HomeMy WebLinkAbout36204-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
4/1/2011
No: 34884
Date: 4/1/2011
THIS CERTIFIES that the building DECK
Location of Property: 1165 Saltaire Way, Mattituck, NY 11952,
SCTM #: 473889 Sec/Block/Lot: 100.-1-24
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
Lot No.
filed in this ofilced dated
2/14/2011 pursuant to which Building Permit No. 36204 dated 2/28/2011
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 an existing dwelling as applied for.
The certificate is issued to
Bales, Robert & Bales, Debra
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36204
Date: 2/2812011
Permission is hereby granted to:
Bales, Robert & Bales, Debra
1165 Saltaire Way
Mattituck, NY 11952
To:
AS-BUILT DECK addition to an existing dwelling as applied for
At premises located at:
1165 Saltaire Way
SCTM # 473889
Sec/Block/Lot # 100.-1-24
Pursuant to application dated
To expire on 8/29/2012.
Fees:
2/14/2011
and approved by the Building Inspector.
CO - ADDITION TO DWELLING
Total:
$786.80
$786.80
/ ~ Building Inspector
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HA1,L
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 Planning Board Approval of completed site plan requirements.
Bo
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property Iines, 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:
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
~.-' ' Date.
Old or Pre-existing Building:
Street
Block
Filed Map.
Date of Permit.
Applicant:
(check one)
Hamlet
/ Lot
Lot:
Underwriters Approval:
Final Certificate: /
(check one)
Applicant Signature
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMINa / STRAPPING
FIREPLACE & CHIMNEY
FIRE RESISTANT CONSTRUC'nON
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] fiRE RESISTANT FENETRATION
REMARKS:
DATE
INSPECTOR~~"~/
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
ROUGH PLBG.
] I~ISULATION
[~FINAL
fiRE SAFETY INSPECTION
fiRE HESitANT FENETRATWN
PROFESSIONAL ENGINEER
1725 HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK 11971
TEL: 631.765.2954 · FAX: 631.614.3516 · e-mail: joseph@fischetti.com
Southold Building Dept
PO Box 1179
Southold, NY 11971
Date:
Reference:
February 11, 2011
Saltaire Way / Bales
Dear Sir,
I have inspected the existing deck at the Bales Residence on Saltaire Way, in Mattituck.
To the best of my knowledge and experience, the deck has been constructed in accordance
with New York Building Codes and is consistent with the plans submitted by me.
TOWN OF SOUTHO
BUILDING DEPARI
TOWN HALL
SOUTHOLD, NY 119
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.North]
FEB 11 2011
B~DG. DEPI.
ork.net 70WNpl~]I~ NO.
Examined d~4' , 20 ff
Approved q~'~',20//
Disapproved a/c
Expiration
(r~/, 20 [.3....-
Building Inspector
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:
APPLICATION FOR BUILDING PERMIT
Date ~-~ I I ,20 /[
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 lnay 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 lbr necessary inspections.
(Signature of applicant or name, if a corporation)
(Mailing address o f applicant) /
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name ofownerofpremises ~9~.&:k,~ cl- ~(9~lq ~
(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 Trade's License No. .
Location of land on which proposed work'will be done:'
House Number ' Street
Hamlet
County Tax Map No. 1000 Section / ~ Block /
Subdivision Filed Map No.
Lot ~ ~'
Lot
. ~ ~z..,~).il ,-ii *it D. t ....~
State existing use and occupancy of premises and intended Use and occupancy of proposed construction:
a. Existing use and occupancy ~t'~lo~ -~^~')v re~/o/e~ce~
· /
b. Intended use and occupancy SIh~}e. '~'~ ~ ~i , r'e S K/~ ~cq.
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 cars
Addition
Other Work ~ec.k
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
Depth Height_ Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear Depth
9. Size of lot: Front Rear Depth
10. Date of Purchase./T}t~fi 3,, ,rq'TX. Name of Former 0wner
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 f¥om premises? YES__ NO
14. Names of Q~.I~ of premises
Name ofA'~ct ..~, ,~'.~ae,/~
Name of Contractor
Address
Address
Address
Phone No.
Phone No ~'g / "?d5~ ' 2qg'~
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 BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO J
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 topogn'aphical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES f NO__
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY
~(~[Yt ~' ~ ~/'~' d-~{~ 1~. ~(.&,,- I(--~ [~3~ ~/~, being duly sworn, deposes and says that (~)h~the applicant
(Name of individual signing contract) above named,
(Contractor, Agent, 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 bes! of his knowledge and belief; and that the work will he
performed in the manner set forth in the application filed therewith. /') /~ ,,)
Swom}lto before me this I'-d~.~c-~ 20 O] ~
d~y of, ~l~m~. I~l~h $1~ ol N~ Y~k~.~./~ az
- I~ota~y P~ubli~ Ho. 4901'712
Signature of Applicant
CONSENT TO INSPECTION
er(/) Name(s)"
That the undersigned (is) (are) the owner(s) of the premisea in,the Town of
which is shown and designated on the SuffOlk Count~ Tax Map as District
Section , Bio& , Eot
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office forthe following:
That the undersigned do(es) hereby give con~ent to ~he Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon~ to COnduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and'regnlations of the Town of South01d.
The undersigned, in 6onsenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in.subsequent prosecutions for violations of the laws, ordinances, roles or
regulations of the Town of Southold.
Dated:
.(Print Name)
'(signah~e)
(Print Name)
\
~EVlSiONS YOUNG & YOUNG
400 OSTRANDER AVENUE, RIVERH£AD, NEW YORK
SURVEY FOR: ~
ROBERT S. BALES E~ DEBRA K. BALES
LOT NO. 26," SALTAIRE ESTATES"
'Towr~ o~ SOUTHOLD
SUFFOLK CO., N.Y. "~,/,~-O"~'t~
PERSPECTIVE VIEW
(LA~I ICE PANEL)
THROUGH BOLTED
PIER
CROSS SECTION ^-A
LEDGER
w/2X~ CLEAT
-r
9'-1Y1"
f
FOUNDATION PLAN
NOTIFY BUILDING
785-1802 8
NOTED
I.P # 3~a9/
~/- TWO I
FOR POURED CONCR
2 ROUGH-FRAMING PL
STRAPPING, ELECTRICAL ~ LKING
3 INSULATION
4 FINAL- CONSTRUCTION
MUST BE COMPLETE FOR C O
ALL CONSTRUCTION SHALL MEET TH
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OCCtJPAI'qC:'. 3R
r..c ,, UNLAWFUL
' ~FT, ,3 JT CERTIFICATE
· ~OCdPAN
RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
11'-10"
17'-8"
33'-O"
,~ XJ~o
00~
-- ,"¢ O ~
DRAWN BY: .IF
February 11, 2011
SCALE: 1/4" = 1'-0"
SHEET NO:
GROUND FLOOR PLAN