HomeMy WebLinkAbout36702-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
10/7/2011
CERTIFICATE OF OCCUPANCY
No: 35260
Date: 10/7/2011
THIS CERTIFIES that the building DECK
Location of Property:
SCTM #: 473889
Subdivision:
455 Inlet Ln, Greenport,
Sec/Block/Lot: 43.-4-28
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
9/16/2011 pursuant to which Building Permit No. 36702
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:
16' X 16' deck addition to an existing dwellin~ as applied for.
Lot No.
filed in this officed dated
dated 9/21/2011
The certificate is issued to
Held, Laura
(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 #: 36702
Permission is hereby granted to:
Held, Laura
33 Greenwich Ave
New York, NY 10014
Date: 9/21/2011
mo~
construct a 16' X 16' deck addition to an existing dwelling as applied for
At premises located at:
455 Inlet Ln, Greenport
SCTM # 473889
Sec/Block/Lot # 43.-4-28
Pursuant to application dated
To expire on 3/22/2013.
Fees:
9/16/2011 and approved by the Building Inspector.
SINGLE FAMILY DWELLiNG - ADDITION OR ALTERATION
CO - ADDITION TO DWELLiNG
Total:
$302.40
$50.00
$352.40
Building Inspector
Form No. 6
TOWN OF SOUTHOLD.
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCy
Tiffs 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 survgy of property with accurate location of all buildings, property lines, streets, and nnusual natural or
topographic features.
2. Final Approval from Health D~pt. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board 0fFire Underwriters.
4. Sv~orn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commeroial 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. Aceurato survey of property showing all property lines, streets, building and unusual naturai or topographic
features.
2. A properly c~0mpleted 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
Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $ ! 5.00, Commercial $15.00
New Construction:
Location of Property:
¥
House No.
Owner or Owners of Property: ~9~ ~
· Suffolk County Tax Map No 1000, Section
Subdivision
702
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ .~/~"~ -~/
Date.
Old or Pre-existing Building: (check one)
Street
Blo k
Filed Map.
DateofPermit. 9 '2,! -/[ Applicant:
Hamlet
Lot
Underwriters Approval:
Final Certificate:
(check one)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROU~ PLBG.
/
[ ] FOUNDATION 2ND [ ] I/NSULATION
/
[ ] FRAMING/STRAPPING [ .~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE ~ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
~FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FiRE RESISTANT CONSTRUCTION [
[ ] ELECTRICAL (ROUGH) [
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
] ELECTRICAL (FINAL)
DATE
'"~':': ........
FOUNDATION (2ND)
PLUtVIBING
INSULATION PERN. Y.
STATE ENE~G~ CODE
/~/~//~
//
TOWN OF SOUTHOL[
BUILDING DEPARTM
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFo .,...~," -~'
SEP l 4 2011
BLDG. DEPt
Examioed
Approved 7/~-[__,20 ~t
,/
Disapproved a/c
Expiration
7 razz_
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 Perlnit
Single & Separate
Contact:
Storm-Water Assessment Form
/ Bu~iding Inspector
'PLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
pletely filled in by typewriter or
Mail to:
Phone:
~,:LL .[:'_. ::'_ '1
.... :' ,¥',::T--
a. I his app~uu. [,AI:J-S-T--b~q~ in ink and submitted to the Building Inspector wifl~ 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan sbowing location of lot and of buildiugs on premises, relationship to a4joining premises or public streets or
areas, and waterways.
c. The x~ork covered by this application may not be commenced belbre issuaace of Building Permit.
d. Upon approval of this application, the Building Inspector will issoe a Building Permit to the applicant. Such a permit
shall be kept on the premises available tbr inspection throughout the work.
e. No building shall be occupied or used in whole or in para tbr any purpose what so ever until the Building Inspector
:~ssues a Ceaificate of Occupancy.
f. Every building permit shall expire if the work autborized has not commenced ~ithin 12 months after the date of
issuaace or has not been co~npleted within 18 months from such date. If no zoning amendments or otber regulations affecting the
prope~y have been enacted in the interim, the Building Inspector may autborize, 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 Buildiug Depamnent Ikw tbe issuance ora Building Permit pursuant to the
Buildiug Zone Ordinance of the Town of Southold, Suflblk County, New York, and other applicable Laws, Ordin~ces or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as~erein des~/ibed. The
applicant agrees to comply with all applicable laws, ordinances, bt. ilding code, housing code, and~at~s, a~ to admit
auflmrized inspectors on premises and in building for necessary inspections.
