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HomeMy WebLinkAbout26806-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27328 Date: 09/28/00 THIS CERTIFIES that the building ALTERATION Location of Property: 1375 ISLAND VIEW LA GREENPORT (HOUSE NO. ) (STREET) (HAMLET) county Tax Map No. 473889 Section 57 Block 2 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 31, 2000 pursuant to which Building Permit No. 26806-Z dated SEPTEMBER 27, 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 CHANGE OF SEASONAL DWELLING TO YEAR ROUND ONE FAMILY DWELLING, INSTALL ELECTRIC HEAT & INSULATION TO CODE AS PER ENGINEERS REPORT DATED AUGUST 29, 2000 BY JOSEPH FISCHETTI, JR. The certificate is issued to ETHEL DUDLEY (OWNER) of the aforesaid building. SOFF(KK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-069047 08/30/00 PLDMBERS CERTIFICATION DATED N/A Authoriz Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26806 Z Date SEPTEMBER 27, 2000 Permission is hereby granted to: ETHEL DUDLEY PO BOX 116 PORT KENT,NY 12975 for CHANGE OF SEASONAL DWELLING TO YEAR ROUND, INSTALL ELECTRIC HEAT & INSULATION TO CODE AS PER ENGINEER JOSEPH FISCHETTI . at premises located at 1375 ISLAND VIEW LA GREENPORT County Tax Map No. 473889 Section 057 Block 0002 Lot No. 014 pursuant to application dated AUGUST 31, 2000 and approved by the Building Inspector. Fee $ 75 .00 Authorized Si ature ORIGINAL Rev. 2/19/98 form no. e TOWN OF SOUMLD BUILDING DEPARTKM TOWN HALL 763-1602 APPLICATION FOR CIRTInCATE OF OCCUPANCY A. This aPPlication coag be filled La b inspector with the tollowta y t7Pwritsr OR talc aad'anbettead to elle buildigN 1, Piaci 9urr t� for new butidiag or aew use: a7 of property vitb accurate location of all buLldia s :cresta. and unusual natural or eopiraphic features. i Property Boss, 2. Baal Appteval fsom Sealeh A e. 3• Approval of alecrsieil Sascallstion*1 from Supply and swsrajs-dtspoaal(" fors). 4. Svorn ats"wMc from plumber csrt ioasd o! Pirs an Asrwriters. 1698 than 2/!0 of 1Z load. 3Ai that the Solder used in lyses contains S- Commercial building, Industrial building. and installations, a certificate of Code mulciplt rastd6nces sad similar buildings responsible for the building. Cospliane6 from architect or engineer 6. Subait PlaaaioS Hoard Approval of completed site Plan requirements. H. For existing buildings"Pro-existin ^ (prior to April 9, 1937) non-eoalorsing uses, or buildings and g lid uses 1. Accusals araof property showing all ua++sual naturaltutnral er eopo=rapbie feacurss.property lines, screscs. building cad 2. A properly Completed application and a consent eo lnspscc signed by the e If a Certificate of Occupancy is denied, the Building act Inspector pplieanc. reasons therefor in vritiag to the applicant, ahsli :ecce the C. Fees I. Certificate Oc cupancy cc Alterations co - Nev dwelling $25:00. Additions to dvellla dwelling $25.00, svisiag Pool $25.00, Accessory building $25, Additions to accessory building $2S.00. Businesses $50.00. B 125.00, 2. Cercificsee 4of Occupancy on Pre-eziating Builldias A -. Copy of Certificate of Occupancy - , .2ft =100.00 S. ift: Updated Certeats of Occupancy • $30.00 Tasporary Csrtifieata of Oceupeac7 - Rasldsattal ^ $13.00, Co mmerea $13.00 Date ... NNev Construction....... : Old 0 ......•••• ' s Pro-a:is Wudin Location of Property...?,3. ;S•; s/a �4q4 .O. A�Y ...... Rouse No. Stream ��� �� ••• Ones or / era Owners of Property..9'5 e County ?ax Wlap No 1000 � ? �•..•...•.•••••••. Sectloa...............slock...... . / ..... •••••..Lot... Subdivision ... ........ ••.••••.•••••• Filed lfa .....r.......... p............Loc.............:........ Permit No.Qn 4C Q ....Date Of Permit. �1..17,OA....Applicaat......... Ss91rh Dep e. Approval...... ... ••••••• •••••••--...Undervricsrs Approval..... Planning Hoard Approval ........•..•.. .... .......... .............. iaqu6at for: . TesPoeary Certificate........... TLAal Certicate...� Foe 3ubmttta4: $... .5;Qtr `` ...•..