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HomeMy WebLinkAbout26476-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27568 Date: 02/28/01 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property: 1555 BAY HAVEN LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473689 Section 88 Block 4 Lot 39 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 23, 2000 pursuant to which Building Permit No. 26476-Z dated APRIL 2S, 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 ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HENRY & DOROTHY FLINTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 44825 10/24/00 PLUMBERS CERTIFICATION DATED 02/20/0 HENRY P. SMITH Authorized S ' nature 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. 26476 Z Date APRIL 28, 2000 Permission is hereby granted to: HENRY & DOROTHY FLINTER 1555 BAY HAVEN LA SOUTHOLD,NY 11971 for ALTERATION & ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1555 BAY HAVEN LA SOUTHOLD County Tax Map No. 473889 Section 088 Block 0004 Lot No. 039 pursuant to application dated FEBRUARY 23, 2000 and approved by the Building Inspector. Fee $ 75.00 �y�f Authoriz Signat re ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD 111 ((J BUILDING DEPARTMENT TOWN HALL 765-1502 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, 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-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - •2510 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . ��. . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or/r Pre-e-,51#t'i/ng Building. . . . . .. Location of Property. . /� . . ./ 1.4 3 J.l�`�� ��. . �f�IllQUT( ' O Lb House No. aa�� Street _ Hamlet p Onwer or Owners of Property. . .4g[ . , . . . . . . .t . U �D ! y . _ ...if!v !. ..!. . . , , . . , , , County Tax Map No 1000, Section. . . . . y. .Block. . . . . C.!. 7. . . . . .Lot. . e. .7� . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map. . . . . . . . otp. . . . . . . . . . . . . . . . . . . . . � Permit No. . J �.L ./. . .Date Of Permit. .. . . p. . .Applicant.:4'-�J:y . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . �� . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . .K . . . 7 S Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . 51 V APPLICANT =o��gOFFO(��oGy� Town Hall, 53095 Main Road y Z Fax(516)765.1823 P. O. Box 1179 W� • - Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: 2 -�?O--D I Buildinv2j-�= rmit No. Owner: A/XY ?. ' (please print) Plumber: .0. (plea e print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (P1 ers Sig ature) Sworn to before me this c20 H— day of BERNADETTE L.TAPLIN NOTARY PUSLICN4844893 Notary Public, SJfiy�i K County State of New York Residing in Suffolk County CommwS plr on Enoa Soot.30,>jkxl V 7kO .f. Electrical Inspection Certificate Electrical Inspection Service, Inc- 375 Dunton Avenue �- ' ,,,; East Patchogue, New York 11772 (631)286.6642 K y Date: 10/24/2000 Application No. : 44825 Issued to: Henry Flinter Street: 1555 Bay Haven Lane � Village: Southold Zip: 11971 Town:Southold Section: Block: Lot: r„ Introduced by: Glen's Electric Lic.# 4770-E :. was examined and foww'to be in compliance with the National Electrical Code ht ❑Attic O1st Floor ❑ O/S Residential ❑Pool ❑ Det. Garage PF4 ❑ Basement ❑2nd Floor ❑ O/S Commercial ❑ Hot Tub ❑ NV Defects Switches Receptacles Fixtures GFI Heaters A/C Fans :t'` 12 24 10 3 2 g. Dishwasher Washer/Amp Dryer/Amp Oven RangelAmp Garbage Disposal `~ Furnace Oil Gas Circulator Smoke Detector Bell Transformer 4 »V ' Meter Amps Phase Motors Telephone Television Carbon Monoxide z 1 200 1 3 Other Equipment: hood `J Hugo S. Surdi , =_} President Building Permit No. This certificate must not be altered in any manner H Inspectors may be Identified by their credentials 34 ��W 7<��P' „� + :�1;"'•. 4 `it., w n ')��TL ;"�dNr s1 t FV S. �' !� J r.' �i-er t ftp ii 11 1�'i7�F� y ppy;S �� . PisA� s n ° �A: iii i� � ��'��`�� s •' �4ti� !! DONALD G. FEILER - ARCHITECT 2 520 11725 Main Rd•Box 1692•Matfifuck,NY 11952•631298.5453•Fax 298 1360 April 21, 2000 Mr. Mike Verity Town of Southold Building Department Town Hall, Main Road, Southold, NY Re: Proposed Additions & Renovations to the Flinter Residence 1555 Bay Haven Lane, Southold, New York Dear Mr. Verity: This is to certify that the property at the above mentioned project is located in Zone X as indicated on Flood Zone Insurance Rate Map No, 3610300166 G, effective date May 4, 1998. Very truly your J Donald iler 4 ` ' 0158`-/6 cc: Mr. Henry Flinter o / 4� 7"-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ j FRAMING [ ] FINAL [ ] FIR AL CHIMNEY RE ARKS i DATE � � �� INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ j FOUNDATION IST [ j ROUGH PLBG. ( ] FOUNDATION 2ND [ j 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS:; Ol f% DATE �` INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] F DATION i ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC CHIMNEY REMARKS- DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION - [ ] FOUNDATION IST [ ] ROU LBG. [ ] FOUNDATION 2ND SULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA A CHIMNEY REMARKS: C DATE INSPECTO M-1802 BUILDING DEPT. IINSPECTI N [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ J INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY R ARKS: C�� .L¢✓©� IleDATE INSPECTO M-1802 BUILDING DEPT. [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARK DATE -S a INSPECTOR497; 1 REPORTFI -D=INSPECTION DATF. COMMENTS 1 d- FOUNDATION OST) -'tr FOUNDATION (2N1 Ql- 1UGH FRAMETr i� PLUMBING -- – ===—= cr -/ r INSULATION PER N. Y. STATE ENERGY ew 11 ' `- i Q1, LF I NAL 00 -.� ADDITIONAL l it . 1� BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date ,J Owners Name: Reviewed: Of 7 Architect/ Date or Engineer: Submitted: SCTM #: q District: 1.000 Section: eb Block: Lot: �L Project oubdivision Location: �ss� '1 `�L Name: Single&separate Required certification: (Yes/No) _� Req. / Req. Zoning District: [Lot size: �� Actual: l� 1 [Lot coverage o Proposed: Req. Req. /0 J�.� Req. [Front Yard Proposed: [Side Yard Proposed: /i 1_] [Rear Yard s Proposed: r • ' Project Description: rz:: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. V New York State D. E. C. Town Trustees Town Zoning PP Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: • 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 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined. .. ... ..., 20. MAIL TO: . . . . . . . . . . . . . . . . P.' ..., Permit No. . . Disapproved a(c .............................. ......r.....r,.... ............................... (Buildivg tor) APPLICATION FOR BUILDING PERMIT 2n ll z Date. . .�`. . ,!. . . . , POC INSTRUCTIONS a. This application muatlxletely filled in by typewriter or in ink and submitted to the Building Inspects 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing locatioo of lot and of buildings on premises, relationship to adjoining premises or public_ streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram which is part this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sv permit shall be.kept on the premises available for inspection throu&XMt the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MAIL to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors onses and in buildi o neves7pect ' s . � .........Pry ........ . ... .. kv% (Signature of �l/icant, or name, if a corporation (Mailing address of applicant) State whether applicantisowner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bui ..........ul .NIE,/4....................................................... Name of owner of premises �� Uk-(...P.....:r..�r�R..v:r l: .l...�..� . 140.. ................... (as on five tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) BuildersLicense No. ......................... PhndversLicense No. ......................... Electricians License No. ..................... Other Trades License No. .................... 1. location of L9rd on which will be done........................................................... 41 ............................. . .1`.. Y. ...........uE:.............. ................... House Raber Street Hamlet County Tax Map No. 1000 Section ....0.�.'o..... Block ...d!.✓........ Lot ... �..... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) AA13M11'AM 2. State existing use and occupancy of premisesanted intended use and ?cccupancy of on: a. Existing use and occupancy .......Z....... .M.(�`. ...L.7.Y. ! :.... . .. ........ b. Intended use and occupancy ......j....... t�:M ........M ...................................... w<� .nuuk yppur:aure/: Nrew C_ ..:•ng .......... Addition ..r/.... Alteration ......... Repair Rewval Demolition Other Work + (Descriptionl S. Estimated Cost .......1. ....�1 0 0fee ....................... ' (to be paid on filing this application) i. If dolling, ruder of dwelling units ......./.... tkober of dwelling units on each floor .....(.......... Ifgarage, nnber of cars .............2�:..................... �. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... Dimensions of existingstructures if arty: Front.....r.c2....... Fear .. 7.0....... Oep[li ......�.......... Deight ......................... timber of Stories ........ ......... Dimensions of same structure with alterations or additions: ...... Rear .. ':...... Depth ........