HomeMy WebLinkAbout35434-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34483 ~te: 07/28/10
THIS U~KTIFIES that the building DECK ADDITION
Location of Property: 145 FOUNDERS PATH SOUTHOLD
(ROUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 64 Block 2 Lot 30
S%~bdivislon Filed Map NO. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 2, 2010 pursuant to which
Building Petit No. 35434-Z dated APRIL 2, 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 D/DDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to URSULA C EVANS
of the aforesaid building.
(OWNER)
SUFFOLK COUI~I"/DEPAI~ll~ENTOFHF~%LTNAPPRO%5%L
RLRt-rKICAL u~KTIFICATE NO.
pLU~qBERS ~ERTIFICATION DA'£Fa3
N/A
N/A
N/A
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 33135 Z Date JUNE 15, 2007
Permission is hereby granted to:
URSULA C EVANS
145 FOUNDERS PATH
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at 145 FOUNDERS PATH SOUTHOLD
County Tax Map No. 473889 Section 064 Block 0002 Lot No. 030
pursuant to application dated JUNE 14, 2007 and approved by the
Building Inspector to e~ire on DECEMBER 15, 2008.
Fee $ 200.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
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.
35434 Z Date APRIL 2, 2010
Permission
is hereby granted to:
URSULA C EVANS
57 LOCUST LANE
OYSTER BAY,NY 11771
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR. REPLACES EXPIRED BP # 33135
at premises located at
County Tax Map No. 473889 Section 064
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
Fee $ 200.00
145 FOUNDERS PATH
SOUTHOLD
Block 0002 Lot No. 030
, 2010 and approved by the
2, 2011.
~ Autho Signatur~
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCU
This application must be filled ia by typewriter or ink and submitted to the Buildin
BLDG. DEPI.
A. For new building or new use:
1. Final survey of property with accurate locati°n 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 ia system contains less than 2/10 of 1% lead.
5. Commemial building, 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. F~r existing bui~dings (pri~r t~ Apri~ 9~ ~9$7) n~n~c~nf~rming uses~ ~r bui~dings and "pr~-existing~ ~and uses:
1. Accurate survey of property showiag all property lines, streets, building and unusual natural or topographic
feamres.
2. A properly enmpleted applicatian 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,
Swing 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 ofOecupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commemial $15.00
Date.
New Construction: Old or Pre-existiag Building: tche~k one)
House No.
Owner or Owners of Property: 'X'. ~ Stree~
Hamlet
Suffolk County Tax Map No 1000, Section
Block
Lot
Subdivision
permit No."~
Date ofPermit.
Filed Map.
Applicant:
Lot:
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Final Certificate:
(check one)
Applicant Signature
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONS~UCTION
[ ] ROUGH PLBG.
[ ] IN~~ON
[ ~ FINAL
[ ] FIRE SAFETY INSFECTION
[ ] FIRE RESISTANT FENETRATION
REMARKSi ' ' . .
DATE
July 26, 2010
Town of Southold Building Department
Town Hall Annex Building
54375 Route 25
Southold, NY 11971
Re:
145 Founders Path
Southold, NY 11971
Certificate of Occupancy
To Whom It May Concern:
This is to confirm that all concrete piers were installed to a depth of 3'-0" below
grade in accordance to the requirements of the Residential Code of New York
State.
If you have any questions, please contact me.
Very truly yours,
Marc B. Spector, AIA
lYI~LD INSPECTION REPORT I DATE J COMMENTS
'~O'~DATION {,ST) --
.......................................
FO~DATION (2ND)
ROUaa F~¢ &
PL~G
~S~ATION ~ER N.Y. -~ ~ -
STATE E~RGY CODE
~//r~ ~DITION~ COmNTS ,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined
Approved
Disapproved a/c
2007
Expiration /~/~"~, 20. ~f~
~LD, :,. OEP,. [
BUILDiNG PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
a 4 sets of Building Plans
Planning Board approval
-'"-~ Survey
Check ,~ OC_' . 0
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:./Vloi'f~- h~t,~ ~.~t ~,0'~ ~- ,'
f>.o. !o~e
Phone: p
! Bu-ilding Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
~-"~ Me i ,20 0.7
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
~ets 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
!ssues 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, Suflblk 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.
