HomeMy WebLinkAbout37389-Z guF c�.c Town of Southold Annex 9/13/2012
P.O.Box 1179
54375 Main Road
co
o ® IV Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35948 Date: 9/13/2012
THIS CERTIFIES that the building FOUNDATION
Location of Property: 1110 Gillette Dr, East Marion,
SCTM#: 473889 Sec/Block/Lot: 38.-2-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/13/2012 pursuant to which Building Permit No. 37389 dated 7/24/2012
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:
foundation wall repair and replacement as applied for.
The certificate is issued to Cook,Walter&Cook,Barbara
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
i
711111zed ignature
Fat TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 37389 Date: 7/24/2012
Permission is hereby granted to:
Cook, Walter & Cook, Barbara
C/O Judith C Palmer, Exec
8448 Woodlane Dr
Germantown, TN 38138
To: Alterations to a Single Family Dwelling;
Foundation Wall, Repair& Replacement, as applied for.
At premises located at:
1110 Gillette Dr, East Marion
SCTM # 473889
Sec/Block/Lot# 38.-2-12
Pursuant to application dated 7/13/2012 and approved by the Building Inspector.
To expire on 1/23/2014.
Fees:
CO -ALTERATION TO DWELLING $50.00
FOUNDATIONS UNDER EXISTING BUILDINGS $200.00
Total: $250.00
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 for
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.2110 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"kind 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_ Certificaie of Occupancy- New dwelling$50-00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
t Swimming pool$50-60,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,Co
rntnercial$15.00
Date_
Vew Construction: Old or Pre=existing Building. ' " (check one)
location of Property: ' I I c)
House No. Street Hamlet
)wner or Owners Property..of
_
luffolk Eounty Tax Map No-1000, Section Block Lot
lubdivision Filed M
. - - aP• Lot:
'etmit No. 2 '259 Date of Permit. 7`2 —/Z Applicant:
Ieaith Dept.Approval: Underwriters Approval:
tanning Board Approval:
:.quest for: Temporary.Certificate Final Certificate: (check one)-
-
ee Subnutted: $ Q .
Applicant Signature
� �OF SOpT�,
�o
O�y�OUMY,�c�
TOWN OF SOUTHOLD BUILDING DEPT.
766-1602
'NSPECTION ' -
[ F NDATION 1ST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE &.CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL.(ROUGH) [ ] ELECTRICAL (FIN L)
REMARKS:
DATE 1 INSPECTOR
7 3
• aQ
TOWN OF SOUTHOLD BUILDING-DEPT.
765-1802
INSPECTION .
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING/STRAPPING [ FINAL
[ ] FIREPLACE A.CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR Z-4y
r �
FIELD MSPECTlON REPORT DATE COMMENTS
03
FOUNDATION(1ST)
zz .
- ---------------------------------
FOUNDATION(2ND) �
Q>
ROUGH FRAMING& y
PLUMBING
M
INSUL•ATION PER N.Y.
STATE ENERGY CODE
4
FINAL
ADDITIONAL COMMENTS
C z
�y
�C
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 g qr Survey
SoutholdTown.NorthFork.net PERMIT NO. ( Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
/ Flood Permit
�f
Examined / 4— ,20 1 Single&Separate
Storm-Water Assessment Form
�f / �1 Contact:
Approved r _ 20 f �` Mail to:
Disapproved a/c `r
2 Phone: Cr I
Expiration rJ'3 ,20 l
r
Rn E C E � E Building Inspector
u JUL 10 2012 APPLICATION FOR BUILDING PERMIT
Date , 201
BLDG.DEPT. INSTRUCTIONS
TOWN OF SOUTHOLD
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. 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.
(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
(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 whicb propose wo lc will be done:
11 l D
House Number Street Hamlet
County Tax Map No. 1000 Section 3& Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:mp
a. Existing use and occupancy I\e5+
b. Intended use and occupancy
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work Rem: - Rep(4fe
(Description)
4. Estimated Cost � �'�,C�Z� 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? }r
Height Number of Stories
i I
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
12. Does construction violate any zoning law, ordinance or regulation? YES NO t/
proposed /
13. Will lot be re-graded? YES NO /Will excess fill be removed from premises? YES NO
14. Names of Owner of premises rs - LT C4rrk Address POLY 316(I Z9 /1?3-/'Phone No. 3'4y-G 71 L
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO V
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE R UIRED.
