HomeMy WebLinkAbout28418-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28825
Date: 08/28/02
THIS CERTIFIES that the building ADDITIONS
Location of Property: 195 TRACK AVE CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 137 Block 1 Lot 17
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 24, 2002 pursuant to which
Building Perm/t No. 28418-Z dated MAY 24, 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to DANIEL & ELLEN HONIG
(OWNER)
of the aforesaid building.
SUFFOLK COUNT~ DEPARTMENT OF HEALTH APPROV~J~
ELBt-rKICAL C~TIFICATHNO.
PLUMBERS c~TIFICATION DA'£~D
N/A
N/A
N/A
~/t~r i~z e~S ignature
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. 28418 Z Date MAY 24, 2002
Permission is hereby granted to:
WILLIAM T JR MADAY
PO BOX 798
CUTCHOGUE,NY 11935
for :
"AS BUILT" DECK AND SHED ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at 195 TP~ACK AVE CUTCHOGUE
County Tax Map No. 473889 Section 137 Block 0001 Lot No. 017
pursuant to application dated MAY 24, 2002 and approved by the
Building Inspector to expire on NOVEMBER 24, ~Q~3.
Fee S 300.00 ~[~~~~~re ~.[
Rev. 5/8/02
COPY
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 follow :
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, an
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.
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 a 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.
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
New Construction:
Location of Property:
House No.
Owner or Owners of Property:
Suffolk County Tax Map No I000, Section
Subdivision
Old or Pre-existing Building:
Street
PermitNo. _,l_~q./O Z,
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
Request for: Temporary Certificate
Fee Submitted: $ ~-o~o
(check one)
Hamlet
Block
Filed MaP.
Applicant:
Underwriters Approval:
Lot 1 ?
Lot:
Final Certificate:
(check one)
FROM : MmrkSchwartz,RIR-Rrchitect PHONE NO. : 6317344185
Jun. 23 2002 08:lGPM P1
Mark K. Schwartz, ,4 IA -/ chitect, PLLC
P.O. Box ~
CuVJ~.ogue,, New 'York 11935
Phone. (631) 734 - 41~5
Fax: (~31) 734 - 41~S
Ju~e 22, 2002
Soultaold Town l~,~l~ling DepazLuamt
Main Road
Southold, New York 11971
A~h-~ Gary Fish
Re:
Mayday House
195 Track Avenue
CuW. hogue, New York
SCTM# 1000-137-01-17
Dear M~. Fish:
I have been to the a/oremenfioned property to inspect the strudural conditions cd ~
ex.ting shed attached to the west side of the garage. Please review the following not~
and recommended work:
1. The shed has 3/8' plywood wall sheatlfing with ~" T-111 ~idi,~.g, ~" plywood
roof sheathing with lrmildlqg paper and asphalt shingles.
2. The 4" x 4" support po~ are attached to 12' x 16' x 10# deep poured concreee
footings with metal post base connectors.
3. Install 2 - V~" machine bolts (with washe~ and nuts) thru the 2" x 6" header
board and the 4" x 4" at all post locations,
4. Install hurricane clips at rafter er. ds to the 2" x 6" header board.
5. Install joist hangers at the ledger board at garage w~ll
Upon complelion of the proposed work aLove, the structural candit/ons of the shed, to
the best of my knowledge, sl,~n meet or exceed New York State and local code
require.~ents.
P/ease call this office if you have any questions or require additicmalinformation.
wv ro s,. / /I,,,
OWF,
FORMER OWNER
REs.
LAND I IMP.
IOWN OF SOUTHOLD PROPERTY RECORD CARD
s
VL.
TOTAL
0
w
TYPE OF BUILDING
FARM COM?vL CB. MICS. Mkt. Value
DATE REMARKS
LOT ~ ~ , ? ~
,:.? 0
AGE
NEW
FARM
Tillable
Woodland
Meadow/and
House Plot
Total
NORMAL
Acre
BUILDING CONDITION
BELOW ABOVE
Value Per V~lue
Acre
FRONTAGE ON ROAD
DEPTH
BULKHEAD
DOCK
COLOR
TRIM
M. Bldg.
Extension
Extension
Extension
Porch
Porch
Breezeway
Garage
O.B,
Total
Foundation
Basement
Ext. Wails
Fire Place
Type Roof
Recreation Room
Dormer
Bath
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
Dinette
LR.
DR.
BR.
~FIN. B
APPLICANT: (t~O.~.,_'~, t,4,~.0.~, ,"~..._.
SCTM# DISTRICT: 1,000, SECTION:
BUILDING PERMIT EXAMINER CHECK LIST
DATE ISSUED:
DATE REVIEWED:
D "
ATt~'SUBMITTED:
, BLOCK: ! , LOT:
/ /02
/02
/02
STREET ADDRESS: ,/~;ff "]"~o,~ t~-,,,,~,,~ CITY: ~.tal.m,e~ SUBDWISION:
PROJECT DESCRIPTION: t/~ _~Jd_.~ 0' ~ /~
SINGLE & SEPARATE CERTIFICATION-REQUIRED? ato NOTES:
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 7/1/8
ZONING DISTRICT: ~'qO CONFORMiNG?
