HomeMy WebLinkAbout36056-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-36056 Date: 01/06/10
THIS ~KTIFIES that the building POOL CABANA
Location of Pretty: 13455 MAIN BAY¥IEW RD
(HOUSE NO.) (STREET)
County TaxMap No. 473889 Section 88 Block 2
subdivision
Filed Map NO. Lot NO.
SOUTHOLD
(HAMLET)
Lot 15.4
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 16, 2010 pursuant to which
Building Pe~it NO. 36056-Z dated DECES~3ER 1, 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 NON-HABITABLE UNHEATED ACCESSORY POOL CAB~/qA AS APPLIED FOR.
The certificate is issued to PETER & MARISA ROSENTHAL
( OWNER )
of the aforesaid building.
SUFFOLK COUNTYDEPARTI~qTOFHKALTHAPPROVAL
ELEL-r~ICAL CERTIFICATE NO.
PLUMBERS u~KTIFICATION DA'£~U
N/A
N/A
N/A
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. 36056 Z
Date DECEMBER 1, 2010
Permission is hereby granted to:
ROSENTHAL, P & M
13455 MAIN BAYVIEW RD
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN ACCESSORY UNHEATED POOL CABAI~A AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 088
pursuant to application dated NOVEMBER
Building Inspector to expire on JUNE
13455 MAIN BAYVIEW RD
SOUTHOLD
Block 0002 Lot No. 015.004
16, 2010 and approved by the
1, 2012.
Fee $ 218.40
/ .r 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. Commercial 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 Pl.annhig 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:
Location of Property:
Owner or Owners of Property: ~ 1D~ ~-(N ~-~.
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ~'79~ ,a C) L~(,¢ Date ofPermit. J ~/,
Health Dept. Approval:
Planning Board Approval:
Old or Pre-existing Building:
House No.
(check one)
Hamlet
Block ~t Lot
Filed Map.. Lot:
Applicant:
Underwriters Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~3 - ~'
Final Certificate: (check one)
~/X~licant Signature~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
] F~NDATION 2ND [ ] INSULATION
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY
[ ] FI~ERES~ANTC(XISmUCTHX4 [ ] FIRERESlSTAm'PENEmA'n0N
REMARKS: /~~ , c,{ _ ~
DATE e
INSPECTOR~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH P~LBG.
[ ] FOUNDATION 2ND [ ] IN~I~TION
[ ]FRAMING/STRAPPING
[ ] FIREPLACE&CHIMNEY [ ] FIRES~-,.,qlNSPECTION
[ ] Rn~R~ms"rJu~rrcoNsTRUCT~ON [ .] RRER~S~'T~T~En~T~
DATE
INSPECTOR~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
~,z/I ,20 ~0
Examined
Approved J2~rl, 20 lO
/
Disapproved a/c
Expiration & /, ,20 / 0-~
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: "'~? ~ 7
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
2013
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 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 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:
authorizec
~,t~[,l~w ~h ~ a~.~l 1~
qrafleo~rst, cn ll[errllse~ant~lnl I~u~l~
I!OV
BLDB. DEP I'.
TOWN OF SOUTHOLg
laws, ordinances building code, housing code, and regulat ons, and to admit
ting for necessary inspections.
~gnature of/apphcant or t~ame, ifa corporation)
/t
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name ~d title ?,[cOrporate officer)
Builders License No:' ~ . ..
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed be done:
House NumlJer' ? '-S~r~et Hamlet
County Tax Matp N,o; 1000 Section
Subdivision..S¢~'t~/~ t_~ ~
Block 0 ~' Lot JO" ¢
Filed Map No. tO~5/ Lot d-/
State existing use and occupancy of premises and intended use and occupancy ofpr6posed construction:
a. Existing use and occupancy ~-,~
b. Intended use and occupancy Y~oo,,e~md~ 50(0 ,<~/'t~ff~t~
O
3. Nature of work (check which applicable): New Building_ J Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost /,S'"' 00o. oO Fee
5. If dwelling, number of dwelling units
If garage, number of cars /'
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front 'BOq- Rear ~lff"' Depth
Height ~' ~ Number of Stories
(Description)
(To be paid on filing this application
Number of dwelling units on each floor
Dimensions of same structure with alterations or additions: Front
Depth Height_ Number of Stories
Rear
8. Dimensions of entire new construction: Front '~.q / Rear / ~ t Depth
Height ~ 7 / Number of Stories ~
9. Size oflot: Front I~>'~.~ t Rear /b'3'q7 Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated ~:~',a~. ~, ~, /
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO ~r
13. Will lot be re-graded? YES NO f 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.
18. Are there any covenants and restrictions with respect to this property'? * YES
· IF YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
SS:
COUNTY OF ~) ,a~r~-
~-~'~.~ ~- ¢~.~'~-~ being duly sworn, deposes and says that (s)he is the applicant
(Name of indivi~lual signing contract) above named, CONNIE D. BUNCH
Notary Publlo, 8~te of New York
(S)He is the C9 ~'~, ~-~ No. 01BU61~5050
(Contractor, Agent, Corporate Officer, etc.) Com-m~-~7~-~114, ~_~.~..-.
