HomeMy WebLinkAbout28613-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28671 Date: 08/12/02
THIS CERTIFIES that the building ADDITION
Location of Property: 1435 MILL RD MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 106 Block 9 Lot 8.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 30, 2002 pursuant to which
Building Permit No. 28613-Z dated JULY 30, 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
The certificate is issued to WILLIAM H & OLGA M TURNER JR
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
v
Aut orized Signature
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. 28613 Z Date JULY 30, 2002
Permission is hereby granted to :
WILLIAM H JR TURNER
PO BOX 1596
MATTITUCK,NY 11952
for .
NEW CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. REPLACES
PERMIT # 2671OZ
at premises located at 1435 MILL RD MATTITUCK
County Tax Map No. 473889 Section 106 Block 0009 Lot No. 008 . 002
pursuant to application dated JULY 30 , 2002 and approved by the
Building Inspector to expire on JANUARY 30, 2004 .
Fee $ 150 . 00
A horized Signature
ORIGINAL
Rev. 5/8/02
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. 26710 Z Date AUGUST 10 2000
Permission is hereby granted to:
WILLIAM H. & OLGA M. TURNER
PO BOX 1596
MATTITUCK,NY 11952
for
NEW CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR.
at premises located at 1435 MILL RD MATTITUCK
County Tax Map No. 473889 Section 106 Block 0009 Lot No. 008 . 002
pursuant to application dated JULY 5, 2000 and approved by the
Building Inspector.
Fee $ 75 . 00
Authorized Signature
Rev. 2/19/98 COPY
Form No.6
'; _ g
TOWN OF SOUTHOLD ''-� � � ' 2602 -
BUILDING DEPARTMENT L, '
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 I% 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$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
3. 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
Date. x — 1?6 - Q
New Construction: ✓ Old or Pre-existing Building: (check one)
Location of Property: i H 3 5_ M ,�k rX
House No. Street Hamlet
Owner or Owners of Property: i `l,(vO �r�c
Suffolk County Tax Map No 1000, Section Block _Lot Fir.
Subdivision 40 1,;), Q �� e_CFiled Map. Lot:
CA �" _1 A
Permit No. Date of Permit. 0 00 Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ ot{nn
1pl j (� 6 a Applicant Signature
_ TOWN OF SOUTHOLD PROPERTY RECORD CARD M�
OWNER STREET �(�3 VILLAGE DIST. SUB. LOT
II(Ilm otga m MJI 1 ,I t .. 9
FORMER OWNER C M 7
N EACR.
S W TYPE OF BUILDING
RES.2l� AS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
- s V4 , eY cl
- t 18 - r'�eC�z, tor! cl )or Jr, 4 $
400 25 0 �I900 u a 9 6
Yaw
'pi On S 700 9
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
I
Meadowland �pocjn DEPTH '
House Plot 1 ' BULKHEAD
Total
■■■■■■■■■■■■■■■■■■■■
MOOS■■..om!■.■■■ CC.
■!■■�■■■ ■■�11■■■ ■■■
�___._._ ■�i�■■■■■�■!�■IIS■■■■S
■■■■■■■■■■■■■■■■■■■■
., ■■■■■■ ■■■■■■ ■■V■
NONE NONE MME■■N■■.
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BUIL TING PERMIT REVIEW CHECK TIS~Il
Applicant/ q� Date
Owners Name: �n • a-� �,��4,,� ra (�Q� Reviewed: 16 9 06
Architect/ Date
Engineer: Submitted: (SU
SCTM #: p
District: 1.000 Section: /06 Block: / Lot: -�
Project /� � Subdivision
Location: �fz35 �ri-� /`a�0 �4-7'1171fc,C) Name:
Single& separate Required
certification: n -(—Yes/No)
Yes/No
Req Req.
/_oning District: /� �/ [Lo sizeActual. 11 mvi11.5f [ of g �7 t/ S d
Lot coves e I roposed—/- �[
Req Req ' 1
/ Req
[Front (0
nt Yard 0 r Proposed: /t'�aK ] [Side Yard .20 r 4S Proposed:7� [Rear Yard 7%f/ proposed:
Project Description:
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A.. NO YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval: r�
Flood Plane Elevation ???
Flood Zone:
Notes:
X13 e--
M-lW2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU ION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE Af�INSPECTOR
'IFT.D INSPECTION REPORT DATE COMMENTS - 7
_--_ -_---------==-s---------------___-__-___--__--____________---____
V�
'OUNDATION ( IST) - ----"—_-`
II ---
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'OUNDATION-------- (2NmD) I
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_______________ ________1 ====_______________-
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PLUMBING ii it
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ADDITIONAL COMMENTS:
24C>/0�- 13 A- e,62
4
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3
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a
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b
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BOARD OF HEALTH . . . . . . . . . . . . . . .
-FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971 DEC . . . . . . . . . . . . . .. . . . . . . .
S
TEL: 765-1802 TRUSTEE . . . . . . . . . . . . . . . .. . . . . .
NOTIFY:
CALL . . . . . . . . . . . . . . . . . .
Examined.......... . MAIL TO: . . . . . . . . . . . . . . . . . . . .
Disapproved
Approved 1/ ......... s000. Permit No.� ....................................
/ ( �/I/ace �j6/3Z
ac • .........• .• P Jam.
r
. ... .ui.v.. .......... 1
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date. . . . . . . . . . :U 0 . . .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector witl
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 giving a detailed description of layout of property mist be drawn on the diagram Which is part of
this application.
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
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 whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MATE 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 fornece� ry inspect.
... �.I (.fCF� ...........
(Signature of icant, or name, 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 ..W iiX VW k- 0 l c�, . �u V A>e r! ........... .......
.............................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
BuildersLicense No. .........................
PlumbersLicense No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
I. Location of land on which proposed work will be done..........:...................................................
........ .:..M ,��.... .�.....................�fY1 � l��.......................
...........................
House Number Street Hamlet
County Tax Map No. 1000 Section Block ................ Lot ........
Subdivision ...................................... Filed Map No. ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .............1...FA✓h& ...D?! !AjAx- .....................................
b. Intended use and occupancy ........ r k...�Ao.%.tIP.N....................I...................•......
3. Nature of work (check which applicable): New Building .......... Addition
.........
Repair ............ Removal ............. Alteration ..........""clition ............ Other Work '
...................................
,
4. Estimated Cost ..�9,//��- ......... fee
(Description)
.......................
.......................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............ Number of dwelling units on each floor
Ifgarage, 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.. Sam. s.1 , 3
Height ......................... Nmber of Stories ... t.
Dimensions of same structure with alterations or additions: Front ..S)J.?;�....... Rear ...� :3•,,,,
Depth .................... Height Naber of Stories
...............
8. Dimensions of entire new construction: Front ...... ......... Rear ...Z.4.......... Depth ..(b....
Height ........ Number of Stories .. ... ......
9. Size of Tat: IYont ....�,)�?!........... Rear ..................... Depth .... ....
10. Date of Purchase ..................... Name of Former Owner
............................
............
11. Zone or use district in which premises are situated .................
ns .......................
......................
2. Does proposed construction violate any zoning law, ordinance or regulation: ..........
13. Will lot be regraded .......(VQ.......... Will excess fill be removed from premises: YES
14. Names of Owner of premises �?!�l!9t�.4 a!��.TYye( Address
........ W _(fj�tf ,
- ,. . 5. / 97
Kane of Architect to3 �
....... Address ............ .
.............
..... Phone No. ......
' of Contractor ............. ...... Address
. ....................Phone No. ........
15. Is this property within 300 feet of a tidal wetland? * YES .......•.,
*IF YES, SCIMUD TOWN TRUSTEES PM41T MAY BR REgHRED.
PLOT DIAGRAM
Iocate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and block amber or description according to deed, and show street names and indicate
whether interior or corner lot.
Icy 53
�<<r,
w tint ttt Rd
SuVIE oI. wan yow, _.
&S
CODNIY (1F .......................
.......W;(�....N t A7G( ...... being duly sworn, deposes and says that be is the applicant
(Name of individual signing contract)
above named,
Ile 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
(hat the work will be performed in the manner set forth in the application filed therewith.
Sworn to IelDye me (his
...day of 20 OC)
/••-
Notary Public .... ........ ,, nn
(Signa a of Applicant)
HELENE D.HORNE
Notary Public,State of Now York
No.4961364
Qualified In Suffolk County
„, . Commission Expires May 22, .
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N m HAROLD J. CLARK, DONNA CLARK,
o i GEORGE W. KLINE & ALICE D. KLINE
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FOUND CONI. MON.� S 72024'00" E 653.82 �
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WELL ' 0
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TANKC13Z , '�'•
ti I S� yiW 44 — ? --- ----- 226.4'
———————————————
(Wi) , WOOD LEACHING POOL "w
w -w W I C4 `c3• STEPS f :Q
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FOUND 133.7'
WOOD STARE f
650.66' i
-------
2 ' N 72'24'00" W
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I " WILLIAM A. VILLANO & EILEEN V.rLLANQ
1 GEORGE W. KLINE & ALICE D. KLINE
xW U a (DEED LIBER 11786 PAGE 37)
ry to
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SURVEY OF PROPERTY
SITUATED AT
MATTITUCK
TOWN OF SOUTHOLD � SURVEY WT&I.
