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HomeMy WebLinkAbout34814-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34186 Date: 02/16/10 THIS U~TIFIES that the building SCREENED PORCH ADDITION Location of Property: 6305 HORTON LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap NO. 473889 Section 54 Block 7 Lot 18.8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17, 2009 pursuant to which B~ilding Permit No. 34814-Z dated JUNE 24, 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 SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ADAM & LISA ABLEMAN (OWNER) of the aforesaid building. SUFFOLK COONTYDEPART~TFOFHEALTHAI~PROVAL N/A R~-rKICAL C~KTIFICATE NO. 11979 12/28/09 PLIERS CERTIFICATION DA'£~ N/A //Au th ized ignature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUll ,DING DEPARTMENT TOWN HAl 765-1802 sql APPLICATION FOR CERTH;ICATE OF OCCUPANCY This application mnst be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: J--IT' Final survey of property with accm~nte location of all buildings, property lincs, streets, and unusual natural or topographic features. · 2-r"Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 lbrm). 3. Approval of electrical installation from Board of Fixe 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 buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plarmmg Board Approval of completed site plan reqinmments. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of properly showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by thc applicant. Ifa Certificate of Occupm]cy is denied, the Building Inspector shall state the reasons therefor in writing to thc applicant. C. Fees 1. Ccrtificate ofO~y - New dwelling $25.00. Additions to dwellin~lterations to dwelling $25.00, Swimming po $261~.00 Accessory bnilding $25.00, Additions to accessory building $25.00, Businesses $50.00. Certificate of Occupancy on Pre-ex/sting Building - $100.00 2 3 Copy of Ccr[ificate of Occupancy- $,25 4 Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupaucy- Residential $ l 5~00, Commercial $15.00 New Construction: Location of Property: Old or Prc,cxlsting Building: ,5 House No. Owner or Ow~cr$ of Property: / ;~ & /c ~! r' ~7 Suffolk County Tax Map No 1000, Section ~ q Subdix4sion Date. Pe mi, No. .5q8 .¥ -7.-Oate aVcrmit. malth Vept. ^ppro,,al: ///q (check one) 'Sireet Hamlet Filed Map. Lot: Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate FeeSubmittcd:$ '2 ~ ~ Final Certificate: . (check one) plic~nt Sibmature + SUFFOLK IBUREAU of ELECTRICA~ INSPECTORS. inc. 40 Nottingham Drive, Middle Island. NY 11953 Telephone:631 4958136 · Fax:631 9806455 · E-Mail:SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No,: Rons East End Electric December 28,2009 11979 Certificate No.: Final Inspection Date: Building Permit No.: 11979 December28,2009 34814 34767 County Tax Map No.: This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: Mr Abelman Site Location: 6305 Horton Lane, Southold, NY 11971 Owner's Address (if different): [] Residential [] Indoor [] Basement [] Service [] Shed [] Commercial [] Outdoor [] First Floor [] Pool [] Hottub [] New [] Renovation [] Second Floor []Attic [] Garage []Addition []Survey Other: screen room & pool INVENTORY Single Phase Heat pool- Duplex Recpt Ceiling Fixture HID Fixtures Three Phase Hot Water GFCI Recpt 5 Wall Fixture Smoke Main Panel AC Cond Single Recpt Recessed Fixture 6 CO Detect Sub Panel 60a-p AC Blower Range Rec, pt FIou~escent Pumps 4-poo Transformer Appliances Dp/er Recpt Emergency ~me Clock Disconnect Swrm. hes Twist Lock ~ p~ Exit Fixtures TVSS GFCl Breaker i:po0 Heat Pump Electdc Heat Pool Luminaire 4 Exhaust Fan Ot~er Equipment pool bonding-paddle fan The electrical work and/or equ pment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Rons East End Electric Inspected By: Roger Richert License No.: 4860-ME Date Of Certificate: Jan 04,2010 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. 