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Home My WebLink About28476-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPA/~CY NO: Z-29571 Date: 07/11/03 THIS CERTIFIES that the building ALTERATIONS ~ocatlon of Property: 737 OLD WOODS PATH (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 87 Block 1 subdivision Filed Map No. __ Lot No. __ SOUTHOLD (HAMLET) Lot 23.4 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 31, 2002 pursuant to which Building Permit NO. 28476-Z dated JLTNE 19, 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 ALTERATION OF AN EXISTING ATTACHED GARAGE TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LIN-DA C SAFALOW (OWNER) of the aforesaid building. S~3FP~)LK CO~DEPART~qT OF~THAPPROVAL N/A ELECTRICAL c~RTIFICATH NO. 1058441 04/15/03 PLUMBERS CERTIFICATION DA'r~O N/A AuthOred Signa~re Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28476 Z Date JUNE 19, 2002 Permission is hereby granted to: LINDA C SAFALOW SUITE 310 MINEOLA,NY 11501 for : ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING (CONVERSION OF ATTATCHED GAR3~GE TO THEATER ROOM) AS APPLIED FOR at premises located at 737 OLD WOODS PATH Co~Lnty Tax Map No. 473889 Section 087 Block 0001 pursuant to application dated FLaY 31, 2002 Building Inspector to expire on DECEMBER 19, 20~ Fees 150.00 ~_~~-----~/~~ SOUTHOLD Lot No. 023.004 and approved by the COPY Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 followil)g: 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 t¥om architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 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, Swilmning 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, Cmranercial $15.00 (check one) New Construction: Location of Property: Date. Old or Pre-existing Building: ~/ Street Hamlet Block Oi Lot 2~, ~ Filed Map. Lot: Unde~riters Approval: / House No. Owner or Owners of Property: Suffblk County Tax MapNo 1000, Section C~'7 Subdivision Permit No. 28~//7~ - Z-- Date of Permit. Health Dept. Approval: Plam~ing Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) fl~ ~ [~[ lic~ature 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 BOGER ROBERT ARTHUR SAFALOW 455 WILLOW POINT ROAD 737 OLD WOODS PATH SOUTHOLD NY,11971 SOUTHOLD, NY 11971 Located at 737 OLD WOODS PATH SOUTHOLD, NY 11971 Application Number: 1058441 Certificate Number: 1058441 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Detached Garage, Outside, Attic, 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 15th Day of April, 2003. OTY Rate Rating Circuit Type Name Miscellaneous certificate includes detached Fa and addition to house garage Alarm and Emergency Equipment Fa Sensor 1 0 Carbon Monoxide Fa Sensor 1 0 Smoke Appliances and Accessories Air Conditioner 1 0 12.000 BTU Panels Fa 1 60 6 Wiring and Devices Receptacle 27 0 General Purpose Switch 2 0 General Purpose Fixture 28 0 Incandescent Fixture 4 0 Fluorescent Fa Paddle Fan I 0 Dmamers 8 0 seal Receptacle 3 0 GFCI 1 of 1 lhis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ENEI[GY CODE CALCULATIONS Design Criteria 6,000 Degree'.~ays O.A. 1O"F I.A. 7U~F SUUSYSTEM AREA. "U" [.,xter,ol: Wails (Opaque; ~b-0 Ceiling/Hoof (Opaque) ~J~ . o~ 0 Skylights . % Floor p~5 . O~ 0 l:oundation Walls Sl~b Insulation TOTAL No tee: l]uildl~lg ~nvelope S'y'stems to meet reguirement~ of 7815.2 IlVAC Equipement to mee~ requirements Qf, 7815.11 1IVAC Systems to mee~ requirements of 7~.15.r2 Duct Systems to meet requiremehts of 7815.13 Ventilations Systems to meet requirements of 7815.14 Insulation of Piping Systems to meet requirements of 7U15.15 Service Water Heating Systems & Equipment to meet requirements of 7815.21 