REQ. LOT SIZE: qo,ooo ACT. LOT SIZE:,,P~,os~ REQ. LOT COV.
REQ. FRONT ,qo PROP. FRONT / REQ SIDE !
REQ. REAR J'o PROP. REAR ,,~". ~"
WATER FRONT? ~ DESCRIPTION:
PANEL #: ~ff FLOOD ZONE: ,4 ,
ACT. LOT COV. ~ Itl/ ~
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH D..EP~T: YES or'BED #): DTE: / / PERMIT #:R10-
TOWN SEPTIC RECEIPT: Y o~--~
NEW YORK STATE DEC: PRE-DEcg/1/75 YES O1~
SOUTHOLD TOWN TRUSTEES: YES o~lgi~
TOWN ZONING BOARD APPROVAL: YES
TOWN PLAN. BOARD APPROVAL: YES
TOWN HISTORICAL PRE (SPLIA): YES ord]~
NYS ENERGY: YES OR NO : ~__~EGRESS(18Hmin_?4
sq total) ~ VENT (SQ. FT. x 4%) LIGHT (SQ. 2y ~. x 8%)
BUILDING PERMrrs OPEN/EX~mED: BP -~'~,d -Z / C/0 Z-
HAVE PRE CO'S :YORN BP/,~Z$~" -Z/C/0
NOTES:
FEE STRUCTURE: FOUNDATION: SF
1.( "1~ SF)-(
2. ( SF)- (
FIRST FLOOR: 4..~q SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: ~ SF FEE FEE FEE
.SF)= SF X $__=$ +$ +$ = $ ~:5~
SF)= SF X $ =$ +$ +$ = $
765-t802
BUILDING DEPT.
INSPECTION
[
[
[
[
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
& CHIMNEY
[ ] ROUGH PLBG..
[ ] I NS~i~°N
[ L,,~NAL
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
& CHIMNEY
REMARKS:
DATE
[ ] ROUGH PLBG.
[ ] IN~J~ION
[ -~INAL ~
765-~.802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]~I, ATION
[ ] FRAMING [//,']~ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
DATE ~ INSPECTOR
FO~DATION (1ST)
FO~ATION (2~)
ROUGH Fm~O &
PLL~G
~S~ATION PER N. Y.
STATE E~RGY CODE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
Examined 20__
Approved 20__
Disapproved aJc
Expiration 20__
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone: 765'~1! 7
.,: -~--~ Building Inspector
bl,~Y 2 1~ ZOO?_ i!AP~LICATION
FOR
BUILDING
PERMIT
...... Date ~ 20 O&
L BLC;G [7 ~*T.
,~w~ "' .... ~'~ ] INSTRUCTIONS
a. This application MUST be completely filled ~ by t~ew~tcr or ~ ~ ~d sub,trod to the Building Nspector with 3
sets of plus, acetate plot pl~ to scale. F~e according to schedule.
b. Plot plan showing location of lot ~d of buildings on pre~ses, rdationsNp to adjo~ng prc~ses or public streets or
are~s~ ~d wate~ys,
c. Thc work covered by tNs application ~y not be co~cnccd b~fom issu~cc of B~lding Pe~t.
d. Upon approval oftNs application, the Building ~spcctor will issue a Building Pe~t to the applicant. Such a pc~t
shall be kept on the pre~ses available for Nspecfion t~oughout th~ work.
e. No b~lding shall be occupied or used in whole or in pan for ~y p~ose what so ever ~til the Building ~spector
issues a Cc~ificatc of Occup~cy.
f. Eve~ building pe~t sh~l exp~e if the work authorized has not co~cnced witNn 12 months a~er the date of
issu~cc or has not been completed witNn 18 months ~om such date. If no zo~g mcn~ents or other re~lations affecting thc
propc~y have been enacted ~ the Nmd~ thc B~ldNg ~spector may amhorize, in wdt~g, thc extension of the pe~t ~br an
addition six months. Therea~er, a new pe~t shall bc required.
~PLICATION IS ~BY M~E to thc Building Depa~ment for ~c iss~ce cfa Building Pe~t pursuant to the
Building Zone Ordinance of the To~ of Southold, Suffolk Cowry, New Yor~ ~d other applicable Laws, Ordin~ces or
Rc~tations, for the const~ction of buildings, additions, or alterations or for rmoval or demolition as herein described. Thc
applic~t a~ees to comply with all applicabl~ laws, ordin~ccs, bulling cod~, housing code, ~d rc~lations, and to ad~t
a tho edi sp c o,sonpre=ses=d .bui d . for= i p o:.
