The URL can be used to link to this page

Home My WebLink About35012-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~=RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34354 Date: 05/14/10 THIS CERTIFIES that the building SCREENED PORCH & DECK Location of Property: 190 PHEASANT PL GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 4 Lot 44.36 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 25, 2009 purs,,a~t to which Building Permit No. 35012-Z dated SEPTEMBER 21, 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 AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM F & KIM BOGANDUS ( OWNER ) of the aforesaid building. SUFFOLK COUNTYDEPA~TMENTOF HEALTH APPROVAL N/A ELEt-£KICAL CERTIFICATE NO. 11928 CERTIFICATION DA'r~D N/A 12/11/09 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 forml. 3. Approval of electrical installation from Board of Fire Underwritem. 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 Planning Board Approval of completed site plan requirements. 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, the Building Inspector shall state the reasons therefor in writing 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 $15.013, Commercial $ I5.00 New Construction: t~ Old or Pre-existing Building: Location of Property: ! q O ;~/e,+ House No. Street Owner or Owners of Property: ~,L?t['[,~rr~ Suffolk County Tax Map No 1000, Section Date. Block (check one) ~-~'U~ g~Vfo~gt~-;'~ Hamlet 1 Lot ~. Subdivision Permit No. '.3 b~O/Z Health Dept. Approval: Date of Permit. Filed Map. Lot: Applicant: /~1/I/ ~ L~ OC~tt~q$ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~,-- ' Final Certificate: (check one) + SUFFOLK Telephone: 631 495 8136 CERTIFICATE OF Applicant: Rough In Inspection Date: Application No.: Brian Brooks December 11 11928 County Tax Map No.: This Certificate of Electrical Compliance is limi~ work described below, installed by the applicar inspection date above: Owner: Bill Bogardis Site Location: 190 Pheasant Place, Owner's Address (if different): [] Residential [] Indoor [] Commercial [] Outdoor [] New [] Renovation [] Addition [] Survey Single Phase Heat Three Phase Hot Wate~ Main Panel AC Cond Sub Panet AC Blower Transformer Appliances Disconnect Switches 6 GFCl Breaker Heat Pump Other EquipmenL The electrical work and/or equipment with local, state and national electrical code Applicant: Brian Brooks Electrical Inspected By: Roger Richert UREAUof ECTRICAL NSPECTORS,~nC. sland, NY 11953 · E-Mail: SBEIGS~gmail.com COMPLIANCE Certificate No.: Final Inspection Date: Building Permit No.: 11928 December 11,2009 and compliance of electrical equipment and/or located at the premise of and not after the final [] Service [] Shed [] Pool [] Hottub [] Attic [] Garage )RY Ceiling Fixture , HID Fixtures Wall Fixture 4 Smoke Recessed Fixture ' CO Detect Floursecent ~ Pumps Time Clock ;pected and appear to be in compliance and this office. License No.: 3613-ME Date Of Certificate: Dec 1t, 2009 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Mall Southold, N.Y. BUII~)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35012 Z Date SEPTEMBER 21, 2009 Permission is hereby granted to: WILLIAM F BOGARDUS 190 PHEASANT PL GREENPORT,NY 11944 for : SCREENED PORCH & DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 053 pttrsuant to application dated AUGUST Building Inspector to expire on MARCH 190 PHEASANT PL GREENPORT Block 0004 Lot No. 044.036 25, 2009 and approved by the 21, 2011. Fee $ 200.00 Aut n~C/~64Y/C~or i z e d .... Sig~-~ ~at~re ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~,P]'~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [] FIRE RESISTANT PENETRATION REMARKS: ,~'~ ~~ /~. ~ ~)/~-~ D INSPECT TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~,"J~ FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION REMARKS: ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [/,~FriNAL ] FIRE SAFETY INSPECTION ]FIRE RESISTANT PENETRATION ~1<,-~' ~ ' DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] ~JL-ATION [ P~=INAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE ~ /?