The URL can be used to link to this page

Home My WebLink About34063-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34131 ~te: 12/11/09 TI{IS CERTIFIES that the building DECK ADDITION Location of Property: 1740 RUTH RD (HOUSE NO.) County TaxMap No. 473889 Section 106 Subdivision Filed~lap No. __ MATTITUCK (STREET) (HAMLET) Block 1 I~t 8 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 3, 2008 pursuant to which Building Permit No. 34063-Z dated JULY 16, 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 DECK kDDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. Ge certificate is issued to IRENE PL~LKI~ of the aforesaid building. (OWNER) SUFFOLK CO~ DEPART~gNT OF }IEALTH APPRO%rAL ~,Rt-rRIC;[5 U~aTIFICATE NO. PLU[~ERS CERTIFICATION DAT~ N/.~ N/A ~ Auth~ized 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 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 of electrical installation from Board o f 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 bui ausu~I natural or topographic BLDG. DEPT. int. If a Ce~i~al~tt~ffiOta:upancy is 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 buildi 1. Accurate survey of property showing all property lines, streets, building and ~ features. 2. A properly completed application and consent to inspect signed by the applic denied, the Building Inspector shall state the reasons therefor in whting 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 Date. 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 [ ~ ($9 Date of Permit. ~ l I ¥ [ 0 ~ I Pt' Underwriters Approval: Final Certificate: Subdivision CO, ~'~ iv~ Permit No. '3 q 0 {.0 ~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ '5"'- 0 0 -c_c 7 7trig (check one) Hamlet Block O I Lot O ~ Filed Map. ~ I~-] ~ Lot: I -/ O Applicant: C,~~-tt~°r '-~ 0_..~x6tv-~x~5 '"-~. (check one) Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUII~)ING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34063 Z Date JULY 16, 2008 Permission is hereby granted to: IRENE HALKIAS 1740 RUTH ROAD MATTITUCK,NY 11952 for : DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 106 pursuant to application dated JULY Building Inspector to expire on JANUARY 1740 RUTH RD MATTITUCK Block 0001 Lot NO. 008 3, 2008 and approved by the 16, 2010. 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 ~ ~X~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ]ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION ~ FRAMING ~ [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONS'rRuc'noN [ ] FIRE RESISTANT PENETRATION REMARKS: DATE /D-- ~'- of INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c Expiration 7/~b ,2oot' PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the follol,ving, before applying? Board of Health 4 sets of Building Plans Planning B~ard approval fi, Il /~ Survey Check ~'/ Septic Form ~ ] /4 N.Y.S.D.E.C.~J/' t~ Trustees k]/fqv ._ Flood Pe~it /~l/~ Storm-Water Assessment Form Contact: Mail to: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS Phone:'~ [~ q- i 3~ [ 3gob q ' '5 ,20 og a. This~iication 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 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 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 ofl?uildings, 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. (M~i'fing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer~tract~, electrician, plumber or builder Name ofowner ofpremises ...-~-~'"CVx'~.. [-~a[-[ k 1' It ~ (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. q q -/ q 0 Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed york will be done: House Number Street Hamlet County Tax Map No. 1000 .Sec,tion IO(a,,,, _~'~ .'1~- .x~._-~__-' Lot Subdivision ~ ~ ?