HomeMy WebLinkAbout13844-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
THIS CERTIFIES that the building ...... 9.n.c...f .a.m.~.k. ~..d.w.e..3..1.~.q g ...................
35.q..B.r.i.ga..n.t.ine Drive Southold
Location of Property ,d/~tjsb h/o] ......... ~/ebt' ....................... $/~dde~
County Tax Map No. I000 Section ... 97.9 ...... Block ...6. ........... Lot....6.3 ............
Subdivision .M.a.l~. 9?..H..a.v.b. qr?..L.±.gh..~.s..E.s. ~.'.Filed Map No, 4.16..2 .... Lot No ..... 2..2 .......
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·...&p.e. $.3_..q .......... ,19.8.5. pursuant to which Building Permit No. q..3 .8.4.6. Z. ..............
dated ...aPF.~. ~..8 .................. 19 .8.5., 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 .........
.... qa~..f.~m, i. ~y..~.¥.e~.~.~..ng.. .....................................................
The certificate is issued to ..... R~ b .D~)~.D...K ~.~.F.F..E~ ....................................
(owner,~l~ ~(r~lXt'~
of the aforesaid building.
Suffolk County Department of Health Approval .... .85.-.~..0 v.2.7...F.e~.....6...1. 9. .8.6 ......
UNDERWRITERS CERTIFICATE NO ............ .N.7.1.6. ! .3.2..0.93. .2.9 1 .985 ...........
Plumbers certificate Sept. 16, 1985
Rev. 1/81
Building Inspector
~0~,1~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N-° 13844 Z Dote
pursuant to application dated ........ ..~ .......................... , 19.~..~../', and approved by the
Building inspector.
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
$outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings or new use:
1. Fina{ survey of property with accurate location of a)l buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industria~ buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topograph ic featu res.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00 /
2. Certificate of occupancy on pre-existing dwelling er land use -$/~! $5.00
3. Copy of certificate of occupancy $1.00
Date . ?ebr.u~ry 10, 1986
New Building.............XX Old or Pre-existingBuilding(X)._. ...... . = /Vacant Land
fP ty 550 Brigmnti~ne*Drive, $outhold N..Y..
Location o roper ............. . .......................
House No. Street Hamlet
Hildred K nip .p.e~r
Owner or Owners of Property ...................................................
County Tax Map No. 1000 Section 0?9 Block 4 . pcl
.............................. LOt ................
Subdivision.. Map No. 4 62 .... Lot No.
Permit No..~.3.8.4.~. ~... Date,of Permit/..8/'.8.5. .... Applicant ~..n.~.a:~d...H.o.m.e..s.,. ?.n..C.o .............
Health Dept. Approval 2/6/86 App
........................ Labor Dept. roval ...................... ,,.
Underwr.~ - ^ .NTl~] 32
~[ers ~pprovm ...... -. ................. Planning Board Approval yes
Request for Temporary Certificate. no , yes
.................... Final Certificate .................
' d $.?:.00
Fee Submitte ..........................
Construction on above described building a, nd-ll~ap~if meets all app~cable~cod~'~nd regulations.
Appl cant . 4;,:~.3~-,-~.'~1/..~.-~--~-[
Robert E. Hiltz, 'IN~.~MES, INC.
Rev. 10-10-78
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
CERTIFICATION
TEL. 765-1802
TOWN OF ,'~OU !'Hr}L: ~
Date September 16.1985
Building Permit No. 13844Z
Owner Mrs. Mildred Knipper
(please print)
Plumber Frank Pazienza
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
' (plumbef~ si~tu )
Frank Pazlenza
Sworn to befor~ me this
/~ .day of /5~~ ~
Notary , /J (J ~
Notar~ Public
VERONICA ;:. CIDONE
NOTARY PUBLIC, STATE OF NEW YORIC
NO. 52.466140~
O~ALIF',ED (N SUFFOLK COUNTIf
CO~M/SSION EXPIRES MARCH ,30, 1~, /
FIELD ~NSP~CTION
COMMENTS
FOUNDATION (~st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
QODE
FINAL
£TIONAL COMMENTS:
57 Wellington Avenue
Short Hills, New Jersey 07078
November 14, 1985
Mr. Robert E. Hiltz
Inland Homes, Incorporated
315 Westphalia Road
Mattituck, New York 11952
Dear Mr. Hiltz:
TWO STORY SALTBOX, SINGLE FAMILY HOME
LOT 22,BLK 4, PCL 43
BRIGANTINE DRIVE, HARBOR LIGHTS ESTATES
SOUTHOLD, NEW YORK 11971
On November 11, 1985 I inspected the single family, two
story dwelling you constructed on Brigantine Drive in Southo]d~
for Mrs. Mildred D. Knipper.
