HomeMy WebLinkAbout33754-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-33963
Date: 09/21/09
THIS CERTIFIES that the building PORCH ADDITION
Location of Property: 840 PINE TREE RD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 104 Block 1
subdivision
Filed ~4ap NO. __ Lot No. __
CUTCHOGUE
Lot 11
(HA24LET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 17, 2008 pursuant to which
Building Permit No. 33754-Z dated MARCH 20, 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 SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to ADELAIDE C AMEND
(OWNER)
of the aforesaid building.
SUFFOLK CODI~TY DEPARTMENT OF HEALTH APPROVAL
EL~t-rKICAL C~K'rIFICATH NO.
PLUMBERS CERTIFICATION
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 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 o f 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 l% lead.
5. Commercial building, industrial building, multiple residences 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 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, Additions 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 of Occupancy - Residential $15.00, Commercial $15.00
New Construction: Old or Pre-existing Building: (check one)
Location of Property:Ho~us~e~///)No. ]~/'~r'~ff'~ '~eet'~' /~Q'~ ']')
Owner °r Owners °f Pr°perty: -~/~. ~/~ 3'ff~Z?_)5 ~:J d
Suffolk County Tax Map No 1000, Section ~ Block ~t~)~P / Lot
Subdivision Filed Map. Lot:
Permit No. 5 --~ ~//'/~~Date of Permit..~/t:~.~/~.4~r)~Applicant:/ ~.~~..&~ .... cqY
Health Dept. Approval:
Undemfitem Approval:
Planing Board Approval: ~J~
Hamlet
Request for: Temporary Certificate
Fee Submitted: $ -~f
Final Certificate:
P'~ (check one)
Applicant Sig~3~t~
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PEP. MIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
P~IT NO. 33754 Z Date MARCH 20, 2008
Permission is hereby granted to:
ADELAIDE C AMEND
840 PINE TREE RD
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF A PORCH ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at 840 PINE TREE RD CUTCHOGUE
County Tax Map No. 473889 Section 104 Block 0001 Lot No. 011
pursuant to application dated MARCH 17, 2008 and approved by the
Building Inspector to expire on SEPTEMBER 20, 2009.
Fee $ 200.00
Authorized Signature
ORIGIND~L
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 SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~-~~L ~
./
?~/
DATE _.,2._~.~_ 0 ~ INSPECTOR~'~~a-'"~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[~FOONDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
',~RA~MING')~TRA~I--~ [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CO#STRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE, ~ - 7~ ~ ~ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST
[ ] ROUGH PLBG.
REMARKS:
FOUNDATION 2ND [ ] INS~JL~ATION
FRAMING / STRAPPING [ ~]~FINAL
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
DATE
INSPECTO~
"
rlF, I,D INSPECTION REPORT
ROUGH F~G &
PL~G
LNSL%ATION PER N. Y.
STATE ENERGY CODE
F~
~D~ION~ COUNTS
m
TOWN OF SOUTHOLDi0 ~ .i,~
BUILDING DEPARTMEI~T
TOWN HALL ~ ~ ~ ~4~ I '/
SOUTHOLD, NY 11971 L_
TEL: (631) 765-1802 _.
FAX: (631) 765-9502
www. northfork.net/Southold/ PERMIT NO.
Examined ff'~a, 20 Og
Approved ,~'~/, 20~
Disapproved a/c
Expiration ~fryo, 20 O ~?
Building Inspector
BUILD1NG PERMIT APPLICATION CHECKLIST
Do you have or need the followirn~ before applying'?
Board of Health /~/~
4 sets of Building Plans t//
Planning Board approval
Survey
Check
Septic Form /~dj1
N,Y.S.D.E.C. /~
Trustees
Contact:
Mail to:
APPLICATION FOR BUILDING PERMIT
r>ate
INSTRUCTIONS
200 ~
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 plgn 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 Buildin. g 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 aBuilding 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 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
1. Location of land on whic~ proposers1 work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section ///..)//7g Block ~/ Lot ./?
Subdivision Filed Map No. Lot
(Name) dray .~,*~ ~ ....
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair l~moval Demolition
4. Estimated Cost ~t9:~90 -"~..,~0 Fee
5. If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Workd~,o~eg.
(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.
7. Dimensions of existing structures, if any: Front ~,~, 3 *~ Rear [~,,,~ / __.Depth
Height ,,~ / Number of Stories / ~
10. Date of Purchase
Dimensions of same structure with alterations or additions: Front
Depth <.fl~', 3 Height
Dimensions of entire new cbnstruction: Front /0 / Rear
Height /,,~ ~ Number of Stories
Size of lot: Front /~, ~¢> Rear /~,~ o ~
/ /
Number of Stories
Rear
Depth /~ ~
.Depth
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__ NO__
14. Names of Owner of premise~j~d~~Address~Phone No. 7~,~~.¢~.¢'?~
Name of Architect ~,,~f.4.~,~' Address ~ I Phone No ~:~/- ~'?~,~
Name of Contractor~,o'J~W- ~7'~'~ Address ~0~oX g$,',./-,qa~.,Phone No. ,gf~ .~a,
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 of a tidal wetland? * YES__ NO /
* 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 __ NO /
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY OF~S:
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the ~,/A~P,.
(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
performed in the manner set forth in the application filed therewith.
Notary Public
NO.
Signature of Applicant
~ HIOI¢
A REA = 14, ?5.? sq. ft. ~
N
PLOT 1~4 /,9 REFERENCED TO 'MAP
OF NASSAU FARMS' F/LED IN THE
SUFFOLK COUNTY CLERKS OFFICE
AS MAP NO. 1179.
CERTIFIED TO'
ADELAIDE C. AM£ND
FIDELITY /VA TIO~JA£ TITLE INSURANCE COMPANY
OF NEW YORK
NORViES ? /v/OR TGA EE OF NEW YORK, INC.
SURVEY FOR
ADELAIDE AMEND
A T PECONIC
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000-104-01-11
Scale: 1" = 30'
R~VE, $. LIC. NO. 49618
MAIN ~
$OUTHOLD~ N.Y. 11971
92-242
t
,/
./
I I
POST
HE'/~D~.R COt4N~CTIOI4 DE. TAdL
J::;'05'l HEA,[:::)E~ C. Oktl4gCTlOk[ PF--TA~,L
N o S~..~L~ :
HOLDOWN DETM\N
5P~C I FI~R~IO~S
WINDOW/DO0~ OPEN~NG TiE
(z'.~-4)
FLOOP-.
~T~\L-
TIE E)F_T~I L
II
II
DUNDATION - TWO REQUIRED
)R POURED CONCRETE
:)UGH - FRAMING a PLUMBING
DULATION
NAL - CONSTRUCTION MUST
;~ COMPLETE FOR C.O.
CONSTRUCTION SHALL
UIR EMENT$ OF THE ¢ODES OF,
4( STATE. NOT RESPONSIBLE FOR
~GN OR CONSTRUOTION ERRORS
5
~,,T-.41~E ,qEQUIREMENTS OF TI-
CODES OF NEWYORK STATE.
",-x ~ OCCUPANCY OR 1~\.~.71
· ,.': . USE IS UNLAWFULI
" " wITHout CERTIFICATI
~ ' PPROVEB AS NOTED
FLO0~ ?0 FLOOR .
