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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 . ~1"11 .......... l ZZi~ECZZiiiZZZZZZZZZ~]ZZiZiiiZiiiii/3 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