+ ~td~ ~ ~0+~-:~~ ~ ~ Lot State existing use and occupancy of premise~s and intended ~se 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 Repair Removal Demolition Other Work 4. Estimated Cost ff ~- 00 Fee 5. If dwelling, number of dwelling units If garage, number of cars Alteration r[~) 'e- ~D[q~escription) (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. J 7. Dimensions of existing structures, if any: Front Height Number of Stories [ Dimensions of same structure with alterations or additions: Front ~ ~',.~ '~ I ~, a Depth Height Number of Stories 8. Dimensions of entire new construction: Front [ 0 ~ · Rear ~ 0 Depth Height Number of Stories Rear I ~'q Depth Rear I1-~' ~+t° 3o 9. Sizeoflot: Front Rear 10. Date ofPurchase ~ [ ['),,.g ["~ q Name of Former Owner 11. Zone or use district in which premises are situated .Depth 12. Does proposed construction violate any zoning law, ordinance or regulation? YES l 3. Will lot be re-graded? YES NO V'~ill excess fill be removed from premises? YES__ 14. Names of Owner ofpremises'~'v'~-~'c ~t~k,~q~ Address ["/HO ~ ~d~ Name of Architect ~J ~qc-.~ ~ ,.~ -O" Address Name ofContractor~v~,~','~ f2,~.,u,,,~ Address'~l~ I~'~-°l NO NO ~ Phone Phone No Phone 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__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provid_e surve~le, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at I 0 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) SS: COUNTY OF ) --O~e_.~ -~14'J/L ~-'~ It'~4.c.,-e --'~'- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the CO ~"h/'V'*~O'{'~rw' (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 Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: 5,C.T.M. #: District ~ Bloc~k lot~ THE FOLLOWING ACTIONS MAY REQU RE THE SUBMISSION CFA STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL plAN CERTIFIED BY A DESIGN PROFESSIONAL IH THE STATE OF NEW yORK. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No 1 2 3 4 5 6 7 8 9 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures indicating Size & Location? This item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (I00') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vedical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons,) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? 171_ NOTE: if Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit[ EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Required! __ __v' STATE OF NEx,¥ YORK, COUNTY OF ........................................... SS That I ................................................................................. being duly sworn, deposes and says that he/she is d~e applica]n tbl Pernfit. (Name of individual signing Document) CONNIE D. oUNbh Notary Public, State of N~w ¥0n, And d~at he/she is dm ..................................................................................................................... No. gJ. BUd~S85.0 ...................... (Owner, Contractor, Agent, Corporate Officer etc.) 0ua tried in Suffolk Count, /'h ' Commission Expires Apd 14, 20 ~ Owner and/or representative of fire Owner of Owl!er's, and is duly attd~orized to perform or have pelt-ormed fl~e said work and to tnake and file this application; that ;dl statemenCs contained in fi'ns application are true to thc best of his knowledge and belict} mid that rite work will be performed in fl~e manner set forth in file application filed berew,ifl~. Sworn to before me d~is; ~ £ ¢'1 day of ~ ............................................... ...... ................... oc72 Notary Public: ..