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HomeMy WebLinkAbout28678-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29275 Date: 02/19/03 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 5425 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 3 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 19, 2002 pursuant to which Building Permit No. 28678-Z dated AUGUST 22, 2002 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 BATHROOM ADDITION AND UNHEATED SUNROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD & MURIEL SCHWINDT, JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1100860 02/10/03 PLUMBERS CERTIFICATION DATED 02/03/03 BURT'S RELIABLE INC Authorized ignat e 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) PERMIT NO. 28678 Z Date AUGUST 22 , 2002 Permission is hereby granted to : EDWARD JR SCHWINDT 5425 N BAYVIEW RD SOUTHOLD,NY 11971 for . A BATHROOM AND UNHEATED SUNROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 5425 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0003 Lot No. 021 pursuant to application dated AUGUST 19, 2002 and approved by the Building Inspector to expire on FEBRUARY 22 , 04 . Fee $ 150 . 00 prized Signature ORIGINAL Rev. 5/8/02 76s- a6i8� Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT j TOWN HALL 9 765-1802 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 topograp.iic 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: Olid or Pre-existing Building: j" (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: / 7 Suffolk County Tax Map No 1000, Section / 9 Block Lot 02 z Subdivision / Filed Map. Lot: Permit No. ad /y S�Date of Permit. J 4 V O2 Applicant: �7�• C`f�C�9//✓J7 '-- Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �. G Applicant Signature �o��g�FFO(K�oGy Town Hall, 53095 Main Road y Z Fax (516) 765.1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 cif. OFFICE OF THE BUILDING INOPECTOR I TOWN OF SOUTHOL C E R T I F I C A T I O N DATE: _ 3 Building Permit No. a 6' 7 8'—Z Owner: /J��Z, ScG�wiwdT (please print) Plumber: y�TS /ZEGi��3lG— �wC '(please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this &Rp day of 19 aoa3 Notary Public, 221k County NANCY A. PESTER Notary public, State of New York No. 4940985-Suffolk County commission Expires Aug. 15, a DcnELJ-r3Pnrr � �� n _r � � � n �� rn����ncrJ� � �rrc��r � �r � rnLPLr[3 0 5 BY THIS CERTIFICATE OF COMPLIANCE THE S 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 c5 BUREAU OF ELECTRICITY CS 40 FULTON STREET — NEW YORK, NY 10038 �7 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 BRIAN BROOKS ELEC. INC. EDWARD SCHWINTZ BOX 1001, 455 BEEBE5425 IEW 5 CUTCHOGUE, NY 119 5, SOUT O /D, NY 11971 5 S 5425 BAYVIEW SOUTHOLD NY 11971 5S Located at 5 C5 Application Number: 1100860 Certificate Number: 1100860 5 SSection: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy,wherein the premises electrical system consisting of .lc electrical devices and wiring, described below, located in/on the premises at: �5 5 First Floor, Outside, 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below, was 5 5 found to be in compliance therewith on the 10th Day of February,2003. 5 5 5 Name QTY Rate Rating Circuit Type 5 Appliances and Accessories 5 5 Exhaust Fan 1 0 F.H.P. 5 Wiring and Devices 5 Receptacle 8 0 General Purpose 5 Switch 5 0 General Purpose 5 5 Fixture 5 0 Incandescent LS'D �5] Paddle Fan 1 0 5 5 Receptacle 1 0 GFCI 5 5 5 5 5 5 5 5 seal 5 5 5 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. IN �n�r���r����rs��n�rrw���rrrn�n�n�n����n�r�r���n�rEn���n�n�n���n Gn�r5 011rr�n��n��920�n�R�rs-2l a PIEK50N SHIPULE OTHERS W 16 4003f;i�i- 8` 4 J � F, --TA, N � Z `��� �� ,� �C,,O• � A'b fit? S.S3'S1%40"V1L�- IOi.6Z K L%/ MAP QF PROf��RTY t SUFKVEI'ED FOR j WILLIAM 13UESCHEL AT SOUTF-I0LD TQwN of Soy-rHoL.D { � G�ararrteEit +o the 5GC11@: Tole 6uaron4eo Company o iron P Pe a:a a),r'e y Q-d July 13; 1970 `/ANctT.,t)YL 4C 5C)N Licensed•La"J Sury . .y s Gre0ftFaf-t. NieW York _.. y,jiid:+e.p.jLe y;+�{�4yk�p•Aa7yN'^R.iiF.