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HomeMy WebLinkAbout35495-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34287 Date: 04/29/10 THIS C~U~TIFIES that the building DECK Location of Property: 2155 JOCKEY CREEK DR (HOUSE NO.) County Tax Map No. 473889 Section 70 Subdivision SOUTHOLD (STREET) (HAMLET) Block 2 Lot 28 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 11, 2010 purs,,a-t to which Building Permit No. 35495-Z dated APRIL 21, 2010 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 TONYES FAMILY 2008 IRREV TRUST (OWNER) of the aforesaid building. Su~-~OLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELEt-rKICAL CERTIFICATE NO. PLIERS c~KTIFICATION DA'r~o N/A ~hori~ed Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCC This application must be filled in by typewriter or ink and submitted to the Buildi~ A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property li 3. 4. 5. topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal ( Approval of electrical installation from Board of Fire Underwriters. ,l~artment with the follow g: es, si feets, and unusual natur BLDG. DEPT. forrn).TOWN OF SOUTHOLB _ Sworn statement from plumber certifying that the solder used in system contains less than 2/I0 of 1% lead. Cormmercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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: h 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 $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: \~' (ch ~)ne) LocationofProperty>,_Q/5'5 J0~ZO{ d0.~(~' /)il .5~b/'~qdY~) House No. - ~,) -- - St~reet i ~. "' J - I~amlet Owner or Owners of Property: '~'-{KJc~/t~p.~ ~'~ {/t,4. [ Bl~2 / /2 'v' c3 Suflblk County Tax Map No 1000, Sectionv 70 ~'- Lot Subdivision PermitNo. 5~q 7~''7~''' Date of Permit. Health Dept. Approval: ~//~//t~5} Filed Map. Lot: Applicant: I~l~ Underwriters Approval: Planning Board Approval: Request for: Tempojt~ry C,ertificate Fee Submitted: $ Final Certificate: (check one) A~phc"~ant Sl'~nature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35495 Z Date APRIL 21, 2010 Permission is hereby granted to: EDWIN A TONYES 2155 JOCKEY CREEK DRIVE SOUTHOLD,NY 11971 for : "AS BUILT" DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 070 pursuant to application dated APRIL Building Inspector to expire on OCTOBER 2155 JOCKEY CREEK DR SOUTHOLD Block 0002 Lot No. 028 11, 2010 and approved by the 21, 2011. Fee $ 400.00 / Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ] ROUGH PLBG. [ ] INS~TION [/./]~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE R"ISTANT CONSTRUCTION [ ] FIRE RESISTANT ~NE'ER&TmON REMARKS:q~"~'""~ d9 ~.~~ ~~ l DATE ~ iNSPECTOR_~X-~'- TOWN O ' O +HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined q/'~, 20 / 0 Approved ~j~. , 20/0 PERMIT NO. 55-t/q5-- 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 Flood Permit Storm-Water Assessment Form Contact: Mail to: ~/ Disapproved a/c Expiration ~W ~B 1 , 2010 ~LICATIONFORBUILDINGPERMIT ] ~Bt06. 