HomeMy WebLinkAbout32302-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34038
Rte: 10/27/09
THIS CERTIFIES that the building DECK
Location of Property: 675 CEDAR DR MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
Coualty Tax ~ap No. 473889 Section 106 Block 11 Lot 7
subdivision Filed~4ap No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 13, 2006 pursuant to which
Building Permit No. 32302-Z dated AUGUST 22, 2006
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 ~%¥~TING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to KENYON H & KATHRYi~ E TUTHILL
(OWNER)
of the aforesaid building.
SIIFI~DLKC~DI~I~fDEPAR~TOF~J~TH~PRO%5%L
RY.~rKICJkL ~TIFIC3%THNO.
PLI~BERS ~TIFICJkTION DASD
N/A
N/A
N/A
Au~orized Signature
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 wit
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and ur
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.
5.
i~e dlo~g:
~sual natt~
Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
Commercial building, industrial building, multiple residences 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.
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, Commemial $15.00
Date.
New Constmction:
Location of Property: ~,~ 7-~
House No. Hamlet
OwnerorOwnersofProperty: . .~._~v .~_ 3. }~~/~ ~
Suffolk County Tax Map No 1000, Section Block Lot
Old or Pre-existing Building:
Street
(check one)
Subdivision
Permit No. ~ Date of Permit.
Health Dept. Approval:
Filed Map. Lot:
. Applicant:'~_~
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~,5,, ~0
Final Certificate.'~'""Q
(check one)
Applicant Signature
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.
32302 Z Date AUGUST 22, 2006
Permission is
hereby granted to:
KENYON H & WF TUTHILL
PO BOX 247
WHITEFIELD NH, 03598
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.REPLACES BP# 30376
at premises located at
County Tax Map No. 473889 Section 106
pursuant to application dated AUGUST
Building Inspector to expire on FEBRUARY
675 CEDAR DR MATTITUCK
Block 0011 Lot No. 007
13, 2006 and approved by the
22, 2008.
Fee $ 150.00
~uthorized Signature
Rev. 5/8/02
ORIGINAL
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. 30376 Z Date JUNE 3, 2004
Permission is hereby granted to:
KENYON TUTHILL & WF
PO BOX 247
WHITEFIELD NH, 03598
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at 675 CEDAR DR MATTITUCK
County Tax Map No. 473889 Section 106 Block 0011 Lot No. 007
pursuant to application dated MAY 25, 2004 and approved by the
Building Inspector to expire on DECEMBER 3, 2005.
Fee $ 150.00
Authorized Signature
ORIGINAL
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
REMARKS:
~ ,~ ?~,Y ?o ~/_._,
DATE ~r.- ~-~-~--'~ 0 INSPECTOR
Xq'~:Lb INSPECTION REPORT DATE [ COMMENTS
FOUNDATION (lST)
FOUNDATION (2ND)
PLUNIBmG
~S~A~ON P~ N. Y.
STA~ E~R~ CODE
~0~ CO~S
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.netlSouthold/
Examined
Approved
Disapproved aJc
,200¢
Expiration
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
Contact:
Mail to:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date yik~,~ Zq ,20oc{
INSTRUCTIONS
· a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sc~ 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
sh~ll 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 perrmt 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, buildkng code, housing code, and regulations, and to admit
auth°rized inspect°rs °n premises and in building f°r necessary inspectidn~' d~ ~) .~
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises k~r~'~or-3 "~--{~.~- k({_.~t.. ¢
(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.
1. Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
Lot
Lot
Block ] I
Filed Map No.
(Name)
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 ~h~,,.~,~_
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~ cf l OO ~' Fee
5. If dwelling, number of dwelling units
if garage, number of cars
Addition ~]~ 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.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear Depth ~
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size oflot: Front /'0'~ Rear I oo/
Rear Depth
.Depth
Rear
10. 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
14. Names of Owner of premises ]~-/r~ cqod T~-'[ [, '[ I Address (o-1 .~ _.~,(/t~tZ' 0 ~, Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
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 iX.
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO~/
16. Provide survey, to scale, with accurate foundat:'ov pl~an 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.
STATE OF NEW YORK)
SS:
COUNTY OF )
5~'~ ~'- being duly sworn, deposes and says that (s)he is the applicant
(Name of indi'~idual signing contract) above named,
(S)He 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 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.
