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 )