HomeMy WebLinkAbout37389-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
9/13/2012
No: 35948
Date: 9/13/2012
THIS CERTIFIES that the building
Location of Property:
SCTM ti: 473889
Subdivision:
FOUNDATION
1110 Gillette Dr, East Marion,
Sec/Block/Lot: 38.-2-12
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
7/13/2012 pursnant to which Building Permit No.
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:
Lot No.
filed in this officed dated
37389 dated 7/24/2012
foundation wall repair and replacement as applied for.
The certificate is issued to
Cook, Walter & Cook, Barbara
(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 #: 37389
Date: 7/24/2012
Permission is hereby granted to:
Cook, Walter & Cook, Barbara
CIO Judith C Palmer, Exec
8448 Woodlane Dr
Germantown, TN 38138
To:
Alterations to a Single Family Dwelling;
Foundation Wall, Repair & Replacement, as applied for.
At premises located at:
1110 Gillette Dr, East Marion
SCTM # 473889
Sec/Block/Lot # 38.-2-12
Pursuant to application dated
To expire on 1/23/2014.
Fees:
7113/2012 and approved bythe Building inspector.
CO - ALTERATION TO DWELLING
FOUNDATIONS UNDER EXISTING BUILDINGS
Total:
$50.00
$200.00
$250.00
Building Inspector
Fo~m ~o. 6
TOWN OF $OUTHOLD.
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 °f ProPea'~Y with accurate'location of all buildings, property lines; streets, and unusual natural, or
. topographic featur6s.
2. Final Approval from Health De. pt. of water supply and sewerag¢_~dsposal (s_g form~.
3, Approval ofolectrieal installation from Board 6fFire underwritor~.
· 4. Sw. orn atate, ment from plum .bet c,e, Kifying that tho solder ~sed in system contains less than 2/10 of I% lead..
5. Communist building, industrial building, maltiple residences and similar buildings and installations, a certificate
of Coda ComPliatxco'from architect or engineer responsible for tho building.
.6. Submit planning Board Appcoval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957~ 6on-conforming us~, or buildings and "Pre-existing" land' uses':
I. Accurate survey of propeR}, showing all property lines,'streets, building and unusual nalurai or topographic
features.
2. A properly c~mpleted application and consent to inspect signed'by the applicant. If a Certificate of Occupancy is
denied, the Bui£ding Inspector shall state the reasons therefor in writing to the applicant.
C. FeW 1. Certificaie of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.0(1,
· Swimmi~ig po91 $50.00, Accessory building $50.00, Additions to accessory building $$0.00, Businesses $50.00:
2. Ci:~ifieatc of Occupancy on Pre-existing Building. $100.00
3. Copy of Certificate of. Occupancy- $:25
4. Updated Certi£mate of Occupancy - $50.00
5. I_emporary Certificate 0f Occupancy - Residential $15.00, Commercial $15.00
~lcw Construction:
~--ation of Property:
Houae No.
Old or Pre-existing Bull ,ding: '
7/,.//'7._
(check one) '-
toltolk .Co. unty Tax Map blo1000 Section -~'~ ' Block
~bd/visibn Fried Map.
~m~t No. ~ ~ '~)~,(~ Date ot'Permit. '7~ 2'tit-/2- Applicant:.
Hamlet
.Z
leal. th ~ Approval:
'lanning Board Approval:
,equest for: Temporary Certificate
oeSubmi~ted: $ qO .tgO/~o~
Underwriter~ Approval:
Final Certificate: _ ~ _ (check one)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
// SPECTION
[ ~)UNDATION 1ST [ ] ROUGH PLBG,
[~'~FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII~L)
REMARKS: ~-~
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~ULATION
[ ] FRAMING/STRAPPING [./J' FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [
[ ] ELECTRICAL (ROUGH) .[
REMARKS: ~,
] FIRE RESISTANT PENETRATION
] ELECTRICAL (FINAL)
DATE
INSPECTOR~-~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork. net
Examined
Approved
Disapproved a/c
Expiration / '~- ~'3 ,20 ff'~
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
C.O. Application
Flood Permit
Single & Separate
Storm-Water Assessment Form
Contact:
Mail to:
JUL 1 0 2012
BLDG DEPI,
~0~¢, OF SOUII40[ D
Building Inspector
APPLICATION FOR BUILDING PERMIT
Phone: 2~-k~ --~9'0 4~ q
INSTRUCTIONS
h-.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 accordiog 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 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 tile 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.
fi Every building permit shall expire if tile work authorized has not corn menced within 12 montbs after the date of
issuance or has not been completed within 18 months from sucb date. If no zoning amendments or other regulations affecting the
property have been enacted in tile interim, the Building Inspector may authorize, in writing, tile 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 ora Building Permit pursuant to the
Building Zone Ordinance of the/own of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for tile 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 m building for necessary inspections.
