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 ~ ~