HomeMy WebLinkAbout35804-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34546 Rte: 09/09/10
THIS U~KTIFIES that the building DECK ADDITION
Location of Pr~T~erty: 5705 MAIN RD EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
Cotu~ty Tax Map NO. 473889 Section 35 Block 2 I~t 16.1
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 26, 2010 pursuant to which
Building Permit No. 35804-Z dated AUGUST 26, 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 RICHARD & ELEANOR COFFEY
( OWNER )
of the aforesaid building.
SUFFOLK COD1TTY DEPART~TT OF HEALTH APPROVAL
E~.Rt-rKICAL u~KTIFICATE NO.
PL~ CERTIFICATION DA'r~u3
N/:~
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. 35804 Z
Date AUGUST 26, 2010
Permission is hereby granted to:
RICHARD & ELEANOR COFFEY
319 AVE C APT 3F
NEW YORK,NY 10009
for :
DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR. REPLACES EXPIRED BP # 32808
at premises located at 5705 MAIN RD EAST MARION
County Tax Map No. 473889 Section 035 Block 0002 Lot NO. 016.001
pursuant to application dated AUGUST 26, 2010 and approved by the
Building Inspector to expire on FEBRUARY 26, 2012.
Fee $ 200.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUII/DING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 32808 Z
Date MARCH 15, 2007
Permission is hereby granted to:
RICHARD & ELEANOR COFFEY
319 AVE C APT 3F
NEW YORK,NY 10009
for :
DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at 5705 MAIN RD EAST MARION
County Tax Map No. 473889 Section 035 Block 0002 Lot No. 016.001
pursuant to application dated MARCH 8, 2007 and approved by the
Building Inspector to expire on SEPTEMBER 15, 2008.
Fee $ 200.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
Form No. 6
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
· APPLICATION FOR CERTIFICATE OF OCCUPANCY
This appliCation mU~t be fill~d in by typewriter or ink and submitted to the Building Depa~ent with the following:
A. For new buildlnoo or new use:
"1. 'Final. survoy ofpropoW/with accurate location of all buildings, property linea, streets, and unusual natural or
topographic feature. ' ' ' ·
.2. Final Approval from Heatth DePt. 'of water supply and sewerage-disposal (S-9 form).
· 3. Approval of electrical inatallationfrom Board of Fire Underwriters.
: 4. Sworn statement fromplumber ccffifying that the solder used in system containa teas than 2/10 of 1% lead..
5. Commercial building, industrial buildin4, multiple residences and ,~imi!a~ buildings and installations, a certificate'
of Code Complian~ from archite~t. 0i: engineer r~ponsible for the building.
'6.' Submit PIsnning Board Approval of'3~omPleted site' plan mquirements. '.
B..For existing.buildlng$.(prior to April 9, 1957) non-conforming uses~ or buildings and ~'pro.existing-land uses:
1. · Accurate sUrV6y o~'proPerty, showhig all property lines, streets, building and unusual natural or topographic '
features. ' '
2. A properly completed application andconsent 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,
Swimming pool $25..00, Accessory building $25.00, Additions to accessory building j25.00, Businesses $50.00.
2.Certificate of Oecupancyon Pre-existing Building - $100.00
3. ' Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Tempona'y Certificate ot~ Occupancy _ Residential $15.00, Commercial $15.00
~cw Construction:
Lo.lion of Pmpelt'y:
Old or pre-existing Building: (cheek One)
House No. Street
~ '~'~ Block
Subdivision ~la::$~' Filed M
'.1' D~c ~pmv~: ~2~. Und~pm~: ,' ~ ~
R~ueSt for: Tempor~ Ccaifi~tc ~ Final Ce~fi~te:
· $ .~ff. olk County Tax.Map No !000, Section
Fee Submitted: $ o~.~"-. ~
Lot. ~/~. ~0['
Lot:
(check one)
Applicant Sig~:~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
.. "INSPECTION
['~FouNDATION 1ST [ ] ROUGH PLBG.