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 this
l~3~ dayof
Notary Publi~--
TOwn of Southold
SedimentatiOn & S~orm.Water Run. Off ASSESSMENT FOR_'~'_
L~N: 8.CT.~ ~ -- THE FO~OMNG A~O~ ~y ~UW ~E Simm=~U,OF A
$COPEOFWOBK - PROPOSED CONSTRUCrl/ON
a. What b ~he ToM; Ama 0t me ~,c~ p~tels?
b. WhM b l~e ToMI Area ~ L~d GM~bg
(~=.~)
~ # / WORt ~.~._~.
I WIll Iht" I:~oJect Re'dh AJI ~oml-Waler.RtA~-Off
Oemta~d by a Tw~ (2') In~ Rabbi m 81~
~~)
~~~a~?~
3 ~e~.~~~
~ Mat~al ~ any ~
~ ~1 ~b ~n Require
(5,~S.F.) ~u~ Feet
Is ~ a ~ml Wa~ ~
or wittY, One Hundred (10fi) geet of a Weffend Or
'Beach?
Will' there be Site pmparaUon on Existing Grade SJopes
which Exceed F~R6en (t5) feet of Ver~cal Rise to I [
Orm Hut~lred (100') of HOdZonlelDistal]c~?
Will DCweway% Paddng Areas or other Impe~,lous
into and/or In ~e dlte~on ~ a Town ~at-ogway?
Ncna~/~1~, 8~'a ;I/New Yon
COUNTY OF .:. .......~.: .........
a~ z, .-.e-~.L..._~.~ ................. ~ d~- ~m d--
(~~ ] , =~ ~ ~t n~ ~ ~ appu~t i~L
..... ............................................................... .............
' ~" ~;~~;~ ..............................
~ ~d ~c ~ ap~on; ....
S~ ~ ~fo~ mc ~;
FORM - 06/10
SURVEY OF PROPERTY
A T $OUTHOLD
TOtFN OF SOUTHOLD ~o~
1000 88 02 P/O 15 ~ ~
50' ~ ~
A~A-4Z~ SQ. FT.
SCAL~: 1'=40'
F~8RUARY 2, 200~
~ 2~. 2olo (~oomoN$)
dUNE 4, 2010
~NE 2Z 2010 (F~NOA~ L~A~)
N
/Po40
I om fomilior w/th the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and w#/ abide by the conditions ~et forth therein Dod on the
perm/! to construct.
t~ Incot/on of we/Is and cesspools shown hereon ore
.... ~'~'~ doto obtained from others.
@ i¢" 0 C
5trappm~j Plan
~1~7 + 1%o' ~--- --
E]Cv
J
15u~ldln,::a Section
F
WEST ELEVATION
EAST ELEVATION
SOUTH El ,EVATION
NiORTH ELEVATION
ROOF PRESSiJR~= ZOi~£S AND NAiLiNG SCHEDULE
TABLE 3.3A RAFTER/CEiLING JOIST TO TOP PLATE LATERAL AND SHEAR CONNECTION
REQUIREMENTS (PRESCRIPTION ALTERNATIVE TO TABLE 3.3)
FASTEST MILl[ WIND SPEED AT
120mph
RAFTER/CEILING JOIST WALL HEIGHT NUMBER OF 8d COMMON HAILS
(TOENAJLED) REQUIRED IN EACH
SPACING (IN.) (FT.) RAFTER AND/OR CEILING JOIST
TO TOP PLATE CONNECTION
12 8-10 3
8 3
16
10 4
8 5
24
10 5
; I
NAILING ZONES FOR ROOF SHEATING IN
120mph pEAK GUST WIND ZONE FOR THE
CASE STUDY BUILDING
I 'z,o. ne ~ Zo.e,2 zone 3 zone
lq~ld 8 o.¢. !2~o,.e. $'o.¢.
I
TABLE 3.3B
UPLIFT STRAP CONNECTION
~ROOF TO WALL, WALL TO WALL AND
WALL TO FOUNDATION)
FOR FRAMING SPACING (1 6 INCHES)
ROOF BASIC LOCAL WIND SPEED 1Z0(NIPH)
SPAN NUMBER OF 8d COMMON NAILS IN EACH E ND
(FEET) OF 1-1/4' X 20 GAGE STRAP
1Z 4
20 5
24 6
28 7
32 8
36 -
?O,OL "'"
x,
2x6 jo,sts 10"~OC
UN FINISHED INTERIOR
~ , 30~SI
----? /I
: 5LGl1/16'' =-3'-p' ~*
×1
×1
P.O. BOX 1064
SHELTER ISLAND, NY 11964
631-749-5089
CONSULTING ENGINEER
450 STERLING WOODS LANE
SOUTItOLD, NEW YORK 11971
/ 5'-4
gLO OR PI ,AN
JOhN FOKiNE PC MR.& MRS. PETER ROSANTHAL