HomeMy WebLinkAbout35957-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34645
Rte: 11/03/10
THIS U~KTIFIE$ that the building DECK ADDITIOON
Location of Property: 6484 SOUNDVIEW AVE PECONIC
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 59 Block 8 Lot 4.2
Subdivision
Filed W. ap No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 7, 2010 purs%uant to which
Building Permit No. 35957-Z dated OCTOBER 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 "AS BUILT" DECK ADDITION TO AM EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to CHRISTOPHER & CARISSA DONARUMMO
(OWNER)
of the aforesaid building.
SuFfOLK COD1T~Y DEPARTMENT OF HEALTH APPROVAL
ELEOrKICAL CERTIFICATE NO.
PL[~RS c~KTIFICATION DA-~-~u
N/A
N/A
N/A
~/A~ r/i z e~Signature
Rev. 1/81
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. 35957 Z
Date OCTOBER 20, 2010
Permission is hereby granted to:
C DONARUMMO
6484 SOUNDVIEW AVE
SOUTHOLD,NY 11971
for :
"AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 059
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
6484 SOUNDVIEW AVE PECONIC
Block 0008 Lot No. 004.002
7, 2010 and approved by the
20, 2012.
Fee $ 762.00
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 ink 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, 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 in 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and cor~sent 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certifica)e of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. 7_~ t~ -'1 Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Date.
Old or Pre-existing Building: (check one)
Street Hamlet
~ q Block "~ Lot q' ~
Filed Map. Lot:
Underwriters Approval:
Final Certificate: [~ (check one)
x--'~ Ap~:rl~a~ Sigr~atur~ ~"~-
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
] FIRE RESISTANT CONSTIIUCTION [ ] FIRE RESISTANT PENETRATION
Condon Engineering, P.C.
New York State Licensed Professional Engineem
1755 Sigsbee Road
Matfituck, New York 11952
631-298-1986
Fax 631-298-265t
October 22, 2010
Mr. Gary Fish
Building Inspector
Southold Town Building Department
53095 Route 25
P.O. Box 1179
Southold, New York 11971
Rez
Donarummo Residence Deck
6484 Soundview Ave
Southold NY 11971
Dear Mr. Fish:
The poured concrete pier foundation supporting the deck at the building is structurally adequate
and is installed at a depth that is deeper than the 36" deep frost depth specified in the Residential
Code of New York State. To the best of my knowledge, the deck and footings are installed in
conformance with the Residential Code of New York.
If you have any questions please call me at 298-1986.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
PERMIT NO.
Examined
Approved
Disapproved a/c
,/¢~) , 20 /o
Expiration
BLDG. DEPI.
Building Inspector
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans kd"'
Planning Board approval
Survey I/
Check ~
Septic Form
N.Y.S.D.E.C.
Trustees
. Flood Permit
Storm-Water Assessment Form
Contact:
Mail to
'a (i s-o.oo 6{0
',ATION FOR BUILDING pERMIT
INSTRUCTIONS
a. TI s applicati'Crld~c~El~ll~t~ompletel,t 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 describe& 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 ofpremises
(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.
Plumbers License No.
Electricians License No.
Other Tradeis License No.
Location gflan~d o,n which proposed work will he done:
House Number Street
Hamlet
CountyTax Map No. 1000 Section
Subdivision
Block
Filed Map No.
Lot
2. State existing use and occupancy ofpr,emises and intended use and occupancy of proposed construction:
a. Existing use and occupancy flEC~
b. Intended use and occupancy
Nature of work (check which applicable): New Building
Repair Removal Demolition
Estimated Cost Fee
If dwelling, number of dwelling units
If garage, number of cars
Addition
Other Work
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 Rear
Depthl Height. Number of Stories
8. Dimensions of entire new construction: Front '[ ~ X '~q Rear Depth
Height Number of Stories
9. Size of lot: Front ] 0,J~_h..0~ 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 'X~
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
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B/E REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO.2~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
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.
18. Are there any covenants and restrictions with respect to this property? * YES NO '~
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF. .)
¢~ l~J]~ '~I" 0~O'~S~. _~A~i~/'~J~l~/~ being duly sworn, deposes ~d
(Name df indihdu~ si~ing comract) above named,
(S)He is the C 0~ ~- ~ ~
(ConWactor, Agent, Co¢orate Officer, etc.)
says that (s)he !s the applicant
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 therewit~llREN M I~ANn~mN
~ . ,r~otap/Fu b .c, S~te ~J~rN~w York
· No. 01ST6164008
Sworn ~o before me this ,, ~ualified in Suffolk 0ounht
~¢"' dayof ~)C'ff- 20 1~ ~omm*~sionExpiresAodl9.20?~_
otary Public '~ .... Signature of Applicani ....