(Signature'of applicant or name, ifa corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architecL engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~-'d5 &-/~__.. ~F ~...~)':~ [ ~C ['" 'x~. ~o
(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 xvor, k will be done:
House Number Street
County Tax Map No. 1000 Section '5 ~ Block
Hamlet
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and in~nded use and occupancy of proposed construction:
a. Existing use and occupancy /~5 ~' ~-~, ' '~ (
b. Intended use and occupancy
Nature of work (check which applicable): New Building.
Repair Removal Demolition
Estimated Cost ~ I%, OZS-d) ~'
If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition Alteration
Other Work ~etz~P/t~e~[..ce ~.d~..4,
(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
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 x//Will excess fill be removed from premises? YES__ NO ~
14. Names of Owner of premises
Name of Architect
Name of Contractor
15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE R, fi~UIRED.
b. Is this property within 300 feet of a tidal xvetland? * YES NO -
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
Address Dr_)~v '3~ I, gl'/ //~37Phone No. '~?--q- FoTff c{
Address Phone No
Address Phone No.
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.
18. Are there any covenants and restrictions with respect to this property? * YES NO x,/
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
CONNIE D. BUNCH
Notary Public, State of New Yorl~
(S)He is the No. 01BUS!gSa'.'?
(Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk Cot
Commission Expires April t4 ,: .O__/(tv
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 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
1 5~¢~ day of
Notary Public
:013-
8f~gnature of Applicant
{~) Town of Southold - Chapter 236 - Stormwater Management
SWPPP - Storm Water Pollution Prevention Plan Assessment Form
GENERAL ,~I~ORMATION: (All Requested Information is Required for a Complete Application)
APP.U~ NAM~E: .~..~,,Agent-C~ns~u~lnt-Con~ciororOl~er {CircleG~e) ProflertyOWNER:~fDih~emntthanAppllcan~ .
£~1,,~ ,.r ~--I~r 4-C,~-~K, ~'/~
il.e.r.M. ~ t000 J Staba/izatlon BMP$, Project Scope an~o~ $equen~ of Comtmcfi~m Aet~
T,'m G~¥ Y'~--~.~ -~Z_~L_,_.k,,_A ............. ~,-.~= ......................
~,.1,o 6~ Nm.z_ j S,..+ho-T~ ~v~ .....
.... ;Z- ........
Will this Project Dlsturbe five (5) or More Acres at ~ ~ ...............................................
Any One Time During the Proposed Development ? Yes~ ....................................................
a. DoestheAppilcenlhaveaQuailfledlnspectorOn ~ r-~
staff To Conduct the R~quired Inspections ? Yes No
Inspections will Occur a~d fo~ What Period o[ Time ? Yes No
c. Does the SWPPP Adefluately ldentify A3 Temporary ~ ~ .................................................
and/or Permanent Soil Stabalizalion Measures ? Yes No .................................................
d. Does the SWPPP Adequately Idenil~y a Complete F-~ ~
Project Phasing Plan ? Yes No
e. Dces the SWPPP Indicate AddilJonal Site Specific ~ [~] status ol Impacted W~lerbody: leg. TMDL. 3~3(d) Listed, Impaired._)
Practices thai W'~I be Ulitized 1o Protact Water Quality ? Yes No
f. Has the Applicant Submitted a Complaled DEC NoUce
Og Intent and SWPPP Acceptance Form for Review ~ ~ 3ypa ~f ~.,.o.~.~ war.bed-/: leS- Lake, C~eek, B~', P~.~, S~u.d, Freshwater
by the Town of SouthoM ? Yes No
ST^I~g. OF NEW'YORK, ~, ~:- ~J') ~.- COmr~l~- u. BUNCH
<--~'-~'~ I t "~'"'~ Notary Public, State of New York
COUNTY OF ........................................... SS
No. 01BU6185050
u d
And that h~Jsh¢ ~s thc _ - .- '"'"~'~" ~""~ ~mm ~4, 2Z)/i~ ~,
(O,~r, C~:~~:;'~i ................................................................
