HomeMy WebLinkAbout34365-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPA=RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33992
Date: 10/06/09
THIS u~TIFIES that the building DECK/PORCH REPAIR
Location of Property: 47A WHISTLER AVE
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 9 Block 10
subdivision
Filed Map No. __ Lot No. __
FISHERS ISLAND
(HAMLET)
Lot 11.1
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 9, 2008 pursuant to which
Building Permit No. 34365-Z dated DECEMBER 29, 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 REPAIRS TO EXISTING PORCH AND DECK AS APPLIED FOR.
The certificate is issued to FISHERS ISLJkND CLUB INC
( OWNER )
of the aforesaid building.
SUFFOLK COY3~FI~f DEP~Tb~NTOF}I~kLTHAPPRO%rAL
ELRCTRICO%L CBRTIFICAT~ NO.
PLD]4BEI{S c~KTIFICATION DA'rMo
~/A
N/A
H/A
~/~r ' Z ed/S~ature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPAN
JUN
BLDG. DEPT.
TOWN OF SOUTHOtD
This application must be filled in by typewriter or ink and submitted to the B~ilding Department with the following:
A. For new building or new use:
l. 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 certifying that the solder used in system contains less than 2/10 of 1% 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. Ifa 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: 1-[ '7 ~ ~,J~ ~ ;a .Ir I~ C
House No. Street
Owner or Owners ofProperty: /~/~',~o~'~ ,Z'~/~,,./ ~.,~/,,;on,~..~t
Suffolk County Tax Map No 1000, Section t/'/~'R~ ,/Oo~' Block OOlO Lot
Subdivision Filed Map. Lot:
Permit No. ~ Date of Permit./~.~?//~ ~' Applicant: ~'~,~te~
Health Dept. Approval: /~'//1~
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~
Underwriters Approval:
Final Certificate:
(check one)
pplical~ Signature
Hamlet
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. 34365 Z Date DECEMBER 29, 2008
Permission is hereby granted to:
FISHERS ISLAND CLUB INC
P.O. BOX E
FISHERS ISLAND,NY 06390
for :
REPAIR OF EXISTING DECK AND PORCH OF EXISTING SFD AS APPLIED FOR
at premises located at 47A WHISTLER AVE FISHERS ISLAND
County Tax Map No. 473889 Section 009 Block 0010 Lot No. 011.001
pursuant to application dated DECEMBER 9, 2008 and approved by the
Building Inspect°r to expire °n JUNE~//~9' 2olo'~'~Fee $ 200.00~A th~L~ ~ze/d S~
ORIGINAL
Rev. 5/8/02
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST) ·
FOUNDATION (2ND)
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
~~ 7 3/¢j~ ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. north fork.net/Southold/
Approved /~//c~ r ? ,20(' ~,
Disapproved ge
Expiration ,20
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, b~fore applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Smvey_
PERMIT NO. fZ/ff~r ~ ~ Check
Septic Form
Trustees
Contact:
Mail to:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
,20 o,~
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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.
fi 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 oftbe permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to the
Building Zone Ordinance oftbe 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[ corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name ofowner of premises /~/,5J~'5...~t/~.,~,~ 4~¢t.~,e/o-,~s*t ,,~-.
(As on the t~ roll or tatest oeed)
If applicant is a co.~i~re o~ly au~cer
(N~d~r~ offi~r)
Builders License No.
Plumbers License No.
Electricians License No.
Other TrMe's License No.
1. Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
(Name)
Block /0
Filed Map No.
Lot /~ (
Lot
2. 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_ Addition Alteration
Repair ~. Removal Demolition Other Work
(Description)
4. Estimated Cost ~ ~(-Y~ ~ Fee
(To be paid on filing this application) t
5. If dwelling, number of dwelling units~Number ofdwelllng units on each floor /,r-//,,g~~
If garage, number of cars /t~'./r,t ' '
6. If business commercial or mixed occupancy, specify nature and extent of each type of use.
7. D~mens~ons of exlsfing structures, ~f any: Front Rear Depth
Height. Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stories
8. Dimensions of entire new construction: Front Rear
Height Number of Stories
9. Size oflot: Front Rear .Depth
.Depth
Rear
I 0. Date of Purchase
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 premises [:;r 0 ¢ O Address ~o~ ~: &~h~,~.,.r~l~l Phone No. G~I-~'Y' )~"r
NameofArchitect ~-~6_. A~:¢ Address~,,~ ~t~'e PhoneNo ~'g~'-ftg/-3,I~
Name of Contractor Address Phone No.
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. PERM1TS 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 proper~ is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK) CONNIE D. BUNCH
· NoterJ Public, State of New York
COUNTY OF~LA f~f~._ NO. 01BU6185050
Qualified in Suffolk County ,
. C0m. mlg$ion Expires April 14,
being duly sworn, deposes ano says that (s)he is me applicant
('Nme of individual signi~,~ contract) above named,
(s)m 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 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.