//~:~ // INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net PERMIT NO. Examined q//~, 20~7 Appmved Disapproved a/c BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, b~fore 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 S~orm-Water Assessment Form Contact: Phone: , mCAT,ON OR.UI' OIN¢ I I Date 8tm;. 0leT. / INSTRUCTIONS lO~lq OF SOUT~4OLO J nns ugpncation 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 pumuant 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 Name ofownerofpremises /~C/ / ! I f~_ ~d~, o~ rd~ 6 (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. 1. Location of land on which proposed work w[ll bc done: House Number Street Hamlet -- Lot Filed Map No. Lot County raxMapNo. 1000 Section ~-3 Block Subdivision 2. State existing use and ~~cupan~y ~f premises and intended use and ~ccupuncy ~f pr~p~sed ~~nstructi~n: a. Existing use and occupancy ~ir~le- (-~m~lv~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work 4. Estimated Cost [ ~-~ O-~ Fee 5. If dwelling, number of dwelling units If garage, number of cars Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commemial or mixed occupancy, specify nature and extent of each type of use. Rear zT~ ~-d? 7. Dimensions of existing, structures, if any: Front. Height c>~6 '- ~ ~ +//- Number of Stories ~ Dimensions of same structure with alterations or additions: Front Depth. Height cO/c '-/~ ~ ~J- Number of Stories 8. Dimensions of entire new construction: Front Rear cx7'7 L/~ ~' Height /,~ c ~ ', Number of Stories / _Depth Rear Depth 9. Size of lot: Front Rear 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 ~q/ 13. Will lot be re-graded? YES__ NO ."~Vill excess fill be removed from premises? YES__ NO .ka2-~ ~ 14. SamesofOwnerofpremises t~,]l /~o.o~trdv5 Address ~/l.~j~;ic~ PhoneNo. Name of Architect Q(r~x ~ lcv~{g4 Address Phone No Name of Contractor V2'r-Ac~ ~---olAa.-O Address ~'~a~Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__NO '/~x<7 * 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//~.5 · IF YES, PROVIDE A COPY. STATE OF NEW YORK) cowtv oF ols: (Name of individua~ signing ~ontract) above (S)He is the being duly sworn, deposes and says that (s)he is the applicant named, CONNIE D. BUNCH -i-~e.%~ ~., . . Notmy .Public, State of New York rio. 01BU6185050 (Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14, ~0~':~ 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. Notary Public Town of Southold Erosion, Sedimentation & Storm-Water Ru.-off ASSESSMENT FORM THE FOLLOWING ACTION8 MAY REQUIRE THE GUBIWISSION OF ,4 ~/~ ~7~-~ STORM-WATER, GRADING; DRAINAGE AND EROSION CONTROL pLAN Lo~ CERTIFIED BY A DESIGN PROFESSIONAL IN THE 8TATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~r) for each Question is Required for a Complete Application) Yes No 1 2 3 4 5 6 7 8 9 Will this Pro~ect Retath A~ Ston~-Weter Run-Off Generated by a Two (2'} ~ Rakffel~ o~ Site? (This item will include all mn-off created by site cleadng and/or ccr~slructiou ectivi~es as well as all Bite Improvements and ~he permanent creation of impervious sudaces.) Does the Bite Ptan and/or Survey Show Att Proposed Drainage Stiuctures Indicating Size & LocatJoe? This Item shall include all Proposed Grade Changes and Slopes Conlrolling Sur[ace WaterFIowl W~II this Project Require any Land Filling, Grading or Excavation where them Is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Matedal with{n any Parcel? Will