( 'g ature of applicant or name, ifa corporation)
P.o.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(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. (_~ ~_ 9~
Plumbers License No.
Electricians License NO.
Other Trade's License No.
Location of land on which proposed work will be done:
=oo 8eYs I"'fl:a.'"r,5ooTt. a Ix.l-"/,
House Number Street Hamlet
County Tax Map No. 1000 Section ~ ~ Block
Subdivision ~DC/v~ ~v~ t~'~qTe $ Filed Map No.
(Name)
2. 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 1'-~'~' ~T
3. Nature of work (check which applicable): New Building_ Addition Alteration
Repair Removal Demolition Other Work ~'Cq4 ~. ,~ 1"3 ~ c ~
Estimated Cost~/I '~, ) (~) O O
If dwelling, number of dwelling units
If garage, number of cars
Fee
(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
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height
8. Dimensions of entire new construction: Front I~-"
Height ~//a Number of Stories
9. Size of lot: Front ~' ~,. ~5 7 ~' Rear ~ ')-. ~o
Number of Stories
Rear
.Depth
.Depth
[~ar
.Depth
17'
10. 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 X
13. Will lot be re-graded? YES__ NO__Will excess fill be removed from premises? YES__ NO__
14. Names of Owner of}~remises.
Name of Architect p~ ¥-}' k9 o V' -JOb ~ So~
N~e of Con~actor~ o~ Lq B ~ ~ 2 ~
15 a. Is this prope~y within 100 feet ora tidal wetland or a ~eshwater wetl~d? *YES~ * IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PE~ITS MAY BE REQUIRED.
b. Is this propeay within 300 feet of a tidal wetl~d? * YES~ NO ¢
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
Address Phone No.
Address O V q're' t-~,,~,, ~ ~ ~?~ ~none mo ~-/~ ~ 2 ~ -
Addressla-,~,?ne~,~ da PhoneNo. 7¥ 9-o5-/5'
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.
STATE OF NEW YORK)
2~O . SS:
COUNTY OF ~_)
~...~f~. ]~O~ ~ V~2.'~.~ being duly sworn, deposes and says that (s)he is the applicant
(Na[ne'~i'individual Signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate 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.
Swo, t befordWo;hi00 7
! Notary Public V
Signature of Apphcant [
TOWN
OF $OUTHOLD
~IiOPERTY
RECORD CARD
FOR~ER OWNER
-%~hn o4,wn~n~
STREET
VILLAGE
E
DISTRICT SUB.
^CRmE ,/ qb
S W TYPE OF BUILDING
RES. SEAS. VL. FARM COMM.
LAND IMP. TOTAL DATE REMARKS
IND. I CB. MISC.
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value
Tillable
Tillable
Tillable
2
3
Est. Mkt. Value
Woodland
Swampland
Brushland
Ho~se Plot
FRONTAGE ON ROAD
BULKHEAD
DOCK
?
Total
.~g.r I ~"~X ~, ? :' ~'~,~ a' ~ [ ~ ~Foundation d,/~ Bath
Extension // ~ ~ ; ~ / ~ ~ ~ Basement ~// Floors
E~ension Ext. Walls ~,~ Interior Finish
Extension .<' Fire Place J, ~ ~ ~ Heat
Porch R~f Type
P~9~ /~ ff~ : /R ~ ~¢°j ~/~ Porch Roo~ 1st Floor
Breezeway ~ Patio [ Rooms 2nd Floor
Garage /~ IL ; .~ /~ Driveway Dormer
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
~4arch 3~, 2009
FIR, ST NO'I'ZCE
Ursula O. Evans
1710 Cloister Drive
Sun City, Fi 33573
RE: 145 Founders Path (Deck Addition)
5CT44: # 64.-2-30
Dear/~s. Evans,
Please be advised that your Building Permit # 33135 issued Zune 15~h, 2007 has
expired. Accord/n9 to the Code of the Town of $outho/d, a Certificate of Occupancy
must be issued before the use of the structure,
To renew your Buildin9 Permit, p/ease submit a fee of ~200.00; at that time we can
schedu/e an inspection by one of our Bui/dinj7 Znspector'~.