Owner &nd/or represcatadw of thc Owner or Owners, &nd is duly authorized to p~fl'on'n or have perrorrned the said work and to
m~ke &nd fiJ¢ th~s ~ppl[cadon; that aJ! statements conta~¢d in this ~ppJk~dou are ~ue to the best o£his knowledge &nd b~cf; and
that the work will be performed in the manner set forth in thc application fdcd herewith.
Sworn to before me
Lot Z.I
MAP OF LOT
~4/ALTER ~. BARBARA COOK
A~
E~ST M~RION
D.B. BENNETT
Mamh 19, 2012
CONSUI TING ENGINEER
Estate of Walter Cook
P.O. Box 3181
East Hampton, NY 11937
SUBJECT:
1110 Gillette Ddve Residence
East Madon, New York
Dear Ladies & Gentlemen:
D.B. Bennett, P.E., P.C. is pleased to submit this report on my inspection of the
foundation of the subject residence. The purpose of the inspection was to assess its
structural stability, estimate its useful life and identify recommendations for remediation.
Drew B. Bennett, P.E. performed the inspection on March 17, 2012.
I report the following:
The existing foundation is constructed on concrete masonry units (CMU) and is
approximately 7 feet high. The foundation is estimated to be approximately 57 years
old.
The basement was dry and clean.
I obserVed no "Z cracks" on any of the foundation walls. These types of cracks typically
indicate differential settlement or footing failure. Visual sighting of the block lines
revealed no deflection.
I measured the east foundation wall to be bowed inward near the center of the wall. The
bowing was measured to be 2" in four feet of distance. This is significant. The cracks in
the mortar lines near the bowing had been repaired to seal gaps in the mortar. At the
time of my inspection, there were no gaps in the mortar.
I measured very slight wall movement in the other three walls (e.g. ~" in four feet of
distance).
The type of foundation wall bowing obserVed on the east wall is typically caused by the
expansion of frost/ice on the outside of the wall.
Recommendations:
o Address the root cause of the wall bowing. The root cause is water runoff from
the roof laying along the foundation and freezing. This can be cured by
connecting the gutter down spouts to dry wells located away from the house.
FLO-WELL is a useful product for this.
o The east wall is not in imminent danger of failure. This type of wall failure
typically occurs gradually. Nevertheless, the east wall should be repaired.
3 RAILROAD AVENUE · P.O. BOX 1442 · EAST HAMFTON · NY · 11937
TEL: 631-907-0023 ' FAX: 631-329-0324 ' WWW. nBB-PE.COM
In my opinion, are two methods to repair and stabilize the east wall:
1. Install buttress walls 6 feet on center perpendicular the east wall. This method
will stabilize the wall by will consume some useful space in the basement.
2. Demolish the east wall and replace it with a new reinforced CMU wall. See
attached sketch for a construction detail.
I trust this information is clear. Please call me at 631-907-0023 with any questions.
Respec~ully submitted,
Drew B. Bennett, P.E.
(16-126)
OPEN END-~_ ~
PARTIALLY GROUTED CMU
4-0 inch REINFORCEMENT SPACING
N.T.S.
BOND
REI
(~TYP- CMU BOND BEAM FOR 7 FTWALL
SK-1
East Foundation Wall
~ REMOVE EXISTING 7 FT HIGH CMU FOUNDATION WALL
~'~ PROVIDE SHORING OF HOUSE PRIOR
CONSTRUCT NEW REINFORCE CMU FOUNDATION WALL
DAMP-PROOF OUTSIDE OF WALL
GARAGE
SLAB
HOUSE CELLAR
' ,37' '
CONCRETE BLOCK
1, ALL CONCRETE BLOCK WORK SHALL CONFORM TO THE "NATIONAL CONCRETE MASONRY ASSOCIATION SPECIFICATIONS,"
LATEST EDITION.
