HomeMy WebLinkAbout34960-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33993 ~te: 10/06/09
THIS c~KTIFIES that the building DECK ADDITION
Location of Property: 275 FARMVEU RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County T~ [qap No. 473889 Section 121 Block 7 I~ot 1
S~bdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 27, 2009 pursuant to which
Building Permit No. 34960-Z dated AUGUST 27, 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 LAUREN DWYER
of the aforesaid building.
(OWNER)
SUFFOI~K COUN~"I DEPARTMENT OF HEALTH APPROVAL
EI~gCTRIC3[5 C~u{TIFICATE NO.
PLIERS c~KTIFICATION DA'r~u
N/A
N/A
N/A
ize~'Signature
Rev. 1/81
Form No, 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPAN,
This application must be filled in by typewriter or ink and submitted to the Building Depan
A~. For new building or new use:
I.
AUG 2 7 2009
BLDG. OEP[
TOWN OF SOUTHOU)
...... thc fouowmg:
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 Planuing 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:
i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A pr°perly c°mpleted application and consem to inspect signed by the applicant, if a Certificate of Oecupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
t.' Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.013,
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:
Location of Property:)~ ~}-~-'~
House No. Street
Owner or Owners of Property: _ ~
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ~ 4 O~pO Date of Permit. ~ . ~-)..0
· Health Dept. Approval:
Planning Board Approval:
(check one)
Hamlet
Block
Filed Map.
Applicant:
Underwriters Approval:
Lot
Request for: Temporary Certificate
Fee Submitted: $ ~ ~' 'Q) O
Final Certificate:
(check one)
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUII/)ING PEP. MIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 34960 Z Date AUGUST 27, 2009
Permission is hereby granted to:
LAUREN DWYER
275 FARMVEA ROAD
MATTITUCK,NY 11952
for :
CONSTRUCTION OF A DECK ADDITION IN THE REAR YARD AS APPLIED FOR.
THIS PERMIT REPLACES EXPIRED BP # 25012
at premises located at 275 FARMVEU RD MATTITUCK
County Tax Map No. 473889 Section 121 Block 0007 Lot No. 001
pursuant to application dated AUGUST 27, 2009 and approved by the
Building Inspector to expire on FEBRUARY 27, 2011.
Fee $ 200.00
Aut~e d~S ig~nat ure
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25012 Z
Date JULY 13~ 1998
Permission is hereby granted to:
BRIAN P & LAUREN DWYER
275 FARMVEU ROAD
MATTITUCK~NY 11952
for :
CONSTRUCTION OF A DECK ADDITION IN REAR YARD AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 121
pursuant to application dated JUNE
Building Inspector.
275 FARMVEU RD
MATTITUCK
Block 0007 Lot No. 001
4 1998 and approved by the
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
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
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[~)~ FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
DATE
~ -~/o-~ 7 INSPECTOR___~' ~
:OUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITION~b COMMENTS:
- .
SOUIlIOI,D, H.~. 11971
TEl,'. 765-1802 .
-
........................................
APPLICATION FOR BUILDINg P~R~IT
BOARD OF UEAL1'~ ......... ; .....
3 $~T$ OF PLANS ...............
SURVEY ........................
C~CK .........................
SEPTIC FORH ...................
NOTIFY~
HAll, TOt ....................
INSI'RUCTIORS
A. 'Ibis application must be co.pletely [iilad in by typewriter or in ink a~l md~nltted to tim I~dlding Irmpector wi
3 sets of plans, accaraCe plot plan to scale. Fee according to ad.kale.
b. PloC plan sho~ing location of lot and of buildings on premieea, relation~dp to adjoining premises or
streets or areas, m~d giving a detailed description of leyont of property mm(: be drmm on tim dlagran ~,t~ich is pert OF
this appl icati~.
c. 'll~e ~ork covered by this application may tot be cadenced before issuance of Building Pemit.
d. Upon appvo~al of this application, the iluilding Inspector will im~e a Building P~mit to tim al~llcant.
permit shall be kept on Om premises available [or inspection thvongbont the ~ork.
e. ~0 botiding droll be occupied or used in ~t~ole or in part ~or a~ purpa~ ~hatever ontil a Certificate of
Occupancy slmll Im~e been l~canted I~ tim l~dlding Inspector.
~.ICA'I'I(lt IS t~Elff FIt~E to ti~e I~uilding llepar~ment [or tt~e issuance of a Building Pemlt purmumt to
I~ilding Zone Ordinance of the l'o~ of S~lti~old, ~f[olk C~unt-~, Ne~ York, ~d otimr applicable l.~a, Ordit~cea or
Regulationa, for tim conscruction of Imlldings, additions or alterations, or for t~,oeal or demolition, as herein
described, ll~e applicant ~greea to conply vith all applicable la~, ordinsncos, beilding ~, housing c~e, acd
regulatlo~s, ~ag to ad, it ~thorized inspectors on premises and in beilding [or necessary inspections.
