HomeMy WebLinkAbout34981-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34108 Rte: 12/03/09
THIS C~KTIFIES that the building DECK ADDITION
Location of Property: 740 LONGVIEW LA SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Taxx Map NO. 473889 Section 88 Block 4 Lot 50
Sukx~ivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 31, 2009 pursuant to which
Building Permit No. 34981-Z dated SEPTEMBER 3, 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 EXISTING DECK ON AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to CAROL O'HAGAN & CHARLES R ROWAN
( OWNER )
of the aforesaid building.
SUFFOLK CO~l"f DEPi%~T~T OF ~{EALTH APPROVAL
ELEt-rKICAL CERTIFICATE NO.
PLIERS CERTIFICATION DA'i'MD
N/A
N/A
N/A
Rev. 1/81
Form No. 6
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
ApPLICATION'FOR CERTIFICATE OF OCCUPANCy
This application must be filled'ia by typewriter or ink and SUbmitted to the Buildia~g DeparUnant with the f
· A. For new building or new use:
1. Final survey ofpropeW/with a~urate location Of all buildings, property tines, streets, and unusual
· topographic features.
2. Fin~! Approval from Health Dept. of water aupply and sewerage-disposal (8-9 form).
· 3. Approval 0 f electrical installation from Board o f Fire Underwriters'
atul ! or
4. Sw0m stat~men~ from plumber certify/n~ that the SOlder used ia system euntai~s less than 2/10 of 1% lead.
· 5. Commercial building, industrial building, multiple residences'and similar buildings and installations, a cer~ifieate
· Of Code. Complian6e.from architect.0i- engineer respousible for the building.
· 6. Submit Planning Boanl Approval.of eomP!eted site plan requirementa.
"B. F~r existing bui~di~gs (pri~r t~ Apri~ 9~` ~ 9 57) n~n-c~nf~rm~ng us es~ ~r bui~dings und "pre~e~dsting~ land uses: · l. ~A~curat¢~urvey~fpr~pertysh~wiaga~pr~p~rty~i~es~str~ts~bui1dingandunusua~natural~rt~p~graphic
.2. A pr~per~y c~mp~~ted app~icati~n~ a~d ~~nsent t~ inspect sign~d bythe app~icant~ If a Certi~cate ~fOecupanc y is~
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
· 1. Certificate 6fOccupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25 00,
Swimming pool $25 00 Accessory building $25 00, Addition~ to accessory building $25.00, Bnsin~sc~ $50.00.
:. 2. Certificate of O~cupancy on Pm-existing Building - $100.00
3. Cgpy of Certificate of Occupancy ~ $.25
4. Updatexl Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00 Commercial $15.00
(cheCk one)
[' mit Sq' ? ?l 9__ O
Date of Permit.
Health Dept. Approval:
Planning Board Approval:
t~equeat for: Temporary Certificate
Underwriters Appmvah
Final Certificate: /
(checkone)
?ee Submitted: $
Applicant Signature
New Constnlcfion: : ."f]~-~A ~
Old or Pre-exisY'mg Building:
LoeationofP~opetty: ~7 VD' .d.~o~.~z//'/~'~ L.-,~ .
H0nse No. Street
Owner Or Owners of PropertY: . ~'~ r-~q~' ~" .~'/_F' ' '~ O vo A t~/_7 . Hamlet
l~5'olk CountyTaJ¢ Map No 1000, Section ~~l~o'0c~0~Bloek t90 O c{ Lot O q/6.
subdivision 7~/~ c~ ~/~ W~,~ ~F
Filed Map... ~ e /
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. 34981 Z Date SEPTEMBER 3, 2009
Permission is hereby granted to:
CATHERINE V ROWAN C/O CHARLES
206 S GADWELL CT
HAMPSTEAD,NC 28443
for :
CONSTRUCT DECK ADDITON TO EXISTING DECK ON SFD PER APPROVED PLANS
AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 088
pursuant to application dated AUGUST
Building Inspector to expire on MARCH
740 LONGVIEW LA SOUTHOLD
Block 0004 Lot No. 050
31, 2009 and approved by the
3, 2011.
Fee $ 200.00
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
[ ] FIRE RESIST~CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:"~'-~ ~/~ .
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ]ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[~MING / STRAPPING [ ]FINAL
[]FIREPLACE&CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
R E M AR KS:~,~-~---~--~ ~,
INSPECTOR~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] I N,~fUL-ATiON
[t~INAL
[ ] FIRE SAFETY INSPECTION
[ I FIRE RESISTANT PENETRATION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
REMARKS:
DATE
INSPECTOR
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL o.
SOUTHOL]~; NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined £j / ")p 20
Approved f2~ t ~ ,20 0)q
Disapproved a/c
PERMIT NO.
Expiration O 1.5 ,20
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
~ 4 sets of Building Plans
Planning Board approval
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date ,20
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 water~vays.
