HomeMy WebLinkAbout37637-ZNo: 36079
Town of Southold Annex
P.O. Box 1179
54375MainRoad
Southold, NewYork 11971
12/10/2012
CERTIFICATE OF OCCUPANCY
Date:
12/10/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
DECK
305 Tuthill Rd Ext, Southold,
Sec/Block/Lot:
55.-6-15.2
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/5/2012 pursuant to which Building Permit No. 37637 dated 11/19/2012
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 24' deck addition to an existing one family dwelling as applied for.
The certificate is issued to
Wheeler, Richard & Wheeler, Laureen
(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 #: 37637 Date: 11/1912012
Permission is hereby granted to:
Wheeler, Richard & Wheeler, Laureen
305 Tuthill Rd Ext
Southold, NY 11971
To:
construct a 16' X 24' deck addition to an existing single family dwelling as applied for
At premises located at:
305 Tuthill Rd Ext, Southold
SCTM # 473889
Sec/Block/Lot # 55.-6-15.2
Pursuant to application dated
To expireon 5/2112014.
Fees:
11/5/2012
and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $353.60
CO - ADDITION TO DWELLING $50.00
Total: $403.60
Building Inspector
Form No. 6
TOWN OF SOUTHOUD
BUILDING DEPARTMENT
TOWN HAUL
76548O2
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This apphcat~on must be filled tn 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, s~reets, and unusual natural
topographic features, or
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. C°mmercial 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 °f pr°petty 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. Ifa Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate °f 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. Temp°rary Certificate of Occupancy - Residantial $15.00, Commercial $15.00
Date. ]MJO~J, <~ t c:~/,.~
Old or Pre-existing Building:
New Construction:
Location of Property: 9)O~--
House No. Street
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
(check one)
Hamlet
Block.
Filed Map.
Applicant:
Underwriters Approval:
PennitNo. ;7(~7 87 DateofPermit.//-/q-/~.
Health Dept. Approval:
Planning Board Approval:
Request for: Tempora~ Certificate
Fee Submitted: $ y~. ~/kt~/~
Final Certificate:
Lot:
(check one)
a eC)
37/ 37
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ! INSULATION
[ ]FRAMING/STRAPPING ~ FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
] ELECTRICAL (FINAL)
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
[ ] ELECTRICAL (ROUGH) [
REMARKS:
DATE
INSPECTOR
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
PERMIT NO.
Examined
Approved
Disapproved a/c
Expiration
20 /
/¥
/
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:
t
Phone:
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 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 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 for necessary inspections.
(Signa~tre of applicant or name, if a co~poration)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises IL'/d M~ ~
(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 LicenseNo.
Plumbers License No.
Electricians LicenseNo.
Other Trade's License No.
1. Location oflan_d on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
Block ~
Filed Map No.
Lot
Lot
State existing use and occupancy of premisl~s and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~-~q~Fl,~ 4-~UlL*Iff, d~,~6~L ~/C~eX.~ '~o 19e~
b. Intended use and occupancy ~tZ ~q. w / Be ~
t
Nature of work (check which applicable): New Building_
Repair Removal Demolition
Addition
Other Work
Estimated Cost Fee
If dwelling, number of dwelling units
If garage, number of cgrs
Alteration
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, spec~a.,,t~r~e a0~l~xtent of each type of use.
7. Dimensions of existing structures, if any: Front Rear c~ ~7t~/--~7 ~' Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height.
9. Size of lot: Front ,-Q~.~ . ~
10. Date of Purchase
Dimensions of entire new construction: Front
Height ~O ~ +/-- Number of Stories
Rear o~ ~0. 0 '
Name of Former Owner
Number of Stories
ear 0
Depth
Rear
/6 ( 0
Depth ,Q~. 7 7 ~/0 00. 0
11. Zone or use district in which premises are situated
14. Names of Owner of premises [L//41¢1~ IA3~
Name of Architect ~-~t:~lgOf~4
Name of Contractor l~heft~lA
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/~
Address ~OU~-{OI~ Phone No.
Address /~1~ J2,~,~-1~.~ -- Phone No
Address t'4~79~. Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO/~
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY I~E,.,REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO 7Z~5~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
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 ,~
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
(Name of indivRtual signing contract) above
(S)He is the
being duly sworn, deposes and says that (s)he is the applicant
named,
(Contractor, Agent, CorpoYate 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 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
day of 20
Notary Public Signature of Applicant
"'Fc.~ v/r.
u_[B C
~KJSTINC-
E~ACK ELEVATION APPROVED AS NOTED
NDTiFY EUILDINa DE~'ARTMEN~ h
76~-t80~ 8 AM TO 4 PM FOR Ti4~
~ FOUNDATION - TWO RE'UIR, 0
FOE POURED OONCEEIE
~ ~ ~OUGH: FRAMING, PLUMBING,
~ IN~U~T[ON
NI~$T B~ ~O~PLETE ~OR g o
ALL CONgT~UCTION SHALL ME~T THE
yoR~ BTATE, NOT EESPONSlBL~ FOR
O&~GN O~ CONgTRUCTION ERRORS,
fiETAJN STOR~ WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
OUTL]N~ O~ [~XIDTING
........ ~c ~ ~7~-~MO~-D'
DECK LAYOUT
h, = I '-0"
SCALE: ,,
EXISTING HOUSE
TO REMAIN
2
EXISTING EOUNDATION
WALED 4; POOTINGS TO REMAIN
NAILING &CHEDUL~ FOOTING $ F~ME PLAN
SILLORTOFp~TE 2 JGdCOMMON FOOT TOENAIL ~IDTING HOUSE
DECK $ ~OEC" NOTES: 5TRU~URE TO REMAIN
2- 2" x O" ~M BOA~ / /I X ~PROV. H4
g,rde,~s). CONTINUOUSLY AROUND ~ / ~
CLIMATIC ~ GEOG~PHIC DESIGN CRITERIA CONC~X FOOTING, r~mo
~o~ ,~,~o ,, ,o~ DECK SECTION
5GALE:4 b, = ILO"
UKE I0 K~MAIN
P~(15TING
~" X ~" DECK, BOARD5