£f you have any questions, p/ease ca//us at 765-1802.
t;espectfully,
50UTHOLD TO~/N BUILDZNG DEPT
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971 0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (63 I) 765-1802
Fax (631) 765-9502
November 2"d, 2009
Ursula C. Evans
1710 Cloister brive
Sun City, FI. 33573
RE: 145 Founders Path (beck Addition)
SCTM: # 1000-64. -2-30
F~NAL NOT~¢E
bear Ms. Evans,
Please be advised that your Building Permit # 33135 issued ,Tune 15th, 2007 has
expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy
must be issued before the use of the structure.
To renew your Building Permit please submit a fee of $ 200.00: at that time we can
Schedule an inspection by one of our Building ]Mspector's.
Zf you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLD TOWN BU];LD]~NG DEPT
N
AREA=8,582 SO. FT.
· =MONUMENT
SURVEY OF PROPERTY
AT SOUTHOLD
TO,tN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SCALE: 1 '=20
APRIL 23, 200?
~1o ~.o'~ so
LOT NUMBERS REFER TQ "SUBDIVISION MAP OF FOUNDER'S ESTATES"
FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON
MAY 10, 1927 AS FILE NO. 854.
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION
OF' SECTION 72090F THE NEVI YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7209-SUBDIVlSION 2. ALL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
·HOSE SIGNATURE APPEARS HEREON.
/PECON/Cu~'URVEYORS, P.C.
(631) 76,5-5020 FAX (631,) 765-1797
P.O. BOX 909
1230 TRAVELER STREET
SOUTHOLD, N.Y. 11971
OUTUNE OF
STAIRS
T
BE REMOVED
CONC STAIR
LANDING PAD
10' DIA, X 3'-0' DEEP
I-®
POURED CONC, PIER (TYP,)
4" X 4' POST
A~ADH TO CONC PIER
W/METAL ANCHOR
OUTLINE OF DECK
ABOVE
OUTLINE I
STAIRS
OUTLINE OF
STAIRS
T
c
UF
CONC STAIR
LANDING PAD
(:3
OUTLINE OF
DECK ABOVE
UF
4" X 4' CEDAR
HANDRAIL POST
(~P')
2" X 4" TOP
CEDAR RAIL
W/CHAMFERED EDGES
CAR (WP.)
s/A"x D" /
CEDAR DEOKIND
CONC STAIR
LANDING PAD
I II I
,TING REAR
ENTRANCE
FOOTING PLAN
SCALE
~ CEDARI
-- RAIL W/CI~MFERED
/
/
2" X 2" CEDAR
CEDAR POST
OUTLINE OF
I I I I DONC PIER
II
GRADE
~SIDE (SOUTH) ELEVATION
SCALE 3/8" = 1 '-0"
FACE OF HOUSE
2"X2" TOP CEDAR
RAIL W/CHAMFERED EDGES
TOP OF EXISTING
FIRST FLOOR
~+ 1'-11"
2' X 6" LEDGER
A~ACH TO HOUSE
W/EXPANSION BOLTS
~ GRADE
EL. 0'-0"
FRAMING PLAN
SCALE
318"= 1'-0"
SECTION
SCALE
1/2" = 1 '-0"
2" X A" CEDAR
TOP RAiL W/CHAMFERED
EDGES
2' X 2" CEDAR
DALLUSTERS
CEDAR POST
CEDAR POST
OUTLINE OF
CONC PIER
FRONT (EAST) ELEVATION
SCALE 3/8" = 1'-0"
2"X2" TOP CEDAR
RAIL W/CHAMFERED EDGES
GPJADE
EL. 0'-0"
2"X2" CEDAR
POST CAP (TYP.)