ToWn of Southold
Erosion, Sedimentation & S,torm,Water Run.off ASSESSMENT FOR_'_'_
THE FOLLOWING ACTIONS MAY REQUIRE THE SUR~.!~_~&_nH OF,It
CERTIF...,- ,. ,~ ,-,;~,,,Jn ~'Kurl=~:~iOHAL IN THE S?ATE OF NEW YORK.
SCOPE OFWORK - PROPOSED CONSTRUCTIO-~'
a. What IS the
(inck~e Total Area of all Paceis located within
the Suope of Work for Propose~ ~)
b. What Is the Totel Area of Land Clearing
censlm~f lo m~quce Ihe p011ulams ~fl sl~m vmter d~:flaqaes and lo a~um
3- Ali $WFPP. 1lint require Ihe poel-con~r.x:t~n .to~n wal~- marmgeme~t ixact~e
eomponen~ ~'lal be'P~ by. quallffe<l I~sign Pmflmdonal Ugensed in Ne~v y~k
~hat b knowfedgeabb ~n the Ixk~4fles ancl ~ of Storm Water Managemer, t
2
Will this Pro.led ~etain All Storm-Water Run-Off
Generated by a Two (2') Inch Rainfall on Site?
{This item will include all run-off cn~/ed by sita
clearing end/or constmcflen ac~vl~s 8s well as all
Slta Improvements 8nd the permanent creation of
fmpen~lous surfaes~.)
Drainage SlmckJres Indicating S~ze & Location? This
Item shalllnclude all Pmpesed Grade Changes end
Slopes Controlling Surface Water Row.
Does the Site Plan and/or Survey describe the ereslon
and sediment control Prac~en that will be esed to
item must be maintained throughout the EnUre
Constmciton Period.
Will this I~ect Require.any Land Filling, Grading or
Excava~on where there is a change to the Nab. n'al
Existing Grade InvoMng mom than 200 Cubic Yards
of Malerial within any Parcel? .
Will this AppllceUen Require Land Disturbing Activities
Encompassing an Area in Excess of F'rve Thousand
(5,000 S.F.) Square Feet of Ground Surface?
Is there a Natural Water Course Running ~hrough the
Site? la this Project within the Trustees jurisdicC~n
or within One Hundred (100') feet of a Weitand or
Beach?
Wilt there be Site preparation on Existing Grade Slopes
which Exceed Fifteen (15) feet of Vertical Rise to
One Hundred (100] of Horizoutal Dlataqce?
Will Driveways, Parking Areas or other Impervious
Surfaces be Sloped to Direct Storm-Water Ruff-Off
into end/or In the direction of a Town right-of-way?
Will th~ Project Require the Ptaesment of Material,
Rern~va/of Vegeta~3n andk)r the Cortstr~ou of anY
STATE OF NEW' YORK, ~ ~7~.'[
COUN2~ OF ..,.,~....T~........~.......; ......... SS
'll]at 1' '~' ~"~'i'~~4d~'~ ........ bein, duJ¥ sworn, dcpoe~ and ~ thafc h~she is thc applicant £or pennit~
And that he/she is thc .... O...l~..~ ..........................
. ~c>,,~. ~:~'~i;~.'~j .................................................
Owne~ and/or representative of the Owner or Owners. and is duly authorized to pert'onn or have performed the said work and to
make and file this application; that ail statements contained in this app]icati(~qli~td~ I~/~flll~ht of his knowledge and belief; and
(0 ~0mmis~0n Expires ~gl 9.202L
............................... : .............. day of
............................
(~gnet~e c~ AppXc~)
FORM - 0611 0
27
·
NOTED
'N~T'F'Y-~UrLDING DEPARTMENT AT
765-~02 ~ AM ~O 4 PM FOR THE
FC~LOW~NG INSPECTIONS
FC~ NDAT!ON - TWO qFQUIF(ED
;~'R~u~qCONCRLTE
2 ;C ~---FR;lv;,h. PL~,.,B,NG""* ''
-- ~ ,~ ELE3TR*CA: ~ CAUt ~rNG
4 ;',N~ ~ON~-RUCT!ON ~-~ "~':v~r'l~'~L
ALL CONSTRUCTION SHALL MEET THE
REQbIREMENTS OF THE CODES OF NEW
~YORK STATE NOT RESPONSIBLE FOR
~ES~N OR CONSTRUCTION ERRORS
~-,~ ~ i'~..,'
~0