0[~1. / INSTRUCTIONS ' a. ~ application MUST be completely filled in by t~ewriter 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 wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approval of this application, the Building Inspector will issue a Building Pe~it 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 pa~ for any pu¢ose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. E Eve~ building pemit shall expire if the work authohzed has not commenced within 12 months after the dine of issuance or has not been completed within 18 months from such date. If no zoning amendments or other re~lations affecting the prope~y have been enacted in the interim, the Building hspector may authorize, in writing, the extension of the pemit for an addition six months. Thereafter, a new pemit shall be required. ~PLICATION IS HEREBY M~E to the Building Depa~ment for the issuance of a Building Pe~it pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordin~ces or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as Mrein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, ~d to admit authorized inspectors on premises and in building for necessaw inspections. (Signature of applicant or name, 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 '7"O/,,d~,~'~',~ (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 will be done: House Number Street Hamlet County Tax Map No. 1000 Section 22jZt? Block t~. Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. E~:isti~g"-use and occupancy d~::~/LPct~'/,d/'ZJTt- b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee 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 /'~'tt5~ { Rear /5~', ~! _Depth Height ¢z -/.~ ,'~' Number of Stories ,4.,/rc) Dimensions of same structure with alterations or additions: Front Depth. Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size orlot: Front /' ~Z/t,/~'-! Rear //rT. /~,t Depth e'~'~, .~ ( 10. Date of Purchase ,-5~toZ7 /~,~' 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 p~emises J'~£12~,/~/~'7~to£SAddress~l~St:~p~hone No~['"/~':~ 26d~' Name of Architect '~);~l,./J~ ff-.l'~/J'~bl(,~'{ I Address ,,7g5/~ ..gt/6 t:5~t'iOP Phone No ~,,~/./??~. ,~,~/-- Name of Contractor Address 9' ! 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 __ NO V/' · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: '-~ COUNTY OF ~'~,'<~/~' ~tt~E~-~-~-t(--~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH (S)He is the .~2~_t~t' T~.~d_..'~'''' Notary Public, Stateof New York No. 01BU~,i,%OSO (Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk Count'/ Commission Ex0ires April 14, 20 I_~k 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 tme 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 /.~ -/d2 day of Notary Public ~/'f~a[t ure of Applicant ~ .~.~.TOWN OF SOUTHOLD PKOPERTY RECORD CARD ~s...¢/~) ]s~. "lb~^~ LAND IMP. TOTAL DATE '72_o0. j BUI LDING CONDITION AGE NEW NORMAL BELOW ABOVE FARM Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampkmd Brushland House Plot Value Per Value Acre ACR.. J FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK 17/ REMARKS W ¢ TYPE OF BUILDING?_ COMM. CB. MISC/ Mkt. Volue Total SUB. LoT COLOR TRIM M. Bldg. Extension' Extension po rch Breezeway Garage patio Total v -! /, Foundation hExt. Walls :ire Place kype Roof ~,ecreotion Room Driveway Bath Floors .interior Finish Heat Rooms ! st Floor Rooms 2nd Floor: 1inelte S.C.T.M. NO. DISTRICT: 1000 SECTION: 70 BLOCK: 2 LOT(S):28 / N64 57 O0 E ~,2'~ 6's~oc~ ~ 156.30' I . ~ I mE WATER SUPPLg ~LLS AND CESSPOOL LOCA~ONS ~0~ ARE FR~ FIELD OBSERVATIONS AND ~ oArA 08rA~NEO AREA: ~4,064.35 Sq.~. or 0.55 ACRES ELEWr~ON DATUm: ......................... UNAUTHORIZED ALTERA~ON OR ADDITION TO THIS SU~Y IS A WOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAS COMES OF THIS SUE~Y MAP NOT BEAR/NC THE LAND SUR~YOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID roUE COP~ GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PENSON FO~ ~OM THE SURLY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPAN~ GO~NMENTAL AGENCY AND LENDING INSTITUTION LISTED HE, EON. AND TO THE ASSIGNEES OF THE LENDING INSTI~TION, GUARANTEES ARE NOT mANSFERABLC THE OFFSETS OR DIMENSIONS SHO~ HEREON F~OM THE P~OPERTY LINES TO THE Smucru~s ~E FO~ ~ SPECIFIC PURPOSE AND USE ~EREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDI~ONAL STRUCTURES OR AND OTHER IMPRO~MENTS. EASEMENTS AND/O~ SUBSURFACE STRU~U~ES RECORDED OR UN~ECO~DED ARE NOT GUARANTEED UNLESS PHYSICALLY EWDENT ON THE PREMISES AT THE TIME OF SURLY SU~Y 0~: DESCRIBED PROPER~ CERTIFIED TO: KATHERINE M[[HAN; u~ OF: WELLS FARGO BANK, N.A.; F~LED: ~WYERS TITLE INSURANCE CORPORATION; SITUATED AT: SOUTHOLD ro~ OF: SOUTHOLD ~NNE~ M. WOYCHUK L.S. SUFFOL~ COUNTY, NEW YORK ~/~ ~d Su~e~n~ and Design r~L[ ~ 10--~6 SCAL[: 1"=50' DAT/: MARCH 50, 20~0 ~0~ (83l) ~ U]I AS-BUILT PROPERff LiNe '" ,.-., AREA SUMMARY ~ ~! DECK ~ DECKINO ON~ ~ ~ LOT AREA = c0.24,064 SF = 10D.00% EXIST'? BLDG. COVERAG[ = c0. 2,377 SF = 9.87.% I/' - - ~ ~ EXISTG POOL COVERAGE : co. 1,396 SF : 5.80% ,'. ~ ADDED BLDg. COVERAGE = ca. 5t3 SF : 2,13% ~~i,/~J'~ ~ /~1~---- WO0---~- DECKI/ ---~ TOTAL BLDG. COVERAGE : ca. 4,286 SF : 17.81% / ,~~~ / IDENCE EXlSTIN6 STRUCTURES / L ~:~ '"'~ . ~ SOUTHOLD, NY .... "::' ~'~4 ~'/~ SURLY BY KENN~H WOYCHUK, LS. I ~ 2155 J~K~EK DR I DATED: 0~/~0/20]0 I ALL CON~ / ~¢~ ~ ~c,,~[c~ ~K UELLEN~ ~ ~ ~L: 631-477 8624 I~ I ~OWNER ~ ~ ED TO~ES ~ ~ 2155 ~K~ CREEK DR SO~LD, ~ H971 ~ ~ ~L: 63~-77~-~16 ~:: co'?-: .... :" ~E SCALE: 1/16" =1'-0" ~ oOFN:W ~ ~ S~E: 1/~6'= 1'-0" - - ~,~:'.'-'~'"'~"~ ~2.[ SITE PLAN i~ · BUILT PERMIT APPLI '~T~~ ¥o~ ~-~-.~. ~-, '~o'-'~" DEo~N OR ~0, SCTM~ = 1000-70-02-28 A~ SITE P~N TOWN OF SOUTHOLD ~m ~ SUFFOLK COUNt, NEW YORK gg A-~ FRANK W. UELLENDAHL, ARCHITECT P.O. BOX 3~6 CREENPORT, NEW YORK 11944 ~ ~ ~ EXISTING POOL DECK ON GRADE DN 36" HIGH RAILING DECK HEIGHT TO GRADE: 21"" AND 2X6 DECKING (TRT'D) 18'-8 1/4" 6'-0 6'-0 ~/4" ,2X8 D 4X4 'D 2X8 HOUSE BEAM BOLTED INTO RIMBOARD EXISTING 2-STORY 1/4" 1/2" HOUSE TRT'D POST ON 8" DIA CONC. FOOTING (TYP.) ~L /.IDECK HEIGHT TO GRADE: 16" STEP UP THIS PART OF THE DECK IS 1 8" HIGH AND RESTS ON GRADE HEIGHT TO GRADE: 8" EXISTING GARAGE DECK DETAIL SCALE: 1/4"= 1'-0" DECK RESIDENCE .OUTHOLD, NY 2155 JO~KU CREEK DR ARCHITECT FP~NK UELLENDAHL P.O.BOX 316 DREENPORT, NY 11944 l~k 6~1-477 8624 OWNER ED TONY,S 2155 JOCKE~ CREEK DR SOUTHO[D, NY 11971 TEL: 631-774-0416 DATE: 04/12/2010 SCALE: 1/4' = 1'-0" DECK DETAIL FRAMING PLAN 9~. N~E A-2 D~G. NO