this Application Require Land Disturbing ActiviUes 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 [his Project within the Trustees judsdistion or within One Hundred (1~0') feet of a WeUand or Beach? Wilt there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Verl~cal Rise lo One Hundred (100') of Hodzoutal Distance? Will Driveways, Parking Areas or other Impervious Sudaces be Skied to Direcl Storm-Water Run-Off into and/or in the direction of a Town right-of-way? Will this Project Require the Placement ot Material, Removal of Vegetation anclJor the Construction of any Item Within the Town Right-of-Way or Road Shoulder Ama? (This item will NOT include the Installation of Driveway Aprons.} Will this Project Require Site Preparation within (he One Hundred (100) Year Floodplain of any Watercourse? r'~ NOTE: If Aay Answer to Questions One through Nine Is Answered with a Check Mad(In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submttted for Review Prior to Issuance of A~y Building Permit! EXEMPTION: Ye.._~s N__9o Does this project meet the minimum standards for classiticafioa as an Agricultural Project? ~ Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requi~d! __ That [,. ..................................... bc~ duly swo~, deDoses and ~ys ~ hdsh¢ is d]~ app~t tot ~3~i, ~ ~NNIE D. BUNCH ~E.~ No~ ~blic~ ~ N~ ~ (~er, Con~, Agent, C~a~e ~. ~.) Qual~ in ~k ~, __ Owncr and/or r~p~¢n~bv¢ ol utc ~wn¢r o~ ~¢~s, ~a ~s Qul~ auUlor~¢d to p¢~orm or bav¢ ~ormCd ~¢ s~d ~vork ~d Lo Sworn to before me this; ...... ...................... FORM - 06107 '1'o~ 1 lall Am~cx 1375 Main Ro;ul P.(). Box 1179 Iold, NY I 1!)71 'l'cleph<mc Fax (631) BI!ILI)IN(] I)I'~PARTM I'~NT TOWN OY SOUTHOLD March 26, 2010 William Bogardus 190 Pheasant Place Greenport, NY 11944 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. __ A fee of $25.00 Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 35012-Z screened porch and deck JOB No , AUG-34 TA,v.~D. No 1000~53~34-44.38 63' Z LOT 29 LOT 28 PHEASANT PLACE [ 50' ] N 46°50'20"E 165.00' S 80.00' MtNoR$ THE LOCATION OF WELLS, WATER SERV~TE LINES, SEPTIC TANKS ,~lqD e~SSPOOLS SHOWN HEREON ARE REL[;~OBSEI:~A- TIONS AND OR DATA OBTA, JNED F~.J2M OTHERS. :r' '~ ' - SURVEY OF: LOT 34 M/O AUGUST ACRES SECTION 1 ARSHAMOMAQUE,TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 12/13/99 SCALE: 1"=50' CERTIFIED ONLY TO: WILLIAM BOGARDUS AND KlM S. PALERMO CAPITAL MORTGAGE MONROE TITLE INSURANCE By DESTIN G GRAF N YS LiC NO 50067 DESTIN G.GRAF LAND SURVEYOR 73 Woodlawn Road Rocky Point, NY 11778 516-821-3442 P'.UN-OFI= CALCULATION.D: ROOF AREA = 226 ~. fl:. x. I G7 x 7.5 = 263.0 oallon~ REQUIRED - ( I ) 6'-O"di~a. X I '-O" RING DRAINAGE PLAN SCALE: ~- I'-0" , . OF THE TOWN CODE. I Z- I ~"X 7~" LVLMEADE~ASOVE ~ x REQUIREMENTS OF ] FIE CODES OF NEW ~TI~C~ PAGE: DECK P~N XI~T' '" ~'T CERTIFICATE vo~< STATE. fqOT RESPOt~S~BL~ FOR UNDERWRffERSC ' BESIGN OR CONSTRUCTION ERRORS, REQUIRED 5CALE: 4 ALLCONSTRUCTION SHALL ..PE,,OFN , ,VSTATE. 5 SEP 21 2009 SCALE: X ~~ 0 II B II II - -- ~DBOA~ SCALE: ~" = I '-0" }M CEILING MATE~ , __ oo ~- ~ ~ ~" 2 J ~"X7~"LVLHEADE~¢BOVE } DECK h, = I LO" 5CALK: 4 I I i~1 FOOTING * F~ME F~N I"= ILO" ~C~EEN ROOM 2"x 4" 5TUD 5C~EN PANE~ KNEE WALL WITh[ WOOD ~"X G" DEC*lNG MATE*AL TO HOUSE F~ME WITH 5" PAGE: 2 WIND LOAD ?ATH CONNECTION AND CONSTt~UCTION DETAIL DEAWING5 UDE THE FOLLOWING US? METAL CONNeCTOr.5 OR. AP?P~OVED EQUAL5 ffO~ ~OP~ WIND ~515TANT CONDT~UCTION. FOLLOW MANU~ACTU~'D ~COMM~ND~D INDTAL~TION INSTRUCTION5 TO ACMI~VE M~IMUM UPLI~ LOAD CA~ACI~ q[ ....... ~ ~l~h ............ ]/2"4'axT"l°rlga~chor ~lLwlLIl~Shar%a~lrllj[¢ CLIMATIC $ GEOG~FHIC DESIGN CRITERIA ~'~ ,2-~'dEOMMON ~AEhl TO~ V~I~ LOCATION IN FIELD (~PiCAL ALL STAIR A~) FOOTING ¢ ff~ME 2"X 51MPSON LU28 OONNE~OR