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