INSULATION
FINAL
FIRE SAFETY INSPECTION
RRE RESISTANT PENETRATION
[ ] FOUNDATION 2ND [
[~]'/FRAMING / STRAPPING [
]FIREPLACE & CHIMNEY
[ ] RRE RESISTANI' CONSTRUCTION
REMARKS: ~--~~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROU~HPLBG.
[ ] II~JSlJLATION
[~FINAL
[ ] FIRE~U:ETYINSI~CllON
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] mEREmT*.TC0.STRUCT~ [
REMARKS:,
DATE
INSPECTOR
~'~LD I~SPECTIO~RI~ORTI DATE I COMIVi~F~TS
FOU~ATION (2~)
ROUGH ~G &
PL~G
~SULATION PER N. Y.
STA~ E~RGY CODE
F~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/SoutholdY
Examined
Approved
Disapproved a/c
Expiration
PERMIT NO.
Building Inspector
BUILDiNG PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
4 sets of Building Plans J
Planning,Bo~ approval
Survey '~
Check ~ L/t-/5~
Septic Form
N.Y.S.D.E.C.
Tmstees
Contact:
Mail to:
Phone:? ~ 5"' I ~] 0
APPLICATION FOR BUILDING PERMIT
Date ,20
INSTRUCTIONS
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 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, ifa corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises /~l(-~/he--b ~ t~c~-t%.&~- O__O("--~-~"'-/t
(As on the tax roll or latest deed)
~fiName and title~orporate officer)
Bgglders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed
House Number Street
work will be done:
Hamlet
County Tax Map No. 1000 Section
Subdivision
Lot
Lot
Block ~
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
3. Nature of work (check which applicable): New Building.
Repair Removal Demolition
4. Estimated Cost q~ ~
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 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
Height Number of Stories
Rear
.Depth
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 of lot: Front Rear _Depth
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 __ NO__
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address Phone No.
Address Phone No
Address 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 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.
STATE OF NEW YORK)
SS:
COUNTY OF )
.~7'~j ~-~:r"'OaJ~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the ~.~t,dT'~*,r~W-O'~f~_
(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 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 th/s ~
, ~5'tM day c~
Notary P~blic
BARBARA AHN RUDDER
Notary Pubiio, Store of New York
No, 4855805
Qua ed in S~f!olk County ~'0
Commission ExpitesApr 14,~
/oc o ~ ~-~ TOWN OF SOUTHOLD PROPERTY RECORD CARD
fiV~En~,.r/ ~¢ CjlcEn~l,.Cly~l,j STREB' 57~ VI~GE D'~, SUB. LOT
'J ~ S U W ~PE OF BUILDING
~ES. S~S. VL FA~ L COMM. CB. MISC/ Mkt. Value ,
F~M ~cre ~alue Per~alue( '' / r / "
Swampland ~RONTAG[ ON WATER
Brushland t ~ ~ [ ~ / :~ FRONTAGE ON ROAD
Tota I ~
COLOR
TRIM
Bldg.
Ext. Walls
Fire Place
Roof
~ormer
Driveway
Bath I Dinette
Floors /~, ~ ,: K.
Interior Finish LR.
Heat
Rooms 1st Floor
Rooms 2nd Floor
DR.
BR.
FIN. B.
'oWNER
LAND
IMP.
ACR.
TYPE OF BLD.
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET ~E
REMARKS
PROP. CLASS
TOTAL DATE
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
SUB. LOT
TILLABLE
WOODLAND
MEADOWLAND
HOUSE/LOT
TOTAL
Ex~nsion
E~tension
Patio
Porch
Deck
Garage
O.B
Pool
35.-2-16.1 9/06
Foundation ~c'~ q Fin. B.
Basement
Ext. Walls
Fire Place
Dormer
Dock
Bath Dinette
Floors Kit.
Interior Finish L.R.
Heat .~ D.R.