Enclosed is a "check list" of remaining work which needs
to be completed prior to the closing and balance of payment.
The items listed are of a basic nature which would have normally
been provided for according to the terms and conditions set forth
in the building specificati, ons and plans of the contract for
this work.
Two other items, of a minor nature, I note here: 1) Vent
pipe at rear of roof was installed approximately ten degrees
out of vertical, and 2) Exterior vinyl siding was burned where
proper shielding was not provided in the soldering of the cold-
water shower valve connections. These two items do not prevent
or interfere with intended function, but point more to some areas
of the job where the proper attention that should have .been given
was not provided.
As I have been unable to contact you at all since November 11~
1985, please contact me at (201) 430-8835 for any questions of
a construction nature. Please contact Mrs. Knipper's attorney,
Mr. Rudolph H. Bruer, Esquire, at (516) 765-1222/2500 for those
items of a legal/administrative nature pertaining to the closing.
Very truly yours,
Ronald ~'. Tkach, P.E.
Enclosures
C Mr. Rudolph H. Bruer, Esquire
Mrs. Mildred D. Knipper~
Check list of
to closing:
remaining basic work
November 14, 1985
requiring completion prior
BASEMENT
__ 1) Water holdin~ tank needs a proper base and brambling at,~
~Op,~opreve~
electrical connections tying into it. Additional masonry
block needs to be placed on both sides of the existing
base, mortared in place, and a wrap-around brace at the
top of the tank needs to be tied into either the nearby
wall or two by fours extending down from and secured to
an overhead joist.
2)
Check valve on hot water riser off of furnace (northeast
C~he~)' ~S 's~i'~,~i~~~~ despite your
statement to Mrs. Knipper that this was fixed. This leak
is not of the type which will eventually seal itself up,
and may require draining of the line and proper sealant/
tape applied to the plug threads before plug is reinstalled
to remedy this leak.
3)
The interior shut-off valve.to ~e front~s~ut~as~ exterior
corner spigot d0es~n~' p~0vid~"~'~~'~ This may
lead to freezing and bursting of this exterior line and
spigot in its present condition, and may require replacement,
as opposed to repair, to remedy.
4)
Brmoe along hot water leg which makes a horizontal run of
about,15 feet from the furnace toward the sunroom/south
wall.
__ 5 Brace top of ~old water leg rising vertically from water
holding tank.
cold water line running to the front/so~h~,~rner
causes unaccePtable '¢fp~mO~~%%~'~a~r
an unnecessary rupture in this line as a result of this
line's current unbraced condition.*
Lack of minimum bracing for these lines cannot ~e ~fied
of y
installed elsewhere).
LIVING ROOM AREA
7) Extension to light/fan fixture and remainder of overhead
fixture needs tc be installed.
8) Front door to living room has a % inch gap at. ~S base
(to the threshold) which is too large for pre'~hg
or any other type of exterior door. This can be
remedied either by raising the threshold or by installing
a durable weatherstripping at the inside base of the
door, along its entire length and sides.
FIRST FLOOR BATH
9) Door to bath,
strike) under
shaved and/or
from kitchen, will not shut (bolt into
normal closing pressure and needs to be
shimmed to provide proper closing.
10) Hole in wall (to left of wall light, near mirror) needs
to be patched and painted.
WASHROOM
11) Electrical and plumbing hook-up of the washer needs to
be completed.
12) Electrical and exhaust vent hook-up of the dryer needs
to be completed.
KITCHEN
13) The proper outlet for the electric range/oven needs to
be installed (approximately 40 amp hook-up).
14) Wall mounting plate for a wall-mounted phone needs to
be installed, providing enough vertical clearance under
the overhead cabinet to allow for installation of the
wall phone without any interference (present location
of phone line routed through counter backboard may be
too high/close to cabinet).
EXTERIOR
15)
Flowerbox needs to be installed to the west of the sun-
room, along the slope, as you agreed t~ do, to camou£]age
the previous construction error in the sunroom foun~tation
- and without interfering with the function of the
crank out window (it would also cover the flashing which
is presently exposed through the asphalt shingles placed
along that slope).
16)
Drain spout off of rear/southwest corner of house is out
and needs to be reconnected with a screw as in the drain
pipe connections made elsewhere.
17)
Grading along former trench from 5" well to southeast/
front corner of house needs to be completed as settlement
of soils of upwards of one foot along approximately ~5-20
feet of its length (and less elsewhere) has occurred -
an unsafe condition.
Two of the "seal-o-matic" asphalt shingles at the,~rear
of t~e,,h~ toward the southwe~g~Qr~ner/south
Of ~i ":'~'~%hWe~,er) were
apparently never Properly sealed or secured and are irt
a raised position - creating a potential for near-future
rain damage to the house. These two shingles should be
properly sealed/secured.
