HomeMy WebLinkAbout35527-ZFORM NO. 4
TOWN OF SOL~fHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP~-NCY
NO: Z-34410
06/17/10
THIS CERTIFIES that the buildimg DECK ADDITION
I&)cation of Pro~rty: 640 WOODCLIFF DR
(HOUSE NO.) (STREET)
County Tax ~ap No. 473889 Section 107 Block 8
subdivision
Filed Map No. Lot No.
MATTITUCK
Lot 12
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 23, 2010 pursuant to which
Building ~ez~nit No. 35527-Z dated M3~Y 5, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to EDWARD P & CARRIE A RITTBERG
(OWNER)
of the aforesaid building.
SUF~)I~ CO[~Y DEP~R~T OF }~%LTH ~O~-AL
ELEt-rKIC~%L C~RTIFIC3%TH NO.
PL~S ~TIFIC3%TION DA'r~D
N/A
N/A
N/A
h~ ~ignature
Rev. 1/81
Form No. 6
TOVCN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This al~.plication mUSt be fired 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 propea~y with accurate location of all buildings, property lines, streets, and enusual 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 tess than 2/10 of 1% lead.
5. Commercial buildinE, 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.
B. For existing buildings (prior to April 9, 1957) non-cenforming uses, or buildings and -pre.existing- land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual naturat 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 whting to the applicant.
C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.~0,
Swimm/ng 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 ofOc~upancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00: Commereial$ l 5.00
-New Construction:
Location of Property:
Old or Pre-existing Building:
(check one)
House No.
Owner or Owners of Property: ~'~ toe, ~-
· Suffolk County Tax Map No 1000, Section
Subdivision
Street
Filed Map. . Lot:
Applicant:
P~"ait No. 3''~ ~ ~ Date of Permit. ~ 1% II'0
Hamlet
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Underwriters Approval:
Final Certificate: ~ (check one)
Applicant SignatUre
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. 35527 Z Date MAY 5, 2010
Permission is hereby granted to:
ED RITTBERG
640 WOODCLIFF DR
MATTITUCK,NY 11952
for :
CONSRUCTION OF A DECK ADDITION TO AN EXISTING DWELLING AS APPLIED
FOR
at premises located at 640 WOODCLIFF DR MATTITUCK
County Tax Map No. 473889 Section 107 Block 0008 Lot No. 012
pursuant to application dated APRIL 23, 2010 and approved by the
Building Inspector to expire on NOVEMBER 5, 2011.
Fee $ 200.00
/~ori~ature
ORIGINAL
Rev. 5/8/02
TOWN (2 ITHOLD BUILDING DEPT.
765-1802
NSPECTION
[ INDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]FIRERESISTAHTC4XiSTRUCTI0fl [ ]FIRERESISTAHT~b-'TRA~
REMARKS: ~)~ ~[' ./~-/~-/ (~ ,/~,/~-/f
DATE~ ~//~///~ INSPECTOR
·
-' I ~.~._~_.,~,~,~' /
FOUNDATION (2ND) ~'-
..
~A~ON PER N. Y.
STA~ E~ cODE
' (/~ -I ~ ~ .~,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork.net
Examined 5/5r~, 20 /{~
Approved , 20 ] 0
Disapproved a/c
Expiration
sets c
APR 2 3 20!0
PERMIT NO.
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:
~/~ Building Inspector
?PLICATION FOR BUILDING PERMIT
Date ~3 ]q0f- ,20~O
INSTRUCTIONS
detely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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
Name of owner of premises Eo3 co o c' o) {~,-~¥ Ia e_q' ~
(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:
(:;qO g-C Dr
House Number Street
Hamlet
.J County Tax Map No. 1000 Section Block
Subdivision Filed Map No.
