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HomeMy WebLinkAbout35793-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD~qTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-35793 Date: 10/13/10 THIS CERTIFIES that the building DECK ADDITION Location of Property: 350 THE SHORT LA (HOUSE NO.) (STREET) County Tax ~p No. 473889 Section 30 Block 2 Su]~division FiledMap No. Lot No. EAST MARION Lot 8 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 19, 2010 pursuant to which Building Permit No. 35793-Z dated AUGUST 20, 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 ERIN M NORTON of the aforesaid building. (OWNER) SoF~OLKCOUlfI"/DEPAR~E~TOF ~E~J~THAPPROVAL ~ui-KICAL ~TIFICATE NO. PL~EI1S CERTIFICATION DA'r~ N/A N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUII~ING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35793 Z Date AUGUST 20, 2010 Permission is hereby granted to: E NORTON 350 THE SHORT LA ~O~ EAST MARION,NY 11939 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at 350 THE SHORT LA EAST M3kRION County Tax Map No. 473889 Section 030 Block 0002 Lot No. 008 pursuant to application dated AUGUST 19, 2010 and approved by the Building Inspector to exl~ire on FEBRUARY 20, 2012. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or imk and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, stl topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fo 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains 5. Commercial building, industrial building, multiple residences and similar buildin of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. ~n~ u?usu~ n!tu?al or~, ~) less and in s0'~t~llO;ll~q0t~tifi c at e B. F~r exis~ng bui~dings (pri~r t~ Apri~ 9~ ~957) n~n-c~nf~rming uses~ ~r bui~dings and "pre-exis~ng~~ ~and uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural 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 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 $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 of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: J Location of Property: ~ ,.~k..~ House No. Owner or Owners of Property: ~__~ ~,~ Yk Suffolk County Tax Map No 1000, Section Subdivision ~5>~-~ Q~k-%~ Permit No. Old or Pre-existing Building: Date. Street - G- to (check one) Hamlet dS> "~;~ Block t'DOO ~ Lot (~0~ '{~g(~F_~ '~ A (?-~v~ ~c~ Filed Map. ~ Lot: ~ Date of Pe~it. ~'-I0- I~ Applicant: ~ ~A~ ~. Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: ~ ~/~ App~namre TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~FOUNDATION 15T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE&CHIMNEY [ ] FIRESAr,.~(INSFECTION REMARKS: DATE /~/.~///0 INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] F~DATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ) FIRE SAFETY IILSPECTION FIRE RESISTANT COflSTRUCTI~ [ ] FIRE RESISTANT PENE'IRATION REMARKS:~~ -- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~TRAI~ING [ ] FINAL [ ] FIREPLACE&CHIMNEY [ ] FIRESAm-m:~(INSPECTION REMARKS: ] FIRE RESlSTANT CONSTRUCTION [ ] RRERESiSTANTFBIETRATION DATE ~- ~ -'/o INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] ROUGH PLBG. [ ] IN/~fUL~TION D/]~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSFECTION [ ] FIRE RESISTANT C(X611~UCTION [ ] FIREREmTANTFENETRATION REMARKS.