19)
There still remains debris, primarily of felled trees,
near the southwest corner of the house, despite youz
charge of $435.00 for "3 cartings to dump" noted
your October 25, 1985 letter to Mrs. Knipper. This
debris needs to be removed from the site.
MISCELLANEOUS
20)
The job site is to be left clean and the house is to
to be left broom clean. The site presently is littered
with the aforementioned debris (#19) and miscellaneous
litter (empty soldering tins and cigarette packs, etc.).
The interior floors of the house are presently soiled
from subcontractor traffic and need to be swept clean
after the aforementioned items are taken care of.
End of check list of remaining basic work to be completec]
to closing. Third of three pages.
11/14/85
CUSTOM BUILDERS
February 10, 1986
MATTITUCK, N. Y. 11952
Town of Soutbold
Building Department
SouthoId, N. Yo 11971
Dear Sir:
I am enclosing herewith a certification from the
Plumber for Mrs. Mildred Knipper, Building Permit
#13844Z. We omitted the certification from the
rest of the necessities t o obtain the certificate
of occupancy.
Thanking you in advance°
Very truly yours,
Robert g , Ii Hiltz
Inland Homes, Inc.
REH/gh
enc.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~0001 ,~4 BURIEAU OF iiELIECTRICIT~
85 JOHN STREET, NEW YORK, NEW YORK 1003~
~ Date ,, ~ ~ . ~. ~ ~lpplicatio~ No. o~ file
THIS GERTIFIIEB THAT
only the electrical equlpt~ertt as described below and introduced by the applicartt narried o~ the above application number in the premises of
Mildr~R KnJ.pper~ N/S Brigant:ine Drive:, ~'~chor lane & H~rbor Lt~ts Drive~ ~outhold, N,Y~
in the following location; ~ Basement [] 1st Ft.
was examined on ~"60l~k~' _'~ ~ _
~ 2nd FI. Section Block Lot
and found to be ia compliance with the requirements of this Board.
FIXTURES
FIXTURE SWITCHES
OUTLETS FLUORESCENT VAPOR
2,0 29 :g4 20
DRYERS FURNACE MOTORS
RANGES OVENS DISH WASHERS EXHAUST FANS
TIME CLOCKS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT
OTHER APPARATUS:
i~G~P.C.i,
S E R
OF CC COND*
C
NO. OF HI-LEG
OF HI-LEG
NO, OF NEUTRALS
AWO,
OF NEUTRAL
4
Electric Cor7~, (Cliff C/arnell)
Willowy Podmt Road
~o~hold, N,Y. 11971
Lic.
GENIEI~AL MANAGER
Per,
This certificate must not be altered in any manner; return to the office of the Board if incprrect, may be~ identified by their credentials.
~ cgqv ~O~q.U,D Ne D~,~?M~NT. rHm COPY O~ C~?m'~T~ ~US~ ~ S~ALT~ ~ A~V MAN~.
FORM NO. 1
TOWN OF BOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-180:3
Examined ~. ~ ...... ,19~.~.~.
Approved~...~ ....... 193. 5 . Permit No~ .~..~.~..~.%.
(Bfiilding Inspector)
APPLICATION FOR BUILDING PERMIT
Application No ..................
Date April 1, 1985
INSTRUCTIONS
a. Tins appli~atidn 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation·
c. The work covered by tins application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued 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.
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.
INLAND HOMES~ INCo
' (Signature of applicant, or name, if a corporation)
· %. ?.2 ........
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
General Contractor
Name of owner of premises . . .I~..r,.q.o..1~..5.1.d.r.o: .d..K.n.i. pp?.r. ...............................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
... Ro.b.e..r.% .~.:..~.!l*..z,..P.r..e.s.i.d.e..n.t ............
(Name and title of corporate officer)
Builder s License No ..........................
517-P
Plumber's License No .........................
Electrician's License No....2.8.1.6. ...............
Other Trade's License No ......................
1. Location of land on which proposed work will be done....Lp.t. ?.2.2.-..a..t..B.a.y.y.i?.w.:..T.o.w..n..o.f..S..o.u.~.h..o.l.cl.,..NY
..... ..... ......... ......................
House Number / Street Hamlet
County Tax Map No. 1000 Section ............ 079 . ..... Block.· .4. .............. o--[l~t....~.~ .............
Subdivision. Rg.~.~..r..t.q. '.'.lyl~..P...O.F...I~.R..B.O.R..I~.I.G.H.T.S. Filed Map No...4.3..6.2 ........ Lot ...~...~.. · .......
(Name) ESTATES
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy vacant
b. Intended use and occupancy 1 family dwelling
3. Nature of work (check which applicable): New Building XX Addition Alteration
Repair .............. Removal .............. Demolition .............. Other Work ...............