' t (~gna~e ~ a~lic~t or name, if a co~oration)
- ' (IViailing dddress ofapplic'ant)~' -
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises E/It. a~a E,~.,~I ['Jor~i*
- (2(~ bn th~ 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.
Location of land on which proposed work will be done:
! " t el< bw, e
House Number Street
I~amlet
County Tax Map No. 1000
Subdivision
. (Name)
Section
Block O l
Filed Map No.
-"'. L°t
~..,. ~ Lot
/7
State cresting use and occupancy of premises and intended use and occupancy of proposed construgtion:
a. Existinguseandoccupancy ~ sn ? k, .~. ..Pt_ - ~we-//~ n-~
use and occupancy . ~
b.
Intended
3. Nature of work (check which applicable): New Building_
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units i
If garage, number of cars
Addition X Alteration
Other Work i)~k. q--_ ~laa~
(Description)
Fee ~t'3OO ~'
(To be paid on filing this application)
Number of dwelling units on each floor
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
Depth
Rear
Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
Size of lot: Front Rear
9. Depth
10. Date of Purchase /4~t ~0o~. 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 ~ Will excess fill be removed from premises? YES__ NO
14. Nines ofO~ ofpremis~ ~a~ Ad&ess G~dl%~ tt$/Ohone No.
Nme of ~c~tect Ad&ess Phone No
Nme of Con.actor Ad&ess Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES
* 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.
NO
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)
COUNTY OFc~~
b~,J_/~ ~ ~g4~e~'~ ] being duly swom, 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 tree 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
c'~r~2-~ dayof ///~_ 200,.9
~/N~)tary Public
LYNDA M. SOHN
NOTARY' PUBLIC, 8tale of NeW
omo o o
ified in Suffolk Coun
'Term Expire,s March 8,
gn Apphcant
195 Trak Ave
, ~ , , Cutchogue, NY
~,,~,~ '__ !i~i 1000-137-01-17 OCCUPANCY OR
~ '** USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
~Zg~u}cr ~tJ~llMllmm~ ~=---2x6 16oc
~ .ertav~....~~,,m~-1'4 ~1'4--1'4
~ 2-2x10 stringers
~ ~Qm~~~~~~~ F m il )lted to 4x4
~ c~i~~-~ 14~ decking- m
Garage ~[ ~T A~L~:~ .:~ m l / w/post base
' 5'~ oc ~' oc 4'q 0 oc 4'7
~ 5' oc 0'2 oc 4'0 oc 4'~0 oc
ol~ation~ ' , s~
68" +i UP > ~ railing: '42" hi
g~o c~
Stairs: 7" ris~ ~ 3'9 ~ top. ~nter and~pr~
11 1/2" tread, ~ - ~_ ~,.,~ ,~.
footings: 36" +/- deep.
12" at top w/post
base
ual of this pla~ bearing tke ~ea! of ~e
ned NYS licensed Arch~tec~ ~.s eot intended
~y conditions that we designed m ~hal we
ent in compliance with applicable architectural
~gineering standards, or government codes.
~i ~ Application of the Architect's seal is intended to
~,~~_. _ ling: 32" railing i~aicate that this is a true,d~pk:~o, of thc currcn~
as-built conditions. ~z
UNDERWRITERS CERTIFICATE
Rear Yard
195 Trak Ave.
Cutchogue, NY
1000-137-01-17
garage
- 7'8 -I- 4'8
/
7'5
~ 4x4 anchoredl I
/to cement IIshed
ffooting L]
door~/~A/ 3'10"o{: ~4'o~
~ ,~ _ v-r~ m, door
5/8" T-111
19'6
2x4 stud wall
16"oc
1 '5"oc 2'~..
~ door
rear yard
roof rafters:
_garage II ~
wa, II I
4x ll
si eview ElL
Submittal of this plan bearing the ~eal of [he
undersigned NYS licensed Arck. itec~ i~ e. ot [utended
to certify condidon~ that we designed or that ~v¢
represent in compliance with applicable archit~etm~
or engineering standards, or government codes.
Application of the Architect's seal is intended to
indicatc that this is a tme~lepiclion of the current
as-built conditions. ~ ~-
Lot 50
170.28'
1000-137.00-01.00-017.000
TITLE NO. SH-9400,22'
Lot 49
Lot 7~
DECK
25.6'
e--- 26.5'
2 STORY
FRAME
DWELLING
26.2'
N 44042'40" W
Lot 45
Lot 75
25.3'
I
24.0' I ~ 23.6' '~-~'
!00.00'
Lot 47
LOT NO. 75 & 76
M. $. HAND
SECTION TWO
FILED MAY 12, 1939 MAP NO. 1280
CUTCHO~--_JUE
TOWN OF $OUTHOLD
SUFFOLK COUNTY. NEW YORK
AVENUE