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HomeMy WebLinkAbout37505-Z 11/19/2012 ✓gUEfO(,� '� Town of Southold Annex c�Gy� P.O.Box 1179 5 x ' 54375 Main Road Southold,New York 11971 �r CERTIFICATE OF OCCUPANCY No: 36049 Date: 11/19/2012 THIS CERTIFIES that the building DECK Location of Property: 46660 Route 25, Southold, SCTM#: 473889 See/Block/Lot: 75.-3-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/28/2012 pursuant to which Building Permit No. 37505 dated 9/11/2012 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: Rear Wood Deck Addition, 9' 6"X 15' 9", with Steps, as applied for. The certificate is issued to Wood,Robert&Wood, Susan (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED t rize Signat re �s�FFn�x TOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 37505 Date: 9/11/2012 Permission is hereby granted to: Wood, Robert &Wood, Susan 46660 Route 25 Southold, NY 11971 To: Addition to a Single.Family Dwelling; Rear Wood Deck, 9' 6" X 15' 9" with Steps, as applied for. At premises located at: 46660 Route 25, Southold SCTM # 473889 Sec/Block/Lot# 75.-3-4 Pursuant to application dated 8/28/2012 and approved by the Building Inspector. To expire on 3/13/2014. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $260.00 CO -ADDITION TO DWELLING $50.00 Total: $310.00 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$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. 1/7" 1 2-- New Construction: Old or Pre-existing Building: (check one) Location of Property: 4-1(o 0 alb 0!51 House No. II s Street Hamlet Owner or Owners of Property: A bL�'' c--e-2 10 p p d Suffolk County Tax Map No 1000, Section Block 3 Lot Subdivision Filed Map. Lot: Permit No. 3775_Q,5__ Date of Permit. I`r 12 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: check one) Fee Submitted: $ Applicant Signature 7 �ycoutm,��' TOWN OF SOUTHOLD BUILDING DEPT.- 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 L) REMARKS: - DATE INSPECTOR SOpl�o� i TOWN OF.SOUTHOLD BUILDING DEPT.. 765-1802 ' INSPECTION .. . [ ] FOUNDATION .1 ST [ ] ROUGH PLBG. [ IF UNDATION 2ND [ ] INSULATION [- FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS:. DATE f INSPECTOR FIELD IlNSPEc=ON RRPORT DATE CONIl�� FOUNDAnON(1ST) C Q FOUNDATION(2ND) ROUGH FRAMWQ& y PLUMBING P a! IN,SUL•ATION PER N.Y. H STATE ENERGY COKE FINAL .ADDITIONAL COMMENTS o EA 0 IUD z CP d . r' 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 14 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 3 7�0 Survey &00 SoutholdTown.NorthFork.nct PERMIT NO. ! Check,:)00-1"55 -I- tf2� S Septic Form N.Y.S.D.E.C. Trustees C.O.Application r Flood Permit Examined r 1 ( 20 P-- Single&Separate Stonn-Water Assessment Form C� l Contact: Approved I 1 '20 l Mail to: Disapproved a/c 2 p� Phone: �Q Z- 321 7/3� Expiration 3 ~' �> ,20 I Building Inspector APPLICATION FOR BUILDING PERMIT Date �^ , 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 pail 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 pen-nit 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, housu.:igc0-6e—.-,,,n)d regulations, and to admit authorized inspectors on premises and in building for necessary inspections. �, r f applicant or name, if a co oration) k T - 2- 0710-19 (Mailing address of applicant) //'� 7( State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises G/�y'/Z� 57 60Q[]-0 (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 which proposed work will be done: �66 0 2/ S®�% House Number Street Hamlet County Tax Map No. 1000 Section Block Lot 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 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work eG (. 406 / 06 (Description) 4. Estimated Cost e?01) _ ( ©C7 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 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 A c,' CAl a Al Co ry T—o/e n 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 Address Phone No. 