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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■■. I • r - 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 --- II jj I II 'OUNDATION-------- (2NmD) I _ ___ _______________ ________1 ====_______________- it it u tOUGR FRAME S R it p „� PLUMBING ii it tr If �I ii CNSULATION PER N. Y. If _- .1i H STATE ENERGY If ii �--- it CODE If tt u- If -- 11 u n u ------------------II cey 41 llll - I � FINAL ll tt _I u I�tt ______=______=__=________=________________________= p ADDITIONAL COMMENTS: 24C>/0�- 13 A- e,62 4 n 3 Q> H O z a � Z b H 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, . ,F M In �I La ti a {' � N N 0 tea 00c 1 N/0/F N m HAROLD J. CLARK, DONNA CLARK, o i GEORGE W. KLINE & ALICE D. KLINE � w c I (DEED LIBER 10327 PAGE 90) FOUND CONI. MON.� S 72024'00" E 653.82 � I 0.4'N. ONE. FOUND I I CONC. MON. WELL ' 0 zi = I wN►� ��, w I `_ I :3 (3 I w O IJ I w _ i c 26.6' TANKC13Z , '�'• ti I S� yiW 44 — ? --- ----- 226.4' ——————————————— (Wi) , WOOD LEACHING POOL "w w -w W I C4 `c3• STEPS f :Q r' w Y Fy WOI w \ y� O I Z ywowas a "1 • Ri O CV Do 'ASPHALT DRIVEWA7° a � DIRT !]RN�wAY. • � . e•: : � .; �' EV Lce 20.4' La ' u w me— Wo I I O D "Z FOUND 133.7' WOOD STARE f 650.66' i ------- 2 ' N 72'24'00" W R � 8 N/0/F I " WILLIAM A. VILLANO & EILEEN V.rLLANQ 1 GEORGE W. KLINE & ALICE D. KLINE xW U a (DEED LIBER 11786 PAGE 37) ry to o\14 � w o ' � 4 ol 0� I z 0 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- • �T � �it 1 y t:I�ll�ll'll�iinih�'�M" r r � d li � l �� II�����'I�ihl�nIluE�pj�Yllr � dlii'��tl�iillloll It r 01 � lillll Ir � 1111 ' . i r / � � IjI , r11lr , 11 j • . • , ' , 11 11 � I ! lillll � l fll ' . 111111 r ! i ++ __ II . x , 1 , 11 1III ! ! . � � • 111111 E11 ��� I � I III ' � 111 1i ititj . � . � � i � � / rIIjIII II� 1 � . � II � IIIIIII � jit � � � � I � I �IIIIJI�!I i1j i R � Cul LIS i CUSTOMER -- OLGA TURNER DATE 06/22/00 AEE O0T06206 i M I I I,I I � i f i i I I ' K J R r 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' !r 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 I L I E' 7 1/4' li n--- • 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 a:• -T- I F I z l I V 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