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HomeMy WebLinkAbout27996-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~qTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29360 Date: 04/16/03 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 1100 SEVENTH ST (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 48 Block 2 Lot 41 GREENPORT Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9, 2002 pursuant to which Building Permit No. 27996-Z dated JA/%q3ARy 9, 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 ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. Thc certificate is issued to JACKSON A TAYLOR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPRO%5%L ELECTRICAL CERTIFICATE NO. 1044983 03/24/03 PLUMBERS CERTIFICATION D~r~u3 Rev. 1/81 [2/20/02 PECONIC PLUMBING & HEAT Authorized ~nature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PEP~MIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27996 Z Date JANUARY 9, 2002 Permission is hereby granted to: JACKSON A TAYLOR 305 WEST 28TH ST -APT 16D NEW YORK,NY 10001 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1100 SEVENTH ST GREENPORT County Tax Map No. 473889 Section 048 Block 0002 Lot No. 041 pursuant to application dated JANUARY 9, 2002 and approved by the Building Inspector. Fee $ 150.00 Authorized Signature COPY Rev. 2/19/98 Form No. 6 TOV*~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ; 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY qhis application must be filled in by typex; riter or mk and submitted to the Building Depmlment x~ ith the fi,llowing: A. For new building or ne,,,,' use: l. Final survey of property with accurate location of all buildings, property lirtes, streets, and unusual natural or topographic featm-es. 2. Final Approval from Health Dept· of water suppl.,,' and sewerage-disposal (S-9 fonn). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statemera from plumber certit3'ing that the solder used iu system contains less than 2:10 of I qb lead· 5. Commercial building, industrial building, multiple residences and similar buildings and ir~stallations, a certificate of Code Compliance t'rom architect or engineer responsible for the building· 6. Submit Plmming Board Approval of completed site plan requirements. 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, buildin2 and unusual natural or topo~aphic features. 2. A properly completed application and consent to inspect signed by the applicant, it' a Certificate of Occupancy is denied, the Building h~spector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25~00, Additions to dwelliag $25.00, Alteratiorts to dwelling $25·00, Swimming pool $25.00, Accessoq' building $25·00, Additions to accessory' building $25.00, Businesses $50.00· 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Cop.,,' of Certificate of Occupancy - $·25 4. Updated Certificate of Occupancy- $50·00 5. Temporary Certificate ofOccupanc3 - Residential $15·00, Conunercial $15.00 ,,ate. 7-0'5 New Construction: Old or Pre-existing Building: ,/" (check onel Locatiouof'Property: -7o~x _~~.~ ~ 5/'.__ .... }louse No. Street Itamlet OwnerorOwnersofProperty: 7~c /q Yo~....- 'f-r4 Suffolk County Tax Map No lOOO. Section lql-g Block____.~ ______Lot q ~ Subdivision Pe t No. ? q Health Dept· Approval: Planning Board Approval: Date of Permit. Request for: Teinporary Certificate Fee Submitted: $ ~ ~-. Filed Map. Applicant: Underwriters Approval: Final Certificate: Lot: (check one) "~Applicant Signature~' BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORk BOARD Of FIRE UNDERWRITERS BUREAU Of ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by G & S ELECTRICAL CONTR. JACKSON TAYLOR BOX 215 1100 SEVENTH ST SOUTHOLD, NY 11971, GREENPORT, VILL, NY 11944 Located at 1100 SEVENTH ST GREENPORT, VILL, NY 11944 Application Number: 1044983 Certificate Number: 1044983 Section: Block: Lot: Building Permit: BDC: NS37 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 24th Day of March, 2003. Name QTY Rate Ratin~ Circuit Type Alarm and Emergency Equipment Sensor 1 0 Carbon Monoxide Sensor 3 0 Smoke Appliances and Accessories Furnace 1 0 Oil Exhaust Fan 1 0 F.H.P. Dish Washer 1 0 1.2 KW Wiring and Devices Receptacle 14 0 General Purpose Switch 23 0 General Purpose Fixture 21 0 Incandescent Receptacle 1 0 20 amp Laundry Receptacle 1 0 30 amp Dryer Receptacle 7 0 GFCI Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: I 200 cb seal Meters: 1 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 lecation indicated. ~r~r~m~r~ra~r~ra~rmPr~r~r~r~r~Jr~-IrJ~ ~-[Jr~J~r-J-~J~@Ir~irJ~ir~r~irair~ir~ir~~~~ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date:~__ Building Permit (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this day Notary Public, ~L~.~, ~,~(D I~..~ O O (Plumb~ Signature) VIC~I L. LOPER Notan7 Public, State ot New Ym No. 01L08070081 {i~alfl~ in Suffolk Counl~ FOR: ]~NERGY CUDS CALCULATIONS [For Non-Electric Heat) Design Criteria 6,000 Degrem'.nat,~ O.A. 10"f' i.A. 7U"F DSSIGN '£IlMRMEL REMARKS - SUBSYSTEM AREA "U" RATING t::xterioc Wail~ (Opaque) ~ ,0~ + ~ Ceiling/Roof (Opaque) 17 0 , o~ o Gkyligh ts . % f,loor ;7 ,O 0 5 0 ~ounda tlon Walls Slab Insulation TOTAL ~ ~ Uuildlug Z'.welope S~'stems to meet require,l~ent~ ~£ 7815.2 IIVAC Squipement to mee~ requirements of, 7815.11 llVAC Systmus to mee~ requirements of 7~.15.r2 Duct Systsms to reset requiremehts of 7815.13 Ventil~tiol%s Systsms ~o meet requirmuents of 7815.14 Insulation of Piping Systems to meet requirements of 7U15.15 Ssrviue Water Heating Systems & Equipment SlectrJ. cal ~ Lighting Systems & Equipment to meet requiremmits of to mee~ requirements of 7UJ, 5.31 To the best of my knowledge, belief, & professional judgemel~t, these plans are compliance witix the code. BUILDING PERMIT EXAMINER CHECK LiST AP P LIC ANT NAME :i~fleC'~ od--[g,~toK SCTM# DISTRICT: 1,000 SECTION: STREET: 90-2 (a,~,~,/~'r PROJECT DESCRIPTION: ~bU/~c~ -t~ ESTIMATED PROJECT COST: DATE REVIEWED: / / ~ /02 DATE SUBMITTED: ! /~ /02 SUBDIV. NAME: ARCHITECT / ENGINEER."~-~o.--~ ~ cc FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? b/O NOTES: ~- LOTS 40,000ST -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger (A nonconforming at any time after 7/11831 ZONING DISTRICT: REQ. LOT SIZE: REQ. FRONT REQ. REAR 3 CONFORUINO? #0 ACT. LOT SIZB:~ REQ. LOT COY. c:~ PROP. FRONT 4~t.'f t.~Q SIDE PROP. REAR ,_g57,3 WATER FRONT? /v' o DESCRIPTION: PANEL #: I~ FLOOD ZONE: ~ , ACT. LOT COV. ACT. SIDE APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES o~(BED #): DTE: TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: PRE-DEC9/1/7$ YES (~ SOUTHOLD TOWN TRUSTEES: , YES o TOWN ZONING BOARD APPROVAL: YES or'(~ TOWN PLAN. BOARD APPROVAL: YES orr~~ TOWN HISTORICAL PRE (SPLIA): YES oi~.Q.d NYS ENERGY:~,~aRNO : 4-5~ EGRESS (18 H m~n.. 4 sq total) ~ VENT (SQ. FT. k 4%) BU1LDING PERMITS OPEN/EXPIRED: BP HAVE PRE CO'S: Y OR N BP NOTES: PERMIT #:R10- / / LIGHT (SQ. FT. x 8%) -Z / C/0 Z- , -Z / C/0 Z- _,. FEESTRUCTURE: FOUNDATION: SF FIRST FLOOR : '-/o,9,.q SF SECOND FLR: SF TOTAL: 40~- SF 1NIT OTHER TOTAL FEE FEE FEE rOT( /1/.2o/ SF)-( ,---- .SF)= / SFX$ y =$ -/ +$ /r'o+$ ~ =$ / ~ 765-1802 /~BUiLDING DEPT. / 4NSPECTION [ //]' FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [[]] ~iRR~;pI;;cE&CHiMNEY[ ] FINAL REMARKS.' ~ DATE 765-1802 BUILDING DEPT. NSPECTION [ 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA~'~HIMNEY ~REMARKS: DATE INSPE~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ~/OUGH PLBG. [ !/~UNDATION 2ND [ ] INSULATION [ ~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY //-REMARKS: ~ 7GS-z802 BUILDING DEPT. INSPECTION [ ] FOUN/~ATI~N 1ST [ ] ROUGH PLBG, [. ~OUNDATION 2ND [ ] INSULATION ~/~ [~/] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH~P_J,BO~ [ ] FOUNDATION 2ND ~]~t~ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC~H~I,~/~EY 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [, ]_~TION FRAMING [~']" FINAL FIREPLACE ~CHIMNI~Y .