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 ~nonths from such date. If no zoning amendments or other regulations aflLctiag 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 ~orporation)
/ogo cor y
(Mailing afldress of applican~ ~ ~
State whether applic~t is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises/~J/~/~ ,Off' Cfl "Ct.( grlr'~/ P," S r['4 0 ',,'d ~. r',/ -
(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
County Tax Map No. 1000 Section
Subdivision ffU~F Ot~ ~-~[?r~7 ~otlfff'~-S
Hamlet
Lot
Block
Filed Map No. 9'- ~o; Lot
State existing use and occupancy of premises and intended use and occupancy of proposed cons,~;kruction:
a. Existing use and occupancy
b. Intended use and occupancy 0u~-dt,tg~ .~'.NL.~
3. Nature of work (check which applicable): New Building
Repair Removal
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Addition
Demolition Other Work
Fee ~
Alteration~}~
(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
8. Dimensions of entire new construction: Front /"/'
Height Number of Stories
9. Size of lot: Front /L~~ Rear /~Y'
Number of Stories
Rear lq z
Depth
10. Date of PurchaseL%r/5~l'~'/:¥' O/= ~/~'~ Name of Former Owner
Rear
Depth /Tl
1 l. 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 Near, Will excess fill be removed from premises? YES NO ~
14. Names of Owner of premises Address I0~ Oog~ cg b~ Phone No.b 3 i ~g~/TbJ ~
Name of Architect(P~~ Address Phone No 7q -
Name of Contractor ~ ~ ~ ~ ~ ' Address -~ ~ ~l~Phone No. ' '
15 a. Is this property within 100 feet of a tidal wetland or a ~eshwater 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~X7
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY 0 F~]~-~-.:
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
CONNIE D BUNCH
(S)He is the Not:am P, hlie q%to ,,~ ,..... York
(Contractor, Agent, Corporate Officer, etc.) 'No.
Qualified in Suffolk County
Commission Exoires April 14, 20
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file t ~h52-application;
that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be
peri[brmed in the manner set forth in the application filed therewith.
Sworn to before me this 1
.~[~4- day,of.~3fAA(,A.,t~ 200~
Nota~ Public ' ~' ~
Signature of Applicant
. Tow__ .n of Southold
Eros;on~ Sedimentat~on & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: $.C,T.M. #: THE FOLLOWING ACTION8 MAY REQUIRE THE SUBMISSION OF A
/O0(~ S0Jo~n __..~ . .~C) STORM.4NATER, GRADING, DRA,NAGE AND EROSION CONTROL PL~u.
District Block L~t CI=~,n-iED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW Y0111g-
Item Number:. (NOTE: A Check Mark (~) for each Question Is Requ~:l for a Compiste Application)
N._.~o
1 Will this Pmjeof Retain Ail Storm~W~tar Run-Off Generated by a Two (2') Inch Rainfall on Site? ~ r'~
(This item will include all run-off created by site cleadng and/or construction activities as well as all Site
Improvements and the permanent creation of Impervious sudaces.)
2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location?
This Item shall loclude all Proposed Grade Changes and Slopes Ceetrotiing Surface WaterFIowl
3 Will this Project Require any Land Filling, Grading or Excavation where them is a change to the Natural
Existing Grade Involving mom than 200 Cubic Yards of Matedal within any Parcel?
4 Will this Application Require Land Disturbing ActMties Encompassing an Area in Excess of
Five Thousand (5,000).Square Feet of Gm,and Surface?
5 Is there a Natural Water Coume Running through the Site? .
Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach?
6 Will them be Site preparation on Existing Grade Slopes which Exceed Filteen (15) feet of Vertical Rise to
One Hundred (100') of Horizontal Distance?
? Wi. dvaways. ,a ing A as or other Im,ervious Su, s Sloped to Oi ect to -Wat Run . I----i
into and/or in the direction of a Town right-of-way? ' L.__J
8 Will this Project Require the Placement of Material. Removal of Vegetation and/or the Construction of r~
a~y Item within the Town Right-of-Way or Road Shoulder Area? [__,J /'--
O'his item will NOT Include the Installation of Driveway Aprons.)
9 W/ti this Project Require Site Preparation withth the One Hundred (100} Year Floodp a n of any Watercourse? ~] i--
NOIE: II Any Answer to Que~tlon~ One through Nine is Answered with a Cheek Mark in the Eox. a Storm-Watar,
Brelnefle & Erosion Control Plan ts R~qulred and ~u$I be Submitted for Re¥i~w Prior to I~uance o[ Any Buildth~ Pe~,mltl
EXEMPTION.' Yes No
Does this project meet the minimum standards for classificatlo~ as an Agricultural Protect?
Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan Is NOT Requiredl -- ~
STATE OF NEW YORK, _
counTY ss
That I, ........~.....~...~.....~..h~.....r~... ........ being duly swora, &poses and says that he/sbe is the applicant for Permit~
~:i~itn~iS~me iSr~intafive t_.~. o.na?._......._._._._...__._._.... ~4a.., ~gD~m..,)oftbe Owner of Owne;'~:~;]:ru~: ............ : ....... ~gue~oC~::':oO::[:c~,ml ........... ' ........ :'"i ................. or~~~d toi":"--"'-'-¢O"- -... .................
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 t)e performed in the manner set forth in the application filed herewith.
Sworn to before me this;
....... ~) '~ dayof~~ ,20 ~I
...................... ": ............. : ........ :(6:5 ............ , .....
Notary Pub c ~. ~...., ...~.~.....,./,~)~(_4./.'J'%,, ....
FORM - 06/07
TOWN OF SOUTHOLD PROPERTY RECORD CARD /~-~
/ .... LOT
OWNER STREET ~7~/O VILLAGE DIST. SUB.
~FO, RMER OWNER '"' E ACR. /' _j c,,'
S W TYPE OF BUILDING
~,~ G.?
RES.~=._/~) SEAS. VL * · FARM COMM. CB. MICS. Mkt. Value
LAN D IMP. TOTAL DATE ,
REMARKS ' k,._,~ '~,¢[ (,/~',
' ,¢. '/ '
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
-FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Wo~land FRONTAGE ON ROAD
Meadowland DEPTH
House Plat BULKH~D
Total DOCK
Extension~
Extension
Porch
Foundation
Basement
-'~_._ Bath
~._~ L..L~ Floors
Dinette
K.
Breezeway
Garage
Ext. Walls
Fire Place
Type Roof
Patio Recreation Room
O.B. Dormer
Total
Interior Finish
Rooms 1st Floor
Rooms 2nd Floor
Driveway
LR.
DR.
BR.
FIN. B
TIMBERTECH RAIL SYSTEM
0N 4X4 POSTS
~ X 6 TIMBERTECH DECKING
Framing Notes:
The contractor is to verity all measurements in the field and
any discmpenciee am
to be brought tothe attention of the Engineer p~or to construction.
Wood Framing
I. AIl lumber is to be No. 2 or botter Deeglee Fir Lamb (N) with
the foriowing minimum spsclficafioee:
Fb = 825 psi
Fv = 95 psi
Fc pe~) = 025 ~
E = 1,600,000 psi
2. Ali Laminatod Veneer Lumber Is to have the fol~,~ng
minimum specifications:
Fb = 21900 psi
Fv = 290 psi
Fc perp = 6.50 psi
E = 2,000,000 psi
3. NI booms fabficafad with multiple Laminafad Veneer Lumper beards
am to be na[led/belfad in accordance with he manufacturer's sps~eetlons.
4. N~ sffape, eeneec{a'B, plates, befis, nalfa, BiO, ara to be galvanized
or sfain~ess steel.
5. Deeignafad cennectom, strop otc. on theee drawings are made by
Simpson unless indicated othe~vlee.
6. AIl eennectom, strops etc. am to be nalled~olfad In accordanee
with the manufactomr's specifications
7. NI joist and beam hangem and tastenem used on the exterior and
In contact with pressure treated lumber are to be Simpson Type 304 or
3t6 Sfainless Steel.
8. Ail bclfa, nuts and washem am to be statolees steal Or hot dipped galvanized.
BLOCKING.
~ X TRIM PIECE
SIMPSON STRAP TIE w/S #8x2~/2'
SCREWS T&B, TYP, @ 48"o.c.
@ BUILDING PERIMETER
SIMPSON AB44Z
BOTTOM OF SETFING SET 38", MIN.
BELOW GRADE, ~ GALVANI2~D ANCHOR
BOLT. WI 4 X 4 POST, TYP.
SECTION
½"= 1'-O"
INE OF EXISTING STRUCTURE
EXISTING DECK ABOVE
EXISTING 2- 2 X 10 ACQ
GIRDER & FOSTS
NEW- 2 X ~.0 AC(~ co
GIRDER ~
2
- 2 X 8 ACQ DECK JOISTS
16" O,C,
LINEOF
DECK
ABOVE
DECK ELEVATION
OCCUPA/',' ¥
L.., UNL/:¢/I/F:UL
WITHOUT CERTIFICATE
OF OOCUPANCY
J
~12' ~ CONCRETE FILLED SONOTUBE
BOTTOM OF SETTING SET 36", MIN.
BELOW GRADE, J GALVANIZED ANCHOR
BOLT, W/4 X 4 POST. TYP.
DECK FOUNDATION PLAN
CERTIFICATION OF
NAILING & CONNECTIONs
REQUIRED.
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
~ NEW 4 X4 ACQI
DECKING
ALL CONSTRUCTE.'H SHALL
. tEREQUiREMP' ¢
MEET fF :1 ¢(t, r
TO BE REPLACED IN K
EXISITSG HOUSE STRUCTURE
EXISTING STEPS
TO BE REP!J~ED
(+/- s?
1
DECK PLAN
b