Sworn to before me this
oQ' -~- (~aY°f 4 _]~t, 20 ~-~-~
U N~ary Public
JOYCE M. WILKINS
Notary Publio, State ~ Now yod~
No. 4952246, Suffolk County
Tem~ Ex~ires June 12,
· ¢(.ERN OF SUFFOLK COUNTY
/o~o-/o~;-//-7 TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER StRE~T 67,~ VI,LAGE D~ST. SUB. ,OT~
FORMER OWNER, N .. ~ E
' s ~ 'rv~E OF BUiLDiNG
RES. ,~,./~ SEAS. " VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
No ,
FA~ Acre Value Per V~lue I
Tillable 2
Tillable 3
Wo~land
Swampland FRONTAGE ON WATER ~ ~
3rushl~nd FRONTAGEON ROAD ~ ~ ~. ~.00 ~ ~ ~
House Plot DEPTH j ~
~ ~ 9ULKH~D
Fetal DOCK
E../~.~
~Te~s~n
Extension
Porch
Porch
B reezewoy
Garage
Patio
Total
TRI,M
Foundotion
Basement
/111 1_1, II ,b~F I1'1.1 I I,
I I I ~[~1't:11 I ~l}'[rl IIq'~llllll II II
l II 13~] Itl I E~III I I I I I I I I I I
I I I ~"b~F h~lllllllllllll
II I~:f~rl I I I I I I I I I I I I I I I
Bath
Ext. Wails
Fire Place 7
Floors m-~
Interior Finish ~', J~_,
Heat
Type Roof
Recreation Roorr
Rooms 1st Floor
Rooms 2nd Floo~
Dormer
Driveway
inette
LR.
DR.
FIN B
BR.
ALL CONSTRUCTION SHALL
L
7'-6"
2x8 JoisI
/8 ACQ Header
"Galv. Lag Bolts 16" OC
=
/
16" OC
II
Between
Balusters Max.
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
CERTIFICATION OF
NAILING & CONNECTIONS
REQUIFIED.
OCCUPANCY CR
USE IS UNLAWFUl
WITHOUT
OF
'"'"'"'"'"""~x4 ACQ Post
Design Loads:
- Exterior Deck - Live Load - 40 psf
Dead Load - 10 psf
NOTIFY AT
765-180~ 8~
FOLLOWlN~
1. FOUNDATION R~UIRED
FOR PCX,IRED
P.. ROUGH - FRAMING & PLUMBING
ao INSULATIC~
Lots 30 and 31
See Attached Copy of Survey
Site Plan Pmpareci from S~ b~,
"--4x4 ACQ Post
. / 2x8 ACQ Beam
'~' 1 2xSACOJoist16"OC '~,,,,, .... ~q~[~"'""~To(2)~"OGalvB°ltePosts
, '"'""-~,~ x 6 Decking ride
ACQ or Cedar
impaon LU28 Joist Hanger ~--Simpson U :128 Joist Hanger
2x8 ACQ Header
3' lin
~" Galv. Lag Bolts 16" OC
· ~''-P~oured
Concrete
Foo~g
~ Section Detail
5CA. LE: l/Z" = 1'~"
- Wind Loads - 120 mph - ASCE-7
MWFRS - Method 2
Component and Cladding - Details from
4. FINAL - CONSTRUCTION
BE COMPLETE cOR
ALL CONSTRUCTION S~4.L MEEI' THE
~EQUIREMENTS OF THE COOES OF
fORK STATE NOT RESPON~ FOR
Howard Young
WFCM TABLE 3.8 3ESIaN OR CONSTRUCTION
Design Criteria - NYS Residential Code R301,2.1.1
and utilized the methods and procedures stipulated
in Chapter 2 Engineered Design and Chapter 3
Prescriptive Design in the Amedcan Forest and
Paper Association Wood Frame Construction
Manual for One and Two Family Dwelling Units -
High Wind Addition and ASCE 7. ~'~00] )
COMPLY WITH CHAP
FLOOD DAMAGE PREVENTIONU~
SOUTHOLD TOWN CODE.
Condon Engineering, P.C. Tuttie Residence
Drawn by: JJC: 1755 Sigsban Road Cedar Drive S-1
Ivlattituck, New York 11952
o=:~-2~ (~3~) ~,s~ Mattituck, New York