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HomeMy WebLinkAbout39256-Z�o�SUFFat,��G� Town of Southold P.O. Box 1179 C* ze 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 37551 Date: THIS CERTIFIES that the building DECK Location of Property: 555 Summit Ln, East Marion SCTM #: 473889 Subdivision: See/Block/Lot: 35.-8-5.21 Filed Map No. 5/12/2015 5/12/2015 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/1/2014 pursuant to which Building Permit No. 39256 dated 10/7/2014 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: DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Rogers, Maureen & Rogers, Robert of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au ed ignatur 4=1TOWN OF SOUTHOLD y BUILDING DEPARTMENT ��FEoc. z TOWN CLERK'S OFFICE oy SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES ITH ONE SET OF APPROVED PLANS AND SPECIFICATIOr UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 39256 1 Date: 10/7/2014 Permission is hereby granteto: Rogers, Mauree & 1 555 Summit Ln PO BOX 57 East Marion. NY 111939 Robert To: construct a deck addition to an existing dwelling as applied for At premises located at: 555 Summit Ln, East Marion SCTM # 473889 Sec/Block/Lot # 35.-8-5.21 Pursuant to application dated To expire on 4/7/2016. Fees: 10/1/2014 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: Building Inspector $317.20 $50.00 $367.20 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 Veci(L Date. SEf rT,. 1. 0L4' New Construction: Vel' Old or Pre-existing Building: (check one) Location of Property: 5J,5S SO MM (T L.ArJ E, EA Cr K &g (b,.i House No. Street Hamlet Owner or Owners of Property: cl o b M AN P_e1ED3 FIC) &(�- F Suffolk -County Tax Map No 1000, Section 35-- Block 06 Lot • 2 Subdivision SOPA ('r lF_&- M.-I&S SCCVO(I S `2- Filed Map. I blk:78 Lot: Permit No. 315!51 Date of Permit. Applicant: D C t&T&6e?1S Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) • Old Fee Submitted: $ A�jplicant Signature ,39zs6 E- s aUTyo`o cOUNi`l,N TOWN OF SOUTROLD BUILDING' DEPT. 765-1802 INSPECTION"., [ ] FOUNDATION IST [ ] ROUGH UMBING [ ]FOUNDATION 2ND [ ] IN CATION [ ]FRAMING /STRAPPING [ FINAL [ ] FIREPLACE-& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] ELECiRICAI. (FINAL) [ ]CODE VIOLATION [ ]CAULKING QCMA0WQm El DATE �v �� INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BUILDING PERMIT APPLICATION CHECKLIST SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. �s7 Examined 1,917, 20—ZY Approved / D , 20 �f Disapproved a/c 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: (30&-Q Cw,�mBE?S PO IEWx e\c( SOcl-cvh 11C( -7( - Phone: (e3(—2R4--42A-( ]_ iA Ill allyl,\1 v E 0 ( Building Inspector nSEP 2 9 2014 APPLICATION FOR BUILDING PERMIT BLDG. DEPT. Date S�?r- 2 l , 20 14— TOWN Of SOUTNOLD 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. (Sig&t re of applicant or name, if a corporation) FD &x Ag ASOy-, ito Lio N ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises BOB M -f -J P-(5� R"D eTe- (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: 5�S�5- SU r \ m 1-C- LAT -J rAA, K L6 t,� House Number Street Hamlet County Tax Map No. 1000 Section 3,5- Block 08 Lot 'S' 2/ Subdivision 5 k)'MM I'1 Filed Map No. 16-7b6 Lot 13 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 7>1Ct.E tC.