Swllrn to before me this
44,dayof 20
Notary Public
TOWN OF SOUTHOLD PROPERTY RECORD CARD
ISTREET
RES.
LAND
VL~,./f o O
IMP. TOTAL
FARM
DATE
VILLAGE
D,~ST. SUB.
E
W
ACR.~ I' 2~
TYPE OF BUILDING
CO,M~. CB. MICS. Mkt. Value
LOT
REMARKS
Tillable FRONTAGE ON WATER
Woedlmnd FRONTAGE ON ROAD
Hou~ PI~
To~l
DEPTH
BULKHEAD
COLOR TRIM
Exmmk~
Extemion
Po~ch
B~
T~QI
Both
Floors
Ext. Walls Interim Finish
Fire Place Heat
· Roof Rooms Ist Fleor
Recreation Room Rooms 2nd Floor
Dommr Drive~ay
Extension
Extension
Extension
patio
PorCh
Deck
Breezeway
Garage
Pool
COLOR
9~-6" +
02 X 10 LEDGER~
CERTIF!OATIO
REQUIRED.
4X4 PT
COLUMN (TYP.)
STEPS
2X12 S
( TYP. )
RUNOFF
'TO CHAPTER 236
CODE. APPROVED AS NOTED
PEE:'Ct': ',: ...
DEPARTMENT AT
765-18 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
~(T:) R'H
.2: ROUGH-iNSU~TioNFRAMING& PLUMBING
.FINAL - CONSTRUCTION MUST
~p~¢¢~]ZED :2 X 10
SHALL
GENERAL NOTES:
1 DECK DESIGNED IN ACCORDANCE WITH LATEST EDITION OF NYS BUILDINC CODE.
2. ALL LUMBER SHALL BE PRESSURE TREATED AND SHALL HAVE THE FOLLOWING
DESIGN PROPERTIES:
PT SOUTHERN PINE (CONVENTIONAL): WDLMANIZED LVL:
! lb=l,500 PSI fb=l,900 PSI
/,fl., ,? ~- E=1,600 KSI E=1,900 KS[
(Jh;~OOUP~¢ALVFASTENERS SHALL BE HOT-DIPPED OALVANIZED
OR
STAINLESS.
MINIMUM
' 'BEOK FASTENER-2" SCREWS PER PLANK PER JOIST.
SIMPSON STRONGTIE AND HILTI PRODUCTS SHALL BE INSTALLED IN STRICT
ACCORDANCE WITH MANUFACTURERS WRITTEN SPECIFICATIONS.
FOOT]NO IS ASSUMED TO BE 2'X2' CONTRACTOR TO VERIFY.
6. RAILING TO BE INSTALLED AROUND PERIMETER OF DECK WITH OPENINGS NOT TO
EXCEED 4" FROM THE TOP OF DECK TO TOP OF RAIL (36" OFF DECK)
7. LEDGER BOARD SHALL BE SECURED TO EXISTING HOUSE WITH 5~,, DIA. LAG SCREWS
AT 12" O.C. (STAGGERED TOP AND BOTTOM).
SEE NOTE 8~
(TYP,)
2 X 10 RIM BOARD
8'-8' _+ 8'-0' + 8'-8' +
SIMPSON 27'-0"
LSU26 (TYP.)
PLAN
SCALE:Iq'' = 1'-0" ,
SIMPSON AC4 (MAX) ~, ~:2T i '2 REOU'.:iT_"fi: !]'~ OF TtiE
CONNECTOR \1
, LVL HEADER N I1"1[ ~2X10 BLOCKING
J ,,
~ , ]V~ ~ ~3 DECK SCREW (TYP.)
(TYP.) ~ W~ '
SIMPSON ABU 44
¢ ~EXISTING PiER
5'8" DIA ANCHOR ~ .~ I
BOLT. USE H]LTI
DETA I L B
SOALE: 1"=1'
8. CONTRACTOR TO PROVIDE HOLDDOWN AT STAIR STRINGER TO CONCRETE PAD.
HDLDDOWN SHALL HAVE SAFE WORKING LOAD CAPACITY (UPLIFT) OF 200LB.
EXISTING
ROOF
EXISTING
HOUSE---~
SEE NOTE 7~
GRADE%
SIMPSON
COLUMN TO ROOF
BEAM CONNECTOR
(SEE NOTE)
(2) 2X10
WOLMANIZED
LVL HEADER
~--6X6 PT
WOOD COLUMN
~RA[LING
14,_0,,+ '-,=
- - SEE DETAIL B
2X2 FOOTING (TYP.
( ASSUMED ) 1 6"Xl 6"
COHO. PIER
( TYP. )
NOTE: COLUMN TO ROOF BEAM CONNECTION SHALL BE A
SIMPSON STRONGTIE CONNECTOR. ITS SIZE SHALL BE
DETERMINED BY THE CONTRACTOR BASED ON THE
WIDTH OF ROOF SUPPORT BEAM. (2000LB UPLIFT)
SECT I ON A
SCALE: 3/16" -- 1 '-0"
PROJ. ": 2008840