Loading...
HomeMy WebLinkAbout35585-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34537 Date: 09/03/10 THIS C~KTIFIES that the building DECK ADDITION Location of Property: 6560 NORTH BAYVIEW RD (HOUSE NO.) County T~x Map No. 473889 Section 79 Subdivision SOUTHOLD (STREET) (HAMLET) Block 7 Lot 2 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 2010 purs%~nt to which Building Pez~nit No. 35585-Z dated MAY 25, 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 FRANCIS M FUSCO & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPART~T OF HEALTH APPROVAL ~.Rt-rKICAL CERTIFICATE NO. PL~MB~IAS CERTIFICATION DA'r~U Rev. 1/81 N/A N/A N/A ~A//h° r ~ d/S ig/~'nat ur e 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. 35585 Z Date MAY 25, 2010 Permission is hereby granted to: FR3kNCIS FUSCO 6560 N BAYVIEW RD SOUTHOLD,NY 11971 for : FRONT DECK ADDITION TO A~N EXISTING DWELLING AS APPLIED FOR at premises located at 6560 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0007 Lot No. 002 purs~t to application dated MAY 13, 2010 and approved by the Building Inspector to expire on NOVEMBER 25, 2011. Fee $ 200.00 / - Authorized Signature ORIGINAL Rev. 5/8/02 BUILDING DEPARTP TOWN HALL 765-1802 APPLICATION FOR CERTIFICATI 10~ oF SOtI~OLI) -- This application mU~t be filled ia by typewriter or ink and submitted to ~ uA ,- .... ---- . . .... di~ l~partm~nt wtth the following: A. For new building or new use: · 1. Fiaal survey of property with accurate location of all buildings, property lines, streets, and uansual natural or topographic features. · 2. FinM App/oval from Health Dept. Of water supply sad sewerage-disposal (8-9 form). · -3..Approval ofel~trical installationfrom Board of Fire Undem, riters. : 4. Sworn statemeat from plumber aertifying that the Solder used in system contains leas than 2/10 of 1% lead. '5. C°mmereinl buff ding. iadnstrlal building, multiple residences and Slmilar buildings and iastallations, a eertifieate. of Code Compliam~ fi-om amhitect, or engineer responsible for the building. '6.' Submit PIsnnlng Board Approval of~6ompleted site plaa ~uirements. B..For existingbufldings.(prio? to April 9~ 1~7) non-eanforming nses,~ or buildings and ~pre-existing" laud uses: 1. A~urate survey'of property, showing all property lines, struts, buildin~g and unusual natural or topographic features· 2. A pwpedy completed application and consent to inSpect signed by the applicant. If a Certificate of Occupancy is denied, thc Building Inspector shall state the reasons therefor in Writing to the applicant. C. Fees 1. Certificate of0coupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $22.00, Swimming pool $25.00, Acoessory building $25.00, Additions to aeeus~ory building ~25.00, Businesses $50.00· 2. Ce~t!ficate of Ooe,apancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy'2 $.25 4. Updated Certificate of Occupancy - $50.00 5. TempoFary Certificate of Ocoupancy - Residential $15.00, commercial $15.00 'New Coastmction:. Old or Pm-existing Building: b// (cheek One) - ' ' ': House No. t ~.- rstreet · 8~ffolk C(~unty Tax Map No ~000, S~tion.' Subdivision · Health Dept. Approval: · planning Board Approval: Request for: Temporary Certificate Fe~ Submitted: $c~ tX) Filed Map. . ' Applicant: Uadcrwriter Approval: Final Ce~ificate: ~ (check one Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT FENETRATION [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION DATE INSPECTOR l/ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION tST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~LATION / FRAMING / STRAPPING [/] FINAL [ ] FIREPLACE&CHIMNEY [ ] FIRESA,-..