`{ K(-'� t0ED\jCe b. Intended use and occupancy 8 l t\� &t -e7 FA -m (LA. R&S(Oet\� cF_- y j,/ P t C (L° 3. Nature of work (check which applicable): New Building Addition V Alteration Repair Removal Demolition Other Work VIE�CIL• (Description) 4. Estimated VA Fee (To be paid on filing this application) If dwelling, number of dwelling units �J Number of dwelling units on each floor N A If garage, number of cars iNi k - If business, commercial or mixed occupancy, specify nature and extent of each type of use Dimensions of existing structures, if any: Front 5q'— I %" Rear 1 �4 Height W-61 Number of Stories l i L/ t� Dimensions of same structure with alterations or additions: Front �� l4 Depth + td -S' ® 66-Z' Height No Cti`US�� Number of Stories_ ' V 4�- f 55t'6'r "C"0 Depth,'-tet`/2'► Rear 5-q a- (y4 8. Dimensions of entire new construction: Front WI_a,y�-Rear �koc-�-D"� W�oU t `, ;« 0�EC� -F ®s✓ec� Depth' �� �©" �'T�P.S Height 0�-+" &Ie-Acoe- M Number of Stories 1i J-2-i-8'`-mTro-, 17.0 9. Size of lot: Front l�� m �� Rear S -3 b ' W Depth «�°�l TT3• I -70,00 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated � 9,—A-0 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re -graded? YES NO W/ Will excess fill be removed from premises? YES NO 1306 4,� Wlk) Zeet) 655soMa1(T' 14. Names of Owner of premises PO C--= e—V Address 6-yK&9-ta" hone No. &31> M •-.fib (2_ Name of Architect Address Phone No Name of Contractor 000— IPALJ Address (SO L)-VVtbLL D > 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 ) ®&0 ctkNkeze—S being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH (S)He is the �C Notary Public, State of NeYork Ne 011 161A (Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk County Commission Expires April 14, 2_C� 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. Swor t before me th' day of 20 yl�p E Notary Public Signature of Applicant Scott A. Russell suFFQ,��� STOIKIMMA\T]EI SUPERVISOR I\\vl[A\NAG]ENDENT z SOUTHOLD TOWN HALL - P. O. Box 1179 53095 Main Road - SOUTHOLD, NEW YORK 11971 �'� Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. 100 feet of horizontal distance. ❑23�5. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ElE. Site preparation within the one -hundred -year f loodplain as depicted on FIRM Map of any watercourse. ❑R'F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT: (Property Owner, Design P rofessional, Agent, Contractor, Other) NAME: (P-0 /� Contact Information: f.C7� ` ` ` ~ "'�' fdcplionc Nu .bt ) Property Address / Location of Construction Work: &a cw M (I1. tTr L1 -74-E" FORM # SMCP - TOS MAY 2014 S.C.T.M. #: 1000 Date: R . 2,q- l � Section Block Lot FOR BUILDING DEPARTNI N"( USE ONO 11.,Y Reviewed By: J& Date: Approved for processing Building Permit. Stormwater Management Control Plan Not Required. ❑Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) k M Pl SANITARY MEASUREMENTS I A I B r 5' Young & Young 400 Ostrander Avenue, Riverhead, New York 11901 631-727-2305 Howard W Young, Land Surveyor Thomas C. Wolpert, Professional Engineer Douglas E. Adams, Professional Engineer Robert C. Tast, Architect AREA = 51,111 SCS. FT. • 5LB01VI51ON MAP 'SUMMIT E5TATE5, 51ECTION 2° FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MAY 21,.2002 A5 FILE NO. 10166. SURVEYOR'S CERTIFICATION * Ye HEREBY CERTIFY TO ROBERT H. R O G E R S, MAUREEN A. ROGERS, ULSTER SAVINGS BANK, ISAOA & STEWART TITLE INSURANCE COMPANY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND SURVEYS ADOPTED 5Y THE NEW YORK STATE A550CIATION OF PROFE55IONAL 1� SURI/EYOR5. / HOWARD W. YOUNG, N.Y.S. L.S. NO. 45M5 SURREY FOR MALPJMN A. R06MRJ LOT 13 "SUMMIT ESTATES, SECTION 2" At East Marion, Town of Southold Suffolk County, New York County Tax Map ar.,wi,0000 smam 55 sioak06 Lob 5.21 FINAL SURVEY FINAL SURVEY DEC. 15, 2015 FOUNDATION LOCATION AUS. 20, 2015 ADDED CERTIFICATIONS NAR. 14, 2015 MAP FREPARED JAN. 51, 2015 SCALE I ° = 50' JOB NO. 2015-0016 1 OF I 17100. 