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HomeMy WebLinkAbout28483-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28599 Date: 07/16/02 · r~fS CERTIFIES that the building ADDITION Location of Property: 2825 KERWIN BLVD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 53 Block 4 Lot 44.32 subdivision Filed Map No. LOt No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 19, 2002 pursuant to which Building Permit No. 28483-Z dated JUNE 20, 2002 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. Tg~e certificate is issued to HARRY & MARIE ELLEN BONDARCHUK (OWNER) of the aforesaid building. SUFFOI~K COUIFI"f DEPARTI~ENT OF PIEALT~ APPRO~-AL ELEm-£~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'~'~,~ N/A N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28483 Z Date JUNE 20, 2002 Permission is hereby granted to: HARRY BONDARCHUK 2835 KERWIN BLVD GREENPORT,NY 11944 for : CONSTRUCTION OF A REAR DECK ADDITION AS APPLIED FOR at premises located at 2825 KERWIN BLVD County Tax Map No. 473889 Section 053 Block 0004 pursuant to application dated JUNE 19, 2002 and approved by the Building Inspector to expire on DECEMBER 20, 2003. Fee S 150.00 ~,,~~/~ D '~ze/Signature GREENPORT Lot No. 044.032 Rev. 5/8/02 COPY Form No. 6 r- .......... -~. 1!ii, BUILDING DEPARTMENT TOWN HALL LZ ...... J 765-1802 ~,7" "I o J APPLICATION FOR CERTIFICATE OF OCCUPANCY )/~ JX~ ~ ~, This application must be filled in by typewriter or i~ and submitted to the Building Department with the following: A. For new building or new use: ~t~/~ 1. Final su~ey of prope~y with accurate location of all buildings, prope~y lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fo~). 3. Approval of electrical installation from Board of Fire Unde~dters. 4. Sworn statement from plumber ce~i~ing that the solder used in system contains less than 2/10 of 1% lead. 5. Co~ercial building, industrial building, multiple residences and similar buildings and installations, a ce~ificate of Code Compliance from ~chitect or engineer responsible for the building. 6. Sub~t Pla~ing Board Approval of completed site plan requirements. Bo 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. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Co Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $25.00 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) Location of Property: Owner or Owners of Property: '~~ ..~-~'~,,~t~:' · Suffolk County Tax Map No 1000, Se Subdivision Permit No.~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate House No. - .... Street ' ' / Hamlet Block ~ ~f b ~/ Lot Filed Map. Lot: __Date ofeermit. /~./,~-1 J~, Applicant: /7]}¢~Xq Og~?f/b f,~/Y &dr//, Underwriters Approval: / Final Certificate: (check one) Fee Submitted: $ r~ -/~l~plica-n't Signature TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER -S--~'-R E ET 2.~. ~..- ,,~ VILLAGE 'D~ ST~ ...... ~ LJ=B. LOT ~ ACR. REMARKS ~' FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKMEAD HOUSE/LOT TOTAL BUILDING PERMIT EXAMINER CHECK LIST APPLICANT '~ooe~aetm. Og,._ DATE REVIEWED: a'/~/02 DATE SUBMITTED: 6 /20/02 SCTM# DISTRICT: 1,000, SECTION: STREET ADDRESS: ~ff" PROJECT DESCRIPTION: ESTIMATED PROJECT COST: SINGLE & SEPARATE CERTIFICATION-REQUIRED? ., BLOCK: "/ , LOT: ~)t. MtS. CITY: ARCHITECT/ENGINEER: ~ NOTES: SUBDIVISION: FASTTRACK? LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1/83 ZONING DISTRICT: REQ. LOT SIZE: REQ. FRONT R Q. REAR 5'0 WATER FRONT? PANEL #: FLOOD ZONE: CONFORMING? At0 ACT. LOT SIZE: ~/tt, REQ. LO-~--COV. ,,rio?, ACT. LOT COV. PROP. FRONT ~REQ SIDE /'CAr ACT. SIDE/' PROP. REAR -/' REQ.'HEIGHT PRO~.. H~HT DESCRIPTION: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DE_~ YES or ~J~P(BED #): DTE: __/__/__ TOWN SEPTIC RECEIPT: Y NEW YORK STATE DEC: PI{E-DEC 9/1/75 