HomeMy WebLinkAbout37133-Z f�Su t Town of Southold Annex 2/8/2013
P.O.Box 1179
y 54375 Main Road
Southold,New York 11971
4,o �� ij
CERTIFICATE OF OCCUPANCY
No: 36136 Date: 2/8/2013
THIS CERTIFIES that the building PORCH
Location of Property: 14005 ROUTE 25 MATTITUCK,
SCTM#: 473889 Sec/Block/Lot: 140.-3-28
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/4/2012 pursuant to which Building Permit No. 37133 dated 4/11/2012
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:
Porch Addition to an existing Single Family Dwelling as applied for
The certificate is issued to DAVID&PATRICIA DERIDDER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
i
A ' ed ignat re
TOWN OF SOUTHOLD
o�gUFFD(�-co
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
"- • SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit.#: 37133 Date: 4/11/2012
Permission is hereby granted to:
DAVID & PATRICIA DERIDDER
P.O. BOX 1465
MATTITUCK, NY 11952
To: construct a porch addition to an existing single family dwelling as applied for
At premises located at:
14005 ROUTE 25 MATTITUCK
SCTM # 473889
Sec/Block/Lot# 140.-3-28
Pursuant to application dated 4/4/2012 and approved by the Building Inspector.
To expire on 10/10/2013.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $288.80
CO -ADDITION TO DWELLING $50.00
Total: $338.80
Building Inspector
Form No.6
�C
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:
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 fi-om 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) Lion-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 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$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00,
Swimming pool $50.00, Accessory building$50.00, Additions to accessory building$50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy- $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. q' 7 l
New Construction: J Old or Pre-existing Building: (check one)
Location of Property:
House No. Street Harnlet
Owner or Owners of Property: A V
Suffolk County Tax Map No 1000, Section r/ d Block 3 Lot a
Subdivision Filed Map. Lot:
Permit No. ::5 -2j Date of Permit.y ' I Z' 1 Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ D.
Applicant ignature
r r
/� �DF$�(/j�,OIO
/FOUND!ATION
SOUTHOLD BUILDING-DEPT.
765-1802
INSPECTION ,
[ 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE f 71� Y INSPECTOR
�o �o
Comm
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ]�FONDATION 2ND [ ] INSULATION
[ FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE �� INSPECTOR
ho��OF SOUT,y��
m • �Q
ycoy,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION -
] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR
_ pF SO(/T�,olo
H
cOUHiY,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION .
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING/STRAPPING [ ' FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR
COLD ON DATE
C
01)
WIMP i'1ION IS ke
c N i
.. ci
FMINDATION(2ND) t�
YZ
ROUGH II11q&.
PLU.AMMG
14
• : . � to
INSUL•ATION PV1t N6 Y.
STATE ENERGY CODE. ' .
•RIl�1AL
ADDITIONAL,C.OM11! NTS .
rl) KA
m
Z
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TO'vO HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. 9203 Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
' Flood Permit
Examined 20 Single&Separate
Storm-Water Assessment Form
Contact:
Approved ,�' ,20 Mail to: PAY 1 D DE9 10 129
Disapproved a/c o ,/
// Phone:
Expiration o (l ,2
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date O¢ /Z , 20
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 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
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 authorizejn 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 hi building for necessary inspections.
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant i 0owner, ssee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises D V l Y P47vict -4 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.
1. Location of land on which proposed work will be done:
14C-
14— oos- ivl 4/AV R_ �0 /k iG tr7 77,- L
House Number Street Hamlet p�
County Tax Map No. 1000 Section Block 61-3 Lot 2 a
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .Slits 6 LF pe" (L V /!�
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work prM p paAG 0 deG-fr-I ft 601L o(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
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 Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
5-re S'uR157
-
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 h- `t"'
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�P�R i a t2f L Address Phone No. 2�-
Name of Architect/49K/L .SC ffiot 9e Y'L Address Phone Nor 7?d
Name of Contractor Address 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.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF N W YO )
SS:
COUNTY O 1�
V 1-6( being duly sworn, 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 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.
