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Home My WebLink About28736-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28912 Date: 10/02/02 THIS u~TIFIES that the building ADDITION Location of Property: 1460 HILLCREST DR ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 13 Block 2 Lot 8.24 Subdivision Filed Map No. LOt No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 5, 2002 pursuant to which Building Permit No. 28736-Z dated SEPTEMBER 10, 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 ROY B RODRIGUEZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL C~RTIFICATE NO. PLUMBERS CERTIFICATION DAT~ Rev. 1/81 N/A N/A N/A Authori~ea sig~re 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. 28736 Z Date SEPTEMBER 10, 2002 Permission is hereby granted to: for : ROY B RODRIGUEZ 420 EAST 54TH ST NEW YORK, NY 10022 CONSTRUCTION OF A 21'X 12' DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1460 County Tax Map No. 473889 Section 013 pursuant to application dated SEPTEMBER Building Inspector to expire on MARCH HILLCREST DR ORIENT Block 0002 Lot No. 008.024 5, 2002 and approved by the 10, 2004. Fee $ 150.00 Authorized Signature Rev. 5/8/02 COPY Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY t .... This application must be tilled 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 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. B. For existing buildings (prior to April ~ · 9, 1957) non-conforimng 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. 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 Certiticate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. v-" Old or Pre-existing Building: (check one), House No. ' Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No I000, Section Subdivision "0~,~? 04- 14, PerrnitNo. "'~28736, DateofPermit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ L5-. ~ Block o z~ Lot Filed Map. 7z I ~ Lot: Applicant: 5~e_? ~e,~ Underwriters Approval: Final Certificate: t~ (check one) Applicant Signature Applicant/ Owners Name: Architect/ Engineer: SCTM #: Dis(rict. 1,000 Seckion: Pr0.1ecl 1¥6 DT2~rTT2XU /'"~IU/'~,[? I lO"-f":' Single & ;eparate Req aired cerhficatJon: (Yes / No) _ Rcq. Req K~ [Fron~ Y~/ Pro~s~: __] {Side Project DescNption: ? AGENC~PERMITS REOUIRED FOR REVIEW Date Reviewed: ~ Date Submitted: ~/~//O 2.--- · .ot: Natlle: £ N.A. NO Suffolk County Health' Dept. ..- New York State D. E. C. Town Trustees Town Zoning Board approval: "/ Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Rcq. [Rear Yard ~'0 Proposed Permit ..YES ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG~LBG. [ ] FOUNDATION 2ND [ ] IN~JCATION [ ] FRAMING [~INAL I~£1MFAI~2~LA~ CHIMNEY DATE [~'I~:!,D INSPECTION REPORT I DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & STATE ENERGY CODE ADD/TIONAL CO1VEVIENTS TOWN OF SOtLTHOLD BUILDING DI~PARTMENT TOWN HALL SOUTHOI~D, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Exam/ned aI/t 0 ,20 0 D. Approved t~/(o ,20. 0 ~' Disapproved a/c Expiration '~ ] lo ,20 Of 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: Lng Inspector Phone: APPLICATION 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 b'uildings 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 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit 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 permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS I-I~REBY 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Sig~tur~ o~' al~pli~ant or name, ifa corporation) ~.~ /4~,o,, , MY. (Mailin~ address of applicant) State whether applicant is owner; lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the 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: /,6 dc,'* s ff ~9,. House Number Street County Tax Map No. 1000 Section Subdivision /'/,//cre~ ~ ff.~*/.,&.~ (Name) Block o ~. Filed Map No. .~.~z v Lot ~, z~ Lot z~. z- State existing use and occupancy of premises and intended use and occupancy of proposed construction: 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 I~r F~e ~or Estimated Cost If dwelling, number of dwelling units If garage, number of cars Fee (Description) (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 ?5' Rear :rs ' Depth qf?" Height 23' Number of Stories 2.. Dimensions of same structure with alterations or additions: Front '77' Rear ?-~ Depth q¢ ' Height ,~ ~ ' Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front r ~ ¥' Rear ~ o, ' Depth 10. Date of Purchase /a//.ta~/ Name of Former Owner ,5defl $.,q 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO f 13. Will lot be re-graded? YES__ NO ~Will excess fill be removed from premises? YES NO J 14. Names of Owner of premises A°$, ts ~./.