--~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING Di~,'ARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined 4'e'O , 20/'0 Approved Disapproved a/c Expiration ~/~'C) ,20]fi2q- PERMIT NO. ~ ,5~f ~7~ 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: Phone: / B~ui~l~irig Inspector APPLICATION FOR BUILDING PERMIT Date i~D~...~%T ~q ,20 ~O 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, 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 If~~ r~at' n, signature of d, uly authorized officer e~ ~d title of co.orate officer) rs License No. Plumbers License No. Electricians License No. Other Trade s License No. o 'TO (As on the tax roll or latest deed) Q e%. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section ,~_~,.._~ Block ~ Subdivision ~Q~ta-t_~ ~l~t~L~4- ~':'~l,a~ Filed Map No. Lot ~:~ Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~\~(~-- ~%i'"\~'L?] I~,,C)~}_~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost ~ '-~ .~Ox ~ 5. If dwelling, number of dwelling units ~ If garage, number of cars Addition Alteration Other Work (Description) Fee (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 existin~ structures, if any: Front ~ ~ Rear St° Height ,. . Numberof Stories [ Dimensions of s ructure with alterations or ad0itions: Front Depth L~ 6, ; Height. 8. Dimensions of entire new construction: Front Height Number of Stories Number of Stories Rear 9. Size of lot: Front c:~ ~ .~oI Rear ~']. ~ '~ Depth Depth Rear Depth [ t~ 10. DateofPurchase rrlt~-! '~-D[O Name ofFormer Owner ~)~-I,~J,.. ~. 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES INO 13. Will lot be re-graded? YES NO N/X Will excess fill be removed from premises? YES NO ~ 14. NamesofOwnerofpremises _~t2,~ }-\O~.-~Ciq_Address ~o.~-O T~,~./A~oneNo. NameofArchitect I'A~"~C,.~J 12h-~,-/l~-~?~ Address¥~P,~u~49 ~a'r~o~r~ Phone No NameofContractor "~-~%-w~.Pn'L. (X::~%'T' Address tOb~:f:~.- 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. NO'g, STATE OF NEW YORK) COUNTY OF ~0~. S)S: '-~-4 L.~ ~'Dcc~VAt%[:~,~I.. ~ being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~"'-(C-'~tntra~c~tor,.~ent, 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. Sworn to before me thia Notary Publ~ / PENNY B.E, DEtt Not~ry Public, Sta,e of ?. No. 01BE60993 Qualified in Suffolk Coum~n , ~mmiss~on ~pires Sept. af Applicant ToWn of Southold .~ Erosion, Sedimentation & S.torm'Water Run-off ASSESSMENT FORM PROPERS. LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ~O ~, ~;~ STORM'WATER~ GRA~iiiG, DRAINAGE AND EROSION CONTROll Plan District Section BloCk Lot CE:K I I~'IED BY A DESIGN PROF~.