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HomeMy WebLinkAbout29187-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29407 Date: 05/02/03 THIS CERTIFIES that the building ALTERATION Location of Property: 1385 JASMINE LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 69 Block 3 Lot 24.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 20, 2003 pursuant to which Building Permit No_ 29187-Z dated MARCH 4, 2003 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 ALTERATION TO COMPLETE 2ND FLOOR OF EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR "AS BUILT" , & AS PER CERTIFICATION OF ROBERT I . BROWN, AIA DATED APRIL 22, 2003 . The certificate is issued to CAROL HARDY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1124108 04/04/03 PLUMBERS CERTIFICATION DATED 04/14/03 DAVID HARDY f Aut rized Signature Rev. 1/81 Form No.6 -7�J�� S v TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 2 9 ?001 This application must be filled i�by typewriter or ink and submitted to the Building Department with the following: A. For-new building or' e: 1 `mal 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$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. Z �bX /03 New Construction: Old or Pre-existing Building: ✓/ (check one) J Location of Property: /-j�5 ,'O.sr3lnp CO Lane, Add_ House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 10010,, Section tt U(v 9 Block 00'V3 Lot Oo2�. 007 Subdivision SaAh6l d V l 1las 1L Filed Map. Lot: Permit No. ��91 F 7 Z Date of Perm t. 3 03 Applicant: Oa Yn' / ( V-du Health Dept. Approval: Underwriters Approval: //2q ox Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �5 00 iLu1 I 3 ,� Applicant Signature 9M3 FAIRWEATHER-BROWN DESIGN ASSOCIATES,INC. P.O.Box 521 413 Main Street Greenport,N.Y. 11944 631-477-9752 (fax)631-477-0973 April 22, 2003 Mr. Gary Fish, Building Inspector Southold Town Building Department Southold Town Hall, Main Road Southold, NY 11971 Re: Hardy Residence 1385 Jasimine La. Southold, N.Y. 11971 Mr. Fish: This letter is to confirm that we have visually inspected the project and from what I observed,the work and the structural integrity of the construction is, to the best of my knowledge,belief and professional judgment,acceptable and in conformance with the requirements of NYSUFP&BC. Thank you for your attention to this matter. If you have any questions, please feel free to contact me. Sincerely, Robert I. Brown, AIA Q AROy�T 5 � O Q # 183p1 JOP Tq71F OF N A o ssLssLrn��!nrnr sr! C! n�n�n�n�n�nrn�sssssEsC1: 1: 1: �ns��nsrn�nnt�rr�ns�� I js������rn� o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 Dej 40 FULTON STREET — NEW YORK, NY 10038 tj CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 CAROL HARDY CAROLHARDY 5 5 1385 JASMINE LANE 1385 JASMINE LANE 5 SOUTHOLD NY, 11971 SOUTHOLD, NY 11971 5 Located at 1385 JASMINE LANE SOUTHOLD. NY 11971 5 Application Number: 1124108 Certificate Number: 1124108 5� 7C Section: 7 Block: Lot: Building Permit:29187T BDC: NS11 �c Described as a Residential occupancy,wherein the premises electrical system consisting of 55 electrical devices and wiring, described below, located in/on the premises at: 5 r� Second Floor, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 rj found to be in compliance therewith on the 4th Day of April, 2003. 