ElectrJ. cal ~ Lighting Systems & Equipment to meet requirements of 7U15.31 To the best of my knowledge, belief, & pro£essiQnal judgement, these plans ar~ J.n compliance wlt~ the code. 07/02/02 TI,.'E 14:45 FAX Description Uses Uftra/R'" Insulating Sl~eathlng is tot use in residential or commercial construction wltb wood or metal Iraming to provide ad- ditional insulallon to/ the following ex. terio¢ sidings. Brick or wood, hardboard, aluminu~ and vinyl sidings which are fastened to the wood or metal frame through the s~eathlng. Where building PHYSICAL PROPERTIES OF U LTRA/R~ Transmission AS'I M C-355 1 0 term inch Code Compli ances Co~tofm$ to; ICBO--Unlform Bu Iding Code: sect. 1712 FM Listing Factory Mulual R~search Corporation Specification te,=' ted per AOTM E~4 (84a) tenet method FM ReporL J.I, 21,2QSAC Bomaeote GompanyLtltra/~e tgi ace~ polylao~yenural e foam insular Ion sheathing boar d fasted with foil facing temoved. 1.8 pcf (31.5 (g/M~) deflsit y above. General Con.,i :ruction Data ~ 001 cove~ with polyfllm or other device. Panels must be installed in a dry condition Ohly. UItralR® Sheathing Over Framing (Al Install an acceptable corner brace system using bracing of either metal strapping or let in (Bi Install Ultra/Re panels vertically with long adgee in light contact with adlacent UltralR~ Sheathing as Gypsum Underlayment UltralR~ Sheathing as Interior Masonry Wall Insulation Ultra/R® Sheathing as Cavity Wall Insulation Ultra/R® Sheathing as Concrete Slab Insulation availability Homasote building products are available throughOut the United Slales ar,:l Canada from local building material dealers. BUILDING PERMIT EXAMINER CHECK LIST APPLICANT: k..m~ SCTM# DISTRICT: J,000, SECTION: ~ BLOCK: I STREET ADDRESS: ~ O/el O.)ooa.~ ~ CITY: DATE ISSUED: / /02 DATE REVIEWED ~ /_~[_/02 DAT~: SUBMITTED: $ ~/02 SUBDIVISION: PROJECT DESCRIPTION: ESTIMATED PROJECT COST: ARCHITECT/~R: To"t'~u ~- FAST TRACK? SINGLE & SEPARATE CERTiFICATION-REQUIRED? Atto NOTES: LOTS 40,000SF -100-24. Lot recognition(CREATED before June 30, 1983), UNDERSIZED LOTS F~-OM JAN.1997 100-25. Merger (A nonconforming at any time after 7/1/8 ZONING DISTRICT: ;ik~o CONFORMING? ~ REQ. LOT SIZE.~,.a~,o ACT. LOT SIZE:/~REQ. LOT COV.,. ,,,PoTs_ ACT. LOT COV. REQ. FRONT - ~ PROP. FRONT t/' REQS_.S.~IE ,.~/~ ACT. SIDE REQ. REAR 7'~" PROP. REAR ~ / WATER FRONT? PANEL #: A/d) DESCRIPTION: FLOOD ZONE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): DTE: / / PERMIT #:RI0- TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: PV,~-n~c 9/1m5 YES o~C~ SOUTHOLD TOWN TRUSTEES: YES or~, TOWN ZONING BOARD APPROVAL: YES o~J~ TOWN PLAN. BOARD APPROVAL: YES TOWN HISTORICAL PRE (SPLIA): YES or~,J NYS ENERGy: ~x~Efl OR NO: <-- -- IqO EGRESS (18 H nlffi.? 4 sq total)~x~ VENT (SQ. Fr. x 4%). LIGHT (SQ. Fr. x 8%) BUILDING PERMITS OPEN/E~D: BP~-Z/J//0 Z- , / . HaVEPRECO'S:¥ORN % BV _,-m3,.O. fYZ/C/O Z- NOTES: ' % -- /. d ,... /11 r FEE STI..UC~ '~-I~ATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: _ 6'~- SF FEE FEE FEE 1.( SF)-( SF)= SF X $ =$ +$ +$ = $ 2.( SF)-( SF)= SFX $ =$ ._+$ +$ =$ 765-1802 BUILDING DEPT. INSPECTION DATE ~~"~ INSPECTOR 765-1802 BUILDING DEPT. ~ INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ]/~/UNDATION 2ND [~INSULATION [ ~]~ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ ~- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ].~ULATION [ ~ FINAL [ ] FIREPLACE & CHIMNEY FOIf~'X)ATION (1ST) FOUndATION (2¢~) ' STA~ E~RGY CODE ~D~ON~ CO~ TOWN OF $OUTHOLD BUI~,D~ DEPARTMY~NT TOWN HALL SOUTHOLD, NY 11971 TEL: 765~1802 Approved Disapproved ,20 ,20 PERMIT NO. ~_~~ BUll. DING PER.MIT APPLiCATiON CHECKLI! DO you have or need the following~ before applyir Board of Health 3 sets of Bu/]a~ng Plans Surve× Cheek Septic Form N.Y.S.D.E.C. Trustees Conf. aet: ~? ~,~~Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. ThSs apphcat/on MUST be completely filled in by typewriter or in ~ and submitted to the Bu/lding la~pector with sets of plans, accurate plot plan to scale. Fee accerd/ng to schedule. b. Plot plan show/~g location of lot and of buildings on premises, relationship to adjoining premises or pubhc streets or areas, arm 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 lrkspector .will issue a Building Permit to the applicant. Such a permit shall be kept on the premise~, available for impection throughout the work. ¢. No building shall be occupied or used in whole or ia part for any purpose what-so-ever until a Certificate of Occupan · is issued by the Building Inspector. APPLICATION KS It~Y MADE to the Building Department for the issuance of a Building Permit pursuant to the Build/rig Zone Orclina*~ce of the Town of Southold, Suffolk CoUnty, New York, and other applicable Laws, Orct~nances or Regulations, for the constracfion ofbuilrlings, additions, or alteratioaS or for removal or demolition as herein describedu The applicant agrees to comply with all applicable laws, ordinances, building cede, housing cod,e, and regulations, and to admit I (s~gn~tu/~ g.*'a~ficant or ~,-e, ~a'~orvova~on) (Mmilmg address of appl/caut) ' State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electr/ciun, plumber or builder Name of owner ofpremises A~DIIJ~ ,~O tab/0.4 (as on the tax roll or latest deed) If applicant is a corporation, signature of duly author/zed officer (Name and title of corporate officer) Builders License No. ~ 1~7~ -~3: Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work ~ be done: House Number Street County Tax Map No: 1000 Section Subdivision Hamlet Block f~l Filed Map No, (N _amc) Lot L State existing use and occupancy ofpremi~s and intended use and occupancY of Prop°sad constmctloa: ' a. Existing use and ocCUpancy [<~gl~a~_. · b. Intended use and occupancy ~"A-~fl..~ I~-o~ Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ~10~ Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Alterahon F/ Other Work (DeScription) (to be paid on filing this application) Number of dwelling units on each floor 5. If business, commercial or m/xed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Number of Stodes Depth Height g. Dimensions of entire new construction: Front Rear Depth Height Number of Stodes 7. Size oflot: Front ~0~ Rear 1'71o Depth 10. Date of Pm-chase Name of Fo=er Owner 0~/~ ~0 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded ~ 0 Will excess fill be removed from premises: 14. Names of Owner of premises ~tr~g. ab,a/)" s~ddress 7~? o/o I~0,0 e#~ Phone No. Name of Architect . Ad&ess Phone No Nme of Contractor ~tlu~l Ad&ess O0 ~ g0~ Phone No, 15. Is this property within 100 feet of a tidal wetland.9 *YES NO /k/0 · 1}' YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED YEs® 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. gTATE OF NEW YORK) 2OUNTY OF~~ ~ d~'~/~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual sig~i~g contract) above named, S) eisthe (ConU'actor, Agent, Corporate Officer, )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; hat all statements contained in this application are tree to the best of his knowledge and belief; and that the work ',V/Il be >erformed in the manner set forth in the application filed therewith. ;wora to before me this ,:7 [ of [ / U ~otary Public LYNDA M. BOHN NOTARY PUBLIC, State of New'f~fK No. 01 BO6020932 Qualified in SuffOlk Cou~nt~:;..~ Ten"n Expires March 8, 20 ~.~.,~' .I i