Sworn to efore me this
da f 20_LL VICKI TOTM
Notary Public,State of New York
No.O1T06190696
d in Suffolk Coy
Notary Public Commission Expires July 2 , 01,2- Signature of Applicant
J
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REVISIONS:
ut"CCUIPANUT" OR
USE IS UN WFI,-- ',-
6 —0 �gg key-1'0 B ERTIs-* '
11 1
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p
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ox ��j
'� B.P. # 3-3 Z
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1
Y 1 BUILDING DE'o4RTMEi�TI
' W SG2 8 ANI TO 4 PM FOR THE
.� _OlPJ!NG INSPECTIONS: a
C° 00 C>t x _ OUNDATION - TV%/C REQUIRED o
I I4 y FOR POURED CONCRETE
In 1 �o p^ 2 ROuGN `R�.P":!NG PLUMBING,
i 4 ^? °` STRAPPING. ELECTRICAL &CAULKING p
x
an d n 3. INSULATION w
O n O p 4. FINAL-CONSTRUCTION &ELECTRICAL U
z > MUST BE COMPLETE FOR C.O.
' n m , 2X6 ACQ LEDGER 0
a � :"
p ��% ALL CONSTRUCTION SHALL MEET THE
_ REQUIREMENTS OF THE CODES OF NEW p..,
Iu p �% v YORK STATE. NOT RESPONSIBLE FOR
a PL0. 6X6 POST ABOVE C° o DESIGN OR CONSTRUCTION ERRORS.
Lo
' R 12"dia.CONC.PIER
i I N �''/ T BELOW GRADE 1
1 j 1 1
�� 12)2X10 ACQ GIRDER -- - -�2X10 ACQ.G�IRDER�� 2X10 ACQ GIRD ER�Q � A
- &---------------I
81-01/411 81-01/2" 81-01/419
25'-1" '-2' b o
E PROJECT NORTH PORCH DECK PLANS A
f` s SCALE: 1/4". = 1' 7'
fT
DRAWN: MH/MS
Y .. SCALE: 1/4"=11-0"
�- JOB#:
April04,2012
SHEET NUMBER:
. . _. A-1
REVISIONS:
WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS
USE THE FOLLOWING OR APPROVED USP METAL CONNECTORS FOR PROPER WIND RESISTANT CONSTRUCTION.FOLLOW MANUFACTURES RECOMMENDED INSTALLATION INSTRUCTIONS TO ACHIEVE MAXIMUM UPLIFT LOAD CAPACITY.
4'MAX,
4°MAX.
4-DIA MAXIMUM
4-CIA.MAXIMUM
POST
GIRDERMEADER
Z .