• / �y ...... ... <,`0. des��...o� �"x ......... co ol?3a So NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION C AUG3 0 ,a .,� Building Address: 1375 Island View Per: Inspection r Greenport Dated: 8/28/00 2, Design Criteria: 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 Exterior Walls 928 .064 +38 R- 13 Insulation Glazing 123 .28 -23 Single glass& storms Doors 42 .40 -9 Doors w/storm door Ceiling(flat) 375 .03 +4 R- 38 Insulation Ceiling(Cathedral) 336 .07 -9 R- 13 Insulation Skylights --- .33 --- Andersen HP or Equal Floor 738 .047 0 R- 19 Insulation Foundation Walls --- --- --- R- Insulation Slab Insulation --- --- --- R- Insulation Total: +1 OK NOTES: Building Envelope System to meet requirements of 7815.2 ��Orr NEW yO HVAC Equipment to meet requirements of 7815.11 ��Q Q�.F18CIyFj� HVAC Systems to meet requirements of 7815.12 Duct Systems to meet requirements of 7815.13 r Ventilation Systems to meet requirements of 7815.14 2 Insulation on piping systems to meet requirements of 8715.15 0525 Domestic water systems & Equipment to meet requirements of 7815.21 FE S10 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 °� THE NEW YORK BOARD OF FIRE UNDERWRITERSPAGE 1 F DUREAU OF ELECTRICITY I 40 FULTON STREET, NEW YORK,NY 10098 Date AUGUST 30,20M Application No. on Jlle 30780200Y00 H 069047 THIS CERTIFIES THAT only the electrical equipment as described below and t sowuced by the applicant named on the above application number is in the premises of ESTATE OF ETHEL, DUDLEY, 1375 ISLAND VIEW LAME, GREENPORT, NY in the following lotatlon, ❑ Basement ® 1st FL ❑ 2nd FL OUT Section Block Lot was examined on AUGUST 22,20M and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DON WASHERS I EXHAUST FANS OUTLETS RECEPTACLES SWITCHESINCANDUCEIM FLUOREWIINT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.I. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLETSYSTES DIMMER AMT. K W. OIL M.P. CAS N.P. AMT. NO. A.W.C. AMT. AMP. AMT. AMPS. TRANS. AMT. N.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER No' CC GOND. A.W.. A.W.C. A.W.C. AMT. AMP. TYPE EQUIP. 1 R ZW 1 e JW 9•SW S e 4W PER• OF CC. D. NO.OF Oft-LES OF HI-LEO NO.OF NEUTRALS OF NEUMAL OTHER APPARATUS: ENTIRE PREMISES-1 *NO VISUAL DETECTS: "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. L L VICTIOR RUTKOWSKI 500 'YOUNG$ AVENUE GENERAL MANAGER HATTITUCK, NY, 11952 Per 110 aeftcate must not be albred In any manner;return to the ofte of the Board If. 40frow.IttAp�l 01"mfly be khmW1Md by#Wr andenNals. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUSTNOT BEL ALTERED IN ANY MANNER. 1000 13:52 15., 778643 CENTURY 2�. .�,.BMTSON PAGE 01/01 ep 765-1802 BUILDING DEPT. INSPECTION, [ ] FOUNDATION '1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ( ] FIREPLACE $ CHIMNEY REMARKS: aroH b DATE INSPECTOR 40 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMAR�4 ztltll 4q� d� DATE INSP �, T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING 6z," NAL [ ] FI ACE & CHIMNEY REMAR 7 ,DATE � � INSPECTOR / <,VZ - suauiNa DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: aBdh ot' - a llvS46J G` �P6�uo .(/ld.PiLs✓+a� 9�l �u.J�A vlCQ //�-Q DATE �� Od INSPECTOR 08/22/2000 13:19 FAX 6317650064 SOiTfHOLD AGWAY 1101 Nero The York (Inde 8Wr rd of Fire n iters APPLICANT PIRJSi lake Caro ID(ill DVI ALL oI the red hlgnllghteu DozCs. ?nIs will is j the pr DO NOR W1R M HERE-FOR OFFICE USE ONLY COmPliance ESS of/'SSV►n as W�ered t n or tan electrig al er tficate of pPlicat, � noted The ° i cethf►cate items jns wtll Pro . OCC O�u►sT NiwE Natip�and 3rtified 0 be nn d ! Of the -- 1 co i^ /LC OWNER FIRST NaIw �dE�dance With OCC FIRST NAME —��( E that date. STREET I (Appjic'`—� ��. STREET 2 n Numb 771 CITY f CITY f' STATE COU7 ZIP CODE CONTACT PHC STATE j e UTILITY CO► , �_ HowE PHONE j8 (Ins�tpr~'`'"`�.