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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