34814 Z Date JUNE 24, 2009 Permission is hereby granted to: CHRISTOPHER A GRATTAN 6305 HORTON LANE SOUTHOLD,NY 11971 for : CONSTRUCTION OF A SCREENED PORCH ADDITION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at 6305 HORTON LA SOUTHOLD County Tax ~ap No. 473889 Section 054 Block 0007 Lot No. 018.008 pursuant to application dated JUNE 17, 2009 and approved by the Building Inspector to expire on DECEMBER 24, 2010. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~r FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUC'nON [ ] FIRE RESISTANT PENETRATION REMARKS: ~-~ ~'~'~-~ DATE INSPECTO TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~NDATION 2ND [ ] INSULATION [~/~ FRAMING / STRAPPING [ · ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION REMARKS:__~.~~ / DATE ?//?/~ ~ INSPECTORY~~· TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INS~J~J~TION [/~NAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE /~//0~0 ~ INSPECTOR//~7~ FO~ATION ¢~) ~ ~, ~ PL~G STATE E~RGY CODE ///~[~ ~ ~ ~ // / / ~ ~DITION~ CO~ENTS ~ TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c Expiration 1 7 DOg BLDg. D£PI, IOWN OF SOUIHO[D PERMIT NO. Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the foIlowing, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: 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 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 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. S t~re o~~a'~e ( ~n}ature, pp ' , if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises '~]t.~ q ~ (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 whic~ed w~will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision Block '~ Filed Map No. Lot t/~- °c' Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ }~ ¢ ~ ,~ ! I'--I /~ o ¢'t ~ b. Intendeduse and occupancy t ,, 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars ~ Other '¢¢un'k Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 8. Dimensions of entire new construction: Front Height ~)4.2' Number of Stories 9. Size of lot: Front /T~, ~ '7 Rear If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front ~ ~). 4" Rear--Depth ~.~:r. Z Height ?-20 Number of Stories ~ ~ ...... Dimensions of same structure with alterations or additions: Front ~ .~. 1.-- Rea~ Depth )~-. ~._ Height .~ o Numberer Stories .-2-,.,, Rear /)'7" Depth a9-/ D Depth 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 NO ~ 14. Names of Owner of premises Name of Architect Name of Contractor OCoet' d¢~-> 7- 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 ¢.t * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Address Phone No. Address Phone No Address/~.~,~g~Phone No. NO 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 O~' · IF YES, PROVIDE A COPY. STATE OF NEW YORK) ' SS' COUNTY OF ~J-o ¼ f/ ~ ~ O ~ , O being duly sworn, deposes and says that (s)he is the applicant (Namc of individual 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 true 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 _l-d, dayo~x'~"~'x.xcq'¢~_ 20 ©c~ ~* ..... Public ' ~o. 01~g1~0606 ~l~ ~pi~ Ju~ 28, 2~ ~Signature of Applicant II 51TUATE, 50UTHOLP II TOk, IU, 50UTHOLP J ~UFFOLK Cx~UNT~, N~ 5~=FOLK C~UNTY TAX # 000- 54- ~- I~.~ .ADAM ABLEIViAN LI~A {.A¥~"i~_.]~ 'III'Iii IN-~ {-I'{~{C]] SOUTH BAY ABSTRACT, ~qC. NOTES, i,.,IONLII~IIENT F:Ot)ND Area : .51,~1~) 5. F. Area -- 1.16F:~D ~re~ ®I~APHIC, ~-~C~ALE JOHN C. EHLERS LAND SURVEYOR 6 EAST MAUq STREET N.Y.S. LIC. NO. 50202 R1VERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\\CompaqserverXpros~09~9-112.pro Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: District Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A J ~.. ~'~ STORM-WATER~ GRADING DRAINAGE AND EROSION CONTROL pi.a. -- ' CI=K, Il'lED BY A DESIGN PROFESSI(~NAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~') for each Question is