� Ewi0e' c t)(Rev 01196) WORK PHONE 9UILDIN a� e'� �� pOLE NOJUMT PERVIT NU�6R EALED BLOCK LOT �„ SECTION STAATEO LIST ELECTRICAL DEVICES FOR WHICH INSPECTION IS REOUESTED �� -- —-- -- — aTl:a.._ o —-- —------- — SEwrICE vII M SU'L01ND p OaRM L&D O ttNDEPOROIM+D lE(GF ' �tJFb`! - /�``s �: —_7 aTE.IVEcrIONREa+ESTeD cm IDRAS DIEM AN PM" I BUI IF AT Th ADDITIONAL 60VIPMENT.AS PROVIDED 6 THIS APPLICATION IS INTENDED 10 COVER V WTHHORQED . MAKE THE PMeNTTtONANDADJUSTT EPEE TO TCOVER EADO'71SPF ONIME OF .THERE IS POUND A 1 EpUtPIAENT INSPE NOT A90VE LISTED. I THE APPLICANT a QyeMliea MUST ENTER APPU I F-1 -71 App1CAflI Afirw c IMI Mrs is rol or,aopkatic.iWaMea lle�"ineDMgn OMS IDENTIFICATION wuseR; w ariad j"pKt41 Asimp .b n�Bio 5 one Yw from 1lle ane reoei.ea W the 6eeAl This eppw:eGoe i1 vA60 kw a P/ Av010 DELAYS eV GIVING PULL AND A�VRAIE INFORwATON. L SPACES Must BE�tLLEO IN AppL�wTION IAwT BE RE UqN IED 5i,;! TU � A 1 SIGNARE PPLICANT I STRE i AADOPE -/' l v ?" ' SE ND..,NHeN AP.LiCw�1.E 1 CITU Det POST OFFICE Q epi We9 w.elwe.SUY1E 106 13 2M All"Rope p19Covor+teW000s�.slh1.�03�ItaMeSMnRoad ROCHESTtR.NrIA611 SVRACUSE.Mt7XJE p Aa Focin SMlael V Nr 1?211 BUFFALO.NV 14419 T 16 CI&Ma0 (]t51 e8}0552 NEW YORK NV,MM ALaAN 427-1165 1 (2IZzz?-V D W YORK BOARD IOF FIRE UNDERWRITERS NE NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE Building Address: 1375 Island View Per: Inspection Greenport Dated: 8/28/00 Design Criteria: 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 Exterior Walls 928 .064 +38 R- 13 Insulation Glazing 123 .28 -23 Single glass & storms Doors 42 .40 -9 Doors w/storm door Ceiling(flat) 375 .03 +4 R- 38 Insulation Ceiling(Cathedral) 336 .07 -9 R- 13 Insulation Skylights --- .33 --- Andersen HP or Equal Floor 738 .047 0 R- 19 Insulation Foundation Walls --- --- --- R- Insulation Slab Insulation --- --- --- R- Insulation Total: +1 OK NOTES: QF1y Building Envelope System to meet requirements of 7815.2 y,�P �1F►8C �17,� h—AC Equipment to meet requirements of 7815.11 t HVAC Systems to meet requirements of 7815.12 Duct Systems to meet requirements of 7815.13 Ventilation Systems to meet requirements of 7815.14 �►o p Insulation on piping systems to meet requirements of 8715.15 Domestic water systems & Equipment to meet requirements of %15.21 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 Z CN28/2000 12:41 FAX 6317650064 SOt1THOLD AGWAY , % 02 BOARD OF HEALTH ..... ........ . . FORM NO. 1 3 SETS OF PLANS . . ._....- , TOWN OF SOUTHOLD SURVEY ._ -- •- BUILDING DEPARTMENT CHECK . . . . .., .•..... •.. . TOWN HALL SEPTIC FORM . . ....... ..... . . .. . SOUTHOLD, N.Y. 11971 DEC TEL: 765-1602 TRUSTEES.. '•" "" NOTIFY: CALL - .. .._. . �Ea. .. MAIL T0:-._ . • fid- Disapproved a/ No. �1QQ . . Permit c ..............•-------• - ... ................................. .. .............. .._... (hAldigg Inspector A ICATION FOR BUILDING PERMIT INSTRUCTIONS a. this application must be completely filled in by typewiter or in iuk and submitted to the Building Inspector 3 seta of plena, ao=ate plot plan to scale. Fee according to sdm&de. b. Plot plan shoving location of lot and of buildup on promises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property oust be drawn on the diagram which is part of this application. c. Ilene work covered by this application my not be amnieoeed before issuance of Building Permit. d_ Upm approval of this application, the Building Inspector will issue a hdldi Penmdt to tf>e peenit shall be kept on the Premises available for . n6 applicant. Such inspection throm>ghont the %ork. e. No building shall be occupied or used in %hole or in part for any purpose wmateuer until a Certificate of OWupan7 shall home been granted by the Building Inspector. ANUCAT W IS HERMyKME to the Building Deparel t for the issuance of a Buildiqg Permit pursuant to the Budldiig Zone Ordi of the 71own of Smthold, Suffolk County, New York, and other applicable Laos, Ordinances or Regulaticm. for the construction of buildings, additions or alterations, or for rem oml or demolition, as herein described. 7he applicant agrees to amply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors an promises and in 'lding for inspections. . . ifa (Si time of applies-cJa o 'corporation)- C D�f�l:c l � ,�.�.