HomeMy WebLinkAbout38481-Z
Town of Southold Annex 11/13/2013
P.O. Box 1179
54375 Main Road
°d Southold, New York 11971
f
CERTIFICATE OF OCCUPANCY
No: 36607 Date: 11/13/2013
THIS CERTIFIES that the building AS BUILT ADDITION
Location of Property: 1120 Bridge Ln, Cutchogue,
SCTM 473889 Sec/Block/Lot: 85.-2-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/6/2013 pursuant to which Building Permit No. 38481 dated 11/6/2013
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:
"as built" deck addition to an existing single family dwelling as applied for.
The certificate is issued to Bennett, Mark & Bennett, Dawn
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Author' ed Signatu
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
ffi ? 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 38481 Date: 11/6/2013
Permission is hereby granted to:
Bennett, Mark & Bennett, Dawn
1120 Bridge Ln
Cutchogue, NY 11935
To: as built" deck addition to an existing single family dwelling as applied for
At premises located at:
1120 Bridge Ln
SCTM # 473889
Sec/Block/Lot # 85.-2-6
Pursuant to application dated 11/6/2013 and approved by the Building Inspector.
To expire on 5/8/2015.
Fees:
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $812.80
CO - ADDITION TO DWELLING $50.00
Total: $862.80
Building Inspector
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 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.
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 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
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: j 120 j!~ -cCt~n 5', ut fyY I ~~t35
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
~ZCHITECT
MARK SCHWARTZ & ASSOCIATES 28495 Main Road • PO Box 933. Cutchouc, Vl' 1193
O Box
631.734.4185 ~ ~+,re.ml.varehilcmcom
November 12, 2013
Southold Town Building Department
P.O. Box 1179
54375 Main Road
Southold, New York 11971
Re: Bennett House
1120 Bridge Lane
Cutchogue, New York
Permit #38481
To Whom this may concern,
I have been back to the aforementioned site to review the deck joists, ledger board connection and the
altered railings. The construction of this deck has been upgraded and to the best of my knowledge,
meets or exceeds the NYS code requirements.
Please call this office if you have questions or require additional information.
Sincerely, _ aq
Mark ar ,
} 1 -~720173!:
NOV 13 TI
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING / STRAPPING [ , FFIINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: lLp~, ~P
DATE /i / INSPECTOR v
he r, coHndENTS Ey
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FommAnox (m oeJ
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FOUNDATION (2ND) f~
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ROUGH FROONQ & IUD 4
PLUMING 5
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IIdBULATION PER N. Y.
STATE ENERGY CODE
FINAL
ADDMO' AL COMMENTS now WMMM&M
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TOWN OF SOUT n n VBUILDING PERMIT APPLICATION CHECKLIST
BUILDING DIE Let Do you have or need the following, before applying?
TOWN HALL Board ofHealth
SOUTHOLD, NY 11 4 sets of Building Plans
TEL: (631) 765-1802 ~ Planning Board approval
FAX: (631) 765.9502 10 Survey
SoutholdTown.North ork. PERMIT NO. Check
BI 1) DEFT. Septic Form
N.Y.S.D.E.C.
TOWN OF S00THOLD Trustees
Flood Permit
Fxamined , 20 Storm-Water Assessment Form
Contact:
Approved 20 Mail to:
Disapproved a/c
Pho~ I
Expiration 20 f
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date 20
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.
(Signature of applicant or time, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises TV. "a , 'XN&& Z.V
(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. Location of land on which proposed work will be done: r.
i k lO 1 CSC rF LA N.C ~ls~c b~laG
House Number Street Hamlet /
County Tax Map No. 1000 SectionJK-~-Block Lot
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 Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
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-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 property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* 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-
• 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 )
being duly swom, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named, C ONNI E D. BUNCH
Notarp Public. State of Now York
(S)He is the rdo. 01 R J61 850a°0
(Contractor, Agent, Corporate Officer, etc.) Qtft' n is Suffolk, County
Conmt!-, on 1 rate A( "'4: 2-C4 (e
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 one 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.
wom ro before me this
day of ~D e~f~`/1. 20
0 Notary Public Signature of Applicant
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REVISIONS
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L 146. 23'_0" ~ d
37'-B" U a
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F FLOOR PLAN Q
SCALE: 1/4" = V a
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' EXISEINGCONC0.EfE VATID,
SCOPE OF SUBMITTAL:
IN MY PROFFESSIONAL OPINION, THIS CONSTRUCTION Z y
OCCURED PRIOR TO THE BUILDING CODE CHANGE OF O J Z
JANUARY 2003. THESE PLANS ARE NOT A CERTIFICATION Fri w W
OF EXISTING AS-BUILT STRUCTURE COMPONENTS. h 4 O ~
APPROVED AS CERTAIN COMPONENTS OF STRUCTURE COULD NOT BE _
i ii !3 B.P '3E B P +r jEVFI EXAMINED THROUGH A ONE TIME VISUAL INSPECTION. ~ mo L)
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(2) 2X8 GIRDER (2) 2X8 GIRDER (21 2X8 GIRDER FOR POURED L'
2, ROUGH•NG, EL KT, STRAPPING, ELE-STr ELK I, i' .•nn~ , •2.e i Q
T-31/x" T 3V2" T-4" 7'-31/2" 7'-31/2" 3, INSULATION 4, FINAL • CONSTRLICTIO" s STRU TIO"' DRAWN. MH/MS - SCALE: 114"=I'-O"
MUST SE p „ OPAPLE of rC IAPLE~E TION~H l' JOB 4.
37'-6" ALL OQN5TRUOTION SHPT REQUIREMENTS OF 111E , S OF1h
YORKSTATE. NOTRE, -Ih6II N 01, 2013 ion EI C1! su' 3iJSE 6 kJlt9f=AWR° STITETNUMBER
vs~N~cri~,lt~~,crs, A;l~,'P~o t LT9l fCATE
FOUNDATION PLAN DESIGN OR CGNSTRUCTI( lb',(
SCALE: 1/4" = 1'