~;~iONAL IN THE STATE OF NEW YORK. $COPEOFWORK - PROPOSED CON~-j.11i. UCrlON 1TF..M# / WORK,ax~j~S~ ] Yea No a. What is the Tofal Ama of the Proje~ Pamels? (Include Total Ama of all Pameis Ioestnd wtihin 1 Will this Project Retain NI Storm-Watsr Run. Off the Scope of Work for Pmpased Censb~ctiou) g~)l Generated by a Two 12") Insh Rainfall on Stie? (S.F. I ~) ('[his item will In~ude all mn-off c~eatsd by site r~ b. What is Total Area of Land C~esttn9 cleadng and/or construction acth~es as well as all and/or Ground Disturbance ~ ~e profx=ed ~ Site Improvements and the permanent creation of Impervfous surfaces.) c=~.,~-i ,2 Does the Site Plen and/or Sun, eyShowAIIPropesed i PRO~[D[ B[~i~' P~CO-[C~ DESC~JP'~ON 0'~.~,~ Drainage S~Jctures Indicating Size & Loce~on? 'n~ls Item shall include all Prop~ed Grade Changes and ~ L~ (~3~-~' 0_~C-TtOr-\ 3 DoustheSltsPlanand/orSurveydess~thetheeroslon and sndiment control practices that will be used to control site eroslen and storm water discharges. ~ item must be maintained throughout the EnUre C~nstru~en Pedod. 4 Will this Project Require.any Land Filling, Grading or Existing Grade Involving mom than 200 Cubic Yards __ of Materfal within any Parcel? 5 Will this ApplicaUon Requira Land Disturbing Activities [2 ?~_. Encompassing an Area in Excess of Five TJlousund (5.000 S.F.) Square Feet of Ground Surface? 6 is there a Natural Water Course Running through the Site? Is this Project withln the Trastees jurisdic~on K General DEC SWPPP Requlmmenth: or within One Hundred (100~) feet of a WeUand orU -- Submissk~ of a SWPPP Is mquknd fo~ all Construction actMlJes involving soil Beach? diatmb~ncasof~ne(t)~tme~acms;thc~udingdIs~u~nce$~f~essthan~nea~ethatarepe~ofa~a~gerc~pIsnthatwi~u~rnatofydIs~urb~ne~nm~e~cmsofIsnd; 7 W~ttherebeSitepreparationonExlstingGradeStupesl-----1 which Exceed Fifteen (15) feet of Vertical Rise ts Including Conatmofion ac~vi~es Ewok'ing soil distufoances of less ~an one (t) acre where One Hundred (100') of Horizontal Distance? ~ -- the DEC has determined that a SPDE$ parent IS required fo*' ston'n water discharges. SWPI~P's Shall t~eet lite Minimum Requirements of the ~PDE8 General Permit .) 8 Will Driveways, Padting Areas or other Impervious thr Storm Wa~r Dthcharms frenl Co*~stmofthn ac6v~ - Penl~ No. GP-e40-O01 Surfaces be Sloped to Direct Storm-Water Run-Off U $. The SWPPP sba, be prepared prior th the submtt~ ~ U~ NOI. The NC~ sba, be into and/or in the direc~on of a Town right-of-way? -- --t~ted to reduce Ihe IxNIuta~s M m water dl~ SSd to mrequked, PO~ atone'water ma~t pm that w~l be used ar~ Removal of Vegets¢~,:~n and/or 6,re Constructien of any c=mp~nce w~ tbe thm~ and cmdrdo~ d U~s parma, th ~:,,o., m SWpr~ ~a, item Within the Town Right-of-Way or Road ShoUtder Idenlffy potential seemes of paaatlon wNch m~y reasonably be e~q~cmd to at,act the · CONNIE D 8U CH STATE OF NE!,V YORK, Notary Public~8~U~ ~,_... uuaiifled in S~ffolk County f'.~ (~n~eof~vld,~l,0Doc,rr,nt) ....... m~ ¥ . poscsandsaysthathe/sl~:~stheapplicantforPennit. Owner and/or representative of lt~e Owner or Owners. and'is duly authorized to I:~fform or have pexformed thc said woA and to make and file this app]icalion; that ali statements contained in this application are true to the best of his knowJcdge..a~d.[:~Jiefl, and that the work will be performed in the manner set forth in the application fried herewith.