/2,
Lot
(~State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy 0 ec ~
(~ Nature of work (check which applicable): New Building_
Repair Removal Demolition
Estimated Cost /// O tgd2~
5. 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 ofdwelling 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
Height. Number of Stories
Rear
Depth
~t~imensions of same structure with alterations or additions: Front
epth '¢c>£~- Height ~...Ci ~ r, Number of Stories
Rear
Dimensions of entire new construction: Front
Height Number of Stories
Rear Depth
Size of lot: Front Rear Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
,~oes proposed construction violate an lng law, ordinance or regulation? YES. NO
yzsn
(~WWWWWill lot be re-graded? YES NO ~//Will excess fill be removed from premises? YES NO
(~ames of Owner of premises ~'c~,ec} ~,4~e~'e Address
ame of Architect ~/O~'% a- "/oo~,~ '-'Address
Name of Contractor ~>OVo ~4,*e,~,%x,o~ Address
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.
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 [-/
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY O FS~-J~S)S:
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named, ,;O~ml~- O. ~ul~Cn
Notary Public, State of New Yor~
No. 01BU6185050
(S)He is the fhmlifiad in guffnlk County /
(Contractor, Agent, Corporate Officer, etc.) c0mmlssi0n Exgires ADri! 14, 20 ~-
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 th'm ' ,,
,~)-"~CJ. day o,f ~ 20{ b
Nota~ Public
Signature of Applicant
Tow____ n of Southol d
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
,~PROPEFITY LOCATION: S~.T.M. #:~ '-, THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
~-~q~,~ t ~ ~'~ "~ l~ STORM-WATER~ GRADING, DRAINAGE AND EROSION CONTROL PLAN
Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
Item Number:
(NOTE: A Check Mark (~) for each Question is Required for a Complete Application)
Will this Project Retain Ail Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? J~'~'--~
(This item will include all run-off created by site clearing and/or construction activities as well as all Site
Improvements and the permanent creation of impervious surfaces.)
Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location?
This Item shall include all Proposed Grade Changes and S opes Controlling Surface WaterFIow!
Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural
Existing Grade involving moro than 200 Cubic Yards of Material within any Parcel?L~J
Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of r~
Five Thousand (5,000) Square Feet of Ground Surface?
Is there a Natural Water Course Running through the Site? N /
Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach?
oneWill there be Site preparation °n Existing Grade SI°pas which Exceed Fifteen (15) feet °f Vertical Rise t° r'_'~/Hundred (100') of Horizontal Distance?
Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Starm-Water Run-Off
into and/or in the direction of a Town right-of-way?
Will this Project Requiro the Placament of Material, Removal of Vegetation and/or the Construction of
any Item W~thin the Town R ght-of-Way or Road Shoulder Area?
(This item will NOT include the Installation of Driveway Aprons.)
Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse?
NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark in the Box, a Storm-Water, Grading,
Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit
EXEMPTION: Yes No
Does this project meet the minimum standards for classification as an Agricultural Project?
Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drathage & Erestan Control Plan is NOT Requiredl
STATE OF NEW YORK,
That [,. ............................................................................... being duly sworn, deposes and says that he/she is the applicant for Permit,
(Name of individual signing Documenl)
And that he/she is the
(Owner. Contractor, Agent, Corporate Officer, etc.)
Owner and/or representative of the Owner of Owner's, 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 perfortned in the inanner set forth in the application filed herewith. CONNIE D. BUNCH
Sworn to before me this; Notary Public, State of New Y0r~
No. 01BU6185050
............................................... y .,,z.:. 4 .~,. ........ ~ .....................
Nor, uy Public: ...... ~ ........ i .......
(Signature of Applicant)
FORM - 06/07
· · ..~-~ --,_ I-, TOWN OF SOUTHOLD PROPERTY RE4:ORD CARD ~'~'
~ 2 /0 S~S. VL F~J ' COMM. CB. .MISC. ~kt. V~lue
~ND.- iMP, TOTAL DAT~ R~A~KS
700 9~o0 ~ ~00 VI ,/z~//o ~/~/~-~ :~&~c-~ ~. ~ ~,~' ~ ~)~
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre
Tillable
Swamp~nd
Tillable 2
Tillable 3
Woodland
FP. ONTAGE ON WATI:R
Brushland
House Plot
Value Per Voiue
Acre
Total
FRONTAGE ON ROAD
DEPTH
BULKHEAD
DOCK
~o?.-s-12' mo
.r~ Roo~ ~. ~oo~ ~[~ ~ s~ ~'
Porch Recreation R~m F R~ms 2nd Floor ~~**g FIN.
Porch Dormer ~~ ~ t
~reez~ay Driveway
~Tg~
O.B. ~
8CT~
EXISTING FIP~5T FLOOR
BOX AROUND DRYER VENT A~
RELOCATE HOSE
TIMBER TECH DECKING A5
5ELECTED BY OWNER.
3'-0" HIGH TIMBER TECHRAIL
5Y5TEMWITH LES5 THAN 4"
CLEAR BETWEEN DALUSTEED
b
ODECK PLAN
SCALE: I/4" = I '-0"
[I II
II
Il
A
2x I 0 LEDGER BOARD BOLTED TO
CONCRETE FOUNDATION WITH I/2"
BOLT5 @ J 2" O,C,
×, CONG. __
/
2×10
2NC, PIER. WITH
~IC. FOOTING -
ODECK FRAMING PLAN
SCALE: I/4" = I '-0"
2xlO
BLOCKING AS REQUIRED
BLOCKING AS REQUIRED
OPTIONAL LATTICE AS
5ELECTED Dy OWNER
ECEI RAIL SYSTEM
AS 5ELECTED BY OWNER
AC4 EA. SIDE
-- 4x4 WOOD POST
G- I Gd COMMON NA[b5 ~ EACH
SIDE
5IMPSON PB44
?0ST BASE
CONCRETE FOOTING
REFER TO PLANS FOR SIZE
POST/JOIST/H EADER/RAI LING CONNECTION
SCALE: NT5
ALI.
YORK SI,
DESIGN
PURl
OF Ti
ALL COb
MEET THE
CODES,
400
Young dc Young
NOTE5 GENERAL
~ · CONTRACTOR SHALL VERIFY ALL JOES AND FIELD CONDITIONS,
AFFECTING ALL WORK AND OBTAIN ALL DIMENSION5 TO INSURE THE
PROPER STP-~NGTH FIT AND LOCATION OF THE WORK. REPORT, IN
WRITING, TO THE ARCHITECT AND ENGINEER ANY AND ALL
CONDITIONS WHICH MAY iNTERFERE WITH OR OTHERWISE AFFECT,
OR PREVENT, THE PROPER EXECUTION AND COMPLETION OF THE
FOUNDATION5 ¢ CONCRETE
CARPENTRY
UCE 15 UNLAWFUL
WITNOUT CERTIFICATE
OF OCCUPANCY
STORM WATER RUNOFF PROPOSED DECK.
qNT TO CHARTER 236
TOWN
FR UC'TION~31-¢,LLI ,Nv
P-,,E,.~I DEN CE
)UIREMENTS OF THE
~EW'fORK S~A~iTUCR, TOWN OF 50UTHOLD
DUFFOLN COUNt, NEW
F'LAN,D ¢ DETAIL.E:~ ]
20,0 ooB~ A- J
EXIDTING ~IP-.ST ELOOP-.
BOX AROUND DR`YER` VENT A~
RELOCATE HOSE BIBB A~
)WN
TIMSEP-, TECH DECKING AS
SELECTED BY OWNER`
3LO'' HIGH TIMBER.TECH PAIL
5YDTEM WITH LES5 THAN 4"
CLEAR BETWEEN BALUBTERD
20'-0"
,?
