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Home My WebLink About37505-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 11/19/2012 CERTIFICATE OF OCCUPANCY No: 36049 Date: 11/19/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: DECK 46660 Route 25, Southold, Sec/Block/Lot: 75.-3-4 Filed Map No. conforms substantially to the Application for Building Permit heretofore 8/28/2012 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: Rear Wood Deck Addition, 9' 6" X 15' 9", with Steps, as applied for. Lot No. filed in this officed dated 37505 dated 9/11/2012 The certificate is issued to Wood, Robert & Wood, Susan (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 #: 37505 Permission is hereby granted to: Wood, Robert & Wood, Susan 46660 Route 25 Date: 9/11/2012 Southold, NY 11971 To: Addition to a Single Family Dwelling; Rear Wood Deck, 9' 6" X 15' 9" with Steps, as applied for. At premises located at: 46660 Route 25, Southold SCTM # 473889 Sec/Block/Lot # 75.-3-4 Pursuant to application dated To expireon 3/13/2014. Fees: 8128/2012 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ADDITION TO DWELLiNG Total: $260.00 $50.00 $310.00 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 I% 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. 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 acccssory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $I00.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate ofOccupaacy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. Old or Pre-existing Building: (check one) House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section '7 ~'~ Subdivision Permit No. /~'~5~/~)~'"- Date of Permit.(~ '-' .Il- / .2 Street Block Filed Map. Applicant: Lot Lot: Hamlet Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 5~ . Underwriters Approval: Final Certificate: _. ~~ant Signalure TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 //iNSPECTION ['4 FOUNDATION 1ST [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL ] FIRE SAFETY INSPECTION [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~ ] ELECTRICS) REMARKS: ~-~ ~f"~ __ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~UNDATION 2ND [ ] INSULATION [~V~ FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] 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 Disapproved a/c Expiration PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do yoa have or need the following, before applying? Board of Health ~'-~ 4 sets of Building Plans Planning Board approval Survey ~. ~-,~ '4 Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Stonn-Water Assessment Form Contact: Mail to: Phone: '/'?/t¢ Z-'32/: 7/37 Building Inspector APPLICATION FOR BUILDING PERMIT Date 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 ad.}oining 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 ou the premises available ibr 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 is>ues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issnance 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 tile issuance ora 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 ~'~nat'~s~e'~d¢ applicant or name, if a co~oration) (Mailing address of applicant) ffl'~' 7 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /~/~/2-~ff (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. 1. l,ocation, z/Z~ .~d~°f land~} on w~ich/&._7_ proposed.~ S'~ work will be -.,~)d°ne: ~'//~ .~ /%/,~/I/' House Number Street Hamlet //¢?/ County Tax Map No. 1000 Section 7 ~ Block '~ Lot 7 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy_ 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work Estimated Cost q~)d} ' ~d /qO.x~~ 06 ~ Fee 5. If dwelling, number of dwelling units If garage, number of cars Alteration (Description) (To be paid on filing this application) Number of dw'elliog 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 8. Dimensions of entire new construction: Front Rear 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 ~ ~ /v, a/i,'~ ~_,~/,/~ ~ ,,~ / ~ 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 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 fl'eshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE R,.EQUIRED. b. Is this property within 300 feet ora tidal wetland'? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundatiou 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~'t'~ · if YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF being duly sworn, deposes and says that (s)be is ff~e applicant (Name of individual signing contract) above named, CONNIE D..BU.NNGoHv~ york Note, fY publiC, Stale o~ ~'~ (S)He is the ,,, No. 01BU6185050 (Contractor, Agent, Corporate Officer, etc.) commission Ex'pffo~ Apm of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tiffs application: that all statements contained in tbis application are true to the best of his knowledge and belief; add that tbe work will be performed in the manner set fortb in the application filed therewith. S.w, orn to before me this 1 ~('~ dayof~. 'l~.,2J- 20]~ Notaw Public ~ Signature of Applicaat ~. Town of Southold - Chapter 236 - Stormwater Management ~ SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL IN~_. O~TION: (All Requested Information is Required for a Complete Application) E-Mai~ E-Mail: ",-- ~ "-~ ~t...