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HomeMy WebLinkAbout35191-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34151 Rte: 12/29/09 THIS CK~TIFIES that the building DECK ADDITION ~ocation of Property: 495 BEWNETTS POND LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) Cotl~t¥ Tax ~4ap NO. 473889 Section 113 Block 13 I~ot 13 Sulxlivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 24, 2009 pursuant to which Building Perutit No. 35191-Z dated DECEMBER 2, 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES H & LEILA M MCKAY (OWNER) of the aforesaid building. SUFFOLK COUI~I"f DBPART~T OF H]~ALTH APPROVi~J~ ELEt-rKIC-AL CERTIFICATE NO. PLIERS CERTIFICATION DA'rKO3 N/A N/A N/A Rev. 1/81 BLDG. DEPT. TOWN 0~' Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 tN 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 of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commemial 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: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly coxnpleted 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. Co 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. / ~//~- 07 New Construction: Location of Property: ,~ Old or Pre-existing Building: (check one) House No. Street / Hamlet Owner or Owners of Property: \To-- fi,< 4:~ 5 ~L ;-t~ I /~ Suffolk County Tax Map No 1000, Section / [ ~3 Block Lot ] ~ Subdivision Permit No. Health Dept. Approval: Date of Permit. Filed Map. Lot: Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 7~-'.ff' j Final Certificate: I.~' (check one) Applicant Signature~ 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. 35191 Z Date DECEMBER 2, 2009 Permission for : "A BUILT" is hereby granted to: JAMES & L MCKAY 495 BENNETTS POND LA MATTITUCK,NY 11952 DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 113 pursuant to application dated NOVEMBER Building Inspector to expire on JUNE 495 BENNETTS POND LA MATTITUCK Block 0013 Lot No. 013 24, 2009 and approved by the 2, 2011. Fee $ 400.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING i~2~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS:__ DATE / ~-- -/-~-- ~~ INSPECTOR FIIIiLD ]~spECT!ON RRPORT DATE[ ' COMbIENTS FOUNDATION (IS'I) ~O~T~O~ (~) , ROUGH F~G & / PL~G ~S~A~ON p~ N. y. STA~ E~GY CODE ~D~ON~ COUNTS TOWN OF SOUTHOLD BUILDING DIgPARTMENT TOWN ltALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c BUILDING C.~ PERMIT A~LICATION CHECKLIST Do you have or need the following, before applying'? Board of Health "'"4 4 sets of Building Plans Planning Board approva} ""-4 Survey Check l'Jf'DO . O O Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: ~:~ ~" Expiration /~ / ~..., ,20 / { //~/-! ! ~ I Building Inspector a. This ~~pletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets o ~~o~ 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 wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pemit. d. Upon approval of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such a pe~it shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pan for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Eve~ building pe~it 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 pe~it for an addition six months. Thereafter, a new pe~it shall be required. ~PLICATION IS HEREBY M~E to the Building Depa~ment for the issuance ora Building Pe~it 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 heroin described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulmions, and to admit authorized inspectors on promises and in building for necessa~ inspections. applicant or namer a co~oration) (Mailing address of applicant) / / q ~ ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~-~--mes' d i~r/~_ /~c~ V (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 Eronosed work will be.clone: House Number Street ~ a~mlet Block / ~.~ Filed Map No. County Tax Map No. 1000 Section Lot //..~ Subdivision Lot 2. State existing use and occupancy of premises an&intended use a. Existing use and occupancy j"/t4~f /.~ :/4--~ b. Intended use and occupancy Fg/t- J.e c ~ 3. Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost 0 Fee 5. If dwelling, number of dwelling units If garage, number of cars and/occupancy of proposed construction:' Addition Other Work V'/ 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 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 ~ Depth Height Number of Stories ; 9. Size oflot: Front /Z,.,C '~/' Rear /afl ~7' Depth 10. Date of Purchase Z///-7 / 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 v'//Will excess fill be removed from premises? YES__ NO ~ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater 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 __ · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) COUNTY OFFS: being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the CONNIE D. BUNCH (Contractor, Agent, Corporate Officer, etc.) No. Qualified in Suffolk Coun~ . Commission pires pri114 .... of said owner or owners, and is duly authorized to perform or have performed the said wor~ an~ to mh~0e~ file th,s apphcatmn; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be perlbrmed in the manner set forth in the application filed therewith. Sworn to before me this ~%.~'~% dayof ~&"J~4w',~¢ Notary Public Signature of App~nt Town of Southold ,Erosion Sedimentation & Storm-Water Run-off ASSESSMENT FORM I ~ PROPERTY LOCATION: S.C.T.M. ~ THE FOL~WING A~ ON8 ~y REQUI~ THE Dlst~ S~on Bilk ~ ~K, ~r~ED BY A D~IGN PROr~ONAL IN ~E STATE OF N~ YO~. It~ Num~c (NO~: A ~ Ma~ (~) f~ ea~ Oue~ ;s R~ui~ f~ a Comets ~i~on} Yes 1 Will this Pmjeof Retain All Storm~W;~tar Run-Off Generated by a Two (2') Inch Rainfall on Site? V/ (This Item will include all mn-off created by site cleadng and/or constmcttan activities as Well as all Site -- Improvements and the permanent creation of impewlces surfaces.) 2 oous the site Plan and/or Survey Show Ali Proposed Drainage Structures Indicating Size & Localion? This Item shall Include all Proposed Grade Changes and Slopes Can(rolling Surface WaterFIowi 3 Will this Project Require any Land Filling, Grading or Excevalion where there is a change to the Natural r~ Existing Grade Involving more than 200 Cubic Yanks of Mateda with n any Parcel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of r'~ Five Thousand (5,000).Square Feet of Ground Surface? 5 Is there s Natural Water Coume Running through the Stie? Is this Project within the Trustees jurisdiction or within One Hundred (100'} feet of a We and or Beach? 6 wti, there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15i feet of Vertical Rise to r~ one Hundred (10o') of Horizontal Distance? 7 Will Driveways, Parking Areas or other Impervious Sudaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? 8 Will this Project Re0uire the Placement of Material. Rernoval 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.) 9 Will this Project Require Site Preparation within the One Hundred 100} Year Floodplain of any Watercourse'~ NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Sox, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Permiti 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 Requlredl STATE OF NEW YORK, . .~.~ ~ . co Nxv ............ ss That I ................................................................................. being duly sworn, deposes and says that he/she is the applicant for Pennit, (Name of ~di¥idual signing Document) make and file this application; that all statements contained in this application are h-ue to the best of his k~owledge and belief; and that the work will be performed in the manner set forth in the application filed herewith, Sworn to before me this; ................. ~..tJ..~.. ............. day of.. ,~....~.. ~'.4~, ...,~.... ................ ; , Notary Public: .................................................... :.~ .................. FORM - 06/07 C:\Document5 and 5ettln~js~Al\Local 5etbn~5\Temporary Internet Fdes\Content.lES\2D2PIV45\Og.230_l~ennetsPondLane_2009_OlS_O7(OS_OG_2009).dw0 (235.95kb) Unauthorized alteration or addition to this document is a violation of Sec'tim 7209 of the New York State EducalJon Law. CerUficaUea Indicated hereon shall mn only to the pemoc for whom it is prepared and on his behalf to the Title Company, Governmental Agency and Lending Institution listed hereon, and to the successem and assignees of lending Institution. Certificalf~s are not transferable to add~onal insti~ms or subsequent ovmem. Copies of this drawin9 not bearing the professional's inked seal or embossed seal shall not be considered a valid tree copy. The offsets (or dimensions) shown hereon from structures to the properly lines are for a specific pul~ese and use and therefore are not intended to guide the erection of fences, retaining walls, pools, patios, plan§rig areas, addison to buildings er any other conslmctJon. (5o' W rD ) BENNETT'S POND N29o22'50"W 125 0~ © 38.74' 38.74' 2 I~.O~.~ 12.5' 32.62' ~ FRAME ~ 44.65' K FRAME ~o DECK 23.8' .3. .2. © 11.4' 4'H. CHAIN LINK FENCE 3 ' GATE G AT~'-~'~i~'V~ PATIO~ IN GROUND 31.5' .o POOL 4'H. CHAIN LINK FENCE~- S29o22'50"E 'MAP OF BENNET'PS POND AT MATTITUCK, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORIC FILED JUNE 12, 1970 MAP NO. 5483 NOTES: - Non-viifible easements, recorded or unrecorded are not shown. - Underground foundations or substructures not visible are not shovm. .00' 40.52' 39.92' 121.65' .1. su.wY [oc^.,o.: Atp n s t, BENNET'S POND ~NE, MA~ITUCK ~r~fess~an~[ ~n~ ~urue~or TOWN OF SOUTHOLD SUFFOLK SCTM,: 1000-113.00-13.00- /~ /5 N.Y.S. Lic. No.~8365 ClRCLEDALE ~NE Date of Suwey: AUGUST 6, 2009 HOEBROOK, NEW YORK 11741 JOB ¢: 09-230 Scale: 1" = 20' 718-486-5408 631-585-5317 W/4' X 4' ~, PT. ~ ~' toTAL NO ~ I EXI~NG 2" ~Ogm BO' W/~ DIA' B~'6' O/C J scA~ ~/~" = ¢-o" FOUNDATION PLAN W~THOUT CERT ' ~r OCCUPANt Cu DES OF EX' S TI "~ R ; ,'1 O [" ~ E Nadm~5ch~ule ~ Table 3. m ~M- I DO5CERTfFIOATI )NOF NO ~' NAi, , ,3ON~ ECTiONS ~ ~ING ~EQUIRE = ~'-o" FLOOR PLAN SCALE1/4" ~cE ~~ ~1~ ~ ~ OF THE TO NN CODE, " " (~ ~ ~1 ~T~ ¢~ 3-lB DETAIL 'D' ~,~s~,~ '" ,'r f/'--"-- S'TEPS TO ORAD£ UP 3R 0 6' 08' · ¢'JIITF~,.,K ,Jrt.r~ · EXI$11NG 6068 SLIDE~ STEPS ABOVE 1 I'-O'DIA. POURED ~8 DR~ ~~TAL NO ~ 2x8 ~ROP GRDER -- -- ;1~ ~ B~U: 14 18d N~ -- -- ~ -- ~1 ~ TO POST: 14 ~6d  ~' X6" RNUNG C~ ~ . ,-x,.,~ DETAIL 'A' I EXIS'nNG FOUNDA110N WALL NO CHANGE SCALE ~/4" = r-o" FOUNDATION PLAN SCALE 1/4" = r-o" RIGHT SIDE ELEVATION ~" X6" R/dUNG CAP STEPS UP SCALE 1/4" = 1'-0" LEFT SIDE ELEVATION pT. DETAIL 'B' DECK DETAIL-PO~T INTO CGRC PIER Nadm~j 5chP_.,dule from Talkie ,3. I WFCM- 1995 I'I/~R I'RAMING JoP, t; To 511, Tq~ Plate or ~rdor (Toe NiJl~41) ~ ~' X6" RAIUNG CAP ~1~ to sc~. ~/." = r-o" FLOOR PLAN . / ~=. . . ~ ~P ~ ~ ¢~ ~m~~ ~ d~ ~~ING , ~ ~ ~1 P~ L~ 1'-O" DIA, X ~'-0" D~gP 1/4 ................ -- P.C. PI(R REAR ELEVATION SCALE DETAIL 'D'