~flNSPECTION ( ] FIRERESI~ANTCONS~UCTI(~ [ ] FIRE RESISTANT FENETRAllON REMARKS: DATE~~/~//~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net Approved ~//~-~' 20 r' O / Disapproved a/c Expiration f//~5~, 20 fi' BtDG DEPT. T'. ,IOW~OF S.O~THOLD .~,~. ,.pp.,.,,hun twUSY be compi~ 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: Mailto: k.J~] /'~t~ Phone: [~ICATION FOR BUILDING PERMIT INSTRUCTIONS :tely 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 to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Buitding 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 fi.om 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 ora 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 ~ /~/q t'~1 (As on the tax ioll If applicant is a corporation, signature of duly authorized officer or latest deed) (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work wilt be House Number Street Hamlet Block Filed Map No. County Tax Map No. 1000 Section Lot Subdivision Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~txv)la~ ~0~L~ b. Intended use and occupancy ~accv.~. w~4'%_ -QXen--{ 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 cam Addition 794. ch Alteration Other Work Fee (Description) (To be paid on tiling 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: From {pcqL ~" ~ Rear ~o~ ;& ~ ~_ Depth Height. /5 ~- & ~ 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 Rear .Depth 9. Size oflot: Front /~ Rear /~'/ Depth ~o/ ' 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 ~ 13. Will lot be re-graded? YES__ NO~ Will excess fill be removed from premises? YES N~' 14. Names of Owner of premises Name of Architect '~- Name of Contractor 1 Address ~c.,4 b o/d Phone No. Address /~/~]7]~-~ Phone No Address ~--~ev~ /,d 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 ora 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 __ · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY ~ t'~x~/P~K being duly sworn, de~ses ~d says ~at (s)he is ~e applic~t ~e of ihdividual~i~ing con,ct) above n~ed, CO~g 0. ~u~ ~0~ Public S~te 0~ (S)He is ~e ~ ~ fl0~N0 0t~6185~50 (Con~aetor, Agen~ Co.orate O~cer, etc.) C0m~[ssion Ex~{~ -v ,. - 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 Notary l~ublic -- /~~e of~pplicant ~m Numbe~: (NOTE: A Ohe~k Mad[ (~) for each Questlml is Reffulmd fer a C, emlx~e Application) Yes I~ Will thts PmJeof Retain AIl Stan~Wafer RunOff Oene~ted by a Two (2") indn Ralef~ ou Sife? (This Item w~l impede all na~-off created by alte cteaflng amt/~ cermtm~l a~Mllan as well ~ ~ ~ J~ Jmpmvemante end ~e pemmneflt oreetian ~lmbet~xrs surbces.) -- ~o,, the Site Plan and/or 8ulvay 8how .NI PrOlx~ed Dmlcege Slmctores Indlcegng Size & Lo~a6en? 