HomeMy WebLinkAbout23617-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25521
Date: 02/05/98
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 344 TERRY CT SOUTHOLD
(HOUSE NO.) (STREET) (HA/~LET)
County Tax Map No. 473889 Section 69 Block 3 Lot 6.4
Subdivision
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 22, 1996 pursuant to which
Building Permit No. 23617-Z dated AUGUST 6, 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 ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE & WOOD DECK AS
APPLIED FOR.
The certificate is issued to ROBERT F. SPITZENBERG, JR.
(OWNRR)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-96-0035 01/06/98
ELECTRICAL CERTIFICATE NO. N443750 01/22/98
PLUMBERS CERTIFICATION DATED 01/08/98 PECONIC PLUMBING & HEAT.
Buildi~nspector~
Rev. 1/81
FOR~f NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING FERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.° 23617 Z
Date ................ ~. ............................ ,19...../?~
Permission is hereby granted to:
· .~.~......~ ...... ~..~.. .....
............................. ~...~.~.~.~....~ .........
.~..,~.~~ .~ ..... ~....~~.....~...~~.~:...../.~....~
~o ...... ....... .~..L~.. ~.~..:..~~.._ _
~,.~....~.,~.......~.~......~..~~.~...~.....~~ ....... .~.
pursuant to application doted ....... ~ ....... ..~...~.. ...................... , 19.~.~., and approved by the
Building Inspector,
Rev. 6/30/80
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 Dmpt. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Undecwriters.
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.
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 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.
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-existinR Buildin~ - $100.00
3. Copy of Certificate of Occupancy - .25~
4. Updated Certificate of Occupancy - ~50.00
5. Temporary Certificate of Occupancy- Residential $15.~0, Commercial $15.00
Date .................................
New Construction..~.. ...... Old Or Pre-existing Building .................
Location of Property.~ ~.~
House No. Street Hamlet
Onwer or Owners of Property ..~.~..~.~ ~'. ~t.'.~.~..~..~...~...J~-'~. ....
County Tax Map No 1000, Section....~.~. ....... Block..~.~.~. ....... Lot...'..~. ................
Subdivision ....... Filed Map Lot f. ....
No..~.~..~./. 7 ........ Date Of Permit..~./.~/.~. ...... Applicant....0~...~.. .....................
Permit
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ..................... ...
Request for: Temporary Certificate ........... Final Certicate....'~.. .....
Fee Submitted: $ .............................
. ................
Town Ha[t, 53095 Main Road
P.O. 8ox 1179
Southold, NewYor~ 11971
Fax (5t6) 765-t 823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERT
I F I C A T I O N
DATE
Building Permit No.
Owner: ~d,,~--.~/ ~. ~.~-3//~-F-A-'/O~,'''', ~-~'.
(please pflnt)
(please print)
I certify that the
contains less than 2/10
solder used in the water supply system
of 1% lead.
Sworn to before me this
ubl c, county
No~aq Pub c, ~ ::'.o ': ':~w Yo~
No.O
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
JANUARY 16, 1998
ROBERT F. SPITZENBERG, JR.
375 ELIZABETH LANE
SOUTHOLD, NEW YORK 11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
XX The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT #23617-Z add.fee due $9.60
Please contact our office on this matter.
Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1(~1(~71 BUREAU OF ELECTRICITY
-- 40 FULTON STREET, NEW YORK, NY 10038
Date JANUARY 22,1998 Application No. on file 12655596/96 N 443750
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
ROBERT SPITZENBERG, 344 TERRY COURT, $OUTHOLD, NY
in the following location; [] Basement [] Is, FA [] 2nd FL GAR/OUT Section Block Lot
was examined on JANUARY 16,1998 and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES INCANDES¢I
OUTLETS49 33 43 29
A~YERSK.w. I Ol FUR~pA..CEMGOAJORSH.p.
3 F
SERVICE DISCONNECT INO. OFI
1 2~ CB MET1.E X
AMT. AMP. TYPE EQUIP. 1 ~ 2W I R 3W 3~ 3W 3~ aw
,THER APPARATUS:
PADDLE FANS-4
WHIRLPOOL BATH- 1
MOTORS: 4-F H.P.
G.P.C.I:-8
SMOKE DETECTOR: -5
G & S CONTRACTOR
BOX 215
SOUTHOLD, NY, 11971
FIXTURES
~1 FLUORESCENT OTHER
FUTURE APPLIANCE FEEDERS
AMT. NO, A.W.G.
S
RANGES
SPECIAL REC'PT.
R
ICOOKING DECKSI OVENS I DISH WASHERS
AMT. K.W. AMT. K.W, i MT,1 K.W.l.2
TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET
AMT. AMPS. TRA~S. NO. OF FEET
V I C
NO. OFCCCOND.
CC. COND.
4/0
NO. OF HI-LEG
OF HI-LEG
EXHAUST FANS
DIMMERS
E
1
4/O
LIC. #578-E
ANN
GENERAL MANAGER
Per 11
his 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 FaF1 BUILDING DEPARTMENT THIS COPY OF CEHTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
I'_I ~!;?. T~t:H'I.;{; I'1 ()H REI'{}III
F~JtltH)A'I' I ON (2fill)
Officers
DAVID E. KAPELL
TRUSTEES
GAIL F. HORTON
GEORGE W. HUBBARD
WILLIAM J. M1LLS HI
BARBARA HEANEY
236 THIRD STREET
GREENPORT. NEW YORK 11944
UTILITY OFFICE
(516) 477-1748
Fax (516) 477 1707
POWER PLANT
(516) 477-0172
July 31, 1997
Mr. Charles Brigham
Senior Public Health Sanitarian
Suffolk County Health Department
Suffolk County Center
Riverhead NY 11901
Dear Mr. Brigham:
The following water service line was recently eouneeted to the Public Water Supply by the
Village of Greentx)rt. The installation was done according to our rules and regulations and, to the
best of our knowledge, meets with the Suffolk County Health Department Standards. The
location of the work and the date that the job was completed is shown below:
Mr. Robert Spitzenburg
Terry Court
Southold NY 11971
Lot Number: 4
Reference #: 10-96-0035
Job Number: F97-080
Water District: T
Date Completed: 1/02/1997
TC:fka
7.97w.tap
Thomas Cybulski
Water/Sewer Coordinator
Over 100 Years of Community Service
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ 4FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ !.~i~'PLBG.
[ ,~INSULATION
[ ] FRAMING [ ] FINAL
[]FIREPLACE&CHIMNEY
REMARKS :/~~~
DATE
INSPECTO~
765-1802
BUILDING DEPT.
INSPECTION
[ ,~]/~OUNDATION/1ST [ ] ROUGH PLBG.
[ L~ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREP~CHIMNEY
REMARKS. ,
DATE ~ I N SPE~OR ~
,
7G5-~.802
BUILDING DEPT.
, INSPECTION
[ L,~ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ~JLATION
[/,/}'"FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:
[ ] ROUGH PLBG.
[ ] IN~;.ATION
[ ~INAL
DATE
INSPECTOR
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 15T ~]] ROUGH PLBG.
[. ~O//] FRAUMN~NA~ION 2ND i ]] 'F~NSAU~ATION
[ ] FIREPLACE & C~IMNEY---~ ~ ~ ~/~- ~,,,~'. ,'~ ~=3 / /
REMARKS: ~
TO,iisi OF' SOUTIIOI.D
TOYN Il^lA.
.qOUTIIOI.I), N.Y. 11911
TEl.: 765- 1802
I)I saPpr~cd a/c ..................................
BO^RD OF IIE^I,TII ...............
.'3 SETS OF PI.^NS ...............
SUR¥1T¥ ........................
~/CIIECK .........................
~.~$EPT1 C FORH ...................
HOT ] FY
X^II, TO: ....................
^I'I'I.IC^TION FOil BIIII.I)INg I'F. RttlT
] sels of plans, accurate plot plan to scale. 1rea ac¢ordil~ to sch~de.
b. Plot: plm~ ~mJng l{~ati(~ of lot mM of I~ildi~ o~ pr~i~s, relati~l~dp to ~ljoinlng prmi~s or
nll~ts or areas, m~l 8ivh~ a ~tnil~l ~.cripti~, of la~;t of prol~rty .lint
l~tmJL shrill 1~ kept ~1 1.1~ IttOnJ~e ;lvniJol)Je for Jlisl~J:LJ~i IIir~x~li~lt tile
e. ~) Ix:ildi;~ ~mll I~ ~oq)i~l or u~d in ~mle or in D~rL for m~ D]~se ~mt~er t~l~Jl
(k:oq~.x:? ~lall have I~en Rtm~t~l I~ I I~ ltiJl¢lJ~g hml~ctor.
Alqq,l(~'l'l(~ IS ll~l~BY f~E t~ IIw ~Jhli~ l~rtupnl: for the ismm~e of n l~dldlng Pe.nlt p~rm~nt to Ihe
I~dhlh~ 7~ O~li,~m~e off the 1~, o[ ~x~tl~dd, ~fffolk (~.dy, ~ Ymk~ mKI other al~lic~ble
I~ul~ti~s, for tl~ m~stn~ti~ o[ I~dldi~s, ~Miti~s or alterations, or for royal or ~liti(~, ns I~reln
rel~dati~m, m~l to ~it mltl~ri~l hml~Clors ~s praises m~l in I~dldi~ for t~cess~ insectivore.
(' I. ' :'lq ~cant~r , it a COll~rnt:imO
Data ................ , 19 ....
l NSTI{IJC'FIONS '
'lids appllcnlcio~l mmL be cc~[~lel:ely filled in by tyl~,rriter or in ink atxl mfl~nltted to the l~dldlnp. Inspeclot whh
(Frail ing ,'~klress of applicant)
ansi.ear, general c~mtrnctor, electrician, phl~Imr or ladhler.
Slate ~ell~r opplicnnt is ~.r, les.m~, n~$.~_~) nrchilecl:,
lox roll or Intesl: dee~l)
1 F alq~l icanl: is a corl~o~at:ios;, sig..atur~ oE duly mill.~ri?~l officer.
(N;~? n,xl t il le of corlx)rate officer)
14.
'1.
............ I~l~ j ............. I~Ji)l i L loll .......... Al L~liL[ jori .
............ Ol liar J~)ik .........
fee
Il: (~a~lJilllj' I~.~l~r ()f (~JJJl~ II~)il~ . ~ (10 I~ I~i(I (.l I:ililiij IIIJ8 ZJl)l)l jcflti(~l)
........... IL.Jl~r (~ (N~llJlll~ IlllJl ~ (~i each fl(x)r ...
I~i~Ic .............. I~ ~' , .............. i~l)Lh .......
I~l)l II
....................
_ ,7~ ............ ' -..z~:~ ...... ~,, WA6~ Yn) q7
,,.~ ,,v ~,~,:l,,,,~ .. IZ[Z~ .... ~ .................. :=.'--
/ / ........... '~"~ "~ J"""~,' ~,' . .Z(r~(~.Z~...~...~
I;lll lot I~ tefjrm~l .... ~ ............. ~ill e~e~s till I~ ~t~l Eton l)leni~s;
e~ .............................. I~ ~. .
' '"'"' ' . ,2"3 ..............
clearly u[~l dJati[etly all x 68, delher x sl:i,~§ (jr- ProlxSe[, mx
iS-Ol~i.l-y Ii[es.
il~li~ Jd,~ll s ill~
t J~J IIllt .................... , .................... ~ .........
((X)lllrll(:[()~) (:()rlX)l. llle oJ:J:J(.a-, el(, ) ...........................................
;I)l it:iii, ii)il; Iii[ilL zlll stQJ~lRllls c[)lJl:ililXt(I ill IIli~l ill)l)I it:ill toll /lie tile ti) lie I~!lll: i)[ Ikill klxj~Jelll~e ;)j~j Jx]l iJ~fj i$1l(I
I;iL (lll~ i.~)1k .ill Ix] i~-1:0[,~1 ill Ihs i*~Jler Iici: J:llllJl ill Ihs ill)l)li(:lll:Joll lih~(I Ilei'~.~,J'lll.
-- .,-,-. orate of New
FOR:
bNbI~,GY CODE CALCULATIONS
{For Non-Electric lleat)
Cl. lte]. xa 6,000 Degree'.flays
Desigu '-' . _.
O.A. 10°F i.A. 7O"F
,3, l~
DESIGN
SUBSYSTEM AREA "U"
Exter.i.o; WaLLs (opaque) I~. q~ , O~7
Glazing /'~ % ~ ~ O , $~
Doors
Ceiling/Roof (Opaque)
Skyl. ighks 3.5 %
Floor
I:o.u ldat]-o, Walls
TOTAL
i'lo tes:
Building Envelope SystemN to meet requirements o[' 7815.2
IIVAC Equipement Eo meet requirements of 7~15.11
IIVAC SystemN to meet requirements of 7815.1'2
Duct Sy[~temN to meet requirements of 7~.1.5.].3
Venti].ationo Systems to meet requlremel tN of 7015.14
insulation 0£ Piping Systems to meet requlremelts of '/~15.15
Iisi:vi. ce Water Ileating SyNtems & EqUlpUlel t to meet requ.[remellts o|! '/~15.2].
Electt'J. cal& Lighting Systems & Equipment to meet re(iuiremellts of 7~].5.3[
To the bent of lily knowledge,
belief, & profesNional
judgement, the~e planN are in
co,lpliance with the code.
SURVEY FOR
ROBERT F SP TZENBERG
TOWN OF SOUTHOLD
I om lemSIor with fhe STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUSSURFAC£ SEWAGE
DISPOSAL SYSTEMS FOR $1N~.~ FAMILY R~.~NCES
end ~ t~'de by fhe con~fJons sel /orlh f~Jrein end on Rte
permil lo conslru¢t.
~OITIONI~LL Y TO COMPLY IFITH ~41~ LAFI ~ z e,~'~l 'ALTERED BY'
MU~T BE U~ED BY ANY AND ALL b'URVE~OI~ uTILIZe6 A COPY
'BROU6HT-TO'~ TE' ARE NOT ~I COMPLIANCE ~TH THE LAFI.
The Iocolions el wells and cesspools
shown hereon are from ,ield observe,ions ,,~. ~
AREA - - 93,~1 sq. ft. ---~~
SUFF~K C~ ~ART~T ~ ~ALTH ~V~
F~ A~OV~ OF CO~T~CT~ O~Y
tiC. NO. ~9618
DATE HS. R~. ~. S VEY~S~ P.C.
(516) 765 - 50~0
P. O. BOX ~9
I~0 TRAVELER STREET
APPROVED SOUT~LD, N. Y. 11971
96- 152
LOT NUMBERS ARE REFERENCED TO MAP OF
MINOR SUBDIVISION FOR RUSSELL E. & JOAN
MANN.
DISPOSAL SYSTEMS FOR ,.~VCq. E FAMILY RESIDENCES
end will ebide bj, fire conditions set /orfh Ii. rein end on fhe
permil fo construct.
~ SURVEY FOR
'~ (~ ROBERT F SPITZENBERG
~ ~ A T SOUTHOLD
.~(~' / ~)~ TO WN OF SOUTHOLD
(~ /_~, ~° SUFFOLK COUNTY,
~ /~0 ~ ~0-69-03-6.4
'~.~ '-. ~' / ~ril 24, 1996
.'/ ~ ~ / , Sepl. 25, 1996 (foundofion)
' ' ~o / CERT~ED TO
l em ~-- ~ ~eSTA~ARDS FOR AP~OVAL x/ -~~~ W~RANCE COMPANY
A~ C~T~TI~ ~ S~SURFACE ~A~ ~ ~ The Iocet~ns o[ ~ ~d cesspools
shown hereon ore from fieJd observations
end or [rom dote o~taJned from oMers.
AREA = 93,221 sq ft
SUFFOLK c_~__~. DEPARTMENT OF HEALTH SF...RVICES
FOR *d'"PR~VAL OF CONSTRUCTION ONLY
DATE HS, RE:F, NO.
APPROVED
LIC. NO. 49618
IR$O TRAVELER STREET
SOUTHOLD, ~Y. 11971
,4D~ll~I. L Y TO COMPLY FILTH SAID I. AFI THE gmat 'ALTERED
MU$T BE U~ED BY ~ ~ ~ ~ U~ A ~Y
~T-T~ ~ ~T ~ ~ ~ ~ ~.
96- 152
SCDHS.
ReL
R10-96-0055
/
/ l~J 1~,. LOT ~rUlERS ,:RE REFeReNCF~ TO ~ OF
' ~N~ ~U~IVISION F~ RUSSELL E. ~ JOAN
ROBERT F SPITZENBERG
Ar SOUTH~D
. -- / ~ o ~0-~-03-6.4
/~ '~ ~ ~ l / ' Sepl. 25, 1996 (founddwn)
. . i o R~RT F. SPITZE~ERG
~ ~ x . ~ ~ C~CASO TITLE INSURANCE COMPANY
I om le~llor with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE S~I~AGE
DISPOSAL SYSTEMS FOR SINC4-E FAMILY RESIDENCES
~ ~v the conditions set forth Yt~rein oed on the
DEC 3 0 1997 f
~OI770N~.L Y TO COMP& Y ~IITH ~ I. AFI THE I'E~4 'ALTERED BY'
~.IST ~E USE~ BY ~Y ANO ~,LL ~URVEYORS uTILIZ~ A COPY
The locations ol wells and cesspools
shown hereon ore from field observofions
ond or /rom dolo obtained from olhers.
AREA = 93,221 sq ft.
P. O. BOX 909
1230 TRA VET_ER STREET
SOUTHOLD, N.Y. 11971
LIC. NO. 49618
96- 152
fllOWD~ 61~11111G$ FOIl
EIIE#ENCT' ~ AS
IEQOIIED ~' ~ 7a4 OF
N.Y..STATE lOll. DING COOF..
m CERTJF/CAT/ON
csma,~.AT~ o~occta,,4acY OCCUPANCY OR
~ us~'o iN I,v,,l~*a' USE IS UNLAWFUL
SUPPO'~ST~CANNOT WITHOUT CERTIFICATE
~XC~EOZ~rOe/tSLF.~ OF OCCUPANCY
APPROVED AS NOTED
NOTIFY BUILDING DEPARTMENT AT
766-1802 9 AM ~ 4 PM FOR THE
FOLLOWING iNSPE~ONS:
1. FOUNDATION ' ~0 REQUIRED
FOR POUREO CQNCR~
F~G & PLUMBING
2. ROUGH-
4 FINAL - CONSTRU~ION MUST
ALL CONSTRUCTIONr SHALL MEET
THE REOUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES, NOT RESPONSI6LE FOR
D~SIGN OR CONSTRU~ON ERRORS
--I
7 ~ 7
T
7
3
l
.L_
~u/~lr t,, gL). ~,