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40023-Z
�o*Og0QF 4 Town of Southold 9/24/2015 y P.O.Box 1179 o - C* 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37788 Date: 9/24/2015 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 350 Brook Ln, Southold SCTM#: 473889 Sec/Block/Lot: 79.-5-16.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/14/2015 pursuant to which Building Permit No. 40023 dated 8/19/2015 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 ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Lazio Family Revoc Liv Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED e '2� Autho ' & Signatu �SUFEot,r�o TOWN OF SOUTHOLD ��o aye BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • SOUTHOLD, NY � o�R 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#: 40023 Date: 8/19/2015 Permission is hereby granted to: Lazio Family Revoc Liv Trust 350 Brook Ln Southold, NY 11971 To: "As built" deck addition to existing single-family dwelling as applied for. Additional certification may be required. At premises located at: 350 Brook Ln, Southold SCTM #473889 Sec/Block/Lot# 79.-5-16.6 Pursuant to application dated 8/14/2015 and approved by the Building Inspector. To expire on 2/17/2017. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $996.80 CO -ADDITION TO DWELLING $50.00 Total: $1,046.80 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: 3540 U A N S House No. Street Hamlet Owner or Owners of Property: EVOE r LA-Z-10 Suffolk County Tax Map No 1000, Section -79 Block ®S Lot Subdivision Filed Map. Lot: Permit No Date of Permit Applicant: Health Dept Approval. Yes Underwriters Approval. Planning Board Approval / Request for: Temporary Certificate Final Certificate- ✓ (check one) 5U Fee Submitted. $ Applicant Signature f 0 so TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION- FOUNDATION 1ST ROUGH PLEIG. FOUNDATION 2ND ] ,�IN LATION FRAMING /STRAPPING Vr FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR2:��-�- 4u v�`3 Robert Barratt PE, 4295 Vanston Road, Cutchogue, NY 11935 Email: robertbarrattRopton I i ne.net Cell: 631 875 0275 Southold Building Dept, 16 September, 2015Town Town hall Annex, (By Hand) cc Ms.M Mills agent for the owner (By email) To whom it may concern Subject: 350 Brook Lane, Southold, NY 11971 Rear deck addition My findings are as follows and are limited strictly to the as-built deck and the access/egress stairs: (1) The construction was completed in accordance with my drawing # 7171 Rev 1 which formed part of the as-built building permit approved by Southold Building Dept. (2) My inspection leads me to conclude that to the best of my knowledge, the deck has been constructed in accordance with current NYS and Southold planning rules and construction codes. In particular the posts appear to be supported on footings buried 3ft below grade, the lumber appears to be of a treated variety, the size of the lumber and the support spacing are appropriate and the types of fastener, etc. also appear to be typical of the construction methods of the time. Yours sincerely, E� Robert Barratt PE Uff l _ SEP 1 6 2015 c� 081$0 — A DLDG DEP! FE BONA 1ovdr,(IF sou i i;rn D 1: 1 t ' o. . � . � . • i t: 1 r 1 i r u TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4'semof Building Plans TEL: (631) 765-1802 Planning Board approval FAX: 631 765-9502 ? Survey SoutholdTown.NorthFork.net PERMIT NO. O�✓ Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application i Flood Permit Examined '20 l Single&Separate Storm-Water Assessment Form Contact: Approved 12015 Mail to: K- B A,9-a-A a T PE Disapproved Phone:F631--7314— a7S-'1::' Expiration 20 P"c, e-1-k 6-trr-ktt-(�? �� ��_� �;- f ' ', 0-• op{'®w 4 s.