2002_02'M\2015_0016_1'a General Notes -v Scope of Work -7:- 17 Ta -0•x tra•W00DPRM1®OECICMItEMVARD t. /3:dk shall be Peftmed In stdd accordance with the ruler and regulations; dare Southold or Riverhead building Code and the New Ycm State codes having Jurisdiction am arty portion efthe work. Additional Construction Notes 2 TMgneret contractor and all subcontractors shall YM 1. AN Parties of the proposed structure alien comply with the sb end Verify all dmensles and tea existing candttlans the Building Coda of the State of New York and the cOvwkg cr atectingne work Prior to construction. Any Residential Cade or the State of New Yak. discrepancies or omisaeswhich would Interfere w(tI the tet kMW -0111fleft of the work described Won shat be 2. All pOdons Ortho proposed sbuchme ere desW nedto NPWW to the arched or property owner. campy with local geographic and dkmdle criteria as D CO W stated In the adjoining table. 3. Bolen starting Work. the contractor shall make W theraph examination portions «the sWdLrro to whin 3. All structural dements ere designed to be adequate far be par coed,orthoo the weir h to be Performed, cbecktrnp aB th a ground snow load of 45 psi, and ward speed of 120 eojdnhg Or Underlyinglocatns. Report to the arehtect or mph. WdPltyWear any ardall conditions which may Warfare with Or dh-11 -affect or prewnt the proper execution and 4.FaoanOsshag boetetdnnumor3ti'belawOnkDed carrodln of the wok Do net Cod the work until with grade• Conditionsluat, nava been exemmtd and a course 07 action =Daily=DailyeQeM P 5. Poured concrete shat have a compressive strength or 2500 psi at 28 days, 4. Faire to notify the architect or tha dimer of unaethadoy. Conditions wDl be construed as an acceptance ofthe Cendtllone 6. Sit plates shall be preservative treated wood and be mWWedyPerformthereauiredwe*. InststedabovefEozeo rtemdteshfeld S. Thewroatn of the wo* cwGb utas aeeaptanee ofthe 7. Shin& stdkhg shag cwftm to ASTM D 3570 conditions. Later daft will not constitute relief from the reauaemeNa and be Installed in accordance with tiro regWramsnts of the wank, nor will extra eanpansetn be paid of Me Code d the State of New Dytheconer, ening Yak and manufacturers 6. At Wreck Is to cnfamwth drawings and specifications of the S. An Ice shield Mwit adheMO polymer modfwd ardrtect and enillneereorwitants. bitumen shad shay corset tontine eaWs edge to a min. of 249ndda the extent wall perimeter. lawmame a m and up 7. Thtto set ofdmAkaeta at tip dela set ortrawings a the lob site al an times, ti , Energy Conservation Notes lhdUdhg codred documents and specifications. B. Theeentrad documents and drowings ore not to be 1. AD building errvelope components anal comply with 80014111 under Elly dreutstnees. Field approvals by the Chapter 6 orae Energy Conservation Code or the State architect or caner are required am required for Mel locations of of Now York. exteda and Interior palttn walls, wag opeNnga, dmMnl OLitlsls and devices Inducting Vpfht Vxtrures, mcehnkd dsdces 2. Alp Dnp shell have a once. U Fmdtof.40. and equipment, pbRNmg gxturas, and decorative Mufooss and materials: 3. Ceilings shat be Provided with a min. R-18 fiberdase bat Insulation. S. Finish and suppydl matedals, labor, and equlpmord as required to peN'orm and co pWo the Work Indicated in the 4.OeterloiWell le shelf be provided with min. R-13 gornttYtt doWmenis ted dmvings. 0hergless Det Insulmle. 