· .....................
(Signature of applicant, or mmv, ii' a corl~raCi )
(Hailing address of applic~mt)
State ~ether applicant is o~er, lessee, agent, architect, engineer, ge,eral co~tractor, electrician, ph~ber or Ixtilde~
.o..~....~ ¢ .<. . ............................
~ o[ o~er of premisee ...... ~..~.~.~....~. ............. -~-
(as o~ tl~e tax volt or latest deed)
If applicant is a corporation, signature of duly oatia)rizc~l officer.
(lqare and title of corparate officer)
l~dlders Iicense No .
Pl~nbers Licerkse No ..........................
Electricians l,lcer~e NO ..................... .
Otl~er Trede's License NO .................... .
I. I~catic~ of land ~ ~ltich propns~l ~ork ~ill be du~e ........................................................ - .....
,275' £ /Sj /.z
I~ ~r St~ l~et
~ivlsi~ Fii~ ~p ~ ......
(~)
2. State existi~
i~ / F~' /v ~ ~e///~ . ....................
a. F~t ~ a~ ~y ................... ~ ................. r ................
If garage, tamimr of ~rz ......................................
6. If la*ai~maa, ~Imrelal or ml~'~qm~, ~el~ ~t;ura a~ ~tent of ead~ ty~ of u~ ......................
Ihi~t ......................... Kadmr of Stories ......................
I)inensim~s of ~m etnm~ ~ltl~ alterati~ or '~ltl~s: Fret ............... ~ar ...............
I~i~t ......................... Kmimr of Stories .....................
· ~ of C~tr~tor ................................... ~Mresa ............................... I~ ~ .............
PI.OT DTAGRAH-
I~cate clearly and distinctly all buildings, ~bether existing or pro~, ~ i~licnte alt ~t-~ di~nsi~n
~ ~/~ P. b~ ~ ......... ,~,,,~ ,,,,,~ ~,~,,. ,.,.,-..,., ~..,.~ ,. ~....~l~,~,,,t
............ .... ........
(C~traetnr, nge,t ~ eor~rste officer, etc.)
of ~aid (~r nr ~rn, mKI t~ ~1~ mtleriM tn i~tfonn or h~me I~rfim~l LI~ ~ld turk taxi to nnke mxl file thia
alqd Jestings; thet ell 8tat8m~t8 m~taiM in thi~ nllflieati~ are tn~ to
that the ~rk ~ill I~ ~rf~n~l tn tim nmi. mr ~t forth in the n~llentt{a~ fiJ~
~m ~ I~fore ~ Ods [ ~ ~
....... ~'[" ' .... ~..t.;...~
M~ V. ~ , (S ill, mi ute of al~l icnnt~ .............
Noilly NIIK SIiII d Niw Ymk
No, 4~0~712 ~ .~
OWNER
LAND IMP.
~¥REET
ACR. /, ~0
TOWN OF SOUTHOLD PROPERTY RECORD CARD t
~ ..~_~ VILLAGE , D~ST~ SUB. '~)T
TYPE OF BLD.
PROP. CLASS
TOTAL [ / DATE
REMARKS
2'7
TILLABLE
,~N,~O O DJ-AN D
M/E-AD3WLANO
HOUSE/LOT
TOTAL
FRONTAGE ON
DEPTH
BULKHEAD
M Bldg.
Extension
ion
Ex/teflon
Basement
$o
Zo ¢'~ Ext. Walls
~.-! ~ /~ ~'~--?~ ~.5'"~ /(:~-9 FirePlace
Patio
Deck
Breezewa
Garage
Pool
'78
Dormer
Driveway
SLAB
Bath
Floors
Interior Finish
Heat
Woodstove
Attic
Rooms 1st Floor
Rooms 2nd Floor
0
Dinette
Kit.
L.R
Fin, B.