�.'o ....... Deigtut .................... Huber of Stories ... ........... t. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. }leight ......................... Rxiber of Stories//..................... / Size of lot: Front /... Rear ...(..Z 5........ pthp..L.z:.`l.7........... Aj 0. Date of Purchase ..l.a ./.� �.D...... Naof Former 6wner .....4::.�!=:.n.aN...Yp.v Name ..... 1. Zone or use district in which premises are situated ................................. 2. Does proposed construction violate any zoning law, ordinance or regulation: ...... U.�....;;:.'...... 3. Will lot be regraded .... ....... . Will exce fill be removed from sea YES NO / .. 4. Napes of Owner of 'ses/,*//B,y.GG.ppl'D Tf}y.1.Y./Add s�s ..`'��,,1t��/�{yd�/!♦J,/'/V No. 7�pS.:?d- Nae of Arctuitect N.... /.L'F—.J" Address ..........t'.l. 7,(f.4-P, . Pirrone No. t?5.'3. ' . .. ................ ..... Nape of Contractor ................................... Address ........ ....................Phone No. 5. is this property within 300 feet of a tidal wetland? * YES .......... ND ...!�... *IF YES, SWMC D TOWN TRIM MS PU IIT MY HE RE¢IIRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions Tao property lines. Give street and block ember or description according to deed, and show street owes and indicate bether interior or corner lot. has ' m 12 rl VNIT. Of 147W Y(W, MlY OF ................... ...being duly sworn, deposes and says that he is the applicant Sae of individual signing contract) Bove named, ..................... (Contractor, agent, corporate officer, etc.) r said owner or awrers, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and hat the work will be performed in the manner set forth in the application filed therewith. worn to before me this ......... ..0 i.. Notary PuL bli ................ ... ..... . ... ....t (Signature Applicant) IM ?O/ -'r _ - --- --- -- - - - — -- - -- tiF, • N L N GF .L-:-•--( LC,-'-- _ I I � _ _ LONG• ��LL�(%� jl _ _ __ I 'i` i F ,n ,CL�T'OM Wt-LIQ of-I (� ,� F �l � x � I � n L Id n"7 IST. a, - Ey 4'T CL if- C' Fv F Iri - L, 4 Alt ' i -I — r4-Ta 7vweN YzolnSORnIlttyC OvbJT )yL. s ,v Mna' I�I, r1/�. ZI ^o t` 3—=I W �V , G l=yl✓ lFJC Y)`'kL r`-CC�!?I�M`Ij IG,°G T �x 1 .7'INCa +Ir�u�t �t 61 r5l c_ i`_F �- I 1 I F�UP;'=�U <slGf-.r_•<s, t✓ t,L•CI�Ic�r_t 7 4�� �l_/ U I �-1 l �` -- ---- - •• - -l-I'(- - --/A- --- - *a -`t---- - - - ---- ---- I�-- lo--±)--- -- - I ruabOD65DII mbl entma eNlcain --- � •-]- it )� �r" 1.-- i - I/�-,� - P- --'�-�*-) -�`- �� � )— -41 - -- -I—S if —` i-,. ( t � Il SIF aeeNal me iIX UKrmC1.121=annrib p t' the ew YorkCode. Compliance wi ----- 6 building envelope design shag be r o bas than zem or THI � II � � I Thermal Area tl4ala Rating Table H Walls a65<F 0 + 261Lj Glazing 15 SF � 22 Trfi Door -I _ v r i _ Rool/CN71ng 4'S65F ,a5 � -- t'' -- _�- 6�8 [� ry Skylight - -+�'Ji �r(J� 9 Floor 4366E .05 'IL _3 J y G _ . __ Tr 6.KI:.TU..r t0 Tatl Themal Rating of Buldin EnveloPe �l�ti rf Gfv TC I \� I— ,� To the best of by knorMadge,begot and orofa. I t ud� �J Nese Plans are In coma'ancwIhfs cdeme A I ^^.S .L �•1 PROVIDE SMOKE-DETECTING go ul ALARM DEVICES � 4 AS TO PART. 721.1 0 N.S BUILDING CODE 7 2A4L --- =X ESTI h lq CONS Y� ucT 1. FT • ( L372x 11 '�B NIIGV:OL�M PL�N /� L NtoppeerdistpbuaedML PLUMBING WASTEayatem•pipNgpahaNMPLUMBINQ Iorwatardiatri6uBRpi WATER LINES NEED EYt iaKwLan TE 1 -- — —_ — APPROVEDASNOTED s PLUMBER CERTIF/CATlO WITCHB.Rar /, L �_- I1 o/o GrcnlHM' �� - m� (-7 ^�'✓L �� t - f U SMu IST DA d� 6� 7Io ONLEADCONTENTBEFO EJ C"T��I �� CERTIFICATE OFOCCUPA Cy, NOTIF---- - - - - ---' /=x 9'/� Ml- (p,u, 13�kv 9'/¢Mi (Pr+�:u) ��- ( 2) 2xi•, (F�o( ,�) = QlJrt-E'- NL•; � u�/� 705.10 BUILM TO TPM MENTHE SOLDERUSED INWNN � 765 1802 9 AM TO I P FOR HE SUPPLY$ySTEM CANNO Q 1 - - ' - -- - �X I� � I t G--1 FOLLOWING INSPECTTWO•REOUIRED EXCEED 2/10 OF 1%LEA . ON FOR POURED CONCRETE H ,( s �,� ^ - 7n e L_,� .,,, Inc' = E IC rT F_]7C I _ ��� � 2 ROUGH • FRAMING a PLUMBING IL INSULATION I 1 i Le 1� 'i CS '�' cD off\ '1 - 1+ 4 FINAL • CONSTRUCTION MUST PROVIDE OPENINGS FOR Q ALL CONSTRUCTION SHALL MEET EMERGENCY ESCAPE AS n \ +T 1 BE COMPLETE FOR C.O. REQUIRED C PART.SC714 S v i C "'-•_' - �q y- r, p —� THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY N.Y. STATE BUILDING CODE. -a CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS i He 60r L_ ,F:ar� - wF OCCUPANCY OR P'ONDE'R M. FIRE D USE IS UNLAWFUL RATED 17.3 M(1) TO -- -- -�- - - -G _- PART.E MM �(1)OF 7 - �- WITHOUT CERTIFICATE N.Y. STATE LIIIIILOtlro CODE. - OF OCCUPANCY (�YL � ILNGERNBItDISCDOIFICATE l _ I I. 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