HomeMy WebLinkAbout28449-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28893
Date: 09/26/02
THIS CERTIFIES that the building A/~DITION
Location of Property: 875 CROWN LA/TD LA
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 109 Block 2
CUTCHOGUE
(HAMLET)
Lot 12.5
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 7, 2002 pursuant to which
Building Permit No. 28449-Z dated JLFNE 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 REAR DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
· ~ne certificate is issued to THOMAS J & SUSAN B SCALIA
(OWNER)
of the aforesaid building.
SUFFOLK COLgFI~f DEPART~ENT OF ~RALTH~PPROVAL
ELR~-CKI~_~_L CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'r~u
N/A
N/A
N/A
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIT~ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28449 Z Date JUNE 10, 2002
Permission is hereby granted to:
THOMAS J & SUSAN B SCALIA
875 CROWN LAND LA
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF A REAR DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 109
pursuant to application dated JUNE
Building Inspector to expire on DECEMBER
875 CROWN LAND LA CUTCHOGUE
Block 0002 Lot No. 012.005
7, 2002 and approved by the
10, 2003.
Fee $ 150.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
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 following:
Ao
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.
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. 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. c~/[~/0~
Old or Pre-existing Building: ~ (check one)
Street ~ o~ q ~
New Construction:
Location of Property:
House No.
Owner or Owners of Property: /'~o
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ~q
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~ .c~
Coq.
Date of Permit.
Hamlet
Block a~ Lot ]2 .~
Filed Map. Lot:
Applicant: T~o,~ ~- ~- 3,45~
Underwriters Approval:
Final Certificate: ~/~ (check one)
Applicant Signature
Applicant/ _.---- ,
Architect/
Engineer:
SCTM #:
District: hO0(~ S¢ckion: /0~ Block: oD.__ Lol: ]o3.,.~'
Date
Reviewed ~
Date
Sub%lied: ~/7/o).-
Project ~/ Subdivision
Single & separate Required ~/~
cerfifigadon: _(Yes / No) ~
Req Req.
Req ~/ Rea ~ , Req
Project Description: '~.' g 0~
AGENc~.2PF~RMITS
REOU][RI~D lq'OR.REVIEW
N.A. NO
.j
YES
Permit
.Number
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:
NOtes:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING [
[ ] FIREPLACE & CHIMNEY
REMARKS:
[ ] INSULATION
] FINAL
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH P.~G,
[ ] FOUNDATION 2ND [ ]~.ATION
[ ] FRAMING [/.,.~FINAL
[ ] FIREPLACE & CHIMNEY
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ~JLATION
~[ ~I=INAL
REMARKS:
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
I
FO~ATION (zrm) ~ ~'
ROUGH F~G & 5 ~
pL~G ~
~S~ATION PER N.Y. ~
STA~ E~RGY CODE f
~~. ~-~ -j -
~ '
~DI'I'ION~ CO~ ~
~ Z
. I:
TOWN OF SOUTHOLD
BUILDING DEPARTM!
TOVCN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
OF SO UI'HOLD~..J
PERMIT NO.
Examined
Approved
Disapproved a/c
,20
~//O, 20 o&
Expiration
/.~/~o ,20t,3
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need ?e following, before applying?
Board of Health
/ 3 sets of Building Plans
~aniag~Lapproval
T.l:ll~es
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date Apr i / /7 ,200,,~
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 buildings on premises, relationship to adjoining premises or public streets or
area, s, 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
shill 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 HEREBY 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.
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
-OF OCCUPANCY
(Signature of applicant or name, if a corporation)
c,'-o,_on L~,,-,d L~.,., C~u*chc~u~,
(Mailing address of applicant) (/
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
ElectficiansLicenseNo.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section I 0 c~ Block
Subdivision Filed Map No.
(Name)
~.~C}.J~.~,~NOT' RESPONSIBLE FOR
H~I~ Oil CON~II.IUCTION ERROflS
Lot
NOTIFY BUILDING DEPARTMENT AT
768-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION . TWO REQUIE~D
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4, FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
Name of ow. er of premises ~ C_ ~. / i~ ~ (As on the t~,× roU or ~atest~~BV:
--7'-ho,-.~ ~. ~ -3-
If applicant is a corporation, signature of duly authorized officer '
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
State existing use and occupancy ofprem~es ~and,intended use and occupancy of proposed construction:
a. Existing use and occupancy 5 F, D ·
b. Intended use and occupancy
Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration
4. Estimated Cost ~ ~
5. 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. -' t4 / h
7. Dimensions of existing structures, if any: Front
Height. Number of Stories
Rear Depth
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
Rear
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated r'o__~ iCt
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. Names of Owner of premises
Name of Architect
Name of Contractor
Address Phone No.