BILL. OF MATERIALS --- OTHER MATERIALS
~USTOMER: BRIAN DWYER
DATE: 06/04/98 REP: 98154080.ZIP
SALESMAN # BUCKY
COMPONENT SKU QUANTITY DESCRIPTION
JOIST HANGER,10IN 40244 20 EA
JOIST HANGER NAILS 50275 1 LBS
3.5 IN NAILS 50055 1 LBS
2.5 IN NAILS 50049 ~ 9 LBS - -
6IN LAG SCREW 861260L 28 EA
1/2IN WASHER 8612W 196 EA
TIE DOWN STRAP -4~2!9 51 EA
2X2X36 CEDAR BEV 95AB 136 EA
6IN BOLT 861260C 54 EA
1/2IN NUT 8612N 84 EA
8IN BOLT 861280C 30 EA
4IN CAR PORT BRKT ~0%~ 15 EA
2 IN NAILS 50045 1 LBS
CONCRETE,80LB 2223 20 BAGS
3 IN NAILS 50051 1 LBS
JRSX 2X10-14 MANGER
1-1/2 JOIST MANGER NAILS
16D GALV NAILS
8D GALV NAILS
1/2"X6" LAG SCREW
1/2" WASHER
~T!2 TY DC'/~! JR
2X2X3 CL CEDAR
6" CARRIAGE BOLT
1/2" GALV NUT
8" CARRIAGE BOLT
~ WET POST ANCHOR
6D GALV NAILS
8"X48" BUILDERS TUBE
80 LB GRAVEL MIX
10D GALV NAILS
~ AS NOTED
~ lUlLMNe
7e1-1101 e AM TO 4 PM ~ THE
~ INMIr=CTIONS:
I I~UIIB~NIION - TWO REQUIRED
FOIl I~OURED CONCF~,' l'~:
~. ROUEN - FRM41NG · PLUMBING
4. FINAL - CONSTRUCTION MU~[
BE COMPLETE FOR C.O.
ALI. CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N Y
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERR~t~S
USE IS UNLAWFUL
W THOUT CERT)FICATE
OF OCCUPANCY
. :i
BILL'OF MATERIALS
CUSTOMER: BRIAN DWYER
DATE: 06/04/98 REF: 98154080.ZIP
SALESMAN # BUCKY
LUMBER MATERIALS $ 4260.72
OTHER MATERIALS $ 616.41
TOTAL $ 4877.13
(625.75 SQ FT,
$7.79 PER SQ FT)
WOOD TYPES USED IN DECK
DECK PLANKS TREX
STAIR TREAD TREX
STRINGERS CCA
JOISTS CCA
FASCIA CONST CEDAR
LEDGERS CCA
BEAMS CCA
GROUND POSTS CCA
RAIL POSTS CONST CEDAR
RAIL CAPS CONST CEDAR
RAIL SPINDLES CONST CEDAR
OTHER RAIL MEMBERS CONST CEDAR
TO COMPLETE YOUR DECK THE FOLLOWING TOOLS ARE REQUIRED:
CIRCULAR SAW HAMMER CRESCENT WRENCH
CHALK LINE P~AFTER SQUARE 2' LEVEL
CEMENT TROWEL MEASURING TAPE SHOVEL
WHEEL BARROW BRACE & BITS
STRE~S ANALYSIS
CUSTOMER: BRIAN DWYER
DATE: 06/04/98 REF: 98154080.ZIP
SALESMAN # BUCKY
MEMBER STRESS FACTOR COMPOSITE
TYPE SIZE FACTOR LOAD LOAD
JOISTS 2X10 DEFLECTION 149 PSF
16IN BENDING 110 PSF
SHEAR 135 PSF
COMPRESSION 176 PSF 110 PSF
BEAMS 2-2Xi2
BOLTS 1/2IN
POSTS 4X4
DEFLECTION 249 PSF
BENDING 79 PSF
SHEAR 68 PSF
COMPRESSION 183 PSF
SHEAR 1575 PSF
68 PSF
1575 PSF
STABILITY 259 PSF 259 PSF
TOTAL LOAD 68 PSF
DEAD LOAD 10 PSF
LIVE LOAD 58 PSF
STRINGER 2X12 DEFLECTION 258 PSF
BENDING 182 PSF
SHEAR 164 PSF
COMPRESSION 637 PSF
TOTAL LOAD 164 PSF
DEAD LOAD 10 PSF
LIVE LOAD 154 PSF
STRINGER 2X12 DEFLECTION 260 PSF
BENDING 184 PSF
SHEAR 166 PSF
COMPRESSION 645 PSF
TOTAL LOAD 166 PSF
DEAD LOAD 10 PSF
LIVE LOAD 156 PSF
PLaN VIEW
CUSTOMER -- BRIAN DWYER
DATE 06703798 REF 9BIS'~080. ZIP
RB$C
ROUTE 26
GREENPORT, NY
JOIST~ ~t j~sts ~ ~p af~cmta t~ ~er.
[~ n~ss~y it~ ~e s~s~d ~i~ i~ n~ a f~i~ bu~hg ~ Y~ are t~pon~b for
~f m~do~ b ~e structure.