' ' qAT~.~ B.p ~ ~3~
No sc~. -m:~ ~y:~
)Tl~ BUILDIEG DEPARTMENT AT
;48~2 8AM' TO 4PM FOR THE
.LOWING INSPEOT~ONS:
TAEELE ~$. I NAILING SCHEDULE - EX?OEUP~ "B" ,
NLIMBEE. OF
I NUM ROF I I
Jo!NT DEEC~FTION COMMON NAIL~ BOXED' NNL5 NAIL SPACING
ROOF FRAMING ~
TOP PLATES AT INTEF~ECTIONS(FACE-NNI ~D)
STUD TO STUD{ffACE-NAILED}
HEADER TO HEADER(FACE-NAILED
TOP OR BOTTOM PLATE TO STUD(END-NAILED)
BOTTOM PLATE TO FLOOR. JOIST,BAND JOIST,
END JOIST Om BLOCRING{PACE-NAtLED)
JOIST TO 5tLL,TOP PLATE OR GIP. DEP~TOE-NAILED)
BRIDGING TO JOISTffOEoNAJLED)
BLOCKING TO JOIET(I'OE-NAILEO)
BLOCrdNG TO 5ILL OR TOP pLATE(TOE-NAILED)
LEDGER STRIP TO SEAM{PACE-NAILED)
JOIST ON LEDGER TO BEAM(TOE'NAILL=D)
BAND JOIST TO JOIST(END-NAILED)
BAND JOIST TO SILL OR TOP' pLATE(TOE-NAILED
,11 pul I I I II IIIIII II I ~ I IIII I I
STRUCTURAL 'PANEL5
DIAGONAL BOARD BIIEATHiNG
I "XG" Om
I "X I O" OR WIDER
GYPSUM WALLBOARD
STRUCTURAL PANEL5
FIBERBOARD PANEL5
7/I G'
25132"
GYPSUM WALLBOARD
HARDBOARD
FARTICLE§OARD pANEL5
DrAGONAL BOARD SHEATHING
I "X I O" Om WIDER
2-1Gd(~
FLOOR FRAMING
3-1~¢~
3-lGd
~-lGd
, ,,,,, ~-IGd~
~OOF OH~ING
CEILING ~H~TH'NG
WALL ~HEA~ING
5a CO0~
3-10d
3-10~
7-40d
7-40¢t
3-lOS
B-tOd
5-1Gd
5-1Gal
2-~Gd
IGd
40d
4:-{ Od
2-10d
2- I O~t
4-IGd
4-1Gd
3-lOd
4-IGd
3-1Gd
PER
P.ER JOIST
~ACH LAP
EACH LAP
PER TIE
EACH END
EN;H END
PE~ F~
JoINTS-EACH 5ID~
2~"0.C.
I G"O,C.ALONG
FlOR rOOT
EACH END
EACH END
EACH BLOCK
EACH JOIBT
PEP. JOIST
PE'E JO~ST
....... P~R FOOT ,,,
IOd I G" EDGE I 12" FIL=LD
2- I O~i PER SUP.FORT
B- I Od , [=ER 5UP. FOP..T
5d
2- I Od
3- I Od
FLOOR SHEATHING
EDGE/G" FIELD
EDGE/G" FIELD
7" EDGE/ I ~Y' FIELD
~;'" EDGE/ } 2" FIELD
(~EE MANUFACTURER,)
SUPPORT
SUP.PORT
STE. UCTURAL PANEl.5
I" Om LEEB
GREATER THAN 1"
DIAGONAL BOARD SHEATHING
I "XG" OR I "XE"
) "X I 0'1 Om WIDER
Bd IOd
I0~ IGd
2" MELD
FIELD
2-Bo' PER SUPPORT
5-aA 3- t od PER SUPPORT
C. ond~m.'~ Iht;I, "INI'~NATIONAL ~TD. for H,,URRICANE P. LE~OT. REgID. CO.N5TR,', ~r
W~OD FRAME CONSTRUCTION MANUAL, by Ame~can roE~st: ~ Paper/~soc, ~ =1 ~ ,5
I,AYI.=R~ OP UNDL:P-.LAYMEN[
CEMENTED TOGETHER Of~
WAT~RPI~OOFING MFMSRAN~
~4"MIN. INE,~JF)~ DUll,DING Lli','C ~' '
flR~S% AND 5[JCCE~.DING
COtJRSE50E
WiD~ AND LAPPED
I50METRIC - TYPICAL
INDTALLATION Of ICE DAR. IR,lEK
NONE
~ //,.3046 WINE
,G'..O"EL,DOOP-.
WINDOW' ¢ DOOR, CflEDULE
NOTE; PER SECT{O~i R3 t 0 - NYe REDIDENTV'L BLOG, CODE-
ABOVE WtNDOW~ ~ DOOR5 SURPAOS EME~EN~ ~CUE OPENING5,
~QUIREMENT5 A~;
A) PE~ ~ I O. I - EACH DJ EEPING ROOM = A1 LE~T I OP~NA~LE ~NDOW
WITH MiN. EMEKGEN~ E~AFE * ~DCU~ OPEN.G; ~ ~NDOW NOT
MO~ TITAN 44' A~VE P~OR.
