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Home My WebLink About32954-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34187 Date: 02/09/10 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 195 YOUNGS AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 61 Block 4 Lot 38.1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in t~/s office dated APRIL 23, 2007 pursuant to which Building permit No. 32954-Z dated APRIL 26, 2007 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 NON-HABITABLE ACCESSORY TWO CAR GARAGE/WORKSHOP WITH ATTIC AND NO ELECTRIC AS APPLIED FOR. The certificate is issued to JIM & ELAINE FREDRIKSSON (OWNER) of the aforesaid building. SuF~OI~ C~3~DBP~RT~qT OF ~TH~PRO~-AL ~L~-rKICJkL U~K-rIFICJ%~ NO. PLIERS CERTIFICATION DA'rKO N/A N/A N/A 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 of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains tess 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 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, thc Building Inspector shah state the reasons therefor in writing to the applicant. C. Fees I. 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 o£Occupancy ~ $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. Old or Pre-existing Building: (check one) House No. Street Hamlet OwnerorOwnersofProperty: ,]t'~ ¥- ~./O;~e 'f-p~_,X~,'~iri~Sc'~J Suffolk County Tax Map No 1000, Section ~ [ Block Lot 2 ~ · i Subdivision Permit No. ~ ,~ 62 ~-- q Health Dept. Approval: Planning Board Approval: Filed Map. Lot: Date of Permit. :'//2~/0 -7 Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ _~ ~. ~ ,.,,~ Final Certificate: /~(check one) .~pplicant 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. 32954 Z Date APRIL 26, 2007 Permission is hereby granted to: ~ JIM & ELAINE ~ SOUTHOLD, NY 11971 for : CONSTRUCTION OF A NON-HABITABLE ACCESSORY GAPg~GE/WORKSHOP AS APPLIED FOR ~bX IqO~ at premises located at 195 YOUNGS AVE County Tax Map No. 473889 Section 061 Block pursuant to application dated APRIL 23, 2007 Building Inspector to expire on OCTOBER 26, SOUTHOLD 0004 Lot No. 038.001 and approved by the 2008. Fee $ 260.00 ~- Authorized Signature Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION [ ] RRE RESISTANT CONSTRUCTION [ FOUNDATION 1ST ].~JNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY REMARKS: DATE 1 /'1 INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION [~]~INAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: /-'~/d~/~- DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING ~FINAL ~,~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION ~FINAL /~ / [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: FIELD INSPECTION REPORT [ DATE I COMMENTS FOUNDATION (2ND) ~S~ATION PER N. Y. STATE ENERGY CODE ~DITION~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 119~1 TEL: (631) 765-1'802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ~/,/~, , 20 O7 Approved qT'~ , 20 ~q Disapproved a/c Expka~on PERMIT NO. 5o2~?.5'~ Building Inspector 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: Phone: APPLICATION FOR BUILDING PERMIT Date 'q-/ 23 ,20 o 7 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 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 atter 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 tbr the issuance cfa Building permat 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, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~la c ~t~t,~. &~C~lg-5~o/h (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 LicenseNo. Plumbers LicenseNo. Electricians LicenseNo. OtherTrade'sLicenseNo. 