HomeMy WebLinkAbout23631-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24931 Date MARCH 17, 1997
THIS CERTIFIES. that the building ADDITION
Location of Property 840 FLEETWOOD ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax. Map No. 1000 Section 137 Block 5 Lot 6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 31, 1996 pursuant to which
Building Permit No. 23631-Z dated AUGUST 13, 1996
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 SUN ROOM ADDITION TO EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to ALBERT A. WEISS & ORS.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-409721 - JANUARY 24, 1997
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
FORM No. *
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)
M23631 Z Date .......���................................... 19.
Permission is hereby granted to:�
C!ll i . •••.•..........
Za.. ..... _ .........
.......... ......
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....
..
� , � � . ....
CO ! .-....... ...` ..... . ...: ...:�
.�� 4 t
.G-.....4�i.... ......... :. .......f. /�
..................
at premises located at ......... .. /.. ............................................................
........... ................................. ................................................................ ...
............................. ... .. ...............
/
.. ..✓ .. Block ....`.�......••.. Lot No. .....5�••.••••••-•••
County Tax Map No. 1000 Section
pursuant to application dated ........�ja..9 . ..... ..
�•••••••••......••. 19 . ., and approved by the
Building Inspector.
Fee $• .....•.......••••
.... . .................................
ding Inspector
Rev. 6/30/80
Form No. 6 ! 64
5- TOWN OF SOUTHOLD
� � BUILDING DEPAR=NT VAR
-T 10 r
TOWN HALL
l65-18027356. T
OF SO;DEP
.i
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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, 19571 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 a 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.
Fees
1. Cert ricate o: 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-existin-g Buildine - $100.00
3. Copy of Certificate of Occupancy - 25C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . .0y.7. . . . . . . . . . . . . . . . . . . . . . . ... . .
New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
Location of Property. . o F�e��crB� O<`®¢� w21. _ _
House No. Street Hamlet
Onwer or Owners of Property. . . r��F{ ✓`! .K cis T, _ m 5 . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . . . 3?. . . .Block. . . . . . . . . . . . .Lot. . .4 . . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .Filed Hap. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . a�4. . . . .. . . .Date Of Permit. . . .] Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
?lanning Board Approval. . . . . .. . . . . . . . . . . .. . . . . . ,/
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . O
. . . . .� . . . . . . . . . . .�. . . . . . . . . . . . . . . . . . . .
APDLICA117T
f
EI
CUSTOM GLASS RIDGE DETAIL #2 ROOF SEAM DETAIL RIDGE DETAIL REVISION BY
TRAPEZOIDS 4-PLACES
-- 2FT X 4FT FIXED
12 SKYLITE 2-PLACES
41 EAVE --
DETAIL.
MULLION
DETAIL.
SILL
DETAIL-
ELEVATION I I I I I I
I
LEFT SIDEWALL ELEVATION FRONT RIGHT SIDEWALL ELEVATION. g
PROPOSED PATIO GREATROUM ADDITION FOR
OCCPA O EXISTING DECK WITH TREATED 2 X 8 FLOOR JOISTS 16" MRS, WEISS, 840 FLEETWOOD ROAD, o h
E IS UNLAWFUL DOUBLE 2 X 8 GIRDER, 12" DIA. CONCRETE PIERS, 3FT MINIMUM CUTCHOGUE, N.Y, 11935 rz
UISBELOW GRADE, GREATROUM IS A FOUR SEASONS SERIES 230 a
Q CETtFtCTE WITH FRONT WALL, LEFT & RIGHT SIDE WALLS ;
UN99ERNfRITERS GkRTIFICAT� NOTES; o
�� RCQUIRBD 1) ALL GLAZING TO BE INSULATED T01 EMPERE➢ o
EXISTING STRUCTURE EXISTING DOOR z
SAFETY GLASS,
SOLID WALL AREAS TO BE INSULATED o o m
STUCCO PANEL
3) GREATROOM TO BE A NON-HEATED SPACE Wn
p� WALL DETAIL 4) IN AREA OF SUNROOM, EXISTING DECK c� o
4FT 4FT TO HAVE, TAR PAPER AND 3/8"
g PLYWOOD SUB-FLOOR ADDED.
5) ALLOWABLE ROOF LIVE LOAD 46 P,S.F, ®�
SQUARE OFF CORNER
{ 3FT OF EXISTING BE
3FT ��S �DAR�y�
DO
QN A.E3pV
4FT 5FT 5FT DOOR 4FTY.
" ° DRAWN BY; C,M,
i' u
cn tti FILE1 WEISSI
CORNER EXISTING STEPS 9TF1o.p�2692�0C� DATE 7-20-96
DETAIL �F NE N
21' APPROX. EXISTING DECK—
SHEET 1 OF 3
PLAN VIEW DWG,# WEISSI
c t
REVISION BY
EXISTING STRUCTURE #14 RUUF SCREWS WITH 3" ROOF
WASHERS IP" U,C, —� PANEL
FLASHING
#8 X 1/2" SELF- #8 X 1/P" SEE-
TAPPING SCREWS
TAPPING SCREWS —
73GB
3" ROOF ——_ -GUTTER
PANELS
1/4" LAG BULTS
o
U a
73RR RIDGE
3/16" WEEP Q ;
B'-0„ -- HOLES TYPICAL _ 61 P4 M
RIDGE DETAIL PIVOT EAVE. r
TOP & BOTTUM
u
zoo
-#B X 1/2" SELF TAPPING SCREWS SLIDING o
FEMALE RIDGE MALE RIDGE WINDOW HEAD
EAVE DETAIL
o �
Ei p
tU Rcy ®U
i�F
10'-6" 4 ° l� DRAWN BY; C.M,
FILE1 WEISS2
Nag2
ROOF ROOF 9TFOF DATE 7-20-96
PANEL PANEL - SHEET 2 OF 3
RIDGE DETAIL #P DwG,u wElssz
4
REVISION BY
#8 X 112" SELF WINDOW JAMB 90 DEGREE
TAPPING SCREW CORNER
H CHANNEL
#S X 1/2" SELF
TAPPING SCREW TYP.
WINDOW JAMB H—CHANNEL —
MULLION DETAIL SLIDING WINDOW JAMB P,
0
o x
v a
CORNER DETAIL F
SHEATHING ON NUI 10 X 1 1/2" a
EXISTING SCREW TYP, INSULATED KICKPANEL A
STRUCTURE
SILL CD
mcl
o
g _0 SILL 1/4" LAG BULT—
(2)-6" P.C. AT EACH EXISTING
H—CHANNEL ®O
DECK ®®
s'e 8/-0// DRAWN BY, CX
FD-Ei WEISS3
nl t" ti' DATE 7-20-96
WINDOW9 "� 07269,, SILL DETAIL
OF N Vv_ — _ SHEET 3 OF 3
WALL DETAIL JAMB DwG,n wElss3
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
11850'77 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NY 10038
p to JANUARY 24,1997 Application No.on file 13199197/97 N 409721
x I THAT f
only the electrical equipment as described below and introduced by the applicant named on the above application number in the promisee of
NIRS. WEISS, 840 FLEETWOOD ROAD, CUTCHPGUE, N.Y.
in the following location; ❑ Basement ® i.t Fl. ❑ Ynd Fl. OUT Section Block Lot
was examined on JANUARY 21,1997 and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES COOKING DICKS OVENS DISH WASHERS EXHAUST FANS
OUTLITS TACUIS SWITCHES INCANDISCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT, M.P.
1 1 1
DRYERS FURNACE MOTORS FUTURE AFF►IANCI MINIS SFICIAL RIC'FT TIME CLOCKS RLL UNIT HEATERS MIM
ULTI.OUTLIT DMERS
AMT. K.W. OIL M.P. OAS M.P. AMT. NO. A.W.G. AMT. AMP. AMT. AM►S. TRANS. AMT. M,►. NSYSTEMSO.Of MIT -Amt. WATTS
SERVICE DISCONNECT NO.OF S E R V I E
AMT.
AMP. TTIE MITER 1�'41N 1�I SW 9/3W 3 A'�W �•Oi CC.CONO. A.W. NO.OF MFLEG NO.OF NEUTRALS A.W.G.
EOUIF. PER CC. D. OF OF NEUTRAL
OTHIR APPARATUS: 4
G.F.C.I:-1
� l
ROSLAK ELECTRIC LIC.#3677 F L L
P.O.BOX 164
CUTCHOGUE, NY, 11935 ODOM MANAGER
11
per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
DZ6 �1
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH P.LBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
r
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ZFINAL ULATIONFRAMING
[ ] FIREPLACE A CHIMNEY
REMARKS:
J
DATE 3
INSPECTOR
1 Ilii U Irl ,1'li( 1IgN RRIORI Doll. COMMI'mIs
-. - ------ --_-- - =11 _ - ---
it T
If -
FOUNDA'IION IST)
FOUNDATION (2ND) __IL- °i'
-- ' ---- - - ---
I!!I
HOUGH FRAMii
P IMI-MIN(:
-------------------------------------------------
INSIILA'CION PER N_ Y .
II
----------- _ --_ '-'
w/Q I
t
F I NA). 3�J/ 7_ OLS A4✓
_--- ---- -__It -__-_-- -.---- -------- 0S
ADDITIONAL ---- Mfl �
O
9
`d
+ BOARD OF 11RA1 fll . . . . . . . . . . . . . . .
FORM NO. 1 �r3 S[il'S OF PLANS . . . . . . . . . . . . . . .
{� to
'TOWN OF SOlT10i.D . . . . . . . . . . . . . . . . . . . . .'/ 93NTIIIhUING DEPART3 . . . . . . . . . . . . . . . . . . . . . . . .."/
CHECK
TOWN IIALL SEPTIC FORM
SOUTHOLU, N.Y. 11971
TTI,: 765-1002 NOTIFY:
CALL —ILI
- 5
Pxmnaned 19.q/Y // �``egMAnIL TO �. -- - - . . . . . . -
Apprwed...,.!��1'.... ., 19/,W Permit No. eyrP.�f ...- 7�,•Bt)k- { 262
Disapproved a/c. ........................
--'................. .......................... F
(@iilda� Ior)
APPLICATION FOR BUILDING PERMIT' / q
' 1)a te.�lA':�-
INSTRUCTIONS
a. 'ilds application mist be coipletely filled in try typewriter or in ink and sulnaitted to the Building Inspector with
S
3 sets of plans, accurate plot plan to scale- Pee according to senohde.
b_ Plot plan slnowing location of lot am] of. lxnildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of layout of property mist Im drramn on the diagram which is part of
this.application- ..a
c- .'Ile work covered iy this application may not be cmurnced before issuannce of Wilding Permit.
d': Upcxi approval of this application, the luailding Inspector will issue a Building Permit to the aa)l icant. - Such
lxnwit shall he kept on the premises available for inspection througlxnt Lim work.
e. No Wilding shall be occupied or used inwhole or in part for any purpose whatever until a Certificate of
Occupaax:y shall have leen granted by the Building Inspector,
AFIPLI(:ATION IS IEW-,13Y WME to the Building Department for the issuance of a Tkillding Permit purssamnt to the
Wilding Zoxm Ordinnam-e of Line Tame of Southold, Suffolk County, New York, and other applicable I-ws, Ordinancesor
Regulations, for die construction of Buildings, additions or alterations, or for removal or demolition, as herein
described. Tim appl.icarit agrees to comply with all, applicable laws, ordinances, 1>inilding code, housing :ale, and
regulations, and to admit audnorized inspectors on premises and in Inilding for necessary in pections.
(Signature ?pplicant, or nk�ne, i . a Corporation)
a� C �., � 7. •. :.d.-l3�`
(Mailing address of applicant)
State
wimther applicant is owner, lessee, agent, architect, enp,hmer, general contractor, el�ecctrilci�an, pplunliee�rpor milder.
..............................................................................M` an,
-„-----
Nine of owner of premises .........................
DATE:
(as on the tax roll or latest deed) FEE: BY•
NOTIFY BUILDING DEPARTMENT AT
If applicant is a corporation, signature ofduly audorized officer. 765-1802 9 AM TO 4 PM FOR THE
FOLLOWING SNSPECTIONB:
..,�...-..----- ........... 1. FOUNDATION - TWO REQUIRED
(Name aid title of corporate officer) FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
L Builders License
go. -C--"'3- .- „ ,�, 4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
Pluodners License No. ......................... ALL CONSTRUCTION SHALL MEET
Electricians License No. --- THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
Wier Trade's License Ida. ...... ........... CODES. NOT RESPONSIBLE FOR.
I. location of land on which prolosel work will. le done.........................DEBT GN OR CONS.TRUCTION. . .ERRORS.
..... ..... . . ... ...
...................... � � �'......-
Bkxase Umber Street �,( Manilet
Canty 'fax 14ap No. 1000 Section .....1-�-..... Block ...�::u:...... IA)t .0 :.......
FWAivision ...................................... Filed Ilap Na, ...:-..-...-.-- lot ...........
Mime)
2_ State existing use and occupancy of prenises awl Intended use and occupancy of proposed construction:
a. E4 istiog use and occupancy .... �S,a�®!1 %; !-..�s.%���,e✓.r"�G-/y,?i� _
.............................
b. intended nse and o:cupao-y ...............`d',4d1 '��--..-...,,-.........................................
i +' to ow,
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lJnauthoiized afferatlon or a idry(on t
,.� to this survey is a violation of
Section 7200 0l the Naw York State t
Education Law.
Copies of this surve
Y map not the land survoyor s inked seal o earinp
'~ embossed seal shall not be considered
v to be a valid true copy`
a Guarantees indicated hereon shell nun S
only to the Peron or '
k pre r f whom the survey
ad and on hie behalf to the
INIe CGnpenYr povemmenf.l a
+) y o the'Institutbn listed hereon send
�d
to I ass"Onees' of the kndkV
,v hath
r�
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era not transferable
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