�4. soh- , 1 Buildi 1 ector !I I U 1 AUG 14 2015 �, PLICATION FOR BUILDING PERMIT Date . ,P- 4 , 20 E�� 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]rept on the premises available for inspection throughout the work. e.No building shall be occupied`o'f•used in whole or in'part for'dny 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 South Suffolk County,'New York, and other,applicable Lav, 'rdinances 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 name,if a corporation) 4-.Q-, VANS-TON RDAd, CtfCC1 OGUt✓__ (Mailing,address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ENG[NeE2 Name of owner of premises EIztJ ES-T V L_AZ ifl * CAR rAV_L_A L-AZI( �(A•s 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: 3 rsco 99 rale- LA House Number Street Hamlet County Tax Map No. 1000 Section ` 7� loCl� "�,',i,�; �, ',',;':'�' Lot 1lo' 007 6 s.'J 44:1;•..Ct a(: ,. 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 S i N Q LL F A-M 14D b. Intended use and occupancy S I A) r,L,(-f 1=Am i Ly 14o M E 3. Nature of work(check which applicable):New Building Addition Alteration Repair RemovaL Demolition Other Work A-VTRcH ED Dc.C1< (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units OroE 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 Z4.4- Rear '93,9 Depth 6 b,ig Height 3z•4- Number of Stories Two Dimensions of same structure with alterations or additions: Front -74--4- Rear s3•q Depth -14• g Height 32'-4 ' Number of Stories 8. Dimensions of entire new construction: Front 2`t• i ' ' Rear ' ' _5q,• 7° Depth 9 8� Height Number of Stories oNE 9. Size of lot: Front lf�o Rear z8S ; Depth 2zS 10. Date of Purchase ioj 9 Co Name of Former Owner rz.A-ti Pf c=_ 55 P-- 11. 11. Zone or use district in which'premises are situated rte t i- 12. Does proposed coristruc"tion.v,iolate any,zoning'law, ordinance or regulation? YES NO✓ 13. Will lot be re-graded? YES NO %.-',Will excess fill Ebe removed,from premises? YES NO ✓ 14.Names of Owner of premisesEKNEST V;,(AZc AddressL.A,�►E 'Phone No. I-s��- Name of Architect I I IAddress :.r Phorie No. Name of Contractor -"r tom r�s i�k-+vim sem-r° ' Address `' Phone No. Si�u o 15 a. Is this property'within 100 feet of a tidal wetland or a,ffeshwater'wetlar►d? *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`t 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. a' STATE OF NEW YORK) SS: COUNTY OF ) P-�I?e-) ..f 9AV-VL A;T i Pbeing,duly,sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor,Agent, Corporate 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 1 day of (A e,,lA L 20� GMNIE D.BUNCH Notary Public Notary Public,State of New York Signature of Applicant No.01 BUS165050 CualifW In Suffolk County Commission Expires April 14,2U • Y Nolc ALL SUBSURFACE STRUCTURES ELEVATIONS REFER TO ASSUMED DATUM N% 02-70-10 WATER SUPPLY SAN?ARY SYSTEMS. THE EXISTENCE OF RIGHTS OF WAY DRAINAGE.ORYV'_LLS AND UT:LIi�CS AND OR/EASEMENTS OF RECORD IF .L1/ va 10127-10 SIIAND O ARE FROM OBTAINED FROOBSM HER ANY.NOT S/TOWN ARE NOT AND OR DATA OBTAINED FROM OTHERS GUARANTEED UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF 5FCTION 7209 OF DIC NEW YORK STATE EDVCA71ON LAW CORES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY F• GUARANTELS INDICATED HEREON SHALL RUN % T ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHAIF TO THE TITLE COMPANY GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND `,`7$➢\ TO THE ASSIGNEES Of THE LENDING INSV- Q TUTION GUARANTEES ARE NOT TRANSFERADLE w ROOK LNt VC 1151d° 0 �IJ L011 zti5 po \ A Is nx ewp m•o° %ny� 4Tu re cv r s`i r �� � ,•c r n 3. n 5J � ar' T3 sI s 0 17 F 1 f �d 1'•p��p C�>Ao �r313.