Required for a Complete Application) Ye~s N._~o Will this Project Retain All Storm-Water Run-Off Gonemted by a Two (2") Inch Rainfall on Site? (This item will include all run-off re'eared by site cleadng and/or construction activities as well as att Site -- Improve~ments and the pemlanent cruation of impentthus surfaces.) Does the Site Plan and/or Survey Show Ail Proposed Drainage Structures indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowi -- Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural r~ Existing Grade Involving more than 200 Cubic Yards of Matedal within any Pamel?I~l Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of r~ F ye Thousand (5,000) Square Feet of Ground Surface?I~l Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') fee of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Hodzontal Distance?I~l Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off r~ into and/or in the direction of a Town right-of-way? L=,~J Will this Project Require the Placement of Material; Removal of Vegetation and/or the Construction of r~ any Ilem Within the Town Right-of-Way or Road Shoulder Area?I~l (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year F oodp a not any Watercourse? 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 Permitl 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 Requiredl __ ~ STATE OF NEW YORK, ~', . ~ cou w OF ...&. ,,,,,, ss That I, J~ ~. &.~.~../'q' be dui s~o,n de se ................................. lng y ' , po- sandsa3sfl~athe/sbeisfl~eapplicantforPennit, (Name of individual s~gning Document) that Js .............................................. ...................................................................... (Owner, Contractor, A~t, Corporate Officer, etc.) Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have performed the said work and to make and file this application; that ~11 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 herewith. Sworn to before me this; .......................... !.-~ .............. day of ....... . ..~......~.....?.....-~... .............. ~0.~c~ '~ "~-- ' ~ff'O ,-'~"---._BotaPublic. staVICKI TOTH ~,.~ ~/r'"7 /'~ ........... ...................... ....... ........................................................ ;' ~[JO~ ...... (signature of Appticant) .. Qualified in Suffolk County , .-~ ,., .) FORM - 06/07 MICRO-LAM / FLITCH PLATE BOLTING B£TAIL (~ RAFTr'R TIES (~ ,I-12 DETAIL NOTE: FR~OM PATI~ I NAILING I I I i ® ®r I ® I I I I I I MINIMUM ROOF LIVE LOADS GENERAL NO SUBSTITUTION5 ARCN ITECT$ STATEM ENT~ NOTE, THIS 5ET OF PLANO FIA5 BEEN DESIGNED IN ACCORDANCE NItN TNE AMERICAN FORE,~T AND PAPER A55OCIATION (AF 4~ PA.) NOOD FRAME CONSTRUCTION MANUAL FOP. ONE AND TI,NO FAMIL'r' DPqELLING~, 2OOf ~*E~C NIGh I,,,!IND EDITION,.~ECTION 2, OCCUPANC'/OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY' il P.6. PIER N/ I I II ~me,¢c~¢$> e.×e,, II I I ILI I TREATED ND. POE~i La I LJ LJ SECTION SCALE: AP ";.0~/ED, o N01LFY BULLDP? D~F/~TMEhiT AT 765-1802 8AU TO .* Phi FOR THE FOLLOW[NO cm 1. FOUNDATION - 7r q REQUIRED FOR POURED CO:,JCRETE 2. ROUGH - FRAMING & PLUMBING 3, tNSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLEFE FO~', C,O. o '~'~ SHALL MEET THE REQUIREMENTS ', ~Hc C( DEC 0F NEW YORN S[A~E NE'; F, ES¢~0NSIBLE FOR DESIGN OR CONSTRtJOTION ERRORS, RETAIN STORM WATER RUNOFF PURSUANT T0 CHAPTER 236 0F THE ~0WN 6 ALL CONSTRUCTrm.! ~HAI L MEETTHE REQUIRE ,- THE CODES OF NEW ', w, ,,, ¢,i 41E · --CERTIFICATION OF NAILING & CONNECTIONS ,b..¢1 ~ REQUIRED~. Title REVISIONS: Drawn By: Date: ! OF 2 SHEETS 6 ........... J PARTIAL FOUNDATION PLAN II II II II II II II II Ii II II II ILH ILII ILII LJ LJ PARTIAL FRONT EbEVA I ION EXI'~TING LIVING LJ PARTIAL FIRST FI OOR PLAN LJ LJ RIGHT SIDE ELEVATION SCALE: I/4" ~- I '--0" EXISTING B!=D'I~C~:DM PARTIAL -SECOND FLOOR PLAN LATTICE PO,'ST II [I LI PARTIAl. REAR ELEVATION B O~ Z REVISIONS: NO. DAl'~ lilLE !il 2