'Illis Item shall incfede ali Pr~ Grade ~ and Slopes Co,roerig Surface WateflRowl -- ~J Existing Grade Implying more than 20~ Cul~c Yards of Material ~lhln any Pamel? Wa ~ Appllcetion Re~ I. mld Distorbl~l A~MdJes Encel~lslng an Ama in Excess of __ Five Thousand (5.000) 8~uare Feet of Groun~ 8u~ace? r~j /~ is them a Natural Wafer Course R~ through ~ Sile? J~ Is this Project within the TlUStees Ju~is~tiofl or within One Hundre~ (100') ~el of a WelJerld el' Beach? /~ Will there be Site preperaflon on E. xJslthg Grade Siopee which Exceed Fllteen (15) ~ of Ver~ca! Rise to I--L--i Will Driveways. Paddng Ames et' other Impmvlous Serisces be Sloped to Direct Storm-Water RunOff Will this Project Require the PJacement of Matelfel; Removal of Vegelallon an~/ot the Co~slmctl~l of [~ any Item Within the Tram Right-of-Way or R~1 Shoulder Area? ~ (This Item will NOT I~lude the Ir~islist~n ~f Driveway Apren$.) WB this Proj~:t Require Site Pmparaflon within the O~e Hundred (100) Year Floodplain or. any Watercourse? r=j ~. NOTE.' If Any Answer to Queslto~$ One lhrough Nine is Anawered with a Check Malt( III Ihe Bex. a ~mT~Waler. Grading. Dmtoage & Emston Control Plan is RecFdred and Mu~t be 8ubmltte~ for Revtew PHor to I~mance ef Any Bull~ Pem~l EXEMPTION.' Yes Does this project meet the minimum standards for ctesslllce~on as. sn AGdculluml PmJeof? Note: If You Answered Yes to this QuesUon, a 8torm.WMei-, Grading, Drahtago & Erosion Coofset Plan is NOT Requlm(ff -- ///~ FORM - 06107 Town I lall Amlcx .';4:'175 Main Road P.O. Box 1179 Tclcpholw (631 ) 765-1802 l:;tx {Ii31 ) 765-9,502 1½! fILl)IN(; 1)I~]:'ARTMI']NT TOWN OF SOUTHOLD August 23, 2010 Francis Fusco PO Box 1213 Southold, NY 11971 RE: 6560 Main Bayview Road, Southold TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: '~ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. '~"J'" A fee of $25.00. __ Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 35585-Z deck SURVEYED FOPs..,,G~_..,~,~c'7..~/'~.,~ ../t/.w~c".y ~ ~z co LOCATED AT ~o~o~ SUFFOLK C0., N.Y, LOT / 7 MAP OF ~~ /~ ,~ DRAWN BY, *~.:~'. ~'. FIIF NO SURVEYED/L~4,,~C,,:.,, c~, 197~ BY WILLIAM R. SIMMONS, JR. 150 BAYVlEW AVE. EAST ISLIP, L. I., N. Y. PAGE GRID ~'EA i PECONic ~&5°37'OO"E 100.00' NDS°3 I 00.00' ~, , ! PI.OT PI.AN PROPOSED DECK ADDITION AT THE POLLIO RESIDENCE 165 SECOND STKEET _NEW SUFFOLK. NY REVISIONS DATE; ~ISTING pRONT DOOR. TO I~EMAIN FUSCO RESIDENCE EXISTING HOUSE TO E~MAIN DECK \\ \ \ 5, CONTINUOUDL¥ A~,OU N D DECK. PLAN SCALE: ¼"= ILO'' APPR0V[D AS NOTED~_ ? NOTIFY DUILDING D 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS 1 FOUNDATrON - TWO PEQUIRED FOR POURED CONCRETE 2 RObGH-FR~,~ING PLUME~NG S~R:FP~NG ELECTRICAL & CAULKfNG 3 INSULATION 4 qhAL - CDNSTRUCTION & ELECTRICAL MdS~ 8F OMPLETE FOR C O ALL CONS 'RbCTfON SHALL MEET THE REQUIREMENTS OF Tale ,ODES OF NEW YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ,tPAd'~'C; y ORI OC ut, F_ !,,:, UNLAWFUL t .,., .,.. TOE RTIFICA TE_ .MPA (,)~:'L: ,:': ," ,, NCy ALL CONSTRUCTION SHALL MEET THE REQUIRE~,';ENTS OF THE CODES OF NEW YO~;( STATE~, PAGE. FOU NDATIO N TO EEMAIN D~C~ CONSTR,UCTION ~ L ~ WITH TITAN HB ~"X 4,, ~OLT5 ~ % 4"X 4" ACQ F05T ON I ~ CONTINUOUSLY AKC, NBI ~ (~CAL ALL FOOTINGS) ~I~TING B~C~ FACADE WITH 5C~ENING I~ ~ TO ~MAIN A5 =[5TING~ FOOTING ¢ ff~ME P~N h,: I LO" ~ r ~ ~CALE: 4 ~/' ~ ''~ DECK SECTION ~CALE: 4 - ~CALE: ~ = I WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DI~..AWING5 UDE THE FOLLOWING METAL CONNECTOI~D O~ APPP-,OVED EQUAL~ FOR pI~OFE~ WIND ~SIDTANT CONDTRUCTION. FOLLOW MANUffACTU~ ~COMM~NDED INSTA~TION INSTRUCTION5 TO ACHIEVE M~IMUM UPLI~ ~AD CAPACI~. "' OPEN BALUDTDA ATTACHED TO WAEL X. ' ." ~ C O ST~IN~E~ ~ ., IIl~ll g[~lll~lll~ll , WOOD flalDT ~ ~ GIRDE~HEADER WOOD GI~DER - CQMPLIE' 'TH THE INTENT Off THE CODE AND THE MATERIAL OpFd~D [5 D~C~ NAILING SCHEDULE ~ ~%-"- ',~x ~ ~