HomeMy WebLinkAbout35496-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34326 Rte: 05/05/10
THIS u~KTIFIES that the building HOT TUB
Location of Property: 205 KNAPP PL GREENPORT
(ROUSE NO.) (STREET) (HAMLET)
County Tax }{ap No. 473889 Section 34 Block 2 Lot 18.1
Subdivision FiledMap No. __ LOt No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 13, 2010 pursuant to which
Building Permit NO. 35496-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" ACCESSORY HOT TUB AS APPLIED FOR.
~e certificate is issued to M3~RK E REIDEM3LNN
(OWNER)
of the aforesaid building.
SIIFP~)LKC~3I~Y DEP~/~T~T OF }~AL~{APPROV2%5 N/A
ELRt-I~ICAL ~TIFIC3%TH NO. 35496 04/15/10
pLIghtERS CERTIFICATION DA'r~a3 N/A
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34327 Date: 05/05/10
T~IS c~KTIFIES that the building DECK
Location of Property: 205 KNAPP PL GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County T~x Map No. 473889 Section 34 Block 2 Lot 18.1
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 13, 2010 pursuant to which
Building Permit No. 35496-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 MARK E HEIDEMANN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTYDEPARTB~TOFHEALTHAPPROVAL
ELEt-i~ICAL CERTIFICATE NO.
I~L~ERS 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
Tiffs 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 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 thc 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, 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:
Location of Property:
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. '~ ~ c~ ~
Date of Permit.
Date.
Old or Pre-existing Building:
Block
Filed Map.
Applicant:
Health Dept. Approval:
,,,-4 F'/e/a_/3,
(check one)
~ Ham[et
Lot:
Underwriters Approval:
Planning Board Approval: ~//
Request for: Temporary Certificate Final Certificate:
FA ~ / )~ppllcant Signature
Town ltall Annex
51.375 Main
P.O. Box 1179
5oulho]d, NY 11971-0959
Telephone (631) 765-1892
Fax (6:¢1) 7634),302
ro.qer, richert~..town, so uthold, nv. us
BUII~I)ING I)EPAI/TMENT
TOWN OF $OUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mark Heidemann
326 Knapp PI. City: Greenport St: NY Zip: 11944
~%0(~[(,, sectio.: 34 Block: 2 Lot: 17-18
Building Permit #:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
DBA: License No:
SITE DETAILS
Office Use Only
Residential [~ Indoor ~ Basement ~] Service Only ~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCl Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: Supply GFCI protected power to self contained hot tub
Ceiling Fixtures [E~R HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur(~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures L.J TVSS
Notes:
Inspector Signature:
81-Cert Electrical Compliance Form
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. 35496 Z Date APRIL 21, 2010
Permission is hereby granted to:
MARK ERIK HEIDEMANN
326 KNAPP PLACE
GREENPORT,NY 11944
for :
"AS BUILT" DECK ADDITION & HOT TUB AS APPLIED FOR
at premises located at 205
County Tax Map No. 473889 Section 034
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
KNAPP PL GREENPORT
Block 0002 Lot No. 018.001
13, 2010 and approved by the
21, 2011.
Fee $ 900.00
~d Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] INS~.TJON
[~NAL
[ ] 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
REMARKS:
ROUGH PLBG.
INSULATION
FINAL
FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
DATE
INSPECTOR~~
TOWN OF SOUTHOLD
BUILDING I~EPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined
Approved
Disapproved
,20
Expiration / O/c)'~ [, 20 [ (
PERMIT NO. J-5~7~'~
BUILDiNG PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4,~sets Building Plans
of
Planning Board approval
Surve~
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact: ~{.~,K)~__~;
Phone: ~[..~¢¢, ~/~/~
f Btlilding Inspector
APPLICATION FOR BUILDING PERMIT
Date ~:~lZ ~ ,20dO
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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.
(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
Nameofownerofpremises ,AT/9,~:z AJ~[~ 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
County Tax Map No. 1000 Section
Subdivision
(Name)
Block
Hamlet
Filed Map No.
Lot
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:'
a. Existing use and occupancy
b. Intendeduse and occupancy
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
Addition Alteration
Other Work ~ - t?~t'~?-~'
(Description)
Fee
(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.
