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24685-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25728 Date: 05/18/98 THIS CERTIFIES that the building ADDITION Location of Property: 2940 PINE TREE RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 2 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 29, 1998 pursuant to which Building Permit No. 24685-Z dated FEBRUARY 17, 1998 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 COVERED PORCH ADDITION TO A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBIN SWEENY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspect Rev. 1/81 FORM NO.3 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) Date ......FEBRUARY.....17........................... 19...98... 24685 z Permission Is hereby granted to; ROBIN SWEENY r�... ................ ......................................................... ............... 1895 STERLING RD ..................... ................................................ ... CUTCHOGUE,NY 11935 ........................................................................................ to......................... .... DI....................AN,,..................G SINGLE FAMILY DWELLING CONSTRUCT A PORCH ADDITION TO AN EXISTIN AS APPLIED FOR. ......................................................................................................................................................... ............................................................................................................................................................ ...................................................................................................................................I.............................. .................................................................................................................................................................. at premises located at................2g`�0.....PINE TREE RD CUTCHOGUE .................................................................................................................. ............................................ County Tax Map No. ....473889..... Section ...104............. Block .....0002........ Lot No:__,018............... pursuant to application dated ,,,,JANUARY 29..................................... 19......g8...., and approved bythe Building Inspector. Fee$...............�a..... ............. . ...... ................ )�L......... .. Buildin g Inspe or Rev. 6/30/80 Form No. 6 IT..�= '==�s,!�'_ TOWN OF SOUTHOLD �� BUILDING DEPARTMENT . � 's TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 Buildiniz - $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 . . . Z�l... . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. .... .. . Old Or ,Pre-existing Building. .. . . lJ. . . . . . Location of Property. . ... .... . . � z.. . . . . . . . .. � icy? •�:. .. . . . . House No. Street Hamldt `. . .. Onwer or Owners of Property.. . . . .. /..N . �. .• .• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • County Tax Map•No 1000, Section. ..l©/.. .. ..Block. Lot. . .�1 . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . ... . . . . .... . .... . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.��. .. . . . . .Date Of Permit. . /./. . . . . .Applicant . . . ?`. . . . . . . Health Dept. Approval. . ... . . .. . . . . . . . . . . . . . . .. .Underwriters Approval. .. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .. . ... . . . . . . . .. Request for: Temporary Cert��ifficate. . . . . . .. . . . Final Certicate. . . . . . . . . . Fee Submitted: $.... . . . . . . Ptc:... . . . . . . . . . . . . . . C�� '1 . . . . . . . . . • • . = . . . . . . . . . . . . . . . . . . . . . APPLICANT 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: � 7 DATE � / INSPECTOR UWIT Ff pill ilix-1•I11r) ( I ;'I ) - u/ I ►;U(ltii)n't'lUt.,l......_(2Nt))w_ r YI � _ •_.w•..wr.w+�+•ww......w.r.�+.�..www.n..n.+�..•wn..ww. �IiiUtal IrItAifl: R � . o r - —n.