� • (mailiztg address of applicant) St�a/teth►r app is axme>�1 arae, ;ent architect er�ineer, general oontrac � , electrician, pluer or buildo .lP ,lin C. Name of simmer of premises _. :ff'?r.Q Y... - GiQ!•! 'r. S![d•�i _..--•....... (as on the tax roll or latest deed) ................................T- If applicant is a eorpoTation, sib of duly authorized officer. ._._...__,/,, ......................................... (Name and title of corporate officer) Builders License No. /- 0- '..�!� Plumbers License No. ......................... Electricians License No. ... Other Trade's License No. .................... 1. location of land on which proposed work will be done. J05 C..-----r�-r ::1 ..�: ....• : !oma .. .................. .. House Raber -j• ...................... Street � Hamlet ty CanT=!!ap No. 1000 Section ........ .?... Block ......Off....... Subdivision ...................................... Filed leap No. ............... net ............... t ... ........... (Name) 2. State emdstiog one and orcupgncy of res and int use l mou opwi-y of proposed construction: a. Psisting use and oocsml>enty �, ;... .. ....... v .??f.11el . 0828/2000 12:41 FAX 6317650064 SOUTHOLD AGWAY 03 3. %Lure of work (check Yinicn applicable): New Building .......... Addition ......... ..�_'�..... Repair ............ l4amal ..... Add t on . l►iteration yam- tlma�lition Other ibrk _ 4. r .O® �t� 00 .... .... .....(Description) .. Gs[iumted Cost ..�..... ..........d_.. fee ...........Co Co.---.-•---. ............... .. /. (to be paid on filing this application) 5. If dwelling, nwixer of dwelling uZ.,;A* ....................... . ..... Number-of duelling unit ................ son eat FloorIf garage, number of cars .. ....... /// �// 6- If business, �prcial or mind oc�cy, specify nature and extent of /N/� � each type of use...... �----... 7. Dimensions of existing structures, if any: Ptont. 20.,.. ... ............... Depth ... ........... 1leight ......................... Nobar of Stories . Dimensions of —/tructure with alterations or additiorm: Prost......... . Depth ....... ----_--- Height ---•----.--•.. r of Stories-------... Pear•............... 8. Dimensions of entire new construction; Pt— ..!X��.- Rear ............... Depth .............. Ileight ............... ......... Nuniier. f Stories . 9. Size of lot: Front ...f. OP'. . Rear .................... Depth .................... 10. date of Purchase ...�/.o.`�$'�.5 ....... lie of Former Oune ..tt.�.17.�.✓.-::!........---•............... 11. Zone or use district in %11icit promises are situated ._.. f..Q................................................ 12. [foes proposed constriction violate any zoning law, ordinance or regulation; .-%.. --•--- 13. Will lot be regraded ... �. .. Will eme//ss fill be •.._. 14. Nmes of Owner of promises P. .'r77:[...�u �.y Name of Architect .._... ...Jo(.• SGQ_(IiAddress/ ?/�(�rU �?i ' Name of Contractor .... . ......................._ Address .....•--•--•,,,,,,,,,,,,,,Phone No. ............. 15. Is this property within 300 feet of a tidal wetland? * TM ..r'••~•... ND .......... *1F YES, SWMD Toi 1M5M FER41T)!!AT M MWUU. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block sober or description according to deed, and ahoy street names and indicate vhedrer interior or corner lot. STMT OF NEW VOLQC, 00W1Y OF ........ A7�fr 4 r ....being duly rn, deposes and says thatshe is the applicant (Now of•individual signing con ract) above raned, �-�7�� 5 e i s die .. X?C rti :1<. ...... ..GK...4. - (Contractor, agent, Corporate officer, etc.) -4. ................ of said aaner or owners, and is duly authorized to perform or have performed rile said work and to udw and file this application; that all statements contained in this application are true to die best of his lwwledge and belief; and that the work will be perfonmed in the am vier set forth in the applic2tion filed therewith. Sworn to befo we this ........1 ....day of u?�fX-1 =�4 �:o.. o► I�-f�t 16. Lw 11/4 _ . Notary Public ... .... 1 ........ .....V.A-4 .. .... ..max-.... (S'�t17 9F11C )