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 OF )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
C®IVIv1E D. BUNCH
Notary Public,State of New York.
(S)He is the Ne.OI BU6161300
(Contractor,Agent, Corporate Officer, etc.) Qualified in Suffolk Co.:.:r_e
Commission Expires April 14, ..�
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 before me this
0A day of LLut 201�-
Notary Public ignature of Applicant
wee r Town of Southold - Chapter 236 - Stormwater Management
� � 2
's SWPPP - Storm Water Pollution Prevention Plan Assessment Form
GFNFRAT. WORMAUON: (All Requested Information is Required for a Complete Application)
APP CA NAME Owner Agent-Consultant-Contractor or Other(Circle One) Property OWNER*(If Different than Applicant
Address:QG rl_x i g(r + Address:
Telephone Lie Fax tv l Telephone t Fax
y I
�31 32Y Gay
E-Mail ! i
E-Mail: i
Property Address: r 11 U &t. le ge- Brief Description of Construction Activity,Proposed Sttuctural BMPs,Soil
S.C.T.M.#: 1000 Stabalizdtion BNTs,Project Scope and/or Sequence of Construction Ac&ity
Disfdet SeeNon 61ock Lot tProvide Addliorta!Pages a,Needed)
Name of Contrra�a7ictor and/or contact Person Responsible for Implementation of SWPPP: GNP r@' Ie,e 1>t Tom_ n
Address:DG )f 1l� - - -
Telephone IL,
�e` Fax# (S� �G.9 rl -_
------ - ------- '- i
E-Mail: n _� _.� Z,1✓t�------ I I
Name of Persons Responsible for Installatlon 3 McIntenance of Erosion Control Practice:
Address: V /4 CQG w t1 G•rPo ! I
Telephone#: Fax# well ---------------------------
E-Mail: _
-------------------------------------------
Total Area of All ----------- ---------------------
Total Area of Land Gearing ------------
Project Parcels: and/or Ground Disturbance: j
(S.F./Aces) (S ____--^---"------
.F./Aces) .
_.
Project Duration: Start End ______-.____._________- (Anticipated) �Date: Date: _ -
(Numtxr of Cale,Mar Days) .-- _---_--__....__---_ _ _
Will this Project Disturbe five(5)or More Acresat [� ---•------------`---------------`------------
`Nb _... ;
Any One Time During the Proposed Development? Yes _.------------ _____.-________________.__________
IfIfYES:PleaseAnswertheFollowingl _ ________ _ ____ __ _ ___ _
--- ! ,
a. Does the Applicant have a Qualified Inspector On ` ;
Staff To Conduct the Required Inspections? Yes No `v^ -^
List the NAMES or description
b. Does the SWPPP Indicate How Frequently the Site [� ption of all Potentially Impacted Waterbodies and/or Wetlands:
Inspections will Occur and for What Period of Time? Yes No __
1 i ;
c. Does-the SWPPP Adequately Identify All Temporary
and/or Permanent SoilStabalization Measures? - Yes No +'----"-'- ------------- ---------- i
d. Does the SWPPP Adequately Identify a Complete ........
,_ ----- ----- -- -----•-- -
Project Phasing Plan? Yes No Status of Impacted Waterbody:(eq.TMDL,303(d)Listed,Impaired-) -
e. Does the SWPPP Indicate Additional Site Specific 0 C�
Practices that Will be Utilized to Protect Water Quality? Yes No ! j
f. Has the Applicant Submitted a Completed DEC Notice Of Intent and SWPPP Acceptance Form for Review Type of Impacted Waterbody:(eq.Lake,Creek,Bay,Pond,Sound,Freshwater Weiland-)
�]
by the Town of Southold? Yes No i
---------------- - ---- ----- - -------------
S7 ATE,OF NEW YORK, NCH
COUNTY OF.................!..!.` SS Notary Public,State of New York
,t No.01SU6185050
'1'l)at I,. .............being duly swom,deposes and�uFsS�(5Wd in
(lame of WrrvldG;igning Dowment) Irs cart r Permit, I
S p
And that he/she is the .............................................
(Owner,Contractor,Agent,Corporate Officer,eta)
Owner and/or representative of the 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 herewith ! f
Sworn to before me this; I r
10
` A I
..............�..._......._._.N_V�_K_kp
....._.day of.... ........ ......._..---•---....-----,20 J����°' al.
