HomeMy WebLinkAbout38034-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
5/29/2013
No: 36262 Date: 5/29/2013
THlS CERTIFIES that the building AS BUILT DECK
Location of Property: 515 Gin Ln, Southold,
SCTM #: 473889 Sec/Block/Lot: 88.-4-5
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
5/7/2013 pursuant to which Building Permit No.
was issued, and conforms to all of the requirements of the applicable provisions of the law. Thc occupancy for
Lot No.
filed in this officed dated
38034 dated 5/20/2013
which this certificate is issued is:
"AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to
Farino, Anthony & Farino, Christine
(OWNER)
of the aforesaid built[nag.
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 #: 38034
Date: 5/20/2013
Permission is hereby granted to:
Farino, Anthony & Farino, Christine
18 Ron Ct
Commack, NY 11725
To:
construct a Deck Addition "as built" to an existing dwelling as applied for
At premises located at:
515 Gin Ln, Southold
SCTM # 473889
Sec/Block/Lot # 88.-4-5
Pursuant to application dated
To expire on 11/19/2014.
Fees:
5/7/2013
and approved by the Building Inspector.
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION
CO - ADDITION TO DWELLING
Total:
$496.00
$50.00
$546.0O
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN tlALL
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: I. 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 lbrm).
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.
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 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 I. 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: Old or Pre-existing Building: (check one)
I,ocation of Property: ~"/J~ ~,~_. _ __~ ~'~Ld~' ,~'~ ~"~ C ~.~
House No. Street
Suflblk County Tax Map No 1000, Section 00 .... Block ~
Subdivision Filed Map.
}Iealth Dept. Approval: . Underwriters Approval:
Hamlet
Lot
Lot:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~'"1): ~
Final Certificate:
(check one)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUG/H PLBG.
[ ] ~fJLATION
[ ~' FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING/STRAPPING
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
INSPECTOR
FOUNDATION (lST)
ROB~ ~G &
"
~ON P~RN. Y.
STA~ ~RGY CODE
/.
~DITION~ cOUNTS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1g02
FAX: (631) 765-9502
SoutholdTown.Nor thFork.net
Examined
Approved
Disapproved a/c
Expiration
BUILDING PERMIT APPLICATION CHECKLIST
MAY-7 2013
Building Inspector
Do you have or need the following, before applying?
Board of Health
4 set.~ of Builthng Plans
Planning Board approval
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submined to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fcc 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 Budding 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. lfno 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 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
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and ~egtdations, and to admit
auth°rized inspect°rs °n premises and in building f°r necessary inspecti~.~.~d _~ 0_/.~ ~
(Sti!aa~/~ f applicant ol name, if a corporation)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
(As on the tax roll or latest deed)
If appbeant 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.
I. LocatLoa oLland on whic[~ proposed w~k will be done:
Hous'"-e lqu"~ber VSt~e&- ' ' Hat'let ] ' ' '
County Tax Map No. 1000 Section ~' g Block
Subdivision Filed Map No. Lot
State existing use and occupancy of premises and inte~lgd use and occupancy of proposed construction:
a. Existing use and occupancy ,~'"~C)/V~ "~
b. Intended use and occupancy
Nature of work (check which applicable): New Building.
Repair Removal Demolition
Estimated Cost ~ Fcc
If dwelling, number of dwelling units
If garage, number of cars
Addition
Other Work
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.
¥1~. Dimensions of existing structures, if any: Front Rear Depth
Height_ Number of Stories
.~.t.~ Dimensions of same structure with alterations or additions: Front Rear
Depth. Heigh[ Number of Stories
8. Dimensions of entire new construction: Front Rear .Depth
Height Number of Stories
9. Sizeoflot:Front . ~}l'~ Rear .D~.~h__
10. DateofPurchaseg--'g~/'~/~.NameofFormerOwner !~j/~-I~F~Z"p,./~) -~'
I I. 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 from premises? YES__ NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this proper~y within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & DEC. PERMITS MAY BE REQUIRED.
b. ls this property within 300 feet of a tidal wetland? * YES NO
* IF YES, DEC. 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? * Y ES
· IF YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
,/?_./~, ~J~/ ',,1/~ /'-~'~-~l~eing duly sworn, deposes and says that (s)he is the applicant
{~qan~e oXl'indi~dual signing contract) above named,
,s,.,isthe D ff6
(Contractor, Agent, (Yo~orate 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. Notary Public, State of New York
Sworn tobefore me !his ~. x
FLA$HING TUCKED UNDER
LAPPED OVER FIP-~[' CONTIN.
PIECE OF SIDING BELO'gV
)IA. LAG BOLTS ~W/'g~ASHER$
CONNECTED TO BLDG. @32" DC
FLOOR FRAMING
2x JOISTS
BLOCKING FOR
LAG BOLTS
RIM JOIST
GIRDER/HEADER
POST/COLUMN
DECK/PORCH LEDGER CONNECTION
POST-TO-GIRDER/HEADER CONNECTION
LOCATION USP NUMBER DESCRIPTION APPLICATION
~-x4 SOLID COLUMN PBS44 / PBSE44 / KC44- POST CAP ANCHOR APPLY TO EACH COLUMN
6x6 SOLID COLUMN PBS66 / PBSE66 / KC66 POST CAP ANCHOR APPLY TO EACH COLUMN
HOLLO'X,' COLUMN S MPSON STRR1/2 H.C. ANCHOR APPLY TO EACH coLUMN
2XIO ACQ LEDGER BOARD
EXISTING FOU N DATION F,,,~TmED w/TIMB£RLOK FASTENERS
, , ~. , / ,, , . . , ~ ,, ,, , ., ,, , , ,, ... ,,, / , ,4 ,'- ........
FOUNDATION PLAN
SCALE: 1/4"= 1'
JOIST
GIRDER/HEADER
SPLICED JOISTS OVER HEADER/GIRDER
LOCATION USP NUMBER DESCRIPTION APPLICATION
IOIST TO GIRDER/H~DER RTl0 TYDO"~N ANCHOR CONNECT TO EACH Jol~r
EXISTING
1ST, FLOOR
EXISTING
FOUNDATION
POST
DECK POFT IFTG. CONNECTION
2XB ACQ DJ @12"OC
.... ~ r: =; (2) 2X10 ACQ
CONC. PIER
CROSS SECTION
6X6POST PAU66OR~JE66 POST/BEAM ANCHOR APPLYTO EACH FOOTING
4X4 POST PAU44 OR ~7JE44 POST / BEAM ANCHOR APPLY TO EACH FOOTING LOAD (tAPE) CATEGORY D~c~ TEtAP- REQUIll~D
SCALE: 3/8" = 1'
GRADE
NOTIFY BUILDINO DEPARTMENT AT
?~B4B0~ B AM TO 4 PM FOR THE
FOLLOWIN~ INSPECTIONS:
t FOUNDATION- TW0 REQUIRED
FOI~ ~OURED CONCRETE
~ ROtJ~N, FRAMING, PLUMBING,
~TRAPPiN{3, ELECTRICAL A CAULKING
~ INBU~TION
4 ~NAL, CON~TRUCTION & ELEC~ICAL
~U~T B~ ~O~PL~TE FOR C,O,
ALL CONSTRUCTION ~HALL MEET ~
OCCUFANCY OR
. LJNLAWFL._
'::, 'i ,, TOEFT''' ,
zO
A-1