~ DATE INSPECT(] -I ~ON PER N. Y.- · · · ~AT~EhKRGY CODE :,, (/- - TOWN dF $OUIltOL9 BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Approved Disapproved //////'r'~ 20 o · PER_MIT NO...~ ~fi'~'- BUUI)ING PERMIT APPLICATION CHECKLIST Do you have or n~ed ~ following~ before applying ? Board of Heakh ~ 3 Se~ ofBtdld~g p!an~ Survey ' Septic Form N.Y.S.D.E.C. Trustees Contact: ~ to; Phone: Building Inspector APPLICATION FOR BUILDING PERM1T Date /-- 0a~ - ,20 Oo~ INSTRUCTIONS a. Tkis application MUST be completely filled in by typewriter or in ink dud 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 pubhc streets or areas, and watm-ways. c. The work covered by thi~ apphcation may not be commellcecl before ismmuce of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building P~mit to the applicant. Such a penmt shall be kept on the premise~ available for impection throughout the work. e; No building shall be occupied or used in whole or in part for any purpose what-so-ever until a C~dficate of Occupanc) is issued by the Building Inspector. 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, Ord/na.uces or Regulations, for the construction of buildings, additions, or alterations or for removal or &anolifion as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, homing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (signatu~ of app/~aat or, e, if a corporation) z eD.., 5'o ,/4 Y. /, (1V~aillng addr~as of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. ~ (IJ'-~ Electricians License No. Other Trade's License No. Location of land on Which proposed work will be done: House Number Street County Tax Map No. t000 Section Subdivision (Name) (as dn the tax roll or latest deed) / Hamlet Block O.2,., Filed Map No. 2. State existing use and occupancy of premises anti. intended use a~d oceup~cy of Pr°p°sed construction: · 5,'.., ie ~o ,-, ?.t ~o..,,~/I,'.., ,' a. Existing use and oCCUpancy / / h. t ded e docm y S, , / e , / Na~e of work (eh~ w~ch ~hcable): New B~l~g Ad~fion R~ R~ov~ D~olifion O~ Work Alteration 4. Estimated Cost ,~ - / 5. If dwelling, number of dwelling units If garage, number of cars Fee (Description) (to be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specif3z nature and extent of each type of use. 7. Dimensions of existing sumcmres, if any: Front ,Z. oc (~ Rear Z &, 6 Depth. Height ~" Number of Stories ¢ Dimensions of same structure with alterations or additions: Front ~5'~ ~ Depth -3 y' Height '- Number of Stories 8. Dimensions of entire new construction: Front ~ Rear ~ .Depth Height ~'- Number of Stories / 9. Size oflot: Front /o0 Rear ~O0 ' Depth 6P0, /"~7 / Rear q 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zomug law, ordinance or regulation: 13. Will lot be re-graded Will excess fill be removed from premises: YES Name of Architect Name of Contractor/A/, / Address ~0f-~/~ P,2~c ~'~,1, Phone Address Phone No AddressY'~Z,~,,,.~.-;f~gr, ,2~ Phone NO. s-o,. .'q..o Ic~.X/, ,"',//~ 71 15. Is this property w/thin. 100 feet of a tidal wetland? *YES NO ~ o IF YES. SOUTHOLD TOWN TRUSTEES PERMITS MAY BE RE(~U-~D 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 ) LO ~'1 !; c' v~- ~ t~(~ f 5~ 0 ~ b~g dMy sw~ d~oses md says ~t (s)he is ~e a~hc=t ~me of M~d~ M~g con~) above (C~r, Ag~t, Co~omte Office, ~c.) of said owner or owners, and is duly authorized to perform or have performed the said work dud to make and file this appl/cation; 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 tc~before me tl~ ~ ~? dayof /]-~ , 20c9..~ Notary Public HELENE D. HORNE Notary Public. State of N~ York No. 4951364 Qualified in Suffolk Counbc~ Commission Expires May 22, ~x~:9'O_..~ Signature