~ ~ ~ c~ ~ ............................................ : *. m0eo ............................................ I Will this Project Disturbe f~e (5) or More Acres at ~ ~ ............................................. Any One Time During the Pro~sed Development ? Yes No ............................................ ............................................... a. Does the Applicant have a Quali~ I~pector On ~ ~ Staff To Conduct the ~uir~ I~p~tions ? Yes No Inspections will ~cur and ~ What Peri~ ~ ~me ? Yes No c. ~eSWPPP~eq~to~NAITem~ ~ ~ ................................................ a~or Pe~enent ~3 S~lim~ M~ur~ ? Yes No ............................ ~ ................... d. Does ~e SWPPP Adeq~teN ~ a C~ete ~ ~ ........................................ Project Pha~ P~n ? Yes No e. ~es~SWPPPl~i~[eAddi~lSi/eS~fic ~ ~ Pmd~ ~at ~ ~ ~ 1o ~ Water ~ali~ ? Yes No f. Has ~e Appli~nt SubmiU~ a Complet~ DEC NoUce ............................. ~ by ~e T~ of ~ ? Yes No ~*A~OFN~YO~K, ~, ~ ~._ COU~ OY ..~[~ ........... SS ~r L, .............. i~'E~'~'~ .................... ~g dOy ~m, dc~c~ ~d ~a~ ~at B~*hc is ~c applimt for · at ~c ~rk ~ ~ ~o~cd in ~c m~ ~t fo~ ~ ~c apportion fried hc~~7~~-- ...... Sworn to ~fore me ~; / ~ Oual~ied in ~unol~ ~ ~ ~ ~ ~., C -- ~ ~- j ~ / /~ommi~ion E~iros April 14, ......... ~ .............. , .............. aa~o/..c... ~.~ ......... ,20.~ I / ............. .............. Notary Public, State of New York No. 01BU6185050 Qualified in Suffolk County ~ Commission Expires April 14, 20 J/~ 3 BUILDING PERMIT EXAMINER CHECKLIST Applicant: · Architect/Engineer: SCTM# l ooo- 75-- Property Address: Subdivision *Date Submitted: Owner: Estimated Cost: --"~ Zone: City: Building Permits (Open/Expired): BP -- -Z/C/0Z- ~,Info: ~ BP__-Z/C/0Z-__,Info: BP.__-Z / C/0 Z- , Info: BP__-Z / C/0 Z- , Info: BP -Z / C/0 Z-__., Info: __ Single & Separate Search Required? Y o~Determination: REQ LotSize' ~o9 ooo ACT LotSize: [~,~'~- REQ. LotCov.~O~oACT~LotCov. REQi Front ~'5~ A. CT. Front 0 ~ i~EQ Side RBQ. Heigh'~--~-~ ' ACT. Height O {~ Waterfront? Y or~. If yes, water body: ' ~' Panel// "--- Flood Zone: ~ BUlkhear~BluffDistance: -- ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y o~- If yes, ~Bed#: __ *Date: / / *Permit#'. Town Septic: Y- N - If no, certification required: Y or N Received: Y or N By: NYS DEC: ea~-~zc~nn$ Y o~- Date: / / Permit #: or NJ Letter - Notes: Southold Trustees: Y o[~- Date: _ / / Permit #: or NJ Letter - Notes: Southold ZBA: Y o(j~- Date: / / Southold Planning: Y o~ Date: _ /__ Town Landmark C of A: Y o~TE: Notes: Permit #: ~ - Notes: / Permit #: - Notes: / / *NYS CODE ~ompliance (page 2): Y or N DI.SA~ILI'I-Y LIfr~lLlTY ht[ot?.l~nt~d~ Co~PffAr$47-tOA/ . ~ Fee Structure: Foundation: SF First Floor: /,._~'O SF Second Floor: SF Other: SF Total: /.~- o SF Calculation: t~ · . =$ /_go xs, 0. oo +hfitialFee:$ ~-o o , oo + Additiomd Fee ( ): $ SF X $.. -$ + Initial Fee: $ + Additional Fee ( ): $ ~E~) ~ ~0~O FEE ~ TOT~:$ ~0, oo . Grounli Snow Load: Weathering: Severe __ Design Temp: I1 __ NEW YORK STATE CODE COMPLIANCE CHECKLIST C.LIMATIC/GEOGRAPHIC DI~S IGN CRITERIA: Wind Speed: 120MPH Selsm. lc Design Cat~gory~ B .-Frost Depth: 36" __ ' Ice Shield Underlay: YES USE/OCCUPANCY CLASSIFICATION: ' HEIGIZtT/FI1LE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FP,24MING DESIGN ELEMENTS: Y/N HEADERS: YiN WALL STLrDS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N L1D'lgIBER SPECIES AND GR-4.DE: Y/N Termite: M-H __ Decay: S-M _ Flo~d Hazards: GLRDERS: YfN ROOF RAIrFERS: YfN wlJq-DOW AND DOOR SCHEDULE: .MISSLE TEST ILEQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N '~rENT 4%: Y/IN NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGILAM: YfN LOCATION OF FI222E PROTECTION EQUIPMENT: Y/N TRuss DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) SUP. VET OF PROPER-Pr' 51TUATS: 5~HOLO TOHN; fXDUTHOLD ~H=OLK OOUNTY, NY 5URVE'r'50 JANUAIR'r' 2R 2OIO SUFFOLK COUNT'r' TAX # IOOO-75-~- 4 ROBERT S. WOOD SUSAN L. WOOD C}~CAGO 'lit, -~. INSURANCE COMPANY ,% NOTE~, · MONUMENT FOUND 0 PIPE STAKE ..55'r AP-JEA = 16,~24 5.F. 0t~. 0.D816 ®RAPHIC, SC. ALE I"= :~0' ~ ~_>.:_,., C. EHLERS LAND SUR\, E3~ 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N,Y. 11901 369-8288 Fax 369-8287 REF.C :kDocuments and Settings\OwnerkMy Documents\My Dropbox\09\09\09-119 updated 1-29-2010.pro Beam Layout 08/20/12 Ref: Deck12233 Scale: 3/8" = 1' BEAM BEAM POST POST LABEL LENGTH COUNT SPACING A 15' 4 I/2" 3 7' I/2" Post spacing is measured center-to-center. Depth of concrete footers --- 24" COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED¢~.q"D "'"'~' T~ .... , 7' 7 1/Z" 1' 10 1/~ , APPROVEDAGNOTED NOTIFY BUILDING DEPARTMENT AT 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPEGTIONS: 1. FOUNDATION - TWO FOR POURED CONCEET~ 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEEF THE q^,,, ..~ REQUIREMENTS OF THE CODES OF NEW u¥¥~.~..../ YORK STATE. NOT RESFC:%IBLE FOR BOAR~ DES,ON C,q CO,~STRG,ST;ON ERRORS. / SWre N~e ov~o ,~ / 123 S~Rd. ~%~EC I ti- ST ~ (8~5 555 1212 ~5~ 8" Plan View 08/20/12 Ref: Deck12233 ~cale: 3/8"= 1' 4x4 Post Store Name 123 Street Rd. City, ST (800) 555 1212 C