YES SOUTHOLD TOWN TRUSTEES: YES oB TOWN ZONING BOARD APPROVAL: YES o~ TOWN PLAN. BOARD APPROVAL: YES o~, TOWN HISTORICAL PRE (SPLIA): YES o~ NYS ENERGY: YES OR NO : EGRESS (18 H min.? 4 sq total) ~VEI~"rq~FT. x 4%) ~ LIGHT (SQ. F~ BUILDING PERMITS OPEN/EX15IRED: BPgq-~3~'~, -Z / C/0 Z-~, z,,~:> ' HAVE PRE CO'S: Y OR N BP -Z / C/0 Z- .,. NOTES: PERMIT #:R10- FEE STRUCTURE: FOUNDATION: ~ oe, SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF TOTAL: SF 1. ( 2~:' SF)- ( SF)= SF X $ 2. ( SF)- ( SF)= SF X $ =$ =$ +$ +$ INIT OTHER TOTAL FEE FEE FEE +$ = $ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] [ ] FRAMING ~*U~TION [///~ FINAL [ ] FIREPLACE & CHIMNEY REM ? ~' ,~R,(s._/~~ ~ 765-Z802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ~FINAL [ ] FIREPLACE & CHIMNEY REMARKs: ~ FOUNDATION (2ND) PLUiVIBING I 12~SI_.ILATION PER N. ¥. STAI'I~ ENERGY CODE F~ _, TOWN OF SOUTHOLD BUILDING DEPARTMENT T©W-N ltALL~ SOUTHOLD, NY 11971 TEL: (63I) 765-1~02 FAX: (631) 765-9502 / Exammed ./'~[?JO ,20 ~ Approved ~((2~ ,20~.~ Disapproved ac Expiration ,20 PERMIT NO. Building Inspector BUILDING PERMIT APPLICATION CHECKLISq Do you have or need the follo%,ing, b~fbre applyingL Board of Health 3 sets of Building Plans Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: ' ? ~PPLICATION 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 3 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 penmt 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 permfit 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 perrrfit 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 ail 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) (Mailing address otapplicant)/ /[ ~d~/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Narneo£ownerofpremises ~,~ j~ ~.~.y + [/~[~lO'.~//~/:tt~ff]~/ / '-~^/ · (,/~s on the t~ ~oll 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. Location of land on xvhich proposed work will be dm~e' House Number Street · 3tamlq County Tax Map No. 1000 Section 5-~ Block Subdivision Filed Map N . o.' (Name) Lot ~ Lot State existing use and occupancy of premises and intended use and occupancy of proposed constrQction:- 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 Fee Estimated Cost ~~', ~'~ If dwelling, number of dwelling units If garage, number of cars (Description) (To be paid on filing this application Number of dwelling units on each floor t 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 Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height 8. Dimensions of entire new construction: Front Height Number of Stodes 9. Size of lot: Front Rear Number of Stories Rear Depth Depth 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 'X/ Will excess fill be removed from premises? YES NO 14. Names of Owner of premises ~ ~/~ ~"'[~ fOpf¢ ~E/////tJkddress~ ¢,2 ~'' ~/~F~/I r)-~l/g~'~P~oi'n~ No.~ 5/- ~/~7-/o)fL7 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. STATE OF NEW YORK) SS: COUNTY OF ) ~/f~ ,/~,Z.,/~,~-~ being duly sworn, deposes and says that (s)he is the applicant (Nan~e o/f 'individual sigr~in'g contract) above named, (S)He is the ~'~-~4~ ~ (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 f.q / ~ day of k.~/c~_ I Notary~Public ~ 2o © &-.; Signature of Applicant DA J. cooPER ot New ¥o~r~ LINES, SEPTIC TANKS AND C~S~ SHOWN HEREON ~E FIELD TIONS ~D OR DATA ~T~N~ OTHERS. 785-1802 9 AM TO 4 / ~ 1. FOUNDATION . FOR POURED ~ 2. ROUGH . FRAMIN{~ 3. INSULATION 4, FINAL . CO BE COMPLETE' ALL THE REQUIREMENTS STATE CONSTRUCTION CODES. NOT RESPOi~ DF~IGN OR CONSTRUCI~ION ICY OR FICATE CUT LiST RBS ~~,-;~ ~-- -- ~: ROUTE 25 DATE 04/2.5/02 REF Deck02115 GREENPORT NY 631-477-1038 Al IAI I.AI IAI IAI Ix'.l I.a,I IAI IAI IAI IA.I IAI IAI IAI III I:1 LABEL LENGTH BEVELS LABEL LENGTH BEVELS .A .jo~st (14) 9' B fascia lO' F45 245 F cap 6' 7 b"'~:" FO 245 B ledger- 9' C 6ascla ~0' F45 S45 C ledger' D ledger- 9' [ ¢csclo. aO' [45 S45 I cap 10" 4 l.,"a" F45 SO BEAM LAYOUT ~.,,~:--~ ~'.