------------------.•_—.• ..1 r.•.-•w w-•.. w•.w-R-----------.,-----_----w_-�_w-_wwwwwww_-w_ww_r=-w i .. . . LV•l1 (�j 7 t•— ` \t� 1 r1:;nl.n'r•1 nn rlat II. tr . I'I ' NTATP. SrIFII1:Y ~ --�w._----n----------- .. _ _w--.,-w- -_w w � irinnl. - .,n--;'------------ ------- ------------------- --_. ---_.•----- � -w_---.. Atli)1'r I t)IIAI. (:OIllll;ir r 11!-•. --..-w- ----w--------..---------•.--------------------------•:---------- . ■ ■ +fit+ RTrt rye r•n /�l'i • v- r• • hl BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . TOWN OF -SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN- HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOI.D, N.Y. 11971 TEL: 765-1802 NOTIFY: ` CALL . . . . . . . . . . . . . . . . . . 1aranined.....` ,1../.�..., 19.?�, MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved..... �l. ., 19.YJ PenTu t No. .. T .`�..Z� .. ............................... Disapproveda/c ................................... ... ... ................... k ilding Inspector) iJAN 2 9 1r-93 A P . CATION Fblt BULLDINC l'ERMl''f . , 19 ULDG.DEPT. Date� _ . . . . . � . TOWN OF SOU'fHOLD INSTRUCTIONS a, This application must be completely filled in by typet,7riter 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 must be drawn on the diagram which is part of this application. c. 'Ilie work covered by this application may not be caimenced 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. a 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. .: .Aww -31 ..... .............. (Signature of applicant, mare, if a corporation) ° (Mailing adlress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............./. s�Jt.iL41R`::. _... ................................................................................ r Nameof owner of premises ..�d�� ....r.a l ..4Jlll�2iV ...................................................... (as on the a roll or latest need) If applicant is a corporation, signature of duly authorized officer. .........................................0............... (Name and title of corporate officer) Builders License No. ..Q.e?�................. Plumbers License No. Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on which proposed work will be done..-� .... .�7 l/f��..!`�I.............................L�w �� GL�_......................... House•Nuaber Street I let County Tax Map No. 1000 Section ................ Block ................ Hot ................ Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy L. ....... ....................................................... b. Intended use and occupancy .. 'c.G..................................:..... ............... 3. Hature of work (d►eck wl►id► applicable): New IkAldirmg .......... Adition .. Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. �� � _...... .............. (Description) 4. Estimated Cost /..�:......... fee ................................ / (to be paid on filing this application) 5. If d(,eelling, rnnber of dwelling units ...!....... tkoher of ch-relling units on each floor ................ Ifgarage, ►xnber of cars ....................................... G. If business, commercial or mixed occupancy, specify nature and extent of eadi type of use...................... LIQ 7. Uinmensia►s of existing structures, if any: Front...7Q......._.. Rear ..7 R......... Depth ... `......... i lleigi►C ._........'.......... Nnber of Stories ................. ��, Dimensions of sane structure with alterations or additions: Front _.VF........ Rear .. Depth ...J`�v............ height T............. Nnber of Stories ...*!.......... . 8. Dimensions of entire new construction: font ................ Rear ............... Depth .............. Beiglmt ......................... Nanber of Stories ..................... h) , 9. Size of lot: Front .c2.6 0............ Rear ....a:�7. ......... Depth ...tP...`.......... 10. Date of Purchase ..................... Name of former Owner ........................................ 