II
II
2"X2" TOP CEDAR
RAIL W/CHAMFERED EDGES
2" X 4" CEDAR
TOP RAIL W/CHAMFERED
EDGES
2" X 2" CEDAR
BALLUSTERS
CEDAR POST
CEDAR POST
OUTLINE OF
CONC PIER
? ~I^~E (NORTH)ELEVATION
3/8" = 1'-0"
2"X2" CEDAR
POST CAP (lYP,)
GRADE
EL. 0'-0"
CERTIFtOATION O~-
NAILING & CONNECTi~A ~
REQUIRED.
OCCUPANCY O~
USE IS UN 'LA~FUL
WITHOUT CERTiFI¢ ~--
OF OCCUPANCY
APPROVED AS NOTED
2"x2"CEDAR
4"X4" CEDAR
2"x2"CEDAR
4"X¢" CEDAR
NOTES:
4. FINAL- CCN?nUCTION MUST
BE COMPLETE fOR C.O.
ALL 60NSTRdC]ION SHALL MEET THE
REQUIREMENTS OFTRE COSESOFNEW
YORK STATE. NOT RESPONSIBLE FOR
2"x2"CEDAR -- -- -- DES[GN OR CONSTRUCTION ERRORS.
DALLUSTERS ~ BALLUSTERS HANDRAIL POST BALLUSTERS HANDRAIL P~T 1, ALL WIDRK SHALL TFI C[]NFIRM
TB THE NY STATE BLDG CE]DE
5/4" X 6"~ 5/4" X 6" 5/4" X 6" DR THE JURIS]]ICATIDN HAVING
CEDAR DECKING ~ CEDAR DECKING ~ CEDAR DECKING AUTHORITY
2" X 6" JOIST~III I"t] Ir' I I I I IlI< Il It I Il I I 2" x 6" JOIST %~. 2" x 6" JOIST e, ALL CBNNECTIDNS SHALL BE
~ 16" O'Cl (TYP')I~111~[111lillll @16"O.C.(~P.) @16"O.C. OYP.) ~ MADE BY USING SZNPSDN
~ STRBNGTIE ANCHBRZNG AN]]
2"x 6" H I Ill 11 2"X 6" CONNECTION SYSTEM,
GIRDER ~ GIRDER ~%~T
__ 3, ALL FRAMING, ]]ECK]NG AN]]
HANDRAILS SHALL 3E
CBNSTRUCTED DF CLEAR GRADE
GIRDER POST ~ GIRDER POST GIRDER POST ~ESTERN RE]] CE]]~R___---;:~..---~ ~-'~i,
CONNECTOR GRADE CONNECTOR GRADE CONNECTOR GRADE f" ~ir'/ _!~--''
0'--0" ~. ~---0" "~ EL. 0'--0"
(' X 4" POST 4" X 4-" POST 4-" X 4-" POST
CONNECT TO CONC CONNECT TO CONC CONNECT TO CONC t~ ~- ::
PIER WITH METAL BASE PIER WITH METAL BASE PIER WITH METAL BASE ·
ANCHOR (~(P)
10" DIA. CONC.
PIER (TYP.)
ANCHOR (1YP) ANCHOR (l~'P)
10" [:)IA, CONC.
10" DIA. CONC.
PIER OYP.) PIER (TYP.)
CONC PIER DETAIL ? SECTION sSc.EL?TION
SCALE 1/2" = 1 '-0" SCALE 1/2" = 1 '-0" 1/2" = 1 '-0"
PROd:
EVANS RESIDENCE
145 FBUNDERS PATH
SBUTHBL3, NY
DWG. TITLE:
DECK PLAN, ELEV, &
SCALE:
AS NBTE]}
SECTS
DATE:
5/21/07
DRAWN No: