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HomeMy WebLinkAbout34933-ZFO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34424 Date: 07/01/10 THIS CERTIFIES that the building DORMER ADDITION Location of Property: 160 APPLE CT SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 1 Lot 6.7 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 6, 2009 pursuant to which Building Permit No. 34933-Z dated AUGUST 14, 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 DORMER ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~ne certificate is issued to TERRI L & BRIAN MOZER (OWNER) of the aforesaid building. ~uw~,.)~ COUXqTYDEPART)~NTOFHEALTHAPPRO%rAL N/A ~(jr~ICAL CERTIFICATHNO. 11346 12/14/09 pLiERS CERTIFICATION DATED N/A // Au/rize~ Signature Rev. 1/81 Form No. 6 TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN HALL 765-1502 APPLICATION FOR CERTIFICATE OF OCCUPANC~ JUN 3 0 2010 BLDG. DEPT. TOWN OF SOUTHOLD 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 froTM Health Dept. of water supply and sewerage-disposal (S-9 form). (~ Approval of electrical installation fi.om Board of Fire Underwriters. 4. Sworn statement from plumber certi~fing 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 fi.om 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. Aceuratc 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 Oceupaney 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 Oceupancyon Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Cettificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date, New Construction: Location of Property: /tO/' C.) House No. oWner or Owners of Property: ~) ~,, ~ 61 cx Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: ~ Street 7 0 Block (check one) Hamlet Subdivision PermitNo. B q 7,~ { Date of Permit. Health Dept. Approval: Filed Map. , Lot: Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ c-~' ,i~) ~ Final Certificate: / (check one) ~nt S~~ 40 Nottingham Ddve, Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 9806455 · E-Mail: SBEIGS~grnail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant; Rough In Inspection Date: Application No.: 3im Shaw Electric Znc October 9,2009 11346 Certificate No.: Final Inspection Date: Building Permit No.: 11346 December 14,2009 34933 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: Brian Moser Site Location: 160 Apple Court, Southold, NY 11971 Owner's Address (if different): Residential ~ Indoor ~} Basement ~ Service ~ Shed Commercial ~ii Outdoor ~] First Floor ~'j Pool ~.i Hottub New ~ Renovation ~ Second Floor i'"? Attic ~--] Garage Addition ~-! Survey Other: Single Phase Three Phase 3 Main Panel Sub Pane~ Transformer Disconnect GFCI Breaker INVENTORY Heat Duplex Recpt 11 Ceiling Fixture 2 HID Fixtures Hot Water GFCI Recpt Wall Fixture Smoke AC Cond Single Recpt Recessed Fbdure CO Delec~ AC Blower Range Recpt FIo~res~ent 2 Pumps Appliances Dryer Recpt Ern~gency Time Clock Switches 9 Twist Lock Exit Fixtures ]A/SS Heat Pump Electric Heat Pool Luminaire Exhaust Fan Other Equipment: 1 *paddle fen The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Jim Shaw Electric Inc inspected By: Roger Richert License No,: 33381-ME Date Of Certificate: Dec 18,2009 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34933 Z Date AUGUST 14, 2009 Permission is hereby granted to: TERRI L & BRIAN MOZER 160 APPLE CT SOUTHOLD,NY 11971 for : CONSTRUCTION OF a