~,,, z Address /~,,-~/~',//e,,~(ff~ Phone No. Name of Architect Address ~'~*"~ Phone No Name of Contractor 5fi-.,4,n ~oo../f Address/r~r~t,,,~,,,e~& 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) COLrNTY O~ .~F~'~/~x) ~ta-~¢4~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual siLming contract) above named, (S)He is the ZSo,,~. (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. Swogto before me this/~ _ . day of.~-t40..~ 20 ~ ' ~' Notary Public LYNDA M. BOHN NOTARY PUBLIC, State o! New York No. 01 BO6020932 Oualified in Suffolk County~ Term Expires March 8, 20 ~ ,~' Signn~r[ of Applicant q~ ccR -- .I AP?RgVED AS NOTED 765-1502 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION . TWO REGUIRED FOR POURED CONCRETE ~. ROUGH - FRAMING & PLUMBING ~ INSULATION 4, FINAL. CONSTRUO~:)N MUST KCOMPLk'r~ FOR C.~ ALL C~O.STRUCTIO. EmU. met THE iIEQUIREMENT$ O~ THE N.Y. ETATE ¢ONBTRUCTION~ ENERGY Gl)DES. NOT RESPONSIBLE FOR OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Southern Pine Span Tables - Southern Pine Council - 1-504-443-4464 - About Southern Pi.. Page 1 of 2 SOUTHE.I~OIN~PAN TABLES Floor Jc:sts~-~ ~0 psf iivc !cad../lO Grade Spacing Machine Evaluated Size (in. Visually Graded Machine Stress Rated (MSR) Lumber (MEL) o.c.) 2400f- 2250f- 2100f- 1950f- SS No.1 No.2 No.3 2.0E t .9E 1 .SE 1.7E M-23 M-19 M-14 12 9-9 9-7 9-4 7-11 10-1 9-11 9-9 9-7 9-9 9-4 9-7 16 8-10 8-8 8-6 6-10 9-2 9-0 8-10 8-8 8-10 8-6 8-8 2x6 19.2 8-4 8-2 8-0 6-3 8-8 8-6 8-4 8-2 8-4 8-0 8-2 24 7-9 7-7 7-2 5-7 8-0 7-10 7-9 7-7 7-9 7-5 7-7 2X8 24 10-2 10-0 9-4 7-1 10-7 10-5 10-2 10-0 10-2 9-10 10-0 2x10 19.2 14-0 13-9 12-5 9-4 14-6 14-3 14-0 13-9 14-0 13-6 13-9 2x12 ,, SCDHS Ref.# R10-98-0021 The Iocelions of wells end cesspools shown hereon ore from field observelions end or from dote obfelned from others. I om femlllor with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES end will obide by the conditions sel forth fherein end off the perm# lo coflslrucl. CERTIFIED ROY B. RODRIGUEZ COMMONI~EA LTH LAND TITLE INSURANCE COMPANY ULSTER SAVINGS BANK SURVEY OF PROPERTY A T ORIENT TOWN OF SOUTHOLD 0 ' SUFFOL_K COUNTY, N Y. ~'~. ~. ~ ' 1000 ~3- 02 - 8.24 ,,~CAI. E.. 1" = 40' FEB. 16, 200J2 (prop. hse. ) SEPT. 25~ L~O0/ ( cerffficetion ) OCT. 26, 2001 (foundetion local/on ) iY AL TERA TION OR ADDITION TO ~ SURVEY lSA VIOLA TION SECTION TL~09 OF' THE NE~I YOI~ STATE EOUCA TIOIV LAW, ~T AS ~ ~ECTION 7~09-SU~ ~. ALL CERTIFICATIONS / / A \ _ ~ , ~?~ ,f~,-- i ~EON ARE VALID FOR THIS ~P ~ COPIES TI~REOF ONLY IF ; NO TE' "MAP OF HILL CREST ESTATE$, SECTION I' ~'_ D~M4P OR COR~S J~EAR THE ~=RESSED SEAL OF THE SURVEYOR LOT NUMBERS REFER TO SUBDIVISION NO. 49618 ~BE ~'~,~4TURE APPEARS HEREOt4 ~.; FILED AUG. 15, 1985 FILE NO. 7~18 ~ITiONALLY TO COMFY WITH'SAID LAFI THE TERM 'ALTerED aY' AREA · 40~0~ ~ ft. ~'' ~(631) 765 - ~ ( 651 ) 765 - ST ME UEED 8Y ANY AND ALL SURVEYORS U~ A CO~Y ' P.O. 80X ~0~ ~OTM~ SUrvEYors ~. TE~US SUCH ~S ~'ECTE~' A~D ~u~rr- TO-DA TE' ARE NOT aY CO~e~ANCE mTH .T~E LAW. ~ ~$0 TRA VET. ER STREET - ELEVATIONS ARE REFERENCED TO AN ASSUMED DA TUM $OUTHOLD~ ~ Y. 119XI ~_.A_L.__T~..A_T_I_OI? OR ADDITION TO THIS SURVEY I~ A VIOLA TION ~.~1.1~_ _7_~_09_ OF TIE NEW YORK STATE £DLtCA TIOM LAW, '~_!. .~_~m~.. .~ECTKNV ?EOg-SU~OIVI~)N E. ALL :~_Af~__ V_A__I~I~_ FOR THIS MAP AND COP~S THEREO~ ONLY rrI~O~.~__T_O..C.~ Y WiTH SA~ LAW TIE TmR~ C~_.U_~b~.~.~__~'_.AM_Y_ AND ALL S~Y~S U~I~ A C~Y ~.~ (~ ~Y~ ~. T~ SUCH ~s ~CT~' ua~-TO-OArE ~ ~r ~ C~E ~TH ~ LAW. AREA = 40,000 sq. ft. The /oce/ions of we/is 'end cesspools shown hereon ore from field observotions end or from dote ob/eined from o/hers. I om /emi#or with /he STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES mhd will ob/de by /he cond/llons sol forth /herein end on /he perm// to coflslrucl. CERTIFED TO, ROY 8. RODRIGUEZ COMMONWEAl TH LAND TITLE INSURANCE COMPANY ULSTER SA VINGS BANK SURVEY OF PROPERTY A T ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY, N K I000- 13- 02- 8.24 SCALE.. 1" = 40' FEB. 5,1998 FEB. 16, EOOJ} (prop. hse. ) SEPT. L~6, 2001 ( cer/Iflc=tlon ) OCT. 26, 200/ (/oundet/on /ocetion ) NO TE, L 0 T NUMBERS REFER TO ' SUBDIVISION "MAP OF HILL CREST ESTATE$, SECTI~N~P' FILED AUG. 15, 1983 FILE NO. 7218 ELE~/ATIONS ARE REFERENCED TO AN A~JMED DATUM N. Y.S. LIC. NO. ~19618 PECONIC ~URVEYOR$, P.C. (~.310.') 765 - 5OEO FAX ( 631 / 765 - 1797 BOX 909 /~$0 TRAVELER STREET SOUTHOLD~ N.Y. /1971