�
Notary Public: ........ ......................
•............... ..................�... ................._.............. i
( cant)
SWPPP Assessment FORM: 03-12
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JVIAP Of L O T
O1 MED BY
WAL7 6R BARBARA COOK
EAST MAR/ON
To w A( OF %sou r oi-o .
' D.B. BENNETT
CONSUI.,TING ENGINEER
March 19, 2012
Estate of Walter Cook
P.O. Box 3181
East Hampton, NY 11937
SUBJECT: 1110 Gillette Drive Residence
East Marion, New York
Dear Ladies &Gentlemen:
D.B. Bennett, P.E., P.C. is pleased to submit this report on my inspection of the
foundation of the subject residence. The purpose of the inspection was to assess its
structural stability, estimate its useful life and identify recommendations for remediation.
Drew B. Bennett, P.E. performed the inspection on March 17, 2012.
I report the following:
The existing foundation is constructed on concrete masonry units (CMU) and is
approximately 7 feet high. The foundation is estimated to be approximately 57 years
old.
The basement was dry and clean.
I observed no "Z cracks" on any of the foundation walls. These types of cracks typically
indicate differential settlement or footing failure. Visual sighting of the block lines
revealed no deflection.
measured the east foundation wall to be bowed inward near the center of the wall. The
bowing was measured to be 2" in four feet of distance. This is significant. The cracks in
the mortar lines near the bowing had been repaired to seal"gaps in the mortar. At the
time of my inspection, there were no gaps in the mortar.
I measured very slight wall movement in the other three walls (e.g. Y4" in four feet of
distance).
The type of foundation wall bowing observed on the east wall is typically caused by the
expansion of frost/ice on the outside of the wall.
Recommendations:
o Address the root cause of the wall bowing. The root cause is water runoff from
the roof laying along the foundation and freezing. This can be cured by
connecting the gutter down spouts to dry wells located away from the house.
FLO-WELL is a useful product for this.
o The east wall is not in imminent danger of failure. This type of wall failure
typically occurs gradually. Nevertheless, the east wall.should be repaired.
3 RAILROAD AVENUE - P.O. Box 1442 • EAST HAMPTON - NY - 11937
TEL: 631-907-0023 - FAx: 631-329-0324 • WWW.DBB-PE.COM
D.B. BENNETT, P.E., P.C.
In my opinion, are two methods to repair and stabilize the east wall:
1. Install buttress walls 6 feet on center perpendicular the east wall. This method
will stabilize the wall by will consume some useful space in the basement.
2. Demolish the east wall and replace it with a new reinforced CMU wall. See
attached sketch for a construction detail.
trust this information is clear. Please call me at 631-907-0023 with any questions.
Respec ully submitted,
D.B B n tt, P.E., P.c. .
Drew B. Bennett, P.E.
(16-126)
2
D.B. BENNETT, P.E., P.C.
j
OPEN END
UNIT
®, �10
OPEN END ®®
ONI OTHER TYPE L•-®
®® ®® HALF
UNIT
PARTIALLY GROUTED CMU
40 inch REINFORCEMENT SPACING
N.T.S.
BOND BEAM
REINFORCING
CONTINUE VER ICAL
WA L REINFOR EMENT
XX TYP. CMU BOND BEAM FOR 7 FT WALL
SK-1
East Foundation Wall
1110 Gillette Drive
East Marlon,New York
March 19,2012
D.B.Bennett,P.B.,P.C.