~A:5 Depth
7. Dimensions of existing structures, if any: Front '~'~;z~ Rear ~ ~¢
Height I~/t' Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size of lot: Front ~Or
10. Date of Purchase
11. Zone or use district in which premises are situated
Rear
Name of Former Owner
Rear Depth
Depth /~Z/, ~Z~ t'
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO Xt//
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
14. Names of Owner of pre ..~mises ~f',/<" fft?~/L~/~ldress ,,g2~' ~ ~ ~S-~hone No. ~3t
NameofArchitect tF'~l,~5 ~"~t"/L~/,qd~/'/( Address;7>~, :~{,~, t l;2r, o,~ t PhoneNo ~,~-
Name of Contractor Address o ~ 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 B~ REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO v'
* 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.
STATE OF NEW YORK)
COUNTY OF~
~-~/~:~ ~/ec'j//~-7~t:~_e/ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named, CONNIE O. BONCH
Nora.fy Public. State of New ~'or~
(S)He is the ~ g~_~/-t/77'~'- .~-'~ No. 01RU6185050
(Contractor, Agent, Corporate Officer, etc.) Comm~;~'~,r'~;'~'~il 1'~'~i'~0 [~L
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
~ day of z~)~'fL.._ 20 t/t~
Notary Public
~eof Applicant
/oa~--~y - ~.-I~. 1 TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER ISTREET ~,~)~ '1 VILLAGE
DIST~ SUB.
TYPE OF BUILDING
LOT v
"E _Z o s s.
LAND IMP.
VL
TOTAL
'FA~
DATE
CON~M.. CB. MI~S. ~ Mkt. Value
REMARKS
-L
AGE
NEW
FARM
THlable
Meadowkmd
NORMAL
BUILDING CONDITION
BELOW ABOVE
Value Per J Value
Acre
I
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
House Plot BULKHEAD
DOCK
COLOR
Tram
Extertsio~
Extension
Porch
Breezeway
Garage
Patio
~o~
Ext. Walls
Fi,e Place
Type RoOf _
[ RecreQtion Roolr J
.
Bath
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
L
Dinette ~
BR. j
FIN. B
BUILDIN.G PERMIT EXAMINER CHECKLIST
*Date Submitted: ~t.~./fl_/O Date Reviewed: ~f ' ~0-[ 0
Applicant:
~r4,1aec;-
scm# 000-
Property Address:
Building Permits (Open/Expired): BP '"'-' -Z / C/0 Z- -'"'-- , Info:
BP__-Z / C/0 Z-__, Info: BP -Z / C/0 Z-
Single & Separate Search Required? Y o~Determination: ·
REQ. Lot Size: hca) o*o ACT. LOt Size:
Estimated Cost: -
Zone: ~'-- blt0 Conforming?
City: Pre COs?
BP -Z / ~0 ~ , Info:
BP -Z/~0 Z- ,Info: ~
, Info:
TQ. Lot Coy. ~ ACT: Lot Cov.
RBQ. Front ~' ACT. Front ot~ REQ Side /~ ACT. Side /¢ · REQ. Rear 3-~- PROP. Rear
RBO. Height. ~f ACT. Height ~gt~ ~ $'~6~A'~"d),5'/~'.5 a.5- ~t~-F--
Project Description: \t~¢-- ~o~_.J~2/ ~ ~ ~ /-~t~-7--t~
Waterfront? Y o~_~
If yes, water body: ~
,ADDITIONAL APPROVALS REQUIRED 0/~
Suffolk County Health: Y o0 If yes, ;Bed#: *Date: / / _*Permit#:
- If no, certification required: Y or N Received: Y or N By:
Panel# - Flood Zone: -'--- Bulkhead/BluffDistance: - '
NYS DEC: PRE-OEC9/I/VS Y o&- Date: __/__ __
Southold Trustees: Y. or~ Date: __
Southold ZBA: Y o~- Date: __/ /
Southold Planning: Y o~ Date: /
Town Landmark C of A: Y o~TE: __
Notes:
Town Septic: Y o~
/ Permit #:
Permit #:
Permit #:
Permit #:
/
or NJ Letter - Notes:
or NJ Letter - Notes:
- Notes:
- Notes:
Compliance (page ~r N
CODE
Fee Structure: Calculation:
Foundation: SF 1. (
First Floor: ~$ SF
Second Floor: SF
Other: /lt.'r 'r-~ I~ SF 2. (
Total: SF
SF)- (
SF)- C_
SF)= SF X $ =$
+ Initial Fee: $
+ Additiongl Fee ( ): $
SF)= SF X $ =$
+ Initial Fee: $
+ Additional Fee ( ): $
TOTAL: $
~',5'0 , O0
t¥",~'-O, O0
C~O0, O0
NEW YORK STATE CODE COMPLIANCE CIIECKLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: 0R
.Ground Snow Load: ~0
Weathering: Severe__
Design Temp: 11
, Wind Speed: 120MPIt__ Seismic Design Category." B .
· Frost Depth: 36" __ Termite: M-H Decay:
·Iee Shield Underlay: YE8 ~ Flood HazaPds:
USE/OCCUPANCY CLASSIIrlCATION:
' HEIGtiT/FIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE
FULL FP, LAMING DESIGN ELEMENTS: Y/lq
HEADERS: Y/N WALL STUDS: YfN
CEILING JOISTS: Y/N FLOOR JOISTS: Y/N
LUMBER SPECIES AND GRADE: Y/N
GLRI)ERS~ Y/N
ROOF IL~eTERS:
WU:TDOW AND DOOR SCHEDULE:
· MISSLE TEST REQUIREMENTS: Y/N
EGRESS 5.7 S.F.: Y/N
LIGHT 8%: Y/N
VENT 4%: Y/N
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N
PLUMBING RiSER DIAGILAM: Y/'N
LOCATION OF FIP,2E PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
CERTIFICATION: Y/N
ENERGY CALCS: Y/N
TOTAL COMPLIENCE~?/Y/~ (RETURN TO PAGE ONE
AREA SUMMARY
LOT AREA = ca. 15,600 SF = 100.00%
EXIST'G BLDG. COVERAGE = ca. 1,160 SF = 8.53%
ADDED BLDG. COVERAGE = co. 140 SF
TOTAL BLDG. COVERAGE = cd. 1,300 SF = 9.56%
MAX. BLDG. COVERAGE = ca. 2,720 SF = 20.00%
SHED
AS-BUILT HOT TUB I
"iMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
30~ SF
7.8'
lAS-BUILT WOOD DECKI
!EXISTING
2-STORY HOUSE 14.0'
790 SF
DRIVEWAY
AP,
DATE B.P.
AS-BUILT HOT TUB with SAFETY COVER AS-BUILT DETACHED WOOD DECK
AS-BUILT PERMIT APPLICATION
APRIL 8,2010
BY:.
NOTIFY BUILDING TMENT AT
765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
i. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGN - FRAMi*~G & PLUMBING
3, INSULATION
4. F!NAL - CO;:3TRUCTION MUST
DE COMPLETE FLoR C.O.
ALL CONS'TRL/CiiO;; S-i&LL MEET THE
REQUiP, ELiENTS OF THE CODES OF NEW
YORK STATE. NOr' RESPONSIBLE FOR
DESIGN OR CONSTRUCilON ERRORS.
il]
~ AS-BUILT WOOD DECK AND HOT TUB I
EXISTING STRUCTURES
SURVEY BY RODERtCK VAN TUYL, P,C.
DATED: 11/07/1984-
CERTIFICATION OF
NAILING & CONNECTIONS
REQUIRED.
Iii
..%
' ~.' THm
AS-BUILT,
WOOD DECK
& HOT TUB
UN,:E~WRtTERS CERTIFICATE
REQUIRED
SCALE: 1/16" =1'-0"
SITEPLAN
SCTM~: 1000-54-02-17&18
TOWN OF SOUTHOLD
SUFFOLK COUND', NEW YORK
ARCHITECT
FRANK UELLENDAHL
P.O.BOX 316
GREENPORT, NY 11944
TEL: 631-477 8624
RESIDENCE
GREENPORT, NY
326 KNAPP PLACE
OWNER
t~K HEIDEl/ANN
326 KNA,°9 PN.CE
GREENPORT, NY 11944
BATE: 0~/08/2010
SQ~L[: 1/16' = I'-0"
SITE PLAN
DWG.
A-1
DWG. NO
FRANK W. UELLENDAHL, ARCHITECT P.O. BOX 316 GREENPORT, NEW YORK 11944
¸2"
8'-1 1/2"
6'-6"
HOT TUB PLAN
HOT TUB ELEVATION
TRT'D 4X4
L
3 1 F
L
I
T-10"
DECK FRAMING
2X6 DECKING
EACH JOIST
DECK SECTION
1ST FLOOR
BASEMENT
iii AS-BUILT
WOOD DECK
& HOT TUB
RESIDENCE
i GREENPORT, NY
526 KNAPP PLA61
ARCHITECT
~K UELENDAHL
P.O.~X 316
6RENPORT, NY 11944
TE: 631-477 8624
OWNER
I,~K HEIDBMNN
326 KliAPP P~CE
GREENPORT, NY 11944
DAI'E: 04/08/2010
S6,~: 1/2' = 1'-0"
i DECK DETAIL
DWG. NO