B) PEK ~ I O. I. ~ - MINIMUM OPENING AAEA OF 5 ~.
C) PER E310. I .2. MINIMUM OPENING HEIGHt OF 24"
DJ PER E510. I ,3~ MINIMUM OPENING WI~H OP 20 INCH~
g~
amga flo~
UNE
DECAY
P.=O.7 C,~.,,CI I Po
=t,0 for h~ted mlwct~ t
l~hall all be air entrained between 5 ard 7
.................. [ .......... ~e~dl°~d= lfl~f ,
· I lo ~.~,~.
~ean Roel beight =
For this resign th,e use of 8d deformed .....
nail hal e se for alta i g odd a _wa a t uo~ura anal
ena walla,/tmeom rooTnelg~t/a more tnan zo Teat, up xo 35 fee~
maximum. ' ~
~PIC~ROOF CONSTRUCTION
I 5~OAF F~LT
DEAL-TAP 5H[NGL~D ~ NOTE: Attachment of asphalt strip shingles ahl
have min. of 6 faatenem per shingle
~,~,LL K uem TO M^~m~.'r~ u3~ PAT.. .
~)w~[~WALL5~EA1H~G~1~"~U5~[RC~N~ECT[DMEMB~TH~TA5Ub~DNUM~5~"~mT~D1~ 16all'AfOOT. FO( this reqmn, the uae 9~ ~ defqrmed ...... , CVEEY~flCETOTOF~L.W/ ~ H B
~,O.~mT~r ~, a~u~OnN~o,eo~e~'~.cne~'~r°~*o~n'o~[~'~Me~9 nails qhal[.~e qseR for. atmq~ipg p~ooa a~_WoBa .at~cturaj panel ..
roo~ an~a~R~g to ~ram~g W~{qm mm~mu~ ee_~c~ mstonqe ~ ggme
eno WailS, it~ean roo~nelgp~ ~s mo~ [no~ zD Teat, up ~o ~o Teat
. / ~;~Af::T'E.P.. / i::: ~-0~', ~,A~;T'~ , 0 KKF~ lllU~IlllUlil. ~
/ lO,SAT FELT .
~ ~ ~ have min. of 6 fasteners per shingle
RAFTER lO TOP PL.W/=~: '~ 8
shall
STUD TO PLATE
~ HZ. 5~ ~[j: >..~.~,,----- 5/8"PLYWOOD SHT.-GLUEO
! " & SCR~ED TO DECK(WP)
UPU.= 8GO~ '~ J~ ~ ~ ',
~"x i O"r~STB~ { ~"oc 2"X4"~
,"
.~3c w/53u, ~/~" ~ >~ ~o~T5 STUD W~L '- ~:~ ,~ ~,
51&"PLYWOOD Slit ,-Gt.U[~D
~- 5CREWED TO DECK(TYP)
,,4P4 F ",." J
UPLI~'~ ~. GO0/~ Ail. I,OAg5 5MOWN ARE
I,.50M ETP-,.IC DETAIL
10"FLRJSTS~ 16"0C
5/~"PLYWOOD BItT,-GLUED
"'~' ~ 4 5CREWED q'O DECr~[Y~)
STUD WALL (TYP) :¢?;.,.
TYP A, LJ_
fOUNDATION WALl_
I G"OC
ALL LOAD5 .~"OWi" ARE
NOTE; J
ALL LOAD5 SHOWN ARE
IN ?OUND5 @ I
I,.50METIR,IC DETAIL "A"
ISC,4LE= NONE
This structure ia designed to spec from manuals by Southern Building Code
Congress Intl, "INTERNATIONAL STD, for HURRICANE RESIST, REStD. CONSTR,', &
'WOOD FRAME CONSii:kUCTION MANUAL", by American Forest & Paper Assoc.
SCALE= NONE
i REV SigNS
I
DRAWN:
SCALE: AS NOTED
JOB
DATE:
SHEET NU P-.
OF