~._'7'~ -~ - '";I DATE 04/25/02 REF Deck02115 RBS ROUTE 25 GREENPORT NY 631-,477-1038 1' BEAM BEAM POST POST LABEL LENGTH COUNT SPACING A 19' 9" 3 9'8 ~/2" B 19' 9" $ 9' 8 ~/2" Pos[ specin9 is rneesu~ed center-to-ceMa[. Depth of p~st-in-concrete footem --- 36 inches. PLAN VIEW DATE 04/25/02 REF Dec~02115 20' RBS ROUTE 25 GREENPORT NY 631-4'77-1038 LOAD AND SUPPORT: Your deck will support a 60 PSF live load. Posts have 36" below-ground post support. DECK AND POST HEIGHT: You selected o height of :90" from the top of decking to level ground. The top of the deck support posts will therefore be 19,25" above ground level. Your salesperson con provide information for uneven er sloped ground. JOISTS: Set joists on top of beams, !~' center {o center. NOTE: The design may require knee braces and bridging between joists. Your motorists list includes the necessary items. The suggested design is not a finished building plan, You are responsible for all measurements being correct, for verifying that the design [and any substitutions or modifications that you mal~e) meets all local building cedes and requirements. To verif]/ that {he suggested design, and any subsUt"utions or modifications, is consistent with conditions at the construction site, review the design with your architecL Also consult your architect for proper cons~crucUon and use of materials in the structure. Be sure to follow the deck construction detail available from your store salesperson. ,/ oo 4 BEAM LAYOUT CUSTOMER -- ED DUNN DATE 06/25/02 REF Dec~02115 RBS ROUTE 25 GREENPORT NY 631~a77=~038 10' 11 1/2~ BEAM BEAM POST POST LAgEL LENGTH COUNT SPACING A ~9' 9" 3 9' B I/2" Pesf~ spacir~g is measured cer~[e~-to-cen~er. Depth of concrete footers o-- 36 inches. CUT LIST CUSTOMER -- ED DUNN DATE 06/25/02 REF Deck02115 RBS ROUTE 25 GREENPORT NY 63~-477o1038 IAI IAI IAI IAI IAI IAI IAI IAI IAI IAI IAI IAI IAI IAI IAI IAI IAI IAI IAI Izzl LABEL LENGTH BEVELS LABEL LENGTH BEVELS A jo~s± <1~) Il' 7 [/2~ F cap 8' 4 1/2" FO S45 B Fascia 1~' FO 345 F sec~,ion 7' 7 l/~" B Jedger ii' 7 1/~" O cap C Fesc~c ~0' F45 345 O sec~,~on 7' ] i/~" C ]edgen iD' ~" H cop 7' ]] i/~" FO 345 D Fascia 1~' F45 SO H section ~ ledge~ ii' 7 i/~" ] cap E ledgep ~' ~" I sec~lon 5' ~" PRICING LIST OTHER MATERIALS CUSTOMER: ED DUNN DATE: 06/25/02 REF: 02115052.ZIP SALESMAN # DESCRIPTION SKU QUANTITY PRICE TOTAL JRSX 2X10-14 HANGER 1-1/2 JOIST HANGER NAILS 16D GALV NAILS 2.5" DECK SCREWS 1/2"X6" LAG SCREW 1/2" WASHER RTl2 TY DOWN JR 2X2X3 CL CEDAR 8D GALV NAILS 1/2"X6" CARRAGE BOLT 1/2'7 GALV NUT 1/2"X8" CARRAGE BOLT WA44 4X4 WET POST ANCHOR 6D GALV NAILS 8"X48" BUILDERS TUBE 80 LB GRAVEL MIX 40244 19 EA 50275 1 LBS 50055 1 LBS 40464A 1 LBS 861260L 20 EA 8612W 76 EA 40239 21 EA 52X02X36 72 EA 50049 4 LBS 861260C 22 EA 8612N 28 EA 861280C 6 EA 40264 3 EA 50045 1 LBS 22926 1 EA 2223 4 BAGS 0 68 t 29 0 95 4 90 0 84 0 15 0 23 2 19 0 95 0 89 0 18 1 39 5 09 0 95 5 60 3 75 12.92 1.29 0.95 4.90 16.80 11.40 4.83 157.68 3.80 19.58 5.04 8.34 15.27 0.95 5.60 15.00 TOTAL PRICE OF OTHER MATERIALS $ 284.35 PRICING LIST LUMBER CUSTOMER: ED DUNN DATE: 06/25/02 REF: 02115052.ZIP SALESMAN # WOOD TYPE DESCRIPTION SKU QUANTITY PRICE TOTAL TREX 5/4X6 20' TREX 354X06X20T 27 EA 29.49 796.23 CONST CEDAR 2X4X16 62X04X16 7 EA 13.12 91.84 CONST CEDAR 4X4X12 64X04X12 3 EA 28.99 86.97 CONST CEDAR 4X4X8 64X04X08 1 EA 19.39 19.39 CCA 2X12X20 702X12X20 1 EA 34.97 34.97 CCA 2X10X20 702X10X20 4 EA 24.97 99.88 CCA 2X10X12 702X10X12 21 EA 15.10 317.10 CONST CEDAR 2X10X12 62X10X12 2 EA 33.89 67.78 CONST CEDAR 2X10X20 62X10X20 1 EA 56.49 56.49 CCA 4X4X8 704X04X08 1 EA 6.97 6.97 TOTAL PRICE OF LUMBER $ 1577.62