SECOND FLOOR DORMER ADDITION ABOVE GA!RAGE; H.D. LIMITED TO FOUR BEDROOMS AS APPLIED FOR at premises located at 160 APPLE County Tax Map No. 473889 Section 070 pursuant to application dated AUGUST Building Inspector to expire on FEBRUARY CT SOUTHOLD Block 0001 Lot No. 006.007 6, 2009 and approved by the 14, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] F~ATION 2ND [ ] INSULATION FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS:~ ~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND /~NSULATION FRAMING / STRAPPING FIREPLACE & CHIMNEY FIRE RESISTANT CONSTRUCTION [ ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INFLATION [ ] FRAMING / STRAPPING [/~q~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SA,-.- ~,f INSPECTION [ ] FIRER~Sl'4NTC0~A"fl~I [ ]F~RERESb'I'ANTPB~ETRATI0. REMARKS: f~'~-~- -- ~ /// / DATE FOUNDATION (1ST) ~3 ~ FOUNDATION (2ND) ~.~ PLUMBING , ~ ..... , ',~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ~! ~, 20 ~? Approved ~¢, 20 O ~ Disapproved a/c Expiration PERMIT NO. 3eq33z 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: Phone: ng Inspector AUG 6 2009 BLDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 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 ~o 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 inter/m, 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 re ~ns, and to admit authorized inspectors on premises and in building for necessary inspections. ~~ (Signature/~al~ :ant or name, if a corporation) address of applicant) State whether applicant is owner, lessee, age c gineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~]~[%'~t7[1 ~ ."~_~e,~] (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 wh, ich~pj~qposed work will be ' House Number Street Hamlet County Tax Map No. 1000 Section Subdivision Lot State existing use and occupancy of premises and intended use and occupancy of proposed a. Existing use and occupancy ,.~'//lj~,~ ~'~ ,/~//.. 7 b. Intended use 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 ~.., Other Work construction: Fee Alteration2~ (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 Rear _Depth Height. Number of Stories 8. Dimensions of entire new Construction: Front Height Number of Stories 9. Sizeo~llo.'~Fr~ont 'J~('"/"~'O'E~ Rear Dimensions of same structure with alterations or additions: Front Depth. Height. Number of Sto[i,e~. Rear _Depth ............ ...... Rear l 0. 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 I4. Names of Owner of premiss. /~40 ~ ~:t~ Address Phone No. 7~,J'-- ~--~, ~' 7 Name of Architect -)C/~. *,¥ ~4rZ 7- '~- Address Phone No 7,,?4~([/~.r' Name of Contractor Address Phone No. 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 ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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 J~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) · ~"~:~ ~ ~ 7t'~ bv',~"ff ?'" ~- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ,/4~ ~2/1/'t,7"~,~,/~""~, ~JC (Contractor,~ Agent, Gorpora}e 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 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 ~/ Sworn to before me this ~qrqd day of )0r~6tll~ 20 ~c] ( '""~"~oiary'Pu~{c /~ "-N0t~lP~i~lk'?J~"~'Newyoik t ~ _' *~'1~, 01~E6099317 , OWNER STREET ] ~ ~ VILLAGE DIST~ SUB. LOT REMARKS q. ,.,, · TYPE OF BLD. FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL 70.