~..~.......L ....... ":-~.~..~ ............ (Si§nature of Applicanl) ~J FORM - 06/07 TOWN OF SOUTHOLD OPERTY RECORD CARD OWNER ;TREET [~'/ ~"~ VILLAGE LOT / 7 ~ FORMER OWNER N DISTRICT SUB. ? ACREAGE S W TYPE OF BUILDING RES. ~///~ SEAS. VL. FARM LAND IMp. TOTAL DATE /0 0 AGE , NEW Farm Acre Tillable, 3 Woodland Swampland Brushl, House Plot ABOVE REMARKS Value Per Acre Value Total ~x~?j~i, on ~ ~ )(' O. ~ ~.- ~,,~ y~ Basement F)~ Fmoors _ t~ - ¢ ~ ¢y_¢/ Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Flor O.B. / e¢o'~/o~-/- 2' TOWN OF SOUTHOLD ~ROPERTY RECORD CARD OWNER STREET I~ el-'C) VILLAGE LOT / 7 ~-~ FORMER OWNER N DISTRICT SUB. ? ACREAGE S W TYPEOF BUILDING ~ //~ ~,~ k ~ LAND IMP. TOTAL DATE REMARKS /~ AGE NEW Fa rm Tillable 9 Tillable 3 Woodland Swampland Brushland House Plot Acre Total BI IILDJNG C~)NDITI~/I ~/?~, Z_~r-,~ -~'/ , / . . ~ BELOW Value Per Acre ILL · ~ '~'r:./ Basement Floors ~)~_ ~ Extension~ fft.,s~.. ~..~t ~& ,~o ~ ~t. Walls ~Z~o~,Z) Interior Finish ~k' P~ ,,tension FirePlace ~O.. He~ ~l~ "9. ~/~ 1:>' ~ ~b~' Porch Attic ~ ~,, _/~ ~ ~. ,~, Porch Rooms ,st Floor Breezeway Patio Rooms 2nd Floor Garage $~'~ U ~¢~,~, Driveway _ O.D. [ U//U/ AREA=.10, O08 sq. ft · -- MONUMENT ~OT 169 LOT 170 39.0' SURVEY OF LOT 170 BLOCK 15 MAP OF CAPTAIN KIDD ESTATES FILED SAN. 19, 1949, FILE NO. 1672 A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-106-01-08 SCALE: 1'= 30' AUGUST 2, 2007 99.06' ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 72090F-THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARK VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURPEYOR WHOSE SIGNATURE APPEARS HEREON. (651) 765-5020 FAX (651) 765-1797 P.O. BOX 909 HANG D.J. FROM LEDGER WITH , ~ __ VEKI~ LOCATION IN FIELD , , / ~ ~ ~ ~"x J' / ' ' III J x ' ~ J ' iii USE IS UNLAWFUL , I i WITHOUT CERTIFICATE ' ~ POOTING5 TO ~MAIN ~ FEE:_ ~ ...... v.. I : I ~ CONTJN:UO, SLY AKOUND j J B~ COB~PL['Z ~ q ALL CONSTRUCTION SHN L ,, ~, ~EQUiREMENT8 OF TFIE CC,DES OF NEW YORK STATE. NOT i:F8PONSIBL2 FOR MEET THE REQUIREMENTS OF ~ HE~ OODE8 OF NEW YORK STATE. DECK P~N ~OOTING $ P~M~ PLAN FLOOR H ~IGkIT EXISTrNG CONCRETE FOUNDATION WALL, FOOTING5 t- 51-&5 TO R~MAIN HANG P,J. FROM ~DG~R WITH AB 5~RIE5 CONNECTOR DECK SECTION SCALE: 41"= ILO'' GPA, DE ~" C,[5, TYP, ALL LOCATrON5 DECK VIEW SCALE:41. = iLO,, z Z n/O-- :¢ -',p ~ 7:zd~ U_I I'-- PAGE: 2 WINE) LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DP-.AWING5 MET^L c._.__~ NNE__, rOR~ D F__, *. PROPE~ USE THE FOLLOWING USP METAL GONNECTOR5 OR APPROVED EQUALS FOP`` PROPER WIND RESISTANT CONSTRUCTION. FOLLOW MANUP^CTUI~E'S P-~COMMENDED INSTALLATION INSTRUCTIONS TO ACHIEVE MAXIMUM UPLIP~ LOAD CAPACITY, STAIR P-JklLING POST TO-GIRDER/HEADER CONNECTrON USE MIN. (2) I/2" DIA. GALV. BOLTS WITH WADHEP.,5 AND NUTS DECK PODT FTG. CONNECTION HANDRAIL CONNECTION POST-TO DECK. CONNECTION HEADER/GIRDER-TO-POST CONNECTION STRINGER TO DECK/PORCH CONNECTION FLUSH JOrSTS WITH HEADER/GIRDER ALL JOIST5 CONNECTED TO A ~LUDH H ~ADEla. TO BE 5UPPOATED WITH EO5T-TO-GI E, DER/Iq EADER CONNECTrON DECK, ,¢ POI~CH NOTED: GIRDER/HEADER TO POST/COLUMN CONNECTION DECK/POP, CH LEDGER CONNECTION SPLICED JOiST5 OVER HEADER/GIRDEP-. CLIMATIC ¢ GEOGRAPHIC DEDIGN CRITERIA U NDIDTUP~BED SOIL DISTUP~DED t POOP`` DOlL CONC. PIER FOOTING DIGFOOT 5','STEM5 FQOTING FORM NAILING SCHEDULE Z zF', co z ~..,- UJI-- ?AG~: 3 ~j TO REMAIN AS?MALT D~qVEWAY ¢ GARAGE TO REMAI UNDER DECR OUTLINE OF CELLAR ENTP-.ANCE E~ELOV¢ DECK, EXISTING I 5TORY HOUSE TO REMAIN INFOP. MATrON TAKEN FROM 5URVET DATED AUGUST 2, 2007 Z Z z r', c~ PAGE: 4