11. Zone or use district in whidm premises are situated .............................................................. 12. Does proposed construction violate any z(xiing law, ordinance or regulation: ........................ 13. Will lot be regraded ..--?. ........... Will excess fill be removed from premises: YES 14- Names of Owner of premises ........................... Address .............................. Axxie No. .............. Name of Arclmitect ..................................... Address .............................. Phone No. .............. Name of Contractor ................................... Address ...............................Phone No. .............. 15- is tl►is property within 300 feet of a tidal wetland? * YES .......... N) .......... *IF YES, SCXMUD UMN IMSM-13 PERMIT' MAY BE REQUIRI3). PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set—back dimensions i from property lines. Give street and block number or description according Co deed, and show street names and indicate wl►ether interior or corner lot. SI'Alli OP NISI Y()12K, r�. COlIN1Y (A? ��.v: SS ,. .. ................................ . ...being duly sworn, deposes and says LhaL he is Lhe applicant (Name of individual signing contract) above named, lieis time .... ... .......................................................................... (Cm►tractor, a nt,corporate officer, etc.) of said owner or owners, and is duly authorized to perform or bane performed the said work and to make and file this applicatirn►; that all statements contained in this application are Lnme to the best of bis knowledge and belief; and Lhat Lhe work will be performed in time manner set forth in the application filed therew.idi. Sworn to befo me Lhis G� ......�. ay of ..... .19.. (. Notary A► lic .... ........ .... .. - .... R `QI (Signature of ApplicantNot" ) NArlRorlt SURVEYED FOR:- / o. LOCATED AT urt 5/0 uc, 7 � ?' /4ro "r -�,� -�.. 0 LOT 43 '��" M �LlssAc/ �,4.e.�-!S ,�.�E�' �.4�eCy ZB, , 757 r t� SCALE 1"= 0 LAND S i I . Ww - GrlouO f G'AQIW AV. �l0 G G Z PP 90° E.�ISTJ=;2Ly e.�. 237. � •. ; : ' � . ate,' �� d, . � =s•.3s .F 3 h � . 43 ° a i5 z 98 s q•-7 %vr sTi U T �9 I 'h ti t 0 Tu`;�• G.��— Pr.Y Proazd �1 - Z 280-4�5 "J5QGJ-rH �IL-y UNAUMOR12ED ACR4 ATION OR ADD010 TO Iw.S iBR: i I5 VIOLATIGN OF SECTION 7209 OF 1H NLyY YOU STATE < h"L-i.UN Law.• E R �,.,'� .I �•) �� O Cael-a OF THIS SuR.'Y 6iAP liOr..BEAR1 G / TH_ a _ a fir EMYIk13S,D SEAL "CALL 60T.BE CONSIO :D TO R A VALID 1RU, CO?y. . CUA,R-NfEES I:IU1�..!_L• IiellEOiJ SH„LL 5' R Y - G'TtiJ' ONLY IU 1HE F.1110.4 FOR l'!I-,ri I'IQ Su .EY . - .. (11 /OQO '- /O¢- - `FAtteD, ;rcU UF1 BLI...L iU-lH l f( COMPANY. GO..;tilSluiTrt, .a_kCY; JD . LENDING M1..i.1iUu0m�IaLD. TO THE'ASSlr":ZS OF IIIE:LE:.J.J1G INSTI TUTION. GUARANULS iiR,' AU'1 fii..liSF.R ti/r�G�� TO TOADOuIoffAL IHSyilullUr:S'I- suo.._mu HT owNERs. . T�/E. �,.•�/�f S.a L,,ivG..S ,c�.v.rr� cF /V y . . �� � •,�' .. SURVEYED .4c1G d, .19d7 BY WILUAM R. SIMMONS III 70 WEST.MAIN STREET EAST ISUP, L.I., N.Y. FILE NO. /9Z3Z PAGE GRID DRAWN BY F. , 7/3 z • r ' TIC P PEA i1= I 3 TA P, Root= r , I s FEAT O r, R PJ-T : _ _ .o: -_=----- - _-..- _ _ - _�_�---_ � __� __-- - „•�/ F' 1 i ' I < G I -51gxG SrK, CEDt�R DECKIKA 'I t t- � ; --- —t��-2_x.I�_-C3Ea.�r.F'..,_ C:J Z.xl�� c�1�.>aa✓k -- - --' (2� Z�lo C31�uFR _ __ , ro i — �__�_._ I S,rCukF I- F: ZM ��� Lt cc a t'o-:T - LINE .nF G;' 0.� --� -' Z.,<8 Haste F3r1 <- Cc�t �cj� Mlzsr7,-0, ` p�"_zc�U� r�s p~r� A;E /��a� „-o" Go�c.. � ���} L�Z �t`Dr7s= '�u_�,nt COCE (CC.A /t FIVaAt Rrrz y : i •ter,, � E I POP 3 I _ L�7 BUIL.DiNG CONSTRUCTION NOTESCODE COMPLIANCE y --_- ! - GENERAL. 1. Light Requirements:Habitable space except kitchens shall have natural fight --->. - equal to C%of floor area. I Ali IY Muirements do a Requirements: •! -._._.___ .- .. _-._ _�_.._._____ . . _ _ .. -..:-_.__ - -_-._ -_ �req governing artrteents 'on work shall con co � 2 V rttllati n a. bitable space t kitchens _ as W!i e requirements on Iral authorities haul junsd clan. of floor area, mechanical vermla.lon as the of oath 'rt Ha p except and bathrooms shall have na+u to providing two(2 to changes r hour. ------- . - -----.