�Y ?N .y°• n'v`T\,'�pboisT}' q .nl 294' v'J �� s` •u°14\\ Q�• a°O `•__" ;�. 016 x ;'r IJ �~`r r LOTS 04TH SVAGE 1 r \ pt r IA, M r nl• CONCRETE FOUNDATION rr TOPEL=ISO hL Ij< ati�.Y N • Ecol a'J<0 L) � < ?8 LLI•.E Rf` r 8111' 9 7 4 qs. cs t r � 5pt6 r !r CONRM FOUNDATION AS-81111T AREA= 40,644 S F. SURVEY OF LOT 6 Lor^eF EmY COL-8 FPED&WOR 1T•,017 RE Na 6355 sTua'.e 0 BAYVIEW r��rn suEri �� Town of Saulho@Lf f SLEffcAk County, N.Y. 9JBGWL�J6^lR'GGAcc ��s S'.E.T.M. F1000-79-05-16.F7 a TaPocawex�swRJEros Law,.P`v`hleRS Scate 1 40* March 23, 2011 GRAPHIC SCALE �`J sate 1'vals a¢eL.�scLurnv.x..s. Plaane Lesng Tn-.JT.� un a n a e¢ �n��„�a�aw s�7a e�w,� � GAIC L6S1},Ts eese ! M10. 93 sazr gmwv B IrECARED SSIIT&SOTFV;M.Y. 41:3: �rET 3166'!(r osDcCc= sal na 4P c , ' •_-S to_ to_ .3 40 Ve wt AP S VED SNOT L OvTuw� OG GX%ST1ft V 4LmV5� t�EtL LvRV PLY t --ate--t• — �r DATE: E . Z.3 � ct 1 NCt►er2 SCR�t+cD I o FEE: . �d g S-r-O y r �( ti NOTIFY r �W Cl.t-1fV C4 To µo as� $�' Z° o i o NOTIFY BUILDING D PAR N AT G _ „ 765-1802 8 AM TO i PM F DR Tl P_ r4,Crc Q r 3Z•4. I z4•t -�-a FOLLOWING INSPECT ONS: ^q f/ 1. ,FOUNDATION - TV11- RE JIRED r 4 Y 4ff PosTS o.� � FOR POURED CONCRET S+ Q N e S % 2. ROUGH - FRAMINC & PLUMBING 3. INSULATION PLA�Nj OF RF.Aft cec w ELS�a i -�_ 4. FINAL.- CONSTRUCTION-MUST - e ���A ��� ay x S a S •-1 _ f 1 ALL B CONSTRUCTION SHALL MEET THE A,Jd I (Lk) 11a REQUIREMENTS OF THE CODES OF NEW I rr A - • - 8� 'fo R.SAs� t3oA r®c1c�Y C��� I�CGL'M od'1 6N1A� � YORK STATE. NOT RESPONSIBLE FOR - - -- - - DESIGN-OR -CONSTRUCTION ERRORS. �'�- �e��'t �� _ PLP6�1' 1`�s 19�4s - ` Ix COMPLY WITH ALL CODES OF L_C>C_96 L c.a E A M A P NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OFDesljn conditions: -- Live load 40 psf Dead load 10 psf Snow load 20 psf P��q� &tea rips rR Designed in accordance with the current NYS residential code ��n sts Z, Z!,W& MDERS x 12 C£NfTC-2 S TK�EAP= 1 SOR!G@ Towflum Materials: FAc4A o.3 16`"C_F_"TG_VZ Footing: 15in x 15in x 41n thick concrete pad 90A &.1. Foundation aroundost:tamped down soil around treated lumber i p p Posts;4in x 4in ACX Treated lumber(Builder's choice) - - - Girders: 211n x 8in -ditto Joists:2in'x 81n-ditto Caution:when using treated lumber, use galvanized fittings Floor boards:211n x 4in Timbertech Fasteners: ©swat Souter Tecos used though out F•rAesT L(NE ip 618in x 4in carriage gals bolts(to avoid internal services) j L= L 1/2in galv lag bolts, RWETORM WATER RUNOFF zMAx 6inx6in wet post anchors SLUM _Gk-GV AT l A"`�_ �'4 l + e744 ELra\iAc dcanl l4- PURSUANT TO CHAPTER 236 Building permit fee OF THE TOWN CODE. Regular$510.00, If as-built fee will be$1020.00 ! DWG#:71715 Rev 1 Includes builder's notes OCCUPANCYOR - Dwg Title:350 Brook Lane Rear Deck General Arrangement U-SE IS ,��U, NE w Project Survey:John Minto Dated 03/27/11 UNLAWFUL, Co�P E_{ SCTM#:1000-05-16.006 Lot area 40,644 sf I I ����pr ���. p � Owner's Agent: Mariah Mills Realtor for Daniel Gale, Cutchogue U " . Robert Barratt PE,4295 Vanston Road,Cutchogue,Tel 631 734 2730 These plans are an instrument of the service and are the property of the o1 n % design professional whose seal is affixed hereto. infringements will be � �A.. � C' ` �—� _ �s �!.c�� prosecuted to the fullest extent of the law.Contractor shall verify all field !; 08186b ��_/ conditions and dimensions and be solely responsible for field fit.The Es cac: �f� designprofessional assumes no liability for omissions due to unknown SE �f f V4.11 or unforeseen field conditions and or additions based upon comments not f: formally acknowledged as revisions to these plans. 1