Woodstove
BR.
Baths
Fam, Rr~
COLOR
TRIM
I st 2nd
Ttmn 1 lall Annex
51375 Main Road
P.O. Box 1179
Soud~old, NY 11971-09,59
Telephone (631) 765-1802
Fax (631) 765-9502
BI JII,DIN(; 1)EPARTMENT
TOWN OF $OUTHOLD
August 14th, 2010
FIRST NOTICE
Richard & Eleanor Coffey
319 Avenue C Apt. 3-F
New York, N.Y. 10009
RE: 5705 Main Rd. (DECK ADDrKION)
SCTM: # 1000-35.-2-16.1
Dear Mr. & Mrs. Coffey,
Please be advised that your Building Permit # 32808 issued March 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 Inspector's.
If you have any questions, please call us at 765-1802.
Respectfully,
50UTHOLD TOWN BUILDING DEPT.
I SURVEYED FOR:- ,~/'""~-~ ~',,~-----~"~'~'~"~ ~"~",,,~'~"/v" m
LOCATEDAT ~~~ ' TOWN O F ~~ ' SUFFOLK CO U N~ N m YI
LOT /~~~~ m
MaP OF ~ ~ ~~ ,CO. CLK. NO.~ FILED~ m
SCALE 1"-- ~' ~ ~ ~ '~ ~J~' m
elK. ~ LOT/~,/ I ~ ~- ~~,~ ~7~/~ .~ m
· ~ ~1
DRAWN BY ~f///l.
REAR ELEVATION
SCALE: 1/4" = 1'-0"
LEFT ELEVATION
SCALE: 1/4" = 1'-0"
2)(8 ACG LEDGER BD.
w/VYCOR FLASH~IG
FASTENED TO BLDG,
w/1/2" O]A, GALV.
SECTION A-A
SCALE: 1/4" = 1'-0"
EXISTING
GHT ELEVATION
SCALE. 1/4' = 1'-0"
NAILING & CONNECTIONS ,
' ', AT
ALL CONSTRUCTION
,ME'I~ ' E PEOl
OOb~J O~
OCCUPANCY (',q
USE IS ULI!
INI:'HC',' ' r-r, :;~ICATE
PROPO~I~) DECK
COFFEY, HAIN RO/",D, E~T I"IARION
FOR
II"larch OI, 2001
FOUNDATION PLAN
SCALE: 1/4" = 1'-0'
PROPOSED DE(~
COFFE~, I"1AIN F2OAD, EA~,T t"lA~lON
PROPOSED
DECK
(R,T.~)
Il
FLOOR PLAN
SCALE: 1/4" = 1'-0'
P~OF'O6ED D~K
¢;OFFE'r', M,41N ~O,4D, ~T MAt~ION
O1, 2OO'I ~¢~'~ I/4" ·
WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS
P~ST-TO-GIRDER/H EADER CONNECTION
D CK POS (3. CO C
HANDRAIL CONNECTION
POST-TO-DECK CONNECTION
HEADER/GIRDER-TO-POST CONNECTION
~I[~DE~IE,,M3~ TO PO&T/COLUPIN CONNECTION
E~T~I~ TO ~,r=C;K/POf~C,H C. ONNE~TION
FLUSH JOISTS WITH HEADER/GIRDER
POST-TO-GIRDER/HEADER CONNECTION
pECK/PORCH LEDGER CONNECTION
SPLICED JOISTS OVER HEADER/GIRDER
SPLICED JOISTS OVER HEADER/GIRDER
UNDIS'ruI~BED ~OIL
DI~TUI~BE~ / POOI~ sorL
CONC. PIER FOOTING
DECK & PORCH NOTES:
CLIMATIC & GEOGRAPHIC DESIGN CRITERIA
NAILING SCHEDULE
Pt~OPOSED200'1
COFFE"r', MAIN I~OAD, EAST MARION
4 IMar=h ol,
I~CALml/4" = I'0" I ~