5 Name QTY Rate Ratine Circuit Type 5 Alarm and Emergency Equipment 5 5 5 Sensor 1 0 Smoke �5 Appliances and Accessories 5 Exhaust Fan 1 0 F.H.P. 5 Wiring and Devices 5 Receptacle 22 0 General Purpose 5 rj Switch 7 0 General Purpose 5 C5� Fixture 9 0 Incandescent 5 5 5 Paddle Fan 3 0 5 Receptacle 1 0 GFCI S 5 5 5 5 seat 5 1 of , 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. O �PtJrJ�rJrJ@PrJ arJ arJ�rJ�rJ�r1rJ�cP�Pr1rJ�rJ�rJ�rJ�rJ�rJrJ��PcPrJ�rSrlr�cPr�rJ�rJrJ�rJrJrJ�PrJrJr�rJ�rJrlrlcPr�r�r�rJ��fycPrJcPcPcPcPrJrJ� O o��gUFFO[,� COGy� C#* x Town Hall,53095 Main Road Q Fax(631)765-9502 P.O. Box 1179 Telephone(631)765-1502 Southold,New York 11971-0959 l 41 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. Owner: Cao �ardq (Please pri t) Plumber: 6Aq(1i"-y ✓Ti/ (Please pri t) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. >/ (Plumbers Si ature) Sworn to before me this day ofx/ , 2003 N�otary Public, County No. M1102 T T T T Tl� T`)'�`T�l\�( T'T,' T�T�Z TT TJ �Tom'T���Tr i i C�r•(�_ Applicant/ , Date. Owners Naive: Reviewed: Architect/ Date Engineer: ^��c.o-urr— Submitted: v3 SCTM ft: District: 1.000 Section: 13 lock: Lot: Project Subdivision ' Location: 1385 _� Name: 4" Sin&le & separate Required certification: (Yes/No) Req. Itcq. Zoningl)istrict: j (IAl51ZC: V v /equal: 93I (Lotcovera fflli*used�I Req. Req. Req. (front Yard _Proposed:-] (Side Yard Proposed: J (Rear Yard Proposed Project Descriptionlo's A.GENCWERMITS Permit . UIRED FOR REVIEW MA, NO YES Number Suffolk County Health Dent v New York State D. E. C. y' Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Za,-�.��C � -��,& z- • f Notes: 4yAnol. L J/ f 4~i .illi Gam, y` 02:44 .x tel. Z4be per-, S CJW-1802J BWL@ING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY C REMARKS: DATE 3 INSPECTOR FIELD INSPECTION REPORT DATE COhmmml3 y FOUNDATION(181) ao ac FOUNDATION(2ND) r 04 z - o L) ROUGH FRAMING& PLUMBING y INSULATION PER N.Y. STATE ENERGY CODE Q FINAL ADDITIONAL COMN[ENTS O 1 � G O 19 ......033z z d TOWN OP SOMHOLD BUMNO PERMG APFUCATlON CHEQ BUILDING DEPARTMENT Do youlacva oraeed1he WoWnW.bdM ap TOWN BALL Board Of3011& SOUTHOLD,NY 11971 i, 3 sets ofBuildiug Planes TEL: 765-1802 sbevey MaYRT NO. I/�7 G�eatc SCOW Fa m ' NY.SD.B.Q a .20 03 approved _ R 2�3 Mail to: Disapproved a/c Phone: 7 -p B�ft�pect= �n ? APPLICATIONFORBUlLrD1NGPERMIT. Date .20 INSTRUCTTONS a.This application MUST beconwletW Modinby0vowritworiainkand submitted to the Buildinglnspxtorwii sets of pians,accmate plot plan to scala Foe aocordiag.to schedule b.Plot plan showing location oflot and ofbuIldbW on premises,relationship to adjoining premises orpubhc streets areas,and waterways. c.The work covered by this applicsdon may not be commenced before issuance ofBvildingPennit. d Upon app¢ovW of this appltc:ation,the Buildi:igIuspootor wM issue a BuijdiagPamit to the apphcaat. Snch a pea sball be kept on the premises avaikMo for inspection throgghout the work e.No baWng shAH be occ o*d orused in whole crinput for anypmposo What-so-ovaa'w>bl a Certificate ofOcoap is issued by the Building Inspector; APPLICAMN IS EMMYXADB to the BnaftDopartmeot.for the issuance of a BnftftPermit pmsuant to th Bnrldmg Zone Ordinance ofthe Town of Southold,SuMlkCotmty,New Yod;and