Consulting Engim
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CONSTRUCT NEW REINFORCE CMU FOUNDATION WALL
DAMP—PROOF OUTSIDE OF WALL
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FOUNDATION
COMPLY WITH ALL CODES OF PLAN
NEW YORK STATE & TOWN CODES
AS REQUIRED
: HOLD TOWN ZBA ISSUE
SOUTHOLD NNING BOARDNo. DATE
UT TOWN TRUSTEE B.P. 7/6/1 2
S.DEC
RETAIN STORM WATER RUNOFF
CONCRETE BLOCK
PURSUANT TO CHAPTER 236 AP,PP�C`,i EJ AS NOTED
- q
1. ALL CONCRETE BLOCK WORK SHALL CONFORM TO THE "NATIONAL CONCRETE MASONRY ASSOCIATION SPECIFICATIONS," h OF THE TOWN CODE, -.TE ' n Lol-B.p• 4 37=
LATEST EDITION. GENERAL NOTES _7_- E a-o o oo�Y
2. CONCRETE BLOCK SHALL BE OF LIGHTWEIGHT AGGREGATE AND CONFORM TO THE FOLLOWING STANDARDS: 1. ALL STRUCTURAL WORK SHALL BE COORDINATED WITH ARCHITECTURAL AND MECHANICAL DRAWINGS AND SHALL CONFORM
SOLID/HOLLOW BLOCK: ASTM C90, GRADE N1. v0TIFY DEPARTMENT AT
TO THE PROJECT SPECIFICATIONS, INCLUDING THE STATE OF NEW YORK BUILDING CODE, LATEST EDITION. -5 �. . TO 4 FM FOR THE
NET AREA COMPRESSIVE STRENGTH NET AREA COMPRESSIVE STRENGTH 2. CONTRACTOR SHALL PROVIDE TEMPORARY SHORING, BRACING, SHEETING AND MAKE SAFE ALL FLOORS, ROOFS, WALLS OLLC''• cECTIONS:
OF CONCRETE MASONRY UNIT, PSI OF MASONRY ASSEMBLY, F'm, PSI AND ADJACENT PROPERTY AS PROJECT CONDITIONS REQUIRE. I. FOI►N,. v - TWO REQUIRED
F" , P0. '� r,ONCRETE
USING TYPE S MORTAR. 2 RO,.,GH.: 1J,NG.PLUMBING,
S'
1900 1500
ELECTRICAL&CAULKING
�F,PPI
2800 2000 3. DIMENSIONS AND ELEVATIONS OF EXISTING CONSTRUCTION GIVEN IN STRUCTURAL DRAWINGS ARE BASED ON INFORMATION 3 INSULATION
CONTAINED IN VARIOUS ORIGINAL DESIGN AND CONSTRUCTION DOCUMENTS PROVIDED BY THE OWNER, AND LIMITED FIELD a FAAL-CONSTRUCTION&ELECTRICAL DATE
3750 2500 OBSERVATIONS AND MEASUREMENTS, THE CONTRACTOR SHALL VERIFY ALL INFORMATION PERTAINING TO EXISTING CONDI- '.+UST BE COMPLETE FOR C.O.
TIONS BY ACTUAL MEASUREMENT AND OBSERVATION AT THE SITE. ALL DISCREPANCIES BETWEEN ACTUAL CONDITIONS AND CONS T RUCTION SHALL MEET THE
4800 3000 THOSE SHOWN IN THE CONTRACT DOCUMENTS SHALL BE REPORTED TO THE ENGINEER OF RECORD FOR HIS EVALUATION '.EQUIREVENTS OF THE CODES OF NEW
UNLESS (OTHERWISE NOTED ON PLANS AND/ OR ELEVATIONS, CONCRETE BLOCK UNIT STRENGTH SHALL BE 1900 PSI MIN. BEFORE THE AFFECTED CONSTRUCTION IS PUT IN PLACE. .:JRK STATE. NOT RESPONSIBLE FOR
NOTE: CONCRETE BLOCK WITH UNIT STRENGTH HIGHER THAN 1900 PSI REQUIRE LONGER DELIVERY LEAD TIMES. DESIGN OR CONSTRUCTION ERRORS. 07.06.12
3. ALL MORTAR SHALL BE ASTM C270, TYPE S. SCALE
4. ALL GROUT FOR FILLING CELLS SHALL BE ASTM C 476 WITH MINIMUM COMPRESSIVE STRENGTH OF 2000 PSI BUT NOT
LESS THAN THE COMPRESSIVE STRENGTH OF THE MASONRY ASSEMBLY. F'm. 0� N _�
5. ALL BLOCK DIMENSIONS INDICATED ON STRUCTURAL PLANS ARE NOMINAL DIMENSIONS.
6. ALL COMCRETE BLOCK BELOW GRADE SHALL BE FILLED SOLID WITH GROUT. PI
coDRE1N B..BE IJNETT
7. CONCRETE BLOCK BELOW BEAM OR TRUSS BEARING POINTS SHALL BE FILLED SOLID FOR A MINIMUM OF TWO COURSES
IN DEPTH AND A MINIMUM OF 32 IN WIDTH, U.O.N.
1/4" = 1,-0"
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