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HomeMy WebLinkAbout23500-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24576 Date August 16, 1996 THIS CERTIFIES that the building addition Location of Property 120 Richmond Road, Southold House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 6 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 16, 1996 pursuant to which Building Permit No. 23500-Z dated June 13, 1996 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 a deck addition to existing one family dwelling as applied for. The certificate is issued to Konstantinos Koukounas (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORK NO. f 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) N° 23500 Z Date ................. / ........................., 19 & Permission is hereby granted to: J — 3 : :.... ...f%: .................................. A FF1. . . .........rIM3........ to ..... 'i.: ............... ...............::...... . ............ .......1` ........................... atpremises located at ........ ........ f:?'kr ?�f. ................................................................. .................................................................... �a.. ..�.............................................................. ................................................................................................................................................................. County Tax Map No. 1000 Section .....k�7........... Block .......,,t26L Lot No. Z!�.r.......... pursuant to application dated .......A11 ... .....1k....................... 194 ., and approved by the Building Inspector. Fee $e7Q.-- .. u ilding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT r�4s , TOWN HALL 765-1802 AUG 13 1996 1'ILL I JEs�T APPLICATION FOR CERTIFICATE OF OCCUPANCY BLD— TOWN OFSOUTi.OLD A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. r 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 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 - .25v�. 4. Updated Certificate 'of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential 15. 0, Commercial $15.00 Date . . �!. . . . . . ./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . Old Or Pre-existing Bui in . . . . . . . . . Location of Property. . . . G.'. L.o . . . . . . . . . . . . . . . . lC l.%'1.�. . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . �:'d 5 :1. �?�S . . . . . �� .v .�1.�. . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . ./. . . . . . .Block. . . . . . . . . . . . .Lot. . . ./5. . . . . . . . . . . . . : Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. .. . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . .. . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . .LZ4 -- bi 7�' . . . . . . . . . .�. . . . . . . . . . . . . . . . . . . . . . . . �� 45_7� APPLICANT r tilt I UA I I. .................. NY) FUMIDATI 011 ----------------- ---------- Xa ROUGH & ........... .................. C) .......... ---------------------.,ma,- -- ---------- .......... if . ............... 1 II STATE 1;1 IIAL BILL OF' MATERIALS --- LUMBER CUSTOMER: GUS KOUKOUNAS DATE: 05/11/96 REF: GUS1 SALESMAN # BUCKY --------------------------------------------------------------------------- COMPONENT SKU QUANTITY DESCRIPTION WOOD TYPE --------------------------------------------------------------------------- DECKING 7054X06X10 95 EA 5/4X6 10' PRE CCA DECKING 7054X06X08 25 EA 5/4X6 8' PREM .CCA DECKING 7054X06X16 4 EA 5/4X6 16' PRE CCA RAIL CAP 702X06X08 8 EA 2XGX8 CCA CCA HORIZONTAL RAILS 702X04X16 9 EA 2X4X16 CCA CCA HORIZONTAL RAILS 702X04X08 1 EA 2X4X8 CCA CCA VERTICAL RAILS 701X04X12 42 EA 1X4 12' CCA CCA RAIL POST 704X04X16 6 EA 4X4X16 CCA CCA STAIR POST 704X04X16 1 EA 4X4X16 CCA CCA STAIR STRINGER 702X12X18 2 EA 2X12X18 CCA CCA STAIR TREAD 7054X0GX10 6 EA 5/4X6 10' PRE CCA BEAMS 702X10X18 2 EA 2X10X18 CCA CCA BEAMS 702XIOX10 1 EA 2X10X10 CCA CCA BEAMS 702XIOX12 4 EA 2X10X12 CCA CCA JOISTS 702X10X10 3 EA 2XIOX10 CCA CCA JOISTS 702X10X12 31 EA 2XIOX12 CCA CCA J-SPLICE 702X10X14 2 EA 2XIOX14 CCA CCA FASCIA• 702X10X14 1 EA 2X10X14 CCA CCA FASCIA 702X10X08 3 EA 2X10X8 CCA CCA FASCIA 702X10X18 1 EA 2X10X18 CCA CCA . FASCIA 