Address Phone No
Address 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 ora tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO K
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)
SS:
COUNTY OF )
"T:~tl/~aA-5 '.T', · ~ C ~'~ L ~./~0. being duly swom, deposes and says that (s)he is the applicant
(Nanie Of in'dividual Si~g"~n'h'h-fict) above named,
(S)He is the O' ~*,~ ~
(Cbi~t~act6~, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authohzed to perform or have performed the said work and to make and file this application;
that all statements contained in this appl{c~ion 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.
Swom/~o before me this /TN day of
JOYCE M.
No. 4952246,
Term Ex~iros June
gnature of Applicant
CROWN LAND LANE
623.34
8
S'4702~'I0 °E. 173.96
7 o.
N.47o26'lO~W.
well
182.26
L =44.04
NOW OR FORMERLY KALOSKI
VACANT
11 - 15~1998 FINAL SURVEY
B-17-199E~ FOUNDATION LOCATION
7 2~95 REYIS~"~ C)OUELL
Fhe exis!.ence of ri~tht of ''~'~}r'~ ~ '~ .l 0 r easements
of ' -1 ;f .~ .....
NOTE: CESSPOOL, SEPTIC TANK AND WELL
LOCATIONS BY OTHERS.
9~,-4 45
96- 620
GUARANTEED 0 N L.Y ':-T 0
LAKE SHORE
ZOUN~ AS
, , ~,
~OlD F. TRANOHO~"~
JOB NO. 915-203 FILE NO. CROWN LAND
SURVEYED FOR
LOT NO. 5
MAP OF CROWN LAND LANE
SITUATED AT CUTCHOGUE
TOWN OF SOUTHOLD- SUFFOLK COUNTY N.Y.
SCALE 1" = ,.~0' DATE 4- 27- 1998
FILED MAP NO. 62.89 DATE E~- 27- 1975
TAX MAP NO. 1000-109-2- 12,,.5
LANE
(REF. ONLY) DISK
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 11792
· 516-929-469S
21'
29'
· ~ J~ z~, ? ~'~:1~ ,~ 20'
lff) 26'
36'
I Scalia - 875 Crown l~and Lane, Cutchogue, NY
18'
CUSTOM VIEW
CUSTOMER -- I
DATE 06/06/02
REF Deck02155
PENNY LUMBER
PO 1440
MATTITUCK, NY
(800) 555 1212
CUSTOM VIEW
CUSTOMER --I
DATE 06/06/02
REF Deck02155
PENNY LUMBER
PO 1440
MATTITUCK, NY
(800) 655 1212
CUSTOM VIEW
CUSTOMER -- I
DATE 06/06/02
REF Deck02155
PENNY LUMBER
PO 1440
MATTITUCK, NY
(800~ 555
CROSS SECTION
CUSTOMER -- I
DATE 05/06/02
REF Deck02155
PENNY LUMBER
PO 1440
MATTITUCK, NY
(800) 555 1212
STRESS ANALYSIS FOR LEVEL
CUSTOMER: 1
DATE: 06/06/02
SALESI~AN #
DESIGN: DECK02155
REF: 02155090.ZIP
MEMBER STRESS FACTOR COMPOSITE
TYPE SIZE FACTOR LOAD LOAD
3OISTS 2X8 DEFLECTION 220 PSF
16IN BENDING 199 PSF
SHEAR 155 PSF
COMPRESSION 253 PSF 155 PSF
BEAMS 2-2X8
DEFLECTION 949 PSF
BENDING 360 PSF
SHEAR 164 PSF
COMPRESSION 328 PSF
BOLTS 1/2IN SHEAR
POSTS 4X4 STABILITY
164 PSF
6566 PSF 6566 PSF
1881 PSF 1881 PSF
TOTAL LOAD 155 PSF
DEAD LOAD 10 PSF
LIVE LOAD 145 PSF
S~RESS ANALYSIS FOR LEVEL 2
CUSTOMER: 1
DATE: 06/06/02 DESIGN: DECK02155
SALESMAN #
REF: 02155090.ZIP
MEMBER STRESS FACTOR COMPOSITE
TYPE SIZE FACTOR LOAD LOAD
3OISTS 2X8 DEFLECTION 105 PSF
16IN BENDING 118 PSF
SHEAR 114 PSF
COMPRESSION 194 PSF 105 PSF
BEANS 2-2X8
DEFLECTION 120 PSF
BENDING 79 PSF
SHEAR si PSF
COMPRESSION 207 PSF
51 PSF
BOLTS 1/2IN SHEAR
1339 PSF 1339 PSF
POSTS 4x4
STABILITY 381 PSF 381 PSF
TOTAL LOAD 51 PSF
DEAD LOAD 10 PSF
LIVE LOAD 41 PSF
STRINGER 2X12
DEFLECTION 275 PSF
BENDING 258 PSF
SHEAR 204 PSF
COMPRESSION 809 PSF
TOTAL LOAD 204 PSF
DEAD LOAD 10 PSF
LIVE LOAD 194 PSF
PLAN VIEW FOR LEVEL I
CUSTOMER -- I
DATE 06/06/02 REF Deck02155
I
I { I {
1/4' 4' ~1 3/4' 3' 6 i/4'
PENNY LUMBER
PO 1440
MATTITUOK, NY
(800} 565 1212
LOAD AND SUPPORT: Your deck will support o 144 PSF live Icad. Posts hove 48' below-ground
post support.