10. R rhat be Me conkadar's reopesibiy toescadain 'S. Floes shag be provided with me -R-19 flbagklss bat erg pr -Ping procedures Indwft sterege and told insulation. fedlHae, protectin Cfeldstng work to remain, access towak area, Yours of permitted work, availability of water and B. Basemam walls shell be provided with min. R-9 also* Dow. and all other conditions and restrictions. Polystyrene dgidInsulation. for this particular reeeton. 11. The general contractor shag take every preeau9e to looked the exlstingwork to remain. Ifwok to remain becanes - PROVfOEMSTA3D OR EDUAI. damaged during the couree of operation, N MQ be mpaked to METAL STRAPS OVER RIDGE TO ROOF RAFTERS @ tie• ors gra Caere SaVsfadlan, at no additional cost 7YP. NOTAPPLICABLE IF COLLAR TIES ARE PRESENT. 12. The general cwnador shay Wain any end eD permits required for tiro performance orthe work, aha also Me the 11800"ery d000MeWSYAti the DCPWMM t Of Buildings In 'prepA0Va1 ft pemntifhg. 13. The general contractor shag make the necessary amangemerdoto alleles and services temporally dlaeonnected 090 Performing the work as required, and maintained far 1emp+0ay use. 14. The general Contractor ®bat do all cutting and PROVIDE e- mD COMMON NAILS EACH END OF COLLAR TIES TYP. chapping for all subcontractors and Wiles. PROVIDESIMPSON H21N10OR 16. The ner�lCeaOett shag p provide proLher Sbahng SCOMBNTHURRICANETIEB TO SECURE ROOF RAFTER TO and bracing for off remaining structure prior to removal d PLATEANOWALLFRIWE exam structure. 16. The general Contractor shag be responsible for necessary PROVIDE SIMPSON LPT4 OR patdd3gand refinishing all the **Cent properties as required � BMO EQUIVALENTVTo due tocetrad work when the project age.. ET 17, The general contractor cam be responsible for Scheduling els Inspections as required, including: (a)forndate (D) ftl@h hardng PROVIDESIMPSF EOUMtANT TO OS (C) rOhOh electrical OF BOTH FLOOR(d) rOl6h phWbrng &WOJOaT@1 (e) Brld elsaklect (n tNdl PROVIDE SIMPSON NO OR EQUIVALENT TO TIE WALL SruD3 TO PLATE& 8WD JOgT ®/P 18, avus Mite" Gravely character resWWng from the wok, OO Tyre. which Moir be bel Over during the work end after the Work is PROVEESIMf+50H LPT4 OR eetpteted, shall be haled away and the site let a&*dean' EauIVALENT TO TIE RIM BOARD acrd uadnUUded e a regular basis. TOS14 PLATE 19. Emcute We wok In • comful and "fly manner with the Isast Possible disturbance to the public. 20.1x0 gnelalconbtctorM sorely respahsitrle farcestrudle PROVIDE APPROPRIATE METAL PLATE WASHM NUT&MICHOR 50felyandSDaO holo Ne OtrrlBr, BRhQed, end BOLTTOTIE BILL p4ATET0 &SWUM harmless tan Iitgate tubing did ofthe MASONRY FOUNDATION TYP® contractors failure to pmtdde necessary construction sahly W& OC FOR i BItMY, 3' -PFOB 2 STORIES. 12• FROM CORNERS & mens and methods. OPEN2=AND BOLTS TO BE MIN, 17 DEEP. 21. Pdfam the work In SCCQdam0e with De highest standem9 TYP. NNLNGSGIEWLE and cibebeished practices of the trade, and cnform to agveage GEOGRAPHIC AND CLIMATE DESIGN CRITERyIAy stele, and federal authorities having jurisdiction aver[his we*. � LOAD �POAwH 22.Wak gpad11e0 shat be performedhYsuDomtradoa caTwoaY 6 regulsdy engaged in De apply ndinstagetan d workMOST LINE c�mN required by these specifications. =+Tors care ME 23. t D me Intent that me contract documents and bid 1.83 �SOEDUIME LAYAYMW 'ROH spedgedions Include all labor ndmatetkd to ace« lufth e , � complete Installation. Bufldit Department Irlforrriation MEORBramr�v: GRESCPoPiiYE SdUAREFOOTAGE: PJU87N(tpp�- PROPOSED NA �.y� EpECWDFlOOR NA 2ed•x 1Me'e29350FT.VNODFRl1AYDDECIC ATTIC NA OEJRON LOAp.9;. 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