~ (Signat~ap~icant o~name, ifa corporation)
State whe~er applkanO~wner, lessee,- agent,, arcbitect, engineer,, general contractor, electric~n, plumber or builder
(As on the tax roll or latest deed)
If applicant is a co~oration, 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 1Se done:
House Number Street
Hamlet
County Tax Map No. 1000 Section /--~.~ Block ~ ~/ Lot ~ ~
Subdivision Filed Map No. Lot
State existing use and occupancy of premises and intended use an~! occnpancy 9f proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy_
Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work ff~t'¢ ~
(Description)
Fee
(To be paid on filing this applica3ion)
Number of dwelling units on each floor /2t~///,~
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear
Height. Number of Stories ,_2.
Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth. Height Number of Stories
8. Dimensions of entire new construction: Front /od`/ Rear t/t~/ / Depth
Height /~/// Number of Stories
9. Size of lot: Front ~"0 ~ Rear ~'-~ ~ Depth ~,,~OZ9 /
10. Date of Purchase
Name of Former Owner
1 1. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO X
13. Will lot be re-graded? YES NO )(' 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 ora 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 X
* 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.
1 8. Are there any covenants and restrictions with respect to this property? * YES
· 1F YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
SS:
COUNTY OF )
,_/~ ,,47/'///~--~/~ /~/~--'-- being duly sworn, deposes and says tllat (s)he is the applicant
(Name of individual signing contract) above named, CONNIE D. BUNCH
Notary Public, State of New York
(S)He is the No. 01BU618,.~60
C~a;;;~ in ~uffO~K L;ounty
(Contractor, Agent, Corporate Officer, etc.) Comrnt~lon Expires April 14, ~:~)[V
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and fi}e this application:
tbat all statements contained in this application are true 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
'.19~ dayof~ 20]
Notary Public
Signature of Applicant
WOOD
N
LANE
02'55'00" E
50.00'
Z
CD
02'55'00" W
' 0-~
S 02'55'00" W
50.00'
$ 02'55'00" W
, INLET LANE
150.00'
APPROVED AS NOTED
DATE BP.# ~ ?~ ~'
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTrC, NS
1 FOUNDATION TWO ~FQUIRED
FOR POURED CONCRETE
ROUOH-FR~MING PLUM~]ING
STRAPPING ELECTRICAL & CAULKING
3 INSULATION
4 FINAL. CONSTRUCT[ON & ELECTRICAL
~AdST BE COMPLETE FC, F~ ,. O
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE C:ODES CE Nrta,'
YORK STATE NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
OCCUPANCY OR
U":F! IS UNLAWFUL
i,~f!', !? 'iT CERTIFICATE
,2_&"' Z'
II
WIND LOAD PATH CONNECTION AND CONSTP-.UCTION DETAIL DP, AWING5
THE fiOLLOWING UDP M~TAL CON NECTOP-~ OR. APPP~OV~D EQUAI~ POP, PROP~P-. WIN D I~,~I~TANT CONSTRUCTION. POLLOW MANU?AC. TUP-~'~ P~ECOMMENDED INSTALLATION INSTRUCTION5 TO ACHIEVE MAXIMUM UPUPT LOAD CAPACITY.
4' MA){, 4" MA~
4" DIA. MAXIMUM ~ PO~T
D~CK POST PTG. CONNECTION
DECK/PORCH RAILING
HAND~IL CONNECTION
ALL HAND~I~ ~HALL B~ CO~INUOUD TH~ ~ULL LEN~T~ PODT-TO~DECK CONNECTION H~DE~GI~E~-TO-~ODT CONNEXION
O~ THE DT~. HANDG~F ~OATION OF ALL HAND~I~ LOCATION UDP NUM~DA D~CRIPTION ADDLI~TJON
PIE~ OF 51DING B ~ UNDISTU~D 50fL
DECK. ~ PORCH NOTES:
CLIMATIC $ GEOGRAPHIC DESIGN CP-JTERIA
GRDUND V~ND SEISMIC PR.OST W1NT~A IC~HI~LD
NAILING SCHEDULE