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HomeMy WebLinkAboutZ-27067FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDAT~u PRE EXISTING CERTIFICATE OF OCcuPANCY No E--27067 Date MAY 8, 2000 THIS CERTIFIES that the building ONE FAMILY DW~Z.IN~ Location of Property. 9955 SO~DVIEW AVE. SOuT~OLD House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 2 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER B-27067 dated MAY 8, 2000 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 DW~.?-IN~ * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED RICHARD & MIRIAM~LEIN *NOTE: THIS UPDATES PRECO Z-24104 DATED 12/31/95. BP ~22398Z-COZ-24103 ISSu~J FOR ADDITION & ALTERATION ON 12/29/95. BP ~26472-Z-COZ-27063 ISSUED FOR HEATING SYSTEM TO CONVERT TO - /~uil~ing Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. pEE EXIBTIN~ ~KTIFICATE OF OCCUPANCY No Z-24104 Date DECEMBER 31~ 1995 THIS CERTIFIES that the building. O~E FAMILY D~.nIN~ Location of Property 9955 ~O~FNDVIEWA~. ~OuT~OLDw N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 2 Lot 5 Subdivision Filed Hap No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9~ 1987 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24104 dated DEC~3~R 31~ 1995 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupanoy for which this certificate is issued is O~E F~MILY SEASONAL DW~-INg * The certificate is issued to C. AIL B~(3KLEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTA~v INSPECTION EEPORT. H/& Rev. 1/81 Snilaing~ Ins~ctof LOCATION: SUBDIVISION NAI~ OF OI,/I~R (s) BUILDING DEPARTHENT TOWN OF SOUTHOLD IIOUSING CODE INSPECTION REPORT 9955 SOIF~DVIEWAVE. SOoTHOLD, (number & street) (municipality) HAP NO. LOT(s) GAIL NUCIU..EY OCCUPANCY SEASONAL SINGLE FAHILY (type) ADHITTED BY: ~kIL BUCKLEY KEY AVAILABLE SOURCE OF REQUEST: GAIL BDCgl.gY OWNER (owner-tenant) ACCOMPANIED BY: SAI~ SUFF.CO. TAX MAP NO. 1000-59-2-5 DATE: SEPT. 8, 1994 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: IST FLR. BATHROOH (s) NONE PORCH TYPE BREEZEWAY DOMESTIC HOTWATER T~PE HEAT NONE OTHER: WOOD FRAI~ CgI~IiT PIERS REAR ENCLOSKU CELLAR 5 2ND FLR. TOILET ROOM (s) ONE bECK, TYPE FIREPLACE Y~S TYPE HEATER LILCO CAS WA}~! AIR FRAI~LYN WOOD STOVE OUTSIDE SH{Y~IER { STORIES I { EXITS 2 HONE CRAWL SPACE NONE 3RD FLR. UTILITY ROO~ OUTSIDE PI]~P HOUSE FROI~ STOOP PATIO NONE GARAGE AIRCONDITIONING DOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIHHING POOL OTHER: STORAGE, T~PE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REHARKS: BP ~22398-Z - CO Z-24 {03 ALT & ADD JOHN M.- BOuI~IS ~/ DATE OF INSPECTION SEPT. 19, 1994 TIME START 9:50 END {0:20 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 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 i% 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. 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 9ccupancy on Pre-existing Buildin~ - $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 ............. New Construction ........... Old_Or Pre-existin~ BuildiJ~g. Location of Property....~.~...5~.. ............ ~ .... House~N°'~~ ~tre~t ~ Hamlet Onwer or Owners of Property~.9~ .......................... County Tax Mmp No 1000, Section .......... Block ............. Lot ...................... Subdivision ..... Filed Map ..... Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ......... Request for: Temporary Certificate ........... Fin~rticate ........... ~.5~ // ~PLICANT BUILDING DEPARTMENT 765-1802 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 lihes, 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 !ess 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 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 Buildinm - $100.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ..... ................... ... New Construction .......... ~O~d O~ Pre-existing Building. Location of Property ..... . ..... ~ .. ~ .' ....... House No.~ / Street Hamlet Onwar or O ers of Property ..... ...................................... County Tax Map No 1000, Section .... ~ ....... Block...~. ........... Lot. Subdivision ........................... ......... Filed Map ............ Lot .... Permit No ................ Date Of Permit ................ Applicant .......... ... Health Dept Approval · ' ........................ Underwriters Approval Planning Board Approval ....................... Request for: Temporary Certificate ......... Final Certicate Owner(s) Namc~ do(es) hereby state: CONSENT 'FO INSPECTION · the undersigned, of Southold located at That the undersigned (is) (are) tile owner(s) of the premises in the Town x~hlcn is shown and desifnated on the Suffolk County tax map as District 1000, Section~_~Block Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tio. n int/k~ Southold Totem Building Inspector's Office for thg following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all,of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so ~vith the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of t, he Town of Southold. (si ,nature) '(print rgame) (signature) (print name) NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE Building Address: Design Criteria: Dated: Non Electric Heat 6,000 Degree Days O.A. 10 Degrees F I.A. 70 Degrees F One or two family dwelling SUBSYSTEM AREA DESIGN THERMAL REMARKS s.f. "U" RATING ExteriorWalls ~C[7_. ,cl[ 't-5'C~ R- ]] Insulation Glazing ~ O '7 .33 't ~ 9 Andersen HP or Equal Doors J-~ ~ .40 4- ~ U 40 Rated Doors Ceiling(flat) ~ 9'7 , O~'3 '~ ~ R- IQ Insulation Ceiling (Cathedral) R- Insulation Skylights .33 Andersen HP or Equal Floor 897 ,0~"3 -- ~c R- t ? Insulation Foundation Walls R- Insulation Slab Insulation R- Insulation Total: q' ~ ~ NOTES: Building Envelope System to meet requirements of 7815.2 HVAC Equipment to meet requirements of 7815.11 HVAC Systems to meet requirements of 7815.12 Duct Systems to meet requirements of 7815.13 Ventilation Systems to meet requirements of 7815.14 Insulation on piping systems to meet requirements of 8715.15 Domestic water systems & Equipment to meet requirements of 7 Electrical & Lighting Systems to meet requirements of 7815.31 To the best of my knowledge, and belief & professional judgement, these plans are in Signed __ compliance with the code. Date