~...~..~ / .(~....~_~... (Description)
4. Estimated Cost .... Fee
(to be paid on filing this application)
5.' If dwelling, number of dwelling!units .. 1 Number of dwelling units on each floor....2...
If garage number of cars i
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 . . 28 Rear .. 2..8 ........ Depth 33
Heighf ............... Number of Stories ............... ; .....................
9. Size of lot: Front .... 100 .... i ........... Rear ..... 1.O.O... .......". ..... Depth ....2.O.O... ..............
10. Date of Purchase .......... 4 .................. Name of Former Owner .............................
! 1. Zone or use district in which promises are situated .....................................................
12. Does proposed construction vio!ate any zoning law, ordinance or regulation: ...... OQ ........................
13. Will lot be regraded ........ i .......... : ........ Will ex~s ~l, lJ,b~er~lItq;~d~,m premises: Yes No
14. Name of Owner of premises .I~.i..1.d.~.e.d...K.n.%pp.e.~.. AddressG.a,~f.~.~y.,?I ,Iii. Phone No...3.4.7.~.8..2.4.4. ....
Name of Architect ......... i ................. Address .................. P one o ..... . ....
Name of Contractor .I.N..L~..N.D.iHOMES' INC. Address Box ].17, Mattlttx~l~
- Y.298 9~96
rnone-No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether
interior or corne~ lot.
STATE OF NEW YORK.
COUNTY OF .... .S.U..F .F.O.L.K. .... iS.S
Robert E. Hiltz
............................. ' .................... being duly sworn, deposes and says that he is the applicant
(Name of individual slgn}ng contract)
above named.
Contractor
He is the ............................................................ ~ ...........................
(Contractor, agent, corporate officer~ etc.)
of said owner or owners, and is dui authorized to perform or have performed the said work and to make and file this
application; that all statements cont ~ined in this application are true to the best of his knowledge and belief; and that the
work will be performed'in the manta r set forth in the application filed therewith.
Sworn to before me this
......................... 19..~..
NotaryPublic,~ff....: ..'2~,.. ~ ......... County .~- ~_ _ /~
~.,,, ,]o, ~,~ ~ E, (Sign~f apphc~t)
/o0
RODERICK VAN TUYL, P.C.
LICENSED LAND SuR~'Y'~RS
GREENPORT NEW YORK
SUFFOLK CO. HEALTH DEPT. APPROVAL
H.S. NO.
STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE WILL
CONFORM TO THE STANDARDS OF THE
SUFFOLK 8~J~l~O~ ~J~LTH,
(SI 315 Westohalia Rd_
Bo~m~:~,ck, N.Y. '~'~9B2
SUFFOLK COUNTY DEPT. OF HEALTH
SErViCES -- FOR APPROVAL Of
CONSTRUCTION ONLY
DATE. % ~f
~H.S. REF. NO..~__A~ D:
S,~%~ FA~LY D~V~LMNG ONLY
SUFFOLK CO. TAX MAP DESIGNATION:
DIST. SEET. BL~K
~L.
OWNERS ADDRESS:
DEED: L h~./~~, P.
TEST HOLE STAMP
SEAL
J'~" ! SUFFOLK CO. HEALTH E~EPT, APPROVAL
~ So~i~%i ~, -~ ~ ~' ~ SY~EMS FOR THIS RESIDENCE WILL
~ ~ ~ ~ CONFORM TO THE STANDAR~ OF THE
~ ~ ~A~,~, / ~ ~ SUFFOLK CO. ~T. OF HEALTH SERVICES.
[~, .,~ ) ' SUFFOLK C~NTY DEPT. ~ HEALTH
>'~ ..... CONSTRUCT 'ONON~Y
............ ~R]CK VA
~ LiC~SED ~ND SU~Y~~
_ ~ GRE~RT ~W Y~K
LEFq-
LI .
t
, ELF;-',/~',T I CS,
~UPPL J:' SY,5'T£ ' ' ...... :
'M CANNO~
.~XC££D ~/~0 o/ ]% /CF, AD.
PLUM.~?ER CERTIFICATION
ON LEAD CONTENT BEFORE'
CERTIFICATE OF OCCUPANCY
If copper lubing is used
for water distributing
sys~ern~ piping shall be
of types K or L only
~. FOUF~m~ "ION - ~O REQUIRED
FO~ P"U?'-D CONCRETE
, ,CO
DESIGN OR CONSTRUCTION ERRORS.
Phone 477-0400 Main Road
GREENPORI, N.Y. I 1944
56.7
LIw IN, ~-
-r.,oo
II
J
,SE CON~ "FLOOT<,., :'H'LA id
Main Road
GREENPORT, N Y. 11944