��'�MV:.rfYµ.Gobi::«•�`:•7�.lwcr`,`{''�y;�'�r'ff'ivl�i." ' Dtil:•� .i..�`j, !1�N3�kb'1�s�:1g1w •• , `'�. ENERGY CODE CALCULATIONS CHAPTER 5 SECTION 501 Detached One and Two Family Design Criteria 5750 Degree Days (For Non-Electric Heat) / Zone 11 B For: t d + win d� Per: SGh�oh R 25 .N $ 6�4 A o+ N y Dated: 7/&o DESIGN CODE Desi f" d-e SUBSYSTEM AREA "U" "U" OA v A Exterior Walls SCJ 2 0.14 13. 60 2 6. Y8 Ceiling Roof 6 p 0.031 3 d 9 8 Floor Over Unheated Space t) 0.05 .3- 2- 0 .3. 2- 0 Heated Slab On Grade 6.5 Unheated Slab On Grade 4.5 Basement Wall 0.1 Crawl Space Wall 0.06 NOTES: 20. 06 ,3r, oConstruction shall comply with 502.1.1 moisture control and 502.1.4 air leakage Building Envelope Systems to meet requirements of Section 501 The mechanical systems and equipment including: HVAC Equipment,HVAC Systems,Duct Systems,Ventilation Systems and Insulation of Piping Systems to meet requirements of Section 503 Service Water Heating Systems&Equipment to meet requirements of Section 504 Electrical&Lighting Systems&Equipment to meet requirements of Section 505 , J.of Mt11' ,r 3' To the best of my knowledge, ° r belief, &professional judgement, i these plans are in compliance 0°264L-' with the code. ►o foo*` 91.51 BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: 93 2o APPLICANT: 6cw,41►wr DATE SUBMITTEDcS /1i SCTM# DISTRICT: 1,000, SECTION: BLOCK: 3 LOT: ZI STREET ADDRESS:, !Rt�(7 # 9*yylo./ CITY: SUBDIVISION: A PROJECT DESCRIPTION: &em 4mmgv 11,1Awwyzt) 8f(1w&m fYAb cnoo— ESTIMATED PROJECT COST: ARCHITECT �C,Tsii��_ FAST TRACK?&o SINGLE & SEPARATE CERT CATION-REQiJIRED? No NOTES: LOTS 40,000SF-100-24. Lot recognition.(CRLATED before June 30, 1983),UNDERSIZED LOTS FRONT JAN.1997 100-25.Merger(A nonconforming at any time afte ZONING DISTRICT: CONFORMING? REQ. LOT SIZE: o ACT. LOT SIZE: REQ. LOT COV. ACT. LOT COV. REQ. FRONT yp PROP. FRONT ,/REQ SIDE IT- ACT. SIDE REQ. REAR 3 PROP. REAR .REQ. HEIGHT PROP. HEIGHT — Q � 3 Q WATER FRONT? ly/D D I IPTION: PANEL #: �� _ FLOOD ZONF-7 , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES ortg(BED #): DTE: /_/_-__ PERMIT#:RI0- TOWN SEPTIC RECEIPT: Y or6r2 NEW YORK STATE DEC: PEE-DEC 911/75 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES otn NYS ENERGY2 OR � ✓ EGRESS (18 H min.? 4 sq total) . VENT(SQ. FT. x 4%) "' �"� LIGHT (SQ. FT. x 8%) ► w BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/o Z- , HAVE PRE CO'S : Y OR N BP -Z/C/0 Z- NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR SF SECOND FLOOR: SF OTHER: SF MT OTHER TOTAL TOTAL: ,tel SF FEE FEE FEE 1. ( SF)- C __SF) SF X 2. ( SF)- ( SF)= SF X Z Yet 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE/"2,---' INSPE 1 r67 765-1802 BUILDING DEPT. 1 CTION [ ] F NDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMARKS: DATE �� v INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY RE KS: op Y`-GAJ DATEJ INSPECTO 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION IST [ ] ROU H PLBG. [ ] FOUNDATION 2ND [ SULATION [ ] FRAMING [ ] FINAL [ ] FIREPLE CHIMNEY REMARK DATE v�NSPECTO L4 M-1802 BUILDING DEPT. INSPECTION [ ZFOUATION 1ST [ ] ROUGH PLBG. ATION 2ND [ ] INSULATION G [ ] FINAL [ ] FIREPLACE & HIMNEY REMARKS: DATE i INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULA [ ] FRAMING [ SUAL [ ] FIREPLACE A CHI NEY REMARKS: nj DATE INSPE O FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) Ogg y ------------------------------------- FOUNDATION(2ND) o z _ o ROUGH FRAMING& 2✓ - PLUMBING 3 01 - 7 r INSULATION PER N.Y. -- - y STATE ENERGY CODE FINAL D IONAL COMMENTS 0 z m ya �u — y r -- x d m b TOWN OF SOUTHOLD ° BUILDING PERMIT APPLICATION CHECKLIST BUIL THNG DEPARTME j 1 192002 E . Do you have or need the following,before applying'? TOWN HALL _ _! Board of Health SOUTHOLD, NY 11971 BLD . PE"T 3 sets of Building Plans =a. ;'JN 1 S` 61-MOLD TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey PERMIT NO. 0�8� Check Septic Form N.Y.S.D.E.C. Trustees Examined Z7i 20 Z Contact: Approved 20� Mail to: Disapproved a/c L2 =Phone: q � d� I Expiration 20 Building Inspector APPLICATION FOR BUILDING PERMIT r� Date / 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter 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 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) AM 5 /UO✓/q 1�001/MWA (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises lC'D4)112tP4D Y- / /? jtOIl�1, dCl! /V V �_-�O 7_' (As on the tax roll or latest deed) If appliccorp do qvf 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 pro osed work will be done: /l House Number Streee Hamfet County Tax Map N ._1000 Section 7? BlockLot 1 Subdivision Filed Map No. Lot (Name) r 2. State existing use and occupancy of premi es and_ intended use and occupancy of proposed construct' n: a. Existing use and occupancy IAAlni � b. Intended use and occupancy AA'71 a d , e,A_&0/k 3. Nature of work (check which applicable): New Building Addition_ y _Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost a- 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. r� 7. Dimensions of existing structures, if any: Front 9 V — 0 Rear �y O }Depth 6 ��G Height N ' Number of Stories / Dimensions of same structure with alterations or additions: Front 73 , Rear Depth V6 Height / Y ' Number of Stories / 8. Dimensions o ntire new construction: Front 19- Rear I �- Depth I� Height Number of Stories / 9. Size of lot: Front a V Rear / V � ) Depth. I y 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 'tee rd�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 v 14. Names of Owner of premises M S5.�x,4& < Address SAMe rt5 p 3v 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 B EQUIRED. 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. STATE OF NEW YORK) SS: COUNTY OF being duly sworn, deposes and says that (s)he is the applicant (Name of individual i g con ct) ab ov ed, f_ (S)He is the ( ntracto , 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 before me this day of I�C.LC.e 20_q_;), taryPublic Signature of Applicant JOYCE M. to of Ng ry 1A NotaPublic,State of New York No.4952246,Suffolk County Term Expires June 12, ;Lo o 3 Er- tce �E comPcsf w,-cl-1 Pty- U4sgc � 7o�,t.t Co1�S as P.�cLu1RcD 1--7 IJEW ACf?ITI01.1 � •\\. ' UBW" A17I31'�ICyll FOJ IPJ, "UNDERWRITERS CER FICATE REQUIRED OCCUPANCY OR ki5W PLUMBER CER I- - RSE IS UNLAWFUL ]p oNl ONLE DCONTENTBEFOREIOF OCCUPANCY WITHOUT CERTIFICATE 1 r USED /N WAANC� _ I APPROVED AS NOTED z A TER SUPPLY SYSTEIVLCA ueu brClpctil�� _- - - XCEED2110of1% LEAD. Dam' 82 B.Rra2mz veur FEE:Y�—BY: VV ' NOTIFY BUILDING DEPARTMENT AT PROVIDE ANTI-SCALD AND/OR I 765.7802 9 AM TO 4 PM FOR THE IONS: THERMAL SHOCK PREVENTING DEVICES AS TD PART. 902.6(K) IO POURED CONCRETEREQUIRED N.Y. STATE BUILDING CODE. 2 ROUGH • FRAMING & PLUMBING t 3 INSULATION PLUMBING 4 FINAL - CONSTRUCTION MUST t BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET _ ALL PLUMBING WASTE &WATER LINES NEED THE REQUIREMENTS OF THE N.Y. l} TESTING BEFORE COVERING STATE CONSTRUCTION A ENERGY 1 J. CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS If copper tubing is used _ for ,nater distributing PROVIDE OPENINGS FOR --- -- -- _ _ f system; piping Shall be EMERf,ENCYESCAPEA _:._ F ® of types I( or L only �--� �___ REQUIRED BY PART. 714 OF UNDERWRITERS CERTIFICATE N.Y. STATE BUILDING CODE. REQUIRED F NEW),W),O DO NOT PROCEED WITH S�Ps `E re,t — FRAMING UNTIL SURVEY Q n r OF FOUNDATION LOCATION r w APPROVE BEEN HAS � I D. F D3sms+t OA�OFESSIONP�� . y n tii�W �� UGW ,pC�a71F,�L.1 N 54c5 IJ. E�AYvtFI W kr✓ %caur40Lb fiy r ' p p I 1 i A"ROVEOIY' Ci„ 11 I? 'IA In SCALE �} ' La ' DRAWN BY I Ul, 21'2002 ; j G�cr hgrTc �a ,+ acr:;IrlaN REu r�M I , DRAWING NUMBER III lOt=4 �... - ---- oto-,'7' D7:0" 21XI?I &CI C CJIFcicP- 2u2 ! 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