702X10X12 1 EA 2X10X12 CCA CCA LEDGER 702X10X14 1 EA 2X10X14 CCA CCA LEDGER 702X10X08 3 EA 2X10X8 CCA CCA LEDGER 702X10X18 2 EA 2X10X18 CCA CCA LEDGER 702X10X12 3 EA 2XIOX12 CCA CCA STAIR HANDRAIL/CAP 702X06X18 1 EA 2X6X18 CCA CCA HORZ. STAIR RAILS 702X04X16 3 EA 2X4X16 CCA CCA VERT. STAIR RAILS 701X04X12 24 EA 1X4 12' CCA CCA GROUND POSTS 704X04X10 5 EA 4X4X10 CCA CCA --------------------------------------------------------------------------- OCCUPANCY OR R. USE IS UNLAWFUL WITHOUT CERTIFICATE; OF OCCUPANCY BILL OF MATERIALS --- OTHER MATERIALS CUSTOMER: GUS KOUKOUNAS DATE: 05/11/96 REF': GUS1 SALESMAN # BUCKY --------------------------------------------------------------------------- COMPONENT SKU QUANTITY DESCRIPTION --------------------------------------------------------------------------- JOIST HANGER, 10IN 40244 42 EA 10" GALV. HANGER JOIST HANGER NAILS 50275 6 BAGS KANT SAG NAILS BEAM BRACKET 40257A 6 EA PB44 4X4 POST BEAM CAP 16D NAILS 50055 29 LBS 16D GALV. NAILS 10D NAILS 50051 3 LBS 10D GALV. NAILS 8D NAILS 50049 17 LBS 8D GALV. NAILS LAG SCREW 861270L 15 EA 1/2"X7" LAG SCREW WASHER 8612W 203 EA 1/2" WASHER TIE-DOWN STRAP 40236 76 EA JOIST TIE-DOWN STRAP RAILING BOLT,6IN 861260C 54 EA 1/21IX6" BOLT NUT 8612N 94 EA 1/2" NUT ANCHOR BOLT 861280A 10 EA ANCHOR BOLT FOR POST FOUNDATION BRKT,4X4 40264 10 EA GALV. POST BRACKET,4 SONO TUBE 22926 4 EA 8"X 42" BUILDERS TUBE CONCRETE,80LB 2223 51 BAGS CONCRETE, 80 LB BAG --------------------------------------------------------------------------- BILL OF MATERIALS CUSTOMER: GUS KOUKOUNAS DATE: 05/11/96 REF: GUS1 SALESMAN # BUCKY UNAVAILABLE COMPONENTS ----------- ---------- NO SKU FOR COMPONENT [BEAM BOLT,8IN] - 40 REQUESTED --------------------------------------------------------------------------- SUMMARY --------------------------------------------------------------------------- LUMBER MATERIALS $ 2283 .88 OTHER MATERIALS $ 491.74 TOTAL $ 2775.62 (556.00 SQ FT, $4.99 PER SQ FT) --------------------------------------------------------------------------- WOOD TYPES USED IN DECK DECK PLANKS .40 CCA STAIR TREAD .40 CCA STRINGERS .40 CCA JOISTS .40 CCA FASCIA .40 CCA LEDGERS .40 CCA BEAMS .40 CCA GROUND POSTS .40 CCA RAIL POSTS .40 CCA RAIL CAPS .40 CCA RAIL SPINDLES .40 CCA OTHER RAIL MEMBERS .40 CCA --------------------------------------------------------------------------- TO COMPLETE YOUR DECK THE FOLLOWING TOOLS ARE REQUIRED: CIRCULAR SAW HAMMER CRESCENT WRENCH CHALK LINE RAFTER SQUARE 2' LEVEL CEMENT TROWEL MEASURING TAPE SHOVEL WHEEL BARROW BRACE & BITS --------------------------------------------------------------------------- STRESS ANALYSIS CUSTOMER: GUS KOUKOUNAS DATE: 05/11/96 REF: GUS1 SALESMAN # BUCKY ------------------------------------------------------- MEMBER STRESS FACTOR COMPOSITE TYPE SIZE FACTOR LOAD LOAD ------------------------------------------------------- JOISTS 2X10 DEFLECTION 124 PSF 16IN BENDING 97 PSF SHEAR 125 PSF COMPRESSION 165 PSF 97 PSF BEAMS 2-2X10 DEFLECTION 210 PSF BENDING 80 PSF SHEAR 61 PSF COMPRESSION 158 PSF 61 PSF BOLTS 1/2IN SHEAR 1492 PSF 1492 PSF POSTS 4X4 STABILITY 288 PSF 288 PSF ----------------------------------- TOTAL LOAD 61 PSF DEAD LOAD 10 PSF LIVE LOAD 51 PSF ------------------------------------------------------- STRINGER 2X12 DEFLECTION 85 PSF BENDING 92 PSF SHEAR 127 PSF COMPRESSION 534 PSF ----------------------------------- TOTAL LOAD 85 PSF DEAD LOAD 10 PSF LIVE LOAD 75 PSF ------------------------------------------------------- O PLAN VIEW RIVERHEAD BUILDING SUPPLY CUSTOMER -- GUS KOUKOUNAS ROUTE 25 DATE 05/11/96 REF GUS1 GREENPORT, NEW YORK 29' 18, 11' (U (U � N N (U ('U 4' 25' LOAD AND SUPPORT: Your deck will support a 50 PSF live load. Posts have 36" below-ground post support. DECK AND POST HEIGHT: You selected a height of 60" from the top of decking to level ground. The top of the deck support posts will therefore be 49.25" 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 list includes the necessary items. The suggested design is not a finished building plan. You are responsible for all measurements being correct, for verifying that the design (and any substitutions or modifications that you make) meets all local building