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35149-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP/LNCY No: Z-34674 Rte: 11/10/10 THIS U~K-rIFIES that the building DECK Location of Property: 345 WAVECREST LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 100 Block 1 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 4, 2009 pursuant to which Building Permit No. 35149-Z dated NOVEMBER 9, 2009 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. · ~ne certificate is issued to TIMOTHY G & DEBORP3~H A POOLE (OWNER) of the aforesaid building. SUFFOI~K C~[~FI"fDEPAR~qTOF EI~L-rKICAL C~U(TIFICATH /~O. PL~ ~K'rIFIC~kTION Da'r~u3 N/A N/A N/A /AutfzeSignature 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. 35149 Z Date NOVEMBER 9, 2009 Permission is hereby granted to: TIMOTHY G & DEBORRAH A POOLE 345 WAVECREST LANE MATTITUCK,NY 11952 for : CONSTRUCT DECK ADDITON TO RE/LR OF EXISTING SFD PER APPROVED PLAIqS AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 100 pursuant to application dated NOVEMBER Building Inspector to expire on MAY 345 WAVECREST LA MATTITUCK Block 0001 Lot No. 014 4, 2009 and approved by the 9, 2011. 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 ink and submitted to the Building Department with ti A. For new building or new use: 3. 4. 5. Final survey of property with accurate location of all buildings, property lines, streets, and unto topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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 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 $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 Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: (check one) Location of Prope~' Old or Pre-existing Building: id. HqrrtrV ? Hou[d No. ' Street Owner or Owners of Prope~ ' '~'~,Tfl~. Suffolk County Tax Map No 1000, Section Subdivision Date of Permit. Block Filed Map. Applicant: Underwriters Approval: Hamlet Lot Lot: FinalCertificate: .~ (checkone) Permit No. D.~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT, ~/'~/.4h~ ' ~-"-.,~765-1802 INSPECTION [~J~OUNDATION 1ST [ ] ROUGH PLBG, ] F/OUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT COIdS'I'RUC'TI0N [ ]~FIRE RESISTANT PENETRATION REMARKS: ./'~?/~'~O ~:~'~ .~ ~/"~/./~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN~I~.ATION FRAMING / STRAPPING [ ~'~FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] F~qERESb'TAg~'~ [ ]RmEREmSTJ~n'mL=ZRA'fl0. DATE ~ INSPECTOR /~'I~LD ]5~$pECTIONREPORT'[ DATE [' COMMeNTs · ROUGH F~G & ~ q pL~G ~ ~S~ATION PERN, Y. q STA~ E~RGY CODE - /~ ~ ~ ~D~ION~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SouthoidTown.NorthFork.net Examined il ,20_ Approved Disapproved a/c Expiration ~) ~ 1 ,2d ] BLDG. DEPI. This app~011~fi ~. .... . ~,. PERMIT NO. 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: ~k~J~66] Building Inspector ACATION FOR BUILDING PERMIT Date INSTRUCTIONS ely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of ms, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining promises 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 1S 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 Name of owner of premises D~ I0 ~9i~ ~o I~-* (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 LicenseNo. Elec~icians License No. Other Trade's License No. Location of land on which proposed work will~ be done: HousdNumber Street Hamlet County Tax Map No. 1000 Section tOO Subdivision Block Filed Map No. Lot I~f- Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ rl~e. ~41~x~ Lt4 ~cg~ ~_m40~.