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 * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE RF IRED. b. Is this property within 300 feet of a tidal wetland? * YES NO 1/ * 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 ist applicant (Name of individual signing contract)above named, CONNIE D.BUNC Notery public,state of NOW Perk (S)He is the ^.,,ice i nSuffo k County u (Contractor,Agent, Corporate Officer, etc.) Cornrnission EXPOS Pry ' 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 before me this c=�&U day of 20l"c4- MD Notary Public Signature of Applicant Town of Southold - Chapter 236 - Stormwater Management x V ;A111SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) APTCANi NAME: ner Agent-Consultant-Contractor or Other (Circle one) ! CJ ( ) Property OWNEre IN Different than Appka'nt) j 0 rzz T 00 0 ; Address: U fOc Address. s J A Il). t Telephone#:,D Z 2— '3 Fax#: Telephone# Fax# 1 i E-Mall: E-Mal: t Property Address: Q( S C ( ( .7 Brief Description of Construction AcM�ity,Prroposed Shrttchual BMPs,soilS.C.T.M.#: 1.000 _\�f Stabalization BMPs,Project Scope and/or Sequence of Constnulion Activity Dbtrkt Sedbn frock Le (Provide Ad^ io-oal Pages as N-d-O Name o .tractor and/or Contact Persoq Responsible for implementation of SWPPP: - U l - 'L� �t✓_- -_! /h� ih d' 2 O� - ------- Address: ------- t Telephone Aft Fax#- ----------- - : E-Mal: -------------------------------------------- Namet ' --------=------------------- I one Responsible f tallat b M�Intenance of Freston Control Practice: ----------- Address: 15el Q ^-------------------------^----- ---------- ! I `, t F -------------------------------------------- Telephone#: Fax#: I F -------------------- ---- E-Mail: Total Arep of Al( --------- ---------------------------- 6 Area of Land gearing --------- Project Parcels: and/or Ground Disturbance: IsF_ra�l ------------------ Project Duration: Stag End "— - (Anticipated) Date: Date: "-------- (N-1—d Calendar Days) ._-_-_.-_ 1 Will this Project Disturbe five(5)or More Acres at O -------------------------------------------- i Any One Time During the Proposed Development? Yes No -------- If YES:Please Answer the Followin 1 -------------------.•-.------- ------- l I a_ Does the Applicant have a Qualiffed Inspector On 0 �� - - - ; Staff To Conduct the Required Inspections? Yes No b. Does the SWPPPJndicate HOW Frequently-the Site :� List the NAMES or description of all Potentially Impacted Waterbodtes and/or Wetlands: Inspections will Occur and for What Period of Time? Yes No c. Does-the SWPPPAdequately Identify All Temporary ------ ------ ------_"---------------------_---- Ii I[� `---------'--'------------ and/or Permanent SolStabalization Measures? Yes No j -------- ---_-_- d. Does the SWPPP Adequately Identify aComplete I f---� ----'-- ---------------- ______ __ __ I :Project Phasing Plan? Yes N Status of Impacted Wa►erbod : _ - y e. Does the SWPPP Indicate Additional Site Specific Y leg.TMDL.303(d)Listed,Impaired_) Practices that Will be Utilized to Protect Water Quality? Yes No l f. Has the Applicant Submitted a Completed DEC Notice -"--`--`-'------- '------------- -----•------- j Type of Impacted Waterbody:leg.Lake,Creek Bay,Pond,Sound,Freshwater Wetland_) Of Intent and SWPPP Acceptance Form for Review = 1 by the Town of Southold? Yes No l SPATE OF NFW YORK, COUNTY OF ...........SS That I,................ •or .............being duly sworn,deposes and says that he/she is the applicant for Permit, I Name iiiif�iviiltial signing�oairnenij� ' And that he/she is the ......................................... ..:........................ »..».. (Owner,Contractor'Agent Corporate Offioei el¢)» .................................. Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have perfo"&@W IlFaiQ•wP61 W t ! make and file this application;that all statements contained in this application are true to the best of 4f biro [761 3ti( ewworOffi I that the work will be performed in the manner set forth in the application filed he Sworn to before me this; Qualified in Suffolk County ommission Expires April .......day of._..... ... --•---•-•---- ..--,20 ! Notary Public_ Y�..t.,�t-.... -- ................•-•-••........ .............. (Signature of Applicant) SWPPP Assessment FORM: 03-12 Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,20 1& i B. P 3 7,570,57 BUILDING PERMIT EXAMINER CHECKLIST 'Date Submitted: g—°2g^I Date Reviewed. Applicant: -_ Owner: Architect/Engineer: Estimated Cost: / SCTM# 1000 Subdivision: Zone: �'/. Conforming? Property Address: 'l b b 0 - City: Pre C.Os? _ Building Permits (Open/Expired): BP -Z/CIO Z- —,Info: BP -Z/C/O Z- , Info: BP -Z/C/o Z- , Info: BP -Z/C/o Z- ,Info: BP -Z/C/o Z- ,Info: Single& Separate Search Required? Y ooDetercnination: SToRMN1rP`; .R_itNez<FF: °r1C REQ. Lot Size: yo). °G 0 ACT. Lot Size: �, REQ. Lot Cov. o1070 ACT: Lot Cov. 6/K REQ. Front 35" ACT. Front -Of'\_RE Side /O ACT. Side 1,6 f' REQ. Rear '. _C_PROP. Rear REQ. Height. 