-1-6.7 10/04 Extension Basement CRAWLs~^B Floors Kit. Extension Ext. Walls Interior Finish L.R. Extension Fire Place Heat D.R, Patio Woodstove BR. Porch Dormer Fin. B. Deck Attic Breezeway Rooms 1st Floor 70-1-6.7 10/03 Extension Foundation PC CB Bath FULL C.^WL Floors Basement SL^B Bath SCDHS REF. # 92 SO 51 R.~5.00, N WALTER N. BERRY MICHELLE A. BERRY THE LONG ISLAND SAVINGS BANK FS8 SUPERIOR ABSTRACT CORPORA TION TRW-S-5439~8-14 · .O.4P ~ SUOt ~SP~CTED AND BROU~kIT - TO - D~ T£ i~ NOT IV COMPLI&N~. ~ T~ I. dF/. The /ocotloos ol wells o~d cesspoo/s d~own hereon ere /rom field observoflons and or from OdD obtained from others. revue revise lax number I ~,/oB/gz SURVEY OF LOT 14 FILEOJUNE 25, ~O~ MAP NO. 9237 A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. ?000 - 7O - 01- 6.7 Scale.. l'= 40' March 11, 1992 JUL Y 15, 1992 (foundation) Oct. 23,1992L~AI) SOUTHOLO~ ~19~1 P'~-T oF FRONT EL,,E~/_ ~ION cERTIFiCATiON OF NAILING & coNNECTiONS REQUIREDr MEET TFF RF~2o ~C~ OF THE CODES OF I~, ,' ~ uAK STATE. OCCUPANCY .USE IS WITHOUT C F~F~FtCeT~ OF OCOUP~t4'~y PURSUANT TO CHAPTER 236 /.REQUIRED SCALE: 1/4" ~- ~ of: 'rf~ lOWN C00E. I A-1 REAR ELEVATION SCALE: 1/4" = 1'-0" DRAWN: MH / MS SCALE l/4"=1'-0" JOB#. luly 27, 2009 SHEET NUMBER A-2 FOUNDATTON PLAN SCALE: 1/4": 1'-0' EX. GARAGE EXISTING ~o~.cH 8×8 COLUMN (3) 2XIO DF#2 HEADER [, 20' 3" 1ST. FLOOR PLAN SCALE: 1/4"= 1'-0' ijj'~ A-4 20'-6" 10' 3" 10' 3" 7-7' HIGH FLAT CEILING ~ALK4N CLOSET EXISTING BEDROOM 2ND FLOOR PLAN SCALE: 1/4" = 1'-0' mm RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. REV[SIOMS EXI~I'ING ROOF PLAN SCALE: 1/4" = 1'-0' oO A-6 WIND-BORNE DEBR[S PROTECTION FOR WOOD STRUCTURAL PANEl N.T.S, DOgUNSPOUT$ DRAIN PIPE DRYWELLSTO BE 1D MZN. AWAY FROM HOUSE ROOF EX. FLOOR SYSTEM EX. GARAGE I I SECTION A-A SCALE: 1/4" = 1'-0" OGEE GUTTER - STANDARD 5" Town of Southold Erosion. Sediment & Storm-~C/ater Run-off ~ssessment Form .~J~. ~ oO SCA[E: JOB ~: A-7 WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS USE THE FOLLOWING APPROVED USP METAL CONNECTORS FOR PROPER WIND RESISTANT · GOOD CONSTRUCTION. FOLLOW MANUFACTURE'S RECOMMENDED INSTALLATION INSTRUCTIONS TO ACHIEVE MAXIMUM UPLIFT LOAD CAPACITY WALL STUD -- GO ATH ~nNIMYr-'r!ON AND CONSTRUCTION DETAIL ~FTER APPHCATION GENERAL NOTES CONSTRUCTION NOTES: FOUNDATION NOTES: FRAMING NOTES WIND FRAMING NOTES DECK AND COVERED PORCH NOTES: PLUMBING NOTES · [). All ~vater mpply, drmnage and venting to be installed as per N.Y.5 Residenhal HVAC SYSTEM NOTES ELECTRICAL NOTES: NAILING SCHEDULE ROOF FRAMING: NAIL NAIL JOINT DESCRIPTION QTY, PACING NOTES WALL FRAMING: NAIL NAIL JOINT DESCRIPTION NOTE~ FLOOR FRAMING: ROOF SHEATHING: NAIL NAIL CEILING SHEATHING: WALL SHEATHING: FLOOR SHEATHING: NAIL NAIL NOTES: PLAN CONTENTS: CLIMATIC & GEOGRAPHIC DESIGN CRITERIA ROOF SHEATHING REQUIREMENTS FOR WIND LOADS: SEIEATI'IING LOCATION INTERIOR ZONE NOTE~ NOTES 8d COMMON ~1 6" O,C, SEE NOTES: 1,3 8d COMMON @ 12" O C SEE NOTES; 1 ( BOTH FIELDS) NOTE: 2 FOP, PANEL FIELD Bd COMMON ~ 4" D.C. SEE NOTES: 1,3 WALL SHEATHING REQUIREMENTS FOR WIND LOADS: NOTE~ THESE NOTE~ ARE ONLY TO BE REFERRED TO IF MENTIONED IN SCHEDULE NOTES ONLY, NOTE: CONTRACTOR TO PROVIDE SOIL TEST TO VERIFY EXISTING CONDITIONS. MINIMUM 3000# CAPACITY. REVISIONS I A-10J REVISIONS LEFT ELEVATION ~ ~ ~ ~ ~ ~ ~1~[ A-1 SCALE: 1/4"= 1'-0" ~ no* m 9nnq 5 LOFT / OFFICE I ,, ~ ~ 2ND FLOOR P~N ,, SCALE: 1/4"= 1'-0' ....