NEIN YORK OAS � � � �
SUFFOLK COUNTY, 1 ,0 IN. TIS N YID NATE
S.C. TAX No. 1000- 106-09-8.2 '� -EE's I (w ' mw w
11 -
SCALE 1 99 A L » 6.
MAY 30, 1997 oNrit�he�am�
APRIL 4, 1998 PLOT PLAN WITH S.C.D.H.S. DATA
OCTOBER 26, 1998 REVISED PLOT PLAN � °F ARE '
DECEMBER 22, 1998 UNDER CONSTRUCTION SURVEY
JUNE 29, 1999 FINAL SURVEY
= 1 14,089.11 sq. ft. 'PIE � OF IMOKtS � WAY
AREA
NNMIY, NCT >i Nz !l ��.
2.619 AC.
PREPARED IN ACCOPAU CE WITH THE MIND M
SGNrm FOR TITLE SUR4EY5 AS ESTABLISHED Aft
BY THE L.I.A.L.S. APPROVED AND ADoM
FOR SUCH USE THE NEW YORK STATE LAND
TIRE AS50f2ATIDN
NOTE• CER TIFIED TO:
S.C.D.H.S. REFERENCE No. RIO-98-0094 CHICAGO TITLE INSURANCE COMPANY CV
SUFFOLK COUNTY NATIONAL BANKs o�Q�A I o 7ft -
WILLIAM TURNER - u - I
OLGA TURNER -' P E (519 '27-20N
cis WCAM At >
0. a N.Y.S. Lic. No. 49668 Otte WOO SN1 X" PJ4�'.1�c 1931
Aqu , tbw Yolk 11931, Id, Mw'to* 1 lttil"l-
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CUSTOMER -- OLGA TURNER
DATE 06/22/00 AEE O0T06206
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LABEL LENGTH BEVELS LABEL LENGTH BEVELS
A joist 14' S 1/2" F26 RO M ledger 20'
2 .�oist 15' 1 1/2' F26 RD N cap 14' 2 3/4' FO S31
C Jost 15' 9' N section 4' S 3/4'
L joist (6) 15' 9' 0 cap 4' 9 1/2' F31 S13
E jost 15' 6 3/4' F26 RD 0 section 4' 1 1/4'
F joist 15 w!4" F26 RU P cap 4' 2' F13 SO
G joist 14' 4 3/4' F26 RD P section 3' 7 1/2'
H ledger 13' 11 1/4' FO S26 ❑ cap 4' 2' FO S13
1 ledger 4' 4 1/2' F26 S63 ❑ section 3' 7 1/2'
J ledger 12' 6' F63 S63 R cap 4' 9 1/2' F13 S31
K ledger- 4' 4 1/2' F63 S26 R section 4' 1 1/4'
L ledger- 13' 11 1/4' F26 SO S cap 14' 2 3/4' F31 SO
S section 4' S 3/4'
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OC 'S`0 ' 3nHd 6c 10699' i C91 6 0j d3HWf1-i 78 140a3 10 : 22 00 , 22 AIJW
BEAM LAYOUT
CUSTOMER -- OLGA TURNER
DATE 05/22/00 REF COT06205
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• 73"'' i \ 1' 43/4'
�u to
BEAM BEAM POST POST
LABEL LENGTH COUNT SPACING
A 4' 9" 2 31110
B 3' 4 3/4" 2 2' 6 3/4"
C 20' 4 6' 6 3/4"
D 9' S 1/2" 2 912-
Past spacing is measured center-to-center.
Depth of post-in-concrete looters --- 36 inches.
3ghd G CiO69CIC91G 01, daewn-1 „e woad 10: 22 00 , 22 Abw
PLAN VIEW
CUSTOMER -- OLGA TURNER
DATE 05/22/00 REF O0TOR2O6
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LOAD AND SUPPORT: Your deck will support a 52 PSF live load. Posts have 36' below-ground
post support.
DECK AND POST HEIGHT: You selected a height of 36' from the top of decking to level ground.
The top of the deck support posts will therefore be 2725' above ground level. Your salesperson
can provide information for uneven or sloped ground.
JOISTS: Set joists on top of beams, 16' center to center.
NOTE: The design may require knee braces and bridging between joists. Your materials fist DOES NOT include
theses items. The suggested design is not a finished building plan. You ore responsible tar
all measurements being correct, for verifying that the design land any substitutions or modifications
that you make) meets all local building codes and requirements. To verify that the suggested dsslgn.
and any substitutions or modifications, is consistent with conditions at the construction site,
review the design with your architect. Also consult your orchitect for proper construction and us*
of materials in the structure.
r00 • e9Hd sel0s9 tegte 01 a3ewnl be w06=1 10 : 22 00 , 22 Abw