--- . _.--- --- .-. _ • .. ...r. - "I ► - - - - 2. mpty with ..Energy Code n9 O 9 per work shall co ih the N• ._ - � , A!1 wo �York State b. � a- it shall be the contractor's responsibility to submit the size,design, and type of mechanical systems which wilt be used In sufficient detaft at ventilation d. Ati Bathrooms exhaust d sect! to e�xterior� ventilation _._._.._�.. `_^_' ,_.._- ___._ __— i +- —.�__ � -------� `' S.._._— !; --`—�=�i' -_ .+ .I �_� ,} - .� 1� � � �; j �-j i"• �j; !j r i b. Insulate riuired by the Building Oepartrnent. Y d piping required by code. ducts an Ir e C. All windows,door sills openings etc.shall be caulked and 3 i vtnttr a minimum Secondary Exits Windows)shalt be 4 square feet rein"mum I ____. t -� weaihersiripped. dimension of 18"and a maximum sill height of 42 above finished floor. 3. Provide one smoke detector on each floor'Including basement. Provide 4. Stairwells shall be 36'width minimum,2'-8'Near. smoke detectors i all sleeping In seen ar eas. All t detect P ors to be it r.. d e y wired to CARPENTRY o e ome, F-ar-�� �� _ {. _- ---' - -•. _ ... --- - •-- _ _ the etectricat system f th h ,A. � 1. Framing Douglas it or better Engineer is not responsible far the supervision of construction. General g 9 F , Contractor must verify all dimensions and conditions before ifY construction of I i - _ . ._ -.-...-- _ __.. __ _.-_ __... ... . . ._..-.___-,__,_._ .__ ___ __ ___ — _: Engineer not re p responsible for any changes without written prior 2. Sill Plates to be Treated 40 year CA with sill sealer - ��--- fabrications o 2x6 C ll s approval. ___�__-.,.--T- 3. Provide double headers and trimmers at all stair and floor openings,under all a r 5. Do not scale drawings. posts and partitions running parallel to same. Refer to plan. "a rt 110TE 6. The engineer shalt be responsible of the content of these drawings only. He 4. Provide bridging for all floor joists �7 B. shall not be held responsible for any materials,workmanship,means or 5 Provide solid blocking under all bearing rots -7 methods of construction. The Engineer shalt not be held responsible for the g FCi it Y BUILf3'�aG IZ RT design or installation of materials and equipment;Electrical,plumbing, ^ !�99 i! ��I heating,ventilation,air conditioning or any system not specifically contained 6. Openings to have(2)2"x10'headers uhless otherwise noted OCCUf"AVCY 0 1 6-ISta2 AM TO FOR THE in these drawings. F43�,t.OVA ING INSPECTIONS: 7. Structural metal connectors as required for at]flush structural toad calnying t USE IS ULAt�lFUL 1~SJt.ffEJlATI+��t - Tb' Onala ?llllrF.O 7. Electric construction is to conform to the National Electrical Code,New York conditions. ATHOUT CERTIFICATE FOR POURED CONCRETE State Building Code,and LILCO. A 1 i �+1r+ ,�+V 2, ROUGH - FRAMING & PLUaa 1NG CONCRETE/FOUNDATION t E �' { OF QCCU PArIC i S ;l�l"",LILATII�I 8. plumbing is to conform to the County and focal health department �. ---- Fi'l�L - Ct]t STRUC"i I(3' i "°'yS`i requirements and NYS Code. 1. Strength 3,0100 PSI at 28 day ASTM C-94 ready mix concrete ivr l t O„ 4. �•' BE COMPLETE FOR C.O. �;l...L CONSTRUCTION SHALL NAE 2. AIi footings, foundations etc;shall rest on undisturbed soil. i 4E R1 001REI�4ENTS OF THE NLY R E CONSTRUCTION fPs ENE:f v;'='f 3. Soil bearing capacity shall 4,000 PSI. Contractor shall conduct soil test to -,- �, • �: . t,t..S. NOT RESPONSIBLE ONSIBLE f�..+ � verify blaring capacity prior to construction and report any discrepancy to Engineer. r4!GRl OR COrNSTRLICTiO$ 4. Footings shall be 36'below finished grade minimum. 5. Aft footings, foundations shall be formed. C:. T / 1�N E Y 1�; r. F �"fNp� a J APPROVED BY: t/ END SCALE: /`� =�-OQ� DRAWN BY ��`�., DR 1 TI �1 G DES G DATE 0I Z'S'9CJ REVISED A - NC6 5130 MANY BAYNIIEW ROAD SOU HOLD NY 11971 �lOir 1/F_filP*'i' /�L(- rJi MFr�4.+{�^� (516)765-1862 DRAWING NU/MSE!t