other applimble laws,Ozdkmww or Regaled=,for the omsbvctioa ofbaildiogs,additions,or alterations or forrcmoval or damoliticar as henia described.The applicant agrees to comply with all applicable laws,ordinances,brulding code,hong code,and zagulatima,and to admit authorizedinspectoxsonpiomises and inbrrildiag fornecossaryiaspections. ApftvofappRoaetor aoogvradon) Watltaga4d"ofsppii�#) State whether applicant is owner,lessee, agent,architect,engineer,general contractor, electrician,ician,plumber or,bulda Name of owner ofpremises (46-on the tax roll or latest decd) If applicant is a corporation,Apatur e of duly authorizod officer (Name and title of corporate officer) Builders License No. Plumbers Liceoso No. Electricians ikcnsc No. Other Trade's License No. 1. Location of land on which .. sod work will be done: I*395- T Vytin lane., �COir�OL(� Rouse Number Street ` Bamlet County Tax Map No. 1000 00 - 00 Block 03 .CO Lot Oa--I,00-7 Subdivision_So u4o I�L Vi Piled Mp No,_ Lot (Name) crate eguseandocc�cgo�premdses and�ltendednse and o bf . a 'Eaisftuseandoccapancy livfkg S,9,709- - b. .h tended nae and oaazpancy Nature of work(check which applicable):New BAdinf.Addition ✓ Alteration Repair Removal Demolition Other Work ' (Description) Estimnated•Cost Fee (to be paid on filing this application) if dwelling,number of dwelling tinft j _Number of dwelling writs on each floor, tf garage, number of cars I Wbusiness, commercial or misted occupancy, specify nature and extent of each type of use. Dimensions of existing strnctuces,if say:Front Rear Depttm Height Number of Stories Dimensions of same structure mo alterations or additions: Front Rear pew Height Number of Stories Dimensions of entire new construction:Front Rear ' Depth Height Number of Stories Size of lot:groat Rear Death ).Date of Purchase--JuL t 9q±Name of Former Owner [.Zone or use distdct in which premises aro situated rp 5i d,P C-Hcz L Does proposed consavedon violate any zoning law,ordinance or regulation: A/0 I.Win not be rovaded No Will excess 811 be removed Som premises: YES NO ).NamesofOwne;ofprembes of rJU +ems a Jasmi✓IC. LO Phone..No. �1,�15- 5�3 NameofArchitect Kober+ Brown I Address . Phone No Name of Contractor Address Phone No. S.Is this property witbin Iet 00 fed of a tidal wetland? *YES NO • IF YES, SO=OLD TOWN TRUSTEES PERMITS MAY BE REQUIRED i. Provide survey,to scale,with accurate foundation plan and distances to property lines. I. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. CATE OF NEW YOM SS: AUNTY OF 1 (Name ofindividnal being d7*sworn;deposes and says that(s)he is the applicant sigaiug oa*ad)above named, we is the (Contractor,Aged,Compomate Officer,etc.) 'said owner or owners,and is duly andimomized to perfoan orhave petfonned the said work and to malm and file this application; at all swAmeats contained fa this application are tme to the best of Ids knowledge and bdiety and that the work wiM be mfimmied in the moaner set forth inthe application'Sled therewith. vom to before me this, of vfrr p N He Signsttme ofApp ELIZABETH A STATHIS NOTARY PUBLIC,State of New Work No.01 ST6008173,Suffolk Co Term Expires June 8,20nunty t The locations of wells and cesspools SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES \ shown hereon are from field observations FOR APPROVAL OF CONSTRUCTION ONLY and or from data obtained from others. 