ / ~ En ' ~rin d~i n In accordance with ~S Resident~l code 2007 and accepted engin~ring practice ~ ~ ~ ~ Flor Area House incl gauge 4150 sq ft ~~ Pr~xisting d~k 325 ~ ft ~ ~ ' ,.j To~l 4475 sq ft ~ To~l ~.00 PpROY? 4S N TED ~ ~ NOTIFY BUILD, ~'~ : 7~5~1802 8AM T FM FOR THE J i FO~ _OWING INSPECTIONS: . ~ ' ' 2. ~GH - FRAMING & PLUMBING ., ~ '~: ; ~ 3. 4SULATION ~j HO~ ~"~' ' C~ ~lo~l ~ :4 4. ;EINAL'coMPLETECON3TRUCT~ONFoR C.O. MUST _ ~ /~ AL CONSTRUCTION SHALL MEET THE . , RE )UiREMENTS OF THE CODES OF NEW [ I ', ~: YC ~K STATE. NOT RESPONSIBLE FOR FI ..... A_ CONS7RL: ,~iL , ~I;ALL DE ~IGN OR CONSTRUCTION ERRORS. ~ ~ ~q t ~ ~ ~ ~ ......... - '~ , , ~*' ~ ~ c ~6 q'~,~,':.: ,~ .... -' PURSUANT T0 6HAPTER 236 ~ ~%'= ~,; ~ Pb~M ~ ~ OF IHE TOWN CODE. ROB 739 OLDWOOD PATH, SOUTHOLD, NY 11911 DWGNO ANITA M. DILWORTH, Owner 0 Barra As-built deck permit application ~e~ [n~n~r The~e p[~ ~re ~n in~trome~t of the se~ice ~d ~re the pro~ of the de~is~ profe~ion~l ~bo~e ~e~l i~ ~zed ~N 4~ ~ao~ton ~d hereto. Infria~emen~ will ~ pro~ecu~d to the full~ ~te~t of the I~w. Cootr~ctor ~h~ll ~eri~ ~11 field C~cho[o~ eo~flitio~ ~nd dlmen~io~ ~nd ~ ~olely r~poa~ible f~r field fit. The de~i~n professional ~ume~ no li~bili~ for ~][~KED ]Y 119~ - omi~io~ du~ to un~ow~ or unforeseen field condifio~ ~nd or ~dditio~ b~ed upo~ comme~t~ not [orm~lly Phone 631 875 0275 ac~owl~g~ as revisions to th~ plans. SCALE F~ 631 734 2730