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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