3j DATE NS. REF, N0. 93 SO 25 R=50.00" 98" L-21. S S, FM; Y DEPARTMENT OF FIEAt. 66.sa% AMILY DWELLING O o 8o �0 co m awok+. V O AO _ H. CTp ae y0 a` &O*A l 4M 'Up e:fh18 10CGRh?t!t f V I"i b .tTi7e?Cl9O afxvot 5 , � oertlned by t3tis D`y,rrr r 7t a a3her apencles 0 _ 39 and 10Ufld to be 88UslAGlogl. A.Costa, P.E..Chief 5 9Q h ,z o (0 . OfUce of WatAL'and WestswahN o4)' Sum I Y OF s3 LOT 7 j "MAP OF SOUTHOLD VLLAS, SECTION TWO" FLED AWA CW3 FLENO. A-434 A T SOUTHOLD Z59i1' TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. OT 0 °Q s 1000 - 69 - 03 - 24.7 e Q Scale: 1" = 40' �Or e`� v Mar. 15, 1993 0 Oct. 21, 1993 (foundation) 40'r May 11, 1994 (Final) DLA N Eos® "0nf AREA = 23,475 sq. ft. "T 7se43joe C). �s O N/ 9p 40• \ N� O/�c �OwFiQ The water supply and sewage disposal aF Y N. Y.S. LIC. NO. 49618 L9 Prepared in accordance with the minimum systems for this residence will conform standards for title surveys as established to the standards of The Suffolk County PECONIC SURVEYORS, P.C. ELEVA TIONS ARE REFERENCED CORPDepartment of Health Services. P by the L.1.A.L.S. and approved and adopleo p (516) 765 - 5020 TO AN ASSUMED DATUM. for such use by The New York Stale Land P. 0. BOX 909 Title Association. MAIN ROAD SOUTHOLD, N. Y. 1197/ 94 — 11SR PLUMBING ALL PU IMO NO WASTE •V ATER LINES NEED APPROVED AS NOTED f TESTING BEFORE COVERING 7,' /() 2'-9 112° 14-4 112" . 9-0-114' _9-9 114 _ PROVIDE ANTI-SCALD AND/OR f6&re 30 13ax35" 30°x35 30°x35° THERMAL SHOCK PREVENTING NOTIFY BUILDING DEPARTMENT AT DEVICES AS TO PART. 902.6(x) 755.1302 ' AM TO 4 PM FOR THE _ N.Y. STATE BUILDING CODE. FOLLOW NQINSP�ECTIONS: Q t FOUNDATION - TINO REG;.' PF"? v i IAf 'POiCONCRETE — ._._ — – — _ _ ' — — — — If copper tui Di s used ! RO4wFR FRAMINGG A P i a -+W. r>2' � � i -� Ni for water distributing & LATION tr--- --- N WALK-IN mi System: pir:ing sba6! be FINAL - CONSTRUCTION MUST 4-8"__-: of types IC ar L orgy NE©OMPLETEFOR C.O. :. I CLo5ET ALL CONSTRUCTION SMALL MEET #2 `O UNDERWRITERS CERTIFICATE TM MMUIREM£NTS OF TME N.Y. BATT m REQUIRED ITAT! CONSTRUCTION i &MRGY F GOOEL NOT RESPONSIBLE FOR e-t t t/2"` - X MNON ON CMN C -0 ERRORS ' I _ J'LUMBER CERTIFICATION n' -- N LEAD CONTENT BEFORE - -� CERTIFICATE OF OCCUPANCY ACC55 4 3 0 1/2' 7-4 --- - �E c � M pN _ __ f-------- - I SOLDER USED IN WATER RaAVIOLATNMOPIM � r 5T0� * '` 4' SUPPLY SYSTEM CANNOT LAwmANYPERB01l 1 R EXCEED 211 C of 1% LEAD. tlNLess AcIF 7Nt I DIRECTION OOA UCIIIII=I� f MgNTO AUSI ANY OCCUPANCY OR nEM ON�DRAWING N _ r ANYwAY-ANYAUTIORI M0 _ N MASTER Bt=�ooM USE IS UNLAWFUL NOTED,WIMJA NO WITHOUT CERTIFICATEIni '„ SLAW OF OCCUPANCY PR0 IDE OPENINGS FOR HARDY RE5IDENCE1385 JASIMINE LN. EMEPGENCY ESCAPE AS `���► — — ___. 96°aC.hT SOUTi1OLD, N.Y. 1 197 — — — --- -- — — — — — EQ.UfRED BY PART. 714 OF `r 4' -5-5 12--- - -- --- -- - Y. STATE BUILDING CODE. * � C SECOND FLOOR PIAN --' (A5 BUILT) *-g t 5-9164 Wx35" 0 x35 3o°x35" PROVtE SMOKE-DETECTING _8.9i�24'-8 SCALE : I/4n– 10" _ LARM Fe. sN t �o P DEVICES AS TO PART. 721.1 N.Y.S BUILDING CODE. FAI RWEATH ER-_BROW_N__ 1 6?4+;�cc,40" OC DESIGN A550CIATE5,INC. 4 13 MAIN STREET � ��►i � + ( � �- P.O.BOX 521 (�,_QLAre GREENPORT, N.Y. 11944 G3 1 -477-9752 (Fax) G3 1 -477-0973