POST/COLUMN s�
12"xl2'xl2'
Z CONCRETE FOOTING
I aaa
nccu Dnrr Frr.mNNcrnnN
n umoFr RCNRARINf• 1LOCATION1 USPNUMBER DESCRIPTION APPLICATION p
SfA1R 0.dILINf. Purr-Tn-.1Rn Rn+noER nNNrnnN 4%4POST PAU44OR WE44 POSE/BEAM ANCHOR PPLY TO EACH FOOTING ^I
USE MIN.(2)12"DIA.GALV.BOLTS WITH WASHERS AND NUTS 6%b POST PAUfi6 OR WE66 POSE/BEAM ANCHOR PLY TO EACH FOOTING
1-1/2 SPACE
U � ^
MINIMUM a ti
HANDRAILS U w
GIRDE4�1 R;r En
U +d+ m@
POST
GIRDER/HEADER
RIMMECKJOIST POST/COLUMN
BALUSTERS p CONCRETE PIER 3
e °°
QPEN NCI I IcrFG ATiA[HED TO WAIT -
HdNn dl1R f�NNFCTION '
ALL HANDRAILS SHALL BE CONTINUOUS THE FULL LENGTH PAST-TO-DECK CONNECTION
OF THE STAIRS.HANDGRIP PORTION OF ALL HANDRAILS - NcancR/ra0.nca-TD.aDrr[nNNErnoN
SHALL NOT BE LESS THAN 1.1/4'NO0.MORE THAN 2°IN LOCATION USP NUMBER DESCRIPTION APPLICATION T^
CROSS SECTIONAL DIMENSION.OR THE SHAPE SHALL USE MIN.(2)1/2'DIA.GALV.BOLTS WITH WASHERS AND NUTS (2)BEAMS PAU44 OR WE44 POST/BFAM ANCHOR APPLY TO EACH PIER
PROVIDE AN EQUIVALENT GRIPPING SURFACE f.10.DERMFdDER Tn DnsTimtUAaN coNNErnoN (3)BEAMS IPAU66 OR WE66 IPOST/BEAM ANCHOR APPLY TO EACH PIER
FLASHING TUCKED UNDER O
TOP PIECE R SIDING AND
LAPPED OVER FIRST CONTIN. ¢may
GIRDER/HEADER PIECE OF SIDING BELOW LsnlmmlRBcn<Dn �TJ'
2-V2'DIA.LAG BOLTS W/WASHERS LAY PLASTIC BASE DIRECTLY ON W
CONNECTED TO BLDG.®32'CC UNDISTURBED SOIL(ORGANICS REMOVED) A
LEVEL BASE
STAIRTREAD eo FIT CONSTRUCTION TUBE AND PLUMB
POST/COLUMN SRACETUBE W O
RIM BOARD O° FILL AS PER MANUFACTURES INSTRUCTIONS � E-
STRINGER FLOOR FRAMING U
2x JOISTS � � a ram,
BLOCKING FOR JOIST HANGER
DOt'r-TO.fIRDFR1uFsnER fONNE['r10N LAG BOLTS O _ O
LOCATION USP NUMBER DESCRIPTION APPUCATION RIMJOIST/BD. • a
x4 SOLID COLUMN PBS44/ptrx4/KC44 POSE UP ANCHOR APFLV TO EACH COLUMN : DISTt IRBEn/PnnR srnL T U
rTRINGF0.m nFCKmnRrN fONNcrnaN bx6 SOLID COLUMN PBS66/PBSE66/KC66 POST UP AN
PLY TO EACH COLUMN LAY 4-W LAYER OF CRUSHED STONE OR
HOLLOW COLUMN SIMPSON STRRI/2 H.C.ANCHOR APPLY TO EACH COLUMN nFfK/DDRCN I FrI[.FR mNNFrnON GRAVEL
LEVEL AND COMPACT BY HAND O
LAY PLASTIC BASE ON COMPACTED GRAVEL
LEVEL BASE
FIT CONSTRUCTION TUBE AND PLUMB
BRACE TUBE _
FILL AS PER MANUFACTURES INSTRUCTIONS
WOOD JOIST
WOOD JOIST JOIST - _
BLOCKING mN(PICR FnnnNr. AA''
W
GIRDER/FIEADER gSECTOT 104.11 FOOTING FORM
IN ACCORDANCE WITH SECTION 104.11 OF N.V.S.RESIDENTIAL CODE THIS DESIGN. Imo!
WOODJOIST GIRDERMEADE0. WOOD GIRDER COMPLIES WITH THE INTENT OF THE CODE AND THE MATERIAL OFFERED IS O
AT LEAST THE EQUIVALENT IN DURABILITY AND EFFECTIVENESS OF THAT
PRESCRIBED IN THE CODE. O
THE DIVISION OF CODE ENFORCEMENT AND ADMINISTRATIONS FINDS THIS PRODUCT
11 i lsH IOISTi WrTH HFancIUGIRnER ACCEPTABLE FOR USE IN N.Y.S.BASED UPON ICBO EVALUATION SERVICE REPORT CL
ER-5495 AND SUBJECT TO THE CONDITIONS THEREIN.
ALL JOISTS CONNECTED TO A FLUSH HEADER TO BE SUPPORTED WITH <pU[ED IDIrrS OVER HEADER/GRDER =.y
$PI IfFl]IDIOTS DVFR HFAnFR/GIRnFR Al
THE PROPER STEEL CONNECTOR PROVIDE BLOCKING BETWEEN JOISTS THAT ARE SPICED AND \V
IF ABLE.SET FIR JOISTS APROX.1/4'HIGHER THAN LVL HEADERS LOCATION USPNUMBER DESCRIPTION APPLICATION USEWITH RTIOTYDOWN ANCHORS
TO ALLOW FOR SHRINKAGE. GIST TO GIRDERMEADER RT10 DOWN ANCHOR CONNECTTO EACH JOIST �5 f-C r �7�p�•*` �yV [�
DECK&PORCH NOTES:
NAILING SCHEDULE
)-Unless otherwise noted,all framing material to be ACQ pressure treated lumber.
11 fastener,hanger and andwrs to be galvani stzed or stainless Heel. JOINT DESCRIPTION NAIL NAIL NOTES
QTY. PACING S
).Girders for deckjolste to be bolted or anchored to each post or pier with washers and nuts JOIST TO: PER TOE
Irders on co, ho piers shall be anchored with 4-Ed COMMO yip•
ILL TOP PLATE OR GIRDER JOIST NAIL
proper steel connectors anchored
Into ranerete with a minlmum 1/2'dia x T long anchor bolt with washers and nuts. CLIMATIC&GEOGRAPHIC DESIGN CRITERIA BRIDGING EACH TOE
GROUN WIND SEISMIC FROST WINTE ICESHIELD TO JOIST 2-Bd COMMO END NAIL F °F
3).Posts supporting girders shall be anchored to a 12'xl2'xl2'thick concrete footing. 'FLOOD -
Use a minlmum 1/2-die x T Ion SNOW SPEED DESIGN THERIN LINE TERMITE DECAY DESIGN UNDERIAYM BLOCKING EACH TOE
g anchor bolt with washers and nuts.Footings Shell HA2AILD5 TO JOIST 2-Ed COMMO END NAIL
be 4 R.below grade. LOAD (MPH)CATEGORY DEPTH TEMP. REQUIRED
BLOCKING TO: EACH TOE R
4).Deck jobs,to have blocking at 810 o.c. 45 LBS. 120 B SEVERE 3FT. MO HEAVY
SLIGHTTO MODERAT it NONE - SILL OR TOP PLATE 3-16d COMMO BLOCK NAIL DRAWN: MH/MS
TO Y �l.
).A minimum of 101nch 8eshin hall be installed between the building and led er. LEDGER STRIP EACH FACE '
3-ibd COMMO - -. SCALE: )/4"=)'-0"
g s g a g TO BEAM JOIST NAIL _ p
Ledger to be fastened to building with 1/2'die.bolts with washers and nuts JOIST ON LEDGER PER TOE JOB :
at 16'mc. 3•Ed COMMO
TO BEAM
JOIST NAIL "1' •6).Concrete plats shall he a minimum 6'abwe grade. BAND April(k}.ZO)2
JOIST PER END " �y. P
3-16a COMMO SHEET NUMBER:
TO JOISCOMMOJOIST NAIL
).All joists to be supported with hangers and anchors.Eads Joist shall also be anchored BAND JOIST TO: 2-16d COMMO PER TOE NAIL o glyder(s)• SILL OR TOP PLATE FOOT /�
ys 8).Use dmpson hangers end andum;with 2-MAX Cripple protective coating or equal _' ■
or any contact with ACC. L
T