^ ///// Sworn to before me this; [~ //// FORM - 06110 TOWN OF SOUTHOLD PROPERTY,~. ORD,, CARD OWNER STREET _~)~O VILLAGE DIST. SUB. LOT FORMER oWNER~d~°~v~/'~(~'~ ~ - '~ '~ E RES~/~ S~S. VL. ' FARM COMM. CB. MICS. Mkt. Value ~ND IMP. TOTAL DATE /~jO ~ 0 ~ ~O ,G/~O/~O . I/;/~¢' ~II[¥z~I~O-~&VFf[//~ D;~l~¢2~r ~ ~0 6~z) ' Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Totol COLOR /V~' TRIM M. Bldg. · ~tension Extension Extension · P~'c~he Porch Breezeway Garage Patio O. Bo - Foundation Ext. Walls Fire Place Type Roof Recreation Room / Both Floors Interior Finish Heat Rooms ]st Floor Rooms 2nd Floor Dinette K. LR. DR. BR. FIN. B Dormer Driveway To~m I lall Ampex 54375 Main Road P.(). Box 1179 Southold, NY 11!)71-()9,39 Tclcphonc (631) 7{;,3-1802 Fax ((;3 I) 7634)302 BUIII)IN(, 1)1~1 Al/1 MEN 1 TOWN OF $OUTHOLD September 21, 2010 Erin Norton 30 E 4th St Patchogue, NY 11772 RE: 350 The Shore Lane, East Marion '1'O WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. Final Health Department approval. Plumbers Solder Certificate. (~JI 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: 35793-Z deck LOt I;~ ~acaat " Letl§ Lot 16 ~ Lot ? t 5 V'- -' ="q OCCUPANCY OR ~'~ iS UNLAWFUL o , H k,dT CERTIFICATE APPROVED AS NOTED ( JPANCY h~ ~ FEE BY ~q ~ ~ NOTIFY BUILDING DERARTMENT AT z ~--~ ~ ~ 765-1802 8 AM TO4 PM FOR THE ~ ~ ~ FOLLOWING INSPECTIONS' ~O~E ~° ~ ~ I FOUNDATION-TWOREQUIRED II O : ~ O ~ % ~ = ~ ~ C 8TRAPP[NG, ELECTRICAL & CAULKING ~ ~--~ ~ = ~ 3 INSU~TION m _ ~ ~ ~ ~ ~ ~ ~- ~ 4 FINAL-CONSTRUCTION & ELECTRICAL ~o ~ C ~HE TOWN GODE. Z EXISTING HOUSE TO REMAIN NEC/ D~CK ~ISTING COVERED N PORCH TO REMAIN NN SCA~: ~"= I'-O" ~ISTING 8" POURED CONCRETE FOUNDATION WAL~ ~ FOOTING5 TO REMAIN ~ d " ~ 5TRU~URE TO REMAIN __ __ x--j ~ CONTINUOUDLYAROUND ~ ~"XG"D~CKBOA~D , 7 BOLTED TH~ PODT 2" X ~ 1, -- ~P~ov. 4" X 4" POST ON ~ 4'? 4" POSTON ~ "LEDG~O~'SC~ ~ IG"O.C,; ,o..~o~o~u~ou~o ~ ~ o ~ONO~U~o,~o __ ~,M~O~*~U~, 2'-0" X 2LO" X I' O"d ~ ~ 2' O" X 2LO'' X 1' O"d, ~PICAL ALL POOTING5)I ~ICAL ALL PROVIDE G" FOU ~O CONCUR 5CALE: 4 FOOTING * F~ME P~N 5GALE; Z WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWING5 USE THE FOLLOW'lNG M~FAL CONNECTOR5 OR APPROVED EQUAL5 FOR PROPER WIND STAIR RAILING [~ESISTANT CONSTRUCTION. POLl OW MANUPACTURE~ RECOMMENDED INSTALLATION INSTRUCTION5 TO ACHIEVE MAiqMUM UPUPT LOAD CAPAC[~(, HANDRAIL CONNECTION 4" DIA M~(JMUM 5TPJNGER TO DECK/PORCH CONNECTION wrOOD JOIST DECK/PORCH RAILING POST-TO-DEC~, CONN ECTrON ?05~COLUMN POST-TO-GIRDER/HEADER CONNECTION I OCAIIDN USP NUMBE~. DESCRIPTI©N APPLICATION POST TO-GIRDER/HEADER CONNECTION USE MIN (2) 5/~" DIA GALV, BOLT5 WITN WASHER5 AND NUT5 POST/COLUMN GIRDER/HEADEK TO POST/COLUMN CONNECTION SPLICED JOIST5 OVER ND&DER/GIRDER LOCATION JOIST TO GIp, D~i~d EADPP. DECK/PORCH LEDGER CONNECTION 5PLICED JOIST5 OVER HEADE~GIRDER DECK POST FTG. CONNECTION APPLICATION HEADER/GIRDER-TO POST CONNECTION DESC[~IPTI©N APPIJ CATION UN DISTURDED 50IL LAY PLASTIC B~DE DI F-2~CT Ly ON DISTUP~ED / POOR DOlL CONC, PIER FOOTING DECK, ¢ PORCH NOTE5: CLIMATIC 4; GEOGPJ~,PHIC DE51GN CRITERIA lC[SHIELD NAILING SCHEDULE JOINT DEDCRIPTION NAIL NAIL Q~' 5PACINd NOTED JOIST TO PEP. TOE O PAGE' 3