DECK AND POST HEIGHT: You selected o height of 30" from the top of decking to level ground.
The top of the deck eUplmor[ pests will therefore be 2[25" above ground level. Your salesperson
can provide information for uneven or eloped ground.
JOISTS: Set joists on top of beams, 16" center to center.
NOTF~ The design may require knee braces and bridging between joists. Your materials list includes
the necessary items. The suggested design is not a finishad building plan. You ore responsible for
all measurements being correct, for verifying that th, design (end any substitutions or modifications
that you make) meets all local building codes and requirements. To verify that the suggested design,
and eny substitutions or modifications, is consistent with cenclifione at the construction site.
review the design with your architect. Also consult you~ mchitect for IXop~ construction and use
of materials in the sbucb~e.
Be sure to follow the deck construction detail available from yom store salesperson.
PLAN VIEW FOR LEVEL 2
CUSTOMER -- I
DATE 06/06/02 REF Deck02155
3' 6 1/4' L:'3' 6'
PENNY LUMBER
PO 1440
MATTITUOK, NY
(800) 565 1212
LOAD AND SUPPORT*- Your deck will support a 41 PSF live Iood. Posts hove 45" below-ground
post support.
DECK AND POST HEIGHT: You selected a height of 3'P from the top of decUng to level ground.
The top of tho dock suppor~ posts will therefore be 2~.2§" above ground level. Your salesperson
can prov'~le i~fom'mLiun for uneven of eloped ground.
JOISTS: Set joists on top of beams, IG' cente~ to center.
NOTE The design may require knee braces and bridging between joists. Your matofiols list includes
the necessary items. The suggested design is not a finished build~ plan. You are responsible for
all measuremants being correct, for verifying that t~e design (and any substitutions or modifications
that you make) meets all local building cedes and requirements. To verify that L~ne suggested design,
and <my substitutions or modifications, is consiskent ~ conditions at the construction site,
review the design with your architect. Also consult your ofchitect for propel construction and use
of materials in the structure.
Be owe to foilow the deck construction detoil ovmloble from yom store salesperson.
BEAM LAYOUT FOR LEVEL I
CUSTOMER -- I
DATE 06/06/02 REF Deck02155
114'
1' 1] I/E"
1' G I/~
l' ti 1/~'
'3' 1/4'
I I
..............F i_-_-_-_i
PENNY LUMBER
PO 1440
MATTITUCK, NY
{800) 5,55 1212
BEAM BEAM POET POST
LABEt. LE~JGTH OOUNT 8PACI~IG
A 4' I 3]4' 2 Z 9 I/4'
B 4' I 314" 2 2' 9 1/4'
C 4' 6" 2 3' I VZ'
D 4'6' 2 3' I I/2'
E 4' I V2' 2 3'10'
F 4' i V2' 2 3'10'
Peat sp~g is meeeu;ed ~ntar-to-~antar.
Depth of post-i~rmcrata f~eta~s -- ,18 inrhe~.
BEAM LAYOUT FOR LEVEL 2
CUSTOMER -- I
DATE 06/06/02 REF Deck0215§
10' 3 1/~'
2' 2 1/2~
PENNY LUMBER
PO 1440
MATTITUCK. NY
(800} 555 1212
10' 2 112'
1' 11 I/2'
BEAM BEAM POST
LABEL I ;NGTH COUNT
A 4'6' 2
B 25' 6 3/4' 5
C 23' 4 I/2' 4
Post sp~cing is measured center-to-center.
Depth of post-in-~rete footers 48 inches.
POST
SPACING
3' I I/2'
6' 3 3/4'
'P 8 I/4'