codes and requirements. To verify that the suggested design, and any substitutions or modifications, is consistent with conditions at the construction site, review the design with your architect. Also consult your architect for proper construction and use of materials in the structure. Be sure to follow the deck construction detail available from your store salesperson. BEAM LAYOUT RIVERHEAD BUILDING SUPPLY CUSTOMER -- GUS KOUKOUNAS ROUTE 25 DATE 05/11/96 REF GUS1 GREENPORT, NEW YORK 11' 11 1/4 Ai H j H i H 114 114 1 H T97 9' 6 1/2" B 1' 6" C 1' 1/4" BEAM BEAM POST POST LABEL LENGTH COUNT SPACING A 17' 10 1/2" 4 5' 10 5/161, B 4' 1 1/2" 2 3' 10" C 23' 5" 4 7' 8 1/2" Post spacing is measured center-to-center. Depth of concrete footers --- 36 inches. CUSTOM VIEW CUSTOMER -- GUS KOUKOUNAS DATE 05/II/96 REF GUSI RIVERHEAD BUILDING SUPPLY ROUTE 25 GREENPORT, NEW YORK 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE ell 150'�/ INSPECTO BOARD OF HEALTH Q 6 FORM NO. 1 -s- 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY i( BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . MAY 11'6 TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 BLDG.DEPT. } TEL: 765-1802 NOTIFY: TOWN OF SOUTHOLD CALL . . . . . . . . . . . . . . . Examined.... . ....... 19.�(D MAIL TO: .�Sr4N-�i.. . �. . .... ` 3 �Ll--�3- 3 5 5-1,,ee,- .... ..., 19.(. Permit No. ...---... .... .. .. Approved. .cp�l.. � .. ........................ Disapproved a/c .................................. .. J....G/`� .. ...................................................... (Building• n - tor) APPLICATION FOR BUILDING PERMIT Date. . INSTRUCTIONS a. Phis application mast 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 areas, and giving a detailed description of layout of property mast be drawn on the diagram which is part of this application. a 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 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 f r nec sary inspections. .....: .... .�....................... -,: (Sigraatas o. applicant, or name, if a corporation) -.......... ...................re ......... /fib (Mailing address of applicant) •� C."� State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........(...rv ............. ...............................................:. ............................... Name of owner of premises ..Aa'?S l 4-1 /i of GS �v��c� .:....................................... ............................ (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. .................... f 1. Location of land on which proposed work will be done..............................................................� ................................ .k:.............. .. ........ . ................6........................... House Number . /-C� Street ( c 4�­1 c /(' e Hamlet County Tax Map No. 1000 Section ....�;../....... Block ....(�.......... Lot ...Z 5....... Subdivision ...................................... Filed Map No. ............... Lot ............... (Nape) 2. State existing use and occupancy of premises and intended/ and occupancy of proposed construction: a. Existing use and occupancy ................................L�i e �e�........................................ b. Intended use and occupancy ................. ... .... �c�tee........... ................. • ....... 3. Pacure of work (dheck which applicable): New Ikuilding .......... Addition .: Al,tera'hon"::::: Repair ............ Removal ............. Demolition ............ Other Work > (Descdpt ��_ s 4. Estimated CosL' J�, CCU v........ fee ....................................... (to be paid on filing this application)~-19 ''.s"" ,; r*,ti 5. If &oelling, rxnber of dwelling units ............ tlortler of A-yelling units on each floor ................ If garage, rxniber of cars ...................................... 6. If business, eonnercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ................ Depth ................. height ......................... Norber of Stories ...................... Dimensions of sane structure with alterations or additions: Front ............... Rear ............... Depth .................... height .................... Number of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. lleiglht ......................... Umber of Stories ..................... 