~ b. Intended use and occupancy ~vl/t~ t~i ~ ~ k-- 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cam 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 ofexistinl~ structures, if any: Front ~ ~ t-O q Rear ~ ~ CO n Depth Height c~5/-t-/t~' ~//2 Number of Stories - /'/E. Dimensions of same structure with alterations or additions: Front Rear Depth. Height. Number of Stories 8. Dimensions of entire new construction: Front Rear o7~ ' e?/~' - Depth Height c}q ~- ~ ~_ ~,v~t.~u_mber of Stories 9. Sizeoflot:Front q'7.57 Rear qq'~'7 Depth o qq.q7 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 /~4Vill excess fill be removed from premises? YES__ 14. Names of Owner of premises~D~b k~ a~ {5)~o~ Address LA~ +t~c.~ Phone No. NameofArchitect,/tttA '~3~x~ Address IAa~q4dvr~_~ PhoneSo Name of Contractor ~7. ~. E>, 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. ls 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 acorn and distances to property lines. 17. If elevation at uny point on property is at 10 feet or belo~w, 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) COUNTY OF S~ a~rne~oY) ind~V ~g~co ~d ntract a being duly sworn, deposes and says that (s)he is the applicant (N ' ' 'gng ) bove named, CONNIE D. BUNCH (S)He is the "~-,.~6role]x-~--v-4(' N°ta*~ubl2,e~,~Sta~ ~ ~0r~ (Con ctor, Ag¢ Co or t Oencer, C 0mmissi0n [x~ires April 14, of said owner or ownem, and is duly authorized m peffo~ or have peffomed the said work and to m~e ~d file ~s applicmion; that all statements contained in ~is application ~e tree m the best of his knowledge ~d ~liefi and that the work will be perfo~ed in the m~ner set fo~h in the application filed themwi~. Sworn to before me this ~4~ dayof ~%~')~-~x 20[3c~ Notary Public ~:~ .... -~- ~ O-~WN~ / ~,,~.: ;/o ~ _ / _ ,,~,T OF SOUTHOLD PROPERTY RECORD CARD h/~. c~ ~ 6WNER STRE VILLAGE DIST. SUB. LOT Fo.~ER O~'NER~.'-~ N · E S W TYPE OF BUILDING ~'ES' ~/~, S~S' VL. ~ FARM CO~. CB. MICS. Mkt. Value ~ND IMP. TOTAL DATE i R~RKS . AGE BUILDING CONDITION N~ ~L BELOW ABOVE F~RM Acre Value Per Value - Acre illable FRONTAGE ON WATER /o~land FRONTAGE. ON ROAD teadowl~d DEPTH ~ou~ Plot BULKH~D oral D~K COLOR ~tq-'"C TRIM ~'"C Extension Extension Bath Foundation Basement Ext. Walls Fire Place 'type Roof Recreation Room Dormer Raoms 1st Floor Rooms'~d Floor Driveway Dinette ~ ,-~. LR. /4W ~'~ DR. .~5 BR. ' ~_ FtN. B Tow____n_n o_ f $outhold Erosion, Sedimentation & Storm-Water Ru.-off AS8ESSMENT FOI~M P~OPERTY LOC~ATIOt~b S.C,T~M. J~ THE FOLLOWING AG'I'TON8 MAY REQUIRE THE 8UBJiI~810N OF A D~c~ S.~on moc~ CERTIFIED BY A DESIGN Pt~OF~8~IO I THEST TEOFNEWYOEK. It~em Number: (NOTE: A Check Mark ( dr ) for each QuastJan is Required for a Comp~te Ap~) Yes No Will lbJs Project RetaJn ,edJ Sl~rm-Water Run-C~ GenemMd by a Two (2~ tnoh Rak~mtl on $ite? ~is ~ ~11~ ~ ~ ~ ~ ~ ~m~ ~ ~ ~ M S~e I~b e~ ~ ~n~t ~ ~ ~.) 2 ~ ~ ~e ~ ~ S~y~M P~ ~S~I~ ~e & L~? ~$~ ~ Inv~ m~ ~ 2~ ~ Y~ ~ ~ ~ ~ P~? 4 ~l ~b ~ R~ ~ ~ A~ ~.~ an ~a ~ ~. of ~e ~ (5,~) ~ ~t 5 is .em a Natu~ War. ~e ~ .~ ~ S.e? Is ~ P~ ~in ~e T~ ~n One Hu~ (1~') ~ H~ D~? 7 Wff, ~e.~. Pa~ ~ ~ ~ ~ ~ ~ ~ to ~ S~Wa~ ~ ~ ~ ~ ~ di~ ~a T~ ~ 8 ~11 ~ P~ R~m ~e Pla.