1. Location of land on which proposed work will be done: House Number Street Hamlet C6unty Tax Map No. 1000 Subdivision (Name) Section / o o o Block Lot Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intendeduseandoecupaney [A)o,t'~hOIo }i~(_~¢¢~rv( ~ ~tx~ 3. Nature of work (cheek which applicable): New Building Demolition 4. 5. Repair Removal Estimated Cost L~ ~/e ot~ If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify natin-e and extent of each type of use. 7. Dimensions of existing structures, if any: Front ~ : Rear Height Number of Stories .Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new consh'uction: Frotu ~ bt / Rear ~ ''/~ Height ~- I ' ~" Number of Stories [ '/2- 9. Size of lot: Front '~5-, ~ ' Rear 5 c/. I q' .Depth Rear Depth. ~/%' 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~? ~ / tier? P/a J 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__ NO 14. Names of Owner of premises ~f~'driKs~or~ Address Name of Architect Address Phone No (oBI - 60~~ ~7 Name of Contractor Address Phone No. 15 a. Is this property within 100 feet cfa 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 v/ 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. STATE OF NEW YORK) COUNTY OF__~: ~ \d~v-L0-~ I~¥ e~'¥ ( C\('-~ 6~'-~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (~ ~ ~ ~'v~ (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; thst all ~tatemente contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mamuer set forth in the application filed therewith. Sworn to bgfore me t~ , ~ Notary Public S~gnamre of Apphcant BARBARA Al'IN RUDDER Nota~ Public, State of Hew York No. 4855805 Qualified o Suffolk County....,~, ~ommlillon Ex,)Ir# Apr114,r~- Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM Yes No EXEMPTIONS: A. Does this project meet the minimum standards for classification as an Agricultural Project. 9/ Note: If you answered Yes to any of the above, a Storm-water, Grading, Drainage & Erosion Control Plan is not required. ACTIONS REQUIRING THE SUBMISSION OF A STORM~WATER~ GRADING~ DRAINAGE & EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (,/) for each question is required for complete application) Yes No Will this project retain all Storm-Water Run-off generated on Site? (This 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.) 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? 3. Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? 4. Is there a Natural Water course miming through the site or is this project within One hundred (100) feet of wetlands or a beach? 5. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise One hundred (100) feet of horizontal distance? 6. Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? 7. Will this application 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? I~1 /~' (lhis item doss not include the inatallatlon of driveway aprons.) 8. Will there be site preparation within the one hundred (100) year floodplain of any watercourse? [~ /~ Note: If any answer to questions ~)ne through eight 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. STATE OF NEW YORK, ~ ~ ex That I, ...~.[~.J.~l.~_...~3(.!.)~.(? ........... being duly sworn, fieposes and says that he/she is the applicant for Permit, (Name of individual signing Document) And that He/She is the ....1~5¢~.~ .................................................................................................................................. (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner or Owner's, 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 true to the best of his knowledge and belier; and that the work sill be performed in the manner set forth in the application filed herewith. Sworn to before rl0e this; ............. ~.....~: ~.~f~~....~.f~ ....... 20.¥~ Notary Publi __ ____1~..~~'~5~ _~7:: ............ Notary Public, State of New York No. 4855805 Qualified in Suffolk Commission *-xpires April ~RVEYEE~ 08-26-0~ A~EN~EO 0q-24-0~ ¢YJFFOLK COt)NTY TAX ~ 1000-01-4-3~.1 N NOTES: · MONUMENT FOUNC~ TITLE NO. RH~OO31q4q AREA = 14~15 5F or 0.~4 AORE5 OP~APHIO ~x2ALE I"= 20' E k.O~ '~.. ~g~ JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD; N.Y. 11901 369-8288 Fax 369-8287 REF.-\kHp scrvcrkt~PROS\03-243.pro NAILING ¢CHF=E)ULE FOR RIDGE TEN¢ION 5TI2.AP OCCUPANCY 0R co , USE IS UN WFUL WITHOUT CERTIFICATE TABLE ~.4 HFOH HOOD F~ME "' - ~ ~¢~ :~ocB~o Wl~ CONS~TION MANU~ ~ILIN¢ SCHEDULE c :I'OUN~ uN~ J IlO J 120 IlO j 120 :N APPRO'vEC. ALL MAT~R~L FOR WOOD F~MIN~ WLL ~VE ~ 18 5 5 5~ ~0DE8( F ~EWY WOR~HOP , ~CE550~ ~~ (2) ~10 4'-O" TO 6'-O" J J &12 12 ~ ~ BI2 :~2 ~ETAL ' ~~ , ~= ~ ~ ¢~ Io=o AP~fl~VED AS NOTED AMERICAN FOREST E PAPER ~OC~TION (AFSPA) ~ ~ ~ ~ ~ , ,' FOURED NAILIN~ ¢CHEDULE FOR UPLIP I ,=... ~,, ,..a~* NAILIN¢ SCHEDULE , ~ .,.~.0~ ~,,. APPROVED AS NOTED 24 4 ~ ~'~1 ~r~=*~mmfl*d~mm} ~AFUE CEILING LIVE 20 PCF J J ~ ¢ - ~31-3~1-1B43 24 12 5 I TABLE D.4 HI=Old HOOP I=F'.AldE OONS~TION HANU~ ~ILIN¢ 5OHEPULE C :1 IlO J 120 IlO j 120 ~d2 12 4 4 ~4 ~bl IHbt 16 5 ~ 5~ ~ODE8 ( 24 7 ~ 7~ ~ ¢ I- qlq I1~ ~,* .... ~2 I~ I~1 "~'~"' &12 i2 ~ ~ ~12 16 4 4 416 5(0 ~TAI 5,12 12 2 5 2~ 24 4 5 ~ 6d2 12 2 9 21~ 16 ~ ~ 2¢~ 24 ¢ 5 4~1 ~ '4 5 5~ 616 52 5 6 5~ 20 ~ 4 ~ 24 4 4 ~1 TABLE D.BB HFCM HOOP PRAME CONSTRUCTION MANUAL NAILIN® 5OHEPULE ~As'r~T IlO I 120 ~1~ ~ ~ ~ ~ ~1~ ~ ~ ~J ~OH ~ ~ 5~P. 12 12 I0 ~ 4 20 ~3 4 3TED 24 4 2~ 4 5 D2 5 6 MENT AT 16 12 ~ 4 FOR THE 16 4 20 4 5 ~UIRED = UMBING Mt IST 16 4 . k;ITFT THE 20 5 24 12 24 7 ,bITE PLAN Name. Nt~ola~ d. D~llc~, P. E. 22 ~llle Park Lan~ A-I ~ITE PLAN (2) 2xl0 ~E6ON~ FLOO~ P~N FI~T FLOO~ P~N WITH CEILIN~ ABOVE F .... ~ ~:- I I g I-I ~ Projecf N~me: ' ~ %~%~%%~ ~ 'l 1"-4"I I ]~'-4" / ' I I L__J x ~ ~ .... ,; ..... ~l-~8J-1~4~ ~ I I, I ~ __ I J ~vl~ed: 5CALE ' 1"=1' FOUNDATION CUT FOR DOORWAY FOUNDATION P~N I 1___2 CONTINUOUO RIDGE V'~NT ~ 2xl2 RIPG~E ~ 22E I~/~,q. A~f='I-tALT ~HINGLE~ MAINTAIN I-I~" ~A~ /~ ~ ATTIre X ~ ,, ~,~ ~ / ~/2.~" CONTINUOU~ VENT AT EXPANSI~ JOINT ;I / 1~ J ~ ,' : ~" ~LA~ ~/~x~ ~ ~ ~ ANCH~ ~LT~ 24" CC ~ ~ ~. , . - . . · .- ~ .. ~I / O~DE Pr~e~o~HopName: ACCE~O~T ' - ...... ~ ' · .j ~ I" ~lOl~ INSULATION Cllen* N~me: . ~ ~ . =, ~ / ~ ~ . TE~P~O~INGMEM~NE O~ 2'-~" . / /- l" Hl~H MIN, ~IGID Location: ~ ~ EACH ~A~ .... ~ (32 ~4 ~A~ ~ ~ ~OUTHOL~, NY I1~11 ~ ~ - CONTINU~ -- ~ .- I ~/LI~UID HEMliNE COATIN~ Drawn b~ 3" CLEAR % AT TO~ SU~CE JIM ~ ~.~ IIII - ~ '. ~' (4) %" LAG ~OLT/~ i ~ LocatIon:Ni~lae22 Hills J' ParkP~*lfC~'Lan~ I'-¢" LON~ (4" NO0~)1 ~/~ ~" NON-SM~INK O~OUT ~ // ~SE PLATE ~M~T ELF=VATI~N D~LITH ~L[VATI~N ~ Prqect Nome: ..... Loc~tlon: ~ 80UT~OLD, NY II~li ~ "" Simpson ~IDGE TO I~,FTE~. CONNECTION I~-AFTEI~ TO I~.~FTEI~. CONNECTION TYPICAL ® EACH ~P'TEI~. TYPICAL ~ EACH MODEL "LSSU" BY SIMPSON STRONG TIE MODEL "C520" BY SII~1PSON STRON® TIE Use evecy ofner nail hole CUT In a row *o provide tt~e LENGTH code-required minimum J END ~ serqter-l'a-<:enfer LENGTH ~ ~lmp¢on Strong-Tie Equal number of (~) H2.~ (~) 12.~FTEI:2. TO TOP PLATE CONNECTION STUD TO ~11"1 JOIST TYPICAL ® F__~CH I:~.AFTEI~. SILL PLATE TO STUD MODEL "H2.5" I3Y SIMPSON STR:ONG TIE MODEL "DS20" BY SII'dPSON STRONG TIE projeof N~me: ~ ~ ~*a ~ Cllen~ Name: ~ ~ // ~111~1/ /~/~4~/ ; ~ r~;/~ ~t- ~ ~ ~ 22 Hlll~ Park Lan~ ~ Phone ~vlSed, I NOT TO 8¢~LE ~O~ File N~me: HURRICANE CHU~ER DETAILS t Pro~ect N~me: STIFFENER A%ACHMENTS $ SHU%ER A%ACHNENT-BO%QM ~ow. **. 22 Hills Pa~ Lan= NOT TO 8CALE