2. CONCRETE BLOCK SHALL BE OF LIGHTWEIGHT AGGREGATE AND CONFORM TO THE FOLLO~Ng STANDARBS:
SOLID/HOLLOW BLOCK: ASTM CBO, GRADE N1.
NET AREA COMPRESSIVE STRENGTH NET AREA COMPRESSIVE STRENGTH
OF CONCRETE MASONRY UNIT, PSI OF MASONRY ASSEMBLy, F'm, PSI
USING TYPE S MORTAR.
1900 1500
2800 2000
3750 2500
4800 3000
UNLESS OTHERWISE NOTED ON PLANS AND/ OR ELEVA~ONS, CONCRETE BLOCK UNIT STRENGTH SHALL BE 1900 PSI MIN.
NOTE: CONCRETE BLOCK WITH UNIT STRENg~ HIGHER THAN 1900 PSI REQUIRE LONGER DELIVERY LEAD TIMES.
3. ALL MORTAR SHALL BE ASTM C270, TYPE S.
4. ALL GROUT FOR FILLING CELLS SHALL BE ASTM C ¢76 ~ MINIMUM COMPRESSIVE STRENGTH OF 2DO0 PSI BUT NOT
LESS THAN THE COMPRESSIVE STRENGTH OF THE MASONRY ASSEMBLY. F'm.
5. ALL BLOCK DIMENSIONS INDICATED ON STRUCTURAL PLANS ARE NOMINAL DIMENSIONS.
6. ALL CONCRETE BLOCK BELOW GRADE SHALL BE FILLED SOLID NIH GROUT.
7. CONCRETE BLOCK BELOW BEAM OR TRUSS BEARINg POINTS SHALL BE FILLED SOLID FOR A MINIMUM OF TWO COURSES
IN DEPTH AND A MINIMUM OF 32" IN ~DTH, U.O.N.
GENERAL NOTES
1. ALL STRUCTURAL WORK SHALL BE COORDINATED WITH ARCHITECTURAL AND MECHANICAL DRAWINGS AND SHALL CONFORM
TO THE PROJECT SPECIFICATIONS, INCLUDING THE STATE OF NEW YORK BUILDINg CODE, LATEST EDITION,
2. CONTRACTOR SHALL PROVIDE TEMPORARY SHORING, BRACING, SHEETING AND MAKE SAFE ALL FLOORS, ROOFS, WALLS
AND ADJACENT PROPERTY AS PROJECT CONDITIONS REQUIRE.
DIMENSIONS AND ELEVATIONS OF EXISTING CONSTRUCTION GIVEN IN STRUCTURAL DRAWINGS ARE BASED ON INFORMATION
CONTAINED IN VARIOUS ORIGINAL DESIGN AND CONSTRUCTION DOCUMENTS PROVIDED BY THE OWNER, AND LIMITED FIELD
OBSERVATIONS AND MEASUREMENTS, THE CONTRACTOR SHALL VERIFY ALL INFORMATION PERTAINING TO EXISTING CONDI-
TIONS BY ACTUAL MEASUREMENT AND OBSERVATION AT TBE SITE. ALL DISCREPANCIES BETWEEN ACTUAL CONDITIONS AND
~OSE SHOWN IN THE CONTRACT DOCUMENTS SHALL BE REPORTED TO THE ENGINEER OF RECORD FOR HIS EVALUATION
BEFORE THE AFFECTED CONSTRUCTION IS PUT IN PLACE,
BOND BEAU
GROUTED CMU
inch REINFORCEMENT SPACINg
CMU BOND BEAM FOR 7 FT WALL
UNIT
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED ~
~,J~OLD TOWN ZBA /
. ~.S. DEO
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN OOOE,
A?P(OVED AS NOTED
OLLC · "'ECTIONS
F PO ~ CONCRETE
3 INS~ ILATION
4 RNAL. CONSTRUCTION & ELECTRICAL
[ CCNS 'RdCTION SHALL ME.THE
~QdrREMENTS OF THE COMES OF NEW
DESIGN OR OONSTRUOTION ERROR&
0_>>-
~ <
DRAWING
FOUNDATION
PLAN
ISSUE
NO~ DATE
B,P, 7/6/12
DATE
07.06.12
SCALE
1/4" = 1'-0"
SHEET
SK1