~t ~ Ma~a,. R~ ~V~ ~ ~e ~ of any It~ ~ ~ Tm ~t~PW~ ~ ~ ~ ~? -- ~ ~m ~U NOT Inclu~ 9 W,l~P~.R~S.ePm.mfi~nffie~eH~(l~)Y~F~.yWa{~? ~ ~__ NO~ If ~y ~sw~ to Ques6o~ ~ ~m~h Ni~ ~ ~ w~h a ~ Ma~ In ~ Box. a Sto~-Wa~r, G~ing. Drainage & ~lon ~=1PI~ Is ~1~ a~ M~ ~ Subm~ ~r R~ ~b ~= ~ Butld~g Pe~ EXEMPTION: Yes No Does this projec~ meet lhe minimum standards for niassif.:a~an as an Agdcuiluml Project? Note: If You Answered Yes to this QuesUon, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Required! __ ~ ~AT~ OF N~ YO~ ..... ~ cou rr oF ............. ss Owner ~Wor ~p~enm~e of fl]e ~mer of O~ees,~- ~-~u~u~l~~d ~ day au~o~ to ~~[~~ ~vo~ ~d to n~e ~d file ~ ~phmon; ~t ~ ~ con~ed m ~ app~on ~e ~e to ~ ~t of~ ~l~d b~e[ md ~t ~e wo~ ~ ~ ~ffo~ M ~e m~ set b~ M ~e ~p~fi~ ~ h~. 0RM - 06107 To,au 1 lall Annex ,5 tkl7,5 Mam Road 1'.O. Box 117!I Soud~old, Nh' 11971-09,59 Telephone (631) 76.5-1802 Fax (631) 76,5-9502 P,I III,I)ING I)EPARTMENT TOWN OF SOUTHOLD November 2, 2010 Timothy or Deborrah Poole 345 Wavecrest Lane Mattituck, New York 11952 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. Afeeof $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: 35149-Z deck addition ':~P:~'~*~ ' SEAL A ?PI~OXI MATE GAff. AGE LOCATION ~- DIM~NSION~ " ' ~1 Information t~ken from aurv~ New Deck Ar~ ~ ~ __ POOL[: DECK E~IDTING P~O?ANE TANJK,5 TO BE R[~LOCAT~D ~ DECK \\ EXISTING KITCHEN EX15TIN G GLIDING DOOR. TO R~MAIN EXISTING 5UNROOM CERTIFICATION OF NAILING&CONNECTIONS APPBOVED AS NOT~D PEE .9m,~_., .,,. ~ ~__ NOTIFY BUILDING DEPARTMENT AT 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS' ?, FOUNDATION - TWO REQUIRED FOR POURED CONGREWz 2. ROUGN - FRAMING & ELUMBBIG 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FON C,O "]EOUISbL4'.; h S UF 7 HE r ,L BL:6 OF NL W gORK S'[A~E. NO7 RESPONSIBLE DESIGN OR CONSTRUCTION ERROBS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANC;Y RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTEB 236 OF THE TOWN CODE. ALL CONSTRUCTION SHALL ~flE~"f HE REQUIF{SMF:bJTs Oh PAGE: CONT[NUOU~ _Y A~.OUND [ HANG D.J. FROM LEDGERWFH SIMPSON LU2~ CONN:~O~ ' / ~ <~ / UN~CAVATED ~ PAOVID~ ~NSE~ 5C~ENING ~FICAL ALL FO~INGS) ~. ~f: ~. UND~ DECKING MAT~AL ~ECTION "A" WIND LOAD PATH CONNECTION AND CONDTP-,.UCTIQN DETAIL DRAWING5 USE THE FOLLOWING USP METAL CONNECTORS OP. APPROVED EQUALS FOR PROPER WIND RESISTANT CONSTRUCTION FOLLOW MANUFACTURE'S RECOMMENDED INSTALLATION INSTRUCTIONS TO ACfIIEVE MAXIMUM UP[JET LOAD CAPACITY. STAIR RAILING DECK/PORCH RAILING PECK POST PTG. CONNECTION APPLICATION POST-TO-Gl RDEK/H FADER CONNECTION USE MIN. (2) U2" PlA, GALV. E~OLTD WITH WASHEI~5 AND NUTS MINIMUM HANDRAIL CONNECTION ALL HAN D~.AIL5 5HALL BE CONTINLJ©U5 THE FULL LENGTH OP THE 5TAIP~5 HANDGRIP PORTION OF ALL HANDJ(AIL5 51fALL NOT 8~ LEDS THAN J I/4" NO,'( MORE THAN 2" IN POST-TO-DECK CONNECTION H EADEK/GI RDEP-,-TO-POST CONNECTION STRINGERTO DECK/PORCH CONNECTION WOOD JOIST POST TO GIRDER/HEADER CONNECTION LOCATION APPLICATION GIRDEK/HEADER TO POST/COLUMN CONNECTION SPLICED JOISTS OVER HEADER/GIRDER LOCATION r usP N UM~,[P-1 D~CRIPTION 2x J 0[5T5 DECFVPORCH LEDGER CONNECTION SPLICED JOISTS OVER H~DEK/GIRDER UNDISTURBED SOIL DISTURBED / POOR DOlL CONC. PIER FOOTING DECK $ PORCH NOTES: CLIMATIC ~- GEOGRAPHIC DESIGN CRITERIA NAILING SCHEDULE JOINT DP~CRIPTION NAIL NAIL O~¢ 5PACIN5 NOT~5 JOIST TO PEP-- TOE 51LL, TOPPLAqEOP-.GIRDEg -1 ~dCOMMON JOIST NAIL PAGE: