HomeMy WebLinkAbout37376-Z -ram'
Town of Southold Annex
�O�gUFFDI�co 8/3/2012
P.O.
g aye .O.Box 1179
y 54375 Main Road
rh
oy Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 35857 Date: 8/3/2012
THIS CERTIFIES that the building DECK
Location of Property: 3750 Pine Neck Rd, Southold,
SCTM#: 473889 Sec/Block/Lot: 70.-12-9.6
Subdivision: Filed Map No. Lot No...
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/9/2012 pursuant to which Building Permit No. 37376 dated 7/19/2012 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: r -
"as built"deck addition with hot tub to an existing one family dwelling as applied for.
The certificate is issued to Stathis, Christopher&Cahill,Diane
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37376 8/2/12
PLUMBERS CERTIFICATION DATED
Autho ' Si atu e
TOWN OF SOUTHOLD
��o may BUILDING DEPARTMENT
CO TOWN CLERK'S OFFICE
o . � 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#: 37376 Date: 7/19/2012
Permission is hereby granted to:
Stathis, Christopher& Cahill, Diane
3750 Pine Neck Rd
Southold, NY 11971
To: install "As Built" Hot Tub on deck addition as applied for
At premises located at:
3750 Pine Neck Rd, Southold
SCTM # 473889
Sec/Block/Lot# 70.-12-9.6
Pursuant to application dated 7/9/2012 and approved by the Building Inspector.
To expire on 1/18/2014.
Fees:
SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $500.00
CO -ADDITION TO DWELLING $50.00
Total: $550.00
Building Inspector
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:
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-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$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
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. ()
New Construction: Old or Pre-existing Building: (check one) 11
Location of Property: 1 1 dl,e, Ic—dt SOL)4-te I Ci
House No. Street Hamlet
Owner or Owners of Property: k4jim Gj
Suffolk County Tax Map No 1000,Section q0 Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 5- o + `
Applican Sign e
O��pF SO(/r�ol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 N
Southold,NY 11971-0959 .t`
�� roger.richert(a-town.southold.ny.us
COUNT`1,�`�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Diane Stathis
Address: 3750 Pine Neck Rd City: Southold St: NY Zip: 11071
Building Permit#: 37376 Section: 70 Block: 12 Lot: 9.6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Custom Lighting of Suffolk License No: 38893-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub X
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: install 50a GFCI protected disconnect for self contained hot tub
Notes:
Inspector Signature: Date: Aug 22012
81-Cert Electrical Compliance Form.xls
aF sooryo�
co ,
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
Of SO�TyO�o ,
V OlycO���
TOWN OF SOUTHOLD BUILDING DEPT.
. 1
765-1802
-INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL)
REMARKS:
DATES IN 43- ' v
SPECTOR
f
FIELD INSPECTION REPORT DAn7 COMMENTS
ro
FOUNDATION(IST) J
- --------- ------------------
FOUNDATION(2ND) �
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ROUGH FRt1AnNCx& y
PLUMBING
7
INSUL•ATION PER N.Y.
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STATE ENERGY CODE
FINAL
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ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN 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.NorthForLnet PERMIT NO. 37.326 Check
Septic Form
N.Y.S.D.E.C.
D EC E � V E 0 Trustees
Flood Permit
Examined 71J 1,2V2: Storm-Water Assessment Form
/ JUL 9 2012 Contact:
Approved 6 20 �y Mail to: Qayl
Disapproved a/c BLO T.
TOWN OfF SOUTHOLD
Phone:
Expiration 20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date J iJ I �]. ,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"n 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 authorizedhas 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.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises �ln r,S
(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.
1. Location of land on w proposed work will be done:
i vi..e_. c14..— Sow
House Number Street Hamlet
County Tax Map No. 1000 Section Block 19� Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and ' ended use and occupancy of proposed construction:
a. Existing use and occupancy Sl n Wt
b. Intended use and occupancy w o4 -lo b
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work Pew V- 44#-�- l�Q,
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwellingunits on each floor
If garage, number of cars
6. If business;commercial or mixed occupancy, specify nature and extent-of each type of use.
/ J
7. Dimensions of existing structures, if any: Front . 3 ear 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 f
Height `' Number of Stories
9. Size of lot: Front 3 `�.�y Rear t 5-. Depth /`�/. 057
10. Date of Purchase 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 X '
13. Will lot be re-graded?YES NOXWill excess fill be removed from premises?YES NOk
14.Names of Owner of premises S S Address. so0q Phone No.
Name of Architect Vg-6r I Address Phone No
Name of Contractor &L' twUl V 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 NEW YORK)
SS:
COUNTY O
Al,V1GtJ1 U P/�f being duly sworn, deposes and says that(s)he is the applicant
(Name of individual Isigning co tract)above named,
� :BONNIE D. BUNCH
(S)He is the .�SI Notary Public,State of New York
(Contractor,Agent, Co rate Officer,etc.) No.
Qualified in Suffolk County
Commission Expires April 14,2-QLIG
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.
Sn�to before me this
Tf'-Gl day of 20
Notary Public ignaW of App icant
Tovm Hall Annex Telephone(631)7g65�-18Q2
54375 Main Road maer.rlCttertdtOWrl i�OlJtAMI nY•US
P.O.Box 1179
Southold,NY 11971&59
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED Sr.' ,��; Date:
Company. Name: (V,
Name:
License No.:
Address: ok
Phone No.:
JOBSITE INFORMATION: (`Indicates required information)
*Name..
s
*Address:
*Cross Street: L,
*Phone No.: -2
Permit No.. �� — .�. t_► ':2/ yh�/ !
Tax Map District: 1000 Section: - — —
Block: Lot: ,(a. ,
*BRIEF DESCRIPTION OF WORK"(Piease Print Clearly) . .t-
(Please Circle All That Apply)
*is job ready for Inspection: / NO
. �� . Ro
YES/ ugh In ElDo you need a Temp Certificate: al
. � .
Temp'lnformation(If needed)
*Service Slze: 1 Phase 313hase 100 150 200 300. 350 400.
*NOW Service: Re-connect Underground Number of Meters Change of Service Omer
Additional Information: Overhead
PAYMENT DUE WITH"APPLICATION
82-Requeat for Inspection Forth ! �"
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PARTIAL ELEVATION .
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FEE. BY
NOTIFY BUILDING DEP RT ENT AT U�
DECK PLAN 765.1802 8 AM TO 4 PM FOR THE W Z
FOLLOWING INSPECTIONS:
SCALE: 4" = 1 '—O" 1, FOUNDATION-TWO REQUIRED J m
FOR POURED CONCRETE
OCCUPANCY OR 2, ROUGH-FRAMING,PLUMBING, •
STRAPPING,ELECTRICAL 6 CAULKING
USE IS UNLAWFUL 3, INSULATION
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4, FINAL-CONSTRUCTION 6 ELECTRICAL � }
WITHOUT CERTIFICATE ALL MUST BE aucrloN COMPLETE FOR C.O. THE Q v z
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YORK STATE. NOT RESPONSIBLE FOR °
t DESIGN OR CONSTRUCTION ERRORS. -- o
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PEE OF NEELECTRICAL
' PAGE:
ENCLOSE ;'.,,1-TO CODE
UPON C.,:'
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GENERAL NOTE:
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These plans and draHnngs reflect work performed approximately 2 years ago;to
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the best of my knowledge,all work has been completed as shown,and in accordance g z N p
with current codes.
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ELECTRICAL NOTE:
• All electrical work to be BOARD OF FIRE UNDERWRITERS approved and to include Z
installation of fixtures per specifications. GPI outlets required at exterior areas. Outlets as per � ILl
code. All work done in strict accordance with the New York State Code by a licensed electrician. Q }
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EXISTING FOUNDATION TITI
TO REMAIN
IFT— EX
EXISTING HOUSE
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OUTLINE OF DECK ABOVE;
2"X 8" RIM BOARD O 1— p
COINTINUOUSLY AROUND � O O
OUTLINE OF ]HE 1111
o HOT TUB ABOVE
10" 50NOTUBE PIER ❑
TO POURED CONCRETE HOT TUB AS PER
FOOTING, 42"BELOW EXISTING � MANUFACTURER;
GRADE,TYPICAL ALL;
IXPIOSED t VERIFIED SAFETY COVER
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2"X S"ACQ D.J. I G GRADE O.C. r 1
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GRADE,TYPICAL ALL; 1 EXPOSED *VERIFIED V rn 1
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DECK SECTION '
SCALE: 4" = I '-O"
FOOTI NG FRAME PLAN CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA
WEATHERING SEVERE
SCALE: 4' = I '-O" DECK * PORCH NOTES: TERMITE INE DEPTH MODERATE TO HEAVY
1).Unless otherwise noted,all framing material to be#I ACQ pressure treated lumber. DECAY SLIGHT TO MODERATE
All fasteners,hangers and anchors to be galvanized or stainless steel. WINTER DESIGN TEMP. 1 1
2).Girders for deck joists to be bolted or anchored to each post or pier with washers and nuts. ICE SHIELD UNDER- AS PER MANUFACTURER'S
Girders on concrete piers shall be anchored with proper steel connectors anchored LAYMENT REQUIRED SPECIFICATIONS/STATE CODE U
into concrete with a minimum 112"dia x 7"long anchor bolt wth washers and nuts. 7
FLOOD HAZARDS Z
3). Posts supporting girders shall be anchored to a 12"xl 2'kl 2"thick concrete footing. r
w �� ; �a� ,- Use a minimum 112"dia x 7"long anchor bolt with washers and nuts.Footings Shall +,
DESIGN LOAD CALCULATIONS
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4). Deckjoists to have blocking at 50 o.c..
n9 n9 g MINIMUM UNIFORMLY DISTRIBUTED LIVE LOADS(Ibsf) W r
5).A minimum of 10 inch flashing shall be installed between the buddi and led er. r
Ledger to be fastened to budding with 112"dia.bolts with washers and nuts EXTERIOR BALCONIES 60 J
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40 shall " DECKS 40 � U
+0 ® AAW 6).Concrete piers sal be a minimum 6 above grade. ATTICS WITHOUT STORAGE 30 •
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$ a 7). All joists to be supported with hangers and anchors-Each Joist shall also be anchored ATTICS WITH STORAGE 40
i to girder(s). ROOMS(OTHERTHAN SLEEPING ROOMS) 40 U O }
SLEEPING ROOMS 30 z r l
NAILING SCHEDULE Q v z
CRITERIA FOR CALCULATION OF DEAD LOAD z Z
JOINT DESCRIPTION NAIL NAIL NOTES
QTY. SPACING ACTUAL WEIGHTS OF MATE ALS REFERENCED TO A.I.A.
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TO BEAM JOIST NAIL _
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50NOTUBE PIER CONCRETE FOOTING
CODE COMPLIANT
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