detail ovoilebte Worn y~r stere
BILL 'OF MATERIALS --- LUMBER
CUSTOMER: BRIAN DWYER
DATE: 06/04/98 REF: 98154080.ZIP
SALESMAN # BUCKY
COMPONENT SKU QUANTITY DESCRIPTION WOOD TYPE
354X06X12T 19 EA 5/4X6 12 TREX
DECKING
DECKING 354X06X16T 75 EA 5/4X6 16
BENCH SIDE 32X06X16T 4 EA 2X6 16'
BENCH BACK 32X06X16T 4 EA 2X6 16'
RAIL CAP 62X06X12 8 EA 2X6X12
HORIZ RAILS 62X04X12 15 EA 2X4X12
BENCH TOP 32X06X16T 4 EA 2X6 16'
BENCH LEG 34X04X16T 2 EA 4X4 16'
BENCH SUPPORT 32X04X16T 2 EA 2X4 16'
RAIL POST 64X04X16 6 EA 4X4X16
STAIR POST 64X04X16 1 EA 4X4X16
STAIR STRINGER 702X12X18 t EA 2X12X18
STAIR TREAD 354X06X12T 9 EA 5/4X6 12
STAIR STRINGER 702X12X12 2 EA 2X12X12
BEAMS 702X12X08 1 EA 2X12X8
BEAMS 702X12X14 1 EA 2X12X14
BEAMS 702X12X12 1 EA 2X12X12
BEAMS 702X12X10 6 EA 2X12X10
BEAMS 702X12X20 2 EA 2X12X20
JOISTS 702X10Xlk~ 15- EA 2X10X14
JOISTS 702X10X12 1 EA 2X10X12
JOISTS 702X10X10 16 EA 2X10Xl0
JOISTS 702X10X16 1 EA 2X10X16
JOISTS 702X10X20 3 EA 2X10X20
JOISTS 702X10X18 2 EA 2X10X18
J-SPLICE 702X10X16 2 EA 2X10X16
FASCIA 62X10X14 2 EA 2X10X14
FASCIA 62X10X08 2 EA 2X10X8
FASCIA 62X10X16 2 EA 2X!0X16
LEDGER 702X10X14 3 EA 2X10X14
LEDGER 702X10X08 4 EA 2X10X8
LEDGER 702X10X16 2 EA 2X10X16
STAIR HAND RAIL 62X06X16 2 EA 2X6X16
HORIZ STAIR RAILS 62X04X16 4 EA 2X4X16
GROUND POSTS 704X04XI6 3 EA 4X4X16
TREX
TREX
TREX
CONST CEDAR
CONST CEDAR
TREX
TREX
TREX
CONST CEDAR
CONST CEDAR
CCA
TREX
CCA
CCA
CCA
CCA
CCA
CCA
CCA
CCA
CCA
CCA
CCA
CCA
CCA
CONST CEDAR
CONST CEDAR
CONST CEDAR
CCA
CCA
CCA
CONST CEDAR
CONST CEDAR
CCA
~U1
CLISTOME~I -- BRIAN DWYER
DATE 05/04/88 REF ~81~40eO.ZIP
ROUTE :"6
GREENPORT. NY
~45 mo
~5
F45
F45
F22
F22
¢' ledger ~J' J3 3/S' r45
S ~osOo ]~ 6' FO
R~ S ~r 15' 5 3~' FO ~5
R45 ~ c~ 6' 8 ~8' F~
~0 U cop ~' 8 V~" F2~
PO II ~4~m 3' 6 1/4'
V cod ~' 8 ~ FO
S45 ~ c~ 6' 8 ~8' F~
%45 ~ cop ~5' 9 3/4' F22
S45 v ca~ 3' 134~
3.22 Y s~m 8' {546'
S~ Z c~ 1' 5 ~2'
S45 Z m~i~ 1'
S45 a cap JO'4 3~" FO S22
LAYOUT
CI.J~TOMEE -- BRIAN DWYER
UTE 25
GFIEEMPORT. NY
DATE 05/04/85
L' I i~./17
I~EF 98154080.ZIP ,.,,.,~ ~*
9'
JJ' 4 J/4'
8F_.AM L;IF_..AI,.,I Pos*-r POST
LABEL LID~T~t COUNT
A ~ 3116' 2 I' 7
8 6' 9 7/16" 2 5' 4. 15/1~"
C. 6' 4 I/.-"' 2 5'
D 2S' g' 6
E Ie' ~, I/2' 4
D~th .~ c~m:rete fac/cern --- 3~ ~::h~ei. ~
RBSC
ROUTE 25
GREENPORT, NY
3
THE LOC?/T!O?,! OF WELLS, SEPTIC
I'AKi~'~.~ ..!,'~,~,::::., ........ ,
......... :., , ..... .,~"- _,,.: ,:,, IOWlq
14EREON A~:~ HELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
CERTIFIED ONLY TO: /,.../ ~
DESTIN G. GRAF N.Y.S. LIC No. 50067
TAXlD. N0, Io<~- I~-~-' 07-- OI.O '---F
SURVEY OF: ~,-'~2 ~ ~-7
~YDATE: ~-1'('-~{c~ SCALE: I "~_...~o'
DESTIN G. GRAF
LAND SURVEYOR
73 WOODLAWN ROAD
ROCKY POINT, NEW YORK 1 t778
PHONE {516) 821,3442