ODECK PLAN
SCALE: 1/4" = I '-0"
II II
~,ERMOVE ALL OR
SECTION5 OF
E~ISTING CONC,
PLATFORM A5
REQUIRED TO CLEAP-,
2X ] 0 JOIST5
2x I 0 LEDGER BOARD bOLTED TO II
u
COpE
NOTE: PROVIDE ~OLID
BRIDGING AT~ POINT50E
JOIST 5PAN
6L2" ,,~ ~,. 6L2" .,~
20'_0Ill
ODECK FRAMING PLAN
SCALE: 1/4" = I '-0"
-- TIMBER TECH PAIL SYSTEM
-- DECKING AS SELECTED BY OWNER
+1
SKIRT A/P
OWNER
OPTIONAL LA,lICE AS
SELECTED SYOWNER ~ i
WITH BLOCKING A5 La
REQ'D.
11
2X I 0 DECK JOISTS
WITH BIMPDON H3 FRAMING
ANCHOR EACH JOIST
AC4 EA. SIDE
-- 4x4 WOOD POST
6-16d COMMON NAIL5 @ EACH
BIDE
SIMPSON PB44
POST BABE
CONCRETE FOOTING
REFER TO PLANS FOR 51ZE
QPOST/J OI,_.ST/H EADEP.,/RAI LING CON N ECTION
SCALE: NTB
NOTE5 GENERAL
I , CONTRACTOR SHALL VERIFY ALL JOB AND FIELD CONDITIONS,
AFFECTING ALL WORK AND OBTAIN ALL DIMENSIONS TO INSURE THE
PROPER STRENGTH FIT AND LOCATION OF THE WORK. REPORT, IN
WRITING, TO THE ARCHITECT AND ENGINEER ANY AND ALL
CONDITIONS WHICH MAY INTERFERE WITH OR OTHERWISE ASPECT,
OR PREVENT, THE PROPER B<ECUTION AND COMPLETION OF THE
WORK.
2. ALL CONSTRUCTION SHALL COMPLY FULLY WITH THE APPLICABLE
PROVISIONS OF TNE NEW YORK STATE BUILDING CODE LATEST
EDITION AND LOCAL BUILDING DEFARTMENT REQUIREMENTS.
S. ALL REQUIREMENTS SPECIFIED IN THE CODE SHALL BE ADHERED
TO AS IE THEY WERE CALLED FOR, OR SHOWN. ON THE DRAWINGS.
THIS SHALL NOT BE CONSTRUED TO MEAN THAT ANY
REQUIREMENTS SET FORTH ON THE DRAWINGS MAY BE MODIFIED
BECAUSE THEY ARE MORE STRINGENT THAN THE CODE
REQUIREMENTS OR BECAUSE THEY' ARE NOT SPECIFICALLY
REQUIRED BY CODE.
4. CONTRACTOR SHALL OBTAIN ALL NECESSARY REPJvllTS AND
ARRANGE FOR ALL INSPECTIONS AS REQUIRED BY APPROPRIATE
BUILDING DEPARTMENTS.
5. DO NOT SCALE THE DRAWINGS, ANY DISCREPANCIES SHALL SE
REPORTED, IN WRITING TO THE ARCHITECT FOR CLARIFICATION.
~OUNDATIOND ¢ CONCRETE
I , SOrL BEARING CAPACITY ASSUMED AT I TON/~E. ALL
FOOTINGS SHALL BEAR ON UNDISTURBED SOiL HAVING AT LEAST
THAT CAPACITY.
2. ALL CONCRETE SHALL BE STONE CONCRETE AND SHALL DEVELOP
A MINIMUM ULTIMATE COMPRESSIVE STlaZNGTH AT 28 DAYS OF
SO00PSI. CONCRETE EXPOSED TO WEATHER SHALL BE AIR
ENTRAINED.
CARPENTRY
2010
PROPOSED DECK
R. ITTIDE R.G P-.E~IDENCE
AT MA%FITUCK, TOWN OP SOUTHOLD
SUFFOLK COUNTY, NEW YORK
PLANk ¢ DISTALLY5 I