9_ Size of lot: font Rear .................... Depth .................... 10. Date of Purdhase ..................... Name of Former Owner ........................................ II. Zone or use district in whidh premises are situated ... ............................................... 12. Does proposed ccxhstruction violate any zoning law, ordinance or regulation: (I/ J .. 13. Will lot be regraded .... v.......... Will excess fill be rermved from premises: YES l� 14. Nacres of Owner of premises . dtis .� `��s l""''v sAcklress a j....... Y. 3 Phone No. .....���: { Name of Ardi test .................................... Address .............................. Phone No. ..........'h`... Name of Contractor ................................... Address ...............................Phone No. .............. 15. is L1his property within 300 feet of a tidal caetland? * YES .......... NO *IF YES, SCU11KND 1U4N 1RIJSM,13 PLilNrr MAY BE REQQIRMi . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block mmber or description according'to deed, and show street- names and indicate h Mietlher interior or corner lot. APPROVED AS NOTED DATE: A9 - B.P.# OCCUPANCY OR FEE: BY:. NOTIFY BUILDING DEPAR MENT AT USE IS UNLAWFUL 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: WITHOUT CERTIFICATE 1• FOUNDATION - TWO REQUIRED FOR POURED CONCRETE OF OCCUPANCY 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 CODES. NOT RESPONSIBLE FOR S[nIr Ole Nil1 DESIGN OR CONSTRUCTION ERRORS ss . 1.�.� �...:'cc:ko u -s ..__........lueinl; duly swonh, ,delxhses and says Lhat he is the applicant (Mine of individual. signing contract) i above' named, Ileis Llhe .................. ...a. ..............__........................-........................ (ConLracto agent corporate officer, etc.) of: said cm)er or owners, and is duly authorized to perform or have performed Lhe said work aril to make and file this application; that all statements contained in this application are true to the best of bis knowledge arxl belief; and Lhat Lbe work will be performed in the iminner set forLh in the application filed therewith. Sworn to I F hr this �n ......... clay of ...�... .19. Notary Phil is ... .- n .............................. CLAIRE L.GLEW i rkzture of- Applicant) Notary Public„State of New York No.4.879505 Qualified in Suffolk County Commission Expires December 8,19 - The locations of wells and cesspools shown herson are from. Ie , The wafer supply and sewage disposal observations and or from data obtained from others. rEsr *1 systems for this residence will conform moo H. S. # 89-SO-121 D,TAr to the standards-of The Suffolk County- sEr ( a4m o�WN CLAYEY a. Department of Health Services. PK i COUNTOUR LINES AS SHOWN ARE PROPOSED BROWN LOAMY cLAY 2X. BROWN CY.A Y V. WA TM N BROWN ` ® I SUR VE Y OF WATER N BROWN P = ! AEr" TO COARSE SAND 14- to 5 PROPERTY IDA T SOUTHOLD E #2 TOWN OF SOUTHOLD C" �°0." fio� N i- CL4YEY LOAM !o" z°'� UFFOL K COUNTY N. Y. BROWN LOAMY BROWN TO MEULW �o �� COARSE SAM d 1000 51 - 06 - 15 N WA TO? BROWN MEWW 3 f Scale 1" = 4 0' To �DAR SAS Sep t.�+ /141- 1988 WA TV?NBROWN S9 FND 2T Sept 2�7, 19 9 (b.a 1 FINE N COARSE �. ON c o S� V, TA r•. 51' Jana 23, 199/(revise)B.O.K �- Posr a 'pO 19920owxfW on) .a•..x RAIL \ LP' � s • ': i2� \�' 9 j�� . . , FENCE AP,RE 24 1992(fatal.) Q' a 3v a CAD TO TICOR TITLE- GUARANTEE COMPANY C1 SOUTHOLD SA VINGS BANK - i pre AOELlK/ KOUKOUNAS �o� Ffas Z KONSTANTWOS KOUKOUNAS Vq N/O/F JOSEPH H. SA W1CKI ( Tu Zr- — DEPARTMENT OF HEALTH.SERMES DWELLING act FOR APPROVAL of CONSTRUCTION ONLY DATE HS REf.NO 0 FED 190'12 \ DWELLING 1 • -r vED ....... N/O/F WILLlAM OTC 1. OR b , LOUIS P. PASTA NA. N/O/F \ OF . . C ONTI �A��D,Sfi MERL-f ca .1. ME 'A SAL ROMANO F 0 R (DWELLING ) {i tl O Prepared In accordance with the minimum GR '•' LIC NO 49618 standards for title surveys as established by the L.I.A.L.S. and approved and adopted 1�`' C YORS, P.O for such use by The New York State Land 1v` Title Association. AREA = 42,446sq.ft. B® MA aEVAT110W Alm AEFEREWM TO ASSUIED DATUM N.sc Rrr.s•o� 9 2/9/ I SOUTHOLD, -X Y. 11927 88 - 165A