351 ACT. Height O RE . �oTH SIDES A CT Ok Project Descrip 'on: a Waterfront? Y or N. If yes, water body: Panel# Flood Zone: Bullhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED PLAN S(4f) SIGNED, SErIt_ED SuPVtY "7 Suffolk County Health: Y o1 I�l - If yes, *Bed#: _ *Date: _/_/ *Permit#: Town Septic: Y•N - If no, certification required: Y or N Received: Y or N By: NYS DEC: PRE-DEC 911/75 Y O Date: / /_ Permit#: or NJ Letter- Notes: Southold Trustees: Y o&_ Date: / / Permit#: or NJ Letter-Notes: Southold ZBA: Y oo- Date: / /_ Permit#: -Notes: Southold Planning: Y 66 Date: '/ /_ Permit#: -Notes: Town Landmark C of A: Y oaTE: _/_/_ *NYS CODE Compliance(page 2): Y or N CoNTWT-ok IIce-NSt AIS/IBILITY L-04BIL-ITY Rk-/!fENS coMpf i-Ns.yrlon/ V/1 Notes: Fee Structure: Calculation: Foundation: SF 4-90 X $ , �40 '_$ 0 o 0 First Floor: 1S0 SF + Initial Fee: $ 2- o ° , Oo Second Floor: SF + Additional Fee Lam: $ Other: SF SF X$ , =$ Total: So SF + Initial Fee: $ +Additional Fee $ C of o FEE) SD n o r AS B tI I L T FEE __0__ TOTAL: $ d2 " 0 ' 00 NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC-DESIGN CRITERIA: Grovad Snow Load:20 Wind Speed: 12OMPH Seismic Design Category:B Weathering: Severe -Frost Depth: 36" Termite: M-H'Decay:Decay: S-M Design Temp: 11 Ice Shield Underlay: YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: YIN HEADERS: YIN WALL STUDS:Y/N GIRDERS: Y/N CEILING JOISTS: YIN FLOOR JOISTS:Y/N ROOF RATTERS: WN LUMBER SPECIES AND GRADE: Y/N WINDOW AND DOOR SCHEDULE: AUSSLE TEST REQUIREMENTS: YIN EGRESS 5.7 S.F.: YIN ti LIGHT 8%: YIN 'ENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: YIN PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: YIN TRUSS DESIGN: Y/N CERTIFICATION: YIN .ENERGY CALCS: YIN (RESCRECK) TOTAL COMPLIANCE? YIN (RETURN TO PAGE ONE) SURVEY OF PROPERTY 51TU,4TF: .50UTHOLD TOWN: 5OUTHOLD � . 5UFFOLK GOUNTY, NY SURVEYED JANUARY 211, 2010 ! `' SUFFOLK COUNTY TAX # 1000 - -15 - 3 - 4 tC]ER=IE D TO: ROB ERT S.WOOD SUSAN L.WOOD CMCAGO TIlTb.]E INSURANCE COIFANY �F ® SO- 0gyp N �o O 40 ® p °DP ° O Ji? 0 � z P � if / J 1 70 s� 0 �N ��9®®1 w. 5 20„ 55.51' • �� 19 D NpV�oliz M 5ME H� oF. LPN ,r11L�-IP < CI' NSW �f• ! G•f ;O'`! rS r urwNorkea aleerauon or aaation to a�.ey 1 mop l'leo"Intj a Ik—d IOM surveyor,seal is a vblatbn of section 12,`1 si.9aa .1-2,of IM lle.York Stale E—tlon Lar.' NOTESG - 'Only copies from Ne If t.—:of Nis su.•ey : 4 ma ked M[n il e—I a lad surveyor, etomy¢e¢eal snau be consbered to be�anq w¢ � � copies' MONUMENT FOUND C� �� �¢rtllbat aK idb¢t¢q I,e—sl�lly Nal this ey ryas prepared N accagav;e Mtn the ex- p of PIPE FOUND C`� y yI- �rac!lae Lad s,r¢ys a.W-I .� .,, �• ._/ al tna Ned York State Are,L tbn of prof-lopt,l 1 Lard Surveyors. Soiq cerliFlcotiu5 stvll run only to Ne person for Mom lI,e survey Is preporea, and an Ns Ueholf to the Lille—I go— STAKESET tol ageKy end g I ll[uon Ibted.,eon.and b tl ossignees of r lenatr�g 6nli tlo- Gertllko— tore a'e not tfar5ferabl¢to atldltbnal hsG[utbnz AREA = 16,624 S.F. OR 0.3816 AGRE JO��N C.. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202 GRAPHIG SGALE 1 11 30' __ RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 RERC:\Documents and Settings\Owner\My Documenfs\My Dropbox\09\09\09-119 updated 1-29-2010.pro 7' 7 1/2" 0- 71 1' 10 1/2" APPROVED AS NOTED D E: /'I I rf�B.P.# 3 SAS BEAM BEAM POST POST FE'E: 6 p 0 BY: LABEL LENGTH COUNT SPACING NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE A 15' 4 1/2" 3 7' 1/2" FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED Post spacing is measured center-to-center. FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING Depth of concrete footers --- 24" COMPLY WITH ALL CODES OF 3. INSULATION 4. FINAL - CONSTRUCTION MUST NEW YORK STATE & TOWN CODES BE COMPLETE FOR C.O. AS REQUIRED ALL CONSTRUCTION SHALT_ MEET THE OLD TOWN ZBA REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR SOUTHOL <'iQ-- 123 G BOAR . Beam Layout SOUT TOStore Name Street Rd. 08/20/12 S.DEC Ref:Deck12233 �""� City,ST Scale:3/8"=1' (800)555 1212 15' 6" Co %D � o� -p b x cu 4x4 Post 3-2x8Lm Bean p t s� 15' 6' Plan View Store Name 123 Street Rd. 08/20/12 Ref:Deck12233 City,ST Scale:3/8"=1' (800)555 1212 3r o Abv SF min#X no %- 61-t NCr ti L?� If � iI �6 / vj w rr